1. What is the primary goal of airway management in anesthesia?
- A) To ensure patient comfort during the procedure
- B) To maintain an open and secure airway for adequate ventilation
- C) To minimize the use of anesthetic agents
- D) To expedite the surgical procedure
Answer: B) To maintain an open and secure airway for adequate ventilation
2. Which device is commonly used to secure the airway in an unconscious patient?
- A) Nasal cannula
- B) Endotracheal tube
- C) Laryngeal mask airway (LMA)
- D) Face mask
Answer: B) Endotracheal tube
3. What is the purpose of a laryngeal mask airway (LMA)?
- A) To intubate the trachea
- B) To provide continuous positive airway pressure
- C) To establish a clear airway without tracheal intubation
- D) To deliver high-flow oxygen therapy
Answer: C) To establish a clear airway without tracheal intubation
4. When is a bag-mask ventilation technique used?
- A) During awake intubation
- B) To assist ventilation in patients with spontaneous breathing
- C) To provide general anesthesia
- D) To perform endotracheal intubation
Answer: B) To assist ventilation in patients with spontaneous breathing
5. What is a common complication of endotracheal intubation?
- A) Nasal congestion
- B) Esophageal intubation
- C) Hypoventilation
- D) Skin rash
Answer: B) Esophageal intubation
6. What is the purpose of using a laryngoscope during intubation?
- A) To administer medication
- B) To visualize the vocal cords and facilitate tube placement
- C) To measure blood pressure
- D) To monitor heart rate
Answer: B) To visualize the vocal cords and facilitate tube placement
7. How should an anesthesiologist manage a difficult airway?
- A) Proceed with standard intubation techniques without adjustment
- B) Use alternative airway devices, such as a video laryngoscope or fiberoptic bronchoscope
- C) Cancel the procedure
- D) Rely solely on bag-mask ventilation
Answer: B) Use alternative airway devices, such as a video laryngoscope or fiberoptic bronchoscope
8. What is the role of cricoid pressure during intubation?
- A) To facilitate airway suctioning
- B) To reduce the risk of aspiration by occluding the esophagus
- C) To enhance the effectiveness of bag-mask ventilation
- D) To measure airway resistance
Answer: B) To reduce the risk of aspiration by occluding the esophagus
9. Which technique is used to confirm correct endotracheal tube placement?
- A) Capnography
- B) Pulse oximetry
- C) Blood gas analysis
- D) Chest X-ray
Answer: A) Capnography
10. What is a potential risk of using a nasotracheal tube?
- A) Airway obstruction
- B) Nasal bleeding or injury
- C) Increased airway resistance
- D) Esophageal intubation
Answer: B) Nasal bleeding or injury
11. How can an anesthesiologist minimize the risk of airway trauma during intubation?
- A) Use excessive force during intubation
- B) Ensure proper alignment of the patient’s airway and use appropriate-sized tubes
- C) Avoid using laryngoscopy
- D) Rush the intubation process
Answer: B) Ensure proper alignment of the patient’s airway and use appropriate-sized tubes
12. What is the primary benefit of using a video laryngoscope?
- A) It eliminates the need for intubation
- B) It provides enhanced visualization of the vocal cords and airway
- C) It replaces the need for preoperative assessments
- D) It simplifies the bag-mask ventilation process
Answer: B) It provides enhanced visualization of the vocal cords and airway
13. In which situation would a fiberoptic bronchoscope be most useful?
- A) Routine intubation of an unconscious patient
- B) When there is a known difficult airway or suspected airway obstruction
- C) During standard bag-mask ventilation
- D) For administering general anesthesia
Answer: B) When there is a known difficult airway or suspected airway obstruction
14. What is a critical step in the management of an extubated patient?
- A) Immediately discharge the patient
- B) Monitor the patient for signs of airway obstruction and ensure adequate ventilation
- C) Proceed with another intubation attempt
- D) Avoid any further assessment
Answer: B) Monitor the patient for signs of airway obstruction and ensure adequate ventilation
15. Which of the following is a contraindication for using a laryngeal mask airway (LMA)?
- A) Severe gastroesophageal reflux disease (GERD)
- B) Obstructive sleep apnea
- C) Patient with a high risk of aspiration
- D) Unconscious patient requiring ventilation
Answer: C) Patient with a high risk of aspiration
16. How should an anesthesiologist prepare for a difficult airway scenario?
- A) Only use the standard airway equipment
- B) Have alternative airway management tools readily available, such as a video laryngoscope or surgical airway kit
- C) Delay the procedure until a different anesthesiologist is available
- D) Proceed without additional preparation
Answer: B) Have alternative airway management tools readily available, such as a video laryngoscope or surgical airway kit
