New Quiz 09 Nov Welcome to your Respiratory Therapy Name: Email: [For which of the following patients would application of noninvasive positive pressure ventilation (NPPV) likely be most difficult?] A patient with acute exacerbation of COPD A patient with Duchenne muscular dystrophy A patient copious secretions requiring suctioning A patient with cardiogenic pulmonary edema None . [A Patient has been anesthetized using nitrous oxide as primary means of induction. When the patient’s procedure is completed the anesthesiologist emerges the patient from the anesthetic state. During the emergence the anesthesiologist forgot to provide the patient with supplemental oxygen. The patient experienced a significant drop in their SpO2. What term is used to describe this circumstance] Refractory hypoxia Infusion hypoxia Diffusion hypoxia None of the above None . [Your patient requires a dose of adenosine for confirmed supraventricular tachycardia (SVT). His only line is a peripheral intravenous line in the right arm. How should you proceed?] Slowly administer the dose over 30 seconds. Administer the dose quickly, and then immediately follow with a saline flush. Hold the patient’s right arm in an upright position while administering the dose. Both b) and c). None . [Dilation and effacement of the cervix occurs during] Durign stage 3 of labour 1stphase of the 2ndstage of labour In the 1st20 minutes of labor During the first stage of labor None . [A physician orders postural drainage for a patient with an abscess in the right middle lobe. Which of the following positions would you select for this patient?] head down, patient prone with a pillow under her abdomen head down, patient supine with a pillow under her knees head down, patient half-rotated to left, right lung up head down, patient half-rotated to right, left lung up None . [In a healthy individual, the functional residual capacity is expected to be what percentage of total lung capacity?] 10% 20% 40% 50% 60% 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 . [To calibrate a portable bedside spirometer you need which of the following equipment?] a U-tube water column manometer a mechanical (vane-type) respirometer a large volume (3 L) calibration syringe a precision calibrated flowmeter None . [Which of the following is/are the major characteristic of increased alveolar dead=space] Minute ventilation out of proportion to PaCO2 Decreased WOB Hyperoxemia FiO2 >0.50 and PaO2 <50 mmHg A and C only None . [Whole brain death indicates] Higher brain death The patient will not have spinal reflexes Higher and lower brain death The patient has a small chance of recovery None . [Which of the following device would you select for a three hour inter-hospital transport of a patient requiring volume control A/C ventilation with PEEP?] bag-valve resuscitator with PEEP valve electrically-powered transport ventilator full-function ICU ventilator with graphics pneumatically-powered transport ventilator None . [You are also to provide Jane with information on the Salbutamol that Dr. has prescribed. Review the following statements and select which statement(s) you would discuss with Jane.] Effects will last from 3 – 6 hours. Peak effect will be felt in 15 – 60 minutes. Side effects may include ↑HR, nervousness and irritability. The medication will help to control Jane’s nocturnal symptoms. A,B and C are correct None . [Severe facial trauma is an absolute contradiction to] Insertion of nasal pharyngeal airway nsertion of nasogastric tube Suctioning oropharynx A and B A, B, and C None . [Which muscle relaxant is characterized by its quick onset of action, intermediate duration of action (up to 45 min), and a loading dose of 0.3-0.5mg/kg] Succ D-tubo Pan Rocuronium None . [Which of the following is the indica!on for Omalizumab?] Moderate to severe asthma not well controlled with maximized conven!onal therapy Moderate to severe asthma with allergic components, poorly controlled with minimal conven!onal therapy Moderate to severe asthma with allergic components, poorly controlled with maximized conven!onal therapy Moderate to severe asthma with allergic components, well controlled with maximized onven!onal therapy None . [Which of the following drugs have both inotropic and vasodilatory properties?] Milrinone Vasopressin Epinephrine High dose Dopamine None . [Which of the following is FALSEregarding a closed circuit:] Total rebreathing of exhaled gases Predictable concentrations of anesthetic gases Economical Maximum arming and humidification of inhaled gases None . [It is determined that there is no reversal agent for the sleeping pills and that the patient will need ventilatory support until the effects wear off. You are assembling and checking the appropriate equipment when you notice the self-inflating resuscitator is too slow to re-inflate when activated it in its intended way. Which of the following best explains the problem?] The gas flow to the device is set too low The reservoir bag is completely collapsed. The safety oxygen outlet valve is not opening sufficiently. The safety air inlet valve is not opening sufficiently. The duck bill valve is missing. 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 . [A premature infant score 10 on the PIPP. This indicates ] The infant should be wrapped for comfort Fentanyl IV should be started Tylenol should be administered Infant has minimial pain None . Time's up
