Question 1

During chest tube placement, incisions or punctures are done below the rib because arteries, veins, and intercostal nerves all lie above each rib.

Accepted Answer

The intercostal arteries, veins, and nerves actually lie just below each rib, so incisions are made above the rib to avoid damaging these structures.

Question 2

Diazepam or a suitable benzodiazepine is administered intramuscularly to provide sedation.

Accepted Answer

Diazepam and most benzodiazepines are poorly absorbed from intramuscular sites, leading to unpredictable effects, so they are usually administered orally or intravenously for reliable sedation.

Question 3

The most common indication for intrahospital transport of mechanically ventilated patients is to acquire diagnostic procedures at a location other than the intensive care setting.

Accepted Answer

The most common reason for intrahospital transport of mechanically ventilated patients is indeed to perform diagnostic or therapeutic procedures that cannot be done at the patient's current location, typically the intensive care unit.

Question 4

For intrahospital transport of mechanically ventilated patients, manual ventilation is preferable to transport ventilator.

Accepted Answer

Transport ventilators are preferred for intrahospital transport of mechanically ventilated patients because they provide more stable ventilation and better monitoring of the patient's respiratory status compared to manual ventilation.

Question 5

A chest tube can be removed when the pleural drainage has stopped or slowed to less than 100 mL over the preceding 24 hours.

Accepted Answer

A chest tube can be removed when pleural drainage has significantly decreased, typically defined as less than 100 mL over the preceding 24 hours, indicating that the underlying issue (e.g., pneumothorax, hemothorax) has resolved or significantly improved.

Question 6

In ____, a finger is inserted into the incision for inspection of the pleural space.

Accepted Answer

Operative tube thoracostomy involves making an incision and potentially inserting a finger into the incision to inspect the pleural space before placing a chest tube, allowing for direct visualization and palpation to ensure correct placement and to identify any abnormalities within the pleural cavity.

Question 7

To treat pneumothorax, the chest tube is usually placed at the ____.

Accepted Answer

The answer of To treat pneumothorax, the chest tube is...

Question 8

The ____ drainage system is the most common chest tube drainage system.

Accepted Answer

The three-chamber drainage system is the most common chest tube drainage system, consisting of a collection chamber for fluid, a water seal chamber that prevents air from re-entering the chest, and a suction control chamber to regulate negative pressure.

Question 9

A ____ is a sharply pointed instrument for incision into the chest cavity.

Accepted Answer

A trocar is a medical instrument with a sharply pointed end, often used for piercing the body to create an opening, for example, to insert a chest tube into the chest cavity.

Question 10

A ____ is used to provide diagnostic and therapeutic procedures for conditions involving the airways and lungs.

Accepted Answer

A fiberoptic bronchoscope is a specialized instrument designed specifically for exploring and performing procedures within the airways and lungs, making it the correct choice for diagnostic and therapeutic purposes related to these areas.

Question 11

____ may be used as a treatment modality because of the small size and versatility of the flexible bronchoscope.

Accepted Answer

Therapeutic bronchoscopy can utilize the small size and versatility of the flexible bronchoscope for various treatments, such as removing obstructions, administering medications, or performing laser therapy.

Question 12

Examples of therapeutic uses for fiberoptic bronchoscopy include removal of small foreign objects and ____.

Accepted Answer

The answer of Examples of therapeutic uses for fiberoptic bronchoscopy...

Question 13

____ is given to the patient via aerosol 30 minutes before a bronchoscopy.

Accepted Answer

Lidocaine is used as a local anesthetic to numb the airways and suppress the cough reflex during a bronchoscopy, making the procedure more comfortable for the patient.

Question 14

Which of the following medications for bronchoscopy provides pain relief and suppresses coughing during the procedure?

Accepted Answer

The answer of Which of the following medications for bronchoscopy...

Question 15

____ is sometimes necessary to obtain a definitive diagnosis based on preliminary radiographic findings.

Accepted Answer

TBLB (Transbronchial lung biopsy) is often necessary to obtain a definitive diagnosis when preliminary radiographic findings are inconclusive or suggest a specific pathology that requires tissue confirmation.

Question 16

There have been reports of transmission and outbreak of Mycobacterium tuberculosis and ____ infections caused by the flexible bronchoscope.

Accepted Answer

Flexible bronchoscopes have been associated with outbreaks of Pseudomonas aeruginosa infections due to their ability to harbor bacteria if not properly disinfected.

Question 17

Hypoxemia and ____ are the most common complications during and after bronchoscopy.

Accepted Answer

The answer of Hypoxemia and ____ are the most common...

Question 18

Pressure support ventilation, volume and pressure control ventilation, inverse ratio ventilation, display of expired volume, visual and audible alarms, and ____ are desirable on a transport ventilator.

Accepted Answer

PEEP (Positive End-Expiratory Pressure) is a desirable feature on a transport ventilator to help maintain alveolar recruitment and improve oxygenation during transport.

Question 19

Which of the following is a MRI-compatible ventilator?

Accepted Answer

The answer of Which of the following is a MRI-compatible...

Question 20

Common indications for chest tube include large pneumothorax (>25%), hemothorax, and ____.

Accepted Answer

Pleural effusion is a common indication for chest tube insertion to drain excess fluid from the pleural space.

Quiz 14: Procedures Related to Mechanical Ventilation