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Questions from WREB Anesthesia 2006

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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  
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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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