Clinical Simulation Newest Version (2026)
Real Questions and Verified Answers 100%
Correct (A+)
A patient has obstructive disorder what can cause this issue? -✓✓smoking, genetic
predisposition, occupation, pollutants
What are some characteristic of a patient with an obstructive disorder? -✓✓clubbing,
cyanotic, wheezing, diminished, barrel chested
What is the CXR for a patient with obstructive disorder? -✓✓hyper lucency with
depressed, flattened diaphragm
What is the ABG for a patient in moderate to mild obstructive disorder? -✓✓acute
alveolar hyperventilation with hypoxemia
What is the ABG for a patient with severe obstructive disorder? -✓✓chronic ventilatory
failure with hypoxemia
Do you get a CBC or a sputum on an obstructive diseased patient? -✓✓yes
What is the O2 therapy given to a patient with emphysema? -✓✓1-2 L or .24-.28 O2
What kind of meds should you give an emphysema patient? -✓✓short acting Beta2
Anticolinergic
long acting Beta2
steriods
What type of MV should a patient receive with emphysema? -✓✓NIPPV
A patient with a cough for 3 consecutive months for 2 years has what disorder? -
✓✓chronic bronchitis
A patient may have bronchiectasis what kind of test can be run to find bronchograms? -
✓✓CT
What PFT is decreased with obstructive disorders? -✓✓FEV1, FEV1/FVC, FEF 25-75
A patient has failure of the respiratory center of the brain to send signals to the muscles
that control resp what kind of apnea do they have? -✓✓central
, A patient has a anatomic obstruction of the upper airway in the presence of continued
ventilator effort? -✓✓obstructive
What kind of pattern is seen on the flow volume loop for a patient with sleep apnea? -
✓✓saw tooth
What is used to see if a patient has sleep apnea? -✓✓polysomnography
What kinds of medication are given for central sleep apnea? -✓✓REM inhibitor- vivactil
carbonic anhydrase inhibitor- diamox
resp. stimulant
What kinds of procedures can be done with obstructive sleep apnea? -✓✓weight loss,
sleep posture
NIPPV, oral surgery, trach, neck collar
A patient is admitted with means to have thoracic surgery what post operative means
should be done? -✓✓hyperinflation, prevent infection, chest drainage systems, watch
for post op issues
A patient has a brain injury what meds can be given? -✓✓barbituates- sedation
mannitol- deceased ICP
dilantin- seizures
A patient has paralysis that is defending what is it? -✓✓myasthenia gravis
Is myasthenia gravis gradual or fast? -✓✓gradual
A patient has drooping eyelids, double vision (diplopia) and difficulty swallowing what do
they have? -✓✓MG
What special test is done for MG? -✓✓edrophonium (tensilon test)
If VT, VC and MIP weakness improve with tension you should? -✓✓give meds,
maintenance drug therapy
What are the cholinesterase inhibitor given to MG patients? -✓✓prostigmine
(neostigmine)
pyridostigimine (mestinon, regonol)
If VT, VC, or MIP worsen with tensilon what do u do? -✓✓administer atropine to reverse
Is a patient with MG give IS or IPPB? -✓✓IPPB
Real Questions and Verified Answers 100%
Correct (A+)
A patient has obstructive disorder what can cause this issue? -✓✓smoking, genetic
predisposition, occupation, pollutants
What are some characteristic of a patient with an obstructive disorder? -✓✓clubbing,
cyanotic, wheezing, diminished, barrel chested
What is the CXR for a patient with obstructive disorder? -✓✓hyper lucency with
depressed, flattened diaphragm
What is the ABG for a patient in moderate to mild obstructive disorder? -✓✓acute
alveolar hyperventilation with hypoxemia
What is the ABG for a patient with severe obstructive disorder? -✓✓chronic ventilatory
failure with hypoxemia
Do you get a CBC or a sputum on an obstructive diseased patient? -✓✓yes
What is the O2 therapy given to a patient with emphysema? -✓✓1-2 L or .24-.28 O2
What kind of meds should you give an emphysema patient? -✓✓short acting Beta2
Anticolinergic
long acting Beta2
steriods
What type of MV should a patient receive with emphysema? -✓✓NIPPV
A patient with a cough for 3 consecutive months for 2 years has what disorder? -
✓✓chronic bronchitis
A patient may have bronchiectasis what kind of test can be run to find bronchograms? -
✓✓CT
What PFT is decreased with obstructive disorders? -✓✓FEV1, FEV1/FVC, FEF 25-75
A patient has failure of the respiratory center of the brain to send signals to the muscles
that control resp what kind of apnea do they have? -✓✓central
, A patient has a anatomic obstruction of the upper airway in the presence of continued
ventilator effort? -✓✓obstructive
What kind of pattern is seen on the flow volume loop for a patient with sleep apnea? -
✓✓saw tooth
What is used to see if a patient has sleep apnea? -✓✓polysomnography
What kinds of medication are given for central sleep apnea? -✓✓REM inhibitor- vivactil
carbonic anhydrase inhibitor- diamox
resp. stimulant
What kinds of procedures can be done with obstructive sleep apnea? -✓✓weight loss,
sleep posture
NIPPV, oral surgery, trach, neck collar
A patient is admitted with means to have thoracic surgery what post operative means
should be done? -✓✓hyperinflation, prevent infection, chest drainage systems, watch
for post op issues
A patient has a brain injury what meds can be given? -✓✓barbituates- sedation
mannitol- deceased ICP
dilantin- seizures
A patient has paralysis that is defending what is it? -✓✓myasthenia gravis
Is myasthenia gravis gradual or fast? -✓✓gradual
A patient has drooping eyelids, double vision (diplopia) and difficulty swallowing what do
they have? -✓✓MG
What special test is done for MG? -✓✓edrophonium (tensilon test)
If VT, VC and MIP weakness improve with tension you should? -✓✓give meds,
maintenance drug therapy
What are the cholinesterase inhibitor given to MG patients? -✓✓prostigmine
(neostigmine)
pyridostigimine (mestinon, regonol)
If VT, VC, or MIP worsen with tensilon what do u do? -✓✓administer atropine to reverse
Is a patient with MG give IS or IPPB? -✓✓IPPB
