TMC review questions
1. If a patient is on 8-12L/min, what would be the fio2?: 50%
2. If minute ventilation stays the same but dead-space is added, what will
increases?: PaCO2
3. What is the static compliance equation?: Exhaled Vt/(Pplat - PEEP)
4. Before chest physiotherapy is done, what should the respiratory therapy
do
FIRST?: Review patient chart history
5. What should a therapist do when a family is asking to put the patient on
the mechanical ventilator when they have a DNI order in place?: Start with
NPPV 6. What phrase would describe a patient having dyspnea?: "I have to
stop and catch my breath"
7. A patient who has a neck injury but needs their airway protected. What
should you put in place?: Oropharyngeal airway
8. A patient is unconscious, what should you do to establish a patent
airway?: Head tilt chin
9. A patient has accessory muscle and scalene usage, what does this
indicate?: Increased work of breathing
10. Unevenly spaced beats decreased pulse strength during inspiration, is
indicative of what?: Pulsus paradoxus
11. What positions do you place a patient in for right lung secretions?: Left
lateral decubitus
12. What the correct endotracheal tube placement?: 5cm above the carina or
4-6cm
13. Chest x-ray looks normal but they have been sitting for an extended
period of time and is experiencing dyspnea. What is likely the cause?:
Pulmonary embolism
14. Chest x-ray showing a deflated lung. What is a likely diagnosis?: Tension
pneumothorax
15. A patient has hemoptysis, what do you do?: Bronchoscopy
16. Broncholavage should be done with what?: Mini ball-vap
17. After intubation there is a lack of breath sounds on the left side, what
could be the cause?: Right mainstem bronchi intubation
18. There is a hyperresonance and tracheal shift with distant breath sounds,
what is a likely diagnosis?: Pneumothorax
19. What is a V/Q scan used to identify?: Pulmonary embolism
20. What is the name of the gestational age test?: Ballard score
21. What is used to diagnose cancer?: PET scan
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, TMC review questions
22. Bronchogram is used to diagnose what?: Bronchiectasis
23. A patient has left sided chest pain, what diagnostic test should be
done?: Chest x-ray
24. Midclavicular is the place for what lead?: V4 leads
25. What percentage of PaCO2 is normal?: 5%
26. What is the normal value of ejection fraction?: 60
27. How is VD/VT calculated?: PaCO2-PeCO2/PaCO2 is 30
28. Patient was taken from a burning house, what diagnostic test should be
done?: Co-oximeter/hemoximeter
29. Low urine output can be caused by what?: Low PCWP
30. What is the reversal agent of OPIODS?: Narcan
31. What do you give for stridor?: Racemic epinephrine
32. A patients endotracheal tube is 18cm at the lip, cuff pressure is
19cmH2O, and there is still gurgling, what should you do?: Advance the
ET tube 33. Unequal breath sounds:
34. What should be done after ABG sampling?: Change the gloves
35. What type of heated humidifier should be placed for a patient with
tracheostomy?: HME (Heat and moisture exchanger)
36. The Semi fowler position is used for what?: Anterior apical upper lung
segmented lobes
37. Blood for sampling for an ABG must be done. There is no collateral
circulation to the right arm and there is a shunt in place on the left arm,
what site should the ABG be done?: Dorsalis pedis
38. 123 cardioversion, what supplies are necessary?: No transcutaneous
pacemaker
39. A patient has a long-term (chronic) cough, what medication should be
administered?: Mucolytic
40. Bronchodilator should be given for a COPD patient?: Atrovent
41. Increased nitric oxide can cause what condition?: Methemoglobinia
42. CO2 analyzer has what electrode?: Severinghuas electrode
43. Radial artery is used for what reason?: Collateral circulation
44. Peripheral artery and pulmonary artery, should be used for what?:
Hemodynamic monitoring
45. What waveform will show auto-PEEP?: Flow waveform
46. What does it mean if there is a low tidal volume and exhale volume
alarm?: System leak
47. PaO2 decreases what will increase?: p(A-a)
