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MED 1-60

1.    When is cricothyrotomy necessary?
When there is injury to the throat
When airway obstruction is caused by a foreign body that cannot be dislodged
When there is a trauma to the neck region
When fracture of mandible
2.    Surgical airway procedure should only be done on:
Kids
Adults
Aging people
Anybody
3.    All of the following can have Life+threatening emergencies in the practice of dentistry, except…
A patient
Accompanying the patient
Doctor and Member of office stuff
A patient’s driver
4.    The following are the Factor of Emergencies except…..
Increased number of older patients
Medical Advances
Increased drug use
Longer dental appointments
HIV infection
5.    Factor of emergencies by increased number of age, which one is most common cause among the top five causes of death from 1 to 4 years?
Accidents and adverse effects
Congenital anomalies
Malignant neoplasms
Homicide and legal intervention
Diseases of the heart
6.    Factor of emergencies by increased number of age, which one is most common cause among the top five causes of death from 5 to 14 years?
Accidents and adverse effects
Malignant neoplasms
Homicide and legal intervention
Congenital anomalies
Suicide
7.    The following are diagnosis of emergencies in dental office, which one occurs the most in emergency situation?
Syncope
Mild allergic reaction
Angina pectoris
Postural hypotension
A Syncope and Angina pectoris
8.    The following are diagnosis of emergencies in dental office, which one occurs the most in emergency situation?
Postural hypotension
Hyperventilation
Cardiac arrest
Anaphylactic reaction
Postural hypotension and Anaphylactic reaction
9.    Among the following which is the rescue breathing in adult?
6 times/min
18 times/min
12 times/min
24 times/min
10.  In patient on artificial ventilation the cycle of exhale air ventilation should be repeated of every:
20 secs
10 secs
5 secs
1 sec
11.  The primary hazard for unconscious patient in supine position is:
Tongue obstruction
Bronchospasm
Lanyngospasm
Aspiration
12.  The best blood product administered preoperatively to patients with haemophilia A is:
Fresh frozen plasma
Factor IX concentrate
Whole blood
Factor VIII concentrate
13.  A cardinal symptom of dehydration due to disturbance of fluid and electrolyte balance is:
Hyperthermia
Nausea
Polydipsia
None
14.  In medical emergency easiest technique for opening airway is to:
Turn his head back
Turn head to one side
Clear mouth, throat
Strike his back
15.  Instead of responding to treatment for syncope, patients pulse and respiration become weak and irregular with attendant cyanosis. The first resuscitative measure should be to:
Support circulation by injecting 1:1000 adrenaline
Begin closed chest cardiac message
Begin CPR
Place paper bag over patient’s face and risk blood CO2
16.  If efforts in CPR are effective there will be:
Constriction of pupils
Dilatation of pupils
Hypertension immediate
None of all
17.  Patient with idiopathic thrombocytopenic purpura (ITP) is most likely to have which of following postoperative complication:
Infection
Haemorrhage
Oedema
Alveolar osteitis
18.  All of the following are various methods to control intra operative haemorrhage except:
Gauge sponge pressure
Artery application to open vessels
Infiltration with lidocaine
Bone compression for surface bleeding
19.  Which of the following factor does not play role in haemostasis is:
Prothrombin
Vessel wall calcium
Vit K
Vit B
20.    Which is the earliest sign of haemorrhagic shock?
Hypotension
Vasoconstriction
Tachycardia
Dyspnoea
21.  Preoperative vit K is indicated in patients with:
Diabetes mellitus
Chronic pneumonitis
Liver disease
Accuracy
22.  The main cause of bleeding in patients is thrombocytopenic purpura is deficiency of:
Vit B
Prothrombin
Vit K
Platelets
23.  During shock vasopressor drugs are preferably given:
Sublingually
Intracardially
Intramuscularly
Intravenously
24.    Treatment of syncope is most effectively accomplished by which of the following?
Administer 100 percent O2 for 5 min
Lowering chair to phase patient’s head lower than his feet
Bending patient’s head forward between his knees and asking patient to raise his head against hand pressure
It requires treatment by physician
25.    Among the following which is best haemostatic agent for control of local haemorrhage?
Gel foam
Surgical
Bone
Vit K
26.  During CPR sternum should the depressed:
2 inches every 5 seconds
2 inches every second
1 inch every 10 seconds
3 inches every 5 seconds
27.    Among the following which always indicate obstruction to airway?
Increase respiratory rate
Increase pulse rate
Snoring breathing
Decreased blood pressure
28.  Is common to all forms of shock:
Hypovolemia
Hypertension
Impaired tissue perfusion
Vasoconstriction
29.  Diazepam is contraindicated for use in patient with history of:
Narrow angle glaucoma
Psychic depression
Severe hypertension
Coronary artery disease
30.    Which cardiac conditions require antibiotic prophylaxis before surgery?
Recovery insufficiency
Angina pectoris
Rheumatic Heart Disease
Congestive heart disease
31.  Among the following with drug is contraindicated in hyperthyroid patients because the subjects are extraordinarily sensitive to drug:
Salicylate
Barbiturates
Adrenaline
Digitalis
32.    Among the following which frequently causes infective endocarditis?
Staph. aureus
Strep. Viridans
Staph. pyogens
Parasite
33.  The emergency, most frequently encountered during outpatient general anaesthesia is:
Anaphylaxis
Bradycardia
Respiratory obstruction
Hypotension
34.    Among the following which drug is drug of choice in management of acute allergic reaction involving bronchospasm and hypotension?
