ACLS Airway Management & Ventilation 3

Question 1

What is the BURP maneuver and when is it used during direct laryngoscopy?

Accepted Answer

Backward-Upward-Rightward Pressure on the larynx to improve glottic visualization

Answer

Bilateral Upward Rib Press to improve lung compliance

Answer

Backward Upper-airway Repositioning Protocol to open the vallecula

Answer

Bimanual Upward Release Procedure to reduce laryngospasm

Question 2

During 2-person bag-mask ventilation, what is the role of the second rescuer?

Accepted Answer

Use both hands to maintain a proper mask seal while the first rescuer squeezes the bag

Answer

Monitor the cardiac rhythm on the defibrillator

Answer

Prepare intubation equipment for the next step

Answer

Perform chest compressions simultaneously

Question 3

What is the primary advantage of video laryngoscopy over direct laryngoscopy in ACLS?

Accepted Answer

It provides an improved indirect view of the glottis, particularly in difficult airways

Answer

It is less expensive and more available

Answer

It requires less training to achieve competence

Answer

It eliminates the need for a stylet in all patients

Question 4

When waveform capnography is unavailable, what is the next best method to confirm ETT placement?

Accepted Answer

Colorimetric CO2 detector

Answer

Bilateral chest auscultation alone

Answer

Chest X-ray

Answer

Pulse oximetry

Question 5

After ROSC, what is the recommended ventilation rate and PaCO2 target for post-cardiac arrest care?

Accepted Answer

10-12 breaths/min targeting normocapnia (PaCO2 35-45 mmHg)

Answer

20-25 breaths/min targeting PaCO2 25-30 mmHg

Answer

6 breaths/min targeting PaCO2 50-55 mmHg

Answer

15 breaths/min targeting PaCO2 30-35 mmHg

Question 6

Why does a drowning victim typically require higher ventilation pressures during ACLS resuscitation?

Accepted Answer

Decreased lung compliance from fluid-filled alveoli and pulmonary edema

Answer

Increased chest wall compliance due to muscle relaxation

Answer

Bronchodilation from water exposure

Answer

Unchanged compliance compared to standard cardiac arrest

Question 7

What is the recommended post-ROSC oxygen saturation target to avoid both hypoxia and hyperoxia?

Accepted Answer

94-99%

Answer

85-90%

Answer

Greater than 99% at all times

Answer

80-85% to minimize oxygen toxicity