Anesthesia and pain control – Flashcards
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____ is determining the exact amount of drug use to acheive a desired level of sedation
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Triturate
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The agents that provide a temporary numbing effect on nerve endings located on the surface of the oral mucosa are:
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Topical anesthetics
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To be certain that the anesthetic solution is not injected into a blood vessel, the dentist:
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uses an aspirating syringe. Incorrect always aspirates before depositing any solution.
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General anesthesia is most safely administered in the:
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Hospital
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The different levels of consciousness and unconsciousness are referred to as stages of anesthesia; these stages include all of the following except stage:
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III (cardiac arrest)
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The measurement of the oxygen concentration in the blood is its
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Oximetry
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An anesthetic injection for a procedure for tooth #19 would require what size needle?
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1 5/8 inch
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A ____ is a type of drug use to prolong anesthetic action and constrict blood vessels.
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Vasoconstrictor
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A drug that produces a temporary loss of feeling or sensation is a(n)
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Anesthetic
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Nitrous oxide oxygen administration always begins and ends with:
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The patient breathing 100% oxygen
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In patients with an acute infection in a tooth or soft tissue, local anesthetics are not as effective because of an increase:
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in lymphocytes (white blood cells).
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The use of an anesthetic solution without a vasoconstrictor is recommended for patients with a history of:
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recent myocardial infarction.
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The anesthetic syringe consists of all of the following parts except a:
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Rubber stopper
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Most surgical procedures are scheduled in the early morning, because:
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patients must not eat or drink for 8 to 12 hours before receiving general anesthesia
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Which of the following must be used to protect dental personnel from the occupational risks of nitrous oxide by reducing the N2O released into the treatment room?
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Vacuum system AND Patient mask that fits well and does not leak
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The tank or cylinder of ______ is always color-coded blue
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Nitrous oxide
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The most frequently used form of pain control in dentistry is:
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Local anesthesia
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The hollow center of the needle through which the anesthetic flows is called the:
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Lumen
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The gauge of the needle refers to the thickness of the needle; the larger the gauge, the _____ the needle.
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Thinner
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During the loading of an anesthetic syringe, the _____ is loaded first.
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Anesthetic cartridge
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The condition in which numbness remains after the effects of the local anesthetic solutions should have worn off is:
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Paresthesia
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The time from injection to the point at which anesthesia takes effect is the
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Induction
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To have optimal effectiveness of the topical anesthetic ointment type, it must remain on the site of the injection for:
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1 to 2 min
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____ is added to a local anesthetic agent to slow down the intake of the agent and increase the duration of action
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A vasoconstrictor
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In which stage of anesthesia is the patient relaxed and fully conscious?
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Stage I
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Which of the following choices represents the lowest ratio, meaning greatest concentration, of vasoconstrictor in local anesthetic?
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1:20,000
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What nerve is anesthetized for tooth #31?
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Inferior anterior nerve
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Used or contaminated needles and cartridges are discarded in the
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Sharps container
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A scavenger system on a N2O/O2 unit is recommended to:
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protect chairside assistants from occupational risks of N2O. reduce N2O released into treatment room. protect other dental personnel from occupational risks of N2O.
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A short-acting local anesthetic agent can last _____ minutes.
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60-180 min
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Local anesthetic agents are not effective when injected into an area where a tooth or soft tissue is infected because:
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an increase of lymphocytes, in the area to combat the infection, will interfere with the effectiveness of the anesthetic solution
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Anesthesia is defined as:
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the temporary loss of feeling or sensation
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Which of the following ratios of vasoconstrictor to local anesthetic would contain the highest level of vasoconstrictor?
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1:20,000
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Absolute medical contraindications to nitrous oxide use:
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do not exist, but certain conditions make it a poor choice for some patients.
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To provide optimal effectiveness, an ointment type of topical anesthetic should remain on the site of injection for a minimum of:
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15-30 seconds
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The dental assistant is preparing anesthesia for tooth #13. What length needle would be selected?
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1 inch
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One advantage of nitrous oxide use in a dental setting is that:
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the services of an anesthetist or other special personnel are not necessary.
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The vasoconstrictor added to local anesthetic to prolong its effect is:
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Epinephrine
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The time from when the local anesthetic takes complete effect until the complete reversal of anesthesia is the called the _____ of the anesthetic agent.
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Duration
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What part of the anesthetic syringe must engage so that aspiration can occur during the injection?
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Harpoon
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The type of local anesthetic that would be selected for a patient with a medical history that indicates a recent myocardial infarction is
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Carbocaine plain
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A 30-gauge needle would be a _____ needle.
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Thinner
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_____ anesthesia is frequently used on the mandibular teeth and is injected near a major nerve that numbs the entire area served by that nerve branch.
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Block
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Nitrous oxide/oxygen analgesia use in dentistry dates back to 1844 and is also known as:
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Inhalation sedation
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The lengths of the needles used in dentistry are
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1 inch and 1 5/8 inch
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The part of the anesthetic syringe that locks into the rubber stopper of the anesthetic cartridge so that the stopper can be retracted by pulling back on the piston rod is the:
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Harpoon
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The length of time from injection to complete and effective conduction blockage is called:
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Induction
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The ____ is the standard dimension or measurement of the thickness of an injection needle.
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Gauge
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What can cause paresthesia?
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Trauma to the nerve Bleeding into or around the nerve Contaminated anesthetic solution
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Injecting the anesthetic solution directly into the tissue at the site of the dental procedure, generally used on the maxillary teeth, is called a(n)
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Infiltration anesthesia
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The color-coding system for anesthetic cartridges allows the practitioner to select the correct anesthetic solution by distinguishing the correct _____ of the solution.
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Ratio and brand
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Which of the following types of commonly prescribed sedatives for dental patients is indicated for children?
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Chloral hydrate (Noctec)
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_____ is a temporary loss of feeling or sensation
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Anesthesia
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What type of injection technique would the dentist use most frequently on tooth #6?
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Infiltration
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The most common form of topical anesthetic used to control a gag reflex during an intraoral radiographic procedure is
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Spray