A common finding in a neonate with MAS is a respiratory rate that is:
a. under 40/min.
b. between 40 and 60/min.
c. well over 60/min.
d. cyclical with faster and then slower breaths.
Q. 2 A patient has a lung infection with Pseudomonas aeruginosa. What antibiotic should be used against it?
a. Tobramycin (TOBI)
b. Dornase alpha (Pulmozyme)
c. Levalbuterol (Xopenex)
d. Pentamidine (NebuPent)
Q. 3 Which of the following would be routinely ordered for the majority of wet-drowning victims?
1. Positive end-expiratory pressure (PEEP)
2. Hemodialysis
3. Extracorporeal membrane oxygenation (ECMO)
4. Mechanical ventilation
a. 1, 4
b. 3, 4
c. 1, 2, 4
d. 1, 2, 3, 4
Q. 4 If mechanical ventilation is needed to support a neonate with MAS, which of the following settings is especially important?
a. High positive end-expiratory pressure (PEEP) level
b. Long exhalation time
c. High humidity level
d. Give no more than 50 oxygen
Q. 5 What risk(s) is (are) there in positive-pressure ventilation before all meconium has been removed from the airways?
1. Forcing meconium into the lower airways
2. Pneumothorax
3. Triggering persistent pulmonary hypertension of the neonate (PPHN)
4. Triggering an asthma attack
a. 2
b. 3
c. 1, 2
d. 2, 3, 4
Q. 6 While assessing a patient who was involved in a serious car crash and hit his steering wheel, the respiratory therapist observes that a section of his left anterior chest wall sinks inward during inspiration. What is the most likely cause?
a. Pulmonary fibrosis
b. Flail chest
c. Pneumothorax
d. Cardiac tamponade
Q. 7 Which of the following are commonly used in the management of cystic fibrosis?
1. Pancreatic enzymes and vitamins
2. Antibiotics
3. Postural drainage
4. Expectorants
a. 1, 4
b. 2, 3
c. 1, 2, 3
d. 1, 2, 3, 4
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