MED 121-183
121.What is the definitive treatment of seizure?
Administer oxygen
Start CPR
Inject Diazepam 10mg IV
Inject adrenalin 1:1000 IM
122.Which one of the following statement is NOT the management of epilepsy?
Make the chair supine or lay the patient on the floor
Give antihistamine orally
Assess consciousness by talking to the patient
D. Maintain the airway
123.How to prevent status epilepticus?
Tell the patient to take regular dose of anticonvulsant on the day of treatment
Instruct him/her to alert you as the aura of the impending seizure manifests itself.
Keep life support equipment ready in case of an emergent status epilepticus
All of the above
124. Which one of the following statement is NOT the symptoms and signs of asthma?
Rapid respiration
Chest pain
Expiratory wheezing
Breathlessness
125.Which medication is used for the treatment of asthma?
Anticonvulsant
Glucagon
Salbutamol Aerosol Inhaler (Ventolin*)
Nitrous oxide
126. Hyperventilation is caused by:?
Loss of oxygen in the brain
Loss of carbine dioxide from the blood
Excess of adrenaline
Excess of uric acid
127. Which one of the following statement is NOT the symptoms of hyperventilation?
Slow, heavily long breaths
Rapid short strained breaths
Cold sweats
Palpitation and dizziness
128.Which one of the following statement is NOT the management of hyperventilation?
Position the patient supine
Reassure the patient and stabilize vital signs
Encourage patient to rebreath into a paper bag or clap hands
Inject Diazepam 10mg IV or 3 – 5mg Midazolam IV or IM in severe cases
129. What happens when hyperventilation is not treated?
Patient develops into unconscious
Patient may become convulsion
Patient may develop a typical sign of Carpopedal Tetany
Patient may die
130.Which one of the following statement is NOT the causes of airway obstruction?
Tongue of unconscious patient
Flumazenil (Benzodiazepine antagonist)
Foreign body
Overdose sedative drug
131. Which one of the following statement is NOT the presentation of airway obstruction?
Sridor
Choking
No sound or voice
Skin rash
132.How to prevent airway obstruction?
Use rubber dam to prevent falling of endo files
Use high power suction
Place a gauze pack at the back of the mouth (laryngeal screen)
All of the above
133.Which one of the following statement is NOT the management of airway obstruction?
Clear the airway
Elevate the patient's feet
Perform head tilt and chin lift and a jaw thrust
Perform the Heimlich maneuver
134.Which one of the following statement is NOT the management of acute adrenal insufficiency or collapse?
Lay the patient flat with feet elevated
Administer oxygen
Inject hydrocortisone 200mg IV
Inject thyroid hormone T3 & T4
135. What is the treatment of alcoholic?
Administration of 100 mg thiamine IV
Treat hypoglycaemia with 50 ml of 50% dextrose solution
Provide oxygen therapy as needed
All of the above
136.What are the steps of medical emergencies?
Primary survey, basic life support, and advanced life support (CPR)
Position, emergency drugs, call ambulance
Use oxygen, put in recovery position
All of the above
137.In CPR, how many chest compressions per minute and how many breaths?
15 compressions per minute, one breath
20 compressions per minute, 3 breaths
30 compressions, 2 breaths
40 compressions, 4 breaths
138.How much oxygen do the breathing victims need per minute?
1 + 4 LPM
4 + 6LPM
10 + 15LPM
15 + 20LPM
139.How much oxygen do the victims with difficulty in breathing need per minute?
1 + 4 LPM
4 + 6 LPM
10 + 15 LPM
15 LPM or higher
140.What type of oxygen mask is used for breathing victims?
Nasal cannula
Non+rebreather mask
Bag+valve mask
Manual Resuscitation mask
141.What are oropharyngeal airways used for?
For retracting the tongue from blocking the airway
For intubating the larynx
For opening the pharynx
For mouth+to+mouth breathing
142.Which emergency cases oxygen are NOT needed?
