Cardiopulmonary Anatomy and Physiology Mock Exam - 3410 Verified Questions

Page 1


Cardiopulmonary Anatomy and Physiology

Mock Exam

Course Introduction

Cardiopulmonary Anatomy and Physiology explores the structural and functional aspects of the heart, lungs, and associated systems involved in oxygen transport and gas exchange. This course examines the detailed anatomy of the cardiac and respiratory systems, cellular and molecular mechanisms of cardiac and pulmonary function, and the integration of these systems in maintaining homeostasis. Students will gain foundational knowledge of cardiovascular and respiratory physiology, including topics such as cardiac cycles, blood flow, pulmonary ventilation, gas transport, and regulation of breathing, providing a critical base for advanced study in health sciences and clinical practice.

Recommended Textbook

Egans Fundamentals of Respiratory Care 9th Edition by Robert M. Kacmarek

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51 Chapters

3410 Verified Questions

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Chapter 1: History of Respiratory Care

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Sample Questions

Q1) In what year did the respiratory care professional organization Inhalational Therapy Association (ITA) change its name to American Association for Respiratory Care (AARC)?

A)1954

B)1966

C)1975

D)1982

Answer: D

Q2) Who discovered oxygen in 1774 and described it as "dephlogisticated air"?

A)Robert Boyle

B)Jacque Charles

C)Thomas Beddoes

D)Joseph Priestley

Answer: D

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Page 3

Chapter 2: Quality and Evidence-Based Respiratory Care

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Sample Questions

Q1) Current JCAHO standards for accreditation emphasize which of the following?

A)continual quality improvement

B)therapist-driven protocols

C)license and registration of health care providers

D)health, welfare, and safety of patients using respiratory care equipment

E)development of continuing education programs for health care providers

Answer: A

Q2) The word "credentialing" in general refers to what?

A)recognition of an individual in the profession

B)licensure by a state or national organization

C)successful completion of entry-level board examination

D)voluntary certification by state agency

E)not used in the field of respiratory care

Answer: A

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4

Chapter 3: Patient Safety, Communication, and Record Keeping

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Sample Questions

Q1) A patient's response to an interview question is initially unclear. Which of the following responses on your part would be most appropriate?

A)"Please go on."

B)"You seem to be anxious."

C)"Please explain that to me again."

D)"Yes, I think I understand."

Answer: C

Q2) Which of the following components of communication is a method used to transmit messages?

A)sender

B)channel

C)receiver

D)feedback

Answer: B

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Page 5

Chapter 4: Principles of Infection Control

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Sample Questions

Q1) About how many people die each year in the United States from hospital-acquired infections (HAIs)?

A)5,000

B)25,000

C)90,000

D)250,000

Q2) What is the most common, efficient, and easiest sterilization method?

A)ETO

B)flash sterilization

C)steam sterilization

D)use of hydrochlorofluorcarbon

Q3) Which of the following is considered the primary source of infection in the health care setting?

A)medical equipment

B)humans

C)food and water

D)carpet

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6

Chapter 5: Ethical and Legal Implications of Practice

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Sample Questions

Q1) A physician specifies an incorrect dose in a prescription for a powerful bronchodilator drug to be given to an asthmatic patient. When the respiratory therapist gives the prescribed dose, the patient suffers a fatal response and dies. Based on the principle of duty, against whom could a suit of negligence be brought?

I.respiratory therapist

II.attending physician

III.dispensing pharmacist

A)I and II

B)II and III

C)I, II, and III

D)I and III

Q2) Before making any ethical decision, one should take which of the following actions?

i.Identify the individuals involved.II.Identify what ethical principle(s) apply.III.Identify who should make the decision.IV.Consider the alternatives.

A)II, III, and IV

B)I, II, III, and IV

C)III and IV

D)II and III

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Chapter 6: Physical Principles of Respiratory Care

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Sample Questions

Q1) What physical principle underlies most fluidic circuitry?

A)Poiseuille's law

B)Bernoulli's principle

C)law of continuity

D)Coanda effect

Q2) Which of the following will occur when a gas undergoes expansion?

IThe pressure of the gas increases.

II.Molecular collisions decrease

III.The gas temperature increases.

A)I and II

B)II and III

C)II

D)I and III

Q3) Which of the following liquids has the lowest surface tension?

A)whole blood

B)ethyl alcohol

C)plasma

D)mercury

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Chapter 7: Computer Applications in Respiratory Care

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Sample Questions

Q1) In what respiratory care protocol has it been shown that use of a handheld computer helped shorten the patient's stay in the intensive care unit?

A)ventilator initiation

B)ventilator weaning

C)high-flow oxygen therapy

D)airway care and intubation

Q2) In what area are computers used to apply quality assurance measures in respiratory care departments?

