QUIZ

Question 1

The following is the correct sequence of blood flow through the heart

Answer 1

Superior vena cavity, right atrium, tricuspid valve, right ventricle pulmonary valve pulmonary artery pulmonary vein left atrium left ateium mitral valve left ventricle aortic valve aorta

Question 2

Classic symptoms of congestive heart failure

Answer 2

Shortness of breath and swollen ankles

Question 3

Drugs used to relax patients or reduce anxiety are:

Answer 3

Benzodiazepines

Question 4

The pneumonic MONA stands for:

Answer 4

Morphine, oxygen, nitroglycerin and aspirin

Question 5

What drug categories are used to treat someone who is expierencing an asthma attack?

Answer 5

Beta Agonist

Question 6

Patient is expierencing a laryogospam what do I do

Answer 6

Stop, pack off site, suction, positive pressure, oxygen, sucks

Question 7

Indications for patients to be on anticoagultion blood thinners medicines are

Answer 7

Pulmonary embolism, stroke, blood clots

Question 8

Drugs given to patients are usually excreated from the body after they leave the

Answer 8

Kidney

Question 9

AF is a type of heart ruythem and patients who have this will have a irregular pulse, true or false

Answer 9

True

Question 10

The safest time to extract a tooth on a pregnant lady is when:

Answer 10

2nd trimester

Question 11

The right side of the heart carries deoxygenated blood: true or false

Answer 11

True

Question 12

You just finished removing 3rds on a 40 year old man. You notice he is slow breathing with very low respiratory rate, what meds should you administer?

Answer 12

Flumezinal and Narcan (naloxone)

Question 13

Patient comes into office with history of diabetes for the placement of dental implant she has a blood glucose of 400 what do you do

Answer 13

Do not proceed with surgery and delay the implant

Question 14

When insulin’s is given to the patient is is meaning to lower the blood glucose: true or false

Answer 14

True

Question 15

The left side of the heart carries deoxygenated blood: true or false

Answer 15

False

Question 16

Asthma is a disease of the lungs and is office considered a …

Answer 16

Lower airway bronchioles constriction

Question 17

The agent that is used to reverse versed is

Answer 17

Flumezinal

Question 18

The QRS complex of the ekg is

Answer 18

Ventricular depolarization

Question 19

A patient has stopped breathing.. what is the primary thing that will make them breathe again

Answer 19

Excess of co2

Question 20

Constriction of your blood vessels and artieries will cause your blood pressure to increase: true or false

Answer 20

True

Question 21

A patient with type 1 diabetes is insulin dependent: true or false

Answer 21

True

Question 22

You have a patient open their mouth and stick out their tounge and you don’t see any of the uvula and can only see part of the soft palate, what mallampatti classification is this?

Answer 22

Class 4

Question 23

The trachea(wind pipe) branches off into the left and right main stem bronchus. A patient is undergoing surgery and asperstes, which lung will this end up in?

Answer 23

Right lung

Question 24

A patient is displaying stridor, you terminate the surgery and pack off site and continue to still see symptoms, what medication do you give?

Answer 24

Sukks

Question 25

The most concerning signs and symptoms of an acute analgylactic reaction are:

Answer 25

Airway edema and circulatory collapse

Question 26

Drugs given to patients are usually metabolized and broken down in the:

Answer 26

Liver

Question 27

You have a patient that is supposed to be NPO but took his morning dose of insulin, he’s trembling and pale he has a blood sugar of 50, what is the best option to treat the patient

Answer 27

Start an IV and give d5w sugar water as iv fluids

Question 28

You do extractions in patient and see his stomach rocking, you pack off and stop the surgery and see that there is only 4 teeth on the tray, you look down and see tooth but can’t get it out, what do you do?

Answer 28

Perform a crycothyorotomy(surgical Airway)

Question 29

You have a patient that is 17 years old and she has a history of asthma, you see her starting to wheeze and hey oxygen level drops, what is happening?

Answer 29

Brochospams: give inhaler and Epi if needed

Question 30

You are discussing PO instructions with your patient and you start to see facial droop and weakness in the arm, what are these signs too?

Answer 30

Stroke

Question 31

Patient has been taking 20mg of steroids due to rheumatry arthritis for the past 30 years, you worry about what during the procedure?

Answer 31

This patient will not be able to handle flight or fight response from a stressful procedure

Question 32

Dilation or widening of all your arteries and blood vessels will cause your blood pressure to increase: true or false?

Answer 32

False

Question 33

Angina (chest pain) is potentially reversible?

Answer 33

True

Question 34

The p wave in the EKG represents:

Answer 34

Atrial depolarization

Question 35

Fast refers to someone who is having a stroke and stands for:

Answer 35

FACE, ARM, SPEECH, and TIME

Question 36

The contraditicion to using propofol is

Answer 36

Allergy to eggs

Question 37

Your patient calls the morning of surgery and knows she can’t have anything to eat or drink but needs to know about her BP meds, does she take them or not?

Answer 37

Yes with a small sip of water

Question 38

The doctor asks you to asses the patients ventilation the things you look at are the rising and falling of the chest and...

