Deck 5: Airway Management Equipment

Question 1

The Combitube airway:

A) is guided blindly with your fingers
B) must be placed using a laryngeoscope
C) must be placed using a bronchoscope to guide it
D) is inserted with the assistance of a tube exchanger

Answer 1

A

Question 2

The straight laryngeoscope blade is called a:

A) Miller blade
B) Macintosh blade
C) Fiber-optic blade
D) Magill blade

Answer 2

A

Question 3

Which of the following simple artificial airways is often used to facilitate repeated nasotracheal suctioning?

A) oropharyngeal airway
B) nasopharyngeal airway
C) Combitube airway
D) laryngeal mask airway

Answer 3

B

Question 4

Vacuum regulators operate by:

A) adjusting magnetic attraction against a diaphragm
B) changing the size of an orifice
C) adjusting pressure on a single-stage reducing valve
D) changing the position of a needle valve

Question 5

When properly placed, the laryngeal mask airway:

A) is in the esophagus
B) is in the trachea
C) is in the posterior pharynx
D) is resting on the pyloric sphincter

Question 6

Types of cuff pressure manometers include which of the following?
I. mechanical manometers
II. strain gauge manometers
III. differential pressure manometers
IV. venturi manometers

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 7

When is the head-tilt chin-lift maneuver contraindicated?

A) in the unconscious victim
B) when the patient is supine
C) if there is a cervical spine injury
D) none of the above

Question 8

When using a mouth-to-mask ventilation device, supplemental oxygen may be provided by:
I. attaching oxygen to the enrichment port on the mask
II. wearing a nasal cannula
III. placing a nasal cannula on the patient
IV. connecting the oxygen reservoir to an oxygen source

A) I and II
B) I and III
C) II and III
D) II and IV

Question 9

Which of the following simple artificial airways is often used to facilitate bag-mask ventilation?

A) oropharyngeal airway
B) nasopharyngeal airway
C) Combitube airway
D) laryngeal mask airway

Question 10

When inserting the laryngeal mask airway:

A) it is guided blindly with your fingers
B) it must be placed using a laryngeoscope
C) it must be placed using a bronchoscope to guide it
D) it is inserted with the assistance of a tube exchanger

Question 11

The head-tilt chin-lift maneuver is designed to relieve:

A) laryngeal obstruction
B) tracheal obstruction
C) foreign body obstruction
D) soft tissue obstruction

Question 12

Anterior mandibular displacement is a technique that may be used:

A) in the unconscious victim
B) when the patient is supine
C) if there is a cervical spine injury
D) none of the above

Question 13

When the diameter of a tube decreases by one-half, resistance increases:

A) 2 times
B) 3 times
C) 4 times
D) 16 times

Question 14

The curved laryngeoscope blade is called a:

A) Miller blade
B) Macintosh blade
C) fiber-optic blade
D) Magill blade

Question 15

Which of the following are advantages of a flow-inflating manual resuscitator?
I. 100% oxygen delivery is ensured
II. patient compliance may be easily assessed
III. it is easy to use with a mask

A) I
B) I and II
C) II and III
D) I, II, and III

Question 16

Positive end-expiratory pressure (PEEP) may be provided during manual resuscitation by:

A) adding a water seal PEEP device to the exhalation port
B) using a spring or magnetic adjustable PEEP valve on the exhalation port
C) increasing oxygen flow to the manual resuscitator
D) none of the above

Question 17

The curved laryngeoscope blade is designed to:

A) lift the epiglottis directly
B) be inserted into the trachea
C) be inserted into the vallecula
D) be inserted into the esophagus

Question 18

An adjunctive device that is helpful when intubating a patient nasally is:

A) the Miller blade
B) the Macintosh blade
C) Magill forceps
D) a stylette

Question 19

The Combitube airway:
I. may be inserted into the trachea
II. may be inserted into the esophagus
III. has two cuffs
IV. has two inflation ports

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 20

The most common type of airway obstruction is:

A) laryngeal obstruction
B) tracheal obstruction
C) foreign body obstruction
D) soft tissue obstruction

Question 21

If an endotracheal tube passed toxicity testing and has the marking IT, this means it was:

A) tested by implantation into human tissue
B) tested by implantation into rabbit muscle tissue
C) tested by cell culture
D) none of the above

Question 22

Once inserted, a Bivona foam cuffed endotracheal tube is:

A) inflated to 25 cmH₂O
B) capped
C) left open to the atmosphere
D) instilled with 5 mL of water

Question 23

If an endotracheal tube passed the Z-79 anesthesia committee testing for toxicity, it was:

A) tested by implantation into human tissue
B) tested by implantation into rabbit muscle tissue
C) tested by cell culture
D) none of the above

Question 24

An endotracheal tube that facilitates removal of secretions above the cuff is the:

A) nasal RAE tube
B) Carlens tube
C) Robertshaw endotracheal tube
D) Hi-Lo Evac endotracheal tube

