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Summer Airways > Midterm > Flashcards

Midterm Flashcards

1
Q

Describe the location and action of cueform cartliages

A

The lateral of the two bumps in the glottis

Spring-like action

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2
Q

Sequence of RSI

A

Sedate, NMBD, sellick

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3
Q

What is the most likely glottic action to occur following extubation of a patient who suffered bilateral RLN injuries during surgery?

A

Injury - VC closed

Interruption - VC at cadaveric position

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4
Q

For a patient with moderate septal deviation, how many turbinates will be out of the normal anatomic position?

A

None (b/c turbinates are on lateral wall)

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5
Q

What is the action of the transverse arytenoideus?

A

ADduction

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6
Q

When do symptoms (eg, dyspnea) appear when an orificial lesion is progressively obstructing the upper airway?

A

70%

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7
Q

What is the peak age for which foreign body aspirations occur?

A

2 years old

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8
Q

If questioned about the likelihood of being hoarse postop, what incidence would you site in your explanation to a patient?

A

3%, resolves on own in 1-3 days

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9
Q

If inadvertent endobronchial intubatio occurs, which lobe of the lungs will most likely be atelectatic postop?

A

Right upper lobe

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10
Q

A 4 yo suspected of aspirating a marble needs to undergo GA to remove foreign body. She is dyspneic, stridorous, uncooperative, and SpO2 is 86% and she doesn’t have an IV. What is the best induction plan for this patient?

A

Inhalational induction with Sevo, O2, and Helium

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11
Q

What size connection exits (?) for attaching an anesthesia breathing circuit to a rigid bronchoscope?

A

15 mm ?

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12
Q

What does the thyroid gland secrete?

A

T3 & T4

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13
Q

The facial nerve provides:
A) sensory
B) motor
C) both

A

C) both

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14
Q

Motor threshold for NMB stimulation of the adductor pollicis occurs at what mA?

A

15 mA

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15
Q

For an adult male, the cricoid cartilage is found at what C-spine level?

A

C6

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16
Q

The superior laryngeal nerve is a branch of what nerve?

A

Vagus

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17
Q

Where does the smallest cross-sectional area of the adult larynx occur?

A

glottis

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18
Q

What effect on striated muscle does hypocalcemia produce?

A

Tetany, weakness (?)

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19
Q

What nerve pierces the thyrohyoid membrane?

A

Internal branch of the superior laryngeal nerve.

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20
Q

For an adult, the VC would be found at approximately what C-spine level?

A

C4

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21
Q

What does the parotid gland secrete?

A

Saliva, digestive enyme

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22
Q

How many branches of the facial nerve are there in the face and neck?

A

5

Temporal
Zygomatic
Buccal
Mandibular
Cervical

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23
Q

Chvostek’s sign is useful in assessing what electrolyte abnormality?

A

Ca2+, hypocalcemia

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24
Q

Supramaximal stimulus for NMB monitoring using adductor pollicis should be set at how many mA?

A

40 mA

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25
Q

Dorsal depression of which laryngeal structure should be employed to improve view of the glottis when the initial DL view was only the tip of the epiglottis?

A

thyroid cartilage

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26
Q

In what position will you find the right VC if there has been interruption of the right laryngeal nerve in the past 6 hours?

A

Paramedian

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27
Q

Sensory threshold for NMB stimulation of the adductor pollicis occurs at how many mA?

A

5 mA

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28
Q

Name one branch of the facial nerve that you can use for NMB monitoring

A

Temporal

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29
Q

What is teh OD of an endotracheal tube connector?

A

15 mm

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30
Q

What is the ID of an anesthesia face bask connection?

A

22mm

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31
Q

Which is the more medial pair of cartilages, cuneform or corniculate?

A

Corniculate

(Cuneform are lateral)

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32
Q

What is lateral to the true vocal cordes?

A

Vesticular folds

33
Q

What is the name for the maneuver to decrease intrathoracic pressure by attempting to inhale against a closed glottis?

A

Mueller maneuver

34
Q

The type of complication that a sore throat represents is: acute, intermediate, or long-term?

A

Long-term

35
Q

When no intrinsic laryngeal muscle action is occurring, in what position will the VC appear during DL?

A

Paramedian

36
Q

Maximal adduction will move the VC into what position?

