TMC Practice Exam.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20Practice%20E
TMC Practice Exam
1. A 48 year-old female is admitted to the ED with diaphoresis, jugular venousdistension,
and 3+ pitting edema in the ankles. These findings are consistentwith
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances
ANS Heart failure
2. A patient is admitted to the ED following a motor vehicle accident. On physical
exam, the respiratory therapist discovers that breath sounds areabsent in the left
chest with a hyperresonant percussion note.The tracheais shifted to the right.The
patient's heart rate is 45/min, respiratory rate is
30/min, and blood pressure is 60/40 mm Hg. What action should the therapist
recommend first?
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A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the patient.
ANS Needle aspi-rate the 2nd left intercostal space.
3. All of the following strategies are likely to decrease the likelihood of damageto the
tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures.
ANS monitoring intracuff pressures.
4. A 52 year-old post-operative cholecystectomy patient's breath sounds be-come more
coarse upon completion of postural drainage with percussion.Therespiratory therapist
should recommend
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A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
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D. deep breathing and coughing to clear secretions.
ANS deep breathing and cough-ing to clear secretions.
5. A 65 kg spinal cord injured patient has developed atelectasis. His inspira-tory capacity
is 30% of his predicted value. What bronchial hygiene therapy would be most
appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
ANS IPPB with normal saline
6. A patient on VC ventilation has demonstrated auto-PEEP on ventilator graphics.Which
of the following controls, when adjusted independently, wouldincrease expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
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