Practice Test Geeks(CSC) Conscious Sedation Certification Practice Test
← All CSC Flashcard Decks

Airway Management & Emergency Preparedness Flashcards

7 cards from real CSC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Airway Management & Emergency Preparedness flashcards as text

  1. A patient receiving IV midazolam and fentanyl for a colonoscopy becomes apneic. Naloxone is administered. Which concurrent action is ALSO required?

    Answer: Provide positive-pressure ventilation until spontaneous breathing returns

    Naloxone reverses opioid-induced apnea but takes 1–2 minutes to act; BVM ventilation must bridge the gap to prevent hypoxic injury.

  2. When using a nasopharyngeal airway (NPA) during sedation, the correct size is estimated by measuring from:

    Answer: Tip of the nose to the earlobe

    NPA length is estimated by measuring from the tip of the nose to the earlobe, ensuring the device reaches the pharynx without entering the larynx.

  3. A patient undergoing conscious sedation develops sudden hypotension (BP 70/40), tachycardia, urticaria, and bronchospasm after a contrast dye injection. The PRIORITY intervention is:

    Answer: Give IM epinephrine 0.3 mg (1:1,000) and call a code

    This presentation is anaphylaxis; IM epinephrine is the first-line life-saving treatment, and a code response is warranted for cardiovascular collapse.

  4. During moderate sedation, ETCO2 rises from 38 to 58 mmHg over 10 minutes. This finding most likely indicates:

    Answer: Hypoventilation with CO2 retention

    Rising ETCO2 above 45 mmHg reflects inadequate minute ventilation and CO2 accumulation, a hallmark of opioid/sedative-induced hypoventilation.

  5. The oropharyngeal airway (OPA) is contraindicated in which patient scenario during sedation?

    Answer: A patient with an intact gag reflex who is not fully obtunded

    An OPA in a patient with an intact gag reflex causes vomiting and potential aspiration; it is used only in unconscious or deeply sedated patients.

  6. What is the primary purpose of pre-oxygenation before initiating moderate sedation?

    Answer: To extend the safe apnea window by increasing oxygen reserves in the lungs

    Pre-oxygenation with 100% O2 for 3 minutes replaces nitrogen in the FRC with oxygen, giving the provider additional time to manage airway emergencies before desaturation.

  7. Which medication is used to reverse respiratory depression caused by opioids, and what is the IV adult dose for sedation-related emergencies?

    Answer: Naloxone 0.4–2 mg IV, titrated to effect

    Naloxone 0.4–2 mg IV (titrated in 0.1 mg increments) reverses opioid-induced respiratory depression; full-dose reversal can precipitate acute pain and tachycardia.