Pre-test

Residency ED Rotation: Nasogastric Intubation
Please select the answer (please choose only one). To change or clear answers, click the reset button..
Disclaimer
The information contained throughout this
Web site is provided courtesy of Riverside
Methodist Hospital’s Continuing Medical
Education (CME) Program.  We expressly
prohibit reprints or electronic reproduction
of any document in part or in its entirety.

Medicine is an ever-changing science.
As new research and clinical experience
broadens our knowledge, changes in
treatment and drug therapy are required.
Every effort has been made by the author(s)
to provide accurate, up-to-date information.
However, the medical knowledge base is
dynamic and there is the possibility of
human error or changes in medical
sciences.

Riverside Methodist Hospital disclaims any
warranty or representation, expressed or
implied, about the accuracy, completeness
or appropriateness of information contained
on this site. Neither the author nor Riverside
Methodist Hospital shall be held responsible
or liable for any claim, loss or damage
arising from the use of the information or
damages incurred if material infects or
contaminates a user’s system.

This information is designed for
educational purposes only and is not
provided as a professional service or as
medical advice.It is not a substitute for
professional medical care.

Unless specifically stated otherwise, the
opinions expressed and statements made by
various authors on this Web site reflect the
author’s observations and do not imply
endorsement by Riverside Methodist
Hospital.


Privacy Policy

This Web site has security measures in place
to protect loss, misuse and alteration of the
information under our control.  Personal
information collected from participants
from our online CME activities will not be
shared with any third party.  This web site
does not use any type of system (e.g.,
cookies) to track a user’s movements
throughout the site.

Riverside’s CME Program will perform
periodic basic demographic analyses, such
as web site user surveys, to determine the
greatest needs and interest for future CME
activities and events.

If you have any questions about this
disclaimer, the practices of this site, or your
dealing with this website, you can
contact:                 

Riverside Methodist Hospital
Office of Continuing Medical Education
Suite 4300
3525 Olentangy River Road
Columbus, OH  43214
webmaster@rmhcme.com
Home
Mission Statement
CME Conferences
FAQ
CME Committee
Meet Our Staff
Forms
Policies
Contacts
1. Nasogastric intubation is indicated for which of the following patients?
Patient with a duodenal ulcer
Patient with mild pancreatitis secondary to alcohol intake
Patient with severe upper gastrointestinal bleeding
Patient requiring long-term tube feeding
2. Which of the following patients usually does NOT have a high risk of
esophageal perforation during nasogastric intubation?
Patient with esophageal varices secondary to liver cirrhosis
Patient hospitalized for attempted suicide by ingestion of Ajax cleaner
Patient with esophageal strictures from chronic GERD
Patient with esophageal diverticula
3. The depth of tube insertion should be estimated as the
distance between the:
xiphoid process, mastoid process, nostril
xiphisternal junction, posterior occiput, nostril
xiphoid process, angle of the mandible, nostril
none of the above
4. If the patient begins to gag during placement of the nasogastric tube, you
should:
immediately withdraw the tube
sedate the patient and resume insertion
pause to reassure the patient and quickly continue tube advancement
have the patient sip water then advance the tube as the patient swallows
5. Which of the following is observed when the nasogastric tube is
correctly placed?
aspirate the smallest volume of fluid necessary, usually 3 to 4 ml, into tube
connect the manometer to needle hub, measure pressure, aspirate
specimen
measure opening pressure, drain manometer or collect needle drip into tube
connect the manometer to needle hub, drain fluid into tube as column rises