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The most common medical emergency in a dental office is:

A. Mild allergyB. SeizuresC. SyncopeD. Local anesthesia overdose

Adequate preparation to manage medical emergencies include _______________.

A. providing BLS training for providers and staffB. initiating an office emergency teamC. organizing an emergency drug kitD. All of the above.

A duty of the first person on the scene of an emergency is _______________.

A. alerting other staff membersB. contacting EMSC. retrieving the emergency drug kitD. direct EMS to the site of the emergency

Essential emergency equipment includes:

A. LaryngoscopeB. Various sized intubation tubesC. An “E” sized tank of oxygenD. A and B

Epinephrine is recommended for managing _______________.

A. anaphylaxisB. asthma unresponsive to albuterolC. seizuresD. A and B

Glucagon is used in the management of _______________.

A. seizuresB. anaphylaxisC. hypoglycemiaD. psychogenic syncope

Flumazenil is used in the management of _______________.

A. status epilepticusB. benzodiazepine overdoseC. local anesthesia overdoseD. B and C

Syncope would most likely occur in a _______________.

A. 24 year old maleB. 18 year old femaleC. 45 year old femaleD. 5 year old male

A non-psychogenic predisposing factor for syncope is _______________.

A. the sight of bloody gauzeB. sitting upright during local anesthesia administrationC. sudden and unanticipated painD. receipt of the treatment fee

The physiological mechanism for the onset of syncope is _______________.

A. increased amounts of catecholamines released in to the circulatory systemB. muscle inactivity in the extremitiesC. diminished cerebral blood flowD. All of the above.

A symptom during the early stage of syncope is:

A. Warm feelingB. Cold extremitiesC. BradycardiaD. Visual disturbances

A patient experiencing syncope should be positioned _______________.

A. in a semi-supine position at a 30 to 45 degree angleB. with the head and upper body pushed forwardC. in a supine position with the feet elevatedD. in a vertical standing position

The definitive care for syncope includes:

A. Administer oxygenB. Monitor vital signsC. Administer aromatic ampulesD. All of the above.

Anaphylactic reactions are caused by _______________.

A. release of catecholamines into the circulatory systemB. intravascular injectionsC. release of histamine from IgE sensitized mast cellsD. increased insulin production

The appropriate dose of epinephrine to a 5 year old child experiencing anaphylaxis is _______________.

A. 1 ml of 1:1000 epinephrineB. 1 ml of 1:10,000 epinephrineC. 1 ml of 1:2000 epinephrineD. 1 ml of 1:20,000 epinephrine

Mild allergic reaction in a 5 year old child is treated by administering _______________.

A. oral diphenhydramine 1 mg/kg every six hoursB. a one time dose of oral diphenhydramine 25 mgC. 1 ml of 1:1000 epinephrine intramuscularlyD. 1 ml of 1:2000 epinephrine intramuscularly

The position for managing a patient experiencing an acute asthmatic episode is _______________.

A. a supine position with legs elevatedB. upright with arms thrown forward over a chairC. a semi-supine position at a 30 to 45 degree angleD. supine with the head tilted to the side

If a five year old patient experiencing an acute asthmatic attack does not show improvement after three doses of a bronchodilator, _______________.

A. administer oxygenB. call for medical assistanceC. administer epinephrine 1:2000 intravenously or intramuscularlyD. All of the above.

Anesthetic toxicity may be a result of _______________.

A. exceeding recommended local anesthetic dosagesB. intravascular injectionC. interactive effects with sedativesD. All of the above.

Emergency management of local anesthesia toxicity in a five year old includes:

A. Administer 1 ml epinephrine 1:1000B. Administer oxygen via a maskC. Administer 1 ml of flumazenil 0.1 mg IVD. Administer oral diphenhydramine 1 mg/kg

Diabetic mellitus patients may experience:

A. HyperglycemiaB. HypoglycemiaC. Diabetic ketoacidosisD. All of the above.

An initial dose 0.5cc of glucagon IM is the drug of choice for treating _______________.

A. a conscious 23 lb patient exhibiting hypoglycemiaB. an unconscious 23 lb patient exhibiting hypoglycemiaC. a conscious 23 lb patient exhibiting signs of hyperglycemiaD. an unconscious 23 lb patient exhibiting signs of hyperglycemia

During the ictal phase of a seizure, _______________.

A. position the patient in a supine position with the feet elevatedB. protect the patient from bodily injuryC. place objects in the mouth to prevent soft tissue injuryD. A and B

The etiology of cardiac arrest in children and adults _______________.

A. are the sameB. is due to cardiac disease in adultC. is due to prolonged respiratory depression and apnea in childrenD. B and C

The proper sequence of BLS for a child in cardiac arrest, witnessed by 2 rescuers, is:

A. Assess the patient, obtain an AED, initiate CPR, activate the emergency response system.B. Assess the patient, initiate CPR, activate the emergency response system, and obtain an AED simultaneously.C. Initiate CPR, assess the patient, activate the emergency response system, obtain an AED.D. Activate the emergency response system, assess the patient, initiate CPR, obtain an AED.

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Management of Pediatric Medical Emergencies in the Dental Office
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Management of Pediatric Medical Emergencies in the Dental Office
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