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A diabetic patient on insulin is scheduled for à dental procedure. What is the best time for the appointment?

a. Early moming after breakfast

b. Afternoon before lunch

C. Evening after dinner

d. Midday without eating

a. Early morning after breakfast

2. . A patient shows signs of orthostatic hypotension upon standing after a prolonged procedure. What is your immediate response?

a. Position the patient upright

b. Place the patient in a supine position with legs elevated

C. Administer oxygen and monitor vitals

D. Provide oral glucose solution

b.Place the patient in a supine position with legs elevated

3. . During a biographic data collection, which of the following is critical for ensuring reliable medical history?

a. Address and occupation

b. Chief complaint

C. Physician's contact details

d. Verbatim patient response

d.Verbatim patient response

. A 35-year-old patient arrives complaining of swelling and pain in the lower jaw. Which component of the SOAP method is being addressed during this complaint?

a. Subjective

b. Objective

c. Assessment

d. Plan

a. Subjective

. A hypertensive patient arrives for a dental procedure. The patient's blood pressure reads 180/120 mmg.

What should you do?

• Administer local anesthesia with epinephrine

• Proceed with routine care

• Postpone treatment and refer to a physician

• Use NSAIDs for pain relief

• Postpone treatment and refer to a physician

Which ASA classification corresponds to a patient with controlled hypertension?

A. ASA I

B. ASA II

C. ASA III

d. ASA IV

b. ASA II

. During a routine evaluation, you notice a lesion in the buccal mucosa. To which SOAP component does observation belong?

• Subjective

• Objective

• Assessment

• Plan

​

• Objective

A patient suddenly experiences chest tightness and pain radiating to the left arm. What is your initial management step?

• Administer oxygen and reassure the patient

• Administer aspirin immediately

• Administer nitroglycerin and monitor symptoms

• Start CPR

​

Administer nitroglycerin and monitor symptoms

During physical evaluation, which finding would be recorded as "Objective"?

a. Swelling in the lower jaw

b. "Toothache" described by the patient

c. "Pain for 3 weeks" stated by the patient

d. Difficulty in chewing as described by the patient

a. Swelling in the lower jaw

In the case of foreign body aspiration during a procedure, which initial action should you take?

• Perform the Heimlich maneuver

• Place the patient in a Trendelenburg position

• Use suction to retrieve the object

• Reassure the patient and observe

• Perform the Heimlich maneuver

Which drug is contraindicated in asthmatic patients due to the risk of triggering an attack?

• Aspirin

• Acetaminophen

• Ibuprofen

• Codeine

• Aspirin

A patient reports numbness and tingling

in the lips after receiving local anesthesia. What could this

indicate?

• Normal side effect

• Early sign of local anesthetic toxicity

• Allergic reaction to the anesthetic

• Vasovagal syncope

• Early sign of local anesthetic toxicity

What is the primary reason for assessing the patient's biographic data during history taking)

• To verify insurance details

• To determine treatment costs

• To ensure accurate patient identification

• To predict potential systemic complications

• To ensure accurate patient identification

A patient experiences a grand mal seizure during a procedure. What should be your first action?

• Restrain the patient to prevent injury

• Administer diazepam immediately

• Terminate treatment and ensure the patient's safety

• Begin CPR

• Terminate treatment and ensure the patient's safety

What is a significant dental risk in a pregnant patient during the second trimester?

• Use of local anesthesia

• Dental imaging without shielding

• Supine positioning during surgery

• Nitrous oxide administration

• Supine positioning during surgery

For patients undergoing dialysis, when should dental procedures ideally be scheduled?

• The day after dialysis

• Immediately after dialysis

• A week after dialysis

• Before the next dialysis session

• The day after dialysis

The review of systems often helps identify:

• Biographic data

• Undiagnosed medical conditions

• The chief complaint

• Laboratory test results

• Undiagnosed medical conditions

What is the recommended position for a patient experiencing syncope in the dental chair?

a. Upright with head supported

• Supine with legs elevated

• Lying on the right side

• Semi-reclined with oxygen support

​

• Supine with legs elevated

Patient with poorly controlled hyperthyroidism presents for a tooth ext to monitor?

