OMSA EXAM QUESTIONS & ANSWERS
A patient has been sedated for a tooth extraction in your office. While the patient is
under general anesthesia the patient starts to vomit. The correct sequence of treatment
for this patient is: - Answers :Roll this patient on the right side, suction, and full face
mask oxygen.
A patient is displaying straighter intraoperative Lee. You have terminated the surgery,
packed off the site, suction the back of the throat, reposition the airway, push on the
chest to listen for a huff, and the patient continues to be symptomatic. Which drug would
you consider administering? - Answers :Succinylcholine
A patient calls one day after the removal of an infected tooth. She reports and itchy red
rash all over her body after taking amoxicillin that your doctor prescribed. She's
concerned that she is allergic to amoxicillin. Your recommendation to her is - Answers
:Stop the amoxicillin and take some over-the-counter Benadryl
He just finished removing four wisdom teeth on a 20 year old male. He received quite a
bit of anesthetic agents. Specifically 200 mg of pro football, 8 mg of Versed, 200 mcg of
fentanyl. He has been in recovery for about 15 minutes when the alarm of the pulse
oximeter goes off. You check on him and find him a new Roswell, ashen color with a
respiratory rate of eight which is very slow breathing. What drugs would you consider
giving him - Answers :Narcan and Flumazenil
The classification of drugs used to relax patients or reduce anxiety are called - Answers
:Benzodiazepine
In compartment syndrome, when can see an increase of pressure in the forearm. This
can be caused by Veni puncture. This is considered a true medical emergency -
Answers :True
Drugs given to the patients are usually metabolized (broken down) in the body by what
organ - Answers :Liver
A patient with type one diabetes caused the morning of surgery. She states that she's
going 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's not sure what to do with her insulin.
She asked for instructions on her insulin that she normally injects her self with in the
morning. You advise her to - Answers :You tell her to skip the morning dose of insulin
A patient comes into your office with a history of diabetes for the placement of a dental
implant as you always do in your office, you perform a fingerstick to check patient's
blood glue close before you start the procedure. The fingerstick reveals a blood glucose
of 400. What is the most appropriate action for your doctor to take next? - Answers :Do
not perform the surgery today and delay the implant placement
,There are two main categories of local anesthetics using dentistry the most common
category of local anesthetic use an oral and Maxillofacial surgery is an - Answers
:Amide
The doctor ask you to assess the patient oxygenation. The things you look at include
looking at the color the patient skin and - Answers :Pulse oximeter
Ketamine can cause hallucinations. The best drug to give along with ketamine, to
reduce the incidence of these unwanted side effects is - Answers :Versed
Your patient presents for a surgery at 10 AM. He states that he remember not to eat or
drink anything, but out of habit, took his morning dose of insulin. He is pale, trembling
and not feeling well. You perform a fingerstick as you always do for your diabetic
patients. His blood glucose is 50 you have not started your IV yet. The best treatment
option for this patient is to - Answers :Start an IV and give D5W as your IV fluids
The trachea branches into the right and left main stream bronchus. A patient is
undergoing general anesthesia in your office to remove a tooth. The patient aspirates
the tooth. Which lung would you guess the tooth will end up in? - Answers :The right
lung
FAST Refers to someone who is having a stroke. This acronym stands for - Answers
:Face, arm, speech, time
The classification of drugs used to relieve pain are called - Answers :Narcotics
You're 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 noticed that he's avoiding
eye contact, appears very pale, nearly gray and is sweating. He suddenly passes out
your diagnosis is - Answers :Syncope (vasovagal)
A patient with type two diabetes would typically be taking pills to control their blood
glucose and to control their diabetes - Answers :True
A contradiction to the use of Diprovan (propofol) include - Answers :Allergy to eggs
Your doctor has started an IV. You're hooking the IV line and bag of IV fluids to the
catheter. Which bag of IV fluids is the preferred for routine healthy patients? - Answers
:LR
Construction of or narrowing of the coronary arteries can lead to angina - Answers :True
Construction of or narrowing of all your arteries and blood vessels will cause your blood
pressure to increase - Answers :True
, As patients undergo anesthesia, they pass through different stages of anesthesia.
