OMSA PRACTICE TEST QUESTIONS & ANSWERS
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: - Answer -Angina, possible heart attack (MI)
The safest time to extract a "bad tooth" on pregnant patient is: - Answer -Second
trimester
A patient is experiencing a laryngospasm (spasm of the vocal cords). The correct
sequence for the treatment of this is: - Answer -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: - Answer -Liver
A pediatric airway is different than an adult airway in that: - Answer -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? - Answer -Laryngeal-Mask-Airway
A laryngospasm (spasm of the vocal cords) a disorder of the: - Answer -Upper airway
Which monitor gives the most information about ventilation? - Answer -Capnograph
The most frequent anatomical cause of airway obstruction is the: - Answer -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. - Answer -True
The classification of drugs used to relieve pain are called: - Answer -Narcotics
The most common cardiac rhythm seen on the EKG for an adult patient in cardiac arrest
is? - Answer -Ventricular Fibrillation
Which of the follow general drug categories are used to treat someone who is
experiencing an asthma "attack": - Answer -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: - Answer -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. - Answer -Prosthetic Heart Valve ( i.e. Aortic Valve replacement )
Insulin converts: - Answer -Glucose to Glycogen
The pneumonic MONA stands for: - Answer -Morphine, Oxygen, Nitroglycerin, Aspirin
Indications for patients to be on anticoagulation (blood thinner) medicines are: - Answer
--Stroke (CVA)
-Pulmonary Embolism (PE)
-History of blood clots in the leg (DVT or VTE)
The left side of the heart carries deoxygenated blood. - Answer -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? - Answer -Stage 3
Stimulation of the Sympathetic Nervous System will result in: - Answer -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? - Answer -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: - Answer -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: - Answer -
Laryngospasm; Positive pressure oxygen & Succinylcholine if needed
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: - Answer -Angina, possible heart attack (MI)
The safest time to extract a "bad tooth" on pregnant patient is: - Answer -Second
trimester
A patient is experiencing a laryngospasm (spasm of the vocal cords). The correct
sequence for the treatment of this is: - Answer -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: - Answer -Liver
A pediatric airway is different than an adult airway in that: - Answer -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? - Answer -Laryngeal-Mask-Airway
A laryngospasm (spasm of the vocal cords) a disorder of the: - Answer -Upper airway
Which monitor gives the most information about ventilation? - Answer -Capnograph
The most frequent anatomical cause of airway obstruction is the: - Answer -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. - Answer -True
The classification of drugs used to relieve pain are called: - Answer -Narcotics
The most common cardiac rhythm seen on the EKG for an adult patient in cardiac arrest
is? - Answer -Ventricular Fibrillation
Which of the follow general drug categories are used to treat someone who is
experiencing an asthma "attack": - Answer -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: - Answer -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. - Answer -Prosthetic Heart Valve ( i.e. Aortic Valve replacement )
Insulin converts: - Answer -Glucose to Glycogen
The pneumonic MONA stands for: - Answer -Morphine, Oxygen, Nitroglycerin, Aspirin
Indications for patients to be on anticoagulation (blood thinner) medicines are: - Answer
--Stroke (CVA)
-Pulmonary Embolism (PE)
-History of blood clots in the leg (DVT or VTE)
The left side of the heart carries deoxygenated blood. - Answer -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? - Answer -Stage 3
Stimulation of the Sympathetic Nervous System will result in: - Answer -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? - Answer -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: - Answer -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: - Answer -
Laryngospasm; Positive pressure oxygen & Succinylcholine if needed
