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Medical emergency

What are general signs and symptoms of airway obstruction?

Gasping for breath, patients grabs at throat, panic , and suprasternal or supraclavicular retraction.

Gasping for breath, patients grabs at throat, and suprasternal or supraclavicular retraction.

Gasping for breath, patients grabs at throat, panic , shocked ,and suprasternal or supraclavicular retraction.

Cyanosis and supranational or supraclavicular reaction

Singns and symptoms of total airways obstruction:

Snoring, gurgling, wheezing, crowing

No noise

Snoring, gurgling, wheezing, crowing and no noise

No nois and snoring

Tachycardia

When is cricothyroyomy necessary?

When there is injury to the throat

When airways obstruction is caused by a foreign body that cannot be dislodge

When there is a trauma to the neck region

When fracture of mandible

Surgical airways procedure should only be done on:

Kids

Adults

Aging people

Anybody

All of the following can have life - threatening emergencies in the practice of dentistry, except

A patient

Accompanying the patient

Doctor and member of office stuff

A patient 's driver

All of the following are the Factor of emergencies except

Increase number of older patients

Medical Advence

Increase drug use

Longer dental appointment

HIV infection

Factor of emergencies by increased number of age, which one is most common cause among the top five cause of death from 1 to 4 years?

Accident and adverse effects

Congenital anomalies

Malignant neoplasms

Homicide and legal intervention

Diseases of the heart

Factor of emergencies by increased number of age, which one is most common cause among the top five cause of death from 5 to 14 years?

Accident and adverse effects

Malignant neoplasms

Homicide and legal intervention

Congenital anomalies

Suicide

Factor of emergencies by increased number of age, which one is most common cause among the top five cause of death from 15 to 24 years?

Accident and adverse effects

Malignant neoplasms

Homicide and legal intervention

Suicide

Disease of heart

Factor of emergencies by increased number of age, which one is most common cause among the top five cause of death from 25 to 44 years?

Malignant neoplasms

Accident and adverse effects

HIV infection

Suicide

Factor of emergencies by increased number of age, which one is most common cause among the top five cause of death from 45 to 64 years?

Malignant neoplasms

Accident and adverse effects

Disease of heart

Cerebrovascular disease

Chronic obstructive pulmonary disease

Factor of emergencies by increased number of age, which one is most common cause among the top five cause of death from 55 years old and older?

Disease of heart

Malignant neoplasms

Cerebrovascular disease

Chronic obstructive pulmonary disease

Pneumonia and influcnza

The following are diagnosis of emergencies in dental office , which one occurs the most in emergency situation ?

Syncope

Mild allergic reaction

Angina pectoris

Postural hypotension

A syncope and Angina pectoris

The following are diagnosis of emergencies in dental office , which one occurs the most in emergency situation ?

Postural hypotension

Hyperventilation

Cardiac arrest

Anaphylactic reaction

Postural hypotension and Anaphylactic reaction

The following are diagnosis of emergencies in dental office, except...

Shock Hemorrhage

Syncope

Mild allergic reaction

Angina pectoris

Postural hypotension

The following are diagnosis of emergencies in dental office,which one rarely occurs?

Thyroid storm

Syncope

Mild allergic reaction

Postural hypotension

Angina pectoris

The following are the time of systemic complication occurrence , which one occurs the most ?

Immediate before treatment

During and after local anesthesia

During treatment

After treatment

After leaving dental office

The following are the time of systemic complication occurrence , which one rarely occurs

Immediate before treatment

During and after local anesthesia

During treatment

After treatment

After leaving dental office

The following are data of occurrence of systemic complications during treatment, which one is the most common complication?

Tooth extreaction

Pulp extirpation

Preparation

Filling

Incision

The following are data of occurrence of systemic complications during treatment, which one is the most common complication?

Alveolar plastics

Pulp extirpation

Preparation

Filling

Incision

The following are data of occurrence of systemic complications during treatment, which one is the most common complication?

Alveolar plastics

Removal of fillings

Preparation

Filling

Incision

The following are data of occurrence of systemic complications during treatment, which one is the most common complication?

Alveolar plastics

Removal of fillings

Apicoectomy

Filling

Incision

The following are the anatomy of airway management except......

The tongue

The nose

The pharynx

The mandible

The maxillarry

The following are the anatomy of airway obstructions?

Tongue

Nose

Pharynx

Lung

Tongue , nose and Pharynx

The following are the causes of difficult mask ventilation or Intubation except......

Short, muscular neck

Protruding maxillary incision

Long, hight, arched palate with narrow mouth

Limited mobility of the neck

The big tongue

The following are the causes of difficult mask ventilation or Intubation with Pathologic states except......

Short, muscular neck

Arthritis and ankilosis

Cervical spine immobolility

TMJ disease

Hereditary angioedema

The following are the causes of difficult mask ventilation or Intubation with Pathologic states except......

Limited mobility of neck

Arthritis and ankilosis

Laryngeal abnormalities

Endocrinophathies

Myopathies

The following are the causes of difficult mask ventilation or Intubation with Technical and Mechanical Factors except...

