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CDCA Local Anesthesia Exam With Verified
Solutions
What varea vis vanesthetized vby vthe vmental vnerve vblock? v- v vcorrect vanswer- v vbuccal vmucous vmembranes vfrom vmental vforamen vto vmidline lower vlip chin note: vdoes vNOT vanesthetize vteeth what vis vthe vtarget varea vfor vthe vmental vnerve vblock v- v vcorrect vanswer- v vthe vmental vforamen vbetween vthe vmandibular vpremolars what vis vthe vlandmark vfor vthe vmental vnerve vblock v- v vcorrect vanswer- v vmucobuccal vfold vof vthe vmandibular vpremolars what vis vthe vtype vof vneedle vused vfor va vmental vnerve vblock v- v vcorrect vanswer- v v25- 27 vgauge vshort what vis vthe vinjection vdepth vof vthe vmental vnerve vblock v- v vcorrect vanswer- v v5-6 vmm what vis vthe vtechnique vfor vadministering vthe vmental vnerve vblock v(6) v- v vcorrect vanswer- v vask vthe vpt vto vpartially vclose vthe vjaw retract vlip v insert vneedle vat vmucobuccal vfold vby vthe vfirst vpremolar vor vcanine aspirate deposit vanesthetic how vmuch vanesthetic vshould vbe vused vfor va vmental vnerve vblock v- v vcorrect vanswer- v v0.6 vml
what varea vis vanesthetized vwhen vthe vincisive vnerve vblock vis vadministered v- v vcorrect vanswer- v vpulps vof vthe vincisors, vcanines, vand vpremolars buccal vmucosa vfrom vmental vforamen vto vmidline lower vlip vand vskin vof vchin note: vdoes vNOT vanesthetize vlingual vtissues what vis vthe vtarget varea vfor van vincisive vnerve vblock v- v vcorrect vanswer- v vmucobuccal vfold vof vthe vmandibular vpremolars what vis vthe vinjection vdepth vof vthe vincisive vnerve vblock v- v vcorrect vanswer- v v5- vmm what vis vthe vtechnique vwhen vadministering vthe vincisive vnerve vblock v- v vcorrect vanswer- v vAsk vpt vto vslightly vclose retract vlip insert vneedle vat vfirst vpremolar, vdirecting vneedle vto vmental vforamen v(or vbetween vthe vtwo vpremolars vat vlong vaxis vof vthe vteeth) aspirate deposit How vmuch vanesthetic vshould vbe vgiven vfor van vincisive vnerve vblock v- v vcorrect vanswer- v v0.6 vml what vnerve vis vnumbed vafter va vbuccal vnerve vblock vis vperformed v- v vcorrect vanswer- v vlong vbuccal vnerve what varea vis vanesthetized vwith va vbuccal vblock v- v vcorrect vanswer- v vbuccal vsoft vtissue vand vbuccal vperiosteum vof vmandibular vmolars what vis vthe vtarget varea vwith va vbuccal vblock v- v vcorrect vanswer- v vwhere vthe vbuccal vnerve vcrosses vin vfront vof vthe vanterior vborder vof vthe vramus what vis vthe vlandmark vfor vthe vbuccal vblock v- v vcorrect vanswer- v vlast vmolar, vparallel vto vthe vocclusal vplane is va vshort vor vlong vneedle vused vfor vbuccal vblocks v- v vcorrect vanswer- v vlong what vis vthe vinsertion vdepth vfor vthe vbuccal vblock v- v vcorrect vanswer- v v1-4 vmm what vis vthe vtechnique vfor vadministering va vbuccal vblock v- v vcorrect vanswer- v vretract vthe vcheek insert vneedle vdistally vand vbuccally vplaced vto vthe vlast vmolar, vparallel vto vthe vmolars aspirate deposite
