Demo Test

1. You are intubating a female patient with assistance from your partner Rudy. After inserting the ET tube and inflating the cuff Rudy auscultates and finds breath sounds in the right lung only. This is a sign for you to?

Pull back on the tube slightly with the stylet

Continue ventilating as one lung is better than none

Deflate the cuff and insert it another .5 inch

Deflate the cuff and retract the tube about a half inch

2. You are assisting your partner who is preparing to intubate a 79 year old woman. You are managing the BVM and begin ventilating and preoxygenating the patient at what rate?

21 breaths a minute for 1 minute

12-18 breaths a minute for 2-3 minutes

12-20 breaths a minute for 1-2 minutes

15 breaths a minute for 4 minutes

3. You arrive on scene to find a man in his 20's lying in a pool of vomit. You can see that he is breathing at about 16 breaths per minute and the depth of respiration is adequate. He has a small laceration on his forehead. You try getting a response by calling "Hey man can you hear me?" but he does not answer. Your partner gives him a quick sternal rub and his eyes pop open along with a whimper under his breath and then they close again. You ask him to perform several motor functions but he does not comply. He does not answer any of your questions. This man has a GCS of what?

14

9

4

7

4. You and your partner Amy arrive on scene to find a woman with hives over much of her body. She is wheezing and complaining of difficulty breathing. Her husband says she was stung by a hornet and has no prior history of allergies. What would be the best course of action?

Use an autoinject epinephrine pen and administer to the patient's thigh. Obtain signed transport refusal.

Make sure blood pressure is above 100 mmHg and inject her with epinephrine 1/1000.

Get her BP, pulse, and respirations and then inject her with epinephrine only if her vitals are within normal limits.

High flow O₂ and rapid transportation if the patient appears to be going into anaphylaxis.

5. If someone is having breathing problems as a result of atelectasis...

They have a serious respiratory infection that is best treated with antibiotics

Initial treatment should include high flow O2, IV fluid bolus, and rapid transport

They have a serious cardiac condition that needs to be corrected immediately

The alveoli are collapsed as a result of inadequate surfactant

6. Your patient is an 18 month old boy who, as reported by his mother, is "acting strange". You arrive to find the child reclined in his mother's arms. "I don't know what's wrong with him," she says. "I came out of the bathroom and he started making odd sounds and had spit running out of his mouth." What is the first thing you should do?

Roll the child into a recovery position and begin suctioning the oropharynx.

Notify the pediatric ward at the hospital of the situation and do a rapid transport with high flow O2 via NRB.

Insert a properly measured OPA to secure the airway. Pad the child's shoulders to align the airway.

Get a general impression of the child by visually assessing the quality of his respirations, his skin color, and his appearance.

7. A respiration rate would be considered within normal limits for an adult at____ per minute, for a 6-12 year old child at ____ per minute, and for an infant at____ per minute.

22 - 32 - 42

16 - 25 - 40

20 - 40 - 60

10 - 20 - 40

8. Because Epinephrine can be deactivated by alkaline solutions, it should not be mixed with?

Cardizem

Dextrose

Etomidate

Sodium Bicarbonate

9. Which of the following is false regarding the use of isoproterenol?

Isoproterenol can cause ventricular irritability

Isoproterenol is perpetuated by alkaline solutions

External pacing should be considered before the use of isoproterenol

Isoproterenol should be used with caution for patients with recent MI

10. The correct initial dosage for Racemic Epinephrine for a pediatric patient with croup experiencing stridor at rest is?

0.25 ml

1.0 ml

0.5 mg/kg

5 mg

Airway, Respiration and Ventilation: