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Basal Cell Carcinoma - Correct Answer--painless, pearly, ulcerated nodule with overlying telangiectasis -found on sun areas Actinic Keratoses - Correct Answer--slightly rough, pink or flesh-colored lesion in sunexposed area -pharmacological treatment: 5-fluorouracil (topical chemotherapy) -non-pharmacological treatment: chemical peel, cryotherapy, laser resurfacing Tuberculosis - Correct Answer-I. Transmission A. Mycobacterium tuberculosis carried in airborne droplets B. Active Pulmonary...

What are the RESPIRATORY identifiable symptoms of hypoxia/hypoxemia? - ANSWER- -Increased RR (tachypnea) -Dyspnea (perceived SOB) -Paleness (cyanosis=severe) What are the CARDIOVASCULAR identifiable symptoms of hypoxia/hypoxia? - ANSWER- -Mild hypertension (secondary to vasoconstriction) *if severe, leads to eventual hypotension. What are the NEUROLOGIC identifiable symptoms of hypoxia/hypoxemia? - ANSWER- -Restlessness -Disorientation -Headaches -Severe case lead to (distressed appea...

Ascites - ANSWER- accumulation of fluid in the abdomen caused by LIVER FAILURE Venous distention - ANSWER- -occurs with CHF -seen with obstructive patients (seen in exhalation phase) Capillary refill - ANSWER- -indication of peripheral circulation -Normal < 3 seconds Jaundice skin color - ANSWER- -increase in bilirubin. -mostly in face and trunk Bradypnea (oligopnea) - ANSWER- -decreased respiratory rate (<12bpm) variable depth and irregular rhythm Hyperpnea - ANSWER- -increased r...

Signs - ANSWER- Things you can see or measure symptoms - ANSWER- Subjective information (The patient must tell you) Pack years - ANSWER- Packs per day multiplied by the number of years. Advanced directives are? - ANSWER- documents that provide instructions incase the patient is unable to. These instructions should be notarized and copies given to the family and physician. If a patient has a DNI order you can still? - ANSWER- Provide non invasive ventilation ( BiPAP) A durable power of at...

A patient is receiving O2 from an E cylinder at 4 L/min through a nasal cannula. The cylinder pressure is 1900 psig. How long will the cylinder run until it is empty? A. 47 min B. 1.7 h C. 2.2 h D. 3.6 h - ANSWER- E cylinder = 0.28 1900x0.28/4 = 133/60 = 2.21 Answer: C. 2 hours, 21 minutes After the Respiratory Therapist sets up a nonrebreathing mask on a patient at a flow rate of 10 L/min, the reservoir bag collapses before the patient finishes inspiring. The RT should do which of the...

The patient's lung has an air leak - ANSWER- You are called to the emergency department to help care for a patient who was in a vehicle accident and has chest injuries including broken ribs. Crepitations are felt while palpitating the patient's neck. What is most likely the cause of this? Reversible airway obstruction - ANSWER- A forced expiratory measurement obtained after the administration of a bronchodilator shows an increase in FEV1 from 60% to 80% of predicted. This indicates a: c...

A patient is admitted to the ED following a vehicle accident. On physical exam, the RT discovers that breath sounds are absent in the left chest with a hyper resonant percussion note. The trachea is shifted to the right. The patient's heart rate is 45/min, RR is 30/min and BP is 60/40 mmHg. What action should the therapist reccomend first? - ANSWER- Needle aspirate the 2nd left intercostal space A 65kg spinal cord injured patient has developed atelectasis. His inspiratory capacity is 30% ...

PATIENT ASSESSMENT: All the following could cause capnography to go from 3 6 to 30 EXCEPT: A. Endotracheal tube positioned in the right mainstream bronchus B. Hyperventilation C. pulmonary emboli D. Hypovolemia - ANSWER- Endotracheal tube positioned in right mainstem bronchus is a problem but the co2 reading would not change, so ANSWER is A. What is the target Vt for individual on mechanical ventilation - ANSWER- 6-8 ml/kg (of ideal body weight) This is new strategy as of January 2015 ...

A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with A. liver failure. B. pulmonary embolism. C. heart failure. D. electrolyte imbalances - ANSWER- Heart failure A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respiratory therapist discovers that breath sounds are absent in the left chest with a hyperresonant percussion note. The trachea is s...

A 52 year-old post-operative cholecystectomy patient's breath sounds become more coarse upon completion of postural drainage with percussion. The respiratory therapist should recommend A. continuing the therapy until breath sounds improve B. administering dornase alpha. C. administering albuterol therapy. D. deep breathing and coughing to clear secretions. - ANSWER- deep breathing and coughing to clear secretions. A 65 kg spinal cord injured patient has developed atelectasis. His inspira...