17. What is the main advantage of using a Bougie during intubation?
- A) It reduces the need for anesthesia
- B) It helps navigate the endotracheal tube through a difficult airway
- C) It eliminates the need for laryngoscopy
- D) It provides oxygen supplementation
Answer: B) It helps navigate the endotracheal tube through a difficult airway
18. What should be done if the endotracheal tube is misplaced in the esophagus?
- A) Continue ventilation through the tube
- B) Remove the tube and attempt reintubation with proper visualization
- C) Use a different airway device without addressing the tube placement
- D) Leave the tube in place and adjust ventilation settings
Answer: B) Remove the tube and attempt reintubation with proper visualization
19. What is the purpose of using a cuffed endotracheal tube?
- A) To provide a more comfortable airway
- B) To create a seal in the trachea, preventing air leaks and aspiration
- C) To reduce the need for anesthesia
- D) To facilitate easier extubation
Answer: B) To create a seal in the trachea, preventing air leaks and aspiration
20. Which airway management technique is appropriate for a patient with a known airway obstruction?
- A) Standard intubation
- B) Bag-mask ventilation
- C) Fiberoptic intubation
- D) Laryngeal mask airway (LMA)
Answer: C) Fiberoptic intubation
21. What is the key consideration when choosing the size of an endotracheal tube?
- A) The patient’s weight
- B) The patient’s age and airway anatomy
- C) The type of surgical procedure
- D) The length of the tube
Answer: B) The patient’s age and airway anatomy
22. How should an anesthesiologist manage a patient who exhibits signs of airway obstruction post-extubation?
- A) Discharge the patient immediately
- B) Re-intubate the patient or use alternative airway management strategies as needed
- C) Provide supplemental oxygen and monitor without further action
- D) Refer the patient to another specialist
Answer: B) Re-intubate the patient or use alternative airway management strategies as needed
23. What is a common sign of a difficult airway that might require advanced management techniques?
- A) Normal oxygen saturation levels
- B) Difficulty visualizing the vocal cords during laryngoscopy
- C) Stable vital signs
- D) Clear breath sounds
Answer: B) Difficulty visualizing the vocal cords during laryngoscopy
24. When is the use of a surgical airway (e.g., cricothyrotomy) indicated?
- A) For routine intubation
- B) When all other airway management techniques have failed or are not feasible
- C) During standard anesthesia induction
- D) For post-operative care
Answer: B) When all other airway management techniques have failed or are not feasible
25. What is a primary benefit of using capnography during anesthesia?
- A) It measures blood pressure
- B) It monitors end-tidal carbon dioxide levels, indicating proper ventilation
- C) It assesses the patient’s heart rate
- D) It provides real-time imaging of the airway
Answer: B) It monitors end-tidal carbon dioxide levels, indicating proper ventilation
26. What should an anesthesiologist do if they encounter an unanticipated difficult airway?
- A) Proceed with standard techniques without adjustment
- B) Implement a stepwise approach using available tools and techniques, such as a video laryngoscope or bougie
- C) Cancel the procedure immediately
- D) Attempt intubation multiple times without reassessment
Answer: B) Implement a stepwise approach using available tools and techniques, such as a video laryngoscope or bougie
27. Which technique can be used to facilitate intubation in patients with limited neck mobility?
- A) Nasotracheal intubation
- B) Fiberoptic intubation
- C) Bag-mask ventilation
- D) Laryngeal mask airway (LMA)
Answer: B) Fiberoptic intubation
28. What is the main advantage of using a cuffed LMA compared to a traditional LMA?
- A) It provides better airway sealing and reduces the risk of aspiration
- B) It is more comfortable for the patient
- C) It simplifies the intubation process
- D) It eliminates the need for anesthesia
Answer: A) It provides better airway sealing and reduces the risk of aspiration
29. How should an anesthesiologist manage a patient with known difficult airway characteristics?
- A) Use standard intubation techniques
- B) Plan and prepare for advanced airway management techniques, including having appropriate equipment available
- C) Avoid any preoperative assessment
- D) Use only a laryngoscope
Answer: B) Plan and prepare for advanced airway management techniques, including having appropriate equipment available
30. What is the purpose of using an endotracheal tube stylet?
- A) To increase the flexibility of the endotracheal tube
- B) To provide rigidity and facilitate easier insertion of the endotracheal tube
- C) To administer medication
- D) To measure airway pressure
Answer: B) To provide rigidity and facilitate easier insertion of the endotracheal tube
31. When should a fiberoptic bronchoscope be used for airway management?
- A) During routine intubation
- B) In cases of anticipated difficult airway where visualization of the airway is challenging
- C) For post-operative airway management
- D) During routine bag-mask ventilation
Answer: B) In cases of anticipated difficult airway where visualization of the airway is challenging
32. What is an important consideration when performing bag-mask ventilation?
- A) Using a small mask size to fit all patients
- B) Ensuring a proper seal around the patient’s face and adjusting ventilation pressure as needed
- C) Avoiding the use of supplemental oxygen
- D) Using excessive force to create a seal
Answer: B) Ensuring a proper seal around the patient’s face and adjusting ventilation pressure as needed
33. What is the key advantage of using a video laryngoscope over a traditional laryngoscope?
- A) It eliminates the need for intubation
- B) It provides a clearer and magnified view of the vocal cords and airway
- C) It simplifies bag-mask ventilation
- D) It reduces the need for anesthesia
Answer: B) It provides a clearer and magnified view of the vocal cords and airway
