Principles- Airway Mega Quiz

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  • 1/109 Questions

    What are some of the congenital conditions associated with difficult airway management?

    • Pierre Robin
    • Treacher Collins
    • Down’s Syndrome
    • All of the above
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About This Quiz

A quiz reviewing the material for Test 2 in principles class re: airway management.

Principles- Airway Mega Quiz - Quiz

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  • 2. 

    In the above diagram, Identify 2.

    • Epiglottis

    • Thyrohyoid Membrane

    • Cricothyroid Ligament

    • Trachea

    Correct Answer
    A. Epiglottis
    Explanation
    Epiglottis is the correct answer because it is the only structure in the given options that matches the description of the image. The image shows a small flap of tissue located at the base of the tongue, which is characteristic of the epiglottis. The other options, Thyrohyoid Membrane, Cricothyroid Ligament, and Trachea, do not match the image or the description provided.

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  • 3. 

    What size ETT would be most appropriate for an adult male?

    • 8 mm

    • 7 mm

    • 6 mm

    • 10 mm

    Correct Answer
    A. 8 mm
    Explanation
    An endotracheal tube (ETT) is a tube inserted into the trachea to maintain an open airway during surgery or respiratory distress. The most appropriate size for an adult male would be 8 mm. This size is commonly used for adult males as it allows for adequate ventilation and oxygenation while minimizing the risk of complications such as tube obstruction or air leak. Sizes smaller than 8 mm may not provide sufficient airflow, while sizes larger than 8 mm may increase the risk of trauma or damage to the airway.

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  • 4. 

    In the diagram above, what is B?

    • Vestibular Fold (false cord)

    • Vocal cords

    • Epiglottis

    • Trachea

    Correct Answer
    A. Vocal cords
    Explanation
    The correct answer is "Vocal cords." In the diagram, B is labeled as the vocal cords. The vocal cords are located in the larynx and are responsible for producing sound by vibrating as air passes through them. They play a crucial role in speech and singing.

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  • 5. 

    In the diagram above, what is G?

    • Arytenoids

    • Esophagus

    • Trachea

    • Vocal Cords

    Correct Answer
    A. Trachea
    Explanation
    The correct answer is Trachea. In the diagram, G represents the trachea, which is a tube-like structure that connects the larynx (vocal cords) to the bronchi in the lungs. The trachea is responsible for carrying air to and from the lungs during breathing.

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  • 6. 

    Prior to intubating a pt you should...

    • HyperVentilate

    • HyperNitrogenate

    • Allow CO2 to rise

    • HyperOxygenate

    Correct Answer
    A. HyperOxygenate
    Explanation
    Prior to intubating a patient, it is important to hyperoxygenate them. This involves providing high levels of oxygen to the patient to ensure that their blood is well saturated with oxygen before the procedure. Hyperoxygenation helps to prevent hypoxemia during intubation, which can occur when the patient's oxygen levels drop too low. By hyperoxygenating the patient, the healthcare provider can ensure that there is an adequate oxygen reserve in the patient's body, reducing the risk of complications during the intubation process.

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  • 7. 

    In the diagram above, what is D?

    • Tongue

    • Vocal cords

    • Epiglottis

    • Vestibular Fold (False cords)

    Correct Answer
    A. Vestibular Fold (False cords)
    Explanation
    The diagram is likely showing a cross-section of the larynx, which is the part of the throat involved in producing sound. The vestibular fold, also known as the false cords, are located above the vocal cords. They do not directly participate in sound production but help protect the vocal cords and assist in controlling airflow during speech and swallowing. Therefore, D in the diagram is most likely representing the vestibular fold (false cords).

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  • 8. 

    What Mallampati Class is this?

    • Class 2

    • Class 1

    • Class 4

    • Class 3

    Correct Answer
    A. Class 4
  • 9. 

    Which of the following characterisics may be difficult to mask ventilate?

    • Beard

    • Endentulous

    • CPAP at home

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    All of the above characteristics may be difficult to mask ventilate. A beard can interfere with the proper seal of the mask, leading to air leakage and difficulty in maintaining adequate ventilation. Edentulous patients (those without teeth) may have a poorly fitting mask due to lack of support from the teeth, resulting in air leakage and difficulty in achieving effective ventilation. CPAP at home indicates that the patient may have an underlying respiratory condition that requires continuous positive airway pressure, which can make mask ventilation challenging as the patient may be dependent on the CPAP machine for adequate ventilation.