Question 25

An adjunct that is helpful when removing an old endotracheal tube and replacing it with a new one is:

A) a stylette
B) a bronchoscope
C) a Robertshaw endotracheal tube
D) an endotracheal tube exchanger

Question 26

Examples of endobronchial endotracheal tubes include the:
I. nasal RAE tube
II. Carlens tube
III. Robertshaw endotracheal tube
IV. Hi-Lo Evac endotracheal tube

A) I and II
B) II and III
C) III and IV
D) II and IV

Question 27

An adjunctive device that helps to stiffen an endotracheal tube temporarily for insertion is:

A) the Miller blade
B) the Macintosh blade
C) Magill forceps
D) a stylette

Question 28

The Murphy eye on an endotracheal tube:

A) provides ventilation in the event the distal tip becomes obstructed
B) facilitates insertion by providing a direct line of sight
C) facilitates maintenance of low cuff pressures by relieving excess pressure in the cuff
D) facilitates secretion removal above the cuff of the endotracheal tube

Question 29

Which of the following adjunctive devices is designed to facilitate the removal of large amounts of secretions, blood, or vomitus?

A) Miller blade
B) Macintosh blade
C) stylette
D) Yankauer suction

Question 30

The purpose of the pilot line on an endotracheal tube is:

A) to guide the endotracheal tube into position
B) to facilitate insertion and removal of the tube
C) to enable it to be visualized on a chest X-ray
D) to conduct air to the cuff

Question 31

The Lanz endotracheal tube has an inner pilot balloon made of latex that:

A) facilitates insertion
B) will last longer for long-term mechanical ventilation
C) must be left open to the atmosphere once inserted
D) only exerts 16 to 18 cmH₂O

Question 32

An endotracheal tube that is designed to keep the ventilator/anesthesia circuit away from the patient's head is the:

A) nasal RAE tube
B) Carlens tube
C) Robertshaw endotracheal tube
D) Hi-Lo Evac endotracheal tube

Question 33

Which of the following devices may be most helpful when performing a difficult intubation?

A) Miller blade
B) Macintosh blade
C) Fiber-optic laryngeoscope
D) Magill blade

Question 34

An endotracheal tube that is designed to selectively enter the right or left main-stem bronchus is the:

A) nasal RAE tube
B) Carlens tube
C) Robertshaw endotracheal tube
D) Hi-Lo Evac endotracheal tube

Question 35

How is placement of an endotracheal tube confirmed prior to a chest X-ray?
I. end-tidal CO₂ monitoring
II. auscultation
III. chest wall expansion
IV. endotracheal tube markings at the teeth

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 36

Markings on an endotracheal tube include:
I. centimeter markings along the length of the tube
II. inside diameter in centimeters
III. toxicity testing
IV. a radiopaque line

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 37

Pressure exerted by an endotracheal tube's cuff should not exceed:

A) 10 cmH₂O
B) 15 cmH₂O
C) 20 cmH₂O
D) 25 cmH₂O

Question 38

A key to successful intubation without complications is:

A) to prepare and assemble equipment prior to use
B) to use one type of laryngeoscope only and become proficient with it
C) to only intubate orally since the vocal cords may be visualized
D) to use a fiber-optic laryngeoscope to better visualize the airway

Question 39

An endotracheal tube that is designed to minimize kinking is the:

A) nasal RAE tube
B) wire-reinforced endotracheal tube
C) Robertshaw endotracheal tube
D) Hi-Lo Evac endotracheal tube

Question 40

To facilitate visualization of an endotracheal tube on a chest X-ray, all endotracheal tubes have:

A) a Murphy eye
B) a pilot line
C) cm markings along the length of the tube
D) a radiopaque line

Question 41

Which of the following tracheostomy weaning devices has an IPPB adapter for positive pressure ventilation?

A) an Olympic Medical Trach-Talk
B) a Trach-Button
C) a Passy-Muir Valve
D) a fenestrated tracheostomy tube

Question 42

A type of suction catheter that allows ventilation during the suctioning process is:

A) the Argyle Aeroflow catheter
B) the Whistletip catheter
C) the Coudé tip catheter
D) the closed suction system catheter

Question 43

The King LTS-D^TM supragolottic airway:
I. may be inserted into the trachea
II. may be inserted into the esophagus
III. has two cuffs
IV. has two inflation ports

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 44

When using a mechanical manometer and a three-way stopcock to measure cuff pressure, first:
I. the stopcock must be turned toward the cuff's port
II. the system must be pressurized with a syringe to 18 cmH₂O
III. the stopcock must be rotated to the "off" position
IV. the three-way stopcock must be attached to the endotracheal tube's pilot line

A) I
B) I and II
C) I, III, and IV
D) III and IV

Question 45

Which of the following tracheostomy weaning devices are intended to be used with the cuff deflated?
I. an Olympic Medical Trach Button
II. a Trach-Button
III. a Passy-Muir Valve
IV. a fenestrated tracheostomy tube

