A 58-year-old postoperative male who weighs 172 lbs is receiving volume control A/C ventilation at a rate of 16/min, tidal volume of 550 mL, and FiO2 of 40%. Immediately after intubation, a 64-year-old female patient is showing signs of asymmetrical chest movement while being ventilated with a bag-valve resuscitator. PaCO2 48 mm Hg The Therapist Multiple-Choice (TMC) Examination objectively measures essential knowledge, skills, and abilities required of respiratory therapists at entry into practice. Which of the following is the most common problem associated with this ventilatory mode? Were you able to make the score that you wanted? 81. 30 minutes later, the high respiratory rate alarm begins to sound and the patient is breathing at a rate of 29 breaths/min. Which of the following modes would you select? BE 0 mEq/L BE -2 mEq/L Just enter your name and email address to get started. (Once you hit Submit, your results will be shown at the top of this page. What is the patient’s total lung capacity? What started off as a small Urgent Care Center has since grown into a centre with 17 medical professionals. Jan 09, 2014 PaCO2 49 torr Which of the following conditions would you expect to be present with this finding? High pressure limit 64 cm H2O Which of the following is the most likely explanation of these findings? The pulse oximeter reveals an SpO2 of 85%. Which of the following is the most likely problem for this patient? HCO3 25 mEq/L We are not affiliated, associated, authorized, endorsed by, or in any way officially connected with TMC Transportation, or any of its subsidiaries or its affiliates. Rate 12/min Each Each strain has been tested against a variety of drug classes including the penicillins, cephalosporins, carbapenems, quinolones, and aminoglycosides. An adult patient with a tracheostomy in place is receiving ventilatory support in the volume-control SIMV mode with a set rate of 10/min. Which of the following would you recommend? }; A 71-year-old male patient is receiving ventilatory support and it was noted that his secretions are yellow and have gotten thicker over the past 24 hours. Since that time, the practice has grown in use and prominence. A 60-year-old female patient is receiving assist-control mechanical ventilation. SpO2 84% Researchers at Houston Methodist and Rice University have made a discovery that will impact the design of not only drug delivery systems, but also the development of newer applications in water filtration and energy production. The patient has a white blood cell count of 17,000/mm3 and a temperature of 102 °F. 107. During the assessment of a 52-year-old female patient that is receiving oxygen via nasal cannula at 4 L/min, you hear the bubble humidifier making a whistling noise. Based on the results, what should you recommend? var js, fjs = d.getElementsByTagName(s)[0]; 55. pH 7.35 18. FEV1 is normal Which of the following would you recommend in order to increase the deposition of the bronchodilator? Do TMC do hair or urine drug testing Asked May 19, 2017 Both and also random urinalysis testing with no notice as well when at terminals. This type of airway is useful in supporting which of the following? Which of the following pulmonary function tests can be performed at this time? Most THC drug tests yield a positive result when the concentration of marijuana in urine exceeds 50 ng/mL. 90. During a spontaneous breathing trial via T-tube, the patient’s breathing rate increased drastically which required that he be placed back on the ventilator. SVC of 3,500 mL 41. You are called to administer nebulized albuterol to a 47-year-old female patient that is receiving oxygen via nasal cannula at 2 L/min. While selecting the initial ventilatory settings for a newly intubated patient, which of the following is most important? BE -3 mEq/L A 64-year-old female patient with a history of CHF has been admitted to the emergency department on a nasal cannula at 4 L/min. 99. Which of the following changes in the patient’s status would be acceptable? What is the maximum volume of air that can be inhaled after a normal quiet inspiration? 73. While attempting to wean an adult patient from mechanical ventilation, you switched them from the volume control A/C mode over to CPAP with pressure support. Upon assessment, you note crepitus in the upper chest area. Which of the following would you expect to see in this case? The patient’s arterial blood gas results are as follows: Her breath sounds are absent on the left side and the trachea appears to be shifted to the left. SaO2 85% Where should the tip of the tube be located? 7. The first couple of days are spent gathering information both for you and for TMC. Which of the following is the most likely cause of this discrepancy? After re-checking with a CO-oximeter, it reveals that the patient’s SaO2 is 67%. 142. The more you use marijuana, the longer it will stay in your system even after you quit using it. Which of the following best classifies this type of breathing? During a CPAP spontaneous breathing trial, the patient has a respiratory rate of 14 and exhaled tidal volume of 320 mL. Since 1944, members of our community have counted on Tucson Medical Center to be here for them when they are at their most vulnerable. 