Welcome to your Respiratory Therapy Name: Email: [Your patient has a #8 trach tube in situ and is ventilated in CMV-VC, RR12, Vt 500 mL, FiO2 50% and PEEP 5 cmH2O. The minimal bedside safety equipment should include] OPE, BVM, #6 trach tube, obturator OPE, BVM, #6 trach, #8 trach, obturator OPA, BVM, PEEP valve, #6 trach tube, obturator OPA, BVM, PEEP valve, #6 trach tube, #8 trach tube, obturator None . [To validate patient readings obtained from a transcutaneous blood gas monitor, you should:] measure and compare the PtcO2 and PtcCO2 at three or more different sites compare the monitor's readings to a concurrent pulse oximetry reading compare the monitor's readings to those obtained via a concurrent ABG sample compare the patient reading to those obtained when calibrating the sensor None . [Which of the following tests would you recommend in order to identify the cause of dyspnea and factors limiting a patient's exercise tolerance?] 6-minute walking distance overnight oximetry assessment peak expiratory flow rate comprehensive exercise test None . [Before administration of a prescribed bronchodilator, an asthmatic patient with moderate wheezing has a FEV1 of 3.7 L. Thirty minutes after aerosol administration of the drug, the patient's FEV1 is 4.1 L. Based on this information you would:] wait another 30 minutes and repeat the test recommend increasing the bronchodilator dosage recommend discontinuing bronchodilator therapy recommend decreasing the bronchodilator dosage None . [The administration of what drug is most appropriate to thin secretions and help in the removal of a mucous plug?] albuterol ipratropium bromide acetylcysteine racemic epinephrine None . [Which of the following events cause cessation of right to left shunting through the foramen ovale] Increased levels of PaCO2 in fetal blood Decreased SVR Increased SVR Decreased levels of PaO2 in the fetal blood None . [It is determined that there is no reversal agent for the sleeping pills and that the patient will need ventilatory support until the effects wear off. You are assembling and checking the appropriate equipment when you notice the self-inflating resuscitator is too slow to re-inflate when activated it in its intended way. Which of the following best explains the problem?] The gas flow to the device is set too low The reservoir bag is completely collapsed. The safety oxygen outlet valve is not opening sufficiently. The safety air inlet valve is not opening sufficiently. The duck bill valve is missing. None . [Reduce MAC include all but one] 83 year old patient Acute ETOH intoxication PaO2 of 38 mmHg Temperature of 39.2 C None . [What is the anticipated fetal outcome for a woman who is greater than 45 year old and about to deliver a baby?] Increased risk of genetic disorder increased risk of fetal alcohol syndrome Baby is more likely to be SGA There is an increased likelihood of poor prenatal care The baby is more likely to be post term None . [A pulmonologist asks you to assess airway responsiveness during a pulmonary function exam. He wants to rule out asthma from chronic bronchitis in a patient complaining of nocturnal wheezing. Which of the following test should you recommend?] bronchoprovocation test cardiopulmonary stress test nitrogen washout challenge thoracic gas volume None . [You are working with a confused elderly patient who has atelectasis and is ordered to receive an aerosolized bronchodilator for bronchospasm. Which of the following delivery methods would you choose?] use a small volume nebulizer + mask use a dry powder inhaler (DPI) use an MDI + incentive spirometry use a small volume nebulizer + CPAP None . [What dose of epinephrine should you instill through the ETT during resuscitation?] 0.1 ml/kg 0.01 mg/kg 10 ml/kg 1.0 ml/kg Both a and b None . [Weak anesthetic, good analgesic’ best describes which of the following] Propofol Isoflurane Sevoflurane Nitrous oxide None . [In order to monitor a patient's airway pressure during bedside positive airway pressure (PAP) therapy at the, you would need which if the following?] an aneroid manometer a calibrated flowmeter a Wright respirometer a U-tube manometer None . [At what level should the diaphragm be to verify a good inspiration on an AP chest radiograph?] 6-7th posterior ribs 8-9th posterior ribs 10-11th posterior ribs 12th posterior rib None . [Placenta Previa] Always results in a c-section Risk increased with young maternal age Results in decreased vaginal bleeding because the uterus covers the birth canal Occurs when the placenta covers the uterine opening None . [On assessment of an acutely ill patient, you note all the following in the region of the left lower lobe: decreased expansion, a dull percussion note, and the absent of breath sounds/tactile fremitus. You also observe a shift in the trachea toward the left, more prominent during inspiration. These findings suggest:] left-sided obstruction/atelectasis left-sided pneumothorax left-sided consolidation left-sided pleural effusion None . [Available evidence has shown that bilevel pressure is associated with better patient compliance than the conventional CPAP.] True False None . [Nebulized epinephrine has been ordered for a child with croup in the ED. You draw up 5 mL from a multidose vial that reads 1:1000 epinephrine. How many mg of epi is in the solution that is drawn up?] 10 mg 5 mg 2.5 mg 0.5 mg None . [Regarding the thoracic pump, which of the following isnot true] During PPV there is an increase cardiac stroke volume During spontaneous breathing there is increase venous return During PPV there is an increased central venous pressure During spontaneous breathing the thoracic pump is most effective during inspiration None . Time's up
