airway Flashcards
1) Which of the following is the correct order of events after an endotracheal tube has been properly inserted?
A) Inflate the cuff with 5 to 10 mL of air, secure the tube, listen for equal breath sounds bilaterally, and listen for breath sounds over the epigastrium.
B) Inflate the cuff with 5 to 10 mL of air, auscultate the epigastrium and then the lungs, and secure the tube.
C) Secure the tube, listen for breath sounds over the epigastrium, listen for equal breath sounds bilaterally, and inflate the cuff with 5 to 10 mL of air.
D) Inflate the cuff with 5 to 10 mL of air, listen for breath sounds over the epigastrium, listen for equal breath sounds bilaterally, and secure the tube.
inflate the cuff with 5- 10 ml of air, auscultate the epigastrium and then the lungs, and secure the tube
2) The patient with COPD may benefit from oxygen delivery through a Venturi mask because:
A) oxygen concentration is controlled more carefully.
B) it delivers intermittent positive pressure to the airway.
C) it both protects the airway and delivers oxygen.
D) it delivers the highest oxygen concentration possible.
oxygen concentration is controlled more carefully
3) A peak flow meter measures:
A) inspiratory reserve volume.
B) tidal volume.
C) the force of expiratory volume.
D) respiratory efficacy during forced expiration.
respiratory efficacy during forced expiration
4) Applying posteriorly directed pressure on the cricoid cartilage to facilitate endotracheal intubation is also referred to as:
A) digital intubation.
B) cricoid pressure.
C) retrograde intubation.
D) cricothyrotomy.
cricoid pressure
5) When swallowing occurs, the structure that occludes the tracheal opening to prevent aspiration of food and liquid is the:
A) cricoid cartilage.
B) epiglottis.
C) pyriform fossa.
D) uvula.
epiglottis
6) Moderate hypoxemia is indicated with a pulse oximeter reading of ________ percent.
A) 86 to 90
B) 95 to 100
C) 81 to 85
D) 90 to 94
86-90
7) During spontaneous breathing, which of the following reflexes prevents overexpansion of the lungs?
A) Cheyne-Stokes
B) Hering-Breuer
C) Apneustic
D) Cushing’s
Hering- Breuer
8) Which of the following is an objective technique to verify proper endotracheal tube placement?
A) Direct visualization
B) Esophageal detector device
C) Tube misting
D) Auscultation
Esophageal detector device
9) Which of the following interferes with ventilation in the presence of a flail segment?
A) The ability to generate positive intrathoracic pressure is impaired.
B) Intrathoracic pressure increases on the affected side.
C) Intrathoracic pressure decreases on the affected side.
D) The ability to generate negative intrathoracic pressure is impaired.
the ability to generate negative intrathoratic pressure
10) Progressively deeper, faster breathing alternating gradually with shallow, slower breathing is called:
A) Cheyne-Stokes respirations.
B) Kussmaul’s respirations.
C) Biot’s respirations.
D) agonal respirations.
cheyne stokes respirations
11) Which of the following is an advantage of the two-person method of bag-valve-mask ventilation?
A) Reduces the risk of gastric distension
B) Provides tidal volumes of 1,500 to 1,700 mL
C) Delivers a higher concentration of oxygen
D) Easier to maintain a seal between the patient’s face and the mask
easier to maintain a seal between the patients face and the mask
12) What is the normal partial pressure of oxygen (in torr) in the arterial blood?
A) 35 to 45
B) 50 to 75
C) 80 to 100
D) 100 to 150
80 -100
13) Which of the following is the most common cause of airway obstruction?
A) Foreign bodies
B) Food
C) Upper airway edema
D) Tongue
tongue
14) In an adult, the narrowest part of the airway is the:
A) trachea.
B) cricoid cartilage.
C) hypopharynx.
D) glottis.
glottis
15) A musical, squeaking, or whistling sound that may be heard on inspiration or expiration while auscultating lung fields is known as:
A) crackles.
B) stridor.
C) rhonchi.
D) wheezing.
wheezing
16) The automatic transport ventilator is contraindicated for all of the following intubated patients, EXCEPT:
A) a 17-year-old gunshot victim.
B) a 4-year-old near-drowning victim.
C) a 56-year-old patient in pulmonary edema.
D) a 34-year-old patient with adult respiratory distress syndrome.
a 17 year old gun shot victim
17) Of the normal tidal volume for the average 70-kg adult, what amount of air (in mL) is NOT available for gas exchange?
A) 50
B) 100
C) 150
D) 250
150
18) The preferred depolarizing neuromuscular agent for rapid sequence intubation is:
A) pancuronium.
