EXAM: CRT TMC RRT EXAM WITH CERTIFIED ANSWERS
extra pulmonary air indicates: Correct Answer--pneumothorax
-pneumoperitoneum
-pneumomediastinum
-pneumopericardium
-sub cu. emphysema
Epiglottitis: Correct Answer--above glottis
-confirm with lat. neck cxr; supraglottic narrowing with enlarged flattened epiglottis
-thumb sign
Tx: intubate
Croup (laryngotracheobronchitis) Correct 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
, EXAM: CRT TMC RRT EXAM WITH CERTIFIED ANSWERS
ETT Placement: Correct Answer-2-6 cm above carina-- level of aortic arch
To confirm- first listen to breath sounds, then CXR
AP radiograph: Correct Answer-front to back
PA radiograph Correct Answer-back to front
Lateral radiograph Correct Answer-sides
Oblique CXR Correct Answer-standing/diagonal- lesions
Lateral decubitus Correct Answer-lying on AFFECTED side-- pleural effusions
Apical lordotic Correct Answer-tops of lungs used to confirm TB
End exp. image Correct Answer-detect small pnuemos
, EXAM: CRT TMC RRT EXAM WITH CERTIFIED ANSWERS
Confirming quality of CXR image Correct 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 Correct Answer-cardiomegaly--- CHF- pericardial effusion
Normal CXR Correct 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 Correct Answer-120/80
, EXAM: CRT TMC RRT EXAM WITH CERTIFIED ANSWERS
90-140 systolic acceptable
60-90 diastolic acceptable
hypertension- O2
hypotension- fluids, hypovolemia, chf
Heart sounds: Correct Answer-S1- ventricles contract
S2-ventricles relax
(LUB-DUB)
S3 & S4 not good; recommend echo
pleural friction rub Correct Answer-Coarse grating raspy or crushing sound
TB, pneumonia, PE, and hemothorax
Recommend steroids and antibiotics
extra pulmonary air indicates: Correct Answer--pneumothorax
-pneumoperitoneum
-pneumomediastinum
-pneumopericardium
-sub cu. emphysema
Epiglottitis: Correct Answer--above glottis
-confirm with lat. neck cxr; supraglottic narrowing with enlarged flattened epiglottis
-thumb sign
Tx: intubate
Croup (laryngotracheobronchitis) Correct 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
, EXAM: CRT TMC RRT EXAM WITH CERTIFIED ANSWERS
ETT Placement: Correct Answer-2-6 cm above carina-- level of aortic arch
To confirm- first listen to breath sounds, then CXR
AP radiograph: Correct Answer-front to back
PA radiograph Correct Answer-back to front
Lateral radiograph Correct Answer-sides
Oblique CXR Correct Answer-standing/diagonal- lesions
Lateral decubitus Correct Answer-lying on AFFECTED side-- pleural effusions
Apical lordotic Correct Answer-tops of lungs used to confirm TB
End exp. image Correct Answer-detect small pnuemos
, EXAM: CRT TMC RRT EXAM WITH CERTIFIED ANSWERS
Confirming quality of CXR image Correct 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 Correct Answer-cardiomegaly--- CHF- pericardial effusion
Normal CXR Correct 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 Correct Answer-120/80
, EXAM: CRT TMC RRT EXAM WITH CERTIFIED ANSWERS
90-140 systolic acceptable
60-90 diastolic acceptable
hypertension- O2
hypotension- fluids, hypovolemia, chf
Heart sounds: Correct Answer-S1- ventricles contract
S2-ventricles relax
(LUB-DUB)
S3 & S4 not good; recommend echo
pleural friction rub Correct Answer-Coarse grating raspy or crushing sound
TB, pneumonia, PE, and hemothorax
Recommend steroids and antibiotics
