CRT Exam Test Questions

1.A positive Bronchial Challenge test is indicated when?

a.when a 20% increase occurs in the patient's FVC after the inhalation of methacholine
b.when a 10% decrease occurs in the patient's FEV1 after the inhalation of methacholine
c.when a 20% increase occurs in the patient's FVC after the inhalation of a beta2 agonist
d.when a 20% decrease occurs in the patient's FEV1 after the inhalation of methacholine

2.When transillumination is used over areas filled with air or fluid that is not suppose to be in the location
tested, the area will have?
a.increased sound transmission
b.increased light transmission
c.decreased doppler effect
d.a variable wave form
3.Which of the following is not an indication for wearing a Holter monitor?
a.dizziness, and palpitations,
b.diagnose symptoms related to arrhythmias
c.evaluate efficacy of antiarrhythmic therapy
d.evaluate pacemaker function
e.detect a myocardial infarction

4.Which of the following is not part of the correct procedure for extubating a patient?
a.place the patient in a Fowlers or Semi-fowlers position
b.increase the FI02 level or preoxygenate
c.suction down the endotracheal tube
d.pull the tube at peak expiration
e.have the patient cough to clear secretions

5.In which of the following patients should pulse oximetry not be used to ascertain oxygen saturations?
a.drug overdose
b.house fire
c.COPD patient
d.chemical burns

6.Anatomically, the umbilical cord is composed of?

a.one artery
b.one artery and two veins
c.one vein
d.two arteries and one vein
e.two veins and one artery

7.The Carbon Dioxide Challenge Test is particularly useful in the effects of carbon dioxide on?
a.patients with diffusion defect respiratory disorders
b.patients with a supressed response to oxygen administration
c.patients with decreased ventilatory drive to carbon dioxide
d.patients with one of the COPD disorders

8.Which of the following is incorrect concerning corticosteroid drugs?

a.they are classified as antiinflammatory agents
b.they are not considered bronchodilators
c.a beta agonist inhaler should be used after using a corticosteroid inhaler if both kinds of inhalers are used
d.their use can lead to growth of yeast in the mouth or throat
e.large use of corticosteroids can block the body's ability to fight infection

9.Unsynchronized cardioversion is used in the emergency situation during which of the following?
I.ventricular fibrillation
II.atrial fibrillation
III.pulseless ventricular tachycardic
IV.premature ventricular contractions
V.third degree heart block
a.I and III only
b.I, II, and III
c.I, II, III, and IV
d.all of the above

10.The most important social support system for the majority of people is?
a.the Church
b.one's friends
c.an organization
d.one's family
e.a support group

11.Which of the following should not be part of patient preparation for the Bronchial Challenge Test?
a.patients should abstain from the use of sympathomimetic drugs for 48 hours
b.patients should abstain from smoking for 12 hours
c.patients should abstain from significant exercise for 2 hours and exposure to cold air for 2 hours
d.the time and nature of recent respiratory illnesses (viral respiratory infections) should be recorded

12.Transillumination is often used to detect which type of disorders?

I.hydrocephalus (excessive fluid in the brain)
II.pneumothorax
III.lesions and/or cysts in breast tissue
IV.IRDS (infant respiratory distress syndrome)
V.hydrocele (a fluid-filled sack within the scrotum)
a.I and II only
b.II, III, and IV
c.I, II, III, and V
d.all of the above

13.While wearing a Holter monitor, the patient should be instructed to do all of the following except?
a.do not to take a bath, shower, or go swimming
b.avoid stress, work, or exercise
c.stay away from electric blankets, magnets, metal detectors, and high-voltage areas
d.do not to take off the monitor until the time instructed to do so
e.do not to remove the tape or battery from inside the monitor

14.Early complications of extubation may include?