A)arterial blood gas analyzers

B)oxygen delivery systems

C)interpreting ECGs

D)equipment cleaning and sterilization

Q3) Who is credited with starting the Internet?

A)two geeks in Seattle

B)the U.S. Department of Defense

C)Microsoft

D)IBM

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Chapter 8: The Respiratory System

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Sample Questions

Q1) About how far do the normal adult lungs extend above the clavicles?

A)2 cm

B)3 cm

C)4 cm

D)5 cm

Q2) Which of the following statements describe a normal adult lung?

A)The left lung is bisected by two fissures.

B)The left lung has an upper, a middle, and a lower lobe.

C)The right lung has only an upper and a lower lobe.

D)The right lung has three lobes and two fissures.

Q3) What does the detection of lymphatic channels on standard chest radiographs indicate?

A)abnormally low pressures in the lymphatic channels

B)anastomoses with the pulmonary circulation

C)normal fibrotic changes that occur with aging

D)system that is overwhelmed by excessive fluid

Q4) How would lung perfusion in a "zone 1" area best be described?

A)increased

B)normal or average

C)reduced

Page 10

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Chapter 9: The Cardiovascular System

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Sample Questions

Q1) The branches of the left coronary artery DO NOT supply which area of the heart?

A)majority of the interventricular septum

B)majority of the left ventricle

C)majority of the left atrium

D)sinus node

Q2) Given a stroke volume of 40 ml and an end-diastolic volume (EDV) of 70 ml, what is the patient's ejection fraction (EF)?

A)0.57

B)1.75

C)67

D)2800

Q3) The semilunar valves close when which of the following occurs?

A)The pressures in the arteries exceed those in the ventricles.

B)The pressures in the ventricles and arteries become equal.

C)The pressures in the atria exceed those in the ventricles.

D)The pressures in the ventricles exceed those in the atria.

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Chapter 10: Ventilation

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Sample Questions

Q1) In what portion of the lungs does alveolar dead space normally occur?

A)apices

B)bases

C)middle portions of the lungs

D)terminal respiratory units

Q2) Which of the following pressure gradients is responsible for the actual flow of gas into and out of the lungs during breathing?

A)transcanadian pressure gradient (P<sub>pc</sub> - P<sub>ks</sub>)

B)transpulmonary pressure gradient (P<sub>alv</sub> - P<sub>pl</sub>)

C)transrespiratory pressure gradient (P<sub>alv</sub> - P<sub>ao</sub>)

D)transthoracic pressure gradient (P<sub>pl</sub> - P<sub>bs</sub>)

Q3) A normal 150-lb man is breathing at a rate of 17 with a tidal volume of 450 ml. By estimation, what is his approximate alveolar ventilation?

A)7.65 L/min

B)5.10 L/min

C)3.85 L/min

D)2.60 L/min

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Page 12

Chapter 11: Gas Exchange and Transport

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Sample Questions

Q1) A patient has a whole-body oxygen consumption of 320 ml/min and a measured CaO<sub>2</sub> - C \(\over{V}\) O<sub>2</sub> of 8 ml/dl. What is the cardiac output?

A)3.2 L/min

B)4.0 L/min

C)5.0 L/min

D)7.0 L/min

Q2) If the total hemoglobin content (Hb + HbO<sub>2</sub>) of a sample of blood is 20 g/dl and the oxyhemoglobin (HbO<sub>2</sub>) content is 15 g/dl, what is the HbO<sub>2</sub> saturation?

A)17%

B)50%

C)75%

D)83%

Q3) As the amount of oxygen that dissolves in the plasma increases, what is it directly proportional to?

A)its partial pressure

B)its solubility coefficient

C)minute ventilation

D)temperature

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Chapter 12: Solutions, Body Fluids, and Electrolytes

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Sample Questions

Q1) Hypokalemia disturbs cellular function in ALL but one of the following systems. Which one does it NOT affect?

A)gastrointestinal

B)hepatic

C)neuromuscular

D)renal

Q2) What is a characteristic of an acid?

A)absorbs H<sup>+</sup> ions

B)accepts a proton

C)is a proton donor

D)produces OH<sup>-</sup> ions

Q3) What is hypercalcemia most often associated with?

A)hypoparathyroidism

B)kidney failure

C)pancreatitis

D)trauma

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Chapter 13: Acid-Base Balance

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Sample Questions

Q1) Of what use is the Henderson-Hasselbalch equation for a clinician?

A)It can guide therapeutic decision for critically ill patients.

B)It establishes the baseline values for buffer enhancement treatments.

C)Given H<sub>2</sub>CO<sub>3</sub> and CO<sub>2</sub> values, the pH can be computed.

D)It allows validation of the reported values on a blood gas report.

