Principles- Airway Quiz

Which of the following are indicators for a potentially difficult airway?

• C-spine injury

• TMJ problems

• Rheumatoid arthritis

• BMI > 30

• All of the above

Prior to intubating a pt you should...

• HyperVentilate

• HyperNitrogenate

• Allow CO2 to rise

• HyperOxygenate

What size ETT would be most appropriate for an adult male?

• 8 mm

• 7 mm

• 6 mm

• 10 mm

What are some of the congenital conditions associated with difficult airway management?

• Pierre Robin

• Treacher Collins

• Down’s Syndrome

• All of the above

In the above diagram, Identify 2.

• Epiglottis

• Thyrohyoid Membrane

• Cricothyroid Ligament

• Trachea

What might make Direct Laryngoscopy and Intubation more difficult? 1.    Inability to open the mouth 2.    Inability to extend the neck 3.    Inability to breathe through the nose 4.    Large tongue 5.    Redundant pharyngeal tissue

• 1,5

• 1,2,3

• 1,2,3,4

• 1,3,4

• 1,2,4,5

Which of the following characterisics may be difficult to mask ventilate?

• Beard

• Endentulous

• CPAP at home

• All of the above

Which of the following is a risk associated with high pressure ETT cuffs?

• Increase risk for Sore throat

• Spontaneous extubation

• More ischemic damage to tracheal mucosa

• Increase risk for aspiration

What size ETT would commonly pick for an adult female?

• 8.5 mm

• 6 mm

• 3 mm

• 7.5 mm

A previously healthy male present with an open femur fracture from an MVA and needs to be repaired under GA. He is on a backboard with cervical collar in place. What  should the plan be?

• Remove the neck collar and intubate as usual

• Avoid GA and perform a regional block for the procedure

• Intubate with a technique that does not require neck movement

In the diagram above, what is D?

• Tongue

• Vocal cords

• Epiglottis

• Vestibular Fold (False cords)

What is the Murphy Eye?

• The view seen when looking through a laryngoscope

• One of the single unpaired cartilages in the larynx

• A side vent near the distal end of an endotracheal tube

• A modification of the atlanto-occipital position

In the diagram above, what is C?

• Tongue

• Hyoid bone

• Epiglottis

• Vocal Cords

In the diagram above, what is E?

• Arytenoids

• Vestibular fold (false Cord)

• Esophagus

• Epiglottis

How far would you plan to insert an ETT in a 64 yr old woman?

• 12 cm

• 21 cm

• 17 cm

• 25 cm

High Pressure Cuffs are more commonly recommended because of their low incidence of mucosal damage. 

• True

• False

In the above diagram, what is N?

• Vocal Cords

• Thyroid Cartilage

• Cricothyroid membrane

• Esophagus

How does RSI differ from regular intubation?

• Requires optimal positioning

• Requires use of suction

• Cricoid pressure is applied

• Deep extubation is preferred

In the diagram above, what is G?

• Arytenoids

• Esophagus

• Trachea

• Vocal Cords

In the above diagram, what is H?

• Vallecula

• Vocal cords

• Esophagus

• Trachea

In the above diagram, Identify 1.

• Epiglottis

• Thyroid Cartilage

• Thyrohyoid membrane

• Hyoid bone

In the above diagram, Identify 6.

• Cricoid Cartilage

• Trachea

• Thyroid Cartilage

• Hyoid Bone

In the above diagram, what is B?

• Hard/Soft palates

• Uvula

• Turbinates

• Vallecula

  For rapid sequence intubation, what is the correct sequence of actions?

• Denitrogenate/oxygenate -- give STP and then 5 min later SCh IV push -- cricoid pressure -- bag ventilate

• Give STP and SCh IV push -- oxygenate -- cricoid pressure -- no bag ventilation -- intubate

• Denitrogenate/oxygenate -- give STP and SCh IV push at same time -- cricoid pressure -- dont bag-ventilate, instead intubate right away

• STP and SCh -- oxygenate -- cricoid pressure -- intubate

You are looking for an LMA to assist you to insert an ETT into a difficult airway. It is an emergency and you need to ventilate the pt NOW. What LMA would you choose?

