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Pre Test for Acute Respiratory Failure

Quiz by Cassiopia Lippold

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19 questions
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  • Q1
    Which one of the following is not a class of respiratory failure
    Airway protection
    Mountain sickness
    Refractory Hypoxemia
    Increased work of breathing
    30s
  • Q2
    Which type of tachypnea is more worrisome
    Rapid and shallow
    Rapid and deep
    30s
  • Q3
    Why is rapid and shallow breathing worse?
    low CO2
    low tidal volumes
    will not tolerate BiPAP
    Easily tired
    30s
  • Q4
    Which is NOT a class of increased work of breathing causing respiratory distress?
    Increased metabolic demands
    Opiate Overdose
    Worsening Compliance
    Bronchospasm
    30s
  • Q5
    In severe metabolic acidosis, why are the patients breathing rapidly?
    Get rid of CO2
    Overcome shunt physiology
    Stay awake
    Increased metabolic supply
    30s
  • Q6
    Can someone fake being diaphoretic?
    No
    Yes
    30s
  • Q7
    Why is tachycardia and diaphoresis dangerous in the setting of increased work of breathing
    Likely to have metabolic acidosis
    High catecholamine surge
    High concern for drug withdrawal
    Not really concerning
    30s
  • Q8
    What is meant by shunt physiology?
    Inadequate ventilation with adequate perfusion
    Inadequate ventilation with inadequate perfusion
    Adequate ventilation with adequate perfusion
    Adequate ventilation with inadequate perfusion
    30s
  • Q9
    What is the underlying problem with shunt physiology?
    Fatigue from poor compliance
    Poor perfusion of the alveoli
    Something in the alveoli that prevents them from expanding
    Something in the alveoli that prevents adequate gas exchange
    30s
  • Q10
    Why does positive pressure ventilation help with shunt physiology?
    Greater oxygen delivery
    Helps with patient fatigue
    Increased surface area for gas exchange
    Better carbon dioxide removal
    30s
  • Q11
    What does it mean when there is an increase in FiO2 without an increase in PaO2?
    Mostly breathing with their mouth
    Inadequate amount of oxygen
    Need to change from NC to non-rebreather
    No gas exchange due to shunt physiology
    30s
  • Q12
    What percentage of alveoli are involved in shunt physiology to have refractory hypoxia
    >50%
    >30%
    >55%
    >40%
    30s
  • Q13
    What is usually a way to say a patient is unable to protect their airway and would be benefit from intubation
    Frequent lethargy and unable to carry on a conversation
    Pooling of secretions in the airway
    Recent Stroke
    Poor cough
    30s
  • Q14
    What is the glasglow coma score that is a general rule of thumb for intubation
    Less than 8
    Less than 11
    Less than 10
    Three
    30s
  • Q15
    What happens to the ratio of carbon dioxide to oxygen when a patient is apneic?
    Increased carbon dioxide with decreased oxygen
    Decreased carbon dioxide with increased oxygen
    Increased carbon dioxide with increased oxygen
    Decreased carbon dioxide with decreased oxygen
    30s

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