FLIGHT PARAMEDIC ADVANCED AIRWAY MANAGEMENT
EXAM ACTUAL EXAM
1. The upper airway of an adult consists of all the structures above the:
A) carina.
B) bronchus.
C) glottis.
D) cricoid ring. - ANSWER: Ans: C
Complexity: Easy
Ahead: Review of Airway Anatomy
Subject: Chapter 15
Page: 776
Feedback: Review of Airway Anatomy, page 776
2. The ______________ is the lowest portion of the pharynx and opens into the
larynx anteriorly and the esophagus posteriorly.
A) oropharynx
B) nasopharynx
C) hyperpharynx
D) laryngopharynx - ANSWER: Ans: D
Complexity: Easy
Ahead: Review of Airway Anatomy
Subject: Chapter 15
Page: 776
Feedback: Review of Airway Anatomy, page 776
3. Anatomically, the ________ is directly anterior to the glottic opening.
A) thyroid gland
B) vallecular space
C) cricoid cartilage
D) thyroid cartilage - ANSWER: Ans: D
Complexity: Easy
Ahead: Review of Airway Anatomy
Subject: Chapter 15
Page: 776
Feedback: Review of Airway Anatomy, page 776
4. Paramedics must use extreme caution when accessing the airway via the
cricothyroid membrane because:
A) the cricothyroid membrane is highly vascular and tends to bleed profusely when it
is incised.
B) the cricothyroid membrane is bordered laterally and inferiorly by the highly
vascular thyroid gland.
C) cricothyrotomy is associated with a high incidence of inadvertent laceration of a
carotid artery.
,D) the thyroid cartilage is smaller than the cricoid cartilage and makes the
cricothyroid membrane difficult to locate. - ANSWER: Ans: B
Complexity: Moderate
Ahead: Review of Airway Anatomy
Subject: Chapter 15
Page: 777
Feedback: Review of Airway Anatomy, page 777
5. The ____________ are pyramid-like structures that form the posterior attachment
of the vocal cords.
A) palatine tonsils
B) piriform fossae
C) arytenoid cartilages
D) hypoepiglottic ligaments - ANSWER: Ans: C
Complexity: Easy
Ahead: Review of Airway Anatomy
Subject: Chapter 15
Page: 777
Feedback: Review of Airway Anatomy, page 777
6. Tenting of the skin under the jaw often occurs when airway devices are
inadvertently inserted into the:
A) piriform fossae.
B) vallecular space.
C) laryngopharynx.
D) hypopharyngeal space. - ANSWER: Ans: A
Complexity: Moderate
Ahead: Advanced Airway Management
Subject: Chapter 15
Page: 848
Feedback: Advanced Airway Management, page 848
7. Laryngospasm is defined as:
A) aspiration of foreign material.
B) spasmodic closure of the vocal cords.
C) voluntary closure of the glottic opening.
D) spontaneous collapsing of the trachea. - ANSWER: Ans: B
Complexity: Easy
Ahead: Airway Obstructions
Subject: Chapter 15
Page: 802
Feedback: Airway Obstructions, page 802
8. Atelectasis occurs when:
A) the alveoli are overinflated and rupture.
B) a deficiency of surfactant causes alveolar collapse.
C) deoxygenated blood diffuses across the alveoli.
,D) surface tension on the alveolar walls is decreased. - ANSWER: Ans: B
Complexity: Easy
Ahead: Continuous Positive Airway Pressure
Subject: Chapter 15
Page: 817
Feedback: Continuous Positive Airway Pressure, page 817
9. When a patient's respirations are too rapid and too shallow:
A) the majority of inhaled air lingers in areas of physiologic dead space.
B) inhaled air may only reach the anatomic dead space before being exhaled.
C) the increase in tidal volume will compensate for a rapid respiratory rate.
D) minute volume increases because a larger amount of air reaches the lungs. -
ANSWER: Ans: B
Complexity: Moderate
Ahead: Ventilatory Support
Subject: Chapter 15
Page: 811
Feedback: Ventilatory Support, page 811
10. The fraction of inspired oxygen (FIO2) increases with:
A) increased tidal volume.
B) forceful inhalation.
C) supplemental oxygen.
D) an increase in respirations. - ANSWER: Ans: C
Complexity: Easy
Ahead: Ventilation, Oxygenation, and Respiration
Subject: Chapter 15
Page: 777
Feedback: Ventilation, Oxygenation, and Respiration, page 777
11. The physical act of moving air into and out of the lungs is called:
A) respiration.
B) inhalation.
C) ventilation.
