Test Bank MEDICAL EMERGENCIES
CHAPTER 1
Multiple Choice
1. What is the MOST common emergency to occur in the dental office?
A. Mild allergic reaction
B. Angina
C. Syncope
D. Anaphylaxis
2. All of the following procedures will help to prevent an emergency in a dental office EXCEPT:
A. accurate medical history taking.
B. taking and recording vital signs.
C. updating the medical emergency kit.
3. If a patient responds positively on his or her medical history to epilepsy, you will need to be on the
lookout for:
A. dyspnea.
B. hypoglycemia.
C. seizures.
D. none of the above.
4. All of the following questions should be asked of a patient who provides a positive response on the
medical history for asthma EXCEPT:
A. severity of attacks.
B. frequency of attacks.
C. trigger of attacks.
D. all of the above questions should be asked.
5. A patient with an incapacitating systemic disease that is a constant threat to life would be categorized
as:
A. ASA I.
B. ASA II.
C. ASA III.
D. ASA IV.
6. A patient that has stable angina or well-controlled Type I diabetes would be considered:
A. ASA I.
B. ASA II.
C. ASA III.
D. ASA IV.
7. The next MOST available person to the operator whose patient is experiencing an emergency is
responsible for:
A. recording events of the emergency.
B. contacting EMS.
C. retrieving the emergency kit.
D. preparing drugs from the kit for use.
8. In the REPAIR system for the management of medical emergencies the “I” refers to:
A. recognizing the signs and symptoms.
B. evaluating the patient’s level of consciousness.
C. positioning the patient appropriately.
D. implementing the appropriate emergency protocol.
9. Which of the following is a contributing factor in the increase in medical emergencies in the dental
, setting?
A. Decreasing age of the population
B. Advances in healthcare
C. Advances in dentistry
D. None of the above
10. Patient vital signs include all of the following EXCEPT:
A. pulse.
B. respiration.
C. blood pressure.
D. weight.
True/False
1. Patients who are tachycardic or bradycardic are less likely to experience a medical emergency in the
dental office than those that have a normal heart rhythm.
True
False
2. For patients taking corticosteroids the operator needs to be alert to the signs and symptoms of
adrenal insufficiency.
True
False
3. Patients who are tachypnic may be more likely to experience a medical emergency.
True
False
4. A patient who can walk up two flights of stairs or two city blocks would be considered in the ASA III
category.
True
False
5. Current CPR is necessary to be able to treat almost any medical emergency.
True
False
Fill in the Blank
1. _________________ % of medical emergencies in the dental office are due to a mild allergic
reaction.
2. _________________ of all medical emergencies in the dental office are life threatening.
3. If a patient states they have a bleeding disorder the operator needs to be alert to
_________________ during patient treatment.
4. A patient with a mild systemic disease would be considered in the _________________ category.
5. Two important pieces of equipment needed for use during a medical emergency are a/an
_________________ and a/an _________________.
Short Answer
1. Explain the responsibility of each dental staff person during a medical emergency using the
emergency team structure recommended in the text.
2. Explain the ASA Classification system.
,CHAPTER 2
Multiple Choice
1. All of the following should be taken into account when developing an emergency kit EXCEPT:
A. proximity to emergency department.
B. proximity to EMS.
C. familiarity of dental team with kit contents.
D. age of dental team members.
2. Which of the following drugs is used for a severe allergic reaction?
A. Albuterol
B. Chlorpheneramine
C. Epinephrine
D. None of the above
3. Which is the only emergency for which oxygen is NOT usually recommended?
A. Anaphylaxis
B. Hyperventilation
C. Hypoglycemia
D. Asthma attack
4. Nitroglycerine is indicated for all of the following emergencies EXCEPT:
A. cerebrovascular accident.
B. acute angina.
C. myocardial infarction.
D. heart failure.
5. Albuterol:
A. is administered intramuscularly.
B. has a quick onset.
C. lasts about 30 minutes.
D. the adult dose is one spray and should not be repeated.
6. The appropriate dosage of aspirin for use in an MI is:
A. 81 mg.
B. 162 mg.
C. one baby aspirin.
D. one-half baby aspirin.
7 An unconscious patient suffering from severe hypoglycemia should receive:
A. oral carbohydrate.
B. SoluCortef IM.
C. glucagon IM.
D. nitroglycerine sublingually.
8. What is the pediatric dose of diphenhydramine?
A. 1 mg/kg of body weight
B. 2 mg/kg of body weight
C. 3 mg/kg of body weight
D. 4 mg/kg of body weight
9. An automated external defibrillator is an additional item for the emergency kit to care for which
emergency?
