Question 1

The instrument inserted into the mouth and used to illuminate and observe the vocal cords is called the:

Accepted Answer

A)  laryngoscope. 
B)  tracheal tube. 
C)  illumination oral airway. 
D)  malleable stylet. 
A)  laryngoscope. 
B)  tracheal tube. 
C)  illumination oral airway. 
D)  malleable stylet.

Question 2

You have just inserted an endotracheal tube into an unresponsive patient whom you believe has suffered a stroke. Which one of the following actions should you take immediately after removing the laryngoscope from the patient's mouth?

Accepted Answer

A)  Inflate the cuff with 15 mL of air. 
B)  Attach the bag-valve mask and start ventilations. 
C)  Carefully remove the stylet if used. 
D)  Secure the tube with a commercial device or tape. 
A)  Inflate the cuff with 15 mL of air. 
B)  Attach the bag-valve mask and start ventilations. 
C)  Carefully remove the stylet if used. 
D)  Secure the tube with a commercial device or tape.

Question 3

You have decided to place an endotracheal tube in a 43-year-old female who was shot once in the chest and is unresponsive. What size endotracheal tube is most appropriate?

Accepted Answer

A)  Medium 
B)  9.0 mm 
C)  Large 
D)  7.5 mm 
A)  Medium 
B)  9.0 mm 
C)  Large 
D)  7.5 mm

Question 4

Which one of the following statements shows that the EMT has an accurate understanding of endotracheal intubation and the pediatric patient?

Accepted Answer

A)  "A cuffed endotracheal tube should be used for patients under 8 years of age." 
B)  "A straight laryngoscope blade is preferred in infants." 
C)  "Sellick's maneuver is contraindicated in the pediatric patient." 
D)  "Ventilations should never be interrupted for more than 60 seconds when intubating a pediatric patient." 
A)  "A cuffed endotracheal tube should be used for patients under 8 years of age." 
B)  "A straight laryngoscope blade is preferred in infants." 
C)  "Sellick's maneuver is contraindicated in the pediatric patient." 
D)  "Ventilations should never be interrupted for more than 60 seconds when intubating a pediatric patient."

Question 5

The Pharyngeo-tracheal Lumen (PtL) airway is most similar in design and function as what other airway device?

Accepted Answer

A)  Esophageal Tracheal Combitube 
B)  King LT airway 
C)  Oropharyngeal airway 
D)  Endotracheal tube airway 
A)  Esophageal Tracheal Combitube 
B)  King LT airway 
C)  Oropharyngeal airway 
D)  Endotracheal tube airway

Question 6

When checking for proper tube placement in a patient who has just been intubated, you note that breath sounds are heard in the epigastrium but not in either lung. In this situation, which one of the following represents the greatest threat to the patient's life?

Accepted Answer

A)  Trauma to the airway 
B)  Hypoxia 
C)  Bleeding 
D)  Aspiration 
A)  Trauma to the airway 
B)  Hypoxia 
C)  Bleeding 
D)  Aspiration

Question 7

You have just placed an Esophageal Tracheal Combitube (ETC) in a patient and inflated the cuffs as appropriate. The bag-valve mask is attached and ventilation is being delivered through tube #1. Auscultation reveals that breath sounds are present in the epigastrium and not in the lungs. You should:

Accepted Answer

A)  provide ventilation through tube #2. 
B)  continue to ventilate. 
C)  slightly pull back on the ETC and listen again. 
D)  remove the ETC and reinsert it. 
A)  provide ventilation through tube #2. 
B)  continue to ventilate. 
C)  slightly pull back on the ETC and listen again. 
D)  remove the ETC and reinsert it.

Question 8

Which of the following patients has the best means of airway protection?

Accepted Answer

A)  52-year-old overdose patient being ventilated with a bag-valve mask and oral airway in place 
B)  41-year-old male stroke patient with an endotracheal tube properly in place but no head-tilt, chin-lift 
C)  37-year-old male with an altered LOC, a nasal airway in place, and an endotracheal tube in the esophagus 
D)  Unresponsive 75-year-old patient who is receiving the head-tilt, chin-lift, has an oral airway in place, and is receiving positive pressure ventilation 
A)  52-year-old overdose patient being ventilated with a bag-valve mask and oral airway in place 
B)  41-year-old male stroke patient with an endotracheal tube properly in place but no head-tilt, chin-lift 
C)  37-year-old male with an altered LOC, a nasal airway in place, and an endotracheal tube in the esophagus 
D)  Unresponsive 75-year-old patient who is receiving the head-tilt, chin-lift, has an oral airway in place, and is receiving positive pressure ventilation

Question 9

You are at the scene of a multiple-casualty incident. Which patient is the best candidate for immediate endotracheal intubation?

