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CDCA REVIEW: LOCAL ANESTHESIA
✴FIVESTAR TEST
What Vlocal Vanesthetic Vis Vmetabolized Vby Vpseudocholinesterase? V- V Vcorrect Vanswer- V VEsters Where Vare Vester Vlocal Vanesthetics Vhydrolyzed? V- V Vcorrect Vanswer- V VIn Vthe Vblood Vplasma Vby Vthe Venzyme Vpseudocholinesterase Which Vantiseptic Vshould Vnot Vbe Vused? V- V Vcorrect Vanswer- V VLiquid VAlcohol Before Vusing Va Vcartridge Vyou Vshould: V
- Vwipe Vit Vwith Vdisinfectant V
- Vsoak Vit Vin Valcohol
- Vautoclave Vit Vand Vor Vsterilize Vit? V- V Vcorrect Vanswer- V VNone Vof Vthe Vabove
What Vpart Vof Vthe Vsyringe Vindicates Vthat Vit Vis Van Vaspirating Vsyringe? V- V Vcorrect Vanswer- V VHarpoon What Vis Va Vpossible Vcause Vof Vpain Von Vremoval Vof Vthe Vneedle? V- V Vcorrect Vanswer- V VNeedle Vbarb Vfrom Vimpaling Vbone If Vthere Vis Vno Vorganic Vbasis Vfor Vpain V- V Vcorrect Vanswer- V VPsychogenic Vpain How Vdoes Va Vself Vaspirating Vsyringe Vwork V- V Vcorrect Vanswer- V VWhen Vyou Vlet Voff Vpressure Vfrom Vinjecting Vit Vself-aspirates V(negative Vpressure Vbuilt Vinto Vthe Vsyringe) When Vdo Vyou Vaspirate? V- V Vcorrect Vanswer- V VImmediately Vbefore Vyou Vinject Vlocal Vanesthetic What Vis Vthe Vaction Vof Vvasodepressors Vin Vlocal Vanesthetic? V- V Vcorrect Vanswer- V Vincreases Vdepth Vand Vduration Vof Vanesthetic, Vdecreases Vabsorption Vof Vlocal Vanesthetic Vand Vvasopressor Maximum VDoses Vof VEpinephrine V- V Vcorrect Vanswer- V VNormal Vhealthy Vpatient V- V.2 Vmg Cardiac Vpatient V- V.04 Vmg How Vmuch Vepinephrine Vis Vin Va Vcartridge Vof V1:50,000 Vepinephrine? V- V Vcorrect Vanswer- V V. Vmg How Vmuch Vepinephrine Vis Vin Va Vcartridge Vof V1:100,000 Vepinephrine? V- V Vcorrect Vanswer- V V. Vmg How Vmuch Vepinephrine Vis Vin Va Vcartridge Vof V1:200,000 Vepinephrine? V- V Vcorrect Vanswer- V V. Vmg
What Vis Vthe Vrole Vof Vsodium Vbisulfite Vin Vlocal Vanesthetic? V- V Vcorrect Vanswer- V VAntioxidant Vprevents Voxidation Vof Vthe Vvasopressor Vby Voxygen Vwhich Vmight Vbe Vtrapped Vin Vthe Vcartridge Vby Vthe Vmanufacturer Vor Vdiffuse Vthrough Vthe Vcartridge's Vlatex Vdiaphragm Primary Vcause Vof Vneedle Vseparation V(breakage)? V- V Vcorrect Vanswer- V VWeakening Vof Vthe Vdental Vneedle Vby Vbending Vit Vbefore Vinsertion Vinto Vthe Vpatient's Vmouth 2nd Vmost Vcommon Vreason Vis Vpatient Vmovement Vduring Vinjection When Vdoes Va Vpatient Vreceive Van Velectrical Vshock Vsensation Vduring Vand Vinjection? V- V Vcorrect Vanswer- V