A patient has developed a sever chest pain and difficulties in breathing while in the dental chair. Your initial response is: a. Administer glycerine trinitrate and monitor patient in upright position. b. Patient has an acute episode of angina as demonstrated by curve in ECG c. No treatment is required until confirmed as MI by ECG d. Patient has myocardial infarction as confirmed by ECG

A patient has developed a sever chest pain and difficulties in breathing while in the dental chair.  Your initial response is:
a. Administer glycerine trinitrate and monitor patient in upright position.
b. Patient has an acute episode of angina as demonstrated by curve in ECG
c. No treatment is required until confirmed as MI by ECG
d. Patient has myocardial infarction as confirmed by ECG
by

1 Answer

Answer :

a. Administer glycerine trinitrate and monitor patient in upright position.
by

Related questions

A patient has developed a sever chest pain and difficulties in breathing while in the dental chair. Your initial response is: A. Administer glycerine trinitrate and monitor patient in upright position B. Patient has an acute episode of angina as demonstrated by curve in ECG C. No treatment is required until confirmed as MI by ECG D. Patient has myocardial infarction as confirmed by ECG

Description : A patient has developed a sever chest pain and difficulties in breathing while in the dental chair. Your initial response is: A. Administer glycerine trinitrate and monitor patient in upright ... required until confirmed as MI by ECG D. Patient has myocardial infarction as confirmed by ECG

Last Answer : A. Administer glycerine trinitrate and monitor patient in upright position

A patient in your dental chair shows chest pain, weak pulse and dysponea, what is your initial management, A. Give a nitro-glycerine tablet and keep the patient up seated B. Put the patient in supine position C. Do nothing and wait until the symptoms go

Description : A patient in your dental chair shows chest pain, weak pulse and dysponea, what is your initial management, A. Give a nitro-glycerine tablet and keep the patient up seated B. Put the patient in supine position C. Do nothing and wait until the symptoms go

Last Answer : A. Give a nitro-glycerine tablet and keep the patient up seated

A patient with a history of angina suffers an attack while in the dental chair. Prompt relief can be anticipated in MOST instances from: A. Oral administration of short acting barbiturates B. Intra muscular administration of morphine sulphate C. Subcutaneous administration of epinephrine D. Sublingual administration of glyceryl tri-nitrate E. Putting the patient in upright position

Description : A patient with a history of angina suffers an attack while in the dental chair. Prompt relief can be anticipated in MOST instances from: A. Oral administration of short acting ... epinephrine D. Sublingual administration of glyceryl tri-nitrate E. Putting the patient in upright position

Last Answer : D. Sublingual administration of glyceryl tri-nitrate

A patient of acute myocardial infarction being treated in intensive care unit developed left ventricular failure with raised central venous pressure. It was decided to use glyceryl trinitrate. Which route/method of administration would be most suitable. (a) Sublingual (b) Oral (c) Intravenous bolus injection (d) Slow intravenous infusion

Description : A patient of acute myocardial infarction being treated in intensive care unit developed left ventricular failure with raised central venous pressure. It was decided to use glyceryl trinitrate. Which route/ ... (a) Sublingual (b) Oral (c) Intravenous bolus injection (d) Slow intravenous infusion

Last Answer : Ans: D

A patient of acute myocardial infarction being treated in intensive care unit developed left ventricular failure with raised central venous pressure. It was decided to use glyceryl trinitrate. Which route/method of administration would be most suitable: A. Sublingual B. Oral C. Intravenous bolus injection D. Slow intravenous infusion

Description : A patient of acute myocardial infarction being treated in intensive care unit developed left ventricular failure with raised central venous pressure. It was decided to use glyceryl trinitrate. Which route ... suitable: A. Sublingual B. Oral C. Intravenous bolus injection D. Slow intravenous infusion

Last Answer : D. Slow intravenous infusion

When the patient with known angina pectoris complains that he is experiencing chest pain more frequently even at rest, the period of pain is longer, and it takes less stress for the pain to occur, the nurse recognizes that the patient is describing a) unstable angina. Unstable angina is also called crescendo or pre-infarction angina and indicates the need for a change in treatment.