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 46

A tracheostomy tube that is permanent and made of sterling silver is a:

A) fenestrated tracheostomy tube
B) Communitrach
C) Pitt speaking tube
D) Hollinger tracheostomy tube

Question 47

A technique where the cuff is inflated until no leak is heard during inspiration is termed minimal

A) leak technique
B) pressure technique
C) volume technique
D) occlusion volume technique

Question 48

An adjunct to suctioning that may be used for specimen collection is:

A) the Murphy eye
B) the Coudé collection system
C) the Lukens trap
D) none of the above

Question 49

The correct size of an oropharyngeal airway can be estimated by:

A) Measuring the distance from the corner of the mouth to the ear lobe
B) Measuring the distance from the tip of the nose to the ear lobe
C) Measuring the width of the mouth
D) Measuring the distance from the angle of the jaw to the larynx

Question 50

Which of the following are advantages of the diaphragm and duck bill resuscitation valves? They are sensitive to patient's inspiratory efforts.
They facilitate oxygen administration from the bag's reservoir.
They are capable of higher pressures.
They are less sensitive.

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 51

A type of tracheostomy tube that facilitates keeping the inner cannula patent is:

A) the cuffed disposable endotracheal tube
B) a fenestrated tracheostomy tube
C) one with disposable inner cannulas
D) a Hollinger tracheostomy tube

Question 52

You are using a three way stop cock and a manometer to measure cuff pressure. You added air to reach minimal occlusion volume, but you added too much. How do you remove air from the tube's cuff?

A) Squeeze the black bulb.
B) Remove the stop cock from the pilot line.
C) Press the red button.
D) Pull back on the syringe.

Question 53

A good rule of thumb when selecting a suction catheter for use in an artificial airway is to choose one that does not exceed:

A) 1/3 the inner diameter of the airway
B) 1/2 the inner diameter of the airway
C) 5/8 the inner diameter of the airway
D) 3/4 the inner diameter of the airway

Question 54

You are using a Posey Cufflator to measure cuff pressure. You added air to reach minimal occlusion volume, but you added too much. How do you remove air from the tube's cuff?

A) Squeeze the black bulb.
B) Remove the Cufflator from the pilot line.
C) Press the red button.
D) Pull back on the syringe.

Question 55

You are weaning a patient from a tracheostomy tube, and you wish to have access to the stoma for suctioning. What device might work best in this situation?

A) an aerosol "T" or Briggs adapter
B) a Trach-Button
C) a Passy-Muir Valve
D) a fenestrated tracheostomy tube

Question 56

A technique where the cuff is inflated until a slight leak is heard during inspiration is termed the minimal:

A) leak technique
B) pressure technique
C) volume technique
D) occlusion volume technique

Question 57

The King LTS-D^TM supragolttic airway:

A) is guided blindly with your fingers
B) must be placed using a laryngeoscope
C) must be placed using a bronchoscope to guide it
D) is inserted with the assistance of a tube exchanger

Question 58

A fenestrated tracheostomy tube is helpful when:

A) suctioning a patient
B) providing supplemental oxygen
C) placing a new tracheostomy tube
D) weaning from a tracheostomy tube

Question 59

Which of the following are indications for suctioning according to the American Association for Respiratory Care (AARC) Clinical Practice Guideline: Endotracheal Suctioning of Mechanically Ventilated Adults and Children with Artificial Airways?
I. coarse breath sounds
II. increased peak inspiratory pressures
III. inability to spontaneously cough
IV. the need to obtain a sputum specimen

A) I
B) I and II
C) I, II, and III
D) I, II, III, and IV

Question 60

You have an endotracheal tube that is in good position, but the cuff is leaking. What could you use to "salvage" the tube without replacing it?

A) a DHD Healthcare, Inc., Cuff-Mate 2
B) a Posey, Inc., Cufflator
C) a Respironics, Inc., PressureEasy
D) a syringe attached to the pilot line

Question 61

One way to reduce the threat of disease transmission when using manual resuscitators is:

A) ensure that they are autoclaved after every use
B) use disposable manual resuscitators
C) wear gloves during the procedure
D) none of the above

Question 62

Which of the following helps stiffen a tracheostomy tube to facilitate its initial insertion?

A) a stylette
B) Magill forceps
C) an obturator
D) a trocar

Question 63

The purpose of the ResQPOD is:

A) increase oxygen delivery
B) decrease CO₂ retention
C) decrease intrapleural pressures enhancing venous return
D) none of the above

Question 64

Which of the following may be used to determine endotracheal tube placement by detecting exhaled carbon dioxide? Capncheck II
Easy Cap
Nelcor Onyx
GlideScope

A) I
B) I and II
C) II and III
D) III and IV

Question 65

The GlideScope and King Vision^TM are examples of:

A) video laryngeoscopes
B) fiberoptic laryngeoscopes
C) conventional laryngeoscopes
D) rigid laryngeoscopes