Question 1

What is the first clinical sign of RDS in the newborn infant?

Accepted Answer

A)  Cyanosis 
B)  Wheezing 
C)  Hypertension 
D)  Tachypnea 
A)  Cyanosis 
B)  Wheezing 
C)  Hypertension 
D)  Tachypnea

Question 2

Which of the following treatments is least likely to be needed in the treatment of the child with croup?

Accepted Answer

A)  Oxygen 
B)  Mechanical ventilation 
C)  Aerosolized racemic epinephrine 
D)  Budesonide 
A)  Oxygen 
B)  Mechanical ventilation 
C)  Aerosolized racemic epinephrine 
D)  Budesonide

Question 3

The pathophysiologic abnormalities associated with congenital diaphragmatic hernia include which of the following?
1) Malformation of the left ventricle
2) Lung hypoplasia
3) Pulmonary hypertension
4) Unusual anatomy of the inferior vena cava

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 4

What therapy has been shown to reduce the rate of loss of lung function in patients with cystic fibrosis?

Accepted Answer

A)  High doses of ibuprofen 
B)  Continuous oxygen therapy 
C)  Corticosteroids 
D)  Inhaled DNase 
A)  High doses of ibuprofen 
B)  Continuous oxygen therapy 
C)  Corticosteroids 
D)  Inhaled DNase

Question 5

What are the fundamental pathophysiologic events that explain PPHN?
1) Vascular spasm
2) Hypoxemia
3) Increased muscle wall thickness
4) Decreased cross-sectional area

Accepted Answer

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

Question 6

Which of the following is not a problem with the typical case of meconium aspiration syndrome?

Accepted Answer

A)  Lung tissue damage 
B)  Pulmonary obstruction 
C)  Hypovolemia 
D)  Pulmonary hypertension 
A)  Lung tissue damage 
B)  Pulmonary obstruction 
C)  Hypovolemia 
D)  Pulmonary hypertension

Question 7

Which of the following treatments is the least useful for the treatment of RDS?

Accepted Answer

A)  CPAP 
B)  Surfactant replacement therapy 
C)  High-frequency ventilation 
D)  Bronchial hygiene techniques 
A)  CPAP 
B)  Surfactant replacement therapy 
C)  High-frequency ventilation 
D)  Bronchial hygiene techniques

Question 8

Which statements about TTN are true?
1) TTN and neonatal pneumonia have different clinical signs.
2) The need for mechanical ventilation in TTN is rare.
3) A small number of infants with TTN eventually have persistent pulmonary hypertension.
4) Intravenous administration of antibiotics should be considered.

Accepted Answer

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

Question 9

Which of the following clinical findings are usually seen in meconium aspiration syndrome?
1) Tachypnea and grunting
2) Irregular pulmonary densities on the chest film
3) Metabolic acidosis
4) Respiratory alkalosis

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 10

Which of the following findings is not associated with gastroesophageal reflux (GER) disease?

Accepted Answer

A)  Stridor 
B)  Apnea 
C)  Reactive airways disease 
D)  Syncope 
A)  Stridor 
B)  Apnea 
C)  Reactive airways disease 
D)  Syncope

Exam 34: Neonatal and Pediatric Respiratory Disorders

What is the first clinical sign of RDS in the newborn infant?

Which of the following treatments is least likely to be needed in the treatment of the child with croup?

The pathophysiologic abnormalities associated with congenital diaphragmatic hernia include which of the following? 1) Malformation of the left ventricle 2) Lung hypoplasia 3) Pulmonary hypertension 4) Unusual anatomy of the inferior vena cava

What therapy has been shown to reduce the rate of loss of lung function in patients with cystic fibrosis?

What are the fundamental pathophysiologic events that explain PPHN? 1) Vascular spasm 2) Hypoxemia 3) Increased muscle wall thickness 4) Decreased cross-sectional area

Which of the following is not a problem with the typical case of meconium aspiration syndrome?

Which of the following treatments is the least useful for the treatment of RDS?

Which of the following clinical findings are usually seen in meconium aspiration syndrome? 1) Tachypnea and grunting 2) Irregular pulmonary densities on the chest film 3) Metabolic acidosis 4) Respiratory alkalosis

Which of the following findings is not associated with gastroesophageal reflux (GER) disease?

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

Flexible Bronchoscopy and the Respiratory Therapist

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

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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