RPSGT PRACTICE EXAMQuestions And Answers & Rationales, 100%
Verified
Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of myocardial
ischemia, what will your first actions include (if not completed by EMS before arrival)?
o Obtain a 12-lead electrocardiogram (ECG)
o Administer a blood thinner
o Administer aspirin and establish IV access
o Activate the ST-segment elevation myocardial infarction (STEMI) team
o If SPO2 is less than 90%, start oxygen
o Assess airway, breathing, and circulation (ABCs)
o Administer epinephrine 1 mg IV
o Consider nitroglycerin, morphine and a P2Y inhibitor - (ANSWER)o Obtain a 12-lead electrocardiogram
(ECG)
o Administer aspirin and establish IV access
o Activate the ST-segment elevation myocardial infarction (STEMI) team
o If SPO2 is less than 90%, start oxygen
o Assess airway, breathing, and circulation (ABCs)
o Consider nitroglycerin, morphine and a P2Y inhibitor
His initial vital signs are HR 120/min, BP 135/88 mm Hg, RR 23/min, SpO2 87%, and temperature 37.3C.
When considering oxygen saturation, what is your course of action?
o Intubate the patient immediately
o Administer albuterol nebulizer
o Do not start oxygen
o Start oxygen at 4L/min via nasal cannula - (ANSWER)o Start oxygen at 4L/min via nasal cannula
A PATIENTS OXIMETER READING DURING PATIENT CALIBRATION IS 88%. WHICH OF THE FOLLOWING
WOULD BE THE APPROPRIATE RESPONSE? - (ANSWER)PLACE THE PROBE ON THE PATIENTS EARLOBE
A PATIENT WITH ONDINES CURSE WOULD BE EXPECTED TO HAVE WHICH TYPE OF RESPIRATORY
IMPAIRMENT IN SLEEP - (ANSWER)CENTRAL SLEEP APNEA
,RPSGT PRACTICE EXAMQuestions And Answers & Rationales, 100%
Verified
ACCORDING TO THE AASM, INTERCOSTAL EMG ACTIVITY IS AN ACCEPTABLE ALTERNATIVE SESOR FOR
RECORDING WHAT PARMETER - (ANSWER)DETECTION OF RESPIRATORY EFFORT
SLOW ROLLING EYE MOVEMENTS OCCURING DURING STAGE N1 SLEEP WILL BEST BE SEEN AT LOW
FILTER SETTING OF - (ANSWER)0.3HZ
A 1.0 HZ EEG WAVE IS MEASURED AT 15MM PEAK TO PEAK. THE SENSITIVITY IS 5UV/MM. THE VOLTAGE
OF THE WAVE IS - (ANSWER)75UV
A CHEYNE STOKES BREATHING PATTERN IS OFTEN SEEN IN PATIENTS WITH - (ANSWER)CONGESTIVE
HEART FAILURE
CAPNOGRAPHY MEASURES - (ANSWER)EXPIRED CO2
WHICH OF THE FOLLOWING HIGH FREQUENCY FILTER SETTINGS IS RECOMMENDED FOR RECORDING
SUBMENTAL EMG - (ANSWER)100HZ
ENDOESOPHAGEAL PRESSURE MEASUREMENTS WOULD BE MOST HELPFUL IN EVALUTATING WHICH
SLEEP DISORDERS - (ANSWER)SLEEP RELATED BREATHING DISORDERS
A PATIENT BEING EVALUATED FOR OBSTRUCTIVE SLEEP DISORDERED BREATHING HAS ATRIAL
FIBRILLATION. WHAT SHOULD THE TECH DO - (ANSWER)CONTINUE TO OBSERVE AND DOCUMENT
RHYTHM
