Practice Test GeeksDAANCE - Dental Anesthesia Assistant National Certification Examination Practice Test
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Managing Systemic Diseases Flashcards

7 cards from real DAANCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient with poorly controlled type 2 diabetes presents for dental anesthesia. Which blood glucose range is generally considered acceptable for proceeding with elective sedation?

    Answer: 70–180 mg/dL

    A fasting blood glucose of 70–180 mg/dL is generally accepted as safe for elective dental procedures under sedation.

  2. Which systemic condition most significantly increases the risk of laryngospasm during dental sedation due to airway hyperreactivity?

    Answer: Asthma

    Asthma causes bronchial hyperreactivity, significantly raising the risk of laryngospasm and bronchospasm during sedation.

  3. A patient on warfarin for atrial fibrillation has an INR of 3.8 on the day of the procedure. What is the most appropriate action?

    Answer: Postpone and consult with the patient's physician

    An INR of 3.8 is supratherapeutic and poses significant bleeding risk; the procedure should be postponed pending physician guidance.

  4. During sedation, a patient with a known pheochromocytoma develops a sudden spike in blood pressure to 220/130 mmHg. Which drug is most appropriate for acute management?

    Answer: Phentolamine IV

    Phentolamine, an alpha-adrenergic blocker, is the drug of choice for hypertensive crises caused by catecholamine excess from pheochromocytoma.

  5. A patient with end-stage renal disease on hemodialysis is scheduled for sedation. Which opioid is MOST SAFELY used due to inactive metabolites?

    Answer: Fentanyl

    Fentanyl is preferred in renal failure because its metabolites are inactive and do not accumulate to cause toxicity.

  6. Which ASA classification applies to a patient who has had a myocardial infarction within the past 30 days?

    Answer: ASA IV

    A recent myocardial infarction (within 30 days) represents a severe systemic disease with an immediate life threat, placing the patient in ASA IV.

  7. A patient with myasthenia gravis requires dental sedation. Which sedative/anesthetic interaction is of greatest concern?

    Answer: Neuromuscular blocking agents causing prolonged paralysis

    Patients with myasthenia gravis have abnormal neuromuscular junctions and are exquisitely sensitive to neuromuscular blocking agents, risking prolonged or profound paralysis.

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