Deck 1: Local Anesthesia in Dental Hygiene Practice: an Introduction

Question 1

Who was the first dentist to use "laughing gas" for dental procedures?

A) William Clarke
B) Horace Wells
C) Henry Beecher
D) Nils Lofgren

Answer 1

Horace Wells

Question 2

MATCHING
Match the following word or phrase with the correct drug category.
Lidocaine

A)ester (E)
B)amide (A)
C)inhalation drug (I)

Answer 2

amide (A)

Question 3

MATCHING
Match the following word or phrase with the correct drug category.
Novocaine

A)ester (E)
B)amide (A)
C)inhalation drug (I)

Answer 3

ester (E)

Question 4

The creation of the loss of sensation in a circumscribed area,without loss of consciousness,best defines which of the following?

A) Inhalation anesthesia
B) Local anesthesia
C) General anesthesia
D) All of the above

Question 5

The newest amide to arrive on the dental market in the United States is which one of the following?

A) Articaine
B) Mepivacaine
C) Lidocaine
D) Bupivacaine

Question 6

The personal interpretation and response to the pain message is called what?

A) Pain
B) Pain control
C) Pain threshold
D) Pain reaction

Question 7

MATCHING
Match the following word or phrase with the correct drug category.
Nitrous oxide

A)ester (E)
B)amide (A)
C)inhalation drug (I)

Question 8

The neurologic experience of pain is referred to as what?

A) Pain control
B) Pain threshold
C) Pain perception
D) Pain reaction

Question 9

A highly effective analgesic and antipyretic compound,introduced in 1899 and still used today,is commonly referred to as what?

A) Aspirin
B) Alcohol
C) Novocaine
D) Opium

Question 10

MATCHING
Match the following word or phrase with the correct drug category.
Halothane

A)ester (E)
B)amide (A)
C)inhalation drug (I)

Question 11

MATCHING
Match the following word or phrase with the correct drug category.
Mepivacaine

A)ester (E)
B)amide (A)
C)inhalation drug (I)

Question 12

An unpleasant sensory and emotional experience is called what?

A) Pain
B) Pain control
C) Pain threshold
D) Pain reaction

Question 13

MATCHING
Match the following word or phrase with the correct drug category.
Causes more allergic reactions

A)ester (E)
B)amide (A)
C)inhalation drug (I)

Question 14

MATCHING
Match the following word or phrase with the correct drug category.
Procaine

A)ester (E)
B)amide (A)
C)inhalation drug (I)

Question 15

MATCHING
Match the following word or phrase with the correct drug category.
Ether

A)ester (E)
B)amide (A)
C)inhalation drug (I)

Question 16

MATCHING
Match the following word or phrase with the correct drug category.
Prilocaine

A)ester (E)
B)amide (A)
C)inhalation drug (I)

Question 17

MATCHING
Match the following word or phrase with the correct drug category.
Patients experience fewer allergic reactions

A)ester (E)
B)amide (A)
C)inhalation drug (I)

Question 18

Pain threshold is best described as which of the following?

A) The physical and emotional response to a particular situation.
B) The relationship between human need fulfillment and human behavior.
C) A neurologic experience of pain.
D) The point at which a sensation starts to be painful and discomfort results.

Question 19

Early methods of pain control included which of the following?

A) Use of opium
B) Scaring off of demons
C) Roots, berries, and seeds
D) All of the above

Question 20

The first objections to the use of inhalation sedation included which of the following?

A) It was viewed as a religious offense
B) It was viewed as an unethical practice
C) It was viewed as a retardant to the health process
D) All of the above

Question 21

The best method to manage an anxious patient is by:

A) Prevention
B) General sedation
C) Referral to an anxiety specialist
D) All of the above

Question 22

Patients who are overly tired or stressed at the time of their dental appointment will generally demonstrate what kind of pain reaction threshold?

A) A lower pain reaction threshold, which means that they have a high tolerance for pain
B) A lower pain reaction threshold, which means that they have a low tolerance for pain
C) A higher pain reaction threshold, which means that they have a high tolerance for pain
D) None of the above

Question 23

Procaine was used extensively in dentistry for a number of years; however,it was not the ideal local anesthetic.Why not?

A) It took a long time to produce the desired anesthetic result.
B) It lasted for prolonged periods of time.
C) It had a high potential for triggering allergic reactions.
D) Some combination of the above

Question 24

The difference between the legal wording that states that the dental hygienist may monitor nitrous oxide and that the dental hygienist may administer nitrous oxide is best explained by which of the following statements?

A) When it is said that the dental hygienist may administer nitrous oxide, this indicates that the hygienist may change the nitrous oxide and/or oxygen settings during the appointment as needed.
B) When it is said that the dental hygienist may monitor nitrous oxide, this means that the hygienist may turn on the nitrous oxide and/or oxygen settings during the appointment as needed.
C) In legal terms, someone with the authority to monitor nitrous oxide may change the nitrous oxide and/or oxygen settings; someone with the authority to administer nitrous oxide may turn on the apparatus.
D) In state law the terms monitor and administer can be used interchangeably.

Question 25

The benefit of local anesthesia is not limited to pain control but could also include which of the following?

A) Hemostasis
B) Time management
C) Patient-centered stress reduction
D) All of the above

Question 26

Considering the human needs paradigm,freedom from fear and stress includes which of the following?

A) The need to receive appreciation, attention, and respect from others
B) The need to be free from emotional discomfort
C) The need to feel safe
D) All of the above

Question 27

An astute practitioner looks for signs of patient anxiousness.These signs may include which of the following?

A) Overwillingness to cooperate with clinician
B) History of emergency dental care only
C) Elevated blood pressure and heart rate
D) All of the above

Question 28

The first local anesthetic used in dentistry was which of the following?

A) Novocaine
B) Cocaine
C) Procaine
D) Lidocaine

Question 29

Patients who frequently miss dental appointments because of apprehension,often demonstrate what kind of pain reaction threshold?

A) A lower pain reaction threshold, which means that they have a high tolerance for pain
B) A lower pain reaction threshold, which means that they have a low tolerance for pain
C) A higher pain reaction threshold, which means that they have a high tolerance for pain
D) None of the above

Question 30

Lidocaine is said to have revolutionized pain control in dentistry.Why?

A) It is more potent than prilocaine.
B) It is less potent than procaine.
C) Patients experience fewer allergic reaction with lidocaine.
D) Some combination of the above

Question 31

Considerations that have the potential of influencing a dental patient's pain reaction threshold include which of the following?

A) Age
B) Culture
C) Fatigue
D) All of the above

Question 32

Performing a complete health history review at every appointment helps practitioners recognize stressors and health conditions that may complicate dental procedures.Taking a patient's vital signs does not play an important role in assessing a patient's level of apprehension.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second statement is false.
D) The first statement is false; the second statement is true.

Question 33

Jon presents to your dental office in pain with an abscessed tooth.Utilizing the Visual Analog Scale (VAS),Jon indicates that his pain level measures about 95 mm in length from the left hand end of the horizontal line.What is an appropriate translation of this action?

A) Jon is experiencing a significant amount of pain.
B) Jon is experiencing a moderate amount of pain.
C) Jon is uncomfortable but able to tolerate the pain.
D) None of the above because the pain scale is subjective

Question 34

The use of anesthesia as needed is an important key to what?

A) Understanding why patients are fearful of dental appointments
B) Preventing fear associated with pain
C) Ensuring patient comfort and adequate care
D) B and C