Q2) [H<sup>+</sup>] can be determined by the use of which factors?

I.HCO<sub>3</sub><sup>-</sup>

II.H<sub>2</sub>CO<sub>3</sub>

III.inorganic phosphorus

IV.PaO<sub>2</sub>

A)I, II, and III

B)II and III

C)IV only

D)I and II

Q3) What is the main compensatory mechanism for metabolic acidosis?

A)excretion of HCO<sub>3</sub><sup>-</sup>

B)hyperventilation

C)hypoventilation

D)retention of CO<sub>2</sub>

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Chapter 14: Regulation of Breathing

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Sample Questions

Q1) Stimulation of the irritant receptors in the lung can result in which of the following?

I.bronchoconstriction

II.coughing

III.narrowing of the glottis

A)I

B)I and III.

C)I, II, and III

D)I and III

Q2) Causes of central neurogenic hyperventilation include which of the following?

I.head trauma

II.inadequate brain blood flow

III.severe brain hypoxia

A)II and III

B)I and II

C)I and III

D)I, II, and III

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Chapter 15: Bedside Assessment of the Patient

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Sample Questions

Q1) What is the technical term for secretions from the tracheobronchial tree that have not been contaminated by the mouth?

A)sputum

B)phlegm

C)mucus

D)pus

Q2) What term is used to describe shortness of breath in the upright position?

A)orthopnea

B)platypnea

C)eupnea

D)apnea

Q3) What is the normal range for systolic blood pressure in the adult patient?

A)90 to 140 mm Hg

B)80 to 100 mm Hg

C)75 to 100 mm Hg

D)60 to 100 mm Hg

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17

Chapter 16: Interpretation of Clinical Laboratory Data

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Sample Questions

Q1) Which of the following is NOT a cause of leukopenia?

A)chemotherapy

B)bone marrow disease

C)radiation therapy

D)antibiotics

Q2) Which of the following statements is NOT true about type 1 and type 2 diabetes?

A)Type 1 often occurs initially in childhood.

B)Type 2 is much more common than type 1.

C)Type 1 is most often due to increased caloric intake.

D)Genetics may play a role in both type 1 and type 2.

Q3) What term is used to describe a potassium concentration that is below normal in the blood serum?

A)hypokalemia

B)hyponatremia

C)hypocalcemia

D)hypochloremia

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18

Chapter 17: Interpreting the Electrocardiogram

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Sample Questions

Q1) What parameter is measured on the vertical axis of the ECG paper?

A)time

B)voltage

C)cardiac contraction rate

D)blood flow

Q2) What condition is often associated with right-axis deviation?

A)cor pulmonale

B)congestive heart failure (CHF)

C)mitral valve prolapse

D)left ventricular hypertrophy

Q3) For which of the following arrhythmias would an electronic pacemaker be indicated?

A)first-degree block

B)sinus tachycardia

C)third-degree block

D)ventricular fibrillation

Q4) An occasional premature ventricular complex (PVC) is not of major concern.

A)True

B)False

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Chapter 18: Analysis and Monitoring of Gas Exchange

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Sample Questions

Q1) When performing a percutaneous needle puncture of the radial artery, you get only a small spurt of blood. Which of the following is the best action at this time?

A)Slowly withdraw the needle until a pulsatile flow fills the syringe.

B)Pull out entirely, use a different angle and then reinsert it.

C)Slowly advance the needle until a pulsatile flow fills the syringe.

D)Repeat the procedure with a fresh blood gas kit.

Q2) Before taking a spot reading with a pulse oximeter, what should you do?

I.Allow sufficient response time.

II.Set the low alarm to 88% to 90%.

III.Confirm adequacy of pulse signal.

A)I and II

B)II and III

C)I and III

D)I, II, and III

Q3) Which blood gas analyzer electrode uses a separate reference electrode?

A)O<sub>2</sub>

B)pH

C)Clark

D)HCO<sub>3</sub><sup>-</sup>

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Page 20

Chapter 19: Pulmonary Function Testing

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Sample Questions

Q1) A patient has a decreased DLCO but a normal DLCO/V<sub>A</sub> ratio. The patient most likely has

A)emphysema

B)pulmonary fibrosis

C)a small lung (low total lung capacity)

D)secondary polycythemia

Q2) Tests of pulmonary mechanics include all of the following except:

A)maximum voluntary ventilation (MVV)

B)functional residual capacity

C)forced expiratory flows (FEFs)

D)forced expiratory volumes (FEVs)

Q3) What is the predicted normal FEV<sub>1</sub> for the average 20-year-old man?

A)3.3 L

B)4.0 L

C)4.7 L

D)5.2 L

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21

Chapter 20: A Review of Thoracic Imaging

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Sample Questions

Q1) In which of the following would loculation of pleural fluid NOT be as likely to occur?

