RCP 160 BRONCHOSCOPY PART 1 EXAM QUESTIONS AND ANSWERS LATEST UPDATE

RCP 160 BRONCHOSCOPY PART 1 EXAM QUESTIONS AND ANSWERS LATEST UPDATE Therapeutic bronchoscopy is used for - Answers secretion removal - foreign body - airway management problems -insertion of percutaneous tracheostomy when looking into a bronchoscope the cartilagious rings are gonna be - Answers more anterior and the smooth side is gonna be be more posterior Diagnostic bronchoscopy is performed to - Answers Identify or rule out pathologic conditions tumors, certain disease processes Most common diagnostic indication is abnormality on chest - Answers chest roentgenogram, infiltrates, atelectasis, Mass what size is considered a mass - Answers 3 cm? least invasive to most invasive - Answers first - Xray - CT - Bronchoscopy indications for a bronchoscopy - Answers -The presence of lesions seen on X Ray -Evaluate atelectasis or infiltrates -Assess airway patency -Secretions of mucous plugs -Biopsy -Assist in difficult intubations -Foreign body removal -Evaluate extent of inhalation or aspiration injuries -Placement of tracheostomy tube Absolute Contraindications - Answers ÒAbsence of consent from patient or family- unless emergency exists ÒAbsence of someone experienced in bronchoscopy as well as someone to assist ÒInability to adequately oxygenate the patient test question - Answers select all that apply theraputic, diagnostic, absolute contraindications other contraindication - Answers -Bleeding disorders -Hemodynamic instability -Refractory hypoxemia -Lack of patient cooperation -Head injury (risk of high ICP) -Inability to sedate patient Rigid bronchoscope - Answers -Advantage: has a large channel -Disadvantages: Patient must be under general anesthesia, limited view of tracheobronchial tree -Flow of general anesthesia and oxygen -Pathway for suctioning and (removal of foreign bodies) -Passage for biopsy