Body cast ( the form )

Halo traction & cervical

Foreign bodies in the airway

Poor technique , inexperience

Mandible fracture

The following are the causes of difficult mask ventilation or Intubation with Technical and Mechanical Factors except...

Halo traction & cervical collar

Foreign bodies in the airway

Poor technique , inexperience

Leaks around a face mask

Short of the tongue

The following are the signs and symptoms of the airway irritation and obstruction except

Agitation

Universal distress signal

Coughing

Crowing

Hypoglycemia

The following are the signs and symptoms of the airway irritation and obstruction except

Crowing ( partial obstruction )

Silence ( complete obstruction )

Wheezing ( To breathe with difficulty and noisily )

Cyanosis

Hypertension

The following are the airway equipment for medical emergencies ?

Cotton role and gauze

Artificial airways and Face masks

Suction Machine and Suction Tubes

Laryngoscope set and Magiil foreceps

Oxygen tank

The right position is the one that is most comfortable for the patient of emergencies , which position is correct for cardiac arrest patient ?

The patient needs to be flat on his or her back

Patients probably will want to sit up , which helps their ability to breathe

Place the patients horizontal with he feet slightly elevated

With the feet elevated slightly , the patient can receive a larger flow of the blood to the head and thus stimulate the brain

The right position is the one that is most comfortable for the patient of emergencies , which is correct for asthmatic patient ?

The patient needs to be flat on his or her back

Patients probably will want to sit up , which helps their ability to breathe

Place the patients horizontal with he feet slightly elevated

With the feet elevated slightly , the patient can receive a larger flow of the blood to the head and thus stimulate the brain

The right position is the one that is most comfortable for the patient of emergencies , which is correct for the unconscious patient?

The patient needs to be flat on his or her back

Patients probably will want to sit up , which helps their ability to breathe

Place the patients horizontal with he feet slightly elevated

With the feet elevated slightly , the patient can receive a larger flow of the blood to the head and thus stimulate the brain

The following are the critical airways management in unconscious patient except

The head is tilted back , and the chin is lifted

One hand is placed on the forheaded, with two fingers of the other hand on the Mn to rotate the head back

The tongues is attached to the Mn so that when you pull the mandible forward , the tongue also moves forward

Opens the airway so the patient can breath , or so you can breath for the patient

Administration of fluid and adrenaline injection

The following are management of circulation for unconscious patient except

Maintain the head tilt and check for the carotid pulse

The carotid pulse is missed 40% of the time by medical personnel and paramedics

The pulse should be check for 10 seconds

If the pulse is not felt , start compressions immediatly

Administration of oxygen and fluid .

Which of the following is the sign and symptom of the congestive heart failure:

Dyspnea, hyperventilation , cough , hemoptysis , difficultly in breathing , cyanosis

Dyspnea, hypoventilation , cough , hemoptysis , difficultly in breathing , cyanosis

Apnea, hyperventilation , cough , hemoptysis , difficultly in breathing , cyanosis

Apnea, hypoventilation , cough , hemoptysis , difficultly in breathing , cyanosis

The following are the sign and symptom of the angina pectoris except

Pain posterior to the stenrum , maybe precipitated by fatigue , extreme stress , or a rich meal , and subsides within 2-5 min after rest and the use of vasodilators .

Painful discomfort in the chest , with a burning sensation , pressure , or tightness

Pain may be present in the cardiac area , radiating to the left shoulder , neck left arm , sometime down the chin

Pain may be present in the cardiac area, radiating to the right shoulder , neck , left arm , sometime down the chin and teeth of the mandible.

Which of the following is wrong about the management of angina pectoris :

Write content by the patient's cardiologist is desirable

Appropriate premedication , usually 5-10mg diazepam or 1,5-3 mg bromazepam orally , 1h before the surgical procedure may be helpful

Dental supply in hospital , when the patient refers many episode of angina pectoris

Large amounts of vasoconstrictors in LA with particular importance of aspiation

Short appointment , as painless as possible

Which of the following is the preventive measure recommended for patient with Rheumatic Heart Disease , except....

Premedication before the surgiczl procedure can be helpful

A voidance of vasoconstrictors ( or maximum concentration 1:100,000)

Small amounts of vasoconstrictors in LA with particular importance of aspiration

Procedure the patient in the morning time

The following are preventives measure of patient with cardiac arrhythmai , especially persistent arrhythmia, except ....

Consultation with treating physician

In severe cases avoidance of LA containing vasoconstrictors or postponing of dental procedures

Premedication before the surgical procedure can be of help

Short appointments and pain control

Use Antibiotic before procedure

Syncope is classified into

3 type : vasoconstrictors Syncope , Syncope cause d by postural Hypotension , Syncope caused by cerebral factors

4 type : vasoconstrictors Syncope ,Syncope of cardiac origin, Syncope caused by excessive vagal reflexes, Syncope caused by cerebral factors.