A. Oxygen saturation

B. Blood pressure

C. Body temperature

D. Thyroid-stimulating hormone levels

• Blood pressure

Which protocol is most effective for managing a patient with a high risk of anxiety during surgery?

• Nitrous oxide administration

• Fast-acting local anesthesia

• Providing headphones with music

• Administering IV antibiotics

• Nitrous oxide administration

A patient develops postoperative edema and pain after wisdom tooth extraction. What is the best management?

• Prescribe systemic antibiotics

• Apply cold packs and provide analgesics

• Perform surgical drainage immediately

• Reopen the extraction site and debride

• Apply cold packs and provide analgesics

A patient is suspected of having mandibular nerve injury post-extraction. Which symptom confirms this diagnosis?

• Difficulty opening the mouth

• Numbness in the lower lip

• Pain in the temporomandibular joint

• Swelling in the buccal mucosa

• Numbness in the lower lip

What is the most likely cause of prolonged bleeding after dental surgery in a patient on anticoagulants?

• Insufficient suturing

• High INR levels

• Poor postoperative care

• Use of epinephrine-containing anesthetics

• High INR levels

25. A patient undergoing dental surgery develops tachycardia and dizziness due to local anesthesia. what is the likely cause?

• Epinephrine toxicity

• Vasovagal syncope

• Allergic reaction

• Hypoglycemia

• Epinephrine toxicity

You are managing a patient with a history of myocardial infarction. The patient is taking aspirin daily. What is the appropriate action before performing an extraction?

• Stop aspirin 3 days before

• Stop aspirin 5 days before

• Proceed without stopping aspirin

• Substitute aspirin with another anticoagulant

• Stop aspirin 5 days before

A patient reports persistent numbness 48 hours post-third molar extraction. What is the most probable diagnosis?

• Normal postoperative healing

• Nerve compression injury

• Mandibular fracture

• Infection at the extraction site

• Nerve compression injury

What is the best way to manage accidental damage to the maxillary sinus canny a

• Perform immediate closure of the sinus communication

• Refer the patient to an ENT specialist

C. Administer systemic antibiotics and nasal decongestants

d. Instruct the patient to avoid strenuous activities

C. Administer systemic antibiotics and nasal decongestants

A diabetic patient undergoing oral surgery reports symptoms of hypoglycemia mid-procedure. What is the vexAn first step?

• Administer intravenous glucose

• Terminate the procedure and provide a sugar source

• Reassure the patient and monitor blood sugar

• Provide insulin to balance glucose levels

• Terminate the procedure and provide a sugar source

During a tooth extraction, the clinician accidentally creates an oroantral communication. What should the clinician avoid advising the patient post-operatively?

a. Avoid smoking

c. Avoid using a straw

b. Avoid nose-blowing

d. Avoid talking

d. Avoid talking

. A patient with a bleeding disorder presents for dental care. What test is most critical before proceeding?

a. Prothrombin time (PT)

c. Complete blood count (CBC)

b. Blood glucose levels

d. Platelet function test

a. Prothrombin time (PT)

A patient presents with difficulty breathing, rash, and swelling after administration of a local anesthetic.

What is the priority intervention?

• Administer antihistamines

• Inject epinephrine intramuscularly

• Place the patient in a supine position

• Provide oxygen therapy

• Inject epinephrine intramuscularly

A patient reports numbness and tingling in the lips after receiving local anesthesia. What could this indicate?

• Normal side effect

• Early sign of local anesthetic toxicity

• Allergic reaction to the anesthetic

• Vasovagal syncope

• Early sign of local anesthetic toxicity

In the case of alveolar osteitis, what is the best initial management step?

• Irrigate the socket and apply a medicated dressing

• Prescribe systemic antibiotics

• Perform a second surgical debridement

• Provide strong analgesics

• Irrigate the socket and apply a medicated dressing

Which step is critical in managing a patient with angina during a dental procedure?

• Administer oxygen and stop the procedure

• Provide nitroglycerin and continue treatment

• Elevate the patient's legs

• Administer aspirin immediately

• Administer oxygen and stop the procedure

A patient develops postoperative infection with delayed healing after tooth extraction. Which factor likely contributed to this complication?

• Poor oral hygiene

• Excessive use of anesthesia

• Lack of preoperative antibiotics

• Inadequate removal of debris

• Poor oral hygiene

Controlled bleeding is essential during surgery. Which step should follow if primary measures fail?

a. Use of hemostatic agents

c. Administer systemic antibiotics

b. Increase blood pressure

d. Change the surgical approach

a. Use of hemostatic agents

What is the primary reason for deferring treatment in a patient presenting with a severe respiratory infection?

• Increased risk of spreading infection

• Potential difficulty in breathing during the procedure

• Poor healing outcomes post-procedure

• Risk of adverse drug reactions

• Potential difficulty in breathing during the procedure

an drug is most effective in managing an acute allergic reaction in the dental clinic?

A. Diazepam

B. Epinephrine

• Nitroglycerin

• Aspirin

b. Epinephrine

40. what is the best way to ensure safe treatment for a patient with liver disease undergoing oral surgery?

A. Monitor prothrombin time and INR

b. Avoid local anesthetics

• Schedule the procedure In the afternoon

• Prescribe systemic antibiotics beforehand

A. Monitor prothrombin time and INR

A patient experiencing hyperventilation during a procedure begins to show signs of distress. What is your immediate action?

• Encourage slow, controlled breathing into a paper bag

• Administer intravenous glucose

• Provide oxygen therapy

• End the procedure immediately

• Encourage slow, controlled breathing into a paper bag

. During oral surgery, a patient begins to experience an anaphylactic reaction. What is the priority medication to administer?

c. Corticosteroids

a. Diphenhydramine

d. Oxygen

b. Epinephrine

b.Epinephrine

43. A patient with a known bleeding disorder requires tooth extraction. What is the most important properative

• Administer a clotting factor replacement

• Conduct a platelet count

• Avoid epinephrine-containing anesthetics

• Monitor blood glucose levels

• Administer a clotting factor replacement

What is the best position for a pregnant patient experiencing syncope during a procedure?

a. Supine with legs elevated

c. Upright with oxygen support

b. Left lateral decubitus position

d. Trendelenburg position

b. Left lateral decubitus position

45. Following a wisdom tooth extraction, a patient develops dry socket. What is the first-line treatment?

a. Irrigation and placement of a medicated

b. Antibiotic therapy

dressing

• Administration of analgesics

• Debridement and surgical closure

a. Irrigation and placement of a medicated

46. A patient undergoing dental surgery develops sudden chest pain and shortness of breath. Which condition should you suspect first?

• Myocardial infarction

• Pulmonary embolism

• Anxiety attack

• Pneumothorax

• Myocardial infarction

47. After administration of a local anesthetic, the patient complains of a metallic taste and dizziness. What is the probable diagnosis?

A. Early sign of anesthetic overdose

B. Vasovagal syncope

• Hypoglycemia

• Alleraic reaction

A. Early sign of anesthetic overdose

A patient with diabetes reports dizziness and sweating mid-procedure. What should you immediately-provide?

• Glucose tablets or a sugary drink

• Insulin

• Epinephrine

• IV fluids

• Glucose tablets or a sugary drink

During postoperative follow-up, a patient reports persistent swelling and fever at the surgical site. What is the likely diagnosis?

• Normal healing response

• Surgical site infection

• Osteomyelitis

• Allergic reaction to medication

• Surgical site infection

50. A patient undergoing conscious sedation for oral surgery begins to vomit. What is your immediate action?

• Turn the patient's head to the side to prevent aspiration

• Administer antiemetics

• Suction the airway

• Stop the procedure and call for assistance

• Turn the patient's head to the side to prevent aspiration