Exam 5: Local Anesthetic Agents
Exam 1: Local Anesthesia in Dental Hygiene Practice: an Introduction34 Questions
Exam 2: Neurophysiology33 Questions
Exam 3: Pharmacology of Local Anesthetic Agents33 Questions
Exam 4: Pharmacology of Vasoconstrictors33 Questions
Exam 5: Local Anesthetic Agents33 Questions
Exam 6: Topical Anesthetic Agents33 Questions
Exam 7: Preanesthetic Assessment33 Questions
Exam 8: Determining Drug Doses33 Questions
Exam 9: Armamentariumsyringe Preparation41 Questions
Exam 10: Anatomic Considerations for the Administration of Local Anesthesia36 Questions
Exam 11: Basic Injection Techniques33 Questions
Exam 12: Maxillary Nerve Anesthesia33 Questions
Exam 13: Mandibular Nerve Anesthesia35 Questions
Exam 14: Local Anesthetic Complications33 Questions
Exam 15: Legal Considerations and Risk Management33 Questions
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What local anesthetic agents would be a good choice to use when a vasoconstrictor is contraindicated?
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(Short Answer)
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Correct Answer:
Mepivacaine and prilocaine
Marcaine is the proprietary name for which of the following?
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(Multiple Choice)
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Correct Answer:
B
Name the local amide anesthetic agent that has the highest dissociation constant and explain what this high dissociation constant means.
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(Essay)
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Bupivacaine has the highest pKa,which meAnswer that it has the slowest onset of action but has a duration that almost doubles the duration of lidocaine.
What is the advantage of the thiophene ring found in articaine?
(Multiple Choice)
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Which of the following questions should the dental hygienist consider prior to administering local anesthetic to a patient?
1) What is the dental or dental hygiene care plan?
2) What is the need for post-treatment pain control after the procedure?
3) What is the patient's level of anxiety?
4) Is hemostasis needed for restorative dentistry?
5) What medication is the patient currently taking?
(Multiple Choice)
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What is the difference between generic names and proprietary names of local anesthetics?
(Essay)
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Name the only long-lasting local anesthetic available for use in dentistry.
(Short Answer)
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Which anesthetic solution is still available in multidose vials and is used in medicine as an antiarrhythmic agent?
(Multiple Choice)
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Sodium chloride is a buffer creating an injectable solution that is isotonic.
(True/False)
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What is the term used to describe the persistent anesthesia or the altered sensation of tingling or itching beyond the expected duration of local anesthetic?
(Multiple Choice)
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Among local anesthetics procaine has the highest percentage of protein binding and is the most lipid soluble.
(True/False)
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What is the solution that was added to the cartridge of local anesthetic to prevent bacterial growth?
(Multiple Choice)
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What is the lipid solubility and the protein-binding ability of the local anesthetic related to?
(Multiple Choice)
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Which amide anesthetic agent is metabolized in both the plasma and the liver?
(Multiple Choice)
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Articaine cartridges of local anesthetic contain 1.7 ml of solution.
(True/False)
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What is the name of the only topical amide anesthetic currently on the dental market in the United States?
(Multiple Choice)
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Which two local anesthetic agents have the least vasodilating properties?
(Short Answer)
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Septocaine,Zorcaine,and Articadent are the proprietary names for which of the following?
(Multiple Choice)
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Which of the following statements are true regarding local anesthetics and allergic reactions?
1) Sulfite sensitivities have been well documented and may rule out anesthetic formulations that contain vasoconstrictors.2. A patient reporting an allergic reaction prior to 1984 is probably allergic to the local anesthetic Novocaine.3. A documented drug allergy would indicate the need for an alternative drug selection and may represent an absolute contraindication to the offending drug.
(Multiple Choice)
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