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RESP 355 Final Review Flashcards | StudBud
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RESP 355 Final Review
RESP 355 Final Review
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1
Epiglottitis has a rapid onset. How is it identified with a lateral neck x-ray?
Patient has a very high temperature
Visualizing a steeple appearance in the trachea
Listening to the upper airway with a stethoscope
Visualizing a thumb appearance on top of the trachea
2
Diaphragmatic hernia occurs more on the left side of the chest.
False
True
3
Which of the following contributes to pt-vent dysynchrony on intubated 2 yr old?
Mandatory rate set at 20/minute
PIP set to deliver a VT of 6 mL/kg
Inspiratory time set at 0.9 second
use of a neuromuscular blockade
4
CXR of an intubated pt and tip of the endotracheal tube is near the clavicles. Concerns?
Potential self-extubation
Right mainstem intubation
Infection
Tissue necrosis on trachea
5
Upon visual inspection, which of the following findings would be consistent with the diagnosis of CDH?
Shifted cardiac sounds
Concave abdomen
Elongated chest
Bowel sounds in the chest
6
Most important treatment for asystole
Atropine
Epinephrine
Shock
Amiodarone
7
Type of shock where large amounts of fluid is lost.
Metabolic
Respiratory
Cardiogenic
Hypovolemic
8
How does a mom contract toxoplasmosis?
Acquired from the flu shot
Acquired from working in farm fields
Acquired from other children
Acquired from cleaning the cat litter box
9
What is the appropriate treatment for this patient? decreased cardiac output, severe bradycardia, and muffled heart tone
Pericardial window
Needle aspirate between T8 and T9
Needle decompression at the 2nd rib and mid-clavicular
Needle aspirate air from the pericardial sac
10
Rhythm you don't shock
PEA
VTach
Sinus tachycardia
VFib
11
Which of the following type of ECMO cannula oxygenates the blood, but does not support cardiac output?
Venous
Arterial
Venovenous
Venoarterial
12
Inhaled corticosteroids reduce the inflammatory response. This is why it is beneficial to deliver during exacerbation
True
False
13
The inflammatory response resulting from the presence of bacteria in amniotic fluid is known as
prenatal inflammation
chorioamnionitis
meningitis
toxoplasmosis
14
In infants, what is the first response to hypothermia?
Heart rate rises and falls
Peripheral dilation to lose body heat
Peripheral vasoconstriction to maintain heat
Shivering
15
Identify the
cardinal
signs for respiratory distress in infants.
Grunting
Nasal flaring
Apnea
Retracting
Increased heart rate
Cold and clammy
16
Which of the following is a common cause of obstructive sleep apnea in peds?
Sleeping in the prone position
Enlarged tonsils
Increased HR
Sudden drop in BP
17
What will cause respiratory acidosis?
Vomiting and diarrhea
Sedation and hypoglycemia
Loss of bicarbonate
Increased respiratory rate
18
What will cause metabolic alkalosis?
Sedation and hypoglycemia
Vomiting and diarrhea
Increased respiratory rate
Loss of bicarbonate
19
Following delivery, you assess an infant. The APGAR score 1-minute following birth was 2. What action should you take?
Continue to monitor
Resuscitate immediately
Warm the baby
Administer bronchodilator
20
Identify the common causes of fetal asphyxia.
Maternal hypoxia
Fetal disorders
Insufficient placental blood flow
Blockage of umbilical blood flow
21
Transillumination shows pneumothorax. What should be done next?
Needle decompression
Reposition the infant with the affected side down.
Stat CXR to confirm
Insert chest tube
22
After SRT, which of the following would a respiratory therapist expect if the infant responds positively to the therapy?
Decreased SPO2
Decreased pulmonary compliance
Increased PCO2
Increased tidal volume
23
Which of the following should be done first when reading a chest radiograph?
Examine the diaphragm
Confirm the correct patient and date
Inspect the respiratory tract
Check for over or under exposure
24
What is the contributing factor to the etiology of transient tachypnea of the newborn?
Lack of surfactant
Hypovolemia
Fetal lung fluid remaining
Low hemoglobin
25
Interpret the ABG: pH 7.32, PCO2 48, BE 2, PO2 60, and sat 90%.
Respiratory alkalosis
Metabolic alkalosis
Metabolic acidosis
Respiratory acidosis
26
Interpret the ABG: pH 7.50, PCO2 41, BE 8, PO2 60, and sat 90%.
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
Respiratory alkalosis
27
A quick method of diagnosing a pneumothorax is __.
CT
transillumination
CXR
Ultrasound
28
Parasympatholytics are drugs not used during an attack, but are used as a prophylactic to bronchospasm.
False
True
29
How often is the APGAR score measured?
1 and 5 and 10 minutes after deliver
5 and 10 minutes after delivery
1 and 5 minutes after delivery
1 and 10 minutes after delivery
30
Tricuspid atresia results in no blood flow between the
vena cava and right atrium
left atrium and left ventricle
right atrium and right ventricle
right and left ventricles
31
Atelectasis will deviate trachea away from affected area
False
True
32
What would the respiratory therapist be concerned of?
epiglottitis
croup
asthma exacerbation
bronchiolitis
33
Treatment for bradycardia
Adenosine
Epinephrine
Atropine
Amiodarone
34
Most important treatment for ventricular fibrillation
Atropine
Epinephrine
Amiodarone
Shock
35
A neonatal patient is suffering from central apnea. Which of the following would be an appropriate drug treatment?
Bronchodilator
Atropine
Epinephrine
Methylxanthines
36
Radiographs can be used to diagnose lung disease in newborns.
True
False
37
Sats 96% on 2L NC @ 25% HR 140 RR 66: Recommendation?
Initiate CPAP at +5.
Initiate NIPPV at 10/5 and Rate of 20.
Intubate and invasively ventilate.
Continue current care.
38
Which of the following most commonly causes bronchiolitis?
Adenovirus
Respiratory syncytial virus
Rhinovirus
H. flu
39
Which of the following is a disadvantage of pressure-controlled ventilation?
Potential for volutrauma
Consistent MV
Lower MAP
Inconsistent MV
40
Interpret the ABG: pH 7.47, PCO2 32, BE 2, PO2 60, and sat 90%.
Respiratory alkalosis
Metabolic alkalosis
Metabolic acidosis
Respiratory acidosis
41
What is the easiest method for maintaining an airway following delivery of the infant?
Administer blow-by O2
Apply CPAP via mask
Place towel for neck roll
Intubate
42
Type of shock where there is heart failure.
Respiratory
Cardiogenic
Anaphylactic
Metabolic
43
ABGs commonly seen with a severe asthma attack include ___.
High pH
ABGs are unaffected by a severe asthma attack
High PaCO2 and low PaO2
Normal ABGs
44
Interpret the ABG: pH 7.32, PCO2 40, BE -6, PO2 60, and sat 90%.
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
45
What are the normal ranges for PaO2 (first in neonates and second in peds)?
45-55 and 90-100 mm Hg
50-70 and 80-100 mmHg
Both would be in the same range as adults
80-100 and 80-100 mm Hg
