OMSA 2024 Exam Questions With 100% Correct Answers | Verified | Updated, Exams of Advanced Education

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OMSA 2024 Exam Questions With 100% Correct Answers | Verified | Updated beta one - Correct Answer-heart beta two - Correct Answer-lungs pathway of conduction system - Correct Answer-SA node, AV node, Bundle of His, Purkinje fibers Amides (local anesthetics) - Correct Answer-Lidocaine, mepIvacaIne, bupIvacaIne Esters (local anesthetics) - Correct Answer-Procaine Cocaine-topical Tetracaine Benzocaine Benzodiazepines Reversal agent-diazepam (Valium) Midazolam (versed) - Correct Answer-Flumazenil (Romazicon) pg. 1 professoraxe l Barbiturates - Correct Answer-Brevital Propofol (Diprivan) - Correct Answer-Lower the heart rate Ketamine (Ketalar) - Correct Answer-dissociative anesthetic Anticholinergic drugs - Correct Answer--Atropine- for bradycardia, reduces salivation, dilates pupils Glycopyrolate (Robinul) Corticosteroids - Correct Answer-Dexamethasone-Decadron Decrease swelling and inflammation. Depressed immune system. Increases blood glucose. Insufficient blood flow through the coronary arteries can result in - Correct Answer-Angina Pathway of blood through the heart - Correct Answer-superior vena cava, inferior vena cava, right atrium, tricuspid valve, right ventricle, passing the pulmonic valve to the pulmonary artery, to the lung. (capillaries) from the lungs to the pulmonary vein, left atrium, mitral valve pg. 2 professoraxe l What does necrosis mean? - Correct Answer-death of tissue The first heart sound is caused by? - Correct Answer-The tricuspid and mitral valve closing What do beta blockers do? - Correct Answer-Dilate the coronary arteries What are the two kinds of Heart failure? - Correct Answer- Right and Left Symptoms of right sided heart failure include.. - Correct Answer-ascites and pitting edema True or false...A patient that has a history of CABG (coronary artery bypass grafting ) needs to be premedicated with antibiotics? - Correct Answer-False Causes of hypotension include the following - Correct Answer- Excessive medication, allergic reaction, cardiac dysrhythmias pg. 5 professoraxe l Normal blood pressure range - Correct Answer-140/90 Hypertensive crisis patients may complain of? - Correct Answer-Headache Treatment for a patient having a hypertensive crisis - Correct Answer-A beta blocker and a vasodilator The mnemonic for Diagnosing a stroke is: - Correct Answer- FAST: Face, arm, speech, time Name the two types of strokes - Correct Answer-ischemic and hemorrhagic High blood pressure may cause the patient's risk for heart attack and - Correct Answer-Stroke Should patient skip their blood pressure medication the morning of surgery due to the fact there are having a GA - Correct Answer-Patient should take medication with a sip of water pg. 6 professoraxe l Symptoms of severe hypertension include the following - Correct Answer-Dizziness, Orthostatic hypotension, fainting True or false: Sinus arrhythmia is the same as a systole - Correct Answer-False The best treatment for particular fibrillation is - Correct Answer-Defibrillation The most common reason for cardiac arrest is - Correct Answer-Ventricular fibrillation The T way is caused by? - Correct Answer-Repolarization of the ventricles (Blank) are more dangerous than (blank) - Correct Answer- Multifocal PVCs; Unifocal PVCs What is the intrinsic rate of the SA node? - Correct Answer-60- 100 bpm pg. 7 professoraxe l Vagal maneuver can be used to diagnosis and treatment of patients with which rhythm? - Correct Answer-Supra ventricular tachycardia The hair like projections on the cell within the trachea are called? - Correct Answer-Cilia The order of airflow inside the upper respiratory system is: - Correct Answer-nasopharynx, oropharynx, laryngopharynx, larynx, trachea Gas exchange ( Where oxygen goes from the air to the blood and CO2 goes from blood to the air) takes place in the: - Correct Answer-alveoli Oxygen is carried by - Correct Answer-hemoglobin in red blood cells The order of airflow in the lower