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NBRC CSE Practice Exam QUESTIONS AND CORRECT ANSWERS| ACCURATE REAL EXAM WITH FREQUENTLY TESTED QUESTIONS|ALREADY A GRADED|GUARANTEED PASS|LATEST UPDATE 2025
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What is the treatment for someone with Gullain-Barre Syndrome answers O2, Hyperinflation therapy (IS,SMI,IPPB), pulmonary hygiene, mechanical ventilation for impending or acute ventilatory failure, plasmapheresis and IV immunoglobulin therapy are effective What reverses a narcotic overdose answers Naloxone (Narcan) What reverses an overdose of a Benzodiazepine sedative answers Flumazenil (Romazicon) What reverses an acetaminophen overdose answers Acetylcysteine (Mucomyst) Portion of the brain loses blood supply as a result of a vascular occlusion or hemorrhage answers Stroke/Acute Brain Injury/Cerebral Infarction/Cerebrovascular Accident (CVA) What would be the general appearance of someone with a brain injury answers Motor and speech loss What would be the respiratory pattern for someone with a brain injury answers Bradypnea, Cheyne-Stokes respirations (pattern involves a period of fast, shallow breathing followed by slow, heavier breathing and moments without any breath at all)
What would the vital signs of someone with a brain injury be answers Hypertension and fever What are 2 special tests for someone with a brain injury answers CT/MRI of the brain, Cerebral angiogram Treatment for a brain injury should be initiated within what time period of symptom onset answers 6 hours What drug therapies can be used to treat someone with a brain injury answers 1. Anticoagulation
What is a special test for Acute Respiratory Distress Syndrome answers Hemodynamic monitoring, PAP elevated with normal PCWP What is the treatment for someone with Acute Respiratory Distress Syndrome answers 1. Treat underlying cause
When evaluating the chest of a patient with pneumonia one may notice answers Decreased expansion, increased tactile and vocal fremitus The diagnostic chest percussion of someone with pneumonia would sound like answers Flat/Dull note The breath sounds of someone with pneumonia would be answers Crackles, bronchial What would the chest X-ray of someone with pneumonia look like answers Increased density from consolidation and atelectasis, air bronchograms, possibly pleural effusion What test can be done to test for HIV answers ELISA test What test can be done to test for TB answers Acid fast stain Failure of the cardiovascular system to adequately perfuse tissues that results in widespread impairment of cellular metabolism: a reduction in blood flow to the tissue is inadequate to sustain life answers Shock What is the general appearance for someone in shock answers Pale or cyanotic, cold, clammy, lethargic, unresponsive, diaphoretic, poor capillary refill What is the respiratory pattern for someone in shock answers Tachypnea, shortness of breath What are 3 diagnostic tests for shock answers 1. ABG
What would the past medical history be for a child with Croup be answers Recent cold that developed gradually into a barking cough over 2-3 days, more common in the fall and winter What does the cough of croup sound like answers Barking, stridor, hoarse voice What is the general appearance of a child with Croup answers Cyanosis, Alert with some accessory muscle use, nasal flaring and rhinorrhea What is the respiratory pattern for a child with croup answers Tachypnea, substernal and intercostal retractions What are the breath sounds for a child with croup answers Diminished with inspiratory stridor What kind of X-ray will diagnose croup answers Lateral neck X-ray What will the lateral neck X-ray of a child with croup look like answers Haziness in the subglottic area, steeple sign, pencil point, picket fence, hour-glass narrowing of the upper airway For mild cases of croup what is the treatment answers Keep in a cool environment, O2 of 30-40%, Cool aerosol mist, Racemic epinephrine, corticosteroids For severe cases of croup what is the treatment answers Intubate, Transfer to ICU, Cool environment
