Prepare
Recognize
Act
Yell correct answers OHCP must PRAY during a medical emergency
what does PRAY stand for?
B. Available data on the types and incidence of medical emergencies in oral healthcare indicate
that the rate of medical emergencies per dentist per year is quite high. correct answers All of the
following statements related to medical emergencies in oral healthcare settings are correct
EXCEPT which one?
A. Diagnostic activities should be effective to establish a database that identifies those patients
at-risk who may experience a medical emergency.
B. Available data on the types and incidence of medical emergencies in oral healthcare indicate
that the rate of medical emergencies per dentist per year is quite high.
C. At a minimum, in the event of a life-threatening medical emergency, OHCP must feel
comfortable to perform BLS techniques to stabilize the patient until EMS arrives.
D. It must be emphatically stated that advanced life support (ALS) activities should not be
attempted without sufficient training and maintenance of skills.
B. The magnitude of surgical stress is unrelated to the severity of tissue trauma, duration of the
procedure, volume of blood loss, fluid shifts, and changes in core body temperature. correct
answers All of the following statements related to procedure-specific risk factors are correct
EXCEPT which one?
A. Every procedure elicits a stress-response, i.e., "surgical stress," characterized by
physiological changes accompanied by psychological reactions.
B. The magnitude of surgical stress is unrelated to the severity of tissue trauma, duration of the
procedure, volume of blood loss, fluid shifts, and changes in core body temperature.
C. Procedure-related surgical stress can be classified as high, intermediate, and low with
estimated rates of associated major medical events of >5%, 1-5%, and <1%, respectively.
D. With low surgical stress, e.g., dental procedures, the risk of a major medical event is
negligible unless strong patient-specific risk factors are present.
D. All of the above. correct answers Which of the following statements is correct with respect to
a determination of patient-specific risk factors?
A. Identification of patient-specific risk factors is predicated on data obtained from the physical
evaluation, i.e., medical history and physical examination.
B. The medical history should also seek to determine the patient's functional capacity.
C. Critically, the physical examination must also include a determination of the patient's
baseline vital signs.
D. All of the above.
, C. For a patient with a history of CAD who is asymptomatic and runs 30 minutes daily the risk
of a medical emergency is predictable high. correct answers All of the following statements are
correct with respect to functional capacity EXCEPT which one?
A. FC relates to a person's functional reserve, which correlates well with maximum oxygen
uptake during treadmill testing.
B. The inability of a person to climb two flights of stairs or to run a short distance indicates poor
functional capacity (< 4 METs).
C. For a patient with a history of CAD who is asymptomatic and runs 30 minutes daily the risk
of a medical emergency is predictable high.
D. A validated method to determine FC is predicated on a person's ability to perform a spectrum
of common daily activities.
D. All of the above. correct answers Which of the following statement related to the ASA PS
classification system is correct? The ASA PS classification system _______________.
A. is predicated on patient-specific risk factors identified during the physical evaluation
B. provides a practical method to quantify perioperative risk for patients undergoing surgical
(and by extension dental) procedures
C. defines ASA PS II as a patient with well-controlled mild systemic disease affecting one organ
system and no substantive functional limitations, i.e., good functional capacity
D. All of the above.
D. Possible risk correct answers Which of the following statements is correct with respect to the
risk of major medical events associated with ASA FS IV?
A. Minimal risk
B. No immediate risk
C. Imminent risk
D. Possible risk
D. All of the above. correct answers Being prepared to respond to a major medical event in oral
healthcare settings includes developing a medical emergency team and _______________.
A. knowing what to look for, i.e., familiarity with predisposing factors and signs and symptoms
of medical emergencies
B. being alert, i.e., looking for evidence of distress or adverse reactions, particularly when drugs
are being administered to the patient
C. regularly checking the status of emergency drugs and other equipment
D. All of the above.
D. All of the above. correct answers When faced with an emerging medical event, three
hierarchical steps (i.e., the primary survey) must be implemented in every situation to identify
which of the following problems?
A. Obstructed airway
B. Respiratory arrest
C. Cardiac arrest
D. All of the above.