Medical Emergencies in the Dental Office 6th Edition Test Bank

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Malamed: Medical Emergencies in the Dental Office, 6thEditionTest BankChapter 1: IntroductionMULTIPLE CHOICE1.Factors that may increase the likelihood of a life-threatening emergency in the dentaloffice include:a.a pretreatment physical evaluation of each patientb.therapeutic advances in the medical professionc.a medical history questionnaired.modifications in dental treatment to minimize medical risks2.McCarthy has estimated that through the effective implementation of stress reductionprocedures, all but about __% of life-threatening situations in the dental office can beprevented.a.40b.30c.25d.20e.103.An entirely stress induced emergency situation that does not involve pre-existingmedical conditions:a.vasodepressor syncopeb.most acute cardiovascular emergenciesc.seizuresd.bronchospasm (asthma)4.The most commonly reported emergency in private practice dentistry is:a.hyperventilationb.syncopec.postural hypotensiond.asthmatic attack (bronchospasm)5.According to Matsuura, when do most emergency situations related to dentistryoccur?a.In the waiting room before treatmentb.during or immediately following administration of local anestheticc.during dental treatment

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d.in the office, but after treatment is completede.at home after treatment6.The dental treatment most commonly performed at the time of an emergencycomplication is:a.apicoectomyb.pulp extirpationc.tooth preparationd.tooth extraction7.Each year in theUnited States, 10% of all nonaccidental deaths occur suddenly andunexpectedly in relatively young persons believed to be in good health. The usualcause is:a.strokeb.cardiac dysrhythmiac.acute myocardial infarctiond.hepatic lipidosis8.McCarthy estimates that _________ treatment-related deaths will occur throughoutthe career of the typical dental practitioner.a.one or twob.fourc.a half-dozend.sixteen9.Monitoring of which of the following major organ systems in older patients is ofparticular significance for the dental practitioner?a.hepaticb.renalc.pulmonaryd.central nervouse.cardiovascular10.The leading cause of death in persons over 65 years in theUnited States is:a.malignant neoplasmsb.cerebrovascular diseasesc.diseases of the heartd.chronic obstructive pulmonary diseasee.pneumonia and influenza

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Malamed: Medical Emergencies in the Dental Office, 6thEditionTest BankChapter 2:PreventionMULTIPLE CHOICE1.Dyspnea is:a.difficulty swallowingb.an abnormal heart rhythmc.labored breathing at restd.an electrolyte imbalance2.Dental treatment should be postponed for _______ following a myocardial infarction.a.2 weeksb.1 monthc.6 weeksd.6 months3.When a patient reports a history of scarlet fever:a.premedication prior to dental treatment involving bleeding is invariably requiredb.cardiovascular sequelae such as valvular damage is a common outcomec.it was produced by group A α-hemolytic streptococcid.without negative permanent sequelae they are considered an ASA I risk if all otherhistory factors are negative4.According to the author, when a patient reports having a heart pacemaker:a.they never require premedicationb.they always require premedicationc.the dentist should consult with the patient’s primary care physiciand.the dentist should consult with the patient’s cardiologist or cardiothoracic surgeon5.The term “brain attack” is used by the lay press to mean a/an:a.epileptic seizureb.strokec.diabetic comad.episode of orthostatic hypotension6.A dentist should use caution when prescribing ________________ .1. epinephrine to hyperthyroid patients

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2. epinephrine to hypothyroid patients3. CNS depressants to hyperthyroid patients4. CNS depressants to hypothyroid patientsa.1 and 3b.1 and 4c.2 and 3d.2 and 47.Patients who are HIV positive are considered ASA __ risks depending on theprogress of the infection.a.II, III, IV, or Vb.III, IV or Vc.IV or Vd.V8.A patient who reports orthopnea on the medical history probably suffers from:a.hypothyroidismb.anorexiac.congestive heart failured.asthma9.A blood pressure cuff placed too tightly will result in an erroneous _____________blood pressure reading.a.depressed diastolicb.elevated diastolicc.depressed systolicd.elevated systolic10.Pulsations of a mercury column or the needle on an aneroid manometer are observedapproximately _________ the initial Korotkoff sounds are heard.a.10 to 15 mm Hg beforeb.10 to 15 mm Hg afterc.30 to 35 mm Hg befored.30 to 35 mm Hg after11.An asymptomatic hypothyroid patient is ASA category:a.Ib.IIc.IIId.IV

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12.An adult with blood pressure of 130/65 mm Hg is ASA category:a.Ib.IIc.IIId.IVe.V13.An adult with blood pressure of 205/97 mm Hg is ASA category:a.Ib.IIc.IIId.IVe.V