5 type : vasoconstrictors Syncope ,Syncope of cardiac origin, Syncope caused by postural Hypotension , Syncope caused by excessive vagal reflexes, Syncope caused by cerebral factors.

6 type : vasoconstrictors Syncope ,Syncope of cardiac origin, Syncope caused by postural Hypotension , Syncope caused by diabetic ,Syncope caused by excessive vagal reflexes, Syncope caused by cerebral factors

Which of the following is wrong about Blood Pressure (BP):

BP is recorded as two numbers : systolic and diastolic pressure

The systolic pressure ( as the heart relaxes between beast ) and the diastolic pressure ( as the heart beasts)

The measurement is written the systolic number on top and diastolic number on the bottom ( Ex : 120/80 mmHg )

None of all

Which of the following is the cause of HBP ?

Narrowing of the arteries

Volume of blood is greater than normal

The heart beats faster or more forcefully than normal

Medical problem

All are correct

Which of the following is not the treatment medication for HBP ?

Diuretics

Beta-blocker and Alpha-blockers

Vasoconstrictor

ACE inhibitors

Angiotensin antagonists

Which of the following are the risks to patients with HBP in Exodontia except:

Stocke

Myocardial infrarctus

Post-operative swelling

Post-operative bleeding

Which of the following is not drug that causes of hypotension ?

Anti-anxiety medications

Vitamine C

Certain antidepressants

Diuretics

Painkillers

Which of the following is/are the cause(s) of LBP ?

Advanced diabetes

Anaphylaxis

Heart attack

Shock

All are correct

Which of the following is not the symptom of hypotension

Dizziness or lightheadedness

Fainting ( syncope )

Clear vision

Neausea

Rapid , shallow breathing

Which of the following sentence is wrong about diabetes?

Diabetes mellitus is a symptom characterized by alteration of the metabolism of carbohydrates , proteins, and lipids cause by abnormalities of the secretion mechanism and effect of insulin

Diabetes hypoglycaemia is most important , presting when the blood glucose level is higher than 55 mg/100 ml

Diabetes hypoglycaemia develops slowly , is observed more rarely and is less dangerous than hypoglycemia

Non of all

Which of the following is not the cause of chronic renal failure?

Glomerulonephritis

Hypertensive nephrosclerosis

Diabetes mellitus

Nephrotoxins

Tachycardia

Which of the following is not the cause of Asthma

Stress

Allergy

Temperature change

Hematemesis

Which of the following is the management of patient with asthma?

Take a detailed medical history of the patient

Administration of sedative medication for stress management

Control of pain (to avoid stress ), with sufficient duration and depth of local anesthesia

Short appointments with gentle manipulation during surgical procedure

All are correct

Which of the following is not the management of Hepatitis B , C and AIDS ?

Programming the surgical procedure as the morning appointment of the day

Using two pairs of disposable gloves. Gloves protect the patient as well as the dentist and should be discarded immediately after use

Special protective glasses and disposable surgical mask

Special protective surgical gown and cap covering scalp hair

Great care should be taken during their use , in order to avoid accidental puncture. Also the plastic cover of the needle should be replaced with the special recheating device only .This should be a standard technique for all patients

The following are the mild allergy symptoms, except

Skin Rash

Itchy

Watery eyes

Congestion

Dyspnea

The following are the moderate allergy symptom , except ....

Skin Rash

Itchy,Watery eyes

Congestion

Difficulty breathing

Apnea

Allergy symptoms can be categorized as following :

Mild allergy symptom

Moderate allergy symptom

Severe allergy symptom

All are correct

The following are the allergy symptom may begin with sudden itching of the eyes or face and within minute's progress to more serious symptoms except......

Varying degrees of swelling that can make breathing and swallowing difficult.

Abdominal pain Cramps

Vomiting , Diarrhea

Mental confusion or dizziness

Cyanosis

The following are the medicines commonly cause an allergic reaction , except.....

PNC ( such as Ampicillin , or Amoxillin

Sulfa medicine , Barbiturates

Insulin , Vaccines

Anticonvulsants

Metronidazole

The following are the medicines commonly cause an allergic reaction , except.....

PNC ( such as Ampicillin , or Amoxillin

Sulfa medicine , Barbiturates

Insulin , Vaccines

Anticonvulsants

Erythromycins

The following are the symptom of anaphylaxis allergy response to more seriously , except....

Swallowing and breathing difficulties

Abdominal pain , cramps

Diarrhea and Vomiting

Hypertension

Angioedema

Which of the following is not the common trigger of Anaphylaxis?

Foods

Insert's sting

Pollens and other inhaled allergens

Substances can cause reaction are fish and latex

Which of the following is the treatment of patient anaphylaxis

Epinephrine is adrenaline .(IM)

Rapidly reverses anaphylactic symptom . It is typically given through an automatic injection

In addition to Epinephrine , treatment for shock include PIV & medicines that support the action

In shock is stabilized , antihistamine & steroid may be given to reduce symptom and call for professional medical help immediatly

All are correct

The Epinephrine is used to reverse as following , except ..