what vmay vhappen vif vanesthetic vis vdeposited vinto vthe vparotid vgland vduring van vIA vblock v- v vcorrect vanswer- v vfacial vnerve vparalysis trismus vis va vcommon vcomplication vof vwhich vtwo vnerve vblocks v- v vcorrect vanswer- v vIA vand vPSA what vnerves vare vanesthetized vby vthe vGG vblock v(7) v- v vcorrect vanswer- v vIA, vmental, vincisive, vlingual, vmylohyoid, vauriculotemporal, vand vbuccal v(entire vV3) what vareas vare vanesthetized vby vthe vGG vtechnique v- v vcorrect vanswer- v vall vmandibular vteeth anterior v2/3 vof vtongue floor vof vmouth lingual vsoft vtissue vand vperiosteum what vis vthe vtarget varea vof vthe vGG vblock v- v vcorrect vanswer- v vthe vcondyle v(10- vmm vabove vocclusal vplane) what vis vthe vlandmark vfor vthe vGG vblock v- v vcorrect vanswer- v vthe vmesiolingual vcusp vof vmax v2nd vmolars what vis vthe vinjection vdepth vfor vthe vGG vblock v- v vcorrect vanswer- v v 25 vmm what vis vthe vtechnique vfor vthe vGG vblock v- v vcorrect vanswer- v vpt vopens vwide locate vmesiolingual vcusp vof vmax vsecond vmolar insert vneedle vjust vbelow vcusp vat vbuccal vsoft vtissues vfrom vcorner vof vthe vmouth vat vopposite vside vof vthe vmouth insert vuntil vbone vis vhit withdraw v 1 vmm vand vaspirate deposite sit vpt vup vand vwait v5-10 vmin how vmuch vanesthetic vis vgive vfor vGG vblock v- v vcorrect vanswer- v v1.8 vml temporary vparalysis vof vcranial vnerves vIII, vIV, vand vVI valong vwith vdisturbances vin vvision vis va vcommon vcomplication vof vwhich vnerve vblock v- v vcorrect vanswer- v vGG vblock what vare vthe vthree vtypes vof vinjections vand vtheir vpurposes v- v vcorrect vanswer- v vlocal vinfiltrations v- vto vtarget vsmall vnerve vendings v(no vpulpal vanesthetic) field vblocks v- vto vtarget vlarger vterminal vnerve vendings v(pulpal vanesthetic vto v1- vteeth) nerve vblocks v- vto vtarget vmain vnerve vtrunks vfor va vlarger varea v(pulpal vanesthetic vto va vlarge varea)
what vare vthe vindications vfor vlocal vinfiltrations v(2) v- v vcorrect vanswer- v vhemostasis pain vcontrol vin va vlimited vare what vis va vcontraindication vfor vlocal vinfiltrations v- v vcorrect vanswer- v vinflammation vor vinfection vat vthe vsite v- vneed va vnerve vblock vinstead where vis vanesthetic vdeposited vin va vfield vblock v- v vcorrect vanswer- v vabove vthe vtooth's vapex field vblocks vanesthetize vthe varea varound vhow vmany vteeth v- v vcorrect vanswer- v v1- what vare vthe vindications vfor va vnerve vblock v(3) v- v vcorrect vanswer- v vanesthesia vof v2+ vteeth longer vduration vof vanesthesia infection vor vinflammation vat vthe vsite Is vthe vmaxillary vnerve vsensory vor vmotor? v- v vcorrect vanswer- v vsensory Where vdoes vthe vmaxillary vnerve vexit? v- v vcorrect vanswer- v vforamen vrotundum what vtwo vnerve vbranch voff vfrom vthe vIO vnerve v- v vcorrect vanswer- v vASA vand vMSA the vASA vexits vthrough vwhich vforamen v- v vcorrect vanswer- v vinfraorbital vforamen what vdoes vthe vASA vinnervate v(7) v- v vcorrect vanswer- v vmaxillary vanterior vteeth bone periodontal vtissues buccal vsoft vtissues lower veyelid side vof vnose upper vlip the vMSA vinnervates vwhat v(5) v- v vcorrect vanswer- v vmaxillary vpremolars occasionally vMB vroot vof vfirst vmolar periodontal vtissues bone buccal vsoft vtissues what vfour vnerves vbranch voff vfrom vthe vpterygopalatine vnerve vbranch v- v vcorrect vanswer- v vPSA GP NP LP what vdoes vthe vPSA vinnervate v(4) v- v vcorrect vanswer- v vmaxillary vmolars periodontal vtissues
