Airway

Question 1

assess the airway to ensure it is

Answer 1

patent
protected
functional

Question 2

describes the anatomic pathway air must travel to reach the lungs

Answer 2

patancy

Question 3

Failures of patency may be related to

Answer 3

• trauma
• allergy / angioedema
• anything impeding a clear trajectory for air to travel

Question 4

Failures of airway protection are often related to

Answer 4

higher order diseases that subsequently affect the patient’s mental status

ex. intracranial bleeding, seizures, or shock

Question 5

A first effort to improve airway patency should always be

Answer 5

re-positioning of the head and jaw in an attempt to relieve posterior airway obstruction

Question 6

This maneuver would be the favored airway technique in a patient who has any suspicion of cervical spine injury.

Answer 6

Jaw Thrust

Question 7

_____________ pulls the tongue forward and maintains the tongue position away from the posterior pharynx

Answer 7

oropharyngeal airway

unconscious patients

Question 8

The nasopharyngeal airway is contraindicated when

Answer 8

in patients with facial trauma involving the nose or central face.

Question 9

What is rapid sequence intubation

Answer 9

combines the rapid administration of a sedative agent followed by a paralytic agent for a quick and controlled intubation

Question 10

First step of rapid sequence intubation (after equipment set up)

Answer 10

pre-oxygenated ASAP with non-rebreather mask with 15 L/min of oxygen flowing

nasal oxygen should continue throughout the intubation.

Question 11

Pre-treatment medications, (given 3 minutes prior to intubation) examples

Answer 11

atropine to infants –> blunt vagal stimulation

lidocaine for intracranial hemorrhage –> blunt any ↑ intracranial pressure.

Question 12

Commonly used sedatives in intubation

Answer 12

• Ketamine- ↑ BP, slowest onset
• Propofol- ↓ BP
• Etomidate - no BP change, fastest

Question 13

_________ is the most common depolarizing neuromuscular blocker used in RSI

Answer 13

Succinylcholine

due to its rapid onset and short duration of action

Question 14

Commonly used paralytics in intubation

Answer 14

• Rocuronium- lasts ~50 min

- Succinylcholine- hyperkalemia

Question 15

tilting the head back and extending the cervical spine

Answer 15

sniffing position

Question 16

Video laryngoscopy is different from direct intubation in this way

Answer 16

in VL, the patient’s head can remain in the neutral position and the blade is passed directly over the tongue as opposed to the side.

Question 17

Confirm placement of endotracheal tube

Answer 17

end tidal CO2 detection
auscultation with insufflations of the bag-valve mask
chest x-ray confirmation

Question 18

Intubated patients are commonly sedated with continuous infusions of ?

Answer 18

benzodiazepines

opiates

Question 19

Myxedema coma

Answer 19

life- threatening complication of hypothyroidism.

 classic s/s 
lethargy/coma
hypothermia
bradycardia
periorbital and nonpitting edema
delayed relaxation phase of DTRs (areflexia in more severe cases). 

triggered by sepsis, trauma, surgery, chf , prolonged cold exposure, or use of sedatives or narcotics

Question 20

Very first step of seizure management

Answer 20

Pt placed in a lateral decubitus position to prevent aspiration of gastric contents