Kettering TMC Review 2026
Expert Verifed Ace the Test
4 Critical Life Functions (in order) - ANSWER ✔✔Ventilation,
Oxygenation, Circulation, Perfusion
Signs vs Symptoms - ANSWER ✔✔Signs are objective, symptoms
are subjective
Pack Year Formula - ANSWER ✔✔# packs per day x # years smoked
= pack year history
Advance Directives: Living Will vs Durable Power of Attorney -
ANSWER ✔✔A living will is a set of directions created by the patient,
whereas a Durable P of A appoints a decision-maker if the patient
becomes incapacitated.
,Normal Urine Output - ANSWER ✔✔40-60mL/hr
Normal CVP
Where is this measured?
What does this really tell us? - ANSWER ✔✔2-6 mmHg
Measured in the RA
Tells us about fluid balance
Normal Capillary Refill Time - ANSWER ✔✔3 sec
A patient is suffering from nocturnal diaphoresis. What should our first
thought be? - ANSWER ✔✔TB
Pectus Carinatum and Pectus Excavatum - ANSWER ✔✔Protrusion
of the anterior sternum (PC) and depression of the sternum (PE) both
create a restrictive process in pediatrics.
A patient is found to be "barrel-chested." What disease process should
we be thinking about? - ANSWER ✔✔COPD
Cheyne-Stokes, Biot's, and Kussmaul's - ANSWER ✔✔Cheyenne-
Stokes
-increasing/decreasing rate and depth w periods of apnea
-commonly associated with ICP, brainstem injury, overdose
,Biot's
-increased rate and depth with periods of apnea
-associated with CNS issues
Kussmaul's
-increase rate and depth
-associated with DKA
Pierre-Robbins Syndrome - ANSWER ✔✔Small chin, big tongue,
HARD intubation.
Mallampati Classifications
What are fauces and pillars? - ANSWER ✔✔Class 1: soft palate,
uvula, fauces, pillars
Class 2: soft palate, uvula, and fauces
Class 3: soft palate, base of uvula
Class 4: hard palate only
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Fauces = arch openings
Pillars = striated tissue leading to uvula
Classes 3 and 4 require fiberoptic bronchoscopy or video assist device
for intubation
A change of ___bpm indicates an adverse reaction and necessitates the
termination of a treatment. - ANSWER ✔✔20
What is pulsus paradoxus and what causes it? - ANSWER ✔✔When
SBP decreases by at least 10 mmHg during inspiration, caused by
severe air-trapping.
Tracheal Deviation - ANSWER ✔✔Trachea will deviate TOWARDS
pathology if it occurs inside the lung, or AWAY from pathology if the
issue is outside the lung.
Breath Sounds - ANSWER ✔✔Vesicular - normal
Adventitious - abnormal
Flat/Dull - less air
Tympanic/Hyperresonant - more air
Stertor - snoring
Expert Verifed Ace the Test
4 Critical Life Functions (in order) - ANSWER ✔✔Ventilation,
Oxygenation, Circulation, Perfusion
Signs vs Symptoms - ANSWER ✔✔Signs are objective, symptoms
are subjective
Pack Year Formula - ANSWER ✔✔# packs per day x # years smoked
= pack year history
Advance Directives: Living Will vs Durable Power of Attorney -
ANSWER ✔✔A living will is a set of directions created by the patient,
whereas a Durable P of A appoints a decision-maker if the patient
becomes incapacitated.
,Normal Urine Output - ANSWER ✔✔40-60mL/hr
Normal CVP
Where is this measured?
What does this really tell us? - ANSWER ✔✔2-6 mmHg
Measured in the RA
Tells us about fluid balance
Normal Capillary Refill Time - ANSWER ✔✔3 sec
A patient is suffering from nocturnal diaphoresis. What should our first
thought be? - ANSWER ✔✔TB
Pectus Carinatum and Pectus Excavatum - ANSWER ✔✔Protrusion
of the anterior sternum (PC) and depression of the sternum (PE) both
create a restrictive process in pediatrics.
A patient is found to be "barrel-chested." What disease process should
we be thinking about? - ANSWER ✔✔COPD
Cheyne-Stokes, Biot's, and Kussmaul's - ANSWER ✔✔Cheyenne-
Stokes
-increasing/decreasing rate and depth w periods of apnea
-commonly associated with ICP, brainstem injury, overdose
,Biot's
-increased rate and depth with periods of apnea
-associated with CNS issues
Kussmaul's
-increase rate and depth
-associated with DKA
Pierre-Robbins Syndrome - ANSWER ✔✔Small chin, big tongue,
HARD intubation.
Mallampati Classifications
What are fauces and pillars? - ANSWER ✔✔Class 1: soft palate,
uvula, fauces, pillars
Class 2: soft palate, uvula, and fauces
Class 3: soft palate, base of uvula
Class 4: hard palate only
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Fauces = arch openings
Pillars = striated tissue leading to uvula
Classes 3 and 4 require fiberoptic bronchoscopy or video assist device
for intubation
A change of ___bpm indicates an adverse reaction and necessitates the
termination of a treatment. - ANSWER ✔✔20
What is pulsus paradoxus and what causes it? - ANSWER ✔✔When
SBP decreases by at least 10 mmHg during inspiration, caused by
severe air-trapping.
Tracheal Deviation - ANSWER ✔✔Trachea will deviate TOWARDS
pathology if it occurs inside the lung, or AWAY from pathology if the
issue is outside the lung.
Breath Sounds - ANSWER ✔✔Vesicular - normal
Adventitious - abnormal
Flat/Dull - less air
Tympanic/Hyperresonant - more air
Stertor - snoring
