CMCP Final review UPDATED ACTUAL
Questions and CORRECT Answers
ASA - CORRECT ANSWER - 1- healthy pt w/ no systemic disease
2- II - pt w/ mild systemic disease
3- III - pt w/ systemic disease that affects their quality of life but not entirely incapacitating
4- IV - pt with systemic disease that is largely incapacitating (DO NOT SEE THEM IN CLINIC)
5- V - pt w/ systemic disease that is not expected to survive next 24 hrs
Vital Signs - CORRECT ANSWER - pulse: 60-100 bpm
blood pressure: diastolic- < 90, systolic- <120
Respirations: 12-20
Temp: 98 degrees F or 36 degrees C
Premed, uses, regime, when to use - CORRECT ANSWER - MEDICAL HISTORY
SHOULD BE REVIEWED @ BEGINNING OF EACH APPT
*if premed is needed, suspicion of an undiagnosed condition, abnormal vital signs
History of excessive bleeding, anticoagulation/antiplatelet therapy (blood thinners), HIV/AIDS
(include a t-cell count), immunosuppressive therapy, radiation therapy within 6 months, hepatitis
carrier, organ transplant, cancer/leukemia, chemo within 6 months, joint replacement.
Endocarditis, bacteria, most common valve lesions, when to premed. Antibiotic Cross
resistance? - CORRECT ANSWER - Infective endocarditis: •Disease caused by microbial
infection of the heart valves or endocardium usually associate w/ congenital or acquired cardiac
defects (BE or BEA)
**bacteria is the causative factor
streptococci - approximately 90%
Staphylococci- IV drug users
candidial - yeast infections
, Iatrogenic valve damage: caused by certain Migraine medications & appetite suppressants (phen
fen)
Prosthetic valve endocarditis- infection of prosthetic heart valves
-usually valvular, MITRAL VALVE is the most affected. (aortic, mitral, then bicuspid valves)
When to pre-med- - CORRECT ANSWER - Prosthetic cardiac valve, previous IE,
Congenital heart disease, cardiac transplant
Emergency Drug kit, Uses, Contraindications - CORRECT ANSWER - Midazolam
(anticonvulsant), Albuterol (bronchodilator), epinephrine (epi pen), diphenhydramine
(antihistamine), Aspirin, Nitroglycerin (angina), Morphine (heart attack)(NOT IN CLINIC KIT),
ammonia capsules (syncope)
Most common congenital heart defects - CORRECT ANSWER - Tetralogy of fallot- most
common of the congenital cardiac defect that causes cyanosis. Ventricular septal defect- most
common heart lesion
Reasons Risk factors Med Emer Increased - CORRECT ANSWER - Increased number if
older patients, Medical advances making ppl live longer, longer appointments, increased drug
use
Med History how often reviewed, types - CORRECT ANSWER - MED HISTORY
REVIEWED EVERY APPOINTMENT!!!
Types: medical history form, interview, physical exam
Types of questionnaires- system oriented, disease oriented, symptom oriented, culture oriented
Causes for gingival enlargement hyperplasia - CORRECT ANSWER - Leukemia,
cyclosporine, Calcium channel blockers cause gingival hyperplasia
Drug/ vs allergic reactions - CORRECT ANSWER - Adverse drug reactions-
more frequently encountered
Questions and CORRECT Answers
ASA - CORRECT ANSWER - 1- healthy pt w/ no systemic disease
2- II - pt w/ mild systemic disease
3- III - pt w/ systemic disease that affects their quality of life but not entirely incapacitating
4- IV - pt with systemic disease that is largely incapacitating (DO NOT SEE THEM IN CLINIC)
5- V - pt w/ systemic disease that is not expected to survive next 24 hrs
Vital Signs - CORRECT ANSWER - pulse: 60-100 bpm
blood pressure: diastolic- < 90, systolic- <120
Respirations: 12-20
Temp: 98 degrees F or 36 degrees C
Premed, uses, regime, when to use - CORRECT ANSWER - MEDICAL HISTORY
SHOULD BE REVIEWED @ BEGINNING OF EACH APPT
*if premed is needed, suspicion of an undiagnosed condition, abnormal vital signs
History of excessive bleeding, anticoagulation/antiplatelet therapy (blood thinners), HIV/AIDS
(include a t-cell count), immunosuppressive therapy, radiation therapy within 6 months, hepatitis
carrier, organ transplant, cancer/leukemia, chemo within 6 months, joint replacement.
Endocarditis, bacteria, most common valve lesions, when to premed. Antibiotic Cross
resistance? - CORRECT ANSWER - Infective endocarditis: •Disease caused by microbial
infection of the heart valves or endocardium usually associate w/ congenital or acquired cardiac
defects (BE or BEA)
**bacteria is the causative factor
streptococci - approximately 90%
Staphylococci- IV drug users
candidial - yeast infections
, Iatrogenic valve damage: caused by certain Migraine medications & appetite suppressants (phen
fen)
Prosthetic valve endocarditis- infection of prosthetic heart valves
-usually valvular, MITRAL VALVE is the most affected. (aortic, mitral, then bicuspid valves)
When to pre-med- - CORRECT ANSWER - Prosthetic cardiac valve, previous IE,
Congenital heart disease, cardiac transplant
Emergency Drug kit, Uses, Contraindications - CORRECT ANSWER - Midazolam
(anticonvulsant), Albuterol (bronchodilator), epinephrine (epi pen), diphenhydramine
(antihistamine), Aspirin, Nitroglycerin (angina), Morphine (heart attack)(NOT IN CLINIC KIT),
ammonia capsules (syncope)
Most common congenital heart defects - CORRECT ANSWER - Tetralogy of fallot- most
common of the congenital cardiac defect that causes cyanosis. Ventricular septal defect- most
common heart lesion
Reasons Risk factors Med Emer Increased - CORRECT ANSWER - Increased number if
older patients, Medical advances making ppl live longer, longer appointments, increased drug
use
Med History how often reviewed, types - CORRECT ANSWER - MED HISTORY
REVIEWED EVERY APPOINTMENT!!!
Types: medical history form, interview, physical exam
Types of questionnaires- system oriented, disease oriented, symptom oriented, culture oriented
Causes for gingival enlargement hyperplasia - CORRECT ANSWER - Leukemia,
cyclosporine, Calcium channel blockers cause gingival hyperplasia
Drug/ vs allergic reactions - CORRECT ANSWER - Adverse drug reactions-
more frequently encountered
