CCT FINAL EXAM AND PRACTICE QUESTIONS EXAM
ACTUAL EXAM COMPLETE 500 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
If the patient loses consciousness, what can happen to the airway? - ANSWER: Can
cause airway obstruction due to loss of muscle tone to the airway.
Opening the airway - basic airway adjuncts - ANSWER: OPA - used in the unconscious
patient
NPA - Conscious, semiconscious, or unconscious
Opening the airway - maneuvers - ANSWER: Head tilt/chin lift - used only if no spinal
injury
Jaw thrust - Used if spinal injury suspected
Functions of the upper airway - ANSWER: Nasal Cavity - Filter, warm, humidify
Epiglottis - protects lower airway by diverting food away from the trachea when
swallowing.
Review Airway Anatomy Quizlet
Bronchoscopy - absolute contraindications - ANSWER: • Absence of patient consent,
absence of experienced personnel, lack of adequate facility.
• Inability to oxygenate patient
Bronchoscopy Contraindications - If benefits outweigh risks - ANSWER: •
Uncontrolled bleeding
• Severe COPD
• Refractory hypoxemia
• Hemodynamically unstable - stimulating vagal nerve
Bronchoscopy Contraindications - Relative - ANSWER: • Lack of patient cooperation
• Resent MI, angina
• Moderate to severe hypoxia
• Partial tracheal obstruction - growth, abnormality
• Hypercapnia
• Pulmonary HTN
• Lung abscess - burst - puss >sepsis (#1 cause of pneumonia)
• Obstruction of superior vena cava
• Debility, malnutrition, advanced age, pregnancy
, Bronchoscopy - assisting to obtain sputum sample - ANSWER: Luken's trap
Lavage (saline)
• Specimen cups
• Sputum traps
• Cytology brushes
• Biopsy forceps
• Viral and anaerobic medium
• Microscope slides
• Formalin (freezes biopsy sample)
Note: if you use mucomist it can cause a bronchospasm
Complications during a bronchoscopy - ANSWER: • Adverse reaction to meds given
• Hypoxia, hypercapnia
• Hypotension, bradycardia, vagal nerve stimulation
• Infection
• Laryngospasm, bronchospasm
• Hemoptysis, epitaxis, pneumothorax
• Cardiac or respiratory arrest
Stop procedure and administer O2
Bronchoscopy Indications - ANSWER: • The presence of lesions of unknown etiology
CXR
• Evaluate atelectasis or infiltrates
• Assess upper airway patency
• Positive sputum cytology
• Mucus plugs causing atelectasis
• Obtain lower airway secretion specimens, cell washings, and biopsy samples
• Investigate hemoptysis, or unexplained wheezing/coughing
• Evaluate ETT or trach problems
• Difficult intubations
• Remove foreign material or abnormal tissue
RSI - When to perform - ANSWER: • Inability to maintain airway
• Inability to protect airway
• Inadequate oxygenation/ventilation
• Impending cardio-pulmonary failure
To render the patient rapidly unconscious and flaccid (paralytic effect) to facilitate ET
intubation.
If pt is in cardiac arrest, no need to use RSI.
Induction agent - ANSWER: • Cause amnesia PRIOR TO PARALYTIC
• Pt. may feel pain but won't remember
• NEVER give a paralytic before you give an induction agent!!!
ACTUAL EXAM COMPLETE 500 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
If the patient loses consciousness, what can happen to the airway? - ANSWER: Can
cause airway obstruction due to loss of muscle tone to the airway.
Opening the airway - basic airway adjuncts - ANSWER: OPA - used in the unconscious
patient
NPA - Conscious, semiconscious, or unconscious
Opening the airway - maneuvers - ANSWER: Head tilt/chin lift - used only if no spinal
injury
Jaw thrust - Used if spinal injury suspected
Functions of the upper airway - ANSWER: Nasal Cavity - Filter, warm, humidify
Epiglottis - protects lower airway by diverting food away from the trachea when
swallowing.
Review Airway Anatomy Quizlet
Bronchoscopy - absolute contraindications - ANSWER: • Absence of patient consent,
absence of experienced personnel, lack of adequate facility.
• Inability to oxygenate patient
Bronchoscopy Contraindications - If benefits outweigh risks - ANSWER: •
Uncontrolled bleeding
• Severe COPD
• Refractory hypoxemia
• Hemodynamically unstable - stimulating vagal nerve
Bronchoscopy Contraindications - Relative - ANSWER: • Lack of patient cooperation
• Resent MI, angina
• Moderate to severe hypoxia
• Partial tracheal obstruction - growth, abnormality
• Hypercapnia
• Pulmonary HTN
• Lung abscess - burst - puss >sepsis (#1 cause of pneumonia)
• Obstruction of superior vena cava
• Debility, malnutrition, advanced age, pregnancy
, Bronchoscopy - assisting to obtain sputum sample - ANSWER: Luken's trap
Lavage (saline)
• Specimen cups
• Sputum traps
• Cytology brushes
• Biopsy forceps
• Viral and anaerobic medium
• Microscope slides
• Formalin (freezes biopsy sample)
Note: if you use mucomist it can cause a bronchospasm
Complications during a bronchoscopy - ANSWER: • Adverse reaction to meds given
• Hypoxia, hypercapnia
• Hypotension, bradycardia, vagal nerve stimulation
• Infection
• Laryngospasm, bronchospasm
• Hemoptysis, epitaxis, pneumothorax
• Cardiac or respiratory arrest
Stop procedure and administer O2
Bronchoscopy Indications - ANSWER: • The presence of lesions of unknown etiology
CXR
• Evaluate atelectasis or infiltrates
• Assess upper airway patency
• Positive sputum cytology
• Mucus plugs causing atelectasis
• Obtain lower airway secretion specimens, cell washings, and biopsy samples
• Investigate hemoptysis, or unexplained wheezing/coughing
• Evaluate ETT or trach problems
• Difficult intubations
• Remove foreign material or abnormal tissue
RSI - When to perform - ANSWER: • Inability to maintain airway
• Inability to protect airway
• Inadequate oxygenation/ventilation
• Impending cardio-pulmonary failure
To render the patient rapidly unconscious and flaccid (paralytic effect) to facilitate ET
intubation.
If pt is in cardiac arrest, no need to use RSI.
Induction agent - ANSWER: • Cause amnesia PRIOR TO PARALYTIC
• Pt. may feel pain but won't remember
• NEVER give a paralytic before you give an induction agent!!!