A)empyema

B)exudative fluid

C)hemothorax

D)congestive heart failure

Q2) Which of the following is NOT true regarding the visualization of air bronchograms on the chest film?

A)They indicate fluid in the pleura.

B)They are caused by air-filled airways surrounded by consolidation.

C)They are the hallmark of alveolar consolidation.

D)They signify air space disease.

Q3) Which of the following is LEAST likely to cause pneumomediastinum?

A)chest trauma

B)esophageal rupture

C)thyroid surgery

D)pericarditis

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Chapter 21: Nutrition Assessment

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Sample Questions

Q1) Which of the following statements is NOT true regarding kwashiorkor?

A)occurs with a long-term loss of protein

B)often causes facial and limb edema

C)child often has a pot belly

D)may occur in combination with marasmus

Q2) Which of the following diseases is/are associated with protein-energy malnutrition (PEM)?

I.asthma

II.emphysema

III.cancer

A)I only

B)I and II only

C)II and III only

D)I, II, and III

Q3) Which of the following pieces of equipment is NOT needed to perform indirect calorimetry?

A)oxygen analyzer

B)Tissot spirometer

C)Douglas bag

D)nitrogen analyzer

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Chapter 22: Pulmonary Infections

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Sample Questions

Q1) The chest radiograph is often of little help in the diagnosis of nosocomial pneumonia in mechanically ventilated patients in the ICU because these individuals often have other reasons for radiographic abnormalities.

A)True

B)False

Q2) Which of the following represents an example of atypical community-acquired pneumonia?

A)Haemophilus influenzae

B)Legionella pneumophila

C)Staphylococcus aureus

D)Streptococcus pneumoniae

Q3) In what type of pneumonia is diarrhea a common symptom?

A)cytomegalovirus

B)Klebsiella

C)pneumococcal

D)staphylococcal

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Chapter 23: Obstructive Lung Disease: Copd, Asthma, and Related Diseases

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Q1) Of the following common causes of asthma, which is the least likely to cause exercise-induced asthma?

A)long distance cycling

B)running cross country

C)skiing and snowboarding

D)swimming indoors

Q2) Which of the following signs and symptoms is most closely associated with respiratory failure in a COPD patient?

A)bilateral wheezing

B)changes in mental status

C)dyspnea on exertion

D)excessive sputum production

Q3) What pathophysiologic characteristic of asthma has been most recently emphasized in the description and subsequent treatment of this disease?

A)hyperactivity of the airways

B)hyperinflation of the lung parenchyma

C)inflammation of the airways

D)mucus plugging of the airways

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Chapter 24: Interstitial Lung Disease

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Sample Questions

Q1) What symptoms are most common in the patient with interstitial lung disease?

A)exertional dyspnea and nonproductive cough

B)exertional dyspnea and wheezing

C)nonproductive cough and wheezing

D)productive cough and increased sputum production

Q2) What is the life expectancy of a patient diagnosed with progressive idiopathic pulmonary fibrosis?

A)<2 years

B)<4 years

C)<6 years

D)<7 years

Q3) Patients with simple pneumoconiosis of coal workers are often asymptomatic.

A)True

B)False

Q4) Chest radiographs will show hilar lymphadenopathy in most cases of asbestosis.

A)True

B)False

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Chapter 25: Pleural Diseases

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Sample Questions

Q1) At what point is intrapleural pressure most negative?

A)end exhalation

B)FRC

C)inspiration

D)maximal expiration

Q2) In what age group is a primary spontaneous pneumothorax most commonly seen?

A)under 15 years

B)18 to 25 years

C)35 to 45 years

D)over 60 years

Q3) Most pleural effusions are transudative.

A)True

B)False

Q4) What is a common clinical finding even with small pleural effusions?

A)air bronchograms

B)arrhythmias

C)dyspnea

D)tachycardia

Page 27

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Chapter 26: Pulmonary Vascular Disease

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Sample Questions

Q1) Which of the following conditions predispose a patient to venous thromboembolic disease?

I.carcinoma

II.COPD

III.trauma

IV.thrombocytosis

A)I, II, and III

B)I and IV

C)II only

D)I, III, and IV

Q2) At rest, what level does the mean pulmonary artery pressure need to reach before it is considered pulmonary hypertension?

A)>10 mm Hg

B)>15 mm Hg

C)>20 mm Hg

D)>25 mm Hg

Q3) Most pulmonary infarctions occur in the lung apexes.

A)True

B)False

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Chapter 27: Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

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Q1) Which of the following statements is true about prone-positioning of patients with ARDS?

A)It produces a transient improvement in gas exchange.

B)It dramatically reduces the mortality of patients with ARDS.

C)It does not require experienced staff.

