TMC Exam A EXAM NEW VERSION LATEST
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QUESTIONS
Which of the following descriptions most typifies the sound a therapist might here on a patient
with a pleural friction rub?
a. Grating sound
b. Scattered crackles
c. Sonorous
d. Egophany
- ANSWER a. Grating sound
A patient's chest radiograph reveals an enlarged heart whose shadow occupies two thirds of the
chest cavity from side-to-side. With which of the following findings would this finding be most
closely associated?
a. Beri beri
b. Morbid obesity
c. Cardiac ischemia
d. Myocardial infarction
- ANSWER b. Morbid obesity
In preparation for pulmonary function testing, the respiratory therapist interviews the patient to
investigate use of tobacco products. The patient reports smoking 5 packs a day for 10 years and
1.5 packs a day for 20 years. What is the pack-year history of smoking for this patient?
a. 110
,b. 30
c. 80
d. 195
- ANSWER c. 80
A 5-year-old child is brought to the emergency room (ER) with a fever and difficulty breathing.
The patient is drooling but is making no vocal sounds. Which of the following procedures should
the respiratory therapist recommend?
a. Bronchoscopy
b. Lateral neck radiograph
c. CBC
d. Inspection of the pharyngeal area with a tongue depressor
- ANSWER b. Lateral neck radiograph
Which of the following finding is most closely associated with increased airway resistance?
a. Increased PetCO2
b. Altered P50
c. Reduced SpO2
d. Accessory muscle use
- ANSWER d. Accessory muscle use
A neonatal patient exhibits a heart murmur upon auscultation one hour after birth. The
respiratory therapist is having difficulty maintaining adequate oxygenation saturation in spite of
increasing FIO2. Which of the following should the respiratory therapist recommend?
a. Cardiac angioplasty
b. Diagnostic chest percussion
c. Echocardiography
d. Transillumination
,- ANSWER c. Echocardiography
A respiratory therapist is caring for a patient with asthma. Bronchodilator therapy has been
initiated and some relief is observed. Which of the following should the therapist recommend to
further assess the degree of improvement?
a. Peak flow
b. SBN2
c. DLCO
d. FRC
- ANSWER a. Peak flow
A patient is undergoing a transport of 100 miles in a non-pressurized helicopter. The patient is
breathing spontaneously and is receiving oxygen by non-rebreather mask. As the helicopter
ascends above 5,000 ft, the patient begins to exhibit cyanosis and shortness of breath. The most
likely reason for this is
a. Decreased PAO2
b. Hyperoxemia
c. Altitude sickness
d. Hypercapnia
- ANSWER a. Decreased PAO2
A patient who is receiving VC A/C ventilation has been experiencing climbing peak inspiratory
and mean airway pressures due to decreasing pulmonary compliance. Additionally, greater FIO2
is required to maintain adequate PaO2 levels. To further investigate the effectiveness of oxygen
administration, the therapist should evaluate which of the following?
a. Vd/Vt
b. C(a-v)O2
c. A-aDO2
d. Oxygen index
- ANSWER d. Oxygen index
, A patient with COPD who has been receiving mechanical ventilation for 3 weeks has been
weaned down to the following settings:
FIO2: 0.30
Mandatory rate: 8
Mode: SIMV
VT(set): 400 mL
VT(spont): 320 mL
PEEP: 3 cmH2O
PS: 4 cmH2O
On these settings, the following laboratory data is observed:
pH 7.36 / PaCO2 65 / PaO2 70 / HCO3 30 / BE -1
The respiratory therapist should recommend
a. NAVA
b. SBT
c. APRV
d. PRVC
- ANSWER b. SBT
A patient complains of shortness of breath only upon exertion. There is no significant smoking
history or family history of lung disease. What should the respiratory therapist recommend?
a. 6-minute walk test
b. Peak flow measurement every 1 hr for 24 hours
c. Cardiopulmonary stress testing
d. 14 hour Holter monitoring
- ANSWER c. Cardiopulmonary stress testing
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