QUIZ Flashcards
The following is the correct sequence of blood flow through the heart
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
Classic symptoms of congestive heart failure
Shortness of breath and swollen ankles
Drugs used to relax patients or reduce anxiety are:
Benzodiazepines
The pneumonic MONA stands for:
Morphine, oxygen, nitroglycerin and aspirin
What drug categories are used to treat someone who is expierencing an asthma attack?
Beta Agonist
Patient is expierencing a laryogospam what do I do
Stop, pack off site, suction, positive pressure, oxygen, sucks
Indications for patients to be on anticoagultion blood thinners medicines are
Pulmonary embolism, stroke, blood clots
Drugs given to patients are usually excreated from the body after they leave the
Kidney
AF is a type of heart ruythem and patients who have this will have a irregular pulse, true or false
True
The safest time to extract a tooth on a pregnant lady is when:
2nd trimester
The right side of the heart carries deoxygenated blood: true or false
True
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?
Flumezinal and Narcan (naloxone)
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
Do not proceed with surgery and delay the implant
When insulin’s is given to the patient is is meaning to lower the blood glucose: true or false
True
The left side of the heart carries deoxygenated blood: true or false
False
Asthma is a disease of the lungs and is office considered a …
Lower airway bronchioles constriction
The agent that is used to reverse versed is
Flumezinal
The QRS complex of the ekg is
Ventricular depolarization
A patient has stopped breathing.. what is the primary thing that will make them breathe again
Excess of co2
Constriction of your blood vessels and artieries will cause your blood pressure to increase: true or false
True
A patient with type 1 diabetes is insulin dependent: true or false
True
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?
Class 4
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?
Right lung
A patient is displaying stridor, you terminate the surgery and pack off site and continue to still see symptoms, what medication do you give?
Sukks
The most concerning signs and symptoms of an acute analgylactic reaction are:
Airway edema and circulatory collapse
Drugs given to patients are usually metabolized and broken down in the:
Liver
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
Start an IV and give d5w sugar water as iv fluids
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?
Perform a crycothyorotomy(surgical Airway)
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?
Brochospams: give inhaler and Epi if needed
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?
Stroke
Patient has been taking 20mg of steroids due to rheumatry arthritis for the past 30 years, you worry about what during the procedure?
This patient will not be able to handle flight or fight response from a stressful procedure
Dilation or widening of all your arteries and blood vessels will cause your blood pressure to increase: true or false?
False
Angina (chest pain) is potentially reversible?
True
The p wave in the EKG represents:
Atrial depolarization
Fast refers to someone who is having a stroke and stands for:
FACE, ARM, SPEECH, and TIME
The contraditicion to using propofol is
Allergy to eggs
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?
Yes with a small sip of water
The doctor asks you to asses the patients ventilation the things you look at are the rising and falling of the chest and…
Oxygen saturation and entitled co2 levels
Angina chest pain is due to
Decreased blood flow to the heart muscle
The iv catheter is flushed before putting in a patient for what reason
To avoid an air embolism
One way for your doctor to know he’s placed a inadvertently placed into an artery(intra-arterial injection) is to see what
Pulstile movement and bright red blood in the iv tubing
The classifications of drugs to reduce pain are called
Narcotics
The most frequent anatomotic cause of airway obstruction is the
Tounge
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
True
The most common cardiac rythem seen on the EKG of an adult patient in cardiac arrest is :
Ventricular fibrillation
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:
True
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 :
Syncope
The acronym refers to fast, what is this a sign of?
Stroke
There are two Main catafories of local anesthia used in oral surgery. The most common used in OMS is an
Snide
The doctor has started an IV, what is the iv fluids perferrrd for a routine healthy patient?
LR
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?
Versed
Your patient arrived and said he has just had a sip of water a half hour ago, what do you tell the patient
We can proceed but wait 1.5 hours
What of the following drugs given thru IV is mostly the cause of respiratory depression?
Fentanyl
Insulin converts:
Glucose to glycogen
The pulse ox gives us info on
Oxygenation
You are starting an IV on your patient in the anticubital fossa. The artery you want to avoid in the antechvital fossa is:
Brachial artery
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?
Stop the Amox and start over the counter Benadryl
A patient comes in for a tooth extraction, what makes the patient have to premedicate?
Heart valve replacement
As patients undergo anesthesia, they pass through different stages of anesthesia. According to the ASOA surgery is performed in what stage of anesthesia?
Stage 3
Myocardial infarction of the heart muscle is reversible, true or false?
False
The normal pathway of the conducting system in the heart is the following:
SA node, AV node, bundle of hiss, purkinje fibers
A patient with type 2 diabetes would usually control their diabetes with pills: true or false
True
A pediatric airway is different than a adult airway in that:
Kids have a larger tounge and comical shaped airway
Stimulation of the sympathetic nervous system would result in
Increased heart rate, increased blood pressure
What is the difference between MI and angina?
MI is the death or necrosis of the heart muscle
A patient is being sedated in your office, he starts to vomit what is the protocol for the office?
Roll to the right side, suction, and full face mask of oxygen
Epi is added to LA getting closer to the nerve and making for a more profound block: this should mean?
Decrease the number of cartridges needed to obtain profound LA
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?
Defibrillate with a AED start CPR and call 911
You have a patient sedated for all 3rds and you start to hear a crowing sound, what does this mean?
Larygospasm, posstive pressure oxygen and sucks if needed
The two types of diabetes that are classically characterized as the following:
Type one insulin dependent and type 2 non insulin dependent
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?
ASA 2
A larygospasm is a disorder of the:
Upper airway
What are the NPO guidelines for ASA going to sleep?
6 hrs
Constitution or narrowing of the coronary arteries can lead to angina(chest pain): true or false
True
Ketamine can cause hallucinations, what is the best drug to give with ketamine to reduce that?
Versed
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?
Heart attack or angina
The correct sequence from the nose to the lungs is
Nose, nasopharyngeal, oropharynx, laryngolphynx, trachea and lungs
The patient says she gets a rash with Amox and vomits from codine, she has……
A allergy to Amox and a adverse reaction to codine
The doctor asks you to watch the patients oxygenation, you look st the color of the skin and what else?
Pulse OX
The patient is given penicillin thru IV And shortly after you hear a wheezing sound: what do you do?
Give benedryl and Epi if needed
What monitor gives you most info about ventilation?
Capnograph
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?
Laryngeal mask airway
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?
Ketamine
