Fisdap Airway Management Exam
Questions and Answers 100% Solved
Potential effects of orotracheal intubation. - ✔✔Secure airway, Protection
against aspiration. Bleeding, hypoxia laryngeal swelling, laryngospasms,
vocal cord, mucosal necrosis, barotrauma.
Potential effects of moving an intubated patient. - ✔✔With a firmly secured
tube the tip of the ET tube can move as much as 2 inches with head flexion
and extension; with hyperflexion the tube can be pulled from the trachea
completely. Hyperextension can cause the ET tube to be pushed further
into the trachea. Consider C-collar to keep the head in neutral position.
When to exubate a patient? - ✔✔Patients are rarely extubated in the
prehospital setting. The only reason to consider extubation is if the patient
is extremely intolerant of it or the ET tube is placed incorrectly. (Extremely
combative, gagging or retching). It is typically safer to sedate the patient
rather than extubate. Before performing field extubation, you should contact
medical control or follow local protocols.
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,Potential effects of overinflation of the distal cuff. - ✔✔Overinflation of the
distal cuff may cause tissue necrosis of the tracheal wall.
Indications for airway suctioning. - ✔✔When the patient's mouth or throat
becomes filled with vomit, blood or secretions. Audible gurgling.
Gold standard for successful intubation. - ✔✔The gold standard is
endotracheal intubation; Gold standard for evidence of successful
intubation is in-line capnography.
Indications for direct laryngoscopy and magill forceps. - ✔✔If you are
unable relieve a severe airway obstruction in an unresponsive patient with
basic techniques.
Have Magill forceps available should you need to guide the ET tube
between the vocal cords or if you encounter a foreign body obstruction
during laryngoscopy.
Potential complications of endotracheal intubation. - ✔✔Bleeding, hypoxia,
laryngeal swelling, laryngospasm, vocal cord damage, mucosal necrosis,
and barotrauma.
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, Anatomical place of a Miller blade. - ✔✔The straight laryngoscope blade
(Miller) is designed so that its tip will extend beneath the epiglottis and
directly lift it up.
Anatomical placement of a Macintosh blade. - ✔✔Curve of blade conforms
to tongue and pharynx. The tip of the blade is placed in the vallecula.
Indications for nasotracheal intubation. - ✔✔Nasotracheal intubation is
indicated for patients who are breathing spontaneously but require
definitive airway management to prevent further deterioration of their
condition. Responsive patients and patients with an altered mental status
and an intact gag reflex who are in respiratory failure because of conditions
such as COPD, asthma, or pulmonary edema.
Volume of the distal cuff of a endotracheal tube. - ✔✔5-10 mL
Correct tube placement confirmation. - ✔✔1. Visualizing the the ET tube
passing between the vocal cords.
2. Equal and bilateral lung sounds.
3. If the ET tube has been placed properly then it should be easy to
compress the bag-mask device, and you should see corresponding chest
expansion.
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Questions and Answers 100% Solved
Potential effects of orotracheal intubation. - ✔✔Secure airway, Protection
against aspiration. Bleeding, hypoxia laryngeal swelling, laryngospasms,
vocal cord, mucosal necrosis, barotrauma.
Potential effects of moving an intubated patient. - ✔✔With a firmly secured
tube the tip of the ET tube can move as much as 2 inches with head flexion
and extension; with hyperflexion the tube can be pulled from the trachea
completely. Hyperextension can cause the ET tube to be pushed further
into the trachea. Consider C-collar to keep the head in neutral position.
When to exubate a patient? - ✔✔Patients are rarely extubated in the
prehospital setting. The only reason to consider extubation is if the patient
is extremely intolerant of it or the ET tube is placed incorrectly. (Extremely
combative, gagging or retching). It is typically safer to sedate the patient
rather than extubate. Before performing field extubation, you should contact
medical control or follow local protocols.
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,Potential effects of overinflation of the distal cuff. - ✔✔Overinflation of the
distal cuff may cause tissue necrosis of the tracheal wall.
Indications for airway suctioning. - ✔✔When the patient's mouth or throat
becomes filled with vomit, blood or secretions. Audible gurgling.
Gold standard for successful intubation. - ✔✔The gold standard is
endotracheal intubation; Gold standard for evidence of successful
intubation is in-line capnography.
Indications for direct laryngoscopy and magill forceps. - ✔✔If you are
unable relieve a severe airway obstruction in an unresponsive patient with
basic techniques.
Have Magill forceps available should you need to guide the ET tube
between the vocal cords or if you encounter a foreign body obstruction
during laryngoscopy.
Potential complications of endotracheal intubation. - ✔✔Bleeding, hypoxia,
laryngeal swelling, laryngospasm, vocal cord damage, mucosal necrosis,
and barotrauma.
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, Anatomical place of a Miller blade. - ✔✔The straight laryngoscope blade
(Miller) is designed so that its tip will extend beneath the epiglottis and
directly lift it up.
Anatomical placement of a Macintosh blade. - ✔✔Curve of blade conforms
to tongue and pharynx. The tip of the blade is placed in the vallecula.
Indications for nasotracheal intubation. - ✔✔Nasotracheal intubation is
indicated for patients who are breathing spontaneously but require
definitive airway management to prevent further deterioration of their
condition. Responsive patients and patients with an altered mental status
and an intact gag reflex who are in respiratory failure because of conditions
such as COPD, asthma, or pulmonary edema.
Volume of the distal cuff of a endotracheal tube. - ✔✔5-10 mL
Correct tube placement confirmation. - ✔✔1. Visualizing the the ET tube
passing between the vocal cords.
2. Equal and bilateral lung sounds.
3. If the ET tube has been placed properly then it should be easy to
compress the bag-mask device, and you should see corresponding chest
expansion.
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