D)It does not improve gas exchange at all.

Q2) The routine use of extracorporeal membrane oxygenation (ECMO) in the treatment of patients with ARDS is not recommended at this time.

A)True B)False

Q3) The mortality rate for patients with acute respiratory distress syndrome (ARDS) has remained stable over the past two decades.

A)True B)False

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Chapter 28: Lung Cancer

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Sample Questions

Q1) Which of the following comments regarding lung cancer is TRUE?

A)The incidence has risen over the past few decades.

B)It is the third leading cause of cancer deaths in the United States.

C)The peak incidence occurred in the mid-1970s.

D)Incidence has increased in women 40 to 58 years of age.

Q2) What minimum size does a lesion in the lung need to be in order to be called a nodule?

A)1 cm

B)2 cm

C)3 cm

D)4 cm

Q3) Which of the following is NOT associated with local tumor growth in the central airways?

A)large airway obstruction

B)cough

C)hemoptysis

D)fine crackles

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Chapter 29: Neuromuscular and Other Diseases of the Chest

Wall

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Sample Questions

Q1) What percentage of amyotrophic lateral sclerosis patients die within 5 years of diagnosis?

A)10%

B)25%

C)50%

D)80%

Q2) Peripheral nerve disorders that cause respiratory muscle dysfunction can be caused by all of the following except:

A)inflammatory processes

B)vascular disorders

C)metabolic imbalances

D)fluid imbalances

Q3) Which of the following is often preceded by a history of upper respiratory or flu-like symptoms?

A)myotonic dystrophy

B)polymyositis

C)Guillain-Barré syndrome

D)amyotrophic lateral sclerosis

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Chapter 30: Disorders of Sleep

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Sample Questions

Q1) How does CPAP improve breathing in the patient with OSA?

A)stimulation of the phrenic nerve

B)pneumatic splinting of the upper airway

C)stimulation of upper airway muscles

D)repositioning of the epiglottis

Q2) Why should the patient with obstructive sleep apnea not use alcohol?

A)Alcohol decreases the arousal threshold.

B)Alcohol increases upper airway muscle tone.

C)Alcohol increases the arousal threshold.

D)Alcohol reduces the cardiovascular compensatory mechanisms.

Q3) Which of the following conditions is not associated with untreated obstructive sleep apnea?

A)systemic hypotension

B)pulmonary hypertension

C)heart failure

D)myocardial infarction

Q4) Oral devices may prove useful for cases of mild OSA.

A)True

B)False

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Chapter 31: Neonatal and Pediatric Respiratory Disorders

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Sample Questions

Q1) Which of the following factors is associated with an increase in the incidence of RDS?

A)maternal heart disease

B)maternal diabetes

C)maternal asthma

D)long labor

Q2) It is not difficult to differentiate death from SIDS from death by intentional suffocation.

A)True B)False

Q3) Ribavirin is recommended primarily for the infant with bronchiolitis who also has other complex morbidities.

A)True B)False

Q4) Normally the PVR/SVR ratio is greater than 1 in the fetus.

A)True B)False

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Chapter 32: Airway Pharmacology

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76 Verified Questions

76 Flashcards

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Sample Questions

Q1) Use of a reservoir device with aerosolized metered-dose inhaler corticosteroid can reduce which of the following, except:

A)amount swallowed and absorbed systemically

B)oral candidiasis

C)incidence of dysphonia

D)Cushing's syndrome

Q2) Which of the following is NOT considered part of the assessment of severity of symptoms recommended by the NAEPP and GOLD guidelines to modify level or dosage of corticosteroids?

A)number of exacerbations

B)missed work or school days

C)pulmonary function

D)use of anticholinergics

Q3) When stimulated, which of the following receptors cause bronchoconstriction?

A)M<sub>3</sub>

B)M<sub>2</sub>

C)\(\alpha\)<sub>1</sub>

D)\(\beta\)<sub>2</sub>

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Chapter 33: Airway Management

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119 Verified Questions

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Sample Questions

Q1) Which of the following tracheal tube cuff designs are used as alternatives to cuff pressure measurement?

I.Kamen-Wilkinson foam cuff

II.low-residual-volume cuff

III.Lanz pressure-regulated cuff

A)I and II

B)I and III

C)II and III

D)I, II, and III

Q2) All of the following indicate an inability to adequately protect the airway except:

A)wheezing

B)coma

C)lack of gag reflex

D)inability to cough

Q3) What is the normal range of negative pressure to use when suctioning children?

A)-60 to -80 mm Hg

B)-80 to -100 mm Hg

C)-100 to -120 mm Hg

D)-150 to -200 mm Hg

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Page 35

Chapter 34: Emergency Cardiovascular Life Support

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74 Verified Questions

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Sample Questions

Q1) Which of the following is FALSE about oropharyngeal airways?