Accepted Answer

A)  31-year-old unresponsive patient who is apneic with an oral airway in place 
B)  22-year-old female who will not tolerate an oral airway but is vomiting and requires continual suctioning 
C)  46-year-old male who responds to painful stimuli, is breathing at 6 times a minute, and will not tolerate an oral airway 
D)  52-year-old alert and oriented patient with severe respiratory distress and stridorous respirations 
A)  31-year-old unresponsive patient who is apneic with an oral airway in place 
B)  22-year-old female who will not tolerate an oral airway but is vomiting and requires continual suctioning 
C)  46-year-old male who responds to painful stimuli, is breathing at 6 times a minute, and will not tolerate an oral airway 
D)  52-year-old alert and oriented patient with severe respiratory distress and stridorous respirations

Exam 48: Advanced Airway Management

The instrument inserted into the mouth and used to illuminate and observe the vocal cords is called the:

You have just inserted an endotracheal tube into an unresponsive patient whom you believe has suffered a stroke. Which one of the following actions should you take immediately after removing the laryngoscope from the patient's mouth?

You have decided to place an endotracheal tube in a 43-year-old female who was shot once in the chest and is unresponsive. What size endotracheal tube is most appropriate?

Which one of the following statements shows that the EMT has an accurate understanding of endotracheal intubation and the pediatric patient?

The Pharyngeo-tracheal Lumen (PtL) airway is most similar in design and function as what other airway device?

When checking for proper tube placement in a patient who has just been intubated, you note that breath sounds are heard in the epigastrium but not in either lung. In this situation, which one of the following represents the greatest threat to the patient's life?

You have just placed an Esophageal Tracheal Combitube (ETC) in a patient and inflated the cuffs as appropriate. The bag-valve mask is attached and ventilation is being delivered through tube #1. Auscultation reveals that breath sounds are present in the epigastrium and not in the lungs. You should:

Which of the following patients has the best means of airway protection?

You are at the scene of a multiple-casualty incident. Which patient is the best candidate for immediate endotracheal intubation?

Emergency Medical Care Systems, Research, and Public Health

Workforce Safety and Wellness of the Emt

Medical, Legal, and Ethical Issues

Documentation

Communication

Lifting and Moving Patients

Anatomy, Physiology, and Medical Terminology

Pathophysiology

Life Span Development

Airway Management, Artificial Ventilation, and Oxygenation

Baseline Vital Signs, Monitoring Devices, and History Taking

Scene Size-Up

Patient Assessment

Pharmacology Medication and Administration

Shock and Resuscitation

Respiratory Emergencies

Cardiovascular Emergencies

Altered Mental Status, Stroke, and Headache

Seizures and Syncope

Acute Diabetic Emergencies

Anaphylactic Reactions

Toxicologic Emergencies

Abdominal, Hematologic, Gynecologic, Genitourinary, and Renal Emergencies

Environmental Emergencies

Submersion Incidents: Drowning and Diving Emergencies

Behavioral Emergencies

Trauma Overview: the Trauma Patient and the Trauma System

Bleeding and Soft Tissue Trauma

Burns

Musculoskeletal Trauma and Nontraumatic Fractures

Head Trauma

Spinal Column and Spinal Cord Trauma

Eye, Face, and Neck Trauma

Chest Trauma

Abdominal and Genitourinary Trauma

Multisystem Trauma and Trauma in Special Patient Populations

Obstetrics and Care of the Newborn

Pediatrics

Geriatrics

Patients With Special Challenges

The Combat Veteran

Ambulance Operations and Air Medical Response

Gaining Access and Patient Extrication

Hazardous Materials

Multiple-Casualty Incidents and Incident Management

Ems Response to Terrorism Involving Weapons of Mass Destruction

ALS-Assist Skills

Filters