Midterm

Question 1

most important factor in malpractice litigation

Answer 1

documentation and notes

Question 2

___ ___ contains medical history, current Rx, and allergies

Answer 2

health history

Question 3

3 situations that require premedication

Answer 3

unrepaired CHD
repaired CHD within 6 months
repaired CHD with existing defects

Question 4

st john wart, garlic, fibers, laxatives are ___

Answer 4

inducers

Question 5

echinacea, ginger, cayenne, grapefruit, licorice, gingko, kava, and ginseng are ___

Answer 5

inhibitors

Question 6

men alcohol use

Answer 6

</= 4 per day or 14 per week

Question 7

women alcohol use

Answer 7

</= 3 per day or 7 per week

Question 8

HA

Answer 8

hypertonia arterialis (headache)

Question 9

ASA classification is limited to ___ status

Answer 9

physical (preoperative)

Question 10

IDDM, morbid obesity, stable angina, and dialysis are all under ASA ___

Answer 10

III

Question 11

unstable angina, symptomatic COPD/CHF, and ESRD are all under ASA ___

Answer 11

IV

Question 12

NIDDM, obesity, controlled HTN/HyperTH/asthma, smokers, and pregnant are all under ASA ___

Answer 12

II

Question 13

ASA ___ is not expected to survive operation

Answer 13

V

Question 14

the ___ in SOAP is where the Dx is made

Answer 14

A

Question 15

___ or ___ = emancipated

Answer 15

married
pregnant

Question 16

diastolic 80-89

Answer 16

stage I HTN

Question 17

diastolic >90

Answer 17

stage II HTN

Question 18

HTN urgency vs emergency

Answer 18

normal feeling vs symptomatic

Question 19

no restrictions and normal EKG (IHD) = ASA ___

Answer 19

II

Question 20

angina epi dosage

Answer 20

.04 mg (30 min)

Question 21

how many mg in 1:100,000

Answer 21

.01 mg/mL

Question 22

how many mg in 1.7 mL 1:100,000

Answer 22

.017 mg/mL

Question 23

how many mg in 1.7 mL 2% lidocaine

Answer 23

34 mg

Question 24

1% solution = ___ mg/mL

Answer 24

10 mg/mL

Question 25

how many nitro in bottle

Answer 25

25

Question 26

minimum systolic with nitros

Answer 26

100

Question 27

what 6 things increase risk for cardiac risk index

Answer 27

high risk surgery IHD CHF CVA IDDM serum creatinine > 2 mg/dL

Question 28

most CVAs are ___

Answer 28

ischemic (embolism/thrombotic)

Question 29

status asthmaticus Tx

Answer 29

epi 0.3 mg subQ Q15 x 3 supplemental O2 1-3 L/min

Question 30

barrel chested thin body habitus

Answer 30

emphysema

Question 31

cyanotic obese body habitus

Answer 31

bronchitis

Question 32

respiratory drive is a ___ drive

Answer 32

hypoxic

Question 33

___ appointments better for COPD

Answer 33

PM

Question 34

how does insulin dosing change if IV sedation

Answer 34

decrease AM dose by 50% or withhold AM dose and decrease night by 50%

Question 35

encapsulated "bugs"

Answer 35

some stranger killers have pretty nice capsules salmonella strep pneumo klebsiella h flu pseudomonas neisseria cryptococcus

Question 36

what temperature is best for sickle

Answer 36

warm

Question 37

how is steroid dosing affected by dental surgery

Answer 37

do not change normal dosing

Question 38

what is considered long-term steroid dosing

Answer 38

20 mg/day x 3 weeks

Question 39

myxedema Tx

Answer 39

levo + steroids

Question 40

avoid ___ and ___ for best clotting

Answer 40

NSAIDs ASA

Question 41

___ and ___ (AB) are teratogenic

Answer 41

steroids aminoglycosides

Question 42

___, ___ (with conditions), and ___ (with conditions) cause harm to the fetus

Answer 42

ASA NSAIDs (3rd Tri) opioids (long-term)

Question 43

what 6 Rx are harmful during lactation

Answer 43

ASA atropine steroids valium metronidazole PCN

Question 44

epithelial renewal begins ___ after surgery and complete after ___ to ___ ___

Answer 44

hours 1-2 days

Question 45

inflammatory phase AKA

Answer 45

lag phase

Question 46

main material during inflammatory phase

Answer 46

fibrin

Question 47

2 phases of inflammatory phase

Answer 47

vascular cellular

Question 48

fibroblasts secrete ___

Answer 48

fibronectin

Question 49

___ ___ and ___ are present in the fibroplastic phase

Answer 49

ground substance tropocollagen

Question 50

strength in fibroplastic phase

Answer 50

70-80%

Question 51

suture removal timing

Answer 51

5-7 days

Question 52

peak tensile strength

Answer 52

80-85% (60 days)

Question 53

foreign material causes ___ ___

Answer 53

chronic inflammation

Question 54

what 3 things can cause ischemia during wound healing

Answer 54

tight sutures hypotension pressure

Question 55

hypertrophic scars

Answer 55

pedo regress flexor surfaces

Question 56

keloid Tx

Answer 56

40 mg/cc steroids 3x/month for 6 months silicone pressure wrapping 2-3 months

Question 57

___ intention healing leads to granulation tissue

Answer 57

secondary

Question 58

___ and ___ heal by secondary intention

Answer 58

gingivectomy extractions

Question 59

tertiary intention explained

Answer 59

delayed primary closure

Question 60

___ intention has more epithelial migration and collagen

Answer 60

secondary

Question 61

localized osteitis =

Answer 61

dry socket

Question 62

total lamina dura resorption takes ___ ___

Answer 62

1 year

Question 63

most important factor in bone healing

Answer 63

bone separation

Question 64

poor vascularity of bone healing leads to ___ and maybe ___ ___

Answer 64

cartilage fibrous unions

Question 65

most nerve injuries are ___

Answer 65

neuropraxia

Question 66

dyesthesia

Answer 66

painful