Questions from WREB Anesthesia 2006
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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
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ASA landmarks | infraorbital notch
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Which is the smallest lumen size | 30
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What is the maximum dose of epi a normal, healthy patient can have? | 0.2 mg
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What percent is Prilocaine? | 4%
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Which has the least duration? | Lidocaine HCL 2%- 5 to 10 min pulpal anes. and 1-2 hrs. of soft tissue anes.
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Bigger sized lumen is good for what? | easier aspiration
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Patient is experiencing chest pains that also go down left side of neck what is it? | heart attack and angina
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What tx, would you give the pt. above? | oxygen and nitroglycerine
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If you use a short needle on an IA what happens? | miss the injection site
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On a PSA where is the needle in relation to the plexus when you are ready to deposit? | anterior
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What does the lingual injection anesthesize? | all lingual tissues
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Patient has a history of diabetes and angina, what drugs would have have readily available? | sugar and nitroglycerine
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You are giving a right IA, where is the barrel located? | left side premolars, #20 and #21
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After giving an injection with epi, their hands and arms begin to shake, what is wrong? | L.A overdose
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What is the tx, of LA overdose? | reasure pt, administer oxygen
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symptom of allergic reaction | itching
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Sign or sympom of syncope | pallor
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The most common adverse effect of anesthesia | overdose
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Normal clinical manifestations of an epi overdose | throbbing headache, tremor, fear, restlessness
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Maxillary branch | v2- foramen rotundum
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mandibular branch | v3 formen ovale
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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
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What is the tx of a hematoma | pressure and ice immediately, warms moist towels next day for 20 min every hour
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Treatment of trismus | hot moist towels for 20 minutes every hour
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What injection do you give to someone with trismus | vazirani-Akinosi
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The infraorbital nerve emerges through the | infraorbital foramen
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The lingual nerve runs what to the IA | anterior and medial
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If bone is contacted to early on IA the needle is | to far anterior
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Which injection blocks the mylohyoid nerve | gow-gates
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landmark for the IA | coronoid notch
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How do local anesthetics work | block Na+
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You chose to use Marcaine for SRP, and an extraction of a 3rd molar, Why? | post op pain control
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Patients face is distended and swollen on side of injection site what is wrong | hematoma
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What is the tx for hemtoma and allergic reaction | cold packs
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What does the aromatic lipophilic ring diffuse through? | nerve sheath
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What preservative is in 3% Mepivacaine | nothing
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If a needle broke off in the patients mouth what is the first thing you do? | keep the patients mouth open
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How much epi can you give a compromised patient | .04 mg
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GP anesthesized what? | anterior to premolars, posterior palate to midline
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If a patient is allergiv to PABA in sun screens what LA are they also allergic to? | Benzocaine, all esters
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If you needed to ge the labial tissues, of #26 and #27 what injection would you use? | mental
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