OMSA FALL 2023 PRACTICE TEST

OMSA FALL 2023 PRACTICE TEST 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: - ANS-Angina, possible heart attack (MI) The safest time to extract a "bad tooth" on pregnant patient is: - ANS-Second trimester A patient is experiencing a laryngospasm (spasm of the vocal cords). The correct sequence for the treatment of this is: - ANS-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: - ANS-Liver A pediatric airway is different than an adult airway in that: - ANS-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? - ANS-Laryngeal-Mask-Airway A laryngospasm (spasm of the vocal cords) a disorder of the: - ANS-Upper airway Which monitor gives the most information about ventilation? - ANS-Capnograph The most frequent anatomical cause of airway obstruction is the: - ANS-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. - ANS-True The classification of drugs used to relieve pain are called: - ANS-Narcotics The most common cardiac rhythm seen on the EKG for an adult patient in cardiac arrest is? -ANS- A patient has taken 20 mg of Prednisone (steroid) daily for over 30 years due to her rheumatoid arthritis. Your doctor is planning to remove a difficult deeply impacted wisdom tooth. Our preoperative concern for this patient is: - ANS-This patient will not be able to handle a "flight or fight" response from a stressful procedure A patient with Type I Diabetes (insulin dependent) would typically be giving themselves shots (injections) of insulin to control their blood glucose (blood sugars) and to control their diabetes. - ANS-True Constriction of or narrowing of the coronary arteries can lead to Angina (chest pain). - ANS-True Your doctor has started an IV. You are hooking the IV line and bag of IV fluids to the catheter. Which bag of IV fluids is the preferred for routine healthy patients? - ANS-LR A patient says that she is "Allergic to Amoxicillin and Codeine". Upon further questioning, she says that she had a rash when she took Penicillin and gets really nauseated when she takes Tylenol with Codeine. This patient has: - ANS-An allergy to Amoxicillin and has an adverse reaction to Codeine Asthma is a disease of the lungs. It is specifically considered a disease of the: - ANSLower airway, bronchiolar constriction A contraindication to the use of Diprovan (Propofol) include: - ANS-Allergy to eggs The doctor asks you to assess the patient's ventilation. The things you look at include watching the rise and fall of the chest and looking at the: - ANS-Oxygen Saturation and End tidal CO2 (capnograph) The two types of diabetes that are classically characterized as the following: - ANSType I is insulin dependent and Type II non-insulin dependent A patient with Type I diabetes (insulin dependent) calls the morning of surgery. She states that she is going to go to "sleep" to have a bad tooth removed. She is aware that she needs to have nothing to eat or drink prior to coming in but she is not sure what to do with her insulin. She asks for instructions on her insulin that she normally injects herself with in the morning. You advise her to: - Continues...