Question 1

What instructions should the clinician give to the patient after he receives local anesthetic and before he leaves the dental office?

Accepted Answer

A)  Do not drink hot fluids' 
B)  Do not test anesthesia by biting the numb area. 
C)  Recommend warm saline rinses to decrease swelling and discomfort. 
D)  All of the above. 
A)  Do not drink hot fluids' 
B)  Do not test anesthesia by biting the numb area. 
C)  Recommend warm saline rinses to decrease swelling and discomfort. 
D)  All of the above. D

Question 2

Which of the following best practices will help to prevent infection caused by the administration of local anesthetic?

Accepted Answer

A)  Wipe needle with disinfectant 
B)  Store anesthetic cartridges in disinfectant solutions 
C)  Sheath needle before and immediately after injection 
D)  All of the above 
A)  Wipe needle with disinfectant 
B)  Store anesthetic cartridges in disinfectant solutions 
C)  Sheath needle before and immediately after injection 
D)  All of the above C

Question 3

MATCHING
Match the term with the definition that most closely describes it. Terms will be used only once.
-Excessive sweating

Accepted Answer

A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma 
A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma F

Question 4

MATCHING
Match the term with the definition that most closely describes it. Terms will be used only once.
-Minor complications that will resolve without requiring treatment

Accepted Answer

A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma 
A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma

Question 5

MATCHING
Match the term with the definition that most closely describes it. Terms will be used only once.
-Occurs in the region of the injection and can be attributed to the anesthetic needle,administration technique,and/or the anesthetic drug administered

Accepted Answer

A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma 
A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma

Question 6

MATCHING
Match the term with the definition that most closely describes it. Terms will be used only once.
-Abnormally prolonged rapid and deep respirations with light-headedness and dizziness

Accepted Answer

A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma 
A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma

Question 7

Which of the following could result if local anesthetic solution is inadvertently deposited in the parotid gland?

Accepted Answer

A)  Incomplete anesthesia of teeth 
B)  Hematoma 
C)  Facial paralysis 
D)  All of the above 
A)  Incomplete anesthesia of teeth 
B)  Hematoma 
C)  Facial paralysis 
D)  All of the above

Question 8

The preanesthetic patient assessment is the most important measure the dental hygienist can complete to prevent an allergic reaction.Patients who report they are susceptible to asthma,hay fever,and allergies to foods have an increased potential to develop an allergic response to medications.

Accepted Answer

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. 
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 9

What is the proper length of time to allow topical anesthetic to remain on the tissue at the injection site?

Accepted Answer

A)  1 to 2 minutes 
B)  2 to 4 minutes 
C)  5 to 6 minutes 
D)  Until patient reports that he is numb 
A)  1 to 2 minutes 
B)  2 to 4 minutes 
C)  5 to 6 minutes 
D)  Until patient reports that he is numb

Question 10

MATCHING
Match the term with the definition that most closely describes it. Terms will be used only once.
-Are usually caused by high plasma concentrations of local anesthetic drugs that result from inadvertent intravascular injection,excessive dose,rate of injection,delayed drug clearance,or administration into vascular tissue

Accepted Answer

A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma 
A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma

Question 11

Cardiovascular signs of toxicity of local anesthetic solution include which of the following?

Accepted Answer

A)  Myocardial stimulation 
B)  Cardiac dysrhythmias 
C)  Cardiotoxicity in pregnancy 
D)  b and c 
A)  Myocardial stimulation 
B)  Cardiac dysrhythmias 
C)  Cardiotoxicity in pregnancy 
D)  b and c

Question 12

MATCHING
Match the term with the definition that most closely describes it. Terms will be used only once.
-An example is when a patient experiences a burning sensation at the time of drug administration

Accepted Answer

A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma 
A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma

Question 13

Which is the highest dose of epinephrine?

