OMSA Certification Test Exam Questions
With Verified Answers Latest Update 2024-
2025 Graded A+
A client has been sedated for a tooth extraction in your office. While the client is under
general anesthesia the client starts to vomit. The correct sequence of treatment for this
client is: - ANS>>-Roll this client on the right side, suction, and full face mask oxygen.
A client is displaying straighter intraoperative Lee. You have terminated the surgery,
packed off the site, suction the back of the throat, reposition the airway, push on the
chest to listen for a huff, and the client continues to be symptomatic. Which drug would
you consider administering? - ANS>>-Succinylcholine
The doctor ask you to assess the client's ventilation. The things you look at include
watching the rise and fall of the chess and looking at the - ANS>>- Oxygen saturation
and entitle CO2 (capnograph)
The ASA classification is used for assessing clients prior to general anesthesia as a risk
assessment tool. Do you have a client with a history of only hypertension. The
classification of corn to the ASA would be - ANS>>-ASA 2
Your client is an 82-year-old female with a history of coronary artery disease, angina
and a previous myocardial infarction five years ago. She has an abscessed painful
molar that needs extraction. She wants to be mildly sedated for the procedure. Midway
through, you noticed the EKG suddenly looks like a wavy, chaotic undulating line. Can
you check the leads and they are all correct. You feel for a pulse, and there is no pulse.
Your first actions would be to - ANS>>-Difibrillate with an AED, start CPR and call 911
A client has stopped breathing. What is the main primary psychological mechanism that
will restart this client's breathing? - ANS>>-Excess of carbon dioxide
The correct sequence of air flow from the nose to the lungs is - ANS>>- Nose,
nasopharynx, oropharynx, laryngopharynx, trachea, and lungs
The right side of the heart carries deoxygenated blood - ANS>>-True
A client comes in for the removal of a tooth. Which of these medical conditions would
require this client to take an antibiotic premedication one hour prior to removal of that
tooth. - ANS>>-Prosthetic heart valve
,The acronym fast refers to facial droop, arm weakness, speech problems and time to
call 911. This refers to what condition? - ANS>>-Stroke (CVA)
The safest time to extract a bad tooth on a pregnant client is - ANS>>- Second trimester
An IV catheter has been placed into a vein in the right antecubital fossa. The IV line is
already connected to the bag of fluids. The reason IV line is flush before connecting Ivy
Lane an IV bag into the catheter is to - ANS>>-Avoid an air embolus
A client says that she is allergic to amoxicillin and codeine upon further questioning,
she says that she had a rash on she took penicillin and gets really nauseated when she
takes Tylenol with codeine. This client has - ANS>>-An allergy to amoxicillin and has
an adverse reaction to codeine
A client has taken 20 mg of prednisone (steroid) Daily for over 30 years due to her
rheumatoid arthritis. Your doctors planning to remove a difficult deeply impacted
wisdom tooth. Our pre-operative concern for this client is - ANS>>-This client will not be
able to handle a "flight or fight" response from a stressful procedure
Which of the following general drug categories are used to treat someone who is
experiencing an asthma attack - ANS>>-Beta agonist
Indications for clients to be on anticoagulation medication's are - ANS>>-
Stroke, pulmonary embolism, history of blood clots
A client is experiencing a laryngospasm. The correct sequence for the treatment of
this is - ANS>>-Stop, pack off site, suction, positive pressure oxygen, succinylcholine
A client calls one day after the removal of an infected tooth. She reports and itchy red
rash all over her body after taking amoxicillin that your doctor prescribed. She's
concerned that she is allergic to amoxicillin. Your recommendation to her is - ANS>>-
Stop the amoxicillin and take some over-the-counter Benadryl
He just finished removing four wisdom teeth on a 20 year old male. He received quite a
bit of anesthetic agents. Specifically 200 mg of pro football, 8 mg of Versed, 200 mcg of
fentanyl. He has been in recovery for about 15 minutes when the alarm of the pulse
oximeter goes off. You check on him and find him a new Roswell, ashen color with a
respiratory rate of eight which is very slow breathing. What drugs would you consider
giving him - ANS>>-Narcan and Flumazenil
The classification of drugs used to relax clients or reduce anxiety are called - ANS>>-
Benzodiazepine
, In compartment syndrome, when can see an increase of pressure in the forearm. This
can be caused by Veni puncture. This is considered a true medical emergency -
ANS>>-True
Drugs given to the clients are usually metabolized (broken down) in the body by what
organ - ANS>>-Liver
A client with type one diabetes caused the morning of surgery. She states that she's
going to sleep to have a bad tooth removed. She is aware that she needs to have
nothing to eat or drink prior to coming in but she's not sure what to do with her insulin.
She asked for instructions on her insulin that she normally injects her self with in the
morning. You advise her to - ANS>>-You tell her to skip the morning dose of insulin
A client comes into your office with a history of diabetes for the placement of a dental
implant as you always do in your office, you perform a fingerstick to check client's blood
glue close before you start the procedure. The fingerstick reveals a blood glucose of
400. What is the most appropriate action for your doctor to take next? - ANS>>-Do not
perform the surgery today and delay the implant placement
There are two main categories of local anesthetics using dentistry the most common
category of local anesthetic use an oral and Maxillofacial surgery is an - ANS>>-
Amide
The doctor ask you to assess the client oxygenation. The things you look at include
looking at the color the client skin and - ANS>>-Pulse oximeter
Ketamine can cause hallucinations. The best drug to give along with ketamine, to
reduce the incidence of these unwanted side effects is - ANS>>-Versed
Your client presents for a surgery at 10 AM. He states that he remember not to eat or
drink anything, but out of habit, took his morning dose of insulin. He is pale, trembling
and not feeling well. You perform a fingerstick as you always do for your diabetic
clients. His blood glucose is 50 you have not started your IV yet. The best treatment
option for this client is to - ANS>>-Start an IV and give D5W as your IV fluids
The trachea branches into the right and left main stream bronchus. A client is
undergoing general anesthesia in your office to remove a tooth. The client aspirates the
tooth. Which lung would you guess the tooth will end up in? - ANS>>- The right lung
FAST Refers to someone who is having a stroke. This acronym stands for - ANS>>-
Face, arm, speech, time
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