Aminophylline
Dexamethasone
Diphenhydramine
Adrenaline
35.  The following are true of CPR, compression, except…
Ventilation ratio in 2 persons CPR is 5:1
Ventilation ratio in single person CPR is 15:2
Should be 60+80/min in adults
Should be 100/min in children
Should be 120/min in children
36.    Of the following which is the first step when initiating CPR?
Establish responsiveness
To establish airway
Precardial thumbs
None of All
37.    In external cardiac compressions, compression relation cycle should be repeated:
100 times/min
Twice/min
60 times/min
80 times/min
38.    Haemorrhagic shocks are the following characterizes, except…
Hypotension
Low blood volume
Increased pulse rate
Decrease pulse rate
39.    Of the following which is earliest sign of haemorrhagic shock?
Vasoconstriction
Hypotension
Tachycardia
Dyspnoea
40.    In elective tracheostomy the entry should be made:
Above cricoid
Below cricoid
Through cricothyroid membrane
Laterally below thyroid cartilage
41.    Antibiotics with a low allergic potential is:
Penicillin
Erythromycin
Cephalosporins
Sulphonamide
42.    The drug Clindamycin is known for its side effect of :
Ototoxicity
Nephrotoxicity
Ulcerative colitis
Liver necrosis
43.    The current recommendation for antibiotic prophylaxis for prevention of bacterial endocarditis is:
2gm of Amoxicillin orally, 1 hr before surgery / 2gm of Amoxicillin, intravenous 30mn before surgery
1gm of Amoxicillin orally, 1 hr before surgery / 1gm of Amoxicillin, intravenous 30mn before surgery
3gm of Amoxicillin orally, 1 hr before surgery / 3m of Amoxicillin, intravenous 30mn before surgery
4gm of Amoxicillin orally, 1 hr before surgery / 4gm of Amoxicillin, intravenous 30mn before surgery
44.    A patient, who is allergic to penicillin, should be given:
Metronidazole
Amoxicillin
Cephalosporin
Gentamycin
45.    A patient, who is allergic to penicillin, should be given:
Ampicillin
Erythromycin
Cephalosporin
Gentamycin
46.    Reye’s syndrome is caused by the long+term usage of:
Paracetamol
Aspirin
Ibuprofen
Nimesulide
47.    If a patient develops anaphylactic shock, the 1st drug of choice is:
Dexamethasone
Anti+histamine
Adrenaline
Deriphylline
48.    An elder patient, with myocardial infarction 5 months back, needs extraction of decayed maxillary 3rd molar. Your line of treatment would be:
Administer oral antibiotics for three days and do the extraction
Hospitalize the patient, administer IV antibiotics and do the extraction
Do the extraction and later, prescribe oral antibiotics
Put on antibiotics, refer the patient to the cardiologist and do the extraction at a later date
49.    For a patient suffering from cirrhosis of liver, the safest group of LA, is:
General anesthesia
Conscious sedation
Ester group
Amide group
50.    The following are a core list of drugs and equipment for use in MEs, except….
Adrenaline, 1ml/A of 1:1000 solution for IM
Aspirin, 300 mg dispersible tablets
Glucagon, for IM of 1 mg
Glyceryl trinitrate (GTN) spray, 400 μg per metered dose
Antibiotics
51.    The following are a core list of drugs and equipment for use in MEs, except….
Glyceryl trinitrate (GTN) spray, 400μg per metered dose
Midazolam buccal liquid, 10 mg/ml, or midazolam injection
Oxygen cylinder (10 litres/minute)
Salbutamol inhaler, 100 μg per actuation
Steroids
52.    In addition, dental practices might wish to stock the following drugs to aid the management of patients with mild allergic reactions, except…
Cetirizine 10mg tabletsor oral solution (5 mg/5 ml)
Chlorphenamine, 4mg tablets or oral solution (2 mg/5 ml)
Loratadine, 10 mg /tablets
Midazolam buccal liquid, 10 mg/ml, or midazolam injection
53.    The following are key signs of anaphylaxis, except…
Upper airway oedema and bronchospasm
Stridor and wheezing
Tachycardia (heart rate > 110 per minute)
HTA
54.    The following are the priority the managements of anaphylaxis, except…
Assess the patient
Call for an ambulance
Secure the patient’s airway
Check BP
Administer IV fluid
55.    The following are signs and symptoms of mild allergy reaction, except….
Urticaria and rash, particularly of chest, hands and feet
Rhinitis
Conjunctivitis
Mild bronchospasm without evidence of severe shortness of breath
Abdominal pain, vomiting, diarrhea
56.    The following are treatment of milder forms of allergy reaction, except…
Administer 1 Cetirizine Tablet, 10 mg for children
Or Administer 1 Chlorphenamine Tablet, 4mg
Or Administer a salbutamol inhaler, 4 puffs (100 μg per actuation)
Or Administer Midazolam buccal liquid, 10 mg/ml, or midazolam injection
57.    The following are signs and symptoms of acute severe asthmatic, except….
Inability to complete sentences in one breath
Respiratory rate >25 per minute
Tachycardia (heart rate >110 per minute)
Convulsion and diarrhea
58.    The following are managements of asthmatic, except….
Assess the patient and sit patient upright
Administer 100% oxygen + flow rate: 10L/mn
Administer a salbutamol inhaler, 4 puffs (100 μg per actuation), repeat as needed
Administer Adrenaline, 1ml/A of 1:1000 solution for IM
59.    The following are signs and symptoms of acute Angina and MI, except….
Shortness of breath and increased respiratory rate
Skin becomes pale and clammy
Nausea and vomiting are common
Pulse might be weak and blood pressure might fall
Crushing pain in the right and across the front of chest
60.    The following are signs and symptoms of Epilepsy, except….
Sudden loss of consciousness
Patient may become rigid, fall, might give a cry and becomes cyanosed
Jerking movements of the limbs; the tongue might be bitten
Brief warning or ‘aura’ and frothing from the mouth and urinary incontinence
Abdominal pain and vomiting
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