Chapter 31, Final review

Before beginning dental treatment, an important way to prevent a dental emergency is to be certain the patient has

A. taken his or her medications.

B. eaten.

C. completed or updated his or her medical history.

D. signed a consent form.

C. completed or updated his or her medical history.

During a medical emergency, the dentist and staff are responsible for providing emergency care until

A. the emergency situation is resolved and the patient recovers.

B. more qualified personnel arrive.

C. someone calls 9-1-1 and emergency care is dispatched.

D. a physician is contacted by telephone.

B. more qualified personnel arrive.

Because a medical emergency can happen at any time, it is important for the dental assistant to

A. check the patient's pulse every 15 minutes.

B. be alert and continuously observe the patient to watch for problems.

C. check the patient's blood pressure throughout the procedure.

D. do both A and C.

B. be alert and continuously observe the patient to watch for problems.

A(n) _____ is what a patient tells you regarding how he or she feels or what he or she is experiencing; a(n) ______ is what you observe in a patient.

A. symptom; sign

B. sign; symptom

C. observation; notation

D. notation; observation

A. symptom; sign

The 2010 CPR sequence of steps C-A-B stands for

A. care, access, and breath.

B. circulation, airway, and breathing.

C. chest compressions, airway, and breathing.

D. chest compressions, access, and breathing.

C. chest compressions, airway, and breathing.

The cells of the brain are damaged irreversibly after _____ without oxygen.

A. 1 hour

B. 4 to 6 minutes

C. 10 to 20 minutes

D. 30 minutes

B. 4 to 6 minutes

When the patient's hands go to his throat when spasms of coughing or choking occur, it indicates

A. ventricular fibrillation.

B. aspiration of a foreign object.

C. Postural hypotension.

D. syncope.

B. aspiration of a foreign object.

The most frequently used drug in a medical emergency is

A. glucose.

B. epinephrine.

C. oxygen.

D. ammonia inhalant.

C. oxygen.

When defibrillation is provided within the first 5 minutes of cardiac arrest, there is about a ______ chance that you can save the victim's life.

A. 10%

B. 25%

C. 50%

D. 75%

C. 50%

The dental assistant's responsibility in a medical emergency is to

A. recognize the symptoms and signs of a significant medical complaint.

B. provide appropriate support in implementing emergency procedures.

C. diagnose a specific condition or emergency situation.

D. do both A and B.

D. do both A and B.

Most emergencies in the dental office occur

A. when the patient arrives or immediately thereafter.

B. when the patient completes the health history form.

C. during or immediately after administration of local anesthesia.

D. after the procedure is completed and the patient is dismissed.

C. during or immediately after administration of local anesthesia.

A reduction of blood flow to the brain that causes the patient to lose consciousness is called

A. syncope.

B. a seizure.

C. hypertension.

D. decompression.

A. syncope.

If a pregnant patient feels dizzy or lightheaded while in a supine position, the patient should be

A. turned onto her right side or moved into an upright sitting position.

B. turned onto her left side or moved into an upright sitting position.

C. placed so that her feet are elevated above her head while maintaining a supine position.

D. placed i a prone position so that her feet are elevated above her head.

B. turned onto her left side or moved into an upright sitting position.

Any unexplained chest pain should be treated as

A. epigastric distress.

B. syncope.

C. angina.

D. a potential acute myocardial infarction.

D. a potential acute myocardial infarction.

The condition precipitated by stress and anxiety that can manifest in rapid, shallow breathing, light-headedness, rapid heartbeat, and a panic-stricken appearance is

A. an asthma attack.

B. hyperventilation.

C. angina.

D. an allergic reaction.

B. hyperventilation.

An allergy is an altered state of reactivity in body tissues in response to specific

A. anaphylaxis.

B. antigens.

C. antibodies.

D. erythema.

B. antigens.

CPR differs slightly in adults versus children and infants because of

A. a child has a smaller body size.

B. a child needs a smaller amount of oxygen.

C. an Automated External Defibrillator (AED) cannot be used for a child.

D. a precordial thump should be used with an adult, but not a child.

C. an Automated External Defibrillator (AED) cannot be used for a child.

Which of the following is recommended following the occurrence of an emergency in the dental office?

A. Don't do anything as it may alarm subsequent patients.

B. Record full documentation of the details of the emergency.

C. File a "Police Report" with the local law enforcement agency.

D. Call the local newspapers to publicize the occurrence.

B. Record full documentation of the details of the emergency.

The rate of compression for an adult, child and infant is ______ compression per minute.

A. 80

B. 70 to 90

C. 100

D. 80 to 100

C. 100

Erythema is another term for

A. pain.

B. redness.

C. swelling.

D. infection.

B. redness.

A definitive sign or symptom of hyperglycemia is

A. thirst.

B. breath that smells sweet.

C. contusion.

D. falling asleep.

B. breath that smells sweet.

Which of the following drugs in a basic emergency kit is intended to be used to treat bronchospasm with asthma?

A. Ammonia inhalant

B. Diphenhydramine (Benadryl)

C. Albuterol (Ventolin)

D. Nitroglyceri (Nitrostat)

C. Albuterol (Ventolin)

Slurred speech, headache, and numbness on one side of body are most likely indications of a

A. heart attack.

B. diabetic coma.

C. cerebrovascular accident.

D. toxic drug reaction.

C. cerebrovascular accident.

What certification credential does a dental assistant have to possess to meet emergency care standards?

A. Heart saver -- CPR

B. Advanced Life Support -- CPR

C. Basic Life Support -- Healthcare Provider -- CPR

D. First-aid car

C. Basic Life Support -- Healthcare Provider -- CPR

When using an automated external defibrillator (AED), it is important that the operator does not have contact with the patient during

A. the application of pads.

B. the analyze phase.

C. shock.

D. Both B and C.

D. Both B and C.

Which of the following is the correct thing to do if a patient has a generalized seizure while sitting in the dental chair?

A. Quickly rub the soft palate with a gloved finger in order to stimulate the gag reflex.

B. Quickly remove all materials from the patient's mouth, and put the dental chair so the patient is in a supine position.

C. Place a pencil in the patient's mouth so the patient will not bite the dentist's fingers.

D. Move the patient from the dental chair to the floor of the dental treatment room.

B. Quickly remove all materials from the patient's mouth, and put the dental chair so the patient is in a supine position.

Myocardial infarction is commonly known as

A. a stroke.

B. hypertension.

C. a heart attack.

D. angina.

C. a heart attack.

A patient receiving dental treatment starts complaining of a severe pain in the chest. The medical history indicates the patient has angina. Which medication is the patient is likely to have?

A. Insulin

B. Dilantin

C. Nitroglycerin

D. Bronchodilator inhaler

C. Nitroglycerin

The universal signal for choking is

A. coughing.

B. laughing.

C. turning blue.

D. placing hands to the throat.

D. placing hands to the throat.

A patient is brought to an upright position rapidly and loses consciousness or a level of consciousness. This is known as

A. postural hypotension.

B. hypertension.

C. hypoglycemia.

D. stroke.

A. postural hypotension.