Life threatening emergency caused by inflammation of the supraglottic region that includes the epiglottis, aryepiglottic folds, and false vocal cords that causes swelling just above the vocal cords answers Epiglottitis What is the etiology of Epiglottitis answers Bacterial infection caused by Haemophilus Influenza B. Transmitted by aerosol droplets What is the past medical history for a child with Epiglottitis answers Sudden onset within 6-8 hours What does the cough sound like of a child with Epiglottitis answers Muffled cough What is the physical appearance for a child with Epiglottitis answers 2 - 6 Years of age, pale or cyanotic, lifeless, drooling, hoarseness, difficulty swallowing (Dysphagia), tongue thrusts forward during inspiration, voice and cry muffled, jaw jutted forward What is the respiratory pattern for a child with Epiglottitis answers Tachypnea, nasal flaring, substernal and intercostal retractions. What are the breath sounds for a child with Epiglottitis answers Diminished with inspiratory stridor What are the vital signs for a child with Epiglottitis answers Increased HR, BP and High grade fever What is important when treating a child with Epiglottitis answers avoid any unnecessary stimulation
What are 2 special tests to diagnose Bronchiolitis/RSV answers 1. RSV-enzyme immunoassay (EIA)
What would the respiratory pattern of someone with COPD/ Chronic bronchiectasis be answers Dyspnea, accessory muscle use, pursed-lip breathing What would the breath sounds of someone with COPD/ Chronic bronchiectasis sound like answers Diminished aeration with bilateral expiratory wheeze During patient assessment what would be a fast easy diagnostic test for someone with COPD/ Chronic bronchiectasis answers Diagnostic chest percussion - tympanic or hyper resonant What would the cough of someone with COPD/ Chronic bronchiectasis consist of answers Congested, Productive of thick sputum What would be 3 diagnostic tests used to diagnose COPD/ Chronic bronchiectasis answers 1. Chest X-ray
What 3 diagnostic tests would help diagnosis someone with asthma answers 1. X- ray
In an asthma action plan what peak flow indicates you are in the green zone answers 80 - 100% In an asthma action plan what peak flow indicates you are in the yellow zone answers 50 - 80% In an asthma action plan what peak flow indicates you are in the red zone answers Less than 50% Chronic dilation and distortion of one or more bronchi as a result of excessive inflammation and destruction of bronchial walls, blood vessels, elastic tissue and smooth muscle answers Bronchiectasis Results in impaired mucociliary clearance causing accumulation of copious amounts of bronchial secretions, one or both lungs may be involved, commonly limited to a lobe or segment answers Bronchiectasis A patient with Bronchiectasis is likely to have a history of answers pulmonary infections or cystic fibrosis What would the general appearance of someone with Bronchiectasis be answers Cyanosis, barrel chest, clubbing What would the Respiratory pattern be for someone with Bronchiectasis answers Tachypnea, dyspnea, accessory muscle use, pursed-lip breathing What would breath sounds be for someone with Bronchiectasis answers Wheezing, diminished breath sounds
What would the Chest X-ray look like for someone with Cystic Fibrosis answers Translucent (dark) lung fields, depressed or flattened diaphragm, right ventricular enlargement, areas of atelectasis and fibrosis What would the PFT of someone with Cystic Fibrosis show answers Decreased Flow rates What would the CBC of someone with Cystic Fibrosis be answers Elevated Hb and Hct concentration Normal Hb is 12- 16 Normal Hct is 40-50% What would the sputum culture of someone with Cystic Fibrosis show answers Often positive for staphylococcus aureus, Haemophilus influenza, pseudomonas aeruginosa What would be 3 special tests for diagnosing Cystic Fibrosis answers 1. Newborn screening by Immunoreactive trypsin level (IRT)
What would the X-ray of someone suffering from chest trauma look like answers Increased opacity (Density) from lung compression, rib fractures What would the PFT of someone suffering from chest trauma show answers Decreased volumes and capacities What is the treatment/management for someone suffering from chest trauma answers 1. O2 for hypoxemia
What are the breath sounds for someone experiencing a pneumothorax answers Diminished or absent on affected side What does the diagnostic chest percussion sound like for someone experiencing a pneumothorax answers Hyperresonant/tympanic note over affected side What are the vital signs for someone experiencing a pneumothorax answers Tachycardia, Pulsus paradoxus, hypertension What happens to the heart sounds of someone experiencing a pneumothorax answers May be displaced What 2 tests would be helpful in diagnosing a pneumothorax answers 1. Chest X- ray