RCP 240
RESPIRATORY THERAPEUTICS
TEST 4, UNITS 10-12 =
&nb=
sp; =
&nb=
sp; =
NAME_________=
__________________
DECEMBER 7, 2009
ANSWER THE FOLLOWING MULTIPLE CHOICE QUESTIONS W=
ITH
THE BEST ANSWER ON THE ANSWER SHEET PROVIDED. (2 PTS EACH)
1.&n=
bsp; Total
output of aerosol generators is measured in:
A)
mm
Hg
B)
liters/minute
C)
mg/liter
D)
milliliters/minute
2.&n=
bsp; The
maximum depth particles can be carried via inhaled gas into the respiratory
tract is known as:
A)
clearance
B)
stability
C)
nebulization
D)
deposition
3.&n=
bsp; An
aerosol particle 50 microns in diameter would most likely deposit in the:
A)
mouth
B)
bronchi
C)
bronchioles
D)
alveoli
4.&n=
bsp; An
aerosol particle 0.25 microns in diameter would most likely deposit in the:=
A)
trachea
B)
bronchi
C)
bronchioles
D)
alveoli
5.&n=
bsp; Larger
aerosol particles:
I. &nbs=
p;
are
affected by gravity more
II. &nb=
sp;
tend
to have more inertia
III. &n=
bsp;
are
created if temperature of gas is warmer
A)
II
only
B)
I
and II
C)
I
and III
D)
I,
II and III
6.&n=
bsp; More
side effects would occur during aerosolized medication delivery if:
I. &nbs=
p;
Albuterol
deposits in the mouth
II. &nb=
sp;
Racemic
epinephrine deposits in the larynx
III. &n=
bsp;
Levalbuterol
deposits in the bronchi
IV. &nb=
sp;
Acetylcysteine
deposits in the bronchi
A)
I
only
B)
I
and IV
C)
II
and III
D)
III
and IV
7.&n=
bsp; The
device that is used in a nebulizer to remove larger particles is referred t=
o as
a:
A)
Baffle
B)
Jet
C)
Capillary
tube
D)
Bumper
8.&n=
bsp; In
an ultrasonic nebulizer we can change or adjust:
A)
Amplitude
and total output
B)
Amplitude
and particle size
C)
Frequency
and total output
D)
Frequency
and particle size
9.&n=
bsp; Which
of the following is primarily used for continuous delivery of aerosol
medication?
A)
Air
entrainment nebulizer
B)
Small
volume jet nebulizer
C)
Pari
nebulizer
D)
HEART
nebulizer
10.&=
nbsp; Standard
adult dosage for levalbuterol is:
A)
0.25
mg-0.50 mg
B)
0.50
mg-1.00 mg
C)
0.63-1.25
mg
D)
1.25-2.25
mg
11.&=
nbsp; The
most common side effect seen with the administration of albuterol is:
A)
Tachycardia
B)
Infection
C)
Tremors
and jitters
D)
Tachypnea
12.&=
nbsp; The
primary reason we give racemic epinephrine by aerosol is because it causes:=
A)
Vasoconstriction
B)
Vasodilation
C)
Bronchoconstriction
D)
Bronchodilation
13.&=
nbsp; Which
of the following devices produce aerosol?
I. &nbs=
p;
Bubble
humidifier
II. &nb=
sp;
Air
entrainment nebulizer
III. &n=
bsp;
HEART
nebulizer
IV. &nb=
sp;
Wick
humidifier
A)
I
and II
B)
I
and IV
C)
II
and III
D)
III
and IV
14.&=
nbsp; Which
of the following humidifiers would be used in conjunction with a mechanical=
ventilator?
I. &nbs=
p;
Bubble
humidifier
II. &nb=
sp;
Wick
humidifier
III. &n=
bsp;
Passover
humidifier
IV. &nb=
sp;
Heat
moisture exchanger
A)
I,
II and III
B)
I,
II and IV
C)
II,
III and IV
D)
I,
II, III and IV
15.&=
nbsp; Which
of the following might DECREASE the amount of condensation in a ventilator
circuit?
I. &nbs=
p;
Increase
the length of the delivery tubing
II. &nb=
sp;
Increase
the temperature of the heater
III. &n=
bsp;
Increase
the temperature of the room
A)
I
only
B)
III
only
C)
I
and II
D)
II
and III
16.&=
nbsp; Which
of the following is the most efficient humidifier?
