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Dental Sedation > Dental Sedation > Flashcards

Dental Sedation Flashcards

1
Q

What does a half full nitrous oxide cylinder contain?
1. Water
2. Gas above a Liquid
3. Nitrous Oxide
4. Gas

A
  1. Gas above a Liquid
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1
Q

When referring to gases, what does MAC relate to?

A

Potency of gas

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2
Q

What does a full oxygen cylinder contain?

A

Gas

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3
Q

What is the time weighed average for staff working with nitrous oxide?
1. 250ppm over a 10hr time period
2. 150ppm over a 6hr time period
3. 100ppm over a 8hr time period
4. 200ppm over a 3hr time period

A
  1. 100ppm over a 8hr time period
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4
Q

Hep C causes inflammation. What percentage of people will have chronic infection?
1. 80%
2. 89%
3. 60%
4. 56%

A
  1. 80%
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5
Q

Nitrous Oxide is eliminated from the body by exhalation. What percentage of nitrous oxide is eliminated from the body through the skin?
1. 1%
2. 4%
3. 29%
4. 30%

A
  1. 29%
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6
Q

The sinoatrial node is the origin of the electrical impulse that indicates the heartbeat, it is located in the wall of which structure?
1. Aorta
2. Left ventricle
3. Right atrium
4. Right ventricle

A
  1. Right atrium
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7
Q

Diazepam can be obtained in coloured tablets. When administrating a white tablet, what is the dose which is being produced?
1) 2mg
2) 5mg
3) 7mg
4) 10mg

A

1) 2mg

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8
Q

When aministrating a yellow diazepam tablet, what is the dose?
1) 2mg
2) 5mg
3) 7mg
4) 10mg

A

2) 5mg

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9
Q

Which sedation technique is useful in the management of special needs patients and needle phobia’s?
1. IHS
2. GA
3. Local Anesthesia
4. Transmucosal sedation

A
  1. Transmucosal sedation
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10
Q

The muscle mastication are…
1. Temporalis muscle, Masseter muscle, Trapezius, Medial pterygoid.
2. Temporalis muscle, Masseter muscle, Lateral pterygoid, Medial pterygoid.
3. Suprahyoid muscle, Masseter muscle, Lateral pterygoid, Medial pterygoid.
4. Temporalis muscle, Masseter muscle, Lateral pterygoid, Suprahyoid muslce

A
  1. Temporalis muscle, Masseter muscle, Lateral pterygoid, Medial pterygoid.
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11
Q

What lies above the root apices of the upper molar?
1. Eye socket
2. Nasal bone
3. Maxillary Antrum
4, Cheek bone

A
  1. Maxillary Antrum
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12
Q

Which nerve is not responsible for supplying the maxilla?
1. Naso-paltine nerve
2. Middle superior anterior dental nerve
3. Long buccal nerve
4. Anterior superior dental nerve
5. Greater palatine nerve.

A
  1. Long buccal nerve
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13
Q

The manidble is made up of two bones joined together to make a horseshoe shaped structure. These are fused together in the first year of life. Where are they joined?
1. The mental symphysis
2. Prominence
3. The maxilla
4. The ethmoid

A
  1. The mental symphysis
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14
Q

Which Salivary gland secretes directly into the blood stream?
1. Exocrine
2. Endocrine
3. Parotid
4. Sublingual

A
  1. Endocrine
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15
Q

Chapman and kirby-turner published a proposed model for dental fear in children. What date was this?
1. 1995
2. 1999
3. 2004
4. 1992

A
  1. 1999
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16
Q

Sevoplurance…
1. Has low potency
2. High margin of safety
3. Not used for induction of GA
4. Has low MAC volume

A
  1. Has low MAC volume
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17
Q

The speed of onset or induction of sedation occurs when there is…
1. Increase volume of blood pressure through the lungs
2. Increases in lung minute volume
3. Increases cardiac output
4. Decrease in respiratory minute volume

A
  1. Increases in lung minute volume
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18
Q

Benzodapines act via the GABA network which is found within our…
1. Central nervous system
2. Brain
3. Veins
4. Circulation

A
  1. Central nervous system
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19
Q

The normal pulse rate for an adult is…
1. 80-90 bpm
2. 60-80 bpm
3. 75-80 bpm
4. 65-75bpm

A
  1. 60-80 bpm
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20
Q

The access to heath records act come into effect in…
1. 1980
2. 1990
3. 1985
4. 1975

A
  1. 1980
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21
Q

When recording blood pressure, a measurement is activated by using a sphygmomanometer and auscultation based on the recognition of Korotkoff sound. What do you record when the sound is blowing?
1. K1
2. K2
3. K3
4. K4

A
  1. K2
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22
Q

The antecubital fossa is a common location for venipuncture. Where is the basilic vein found?
1. Inner side of the arm
2. Outer side of the arm
3. Back of hand
4. Inner wrist

