OMSA FALL 2023 PRACTICE TEST

A patient who is a 72 year old male presents for his implant surgery. He has a history of an MI 6 years
ago with angioplasty and a stent. He tells you that he stopped his aspirin a week ago (not instructed by
his physician but he just did that on his own). Before you start, he complains of a vague chest pain,
almost like indigestion, but it is radiating to his left arm. He is also diaphoretic (sweating). Your diagnosis
(what is causing it) for this patient is: correct answerAngina, possible heart attack (MI)
The safest time to extract a “bad tooth” on pregnant patient is: correct answerSecond trimester
A patient is experiencing a laryngospasm (spasm of the vocal cords). The correct sequence for the
treatment of this is: correct answerStop, pack off site, suction, positive pressure oxygen, succinylcholine
Drugs (PO, IM or IV) given to patients are usually metabolized (broken down) in the body by what organ:
correct answerLiver
A pediatric airway is different than an adult airway in that: correct answerKids have a larger tongue and
a conical shaped airway
Your patient is a relatively difficult anesthetic: he is morbidly obese with a short neck, recessed lower
jaw, and Mallampatti score of VI. You’re struggling to chin him. You’ve already put in a nasal pharyngeal
airway. What else might you try before you intubate him? correct answerLaryngeal-Mask-Airway
A laryngospasm (spasm of the vocal cords) a disorder of the: correct answerUpper airway
Which monitor gives the most information about ventilation? correct answerCapnograph
The most frequent anatomical cause of airway obstruction is the: correct answerTongue
A patient with Type II (non-insulin dependent) diabetes would typically be taking pills to control their
blood glucose (blood sugars) and to control their diabetes. correct answerTrue

The classification of drugs used to relieve pain are called: correct answerNarcotics
The most common cardiac rhythm seen on the EKG for an adult patient in cardiac arrest is? correct
answerVentricular Fibrillation
Which of the follow general drug categories are used to treat someone who is experiencing an asthma
“attack”: correct answerBeta Agonists
The Mallampatti Classification system is used by Oral & Maxillofacial Surgeons to assess the airway of
patients. This classification allows your surgeon to have an idea if this patient will have a difficult airway.
You have the patient open their mouth and stick out their tongue. You do not see any part of the uvula
and can only see part of the soft palate. This patient has a Mallampatti classification of: correct answerIV
A patient comes in for the removal of a tooth. Which of these medical conditions would require this
patient to take an antibiotic premedication one hour prior to removal of that tooth. correct
answerProsthetic Heart Valve ( i.e. Aortic Valve replacement )
Insulin converts: correct answerGlucose to Glycogen
The pneumonic MONA stands for: correct answerMorphine, Oxygen, Nitroglycerin, Aspirin
Indications for patients to be on anticoagulation (blood thinner) medicines are: correct answer-Stroke
(CVA)
-Pulmonary Embolism (PE)
-History of blood clots in the leg (DVT or VTE)
The left side of the heart carries deoxygenated blood. correct answerFalse
As patients undergo anesthesia, they pass through different stages of anesthesia. According to the
American Society of anesthesiology, surgery is usually performed in what stage of anesthesia? correct
answerStage 3

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