CLINICAL SIMULATION RRT EXAM
QUESTIONS AND ANSWERS
Appropriate parameters for bag valve resuscitation? - ANSWER-FiO2 of 0.24%,PIP of
20,PEEP of 5,breaths of 60,flow meter adjusted to 10
Normal P:F ratio (PaO2/FIO2)? - ANSWER-200 or more
PH 7.27,PaCO2 25 torr,PaO2240 torr,bircabonate 11
Carboxyhemoglobin 35% - ANSWER-Severe metabolic acidosis administration of
sodium bicarbonate
Drooling is a sign of? - ANSWER-epiglottitis
Thump sign? - ANSWER-epiglottitis
breath sounds are absent over the right basalar blunting of the costaphrenic angle? -
ANSWER-pleural effusion
how do we resolve a pleural effusion? - ANSWER-thoracentesis
Exudative Fluid disease process that is involved? - ANSWER-pneumonia
Level of impairment?
2 times a week - ANSWER-intermittent
evaluation tests for suspected epiglotitties? - ANSWER-Respiratory rate
Pulse rate
breath sounds
epiglotities can present with which breath sounds? - ANSWER-stridor
once the pt is stable(intubated for epiglotities) what further assesment are done? -
ANSWER-vital signs
ABG
skin color
general apperence
lateral neck radiograph
breath sounds
Throat culture
regime for managing epiglots once intubated and test have been run) - ANSWER-
sedate
administer antibiotics(fever)
, appropriate PH for ARDS? - ANSWER-7.30-7.45
Plateau pressure (Pplat) normal? - ANSWER-<=30
The oxygenation (PaO2) the acceptable range of a patient with ARDS? - ANSWER-
acceptable range of 55 - 80 for a patient with ARDS.
signs of respiratory failure and what are you supposed to do ? - ANSWER-tachypnea,
hypercarbia, and hypoxemia)
NIV should be implemented to prevent further deterioration.
Prednisolone - ANSWER-60mg tablet, Prednisone can be used to gain quick control in
patients in acute exacerbation, and is recommended as part of the EPR-3 guidelines for
patients with severe persistent asthma recovering from exacerbation.)
Beclomethasone Dipropionate HFA (Qvar) 80mcg: 2puffs bid - ANSWER-Ordered
(EPR-3 guidelines recommend use of a medium-high dose inhaled corticosteroid as a
viable option for treatment in patients with severe persistent asthma.)
EXITHELPTIME
Asthma severity classification? - ANSWER-FEV1 greater than 80%-mild
FEV1 60 to 80 ? - ANSWER-Moderate
FEV1 less than 60? - ANSWER-Severe
Up to 2 days a week? - ANSWER-Intermittent
Less than 2 days a week? - ANSWER-Mild-persistent
Moderate? - ANSWER-Symptoms daily
severe? - ANSWER-Symptoms throughout the day
Asthma Control Test (ACT) scores ? - ANSWER-The ACT 5-item self-administered
questionnaire that ranges from score of 0 (worst) to 25 (best). Any score less than 5
indicates poor control with scores of > 19 indicating well controlled asthma.)
PaO2/FiO2 ratio weaning parameter - ANSWER-(The PF ratio allows a credible
assessment of generalize oxygenation status in comparison to the concurrent level of
oxygen therapy. A normal PF ratio is greater or equal to 350. Any PF ratio less than
150-200 usually indicates ongoing significant oxygenation impairment.)
Rapid shallow breathing index (RSBI)Weaning parameter - ANSWER-(The RSBI is a
comparison of respiratory rate and spontaneous tidal volume (f/VT), used as a long-
QUESTIONS AND ANSWERS
Appropriate parameters for bag valve resuscitation? - ANSWER-FiO2 of 0.24%,PIP of
20,PEEP of 5,breaths of 60,flow meter adjusted to 10
Normal P:F ratio (PaO2/FIO2)? - ANSWER-200 or more
PH 7.27,PaCO2 25 torr,PaO2240 torr,bircabonate 11
Carboxyhemoglobin 35% - ANSWER-Severe metabolic acidosis administration of
sodium bicarbonate
Drooling is a sign of? - ANSWER-epiglottitis
Thump sign? - ANSWER-epiglottitis
breath sounds are absent over the right basalar blunting of the costaphrenic angle? -
ANSWER-pleural effusion
how do we resolve a pleural effusion? - ANSWER-thoracentesis
Exudative Fluid disease process that is involved? - ANSWER-pneumonia
Level of impairment?
2 times a week - ANSWER-intermittent
evaluation tests for suspected epiglotitties? - ANSWER-Respiratory rate
Pulse rate
breath sounds
epiglotities can present with which breath sounds? - ANSWER-stridor
once the pt is stable(intubated for epiglotities) what further assesment are done? -
ANSWER-vital signs
ABG
skin color
general apperence
lateral neck radiograph
breath sounds
Throat culture
regime for managing epiglots once intubated and test have been run) - ANSWER-
sedate
administer antibiotics(fever)
, appropriate PH for ARDS? - ANSWER-7.30-7.45
Plateau pressure (Pplat) normal? - ANSWER-<=30
The oxygenation (PaO2) the acceptable range of a patient with ARDS? - ANSWER-
acceptable range of 55 - 80 for a patient with ARDS.
signs of respiratory failure and what are you supposed to do ? - ANSWER-tachypnea,
hypercarbia, and hypoxemia)
NIV should be implemented to prevent further deterioration.
Prednisolone - ANSWER-60mg tablet, Prednisone can be used to gain quick control in
patients in acute exacerbation, and is recommended as part of the EPR-3 guidelines for
patients with severe persistent asthma recovering from exacerbation.)
Beclomethasone Dipropionate HFA (Qvar) 80mcg: 2puffs bid - ANSWER-Ordered
(EPR-3 guidelines recommend use of a medium-high dose inhaled corticosteroid as a
viable option for treatment in patients with severe persistent asthma.)
EXITHELPTIME
Asthma severity classification? - ANSWER-FEV1 greater than 80%-mild
FEV1 60 to 80 ? - ANSWER-Moderate
FEV1 less than 60? - ANSWER-Severe
Up to 2 days a week? - ANSWER-Intermittent
Less than 2 days a week? - ANSWER-Mild-persistent
Moderate? - ANSWER-Symptoms daily
severe? - ANSWER-Symptoms throughout the day
Asthma Control Test (ACT) scores ? - ANSWER-The ACT 5-item self-administered
questionnaire that ranges from score of 0 (worst) to 25 (best). Any score less than 5
indicates poor control with scores of > 19 indicating well controlled asthma.)
PaO2/FiO2 ratio weaning parameter - ANSWER-(The PF ratio allows a credible
assessment of generalize oxygenation status in comparison to the concurrent level of
oxygen therapy. A normal PF ratio is greater or equal to 350. Any PF ratio less than
150-200 usually indicates ongoing significant oxygenation impairment.)
Rapid shallow breathing index (RSBI)Weaning parameter - ANSWER-(The RSBI is a
comparison of respiratory rate and spontaneous tidal volume (f/VT), used as a long-