VWhen Vneedle Vcontacts Vthe Vnerve Vsheath Why Vdoes Vinfiltration Vwork Vbetter Vin Vthe Vmaxilla? V- V Vcorrect Vanswer- V VLess Vbone Vdensity V (thinner Vcortical Vplate Vof Vbone) Which Vlocal Vanesthetic Vis Vnot Van Vamide? V- V Vcorrect Vanswer- V VProcaine V(Novacain) How Vlong Vcan Vyou Vsafely Vleave Va VDentipatch V(EMLA) Von Vtissue? V- V Vcorrect Vanswer- V V 15 Vminutes Most Vcommonly Vused Vplain Vlocal Vanesthetic? V- V Vcorrect Vanswer- V V3% VMepivacaine VPlain What Vgauge Vneedle Vcan Vbe Vused Vfor Vinfiltration Vinjections? V- V Vcorrect Vanswer- V V 27 Vor V 30 Vgauge Which Vlocal Vanesthetic Vis Van Vester? V- V Vcorrect Vanswer- V VProcaine V(Novacain) Why Vwould Vyou Vuse Vcaution Vwith Van Vamide Vif Va Vpatient Vhas Vliver V(cirrhosis) Vdisease? V- V Vcorrect Vanswer- V VAmides Vmetabolized Vin Vthe Vliver
After Vinfraorbital Vinjection Vwhy Vdoes Vthe Vpatient's Vcheek Vturn Vwhite? V- V Vcorrect Vanswer- V VBlanching Vor Vvasoconstriction Vof Vblood Vvessels Vin Vthe Varea Why Vdoes Vanesthesia Vfail Vto Vwork Vnear Van Vinfected Vtooth? V- V Vcorrect Vanswer- V VInfection Vcauses Va Vlower VpH Vin Vthe Vtissue (less Vfree Vbase Vlocal Vanesthetic Vmolecules Vavailable Vto Vpenetrate Vthe Vnerve Vmembrane) If Va Vpatient Vhas Van Vallergic Vreaction Vto Van Vamide, Vwhat Vcould Vyou Vuse Vto Vinject Vthe Vpatient? V- V Vcorrect Vanswer- V VEster Vlocal Vanesthetic If Va Vpatient Vis Vallergic Vto Vboth Vamides Vand Vesters, Vwhat Vcould Vyou Vuse Vto Vinject Vthe Vpatient? V- V Vcorrect Vanswer- V VDiphenhydramine V(Benadryl) What Vnerve Vinnervates Vthe Vsoft Vpalate? V- V Vcorrect Vanswer- V VLesser Vpalatine If Vthe Vpharynx V(throat) Vis Vnumb, Vwhat Vnerve Vwas Vanesthetized? V- V Vcorrect Vanswer- V VGlossopharyngeal V(Cranial VNerve VIX) What Vis Vthe Vmost Vcommon Vthing Vthat Vcauses Vpain Von Vinjection? V- V Vcorrect Vanswer- V VInjecting Vtoo Vfast A Vsensation Vof Vburning Von Vinjection Vis Vcaused Vby Vwhat? V- V Vcorrect Vanswer- V VInjecting Vtoo Vfast Vor Vinjecting Va Vlocal Vanesthetic Vcontaining Va Vvasoconstrictor V(lower VpH) Injection Vsite Vfor Vpalatal Vinfiltration Vof Vmaxillary Vteeth? V- V Vcorrect Vanswer- V V5-10 Vmm Vfrom Vthe Vfree Vgingival Vmargin Vof Vthe Vteeth V(vicinity Vof Vthe Vroot Vapex)
