TMC 2024/2025 287 QUESTIONS WITH
100% COMPLETE ANSWERS | GRADED A+
Lung compliance decreases - Answer - : PIP & PLATEAU increase
Pathologies from decreased lung compliance - Answer - : ARDS
PULMONARY EDEMA
ATELECTASIS
How to correct decreased lung compliance pathologies - Answer - : Add peep or correct disease
Air resistance increasing - Answer - : PIP INCREASES & plateau remains the same
Raw - Answer - : Pip-plateau
Increased Raw pathologies - Answer - : Bronchospasm, wheezing, ett linked, secretions
Hypotensive - Answer - : Do NOT add peep; give IVF
Paralyzed pt must set what alarms - Answer - : Low pressure alarm & apnea
Pt on SIMV with increased WOB - Answer - : Add pressure support
Pressure support does what - Answer - : Decrease WOB
Head trauma pt use what flow rates? - Answer - : High flow rates to avoids positive pressures in
airways
Head trauma keep ICP below - Answer - : 30
Ambu bag fills rapidly and collapses when given breaths - Answer - : Check inlet valve/replace
bag
Recently extubated with moderator stridor - Answer - : Cool aerosol mask with FIO2 around 40-
50%
Marked stridor - Answer - : EMERGENCY; intubate
Unilateral wheeze - Answer - : Obstruction; rigid bronch
Post intubation assessment - Answer - : Bilateral chest movement
Auscultation
,Capnograph
Dynamic compliance pathology - Answer - : Upper airway obstruction/bronchial regions
Pt acute wheezing on vent; PaO2 low - Answer - : Give bronchodilator
Mallampti score 3/4 - Answer - : VAD (glideoscope
Ventilation on PCV may utilize - Answer - : IRV (paralyze) PIP>50
Pulmonary edema:CHF - Answer - : CPAP @ 100%
During CPAP pt apneic or snoring - Answer - : Increase CPAP/EPAP if >15 change to BiPAP
Intrapulmonary shunt fix by - Answer - : Initiate CPAP/BIPAP prior to vent
REFRACTORY HYPOXEMIA - Answer - : CPAP
Neonate crying during cpap - Answer - : Loss of pressure/choose proper mask
Pt using nasal CPAP - Answer - : Reduce IPAP/too much pressure will exit through mouth
Normal pulmonary function - Answer - : 80-100%
Mild pulmonary disorder - Answer - : 60-70%
Moderate pulmonary disorder - Answer - : 40-50%
Severe pulmonary disorder - Answer - : <40%
FRC= - Answer - : ERV+RV
FRC INCREASED AND DECREASD - Answer - : Increased with obstructive
Decreased with restrictive
Restrictive disorders - Answer - : VC decreased
Obstruction - Answer - : FEV decreased
FRC >120% - Answer - : Pulmonary obstruction
Obstruction - Answer - : CBABE
Methacholine test - Answer - : Indicated to stimulate bronchi construction/FEV1 decreased by
20A% positive test
, If flow loop shows fixed or large obstruction recomend - Answer - : CT scan/ could be mass
Restrictive pulmonary recommend - Answer - : IS/IPPB/EZPAP
Signs - Answer - : Digiti clubbing/barrel chest
Pneumonia bs - Answer - : Vesicular to bronchial/fluid inside alveoli
Capnography - Answer - : Verify tube placement/low CO ETCO2 be low
Decrease is ETCO2 - Answer - : PE/Hyperventilating/hypovolemia (decreased CVP/CO)
HYPOKALEMIA - Answer - : Give KCL
SYMPTOMS: diarrhea/nausea
General malaise - Answer - : IVF
HYPERKALEMIA - Answer - : Weakness/hyperventilating/agitation
Spiked T waves
Smoking compliance - Answer - : Check COHB levels
Treat METHEMOGLOBINEIA - Answer - : Methylene blue IV
Appear white on CXR - Answer - : Consolidation/radiodensity/infiltrate
Infiltrate described as - Answer - : Scattered or patchy areas
Fluffy infiltrate/butterfly/batwing - Answer - : Pulmonary edema
Opacification of eight thorax with tracheal deviation to eight - Answer - : Atelectasis in right
lung
CXR to determine small pneumon - Answer - : Anterior posterior
CXR for pleural effusion - Answer - : Lateral decubitus
Hypotonic best dor - Answer - : Peds
VANE - Answer - : Valium
Atropine
Narcan
Epi
Chest pain - Answer - : OXYGEN
