Skills Fair 2013

50 Questions

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Medical Quizzes & Trivia

Questions and Answers
  • 1. 
    What is the primary reason why blood moves from one location to another?
    • A. 

      Energy gradient

    • B. 

      Anemia

    • C. 

      Pressure gradient

    • D. 

      Systole

    • E. 

      Friction

  • 2. 
    What happens to the diaphragm when an individual breathes in?
    • A. 

      It ascends into the thorax

    • B. 

      It descends into the abdomen

  • 3. 
    What happens to the diaphragm when an individual breathes out?
    • A. 

      It ascends into the thorax

    • B. 

      It descends into the abdomen

  • 4. 
    Velocity of blood flow is inversely proportional to
    • A. 

      Viscocity

    • B. 

      Blood flow volume

    • C. 

      Cross sectional area

    • D. 

      Length

  • 5. 
    • A. 

      Increase IPAP and maintain EPAP

    • B. 

      Decrease IPAP and maintain EPAP

    • C. 

      Maintain IPAP and increase EPAP

    • D. 

      Increase IPAP and EPAP by the same amount

  • 6. 
    The therapist is reviewing the chest x-ray of a newborn, preterm infant and observes diffuse, fine, reticulogranular densities, which provide a ground glass appearance.  On the basis of this x-ray, which of the following conditions should the therapist suspect is present?
    • A. 

      Persistant pulmonary hypertension of the newborn

    • B. 

      Respiratory Distress Syndrome

    • C. 

      Bronchopulmonary dysplasia

    • D. 

      Pulmonary interstitial emphysema

  • 7. 
    • A. 

      Alveolar type I cells

    • B. 

      Alveolar type II cells

    • C. 

      Pulmonary interstitial cells

    • D. 

      Pulmonary capillary endothelial cells

  • 8. 
    While reviewing the chest X-ray of a newborn, the therapist observes the following features:
    • Pulmonary vascular congestion
    • Prominent perihilar streaking
    • Fluid in the interlobular fissures
    • Hyperexpansion
    • Flat diaphragm
    Which of the following conditions does this patient likely have?
    • A. 

      RDS

    • B. 

      Persistent pulmonary hypertension of the newborn

    • C. 

      Transient tachypnea of the newborn

    • D. 

      Barotrauma

  • 9. 
    • A. 

      The systemic venous blood passes through the right heart chambers and then to the body without flowing through the lungs

    • B. 

      The pulmonary venous blood traverses the left side of the heart and then returns to the systemic circulation

    • C. 

      When PVR increases relative to SVR, blood flow increases through the ductus arteriosus

    • D. 

      Systemic venous blood flows to the lungs after leaving the right ventricle

  • 10. 
    The ideal heart rate for a term newborn is __________per minute.
    • A. 

      60-80 beats

    • B. 

      80-100 beats

    • C. 

      100-120 beats

    • D. 

      140-180 beats

  • 11. 
    • A. 

      Epinephrine

    • B. 

      Naloxone

    • C. 

      Sodium bicarbonate

    • D. 

      Oxygen

  • 12. 
    The most important method of capillary exchange is simple diffusion.
    • A. 

      True

    • B. 

      False

  • 13. 
    • A. 

      1 and 2

    • B. 

      1,3 and 4

    • C. 

      1 and 5

    • D. 

      1,4 and 5

    • E. 

      1

  • 14. 
    ___________ states that gas volume is inversely proportional to pressure,
    • A. 

      Cowell's Law

    • B. 

      Murphy's Law

    • C. 

      Starling's Law

    • D. 

      Boyle's Law

    • E. 

      David's Law

  • 15. 
    _____________is the amount of air that can be inspired above and beyond the normal tidal volume.
    • A. 

      Expiratory Reserve Volume

    • B. 

      Residual Volume

    • C. 

      Inspiratory Reserve Volume

    • D. 

      Functional Reserve Volume

    • E. 

      Inspiratory Capacity

  • 16. 
    The volume of air remaining in the lungs at all times is called.
    • A. 

      Functional Reserve Volume

    • B. 

      Vital Capacity

    • C. 

      Expiratory Reserve Volume

    • D. 

      Residual Volume

    • E. 

      Inspiratory Capacity

  • 17. 
    The sum of all volumes of air that can exist at one time in the lungs is known as ______________.
    • A. 

      Vital Capacity

    • B. 

      Total Lung Capacity

    • C. 

      Residual Volume

    • D. 

      Inspiratory Capacity

    • E. 

      Functional Residual Capacity

  • 18. 
    During PC-CMV, a change in _______or rate is needed to correct for respiratory alkalosis or acidosis.
    • A. 

      I- time

    • B. 

      Pressure Limit

    • C. 

      VT

    • D. 

      Either I-time or pressure limit

  • 19. 
    What is this waveform telling you?
    • A. 

      Normal

    • B. 

      Auto-Peep

    • C. 

      Flow starvation

    • D. 

      Auto-cycling

  • 20. 
    • A. 

      SVT

    • B. 

      V-Tach

    • C. 

      A-fib

    • D. 

      Junctional

  • 21. 
    Rupture of the innominate artery can occur and is most often noticed with_______.
    • A. 

      Tracheostomy tubes

    • B. 

      Endotracheal tubes

    • C. 

      Heated wire circuits

    • D. 

      Pulmonary artery line

  • 22. 
    The time spent suctioning is brief and must not exceed 15 seconds.  Suction is applied intermittently rather than continuously, and the catheter is rotated as it is withdrawn.
    • A. 

      True

    • B. 

      False

  • 23. 
    The proper order of reviewing an ABG is:
    • A. 

      PaCO2. pH, PaO2, HCO3

    • B. 

      PH, PaO2, PaCO2, HCO3

    • C. 

