2025 OMSA certification practice
test
exam
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: - CORRECT ANSWER-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? - CORRECT ANSWER-Succinylcholine
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 - CORRECT ANSWER-
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 - CORRECT ANSWER-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 - CORRECT ANSWER-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? - CORRECT ANSWER-Excess of carbon
dioxide
The correct sequence of air flow from the nose to the lungs is - CORRECT ANSWER-
Nose, nasopharynx, oropharynx, laryngopharynx, trachea, and
lungs
,The right side of the heart carries deoxygenated blood - CORRECT ANSWER-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. - CORRECT ANSWER-Prosthetic heart valve
The acronym fast refers to facial droop, arm weakness, speech problems and time to
call 911. This refers to what condition? - CORRECT ANSWER-Stroke (CVA)
The safest time to extract a bad tooth on a pregnant patient is - CORRECT ANSWER-
Second
trimester
An IV catheter has been placed into a vein in the right antecubital fossa. The IV line is
already connected to the bag of fluids. The reason IV line is flush before connecting Ivy
Lane an IV bag into the catheter is to - CORRECT ANSWER-Avoid an air embolus
A patient says that she is allergic to amoxicillin and codeine upon further questioning,
she says that she had a rash on she took penicillin and gets really nauseated when she
takes Tylenol with codeine. This patient has - CORRECT ANSWER-An allergy to
amoxicillin and has an adverse reaction to codeine
A patient has taken 20 mg of prednisone (steroid) Daily for over 30 years due to her
rheumatoid arthritis. Your doctors planning to remove a difficult deeply impacted wisdom
tooth. Our pre-operative concern for this patient is - CORRECT ANSWER-This patient
will not be able to handle a "flight or fight" response from a stressful procedure
Which of the following general drug categories are used to treat someone who is
experiencing an asthma attack - CORRECT ANSWER-Beta agonist
Indications for patients to be on anticoagulation medication's are - CORRECT
ANSWER-Stroke, pulmonary embolism, history of blood
clots
A patient is experiencing a laryngospasm. The correct sequence for the treatment of
this is - CORRECT ANSWER-Stop, pack off site, suction, positive pressure oxygen,
succinylcholin
e
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 -
CORRECT ANSWER-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 - CORRECT ANSWER-Narcan and Flumazenil
The classification of drugs used to relax patients or reduce anxiety are
called -
CORRECT ANSWER-
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 -
CORRECT ANSWER-
True
Drugs given to the patients are usually metabolized (broken down) in the body by what
organ - CORRECT ANSWER-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 - CORRECT ANSWER-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? - CORRECT
ANSWER-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 - CORRECT
ANSWER-Amide
The doctor ask you to assess the patient oxygenation. The things you look at include
looking at the color the patient skin and - CORRECT ANSWER-Pulse oximeter
Ketamine can cause hallucinations. The best drug to give along with ketamine, to
test
exam
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: - CORRECT ANSWER-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? - CORRECT ANSWER-Succinylcholine
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 - CORRECT ANSWER-
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 - CORRECT ANSWER-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 - CORRECT ANSWER-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? - CORRECT ANSWER-Excess of carbon
dioxide
The correct sequence of air flow from the nose to the lungs is - CORRECT ANSWER-
Nose, nasopharynx, oropharynx, laryngopharynx, trachea, and
lungs
,The right side of the heart carries deoxygenated blood - CORRECT ANSWER-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. - CORRECT ANSWER-Prosthetic heart valve
The acronym fast refers to facial droop, arm weakness, speech problems and time to
call 911. This refers to what condition? - CORRECT ANSWER-Stroke (CVA)
The safest time to extract a bad tooth on a pregnant patient is - CORRECT ANSWER-
Second
trimester
An IV catheter has been placed into a vein in the right antecubital fossa. The IV line is
already connected to the bag of fluids. The reason IV line is flush before connecting Ivy
Lane an IV bag into the catheter is to - CORRECT ANSWER-Avoid an air embolus
A patient says that she is allergic to amoxicillin and codeine upon further questioning,
she says that she had a rash on she took penicillin and gets really nauseated when she
takes Tylenol with codeine. This patient has - CORRECT ANSWER-An allergy to
amoxicillin and has an adverse reaction to codeine
A patient has taken 20 mg of prednisone (steroid) Daily for over 30 years due to her
rheumatoid arthritis. Your doctors planning to remove a difficult deeply impacted wisdom
tooth. Our pre-operative concern for this patient is - CORRECT ANSWER-This patient
will not be able to handle a "flight or fight" response from a stressful procedure
Which of the following general drug categories are used to treat someone who is
experiencing an asthma attack - CORRECT ANSWER-Beta agonist
Indications for patients to be on anticoagulation medication's are - CORRECT
ANSWER-Stroke, pulmonary embolism, history of blood
clots
A patient is experiencing a laryngospasm. The correct sequence for the treatment of
this is - CORRECT ANSWER-Stop, pack off site, suction, positive pressure oxygen,
succinylcholin
e
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 -
CORRECT ANSWER-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 - CORRECT ANSWER-Narcan and Flumazenil
The classification of drugs used to relax patients or reduce anxiety are
called -
CORRECT ANSWER-
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 -
CORRECT ANSWER-
True
Drugs given to the patients are usually metabolized (broken down) in the body by what
organ - CORRECT ANSWER-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 - CORRECT ANSWER-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? - CORRECT
ANSWER-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 - CORRECT
ANSWER-Amide
The doctor ask you to assess the patient oxygenation. The things you look at include
looking at the color the patient skin and - CORRECT ANSWER-Pulse oximeter
Ketamine can cause hallucinations. The best drug to give along with ketamine, to