A)Incorrect placement can worsen airway obstruction.

B)They all consist of a flange, body, and channel(s).

C)They should only be used by trained personnel.

D)They are contraindicated in children and infants.

Q2) How would you estimate the appropriate length for a nasopharyngeal airway?

A)Subtract twice the diameter of the tube from its length.

B)Measure the distance from the earlobe to the Adam's apple.

C)Apply the estimating formula: length (cm) = 15 + (age ÷ 2).

D)Measure the distance from the earlobe to the tip of the nose.

Q3) During properly performed external chest compression on children under 8 years old or on large toddlers, how much should the sternum be compressed?

A)0.5 to 1.0 inch

B)1.0 to 1.5 inches

C)1.5 to 2.0 inches

D)2.0 to 2.5 inches

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Page 36

Chapter 35: Humidity and Bland Aerosol Therapy

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112 Verified Questions

112 Flashcards

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Sample Questions

Q1) Administration of dry gases at flows exceeding 4 L/min can cause which of the following?

I.structural damage

II.heat loss

III.water loss

A)I and II

B)II and III

C)I and III

D)I, II, and III

Q2) All of the following are potential hazards of using heat-moisture exchangers except:

A)failure of low-pressure alarms to detect disconnection

B)underhydration or impaction of secretions

C)hypoventilation due to increased dead space

D)unintended tracheal lavage from condensate

Q3) What is the primary goal of humidity therapy?

A)decrease airway reactivity to cold

B)maintain normal physiologic conditions

C)deliver drugs to the airway

D)reduce upper airway inflammation

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Chapter 36: Aerosol Drug Therapy

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123 Verified Questions

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Sample Questions

Q1) Which of the following patient skills are necessary to ensure effectiveness of drug administration via the aerosol route?

I.ability to keep track of dosing requirements

II.understanding of the methods and goals of therapy

III.ability to recognize undesirable side effects

A)I and II

B)I and III

C)II and III

D)I, II, and III

Q2) Which of the following is a common method to measure aerosol particle size?

A)scan

B)gravimetric

C)cascade impaction

D)penetration studies

Q3) Most of the spray generated by the majority of metered-dose inhalers consists of which of the following?

A)active drug

B)propellant

C)surfactant agents

D)water solution

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Chapter 37: Storage and Delivery of Medical Gases

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80 Verified Questions

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Sample Questions

Q1) Structural requirements for the central piping systems that are used in hospitals to distribute gases are established by whom?

A)American National Standards Institute (ANSI)

B)Department of Transportation

C)National Fire Protection Association (NFPA)

D)Compressed Gas Association (CGA)

Q2) The measured pressure in a gas-filled cylinder is equivalent to which of the following?

A)its filling density divided by the cylinder gas factor

B)gas temperature times its coefficient of expansion

C)gas density divided by the density of air at standard temperature, standard pressure, dry (STPD)

D)the force required to compress its volume within the cylinder

Q3) How can one determine whether a pressure-reducing valve uses multiple stages for pressure reduction?

A)by noting the number of gauges attached to the valve

B)by noting the DISS code

C)by noting the ASSS code

D)by noting the number of pressure relief vents

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Page 39

Chapter 38: Medical Gas Therapy

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97 Verified Questions

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Sample Questions

Q1) Directing a cool O<sub>2</sub> mixture to an infant in an Oxy-Hood can result in which of the following?

I.increased O<sub>2 </sub>consumption

II.increased convective heat loss

III.apnea (cessation of breathing)

A)I and II

B)II and III

C)I and III

D)I, II, and III

Q2) A 52-year-old man is admitted to the hospital emergency department with a primary complaint of severe radiating chest pain and signs of central cyanosis. The attending asks for your advice on selecting a device that provides a moderate FIO<sub>2</sub> for this patient. Which of the following would you recommend?

A)simple O<sub>2</sub> mask at 8 L/min

B)air-entrainment mask at 40% O<sub>2</sub>

C)nasal cannula at 5 L/min

D)nonrebreathing mask at 10 L/min

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Page 40

Chapter 39: Lung Expansion Therapy

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Sample Questions

Q1) An alert and cooperative 28-year-old woman with no prior history of lung disease underwent cesarean section 16 hours earlier. Her x-ray film currently is clear. Which of the following approaches to preventing atelectasis would you recommend for this patient?

A)incentive spirometry

B)PEEP therapy

C)deep breathing exercises

D)intermittent positive-pressure breathing therapy

Q2) Which of the following clinical findings indicate the development of atelectasis?

