ACCS Review Part 1 Respiratory questions
with correct answers
Glasgow Coma Scale Answer✔✔ is used to assess level of consciousness after
head injury.
Eye=4: verbal stimuli 3, to pain 2
Mouth=5: confused 4, inappropriate 3, incoherent 2.
arm=6, localize pain 5, withdraw from pain 4, flex to pain 3, extension to pain 2.
8 or less intubate
Changes in CVP can indicates Answer✔✔ changes in Fluid balance,
decreased CVp<2 can indicate hypovolemia,
increased CVP>6 can indicate hypervolemia
Orthopnea Answer✔✔ difficulty breathing except in the upright position, CHF
patients
General malaise Answer✔✔ Electrolyte imbalance - nausea, weakness, headache
Hemiparesis Answer✔✔ abnormal posturing, could indicate brain injury.
Miosis Answer✔✔ pinpoint pupils
ptosis Answer✔✔ drooping of the upper lids
diplopia Answer✔✔ blurred or double vision
, nystagmus Answer✔✔ cyclic movement of the eyeballs
Erythema Answer✔✔ redness of the skin
Ecchymosis Answer✔✔ subcutaneous hematoma or bruises
Tracheal Deviation: Pulled to Abnormal side Answer✔✔ Pulmonary atelectasis,
Pulmonary fibrosis, diaphragmatic paralysis
Tracheal Deviation: Pushed to normal side Answer✔✔ Massive PE, Tension
Pneumothorax, Neck or Thyroid tumors outside of lung
Flat or Dull sounds Answer✔✔ flat- heard over the sternum, muscle or areas of
atelactsis,
dull- heard over fluid-filled organs, heart or liver (PE, or pneumonia)
If PaO2 increases with Oxygen therapy Answer✔✔ then the patient has a V/Q
Mismatch 66- 300 torr
If PaO2 does not increase with Oxygen therapy then Answer✔✔ the patient has a
shunt >300 torr
Arterial Oxygen Content (CaO2) Answer✔✔ Best measurement of oxygen
delivered to the tissues,
Normal = 17-20 vol% ml/dL
with correct answers
Glasgow Coma Scale Answer✔✔ is used to assess level of consciousness after
head injury.
Eye=4: verbal stimuli 3, to pain 2
Mouth=5: confused 4, inappropriate 3, incoherent 2.
arm=6, localize pain 5, withdraw from pain 4, flex to pain 3, extension to pain 2.
8 or less intubate
Changes in CVP can indicates Answer✔✔ changes in Fluid balance,
decreased CVp<2 can indicate hypovolemia,
increased CVP>6 can indicate hypervolemia
Orthopnea Answer✔✔ difficulty breathing except in the upright position, CHF
patients
General malaise Answer✔✔ Electrolyte imbalance - nausea, weakness, headache
Hemiparesis Answer✔✔ abnormal posturing, could indicate brain injury.
Miosis Answer✔✔ pinpoint pupils
ptosis Answer✔✔ drooping of the upper lids
diplopia Answer✔✔ blurred or double vision
, nystagmus Answer✔✔ cyclic movement of the eyeballs
Erythema Answer✔✔ redness of the skin
Ecchymosis Answer✔✔ subcutaneous hematoma or bruises
Tracheal Deviation: Pulled to Abnormal side Answer✔✔ Pulmonary atelectasis,
Pulmonary fibrosis, diaphragmatic paralysis
Tracheal Deviation: Pushed to normal side Answer✔✔ Massive PE, Tension
Pneumothorax, Neck or Thyroid tumors outside of lung
Flat or Dull sounds Answer✔✔ flat- heard over the sternum, muscle or areas of
atelactsis,
dull- heard over fluid-filled organs, heart or liver (PE, or pneumonia)
If PaO2 increases with Oxygen therapy Answer✔✔ then the patient has a V/Q
Mismatch 66- 300 torr
If PaO2 does not increase with Oxygen therapy then Answer✔✔ the patient has a
shunt >300 torr
Arterial Oxygen Content (CaO2) Answer✔✔ Best measurement of oxygen
delivered to the tissues,
Normal = 17-20 vol% ml/dL
