2025 OMSA certification practice test
!! !! !! !! !!
!!
exam !!
!!
A !!patient !!has !!been !!sedated !!for !!a !!tooth !!extraction !!in !!your !!office. !!While !!the !!patient
!!is !!under !!general !!anesthesia !!the !!patient !!starts !!to !!vomit. !!The !!correct !!sequence !!of
!!treatment !!for !!this !!patient !!is: !!- !!CORRECT !!ANSWER-Roll !!this !!patient !!on !!the !!right
!!side, !!suction, !!and !!full !!face !!mask !!oxygen. !!
!!
A !!patient !!is !!displaying !!straighter !!intraoperative !!Lee. !!You !!have !!terminated !!the
!!surgery, !!packed !!off !!the !!site, !!suction !!the !!back !!of !!the !!throat, !!reposition !!the !!airway,
!!push !!on !!the !!chest !!to !!listen !!for !!a !!huff, !!and !!the !!patient !!continues !!to !!be
!!symptomatic. !!Which !!drug !!would !!you !!consider !!administering? !!- !!CORRECT
!!ANSWER-Succinylcholine !!
!!
The !!doctor !!ask !!you !!to !!assess !!the !!patient's !!ventilation. !!The !!things !!you !!look !!at
!!include !!
watching !!the !!rise !!and !!fall !!of !!the !!chess !!and !!looking !!at !!the !!- !!CORRECT
!!ANSWER-
!!
Oxygen !!saturation !!and !!entitle !!CO2
!!(capnograph)
!!
The !!ASA !!classification !!is !!used !!for !!assessing !!patients !!prior !!to !!general !!anesthesia !!as
!!a !!risk !!assessment !!tool. !!Do !!you !!have !!a !!patient !!with !!a !!history !!of !!only !!hypertension.
!!The !!classification !!of !!corn !!to !!the !!ASA !!would !!be !!- !!CORRECT !!ANSWER-ASA !!2 !!
!!
Your !!patient !!is !!an !!82-year-old !!female !!with !!a !!history !!of !!coronary !!artery !!disease,
!!angina !!and !!a !!previous !!myocardial !!infarction !!five !!years !!ago. !!She !!has !!an !!abscessed
!!painful !!molar !!that !!needs !!extraction. !!She !!wants !!to !!be !!mildly !!sedated !!for !!the
!!procedure. !!Midway !!through, !!you !!noticed !!the !!EKG !!suddenly !!looks !!like !!a !!wavy,
!!chaotic !!undulating !!line. !!Can !!you !!check !!the !!leads !!and !!they !!are !!all !!correct. !!You !!feel
!!for !!a !!pulse, !!and !!there !!is !!no !!pulse. !!Your !!first !!actions !!would !!be !!to !!- !!CORRECT
!!ANSWER-Difibrillate !!with !!an !!AED, !!start !!CPR !!and !!call !!911 !!
!!
A !!patient !!has !!stopped !!breathing. !!What !!is !!the !!main !!primary !!psychological
!!mechanism !!
!!
that !!will !!restart !!this !!patient's !!breathing? !!- !!CORRECT !!ANSWER-Excess !!of
!!carbon
!!
dioxide
!!
The !!correct !!sequence !!of !!air !!flow !!from !!the !!nose !!to !!the !!lungs !!is !!- !!CORRECT
!!ANSWER-
!!
Nose, !!nasopharynx, !!oropharynx, !!laryngopharynx, !!trachea, !!and
!!lungs
!!
,The !!right !!side !!of !!the !!heart !!carries !!deoxygenated !!blood !!- !!CORRECT !!ANSWER-True !!
!!
A !!patient !!comes !!in !!for !!the !!removal !!of !!a !!tooth. !!Which !!of !!these !!medical !!conditions
!!would !!require !!this !!patient !!to !!take !!an !!antibiotic !!premedication !!one !!hour !!prior !!to
!!removal !!of !!that !!
!!
tooth. !!- !!CORRECT !!ANSWER-Prosthetic !!heart
!!valve
The !!acronym !!fast !!refers !!to !!facial !!droop, !!arm !!weakness, !!speech !!problems !!and
!!time !!to !!
