TUTORIAL TMC A Exam Questions

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TUTORIAL TMC A Exam Questions & Answers

1.1. A patient has been diagnosed with sarcoidosis. Which of the

following pulmonary function test would best evaluate the degree of impairment? FEV1, MVV, VC, FEF 25-75 Answer VC

2.2. A pt has been receiving incentive spirometry therapy for the tx of

atelec- tasis. Which of the following would indicate improvement in the pts condition? increased Crackers, vesicular breath sounds, decreased rhonchi, decreased wheezes.Answer vesicular breath sounds

3.3. A pt is receiving VC, a/c in the intensive care unit. If the inspiratory

phase of ventilation ends when a preset value for volume has been reached, which of the following variables is being controlled?Answer cycle variable

4.4. Vascular markings on a chest radiograph are absent and the lung

parenchyma is black. This would indicate congestive heart failure, over-exposed film, pneumoconiosis, underexposed film Answer overexposed film 1 / 4

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5.5. A pt is receiving aerosolized oxygen therapy via a T-piece (Briggs'

adapter) in the emergency department. The pat has asymetrical chest move- ment w/the left side rising while the right side falls. Which of the following should be considered the most likely reason for this breathing pattern?Answer flail chest

6.6. Which of the following is equivalent to total lung capacity? VC + RV, IC

+ RV, IRV + VT + ERV, VC + FRC

Answer VC + RV

7.7. For patients on mechanical ventilation, which of the following does NOT

contribute to an elevated PaCO2? high glucose intake, severe intrapulmonary shunt, increased deadspace ventilation, fever Answer severe intrapulmonary shunt

8.8. Vesicular breath sounds are auscultated with which of the

following? atelectasis, normal lungs, pneumonia, pulmonary edema Answer normal lungs

9.9. Severe internal hemorrhaging occurs during a fibreoptic bronchoscopy

procedure. The respiratory therapist should recommend. administration of 4% lidocaine via nebulizer, bronchial lavage with normal saline, application of ep- inephrine via bronchoscope, anesthesia using cetocaine solution 2 / 4

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Answer application of epinephrine via bronchoscope

10.10. Mild swelling occurs following exhumation of a patient which of the

following treatments modalities would the respiratory therapist recommend?- Answer cool aerosol therapy

11.11. During the first day after birth of a 34 week gestation neonate,

transcta- neous monitoring indicates a PtcO2 of 65 torr for the right upper quadrant and PtcO2 of 38 torr for the left lower quadrant The respiratory therapist should recommend a chest radiograph, administration of indomethacin, surgical re- pair of the PDA, mechanical ventilation, Answer administration of indomethacin

12.12. A pt is being monitored in the cardiovascular intensive care unit

following coronary arterial bypass surgery. Chest tubes are in place and the patient's vital signs have been stabilized. A routine check of the mechanical ventilator indicates that the average exhaled tidal volume is 150 ml below the set tidal volume. which of the following is the most likely cause of this problem? auto-PEEP, pleural leak, increased deadspace, airtrapping Answer pleural leak 3 / 4

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13.13. A 54 year old man has been maintained on mechaical ventialtion for

several days in the intensive care unit. The following data is avaiable from morning arterial blood gases pH 7.54, PaCO2 29 torr, PaO2 43 torr, bicarbonat- ed 24 mEq/L. Which one decrease the Vt, initiate weaning procdures, decrease the mandatory rate, increase the FIO2 Answer increase the FIO2

14.14. A pleural fluid smaple has been drawn by thoracetesis for

examination and laboratory analysis. The sampel is purulent with a pH of

7.27. Which of the following disease processes should be ruled out by these

results? liver cirrhosis, tuberculosis, lung abcess, sarciodosis Answer liver cirrhosis

15.15. A HME is being used to provide humidification for a patient receiving

VC, SIMV. During a routine ventilator check there is a sudden increase in peak inspiratory pressures and the HME insert contains deposits of thick white mucus. Which of the following should be done next? convert to a wick humidifier system, suction the patient, replace the HME, recommend a chest radiograph.Answer replace the HME

16.16. An adult male patient is admitted to the hsopital with Kartagener's

syndrome. He complains of fatigue and shortness of breath. A fold smelling sputum sample is obtained that separates into three distinct layers. This type of sputum is most likely produced in patients with

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