NCCAA Certification Exam Practice Latest 2026/2027
Questions and Correct Detailed Answers Already
Graded A+
What is the major motor nerve for the intrinsic muscles of the larynx? -
CORRECT ANSWER-Recurrent Laryngeal Nerve
A 75F ASA 4 presents for a CABG. Hx of COPD, HTN, CAD/MI, IDDM, PVD. After
induction of general anesthesia your initial attempt at intubation is unsuccessful.
You change your blade to a miller and reposition the airway; your next attempt at
intubation is unsuccessful. According to the ASA Difficult Airway algorithm, what
should your next step be?
A.Call for help
B.Place an LMA
C.Return to mask ventilation
D.Attempt a 3rd intubation - CORRECT ANSWER-A. Call for help
You are helping in the ER due to a natural gas explosion in the area. You are
helping with triage. Your patient is an 18F with no pertinent medical history. She
has minor surface burns on her hands, and her chief complaint is singed nasal
,hairs and eyebrows. She is able to answer all your questions and her vitals are
124/86, 95% on 3L nasal cannula. What is your plan? - CORRECT ANSWER-
Sedate and intubate
What is the most reliable indicator of tracheal intubation - CORRECT ANSWER-
Sustained ETCO2 waveform
Jet ventilation is absolutely contraindicated if: - CORRECT ANSWER-There is
damage to the cricoid or larynx
Rheumatoid arthritis with immune mediated pulmonary involvement causing
fibrosis scarring is best classified as what type of respiratory disease? -
CORRECT ANSWER-Restrictive
During a laparoscopic cholecystectomy on a 45F 90kg with no PMH, the following
medications were given at induction:
100mcg Fentanyl
100mg Lidocaine
200mg Propofol
25mg Atracurium
,As the surgical team was draping you observe a 40% drop in BP, increased peak
airway pressures (>35cm H2O), and decreased delivery of tidal volumes. What is
the most likely complication? And what is the appropriate treatment for the
scenario above? - CORRECT ANSWER-Bronchospasm due to a histamine
release.
Deepen anesthetic and utilize B agonist
during a right TKR for an 83F 60kg with PMH including HTN, CAD, DVT,m NIDDM,
and asthma, the patient has been stable throughout the procedure. She has
received a total of 100mcg Fentanyl in addition to the Perioperative spinal block.
You notice a dramatic decrease in ETCO2 and increased HR. The cycled NIBP
reveals a BP of 65/23. What is causing the hemodynamic changes?
A) Pulmonary embolism
B) Kinked ETT
C) Return of spontaneous ventilation
D) Breathing circuit disconnect - CORRECT ANSWER-A) pulmonary embolism
During a right TKR of a 83F, your patient manifests signs of a pulmonary
embolism. What is the most appropriate treatment?
A) 100mcg Phenylephrine
B) 20mg Furosemide
, C) 10mcg Epinephrine
D) 2mcg/kg/min NTG - CORRECT ANSWER-C) 10mcg Epinephrine
A 34M 70kg presents for a right throacotomy for a tumor resection. The surgeon
requests that one lung ventilation be utilized to assist his surgical visualization.
What size DLT would you prefer? - CORRECT ANSWER-39 French
Ventilation perfusion mismatch is improved by providing CPAP to which lung? -
CORRECT ANSWER-Non-dependent lung
A PaO2/FiO2 < 200 is a marker for what pathophysiological condition?
A.ALI
B.ARDS
C.Both
D.Neither - CORRECT ANSWER-B. ARDS
Nasal intubation is contraindicated in which skull fractures? - CORRECT
ANSWER-Le Fort II and III
Questions and Correct Detailed Answers Already
Graded A+
What is the major motor nerve for the intrinsic muscles of the larynx? -
CORRECT ANSWER-Recurrent Laryngeal Nerve
A 75F ASA 4 presents for a CABG. Hx of COPD, HTN, CAD/MI, IDDM, PVD. After
induction of general anesthesia your initial attempt at intubation is unsuccessful.
You change your blade to a miller and reposition the airway; your next attempt at
intubation is unsuccessful. According to the ASA Difficult Airway algorithm, what
should your next step be?
A.Call for help
B.Place an LMA
C.Return to mask ventilation
D.Attempt a 3rd intubation - CORRECT ANSWER-A. Call for help
You are helping in the ER due to a natural gas explosion in the area. You are
helping with triage. Your patient is an 18F with no pertinent medical history. She
has minor surface burns on her hands, and her chief complaint is singed nasal
,hairs and eyebrows. She is able to answer all your questions and her vitals are
124/86, 95% on 3L nasal cannula. What is your plan? - CORRECT ANSWER-
Sedate and intubate
What is the most reliable indicator of tracheal intubation - CORRECT ANSWER-
Sustained ETCO2 waveform
Jet ventilation is absolutely contraindicated if: - CORRECT ANSWER-There is
damage to the cricoid or larynx
Rheumatoid arthritis with immune mediated pulmonary involvement causing
fibrosis scarring is best classified as what type of respiratory disease? -
CORRECT ANSWER-Restrictive
During a laparoscopic cholecystectomy on a 45F 90kg with no PMH, the following
medications were given at induction:
100mcg Fentanyl
100mg Lidocaine
200mg Propofol
25mg Atracurium
,As the surgical team was draping you observe a 40% drop in BP, increased peak
airway pressures (>35cm H2O), and decreased delivery of tidal volumes. What is
the most likely complication? And what is the appropriate treatment for the
scenario above? - CORRECT ANSWER-Bronchospasm due to a histamine
release.
Deepen anesthetic and utilize B agonist
during a right TKR for an 83F 60kg with PMH including HTN, CAD, DVT,m NIDDM,
and asthma, the patient has been stable throughout the procedure. She has
received a total of 100mcg Fentanyl in addition to the Perioperative spinal block.
You notice a dramatic decrease in ETCO2 and increased HR. The cycled NIBP
reveals a BP of 65/23. What is causing the hemodynamic changes?
A) Pulmonary embolism
B) Kinked ETT
C) Return of spontaneous ventilation
D) Breathing circuit disconnect - CORRECT ANSWER-A) pulmonary embolism
During a right TKR of a 83F, your patient manifests signs of a pulmonary
embolism. What is the most appropriate treatment?
A) 100mcg Phenylephrine
B) 20mg Furosemide
, C) 10mcg Epinephrine
D) 2mcg/kg/min NTG - CORRECT ANSWER-C) 10mcg Epinephrine
A 34M 70kg presents for a right throacotomy for a tumor resection. The surgeon
requests that one lung ventilation be utilized to assist his surgical visualization.
What size DLT would you prefer? - CORRECT ANSWER-39 French
Ventilation perfusion mismatch is improved by providing CPAP to which lung? -
CORRECT ANSWER-Non-dependent lung
A PaO2/FiO2 < 200 is a marker for what pathophysiological condition?
A.ALI
B.ARDS
C.Both
D.Neither - CORRECT ANSWER-B. ARDS
Nasal intubation is contraindicated in which skull fractures? - CORRECT
ANSWER-Le Fort II and III
