TMC Exam Review Questions and Answers Already Passed

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TMC Exam Review Questions and Answers Already Passed Which of the following tests would be most useful in diagnosing a pulmonary emboli? a. Chest x-ray b. PFT c. Ventilation-perfusion scan (V/Q) ... d. ABG ✔✔c. V/Q scan it would show a lack of blood flow in the affected region of the pulmonary circulation While examining a patient in the ICU, you note that he appears somewhat edematous, and the nurse has indicated that the patient's urine output is "minimal." In which section of the record would you find the patient's fluid balance? a. Physician orders b. Consent form c. Laboratory results d. Nurses notes and flow sheet ✔✔d. Nurses notes and flow sheet Which of the following physical findings would you expect to see in an alert but anxious patients with asthma early in the course of an attack? a. Respiratory acidosis b. Respiratory alkalosis c. Clubbing d. Cor pulmonale ✔✔b. Respiratory alkalosis hyperventilation decreases CO2 In the lab results section of a patient's record, the overall WBC count is shown as 22,000 for a febrile patient who appears acutely ill and in moderate respiratory distress. What is the most likely diagnosis? a. Bacterial pneumonia b. Emphysema c. Pulmonary embolus d. Pulmonary fibrosis ✔✔a. Bacterial pneumonia A PET scan would be most useful in the diagnosis of which of the following conditions? a. Bronchogenic carcinoma b. Chronic bronchitis c. Pulmonary fibrosis d. Smoke inhalation ✔✔a. Bronchogenic carcinoma PET scan is a nuclear imaging technique used in the diagnosis and staging of tumors Negative inspiratory force (NIF) is most useful in the determination of which of the following? a. Airway resistance b. Functional residual capacity c. Respiratory muscle strength d. Sustained maximal inspiration ✔✔c. Respiratory muscle strength A 23 year old fire fighter is admitted with suspected smoke inhalation. You place him on a nonrebreathing mask. What is the most appropriate method of monitoring his oxygenation? a. ABG analysis b. CO-oximetry c. Pulse oximetry d. Calculation of P(A-a)O2 ✔✔b. CO-oximetry Which of the following notes in the maternal medical and/or obstetric history increases the likelihood of a high-risk pregnancy? a. Weight gain b. First pregnancy c. Regular exercise d. Tobacco smoking ✔✔d. Tobacco smoking Sputum culture and sensitivity would be indicated in the evaluation of which of the following clinical conditions? a. Pulmonary edema b. Bacterial pneumonia c. Bronchiectasis d. Empyema ✔✔b. Bacterial pneumonia A polysomnography report for a patient with a history of excessive daytime sleepiness indicates an average of 25 apnea/hypopnea events per hour, with most events showing continued efforts to breathe. Which of the following statements is most consistent with this observation? a. Moderate central sleep apnea b. Mild obstructive sleep apnea c. Moderate obstructive sleep apnea d. Severe obstructive sleep apnea ✔✔c. Moderate obstructive sleep apnea mild AHI 5-14 moderate AHI 15-30 severe AHI >30 Which of these conditions is associated with jugular vein distention? a. Cor pulmonale b. Pneumonia c. Simple pneumothorax d. Septic shock ✔✔ You palpate the patient's neck and notice that the trachea is shifted to the patient's left. Which of the following conditions could explain this finding? a. Left ventricular enlargement b. Left upper lobe collapse c. Right lower lobe collapse d. Pleural effusion on the left ✔✔ On reviewing the results of the attending physician's physical examination of a patient's chest, you note a "dull percussion note and bronchial breath sounds- LLL." All of the following are potential problems except: a. Infiltrates b. Atelectasis c. Consolidation d. Pneumothorax ✔✔ You hear bronchial breath sounds over the patient's right middle lobe. Which condition is probably present? a. Emphysema b. Asthma c. Pneumonia d. Pleural effusion ✔✔ Upon exam of an acutely dyspneic and hypotensive patient, you note the following (all limited to the left hemithorax): reduced chest expansion, hyperresonance to percussion, absence of breath sounds and tactile remits, and a tracheal shift to the right. These findings suggest: a. Left-sided pneumothorax b. Left-sided consolidation c. Left lobar obstruction/atelectasis d. Left-sided pleural effusion ✔✔ During an interview with your patient, you determine that she is disoriented to time, place, and person. What may explain this finding? a. Respiratory alkalosis b. Severe hypoxemia c. Metabolic acidosis d. Hyperthermia ✔✔ To assess the level of pain that a 2 year old child is experiencing during a procedure, you would do all of the following except: a. Look for facial grimacing b. Ask for the mother's judgement c. Use a numeric pain scale d. Observe for crying ✔✔ During an interview with your patient, you discover that he gets short of breath at night when he lies down, so he often sleeps with several pillows propping his head up. Which symptom is present? a. ✔✔ [Show More]

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