OMSA FALL 2024 PRACTICE TEST 100% SOLVED

OMSA FALL 2024 PRACTICE TEST 100% SOLVED A patient who is a 72 year old male presents for his implant surgery. He has a history of an MI 6 years ago with angioplasty and a stent. He tells you that he stopped his aspirin a week ago (not instructed by his physician but he just did that on his own). Before you start, he complains of a vague chest pain, almost like indigestion, but it is radiating to his left arm. He is also diaphoretic (sweating). Your diagnosis (what is causing it) for this patient is: - Answer- Angina, possible heart attack (MI) The safest time to extract a "bad tooth" on pregnant patient is: - Answer- Second trimester A patient is experiencing a laryngospasm (spasm of the vocal cords). The correct sequence for the treatment of this is: - Answer- Stop, pack off site, suction, positive pressure oxygen, succinylcholine Drugs (PO, IM or IV) given to patients are usually metabolized (broken down) in the body by what organ: - Answer- Liver A pediatric airway is different than an adult airway in that: - Answer- Kids have a larger tongue and a conical shaped airway Your patient is a relatively difficult anesthetic: he is morbidly obese with a short neck, recessed lower jaw, and Mallampatti score of VI. You're struggling to chin him. You've already put in a nasal pharyngeal airway. What else might you try before you intubate him? - Answer- Laryngeal-Mask-Airway A laryngospasm (spasm of the vocal cords) a disorder of the: - Answer- Upper airway Which monitor gives the most information about ventilation? - Answer- Capnograph The most frequent anatomical cause of airway obstruction is the: - Answer- Tongue A patient with Type II (non-insulin dependent) diabetes would typically be taking pills to control their blood glucose (blood sugars) and to control their diabetes. - Answer- True The classification of drugs used to relieve pain are called: - Answer- Narcotics The most common cardiac rhythm seen on the EKG for an adult patient in cardiac arrest is? - Answer- Ventricular Fibrillation Which of the follow general drug categories are used to treat someone who is experiencing an asthma "attack": - Answer- Beta Agonists The Mallampatti Classification system is used by Oral & Maxillofacial Surgeons to assess the airway of patients. This classification allows your surgeon to have an idea if this patient will have a difficult airway. You have the patient open their mouth and stick out their tongue. You do not see any part of the uvula and can only see part of the soft palate. This patient has a Mallampatti classification of: - Answer- IV 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 ( i.e. Aortic Valve replacement ) Insulin converts: - Answer- Glucose to Glycogen The pneumonic MONA stands for: - Answer- Morphine, Oxygen, Nitroglycerin, Aspirin Indications for patients to be on anticoagulation (blood thinner) medicines are: - Answer- -Stroke (CVA) -Pulmonary Embolism (PE) -History of blood clots in the leg (DVT or VTE) The left side of the heart carries deoxygenated blood. - Answer- False As patients undergo anesthesia, they pass through different stages of anesthesia. According to the American Society of anesthesiology, surgery is usually performed in what stage of anesthesia? - Answer- Stage 3 Stimulation of the Sympathetic Nervous System will result in: - Answer- Increased heart rate, increased blood pressure You just finished removing 4 wisdom teeth on a 20 year old male. He received quite a bit of anesthetic agents. Specifically, 200 mg of Propofol, 8 mg of Versed, 200 umg of Fentanyl. He has been in recovery for about 15 minutes when the alarm on the pulse oximeter goes off. You check on him and find him unarousable, ashen colored with a respiratory rate of 8 which is very slow breathing. What drugs would you consider giving him? - Answer- Flumazenil (Romazicon) and Narcan (Naloxone) You are 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 notice that he's avoiding eye contact, appears very pale, nearly grey and is sweating. He suddenly "passes out". Your diagnosis is: - Answer- Syncope (vasovagal)