Unit 2 Test

Question 1

Acute Asthma Attack is characterized by:

Answer 1

–Respiratory smooth muscle spasm
–Airway inflammation with edema
–Mucus hyper secretion

Question 2

Extrinsic

Answer 2

Patient has history of allergies

Question 3

Status asthmaticus

Answer 3

A bronchospasm that persists despite the administration of two doses of a bronchodilator. (such as Albuterol)

Question 4

Corticosteroid

Answer 4

anti-inflammatory, to help prevent attacks

Question 5

This is recommended for an asthmatic patient

Answer 5

lidocaine plain

Question 6

Acute pulmonary edema

Answer 6

• Is life-threatening
• Patient has excess of serous fluid in alveolar air sacs of lungs
• Patient has extreme difficulty in breathing

Question 7

What causes more than 75% heart failures?

Answer 7

Hypertension

Question 8

Sign of right ventricular failure

Answer 8

Dependent edema late in the day

Question 9

ASA III: Marked limitation of physical activity

Answer 9

Can climb one flight of stairs or walk two level city blocks but must stop and rest before completing the task because of distress

Question 10

ASA IV

Answer 10

Patient has dyspnea and undue fatigue at all times.

Postpone all elective dental treatment

Question 11

About ___ of the U.S. population has diabetes mellitus

Answer 11

6%

Question 12

A study of mortality in diabetic patients reported that the greatest percentage of deaths was related to

Answer 12

Cardiovascular causes

Question 13

Chronic oral complications of diabetes mellitus include:

Answer 13

–Gingivitis
–Caries
–Periodontal disease

Question 14

The classic triad of diabetic symptoms are:

Answer 14

Polydipsia, polyuria, polyphagia

Question 15

Polydipsia

Answer 15

Excessive thirst

Question 16

Polyuria

Answer 16

Excessive excretion of urine

Question 17

Polyphagia

Answer 17

Excessive ingestion of food

Question 18

Clinical manifestations of hypoglycemia

Answer 18

•Patient has decreased cerebral function
–Patient may become lethargic with some mental disorientation (Patient may act drunk)
•Skin is cold and wet (clammy)
• Patient maybe shaking mildly

Question 19

Which ASA classification are Hypothyroid or hyperthyroid patients who have been treated and are currently euthyroid ?

Answer 19

ASA II

Question 20

Results from diseases of the pituitary gland:

Answer 20

Secondary thyroid failure

Question 21

Hyperthyroidism

Answer 21

Patient has an unexplained weight loss even though the patient has a ravenous appetite

Question 22

Symptoms of myxedema coma

Answer 22

Hypothermia and hypercapnia (CO2 retention)

Question 23

Unconscious patient with hypothyroidism:

Answer 23

Place patient in supine position with legs elevated slightly

•Provide BLS, as needed

Question 24

Intracerebral hemorrhage

Answer 24

Apoplexy

Question 25

This is the most significant risk factor in predicting stroke

Answer 25

HBP

Question 26

However, the major threat to survival of a patient who has had a CVA is

Answer 26

Cardiovascular disease

Question 27

CVA and TIA management for a conscious patient

Answer 27

•Position patient in a comfortable position

–Seat upright at a 45 degree angle called a “semi-Fowler” position

Question 28

Absence seizures (petit mal seizures)

Answer 28

•A brief lapse of consciousness (5-10 seconds) is referred to as an “absence”
Most common in younger patients
Increased blinking of eyes

Question 29

The most severe adverse drug reactions potentially come from the _______ route of administration.

Answer 29

IV

Question 30

_____% of ADRs are due to overdose

Answer 30

85%

Question 31

The major cause of drug-related emergency situations in the dental office is the administration of

Answer 31

local anesthetics.