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188 NBRC TMC Review Exam Questions and Answers

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188 NBRC TMC Review Exam Questions and Answers What is the equation for RSBI (Rapid Shallow Breathing Index)? - RR / Vt(L) What does CaO2 stand for? - Total arterial oxygen content What is the eq... uation for Totally Arterial Oxygen Content? - (Hb x 1.34 x SaO2) + (PaO2 x 0.003) What is the equation for pack years? - Pack years = # packs/day X # years smoked What is the equation for total amount of oxygen bound to the Hb? - (Hb x 1.34 x SaO2) What is the normal urine output? - 40mL/hour What is the normal range for central venous pressure (CVP)? - 2-6 mm Hg A CVP value of 8 indicates what? - HYPERvolemia (excess of fluid) What is ascites? - accumulation of fluid in the abdomen generally caused by liver failure What disease process is associated with night sweats? - tuberculosis Define Erythema - redness of the skin Define barrel chest - a result of air trapping in the lungs for a long period of time, commonly seen with COPD patients Define the breathing pattern: increased rate, increased depth, irregular rhythm - Kussmaul's Define the breathing pattern: Increase rate, increased depth, regular rhythm - Hyperpnea Define the breathing pattern: gradually increasing rate and depth in a cycle lasting from 30-180 seconds, with periods of apnea lasting up to 60 seconds - Cheyne-Stokes What is the Mallampati score if you can only see the soft palate, the uvula, and the faces? - Class II What is the Mallampati score if only the hard palate is visible? - Class IV What class(es) of the Mallampati Classification indicate an easy intubation? - Class I and II What is a normal heart rate for adults? - 60-100/bpm What three pathologies will push the trachea away/tracheal deviation pushed to the "normal" side? - 1. Tension pneumothorax 2. Tumors or masses in the mediastinum, the neck, or the thyroid 3. Massive pleural effusion What three pathologies will pull the trachea towards/tracheal deviation pulled to the "abnormal" side? - 1. Atelectasis 2. Pneumonectomy 3. Diaphragmatic Paralysis What term describes vibrations that are felt by the hand on the chest wall? - Tactile Fremitus What term describes bubbles of air under the skin that can be palpated? - Crepitus In diagnostic chest percussion, what does resonant mean? - normal lung In diagnostic chest percussion, what does dull or hyporesonant mean? - Fluid filled lung, may indicate pneumonia or pleural effusion In diagnostic chest percussion, what does tympanic or hyper resonant mean? - Increased air volume, may indicate pneumothorax CHF and pulmonary edema are associated with _______ crackles - fine What does a unilateral wheeze indicate? - Foreign body aspiration What breath sound is described as a high pitched or crowing inspiratory sound? - stridor Supraglottic swelling is caused by: - Epiglottitis Subglottic swelling is caused by: - croup You just extubated a patient and they have mild stridor. What therapy would you recommend? - cool mist therapy You just extubated a patient and they have moderate stridor. What therapy would you recommend? - cool mist therapy, oxygen, and aerosolized racemic epinephrine You just extubated a patient and they have marked stridor. What therapy would you recommend? - reitubation [Show More]

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