Which Vof Vthe Vfollowing Vinjections Vwould Vnumb Vthe Vlower Vlip? V- V Vcorrect Vanswer- V VMental Vnerve Vblock What Vis Vthe Vdepth Vof Vneedle Vpenetration Vfor Vthe VIANB? V- V Vcorrect Vanswer- V V20-25 Vmm, V2/ Vof Vlength Vof Va Vlong Vneedle (make Vsure Vof Vbone Vcontact Vbefore Vinjecting) How Vshould Vthe Vbevel Vof Vthe Vneedle Vbe Voriented Vwhen Vinjecting? V- V Vcorrect Vanswer- V VToward Vthe Vbone What Vcauses Vfacial Vnerve V(CN VVII) Vparalysis? V- V Vcorrect Vanswer- V VThe Vintroduction Vof Vlocal Vanesthetic Vinto Vthe Vparotid Vcapsule Vlocated Vat Vthe Vposterior Vborder Vof Vthe Vmandibular Vramus Patient Vreports Vpain Von Vopening Vthe Vnext Vday Vafter Van Vinjection. VWhat Vis Vthe Vpatient Vexperiencing? V- V Vcorrect Vanswer- V VTrismus V= Vprolonged Vtetanic Vspasm Vof Vthe Vjaw Vmuscles Vby Vwhich Vthe Vnormal Vopening Vof Vthe Vmouth Vis Vrestricted V(lock Vjaw). What Vcauses Vtrismus? V- V Vcorrect Vanswer- V V1) VTrauma Vto Vthe Vblood Vvessels Vand Vmuscles Vin Vthe Vinfratemporal Vfossa
- VInjection Vof Valcohol Vor Vsterilizing Vsolution Vcontaminated Vlocal Vanesthetic Vcausing Virritation Vto Vthe Vtissues
- VHemorrhage
- VLarge Vvolumes Vof Vanesthetic Vsolution Vdeposited Vin Vone Varea
- VInfection How Vdo Vyou Vmanage Vtrismus? V- V Vcorrect Vanswer- V VPrescribe Vtherapy, Vwarm Vsaline Vrinses, Vanalgesics Vand Vmuscle Vrelaxants Vto Vmanage Vthe Vinitial Vphase Vof Vmuscle Vspasm
Is Vthe Vmaxillary Vdivision Vof Vthe Vtrigeminal Vnerve V(V-2) Vsensory, Vmotor Vor Vboth? V- V Vcorrect Vanswer- V VSensory Vonly Is Vthe Vmandibular Vdivision Vof Vthe Vtrigeminal Vnerve V(V-3) Vsensory, Vmotor Vor Vboth? V- V Vcorrect Vanswer- V VBoth Vsensory Vand Vmotor Which Vof Vthe Vfollowing Vis Vnot Vanesthetized Vby Vthe VPSA Vnerve Vblock? V- V Vcorrect Vanswer- V VMB Vroot Vof Vthe Vmaxillary V1st Vmolar Numbness Vin Vthe Vanterior Vportion Vof Vthe Vtongue Vindicates Vthat Vwhich Vnerve Vhas Vbeen Vanesthetized? V- V Vcorrect Vanswer- V VLingual Vnerve V(IANB Vinjection) Where Vis Vthe Vprimary Vsite Vof Vbiotransformation Vof Vamides? V- V Vcorrect Vanswer- V VLiver What Vcauses Vallergic Vreactions Vin Vester Vlocal Vanesthetics? V- V Vcorrect Vanswer- V VA Vmetabolite Vof Vthe Vbiotransformation Vprocess: VPABA V(Para VAmino VBenzoic VAcid) What Vwould Vyou Vuse Vto Vmanage Van Vimmediate Vsevere Vallergic Vreaction? V- V Vcorrect Vanswer- V VEpinephrine What Vwould Vyou Vuse Vto Vmanage Va Vdelayed Vallergic Vreaction? V- V Vcorrect Vanswer- V VBenadryl Allergic Vreaction Vmanagement Vfor Va Vpatient Vwho Vimmediately Vstarts Vgasping Vfor Vair Vand VBP Vdrops Vbelow V90/60mmHg V- V Vcorrect Vanswer- V VAdminister Vepinephrine V-2 Vexits Vthe Vcranium Vthrough? V- V Vcorrect Vanswer- V VForamen VRotundum V-3 Vexits Vthe Vcranium Vthrough? V- V Vcorrect Vanswer- V VForamen VOvale
