OMSA Final review| 282 QUESTIONS| WITH
COMPLETE SOLUTIONS
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 Difibrillate
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 medication's 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 Veni puncture. 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 her self
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
COMPLETE SOLUTIONS
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 Difibrillate
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 medication's 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 Veni puncture. 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 her self
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