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1. If a patient is on 8-12L/min, what would be the fio2?: 50%
2. If minute ventilation stays the same but dead-space is added, what will
increases?: PaCO2
3. What is the static compliance equation?: Exhaled Vt/(Pplat - PEEP)
4. Before chest physiotherapy is done, what should the respiratory therapy
do
FIRST?: Review patient chart history
5. What should a therapist do when a family is asking to put the patient on
the mechanical ventilator when they have a DNI order in place?: Start with
NPPV 6. What phrase would describe a patient having dyspnea?: "I have to
stop and catch my breath"
7. A patient who has a neck injury but needs their airway protected. What
should you put in place?: Oropharyngeal airway
8. A patient is unconscious, what should you do to establish a patent
airway?: Head tilt chin
9. A patient has accessory muscle and scalene usage, what does this
indicate?: Increased work of breathing
10. Unevenly spaced beats decreased pulse strength during inspiration, is
indicative of what?: Pulsus paradoxus
11. What positions do you place a patient in for right lung secretions?: Left
lateral decubitus
12. What the correct endotracheal tube placement?: 5cm above the carina or
4-6cm
13. Chest x-ray looks normal but they have been sitting for an extended
period of time and is experiencing dyspnea. What is likely the cause?:
Pulmonary embolism
14. Chest x-ray showing a deflated lung. What is a likely diagnosis?: Tension
pneumothorax
15. A patient has hemoptysis, what do you do?: Bronchoscopy
16. Broncholavage should be done with what?: Mini ball-vap
17. After intubation there is a lack of breath sounds on the left side, what
could be the cause?: Right mainstem bronchi intubation
18. There is a hyperresonance and tracheal shift with distant breath sounds,
what is a likely diagnosis?: Pneumothorax
19. What is a V/Q scan used to identify?: Pulmonary embolism
20. What is the name of the gestational age test?: Ballard score
21. What is used to diagnose cancer?: PET scan
1/6
, TMC review questions
22. Bronchogram is used to diagnose what?: Bronchiectasis
23. A patient has left sided chest pain, what diagnostic test should be
done?: Chest x-ray
24. Midclavicular is the place for what lead?: V4 leads
25. What percentage of PaCO2 is normal?: 5%
26. What is the normal value of ejection fraction?: 60
27. How is VD/VT calculated?: PaCO2-PeCO2/PaCO2 is 30
28. Patient was taken from a burning house, what diagnostic test should be
done?: Co-oximeter/hemoximeter
29. Low urine output can be caused by what?: Low PCWP
30. What is the reversal agent of OPIODS?: Narcan
31. What do you give for stridor?: Racemic epinephrine
32. A patients endotracheal tube is 18cm at the lip, cuff pressure is
19cmH2O, and there is still gurgling, what should you do?: Advance the
ET tube 33. Unequal breath sounds:
34. What should be done after ABG sampling?: Change the gloves
35. What type of heated humidifier should be placed for a patient with
tracheostomy?: HME (Heat and moisture exchanger)
36. The Semi fowler position is used for what?: Anterior apical upper lung
segmented lobes
37. Blood for sampling for an ABG must be done. There is no collateral
circulation to the right arm and there is a shunt in place on the left arm,
what site should the ABG be done?: Dorsalis pedis
38. 123 cardioversion, what supplies are necessary?: No transcutaneous
pacemaker
39. A patient has a long-term (chronic) cough, what medication should be
administered?: Mucolytic
40. Bronchodilator should be given for a COPD patient?: Atrovent
41. Increased nitric oxide can cause what condition?: Methemoglobinia
42. CO2 analyzer has what electrode?: Severinghuas electrode
43. Radial artery is used for what reason?: Collateral circulation
44. Peripheral artery and pulmonary artery, should be used for what?:
Hemodynamic monitoring
45. What waveform will show auto-PEEP?: Flow waveform
46. What does it mean if there is a low tidal volume and exhale volume
alarm?: System leak
47. PaO2 decreases what will increase?: p(A-a)
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