51 Created on February 02, 2022 Post Assessment Questionnaire of Doctors Multiple choice questions. Every question carries one marks. No negative marking is there. The number of attempts remaining is 2 1 / 20 What is tidal volume? 1. The amount of oxygen delivered with each breath 2. The volume of gas delivered in a single breath 3. The number of breaths per minute 4. The amount of pressure used to deliver a breath 2 / 20 Which artificial airway isused for long-term airway management? 1. Tracheostomy tube 2. Endotracheal tube 3. Nasopharyngeal airway 4. Laryngeal mask airway 3 / 20 ____ is defined as an absence of ventilatory support 48 hours following an extubation. 1. Weaning in progress 2. Weaning success 3. Spontaneous breathing trial 4. Weaning failure 4 / 20 Patient having ARDS on VAC mode with TV- 8ml/kg,RR-18/min,Peep 10 cm,Fio2 90% goes into sudden tachycardia,hypoxia and hypotension.What will be the next best step? 1. Increase sedation paralytic drip and start inotropic support 2. Change to Pressure A/C mode 3. ECG and Defibrillation 4. Auscultate patient see for chest rise and Do emergency Xray 5 / 20 What ventilator changes could be made to correct respiratory alkalosis? 1. Increase peak flow and Peep 2. Decrease the tidal volume or respiratory rate 3. Increase the tidal volume or respiratory rate 4. Completely sedate paralyse the patient 6 / 20 Which of the following is not a component of weaning criteria? 1. I:E ratio 2. Negative inspiratory force 3. Minute volume 4. Vital capacity 7 / 20 A 58 year old patient (weight 60 kg)known case of COPD admitted in ICU with severe respiratory acidosis. Arterial Blood Gas –ph 7.275, pco2 94,po2 61,HCO3 – 35.6, Sao2 89%. Patient intubated on VAC MODE What two setting on the ventilator allow you to manage the patient’s Co2? 1. Flow trigger and peep 2. Fio2 and peep 3. Respiratory rate and tidal volume 4. Fio2 and inspiratory pause 8 / 20 What is an absolute contraindication for initiating mechanical ventilation? 1. Subcutaneous Emphsema 2. An underlying tension pneumothorax 3. Myocardial infarction 4. Acute Left ventricular failure 9 / 20 Which of the following could you do for a high respiratory rate alarm? 1. Reduce sedation drip 2. Assess the patient for pain and/or anxiety 3. Increase the respiratory rate alarm parameters 4. Test Train-of-Four 10 / 20 Minute ventilation is equal to… 1. Tidal Volume X Respiratory Rate 2. FiO2/PEEP 3. Tidal Volume/Respiratory Rate 4. FiO2 X PEEP 11 / 20 Which of the following will cause a high pressure alarm? 1. Disconnected ventilator tubing 2. Secretions 3. A cuff leak 4. Hypoxia 12 / 20 A patient has been using PEEP at levels between 15 and 18 cm H20.The physician asks the therapist to monitor the potential adverse effects caused by PEEP.The therapist should monitor all of the following conditions except: 1. Barotrauma 2. Decreased venous return 3. Increased intracranial pressure 4. Increased cardiac output and renal perfusion 13 / 20 Plateau pressure (Pplateau) is measured during which phase of the ventilatory cycle? 1. End-expiration 2. Expiration 3. End-inspiration 4. Inspiration 14 / 20 What should the initial setting for respiratory rate be for a new mechanical ventilation patient? 1. depends on ideal body weight of the patient 2. 5-10 breaths per min 3. >30 breaths per min 4. 10-20 Min breaths per min 15 / 20 What should the initial setting for PEEP before a new mechanical ventilation patient. 1. 4-6 cm H20 2. 0 cm should decide after obtaining ABG 3. 2-4 cmH2o 4. 8-12cm H20 16 / 20 The degree of ventilation may be increased by increasing all of the following ventilator parameters except: 1. VT 2. PEEP 3. Rate 4. PS 17 / 20 Airway resistance may be increased in all of the following clinical conditions except: 1. Tachycardia 2. Condensation in ventilator circuit 3. ETT with small internal diameter 4. airway obstruction 18 / 20 You have a patient who was found unconscious and you do not have any other information about the patient. What would the initial ventilator setting need to be ? 1. Mode :PressureControl,Pressure support 5 cm ,RR-20-30/min,peep-8 cm 2. Mode : Volume control ,tidal volume : 6-10ml/kg.Respiratory rate : 10-20 bpm,I-time:1sec,PEEP:5cm H2o,& FIO2 :100% 3. Mode: Non invasive ventilation BiPAP IPAP-16cm,EPAP-10 cm RR-20/min 4. Mode: Non invasive ventilation CPAP Pressure support 12cm ,peep-8 cm,Fio2 100% 19 / 20 What should the initial setting for tidal volume be for a new mechanical ventilation patient 1. 3-4 ml/kg 2. 6-8 ml/kg 3. 4-6 ml/kg 4. 10-12ml/kg 20 / 20 Your patient has a PaO2 of 48 mmHg on 40%. The doctor wants a PaO2 of 80 mmHg. WHat FiO2 do you need? 1. 67% 2. 48% 3. 60% 4. 82% Your score is 0%
