OMSA LATEST SOLUTIONS GRADED A+

OMSA LATEST SOLUTIONS GRADED A+ A patient has been sedated for a tooth extraction in your office. While the patient is under general anesthesia the patient starts to vomit. The correct sequence of treatment for this patient is: - ANSWER Roll this patient on the right side, suction, and full face mask oxygen. A patient is displaying straighter intraoperative Lee. You have terminated the surgery, packed off the site, suction the back of the throat, reposition the airway, push on the chest to listen for a huff, and the patient continues to be symptomatic. Which drug would you consider administering? - ANSWER Succinylcholine The doctor ask you to assess the patient's ventilation. The things you look at include watching the rise and fall of the chess and looking at the - ANSWER Oxygen saturation and entitle CO2 (capnograph) The ASA classification is used for assessing patients prior to general anesthesia as a risk assessment tool. Do you have a patient with a history of only hypertension. The classification of corn to the ASA would be - ANSWER ASA 2 Your patient is an 82-year-old female with a history of coronary artery disease, angina and a previous myocardial infarction five years ago. She has an abscessed painful molar that needs extraction. She wants to be mildly sedated for the procedure. Midway through, you noticed the EKG suddenly looks like a wavy, chaotic undulating line. Can you check the leads and they are all correct. You feel for a pulse, and there is no pulse. Your first actions would be to - ANSWER Defibrillate with an AED, start CPR and call 911 A patient has stopped breathing. What is the main primary psychological mechanism that will restart this patient's breathing? - ANSWER Excess of carbon dioxide The correct sequence of air flow from the nose to the lungs is - ANSWER Nose, nasopharynx, oropharynx, laryngopharynx, trachea, and lungs The right side of the heart carries deoxygenated blood - ANSWER True A patient comes in for the removal of a tooth. Which of these medical conditions would require this patient to take an antibiotic premedication one hour prior to removal of that tooth. - ANSWER Prosthetic heart valve The acronym fast refers to facial droop, arm weakness, speech problems and time to call 911. This refers to what condition? - ANSWER Stroke (CVA) The safest time to extract a bad tooth on a pregnant patient is - ANSWER Second trimester An IV catheter has been placed into a vein in the right antecubital fossa. The IV line is already connected to the bag of fluids. The reason IV line is flush before connecting Ivy Lane an IV bag into the catheter is to - ANSWER Avoid an air embolus A patient says that she is allergic to amoxicillin and codeine upon further questioning, she says that she had a rash on she took penicillin and gets really nauseated when she takes Tylenol with codeine. This patient has - ANSWER An allergy to amoxicillin and has an adverse reaction to codeine A patient has taken 20 mg of prednisone (steroid) daily for over 30 years due to her rheumatoid arthritis. Your doctors planning to remove a difficult deeply impacted wisdom tooth. Our pre-operative concern for this patient is - ANSWER This patient will not be able to handle a "flight or fight" response from a stressful procedure Which of the following general drug categories are used to treat someone who is experiencing an asthma attack - ANSWER Beta agonist Indications for patients to be on anticoagulation medications are - ANSWER Stroke, pulmonary embolism, history of blood clots A patient is experiencing a laryngospasm. The correct sequence for the treatment of this is - ANSWER Stop, pack off site, suction, positive pressure oxygen, succinylcholine A patient calls one day after the removal of an infected tooth. She reports and itchy red rash all over her body after taking amoxicillin that your doctor prescribed. She's concerned that she is allergic to amoxicillin. Your recommendation to her is - ANSWER Stop the amoxicillin and take some over-the-counter Benadryl He just finished removing four wisdom teeth on a 20 year old male. He received quite a bit of anesthetic agents. Specifically 200 mg of pro football, 8 mg of Versed, 200 mcg of fentanyl. He has been in recovery for about 15 minutes when the alarm of the pulse oximeter goes off. You check on him and find him a new Roswell, ashen color with a respiratory rate of eight which is very slow breathing. What drugs would you consider giving him - ANSWER Narcan and Flumazenil The classification of drugs used to relax patients or reduce anxiety are called - ANSWER Benzodiazepine In compartment syndrome, when can see an increase of pressure in the forearm. This can be caused by Venipuncture. This is considered a true medical emergency - ANSWER True Drugs