Question 1

What are the two major complications of transbronchial biopsy?

Accepted Answer

A)  Uncontrollable coughing and bleeding 
B)  Pneumothorax and bleeding 
C)  Pneumothorax and coughing 
D)  Cardiac arrest and pneumothorax 
A)  Uncontrollable coughing and bleeding 
B)  Pneumothorax and bleeding 
C)  Pneumothorax and coughing 
D)  Cardiac arrest and pneumothorax

Question 2

During bronchoscopy of an intubated patient receiving mechanical ventilation, what should the RT be aware of?

Accepted Answer

A)  Risks are minimal since the patient already has a secured airway. 
B)  The resistance imposed by the bronchoscope may cause tracheal pressures to increase noticeably. 
C)  Albuterol should be available to address and airway resistance changes. 
D)  Inspiratory and expiratory effort (measured by tracheal pressure) appears minimally affected in most patients. 
A)  Risks are minimal since the patient already has a secured airway. 
B)  The resistance imposed by the bronchoscope may cause tracheal pressures to increase noticeably. 
C)  Albuterol should be available to address and airway resistance changes. 
D)  Inspiratory and expiratory effort (measured by tracheal pressure) appears minimally affected in most patients.

Question 3

Which of the following are considered contraindications for flexible bronchoscopy?
1) Severe hypercapnia
2) Impaired neck mobility
3) Hemoptysis
4) Recent myocardial infarction

Accepted Answer

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

Question 4

A technique of obtaining a specimen of the lung parenchyma by using flexible forceps positioned distally through the working channel of the bronchoscope is referred to as:

Accepted Answer

A)  an endobronchial biopsy. 
B)  bronchial brushing. 
C)  transbronchial needle aspiration. 
D)  a transbronchial biopsy. 
A)  an endobronchial biopsy. 
B)  bronchial brushing. 
C)  transbronchial needle aspiration. 
D)  a transbronchial biopsy.

Question 5

What is the major challenge of ultrathin bronchoscopy?

Accepted Answer

A)  Bronchoscopy kinking during procedure 
B)  The equipment is expensive 
C)  Issues with CT guidance equipment 
D)  Maintaining proper anatomical orientation in the peripheral airways 
A)  Bronchoscopy kinking during procedure 
B)  The equipment is expensive 
C)  Issues with CT guidance equipment 
D)  Maintaining proper anatomical orientation in the peripheral airways

Exam 22: Flexible Bronchoscopy and the Respiratory Therapist

What are the two major complications of transbronchial biopsy?

During bronchoscopy of an intubated patient receiving mechanical ventilation, what should the RT be aware of?

Which of the following are considered contraindications for flexible bronchoscopy? 1) Severe hypercapnia 2) Impaired neck mobility 3) Hemoptysis 4) Recent myocardial infarction

A technique of obtaining a specimen of the lung parenchyma by using flexible forceps positioned distally through the working channel of the bronchoscope is referred to as:

What is the major challenge of ultrathin bronchoscopy?

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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