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A patient who is a 72 year old male presents for his implant surgery. He has a history of an MI 6
years ago with angioplasty and a stent. He tells you that he stopped his aspirin a week ago (not
instructed by his physician but he just did that on his own). Before you start, he complains of a
vague chest pain, almost like indigestion, but it is radiating to his left arm. He is also diaphoretic
(sweating). Your diagnosis (what is causing it) for this patient is: - (answers)Angina, possible
heart attack (MI)
The safest time to extract a "bad tooth" on pregnant patient is: - (answers)Second trimester
A patient is experiencing a laryngospasm (spasm of the vocal cords). The correct sequence for
the treatment of this is: - (answers)Stop, pack off site, suction, positive pressure oxygen,
succinylcholine
Drugs (PO, IM or IV) given to patients are usually metabolized (broken down) in the body by
what organ: - (answers)Liver
A pediatric airway is different than an adult airway in that: - (answers)Kids have a larger tongue
and a conical shaped airway
Your patient is a relatively difficult anesthetic: he is morbidly obese with a short neck, recessed
lower jaw, and Mallampatti score of VI. You're struggling to chin him. You've already put in a
nasal pharyngeal airway. What else might you try before you intubate him? -
(answers)Laryngeal-Mask-Airway
A laryngospasm (spasm of the vocal cords) a disorder of the: - (answers)Upper airway
Which monitor gives the most information about ventilation? - (answers)Capnograph
The most frequent anatomical cause of airway obstruction is the: - (answers)Tongue
,A patient with Type II (non-insulin dependent) diabetes would typically be taking pills to control
their blood glucose (blood sugars) and to control their diabetes. - (answers)True
The classification of drugs used to relieve pain are called: - (answers)Narcotics
The most common cardiac rhythm seen on the EKG for an adult patient in cardiac arrest is? -
(answers)Ventricular Fibrillation
Which of the follow general drug categories are used to treat someone who is experiencing an
asthma "attack": - (answers)Beta Agonists
The Mallampatti Classification system is used by Oral & Maxillofacial Surgeons to assess the
airway of patients. This classification allows your surgeon to have an idea if this patient will
have a difficult airway. You have the patient open their mouth and stick out their tongue. You do
not see any part of the uvula and can only see part of the soft palate. This patient has a
Mallampatti classification of: - (answers)IV
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. -
(answers)Prosthetic Heart Valve ( i.e. Aortic Valve replacement )
Insulin converts: - (answers)Glucose to Glycogen
The pneumonic MONA stands for: - (answers)Morphine, Oxygen, Nitroglycerin, Aspirin
Indications for patients to be on anticoagulation (blood thinner) medicines are: - (answers)-
Stroke (CVA)
-Pulmonary Embolism (PE)
-History of blood clots in the leg (DVT or VTE)
The left side of the heart carries deoxygenated blood. - (answers)False
, As patients undergo anesthesia, they pass through different stages of anesthesia. According to the
American Society of anesthesiology, surgery is usually performed in what stage of anesthesia? -
(answers)Stage 3
Stimulation of the Sympathetic Nervous System will result in: - (answers)Increased heart rate,
increased blood pressure
You just finished removing 4 wisdom teeth on a 20 year old male. He received quite a bit of
anesthetic agents. Specifically, 200 mg of Propofol, 8 mg of Versed, 200 umg of Fentanyl. He
has been in recovery for about 15 minutes when the alarm on the pulse oximeter goes off. You
check on him and find him unarousable, ashen colored with a respiratory rate of 8 which is very
slow breathing. What drugs would you consider giving him? - (answers)Flumazenil (Romazicon)
and Narcan (Naloxone)
You are checking in the next patient who is a 50 year old male. He is really nervous about the
procedure. You confirm the surgical plan and then notice that he's avoiding eye contact, appears
very pale, nearly grey and is sweating. He suddenly "passes out". Your diagnosis is: -
(answers)Syncope (vasovagal)
You have a patient that is a 17 year old female who is undergoing the removal of all 4 wisdom
teeth. During the surgery, you hear a high pitched crowing sound. You look down and her chest
and abdomen and "not in sync" when she is breathing. Her oxygen saturation begins to fall
rapidly. Your diagnosis and treatment are: - (answers)Laryngospasm; Positive pressure oxygen
& Succinylcholine if needed
The classifications of drugs used to relax patients or reduce anxiety are called: -
(answers)Benzodiazepines
There are two main categories of local anesthetics used in dentistry. The most common category
of local anesthetic used in Oral & Maxillofacial Surgery is an: - (answers)Amide
You have a patient that is a 17 year old female who is undergoing the removal of all 4 wisdom
teeth. She has a history of asthma which was more prevalent as a child, not so much now. During