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DHE 115 Week 10 Pacemakers

Total questions: 28

Worksheet time: 16mins

Name
Class
Date
1.

Pacemakers are often used for the treatment of cardiac arrhythmias or irregular heart rate.

a)

True

b)

False

2.

The most common arrhythmia for which pacemakers are used is severe (a)   (slow heart rate).

3.

1. The pacemaker monitors heart rate. If the heart rate is normal, it does not send an impulse.


2. If it detects a slowing of the heart rate (bradycardia), it sends electrical impulses to the heart to speed up.

a)

First statement true, second false

b)

First statement false, second true

c)

Both true

d)

Both false

4.

1. Internal cardioverter defibrillators (ICD) are used to treat harmful tachyarrhythmias such as ventricular tachycardia.


2. ICD monitors blood pressure. If it's rapid, it delivers an electrical shock (cardioversion / defibrillation).

a)

First statement true, second false

b)

First statement false, second true

c)

Both true

d)

Both false

5.

The difference between a pacemaker and an ICD is that a pacemaker treats bradycardia and sends electrical impulses while an ICD treats tachycardia and sends an electrical shock.

a)

True

b)

False

6.

Which of the following should not be used on patients with a pacemaker or ICD?

a)

Dental handpieces

b)

Pulp vitality tester

c)

Magnetostrictive ultrasonic scaler

d)

Dental radiographs

7.

The most common use for an implantable cardioverter defibrillator is:

a)

Tachyarrhythmia

b)

Syncope

c)

Severe hypertension

d)

None of the above

8.

The portion of the pacemaker that contains the electronic circuitry and powers the device is the:

a)

Lead

b)

Defibrillator

c)

Copper stem

d)

Generator

9.

All of the following are symptoms of an individual suffering from a pacemaker malfunction except one. Which one is the exception?

a)

Dizziness

b)

Hiccoughing

c)

Swelling of extremities

d)

Wheezing

10.

The most important vital sign to monitor on a patient suspected of having a pacemaker malfunction is the:

a)

Pulse

b)

Respiration

c)

Blood pressure

d)

Temperature

11.

Local anesthetics with vasoconstrictors should be used with caution on patients with pacemakers and ICD's.

a)

True

b)

False

12.

The factor that causes the greatest risk of malfunction with pacemakers or ICDs is:

a)

Electromagnetic interference

b)

Solar interference

c)

Radiation interference

d)

Sonar interference

13.

The first step in the treatment of suspected pacemaker malfunction is to:

a)

Remove the cause of the interference

b)

Use the AED to regain appropriate heart rate

c)

Administer one tablet of nitroglycerin sublingually

d)

Contact the manufacturer of the pacemaker for advice

14.

Select signs and symptoms of pacemaker malfunction.

a)

Lightheadedness and dizziness

b)

Dyspnea and muscular twitching

c)

Bradycardia or tachycardia

d)

Swelling in the extremities

e)

Prolonged hiccoughing

15.

Select the signs and symptoms of an ICD malfunction.

a)

Inappropriate defibrillation

b)

Chest pain

c)

Twitching

d)

Biting

e)

Sudden movements

16.

Dental procedures are considered low risk and most dental equipment is safe for pacemakers and ICD.

a)

True

b)

False

17.

Select the unsafe procedures with older models of pacemakers or ICD's.

a)

Magnetostrictive ultrasonic scalers (Cavitron)

b)

Transcutaneous electrical nerve stimulators (TENS)

c)

Ultrasonic baths

d)

Sonic toothbrushes

e)

Magnetic headrests

18.

Radiographs, hand pieces (high speed / low speed), and curing lights are considered unsafe procedures with older models of pacemakers or ICD's.

a)

True

b)

False

19.

This is an infection of heart’s lining and valves. Bacteria spreads throughout your bloodstream, and attaches to weakened areas in your heart.

(a)  

20.

This is the mixing up of bacteria in the mouth that can travel through the blood stream

a)

Bacteremia

b)

Infective endocarditis

c)

Strep Mutans

21.

A patient taking a premedication, should take it ________ before the appointment.

a)

20-40 minutes

b)

30-60 minutes

c)

15-25 minutes

d)

10-15 minutes

22.

If a patient is allergic to penicillin, what is an alternative premedication.

a)

Cephalexin

b)

Amoxicillin

c)

Clindamycin

23.

Which is NOT a risk factor for taking a pre-medication?

a)

Prosthetic cardiac value or prosthetic material used in value repair

b)

History of previous endocarditis

c)

Cardiac transplant with valve regurgitation

d)

Congenital heart disease (Present from birth)

e)

Chronic obstructive pulmonary disease

24.

Which is NOT a risk factor for Infective Endocarditis.

a)

Artificial heart valves

b)

Congenital heart defects

c)

Damaged heart valves

d)

History of intravenous (IV) illegal drug use

e)

Appendicitis

25.

Bacteremia is less likely caused by frequent exposure to bacteria as opposed to a one time exposure

a)

True

b)

False

26.

According to the ADA, the clinical recommendation for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection.

a)

True

b)

False

27.

When is it recommended to prescribe an antibiotic for a patient that has a prosthetic joint replacement?


Select all that apply.

a)

Severely immunosuppressed

b)

Lyme Disease

c)

Uncontrolled diabetes who had a prosthetic joint replacement within the past year

d)

Hypertension

28.

There are potential harms of antibiotics including risk for anaphylaxis, antibiotic resistance, and opportunistic infections.

a)

True

b)

False