for Dental Auxiliaries, 5th Edition Melissa Damatta
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, Solution and Answer Guide: Damatta/Singhal/Jennings, Medical Emergencies Guide For Dental Auxiliaries, 5e, 2022; Core
9780357456927; Chapter 1: Office Preparation
Solution and Answer Guide
DAMATTA/SINGHAL/JENNINGS, MEDICAL EMERGENCIES GUIDE FOR DENTAL AUXILIARIES,
5E, 2022; CORE 9780357456927; CHAPTER 1: OFFICE PREPARATION
TABLE OF CONTENTS
Review questions........................................................................................................................1
Multiple Choice .......................................................................................................................... 1
True or False ............................................................................................................................. 2
Case Studies................................................................................................................................3
REVIEW QUESTIONS
MULTIPLE CHOICE
1. During an office emergency, which of the following is not a function of the
a. dental auxiliary? notify the doctor
b. administer basic life support
c. administer necessary drugs
d. retrieve the emergency kit
Answer: c
2. All oxygen tanks are
a. green.
b. blue.
c. red.
d. yellow.
Answer: a
3. The amount of oxygen the patient receives is controlled by the
a. regulator.
b. demand valve.
c. cylinder.
d. flowmeter.
Answer: d
4. Grease or oil should not be used around oxygen because it may
a. contaminate the oxygen.
b. cause an explosion.
c. block the valves.
d. none of the above
Answer: b
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Damatta/Singhal/Jennings, Medical Emergencies Guide For Dental Auxiliaries, 5e, 2022; Core
9780357456927; Chapter 1: Office Preparation
5. Which of the following is/are true concerning the face mask on the oxygen tank?
a. should be clear
b. should form a tight seal
c. should be made of metal
d. both a and b
Answer: d
6. All of the following are true of the demand-valve resuscitator except one. Which is the exception?
a. Used on a patient who is breathing
b. Uses enough force to inflate the lungs
c. Has a preset pressure
d. Delivers 100% oxygen
Answer: a
7. A dental office may choose to have a homemade made emergency kit or a manufactured
emergency kit. The homemade emergency kit usually assembled by the dentist with the help of
physicians, pharmacists, and other medical personnel.
a. Both statements are true
b. Both statements are false
c. The first statement is true, the 2nd statement is falsed.
d. The first statement is false, the 2nd statement is true
Answer: a
TRUE OR FALSE
1. The emergency kit should be easily accessible to everyone in the office.
True
2. Dental auxiliaries may administer oxygen if they are trained in its use.
True
3. The expiration date on drugs found in the emergency kit can be checked only by the dentist.
False
4. An E-cylinder oxygen tank should be used in the dental office.
True
5. When administering oxygen, the flowmeter should be set on 4–6 liters
True
6. Since medical emergencies do not occur frequently in the dental office, it is not necessary for
the dental team to carry out mock emergency drills.
False
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.
, Solution and Answer Guide: Damatta/Singhal/Jennings, Medical Emergencies Guide For Dental Auxiliaries, 5e, 2022; Core
9780357456927; Chapter 1: Office Preparation
CASE STUDIES
1-1: A 45-year-old male presents with a medical history on which he states that he has heart problems.
As dental treatment begins, the patient loses consciousness and goes into cardiac arrest. The doctor
sends the auxiliary to the front to call for help while he goes to hook up the new oxygen cylinder that just
arrived this morning. At the front desk, the assistant asks the receptionist to find the number for the
emergency medical service. When the doctor and assistant return to the operatory, they begin two-
person CPR with the patient in the dental chair.
