Clinical Medicine Exam 1 ACTUAL
QUESTIONS AND CORRECT ANSWERS
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. -
CORRECT 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:
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. - CORRECT 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.
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. -
CORRECT 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. - CORRECT ANSWER D
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. - CORRECT ANSWER C
All of the following answers 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
C: Kidneys = regulates systemic pressure and fluid volume
D: Blood = fluid responsible for transporting oxygen only - CORRECT ANSWER D
The class of antihypertensive medications that is most likely to have a potentially serious
drug interaction when administering local anesthetics with vasoconstrictors is:
, A. selective beta blockers.
B. nonselective beta blockers.
C. calcium channel blockers.
D. ACE inhibitors. - CORRECT ANSWER B. nonselective beta blockers - due to
unopposed alpha1
What percent of victims survive with no impairment after a stroke?
A. 10%
B. 20%
C. 30%
D. 50%
E. 60% - CORRECT ANSWER A
Thrombolysis and improved neurological outcome has been achieved when medication is
administered within how many hours of the onset of the stroke?
A. 1
B. 3
C. 5
D. 8 - CORRECT ANSWER B
Weakness, tingling, numbness and speech disturbances that usually last less than 10 minutes
are known as:
A: reversible ischemic neurologic deficit.
B: transient ischemic attack.
C: stroke-in-evolution.
D: complete stroke.
E: RIND. - CORRECT ANSWER B
QUESTIONS AND CORRECT ANSWERS
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. -
CORRECT 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:
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. - CORRECT 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.
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. -
CORRECT 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. - CORRECT ANSWER D
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. - CORRECT ANSWER C
All of the following answers 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
C: Kidneys = regulates systemic pressure and fluid volume
D: Blood = fluid responsible for transporting oxygen only - CORRECT ANSWER D
The class of antihypertensive medications that is most likely to have a potentially serious
drug interaction when administering local anesthetics with vasoconstrictors is:
, A. selective beta blockers.
B. nonselective beta blockers.
C. calcium channel blockers.
D. ACE inhibitors. - CORRECT ANSWER B. nonselective beta blockers - due to
unopposed alpha1
What percent of victims survive with no impairment after a stroke?
A. 10%
B. 20%
C. 30%
D. 50%
E. 60% - CORRECT ANSWER A
Thrombolysis and improved neurological outcome has been achieved when medication is
administered within how many hours of the onset of the stroke?
A. 1
B. 3
C. 5
D. 8 - CORRECT ANSWER B
Weakness, tingling, numbness and speech disturbances that usually last less than 10 minutes
are known as:
A: reversible ischemic neurologic deficit.
B: transient ischemic attack.
C: stroke-in-evolution.
D: complete stroke.
E: RIND. - CORRECT ANSWER B
