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Module 2

Multiple Choice
Identify the choice that best completes the statement or answers the question.
 

 1. 
Which of the following is a transitional structure between the upper and lower airways?
a.
 Larynx
b.
 Pharynx
c.
 Cricothyroid membrane
d.
 Trachea
 

 2. 
A severely asthmatic patient is in respiratory distress. You arrive on scene and perform you initial assessment. Which of the following oxygen devices would be most appropriate for use in this case?
a.
 Nasal cannula at 2 liters per minute
b.
 Nasal cannula at 10 liters per minute
c.
 Nonrebreather mask at 15 liters per minute
d.
 Nonrebreather mask at 6 liters per minute
 

 3. 
You are about to suction an adult who has secretions in his mouth. Which one of the following is an accurate statement?
a.
 The catheter may be inserted blindly.
b.
 A soft catheter may be inserted past the base of the tongue.
c.
 The distance a catheter can be inserted equals the distance from the tip of the nose to the top of the ear.
d.
 The suction unit is activated when the catheter enters the mouth.
 

 4. 
Which of the following is the correct term for the muscle that separates the abdominal cavity from the chest cavity?
a.
 Diaphragm
b.
 Intercostal muscle
c.
 Ribs
d.
 Spinal muscle
 

 5. 
You arrive on scene, where you find a 44-year-old male who is unresponsive. He has a history of severe cardiac disease. You make sure that the scene is safe; what is the next most important step?
a.
 Lift the chin gently upward and tilt the head back.
b.
 Immobilize the cervical spine.
c.
 Apply oxygen.
d.
 Apply the automatic external defibrillator (AED).
 

 6. 
You decide to insert a nasopharyngeal airway into a patient. Which of the following is an accurate statement?
a.
 If resistance is met, apply more force.
b.
 Before insertion, coat the device with a water-soluble lubricant.
c.
 Place the bevel away from the septum.
d.
 Measurement is not necessary.
 

 7. 
You arrive on scene to find a patient whose chief complaint is difficulty breathing. He is speaking in two-word phrases, and he shows increased work of breathing. Which of the following best describes his breathing?
a.
 Apnea
b.
 Inadequate breathing
c.
 Adequate breathing
d.
 Normal breathing
 

 8. 
You are on scene with a 33-year-old male who was in a serious car accident. You are attempting to ventilate the patient but are having trouble keeping the airway open. Which of the following is an accurate statement in the care of this patient?
a.
 The oral airway should be placed upside down and rotated 180 degrees.
b.
 If the patient is conscious, an oral airway should be used.
c.
 The flange of an oral airway should rest 1 inch above the teeth.
d.
 If no gag reflex is present, a nasopharyngeal airway should be used.
 

 9. 
You are off duty and notice a crowd around a person who is not breathing. You have your pocket mask. Which of the following is accurate about this mask and its proper use?
a.
 One hand should be used to form a seal around the mask.
b.
 Dentures should be removed before the mask is used.
c.
 A jaw thrust maneuver is impossible with this device.
d.
 The mask should cover the mouth and nose.
 

 10. 
You are on scene with a 15-year-old who was struck by a car. She has no spontaneous respirations. Which of the following best describes your first action?
a.
 Provide BVM ventilations at a rate of 12 to 20 times per minute.
b.
 Place your fingers under the mandible and lift forward to open the airway.
c.
 Place one hand on the forehead and the other under the chin and tilt the head back.
d.
 Place a nonrebreather mask on the patient.
 

 11. 
You arrive on scene, where you find a 4-year-old with a bad cough and congestion. You observe him and count his respirations. Which of the following would be a normal number of respirations for this child?
a.
 10
b.
 20
c.
 35
d.
 50
 

 12. 
A patient has been diagnosed with emphysema. The doctor describes this as a disease in which the air sacs are destroyed. Which of the following is a name for these air sacs?
a.
 Bronchioles
b.
 Alveoli
c.
 Arterioles
d.
 Venules
 

 13. 
You are on scene at a severe motor vehicle accident. One person was ejected from the vehicle. You notice him take two breaths that are very far apart. When you call in your report, what would you call these respirations?
a.
 Fatigued
b.
 Agonal
c.
 Tachypneic
d.
 Apneic
 

 14. 
You arrive at the scene of a motor vehicle accident and find a patient who has been ejected from the vehicle. Which of the following should be your first action?
a.
 Call medical control.
b.
 Perform a head tilt chin lift maneuver.
c.
 Perform a jaw thrust maneuver.
d.
 Administer oxygen.
 

 15. 
An x-ray film shows that a patient has a foreign body at the point where the trachea divides into the two bronchi in the chest cavity. Which of the following terms best describes this location?
a.
 Cricoid
b.
 Cricothyroid
c.
 Carina
d.
 Vocal cords
 

 16. 
You are on scene with a patient who was hit in the head with a baseball. Which of the following is appropriate with regard to use of an oropharyngeal airway in this situation?
a.
 Measure from the corner of the mouth to the angle of the mandible.
b.
 Measure from the center of the mouth to the corner of the mouth.
c.
 Measure from the tip of the nose to the top of the ear.
d.
 Measure from the end of the nose to the tip of the ear.
 

 17. 
A 2-year-old male is choking on a peanut. He suddenly stops choking, but he does not expel the peanut. Where is the peanut most likely located now?
a.
 Trachea
b.
 Carina
c.
 Right bronchus
d.
 Left bronchus
 

 18. 
You are in a restaurant, and a patient is choking on a piece of food. Which structure has failed in this person?
a.
 Larynx
b.
 Trachea
c.
 Epiglottis
d.
 Cricothyroid
 

 19. 
You are on scene with a 78-year-old male who is having difficulty breathing. You set up your bag-valve assembly and begin to assist ventilations. Which of the following indicates adequate ventilation?
a.
 Decreased lung sounds bilaterally
b.
 Air leak
c.
 Bilateral rise in the chest wall
d.
 Gastric distention
 

 20. 
Which of the following is a structure of the upper respiratory system?
a.
 Pharynx
b.
 Epiglottis
c.
 Lungs
d.
 Alveoli
 

 21. 
Which of the following structures contains the vocal cords?
a.
 Oropharynx
b.
 Nasopharynx
c.
 Larynx
d.
 Thyroid cartilage
 

 22. 
While on scene with an infant, you notice nasal flaring. Which of the following accurately describes this finding?
a.
 This is a normal finding.
b.
 This indicates adequate breathing.
c.
 This is a sign of increased work of breathing.
d.
 This indicates a cardiac condition.
 

 23. 
A patient is having an asthma attack and is breathing more rapidly. The muscles in his neck contract when he breathes. These muscles are which of the following?
a.
 Intrathoracic muscles
b.
 Diaphragmatic muscles
c.
 Respiratory muscles
d.
 Accessory muscles
 

 24. 
You are at a family picnic when you see an adult pulled from the lake. You are assisting with ventilations. You have your pocket mask. Which of the following best describes your ventilations?
a.
 Each breath should last 5 seconds.
b.
 One breath should be provided every 4 or 5 seconds.
c.
 One breath should be provided every 3 seconds.
d.
 Each breath should last 1 second.
 

 25. 
You arrive on scene to find a patient who is complaining of difficult breathing. The best term for this is which of the following?
a.
 Dyspnea
b.
 Apnea
c.
 Cyanosis
d.
 Stridor
 



 
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