DHA/ MOH EXAM QUESTIONS
a. MilrinoneDHA /MOH Question No. 20152. Mr. Swetty is admitted with hypoxemic and hypercarbic respiratory arrest requiring intubation and ventilation. He has a RLL consolidation on xray, with copious purulent secretions. WBC is 24,000 T 39.2. BP 88/55 HR 136 and CVP 18 after 6 L of 0.9% normal saline. Urine output is 10 ml/hr. Which one of the following interventions is a priority?
a. Levophed
b. Dopamine
c. Dobutamine
d. Labetolol
DHA /MOH Question No. 20153. When using a Passy-Muir Valve (PMV), which one of the following interventions is appropriate?
a. Ensure the cuff is always inflated
b. Monitor for adequacy of exhalation
c. Introduce the PMV as soon as the tracheostomy is performed
d. Suction prn by passing the catheter through the centre of the PMV
DHA /MOH Question No. 20154. Mrs. Prasad has advanced cancer. She has been extubated for two days, with orders for no
reintubation. She develops increasing dyspnea. Which one of the following agents would best
manage these symptoms?
a. Propofol (Diprovan)
b. Fentanyl
c. Midazolam (Versed)
d. Gabapentin
DHA /MOH Question No. 20156. Mr. Param Singh has been on home ventilation for several years with severe COPD. He was admitted for exacerbation of COPD due to pneumonia. At home, he varies his support between Pressure Control ventilation and spontaneous breathing. His pneumonia has now resolved and the plan is to return him to his baseline ventilation. He calls you to his bedside and asks you what his ventilator is set to because he feels short of breath. You tell him he is on Pressure Support, and he becomes very angry. He tells you that he told the respiratory therapist that he has tried Pressure Support in the past and he does not like it. When you speak to the respiratory therapist, she had placed the patient on PS to see if he noticed the difference. Which one of the following is an appropriate response?
a. Encourage Mr. Param Singh to stay on the Pressure Support and give it a chance to work
b. Have the respiratory therapists speak to Mr. Ferriere to explain her interventions
c. Facilitate a meeting between you, the respiratory therapist and Mr. Ferriere to develop a plan for weaning
d. Tell Mr. Param Singhthat his lungs have changed and the previous mode might not work the same way
phenomena. She develops episodes of symptomatic bradycardia. Which one of the following
interventions would be the priority?
a. Epinephrine
b. Cardioversion
c. Atropine
d. Dopamine
a. Initiate antidepressant therapy
b. Administer sedation at bedtime
c. Develop a collaborative plan of care
d. Refer Mrs. Tam to a psychiatrist
DHA /MOH Question No. 20160. After successful completion of a spontaneous breathing trial, extubation is considered. Which one of
the following findings would be a contraindication to extubation?
a. FiO2 0.4
b. PEEP 5
c. GCS 4
d. Minute volume 10 L/min