TMC EXAM B 2024/2025 WITH 100% ACCURATE SOLUTI
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ONS
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After a patient undergoes a thoracentesis, the respiratory therapist notes tha
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t the obtained pleural fluid is clear with a slight straw color. This fluid is mo
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st likely the result of
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A. empyema. v
B. congestive heart failure.
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C. lung carcinoma.
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D. hemothorax. - Precise Answer ✔✔B.
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Which of the following would be most important to evaluate for a patient w
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ho is entering a smoking cessation program?
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A. Height v
B. Smoking history
v v
C. Weight v
D. Diet - Precise Answer ✔✔B.
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The respiratory therapist is calibrating a spirometer and checking the volu
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me with a 3.0 liter super syringe. The volumes recorded are: 2.85 L, 2.8 L, a
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nd 2.8 L. Based upon the information obtained which of the following is a c
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orrect statement? v
,A. Another syringe needs to be used
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B. Spirometer is accurate
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C. The plunger was advanced too slowly
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D. Spirometer may have a leak - Precise Answer ✔✔D.
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Which of the following is an indication for high frequency jet ventilation?
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A. Bronchopleural fistula
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B. Wilson Mikity syndrome
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C. Necrotizing lesion of right lung
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D. Centrilobular emphysema - Precise Answer ✔✔A.
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A 43-year-
v
old female patient has just undergone a total abdominal hysterectomy. The
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patient arrives in the post anesthesia care unit obtunded with minimal respo
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nse to painful stimulus. What treatment should the respiratory therapist rec
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ommend for this patient?
v v v
A. Initiate assisted ventilation
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B. Insert oropharyngeal airway
v v v
C. Obtain positron emission tomography
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D. Initiate noninvasive capnography - Precise Answer ✔✔B.
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,A 44 week gestational age infant has just been delivered via C-
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section and is gasping, grunting, and has tachycardia and tachypnea. At one
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minute his Apgar score is 4 and at 5 minutes the score is 5. The infant is mo
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st likely suffering from
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A. transient tachypnea of the newborn.
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B. meconium aspiration.
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C. bronchopulmonary dysplasia.
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D. apnea of prematurity. - Precise Answer ✔✔B
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What is the normal VD/VT ratio for a patient breathing room air?
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A. 5 - 15%
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B. 20 - 40%
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C. 45 - 55%
v v v
D. 65 - 75% - Precise Answer ✔✔B.
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A heat moisture exchanger is indicated for humidification in which of the f
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ollowing situations? v
A. Mechanical ventilation in a long-term care facility.
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B. Transport to a tertiary care center.
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C. Patient with tenacious secretions.
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, D. Delivery of aerosolized bronchodilators. - Precise Answer ✔✔B.
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All of the following could cause a patient's right-
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hemidiaphragm to be elevated, EXCEPT v v v v
A. right lower lobe atelectasis.
v v v v
B. right side hyperlucency, absent vascular markings.
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C. hepatomegaly.
v
D. right lower lobe consolidation with air bronchograms. -
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Precise Answer ✔✔B.
v v v
A 64-year-
v
old, 70 kg (154 lb) man with severe COPD is receiving independent (differ
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ential) lung ventilation following thoracotomy and right lower lobectomy.
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Which of the following setting combinations would be most appropriate fo
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r this patient?
v v
A. Right lung 50 mL; left lung 650 mL
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B. Right lung 150 mL; left lung 550 mL
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C. Right lung 350 mL; left lung 350 mL
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D. Right lung 550 mL; left lung 150 mL - Precise Answer ✔✔B.
v v v v v v v v v v v v
A patient in the intensive care unit has the following hemodynamic measur
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ements:
v v v v v v v
ONS
v
After a patient undergoes a thoracentesis, the respiratory therapist notes tha
v v v v v v v v v v
t the obtained pleural fluid is clear with a slight straw color. This fluid is mo
v v v v v v v v v v v v v v v
st likely the result of
v v v v
A. empyema. v
B. congestive heart failure.
v v v
C. lung carcinoma.
v v
D. hemothorax. - Precise Answer ✔✔B.
v v v v v
Which of the following would be most important to evaluate for a patient w
v v v v v v v v v v v v v
ho is entering a smoking cessation program?
