Exam (elaborations)
Kettering TMC Review 2024 questions with correct answers
Kettering TMC Review 2024 questions with correct answers
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Kettering TMC Review 2024 questions with
correct answers
4bCriticalbLifebFunctionsb(inborder)b-bcorrectbanswer-Ventilation,bOxygenation,bCirculation,bPerfusion
SignsbvsbSymptomsb-bcorrectbanswer-Signsbarebobjective,bsymptomsbarebsubjective
PackbYearbFormulab-bcorrectbanswer-#bpacksbperbdaybxb#byearsbsmokedb=bpackbyearbhistory
AdvancebDirectives:bLivingbWillbvsbDurablebPowerbofbAttorneyb-bcorrectbanswer-
Ablivingbwillbisbabsetbofbdirectionsbcreatedbbybthebpatient,bwhereasbabDurablebPbofbAbappointsbabdecision-
makerbifbthebpatientbbecomesbincapacitated.
NormalbUrinebOutputb-bcorrectbanswer-40-60mL/hr
NormalbCVP
Wherebisbthisbmeasured?
Whatbdoesbthisbreallybtellbus?b-bcorrectbanswer-2-6bmmHg
MeasuredbinbthebRA
Tellsbusbaboutbfluidbbalance
NormalbCapillarybRefillbTimeb-bcorrectbanswer-3bsec
Abpatientbisbsufferingbfrombnocturnalbdiaphoresis.bWhatbshouldbourbfirstbthoughtbbe?b-bcorrectbanswer-TB
PectusbCarinatumbandbPectusbExcavatumb-bcorrectbanswer-
Protrusionbofbthebanteriorbsternumb(PC)bandbdepressionbofbthebsternumb(PE)bbothbcreatebabrestrictivebpro
cessbinbpediatrics.
,Abpatientbisbfoundbtobbeb"barrel-chested."bWhatbdiseasebprocessbshouldbwebbebthinkingbabout?b-
bcorrectbanswer-COPD
Cheyne-Stokes,bBiot's,bandbKussmaul'sb-bcorrectbanswer-Cheyenne-Stokes
-increasing/decreasingbratebandbdepthbwbperiodsbofbapnea
-commonlybassociatedbwithbICP,bbrainstembinjury,boverdose
Biot's
-increasedbratebandbdepthbwithbperiodsbofbapnea
-associatedbwithbCNSbissues
Kussmaul's
-increasebratebandbdepth
-associatedbwithbDKA
Pierre-RobbinsbSyndromeb-bcorrectbanswer-Smallbchin,bbigbtongue,bHARDbintubation.
MallampatibClassifications
Whatbarebfaucesbandbpillars?b-bcorrectbanswer-Classb1:bsoftbpalate,buvula,bfauces,bpillars
Classb2:bsoftbpalate,buvula,bandbfauces
Classb3:bsoftbpalate,bbasebofbuvula
Classb4:bhardbpalatebonly
Faucesb=barchbopenings
Pillarsb=bstriatedbtissuebleadingbtobuvula
Classesb3bandb4brequirebfiberopticbbronchoscopyborbvideobassistbdevicebforbintubation
,Abchangebofb___bpmbindicatesbanbadversebreactionbandbnecessitatesbthebterminationbofbabtreatment.b-
bcorrectbanswer-20
Whatbisbpulsusbparadoxusbandbwhatbcausesbit?b-bcorrectbanswer-
WhenbSBPbdecreasesbbybatbleastb10bmmHgbduringbinspiration,bcausedbbybseverebair-trapping.
TrachealbDeviationb-bcorrectbanswer-
TracheabwillbdeviatebTOWARDSbpathologybifbitboccursbinsidebtheblung,borbAWAYbfrombpathologybifbthebissue
bisboutsidebtheblung.
BreathbSoundsb-bcorrectbanswer-Vesicularb-bnormal
Adventitiousb-babnormal
Flat/Dullb-blessbair
Tympanic/Hyperresonantb-bmorebair
Stertorb-bsnoring
IncreasedbVolumebofbSpokenbWorkb-bconsolidation
UnilateralbWheezeb-bforeignbbodybobstruction
SupraglotticbStridorb-bepiglottitis
SubglotticbStridorb-bcroup,bpost-extubation
HeartbSoundsb(S1,bS2,bS3/S4)b-bcorrectbanswer-S1b-bnormalbclosurebofbthebmitral/tricuspidbvalves
S2b-bnormalbclosurebofbthebpulmonic/aorticbvalves
S3/S4b-bABNORMAL
ChestbXRAY
Wherebshouldbthebrightbhemidiaphragmbbe?
Whatbdobcrowded/horizontalbribsbindicate?
LateralbDecubitusbPosition,bwhatbisbitbfor?
EndbExpiratorybFilm?
, WherebshouldbthebETTbsit?
CVbCatheter?
NG/FeedingbTubes?
Whatbdoesbabthumbbsignbindicate?
SteeplebSign?
Whatbdobfluffybinfiltrates/butterflybwingbpatternbindicate?
Plate/disc-likebinfiltrates?
Ground-Glass/Honeycombbpattern?
Cavitybformation?
Wedge-Shape?b-bcorrectbanswer-6thbAnteriorbRib
Atelectasis/Air-Trapping
Badblungbdown,bgoodbforbpleuralbeffusions
Goodbforbsmallbpneumos
2-6bcmbabovebthebcarina
InbthebRtbAtriumb(4thbintercostalbrightbofbsternum)
2-6bcmbbelowbthebdiaphragm
Epiglottitis
Croup,bLTB
CHF/Fluid/Edema
Atelectasis
ARDS
TB
PulmonarybEmbolus
WhatbsubstancesbarebusedbforbabV/Qbscan?b-bcorrectbanswer-Xenonbgasbandbtaggedbalbumin
Howbdoesbabbronchogrambworkbandbwhatbisbitbusedbfor?b-bcorrectbanswer-
Dyebisbinjectedbintobthebtracheobronchialbtreebtobidentifybobstructingblesionsb(tumors)band/orbbronchiecta
sis.