Medical Emergencies Week 1 Review Chpt. 1 - 2

Front 1

The best strategy for preventing medical emergencies in dental practice settings is keeping a medical emergency kit readily available because quick action is needed to save a life.

a. Both the statement and reason are correct and related.
b. Both the statement and reason are correct, but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.

Back 1

e. NEITHER the statement NOR the reason is correct.

Front 2

One of the best ways to anticipate a potential emergency when reviewing the medical history is to:

a. complete follow-up questions for all "yes" responses.
b. obtain a medical clearance for each client.
c. ask the client if he or she thinks an emergency is possible at the appointment.
d. verify information with the supervising dentist.

Back 2

a. complete follow-up questions for all "yes" responses.

Front 3

Clients may fail to provide complete medical history information as a result of all of the following reasons EXCEPT ONE. Which is the EXCEPTION?

a. Client does not understand question.
b. Feelings of invasion of privacy.
c. Client had assistance completing the form.
d. Client may skip questions.

Back 3

c. Client had assistance completing the form.

Front 4

Determining cardiac risk based on the client's ability to perform daily activity describes:

a. cardiac equivalents.
b. functional capacity.
c. ASA risk classification.
d. vital signs.

Back 4

b. functional capacity.

Front 5

A client presents with a medical history of obesity, smoking, diabetes, and hypertension. He is currently participating in weight loss and walking programs. What ASA classification does this client represent?

a. I
b. II
c. Ill
d. IV

Back 5

c. Ill

Front 6

BP is most accurate if taken when the client is:

a. seated in a supine position.
b. seated in an upright position.
c. rested.
d. standing

Back 6

c. rested.

Front 7

The ADA Council on Scientific Affairs recommends that BP be measured at the initial appointment. If the BP reading is within the normal limits, the client does not have hypertension.

a. Both statements are true.
b. Both statements are false.
c. The first statement is true, and the second statement is false.
d. The first statement is false, and the second statement is true.

Back 7

b. Both statements are false.

Front 8

Your client presents with a BP of 148/86 mm Hg, right arm, sitting. Treatment considerations for this client include (circle all that apply):

a. performing routine dental or dental hygiene procedures.

b. delaying treatment until the BP is better controlled.

c. referring the client to a physician for a medical evaluation.

d. using a stress-reduction protocol during dental and dental hygiene procedures.

Back 8

a. performing routine dental or dental hygiene procedures.

AND

c. referring the client to a physician for a medical evaluation.

Front 9

Your client presents with a BP of 165/100 mm Hg, right arm, sitting. Treatment considerations for this client include all of the following EXCEPT one. Which is the EXCEPTION?

a. Performing routine dental or dental hygiene procedures.
b. Delaying treatment until the BP is better controlled.
c. Referring the client to a physician for a medical evaluation.
d. Using a stress-reduction protocol during dental and dental hygiene procedures.

Back 9

b. Delaying treatment until the BP is better controlled.

Front 10

All of the following are true for a fast, irregular pulse EXCEPT one. Which one is the EXCEPTION?

a. The client is in excellent physical condition.
b. A potential medical emergency can occur.
c. A sign of cardiovascular instability.
d. High risk for cardiac arrest.

Back 10

a. The client is in excellent physical condition.

Front 11

A client who presents with a pulse rate over 100 bpm and an irregular rhythm should be referred to a physician for medical evaluation because he may have bradycardia.

a. Both the statement and reason are correct and related.
b. Both the statement and reason are correct, but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.

Back 11

c. The statement is correct, but the reason is NOT.

Front 12

During an emergency, the pulse should be taken from which artery?
a. Brachial
b. Carotid
c. Femoral
d. Radial

Back 12

b. Carotid

Front 13

Normal respiration rate for adults is:

a. 10-18 breaths per minute.
b. 14-20 breaths per minute.
c. 16-22 breaths per minute.
d. 18-24 breaths per minute.

Back 13

b. 14-20 breaths per minute.

Front 14

When evaluating respiration, the clinician should observe:

a. rate of respiration.
b. depth of respiration.
c. presence of sounds.
d. all of the above.

