Medical Emergencies In the Dental Office 6th Edition by Stanley F. Malamed – Test Bank
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Malamed: Medical Emergencies in the Dental Office, 6th Edition
Test Bank
Chapter 3: Preparation
MULTIPLE CHOICE
1. The author
of the text recommends that each dentist:
|
a. |
purchase a stock, commercially
available emergency kit |
|
b. |
select items for the emergency kit
based on that doctor’s training in emergency medicine |
|
c. |
rely upon physicians who are also
dental patients for advice concerning contents of an emergency kit |
|
d. |
rely upon the local EMS team for
provision of emergency medications |
2. The
new wonder drug, propothiopentabarbitaldiazicon, which successfully reverses
any and all emergency situations that may ever occur, is marketed in a 1-mL
ampule as 80 mg/mL. What is the dose of this drug for a patient 25 years of
age?
|
a. |
10 mg |
|
b. |
20 mg |
|
c. |
40 mg |
|
d. |
80 mg |
|
e. |
160 mg |
3. The
new wonder drug, propothiopentabarbitaldiazicon, which successfully reverses
any and all emergency situations that may ever occur, is marketed in a 1-mL
ampule as 80 mg/mL. What is the dose of this drug for a patient 6 months of
age?
|
a. |
10 mg |
|
b. |
20 mg |
|
c. |
40 mg |
|
d. |
80 mg |
|
e. |
160 mg |
4. Which
of the following sites for injection of emergency drugs provides the most
effective and rapid uptake?
|
a. |
intramuscular route into the
anterolateral aspect of the thigh |
|
b. |
intramuscular route into the
mid-deltoid region of the upper arm |
|
c. |
intramuscular route into the upper
outer quadrant of the gluteal region |
|
d. |
intralingual injection into the body of
the tongue |
5. The
author recommends that only __________ be available in a preloaded syringe for
an emergency kit in a typical dental office.
|
a. |
hydrocortisone (Solu-Cortef) |
|
b. |
epinephrine |
|
c. |
diazepam (Valium) |
|
d. |
diphenhydramine |
6. Which
of the following is considered to be an essential (module 1) emergency drug?
|
a. |
anticonvulsant |
|
b. |
antihypertensive |
|
c. |
histamine-blocker |
|
d. |
opioid antagonist |
|
e. |
aromatic ammonia |
7. The
single most important step in the management of all emergency
situations, without exception, is:
|
a. |
administration of oxygen |
|
b. |
summoning EMS |
|
c. |
administration of aromatic ammonia |
|
d. |
basic life support, as needed |
|
e. |
none of the above |
8. What
fraction of an adult emergency drug dose should be administered to an
8-month-old male?
|
a. |
10% of the adult dose |
|
b. |
25% of the adult dose |
|
c. |
50% of the adult dose |
|
d. |
75% of the adult dose |
|
e. |
100% of the adult dose |
9. What fraction
of an adult emergency drug dose should be administered to an 8-year-old female?
|
a. |
10% of the adult dose |
|
b. |
25% of the adult dose |
|
c. |
50% of the adult dose |
|
d. |
75% of the adult dose |
|
e. |
100% of the adult dose |
10.
The proprietary name for epinephrine is:
|
a. |
Valium |
|
b. |
Vasoxyl |
|
c. |
Ventolin |
|
d. |
Nitro-stat |
|
e. |
not listed |
11.
The proprietary name for albuterol is:
|
a. |
Solu-Cortef |
|
b. |
Wyamine |
|
c. |
Ventolin |
|
d. |
Nitro-stat |
|
e. |
not listed |
12.
Which of the following is an antidotal drug for the reversal of
a benzodiazepine-induced overdose?
|
a. |
flumazenil |
|
b. |
aromatic ammonia |
|
c. |
meperidine |
|
d. |
oxygen |
|
e. |
naloxone |
13.
When injectable drugs are unavailable, which of the following
basic emergency drugs may be administered sublingually or transmucosally to
manage life-threatening elevations in blood pressure?
|
a. |
diazoxide (Hyperstat) |
|
b. |
propranolol (Inderal) |
|
c. |
nifedipine (Procardia) |
|
d. |
nitroglycerin (Nitrolingual spray) |
|
e. |
metoprolol (Lopressor) |
Malamed: Medical Emergencies in the Dental Office, 6th Edition
Test Bank
Chapter 4: Medicolegal Considerations
MULTIPLE CHOICE
1. Which
of the following dental scenarios would most likely lead to the largest legal
judgment?
|
a. |
temporary paresthesia |
|
b. |
broken needle |
|
c. |
permanent cosmetic injury |
|
d. |
brain damage from improperly
administered CPR during cardiac arrest |
2. Plantiffs’
attorneys are usually hired on a ______________ basis, while defense attorneys
are hired on a ___________ basis.
