Exam (elaborations)
RCP 160 MIDTERM EXAM – QUESTIONS/ANSWERS
RCP 160 MIDTERM EXAM – QUESTIONS/ANSWERS
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RCP 160 MIDTERM EXAM – QUESTIONS/ANSWERSIdentify the indications for chest tube insertion from the list below: I. Pleural
effusion II. Acute shortness of breath III. Pneumothorax IV. Empyema
✔️Ans -I, III, IV
Identify the proper placement of a chest tube for a pneumothorax. ✔️Ans -
Mid-axillary, over the edge of the 4th to 6th intercostal space toward the apex
of the lung.
Identify the proper placement of a chest tube for fluid removal. ✔️Ans -
Mid-axillary over the edge of the 6th to 8th intercostal space toward the
posterior base of the lung.
Identify two reasons for no bubbling in the Suction Control Chamber:
✔️Ans -Leak in the system between the regulator and the drainage system and
The vacuum pressure is turned off.
Which of the following troubleshooting interventions is appropriate when no
drainage is coming out, when there was drainage before? I. Try to drain loop
and prevent tube from looping. II. Try to milk the clot out of the tubing
carefully. III. Pull the Chest tube out and replace it. IV. Check CXR for pleural
fluid having been cleared. ✔️Ans -I, II, IV
Which of the following statements about pleural fluid is false? ✔️Ans -Fluid
can move easily between each hemithorax.
Pleural fluid with a total protein concentration of less than ____________ of the
serum total protein level is one of the indications of transudative pleural
effusion. ✔️Ans -50%
What is the most common cause of pleural effusion in the clinical setting?
✔️Ans -Congestive heart failure
The chest radiograph showed the presence of a meniscus in the right chest
together with a blunted right costophrenic angle. Which of the following
procedures would you recommend at this point to treat Ms. Paul? ✔️Ans -
Posterior chest tube thoracostomy
, Forty-eight hours after the chest tube insertion Ms. Paul remains on
mechanical ventilation. While assessing the chest tube system, you note small
bubbles in the water seal chamber generated during peak inspiration. This is
an indication of which of the following: ✔️Ans -bronchopleural fistula.
What is a common cause of persistent fever in intensive care unit (ICU)
patients with pneumonia? ✔️Ans -Parapneumonic effusions
Which of the following conditions is most closely associated with exudative
pleural effusion? ✔️Ans -Tuberculosis
What is the most likely cause of a large unilateral pleural effusion in a 70-
year-old patient? ✔️Ans -Malignancy
Which of the following is NOT a typical cause of atelectasis? ✔️Ans -
hepatomegaly
At what anatomic position should an 18-gauge IV catheter be placed to relieve
a tension pneumothorax? ✔️Ans -just superior to the second rib
Reduction of preload and afterload is important in the management of which
of the following? ✔️Ans -Cardiogenic pulmonary edema
Which of the following mechanisms ultimately leads to ARDS regardless of the
etiology ✔️Ans -Disruption of the endothelial and epithelial barriers
Which of the following clinical features is often common to both ARDS and
congestive heart failure (CHF)? ✔️Ans -Diffuse alveolar and interstitial
infiltrates in chest radiograph.
Which of the following is the primary system for removing filtered fluid and
protein from the lungs? ✔️Ans -Lymphatic
Which of the following is another term for hydrostatic pulmonary edema?
✔️Ans -Cardiogenic pulmonary edema
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