Hypotension

Bronchospam

Laryngeal edema that from an cute anaphylactic type reaction

Also used to reduce brochospasm resulting from an acute asthmatic episode that is refractory to inhaler therapy

Tachycardia

Which of the following is the adverse effect of epinephrine ?

Cardiovascular ( Tachycardia , Tachyarrhythmia , and hypertension ,

Central nervous system ( Increase blood glucose )

Pregnant Female ( can decrease placental blood flow )

Endocrine system ( increased blood glucose )

All of are correct

Which of the following is the adverse effect of Nitroglycerin?

Rapid heart rate

Facial flusing

Orthostatic ( postural) hypotension

Dizziness and headach

All are correct

The following are the causes of LBP , except

Advanced diabetes

Anaphylaxis

Heart attack

Shock

Reye's Syndrome

The following are the causes of chronic renal failure , except...

Glomerulonephritis

Hypertensive nephrosclerosis

Diabetes mellitus

Nephrotoxins

Tachycardia

The following are management of patient with asthma , except

Take a detailed medical history of the patient

Administration of sedative medication for stress management

Control of pain ( to avoid stress ), with sufficient duration and depth of local anesthesia

Short appointments with gentle manipulation during surgical procedure

Procedure in the morning

The following are the mild allergy symptom , except....

Skin Rash

Itchy

Watery eyes

Congestion

Convulsion

The following are the treatment of patient anaphylaxis except.....

Epinephrine is adrenaline(IM)

Rapidly reverses anaphylactic symptom .it is typically given through an automatic injection

In addition to Epinephrine , treatment for shock includes PIV & medicines that support the action

In shock is stabilized , antihistamine & steroid may be given to reduce symptom

Administration of appropriate antibiotic

The following are the adverse effects of epinephrine , except....

Cardiovascular ( Tachycardia , Tachyarrhythmia , and hypertension )

Central nervous system ( Agitation , headache , and tremors)

Pregnant Female ( can decrease placental blood flow )

Endocrine system (increase blood glucose )

Bradycardia

Among the following which is the rescue breathing in adult ?

6 time /min

18 time / min

12 time /min

24 time /min

In patient on artificial ventilation the cycle of exhale air ventilation should be repeated of every:

20 secs

10 secs

5 secs

1 secs

To perform tracheoctomy entry should be made at the :

Cricothyroid ligment

Thyroid membrance

Thyroid notch

Cricoid cartilarge

The primary hazard for unconscious patient in supine position is:

Tongue obstruction

Bronehospasm

Lanyngospasm

Aspiration

The best blood product administered preoperatively to patients with haemophilia A is :

Fresh frozen plasma

Factor IX concentrate

Whole blood

Factor VIII concentrate

A cardinal symptom of dehydration due to disturbance of fluid and electrolyte balance is:

Hyperthermia

Nausea

Polydipsia

None

In medical emergency easiest technique for opening airways is to :

Turn his head back

Turn head to one side

Clear mouth , throat

Strike his back

IN CPR , If one incorrectly apply pressure over xiphoid process the following may be injured

Heart

Liver

Spleen

Lungs

Instead of responding to treatment for syncope , patient pulse and respiration become weak and irregular with attendant cyanosis. The first resuscitative measure should be to :

Support ciculation by injection 1: 1000 adrenaline

Begin closed chest cardiac message

Begin CPR

Place paper bag over patient's face and rick blood CO2

If efforts in CPR are effective there will be :

Constriction of pupils

Dilatation of pupils

Hypertension immediate

None of all

Patient with idiopathic thrombocytopenic purpura (ITP) is most likely to have which of following postoperative complication :

Infection

Haemorrhage

Oederma

Alveolar osteitis

All the following are viroius methods to control intra operative haemorhage except:

Gauge sponge pressure

Artery application to open vessels

Infiltration with lidocaine

Bone compression for surface bleeding

Which of the following factor does not play role in haemostasis is :

Prothrombin

Vessel wall calcium

Vit K

Vit B

Which is the earliest sign of haemorrhagic shock?

Hypotension

Vasoconstrition

Tachycardia

Dyspnoea

Preoperative vit K is indication patient with :

Diabetes mellitus

Chronic pneumonitis

Liver desease

Acuracy

The main cause of bleeding in patient is thrombocytopenic purpura is deficiency of :

Vit B

Prothrombin

Vit K

Platelets

During shock vasopressor drugs are preferably given :

Sublingually

Intracardially

Intramuscularly

Intravenously

Treatment syncope is most effectively accomplished by which of the following ?

Administer 100 percent O2 for 5 min

Lowering chair to phase patient's head lower than his feet

Bending patient's head forward between his knees and asking patient to rise his head aganist hand pressure

It requires treatment by physician

Among the following which is best haemostatic agent for control of local haemorrhage/

Gel foam

Surgical

Bone

Vit K

During CPR sternum should the depressed :

2 inches every 5 seconds

2 inches every seconds

1 inches every 10 seconds

3 inches every 5 seconds

Among the following which always indicate obstruction to airway ?