• E-LMA

• FastTrach

• ProSeal

• Classic

   The recurrent laryngeal nerve innervates all the muscles of the larynx EXCEPT:

• Cricothyroid muscle

• Oblique Arytenoid Muscle

• Transverse Arytenoid muscle

In the above diagram, Identify 7.

• Cricoid Cartilage

• Trachea

• Cricothyroid Ligament

• Epiglottis

In the above diagram, what is A?

• Hard/Soft Palates

• Tonsils/Adenoids

• Uvula

• Turbinates

What is the function of the recurrent laryngeal nerve?

• Sensory between Epiglottis and Vocal Cords

• Motor cricothyroid Muscle, adducts cords

• Sensory below cords; abducts cords; motor for all muscles except cricothyroid

• Sensory Posterior tongue, gag reflex

What is the function of the glossopharyngal nerve?

• Sensory between Epiglottis and Vocal Cords

• Motor cricothyroid Muscle, adducts cords

• Sensory below cords; abducts cords; motor for all muscles except cricothyroid

• Sensory Posterior tongue, gag reflex

What at is an appropriate  intubating dose of Succinylcholine?

• 20 mg

• 1 - 1.5 mg/kg

• 3 mg/kg

• 6 mg/kg

Which nerve innervates the area pictured in Red?

• Glossopharyngeal

• Interior Superior Layngeal nerve

• Trigeminal

• Recurrent Laryngeal Nerve

Which of the following NOT a paired cartilage of the upper airway?

• Cuneiform

• Arytenoid

• Cricoid

• Corniculate

What method is most reliable in confirming immediate tracheal intubation?

A nasal airway would be contraindicated in all of the following patients EXCEPT:

• 9 y.o scheduled for appendectomy

• 54 y.o with Basilar Skull Fracture

• 65 y.o on coumadin x 3 months

• 39 y.o with epitaxis

In the above diagram, what is E?

• Vallecula

• Epiglottis

• Hard/Soft palate

• Tongue

Which of the following is a double lumen airway device which can be blindly inserted into the hypopharynx to ventilate the lunges regardless of where the tip is placed?

• TrachLite

• Combitube

• FastTrach LMA

• TTJV

According to Dr. Groom’s lecture, what is the MOST reliable way to check ETT placement?

• Chest Rise

• Breath Sound

• ETCO2 wave form

• SaO2

In the above diagram, what is F?

• Vallecula

• Epiglottis

• Glottic Opening

• Cricothyroid membrane

Which of the following could reduce the risk of aspiration and its consequences?

• Wait 6 hours before proceeding keeping the patient NPO

• Administration of H2 blockers & metoclopramide

• Rapid Sequence Induction with Cricoid Pressure during intubation

• Cancel surgery

• B& C

What is the indication for a Rapid Sequence Induction? (RSI)

• Surgeon is scrubbed in and is awaiting anxiously for you to intubate

• Pt is obese and has a history of GERD

• Pt can’t tolerate laying down flat and must induce fast

• Pt is anxious and must induce fast

In the above diagram, Identify 5.

• Cricothyroid Ligament

• Thyrohyoid membrane

• Trachea

• Cricothyroid Muscles

In the above diagram, Identify 8.

• Thyrohyoid membrane

• Cricothyroid Muscles

• Cricothyroid Ligament

• Cricoid Cartilage

In the above diagram, what is I?

• Esophagus

• Turbinates

• Vocal Cords

• Trachea

You are looking for an airway adjunct to use on your pt who is very lightly sedated. You have just extubated the pt and they are still having a little trouble keeping the airway clear. You do not want to stimulate the gag reflex. What would be best to use?

• Oral airway

• Re-intubate until more awake

• Nasal Airway

• Nasal Cannula 2L O2

In the above diagram, what is K?

• Cricoid Cartilage

• Cricothyroid membrane

• Thyroid Cartilage

• Vocal Cords

In the above diagram, what is O?

• Tongue

• Glottic Opening

• Epiglottis

• Cricothyroid Membrane

Which one is not an appropriate intervention for a patient experiencing a laryngospasm?

• Administer a higher amount of sevoflurane, as it is a potent bronchodilator

• Provide patient with 100% FiO2, jaw thrust, and positive pressure

• Administer Succinylcholine 10-20mg IV