RCP 170 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Your patient just had an anteroposterior chest film taken. When you view the film
what film what may be a consideration? - ✔✔The heart may appear larger than it really
is
✔✔What is indicated by blunting of the costophrenic angles seen on the posteroanterior
or lateral chest film - ✔✔Excess pleural fluid
✔✔What chest X-Ray view is best used to identify excess pleural fluid? - ✔✔Lateral
Decubitus
✔✔What two ACLS medications are used for asystole? - ✔✔Epinephrine and Atropine
✔✔Dilaudid is not good for patients with renal failure - ✔✔False
✔✔Diazepam, Larazepam, and midazolam are all what type of drug? -
✔✔Benzodiazepine's
✔✔The ramsay score is used to monitor what? - ✔✔Patient's level of sedation
✔✔Which opioid medication is the preferred drug but has a hypotension effect &
potential for histamine release? - ✔✔Morphine
✔✔A pulmonary artery catheter must be wedged in which of the following locations -
✔✔Zone 3
✔✔The hemodynamic measurements that is indicative of a patient with right heart
failure is which of the following - ✔✔Central venous pressure (CVP) = 16mmHg
✔✔A patient in the ICU has a chest X-ray that shows bilateral infiltrates and has the
following hemodynamic measurements CVP 5mmHG, PAP 24/13 and pulmonary artery
occlusion pressure 21mmHg. These findings are consistent with which of the following -
✔✔Cardiogenic pulmonary edema
✔✔How long should the balloon be inflated to obtain a PCWP pressure - ✔✔15-30
seconds
✔✔A patient in the ICU has the following hemodynamic measurements: CVP 5mmHg
PAP 18, PCWP 4mmHg, BP 115/74, CO 4L/min. What is the disease process? -
✔✔Pulmonary hypertension
, ✔✔A patient with tricuspid valve stenosis would most likely have an increase in which
hemodynamic pressure? - ✔✔CVP
✔✔The "T" wave on a rhythm strip represents what? - ✔✔Ventricle repolarization
✔✔Which paralytic has no hemodynamic effects? - ✔✔Rocuronium
✔✔Which of the following differentiates group 2 pulmonary hypertension from other
groups? - ✔✔It is caused by left sided heart disease
✔✔ Steeple sign, subglottic narrowing below vocal cords, over distended hypopharynx
indicates what - ✔✔Laryngotracheobronchitis
✔✔Define the Embryonal phase - ✔✔Development of trachea and major bronchi
✔✔Define the pseudoglandular phase - ✔✔Development of the remaining conducting
airwat
✔✔Define the Canalicular phase - ✔✔development of the vascular bed and framework
for the respiratory acini
✔✔80% of alveoli develop over how long - ✔✔1.5 years of life
✔✔The bronchial tree is formed at which gestational phase of lung development -
✔✔Pseudoglamdular
✔✔When does fetal survival outside the uterus become possible - ✔✔24 weeks
✔✔What is the function of type II pneumocystes - ✔✔Principal cell for surfactant
production
✔✔What is the function of type I pneumocystes - ✔✔Serve as think gas permeable
membranes for the diffusion of gas.
✔✔Define Saccular phase - ✔✔development of mature alveoli
✔✔Define alveolar phase - ✔✔Development of alveoli/ alveolar maturation
✔✔When does the embryonal phase take place - ✔✔Day 26 - Day 52
✔✔When does the pseudoglandular phase take place - ✔✔Day 52 - week 16
✔✔When does the canalicular phase take place - ✔✔Week 17 - week 26
AND SOLUTIONS GRADED A+
✔✔Your patient just had an anteroposterior chest film taken. When you view the film
what film what may be a consideration? - ✔✔The heart may appear larger than it really
is
✔✔What is indicated by blunting of the costophrenic angles seen on the posteroanterior
or lateral chest film - ✔✔Excess pleural fluid
✔✔What chest X-Ray view is best used to identify excess pleural fluid? - ✔✔Lateral
Decubitus
✔✔What two ACLS medications are used for asystole? - ✔✔Epinephrine and Atropine
✔✔Dilaudid is not good for patients with renal failure - ✔✔False
✔✔Diazepam, Larazepam, and midazolam are all what type of drug? -
✔✔Benzodiazepine's
✔✔The ramsay score is used to monitor what? - ✔✔Patient's level of sedation
✔✔Which opioid medication is the preferred drug but has a hypotension effect &
potential for histamine release? - ✔✔Morphine
✔✔A pulmonary artery catheter must be wedged in which of the following locations -
✔✔Zone 3
✔✔The hemodynamic measurements that is indicative of a patient with right heart
failure is which of the following - ✔✔Central venous pressure (CVP) = 16mmHg
✔✔A patient in the ICU has a chest X-ray that shows bilateral infiltrates and has the
following hemodynamic measurements CVP 5mmHG, PAP 24/13 and pulmonary artery
occlusion pressure 21mmHg. These findings are consistent with which of the following -
✔✔Cardiogenic pulmonary edema
✔✔How long should the balloon be inflated to obtain a PCWP pressure - ✔✔15-30
seconds
✔✔A patient in the ICU has the following hemodynamic measurements: CVP 5mmHg
PAP 18, PCWP 4mmHg, BP 115/74, CO 4L/min. What is the disease process? -
✔✔Pulmonary hypertension
, ✔✔A patient with tricuspid valve stenosis would most likely have an increase in which
hemodynamic pressure? - ✔✔CVP
✔✔The "T" wave on a rhythm strip represents what? - ✔✔Ventricle repolarization
✔✔Which paralytic has no hemodynamic effects? - ✔✔Rocuronium
✔✔Which of the following differentiates group 2 pulmonary hypertension from other
groups? - ✔✔It is caused by left sided heart disease
✔✔ Steeple sign, subglottic narrowing below vocal cords, over distended hypopharynx
indicates what - ✔✔Laryngotracheobronchitis
✔✔Define the Embryonal phase - ✔✔Development of trachea and major bronchi
✔✔Define the pseudoglandular phase - ✔✔Development of the remaining conducting
airwat
✔✔Define the Canalicular phase - ✔✔development of the vascular bed and framework
for the respiratory acini
✔✔80% of alveoli develop over how long - ✔✔1.5 years of life
✔✔The bronchial tree is formed at which gestational phase of lung development -
✔✔Pseudoglamdular
✔✔When does fetal survival outside the uterus become possible - ✔✔24 weeks
✔✔What is the function of type II pneumocystes - ✔✔Principal cell for surfactant
production
✔✔What is the function of type I pneumocystes - ✔✔Serve as think gas permeable
membranes for the diffusion of gas.
✔✔Define Saccular phase - ✔✔development of mature alveoli
✔✔Define alveolar phase - ✔✔Development of alveoli/ alveolar maturation
✔✔When does the embryonal phase take place - ✔✔Day 26 - Day 52
✔✔When does the pseudoglandular phase take place - ✔✔Day 52 - week 16
✔✔When does the canalicular phase take place - ✔✔Week 17 - week 26
