Examchief78

TMC Exam with Latest Questions and Answers A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with A. liver failure. B. pulmonary embolism. C. heart failure. D. electrolyte imbalances ANSWER Heart failure A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respiratory therapist discovers that breath sounds are absent in the left chest with a hyper...

TMC Exam with Questions and Verified Solutions The medication prostacyclin is used for which of the following purposes? A. decrease pulmonary hypertension B. bronchodilate large airways C. decrease systemic vascular resistance (SVR) D. improve cardiac contractility ANSWER A. decrease pulmonary hypertension The respiratory therapist obtains the following blood gas data on a patient breathing spontaneously on room air: pH 7.35 PaCO2 45 torr PaO2 50 torr HCO3- 27 mEq/L BE +2 mEq/L ...

TMC Exam with Questions and Verified Answers The respiratory therapist calibrates a spirometer and checks the volume with a 3.0 liter super syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based upon the information obtained which of the following is a correct statement? A. Another syringe needs to be used B. Spirometer is accurate C. The plunger was advanced too slowly D. Spirometer may have a leak ANSWER D. Spirometer may have a leak A 44-week gestatio...

TMC Exam B with Questions and Answers After a patient undergoes a thoracentesis, the respiratory therapist notes that the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of A. empyema. B. congestive heart failure. C. lung carcinoma. D. hemothorax. ANSWER B. congestive heart failure. Which of the following would be most important to evaluate for a patient who is entering a smoking cessation program? A. Height B. Smoking history C...

TMC Exam with Questions and Solutions CVP indicates changes in ANSWER fluid balance Nl CVP is ANSWER 2-6 mmHg CVP below 2 indicates ANSWER hypovolemia recommend fluids CVP above 6 indicates ANSWER hypervolemia recommend diuretics nl urine output is ANSWER 40 ml/hr or 1 liter per day sensible water loss= ANSWER urine, vomiting (can be measured directly) insensible water loss= ANSWER lungs and skin orthopnea ANSWER difficulty breathing except in the upright position (CHF) ...

TMC Exam with Questions and Answers A respiratory therapist is assisting a physician with endotracheal intubation. Which of the following should be used INITIALLY to confirm tracheal intubation? A. cm marking of the endotracheal tube B. observable condensation in the tube C. pulse oximetry D. colorimetric capnography ANSWER D. colorimetric capnography Colorimetric capnography assesses the presence of CO2 and provides confirmation of tracheal intubation when CO2 is detected. A resp...

TMC NBRC Test Bank with Complete Solutions Disadvantages of noninvasive ventilation include which one of the following? A. costs more than invasive ventilation B. requires heavy patient sedation C. limits direct access to lower airway D. increases the likelihood of VAP ANSWER Disadvantages of noninvasive ventilation (NPPV) include the following: it can only be used in cooperative patients; it does not provide direct airway access (thus increasing the risk of secretion retention), and mo...

SAEM 181-210 Exam with Questions and Answers Treatment with hyperbaric oxygen (HBO) is associated with contraindications. Which of the following is not a relative or absolute contraindication to HBO? A. COPD with air trapping B. pregnancy C. otitis media D. untreated pneumothorax ANSWER B. pregnancy The answer is B. Untreated pneumothorax is an absolute contraindication to HBO therapy. The reason is concern that it can progress to tension pneumothorax, especially during the decompr...

SAEM 241-390 Exam with Questions and Answers A 32 year old male, intravenous heroin abuser, presents with a one-day history of mid-back pain, progressive weakness of his legs, and an inability to urinate. He has a temperature of 38.3° C (100.8° F). On exam, absent patellar deep tendon reflexes are noted, he cannot stand or walk, a distended bladder is palpable, and he has tenderness to palpation over his T10 and T11 vertebrae. Which of the following is not an acceptable next step? A. MRI ...

SAEM Trauma Exam with Questions and Answers An 18 year old hockey player is hit in the mouth with a puck, fracturing a maxillary canine tooth. He brings the severed piece of tooth with him. On physical exam, the tooth is fractured halfway between the tip and the gumline. The root of the tooth is still firmly intact. The exposed fracture site has a yellowish tinge without blood. Of the following choices, which is the most appropriate management for this patient? A. Application of calcium hydr...