Hyperventilation
Angina pectoris
Syncope and seizure
Hyperventilation and Syncope and seizure
143.In CPR, how many cycles of chest compressions and breaths before the pulse of the victims are needed to be re+assessed?
2 cycles of 15 compressions/1 breath
3 cycles of 20 compressions / 2 breaths
4 cycles of 30 compressions / 2 breaths
6 cycles of 40 compressions / 3 breaths
144.In CPR of a small child, how many chest compressions per minute and how many breaths?
10 compressions per minute, one breath
15 compressions per minute, 2 breaths
30 compressions, 2 breaths
40 compressions, 4 breaths
145.In CPR of an infant, how many chest compressions per minute and how many breaths?
5 compressions per minute, one breath
15 compressions per minute, 2 breaths
30 compressions, 2 breaths
50 compressions, 5 breaths
146. What do Magill forceps used for?
For picking sterilized instruments
For retrieving foreign objects from the hypopharynx
For retrieving fractured endo file in the root canal
For picking up dropped instruments from the floor
147.What is a pulse oximeter used for?
For measuring the pulse
For measuring temperature
For measuring oxygen saturation in the arterial blood
For measuring the pulse and For measuring oxygen saturation in the arterial blood
148.Which one of the following is NOT the emergency drugs?
Oxygen
Adrenalin, glucagon, diazepam, hydrocortisone
Antihypertensive drug
Glyceryl trinitrate
149.What is the emergency drug for severe bleeding control?
Vitamin K
Adrenoxyl
Dicinone
Tranexamic acid
150.What are the preventive measures for medical emergency?
Complete past medical history & medications
Vigilant observation & prompt recognition of symptoms of an emergency
Anxiety, stress reduction, and monitor patients during treatment
All of the above
151.Which one of the following is NOT the general anxiety+reduction protocol during appointment?
Frequent verbal reassurances
Distracting conversation
Warning the patient before doing the procedures
Keeping surgical instruments out of patient’s sight
152.Which one of the following is NOT the haemorrhage control of maxillofacial trauma?
Pressure dressings
Blindly clamp into a wound
Elevate head in the hemodynamically stable patient
Wire the fracture jaws
153. Which one of the following statement is NOT the common signs and symptoms of maxillofacial trauma?
Bruising / swelling
Step deformity
Presence of pus
Bleeding / CSF
154.How to stabilize cervical spine fracture?
By using cervical collar or sandbags
By using special metal neck supports
By using any device to immobilize the neck, including newspapers
By using cervical collar or sandbags and By using any device to immobilize the neck, including newspapers
155.Among the following statement, which one always indicate airway obstruction?
Increase respiratory rate
Increase pulse rate
Snoring breathing
Decreased blood pressure
156.The following are the time of systemic complications occurrence, which one occurs the most?
Immediate before treatment
During or after local anesthesia
During treatment
After treatment
157.The following are data of occurrence of systemic complications during treatment, which one is the most common complication?
Tooth extraction
Pulp extirpation
Preparation
Filling
159. The following are the airway equipment for medical emergencies except ?
Oxygen tank
Cotton role and gauze
Oropharyngeal airways and face masks
Suction unit and suction tubes
160.The right position is the one that is most comfortable for the patient of emergencies, which is correct for asthmatic patient?
The patient needs to be flat on his or her back
Patients probably will want to sit up, which helps their ability to breathe.
Place the patient horizontally with the feet slightly elevated
With the feet elevated slightly, the patient can receive a larger flow of blood to the head and thus stimulate the brain
161.The following are the signs and symptoms of the angina pectoris except:?
Pain posterior to the sternum, may be precipitated by fatigue, extreme stress, or a rich meal, and subsides within 2–5 min after rest and the use of vasodilators
Painful discomfort in the chest, with a burning sensation, pressure, or tightness
Pain may be present in the cardiac area, radiating to the left shoulder, neck, left arm, sometimes down the chin and teeth of the mandible
Pain may be present in the cardiac area, radiating to the right shoulder, neck, left arm, sometimes down the chin and teeth of the mandible.
