skip to main content

Aspiration risk with previous difficult laryngoscopy — FRCA Final MCQ

Instant feedback + full explanation. One question, done properly.

ModerateGeneral AnaesthesiaAspiration risk with previous difficult laryngoscopyFRCA Final

A 67-year-old man with severe reflux and previous grade 3 laryngoscopy requires urgent laparotomy for small bowel obstruction. He is alert, saturating 95% on air, has a normal mouth opening, and a senior anaesthetist with videolaryngoscopy is available. What is the most appropriate anaesthetic technique?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Rapid sequence induction with videolaryngoscopy and a defined failed-airway plan

The patient is at high aspiration risk and has a potentially difficult but not predicted impossible airway, so a senior-led rapid sequence induction using videolaryngoscopy and a clear rescue plan is appropriate. Awake intubation is reserved for anticipated difficult airway where facemask or rescue oxygenation may be problematic. A supraglottic airway is not suitable for urgent obstructed bowel surgery. The plan should include oxygenation strategy, limiting attempts and readiness for front-of-neck access.

Reference: DAS 2025 adult unanticipated difficult tracheal intubation guideline