QUIZ Flashcards

1
Q

The following is the correct sequence of blood flow through the heart

A

Superior vena cavity, right atrium, tricuspid valve, right ventricle pulmonary valve pulmonary artery pulmonary vein left atrium left ateium mitral valve left ventricle aortic valve aorta

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2
Q

Classic symptoms of congestive heart failure

A

Shortness of breath and swollen ankles

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3
Q

Drugs used to relax patients or reduce anxiety are:

A

Benzodiazepines

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4
Q

The pneumonic MONA stands for:

A

Morphine, oxygen, nitroglycerin and aspirin

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5
Q

What drug categories are used to treat someone who is expierencing an asthma attack?

A

Beta Agonist

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6
Q

Patient is expierencing a laryogospam what do I do

A

Stop, pack off site, suction, positive pressure, oxygen, sucks

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7
Q

Indications for patients to be on anticoagultion blood thinners medicines are

A

Pulmonary embolism, stroke, blood clots

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8
Q

Drugs given to patients are usually excreated from the body after they leave the

A

Kidney

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9
Q

AF is a type of heart ruythem and patients who have this will have a irregular pulse, true or false

A

True

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10
Q

The safest time to extract a tooth on a pregnant lady is when:

A

2nd trimester

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11
Q

The right side of the heart carries deoxygenated blood: true or false

A

True

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12
Q

You just finished removing 3rds on a 40 year old man. You notice he is slow breathing with very low respiratory rate, what meds should you administer?

A

Flumezinal and Narcan (naloxone)

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13
Q

Patient comes into office with history of diabetes for the placement of dental implant she has a blood glucose of 400 what do you do

A

Do not proceed with surgery and delay the implant

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14
Q

When insulin’s is given to the patient is is meaning to lower the blood glucose: true or false

A

True

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15
Q

The left side of the heart carries deoxygenated blood: true or false

A

False

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16
Q

Asthma is a disease of the lungs and is office considered a …

A

Lower airway bronchioles constriction

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17
Q

The agent that is used to reverse versed is

A

Flumezinal

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18
Q

The QRS complex of the ekg is

A

Ventricular depolarization

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19
Q

A patient has stopped breathing.. what is the primary thing that will make them breathe again

A

Excess of co2

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20
Q

Constriction of your blood vessels and artieries will cause your blood pressure to increase: true or false

A

True

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21
Q

A patient with type 1 diabetes is insulin dependent: true or false

A

True

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22
Q

You have a patient open their mouth and stick out their tounge and you don’t see any of the uvula and can only see part of the soft palate, what mallampatti classification is this?

A

Class 4

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23
Q

The trachea(wind pipe) branches off into the left and right main stem bronchus. A patient is undergoing surgery and asperstes, which lung will this end up in?

A

Right lung

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24
Q

A patient is displaying stridor, you terminate the surgery and pack off site and continue to still see symptoms, what medication do you give?

A

Sukks

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25
Q

The most concerning signs and symptoms of an acute analgylactic reaction are:

A

Airway edema and circulatory collapse

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26
Q

Drugs given to patients are usually metabolized and broken down in the:

A

Liver

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27
Q

You have a patient that is supposed to be NPO but took his morning dose of insulin, he’s trembling and pale he has a blood sugar of 50, what is the best option to treat the patient

A

Start an IV and give d5w sugar water as iv fluids

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28
Q

You do extractions in patient and see his stomach rocking, you pack off and stop the surgery and see that there is only 4 teeth on the tray, you look down and see tooth but can’t get it out, what do you do?

A

Perform a crycothyorotomy(surgical Airway)

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29
Q

You have a patient that is 17 years old and she has a history of asthma, you see her starting to wheeze and hey oxygen level drops, what is happening?

A

Brochospams: give inhaler and Epi if needed

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30
Q

You are discussing PO instructions with your patient and you start to see facial droop and weakness in the arm, what are these signs too?

A

Stroke

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31
Q

Patient has been taking 20mg of steroids due to rheumatry arthritis for the past 30 years, you worry about what during the procedure?

A

This patient will not be able to handle flight or fight response from a stressful procedure

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32
Q

Dilation or widening of all your arteries and blood vessels will cause your blood pressure to increase: true or false?

A

False

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33
Q

Angina (chest pain) is potentially reversible?

A

True

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34
Q

The p wave in the EKG represents:

A

Atrial depolarization

35
Q

Fast refers to someone who is having a stroke and stands for:

A

FACE, ARM, SPEECH, and TIME

36
Q

The contraditicion to using propofol is

A

Allergy to eggs

37
Q

Your patient calls the morning of surgery and knows she can’t have anything to eat or drink but needs to know about her BP meds, does she take them or not?