162.For patients with hypothyroidism, on medications, extraction of decayed teeth is:?
A relative contraindication
Treated as normal extraction
Indicated, with maximum precautions
An absolute contraindication
163.Which of the following is wrong about Blood Pressure (BP):?
BP is recorded as two numbers: systolic and diastolic pressure
The systolic pressure (as the heart relaxes between beats) and the diastolic pressure (as the heart beats).
The measurement is written the systolic number on top and the diastolic number on the bottom ( Eg: 120/80 mmHg)
None of all
164.Which of the following is the management of patient with asthma?
Administration of sedative medication for stress management
Control of pain (to avoid stress), with sufficient duration and depth of local anesthesia
Short appointments with gentle manipulations during surgical procedure
All are correct
166. The following are a list of emergency drugs and equipment , except:?
Adrenaline, 1ml/A of 1:1000 solution for IM
Aspirin, 300 mg dispersible tablets
Glucagon, for IM of 1 mg
Antibiotics
167.To perform tracheoctomy entry should be made at the: ?
Cricothyroid ligament
Thyroid membrane
Thyroid notch
Cricoid cartilage
168.The following are key signs of anaphylaxis, except:?
Upper airway oedema and bronchospasm
Stridor and wheezing
Tachycardia (heart rate > 110 per minute)
Circumoral paresthesia
169.In CPR, if one incorrectly apply pressure over xiphoid process the following may be injured:?
Heart
Liver
Spleen
Lungs
170.If cardiac arrest follows an anaphylactic reaction, which the priority of management is?
Start BLS immediately
Administer 100% oxygen, flow rate: 10 litres/minute
Administer adrenaline, 0.5 ml (1:1000), IM. injection
Call for an ambulance
171.Which of the following is best treatment for hypoglycaemia in an unconscious diabetic patient?
IV administration of 50 percent dextrose in water
Administration of oral carbohydrates
Sublingual injection of 50 percent dextrose
None of All
172.The following are signs and symptoms of life+threatening asthma, except:?
Cyanosis or respiratory rate <8 per minute
Bradycardia (heart rate <50 per minute)
Exhaustion, confusion, decreased conscious level
Abdominal pain and vomiting.
173.The following are signs and symptoms of acute severe asthmatic attack, except:?
Inability to complete sentences in one breath
Convulsion and diarrhea
Respiratory rate >25 per minute
Tachycardia (heart rate >110 per minute)
174.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
175.The following are signs and symptoms of acute Angina and MI, except:?
Shortness of breath and increased respiratory rate
Skin becomes pale and clammy
Crushing pain in the right and across the front of chest
Nausea and vomiting are common
176.Which of the following is wrong about the management of angina and MI?
Assess the patient
Administer100% oxygen + flow rate: 10L/mn
Administer glyceryl trinitrate spray, 2 puffs sublingually or administer aspirin,300mg dispersible tablet, orally
Administer antibiotics.
177.Which of the following is not true of key signs of cardiac arrest?
Loss of consciousness
Tachycardia
Absence of breathing
Loss of pulse
178.Which of the following is wrong the management of cardiac arrest?
Call for an ambulance
Initiate BLS, using 100% oxygen or ventilation + flow rate: 10 litres/ minute
If a defibrillator is available, carry out early defibrillation
Administer IV blood fluid.
179.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
Abdominal pain and vomiting
Jerking movements of the limbs; the tongue might be bitten
180.Which of the following is not true the management of epilepsy?
Assess the patient
To restrain convulsive movements
Ensure the patient is not at risk from injury
Secure the patient’s airway and administer 100% oxygen+flow rate: 10L/mn
181.What is the first step to check before starting CPR?
Responsiveness and pulse
To establish airway
Blood pressure
All of the above
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