Clinical Medicine Final Exam Questions And Answers
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Course
FOCM
Institution
FOCM
When discussing ischemic heart disease, which of the following statements is TRUE?
A: Vasodilation of the coronary arteries may lead to ischemia of the myocardium.
B: Occlusion can be caused by the presence of a large intraluminal atherosclerotic plaque.
C: Angina often arises during periods...
Clinical Medicine Final Exam Questions
And Answers
When discussing ischemic heart disease, which of the following statements is TRUE?
A: Vasodilation of the coronary arteries may lead to ischemia of the myocardium.
B: Occlusion can be caused by the presence of a large intraluminal atherosclerotic plaque.
C: Angina often arises during periods of decreased myocardial demand.
D: Commonly reported symptoms include seizures, hyperglycemia and wheezing. - ANS B
The correct response when managing a patient with dental pain who presents with a heart rate
of 106 and a blood pressure of 165/101 would include:
A: recheck the patient's vital signs ensuring the use of a properly sized blood pressure cuff.
B: anesthetize the patient using 2% lidocaine w/ 1:100,000 epinephrine and determine if the
vitals normalize afterwards.
C: have the patient take a double dose of their antihypertensive medication.
D: proceed with elective dental treatment, as long as it is not extremely invasive and stimulating.
- ANS A
Which of the following correctly matches the antihypertensive medication and the associated
fact?
A: Hydrochlorothiazide is a thiazide diuretic and has strong diuretic activity and causes
hypokalemia.
B: Metoprolol is a nonselective beta antagonist (blocker) and acts on β1 and β2 receptors.
C: ACE inhibitors like lisinopril prevent the production of angiotensin II.
D: Calcium channel blockers all have activity on vascular smooth muscle and the heart. - ANS
C
Which of the following statements is TRUE regarding hypotension?
A: Orthostatic hypotension occurs when progressive blood loss leads to impaired systemic
perfusion.
B: Vasovagal syncope is common and should be managed initially by sitting the patient upright.
C: Pregnant patients in the 3rd trimester should be placed in the lateral decubitus position to
prevent compression of the ascending aorta.
,D: Hypotension can result from non-neurogenic causes such as aortic stenosis or congestive
heart failure. - ANS D
When discussing acute coronary syndromes, all of the following are true EXCEPT one. Which
one is the EXCEPTION?
A: The goals of managing a suspected ACS patient include minimizing damage to the
myocardium.
B: Immediate medical interventions may include thrombolytic therapy.
C: Routine dental care is contraindicated for at least one year following an STEMI.
D: The ADA recommendations for a patient post-ACS include a maximum dose of .04 mg
epinephrine per visit. - ANS C
All of the following answers correctly pair the component of the cardiovascular system with the
appropriate function EXCEPT?
A: Blood vessels = conduits for fluid flow
B: Heart = pump to drive fluid
C: Kidneys = regulates systemic pressure and fluid volume
D: Blood = fluid responsible for transporting oxygen only - ANS D
The class of antihypertensive medications that is most likely to have a potentially serious drug
interaction when administering local anesthetics with vasoconstrictors is:
A. selective beta blockers.
B. nonselective beta blockers.
C. calcium channel blockers.
D. ACE inhibitors. - ANS B. nonselective beta blockers - due to unopposed alpha1
What percent of victims survive with no impairment after a stroke?
A. 10%
B. 20%
C. 30%
D. 50%
E. 60% - ANS A
Weakness, tingling, numbness and speech disturbances that usually last less than 10 minutes
are known as:
All elective dental treatment is deferred for up to how many months after a stroke?
A: 3 months
B: 6 months
C: 12 months
D: 15 months
E: 18 months - ANS B
A patient presents with a history of DM (diabetes mellitus), HTN (hypertension), and CAD
(coronary artery disease). He/she takes 100 units of insulin in divided doses daily.
A. this insulin regimen is c/w a type 1 DM
B. this insulin regimen is c/w type 2 DM
C. the amount of insulin does not suggest either type 1 or 2 DM
D. a type 2 DM does not take insulin - ANS B
You decide to write a medical consult for a patient that tells you he has had 3 seizures in the last
week. What would be the most appropriate way to organize your medical consultation for this
patient?
A. a 30 y.o male presents to my office stating he has had an increase in his seizure activity.
Please advise if local anesthesia consisting of lidocaine with epinephrine is contraindicated.
B. a 30 y.o male presents to my office stating he has had an increase in his seizure activity.
Dental restorations are planned. Please advise if this patient can be treated in my dental office.
C. a 30 y.o male presents to my office stating he has had an increase in his seizure activity.
Please provide what type of seizures he has and what can prevent them
D. a 30 y.o male presents to my office stating he has had an increase in his seizure activity.
Please provide a most recent history and physical including history of seizures, me - ANS
D
Dental management considerations of patients with psychiatric disease will include all of the
following EXCEPT one. Which one is the EXCEPTION?
A. caries risk
B. antisialogogues
C. diet counseling
D. fluoride pastes and varnishes - ANS B
Which of the following oral agents can cause hypoglycemia?
A. Glipizide (sulfonylurea)
B. Metformin (biguanides)
, C. Acarbose (gamma-glucosidase inhibitors)
D. Pioglitazone (thiazolidinediones) - ANS A
A 25 y.o female comes to your office for an initial consultation. She states she has seizures.
What would you most like to know when completing a review of systems?
A. what type of seizures does she have?
B. when was her last seizure?
C. does anything precipitate her seizures?
D. all of the above - ANS D
In Emergency Cardiac care (CPR), what maneuver comes first after a cardiac arrest?
A. give 2 breaths
B. open the airway with head-tilt
C. chest compressions
D. start an IV line - ANS C
Public Access Defibrillators ___________ the survival rate following out-of-hospital cardiac
arrest.
A. can quadruple
B. can triple
C. can double
D. has no effect on - ANS C
The most important part of the medical history to quantify medical risk is the:
A. chief dental complaint
B. social history
C. allergies
D. review of systems - ANS D
The chief complaint in the medical history is:
A. a summary you make of the symptoms
B. the patient's complaints verbatim
C. a review of the body systems
D. all pervious surgeries the patient has had - ANS B
A patient who is malingering is:
A. making a child sick
B. making themselves sick
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