Increase respiratory rate

Increase pulse rate

Snoring breathing

Decreased blood pressure

Is common to all forms of shock:

Hypovolemia

Hypertension

Impaired tissue perfusion

Vasoconstriction

Diazepam is contraindicated for use in patient with history of :

Narrow angle glaucoma

Psychic depression

Severe hypertension

Coronary artery disease

Which cardiac condition require antibiotic prophylaxis before surgery/

Recovery insufficientcy

Angina pectoris

Rheumatic Heart Disease

Congestive Heart Disease

Among the following with drug is contraindicated in hyperthyroid patients because the subjects are extraordinary sensitive to drug :

Salicylate

Barbiturates

Adrenaline

Digitalis

Among the following with frequently causes infective endocarditis ?

Staph aureus

Strep Viridans

Staph pyogens

Parasite

The emergency , most frequently encountered during out patient general anesthesia is :

Anaphylaxis

Bradycardia

Respiratory obstruction

Hypotension

Among the following with drug is drugs of choice in management of cute allergic reaction involving bronchospasm and hypertension?

Aminophylline

Dexamethasone

Diphenhydramine

Adrenaline

Which of the following is best treatment for hypoglycaemia in an unconscious diabetic patient ?

IV administration of 50 percent dextrose in water

Administration of oral carbohydrates

Sublingual injection of 50 percent dextrose

Non of all

The following are true of CPR , compression , except...

Ventilation radio in 2 person CPR 5:1

Ventilation radio in 2 person CPR 15:2

Should be 60-80/min in adults

Should be 100/min in children

Should be 120/min in children

Of the following which is the first step when initiating CPR?

Establish responsiveness

To establish airway

Precardial thumbs

None of all

In external cardiac compression , compression relation cycle should be repeated :

100 time/min

Twice /min

80 time/min

60 time/min

Haemorrhagic shocks are the following characterizes , except..

Hypotension

Low blood volue

Increased pulse rate

Decreased pulse rate

Of the following which is earliest sign of haemorrhagic shock ?

Vasoconstriction

Hypotension

Tachycardia

Dyspnoea

In elective tracheostomy entry should be made :

Above cricoid

Below cricoid

Through cricothyroid membrane

Laterally below thyroid cartilage

Antibiotic with a low allergic protential is :

Penicillin

Erythromycin

Cephalosporins

Sulphonaminde

The drug Clindamycin is known for its side effect of :

Ototoxicity

Nephrotoxicity

Ulcerative colitis

Liver necrosis

The current recommendation for antibiotic prophylaxis for prevention of bacterial endocarditis is :

2gm of Amoxillin orally , 1 hr before surgery / 2gm of Amoxillin , intravenous 30mn before suegery

1gm of Amoxillin orally , 1 hr before surgery / 1gm of Amoxillin , intravenous 30mn before suegery

3gm of Amoxillin orally , 1 hr before surgery / 3m of Amoxillin , intravenous 30mn before suegery

4gm of Amoxillin orally , 1 hr before surgery / 4gm of Amoxillin , intravenous 30mn before suegery

A patient , who is allergic to penicillin , should be given :

Metronidazole

Amoxillin

Cephalosporin

Gentamycin

A patient , who is allergic to penicillin , should be given :

Amoxillin

Cephalosporin

Gentamycin

Erythromycin

Reye's syndrome is caused by long - term usage of :

Paracetamol

Aspririn

Ibuprofen

Nimesulide

If patient develops anaphylactic shock , the 1st drug of choice is :

Dexamethasone

Anti-histamine

Adreanaline

Deriphylline

An elder patient with myocardial infarction 5 month back , need extraction of decayed maxillary 3rd molar . Your line of treatment would be

Administer oral antibiotics for three days and do extraction

Hospitalize the patient , adminster IV antibiotics and do the extraction

Do the extraction and later , prescribe oral antibiotic

Put on antibiotics , refer the patient to the cardiologist and do the extraction of decayed teeth is :

For patients with hypothyroidism , on medication , extraction of decayed teeth is :

A relative contraindication

An absolute contraindication

Indicated , with maximum precautions

Treated as normal extraction

For patient suffering from cirrhosis of liver , the safest group of LA , is

General anesthesia

Conscious sedation

Ester group

Amide group

The normal platelet count is :

150,000-450,000 microliter of blood

250,000-300,000 microliter of blood

400,000-500,000 microliter of blood

500,000-600,000 microliter of blood

The following are a core list of drugs and equipment for in MEs, except...

Adrenaline , 1ml/A of 1:1000 solution for IM

Aspririne , 300mg dispersible tablets

Glucagon , for IM of 1 mg

Glyceryl trinitrate (GTN) spray, 400 ug per metered dose

Antibiotics

The following are a core list of drugs and equipment for in MEs, except...