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  • 10. 

    What is the Murphy Eye?

    • The view seen when looking through a laryngoscope

    • One of the single unpaired cartilages in the larynx

    • A side vent near the distal end of an endotracheal tube

    • A modification of the atlanto-occipital position

    Correct Answer
    A. A side vent near the distal end of an endotracheal tube
    Explanation
    The Murphy Eye refers to a side vent that is located near the distal end of an endotracheal tube. This vent allows for the passage of air even if the main opening of the tube becomes blocked or occluded. This feature ensures that the patient's airway remains open and allows for the delivery of oxygen or anesthesia during medical procedures.

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  • 11. 

    Which of the following is a risk associated with high pressure ETT cuffs?

    • Increase risk for Sore throat

    • Spontaneous extubation

    • More ischemic damage to tracheal mucosa

    • Increase risk for aspiration

    Correct Answer
    A. More ischemic damage to tracheal mucosa
    Explanation
    High pressure ETT cuffs can lead to more ischemic damage to the tracheal mucosa. When the cuff is inflated with high pressure, it can compress the blood vessels in the tracheal wall, reducing blood flow and causing ischemia. This can result in tissue damage and potential complications such as tracheal stenosis or necrosis. It is important to maintain an appropriate cuff pressure to minimize the risk of ischemic damage and ensure patient safety during intubation.

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  • 12. 

    What size ETT would commonly pick for an adult female?

    • 8.5 mm

    • 6 mm

    • 3 mm

    • 7.5 mm

    Correct Answer
    A. 7.5 mm
    Explanation
    An ETT (endotracheal tube) is a device used to secure a patient's airway during anesthesia or in critical care settings. When selecting the size of an ETT for an adult female, a commonly chosen size is 7.5 mm. This size is suitable for most adult females as it allows for proper ventilation and oxygenation while maintaining a secure airway. Sizes such as 8.5 mm may be used for larger individuals, while smaller sizes like 6 mm or 3 mm would typically be too small for an adult female.

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  • 13. 

    High Pressure Cuffs are more commonly recommended because of their low incidence of mucosal damage.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    High Pressure Cuffs are not more commonly recommended because they have a higher incidence of mucosal damage. Therefore, the statement is false.

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  • 14. 

    In the above diagram, what is E?

    • Vallecula

    • Epiglottis

    • Hard/Soft palate

    • Tongue

    Correct Answer
    A. Tongue
    Explanation
    The correct answer is "Tongue" because in the diagram, the labeled structure corresponds to the tongue. The tongue is a muscular organ located in the mouth that plays a vital role in various functions such as taste, speech, and swallowing. It is responsible for manipulating food during chewing and pushing it towards the throat for swallowing. Therefore, based on the given options and the diagram, the correct answer is the tongue.

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  • 15. 

    How far would you plan to insert an ETT in a 64 yr old woman?

    • 12 cm

    • 21 cm

    • 17 cm

    • 25 cm

    Correct Answer
    A. 21 cm
    Explanation
    An endotracheal tube (ETT) is a tube inserted into the trachea to assist with breathing. The length of the ETT that needs to be inserted depends on the patient's age and gender. In this case, the question specifies that the patient is a 64-year-old woman. The average distance from the vocal cords to the carina (the point where the trachea splits into the bronchi) in an adult woman is around 21 cm. Therefore, to properly insert the ETT in this 64-year-old woman, a length of 21 cm would be appropriate.

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  • 16. 

    A previously healthy male present with an open femur fracture from an MVA and needs to be repaired under GA. He is on a backboard with cervical collar in place. What  should the plan be?

    • Remove the neck collar and intubate as usual

    • Avoid GA and perform a regional block for the procedure

    • Intubate with a technique that does not require neck movement

    Correct Answer
    A. Intubate with a technique that does not require neck movement
    Explanation
    The correct answer is to intubate with a technique that does not require neck movement. This is because the patient has an open femur fracture and needs to be repaired under general anesthesia (GA). However, the patient is on a backboard with a cervical collar in place, which restricts neck movement. Therefore, intubating with a technique that does not require neck movement would be the safest approach to avoid further injury to the patient's neck.

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  • 17. 

    According to Dr. Groom’s lecture, what is the MOST reliable way to check ETT placement?

