QUESTIONS AND VERIFIED
CORRECT ANSWERS
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angina
patienttakes nitroglycerine tablet with no effect in 5 min, you give a second and third tablet and
still nothing happens. Patient is most likley have a ____ - CORRECT ANSWER-Myocaridal
infarction
angina perctoris symptoms .Usually precipitated by exertion of _____. commonly with see __
_and ___ occur - CORRECT ANSWER-chest discomfort(not pain) epigrastrium area, usually
preciptated by stress and exertion
nasua and vomitting
if a patient is sitting in dental chair with hands on heart, first thing you do is give the patient
_____ - CORRECT ANSWER-0.4mg of nitroglycerine tablet
,if patient is having a myocradial infarction/chest pain, andminster anti anginal drugs such as
_____.
when to not give this to the patient as can cause severe drop in blood pressure - CORRECT
ANSWER-0.4mg nitroglycerine/vasodilation
viagra or cialis
What does MONA stand for and when is it used? - CORRECT ANSWER-morphine, oxygen,
nitroglycerine, asprin
angina treatment
Norpace/disopyramide - CORRECT ANSWER-Antiarrhythmic/antianginal agent
Valium (diazepam) has metabolies for long duration and binds to ___ receptors to cause
inhibtory effects . will have ___ channel opening
It is a ___ used for anxiety, siezures ,and insomina - CORRECT ANSWER-GABA
Cl
benzodiazapine
Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED - CORRECT ANSWER-TRAMETERNE AND SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
,Stent has been placed for patient undergoing kidney dialysis . Does patient require medicaiton?
- CORRECT ANSWER-No, does not require medication
if a patient has kidney disease, what can you prescribe and NOT prescribe - CORRECT ANSWER-
Tylenol (acetaminophen)
NOT aspirin, advil or naproxen (nsaids are metabolzied in the kidney)
t/f: If a patient has a kidney transplant, the patient may require antibiotic(stress dose) -
CORRECT ANSWER-true- due to anti rejection medications
analgesic for mild to moderate pain: NOT USED IF PATIENT HAS KIDNEY FAULURE - CORRECT
ANSWER-PROPROXEPHINE
antihistmine to prevent motion sickness and as a sedative for insomina when benzodiapenines
are contacindicated. Can be used to treat allergic reactions
common side effects are tardive dysinesia, xerostomia - CORRECT ANSWER-promethazine
bronchiodilater inhaler that relaxes muscles. Used for asthma - CORRECT ANSWER-albuterol
t/f: should administer nitrous oxide to an asthmatic - CORRECT ANSWER-false
angioedema of the upper lip has been dianosed as an allergic reaction with no other signs of
allergy. The most apporpriate treatment is ? - CORRECT ANSWER-oral administration of
antihistmine (benedryl)
, a 60 year old female taking naproxene, one asprin dialy who is allergic to penicillin is most likely
taking the naproxene for ___. Do not make a a precision attachment for her due to her lack of
___ as a result of the arthritis - CORRECT ANSWER-arthritis
lack of dexterity
patient has malaise, lethargy, itching, may have an allergic reaction. Give ____ - CORRECT
ANSWER-benedryl
the major difference between syncope and severe analphylatic shock is there can be ____ in
anaphylatic shock - CORRECT ANSWER-diffuculity in breathing
patient undergoing anaphylatic shock. TX includes (4) - CORRECT ANSWER-place patient in
supine position
administer oxygen manually
monitor vitals
give 0.3-0.5ml of EPI SC or IM
the first thing to do if a patient experiences syndrome (fainting or hypotension) in the dental
chair is to place patient in _____ position - CORRECT ANSWER-place patient in trendelenburg
position (supine) with feet higher than head by 15-30 degrees to increase cerebral perfusion
pressure
When is trendelenburg position contraindicated and instead would use just horizontal position?
- CORRECT ANSWER-hypovolumic shock (loss of blood volume)