Lindsey Jones TMC Questions And Answers
A 70-kg (154-lb) female patient is receiving mechanical ventilation on the following settings:
Mode assist/control
Mandatory rate 14
Total rate 14
VT 500 mL
FIO2 0.55
PEEP 12 cmH2O
Arterial blood gases reveal
pH 7.49
PaCO2 32 mmHg
PaO2 109 mmHg
HCO3- 24 mEq/L
BE 0 mEq/L
The respiratory therapist should
, Lindsey Jones TMC Questions And Answers
A. increase mandatory rate
B. decrease PEEP
C. decrease FIO2
D. decrease mandatory rate B. decrease PEEP
Prior to obtaining an MEP value with a pressure manometer, the respiratory therapist notes the
needle is pointing at a positive pressure of -4 cmH2O prior to the maneuver. During the MEP
maneuver, the needle reaches 32 cmH2O. The therapist should
A. record and MEP of -28 cmH2O
B. record an MEP of 36 cmH2O
C. record an MEP of 28 cmH2O
D. report the problem to the medical director B. record an MEP of 36 cmH2O
Which of the following is the most significant complication of bronchoscopy?
A. coughing
B. vagal nerve stimulation
C. laryngospasms
, Lindsey Jones TMC Questions And Answers
D. hypotension C. laryngospasms
A patient has the following input/output history and other clinical information:
Yesterday Today
IN 1900 cc 1600 cc
OUT 2200 cc 1900 cc
C.O. 5.1 L/min 3.8 L/min
BP 110/80 mm Hg 110/80 mm Hg
CVP 5 mm Hg 5 mm Hg
These data would result in which of the following?
A. increase in PCWP
B. increase in PAP
, Lindsey Jones TMC Questions And Answers
C. decrease in PVR
D. increase in SVR D. increase in SVR
This question is tricky. The first observation one must make is that the patient is putting out more
fluid than he is taking in. This will result in dehydration and a decrease in all hemodynamic
values including cardiac output. If cardiac output is decreased, systemic vascular resistance will
increase. One must know the formula for systemic vascular resistance in order to understand this.
Systemic vascular resistance is determined by subtracting CVP from MAP and dividing it by
cardiac output. If cardiac output is decreased then the final SVR number will increase.
Which of the following would result in an increase in pulmonary capillary wedge pressure?
A. decrease in pulmonary vascular resistance (PVR)
B. mitral valve stenosis
C. dehydration
D. cor pulmonale B. mitral valve stenosis
During a difficult intubation, the emergency room physician requests an endotracheal tube that is
smaller than recommended for the patient's height and ideal body weight. As a result, the
respiratory therapist should anticipate
A 70-kg (154-lb) female patient is receiving mechanical ventilation on the following settings:
Mode assist/control
Mandatory rate 14
Total rate 14
VT 500 mL
FIO2 0.55
PEEP 12 cmH2O
Arterial blood gases reveal
pH 7.49
PaCO2 32 mmHg
PaO2 109 mmHg
HCO3- 24 mEq/L
BE 0 mEq/L
The respiratory therapist should
, Lindsey Jones TMC Questions And Answers
A. increase mandatory rate
B. decrease PEEP
C. decrease FIO2
D. decrease mandatory rate B. decrease PEEP
Prior to obtaining an MEP value with a pressure manometer, the respiratory therapist notes the
needle is pointing at a positive pressure of -4 cmH2O prior to the maneuver. During the MEP
maneuver, the needle reaches 32 cmH2O. The therapist should
A. record and MEP of -28 cmH2O
B. record an MEP of 36 cmH2O
C. record an MEP of 28 cmH2O
D. report the problem to the medical director B. record an MEP of 36 cmH2O
Which of the following is the most significant complication of bronchoscopy?
A. coughing
B. vagal nerve stimulation
C. laryngospasms
, Lindsey Jones TMC Questions And Answers
D. hypotension C. laryngospasms
A patient has the following input/output history and other clinical information:
Yesterday Today
IN 1900 cc 1600 cc
OUT 2200 cc 1900 cc
C.O. 5.1 L/min 3.8 L/min
BP 110/80 mm Hg 110/80 mm Hg
CVP 5 mm Hg 5 mm Hg
These data would result in which of the following?
A. increase in PCWP
B. increase in PAP
, Lindsey Jones TMC Questions And Answers
C. decrease in PVR
D. increase in SVR D. increase in SVR
This question is tricky. The first observation one must make is that the patient is putting out more
fluid than he is taking in. This will result in dehydration and a decrease in all hemodynamic
values including cardiac output. If cardiac output is decreased, systemic vascular resistance will
increase. One must know the formula for systemic vascular resistance in order to understand this.
Systemic vascular resistance is determined by subtracting CVP from MAP and dividing it by
cardiac output. If cardiac output is decreased then the final SVR number will increase.
Which of the following would result in an increase in pulmonary capillary wedge pressure?
A. decrease in pulmonary vascular resistance (PVR)
B. mitral valve stenosis
C. dehydration
D. cor pulmonale B. mitral valve stenosis
During a difficult intubation, the emergency room physician requests an endotracheal tube that is
smaller than recommended for the patient's height and ideal body weight. As a result, the
respiratory therapist should anticipate