respiratory system is: - Correct Answer-trachea, right and left mainstem bronchi, bronchioles, alveoli pg. 10 professoraxe l Inspiration is more of a (blank) process, whereas expiration is more of a (blank) process - Correct Answer-Active; passive Foreign bodies that are aspirated usually go down the (blank ) main stream bronchus - Correct Answer-Right Control of respiration is dependent on? - Correct Answer-Level of carbon dioxide in the blood The anatomical structure where a cricothyrotomy is performed is: - Correct Answer-Through the cricothyroid membrane The (blank) bronchus is Straighter and wider while the (blank)bronchus is narrower and angles more acutely - Correct Answer-Right; Left Oxygen tanks are usually (blank) in color, while nitrous oxide tanks are usually (blank) and color - Correct Answer-Green; Blue Asthma medication is include the following.. - Correct Answer- Corticosteroids, B2 Agonist (bronchodilator) Anti-histamines pg. 11 professoraxe l Asthma is a disease of ______. - Correct Answer- bronchoconstriction Rescue inhalers are usually: - Correct Answer-bronchodilators True or false: You can insert it in LMA (laryngeal mask airway) on a conscious patient with in intact gag reflex - Correct Answer-False The Maximum nitrous oxide delivery rate, how much oxygen should be continuantly delivered - Correct Answer-22% Pulse oximeter reading could be affected by all of the following.. - Correct Answer-Patient movement, fingernail polish, Asthma medication True or false: LMA Is the most ideal perform method of airway maintenance - Correct Answer-True Ideally, patient should stop smoking how long before an elective surgical procedure? - Correct Answer-8 weeks pg. 12 professoraxe l Where is insulin produced? - Correct Answer-beta cells of islets of Langerhans in PANCREAS What is the function of glucagon? - Correct Answer-To release good clothes from the cells into the bloodstream What are the symptoms of diabetes? - Correct Answer- polyuria,( frequent urination) polydipsia, (Always thirsty) polyphagia ( always hungry) What are the two types of diabetes? - Correct Answer-type 1 Beta cells don't produce insulin at all and type 2 Insulin buys to the cell, but the glucose gates don't open What is the function of insulin - Correct Answer-decreases blood glucose levels- To drive glucose into the cell What is the danger in doing surgery on a patient who is adrenally suppressed - Correct Answer-They may experience a drop in blood pressure and shock What does the thyroid do? - Correct Answer-Produces hormones that control metabolism and growth pg. 15 professoraxe l An important blood level to inquire about in a HIV patient is - Correct Answer-T helper cell count Your patient is in kidney failure and requires dialysis. He goes Monday Wednesdays and Fridays. Which day do you want him to have his surgery done - Correct Answer-Tuesday or Thursday True or false... Patient with liver disease Should be given higher doses of anesthetic agent - Correct Answer-False Medication for treatment of allergic reaction include Benadryl and - Correct Answer-Decadron The optimal time for elective procedures to perform on a pregnant patient is the: - Correct Answer-Second trimester Indications for patients to be on Coumadin include - Correct Answer-stroke or cerebral vascular accident pg. 16 professoraxe l Johnny's mothers date he is allergic to penicillin because he got sick to his stomach the last time he took it. You calmly tell Johnny's mother? - Correct Answer-No mom Johnny had an adverse reaction to penicillin not a true allergy Signs of a true allergic reaction - Correct Answer-rash, itching, swelling, SOB due to airway swelling (dyspnea) Anaphylactic shock symptoms - Correct Answer-Drop in blood pressure and Laryngeal edema An extreme allergic reaction is called - Correct Answer- anaphylactic shock What is the preferred IV fluid - Correct Answer-NS It is important to run fluid through the IV line before administering it to the patient? - Correct Answer-To prevent air embolism Treatment of intra-arterial injection is? - Correct