Bronchospasm/ Laryngospasm Nov 2023

1.     A 20 year old, Female patient schedule for elective Laparoscopic surgery. Which of the following are patient related risk factors for laryngospasm , EXCEPT?

• A.    Infants  and young children

• B. History of URTI

• C.    1^st Hand  smoke

• D. Active Asthma

1.     What do you call a maneuvers which involves bilateral firm digital pressure on styloid process behind the posterior ramus of mandible?

• A.    Larsons Maneuver

• B.    Barsons maneuver

• C.     Arsons Maneuver

• D.    None of the above

1.     The following  is an acute reversible reflex spasm of smooth muscle in bronchioles

• A.    Laryngospasm

• B.    Bronchospasm

• C.     Both

• D.    None of the above

1.     The ff are capnography waveform reading for patient with bronchospasm

• A.    Shark fin appearance

• B.    Presence of notch

• C.     All of the above

• D.    None

1.     The following are clinical presentation of patient with partial laryngospasm

• A.    Manifest as inspiratory stridor

• B.    Minimal air entry

• C.     Adducted vocal cords with small gap posteriorly

• D.    All of the above

1.     The following are clinical manifestation of complete laryngospasm, Except?

• A.    No air entry

• B.    Hypoxia

• C.     No breath sounds

• D.    Min air entry

1.     The following are anesthesia related risk factors for laryngospasm

• A.    Volatile anesthesia ( Desflurane>Iso> Halothane = sevo)

• B.    Multiple attempts at supraglottic airway in light plain of anesthesia

• C.     Laryngoscopy in light plain of anesthesia

• All of the Above

1.      A 30 y. o patient undergo  for emergency surgery for  appendectomy .  Inspite of applying CPAP with 100 % O2 via tight fitting face mask, still patient cannot mask ventilate hypoxia and bradycardia noted. The following are management  of laryngospasm with no IV access

• A.     Give Succinylcholine 0.5 mg/kg IM

• B.    Atropine  20 mcg /kg IM

• C.    None of the  above

• D.    All of the above

1.     The following are management  of laryngospasm

• A.    Remove the stimulus

• B.    Apply 100 % O2

• C.     Deepen the anesthesia with propofol

• D.    Administer Succinylcholine to relax the vocal cords

• E.     All of the above

10. The  following are surgery related risks factors for patient with laryngospasm

         

         

         

         

• A. Shared airway

• B. Thyroid surgery.

• C. Esophageal endoscopy

• D.  All of the above