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TMC Form A Exam Questions With Verified Answers

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TMC Form A Exam Questions With Verified Answers A patient receiving mechanical ventilation has received Halcion in the last twenty minutes. The physician orders the institution of spontaeneous breathing trials to commence immediately. Which of the following medications would be most helpful to ...

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  • August 5, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
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TMC Form A Exam Questions With
Verified Answers

A patient receiving mechanical ventilation has received Halcion in the last twenty minutes. The
physician orders the institution of spontaeneous breathing trials to commence immediately.
Which of the following medications would be most helpful to the patient? -
answer✔✔Romazicon (Flumazenil)
In preparation for ventilator weaning the physician requests a VD/VT ratio assessment. Which of
the following is needed to determine the deadspace-tidal volume ratio? - answer✔✔Arterial
blood gases and capnographic data
Which of the following alarms would be most important for a patient receiving positive pressure
ventilation by a pressure-cycled ventilator? - answer✔✔Low volume


- If patient is on a pressure cycle ventilator that means the ventilator is going to deliver a certain
pressure regardless of how much volume is achieved. Thus the most important alarm is the low
volume alarm.
Which of the following would be most effective at resolving a humidity deficit for a patient who
is intubated with an 8.0-mm endotracheal tube? - answer✔✔Concha Heated Humidifier


- A pt who has a ET tube has bypassed natural humidification in their own body so they need
additional humidification. The Concha and Wick are the only that can accomplish 100% relative
humidity.
A patient with suspected myasthenia gravis in the emergency room should receive which of the
following to confirm a diagnosis? - answer✔✔Edrophonium Bromide
(Tension)
Which of the following would be most helpful for a patient with fixed upper airway obstruction?
- answer✔✔Heliox Therapy
Which of the following oxygen modalities would be appropriate for a 220-lb (100-kg) male with
diabetic ketoacidosis who requires 40% supplemental oxygen? - answer✔✔air-entrainment mask




EXAM STUDY MATERIALS July 23, 2024 4:26 PM

, - An 80-kg male with diabetic ketoacidosis has significant inspiratory demand. Therefore this
patient requires a high flow oxygen delivery device. The best high flow device listed is the
Venturi mask.
Which of the following will help a patent to speak while intubated with a tracheostomy tube? -
answer✔✔Passy-Muir valve


- In this question one must recognize that a Passy-Muir valve is appropriate for a patient who is
intubated with the tracheostomy tube. This allows the patient to speak. This valve allows
inspiration to go through into the lungs but closes during expiration to redirect air over the vocal
folds, allow speech to occur.
Prior to obtaining an MEP value with a pressure manometer, the respiratory therapist notes the
needle is pointing at a positive pressure of -4 cmH2O prior to the maneuver. During the MEP
maneuver, the needle reaches 32 cmH2O. The therapist should - answer✔✔record an MEP of 36
cmH2O
What would occur on a time-cycled ventilator with a fixed rate if the inspiratory flow rate were
increased? - answer✔✔increase in tidal volume


-On a time-cycled ventilator inspiratory time is predetermined. So, if the flow rate is increased
while the mandatory rate is unchanged, the result would be an increase in tidal volume.
Which of the following is the most significant complication of bronchoscopy? -
answer✔✔laryngospasms


-The most significant complication of a bronchoscopy is laryngospasm. This tendency may be
reduced by administering aerosolized Lidocaine or any other tissue numbing agent prior to the
procedure.
A Bronchogram would be most helpful in evaluating and diagnosing which of the following? -
answer✔✔bronchiectasis


-A bronchogram is a procedure used to diagnose bronchiectasis - not helpful for Mycoplasma
pneumonia, chronic bronchitis, or adult respiratory distress syndrome.
What is the respiratory therapist observing if monitoring the total amount of gas exhaled in 60
seconds after excluding dead space? - answer✔✔alveolar minute ventilation




EXAM STUDY MATERIALS July 23, 2024 4:26 PM

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