Test 1 Chapters 1-4

An unconscious patient suffering from severe hypoglycemia should receive: Select one: a. oral carbohydrate. b. SoluCortef IM. c. glucagon IM. d. nitroglycerine sublingually.

glucagon IM

Oxygen tanks are ______________ in color.

green

Albuterol: Select one: a. is administered intramuscularly. b. has a quick onset. c. lasts about 30 minutes. d. the adult dose is one spray and should not be repeated.

has a quick onset

______________ is a state in which the individual's body temperature is below normal range.

hypothermia

In the REPAIR system for the management of medical emergencies the "I" refers to: Select one: a. recognizing the signs and symptoms. b. evaluating the patient's level of consciousness. c. positioning the patient appropriately. d. implementing the appropriate emergency protocol.

implementing the appropriate emergency protocol

The use of oxygen and the production of carbon dioxide and their exchange between the cells and blood is: Select one: a. internal respiration. b. external respiration. c. bradypnea d. orthopnea.

internal respiration

Which of the following drugs is used for a severe allergic reaction? Select one: a. Albuterol b. Chlorpheneramine c. Epinephrine d. None of the above

epinephrine

A patient who can walk up two flights of stairs or two city blocks would be considered in the ASA III category. Select one: True False

false

Patients who are tachycardic or bradycardic are less likely to experience a medical emergency in the dental office than those that have a normal heart rhythm. Select one: True False

false

The duration of action of albuterol is one to two hours. Select one: True False

false

The portion of the oxygen equipment that allows the operator to determine the amount of oxygen delivered to a patient is the: Select one: a. regulator. b. reducing valve. c. flow meter d. cylinder.

flow meter

All of the following procedures will help to prevent an emergency in a dental office EXCEPT: Select one: a. accurate medical history taking. b. taking and recording vital signs. c. updating the medical emergency kit.

updating the medical emergency kit

What is the pediatric dose of diphenhydramine? Select one: a. 1 mg/kg of body weight b. 2 mg/kg of body weight c. 3 mg/kg of body weight d. 4 mg/kg of body weight

1 mg/kg of body weight

Brain damage or coma can occur if a patient has oxygen deprivation lasting for: Select one: a. 1 minute. b. 3 minutes. c. 5 minutes. d. 10 minutes.

10 minutes

The appropriate dosage of aspirin for use in an MI is: Select one: a. 81 mg. b. 162 mg. c. one baby aspirin. d. one-half baby aspirin.

162 mg

The blood pressure cuff should be inflated: Select one: a. 20-30 mmHg higher than the reading when you no longer feel the radial pulse. b. to 200 mmHg. c. until the branchial pulse is no longer heard in the stethoscope. d. none of the above.

20-30 mmHg higher than the reading when you no longer feel the radial pulse

A size E oxygen cylinder will provide _____ minutes of oxygen. Select one: a. 15 b. 30 c. 45 d. 60

30

Normal blood pressure in children is based on their age, sex, and height and is at the _____ percentile or lower. Select one: a. 54th b. 76th c. 89th d. 95th

89th

Two important pieces of equipment needed for use during a medical emergency are a/an _____________ and a/an __________

AED and oxygen tank

A patient that has stable angina or well-controlled Type I diabetes would be considered: Select one: a. ASA I. b. ASA II. c. ASA III. d. ASA IV.

ASA II

A patient with a mild systemic disease would be considered in the _____________________ category.

ASA II

A patient with an incapacitating systemic disease that is a constant threat to life would be categorized as: Select one: a. ASA I. b. ASA II. c. ASA III. d. ASA IV.

ASA IV

Your 3:00 patient is Harry Henderson. He is a 62-year-old male postal worker and is a new patient to you. His history indicates a daily intake of hypertension medication, but he states that he does not like to always take them because he doesn't like the side effects. Other than hypertension, his medical history is negative. BP: 188/112 first reading right arm BP: 186/110 second reading right arm Pulse: 86 BPM Respiration: 16/minute Question: Mr. Henderson is experiencing _____________ Select one: A. Hypertensive emergency B. Hypertensive urgency C. Angina Pectoris D. All of the above E. None of the above

B. Hypertensive urgency

Your 3:00 patient is Harry Henderson. He is a 62-year-old male postal worker and is a new patient to you. His history indicates a daily intake of hypertension medication, but he states that he does not like to always take them because he doesn't like the side effects. Other than hypertension, his medical history is negative. BP: 188/112 first reading right arm BP: 186/110 second reading right arm Pulse: 86 BPM Respiration: 16/minute Question: After taking repeating the blood pressure, Mr. Henderson should be placed in the supine position. O2 should be administered via non-breather bag at 4L/minute. Select one: A. Both statements are true B. Both statements are false C. The first statement is true and the second statement is false. D. The first statement is false and the second statement is true.

