Exit The Difficult Airway Course: Avel Pre Test 2024 Question Title 1. A 200kg, 5'9" morbidly obese patient presents with a severe bibasilar pneumonia and impending respiratory failure. You estimate his ideal body weight at 75 kg. As you consider the role of his obesity in planning your RSI drugs, which of the following is true? Induction agents (etomidate, midazolam, etc.) should be based off of ideal body weight The recommended dose of succinylcholine is 300 mg Rocuronium is contradicted because of morbid obesity The duration of action of most of the commonly used RSI drugs is significantly prolonged You simply shouldn't intubate obese patients! Question Title 2. Each of the following patients receives succinycholine for intubation. Which is not at risk for succinylcholine-induced hyperkalemia? a three year old boy with Muscular Dystrophy a 29 year old woman who fell and sustained C7 quadriplegia six hours earlier a 35 year old man with multiple sclerosis and respiratory failure a 68 year old man with 45% TBSA burns sustained one week earlier a 78 year old woman with hemiplegia from a stroke two months ago, now with severe pneumonia Question Title 3. While awaiting the anesthesiologist and ENT surgeon to arrive for controlled definitive airway management in the OR, your 3 year old patient with suspected epiglottis becomes unresponsive and apneic and his heart rate drops to the 40-50's. The patient has no venous access. the most appropriate initial step in management is: Needle cricothyroidotomy Surgical cricothyroidotomy Start an IV for medication administration Bag mask ventilation Insertion of a size appropriate LMA Question Title 4. A 66 year old man presents in coma with hypertensive intracranial hemorrhage. His blood pressure is 184/108. You prepare for rapid sequence intubation. Which of the following is true? 3 μg/kg of fentanyl is recommended as a pretreatment agent After intubation, controlled hyperventilation to a target PCO2 of 30 mm Hg is recommended as a treatment for elevated intracranial pressure Ketamine is preferred in hypertensive patients because of their relative catecholamine depletion There is no need for an induction agent because the patient is already unresponsive Lidocaine is contraindicated because of possible heart disease Question Title 5. A 22 yo man presents after a severe beating, including an obvious closed head injury. He is comatose and posturing. Blood pressure is 84/66, heart rate is 122. As you consider induction agent selection for RSI, which of the following is true? Ketamine is reasonable to use in this situation because of the patient’s hypotension Etomidate lowers seizure threshold, so is relatively contraindicated No induction agent is required if the patient has a Glasgow Coma Score of 5 or less The pretreatment dose of fentanyl should be increased to 7-9 µg/kg because of the severe head injury Propofol is preferred because of its anticonvulsant activity Done