TMC practice Questions & Answers
A 44 week old gestational age infant is 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 at 5. The infant is most likely suffering from
transient tachypnea of the newborn
meconium aspiration
bronchopulmonary dysplasia
apnea of prematurity (Ans- meconium aspiration
All of the following could cause a patient's right-hemidiaphragm to be elevated, Except...
right lower lobe atelectasis
right side hyperlucency, absent vascular markings
hepatomegaly
right lower lobe consolidation with air bronchograms (Ans- right side hyperlucency, absent vascular markings
A 64 year old, 70 kg (154 lb) man with severe COPD receives 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 459 mL 1 / 4
Right lung 159 ml, left lung 359 ml
Right lung 250, left lung 250 ml
Right lung 350 ml, left lung 150 ml (Ans- Right lung 150, left lung 350 ml
A 2 year old child with croup has been intubated for 4 days with a 4 mm ID uncuffed endotracheal tube. Heated aerosol at an FiO2 of 0.30 has been delivered to the patient. The physician asks the respiratory therapist to evaluate the patient for possible extubation. Which of the following would most likely indicate that the patient is ready for extubation?
The patient is making normal quiet ventilatory efforts
A negative sputum culture and sensitivity has been reported
The patients ABG are within normal range
Breath sounds are heard around the tube on auscultation (Ans- Breath sounds are heard around the tube on auscultation
When instructing a patient prior to a vital capacity maneuver, the respiratory therapist should direct the patient to....
exhale to residual volume and inhale to inspiratory capacity
inhale to total lung capacity then exhale to residual volume
exhale normally then inhale to TLC
inhale normally then exhale to FRC (Ans- inhale to TLC then exhale to RV
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A patient with end-stage pulmonary fibrosis receieves oxygen at 2 L/min via transtracheal oxygen catheter. The patient complains of increased work of breathing and shortness of breath. The RT should...
Manually ventilate the patient with a resusitation bag
increase the flow to the transtracheal catheter to 6 lpm
evaluate the SpO2 with a pulse oximeter
flush the transtracheal device with saline (Ans- flush the transtracheal device with saline
During bedside monitoring the respiratory therapist notices a dampened waveform on the arterial line graphic. To restore the graphic to normal, the therapist should first
- verify the position of the transducer.
- check the transducer dome for air bubbles.
- flush the catheter with heparin solution.
- attempt to draw blood from the arterial line.
(Ans- attempt to draw blood from the arterial line
The RT is in charge of transporting a patient with multiple trauma to a regional trauma center in a fixed wing aircraft. Which of the following should the therapist be most concerned about during the transport?
Tissue oxygenation
pneumothorax
pulmonary embolus
humidification of the inspired gas (Ans- tissue oxygenation 3 / 4
Transcutaneous monitoring of PO2 values will correlate well with arterial blood gas PO2 values in which of the following situations?
- Hypotension
- hypothermia
- pneumonia
- only
- only
- and 2 only
- and 3 only
(Ans- 3 only
Following surgery to correct an abdominal aortic aneurysm, a 54 year old female patient suddenly develops intense substernal chest pain with severe dyspnea. The pain does not appear to be aggravated by her respirations.Auscultation reveals bilateral, basilar, moist, crepitant rales. The patient appears pale, cold, and clammy. Which of the following should the respiratory therapist recommend for initial assessment of this patient?
Serum electrolytes
chest x-ray
CBC
Electrocardiograph (Ans- Electrocardiograph
Which of the following would be the most appropriate test to evaluate partial vocal cord paralysis in a patient complaining of difficulty swallowing?
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