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CSRC SPUTUM BOWL PRACTICE QUESTIONS NEWEST
ACTUAL EXAM COMPLETE 100 QUESTIONS AND
CORRECT ANSWERS 2025
CardioPulmonary Rehab According to the ATS, what are the two specific objectives of pulmonary rehabilitation? - Correct Answer Answer: 1 - To control and alleviate symptoms and complications of respiratory impairment 2 - To teach patients how to achieve optimal capacity for activities of daily living Egan VII, p - 1226 Gas Therapy What is the weight of CO2 in a full D cylinder at 21 degrees Celsius and 14.7 psig? - Correct Answer Answer: 4 lbs McPherson, p - 26 Airwaycare Of what material are Jackson tracheostomy tubes made? - Correct Answer Answer: Silver Egan VIII, p - 667 Pathology Alpha-1 antitrypsin deficiency is a hereditary disorder associated with what lung disease? - Correct Answer Answer: Emphysema Egan VII, p - 473 Pharmacology
How does beta2 adrenergic stimulation effect vascular smooth muscle? - Correct Answer Answer: causes vasodilation Rau, p - 143 Diagnostics The ATS publishes standards for the performance of diagnostic spirometers. What is the "ATS"? - Correct Answer Answer: the American Thoracic Society Egan VII, 394 Anatomy & Physiology How much anatomic deadspace would a normal 150 pound man have? - Correct Answer Answer: 150 mL Egan VII, p - 258 Diagnostics What is the most common way to measure basal energy expenditure? - Correct Answer Answer: Indirect Calorimetry Wilkins V, p - 346 Pathology What is the source of the sound energy for wheezes? - Correct Answer Answer: Vibration of the wall of a narrowed or compressed airway. Wilkins V, p - 79 Anatomy & Physiology What are the normal PO2 and PCO2 in the fetal umbilical artery? - Correct Answer Answer: PO2 - 19 ( 17 - 21 ) PCO2 - 47 ( 42 - 52 ) Egan V, p - 157
Airwaycare The ASTM is responsible for specifying the labeling, sizing and performance requirements for endotracheal tubes. What does the acronym ASTM stand for? - Correct Answer Answer: American Society for Testing & Materials Egan VIII, p - 664 Management In legal terms, what is a tort? - Correct Answer Answer: A civil wrong, other than a breach of contract. Egan VIII, p - 78 Pathology A bulbous soft tissue swelling of the terminal phalanx and loss of cuticular angle is commonly referred to as what? - Correct Answer Answer: Clubbing Egan VII, p - 348 Management Consultation with a Medical Director must be available on what time basis? - Correct Answer Answer: 24 hours a day / 7 days a week Egan VIII, p - 5 Diagnostics What are the two major divisions of lymphocyctes called? - Correct Answer Answer: T cells B cells Dantzker, p - 339 Gas Therapy What is the Pin Index Safety System pin ID's used for Oxygen? - Correct Answer Answer: 2 and 5
Mcpherson, p - 31 Anatomy & Physiology What is the range of the normal concentration of serum sodium? - Correct Answer Answer: 137 - 147 mEq / L Egan VII, p - 333 Chemistry & Physics Nitrogen and Oxygen comprise 99% of room air gas volume. There are eight other gases commonly listed as trace elements; name five of these. - Correct Answer Answer: Argon Carbon Dioxide Helium Krypton Neon Nitrous Oxide Methane Xenon Mosby, p - 28 Anatomy & Physiology At what approximate age does ossification of the ribs and sternum generally halt? - Correct Answer Answer: 25 years old Egan VIII, p - 149 Pharmacology What is the generic name for the active agent in Accolate? - Correct Answer Answer: Zafirlukast Egan VIII, p - 645
Define cardiac output. - Correct Answer Answer: The amount of blood ejected per minute by the heart. Dantzker, p - 216 Acute Care What is the normal range for mixed venous Oxygen saturation? - Correct Answer Answer: 65 - 75% Dantzker, p - 237 Gas Therapy Within the lung, what cell type is first affected by oxygen toxicity? - Correct Answer Answer: Pulmonary capillary endothelium Egan VII, p - 831 History The first English medical malpractice lawsuit was filed in the 14th century against what type of physician? - Correct Answer Answer: a surgeon Dantzker, p - 1182 Neonates / Pediatrics What are the two main factors in the increased heat loss of infants compared to adults?
