Advanced airway, cardiac rhythm recognition, and medication administration concepts tested on paramedic certification exams.
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- What is the primary purpose of cricoid pressure (the Sellick maneuver) during intubation?
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To occlude the esophagus and reduce the risk of aspiration or regurgitation
- What is the gold standard method for confirming endotracheal tube placement?
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Waveform capnography
- Normal end-tidal CO2 (EtCO2) in a healthy adult is approximately ____ mmHg.
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35-45
- What does a sudden loss of the capnography waveform after intubation most likely indicate?
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Tube dislodgement, esophageal intubation, or loss of circulation
- What type of airway device is inserted blindly above the vocal cords without direct visualization?
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A supraglottic airway (e.g. King LT, i-gel, LMA)
- What does RSI stand for in airway management?
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Rapid Sequence Intubation
- What is the purpose of a bougie during intubation?
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To act as a guide or introducer for the ET tube when the glottic opening is hard to see
- The LEMON mnemonic is used to predict ____ risk before intubation.
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difficult airway
- Which induction agent is commonly used in RSI because it causes minimal cardiovascular disturbance?
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Etomidate
- Which RSI paralytic is contraindicated in patients with hyperkalemia or crush injury?
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Succinylcholine
- What anatomical landmark is used to perform a surgical cricothyrotomy?
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The cricothyroid membrane
- What is the BURP maneuver used for during intubation?
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Backward, Upward, Rightward Pressure on the larynx to improve the view of the glottis
- Which laryngoscope blade is inserted into the vallecula rather than lifting the epiglottis directly?
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The curved (Macintosh) blade
- Why is preoxygenation performed before attempting intubation?
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To extend the safe apnea time and delay the onset of hypoxia
- What is a key contraindication to nasotracheal intubation?
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Suspected facial or basilar skull fracture