OMSA Exam #3 Questions And Accurate Answers 2024-2025
What is the most common anesthesia-related complication in the OS office? - Answer
Airway obstruction
What is the earliest change in vital signs following airway obstruction? - Answer
tachycardia with an increase in respiratory rate
What is the most common cause of obstruction in the upper airway? - Answer the
tongue
What is the optimal positioning of the patient's head and neck to maintain the airway?
-Answer: Neck slightly extended, mandible supported in a forward position
What is a Laryngospasm? -Answer : a protective reflex that prohibits foreign material
from passing the vocal cords
What is the most common cause of laryngospasm? -Answer : liquids or foreign material
in the pharynx
A patient is demonstrating signs of a retraction of the suprasternal notch, expansion of
chest wall to try and breathe, and rocking of the chest and abdomen. What is occurring?
- Answer a laryngospasm
What is the most important first step in the treatment of a laryngospasm? - Answer
Pack off the surgical site and clear the pharynx of secretions
During a bronchospasm, the patient will exhibit what? - Answer wheezing- especially
on expiration
, What can cause damage to the lungs following aspiration of stomach contents? -
Answer acidity
What often precedes vomiting? - Answer exaggerated swallowing
Apnea is most often followed by what? - Answer progressive development of hypoxia
A brief period of apnea may occur during the induction of anesthesia due to? - Answ
induction of anesthesia with barbiturates or propofol
Cardiovascular emergencies during OS are usually secondary to? - Answ airway
problems
The most common cause of hypertension during anesthesia? - Answ painful stimuli
with light levels of anesthesia
Hypotension during GA is best treated initially by doing what? -Answer placing the
patient in supine position with legs slightly elevated
How should the arm be placed when an IV line is in the atecubital fossa? -Answer
positioned extended and in a comfortable position with the arm immobilised
What are symptoms of myocardial infarction? - Answer nausea, vomiting, chest pain
(not relieved by nitro), low blood pressure, and a weak thready pulse
What is not appropriate treatment for myocardial infarction? - Answer Trendelenburg
position- lying with the head and trunk below the level of the waist
OS office In an acute myocardial infarction, how would you manage the case?
Answer: To maintain adequate circulation, pain relief, and treatment of dangerous
arrhythmias
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