2020 Paramedic Airway Test

During auscultation of the lung sounds of a cancer patient, rescuers determine the patient's lungs must be suctioned via endotracheal tube. Which of the following statements is TRUE regarding tracheobronchial suction of this patient?

• It may be necessary to roll the patient on his side to improve suctioning.

• It is likely the patient will experience ventricular ectopy during suctioning.

• Rescuers should perform a head-tilt chin-lift maneuver to maximize success.

• It is acceptable to inject 3 to 5 mL of sterile saline in the tube before suctioning.

You are attempting to ventilate an apneic patient with a bag-valve-mask, but you are unsuccessful. Air is leaking around a poor mask seal on the face. What should you do NEXT to improve ventilations if you suspect a neck injury?

• Insert an oral or nasal pharyngeal airway.

• Assure that oxygen is attached to the O2 reservoir

• Tip the patient's head back further and reattempt to ventilate.

• Have an assistant secure the mask to the patient's face while immobilizing the head.

During intubation the rescuer inserts an advanced airway too deeply. Where should he suspect the distal end of the ETT lies?

• Inside the right bronchus.

• Just superior to the carina.

• Within the left main bronchus.

• In the bronchioles of the right lung.

Which of the following would be a sign of poor bag-valve-mask ventilations?

• The pulse oximetry changes from 94% to 97%.

• The chest rises and falls with ventilations.

• There are absent lung sounds during auscultation.

• The patient's skin color becomes less cyanotic.

Hypoventilation from an injury or disease would BEST be defined as:

• A rate that is less than 12 for an adult.

• A tidal volume that is 300 cc for a child.

• A rate that is greater than 24 for an adult.

• A minute volume insufficient to meet cellular demands.

You are transferring a 27-year-old male with a known C-6 fracture with cord involvement. Which of the following findings would be MOST consistent with this injury?

• Decrease in tidal volume, normal respiratory rate.

• Increase in tidal volume, normal respiratory rate.

• Decrease in tidal volume, increase in respiratory rate.

• Increase in tidal volume, decrease in respiratory rate.

Identify the anatomical location that a curved blade is inserted into during oral intubation.

• Uvula.

• Epiglottis

• Vallecula

• Hypoglottic opening.

You have just placed an advanced airway in a patient with a respiratory condition and his heart rate decreased. Which of the following BEST explains the decreasing heart rate?

• A decreased heart rate is an expected complication.

• The patient has a cardiac problem as well.

• You have placed the airway incorrectly.

• The patient has esophageal varices.

You are called to treat a patient with severe dyspnea. Which of the following tank sizes would be the most appropriate to bring to the patient’s side when you anticipate a 10-minute transfer from the patient’s bed to the ambulance?

• A D-tank with 1200 psi.

• An E-tank with 600 psi.

• An M-tank with 300 psi.

• A K-tank with 250 psi.

Which of the following best describes the purpose of PEEP?

• It is a device used to treat pneumonia.

• It helps to keep the upper airway open.

• It measures how well an asthmatic is breathing.

• It helps to keep the bronchioles and alveoli open.