muscles vof vmastication the vbuccal vnerve vcomes vfrom vthe vanterior vor vposterior vbranch vof vCNV3? v what vdoes vit vinnervate v- v vcorrect vanswer- v vanterior mucous vmembrane vof vcheeck vand vbuccal vtissues the vauriculotemporal vnerve vcomes vfrom vthe vanterior vor vposterior vbranch vof vCNV3? v what vdoes vit vinnervate v- v vcorrect vanswer- v vposterior various vareas vof vthe vside vof vthe vhead the vlingual vnerve vcomes vfrom vthe vanterior vor vposterior vbranch vof vCNV3? v what vdoes vit vinnervate v- v vcorrect vanswer- v vposterior anterior v2/3 vof vtongue, vmucous vmembranes vat vthe vfloor vof vthe vmouth, vand vlingual vgingiva vof vthe vmandible the vIA vnerve vcomes vfrom vthe vanterior vor vposterior vbranch vof vCNV3? v what vdoes vit vinnervate v- v vcorrect vanswer- v vposterior pulp vof vall vman vteeth, vchin, vand vlower vlip where vdoes vthe vIA vnerve venter vthe vman vcanal v- v vcorrect vanswer- v vthrough vthe vmandibular vforamen the vmental vnerve vcomes vfrom vthe vanterior vor vposterior vbranch vof vCNV3? v what vdoes vit vinnervate v- v vcorrect vanswer- v vposterior skin vof vthe vchin vand vmucous vmembrane vof vlower vlip, vbuccal vsoft vtissues vof vpremolars vto vcentral vincisors the vincisive vnerve vcomes vfrom vthe vanterior vor vposterior vbranch vof vCNV3? v what vdoes vit vinnervate v- v vcorrect vanswer- v vposterior pulp vof vman vpremolars, vcanines, vand vincisors the vmylohyoid vnerve vcomes vfrom vthe vanterior vor vposterior vbranch vof vCNV3? v what vdoes vit vinnervate v- v vcorrect vanswer- v vposterior mylohyoid vmuscle v(floor vof vthe vmouth) topical vanesthetic vnumb vhow vdeep v- v vcorrect vanswer- v v2-3 vmm what vare vthe vseven vtypes vof vcommon vtopical vanesthetics v- v vcorrect vanswer- v vbenzocaines lidocaines EMLA v(eutectic vmixture vof vlocal vanesthesia) oraqix dyclonine vhydrochloride tetracaine cetacaine
benzocaine vbiotransform vwhere v- v vcorrect vanswer- v vin vthe vplasma benzocaine vtopical vis vabsorbed vhow vwell vinto vthe vcardiovascular vsystem v- v vcorrect vanswer- v vpoorly how vfast vis vthe vonset vand vpeak vof vbezocaine vgel v- v vcorrect vanswer- v v 30 vsec vonset vand vpeak vat v 2 vmin how vlong vis vthe vduration vof vbenzocaine vgels v- v vcorrect vanswer- v v5-15 vmin how vfast vis vthe vonset vand vduration vof vlidocaine vgels v- v vcorrect vanswer- v vonset vof v2-10 vmin vand vduration vof v15-45 vminutes EMLA vis va vemulison vof vwhat v 2 vcreams? vprovide vtheir vpercentages v- v vcorrect vanswer- v v2.5% vlidocaine vand v2.5% vprilocaine which vtopical vanesthetic vis vnot vFDA vapproved vfor vintraoral vuse v- v vcorrect vanswer- v vEMLA oraqix vis van vemulsion vof vwhich v 2 vgels? vprove vtheir vpercentages v- v vcorrect vanswer- v v2.5% vlidocaine vand v2.5% vprilocaine what vis vthe vonset vand vduration vof voraqix v- v vcorrect vanswer- v vonset vof v 30 vseconds vand vduration vof v 20 vmin what vis vthe vMRD vof voraqix v- v vcorrect vanswer- v v 5 vcartridges which vtopical vanesthetic