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TCM BOARD EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 400 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
A doctor institutes volume-controlled ventilation for a 70-kg ARDS patient with a targeted tidal volume of 420 mL To maintain adequate ventilation with this tidal volume, the maximum respiratory rate you
would allow is:
25/min 35/min 20/min 30/min – Correct Answer - 35/min
Which of the following PaCO2 levels would be considered a positive result for brain death determination at the end of an apnea test?-at least 50 mm Hg -at least 45 mm Hg -at least 60 mm Hg -at least 55 mm Hg – Correct Answer - at least 60 mm Hg or 20+ from baseline CO2
A physician wants to calculate the static lung compliance for a 110-kg patient receiving volume controlled ventilation. Patient settings and 1 / 4
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monitoring data are as follows: Vt 900 ml, Rate 14/min, Peak pressure
50 cmH2O, Plateau pressure 35 cmH2O, PEEP 10 cmH2O, Mechanical
dead space 100ml. The patient's static lung compliance is:
22 mL/cmH2O 26 mL/cmH2O 18 mL/cmH2O 36 mL/cmH2O – Correct Answer - 36 mL/cmH2O *VT/(Plat-PEEP)
A physician has attempted on several occasions to insert a central venous catheter into the right subclavian vein of a patient receiving mechanical ventilation. Suddenly the ventilator's high-pressure alarm sounds, the patient's blood pressure drops, and the SPO2 value drips from 96% to 84%. Breath sounds are greatly diminished over the right-lung field.What action should you recommend?-insert a chest tube into the right pleural space -insert a pulmonary artery catheter -pull the ET back 2-3 cm into the trachea -insert a chest tube into the left pleural space – Correct Answer - insert a chest tube into the right pleural space
- Pneumothorax is a complication of central venous catheter.
A 48-year-old 180-lb male is orally intubated receiving mechanical ventilation with a 6.0 mm endotracheal tube secured in place, which requires a cuff pressure of 38 cm H2O to prevent significant volume loss. Which of the following actions would be appropriate in this case? 2 / 4
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pg. 3 -accept the large volume loss during inspiration -deflate and reinflate the cuff with 20 ml of air -replace the endotracheal tube with a larger size -replace the endotracheal tube with a smaller size – Correct Answer - replace the endotracheal tube with a larger size *Most common cause of high ET tube cuff pressure is the tube is too small
A patient has a lower than normal mixed venous O2 content. All of the
following could cause this condition EXCEPT:
-cardiogenic shock -hyperthermia -cyanide poisoning -hypovolemia – Correct Answer - cyanide poisoning *Cyanide poisoning would cause CVO2 higher than normal [ tissue hypoxia may be present]
To help minimize family distress, a doctor wants to avoid gurgling, sonorous breathing, or stridor in a terminally ill patient who is scheduled for withdrawal of ventilatory support. Which of the following procedures would you recommend to help achieve the doctors goal?-exchange the endotracheal tube for an LMA -immediate extubation to nasal cannula -withdrawal to T-tube with humidified 02 3 / 4
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pg. 4 -IMV weaning followed by rapid extubation – Correct Answer - withdrawal to T-tube with humidified 02 *Rapid withdrawal of the patient from the ventilator and placement on a T-tube (with ET tube remaining in place) ensures that the airway remains patent and protected through the procedure, avoiding occurrences that may be distressful to the family, such as gurgling or post-extubation stridor
A patient is being mechanically ventilated in the SIMV volume control (VC) mode at a rate of 4/min. The spontaneous respiratory rate increases from 12 to 35/min. Which of the following is the most appropriate action?-sedate the patient -initiate pressure control -add 10 cmH2O PEEP -increase the SIMV rate – Correct Answer - increase the SIMV rate *In the SIMV mode, a significant increase in the total respiratory rate indicates increased work of breathing. To maintain a normal patient rate of breathing, you can increase the machine rate and/or add pressure support.
A postoperative 40-year-old 70-kg (154-1b) patient is breathing spontaneously at a rate of 28/min with a delivered FiO2 of 0.4. The
following arterial blood gases are obtained:
Blood Gases pH 7.24 PaC02 38 torr
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