Question 1

Which of the following conditions occurs in 20% to 30% of hospitalized fire victims with facial burns?

Accepted Answer

A)  Acute respiratory distress syndrome (ARDS) 
B)  Upper airway obstruction 
C)  Pneumonia 
D)  Pulmonary embolism 
A)  Acute respiratory distress syndrome (ARDS) 
B)  Upper airway obstruction 
C)  Pneumonia 
D)  Pulmonary embolism B

Question 2

Late-stage complications of extensive body surface burns include:
1) sepsis.
2) upper airway obstruction.
3) pneumonia.
4) pulmonary embolism.

Accepted Answer

A) 1, 2 
B) 3, 4 
C) 2, 3 
D) 1, 3, 4 
A) 1, 2 
B) 3, 4 
C) 2, 3 
D) 1, 3, 4 D

Question 3

Which of the following classes of medications are commonly used in the care of patients with smoke inhalation injury?
1) Parasympatholytics
2) Mucolytics
3) Sympathomimetics
4) Monoclonal antibody

Accepted Answer

A) 1, 3 
B) 1, 2, 4 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1, 3 
B) 1, 2, 4 
C) 2, 3, 4 
D) 1, 2, 3 D

Question 4

What level of carbon monoxide toxicity is associated with coma, convulsions, and Cheyne-Stokes respiration?

Accepted Answer

A)  10% to 20% COHb 
B)  20% to 30% COHb 
C)  30% to 50% COHb 
D)  50% to 60% COHb 
A)  10% to 20% COHb 
B)  20% to 30% COHb 
C)  30% to 50% COHb 
D)  50% to 60% COHb

Question 5

Clinical signs associated with acute upper airway obstruction due to thermal injury include:
1) pleural friction rub.
2) inspiratory stridor.
3) pulmonary edema.
4) painful swallowing.

Accepted Answer

A) 1, 3 
B) 2, 4 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1, 3 
B) 2, 4 
C) 2, 3, 4 
D) 1, 2, 3

Question 6

A patient with carbon monoxide poisoning has a COHb level of 20%. If the patient is given 100% oxygen, what will the approximate COHb level be in 1 hour?

Accepted Answer

A)  15% 
B)  10% 
C)  5% 
D)  2.5% 
A)  15% 
B)  10% 
C)  5% 
D)  2.5%

Question 7

A 65-year-old patient has third-degree skin burns over 30% of his body and a smoke inhalation injury. How does the combination of skin burns and smoke inhalation affect his prognosis?

Accepted Answer

A)  It quadruples the mortality rate. 
B)  It more than triples the mortality rate. 
C)  It almost doubles the mortality rate. 
D)  There is no mortality change between having one or two concurrent problems. 
A)  It quadruples the mortality rate. 
B)  It more than triples the mortality rate. 
C)  It almost doubles the mortality rate. 
D)  There is no mortality change between having one or two concurrent problems.

Question 8

Which of the following radiographic findings would be associated with the intermediate stage of recovery from a serious smoke inhalation injury?

Accepted Answer

A)  Pulmonary edema/ARDS 
B)  Patchy or segmental infiltrates 
C)  Empyema 
D)  Normal/full recovery 
A)  Pulmonary edema/ARDS 
B)  Patchy or segmental infiltrates 
C)  Empyema 
D)  Normal/full recovery

Question 9

Which of the following will be typically found in the air of an enclosed house fire?
1) Steam
2) Carbon monoxide
3) Hydrogen cyanide
4) Hydrogen chloride

Accepted Answer

A) 1, 3 
B) 1, 2, 4 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1, 3 
B) 1, 2, 4 
C) 2, 3, 4 
D) 1, 2, 3

Question 10

The long-term effects of a smoke inhalation injury are:

Accepted Answer

A)  obstructive lung disorders. 
B)  restrictive lung disorders. 
C)  obstructive and restrictive lung disorders. 
D)  neither obstructive nor restrictive lung disorders, since there is normally complete recovery. 
A)  obstructive lung disorders. 
B)  restrictive lung disorders. 
C)  obstructive and restrictive lung disorders. 
D)  neither obstructive nor restrictive lung disorders, since there is normally complete recovery.

Question 11

What COHb level is associated with a throbbing headache, nausea, vomiting, and impaired judgment?

Accepted Answer

A)  1% to 10% 
B)  10% to 20% 
C)  20% to 30% 
D)  30% to 50% 
A)  1% to 10% 
B)  10% to 20% 
C)  20% to 30% 
D)  30% to 50%

Question 12

Clinical signs of an upper airway thermal injury include:
1) facial burns.
2) atelectasis.
3) mucosal edema.
4) epithelial sloughing.

Accepted Answer

A) 3 
B) 1, 4 
C) 1, 3, 4 
D) 2, 3, 4 
A) 3 
B) 1, 4 
C) 1, 3, 4 
D) 2, 3, 4

Question 13

Which portion of the pulmonary system will be affected by the inhalation of low-water solubility gases such as hydrogen chloride and phosgene?

Accepted Answer

A)  Distal airways and alveoli 
B)  Pulmonary vascular bed 
C)  Upper airway 
D)  Pulmonary lymphatic system 
A)  Distal airways and alveoli 
B)  Pulmonary vascular bed 
C)  Upper airway 
D)  Pulmonary lymphatic system

Question 14

A patient has been brought to the emergency department after inhaling superheated steam. Pulmonary injuries unique to this situation include:
1) atelectasis.
2) pulmonary edema.
3) thick secretions.
4) pharyngeal edema.