    • Chest Rise

    • Breath Sound

    • ETCO2 wave form

    • SaO2

    Correct Answer
    A. ETCO2 wave form
    Explanation
    The ETCO2 wave form is the most reliable way to check ETT (endotracheal tube) placement. End-tidal carbon dioxide (ETCO2) monitoring provides a continuous measurement of carbon dioxide levels in exhaled breath. When the ETT is properly placed in the trachea, the ETCO2 wave form will show a consistent and regular waveform. If the ETT is misplaced in the esophagus or bronchus, the ETCO2 waveform will be absent or irregular. This method is considered more reliable than assessing chest rise, breath sounds, or SaO2 levels for confirming correct ETT placement.

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  • 18. 

    In the diagram above, what is C?

    • Tongue

    • Hyoid bone

    • Epiglottis

    • Vocal Cords

    Correct Answer
    A. Epiglottis
    Explanation
    The diagram is asking for the identification of structure C. By looking at the options provided, the correct answer is "Epiglottis". The epiglottis is a flap of cartilage located at the base of the tongue that prevents food and liquid from entering the trachea during swallowing, directing them instead into the esophagus.

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  • 19. 

    In the diagram above, what is E?

    • Arytenoids

    • Vestibular fold (false Cord)

    • Esophagus

    • Epiglottis

    Correct Answer
    A. Arytenoids
    Explanation
    The correct answer is Arytenoids because in the diagram above, E is labeled as Arytenoids. The arytenoids are a pair of small, pyramid-shaped cartilages located at the back of the larynx. They play a crucial role in controlling the tension and position of the vocal cords, which are essential for producing sound during speech and singing.

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  • 20. 

    In the above diagram, what is A?

    • Hard/Soft Palates

    • Tonsils/Adenoids

    • Uvula

    • Turbinates

    Correct Answer
    A. Turbinates
    Explanation
    Turbinates are bony structures located inside the nasal cavity that help to warm, humidify, and filter the air we breathe. They are responsible for directing the airflow and increasing the surface area of the nasal passages. The diagram likely shows the different structures of the nasal cavity, and A represents the turbinates.

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  • 21. 

    In the above diagram, Identify 1.

    • Epiglottis

    • Thyroid Cartilage

    • Thyrohyoid membrane

    • Hyoid bone

    Correct Answer
    A. Hyoid bone
    Explanation
    The hyoid bone is a horseshoe-shaped bone located in the neck. It is the only bone in the human body that does not articulate with any other bone, and it serves as an attachment point for various muscles and ligaments involved in swallowing and speech. In the given diagram, the hyoid bone can be identified as it is positioned above the thyroid cartilage and below the thyrohyoid membrane. It is distinct from the epiglottis, which is a flap of cartilage located at the base of the tongue that prevents food and liquid from entering the windpipe during swallowing.

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  • 22. 

    In the above diagram, what is B?

    • Hard/Soft palates

    • Uvula

    • Turbinates

    • Vallecula

    Correct Answer
    A. Hard/Soft palates
    Explanation
    The diagram is likely depicting the anatomy of the oral cavity and upper respiratory tract. The hard and soft palates are structures located in the roof of the mouth that separate the oral cavity from the nasal cavity. They play a role in speech production and swallowing. Therefore, B in the diagram is most likely referring to the hard/soft palates.

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  • 23. 

    Which of the following NOT a paired cartilage of the upper airway?

    • Cuneiform

    • Arytenoid

    • Cricoid

    • Corniculate

    Correct Answer
    A. Cricoid
    Explanation
    The cricoid cartilage is not a paired cartilage of the upper airway. It is a single, ring-shaped cartilage located at the base of the larynx. The cuneiform, arytenoid, and corniculate cartilages are all paired cartilages that are involved in the movement and function of the vocal cords and the opening and closing of the airway.

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  • 24. 

    In the above diagram, what is H?

    • Vallecula

    • Vocal cords

    • Esophagus

    • Trachea

    Correct Answer
    A. Esophagus
    Explanation
    The correct answer is the esophagus. In the diagram, H represents the esophagus, which is a muscular tube that connects the throat to the stomach. It is responsible for transporting food and liquids from the mouth to the stomach for digestion. The other options, Vallecula, Vocal cords, and Trachea, do not accurately represent the structure labeled as H in the diagram.

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  • 25. 

    In the above diagram, what is N?

