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Fisdap Airway Practice Quiz with complete solution
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Fisdap Airway Practice Quiz with complete solution
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FisdapAirway
Practice
Quiz
A
75
y/o
F
complains
of
a
sudden
onset
of
right-sided
chest
pain
and
dyspnoea.
She
is
recovering
from
a
recent
hip
surgery.
What
should
you
suspect?
a.
hypotension
b.
pneumonia
c.
pulmonary
embolism
d.
myocardial
infarction
-
correct
answer-c.
pulmonary
embolism
Typically
the
result
of
a
clot
that
has
formed
in
a
lower
extremity
with
poor
circulation.
Hip
surgery
requires
a
pt
to
be
immobilised
for
an
extended
period
of
time
which
can
permit
a
clot
to
form
in
a
distal
portion
of
an
extremity.
The
sudden,
unilateral
chest
pain
in
the
lung
with
the
clot.
Any
lung
tissue
distal
of
the
clot
will
not
allow
for
adequate
O2
exchange.
An
18
y/o
M
is
cyanotic
and
complains
of
sharp
chest
pain
and
difficulty
breathing
(dyspnoea)
after
lifting
weights.
Vital
signs
are
BP
110/66,
P
88,
R22.
What
is
the
most
likely
cause?
a.
acute
myocardial
infarction
b.
tension
pneumothorax
c.
spontaneous
pneumothorax
d.
pulmonary
embolism
-
correct
answer-c.
spontaneous
pneumothorax
Performing
strenuous
activities
can,
on
occasion,
cause
a
collapsed
lung
(spontaneous
pneumothorax).
He
has
stable
vital
signs
so
you
should
suspect
a
spontaneous
pneumothorax.
If
he
had
been
hypotensive
(88/40),
you
should
suspect
that
the
spontaneous
pneumothorax
had
developed
into
a
tension
pneumothorax.
A
53
y/o
M
is
sleepy,
diaphoretic,
difficult
to
arouse,
and
breathing
8
times
a
minute.
What
should
you
suspect?
a.
respiratory
distress
b.
respiratory
alkalosis
c.
respiratory
arrest
d.
respiratory
failure
-
correct
answer-d.
respiratory
failure
This
rate
is
too
slow
and
the
fact
that
he
is
sleepy
and
difficult
to
arouse
shows
that
he
is
in
respiratory
failure.
An
adult
with
a
respiratory
rate
of
8
is
too
slow
for
adequate
gas
exchange.
What
are
the
small
sacs
at
the
end
of
the
airway
that
are
responsible
for
gas
exchange?
a.
bronchioles
b.
carina
c.
trachea d.
alveoli
-
correct
answer-d.
alveoli
The
use
of
accessory
muscles
and
nasal
flaring
are
signs
of
what
type
of
breathing?
a.
laboured
b.
obstructed
c.
normal
d.
shallow
-
correct
answer-a.
laboured
The
use
of
accessory
muscles
is
a
sign
of
respiratory
distress
or
failure.
Nasal
flaring
is
the
body's
response
in
effort
to
increase
the
size
of
the
airway
and
attempt
to
draw
in
more
air
with
each
breath.
Expect
to
initially
see
an
increased
respiratory
and
heart
rate
with
laboured
breathing.
As
the
pt
begins
to
tire,
the
respiratory
rate
and
quality
will
begin
to
decrease,
which
worsens
the
problem.
An
unresponsive
43
y/o
M
is
cool,
pale,
diaphoretic,
and
breathing
6
times
a
minute.
Which
device
should
you
use
to
administer
O2.
a.
BVM
b.
NRM
c.
simple
face
mask
d.
NC
-
correct
answer-a.
BVM
He
is
unresponsive
and
breathing
too
slow.
This
is
a
"sick"
pt
and
assisting
his
ventilations
should
be
the
first
intervention.
You
can
increase
his
respiratory
rate
with
a
BVM,
which
is
why
it
is
the
most
correct
choice.
An
alert
32
y/o
F
complains
of
difficulty
breathing.
She
speaks
in
2-3
word
sentences
and
has
an
O2
saturation
of
92%.
What
should
you
do?
a.
obtain
vital
signs
b.
apply
high-flow
oxygen
c.
assist
her
with
her
metred
dose
inhaler
d.
assist
ventilations
with
a
BVM
-
correct
answer-b.
apply
high-flow
oxygen
She
is
alert
and
her
respirations
are
still
effective
without
the
need
for
assisting
ventilations.
She
only
complains
of
SOB,
so
applying
high-flow
oxygen
should
be
the
first
treatment.
What
is
the
term
for
high-pitched
whistling
sounds
heard
during
expiration?
a.
snoring
b.
friction
rub
c.
stridor
d.
wheezing
-
correct
answer-d.
wheezing
Wheezing
suggests
there
is
a
lower
airway
obstruction
or
constriction.
Exhalation
is
a
passive
process,
and
the
wheezing
noise
is
air
passively
leaving
constricted
bronchioles.
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