CLINICAL MEDICINE EXAM 1
CARDIAC,NEUROLOGIC, PHARMACOLOGIC
Q$A FOR DENTAL PRACTICE
When discussing ischemic heart disease, which of
the following statements is TRUE?
A: Vasodilation of the coronary arteries may lead to
ischemia of the myocardium.
B: Occlusion can be caused by the presence of a
large intraluminal atherosclerotic plaque.
C: Angina often arises during periods of decreased
myocardial demand.
D: Commonly reported symptoms include seizures,
hyperglycemia and wheezing. ANSWER - B
The correct response when managing a patient with
dental pain who presents with a heart rate of 106
and a blood pressure of 165/101 would include:
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,A: recheck the patient's vital signs ensuring the use
of a properly sized blood pressure cuff.
B: anesthetize the patient using 2% lidocaine w/
1:100,000 epinephrine and determine if the vitals
normalize afterwards.
C: have the patient take a double dose of their
antihypertensive medication.
D: proceed with elective dental treatment, as long
as it is not extremely invasive and stimulating.
ANSWER -
A
Which of the following correctly matches the
antihypertensive medication and the associated
fact?
A: Hydrochlorothiazide is a thiazide diuretic and has
strong diuretic activity and causes hypokalemia.
B: Metoprolol is a nonselective beta antagonist
(blocker) and acts on β1 and β2 receptors.
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,C: ACE inhibitors like lisinopril prevent the
production of angiotensin II.
D: Calcium channel blockers all have activity on
vascular smooth muscle and the heart. ANSWER - C
Which of the following statements is TRUE
regarding hypotension?
A: Orthostatic hypotension occurs when progressive
blood loss leads to impaired systemic perfusion.
B: Vasovagal syncope is common and should be
managed initially by sitting the patient upright.
C: Pregnant patients in the 3rd trimester should be
placed in the lateral decubitus position to prevent
compression of the ascending aorta.
D: Hypotension can result from non-neurogenic
causes such as aortic stenosis or congestive heart
failure. ANSWER - D
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, When discussing acute coronary syndromes, all of
the following are true EXCEPT one. Which one is the
EXCEPTION?
A: The goals of managing a suspected ACS patient
include minimizing damage to the myocardium.
B: Immediate medical interventions may include
thrombolytic therapy.
C: Routine dental care is contraindicated for at least
one year following an STEMI.
D: The ADA recommendations for a patient post-
ACS include a maximum dose of .04 mg epinephrine
per visit. ANSWER - C
All of the following ANSWERwers correctly pair the
component of the cardiovascular system with the
appropriate function EXCEPT?
A: Blood vessels = conduits for fluid flow
B: Heart = pump to drive fluid
MEDNURSE STUVIA EXAMS
CARDIAC,NEUROLOGIC, PHARMACOLOGIC
Q$A FOR DENTAL PRACTICE
When discussing ischemic heart disease, which of
the following statements is TRUE?
A: Vasodilation of the coronary arteries may lead to
ischemia of the myocardium.
B: Occlusion can be caused by the presence of a
large intraluminal atherosclerotic plaque.
C: Angina often arises during periods of decreased
myocardial demand.
D: Commonly reported symptoms include seizures,
hyperglycemia and wheezing. ANSWER - B
The correct response when managing a patient with
dental pain who presents with a heart rate of 106
and a blood pressure of 165/101 would include:
MEDNURSE STUVIA EXAMS
,A: recheck the patient's vital signs ensuring the use
of a properly sized blood pressure cuff.
B: anesthetize the patient using 2% lidocaine w/
1:100,000 epinephrine and determine if the vitals
normalize afterwards.
C: have the patient take a double dose of their
antihypertensive medication.
D: proceed with elective dental treatment, as long
as it is not extremely invasive and stimulating.
ANSWER -
A
Which of the following correctly matches the
antihypertensive medication and the associated
fact?
A: Hydrochlorothiazide is a thiazide diuretic and has
strong diuretic activity and causes hypokalemia.
B: Metoprolol is a nonselective beta antagonist
(blocker) and acts on β1 and β2 receptors.
MEDNURSE STUVIA EXAMS
,C: ACE inhibitors like lisinopril prevent the
production of angiotensin II.
D: Calcium channel blockers all have activity on
vascular smooth muscle and the heart. ANSWER - C
Which of the following statements is TRUE
regarding hypotension?
A: Orthostatic hypotension occurs when progressive
blood loss leads to impaired systemic perfusion.
B: Vasovagal syncope is common and should be
managed initially by sitting the patient upright.
C: Pregnant patients in the 3rd trimester should be
placed in the lateral decubitus position to prevent
compression of the ascending aorta.
D: Hypotension can result from non-neurogenic
causes such as aortic stenosis or congestive heart
failure. ANSWER - D
MEDNURSE STUVIA EXAMS
, When discussing acute coronary syndromes, all of
the following are true EXCEPT one. Which one is the
EXCEPTION?
A: The goals of managing a suspected ACS patient
include minimizing damage to the myocardium.
B: Immediate medical interventions may include
thrombolytic therapy.
C: Routine dental care is contraindicated for at least
one year following an STEMI.
D: The ADA recommendations for a patient post-
ACS include a maximum dose of .04 mg epinephrine
per visit. ANSWER - C
All of the following ANSWERwers correctly pair the
component of the cardiovascular system with the
appropriate function EXCEPT?
A: Blood vessels = conduits for fluid flow
B: Heart = pump to drive fluid
MEDNURSE STUVIA EXAMS
