WorksheetsStay calm and intubate like a Pro :)
Total questions: 19
Worksheet time: 19mins
It’s 2 am in the morning and it is a busy shift at your RESUS with few of your staffs are on CK. You are the most experience doctor and you have attempted intubation x 3 for severe TBI patient but to no avail. What is the BEST next step in your intubation process?
Continue BVM ventilation
Call anesthetist
Make a fourth attempt
Insert a supraglottic device
What is the best approach to ensure successful 1st past attempt in intubation
Direct laryngoscope + bougie
Glide scope
CMAC + bougie
Needle cricothyroidotomy
The physiology behind adequate preoxygenation is
To achieve SpO2 of >95%
Denitrogenation
To provide adequate PEEP
To wash out CO2
You are intubating a man with thick beard and moustache. What is the best technique to ensure good seal to ventilate him?
Shave them
Provide extra pressure during CE clamp
Use a bigger mask
Cover with plastic/tagederm
A 32 years old gentleman with BMI of 38kg/m2 presented to you with Peritonsillar abscess (Quincy) and audible stridor. How will you choose your intubation technique?
Awake intubation
Needle crichothyroidotomy
CMAC
Rigid bronchoscope
You are assessing a patient’s Mallampati score prior to intubation and you can see his soft palate and base of uvula. What is his Mallampati score?
Malllampati I
Mallampati II
Mallampati III
Mallampati IV
It’s 3pm and you are taking over an intubated patient from your morning colleague. As you go through the case note, you saw CL 3 in the intubation clerking. What does that mean?
Full view of glottis
Neither glottis nor epiglottis is seen
Partial view of glottis
Only epiglottis is seen
Which of this is not part of ‘LEMON’ mnemonic
Mallampati score
Neck mobility
Elderly
Obstruction
You received a call from MECC telling you that they are transporting a 2 years old boy who was found drowning and still cyanosed despite initial oxygen support. Which of the options is peculiar to paediatric airway?
Cylinder shape trachea
Larynx is more anterior and cephalad
Smaller tongue
Flat occiput
You are intubating a patient with BMI of 38kg/m2. As you are preparing a ramp, your junior MO asks you the physiology behind your approach. The best answer would be
For patient comfort as no pillow is available
To ensure proper BVM seal
To increase the functional residual capacity
To improve the glottis view by putting the patient in sniffing position
All of bellow are the reasons why intubating a severe maxillofacial injury possess a great challenge except:
Presence of obstruction
Distorted axis
No experience in performing front of neck airway
Limited neck movement
You have just successfully intubated a covid-19 patient. Which of the method below should you avoid when confirming your ETT placement?
EtCO2
Auscultation
POCUS
Equal chest rise
As you are walking back home from your busy RESUS shift, your junior MO call you asking for your opinion in choosing the best paralytic agent for a 35 years old lady with BMI of 37kg/m2 and Mallampati score III with 77% TBSA burn injury.
High dose succinylcholine
High dose rocuronium
Low dose rocuronium
Low dose succinylcholine
In what situation you will avoid using succinylcholine as your paralytic agent?
ESRF patient
A collapsed patient after joining a contest “Eat the most durian in 15mins”
Peaked T wave in your 12 leads ECG
Burn patient with 13% TBSA
You are dealing with a severe TBI patient and had a difficulty to preoxygenate him as he is so restless. What is your best approach?
Start your routine pretreatment and give paralytic agent
Delayed sequence intubation using IV Ketamine
Restrain him
Apply nasal prong 15LO2 + HFM 15LO2
Which of the following is not the physiologic killers in pre-intubation/peri-intubation process?
BMI 35kg/m2
Severe metabolic acidosis
Hypotension
Hypoxemia
What is the contraindication for supraglottic devices?
Cachexic
No teeth
Mallampati IV
Restricted mouth opening
It’s 4am in the morning and you are the most experience intubator in the department. A term pregnant lady rushed in by his husband in impending respiratory collapse and you failed your intubation and supraglottic device insertion. Which of the following should be your immediate step?
Ventilate using BVM
Front of neck airway
Put patient under NIV
Call up anesthetist
Below are the challenges during intubating a term pregnant lady except:
Airway oedema
Limited drug of choice
Aspiration risk
Aortocaval compression