20-25 Vmm Vor Vabout V 1 Vinch) (need Va Vlong V(32 Vmm) Vneedle) What Vis Vthe Vinjection Vsite Vfor Vthe VMental VNerve VBlock? V- V Vcorrect Vanswer- V VMucobuccal Vfold Vbetween Vthe Vmandibular Vfirst Vand Vsecond Vpremolar V(vicinity Vof Vthe Vmental Vforamen) Which Vinjections Vare Vnecessary Vto Vscale Vmaxillary Vmolar Vteeth? V- V Vcorrect Vanswer- V VPSA Vand VGP (possibly VMSA Vfor Vinnervation Vof Vthe VMB Vroot Vof Vthe Vmaxillary V1st Vmolar) A Vcentral Vincisor Vhas Va Vperiodontal Vdefect Von Vthe Vlingual Vroot Vsurface, Vwhat Vinjection Vwould Vyou Vuse? V- V Vcorrect Vanswer- V VNasopalatine V(NP) Vnerve Vblock You Vare Vscaling Vthe Vlingual Vof V#13, Vwhere Vwould Vyou Vgive Vthe Vinjection Vfor Vpalatal Vinfiltration? V
- VMucobuccal Vfold
- VMucogingival Vjunction
- Vfree Vgingival Vmargin
- Vapex Vof Vtooth V#13 V- V Vcorrect Vanswer- V VPalatal Vinjection Vadjacent Vto Vthe Vapex Vof Vtooth V# What VInjection Vwould Vnumb Vthe Vlower Vlip? V- V Vcorrect Vanswer- V VMental Vnerve Vblock The Vrapid Vinflux Vof Vsodium Vions Vinto Vthe Vinterior Vof Vthe Vnerve Vcell Vcauses Vdepolarization Vof Vthe Vnerve Vmembrane Vfrom Vits Vresting Vlevel Vto Vits V_________________. V- V Vcorrect Vanswer- V VFiring VThreshold
The Vfiring Vthreshold Vis Vthe Vmagnitude Vof Vthe Vdecrease Vin Vnegative Vtransmembrane Vpotential Vnecessary Vto Vinitiate Van V_______________. V- V Vcorrect Vanswer- V VAction Vpotential Why Vshould Vinjection Vneedles Vnot Vbe Vinserted Vto Vtheir Vhub? V- V Vcorrect Vanswer- V VThe Vhub Vis Vthe Vmost Vrigid/weakest Vpart Vof Vthe Vneedle When Vis Va Vlong V(32 Vmm) Vneedle Vpreferred Vfor Vinjections? V- V Vcorrect Vanswer- V VFor Vall Vinjections Vwhere Va Vsignificant Vthickness Vof Vsoft Vtissue Vmust Vbe Vpenetrated V(IANB) Generic V= VLidocaine V- V Vcorrect Vanswer- V VBrand Vname V= VXylocaine Generic V= VMepivacaine V- V Vcorrect Vanswer- V VBrand Vname V= VCarbocaine Generic V= VPrilocaine V- V Vcorrect Vanswer- V VBrand Vname V= VCitanest (Citanest VForte V= V1:200,000 Vepi) Generic V= VArticaine V- V Vcorrect Vanswer- V VBrand Vname V= VSeptocaine Generic V= VBupivacaine V- V Vcorrect Vanswer- V VBrand Vname V= VMarcaine What Vis Vthe Vmost Vcommon Vreason Vfor Va Vlesion Von Vthe Vlower Vlip Va Vday Vafter Vinjection? V- V Vcorrect Vanswer- V VRecurrent Vaphthous Vstomatitis, Vherpes Vsimplex Needles Vand Vcartridges Vare Vdisposed Vin Va V____. V- V Vcorrect Vanswer- V VSharps Vcontainer (answer Vmay Vbe Vneedles Vonly)
