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Principles- Airway

Total questions: 77

Worksheet time: 39mins

Name
Class
Date
1.
Below the level of this anatomical structure denotes lower airway
a)
Carina
b)
Thyroid Cartilage 
c)
Cricoid Cartilage
d)
Bronchioles 
2.
The innervation of the nose is from  the nasopalatine and ethmoidal branches is what nerve?
a)
Trigeminal
b)
Facial 
c)
Trochlear 
d)
Abducens 
3.
What zone is the epiglottis located in?
a)
Nasopharynx 
b)
Oropharynx
c)
Hypopharynx 
d)
Zone 1
4.
Which muscle acts as a barrier to regurgitation in the conscious patient?
a)
Cricoarytenoid muscle 
b)
Oblique and Transverse arytenoid muscle
c)
Inferior pharyngeal constrictor
d)
Cricopharyngeus muscle
5.
The glossopharyngeal innervates what portion of the tongue 
a)
Anterior 2/3
b)
Posterior 1/3
c)
Anterior 1/3
d)
Posterior 2/3
6.
The larynx usually begins between which two cervical vertebrae?
a)
2 and 3
b)
4 and 5
c)
3 and 4
d)
5 and 6
7.
The Glossopharyngeal nerve innervates all of the following EXCEPT: 
a)
roof of the pharynx
b)
soft palate 
c)
stylopharngeal muscle 
d)
anterior 2/3 of the tongue 
8.
What are four D's of a difficult airway
a)
Dentition, Distortion, Disproportion, Dysmobility
b)
Distortion, Dysmobility, dis-propensity,  Deepening
c)
Difficult airway has no D's
d)
Dysmobility, disproportion, dentition, Discrepancies 
9.
Which portion of the trigeminal nerve supplies the posterior 2/3 of the nasal septum
a)
V1
b)
V2
c)
V3
d)
V
10.
The trachea begins at which spinal level
a)
C6
b)
T1
c)
T2
d)
C2
11.
Risk factors associated with laryngospasms include all EXCEPT? 
a)
URI greater less 2 weeks
b)
Secretion in the upper airway 
c)
Adolescents 
d)
1 year or less
12.
Which is not one of the three unpaired cartilage?
a)
epiglottis 
b)
thyroid
c)
cricoid 
d)
arytenoids 
13.
Adequacy of LMA depends more on 
a)
Size and placement
b)
Maximum volume within the cuff
c)
Pressure against supraglottic muscles
d)
Time
14.
The LMA is a ______ airway
a)
Glottic 
b)
Supraglottic 
c)
nasopharynx 
d)
Anterior 
15.
For the average healthy anesthetized adult how much pressure of newtons is applied during Sellick's maneuver 
a)
20
b)
50
c)
40
d)
48
16.
What phase/plane/stage of Anesthesia do you want to avoid extubation of the patient
a)
Stage 1
b)
Stage 3
c)
Stage 0
d)
Stage 2
17.
SHORT (Surgery, Hematoma, Obesity, Radiation, and Tumors)  acronym describes  difficultly placing what type of airway 
a)
Nasal Trumpet
b)
Supraglottic airway
c)
Cricothyrotomy 
d)
LMA
18.
Name the nerve labeled 1
a)
Vagus
b)
Glossopharyngeal 
c)
Superior Laryngeal External
d)
Hyoid recurrent nerve
19.
Name the nerve labeled 3 
a)
Superior Laryngeal recurrent
b)
Superior Laryngeal External
c)
Superior Laryngeal Internal
d)
Recurrent laryngeal internal
20.
Name the nerve labeled 6
a)
Vagus 
b)
Superior Laryngeal internal 
c)
Superior Laryngeal external
d)
Recurrent Laryngeal 
21.
True or False the left Recurrent Laryngeal Nerve wraps around the aortic arch
a)
True
b)
False
22.
What is the function of Thyroarytenoid? what nerve innervate it?
a)
Relaxes and shortens vocal cords; Recurrent Laryngeal Nerve
b)
Relaxes and shortens vocal cords; Superior Laryngeal Nerve
c)
Elongates the vocal cords and tenses; Recurrent Laryngeal Nerve 
d)
Elongates the vocal cords and tenses; Superior Laryngeal Nerve
23.
How long is the trachea approximately 
a)
10 to 12 cm (11 cm)
b)
5 to 6 cm (5.5 cm)
c)
16 to 30 cm (20 cm)
d)
10 to 20 cm (15 cm)
24.
Preoxygenation for 3 to 5 minutes gives you roughly how much time for intubation on an obese patient?
a)
1 minute
b)
1.5 minutes 
c)
3 minutes
d)
9 minutes
25.