MORPHINE
100% COMPLETE ANSWERS | GRADED A+
Lung compliance decreases - Answer - : PIP & PLATEAU increase
Pathologies from decreased lung compliance - Answer - : ARDS
PULMONARY EDEMA
ATELECTASIS
How to correct decreased lung compliance pathologies - Answer - : Add peep or correct disease
Air resistance increasing - Answer - : PIP INCREASES & plateau remains the same
Raw - Answer - : Pip-plateau
Increased Raw pathologies - Answer - : Bronchospasm, wheezing, ett linked, secretions
Hypotensive - Answer - : Do NOT add peep; give IVF
Paralyzed pt must set what alarms - Answer - : Low pressure alarm & apnea
Pt on SIMV with increased WOB - Answer - : Add pressure support
Pressure support does what - Answer - : Decrease WOB
Head trauma pt use what flow rates? - Answer - : High flow rates to avoids positive pressures in
airways
Head trauma keep ICP below - Answer - : 30
Ambu bag fills rapidly and collapses when given breaths - Answer - : Check inlet valve/replace
bag
Recently extubated with moderator stridor - Answer - : Cool aerosol mask with FIO2 around 40-
50%
Marked stridor - Answer - : EMERGENCY; intubate
Unilateral wheeze - Answer - : Obstruction; rigid bronch
Post intubation assessment - Answer - : Bilateral chest movement
Auscultation
,Capnograph
Dynamic compliance pathology - Answer - : Upper airway obstruction/bronchial regions
Pt acute wheezing on vent; PaO2 low - Answer - : Give bronchodilator
Mallampti score 3/4 - Answer - : VAD (glideoscope
Ventilation on PCV may utilize - Answer - : IRV (paralyze) PIP>50
Pulmonary edema:CHF - Answer - : CPAP @ 100%
During CPAP pt apneic or snoring - Answer - : Increase CPAP/EPAP if >15 change to BiPAP
Intrapulmonary shunt fix by - Answer - : Initiate CPAP/BIPAP prior to vent
REFRACTORY HYPOXEMIA - Answer - : CPAP
Neonate crying during cpap - Answer - : Loss of pressure/choose proper mask
Pt using nasal CPAP - Answer - : Reduce IPAP/too much pressure will exit through mouth
Normal pulmonary function - Answer - : 80-100%
Mild pulmonary disorder - Answer - : 60-70%
Moderate pulmonary disorder - Answer - : 40-50%
Severe pulmonary disorder - Answer - : <40%
FRC= - Answer - : ERV+RV
FRC INCREASED AND DECREASD - Answer - : Increased with obstructive
Decreased with restrictive
Restrictive disorders - Answer - : VC decreased
Obstruction - Answer - : FEV decreased
FRC >120% - Answer - : Pulmonary obstruction
Obstruction - Answer - : CBABE
Methacholine test - Answer - : Indicated to stimulate bronchi construction/FEV1 decreased by
20A% positive test
, If flow loop shows fixed or large obstruction recomend - Answer - : CT scan/ could be mass
Restrictive pulmonary recommend - Answer - : IS/IPPB/EZPAP
Signs - Answer - : Digiti clubbing/barrel chest
Pneumonia bs - Answer - : Vesicular to bronchial/fluid inside alveoli
Capnography - Answer - : Verify tube placement/low CO ETCO2 be low
Decrease is ETCO2 - Answer - : PE/Hyperventilating/hypovolemia (decreased CVP/CO)
HYPOKALEMIA - Answer - : Give KCL
SYMPTOMS: diarrhea/nausea
General malaise - Answer - : IVF
HYPERKALEMIA - Answer - : Weakness/hyperventilating/agitation
Spiked T waves
Smoking compliance - Answer - : Check COHB levels
Treat METHEMOGLOBINEIA - Answer - : Methylene blue IV
Appear white on CXR - Answer - : Consolidation/radiodensity/infiltrate
Infiltrate described as - Answer - : Scattered or patchy areas
Fluffy infiltrate/butterfly/batwing - Answer - : Pulmonary edema
Opacification of eight thorax with tracheal deviation to eight - Answer - : Atelectasis in right
lung
CXR to determine small pneumon - Answer - : Anterior posterior
CXR for pleural effusion - Answer - : Lateral decubitus
Hypotonic best dor - Answer - : Peds
VANE - Answer - : Valium
Atropine
Narcan
Epi
Chest pain - Answer - : OXYGEN
MORPHINE