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Malamed: Medical Emergencies in the Dental Office, 6thEditionTest BankChapter 3:PreparationMULTIPLE CHOICE1.The author of the text recommends that each dentist:a.purchase a stock, commercially available emergency kitb.select items for the emergency kit based on that doctor’s training in emergencymedicinec.rely upon physicians who are also dental patients for advice concerning contents ofan emergency kitd.rely upon the localEMS team for provision of emergency medications2.The new wonder drug, propothiopentabarbitaldiazicon, which successfully reversesany and all emergency situations that may ever occur, is marketed in a 1-mL ampuleas 80 mg/mL. What is the dose of this drug for a patient 25 years of age?a.10 mgb.20 mgc.40 mgd.80 mge.160 mg3.The new wonder drug, propothiopentabarbitaldiazicon, which successfully reversesany and all emergency situations that may ever occur, is marketed in a 1-mL ampuleas 80 mg/mL. What is the dose of this drug for a patient 6 months of age?a.10 mgb.20 mgc.40 mgd.80 mge.160 mg4.Which of the following sites for injection of emergency drugs provides the mosteffective and rapid uptake?a.intramuscular route into the anterolateral aspect of the thighb.intramuscular route into the mid-deltoid region of the upper armc.intramuscular route into the upper outer quadrant of the gluteal regiond.intralingual injection into the body of the tongue

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5.The author recommends that only __________ be available in a preloaded syringe foran emergency kit in a typical dental office.a.hydrocortisone (Solu-Cortef)b.epinephrinec.diazepam (Valium)d.diphenhydramine6.Which of the following is considered to be an essential (module 1) emergency drug?a.anticonvulsantb.antihypertensivec.histamine-blockerd.opioid antagoniste.aromatic ammonia7.The single most important step in the management ofallemergency situations,without exception, is:a.administration of oxygenb.summoningEMSc.administration of aromatic ammoniad.basic life support, as needede.none of the above8.What fraction of an adult emergency drug dose should be administered to an 8-month-old male?a.10% of the adult doseb.25% of the adult dosec.50% of the adult dosed.75% of the adult dosee.100% of the adult dose9.What fraction of an adult emergency drug dose should be administered to an 8-year-old female?a.10% of the adult doseb.25% of the adult dosec.50% of the adult dosed.75% of the adult dosee.100% of the adult dose10.The proprietary name for epinephrine is:a.Valiumb.Vasoxyl

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c.Ventolind.Nitro-state.not listed11.The proprietary name for albuterol is:a.Solu-Cortefb.Wyaminec.Ventolind.Nitro-state.not listed12.Which of the following is an antidotal drug for the reversal of a benzodiazepine-induced overdose?a.flumazenilb.aromatic ammoniac.meperidined.oxygene.naloxone13.When injectable drugs are unavailable, which of the following basic emergency drugsmay be administered sublingually or transmucosally to manage life-threateningelevations in blood pressure?a.diazoxide (Hyperstat)b.propranolol (Inderal)c.nifedipine (Procardia)d.nitroglycerin (Nitrolingual spray)e.metoprolol (Lopressor)

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Malamed: Medical Emergencies in the Dental Office, 6thEditionTest BankChapter 4:Medicolegal ConsiderationsMULTIPLE CHOICE1.Which of the following dental scenarios would most likely lead to the largest legaljudgment?a.temporary paresthesiab.broken needlec.permanent cosmetic injuryd.brain damage from improperly administered CPR during cardiac arrest2.Plantiffs’ attorneys are usually hired on a ______________ basis, while defenseattorneys are hired on a ___________ basis.a.contingency fee; hourlyb.contingency fee; contingency feec.hourly; contingency feed.hourly; hourly3.The dentist must file an answer to a complaint or summons within _____ or risk adefault judgment.a.24 hoursb.7 daysc.2 weeksd.30 days4.After the dentist’s attorney has filed an answer to a complaint, a process known as__________ begins.a.a trialb.discoveryc.a depositiond.a tort5.The Latin phraseres ipsa loquiturmeans:a.the captain of the shipb.the thing speaks for itselfc.relating to criminal lawd.relating to civil law

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6.According to the text:a.negligence is doing something that an ordinary prudent dentist would not do underthe same or similar circumstancesb.negligence and malpractice are not to be used synonymously in lawsuits againsthealth care providersc.negligence is not doing something that a reasonably prudent dentist would dounder the same or similar circumstancesd.A, B, and Ce.A and C7.Dentists should require that patients update their medical history forms:a.every 3 monthsb.every 6 monthsc.annuallyd.only at the time of their initial appointment8.The more thorough a dentist is in warning patients about possible risks, the moreprepared that dentist should be to prevent or treat those risks.a.Both statements are trueb.Both statements are falsec.The first statement is true, the second statement is falsed.The first statement is false, the second statement is true9.Which of the following statements is true of Good Samaritan statutes?a.A national standard has been adopted, meaning Good Samaritan standards areuniform for all statesb.A patient who suffers a medical emergency in a dental office falls under protectionof the Good Samaritan statutec.A nonpatient of the dentist, who happens to be in the waiting room and requires anemergency response, may fall under protection of the Good Samaritan statuted.Good Samaritan statutes are considered obsolete10.Proactive measures for legal protection include:a.practicing within the standard of reasonablenessb.maintaining continuing dental educationc.documenting office procedures and patient chartsd.A, B, and Ce.A and C

