Airway And Breathing I

20 Questions  I  By Medicmcgill
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Breathing Quizzes & Trivia
Quiz borrowed from http://www. Emt-national-training. Com/paramedic-practice-airway-test. Php.

  
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  • 1. 
    You are auscultating the lungs of a 23 year old female patient in good respiratory health. You would expect to find what type of lung sounds?
    • A. 

      Vesicular breath sounds

    • B. 

      Bronchovesicular breath sounds

    • C. 

      Bronchial breath sounds

    • D. 

      Moist breath sounds


  • 2. 
    You arrive on scene to find a 57 year old man who is sitting on a couch appearing to stare at the wall. His breathing is labored and you can hear wet breath sounds that are producing a pink foam dripping from his mouth. You get no response when you try to get his name. Your requests for him to move his arm go without response. His pulse 105 and his BP is 92/40. You do not see any edema, swelling or JVD. This patient likely has ____________.
    • A. 

      Left sided heart failure

    • B. 

      Hypoglycemia

    • C. 

      Right sided CHF

    • D. 

      Tension pneumothorax


  • 3. 
    A Macintosh blade is inserted into the______________ and the epiglottis is elevated to visualize the chords during endotracheal intubation.
    • A. 

      Vermitium

    • B. 

      Travicula

    • C. 

      Glottic Opening

    • D. 

      Vallecula


  • 4. 
    The newest AHA CPR guidelines specify that the tidal volume for rescue breaths should __________________.
    • A. 

      Be 500 ml for everyone except infants

    • B. 

      Make the chest rise

    • C. 

      Be increased

    • D. 

      Be between 500 ml and 800 ml


  • 5. 
    Which breath sounds would you likely hear from a person who's alveoli contain fluid?
    • A. 

      Wheezes

    • B. 

      Crackles

    • C. 

      Rhonchi

    • D. 

      Stridor


  • 6. 
    Your 57 year old patient was a chain smoker for 35 years and is pursing their lips during exhalation. This is likely to:
    • A. 

      Create a back pressure on collapsed alveoli

    • B. 

      Force air out of the lungs faster

    • C. 

      Demonstrate their lung control

    • D. 

      Cause them to hyperventilate


  • 7. 
    Hyperventilation lowers the levels of _____________ in the body.
    • A. 

      Hemoglobin

    • B. 

      Ketones

    • C. 

      Carbon dioxide

    • D. 

      Oxygen


  • 8. 
    Albuterol is classified as a_______________.
    • A. 

      Parasympatholytic

    • B. 

      Parasympathomimetic

    • C. 

      Sympatholytic

    • D. 

      Sympathomimetic


  • 9. 
    During intubation you should use the teeth as a ______________.
    • A. 

      Place to align the mark on a Combitube

    • B. 

      Fulcrum

    • C. 

      Marker for bulb inflation

    • D. 

      Support for your elbow


  • 10. 
    After the baby has crowned during delivery you should: (think protocol, NOT NRP)
    • A. 

      Suction the mouth and nose and wait for the mother to push the rest of the baby out

    • B. 

      Suction the mouth and nose then check for prolapsed cord

    • C. 

      Support the head and gently pull the baby out

    • D. 

      Put the mother on high flow O2 and have a cigar with the father


  • 11. 
    You and your partner Larry are dispatched to the call of a man with severe stomach pain. When you arrive on scene you find him lying on the floor of the kitchen in the fetal position. There is vomit on his face and he says he is going to throw up again. He denies falling and says the only thing wrong is that his stomach is killing him. Assessing his abdomen you find it to be very tender to the touch and he moans when you palpate his stomach. He is also breathing very fast at 30 a minute. What other signs and symptoms might you find with this patient?
    • A. 

      Tachycardia - hypotension - fever

    • B. 

      Bottle of poison - cyanosis and crepitus

    • C. 

      Broken ribs - hypertension and deep rapid breathing

    • D. 

      Rebound tenderness - metabolic acidosis


  • 12. 
    Your patient is a 69 year old female who has a history of diabetes. She is breathing very deeply and very rapidly in a state of metabolic acidosis. Her husband said he woke up to her breathing like this and she would not wake up. You know that this woman is most likely in?
    • A. 

      Respiratory rebound stage

    • B. 

      Diabetic coma

    • C. 

      Diabetic shock

    • D. 

      Hypercalcemia


  • 13. 
    Paradoxical motion of the chest during exhalation is often caused by what type of injury?
    • A. 

      Pneumothorax

    • B. 

      Hemopneumothorax

    • C. 

      Fractured clavicle

    • D. 

      Flail chest


  • 14. 
    Why is the needle inserted on top of the rib during chest decompression?
    • A. 

      To avoid the bundle of His

    • B. 

      To give the syringe something to rest on

    • C. 

      To ensure proper lung inflation

    • D. 

      To avoid nerves, veins, arteries


  • 15. 
    Which of the following represents a mnemonic for checking whether an intubation blade is in working condition?
    • A. 

      Sight, bright, tight

    • B. 

      Bright, tight, alright

    • C. 

      Light, tight, bright

    • D. 

      Sight, tight, aight


  • 16. 
    You have been dispatched for a 21 year old male complaining of a rapid heart rate, rapid breathing, and "tingling" in his hands and feet that has progressed to painful cramping.  The patient's airway is patent, breathing is fast with adequate tidal volume and good air movement, pulse is rapid and regular, and skin is pink, warm, and dry. The patient notes that he has had "a lot on my mind lately," and that he has been feeling pressured by "friends" to "pop the question" to his girlfriend of six years.  The patient denies any past medical history and his physical exam is remarkable only for tachycardia, tachypnea, hypocapnea, and slight hypertension.  Which of the following is the least appropriate treatment for this patient?
    • A. 

      Lorazepam, 1-mg, PO

    • B. 

      Coaching the patient to slow his breathing down

    • C. 

      Placing the patient in a position of comfort

    • D. 

      Supplemental oxygen


  • 17. 
    Which of the following is the least reliable form of confirming placement of an ET tube?
    • A. 

      Direct visualization of the tube passing into the glottic opening

    • B. 

      Regular capnographic waveform that coincides with ventillations

    • C. 

      Presence of bilateral lung sounds

    • D. 

      Failure of the EDD to reinflate after squeezing


  • 18. 
    Your female patient is 5 foot, 6 inches tall.  Which size King LT tube is most appropriate for this patient?
    • A. 

      3

    • B. 

      4

    • C. 

      5

    • D. 

      6


  • 19. 
    Which of the following is NOT required when administering etomidate to a patient in respiratory failure?
    • A. 

      Two large bore IVs

    • B. 

      Two EMS providers trained at the ALS level or higher

    • C. 

      Airway and resucitative equipment on hand and ready to go

    • D. 

      Medical command orders


  • 20. 
    Suppose upon assessment of your patient, you find he has an oxygen saturation of 98%, yet still appears to be in respiratory distress.  Which of the following conditions is least likely to be cause for this?
    • A. 

      Sepsis

    • B. 

      Leukemia

    • C. 

      Anemia

    • D. 

      Cerebrovascular Accident


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