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Lindsey Jones TMC Questions And Answers

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Lindsey Jones TMC Questions And Answers A 70-kg (154-lb) female patient is receiving mechanical ventilation on the following settings: Mode assist/control Mandatory rate 14 Total rate 14 VT 500 mL FIO2 0.55 PEEP 12 cmH2O Arterial blood gases reveal

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  • October 26, 2024
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Lindsey Jones TMC Questions And Answers

A 70-kg (154-lb) female patient is receiving mechanical ventilation on the following settings:




Mode assist/control

Mandatory rate 14

Total rate 14

VT 500 mL

FIO2 0.55

PEEP 12 cmH2O

Arterial blood gases reveal




pH 7.49

PaCO2 32 mmHg

PaO2 109 mmHg

HCO3- 24 mEq/L

BE 0 mEq/L

The respiratory therapist should

, Lindsey Jones TMC Questions And Answers
A. increase mandatory rate

B. decrease PEEP

C. decrease FIO2


D. decrease mandatory rate B. decrease PEEP




Prior to obtaining an MEP value with a pressure manometer, the respiratory therapist notes the

needle is pointing at a positive pressure of -4 cmH2O prior to the maneuver. During the MEP

maneuver, the needle reaches 32 cmH2O. The therapist should




A. record and MEP of -28 cmH2O

B. record an MEP of 36 cmH2O

C. record an MEP of 28 cmH2O


D. report the problem to the medical director B. record an MEP of 36 cmH2O




Which of the following is the most significant complication of bronchoscopy?




A. coughing

B. vagal nerve stimulation

C. laryngospasms

, Lindsey Jones TMC Questions And Answers
D. hypotension C. laryngospasms




A patient has the following input/output history and other clinical information:




Yesterday Today

IN 1900 cc 1600 cc

OUT 2200 cc 1900 cc

C.O. 5.1 L/min 3.8 L/min

BP 110/80 mm Hg 110/80 mm Hg

CVP 5 mm Hg 5 mm Hg




These data would result in which of the following?




A. increase in PCWP

B. increase in PAP

, Lindsey Jones TMC Questions And Answers
C. decrease in PVR


D. increase in SVR D. increase in SVR




This question is tricky. The first observation one must make is that the patient is putting out more

fluid than he is taking in. This will result in dehydration and a decrease in all hemodynamic

values including cardiac output. If cardiac output is decreased, systemic vascular resistance will

increase. One must know the formula for systemic vascular resistance in order to understand this.

Systemic vascular resistance is determined by subtracting CVP from MAP and dividing it by

cardiac output. If cardiac output is decreased then the final SVR number will increase.




Which of the following would result in an increase in pulmonary capillary wedge pressure?




A. decrease in pulmonary vascular resistance (PVR)

B. mitral valve stenosis

C. dehydration


D. cor pulmonale B. mitral valve stenosis




During a difficult intubation, the emergency room physician requests an endotracheal tube that is

smaller than recommended for the patient's height and ideal body weight. As a result, the

respiratory therapist should anticipate

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