I.opacified areas on the chest x-ray film

II.inspiratory and expiratory wheezing

III.tachypnea

IV.diminished or bronchial breath sounds

A)I, III, and IV

B)I, II, III, and V

C)I and IV

D)II, III, and IV

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Chapter 40: Bronchial Hygiene Therapy

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Sample Questions

Q1) All of the following are goals of bronchial hygiene therapy except:

A)Reverse the underlying disease process.

B)Help mobilize retained secretion.

C)Improve pulmonary gas exchange.

D)Reduce the work of breathing.

Q2) What is the ideal patient position for directed coughing?

A)sitting with one shoulder rotated inward, the head and spine slightly flexed

B)supine, with knees slightly flexed and feet braced

C)prone, with the head and spine slightly flexed

D)supine, with forearms relaxed and feet supported

Q3) Soon after you initiate postural drainage in a Trendelenburg position, the patient develops a vigorous and productive cough. Which of the following actions would be appropriate at this time?

A)Maintain the drainage position while carefully watching the patient.

B)Move the patient to the sitting position until the cough subsides.

C)Stop the treatment at once and report the incident to the nurse.

D)Drop the head of the bed farther and encourage more coughing.

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Chapter 41: Respiratory Failure and the Need for Ventilatory Support

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Sample Questions

Q1) What happens to the P(A-a)O<sub>2</sub> with \(\dot { V } / \dot { Q }\) mismatch and shunt?

A)increases with \(\dot { V } / \dot { Q }\) mismatch and decreases with shunt

B)decreases with both \(\dot { V } / \dot { Q }\) mismatch and shunt

C)increases with both \(\dot { V } / \dot { Q }\) mismatch and shunt

D)it does not change

Q2) A patient with interstitial lung disease who presents with hypoxemia due to diffusion defect would have which of the following clinical signs?

I.fine bibasilar crackles

II.clubbing of the finger nail beds

III.jugular venous distention

IV.increased P2

A)I and II

B)I, III, and IV

C)III and IV

D)I, II, III, and IV

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43

Chapter 42: Mechanical Ventilators

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Sample Questions

Q1) While observing a patient receiving ventilatory support, you notice that all delivered breaths are initiated or terminated by the machine. Which of the following modes of ventilatory support is in force?

A)intermittent mandatory ventilation

B)partial ventilatory support

C)continuous mandatory ventilation

D)continuous spontaneous ventilation

Q2) Primary drive mechanisms used by modern ventilators include which of the following?

I. compressed gas or reducing valve

II. hydraulic or fluidic compressor

III. electrical motor or compressor

A)I and II

B)I and III

C)II and III

D)I, II, and III

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Chapter 43: Physiology of Ventilatory Support

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Sample Questions

Q1) Which of the following is considered a normal spontaneous tidal volume?

A)3 to 5 ml/kg

B)5 to 7 ml/kg

C)7 to 9 ml/kg

D)10 to 12 ml/kg

Q2) Inspection of the airway pressure waveform of a patient receiving volume-controlled continuous mandatory ventilation assist-control with constant flow reveals a large dip or drop in pressure at the beginning of inspiration. Which of the following problems is most likely?

A)The trigger setting is improper.

B)The inspiratory flow is inadequate.

C)The set volume is too large.

D)The pressure limit is too low.

Q3) In which of the following modes does the clinician have the most control over the patient's ventilatory pattern, PaO<sub>2</sub>, PaCO<sub>2</sub>, and acid-base balance?

A)volume-controlled continuous mandatory ventilation

B)volume-controlled intermittent mandatory ventilation

C)pressure-supported ventilation

D)pressure-controlled inspiratory reserve volume

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Chapter 44: Initiating and Adjusting Ventilatory Support

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103 Verified Questions

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Sample Questions

Q1) When performing a lung recruitment strategy, which of the following would cause the therapist to stop?

I.mean blood pressure drops of 80 to 65 mm Hg

II.heart rate increases from 88 to 110/min

III.patient has a run of premature ventricular complexes

A)I only

B)II only

C)III only

D)I, II, and III

Q2) What flow pattern is least optimal for ventilating a patient with cardiovascular instability?

A)accelerating flow pattern

B)square flow pattern

C)decelerating flow pattern

D)constant flow pattern

Q3) In which of the following conditions is PEEP NOT likely to be useful?

A)ARDS

B)pulmonary edema

C)acute lung injury

D)neuromuscular disease

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Chapter 45: Noninvasive Positive Pressure Ventilation

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Sample Questions

Q1) Which of the following is NOT a benefit of continuous positive airway pressure (CPAP) in postoperative major abdominal surgery?

A)lower mortality

B)lower intubation rate

C)lower incidence of pneumonia

D)lower rate of sepsis

Q2) Which of the following techniques is NOT useful to avoid claustrophobia in the patient being ventilated by face mask?

A)Allow patient to hold the mask.