|
a. |
contingency fee; hourly |
|
b. |
contingency fee; contingency fee |
|
c. |
hourly; contingency fee |
|
d. |
hourly; hourly |
3. The
dentist must file an answer to a complaint or summons within _____ or risk a
default judgment.
|
a. |
24 hours |
|
b. |
7 days |
|
c. |
2 weeks |
|
d. |
30 days |
4. After
the dentist’s attorney has filed an answer to a complaint, a process known as
__________ begins.
|
a. |
a trial |
|
b. |
discovery |
|
c. |
a deposition |
|
d. |
a tort |
5. The
Latin phrase res ipsa
loquitur means:
|
a. |
the captain of the ship |
|
b. |
the thing speaks for itself |
|
c. |
relating to criminal law |
|
d. |
relating to civil law |
6. According
to the text:
|
a. |
negligence is doing something that an
ordinary prudent dentist would not do under the same or similar circumstances |
|
b. |
negligence and malpractice are not to
be used synonymously in lawsuits against health care providers |
|
c. |
negligence is not doing something that
a reasonably prudent dentist would do under the same or similar circumstances |
|
d. |
A, B, and C |
|
e. |
A and C |
7. Dentists
should require that patients update their medical history forms:
|
a. |
every 3 months |
|
b. |
every 6 months |
|
c. |
annually |
|
d. |
only at the time of their initial
appointment |
8. The
more thorough a dentist is in warning patients about possible risks, the more
prepared that dentist should be to prevent or treat those risks.
|
a. |
Both statements are true |
|
b. |
Both statements are false |
|
c. |
The first statement is true, the second
statement is false |
|
d. |
The first statement is false, the
second statement is true |
9. Which
of the following statements is true of Good Samaritan statutes?
|
a. |
A national standard has been adopted,
meaning Good Samaritan standards are uniform for all states |
|
b. |
A patient who suffers a medical
emergency in a dental office falls under protection of the Good Samaritan
statute |
|
c. |
A nonpatient of the dentist, who
happens to be in the waiting room and requires an emergency response, may
fall under protection of the Good Samaritan statute |
|
d. |
Good Samaritan statutes are considered
obsolete |
10.
Proactive measures for legal protection include:
|
a. |
practicing within the standard of
reasonableness |
|
b. |
maintaining continuing dental education |
|
c. |
documenting office procedures and
patient charts |
|
d. |
A, B, and C |
|
e. |
A and C |
Malamed: Medical Emergencies in the Dental Office, 6th Edition
Test Bank
Chapter 17: Diabetes Mellitus: Hyperglycemia and Hypoglycemia
MULTIPLE CHOICE
1. Diabetes
mellitus results from:
|
a. |
a deficiency in insulin secretion |
|
b. |
a reduction in the biological
effectiveness of insulin |
|
c. |
both A and B |
|
d. |
neither A nor B |
2. About
__% of the U.S. population has diabetes mellitus.
|
a. |
3 |
|
b. |
6 |
|
c. |
20 |
|
d. |
35 |
3. The
incidence of diabetes in the population of the United States has increased __%
within the past two decades.
|
a. |
10 |
|
b. |
25 |
|
c. |
40 |
|
d. |
50 |
4. According
to statistics, “one _____ of all children who currently have diabetes die of
renal disease an average of 25 years after the initial diagnosis.”
|
a. |
tenth |
|
b. |
fifth |
|
c. |
quarter |
|
d. |
half |
5. A
study of mortality in diabetic patients reported that the greatest percentage
of deaths was related to:
|
a. |
cerebrovascular disorders |
|
b. |
cardiovascular causes |
|
c. |
diabetic coma |
|
d. |
renal failure |
6. Which
of the following major categories of diabetic complications is most likely to
lead to diabetic retinopathy?
|
a. |
large blood vessel disease |
|
b. |
small blood vessel disease |
|
c. |
increased susceptibility to infection |
|
d. |
decreased susceptibility to infection |
7. Chronic
oral complications of diabetes mellitus include:
|
a. |
gingivitis |
|
b. |
increased incidence of dental caries |
|
c. |
periodontal disease |
|
d. |
A, B, and C |
|
e. |
A and C |
8. Hypoglycemia
is most commonly caused by which of the following in diabetic patients?
|
a. |
excess administration of insulin |
|
b. |
dietary indiscretion |
|
c. |
infection |
|
d. |
all of the above |
|
e. |
none of the above |
9. The
classic triad of diabetic symptoms includes polydipsia, polyphagia, and:
|
a. |
polydactyly |
|
b. |
polycythemia |
|
c. |
polyuria |
|
d. |
polymorphism |
10.
