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EMT Airway Management Quiz – Level 2 (Intermediate)

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

You arrive to find an ALS crew performing CPR. They request your assistance maintaining an iGEL airway. You note gurgling during ventilations. What should you do FIRST?

a)

Reposition the airway

b)

Begin suctioning

c)

Remove and replace the iGEL

d)

Resume compressions

2.

You are ventilating a patient with a BVM through an iGEL. Your partner notes gastric distension and difficulty ventilating. What action may reduce this issue?

a)

Increase rate of ventilation

b)

Insert suction catheter into the gastric port (if available)

c)

Remove iGEL and use CPAP

d)

Replace iGEL with a King Airway

3.

You attempt to place an OPA in a semi-conscious patient. They begin gagging and pushing you away. What is the best next step?

a)

Continue inserting the OPA

b)

Insert an NPA

c)

Begin CPAP

d)

Apply NRB

4.

You’ve inserted an iGEL airway into an apneic patient. You’re having difficulty ventilating. What is your FIRST action?

a)

Remove the iGEL and switch to OPA

b)

Increase oxygen flow

c)

Reassess placement and confirm seal

d)

Begin chest compressions

5.

You are ventilating a patient and note decreased chest rise with each breath. What is the MOST likely cause?

a)

The BVM is faulty

b)

Poor mask seal

c)

The iGEL is too large

d)

Too much oxygen pressure

6.

During transport, a patient with an iGEL in place becomes cyanotic and pulse oximetry drops despite continued ventilations. You confirm the iGEL is seated properly. What’s your next best step?

a)

Remove iGEL and attempt repositioning

b)

Suction the patient

c)

Increase oxygen flow to the BVM

d)

Check for airway obstruction or bronchospasm

7.

You place a CPAP mask on a patient with CHF. After 2 minutes, the patient becomes lethargic and has a decreasing respiratory rate. What is the MOST appropriate action?

a)

Increase CPAP pressure

b)

Discontinue CPAP and ventilate with BVM

c)

Administer a second dose of nitroglycerin

d)

Begin chest compressions

8.

While transporting a patient in respiratory failure with CPAP, you note a drop in blood pressure and increasing anxiety. What is the MOST appropriate response?

a)

Increase CPAP pressure and oxygen flow

b)

Immediately switch to an iGEL

c)

Discontinue CPAP and reassess airway management

d)

Begin rapid IV fluid bolus

9.

A 300-pound patient is found unresponsive in a cramped hallway with no gag reflex. You have difficulty achieving a proper BVM seal due to facial shape. What is the BEST airway management approach?

a)

OPA and two-person BVM technique

b)

NPA with NRB

c)

Immediate King airway insertion

d)

Place patient in recovery position and wait for ALS

10.

A 68-year-old male is unresponsive after a fall down stairs. He has gurgling respirations, blood in his mouth, and snoring sounds. You have limited access to ALS. What is your best initial airway plan?

a)

Insert King Airway immediately

b)

Suction, OPA, then ventilate with BVM

c)

Apply CPAP

d)

Insert NPA and apply NRB