!!
call !!911. !!This !!refers !!to !!what !!condition? !!- !!CORRECT !!ANSWER-Stroke
!!(CVA)
!!
The !!safest !!time !!to !!extract !!a !!bad !!tooth !!on !!a !!pregnant !!patient !!is !!- !!CORRECT
!!ANSWER-
!!
Second
!!trimester
!!
An !!IV !!catheter !!has !!been !!placed !!into !!a !!vein !!in !!the !!right !!antecubital !!fossa. !!The !!IV
!!line !!is !!already !!connected !!to !!the !!bag !!of !!fluids. !!The !!reason !!IV !!line !!is !!flush !!before
!!connecting !!Ivy !!Lane !!an !!IV !!bag !!into !!the !!catheter !!is !!to !!- !!CORRECT !!ANSWER-Avoid
!!an !!air !!embolus !!
!!
A !!patient !!says !!that !!she !!is !!allergic !!to !!amoxicillin !!and !!codeine !!upon !!further
!!questioning, !!she !!says !!that !!she !!had !!a !!rash !!on !!she !!took !!penicillin !!and !!gets !!really
!!nauseated !!when !!she !!takes !!Tylenol !!with !!codeine. !!This !!patient !!has !!- !!CORRECT
!!ANSWER-An !!allergy !!to !!amoxicillin !!and !!has !!an !!adverse !!reaction !!to !!codeine !!
!!
A !!patient !!has !!taken !!20 !!mg !!of !!prednisone !!(steroid) !!Daily !!for !!over !!30 !!years !!due !!to
!!her !!rheumatoid !!arthritis. !!Your !!doctors !!planning !!to !!remove !!a !!difficult !!deeply
!!impacted !!wisdom !!tooth. !!Our !!pre-operative !!concern !!for !!this !!patient !!is !!- !!CORRECT
!!ANSWER-This !!patient !!will !!not !!be !!able !!to !!handle !!a !!"flight !!or !!fight" !!response !!from !!a
!!stressful !!procedure !!
!!
Which !!of !!the !!following !!general !!drug !!categories !!are !!used !!to !!treat !!someone
!!who !!is !!
!!
experiencing !!an !!asthma !!attack !!- !!CORRECT !!ANSWER-Beta
!!agonist
!!
Indications !!for !!patients !!to !!be !!on !!anticoagulation !!medication's !!are !!-
!!CORRECT !!
!!
ANSWER-Stroke, !!pulmonary !!embolism, !!history !!of !!blood
!!clots
!!
A !!patient !!is !!experiencing !!a !!laryngospasm. !!The !!correct !!sequence !!for !!the
!!treatment !!of !!
this !!is !!- !!CORRECT !!ANSWER-Stop, !!pack !!off !!site, !!suction, !!positive !!pressure
!!oxygen,
, !!
succinylcholine
!!
A !!patient !!calls !!one !!day !!after !!the !!removal !!of !!an !!infected !!tooth. !!She !!reports !!and
!!itchy !!red !!
!!
rash !!all !!over !!her !!body !!after !!taking !!amoxicillin !!that !!your !!doctor !!prescribed.
!!She's
!!
concerned !!that !!she !!is !!allergic !!to !!amoxicillin. !!Your !!recommendation !!to !!her
!!is !!-
!!
CORRECT !!ANSWER-Stop !!the !!amoxicillin !!and !!take !!some !!over-the-counter
!!Benadryl
!!
He !!just !!finished !!removing !!four !!wisdom !!teeth !!on !!a !!20 !!year !!old !!male. !!He !!received
!!quite !!a !!bit !!of !!anesthetic !!agents. !!Specifically !!200 !!mg !!of !!pro !!football, !!8 !!mg !!of
!!Versed, !!200 !!mcg !!of !!fentanyl. !!He !!has !!been !!in !!recovery !!for !!about !!15 !!minutes !!when
!!the !!alarm !!of !!the !!pulse !!oximeter !!goes !!off. !!You !!check !!on !!him !!and !!find !!him !!a !!new
!!Roswell, !!ashen !!color !!with !!a !!
respiratory !!rate !!of !!eight !!which !!is !!very !!slow !!breathing. !!What !!drugs !!would !!you
!!consider !!giving !!him !!- !!CORRECT !!ANSWER-Narcan !!and !!Flumazenil !!
