FISDAP Airway Management 4

Question 1

A patient is found with snoring respirations, GCS of 8, and no trauma. The FIRST airway intervention should be:

Accepted Answer

Nasopharyngeal airway insertion

Answer

An NPA is a quick, minimally stimulating airway adjunct that relieves soft-tissue obstruction in a semiconscious patient.

Question 2

Which of the following is a contraindication to nasopharyngeal airway (NPA) insertion?

Accepted Answer

Suspected basilar skull fracture

Answer

A suspected basilar skull fracture is a contraindication to NPA insertion due to the risk of intracranial tube passage.

Question 3

When using a video laryngoscope, which advantage does it provide over direct laryngoscopy?

Accepted Answer

It provides a camera view without requiring direct line of sight

Answer

Video laryngoscopy uses a camera to display the glottis on a screen, improving visualization without requiring a direct line of sight.

Question 4

A 70 kg adult patient is being ventilated with a BVM. What is the appropriate tidal volume to deliver?

Accepted Answer

500–600 mL

Answer

Current guidelines recommend 500–600 mL (6–8 mL/kg) tidal volumes to prevent barotrauma during BVM ventilation.

Question 5

The Combitube (esophageal-tracheal double lumen airway) is designed so that ventilation is effective regardless of tube placement because:

Accepted Answer

It has two lumens and two cuffs allowing ventilation whether placed in the esophagus or trachea

Answer

The Combitube has two lumens and two inflatable cuffs; the correct lumen is used based on where the tube lands — esophagus (most common) or trachea.

(FISDAP) Field Internship Student Data Acquisition Project Practice Test