A
  1. Inner side of the arm
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23
Q

The antecubital fossa is a common location for venipuncture. Where is the cephalic vein found?
1. Inner side of the arm
2. Outer side of the arm
3. Back of hand
4. Inner wrist

A
  1. Outer side of the arm
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24
Q

The maxilla consists of a pyramidal shaped body and 4 processes. Which process is not included in the maxilla?
1. Zygomatic process
2. Alveolar process
3. Styloid process
4. Palatine process

A
  1. Styloid process
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25
Q

Maximum dose prescribed to the elderly is half that given to an adult. However, they may require a high dose than children. What is the prescribed dose?
1) 5mg
2) 6mg
3) 7.5mg
4) 10mg

A

1) 5mg

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26
Q

Diazepam can be obtained in coloured tablets. When administrating a blue tablet, what is the dose which is being produced?
1) 2mg
2) 5mg
3) 7mg
4) 10mg

A

4) 10mg

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27
Q

When administering midazolam for intravenous sedation for an asa1 patient, the initial bolous over 30 seconds is…
1) 0.5mg
2) 1mg
3) 2mg
4) 3mg
5) 5mg

A

3) 2mg

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28
Q

There are several body fluids. Which body fluid is the correct name for fluid around the lungs?
1. Cerebrospinal fluid
2. Pleural fluid
3. Synovial fluid
4. Blood

A
  1. Pleural fluid
29
Q

The nerve supplying the upper teeth and the labial tissue past through which foramen?
1. Incisive foramen
2. Infraorbital foramen
3. Greater palatine foramen
4. Stylomastoid foramen

A
  1. Infraorbital foramen
30
Q

When pressing the flush button on the IHS machine how many liters of oxygen will be delivered to the patient?
1. 10L
2. 15L
3. 20L
4. 30L
5. 35L

A
  1. 30L
31
Q

During conscious sedation, a tourniquet is used to…
1. Keep blood flow
2. Restrict blood flow
3. To access the size of the patients arm
4. To help secure the canula

A
  1. Restrict blood flow
32
Q

The oxygen flow rate in children is…
1) 8 L/min
2) 6 L/min
3) 5 L/min
4) 15 L/min

A

2) 6 L/min

33
Q

The sedative Propofol has a half life being estimated between 2 and 24 mins. What is the patient recovery?
1. 10 mins
2. 26mins
3. 5 mins
4. 7mins

A
  1. 5 mins
34
Q

After treatment midazolam will be eliminated from the body. In a ASA 1 patient approx 5mg of drugs will be eliminated from the body within…
1) 7hrs
2) 15hrs
3) 5hrs
4) 6hrs

A

3) 5hrs

35
Q

A very rare risk of GA is death. Death from GA is reported to occur roughly?
1) 1 in every 100,000
2) 5 in every 100,000
3) 5 in every 350,000
4) 1 in every 240,000

A

1) 1 in every 100,000

36
Q

GDPR came into effect in…
1. 25th may 2017
2. 25th may 2018
3. 25th april 2018
4. 25th may 2016

A
  1. 25th may 2018
37
Q

The mental capacity act came into effect in…
1. 2004
2. 2005
3. 2006
4. 2010

A
  1. 2005
38
Q

The dentist act makes it an offence for anyone to practice dentistry if not registered with the GDC. What date did this come into effect?
1) 1954
2) 1985
3)1984
4)1990

A

3)1984

39
Q

The normal respiratory range for an adult is…
1) 12-18 breaths per min
2) 15-18 breaths per min
3) 15-20 breaths per min
4) 10-15 breaths per min

A

1) 12-18 breaths per min

40
Q

When did the freedom of information act take effect?
1) 1995
2) 2000
3) 1999
4) 2005

A

2) 2000

41
Q

When taking a patients blood pressure, you should position the cuff above the antecubital fossa. How far above this site should you position the cuff?
1) 2-4cm
2) 2-3cm
3) 3-5cm
4) 1cm

A

2) 2-3cm

42
Q

COSHH was introduced in…
1) 2000
2) 2005
3) 1995
4) 1990

A

1) 2000

43
Q

Ionising radiation medical exposure regulation was introduced in…
1) 2001
2) 1994
3) 2000
4) 2004

A

3) 2000

44
Q

An empty nitrous oxide cylinder weighs approx…
1) 3.4KG
2) 5.2KG
3) 5.4KG
4) 6.2KG
5) 8.8KG

