Paramedics Exam Airway Management 5

Question 1

A patient in status epilepticus requires airway management. After establishing BVM ventilation, which RSI induction agent is MOST appropriate?

Accepted Answer

Ketamine

Answer

Ketamine provides induction, analgesia, and has anticonvulsant properties, making it particularly appropriate for seizure patients requiring RSI.

Question 2

After inserting an oropharyngeal airway (OPA), the patient begins to gag and vomit. What is the CORRECT action?

Accepted Answer

Remove the OPA immediately and place patient in recovery position

Answer

An OPA triggering a gag reflex indicates the patient has protective airway reflexes and the device should be removed to prevent aspiration.

Question 3

What is the PRIMARY advantage of using video laryngoscopy over direct laryngoscopy?

Accepted Answer

Improved glottic visualization without requiring direct line of sight

Answer

Video laryngoscopy provides a magnified, indirect view of the glottis on a screen, improving visualization especially in difficult airways.

Question 4

A patient has severe trismus from a seizure and cannot open the mouth. Which airway device is MOST appropriate?

Accepted Answer

Nasopharyngeal airway

Answer

A nasopharyngeal airway (NPA) can be inserted through the nose without requiring mouth opening, making it ideal when trismus prevents oral access.

Question 5

During BVM ventilation of a cardiac arrest patient, which rate is recommended for ventilation after an advanced airway is placed?

Accepted Answer

1 breath every 6 seconds (10/min)

Answer

Once an advanced airway is secured during CPR, ventilations should be delivered at 10 breaths/min (1 every 6 seconds) without pausing compressions.

Paramedics Exam Practice Test