Upon inspection of the chest tube insertion site, you notice a new onset of swelling in the chest tissue (SQ air) and upon palpation a crackling sound is heard. This leads you to believe that:

In “The Outcasts of Poker Flat,” the reason that Mr. Oakhurst is banned from Poker Flat is because  

A one-bottle chest drainage system is impractical for drainage of fluid because:

Which of the following are appropriate ventilator settings for a newborn of 29 weeks and weighs 1825 gms who had to be intubated due to RDS?

Why does Bobinot attend the Cadian Ball? 

A patient who was intubated with a history of COPD who exacerbated due to RML and RLL pneumonia has been in the MICU for the past two days with little improvement of the underlying condition. At 0700 you document the following parameters, PIP 26, Pplat 14 and then two hours later you note the following, PIP 27, Pplat 23. What is the underlying problem that has resulted in these changes?

Which of the following mechanisms explains the development of a pleural effusion in the patient with CHF?

BONUS: A patient has had the chest tube clamped for one hour in preparation for removal. The patient is now exhibiting dyspnea, increased respiratory rate, accessory muscle use and is diaphoretic. The most appropriate action to take at this time would be to:

Mr. Jim Bean is a 69 YO male who has undergone open heart surgery with a history of COPD due to many years of smoking and is being hemodynamically monitored. He is currently on mechanical ventilation. Based on the following recorded parameters, what is the the patient’s C(a-v)O2?pH 7.37, PCO2 68 torr, PO2 137 torr, SaO2 97% on 60% O2Hb 19.8 g/dLPB 750 torrPvO2 43 torr (SvO2 56 torr)QT 4.3 L/min

A patient’s P(A-a)O2 is calculated to be 132 mmHg, what is the most likely cause?