Chapter 8 - Airway Management
An oropharyngeal airway of proper size extends from the: A. corner of the patient's mouth to the tip of the earlobe B. lips to the larynx C. nose to the angle of the jaw D. none of these
A
In an adult patient an oral airway should be inserted: A. upside down, with the tip toward the roof of the mouth, then flipped 180 degrees over the tongue B. right side up, using a tongue depressor to press the tongue down and forward to keep it from obstructing the airway C. either of these D. neither of these
A
To open the airway of a patient with a suspected head, neck, or spine injury, the EMT should use a _____ maneuver. A. jaw-thrust B. head-tilt, chin-lift C. head-tilt, neck-lift D. modified chin-thrust
A
When a patient begins to vomit, it is essential that you have a (n) _____ ready to go at the patient's side. A. suction unit B. oxygen tank C. blood pressure cuff D. pocket mask
A
A nasopharyngeal airway should be: A. inserted with the bevel on the lateral side of the nostril B. measured from the patient's nostril to the earlobe C. inserted in the left nostril when possible D. turned 180 degrees with the tip facing the roof of the mouth
B
An inadequate airway in a child is defines as: A. less than 15 breaths per minute B. retractions above the clavicles and between and below the ribs C. breathing that is primarily from the nose in infants D. none of these
B
Signs of a potentially inadequate airway include all of the following except: A. absent air movement B. air that can be felt at the nose or mouth on expiration C. unusual hoarse or raspy shound quality to the voice D. abnormal noises such as wheezing, crowing, or stridor
B
The hypopharynx is also called the: A. nares B. laryngopharynx C. trachea D. glottis
B
The main purpose of the jaw-thrust maneuver is to: A. open the mouth with only one hand B. open the airway without moving the head or neck C. create an airway for the medical patient D. create an airway when it is not possible to jut the jaw
B
When is the importance of mechanism of injury (MOI) to airway care? A. an injured patient will need more oxygen B. the procedure for opening the patient;s airway is different in trauma C. patients without a mechanism of injury will have an open airway D. an injury can make airway care easier to manage than a medical emergency
B
When performing the head-tilt, chin-lift maneuver, the EMT should. A. allow the patient's mouth to close B. position himself at the top of the patient's head C. tilt the head by applying pressure to the patient's chin D. use the fingertips to lift the neck
B
When we say that a patient is experiencing lower airway obstruction, it is likely that: A. he or she is chocking on a foreign object B. his or her bronchial passages or alveoli are congested C. his or her tongue is swollen D. none of these
B
An oral or nasal airway should be: A. cleaned for reuse after the call B. inserted in all critically injured patients C. used to keep the tongue from blocking the airway D. used in order to prevent the need for suctioning
C
During respiration, the movement of air into and out of the lungs requires that: A. oxygen exits on the exhalation phase B. carbon dioxide enters on the inhalation phase C. air flow be unobstructed and move freely D. the mouth be open at all times that the patient is breathing
C
If something is placed in the patient's throat, the gag reflex causes the patient to: A. take deep breaths B. pass out C. vomit or retch D. all of these
C
One indication that a child is experiencing inadequate breathing is that she: A. had a headache B. complains of nausea C. has nasal flaring when breathing D. is dizzy when standing
C
The large leaf-like structure that protects the opening to the trachea is called the: A. oropharynx B. xiphoid process C. epiglottis D. cricoid cartliage
C
The purpose of suctioning may include removal of: A. teeth and large pieces of solid material B. excess oxygen from the patient C. blood, vomitus, and other secretions D. all of these
C
You are treating a 29 year old female who has major airway problems. She has thick secretions and blood in her upper airway that needs to be suctioned with a Yankauer. Which of the following is not true of the Yankauer suction tip? A. it has a rigid tip B. it allows for excellent control over the distal end of the device C. it is used most successfully with responsive patients D. it has a larger bore than flexible catheters
C
The very first step to aid a patient who is not breathing is to: A. clear the mouth B. administer oxygen C. apply positive ventilation D. open the airway
D
When a patient inhales, air enters the throat, which is divided into the: A. nasopharynx B. oropharynx C. laryngopharynx D. all of these
D
When inserting a nasopharyngeal airway, lubricate the outside of the tube with: A. petroleum jelly B. an oil-based lubricant C. a silicone-based gel D. a water-based lubricant
D
When performing the jaw-thrust maneuver, the EMT should do each one of the following except: A. kneel at the top of the patient's head B. stabilize the patients head with the forearms C. use the index fingers to push the angles of the patient's lower jaw forward D. tilt the head by applying gentle pressure to the patient's forehead
D
When you question an elderly woman with a respiratory complaint, she speaks in short, two or three word sentences. Is this significant? A. No, she is probably always like that. B. Yes, she must have a complete airway obstruction C. No, elderly people always talk slowly D. Yes, she is probably very short of breath
D
your patient was the driver of a car that stopped suddenly when she hit a pole. She was not wearing her seat belt and has a bruise on her neck. When you questions her, she speaks very softly and seems to have raspy voice. Is this significant or just a sign of nervousness about the collision? A. No, many patients get quiet after a motor vehicle crash B. Yes, if she were nervous, she would be more excited C. No, bot the bruise could mean that she has significant bleeding D. Yes, low volume and raspy tone could be due to airway swelling from neck or laryngeal trauma
D
