OMSA
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: - 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? - 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 - 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
- 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 - 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? - Answer-Excess of carbon dioxide
The correct sequence of air flow from the nose to the lungs is - Answer-Nose, nasopharynx, oropharynx,
laryngopharynx, trachea, and lungs
The right side of the heart carries deoxygenated blood - 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. - 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? - Answer-Stroke (CVA)
The safest time to extract a bad tooth on a pregnant patient is - 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 - 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 - 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 - 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 - Answer-Beta agonist
Indications for patients to be on anticoagulation medication's are - Answer-Stroke, pulmonary
embolism, history of blood clots
A patient is experiencing a laryngospasm. The correct sequence for the treatment of this is - Answer-
Stop, pack off site, suction, positive pressure oxygen, 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 - 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 - Answer-Narcan and Flumazenil
The classification of drugs used to relax patients or reduce anxiety are called - 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 - Answer-True
Drugs given to the patients are usually metabolized (broken down) in the body by what organ - 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 - 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? - 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 - 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 - Answer-Pulse oximeter
Ketamine can cause hallucinations. The best drug to give along with ketamine, to reduce the incidence
of these unwanted side effects is - Answer-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 - Answer-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? - Answer-The right lung
FAST Refers to someone who is having a stroke. This acronym stands for - Answer-Face, arm, speech,
time
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: - 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? - 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 - 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
- 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 - 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? - Answer-Excess of carbon dioxide
The correct sequence of air flow from the nose to the lungs is - Answer-Nose, nasopharynx, oropharynx,
laryngopharynx, trachea, and lungs
The right side of the heart carries deoxygenated blood - 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. - 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? - Answer-Stroke (CVA)
The safest time to extract a bad tooth on a pregnant patient is - 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 - 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 - 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 - 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 - Answer-Beta agonist
Indications for patients to be on anticoagulation medication's are - Answer-Stroke, pulmonary
embolism, history of blood clots
A patient is experiencing a laryngospasm. The correct sequence for the treatment of this is - Answer-
Stop, pack off site, suction, positive pressure oxygen, 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 - 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 - Answer-Narcan and Flumazenil
The classification of drugs used to relax patients or reduce anxiety are called - 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 - Answer-True
Drugs given to the patients are usually metabolized (broken down) in the body by what organ - 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 - 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? - 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 - 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 - Answer-Pulse oximeter
Ketamine can cause hallucinations. The best drug to give along with ketamine, to reduce the incidence
of these unwanted side effects is - Answer-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 - Answer-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? - Answer-The right lung
FAST Refers to someone who is having a stroke. This acronym stands for - Answer-Face, arm, speech,
time
