Question 1

Vasoconstrictors can increase a patient's blood pressure.

Accepted Answer

A) True 
 B)False  True

Question 2

The body's response to fear provokes symptoms that could include:

Accepted Answer

A)  Irritability 
B)  Muscular tension 
C)  Increase blood pressure 
D)  All of the above 
A)  Irritability 
B)  Muscular tension 
C)  Increase blood pressure 
D)  All of the above D

Question 3

For which of the following conditions are prophylaxis antibiotics recommended?

Accepted Answer

A)  Patients who have had joint replacements within the past 2 years 
B)  Patients with history of previous prosthetic joint infection 
C)  Joint replacement patients who are immunocompromised 
D)  All of the above 
A)  Patients who have had joint replacements within the past 2 years 
B)  Patients with history of previous prosthetic joint infection 
C)  Joint replacement patients who are immunocompromised 
D)  All of the above D

Question 4

MATCHING
Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once.
-Cocaine abusers

Accepted Answer

A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure 
A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure

Question 5

Your patient reports taking birth control medications and herbal supplements.You should consider:

Accepted Answer

A)  Using an ester derivative local anesthetic 
B)  Using a local anesthetic with a higher concentration of vasoconstrictor 
C)  Reducing the amount of vasoconstrictors to 0.04 mg per appointment 
D)  Reducing the amount of vasoconstrictors to 0.4 mg per appointment 
A)  Using an ester derivative local anesthetic 
B)  Using a local anesthetic with a higher concentration of vasoconstrictor 
C)  Reducing the amount of vasoconstrictors to 0.04 mg per appointment 
D)  Reducing the amount of vasoconstrictors to 0.4 mg per appointment

Question 6

Which of the following are best practices to use to reduce a dental patient's level of anxiety about dental treatment?
1) Consider appointment length and time of day.2. Administer adequate pain control during treatment and after the operation.3. Premedicate the patient for anxiety control.4. Telephone the patient after treatment

Accepted Answer

A)  1, 2, 4 
B)  1, 2, 3, 4 
C)  2, 3, 4 
D)  Some other combination 
A)  1, 2, 4 
B)  1, 2, 3, 4 
C)  2, 3, 4 
D)  Some other combination

Question 7

MATCHING
Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once.
-Patients with glaucoma

Accepted Answer

A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure 
A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure

Question 8

Best practices include which of the following?
1) Take preanesthetic vital signs to provide a standard of comparison in the event of an emergency.2. Take preanesthetic blood pressure readings to provide baseline information.3. Take preanesthetic blood pressure readings to determine whether to use a local anesthetic with a vasoconstrictor.4. Take preanesthetic vital signs to identify diagnosed or undiagnosed conditions.

Accepted Answer

A)  1, 2, 3, 4 
B)  2, 3, 4 
C)  1, 2 
D)  Some other combination 
A)  1, 2, 3, 4 
B)  2, 3, 4 
C)  1, 2 
D)  Some other combination

Question 9

A patient who has had heart bypass surgery 1 year ago should not have local anesthetics with vasoconstrictors.

Accepted Answer

A) True 
 B)False

Question 10

MATCHING
Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once.
-Patients with renal dysfunction

Accepted Answer

A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure 
A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure

Question 11

Which of the following statements is the correct consideration regarding the use of amide local anesthetic plus vasoconstrictor in treating a patient with a known bleeding disorder?

Accepted Answer

A)  The amide local anesthetic should not be used because it has a vasodilatory effect. 
B)  A high concentration of vasoconstrictor should be utilized. 
C)  The risk of a positive aspiration is the greatest concern. 
D)  All of the above 
A)  The amide local anesthetic should not be used because it has a vasodilatory effect. 
B)  A high concentration of vasoconstrictor should be utilized. 
C)  The risk of a positive aspiration is the greatest concern. 
D)  All of the above

Question 12

MATCHING
Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once.
-Patients taking cholinesterase inhibitors

Accepted Answer

A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure 
A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure

Question 13

What is the standard prophylaxis for an adult not allergic to amoxicillin?

