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2025 07 MCQ Advanced Airway Management

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Which of the following best explains why cricoid pressure may be harmful during RSI?

a)

It increases vagal tone, leading to bradycardia

b)

It causes premature laryngospasm

c)

It reduces lower esophageal sphincter tone

d)

It distorts the glottic view and may worsen first-pass success

2.

Which induction agent is most appropriate for a hypotensive trauma patient undergoing RSI?

a)

Propofol

b)

Thiopental

c)

Etomidate

d)

Midazolam

3.

A 30-year-old male with a history of end-stage renal disease requires emergent intubation. Which paralytic agent is contraindicated?

a)

Rocuronium

b)

Atracurium

c)

Succinylcholine

d)

Cisatracurium

4.

Which of the following airway assessment findings most strongly predicts a difficult laryngoscopy?

a)

Mallampati class II

b)

Thyromental distance >6.5 cm

c)

Inter-incisor distance <2 cm

d)

Ability to prognath

5.

In which clinical scenario would preoxygenation with non-invasive ventilation (NIV) be superior to standard NRB mask?

a)

Mild asthma exacerbation

b)

Acute metabolic acidosis

c)

Pulmonary edema with SpO₂ 84% on NRB

d)

Isolated facial trauma

6.

During RSI, a patient desaturates rapidly despite preoxygenation. Which of the following is the most likely reason in an obese patient?

a)

Airway obstruction by the tongue

b)

High metabolic oxygen demand

c)

Inadequate ramping position

d)

Excess cricoid pressure

7.

Which of the following best defines apneic oxygenation in the context of RSI?

a)

Ventilating the patient through BVM during apnea

b)

Delivering oxygen via nasal cannula during laryngoscopy

c)

Providing PEEP during mask ventilation

d)

Preoxygenating using a non-rebreather mask

8.

Which is the most appropriate airway management plan for a known difficult airway in a cooperative trauma patient with intact airway reflexes?

a)

RSI with ketamine and rocuronium

b)

Awake fiberoptic intubation

c)

BVM followed by supraglottic device

d)

Cricothyrotomy as first-line

9.

Which RSI pharmacologic combination is most appropriate for a patient with reactive airway disease and hemodynamic instability?

a)

Propofol + succinylcholine

b)

Midazolam + atracurium

c)

Etomidate + rocuronium

d)

Ketamine + rocuronium

10.

Which of the following airway devices offers the highest first-pass success rate in predicted difficult airways?

a)

Direct laryngoscope with Macintosh blade

b)

Bougie with Miller blade

c)

Video laryngoscope

d)

Combitube