Oral airway should reach from the patients ____ to ____. 
a)
Mouth; external ear
b)
Chin; Thyroid
c)
Bridge forehead, vermilion crest of lips
d)
Teeth; Mandibular angle
26.
Preoxygenation, FGF should be between?
a)
10L - 12L
b)
14L - 15L
c)
2L - 6L
d)
8L -1
27.
Cricothyroid muscle is innervated by what nerve? what does it do? 
a)
Superior Laryngeal nerve Internal; tenses and elongates vocal cords
b)
Superior Laryngeal nerve External; tenses and elongates vocal cords
c)
Recurrent Laryngeal nerve External;  Relaxes the cords
d)
Recurrent Laryngeal nerve Internal; tenses and elongates the cord
28.
True or False Superior Laryngeal Internal is mainly a sensory nerve
a)
True
b)
False
29.
Unilateral injury to the RLN (Recurrent Laryngeal Nerve) results in
a)
Stridor
b)
Hoarseness
c)
Severe airway compromise
d)
Certain death by suffocation
30.
In relation to the gag reflex, the efferent (response from the brain) pathway is via the?
a)
Vagus
b)
Glossopharyngeal 
c)
Facial
d)
Abducens 
31.
In relation to the gag reflex the afferent pathway (the stimulation of the brain) is via what pathway?
a)
Vagus 
b)
Facial 
c)
Glossopharyngeal
d)
Abducens
32.
Th larynx contains two pairs of fold. The vestibular folds are called
a)
True vocal cords
b)
False vocal cords
33.
Epiglottis, base of the tongue, supraglottic mucosa, thyoepiglottic joint and cricothyroid joint are innervated by  what nerve
a)
Superior Laryngeal Nerve External
b)
Recurrent Laryngeal nerve internal 
c)
Superior Laryngeal Nerve Internal 
d)
Recurrent Laryngeal Nerve Superior
34.
Number 1 is?
a)
Corniculate cartilages 
b)
Cuneiform cartilages 
c)
Vocal folds 
d)
Epiglottis 
35.
Number 2 is?
a)
Cuneiform cartilage 
b)
Corniculate Cartilage 
c)
Vocal Cords
d)
Ball of Cartilage 
36.
Nerve 4 is 
a)
Recurrent Laryngeal Nerve
b)
Superior Laryngeal nerve
c)
Internal Superior Laryngeal Nerve
d)
Glossopharyngeal nerve
37.
Nerve 7 is?
a)
Superior Laryngeal Nerve  External 
b)
Superior Laryngeal Nerve Internal
c)
Recurrent Laryngeal External
d)
Recurrent Laryngeal Internal
38.
Nerve 2
a)
Inferior Glossopharyngeal 
b)
Vagus 
c)
Recurrent Laryngeal
d)
Superior Laryngeal 
39.
Nerve 5 is
a)
Recurrent laryngeal
b)
Recurrent laryngeal inferior branch
c)
vagus
d)
Superior laryngeal
40.
Number 3 is 
a)
Glottis 
b)
Epiglottis
c)
Cuneiform 
d)
Corniculate
41.
Number 4 is 
a)
Vestibular folds
b)
True vocal cords
c)
Glottis
d)
Base of the tong
42.
Number 1 is 
a)
Arytenoid muscle (Interarytenoid)
b)
Posterior Cricoaryteniod 
c)
Lateral cricoarytenoid muscle
d)
thyroarytenoid muscle
43.
Number 2 is 
a)
Arytenoid Muscle
b)
Posterior cricoarytenoid muscle
c)
Lateral cricoarytenoid muscle
d)
Aryepiglottis 
44.
Number 3 is
a)
Arytenoid Muscle 
b)
Posterior cricoarytenoid muscle 
c)
Cricothyroid muscle 
d)
Lateral cricoarytenoid muscle 
45.
Number 4 is?
a)
posterior cricoarytenoid 
b)
arytenoid muscle 
c)
Cricothyroid muscle
d)
Lateral Cricoarytenoid muscle 
46.
Number 5 is? 
a)
Thyroarytenoid muscle 
b)
Lateral cricoarytenoid muscle 
c)
Posterior cricoartenoid muscles
d)
Aryepiglottis muscle 
47.
Which Cormack and Lehane grade includes the visualization of the entire glottic aperture?
a)
1
b)
2
c)
3
d)
4
48.
Which Cormack and Lehane grade includes visualization of only the posterior aspects of the glottic aperture?
a)
1
b)
2
c)
3
d)
4
49.
Visualization of the only the tip of the epiglottis aperture denotes Cormack and Lehane? 
a)
1
b)
2
c)
3
d)
4
50.