vis va vketone v- v vcorrect vanswer- v vdyclonine vhydrochloride what vis vthe vonset vand vduration vof vdyclonine vhydrochloride v- v vcorrect vanswer- v vup vto v 10 vmin vonset vand v30-60 vmin vduration esters vmetabolize vwhere v- v vcorrect vanswer- v vin vthe vplasma what vis vthe vmost vconcentrated vtopical vanesthetic v- v vcorrect vanswer- v vtetracaine what vthree vthings vcomprise vcetacaine v(provide vtheir vpercentages) v- v vcorrect vanswer- v v14% vbenzocaine, v2% vbutamben, vand v2% vtetracaine what vis vthe vbrand vname vfor v vprilocaine vlidocaine varticaine vmepivicaine vbupivicaine v- v vcorrect vanswer- v vcitanest xylocaine
NP v- v0. Mental v- v0. Buccal v- v0. IA v- v1. what vis vthe vmost vbasic vand vimportant vpart vof vthe vnervous vsystem? what vis vits vfunction? v- v vcorrect vanswer- v vthe vneuron to vcarry vmessages vfrom vone vpart vof vthe vbody vto vanother How vare vmessages vsent vin vthe vnervous vsystem? v- v vcorrect vanswer- v vBy velectrical vimpulses vwhich vtravel valong vneurons what v 4 vstimuli vinitiate van vimpulse v- v vcorrect vanswer- v vchemical, vthermal, vmechanical, velectrical what vare vthe vtwo vtypes vof vneurons v- v vcorrect vanswer- v vsensory v(afferent) vand vmotor v(efferent) neurons vare vseparated vby vwhat v- v vcorrect vanswer- v vsynapses what vis vthe vdendritic vzone v- v vcorrect vanswer- v vbranching vout vof vfree vnerve vendings vin vthe vmost vdistal vsegment vof vthe vsensory vneuron What vare vfree vnerve vendings? v- v vcorrect vanswer- v vtree vbranch-like vextensions vthat vpick vup vimpulses vfrom vother vcells What vis van vaxon? v- v vcorrect vanswer- v vthe vlong vthreadlike vpart vof va vnerve vcell valong vwhich vimpulses vare vconducted vaway vfrom vthe vcell vbody vto vother vcells. What vare vSchwann vcells? v- v vcorrect vanswer- v vThese vcells vform vthe vmyelin vsheaths varound vnerve vfibers vthat vare vfound vin vthe vPNS What vare vthe vnodes vof vRanvier? v- v vcorrect vanswer- v vgaps vin vmyelin vsheath valong vthe vaxon Label vthe vnerve vcell v- v vcorrect vanswer- v v what vare vmantle vfibers v- v vcorrect vanswer- v vbundles vof vnerve vfibers vlocated vnear vthe vsurface vof vthe vnerve vcell are vmantle vor vcore vfibers vmore vrapidly vaffected vby vlocal vanesthetic v- v vcorrect vanswer- v vmantle vfibers what vare vcore vfibers v- v vcorrect vanswer- v vbundles vof vfiber vlocated vcloser vto vthe vcenter vof vthe vcell
do vmantle vor vcore vfibers vinnervate vcloser vto vthe vroot vtrunk v- v vcorrect vanswer- v vmantle vfibers do vmantle vor vcore vfibers vremain vanesthetized vlonger v- v vcorrect vanswer- v vmantle vfibers do vmantle vor vcore vfibers vinnervate vfurther vaway vfrom vthe vroot vtrunk v(closer vto vthe vincisors) v- v vcorrect vanswer- v vcore vfibers What vare vsaltatory vconductions? v- v vcorrect vanswer- v vwhen velectrical vimpulses vleap vfrom vone vnode vof vranvier vto vanother what vis vthe vsequence vof vnerve vimpulse vconduction v(in vorder) v- v vcorrect vanswer- v vdepolarization, vrepolarization, vhyperpolarization, vrefractory vperiod Describe vresting vpotential v(resting vstate) v- v vcorrect vanswer- v vwhen vno vsignals