Respiratory Management Final Review

Which of the following is/are not indications for a needle cricothyrotomy? Select all that apply.

• Inability to ventilate by any other means

• Massive maxillofacial trauma

• Inability to open the patient's mouth

• uncontrolled oropharyngeal bleeding

• Patient's with a severe airway obstruction above the site of catheter insertion

Which of the following is a partial dislocation?

• Strain

• Subluxation

• Trismus

• Subplexial Alignment

Your patient is a 53 y/o heavyset male in cardiac arrest. As you prepare to intubate you look in the patient's airway with your laryngoscope. You see the epiglottis but only a portion of the glottis. This Cormick-Lehane classification is?

• Class 1

• Class 2

• Class 3

• Class 4

You are caring for a patient involved in an MVC. Due to the location of the scene and inability to immediately access the patient, extrication takes about 2 1/2 hrs. Your assessment reveals crepitus around T5, hypertension, flushing of the face, and nasal congestion. Additionally the hairs on your patient's chest are standing up. You suspect:

• Autonomic dysreflexia

• Brown-Sequard Syndrome

• Central Cord Syndrome

• Cauda Equina Syndrome

Which of the following is an external laryngeal manipulation maneuver that can improve your laryngoscopic view Select all that apply

• BURP Maneuver

• Bimanual Laryngoscopy

• GUM Maneuver

• Angle Ridge Maneuver

Anterior Cord Syndrome:

• A condition that occurs with flexion injuries resulting in paralysis below the level of the insult with a loss of pain, temp, and touch perception.

• A neurologic condition caused by the compression of the bundle of nerve roots at the end of the spinal cord

• A condition coming from hyperextension injuries characterized by hemorrhage or edema with a greater loss of function in the upper extremities.

• A condition associated with penetrating trauma that has a loss of motor function on the same side as the cord damage but a loss of pain and temp sensation on the opposite side.

How much air should you put in the distal cuff of the ET tube?

• 10-12 mL

• 5-10 mL

• 3-8 mL

• 10-15 mL

When treating 3 y/o in cardiac arrest after an ET tube has been placed, you should:

• Ventilate at a rate of 1 breath every 3 seconds

• Ventilate at a rate of 10 breaths a minute

• Ventilate at a rate of 20-30 breaths per minute

• Ventilate at a rate of one breath every 5 seconds

In nasotracheal intubation you should:

Select all that apply.

• Insert the tube in the compliant nostril with the bevel facing the nasal septum and advance along the nasal floor.

• Rotate the tube 90 degrees as you advance unless resistance is felt

• Advance to tube through the vocal cords as the patient exhales

• Aim the tip of the tube straight back towards the ear

Which of the following is/are a contraindication to a surgical cric?

Select all that apply

• Effective BVM ventilation

• Crush injuries to the larynx

• Tracheal transection

• Children under 8

• Subglottic stenosis