TMC (Therapist Multiple Choice Exam)
Questions With Verified Answers
All Sof Sthe Sfollowing Sstrategies Sare Slikely Sto Sdecrease Sthe Slikelihood Sof Sdamage Sto Sthe Stracheal Smucosa
S- SAnswer S- Smaintaining Scuff Spressures Sbetween S20 Sand S25 Smm SHg, Susing Sthe Sminimal Sleak Stechnique
Sfor Sinflation, Smonitoring Sintracuff Spressures.
patient Sdevelops Satelectasis. SHis Sinspiratory Scapacity Sis S30% Sof Shis Spredicted Svalue. SWhat Sbronchial
Shygiene Stherapy Swould Sbe Smost Sappropriate Sinitially? S- SAnswer S- SIPPB
What Spatient Swould Smost Slikely Sbenefit Sfrom Spressure Ssupport Sventilation? S- SAnswer S- SA Spatient Son
SSIMV Swith Sa Smandatory Srate Sof S12/min Sand Stotal Srate Sof S24/min.
A Spatient Sreceiving Smechanical Sventilation Shas Sdeveloped Sa Stemperature Sof S99.9° SF Swith Spurulent
Ssecretions Sover Sthe Slast S12 Shours. SThe Srespiratory Stherapist Shas Salso Snoted Sa Ssteady Sincrease Sin Speak
Sinspiratory Spressure. SWhat Sinitial Srecommendation Sshould Sbe Smade Sto Saddress Sthese Schanges? S-
SAnswer S- SObtain Sa Ssputum Sgram Sstain.
Which Sof Sthe Sfollowing Sinformation Smay Sbe Sobtained Sfrom Sa SFVC Smaneuver Sduring Sbedside Spulmonary
Sfunction Stesting? S- SAnswer S- SFEV1 Sand SPEFR
A Spatient Swho Sis Sreceiving Scontinuous Smechanical Sventilation Sis Sfighting Sthe Sventilator. SHis Sbreath
Ssounds Sare Smarkedly Sdiminished Son Sthe Sleft, Sthere Sis Sdullness Sto Spercussion Son Sthe Sleft, Sand Sthe
Strachea Sis Sshifted Sto Sthe Sleft. SThe Smost Slikely Sexplanation Sfor Sthe Sproblem Sis Sthat S- SAnswer S- Sthe
Sendotracheal Stube Shas Sslipped Sinto Sthe Sright Smain Sstem Sbronchus.
The Srespiratory Stherapist Snotes Sa Sdeveloping Shematoma Safter San Sarterial Sblood Sgas Swas Sdrawn Sfrom
Sthe Sright Sradial Sartery. SThe Simmediate Sresponse Sis Sto S- SAnswer S- Sapply Spressure Sto Sthe Ssite.
A Spatient's Sbreathing Spattern Sirregularly Sincreases Sand Sdecreases Sand Sis Sinterspersed Swith Speriods Sof
Sapnea Sup Sto S1 Sminute. SWhich Sof Sthe Sfollowing Sconditions Sis Sthe Smost Slikely Scause Sof Sthis Sproblem? S-
SAnswer S- SElevated Sintracranial Spressure
The Srespiratory Stherapist Sis Sasked Sto Sevaluate Sthe Spresence Sof SAuto-PEEP Son Sa Spatient Sreceiving
Smechanical Sventilation. SIn Sorder Sto Sdo Sthis, Sthe Stherapist Sshould S- SAnswer S- Sinitiate San Sexpiratory Shold
Sjust Sprior Sto Sthe Snext Sventilator-delivered Sbreath
Normal Scardiac Soutput S- SAnswer S- S4-8 SL/min
Normal SPulmonary SArtery Spressure S(PAP) S- SAnswer S- S25/8
(Mean) S13-14 Smm SHg
, When SPAP Sand/OR Scardiac Soutput Sis Slow, Swhat Sdo Syou Srecommend? S- SAnswer S- SPositive Sinotropic
Sagent
Bronchial Sbreath Ssounds Sheard Sover Sthe Slung Speriphery Sindicate S- SAnswer S- Slung Sconsolidation
While Sperforming Sdiagnostic Schest Spercussion, Sthe Srespiratory Stherapist Snotes Sdecreased Sresonance Sto
Spercussion. SWhich Sof Sthe Sfollowing Sare Spotential Scauses Sof Sthis Sfinding? S- SAnswer S- SPleural Seffusion,
SPneumonia, SAtelectasis
the Srespiratory Stherapist Snotes Sbubbling Sin Sthe Swater Sseal Schamber Sduring Sthe Sinspiratory Sphase. SThe
Stherapist Sshould Sreport Sthis Sto Sthe Sphysician Sas S- SAnswer S- Sa Spersistent Sbronchopleural Sfistula.
