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OMSA EXAM QUESTIONS AND CORRECT ANSWERS
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OMSA EXAM QUESTIONS AND CORRECTANSWERS 2024-2025
A patient has been sedated for a tooth extraction in your office. While this patient is
under general anesthesia he starts to vomit. The sequence of treatment for this patient
should be - Answer Roll this patient on the right side, suction, and full face mask oxygen.
A patient is demonstrating straighter intraoperative Lee. You have stopped the
operation, packed off the site, suctioned the back of the throat, repositioned the airway,
pushed on the chest to listen for a huff, and the patient remains symptomatic. What
medication might you administer? -Answer Succinylcholine
The doctor asks you to assess this patient's ventilation. Some of the things you are
looking at include watching the rise and fall of the chest and looking at the- Answer
Oxygen saturation and entitle CO2 (capnograph)
The ASA classification is used for assessing patients prior to general anesthesia as a
tool to assess the risk of a patient. You have a patient who has a history of only
hypertension. The classification of corn to the ASA would be - Answer ASA 2
Your patient 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 notice that 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 - Answer Difibrillate with an AED, start CPR and call 911
A patient has stopped breathing. What is the main primary psychological mechanism
that will restart this patient's breathing? - Answer Excess of carbon dioxide
The correct sequence of air flow from the nose to the lungs is - Answer Nose,
nasopharynx, oropharynx, laryngopharynx, trachea, and lungs
,The right side of the heart carries deoxygenated blood - Answer True
A patient comes in to have a tooth extracted. Of the following medical conditions, which
would require this patient to receive an antibiotic premedication one hour prior to
removal of that tooth? - Answer Prosthetic heart valve
The acronym fast stands for facial droop, arm weakness, speech problems and time to
call 911. This refers to what condition? - Answer Stroke (CVA)
The safest time to extract a bad tooth on a pregnant patient is - Answer 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 - Answer Avoid an air embolus
A patient reports that she is allergic to amoxicillin and codeine. Upon further
questioning, the patient relates that she developed a rash after taking penicillin, and
becomes extremely nauseated after taking Tylenol with codeine. This patient has -
Answer An allergy to amoxicillin and has an adverse reaction to codeine
A patient 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 patient is - Answer This patient 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 - Answer Beta agonist
Indications for patients to be on anticoagulation medication's are - Answer Stroke,
pulmonary embolism, history of blood clots
,A patient is experiencing a laryngospasm. The correct sequence for the treatment of
this is - Answer Stop, pack off site, suction, positive pressure oxygen, succinylcholine
A patient calls one day after the removal of an infected tooth. She reports an 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 - Answer
Stop the amoxicillin and take some over-the-counter Benadryl
He just finished removing four wisdom teeth on a 20 year old male. He got quite a bit of
anesthetic agents, to wit: 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 medication can you give him - Answer Narcan
and Flumazenil
The class of medications utilized to relax patients, or tranquilize, is referred to as -
Answer Benzodiazepine
In compartment syndrome, when one can observe an increase of pressure in the
forearm. It can be due to Veni puncture. It is a true medical emergency - Answer True
Drugs administered to the patients are usually metabolized/broken down in the body by
which organ Answer Liver
A patient 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 asks
for instructions regarding her insulin, which she normally administers herself each
morning. You would instruct her to- Answer You would instruct her to skip the morning
dose of insulin
A patient presents to your office with a medical history of diabetes for a dental implant
placement. As always in your office, you conduct a finger stick prior to the start of the
procedure to check the patient's blood glue close. The fingerstick shows a blood
glucose of 400. What is the most appropriate action your doctor should do next? -
, Answer Do not perform the surgery today and delay the implant placement
There are two major groups of local anesthetics by dentistry, the most common class of
local anesthetic utilized in an oral and Maxillofacial surgery is a - Answer Amide
The doctor asks you to evaluate the patient's oxygenation. The things you looked at
include observation of the color of the patient skin and also - Answer Pulse oximeter
Hallucinations are a side effect of ketamine. The best drug to give along with ketamine,
to reduce the incidence of these unwanted side effects is - Answer Versed
Your patient 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 do a fingerstick as you would for any of your diabetic patients.
His blood glucose is 50 you have not started your IV yet. The best treatment option for
this patient is to - Answer Start an IV and give D5W as your IV fluids
The trachea branches into the right and left main stream bronchus. A patient is
undergoing general anesthesia in your office to remove a tooth. The patient aspirates
the tooth. Which lung would you guess the tooth will end up in? - Answer The right lung
FAST Refers to someone who is having a stroke. This acronym stands for - Answer Face,
arm, speech, time
The classification of medications that are used to relieve pain are called - Answer
Narcotics
You're registering in the next patient who is a 50-year-old male. He is very apprehensive
about the procedure. You confirm the surgical plan and then noticed that he's avoiding
eye contact, appears very pale, nearly gray and is diaphoretic. He suddenly passes out
your diagnosis is - Answer Syncope (vasovagal)
A patient with type two diabetes would generally be on oral medications to regulate
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