EMT Basic Practice Exam Airway/Respiration/Ventilation Scored A
1 view 0 purchase
Course
EMT Basic
Institution
EMT Basic
Upon insertion of an oropharyngeal airway (OPA), the tip of the device should be positioned in what anatomical space?
a. Oropharynx
b. Nasopharynx
c. Hyperpharynx
d. Laryngopharynx - ANSWER Answer: D
The OPA works by lifting the base of the tongue off the posterior pharynx. With proper inser...
EMT Basic Practice Exam Airway/Respiration/Ventilation Scored A
Upon insertion of an oropharyngeal airway (OPA), the tip of the device should be positioned in what anatomical space?
a. Oropharynx
b. Nasopharynx
c. Hyperpharynx
d. Laryngopharynx - ANSWER Answer: D
The OPA works by lifting the base of the tongue off the posterior pharynx. With proper insertion, the tip should rest in the laryngopharynx so it can fully support the tongue.
The administration of a beta2-specific drug to a patient with respiratory distress is done to effect a change to what portion of the respiratory tree?
a. Alveoli
b. Vocal cords
c. Bronchioles
d. Mainstem bronchi - ANSWER Answer: C
A beta2-specific drug will relax smooth muscle, the kind that wraps the bronchioles of the lungs. This relaxation will allow better airflow to the alveoli for gas exchange.
Which of the following statements from the patient would BEST indicate severe difficulty
in breathing?
a. "I...can't...b-breathe."
b. "I feel like I'm breathing through a straw."
c. "I am struggling to catch my breath... real bad."
d. "I can't breathe regular 'cause my chest is hurting." - ANSWER Answer: A
A key ability of the EMT is to recognize the difference between adequate and inadequate breathing. A patient who can speak in full sentences (multiple words in one breath) is typically breathing adequately. A patient who cannot speak in full sentences (usually less than two to three words per breath) is not breathing adequately and will need oxygen (and probably PPV support).
Which of the following patients in most likely about to lose total airway patency, thereby requiring immediate intervention by the EMT?
a. A ninety-eight-year-old female with brain cancer who is confused
b. A fifty-two-year-old male who is intoxicated and has recurrent vomiting
c. A twenty-nine-year-old female in active labor who is complaining of severe pain
d. A sixty-eight-year-old male seizing with sonorous sounds heard with each breath - ANSWER Answer: D Airway potency us an absolute requirement for patient survival. An indication of partial upper airway occlusion is sonorous breath sounds (snoring). While the unresponsive female and intoxicated male may deteriorate more, as of yet they are not showing indications of partial airway occlusion. The active labor patient also does not show indications of acute airway deterioration.
Upon assessment of the patient's airway, you note significant gurgling with each breath.
What would be the next appropriate airway intervention the EMT should perform to eliminate this finding?
a. Head-tilt, chin-lift maneuver
b. Modified jaw-thrust maneuver
c. Oropharyngeal suctioning
d. Insertion of a nasopharyngeal airway - ANSWER Answer: C
The upper airway sound described as "gurgling" is secondary to fluid accumulation in the pharynx that has air passing through it while the patient breathes (think about blowing air through a straw in water). The only intervention listed that will remove the fluid from the airway is suctioning. The other interventions are appropriate if the TONGUE is blocking the airway (commonly this causes snoring sounds with each breath)
You are managing a female patient who has been in an auto accident and is now unresponsive. As you manage her airway, which of the following interventions would you likely NOT employ?
a. Insertion of an OPA
b. Upper airway suctioning
c. A modified jaw-thrust maneuver
d. Application of a head-tilt, chin-lift maneuver - ANSWER Answer: D
A patient who has potential c-spine trauma, such as this patient who was in an auto accident, should not have c-spine manipulation due to the possibility of spinal trauma. The insertion of an OPA, airway suctioning, and a jaw-thrust maneuver are all airway interventions that can be applied without cervical manipulation.
When sizing an OPA for insertion in a forty-eight-year-old male, which sizing technique is most appropriate?
a. You should measure the OPA from the tip of the nose to the angle of the jaw
b. You should measure the OPA from the center of the teeth to the angle of the jaw
c. The OPA should fit between the corner of the mouth and the angle of the jaw
d. The OPA should be large enough that the lips do not seal shut when it is properly inserted - ANSWER Answer: B
There are two measuring techniques for the OPA; either is appropriate. The first is to measure the OPA from the center of the mouth (center of the teeth) to the angle of the jaw. The other is to measure from the corner of the mouth to the earlobe on the same
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller papersbyjol. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