WHICH OF THE FOLLOWING IS THE MOST DANGEROUS CARDIAC RHYTHM - (ANSWER)VENTRICULAR
FIBRILLATION
HOW WOULD YOU COMPUTE SLEEP EFFICIENCY - (ANSWER)TOTAL SLEEP TIME DIVIDED BY TIME IN BED
X 100
, RPSGT PRACTICE EXAMQuestions And Answers & Rationales, 100%
Verified
HOW DO YOU CALCULATE APNEA + HYPOPNEA INDEX - (ANSWER)# APNEAS AND HYPOPNEAS DIVIDED
BY TST X60
WHICH HIGH PASS FILTER SETTING IS MOST APPROPRIATE FOR RECORDING RESPIRATION -
(ANSWER)0.1HZ
THE PURPOSE OF AN EXHALATION PORT IN A CPAP CIRCUIT IS - (ANSWER)TO VENT EXHALED C02
WHICH OF THE FOLLOWING ARE CHARACTERISTIC OF A PVC - (ANSWER)THE QRS IS WIDE AND BIZARRE
A NORMAL VARIATION IN SINUS RHYTHM WHICH IS RELATED TO RESPIRATORY RATE AND RESULTS
FROM VAGAL TONE INHIBITION DESCRIBES - (ANSWER)SINUS ARRHYTHMIA
A SUSTAINED HEART RATE OF >90 BEATS/MINUTE DESCRIBES - (ANSWER)SINUS TACHYCARDIA
PARTIAL AV BLOCK IN WHICH THE PR INTERVAL INCREASES PROGRESSIVELY UNTIL THERE IS AN ATRIAL
IMPULSE WITHOUT A CORRESPONDING VENTRICULAR BEAT DESCRIBES - (ANSWER)MOBITZ TYPE 1 AV
BLOCK
WHAT IS THE MOST LIKELY LOW FREQUENCY FILTER SETTING OF CHANNEL 1 - (ANSWER)1.0 HZ
WHICH CHANNEL SETTING IS BEST FOR EMG RECORDING - (ANSWER)2 CHAN 2 HAS A VERY QUICH
RETURN TO BASELINE, (VERY SHORT TIME CONSTAT)
REFER TO THE 30 SECOND EPOCH SHOWN HERE. IF THE NEXT EPOCH CONTAINS 30 SECONDS OF LOW
VOLTAGE, MIXED FREQUENCY IN THE 4-7 HZ RANGE, AND NO EYE MOVEMENTS, WHAT IS THE SLEEP
STAGE OF THAT NEXT EPOCH? - (ANSWER)STAGE N1 THE EPOCH SHOWN CONTAINS A K COMPLEX,
POSSIBLE A SPINDLE AND LESS THAN 20% HIGH AMPLITUDE SLOW WAVES, MAKING IT STAGE N2 THERE
Verified
Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of myocardial
ischemia, what will your first actions include (if not completed by EMS before arrival)?
o Obtain a 12-lead electrocardiogram (ECG)
o Administer a blood thinner
o Administer aspirin and establish IV access
o Activate the ST-segment elevation myocardial infarction (STEMI) team
o If SPO2 is less than 90%, start oxygen
o Assess airway, breathing, and circulation (ABCs)
o Administer epinephrine 1 mg IV
o Consider nitroglycerin, morphine and a P2Y inhibitor - (ANSWER)o Obtain a 12-lead electrocardiogram
(ECG)
o Administer aspirin and establish IV access
o Activate the ST-segment elevation myocardial infarction (STEMI) team
o If SPO2 is less than 90%, start oxygen
o Assess airway, breathing, and circulation (ABCs)
o Consider nitroglycerin, morphine and a P2Y inhibitor
His initial vital signs are HR 120/min, BP 135/88 mm Hg, RR 23/min, SpO2 87%, and temperature 37.3C.
When considering oxygen saturation, what is your course of action?