!!
The !!classification !!of !!drugs !!used !!to !!relax !!patients !!or !!reduce !!anxiety
!!are !!called !!-
!!
CORRECT !!ANSWER-
Benzodiazepine
In !!compartment !!syndrome, !!when !!can !!see !!an !!increase !!of !!pressure !!in !!the
!!forearm. !!This !!
!!
can !!be !!caused !!by !!Veni !!puncture. !!This !!is !!considered !!a !!true !!medical
!!emergency !!-
!!
CORRECT !!ANSWER-
True
!!
Drugs !!given !!to !!the !!patients !!are !!usually !!metabolized !!(broken !!down) !!in !!the !!body !!by
!!what !!
!!
organ !!- !!CORRECT !!ANSWER-
Liver
!!
A !!patient !!with !!type !!one !!diabetes !!caused !!the !!morning !!of !!surgery. !!She !!states !!that
!!she's !!going !!to !!sleep !!to !!have !!a !!bad !!tooth !!removed. !!She !!is !!aware !!that !!she !!needs
!!to !!have !!nothing !!to !!eat !!or !!drink !!prior !!to !!coming !!in !!but !!she's !!not !!sure !!what !!to !!do
!!with !!her !!insulin. !!She !!asked !!for !!instructions !!on !!her !!insulin !!that !!she !!normally !!injects
!!her !!self !!with !!in !!the !!morning. !!You !!advise !!her !!to !!- !!CORRECT !!ANSWER-You !!tell !!her
!!to !!skip !!the !!morning !!dose !!of !!insulin !!
!!
A !!patient !!comes !!into !!your !!office !!with !!a !!history !!of !!diabetes !!for !!the !!placement !!of !!a
!!dental !!implant !!as !!you !!always !!do !!in !!your !!office, !!you !!perform !!a !!fingerstick !!to !!check
!!patient's !!blood !!glue !!close !!before !!you !!start !!the !!procedure. !!The !!fingerstick !!reveals !!a
!!blood !!glucose !!of !!400. !!What !!is !!the !!most !!appropriate !!action !!for !!your !!doctor !!to !!take
!! !! !! !! !!
!!
exam !!
!!
A !!patient !!has !!been !!sedated !!for !!a !!tooth !!extraction !!in !!your !!office. !!While !!the !!patient
!!is !!under !!general !!anesthesia !!the !!patient !!starts !!to !!vomit. !!The !!correct !!sequence !!of
!!treatment !!for !!this !!patient !!is: !!- !!CORRECT !!ANSWER-Roll !!this !!patient !!on !!the !!right
!!side, !!suction, !!and !!full !!face !!mask !!oxygen. !!
!!
A !!patient !!is !!displaying !!straighter !!intraoperative !!Lee. !!You !!have !!terminated !!the
!!surgery, !!packed !!off !!the !!site, !!suction !!the !!back !!of !!the !!throat, !!reposition !!the !!airway,
!!push !!on !!the !!chest !!to !!listen !!for !!a !!huff, !!and !!the !!patient !!continues !!to !!be
!!symptomatic. !!Which !!drug !!would !!you !!consider !!administering? !!- !!CORRECT
!!ANSWER-Succinylcholine !!
!!
The !!doctor !!ask !!you !!to !!assess !!the !!patient's !!ventilation. !!The !!things !!you !!look !!at
!!include !!
watching !!the !!rise !!and !!fall !!of !!the !!chess !!and !!looking !!at !!the !!- !!CORRECT
!!ANSWER-
!!
Oxygen !!saturation !!and !!entitle !!CO2
!!(capnograph)
!!
The !!ASA !!classification !!is !!used !!for !!assessing !!patients !!prior !!to !!general !!anesthesia !!as
!!a !!risk !!assessment !!tool. !!Do !!you !!have !!a !!patient !!with !!a !!history !!of !!only !!hypertension.
!!The !!classification !!of !!corn !!to !!the !!ASA !!would !!be !!- !!CORRECT !!ANSWER-ASA !!2 !!
!!
