RCP 160 LATEST 2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
✔✔ventricular contractility can be estimated by what? - ✔✔Ejection Fraction (65-75%)
EF=SV/EDV
✔✔Treatment of tension pneumothorax. - ✔✔A tension pneumothorax requires
IMMEDIATE DECOMPRESSION using a NEEDLE (14 gauge) THORACOSTOMY
(Over the 3rd Rib [2nd INTERCOSTAL SPACE] at the MIDCLAVICULAR LINE)
followed by CHEST TUBE PLACEMENT
SIgns and Symptoms
1. Severe Respiratory Distress
2. Tracheal Deviation to Contralateral Side
3. Distended Neck Veins (↑ JVP)
4. Hypotension
✔✔what does a batwing impression on a CXR - ✔✔Pulmonary Edema
✔✔Later decubitus chest xray is useful for evaluation of what? - ✔✔pleural effusion
✔✔what do you want to monitor after insertion of a chest tube - ✔✔SPO2. BP, RR, HR,
palpate around insertion site for subcutaneous emphysema
✔✔how deep in sterile water should the tubing be in the second bottle of a chest
drainage system - ✔✔2cm mark
✔✔when trouble shooting, tube is clamped but bubbles are still appearing in the water
seal, what is the problem? - ✔✔leak in the system
✔✔indication for a chest tube - ✔✔chest trauma
persistent pleural effusions (malignancy)
pneumothorax
hemothorax
tension pneumothorax
✔✔how often do you provide rescue breaths - ✔✔6-8 seconds
✔✔when is it appropriate to insert an A-line - ✔✔monitor BP and frequent ABGs
✔✔when it come to A-line placement, what is true about the radial artery - ✔✔collateral
circulation
accurate reading
easy bleeding control
, ✔✔pulmonary hypertension is defined as an increase in what? - ✔✔mean PAP
>25mmHg
✔✔INO requires what type of weaning - ✔✔gradual weaning decreasing every hour
until at 1PPM
✔✔Malampati score - ✔✔assess size and shape of mouth to determine level of difficulty
for intubation
✔✔what does propofol do to blood pressure - ✔✔decreases blood pressure
✔✔during CPR how can you judge if ventilation is effective? - ✔✔observe chest rise
and fall
✔✔What are the 2 non-shockable rhythms? - ✔✔PEA and asystole
✔✔know how to calculate a set rate based off of T-High and T-low -
✔✔TCT=T(high)+T(low)/60
✔✔how to trouble shoot APRV based of ABG - ✔✔....
✔✔How to wean off APRV- - ✔✔decrease Phigh and increase Thigh
✔✔what HFOV setting directly effects PaCo2 - ✔✔HZ
✔✔chest x-ray of HFOV, diaphragm is at the level 7th rib, what do you want to ajust -
✔✔power, amp
✔✔most common site for an A-line - ✔✔Radial artery
✔✔What does the Mallampati score help? - ✔✔level of difficulty
✔✔What does the L in LEMON stand for - ✔✔L = Look externally (facial trauma, large
incisors, beard or moustache, large tongue)
✔✔What does the E in LEMON acronym stand for? - ✔✔Evaluate (mandibular space) -
Upper lip bite test, TMD
✔✔what can happen in early termination of INO - ✔✔rebound pulmonary hypertension
✔✔patent has a chest tube, set volume and exhaled volume are different, why? - ✔✔...
SOLUTIONS GRADED A+
✔✔ventricular contractility can be estimated by what? - ✔✔Ejection Fraction (65-75%)
EF=SV/EDV
✔✔Treatment of tension pneumothorax. - ✔✔A tension pneumothorax requires
IMMEDIATE DECOMPRESSION using a NEEDLE (14 gauge) THORACOSTOMY
(Over the 3rd Rib [2nd INTERCOSTAL SPACE] at the MIDCLAVICULAR LINE)
followed by CHEST TUBE PLACEMENT
SIgns and Symptoms
1. Severe Respiratory Distress
2. Tracheal Deviation to Contralateral Side
3. Distended Neck Veins (↑ JVP)
4. Hypotension
✔✔what does a batwing impression on a CXR - ✔✔Pulmonary Edema
✔✔Later decubitus chest xray is useful for evaluation of what? - ✔✔pleural effusion
✔✔what do you want to monitor after insertion of a chest tube - ✔✔SPO2. BP, RR, HR,
palpate around insertion site for subcutaneous emphysema
✔✔how deep in sterile water should the tubing be in the second bottle of a chest
drainage system - ✔✔2cm mark
✔✔when trouble shooting, tube is clamped but bubbles are still appearing in the water
seal, what is the problem? - ✔✔leak in the system
✔✔indication for a chest tube - ✔✔chest trauma
persistent pleural effusions (malignancy)
pneumothorax
hemothorax
tension pneumothorax
✔✔how often do you provide rescue breaths - ✔✔6-8 seconds
✔✔when is it appropriate to insert an A-line - ✔✔monitor BP and frequent ABGs
✔✔when it come to A-line placement, what is true about the radial artery - ✔✔collateral
circulation
accurate reading
easy bleeding control
, ✔✔pulmonary hypertension is defined as an increase in what? - ✔✔mean PAP
>25mmHg
✔✔INO requires what type of weaning - ✔✔gradual weaning decreasing every hour
until at 1PPM
✔✔Malampati score - ✔✔assess size and shape of mouth to determine level of difficulty
for intubation
✔✔what does propofol do to blood pressure - ✔✔decreases blood pressure
✔✔during CPR how can you judge if ventilation is effective? - ✔✔observe chest rise
and fall
✔✔What are the 2 non-shockable rhythms? - ✔✔PEA and asystole
✔✔know how to calculate a set rate based off of T-High and T-low -
✔✔TCT=T(high)+T(low)/60
✔✔how to trouble shoot APRV based of ABG - ✔✔....
✔✔How to wean off APRV- - ✔✔decrease Phigh and increase Thigh
✔✔what HFOV setting directly effects PaCo2 - ✔✔HZ
✔✔chest x-ray of HFOV, diaphragm is at the level 7th rib, what do you want to ajust -
✔✔power, amp
✔✔most common site for an A-line - ✔✔Radial artery
✔✔What does the Mallampati score help? - ✔✔level of difficulty
✔✔What does the L in LEMON stand for - ✔✔L = Look externally (facial trauma, large
incisors, beard or moustache, large tongue)
✔✔What does the E in LEMON acronym stand for? - ✔✔Evaluate (mandibular space) -
Upper lip bite test, TMD
✔✔what can happen in early termination of INO - ✔✔rebound pulmonary hypertension
✔✔patent has a chest tube, set volume and exhaled volume are different, why? - ✔✔...
