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Secure Comprehensive Therapist Multiple-Choice SAE (Form 2020)
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SecureComprehensive
Therapist
Multiple-Choice
SAE
(Form
2020)
TMC
Exam
A
48
year-old
female
is
admitted
to
the
ED
with
diaphoresis,
jugular
venous
distension,
and
3+
pitting
edema
in
the
ankles.
These
findings
are
consistent
with
A.
liver
failure.
B.
pulmonary
embolism.
C.
heart
failure.
D.
electrolyte
imbalances
-
ANS
Heart
failure
A
patient
is
admitted
to
the
ED
following
a
motor
vehicle
accident.
On
physical
exam,
the
respiratory
therapist
discovers
that
breath
sounds
are
absent
in
the
left
chest
with
a
hyperresonant
percussion
note.
The
trachea
is
shifted
to
the
right.
The
patient's
heart
rate
is
45/min,
respiratory
rate
is
30/min,
and
blood
pressure
is
60/40
mm
Hg.
What
action
should
the
therapist
recommend
first?
A.
Call
for
a
STAT
chest
x-ray .
B.
Insert
a
chest
tube
into
the
left
chest.
C.
Needle
aspirate
the
2nd
left
intercostal
space. D.
Activate
the
medical
emergency
team
to
intubate
the
patient.
-
ANS
Needle
aspirate
the
2nd
left
intercostal
space.
All
of
the
following
strategies
are
likely
to
decrease
the
likelihood
of
damage
to
the
tracheal
mucosa
EXCEPT
A.
maintaining
cuff
pressures
between
20
and
25
mm
Hg.
B.
using
the
minimal
leak
technique
for
inflation.
C.
using
a
low-residual-volume,
low-compliance
cuff.
D.
monitoring
intracuff
pressures.
-
ANS
monitoring
intracuff
pressures.
A
52
year-old
post-operative
cholecystectomy
patient's
breath
sounds
become
more
coarse
upon
completion
of
postural
drainage
with
percussion.
The
respiratory
therapist
should
recommend
A.
continuing
the
therapy
until
breath
sounds
improve.
B.
administering
dornase
alpha.
C.
administering
albuterol
therapy .
D.
deep
breathing
and
coughing
to
clear
secretions.
-
ANS
deep
breathing
and
coughing
to
clear
secretions.
A
65
kg
spinal
cord
injured
patient
has
developed
atelectasis.
His
inspiratory
capacity
is
30%
of
his
predicted
value.
What
bronchial
hygiene
therapy
would
be
most
appropriate
initially? A.
IS
/
SMI
B.
IPPB
with
normal
saline
C.
postural
drainage
and
percussion
D.
PEP
therapy
-
ANS
IPPB
with
normal
saline
A
patient
on
VC
ventilation
has
demonstrated
auto-PEEP
on
ventilator
graphics.
Which
of
the
following
controls,
when
adjusted
independently ,
would
increase
expiratory
time?
1.
Tidal
volume
2.
Respiratory
Rate
3.
Inspiratory
flow
4.
Sensitivity
-
ANS
1,
2,
and
3
only
Which
of
the
following
would
be
the
most
appropriate
therapy
for
a
dyspneic
patient
who
has
crepitus
with
tracheal
deviation
to
the
left
and
absent
breath
sounds
on
the
right?
A.
Perform
chest
physiotherapy
B.
Administer
an
IPPB
treatment
C.
Insert
an
endotracheal
tube
D.
Insert
a
chest
tube
-
ANS
Insert
a
chest
tube
A
55
year-old
post
cardiac
surgery
patient
has
the
following
ABG
results:
pH
7.50,
PaCO2
30
torr,
PaO2
62
torr,
HCO3
25
mEq/L,
SaO2 92%,
HB
14
g/dL,
BE
+2.
Venous
blood
gas
results
are
pH
7.39,
PvCO2
43
torr,
PvO2
37
torr,
and
SvO2
66%.
Calculate
the
patient's
C(a-v)O2.
A.
2.5
vol%
B.
4.0
vol%
C.
5.0
vol%
D.
5.5
vol%
-
ANS
5.0
vol%
A
patient
on
VC,
SIMV
with
a
VT
of
500
mL
has
a
PIP
of
25
cm
H2O,
Pplat
of
15
cm
H2O
and
PEEP
of
5
cm
H2O.
What
is
the
patient's
static
lung
compliance
A.
25
mL/cm
H2O
B.
35
mL/cm
H2O
C.
45
mL/cm
H2O
D.
50
mL/cm
H2O
-
ANS
50
mL/cm
H2O
Immediately
after
extubation
of
a
patient
in
the
ICU,
the
respiratory
therapist
observes
increasing
respiratory
distress
with
intercostal
retractions
and
marked
stridor .
The
SpO2
on
40%
oxygen
is
noted
to
be
86%.
Which
of
the
following
would
be
most
appropriate
at
this
time?
A.
cool
mist
aerosol
treatment
B.
aerosolized
racemic
epinephrine
C.
manual
ventilation
with
resuscitation
bag
and
mask
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