CLINICAL MEDICINE EXAM
C: have the patient take a double dose of their antihypertensive medication.D: proceed
with elective dental treatment, as long as it is not extremely invasive and stimulating. -
,ANS: A
Q: When discussing ischemic heart disease, which of the following statements is TRUE?
A: Vasodilation of the coronary arteries may lead to ischemia of the myocardium.
B: Occlusion can be caused by the presence of a large intraluminal atherosclerotic
plaque.
C: Angina often arises during periods of decreased myocardial demand.
D: Commonly reported symptoms include seizures, hyperglycemia and wheezing. -
ANS:B
Q:The correct response when managing a patient with dental pain who presents with a
heart rate of 106 and a blood pressure of 165/101 would include:
A: recheck the patient's vital signs ensuring the use of a properly sized blood pressure
cuff.
B: anesthetize the patient using 2% lidocaine w/ 1:100,000 epinephrine and determine if
the vitals normalize afterwards.
,Q:Which of the following correctly matches the antihypertensive medication and the
associated fact?
A: Hydrochlorothiazide is a thiazide diuretic and has strong diuretic activity and causes
hypokalemia.
B: Metoprolol is a nonselective beta antagonist (blocker) and acts on β1 and β2
receptors.
C: ACE inhibitors like lisinopril prevent the production of angiotensin II.
D: Calcium channel blockers all have activity on vascular smooth muscle and the heart.
- ANS:C
Q:Which of the following statements is TRUE regarding hypotension?
A: Orthostatic hypotension occurs when progressive blood loss leads to impaired
systemic perfusion.
B: Vasovagal syncope is common and should be managed initially by sitting the patient
upright.
C: Pregnant patients in the 3rd trimester should be placed in the lateral decubitus
position to prevent compression of the ascending aorta.
D: Hypotension can result from non-neurogenic causes such as aortic stenosis or
congestive heart failure. - ANS:D
, Q:When discussing acute coronary syndromes, all of the following are true EXCEPT one.
Which one is the EXCEPTION?
A: The goals of managing a suspected ACS patient include minimizing damage to the
myocardium.
B: Immediate medical interventions may include thrombolytic therapy.
C: Routine dental care is contraindicated for at least one year following an STEMI.
D: The ADA recommendations for a patient post-ACS include a maximum dose of .04
mg epinephrine per visit. - ANS:C
Q:All of the following answers correctly pair the component of the cardiovascular
system with the appropriate function EXCEPT?
A: Blood vessels = conduits for fluid flow
B: Heart = pump to drive fluid
C: Kidneys = regulates systemic pressure and fluid volume
D: Blood = fluid responsible for transporting oxygen only - ANS:D
C: have the patient take a double dose of their antihypertensive medication.D: proceed
with elective dental treatment, as long as it is not extremely invasive and stimulating. -
,ANS: A
Q: When discussing ischemic heart disease, which of the following statements is TRUE?
A: Vasodilation of the coronary arteries may lead to ischemia of the myocardium.
B: Occlusion can be caused by the presence of a large intraluminal atherosclerotic
plaque.
C: Angina often arises during periods of decreased myocardial demand.
D: Commonly reported symptoms include seizures, hyperglycemia and wheezing. -
ANS:B
Q:The correct response when managing a patient with dental pain who presents with a
heart rate of 106 and a blood pressure of 165/101 would include:
A: recheck the patient's vital signs ensuring the use of a properly sized blood pressure
cuff.
B: anesthetize the patient using 2% lidocaine w/ 1:100,000 epinephrine and determine if
the vitals normalize afterwards.
,Q:Which of the following correctly matches the antihypertensive medication and the
associated fact?
A: Hydrochlorothiazide is a thiazide diuretic and has strong diuretic activity and causes
hypokalemia.
B: Metoprolol is a nonselective beta antagonist (blocker) and acts on β1 and β2
receptors.
C: ACE inhibitors like lisinopril prevent the production of angiotensin II.
D: Calcium channel blockers all have activity on vascular smooth muscle and the heart.
- ANS:C
Q:Which of the following statements is TRUE regarding hypotension?
A: Orthostatic hypotension occurs when progressive blood loss leads to impaired
systemic perfusion.
B: Vasovagal syncope is common and should be managed initially by sitting the patient
upright.
C: Pregnant patients in the 3rd trimester should be placed in the lateral decubitus
position to prevent compression of the ascending aorta.
D: Hypotension can result from non-neurogenic causes such as aortic stenosis or
congestive heart failure. - ANS:D
, Q:When discussing acute coronary syndromes, all of the following are true EXCEPT one.
Which one is the EXCEPTION?
A: The goals of managing a suspected ACS patient include minimizing damage to the
myocardium.
B: Immediate medical interventions may include thrombolytic therapy.
C: Routine dental care is contraindicated for at least one year following an STEMI.
D: The ADA recommendations for a patient post-ACS include a maximum dose of .04
mg epinephrine per visit. - ANS:C
Q:All of the following answers correctly pair the component of the cardiovascular
system with the appropriate function EXCEPT?
A: Blood vessels = conduits for fluid flow
B: Heart = pump to drive fluid
C: Kidneys = regulates systemic pressure and fluid volume
D: Blood = fluid responsible for transporting oxygen only - ANS:D
