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Artificial Airways: An Introduction

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1.  The most commonly used is the Passy - Muir Valve (PMV), which contains a __________ valve that opens on inhalation and closes on exhalation, allowing the air to pass through the vocal cords for speech.
  1. Pressurized
  2. Spring controlled
  3. Two-way
  4. One-way
2.  Which type of trach is a contraindication for a speaking valve?
  1. Shiley Flex
  2. Shiley XLT
  3. Bivona TTS
  4. Bivona Fome-Cuf
3.  Which of the following is an emergency management strategy for a patient with a laryngectomy?
  1. If the patient is in distress, the lary tube should be removed and place mask on the stoma
  2. Call for emergency response team
  3. If the patient needs to be placed on a ventilator, a cuffed trach will be inserted
  4. All of the above are strategies
4.  Which of the following is an indication for a speaking valve?
  1. FiO2 is greater than 80%
  2. Patient can tolerate cuff deflation
  3. PEEP of +12
  4. Inadequate upper airway patency
5.  Which of the following is a disadvantage to a tracheostomy?
  1. Cough
  2. Voice
  3. Defecation
  4. All of the above are disadvantages

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