Welcome to your Respiratory Therapy Name: Email: [You have stabilized a bradycardic patient in third degree heart block using TCP at a rate of 60 bpm. Mechanical capture has been confirmed. The patient remains hypotensive. Your next action would be to:] Increase the mA setting Increasing the rate of pacing Start an infusion of epinephrine Cardiovert the patient at 50 J None . [Which of the following is/are advantages of body plethysmography?] It is portable and therefore a useful tool for bedside pulmonary function studies. The ability to perform all pulmonary function tests within it Volumes measured in the thorax includes all gas-containing structures None . [Which of the following is the most common cause of community acquired pneumonia?] Staphylococcus aureus Pseudomonas aeruginosa Escherichia coli Diplococcus pneumonia None . [A doctor wants an outpatient with idiopathic pulmonary hypertension to self-administer an inhaled pulmonary vasodilator. Which of the following drugs would you recommend?] epoprostenol (Flolan) diltiazem (Cardizem) iloprost (Ventavis) bosentan (Tracleer) None . [Characteristic of all obstructive disorders is a:] decrease in lung volumes increase in lung volumes decrease in flow rates decrease in work of breathing None . [A Patient has been anesthetized using nitrous oxide as primary means of induction. When the patient’s procedure is completed the anesthesiologist emerges the patient from the anesthetic state. During the emergence the anesthesiologist forgot to provide the patient with supplemental oxygen. The patient experienced a significant drop in their SpO2. What term is used to describe this circumstance] Refractory hypoxia Infusion hypoxia Diffusion hypoxia None of the above None . [To minimize the risk of aspiration of glottic secretions or cord damage during removal of an oral endotracheal tube, you should:] have the patient cough while you quickly pull the tube provide 100% oxygen for 1-2 minute before extubation keep the tube cuff pressure below 25-30 cm H2O fully occlude the ET tube while you quickly it out None . [You are working in the OR as an AA. The circulating Anesthetist comes in to seek your advice on the next case. Patient is 77 yo, nonsmoker, morbidly obese man (200 kg) who is suffering from severe unstable angina. This man was noted to be a difficult intubation during a previous OR case. The planned case is a triple CABG His co morbidities likely include all the following EXCEPT:] Diabetes Adrenal insufficiency Restrictive ventilatory pattern Obstructive sleep apnea None . [When performing a routine ventilator check on a patient receiving volume controlled ventilation, you note that the peak airway pressure has decreased from a prior value of 50 cm H2O to 30 cm H2O. There has been no change in ventilator settings. Which of the following actions would be appropriate at this time?] increase the flow until the pressure equals 50 cm H2O check the patient-ventilator circuit for system leaks increase the volume until the pressure equals 50 cm H2O check for increased secretions and suction if needed None . [When using a numeric rating scale (NRS) to quantify a patient's pain intensity, the patient reports a level of 5 on the 10-point scale. You note that his last rating was a level of 2. Based on this rating and the reported change, you should:] Immediately report the findings to the patient's physician Record your findings in the respiratory care progress notes Repeat the assessment to see if the results are reproducible Advise the patient to try and relax and focus on the positive None . [While performing a routine check on an intubated patient receiving pressure control SIMV, you feel course vibrations on his chest wall during both inspiration and expiration. You should do which of the following?] perform endobronchial suctioning switch to volume control SIMV decrease the ventilator pressure limit recommend a bronchodilator treatment None . [Which of the following is characteristic of restrictive pulmonary disease?] Increased RV, TLC, VC Decreased RV, TLC, VC Decreased FEV 1, FEF 25-75 Normal FEV1% Both b) and d) None . [Which of the following is true about FVC] Close to VC Reduced with obstructive lung disease FVC is the volume of gas exhaled from total lung capacity to RV as forcefully and rapidly as the patient is able. In normal individuals, it should be the same as the volume measured during a forced All of the above None . [A patient with 22% HbCO has a pulse oximeter attached to them that is working well. They have been placed on a non-rebreathing mask with a 20 LPM flow of oxygen. The SpO2 reading is 99%. Which of these is closest to the true saturation of HbO2?] 99% 95% 90% 77% None . [Absolute contraindications to turning or rotating critical ill patients include which of the following?] Unstable cardiac arrhythmias: No; Unstable spinal cord injuries: Yes; Ventilatory dependency: No Unstable cardiac arrhythmias: No; Unstable spinal cord injuries: No; Ventilatory dependency: Yes Unstable cardiac arrhythmias: Yes; Unstable spinal cord injuries: Yes; Ventilatory dependency: No Unstable cardiac arrhythmias: Yes; Unstable spinal cord injuries: Yes; Ventilatory dependency: Yes None . [Which of the following echocardiogram findings are consistent with a diagnosis of persistent pulmonary hypertension of the newborn (PPHN)?] enlargement of the left ventricle right -to-left shunting through a PDA mitral valve regurgitation/insufficiency right bowing of the interventricular septum None . [Early decelerations are likely ___________ and probably reflect ______________] Worrisome, cord compression Benign, nucal cord Benign, head compression Worrisome, decreased placental perfusion None . [Weak anesthetic, good analgesic’ best describes which of the following] Propofol Isoflurane Sevoflurane Nitrous oxide None . [As an RRT on the Outreach Team, which of the following would you NOT do without a Physician’s order] Meet a patient’s increasing oxygen requirements by starting optiflow Intubate a patient Start chest compressions on pulseless patient Puncture an obtunded patient for an ABG None . [To remove accumulations of subglottic secretions from above the cuff of intubated patients, you should recommend which of the following?] intrapulmonary percussive ventilation (IPV) use of a tracheal tube with a suction port above the cuff aggressive tracheal suctioning with saline lavage frequent oropharyngeal suctioning with a Yankauer tip None . Time's up
