Dental Office Emergencies

Question 1

a cerebrovascular accident (CVA) is also known as

Answer 1

a stroke

Question 2

what is usually the first sign or symptom of a cerebral embolism?

Answer 2

a mild headache

Question 3

a cerebral _____ occurs when an artery ruptures and fills the cranium with blood, resulting in increased pressure within the cranium….

Answer 3

cerebral hemorrhage

Question 4

a cerebral ____ occurs when there is an obstruction of a cerebral artery caused by the local formation of a clot within the artery

Answer 4

cerebral thrombosis

Question 5

a cerebral ______ results from the disruption of arterial blood supplied from the heart to the brain

Answer 5

a cerebral infarction

Question 6

many people who experience a transient ischemic attack (TIA) report feeling….

Answer 6

pins and needles

Question 7

which medical condition indicates that a patient is experiencing a severe cerebrovascular accident ( CVA) ?

Answer 7

unconciousness

Question 8

F A S T stands for

Answer 8

face
arm
speech
time

Question 9

if the dental patient suffers from an asthma attack and the bronchodilator does not provide relief, it may be necessary for the dentist to administer _____ immediately

Answer 9

epinephrine

Question 10

which type of asthma is also referred to as infectious asthma

Answer 10

intrinsic

Question 11

which form of asthma will not respond to normal drug therapy

Answer 11

status asthmaticus

Question 12

what is the main cause of asthma attacks in the dental office?

Answer 12

anxiety

Question 13

if a patient is experiencing an asthma attack what position should they be positioned in

Answer 13

upright

Question 14

if a patient is hyperventilating, the dental team may have the patient……

Answer 14

breathe into a bag

Question 15

the most common cause of hyperventilation is

Answer 15

anxiety

Question 16

why is hyperventilation rare with children

Answer 16

children tend to express their fear and feelings openly

Question 17

why is it important to continue the heimlich maneuver after the patient loses consciousness

Answer 17

the patients muscles may relax during unconsciousness, facilitating the removal of the object

Question 18

why does the patient who is hyperventilating have difficulty breathing

Answer 18

bc the lack of carbon dioxide, the patient must work harder to inhale and exhale

Question 19

what is a effective treatment for hyperventilation

Answer 19

have the patient hold their breath for several seconds

Question 20

the mouth and nose first empty into a common passage called the

Answer 20

pharynx

Question 21

what is the universal distress signal to indicate complete airway obstruction

Answer 21

clutching throat with hands

Question 22

the Heimlich maneuver requires manual thrust, which

Answer 22

forces air through the trachea

Question 23

why is airway obstruction a potential danger associated with dental treatment

Answer 23

bc the patient is in a reclined position

Question 24

during a cricothyrotomy the airway must be maintained by

Answer 24

placing a finger into the incision

Question 25

while performing the Heimlich maneuver Manuel thrust should be administered as ____ thrust or alternatively as ____ thrusts for obese or pregnant patients

Answer 25

abdominal thrust or chest thrusts

Question 26

how should an unconscious patient be positioned during the Heimlich manuever

Answer 26

supine

Question 27

what is the biggest risk associated with the finger sweep

Answer 27

the object causing the obstruction may be pushed into the esophagus

Question 28

if experiencing a complete airway obstruction and no help is available, you can dislodge the object yourself by....

Answer 28

administering self abdominal thrusts

Question 29

which chamber of the heart receives blood from the lungs

Answer 29

right atrium

Question 30

the ______ pumps blood to all parts of the body except the lungs

Answer 30

aorta

Question 31

atherosclerosis is characterized by _____ coronary arteries

Answer 31

thickening and hardening of

Question 32

angina is characterized by episodes of ____ that occur when the heart experiences oxygen deficiency

Answer 32

pain

Question 33

what is not a symptom or sign of a myocardial infarction

Answer 33

stridor

Question 34

what type of angina is least responsive to nitroglycerin

Answer 34

unstable angina

Question 35

what is true of a myocardial infarction

Answer 35

a common cause of a myocardial infarction is atherosclerosis

Question 36

because a ____ can lead to a ____, it is important to minimize the stress of the patient during a dental appointment

Answer 36

angina attack, | myocardial infarction

Question 37

what is a myocardial infarction

Answer 37

death of myocardium tissue resulting from oxygen starvation

Question 38

what is a side effect of nitroglycerin

Answer 38

postural hypotension

Question 39

how should a patient experiencing an angina episode be positioned

Answer 39

however they are most comfortable

Question 40

when administer sublingually, nitroglycerin should begin to relieve symptoms associated with angina w/in

Answer 40

90 seconds

Question 41

hypertension can result in serious conditions such as ___ or cardiac arrest

Answer 41

stroke

Question 42

when is the placatory radial systolic reading recorded

Answer 42

when no pulse rate is felt at the radial artery

Question 43

what is a normal blood pressure reading

Answer 43

less than 120/80

Question 44

the _____ artery is generally used for recording the pulse during a routine exam and the ____ artery is used during an emergency

