ADEX Pharmacology and Pain Management

Question 1

Which local anesthetic has the longest duration of action and is most appropriate for lengthy dental hygiene procedures?

Accepted Answer

Bupivacaine 0.5%

Answer

Lidocaine 2%

Answer

Mepivacaine 3%

Answer

Prilocaine 4%

Question 2

A patient reports an allergy to sulfa drugs. Which local anesthetic should be avoided due to its ester linkage and potential cross-reactivity with PABA metabolites?

Accepted Answer

Procaine

Answer

Lidocaine

Answer

Articaine

Answer

Mepivacaine

Question 3

What is the maximum recommended dose of lidocaine with epinephrine for a healthy adult patient in dental procedures?

Accepted Answer

4.4 mg/kg up to 300 mg

Answer

2 mg/kg up to 100 mg

Answer

7 mg/kg up to 500 mg

Answer

1 mg/kg up to 50 mg

Question 4

Which vasoconstrictor concentration is most commonly found in dental local anesthetic cartridges in the United States?

Accepted Answer

1:100,000 epinephrine

Answer

1:10,000 epinephrine

Answer

1:50,000 epinephrine

Answer

1:200,000 epinephrine

Question 5

Which block technique anesthetizes the lingual nerve, inferior alveolar nerve, and long buccal nerve with a single injection?

Accepted Answer

Gow-Gates mandibular block

Answer

Inferior alveolar nerve block (Halstead)

Answer

Mental nerve block

Answer

Incisive nerve block

Question 6

Paresthesia following an inferior alveolar nerve block is most often associated with which local anesthetic?

Accepted Answer

Articaine 4%

Answer

Lidocaine 2%

Answer

Mepivacaine 3%

Answer

Prilocaine 4%