Accepted Answer

A)  500 mg orally 1 hour prior to dental procedures 
B)  600 mg orally 1 hour prior to dental procedures 
C)  600 mg within 30 minutes prior to dental procedures 
D)  2 g orally 1 hour prior to dental procedures 
A)  500 mg orally 1 hour prior to dental procedures 
B)  600 mg orally 1 hour prior to dental procedures 
C)  600 mg within 30 minutes prior to dental procedures 
D)  2 g orally 1 hour prior to dental procedures

Question 14

The use of amide local anesthetic agents,not prilocaine or topical benzocaine,is recommended for a patient with methemoglobinemia.

Accepted Answer

A) True 
 B)False

Question 15

A patient presents to your dental office with a toothache.His blood pressure is 200/116.What should you do?

Accepted Answer

A)  Refuse treatment and refer the patient immediately to the hospital emergency. 
B)  Implement anxiety control measures, including the use of nitrous oxide/oxygen analgesia. 
C)  Take no unusual precautions related to patient management based on blood pressure readings after medical approval is obtained are warranted. 
D)  Have the dentist retake the patient's blood pressure and have him initial the patient's chart, granting you permission to treat this patient. 
A)  Refuse treatment and refer the patient immediately to the hospital emergency. 
B)  Implement anxiety control measures, including the use of nitrous oxide/oxygen analgesia. 
C)  Take no unusual precautions related to patient management based on blood pressure readings after medical approval is obtained are warranted. 
D)  Have the dentist retake the patient's blood pressure and have him initial the patient's chart, granting you permission to treat this patient.

Question 16

MATCHING
Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once.
-Patients taking tricyclic antidepressants

Accepted Answer

A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure 
A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure

Question 17

What does this statement mean?
"The potentially adverse action of the released catecholamines on cardiovascular function in the patient with clinically significant heart or blood vessel disease warrants the inclusion of vasoconstrictors in the local anesthetic solution."

Accepted Answer

A)  The release of catecholamines has the potential to adversely affect a patient's cardiovascular function. 
B)  Without adequate control of pain, sedation and stress reduction are impossible to achieve; however, use of local anesthetic plus a vasoconstrictor will help to ensure adequate pain control. 
C)  A patient with significant heart or blood vessel disease should always have a local anesthetic plus a vasoconstrictor solution. 
D)  A patient with significant heart or blood vessel disease should never have a local anesthetic plus a vasoconstrictor solution. 
A)  The release of catecholamines has the potential to adversely affect a patient's cardiovascular function. 
B)  Without adequate control of pain, sedation and stress reduction are impossible to achieve; however, use of local anesthetic plus a vasoconstrictor will help to ensure adequate pain control. 
C)  A patient with significant heart or blood vessel disease should always have a local anesthetic plus a vasoconstrictor solution. 
D)  A patient with significant heart or blood vessel disease should never have a local anesthetic plus a vasoconstrictor solution.

Question 18

MATCHING
Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once.
-Patients taking cimetidine on a regular basis

Accepted Answer

A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure 
A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure

Question 19

MATCHING
Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once.
-Patients taking MAOI

Accepted Answer

A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure 
A) Life-threatening syndrome caused by general anesthetics 
B) Avoid use of vasopressors; may lead to myocardial infarction 
C) Competitively inhibits PABA in microorganisms 
D) Will inhibit the reuptake of vasoconstrictor 
E) Frequently prescribed for the treatment of myasthenia gravis and glaucoma
F)Increases effects of epinephrine; avoid levonordefrin
G)Use esters or amides judiciously because they may increase risk of toxicity
H)Administer prilocaine or articaine because this drug reduces liver capacity to metabolize amides
I)Administer prilocaine or articaine as these drugs decrease hepatic blood flow
J)Limit amount of vasopressor because it can increase ocular pressure

Question 20

Local anesthetics containing a vasoconstrictor are relative contraindications for a patient who reports experiencing an allergic reaction to local anesthetics in the past.

