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.