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Question 1
Free
Multiple Choice

Prior to the introduction of exogenous surfactant, with which condition were preterm neonates most likely to develop pulmonary air leak syndrome?

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A

Meconium aspiration syndrome (MAS)

B

Respiratory distress syndrome (RDS)

C

Transient tachypnea of the newborn (TTN)

D

Apnea of prematurity

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Question 2
Free
Multiple Choice

All of the following are associated with a pneumopericardium EXCEPT:

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A

systemic hypotension.

B

reduced cardiac output.

C

decreased stroke volume.

D

increased cardiac index.

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Question 3
Free
Multiple Choice

What clinical presentation would be seen in a patient with a pneumoperitoneum?

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A

Mediastinal shift toward affected area

B

Change in point of maximum impulse

C

Sudden onset of abdominal distention

D

Pleural effusion

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Question 4
Free
Multiple Choice

Following delivery, when do pulmonary air leak syndromes commonly occur in preterm neonates?

Choose correct answer/s
A

1 to 4 hours after delivery

B

5 to 8 hours after delivery

C

12 to 24 hours after delivery

D

24 to 48 hours after delivery

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Question 5
Free
Multiple Choice

An intubated, mechanically ventilated neonate developed a pneumothorax of the right lung. What could the respiratory therapist recommend to help the injured lung to heal?

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A

Selectively place the endotracheal tube into the left mainstem bronchus.

B

Selectively place the endotracheal tube into the right mainstem bronchus.

C

Replace the endotracheal tube with a tracheostomy tube.

D

Change to continuous positive airway pressure (CPAP).

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Question 6
Multiple Choice

A neonate on mechanical ventilation developed pulmonary air leak syndrome. What change should the respiratory therapist now recommend?

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A
Initiate the bronchopulmonary hygiene therapy protocol.
B
Decrease the oxygen percentage.
C
Initiate high-frequency ventilation.
D
Insert bilateral pleural chest tubes.
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Question 7
Multiple Choice

During the physical exam of a neonate with early pulmonary air leak syndromes, what respiratory rate would be expected?

Choose correct answer/s
A
<20 breaths/min
B
20 to 30 breaths/min
C
40 to 60 breaths/min
D
>60 breaths/min
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Question 8
Multiple Choice

A neonate with pulmonary interstitial emphysema has developed a pneumothorax. In the early stages, a pneumothorax will manifest itself clinically as _____ disorder.

Choose correct answer/s
A
an equally restrictive and obstructive
B
an obstructive pulmonary
C
a restrictive pulmonary
D
neither a restrictive nor an obstructive
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Question 9
Multiple Choice

A physician is performing transillumination to determine whether a neonate has a pneumothorax. What finding would confirm the presence of a pneumothorax?

Choose correct answer/s
A
The trachea will be illuminated.
B
Light will shine through the hole in the lung.
C
There will be increased illumination on the unaffected side.
D
There will be increased illumination on the affected side.
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Question 10
Multiple Choice

Which of the following conditions is described as dissection of gas into the fascial planes of the skin and neck?

Choose correct answer/s
A
ASIHD
B
Intravascular air embolism
C
PIE
D
Subcutaneous emphysema
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Question 11
Multiple Choice

Which of the following medications would be recommended for the treatment of SIAHD?

Choose correct answer/s
A
Beta2-agonists
B
NSAIDs
C
Diuretics
D
Corticosteroids
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Question 12
Multiple Choice

Which of the following might be used to relieve a tension pneumothorax in a neonate?

Choose correct answer/s
A
Transillumination
B
Needle thoracentesis
C
Lung expansion therapy protocol
D
Surfactant replacement therapy
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