Pharmacology and Pain Management Flashcards
6 cards from real INBDE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Pharmacology and Pain Management flashcards as text
Which local anesthetic is safest for a patient with a true amide allergy?
Answer: Procaine (Novocain)
Procaine is an ester-type local anesthetic and can be used in patients with confirmed allergy to amide local anesthetics, as the two classes are chemically distinct.
Methemoglobinemia is a rare but serious side effect associated with which local anesthetic?
Answer: Prilocaine
Prilocaine's metabolite o-toluidine oxidizes hemoglobin to methemoglobin; this is clinically significant at doses above 400 mg.
A patient taking a MAO inhibitor should NOT receive which drug?
Answer: Meperidine (Demerol)
Meperidine combined with MAO inhibitors can cause a serotonin syndrome, characterized by hyperthermia, seizures, and death.
The maximum recommended dose of lidocaine with epinephrine in a healthy adult is:
Answer: 7.0 mg/kg (max 500 mg)
The maximum dose of lidocaine with epinephrine is 7.0 mg/kg up to a maximum of 500 mg in a healthy adult patient.
Flumazenil is used as an antagonist for which drug class?
Answer: Benzodiazepines
Flumazenil is a competitive benzodiazepine receptor antagonist used to reverse the sedative effects of benzodiazepines in overdose or post-procedure.
Which antibiotic is the first-line prophylaxis for patients at high risk of infective endocarditis undergoing dental procedures?
Answer: Amoxicillin
Amoxicillin 2 g orally one hour before the procedure is the AHA-recommended first-line prophylaxis for high-risk cardiac patients undergoing dental procedures.