Accepted Answer

A) True 
 B)False

Vasoconstrictors can increase a patient's blood pressure.

The body's response to fear provokes symptoms that could include:

For which of the following conditions are prophylaxis antibiotics recommended?

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Cocaine abusers

Your patient reports taking birth control medications and herbal supplements.You should consider:

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients with glaucoma

A patient who has had heart bypass surgery 1 year ago should not have local anesthetics with vasoconstrictors.

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients with renal dysfunction

Which of the following statements is the correct consideration regarding the use of amide local anesthetic plus vasoconstrictor in treating a patient with a known bleeding disorder?

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients taking cholinesterase inhibitors

What is the standard prophylaxis for an adult not allergic to amoxicillin?

The use of amide local anesthetic agents,not prilocaine or topical benzocaine,is recommended for a patient with methemoglobinemia.

A patient presents to your dental office with a toothache.His blood pressure is 200/116.What should you do?

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients taking tricyclic antidepressants

What does this statement mean? "The potentially adverse action of the released catecholamines on cardiovascular function in the patient with clinically significant heart or blood vessel disease warrants the inclusion of vasoconstrictors in the local anesthetic solution."

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients taking cimetidine on a regular basis

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients taking MAOI

Local anesthetics containing a vasoconstrictor are relative contraindications for a patient who reports experiencing an allergic reaction to local anesthetics in the past.

Local Anesthesia in Dental Hygiene Practice: an Introduction

Neurophysiology

Pharmacology of Local Anesthetic Agents

Pharmacology of Vasoconstrictors

Local Anesthetic Agents

Topical Anesthetic Agents

Determining Drug Doses

Armamentariumsyringe Preparation

Anatomic Considerations for the Administration of Local Anesthesia

Basic Injection Techniques

Maxillary Nerve Anesthesia

Mandibular Nerve Anesthesia

Local Anesthetic Complications

Legal Considerations and Risk Management

Filters

Exam 7: Preanesthetic Assessment

Vasoconstrictors can increase a patient's blood pressure.

The body's response to fear provokes symptoms that could include:

For which of the following conditions are prophylaxis antibiotics recommended?

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Cocaine abusers

Your patient reports taking birth control medications and herbal supplements.You should consider:

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients with glaucoma

A patient who has had heart bypass surgery 1 year ago should not have local anesthetics with vasoconstrictors.

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients with renal dysfunction

Which of the following statements is the correct consideration regarding the use of amide local anesthetic plus vasoconstrictor in treating a patient with a known bleeding disorder?

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients taking cholinesterase inhibitors

What is the standard prophylaxis for an adult not allergic to amoxicillin?

The use of amide local anesthetic agents,not prilocaine or topical benzocaine,is recommended for a patient with methemoglobinemia.

A patient presents to your dental office with a toothache.His blood pressure is 200/116.What should you do?

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients taking tricyclic antidepressants

What does this statement mean? "The potentially adverse action of the released catecholamines on cardiovascular function in the patient with clinically significant heart or blood vessel disease warrants the inclusion of vasoconstrictors in the local anesthetic solution."

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients taking cimetidine on a regular basis

MATCHING Match the drug or medical condition in the left-hand column with the description of the significant concern in the right-hand column. Each description is used only once. -Patients taking MAOI

Local anesthetics containing a vasoconstrictor are relative contraindications for a patient who reports experiencing an allergic reaction to local anesthetics in the past.

Local Anesthesia in Dental Hygiene Practice: an Introduction

Neurophysiology

Pharmacology of Local Anesthetic Agents

Pharmacology of Vasoconstrictors

Local Anesthetic Agents

Topical Anesthetic Agents

Determining Drug Doses

Armamentariumsyringe Preparation

Anatomic Considerations for the Administration of Local Anesthesia

Basic Injection Techniques

Maxillary Nerve Anesthesia

Mandibular Nerve Anesthesia

Local Anesthetic Complications

Legal Considerations and Risk Management

Filters