Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

VT > TOK medical emergencies > Flashcards

TOK medical emergencies Flashcards

1
Q

Which of the following statements are true? Select those

that apply: Team leading the helpers during a medical

emergency in the dental practice

A

Requires team members communicating important observations (eg faulty equipment) to the leader Includes taking into account the abilities and physical limitations of team members

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which statements are true? A dental patient

A

Taking regular ACE inhibitors may be at higher risk of collapse after suddenly getting up from their dental chair With a history of recurrent syncope should be given oxygen if they show the following signs: light headedness, sweating, slow pulse rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Who can administer injectable drugs for the purpose of

saving a life in an emergency?

A

Anyone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which statement is true? In the event of a dental patient being very unwell and requiring transfer to hospital

A

Ambulance personnel are not responsible for contacting next of kin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which of the following are considered drugs for

emergency use?

A

Adrenaline Oral glucose Midazolam buccal liquid Aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

NDAC recommend that the following emergency drugs are

available at all times (tick all that apply)

A

Oral glucose/ sugar GTN spray (400 microgram metered dose) Midazolam buccal liquid (10mg/mL), or Midazolam injection (as hydrochloride) (5mg/mL 2mL ampoules) for topical buccal administration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What equipment do the Resuscitation Council (UK)

recommend is available for dealing with medical

emergencies in a dental practice?

A

Defibrillator Spacer device for inhaled bronchodilators Portable oxygen cylinder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When carrying out a “moderate risk” procedure for a

patient in a nursing home, SDCEP Practice Support Manual

specifically recommends that which of the following

should be available?

A

A bag-valve mask Spacer devices for inhaled bronchodilators Portable independently powered suction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the recommended minimum length of time that

an urban practice should be able to provide oxygen at 15

litres per minute for a patient?

A

30 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

SDCEP advice on emergency life support training specifies

which of the following key topics should be covered?

A

How to use emergency equipment correctly including ‘glucose assessment’ How to use emergency medication including drawing up a syringe How to assess the acutely ill patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which statement is false? The ‘ABCDE’ system of assessing

and treating a sick patient

A

Needs to be fully completed before calling an ambulance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which of the following statement are true? Select those

that apply: Regarding medical emergency patients

requiring transfer to hospital:

A

The dental practice is responsible for contacting next of kin The dental practice is responsible for identifying suitable routes for transferring patient off the premises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

which statement is false? A patient undergoes a dental

procedure during which local anaesthetic is used. Shortly

afterwards he complains of difficulty in breathing with an

audible wheeze, a swollen tongue. He is sweaty, the pulse

rate is 110’ (regular), capillary refill time is 4 seconds.

Salbutamol is the first-line drug in this situation.

A

False (Adrenaline 0.25mg i.m. should be given if the patient is > 12 years old)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which statement is false?
A patient undergoes a dental procedure during which local anaesthetic is used. Shortly afterwards he complains of difficulty in breathing with an audible wheeze, a swollen tongue. He is sweaty, the pulse rate is 110’ (regular), capillary refill time is 4 seconds.

A

Elevating the legs of the patient may be appropriate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Following a reaction to the administration of local

anaesthetic, anaphylaxis can be excluded if there is no

visible rash

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

A patient undergoes a dental procedure during which local

anaesthetic is used. Shortly afterwards he complains of

difficulty in breathing with an audible wheeze and a

swollen tongue. He is sweaty, the pulse rate is 110’

(regular), capillary refill time is 4 seconds. Chlorphenamine

is the first-line drug in this situation.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A patient undergoes a dental procedure during which local

anaesthetic is used. Shortly afterwards he complains of

difficulty in breathing with an audible wheeze and a

swollen tongue. He is sweaty, the pulse rate is 110’

(regular), capillary refill time is 4 seconds.

Salbutamol is the first-line drug in this situation

A

Flase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Which statements are true? Select those that apply: A

patient undergoes a dental procedure during which local

anaesthetic is used. Shortly afterwards he complains of

difficulty in breathing with an audible wheeze and a

swollen tongue. He is sweaty, the pulse rate is 110’

(regular), capillary refill time is 4 seconds.

A

The A-E approach should be followed Cardiac arrest may occur and the dental team should prepare for this

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which statement is true? Adults with an asthma attack

A

May benefit from salbutamol, given through a spacer device.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Cardiac compressions during CPR in an adult, should be

interrupted every 4 minutes to check for signs of life.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Which of the following is/are true in relation to the

placement of defibrillator pads:

A

Scissors may have to be used to remove the patient’s clothing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Regarding the type of oropharyngeal airway device

(Guedel airway) shown in the image

A

The correct size should be selected by judging the distance from the angle of the jaw to the tip of the front teeth If used inappropriately, it could worsen airway obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Which statement is true? A dental patient with no known

history of cardiovascular medical history suddenly

complains of chest pain.

A

Aspirin 300mg orally, crushed or chewed may be indicated.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Which statement is true? A dental patient with no

cardiovascular medical history suddenly complains of

chest pain.

