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 . [Which of the following is the preferred delivery method for cromolyn sodium to young children?] MDI with mask small volume nebulizer MDI with holding chamber dry powder inhaler None . [A patient has a minute volume of 8.25 L/min and is breathing at a rate of 22 breaths/min. What is his average tidal volume?] 182 mL 375 mL 275 mL 435 mL None . [As an RRT on the Outreach Team, which of the following would you NOT do without a Physician’s order] Meet a patient’s increasing oxygen requirements by starting optiflow Intubate a patient Start chest compressions on pulseless patient Puncture an obtunded patient for an ABG None . [A young man presents to ER in Red Deer (667 mmHg) with neck trauma after bike crash. Given O2 via mask (FiO2 0.8). Initial ABG: 7.32/54/ A-a DO2?] 388 348 362 484 None . [A patient receiving 30% O2 has a PaO2 of 66 torr and PaCO2 of 32 torr. Which of the following best describes this patient’s oxygenation status?] A mild disturbance of oxygenation consistent with hypoventilation A mild disturbance of oxygenation consistent with a V/Q imbalance A moderate disturbance of oxygenation consistent with acute lung injury A severe disturbance of oxygenation consistent with ARDS None . [A comprehensive environmental history needs to include information on:] the jobs of all household members home/apartment temperature settings commuting distance to/from work approximate hours per day spent on feet 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 . [Which of the following would not be kept on a difficult airway cart?] LMA classic Bougie McCoy blade Chest tube insertion tray None . [A patient under your care has X-ray and clinical evidence of severe unilateral right lung infiltrates. His PO2 on a non-rebreathing mask is 49 torr. The attending physician asks your advice as to how best to improve this patient's oxygenation without committing to ventilatory support. Which of the following would you recommend?] place the patient on his left side (left lung down) place the patient on his right side (right lung down) turn the patient from the supine to prone position institute a regimen of inspiratory resistive breathing None . [In which Goals of Care designation would surgery never be considered] C1 M1 M2 C2 None . [It is determined the patient has a refractory hypoxemia, which of the following would be the course of action at this time] Increase FiO2 Increase RR Increase the tidal volume Increase the PEEP None . [Patients can control a flutter valve's pressure by changing:] the weight of the ball their inspiratory flow the angle of the device the expired volume 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 . [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 . [When running an arterial blood gas on a point-of-care analyzer, you receive a calibration error message. You should:] repeat the analysis using a fresh sample and the same cartridge repeat analysis using a fresh sample and new cartridge send the sample to the central laboratory for analysis repeat the analysis using the same sample and same cartridge None . [Which of the following factors decreases MAC?] Hyperthermia Hypothermia Young age Acute amphetamine intoxication None . [A patient with paradoxical chest wall movement most likely has:] atopic asthma chronic bronchitis flail chest tension pneumothorax None . [Which of the following positions would you use to position a patient for orotracheal intubation?] neck hyperextended head extension with neck flexion head hyperextended head flexion with neck extension None . [Five minutes after elevating the pressure to 20 cm H2O during a CPAP titration study, a patient still exhibits obstructive respiratory events and some periods of central sleep apnea. What should be the next step in conducting this study?] Stop the study and recommend alternative therapy for the sleep disorder Increase the CPAP pressure to 22 cm H2O for 5 minutes and continuing observing Begin titrating with BiPAP up to a maximum IPAP-EPAP = 10 cm H2O Maintain 20 cm H2O CPAP for an additional 10 minutes and continuing observing None . Time's up