Both statements are false

Labored breathing is termed ____________

dyspnea

What is the MOST common emergency to occur in the dental office? Select one: a. Mild allergic reaction b. Angina c. Syncope d. Anaphylaxis

Syncope

Patient vital signs include all of the following EXCEPT: Select one: a. pulse. b. respiration. c. blood pressure. d. weight.

Weight

Which of the following is a contributing factor in the increase in medical emergencies in the dental setting? Select one: a. Decreasing age of the population b. Advances in healthcare c. Advances in dentistry d. None of the above

advances in healthcare

All of the following should be taken into account when developing an emergency kit EXCEPT: Select one: a. proximity to emergency department. b. proximity to EMS. c. familiarity of dental team with kit contents. d. age of dental team members.

age of dental team members

All of the following questions should be asked of a patient who provides a positive response on the medical history for asthma EXCEPT: Select one: a. severity of attacks. b. frequency of attacks. c. trigger of attacks.

all of the above questions should be asked

The amount of oxygen delivered through a bag mask is: Select one: a. 2-4 liters/minute. b. 4-6 liters/minute. c. 8-12 liters/minute. d. an oxygen tank should not be used with this device.

an oxygen tank should not be used with this device

All of the following factors affect blood pressure EXCEPT: Select one: a. blood volume. b. blood viscosity. c. blood stenosis. d. blood vessel resistance.

blood stenosis

Patients who are tachypnic may be more likely to experience a medical emergency. Select one: True False

true

An automated external defibrillator is an additional item for the emergency kit to care for which emergency? Select one: a. Asthma attack b. Cardiac arrest c. Broken instrument tip d. Anaphylaxis

cardiac arrest

Individuals with hypertension are at higher risk for: Select one: a. cerebrovascular accident. b. diabetes. c. seizures. d. asthma.

cerebrovascular accident

Nitroglycerine is indicated for all of the following emergencies EXCEPT: Select one: a. cerebrovascular accident. b. acute angina. c. myocardial infarction. d. heart failure.

cerebrovascular accident

______________may occur in children with extremely high fevers.

convulsions

Symptoms of orthostatic hypotension include: Select one: a. dimming of vision. b. increased blood pressure. c. tachycardia. d. all of the above.

dimming vision

All of the following are symptoms of hypertensive urgency EXCEPT: Select one: a. dysarthria. b. headache. c. tinnitus. d. epistaxis.

dysarthria

All of the following would be types of end organ damage signifying hypertensive emergency EXCEPT: Select one: a. cerebral hemorrhage. b. liver failure. c. renal insufficiency. d. aortic dissection.

liver failure

Your patient's respiratory rate is 16 per minute. This would be considered: Select one: a. normal. b. bradypnea. c. hypernea. d. orthopnea.

normal

The MOST important component of the emergency kit is _____________

oxygen

The next MOST available person to the operator whose patient is experiencing an emergency is responsible for: Select one: a. recording events of the emergency. b. contacting EMS. c. retrieving the emergency kit. d. preparing drugs from the kit for use.

recording events of the emergency

The structure to which the reducing valve and flow meter are joined is the ____________

regulator

If a patient responds positively on his or her medical history to epilepsy, you will need to be on the lookout for: Select one: a. dyspnea. b. hypoglycemia. c. seizures. d. none of the above.

seizures

Your patient has a blood pressure of 180/110. This would be considered: Select one: a. prehypertension. b. Stage I hypertension. c. Stage II hypertension. d. normal blood pressure.

stage II hypertension

All of the following are common causes of tachycardia EXCEPT: Select one: a. fever. b. exercise. c. stimulant drugs. d. syncope.

syncope

The force of blood against the blood vessel walls during ventricular contraction is: Select one: a. systolic blood pressure. b. diastolic blood pressure. c. pulse pressure. d. hypertension.

systolic blood pressure

Your patient's pulse rate is 102. This would be considered: Select one: a. normal. b. bradycardia. c. tachycardia. d. none of the above.

tachycardia

All of the following are factors that affect respiration rate EXCEPT: Select one: a. age. b. body position. c. exercise. d. temperature.

temperature

Administration of a corticosteroid is indicated for the prevention of a recurrence of an anaphylactic reaction. Select one: True False

true

Current CPR is necessary to be able to treat almost any medical emergency. Select one: True False

true

Diphenhydramine IM is used for moderate allergic reactions that include primarily dermatologic signs with some respiratory symptoms. Select one: True False

true

For patients taking corticosteroids the operator needs to be alert to the signs and symptoms of adrenal insufficiency. Select one: True False

true

Nitroglycerine tablets lose their effectiveness in 12 weeks if exposed to light or air. Select one: True False

true