A

The A-E approach should be used to assess the patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

A dental patient with no cardiovascular medical history

suddenly complains of chest pain. Anxiety of the patient

can have adverse physiological effects. True or False?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Which of the following statements is true regarding

automated external defibrillation during cardiac arrest?

A

Current guidelines recommend ECG analysis every 2 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Which statement is true? Automated defibrillation during CPR in an adult.

A

Has a proven benefit on patient survival.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Which statement is true? During a cardiac arrest in a

dental practice

A

Oxygen should be attached to the ventilation device if possible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Automated external defibrillation requires placing one

electrode 1cm below the left clavicle and one electrode on

the right side of the chest of the patient

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Which statement is false? In the situation where there is a

known cardiac arrest:

A

The compression to ventilation ratio in an adult is 15:2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Which statements are true? Select those that apply: A

dental patient with no cardiovascular medical history

suddenly complains of chest pain.

A

The patient may be at risk of a sudden cardiac arrest The capillary refill time may be normal in this patient If the patient is treated with Aspirin, it is appropriate to call for an ambulance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Which of the following statements are true? Select those

that apply: During a cardiac arrest in a dental practice

A

Part of a team leader’s role is to ensure the safety of other patients CPR may need to be interrupted and the patient moved if the area is not safe

33
Q

Which of the following statements are true? Select those

that apply: If a cardiac arrest occurs in an infant (<1 year

old)

A

The airway should be opened by tilting the head back as much as possible? It is most commonly due to respiratory problems The child may be carried by a lone helper in order to get help Chest compressions should be given with 2 fingers or thumbs only An adult pocket mask can be used for ventilation where no paediatric version is available

34
Q

If an adult collapses and no helpers are available, starting

CPR immediately is more important than calling 999

A

False

35
Q

Which of the following statements are true regarding CPR

in children by healthcare professionals? Select those that

apply:

A

After rescue breaths have been given the recommended ratio of compression and ventilation is the same in adults and children Impaired breathing is a more common reason for cardiac arrest in infants than a shockable rhythm is

36
Q

Which of the following statements are true regarding CPR

in children by healthcare professionals?

A

A two-handed technique may be appropriate in older children The rate of compression(100-120/ min) is the same in adults and children

37
Q

Which statement is true? During CPR in an adult

A

Spontaneous eye-opening or active limb movement in the patient are definite signs of life

38
Q

Which of the following statements are true? Select those

that apply: The Chain of Survival

A

Is only as strong as its weakest link Comprises post resuscitation care to restore quality of life
Includes early recognition of unwell patients and early defibrillation

39
Q

Which of the following statements regarding an AED

(automated external defibrillator) are true? Select those

that apply:

A

In modern (biphasic) AEDs, left and right electrodes are usually interchangeable Studies have shown that early defibrillation improves survival in cardiac arrest

40
Q

If no purpose-made paediatric pads are available for an

AED, an unmodified adult AED may be used in children

from 1-8 years

A

True

41
Q

Which of the following statements is false regarding an

Automated External Defibrillator (AED)?

A

AED pads usually expires after 5-8 years

42
Q

Which statements are true? Select those that apply:

During a cardiac arrest situation

A

Applying an external defibrillator takes priority over ventilation attempts Effective cardiac compressions are proven to improve chances of survival

43
Q

If a patient requiring defibrillation is lying on a wet surface

A

Defibrillation is safe so long as the rescuer is not in contact with the patient

44
Q

For a patient who has suffered a shock-able arrest, five

minutes delay before defibrillation reduces the chances of

survival:

A

By approximately 50%

45
Q

Automated external defibrillation use in dental practice

should be administered, if possible, by trained staff and

usually requires removal of patient’s clothing

A

True

46
Q

How should you manage a patient with epilepsy who is

having a seizure?

A

Administer midazolam if fit is repeated or lasts more than 5 minutes. Ensure the patient is not at risk of injury. Administer oxygen if appropriate.

47
Q

SDCEP guidance recommends calling an ambulance for a

patient who has had an epileptic seizure in which of the

following circumstances (select all that apply)

A

If this was the first episode of epilepsy for the patient The seizure lasts for 5 minutes or longer

48
Q

True or false? If an epileptic seizure occurs, where

possible, the patient should be given oxygen at flow rate

of 15 litres/minute

A

True

49
Q

A dental patient has a generalised, tonic-clonic seizure.

Cyanosis may be seen, even if the patient has no

underlying respiratory disease.

A

True

50
Q

According to SDCEP guidance, which of the following are

indications for giving midazolam in the event of an

epileptic seizure (select all that apply)

A

The convulsive seizures last longer than 5 minutes The seizures recur in quick succession

51
Q

Which statement is true? A dental patient has a generalised, tonic-clonic seizure.

A

Convulsive movement should not be restrained

52
Q

Which statements are true? Select those that apply: A

dental patient has a generalised, tonic-clonic seizure.

A

Hypoxia is a common feature during seizures Glucose may be an appropriate treatment once the patient has woken up Medication should only be given if seizures last for 5 minutes or longer or recur in quick succession

53
Q

Which of the following are true in relation to midazolam

(select all that apply):

A

It is the only controlled drug which are justified to stock It is a schedule 3 controlled drug Dentists must have standard operating procedures and adequate controls in place to cover all aspects of the use of midazolam

54
Q

A dental patient has a generalised, tonic-clonic seizure.

