Quiz 1- Respiratory Questions Flashcards

1
Q

Part of head at greatest risk during airway management

A

Eyes

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2
Q

Path of an NG or nasal endo-tracheal tube

A

An NG tube would go through the NARES- NASAL CONCHAE- PAST PHARYNGEAL TONSIL- NASOPHARYNX- OROPHARYNX LARYNGOPHARYNX- TRACHEA

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3
Q

What structures determine the accessibility to an airway

A

Palatoglossal arch and palatine tonsils

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4
Q

Laryngeal position

A

Between pharynx and trachea. C3-C6

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5
Q

Hyoid bone position

A

C3

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6
Q

Thyroid cartilage position

A

C4-C5

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7
Q

Cricoid cartilage

A

C6

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8
Q

Laryngeal fulcrum/main point of attachment

A

hyoid bone

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9
Q

The larynx is suspended from the

A

mandible and skull

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10
Q

The larynx is stabilized by the

A

sternum and scapulae

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11
Q

When are the vocal cords in Mid line position

A

During phonation the vocal cords are in the midline

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12
Q

When are the vocal cords in para median or cadaveric position

A

During rest and end expiration

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13
Q

When are the vocal cords in intermediate position

A

During inspiration

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14
Q

When are the vocal cords in lateral position- against larynx

A

At maximum inspiration

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15
Q

Top cervical spine joint?

A

Atlanto-occipital joint

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16
Q

Atlanto-occipital Joint ROM

A

extending joint causes 30 degrees extension of neck

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17
Q

In the jaw Thrust Maneuver what anatomic points are involved?

A

mandible- angle

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18
Q

What is the vector for the jaw-thrust maneuver?

A

Straight upwards toward the ceiling

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19
Q

What muscles make the jaw-thrust maneuver effective?

A

Genioglossus muscle

20
Q

Bernam oral airway (OAW) has…

A

has holes, the Geudel does not

21
Q

Teeth numbering starts on the

A

Right upper side at the third molar– #1
Left upper side #16
Left lower side #17
Right lower side #32

22
Q

TMJ joint

A

true joint with synovial fluid

23
Q

Describe movement when jaw slightly opens

A

Hinge action

24
Q

Describe movement when jaw opens widely

A

Hinge and gliding action

25
Q

The trachea extends from

A

C6 in the neck to bifurcation at T6 in the thorax

26
Q

Trachea size

A

Approximately 11 cm x 2 cm x 2.5 cm

27
Q

Where is the major carina

A

The carina is found at the base of the trachea and it is formed as the main bronchi divide into right and left branches
T5 – T6 – T7 in X-ray of upright adult

28
Q

Tracehobronchial Innervation

A

Sensory: Vagus nerve (CN X) Motor: Vagus nerve (CN X)

29
Q

How large are RBC

A

8microns

30
Q

Paraynchema

A

The gas exchange area of the lung

31
Q

Total lung and Thoracic Compliance formula

A

C=ΔV/ΔP - units of measure: ml/cmH2O
V- tidal volume
P- airway pressure

32
Q

How do you calculate individual lung or thoracic compliance?

A

1/C = 1/CL + 1/CT

33
Q

Convection

A

Moves gases into and out of the lungs

34
Q

Diffusion

A

Exchanges gases in the lung parenchyma

35
Q

Oxygen consumption consumed per minute?

A

V̇ o2 = W0.75 * 10
For a euthermic, metabolically normal, 70-kg patient: V̇ o2 = 700.75 * 10
V̇ o2 = 242 ml/min

36
Q

Respiratory quotient

A

R=V̇co2 /V̇o2

The respiratory quotient for a metabolically normal, euthermic patient is 0.8.

37
Q

CO2 Production equation

A

V̇co2 = V̇o2* R
For a euthermic, metabolically normal, 70-kg patient: V̇ co2 = 242 ml/min * 0.8
V̇ co2 = 194 ml/min

38
Q

Minute Ventilation

A

Minute ventilation is the total volume of gases moving into and out of the lungs each minute. For the patient with equal tidal volumes (eg, patient receiving volume-controlled ventilation), minute ventilation would be the product of tidal volume, VT, and respiratory rate, f:
V̇E =VT xf

For the patient taking or receiving breaths of different volumes, minute ventilation would be the sum of all breaths in one minute:
V̇E =∑(VT)

39
Q

Boyles Law

A

P1 x V1 = P2 x V2

40
Q

Dalton’s law (1801)

A

P1 +P2 +…+PN =PTOTAL

41
Q

Fractional concentration

A

Fx = Partial Pressurex / Pressure TOTAL
F1 +F2 +…+FN =1.00
Always equal 1!!

42
Q

anatomic deadspace equation

A

VDANAT =2.2ml kg-1 = 1 ml lb-1

43
Q

Anatomic deadspace ventilation

A

V̇ DANAT = VDANAT x f

44
Q

Minute Ventilation

A

Minute ventilation is the total volume of gases moving into and out of the lungs each minute. For a normal patient, minute ventilation is comprised of alveolar ventilation and anatomic dead space ventilation:

V̇E =V̇A +V̇DANAT

45
Q

Fidelity

A

accuracy in detail; the degree to which an electronic device (eg, capnometer which you observe) accurately reproduces the quality of the source signal (eg, CO2 waveform in the patient)