Description : When the patient with known angina pectoris complains that he is experiencing chest pain more frequently even at rest, the period of pain is longer, and it takes less stress for the ... or refractory angina produces severe, incapacitating chest pain that does not respond to conventional treatment.

Last Answer : a) unstable angina. Unstable angina is also called crescendo or pre-infarction angina and indicates the need for a change in treatment.

A patient suffers from spisodic pain diffusely localized over the chest and upper abdomen, which is relieved by sublingual glyceryl trinitrate. He could be suffering from (a) Angina pectoris (b) Biliary colic (c) Esophageal spasm (d) All of the above

Description : A patient suffers from spisodic pain diffusely localized over the chest and upper abdomen, which is relieved by sublingual glyceryl trinitrate. He could be suffering from (a) Angina pectoris (b) Biliary colic (c) Esophageal spasm (d) All of the above

Last Answer : Ans: D

A patient suffers from episodic pain diffusely localized over the chest and upper abdomen, which is relieved by sublingual glyceryl trinitrate. He could be suffering from: A. Angina pectoris B. Biliary colic C. Esophageal spasm D. Any of the abov

Description : A patient suffers from episodic pain diffusely localized over the chest and upper abdomen, which is relieved by sublingual glyceryl trinitrate. He could be suffering from: A. Angina pectoris B. Biliary colic C. Esophageal spasm D. Any of the abov

Last Answer : D. Any of the abov

In case of acute pain of angina pectoris the most effective treatment would be to administer (a) Mannitol hexanitrate (b) Erythrityl tetranitrate (c) Sodium nitrate (d) Pentaerythritol tetranitrate (e) Nitroglycerin

Description : In case of acute pain of angina pectoris the most effective treatment would be to administer (a) Mannitol hexanitrate (b) Erythrityl tetranitrate (c) Sodium nitrate (d) Pentaerythritol tetranitrate (e) Nitroglycerin

Last Answer : Ans: E

What is the characteristic feature of gingivitis in AIDS patient:** A. Red band on the free gingiva associated with platelet. B. Correlating with other pathogenesic lesions of AIDS and does not resolve to periodontal conventional treatment. C. Sever pain

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Last Answer : A. Red band on the free gingiva associated with platelet.  

A patient indicates that he takes methyldopa (Aldomet), he is probably being treated for: A. Hypertension B. Angina pectoris C. Myocardial infection

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Last Answer : A. Hypertension

Which of the following is/are acceptable reasons for the transfusion of red blood cells based on currently available data? A. Rapid, acute blood loss with unstable vital signs but no available hematocrit or hemoglobin determination. B. Symptomatic anemia: orthostatic hypotension, severe tachycardia (greater than 120 beats per minute), evidence of myocardial ischemia, including angina. C. To increase wound healing. D. A hematocrit of 26% in an otherwise stable, asymptomatic patient.

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Last Answer : Answer: AB DISCUSSION: Currently accepted guidelines for the transfusion of packed red blood cells include acute ongoing blood loss, as might occur in an injured patient, and the development of ... not be given based solely or predominantly on a numerical value such as a hematocrit of 28%

Which of the following terms refers to leg pain that is brought on walking and caused by arterial insufficiency? a) Intermittent claudication Intermittent claudication is leg pain that is brought on by exercise and relieved by rest. b) Dyspnea Dyspnea is the patient’s subjective statement of difficulty breathing. c) Orthopnea Orthopnea is the inability of the patient to breathe except in the upright (sitting) position. d) Thromboangitis obliterans Thomroangitis obliterans is a peripheral vascular disease also known as Burger’s disease.