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Malamed: Medical Emergencies in the Dental Office, 6thEditionTest BankChapter 5: Unconsciousness: General ConsiderationsMULTIPLE CHOICE1.Which of the following steps should come last in management of unconsciousness?a.P—positionb.A—airwayc.B—breathingd.C—circulatione.D—definitive care2.Which of the following is the most common cause of loss of consciousness in thedental environment?a.seizuresb.orthostatic hypertensionc.hyperventilationd.vasodepressor syncopee.acute adrenal insufficiency3.Which of the following is a cardiogenic cause of syncope?a.carotid sinus diseaseb.pulmonary embolismc.pheochromocytomad.hypertrophic cardiomyopathy4.Which of the following is not one of the three major categories of drugs used indentistry?a.analgesicsb.antianxiety agentsc.antiinflammatory agentsd.antibiotics5.Most adverse reactions to local anesthetics are:a.emboli in the brain or heartb.stress inducedc.overdose reactionsd.allergy

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6._______________ is the most common mechanism producing syncope.a.Transient ischemiab.Bradycardiac.Cerebral anoxiad.Tardive dyskinesia7.__________ is the most common cause of loss of consciousness in humans.a.Hypotensionb.Blunt force traumac.Tachypnead.Opioid overdose8.Physiologic disturbances that decrease the blood supply to the brain include:a.constriction of the peripheral arteriolesb.an increase in cardiac outputc.failure of normal peripheral vasoconstrictor activityd.dilation of cerebral vessels as carbon dioxide is lost through hyperventilation9.The human brain uses about __% of the total glucose the body consumes.a.2b.20c.65d.9010.The unconscious victim should be positioned:a.in the Trendelenburg positionb.with the brain below the heartc.with the feet elevated slightly (a 10-to 15-degree angle)d.with pillows under the head11.Theonlysign of adequate ventilation after performing head tilt–chin lift is:a.hearing and feeling air against your (the rescuer's) cheekb.seeing the victim’s chest rise with each ventilationc.observing respiratory monitoring devicesd.all of the above are signs of adequate ventilation12.Which of the following sounds associated with partial airway obstruction is cause foruse of positive-pressure oxygen?a.snoring

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b.gurglingc.wheezingd.crowing

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Malamed: Medical Emergencies in the Dental Office, 6thEditionTest BankChapter 6: Vasodepressor SyncopeMULTIPLE CHOICE1.Which of the following is the most commonly observed emergency situation indentistry?a.cardiac arrestb.mild (non–life-threatening) allergyc.angina pectorisd.seizurese.vasodepressor syncope2.Which of the following groups of people are most likely to experience vasodepressorsyncope?a.young women (18 to 35)b.young men (18 to 35)c.elderly women (over 70)d.elderly men (over 70)3.Which of the following is most likely to be encountered as a cause ofunconsciousness in a 24-year-old male patient?a.adrenocorticosteroid deficiencyb.lack of oxygenc.hyperglycemiad.cerebrovascular accidente.cardiac arrest4.“Healthy children do not faint.” They hide their fears.a.Both statements are true.b.Both statements are false.c.The first statement is true, the second statement is false.d.The first statement is false, the second statement is true.5.Prodromal manifestations of vasodepressor syncope include:a.a cool feeling in the neck and faceb.erythema or flush colorc.significantly increased heart rated.significantly increased blood pressure

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6.___________ is associated with early presyncope and _________ is associated withlate presyncope.a.Tachycardia; tachycardiab.Bradycardia; bradycardiac.Tachycardia; bradycardiad.Bradycardia; tachycardia7.What is the immediate precipitating cause of loss of consciousness in vasodepressorsyncope?a.increased CO2level in bloodb.decrease in the rate of respirationc.rapid rise in blood pressured.hyperventilatione.bradycardia8.The first step in the management of a patient who “collapses” at the sight of a dentalneedle is:a.administer oxygen via a face maskb.position the patient supine with feet elevatedc.administer aromatic ammoniad.place patient in Trendelenburg positione.administer oxygen via nasal hood9.In the unconscious patient who fails to regain consciousness rapidly after properpositioning, which of the following is strongly recommended?a.activation ofEMSb.administration of IV dextrosec.administration of nitroglycerind.administration of “sugar” via the appropriate routee.administration of diazepam10.After recovering from a period of syncope, the victim should:a.complete the dental treatment planned for that dayb.not undergo additional dental treatment the rest of that dayc.drive himself or herself to a physiciand.drive himself or herself home

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