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LINDSEY JONES TMC QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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LINDSEY JONES TMC QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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LINDSEY JONES TMC QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
While administering a treatment with Albuterol to a patient with COPD, the therapist notes a sudden ch
O O O O O O O O O O O O O O O O
ange in the patient's color to marked cyanosis. The patient appears apneic and the heart rate on the pul
O O O O O O O O O O O O O O O O O O
se oximeter indicates 30/min. The therapist should FIRST
O O O O O O O
O A. go get help
O O O
O B. administer oxygen by non-rebreathing mask
O O O O O
O C. auscultate breath sounds
O O O
O D. begin mouth-to-mouth resuscitation - ANSWER D. begin mouth-to-mouth resuscitation
O O O O O O O O O
A 70-kg (154-lb) female patient is receiving mechanical ventilation on the following settings:
O O O O O O O O O O O O
Mode assist/control O O
Mandatory rate 14 O O
Total rate 14 O O
VT 500 mL
O O
FIO2 0.55 O
PEEP 12 cmH2O O O
Arterial blood gases reveal O O O
pH 7.49 O O
PaCO2 32 mmHg O O
PaO2 109 mmHg O O
HCO3- 24 mEq/L O O
BE 0 mEq/L
O O
The respiratory therapist should
O O O
O A. increase mandatory rate
O O O
,O B. decrease PEEP
O O
O C. decrease FIO2
O O
O D. decrease mandatory rate - ANSWER B. decrease PEEP
O O O O O O O O
Prior to the removal of chest tubes, which of the following should be done?
O O O O O O O O O O O O O
O A. the chest tube should be exposed to normal atmospheric pressure
O O O O O O O O O O
O B. suction pressure should be increased temporarily
O O O O O O
O C. flush the chest tube with normal saline
O O O O O O O
O D. clamp the chest tube for 24 hours - ANSWER D. clamp the chest tube for 24 hours
O O O O O O O O O O O O O O O O O
Prior to obtaining an MEP value with a pressure manometer, the respiratory therapist notes the needle i
O O O O O O O O O O O O O O O O
s pointing at a positive pressure of -
O O O O O O O
4 cmH2O prior to the maneuver. During the MEP maneuver, the needle reaches 32 cmH2O. The therapis
O O O O O O O O O O O O O O O O
t should
O
O A. record and MEP of -28 cmH2O
O O O O O O
O B. record an MEP of 36 cmH2O
O O O O O O
O C. record an MEP of 28 cmH2O
O O O O O O
O D. report the problem to the medical director - ANSWER B. record an MEP of 36 cmH2O
O O O O O O O O O O O O O O O O
Which of the following is a strategy that may help reduce or prevent autoPEEP in a patient with ARDS?
O O O O O O O O O O O O O O O O O O
O A. sedation of the patient
O O O O
O B. increasing minute ventilation
O O O
O C. high flow rates
O O O
O D. matching PEEP - ANSWER C. high flow rates
O O O O O O O O
Which of the following is the most significant complication of bronchoscopy?
O O O O O O O O O O
,O A. coughing
O
O B. vagal nerve stimulation
O O O
O C. laryngospasms
O
O D. hypotension - ANSWER C. laryngospasms
O O O O O
A Bronchogram would be most helpful in evaluating and diagnosing which of the following?
O O O O O O O O O O O O O
O A. chronic bronchitis
O O
O B. bronchiectasis
O
O C. ARDS
O
O D. mycoplasma pneumonia - ANSWER B. bronchiectasis
O O O O O O
An infant who is 35 weeks of gestation requires supplemental oxygen at 40%. Which of the following mo
O O O O O O O O O O O O O O O O O
dalities is most appropriate?
O O O
O A. nasal CPAP mask
O O O
O B. nasal cannula at 2 L/min
O O O O O
O C. croup tent
O O
O D. oxygen hood with an air/oxygen blender - ANSWER D. oxygen hood with an air/oxygen blender
O O O O O O O O O O O O O O O
A patient has the following input/output history and other clinical information:
O O O O O O O O O O
O
O
O Yesterday Today O O
IN 1900 cc 1600 cc
O O O O
OUT 2200 cc 1900 cc
O O O O
C.O. 5.1 L/min 3.8 L/min
O O O O
BP 110/80 mm Hg 110/80 mm Hg
O O O O O O
CVP 5 mm Hg 5 mm Hg
O O O O O O
, O
These data would result in which of the following?
O O O O O O O O
O A. increase in PCWP
O O O
O B. increase in PAP
O O O
O C. decrease in PVR
O O O
O D. increase in SVR - ANSWER D. increase in SVR
O O O O O O O O O
This question is tricky. The first observation one must make is that the patient is putting out more fluid t
O O O O O O O O O O O O O O O O O O O
han he is taking in. This will result in dehydration and a decrease in all hemodynamic values including ca
O O O O O O O O O O O O O O O O O O
rdiac output. If cardiac output is decreased, systemic vascular resistance will increase. One must know t
O O O O O O O O O O O O O O O
he formula for systemic vascular resistance in order to understand this. Systemic vascular resistance is d
O O O O O O O O O O O O O O O
etermined by subtracting CVP from MAP and dividing it by cardiac output. If cardiac output is decreased
O O O O O O O O O O O O O O O O
Othen the final SVR number will increase.
O O O O O O
Which of the following would result in an increase in pulmonary capillary wedge pressure?
O O O O O O O O O O O O O
O A. decrease in pulmonary vascular resistance (PVR)
O O O O O O
O B. mitral valve stenosis
O O O
O C. dehydration
O
O D. cor pulmonale - ANSWER B. mitral valve stenosis
O O O O O O O O
During a difficult intubation, the emergency room physician requests an endotracheal tube that is smalle
O O O O O O O O O O O O O O
r than recommended for the patient's height and ideal body weight. As a result, the respiratory therapis
O O O O O O O O O O O O O O O O
t should anticipate
O O
O A. a decrease in static compliance
O O O O O
O B. increase in PAW
O O O
O C. an increase in RAW
O O O O
O D. increased I:E ratio - ANSWER C. an increase in RAW
O O O O O O O O O O
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