Question 1

&#10;Adapted from Malamed SF: Medical emergencies in the dental office, ed 6, St Louis, 2007, Mosby.&#10;*See Chapter 10 for an explanation of ASA Physical Status Classification.&#10;&#8224;When the blood pressure is slightly above the cutoff for category IV and when anxiety is present, the use of inhalation sedation may diminish the blood pressure (via the elimination of stress) below the 200/115 level. The patient should be advised that if the nitrous oxide and oxygen succeeds in decreasing the blood &#10;The client's blood pressure readings taken 10 minutes apart are 120/89.When the client came in last week the blood pressure was 120/80.According to the blood pressure guidelines in the chart,which best describe the recommendations for dental treatment?&#10;A) No medical consultation,treat as usual.&#10;B) Recheck blood pressure for three consecutive appointments.&#10;C) The patient should be referred for a medical consultation after dental treatment.&#10;D) The patient should be referred for a medical consultation before dental treatment.

Accepted Answer

The blood pressure readings indicate that the client is in the elevated or high-normal range but does not necessarily require immediate medical consultation before dental treatment. The slight increase in diastolic pressure from 80 to 89 is noted, but it is not at a level that typically mandates a referral for medical consultation before proceeding with dental care, according to standard guidelines.

Question 2

The pulse rate is determined by palpating the brachial pulse.The blood pressure is obtained by auscultation of the radial pulse.&#10;A) Both statements are true.&#10;B) Both statements are false.&#10;C) The first statement is true,but the second statement is false.&#10;D) The first statement is false,but the second statement is true.

Accepted Answer

The pulse rate is typically determined by palpating the radial pulse, not the brachial pulse. Blood pressure is obtained by auscultating the brachial artery, not the radial pulse.

Question 3

The dental hygienist takes the client's temperature and obtains a reading of 102$\degree$ F.Which of the following choices would be the most appropriate step for the dental hygienist?&#10;A) Inform the dentist.&#10;B) Reschedule the client.&#10;C) Rule out environmental factors.&#10;D) Proceed with dental hygiene care.&#10;E) Dispense an antipyretic medication.

Accepted Answer

Rule out environmental factors.&#10;

Question 4

All of the following vital signs are usually recorded as baseline data for the client's first office visit except which one?&#10;A) Pulse&#10;B) Respiration&#10;C) Temperature&#10;D) Blood pressure

Accepted Answer

Temperature is often not recorded as baseline data during a client's first office visit unless there is a specific reason to do so, such as symptoms of fever or infection. Pulse, respiration, and blood pressure are more commonly recorded as they provide essential information about the client's cardiovascular and respiratory status.

Question 5

Which term best describes a very rapid pulse rate?&#10;A) Bradypnea&#10;B) Bradycardia&#10;C) Tachycardia&#10;D) Hyperventilation

Accepted Answer

Tachycardia is the term that best describes a very rapid pulse rate, indicating a heart rate that is faster than normal.

Question 6

A _____ best describes the most accurate reading for the systolic blood pressure.&#10;A) Tapping sound&#10;B) Sharp thump&#10;C) Blowing sound&#10;D) Whooshing sound

Accepted Answer

The first sound heard through a stethoscope when measuring blood pressure, known as the Korotkoff sound, is a tapping sound. This indicates the systolic blood pressure.

Question 7

Which of the following instruments are used in taking a client's blood pressure?&#10;A) Blood pressure cuff and wristwatch&#10;B) Blood pressure cuff and stethoscope&#10;C) Thermometer and electrocardiogram&#10;D) Sphygmomanometer and wristwatch

Accepted Answer

A blood pressure cuff (sphygmomanometer) and stethoscope are the correct instruments used to measure a client's blood pressure. The cuff is placed around the arm, and the stethoscope is used to listen to the blood flow sounds.

Question 8

The dental hygienist is assessing which of the following when determining the presence of preventricular contractions?&#10;A) Pulse&#10;B) Respiration&#10;C) Temperature&#10;D) Blood pressure

Accepted Answer

Premature ventricular contractions (PVCs) are a type of irregular heartbeat. The dental hygienist can assess the presence of PVCs by checking the pulse, as irregularities in the heartbeat can be felt through the pulse.

