uestion 1
1.
Which of the following is classifed as metabolic acidosis?
Answer
a. pH 7.16; PaCO
2
!; HCO
"
16; PaO
2
!6
b.
pH 7.2; PaCO
2
6; HCO
"
26; PaO
2
#2
c. pH 7.7; PaCO
2
66; HCO
"
2$; PaO
2
7
d. pH 7.#6; PaCO
2
27; HCO
"
21; PaO
2
1%1
e. pH 7.6&; PaCO
2
&$; HCO
"
1; PaO
2
$1
0.5 points
Question 2
1.
Which of the following is compensated metabolic al'alosis?
Answer
a. pH 7.&#; PaCO
2
26; HCO
"
1$
b. pH 7.1; PaCO
2
#1; HCO
"
1
c. pH 7.##; PaCO
2
21; HCO
"
17
d. pH 7.#2; PaCO
2
&#; HCO
"
2$
e. pH 7.&#; PaCO
2
61; HCO
"
&1
0.5 points
Question 3
1.
(he co))ect inte)p)etation of the following *+, )es-lts incl-ding
o./genation stat-s is0
pH 7.6
PaCO2 #% mmHg
PaO2 #% mmHg
HCO
"
% m1234
+1 52.#
Answer
a.
Compensated )espi)ato)/ acidosis with mode)ate
h/[Link]
b.
Compensated metabolic acidosis with se6e)e h/[Link]
c.
Compensated metabolic al'alosis with mode)ate
h/[Link]
d.
7o)mal *+,
e.
Compensated )espi)ato)/ acidosis with mild h/[Link]
0.5 points
Question 4
1.
What is the acid"base and o./genation stat-s of the following?
pH 7.2%
PaCO2 !% mmHg
PaO2 7% mmHg
HCO
"
2! m1234
Answer
a. Pa)tiall/ compensated )espi)ato)/ acidosis with mild h/[Link]
b. Compensated )espi)ato)/ acidosis with mode)ate h/[Link]
c. 8ncompensated )espi)ato)/ acidosis with mild h/[Link]
d. Compensated metabolic acidosis with o6e)l/ co))ected
h/[Link]
e. Pa)tiall/ compensated metabolic al'alosis with se6e)e h/[Link]
0.5 points
Question 5
1.
9-)ing ac-te al6eola) h/po6entilation: the blood0
;. H
2
CO
inc)eases
;;. pH inc)eases
;;;. HCO
"
inc)eases
;<. PaCO
2
inc)eases
Answer
a.
;; onl/
b.
;;;: and ;<
onl/
c.
;; and ;;; onl/
d.
; and ;< onl/
e.
;< onl/
0.5 points
Question 6
1.
;n ch)onic h/po6entilation: 'idne/ compensation has li'el/ occ-))ed
when the0
;. HCO
"
is highe) than [Link] fo) a pa)tic-la) PaCO
2
;;. pH is lowe) than [Link] fo) a pa)tic-la) PaCO
2
;;;. H
2
CO
is lowe) than [Link] fo) a pa)tic-la) PaCO
2
;<. pH is highe) than [Link] fo) a pa)tic-la) PaCO
2
Answer
a.
II only
b.
I and IV only
c.
III and IV only
d.
I only
e.
I and II only
0.5 points
Question 7
1.
* 7&"/ea)"old male with a long histo)/ of emph/sema and ch)onic
b)onchitis ente)s the eme)genc/ )oom in )espi)ato)/ dist)ess. His
)espi)ato)/ )ate is & bpm and labo)ed. His hea)t )ate is 11# bpm: and
his blood p)ess-)e is 17%312%. What is the clinical inte)p)etation of the
following *+, 6al-es =in addition to h/[Link]>?
pH0 7.#7
PaCO
2
0 6! mmHg
HCO
"
0 7 m1234
PaO
2
0 &$ mmHg
Answer
a. *c-te (/pe ;; )espi)ato)/ fail-)e
b. *c-te on Ch)onic (/pe ;; )espi)ato)/ fail-)e
c. *c-te al6eola) h/pe)6entilation
d. *c-te al6eola) h/pe)6entilation s-pe)imposed on ch)onic (/pe ;;
)espi)ato)/ fail-)e
e. Ch)onic (/pe ;; )espi)ato)/ fail-)e
0.5 points
Question 8
1.
