NBRC TMC CRT RRT ACTUAL EXAM SCRIPT
2026 COMPLETE QUESTIONS WITH
CORRECT VERIFIED ANSWERS GRADED A+
⩥ Epiglottitis: Answer: -above glottis
-confirm with lat. neck cxr; supraglottic narrowing with enlarged
flattened epiglottis
-thumb sign
Tx: intubate
⩥ Croup (laryngotracheobronchitis) Answer: infection of upper airway
characterized by a barky cough seen in children
CXR: tracheal narrowing with subglottic swelling (steeple sign, picket
fence, pencil point, hour glass)
Treatment: racemic epi and O2
⩥ ETT Placement: Answer: 2-6 cm above carina-- level of aortic arch
To confirm- first listen to breath sounds, then CXR
⩥ AP radiograph: Answer: front to back
,⩥ PA radiograph Answer: back to front
⩥ Lateral radiograph Answer: sides
⩥ Oblique CXR Answer: standing/diagonal- lesions
⩥ Lateral decubitus Answer: lying on AFFECTED side-- pleural
effusions
⩥ Apical lordotic Answer: tops of lungs used to confirm TB
⩥ End exp. image Answer: detect small pnuemos
⩥ Confirming quality of CXR image Answer: - clavicles are level
- penetration- vertabrae visible just behind heart
-mediastinum- area between lungs, heart, blood vessels and bronchi are
found
-vascular markings
⩥ Enlarged Heart in CXR Answer: cardiomegaly--- CHF- pericardial
effusion
, ⩥ Normal CXR Answer: -hemidiaphragms
-R diaphragm elevated (liver underneath)
-L diaphragm at level of 6 anterior rib
-trachea midline
-bilateral radiolucent appearance
-sharp costophrenic angles
- heart not consuming 50% of picture
⩥ Blood Pressure Answer: 120/80
90-140 systolic acceptable
60-90 diastolic acceptable
hypertension- O2
hypotension- fluids, hypovolemia, chf
⩥ Heart sounds: Answer: S1- ventricles contract
S2-ventricles relax
(LUB-DUB)
S3 & S4 not good; recommend echo
⩥ pleural friction rub Answer: Coarse grating raspy or crushing sound
2026 COMPLETE QUESTIONS WITH
CORRECT VERIFIED ANSWERS GRADED A+
⩥ Epiglottitis: Answer: -above glottis
-confirm with lat. neck cxr; supraglottic narrowing with enlarged
flattened epiglottis
-thumb sign
Tx: intubate
⩥ Croup (laryngotracheobronchitis) Answer: infection of upper airway
characterized by a barky cough seen in children
CXR: tracheal narrowing with subglottic swelling (steeple sign, picket
fence, pencil point, hour glass)
Treatment: racemic epi and O2
⩥ ETT Placement: Answer: 2-6 cm above carina-- level of aortic arch
To confirm- first listen to breath sounds, then CXR
⩥ AP radiograph: Answer: front to back
,⩥ PA radiograph Answer: back to front
⩥ Lateral radiograph Answer: sides
⩥ Oblique CXR Answer: standing/diagonal- lesions
⩥ Lateral decubitus Answer: lying on AFFECTED side-- pleural
effusions
⩥ Apical lordotic Answer: tops of lungs used to confirm TB
⩥ End exp. image Answer: detect small pnuemos
⩥ Confirming quality of CXR image Answer: - clavicles are level
- penetration- vertabrae visible just behind heart
-mediastinum- area between lungs, heart, blood vessels and bronchi are
found
-vascular markings
⩥ Enlarged Heart in CXR Answer: cardiomegaly--- CHF- pericardial
effusion
, ⩥ Normal CXR Answer: -hemidiaphragms
-R diaphragm elevated (liver underneath)
-L diaphragm at level of 6 anterior rib
-trachea midline
-bilateral radiolucent appearance
-sharp costophrenic angles
- heart not consuming 50% of picture
⩥ Blood Pressure Answer: 120/80
90-140 systolic acceptable
60-90 diastolic acceptable
hypertension- O2
hypotension- fluids, hypovolemia, chf
⩥ Heart sounds: Answer: S1- ventricles contract
S2-ventricles relax
(LUB-DUB)
S3 & S4 not good; recommend echo
⩥ pleural friction rub Answer: Coarse grating raspy or crushing sound
