Dental Office Emergency Final Review

A dental professional in a modern clinic setting, actively preparing for a medical emergency, with equipment and charts in the background, emphasizing urgency and responsiveness.

Dental Office Emergency Preparedness Quiz

Test your knowledge and readiness for dental office emergencies with this comprehensive quiz! Covering essential topics such as patient assessment, emergency procedures, and pharmacology, this quiz is designed for dental professionals aiming to sharpen their skills.

Understand emergency classifications
Review critical procedures
Prepare for real-life scenarios

78 Questions20 MinutesCreated by AssessingSmile202

A patient with an incapacitating systemic disease that is a constant threat to life would be categorized as:

ASA I

ASA II

ASA III

ASA IV

A patient that has stable angina or well-controlled Type I diabetes would be considered:

ASA I

ASA II

ASA III

ASA IV

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

True

False

All of the following questions should be asked of a patient who provides a positive response on the medical history for asthma EXCEPT:

Severity of the attacks

Frequency of the attacks

Trigger of the attacks

All of the above questions should be asked

Which is the only emergency for which oxygen is NOT usually recommended?

Anaphylaxis

Hyperventilation

Hypoglycemia

Asthma attack

The appropriate dosage of aspirin for use in an MI is:

81 mg.

162 mg.

One baby aspirin

One-half baby aspirin

An unconscious patient suffering from severe hypoglycemia should receive:

Oral carbohydrate

SoluCortef IM

Glucagon IM

Symptoms of orthostatic hypotension include:

Dimming of vision

Increased blood pressure

Tachycardia

All of the above

Brain damage or coma can occur if a patient has oxygen deprivation lasting for

1 minute

3 minutes

5 minutes

10 minutes

The strength of the pulse against the blood vessels is referred to as the:

Cardiac output

Pulse

Stroke volume

Pulse pressure

The amount of oxygen delivered through a bag mask is:

4 liters/minute

6 liters/minute

12 liters/minute

An oxygen tank should not be used with this device

The portion of the oxygen equipment that allows the operator to determine the amount of oxygen delivered to a patient is the:

Regulator

Reducing valve

Flow meter

Cylinder

The patient in syncope should be positioned:

Supine with head and feet parallel

Supine with feet above the head

Semisupine

Upright

Syncope:

Is a primary disease process

Is often associated with a stressful situation

Is caused by increase cerebral oxygenation

All of the above

In hypovolemic shock, the blood loss causes the body to initially compensate by:

Increasing heart rate

Decreasing heart rate

Heart rate is unaffected

None of the above

In all forms of shock the MOST important step for treatment is to:

Administer oxygen

Administer IV fluids

Contact EMS immediately

None of the above

The primary symptom of obstructive shock is:

Severe hypotension

Bronchiole constriction

Increased urination

None of the above

The appropriate position for treatment of a patient suffering from hyperventilation is:

Supine

Semisupine

Upright

Trendelenburg

The MOST common etiology of hyperventilation is:

Cerebral ischemia

Psychological event

Pregnancy

Cardiac arrhythmia

Which of the following is associated with increased seizure activity?

Sleep deprivation

Stress

Hormonal imbalances

All of the above

The type of seizure caused by exposure to flickering lights is:

Meningeal seizures

Photosensitive epilepsy

Hypoxic seizures

Ischemic epilepsy

Atherosclerosis is a common etiology of CVA due to the formation of:

Thrombi

Emboli

Clots

All of the above

Which of the following are risk factors for CAD that cannot be changed?

Gender

Increased age

Heredity

All of the above

Which of the following can cause damage to the arterial walls?

Diabetes

Tobacco smoke

High cholesterol

All of the above

: The appropriate dosage of aspirin to be administered to a patient suspected of experiencing an AMI is

42-81 mg.

81-162 mg.

162-325 mg.

Aspirin should not be given to a patient suspected of experiencing an AMI.

All of the following are symptoms of right heart failure EXCEPT one. Which one is the exception?

Pitting edema

Distended jugular veins

Nocturia

Pulmonary edema

For a patient experiencing acute pulmonary edema, oxygen should be administered via a non-rebreather bag at a rate of:

2-1 liters/minute

4-6 liters/minute

6-8 liters/minute

10 or more liters/minute

Which is the most frequent cause of heart failure?

Myocardial infarction

Diabetes mellitus

Valvular heart disease

Degenerative heart conditions

Tachyarrhythmias can cause all of the following symptoms EXCEPT:

Dizziness

Palpitations

Syncope

Increased cardiac output

Asthma is the result of an abnormal ______ response in the bronchial airways.

Immune

Nutritional

Biochemical

None of the above

The type of asthma attack where the patient has significant dyspnea and can only speak in phrases or partial sentences would be considered:

Moderate

Mild

Severe

Inconsequential

Asthma is characterized by all of the following symptoms EXCEPT

Pulmonary edema

Coughing

Wheezing

Dyspnea

In addition to a constriction of the bronchioles the inflammatory response that occurs during an asthmatic attack results in:

Decreased arrhythmias

Increased mucus production.

Increased blood pressure.

None of the above

What is the appropriate position for a patient having an asthma attack?

Supine

Semi-supine

Upright with arms forward

Trendelenburg

The FIRST step in the treatment of a partially obstructed airway is to:

Position the patient upright.

