Respiratory Therapy 09 Nov Welcome to your Respiratory Therapy Name: Email: [What question does ethics try to answer] Who is right What treatment is best Who benefits the most How should we act None . [Which of the following airway management techniques can help decrease the incidence of ventilator-acquired pneumonia (VAP)?] aspirating subglottic secretions using the nasal route for intubation inflating the ET tube cuff to 35 cm H2O using an uncuffed endotracheal tube None . [Toward the end of a multi breath Nitrogen Washout test, the expired N2 concentration begins rising. What is the most likely cause?] The patient is trying too hard. There is a leak in the system. The test is nearing completion. The apices are starting to empty. 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 (1-3 L) calibration syringe a precision calibrated flowmeter None . [A baby is born and placed on the radiant warmer. You immediately note no crying, limp tone, and gasping respirations. Your first action should be to:] Dry and stimulate the baby Provide PPV Perform intubation Provide O2 therapy 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 . [Which of the following is an ancillary test that is used in Neurological Determination of Death] Perfusion Scan Caloric Test Apnea Test Pharyngeal Reflex None . [The normal range for the pulmonary artery wedge pressure (PAWP) as measured via the distal port of a pulmonary artery (Swan-Ganz) catheter is:] 20 - 30 mm Hg 6 - 12 mm Hg 10 - 20 mm Hg 2 - 6 mm Hg None . [One of the theories of volatile agent action is that there is a liquefaction of some cell membrane lipids leading to ion channel blockage. It is called:] Oscar meyer effect Membrane fluidization Lock and key model Potentiation of inhibitory neurotransmitters None . [Which of the following is an indication for an oropharyngeal airway?] prevention of upper airway obstruction in an unconscious patient prevention of aspiration in an unconscious patient improvement of suctioning of the trachea improvement of air flow in a conscious patient None . [An 8-hour-old, 28-week gestational age neonate is being maintained in an oxygen hood with an FIO2 of 0.65. The neonatologist believes that the patient has infant respiratory distress syndrome (IRDS). Based on the following results, what should you recommend?  pH      7.36 PaCO2    44 torr HCO3     24 mEq/L BE      0 mEq/L PaO2      46 torr] increasing the O2 hood concentration to 80% beginning inhaled nitric oxide (INO) therapy administering pulmonary surfactant starting high-frequency ventilation None . [Single most important factor determining the speed of anesthetic induction and recovery using volatile agents is] Solubility of the agent in blood Mean alveolar concentration Minimal flow rates Proportion of skeletal muscle tissue to adipose tissue in body composition None . [Based on his initial presentation, what type of lung disease is predominate in this patient?] Restrictive lung disease due to suspected pneumonia Obstructive lung disease due to apparent pneumonia Infectious lung disease due to apparent pneumonia Obstructive lung disease secondary to cigarette smoking Restrictive lung disease secondary to cigarette smoking None . [During an IPPB treatment, the machine fails to cycle off. Which of the following actions could you take to correct this problem?] increase the pressure setting replace the IPPB unit/re-attach the breathing circuit check the circuit/all connections for leaks and correct decrease the available inspiratory flow None . [In which Goals of Care designation would surgery never be considered] C1 M1 M2 C2 None . [The patient SOB is increasing, her RR is 32 with accessory much use, and she has ++ JVD. On auscultation you hear coarse crackles throughout. Her CXR shows an enlarged heart with bilateral white fluffy infiltrates. Base on this which of the following would you expect] Decreased CVP, Decrease PAP, decreased PAWP Decreased CVP, decreased PAP, Decreased PAWP Increased CVP, Increased PAP, Decreased PAWP Increased CVP, Increased PAP, Increased PAWP None . [Mrs. Jones has blood work and a chest X-Ray completed. You note that there appears to be a blurring of the right heart border. This is indicative of:] An infiltrate in contact with the pleura on the right side An infiltrate in the right middle lobe An infiltrate in the right lower lobe Compressive atelectasis None . [When setting up a 12-lead ECG on a patient, you cannot obtain any electrical signal. The batteries are fully charged and the device passed its power-on self-test. Which of the following is the most likely cause of this problem?] a missing lead motion artifact improper filtering a corroded connector None . [The most common bulk oxygen system is the cryogenic vessel. This type of system contains liquid oxygen that can be converted to vapour. To store oxygen as a liquid, it must be kept below its ________.] Meling point Critcal temperature Latent heat temperature None of the above None . [After three minutes of peak activity during an oxygen titration test, a patient's SpO2 drops from 90% to 87%. Which of the following actions is indicated?] continue the test for another three minutes at the same liter flow increment the O2 flow by 1 liter per minute and continue the test immediately terminate the test and assess the patient's vital signs increment the O2 flow by 1 liter per minute and terminate the test None . Time's up
