Kettering TMC Exam B - Review
1. Smoking History
Question: Which of the following would be most important to evaluate for a patient
who is entering a smoking cessation program?
Answer: B. Smoking history
2. Congestive Heart Failure
Question: After a patient undergoes a thoracentesis, the respiratory therapist notes that
the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the
result of:
Answer: B. Congestive heart failure
3. Spirometer May Have a Leak
Question: The respiratory therapist calibrates a spirometer and checks the volume with
a 3.0-liter syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based on this,
which statement is correct?
Answer: D. Spirometer may have a leak
4. Bronchopleural Fistula
Question: Which of the following is an indication for high-frequency jet ventilation?
Answer: A. Bronchopleural fistula
,5. Insert Oropharyngeal Airway
Question: A 43-year-old female patient arrives in the PACU obtunded with minimal
response to painful stimulus after a hysterectomy. What should the respiratory therapist
recommend?
Answer: B. Insert oropharyngeal airway
6. Meconium Aspiration
Question: A 44-week gestational age infant has an Apgar score of 4 at 1 minute and 5
at 5 minutes, with gasping, grunting, tachycardia, and tachypnea. The infant is most
likely suffering from:
Answer: B. Meconium aspiration
7. 20 - 40%
Question: What is the normal VD/VT ratio for a patient breathing room air?
Answer: B. 20 - 40%
8. Transport to a Tertiary Care Center
Question: A heat moisture exchanger is indicated for humidification in which situation?
Answer: B. Transport to a tertiary care center
, 9. Right Side Hyperlucency, Absent Vascular Markings
Question: All of the following could cause a patient's right hemidiaphragm to be
elevated, EXCEPT:
Answer: B. Right side hyperlucency, absent vascular markings
10. Right Lung 150 mL; Left Lung 350 mL
Question: A 64-year-old man with severe COPD receives independent lung ventilation
after a lobectomy. Which setting combination is most appropriate?
Answer: B. Right lung 150 mL; left lung 350 mL
11. 60 mm Hg
Question: A patient has hemodynamic measurements: BP 130/70 mm Hg. What is the
pulse pressure?
Answer: C. 60 mm Hg
12. Breath Sounds Are Heard Around the Tube
Question: A 2-year-old with croup has been intubated for 4 days. Which finding most
likely indicates readiness for extubation?
Answer: D. Breath sounds are heard around the tube on auscultation
13. Serum Electrolytes
1. Smoking History
Question: Which of the following would be most important to evaluate for a patient
who is entering a smoking cessation program?
Answer: B. Smoking history
2. Congestive Heart Failure
Question: After a patient undergoes a thoracentesis, the respiratory therapist notes that
the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the
result of:
Answer: B. Congestive heart failure
3. Spirometer May Have a Leak
Question: The respiratory therapist calibrates a spirometer and checks the volume with
a 3.0-liter syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based on this,
which statement is correct?
Answer: D. Spirometer may have a leak
4. Bronchopleural Fistula
Question: Which of the following is an indication for high-frequency jet ventilation?
Answer: A. Bronchopleural fistula
,5. Insert Oropharyngeal Airway
Question: A 43-year-old female patient arrives in the PACU obtunded with minimal
response to painful stimulus after a hysterectomy. What should the respiratory therapist
recommend?
Answer: B. Insert oropharyngeal airway
6. Meconium Aspiration
Question: A 44-week gestational age infant has an Apgar score of 4 at 1 minute and 5
at 5 minutes, with gasping, grunting, tachycardia, and tachypnea. The infant is most
likely suffering from:
Answer: B. Meconium aspiration
7. 20 - 40%
Question: What is the normal VD/VT ratio for a patient breathing room air?
Answer: B. 20 - 40%
8. Transport to a Tertiary Care Center
Question: A heat moisture exchanger is indicated for humidification in which situation?
Answer: B. Transport to a tertiary care center
, 9. Right Side Hyperlucency, Absent Vascular Markings
Question: All of the following could cause a patient's right hemidiaphragm to be
elevated, EXCEPT:
Answer: B. Right side hyperlucency, absent vascular markings
10. Right Lung 150 mL; Left Lung 350 mL
Question: A 64-year-old man with severe COPD receives independent lung ventilation
after a lobectomy. Which setting combination is most appropriate?
Answer: B. Right lung 150 mL; left lung 350 mL
11. 60 mm Hg
Question: A patient has hemodynamic measurements: BP 130/70 mm Hg. What is the
pulse pressure?
Answer: C. 60 mm Hg
12. Breath Sounds Are Heard Around the Tube
Question: A 2-year-old with croup has been intubated for 4 days. Which finding most
likely indicates readiness for extubation?
Answer: D. Breath sounds are heard around the tube on auscultation
13. Serum Electrolytes