Answer 44

radial; | carotid

Question 45

the average range for the pulse reading of an adult is _____ bpm

Answer 45

60-80 bpm

Question 46

to record the patients respirations accurately, the patient should ____

Answer 46

be unaware that someone is watching them breathe

Question 47

a normal range for respirations is ___

Answer 47

12-20 rpm

Question 48

what is the normal temperature range for someone over the age of 70

Answer 48

96-99

Question 49

another term for syncope if ___

Answer 49

common faint

Question 50

what is the body initial physical response to a stress, which could result in syncope

Answer 50

dilation of the vascular bed causes large amounts of blood to be pumped to the muscles of the arms and legs

Question 51

what are the signs of pre syncope

Answer 51

pale skin, cold sweat

Question 52

if a patience experiences syncope, what position should they be placed in

Answer 52

trendelenburg position, which is supine position with the feet elevated

Question 53

what type of capsule can be used to help stimulate the breathing of a patient who is experiencing syncope

Answer 53

ammonia

Question 54

oxygen can be very dangerous bc it can be flammable with __ or ____ based products

Answer 54

oil or petroluem

Question 55

an office emergency routine is a definitive emergency plan ....

Answer 55

indicating the responsibilities of each member of the dental team to ensure the safety of the patient in a medical emergency

Question 56

what is a responsibility of the dental auxiliary during a dental office emergency

Answer 56

assist the dentist by preparing emergency drugs

Question 57

what is the role of the receptionist during a dental office emergency

Answer 57

contact emergency medical services

Question 58

what is the best way for a dental office to handle emergencies

Answer 58

an emergency should be simulated, with each person performing his or her assigned functions

Question 59

when operating an oxygen tank it is important to adjust the flowmeter to the point at which it is releasing ___ liters of oxygen

Answer 59

4-6

Question 60

what is the purpose of the demand valve resuscitator

Answer 60

it forces oxygen into the lungs of a person who is not breathing

Question 61

which oxygen tank attachment allows the pressure going to the patient to be released at a reduced rate

Answer 61

a flowmeter

Question 62

found in emergency dental kits, an ampule is a

Answer 62

single dose of a drug used to fill a syringe

Question 63

the ______ should be obtained on every patient coming into the office

Answer 63

health history

Question 64

a normal patient would be classified as ....

Answer 64

ASA class I

Question 65

when is the physicians dest reference (PDR) is compiled?

Answer 65

every year

Question 66

what information is generally not included on a medical history form

Answer 66

blood type

Question 67

medical conditions included on the medical history form should be listed by their common name, so that the conditions can be easily understood by the ?

Answer 67

patient

Question 68

the medical history form consists primarily of

Answer 68

yes or no questions

Question 69

when reviewing the medical history form, the dental auxiliary should verbally question the patient on....

Answer 69

any conflicting answer or items of concern

Question 70

a portion of the _____ established rules and regulations to safeguard protected health information (PHI)

Answer 70

health insurance probability and accountability act

Question 71

how often should a patients medical history be updates

Answer 71

each time the patient returns to the office for a routine visit

Question 72

it is extremely important to have an up to date drug resource because ____ change at such a rapid pace

Answer 72

medications

Question 73

when recording information about a patients medications, what should the dental auxiliary call particular attention to

Answer 73

the side effects associated with the medications

Question 74

why is it particularly critical to review a patients medical history

Answer 74

to see if there are any contraindications with their medications

Question 75

a diabetic coma can result from

Answer 75

hyperglycemia

Question 76

what is not a potential cause of a seizure disorder

Answer 76

dementia

Question 77

what is the most common type of seizure

Answer 77

grand mal

Question 78

what is the correct phases of a grand Mal seizure

Answer 78

prodromal convulsion postictal

Question 79

what happens during the tonic stage of a grand Mal seizure

Answer 79

the patients body stiffens and becomes rigid

Question 80

petit mal seizures are also referred to as

Answer 80

absence seizures

Question 81

status epileptics is characterized by

Answer 81

continuous seizure activity

Question 82

a dental office is a likely setting for epileptic seizures bc

Answer 82

of the stress associated with dental treatments

Question 83

patients with seizure disorders may take the drug Dilantin, which causes dilantin hyperplasia; a condition characterized by

Answer 83

the overgrowth of gingival tissue

Question 84

diabetes mellitus is a metabolic disease that occurs bc of a deficiency in or complete lack of ____ in the body

Answer 84

insulin

Question 85

what is the relationship between glucose and insulin

Answer 85

insuline is required to facilitate the transport of glucose Into cells

Question 86

insulin is produced in the

Answer 86

pancreas

Question 87

in a diabetic patient, an imbalance in ____ levels in the blood result in microvascular disease, microvascular disease, or neuropathy

Answer 87

glucose

Question 88

which is an accurate statement regarding type I diabetes

Answer 88

daily injections of insulin are required

Question 89

why must the dental team take extra precautions with a diabetic patient; causing as little trauma as possible to the oral tissue

Answer 89

diabetic patients have problems healing and are prone to infection

Question 90

what is the cause gestational diabetes

Answer 90

placental hormones have a blocking effect on insulin

Question 91

oral hypoglycemics are medication that

Answer 91

lower blood sugar

Question 92

a _____ can result from having too little glucose in the body

Answer 92

insulin shock

Question 93

a person with hyperglycemia exhibits increased

Answer 93

thirst and urination

Question 94

what should be administered to an unconscious patient experiencing hypoglycemia

Answer 94

glucagon