188 NBRC TMC Review Exam Questions and Answers. 2022/2023. Rated A

188 NBRC TMC Review Exam Questions and Answers. 2022/2023. Rated A Document Content and Description Below 188 NBRC TMC Review Exam Questions and Answers What is the equation for RSBI (Rapid Shallow Breathing Index)? - RR / Vt(L) What does CaO2 stand for? - Total arterial oxygen content What is the equ ation for Totally Arterial Oxygen Content? - (Hb x 1.34 x SaO2) + (PaO2 x 0.003) What is the equation for pack years? - Pack years = # packs/day X # years smoked What is the equation for total amount of oxygen bound to the Hb? - (Hb x 1.34 x SaO2) What is the normal urine output? - 40mL/hour What is the normal range for central venous pressure (CVP)? - 2-6 mm Hg A CVP value of 8 indicates what? - HYPERvolemia (excess of fluid) What is ascites? - accumulation of fluid in the abdomen generally caused by liver failure What disease process is associated with night sweats? - tuberculosis Define Erythema - redness of the skin Define barrel chest - a result of air trapping in the lungs for a long period of time, commonly seen with COPD patients Define the breathing pattern: increased rate, increased depth, irregular rhythm - Kussmaul's Define the breathing pattern: Increase rate, increased depth, regular rhythm - Hyperpnea Define the breathing pattern: gradually increasing rate and depth in a cycle lasting from 30-180 seconds, with periods of apnea lasting up to 60 seconds - Cheyne-Stokes What is the Mallampati score if you can only see the soft palate, the uvula, and the faces? - Class II What is the Mallampati score if only the hard palate is visible? - Class IVWhat class(es) of the Mallampati Classification indicate an easy intubation? - Class I and II What is a normal heart rate for adults? - 60-100/bpm What three pathologies will push the trachea away/tracheal deviation pushed to the "normal" side? - 1. Tension pneumothorax 2. Tumors or masses in the mediastinum, the neck, or the thyroid 3. Massive pleural effusion What three pathologies will pull the trachea towards/tracheal deviation pulled to the "abnormal" side? - 1. Atelectasis 2. Pneumonectomy 3. Diaphragmatic Paralysis What term describes vibrations that are felt by the hand on the chest wall? - Tactile Fremitus What term describes bubbles of air under the skin that can be palpated? - Crepitus In diagnostic chest percussion, what does resonant mean? - normal lung In diagnostic chest percussion, what does dull or hyporesonant mean? - Fluid filled lung, may indicate pneumonia or pleural effusion In diagnostic chest percussion, what does tympanic or hyper resonant mean? - Increased air volume, may indicate pneumothorax CHF and pulmonary edema are associated with _______ crackles - fine What does a unilateral wheeze indicate? - Foreign body aspiration What breath sound is described as a high pitched or crowing inspiratory sound? - stridor Supraglottic swelling is caused by: - Epiglottitis Subglottic swelling is caused by: - croup You just extubated a patient and they have mild stridor. What therapy would you recommend? - cool mist therapy You just extubated a patient and they have moderate stridor. What therapy would you recommend? - cool mist therapy, oxygen, and aerosolized racemic epinephrine You just extubated a patient and they have marked stridor. What therapy would you recommend? - reitubationWhat is the normal adult blood pressure? - 120/80 Blunted costophrenic angles are associated with what disease process? - Pleural effusion What is the best radiographic way to identify a pleural effusion? - Lateral decubitus radiograph Where should the tip of the endotracheal tube end up in a properly placed intubation? - 2-6cm above the carina A lateral neck x ray is helpful in identifying what disease processes? - Croup and Epiglottitis What disease process do these radiographic descriptions indicate? -Steeple sign -Picket fence sign -Pencil point sign -Hourglass sign - Croup What is another word for laryngotracheobronchitis? - croup What disease process is identified by a thumb sign on a radiograph? - Epiglottitis What disease process is described in these radiographic findings? -Butterfly pattern -Fluffy infiltrates -Batwing pattern - Pleural Edema What disease process is described in these radiographic findings? -Patchy infiltrates -Platelike infiltrates - Atelectasis What disease process is described in these radiographic findings? -Ground Glass appearance -Honeycomb Pattern -Diffuse bilateral radiopacity - ARDS What disease process is described in these radiographic findings? -Air bronchograms - pneumonia What disease process is described in these radiographic findings? -Blunting/obliteration of the costophrenic angles -Basilar infiltrates with meniscus - Pleural effusionWhat is the normal value for ICP? - 5-10 mmHg At what critical level for ICP would we initiate treatment? - >20 mm Hg What drug could be given to reduce ICP? - Mannitol What is the expected level of FEco for a nonsmoker? - <7 What is the expected level of FEco for a smoker? - >20 What is the normal value for red blood cells? - 4-6 mill What is the normal level for white blood cells? - 5,000 - 10,000 What is the normal value for Hemoglobin - 12-16 What is the normal value for Hematocrit? - 40-50% What type of white blood cells are specifically associated with asthma? - Eosinophils What is the normal range for potassium? - 3.5-4.5 What is the normal range for sodium? - 135-145 What is the normal range for chloride? - 90-100 What is the normal range for bicarbonate? - 22-26 What is the normal range for PaCO2? - 35-45 What is the normal range for PaO2? - 80-100 What is the normal range for pH? - 7.35-7.45 What does blood urea nitrogen reflect? - kidney function What does an acid fast stain check for? - tuberculosis What is the normal clotting time? - up to 6 minutes APTT monitors what kind of therapy? - Heparin therapy APT monitors what kind of therapy? - Warfarin/Coumadin therapy What are the four recommended initial treatments for a myocardial infarction? - Oxygen MorphineAspirin Nitroglycerin What does an elevated BNP diagnose? - Congestive heart failure What is a normal value for troponin? - <0.1 What is the normal level for brain natriuretic peptide (BNP)? - <100 What does a BNP level of >900 indicate? - severe heart failure How many electrodes are used in a 12-lead EKG? - 10 electrodes Normal heart axis - down and to the left What is the equation for calculating heart rate based on an ECG? - 300 / # of large boxes in between R waves What medication can be useful in treating premature ventricular contractions? - lidocaine Define the arrhythmia: - PVC Define the arrhythmia: - multifocal PVC Define the arrhythmia: - Atrial flutter Define the arrhythmia: - Atrial fibrillation Define the arrhythmia: - Ventricular Tachycardia Define the arrhythmia: - Ventricular flutter/fibrillation Is it ischemia, injury, or infarction? Elevated S-T segment - Injury Is it ischemia, injury, or infarction? Inverted T wave - Ischemia Is it ischemia, injury, or infarction? Significant Q waves - Infarction What does APGAR stand for? - Appearance Pulse Grimace ActivityRespiratory effort What does an APGAR score of 0-3 indicate? - Infant needs to be resuscitated What does an APGAR score of 4-6 indicate? - Provide support, warming, stimulate, administer O2 What does an APGAR score of 7-10 mean? - Monitor, routine care A term infant is born between _____ and _____ weeks of gestational age - 38 and 42 You suspect a pneumothorax in a newborn infant. What bedside test co