given to the patients are usually metabolized (broken down) in the body by what organ - ANSWER Liver A patient with type one diabetes caused the morning of surgery. She states that she's going to sleep to have a bad tooth removed. She is aware that she needs to have nothing to eat or drink prior to coming in but she's not sure what to do with her insulin. She asked for instructions on her insulin that she normally injects herself with in the morning. You advise her to - ANSWER You tell her to skip the morning dose of insulin A patient comes into your office with a history of diabetes for the placement of a dental implant as you always do in your office, you perform a fingerstick to check patient's blood glue close before you start the procedure. The fingerstick reveals a blood glucose of 400. What is the most appropriate action for your doctor to take next? - ANSWER Do not perform the surgery today and delay the implant placement There are two main categories of local anesthetics using dentistry the most common category of local anesthetic use an oral and maxillofacial surgery is an - ANSWER Amide The doctor ask you to assess the patient oxygenation. The things you look at include looking at the color the patient skin and - ANSWER Pulse oximeter Ketamine can cause hallucinations. The best drug to give along with ketamine, to reduce the incidence of these unwanted side effects is - ANSWER Versed Your patient presents for a surgery at 10 AM. He states that he remember not to eat or drink anything, but out of habit, took his morning dose of insulin. He is pale, trembling and not feeling well. You perform a fingerstick as you always do for your diabetic patients. His blood glucose is 50 you have not started your IV yet. The best treatment option for this patient is to - ANSWER Start an IV and give D5W as your IV fluids The trachea branches into the right and left main stream bronchus. A patient is undergoing general anesthesia in your office to remove a tooth. The patient aspirates the tooth. Which lung would you guess the tooth will end up in? - ANSWER The right lung FAST Refers to someone who is having a stroke. This acronym stands for - ANSWER Face, arm, speech, time The classification of drugs used to relieve pain are called - ANSWER Narcotics You're checking in the next patient who is a 50-year-old male. He is really nervous about the procedure. You confirm the surgical plan and then noticed that he's avoiding eye contact, appears very pale, nearly gray and is sweating. He suddenly passes out your diagnosis is - ANSWER Syncope (vasovagal) A patient with type two diabetes would typically be taking pills to control their blood glucose and to control their diabetes - ANSWER True A contradiction to the use of Diprovan (propofol) include - ANSWER Allergy to eggs Your doctor has started an IV. You're hooking the IV line and bag of IV fluids to the catheter. Which bag of IV fluids is the preferred for routine healthy patients? - ANSWER LR Construction of or narrowing of the coronary arteries can lead to angina - ANSWER True Construction of or narrowing of all your arteries and blood vessels will cause your blood pressure to increase - ANSWER True As patients undergo anesthesia, they pass through different stages of anesthesia. According to the ASA, surgery is usually performed in which stage of anesthesia? - ANSWER Stage 3 You just completed a surgical procedure on a patient. The patient receiver said, fentanyl, and propofol intravenously with LR (lactated ringers) as the IV fluids. The patient has been in recovery for 45 minutes and is still very drowsy. Which medication is most likely causing them to still be drowsy? - ANSWER Versed How many hours before surgery does the ASA recommend no food? - ANSWER 6 When you compare the ventricles of the heart to the atria of the heart. The walls of the ventricle are thicker than the atria. - ANSWER True The pneumonic Mona stands for - ANSWER Morphine, oxygen, nitroglycerin, aspirin A patient with type one diabetes would typically be giving themselves shots of insulin to control their Blood glucose into control their diabetes. - ANSWER True Which of the following drugs is most commonly associated with respiratory depression when given by IV? - ANSWER Fentanyl The most concerning signs and symptoms of an acute anaphylactic reaction are - ANSWER Airway edema and circulatory collapse Which monitor gives the most information about ventilation - ANSWER Capnograph You are doing a bicuspid extraction on a 20-year-old male under general anesthesia. He doesn't seem that deep because he keeps moving his tongue all over the place. The chin or notices that the pulse oximeter measurement is dropping and that his chest shows paradoxical rocking. He stopped the procedure, pack off the site, inspection went