A S19-year-old Spatient Sis Sbrought Sto Sthe SEmergency SDepartment Safter Staking Sa Shandful Sof Spills. SThe
Spatient Sis Sobtunded Sbut Sis Smaking Sregular, Ssonorous Srespiratory Sefforts. SAuscultation Sreveals Scoarse
Srhonchi Sbilaterally. SWhich Sof Sthe Sfollowing Sshould Sbe Sdone SFIRST Sto Sassess Sthis Spatient? S- SAnswer S-
SObtain San SABG.
A Syoung Shealthy Sadult Swith Scomplaints Sof Sintermittent Swheezing Sis Sseen Sin Sthe Spulmonary Sclinic. SA
Spre/post Sbronchodilator Sspirometry Sreveals Sa Snormal Sstudy Swith Sno Sreversibility. SWhich Sof Sthe
Sfollowing Sshould Sthe Srespiratory Stherapist Srecommend? S- SAnswer S- SBronchial Sprovocation
Bronchial Sprovocation S- SAnswer S- SA Sbronchial Schallenge Stest Sis Sa Smedical Stest Sused Sto Sassist Sin Sthe
Sdiagnosis Sof Sasthma. SThe Spatient Sbreathes Sin Snebulized Smethacholine
A Stracheostomy Stube Shas Sjust Sbeen Sinserted Spercutaneously Sinto Sa Spatient Swith Sa SC3 Sfracture. SHow
Smuch Sair Sshould Sthe Srespiratory Stherapist Sinitially Sinject Sinto Sthe Scuff? S- SAnswer S- SEnough Sto Sachieve Sa
Sminimal Soccluding Svolume.
The Sfollowing SABG Sresults Sare Sreported Sfor Sa Spatient Sin Sthe SED Son Sroom Sair: SpH S7.20; SPaCO2 S24 Storr;
SPaO2 S95 Storr; SHCO3 S10 SmEq/L; SSaO2 S95%; SBE S-15 SmEq/L. SThe Srespiratory Stherapist Sshould
Srecommend
(when SpH Sand SBicarbe Sare Slow, Spatient Shas Smetabolic Sacidosis) S- SAnswer S- Sadminister Ssodium
Sbicarbonate
A S16 Syear-old Spatient Swith Scystic Sfibrosis Sattends Shigh Sschool. SWhich Sof Sthe Sfollowing Sbronchial
Shygiene Stherapies Swould Sbe Smost Sappropriate Sfor Sthis Spatient? S- SAnswer S- SVibratory S/ Soscillatory SPEP
A Spatient Sreceiving Soxygen Stherapy Sat Shome Scalls Sin Sthe Smiddle Sof Sthe Snight Sand Sreports Sthat Sthe
Soxygen Ssupply Stubing Swill Snot Sstay Sattached Sto Sher Stranstracheal Scatheter. SThe Sflow Srate Sto Sthe
Stranstracheal Scatheter Sis Sset Sat S0.5 SL/min. SThe Spatient Shas Sattempted Sto Sflush Sthe Scatheter Swith Ssaline
Sand Spush Sa Scleaning Srod Sthrough Sit Swithout Ssuccess. SThe Srespiratory Stherapist Sshould Sinstruct Sthe
Spatient Sto S- SAnswer S- Sswitch Sto Snasal Scannula
Following Sabdominal Ssurgery, Sa S70 Syear-old Spatient Sreceives Smechanical Sventilation Sin Sthe SICU Sat Sthe
Sfollowing Ssettings: SVC, SA/C; SVT S550 SmL, Srespiratory Srate S14/min, SFIO2 S0.50 Sand S10 Scm SH2O SPEEP.
