A patient has been receiving positive-pressure ventilation ...

[RYAN BANYAN]

A patient has been receiving positive-pressure ventilation through a tracheostomy tube for 4 days. In the past 2 days, there is evidence of both recurrent aspiration and abdominal distention but minimal air leakage around the tube cuff.
 
  What is most likely cause of the problem?
  a. Paralysis of the vocal cords
  b. Underinflated tube cuff
  c. Tracheoesophageal fistula
  d. Tracheoinnominate fistula

Question 2

What is the most common sign associated with the transient glottic edema or vocal cord inflam-mation that follows extubation?
 
  a. Difficulty in swallowing
  b. Wheezing
  c. Orthopnea
  d. Hoarseness

[miss_1456@hotmail.com]

Answer to Question 1

ANS: C
Diagnosis can be made by a history of recurrent aspiration and abdominal distention as air is forced into the esophagus during positive-pressure ventilation.

Answer to Question 2

ANS: D
The primary symptoms of glottic edema and vocal cord inflammation are hoarseness and stridor.

[RYAN BANYAN]

Thanks for the timely response, appreciate it

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Gracias!