A

Yes with a small sip of water

38
Q

The doctor asks you to asses the patients ventilation the things you look at are the rising and falling of the chest and…

A

Oxygen saturation and entitled co2 levels

39
Q

Angina chest pain is due to

A

Decreased blood flow to the heart muscle

40
Q

The iv catheter is flushed before putting in a patient for what reason

A

To avoid an air embolism

41
Q

One way for your doctor to know he’s placed a inadvertently placed into an artery(intra-arterial injection) is to see what

A

Pulstile movement and bright red blood in the iv tubing

42
Q

The classifications of drugs to reduce pain are called

A

Narcotics

43
Q

The most frequent anatomotic cause of airway obstruction is the

A

Tounge

44
Q

When you compare the ventricles of the heart to the artira of the heart. The walls of the ventricle are thicker than the atria: true or false

A

True

45
Q

The most common cardiac rythem seen on the EKG of an adult patient in cardiac arrest is :

A

Ventricular fibrillation

46
Q

In compartment syndrome, one can see a increase of pressure in the forearm. This can be caused by veinipuncture. This is considered a true medical emergency. True or false:

A

True

47
Q

You check in the next patient and he seems to be very nervous of the procedure: you notice lack of eye contact and seems very sweaty: you diagnosis his with :

A

Syncope

48
Q

The acronym refers to fast, what is this a sign of?

A

Stroke

49
Q

There are two Main catafories of local anesthia used in oral surgery. The most common used in OMS is an

A

Snide

50
Q

The doctor has started an IV, what is the iv fluids perferrrd for a routine healthy patient?

A

LR

51
Q

You just completed the procedure on the patient. Fentanyl versed and prop were used. Which medication is making the patient so drowsy after 45 minutes in recovery?

A

Versed

52
Q

Your patient arrived and said he has just had a sip of water a half hour ago, what do you tell the patient

A

We can proceed but wait 1.5 hours

53
Q

What of the following drugs given thru IV is mostly the cause of respiratory depression?

A

Fentanyl

54
Q

Insulin converts:

A

Glucose to glycogen

55
Q

The pulse ox gives us info on

A

Oxygenation

56
Q

You are starting an IV on your patient in the anticubital fossa. The artery you want to avoid in the antechvital fossa is:

A

Brachial artery

57
Q

Patient calls and says she has a reaction to Amox after surgery and she wants to know what to do she has a rash all over, what should she do?

A

Stop the Amox and start over the counter Benadryl

58
Q

A patient comes in for a tooth extraction, what makes the patient have to premedicate?

A

Heart valve replacement

59
Q

As patients undergo anesthesia, they pass through different stages of anesthesia. According to the ASOA surgery is performed in what stage of anesthesia?

A

Stage 3

60
Q

Myocardial infarction of the heart muscle is reversible, true or false?

A

False

61
Q

The normal pathway of the conducting system in the heart is the following:

A

SA node, AV node, bundle of hiss, purkinje fibers

62
Q

A patient with type 2 diabetes would usually control their diabetes with pills: true or false

A

True

63
Q

A pediatric airway is different than a adult airway in that:

A

Kids have a larger tounge and comical shaped airway

64
Q

Stimulation of the sympathetic nervous system would result in

A

Increased heart rate, increased blood pressure

65
Q

What is the difference between MI and angina?

A

MI is the death or necrosis of the heart muscle

66
Q

A patient is being sedated in your office, he starts to vomit what is the protocol for the office?

A

Roll to the right side, suction, and full face mask of oxygen

67
Q

Epi is added to LA getting closer to the nerve and making for a more profound block: this should mean?

A

Decrease the number of cartridges needed to obtain profound LA

68
Q

Your patient is 82 and has a history of angina and precious MI, she is sedated and midway through the procedure you see the EKG of wavy and no pulse, what is the first actions?

A

Defibrillate with a AED start CPR and call 911

69
Q

You have a patient sedated for all 3rds and you start to hear a crowing sound, what does this mean?

A

Larygospasm, posstive pressure oxygen and sucks if needed

70
Q

The two types of diabetes that are classically characterized as the following:

A

Type one insulin dependent and type 2 non insulin dependent

71
Q

The ASA is used for assessing patient prior to GA, if you have a patient with a history of high blood pressure what ASA is this considered?

A

ASA 2

72
Q

A larygospasm is a disorder of the:

A

Upper airway

73
Q

What are the NPO guidelines for ASA going to sleep?

A

6 hrs

74
Q

Constitution or narrowing of the coronary arteries can lead to angina(chest pain): true or false

A

True

75
Q

Ketamine can cause hallucinations, what is the best drug to give with ketamine to reduce that?

A

Versed

76
Q

A patient has a history of MI and stopped his aspirin a week ago to have surgery done, he complains of chest pains and sweating, you think it’s a possible what?

A

Heart attack or angina

77
Q

The correct sequence from the nose to the lungs is

A

Nose, nasopharyngeal, oropharynx, laryngolphynx, trachea and lungs

78
Q

The patient says she gets a rash with Amox and vomits from codine, she has……

A

A allergy to Amox and a adverse reaction to codine

79
Q

The doctor asks you to watch the patients oxygenation, you look st the color of the skin and what else?

A

Pulse OX

80
Q

The patient is given penicillin thru IV And shortly after you hear a wheezing sound: what do you do?

A

Give benedryl and Epi if needed

81
Q

What monitor gives you most info about ventilation?

A

Capnograph

82
Q

Your patient has a very hard airway and can’t breath, you tried a nasal airway but it’s not working, what is the second thing you might try before intibating him?

A

Laryngeal mask airway

83
Q

You have a 68 year old male who has had a heart attack in the past with a stent placed , what drug would you want to avoid?

A

Ketamine