vare vbeing vsent vso vthe voutside vof vthe vneuron vis vpositively vcharged vwith vexcess vSODIUM vand vthe vinside vof vthe vneuron vis vnegatively vcharged vwith vexcess vPOTASSIUM Explain vthe vprocess vof vdepolarization v- v vcorrect vanswer- v vwhen va vneuron vis vstimulated vstimulated, vsodium vion vchannels vopen vto vallow vsodium vions vinside vthe vneuron what vhappens vafter vthe vfiring vthreshold vof va vneuron vis vreached v- v vcorrect vanswer- v vsodium vions vrapidly vrush vinto vthe vneuron vand vit vbecomes vpositively vcharged explain vthe vprocess vof vrepolarization v- v vcorrect vanswer- v vwhen vthe vneuron vis vflooded vwith vsodium vions, vthe vgated vpotassium vion vchannels vopen vto vallow vpotassium vout vof vthe vneuron describe vhyperpolarization v- v vcorrect vanswer- v vmore vnegative vinside vthe vneuron vcell explain vthe vprocess vof vthe vrefractory vperiod v- v vcorrect vanswer- v vwhen vsodium vand vpotassium vions vare vreturning vto vtheir vnormal vposition vand vthe vneuron vdoes vnot vrespond vto vany vother vexternal vstimuli Describe vthe vabsolute vrefractory vperiod v- v vcorrect vanswer- v vTime vin vwhich vthe vcells vcannot vrespond vto va vstimulus vregardless vof vthe vstrength vof vthe vnew vstimuli describe vrelative vrefractory vperiod v- v vcorrect vanswer- v vAn vexceptionally vstrong vstimulus vcan vtrigger va vresponse. the varomatic vportion vof vlocal vanesthesia vis valso vknown vas v- v vcorrect vanswer- v vlipophilic vgroup
what vvariables vaffect vthe vduration vof vlocal vanesthetic v(3) v- v vcorrect vanswer- v vprotein vbinding vability vof vthe vdrug v(the vstronger vthe vlonger) vascularity type vof vinjection what vpart vof vesters vmight va vpt vbe vallergic vto v- v vcorrect vanswer- v vPara- aminobenzoic vacid v(PABA) Where vare vamides vmetabolized? v- v vcorrect vanswer- v vliver what vis vthe vone vamide vthat vdoesn't vfully vtransform vin vthe vliver? vwhat vpercentage vbiotransforms vin vthe vblood? v- v vcorrect vanswer- v varticaine v- v90-95% vin vthe vblood vand v10-5% vin vthe vliver what vtwo vlocal vanesthetics vare vpregnancy vcategory vB? v- v vcorrect vanswer- v vlidocaine vand vprilocaine what vis vthe vMRD vof vlidocaine v(in vmg vand vmg/lb) v- v vcorrect vanswer- v v 500 vmg vper vappt vor v3.2 vmg/lb how vlong vdoes vlidocaine v(xylocaine) vlast vin va vnerve vblock vand vin vthe vsoft vtissue v- v vcorrect vanswer- v v 60 vmin vnerve vblock vand v3-5 vhours vsoft vtissue what vpregnancy vcategory vis vmepivicaine v(carbocaine) v- v vcorrect vanswer- v vC What vis vthe vMRD vfor vmepivacaine v(in vmg vand vmg/lb) v- v vcorrect vanswer- v v 400 vmg vper vapt vor v3.0 vmg/lb how vlong vdoes v________ vmepivicaine v(carbocaine) vlast vin vnerve vblocks vand vsoft vtissue v2% v1:20,000 vlevonordefrin v v 3 v% vplain v- v vcorrect vanswer- v v1:20,000 v- v 60 vmin vblock vand v3-5 vhrs vsoft vtissue plain v- v 20 vmin v(infiltration)-40 vmin vblock vand v2-3 vhr vsoft vtissue what vlocal vanesthetic vis vrecommended vwhen vonly v 30 vmin vis vneeded vfor va vprocedure v- v vcorrect vanswer- v vmepivicaine v(carbocaine) what vlocal vanesthetic vis vrecommended vwhen vvasoconstrictors vare vcontraindicated v- v vcorrect vanswer- v vmepivicaine v(carbocaine) what vLA vmetabolizes vin vthe vliver, vlungs, vand vkidneys v- v vcorrect vanswer- v vprilocaine what vis vthe vMRD vof vprilocaine v(in vmg vand vmg/lb) v- v vcorrect vanswer- v v 600 vmg vper vapt vand v4.0 vmg/lb
