SOS FINAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS | ALREADY SCORED A+ |
LATEST UPDATE 2025
What is the lab test for Coumadin? - ANSWER INR- safe if <3.0, need baseline
PT and PT 2 days before surgery, normal PT is 11-15 sec so anything over 15 is
abnormal
What do you need to consider for renal dialysis patients? - ANSWER Defer sx
until day after dialysis because of possible anticoagulation (heparin), avoid drugs
like NSAIDS that are metabolized in the kidney, monitor BP/HR (don't use arm w/
shunt for BP), patient may need steroids or antibiotic prophylaxis depending on
immunodeficiency
What are the most likely medical emergencies to arise in a patient taking
prednisone? - ANSWER Acute adrenal insufficiency
Postural hypotension
What should you ask your patient if they have heart problems? - ANSWER Do
you get chest pain?- describe pain and onset (determines if patient is stable or
unstable)
What are the different ASA classifications? - ANSWER ASA I= no systemic dz,
healthy
ASA II= mild systemic dz
ASA III= severe but not incapacitating
ASA IV= incapacitating, constant threat to life
, ASA V= moribound <24 hrs to live
Why do dentists take med hx on their patients? - ANSWER Allows you to
predict how well a patient will tolerate a tx, predict and prepare for med
emergencies, may need to modify tx plan, predict complications that may arise
What are two tests you need to do before performing surgery on a chemotherapy
patient? - ANSWER 1. WBC count- avoid if <500 granulocytes/mm3,
prophylaxis recommended
2. Platelets: thrombocytopenia (100,000/mm3), surgical thrombocytopenia
(<50,000/mm3), spontaneous bleeding (<20,000/mm3)
What is the minimum platelet count for oral surgery? - ANSWER 50,000/mm3
(surgical thrombocytopenia)
consider transfusion if less than that unless platelets are functional
What are the three types of seizures you may observe clinically? - ANSWER 1.
grand mal- loss of consciousness and muscles tense then relax rapidly (tonic-
clonic phases)
2. petite mal -brief impairment of consciousness (w/ or w/out tonic and clonic)
3. focal motor (Jacksonian)- localized motor activity, may have jerking- if it spreads
to adjacent muscles then considered Jacksonian
What questions should you ask your patient if they have seizures? - ANSWER
When was your last seizure? Are you taking your medications?
DETAILED ANSWERS | ALREADY SCORED A+ |
LATEST UPDATE 2025
What is the lab test for Coumadin? - ANSWER INR- safe if <3.0, need baseline
PT and PT 2 days before surgery, normal PT is 11-15 sec so anything over 15 is
abnormal
What do you need to consider for renal dialysis patients? - ANSWER Defer sx
until day after dialysis because of possible anticoagulation (heparin), avoid drugs
like NSAIDS that are metabolized in the kidney, monitor BP/HR (don't use arm w/
shunt for BP), patient may need steroids or antibiotic prophylaxis depending on
immunodeficiency
What are the most likely medical emergencies to arise in a patient taking
prednisone? - ANSWER Acute adrenal insufficiency
Postural hypotension
What should you ask your patient if they have heart problems? - ANSWER Do
you get chest pain?- describe pain and onset (determines if patient is stable or
unstable)
What are the different ASA classifications? - ANSWER ASA I= no systemic dz,
healthy
ASA II= mild systemic dz
ASA III= severe but not incapacitating
ASA IV= incapacitating, constant threat to life
, ASA V= moribound <24 hrs to live
Why do dentists take med hx on their patients? - ANSWER Allows you to
predict how well a patient will tolerate a tx, predict and prepare for med
emergencies, may need to modify tx plan, predict complications that may arise
What are two tests you need to do before performing surgery on a chemotherapy
patient? - ANSWER 1. WBC count- avoid if <500 granulocytes/mm3,
prophylaxis recommended
2. Platelets: thrombocytopenia (100,000/mm3), surgical thrombocytopenia
(<50,000/mm3), spontaneous bleeding (<20,000/mm3)
What is the minimum platelet count for oral surgery? - ANSWER 50,000/mm3
(surgical thrombocytopenia)
consider transfusion if less than that unless platelets are functional
What are the three types of seizures you may observe clinically? - ANSWER 1.
grand mal- loss of consciousness and muscles tense then relax rapidly (tonic-
clonic phases)
2. petite mal -brief impairment of consciousness (w/ or w/out tonic and clonic)
3. focal motor (Jacksonian)- localized motor activity, may have jerking- if it spreads
to adjacent muscles then considered Jacksonian
What questions should you ask your patient if they have seizures? - ANSWER
When was your last seizure? Are you taking your medications?
