Airway management & bronchoscopy

Question 1

Biggest risk factor for difficult airway?

Answer 1

obesity

Question 2

Classification of “Upper Lip Bite Test”?

Answer 2

I: bite vermillion border of upper lip.
II: Bite some of upper lip, but not vermillion.
III: Can’t bite upper lip at all.
-Good scoring system for difficult airway. Out performs retrognathic jaw, short omental distance, modified malnpatti score, or any combination.

Question 3

Reversal for Rocuronium or Vecuronium?

Answer 3

Sugammadex (Bridion)

Question 4

Dx of tracheoesophageal fistula?

Answer 4

Barium swallow esophogram

Question 5

Tx of tracheoesophageal fistula?

Answer 5

palliative stenting or surgery

Question 6

Difference between Shiley vs Bivona tracheostomies?

Answer 6

Shiley has an inner cannula

Question 7

3 most common causes of massive hemoptysis?

Answer 7

cancer, TB, bronchiectasis?

Question 8

Which is better to identify cause of bleeding in massive hemoptysis? CT or bronch?

Answer 8

CT

Question 9

Rare but serious complication of bronchial artery embolization?

Answer 9

embolization of anterior spinal artery

Question 10

In cases of massive hemoptysis, after intubation, isolation of bleeding side, and bronchoscopy, what are the two definitive management options?

Answer 10

Bronchial Artery Embolization, Surgical resection.

Question 11

Most common malignant tracheal obstruction cause?

Answer 11

direct extension from adjacent tumor (lung, esophagus, thyroid, HEENT, mediastinum).

Question 12

Treatment of malignant tracheal obstruction?

Answer 12

emergent rigid bronchoscopy with balloon dilation, stenting. Do not do flexible bronchoscopy.

Question 13

Effect of steroids after abnormal cuff leak test when in SBT?

Answer 13

Improves reintubation rate & post-extubation stridor.

Question 14

By default: use NMB or not during RSI?

Answer 14

Use it.