Apply back blows.

Perform the Heimlich maneuver.

Place the patient in a supine position.

Patients experiencing a partially obstructed airway with poor air exchange should be left untreated until they lose consciousness or the obstruction is removed

True

False

One of the cardinal signs of an obstructed airway is the patient placing the hands in the area of the throat.

True

False

Name the chief physiological concern with asthma patients during an attack.

Narrowing of the airways

Unable to see clearly

Problems moving

Hyperventilating

DKA is most likely to occur to:

Diabetics not medicating properly

Diabetics suffering from an infection

Newly diagnosed Type 1 diabetics

All of the above

The BEST method for diabetes to prevent systemic complications is:

Decrease insulin levels monthly

Maintain optimum blood glucose levels

Increase glucose level as needed

Increase insulin levels monthly

Which of the following is an etiology of primary adrenal insufficiency?

Autoimmune disease

Adrenal hemorrhage

AIDS

All of the above

The portion of the adrenal glands that secretes hormones, such as cortisone, is the:

Cortex

Medulla

Core

None of the above

All of the following are appropriate steps in the treatment of the patient in adrenal crisis EXCEPT one. Which one is the exception?

Administer oxygen 15 liters/minute

Maintain airway

Contact EMS

Monitor vital signs

The action of the thyroid hormones includes all of the following EXCEPT one. Which one is the exception?

Growth rate

Metabolic rate

Conduction rate

The treatment of hyperthyroidism that uses radioactive iodine to disable the thyroid gland is:

Antithyroid drug medications

Ablation therapy

None of the above

Thyroid surgery

The MOST important step in treating a patient with epistaxis is:

Ensuring an airway

Placing an ice pack on the nose

Applying direct pressure for one minute

Epistaxis prevention methods include all of the following EXCEPT:

Increasing water intake

Use of humidifier

Application of lubricant to nostrils

Taking .81 mg aspirin daily

Posterior nosebleeds usually occur at:

Kiesselbach's plexus

Little's area

Woodruff's plexus

None of the above

Which of the following medications may cause a patient to have excessive bleeding following an extraction?

Aspirin

Warfarin

Heparin

All of the above

Patients taking warfarin who are in need of a dental extraction and who are considered in the moderate risk category:

Require no change in medication

Will be prescribed heparin for the day of the procedure

Should discontinue taking the medication 72 hours prior to the precedure

Should discontinue taking the medication 48 hours prior to the procedure

In addition to excessive bleeding, the patients should be instructed to watch for which of the following indications of an abnormal reaction following an extraction?

Altered mental capacity

Fever

Hypotension

All of the above

Individuals suffering from atrial fibrillation are more prone to CVAs due to an increase in:

Blood pressure

Aneurysms

Thrombi

None of the above

Which type of obstructed airway prevents the patient from talking or coughing due to the absence of air exchange.

Aspirated foreign body

Completely obstructed airway

Partially obstructed airway

Ingested foreign body

Bronchospasm and dyspnea cause wheezing and chest tightness because of the effects of histamine on the ____________ in the lungs

Alpha receptors

Alpha-beta 2 receptors

Beta 2 receptors

Beta 1 receptors

The first exposure to the antigen is referred to as the sensitizing dose and elicits the body's primary immune response.

True

False

The two common areas of the eye affected by foreign objects are the ________ and the _______.

Pupil; sclera

Retina; pupil

Cornea; sclera

Iris; cornea

Low-velocity foreign bodies will normally be found in the conjunctiva or the cornea; whereas, high-velocity objects can enter the globe or the orbit of the eye. Either of these types can cause globe rupture and can threaten vision.

Both statements are true

The first statement is true; the second statement is false

Both statements are false

The first statement is false; the second statement is true

What type of stroke is used when a clinician is trying to locate a broken instrument tip in the sulcus?

Oblique stroke

Walking stroke

Lateral stroke

Horizontal stroke

What is the first step to be performed once you have determined that you have broken your instrument tip?

Isolate the area

Ask the patient to swallow

Sit the patient upright to prevent aspiration

Rinse the area with chlorhexidine.

Using the ultrasonic scaler on patients with heavy accretions will reduce the amount of hand instrumentation required and reduce the risk of breaking an instrument tip.

True

False

"Meth mouth" is an oral condition referring to rampant caries that develop as a result of dehydration and xerostomia. This mainly occurs in chronic methamphetamine users who also exhibit signs of bruxism and tooth decay.

First statement is true; second statement is false

Both statements are true

Both statements are false

First statement is false; second statement is true

Patients experiencing opioid toxicity are immediately taken to the hospital where qualified medical professionals will administer ________________ to counteract the effects of the drug.

Butalbital

Propranolol

Naloxone

Diazepan

All of the following are measures to help prevent broken instrument tips except one. Which one is the exception?

use of the ultrasonic scaler on patients with heavy deposits

Proper instrument maintenance

Instrument retipping

Replacing worn instruments

What procedure is performed if the tip is located but cannot be removed?

Refer to oral surgeon for removal

Anesthetize area and attempt to remove tip

Take radiograph to better locate the tip

No treatment is necessary

If the tip is not located by visual or radiographic inspection, the clinician should do which of the following?

Assume the tip was expectorated

Treat the situation as an ingested/aspirated foreign object

Rinse the are carefully and continue treatment

None of the above

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