TMC Practice Questions with Complete Solution
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1. Which of the following is typically NOT part of a patient's social history?: B.
childhood diseases
2. Which of the following is typically part of a patient's so
...
TMC Practice Questions with Complete Solution
1 / 11
1. Which of the following is typically NOT part of a patient's social history?: B.
childhood diseases
2. Which of the following is typically part of a patient's social history?: A.
tobacco use
C. marital status
D. education
3. In observing the intracranial pressure (ICP) monitor of a patient receiving
volume control A/C ventilation, you note that the ICP rises by about 3-5 mm
Hg during each positive pressure breath. You can conclude that:: D. this is
normal variation in ICP
4. Normal variations in ICP occur with both the cardiac and respiratory
cycles. Respiratory cycle variations are similar to those observed with CVP
and PAWP measures, i.e., falling during spontaneous inspiration but rising
with positive pressure breaths.: True
5. An echocardiogram on a one day-old infant with refractory hypoxemia
finds no evidence of congenital heart disease but reveals right-to-left shunting through a patent ductus arteriosus, tricuspid valve regurgitation and an
enlarged right ventricle.Which of the following is the most likely problem?: C.
persistent pulmonary hypertension
6. A patient has an arterial pH of 7.58. What effect will this have on oxygen
transport?: A. impaired blood oxygen unloading at the tissues
7. Alkalosis shifts the oxyhemoglobin curve to the left, which increases the
affinity of hemoglobin for oxygen. Although this shift increases the arterial
Hb saturation and CaO2 (and enhances blood O2 uptake at the lung), it
impairs O2 unloading at the tissues.: True
8. A patient has a pH of 7.58 and a PaCO2 of 50 torr. Based on these data,
what is the primary acid-base disturbance?: D. metabolic alkalosis
9. To determine the primary acid-base disturbance, first determine whether
the pH is low (< 7.35 = academia) or high (> 7.45 = alkalemia). After judging
the pH, you then assess the PaCO2. If the pH is low, the primary disturbance
must be either respiratory acidosis (PaCO2 > 45 torr) or metabolic acidosis
(PaCO2 £ 45 torr). With a high pH, the primary disturbance must be either
respiratory alkalosis (PaCO2 < 35 torr) or metabolic alkalosis (PaCO2 ³ 35
torr).: True
10. Results of a sleep study on a 57 year old female reveal an average of
2 apneic periods/hr, each lasting about 6 seconds, and all associated withTMC Practice Questions with Complete Solution
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snoring. During apneic spells, the patient tries to breathe. Which of the
following conclusions can you draw from this information?: C. the results of
this sleep study are within normal limits
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