CLINICAL SIMULATION RRT EXAM
QUESTIONS AND ANSWERS
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-
established credible metric to assess extubation readiness. RSBI less than 105 is
considered acceptable for a majority of patients.)
Vital Capacity (VC) weaning parameters - ANSWER-(A VC maneuver can be easily
acquired during mechanical ventilation by having a patient breath in maximally and
slowly breath out completely (to residual volume). A VC measurement should be greater
than 10-15 mls/kg of predicted body weight in order to consider extubation readiness.)
Maximal inspiratory force (MIP) weaning parameters - ANSWER-(The MIP, also known
as negative inspiratory force (NIF), is a standard measurement of inspiratory muscle
strength and potential cough ability. The greater the negative value, the better; a NIF
should be less than -20 to -30 cmH2O before consideration of extubation readiness.)
Wedge shaped infiltrates on left side what is it? - ANSWER-Pulmonary embolus
Test to detect pulmonary embolism? - ANSWER-STAT V/Q scan
Pulmonary angiogram(2rd)
Treatment plan for pulmonary embolus? - ANSWER-Low dose IV heparin
Physician agrees (prevents PE from recurring)
Pnuematic compression device
Physician agrees (prevents PE from forming)
Sedate patient and administer 1 mg/kg of succinylcholine. - ANSWER-For quick
intubation?
Instill lidocaine into the ET tube? - ANSWER-Stops coughing
How do you treat a pneumothorax? - ANSWER-Increase the FIO2 to 1.0 and place a
chest tube in the second anterior intercostal space on the right side.
Resuscitation steps in newborn who fail the rapid assessment? - ANSWER-1)Put under
radiant warmer2)open and clear the airway3) dry the skin4)asses heart rate and
respiration
A heart rate less than 100 on newborns requires what? - ANSWER-PPV
, Cough up blood,weigh loss,chest pain and chills,lack of appetite and continuous cough
over 2 months? - ANSWER-(TB)
Get ECG,ABG,social history '
PaCO2 less than 35 indicate hyperventilating
Chest radiograph (patch infiltrates)
Cough
Medical history
General history
Vital signs
Rapid assessment for new born 3? - ANSWER-Breathing or crying,muscle
tone,gestation age
TB medications. - ANSWER-(R.I.P.E.)
Rifampine: orange colored secretions "ripe orange" Can decrease effectiveness of oral
contraceptives
Isoniazid: neuropathy, do not drink alcohol
Pyrazinamide
Ethambutol: Result in changes in patients vision. E for Eye
Treatment will be six months to a year
PaO2 of 40,50 and 60 - ANSWER-Corresponds to SPO2 of 70,80,90
Distended neck veins? - ANSWER-right sided heart failure
Pitting edema - ANSWER-Congestive heart failure
Creatinine Kinase (CK) is test to check? - ANSWER-MI
Tenslion test - ANSWER-Myasthenia gravies
Dopamine is used to? - ANSWER-Increase blood pressure
Doxycycline is used to? - ANSWER-Treat bacteria infection
FEV1 30-49%? - ANSWER-Severe (Gold 3)
Cystic radiolucense - ANSWER-CF
What medication is used to treat cf ,improves lung function,reduce execatibation? -
ANSWER-Symdeco
CFTR
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
QUESTIONS AND ANSWERS
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-
established credible metric to assess extubation readiness. RSBI less than 105 is
considered acceptable for a majority of patients.)
Vital Capacity (VC) weaning parameters - ANSWER-(A VC maneuver can be easily
acquired during mechanical ventilation by having a patient breath in maximally and
slowly breath out completely (to residual volume). A VC measurement should be greater
than 10-15 mls/kg of predicted body weight in order to consider extubation readiness.)
Maximal inspiratory force (MIP) weaning parameters - ANSWER-(The MIP, also known
as negative inspiratory force (NIF), is a standard measurement of inspiratory muscle
strength and potential cough ability. The greater the negative value, the better; a NIF
should be less than -20 to -30 cmH2O before consideration of extubation readiness.)
Wedge shaped infiltrates on left side what is it? - ANSWER-Pulmonary embolus
Test to detect pulmonary embolism? - ANSWER-STAT V/Q scan
Pulmonary angiogram(2rd)
Treatment plan for pulmonary embolus? - ANSWER-Low dose IV heparin
Physician agrees (prevents PE from recurring)
Pnuematic compression device
Physician agrees (prevents PE from forming)
Sedate patient and administer 1 mg/kg of succinylcholine. - ANSWER-For quick
intubation?
Instill lidocaine into the ET tube? - ANSWER-Stops coughing
How do you treat a pneumothorax? - ANSWER-Increase the FIO2 to 1.0 and place a
chest tube in the second anterior intercostal space on the right side.
Resuscitation steps in newborn who fail the rapid assessment? - ANSWER-1)Put under
radiant warmer2)open and clear the airway3) dry the skin4)asses heart rate and
respiration
A heart rate less than 100 on newborns requires what? - ANSWER-PPV
, Cough up blood,weigh loss,chest pain and chills,lack of appetite and continuous cough
over 2 months? - ANSWER-(TB)
Get ECG,ABG,social history '
PaCO2 less than 35 indicate hyperventilating
Chest radiograph (patch infiltrates)
Cough
Medical history
General history
Vital signs
Rapid assessment for new born 3? - ANSWER-Breathing or crying,muscle
tone,gestation age
TB medications. - ANSWER-(R.I.P.E.)
Rifampine: orange colored secretions "ripe orange" Can decrease effectiveness of oral
contraceptives
Isoniazid: neuropathy, do not drink alcohol
Pyrazinamide
Ethambutol: Result in changes in patients vision. E for Eye
Treatment will be six months to a year
PaO2 of 40,50 and 60 - ANSWER-Corresponds to SPO2 of 70,80,90
Distended neck veins? - ANSWER-right sided heart failure
Pitting edema - ANSWER-Congestive heart failure
Creatinine Kinase (CK) is test to check? - ANSWER-MI
Tenslion test - ANSWER-Myasthenia gravies
Dopamine is used to? - ANSWER-Increase blood pressure
Doxycycline is used to? - ANSWER-Treat bacteria infection
FEV1 30-49%? - ANSWER-Severe (Gold 3)
Cystic radiolucense - ANSWER-CF
What medication is used to treat cf ,improves lung function,reduce execatibation? -
ANSWER-Symdeco
CFTR
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
