Kettering TMC Practice Questions with
correct answers
Finebcrepitantbcracklesbarebmostbcommonlybassociatedbwithbwhichbofbthebfollowingbconditions?
a.bbronchiectasis
b.bcongestivebheartbfailure
c.bpneumonia
d.bcroupb-bcorrectbanswer-b.bcongestivebheartbfailure
Abpatientbisbfoundbinbfullbcardiopulmonarybarrest.bCPRbisbstartedbandbthebpatientbisborallybintubatedbwithba
nbEtCO2bmonitorbattached.bWhichbofbthebfollowingbEtCO2bpatternsbwouldbthebrespiratorybtherapistbexpect
btobobservebonbthebmonitor?
a.bInitiallybhigh,bthenbfalling
b.bInitiallyblow,bthenbrising
c.bInitiallybhigh,bstaysbhigh
d.bInitiallyblow,bstaysblowb-bcorrectbanswer-b.bInitiallyblow,bthenbrising
Thebbloodbpressurebobtainedbfrombthebarterialblinebisbhigherbthanbthebbloodbpressurebobtainedbfrombabsp
hygmomanometer.bBasedbuponbthisbinformation,bthebrespiratorybtherapistbshouldbconcludebthat
a.bnon-compliantbtubingbisbbeingbused
b.bthebtransducerbisbplacedbtooblow.
c.bthebpatientbwasblyingbflatbduringbthebmeasurementbofbthebarterialblinebpressure
d.bthebtransducerbdomebcontainedbairbbubblesb-bcorrectbanswer-b.bthebtransducerbisbplacedbtooblow
Ab2byearboldbchildbentersbthebemergencybroom.bThebmotherbstatesbthatbthebchildbwasbplayingbwithbfriendsb
andbdevelopedbviolentbcoughingbandbunilateralbwheezing.bPhysicalbexaminationbrevealsbabhyperresonantb
,percussionbnotebonbthebleftbandbresonantbpercussionbnotebonbthebright.bInspiratorybandbexpiratorybchestbfi
lmsbindicatebairbtrappingbwithbnobforeignbbodiesbnoted.bThebrespiratorybtherapistbshouldbsuspectbthatbtheb
childbhas
a.babpneumothorax
b.borthopnea
c.baspiratedbabforeignbobject
d.btachyphylaxisb-bcorrectbanswer-c.baspiratedbabforeignbobject
AbpatientbisbadmittedbtobthebICUbcomplainingbofbnauseabandbchestbpain.bAbnasogastricbtubebhasbbeenbinse
rtedbtobhelpbrelievebthebnausea.bThebpatientbwasbstartedbonblasixbandbnitroglycerin.bWhichbofbthebfollowin
gbshouldbthebrespiratorybtherapistbmonitorbcloselybtobidentifybsidebeffectsbatbthisbtime?
a.bCardiacbenzymes
b.bSerumbelectrolytes
c.bArterialbbloodbgases
d.bDigitalisblevelsb-bcorrectbanswer-b.bSerumbelectrolytes
Whilebreviewingbabpatient'sbmedicalbrecord,bthebrespiratorybtherapistbnotesbthatbthebpatientbhasbabHbbleve
lbofb6gbandbabSpO2bofb94%.bThebpatientbisbreceivingboxygenbbybsimplebmaskbandbisbcomplainingbofbshortne
ssbofbbreath.bThebrespiratorybtherapistbwouldbconcludebthatbthebpatientbhas
a.bhemophilia
b.bhypernatremia
c.banemia
d.bhypokalemiab-bcorrectbanswer-c.banemia
Whichbofbthebfollowingbwillbdeterminebthebaorticbpulsebpressure?
a.bsystolicb+bdiastolicb+bdiastolicb/b3
b.bdiastolicb+bpulsebpressureb/b3
,c.bsystolicbpressureb-bdiastolicbpressure
d.bstrokebvolumebxbheartbratebxb10b-bcorrectbanswer-c.bsystolicbpressureb-bdiastolicbpressure
Abmalebinfantbbornbatb36bweeksbgestationbwasbdeliveredbbybCesareanbsection.bThebnewbornbisbexhibitingbs
ignsbofbrespiratorybdistressbincludingbnasalbflaringbandbmildbretractions.bPhysicalbexaminationbrevealsbHRb1
60/min,bRRb52/min,bBPb60/40bmmHg.bThebchestbradiographbindicatesbsomebscatteredbdensities.bThebrespi
ratorybtherapistbshouldbrecommend
a.bnasalbCPAPbatb5cmH2O
b.bBiPAPbventilation
c.b40%boxygenbviabhood
d.barterialbbloodbgasesb-bcorrectbanswer-d.barterialbbloodbgases
Abpatientbinbthebintensivebcarebunitbhasbthebfollowingbhemodynamicbmeasurements:
CVPb6bmmHg
MeanbPAPb13bmmHg
PCWPb7bmmHg
MAPb86bmmHg
Cardiacboutputb4.0L/min
Cardiacbindexb2.1L/min2
Whatbisbthebsystemicbvascularbresistance?