A

Midline

37
Q

If nerver conduction in both SLN of an awake patien is diminished, the patient’s voice will

A

Change pitch

38
Q

What LA should be used to perform a SLN block?
A) Bupivicaine
B) Cocaine
C) Lidocaine
D) Prilocaine
E) Tetracain

A

C, lidocaine

39
Q

High pitch, crackle, inspiratory, lower airway
A) Rales
B) Stridor
C) Ronchi
D) Wheezing
E) Stertor

A

Rales

40
Q

High pitch, inpiratory & expiratory, upper airway

A) Rales
B) Stridor
C) Ronchi
D) Wheezing
E) Stertor

A

Stridor

41
Q

Low pitch, inspiratory/expiratory, lower airway

A) Rales
B) Stridor
C) Ronchi
D) Wheezing
E) Stertor

A

Ronchi

42
Q

Whistle, inspiratory/expiratory, lower airway

A) Rales
B) Stridor
C) Ronchi
D) Wheezing
E) Stertor

A

Wheezing

43
Q

Snore, inspiratory/expiratory, upper airway

A) Rales
B) Stridor
C) Ronchi
D) Wheezing
E) Stertor

A

Stertor

44
Q

Tracheostomy, surgical requirement for postop airway safety

A

Stay suture to ensure access to trach

45
Q

Desaturation, FRC, weight

A

35 mL/kg = FRC

kg0.75 (x) 10 = VO2

FRC * FiO2/VO2 = time to hypoxia

46
Q

Cuff-leak test

A

5-10 cmH2O
if > 20 cmH2O –> keep intubated

47
Q

Secondary trach, complications

A

>24 hrs - increased risk for bleeding & infection

48
Q

Cicatricial stenosis, management

A

Treatment is surgery
ulcer –> granuloma –> cicatricial stenosis
????

49
Q

Postop stridor evaluation

A

Supraglottic edema
RLN injury and hypcalcemia are rare

50
Q

Airway edema, racemic epi

A

Aersolized

51
Q

Airway examination and evaluation, gravid patient

A

Supine position

52
Q

VC ulceration management

A

Strict vocal rest and observation

53
Q

Oxygen consumption calculation

A

kg0.75 (x) 10 = VO2

54
Q

Hoarseness preop management

A

Rule out direct VC involvement, thyroid issues RLN/SLN
>2 weeks requires otolaryngoscopy

55
Q

Most frequent laryngeal malignancy

A

Squamous cell

56
Q

VC, ulceration, endotracheal intubation

A

Ulceration on posterior aspect of VC

57
Q

Thyroid disease produces what kind of flow-volume loop

A

Extrathoracic, inspiratory plateau

58
Q

Breath sounds, stridor

A

Shrill, high pitched

59
Q

Airway management during GA in pt with laryngectomy

A

Laryngoflex tube

60
Q

Larynx functions

A

Protection, effort closure, phonation

61
Q

Acute epiglottitis airway management

A

OETT, remain intubated, pt transport on heliox

62
Q

Vertebral level of hypoid bone

A

C3

63
Q

Rales breath sounds

A

crackling, high pitched

64
Q

Definition of overjet

A

Hoirzontal

65
Q

Etiology of otitis media with nasotracheal instrumentation

A

misplaced nasal tube in eustacian tube

66
Q

Sensory innervation of the face

A

CN V - trigeminal

67
Q

Heliox concentration

A

Use 80/20

68
Q

Geriatrics, airway management related risks

A

>80 yo, FRC unchanged

69
Q

Parotid gland secretion

A

Saliva

70
Q

Definition, deciduous and permanent

A

Adults = 32 teeth
Kids = 20 teeth

71
Q

Gastric pressure, gravid patient

A

1 child = +7 - 17 cmH2O
2 children = +7 - 40 cmH2O
Lithotomy = +7 - 24 cmH2O

72
Q

Breath sounds, rhonchi

A

vibration, low pitch

73
Q

Congenital airway disease, laryngomalacia

A

Stridor = hallmark, inspiratory

74
Q

Tracheal ring level for elective tracheostomy

A

2nd or 3rd ring

75
Q

What is the length of an adult male’s trachea

A

11-12 cm

76
Q

Name the two movements the arytenoid cartilage makes

A

Rotating and gliding

77
Q

What structure provides the fulcrum point for the larynx?

A

Hyoid bone

78
Q

Four functions of the human larynx

A

Phonation
Effort closure
Prevent aspirations
Conduct air???

79
Q
A

Summer Airways (2 decks)

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