Post Assessment Questionnaire of Doctors 51 Created on February 02, 2022 Post Assessment Questionnaire of Doctors Multiple choice questions. Every question carries one marks. No negative marking is there. The number of attempts remaining is 2 1 / 20 What should the initial setting for tidal volume be for a new mechanical ventilation patient 1. 6-8 ml/kg 2. 10-12ml/kg 3. 3-4 ml/kg 4. 4-6 ml/kg 2 / 20 The degree of ventilation may be increased by increasing all of the following ventilator parameters except: 1. PEEP 2. PS 3. Rate 4. VT 3 / 20 Which artificial airway isused for long-term airway management? 1. Laryngeal mask airway 2. Endotracheal tube 3. Tracheostomy tube 4. Nasopharyngeal airway 4 / 20 What ventilator changes could be made to correct respiratory alkalosis? 1. Completely sedate paralyse the patient 2. Increase peak flow and Peep 3. Increase the tidal volume or respiratory rate 4. Decrease the tidal volume or respiratory rate 5 / 20 What is tidal volume? 1. The volume of gas delivered in a single breath 2. The amount of oxygen delivered with each breath 3. The amount of pressure used to deliver a breath 4. The number of breaths per minute 6 / 20 Minute ventilation is equal to... 1. FiO2 X PEEP 2. FiO2/PEEP 3. Tidal Volume X Respiratory Rate 4. Tidal Volume/Respiratory Rate 7 / 20 Which of the following is not a component of weaning criteria? 1. I:E ratio 2. Minute volume 3. Vital capacity 4. Negative inspiratory force 8 / 20 Your patient has a PaO2 of 48 mmHg on 40%. The doctor wants a PaO2 of 80 mmHg. WHat FiO2 do you need? 1. 82% 2. 48% 3. 60% 4. 67% 9 / 20 What is an absolute contraindication for initiating mechanical ventilation? 1. Myocardial infarction 2. Acute Left ventricular failure 3. An underlying tension pneumothorax 4. Subcutaneous Emphsema 10 / 20 ____ is defined as an absence of ventilatory support 48 hours following an extubation. 1. Weaning in progress 2. Weaning success 3. Weaning failure 4. Spontaneous breathing trial 11 / 20 Patient having ARDS on VAC mode with TV- 8ml/kg,RR-18/min,Peep 10 cm,Fio2 90% goes into sudden tachycardia,hypoxia and hypotension.What will be the next best step? 1. ECG and Defibrillation 2. Auscultate patient see for chest rise and Do emergency Xray 3. Change to Pressure A/C mode 4. Increase sedation paralytic drip and start inotropic support 12 / 20 Plateau pressure (Pplateau) is measured during which phase of the ventilatory cycle? 1. End-expiration 2. End-inspiration 3. Expiration 4. Inspiration 13 / 20 What should the initial setting for PEEP before a new mechanical ventilation patient. 1. 4-6 cm H20 2. 8-12cm H20 3. 2-4 cmH2o 4. 0 cm should decide after obtaining ABG 14 / 20 A patient has been using PEEP at levels between 15 and 18 cm H20.The physician asks the therapist to monitor the potential adverse effects caused by PEEP.The therapist should monitor all of the following conditions except: 1. Increased cardiac output and renal perfusion 2. Increased intracranial pressure 3. Barotrauma 4. Decreased venous return 15 / 20 You have a patient who was found unconscious and you do not have any other information about the patient. What would the initial ventilator setting need to be ? 1. Mode :PressureControl,Pressure support 5 cm ,RR-20-30/min,peep-8 cm 2. Mode: Non invasive ventilation BiPAP IPAP-16cm,EPAP-10 cm RR-20/min 3. Mode: Non invasive ventilation CPAP Pressure support 12cm ,peep-8 cm,Fio2 100% 4. Mode : Volume control ,tidal volume : 6-10ml/kg.Respiratory rate : 10-20 bpm,I-time:1sec,PEEP:5cm H2o,& FIO2 :100% 16 / 20 What should the initial setting for respiratory rate be for a new mechanical ventilation patient? 1. 5-10 breaths per min 2. >30 breaths per min 3. depends on ideal body weight of the patient 4. 10-20 Min breaths per min 17 / 20 A 58 year old patient (weight 60 kg)known case of COPD admitted in ICU with severe respiratory acidosis. Arterial Blood Gas –ph 7.275, pco2 94,po2 61,HCO3 – 35.6, Sao2 89%. Patient intubated on VAC MODE What two setting on the ventilator allow you to manage the patient’s Co2? 1. Fio2 and inspiratory pause 2. Flow trigger and peep 3. Respiratory rate and tidal volume 4. Fio2 and peep 18 / 20 Airway resistance may be increased in all of the following clinical conditions except: 1. airway obstruction 2. Tachycardia 3. Condensation in ventilator circuit 4. ETT with small internal diameter 19 / 20 Which of the following could you do for a high respiratory rate alarm? 1. Assess the patient for pain and/or anxiety 2. Reduce sedation drip 3. Increase the respiratory rate alarm parameters 4. Test Train-of-Four 20 / 20 Which of the following will cause a high pressure alarm? 1. Hypoxia 2. Disconnected ventilator tubing 3. A cuff leak 4. Secretions Your score is 0%