When the poste)io)"ante)io) =P*> 6iew is compa)ed with the ante)io)"
poste)io) =*P> 6iew0
Answer
a. the P* 6iew is often a po)table .")a/
b. the apices a)e mo)e easil/ 6is-ali?ed on the *P
6iew
c. the hea)t shadow on the P* 6iew is la)ge)
d. the P* )adiog)aph is -s-all/ mo)e disto)ted
e. the hea)t shadow on the *P is la)ge)
0.5 points
Question 9
1.
When the chest )adiog)aph is ta'en at f-ll inspi)ation: the
diaph)agmatic domes sho-ld be at the le6el of the0
Answer
a. @o-)th to [Link] )ibs poste)io)l/
b. 7inth to ele6enth )ibs
poste)io)l/
c. @i)st to fo-)th )ibs poste)io)l/
d. 1le6enth to twelfth )ibs
poste)io)l/
e. [Link] to ninth )ibs poste)io)l/
0.5 points
Question 10
1.
When e6al-ating a P* flm of the chest: /o- note that in the left -ppe)
lobe the)e is a 1"cm"wide sli6e) along the late)al ma)gin: descending
f)om the ape.: me)ging with )ibs at the thi)d )ib. (his na))ow sli6e) is
6e)/ blac' and de6oid of 6asc-la) ma)'ings. (his co-ld possibl/ be0
Answer
a. Pneumothorax
b.
Hyperinflation
c.
Pneumonia
d.
Atelectasis
e. Pulmonary edema
0.5 points
Question 11
1.
* )adiog)aph that is desc)ibed as being Bhea6il/ penet)atedB is which
of the following?
;. 9a)'e) in appea)ance
;;. Co)e t)ansl-cent
;;;. White) in appea)ance
;<. Co)e opa2-e in appea)ance
Answer
a. I only
b. III only
c. IV only
d. I and II only
e. III and IV only
0.5 points
Question 12
1.
When e6al-ating a P* flm of the chest: /o- note that the )ight
costoph)enic angles a)e bl-nted. What does this s-ggest?
Answer
a. P)esence of ple-)al eD-sion on the )ight
b.
P)esence of an inflt)ate in the )ight lowe)
lobe
c. Pne-motho)a.
d. H/pe)inEation
e. P)esence of atelectasis in the )ight base
0.5 points
Question 13
1.
* leftwa)d shift of the mediastin-m is commonl/ seen on the chest
)adiog)aph in )esponse to which of the following?
;. 4eft -ppe) lobe atelectasis
;;. Fight pne-motho)a.
;;;. 4eft pne-motho)a.
;<. Fight -ppe) lobe t-mo)
Answer
a. II, III and IV only
b. III and IV only
c. I, II, III and IV
d. I, II and IV only
e. I and III only
0.5 points
Question 14
1.
hat li!ely dia"nosis does the followin" chest radio"raph su""est#
Answer
a.
$eft Pneumothorax
b.
%i"ht &iddle $obe Pneumonia
c.
%i"ht Pleural 'ffusion
d.
%i"ht $ower $obe Pneumonia
e.
Pulmonary embolism
0.5 points
Question 15
1.
What diagnosis does the following chest )adiog)aph s-ggest?
Answer
a.
4a)ge left l-ng b-llae
b.
4eft pne-motho)a.
c.
Fight middle lobe
pne-monia
d.
4eft l-ng collapse
e.
Fight pne-motho)a.