o Intubate the patient immediately
o Administer albuterol nebulizer
o Do not start oxygen
o Start oxygen at 4L/min via nasal cannula - (ANSWER)o Start oxygen at 4L/min via nasal cannula
A PATIENTS OXIMETER READING DURING PATIENT CALIBRATION IS 88%. WHICH OF THE FOLLOWING
WOULD BE THE APPROPRIATE RESPONSE? - (ANSWER)PLACE THE PROBE ON THE PATIENTS EARLOBE
A PATIENT WITH ONDINES CURSE WOULD BE EXPECTED TO HAVE WHICH TYPE OF RESPIRATORY
IMPAIRMENT IN SLEEP - (ANSWER)CENTRAL SLEEP APNEA
,RPSGT PRACTICE EXAMQuestions And Answers & Rationales, 100%
Verified
ACCORDING TO THE AASM, INTERCOSTAL EMG ACTIVITY IS AN ACCEPTABLE ALTERNATIVE SESOR FOR
RECORDING WHAT PARMETER - (ANSWER)DETECTION OF RESPIRATORY EFFORT
SLOW ROLLING EYE MOVEMENTS OCCURING DURING STAGE N1 SLEEP WILL BEST BE SEEN AT LOW
FILTER SETTING OF - (ANSWER)0.3HZ
A 1.0 HZ EEG WAVE IS MEASURED AT 15MM PEAK TO PEAK. THE SENSITIVITY IS 5UV/MM. THE VOLTAGE
OF THE WAVE IS - (ANSWER)75UV
A CHEYNE STOKES BREATHING PATTERN IS OFTEN SEEN IN PATIENTS WITH - (ANSWER)CONGESTIVE
HEART FAILURE
CAPNOGRAPHY MEASURES - (ANSWER)EXPIRED CO2
WHICH OF THE FOLLOWING HIGH FREQUENCY FILTER SETTINGS IS RECOMMENDED FOR RECORDING
SUBMENTAL EMG - (ANSWER)100HZ
ENDOESOPHAGEAL PRESSURE MEASUREMENTS WOULD BE MOST HELPFUL IN EVALUTATING WHICH
SLEEP DISORDERS - (ANSWER)SLEEP RELATED BREATHING DISORDERS
A PATIENT BEING EVALUATED FOR OBSTRUCTIVE SLEEP DISORDERED BREATHING HAS ATRIAL
FIBRILLATION. WHAT SHOULD THE TECH DO - (ANSWER)CONTINUE TO OBSERVE AND DOCUMENT
RHYTHM
WHICH OF THE FOLLOWING IS THE MOST DANGEROUS CARDIAC RHYTHM - (ANSWER)VENTRICULAR
FIBRILLATION
HOW WOULD YOU COMPUTE SLEEP EFFICIENCY - (ANSWER)TOTAL SLEEP TIME DIVIDED BY TIME IN BED
X 100
, RPSGT PRACTICE EXAMQuestions And Answers & Rationales, 100%
Verified
HOW DO YOU CALCULATE APNEA + HYPOPNEA INDEX - (ANSWER)# APNEAS AND HYPOPNEAS DIVIDED
BY TST X60
WHICH HIGH PASS FILTER SETTING IS MOST APPROPRIATE FOR RECORDING RESPIRATION -
(ANSWER)0.1HZ
THE PURPOSE OF AN EXHALATION PORT IN A CPAP CIRCUIT IS - (ANSWER)TO VENT EXHALED C02
WHICH OF THE FOLLOWING ARE CHARACTERISTIC OF A PVC - (ANSWER)THE QRS IS WIDE AND BIZARRE
A NORMAL VARIATION IN SINUS RHYTHM WHICH IS RELATED TO RESPIRATORY RATE AND RESULTS
FROM VAGAL TONE INHIBITION DESCRIBES - (ANSWER)SINUS ARRHYTHMIA
A SUSTAINED HEART RATE OF >90 BEATS/MINUTE DESCRIBES - (ANSWER)SINUS TACHYCARDIA
PARTIAL AV BLOCK IN WHICH THE PR INTERVAL INCREASES PROGRESSIVELY UNTIL THERE IS AN ATRIAL
IMPULSE WITHOUT A CORRESPONDING VENTRICULAR BEAT DESCRIBES - (ANSWER)MOBITZ TYPE 1 AV
BLOCK
WHAT IS THE MOST LIKELY LOW FREQUENCY FILTER SETTING OF CHANNEL 1 - (ANSWER)1.0 HZ
WHICH CHANNEL SETTING IS BEST FOR EMG RECORDING - (ANSWER)2 CHAN 2 HAS A VERY QUICH
RETURN TO BASELINE, (VERY SHORT TIME CONSTAT)
REFER TO THE 30 SECOND EPOCH SHOWN HERE. IF THE NEXT EPOCH CONTAINS 30 SECONDS OF LOW
VOLTAGE, MIXED FREQUENCY IN THE 4-7 HZ RANGE, AND NO EYE MOVEMENTS, WHAT IS THE SLEEP
STAGE OF THAT NEXT EPOCH? - (ANSWER)STAGE N1 THE EPOCH SHOWN CONTAINS A K COMPLEX,
POSSIBLE A SPINDLE AND LESS THAN 20% HIGH AMPLITUDE SLOW WAVES, MAKING IT STAGE N2 THERE
