Exam 7: Bronchoscopy

During a bronchoscopy procedure on a pediatric patient,the therapist notices that a patient's SpO₂ (oxygen saturation as determined by pulse oximetry)is 90%.What should the therapist do at this time?

Which of the following features characterize insertion tubes of bronchoscopes described as "spaghetti scopes"? I.They lack cables necessary to direct the distal tip,causing it to flex and distend. II.They are less than 2 mm in diameter. III.They are used for patients who are not intubated. IV.Their use is limited to visualization of an airway via insertion down an endotracheal tube.

A flexible bronchoscopy has been ordered in a child undergoing mechanical ventilation for acute respiratory distress syndrome.After several events of desaturation and therapeutic recruitment maneuvers,the physician wants to rule out mucus plugging.What should the therapist suggest to avoid alveolar derecruitment in this patient?

Which of the following organisms is often responsible for cross-contamination between bronchoscopies?

The pulmonologist has called the RT department requesting equipment for a bronchoscopy in the next 30 minutes.Which of the following methods will allow the therapist to have the scope disinfected and ready to use in that time frame?

Which of the following drug class combinations is often used to induce conscious sedation in a neonate undergoing flexible bronchoscopy?

Which of the following features are consistent with a large flexible bronchoscope compared with a smaller one?

Which of the following clinical signs receives the highest diagnostic yield in the neonatal population for flexible bronchoscopy?

Because one of the major risks of flexible bronchoscopy is aspiration of gastric contents,infants under 6 months should not take anything by mouth how many hours before the procedure?

A hospitalized patient with cystic fibrosis has developed massive hemoptysis.What is the utility of flexible fiberoptic bronchoscopy in this situation?

Why is rigid bronchoscopy preferred over flexible bronchoscopy for the removal of a foreign body from the tracheobronchial tree of a pediatric patient?

The therapist has been asked to clean the bronchoscope after a procedure.Which of the following chemicals should be used as a high-level disinfectant?

A pediatric patient is brought to the bronchoscopy suite for a follow-up assessment of laryngomalacia.Last time the child developed a mild laryngospasm during the procedure.How should this complication be prevented?

Which of the following medications is administered to the patient's nasal mucosa for the purpose of reducing the risk of epistaxis during a bronchoscopy procedure?

What percent lidocaine spray is used for neonatal flexible bronchoscopy?

The therapist selects a 3.0-mm-diameter insertion tube to be used for flexible bronchoscopy on a neonate who requires surfactant therapy.What should the therapist do with this insertion tube at this time?

When using normal saline for bronchoalveolar lavage,what is the maximum amount of normal saline per kg that should be used?

Which of the following complications of flexible bronchoscopy are considered most common? I.Transient cough II.Hypoxemia III.Respiratory depression IV.Bronchospasm

Which of the following features are considered advantages of the rigid bronchoscope over the flexible bronchoscope? I.Improved anatomic definition II.Ability to provide better ventilation III.Large internal diameter IV.Ability to introduce larger instruments

Which of the following are considered common risk factors for children who undergo bronchoscopy?