MED106WK1TEST

While a patient is being mechanically ventilated, tension pneumothorax has all of the following signs and symptoms except?

Mr. Jones us using 1 LPM of oxygen via nasal cannula. The blood gas report shows pH = 7.43, PCO2 = 34 torr, PO2 = 149 torr. At the time of arterial sampling, the respiratory therapist notices the SpO2 is 89% and Mr. Jones seems to have labored breathing. The respiratory therapist should?

Which blood value would you check to ascertain if the patient had an infection?

Mr. Jones has a confirmed tension pneumothorax on the right. The proper treatment is to?

A resident asks the respiratory therapist about the physiologic effects associated with PEEP? The answer may include?
I - Increased intracranial pressure
II - Decreased urinary output
III - Decreased CO
IV - Decreased pulmonary vascular resistance

Dr. Busbee is getting ready to administer Exosurf and asks for assistance. The therapist should position the ________ properly to facilitate administration of Exosurf?

A 100-lb female patient is receiving controlled mechanical ventilation with a tidal volume of 500 ml at a rate of 16/min. Her oxygen consumption = 250 ml/min, CaO2 = 20 vol%, CvO2 = 15%. What is her expired minute ventilation and alveolar minute ventilation?

A child has been admitted to the emergency department of a pediatric hospital for shortness of breath, increased work of breathing, and to rule out epiglottitis. Which of the following tests is most useful for the diagnosis of this condition?

Following oral intubation of a patient in the emergency department, the RCP is evaluating proper placement of the endotracheal tube. The cuff has been inflated and the patient is being ventilated with a manual resuscitator. Which of the following is a sign of proper endotracheal intubation?

Calculate the inspiratory:expiratory ratio for a time-cycled, pressure-limited ventilator with the following settings: minute frequency: 40 breaths/mm. inspiratory flow: 6 L/min. inspiratory time: 0.5 sec. FIO2: 1.0?

Family history would help in the diagnosis of which of the following diseases?

Trace the blood flow through the heart?
A - Triscupid valve
B - Pulmonary artery
C - Right ventricle
D - Lungs
E - Superior and inferior vena cava
F - Pulmonary semi lunar valve
G - Right atrium
H - Left atrium
I - Mitral valve
J - Pulmonary veins
K - Left ventricle
L - Aortic semi lunar valve and Aorta

A patient who smokes 2 packs a day for 20 years has a smoking pack year history of?

Which of the following would be most useful to distinguish between asthma and emphysema in a patient with obstructive lung defect?

The ventilator flow sheet of a patient shows the following data. No settings have been changed when these data are recorded. Time Peak pressure
(cm H2O) Plateau Pressure (cm H2O) 2 PM 50 44 4 PM 40 35. At 4 PM, the correct interpretation of these data is?

In which of the following conditions would you expect to hear audible wheezing?

Arterial blood gas analysis is useful in assessing the magnitude of V/Q mismatch that occurs in pulmonary edema. During the early onset of pulmonary edema, blood gasses would indicate ________ due to ________?

If your patient is MRSA resistant, what antibiotic would you suggest?

Chest X-ray, in diagnosing a pulmonary embolus often appears?

A patient has an arterial PCO2 reading of 40 torr and a mean expired PCO2 reading of 30 torr. What is the physiologic dead space volume with a tidal volume of 500 ml?

Indication for intubation during an asthma attack may be?

How will the accumulation of condensate in the large bore tubing of an air-entrainment aerosol device affect the operation of the system?

What is the most common symptom in patients with COPD?

Place the four parts of an effective cough effort into their proper order?
A) Abdominal muscles contracting
B) Deep breath/glottis closure
C) Stimulus
D) Glottic opening/explosive exhalation

Demonstration of sincere concern for a sick patient is associated with the following techniques? (Pick as many as apply)

Which of the following are considered guidelines for effective patient interviewing technique? (pick as many as appropriate)

Match the following terms to their definitions? (place them in order of terms below)
A - Dyspnea
B - Anemia
C - Tachypnea
D - Tachycardia
1 - Respiratory rate greater than 18
2 - Feeling breathless
3 - Heart rate of 120
4 - Decreased levels of RBC or hemoglobin

The term pack years refers to cigarette smoking history, and is calculated as?

After orally intubating a 30-year-old patient, the therapist notices diminished breath sounds on the left. The ET tube marking shows 25 CM at the patient's lips. The patient's SPO2 is 98% on 30% oxygen while being mechanically ventilated. At this point, the therapist should ________ the endotracheal tube and ________?

Ethylene oxide is used to ________ equipment and supplies that ________?

In reviewing the patient's chart, the therapist notices the percussion note "hyperresonant". This characteristic is consistent with excessive?

How does one record the use of pipes, cigars, chewing tobacco, snuff or marijuana?

Your patient is severely short of breath and unable to speak to you. As an RT you note in the patients chart that the patient presents with dyspnea. The notation is considered to be?

Which of the following would be considered angina? (pick as many as appropriate)

Match the following terms to their definitions? (place them in correct order with matching term)
A - Sub glottis edema
B - Orthopnea
C - Red blood cells increased over normal levels
D - Hypotension
1 - Results in stridor
2 - Systolic blood pressure less than 90 mm Hg
3 - Needs to sleep on several pillows to breath comfortably at night
4 - Polycythemia

Match the following terms to their definitions? (place the definitions in order of the terms presented)
A - Decreased platelet count
B - Bradycardia
C - Afebrile
1 - 37 degree Celsius body temperature
2 - Clotting disorder
3 - Heart rate less than 60

Match the following medical terminology with the correct description? (place definition in order of terms)
A - Syncope
B - Expectoration
C - Hemoptysis
D - Febrile
E - Anorexia
1 - Fainting
2 - Sputum production
3 - Blood coughed up from lungs
4 - Temperature due to infection
5 - Loss of appetite

How will hemodynamic measurements be affected if the PAC transducer, after having been zeroed, is place below the phlebostatic axis?

What does the term febrile mean?

What is the difference between sputum and phlegm?

What type of patient history could suggest possible exposure to asbestos?

An automobile mechanic was found unconscious in the garage where he worked. When he entered the emergency department, an RCP placed a pulse oximeter probe on his finger and obtained a saturation of 98%. What should the RCP do at this time?

Following a series of tests on a child to rule out epiglottitis, the results are as follows: mild infiltrates in left upper lobe, L/S ratio is pending, sweat chloride is 20 mEq/L, steeple sign on neck radiography. These findings support a diagnosis of?

A subjective feeling of shortness of breath is termed?

Atelectasis after surgery is common, and unless properly managed may lead to?

A 4-year-old boy presents in the emergency department with an axillary temperature of 39.7C. The boy appears to be anxious and frightened. He complains of dyspnea and dysphagia. Drooling, inspiratory and expiratory stridors are noted. A lateral neck radiograph indicates an obliterated vallecula, a ballooning hypopharynx, and the thumb sign. Which diagnosis can be made on these clinical data?

Which of the following are considered the initial compensatory signs and symptoms of hypoxia? (Pick as many as appropriate)