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Exam (elaborations)

TMC for May 2020 Question and Answers

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If a patient is on 8-12L/min, what would be the fio2? - ANSWER 50% If minute ventilation stays the same but dead-space is added, what will increases? - ANSWER PaCO2 What is the static compliance equation? - ANSWER Exhaled Vt/(Pplat - PEEP) Before chest physiotherapy is done, what should th...

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  • July 24, 2022
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TMC for May 2020
If a patient is on 8-12L/min, what would be the fio2? - ANSWER 50%

If minute ventilation stays the same but dead-space is added, what will increases? -
ANSWER PaCO2

What is the static compliance equation? - ANSWER Exhaled Vt/(Pplat - PEEP)

Before chest physiotherapy is done, what should the respiratory therapy do FIRST? -
ANSWER Review patient chart history

What should a therapist do when a family is asking to put the patient on the mechanical
ventilator when they have a DNI order in place? - ANSWER Start with NPPV

What phrase would describe a patient having dyspnea? - ANSWER "I have to stop and
catch my breath"

A patient who has a neck injury but needs their airway protected. What should you put
in place? - ANSWER Oropharyngeal airway

A patient is unconscious, what should you do to establish a patent airway? - ANSWER
Head tilt chin

A patient has accessory muscle and scalene usage, what does this indicate? -
ANSWER Increased work of breathing

Unevenly spaced beats decreased pulse strength during inspiration, is indicative of
what? - ANSWER Pulsus paradoxus

What positions do you place a patient in for right lung secretions? - ANSWER Left
lateral decubitus

What the correct endotracheal tube placement? - ANSWER 5cm above the carina or 4-
6cm

Chest x-ray looks normal but they have been sitting for an extended period of time and
is experiencing dyspnea. What is likely the cause? - ANSWER Pulmonary embolism

Chest x-ray showing a deflated lung. What is a likely diagnosis? - ANSWER Tension
pneumothorax

A patient has hemoptysis, what do you do? - ANSWER Bronchoscopy

Broncholavage should be done with what? - ANSWER Mini ball-vap

After intubation there is a lack of breath sounds on the left side, what could be the
cause? - ANSWER Right mainstem bronchi intubation

, TMC for May 2020
There is a hyperresonance and tracheal shift with distant breath sounds, what is a likely
diagnosis? - ANSWER Pneumothorax

What is a V/Q scan used to identify? - ANSWER Pulmonary embolism

What is the name of the gestational age test? - ANSWER Ballard score

What is used to diagnose cancer? - ANSWER PET scan

Bronchogram is used to diagnose what? - ANSWER Bronchiectasis

A patient has left sided chest pain, what diagnostic test should be done? - ANSWER
Chest x-ray

Midclavicular is the place for what lead? - ANSWER V4 leads

What percentage of PaCO2 is normal? - ANSWER 5%

What is the normal value of ejection fraction? - ANSWER 60

How is VD/VT calculated? - ANSWER PaCO2-PeCO2/PaCO2 is 30

Patient was taken from a burning house, what diagnostic test should be done? -
ANSWER Co-oximeter/hemoximeter

Low urine output can be caused by what? - ANSWER Low PCWP

What is the reversal agent of OPIODS? - ANSWER Narcan

What do you give for stridor? - ANSWER Racemic epinephrine

A patients endotracheal tube is 18cm at the lip, cuff pressure is 19cmH2O, and there is
still gurgling, what should you do? - ANSWER Advance the ET tube

Unequal breath sounds - ANSWER

What should be done after ABG sampling? - ANSWER Change the gloves

What type of heated humidifier should be placed for a patient with tracheostomy? -
ANSWER HME (Heat and moisture exchanger)

The Semi fowler position is used for what? - ANSWER Anterior apical upper lung
segmented lobes

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