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TMC PRACTICE EXAM B QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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TMC PRACTICE EXAM B QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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TMC PRACTICE EXAM B QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
After a patient undergoes a thoracentesis, the respiratory therapist notes that the obtained pleural fluid
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is clear with a slight straw color. This fluid is most likely the result of
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A. empyema.
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B. congestive heart failure.
O O O
C. lung carcinoma.
O O
D. hemothorax. - ANSWER B.
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Which of the following would be most important to evaluate for a patient who is entering a smoking ces
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sation program? O O
A. Height
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B. Smoking history
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C. Weight
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D. Diet - ANSWER B.
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The respiratory therapist is calibrating a spirometer and checking the volume with a 3.0 liter super syrin
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ge. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based upon the information obtained which of th
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e following is a correct statement?
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A. Another syringe needs to be used
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B. Spirometer is accurate
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C. The plunger was advanced too slowly
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D. Spirometer may have a leak - ANSWER D.
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Which of the following is an indication for high frequency jet ventilation?
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,A. Bronchopleural fistula
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B. Wilson Mikity syndrome
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C. Necrotizing lesion of right lung
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D. Centrilobular emphysema - ANSWER A.
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A 43-year-
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old female patient has just undergone a total abdominal hysterectomy. The patient arrives in the post an
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esthesia care unit obtunded with minimal response to painful stimulus. What treatment should the respi
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ratory therapist recommend for this patient?
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A. Initiate assisted ventilation
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B. Insert oropharyngeal airway
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C. Obtain positron emission tomography
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D. Initiate noninvasive capnography - ANSWER B.
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A 44 week gestational age infant has just been delivered via C-
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section and is gasping, grunting, and has tachycardia and tachypnea. At one minute his Apgar score is 4
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and at 5 minutes the score is 5. The infant is most likely suffering from
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A. transient tachypnea of the newborn.
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B. meconium aspiration.
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C. bronchopulmonary dysplasia.
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D. apnea of prematurity. - ANSWER B
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What is the normal VD/VT ratio for a patient breathing room air?
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A. 5 - 15%
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B. 20 - 40%
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C. 45 - 55%
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,D. 65 - 75% - ANSWER B.
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A heat moisture exchanger is indicated for humidification in which of the following situations?
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A. Mechanical ventilation in a long-term care facility.
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B. Transport to a tertiary care center.
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C. Patient with tenacious secretions.
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D. Delivery of aerosolized bronchodilators. - ANSWER B.
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All of the following could cause a patient's right-hemidiaphragm to be elevated, EXCEPT
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A. right lower lobe atelectasis.
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B. right side hyperlucency, absent vascular markings.
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C. hepatomegaly.
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D. right lower lobe consolidation with air bronchograms. - ANSWER B.
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A 64-year-
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old, 70 kg (154 lb) man with severe COPD is receiving independent (differential) lung ventilation followin
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g thoracotomy and right lower lobectomy. Which of the following setting combinations would be most a
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ppropriate for this patient? O O O
A. Right lung 50 mL; left lung 650 mL
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B. Right lung 150 mL; left lung 550 mL
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C. Right lung 350 mL; left lung 350 mL
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D. Right lung 550 mL; left lung 150 mL - ANSWER B.
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A patient in the intensive care unit has the following hemodynamic measurements:
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CVP (mm Hg) 5O O O
, PAP (mm Hg) 29/8O O O
PCWP (mm Hg) 8 O O O
BP (mm Hg) 130/70
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Cardiac output (L/min) 5.1 O O O
Cardiac index (L/min/m2) 2.7O O O
What is the pulse pressure?
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A. 15 mm Hg
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B. 21 mm Hg
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C. 60 mm Hg
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D. 90 mm Hg - ANSWER C.
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A 2-year-
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old child with croup has been intubated for 4 days with a 4 mm ID uncuffed endotracheal tube. Heated
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aerosol at an FIO2 of 0.30 has been delivered to the patient. The physician asks the respiratory therapist
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to evaluate the patient for possible extubation. Which of the following would most likely indicate that t
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he patient is ready for extubation?
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A. The patient is making normal quiet ventilatory efforts.
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B. A negative sputum culture and sensitivity has been reported.
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C. The patient's ABG are within normal range.
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D. Breath sounds are heard around the tube on auscultation. - ANSWER D
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A patient is seen in the Emergency Department for complaints of nausea and vomiting. A nasogastric tu
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be has been inserted and the patient is started on lasix. Which of the following should the respiratory th
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erapist monitor? O
A. Cardiac enzymes
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B. Serum electrolytes
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