Your !!patient !!is !!an !!82-year-old !!female !!with !!a !!history !!of !!coronary !!artery !!disease,
!!angina !!and !!a !!previous !!myocardial !!infarction !!five !!years !!ago. !!She !!has !!an !!abscessed
!!painful !!molar !!that !!needs !!extraction. !!She !!wants !!to !!be !!mildly !!sedated !!for !!the
!!procedure. !!Midway !!through, !!you !!noticed !!the !!EKG !!suddenly !!looks !!like !!a !!wavy,
!!chaotic !!undulating !!line. !!Can !!you !!check !!the !!leads !!and !!they !!are !!all !!correct. !!You !!feel
!!for !!a !!pulse, !!and !!there !!is !!no !!pulse. !!Your !!first !!actions !!would !!be !!to !!- !!CORRECT
!!ANSWER-Difibrillate !!with !!an !!AED, !!start !!CPR !!and !!call !!911 !!
!!
A !!patient !!has !!stopped !!breathing. !!What !!is !!the !!main !!primary !!psychological
!!mechanism !!
!!
that !!will !!restart !!this !!patient's !!breathing? !!- !!CORRECT !!ANSWER-Excess !!of
!!carbon
!!
dioxide
!!
The !!correct !!sequence !!of !!air !!flow !!from !!the !!nose !!to !!the !!lungs !!is !!- !!CORRECT
!!ANSWER-
!!
Nose, !!nasopharynx, !!oropharynx, !!laryngopharynx, !!trachea, !!and
!!lungs
!!
,The !!right !!side !!of !!the !!heart !!carries !!deoxygenated !!blood !!- !!CORRECT !!ANSWER-True !!
!!
A !!patient !!comes !!in !!for !!the !!removal !!of !!a !!tooth. !!Which !!of !!these !!medical !!conditions
!!would !!require !!this !!patient !!to !!take !!an !!antibiotic !!premedication !!one !!hour !!prior !!to
!!removal !!of !!that !!
!!
tooth. !!- !!CORRECT !!ANSWER-Prosthetic !!heart
!!valve
The !!acronym !!fast !!refers !!to !!facial !!droop, !!arm !!weakness, !!speech !!problems !!and
!!time !!to !!
!!
call !!911. !!This !!refers !!to !!what !!condition? !!- !!CORRECT !!ANSWER-Stroke
!!(CVA)
!!
The !!safest !!time !!to !!extract !!a !!bad !!tooth !!on !!a !!pregnant !!patient !!is !!- !!CORRECT
!!ANSWER-
!!
Second
!!trimester
!!
An !!IV !!catheter !!has !!been !!placed !!into !!a !!vein !!in !!the !!right !!antecubital !!fossa. !!The !!IV
!!line !!is !!already !!connected !!to !!the !!bag !!of !!fluids. !!The !!reason !!IV !!line !!is !!flush !!before
!!connecting !!Ivy !!Lane !!an !!IV !!bag !!into !!the !!catheter !!is !!to !!- !!CORRECT !!ANSWER-Avoid
!!an !!air !!embolus !!
!!
A !!patient !!says !!that !!she !!is !!allergic !!to !!amoxicillin !!and !!codeine !!upon !!further
!!questioning, !!she !!says !!that !!she !!had !!a !!rash !!on !!she !!took !!penicillin !!and !!gets !!really
!!nauseated !!when !!she !!takes !!Tylenol !!with !!codeine. !!This !!patient !!has !!- !!CORRECT
!!ANSWER-An !!allergy !!to !!amoxicillin !!and !!has !!an !!adverse !!reaction !!to !!codeine !!
!!
A !!patient !!has !!taken !!20 !!mg !!of !!prednisone !!(steroid) !!Daily !!for !!over !!30 !!years !!due !!to
!!her !!rheumatoid !!arthritis. !!Your !!doctors !!planning !!to !!remove !!a !!difficult !!deeply
!!impacted !!wisdom !!tooth. !!Our !!pre-operative !!concern !!for !!this !!patient !!is !!- !!CORRECT
!!ANSWER-This !!patient !!will !!not !!be !!able !!to !!handle !!a !!"flight !!or !!fight" !!response !!from !!a
!!stressful !!procedure !!
!!
Which !!of !!the !!following !!general !!drug !!categories !!are !!used !!to !!treat !!someone
!!who !!is !!
!!
experiencing !!an !!asthma !!attack !!- !!CORRECT !!ANSWER-Beta
!!agonist
!!
