RCP 160 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND SOLUTIONS GRADED A+
✔✔2 reasons for no bubbling in suction chamber - ✔✔not connected or turned on, there
is a kink in
the suction tubing
✔✔Method of chest tube removal that has the lowest level of pneumothorax recurrence
- ✔✔End expiration or breath hold with valsalva maneuver
✔✔Is tidaling normal - ✔✔Yes
✔✔What should the RT do if the chest tube system is knocked over? - ✔✔Tell a nurse
✔✔What is an iatrogenic pneumothorax? - ✔✔A pneumothorax caused by medical
intervention
✔✔Reasons for bubbling in the water seal chamber - ✔✔continue our bubbling may
indicate a air
leak in the system, intermittent bubbling Norma, if air is being evacuated from the
pleural
space
✔✔2 most common symptoms - ✔✔Dyspnea and fatigue
✔✔What PFT test will show abnormalities in a patient with PHTN? What would the
results
show? - ✔✔Decreased DLCO
✔✔Why is the use of oxygen so important in patients at risk for pulmonary hypertension
- ✔✔prevents Hypoxic vasoconstrictio
✔✔Why are patients with COPD at risk for pulmonary hypertension? - ✔✔Chronic
hypoxia
✔✔What chronic disease process places patients most at risk for pulmonary
hypertension? - ✔✔COPD
✔✔What type of heart failure is most common in patients with PHTN? - ✔✔Right sided
heart failure
✔✔5 year survival rate for patients with untreated PAH? - ✔✔30%
✔✔Review Epoprostenol (Flolan) what 2 ways is it given? - ✔✔IV/INHALED
, ✔✔*Written* Choose and explain ONE PH medical intervention (iNO, - ✔✔inhaled nitric
oxide is a gas that relaxes pulmonary vessels, lowers pulmonary artery pressure and
improves oxygenation without dropping systemic BP it is used in PH especially in
neonates or acute settings
✔✔*Written* Choose one group of PH and explain how it leads to ph. - ✔✔Group 3 PH
is caused
by chronic lung diseases like COPD. Low oxygen leads to pulmonary vasoconstriction,
raising pressures and causing right heart strain
✔✔Pulmonary Edema CXR - ✔✔butterfly pattern, fluffy infiltrates, bat wing pattern
✔✔ARDS CXR - ✔✔Honeycomb or Ground glass
✔✔#1 cause of Cardiogenic pulmonary edema? - ✔✔Left sided heart failure
✔✔PCWP in patient with cardiogenic pulmonary edema? - ✔✔>18
✔✔PCWP in patient with ARDS - ✔✔<18
✔✔Cardiogenic BAL fluid - ✔✔Clear low protein
✔✔BAL fluid ARDS - ✔✔Cloudy, high protein, inflammatory cells
✔✔Causes of non cardiogenic pulmonary edema? - ✔✔ARDS, sepsis, aspiration,
trauma, near
drowning, pancreatitis
✔✔What is the best RESPIRATORY intervention for patients with CHF? - ✔✔BiPAP
✔✔Calculate pulse pressure (multiple questions) - ✔✔systolic BP- Diastolic BP
✔✔Calculate MAP (multiple questions - ✔✔SBP+2xDBP / 3
✔✔Identify a damped pressure waveform - ✔✔it appears rounded or flattened with no
sharp
dicortic notch
✔✔WHY do we perform an Allens test? - ✔✔To confirm collateral circulation
✔✔3 reasons for an A-line - ✔✔continuous BP monitoring, frequent ABGs,
hemodynamic monitoring
AND SOLUTIONS GRADED A+
✔✔2 reasons for no bubbling in suction chamber - ✔✔not connected or turned on, there
is a kink in
the suction tubing
✔✔Method of chest tube removal that has the lowest level of pneumothorax recurrence
- ✔✔End expiration or breath hold with valsalva maneuver
✔✔Is tidaling normal - ✔✔Yes
✔✔What should the RT do if the chest tube system is knocked over? - ✔✔Tell a nurse
✔✔What is an iatrogenic pneumothorax? - ✔✔A pneumothorax caused by medical
intervention
✔✔Reasons for bubbling in the water seal chamber - ✔✔continue our bubbling may
indicate a air
leak in the system, intermittent bubbling Norma, if air is being evacuated from the
pleural
space
✔✔2 most common symptoms - ✔✔Dyspnea and fatigue
✔✔What PFT test will show abnormalities in a patient with PHTN? What would the
results
show? - ✔✔Decreased DLCO
✔✔Why is the use of oxygen so important in patients at risk for pulmonary hypertension
- ✔✔prevents Hypoxic vasoconstrictio
✔✔Why are patients with COPD at risk for pulmonary hypertension? - ✔✔Chronic
hypoxia
✔✔What chronic disease process places patients most at risk for pulmonary
hypertension? - ✔✔COPD
✔✔What type of heart failure is most common in patients with PHTN? - ✔✔Right sided
heart failure
✔✔5 year survival rate for patients with untreated PAH? - ✔✔30%
✔✔Review Epoprostenol (Flolan) what 2 ways is it given? - ✔✔IV/INHALED
, ✔✔*Written* Choose and explain ONE PH medical intervention (iNO, - ✔✔inhaled nitric
oxide is a gas that relaxes pulmonary vessels, lowers pulmonary artery pressure and
improves oxygenation without dropping systemic BP it is used in PH especially in
neonates or acute settings
✔✔*Written* Choose one group of PH and explain how it leads to ph. - ✔✔Group 3 PH
is caused
by chronic lung diseases like COPD. Low oxygen leads to pulmonary vasoconstriction,
raising pressures and causing right heart strain
✔✔Pulmonary Edema CXR - ✔✔butterfly pattern, fluffy infiltrates, bat wing pattern
✔✔ARDS CXR - ✔✔Honeycomb or Ground glass
✔✔#1 cause of Cardiogenic pulmonary edema? - ✔✔Left sided heart failure
✔✔PCWP in patient with cardiogenic pulmonary edema? - ✔✔>18
✔✔PCWP in patient with ARDS - ✔✔<18
✔✔Cardiogenic BAL fluid - ✔✔Clear low protein
✔✔BAL fluid ARDS - ✔✔Cloudy, high protein, inflammatory cells
✔✔Causes of non cardiogenic pulmonary edema? - ✔✔ARDS, sepsis, aspiration,
trauma, near
drowning, pancreatitis
✔✔What is the best RESPIRATORY intervention for patients with CHF? - ✔✔BiPAP
✔✔Calculate pulse pressure (multiple questions) - ✔✔systolic BP- Diastolic BP
✔✔Calculate MAP (multiple questions - ✔✔SBP+2xDBP / 3
✔✔Identify a damped pressure waveform - ✔✔it appears rounded or flattened with no
sharp
dicortic notch
✔✔WHY do we perform an Allens test? - ✔✔To confirm collateral circulation
✔✔3 reasons for an A-line - ✔✔continuous BP monitoring, frequent ABGs,
hemodynamic monitoring