    • Vocal Cords

    • Thyroid Cartilage

    • Cricothyroid membrane

    • Esophagus

    Correct Answer
    A. Vocal Cords
    Explanation
    The correct answer is Vocal Cords because the diagram is showing different parts of the human throat and the vocal cords are one of the structures present in the throat. The vocal cords are responsible for producing sound and are essential for speech and singing.

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  • 26. 

    In the above diagram, Identify 6.

    • Cricoid Cartilage

    • Trachea

    • Thyroid Cartilage

    • Hyoid Bone

    Correct Answer
    A. Cricoid Cartilage
    Explanation
    The correct answer is Cricoid Cartilage because it is the only structure mentioned in the given options that is present in the diagram. The cricoid cartilage is a ring-shaped structure located at the lower part of the larynx and serves as a support for the trachea. It is an important anatomical landmark in the neck region.

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  • 27. 

    Which of the following is a double lumen airway device which can be blindly inserted into the hypopharynx to ventilate the lunges regardless of where the tip is placed?

    • TrachLite

    • Combitube

    • FastTrach LMA

    • TTJV

    Correct Answer
    A. Combitube
    Explanation
    The Combitube is a double lumen airway device that can be blindly inserted into the hypopharynx to ventilate the lungs regardless of where the tip is placed. It is designed to provide both esophageal and tracheal access for ventilation, making it a versatile option for emergency situations where intubation may be challenging. The Combitube's dual-lumen design allows for effective ventilation even if the tip is not in the optimal position, ensuring that oxygenation is maintained in critical situations.

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  • 28. 

    Which nerve innervates the area pictured in Red?

    • Glossopharyngeal

    • Interior Superior Layngeal nerve

    • Trigeminal

    • Recurrent Laryngeal Nerve

    Correct Answer
    A. Recurrent Laryngeal Nerve
    Explanation
    The recurrent laryngeal nerve innervates the area pictured in red. This nerve is responsible for providing motor innervation to the muscles of the larynx, which are involved in vocalization and swallowing. It also provides sensory innervation to the larynx, allowing for the detection of foreign objects or irritation in the throat. The glossopharyngeal nerve is responsible for innervating the tongue and pharynx, while the interior superior laryngeal nerve is a branch of the vagus nerve that innervates the larynx. The trigeminal nerve is responsible for innervating the face and jaw.

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  • 29. 

    A nasal airway would be contraindicated in all of the following patients EXCEPT:

    • 9 y.o scheduled for appendectomy

    • 54 y.o with Basilar Skull Fracture

    • 65 y.o on coumadin x 3 months

    • 39 y.o with epitaxis

    Correct Answer
    A. 9 y.o scheduled for appendectomy
    Explanation
    A nasal airway would be contraindicated in all of the following patients except a 9-year-old scheduled for an appendectomy. A nasal airway is a medical device used to maintain an open airway in patients who are unable to breathe through their nose. It is contraindicated in patients with a Basilar Skull Fracture because it can cause further damage to the skull. It is also contraindicated in patients on coumadin (a blood thinner) because it can increase the risk of bleeding. Additionally, it is contraindicated in patients with epitaxis (nosebleeds) as it can worsen the bleeding. However, in a 9-year-old scheduled for an appendectomy, there are no specific contraindications for using a nasal airway.

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  • 30. 

    In the above diagram, Identify 4.

    • Thyrohyoid membrane

    • Cricoid cartilage

    • Thyroid Cartilage

    • Epiglottis

    Correct Answer
    A. Thyroid Cartilage
    Explanation
    The correct answer is "Thyroid Cartilage". In the diagram, the thyroid cartilage is labeled as number 4. The thyroid cartilage is a hyaline cartilage structure that forms the front part of the larynx, commonly known as the Adam's apple. It is located in the anterior part of the neck and serves to protect the vocal cords and support the larynx.

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  • 31. 

    What method is most reliable in confirming immediate tracheal intubation?

    • Chest Xray

    • ETCO2

    • Fogging of ETT

    • Visualization of chest rising

    Correct Answer
    A. ETCO2
    Explanation
    ETCO2, or end-tidal carbon dioxide monitoring, is the most reliable method in confirming immediate tracheal intubation. This method measures the concentration of carbon dioxide at the end of each exhaled breath, providing real-time feedback on the placement of the endotracheal tube (ETT). If the ETT is properly placed in the trachea, it will allow for the exhaled carbon dioxide to be detected, indicating successful intubation. This method is considered more reliable than other options such as chest X-ray, fogging of ETT, or visualization of chest rising, as it provides direct and immediate confirmation of tracheal intubation.