Glyceryl trinitrate (GTN) spray, 400 ug per metered dose

Midazolam buccal lipid, 10mg/ml , or midazolam injection

Oxygen cylinder (10 litres /minute)

Salbutamal inhaler, 100ug per actuation

Steroids

In addition , dental practices might wish to shock the following drugs to aid the management of patients with mild allergic reaction , except...

Cetirizine 10mg tablets or oral solution ( 5 mg/5ml)

Clorphenamine , 4 mg tablets or oral solution (2mg/5ml)

Loratadine , 10 mg/tablets)

Midazolam buccal liqiud , 10 mg/ml , or midazolam injection

The following are key sign of anaphylaxis , except ...

Upper airway oederma and bronchospasm

Stridor and wheezing

Tachycardia ( heart rate >110 per minute)

HTA

The following are the priority the menagement of anaphylaxis , except...

Assess the patient

Call for an ambulance

Secure the patient's airway

Check BP

Administer IV fluid

If cardiac arrest following an anaphylactic reaction , which the priority of management is ?

Start BLS immediately

Administer 100% oxygen - flow rate: 10Litres/minute

Administer adrenaline , 0.5 ml (1:1000) , IM injection

Call for an ambulance

The following are signs and symptoms of mild allergy reaction , except ...

Urticaria and rash , particularly of chest, hands and feet

Rhinitis

Conjunctivitis

Mild bronchospasm without evidence of severe shortness of breath

Abdominal pain , vomiting ,Diarrhea

The following are tratment of milder forms of allergy reaction , except ..

Administer 1 Cetirizine Tablet ,10 mg for children

Or Administer 1 Chlorphenamine Tablet,4mg

Or Administer a salbulamol inhaler , 4 puffs ( 100 ug per actuation )

Or Administer Midazolam buccal liquid , 10 mg /ml , or midazalam injection

The following are signs and symptoms of life-threatening asthma ,except

Cyanosis or respiratory rate < 8 per minute

Bradycardia (heart rate <50 per minute )

Exhaustion , confusion , decreased conscious level

Abdominal pain and vomiting

The following are signs and symptoms of acute severe asthmatic , except

Inability to complete sentence in one breath

Respiratory rate > 25 per minute

Tachycardia ( heart rate > 110 per minute)

Convulsion and diarrhea

The following are management of asthmatic , except

Assess the patient and sit patient upright

Administer 100% oxygen - flow rate: 10L/mn

Administer a sualbutamol inhaler , 4 puffs (100ug per actuation ) , repeat as needed

Administer Adrenaline, 1ml/A of 1:1000 solution for IM

The following are signs and symptoms of acute Angina and MI ,except......

Shortness of breath and increased respiratory rate

Skin becomes plae and clammy

Nausea and vomiting are common

Pulse might between and blood pressure might fall

Crushing pain in the right and across the front of chest

Which the following is wrong about the management of angina and IM?

Assess the patient

Administer 100% oxygen - flow rate: 10L/mn

Administer glyceryl trintrate (GTN) spray, 2 puffs (400 ug per metered dose ) sublingually

Or Adminster aspirinr , 300mg dispersible table , orally

Administer antibiotic

Which of the following are not true of key signs of cardiac arrest?

Loss of consciousioness

Absence of breathing

Loss of pulse

Dilation of pupils

Tachycardia

Which of the following is wrong to the management of cardiac arrest?

Call for an ambulance

Initiate BLS, using 100% oxygen or ventilation flow rate :10 litres/minite

If a difibrillator is available , carry out early defibrillation

Administer IV blood fluid

The following are sign and symptom of Epilepsy , except ....

Sudden loss of consciousness

Patient may became rigid , fall , might give a cry and becomes cyanosed

Jerking movements or the limbs , the tongue might be bitten

Brief warning or ' aura' and frothing from the mouth and urinary incontinence

Abdominal pain and vomiting

Which of the following is not true the management of epilepsy?

Assess the patient

To restrain convulsive movements

Ensure the patient is not at risk from injury

Secure the patient's airway

Administer 100% oxygen - flow rate : 10L/mn

Which of the following is not true the management of epilepsy?

Assess the patient

Do not try to restrain convulsive movements

Ensure the patient is not at risk from injury

Secure the patient's circulation

The following are signs and symptoms of faint, except

Dizzy, light-headed

Slow pulse rate

Loss of consciousness

Pallor and sweating

Abdominal pain and Diarrhea

Which of the following is wrong to the management of faint?

Assess the patient

Administer 100% oxygen - flow rate: 10L/mn

Administer Midazolam buccal liquid , 10 mg /ml , or midazalam injection

Lay the patient flat and, If the patient is not breathless , raise the patient 's feet

Loosen any tight clothing around the neck

The following are key signs of Hypoglycaemia , except....

Aggression and confusion

Sweating

Tachycardia( heart rate > 110 per min

Cyanosis

The following are symptoms of Hypoglycaemia , except....

Shaking and trembling

Difficulty in concentration

Slurring of speech and Headach

Fitting and Unconsciousness

Hypertension arterial

The following are management of Hypoglycaemia , except....

