TMC EXAM C 140 QUESTIONS WITH 100%
CORRECT ANSWERS COMPLETE SOLUTION
If a patient is on 8-12L/min, what would be the fio2? ...ANSWER...50%
If minute ventilation stays the same but dead-space is added, what will
increases? ...ANSWER...PaCO2
What is the static compliance equation? ...ANSWER...Exhaled Vt/(Pplat - PEEP)
Before chest physiotherapy is done, what should the respiratory therapy do
FIRST? ...ANSWER...Review patient chart history
What should a therapist do when a family is asking to put the patient on the mechanical
ventilator when they have a DNI order in place? ...ANSWER...Start with NPPV
What phrase would describe a patient having dyspnea? ...ANSWER..."I have to stop
and catch my breath"
A patient who has a neck injury but needs their airway protected. What should you put
in place? ...ANSWER...Oropharyngeal airway
A patient is unconscious, what should you do to establish a patent
airway? ...ANSWER...Head tilt chin
A patient has accessory muscle and scalene usage, what does this
indicate? ...ANSWER...Increased work of breathing
Unevenly spaced beats decreased pulse strength during inspiration, is indicative of
what? ...ANSWER...Pulsus paradoxus
What positions do you place a patient in for right lung secretions? ...ANSWER...Left
lateral decubitus
What the correct endotracheal tube placement? ...ANSWER...5cm above the carina or
4-6cm
, Chest x-ray looks normal but they have been sitting for an extended period of time and
is experiencing dyspnea. What is likely the cause? ...ANSWER...Pulmonary embolism
Chest x-ray showing a deflated lung. What is a likely diagnosis? ...ANSWER...Tension
pneumothorax
A patient has hemoptysis, what do you do? ...ANSWER...Bronchoscopy
Broncholavage should be done with what? ...ANSWER...Mini ball-vap
After intubation there is a lack of breath sounds on the left side, what could be the
cause? ...ANSWER...Right mainstem bronchi intubation
There is a hyperresonance and tracheal shift with distant breath sounds, what is a likely
diagnosis? ...ANSWER...Pneumothorax
What is a V/Q scan used to identify? ...ANSWER...Pulmonary embolism
What is the name of the gestational age test? ...ANSWER...Ballard score
What is used to diagnose cancer? ...ANSWER...PET scan
Bronchogram is used to diagnose what? ...ANSWER...Bronchiectasis
A patient has left sided chest pain, what diagnostic test should be
done? ...ANSWER...Chest x-ray
Midclavicular is the place for what lead? ...ANSWER...V4 leads
What percentage of PaCO2 is normal? ...ANSWER...5%
What is the normal value of ejection fraction? ...ANSWER...60
How is VD/VT calculated? ...ANSWER...PaCO2-PeCO2/PaCO2 is 30
Patient was taken from a burning house, what diagnostic test should be
done? ...ANSWER...Co-oximeter/hemoximeter
Low urine output can be caused by what? ...ANSWER...Low PCWP
What is the reversal agent of OPIODS? ...ANSWER...Narcan
What do you give for stridor? ...ANSWER...Racemic epinephrine
A patients endotracheal tube is 18cm at the lip, cuff pressure is 19cmH2O, and there is
still gurgling, what should you do? ...ANSWER...Advance the ET tube
CORRECT ANSWERS COMPLETE SOLUTION
If a patient is on 8-12L/min, what would be the fio2? ...ANSWER...50%
If minute ventilation stays the same but dead-space is added, what will
increases? ...ANSWER...PaCO2
What is the static compliance equation? ...ANSWER...Exhaled Vt/(Pplat - PEEP)
Before chest physiotherapy is done, what should the respiratory therapy do
FIRST? ...ANSWER...Review patient chart history
What should a therapist do when a family is asking to put the patient on the mechanical
ventilator when they have a DNI order in place? ...ANSWER...Start with NPPV
What phrase would describe a patient having dyspnea? ...ANSWER..."I have to stop
and catch my breath"
A patient who has a neck injury but needs their airway protected. What should you put
in place? ...ANSWER...Oropharyngeal airway
A patient is unconscious, what should you do to establish a patent
airway? ...ANSWER...Head tilt chin
A patient has accessory muscle and scalene usage, what does this
indicate? ...ANSWER...Increased work of breathing
Unevenly spaced beats decreased pulse strength during inspiration, is indicative of
what? ...ANSWER...Pulsus paradoxus
What positions do you place a patient in for right lung secretions? ...ANSWER...Left
lateral decubitus
What the correct endotracheal tube placement? ...ANSWER...5cm above the carina or
4-6cm
, Chest x-ray looks normal but they have been sitting for an extended period of time and
is experiencing dyspnea. What is likely the cause? ...ANSWER...Pulmonary embolism
Chest x-ray showing a deflated lung. What is a likely diagnosis? ...ANSWER...Tension
pneumothorax
A patient has hemoptysis, what do you do? ...ANSWER...Bronchoscopy
Broncholavage should be done with what? ...ANSWER...Mini ball-vap
After intubation there is a lack of breath sounds on the left side, what could be the
cause? ...ANSWER...Right mainstem bronchi intubation
There is a hyperresonance and tracheal shift with distant breath sounds, what is a likely
diagnosis? ...ANSWER...Pneumothorax
What is a V/Q scan used to identify? ...ANSWER...Pulmonary embolism
What is the name of the gestational age test? ...ANSWER...Ballard score
What is used to diagnose cancer? ...ANSWER...PET scan
Bronchogram is used to diagnose what? ...ANSWER...Bronchiectasis
A patient has left sided chest pain, what diagnostic test should be
done? ...ANSWER...Chest x-ray
Midclavicular is the place for what lead? ...ANSWER...V4 leads
What percentage of PaCO2 is normal? ...ANSWER...5%
What is the normal value of ejection fraction? ...ANSWER...60
How is VD/VT calculated? ...ANSWER...PaCO2-PeCO2/PaCO2 is 30
Patient was taken from a burning house, what diagnostic test should be
done? ...ANSWER...Co-oximeter/hemoximeter
Low urine output can be caused by what? ...ANSWER...Low PCWP
What is the reversal agent of OPIODS? ...ANSWER...Narcan
What do you give for stridor? ...ANSWER...Racemic epinephrine
A patients endotracheal tube is 18cm at the lip, cuff pressure is 19cmH2O, and there is
still gurgling, what should you do? ...ANSWER...Advance the ET tube