B)Increase the inspiratory flow.

C)Use sedation.

D)Use a larger mask.

Q3) Which of the following is a potential risk of overtightening the straps of the mask?

A)absence of an air leak

B)tissue necrosis

C)eye irritation

D)claustrophobia

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Chapter 46: Monitoring and Management of the Patient in the

Intensive Care

Unit

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55 Verified Questions

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Sample Questions

Q1) What is the value of determining the lower inflection point during measurement of the pressure-volume curve?

A)best tidal volume

B)best PEEP level

C)to determine best airway size

D)to determine type of ventilator inspiratory flow pattern

Q2) Which of the following is NOT a global monitoring index?

A)APACHE

B)APS

C)TISS

D)ATS

Q3) Which of the following parameters is NOT a major factor in determining tissue oxygenation?

A)arterial oxygenation

B)tissue perfusion

C)oxygen uptake

D)R/Q ratio

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Page 48

Chapter 47: Discontinuing Ventilatory Support

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Sample Questions

Q1) When is ventilator dependence likely to occur?

I.when ventilatory capacity exceeds demand

II.when arterial hypoxemia is present

III.when the patient is malnourished

IV.when the cardiovascular system is unstable

A)II and IV

B)I, II, and III

C)III and IV

D)II, III, and IV

Q2) All of the following are disadvantages of using the T-tube method for weaning except:

A)more staff time required

B)abrupt transition sometimes difficult

C)high imposed work of breathing

D)lack of alarm systems

Q3) All of the following factors will increase ventilatory demand (workload) except:

A)severe hypoxemia

B)pulmonary infection

C)increased compliance

D)bronchospasm

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Chapter 48: Neonatal and Pediatric Respiratory Care

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Sample Questions

Q1) You notice in the chart of an infant receiving neonatal intensive care the designation "preterm, AGA." Based on this information, what can you correctly conclude?

A)This is an infant whose weight falls between the 10th and 90th percentiles.

B)This is an infant whose weight falls between the 10th and 50th percentiles.

C)This is an infant whose weight falls between the 50th and 90th percentiles.

D)This is an infant whose weight falls between the 10th and 20th percentiles.

Q2) Which of the following is not an inclusion criterion for neonatal ECMO?

A)reversible lung disease

B)gestational age less than 35 weeks

C)pulmonary barotrauma

D)persistent acidosis

Q3) Which of the following is not a common indication for ECMO?

A)persistent pulmonary hypertension of the newborn (PPHN)

B)respiratory distress syndrome (RDS)

C)meconium aspiration syndrome (MAS)

D)congenital diaphragmatic hernia (CDH)

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Chapter 49: Patient Education and Health Promotion

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Sample Questions

Q1) Which of the following examples of health care represents tertiary prevention?

A)pulmonary rehabilitation

B)mammogram

C)immunization

D)bronchial provocation testing

Q2) Which of the following are broad goals of Healthy People 2010?

I.to reduce mortality by chronic obstructive pulmonary disease

II.to eradicate communicable diseases

III.to eliminate health disparities

IV.to increase quality and years of healthy life

A)I and II

B)I, II, and III

C)I, II, III, and IV

D)III and IV

Q3) Teaching physical skills to patients is learning in what domain?

A)cognitive

B)affective

C)psychomotor

D)analytical

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Page 51

Chapter 50: Cardiopulmonary Rehabilitation

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Sample Questions

Q1) The principal objectives of pulmonary rehabilitation include which of the following?

I.control and alleviate the symptoms

II.restore functional capabilities as much as possible

III.improve quality of life

A)I and II

B)II and III

C)I and III

D)I, II, and III

Q2) What are the overall goals of rehabilitation?

I.reverse the course or progression of the disease process

II.minimize the disability's impact on the individual or family

III.maximize the functional ability of the individual

A)I and II

B)II and III

C)I and III

D)I, II, and III

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Chapter 51: Respiratory Care in Alternative Settings

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138 Verified Questions

138 Flashcards

Source URL: https://quizplus.com/quiz/67658

Sample Questions

Q1) Which of the following alarm systems is needed for postacute care patients who require only intermittent pressure-limited noninvasive positive-pressure ventilation?

A)high-pressure alarm

B)loss of power alarm

C)low-pressure alarm

D)low-exhaled-volume alarm

Q2) To avoid product failure, transtracheal catheters and their tubing should be replaced every how often?

A)every week

B)every 3 months

C)every month

D)every 6 months

Q3) All of the following are advantages of portable volume-cycled ventilators used in alternative settings except they:

A)can deliver higher volumes at higher pressures

B)provide lower mean pleural pressure for the same peak pressure

C)permit air stacking (multiple consecutive machine breaths)

D)are very responsive to the patient's changing flow demands

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