Deck 3: Airway Management

Question 1

When considering use of oxygen, ____________________.

A) the athletic trainer should be sure that it is within his scope of practice given state licensure acts
B) it is important to remember that short-term oxygen use is not contraindicated in emergency situations
C) physician involvement often limits conflicts
D) All of the above
E) None of the above

Answer 1

D

Question 2

Which of the following techniques is most appropriate to use when trying to establish an airway in an unconscious victim?

A) Jaw thrust
B) Head-tilt and chin-lift maneuvers
C) Triple-airway maneuver
D) A & C
E) B & C

Answer 2

D

Question 3

____________ will almost always result in opening a patient's airway, but __________ is more appropriate to use on patients that are unconscious.

A) Jaw-thrust; triple-airway maneuver
B) Head-tilt, chin-lift; triple airway maneuvers
C) Triple-airway maneuver; jaw thrust
D) Triple-airway maneuver; head-tilt, chin-lift
E) None of the above

Answer 3

B

Question 4

When describing the nasopharynx we know that __________.

A) it consists of two passages through the nose
B) warming and filtering of the air occurs in it
C) it extends all the way to the trachea
D) A & B
E) B & C

Question 5

The valve on oxygen tanks is used to ___________.

A) set the oxygen flow rate
B) reduce pressure to a usable flow
C) assess pressure within the tank
D) A & B
E) B & C

Question 6

Nasopharyngeal airways come in which of the following sizes?

A) Small, medium, large
B) 28, 30, 32
C) Pediatric sizes
D) A & C
E) A, B, & C

Question 7

When using a nasopharyngeal airway, which of the following should be performed?

A) The airway should be lubricated with an oil-based lubricant.
B) The airway should be lubricated with a water-based lubricant.
C) The airway should be inserted with the bevel away from the septum.
D) The airway should be inserted inferiorly in the left nostril.
E) B & D

Question 8

Airway management has the highest priority. It is even a higher priority than cardiopulmonary resuscitation (CPR) and defibrillation.

A) Both statements are true.
B) Both statements are false.
C) Only the first statement is true.
D) Only the second statement is true.
E) The answer cannot be determined from the information provided.

Question 9

Oxygen is ____________.

A) supplied only in steel canisters
B) supplied only in aluminum containers
C) pressurized to 2,000 psi when full
D) flammable
E) A & C

Question 10

Which of the following statements is true?

A) The oropharyngeal airway is used to relieve an obstructed airway after the jaw-thrust maneuver has been deemed effective.
B) The nasopharyngeal airway is used to relieve an obstructed airway after the jaw-thrust maneuver has been deemed effective.
C) Using alternate airway systems can be useful, because the jaw-thrust maneuver is physically demanding.
D) All of the above are true.
E) None of the above is true.

Question 11

You come upon an individual who is breathing and unconscious. You notice that she is breathing, but gurgles with each breath. Of what is the gurgling a sign?

A) Fluid in the lungs
B) Vomitus in the airway
C) Fluid in the airway
D) A & B
E) B & C

Question 12

Which of the following techniques is not appropriate to use when you suspect a cervical spine injury in a patient?

A) Jaw thrust
B) Head-tilt and chin-lift maneuvers
C) Triple-airway maneuver
D) A & C
E) B & C

Question 13

A gag reflex is a contraindication for use of an oropharyngeal airway.

A) True
B) False
C) Cannot be determined from the information provided

Question 14

Athletic trainers are always permitted to administer oxygen. Involving a physician on decisions for oxygen administration may resolve potentials conflicts.

A) Both statements are true.
B) Both statements are false.
C) Only the first statement is true.
D) Only the second statement is true.
E) The answer cannot be determined from the information provided.

Question 15

The lower airway consists of the epiglottis and the larynx. Which of the following is true with respect to the larynx?

A) The larynx is a flap that covers the opening to the trachea.
B) The larynx is composed of cartilage and muscles.
C) The larynx protects the glottis and is responsible for phonation.
D) A & B
E) B & C

Question 16

A gag reflex is a contraindication for use of a nasopharyngeal airway. Nasopharyngeal airways are often constructed of soft rubber and hard plastic.

A) True for both statements
B) False for both statements
C) True for the first statement, false for the second statement
D) False for the first statement, true for the second statement
E) Cannot be determined from the information provided

Question 17

The adult oropharyngeal airway is made of hard plastic and comes in which of the following sizes?

A) Small, medium, large
B) Below average, average, above average
C) 28, 30, and 32 French
D) A & B
E) A & C

Question 18

Oxygen tanks must be stored carefully and should always be in a holder. Additionally, oxygen tanks should not be left standing upright.

A) True for both statements
B) False for both statements
C) True for the first statement, false for the second statement
D) False for the first statement, true for the second statement
E) Cannot be determined from the information provided.

Question 19

Which of the following is considered a complication associated with use of an oropharyngeal airway?

A) Damage to teeth
B) Damage to hard palate
C) Worsening of airway
D) A & B only
E) A, B, & C

Question 20

Contraindications for use of a nasopharyngeal airway include ____________.

A) an intact gag reflex
B) facial trauma
C) epistaxis
D) A & B
E) B & C

Question 21

Using a bag-valve mask enables a clinician to __________.

