RRT CLIN SIMS EXAM QUESTIONS & ANSWERS
PASSED ALREADY GRADED A+
1. Emphysema Weakening and e]permanent enlargement of the air spaces distal to
the terminal bronchioles
2. Etiology of
Em- 6. Arterial Blood Gas findings in patient with
physema Em- physema
3. Primary
Assess- ment
of Emphy-
sema
4. Secondary As-
sessment of
Em- physema
5. Appearance of
CXR in patient
with
Emphysema
,RRT CLIN SIMS EXAM QUESTIONS & ANSWERS
PASSED ALREADY GRADED A+
C ases Genetic predisposition
i Occupational exposure
g Atmospheric pollutants
a
r Past medical
e history Shortness
t of breath Cough
t Appearance of the
e chest Respiratory
Pattern Color
s Appearance of the nail
m beds Diagnostic chest
o percussion Breath
k sounds
i
CXR
n
Arterial Blood Gas
g
Pulmonary Function
CBC
>
Sputum
8
0 Hyper lucent lung fields
% Depressed or flattened
diaphragm Narrow heart
o Increased retro sternal air space (lateral film)
f
Mild to moderate Emphysema
a Acute alveolar hyperventilation with hypoxemia
l
l
c
,RRT CLIN SIMS EXAM QUESTIONS & ANSWERS
PASSED ALREADY GRADED A+
12. Etiology of
Chronic Bronchi- tis
7. Pulmonary
Func- tion
Findings in
patient with
Em- physema
8. CBC findings
in a patient
with Em-
physema
9. Sputum
findings in a
patient with
Emphysema
10. Treatment/
Man-
agement of
Emphysema
11. Chronic
Bronchi- tis
,RRT CLIN SIMS EXAM QUESTIONS & ANSWERS
PASSED ALREADY GRADED A+
Severe Emphysema y failure with hypoxemia Decreased flow
C
rates and Decreased DLco
h
r
o Increased RBC, Hb, HCT
n
i
May indicate bacterial infection
c
Low Flow (FiO2) oxygen therapy 1-2 L/min
v (.24-.28) Antibiotics as indicated by sputum
culture Pulmonary Rehab and Home Care
e Aerosolized medications
Consider NPPV for acute exacerbation of ventilatory failure
n
Annual Flu injection
t Smoking
cessation
i Pulmonary
Hygiene
l
Daily productive cough for at least 3 consecutive month each year for 2
a years in a row
t Cigarette
smoking
o
Pollution
r Infection
PASSED ALREADY GRADED A+
1. Emphysema Weakening and e]permanent enlargement of the air spaces distal to
the terminal bronchioles
2. Etiology of
Em- 6. Arterial Blood Gas findings in patient with
physema Em- physema
3. Primary
Assess- ment
of Emphy-
sema
4. Secondary As-
sessment of
Em- physema
5. Appearance of
CXR in patient
with
Emphysema
,RRT CLIN SIMS EXAM QUESTIONS & ANSWERS
PASSED ALREADY GRADED A+
C ases Genetic predisposition
i Occupational exposure
g Atmospheric pollutants
a
r Past medical
e history Shortness
t of breath Cough
t Appearance of the
e chest Respiratory
Pattern Color
s Appearance of the nail
m beds Diagnostic chest
o percussion Breath
k sounds
i
CXR
n
Arterial Blood Gas
g
Pulmonary Function
CBC
>
Sputum
8
0 Hyper lucent lung fields
% Depressed or flattened
diaphragm Narrow heart
o Increased retro sternal air space (lateral film)
f
Mild to moderate Emphysema
a Acute alveolar hyperventilation with hypoxemia
l
l
c
,RRT CLIN SIMS EXAM QUESTIONS & ANSWERS
PASSED ALREADY GRADED A+
12. Etiology of
Chronic Bronchi- tis
7. Pulmonary
Func- tion
Findings in
patient with
Em- physema
8. CBC findings
in a patient
with Em-
physema
9. Sputum
findings in a
patient with
Emphysema
10. Treatment/
Man-
agement of
Emphysema
11. Chronic
Bronchi- tis
,RRT CLIN SIMS EXAM QUESTIONS & ANSWERS
PASSED ALREADY GRADED A+
Severe Emphysema y failure with hypoxemia Decreased flow
C
rates and Decreased DLco
h
r
o Increased RBC, Hb, HCT
n
i
May indicate bacterial infection
c
Low Flow (FiO2) oxygen therapy 1-2 L/min
v (.24-.28) Antibiotics as indicated by sputum
culture Pulmonary Rehab and Home Care
e Aerosolized medications
Consider NPPV for acute exacerbation of ventilatory failure
n
Annual Flu injection
t Smoking
cessation
i Pulmonary
Hygiene
l
Daily productive cough for at least 3 consecutive month each year for 2
a years in a row
t Cigarette
smoking
o
Pollution
r Infection