a.b800bdynes/s/cm5
b.b1300bdynes/s/cm5
c.b1600bdynes/s/cm5
d.b2400bdynes/s/cm5b-bcorrectbanswer-c.b1600bdynes/s/cm5`
(MAPb-bCVP)b/bCObXb80
, ThebchestbX-raybshowbincreasedbretro-
sternalbair,bflatbhemidiaphragm,bdecreasedbmovement,bandbnobvascularbmarkingsbonbthebrightbside.bThese
bsignsbwouldbbebmostblikelybassociatedbwith:
a.bpneumothorax
b.bpleauralbeffusion
c.bpneumonia
d.bflailbchestb-bcorrectbanswer-a.bpneumothorax
Ab32-
weekbgestationalbagebinfantbisbreceivingbmechanicalbventilationbforbhyalinebmembranebdisease.bThebpatie
ntbrequiredbabchestbtubebforbabpersistentbpneumothorax.bTwobdaysblaterbthebchestbradiographbrevealsbbila
teralbradiolucency,bmidlinebmediastinum,bandbthebrightbhemidiaphragmbslightlybelevated.bThisbwouldbindic
ate
a.batelectasis
b.bbronchopulmonarybdysplasia
c.bfluidboverload
d.bresolutionbofbabpneumothoraxb-bcorrectbanswer-d.bresolutionbofbabpneumothorax
Whatbisbthebnormalbrangebforbthebpulmonarybarterybsystolicbpressurebinbanbadult?
a.b2-6bmmbHg
b.b4-12bmmbHg
c.b9-18bmmbHg
d.b21-28bmmbHgb-bcorrectbanswer-d.b21-28bmmbHg
Ab4-year-
oldbchildbhasbbeenbbroughtbtobthebemergencybroombwithbanbacutebinfection,bhighbfever,bmarkedbstridorban
dbdrooling.bWhichbofbthebfollowingbshouldbthebtherapistbrecommendbatbthisbtime?
a.bArterialbbloodbgas
correct answers
Finebcrepitantbcracklesbarebmostbcommonlybassociatedbwithbwhichbofbthebfollowingbconditions?
a.bbronchiectasis
b.bcongestivebheartbfailure
c.bpneumonia
d.bcroupb-bcorrectbanswer-b.bcongestivebheartbfailure
Abpatientbisbfoundbinbfullbcardiopulmonarybarrest.bCPRbisbstartedbandbthebpatientbisborallybintubatedbwithba
nbEtCO2bmonitorbattached.bWhichbofbthebfollowingbEtCO2bpatternsbwouldbthebrespiratorybtherapistbexpect
btobobservebonbthebmonitor?
a.bInitiallybhigh,bthenbfalling
b.bInitiallyblow,bthenbrising
c.bInitiallybhigh,bstaysbhigh
d.bInitiallyblow,bstaysblowb-bcorrectbanswer-b.bInitiallyblow,bthenbrising
Thebbloodbpressurebobtainedbfrombthebarterialblinebisbhigherbthanbthebbloodbpressurebobtainedbfrombabsp
hygmomanometer.bBasedbuponbthisbinformation,bthebrespiratorybtherapistbshouldbconcludebthat
a.bnon-compliantbtubingbisbbeingbused
b.bthebtransducerbisbplacedbtooblow.
c.bthebpatientbwasblyingbflatbduringbthebmeasurementbofbthebarterialblinebpressure
d.bthebtransducerbdomebcontainedbairbbubblesb-bcorrectbanswer-b.bthebtransducerbisbplacedbtooblow
Ab2byearboldbchildbentersbthebemergencybroom.bThebmotherbstatesbthatbthebchildbwasbplayingbwithbfriendsb
andbdevelopedbviolentbcoughingbandbunilateralbwheezing.bPhysicalbexaminationbrevealsbabhyperresonantb
,percussionbnotebonbthebleftbandbresonantbpercussionbnotebonbthebright.bInspiratorybandbexpiratorybchestbfi
lmsbindicatebairbtrappingbwithbnobforeignbbodiesbnoted.bThebrespiratorybtherapistbshouldbsuspectbthatbtheb
childbhas
a.babpneumothorax
b.borthopnea
c.baspiratedbabforeignbobject
d.btachyphylaxisb-bcorrectbanswer-c.baspiratedbabforeignbobject
AbpatientbisbadmittedbtobthebICUbcomplainingbofbnauseabandbchestbpain.bAbnasogastricbtubebhasbbeenbinse
rtedbtobhelpbrelievebthebnausea.bThebpatientbwasbstartedbonblasixbandbnitroglycerin.bWhichbofbthebfollowin
gbshouldbthebrespiratorybtherapistbmonitorbcloselybtobidentifybsidebeffectsbatbthisbtime?
