Airway And Breathing IV
Yet another installment on airway and breathing. This time covering the remainder of Breon's notes from way long ago.
- 1.An abnormal deficiency in the concentration of oxygen in the blood is __________.
- A.
Hypocarbia
- B.
Hypoventilation
- C.
Hypoxemia
- D.
Hypoxia
- 2.Which of the following is the leading cause of airway obstruction in an unresponsive patient?
- A.
Edema
- B.
Steak
- C.
Tongue
- D.
Vomitus
- 3.Which of the following airway structures is unique in that it has a dual function with both the respiratory system and the digestive system?
- A.
Larynx
- B.
Pharynx
- C.
Trachea
- D.
Vallecula
- 4.Which of the following lung sounds is associated with fluid accumulating in the smaller airway passages heard on inspiration?
- A.
Crackles (rales)
- B.
Rattles (rhonchi)
- C.
Stridor
- D.
Wheezes
- 5.Which supplemental oxygen delivery system is capable of delivering fairly precise concentrations of oxygen?
- A.
Nasal cannula
- B.
Nonrebreather mask
- C.
Small-volume nebulizer
- D.
Venturi mask
- 6.Which of the following is the MOST critical lifesaving maneuver that you can perform as a paramedic?
- A.
Initiate fluid boluses
- B.
Establishing and maintaining a clear airway
- C.
Applying traction to bilateral femur fractures
- D.
Identifying STEMI on a 12-lead ECG
- 7.All of the following are commonly neglected skills related to airway management EXCEPT:
- A.
Failure to recognize respiratory distress and failure
- B.
Failure to use manual methods for opening the airway
- C.
Failure to make sure the patient is being appropriately oxygenated
- D.
Failure to ensure that oxygen tanks are changes when needed
- E.
Failure to do BLS before ALS skills
- F.
Failure to protect the airway
- 8.Which of the following is the LEAST concern when assessing breathing as part of the initial assessment?
- A.
Rate
- B.
Effort
- C.
Regularity
- D.
Odor
- 9.Suppose A represents normal breathing. Which of the following breathing patterns represents bradypnea?
- A.
B
- B.
C
- C.
D
- D.
E
- E.
F
- F.
G
- G.
H
- H.
I
- I.
J
- 10.Suppose A represents normal breathing. Which of the following breathing patterns represents Cheyne-Stokes respirations?
- A.
B
- B.
C
- C.
D
- D.
E
- E.
F
- F.
G
- G.
H
- H.
I
- I.
J
- 11.Suppose A represents normal breathing. Which of the following breathing patterns represents Biot's respirations?
- A.
B
- B.
C
- C.
D
- D.
E
- E.
F
- F.
G
- G.
H
- H.
I
- I.
J
- 12.Suppose A represents normal breathing. Which of the following breathing patterns represents hyperpnea?
- A.
B
- B.
C
- C.
D
- D.
E
- E.
F
- F.
G
- G.
H
- H.
I
- I.
J
- 13.Suppose A represents normal breathing. Which of the following breathing patterns represents Kussmaul's respirations?
- A.
B
- B.
C
- C.
D
- D.
E
- E.
F
- F.
G
- G.
H
- H.
I
- I.
J
- 14.Suppose A represents normal breathing. Which of the following breathing patterns represents sighing?
- A.
B
- B.
C
- C.
D
- D.
E
- E.
F
- F.
G
- G.
H
- H.
I
- I.
J
- 15.Suppose A represents normal breathing. Which of the following breathing patterns represents air trapping?
- A.
B
- B.
C
- C.
D
- D.
E
- E.
F
- F.
G
- G.
H
- H.
I
- I.
J
- 16.Suppose A represents normal breathing. Which of the following breathing patterns represents ataxia?
- A.
B
- B.
C
- C.
D
- D.
E
- E.
F
- F.
G
- G.
H
- H.
I
- I.
J
- 17.Suppose A represents normal breathing. Which of the following breathing patterns represents tachypnea?
- A.
B
- B.
C
- C.
D
- D.
E
- E.
F
- F.
G
- G.
H
- H.
I
- I.
J
- 18.Which of the following is NOT a typical descriptor for respiratory effort?
- A.
Work of breathing
- B.
Accessory muscle use
- C.
External assistance
- D.
Nasal flaring
- E.
Chest excursion
- F.
Pursed-lip breathing
- G.
Retractions
- H.
Positioning
- I.
Adventitious sounds
- 19.Which of the following is not an ideal place to auscultate lung sounds during a time-limited physical exam in the back of an ambulance?
- A.
Anterior chest, midclavicular, 1 inch below the collarbone
- B.
Lateral chest, fifth intercostal space, midaxillary
- C.
Posterior bases, back below the shoulder blades
- D.
Inferior thorax, adjacent to the 8th intercostal border
- 20.Crackles indicates a fluid problem in the lungs that interferes with the diffusion of oxygen, but not so much the diffusion of carbon dioxide.
- A.
True
- B.
False
- 21.The hypocapnia associated with cardiac arrest patients can create a false negative confirmation of ETT placement.
- A.
True
- B.
False
- 22.Which of the following carboxyhemoglobin values is normal for smokers?
- A.
0-5%
- B.
5-10%
- C.
10-15%
- D.
>15%
- 23.Per PA BLS protocol 227, measurements of SpCO should be used to drive oxygenation decisions.
- A.
True
- B.
False
- 24.Per Fick's principle, there are three main factors related to respiratory pathophysiology. These are (select all):
- A.
Ventilation
- B.
Diffusion
- C.
Circulation
- D.
Perfusion
- 25.Which of the following is NOT a complication associated with pulmonary aspiration?
- A.
May stimulate a spontaneous pneumothorax
- B.
May occlude airway and cause hypoventilation of distal lung tissue
- C.
May damage lung parachyma
- D.
May result in pneumonia
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