      PH, HCO3, PaCO2, PaO2

    • D. 

      PH, PaCO2, HCO3, PaO2

  • 24. 
    • A. 

      Pneomothorax

    • B. 

      Presence of an infiltrate in the right lower lobe

    • C. 

      Presence of atelectasis in the right base

    • D. 

      Presence of a pleural effusion on the right.

  • 25. 
    The following data is collected from a patient on mechanical ventilation.  No settings have been changed when the data is recorded:     Time                                   Peak Pressure                Plateau Pressure 2PM                                             50                                  44 4PM                                             50                                  35   At 4PM the correct interpretation of this data is:  
    • A. 

      The patient's airflow resistance is increasing

    • B. 

      The patient's airflow resistance is decreasing

    • C. 

      The patient's lung compliance is increasing

    • D. 

      The patient's lung compliance is decreasing

  • 26. 
    • A. 

      Pressure

    • B. 

      Volume

  • 27. 
    What can cause an abnormally high PVR (pulmonary vascular resistance)?  Check all that apply.
    • A. 

      Septicemia

    • B. 

      Hypoxia

    • C. 

      Pulmonary embolism

    • D. 

      Aminophylline,

    • E. 

      O2

    • F. 

      Calcium channel blockers

  • 28. 
    Measures right atrial pressure and is used as a clinical indicator of Right Ventricular Pre-load and function:
    • A. 

      PWP

    • B. 

      SVR

    • C. 

      CVP

    • D. 

      PVR

  • 29. 
    Reflects left artrial pressure and is used as a clinical indicator of Left Ventricular Pre-load:
    • A. 

      PWP

    • B. 

      CVP

    • C. 

      SVR

    • D. 

      PVR

  • 30. 
    A term referring to the volume of blood present in the ventricle just before systole is?
    • A. 

      Preload

    • B. 

      Afterload

    • C. 

      Contractility

    • D. 

      Static pressure

    • E. 

      Ejection fraction

  • 31. 
    • A. 

      A only

    • B. 

      A,c and e

    • C. 

      B and d

    • D. 

      All of the above

  • 32. 
     A post open heart patient has been on the ventilator for 4 days.  The patient now has low urine production and a weight gain of 1 kg.  Which of the following might have caused these changes? a.  Kidney failure b.  PPV c.  Increased ADH levels in the blood d.  Administration of lasix e.  High fluid outputs
    • A. 

      A,b and c

    • B. 

      A only

    • C. 

      C and d

    • D. 

      All of the above

    • E. 

      C, d, and e

  • 33. 
    During mechanical ventilation hyperventilation, particularly in patients with COPD can cause? a.  Muscle twitching b.  High Ph values c.  Air trapping d.  Spiked T waves e.  cardiac arrhythmias
    • A. 

      A,b and e

    • B. 

      A,c and d

    • C. 

      C only

    • D. 

      A,b,c,and e

    • E. 

      All of the above

  • 34. 
    • A. 

      Pneumothorax

    • B. 

      Obstructive lung disease

    • C. 

      Barotraumas

    • D. 

      Emphysema

    • E. 

      Hypercapnia

    • F. 

      All of the above

  • 35. 
    • A. 

      True YES

    • B. 

      False NO

  • 36. 
    • A. 

      24,26,28 inches

    • B. 

      26,28,30 inches

    • C. 

      28,29,31 inches

    • D. 

      None of the above

  • 37. 
    • A. 

      Hypoxia

    • B. 

      Beginning stages of ARDS

    • C. 

      Severe Atelectasis

    • D. 

      All of the above

  • 38. 
    • A. 

      4-7 ml/kg

    • B. 

      8-10 ml/kg

    • C. 

      6-9 ml/kg

    • D. 

      3-5 ml/kg

  • 39. 
    A patient weighing 12kg needs mechanical ventilation. Which circuit is required and what must be done before it can be use?
    • A. 

      Neonate circuit, change out filter, SST in new mode

    • B. 

      Peds circuit, change mode to peds and SST vent

    • C. 

      Adult circuit, SST vent

    • D. 

      None of the above

  • 40. 
    • A. 

      On the CPAP probe under the lid

    • B. 

      On the flow meter

    • C. 

      The number on the CPAP probe above the lid

    • D. 

      On the blender

  • 41. 
    • A. 

      8 ml

    • B. 

      5 ml

    • C. 

      Until the water flows into the overflow container.

    • D. 

      None of the above

  • 42. 
    The key for proper CPAP prong placement is a firm fitting hat.
    • A. 

      True

    • B. 

      False

  • 43. 
    A near drowing Intubated patient arrives in the ICU, what do you expect to see or expect to happen?
    • A. 

      Trouble oxygenating

    • B. 

      Increase PIP

    • C. 

      Decrease Compliance

    • D. 

      Increase resistance

    • E. 

      Chest xray whited out

    • F. 

      All of the above

  • 44. 
    Symptoms of ARDS are SOB, rapid breathing and low oxygen levels.
    • A. 

      True

    • B. 

      False

  • 45. 
    The following can cause ARDS except which one?
    • A. 

      Breathing in smoke or chemicals

    • B. 

      Breathing in stomach contents

    • C. 

      Near drowing

    • D. 

      Pneumonia

    • E. 

      DKA

  • 46. 
    A patient in DKA you can expect a blood gas that shows Metabolic Acidosis, low bicarbonate and low pH (<7.2).
    • A. 

      True

    • B. 

      False

  • 47. 
    The trim of the cap for bubble cpap needs to be at least 3 inches wide.
    • A. 

      True

    • B. 

      False

  • 48. 
    The amount of flow needed to perform a leak test on the bubble cpap circuit is 5 lpm.
    • A. 

      True

    • B. 

      False