Exam (elaborations)
TMC Practice Questions A- Kettering exam with correct answers
- Course
- Institution
TMC Practice Questions A- Kettering exam with correct answers
[Show more]
Seller
Follow
Content preview
TMC Practice Questions A- Kettering examwith correct answers
Ab48byear-
oldbfemalebisbadmittedbtobthebEDbwithbdiaphoresis,bjugularbvenousbdistension,bandb3+bpittingbedemabinbth
ebankles.bThesebfindingsbarebconsistentbwith
A.bliverbfailure.
B.bpulmonarybembolism.
C.bheartbfailure.
D.belectrolytebimbalances.b-bcorrectbanswer-C.
AbpatientbisbadmittedbtobthebEDbfollowingbabmotorbvehiclebaccident.bOnbphysicalbexam,bthebrespiratorybthe
rapistbdiscoversbthatbbreathbsoundsbarebabsentbinbthebleftbchestbwithbabhyperresonantbpercussionbnote.bTh
ebtracheabisbshiftedbtobthebright.bThebpatient'sbheartbratebisb45/min,brespiratorybratebisb30/min,bandbbloodb
pressurebisb60/40bmmbHg.bWhatbactionbshouldbthebtherapistbrecommendbfirst?
A.bCallbforbabSTATbchestbx-ray.
B.bInsertbabchestbtubebintobthebleftbchest.
C.bNeedlebaspiratebtheb2ndbleftbintercostalbspace.
D.bActivatebthebmedicalbemergencybteambtobintubatebthebpatient.b-bcorrectbanswer-C.
AllbofbthebfollowingbstrategiesbareblikelybtobdecreasebtheblikelihoodbofbdamagebtobthebtrachealbmucosabEXC
EPT
A.bmaintainingbcuffbpressuresbbetweenb20bandb25bmmbHg.
B.busingbthebminimalbleakbtechniquebforbinflation.
C.busingbablow-residual-volume,blow-compliancebcuff.
D.bmonitoringbintracuffbpressures.b-bcorrectbanswer-C.
,Ab52byear-oldbpost-
operativebcholecystectomybpatient'sbbreathbsoundsbbecomebmorebcoarsebuponbcompletionbofbposturalbdr
ainagebwithbpercussion.bThebrespiratorybtherapistbshouldbrecommend
A.bcontinuingbthebtherapybuntilbbreathbsoundsbimprove.
B.badministeringbdornasebalpha.
C.badministeringbalbuterolbtherapy.
D.bdeepbbreathingbandbcoughingbtobclearbsecretions.b-bcorrectbanswer-D.
Ab65bkgbspinalbcordbinjuredbpatientbhasbdevelopedbatelectasis.bHisbinspiratorybcapacitybisb30%bofbhisbpredic
tedbvalue.bWhatbbronchialbhygienebtherapybwouldbbebmostbappropriatebinitially?
A.bISb/bSMI
B.bIPPBbwithbnormalbsaline
C.bposturalbdrainagebandbpercussion
D.bPEPbtherapyb-bcorrectbanswer-B.
Abhealthybadultbfemalebcanbexhalebwhatbportionbofbherbforcedbvitalbcapacitybinbthebfirstbsecond?
A.b50%
B.b60%
C.b70%
D.b80%b-bcorrectbanswer-C.
AbpatientbonbVCbventilationbhasbdemonstratedbauto-
PEEPbonbventilatorbgraphics.bWhichbofbthebfollowingbcontrols,bwhenbadjustedbindependently,bwouldbincre
asebexpiratorybtime?
1.bTidalbvolume
b
,2.bRespiratorybRate
b
3.bInspiratorybflow
b
4.bSensitivity
b
A.b1,b2,bandb3bonly
B.b1,b2,bandb4bonly
C.b1,b3,bandb4bonly
D.b2,b3,bandb4bonlyb-bcorrectbanswer-A.
Whichbofbthebfollowingbwouldbbebthebmostbappropriatebtherapybforbabdyspneicbpatientbwhobhasbcrepitusb
withbtrachealbdeviationbtobthebleftbandbabsentbbreathbsoundsbonbthebright?
A.bPerformbchestbphysiotherapy
B.bAdministerbanbIPPBbtreatment
C.bInsertbanbendotrachealbtube
D.bInsertbabchestbtubeb-bcorrectbanswer-D.
Ab55byear-
oldbpostbcardiacbsurgerybpatientbhasbthebfollowingbABGbresults:bpHb7.50,bPaCO2b30btorr,bPaO2b62btorr,bHC
O3b25bmEq/L,bSaO2b92%,bHBb14bg/dL,bBEb+2.bVenousbbloodbgasbresultsbarebpHb7.39,bPvCO2b43btorr,bPvO2b
37btorr,bandbSvO2b66%.bCalculatebthebpatient'sbC(a-v)O2.
A.b2.5bvol%
B.b4.0bvol%
C.b5.0bvol%
D.b5.5bvol%b-bcorrectbanswer-C.
AbpatientbonbVC,bSIMVbwithbabVTbofb500bmLbhasbabPIPbofb25bcmbH2O,bPplatbofb15bcmbH2ObandbPEEPbofb5bc
mbH2O.bWhatbisbthebpatient'sbstaticblungbcompliance?
A.b25bmL/cmbH2O
, B.b35bmL/cmbH2O
C.b45bmL/cmbH2O
D.b50bmL/cmbH2Ob-bcorrectbanswer-D.
ImmediatelybafterbextubationbofbabpatientbinbthebICU,bthebrespiratorybtherapistbobservesbincreasingbrespir
atorybdistressbwithbintercostalbretractionsbandbmarkedbstridor.bThebSpO2bonb40%boxygenbisbnotedbtobbeb86
%.bWhichbofbthebfollowingbwouldbbebmostbappropriatebatbthisbtime?
A.bcoolbmistbaerosolbtreatment
B.baerosolizedbracemicbepinephrine
C.bmanualbventilationbwithbresuscitationbbagbandbmask
D.breintubationb-bcorrectbanswer-D.
Whichbofbthebfollowingbpatientsbwouldbmostblikelybbenefitbfrombpressurebsupportbventilation?
A.bAnbintubatedbpatientbwithbanbabsentbrespiratorybdrive.
B.bAbpatientbonbSIMVbwithbabsetbratebofb12/minbandbtotalbratebofb24/min.
C.bAbpatientbwithbacuteblungbinjury.
D.bAbpatientbwhobrequiresbshort-termbpost-operativebventilatorybsupport.b-bcorrectbanswer-B.
Abpatientbreceivingbmechanicalbventilationbhasbdevelopedbabtemperaturebofb99.9°bFbwithbpurulentbsecreti
onsboverbtheblastb12bhours.bThebrespiratorybtherapistbhasbalsobnotedbabsteadybincreasebinbpeakbinspiratoryb
pressure.bWhatbinitialbrecommendationbshouldbbebmadebtobaddressbthesebchanges?
A.bInitiatebbronchialbhygienebtherapy.
B.bObtainbabsputumbgrambstain.
C.bAdministerbIPV.
D.bInsertbabCASSbtube.b-bcorrectbanswer-B.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Lectphilip. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76799 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now