RRT TMC Keyword With Complete Solution A+ Graded

RRT TMC Keyword With Complete Solution A+ Graded


Unilateral wheeze - ANSWER - A foreign body obstruction, aspiration

- CA mass in large AW

(recommend rigid bronchoscopy)



Rhonchi - ANSWER - Mucus blocking the larger bronchioles

(Cough, Suction)



Fine rales/crackles - ANSWER - CHF

- Pulmonary Edema

(Diurese the pt, Cardiac Medication)



Medium Rales - ANSWER Mucus in Medium AW

(CPT, PEP, Postural drainage)



Sudden onset SOB - ANSWER Pulmonary Embolism



Flattened T waves - ANSWER Hypokalemia



pulsus paradoxus - ANSWER - Status Asthmaticus

- Any Severe Air-Trapping Disease

(beats have weaker amplitude with respiratory inspiration, stronger with expiration)

Paradoxical chest movement- ANSWER Flail Chest (≥2 Ribes broken)

Ensure ventilation, watch for pneumothorax

Sudden onset of Tachypnea, Hyperresonant on Percussion- ANSWER Associated With-

, Pneumothorax

(100% oxygen, chest x-ray, chest tubes if positive)

Sweet smelling breath- ANSWER Diabetic Ketoacidosis

Panic Breathing- ANSWER Asthma Episode

Spiked T waves- ANSWER hyperkalemia

Flipped T wave- ANSWER Myocardial Ischemia

Digitalis toxicity



Flat percussion sound - ANSWER - Atelectasis

- Any severe Air-Trapping disease



5 obstructive diseases - ANSWER Asthma

Bronchiectasis

Cystic Fibrosis

Chronic Bronchitis

Emphysema



dull percussion sounds - ANSWER - Fluid-filled

- Pneumonia

- Pleural Effusion



Cold, clammy skin - ANSWER - Myocardial infarction

- Night Sweats

(Give oxygen, do ECG)



Digital clubbing - ANSWER COPD