SBedside Smonitoring Sresults Sdemonstrate Sthat Sthe SPvO2 Sis S35 Storr Sand Sthe SSpO2 Sis S90%. SThe Spatient Sis
Questions With Verified Answers
All Sof Sthe Sfollowing Sstrategies Sare Slikely Sto Sdecrease Sthe Slikelihood Sof Sdamage Sto Sthe Stracheal Smucosa
S- SAnswer S- Smaintaining Scuff Spressures Sbetween S20 Sand S25 Smm SHg, Susing Sthe Sminimal Sleak Stechnique
Sfor Sinflation, Smonitoring Sintracuff Spressures.
patient Sdevelops Satelectasis. SHis Sinspiratory Scapacity Sis S30% Sof Shis Spredicted Svalue. SWhat Sbronchial
Shygiene Stherapy Swould Sbe Smost Sappropriate Sinitially? S- SAnswer S- SIPPB
What Spatient Swould Smost Slikely Sbenefit Sfrom Spressure Ssupport Sventilation? S- SAnswer S- SA Spatient Son
SSIMV Swith Sa Smandatory Srate Sof S12/min Sand Stotal Srate Sof S24/min.
A Spatient Sreceiving Smechanical Sventilation Shas Sdeveloped Sa Stemperature Sof S99.9° SF Swith Spurulent
Ssecretions Sover Sthe Slast S12 Shours. SThe Srespiratory Stherapist Shas Salso Snoted Sa Ssteady Sincrease Sin Speak
Sinspiratory Spressure. SWhat Sinitial Srecommendation Sshould Sbe Smade Sto Saddress Sthese Schanges? S-
SAnswer S- SObtain Sa Ssputum Sgram Sstain.
Which Sof Sthe Sfollowing Sinformation Smay Sbe Sobtained Sfrom Sa SFVC Smaneuver Sduring Sbedside Spulmonary
Sfunction Stesting? S- SAnswer S- SFEV1 Sand SPEFR
A Spatient Swho Sis Sreceiving Scontinuous Smechanical Sventilation Sis Sfighting Sthe Sventilator. SHis Sbreath
Ssounds Sare Smarkedly Sdiminished Son Sthe Sleft, Sthere Sis Sdullness Sto Spercussion Son Sthe Sleft, Sand Sthe
Strachea Sis Sshifted Sto Sthe Sleft. SThe Smost Slikely Sexplanation Sfor Sthe Sproblem Sis Sthat S- SAnswer S- Sthe
Sendotracheal Stube Shas Sslipped Sinto Sthe Sright Smain Sstem Sbronchus.
The Srespiratory Stherapist Snotes Sa Sdeveloping Shematoma Safter San Sarterial Sblood Sgas Swas Sdrawn Sfrom
Sthe Sright Sradial Sartery. SThe Simmediate Sresponse Sis Sto S- SAnswer S- Sapply Spressure Sto Sthe Ssite.
A Spatient's Sbreathing Spattern Sirregularly Sincreases Sand Sdecreases Sand Sis Sinterspersed Swith Speriods Sof
Sapnea Sup Sto S1 Sminute. SWhich Sof Sthe Sfollowing Sconditions Sis Sthe Smost Slikely Scause Sof Sthis Sproblem? S-
SAnswer S- SElevated Sintracranial Spressure
The Srespiratory Stherapist Sis Sasked Sto Sevaluate Sthe Spresence Sof SAuto-PEEP Son Sa Spatient Sreceiving
Smechanical Sventilation. SIn Sorder Sto Sdo Sthis, Sthe Stherapist Sshould S- SAnswer S- Sinitiate San Sexpiratory Shold
Sjust Sprior Sto Sthe Snext Sventilator-delivered Sbreath
Normal Scardiac Soutput S- SAnswer S- S4-8 SL/min
Normal SPulmonary SArtery Spressure S(PAP) S- SAnswer S- S25/8
(Mean) S13-14 Smm SHg
, When SPAP Sand/OR Scardiac Soutput Sis Slow, Swhat Sdo Syou Srecommend? S- SAnswer S- SPositive Sinotropic
Sagent
Bronchial Sbreath Ssounds Sheard Sover Sthe Slung Speriphery Sindicate S- SAnswer S- Slung Sconsolidation
While Sperforming Sdiagnostic Schest Spercussion, Sthe Srespiratory Stherapist Snotes Sdecreased Sresonance Sto
Spercussion. SWhich Sof Sthe Sfollowing Sare Spotential Scauses Sof Sthis Sfinding? S- SAnswer S- SPleural Seffusion,
SPneumonia, SAtelectasis
the Srespiratory Stherapist Snotes Sbubbling Sin Sthe Swater Sseal Schamber Sduring Sthe Sinspiratory Sphase. SThe
Stherapist Sshould Sreport Sthis Sto Sthe Sphysician Sas S- SAnswer S- Sa Spersistent Sbronchopleural Sfistula.
