A patient's sputum is purulent, green in appearance, has separated
into layers, and has a foul odor. What is the most likely cause?
A. Aspiration
B. Tuberculosis
C. Emphysema
D. Bronchiectasis - ANSWER-D. Bronchiectasis
A patient in the ICU complains of light headedness, nausea, and chest
pains. The patient is diaphoretic and has a blood pressure of
90/60mmHg. What should the RT recommend?
A. Lidocaine HCl
B. Cardioversion
C. Defibrillation
D. Epinephrine - ANSWER-B. Cardioversion
A patient with Guillain-Barre syndrome has a vital capacity of 625mL.
An RT should recommend which of the following be performed
FIRST?
A. MIP evaluation
B. Edrophonium Chloride (Tensilon) test
C. MVV test
D. EMG and nerve conduction study - ANSWER-A. MIP
,Which of the following beside pulmonary function testing results for a
patient with multiple sclerosis most strongly indicates the need for
ventilatory assistance?
A. 5% decrease in peak expiratory flow
B. FEV1/FVC 85%
C. MIP of -23cmH2O
D. Vital Capacity of 5 mL/kg - ANSWER-D. Vital capacity of 5mL/kg
A 23-year-old patient is in moderate respiratory distress while
receiving oxygen.
ABG=7.42/ 31/ 38/ 20/ -3/ 71%
How should these results be interpreted? - ANSWER-Chronic
Respiratory Alkalosis with severe hypoxemia
A COPD patient becomes hypotensive following a drug overdose.
Following intubation VC A/C ventilation should be initiated with which
of the following oxygen concentrations?
A. 0.21
B. 0.50
C. 0.70
,D. 1.0 - ANSWER-D. 1.0
A patient has been receiving VC ventilation for 24 hours. A respiratory
therapist is called to the bedside because the high pressure alarm is
sounding with each breath. What should the RT do first? – ANSWER-
Manually ventilate the patient
Just prior to removing the endotracheal tube, a respiratory therapist
should do what? - ANSWER-Deflate the cuff
While preparing to assist with a chest tube insertion , an RT learns
that pleurodesis will follow. What equipment would the RT provide? -
ANSWER-Hemostat and 3-way stopcock
What is the formula for dynamic compliance? - ANSWER-VT/ (PIP-
PEEP)
A 52-year-old patient with newly diagnosed OSA undergoes a CPAP
titration study. With a CPAP of 12cm H2O, the AHI is 3 and the lowest
observed oxygen saturation is 90%. The patient continues to snore,
what should the RT do? - ANSWER-Increase the CPAP level
What is the target FiO2 range of nasal cannula in a patient with normal
minute ventilation? - ANSWER-0.24-0.40
An RT is called to the ED to assist with the intubation of an alert,
agitated patient in respiratory failure. 2 intubation attempts were
, unsuccessful. In addition to a neuromuscular blockade, which of the
following drugs will best facilitate intubation?
A. Propranolol HCl (Inderal)
B. Midazolam HCl (Versed)
C. Amlodipine (Norvasc)
D. Nitroprusside Sodium - ANSWER-B. Midazolam HCl (Versed)
A 14 year old male who is 163cm /5ft4in tall and weighs 51kg/112lbs is
brought to the ED for suspected drug overdose. He is intubated
receiving VC AC ventilation.
Mandatory Rate: 14
Tidal Volume: 300mL
Inspiratory Flow: 20L/min Pressure
limit: 50cm H2O
The physician wants the RT to adjust the I:E from 1:1.2 to 1:3
What should the RT increase? - ANSWER-The inspiratory flow
A 180-cm (5ft 11in) 75kg (165lb) male had a cardiac arrest and is
admitted to the ICU. The patient is apneic, receiving 100% O2 by a bag
valve mask resuscitator, and has an SpO2 of 94%. Which is the most
appropriate ventilator setting?
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