Medical Student Airway Sim Course Pre-test

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This is a session for medical students. It is on 1 October 2023 at 145 pm in the Omni Hotel, Broadway F at the AAO Annual Meeting in Nashville.

Participants must complete the pre-session work and submit their name through this form.

Completing the pre-session work is necessary but not sufficient for participation as the room has a capacity limit.

Before completing these questions, please read the pre-session information packet:

Airway Sim Pre-Session Lesson

You will need a score of 70% or better to be included. If you know all of this material already, this course may not provide you with new information.

Which are the key landmarks that should be palpated and marked prior to starting a tracheotomy? *

3 points

Yes

Mandible

Epiglottis

Thyroid cartilage notch

Cricothyroid membrane

Cricoid cartilage

Tracheal rings

Sternal notch

Carotid pulse

An adult is intubated and the ICU team is asking for a trach for prolonged intubation. What is the minimum number of days of intubation where you should consider a tracheotomy? *

1 point

5 days

10 days

14 days

21 days

Match the direction of the incision with the layer encountered during an adult tracheotomy as described in the session lesson.

4 points

Vertical

Horizontal

Skin

Superficial fascia

Strap muscles

Trachea

Clear selection

You are doing a tracheotomy and the thyroid isthmus is directly over the site of your planned tracheal incision. What do you do? *

1 point

Push the isthmus inferiorly to expose the tracheal site of incision

Abort the procedure

Incise the isthmus with a 15 blade and retract

Incise the isthmus with cautery and retract

Match the labels for this structure *

6 points

None of these/not labelled

Pilot balloon

Trach tube

Obturator

Inner cannula

Cuff

Faceplate

What is a false passage? *

1 point

When the inner opening (the "tip")of the trach tube has migrated into the esophagus

The inner opening (the "tip")of the trach tube is in the soft tissue anterior to the trachea

When you are dissecting during a tracheotomy and are off midline

When the trach tube is obstructed with a mucus plug and needs to be changed

You were called to the ER for an airway emergency in an adult with a tongue base tumor and successfully performed a cricothyroidotomy. What should you do next? *

1 point

Replace the endotracheal tube you used with a trach tube through the same site

Set up jet ventilation through the indwelling endotracheal tube

Book the OR to convert this to a tracheostomy

Transfer to ICU and book the OR for definitive management of the tumor later in the week

Transfer to ICU and book the OR for tracheotomy next week

What position should the patient be in to change the tube in a mature tracheostomy? *

1 point

Sitting up

Supine, neck flexed

Supine, neck extended

Supine, sniffing position

Left lateral position

What is the difference between a tracheostomy and a laryngectomy stoma? *

1 point

They are the same

The trachea ends at the stoma in a laryngectomy, there is no airway opening to the throat

The trachea is diverted in a tracheostomy, but not in a laryngectomy

Tracheostomy stoma is lower in the neck than a laryngectomy stoma

Which of the following would be considered appropriate indications for flexible laryngoscopy? *

6 points

Yes

Dysphonia

Suspicion of aspiration

Swallowed a nickel

Neck trauma with stridor

Globus sensation

Failure to extubate, tube in place

You are placing the flexible laryngoscope through the nose on your way to view the larynx. What route should you typically take through the nose? *

1 point

Follow the septum, stay close to it

Under or medial to the inferior turbinate

Over the inferior turbinate

Lateral to the inferior turbinate

Identify the structures in the picture *

7 points

None of these/not marked

Arytenoid

Aryepiglottic folds

False vocal fold

Vocal fold

Pyriform sinus

Epiglottis

Tongue base

Your name (as it will appear on your AAO meeting badge - the name you registered with).

This will be used on site to determine who has completed the pre-session work.

Your current medical student status *

MS1

MS2

MS3

MS4

Graduate (this is a course for medical students only)

Leave your email address if you would like updates about the course.

Thank you for working through our pre-session material. If you score below 70% and still want to do our course, please re-read the handout and re-attempt the test.

You're also invited to join our GroupMe '#OTOMTG23' for student related meeting tips and info. Click here to join: https://groupme.com/join_group/96472736/KF5vR0ya

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