Welcome to your Respiratory Therapy Name: Email: [During ventilation of a child with a bag-valve resuscitator, the pressure relief valve/pop-off continually activates. Which of the following should be your first action?] Switch to gas-powered resuscitator Bypass the pressure relief valve Squeeze the bag more slowly Lower the PEEP valve level None . [Which of the following is a contraindication to hyperbaric therapy?] Cleft palate Pleural effusion Pneumothorax Restrictive lung disease None . [A newborn that is born at term, has no meconium in the amniotic fluid or on the skin, is breathing well, and has good muscle tone________________ need resuscitation.] Does Does Not 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 . [To verify that a patient or her family can properly set-up and operate a pulse oximeter for overnight trend recording, you would:] provide simple step-by-step written instructions for the patient and patient's family demonstrate proper set-up and operation of the sensor and oximeter on the patient require a return demonstration to verify proper use of the equipment provide a phone number where the patient can immediately get needed help None . [A fetal heart rate that drops from baseline between 150-140 bpm at the beginning of a contraction and returns to 143 bpm as the contraction ends would be consistent with] A variable deceleration Tight nuchal cord Decreased placental perfusion Benign and normal fetal outcomes None . [Which medication has a loading dose of 1.5 - 2.5 mg/kg and has anti emetic properties?] Thiopental Midazolam Propofol Succinylcholine None . [After an intubated patient successfully completes a 90 minute trial of spontaneous breathing on a ventilator (CPAP with pressure support), the attending doctor requests that he be extubated. Which of the following would you want to confirm before agreeing to remove the patient's ET tube?] That the likelihood of aspiration is minimal: No; That the risk of upper airway obstruction is low: No; That secretion clearance can be assured: Yes That the likelihood of aspiration is minimal: Yes; That the risk of upper airway obstruction is low: No; That secretion clearance can be assured: Yes That the likelihood of aspiration is minimal: Yes; That the risk of upper airway obstruction is low: Yes; That secretion clearance can be assured: Yes That the likelihood of aspiration is minimal: No; That the risk of upper airway obstruction is low: Yes; That secretion clearance can be assured: Yes None . [Following prescribed daily quality control procedures in your blood gas lab, you run a control solution through the blood gas analyzer. You note that two successively PCO2 readings fall outside the acceptable range. Which of the following actions is appropriate at this time?] Report results after compensating for the deviation Replace the PCO2 electrode and recalibrate the analyzer Analyze another control solution for comparison Perform a two-point calibration and rerun the control None . [A patient with a suspected anoxic brain injury due to prolonged CPR is taken for a CT head immediately after ROSC (Return of Spontaneous Circulation). Which of the following is the CT most likely to show] Abnormalities that confirm loss of brain stem function Normal Scan  Midline shift Intracranial Hemorrhage None . [The administration of what drug is most appropriate to thin secretions and help in the removal of a mucous plug?] albuterol ipratropium bromide acetylcysteine racemic epinephrine None . [Which of the following represents the proper sequence for use of an airway exchange catheter (AEC) for exchanging a patient's ET tube?] extubate patient > introduce AEC into pharynx > thread new tube over AEC > remove AEC insert AEC inside old ET tube > remove old tube > thread new tube over AEC > remove AEC insert AEC next to old ET tube > remove old tube > thread new tube over AEC > remove AEC extubate patient > insert AEC inside new ET tube > intubate with new ET tube > remove AEC None . [How long should it take to complete on circuit of the NRP algorithm? (from birth to administration of first dose of epinephrine?] 30 sec 60 sec 90 sec 120 sec 150 sec None . [In which Goals of Care designation would surgery never be considered] C1 M1 M2 C2 None . [Which of the following is added to a local anesthetic to prolong its duration of action and reduce bleeding] Epinephrine Phenylephrine Ephedrine Atropine None . [You have a liquid system and a patient that requires a flow of 4 LPM. The liquid oxygen unit weighs 4100g. How long does the patient have for their oxygen usage?] Approximately 8.3 hours Approximately 9.5 hours Approximately 11 hours Approximately 13.3 hours None of the above None . [Exercise training in patients wiht COPD improves:] Exercise capacity Psychologic state Pulmonary function A and B All of the above None . [If a newborn is still not breathing after a few seconds of stimulation. The next action should be to administer__________] Additional stimulation Positive Pressure ventilation Compressions Only b and c All of the above None . [If a newborn has meconium stained amniotic fluid and has been vigorous since delivery you should?] Suction mouth and trachea Clear mouth and nose of secretions Dry, stimulate and reposition Both b and c None . [Which of the following arterial blood gas results would be most representative of a patient who has advanced, but stable, COPD breathing room air? pH       PaCO2    PaO2​                    torr       torr A       7.37       41        55 B       7.38       59       56 C       7.41        45       79 D       7.50       56       57] A B C D None . Time's up
