Paramedics Exam Airway Management 3

Question 1

A combative patient requires RSI. After administering succinylcholine, you are unable to visualize the cords after two attempts. What is the next step?

Accepted Answer

Declare a failed airway and proceed per protocol (BVM then surgical airway)

Answer

After two failed intubation attempts, a failed airway algorithm should be activated, prioritizing oxygenation via BVM and preparing for surgical airway if needed.

Question 2

Which laryngoscope blade is preferred for a patient with a long, floppy epiglottis?

Accepted Answer

Miller (straight) blade

Answer

The Miller straight blade directly lifts the epiglottis, making it preferred when the epiglottis is long or floppy.

Question 3

What is the minimum oxygen saturation that should be maintained during intubation attempts?

Accepted Answer

90%

Answer

Pulse oximetry should not drop below 90% during intubation; if it does, stop and re-oxygenate with BVM before reattempting.

Question 4

A supraglottic airway device (e.g., King LT) is inserted but you are unable to achieve adequate ventilation. What should you check FIRST?

Accepted Answer

Cuff pressures and tube depth

Answer

Inadequate ventilation with a supraglottic airway most commonly results from improper depth or insufficiently inflated cuffs.

Question 5

Which medication used in RSI provides neuromuscular blockade with the LONGEST duration of action?

Accepted Answer

Vecuronium

Answer

Vecuronium is a non-depolarizing agent with a duration of 25-40 minutes, longer than rocuronium (30-60 min) and much longer than succinylcholine (8-12 min).

Paramedics Exam Practice Test

Paramedics Exam Practice Test

Paramedics Exam Airway Management 3