OMSA Exam 2026 Latest Practice Test Bank
with 500 Questions and Correct Answers/ OMSA
Certification Practice Exam 2026 (New!)
Your patient arrives for a 1:30 PM surgery. He admits he was so thirsty he had a
sip of water at 1 PM so he has been NPO for only 30 minutes. He assures you it
was just a sip of water and nothing more. You can tell him - ANSWER-It's OK to
proceed but we must wait 1.5 hours
You are discussing postoperative instructions with your patient who has a history
of high blood pressure. Suddenly, the patient begins talking but his speech does not
make sense. One side of his face droops and he states his arms week. These are
signs that he is having a - ANSWER-Stroke
Drugs given to patients are usually excreted from the body after they leave which
organ - ANSWER-Kidney
The P-wave in the EKG represents - ANSWER-Atrial depolarization
Do you have a 68-year-old male patient who has a history of hypertension. He had
a heart attack a while back. When he had the heart attack he states he had an
angioplasty with one stamp place. He is really anxious and definitely wants to go
to sleep for his extractions. Which anesthetic agent what do you want to avoid -
ANSWER-Ketamine
Angina is due to - ANSWER-Decrease blood flow to the heart muscle
Insulin converts - ANSWER-glucose to glycogen
pg. 1
,Your patient is a 17-year-old female who has an abscess third molar. Review of her
medical history reveals no allergies to any medication and her mother confirm this
at the consultation. Your doctor administer is penicillin through the IV because
infection is so severe. Minutes later you notice a rash rapidly spreading on her
chest and she has a weezing sounds. Your immediate reaction is to - ANSWER-
Give this patient IV Benadryl and IV epinephrine if needed
The most common cardiac rhythm seen on the EKG for an adult patient in cardiac
arrest is - ANSWER-Ventricular fibrillation
Atrial fibrillation is a type of heart rhythm patients who have this rhythm will have
an irregular pulse - ANSWER-True
Stimulation of the sympathetic nervous system will result in - ANSWER-
Increased heart rate and increased blood pressure
The QRS complex in the EKG represents - ANSWER-ventricular depolarization
Epinephrine is one of the Components of local anesthesia. When epi-nephron is
added to a local anesthesia it helps maintain the local anesthetic closer to the
inferior alveolar nerve potentially making it more effective for profound local
anesthesia. This should theoretically - ANSWER-Decrease the number of
cartridges needed to obtain profound local anesthesia
The pulse oximeter gives us information on - ANSWER-Oxygenation
A pediatric airway is different than adult airway in that - ANSWER-Kids have a
larger tongue and a conical shaped airway
pg. 2
,Your patient is relatively difficult anesthetic he is morbidly obese with a short
neck, recess lower job, and Milan petty score of five. You're struggling to chin
him. You've already put in a nasal pharyngeal airway. What else might you try it
before you intubate him? - ANSWER-Laryngeal-mask-airway
The agent that is used to reverse the effects of midozalam (versed) is - ANSWER-
Romazicon (flumazenil)
A patient who is a 72-year-old male presents for his implant surgery. He has a
history of MM I six years ago with angioplasty and stent. He tells you that he
stopped his aspirin a week ago it was 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 sweating. Your diagnosis
for this patient is - ANSWER-Angina, possible heart attack
You have a patient that is a 17 year-old female who is undergoing the removal of
all four wisdom teeth. She has a history of asthma which was more prevalent as a
child, not so much now. During the surgery, you hear a wheezing sound and her
oxygen saturation begins to fall. Your diagnosis and treatment are - ANSWER-
Bronchospasm, give inhaler and epinephrine if needed
The most frequent anatomical cause of airway obstruction is the - ANSWER-
Tongue
Your patient calls the morning of the procedure. She is scheduled for general
anesthesia. She remembers that she should not have anything to eat or drink but
cannot remember what to do about her blood pressure medicine. You advise her
she should - ANSWER-Take the normal dose with a small sip of water
pg. 3
, One way for your doctor to know that he/she has inadvertently placed an IV into an
artery is to see - ANSWER-The difference between a myocardial infraction an
angina is
The normal pathway of the connecting systems in the heart is the following -
ANSWER-SA node, AV node, bundle of his, purkinje fibers
The following is the correct sequence of blood flow through the heart -
ANSWER-Superior/inferior Venna cava, right atrium, tricuspid valve, right
ventricle, pulmonic valve, pulmonary artery, pulmonary vein, left atrium, mitral
valve, left ventricle, aortic valve, Aorta
Dilation or widening of all your arteries and blood vessels will cause your blood
pressure to increase - ANSWER-False
Do you have a patient that is a 17-year-old female who is Undergoing the removal
of all four of wisdom teeth. During the surgery, you hear a high pitch crowing
sound. He looked down in her chest and abdomen are not in sync when she is
breathing. Her oxygen saturation begins to fall rapidly. Your diagnosis and
treatment are - ANSWER-Laryngospasm spasm, positive pressure oxygen and
succinylcholine if needed
When insulin is given to a patient it lowers the patient's blood glucose -
ANSWER-True
The Mallampati classification system is used by oral and maxillofacial surgeons to
assess the airway of patients. The classification allows her surgeon to have an idea
if this patient will have a difficult airway. Do you have a 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 hard palate. This patient has a Mallampatti classification of -
ANSWER-4
pg. 4
with 500 Questions and Correct Answers/ OMSA
Certification Practice Exam 2026 (New!)
