KETTERING TMC LATEST EXAMS SCRIPT
QUESTIONS AND ANSWERS SURE A+
✔✔The results of a patient's spirometry are recorded as follows:
Pred. Observed
FVC (L). 3.5 2.1
FEV1 (L). 2.7 2.6
FRC (L) 2.5 1.7
TLC (L) 5.6. 4.2
These results are indicative of
A. normal lung function.
B. sarcoidosis.
C. acute bronchitis.
D. cystic fibrosis. - ✔✔B. Sarcoidosis
✔✔The respiratory therapist is in charge of transporting a patient with multiple trauma to
a regional trauma center in a fixed wing aircraft. Which of the following should the
therapist be most concerned about during the transport?
A. Tissue oxygenation
B. Pneumothorax
C. Pulmonary embolus
D. Humidification of the inspired gas - ✔✔A. Tissue oxygenation
✔✔Transcutaneous monitoring of PO2 values will correlate well with arterial blood gas
PO2 values in which of the following situations?
1. Hypotension
2. Hypothermia
,3. Pneumonia
A. 1 only
B. 3 only
C. 1 and 2 only
D. 2 and 3 only - ✔✔B. 3 only
✔✔A patient is being ventilated in the intensive care unit. The following data is obtained:
Mode VC, SIMV
Mandatory rate 12 b/min
Total rate 18 b/min
VT 800 mL
FIO2 0.60
PIP 31 cm H2O
PEEP 10 cm H2O
pH 7.41
PaCO2 40 torr
PaO2 95 torr
SaO2 96%
HCO3- 23 mEq/L
BE +1 mEq/L
PECO2 30 torr
Hb 15 g/dL
What should the respiratory therapist report as the VD/VT ratio?
A. 15%
B. 25%
C. 40%
D. 50% - ✔✔B. 25%
✔✔What is the air-to-oxygen ratio for an air entrainment device delivering 60% oxygen?
A. 1:1
B. 3:1
C. 4:1
D. 10:1 - ✔✔A. 1:1
✔✔Following surgery to correct an abdominal aortic aneurysm, a 54-year-old female
patient suddenly develops intense substernal chest pain with severe dyspnea. The pain
does not appear to be aggravated by her respirations. Auscultation reveals bilateral,
basilar, moist, crepitant rales. The patient appears pale, cold and clammy. Which of the
following should the respiratory therapist recommend for initial assessment of this
patient?
,A. Serum electrolytes
B. Chest x-ray
C. Complete blood cell count
D. Electrocardiograph - ✔✔D. Electrocardiograph
✔✔An adult patient is intubated with a 7.0 mm ID endotracheal tube. What size suction
catheter should be used to suction this patient?
A. 8 French
B. 10 French
C. 12 French
D. 14 French - ✔✔B. 10 French
✔✔Which of the following would be the most appropriate test to evaluate partial vocal
cord paralysis in a patient complaining of difficulty swallowing?
A. SB nitrogen elimination
B. Maximum voluntary ventilation
C. Flow volume loop
D. Diffusing capacity - ✔✔C. Flow volume loop
✔✔In order to reduce a patient's PaCO2 from 40 torr to 32 torr, all of the following could
be increased EXCEPT
A. tidal volume.
B. alveolar ventilation.
C. respiratory rate.
D. physiologic deadspace - ✔✔D. physiologic deadspace
✔✔While examining the chest drainage system of a mechanically-ventilated patient
following thoracotomy, the respiratory therapist observes bubbling in the water-seal
chamber during inspiration. This would indicate
A. a leak in the chest drainage system.
B. air leaving the pleural space.
C. excessive pressure from the suction regulator.
D. inadequate water level in the water-seal chamber. - ✔✔B. air leaving the pleural
space.
✔✔A patient develops ascites and shortness of breath. Where is tissue edema most
likely to show up first?
A. Ankles
B. Abdomen
, C. Thorax
D. Hands - ✔✔B. Abdomen
✔✔An acceptable level of PEEP therapy can be identified by all of the following
EXCEPT
A. the lower inflection point of a volume-pressure loop graphic.
B. acceptable oxygenation without cardiovascular side effects.
C. increasing oxygenation with increasing plateau pressure.
D. increasing static compliance with acceptable oxygenation - ✔✔C. increasing
oxygenation with increasing plateau pressure.
✔✔While suctioning a patient who is being mechanically ventilated, the respiratory
therapist notes the following ECG pattern on the monitor: (SVT)
Suctioning is stopped and the patient is returned to the ventilator. Which of the following
drugs should the respiratory therapist recommend FIRST?
A. 100% oxygen
B. atropine
C. lidocaine
D. epinephrine - ✔✔A. 100% oxygen
✔✔Adjusting the inspiratory flow during an IPPB treatment will result in a change in
A. respiratory rate.
B. peak pressure.
C. tidal volume.
D. inspiratory time - ✔✔D. inspiratory time
✔✔A patient in the intensive care unit has the following hemodynamic measurements:
CVP 4 mm Hg
PAP 48/16 mm Hg
PCWP 8 mm Hg
MAP 92 mm Hg
Cardiac Output 5 L/min.
