Florida State Paramedic Practice Exam

Which of the following is NOT an indication for intubation?

1. Inability to protect airway

2. Presence of gag reflex

3. Severe respiratory failure

4. Prolonged unconsciousness

The correct answer is: Presence of gag reflex

The presence of a gag reflex is generally not considered an indication for intubation because it suggests that the patient's airway reflexes are intact. Intubation is often necessary when a patient cannot maintain or protect their airway, which can occur in situations where the gag reflex is absent or diminished due to factors such as decreased consciousness or severe respiratory issues. In contrast, the other scenarios listed are clear situations where intubation is warranted. An inability to protect the airway indicates a risk of aspiration or obstruction, severe respiratory failure signifies inadequate ventilation or oxygenation, and prolonged unconsciousness suggests that the patient may not be able to sustain their airway without assistance. Therefore, the presence of a gag reflex is not a valid indication for intubation, making it the correct response to the question.