Indications !!for !!patients !!to !!be !!on !!anticoagulation !!medication's !!are !!-
!!CORRECT !!
!!
ANSWER-Stroke, !!pulmonary !!embolism, !!history !!of !!blood
!!clots
!!
A !!patient !!is !!experiencing !!a !!laryngospasm. !!The !!correct !!sequence !!for !!the
!!treatment !!of !!
this !!is !!- !!CORRECT !!ANSWER-Stop, !!pack !!off !!site, !!suction, !!positive !!pressure
!!oxygen,
, !!
succinylcholine
!!
A !!patient !!calls !!one !!day !!after !!the !!removal !!of !!an !!infected !!tooth. !!She !!reports !!and
!!itchy !!red !!
!!
rash !!all !!over !!her !!body !!after !!taking !!amoxicillin !!that !!your !!doctor !!prescribed.
!!She's
!!
concerned !!that !!she !!is !!allergic !!to !!amoxicillin. !!Your !!recommendation !!to !!her
!!is !!-
!!
CORRECT !!ANSWER-Stop !!the !!amoxicillin !!and !!take !!some !!over-the-counter
!!Benadryl
!!
He !!just !!finished !!removing !!four !!wisdom !!teeth !!on !!a !!20 !!year !!old !!male. !!He !!received
!!quite !!a !!bit !!of !!anesthetic !!agents. !!Specifically !!200 !!mg !!of !!pro !!football, !!8 !!mg !!of
!!Versed, !!200 !!mcg !!of !!fentanyl. !!He !!has !!been !!in !!recovery !!for !!about !!15 !!minutes !!when
!!the !!alarm !!of !!the !!pulse !!oximeter !!goes !!off. !!You !!check !!on !!him !!and !!find !!him !!a !!new
!!Roswell, !!ashen !!color !!with !!a !!
respiratory !!rate !!of !!eight !!which !!is !!very !!slow !!breathing. !!What !!drugs !!would !!you
!!consider !!giving !!him !!- !!CORRECT !!ANSWER-Narcan !!and !!Flumazenil !!
!!
The !!classification !!of !!drugs !!used !!to !!relax !!patients !!or !!reduce !!anxiety
!!are !!called !!-
!!
CORRECT !!ANSWER-
Benzodiazepine
In !!compartment !!syndrome, !!when !!can !!see !!an !!increase !!of !!pressure !!in !!the
!!forearm. !!This !!
!!
can !!be !!caused !!by !!Veni !!puncture. !!This !!is !!considered !!a !!true !!medical
!!emergency !!-
!!
CORRECT !!ANSWER-
True
!!
Drugs !!given !!to !!the !!patients !!are !!usually !!metabolized !!(broken !!down) !!in !!the !!body !!by
!!what !!
!!
organ !!- !!CORRECT !!ANSWER-
Liver
!!
A !!patient !!with !!type !!one !!diabetes !!caused !!the !!morning !!of !!surgery. !!She !!states !!that
!!she's !!going !!to !!sleep !!to !!have !!a !!bad !!tooth !!removed. !!She !!is !!aware !!that !!she !!needs
!!to !!have !!nothing !!to !!eat !!or !!drink !!prior !!to !!coming !!in !!but !!she's !!not !!sure !!what !!to !!do
!!with !!her !!insulin. !!She !!asked !!for !!instructions !!on !!her !!insulin !!that !!she !!normally !!injects
!!her !!self !!with !!in !!the !!morning. !!You !!advise !!her !!to !!- !!CORRECT !!ANSWER-You !!tell !!her
!!to !!skip !!the !!morning !!dose !!of !!insulin !!
!!
A !!patient !!comes !!into !!your !!office !!with !!a !!history !!of !!diabetes !!for !!the !!placement !!of !!a
!!dental !!implant !!as !!you !!always !!do !!in !!your !!office, !!you !!perform !!a !!fingerstick !!to !!check
!!patient's !!blood !!glue !!close !!before !!you !!start !!the !!procedure. !!The !!fingerstick !!reveals !!a
!!blood !!glucose !!of !!400. !!What !!is !!the !!most !!appropriate !!action !!for !!your !!doctor !!to !!take