Accepted Answer

A)  1:50,000 
B)  1:100,000 
C)  1:200,000 
D)  1:250,000 
A)  1:50,000 
B)  1:100,000 
C)  1:200,000 
D)  1:250,000

Question 14

MATCHING
Match the term with the definition that most closely describes it. Terms will be used only once.
-Sudden weakness of one side,difficulty of speech,temporary loss of vision,and change in mental status

Accepted Answer

A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma 
A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma

Question 15

On reviewing the dental patient's health history and dental history,what would be a best practice to in dealing with information that could adversely affect dental treatment?

Accepted Answer

A)  Tell the supervising dentist. 
B)  Record the conditions in red as a medical alert on the patient's medical history. 
C)  Document in the chart notes that you checked the patient's health history. 
D)  Refer patient to a specialist. 
A)  Tell the supervising dentist. 
B)  Record the conditions in red as a medical alert on the patient's medical history. 
C)  Document in the chart notes that you checked the patient's health history. 
D)  Refer patient to a specialist.

Question 16

What does the clinician need to know about a possible epinephrine overdose?

Accepted Answer

A)  The body is not very efficient at removing vasoconstrictors. 
B)  Adverse effects associated with epinephrine may last 20 minutes or longer. 
C)  Epinephrine overdose produces overstimulation of adrenergic receptors. 
D)  Normal signs and symptoms of an epinephrine overdose resemble CNS depression. 
A)  The body is not very efficient at removing vasoconstrictors. 
B)  Adverse effects associated with epinephrine may last 20 minutes or longer. 
C)  Epinephrine overdose produces overstimulation of adrenergic receptors. 
D)  Normal signs and symptoms of an epinephrine overdose resemble CNS depression.

Question 17

Delayed signs and symptoms of an allergic reaction are more intense and serious.If skin reactions develop immediately following the injection,anaphylaxis may occur.

Accepted Answer

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. 
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 18

Recommended treatment of allergic reactions includes which of the following?

Accepted Answer

A)  25 to 50 mg adult dose Benadryl for mild cutaneous reactions 
B)  1:1000 epinephrine for more serious reactions 
C)  60 mg methylprednisolone for severe allergic reactions 
D)  a and b 
E)  All of the above 
A)  25 to 50 mg adult dose Benadryl for mild cutaneous reactions 
B)  1:1000 epinephrine for more serious reactions 
C)  60 mg methylprednisolone for severe allergic reactions 
D)  a and b 
E)  All of the above

Question 19

How might overdose reactions be avoided?

Accepted Answer

A)  Higher gauge needles provide easier access for blood to enter the cartridge during the aspiration. 
B)  Proper aspiration will always prevent an intravascular injection. 
C)  Injecting the anesthetic slowly is the most important factor in preventing an overdose. 
D)  b and c 
A)  Higher gauge needles provide easier access for blood to enter the cartridge during the aspiration. 
B)  Proper aspiration will always prevent an intravascular injection. 
C)  Injecting the anesthetic slowly is the most important factor in preventing an overdose. 
D)  b and c

Question 20

MATCHING
Match the term with the definition that most closely describes it. Terms will be used only once.
-Shortness of breath or wheezing with chest tightness and increased pulse rate.

Accepted Answer

A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma 
A) Localized complication 
B) Systemic complication 
C) Primary complication 
D) Mild complication 
E) Transient complication
F)Diaphoresis
G)Syncope
H)Hyperventilation
I)Angina pectoris
J)Myocardial infarction
K)Stroke
L)Hypoglycemia
M)Hyperglycemia
N)Asthma

What instructions should the clinician give to the patient after he receives local anesthetic and before he leaves the dental office?

Which of the following best practices will help to prevent infection caused by the administration of local anesthetic?

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Excessive sweating

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Minor complications that will resolve without requiring treatment

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Occurs in the region of the injection and can be attributed to the anesthetic needle,administration technique,and/or the anesthetic drug administered

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Abnormally prolonged rapid and deep respirations with light-headedness and dizziness

Which of the following could result if local anesthetic solution is inadvertently deposited in the parotid gland?

