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Multiple Difficult Airway Predictors — FRCA Final MCQ

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ModerateAirway ManagementMultiple Difficult Airway PredictorsFRCA Final

A 50-year-old woman with RA has mouth opening 2.0 cm, Mallampati IV, and C-spine flexion limited to 20°. She requires intubation. Most appropriate approach?

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Correct answer: E — Awake nasal fibreoptic intubation

Multiple predictors: mouth opening <3 cm, Mallampati IV, restricted C-spine. Awake FOI maintains spontaneous ventilation and reflexes. Nasal route preferred when mouth opening severely restricted. Induction before securing airway risks CICO.

Reference: DAS – 2025 – Management of known/anticipated difficult airway