TMC practice question s

Question 1

When the RT should report to the Physician when the patient in on pain?

Answer 1

When on the scale from 0-10 the repient report more than 4, the RT should report it to the Physician.

Question 2

Sensation of uncomfortable breathing when lying down, which is typically releave it when sitting or standing up?

Answer 2

Orthopnea

Question 3

Most common method to quantify patient Dyspnea is?

Answer 3

The Borge Scale

Question 4

Sputum production more than 30mL per day will indicate the need for?

Answer 4

Airway clerance

Question 5

A patient has been smoking 1.5 pack per day for the last 20 years. How many packs does he smoked?

Answer 5

1.5 x 20 = 30 packs per year

Question 6

• Indicate low Sao₂ associated whith poor oxygenation of the blood by the lungs.
• Usually evident as bluish tint of the mucus membrane of the lips and mouth.
• With normal Hb content, genarilly first appears when Sao₂ drops bellow 80% (Pao₂ 45-50 torr)

All these indicate indicate central or Peripheral Cyanosis?

Answer 6

Central Cyanosis

Question 7

• Due to poor blood Flow
• Tent to appear only on the extremities
• Can occur with normal SaO₂ saturation

All these is more consistent with Central or Peripheral Cyanosis?

Answer 7

Peripheral Cyanosis

Question 8

Neck circunference > 43 cm (17 in) will have potential inplication on:

Answer 8

OSA = Obstructive Sleep Apnea

Question 9

What type of patient can be severely hypoxic before cyanosis ever appears?

Answer 9

Anemic patients

Question 10

When you suction a patient typically evaluat?

Answer 10

• Volume (mL, tea spoon)
• Color (pink, red, yellow, green)
• Consistency (thin/watery, frothy or thick/viscous)
• Odor

Question 11

Apgar Score 7-10 is considred?

Answer 11

Normal

Question 12

Apgar Score 4-6 is considered?

Answer 12

Abnormal, this babies will need intensive support.

Question 13

Apgar Score 0-3 is considred?

Answer 13

Abnormal, This babies usuallu undergo resucitation.

Question 14

Normal gestation last ?

Answer 14

38-42 weeks

Question 15

After Birth, clinitians use what method to determine gestational age?

Answer 15

Dubowitz and Ballard

Question 16

What is the technique used to detect pnemothoraces in infants?

Answer 16

Transillumination (uses high -intensity fiber-optic light applied to the chest wall)

Question 17

Acessory muscles used during Inspiration include:

Answer 17

• Sternocleidomastoid
• Scalenes
• Upper trapezius
• Pectoralis major

Question 18

Increased muscles activity at rest is most common on patients with:

Answer 18

• Emphysema patients
• IWB patients
• Impaired Diaphragm function

Question 19

Bilateral reduction on chest expantion are seen in:

Answer 19

• COPD patients
• Neuromuscular Disorders

Question 20

Unilateral chest movent occur on patients with:

Answer 20

• Lobar Pnemonia
• Atelectasis
• Pleural effusion
• Pneumothorax
• unilateral phrenic nerve paralysis.

Question 21

What is Crepitus?

Answer 21

Is the sensation of crackles when we palpate a tissue with Subcutaneous Emphysema

Question 22

If you are assesing the patient and you detect crepitus (subcutaneous emphysema), what alse you should assess for?

Answer 22

Pneumothorax, if the patient has subcutaneous emphysema this always come in conjuction with Pneumothorax, that’s why when you detect crepitus, most physicians order an X-ray to confirm pneumothorax.

Question 23

Percusion over normal air filled lung tissue produces waht kind of sound?

Answer 23

A moderate low pitched sound

Question 24

A hollow/loud and low pitched percussion is typically indicating:

Answer 24

1. Hyperinflation (COPD, acute asthma)
2. Pneumothorax

Question 25

A dull/flat percussion note is observed on patients with:

Answer 25

increased tissue density: * Pneumonia * Atelectasis * Lung Tumors

Question 26

Regarding to breath sounds, whe you hear a normal sound on a diferent location this is consired?

Answer 26

Abnormal sound

Question 27

On the X-ray increased whiteness or radiooacity indicate:

Answer 27

High density, such as bone or consolidated tissue.

Question 28

Darkness or radiolucency on a X-ray indicate?

Answer 28

Low density matter, such air

Question 29

In collapsed/Atelectasis areas trachea will shift to:

Answer 29

**Toward affected areas**, now it will move away on pneumothoraces, large effusion and tumors.

Question 30

On AP radiograph, the heart increases \>50%, this is consider:

Answer 30

Cardiomegaly

Question 31

What X-ray position is the more common method to confirm right placement of an endotracheal tube or tracheoctomy tube?

Answer 31

AP X-ray, ideally the tube should be 4-6 cm above the carina

Question 32

What is the most common causes of airway obstruction in children are?

Answer 32

Aspirated forein bodies and infections.

Question 33

Most common upper airway infection in pediatric are:

Answer 33

Croup and Epiglotitis

Question 34

A patient admitted to the emergency department with a suspected cervical spine injury requires emergency intubation. Which of the following methods would you recommend for this patient?

Answer 34

. use a fiberoptic laryngoscope