ANZCA TEST QUESTIONS WITH 100%
CORRECT ANSWERS
What are the components of the airway assessment? - ANSWER History:
pathology that may effect airway (arthritis, burns, infection, tumour, head/neck
surgery)
Examination:
Mouth opening - 3 fingers
Neck motion - chin to chest then extend
Mallampati
Thyromental distance (3-4 fingers)_
What is the scoring system for mallampati? - ANSWER Class 1: Soft palate,
uvula and tonsillar pillars can be seen
Class 2: Soft palate and uvula seen (not tonsillar pillars)
Class 3: Only base of uvula seen
Class 4: Only tongue and hard palate seen
What scoring system is used for intubation? - ANSWER Cormack-Lehane -
grades the view seen with the laryngoscope
Grade 1: Full view of glottis + vocal aperture
Grade 2: Partial view of glottis
Grade 3: Only epiglottis seen, no glottis
Grade 4: Neither glottis nor epiglottis seen
Physiological changes in pregnancy? - ANSWER Resp:
- difficult + failed intubation due to vascular engorgement in upper airway
- increased risk of aspiration
- if apneoa occurs, the pregnancy person becomes hypoxic more quickly due to
increased oxygen consumption and FRC is decreased due to upward movement
of diaphragm
Minute ventilation increased by 150%
CORRECT ANSWERS
What are the components of the airway assessment? - ANSWER History:
pathology that may effect airway (arthritis, burns, infection, tumour, head/neck
surgery)
Examination:
Mouth opening - 3 fingers
Neck motion - chin to chest then extend
Mallampati
Thyromental distance (3-4 fingers)_
What is the scoring system for mallampati? - ANSWER Class 1: Soft palate,
uvula and tonsillar pillars can be seen
Class 2: Soft palate and uvula seen (not tonsillar pillars)
Class 3: Only base of uvula seen
Class 4: Only tongue and hard palate seen
What scoring system is used for intubation? - ANSWER Cormack-Lehane -
grades the view seen with the laryngoscope
Grade 1: Full view of glottis + vocal aperture
Grade 2: Partial view of glottis
Grade 3: Only epiglottis seen, no glottis
Grade 4: Neither glottis nor epiglottis seen
Physiological changes in pregnancy? - ANSWER Resp:
- difficult + failed intubation due to vascular engorgement in upper airway
- increased risk of aspiration
- if apneoa occurs, the pregnancy person becomes hypoxic more quickly due to
increased oxygen consumption and FRC is decreased due to upward movement
of diaphragm
Minute ventilation increased by 150%