TMC Mock Exam.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20Mock%20Exam
TMC Mock Exam
1. Although treated with several antiarrhythmic drugs, a patient with ventricu- lar
tachycardia begins to exhibit hypotension and decreased consciousness. Which of the
following actions would you recommend at this time?
immediately initiate CPR
apply cardioversion
administer epinephrine
defibrillate the patient: apply cardioversion
*If drug management fails, if the ventricular rate exceeds 150/min, or if the patientbecomes
hemodynamically unstable, synchronous cardioversion is indicated.
2. A physician orders intubation and volume-controlled A/C ventilation for a6-foot, 3-
inch tall 190-lb (86-kg) adult male patient with ARDS. Which of the following ventilator
settings would you aim for to support this patient?
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rate/min: 10; VT (mL): 800
rate/min: 15; VT (mL): 500
rate/min: 20; VT (mL): 900
rate/min: 8; VT (mL): 1200: rate/min: 15; VT (mL): 500Tidal
volume 6ml/kg IBW
6ft 3= 85kg IBW
Vt= 500
Rate= 10 to 20
3. A doctor institutes volume-controlled ventilation for a 70-kg ARDS patient with a
targeted tidal volume of 420 mL To maintain adequate ventilation withthis tidal volume,
the maximum respiratory rate you would allow is:
25/min
35/min
20/min
30/min: 35/min
4. Which of the following PaCO2 levels would be considered a positive result for brain
death determination at the end of an apnea test?
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-at least 50 mm Hg
-at least 45 mm Hg
-at least 60 mm Hg
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-at least 55 mm Hg: at least 60 mm Hg
or 20+ from baseline CO2
5. A COPD patient receiving volume-controlled A/C ventilation at a rate of 15 and a VT of
650 mL exhibits signs of air trapping (auto-PEEP). Which of the following alternatives
would you recommend to help overcome this problem?
1. add an end-inspiratory pause
2. switch to SIMV and decrease the rate
3. increase the inspiratory flow
2 and 3 only
1, 2, and 3
1 and 3 only
1 and 2 only: 2 and 3 only
* Adding an end-inspiratory pause would cause more airtrapping
6. A patient who just underwent major thoracic surgery is placed on pres- sure-controlled
A/C ventilation with 10 cmH2O PEEP.You observe continuousbubbling in the water seal
4 of 100 8/8/2024, 3:47
TMC Mock Exam
1. Although treated with several antiarrhythmic drugs, a patient with ventricu- lar
tachycardia begins to exhibit hypotension and decreased consciousness. Which of the
following actions would you recommend at this time?
immediately initiate CPR
apply cardioversion
administer epinephrine
defibrillate the patient: apply cardioversion
*If drug management fails, if the ventricular rate exceeds 150/min, or if the patientbecomes
hemodynamically unstable, synchronous cardioversion is indicated.
2. A physician orders intubation and volume-controlled A/C ventilation for a6-foot, 3-
inch tall 190-lb (86-kg) adult male patient with ARDS. Which of the following ventilator
settings would you aim for to support this patient?
1 of 100 8/8/2024, 3:47
,TMC Mock Exam.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20Mock%20Exam
rate/min: 10; VT (mL): 800
rate/min: 15; VT (mL): 500
rate/min: 20; VT (mL): 900
rate/min: 8; VT (mL): 1200: rate/min: 15; VT (mL): 500Tidal
volume 6ml/kg IBW
6ft 3= 85kg IBW
Vt= 500
Rate= 10 to 20
3. A doctor institutes volume-controlled ventilation for a 70-kg ARDS patient with a
targeted tidal volume of 420 mL To maintain adequate ventilation withthis tidal volume,
the maximum respiratory rate you would allow is:
25/min
35/min
20/min
30/min: 35/min
4. Which of the following PaCO2 levels would be considered a positive result for brain
death determination at the end of an apnea test?
2 of 100 8/8/2024, 3:47
,TMC Mock Exam.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20Mock%20Exam
-at least 50 mm Hg
-at least 45 mm Hg
-at least 60 mm Hg
3 of 100 8/8/2024, 3:47
,TMC Mock Exam.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20Mock%20Exam
-at least 55 mm Hg: at least 60 mm Hg
or 20+ from baseline CO2
5. A COPD patient receiving volume-controlled A/C ventilation at a rate of 15 and a VT of
650 mL exhibits signs of air trapping (auto-PEEP). Which of the following alternatives
would you recommend to help overcome this problem?
1. add an end-inspiratory pause
2. switch to SIMV and decrease the rate
3. increase the inspiratory flow
2 and 3 only
1, 2, and 3
1 and 3 only
1 and 2 only: 2 and 3 only
* Adding an end-inspiratory pause would cause more airtrapping
6. A patient who just underwent major thoracic surgery is placed on pres- sure-controlled
A/C ventilation with 10 cmH2O PEEP.You observe continuousbubbling in the water seal
4 of 100 8/8/2024, 3:47
