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Clinical Medicine Exam 1 (2025) Update Actual Exam|Comprehensive Questions And Verified Answers With Rationales|100% Accurate Answers | Already Graded A+|Get it right!! When discussing ischemic heart disease, which of the following statements is TRUE?

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Clinical Medicine Exam 1 (2025) Update Actual
Exam|Comprehensive Questions And Verified
Answers With Rationales|100% Accurate Answers |
Already Graded A+|Get it right!!

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. -
✔✔ANSWER✔✔>>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. - ✔✔ANSWER✔✔>>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.
- ✔✔ANSWER✔✔>>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. - ✔✔ANSWER✔✔>>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. - ✔✔ANSWER✔✔>>C
Which of the following routes of administration provides rapid delivery of drugs and the
ability to titrate dosages?

A. intravenous route
B. subcutaneous route
C. intramuscular route
D. rectal route - ✔✔ANSWER✔✔>>A

The most common perioperative medical emergency to occur in a dental setting is:

A. acute anxiety attack
B. vasovagal syncope
C. hypoglycemia
D. status asthmaticus - ✔✔ANSWER✔✔>>B

A patient who presents to your office with signs suggestive of unstable angina requires:

A. immediate administration of meperidine
B. immediate administration of 81 mg of aspirin
C. continuous monitoring throughout the dental appointment
D. prompt activation of emergency medical services (EMS) - ✔✔ANSWER✔✔>>D

After being notified that the patient being treated by the dental hygienist may be having
a stroke, you promptly go to evaluate the situation. Which of the following are physical
signs that you may expect to see?

, A. bilateral facial weakness
B. wheezing
C. altered mental status
D. truncal rigidity - ✔✔ANSWER✔✔>>C

Risk factors associated with coronary artery disease include:

A. hypokalemia
B. increased physical activity
C. hyperlipidemia
D. diabetes insipidus - ✔✔ANSWER✔✔>>C

Medical management of a patient with ischemic heart disease may include all of the
following EXCEPT:

A. beta blockers or nitrates
B. antiplatelet medications and catecholamines
C. lifestyle modifications such as salt restriction
D. surgical approaches including placement of stents - ✔✔ANSWER✔✔>>B

At what blood glucose level does WBCs become dysfunctional?

A. 100
B. 126
C. 250
D. 385 - ✔✔ANSWER✔✔>>C

Essential hypertension is a problem because it damages:

A. target organs
B. elastin of blood vessel wall
C. the right atrium
D. bony skeleton - ✔✔ANSWER✔✔>>A

Which of the following is not a medication used for hypertension?

A. beta blocker
B. clonidine
C. Digoxin
D. calcium channel blocker - ✔✔ANSWER✔✔>>C

Digoxin is used to treat heart failure and some types of irregular heartbeats (such as
chronic atrial fibrillation)

What causes isolated systolic hypertension?

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Clinical Medicine Exam 1 (2025) Update Actual Exam|Comprehensive Questions And Verified Answers With Rationales|100% Accurate Answers | Already Graded A+|Get it right!! When discussing ischemic heart disease, which of the following statements is TRUE?

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