LOCAL ANESTHETICS

Question 1

LOCAL ANESTHETICS

Answer 1

ESTERS

AMIDES

Question 2

ESTERS

Answer 2

one ‘i’

PROCAINE, NOVOCAINE, CHOLOPROCAINE

BENZOCAINE, BUTAMBEN

COCAINE

TETRACAINE

Question 3

AMIDES

Answer 3

two ‘i’

LIDOCAINE

PRILOCAINE, MEPIVACAINE

BUPIVACAINE, LEVOBUPIVACAINE

ROPIVACAINE

Question 4

Local anesthetic with the shortest half-life

Answer 4

PROCAINE

Question 5

Local anesthetic with the longest half-life

Answer 5

ROPIVACAINE

Question 6

MOA: Local Anesthetics

Answer 6

Block VG Na channels preventing depolarization

Question 7

Ester with intrinsic sympathomimetic activity causing vasoconstriction. Does not need to be injected with epinephrine.

Answer 7

COCAINE

Question 8

Special SE of Benzocaine and Butamben

Answer 8

Methemeglobinemia

Question 9

TRUE OR FALSE

All local anesthetics are vasodilators except COCAINE.

Answer 9

TRUE

Question 10

Ester used primarily for spinal anesthesia

Answer 10

TETRACAINE

Question 11

Ester causing mood elevation due to action on dopamine receptor

Answer 11

COCAINE

Question 12

Ester used in surgeries involving ear, nose and throat

Answer 12

Cocaine

Question 13

Ester also available as opthalmic solution

Answer 13

TETRACAINE

Question 14

AMIDE used as anti-arrhythmic

Answer 14

LIDOCAINE

Question 15

AMIDE used in dental procedures

Answer 15

PRILOCAINE, MEPIVACAINE

Question 16

Special SE of Lidocaine

Answer 16

Transient Neurological Symptoms, Cauda Equina Syndrome

Question 17

Most cardiotoxic out of all LA

Answer 17

BUPIVACAINE

LEVOBUPIVACAINE

Question 18

Treatment for cardiotoxicity by Bupivacaine and Levobupivacaine

Answer 18

INTRALIPID/LIPOSOMAL FORMS

Question 19

TRUE OR FALSE

Most local anesthetics are weak bases.

Answer 19

TRUE

Question 20

TRUE OR FALSE

Alkalinizing the site with bicarbonate will hasten the onset of action of local anesthetics.

Answer 20

TRUE

Question 21

LOCAL ANESTHETIC SYSTEMIC TOXICITY (LAST) Treatment

Answer 21

Intralipid (Lipid Emulsion Therapy)