how vlong vdoes v_____________ vprilocaine vlast vin vnerve vblocks vand vsoft vtissue v4% v1:200, v4% vplain v- v vcorrect vanswer- v v4% v1:200,000 v- v60-90 vmin vblock vand v3-5 vhr vsoft vtissue 4% vplain v- v40-60 vmin vblock vand v2-4 vhr vsoft vtissue What vis vmethemoglobinemia vand vwhat vLA vcan vcause vit v- v vcorrect vanswer- v vabnormal vhemoglobin vwith vreduced voxygen vbinding vcapacity prilocaine what vare vthe vsigns/symptoms vof vmethemoglobinemia v(2) v- v vcorrect vanswer- v vcyanosis vand vrespiratory vdistress what vLA vhas vbeen vreported vto vcause vhigher vincidents vof vparesthesia vwith vLA vblocks v- v vcorrect vanswer- v vprilocaine what vis vthe vMRD vin vmg/lb vof varticaine v(sepotocaine) v- v vcorrect vanswer- v v3.2 vmg/lb how vlong vdoes v___________ varticaine v(septocaine) vlast vin vnerve vblocks vand vsoft vtissue v4% v1:100, v4% v1:200,000 v- v vcorrect vanswer- v v100,000 v- v60-75 vmin vblock vand v3-6 vhr vsoft vtissue 200,000 v- v45-60 vmin vblock vand v2-5 vhr vsoft vtissue what vis vthe vMRD vof vbupivicaine v(marcaine) vin vmg vand vmg/lb v- v vcorrect vanswer- v v 90 vmg vand v0.9 vmg/lb how vlong vdoes v0.5% v1:200,000 vbupivicaine v(marcaine) vlast vin vnerve vblocks vand vsoft vtissue v- v vcorrect vanswer- v v90-180 vmin vblock vand v4-9 vhrs vsoft vtissue what vare vthe vindications vof vuse vfor vbupivicaine v(2) v- v vcorrect vanswer- v vlonger vprocedures vlike vsurgery manage vpostoperative vpain describe vpregnancy vcategory v____ vof vLA vA vB vC vD vX v- v vcorrect vanswer- v vA v- vfailed vto vdemonstrate vrisk vto vfetus vin vfirst vtrimester B v- vanimal vstudies vhave vfailed vto vshow vrisk, vno vadequate vhuman vstudies C v- vanimal vstudies vhave vshown vadverse veffeccts von vfetus, vno vadequate vhuman vstudies D v- vpositive vevidence vof vhuman vfetal vrisk X v- vhave vshown vfetal vabnormalities
A. v3.2 vmg/lb vX v 120 v= v 384 vmg B. v3.0 vmg/lb vX v 152 v= v 456 vmg v(higher vthan vabsolute, vso vstay vwith v400) C. v4.0 vmg.lb vX v 100 v= v 400 vmg D. v3.2 vmg/lb vX v 140 v= v 448 vmg E. v0.9 vmg/lb vX v 200 v= v 180 vmg v(higher vthan vabsolute vMRD, vso vstay vwith v 90 vmg) How vdo vyou vcalculate vMRD vof vLA vin vcartridges what vis vthe vcartridge vMRD vfor va v_____ vlb vpt vwith v_____ vanesthetic A. v 120 vlb vpt vwith v2% vlidocaine B. v 152 vlb vpt vwith v3% vmepivacaine C. v 100 vlb vpt vwith v4% vprilocaine D. v 140 vlb vpt vwith v4% varticaine E. v 200 vlb vpt vwith v0.5% vbupivicaine v- v vcorrect vanswer- v v1. vfind vMRD vin vmg
- vfind vhow vmany vmg vare vin vthe vcartridge v(remember v2% v= v 20 vmg/ml vX v1.8 v= v 36 vmg vin va vcartridge)