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  • 32. 

    What at is an appropriate  intubating dose of Succinylcholine?

    • 20 mg

    • 1 - 1.5 mg/kg

    • 3 mg/kg

    • 6 mg/kg

    Correct Answer
    A. 1 - 1.5 mg/kg
    Explanation
    The appropriate intubating dose of Succinylcholine is 1 - 1.5 mg/kg. This means that for every kilogram of body weight, the patient should receive a dose of Succinylcholine within this range. This dosage is commonly used for rapid sequence intubation to facilitate endotracheal intubation by inducing muscle paralysis. It is important to calculate the dosage based on the patient's weight to ensure safety and effectiveness.

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  • 33. 

    What is the function of the glossopharyngal nerve?

    • Sensory between Epiglottis and Vocal Cords

    • Motor cricothyroid Muscle, adducts cords

    • Sensory below cords; abducts cords; motor for all muscles except cricothyroid

    • Sensory Posterior tongue, gag reflex

    Correct Answer
    A. Sensory Posterior tongue, gag reflex
    Explanation
    The glossopharyngeal nerve is responsible for sensory functions in the posterior tongue, as well as the gag reflex. It carries sensory information from the back of the tongue to the brain and helps trigger the gag reflex, which is a protective mechanism to prevent choking or aspiration. This nerve does not have any motor function related to the cricothyroid muscle or vocal cord movement.

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  • 34. 

    You are looking for an airway adjunct to use on your pt who is very lightly sedated. You have just extubated the pt and they are still having a little trouble keeping the airway clear. You do not want to stimulate the gag reflex. What would be best to use?

    • Oral airway

    • Re-intubate until more awake

    • Nasal Airway

    • Nasal Cannula 2L O2

    Correct Answer
    A. Nasal Airway
    Explanation
    In this scenario, the patient is lightly sedated and having trouble keeping the airway clear after extubation. The best option would be to use a nasal airway. Nasal airways are used to maintain a patent airway by preventing the tongue from obstructing the pharynx. They are well-suited for patients who are lightly sedated as they do not stimulate the gag reflex like oral airways. Re-intubating the patient until they are more awake would be an invasive and unnecessary procedure. Nasal cannula 2L O2 is used to deliver supplemental oxygen and would not address the issue of maintaining a clear airway.

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  • 35. 

    In the above diagram, Identify 5.

    • Cricothyroid Ligament

    • Thyrohyoid membrane

    • Trachea

    • Cricothyroid Muscles

    Correct Answer
    A. Cricothyroid Muscles
    Explanation
    The given diagram shows various anatomical structures in the neck region. The cricothyroid muscles are a pair of small muscles located between the cricoid and thyroid cartilages of the larynx. These muscles play a crucial role in the control and modulation of vocal pitch. They help in stretching and tensing the vocal cords, allowing for the production of higher-pitched sounds. Therefore, option "Cricothyroid Muscles" is the correct identification in the diagram.

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  • 36. 

    In the above diagram, what is L?

    • Vocal Cords

    • Cricothyroid membrane

    • Cricoid Cartilage

    • Glottic Opening

    Correct Answer
    A. Cricothyroid membrane
    Explanation
    The correct answer is the cricothyroid membrane. The cricothyroid membrane is a thin, elastic structure located between the cricoid cartilage and the thyroid cartilage in the larynx. It plays a crucial role in phonation by connecting the cricoid and thyroid cartilages and allowing for the adjustment of vocal pitch. When the cricothyroid muscle contracts, it stretches the cricothyroid membrane, causing the vocal folds to tighten and vibrate, producing sound. Therefore, the cricothyroid membrane is an essential component of the vocal apparatus.

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  • 37. 

    What is the indication for a Rapid Sequence Induction? (RSI)

    • Surgeon is scrubbed in and is awaiting anxiously for you to intubate

    • Pt is obese and has a history of GERD

    • Pt can’t tolerate laying down flat and must induce fast

    • Pt is anxious and must induce fast

    Correct Answer
    A. Pt is obese and has a history of GERD
    Explanation
    The indication for a Rapid Sequence Induction (RSI) in this case is that the patient is obese and has a history of GERD. RSI is a technique used to quickly secure the patient's airway in situations where there is a high risk of aspiration, such as in patients with GERD. Obesity can also increase the risk of aspiration and make intubation more challenging. Therefore, in this scenario, the patient's obesity and history of GERD make RSI the appropriate choice to ensure a safe and efficient intubation.