B) midazolam.
C) succinylcholine.
D) vecuronium.
succinycholine
19) All of the following are indications for endotracheal intubation, EXCEPT:
A) a heart rate over 100.
B) respiratory arrest.
C) cardiac arrest.
D) airway swelling.
a heart rate over 100
20) A properly placed ________ effectively isolates the trachea for ventilation and protection from aspiration.
A) dual lumen airway
B) endotracheal tube
C) laryngeal mask airway
D) King LTD airway
endotrachial tube
21) When using a colorimetric end-tidal carbon dioxide detector, the absence of carbon dioxide in exhaled air after six breaths indicates that the endotracheal tube has been placed:
A) in the right mainstem bronchus.
B) in the esophagus.
C) in the left mainstem bronchus.
D) in the trachea.
in the esophagus
22) Which of the following devices is known as a dual-lumen airway?
A) Combitube
B) Endotracheal tube
C) Laryngeal mask airway
D) King LTD airway
combitube
23) What percentage of oxygen is delivered by a simple face mask?
A) 60 to 80
B) 95 to 100
C) 40 to 60
D) 80 to 90
95-100
24) A high-pitched inspiratory noise caused by a partial upper airway obstruction is called:
A) stridor.
B) dysphonia.
C) rhonchi.
D) wheezing.
stridor
25) An attempt at endotracheal intubation must not interrupt ventilations for more than ________ seconds.
A) 10
B) 15
C) 20
D) 30
20
26) A(n) ________ may be used to facilitate nasotracheal intubation.
A) uncuffed endotracheal tube
B) malleable stylette
C) lighted stylette
D) Endotrol tube
endotrol tube
27) Which of the following serves as an important visual landmark when performing endotracheal intubation under direct visualization?
A) Cricothyroid membrane
B) Cricoid cartilage
C) Thyroid cartilage
D) Posterior cartilages
posterior cartilages
28) What is the highest flow rate on a demand valve device (in liters per minute)?
A) 30
B) 20
C) 15
D) 40
40
29) The hypoxic drive is stimulated by:
A) high PaCO2.
B) low PaO2.
C) high PaO2.
D) low PaCO2.
low pa02
30) The reading obtained by the use of a pulse oximeter reflects the:
A) amount of saturated hemoglobin per deciliter of blood.
B) amount of oxygen dissolved in the blood.
C) ratio of unsaturated hemoglobin to saturated hemoglobin.
D) partial pressure of oxygen in capillary blood.
ratio of unsaturated hemoglobin to saturated hemoglobin
31) Which of the following is NOT a structure of the upper airway?
A) Larynx
B) Trachea
C) Hypopharynx
D) Nasopharynx
trachea
32) Shallow, slow, or infrequent breathing, indicating severe ICP buildup and brain anoxia, is known as:
A) Kussmaul’s respirations.
B) grunting.
C) Biot’s respirations.
D) agonal respirations.
agonal respirations
33) At the end of exhalation, the intrathoracic pressure is:
A) significantly less than atmospheric pressure.
B) slightly less than atmospheric pressure.
C) greater than atmospheric pressure.
D) equal to atmospheric pressure.
equal to atmospheric pressure
34) Which of the following manual airway maneuvers should be used when you are caring for a patient with a suspected cervical spine injury?
A) Sellick’s
B) Modified jaw-thrust
C) Jaw/tongue lift
D) Head-tilt/chin-lift
modified jaw- thrust
35) When you are intubating a stoma site, how far beyond the distal cuff (in cm) should you insert the endotracheal tube?
A) 1 to 2
B) 3 to 4
C) 2 to 3
D) 4 to 5
1 to 2
36) In which of the following conditions should you suspect pulmonary shunting?
A) A foreign body in the right mainstem bronchus
B) Pneumonia
C) Pulmonary embolism
D) All of the above
all of the above
37) Which of the following mechanisms is responsible for hypoxemia in the patient with a pulmonary embolism?
A) Pulmonary shunting
B) Pulsus paradoxus
C) Lower airway obstruction
D) Atelectasis
pulmonary shunting
38) End-tidal colorimetric capnography measures:
A) carbon dioxide in exhaled air.
B) the partial pressure of carbon dioxide in arterial blood.
C) the amount of carbon dioxide dissolved in plasma.
D) the percentage of hemoglobin saturated with carbon dioxide.
carbon dioxide in exhaled air
39) A drop in blood pressure of greater than 10 torr during inspiration is called:
A) pulsus paradoxus.
B) pulsus obliterans.
C) pulsus tardus.
D) pulsus alternans.
pulsus paradoxus