- vdivide vstep v 1 vby vstep v 2 A. vMRD vin vmg v= v384. vmg/cartridge v= v36. vMRD vin vcartridge vis v10. B. vMRD vin vmg v= v400. vmg/cartridge v= v54. vMRD vin vcartridges vis v7. C. vMRD vin vmg v= v400. vmg/cartridge v= v72. vMRD vin vcartridges vis v5. D. vMRD vin vmg v= v448. vmg/cart v= v72. vMRD vin vcartridges vis v6. E. vMRD vin vmg v= v90. vmg/cartridge v= v9. vMRD vin vcartridges vis v 10 when vtwo vor vmore vdrugs vare vused, vthe vtotal vdose vof vboth vshould vnot vexceed vthe v(highest/lowest) vMRD vof vall vdrugs. vthis vis vreferred vto vas vwhat v- v vcorrect vanswer- v vlowest limiting vfactor injected vlocal vanesthetics vare vabsorbed v_____ vwhile vtopicals vare vabsorbed v_____ v- v vcorrect vanswer- v vsubcutaneously dermally (T/F) vall vLA vpass vthe vblood/brain vbarrier vAND vthe vplacental vbarrier v- v vcorrect vanswer- v vtrue what vorgan vis vmost vresponsible vfor vexcreting vLA v- v vcorrect vanswer- v vthe vkidneys initial vLA voverdose vaffects vwhat vfirst vand vcauses vwhat v- v vcorrect vanswer- v vthe vCNS CNS vexcitation how vsoon vis vLA voverdose vobserved vin. vpt v- v vcorrect vanswer- v vin vthe vfirst v5- vminutes
what vis vthe vprimary veffect vof vLA von vthe vcardiovascular vsystem v- v vcorrect vanswer- v vhypotension what vaffect vdoes vLA, vat vnon-toxic vand voverdose vlevels, vhave von vthe vrespiratory vsystem v- v vcorrect vanswer- v vnon-toxic v- vrelaxation vof vbronchial vmuscles overdose v- vrespiratory vdepression what vis va vnormo-responder, vhyper-responder, vand vhyporesponder v- v vcorrect vanswer- v vsomeone vwho vresponds vtypically someone vwho vis vaffected vby vLA vlonger someone vwho vis vaffected vless vby vLA v(at vhigher vrisk vof vOD) how vdo vvasodilators vaffect vabsorption vadverse vreactions vdepth vand vduration vof vLA vbleeding v- v vcorrect vanswer- v vincreased vabsorption increased vrisk vfor vadverse vreactions decreased vdepth vand vduration vof vLA increased vbleeding how vdo vvasoconstrictors vaffect vabsorption vdepth vand vduration vof vanesthesia vbleeding vblood vpressure v- v vcorrect vanswer- v vdecreased vabsorption increased vdepth decreased vbleeding increased vblood vpressure angina vis va vside veffect vof vvasodilators vor vvasoconstrictors v- v vcorrect vanswer- v vvasoconstrictors do vvasoconstrictors vdilate vor vconstrict vbronchial vsmooth vmuscles v- v vcorrect vanswer- v vdilate why vdo vvasoconstrictors vcause vburning vupon vinjection v- v vcorrect vanswer- v vlower vpH what vare vthe vtwo vtypes vof vvasoconstrictors v- v vcorrect vanswer- v vepinephrine vand vlevonordefrin what vpreservative vis vused vfor vvasoconstrictors v- v vcorrect vanswer- v vsodium vbisulfite what vis vthe vconcentration vof vvasoconstrictor vin va v_____ v1.8 vml vcartridge
what vtwo vinjections vare vmostly vlikely vto vhave vneedle vbreakage voccur v- v vcorrect vanswer- v vIA vand vPSA What vis vparesthesia? v- v vcorrect vanswer- v vanesthesia vor valtered vsensation vpersisting vbeyond vexpected vduration vof vanesthesia what vis vthe vcause vof vparesthesia v- v vcorrect vanswer- v vwhen va vnerve vis vpressured vor virritated approximately vhow vlong vdoes vit vtake vparesthesia vto vbe vfully vhealed v- v vcorrect vanswer- v v 8 vweeks what vis vfacial vnerve vparalysis v- v vcorrect vanswer- v vloss vof vmotor vfunction vof vthe vfacial vexpressions How vcan vfacial vnerve vparalysis vbe vprevented? v(2) v- v vcorrect vanswer- v