A

3) 5.4KG

45
Q

An INR is taken. What is a healthy blood reading?
1) 1.1
2) 1.2
3) 2
4) 2.1
5) 3

A

1) 1.1

46
Q

Diazepam has a long term half of…
1) 59-69 hrs
2) 36-57hrs
3) 45-50hrs
4)5-15hrs

A

2) 36-57hrs

47
Q

Buccal midazolam is administrated by placing the drug…
1) Nasally
2) Against the gingivae and cheeks
3) In the CNS (Central Nervous System)
4) In the blood stream

A

2) Against the gingivae and cheeks

48
Q

Buccal midazolam is licensed for the management of which medical treatment?
1) High blood pressure
2) Status epilepticus
3) Stroke
4) DVT

A

2) Status epilepticus

49
Q

Transmuscal midazolam will take effect within how many times?
1) 30mins
2) 10mins
3) 20mins
4) 45mins

A

3) 20mins

50
Q

The oxygen flow rate in adults is…
1) 8l/min
2) 6l/min
3) 5l/min
4) 15l/min

A

1) 8l/min

51
Q

During plane 2 of anesthesia, what percentage of nitrous oxide will be administrated?
1) 5%-25%
2) 20%-55%
3) 50%-75%
4) 25%-55%

A

2) 20%-55%

52
Q

Stage 1 of the planes of anesthesia will provide relative analgesia. Which plane also provides relative analgesia?
1) Plane 3+4
2) Plane 2
3) Plane 1+2
4) Plane 3

A

3) Plane 1+2

53
Q

During reversal of midazolam, which treatment will also be reversed? 1) Epileptic Therapy
2) Warfarin
3) Beta Blockers
4) Nitroglycerin

A

1) Epileptic Therapy

54
Q

What year was midazolam produced?
1) 1930’s
2) 1970’s
3) 1980’s
4) 1890’s

A

2) 1970’s

55
Q

It is estimated that patients may be partially awake during a GA and will experience unintended intraoperative awareness. What is this estimation?
1) 1/2 in every 1000
2) 1/2 in every 5000
3) 1/2 in every 100,000
4) 5 in every 500,000

A

1) 1/2 in every 1000

56
Q

The Human Rights came into effect in 1994 and…
1) 1996
2) 1998
3) 1959
4) 1999

A

2) 1998

57
Q

The GDC requires all DCP’s to submit CPD anually, the GDC also require you to have in place a PDP. When did PDP come into place?
1) 2018
2) 2017
3) 2019
4) 2016

A

1) 2018

58
Q

To prevent pain on venepuncture a topical antiesthetic can be applied under an occlusive dressing prior to IV access. There are two preparations frequently used 1) Emla cream consisting of lidocaine 2.5% and priolcain 2.5%. 2) Ametop 4% teteracain. How long does elma cream last for?

1) 5 mins
2) 15mins
3) 30mins
4) 45mins
5) 60mins

A

5) 60mins

59
Q

The heart is made up of cardiac muscle cells which branch and network to form the myocardium. The heartbeat originates in the pacemaker or sinoatrial (SA) node, the SA node send out electrical signals which reach the atrioventricular node, if the heartbeat is too slow and the brain receives too little blood the patient may suffer from a loss of consciousness. If the heart rhythm is working correctly the rhythm is known as?

1) Artibual Fibrillation
2) Bradycardia
3) Pulse less tachycardia
4) Sinus rhythm
5) Wolff- Parkinson- White syndrome

A

4) Sinus rhythm

60
Q

Patient is an adult and has been resting. What respiratory rate would you expect?

1) 6-8 breaths per min
2) 8-10 breaths per min
3) 10-14 breaths per min
4) 14 to 20 breaths per min
5) 20-25 breaths per min

A

4) 14 to 20 breaths per min

61
Q

When a patient becomes hypoxic it means they have lowe oxygen levels and the patient could die. How long does it take without oxygen for irreversible brain damage to occur?

1) 3 mins
2) 5 mins
3) 10mins
4) 20 mins
5) 30 mins

A

1) 3 mins

62
Q

Breathing is an involuntary action and is dependent upon something happening to the body. Which substance drives breathing?

A

Carbon Dioxide

63
Q

There are two lungs situated in the thoracic cavity with the heart. One is larger than the other . Which lung is the smallest?

A

The left lung.

64
Q

You are working with a dentist and a small bracket has been dropped. If the item was lost down the oropharynx, which lung would it most likely go into?

A

The right lung.

65
Q

Oxygen and carbon dioxide are exchange when we breathe. The oxygen is taken into our body and the carbon dioxide is exhaled. Where does gaseous exchange take place?

A

Alveoli

66
Q

Which structure within the respiratory system are also known as air sacs?

A

Alveoli

67
Q

What does titrate mean?

A

The process of adjusting the dose of a medication for the minimum benefit with adverse side effects.

68
Q

The patient is eve test positive. What does this mean?

A

They are sufficiently sedated.

69
Q

What does pharmacodynamics mean?

A

Dental Sedation (1 decks)

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