Page 1 of 21
FISDAP PARAMEDIC AIRWAY EXAM |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
Acetylcholine (ACh) - ✔✔✔ Correct Answer > Paralytic medications
function at the neromuscular junction and relax the muscle by
impeding the action of ACh.
Trachea - ✔✔✔ Correct Answer > AKA Windpipe, is the conduit for air
entry into the lungs. Approx 10-12 cm long, & consists of C-
Shaped Cartilaginous rings. Begins immediately below the
cricoid cartilage. Divides into the right and left mainstem bronchi
at the level of the Carina.
V/Q Mismatch - ✔✔✔ Correct Answer > Ventilation and perfusion must
be matched. A failure to match ventilation and perfusion, lies
behind most abnormalities in oxygen and carbon dioxide
exchange.
Mediastinum - ✔✔✔ Correct Answer > The space between the lungs
that contains, in addition to the trachea, the heart, great vessels,
and a portion of the esophagus. Main thing to know- the heart is
housed there.
,Page 2 of 21
Depolarizing Neuromuscular Blocker - ✔✔✔ Correct Answer >
Competitively binds with the ACh receptor sites but is not
affected as quickly by acetylcholinesterase. Therefore, it causes
depolarization of the muscle and prevents future signals for
depolarization from have an effect because all of ACh receptor
sites have been occupied. Very rapid onset (60-90 seconds) of
total paralysis and short duration of action (5-10 minutes).
Succinylcholine - ✔✔✔ Correct Answer > (Anectine): 1.15mg/kg via IV
push (initial dose); repeated doses can be given based on the pt's
clinical response. It is the only depolarizing neuromuscular
blocking agent. Because it causes depolarization, fasciculations
can be observed during its administration. Often used as a initial
paralytic. Should be used in caution with pt's that have burns,
crush injuries, and blunt trauma. Can cause bradycardia. *If you
administer this without administering a long-acting paralytic
(norcuron, pavulon), you will have to re-administer by IV bolus
every 5 minutes.
Fasciculations - ✔✔✔ Correct Answer > Brief, uncoordinated twitching
of small muscle groups in the face, neck, trunk and extremities.
Nondepolarizing Neuromuscular Blocking Agents - ✔✔✔ Correct
Answer > They also bind to ACh receptor sites: however, they do not
cause depolarization of the muscle fiber. When given in sufficient
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quantity, the amount of nondepolarizing medication exceeds the
amount of ACh in the synaptic cleft, and the critical threshold of
depolarization cannot be achieved. Longer duration of paralysis.
Multilumen Airway - ✔✔✔ Correct Answer > Inserted blindly and have
been clinically proven to secure the airway and allow for better
ventilation than a BVM or simple airway adjunct.
Contraindications for Multilumen airway - ✔✔✔ Correct Answer > If the
pt regains consciousness, the tube must be removed, none
should be used on children less than 16 years old, and should
only be used for Pt's between 5"-7".
CHF - ✔✔✔ Correct Answer > Right or left sided heart failure. Causes
pulm edema, nocturnal dyspnea, peripheral edema, a-Fibb, and
crackles (Rales).
Emphysema - ✔✔✔ Correct Answer > Destroys the walls of the alveoli,
and causes air trapping.
Asthma - ✔✔✔ Correct Answer > *Worst thing with asthma is when you
hear absent breath sounds, that means no air is moving!
Wheezing with asthma means that bronchoconstriction is
happening, but at least air is moving.
FISDAP PARAMEDIC AIRWAY EXAM |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
Acetylcholine (ACh) - ✔✔✔ Correct Answer > Paralytic medications
function at the neromuscular junction and relax the muscle by
impeding the action of ACh.
Trachea - ✔✔✔ Correct Answer > AKA Windpipe, is the conduit for air
entry into the lungs. Approx 10-12 cm long, & consists of C-
Shaped Cartilaginous rings. Begins immediately below the
cricoid cartilage. Divides into the right and left mainstem bronchi
at the level of the Carina.
V/Q Mismatch - ✔✔✔ Correct Answer > Ventilation and perfusion must
be matched. A failure to match ventilation and perfusion, lies
behind most abnormalities in oxygen and carbon dioxide
exchange.
Mediastinum - ✔✔✔ Correct Answer > The space between the lungs
that contains, in addition to the trachea, the heart, great vessels,
and a portion of the esophagus. Main thing to know- the heart is
housed there.
,Page 2 of 21
Depolarizing Neuromuscular Blocker - ✔✔✔ Correct Answer >
Competitively binds with the ACh receptor sites but is not
affected as quickly by acetylcholinesterase. Therefore, it causes
depolarization of the muscle and prevents future signals for
depolarization from have an effect because all of ACh receptor
sites have been occupied. Very rapid onset (60-90 seconds) of
total paralysis and short duration of action (5-10 minutes).
Succinylcholine - ✔✔✔ Correct Answer > (Anectine): 1.15mg/kg via IV
push (initial dose); repeated doses can be given based on the pt's
clinical response. It is the only depolarizing neuromuscular
blocking agent. Because it causes depolarization, fasciculations
can be observed during its administration. Often used as a initial
paralytic. Should be used in caution with pt's that have burns,
crush injuries, and blunt trauma. Can cause bradycardia. *If you
administer this without administering a long-acting paralytic
(norcuron, pavulon), you will have to re-administer by IV bolus
every 5 minutes.
Fasciculations - ✔✔✔ Correct Answer > Brief, uncoordinated twitching
of small muscle groups in the face, neck, trunk and extremities.
Nondepolarizing Neuromuscular Blocking Agents - ✔✔✔ Correct
Answer > They also bind to ACh receptor sites: however, they do not
cause depolarization of the muscle fiber. When given in sufficient
, Page 3 of 21
quantity, the amount of nondepolarizing medication exceeds the
amount of ACh in the synaptic cleft, and the critical threshold of
depolarization cannot be achieved. Longer duration of paralysis.
Multilumen Airway - ✔✔✔ Correct Answer > Inserted blindly and have
been clinically proven to secure the airway and allow for better
ventilation than a BVM or simple airway adjunct.
Contraindications for Multilumen airway - ✔✔✔ Correct Answer > If the
pt regains consciousness, the tube must be removed, none
should be used on children less than 16 years old, and should
only be used for Pt's between 5"-7".
CHF - ✔✔✔ Correct Answer > Right or left sided heart failure. Causes
pulm edema, nocturnal dyspnea, peripheral edema, a-Fibb, and
crackles (Rales).
Emphysema - ✔✔✔ Correct Answer > Destroys the walls of the alveoli,
and causes air trapping.
Asthma - ✔✔✔ Correct Answer > *Worst thing with asthma is when you
hear absent breath sounds, that means no air is moving!
Wheezing with asthma means that bronchoconstriction is
happening, but at least air is moving.