update 2026/2027
98.6 degrees - Ans Normal body temp( adults and children)
60-100bpm for adults
80-120bpm for children
100-160bpm for infants - Ans Normal pulse
14-20 breaths per min(adults)
approx. 20 breaths per min(children) - Ans Normal Respirations
<120/<80 - Ans Normal BP
120-129/<80 - Ans elevated BP
130-139/80-89
Recheck in 1 mo and refer to MD - Ans Mild hypertension (Stage 1)
≥140/ ≥90
Recheck in 2 wks. and refer to MD - Ans Moderate hypertension (Stage 2)
>180/>120
,Prompt consult with MD before treatment - Ans Hypertensive crisis
ASA I - Ans Normal Healthy
well controlled such as asthma, epilepsy, non-insulin dependent diabetes, cigarette smoker,
pregnant/healthy, BP between 140-159/90-94 - Ans ASA II
severe systemic diseases such as stable angina, CVA/ MI more than 6mo ago, CHF, well
controlled insulin dependent diabetes, COPD, exercise induced asthma, BP between 160-
199/95-114 - Ans ASA III
Don't treat-unstable conditions or recent incidence, not expected to survive more than 24hrs. -
Ans ASA IV or V
Amoxicillin-2gm orally 1hr prior to treatment
Clindamycin-600mg 1hr prior to treatment - Ans Premed doses
Prosthetic valves, congenital heart disease, previous hx of endocarditits, organ transplant or
dialysis, joint replacement, uncontrolled diabetes - Ans Reason for needing Premed
Prolonged clotting time - Ans Vitamin K deficiency results in
Anticoagulant therapy - Ans used to treat pulmonary emboli, thrombophlebitis, and MI
Heparin or Coumadin (Warfarin) - Ans commonly used for anticoagulant therapy
,C. ASA III - Ans Which ASA risk classification is appropriate for the patient who has
controlled type I diabetes?
A. ASA I
B. ASA II
C. ASA III
D. ASA IV
C. Refer patient to physician for consultation - Ans A patient presents with a blood
pressure reading of 150/120. Which of the following is the best treatment consideration ?
A. Provide routine treatment
B. Keep appointment duration short
C. Refer patient to physician for consultation
D. Provide referral for medical evaluation of blood pressure within a month
Dilated (midriasis) - Ans Pupils: CNS stimulant usage or lack oxygen to brain
Pinpoint (miosis) - Ans Pupils: CNS depressant usage (narcotic or alcohol)
unequal - Ans pupils: stroke
Bulging - Ans pupils: hyperactive thyroid
Tops are most susceptible to skin cancer - Ans ears
lymphoid tissue and is found distal to the circumvallate papilla on the - Ans lingual tonsil
, B. Joint enlargement - Ans During examination of the TMJ, all of the following are issues
to be considered EXCEPT one. Which one is the EXCEPTION?
A. Clicking
B. Joint enlargement
C. Tenderness
D. Deviations upon movement
B. Filliform - Ans Which of the following papillae do not contain taste buds?
A. Fungiform
B. Filliform
C. Circumvalate
D. Foliate
D. Bi-manual - Ans Which of the following is used to palpate the floor of the mouth?
A. Digital
B. Bi-digital
C. Manual
D. Bi-manual
D. All of the above - Ans Tongue piercing can lead to which of the following
complications?
A. Secondary infection
B. Chipped tooth
C. Tetanus
D. All of the above