Welcome to your Respiratory Therapy Name: Email: [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 . [For continuous monitoring of a patient's oxygen saturation with a pulse oximeter, which of the following LOW alarm limits would be appropriate?] 79-81% 85-87% 92-94% 97-99% None . [Which of the following is true about FVC] Close to VC Reduced with obstructive lung disease FVC is the volume of gas exhaled from total lung capacity to RV as forcefully and rapidly as the patient is able. In normal individuals, it should be the same as the volume measured during a forced All of the above None . [A patient is admitted with obstructive lung disease. Which of the following would be most helpful in order to distinguish between asthma and emphysema as a diagnosis for this patient?] Arterial blood gas analysis Maximal voluntary ventilation Sputum culture and sensitivity testing Spirometry before and after a bronchodilator None . [Indications for a methacholine challenge test?] Evaluation of emphysema Evaluation of occupational asthma Evaluation of interstitial lung disease Exclude the diagnosis of asthma b) and d) are correct None . [To periodically confirm the validity of blood gas analyzer or hemoximeter results, you would perform:] internal statistical quality control instrument performance validation regular preventive maintenance control media calibration verification None . [An adult patient is receiving 100% O2 via a high flow nasal cannula set to 15 L/min. A persistent high temperature alarms has been occurring over the last several minutes, which you cannot correct. Which of the following actions would be appropriate?] turn the heated humidifier and its alarm system off D/C the device and switch to a nonrebreathing mask at 15 L/min add cold water to the humidifier reservoir and reset the alarm D/C the device and switch to a standard cannula at 15 L/min None . [The only medical indication for the use of helium/oxygen mixtures is in the management of:] small airway obstruction restrictive diseases large airway obstruction diffusion defects None . [Which of the following is being measured if you instruct a patient to take a maximum deep breath and then exhale completely?] inspiratory force vital capacity (VC) total lung capacity (TLC) residual volume (RV) None . [You observe the following graphics display on a patient receiving volume controlled A/C ventilation. The most significant problem is:] a leak in the patient-ventilator system inadequate inspiratory flow setting improper sensitivity setting presence of auto-PEEP/air-trapping None . [When inspecting the X-ray of an out-patient with nephrotic syndrome, you note a homogeneous area of increased density that obscures the left costophrenic angle. Which of the following is the most likely problem?] pleural effusion bacterial pneumonia pulmonary edema atelectasis None . [common agent used in local anesthesia is] Propofol Lidocaine Ketamine Midazolam None . [A physician orders an FIO2 of 0.50 for a premature infant in an Isolette. To deliver the prescribed FIO2, you should select:] a nonrebreathing mask at 5 L/min an oxygen hood with blender an infant nasal cannula at 1 L/min a simple mask at 6 L/min None . [Due to her patient's minimal response to the standard prescription for an aerosolized bronchodilator, a doctor asks your advice on how best to adjust the dosage. You would recommend:] peak expiratory flow rate monitoring helium dilution functional residual capacity carbon monoxide diffusing capacity pre/post bronchodilator spirometry None . [A patient admitted to the Emergency Department is suspected of having suffered airway injury due to inhalation of toxic fumes. To determine the location and extent of potential injury you would recommend which of the following procedures?] V/Q scan chest X-ray blood gas analysis bronchoscopy None . [Intraoperatively the bispectral index monitor reads 70, what action should you take?] Increase the concentration of the anesthetic agent Decrease the concentration of the anesthetic agent Administer additional muscle relaxant The surgery must be stopped based on this value None . [In which of the following patients would RSI be recommended?] Patient scheduled for CABG surgery Patient undergoing surgery for a perforated bowel Patient with a BMI of 24 80 year ols male with rheumatoid arthritis None . [When preparing to replace a prefilled sterile disposable water reservoir on a mechanically ventilated patient's heated humidifier, you note that the water in the new bottle is milky in appearance. You should:] send a sample to the lab for culture use if expiration date has not passed obtain a new replacement bottle switch the patient to an HME None . [Fetal Hemoglobin is _________ shift, demonstrating an __________ affinity for oxygen] Left, increased Right, decreased Left, decreased Rght, increased None . [You are providing BiPAP with 100% O2 to a 55-year-old female admitted to the ED with signs and symptoms of acute pulmonary edema. Which of the following laboratory tests would you recommend to help the doctor determine whether or not the patient is suffering from congestive heart failure?] total cholesterol serum electrolytes B-type natriuretic peptide blood urea nitrogen None . Time's up
