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Anaesthesia · Airway management: videolaryngoscopy after a poor view
Sample itemDirect laryngoscopy shows only the tip of the epiglottis in a patient with limited neck extension. Which device best improves the glottic view?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Videolaryngoscope with a hyperangulated blade
A videolaryngoscope looks around the curve of the tongue, improving the view without needing a direct line of sight. Applying more force damages the teeth and tissue and does not improve the view.
Option by option
A. Oropharyngeal airway
An oropharyngeal airway is for ventilation, not visualisation.
B. Videolaryngoscope with a hyperangulated blade (correct)
Correct. The camera at the blade tip gives an indirect view of the glottis.
C. A longer straight blade with more force
More force on a straight blade increases trauma without a better view.
D. Nasal airway
A nasal airway maintains oxygenation but does not show the glottis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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