Registered Respiratory - Kettering (Multiple Choice) Exam questions and answers

Which of the following clinical factors would increase difficulty of ventilating a patient effectively by manual resuscitation device and mask? 1) bull neck 2) deviated septum 3) enlarged tongue 1 & 3 All of the following are complications associated with drawing blood from an arterial line EXCEPT. 1) infection 2) hematoma 3) anticoagulation 4) vessel spasm 3 A 54 year old homeless patient has been admitted to the hospital with a diagnosis of tuberculosis. Standard infection control procedures for this pathogen would be described as... 1) contact 2) droplet precautions 3) airborne precautions 4) protective equipment 3 The recommended effective dose for Nitric Oxide (NO) Therapy is ... 1) 0.5 - 1.5 ppm 2) 2 - 20 ppm 3) 80 - 150 ppm 4) 400 - 600 ppm 2 A 16 year old patient with cystic fibrosis has been admitted for an acute bacterial infection of the left upper lobe. The physician has written orders for postural drainage and percussion to the posterior segment of the left upper lobe. Which of the following is the correct position for draining this segment? 1) Bed flat, patient on his side, percuss between clavicle and nipple. 2) Bed flat, patient sitting up leaning forward, percuss over back of left shoulder. 3) Bed elevated 12 inches, patient on left side, percuss in mid-axillary section. 4) Bed flat, pillow under hips, percuss between shoulder blades. 2 The respiratory therapist has measured the exhaled nitric oxide concentration (FENO) of a patient with cystic fibrosis. The therapist notes a decrease in the patient's FENO levels from her last visit 1 month ago. These results would be consistent with increased use of 1) corticosteroids 2) vest therapy 3) SABA 4) pulmozyme 1 The pulmonologist determines a patient has dyspnea, diminished breath sounds with a dull percussion note on the left. The chest radiograph indicates a tracheal shift to the right. Which of the following disease states should the therapist suspect is affecting the patient? 1) tension pneumothorax 2) lung abscess 3) atelectasis 4) pleural effusion 4 a patient has an infected mucopurulent abscess in the right lung. The left lung is clear of secretions and infection. The patient requires intubation and mechanical ventilation. Which of the following would be necessary to ventilate this patient appropriately? 1) laryngeal mask airway 2) esophageal tracheal combitube 3) carlens tube 4) kamen-wilkinson tube 4 a post-operative patient has a fenestrated tracheostomy tube in place. The therapist is monitoring the cuff pressure and notes that the pressure is 32 cmH2O with a minimal leak. The most likely explanation for this is the... 1) cuff is overinflated. 2) obturator is in place. 3) tube is too small. 4) tube is in the left mainstem bronchus. 3