DAANCE Managing Systemic Diseases 2

Question 1

A dental patient with Type 1 diabetes mellitus scheduled for morning sedation is MOST at risk for which perioperative complication?

Accepted Answer

Hypoglycemia due to fasting and insulin effects

Answer

Type 1 diabetic patients who fast for NPO requirements may develop hypoglycemia, especially if they took their usual insulin dose without eating.

Question 2

For a patient on warfarin therapy, the dental team should review which laboratory value before a procedure involving significant bleeding risk?

Accepted Answer

International normalized ratio (INR)

Answer

The INR quantifies the anticoagulant effect of warfarin. An INR at or below 3.5 is generally acceptable for most dental procedures.

Question 3

A patient with severe obstructive sleep apnea (OSA) presents for IV sedation. The primary concern during sedation is:

Accepted Answer

Exaggerated upper airway obstruction and respiratory depression sensitivity

Answer

OSA patients have anatomically compromised upper airways and are highly sensitive to opioids and sedatives, greatly increasing the risk of airway obstruction during sedation.

Question 4

A patient with a known latex allergy requires dental sedation. The anesthesia team must:

Accepted Answer

Ensure the environment is latex-free, including gloves, IV tubing, and mask components

Answer

Latex allergy requires a completely latex-free environment. Many medical devices - gloves, IV bags, tubing, blood pressure cuffs - may contain latex.

Question 5

Which modification is indicated for a patient with severe aortic stenosis (AS) scheduled for elective dental sedation?

Accepted Answer

Consult the cardiologist; sedation may require advanced monitoring or hospital-based care

Answer

Severe AS represents high cardiac risk. These patients tolerate neither hypo- nor hypertension well. Cardiology consultation is essential before elective sedation.

DAANCE - Dental Anesthesia Assistant National Certification Examination Practice Test

DAANCE - Dental Anesthesia Assistant National Certification Examination Practice Test

DAANCE Managing Systemic Diseases 2