Cardiac Index 2.5 L/min/m2
These results are most consistent with
A. normal cardiac function
B. pulmonary hypertension
C. left heart failure
D. hypovolemia - ✔✔B. pulmonary hypertension
QUESTIONS AND ANSWERS SURE A+
✔✔The results of a patient's spirometry are recorded as follows:
Pred. Observed
FVC (L). 3.5 2.1
FEV1 (L). 2.7 2.6
FRC (L) 2.5 1.7
TLC (L) 5.6. 4.2
These results are indicative of
A. normal lung function.
B. sarcoidosis.
C. acute bronchitis.
D. cystic fibrosis. - ✔✔B. Sarcoidosis
✔✔The respiratory therapist is in charge of transporting a patient with multiple trauma to
a regional trauma center in a fixed wing aircraft. Which of the following should the
therapist be most concerned about during the transport?
A. Tissue oxygenation
B. Pneumothorax
C. Pulmonary embolus
D. Humidification of the inspired gas - ✔✔A. Tissue oxygenation
✔✔Transcutaneous monitoring of PO2 values will correlate well with arterial blood gas
PO2 values in which of the following situations?
1. Hypotension
2. Hypothermia
,3. Pneumonia
A. 1 only
B. 3 only
C. 1 and 2 only
D. 2 and 3 only - ✔✔B. 3 only
✔✔A patient is being ventilated in the intensive care unit. The following data is obtained:
Mode VC, SIMV
Mandatory rate 12 b/min
Total rate 18 b/min
VT 800 mL
FIO2 0.60
PIP 31 cm H2O
PEEP 10 cm H2O
pH 7.41
PaCO2 40 torr
PaO2 95 torr
SaO2 96%
HCO3- 23 mEq/L
BE +1 mEq/L
PECO2 30 torr
Hb 15 g/dL
What should the respiratory therapist report as the VD/VT ratio?
A. 15%
B. 25%
C. 40%
D. 50% - ✔✔B. 25%
✔✔What is the air-to-oxygen ratio for an air entrainment device delivering 60% oxygen?
A. 1:1
B. 3:1
C. 4:1
D. 10:1 - ✔✔A. 1:1
✔✔Following surgery to correct an abdominal aortic aneurysm, a 54-year-old female
patient suddenly develops intense substernal chest pain with severe dyspnea. The pain
does not appear to be aggravated by her respirations. Auscultation reveals bilateral,
basilar, moist, crepitant rales. The patient appears pale, cold and clammy. Which of the
following should the respiratory therapist recommend for initial assessment of this
patient?
,A. Serum electrolytes
B. Chest x-ray
C. Complete blood cell count
D. Electrocardiograph - ✔✔D. Electrocardiograph
✔✔An adult patient is intubated with a 7.0 mm ID endotracheal tube. What size suction
catheter should be used to suction this patient?
A. 8 French
B. 10 French
C. 12 French
D. 14 French - ✔✔B. 10 French
✔✔Which of the following would be the most appropriate test to evaluate partial vocal
cord paralysis in a patient complaining of difficulty swallowing?
A. SB nitrogen elimination
B. Maximum voluntary ventilation
C. Flow volume loop
D. Diffusing capacity - ✔✔C. Flow volume loop
✔✔In order to reduce a patient's PaCO2 from 40 torr to 32 torr, all of the following could
be increased EXCEPT
A. tidal volume.
B. alveolar ventilation.
C. respiratory rate.
D. physiologic deadspace - ✔✔D. physiologic deadspace
✔✔While examining the chest drainage system of a mechanically-ventilated patient
following thoracotomy, the respiratory therapist observes bubbling in the water-seal
chamber during inspiration. This would indicate
A. a leak in the chest drainage system.
B. air leaving the pleural space.
C. excessive pressure from the suction regulator.
D. inadequate water level in the water-seal chamber. - ✔✔B. air leaving the pleural
space.
✔✔A patient develops ascites and shortness of breath. Where is tissue edema most
likely to show up first?
A. Ankles
B. Abdomen
, C. Thorax
D. Hands - ✔✔B. Abdomen
✔✔An acceptable level of PEEP therapy can be identified by all of the following
EXCEPT
A. the lower inflection point of a volume-pressure loop graphic.
B. acceptable oxygenation without cardiovascular side effects.
C. increasing oxygenation with increasing plateau pressure.
D. increasing static compliance with acceptable oxygenation - ✔✔C. increasing
oxygenation with increasing plateau pressure.
✔✔While suctioning a patient who is being mechanically ventilated, the respiratory
therapist notes the following ECG pattern on the monitor: (SVT)
Suctioning is stopped and the patient is returned to the ventilator. Which of the following
drugs should the respiratory therapist recommend FIRST?
A. 100% oxygen
B. atropine
C. lidocaine
D. epinephrine - ✔✔A. 100% oxygen
✔✔Adjusting the inspiratory flow during an IPPB treatment will result in a change in
A. respiratory rate.
B. peak pressure.
C. tidal volume.
D. inspiratory time - ✔✔D. inspiratory time
✔✔A patient in the intensive care unit has the following hemodynamic measurements:
CVP 4 mm Hg
PAP 48/16 mm Hg
PCWP 8 mm Hg
MAP 92 mm Hg
Cardiac Output 5 L/min.
Cardiac Index 2.5 L/min/m2
These results are most consistent with
A. normal cardiac function
B. pulmonary hypertension
C. left heart failure
D. hypovolemia - ✔✔B. pulmonary hypertension