a.bCardiacbenzymes
b.bSerumbelectrolytes
c.bArterialbbloodbgases
d.bDigitalisblevelsb-bcorrectbanswer-b.bSerumbelectrolytes
Whilebreviewingbabpatient'sbmedicalbrecord,bthebrespiratorybtherapistbnotesbthatbthebpatientbhasbabHbbleve
lbofb6gbandbabSpO2bofb94%.bThebpatientbisbreceivingboxygenbbybsimplebmaskbandbisbcomplainingbofbshortne
ssbofbbreath.bThebrespiratorybtherapistbwouldbconcludebthatbthebpatientbhas
a.bhemophilia
b.bhypernatremia
c.banemia
d.bhypokalemiab-bcorrectbanswer-c.banemia
Whichbofbthebfollowingbwillbdeterminebthebaorticbpulsebpressure?
a.bsystolicb+bdiastolicb+bdiastolicb/b3
b.bdiastolicb+bpulsebpressureb/b3
,c.bsystolicbpressureb-bdiastolicbpressure
d.bstrokebvolumebxbheartbratebxb10b-bcorrectbanswer-c.bsystolicbpressureb-bdiastolicbpressure
Abmalebinfantbbornbatb36bweeksbgestationbwasbdeliveredbbybCesareanbsection.bThebnewbornbisbexhibitingbs
ignsbofbrespiratorybdistressbincludingbnasalbflaringbandbmildbretractions.bPhysicalbexaminationbrevealsbHRb1
60/min,bRRb52/min,bBPb60/40bmmHg.bThebchestbradiographbindicatesbsomebscatteredbdensities.bThebrespi
ratorybtherapistbshouldbrecommend
a.bnasalbCPAPbatb5cmH2O
b.bBiPAPbventilation
c.b40%boxygenbviabhood
d.barterialbbloodbgasesb-bcorrectbanswer-d.barterialbbloodbgases
Abpatientbinbthebintensivebcarebunitbhasbthebfollowingbhemodynamicbmeasurements:
CVPb6bmmHg
MeanbPAPb13bmmHg
PCWPb7bmmHg
MAPb86bmmHg
Cardiacboutputb4.0L/min
Cardiacbindexb2.1L/min2
Whatbisbthebsystemicbvascularbresistance?
a.b800bdynes/s/cm5
b.b1300bdynes/s/cm5
c.b1600bdynes/s/cm5
d.b2400bdynes/s/cm5b-bcorrectbanswer-c.b1600bdynes/s/cm5`
(MAPb-bCVP)b/bCObXb80
, ThebchestbX-raybshowbincreasedbretro-
sternalbair,bflatbhemidiaphragm,bdecreasedbmovement,bandbnobvascularbmarkingsbonbthebrightbside.bThese
bsignsbwouldbbebmostblikelybassociatedbwith:
a.bpneumothorax
b.bpleauralbeffusion
c.bpneumonia
d.bflailbchestb-bcorrectbanswer-a.bpneumothorax
Ab32-
weekbgestationalbagebinfantbisbreceivingbmechanicalbventilationbforbhyalinebmembranebdisease.bThebpatie
ntbrequiredbabchestbtubebforbabpersistentbpneumothorax.bTwobdaysblaterbthebchestbradiographbrevealsbbila
teralbradiolucency,bmidlinebmediastinum,bandbthebrightbhemidiaphragmbslightlybelevated.bThisbwouldbindic
ate
a.batelectasis
b.bbronchopulmonarybdysplasia
c.bfluidboverload
d.bresolutionbofbabpneumothoraxb-bcorrectbanswer-d.bresolutionbofbabpneumothorax
Whatbisbthebnormalbrangebforbthebpulmonarybarterybsystolicbpressurebinbanbadult?
a.b2-6bmmbHg
b.b4-12bmmbHg
c.b9-18bmmbHg
d.b21-28bmmbHgb-bcorrectbanswer-d.b21-28bmmbHg
Ab4-year-
oldbchildbhasbbeenbbroughtbtobthebemergencybroombwithbanbacutebinfection,bhighbfever,bmarkedbstridorban
dbdrooling.bWhichbofbthebfollowingbshouldbthebtherapistbrecommendbatbthisbtime?
a.bArterialbbloodbgas