- Correct Answer Answer: Infants have: 1 - Less subcutaneous fat 2 - Larger surface area to weight ratio Egan VIII, p - 1163 Airwaycare Artificial tracheal airways bypass three critical functions of the upper airway; list two of these. - Correct Answer Answer: 1 - Heat the inhaled gas
2 - Filter the inhaled gas 3 - Humidify the inhaled gas Egan VIII, p - 681 Pathology What disease produces a characteristic gray appearance of the sputum? - Correct Answer Answer: Legionnaire's disease Wilkins IV, p - 29 Chemistry & Physics What is the most influential factor in evaporation? - Correct Answer Answer: Temperature Egan VII, p - 88 Microbiology Alcohols, phenols, halogens, iodophores, quatenary ammonium compounds and acetic acid are disinfectants that provide Low and Intermediate level coverage. What are they not effective against? - Correct Answer Answer: Spores and Non-lipid viruses Egan VI, p - 64 CardioPulmonary Rehab In exercise stress testing, what are the two accepted test end-points? - Correct Answer Answer: 1 - exhaustion 2 - Symptom limitation Dantzker, p - 932 Anatomy & Physiology
Egan VIII, p - 976 Anatomy & Physiology What is eupnea? - Correct Answer Answer: Normal rate and depth of breathing ( normal breathing ) Wilkins V, p - 35 Microbiology What is the term for when people act as their own source of infection? - Correct Answer Answer: Autogenous infection Egan VI, p - 60 Neonates / Pediatrics In classifying fetal heart rate decelerations, a decrease of 50 BPM would be what? - Correct Answer Answer: Severe deceleration Egan VIII, p - 1157 Pathology What disease produces a characteristic gray appearance of the sputum? - Correct Answer Anatomy & Physiology If a blood pressure cuff is too narrow, how will this affect the measurement? - Correct Answer Answer: the values will be higher than actual Wilkins V, p - 60 Gas Therapy What is the air to oxygen mix ratio for 28% Oxygen? - Correct Answer Answer: 10: McPherson, p - 74
Neonates & Pediatrics At what age is the adult number of alveoli developed? - Correct Answer Answer: 8 - 10 years of age Egan VII, p - 995 Diagnostics What device quantifies flow by sensing thermal loss? - Correct Answer Answer: a hot- wire anemometer Mosby RCE, p - 217 Physiology What is the range of normal transmural pressure in quiet breathing? - Correct Answer Answer: - 5 to - 10 cmH2O Egan VI, p - 250 Diagnostics What test signal is used to demonstrate ATS spirometric performance for the MVV test?
- Correct Answer Answer: a sine wave pump Egan VI, p - 412 Pathology What is kyphosis? - Correct Answer Answer: A spinal deformity in which the spine has an abnormal antero-posterior curvature. Egan VII, p - 307 Anatomy & Physiology Excess fluids in the pleural space tend to pool within what satructures? - Correct Answer Answer: the costophrenic angles Egan VII, p - 144 Gas Therapy
Anatomy & Physiology In cardiac physiology, what is stroke volume? - Correct Answer Answer: the volume of blood ejected from a ventricle by a single heart beat. Wilkins V, p - 292 Pharmacology What is the mechanism of action by which acetylcysteine reduces the viscosity of mucus? - Correct Answer Answer: breaking the disulfide bonds between cross-linked mucus strands Rau, p - 211 Acute Care Which is the most commonly cannulated artery for arterial line placement? - Correct Answer Answer: the radial artery Dantzker, p - 215 Mechanical Ventilation Airway resistance during mechanical ventilation is estimated by the difference between the peak airway pressure and plateau pressure divided by what? - Correct Answer Answer: the inspiratory flow rate Egan VIII, p - 974 Anatomy & Physiology What are the two most significant organic phosphates involved in respiration? - Correct Answer Answer: 1 - ATP ( adenosine triphosphate ) 2 - 2,3 DPG ( Diphosphoglycerate ) Egan VI, p - 281 Diagnostics
What is the primary difference in the Forced Vital Capacity curve between obstructive and restrictive disease? - Correct Answer Answer: The slope of the expiratory curve Egan VI, p - 426 Anatomy & Physiology Tissue resistance accounts for what percentage of the total resistance to lung inflation?