34. How should an anesthesiologist handle accidental extubation?
- A) Ignore the situation and continue monitoring
- B) Immediately re-intubate or use alternative airway management techniques to secure the airway
- C) Discharge the patient immediately
- D) Delay intervention and monitor closely
Answer: B) Immediately re-intubate or use alternative airway management techniques to secure the airway
35. What is a common indication for using a bougie during intubation?
- A) To measure blood pressure
- B) To help guide the endotracheal tube through a difficult airway
- C) To provide supplemental oxygen
- D) To assess airway resistance
Answer: B) To help guide the endotracheal tube through a difficult airway
36. Which condition may warrant the use of a double-lumen endotracheal tube?
- A) Routine intubation
- B) Need for independent ventilation of each lung, such as in cases of unilateral lung disease
- C) Post-operative airway management
- D) Standard bag-mask ventilation
Answer: B) Need for independent ventilation of each lung, such as in cases of unilateral lung disease
37. What is a key consideration when selecting an airway device for a patient with a high risk of aspiration?
- A) Using a nasal airway device
- B) Choosing a device that provides an effective seal, such as a cuffed endotracheal tube or LMA
- C) Avoiding the use of any airway device
- D) Using a small-size device
Answer: B) Choosing a device that provides an effective seal, such as a cuffed endotracheal tube or LMA
38. What is the role of capnography in airway management?
- A) To monitor the patient’s heart rate
- B) To confirm proper placement of the endotracheal tube by measuring exhaled carbon dioxide
- C) To measure blood pressure
- D) To provide real-time imaging of the airway
Answer: B) To confirm proper placement of the endotracheal tube by measuring exhaled carbon dioxide
39. How can an anesthesiologist minimize the risk of airway obstruction in the postoperative period?
- A) Discharge the patient immediately
- B) Monitor the patient closely for signs of airway obstruction and provide appropriate interventions as needed
- C) Avoid post-operative monitoring
- D) Use a smaller endotracheal tube
Answer: B) Monitor the patient closely for signs of airway obstruction and provide appropriate interventions as needed
40. What is an essential step in managing an airway emergency?
- A) Rely on routine procedures without modification
- B) Assess the situation quickly, use appropriate airway management techniques, and have backup plans ready
- C) Delay intervention to assess the situation
- D) Use only verbal communication to address the emergency
Answer: B) Assess the situation quickly, use appropriate airway management techniques, and have backup plans ready
41. What is a common feature of a video laryngoscope compared to a standard laryngoscope?
- A) It provides a direct view of the vocal cords
- B) It offers an indirect view of the vocal cords on a monitor
- C) It eliminates the need for intubation
- D) It provides supplemental oxygen
Answer: B) It offers an indirect view of the vocal cords on a monitor
42. How should an anesthesiologist manage a patient with a large neck mass that complicates airway management?
- A) Use a standard intubation approach
- B) Use advanced airway management techniques such as a fiberoptic bronchoscope or alternative airway devices
- C) Cancel the procedure
- D) Proceed with bag-mask ventilation only
Answer: B) Use advanced airway management techniques such as a fiberoptic bronchoscope or alternative airway devices
43. What is the primary purpose of a cuffed endotracheal tube?
- A) To reduce patient discomfort
- B) To create a seal in the trachea, preventing air leaks and aspiration
- C) To facilitate easy extubation
- D) To administer medications
Answer: B) To create a seal in the trachea, preventing air leaks and aspiration
44. What is the recommended approach if an anesthesiologist encounters a failed intubation attempt?
- A) Continue with the same technique
- B) Use alternative airway management strategies, such as a video laryngoscope or bougie
- C) Ignore the issue and proceed with the procedure
- D) Refer the patient to another provider immediately
Answer: B) Use alternative airway management strategies, such as a video laryngoscope or bougie
45. How can an anesthesiologist effectively manage airway patency during a procedure?
- A) Focus only on the surgical aspect
- B) Continuously monitor the airway and adjust management techniques as needed
- C) Avoid any intervention during the procedure
- D) Use a single airway device for all patients
Answer: B) Continuously monitor the airway and adjust management techniques as needed
46. What is the key consideration when using a fiberoptic bronchoscope for intubation?
- A) The patient’s level of consciousness
- B) The size of the bronchoscope
- C) The patient’s airway anatomy and ability to tolerate the procedure
- D) The type of anesthetic used
Answer: C) The patient’s airway anatomy and ability
Topic-wise Anesthesia MCQs
- Anesthesiology MCQs
- Anesthesia Basics:
- Anesthesia Agents MCQs:
- Airway Management:
- Anesthesia Monitoring MCQs – Anesthesia:
- Regional Anesthesia MCQs :
- Patient Assessment and Optimization:
- Anesthesia Delivery Systems MCQs:
- Pediatric Anesthesia MCQs :
- Obstetric Anesthesia MCQs – Anesthesia:
- Anesthesia Complications and Emergencies MCQs:
- Post-Anesthesia Care MCQs:
- Geriatric Anesthesia:
- Ethics and Professionalism in Anesthesia MCQs:
- Simulation and Skills Training MCQs :