A S19-year-old Spatient Sis Sbrought Sto Sthe SEmergency SDepartment Safter Staking Sa Shandful Sof Spills. SThe
Spatient Sis Sobtunded Sbut Sis Smaking Sregular, Ssonorous Srespiratory Sefforts. SAuscultation Sreveals Scoarse
Srhonchi Sbilaterally. SWhich Sof Sthe Sfollowing Sshould Sbe Sdone SFIRST Sto Sassess Sthis Spatient? S- SAnswer S-
SObtain San SABG.
A Syoung Shealthy Sadult Swith Scomplaints Sof Sintermittent Swheezing Sis Sseen Sin Sthe Spulmonary Sclinic. SA
Spre/post Sbronchodilator Sspirometry Sreveals Sa Snormal Sstudy Swith Sno Sreversibility. SWhich Sof Sthe
Sfollowing Sshould Sthe Srespiratory Stherapist Srecommend? S- SAnswer S- SBronchial Sprovocation
Bronchial Sprovocation S- SAnswer S- SA Sbronchial Schallenge Stest Sis Sa Smedical Stest Sused Sto Sassist Sin Sthe
Sdiagnosis Sof Sasthma. SThe Spatient Sbreathes Sin Snebulized Smethacholine
A Stracheostomy Stube Shas Sjust Sbeen Sinserted Spercutaneously Sinto Sa Spatient Swith Sa SC3 Sfracture. SHow
Smuch Sair Sshould Sthe Srespiratory Stherapist Sinitially Sinject Sinto Sthe Scuff? S- SAnswer S- SEnough Sto Sachieve Sa
Sminimal Soccluding Svolume.
The Sfollowing SABG Sresults Sare Sreported Sfor Sa Spatient Sin Sthe SED Son Sroom Sair: SpH S7.20; SPaCO2 S24 Storr;
SPaO2 S95 Storr; SHCO3 S10 SmEq/L; SSaO2 S95%; SBE S-15 SmEq/L. SThe Srespiratory Stherapist Sshould
Srecommend
(when SpH Sand SBicarbe Sare Slow, Spatient Shas Smetabolic Sacidosis) S- SAnswer S- Sadminister Ssodium
Sbicarbonate
A S16 Syear-old Spatient Swith Scystic Sfibrosis Sattends Shigh Sschool. SWhich Sof Sthe Sfollowing Sbronchial
Shygiene Stherapies Swould Sbe Smost Sappropriate Sfor Sthis Spatient? S- SAnswer S- SVibratory S/ Soscillatory SPEP
A Spatient Sreceiving Soxygen Stherapy Sat Shome Scalls Sin Sthe Smiddle Sof Sthe Snight Sand Sreports Sthat Sthe
Soxygen Ssupply Stubing Swill Snot Sstay Sattached Sto Sher Stranstracheal Scatheter. SThe Sflow Srate Sto Sthe
Stranstracheal Scatheter Sis Sset Sat S0.5 SL/min. SThe Spatient Shas Sattempted Sto Sflush Sthe Scatheter Swith Ssaline
Sand Spush Sa Scleaning Srod Sthrough Sit Swithout Ssuccess. SThe Srespiratory Stherapist Sshould Sinstruct Sthe
Spatient Sto S- SAnswer S- Sswitch Sto Snasal Scannula
Following Sabdominal Ssurgery, Sa S70 Syear-old Spatient Sreceives Smechanical Sventilation Sin Sthe SICU Sat Sthe
Sfollowing Ssettings: SVC, SA/C; SVT S550 SmL, Srespiratory Srate S14/min, SFIO2 S0.50 Sand S10 Scm SH2O SPEEP.
SBedside Smonitoring Sresults Sdemonstrate Sthat Sthe SPvO2 Sis S35 Storr Sand Sthe SSpO2 Sis S90%. SThe Spatient Sis
