TMC Practice Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20Practice%20Qu
TMC Practice Questions
1. 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 C. heart failure.
2. 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.
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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 C. Needle aspirate the 2nd left intercostal space.
3. 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 C. using a low-residual-volume, low-compli- ance cuff.
4. A 52 year-old post-operative cholecystectomy patient's breath sounds be- come 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.
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D. deep breathing and coughing to clear secretions.
ANS D. deep breathing and coughing to clear secretions.
5. A 65 kg spinal cord injured patient has developed atelectasis. His inspira- tory
capacity is 30% of his predicted value. What bronchial hygiene therapy
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would be most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
ANS B. IPPB with normal saline
6. A healthy adult female can exhale what portion of her forced vital capacity in the first
second?
A. 50%
B. 60%
C. 70%
D. 80%
ANS C. 70%
7. 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
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