OMSA Fall Practice Test with Answers Rated A
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 Which monitor gives the most information about
you that he stopped his aspirin a week ago (not ventilation? - ANSWER -Capnograph
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 The most frequent anatomical cause of airway
radiating to his left arm. He is also diaphoretic obstruction is the: - ANSWER -Tongue
(sweating). Your diagnosis (what is causing it) for
this patient is: - ANSWER -Angina, possible
heart attack (MI) A patient with Type II (non-insulin dependent)
diabetes would typically be taking pills to control
their blood glucose (blood sugars) and to control
The safest time to extract a "bad tooth" on their diabetes. - ANSWER -True
pregnant patient is: - ANSWER -Second
trimester
The classification of drugs used to relieve pain
are called: - ANSWER -Narcotics
A patient is experiencing a laryngospasm (spasm
of the vocal cords). The correct sequence for the
treatment of this is: - ANSWER -Stop, pack The most common cardiac rhythm seen on the
off site, suction, positive pressure oxygen, EKG for an adult patient in cardiac arrest is? -
succinylcholine ANSWER -Ventricular Fibrillation
Drugs (PO, IM or IV) given to patients are usually Which of the follow general drug categories are
metabolized (broken down) in the body by what used to treat someone who is experiencing an
organ: - ANSWER -Liver asthma "attack": - ANSWER -Beta Agonists
A pediatric airway is different than an adult The Mallampatti Classification system is used by
airway in that: - ANSWER -Kids have a Oral & Maxillofacial Surgeons to assess the
larger tongue and a conical shaped airway 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
Your patient is a relatively difficult anesthetic: he mouth and stick out their tongue. You do not see
is morbidly obese with a short neck, recessed any part of the uvula and can only see part of the
lower jaw, and Mallampatti score of VI. You're soft palate. This patient has a Mallampatti
struggling to chin him. You've already put in a classification of: - ANSWER -IV
nasal pharyngeal airway. What else might you try
before you intubate him? - ANSWER -
Laryngeal-Mask-Airway A patient comes in for the removal of a tooth.
Which of these medical conditions would require
this patient to take an antibiotic premedication
A laryngospasm (spasm of the vocal cords) a one hour prior to removal of that tooth. -
disorder of the: - ANSWER -Upper airway
, OMSA Fall Practice Test with Answers Rated A
ANSWER -Prosthetic Heart Valve ( i.e. consider giving him? - ANSWER -
Aortic Valve replacement ) Flumazenil (Romazicon) and Narcan (Naloxone)
Insulin converts: - ANSWER -Glucose to You are checking in the next patient who is a 50
Glycogen year old male. He is really nervous about the
procedure. You confirm the surgical plan and
then notice that he's avoiding eye contact,
The pneumonic MONA stands for: - appears very pale, nearly grey and is sweating.
ANSWER -Morphine, Oxygen, He suddenly "passes out". Your diagnosis is: -
Nitroglycerin, Aspirin ANSWER -Syncope (vasovagal)
Indications for patients to be on anticoagulation You have a patient that is a 17 year old female
(blood thinner) medicines are: - ANSWER - who is undergoing the removal of all 4 wisdom
-Stroke (CVA) teeth. During the surgery, you hear a high pitched
-Pulmonary Embolism (PE) crowing sound. You look down and her chest and
-History of blood clots in the leg (DVT or VTE) abdomen and "not in sync" when she is
breathing. Her oxygen saturation begins to fall
rapidly. Your diagnosis and treatment are: -
The left side of the heart carries deoxygenated ANSWER -Laryngospasm; Positive
blood. - ANSWER -False pressure oxygen & Succinylcholine if needed
As patients undergo anesthesia, they pass The classifications of drugs used to relax patients
through different stages of anesthesia. According or reduce anxiety are called: - ANSWER -
to the American Society of anesthesiology, Benzodiazepines
surgery is usually performed in what stage of
anesthesia? - ANSWER -Stage 3
There are two main categories of local
anesthetics used in dentistry. The most common
Stimulation of the Sympathetic Nervous System category of local anesthetic used in Oral &
will result in: - ANSWER -Increased heart Maxillofacial Surgery is an: - ANSWER -
rate, increased blood pressure Amide
You just finished removing 4 wisdom teeth on a You have a patient that is a 17 year old female
20 year old male. He received quite a bit of who is undergoing the removal of all 4 wisdom
anesthetic agents. Specifically, 200 mg of teeth. She has a history of asthma which was
Propofol, 8 mg of Versed, 200 umg of Fentanyl. more prevalent as a child, not so much now.