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  • 38. 

    What affect does the administration of Nitrous Oxide have on the volume of the cuff of an inflated endotracheal tube?

    • Deflates Cuff

    • Inflates Cuff

    • Has minimal effect on cuff

    Correct Answer
    A. Inflates Cuff
    Explanation
    The administration of Nitrous Oxide inflates the cuff of an inflated endotracheal tube. Nitrous Oxide is a gas that is commonly used as an anesthetic during surgery. When it is administered, it can cause an increase in pressure within the cuff, leading to its inflation. This helps to create a seal between the endotracheal tube and the trachea, preventing any air leakage and ensuring proper ventilation during the procedure.

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  • 39. 

    In the above diagram, what is I?

    • Esophagus

    • Turbinates

    • Vocal Cords

    • Trachea

    Correct Answer
    A. Trachea
    Explanation
    The diagram represents a human respiratory system. The esophagus is responsible for carrying food to the stomach and is not a part of the respiratory system. Turbinates are bony structures in the nasal cavity that help to filter and humidify the air but are not directly related to the trachea. Vocal cords are located within the larynx and are responsible for producing sound, but they are not the same as the trachea. The trachea, also known as the windpipe, is the tube that connects the larynx to the bronchi and allows air to pass in and out of the lungs. Therefore, the correct answer is Trachea.

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  • 40. 

    What is the function of the recurrent laryngeal nerve?

    • Sensory between Epiglottis and Vocal Cords

    • Motor cricothyroid Muscle, adducts cords

    • Sensory below cords; abducts cords; motor for all muscles except cricothyroid

    • Sensory Posterior tongue, gag reflex

    Correct Answer
    A. Sensory below cords; abducts cords; motor for all muscles except cricothyroid
    Explanation
    The recurrent laryngeal nerve is responsible for sensory input below the vocal cords, as well as the abduction of the vocal cords. It also provides motor innervation to all the muscles except the cricothyroid muscle.

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  • 41. 

    According the manufacturer, which of the following is appropriate regarding insertion of an LMA?

    • Insert the LMA completely deflated and only inflate once it is in place within the airway

    • Secure the LMA 3cm to right of the midline once it is in place.

    • Insert LMA fully inflated and just slide into place.

    • Provide plenty of lubrication both in front and back of airway to facilitate insertion.

    Correct Answer
    A. Insert the LMA completely deflated and only inflate once it is in place within the airway
    Explanation
    The correct answer states that the LMA should be inserted completely deflated and only inflated once it is in place within the airway. This is appropriate because inserting the LMA fully inflated may cause difficulty in placement and may lead to trauma or damage to the airway. By inserting it deflated, it can be easily maneuvered into the correct position, and then inflated to create a seal. This ensures proper placement and reduces the risk of complications.

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  • 42. 

    Which nerve innervates the area pictured in Green?

    • Glossopharyngeal

    • Interior Superior Layngeal nerve

    • Trigeminal

    • Recurrent Laryngeal Nerve

    Correct Answer
    A. Glossopharyngeal
    Explanation
    The glossopharyngeal nerve innervates the area pictured in green. This nerve is responsible for providing sensory and motor innervation to the tongue, throat, and pharynx. It plays a crucial role in various functions such as swallowing, taste sensation, and regulation of blood pressure.

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  • 43. 

    A major difference in a patient with deep and lightly anesthetized patient is the response to suctioning.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    A major difference between a deep and lightly anesthetized patient is their response to suctioning. In a deep anesthetized patient, they are less likely to respond to suctioning due to the deeper level of anesthesia. On the other hand, a lightly anesthetized patient may have a more pronounced response to suctioning as they are not as deeply sedated. This difference in response to suctioning is an important consideration for healthcare professionals when managing patients under anesthesia.

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  • 44. 

    In the above diagram, Identify 8.

    • Thyrohyoid membrane

    • Cricothyroid Muscles

    • Cricothyroid Ligament

    • Cricoid Cartilage

    Correct Answer
    A. Cricothyroid Ligament
    Explanation
    The correct answer is the cricothyroid ligament. The cricothyroid ligament is a thin, strong band of fibrous tissue that connects the cricoid cartilage to the thyroid cartilage. It helps to stabilize the joint between these two cartilages and allows for movement and tension adjustment of the vocal cords. The cricothyroid ligament plays a crucial role in phonation and voice production.

