Medical Emergencies in the Dental Office

~ Exam ~

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This test has 15 questions.

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1. The most frequent medical emergency in the dental office is:

  a. myocardial infarction

  b. syncope

  c. respiratory arrest

  d. allergic reactions


2. In an emergency, the best place to check the pulse is the:

  a. carotid artery

  b. brachial artery

  c. radial artery

  d. femoral


3. The best position in which to place a syncopal patient is:

  a. seated with the patient’s head between their legs

  b. supine with the legs elevated

  c. on their side

  d. in a seated postition


4. Which best illustrates the “normal” vitals for an adult?

  a. Pulse 108, BP 160/90, respirations 22, temperature 101°F

  b. Pulse 50, BP 88/40, respirations 28, temperature 98.6°F

  c. Pulse 80, BP 118/70, respirations 16, temperature 98.6°F

  d. Pulse 98, BP 208/110, respirations 18, temperature 97.2°F


5. Most emergencies occur:

  a. in the reception room

  b. after the treatment is completed

  c. while under nitrous oxide sedation

  d. during or immediately following local anesthesia administration


6. A conscious patient is unable to breathe or talk. When you ask if they are choking, they nod their head. You should administer:

  a. oxygen

  b. four back blows

  c. fifteen chest compressions

  d. abdominal thrusts


7. Immediately upon recognizing cardiac arrest in the office you should:

  a. call 911

  b. ventilate with a bag-valve-mask

  c. begin chest compressions

  d. administer oxygen


8. While administering lidocaine anesthesia to a 21-year-old male, he becomes pale, pushes the dentist’s hand away and passes out. You suspect:

  a. lidocaine toxicity

  b. allergic reaction

  c. epinephrine reaction

  d. syncope


9. A severe allergic reaction involving several body systems is called:

  a. convulsions

  b. syncope

  c. anaphylaxis

  d. angina pectoris


10. An older patient becomes restless during treatment. He seems unable to move one arm and his speech is slurred. He may be having:

  a. cerebrovascular accident/transient ischemia attack

  b. acute myocardial infarction

  c. angina pectoris

  d. angina pectoris


11. Anxiety hyperventilation is best treated using:

  a. a paper bag

  b. high flow oxygen

  c. coaching techniques to slow breathing

  d. anti-anxiety agents


12. The medication most often used to relieve anginal pain is:

  a. nitroglycerin

  b. Dilantin®

  c. epinephrine

  d. insulin


13. Nitroglycerin is administered:

  a. intrvenously

  b. intrvenously

  c. sublingually

  d. by inhalation


14. A heart rate greater than 100 is called:

  a. tachycardia

  b. arrythmia

  c. hypertension

  d. bradycardia


15. A patient health history should be taken:

  a. at the patient’s first visit and an update at each visit

  b. in ink at the end of each treatment

  c. in ink before each treatment

  d. at the patient’s first visit and again if the patient mentions a medical problem