FANZCA Airway Management and Techniques 2

Question 1

Which of the following is the MOST important pre-operative assessment finding that predicts a difficult bag-mask ventilation?

Accepted Answer

Presence of a beard

Answer

Mallampati Class III

Answer

Limited mouth opening less than 3 cm

Answer

Body mass index greater than 35 kg/m²

Question 2

The intubating laryngeal mask airway (ILMA/Fastrach) is designed to facilitate blind intubation. What is the recommended maximum number of intubation attempts through the ILMA?

Accepted Answer

3 attempts

Answer

1 attempt

Answer

2 attempts

Answer

4 attempts

Question 3

During nasotracheal intubation, at which turbinate level should the tube be directed to minimise the risk of bleeding?

Accepted Answer

Along the floor of the nasal cavity below the inferior turbinate

Answer

Superior turbinate

Answer

Middle turbinate

Answer

Through the middle meatus

Question 4

When using a supraglottic airway device (SAD) such as the ProSeal LMA, what is the maximum recommended airway leak pressure (oropharyngeal leak pressure) that indicates adequate positioning?

Accepted Answer

25 cmH2O

Answer

10 cmH2O

Answer

20 cmH2O

Answer

30 cmH2O

Question 5

Awake fibreoptic intubation (AFOI) is considered the technique of choice in which of the following clinical scenarios?

Accepted Answer

Adult patient with known difficult airway and full stomach

Answer

Paediatric patient with a foreign body airway obstruction

Answer

Pregnant patient at 28 weeks for elective Caesarean section

Answer

Patient with anaphylaxis and angioedema

Question 6

The 'cannot intubate, can oxygenate' scenario is best managed initially by which of the following?

Accepted Answer

Insertion of a supraglottic airway device and considering surgical options

Answer

Immediate front-of-neck access

Answer

Waking the patient up and rescheduling surgery

Answer

Repeated direct laryngoscopy attempts with different blades

Question 7

What is the purpose of applying back, upward, right-sided pressure (BURP) during direct laryngoscopy?

Accepted Answer

To improve the laryngoscopic view by repositioning the larynx

Answer

To reduce the risk of oesophageal intubation

Answer

To prevent passive regurgitation during intubation

Answer

To facilitate passage of the tube past the arytenoids