Deck 4: Non-Invasive and Invasive Airway Management

Question 1

This structure is one of the landmarks for endotracheal intubation and it leads directly to the trachea.

A) Tongue
B) Uvula
C) Vocal cords
D) Epiglottis

Answer 1

C

Question 2

Hyperpnea and gastric distention are two common complications while ventilating a patient via a functional

A) bag valve mask system.
B) endotracheal tube.
C) laryngeal mask airway.
D) tracheostomy tube.

Answer 2

A

Question 3

A basic endotracheal intubation kit should include all of the following items except:

A) laryngoscope handle and blades.
B) scalpel blade for cricothyroidotomy.
C) endotracheal tubes.
D) 10-mL syringe.

Answer 3

B

Question 4

The size of the endotracheal (ET) tube corresponds to the:

A) internal radius of the ET tube.
B) external circumference of the ET tube.
C) internal diameter of ET tube.
D) external diameter of ET tube.

Question 5

Laryngoscope blades include the:

A) straight Miller and curved MacIntosh.
B) curved Miller and straight MacIntosh.
C) curved Miller and MacIntosh.
D) straight Miller and MacIntosh.

Question 6

A patient's Mallampati score is Grade 4. The clinician should:

A) proceed to perform intubation.
B) request a double dose of sedative.
C) preoxygenate 10 minutes before intubation.
D) call for anesthesia assistance.

Question 7

The purpose of using a sniffing position is to facilitate performing:

A) endotracheal suctioning.
B) endotracheal intubation and ventilation.
C) tracheotomy.
D) cricothyroidotomy.

Question 8

Which of the following is one of the indications or requirements for an oral airway?

A) Consciousness
B) Lack of gag reflex
C) Oral trauma
D) Near drowning

Question 9

One method to estimate the appropriate size of an oropharyngeal airway is by:

A) using the length of patient's middle finger plus 1 inch.
B) measuring from the corner of the patient's mouth to the tip of the earlobe.
C) using the largest airway that will fit into the patient's mouth.
D) measuring from the middle of the patient's mouth to the tip of the earlobe.

Question 10

A water-soluble lubricant should be used with a(n):

A) nasopharyngeal airway.
B) oropharyngeal airway.
C) suction catheter.
D) nasopharyngeal airway and an oropharyngeal airway.

Question 11

Succinylcholine (Anectine) and vecuronium (Norcuron) are used in rapid sequence intubation to provide:

A) neuromuscular blockade.
B) sedation.
C) analgesia.
D) All of these are correct.

Question 12

Etimidate (Amidate) and diazepan (Valium) may be used in rapid sequence intubation to provide:

A) analgesia.
B) sedation.
C) neuromuscular blockade.
D) All of these are correct.

Question 13

The recommended procedure for endotracheal intubation includes holding the laryngoscope handle with the _______ hand and inserting the blade into the _______ side of the patient's mouth.

A) left; left
B) right; right
C) left; right
D) right; left

Question 14

Combitube and King airway are two common devices to perform:

A) nasotracheal intubation.
B) endotracheal intubation.
C) blind intubation.
D) bronchoalveolar lavage.

Question 15

The therapist is called to preform nasotracheal intubation. Which of the following devices should not be used for this procedure?

A) 10-mL syringe
B) Water-soluble lubricant
C) Stylet
D) Magill forceps

Question 16

For an ET tube with a damaged cuff, the solution includes performing reintubation or using a(n)

A) Cook catheter.
B) cufflator.
C) automatic cuff seal.
D) King airway.

Question 17

Following endotracheal intubation, the patient is receiving ventilation via a manual resuscitation bag. Signs of successful intubation include progressive:

A) improvement of oxygenation.
B) gastric distention.
C) vomiting.
D) cyanosis.

Question 18

A chest radiograph is usually done after intubation to confirm:

A) placement of the ET tube (trachea or esophagus).
B) depth of the ET tube.
C) proper lung inflation.
D) correct size of the ET tube.

Question 19

Following endotracheal intubation, the patient has prominent breath sounds on the right but none on the left. The most likely cause is:

A) lung contusion on left side.
B) esophageal intubation.
C) right mainstem intubation.
D) pneumothorax on the right side.

Question 20

Signs of esophageal intubation may be accompanied by all of the following except:

A) bilateral crackles.
B) abdominal distention.
C) end-tidal CO₂ 35 mm Hg 2 minutes postintubation.
D) SpO₂ 90% 2 minutes postintubation.

Question 21

Immediately after endotracheal intubation, the patient is able to verbalize "I cannot breath." The therapist should check the:

A) oxygen source.
B) ventilator settings.
C) patient's breath sounds.
D) ET tube cuff.

Question 22

Bleeding, subcutaneous emphysema, hemothorax, and hematoma are some complications of:

A) tracheotomy.
B) blind intubation.
C) esophageal intubation.
D) nasotracheal intubation.