Welcome to your Respiratory Therapy Name: Email: [Obstructive sleep apnea is defined as:] a decrease in breathing greater than 50% that causes desaturation at least 10 seconds of no airflow with increasing respiratory effort increasing respiratory effort that leads to an arousal from sleep at least 10 seconds of no airflow without respiratory effort None . [In a dual-limb or 'Y' circuit, you will increase mechanical deadspace if you place any additional tubing between:] the heated humidifier and the 'Y' connector the 'Y' connector and expiratory valve the ventilator outlet and expiratory valve the 'Y' connector and the patient's airway None . [Assuming all else being equal, which of the following BiPAP settings would result in the greatest increase in FRC?] EPAP = 5 cm H2O; IPAP = 15 cm H2O EPAP = 10 cm H2O; IPAP = 20 cm H2O EPAP = 5 cm H2O; IPAP = 25 cm H2O EPAP = 15 cm H2O; IPAP = 30 cm H2O None . [Which of these best describes the condition of “polyhydramnios”] A large for gestational age fetus A large amount of amniotic fluid in the amniotic sac Too much fetal fluid More than one fetus None . [Which of the following measurements done before and after treatment would best determine the effectiveness of an aerosolized albuterol (Proventil) administered to an asthmatic patient?] arterial blood gas analysis maximum inspiratory pressure (MIP) forced expiratory volume (FEV) vital capacity None . [A neonate is being managed immediately post-delivery. They are receiving ventilaion by mask with a good technique and are not improving after 2 min. The mask seal is verified yet the heart rate remains 85 bpm and there is poor chest movement. The next action should be:] Perform endotracheal intubation Perform chest compressions Give epinephrine All the above None . [You set up a drythoracic drainage unit. How much water will you put into the suction control chamber?] None Fill it to 2 cm Fill it to the 20 cm mark Start at 10 cm and slowly None . [When comparing the anatomy of a neonate to an adult] A neonates tongue size is proportionally larger than an adults Adults have twice the body surface are/body size ration The diaphragm rests in a lower position in a neonate A neonate trachea is less compliant than an adult None . [Pursed lip breathing when done properly, may result in which of the following] Equal pressure point moves down to smaller airways-Will move to the larger airways Decreased early airway collapse Increase expiratory flow rates-We are adding an obstruction to the flow B and C None . [In which chamber of a three-chamber pleural drainage system would you expect to see fluctuations of the fluid level with each breath?] collection chamber water seal chamber suction control chamber all three chambers None . [A physician requests transcutaneous blood gas monitoring on a premature infant in the NICU. Which of the following conditions would cause you to recommend against using this device to monitor this patient?] hemodynamic instability congenital heart disease respiratory distress syndrome meconium aspiration None . [The Outreach Team is called to assess a patient. They categorize the call as level one. What does this mean?] A code blue should be activated This category indicates the call is non-acute he Intensivist must be notified Only the MRHP (most responsible health practitioner) needs to be called None . [At what level should the diaphragm be to verify a good inspiration on an AP chest radiograph?] 6-7th posterior ribs 8-9th posterior ribs 10-11th posterior ribs 12th posterior rib None . [Muscle pain is associated with the administration of:] Nondepolarizing paralytic Depolarizing paralytic Benzo Dissociative anesthetic lidocaine None . [Which of the following does not cause an increase in measured pcwp?] Hypervolemia Left ventricular failure Mitral stenosis 3rd spacing None . [A patient in shock exhibits the following cardiovascular measures: a DECREASE in pulmonary artery pressure, an INCREASE in systemic vascular resistance, and a DECREASE in cardiac output. Given these data, the most likely type of shock is:] anaphylactic shock neurogenic shock hyperdynamic septic shock hypovolemic shock None . [Rate and amount of IV drug uptake is proportional to] Tissue temp Tissue mass hematocrit Gas solubility None . [In a dual-limb ventilatory breathing circuit, the proper position for placing a heat and moisture exchanger (HME) is:] in the inspiratory limb, between the ventilator outlet and the 'Y' connector distal to the ventilator's expiratory flow and pressure sensors in the expiratory limb, between the 'Y' connector and ventilator inlet between the 'Y' connector and the patient's airway None . [A chest x-ray is obtained and the tip of the ETT is resting at the fourth rib. Which of the following action should be taken ] The tube should be advanced 2 cm The tube should be advanced until equal breath sounds are heard The tube should remain at this level The tube should be withdrawn 3 cm None . [In a dual-limb or 'wye' circuit, you will increase mechanical deadspace if you place any additional tubing between:] the heated humidifier and the 'wye' connector the 'wye' connector and expiratory valve the ventilator outlet and expiratory valve the 'wye' connector and the patient's airway None . Time's up