Your patient arrives for a 1:30 PM surgery. He admits he was so thirsty he had a
sip of water at 1 PM so he has been NPO for only 30 minutes. He assures you it
was just a sip of water and nothing more. You can tell him - ANSWER-It's OK to
proceed but we must wait 1.5 hours
You are discussing postoperative instructions with your patient who has a history
of high blood pressure. Suddenly, the patient begins talking but his speech does not
make sense. One side of his face droops and he states his arms week. These are
signs that he is having a - ANSWER-Stroke
Drugs given to patients are usually excreted from the body after they leave which
organ - ANSWER-Kidney
The P-wave in the EKG represents - ANSWER-Atrial depolarization
Do you have a 68-year-old male patient who has a history of hypertension. He had
a heart attack a while back. When he had the heart attack he states he had an
angioplasty with one stamp place. He is really anxious and definitely wants to go
to sleep for his extractions. Which anesthetic agent what do you want to avoid -
ANSWER-Ketamine
Angina is due to - ANSWER-Decrease blood flow to the heart muscle
Insulin converts - ANSWER-glucose to glycogen
pg. 1
,Your patient is a 17-year-old female who has an abscess third molar. Review of her
medical history reveals no allergies to any medication and her mother confirm this
at the consultation. Your doctor administer is penicillin through the IV because
infection is so severe. Minutes later you notice a rash rapidly spreading on her
chest and she has a weezing sounds. Your immediate reaction is to - ANSWER-
Give this patient IV Benadryl and IV epinephrine if needed
The most common cardiac rhythm seen on the EKG for an adult patient in cardiac
arrest is - ANSWER-Ventricular fibrillation
Atrial fibrillation is a type of heart rhythm patients who have this rhythm will have
an irregular pulse - ANSWER-True
Stimulation of the sympathetic nervous system will result in - ANSWER-
Increased heart rate and increased blood pressure
The QRS complex in the EKG represents - ANSWER-ventricular depolarization
Epinephrine is one of the Components of local anesthesia. When epi-nephron is
added to a local anesthesia it helps maintain the local anesthetic closer to the
inferior alveolar nerve potentially making it more effective for profound local
anesthesia. This should theoretically - ANSWER-Decrease the number of
cartridges needed to obtain profound local anesthesia
The pulse oximeter gives us information on - ANSWER-Oxygenation
A pediatric airway is different than adult airway in that - ANSWER-Kids have a
larger tongue and a conical shaped airway
pg. 2
,Your patient is relatively difficult anesthetic he is morbidly obese with a short
neck, recess lower job, and Milan petty score of five. You're struggling to chin
him. You've already put in a nasal pharyngeal airway. What else might you try it
before you intubate him? - ANSWER-Laryngeal-mask-airway
The agent that is used to reverse the effects of midozalam (versed) is - ANSWER-
Romazicon (flumazenil)
A patient who is a 72-year-old male presents for his implant surgery. He has a
history of MM I six years ago with angioplasty and stent. He tells you that he
stopped his aspirin a week ago it was 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 sweating. Your diagnosis
for this patient is - ANSWER-Angina, possible heart attack
You have a patient that is a 17 year-old female who is undergoing the removal of
all four wisdom teeth. She has a history of asthma which was more prevalent as a
child, not so much now. During the surgery, you hear a wheezing sound and her
oxygen saturation begins to fall. Your diagnosis and treatment are - ANSWER-
Bronchospasm, give inhaler and epinephrine if needed
The most frequent anatomical cause of airway obstruction is the - ANSWER-
Tongue
Your patient calls the morning of the procedure. She is scheduled for general
anesthesia. She remembers that she should not have anything to eat or drink but
cannot remember what to do about her blood pressure medicine. You advise her
she should - ANSWER-Take the normal dose with a small sip of water
pg. 3
, One way for your doctor to know that he/she has inadvertently placed an IV into an
artery is to see - ANSWER-The difference between a myocardial infraction an
angina is
The normal pathway of the connecting systems in the heart is the following -
ANSWER-SA node, AV node, bundle of his, purkinje fibers
The following is the correct sequence of blood flow through the heart -
ANSWER-Superior/inferior Venna cava, right atrium, tricuspid valve, right
ventricle, pulmonic valve, pulmonary artery, pulmonary vein, left atrium, mitral
valve, left ventricle, aortic valve, Aorta
Dilation or widening of all your arteries and blood vessels will cause your blood
pressure to increase - ANSWER-False
Do you have a patient that is a 17-year-old female who is Undergoing the removal
of all four of wisdom teeth. During the surgery, you hear a high pitch crowing
sound. He looked down in her chest and abdomen are not in sync when she is
breathing. Her oxygen saturation begins to fall rapidly. Your diagnosis and
treatment are - ANSWER-Laryngospasm spasm, positive pressure oxygen and
succinylcholine if needed
When insulin is given to a patient it lowers the patient's blood glucose -
ANSWER-True
The Mallampati classification system is used by oral and maxillofacial surgeons to
assess the airway of patients. The classification allows her surgeon to have an idea
if this patient will have a difficult airway. Do you have a 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 hard palate. This patient has a Mallampatti classification of -
ANSWER-4
pg. 4