I.larnygospasm
II.subglottic edema
III.tracheal stenosis
IV.tracheal malacia
V.glottic edema
a.I and II only
b.I, II, and V
c.I, II, III, and V
d.all of the above

15.The most common complication resulting from UAC placement is?

a.perforation of the blood vessel
b.infection
c.break in the catheter
d.thrombus formation
e.arterial vasospasms

16.Which of the following will affect the accuracy of pulse oximetry readings?
I.motion artifact
II.intravascular dyes
III.fingernail polish
IV.elevated serum bilirubin level
V.dark skin pigmentation
a.I and III only
b.I, II, and IV
c.I, II, III, and V
d.all of the above

17.When performing the Carbon Dioxide Challenge Test, changes in minute ventilation are monitored and
plotted against the End-tidal C02 to obtain a response curve. The test will continue until any of the following
occur except?
a.carbon dioxide equilibrium occurs between the patient and outside air or
b.4 minutes have elapsed or
c.the patient's end-tidal C02 concentration equals 9% or
d.when the patient complains of dyspnea

18.Which of the following is not a corticosteroid used for inhalation?

a.beclomethasone - (Beclovent, Vanceril)
b.dexamethasone - (Decadron Respihaler)
c.flunisolide - (AeroBid)
d.triamcinolone - (Azmacort)
e.cromolyn sodium - (Intal)

19.Synchronized cardioversion is delivered automatically by the defibrillator after which part of the EKG
rhythm is recognized?
a.P wave
b.Q wave
c.R wave
d.S wave
e.T wave

20.A pulse oximetry reading of 90% would approximate a Pa02reading of?

a.50 mmHg
b.60 mmHg
c.80 mmHg
d.90 mmHg
CRT Exam Test Answers
1.(D) - A positive test is indicated when a 20% decrease occurs in the patient's FEV1 after the inhalation of
methacholine (Provocholine®), a drug that tends to cause bronchoconstriction when inhaled.
2.(B) - If air or fluid is present, the illumination of the light will be much greater than it would be normally.
3.(E) - Detection of a myocardial infarction would be done by using a twelve-lead EKG.
4.(D) - It is recommended that the E-T tube be pulled at peak inspiration, not expiration.
5.(B) - With carbon monoxide poisoning the pulse oximeter is not able to distinguish oxyhemoglobin from
carboxyhemoglobin. A higher saturation will be the result rather than the true oxyhemoglobin reading.
6.(D) - The umbilical cord consists of one vein and two arteries.
7.(C) - The Carbon Dioxide Challenge Test is particularly useful in determining the effects of carbon dioxide on
patients with decreased ventilatory drive to carbon dioxide.
8.(C) - A beta agonist inhaler should be used before using a corticosteroid inhaler if both kinds of inhalers are
used. This opens up the airways so the corticosteroid can go deeper into the lungs.
9.(A) - Unsynchronized cardioversion is used in the emergency situation during a ventricular fibrillation or
pulseless ventricular tachycardic episode.
10.(D) - The most important social support system for the majority of people is a person's family.
11.(A) - Patients should abstain from the use of sympathomimetic drugs for 12 hours before testing.
12.(C) - Transillumination is not used to determine IRDS (infant respiratory distress syndrome).
13.(B) - While wearing the monitor, the patient should be instructed to follow their normal routine and not avoid
stress, work, or exercise.
14.(B) - Early complications of extubation may include larnygospasm, subglottic edema, sore throat, glottic
edema, and aspiration of secretions.
15.(D) - The most common complication resulting from UAC placement is thrombus formation on the catheter
tip which may lead to decresed blood circulation to one of the legs.
16.(C) - Elevated serum bilirubin levels do not appear to affect pulse oximeter readings. Elevated levels in the
blood result in a jaundiced appearance in the patient where the skin turns yellow.
17.(A) - Room air carbon dioxide levels are approximately 0.03%.
18.(E) - Cromolyn sodium - (Intal) is not a corticosteroid but a mast cell inhibitor.
19.(C) - Synchronized cardioversion is delivered automatically by the defibrillator after a R wave is recognized
on the EKG rhythm.
20.(B) - A pulse oximetry reading of 90% would approximate a Pa02 reading of 60 mmHg.