Start of Lecture Questions Flashcards
Routes of Attaining GA include: A. Iv B. Oral endotracheal C. nasal endotracheal D. tracheostomy E. All of the above
Answer: E
Profol is: A. LA agent B. IV-GA agent C. Inhalation GA agent D. Spinal anesthetic agent
Answer: B
Note - any spinal anesthetic agent is a local anesthetic that lasts longer
Halothane is: A. LA agent B. IV-GA agent C. Inhalation GA agent D. Spinal anesthetic agent
Answer: C
It is a hallucinogen
What is the most common precipitating factor of medical emergencies in dental office? A. Age B. Obesity C. Smoking D. Full stomach E. Stress and anxiety
Answer: E
What is the most common medical emergency in the dental chair? A. Angina B. Thyroid storm C. Hyperventilation syndrome D. Fainting & Syncope E. Suffocation
Answer: D
What differentiates fainting vs angina?
A. Fainting patient is usually anxious but healthy
B. Fainting patient responds well to posture correction (<5mn)
C. Fainting has similar manifestations but no chest pain
D. Fainting patient usually report history of fainting
E. All of the above
Answer: E
If the patient hasn’t responded to a postural change within 5 minutes - it’s not fainting.
For patients that are fainters - as soon as they see something that makes them queasy they faint and it’s hard to come back from that.
Putting sedated patient in supine position is the most appropriate for the following emergencies A. Anaphylaxis B. Vomiting C. Asthma D. Syncope E. A & D
Answer: E
Anaphylaxis is whens he blood is no longer going to the brain
Vomiting, tip to the left side in supine if the patient is comatose
What drug must you inject first in case of anaphylaxis? A. Epinephrine B. Benadryl C. Hydrocortisone D. Bronchodilator
Answer: A
Following epi give oxygen, then Benadryl
Cortisone takes too long to work
Which one does not respond to:
O2, rest, nitroglycerine?
A. Angina
B. MI
Answer: B
When you review a patient history for sedation, which item of the following has least importance? A. Last meal B. Medical illnesses C. Allergies D. Hernia repair when was 5 years ago!
Answer: D
Mallampati* Classification is a good tool to:
A. Identify patient at risk of Myocardial infarction
B. Shows the upper airway patency
C. Indicate the depth of sedation according to Mallampati Score!
D. Indicate the physical fitness of a patient
Answer: B
Which ASA patient category (s) may be safely sedated at dental office: A. ASA I B. ASA II C. ASA III D. ASA V E. A & B
Answer: E
Why patient monitoring during sedation is so important?
A. It tells us how much fluids patient may need
B. It detects cardio-pulmonary failure
C. It shows patient is not cyanosed
D. It detects early cardio-pulmonary changes
Answer: D
Titration of an Intravenous sedative drug is mainly recommended to: A. Produce the maximum effect B. Speed up the onset of action C. Have painless injection D. Avoid over dosage
Answer: D
Which IV access site is most commonly used for sedation and GA, why?
A. Anticupital fossa
B. Dorsum of the hand
Answer: B
