Question 1

What is the purpose of all valves used in manual resuscitators?

Accepted Answer

A)  To determine the compliance of a patient's lung and thorax 
B)  To deliver gas to the patient during inspiration 
C)  To allow the patient to exhale to the ambient atmosphere on exhalation 
D)  b and c

Question 2

Why is a large endotracheal tube preferred to a small endotracheal tube as an airway for an intubated patient?

Accepted Answer

A)  Decreased risk of vomiting 
B)  Decreased airway resistance 
C)  Decreased lung compliance 
D)  Increased oxygenation

Question 3

To help determine proper positioning of the endotracheal tube on a chest radiograph,which of the following is placed on the endotracheal tube?

Accepted Answer

A)  Murphy eye 
B)  Radiopaque stripe 
C)  Polyvinyl chloride plastic 
D)  Pilot balloon

Question 4

What is the name of the cartilage that protects the trachea from foreign material entering the trachea during swallowing?

Accepted Answer

A)  Vallecula 
B)  Vocal cords 
C)  Epiglottis 
D)  Arytenoid Cartilage

Question 5

A patient is admitted to the emergency department following a motor vehicle accident.The patient has obvious head trauma and needs to have his airway maintained.What should be done to open and maintain the patient's airway?

Accepted Answer

A)  Emergency tracheostomy 
B)  Cricothyrotomy 
C)  Head tilt 
D)  Anterior mandibular displacement

Question 6

After an emergency intubation,the respiratory care practitioner auscultates the chest and the abdomen.Breath sounds are absent over the chest but heard over the abdomen.What is the cause?

Accepted Answer

A)  Endotracheal tube in the esophagus 
B)  Endotracheal tube in the trachea 
C)  Trauma has occurred to the upper airway 
D)  Left mainstem intubation

Question 7

A patient is intubated and the physician would like the respiratory care practitioner to use a manual resuscitator to deliver 100% oxygen.Which of the following devices could be used to satisfy the order?

Accepted Answer

A)  Self-inflating resuscitator 
B)  Flow-inflating resuscitator 
C)  Gas-powered resuscitator 
D)  All of these devices

Question 8

Which of the following reflexes of the upper airway are cough reflexes?
I.Carinal reflex
II.Tracheal reflex
III.Laryngeal reflex
IV.Gag reflex
V.Swallow reflex

Accepted Answer

A)  I and II 
B)  III and V 
C)  II only 
D)  I, III, IV, V

Question 9

A respiratory care practitioner is attempting to place an oral endotracheal tube in a patient.The attempt is unsuccessful.What should be done before attempted reintubation?

Accepted Answer

A)  Reventilation 
B)  Reoxygenation 
C)  Suctioning the airway 
D)  a and b

Question 10

How is ventilation confirmed through a Combitube airway?

Accepted Answer

A)  Ventilation is attempted through one tube and chest rise and exhaled C02 is observed; if ventilation is not confirmed, the same sequence is performed with the other tube of the airway. 
B)  Ventilation is attempted through one tube and chest rise and exhaled C02 is observed, if ventilation is not confirmed the Combitube airway is removed and reinserted. 
C)  Ventilation is attempted through one tube and chest rise and exhaled C02 is observed, if ventilation is not confirmed an oropharyngeal airway is inserted to release pressure from the airway. 
D)  Ventilation is attempted through one tube and chest rise and exhaled C02 is observed, if ventilation is not confirmed the same sequence is attempted again after withdrawing the airway 2 cm.

Question 11

Partial upper airway obstruction is characterized by ________________

Accepted Answer

A)  bronchospasm. 
B)  asymmetrical chest movement. 
C)  noisy inspiratory efforts. 
D)  no sound of air movement.

Question 12

What is the most important consideration in determining endotracheal tube position?

Accepted Answer

A)  Depth of the endotracheal tube 
B)  Bilateral breath sounds 
C)  Symmetrical chest movement 
D)  Detection of esophageal intubation

Question 13

What is the proper position of a properly placed endotracheal tube in the patient's trachea?

Accepted Answer

A)  1.5" or 5 cm above the vallecula 
B)  1.5" or 5 cm above the vocal cords 
C)  1.5" or 5 cm above the epiglottitis 
D)  1.5" or 5 cm above the carina

Question 14

What endotracheal tube cuff pressure should be maintained to minimize tracheal damage?

Accepted Answer

A)  25 cmH2O or greater 
B)  20 cmH2O or less 
C)  1.5 inHg 
D)  25 mmHg or greater

Exam 20: Emergency Airway Management