Back 14

d. all of the above.

Front 15

An ultrasonic device to debride teeth can safely be used in a client with compromised respiration. Suction devices will eliminate aerosols and reduce the potential for contamination.
a. Both statements are true.
b. Both statements are false.
c. The first statement is true, and the second statement is false.
d. The first statement is false, and the second statement is true.

Back 15

b. Both statements are false.

Front 16

Normal body temperature ranges from:

a. 95.8°F to 98.58°F.
b. 95.8°F to 99.58°F.
c. 96.8°F to 99.58°F.
d. 97.8°F to 100.58“F.

Back 16

c. 96.8°F to 99.58°F.

Front 17

Treatment considerations for a 10-year-old boy who presents with a body temperature of 100.5°F include all of the following EXCEPT one. Which one is the EXCEPTION?

a. Postponing treatment
b. Referral to a physician to identify the type of infection or illness
c. Asking the client to rinse with mouthwash before providing treatment
d. Identifying any temporary causes of elevated temperature

Back 17

c. Asking the client to rinse with mouthwash before providing treatment

Front 18

Screening questions on the medical history form concerning active TB are recommended by the:

a. Centers for Disease Prevention and Health Promotion.
b. Centers for Disease Control and Prevention.
c. National Institutes of Health.
d. National Center for Health and Disease Prevention.

Back 18

b. Centers for Disease Control and Prevention.

Front 19

Symptoms of active TB include all of the following EXCEPT one. Which is the EXCEPTION?

a. Persistent cough for > 3 weeks
b. Cough that produces blood
c. Unexplained weight gain
d. Flu-like symptoms

Back 19

c. Unexplained weight gain

Front 20

Mr. Cheng presents with a history of coughing up blood for 3 weeks. He had seen a physician, but does not know his diagnosis. What resource would you use to determine if this client was diagnosed with TB?

a. Centers for Disease Control and Prevention
b. National Institutes of Health
c. State agency for infectious diseases
d. Local public health department

Back 20

d. Local public health department

Front 21

A positive Mantoux skin test without symptoms indicates that the client is:

a. infected with the TB bacillus, but not contagious to others.
b. infected with the TB bacillus and has active disease.
c. infected with the TB bacillus and is contagious to others.
d. infected with the TB bacillus and immunocompromised.

Back 21

a. infected with the TB bacillus, but not contagious to others.

Front 22

Blood in the sputum of an individual infected with TB represents aerosols have infected and damaged blood vessels in the lungs. The client should be isolated and dental hygiene treatment should be postponed.

a. Both statements are true.
b. Both statements are false.
c. The first statement is true, and the second statement is false.
d. The first statement is false, and the second statement is true.

Back 22

a. Both statements are true.

Front 23

All of the populations are at a high risk of contracting TB EXCEPT one. Which one is the EXCEPTION?

a. People infected with HIV
b. Immigrants from third world countries
c. People with malignancies
d. People who are immunocompromised with diabetes mellitus

Back 23

d. People who are immunocompromised with diabetes mellitus

Front 24

Redness is not a sign of a positive Mantoux skin test. Induration at the skin test site is a sign of a positive test.

a. Both statements are true.
b. Both statements are false.
c. The first statement is true, and the second statement is false.
d. The first statement is false, and the second statement is true.

Back 24

a. Both statements are true.

Front 25

A client diagnosed with active TB taking appropriate medications, should not be treated by a dental provider for 6 months because this level of drug therapy is needed to ensure that the disease is not resistant to the antimicrobial agents and that the client is no longer contagious.

a. Both the statement and reason are correct and related.
b. Both the statement and reason are correct, but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.

Back 25

d. The statement is NOT correct, but the reason is correct.

Front 26

An office staff worker who has a positive Mantoux skin test and no symptoms of active TB disease is:

a. not contagious and can continue working.
b. not contagious, but cannot work for 3 weeks.
c. is contagious and cannot work for 3 weeks.
d. is contagious and may not work until the disease is controlled.

Back 26

a. not contagious and can continue working.