Pulm Diag

One must be especially cautious in interpreting ________ in a patient with leukemia.

PaO2

The effects of excessive liquid sodium heparin on a blood gas sample are:

1. related to the partial pressures of the gases in the liquid.

2. related to the pH of the liquid heparin.

3. related to the buffer systems in the heparin.

1 and 3

Which of the following suggest a blood gas sample may be venous?

1. Observation of a flash of blood as the syringe begins filling

2. Bluish coloration of the blood sample

3. Failure of syringe to auto-fill

4. Brownish coloration of blood

2 and 3

Temperature correction of blood gases:

1. clearly provides the optimal way to guide clinical decision-making.

2. is only indicated when patient temperature exceeds 40° C.

3. is easily accomplished with most blood gas machines.

3 only

Placing a blood sample in an ice-water solution will interfere with analysis of blood:

Electrolytes

An instrument that measures an unknown voltage by comparing it with a known reference voltage is?

Potentiometer

Dr Bescey and his ARNP M. Armstrong are arguing over what electrode the "SANZ" is. They ask you and you confidently tell them...

pH

A substance through which electrons can flow is called?

Conductor

Of the 3 Electrodes, which is the least accurate?

Clark

The Half-Cell where the actual electrochemical change takes place is called thehalf-Cell

Working

(T/F) Janine has just moved to the Tampa area and has been an RT for 30 years. She is not ready to retire yet but also does not want to be on her feet for 12 hours a day. She finds and is offered a job in Tampa General's blood gas lab. She started to re-educate herself on Blood Gas Errors and she thinks she remembers someone telling her the following "A blood gas lab has to determine the mean and standard deviation for each of its instruments"?

True

The Lab has to perform Linearity and Correlation studies on a_____

6 month basis

(T/F) Co-oximitry is less accurate the pulse oximitry

False

In reference to Cooximetry, Up to how many wave lengths are used to determine the fractional components ofhemoglobin?

23

What amino acid breakdown produces NO (Nitric Oxide).

L-Arginine

Which of the following is NOT a NO Synthase (NOS) enzyme?

Glycine

What year was NO (Nitric Oxide) first detected in exhaled breath

1991

(T/F) iNOS are thought to be the main contributor to elevated exhaled NO in asthmatics?

True

(T/F) An adult with a eNO level of 76 ppb would be considered in a normal range and has no inflammation process happening.

False

Asbestosis

Shipyard worker

Beryllium Disease

Aerospace worker

Silicosis

Sand blasters

Hypersensitivity pneumonitis

mushroom farmer

Fred is a cabinet and countertop fabricator, and has been for 20 years. He is at a higher risk of contracting this disease.

Silicosis

From the list of gases, which one is colorless and used during WWI as a chemical weapon

Phosgene

Brendon worked for NASA until 2001 in the shuttle fleet prep assembly building. Soon after retiring Brendon started having breathing issues, after extensive testing he was diagnosed with this disease ___________________________, which was a direct result of being exposed at his workplace.

Beryllium Disease

(T/F) The safety committee at Hawks Hospital is comprised of Sarah, Kyle, Diane and Jeff After much research and debate the decide that limiting exposure and Ventilation systems are both examples of prevention goals concerning occupational exposures.

True

Lidocaine is often used when performing a bronchoscopy for this reason

Control Gag reflex

(T/F) Its a good idea to do both of these during a bronchoscopy

- Increase all higher end alarm setting

- Continuous monitoring of Sat's, BP, HR, EKG

True

You want to have your FiO2 at this when bronching a vented patient

100%

Kayla is preparing to assist Dr. Cid with a bronchoscopy. Dr. Cid, who likes to hear herself talk says "Flexible bronchoscopes are available in the following sizes for adults"

5.0 and 6.0 mm OD

(T/F) A BAL allows you to take a sample or wash from the lungs, that can then be tested for various bacteria, fungi, etc.

True

Energy Value of Fat

37 KJ per gram

Energy Value of Fiber

13 KJ per gram

Energy Value of Protein

17 KJ per gram

(T/F) The key to indirect calorimetry is that all inspired and expired air must be collected, therefore leaks in the closed circuit would lead to errors in the readings or uninterpretable results.​

True

The Metabolic rate is effected by all of the following except

The energy expenditure (EE)

The RMR or BMR are effected by all the following factors EXCEPT:

Blood Pressure

Maureen has come onto her shift and is assigned to the Trauma ICU. Her patient Mr. Williams in on the following settings: SIMV/350/14/50%/+10/ps10. He also has an order for a Metabolic cart study. Maureen decided to contacts the doctor before doing the study. Why?

PEEP is a Contraindication

(T/F) Metabolism is not a life long process

False

The respiratory quotient can be defined as this

Ratio of CO2 produced to O2 consumed

For a average, mildly active person what is the percentage attributed to the thermic effect (thermogenesis)?

8%

Like many mammals Dolphins have strange sleep habit. They...

Sleep one brain hemisphere at a time

You are working with Leo, a sleep study expert, on a patient who you suspect of having OSA. you ask Leo how they determine the severity of his OSA, if indeed he has it. Leo states that if its between 5-15 apneas per hour then it would be considered...

Mild

Currently the gold standard for treating sleep disorders such as OSA is CPAP. The next in line and what some people want to try before going to a CPAP Machine is this

Oral appliances

Brain waves were first discovered by Germans in 1929, This eventually lead to sleep studies. In the 1980's this replaced tracheostomy as a first line defense in treating Sleep Apnea

CPAP

The body tries to combat a high V/Q ratio by doing this?

bronchoconstriction

Which Phase in a V/Q lung scan see the use of Xenon

Ventilation Phase

(T/F) You take your patient for a V/Q scan, after having a lobectomy. while you are watching the scan being performed you see the technicians give a IV injection. You ask the doctor what they are injecting into the patient and he say, oh that is Xenon. Is the doctor correct?

False

(T/F) Is the following Statement True or False

Few conditions constitute a true shunt or true dead space because they would be incompatible with life. Therefore the V/Q mismatch term is used for conditions in between these two extremes

True

You are reviewing the chart of a patient, yesterday she had a V/Q scan that revealed her V/Q ratio was 0.70. You review you notes on this and decide you need to chat to the doctor about the results. You tell the doctor that the result is?

Abnormal

(T/F) Lily and David are discussing CT scans. Lily states that A CT scan is a type of x ray. to which David say "However, a CT scan's pictures show less detail than pictures from a standard x-ray" Is David's statement correct?

False

IF a patient needs to have a CT scan you have to make sure that, although rare, they would not have an allergic reaction to which _______________________ is sometimes used in scans. If they are, they can be administered medications that will relieve the symptoms.

Contrast

Dr. Miguel Cervoleon has ordered a CT scan of the lungs on your 58 year old trauma victim. when you get to CT you have to wait a while due to a back up of patients. You Have some time to look up CT scans on your phone. What is the form of energy that CT scans use?

Ionizing Radiation

As seen on a CT scan, a moderate cavity in the lung with a thin surrounding wall creating a nodule is caused by what?

Aspergillus

(T/F) Angioplasty helps restore blood flow to the heart

True

The image intensifier has 3 components to it, which one below is not one of them

Anode Plate

(T/F) Are the images you see on the monitor in the Cath lab during a procedure "live, in real time"?

True

(T/F) Ablation is the procedure where a Stent is placed in the body at the site of a blockage.

False