NBRC TMC CRT RRT ACTUAL TEST
QUESTIONS WITH COMPLETE ANSWER
KEY
●● 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
TB, pneumonia, PE, and hemothorax
Recommend steroids and antibiotics
●● stertor:
Answer: snoring sound produced when patients are unable to cough up
secretions from the trachea or bronchi
QUESTIONS WITH COMPLETE ANSWER
KEY
●● 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
TB, pneumonia, PE, and hemothorax
Recommend steroids and antibiotics
●● stertor:
Answer: snoring sound produced when patients are unable to cough up
secretions from the trachea or bronchi