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  • 45. 

      For rapid sequence intubation, what is the correct sequence of actions?

    • Denitrogenate/oxygenate -- give STP and then 5 min later SCh IV push -- cricoid pressure -- bag ventilate

    • Give STP and SCh IV push -- oxygenate -- cricoid pressure -- no bag ventilation -- intubate

    • Denitrogenate/oxygenate -- give STP and SCh IV push at same time -- cricoid pressure -- dont bag-ventilate, instead intubate right away

    • STP and SCh -- oxygenate -- cricoid pressure -- intubate

    Correct Answer
    A. Denitrogenate/oxygenate -- give STP and SCh IV push at same time -- cricoid pressure -- dont bag-ventilate, instead intubate right away
    Explanation
    The correct sequence of actions for rapid sequence intubation is to denitrogenate/oxygenate the patient, followed by giving succinylcholine (STP) and a rapid IV push of a sedative agent at the same time. Then, apply cricoid pressure and proceed to intubate the patient without bag-ventilating. This sequence aims to ensure optimal conditions for intubation while minimizing the risk of aspiration.

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  • 46. 

    In the above diagram, what is K?

    • Cricoid Cartilage

    • Cricothyroid membrane

    • Thyroid Cartilage

    • Vocal Cords

    Correct Answer
    A. Cricoid Cartilage
    Explanation
    The correct answer is Cricoid Cartilage. The cricoid cartilage is a ring-shaped structure located in the lower part of the larynx, just below the thyroid cartilage. It is the only complete ring of cartilage in the larynx and provides support and protection to the vocal cords. The cricoid cartilage also plays a role in regulating the tension of the vocal cords, allowing for changes in pitch and volume during speech and singing.

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  • 47. 

    Identify the patient at risk for aspiration:

    • 40 y/o male with shoulder injury

    • 20 y/o emergency appendectomy

    • 60 y/o bilateral inguinal hernia

    • 50 y/o hypertensive patient who took his BP meds with sips of H2O

    Correct Answer
    A. 20 y/o emergency appendectomy
    Explanation
    A patient who has undergone an emergency appendectomy is at risk for aspiration. This is because the surgery may have caused anesthesia or sedation, which can impair the patient's ability to protect their airway and swallow properly. Additionally, the surgical procedure itself may have caused inflammation or trauma to the throat or esophagus, making it difficult for the patient to swallow effectively. Aspiration occurs when food, liquid, or saliva enters the airway instead of going down the esophagus, which can lead to serious complications such as pneumonia.

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  • 48. 

    You are looking for an LMA that will allow you to insert an NGT easily. Which specialized LMA might you pick?

    • Proseal LMA

    • Classic

    • FastTrach

    • FiberOptic

    Correct Answer
    A. Proseal LMA
    Explanation
    The Proseal LMA is a specialized LMA that is designed to provide a secure seal and allow for easy insertion of an NGT (Nasogastric Tube). It features a cuff that inflates to create a seal around the larynx, preventing aspiration. The Proseal LMA also has a gastric access port that allows for easy insertion of an NGT into the stomach. This makes it an ideal choice for the given scenario where the goal is to insert an NGT easily.

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  • 49. 

    Which pt would not be at an increased risk for aspiration?

    • Mrs. Luiz who states she had a little sip of water this morning from a dixie cup to take her pills.

    • Mr. Rogers, an emergency Crani coming from the trauma bay to the OR.

    • Ms. Minns who is obese and has a history of GERD

    • Mr. Jerkface who has no prior medical history, has been chewing gum and munching on ice cubes to lessen his hunger from being NPO.

    Correct Answer
    A. Mrs. Luiz who states she had a little sip of water this morning from a dixie cup to take her pills.
    Explanation
    Mrs. Luiz would not be at an increased risk for aspiration because she only had a small sip of water from a dixie cup to take her pills. Aspiration is the inhalation of foreign material into the airways, such as food or liquids, which can lead to lung infections or other complications. In this case, Mrs. Luiz's small sip of water is unlikely to cause aspiration compared to the other options.

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Quiz Review Timeline (Updated): Mar 21, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 21, 2008
    Quiz Created by
    Scottishduffy
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