Answer 38

Oxygen saturation and entitled co2 levels

Question 39

Angina chest pain is due to

Answer 39

Decreased blood flow to the heart muscle

Question 40

The iv catheter is flushed before putting in a patient for what reason

Answer 40

To avoid an air embolism

Question 41

One way for your doctor to know he’s placed a inadvertently placed into an artery(intra-arterial injection) is to see what

Answer 41

Pulstile movement and bright red blood in the iv tubing

Question 42

The classifications of drugs to reduce pain are called

Answer 42

Narcotics

Question 43

The most frequent anatomotic cause of airway obstruction is the

Answer 43

Tounge

Question 44

When you compare the ventricles of the heart to the artira of the heart. The walls of the ventricle are thicker than the atria: true or false

Answer 44

True

Question 45

The most common cardiac rythem seen on the EKG of an adult patient in cardiac arrest is :

Answer 45

Ventricular fibrillation

Question 46

In compartment syndrome, one can see a increase of pressure in the forearm. This can be caused by veinipuncture. This is considered a true medical emergency. True or false:

Answer 46

True

Question 47

You check in the next patient and he seems to be very nervous of the procedure: you notice lack of eye contact and seems very sweaty: you diagnosis his with :

Answer 47

Syncope

Question 48

The acronym refers to fast, what is this a sign of?

Answer 48

Stroke

Question 49

There are two Main catafories of local anesthia used in oral surgery. The most common used in OMS is an

Answer 49

Snide

Question 50

The doctor has started an IV, what is the iv fluids perferrrd for a routine healthy patient?

Answer 50

LR

Question 51

You just completed the procedure on the patient. Fentanyl versed and prop were used. Which medication is making the patient so drowsy after 45 minutes in recovery?

Answer 51

Versed

Question 52

Your patient arrived and said he has just had a sip of water a half hour ago, what do you tell the patient

Answer 52

We can proceed but wait 1.5 hours

Question 53

What of the following drugs given thru IV is mostly the cause of respiratory depression?

Answer 53

Fentanyl

Question 54

Insulin converts:

Answer 54

Glucose to glycogen

Question 55

The pulse ox gives us info on

Answer 55

Oxygenation

Question 56

You are starting an IV on your patient in the anticubital fossa. The artery you want to avoid in the antechvital fossa is:

Answer 56

Brachial artery

Question 57

Patient calls and says she has a reaction to Amox after surgery and she wants to know what to do she has a rash all over, what should she do?

Answer 57

Stop the Amox and start over the counter Benadryl

Question 58

A patient comes in for a tooth extraction, what makes the patient have to premedicate?

Answer 58

Heart valve replacement

Question 59

As patients undergo anesthesia, they pass through different stages of anesthesia. According to the ASOA surgery is performed in what stage of anesthesia?

Answer 59

Stage 3

Question 60

Myocardial infarction of the heart muscle is reversible, true or false?

Answer 60

False

Question 61

The normal pathway of the conducting system in the heart is the following:

Answer 61

SA node, AV node, bundle of hiss, purkinje fibers

Question 62

A patient with type 2 diabetes would usually control their diabetes with pills: true or false

Answer 62

True

Question 63

A pediatric airway is different than a adult airway in that:

Answer 63

Kids have a larger tounge and comical shaped airway

Question 64

Stimulation of the sympathetic nervous system would result in

Answer 64

Increased heart rate, increased blood pressure

Question 65

What is the difference between MI and angina?

Answer 65

MI is the death or necrosis of the heart muscle

Question 66

A patient is being sedated in your office, he starts to vomit what is the protocol for the office?

Answer 66

Roll to the right side, suction, and full face mask of oxygen

Question 67

Epi is added to LA getting closer to the nerve and making for a more profound block: this should mean?

Answer 67

Decrease the number of cartridges needed to obtain profound LA

Question 68

Your patient is 82 and has a history of angina and precious MI, she is sedated and midway through the procedure you see the EKG of wavy and no pulse, what is the first actions?

Answer 68

Defibrillate with a AED start CPR and call 911

Question 69

You have a patient sedated for all 3rds and you start to hear a crowing sound, what does this mean?

Answer 69

Larygospasm, posstive pressure oxygen and sucks if needed

Question 70

The two types of diabetes that are classically characterized as the following:

Answer 70

Type one insulin dependent and type 2 non insulin dependent

Question 71

The ASA is used for assessing patient prior to GA, if you have a patient with a history of high blood pressure what ASA is this considered?

Answer 71

ASA 2

Question 72

A larygospasm is a disorder of the:

Answer 72

Upper airway

Question 73

What are the NPO guidelines for ASA going to sleep?

Answer 73

6 hrs

Question 74

Constitution or narrowing of the coronary arteries can lead to angina(chest pain): true or false

Answer 74

True

Question 75

Ketamine can cause hallucinations, what is the best drug to give with ketamine to reduce that?

Answer 75

Versed

Question 76

A patient has a history of MI and stopped his aspirin a week ago to have surgery done, he complains of chest pains and sweating, you think it’s a possible what?

Answer 76

Heart attack or angina

Question 77

The correct sequence from the nose to the lungs is

Answer 77

Nose, nasopharyngeal, oropharynx, laryngolphynx, trachea and lungs

Question 78

The patient says she gets a rash with Amox and vomits from codine, she has......

Answer 78

A allergy to Amox and a adverse reaction to codine

Question 79

The doctor asks you to watch the patients oxygenation, you look st the color of the skin and what else?

Answer 79

Pulse OX

Question 80

The patient is given penicillin thru IV And shortly after you hear a wheezing sound: what do you do?

Answer 80

Give benedryl and Epi if needed

Question 81

What monitor gives you most info about ventilation?

Answer 81

Capnograph

Question 82

Your patient has a very hard airway and can’t breath, you tried a nasal airway but it’s not working, what is the second thing you might try before intibating him?

Answer 82

Laryngeal mask airway

Question 83

You have a 68 year old male who has had a heart attack in the past with a stent placed , what drug would you want to avoid?

Answer 83

Ketamine