- Correct Answer Answer: 20% Egan VI, p - 247 Anatomy & Physiology Which seven bones articulate with the manubrium? - Correct Answer Answer: 1 - 1st ribs right & left 2 - 2nd ribs right & left 3 - clavicles, right & left 4 - gladiolus ( body of the sternum ) Egan VIII, p - 156 Neonates & Pediatrics Anatomical closure of the ductus arteriosus occurs through fibrosis, normally how long after birth? - Correct Answer Answer: Three weeks Egan VIII, p - 998 Airwaycare The Jackson tracheostomy tube has two less features than the standard tracheostomy tube used in critical care; what are these? - Correct Answer Answer: 1 - no cuff 2 - no 15mm adapter Egan VIII, p - 667 Anatomy & Physiology Name the four heart valves? - Correct Answer Answer:
Anatomy & Physiology At what week of gestation do the lobar bronchi form? - Correct Answer Answer: the 5th week Egan VIII, p - 141 Anatomy & Physiology What is the normal diameter of a bronchiole? - Correct Answer Answer: 1 - 2 mm's Egan VI, p - 203 Diagnostics What are the volumes that comprise the Functional Residual Capacity? - Correct Answer Answer: 1 - Expiratory Reserve Volume 2 - Residual VolumeEgan VIII, p - 375 History Who first suggested there should be a temperature at which all molecular activity ceases and the associated gas volume is zero? - Correct Answer Answer: William Thomson ( Lord Kelvin ) Mosby RCE, p - 14 Neonates & Pediatrics The patient's age, breathing pattern and time constant of the lungs are all considered when selecting what parameter for the mechanical ventilation of children? - Correct Answer Answer: Inspiratory time Egan VII, p - 1020 Pathology
Wheezing can be classified as monophonic or polyphonic. Polyphonic wheezing is much more common during what phase of ventilation? - Correct Answer Answer: Exhalation Egan VII, p - 314 Pharmacology The sympathetic nervous system has the fight or flight response. The parasympathetic system has the SLUD. What does acronym S.L.U.D. stand for? - Correct Answer Answer: Salivation, Lacrimation, Urination and Defecation Rau, p - 100 Acute Care What is the most commonly used monitor of hemodynamic status? - Correct Answer Answer: the arterial blood pressure Dantzker, p - 215 Acute Care How does the respiratory rate perform in terms of sensitivity and specificity as an indicator of respiratory pathology. - Correct Answer Answer: it is Sensitive, but not Specific for the presence of respiratory pathology Dantzker, p - 243 Anatomy & Physiology What structure develops from the dorsal extension of the primitive foregut, in human morphogenesis? - Correct Answer Answer: the esophagus Egan VIII, p - 141 Airwaycare What are the three of the most common causes of tube obstruction? - Correct Answer Answer: 1 - kinking / biting the tube
Pharmacology What is the duration of action for salmeterol? - Correct Answer Answer: 12 hours Egan VIII, p - 631 Humidity & Aerosol What technique provides the most reliable measure of aerosol output? - Correct Answer Answer: Drug Assay ( weight output ) Egan VIII, p - 762 Acute Care What are the two common dyshemoglobins measured by cooximetry? - Correct Answer Answer: 1 - Carboxyhemoglobin 2 - MetHemoglobin Wilkins, V, p - 281 Pathology When assessing jugular venous distension at a 45 degree angle of bed elevation, what threshold is considered abnormal? - Correct Answer Answer: greater than 3 - 4 cm Wilkins V, p - 66