Answer-10cc 1% procaine pg. 17 professoraxe l parasympathetic nervous system - Correct Answer-the division of the autonomic nervous system that calms the body, conserving its energy sympathetic nervous system - Correct Answer-a set of nerves that prepares the body for action in challenging or threatening situations the two components of the Autonomic nervous system - Correct Answer-sympathetic nervous system and parasympathetic nervous system Increased heart rate and blood pressure are due to the stimulation of the - Correct Answer-sympathetic Atropine or Glycopyrrolate are given to - Correct Answer- Reduce salivary secretion Benzodiazepines are used to - Correct Answer-relieve anxiety- relax and sedate the patient Which category of patients will usually require MORE Propofol? - Correct Answer-children and women pg. 20 professoraxe l Acetaminophen (Tylenol) toxicity affects which organ? - Correct Answer-Liver Acetaminophen affects - Correct Answer-liver Early signs of a local anesthetic overdose include: - Correct Answer-Anxiety, talkative, disoriented Contraindications for the use of propofol include allergy to - Correct Answer-Eggs propofol allergy - Correct Answer-eggs, egg products, soy Ketamine (Ketalar) is classified as a - Correct Answer- Dissociative anesthetic Brevital sodium is classified as a: - Correct Answer-Barbiturate Brevital can cause respiratory depression - Correct Answer- False pg. 21 professoraxe l Propofol (Diprivan) Class - Correct Answer-Sedative/Hypnotic ASA classification I - Correct Answer-Normal, healthy patient without systemic disease ASA classification II - Correct Answer-A patient with mild systemic disease; may or may not need dental management alterations ASA III - Correct Answer-A patient with severe systemic disease that limits activity but is not incapacitating ASA IV (Red flag) - Correct Answer-Patients in this category have a severe systemic disease that limits activity and threatens life. These patients are not usually seen in an ambulatory health settings. Because of their unstable health problems, they are categorized as high risk for many situations; the potential for acute emergency situation is great. •Seek medical consultation and/or referral. N2O/O2 is usually not indicated except in emergency situations. pg. 22 professoraxe l before the respiratory depressive efforts of the narcotics wears off Treatment of bronchospasm - Correct Answer-B2 agonist such as Albuterol & epinephrine bronchospasm - Correct Answer-a contraction of the smooth muscle in the walls of the bronchi and bronchioles that tighten and squeeze the airway shut Bronchosspasmcan be diagnosed by - Correct Answer- Expiratory wheeze and difficulty in positive pressure ventilation laryngospasm - Correct Answer-Protective reflex of vocal cords which attempt to prevent passage or foreign matter to lungs. Crowing sounds or labored breathing from patient. Treatment of Respiratory depression: - Correct Answer- Epinephrine .3cc of 1:1000 SQ pg. 25 professoraxe l The side effects of succinylcholine to be careful of is: - Correct Answer-A muscle relaxant and can cause patients to stop breathing Most common cause of airway obstruction is: - Correct Answer-The base of the tongue falling back and occluding the airway If your patient is determined to be in respiratory depression with a respiratory rate of seven, you would: - Correct Answer- Head to an open airway and apply a full face mask with positive pressure 02 (oxygen) Treatment for angina is: - Correct Answer-nitroglycerin The drug for treatment of an overdose of narcotic medication is called: - Correct Answer-Narcan The difference between angina and a myocardial infarction is: - Correct Answer-Angina is caused by lack of oxygen in the coronary arteries, while an MI implies Necrosis or death of the heart muscle pg. 26 professoraxe l The medication used to treat an overdose of benzodiazepine is: - Correct Answer-Romazicon Pulmonary treatment of a patient with hypotension - Correct Answer-Fluid challenge Fluid challenge - Correct Answer-rapid bolus of a measured amount of iv fluid