Question 1

What percentage of Americans only seek oral health care when absolutely necessary?

Accepted Answer

A) 0% 
B) 5% 
C) 10% 
D) 20% 
A) 0% 
B) 5% 
C) 10% 
D) 20% D

Question 2

The use of barbiturates is absolutely contraindicated in patients with a positive family history of

Accepted Answer

A) high blood pressure. 
B) diabetes. 
C) porphyria. 
D) adrenal insufficiency. 
A) high blood pressure. 
B) diabetes. 
C) porphyria. 
D) adrenal insufficiency. C

Question 3

What should be done once a patient being treated with a benzodiazepine for "dental appointment" insomnia sees there is no reason to fear the appointment?

Accepted Answer

A) Cut the dose by one-half. 
B) Switch to a nonbenzodiazepine,benzodiazepine receptor agonist such as eszopiclone. 
C) Utilize nonpharmacologic sleep measures prior to the next appointment. 
D) Don't make any changes in the prescription. 
A) Cut the dose by one-half. 
B) Switch to a nonbenzodiazepine,benzodiazepine receptor agonist such as eszopiclone. 
C) Utilize nonpharmacologic sleep measures prior to the next appointment. 
D) Don't make any changes in the prescription. C

Question 4

All of the following habits should be followed to minimize insomnia except for one.Which one is the exception?

Accepted Answer

A) Light snack (warm milk)at bedtime 
B) Awake at 6 AM even if sleep only began at 5 AM. 
C) Exercise within 3 hours of bedtime. 
D) Remaining in bed no longer than 20 minutes without sleeping 
E) No smoking within 8 hours of bedtime 
A) Light snack (warm milk)at bedtime 
B) Awake at 6 AM even if sleep only began at 5 AM. 
C) Exercise within 3 hours of bedtime. 
D) Remaining in bed no longer than 20 minutes without sleeping 
E) No smoking within 8 hours of bedtime

Question 5

Barbiturates have no significant analgesic effects.

Accepted Answer

A) True 
 B)False

Question 6

Which of the following muscle relaxants has peripheral rather than central action?

Accepted Answer

A) Carisoprodol 
B) Cyclobenzaprine 
C) Tizanidine 
D) Baclofen 
E) Dantrolene 
A) Carisoprodol 
B) Cyclobenzaprine 
C) Tizanidine 
D) Baclofen 
E) Dantrolene

Question 7

Although a lethal dose of barbiturates can only be approximated,severe poisoning will follow the ingestion of _____ times the hypnotic dose.

Accepted Answer

A) 5 
B) 10 
C) 15 
D) 20 
A) 5 
B) 10 
C) 15 
D) 20

Question 8

When benzodiazepines are used in dentistry to produce conscious sedation,the appearance of __________ is used as an initial endpoint for the dose administered.

Accepted Answer

A) flushed skin 
B) miosis 
C) ptosis 
D) rapid eye movement 
A) flushed skin 
B) miosis 
C) ptosis 
D) rapid eye movement

Question 9

Which of the following benzodiazepines is the drug of choice for treatment of repetitive,intractable seizures that require IV therapy?

Accepted Answer

A) Chlordiazepoxide (Librium) 
B) Diazepam (Valium) 
C) Zolpidem (Ambien) 
D) Eszopiclone (Lunesta) 
A) Chlordiazepoxide (Librium) 
B) Diazepam (Valium) 
C) Zolpidem (Ambien) 
D) Eszopiclone (Lunesta)

Question 10

A sedative-hypnotic agent can produce varying degrees of central nervous system (CNS)depression.The same drug may be either a sedative or a hypnotic.

Accepted Answer

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

Question 11

Sedatives potentiate analgesic agents.

Accepted Answer

A) True 
 B)False

Question 12

Most patients with generalized anxiety disorder and panic attacks are being treated with

Accepted Answer

A) benzodiazepines. 
B) barbiturates. 
C) nonbenzodiazepine-nonbarbiturate sedative-hypnotics. 
D) antidepressants. 
A) benzodiazepines. 
B) barbiturates. 
C) nonbenzodiazepine-nonbarbiturate sedative-hypnotics. 
D) antidepressants.

Question 13

Barbiturates reduce the effects of the following drugs except which one?

Accepted Answer

A) Propoxyphene 
B) Chlorpromazine 
C) Warfarin 
D) Phenytoin 
E) Doxycycline 
A) Propoxyphene 
B) Chlorpromazine 
C) Warfarin 
D) Phenytoin 
E) Doxycycline

Question 14

Anxiety control is only necessary for the first third of a dental appointment.