A. Asthma attack
B. Cardiac arrest
C. Broken instrument tip
D. Anaphylaxis
, True/False
1. Diphenhydramine IM is used for moderate allergic reactions that include primarily dermatologic signs
with some respiratory symptoms.
True
False
2. The duration of action of albuterol is one to two hours.
True
False
3. Administration of a corticosteroid is indicated for the prevention of a recurrence of an anaphylactic
reaction.
True
False
4. Nitroglycerine tablets lose their effectiveness in 12 weeks if exposed to light or air.
True
False
5. An injectable benzodiazepine is necessary for the management of cerebrovascular accident.
True
False
Fill in the Blank
1. A/an _________________ is a magnetized device used for the removal of broken instrument tips.
2. A/an _________________ should be included in the emergency kit to determine if a patient is
suffering from pyrexia.
3. The use of steroids will help in the management of an allergic reaction by reducing the release of
_________________.
4. An oral carbohydrate is necessary to reduce the symptoms of _________________ in a conscious
patient.
5. The MOST important component of the emergency kit is _________________.
Short Answer Questions
1. List the essential drugs of an emergency kit.
2. List the supplemental drugs of an emergency kit.
CHAPTER 3
Multiple Choice
1. Your patient’s pulse rate is 102. This would be considered:
A. normal.
B. bradycardia.
C. tachycardia.
D. none of the above.
2. What is the MOST common artery used to take a patient’s pulse rate in the dental office?
CHAPTER 1
Multiple Choice
1. What is the MOST common emergency to occur in the dental office?
A. Mild allergic reaction
B. Angina
C. Syncope
D. Anaphylaxis
2. All of the following procedures will help to prevent an emergency in a dental office EXCEPT:
A. accurate medical history taking.
B. taking and recording vital signs.
C. updating the medical emergency kit.
3. If a patient responds positively on his or her medical history to epilepsy, you will need to be on the
lookout for:
A. dyspnea.
B. hypoglycemia.
C. seizures.
D. none of the above.
4. All of the following questions should be asked of a patient who provides a positive response on the
medical history for asthma EXCEPT:
A. severity of attacks.
B. frequency of attacks.
C. trigger of attacks.
D. all of the above questions should be asked.
5. A patient with an incapacitating systemic disease that is a constant threat to life would be categorized
as:
A. ASA I.
B. ASA II.
C. ASA III.
D. ASA IV.
6. A patient that has stable angina or well-controlled Type I diabetes would be considered:
A. ASA I.
B. ASA II.
C. ASA III.
D. ASA IV.
7. The next MOST available person to the operator whose patient is experiencing an emergency is
responsible for:
A. recording events of the emergency.
B. contacting EMS.
C. retrieving the emergency kit.
D. preparing drugs from the kit for use.
8. In the REPAIR system for the management of medical emergencies the “I” refers to:
A. recognizing the signs and symptoms.
B. evaluating the patient’s level of consciousness.
C. positioning the patient appropriately.
D. implementing the appropriate emergency protocol.
9. Which of the following is a contributing factor in the increase in medical emergencies in the dental
, setting?
A. Decreasing age of the population
B. Advances in healthcare
C. Advances in dentistry
D. None of the above
10. Patient vital signs include all of the following EXCEPT:
A. pulse.
B. respiration.
C. blood pressure.
D. weight.
True/False
1. Patients who are tachycardic or bradycardic are less likely to experience a medical emergency in the
dental office than those that have a normal heart rhythm.
