Practice TMC

A patient's sputum specimen is purulent green in appearance, has separated into layers and has a foul odor. Which of the following is the most likely causing the patient to produce this type of sputum?

A) bronchiectasis
B) tuberculosis
C) aspiration
D) emphysema

A patient in the ICU complains of light headedness, nausea and chest pain. THe patient is diaphoretic and has a BP of 90/60. The therapist observes the following ECG pattern. The therapist should recommend:

A) epinephrine
B) defibrillation
C) lidocaine (xylocaine)
D) cardioversion

A patient with Guillain-Barre syndrome has a vital capacity of 625 mL. A respiratory therapist should recommend which of the following be performed FIRST?
A. MIP evaluation
B. edrophonium chloride (Tensilon) test
C. MVV test
D. EMG and nerve conduction study

Which of the following bedside pulmonary function testing results for a patient with multiple sclerosis most strongly indicates the need for ventilatory assistance?
A. 5% decrease in peak expiratory flow
B. FEV1/FVC of 85%
C. MIP of -23 cm H2O
D. Vital Capacity of 5 mL/kg

The following patient pulmonary function results obtained:
Vital capacity  3.6L
FRC:              6.0 L
ERV               1.0 L
What is the patient's TLC (L)?
A. 6.0
B. 7.0
C. 8.6
D. 9.6

A 62 year old patient with a history of COPD becomes hypotensive following a drug overdose. Following intubation, VC, A/C ventilation should be initiated with which of the following oxygen concentrations?
A. 0.21
B. 0.50
C. 0.70
D. 1.0

A patient has been receiving VC ventilation for 24 hours. A respiratory therapist is called to the bedside because the high pressure alarm is sounding with each breath. Which of the following should the therapist do FIRST?
A. Change to PC ventilation
B. Withdraw the endotracheal tube 4 cm.
C. Manually ventilate the patient
D. Increase the high pressure alarm limit.