Description : Which of the following terms refers to leg pain that is brought on walking and caused by arterial insufficiency? a) Intermittent claudication Intermittent claudication is leg pain that is ... obliterans Thomroangitis obliterans is a peripheral vascular disease also known as Burger's disease.

Last Answer : a) Intermittent claudication Intermittent claudication is leg pain that is brought on by exercise and relieved by rest.

A patient of acute myocardial infarction has been brought to the ICU. What is the time lapse since symptom onset beyond which you will not consider instituting thrombolytic therapy: A. 3 hours B. 6 hours C. 16 hours D. 24 hours

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Which of the following terms refers to chest pain brought on by physical or emotional stress and relieved by rest or medication? a) angina pectoris Angina pectoris is a symptom of myocardial ischemia. b) atherosclerosis Atherosclerosis is an abnormal accumulation of lipid deposits and fibrous tissue within arterial walls and lumens. c) atheroma Atheromas are fibrous caps composed of smooth muscle cells that form over lipid deposits within arterial vessels. d) ischemia Ischemia is insufficient tissue oxygenation and may occur in any part of the body.

Description : Which of the following terms refers to chest pain brought on by physical or emotional stress and relieved by rest or medication? a) angina pectoris Angina pectoris is a symptom of myocardial ischemia. ... d) ischemia Ischemia is insufficient tissue oxygenation and may occur in any part of the body.

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If a fibrinolytic drug is used for treatment of acute myocardial infarction, the adverse drug effect that is most likely to occur is (a) Acute renal failure (b) Development of antiplatelet antibodies (c) Encephalitis secondary to liver dysfunction (d) Hemorrhagic stroke (e) Neutropenia

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Streptokinase is a substance used in the treatment of acute myocardial infarction. How does this substance act?

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A 45-year-old solicitor had an onset of severe, crushing, substernal chest pain while attending a football match. He collapsed on his way to the car. Bystander Cardiorespiratory Resuscitation was begun immediately and continued until arrival in Casualty where an endotracheal tube was inserted and ventilation was maintained on 100% oxygen. Investigations revealed: pH 7.13 PaO2 560 mmHg PaCO2 18 mmHg Bicarbonate 5.8 SaO2 98% Based on these laboratory values, which of the following statements best describes his current pathophysiology? 1) He is demonstrating a primary respiratory alkalosis 2) He probably developed a large right to left intracardiac shunt 3) His anion gap is probably normal 4) His oxyhemoglobin curve is shifted to the left 5) His pulmonary artery pressure is probably elevated

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Last Answer : Answers-5 This young patient with severe central chest pain has probably arrested due to myocardial infarction and arrhythmia. His gases reveal high PO2 following 100% O2 but severe acidosis ... no left to right shunting and high pulmonary pressures would be expected after this arrest scenario.

Pt. had chest pain and fainting , ECG shows st- elevation and significant Q wave in -v4 and st-depression in inferior leads : Ant. MI Inf. MI Pericarditis Post. MI

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Your patient has fainted, the signs are, blanched face, weak pulse, moist skin, shallow respiration; your first management is: A. 1 ml adrenaline subcutaneously B. Mouth to mouth respiration C. Nitro glycerine sub lingually D. Recumbent position; supine

Description : Your patient has fainted, the signs are, blanched face, weak pulse, moist skin, shallow respiration; your first management is: A. 1 ml adrenaline subcutaneously B. Mouth to mouth respiration C. Nitro glycerine sub lingually D. Recumbent position; supine

Last Answer : D. Recumbent position; supine

patient came with MI 2 day after addmission develop. Sever abdominal pain and bloody diarrhea وفياشياتانيهنسيتهاDX Ischemic colitis

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The agent given sublingually in an acute attack of angina pectoris is (a) Glyceryl trinitrate (b) Amyl nitrite (c) Erythrital tetranitrate (d) Pentaerythritol tetranitrate

