COM Emergency Procedures & Response 3 — Questions and Answers
Question 1: In the context of an orofacial myology practice, which emergency situation would most likely be triggered by latex gloves or materials used during assessment?
- Vasovagal syncope
- Asthma exacerbation
- Anaphylaxis (Correct answer)
- Hypoglycemia
Correct answer: Anaphylaxis
Latex allergy can trigger anaphylaxis, a severe systemic allergic reaction requiring immediate epinephrine administration.
Question 2: The triad of symptoms including urticaria, bronchospasm, and hypotension following an allergen exposure is characteristic of:
- Mild allergic reaction
- Anaphylactic shock (Correct answer)
- Vasovagal syncope
- Asthma attack
Correct answer: Anaphylactic shock
The combination of skin reaction, breathing difficulty, and low blood pressure is the hallmark triad of anaphylactic shock.
Question 3: Where should epinephrine auto-injectors (EpiPen) be administered during anaphylaxis?
- Deltoid muscle of the upper arm
- Outer mid-thigh through clothing (Correct answer)
- Subcutaneously in the abdomen
- Intravenously in the forearm
Correct answer: Outer mid-thigh through clothing
Epinephrine auto-injectors are designed for intramuscular injection into the outer mid-thigh, even through clothing.
Question 4: A patient using an inhaler for asthma experiences a severe attack unresponsive to their rescue inhaler during a session. The clinician should:
- Have them use a second dose and wait 30 minutes
- Call 911 immediately (Correct answer)
- Administer oxygen and observe for 10 minutes
- Help them sit upright and reassure them
Correct answer: Call 911 immediately
An asthma attack unresponsive to a rescue inhaler is a life-threatening emergency requiring immediate EMS activation.
Question 5: A patient discloses chest pain radiating to the left arm during your session. After calling 911, what should the patient be given if not contraindicated?
- Nitroglycerin spray
- Aspirin 325 mg to chew (Correct answer)
- Oxygen at 15 L/min
- Glucose tablets
Correct answer: Aspirin 325 mg to chew
Aspirin 325 mg chewed (not swallowed) is recommended for suspected myocardial infarction while awaiting EMS arrival.
Question 6: Which mnemonic is commonly used to help identify stroke symptoms in a clinical setting?
- RICE
- FAST (Correct answer)
- SAMPLE
- AVPU
Correct answer: FAST
The FAST mnemonic (Face drooping, Arm weakness, Speech difficulty, Time to call 911) helps clinicians quickly identify stroke.
Question 7: A clinician notices a patient having sudden facial drooping on one side along with slurred speech. These signs suggest:
- Bell's palsy
- Hypoglycemia
- Cerebrovascular accident (Correct answer)
- Vasovagal syncope
Correct answer: Cerebrovascular accident
Sudden unilateral facial drooping and slurred speech are hallmark warning signs of a cerebrovascular accident (stroke).
In the context of an orofacial myology practice, which emergency situation would most likely be triggered by latex gloves or materials used during assessment?