100 Vpound Vfemale Vpatient- Vwhat Vis Vthe VMRD Vlimit Vof Vcartridges Vof V2% Vlidocaine Vfor Vthis Vpatient? V- V Vcorrect Vanswer- V V 17 VX V2% V= V 34 Vmg Vper Vcartridge 100 Vlbs. VX V2.0 Vmg/lb. V= V 200 Vmg Vmaximum Vdose 200 Vmg/ V 34 Vmg V= V5.9 Vcartridges If Va Vpatient Vhas Van Vallergy Vto Vred Vwine, Vwhat Vlocal Vanesthetic Vshould Vbe Vused? V- V Vcorrect Vanswer- V VLocal Vanesthetic Vwithout Vepinephrine V(plain) Articaine V(Septocaine) What Vis Vthe Vvolume Vof VLA Vanesthetic Vsolution Vin V 2 Vcartridges Vof VLidocaine? V- V Vcorrect Vanswer- V V3.6 Vml V(or V3.4 Vml) (1.8 Vml Vor V1.7 Vml Vper Vcartridge) Cartridge Vof V.5% Vcontains V_________ VLA V- V Vcorrect Vanswer- V V 9 Vmg V(8.5 Vmg) Cartridge Vof V2% Vcontains V________ VLA V- V Vcorrect Vanswer- V V 36 Vmg V(34 Vmg) Cartridge Vof V3% Vcontains V________ VLA V- V Vcorrect Vanswer- V V 54 Vmg V(51 Vmg) Cartridge Vof V4% Vcontains V________ VLA V- V Vcorrect Vanswer- V V 72 Vmg V(68 Vmg) What Vgauge Vneedle Vis Vused Vfor Vinfiltration Vinjections? V- V Vcorrect Vanswer- V V 27 Vshort V(yellow Vcap) Where Vare Vused Vneedles Vdisposed? V- V Vcorrect Vanswer- V VSharps Vcontainer
Sequence Vof Vdisappearance Vof Vsensation V- V Vcorrect Vanswer- V VPain, VTemperature, VTouch, VProprioception, VMotor What Vinjections Vdo VI Vneed Vto Vgive Vto Vanesthetize Va Vquadrant Vin Vthe Vmaxilla? V- V Vcorrect Vanswer- V V1. VPSA V(molars) V
- VMSA V(premolars) V
- VASA V(canine V-incisors) V
- VLocal Vinfiltration Vabove Vcentral Vincisor V
- VGP, VNP V(if Vpalatal Vanesthesia Vneeded) What Vis Vthe VIO V(Infraorbital VNerve VBlock) Vused Vfor? V- V Vcorrect Vanswer- V VIf Vsuccessful, Vthe VIO Vwill Vanesthetize Vboth Vthe VASA Vand VMSA Vnerves. VAccording Vto VDr. VMalamed, Vthe VIO Vis Vthe Vdefinitive VASA Vnerve Vblock Where Vdoes Vthe VOld VMan V(Dr. VDouglas) Vuse Vthe VIO? V- V Vcorrect Vanswer- V VWhen VI Vhave Vdifficulty Vachieving Vadequate Vanesthesia Vof Vthe Vmaxillary Vcanine V(#6, V11) or if VI Vneed Vlocal Vanesthesia Vin Vthe Vmaxillary Vanterior Vfor Van Vextended Vperiod Vof Vtime What Vinjections Vdo VI Vneed Vto Vgive Vto Vanesthetize Va Vquadrant Vin Vthe Vmandible? V- V Vcorrect Vanswer- V V1. VIANB V
- VBNB V
- VLocal Vinfiltration Vunder Vcentral Vincisor What Vif VI Vonly Vneed Vanesthesia Vin Vthe Vanterior Vmandible? V- V Vcorrect Vanswer- V VMI V(Mental V- Incisive VNerve VBlock)
