North Carolina EMT State Practice Exam

In what scenario should an Oropharyngeal Airway (OPA) not be used?

1. In a patient with a gag reflex

2. In an unconscious patient

3. In a child under 5 years

4. In a patient with respiratory failure

The correct answer is: In a patient with a gag reflex

The use of an Oropharyngeal Airway (OPA) is contraindicated in patients who have an intact gag reflex. An intact gag reflex indicates that the patient is conscious and has the ability to protect their airway. Inserting an OPA in such patients can lead to gagging, vomiting, and potential aspiration due to the airway being stimulated improperly. The primary purpose of the OPA is to provide a clear airway in patients who cannot maintain one themselves, typically those who are unconscious and unresponsive. Therefore, in situations where a patient has the ability to gag, it is safer and more appropriate to utilize other airway management techniques. Understanding the indications and contraindications for using respiratory devices like the OPA is critical for ensuring patient safety in emergency medical situations.