Assess the patient

Administer 100% oxygen - flow rate: 10L/mn

Administer Adrenaline, 0.5ml (1:1000 ), IM injection

Administer oral glucose ( 10-20g ) , repeat , after 10-15 minutes

Which of the following is wrong to the management of Hypoglycaemia with the unconscious patient?

Assess the patient

Administer 100% oxygen - flow rate: 10L/mn

Administer oral glucose ( 10-20g ) , repeat , after 10-15 minutes

Or Administer glucagan , 1 mg ,IM

Which of the drugs is not true for the management of Anxiety patient?

Midazolam

Diazepam

Lorazopam

Ketamine

The patient with congestive heart failure may have all of those conditions, except:

Extreme dyspnea

Hyperventilation

Extreme headach

Cyanosis

The patient with congestive heart failure may have all of those conditions, except:

Cough

Hemoptysis

Difficulty in breathing

Teary eye.

The correct preventive measure before the surgical procedure for a patient with congestive heart failure is

Written consent from the patient 's cardiologist

Oral premedication

Long painless appointments

Small amounts of vasoconstrictors in local anesthesia

The preferred position for the patient with congestive heart failure is

Standing position

Sitting positing

Sleeping position

Sleeping position with legs raised a bit upward

The correct preventive measure before the surgical procedure for a patient with angina pectoris is

Oral premedication , usually 20-50mg diazepam

Written consent from the patient 's cadiologist

Small amounts of vasoconstrictors in local anesthesia

Dental surgery in hospital

Precipitating factors of angina pectoris are all , except

Fatigue

Rich meal

Dizziness

Extreme stress

All common about pain of angina pectoris , except

Pain may be present in the cardiac area

Pain may be radiating to neck

Pain may be radiating to right arm

Pain may be radiating to mandible teeth

Painful symptoms of angina pectoris can accompany with all , except

Perspiration

Extreme anxiety

Coughing

A feeling of imminent death

False information about myocardial infarction is

Myocardial infarction refers to ischemic necrosis of an area of the heart

Myocardial infarction has a sudden onset with severe pain anterior to sternum

Pain of myocardial infarction is more severe than that of angina pectoris

Pain of myocardial infarction lasts longer than 15 minutes

Pain of myocardial infarction can radiate to all regions, except

Neck

Lip

Mandible

Right arm

All are characteristic of myocardial infarction, except

Pain lasting from 5 to 10 minutes

Burning sensation

Extreme tightness

Pressure

The pain of myocardial infarction may be associated with all, except

Nause

Vomiting

Dilation of pupils

Perspiration

Angina pectoris

Is characterized by the temporary ischemia in part of or all of the myocardium

Is the inability of the myocardium to pump enough blood to statisfy the body

Is the ischemic necrosis of an area of the heart

Is any periodic variations in the normal rhythm of heart

Congestive heart failure

Is characterized by the temporary ischemia in part of or all the myocardium

Is the inability of the myocardium to pump enough blood to satisfy the body

Is the ischemic necrosis of an area of heart

Is any periodic variations in the normal rhythm of heart

Myocardial infarction

Is characterized by the temporary ischemia in part of or of the myocardium

Is the inability of the myocardium to pump enough blood to statisfy the body

Is the ischemic necrosis of an area of the heart

Is any periodic variations in the normal rhythm of heart

Cardiac arrhythmia

Is characterized by the temporary ischemia in the part of or all of the myocardium

Is the inability of the myocardium to pump enough blood to statisfy the body

Is the ischemic necrosis of an area of the heart

Is any periodic variations in the normal rhythm of heart

All are about hypertension, except

Essential hypertension dose not have any known causes

Secondary hypertension has known causes

Patient with hypertension should never undergo surgical procedure

Hypertension is the abnormal elevation of the arterial pressure above the aforementioned values

All are the preventive measures of the patients with hypertension before dental procedures, except

Premeditation

Blood pressure should be monitored after, not before the surgery

Short appointments

Avoidance for noradrenaline in patients receiving anti-hypertensive agents

The most serious competitions of hypertension are all , except

Hypertensive encephalopathy

Conclusion

Haemorrhagic diathesis

Coma

According to the pathogenic mechanism, the one that is not the group of bleeding disorders is

Vascular disorder

Thrombocytic disorder

Disorder of coagulation

Hemoglobin disorder

The incorrect preventive measure for the patient with the hemorrhagic diathesis is

Designation for the time and place of procedure

Local control of bleeding

Scheduling of surgical procedure for evening hours

Administration of medication by treating hematologist

The safest vasoconstrictor for patients with hyperthyroidism is considered to be

Adrenaline

Noradrenaline

Felyperssin

Lidocaine

All are correct about diabetes mellitus, except

Diabetes mellitus is characterized by alterations of carbohydrates, protein , and lipids

Diabetes mellitus is caused by the abdominalitie of the secretion mechanism and effect of insulin

To avoid insulin shock , dental surgery should be performed in the morning

After dental surgery, patients should not eat much because that can cause bleeding and pain