Questions
1. List everything that was done incorrectly.
connects oxygen tank after realizing it was needed
assistant does no know where emergency numbers are
Patient was left alone
Patient in chair for CPR is not as effective
Overall poor office and staff preparation-patient stated heart problems but there was
no preparation for an emergency
2. List the correct steps.
Staff should have been prepared to handle an emergency
O2 tank should have been connected as soon as it arrived so It is available for
immediate use
Emergency numbers should be in an easily accessible place
Assistant or DMD should have stayed with patient
Patient should have been moved to floor for CPR
1-2: A 76-year-old female presents with a medical history on which she states that she has heart
problems and diabetes. As the dental auxiliary begins to prepare the operatory, the patient loses
consciousness. The dental auxiliary retrieves the emergency kit and administers several drugs to the
patient. The dentist enters the operatory as the patient is regaining consciousness.
Questions
1. What did the dental auxiliary do incorrectly?
Auxiliary administered drugs without notifying the dentist of the front desk
Several drugs were administered-what were they for?
2. List the correct protocol.
DMD and front desk should have been immediately notified
Patient should have been placed supine
Vitals should have been taken and recorded
Patient should have been asked if she had her meal and her insulin in the morning to
determine if her blood sugar was normal
Patient should have been managed based on what the emergency was
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 3
website, in whole or in part.
, Solution and Answer Guide: Damatta/Singhal/Jennings, Medical Emergencies Guide For Dental Auxiliaries, 5e, 2022; Core
9780357456927; Chapter 2: Medical History
Solution and Answer Guide
DAMATTA/SINGHAL/JENNINGS, MEDICAL EMERGENCIES GUIDE FOR DENTAL AUXILIARIES, 5E,
2022; CORE 9780357456927; CHAPTER 2: MEDICAL HISTORY
TABLE OF CONTENTS
Review questions........................................................................................................................1
Multiple Choice .......................................................................................................................... 1
True or False ............................................................................................................................. 2
Case Studies................................................................................................................................3
REVIEW QUESTIONS
MULTIPLE CHOICE
1. If a dental patient has difficulty with English, the dental auxiliary should
a. make an appointment for the patient when the services of an interpreter are available.
b. have medical histories available in different languages.
c. speak louder so that the patient will understand.
d. suggest that the patient find a dentist who speaks his or her primary language.
Answer: b
2. Interviewing patients for their medical history requires
a. special credentials.
b. good communication skills.
c. good computer skills.
d. a lot of time and energy.
Answer: b
3. A normal healthy patient would be classified as
a. ASA I.
b. ASA II.
c. ASA III.
d. ASA IV.
Answer: a
4. A patient with a severe systemic disease would be classified as
a. ASA I.
b. ASA II.
c. ASA III.
d. ASA IV.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Damatta/Singhal/Jennings, Medical Emergencies Guide For Dental Auxiliaries, 5e, 2022; Core
9780357456927; Chapter 2: Medical History
Answer: c
5. Which of the following is not a component of the patient's medical history?
a. date of birth
b. address
c. phone number
d. ethnic background
Answer: d
6. The rules and regulations of HIPAA define how sensitive information obtained from the patient
can be circulated and to whom the information can be distributed with the patient’s written
consent and knowledge. A portion of HIPAA, known as the privacy rules, establishes rules and
regulations for the protection of protected health information (PHI).
Select the correct response based on the statement above.
a. Both statements are true.
b. Both statements are false.
c. The 1st statement is true, the 2nd statement is false.
d. The 2nd statement is true, the 1st statement is false.
Answer: c
TRUE OR FALSE
1. The health history should be obtained only with emergency patients.
False
2. The health history should be updated each time the patient comes to the office.
True
3. The Physician’s Desk Reference should be replaced every year.
True
4. An ASA V classification patient would be commonly seen in a dental office for dental
treatment.
False
5. The dental history is not considered to be part of the medical history.
False
6. HIPAA allows the dental practitioner to share patient personal health information to anyone
that requests it.
False
7. Drug references that are specific to dentistry are not available, so the best source is the
Physician's Desk Reference.
False
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.
, Solution and Answer Guide: Damatta/Singhal/Jennings, Medical Emergencies Guide For Dental Auxiliaries, 5e, 2022; Core
9780357456927; Chapter 2: Medical History
CASE STUDIES
2-1: A 27-year-old female presents at the dental office for an initial exam. After the dental auxiliary
reviews the medical history and records the vital signs, she notifies the dentist that the patient has a
history of poorly controlled Type I diabetes.
