Pharm 3

Question 1

(T/F) The drug molecules in local anesthetic “act” by binding irreversibly with certain parts of the nerve’s conducting membrane.

Answer 1

False

Question 2

(T/F) Balanced anesthesia is the process of using a combination of drugs to keep adverse reactions to a minimum.

Answer 2

True

Question 3

(T/F) Sedatives and analgesics are interchangeable in uses and actions/effects

Answer 3

False

Question 4

(T/F) Injected local anesthetics eventually enter the blood stream (after being in the tissue) unchanged.

Answer 4

True

Question 5

(T/F) Nitrous oxide is acceptable for use on children

Answer 5

True

Question 6

As a patient’s anxiety level increases, their pain tolerance

Answer 6

Decreases

Question 7

which of the following is true regarding local anesthetics?

Answer 7

are the most widely administered drug in dentistry

Question 8

There are several ways to relieve or reduce anxiety in the dental office. which of the following would be the least desirable choice?

Answer 8

Anti-anxiety drugs

Question 9

when local anesthetic gets into the body’s system and cause systemic effects, these effects are considered:

Answer 9

adverse effects

Question 10

the local anesthetic in a dental cartridge has been modified from the “natural form”. One of the items that has been altered is the pH. What is the usual pH of the local anesthetic in a dental cartridge?

Answer 10

Less than 7.0

Question 11

Which of the following concentration of epinephrine would be the most appropriate for a cardiac patient who needs to have epinephrine in the local anesthetic?

Answer 11

1:200,000

Question 12

In the “membrane expansion theory” of nerve impulse transmission, what rushes into the nerve when the membrane of the nerve becomes more permeable?

Answer 12

positive ions (sodium ions)

Question 13

Which of the following was the first local anesthetic discovered?

Answer 13

Cocaine

Question 14

in Local anesthetic, what type of drug molecules act on the nerve receptor sites?

Answer 14

Unmetabolized

Question 15

local anesthetic is usually injected:

Answer 15

as close to the nerve as possible

Question 16

which of the following belongs to the newer, more widely used local anesthetic group?

Answer 16

lidocaine (Xylocaine, Octocaine)

Question 17

Which type of local anesthetic is metabolized in the liver?

Answer 17

Amides

Question 18

Diazepam (Valium) belongs to which group of drugs?

Answer 18

benzodiazepines

Question 19

which of the following drugs or drug groups is most commonly prescribed for treating anxiety in the present day?

Answer 19

benzodiazepines

Question 20

Which of the following drugs or drug group is the safest to use when treating anxiety

Answer 20

benzodiazepines

Question 21

which of the following are the two methods of administering general anesthetics?

Answer 21

I.V. & inhalation

Question 22

Nitrous oxide can pose a hazard to office personnel (male or female) who are pregnant or trying to become pregnant. (T/F)

Answer 22

True

Question 23

These characteristics: capable of producing a reversible loss of consciousness, insensibility to pain, respiratory depression, blood pressure fluctuations- best describe which of the following types of drugs?

Answer 23

general anesthetics

Question 24

an example of a drug used in dentistry that is introduced into the body via the inhalation method would be

Answer 24

N2O

Question 25

Sedation ____________________ take the place of pain medications

Answer 25

Can not

Question 26

which of the following would NOT be a method of use for local anesthetic?

Answer 26

inhalation with a nose cone

Question 27

There are two major types of local anesthetics- esters and amides. There are chemically

Answer 27

Somewhat similar

Question 28

Allergic reactions to local anesthetics do happen. They are:

Answer 28

Not common

Question 29

local anesthetic side effects and toxic effects occur when the local anesthetic gets into the bloodstream too quickly. what is the main effect when this happens?

Answer 29

CNS stimulation (first) then depression, CVS depression

Question 30

what is the typical concentration of epinephrine found in local anesthetic solutions?

Answer 30

1:50,000

Question 31

Which of the following components of a local anesthetic solution has been known to cause asthma attacks in susceptible individuals?

Answer 31

The vasoconstrictor

Question 32

Flagg and Guedal are noted for what is regards to general anesthesia?

Answer 32

describing the different levels or stages of general anesthesia

Question 33

Nitrous oxide is often used alone in the dental office for:

Answer 33

anxiety relief (sedation)

Question 34

Which of the following would many over-the-counter remedies for oral lesions (including teeth pain) contain as a local anesthetic?

Answer 34

Benzocaine

Question 35

the "major" tranquilizers are used in the treatment of:

Answer 35

mental disturbance, psychotic individuals

Question 36

When are vitamins considered to the drugs?

Answer 36

when the vitamin is taken in high doses

Question 37

which of the following is considered the most abused vitamin?

Answer 37

Vitamin c

Question 38

which of the following is NOT considered a "B" vitamin?

Answer 38

cholecalciferol

Question 39

Phenytoin can induce a deficiency in which of the following vitamins?

Answer 39

Vitamin D

Question 40

Nystatin is good choice to treat oral candidiasis infections because it

Answer 40

is available in so many forms, some without sugar

Question 41

the down side to many preparations used to treat oral candidiasis is:

Answer 41

many contain sugar

Question 42

Alveolar osteitis is

Answer 42

A “dry” socket

Question 43

Intraoral lichen planus can be difficult to eliminate. The important thing while treating it is to:

Answer 43

make sure that the medication is held against the lesion

Question 44

Minor recurrent pathos stomatitis result in very painful lesions on the oral mucosa. How are they usually treated?

Answer 44

they are not treated, try having the patient avoid oral care products that contain sodium lauryl sulfate

Question 45

when are antibiotics used to treat pericoronitis?

Answer 45

when the patient is debilitated (run down, sort of like immunocompromised)

Question 46

Which of the following would NOT cause gingival enlargement?

Answer 46

spironolactone

Question 47

which of the following would be most likely to cause an intrinsic staining of the teeth?

Answer 47

a member to the tetracycline family

Question 48

palliative means:

Answer 48

treating (or relieving) the symptoms curing disease

Question 49

many drugs can cause xerostomia. When a drug causes an increase in salivary flow it is called:

Answer 49

sialorrhea

Question 50

Some drugs may cause lesions to appear in the oral cavity. These lesions:

Answer 50

will disappear when the drug is discontinued and re-appear if the drug is started again.