A) assist the breathing of an apneic patient
B) administer 100% oxygen when hooked to an oxygen source only
C) administer 100% oxygen when hooked to an oxygen-source reservoir bag
D) A & B
E) A & C

Question 22

A ________ is used to administer oxygen to conscious patients.

A) simple face mask
B) nasal cannula
C) reservoir-bag face mask
D) bag-valve mask
E) All of the above

Question 23

Intubations are not within the scope of training of athletic trainers. It is advisable that someone within a large sports medicine staff should have the training and legal status to perform advanced airway techniques.

A) True only for the first sentence
B) True only for the second sentence
C) True for both sentences
D) False for both sentences.

Question 24

Only EMT intermediates and board-certified physicians are authorized to perform intubations.

A) True
B) False
C) True, only if nurses are substituted for EMTs in the above statement
D) None of the above

Question 25

Although endotracheal intubations are not typically performed by athletic trainers, a variety of clinicians are trained to perform this technique, which requires use of ______________.

A) a laryngoscope to visualize the vocal cords
B) an otoscope to visualize the vocal cords
C) None of the above
D) A & B

Question 26

A pocket mask ___________.

A) has a one-way valve and allows a clinician to provide mouth-to-mask ventilation
B) delivers less than room air FiO₂ (21% oxygen)
C) is better than mouth-to-mouth rescue breathing
D) is not a good substitute for a big-valve mask (BVM) and oxygen
E) All of the above

Question 27

A novice user should be encouraged to utilize a two-person technique when using a big-valve mask (BVM).

Question 28

A __________ is preferred for unconscious or unstable patients.

A) simple face mask
B) nasal cannula
C) reservoir-bag face mask
D) bag-valve mask
E) All of the above

Question 29

Disposable laryngeal mask airways _____________.

A) are low-cost devices that do not prevent aspiration of gastric contents
B) seal the esophagus and oropharynx
C) provide protection against gastric aspiration
D) A & B
E) B & C

Question 30

Which of the following statements is(are) true regarding use of a pocket mask?

A) It operates similarly to a simple face mask.
B) It has a one-way valve and allows a clinician to provide mouth-to-mask ventilation.
C) The mask is sealed in the same manner as a big-valve mask (BVM).
D) A & B
E) B & C

Question 31

Using a big-valve mask (BVM) can be a difficult skill to master. To obtain a good seal, which of the following should be done?

A) The right hand, using the thumb and index finger, should be used to form a C on the mask.
B) The small, ring, and third fingers should be placed along the jaw to help pull the jaw and nose into the mask.
C) The bag should be squeezed with the right hand.
D) A & B
E) B & C

Question 32

It has been suggested that paramedics should not perform intubations, because they do not perform the procedure frequently enough to maintain a reasonable level of proficiency.

Question 33

Although a big-valve mask (BVM) is useful for short-term use, ______________.

A) the airway should be secured by an advanced airway device
B) an endotracheal intubation is necessary for long-term airway assistance
C) an endotracheal intubation may be put in place before or after arrival at a hospital
D) A & B
E) A, B, & C

Question 34

A number of precautions should be taken into consideration when working with or around oxygen tanks. Which of the following is something you should be aware of if working with oxygen?

A) Oxygen is not flammable but does support combustion.
B) Smoking is contraindicated and dangerous in the presence of oxygen.
C) Oxygen use over a long period of time may lead to hyperventilation.
D) A & B
E) B & C

Question 35

While using a big-valve mask (BVM) in attempting to assist a patient whose breathing is compromised, you begin having difficulty and notice that his chest is not rising significantly. You are concerned that you may not have a good seal. Which of the following should you consider to make your treatment more effective?

A) Repositioning your hands
B) Using your right hand to seal the patient's right cheek with the mask
C) Requesting assistance from a partner while you ensure a good seal using two hands
D) A & B only
E) A, B, & C

Question 36

A ________ was developed in Great Britain and is often used for minor surgical cases requiring general anesthesia.

A) combitube
B) laryngeal-mask airway
C) King LT-D
D) All of the above

Question 37

Aspiration pneumonitis is ____________.

A) aspiration of vomitus through the nasal cavity
B) aspiration of vomitus into the lungs
C) is a serious and sometimes fatal complication
D) A & B
E) B & C

Question 38

The King LT-D prevents against gastric aspiration and is significantly more expensive than a laryngeal mask airway.

A) True for both elements
B) True for only the first element
C) True for only the second element
D) False for both elements
E) Cannot be determined from the information provided

Question 39

A ________ gives a FiO₂ of 25%, whereas a ________ delivers FiO₂ of 40% to 60% at 6 to 10 L/min.

A) simple face mask; nasal cannula
B) nasal cannula; reservoir-bag face mask
C) reservoir-bag face mask; nasal cannula
D) bag-valve mask; simple face mask
E) nasal cannula; simple face mask

Question 40

State laws may or may not allow athletic trainers to use other devices, including laryngeal masks and combitubes, to secure airways.

Question 41

It is advisable to use an oral airway when the gag reflex is intact.

Question 42

Snoring is a sign of a partial airway obstruction.