He has been in recovery for about 15 minutes During the surgery, you hear a wheezing sound
when the alarm on the pulse oximeter goes off. and her oxygen saturation begins to fall. Your
You check on him and find him unarousable, diagnosis and treatment are: - ANSWER -
ashen colored with a respiratory rate of 8 which Bronchospasm; Give inhaler & Epinephrine if
is very slow breathing. What drugs would you needed
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 Which monitor gives the most information about
you that he stopped his aspirin a week ago (not ventilation? - ANSWER -Capnograph
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 The most frequent anatomical cause of airway
radiating to his left arm. He is also diaphoretic obstruction is the: - ANSWER -Tongue
(sweating). Your diagnosis (what is causing it) for
this patient is: - ANSWER -Angina, possible
heart attack (MI) A patient with Type II (non-insulin dependent)
diabetes would typically be taking pills to control
their blood glucose (blood sugars) and to control
The safest time to extract a "bad tooth" on their diabetes. - ANSWER -True
pregnant patient is: - ANSWER -Second
trimester
The classification of drugs used to relieve pain
are called: - ANSWER -Narcotics
A patient is experiencing a laryngospasm (spasm
of the vocal cords). The correct sequence for the
treatment of this is: - ANSWER -Stop, pack The most common cardiac rhythm seen on the
off site, suction, positive pressure oxygen, EKG for an adult patient in cardiac arrest is? -
succinylcholine ANSWER -Ventricular Fibrillation
Drugs (PO, IM or IV) given to patients are usually Which of the follow general drug categories are
metabolized (broken down) in the body by what used to treat someone who is experiencing an
organ: - ANSWER -Liver asthma "attack": - ANSWER -Beta Agonists
A pediatric airway is different than an adult The Mallampatti Classification system is used by
airway in that: - ANSWER -Kids have a Oral & Maxillofacial Surgeons to assess the
larger tongue and a conical shaped airway 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
Your patient is a relatively difficult anesthetic: he mouth and stick out their tongue. You do not see
is morbidly obese with a short neck, recessed any part of the uvula and can only see part of the
lower jaw, and Mallampatti score of VI. You're soft palate. This patient has a Mallampatti
struggling to chin him. You've already put in a classification of: - ANSWER -IV
nasal pharyngeal airway. What else might you try
before you intubate him? - ANSWER -
Laryngeal-Mask-Airway A patient comes in for the removal of a tooth.
Which of these medical conditions would require
this patient to take an antibiotic premedication
A laryngospasm (spasm of the vocal cords) a one hour prior to removal of that tooth. -
disorder of the: - ANSWER -Upper airway
, OMSA Fall Practice Test with Answers Rated A
ANSWER -Prosthetic Heart Valve ( i.e. consider giving him? - ANSWER -
Aortic Valve replacement ) Flumazenil (Romazicon) and Narcan (Naloxone)
Insulin converts: - ANSWER -Glucose to You are checking in the next patient who is a 50
Glycogen year old male. He is really nervous about the
procedure. You confirm the surgical plan and
then notice that he's avoiding eye contact,
The pneumonic MONA stands for: - appears very pale, nearly grey and is sweating.
ANSWER -Morphine, Oxygen, He suddenly "passes out". Your diagnosis is: -
Nitroglycerin, Aspirin ANSWER -Syncope (vasovagal)
Indications for patients to be on anticoagulation You have a patient that is a 17 year old female
(blood thinner) medicines are: - ANSWER - who is undergoing the removal of all 4 wisdom
-Stroke (CVA) teeth. During the surgery, you hear a high pitched
-Pulmonary Embolism (PE) crowing sound. You look down and her chest and
-History of blood clots in the leg (DVT or VTE) abdomen and "not in sync" when she is
breathing. Her oxygen saturation begins to fall
rapidly. Your diagnosis and treatment are: -
The left side of the heart carries deoxygenated ANSWER -Laryngospasm; Positive
blood. - ANSWER -False pressure oxygen & Succinylcholine if needed
As patients undergo anesthesia, they pass The classifications of drugs used to relax patients
through different stages of anesthesia. According or reduce anxiety are called: - ANSWER -
to the American Society of anesthesiology, Benzodiazepines
surgery is usually performed in what stage of
anesthesia? - ANSWER -Stage 3
There are two main categories of local
anesthetics used in dentistry. The most common
Stimulation of the Sympathetic Nervous System category of local anesthetic used in Oral &
will result in: - ANSWER -Increased heart Maxillofacial Surgery is an: - ANSWER -
rate, increased blood pressure Amide
You just finished removing 4 wisdom teeth on a You have a patient that is a 17 year old female
20 year old male. He received quite a bit of who is undergoing the removal of all 4 wisdom
anesthetic agents. Specifically, 200 mg of teeth. She has a history of asthma which was
Propofol, 8 mg of Versed, 200 umg of Fentanyl. more prevalent as a child, not so much now.
He has been in recovery for about 15 minutes During the surgery, you hear a wheezing sound
when the alarm on the pulse oximeter goes off. and her oxygen saturation begins to fall. Your
You check on him and find him unarousable, diagnosis and treatment are: - ANSWER -
ashen colored with a respiratory rate of 8 which Bronchospasm; Give inhaler & Epinephrine if
is very slow breathing. What drugs would you needed
