DAANCE - Dental Anesthesia Assistant National Certification Examination Managing Systemic Diseases Questions and Answers

Question 1

A 58-year-old male patient with well-controlled type 2 diabetes and hypertension is scheduled for multiple extractions under IV sedation.
His morning blood glucose reading was 150 mg/dL.
Which of the following is the most appropriate action for the dental anesthesia assistant to anticipate?

Accepted Answer

Scheduling the patient for the first appointment of the day.

Answer

Administering a prophylactic dose of antibiotics.

Answer

Withholding all morning medications, including antihypertensives.

Answer

Using a local anesthetic without a vasoconstrictor.

Question 2

According to the ASA Physical Status Classification System, a patient with severe systemic disease that is a constant threat to life, such as unstable angina or end-stage renal disease, would be classified as:

Accepted Answer

ASA IV

Answer

ASA II

Answer

ASA III

Answer

ASA V

Question 3

A patient with a history of moderate, persistent asthma is undergoing a procedure with conscious sedation. Which of the following medications should be readily available in the emergency kit for this patient?

Accepted Answer

A short-acting beta-agonist inhaler (e.g., albuterol)

Answer

Epinephrine 1:1,000

Answer

Atropine

Answer

Naloxone

Question 4

During a pre-anesthetic evaluation, a patient reports taking 20 mg of prednisone daily for the past year for an autoimmune condition. This long-term steroid use may cause which of the following conditions, requiring special consideration?

Accepted Answer

Adrenal suppression

Answer

Increased risk of bleeding

Answer

Malignant hyperthermia

Answer

Delayed drug metabolism

Question 5

A patient with diagnosed liver cirrhosis is scheduled for a procedure under deep sedation. The dental anesthesia assistant should be aware that this condition primarily affects the:

Accepted Answer

Metabolism and clearance of anesthetic drugs.

Answer

Oxygen-carrying capacity of the blood.

Answer

Electrical conduction system of the heart.

Answer

Filtration of waste products by the kidneys.

Question 6

A dental anesthesia assistant is preparing for a case involving a patient with a blood pressure reading of 185/115 mmHg. Which of the following is the most critical initial step?

Accepted Answer

Inform the dentist/anesthesiologist immediately.

Answer

Proceed with the procedure using anxiolytic techniques.

Answer

Administer a dose of sublingual nitroglycerin.

Answer

Recheck the blood pressure in the other arm.