True
False
2. For patients taking corticosteroids the operator needs to be alert to the signs and symptoms of
adrenal insufficiency.
True
False
3. Patients who are tachypnic may be more likely to experience a medical emergency.
True
False
4. A patient who can walk up two flights of stairs or two city blocks would be considered in the ASA III
category.
True
False
5. Current CPR is necessary to be able to treat almost any medical emergency.
True
False
Fill in the Blank
1. _________________ % of medical emergencies in the dental office are due to a mild allergic
reaction.
2. _________________ of all medical emergencies in the dental office are life threatening.
3. If a patient states they have a bleeding disorder the operator needs to be alert to
_________________ during patient treatment.
4. A patient with a mild systemic disease would be considered in the _________________ category.
5. Two important pieces of equipment needed for use during a medical emergency are a/an
_________________ and a/an _________________.
Short Answer
1. Explain the responsibility of each dental staff person during a medical emergency using the
emergency team structure recommended in the text.
2. Explain the ASA Classification system.
,CHAPTER 2
Multiple Choice
1. All of the following should be taken into account when developing an emergency kit EXCEPT:
A. proximity to emergency department.
B. proximity to EMS.
C. familiarity of dental team with kit contents.
D. age of dental team members.
2. Which of the following drugs is used for a severe allergic reaction?
A. Albuterol
B. Chlorpheneramine
C. Epinephrine
D. None of the above
3. Which is the only emergency for which oxygen is NOT usually recommended?
A. Anaphylaxis
B. Hyperventilation
C. Hypoglycemia
D. Asthma attack
4. Nitroglycerine is indicated for all of the following emergencies EXCEPT:
A. cerebrovascular accident.
B. acute angina.
C. myocardial infarction.
D. heart failure.
5. Albuterol:
A. is administered intramuscularly.
B. has a quick onset.
C. lasts about 30 minutes.
D. the adult dose is one spray and should not be repeated.
6. The appropriate dosage of aspirin for use in an MI is:
A. 81 mg.
B. 162 mg.
C. one baby aspirin.
D. one-half baby aspirin.
7 An unconscious patient suffering from severe hypoglycemia should receive:
A. oral carbohydrate.
B. SoluCortef IM.
C. glucagon IM.
D. nitroglycerine sublingually.
8. What is the pediatric dose of diphenhydramine?
A. 1 mg/kg of body weight
B. 2 mg/kg of body weight
C. 3 mg/kg of body weight
D. 4 mg/kg of body weight
9. An automated external defibrillator is an additional item for the emergency kit to care for which
emergency?
A. Asthma attack
B. Cardiac arrest
C. Broken instrument tip
D. Anaphylaxis
, True/False
1. Diphenhydramine IM is used for moderate allergic reactions that include primarily dermatologic signs
with some respiratory symptoms.
True
False
2. The duration of action of albuterol is one to two hours.
True
False
3. Administration of a corticosteroid is indicated for the prevention of a recurrence of an anaphylactic
reaction.
True
False
4. Nitroglycerine tablets lose their effectiveness in 12 weeks if exposed to light or air.
True
False
5. An injectable benzodiazepine is necessary for the management of cerebrovascular accident.
True
False
Fill in the Blank
1. A/an _________________ is a magnetized device used for the removal of broken instrument tips.
2. A/an _________________ should be included in the emergency kit to determine if a patient is
suffering from pyrexia.
3. The use of steroids will help in the management of an allergic reaction by reducing the release of
_________________.
4. An oral carbohydrate is necessary to reduce the symptoms of _________________ in a conscious
patient.
5. The MOST important component of the emergency kit is _________________.
Short Answer Questions
1. List the essential drugs of an emergency kit.
2. List the supplemental drugs of an emergency kit.
CHAPTER 3
Multiple Choice
1. Your patient’s pulse rate is 102. This would be considered:
A. normal.
B. bradycardia.
C. tachycardia.
D. none of the above.
2. What is the MOST common artery used to take a patient’s pulse rate in the dental office?