Which of the following problems does the following scenario
describe? The patient is hot and dry to the touch and has a florid
complexion, increased frequency of urination, increased thirst, and loss of
weight with an increased appetite.
|
a. |
hypothyroidism |
|
b. |
hyperthyroidism |
|
c. |
acute adrenal insufficiency |
|
d. |
hypoglycemia |
|
e. |
hyperglycemia |
11.
Classically, hypoglycemia presents as:
|
a. |
coma |
|
b. |
hyperthermia |
|
c. |
asymptomatic—laboratory diagnosis only |
|
d. |
tachycardia, cold clammy skin, anxiety,
or sleepiness |
12.
A patient who is cold and sweaty, is shaking mildly, and has an
apparent degree of mental disorientation exhibits signs of:
|
a. |
hypoglycemia |
|
b. |
hypothyroidism |
|
c. |
cerebrovascular accident |
|
d. |
hyperglycemia |
|
e. |
hyperthyroidism |
13.
Immediate management of a patient with type 1 diabetes who loses
consciousness is:
|
a. |
BLS, as indicated |
|
b. |
oxygen, via positive pressure |
|
c. |
administration of “sugar” orally |
|
d. |
administration of “sugar” transmucosally |
|
e. |
administration of “sugar” intravenously |
Malamed: Medical Emergencies in the Dental Office, 6th Edition
Test Bank
Chapter 31: Pediatric Considerations
MULTIPLE CHOICE
1. Emergencies
associated with _____________ occur more often in children than adults.
|
a. |
local anesthetic |
|
b. |
chronic obstructive pulmonary disease |
|
c. |
CNS-depressant drug administration |
|
d. |
A, B, and C |
|
e. |
A and C |
2. According
to the author, the most likely scenario for a serious drug-related emergency
developing in dentistry is a/an:
|
a. |
older rather than younger child |
|
b. |
heavier rather than lighter weight
child |
|
c. |
child receiving multiple quadrants of
dental treatment |
|
d. |
child in the office of a pediatric
dentist |
|
e. |
child in the office of an older dentist |
3. For
purposes of BLS, a child was defined by the American Heart Association for
healthcare providers in 2005 as being from _________ .
|
a. |
1 through 6 years old |
|
b. |
1 through 7 years old |
|
c. |
1 through 12 years old |
|
d. |
2 through 12 years |
|
e. |
1 year old to the start of puberty |
4. The
primary cause of cardiac arrest in children is:
|
a. |
myocardial infarction |
|
b. |
ventricular fibrillation |
|
c. |
atrial fibrillation |
|
d. |
airway obstruction or respiratory arrest |
5. ________
should be included in an emergency drug kit if opioids are used.
|
a. |
midazolam |
|
b. |
diazepam |
|
c. |
naloxone |
|
d. |
triazolam |
6. In an
infant, pulse is determined by palpation of the:
|
a. |
sixth rib |
|
b. |
carotid artery |
|
c. |
brachial artery |
|
d. |
radial artery |
|
e. |
ulnar artery |
7. Which
of the following methods of drug administration can be titrated?
|
a. |
intravenous |
|
b. |
intramuscular |
|
c. |
oral |
|
d. |
A, B, and C |
|
e. |
A and C |
8. During
conscious sedation, it is most important to monitor:
|
a. |
blood pressure |
|
b. |
pulse |
|
c. |
respiratory rate |
|
d. |
CNS depression |
9. The
audible alarm on a pulse oximeter for “low” oxygen saturation is typically set
at __ %.
|
a. |
50 |
|
b. |
75 |
|
c. |
80 |
|
d. |
90 |
|
e. |
95 |
10.
The recommended rate of rescue breathing for an infant or child
victim is one breath every ____ seconds.
|
a. |
3 |
|
b. |
5 |
|
c. |
10 |
|
d. |
20 |
11.
In a pediatric situation, a single rescuer should __________
first.
|
a. |
phone |
|
b. |
activate EMS |
|
c. |
start BLS |
|
d. |
obtain the AED |
12.
The 2005 American Heart Association guidelines recommend a chest
compression rate of about ___ per minute for the child victim.
|
a. |
60 |
|
b. |
80 |
|
c. |
100 |
|
d. |
150 |
13.
A compression ventilation ratio of _____ is recommended for a
single rescuer and child victim.
|
a. |
30:2 |
|
b. |
15:2 |
|
c. |
5:1 |
|
d. |
3:1 |
14.
Which of the following statements is true concerning use of an
AED for children 1 to 8 years of age?
|
a. |
If the rhythm is shockable, deliver one
shock, then resume CPR immediately |
|
b. |
If the rhythm is shockable, deliver one
shock, then resume BLS immediately |
|
c. |
If the rhythm is not shockable, resume
CPR immediately |
|
d. |
If the rhythm is not shockable, wait 2
minutes and than attempt to shock again |
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