Knowledge Assessment Instrument

PIDP 3230 – Evaluation of Learning
Vancouver Community College
Kathryn Truant
June 4, 2017

Theory Examination
Oral & Maxillofacial Surgery Module for CDA’s: Unit One – The Perioperative Period

Student Name: __________________________
Student Number: __________________
Date: ___________
Instructor: Kathryn Truant
Score ____/50
Passing Grade: 35/50 (70%)

Please read the following instructions:

  1. This examination is the theory component of Unit 1 Oral & Maxillofacial Surgery Module for Certified Dental Assistants (CDA’s): The Perioperative Period. The examination is worth 5% of the total mark for the course.
  2. There are 4 sections in this examination: Alternate Response, Matching Items, Multiple Choice, and Restricted Response Essay. There are a total of 30 items, and a total of 50 marks. The following scoring guide will be used:
Item Type Item Amount Marks Per Item Total Marks Time Limit
Section One

Alternate Response

8 1 8 2 min
Section Two

Matching Items

8 1 8 2 min
Section Three

Multiple Choice

8 2 16 8 min
Section Four

Restricted Essay

6 3 18 18 min
Total 30 / 50 30 min (+15)

 

  1. The time allowed to complete the examination is 45 minutes.
  2. Please record your answers in ink directly beside or below the item.
  3. There are 8 pages including this page. The exam begins on the following page (2).

Section One: Alternate Response (1 mark each)
Indicate True or False for the following statements:

  1. Principles of Perioperative care remain the same for all surgeries.

_________

  1. The goal of perioperative care is to provide safe conditions for patients during surgery.

_________

  1. Validation of informed consent is necessary during the postoperative assessment phase.

_________

  1. CDA’s are ultimately responsible for obtaining the patient’s consent for surgery.

_________

  1. It is within the CDA’s scope of practice to understand anesthetic administration.

_________

  1. In the intraoperative phase, an appropriate gauze pack must be placed orally.

_________

  1. Vital signs are monitored regularly in the postoperative phase.

_________

  1. Warm saline rinses on the day following surgery encourages healing.

_________

Subtotal Section One:      /8

Section Two: Matching Items (1 mark each)
Select the correct Perioperative Phase to correspond with the following items:

(e.g. Preoperative, Intraoperative, or Postoperative)

  1. Monitor and record the patient’s vital signs. ____________________
  2. Maintain the patient’s airway. ____________________
  3. Obtain complete health history. ____________________
  4. Demonstrate the application of ice packs. ____________________
  5. Review pain and infection prevention medications. ____________________
  6. Report excessive bleeding at surgical site. ____________________
  7. Review recovery instructions. ____________________
  8. Explain NPO instructions. ____________________

Subtotal Section 2:      /8

Section Three: Multiple Choice (2 marks each)
Circle/Select the appropriate answer to the following questions:

  1. What is the absolute contraindication of any surgical procedure?

a) Member of surgical team is absent

b) Patient is late and will affect subsequent surgeries

c) Patient has a cold

d) Patient refusal

  1. At the onset of the intraoperative phase, the most important preparation is to make sure that the:

a) surgical set-up is complete

b) patient knows and understands what is going to happen to them

c) emergency equipment is in place

d) patient is NPO

  1. What is a surgical time-out?

a) A break during surgery where the surgeon reviews the patient’s chart

b) The point at the onset of the intraoperative phase where the surgical team are asked if they are ready for the patient

c) The point before induction of anesthesia where the patient is asked their name, birth date, operative procedure and site

c) Staggered breaks for the surgical team in extended surgical cases

  1. Patient assessment data required at the onset of the intraoperative phase includes what 3 things?

a) Allergies, vital signs, Body Mass Index

b) Allergies, vital signs, NPO status

d) Name, allergies, NPO status

c) Name, birth date, health history

  1. What is the CDA’s responsibility during the intraoperative phase?

a) Ensure that the patient’s personal belongings are secure

b) Ensure patient’s safety, privacy, dignity, and confidentiality

c) Review recovery instructions with caregiver

d) Review health history

  1. What is the first sense that returns to a patient following surgery with anesthesia?

a) Hearing

b) Pain

c) Taste

d) Touch

  1. Assessment in the postoperative phase begins with what?

a) Airway, breathing, circulation (ABC)

b) Circulation, bleeding, swelling (CBS)

c) Vital signs, bleeding, swelling

d) Vital signs, responsiveness

  1. What is the CDA’s responsibility at the conclusion of the postoperative phase?

a) Assess vital signs, bleeding, pain, orientation and mobility

b) Make sure that patient has a ride home and will remain with a responsible adult

c) Make sure that patient has written recovery instructions and prescriptions

d) All the above

Subtotal Section 3:      /16

Section Four: Restricted Response Essay (3 marks each)
Respond to the following questions in sentence form:

25. List and define the 3 stages of the Perioperative Period? (1 mark each)

26. What is the purpose of the interview for preoperative patients? (3 marks)

27. In addition to prescription medications, why is it important to ask the patient about over-the-counter (OTC), herbal, and recreational drug use during the preoperative interview? (1 mark)
Give an example of an OTC, herbal or recreational drug and its potential adverse effect. (2 marks)

28. What type of patient is at highest risk for adverse effects of surgery? (1 mark)
List two adverse effects. (2 marks)

29. Name the two most common catastrophic events that can occur in the intraoperative phase. (2 marks)
Define one catastrophic event. (1 mark)

30. What is the most common postoperative complication? (1 mark)
Name two risk factors. (2 marks)

Subtotal Section Four:      /18

END OF EXAM 🙂

Answer Key
Knowledge Assessment Instrument – Oral & Maxillofacial Surgery Module for Certified Dental Assistants (CDA’s): Unit One – The Perioperative Period

Section One:

1. True
2. False
3. False
4. False
5. True
6. True
7. True
8. True

Section Two:

9.  Intraoperative
10. Intraoperative
11. Preoperative
12. Postoperative
13. Postoperative
14. Postoperative
15. Postoperative
16. Preoperative

Section Three:

17. a)
18. c)
19. c)
20. b)
21. b)
22. a)
23. a)
24. d)

Section Four:

25. Preoperative: phase between the decision to have surgery and the beginning of the surgical procedure. Intraoperative: phase between admission to the OR and transfer to recovery. Postoperative: phase between patient’s transfer from the OR and discharge from recovery.

26. Obtain patient’s health information, provide information on the surgical experience (entire perioperative period), and facilitate an environment for the patient or caregiver to ask questions.

27. May complicate surgical procedures. Examples: aspirin and garlic – bleeding, ginseng – hypertension and tachycardia, Tobacco and marijuana – respiratory issues

28. Diabetic patient. Intraoperative blood glucose control and postoperative wound infection.

29. Anaphylaxis and Malignant Hyperthermia. Give 1 definition – Anaphylaxis: a severe, potentially life threatening allergic reaction. Malignant Hyperthermia: a disease that causes a fast rise in body temperature and severe muscle contractions when someone with the disease receives general anesthesia.

30. Nausea and vomiting. Female, history of motion sickness, anesthesia, length of surgery.