CPR - Certified Paramedic Response Advanced Airway Management Questions and Answers

Question 1

A paramedic is treating a 58-year-old male in cardiac arrest.
After endotracheal intubation, waveform capnography shows a persistent, flat waveform with an ETCO2 value of 0 mmHg despite effective chest compressions.
What is the MOST likely cause of this finding?

Accepted Answer

Esophageal intubation

Answer

Severe bronchoconstriction

Answer

The endotracheal tube is correctly placed in the trachea

Answer

Return of spontaneous circulation (ROSC)

Question 2

You are preparing for a Rapid Sequence Intubation (RSI) on a patient with a suspected head injury and increasing intracranial pressure. Which of the following induction agents is often preferred in this scenario due to its hemodynamic stability and potential for neuroprotection?

Accepted Answer

Etomidate

Answer

Propofol

Answer

Diazepam

Answer

Midazolam

Question 3

A 45-year-old female with massive facial trauma is unable to be ventilated with a bag-valve-mask, and multiple attempts at endotracheal intubation have failed. The patient is now hypoxic and bradycardic. What is the most appropriate next step in airway management?

Accepted Answer

Perform a surgical cricothyrotomy

Answer

Insert a supraglottic airway

Answer

Perform a needle cricothyrotomy

Answer

Attempt nasotracheal intubation

Question 4

Which of the following is considered the GOLD STANDARD for confirming correct endotracheal tube placement in a patient with a perfusing rhythm?

Accepted Answer

Continuous waveform capnography

Answer

Bilateral breath sounds on auscultation

Answer

Visualization of the tube passing through the vocal cords

Answer

Condensation in the endotracheal tube

Question 5

A paramedic is managing the airway of a patient in respiratory distress using a supraglottic airway (SGA) device. Which of the following is a known potential complication associated with the use of SGAs?

Accepted Answer

Inability to ventilate against high airway pressures

Answer

Decreased risk of aspiration compared to endotracheal intubation

Answer

Requirement for neuromuscular blockade for insertion

Answer

Guaranteed protection against laryngospasm

Question 6

During CPR on an intubated adult patient, the quantitative waveform capnography reading has been consistently between 8-12 mmHg. Suddenly, the reading jumps to 40 mmHg. What is the most likely interpretation of this change?

Accepted Answer

Return of Spontaneous Circulation (ROSC) has occurred

Answer

The quality of chest compressions has significantly improved

Answer

The endotracheal tube has been displaced into the esophagus

Answer

The patient is developing severe acidosis

A paramedic is treating a 58-year-old male in cardiac arrest.After endotracheal intubation, waveform capnography shows a persistent, flat waveform with an ETCO2 value of 0 mmHg despite effective chest compressions.What is the MOST likely cause of this finding?

A paramedic is treating a 58-year-old male in cardiac arrest.
After endotracheal intubation, waveform capnography shows a persistent, flat waveform with an ETCO2 value of 0 mmHg despite effective chest compressions.
What is the MOST likely cause of this finding?