airway homework 76-100 Flashcards Preview

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Flashcards in airway homework 76-100 Deck (25):
1

which of the following is most significant ia a patient with acute respratory distress?
A) a regular heart beat of 110 beats/min
B) a family history of pulmonary embolism
C) prior ICU admission for the same problem
D) low grade fever and flu like symptoms

C

2

which of the following interventions is NOT appropriate when treating an unresponsive patient whose airway is obstructed by a dental appliance?
A) abdominal thrusts
B) chest compressions
C) direct laryngoscopy
D) use of magill forceps

A

3

endotracheal intubation is most accuratly defined as:
A) inserting an ET tube through the vocal cords via the patients mouth.
B) passing an ET tube through an opening in the cricothyroid membrane.
C) inserting an ET tube through the glottic opening via the patients nose
D) passing an ET tube through the glottic opening and sealing off the trachea

D

4

the most effective way to minimize the risk of hypoxia while intubating a child is to:
A) limit your intubation attempt to 20 seconds
B) monitor the childs cardiac rhythem at all times.
C) premedicate the child with 0.02 mg/kg of atropine
D) not allow the oxygen saturation to fall below 100%

A

5

the MOST obvious risk associated with extubation is:
A) moderate airway swelling as the ET tube is removed
B) overestimating the patients ability to protect his or her own airway
C) patient retching and gagging as you remove the ET tube
D) stimulation of the parasympathetic nervous system with resulting bradycardia

B

6

supplemental oxygen given to a patient with an acute myocardial infarction:
A) will prevent the patient from developing a lethel cardiac dysrhythmia
B) should not exceed 3 L/min in order to prevent oxidative injury
C) insert an orogastric tube to releive gastric destention
D) ventilate the patient at a rate of 12-20 breaths per min

A

7

intrapulmonary shunting is defined as:
A) a return of unoxygenated blood to the left side of the heart
B) a decreas in the surface area of the alveoli caused by damage
C) a condition in which too much carbon dioxide is eliminated
D) failure of blood to bypass an obstruction in a pulmonary artery

A

8

the average peak expiratory flow rate in a healthy adult is approximitly:
A) 450 mL
B) 550 mL
C) 650 mL
D) 750 mL

B

9

proper insertion of the LMA involves:
A) inserting the LMA into the patients mouth by following the curvature of the patients tongue
B) lifting the patients jaw upward and blindly inserting the LMA untill you meet resistance
C) flexing the patients neck, depressing the tongue with a tongue blade, and blindly inserting the LMA
D) inserting the LMA along the roof or the mouth and using your finger to push the airway against the hard palate

D

10

most of the complications caused by intubation-induced hypoxia:
A) are easily reversible
B) are subtle and occur gradually
C) can be predicted with pulse oximetry
D) are dramatic and occur immediatly

B

11

you should be MOST suspicious of tube misplacement following an open cricothyrotomy if:
A) bleeding from the subcutaneous tissue is observed
B) there is minimal rise of the chest during ventilations
C) progressive redness is noted around the insetion site
D) a cracking sensation is noted when palpating the neck

D

12

Which of the following statements regarding the tonsils is correct?
A) the tonsils are located on the posterior nasopharyngeal wall
B) the tonsils rarely become swollen enough to obstruct the airway
C) the tonsils are comprised of lymphatic tissue and help to trap bacteria
D) the tonsils are located in the anterior phatynx and filter bacteria.

C

13

if the distance between the hyoid bone and the thyroid notch is at least ___ CM WIDE, THE DIFFICULTY OF INTUBATION SHOULD BE LOW
A) 1
B) 2
C) 3
D) 4

`B

14

the LMA is:
A) a suitable airway device for use in morbidly obese patients
B) an alternative to bag-mask ventillation when intubation is not possible
C) associated with a higher risk of damage to the vocal cords than intubation
D) especially effective for CHF patients who require high pulmonary pressures

B

15

the volume of air that is moved into or out of the the respiratory tract is one breath is called:
A) tidal volume
B) alveolar volume
C) minute volume
D) inspiratory reserve volume

A

16

in contrast to negative pressure ventillation, positive pressure ventillation:
A) may impair blood return to the heart
B) moves air into the esophagus and trachea
C) causes decreased intrathoracic pressure
D) in the act of normal, unassisted breathing

A

17

which of the following is NOT a contraindiction for nasaltracheal intubation?
A) apnea
B) spinal injury
C) frequent use of cocaine
D) patients taking an anticoaglant

B

18

signs of clinical improvement during CPAP therapy include:
A) a decrease in systolic BP
B) an increase in the heart rate
C) increased ETCO2
D) increased ease of speaking

D

19

the ____ are pyramid like structures that form the posterior attachment of the vocal cords.
A) palantine tonsils
B) pyriform fossae
C) arytenoid cartilages
D) hypoepiglottic liagements

C

20

Murphy's eye, an opening on the distal side of an ET tube, allows ventillation to occur:
A) whether the tube is in the trachea or in the esophagus
B) even if the tip of the tube is occluded by blood or mucus
C) if the tube is inserted into the right mainstem bronchus
D) even if the ET tube does not enter the patients trachea fully

B

21

typically ETCO2 is approximately
A) 2-5 mm HG higher than the PaCO2
B) 2-5 mm Hg lower than the arterial PaCO2
C) 5-10 mm HG higher than the arterial PACO2
D) 5-10 mm HG lower than the arterial PaCO2

B

22

wheather you are providing ventillations to a patient with a stoma using a resuscitation mask or device you must FIRST:
A) perform a head tilt-chin lift maneuvar
B) place the patient's head in a neutral position
C) adequatly cleanse the stoma site with iodine
D) suction thwe stoma for no longer than 10 seconds

B

23

you have been providing bag-mask ventillations to an unresponsive, apenic patient with facial trauma for approximitly 10 minutes. after intubating the patient , you should:
A) hyperventilate the patient with 100% oxygen
B) insert a nasogastric tube to decompress the stomach
C) insert an orogastric tube to releive gastric distension
D) ventillate the patient at a rate of 12-20 breaths/min

C

24

Fentanyl(sublimaze) is a:
A) narcotic analgesic
B) benzodiazepine
C) sedative-hypnotic drug
D) butrophenone sedative

A

25

when determing wheather transillumination guided intubation should be attempted, you should:
A) consider the amount of soft tissue that is overlying the trachea
B) avoid the procedure if the patient is thin or is greater then 6 foot tall
C) ensure the airway is clear of secreations by suctioning for 30 seconds
D) recall the patients with short necks are often easy to transilluminale.

A