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Last Answer : Ans: A

Started within 4-6 hours of acute myocardial infarction, which of the following drug(s) can reduce the area of necrosis and the attendant mortality: A. Propranolol B. Glyceryl trinitrate C. Lignocaine D. Both ‘A’ and ‘B’ are correct

Description : Started within 4-6 hours of acute myocardial infarction, which of the following drug(s) can reduce the area of necrosis and the attendant mortality: A. Propranolol B. Glyceryl trinitrate C. Lignocaine D. Both ‘A’ and ‘B’ are correct

Last Answer : D. Both ‘A’ and ‘B’ are correct

A patient on the dental chair has cardiac arrest. What is INCORRECT, A. Observing the vital signs and check that the air way is clear is at high importance B. Expired air has 15% O2 only, and cardiac compressions achieve 30-40% of cardiac output C. Intermittent positive pressure at the rate of 40/min will reduce the chances of cerebral hypoxia D. Intermittent positive pressure is better than mouth to mouth when it has been given at the same rate.

Description : A patient on the dental chair has cardiac arrest. What is INCORRECT, A. Observing the vital signs and check that the air way is clear is at high importance B. Expired air has 15% O2 only, ... D. Intermittent positive pressure is better than mouth to mouth when it has been given at the same rate.

Last Answer : C. Intermittent positive pressure at the rate of 40/min will reduce the chances of cerebral hypoxia

A patient comes to you with medium pain of tooth filled with Composite resin as a result of cold or hot drinks, what will your initial management be, A. Remove the restorative material and start an Endontic treatment B. Remove the restorative material and place a sedative temporary material C. Place a coat of bonding material on the old composite

Description : A patient comes to you with medium pain of tooth filled with Composite resin as a result of cold or hot drinks, what will your initial management be, A. Remove the restorative material and ... material and place a sedative temporary material C. Place a coat of bonding material on the old composite

Last Answer : B. Remove the restorative material and place a sedative temporary material

A 40-year-old politician suffered from attacks of chest pain diagnosed as angina pectoris. He had a tense personality, resting heart rate was 96/min, blood pressure 170/104 mm Hg, but blood sugar level and lipid profile were normal. Select the most suitable antihypertensive for initial therapy in his case: A. Nifedipine B. Hydrochlorothiazide C. Atenolol D. Methyldopa

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Last Answer : C. Atenolol

On which day following acute myocardial infarction the estimation of serum AST will be of greatest significance? (A) First day (B) Second day (C) Third day (D) Fourth day

Description : On which day following acute myocardial infarction the estimation of serum AST will be of greatest significance? (A) First day (B) Second day (C) Third day (D) Fourth day

Last Answer : Answer : B

On the third day following onset of acute myocardial infarction, which enzyme estimation will have the best predictive value? (A) Serum AST (B) Serum CK (C) Serum ALT (D) Serum LDH

Description : On the third day following onset of acute myocardial infarction, which enzyme estimation will have the best predictive value? (A) Serum AST (B) Serum CK (C) Serum ALT (D) Serum LDH

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The slow moving fraction of LDH is typically increased in pancreas with (A) Cerebrovascular accidents (B) Acute myocardial infarction (C) Acute pancreatitis (D) Acute viral hepatits

Description : The slow moving fraction of LDH is typically increased in pancreas with (A) Cerebrovascular accidents (B) Acute myocardial infarction (C) Acute pancreatitis (D) Acute viral hepatits

Last Answer : Answer : D

On the third day of onset of acute myocardial infarction the enzyme elevated is (A) Serum AST (B) Serum CK (C) Serum LDH (D) Serum ALT

Description : On the third day of onset of acute myocardial infarction the enzyme elevated is (A) Serum AST (B) Serum CK (C) Serum LDH (D) Serum ALT

Last Answer : Answer : C

Serum gamma glutamyl transpeptidase is raised in (A) Haemolytic jaundice (B) Myocardial infarction (C) Alcoholic hepatitis (D) Acute cholecystitis

