Grade 4 View AFOI — FRCA Final MCQ

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HardAirway ManagementGrade 4 View AFOIFRCA Final

Patient with BMI 50 and documented Grade 4 view needs emergency cholecystectomy. Gold-standard airway is:

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Correct answer: B — LMA and proceed

Grade 4 (no structures visible) = anticipated impossible laryngoscopy. Awake FOI maintains spontaneous ventilation and protective reflexes. Risk of CICO outweighs delay.

Reference: DAS – 2025 – Anticipated difficult airway; DAS – 2020 – AFOI