Deck 10: Airway Abnormalities

Question 1

Recurrent respiratory papillomatosis is the most Common benign neoplasm of which airway structure

A)Glottis
B)Supraglottis
C)Oropharynx
D)Larynx

Answer 1

D

Question 2

Which of the following is both the most Common laryngeal anomaly and the most Common Congenital cause of stridor

A)Epiglottitis
B)Laryngomalacia
C)Cleft palate
D)Glossoptosis

Answer 2

B

Question 3

What Common disease process acCompanies laryngomalacia

A)Obstructed sleep apnea
B)Swallowing difficulties
C)Stridor
D)Gastroesophageal reflux

Answer 3

D

Question 4

What initial intervention for Robin sequence will alleviate 70% of an infant's airway obstruction

A)Nasal trumpet
B)Nasogastric tube
C)Stent tongue
D)Prone position

Question 5

All of the following are symptoms of severe laryngomalacia except:

A)Cyanosis
B)Feeding difficulties
C)Failure to thrive
D)Cor pulmonale E! All of the above

Question 6

Treatment and management of choanal atresia include which of the following options
I)Choanal opening created via surgical repair
II)Propping infant's nose open with nasal trumpet
III)Intubation
IV)Using a feeding nipple with a large opening

A)I, II, and IV
B)I, II, and III
C)II, III, and IV
D)I, III, and IV

Question 7

Patency of the tracheostomy tube should be verified by which of the following procedures
I)Positive end-tidal CO₂
II)Measuring exhaled tidal volume
III)Passing a suction catheter
IV)Bag-mask ventilation

A)I and III
B)II and III
C)II and IV
D)I and IV

Question 8

For what subglottic airway Condition is intubation not a form of treatment unless respiratory distress is severe

A)Croup
B)Subglottic stenosis
C)Tracheoesophageal fistula
D)Vocal Cord paralysis

Question 9

Which of the following tests can definitively verify the presence of recurrent respiratory papillomatosis

A)Sputum culture
B)EndosCopy
C)Blood cultures
D)Lateral neck radiograph
E)Complete metabolic panel

Question 10

What organism causes exudative tracheitis

A)StreptoCoccus pneumonia
B)Human papillomavirus (HPV)
C)Haemophilus influenzae
D)StaphyloCoccus aureus

Question 11

What organism causes the viral disease recurrent respiratory papillomatosis

A)StreptoCoccus pneumonia
B)Human papillomavirus (HPV)
C)Haemophilus influenzae
D)StaphyloCoccus aureus

Question 12

The supraglottis Consists of all of the following portions of the larynx except:

A)Epiglottis
B)False vocal Cords
C)Arytenoids
D)Aryepiglottic fold
E)Hard palate

Question 13

Which of the following respiratory supports should be given to a patient with a nonanatomical nasopharyngeal obstruction
I)Supplemental oxygen when SpO₂ is less than 92%
II)Nasal suctioning
III)Nasal stents
IV)Repositioning airway
V)Nasal prongs
VI)Noninvasive nasal mask

A)I, II, and IV
B)II, IV, and VI
C)I and IV
D)III and V

Question 14

Which of the following are examples of Conditions that would require a tracheostomy
I)Subglottic stenosis
II)Croup
III)Robin sequence
IV)Bronchopulmonary dysplasia

A)I, II, and III
B)I, III, and IV
C)II, III, and IV
D)III and IV

Question 15

Which of the following are Considered inexpensive methods to identify choanal atresia
I)Tissue test
II)Mirror test
III)Nasal endosCopy
IV)Deep tracheal suctioning
V)MRI scan
VI)CT scan

A)I, II, III, and IV
B)I, II, III, and VI
C)II, IV, and V
D)II, III, IV, and VI

Question 16

Tracheoesophageal fistula should be suspected when an infant presents with which of the following symptoms
I)Excessive drooling
II)Feedings that give way to respiratory distress
III)Absence of stridor or barking Cough
IV)Accepting orogastric tube into stomach without incidence

A)II and III
B)I and II
C)III and IV
D)I, II, III, and IV

Question 17

What is Considered the most Common subglottic abnormality seen by registered respiratory therapists

A)Subglottic stenosis
B)Stridor
C)Vocal fold nodules
D)Gastroesophageal reflux

Question 18

What is the treatment for macroglossia

A)Tonsillectomy
B)Tongue reduction surgery
C)IV antibiotics
D)Incision and drainage

Question 19

What method of emergency tracheostomy management utilizes the Seldinger technique

A)Placing the endotracheal tube in the stoma
B)Placing a gloved finger over the stoma
C)Utilizing a tube that is one size smaller than the one that is removed
D)Threading the new tube over a small suction catheter, and then inserting a suction catheter into the stoma to find a pathway into the trachea

Question 20

Management of subglottic hemangiomas includes all of the following except:

A)Tracheostomy
B)Steroids
C)Propranolol
D)Surgical intervention

Question 21

Which of the following disorders of the oropharynx requires intervention by the registered respiratory therapist
I)Robin sequence
II)Peritonsillar abscess
III)Stickler syndrome
IV)Treacher Collins syndrome

A)I and II
B)II and III
C)I and IV
D)III and IV

Question 22

Which of the following are actions to Consider when managing a patient with a subglottic stenosis
I)Handle airway gently.
II)Optimize pulmonary function.
III)Use the largest size of an endotracheal tube initially to avoid excessive attempts of intubation.
IV)Secure the endotracheal tube.
V)Manage suspected gastroesophageal reflux.

A)I, II, III, and IV
B)I, II, IV, and V
C)II, III, IV, and V
D)I, II, III, and V