Description : Serum gamma glutamyl transpeptidase is raised in (A) Haemolytic jaundice (B) Myocardial infarction (C) Alcoholic hepatitis (D) Acute cholecystitis

Last Answer : Answer : C

Increased serum ornithine carabamoyl transferase activity is diagnostic of (A) Myocardial infarction (B) Hemolytic jaundice (C) Bone disease (D) Acute viral hepatitis

Description : Increased serum ornithine carabamoyl transferase activity is diagnostic of (A) Myocardial infarction (B) Hemolytic jaundice (C) Bone disease (D) Acute viral hepatitis

Last Answer : Answer : D

Lidocaine is the preferred antiarrhythmic for emergency control of cardiac arrhythmias following acute myocardial infarction because (a) It has a rapidly developing and titratable antiarrhythmic action (b) It casues little myocardial depression and hypotension (c) It has broad spectrum antiarrhythmic efficacy in atrial as well as ventricular arrhythmias (d) Both (a) and (b)

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Last Answer : Ans: D

The preferred route of administration of streptokinase in acute myocardial infarction is: A. Intravenous B. Subcutaneous C. Intracoronary

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Last Answer : A. Intravenous

Thrombolytic therapy instituted within 3-6 hours of onset of acute myocardial infarction affords the following benefit(s): A. Reduces mortality B. Reduces area of myocardial necrosis C. Preserves ventricular function D. All of the above

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Last Answer : D. All of the above

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Last Answer : B. Stroke due to cerebral thrombosis

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Last Answer : C. Prevents venous thromboembolism

Low dose subcutaneous heparin therapy is indicated for: A. Prevention of leg vein thrombosis in elderly patients undergoing abdominal surgery B. Ischaemic stroke C. Patients undergoing neurosurgery D. Prevention of extention of coronary artery thrombus in acute myocardial infarction

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Last Answer : A. Prevention of leg vein thrombosis in eld

Lignocaine is the preferred antiarrhythmic for emergency control of cardiac arrhythmias following acute myocardial infarction because: A. It has a rapidly developing and titratable antiarrhythmic action B. It causes little myocardial depression and hypotension C. It has broad spectrum antiarrhythmic efficacy in atrial as well as ventricular arrhythmias D. Both ‘A’ and ‘B’ are correct

Description : Lignocaine is the preferred antiarrhythmic for emergency control of cardiac arrhythmias following acute myocardial infarction because: A. It has a rapidly developing and titratable antiarrhythmic action B. It causes ... atrial as well as ventricular arrhythmias D. Both A' and B' are correct

Last Answer : D. Both ‘A’ and ‘B’ are correct

Vasodilators are used to treat: A. Acute heart failure attending myocardial infarction B. Chronic heart failure due to diastolic dysfunction C. Chronic heart failure due to both systolic as well as diastolic dysfunction D. All of the above

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In which condition do you have to prescribe antibiotics prior to dental treatment: A. Rheumatic fever B. Sub-acute bacterial endocarditis C. By pass D. Valve replacement E. Uncontrolled diabetes F. All of the above

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A diabetic patient with moist skin, moist mouth and weak pulse; what would you do: A. Give glucose B. Administer O2 C. Administer adrenaline D. Inject insulin

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Last Answer : A. Give glucose

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Last Answer : B. Sterilize, scrub and sterilize

Which local anaesthetic agent is preferred for a confirmed hypersensitive patient: A. 3% prilocaine with felypressin B. Mepivacaine 3% without vasoconstrictor **

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Last Answer : B. Mepivacaine 3% without vasoconstrictor **

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Last Answer : A. The movement of the appliance from the points of initial contacts to path of final rest position

The thermal and electric pulp tests will, A. Give an accurate indications of the pulp status B. The patient’s response will be either pain or no pain C. The patient can differentiate between cold or hot stimuli

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Last Answer : A. Give an accurate indications of the pulp status