Question 9

All of the following can be indicators of heart disease or high blood pressure except which one?&#10;A) Pulsus alternans&#10;B) Full,bounding pulse&#10;C) Weak,thready pulse&#10;D) Premature ventricular contractions

Accepted Answer

A weak, thready pulse is more indicative of conditions such as dehydration or blood loss rather than heart disease or high blood pressure. Pulsus alternans, a full, bounding pulse, and premature ventricular contractions can all be associated with heart disease or high blood pressure.

Question 10

Which of the following best describes the normal respiration rate for adults?&#10;A) 6 to 8 respirations per minute (RPM)&#10;B) 16 to 20 RPM&#10;C) 21 to 25 RPM&#10;D) 26 to 30 RPM

Accepted Answer

The normal respiration rate for adults is typically between 16 to 20 respirations per minute (RPM), making option B correct.

Question 11

An adult client who has a blood pressure reading of 120/80 mm Hg is considered to be prehypertensive.Lifestyle changes and oral medication are recommended for a client who is prehypertensive to aid in lowering the blood pressure.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,but the second statement is false.
D) The first statement is false,but the second statement is true.

Accepted Answer

The answer of An adult client who has a blood...

Question 12

&#10;Adapted from Malamed SF: Medical emergencies in the dental office, ed 6, St Louis, 2007, Mosby.&#10;*See Chapter 10 for an explanation of ASA Physical Status Classification.&#10;&#8224;When the blood pressure is slightly above the cutoff for category IV and when anxiety is present, the use of inhalation sedation may diminish the blood pressure (via the elimination of stress) below the 200/115 level. The patient should be advised that if the nitrous oxide and oxygen succeeds in decreasing the blood &#10;The client's blood pressure readings taken 10 minutes apart are 150/116.When the client came in last week the blood pressure was 120/80.According to the blood pressure guidelines in the chart,which best describes the recommendations for dental treatment?&#10;A) No medical consultation;treat as usual.&#10;B) Recheck blood pressure for three consecutive appointments.&#10;C) The patient should be referred for a medical consultation after dental treatment.&#10;D) The patient should be referred for a medical consultation before dental treatment.

Accepted Answer

The answer of  &#10;Adapted from Malamed SF: Medical emergencies...

Question 13

When blood pressure is taken which reading best describes the minimum pressure occurring in the blood vessels?&#10;A) Systolic&#10;B) Diastolic&#10;C) Auscultatory gap&#10;D) Preventricular contraction

Accepted Answer

The answer of When blood pressure is taken which reading...

Question 14

&#10;Adapted from Malamed SF: Medical emergencies in the dental office, ed 6, St Louis, 2007, Mosby.&#10;*See Chapter 10 for an explanation of ASA Physical Status Classification.&#10;&#8224;When the blood pressure is slightly above the cutoff for category IV and when anxiety is present, the use of inhalation sedation may diminish the blood pressure (via the elimination of stress) below the 200/115 level. The patient should be advised that if the nitrous oxide and oxygen succeeds in decreasing the blood &#10;The client's blood pressure readings taken 10 minutes apart are 145/89.When the client came in last week the blood pressure was 120/80.According to the blood pressure guidelines in the chart,which best describe the recommendations for dental treatment?&#10;A) No medical consultation,treat as usual.&#10;B) Recheck blood pressure for three consecutive appointments.&#10;C) The patient should be referred for a medical consultation after dental treatment.&#10;D) The patient should be referred for a medical consultation before dental treatment.

Accepted Answer

The answer of  &#10;Adapted from Malamed SF: Medical emergencies...

Question 15

The blood pressure cuff should be placed slightly above (approximately 1 inch)the bend in the elbow (the antecubital fossa).The dental hygienist first determines the blood pressure by inflating the cuff to 250 mm Hg and then uses the stethoscope to determine the systolic and diastolic readings.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,but the second statement is false.
D) The first statement is false,but the second statement is true.

Accepted Answer

The answer of The blood pressure cuff should be placed...

Deck 11: Vital Signs