vBy vensuring vthat vthe vneedle vcontacts vbone vbefore vthe vsolution vis vdeposited vduring van vIA vblock hematoma vcan vcause vwhat vfour vthings v- v vcorrect vanswer- v vtrismus swelling pain discoloration denser vtissue v__(allows va vhematoma vto vspread/limits vthe vspread vof va vhematoma)__ v- v vcorrect vanswer- v vlimits vthe vspread vof va vhematoma. vlooser vtissue vallows vthe vhematoma vto vspread what vtwo vways vcan vyou vprevent va vhematoma v- v vcorrect vanswer- v vselecting va vneedle vthat vis vless vlikely vto vpenetrate vstructures vdeeper vthan vthe vtarget varea minimize vnumber vof vneedle vpenetrations what vfour vblocks vare vmost vlikely vto voccur vwith va vhematoma v- v vcorrect vanswer- v vPSA IA mental vnerve vblock incisive vnerve vblock how vdo vyou vmanage va vhematoma v(3 vsteps) v- v vcorrect vanswer- v vwhen vswelling voccurs, vapply vpressure vand vice refrain vfrom vapplying vheat vuntil vthe vsecond vday v(will vcause vvasodilation) use vanalgesics vif vexperiencing vpain what v 4 vsteps vcan vyou vtake vto vmanage vtrismus v- v vcorrect vanswer- v vapply vheat vfor v 20 vminutes vevery vhour use vwarm vsaline vrinses use vanalgesics vand vmuscle vrelaxants
exercise vjaw vfor v 5 vminutes vevery v3-4 vhours is vmalignant vhyperthermia va vcontraindication vfor vamide vLA v- v vcorrect vanswer- v vno, vit vwas vpreviously vbut vis vno vlonger va vcontraindication What vis vmalignant vhyperthermia? v- v vcorrect vanswer- v vgenetic vcondition vthat vlimits vthe vability vto vsupply voxygen vto vparts vof vthe vbody, vremove vcarbon vdioxide, v& vregulate vbody vtemp what vis vatypical vpseudocholinesterase v- v vcorrect vanswer- v vGenetic vdisorder vcharacterized vby vabnormal vblood vplasma venzyme vthat vinhibits vthe vproduction vof vpseudocholinesterase caution vwith v__(esters/amides/both)__ vshould vbe vused vwhen va vpt vhas vatypical vpseudocholinesterase v- v vcorrect vanswer- v vesters What vis vmethemoglobinemia? v- v vcorrect vanswer- v vblood vdisorder vin vwhich vthere vis van vabnormal vamount vof vmethemoglobin vin vthe vblood what vis va vrelative vcontraindication vfor vpatients vwith vmethemoglobinemia v- v vcorrect vanswer- v vprilocaine __(esters/amides/both)___are va vrelative vcontraindication vfor vliver vdysfunction. vwhat vis vthe vone vexception vand vwhy v- v vcorrect vanswer- v vamides. varticaine vbecause vit vmetabolizes vin vthe vliver vbut vmostly vin vthe vblood thrombocytopenia vis va vtype vof v_____ vdisorder v- v vcorrect vanswer- v vbleeding what vposition vdo vyou vput vthe vpatient vin vif vthey vgo vinto vanyphylaxis v- v vcorrect vanswer- v vsupine vposition what vposition vdo vyou vput vthe vpt vin vif vthey vhave van vasthma vattack v- v vcorrect vanswer- v vseated what vemergency vsituation vis voxygen vcontraindicated vfor v- v vcorrect vanswer- v vhyperventalation when va vpatient vis vexperiencing vangina, vput vthem vin v_____ vposition vand vprovide v_____ vtablets vevery v_____ vminutes, vup vto v______ vtimes vwithin va v_____ vminute vperiod. vEMS vwould vbe vactivated vif v_____ v- v vcorrect vanswer- v vsemi-supine vor vupright nitroglycerine 3- 3 15 pain vis vnot valleviated
