Neonatal and Pediatric Respiratory Care by Perretta Test Bank

Neonatal and Pediatric Respiratory Care by Perretta Test Bank

Chapter 10 Airway Abnormalities

Multiple Choice

1. What initial intervention for Robin sequence will alleviate 70% of an infant’s airway obstruction?
2. Nasal trumpet
3. Nasogastric tube
4. Stent tongue
5. Prone position

ANS: D

2. What is the treatment for macroglossia?
3. Tonsillectomy
4. Tongue reduction surgery
5. IV antibiotics
6. Incision and drainage

ANS: B

3. The supraglottis consists of all of the following portions of the larynx except:
4. Epiglottis
5. False vocal cords
6. Arytenoids
7. Aryepiglottic fold
8. Hard palate

ANS: E

4. Which of the following is both the most common laryngeal anomaly and the most common congenital cause of stridor?
5. Epiglottitis
6. Laryngomalacia
7. Cleft palate
8. Glossoptosis

ANS: B

5. What common disease process accompanies laryngomalacia?
6. Obstructed sleep apnea
7. Swallowing difficulties
8. Stridor
9. Gastroesophageal reflux

ANS: D

6. All of the following are symptoms of severe laryngomalacia except:
7. Cyanosis
8. Feeding difficulties
9. Failure to thrive
10. Cor pulmonale

E! All of the above

ANS: E

7. Recurrent respiratory papillomatosis is the most common benign neoplasm of which airway structure?
8. Glottis
9. Supraglottis
10. Oropharynx
11. Larynx

ANS: D

8. What organism causes the viral disease recurrent respiratory papillomatosis?
9. Streptococcus pneumonia
10. Human papillomavirus (HPV)
11. Haemophilus influenzae
12. Staphylococcus aureus

ANS: B

9. Which of the following tests can definitively verify the presence of recurrent respiratory papillomatosis?
10. Sputum culture
11. Endoscopy
12. Blood cultures
13. Lateral neck radiograph
14. Complete metabolic panel

ANS: B

10. What is considered the most common subglottic abnormality seen by registered respiratory therapists?
11. Subglottic stenosis
12. Stridor
13. Vocal fold nodules
14. Gastroesophageal reflux

ANS: A

11. Management of subglottic hemangiomas includes all of the following except:
12. Tracheostomy
13. Steroids
14. Propranolol
15. Surgical intervention

ANS: C

12. For what subglottic airway condition is intubation not a form of treatment unless respiratory distress is severe?
13. Croup
14. Subglottic stenosis
15. Tracheoesophageal fistula
16. Vocal cord paralysis

ANS: A

13. What organism causes exudative tracheitis?
14. Streptococcus pneumonia
15. Human papillomavirus (HPV)
16. Haemophilus influenzae
17. Staphylococcus aureus

ANS: D

14. What method of emergency tracheostomy management utilizes the Seldinger technique?
15. Placing the endotracheal tube in the stoma
16. Placing a gloved finger over the stoma
17. Utilizing a tube that is one size smaller than the one that is removed
18. Threading the new tube over a small suction catheter, and then inserting a suction catheter into the stoma to find a pathway into the trachea

ANS: D

15. Which of the following are examples of conditions that would require a tracheostomy?
16. Subglottic stenosis
17. Croup

III. Robin sequence

1. Bronchopulmonary dysplasia
2. I, II, and III
3. I, III, and IV
4. II, III, and IV
5. III and IV

ANS: B

16. Patency of the tracheostomy tube should be verified by which of the following procedures?
17. Positive end-tidal CO₂
18. Measuring exhaled tidal volume

III. Passing a suction catheter

1. Bag-mask ventilation
2. I and III
3. II and III
4. II and IV
5. I and IV

ANS: A

17. Tracheoesophageal fistula should be suspected when an infant presents with which of the following symptoms?
18. Excessive drooling
19. Feedings that give way to respiratory distress

III. Absence of stridor or barking cough

1. Accepting orogastric tube into stomach without incidence
2. II and III
3. I and II
4. III and IV
5. I, II, III, and IV

ANS: B

18. Which of the following are considered inexpensive methods to identify choanal atresia?
19. Tissue test
20. Mirror test

III. Nasal endoscopy

1. Deep tracheal suctioning
2. MRI scan
3. CT scan
4. I, II, III, and IV
5. I, II, III, and VI
6. II, IV, and V
7. II, III, IV, and VI

ANS: A

19. Treatment and management of choanal atresia include which of the following options?
20. Choanal opening created via surgical repair
21. Propping infant’s nose open with nasal trumpet

III. Intubation

1. Using a feeding nipple with a large opening
2. I, II, and IV
3. I, II, and III
4. II, III, and IV
5. I, III, and IV

ANS: D

20. Which of the following respiratory supports should be given to a patient with a nonanatomical nasopharyngeal obstruction?
21. Supplemental oxygen when SpO₂ is less than 92%
22. Nasal suctioning

III. Nasal stents

1. Repositioning airway
2. Nasal prongs
3. Noninvasive nasal mask
4. I, II, and IV
5. II, IV, and VI
6. I and IV
7. III and V

ANS: C

21. Which of the following disorders of the oropharynx requires intervention by the registered respiratory therapist?
22. Robin sequence
23. Peritonsillar abscess

III. Stickler syndrome

1. Treacher Collins syndrome
2. I and II
3. II and III
4. I and IV
5. III and IV

ANS: A

22. Which of the following are actions to consider when managing a patient with a subglottic stenosis?
23. Handle airway gently.
24. Optimize pulmonary function.

III. Use the largest size of an endotracheal tube initially to avoid excessive attempts of intubation.

1. Secure the endotracheal tube.
2. Manage suspected gastroesophageal reflux.
3. I, II, III, and IV
4. I, II, IV, and V
5. II, III, IV, and V
6. I, II, III, and V

ANS: B