15. 94. A COPD patient is being discharged and the doctor wants to prescribe a controller-type bronchodilator for home use. Upon assessment, you also note digital clubbing, hyperresonance to percussion, and a productive cough. HCO3 20 mEq/L A newly admitted adult patient with pneumonia has an oxygen saturation of 87% on a nasal cannula at 2 L/min. Which of the following would you recommend in order to correct this problem? Which of the following would you recommend? }(document, 'script', 'facebook-jssdk')); 1. Which of the following drugs would you recommend for administration via nebulization? 112. An adult patient who is receiving mechanical ventilation has a peak airway pressure of 60 cmH2O and a plateau pressure of 45 cmH2O. A stable adult patient who is receiving mechanical ventilation displays the following results: While looking at the results of the first attempt, you determined that it took too long for the patient to reach the peak expiratory flow. 108. They do it for liability and insurance requirements. HCO3 19 mEq/L The testing alone is not enough to meet all the requirements. A 66-year-old female patient is receiving ventilatory support in the SIMV mode with an FiO2 of 40% and a PEEP of 10 cmH2O. BE -1 After the extubation of a 54-year-old male patient, he begins to complain of a sore throat. When you finish the exam, hit Submitand the results will be shown here at the top of this page. 137. 80. Which of the following would you recommend? Math, maps, decision making etc. These findings suggest which of the following? Her ABG results are as follows: Which of the following is the most likely cause of this finding? 78. 40. Which of the following medications would you recommend? Before another attempt is performed, which of the following instructions should you give the patient? Which of the following would you recommend? 124. While reviewing the medical record of a 55-year-old female patient, you note that her FEV1/FVC ratio was reported as being severely decreased. 127. All prescription and over-the-counter (OTC) drugs in the U.S. are required by the FDA to have an imprint code. After only a few minutes, the patient suddenly becomes dyspneic. We'll walk you through every step of the journey from the time you're considering a career at TMC Transportation & Help you learn how to evaluate and prepare for any future drug tests. During the assessment of a 1-week-old infant, which of the following signs would indicate the infant has an increased work of breathing? Which of the following would you recommend? Which of the following would you recommend? An adult patient in the ICU who is receiving mechanical ventilation has been diagnosed with ARDS. PaO2 91 torr PaO2 88 mm Hg All of the following drugs would be helpful EXCEPT: 63. An adult patient has arrived to the emergency department in respiratory distress with diminished breath sounds. The length of time marijuana is detected in urine depends on the amount used, frequency of use and the user's weight and body fat. Which of the following devices would you recommend? An adult patient was admitted to the emergency department with chest trauma after a motor vehicle accident. If you were to increase the pressure limit, this would increase the risk of which of the following? 98. After performing endotracheal suctioning, which of the following would indicate effective clearance of retained secretions? 120. Inside the eBook, we’re going to take you through each question and provide a detailed explanation so you can see exactly why you selected the incorrect answer. pH 7.49 It is determined that you should obtain the sample from a capillary instead of an artery. What is hair follicle drug testing? 9. 114. 101. pH 7.34 25. The patient has a dull percussion note on the left side as well. The FEV1/FVC ratio is normal. It’s not required to purchase but it’s definitely something I recommend to each student who takes the practice exam. 16. The patient’s ABG results are as follows: Which of the following is required in order to perform an arterial puncture? A 61-year-old female patient is receiving mechanical ventilatory support. 28. Which of the following would you recommend? Since our founding in 2012, TMC Clinic has been the Urgent Care Center of choice in the Windsor & Tecumseh area. A 59-year old female patient with COPD is receiving supplemental oxygen via nasal cannula at 2 L/min. Upon assessment, the high-pressure alarm suddenly begins to sound. 38. LEAGUE CITY, TEXAS — On a cloudy April day, several weeks into the coronavirus pandemic, pharmacist Jordan Burdine packed up a loaded syringe and buckled it into the passenger seat of her black Lexus SUV.. Burdine was transporting the medicine from a University of Texas Medical Branch pharmacy to a clinic a few miles down the road. 70. There are two reasons to make a hair drug test. 42. Which of the following would you recommend? Which of the following would recommend? Which of the following sites would you recommend? However, the bigger question is how long will it still be detected with a THC urine drug test.