An intubated, mechanically ventilated neonate developed a pneumothorax of the right lung. What could the respiratory therapist recommend to help the injured lung to heal?
a. Selectively place the endotracheal tube into the left mainstem bronchus.
b. Selectively place the endotracheal tube into the right mainstem bronchus.
c. Replace the endotracheal tube with a tracheostomy tube.
d. Change to continuous positive airway pressure (CPAP).
Q. 2 A patient with cardiogenic pulmonary edema would be expected to have all of the following chest radiograph findings EXCEPT:
a. depressed diaphragms.
b. pleural effusion.
c. cardiomegaly.
d. bilateral butterfly pattern fluffy infiltrates.
Q. 3 During mechanical ventilation of a preterm neonate, which of the following are considered to be important etiologic factors for the development of pulmonary air leak syndromes?
1. High levels of PEEP
2. High oxygen concentration
3. Prolonged inspiratory time
4. High PIP
a. 2, 3
b. 3, 4
c. 1, 3, 4
d. 1, 2, 3, 4
Q. 4 A patient with cardiogenic pulmonary edema has had intravascular catheters placed for monitoring purposes. Which of the following values would be expected?
1. Decreased SV
2. Increased PCWP
3. Increased CVP
4. Decreased RAP
a. 2, 3
b. 1, 4
c. 1, 2, 3
d. 1, 2, 3, 4
Q. 5 Following delivery, when do pulmonary air leak syndromes commonly occur in preterm neonates?
a. 1 to 4 hours after delivery
b. 5 to 8 hours after delivery
c. 12 to 24 hours after delivery
d. 24 to 48 hours after delivery
Q. 6 Mask CPAP is used with pulmonary edema patients because it does all of the following EXCEPT:
a. decrease vascular congestion.
b. reduce work of breathing.
c. it is less expensive than mechanical ventilation.
d. improve lung compliance.
Q. 7 What clinical presentation would be seen in a patient with a pneumoperitoneum?
a. Mediastinal shift toward affected area
b. Change in point of maximum impulse
c. Sudden onset of abdominal distention
d. Pleural effusion
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