Advanced Airway

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Author:
thom.mccusker@gmail.com
ID:
305291
Filename:
Advanced Airway
Updated:
2015-07-17 00:43:11
Tags:
CCEMTP Advanced Airway
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CCEMTP
Description:
Advanced Airway
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  1. What does the “A” in the mnemonic MOANS stand for?
    A. Airway
    B. Age
    C. Amidate
    D. Apnea
    B. Age
    (this multiple choice question has been scrambled)
  2. A nasogastric or oro gastric tube should be inserted on all patients who have received bag valve mask ventilation and require continued mechanical ventilation.
    a. True
    b. False
    a. True
  3. A laryngeal mask airway (LMA) will prevent regurgitation and aspiration of gastric contents if it is placed correctly.
    a. True
    b. False
    False
  4. WhichofthefollowingstatementsregardingtheCombiTubeTMistrue?
    A. 80% of the time the tube will be placed in the trachea
    B. It must be placed under direct visualization
    C. Studies have shown that ventilation performance is equivalent to
    endotracheal intubation
    d. Successful placement rates are very low (less than 50%)
    C. Studies have shown that ventilation performance is equivalent to
    (this multiple choice question has been scrambled)
  5. The King LTT M airway is not designed to be used with high pressure ventilation (> 30 cmH20).
    a. True
    b. False
    False
  6. Which of the following patients would be a candidate for a bougie-assisted intubation?
    A. A patient with a suspected transection of the trachea
    B. A patient with a suspected trachea-esophageal fistula
    C. A patient with a predicted grade 4 view of the glottis in which the intubator is unsure of the tracheal location
    D. A patient witha grade 3 view of the glottis in which the intubator feels that there might be poor view of the trachea
    D. A patient witha grade 3 view of the glottis in which the intubator feels that there might be poor view of the trachea
    (this multiple choice question has been scrambled)
  7. You are passing a bougie into the trachea to facilitate intubation when you were unable to visualize the cords. Which of the following is true regarding the use of the bougie?
    A. Proper placement of the bougie is confirmed when you see a “glow” emanating from the trachea
    B. Proper placement of the bougie is confirmed when you are able to pass the endotracheal tube alongside the bougie
    C. Proper placement of the bouge is confirmed when you feel the bougie bump the carina
    D. Proper placement of the bougie is confirmed when you feel a “clicking” sensation as the bougie contacts the tracheal rings
    D. Proper placement of the bougie is confirmed when you feel a “clicking” sensation as the bougie contacts the tracheal rings
    (this multiple choice question has been scrambled)
  8. With proper equipment, a needle cricothyrotomy achieves ventilation, but not oxygenation.
    a. True
    b. False
    True
  9. What does the “H” stand for int he SHORT mnemonic used for surgical airway contraindications?
    A. Hyperventilation
    B. Hematoma
    C. Hypoxia
    D. Hypercapnia
    B. Hematoma
    (this multiple choice question has been scrambled)
  10. Your partner has just placed an esophageal detector device (EDD) on the endotracheal tube. The device slowly inflates. Which of the following is true?
    A. Slow inflation indicates that the EDD is not properly working and should be replaced
    B. Slow inflation typically indicates placement of the endotracheal tube in the esophagus
    C. Slow inflation indicates correct placement of the endotracheal tube into the trachea
    D. Slow inflation only occurs if the patient was not adequately ventilated prior to use of the EDD
    B. Slow inflation typically indicates placement of the endotracheal tube in the esophagus
    (this multiple choice question has been scrambled)
  11. Continuous waveform capnography will immediately detect accidental extubation or disconnection from the ventilator.
    a. True
    b. False
    True
  12. You suspect that your patient has methemoglobinemia. This will decrease the accuracy of pulse oximetry readings.
    a. True
    b. False
    True
  13. You are preparing to intubate a patient in the operating suite for annual skills check-offs. The anesthesiologist instructs you to perform a “nitrogen washout”. Which of the following best describes this procedure?
