Exam Two

Question 1

A patient who has had a heart bypass in the last 6 months should not receive what?

Answer 1

vasoconstrictor

Question 2

What can increase and patients blood pressure?

Answer 2

vasoconstrictor

Question 3

What should a patient with a sulfite allergy not receive?

Answer 3

vasoconstrictor (no epi or levonordephrine)

Question 4

A vasoconstrictor is an absolute contraindication with people who are allergic to what?

Answer 4

wine and dried fruits

Question 5

a rare hereditary condition characterized by the inability of the blood to bind to oxygen

Answer 5

methemoglobinemia

Question 6

what is methemoglobinemia produced by?

Answer 6

prilocaine and possibly topical benzocaine

Question 7

what is a relative contraindication with methemoglobinemia?

Answer 7

prilocaine

Question 8

When putting sharps in the sharps container, should you bend the needles before?

Answer 8

no

Question 9

Is occupational exposure the same with an experienced clinician as it is with a new clinician?

Answer 9

yepppp

Question 10

TRUE OR FALSE: a vasoconstrictor is a absolute contraindication for people with uncontrolled diabetes

Answer 10

true

Question 11

How can you evaluate patient physical ability to tolerate anesthesia or vasoconstrictor?

Answer 11

comprehension medical exam

Question 12

Where is the mental foramen located?

Answer 12

anterior surface of mandible

Question 13

1st division of sensory root of the trigeminal nerve

Answer 13

opthalmic

Question 14

If a pt has a uncontrolled systemic disease, do you continue with treatment?

Answer 14

NO unless it is a dental emergency

Question 15

What can be the complications of a PSA injection?

Answer 15

• hematoma
• infection of cavenous venus sinus
• pierce pterygoid plexus

Question 16

inherited syndrome triggered by exposure to certain drugs used for general anesthesia and the neuromuscular blocking agent succinylcholine

Answer 16

malignant hyperthermia

Question 17

What category of drugs should a pregnant women receive?

Answer 17

category B

Question 18

Clinical signs of anxiety:

Answer 18

• stiff posture
• white knuckle syndrome
• nervous play
• perspiration of forehead and hands
• quick answers
• nervous conversation

Question 19

With infiltration, the teeth with the higher degree of success would be what?

Answer 19

maxillary

Question 20

Which nerve supply innervates max 2nd and 3rd molars?

Answer 20

PSA

Question 21

If a pt is experiencing excess bleeding, what can you infiltrate into that area?

Answer 21

EPI

Question 22

What can you infiltrate on a pt with excess bleeding and is healthy?

Answer 22

1:50,000 of epinephrine

Question 23

Why should you not over exaggerate the thumb ring?

Answer 23

bc if you are in a blood vessel it will show with minimal pulling

Question 24

How many times should you aspirate?

Answer 24

twice

Question 25

Aspiration at two different levels, rotate barrel at a _______ degree angel and infiltrate a second time

Answer 25

45

Question 26

On the IA block, what should you look for?

Answer 26

pterygoid mandblie raphe, lingula, and coronoid notch

Question 27

true or false: The pterygoid plexus is very vascular

Answer 27

TRUE

Question 28

What can cause a pt to loose fuction of the mandible?

Answer 28

injection two quads on opposite sides

Question 29

What are pre-anesthetic steps?

Answer 29

- apt. Assessment and consultation(vital signs, anxiety level, anesthetic selection, etc.) - confirm care plan - informed consent - determine injection - prepare equipment and pt.

Question 30

What do you do if pt. comes in with a tooth ache and has high blood pressure?

Answer 30

Implement anxiety control measures and give nitrous oxide and retake blood pressure

Question 31

What can a patient that is taking nonselective beta blockers take and not take?

Answer 31

Do not give a vasoconstrictor due to it causing hypertension and bradycardia when reacting with drug.

Question 32

What is malignant hyperthermia?

Answer 32

An inherited syndrome triggered by exposure to certain drugs used for general anesthesia and the neuromuscular blocking agent succinylcholine

Question 33

What are the symptoms of malignant hyperthermia?

Answer 33

- high fever - tachycardia - cardiac dysrhythmias - cyanosis

Question 34

Is LA safe during pregnancy?

Answer 34

Not teratogenic, recommended to wait til 2nd trimester.

Question 35

What are the category B anesthetics for pregnancy?

Answer 35

- Lidocaine | - Prilocaine

Question 36

What are the signs of fear and anxiety?

Answer 36

- Unnatural stiff posture - nervous play - white-knuckle syndrome - perspiration on forehead and hands - over-willingness to cooperate with clinician - nervous conversation - quick answers

Question 37

What drugs are used for congestive heart failure?

Answer 37

Digitalis glycosides (digoxin)

Question 38

What can happen when digitalis glycosides are taken with vasoconstrictors?

Answer 38

Increased potential of cardiac arrhythmias

Question 39

Will you see a patient with uncontrolled systemic disease?

Answer 39

No, not unless an emergency