NBRC TMC/CRT/RRT EXAM QUESTIONS AND
CORRECT ANSWERS |GRADE A+
extra pulmonary air indicates: - ans --pneumothorax
-pneumoperitoneum
-pneumomediastinum
-pneumopericardium
-sub cu. emphysema
Epiglottitis: - ans --above glottis
-confirm with lat. neck cxr; supraglottic narrowing with enlarged flattened
epiglottis
-thumb sign
Tx: intubate
Croup (laryngotracheobronchitis) - ans -infection of upper airway characterized by
a barky cough seen in children
CXR: tracheal narrowing with subglottic swelling (steeple sign, picket fence, pencil
point, hour glass)
Treatment: racemic epi and O2
ETT Placement: - ans -2-6 cm above carina-- level of aortic arch
To confirm- first listen to breath sounds, then CXR
AP radiograph: - ans -front to back
PA radiograph - ans -back to front
Lateral radiograph - ans -sides
Oblique CXR - ans -standing/diagonal- lesions
Lateral decubitus - ans -lying on AFFECTED side-- pleural effusions
, Apical lordotic - ans -tops of lungs used to confirm TB
End exp. image - ans -detect small pnuemos
Confirming quality of CXR image - ans -- clavicles are level
- penetration- vertabrae visible just behind heart
-mediastinum- area between lungs, heart, blood vessels and bronchi are found
-vascular markings
Enlarged Heart in CXR - ans -cardiomegaly--- CHF- pericardial effusion
Normal CXR - ans --hemidiaphragms
-R diaphragm elevated (liver underneath)
-L diaphragm at level of 6 anterior rib
-trachea midline
-bilateral radiolucent appearance
-sharp costophrenic angles
- heart not consuming 50% of picture
Blood Pressure - ans -120/80
90-140 systolic acceptable
60-90 diastolic acceptable
hypertension- O2
hypotension- fluids, hypovolemia, chf
Heart sounds: - ans -S1- ventricles contract
S2-ventricles relax
(LUB-DUB)
S3 & S4 not good; recommend echo
pleural friction rub - ans -Coarse grating raspy or crushing sound
TB, pneumonia, PE, and hemothorax
Recommend steroids and antibiotics
CORRECT ANSWERS |GRADE A+
extra pulmonary air indicates: - ans --pneumothorax
-pneumoperitoneum
-pneumomediastinum
-pneumopericardium
-sub cu. emphysema
Epiglottitis: - ans --above glottis
-confirm with lat. neck cxr; supraglottic narrowing with enlarged flattened
epiglottis
-thumb sign
Tx: intubate
Croup (laryngotracheobronchitis) - ans -infection of upper airway characterized by
a barky cough seen in children
CXR: tracheal narrowing with subglottic swelling (steeple sign, picket fence, pencil
point, hour glass)
Treatment: racemic epi and O2
ETT Placement: - ans -2-6 cm above carina-- level of aortic arch
To confirm- first listen to breath sounds, then CXR
AP radiograph: - ans -front to back
PA radiograph - ans -back to front
Lateral radiograph - ans -sides
Oblique CXR - ans -standing/diagonal- lesions
Lateral decubitus - ans -lying on AFFECTED side-- pleural effusions
, Apical lordotic - ans -tops of lungs used to confirm TB
End exp. image - ans -detect small pnuemos
Confirming quality of CXR image - ans -- clavicles are level
- penetration- vertabrae visible just behind heart
-mediastinum- area between lungs, heart, blood vessels and bronchi are found
-vascular markings
Enlarged Heart in CXR - ans -cardiomegaly--- CHF- pericardial effusion
Normal CXR - ans --hemidiaphragms
-R diaphragm elevated (liver underneath)
-L diaphragm at level of 6 anterior rib
-trachea midline
-bilateral radiolucent appearance
-sharp costophrenic angles
- heart not consuming 50% of picture
Blood Pressure - ans -120/80
90-140 systolic acceptable
60-90 diastolic acceptable
hypertension- O2
hypotension- fluids, hypovolemia, chf
Heart sounds: - ans -S1- ventricles contract
S2-ventricles relax
(LUB-DUB)
S3 & S4 not good; recommend echo
pleural friction rub - ans -Coarse grating raspy or crushing sound
TB, pneumonia, PE, and hemothorax
Recommend steroids and antibiotics