D) exhalation. - ANSWER: Ans: C
Complexity: Easy
Ahead: Ventilation, Oxygenation, and Respiration
Subject: Chapter 15
Page: 778
Feedback: Ventilation, Oxygenation, and Respiration, page 778
12. All of the following factors would increase a person's respiratory rate, EXCEPT:
A) narcotic analgesic use.
B) increased metabolism.
C) the use of amphetamines.
D) a rise in body temperature. - ANSWER: Ans: A
Complexity: Moderate
, Ahead: Pathophysiology of Respiration
Subject: Chapter 15
Pages: 779-780
Feedback: Pathophysiology of Respiration, pages 779-780
13. Negative pressure ventilation occurs when:
A) the diaphragm ascends and the intercostal muscles retract.
B) air is drawn into the lungs when intrathoracic pressure decreases.
C) pressure within the chest decreases and air is forced from the lungs.
D) the phrenic nerves stop sending messages to the diaphragm. - ANSWER: Ans: B
Complexity: Moderate
Ahead: Pathophysiology of Respiration
Subject: Chapter 15
Page: 781
Feedback: Pathophysiology of Respiration, page 781
14. In contrast to negative pressure ventilation, positive pressure ventilation occurs
when:
A) the diaphragm contracts.
B) air is drawn into the lungs.
C) intrathoracic pressure falls.
D) air is forced into the lungs. - ANSWER: Ans: D
Complexity: Easy
Ahead: Pathophysiology of Respiration
Subject: Chapter 15
Page: 781
Feedback: Pathophysiology of Respiration, page 781
15. The exchange of oxygen and carbon dioxide between the alveoli and the blood in
the pulmonary capillaries is called:
A) internal respiration.
B) external respiration.
C) pulmonary ventilation.
D) intrapulmonary shunting. - ANSWER: Ans: B
Complexity: Easy
Ahead: Pathophysiology of Respiration
Subject: Chapter 15
Pages: 781-782
Feedback: Pathophysiology of Respiration, pages 781-782
16. Which of the following statements regarding anemia is correct?
A) Anemia results in a decreased ability of the blood to carry oxygen.
B) Patients with anemia have a chronically low level of hemoglobin.
C) Anemia is a condition caused exclusively by a deficiency of iron.
D) Anemic patients typically present with flushed skin and bradycardia. - ANSWER:
Ans: A
Complexity: Moderate
EXAM ACTUAL EXAM
1. The upper airway of an adult consists of all the structures above the:
A) carina.
B) bronchus.
C) glottis.
D) cricoid ring. - ANSWER: Ans: C
Complexity: Easy
Ahead: Review of Airway Anatomy
Subject: Chapter 15
Page: 776
Feedback: Review of Airway Anatomy, page 776
2. The ______________ is the lowest portion of the pharynx and opens into the
larynx anteriorly and the esophagus posteriorly.
A) oropharynx
B) nasopharynx
C) hyperpharynx
D) laryngopharynx - ANSWER: Ans: D
Complexity: Easy
Ahead: Review of Airway Anatomy
Subject: Chapter 15
Page: 776
Feedback: Review of Airway Anatomy, page 776
3. Anatomically, the ________ is directly anterior to the glottic opening.
A) thyroid gland
B) vallecular space
C) cricoid cartilage
D) thyroid cartilage - ANSWER: Ans: D
Complexity: Easy
Ahead: Review of Airway Anatomy
Subject: Chapter 15
Page: 776
Feedback: Review of Airway Anatomy, page 776
4. Paramedics must use extreme caution when accessing the airway via the
cricothyroid membrane because:
A) the cricothyroid membrane is highly vascular and tends to bleed profusely when it
is incised.
B) the cricothyroid membrane is bordered laterally and inferiorly by the highly
vascular thyroid gland.
C) cricothyrotomy is associated with a high incidence of inadvertent laceration of a
carotid artery.
,D) the thyroid cartilage is smaller than the cricoid cartilage and makes the
cricothyroid membrane difficult to locate. - ANSWER: Ans: B
Complexity: Moderate
Ahead: Review of Airway Anatomy
Subject: Chapter 15
Page: 777
Feedback: Review of Airway Anatomy, page 777
5. The ____________ are pyramid-like structures that form the posterior attachment
of the vocal cords.
A) palatine tonsils
B) piriform fossae
C) arytenoid cartilages
D) hypoepiglottic ligaments - ANSWER: Ans: C
Complexity: Easy
Ahead: Review of Airway Anatomy
Subject: Chapter 15
Page: 777
Feedback: Review of Airway Anatomy, page 777
6. Tenting of the skin under the jaw often occurs when airway devices are
inadvertently inserted into the:
A) piriform fossae.