Accepted Answer

A) 3 
B) 1, 2 
C) 2, 3, 4 
D) 1, 2, 3 
A) 3 
B) 1, 2 
C) 2, 3, 4 
D) 1, 2, 3

Question 15

In an industrial accident, an adult incurred burns over his head and neck, both arms, and his anterior trunk. What percent of his BSA was burned?

Accepted Answer

A)  27% 
B)  36% 
C)  45% 
D)  54% 
A)  27% 
B)  36% 
C)  45% 
D)  54%

Question 16

A 10-year-old patient has inhaled hot gases, and an inspection of her mouth shows edema and blisters. What should the respiratory therapist recommend?

Accepted Answer

A)  Perform a bronchoscopy to evaluate the trachea. 
B)  Perform endotracheal intubation. 
C)  Monitor her SpO2 once per shift. 
D)  Administer an aerosol treatment with racemic epinephrine. 
A)  Perform a bronchoscopy to evaluate the trachea. 
B)  Perform endotracheal intubation. 
C)  Monitor her SpO2 once per shift. 
D)  Administer an aerosol treatment with racemic epinephrine.

Question 17

Which of the following would be recommended for the treatment of cyanide poisoning?

Accepted Answer

A)  Aztreonam 
B)  Albuterol sulfate 
C)  Amyl nitrate 
D)  Aclidinium bromide 
A)  Aztreonam 
B)  Albuterol sulfate 
C)  Amyl nitrate 
D)  Aclidinium bromide

Question 18

According to the Parkland formula, what is the recommended volume of fluid that should be infused over a 24-hour period for each percent of body surface burned?

Accepted Answer

A)  1 mL/kg of body weight 
B)  4 mL/kg of body weight 
C)  6 mL/kg of body weight 
D)  10 mL/kg of body weight 
A)  1 mL/kg of body weight 
B)  4 mL/kg of body weight 
C)  6 mL/kg of body weight 
D)  10 mL/kg of body weight

Exam 45: Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Which of the following conditions occurs in 20% to 30% of hospitalized fire victims with facial burns?

Late-stage complications of extensive body surface burns include: 1) sepsis. 2) upper airway obstruction. 3) pneumonia. 4) pulmonary embolism.

Which of the following classes of medications are commonly used in the care of patients with smoke inhalation injury? 1) Parasympatholytics 2) Mucolytics 3) Sympathomimetics 4) Monoclonal antibody

What level of carbon monoxide toxicity is associated with coma, convulsions, and Cheyne-Stokes respiration?

Clinical signs associated with acute upper airway obstruction due to thermal injury include: 1) pleural friction rub. 2) inspiratory stridor. 3) pulmonary edema. 4) painful swallowing.

A patient with carbon monoxide poisoning has a COHb level of 20%. If the patient is given 100% oxygen, what will the approximate COHb level be in 1 hour?

A 65-year-old patient has third-degree skin burns over 30% of his body and a smoke inhalation injury. How does the combination of skin burns and smoke inhalation affect his prognosis?

Which of the following radiographic findings would be associated with the intermediate stage of recovery from a serious smoke inhalation injury?

Which of the following will be typically found in the air of an enclosed house fire? 1) Steam 2) Carbon monoxide 3) Hydrogen cyanide 4) Hydrogen chloride

The long-term effects of a smoke inhalation injury are:

What COHb level is associated with a throbbing headache, nausea, vomiting, and impaired judgment?

Clinical signs of an upper airway thermal injury include: 1) facial burns. 2) atelectasis. 3) mucosal edema. 4) epithelial sloughing.

Which portion of the pulmonary system will be affected by the inhalation of low-water solubility gases such as hydrogen chloride and phosgene?

A patient has been brought to the emergency department after inhaling superheated steam. Pulmonary injuries unique to this situation include: 1) atelectasis. 2) pulmonary edema. 3) thick secretions. 4) pharyngeal edema.

In an industrial accident, an adult incurred burns over his head and neck, both arms, and his anterior trunk. What percent of his BSA was burned?

A 10-year-old patient has inhaled hot gases, and an inspection of her mouth shows edema and blisters. What should the respiratory therapist recommend?

Which of the following would be recommended for the treatment of cyanide poisoning?

According to the Parkland formula, what is the recommended volume of fluid that should be infused over a 24-hour period for each percent of body surface burned?

The Patient Interview

The Physical Examination

The Pathophysiologic Basis for Common Clinical Manifestations

Pulmonary Function Testing

Blood Gas Assessment

Assessment of Oxygenation

Assessment of the Cardiovascular System

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program

Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols

Recording Skills and Intra-Professional Communication

Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema

Asthma

Cystic Fibrosis

Bronchiectasis

Atelectasis

Pneumonia, Lung Abscess Formation, and Important Fungal Diseases

Tuberculosis

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Cancer of the Lung, Prevention and Palliation

Interstitial Lung Diseases

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Cardiopulmonary Assessment and Care of Patients With Neuromuscular Disease

Sleep Apnea

Newborn Assessment and Management

Pediatric Assessment, Protocols, and Pals Management

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndrome

Respiratory Syncytial Virus Infection Bronchiolitis

Chronic Lung Disease of Infancy

Congenital Diaphragmatic Hernia

Congenital Heart Disease

Croup and Croup-Like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis, and Acute Epiglottitis

Near Drowningwet Drowning

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