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FISDAP Airway Management: 100 Exam Questions & Answers
Section 1: Anatomy and Physiology
1. Q: What is the primary muscle of ventilation?
A: Diaphragm
B: Intercostal muscles
C: Sternocleidomastoid
D: Abdominal muscles
Explanation: The diaphragm is the primary muscle responsible for inhalation. When it
contracts, it flattens and increases thoracic volume, drawing air into the lungs.
2. Q: The structure that separates the oropharynx from the nasopharynx is the:
A: Uvula
B: Epiglottis
C: Hard palate
D: Soft palate
Explanation: The soft palate is the muscular posterior portion of the roof of the mouth. It
elevates during swallowing to close off the nasopharynx.
3. Q: The vocal cords are located within the:
A: Trachea
B: Laryngopharynx
C: Larynx
D: Cricoid cartilage
Explanation: The vocal cords (folds) are housed in the larynx, or voice box, which is
located between the pharynx and the trachea.
4. Q: The "Adam's apple" is a prominent landmark of which cartilage?
A: Cricoid cartilage
, B: Arytenoid cartilage
C: Thyroid cartilage
D: Epiglottic cartilage
Explanation: The thyroid cartilage is the largest cartilage of the larynx. Its anterior
prominence is commonly referred to as the Adam's apple.
5. Q: Which structure is MOST likely to cause airway obstruction in an unresponsive
patient?
A: Epiglottis
B: Tongue
C: Uvula
D: Vocal cords
Explanation: Loss of muscle tone in an unresponsive patient allows the tongue to fall
back and occlude the posterior pharynx, which is the most common cause of airway
obstruction.
6. Q: The point at which the trachea bifurcates into the right and left mainstem bronchi is
called the:
A: Carina
B: Bronchioles
C: Vallecula
D: Alveolar duct
Explanation: The carina is the ridge at the base of the trachea where it splits into the two
primary bronchi. It is a highly sensitive area that can trigger coughing.
7. Q: Gas exchange in the lungs occurs at the level of the:
A: Terminal bronchioles
B: Alveoli
C: Pleural space
D: Primary bronchi
Explanation: The alveoli are tiny, thin-walled sacs surrounded by capillaries where the
actual exchange of oxygen and carbon dioxide takes place.
8. Q: What is the normal tidal volume for an average adult?
A: 100 mL
B: 500 mL
C: 1000 mL
D: 3000 mL
, Explanation: Tidal volume is the amount of air moved in or out of the lungs during a
normal breath. The average for an adult is approximately 500 mL.
9. Q: The pressure in the pleural space is normally:
A: Equal to atmospheric pressure
B: Positive
C: Negative
D: Variable
Explanation: Intrapleural pressure is normally negative (subatmospheric). This negative
pressure keeps the lungs inflated against the chest wall.
10. Q: Hypoxic drive is a backup mechanism for patients with chronic:
A: Asthma
B: Pulmonary embolism
C: Chronic Obstructive Pulmonary Disease (COPD)
D: Pneumonia
Explanation: In some patients with severe, chronic COPD, chronically elevated CO2 levels
make the body rely primarily on low oxygen levels (hypoxia) to stimulate breathing.
Section 2: Airway Assessment
11. Q: A patient who is awake and can speak in full sentences has what kind of airway?
A: Compromised
B: Patent
C: Obstructed
D: Unmaintainable
Explanation: The ability to speak in full sentences without distress is a clear indicator of a
patent (open and clear) airway.
12. Q: Snoring respirations in an unresponsive patient are most indicative of:
A: Lower airway obstruction
B: Partial upper airway obstruction by the tongue
C: Bronchoconstriction
D: Pulmonary edema
Explanation: Snoring (sonorous) sounds are caused by turbulent air moving past a partial
obstruction, most commonly the relaxed tongue and soft tissues in the upper airway.
13. Q: Stridor is a high-pitched, inspiratory sound that suggests:
A: Lower airway fluid
B: Upper airway obstruction
, C: Alveolar collapse
D: Bronchospasm
Explanation: Stridor is a harsh, high-pitched sound heard on inspiration, indicating a
partial obstruction at or above the level of the larynx (e.g., croup, foreign body, swelling).
14. Q: Wheezing is typically associated with:
A: Pneumonia
B: Lower airway narrowing/bronchospasm
C: Pulmonary embolism
D: Pleural effusion
Explanation: Wheezing is a high-pitched, musical sound heard primarily on expiration,
caused by the narrowing of the smaller airways (bronchioles), as seen in asthma or
COPD.
15. Q: Gurgling respirations indicate the presence of:
A: Blood
B: Vomit
C: Secretions
D: Any liquid in the upper airway
Explanation: Gurgling is a bubbling sound that signifies fluid (blood, vomit, saliva) in the
upper airway. It requires immediate suctioning.
16. Q: In airway assessment, the "Look, Listen, Feel" approach includes feeling for:
A: Chest symmetry
B: Air movement at the nose and mouth
C: Tracheal position
D: All of the above
Explanation: "Feel" primarily refers to feeling for the flow of air from the patient's nose
and mouth. Assessing chest rise and fall and tracheal position are also part of a
comprehensive assessment.
17. Q: A patient with severe shortness of breath is sitting upright, leaning forward on their
hands. This position is known as:
A: Orthopnea
B: Tripodding
C: Kyphosis
D: Prone positioning
Explanation: The tripod position (leaning forward with arms braced) helps maximize
thoracic volume and use of accessory muscles, commonly seen in severe asthma or
COPD.