RRT TMC EXAM 5 QUESTIONS WITH 100%
CORRECT ANSWERS!!
extra pulmonary air indicates:
-pneumothorax
-pneumoperitoneum
-pneumomediastinum
-pneumopericardium
-sub cu. emphysema
Epiglottitis:
-above glottis
-confirm with lat. neck cxr; supraglottic narrowing with enlarged flattened epiglottis
-thumb sign
Tx: intubate
Croup (laryngotracheobronchitis)
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:
2-6 cm above carina-- level of aortic arch
To confirm- first listen to breath sounds, then CXR
AP radiograph:
front to back
PA radiograph
,back to front
Lateral radiograph
sides
Oblique CXR
standing/diagonal- lesions
Lateral decubitus
lying on AFFECTED side-- pleural effusions
Apical lordotic
tops of lungs used to confirm TB
End exp. image
detect small pnuemos
Confirming quality of CXR image
- 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
cardiomegaly--- CHF- pericardial effusion
Normal CXR
-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
120/80
90-140 systolic acceptable
60-90 diastolic acceptable
hypertension- O2
hypotension- fluids, hypovolemia, chf
Heart sounds:
S1- ventricles contract
S2-ventricles relax
(LUB-DUB)
S3 & S4 not good; recommend echo
pleural friction rub
Coarse grating raspy or crushing sound
TB, pneumonia, PE, and hemothorax
Recommend steroids and antibiotics
stertor:
snoring sound produced when patients are unable to cough up secretions from the trachea or
bronchi
adventitous breath sounds:
abnormal breath sounds
coarse crackles:
loud, bubbly noise heard during inspiration; not cleared by a cough
CORRECT ANSWERS!!
extra pulmonary air indicates:
-pneumothorax
-pneumoperitoneum
-pneumomediastinum
-pneumopericardium
-sub cu. emphysema
Epiglottitis:
-above glottis
-confirm with lat. neck cxr; supraglottic narrowing with enlarged flattened epiglottis
-thumb sign
Tx: intubate
Croup (laryngotracheobronchitis)
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:
2-6 cm above carina-- level of aortic arch
To confirm- first listen to breath sounds, then CXR
AP radiograph:
front to back
PA radiograph
,back to front
Lateral radiograph
sides
Oblique CXR
standing/diagonal- lesions
Lateral decubitus
lying on AFFECTED side-- pleural effusions
Apical lordotic
tops of lungs used to confirm TB
End exp. image
detect small pnuemos
Confirming quality of CXR image
- 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
cardiomegaly--- CHF- pericardial effusion
Normal CXR
-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
120/80
90-140 systolic acceptable
60-90 diastolic acceptable
hypertension- O2
hypotension- fluids, hypovolemia, chf
Heart sounds:
S1- ventricles contract
S2-ventricles relax
(LUB-DUB)
S3 & S4 not good; recommend echo
pleural friction rub
Coarse grating raspy or crushing sound
TB, pneumonia, PE, and hemothorax
Recommend steroids and antibiotics
stertor:
snoring sound produced when patients are unable to cough up secretions from the trachea or
bronchi
adventitous breath sounds:
abnormal breath sounds
coarse crackles:
loud, bubbly noise heard during inspiration; not cleared by a cough