B) vallecular space.
C) laryngopharynx.
D) hypopharyngeal space. - ANSWER: Ans: A
Complexity: Moderate
Ahead: Advanced Airway Management
Subject: Chapter 15
Page: 848
Feedback: Advanced Airway Management, page 848
7. Laryngospasm is defined as:
A) aspiration of foreign material.
B) spasmodic closure of the vocal cords.
C) voluntary closure of the glottic opening.
D) spontaneous collapsing of the trachea. - ANSWER: Ans: B
Complexity: Easy
Ahead: Airway Obstructions
Subject: Chapter 15
Page: 802
Feedback: Airway Obstructions, page 802
8. Atelectasis occurs when:
A) the alveoli are overinflated and rupture.
B) a deficiency of surfactant causes alveolar collapse.
C) deoxygenated blood diffuses across the alveoli.
,D) surface tension on the alveolar walls is decreased. - ANSWER: Ans: B
Complexity: Easy
Ahead: Continuous Positive Airway Pressure
Subject: Chapter 15
Page: 817
Feedback: Continuous Positive Airway Pressure, page 817
9. When a patient's respirations are too rapid and too shallow:
A) the majority of inhaled air lingers in areas of physiologic dead space.
B) inhaled air may only reach the anatomic dead space before being exhaled.
C) the increase in tidal volume will compensate for a rapid respiratory rate.
D) minute volume increases because a larger amount of air reaches the lungs. -
ANSWER: Ans: B
Complexity: Moderate
Ahead: Ventilatory Support
Subject: Chapter 15
Page: 811
Feedback: Ventilatory Support, page 811
10. The fraction of inspired oxygen (FIO2) increases with:
A) increased tidal volume.
B) forceful inhalation.
C) supplemental oxygen.
D) an increase in respirations. - ANSWER: Ans: C
Complexity: Easy
Ahead: Ventilation, Oxygenation, and Respiration
Subject: Chapter 15
Page: 777
Feedback: Ventilation, Oxygenation, and Respiration, page 777
11. The physical act of moving air into and out of the lungs is called:
A) respiration.
B) inhalation.
C) ventilation.
D) exhalation. - ANSWER: Ans: C
Complexity: Easy
Ahead: Ventilation, Oxygenation, and Respiration
Subject: Chapter 15
Page: 778
Feedback: Ventilation, Oxygenation, and Respiration, page 778
12. All of the following factors would increase a person's respiratory rate, EXCEPT:
A) narcotic analgesic use.
B) increased metabolism.
C) the use of amphetamines.
D) a rise in body temperature. - ANSWER: Ans: A
Complexity: Moderate
, Ahead: Pathophysiology of Respiration
Subject: Chapter 15
Pages: 779-780
Feedback: Pathophysiology of Respiration, pages 779-780
13. Negative pressure ventilation occurs when:
A) the diaphragm ascends and the intercostal muscles retract.
B) air is drawn into the lungs when intrathoracic pressure decreases.
C) pressure within the chest decreases and air is forced from the lungs.
D) the phrenic nerves stop sending messages to the diaphragm. - ANSWER: Ans: B
Complexity: Moderate
Ahead: Pathophysiology of Respiration
Subject: Chapter 15
Page: 781
Feedback: Pathophysiology of Respiration, page 781
14. In contrast to negative pressure ventilation, positive pressure ventilation occurs
when:
A) the diaphragm contracts.
B) air is drawn into the lungs.
C) intrathoracic pressure falls.
D) air is forced into the lungs. - ANSWER: Ans: D
Complexity: Easy
Ahead: Pathophysiology of Respiration
Subject: Chapter 15
Page: 781
Feedback: Pathophysiology of Respiration, page 781
15. The exchange of oxygen and carbon dioxide between the alveoli and the blood in
the pulmonary capillaries is called:
A) internal respiration.
B) external respiration.
C) pulmonary ventilation.
D) intrapulmonary shunting. - ANSWER: Ans: B
Complexity: Easy
Ahead: Pathophysiology of Respiration
Subject: Chapter 15
Pages: 781-782
Feedback: Pathophysiology of Respiration, pages 781-782
16. Which of the following statements regarding anemia is correct?
A) Anemia results in a decreased ability of the blood to carry oxygen.
B) Patients with anemia have a chronically low level of hemoglobin.
C) Anemia is a condition caused exclusively by a deficiency of iron.
D) Anemic patients typically present with flushed skin and bradycardia. - ANSWER:
Ans: A
Complexity: Moderate