If a patient does not take their hypertensive medication prior to surgery, it can cause: - Correct Answer-Rebound hypertension MONA - Correct Answer-Morphine-Oxygen-Nitroglycerin- Aspirin Treatment for hypertensive crisis include - Correct Answer- Beta blocker symptoms of angina pectoris - Correct Answer-Crushing, squeezing chest pain ....intense crushing pain, pain under sternum, uncomfortable indigestion that doesn't go away pg. 27 professoraxe l Treatment of supraventricular tachycardia. - Correct Answer- Place patient in supine position, adenosine 6mg, after 1-2 min adenosine 12mg, 3rd dose given in 1-2 min as needed. True or false: If a patient with a known seizure disorder epilepsy is noncompliant does not take his medicine it can precipitate a seizure - Correct Answer-True For a moderate allergic reaction, in addition to Benadryl the drug is often added - Correct Answer-Decadron Decadron (Dexamethasone) - Correct Answer-Classification: Anti-inflammatory (long acting) The most common presentation of an allergic is: - Correct Answer-Itchy red skin Treatment of a mild allergic reaction usually is prescribing - Correct Answer-Benadryl The first medication to consider in a life-threatening anaphylactic condition is - Correct Answer-Epinephrine pg. 30 professoraxe l Treatment for syncope - Correct Answer-Oxygen, trendelenburg position Hey severe allergic reaction is called: - Correct Answer- Anaphylaxis If a diabetic patient take their medication as usually the morning of surgery( planned sedation, patient is NPO) we would worry about: - Correct Answer-Hypoglycemia The cause of syncope is: - Correct Answer-Slowed heart rate and blood pressure A pediatric airway is different than an adult airway in that: - Correct Answer-Kids have a larger time and a conical airway True or false: A patient with type one diabetes (insulin dependent) would typically be given themselves shots (injection)of insulin to control their blood glucose and to control their diabetes - Correct Answer-True pg. 31 professoraxe l As patient undergo anesthesia, they pass through different stages of anesthesia. According to the American Society of Anesthesiology, Surgery is usually performed in what stage of anesthesia - Correct Answer-Stage 3 The acronym for stroke: - Correct Answer-FAST (face, arm, speech, time) Treatment for anaphylactic shock - Correct Answer- epinephrine P wave represents - Correct Answer-atrial depolarization (contraction) What do you give a patient with bradycardia - Correct Answer- Atropine (Anti-parasympathetic ) speeds up Medication given to a patient with Tachycardia - Correct Answer-Amiodarone Amiodarone - Correct Answer-Antiarrhythmic pg. 32 professoraxe l There are two main categories of local anesthetics used in dentistry. The most common category of local anesthetic used in OMS is an: - Correct Answer-Amide The P wave in the EKG represents: - Correct Answer-atrial depolarization The pulse oximeter gives us information on: - Correct Answer- oxygenation Check patient ventilation - Correct Answer-Oxygen saturation and end tidal CO2 ( capnograph) Important to run IV line - Correct Answer-Avoid an air embolus In compartment syndrome,one can see an increase of pressure in the forearm . This can be caused by veinpunture (IV). This is considered a true medical emergency - Correct Answer-True pg. 35 professoraxe l What happens to patients taking Prednisone for a long time: - Correct Answer-Patient will not be able to handle a "flight or fight"response from a stressful procedure Ketamine can cause hallucination. The best drug to give along with ketamine, to reduce the incident of a unwanted affect is: - Correct Answer-Versed The correct sequence of blood flow from the nose to the lungs: - Correct Answer-Nose, nasopharynx, oropharynx, laryngoharynx, trachea, lungs A contraindication to the use of diprivan Propofol include: - Correct Answer-Allergy to eggs You are starting an IV on the patient in the antecubital fossa. The artery that you want to avoid in the antecubital fossa is - Correct Answer-Brachial artery pg. 36 professoraxe l