The preanesthetic patient assessment is the most important measure the dental hygienist can complete to prevent an allergic reaction.Patients who report they are susceptible to asthma,hay fever,and allergies to foods have an increased potential to develop an allergic response to medications.

What is the proper length of time to allow topical anesthetic to remain on the tissue at the injection site?

Cardiovascular signs of toxicity of local anesthetic solution include which of the following?

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -An example is when a patient experiences a burning sensation at the time of drug administration

Which is the highest dose of epinephrine?

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Sudden weakness of one side,difficulty of speech,temporary loss of vision,and change in mental status

On reviewing the dental patient's health history and dental history,what would be a best practice to in dealing with information that could adversely affect dental treatment?

What does the clinician need to know about a possible epinephrine overdose?

Delayed signs and symptoms of an allergic reaction are more intense and serious.If skin reactions develop immediately following the injection,anaphylaxis may occur.

Recommended treatment of allergic reactions includes which of the following?

How might overdose reactions be avoided?

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Shortness of breath or wheezing with chest tightness and increased pulse rate.

Local Anesthesia in Dental Hygiene Practice: an Introduction

Neurophysiology

Pharmacology of Local Anesthetic Agents

Pharmacology of Vasoconstrictors

Local Anesthetic Agents

Topical Anesthetic Agents

Preanesthetic Assessment

Determining Drug Doses

Armamentariumsyringe Preparation

Anatomic Considerations for the Administration of Local Anesthesia

Basic Injection Techniques

Maxillary Nerve Anesthesia

Mandibular Nerve Anesthesia

Legal Considerations and Risk Management

Filters

Exam 14: Local Anesthetic Complications

What instructions should the clinician give to the patient after he receives local anesthetic and before he leaves the dental office?

Which of the following best practices will help to prevent infection caused by the administration of local anesthetic?

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Excessive sweating

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Minor complications that will resolve without requiring treatment

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Occurs in the region of the injection and can be attributed to the anesthetic needle,administration technique,and/or the anesthetic drug administered

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Abnormally prolonged rapid and deep respirations with light-headedness and dizziness

Which of the following could result if local anesthetic solution is inadvertently deposited in the parotid gland?

The preanesthetic patient assessment is the most important measure the dental hygienist can complete to prevent an allergic reaction.Patients who report they are susceptible to asthma,hay fever,and allergies to foods have an increased potential to develop an allergic response to medications.

What is the proper length of time to allow topical anesthetic to remain on the tissue at the injection site?

Cardiovascular signs of toxicity of local anesthetic solution include which of the following?

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -An example is when a patient experiences a burning sensation at the time of drug administration

Which is the highest dose of epinephrine?

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Sudden weakness of one side,difficulty of speech,temporary loss of vision,and change in mental status

On reviewing the dental patient's health history and dental history,what would be a best practice to in dealing with information that could adversely affect dental treatment?

What does the clinician need to know about a possible epinephrine overdose?

Delayed signs and symptoms of an allergic reaction are more intense and serious.If skin reactions develop immediately following the injection,anaphylaxis may occur.

Recommended treatment of allergic reactions includes which of the following?

How might overdose reactions be avoided?

MATCHING Match the term with the definition that most closely describes it. Terms will be used only once. -Shortness of breath or wheezing with chest tightness and increased pulse rate.

Local Anesthesia in Dental Hygiene Practice: an Introduction

Neurophysiology

Pharmacology of Local Anesthetic Agents

Pharmacology of Vasoconstrictors

Local Anesthetic Agents

Topical Anesthetic Agents

Preanesthetic Assessment

Determining Drug Doses

Armamentariumsyringe Preparation

Anatomic Considerations for the Administration of Local Anesthesia

Basic Injection Techniques

Maxillary Nerve Anesthesia

Mandibular Nerve Anesthesia

Legal Considerations and Risk Management

Filters