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Anesthesia
Questions from WREB Anesthesia 2006
| Question | Answer |
|---|---|
| If a patient was taking a tricyclic antidepressant you would give them? | 3 carps of 1:100,000, Smallest effective dose of epinephrine, no levonordefrin or norepinephrine |
| ASA landmarks | infraorbital notch |
| Which is the smallest lumen size | 30 |
| What is the maximum dose of epi a normal, healthy patient can have? | 0.2 mg |
| What percent is Prilocaine? | 4% |
| Which has the least duration? | Lidocaine HCL 2%- 5 to 10 min pulpal anes. and 1-2 hrs. of soft tissue anes. |
| Bigger sized lumen is good for what? | easier aspiration |
| Patient is experiencing chest pains that also go down left side of neck what is it? | heart attack and angina |
| What tx, would you give the pt. above? | oxygen and nitroglycerine |
| If you use a short needle on an IA what happens? | miss the injection site |
| On a PSA where is the needle in relation to the plexus when you are ready to deposit? | anterior |
| What does the lingual injection anesthesize? | all lingual tissues |
| Patient has a history of diabetes and angina, what drugs would have have readily available? | sugar and nitroglycerine |
| You are giving a right IA, where is the barrel located? | left side premolars, #20 and #21 |
| After giving an injection with epi, their hands and arms begin to shake, what is wrong? | L.A overdose |
| What is the tx, of LA overdose? | reasure pt, administer oxygen |
| symptom of allergic reaction | itching |
| Sign or sympom of syncope | pallor |
| The most common adverse effect of anesthesia | overdose |
| Normal clinical manifestations of an epi overdose | throbbing headache, tremor, fear, restlessness |
| Maxillary branch | v2- foramen rotundum |
| mandibular branch | v3 formen ovale |
| if you hit bone too soon on a PSA what is wrong? | needle is too great torwards the midline, withdraw the needle slightly and bring the syringe closer to the occlusal plane, readvance the needle |
| What is the tx of a hematoma | pressure and ice immediately, warms moist towels next day for 20 min every hour |
| Treatment of trismus | hot moist towels for 20 minutes every hour |
| What injection do you give to someone with trismus | vazirani-Akinosi |
| The infraorbital nerve emerges through the | infraorbital foramen |
| The lingual nerve runs what to the IA | anterior and medial |
| If bone is contacted to early on IA the needle is | to far anterior |
| Which injection blocks the mylohyoid nerve | gow-gates |
| landmark for the IA | coronoid notch |
| How do local anesthetics work | block Na+ |
| You chose to use Marcaine for SRP, and an extraction of a 3rd molar, Why? | post op pain control |
| Patients face is distended and swollen on side of injection site what is wrong | hematoma |
| What is the tx for hemtoma and allergic reaction | cold packs |
| What does the aromatic lipophilic ring diffuse through? | nerve sheath |
| What preservative is in 3% Mepivacaine | nothing |
| If a needle broke off in the patients mouth what is the first thing you do? | keep the patients mouth open |
| How much epi can you give a compromised patient | .04 mg |
| GP anesthesized what? | anterior to premolars, posterior palate to midline |
| If a patient is allergiv to PABA in sun screens what LA are they also allergic to? | Benzocaine, all esters |
| If you needed to ge the labial tissues, of #26 and #27 what injection would you use? | mental |
Created by:
daisenmurray
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