Accepted Answer

A) True 
 B)False

Question 15

Once a benzodiazepine is absorbed,the rate at which it reaches its site of action depends on which of the following? (Select all that apply. )

Accepted Answer

A) Lipid solubility 
B) Protein binding 
C) Ionization 
D) First-order kinetics 
A) Lipid solubility 
B) Protein binding 
C) Ionization 
D) First-order kinetics

Question 16

The nonbenzodiazepine,benzodiazepine receptor agonists (NBRAs)are used to treat

Accepted Answer

A) panic attacks. 
B) generalized anxiety. 
C) insomnia. 
D) seizures. 
A) panic attacks. 
B) generalized anxiety. 
C) insomnia. 
D) seizures.

Question 17

Which benzodiazepine is preferred for use in elderly patients?

Accepted Answer

A) Benzodiazepines that require phase I metabolism and not phase II metabolism 
B) Benzodiazepines that require phase II metabolism and not phase I metabolism 
C) Benzodiazepines that require both phase I and phase II metabolism 
D) Benzodiazepines that require neither phase I nor phase II metabolism 
A) Benzodiazepines that require phase I metabolism and not phase II metabolism 
B) Benzodiazepines that require phase II metabolism and not phase I metabolism 
C) Benzodiazepines that require both phase I and phase II metabolism 
D) Benzodiazepines that require neither phase I nor phase II metabolism

Question 18

Which of the following agents used for dental anxiety has a fast onset and short half-life?

Accepted Answer

A) Triazolam 
B) Diazepam 
C) Lorazepam 
D) Alprazolam 
A) Triazolam 
B) Diazepam 
C) Lorazepam 
D) Alprazolam

Question 19

Barbiturates can cause fetal harm if administered to a pregnant woman.

Accepted Answer

A) True 
 B)False

Question 20

Which of the following statements are true concerning administration of benzodiazepines and pregnancy? (Select all that apply. )

Accepted Answer

A) An increased risk of congenital malformation in infants of mothers taking benzodiazepines in the first trimester has been reported. 
B) Benzodiazepines do not cross the placental barrier. 
C) Near-term administration of benzodiazepines to the mother has resulted in floppy infant syndrome. 
D) The administration of benzodiazepines is not a concern during pregnancy. 
A) An increased risk of congenital malformation in infants of mothers taking benzodiazepines in the first trimester has been reported. 
B) Benzodiazepines do not cross the placental barrier. 
C) Near-term administration of benzodiazepines to the mother has resulted in floppy infant syndrome. 
D) The administration of benzodiazepines is not a concern during pregnancy.

Exam 11: Antianxiety Agents

What percentage of Americans only seek oral health care when absolutely necessary?

The use of barbiturates is absolutely contraindicated in patients with a positive family history of

What should be done once a patient being treated with a benzodiazepine for "dental appointment" insomnia sees there is no reason to fear the appointment?

All of the following habits should be followed to minimize insomnia except for one.Which one is the exception?

Barbiturates have no significant analgesic effects.

Which of the following muscle relaxants has peripheral rather than central action?

Although a lethal dose of barbiturates can only be approximated,severe poisoning will follow the ingestion of _____ times the hypnotic dose.

When benzodiazepines are used in dentistry to produce conscious sedation,the appearance of __________ is used as an initial endpoint for the dose administered.

Which of the following benzodiazepines is the drug of choice for treatment of repetitive,intractable seizures that require IV therapy?

A sedative-hypnotic agent can produce varying degrees of central nervous system (CNS)depression.The same drug may be either a sedative or a hypnotic.

Sedatives potentiate analgesic agents.

Most patients with generalized anxiety disorder and panic attacks are being treated with

Barbiturates reduce the effects of the following drugs except which one?

Anxiety control is only necessary for the first third of a dental appointment.

Once a benzodiazepine is absorbed,the rate at which it reaches its site of action depends on which of the following? (Select all that apply. )

The nonbenzodiazepine,benzodiazepine receptor agonists (NBRAs)are used to treat

Which benzodiazepine is preferred for use in elderly patients?

Which of the following agents used for dental anxiety has a fast onset and short half-life?

Barbiturates can cause fetal harm if administered to a pregnant woman.

Which of the following statements are true concerning administration of benzodiazepines and pregnancy? (Select all that apply. )

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