DAANCE Patient Assessment and Preparation 4

Question 1

A patient reports taking warfarin daily. What is the most important pre-anesthesia consideration?

Accepted Answer

Obtain a current INR value and consult with the patient's physician

Answer

Current INR must be evaluated and the prescribing physician consulted before proceeding with sedation to assess bleeding risk.

Question 2

Which ASA physical status classification describes a patient with well-controlled type 2 diabetes and mild hypertension?

Accepted Answer

ASA II

Answer

ASA II applies to patients with mild systemic disease that is well-controlled and presents no functional limitation.

Question 3

During pre-anesthesia assessment, a patient's blood pressure reads 178/104 mmHg on two separate readings. What is the appropriate action?

Accepted Answer

Postpone elective sedation and refer for medical evaluation

Answer

A blood pressure of 178/104 mmHg indicates stage 2 hypertension, and elective procedures should be deferred pending medical clearance.

Question 4

Which of the following best describes the purpose of the Mallampati classification in pre-anesthesia assessment?

Accepted Answer

Predicts difficulty of airway management

Answer

The Mallampati classification scores oropharyngeal visibility to predict potential difficulty with airway management during sedation.

Question 5

A patient discloses a latex allergy during the health history review. Which preparation step is most critical?

Accepted Answer

Schedule the patient as the first case of the day to ensure a latex-free environment

Answer

Scheduling the patient first minimizes latex particle accumulation in the environment, reducing risk of allergic reaction.

DAANCE - Dental Anesthesia Assistant National Certification Examination Practice Test