    A. You will preoxygenate the patient to remove carbon dioxide
    B. You will give the patient a fluid bolus of 1 liter of normal saline or Ringers lactate to washout nitrogen in their blood
    C. You will begin to push etomidate slowly followed by succinylcholine
    D. You will administration nitroglycer in to the patient as long as their SBP is > 100 mmHg
    A. You will preoxygenate the patient to remove carbon dioxide
    (this multiple choice question has been scrambled)
  14. All patients should receive bag mask ventilation with 100% oxygen prior to attempting RSI.
    a. True
    b. False
  15. You are preparing to intubate your patient and your partner tells you that he thinks that this patient will be a Grade IV on the Cormack-Lehane. Which of the following would be true regarding your partner’s statement?
    A. A Grade IV Cormack-Lehane indicates a predicted easyi ntubation
    B. A Grade IV Cormack-Lehane indicates that only a portion of the vocal cords can be viewed under direct laryngoscopy
    C. A Grade IV Cormack-Lehane indicates that no portion of the vocal cords can be viewed under direct laryngoscopy and this will be a very difficult intubation
    D. There is no such thing as a Grade IV Cormack-Lehane. He has this confused with the Mallampati grading system
    C. A Grade IV Cormack-Lehane indicates that no portion of the vocal cords can be viewed under direct laryngoscopy and this will be a very difficult intubation
    (this multiple choice question has been scrambled)
  16. What is the minimum number of vital capacity breaths your patient must take while on 100% oxygen in order to effectively preoxygenate prior to RSI?
    A. 6
    B. 8
    C. 12
    D. 10
    B. 8
    (this multiple choice question has been scrambled)
  17. Which of the following is a reason why lidocaine could be administered as a pretreatment drug before RSI?
    A. To aid in drying increased secretions
    B. Patients who are at risk for increased ICP
    C. Patients who are receiving etomidate
    D. Children under the age of 8
    B. Patients who are at risk for increased ICP
    (this multiple choice question has been scrambled)
  18. Which of the following is the correct dose for lidocaine as a pretreatment drug in RSI?
    A. 0.3mg/kg
    B. 1mg/kg
    C. 2mg/kg
    D. 1.5 mg/kg
    D. 1.5 mg/kg
    (this multiple choice question has been scrambled)
  19. You have been ordered by your medical control to administer a defasciculating dose of vecuronium. Which of the following is the correct adult dosage for this drug?
    A. 1mg/kg
    B. 0.1 mg/kg
    C. 0.001mg/kg
    D. 0.01mg/kg
    D. 0.01mg/kg
    (this multiple choice question has been scrambled)
  20. What is the minimum number of vital capacity breaths your patient must take while on 100% oxygen in order to effectively preoxygenate prior to RSI?
    A. 12
    B. 10
    C. 8
    D. 6
    C. 8
    (this multiple choice question has been scrambled)
  21. Which of the following is a reason why lidocaine could be administered as a pretreatment drug before RSI?
    A. Patients who are at risk for increased ICP
    B. To aid in drying increased secretions
    C. Children under the age of 8
    D. Patients who are receiving etomidate
    A. Patients who are at risk for increased ICP
    (this multiple choice question has been scrambled)
  22. Which of the following is the correct dose for lidocaine as a pretreatment drug in RSI?
    A. 1.5 mg/kg
    B. 1mg/kg
    C. 0.3mg/kg
    D. 2mg/kg
    A. 1.5 mg/kg
    (this multiple choice question has been scrambled)
  23. You have been ordered by your medical control to administer a defasciculating dose of vecuronium. Which of the following is the correct adult dosage for this drug?
    A. 1mg/kg
    B. 0.001mg/kg
    C. 0.01mg/kg
    D. 0.1 mg/kg
    C. 0.01mg/kg
    (this multiple choice question has been scrambled)
  24. Which of the following are considered the “gold standard” methods for confirming endotracheal tube placement?
    A. Positive lung sounds and misting in the endotracheal tube
    B. Positive lung sounds and continuous wave form capnography
    C. Direct visualization of the tube passing through the cords and continuous waveform capnography
    D. Direct visualization of the tube passing through the cords and equal lung sounds
    C. Direct visualization of the tube passing through the cords and continuous waveform capnography
    (this multiple choice question has been scrambled)

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