Visualization of base of tongue or soft palate only is what Cormack and Lehane grade?
a)
1
b)
2
c)
3
d)
4
51.
True or False LEMON stands for: Look, Evaluate 3-3-2, Mallampati, Obstruction, Nose
a)
True 
b)
False
52.
The primary contraindication to use an LMA is? 
a)
TMD less than 4
b)
Risk for aspiration
c)
Anesthetic agent
d)
Mallampati 3 
53.
The _____ muscles control movement of the laryngeal cartilage and vocal cords
a)
Intrinsic 
b)
Extrinsic
c)
External 
54.
which muscles adduct the vocal cords?
a)
Cricothyroid 
b)
Thyroarytenoid 
c)
Posterior Cricoarytenoid
d)
Lateral cricoarytenoid 
55.
BSI monitor awake talking patient is 
a)
40-60
b)
60-70
c)
90-100
d)
0-50
56.
Sedated, anesthetized patient on  a BSI monitor would be at what number 
a)
40-60
b)
20-40
c)
30-50
d)
70-100
57.
The distal tip of the LMA sit in the? 
a)
Vallecula 
b)
Esophageal inlet
c)
Arytenoid cartilage 
d)
superior pharynx 
58.
Laryngospasms are mediated by the
a)
Anterior ethmoidal nerve
b)
Superior Laryngeal Nerve
c)
Sphenopalatine nerves
d)
Lingual nerve
59.
Which muscles abducts the vocal cord, opening the glottis?
a)
Thyroarytenoid muscle
b)
Posterior cricoarytenoid muscle 
c)
Cricoarytenoid muscle
d)
Lateral Cricosrytenoid muscle
60.
Subject is sedated-conscious but drowsy; amnesia and variable analgesia is what stage:
a)
1
b)
2
c)
3
d)
4
61.
Excitement (Delirium) subject experience delirium and violent combative behavior is what stage?
a)
1
b)
2
c)
3
d)
4
62.
Surgical Anesthesia; no spontaneous movement; regular respiration; gradual loss of muscle tone is what stage?
a)
1
b)
2
c)
3
d)
4
63.
Medullary depression/ paralysis; loss of respiration and vasomotor control; death is what stage?
a)
1
b)
2
c)
3
d)
4
64.
Emergence timing is based on all of the following EXCEPT: 
a)
Initial level of anesthesia
b)
remaining duration of the procedure
c)
type of surgery
d)
speed of surgeon 
65.
How many minutes and at what FiO2 should the CRNA have the patient emerge on?
a)
80%, 2 minutes
b)
100%, 2 minutes
c)
90%, 4 minutes
d)
70% 
66.
What LMA can facilitate ET tube intubation?
a)
AirQ, Fastrach 
b)
Every LMA 
c)
We are the airway experts give me the ETT
d)
King, IQ LMA 
67.
RODS (Restricted mouth opening, Obstruction, Disrupted or distorted, Stiff c-spine) assesses what type of difficult airway
a)
supraglottic 
b)
glottic
c)
Nasopharynx 
d)
Soft Palatine 
68.
Which is the Ideal position
a)
A
b)
B
c)
C
d)
D
69.
Laryngospasm algorithm second step after positive pressure 
a)
Sucx 6 mg IV
b)
Sucx 50 mg IV
c)
Sucx 10-20 mg IV
d)
More Positive Pressure 
70.
Soft bite block placed in stage 3 prevents all of the following EXCEPT: 
a)
ETT kinking 
b)
Negative Pressure Pulmonary Edema 
c)
Bronchospasm 
d)
Laryngospasm 
71.
True or False: During RSI sequence you manually ventilate the patient? 
a)
True
b)
False 
72.
All of the following are solely left side RLN injuries EXCEPT:
a)
PDA ligation 
b)
Left artial enlargement 
c)
Aortic arch aneurysm
d)
Thyroid surgery bilateral 
73.
Signs of Laryngospasm are of the following EXCEPT: 
a)
Inspiratory stridor 
b)
suprasternal and supraclavicular retraction 
c)
Laryngospasm notch twitch 
d)
Lower rib flailing 
74.
Which muscle opens the nasopharynx 
a)
Tensor palatine
b)
Genioglossus
c)
Hyoid muscles
75.
Which muscle opens the oropharynx 
a)
tensor palatine 
b)
genioglossus
c)
hyoid muscles 
76.
Which muscle opens the hypopharynx 
a)
tensor palatine 
b)
genioglossus 
c)
hyoid muscles 
77.
At what level does the superior laryngeal nerve divide into internal and external branch?
a)
Hyoid bone
b)
ethmoid sinus 
c)
maxillary sinus 
d)
Epiglottis