(RRT) Registered Respiratory - Kettering (Multiple Choice) Exam 100% Correct
The Pulmonologist Determines A Patient Has Dyspnea, Diminished Breath Sounds With A Dull Percussion Note On The Left. The Chest Radiograph Indicates A Tracheal Shift To The Right. Which Of The Following Disease Sta...
The Patient's Condition Is Most Likely Related To:
1) Respiratory Acidosis
2) Ventilation Perfusion Mismatch
3) Venous Admixture
4) Alveolar Hypoventilation
ANS: 3
Rationale: The Severely Low Pao2 And High Pip With Bilateral Opacification
Suggest Significant Ventilation-Perfusion Mismatch And Venous Admixture,
Possibly Due To Shunting From Lung Injuries After The Accident.
, A 54 Year Old Post-Appendectomy Patient Has An Order For Sustained Maximal
Inspiration Q2h While Awake. The Patient's Pre-Op Inspiratory Capacity Was 3600
Ml. An Appropriate Post-Operative Goal For This Patient Would Be...
1) 1200 Ml
2) 1800 Ml
3) 2000 Ml
4) 2400 Ml
ANS: 2
Rationale: A Common Post-Operative Goal Is To Achieve At Least 50% Of Pre-
Operative Inspiratory Capacity. Thus, 1800 Ml Is A Reasonable Target Based On The
Pre-Operative Inspiratory Capacity Of 3600 Ml.
A Patient In The Icu Is Being Mechanically Ventilated Following An Automobile
Accident. The Recent Chest Radiograph Reveals Ards. Which Of The Following
Guidelines Should Be Included In The Management Of This Patient?
1) Tidal Volume Of 6 Ml/Kg
2) High Levels Of Peep Therapy
3) Maintain Plateau Pressure < 30 Cm H2o
ANS: 1 & 3 (Tidal Volume Of 6 Ml/Kg And Maintain Plateau Pressure < 30 Cm
H2o)
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