v v v v v v v
A. Height v
B. Smoking history
v v
C. Weight v
D. Diet - Precise Answer ✔✔B.
v v v v v
The respiratory therapist is calibrating a spirometer and checking the volu
v v v v v v v v v v
me with a 3.0 liter super syringe. The volumes recorded are: 2.85 L, 2.8 L, a
v v v v v v v v v v v v v v v
nd 2.8 L. Based upon the information obtained which of the following is a c
v v v v v v v v v v v v v v
orrect statement? v
,A. Another syringe needs to be used
v v v v v v
B. Spirometer is accurate
v v v
C. The plunger was advanced too slowly
v v v v v v
D. Spirometer may have a leak - Precise Answer ✔✔D.
v v v v v v v v v
Which of the following is an indication for high frequency jet ventilation?
v v v v v v v v v v v v
A. Bronchopleural fistula
v v
B. Wilson Mikity syndrome
v v v
C. Necrotizing lesion of right lung
v v v v v
D. Centrilobular emphysema - Precise Answer ✔✔A.
v v v v v v
A 43-year-
v
old female patient has just undergone a total abdominal hysterectomy. The
v v v v v v v v v v v
patient arrives in the post anesthesia care unit obtunded with minimal respo
v v v v v v v v v v v
nse to painful stimulus. What treatment should the respiratory therapist rec
v v v v v v v v v v
ommend for this patient?
v v v
A. Initiate assisted ventilation
v v v
B. Insert oropharyngeal airway
v v v
C. Obtain positron emission tomography
v v v v
D. Initiate noninvasive capnography - Precise Answer ✔✔B.
v v v v v v v
,A 44 week gestational age infant has just been delivered via C-
v v v v v v v v v v v
section and is gasping, grunting, and has tachycardia and tachypnea. At one
v v v v v v v v v v v
minute his Apgar score is 4 and at 5 minutes the score is 5. The infant is mo
v v v v v v v v v v v v v v v v v v
st likely suffering from
v v v
A. transient tachypnea of the newborn.
v v v v v
B. meconium aspiration.
v v
C. bronchopulmonary dysplasia.
v v
D. apnea of prematurity. - Precise Answer ✔✔B
v v v v v v v
What is the normal VD/VT ratio for a patient breathing room air?
v v v v v v v v v v v
A. 5 - 15%
v v v
B. 20 - 40%
v v v
C. 45 - 55%
v v v
D. 65 - 75% - Precise Answer ✔✔B.
v v v v v v v
A heat moisture exchanger is indicated for humidification in which of the f
v v v v v v v v v v v v
ollowing situations? v
A. Mechanical ventilation in a long-term care facility.
v v v v v v v
B. Transport to a tertiary care center.
v v v v v v
C. Patient with tenacious secretions.
v v v v
, D. Delivery of aerosolized bronchodilators. - Precise Answer ✔✔B.
v v v v v v v v
All of the following could cause a patient's right-
v v v v v v v v
hemidiaphragm to be elevated, EXCEPT v v v v
A. right lower lobe atelectasis.
v v v v
B. right side hyperlucency, absent vascular markings.
v v v v v v
C. hepatomegaly.
v
D. right lower lobe consolidation with air bronchograms. -
v v v v v v v v
Precise Answer ✔✔B.
v v v
A 64-year-
v
old, 70 kg (154 lb) man with severe COPD is receiving independent (differ
v v v v v v v v v v v v
ential) lung ventilation following thoracotomy and right lower lobectomy.
v v v v v v v v v
Which of the following setting combinations would be most appropriate fo
v v v v v v v v v v
r this patient?
v v
A. Right lung 50 mL; left lung 650 mL
v v v v v v v v
B. Right lung 150 mL; left lung 550 mL
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C. Right lung 350 mL; left lung 350 mL
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D. Right lung 550 mL; left lung 150 mL - Precise Answer ✔✔B.
v v v v v v v v v v v v
A patient in the intensive care unit has the following hemodynamic measur
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ements: