Question 1

Where should a bronchoalveolar lavage be obtained?

Accepted Answer

A)  The nondependent part of the lung 
B)  The dependent part of the lung 
C)  The largest lobe of the lung affected 
D)  The smallest lobe of the lung affected 
A)  The nondependent part of the lung 
B)  The dependent part of the lung 
C)  The largest lobe of the lung affected 
D)  The smallest lobe of the lung affected A

Question 2

When is endobronchial biopsy performed?

Accepted Answer

A)  To obtain a sputum sample from a visible endobronchial lesion. 
B)  To obtain a tissue sample from a visible endobronchial lesion. 
C)  It is used with transbronchial needle aspiration. 
D)  It is used during bronchial stent placement. 
A)  To obtain a sputum sample from a visible endobronchial lesion. 
B)  To obtain a tissue sample from a visible endobronchial lesion. 
C)  It is used with transbronchial needle aspiration. 
D)  It is used during bronchial stent placement. B

Question 3

In a patient with suspected bronchogenic carcinoma, how many biopsy specimens need to be collected during an endobronchial biopsy?

Accepted Answer

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

Question 4

Which of the following are roles of the RT during bronchoscopic procedures?
1) Collaborates with other members of the patient care team to determine if the procedure is indicated.
2) Ensures that all documentation is in place before the procedure.
3) Helps to recognize the patient's oxygen requirement and anticipates appropriate oxygen supplement during the procedure.
4) Assists the physician in operating the bronchoscopic accessories.

Accepted Answer

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

Question 5

Hypoxemia during FB on a mechanically ventilated patient is typically due to:

Accepted Answer

A)  inappropriately set alarms. 
B)  equipment failure. 
C)  loss of lung volume. 
D)  bronchospasm. 
A)  inappropriately set alarms. 
B)  equipment failure. 
C)  loss of lung volume. 
D)  bronchospasm.

Question 6

Which of the following must be continuously monitored during a bronchoscopy?
1) Cardiac monitoring
2) Blood pressure
3) Oximetry
4) MetHb levels

Accepted Answer

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

Question 7

The assessment of the upper airway prior to a flexible bronchoscopy procedure to help identify patients in whom it may be difficult to secure an airway is referred to as:

Accepted Answer

A)  the Glasgow Coma Scale. 
B)  the Mallampati classification. 
C)  the APACHE scale. 
D)  the Borg scale. 
A)  the Glasgow Coma Scale. 
B)  the Mallampati classification. 
C)  the APACHE scale. 
D)  the Borg scale.

Question 8

To obtain lavage fluid, the bronchoscope is wedged at which of the following locations?

Accepted Answer

A)  The level of the carina 
B)  The level of second or third generation bronchus 
C)  The level of fourth or fifth generation bronchus 
D)  At least at the level of the sixth generation bronchus 
A)  The level of the carina 
B)  The level of second or third generation bronchus 
C)  The level of fourth or fifth generation bronchus 
D)  At least at the level of the sixth generation bronchus

Question 9

Metallic stents are placed during:

Accepted Answer

A)  flexible bronchoscopy. 
B)  rigid bronchoscopy. 
C)  either flexible or rigid bronchoscopy. 
D)  mediastinal surgery. 
A)  flexible bronchoscopy. 
B)  rigid bronchoscopy. 
C)  either flexible or rigid bronchoscopy. 
D)  mediastinal surgery.

Question 10

For patient safety, to help avoid methemoglobinemia, the total dose of lidocaine should not exceed:

Accepted Answer

A)  2 mg/kg. 
B)  5 mg/kg. 
C)  7 mg/kg. 
D)  10 mg/kg. 
A)  2 mg/kg. 
B)  5 mg/kg. 
C)  7 mg/kg. 
D)  10 mg/kg.

Question 11

What two directions can the distal tip of a flexible bronchoscope be flexed?

Accepted Answer

A)  Up to 90 degree in ante-flexion and up to 30 degree in retro-flexion positions 
B)  Up to 270 degree in ante-flexion and up to 220 degree in retro-flexion positions 
C)  Up to 180 degree in ante-flexion and up to 90 degree in retro-flexion positions 
D)  Up to 180 degree in ante-flexion and up to 130 degree in retro-flexion positions 
A)  Up to 90 degree in ante-flexion and up to 30 degree in retro-flexion positions 
B)  Up to 270 degree in ante-flexion and up to 220 degree in retro-flexion positions 
C)  Up to 180 degree in ante-flexion and up to 90 degree in retro-flexion positions 
D)  Up to 180 degree in ante-flexion and up to 130 degree in retro-flexion positions

Question 12

Which of the following are indications for self-expanding metallic stent placement?
1) Extrinsic compression of central airways
2) Stabilizing airway patency after endoscopic removal of an intrinsic tumor
3) Sealing fistula between the lung and the gastrointestinal tract
4) Managing benign central airway obstruction

Accepted Answer

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

Question 13

Your patient is being scheduled for a flexible bronchoscopy and is inquiring about when to stop taking her warfarin. After consulting the physician, what would you tell her?

