Medical Emergencies Essentials For The Dental Professional 2nd Edition By Grimes – Test Bank

CHAPTER 11
Multiple Choice
1. The condition that occurs when the heart muscle is impaired and can NO longer pump efficient volumes of oxygenated blood to the body’s tissues and organs is:
A. hypertension.
B. pulmonary edema.
C. atherosclerosis.
D. heart failure.
2. Which is the MOST frequent cause of heart failure?
A. Myocardial infarction
B. Diabetes mellitus
C. Valvular heart disease
D. Degenerative heart conditions
3. Nonvascular conditions associated with heart failure include all of the following EXCEPT one. Which one is the exception?
A. Thyroid disease
B. Cerebrovascular accident
C. Pulmonary disease
D. Renal insufficiency
4. The cardinal sign of left heart failure is:
A. diaphoresis.
B. dyspnea.
C. pitting.
D. pulmonary edema.
5. The backup of fluid into the lungs seen in left ventricular heart failure often leads to:
A. pulmonary edema.
B. cardiac arrhythmias.
C. myocardial infarction.
D. none of the above.
6. Heart failure patients being treated in the dental office often require:
A. longer appointment times.
B. nitrous oxide sedation.
C. upright positioning.
D. premedication with antibiotics.
7. Edema of the abdomen in patients with heart failure indicates:
A. progression of right heart failure to liver and spleen engorgement.
B. edema of the central nervous system.
C. renal failure.
D. arrhythmias.
8. All of the following are symptoms of right heart failure EXCEPT one. Which one is the exception?
A. Pitting edema
B. Distended jugular veins
C. Nocturia
D. Pulmonary edema

9. The use of a local anesthetic agent containing epinephrine may cause a significant rise in blood pressure in heart failure patients taking:
A. calcium channel blockers.
B. diuretics.
C. beta-blockers.
D. statins.
10. ASA Class III heart failure patients present with fatigue, dyspnea, and orthopnea at all times. Class III heart failure patients present a definite risk and the patient should be treated in a hospital setting.
A. The first statement is true; the second statement in false.
B. The first statement is false; the second statement is true.
C. Both statements are true.
D. Both statements are false.

11. All of the following are symptoms of heart failure EXCEPT one. Which one is the exception?
A. Excessive unexplained weight gain
B. Cyanosis of lips and nailbeds
C. Prominent carotid artery when patient is sitting upright
D. Grayish-blue mucous membranes
12. The MOST dramatic life-threatening symptom of right heart failure is pulmonary edema. Acute pulmonary edema is the result of rapid accumulation of fluid in the lungs.
A. The first statement is true; the second statement is false.
B. The first statement is false; the second statement is true.
C. Both statements are true.
D. Both statements are false.
13. All of the following statements describe a bloodless phlebotomy EXCEPT one. Which one is the exception?
A. Tourniquets or blood pressure cuffs are applied to three extremities at a time.
B. The tourniquet or blood pressure cuff should be tight enough so that an arterial pulse can be felt mesial to the tourniquet/cuff.
C. The pressure applied to the cuff should be less than the systolic pressure and greater than the diastolic pressure.
D. The cuffs should be placed four inches below the shoulder and six inches above the groin.
14. For a patient experiencing acute pulmonary edema, oxygen should be administered via a non-rebreather bag at a rate of:
A. 2–3 liters/minute.
B. 4–6 liters/minute.
C. 6–8 liters/minute.
D. 10 or more liters/minute.

CHAPTER 11 HEART FAILURE ANSWER KEY
Multiple Choice
1. D
2. A
3. B
4. B
5. A
6. C
7. A
8. D
9. C
10. C
11. C
12. B
13. D
14. D