Question 1

What does the collection of preanesthetic data guide the dental hygienist in determining?

Accepted Answer

A)  Need for medical consultation 
B)  Appropriateness of administering a local anesthetic or vasoconstrictor 
C)  Modification of dental care plan 
D)  All of the above 
E)  Some combination 
A)  Need for medical consultation 
B)  Appropriateness of administering a local anesthetic or vasoconstrictor 
C)  Modification of dental care plan 
D)  All of the above 
E)  Some combination

Question 2

Patients who report an allergy to sulfa drugs should be given the local anesthetic articaine.

Accepted Answer

A) True 
 B)False

Question 3

Dilantin will decrease the efficacy of epinephrine.

Accepted Answer

A) True 
 B)False

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.
-Patients with malignant hyperthermia

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

What is the name of the inherited syndrome that is triggered by the exposure to certain drugs used for general anesthesia and the neuromuscular blocking agent succinylcholine?

Accepted Answer

A)  Methemoglobinemia 
B)  Cirrhosis 
C)  Malignant hyperthermia 
D)  Cancer 
A)  Methemoglobinemia 
B)  Cirrhosis 
C)  Malignant hyperthermia 
D)  Cancer

Question 6

Which of the following statements is the best definition of teratogenic?

Accepted Answer

A)  The development of abnormal structures in an embryo 
B)  The death of an embryo 
C)  The degree of danger to a developing fetus 
D)  The term for the contraindication for dental treatment of a pregnant patient 
A)  The development of abnormal structures in an embryo 
B)  The death of an embryo 
C)  The degree of danger to a developing fetus 
D)  The term for the contraindication for dental treatment of a pregnant patient

Question 7

What is the best reason for the relative contraindication to amide local anesthetics for patients with liver disease?

Accepted Answer

A)  Amides are metabolized to ortho-toluidine. 
B)  Biotransformation of the amides occurs primarily in the liver. 
C)  Ester derivative drugs that are metabolized primarily in the lungs are available. 
D)  Cyanosis of the lips and mucous membranes may be observed. 
A)  Amides are metabolized to ortho-toluidine. 
B)  Biotransformation of the amides occurs primarily in the liver. 
C)  Ester derivative drugs that are metabolized primarily in the lungs are available. 
D)  Cyanosis of the lips and mucous membranes may be observed.

Question 8

Which of the listed local anesthetics could produce an emergency situation characterized by the inability of the blood to bind to oxygen?

Accepted Answer

A)  Prilocaine 
B)  Mepivacaine 
C)  Lidocaine 
D)  Epinephrine 
A)  Prilocaine 
B)  Mepivacaine 
C)  Lidocaine 
D)  Epinephrine

Question 9

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 sulfonamides

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 10

Vasoconstrictors are an absolute contraindication for a patient with uncontrolled diabetes.

Accepted Answer

A) True 
 B)False

Question 11

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 beta blockers

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 12

Local anesthetics containing a vasoconstrictor are an absolute contraindication for a patient who reports being allergic to wine and dried fruits.

Accepted Answer

A) True 
 B)False

Question 13

What is the term that describes a situation in which a drug should not be administered to an individual under any circumstances?

Accepted Answer

A)  Absolute contraindication 
B)  Relative contraindication 
C)  Atypical contraindication 
D)  Drug to drug interaction 
A)  Absolute contraindication 
B)  Relative contraindication 
C)  Atypical contraindication 
D)  Drug to drug interaction

What does the collection of preanesthetic data guide the dental hygienist in determining?

Patients who report an allergy to sulfa drugs should be given the local anesthetic articaine.

Dilantin will decrease the efficacy of epinephrine.

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 malignant hyperthermia

What is the name of the inherited syndrome that is triggered by the exposure to certain drugs used for general anesthesia and the neuromuscular blocking agent succinylcholine?

Which of the following statements is the best definition of teratogenic?

What is the best reason for the relative contraindication to amide local anesthetics for patients with liver disease?

Which of the listed local anesthetics could produce an emergency situation characterized by the inability of the blood to bind to oxygen?

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 sulfonamides

Vasoconstrictors are an absolute contraindication for a patient with uncontrolled diabetes.

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 beta blockers

Local anesthetics containing a vasoconstrictor are an absolute contraindication for a patient who reports being allergic to wine and dried fruits.

What is the term that describes a situation in which a drug should not be administered to an individual under any circumstances?

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

What does the collection of preanesthetic data guide the dental hygienist in determining?

Patients who report an allergy to sulfa drugs should be given the local anesthetic articaine.

Dilantin will decrease the efficacy of epinephrine.

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 malignant hyperthermia

What is the name of the inherited syndrome that is triggered by the exposure to certain drugs used for general anesthesia and the neuromuscular blocking agent succinylcholine?

Which of the following statements is the best definition of teratogenic?

What is the best reason for the relative contraindication to amide local anesthetics for patients with liver disease?

Which of the listed local anesthetics could produce an emergency situation characterized by the inability of the blood to bind to oxygen?

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 sulfonamides

Vasoconstrictors are an absolute contraindication for a patient with uncontrolled diabetes.

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 beta blockers

Local anesthetics containing a vasoconstrictor are an absolute contraindication for a patient who reports being allergic to wine and dried fruits.

What is the term that describes a situation in which a drug should not be administered to an individual under any circumstances?

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