OMSA MAIN EXAMINATION QUESTIONS AND
ANSWERS SURE A+
✔✔What is diabetes? - ✔✔Disease of insufficient insulin secretion
✔✔What is the function of insulin? - ✔✔To break down the sugar and put it into storage
form
✔✔The hormone that brings insulin out of storage - ✔✔Glucagon
✔✔How are patients effected by GA procedures? - ✔✔-pts cannot eat or drink for
several ours
-normally will not eat a solid meal after surgery
✔✔How will you treat a patient that is diabetic for a GA case? - ✔✔Insulin doses will be
decreased the morning of surgery due to lack of food intake
✔✔What symptoms present with hypoglycemia? - ✔✔-sweating
-nervousness
-irritability
-tremor
-confusion
-hunger
✔✔What is a normal blood sugar level? - ✔✔Between 70-100
✔✔What are the symptoms of insulin shock? - ✔✔-Anxious
-mentally cloudy
-tachycardia
-coolness of skin
-diaphoretic
-may loose consciousness with seizure
, ✔✔What is treatment for insulin shock? - ✔✔Administration of intravenous glucose
solution
✔✔What are corticosteroids used for? - ✔✔Suppressing inflammation
✔✔Give an example of anabolic steroids - ✔✔Testosterone
✔✔Steroids naturally produced by the body - ✔✔Cortisol
✔✔Where is cortisol produced? - ✔✔Adrenal gland
✔✔Describe the adrenal gland and location in the body - ✔✔A pyramid shaped gland
that sits on top of the kidney
✔✔What classifies a disease as, "auto-immune?" - ✔✔The bodies immune system
attacks healthy cells
✔✔What is the result of long time steroid use? - ✔✔The steroids suppress production
and adrenal gland atrophies (shrivels up) and cortisol cannot be produced
✔✔Symptoms of adrenal insufficiency - ✔✔Hypoglycemia, dehydration, weight loss,
disorientation, low BP and cardiovascular collapse
✔✔How are the symptoms of adrenal insufficiency avoided in the clinical room? -
✔✔Additional corticosteroids prior to he procedure
✔✔What is the Rule of 2's? - ✔✔If a patients has taken:
> 20 mg of hydrocortisone for more than
2 weeks in the last
2 years then
double the dose before any surgery.
✔✔What is the function of the thyroid? - ✔✔Produces hormones that regulate
metabolism and growth
✔✔Symptoms of hypothyroidism - ✔✔Under active; weight gain, dry skin, depression,
lethargy, cold intolerance and low BP
✔✔Symptoms of hyperthyroidism - ✔✔Over active; hypertension, insomnia, weight loss,
bulging eyes and heat intolerance
✔✔What is a thyroid storm? - ✔✔Life threatening emergency due to too much thyroid
hormone
ANSWERS SURE A+
✔✔What is diabetes? - ✔✔Disease of insufficient insulin secretion
✔✔What is the function of insulin? - ✔✔To break down the sugar and put it into storage
form
✔✔The hormone that brings insulin out of storage - ✔✔Glucagon
✔✔How are patients effected by GA procedures? - ✔✔-pts cannot eat or drink for
several ours
-normally will not eat a solid meal after surgery
✔✔How will you treat a patient that is diabetic for a GA case? - ✔✔Insulin doses will be
decreased the morning of surgery due to lack of food intake
✔✔What symptoms present with hypoglycemia? - ✔✔-sweating
-nervousness
-irritability
-tremor
-confusion
-hunger
✔✔What is a normal blood sugar level? - ✔✔Between 70-100
✔✔What are the symptoms of insulin shock? - ✔✔-Anxious
-mentally cloudy
-tachycardia
-coolness of skin
-diaphoretic
-may loose consciousness with seizure
, ✔✔What is treatment for insulin shock? - ✔✔Administration of intravenous glucose
solution
✔✔What are corticosteroids used for? - ✔✔Suppressing inflammation
✔✔Give an example of anabolic steroids - ✔✔Testosterone
✔✔Steroids naturally produced by the body - ✔✔Cortisol
✔✔Where is cortisol produced? - ✔✔Adrenal gland
✔✔Describe the adrenal gland and location in the body - ✔✔A pyramid shaped gland
that sits on top of the kidney
✔✔What classifies a disease as, "auto-immune?" - ✔✔The bodies immune system
attacks healthy cells
✔✔What is the result of long time steroid use? - ✔✔The steroids suppress production
and adrenal gland atrophies (shrivels up) and cortisol cannot be produced
✔✔Symptoms of adrenal insufficiency - ✔✔Hypoglycemia, dehydration, weight loss,
disorientation, low BP and cardiovascular collapse
✔✔How are the symptoms of adrenal insufficiency avoided in the clinical room? -
✔✔Additional corticosteroids prior to he procedure
✔✔What is the Rule of 2's? - ✔✔If a patients has taken:
> 20 mg of hydrocortisone for more than
2 weeks in the last
2 years then
double the dose before any surgery.
✔✔What is the function of the thyroid? - ✔✔Produces hormones that regulate
metabolism and growth
✔✔Symptoms of hypothyroidism - ✔✔Under active; weight gain, dry skin, depression,
lethargy, cold intolerance and low BP
✔✔Symptoms of hyperthyroidism - ✔✔Over active; hypertension, insomnia, weight loss,
bulging eyes and heat intolerance
✔✔What is a thyroid storm? - ✔✔Life threatening emergency due to too much thyroid
hormone