According to the ASA, surgery is usually performed in which stage of anesthesia? -
Answers :Stage 3
You just completed a surgical procedure on a patient. The patient receiver said,
fentanyl, and propofol intravenously with LR (lactated ringers) as the IV fluids. The
patient has been in recovery for 45 minutes and is still very drowsy. Which medication is
most likely causing them to still be drowsy? - Answers :Versed
How many hours before surgery does the ASA recommend no food? - Answers :6
When you compare the ventricles of the heart to the atria of the heart. The walls of the
ventricle are thicker than the atria. - Answers :True
The pneumonic Mona stands for - Answers :Morphine, oxygen, nitroglycerin, aspirin
The doctor ask you to assess the patient's ventilation. The things you look at include
watching the rise and fall of the chess and looking at the - Answers :Oxygen saturation
and entitle CO2 (capnograph)
The ASA classification is used for assessing patients prior to general anesthesia as a
risk assessment tool. Do you have a patient with a history of only hypertension. The
classification of corn to the ASA would be - Answers :ASA 2
Your patient is an 82-year-old female with a history of coronary artery disease, angina
and a previous myocardial infarction five years ago. She has an abscessed painful
molar that needs extraction. She wants to be mildly sedated for the procedure. Midway
through, you noticed the EKG suddenly looks like a wavy, chaotic undulating line. Can
you check the leads and they are all correct. You feel for a pulse, and there is no pulse.
Your first actions would be to - Answers :Difibrillate with an AED, start CPR and call 911
A patient has stopped breathing. What is the main primary psychological mechanism
that will restart this patient's breathing? - Answers :Excess of carbon dioxide
The correct sequence of air flow from the nose to the lungs is - Answers :Nose,
nasopharynx, oropharynx, laryngopharynx, trachea, and lungs
The right side of the heart carries deoxygenated blood - Answers :True
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. - Answers :Prosthetic heart valve
The acronym fast refers to facial droop, arm weakness, speech problems and time to
call 911. This refers to what condition? - Answers :Stroke (CVA)
A patient has been sedated for a tooth extraction in your office. While the patient is
under general anesthesia the patient starts to vomit. The correct sequence of treatment
for this patient is: - Answers :Roll this patient on the right side, suction, and full face
mask oxygen.
A patient is displaying straighter intraoperative Lee. You have terminated the surgery,
packed off the site, suction the back of the throat, reposition the airway, push on the
chest to listen for a huff, and the patient continues to be symptomatic. Which drug would
you consider administering? - Answers :Succinylcholine
A patient calls one day after the removal of an infected tooth. She reports and itchy red
rash all over her body after taking amoxicillin that your doctor prescribed. She's
concerned that she is allergic to amoxicillin. Your recommendation to her is - Answers
:Stop the amoxicillin and take some over-the-counter Benadryl
He just finished removing four wisdom teeth on a 20 year old male. He received quite a
bit of anesthetic agents. Specifically 200 mg of pro football, 8 mg of Versed, 200 mcg of
fentanyl. He has been in recovery for about 15 minutes when the alarm of the pulse
oximeter goes off. You check on him and find him a new Roswell, ashen color with a
respiratory rate of eight which is very slow breathing. What drugs would you consider
giving him - Answers :Narcan and Flumazenil
The classification of drugs used to relax patients or reduce anxiety are called - Answers
:Benzodiazepine
In compartment syndrome, when can see an increase of pressure in the forearm. This
can be caused by Veni puncture. This is considered a true medical emergency -
Answers :True
Drugs given to the patients are usually metabolized (broken down) in the body by what
organ - Answers :Liver
A patient with type one diabetes caused the morning of surgery. She states that she's
going 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's not sure what to do with her insulin.
