TMC MOCK REAL EXAM 180 ACTUAL EXAM

TMC MOCK REAL EXAM 180+ ACTUAL EXAM

QUESTIONS AND CORREC T DETAILED ANSWERS

WITH (VERIFIED ANSWERS) - |ALREADY

GRADED A+

After a patient undergoes a thoracentesis, the respiratory therapist notes that the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of

• empyema.
• congestive heart failure.
• lung carcinoma.
• hemothorax.

 B. congestive heart failure.

After a patient undergoes a thoracentesis, the respiratory therapist notes that the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of

• empyema.
• congestive heart failure.
• lung carcinoma.
• hemothorax.

 B. congestive heart failure.

Which of the following would be most important to evaluate for a patient who is entering a smoking cessation program?

• Height
• Smoking history 1 / 4

• Weight
• Diet

 B. Smoking history

Based upon the information obtained which of the following is a correct statement?

• Another syringe needs to be used
• Spirometer is accurate
• The plunger was advanced too slowly
• Spirometer may have a leak

 D. Spirometer may have a leak

Which of the following is an indication for high frequency jet ventilation?

• Bronchopleural fistula
• Wilson Mikity syndrome
• Necrotizing lesion of right lung
• Centrilobular emphysema

 Bronchopleural fistula

A 43-year-old female patient has just undergone a total abdominal hysterectomy.The patient arrives in the post anesthesia care unit obtunded with minimal response to painful stimulus. What treatment should the respiratory therapist recommend for this patient?

• Initiate assisted ventilation
• Insert oropharyngeal airway
• Obtain positron emission tomography
• Initiate noninvasive capnography

 B. Insert oropharyngeal airway 2 / 4

A 44 week gestational age infant has just been delivered via C-section and is gasping, grunting, and has tachycardia and tachypnea. At one minute his Apgar score is 4 and at 5 minutes the score is 5. The infant is most likely suffering from

• transient tachypnea of the newborn.
• meconium aspiration.
• bronchopulmonary dysplasia.
• apnea of prematurity

 B. meconium aspiration.

What is the normal VD/VT ratio for a patient breathing room air?

A. 5 - 15%

B. 20 - 40%

C. 45 - 55%

 D. 65 - 75%

A heat moisture exchanger is indicated for humidification in which of the following situations?

• Mechanical ventilation in a long-term care facility.
• Transport to a tertiary care center.
• Patient with tenacious secretions.
• Delivery of aerosolized bronchodilators

 B. Transport to a tertiary care center.

All of the following could cause a patient's right-hemidiaphragm to be elevated,

EXCEPT

• right lower lobe atelectasis. 3 / 4

• right side hyperlucency, absent vascular markings.
• hepatomegaly.
• right lower lobe consolidation with air bronchograms

 B. right side hyperlucency, absent vascular markings.

A 64-year-old, 70 kg (154 lb) man with severe COPD is receiving independent (differential) lung ventilation following thoracotomy and right lower lobectomy.Which of the following setting combinations would be most appropriate for this patient?

• Right lung 50 mL; left lung 650 mL
• Right lung 150 mL; left lung 550 mL
• Right lung 350 mL; left lung 350 mL
• Right lung 550 mL; left lung 150 mL

 B. Right lung 150 mL; left lung 550 mL

A patient in the intensive care unit has the following hemodynamic measurements: CVP (mm Hg) 5 PAP (mm Hg) 29/8 PCWP (mm Hg) 8 BP (mm Hg) 130/70 Cardiac output (L/min) 5.1 Cardiac index (L/min/m2) 2.7 What is the pulse pressure?

• 15 mm Hg
• 21 mm Hg
• 60 mm Hg
• 90 mm Hg

 C. 60 mm Hg

• / 4