Questions
1. What ASA classification would fit this patient?
a. ASA III
2. Would she have a positive or negative medical history? Why?
a. Positive due to history of disease
3. Which drug reference may be useful to look up the dental implications of the patient's
medications?
a. Dental Drug Reference with Clinical Implications
2-2: A 56-year-old male presents at the dental office for a restorative appointment. After reviewing the
medical history and recording the vital signs, the dental auxiliary notifies the dentist that the patient has
had a change in his medical history. He is no longer being treated for hypertension due to improvement
through diet and exercise.
Questions
1. What ASA classification would fit this patient?
a. ASA I
2. Would he have a positive or negative medical history? Why?
a. Negative-no history of disease
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 3
website, in whole or in part.
, Solution and Answer Guide: Damatta/Singhal/Jennings, Medical Emergencies Guide For Dental Auxiliaries, 5e, 2022; Core
9780357456927; Chapter 3: Vital Signs
Solution and Answer Guide
DAMATTA/SINGHAL/JENNINGS, MEDICAL EMERGENCIES GUIDE FOR DENTAL AUXILIARIES, 5E,
2022; CORE 9780357456927; CHAPTER 3: VITAL SIGNS
TABLE OF CONTENTS
Review Questions ....................................................................................................................... 1
Multiple Choice .......................................................................................................................... 1
True or False ............................................................................................................................. 3
Case Studies................................................................................................................................4
REVIEW QUESTIONS
MULTIPLE CHOICE
1. Which of the following is/are considered a vital sign?
a. temperature
b. vision
c. pulse
d. both a and c
Answer: d
2. Which of the following are needed to record blood pressure?
a. sphygmomanometer
b. thermometer
c. stopwatch
d. all the above
Answer: a
3. Which artery is used to measure blood pressure?
a. femoral
b. carotid
c. radial
d. brachial
Answer: d
4. Respirations should be measured for ___ seconds.
a. 30
b. 15
c. 10
d. none of the above
Answer: a
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Damatta/Singhal/Jennings, Medical Emergencies Guide For Dental Auxiliaries, 5e, 2022; Core
9780357456927; Chapter 3: Vital Signs
5. Which of the following is not correct regarding obtaining baseline vital signs at the initial dental
visit?
a. Baseline vitals should be obtained at the first visit because the patient is less apprehensive
at the initial visit
b. Baseline vital signs can help the staff respond during a medical emergency
c. Vital signs may vary depending on age, gender, weight, physical health
d. It is not important to obtain baseline vital signs for dental treatment
Answer: d
6. In addition to the four primary vital signs, height and weight can be recorded. Height and weight
would be needed in pediatric dentistry in order to prescribe medications for the patient.
Select the correct response based on the statement above
a. Both statements are true
b. Both statements are false
c. The 1st statement is true, the 2nd statement is false
d. The 1st statement is false, the 2nd statement is true
Answer: a
7. Match each of the vital signs with the correct normal range
a. pulse
b. blood pressure
c. adult temperature
1. 97-99
2. <120/80
3. 60-80
Answer: a. (3), b. (2), c. (1)
8. A rapid pulse is defined as which of the following?
a. tachycardia
b. bradycardia
c. arrhythmia
d. bradypnea
Answer: a
9. Bradypnea is a faster than normal respiration rate. Tachypnea is a slower than normal respiration
rate.
Select the correct response based on the statement above
a. Both statements are true
b. Both statements are false
c. The 1st statement is true, the 2nd statement is false
d. The 1st statement is false, the 2nd statement is true
Answer: b
10. The systolic blood pressure required for the left ventricle to pump the blood to the remaining
vessels in the body. The diastolic blood pressure is the pressure of the heart muscle at rest while
it is refilling with blood.
Select the correct response based on the statement above
a. Both statements are true
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.