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Odomstudent Questions 1

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robbypowell's version from 2017-02-13 00:36

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Major cardiovascular risk factors include A. Cigarette smoking B. Obesity C. Diabetes Mellitus D. Family History E. All of the aboveE all of the Above
All of the following describe Acute Coronary Syndromes (ACS) except A. Signifies a worsening of the CVD B. Less severe and shorter duration than AP C. Describes patients with unstable angina D. Describes patients with STEMI or non-STEMIB. Less severe and shorter duration than AP
Which of the following is not an early sign of hypertension? A) Dizziness B) Tinnitus C) Headache D) All of the above are signsB) Tinnitus
What is the most common cause of CHF?Coronary Heart Disease
T/F: The ejection fraction (EF) is the amount of blood pumped out of the ventricle divided by the total amount of blood in the ventricle.True
T/F: A normal EF value would be between 40-50%.False
True/ False: We can use appropriate levels of local anesthetic (2 carpules 1:100,000 epi) in nearly all patients no matter what their blood pressure is.True
True or False: In a patient with right sided heart failure a common sign would be pulmonary edemaFalse (this is peripheral edema, pulm edema is left sided heart failure)
What are the 4 main risks we should assess when looking at a patient for treatment?Medication risk , Risk of Infections, Risk of Bleeding. & Risk of Medical Emergency
Which of the following is NOT one of the ABCDEs? A. Antibiotics (prophylactic or therapeutic) B. Anesthesia (type and vasoconstrictor) C. Anxiety D. Allergy E. Altering medication timing/doseE. Altering medication/dose
Sustained HTN can lead to hypertrophy of which heart compartment to compensate for the elevated BP? Left Ventricle
Perioperative myocardial ischemia and cardiovascular complications are more prevalent in persons who are unable to achieve activity equivalent to _________ (#) METs.4
T/F: Patients with an initial Stage 1 Hypertension reading will need to be followed up within the next 2 months.True
List 4 risk factors for hypertension?Smoking, Cholesterol, Diabetes, & Left ventricular hypertrophy
True or False. For a person with prehypertension, it is important to recheck blood pressure at least every 2 yearsFalse (every 1 year)
List 3 sign/symptoms of arrhythmiatachycardia, heart palpitation, syncope
T/F: you should avoid elective dental care on a patient that has had an MI within the past 30 daysTrue
Which if the following is not a proven possible etiology for ischemic heart disease? A. Embolism B. Anemia C. Carbon Monoxide Poisoning D. Vitamin deficiency E. Cardiac hypertrophyVitamin deficiency (not proven etiology)
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Question Answer
If a patient describes a sudden onset of pain that typically occurs predictably, lasts for less than 15 min and is exercise induced, which category of Angina would best fit?Stable Angina
In regards to patients experiencing ischemic symptoms, which of the following statements are true. a. Ischemic symptoms may be produced when occlusion reaches 75% of the cross-sectional area of the artery. b. In most instances of an acute coronary event, the vessels typically are less than 50% occluded by plaque growth. c. With outward proliferation, the size of the arterial lumen is progressively reduced (stenosis); thus, blood flow may be chronically decreased causing the demand for oxygen to exceed the supply thereby causing ischemic pain.A & B
T/F: In primary hypertension, the basic underlying defect is a failure in the regulation of vascular resistance. The mechanisms of control of vascular resistance include neural reflexes, continual maintenance of sympathetic vasomotor tone, and effects mediated by neurotransmitters.True
T/F: The danger of epinephrine use in a patient taking selective beta blockers is that the beta blocker prevents vasodilation; therefore, the vasoconstriction effect of epinephrine is unopposed.True
What is/are the main symptom(s) of CAD?a. fatigue b. shortness of breath c. chest pain d. no symptoms (so all of these, apparently?)