Convulsive movements should not be restrained and it

may not be required to transfer the patient to a hospital

once they have recovered.

A

True

55
Q

Which statement is false? Loss of consciousness

A

And gasping, irregular breathing, should be primarily managed by placing the patient in the recovery position.

56
Q

Which statement is true? In a collapsed adult patient who

is unresponsive

A

And breathing normally, the recovery position may be indicated.

57
Q

If an adult patient collapses in the dental practice, you

should check for responsiveness before opening the

airway.

A

True

58
Q

If an adult patient collapses in the dental practice, the

correct sequence of actions is to check for breathing, then

call 999 and then check for danger.

A

False

59
Q

If an adult patient collapses in the dental practice, head-tilt

and chin-lift should be used to open the airway and may

relieve airway obstruction

A

True

60
Q

Which statements are true regarding the situation below?

Select those that apply: A patient is about to have a dental

procedure. When getting up from the chair in the waiting

room they collapse.

A

Elevating the legs of the patient may be appropriate. It may be appropriate not to call an ambulance if the collapse is brief (less than 1 minute) and the patient fully recovers. The collapse may have been caused by sudden drop in cerebral perfusion

61
Q

Which statements are true? Select those that apply: A

dental patient

A

With a history of recurrent syncope should be given oxygen if they show the following signs: light headedness, sweating, slow pulse rate. Taking regular angiotension converting enzyme (ACE) inhibitors may be at higher risk of collapse after suddenly getting up from the dental chair.

62
Q

Which of the following statements are true? Select those

that apply: The recovery position should be used

A

For no more than 30 minutes before turning the patient onto the opposite side. To prevent airway obstruction in unconscious, breathing patients.

63
Q

The ‘’key signs’’ of hypoglycaemia include (select all that

apply).

A

Aggression, Confusion, Sweating

64
Q

Which of the following are common signs in a patient suffering from hypoglycaemia?

A

Aggression, Confusion, Sweating, Tachycardia

65
Q

If a patient regains consciousness following administration

of glucagon, they should also be given 10-20 grams of oral

glucose. True or False?

A

True

66
Q

If a patient is hypoglycaemic and becomes unconscious or

uncooperative, which of the following are indicated.

A

IM Glucagon

67
Q

Which statement is true? The pocket face-mask, such as

shown in the image:

A

Incorporates a one-way valve and can be effectively used in infants Can be used to ventilate patients who are not breathing Should be removed before defibrillation?

68
Q

Which of the following statements are true? Select those

that apply Breathing problems caused by vomitus in the

airway (aspiration)

A

May result in an abnormal breathing pattern May result in stridor May require salbutamol as treatment May be resolved by asking the patient to cough vigorously

69
Q

Which of the following statements are true? Select those

that apply: If choking occurs in a child

A

Who then becomes unconscious, initially 5 attempts of 5 ventilations should be made Which is severe, initially 5 back blows should be given It might be appropriate to encourage coughing without further physical maneuver

70
Q

Which statement is false? A choking child

A

Attempts should be made to blindly remove a foreign body from the airway (blind finger sweep) Of less than 1 year (infant), abdominal thrust should be given if initial back blows are not successful

71
Q

Which of the following statements is false regarding the

situation in the picture above?

A

If the child has stopped breathing after choking, ventilation must be avoided

72
Q

Which of the following statements are true regarding the

situation shown in the above picture showing an

unconscious infant patient? Select those that apply:

A

The manoeuvre shown is appropriate provide cardiac compressions during an asystolic heart rhythm Chest thrust may be appropriate to treat choking

73
Q

Oxygen therapy in a critically ill patient

A

Should commence at high flows (15L/min) Should be provided by an oxygen face mask with a reservoir if the patient is breathing adequately

74
Q

Which statement is true? The oxygen mask shown in the

image:-

A

Should be removed before defibrillation

75
Q

Which of the following statements are true? Select those

that apply: Regarding the type of oropharyngeal airway

device (Guedal airway) shown in the image

A

The correct size should be selected by judging the distance from the angle of the jaw to tip of the front the front teeth If used inappropriately, it could worsen airway obstruction

76
Q

Which statement is true? The type of suction device

shown in the image

A

Can be used when mains electricity fails or the patient is remote to the dental chair aspirator Needs to be stored disassembled to maintain sterility of the components Is not required in a dental practice if the dental chair has a built-in aspirator

77
Q

Which of the following statements are true? Select those

that apply. Regarding the mask device shown above

A

It will deliver atmospheric (21%) oxygen concentration if no supplementary oxygen is attached to the device An oropharyngeal airway inserted into the patient may improve ventilation with the device during a cardiac arrest Its use could lead to aspiration of stomach contents

78
Q

Which of the following statements are true? Regarding the

bag-valve mask device shown above

A

It can be used in a patient who becomes unresponsive during severe choking It can be used in a patient who has signs of circulation but is not breathing adequately, to give 10 to 12 breaths per minute

79
Q
A

VT (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions