MED 61-120

61. Which of the following is not true the management of epilepsy?

Assess the patient

Do not try to restrain convulsive movements

Ensure the patient is not at risk from injury

Secure the patient’s circulation

Administer 100% oxygen+flow rate: 10L/mn

62. The following are signs and symptoms of faint, except….

63. The following are key signs of Hypoglycaemia, except…

Aggression and confusion

Sweating

Tachycardia (heart rate >110 per min

Cyanosis

64. The following are the symptoms of Hypoglycaemia, except…

65. The following are the managements of Hypoglycaemia, except…

Assess the patient

Administer 100% oxygen+flow rate: 10L/mn

Administer oral glucose (10–20 g), repeated, after10–15 minutes

Administer adrenaline, 0.5 ml (1:1000), IM. Injection

66. Which of the following is wrong of the management of Hypoglycaemia with the unconscious patient?

Assess the patient

Administer 100% oxygen+flow rate: 10L/mn

Administer oral glucose (10–20 g), repeated, after10–15 minutes

Or Administer glucagon, 1 mg, IM

67. Which of the drug is not true for the management of Anxiety patient?

Midazolam

Diazepam

Lorazepam

Ketamine

68. The patients with congestive heart failure may have all of these conditions, except:

Extreme dyspnea

Hyperventilation

Extreme headache

Cyanosis

69. The patients with congestive heart failure may have all of these conditions, except:

Cough

Hemoptysis

Difficulty in breathing

Teary eyes

70. The incorrect preventive measure before the surgical procedure for a patient with congestive heart failure is

Written consent from the patient’s cardiologist

Oral premedication

Long painless appointments

Small amounts of vasoconstrictors in local anesthesia

71. The preferred position for the patients with congestive heart failure is

Standing position

Sitting position.

Sleeping position

Sleeping position with legs raised a bit upward

72. The incorrect preventive measure before the surgical procedure for a patient with angina pectoris is

Oral premedication, usually 20+50mg diazepam

Written consent from the patient’s cardiologist

Small amounts of vasoconstrictors in local anesthesia

Dental surgery in hospital

73. What is the most common emergency in dental office?

Asthma

Angina pectoris

Postural hypotension

Syncope

74. Which age group and gender is most commonly prone to syncope or faint?

Between the ages of 45 to 65 years and more women than men

Between the ages of 16 to 35 years and more men than women

Between the ages of 65 to 85 years and equal genders

It happens in all age groups

75. Why pediatric patients rarely develop syncope?

Because they are very healthy

Because they are not nervous

Because they do not hide their fears and readily react emotionally and physically during a stressful situation

Because they usually go the dental clinic with their parents

76. What happens to us when vasovagal reaction starts?

Bradycardia

Hypotension

Hypoxia of the brain

All of the above

77. Which one of the following is NOT the causes of syncope?

Pollen

Cardiac

Peripheral vascular

Cerebrovascular

78. Which one of the following is NOT the symptoms of syncope?

Breathing – irregular, jerky & gasping

Weak thready pulse

Convulsive movements

Bronchospasm

79. Which one of the following is NOT the non+psychogenic factors predispose to syncope?

Sitting in upright position or standing

Emotional stress

Hunger (from dieting & missed meals)

Exhaustion or fatigue

80. What are the late symptoms of presyncope stage?

Cold hands and feet

Visual disturbances

Dizziness

All of the above

81. Which one of the following is not the sign and symptoms of postsyncoppe stage?

Sweating

Urticaria

Pallor

Nausea

82. For the management of patients with syncope, why do we need to place head lower than heart with legs slightly raised?

To restore normal heart rate

To normalize pulse rate

To allow blood flow into the brain

To raise blood sugar level

83. When do you need to place the patients in Recovery Position?

When they loose consciousness but are still breathing

When they are still fully conscious

When they are in seizure

When they have got hyperventilation

84. Which of the following is NOT the vital signs?

Pulse

Blood pressure

Enlarged lymph nodes

Respirations and temperature

85. When do you have to reassure the patients?

Before starting the dental treatment

During dental procedures

After the procedures

All of the above

86. Which one of the following statement is NOT the symptoms and signs of hypoglycaemia?

Hunger

Itching

Sweating

Pins and needles in lips and tongue

87. In which case Glucagon is injected subcutaneously?

Conscious hypoglycaemia

Unconscious hypoglycaemia

Syncope

Angina pectoris

88. Why glucose or dextrose is not allowed to give IM and subcutaneous?

Because it can cause drug reaction

Because if can cause tissue abscess

Because this will cause tissue necrosis

Because this will cause severe pain

89. What happens if you give insulin to a hypoglycemic patient?

The patient will feel better

The patient will feel dizzy

The patient will be relaxed

The patient would die

90. How do you put a semiconscious or unconscious patient in a recovery position?

The patient lay upside down

The patient is placed to the right side

The patient placed to the left side with the arms and legs crossed over

The patient is seated in a semi+supine position

91. Why do we place a semiconscious or unconscious patient in a recovery position?

To permits fluids to drain from the nose and throat so they are not breathed in

To allow the patient sleep better

To avoid injury to the neck

To avoid head injury

92. Which one of the following statements is NOT the symptoms of allergy?

Red, itchy, watery eyes

Sneezing, congestion, runny nose

Cold hands and feet

Itchy or sore throat, postnasal drip, and cough

93. For management of allergy, which oral antihistamine is best?

Promethazine (Phenegan*)

Diphenhydramine (Benadryl*)

Dramamin

Cetirizziine

94. Which one of the following statement is NOT the symptoms of overdose reactions of local anesthetic?

Confusion, talkativeness

Muscular twitching, facial tremor

Blurred vision

Headache, tinnitus, drowsiness, disorientation

95. How do you manage the overdose reaction of LA?

Administer 100%

Inject hydrocortisone

Inject anticonvulsant such as Diazepam

Administer 100% and Inject anticonvulsant such as Diazepam

96. Why anaphylaxis is the severe life threatening condition?

Because it can cause laryngeal oedema

Because it can cause bronchospasm

Because it can cause airway obstruction and cardiac arrest

All of the above

97. What are the typical symptoms and signs of anaphylazis?

Urticaria

Rapid swelling of the lips, tongue and the top of the feet and hands

Stridor and wheezing

All of the above

98. Which one of the following statement is NOT the treatment of anaphylxis?

Inject Glucagon

Give high flow Oxygen (10 Litres /minute) by face mask.

Monitor vital signs

Inject adrenalin 1:1000 IM

99. For the treatment of anaphylaxis over the age of 12 years old, how much adrenalin 1:1000 do you have to inject intramuscularly?

0.15ml

0.3ml

0.5ml

5ml

100.In the treatment of anaphylaxis between the age of 6 to 12 years old, how much adrenalin 1:1000 do you have to inject intramuscularly?

0.3ml

0.15ml

0.5ml

0.25ml

101.For the treatment of anaphylaxis under the age of 6 years old, how much adrenalin 1:1000 do you have to inject intramuscularly?

1.5ml

0.15ml

0.25ml

0.50ml

102.How much oxygen do you use for the management of anaphylaxis?

Low flow of 4L per minute

Medium flow of 6L/minute

Pretty high flow of 7L/minute

High flow of 10 Litres /minute by face mask

103.How much normal saline (0.9% w/v sodium chloride) IV do you use for the management of anaphylaxis?

1000 ml

2000 ml

1 + 3 litres

1000 ml and 1 + 3 litres

104.When the second dose of adrenalin is necessary to use for the management of anaphylaxis?

After 5 minutes of no clinical improvement

After 7 minutes of no clinical improvement

After 10 minutes of no clinical improvement

After 15 minutes of no clinical improvement

105.In postural hypotension, the systolic blood pressure can drop to:?

50 mm Hg in one minute

60 mm Hg in one minute

70 mm Hg in one minute

80 mm Hg in one minute

106.Which one of the following statement is NOT the predisposing factor to postural hypotension?

Prolonged period of leaning or recovery from prolonged sickness

Late stage pregnancy and advanced age

Taking steroid over 6 months

Taking drugs such as sodium depleting diuretics, calcium channel blockers & ganglion blocking agents, sedatives and narcotics, histamine blockers

107.What does postural hypotension differ from vasodepressor syncope?

The heart rate during postural hypotension remain at the baseline level or somewhat higher

The heart rate during postural hypotension is lower than syncope

The pulse rate in postural hypotension is faster

The blood pressure in hypotension is higher than in syncope

108. What is the first step for the management of postural hypotension?

Give oxygen

Start ABC

Sit the patient upright

Lay the down with the feet slightly elevated

109.Which one of the following statement is NOT the prevention of postural hypotension?

Patient should be slowly returned to erect position at end of the treatment

Patient should quickly sit up and walk away immediately

Two or three positional changes over a period of minute or two to reach the upright position.

Patients should be cautioned against rising too rapidly from supine or semi+supine position.

110.What is the characteristic pain of angina pectoris?

Acute severe pain under the sternum

Chronic moderate pain in the chest

Intermitten pain in the head

Tender in the TMJ

111.What are the precipitating factors of angina?

Exercise

Emotion

Heavy meal

All of the above

112.Which one of the following statement is NOT the management of angina?

Discontinue dental treatment

Position the patient supine with feet elevated

Administer oxygen

Apply nitroglycerin sublingually

113. Which conditions Glyceryl Trinitrate is prescribed?

For the treatment of allergy

For the relief of severe chest pain caused by angina and myocardial infarction

For the treatment of asthma

For the treatment of epilepsy

114.What is the difference between angina pectoris and acute myocardial infarction?

Angina is more intense and longer pain than acute myocardial infarction

Angina can cause sudden death

Acute myocardial infarction is a severe and prolonged substernal pain, but more intense and of longer duration than the angina pectoris.

Acute myocardial infarction is less severe than angina and doesn't cause sudden death

115.Which one of the following statement is NOT the management of myocardial infarction?

Administer oxygen

Infuse normal saline

Administer aspirin sublingually

Manage pain with parenteral opioids

116. Which medicines that can be used for the treatment of angina and myocardial infarction?

Glyceryl Trinitrate spray or tablet

Midazolam

Aspirin tablet dissolve under the tongue

Glyceryl Trinitrate spray and Aspirin tablet dissolve under the tongue

117.What is the dosage of chewable Aspirin for the treatment of acute coronary syndrome?

150mg

200mg

300mg

500mg

118. Which one of the following statement is NOT the management acute coronary syndrome?

Breath in clap hands

Give 300mg Aspirin: chewed or dissolved before swallowing

Monitor patient's vital signs: respiration, pulse, BP, oxygen saturation. If patient loses consciousness do Basic Life Support

Start CPR if they stop breathing

119.Which one of the following statement is NOT the trigger of seizure?

Stress/anxiety

Missed medication

Lack of sleep/extreme fatigue

Anticonvulsant medication

120.Which one of the following statement is NOT the management of siezure?

Position supine with patient placed on flat surfaces

Remove dangerous objects from the mouth and around the patient eg. Sharp instruments

Loosen any tight clothing

Restrain the patient

MED 61-120

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