Pain And Anxiety

Question 1

Which of the following methods of anxiety control results in a complete loss of feeling and loss of the reflexes which normally protect our such as the gag reflex and coughing 
General anaesthesia
Oral sedation 
Intravenous sedation 
Inhalation

Answer 1

General anaesthesia

Question 2

General Anastasia can be achieved by the delivery of the anaesthetic by the use of nasal nasal mask however some patience especially those who have special needs sometimes cannot tolerate the mask so different techniques can be used which involves the delivery of the anaesthetic directly into the lungs buy a tube what is this called

Answer 2

Endotracheal anasethesia

Question 3

Conscious sedation is a type of sedation with the use of drugs induced state of relaxation which of the following is a conscious technique 
General
Local
Hypnoses 
Inhalation

Answer 3

Inhalation

Question 4

Which of the following conscious sedation techniques involves a drug being injected into a patients vein 
Oral sedation 
Intravenous sedatition 
Inhalation sedation 
Hypnosis

Answer 4

Intravenous sedation

Question 5

What is not an advantage of conscious sedation
They do not need to fast beforehand
They remain conscious and co operative
The reflexes of the airway are maintained
There is no need for separate anaesthetist to be present
These are all advantages of conscious sedation

Answer 5

All are advantages of all forms of conscious sedation

Question 6

Before sedation is used consent must be gained from a patient . What type of content is needed for the procedure ? 
Assumed consent 
Verbal 
Written 
Consent from third party 
General consent

Answer 6

Written consent

Question 7

A suitability trained dentist can administer the sedation and provide the dental treatment as well. The dentist must have an appropriately trained person present throughout the procedure to assist and act as a chaperone , who can the second person be ?
Trainee dental nurse
Nebdn or nvq. qualified nurse
Nebdn qualified nerds with a certificate in sedation
Any person
Second person is another dentist

Answer 7

A nedbn or nvq qualified nurse

Question 8

Oral sedation is achieved when a patient takes one tablet the night before their appointment . Another tablet is then taken one hour before treatment begins . These tablets belong to a group of drugs called anxiolytic drugs which of the following is an anxiolytic drug ? 
Fluconazole 
Erythromycin 
Clindamycin 
Diazepam

Answer 8

Diazepam

Question 9

What is the safest and best method of sedation and anxiety control for children under 16 years old ?
Oral 
Inhalation 
Intravenous 
Hypnosis 
Acupuncture

Answer 9

Inhalation sedation

Question 10

Which gas is unused for inhalation sedation

Answer 10

Nitrous oxide and oxygen

Question 11

What colour cylinder is nitrous oxide 
Light blue 
black and white 
Red 
Green

Answer 11

Light blue

Question 12

At the start of Sebastian how much oxygen is given ? 
90% 
95%
80%
85%
100%

Answer 12

100% oxygen then flow adjusted and 10% increment if nitrous oxide and then it is added in 5% increments

Question 13

After the inhalation procedure and dental treatment have both finished the patient is given 100% oxygen again , how long is the patient given 100% oxygen for after the procedure is finished ?
20 minuates 
1 minuates 
30 minuates 
2 minuates 
30 seconds

Answer 13

2 minuates

Question 14

Following a inhalation sedation appointment , which of the following post op advice would be appropriate to give to a pAtinet

Answer 14

D not operate machenary
Do not drink
Do not drive
Do not sign legal paperwork

Question 15

For the safe delivery of gasses during inhalation sedation a mach8ne is used to control the amount given what is this called ?

Answer 15

Scavenger system

Question 16

Compared to inhalation sedation , intravenous sedation provides a much deeper level of sedation . It involves the injection of a drug into the patients vein . Which of the following drugs could be used as an intravenous sedation drug ?

Answer 16

Midazolam also know as hypnovel

Question 17

If an accidental overdose of an Iv sedation drug is used an antidote drug must be used which one is the antidote ? 
Fluconazole 
Nystatin 
Flumazenil
Amphotericin 
Micronazole

Answer 17

Flumazenil or known as anexate is the antidote

Question 18

What is the name of the machine which monitors a patients pulse and oxygen concentration in the blood ?

Answer 18

Pulse oximeter

Question 19

The clinical name for the lack of oxygen is called called hypoxia and it is early stages a patient will dispalay a blue completion. What is the name given to this bluish discolouration on the skin 
Asthma 
Hypotension 
Hypertension 
Cyanosis 
Hypoglycaemia

Answer 19

Cyanosis

Question 20

During today’s and procedures the dental nurse has several duties which of the following duties applies to sedation but not inhalation sedation?
Check that all pre operative instructions have been followed
Having monoritiring and resonation equipment ready and working
Monitor patients pulse , skin colour , resparation rate
Immobolise arm ready for venepuncture
Inform the dentist of any changes in the patients condition

Answer 20

Immobilise the patients arm ready for venepuncture

Question 21

During sedation procedures the dental nurse has several duties one of them is to monitor the vital signs of the pt which one is not a vital sign ?
Breathing rate and depth 
Skin colour 
Pulse and quality 
Blood pressure 
All of them

Answer 21

all of them are vital signs that need to be monitored by the dental nurse

Question 22

What is not an advantage of inhalation sedation 
Recovery rapid 
Light meal can be had few hours before 
Safest methods 
Good access as no hood 
Best method for children

Answer 22

We do not have good access as there is a hood on the patient face this is an disadvantage of inhalation sedation

Question 23

An advantage of iv sedation is that the patient will not remember the procedure no matter how difficult it turns out to be. This will hopefully gain a patients confidence and will not deter them from attending the surgery again .what is the correct term for this memory loss? 
Amnesia 
Analgesia 
Anaesthesia 
Anaemia
Aneurysm

Answer 23

Amnesia is the correct term for the memory loss

Question 24

One of the pre op instructions given to the patients prior to conscious sedation is for them not to wear nail varnish , why is it important that patients are asked not to wear nail varnish for a sedation appointment ?

Answer 24

It will effect the pulse oximeter readings

Question 25

One of the duties of the dental nurse during any sedatition procedure is to be prepared and to be able to assist should a medical emergency arise . If a patient stopped breathing due to a blockage of the airway either by the tounge or a forgin body which of the following signs would the patient be displaying ?
Rise in blood pressure and pulse rate 
Blue and congested face 
Clammy skin 
Snoring and wheezing sounds 
All signs

Answer 25

These are all signs of a blockage

Question 26

Patients may prefer to obtain anxiety control without the administration of drugs. What is the name of the tequnique based on chinease medic I e in which needles are inserted into a patients skin to reduce anxiety and produce anaesthesia?

Answer 26

Acupuncture