OMSA FALL 2023 PRACTICE TEST-solved

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