Humidity & Bland Aerosol Therapy Aerosol Drug Therapy Medical Gas Delivery Lung Expansion Therapy Airway Clearance Therapy
100
What is (B) maintain normal physiologic conditions
What is the primary goal of humidity therapy?
A. decrease airway reactivity to cold
B. Maintain normal physiologic conditions
C. Deliver Drugs to the airway
D, Reduce upper airway inflammation
100
What is (C) MDI
What is the preferred method for delivering bronchodilators to spontaneously breathing and intubated, ventilated patients?
(A) DPI
(B) SVN
(C) MDI
(D) hand-bulb atomizer
100
What is (1) (2) & (3) only
Which of the following are considered therapeutic gases? (Select ALL that apply)
(1) O2
(2) O2-NO
(3) O2-He
(4) N2O
100
What is (A) spontaneous respiratory rate
Which of the following has a direct relationship with the degree to which atelectasis can present itself with a postoperative patient?
(A) spontaneous respiratory rate
(B) bradycardia
(C) hypocapnia
(D) hypothermia
100
What is (1) and (2)
In theory, how does PEP help to move secretions into the larger airways
(1) filling underaerated segments through collateral ventilation
(2) preventing airway collapse during expiration
(3) causing bronchodilation during inspiration
200
What is (A) 50% RH at 20 to 22 C
Which of the following inspired conditions should be maintained when delivering medical gases to the nose or mouth?
A) 50% RH at 20 to 22 C
B) 100% RH at 20 to 22 C
C) 80% RH at 28 to 32 C
D) 100% RH at 32 to 35 C
200
What is (B) Propellant
Most of the spray generated by the majority of MDIs consists of which of the following?
(A) Active Drug
(B) Propellant
(C) Surfactant
(D) Water solution
200
What is (C) can be filled to 10 above its service pressure
During inspection of the shoulder of a compressed gas cylinder, you note a plus sign (+) next to the test date. This indicates what about the cylinder
(A) Made from spun aluminum, not steel
(B) Requires a 10-year DOT inspection
(C) Filled to 10% above its service pressure
(D) High coefficient of elastic expansion
200
What is (C) 5 to 10
For patients receiving incentive spirometry, what is the minimum number of sustained maximal inspirations (SMIs) per hour that you would recommend?
(A) 25 to 30
(B) 15 to 20
(C) 5 to 10
(D) 1 to 2
200
What is (A) expiration against a variable flow resistance
Which of the following best describes PEP therapy?
(A) expiration against variable flow resistance
(B) expiration against fixed threshold resistance
(C) Inspiration against fixed threshold resistance
(D) inspiration against variable flow resistance
300
What is (1), (2), and (3) only
Indications for warming inspired gases include which of the following? (pick all that apply)
(1) Treating a patient whose airways are reactive to cold
(2) Providing humidification when the upper airway is bypassed
(3) Treating a patient with a low body temperature (hypothermia)
(4) Reducing upper airway inflammation or swelling
300
What is (1) and (2)
Which of the following are beneficial effects of using a holding chamber with a metered dose inhaler?
Pick ALL that apply.
(1) reduction in oropharyngeal aerosol deposition
(2) decrease in need for hand-breath coordination
(3) elimination of medication waste
300
What is (D) 50 psig
The pressure of O2 or air in a bulk supply system is reduced to what standard working pressure
(A) 10 psig
(B) 14 psig
(C) 25 psig
(D) 50 psig
300
What is (2), (3), and (4)
Lung expansion methods that increase the transpulmonary pressure gradients by increasing alveolar pressure include which of the following?
(1) Incentive spirometry
(2) Positive end-expiration pressure therapy
(3) Intermittent positive pressure breathing
(4) Expiratory positive airway pressure
300
What is (2), (3) & (4) only
Which of the following would indicate a successful outcome for postural drainage therapy?
(1) decreased sputum production
(2) normalization in ABGs
(3) improved breath sounds
(4) improvement in chest radiograph
400
What is (C) 15 to 20 mg/L
What is the typical water vapor output of an unheated bubble humidifier?
(A) 5 to 10 mg/L
(B) 10 to 15 mg/L
(C) 15 to 20 mg/L
(D) 20 to 25 mg/L
400
What is (C) DPI
Exhalation into which device can result in loss of drug delivery?
(A) SVN
(B) MDI
(C) DPI
(D) USN
400
What is (B) 2 and 5
What is the pin index hole position for O2?
(A) 1 and 5
(B) 2 and 5
(C) 1 and 6
(D) 4 and 6
400
What is (A) increasing transpulmonary pressure gradient
How do all modes of lung expansion therapy aid lung expansion?
(A) Increasing transpulmonary pressure gradient
(B) Decreasing transthoracic pressure gradient
(C) Increasing pressure in the pleural space
(D) Decreasing pressure in the alveoli
400
What is (1), (2), & (3)
Which of the following are considered airway clearance therapies
(1) postural drainage and percussion
(2) incentive spirometry
(3) positive airway pressure
(4) percussion, vibration, and oscillation
500
What is (B) providing high gas flows
All mist tents prevent CO2 buildup by what process?
(A) recirculating the gas
(B) providing high gas flows
(C) Using CO2 absorbers
(D) Cooling the gas
500
What is (B) Small particle aerosol generator
A physician has ordered antiviral agent ribavirin (virazole) to be administered by aerosol to an infant with bronchiolitis. Which of the following devices would you recommend in this situation?
(A) hydrodynamic nebulizer
(B) small particle aerosol generator
(C) Ultrasonic nebulizer
(D) Large-volume heated jet nebulizer
500
What is (B) Regulator
Which device is used to reduce the pressure and control the flow of a compressed medical device?
(A) Bourdon gauge
(B) Regulator
(C) Flowmeter
(D) Reducing valve
500
What is (C) compression atelectasis
Persistent breathing at small tidal volumes typically results in which of the following?
(A) reabsorption atelectasis
(B) spontaneous pneumothorax
(C) compression atelectasis
(D) respiratory alkalosis
500
What is (2), (3), & (4) only
Which of the following are goals of airway clearance therapy?
(1) help reverse the underlying disease process
(2) help mobilize retained secretion
(3) improve pulmonary gas exchange
(4) reduce the work of breathing






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