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Local Anesthesia For Dental Professionals 2nd Edition By Bassett, DiMarco & Naughton - Test Bank
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, Bassett / DiMarco: Local Anesthesia for Dental Professionals, 2eChapter 1
Perspectives on Local Anesthesia for Dental Professionals
True or false
1) Troubleshooting is the ability to critically assess and resolve anesthesia inadequacies in order
to provide comfortable patient care.
A) True
B) False
Answer: A
Objective: 1
2) Dental hygienists and mid-level providers in all states and provinces receive the same
education, and require the same level of supervision for administering local anesthesia.
A) True
B) False
Answer: B
Explanation: B) Specific requirements for dental hygienists and mid-level providers vary
regarding the type, degree, or extent of injections, as well as the required extent of supervision,
education, and examination. Clinicians must be knowledgeable regarding the specifics of the
practice acts governing their particular practice locations.
Objective: 1
3) Dentists are the only providers of local anesthesia in dentistry in North America.
A) True
B) False
Answer: B
Explanation: B) In most states and provinces, dental local anesthesia providers include dentists,
dental hygienists, and in some states and provinces, mid-level and/or expanded function
clinicians.
Objective: 2
4) The first state to license dental hygienists to deliver local anesthetic agents was California in
1975.
A) True
B) False
Answer: B
Explanation: B) The first state to license dental hygienists to deliver local anesthetic agents was
Washington in 1971.
Objective: 2
5) The first state to license dental hygienists to deliver local anesthetic agents was Washington in
1971.
A) True
B) False
Answer: A
© 2015 by Pearson Education, Inc.
, Bassett / DiMarco: Local Anesthesia for Dental Professionals, 2e
Objective: 2
6) Dentists have been able to deliver local anesthetic drugs in cartridge form since 1884.
A) True
B) False
Answer: B
Explanation: B) Dentists have been able to deliver local anesthetic drugs in cartridge form since
1921.
Objective: 2
7) Troubleshooting anesthesia inadequacies always requires referral to a dental specialist.
A) True
B) False
Answer: B
Explanation: B) Every dental professional who administers local anesthesia can and should have
ready troubleshooting skills, and familiarity with pain control alternatives.
Objective: 3
8) Only a dentist can assess and resolve anesthesia inadequacies.
A) True
B) False
Answer: B
Explanation: B) Every dental professional who administers local anesthesia can and should have
ready troubleshooting skills, and familiarity with pain control alternatives.
Objective: 3
9) Mastering a wide variety of techniques is critical to safe and effective pain control.
A) True
B) False
Answer: A
Objective: 3
Multiple choice
1) The fundamentals of pain management include all of the following except
A) Comprehensive assessment
B) Knowledge of drug effects
C) Periodontal assessment
D) Mastering multiple injection techniques
Answer: C
Objective: 1
2) The fundamentals of pain management include
A) Administering drugs that provide the shortest period of anesthesia possible
B) Patient safety
C) Integrating evidence based knowledge in clinical decisions
D) Knowledge in a wide variety of techniques
© 2015 by Pearson Education, Inc.
, Bassett / DiMarco: Local Anesthesia for Dental Professionals, 2e
Answer: A
Objective: 1
3) Local anesthetics have been available in dentistry since
A) 1971
B) 1948
C) 1906
D) 1884
Answer: D
Objective: 1
4) Which situations best demonstrate the fundamentals of pain management?
A) A clinician assesses the patient, including taking vital signs. The patient receives the same
dose of drug that has always been effective. Today the patient is not adequately numb and he is
asked to reschedule an appointment for another day.
B) A clinician assesses the patient and determines there is no physical reason the patient could
not receive anesthesia for periodontal maintenance. The patient reports she always has difficulty
getting numb therefore the patient is referred to a periodontist for treatment.
C) A clinician assesses the patient and readies the patient for treatment. The patient mentions that
he was not numb enough at his last appointment. It is decided that another drug and technique
will be tried at this appointment.
D) A clinician asks the patient if she has had any difficulty with anesthesia in the past. The
patient indicates she has never had any problem and always gets really numb; therefore treatment
is provided without difficulty.
Answer: C
Objective: 1
Short answer/essay
1) Discuss a provider’s responsibility for troubleshooting local anesthesia inadequacies.
Answer: Every provider of local anesthesia should have confidence in his or her pain control
strategies, have ready troubleshooting skills, and familiarity with alternate techniques to provide
successful anesthesia.
2) Discuss the responsibility of local anesthesia providers.
Answer: Providing safe, effective, and appropriate pain control is a responsibility of all dental
local anesthesia providers. This requires knowledge of and competency with the fundamentals of
pain management.
Objective: 3
3) Discuss the fundamentals of pain management.
Answer: The fundamentals of pain management include conducting a comprehensive patient
assessment, recognizing and responding to patient factors, integrating evidence-based
knowledge, and understanding relevant drugs, their effects, indications, and contraindications.
Fundamentals also include developing clinical decision-making skills and mastering a wide
variety of techniques and appropriate modifications.
Objective: 1
© 2015 by Pearson Education, Inc.
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