CPR Advanced Airway Management 4

Question 1

A patient with epiglottitis presents in severe respiratory distress. Which airway intervention should be attempted first?

Accepted Answer

Bag-valve-mask ventilation and transport

Answer

In epiglottitis, attempts at intubation may provoke complete obstruction; BVM support and rapid transport to the OR with ENT and anesthesia available is preferred.

Question 2

During RSI, after administering succinylcholine you notice the patient develops masseter rigidity. This is most concerning for:

Accepted Answer

Malignant hyperthermia

Answer

Masseter muscle rigidity following succinylcholine is an early sign of malignant hyperthermia, a life-threatening hypermetabolic crisis.

Question 3

A video laryngoscope provides an improved view but the paramedic cannot advance the tube into the trachea. The most likely cause is:

Accepted Answer

The tube angle does not match the hyperangulated blade curve

Answer

Video laryngoscope blades are hyperangulated; the ETT requires a stylet bent to match that curve, otherwise the tube cannot follow the visual path.

Question 4

Which of the following correctly describes the Cormack-Lehane Grade III laryngoscopic view?

Accepted Answer

Only epiglottis visible, no glottis seen

Answer

Grade III view shows only the epiglottis with no glottic structures visible, indicating a difficult intubation requiring additional maneuvers.

Question 5

In a pediatric patient, the narrowest portion of the upper airway is located at the:

Accepted Answer

Subglottic cricoid cartilage

Answer

In children under 8 years, the subglottic cricoid ring is the anatomical narrowest point of the airway, unlike adults where the glottis is narrowest.

(CPR) Certified Paramedic Response Practice Test

(CPR) Certified Paramedic Response Practice Test

CPR Advanced Airway Management 4