The most common medical emergency in a dental office is:
A. Mild allergy
B. Seizures
C. Syncope
D. Local anesthesia overdose
Adequate preparation to manage medical emergencies include _______________.
A. providing BLS training for providers and staff
B. initiating an office emergency team
C. organizing an emergency drug kit
D. All of the above.
A duty of the first person on the scene of an emergency is _______________.
A. alerting other staff members
B. contacting EMS
C. retrieving the emergency drug kit
D. direct EMS to the site of the emergency
Essential emergency equipment includes:
A. Laryngoscope
B. Various sized intubation tubes
C. An "E" sized tank of oxygen
D. A and B
Epinephrine is recommended for managing _______________.
A. anaphylaxis
B. asthma unresponsive to albuterol
C. seizures
D. A and B
Glucagon is used in the management of _______________.
A. seizures
B. anaphylaxis
C. hypoglycemia
D. psychogenic syncope
Flumazenil is used in the management of _______________.
A. status epilepticus
B. benzodiazepine overdose
C. local anesthesia overdose
D. B and C
Syncope would most likely occur in a _______________.
A. 24 year old male
B. 18 year old female
C. 45 year old female
D. 5 year old male
A non-psychogenic predisposing factor for syncope is _______________.
A. the sight of bloody gauze
B. sitting upright during local anesthesia administration
C. sudden and unanticipated pain
D. receipt of the treatment fee
The physiological mechanism for the onset of syncope is _______________.
A. increased amounts of catecholamines released in to the circulatory system
B. muscle inactivity in the extremities
C. diminished cerebral blood flow
D. All of the above.
A symptom during the early stage of syncope is:
A. Warm feeling
B. Cold extremities
C. Bradycardia
D. Visual disturbances
A patient experiencing syncope should be positioned _______________.
A. in a semi-supine position at a 30 to 45 degree angle
B. with the head and upper body pushed forward
C. in a supine position with the feet elevated
D. in a vertical standing position
The definitive care for syncope includes:
A. Administer oxygen
B. Monitor vital signs
C. Administer aromatic ampules
D. All of the above.
Anaphylactic reactions are caused by _______________.
A. release of catecholamines into the circulatory system
B. intravascular injections
C. release of histamine from IgE sensitized mast cells
D. increased insulin production
The appropriate dose of epinephrine to a 5 year old child experiencing anaphylaxis is _______________.
A. 1 ml of 1:1000 epinephrine
B. 1 ml of 1:10,000 epinephrine
C. 1 ml of 1:2000 epinephrine
D. 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 hours
B. a one time dose of oral diphenhydramine 25 mg
C. 1 ml of 1:1000 epinephrine intramuscularly
D. 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 elevated
B. upright with arms thrown forward over a chair
C. a semi-supine position at a 30 to 45 degree angle
D. 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 oxygen
B. call for medical assistance
C. administer epinephrine 1:2000 intravenously or intramuscularly
D. All of the above.
Anesthetic toxicity may be a result of _______________.
A. exceeding recommended local anesthetic dosages
B. intravascular injection
C. interactive effects with sedatives
D. All of the above.
Emergency management of local anesthesia toxicity in a five year old includes:
A. Administer 1 ml epinephrine 1:1000
B. Administer oxygen via a mask
C. Administer 1 ml of flumazenil 0.1 mg IV
D. Administer oral diphenhydramine 1 mg/kg
Diabetic mellitus patients may experience:
A. Hyperglycemia
B. Hypoglycemia
C. Diabetic ketoacidosis
D. 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 hypoglycemia
B. an unconscious 23 lb patient exhibiting hypoglycemia
C. a conscious 23 lb patient exhibiting signs of hyperglycemia
D. 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 elevated
B. protect the patient from bodily injury
C. place objects in the mouth to prevent soft tissue injury
D. A and B
The etiology of cardiac arrest in children and adults _______________.
A. are the same
B. is due to cardiac disease in adult
C. is due to prolonged respiratory depression and apnea in children
D. 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.
Factors determining sedative drug dosages in children include _______________.
A. age and weight of the child
B. anxiety level of the child
C. level and length of time of sedation desired
D. All the above.
The drug of choice for treating benzodiazepine overdose is?
A. Naloxane
B. Flumazenil
C. Phenobarbital
D. None. There is no reversal drug for benzodiazapines.