She asked for instructions on her insulin that she normally injects her self with in the
morning. You advise her to - Answers :You tell her to skip the morning dose of insulin
A patient comes into your office with a history of diabetes for the placement of a dental
implant as you always do in your office, you perform a fingerstick to check patient's
blood glue close before you start the procedure. The fingerstick reveals a blood glucose
of 400. What is the most appropriate action for your doctor to take next? - Answers :Do
not perform the surgery today and delay the implant placement
,There are two main categories of local anesthetics using dentistry the most common
category of local anesthetic use an oral and Maxillofacial surgery is an - Answers
:Amide
The doctor ask you to assess the patient oxygenation. The things you look at include
looking at the color the patient skin and - Answers :Pulse oximeter
Ketamine can cause hallucinations. The best drug to give along with ketamine, to
reduce the incidence of these unwanted side effects is - Answers :Versed
Your patient presents for a surgery at 10 AM. He states that he remember not to eat or
drink anything, but out of habit, took his morning dose of insulin. He is pale, trembling
and not feeling well. You perform a fingerstick as you always do for your diabetic
patients. His blood glucose is 50 you have not started your IV yet. The best treatment
option for this patient is to - Answers :Start an IV and give D5W as your IV fluids
The trachea branches into the right and left main stream bronchus. A patient is
undergoing general anesthesia in your office to remove a tooth. The patient aspirates
the tooth. Which lung would you guess the tooth will end up in? - Answers :The right
lung
FAST Refers to someone who is having a stroke. This acronym stands for - Answers
:Face, arm, speech, time
The classification of drugs used to relieve pain are called - Answers :Narcotics
You're 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 noticed that he's avoiding
eye contact, appears very pale, nearly gray and is sweating. He suddenly passes out
your diagnosis is - Answers :Syncope (vasovagal)
A patient with type two diabetes would typically be taking pills to control their blood
glucose and to control their diabetes - Answers :True
A contradiction to the use of Diprovan (propofol) include - Answers :Allergy to eggs
Your doctor has started an IV. You're hooking the IV line and bag of IV fluids to the
catheter. Which bag of IV fluids is the preferred for routine healthy patients? - Answers
:LR
Construction of or narrowing of the coronary arteries can lead to angina - Answers :True
Construction of or narrowing of all your arteries and blood vessels will cause your blood
pressure to increase - Answers :True
, As patients undergo anesthesia, they pass through different stages of anesthesia.
According to the ASA, surgery is usually performed in which stage of anesthesia? -
Answers :Stage 3
You just completed a surgical procedure on a patient. The patient receiver said,
fentanyl, and propofol intravenously with LR (lactated ringers) as the IV fluids. The
patient has been in recovery for 45 minutes and is still very drowsy. Which medication is
most likely causing them to still be drowsy? - Answers :Versed
How many hours before surgery does the ASA recommend no food? - Answers :6
When you compare the ventricles of the heart to the atria of the heart. The walls of the
ventricle are thicker than the atria. - Answers :True
The pneumonic Mona stands for - Answers :Morphine, oxygen, nitroglycerin, aspirin
The doctor ask you to assess the patient's ventilation. The things you look at include
watching the rise and fall of the chess and looking at the - Answers :Oxygen saturation
and entitle CO2 (capnograph)
The ASA classification is used for assessing patients prior to general anesthesia as a
risk assessment tool. Do you have a patient with a history of only hypertension. The
classification of corn to the ASA would be - Answers :ASA 2
Your patient is an 82-year-old female with a history of coronary artery disease, angina
and a previous myocardial infarction five years ago. She has an abscessed painful
molar that needs extraction. She wants to be mildly sedated for the procedure. Midway
through, you noticed the EKG suddenly looks like a wavy, chaotic undulating line. Can
you check the leads and they are all correct. You feel for a pulse, and there is no pulse.
Your first actions would be to - Answers :Difibrillate with an AED, start CPR and call 911
A patient has stopped breathing. What is the main primary psychological mechanism
that will restart this patient's breathing? - Answers :Excess of carbon dioxide
The correct sequence of air flow from the nose to the lungs is - Answers :Nose,
nasopharynx, oropharynx, laryngopharynx, trachea, and lungs
The right side of the heart carries deoxygenated blood - Answers :True
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. - Answers :Prosthetic heart valve
The acronym fast refers to facial droop, arm weakness, speech problems and time to
call 911. This refers to what condition? - Answers :Stroke (CVA)