Diabetes hyperglycemia is characterized by all , except

Fatigue

Diarrhea

Coma

Death

Diabetes hypoglycemia is characterized by all , except

Coma

Vertigo

Xerostomia

Sweating

Diabetic hypoglycemia is characterized by all , except

Pallor

Dyspnea

Convulsion

Loss of consciousness

Diabetic hyperglycemia is characterized by all, except

Xerostomia

Headache

Vomiting

Diplopoda

Diabetic hyperglycemia is characterized by all, except

Coma

Dyspnea

Weakness

Blurred vision

Patients with controlled diabetes required

Peroperative antibiotic prophylaxis

Posterative antibiotic prophylaxis

Diet change

Dental procedures at hospital

Chronic renal failure is

Clinical syndrome characterized by permanent damage of kidney

Clinical syndrome characterized by temporary Kinney damage

Characterized by acute , diffused inflammation of the glomeruli

Syndrome characterized by the alteration of metabolism of carbohydrates

Most common cause of chronic renal failure are all , except

Nephrotoxin

Diabetes mellitus

Hypotension nephrosclerosis

Glomeruli nephritis

All are necessary preventive measures for the surgical procedure on patients with chronic renal failure, except

Consultation with the patients "s nephrologist

Use of normal amount of vasoconstrictors

Use of normal amount of local anesthetics

Dental procedure on the day of hemodialysis

Stenosis of ducts of small bronchi and bronchioles in the patients of asthma is due to all, except

Edema of mucosa

Viscous mucosa production

Bronchi constriction

Vascular haemorrhage

When asthma attacks , all are correct about the patients, except

The patient's expression is anxious

The patient's face is pale

The patient's limbs are cold

The patient's wants to vomit

The incorrect preventive measures for patients with asthma is

Taking detailed medical history

Control of pain

Long appointment with little pain

Administration of sedative medication

All are infection disease, except

Hepatitis B

Hepatitis C

Diabetes

AIDS

Incorrect preventive measures for dentist when a patient with infectious diseases come into the clinic

Using a pair of sterilized glove

Programming the procedure as the last of the day

Good care of disposable needles

Discarding of surgical blades

All are true a bout epilepsy, except

Epilepsy is a clinical manifestation of abnormal electrical activity of the brain

Epilepsy patients may prevent with epileptic seizure under certain circumstances

Certain epileptic patients may present with status epilepticus

Epilepsy can lead to sensory activity and altered states of consciousness

The precipitating factors of epilepsy are all , except

Severe pain

Alcoholic drinks

Hyperglycemia

Severe stress

The first phase of epileptic seizure is

Convulsions phase

Aura

Anxiety phase

Post-convulsions

The second phase of epileptic

Convulsions phase

Aura

Anxiety phase

Post-convulsions

The third phase of epileptic seizure is

Convulsions phase

Aura

Anxiety phase

Post-convulsions phase

The first phase of epileptic seizure present with the following symptoms, except

Tinnitus

Yawning

Dizziness

Vomiting

The first phase of epileptic seizure present with the following symptoms, except

Anxiety

Characteristics smell

Yawning

Feeling hungry

The phase that does not exist in epileptic seizure is

Convulsions phase

Aura

Anxiety phase

Post-convulsions phase

The first phase of epileptic seizure lasts

A few seconds

3 to 5 minutes

2minutes

More than 5 minutes

The second phase of epileptic seizure present with all , except

Forcible jaw closing

Rolling the eyes upward or to the side

Nose bleeding

Convulsions

The sign that dose not exist in second phase of epilepsy is

Pinkish forth the mouth

Extreme dizziness

Urinary incontinenee

Possible breathless

The third phase of epileptic seizure consists of all , except

Weakness

Pallor

Eye bleeding

Disturbances of the consciousness

The recommended time for dental surgery for a patients who used to receive radiotherapy

At least 6 months has passed

At least 8 months has passed

At least 12 months has passed

At least 10 months has passed

The analgesic that is considered to be responsible for most allergic reaction is

Aspirin

Codeine

Pethidine

Morphine

One type that dose not belong to allergic reaction is

Anaphylaxis

Cytotoxic hypersensitive

Cell-mediated hypersensitivity

Delayed -type hypo sensitivity

The most common allergic reaction is

Anaphylaxis

Urticaria

Angioneurotic

Asthma

Allergy that is caused by the use of local anesthetic is usually due to

Preservative in the ampoule

Amount of adrenaline

Amount of noradrenaline

Expired anesthesia

The people who are usually affected by allergic reaction from anxiety drugs are those who reported the history of

Angioneurotic edema

Urticaria

Asthma

Epilepsy

The most dangerous type of allergic reaction is

Anaphylaxis

Uriticaria

Angiogenesis edema

Allergic asthma

Anaphylaxis may present with all , except

Rash

Burning

Blindness

Painful sensation

Anaphylaxis may present with all , except

Pruritus

Dyspnea

Cyanosis of limbs

Urinary blockage

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