Accepted Answer

A)  1 to 2 days prior to the procedure. 
B)  3 to 5 days prior to the procedure. 
C)  1 week prior to the procedure. 
D)  She does not need to discontinue her warfarin. 
A)  1 to 2 days prior to the procedure. 
B)  3 to 5 days prior to the procedure. 
C)  1 week prior to the procedure. 
D)  She does not need to discontinue her warfarin.

Question 14

What portion of the airway are bronchial washings generally obtained?

Accepted Answer

A)  The large airways 
B)  Either of the upper lobes 
C)  Either of the lower lobes 
D)  The lowest portion of the airways possible 
A)  The large airways 
B)  Either of the upper lobes 
C)  Either of the lower lobes 
D)  The lowest portion of the airways possible

Question 15

Which of the following is an advantage of brachytherapy?

Accepted Answer

A)  It is a treatment option for all lung cancer types. 
B)  It does not require the use of a bronchoscope. 
C)  A lower dose of radiation can be delivered to the tumor cells while minimizing radiation to the normal tissue. 
D)  A higher dose of radiation can be delivered to the tumor cells while minimizing radiation to the normal tissue. 
A)  It is a treatment option for all lung cancer types. 
B)  It does not require the use of a bronchoscope. 
C)  A lower dose of radiation can be delivered to the tumor cells while minimizing radiation to the normal tissue. 
D)  A higher dose of radiation can be delivered to the tumor cells while minimizing radiation to the normal tissue.

Question 16

During thermal ablation, how are endobronchial ignitions prevented?

Accepted Answer

A)  The FiO2 should always be maintained at 21%. 
B)  The FiO2 should always be maintained below 40%. 
C)  The procedure is only performed for 3 sec at a time. 
D)  The patient's airway is cooled with cryotherapy prior to the procedure. 
A)  The FiO2 should always be maintained at 21%. 
B)  The FiO2 should always be maintained below 40%. 
C)  The procedure is only performed for 3 sec at a time. 
D)  The patient's airway is cooled with cryotherapy prior to the procedure.

Question 17

What is the most difficult parameter to monitor during FB?

Accepted Answer

A)  Depth of sedation 
B)  Airway pressure 
C)  Chest movement 
D)  Pulse oximetry 
A)  Depth of sedation 
B)  Airway pressure 
C)  Chest movement 
D)  Pulse oximetry

Question 18

Which of the following are considered indications for rigid bronchoscopy?
1) Large foreign body extraction
2) Management of massive hemoptysis
3) Self-expandable stent placement
4) Mediastinal and hilar lymphadenopathy

Accepted Answer

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

Question 19

Which of the following are divisions of imaging systems used during flexible bronchoscopy?
1) Fiberoptic
2) Video
3) Hybrid
4) Fusion

Accepted Answer

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

Question 20

Which of the following are considered indications for flexible bronchoscopy?
1) Unexplained lung collapse
2) Need for large size tissue specimen
3) Evaluate endotracheal tube-related injury
4) Bronchogenic carcinoma

Accepted Answer

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

Exam 22: Flexible Bronchoscopy and the Respiratory Therapist

Where should a bronchoalveolar lavage be obtained?

When is endobronchial biopsy performed?

In a patient with suspected bronchogenic carcinoma, how many biopsy specimens need to be collected during an endobronchial biopsy?

Hypoxemia during FB on a mechanically ventilated patient is typically due to:

Which of the following must be continuously monitored during a bronchoscopy? 1) Cardiac monitoring 2) Blood pressure 3) Oximetry 4) MetHb levels

The assessment of the upper airway prior to a flexible bronchoscopy procedure to help identify patients in whom it may be difficult to secure an airway is referred to as:

To obtain lavage fluid, the bronchoscope is wedged at which of the following locations?

Metallic stents are placed during:

For patient safety, to help avoid methemoglobinemia, the total dose of lidocaine should not exceed:

What two directions can the distal tip of a flexible bronchoscope be flexed?

Your patient is being scheduled for a flexible bronchoscopy and is inquiring about when to stop taking her warfarin. After consulting the physician, what would you tell her?

What portion of the airway are bronchial washings generally obtained?

Which of the following is an advantage of brachytherapy?

During thermal ablation, how are endobronchial ignitions prevented?

What is the most difficult parameter to monitor during FB?

Which of the following are considered indications for rigid bronchoscopy? 1) Large foreign body extraction 2) Management of massive hemoptysis 3) Self-expandable stent placement 4) Mediastinal and hilar lymphadenopathy

Which of the following are divisions of imaging systems used during flexible bronchoscopy? 1) Fiberoptic 2) Video 3) Hybrid 4) Fusion

Which of the following are considered indications for flexible bronchoscopy? 1) Unexplained lung collapse 2) Need for large size tissue specimen 3) Evaluate endotracheal tube-related injury 4) Bronchogenic carcinoma

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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