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Intubation

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

The instrument that will help you in placing an endotracheal tube is

a)

an otoscope

b)

a gyroscope

c)

a stethoscope

d)

a laryngoscope

2.

The __________ covers the entrance to the trachea.

a)

the tonsils

b)

the epiglottis

c)

the base of the tongue

d)

the submandibular lymph nodes

3.

The length of the endotracheal tube inside the patient should run from

a)

one inch in front of the nose to the last rib

b)

the front of the nose to the last rib

c)

just outside the nose to the thoracic inlet

d)

the canine teeth to the mid-trachea

4.

Over-inflating the endotracheal tube cuff can cause

a)

all of the above

b)

post-op coughing

c)

damage to the cells lining the trachea

d)

tracheal rupture

5.

Before intubation , patient not receive enough sedation will result____________(Select more than one)

a)

poor cooperation lead to injury

b)

difficulty in intubation

c)

hypertension

d)

cyanosis

6.

100% oxygen for at least 1 minute before intubating a patient is important. This called__________

a)

hypercapnia

b)

hyperoxygenation

c)

hyperventilating

d)

hypoventilation

7.

One way to confirm proper ET tube placement is via __

a)

visualization

b)

attach to ambu bag

c)

estimate the depth of the tube

d)

chest x ray

8.

The distal end of an endotracheal tube (ET tube) has a(n) _____ that wedges the tube inside of the trachea when inflated.

a)

re-capable port

b)

balloon cuff

c)

bladder

d)

wedge cuff

9.

The entire intubation procedure should only take about ___ to ___ ___ to perform.

a)

30 to 45 seconds

b)

30 to 45 minutes

c)

5 to 10 minutes

d)

5 to 10 seconds

10.

What action do you take if you auscultate stomach gurgling after intubation?

a)

inflate the balloon cuff

b)

secure the ET tube to the patient's head and face

c)

provide ventilatory support with supplemental 02

d)

imediately remove the ET tube and reattempt intubation

11.

Which of the following is NOT a suggested use for the laryngeal mask airway?

a)

Providing an airway with minimal changes in blood pressure and heart rate

b)

Emergency ventilation when tracheal intubation has failed

c)

To assist in fiberoptic bronchoscopy

d)

Assisting a tracheal intubation

e)

To protect against aspiration

12.

The Mallampati classification focuses on the visibility of oropharyngeal structures when the patient is examined in which of the following positions?

a)

Sitting, mouth fully opened, tongue protruded, without phonation

b)

Sitting, mouth fully opened, tongue protruded, with phonation

c)

Semirecumbent, mouth fully open, tongue protruded, without phonation

d)

Sitting, mouth opened, tongue in neutral position, without phonation

e)

Supine, mouth fully open, tongue protruded, with phonation

13.

You are called to evaluate a patient in the medical intensive care unit with an ETT cuff leak. Your first course of action should be which of the following?

a)

Suction the posterior oropharynx.

b)

Check the patient’s vital signs and evaluate for immediate reintubation.

c)

Deflate the pilot balloon.

d)

Review the most recent x-ray and order another.

e)

Add additional air to the cuff .

14.

Which of the following patient presentations presents with the LEAST risk of difficult intubation ?

a)

45-year-old man, 145 kg, thyromental distance 5 cm, mouth opening 6 cm, Mallampati III, short neck with limited extension

b)

52-year-old man, 45 kg, thyromental distance 5cm, mouth opening 5 cm, Mallampati II, history of neck radiation, limited submandibular compliance

c)

56-year-old man, 72 kg, thyromental distance 5 cm, mouth opening 5 cm, Mallampati III, poor dentition

d)

67-year-old woman, 82 kg, thyromental distance 7 cm, mouth opening 3 cm, Mallampati II, prominent incisors

e)

34-year-old woman, 72 kg, thyromental distance 6 cm, mouth opening 5 cm, Mallampati II, high-arched palate, prominent incisors with two maxillary incisors missing

15.

Complication of intubation (select more than one)

a)

Bleeding

b)

Not breathing

c)

Injury

d)

Breaking teeth