CMCP Exam 3 Practice Questions and Correct Answers

What is almost always present in medical emergencies involving loss of consciousness some degree of airway obstruction Which two steps of BLS are designated to eliminate airway obstruction problems A- airway B- breathing Predisposing factors of respiratory distress - hyperventilation - vasodepressor syncope - asthma - hypoglycemia - overdose reaction - acute MI - anaphylaxis - CVA - epilepsy - hyperglycemic reaction Anoxia absence of oxygen Apnea absence of respiratory movement Dyspnea difficulty in breathing "air hunger" Hyperventilation - ventilation that exceeds metabolic demands - more than 28 respirations - no longer have a maintenance of O2 and CO2 balance - caused by increase frequency of respirations and depth of respirations - commonly in people age 15-40 - occurs as result of extreme acute anxiety Hypoxia deficiency of O2 in inspired air Orthopnea inability to breathe except in the upright position Tachypnea greater than normal respiratory rate Underlying medical disorders than can cause respiratory distress - acute MI - anaphylaxis - CVA - hyperglycemia - hypoglycemia - acute exacerbation of above conditions Chronic respiratory problems asthma and heart failure Undue stress effects on respiratory disease physiologic or psychologic stress can exacerbate respiratory disorders and each other Which conditions are almost exclusively manifestations of psychologic stress and the most frequent emergency situations in dentistry hyperventilation and vasodepressor syncope Children with asthma in stressful situations may exhibit acute episodes of bronco spasms Prevention of respiratory distress - stress reduction protocol - adequate pretreatment- medical and dental evaluations Exceptions in stress reduction protocol diabetes- plan appointment for after lunch parkinsons- plan appointment for when medication is most effective Clinical manifestations of respiratory disease - varies according to degree of breathing difficulty present - patient usually remains conscious - acute anxiety/ panic - asthma- wheezing sounds - heart failure- wet cough and other sounds associated with pulmonary congestion