Chapter 9 MCQ: Airway Management

An oropharyngeal airway of proper size extends from the: a. Corner of the patient's mouth to the lower tip of the earlobe b. Lips to the larynx c. Nose to the angle of the jaw d. None of the above

a. Corner of the patient's mouth to the lower tip of the earlobe

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. Jaw - thrust

When a patient begins to vomit, it is essential that you have a(n): a. Suction unit b. Oxygen tank c. Flow-regulated, oxygen-powered device d. Pocket mask

a. Suction unit

An oral airway should be inserted: a. Upside down, with the tip toward the roof of the mouth, then flipped 180° over the tongue b. Right side up, using a tongue to press the tongue down and forward to keep it from obstructing the airway c. From either side, then rotated 225 degrees around to be sure to push the tongue down d. None of these

a. Upside down, with the tip toward the roof of the mouth, then flipped 180° over the tongue

Signs of a potentially inadequate airway include all 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 sound quality to the voice d. Abnormal noises such as wheezing, crowing, or stridor

b. Air that can be felt at the nose or mouth on expiration

When we say that the patient is experiencing lower airway obstruction, it is likely that: a. He or she is choking 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. His or her bronchial passages or alveoli are congested

The hypopharynx is also called the: a. Nares b. Laryngopharynx c. Trachea d. Glottis

b. Laryngopharynx

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° with the tip facing the roof of the mouth

b. Measured from the patient's nostril to the earlobe

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. Open the airway without moving the head or neck

When performing the head - tilt, chin - lift maneuver, the EMT should: a. Allow the patient's mouth to close b. Position himself/herself at the patient's head c. Tilt the head by applying pressure to the patient's chin d. Use fingertips to lift the neck

b. Position himself/herself at the patient's head

An inadequate airway in a child is defined 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 the above

b. Retractions above the clavicles and between and below the ribs

What is the importance of mechanism of injury (MOI) to airway care? a. An injured patient will need more oxygen b. The procedure for opening a 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. The procedure for opening a patient's airway is different in trauma

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. Airflow be unobstructed and move freely d. The mouth be open at all times that the patient is breathing

c. Airflow be unobstructed and move freely

The purposes 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 the above

c. Blood, vomitus, and other secretions

One indication that a child is experiencing inadequate breathing is that she: a. Has a headache b. Complains of nausea c. Has nasal flaring when breathing d. Is dizzy when standing

c. Has nasal flaring when breathing

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 Yankaeur. Which of the following is not true of the Yankaeur 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 that flexible catheters

c. It is used most successfully with responsive patients

An oral or nasal airway should be: a. Clean 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. Used to keep the tongue from blocking the airway

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 the above

c. Vomit or retch

When inserting a nasopharyngeal airway, lubricate the outside of the tube with: a. Petroleum jelly b. And oil - based lubricant c. A silicone - based gel d. A water - based lubricant

d. A water - based lubricant

When a patient inhales, air enters the throat, which is divided into the: a. Nasopharynx b. Oropharynx c. Laryngopharynx d. All of the above

d. All of the above

The very first step to aid a patient who is not breathing is to: a. Clear the mouth b. Administer oxygen c. Apply positive pressure ventilation d. Open the airway

d. Open the airway

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 patient's 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. Tilt the head by applying gentle pressure to the patient's forehead

Your patient was the driver of a car that stopped suddenly when she hit a pole. She was not wearing her seatbelt and has a bruise on her neck. When you question her, she speaks very softly and seems to have a 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, but the bruise could mean that she has significant bleeding d. Yes, low-volume and raspy tone of voice could be due to airway swelling from neck or laryngeal trauma

d. Yes, low-volume and raspy tone of voice could be due to airway swelling from neck or laryngeal trauma

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. Yes, she is probably very short of breath