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TMC Test with Practice Questions and Solutions Which of the following staining procedures is used to broadly categorize bacteria into two major groups according to differences in the chemical composition of their cell wall? Select one: A. carbolfusin stain B. acid-fast stain C. methylene blue stain D. Gram stain ANSWER D. Gram stain In reviewing a transthoracic ultrasound scan you note a prominent shadow occurring beneath a rib. What does this shadow signify? Select one: A. pneu...

TMC Practice Exam 1 with Practice Questions and Solutions You note in the chart of a patient's who is receiving volume control ventilation that the plateau pressure has been increasing over the last 6 hours, while the PEEP levels remains constant. Which of the following would be the most likely cause of this change? Select one: A. development of pulmonary edema B. water accumulation in the ventilator circuit C. partial obstruction of the endotracheal tube D. development of bronchosp...

TMC Version 4 Exam with Questions and Answers Which of the following equipment is most helpful at measuring FRC in a patient who has significant non-ventilated lung spaces? A. peak flow meter B. plethysmograph C. helium analyzer for a helium dilution test D. nitrogen analyzer for a nitrogen washout test ANSWER The correct answer is : B Explanation : You can determine FRC in three different ways - body box, nitrogen washout, or helium dilution. If someone has non-ventilated lung ...

TMC Exam 1 with Questions and Verified Answers After reviewing the results of a patient's PFT, you note that the FEV1, FVC, and total lung capacity are all reduced. The FEV1/FVC ratio is normal. That is the interpretation based on these findings? A) Restrictive lung disease B) Obstructive lung disease C) Combined obstructive-restrictive lung disease D) The test is invalid ANSWER A) Restrictive lung disease. (Since this pt has a normal FEV1/FVC ratio, this indicates that there is ...

TMC A Exam with Questions and Solutions A 58-year-old female was diagnosed with bronchiectasis 3 years ago. She reports increased cough and difficulty clearing secretions for the past 4 weeks. A chest radiograph shows no significant changes. Which of the following should the respiratory therapist recommend FIRST? A. transtracheal aspiration B. airway clearance therapy C. bronchodilator treatments D. respiratory isolation ANSWER B. airway clearance therapy A 24-year-old female is diagno...

TMC Exam 1 with Questions and Solutions 1. During the assessment of a 64-year-old female patient, you note the following signs: dyspnea, hypotension, and a tracheal shift to the right. The patient also has absent breath sounds, reduced chest expansion, and a hyperresonant percussion note all on the left side. These findings suggest which of the following? A. A pleural effusion on the left side B. A pneumothorax on the left side C. Atelectasis on the left side D. Consolidation on the lef...

TMC Exam 1 with Questions and Answers A patient's sputum specimen is purulent green in appearance, has separated into layers, and has a foul odor. Which of the following is most likely causing the patient to produce this type of sputum? A. aspiration B. tuberculosis C. emphysema D. bronchiectasis ANSWER D. Bronchiectasis Bronchiactasis produces thick, foul smelling, purluent sputum Separated in 3 layer , frothy , purulrnt, mucoid Which of the following bedside pu...

TMC Exam C with Questions and Answers The respiratory therapist should evaluate which of the following to develop a teaching plan for a patient who will be using a small volume nebulizer at home? a. manual dexterity b. highest grade level achieved in school c. spousal support d. English speaking proficiency ANSWER a. manual dexterity Which of the following would be most beneficial in resolving microatelectasis? a. chest tubes b. percutaneous ventilation c. thoracentesis d. bronchos...

TMC Exam A + B with Questions and Answers A 52 year-old post-operative cholecystectomy patient's breath sounds become more coarse upon completion of postural drainage with percussion. The respiratory therapist should recommend: A. Continuing the therapy until breath sounds improve. B. administering dornase alpha. C. administering albuterol therapy. D. deep breathing and coughing to clear secretions. ANSWER D. deep breathing and coughing to clear secretions. See Patient Assessment ...

TMC Final Exam with Questions and Answers An adult male patient on ventilatory support has just been intubated with a 7.0 mm oral endotracheal tube equipped with a high residual volume low-pressure cuff. When sealing the cuff to achieve a minimal occluding volume, you note a cuff pressure of 45 cm H20 What is the most likely problem? A. The cuff pilot balloon and line is obstructed B. The pressure manometer is out of calibration C. The tube chosen is too small for the patient D. The t...