Midterm

Question 1

If someone were to overdose on benzodiazepine, what would you give them?

Answer 1

Romazicon (Flumazenil)

Question 2

Which of the following is true regarding Diprivan (Propofol)?

Answer 2

It is a competitive antagonist of bezodiazepine receptors

Question 3

Which of the following statements is true about Ketamine?

Answer 3

Selective NMDA receptor blocker

Question 4

Which of the following is the gold standard of pain medications?

Answer 4

Morphine

Question 5

Which of the following are properties of Ketamine?

Answer 5

-Dissociative
-Hallucinogenic
-Amnesic effect

Question 6

Which of the following is true about Propofol (Diprivan)?

Answer 6

It causes arterial and venous dilation

Question 7

Which of the following receptors is responsible for effects like dysphoria?

Answer 7

Sigma

Question 8

Which of the following is an undesirable effect of opioids?

Answer 8

Respiratory depression

Question 9

Which of the following describes the potency of fentanyl compared to morphine

Answer 9

Fentanyl = 100x more potent

Question 10

Which of the following statements is true regarding narcan?

Answer 10

Has a greater affinitiy at MU receptors than Kappa receptors

Question 11

How much naloxone would you give someone who overdosed on opioids?

Answer 11

0.4mg IV

Question 12

Which of the following statements are true regarding the classification of patient examination?

Answer 12

It was started by the American Society of Anesthesiologists (ASA)

Question 13

Ideally, most patients at UMKC would be classified as:

Answer 13

ASA 1-2

Question 14

Which of the following is an example of an ASA IV patient?

Answer 14

Unstable angina

Question 15

Which of the following statements are true regarding MO sedation laws?

Answer 15

A license is not required for minimal sedation

Question 16

Which of the following are classifications of moderate sedation?

Answer 16

-Enteral
-Paretnal
-Pediatric

Question 17

What is the OMS anesthesia training requirement?

Answer 17

-5 months of anesthesia training
-of the 5 months 4 months are consecutive
-1 month of pediatrics
-senior resident must have 150+ office based sedation cases

Question 18

What is used to monitor during IV sedation?

Answer 18

-device to measure BP and HR
-pulse oximeter with appropriate probes
-electrocardiogram
-temperature monitor

Question 19

What is an advantage of capnography?

Answer 19

Real-time feedback on treatment

Question 20

Which of the following is the most safe and reliable definitive airways used during IV sedation?

Answer 20

Endotracheal intubation

Question 21

Which of the following is an ADJUNCTIVE airway used during IV sedation?

Answer 21

Nasopharyngeal or oropharyngeal airway

Question 22

Which of the following adjunctive airways would be best for a patient that is conscious?

Answer 22

Nasopharyngeal airway

Question 23

Patient evaluation should always be done by _____?

Answer 23

The person who planned and adminstered the sedation

Question 24

At UMKC which of the following is most important?

Answer 24

Never treat a stranger

Question 25

Which of the following are formats of the medical history questionnaire?

Answer 25

Short and/or long

Question 26

What is the classification for airway examination prior to IV sedation?

Answer 26

Mallamapti classification

Question 27

Which of the following is nitrous oxide made from?

Answer 27

Ammonium nitrate

Question 28

Which of the following is a special property of nitrous oxide to humans?

Answer 28

-2nd gas effect -concentric effect

Question 29

What color is the oxygen tank in the US? What about other countries?

Answer 29

US- Green Other countries- White

Question 30

Which of the following is true regarding nitrous tanks?

Answer 30

Size E oxygen tank has 1900 PSI and gaseous state only

Question 31

Chronic exposure to nitrous oxide is detrimental to:

Answer 31

Dental professionals

Question 32

Use of what drug is automatically considered general sedation?

Answer 32

Ketamine

Question 33

In MO, what is the oldest age considered a child?

Answer 33

12 years old

Question 34

Horace Wells demonstrated nitrous oxide at Harvard medical school in 1845:

Answer 34

True

Question 35

After placing zygomatic implants, what is the immediate next step for the prosthodontist?

Answer 35

Immediate loading

Question 36

Which of the following radiographic exams should be assessed before zygomatic implant placement?

Answer 36

-Pano -Intraoral PA -Lateral cephalometric -CT

Question 37

Three months =

Answer 37

Early loading

Question 38

Three to six months=

Answer 38

Delayed/conventional loading

Question 39

What is the classic treatment planning requirement for zygomatic implant placement?

Answer 39

2 zygomatic implants + 1 regular implants

Question 40

How much can you expect to lift via intracrestal sinus lift?

Answer 40

1-2mm

Question 41

Which of the following is the recommended initial maxillary residual ridge for predictable result with an intracrestal sinus lift?

Answer 41

4-6mm

Question 42

Which of the following describes Schneiderian membrane?

Answer 42

Psuedostratified ciliated columnar epithelium

Question 43

What is the minimum ridge width for alveolar ridge splitting?

Answer 43

2-4mm (preferably 3mm)

Question 44

Which of the following is an indication for lateral window lift?

Answer 44

Less than 4mm of native maxillary alveolar bone

Question 45

Which of the following is an indication for intracrestal sinus lift?

Answer 45

Greater than 4mm of bone

Question 46

Which of the following is an example of a xenograft?

Answer 46

Bovine bone

Question 47

Which of the following grafts can NOT be used in a maxillary intracrestal sinus lift?

Answer 47

No graft

Question 48

Which type of bone is essentially thick cortical bone?

Answer 48

Type I

Question 49

Which of the following is a unique property of benzodiazepines?

Answer 49

Anticonvulsants

Question 50

Which of the following is not a common side effect of benzodiazepines?

Answer 50

Mydriasis

Question 51

Which of the following was the first benzodiazepine?

Answer 51

Librium