PALS Airway Management 2

Question 1

A 5-year-old child is semiconscious with an intact gag reflex requiring airway support. Which airway adjunct is most appropriate?

Accepted Answer

Nasopharyngeal airway (NPA)

Answer

The nasopharyngeal airway is better tolerated in patients with an intact gag reflex because it does not stimulate the posterior pharynx as readily as an OPA.

Question 2

What is the correct technique for inserting an oropharyngeal airway (OPA) in a young child, unlike the adult technique?

Accepted Answer

Insert with the concave side directed toward the tongue using a tongue blade

Answer

In pediatric patients, the OPA is inserted directly with the curve following the tongue using a tongue depressor to avoid injuring the delicate soft palate.

Question 3

Which of the following is a contraindication to inserting a nasopharyngeal airway (NPA) in a pediatric patient?

Accepted Answer

Suspected basilar skull fracture

Answer

Suspected basilar skull fracture is a contraindication to NPA insertion because of the risk of inadvertent intracranial placement through the fractured cribriform plate.

Question 4

Which formula is most commonly used to estimate uncuffed endotracheal tube size for a child older than 1 year?

Accepted Answer

(Age in years / 4) + 4

Answer

The formula (Age in years ÷ 4) + 4 provides a reliable estimate of uncuffed ET tube internal diameter in millimeters for children over 1 year old.

Question 5

How is a laryngeal mask airway (LMA) classified based on its anatomical position?

Accepted Answer

Supraglottic airway

Answer

The LMA sits above the glottis in the hypopharynx and is classified as a supraglottic airway, as it does not pass through the vocal cords.

PALS - Pediatric Advanced Life Support Practice Test

PALS - Pediatric Advanced Life Support Practice Test

PALS Airway Management 2