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OMSA FALL 2018 PRACTICE TEST QUESTIONS AND ANSWERS
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OMSA FALL 2018 PRACTICE TEST QUESTIONS AND ANSWERS
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OMSA FALL 2018 PRACTICE TESTQUESTIONS AND ANSWERS
A9patient9who9is9a9729year9old9male9presents9for9his9implant9surgery.9He9has9a9history9of9
an9MI969years9ago9with9angioplasty9and9a9stent.9He9tells9you9that9he9stopped9his9aspirin9
a9week9ago9(not9instructed9by9his9physician9but9he9just9did9that9on9his9own).9Before9you9
start,9he9complains9of9a9vague9chest9pain,9almost9like9indigestion,9but9it9is9radiating9to9hi
s9left9arm.9He9is9also9diaphoretic9(sweating).9Your9diagnosis9(what9is9causing9it)9for9this9p
atient9is:9-9ans--Angina,9possible9heart9attack9(MI)
The9safest9time9to9extract9a9"bad9tooth"9on9pregnant9patient9is:9-9ans--Second9trimester
A9patient9is9experiencing9a9laryngospasm9(spasm9of9the9vocal9cords).9The9correct9seque
nce9for9the9treatment9of9this9is:9-9ans--
Stop,9pack9off9site,9suction,9positive9pressure9oxygen,9succinylcholine
Drugs9(PO,9IM9or9IV)9given9to9patients9are9usually9metabolized9(broken9down)9in9the9bod
y9by9what9organ:9-9ans--Liver
A9pediatric9airway9is9different9than9an9adult9airway9in9that:9-9ans--
Kids9have9a9larger9tongue9and9a9conical9shaped9airway
Your9patient9is9a9relatively9difficult9anesthetic:9he9is9morbidly9obese9with9a9short9neck,9re
cessed9lower9jaw,9and9Mallampatti9score9of9VI.9You're9struggling9to9chin9him.9You've9alre
ady9put9in9a9nasal9pharyngeal9airway.9What9else9might9you9try9before9you9intubate9him?
9-9ans--Laryngeal-Mask-Airway
A9laryngospasm9(spasm9of9the9vocal9cords)9a9disorder9of9the:9-9ans--Upper9airway
Which9monitor9gives9the9most9information9about9ventilation?9-9ans--Capnograph
The9most9frequent9anatomical9cause9of9airway9obstruction9is9the:9-9ans--Tongue
A9patient9with9Type9II9(non-
insulin9dependent)9diabetes9would9typically9be9taking9pills9to9control9their9blood9glucose9(
blood9sugars)9and9to9control9their9diabetes.9-9ans--True
The9classification9of9drugs9used9to9relieve9pain9are9called:9-9ans--Narcotics
, The9most9common9cardiac9rhythm9seen9on9the9EKG9for9an9adult9patient9in9cardiac9arres
t9is?9-9ans--Ventricular9Fibrillation
Which9of9the9follow9general9drug9categories9are9used9to9treat9someone9who9is9experienc
ing9an9asthma9"attack":9-9ans--Beta9Agonists
The9Mallampatti9Classification9system9is9used9by9Oral9&9Maxillofacial9Surgeons9to9asses
s9the9airway9of9patients.9This9classification9allows9your9surgeon9to9have9an9idea9if9this9pa
tient9will9have9a9difficult9airway.9You9have9the9patient9open9their9mouth9and9stick9out9thei
r9tongue.9You9do9not9see9any9part9of9the9uvula9and9can9only9see9part9of9the9soft9palate.9
This9patient9has9a9Mallampatti9classification9of:9-9ans--IV
A9patient9comes9in9for9the9removal9of9a9tooth.9Which9of9these9medical9conditions9would9r
equire9this9patient9to9take9an9antibiotic9premedication9one9hour9prior9to9removal9of9that9to
oth.9-9ans--Prosthetic9Heart9Valve9(9i.e.9Aortic9Valve9replacement9)
Insulin9converts:9-9ans--Glucose9to9Glycogen
The9pneumonic9MONA9stands9for:9-9ans--Morphine,9Oxygen,9Nitroglycerin,9Aspirin
Indications9for9patients9to9be9on9anticoagulation9(blood9thinner)9medicines9are:9-9ans---
Stroke9(CVA)
-Pulmonary9Embolism9(PE)
-History9of9blood9clots9in9the9leg9(DVT9or9VTE)
The9left9side9of9the9heart9carries9deoxygenated9blood.9-9ans--False
As9patients9undergo9anesthesia,9they9pass9through9different9stages9of9anesthesia.9Accor
ding9to9the9American9Society9of9anesthesiology,9surgery9is9usually9performed9in9what9sta
ge9of9anesthesia?9-9ans--Stage93
Stimulation9of9the9Sympathetic9Nervous9System9will9result9in:9-9ans--
Increased9heart9rate,9increased9blood9pressure
You9just9finished9removing949wisdom9teeth9on9a9209year9old9male.9He9received9quite9a9bi
t9of9anesthetic9agents.9Specifically,92009mg9of9Propofol,989mg9of9Versed,92009umg9of9Fen
tanyl.9He9has9been9in9recovery9for9about9159minutes9when9the9alarm9on9the9pulse9oxime
ter9goes9off.9You9check9on9him9and9find9him9unarousable,9ashen9colored9with9a9respirato
ry9rate9of989which9is9very9slow9breathing.9What9drugs9would9you9consider9giving9him?9-
9ans--Flumazenil9(Romazicon)9and9Narcan9(Naloxone)
You9are9checking9in9the9next9patient9who9is9a9509year9old9male.9He9is9really9nervous9abo
ut9the9procedure.9You9confirm9the9surgical9plan9and9then9notice9that9he's9avoiding9eye9c
ontact,9appears9very9pale,9nearly9grey9and9is9sweating.9He9suddenly9"passes9out".9Your9
diagnosis9is:9-9ans--Syncope9(vasovagal)
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