Which prescription is least likely to be written for an African American aged over 60? A. ACEI + ARB B. CCB + ACEI C. CCB or thiazide D. ACEI or ARBB: Calcium Channel Blockers & Ace-Inhibitor
T/F: An unstable angina can be induced by exercise or insertion.False
T/f: A prinzmetal angina is very predictableFalse
T/F: A stable angina can occur at any time.False
If a patient on a nonselective beta blocker receives a systemic dose of epinephrine, what is the effect?beta blocker prevents the vasodilation, leaving unopposed alpha vasoconstriction
Oral disease has a relationship with all of the following except: A) coronary heart disease B) stroke C) adverse pregnancy outcomes D) diabetes E) bacterial pneumonia F) All of the AboveOral disease relates to all of them... so all of the above
Which of the following can be expected after a systemic dose of epinephrine is given to a patient taking non-selective beta-blockersAlpha vasoconstriction (leading to acute hypertensive crisis)
T/f: Sustained HTN can lead to hypertrophy of the Right Ventricle to compensate for the elevated BP.False
Which of the following is true of angina? A. It is due to myocardial ischemia with infarction B. Pain often radiates to the left arm, neck, jaw, or back C. Stable angina can occur spontaneously D. Prinzmetal angina is induced by exercise or exertionPain often radiates to the left arm, jaw, or back (others are false)
Cardiac arrhythmias are divided into 3 risk levels (major, intermediate, and minor). An example of a major risk is a first or second degree AV block. (which statements true? which false?)first true; second false
According to the JNC 8, a 70 y/o patient presents in your chair that is NOT on any Anti-HTN medications. Her blood pressure reads 145/90. Do you need to refer her to her primary physician for evaluation of possibly HTN medication therapy?NO
What is the minimum SBP/DBP that qualifies a patient for HTN?145/95
What are the 3 types of anginaUnstable, Stable, & Prinzmetal
According to the JNC 8, what is the is the threshold for hypertension of 60 year or older patients? 150/90 mmHg
True or False. Patient at risk for arrhythmia: One of the signs and symptoms is tachycardia with a heart rate >100bpm.True
T/F: Any patient who has symptomatic heart failure should not be treated for elective dental treatment, however, if the patient has asymptomatic heart failure any necessary dental treatment may be provided.True
All of the following are chronic complications of diabetes except? A. Blindness B. Heart Attack C. Liver failure D. Amputation E. All of the above are complicationsLiver failure (is not)
Choose the incorrect statement regarding diabetes type I. A. Symptoms usually start suddenly and can include weight loss and increased thirst. B. Diabetic ketoacidosis is an emergency condition of nausea, vomiting, and dehydration and may lead to coma. C. 1 in 20 people with diabetes have type I. D. Most people should be treated with MDI injections or continuous subcutaneous insulin infusion (CSII). E. All of the above are correctAll of the above are correct
Check all of the following that are oral manifestations of hyperthyroidism A. Accelerated dental eruption in children B. Periodontal disease C. Macroglossia D. Burning mouth syndrome E. Dysgeusia F. Increased susceptibility to carieseverything but Macroglossia and Dysguesia
T/F: Thyroid crisis occurs as a sudden release of a large amount of thyroid hormone in a short period of time. Symptoms include irritability, fever, drowsiness, a high systolic BP, and a low diastolic BP.True
T/F: Diabetes is the #1 cause of deathfalse
What is the most common cause of hypothyroidism disease?A) Hashimoto's thyroiditis
If a pt presents to your office with delayed eruption, enamel hypoplasia, anterior open bite, macroglossia, and thick lips. You get the blood results back and the pt has elevated TSH and low thyroxine. Which gland disorder does this patient most likely have? Hypothyroidism Which of the following complications are associated with Diabetes Mellitus? a. Ketoacidosis b. Accelerated atherosclerosis c. Nephropathy d. Hyperosmolar nonketotic coma e. All of the above
T/F: Hypothyroidism is associated with MyxedemaTrue
T/F: Hyperthyroidism is associated with MyxedemaFalse (Hypo- is tho)
T/F: Hashimoto's affects the parathyroid glandsFalse (affect thyroid gland)
T/F: The ONLY way to manage Type 1 diabetes is through insulin administration. Active lifestyle changes, smoking cessation and healthy diet changes do not help Type 1 diabetics.False
Diabetes is the leading cause of what 3 conditions?New blindness among adults, Kidney failure, & Non-traumatic lower limb amputations
All of the following are symptoms of thyroid crisis except a. Irritable and grumpy b. Bradycardia c. High fever d. Nausea/vomittingBradycardia
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Question Answer
Which of the following are considered symptoms of type I diabetes? A. Loss of energy B. Weight Gain C. Increased thirst D. Frequent urination A, C, and D (not weight gain)
t/f: Each lab is responsible for establishing and publishing its normal values for the population served and the person ordering the test is responsible for knowing these values.True
Which panel should be ordered for a patient suspected of anemia? CBC
T or F. HTN has no primary cause.True
T or F. Prinzmetal angina is induced by exercise or exertion.False
Symptoms of Hyperglycemia include all EXCEPT. A.Decreased thirst B.Feeling tired C.Slow wound healing D.Nausea and vomiting E.Blurry visionNot Decreased Thirst
t/f: A high therapeutic index indicates a lower safety risk of a drugFalse
Non selective beta blockers are contraindicated to epinephrine use due to action on: i. Beta 1 blocking lipolysis ii. Beta 1 blocking vasoconstriction iii. Beta 2 blocking release of glucagon iv. Beta 2 blocking vasodilationiv. Beta 2 blocking vasodilation
Coronary artery disease leading to chest pain that occurs at rest, shows ECG changes, and is most likely due to spasm of a coronary artery is what type of angina?Prinzmetal angina
A reasonable AIC goal for non pregnant adults is ___%7%
A patient with accelerated dental eruption as a child, burning mouth syndrome, heat intolerance, increased appetite, weight loss, tremor and nervousness could be suffering from _____ disease and/or Toxic ______Graves Disease; Toxic Adenomas
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