A)
Heated
wick humidifier
B)
Cool
passover humidifier
C)
Heat
moisture exchanger
D)
Bubble
humidifier
17.&=
nbsp; Water
in a vapor state:
I. &nbs=
p;
Is
invisible
II. &nb=
sp;
Exerts
partial pressure
III. &n=
bsp;
Is
particulate
A)
I
only
B)
II
only
C)
I
and II
D)
I
and III
18. A gas=
has
an absolute humidity content of 21.7 mg/l of water and is currently at 25
I. &nbs=
p;
The
relative humidity will increase
II. &nb=
sp;
The
relative humidity will decrease
III. &n=
bsp;
Condensation
will occur
IV. &nb=
sp;
The
gas will become saturated with water vapor
A)
I
and III
B)
II
and IV
C)
I,
III and IV
D)
II,
III and IV
19.&=
nbsp; The
dew point of a gas that contains 18.4 mg/l of water is:
A)
17o
C
B)
21o
C
C)
25o
C
D)
37o
C
20.&=
nbsp; The
most important anatomic structure for humidifying inspired gases is the:
A)
Nose
B)
Mouth
C)
Trachea
D)
Pharynx
21. Which=
of
the following humidifying devices is designed to only make up the primary
humidity deficit?
A)
Bubble
humidifier
B)
Heated
wick humidifier
C)
HEART
nebulizer
D)
Small
volume jet nebulizer
22. Which=
of
the following patients would most likely need a heated humidified system su=
ch
as a wick humidifier?
A)
A
young adult with asthma
B)
A
small child with croup
C)
An
adult with pneumonia and a tracheostomy
D)
An
older adult with COPD
23.&=
nbsp; The
amount of water lost by the tracheobronchial tree in a 24 hour period is ab=
out:
A)
40-50
ml
B)
100-150
ml
C)
200-250
ml
D)
500-1000
ml
24.&=
nbsp; You
are asked to initiate 80% oxygen on a newborn infant. What device would you select?
A)
Oxygen
tent
B)
Incubator
C)
Oxyhood
D)
Nasal
cannula
25.&=
nbsp; The
minimum flow that should be used with an oxyhood is:
A)
1
lpm
B)
3
lpm
C)
5
lpm
D)
7
lpm
ANSWER THE FOLLOWING QUESTIONS WITH A
CONCISE ANSWER.
26.&=
nbsp; What
does the abbreviation MMAD stand for and why is it an important concept?
27. Descr=
ibe
the ideal breathing pattern for a patient while receiving hand-held aerosol
therapy with albuterol. (6 pt=
s)
28. List =
five
indications for aerosol therapy. (5
pts)
29. List =
two
advantages of using the Aeroneb. (2
pts)
30. List =
four
ways to heat a nebulizer of humidifier.&nb=
sp;
(4 pts)
31.&=
nbsp; For
each of the following drugs, fill in the missing information. (9 pts total)
&nbs=
p; Albut=
erol
&nbs=
p; &=
nbsp; Use-
&nbs= p; &= nbsp; Dosage-<= o:p>
&nbs=
p; &=
nbsp; Trade
name-
&nbs=
p; Iprat=
ropium
bromide
&nbs=
p;
&nbs=
p; &=
nbsp; Use-
&nbs= p; &= nbsp; Dosage-<= o:p>
&nbs=
p; &=
nbsp; Trade
name-
&nbs=
p; Acety=
lcysteine
&nbs=
p; &=
nbsp; Use-
&nbs= p; &= nbsp; Dosage-<= o:p>
&nbs=
p; &=
nbsp; Trade
name-
32.&=
nbsp; What
is the ideal particle size for the best delivery of albuterol? (Remember units) (2 pts)
33.&=
nbsp; List
two ways we can increase surface area in a humidifier to increase its
efficiency. (4 pts)
34.&=
nbsp; A
gas at 37o C contains 32.7 mg/l of water. What is the relative humidity of t=
his
gas? (2 pts)
35.&=
nbsp; List
three things that will increase the amount of water lost by the pulmonary
system. (3 pts)
36.&=
nbsp; List
four adverse effects of a drastically increased humidity deficit. (4 pts)
37.&=
nbsp; List
five items needed to set up an oxyhood.&nb=
sp;
(5 pts).
BONUS: