Halifax Community College

Signs and Symptoms of Presyncope

  • Exception: Pupil constriction

Management of Syncope

  • True or false: A patient experiencing syncope should be placed in a supine position?

    • Answer: true, and should have feet above the head.

  • Amount of oxygen for syncope: 4 to 6 liters.

Types of Syncope

  • Type of syncope related to underlying heart disease: Cardiac syncope.

  • Syncope is the most common medical emergency: True.

Shock Information

  • Most important step in all forms of shock: Contact EMS immediately.

  • Shock caused by severe allergic reaction: Anaphylactic shock.

  • Patient with brain stem disease experiencing shock: Neurogenic shock.

  • True or false: Cell death during compensatory stage of shock?

    • Answer: False; happens in the refractory stage.

  • A patient in shock should be placed in a supine position: True.

  • Shock when gram-negative bacteria invade bloodstream: Septic shock.

Hyperventilation

  • Respirations per minute greater than 20: True.

  • Symptoms of hyperventilation mistaken for pulmonary embolus: True.

  • Position for patient suffering hyperventilation: Should be upright (False semi-supine).

  • Important step in controlling hyperventilation: Work with the patient.

Seizure Disorders

  • Almost half of seizures are idiopathic: True.

  • Classification of seizure disorders: Aura, duration, etiology, all of the above.

  • Clenching the jaw occurs during: Ictal phase.

  • Primary task during a seizure as a dental professional: Prevent injury to the patient.

  • Seizures are usually life-threatening: False.

  • Generalized tonic-clonic seizures are the most common type: True.

  • 90% of epileptics have generalized tonic-clonic seizures: True.

  • Preceding symptom before seizure activity: Aura.

Cerebrovascular Accidents (CVA)

  • If a patient is suffering from a seizure, they should be placed in a supine position: True.

  • African American population are more at risk for CVAs: True.

  • Aging population (65 years or older) are at greater risk for CVAs: True.

  • Common etiology of CVAs: Atherosclerosis.

  • Brief episode of neurological dysfunction caused by ischemia lasting less than an hour: TIA (Transient Ischemic Attack).

  • Atrial fibrillation increases risk of CVAs by fivefold: True.

Symptoms of Acute Ischemic CVA

  • All the following are symptoms of acute ischemic CVA except: Chest pain.

  • First and most important step if suspecting CVA: Call 911.

  • Treatment position for CVA: Semi-supine.