Local Anesthesia Final Exam Review
Which of the following statements is true of local anesthesia?
A. Local anesthesia eliminates the feeling of sensation without the loss of
consciousness
B. Local anesthesia is an unpleasant sensory and emotional experience
C. Local anesthesia eliminates the feeling of sensation through loss of consciousness
D. Local anesthesia is never necessary for dental hygiene appointments - ANS-A
Which of the following methods of pain control did not pave the way for modern
anesthetics?
A. scaring off demons
B. herbs and plants
C. therapeutic massage
D. alcohol, cannabis, and opium - ANS-C
The first effective gas inhalation anesthetic was
A. nitrous oxide
B. ether
C. halothane
D. acetylated alicyclic acid - ANS-B
The first local anesthetic was
A. lidocaine
B. cocaine
C. novocaine
D. articaine - ANS-B
Which of the following is the most populate dental anesthetic used in the USA?
A. Procaine
B. novocaine
C. Mepivicaine
D. Lidocaine - ANS-D
Local anesthetics ______ the pain signal to the brain
A. have no effect on
B. slow
C. speed
D. block - ANS-D
,Which of the following advantages is/are associated with the use of a local anesthetic?
A. hemostasis
B. pain control
C. no memory of procedure
D. both A & B - ANS-D
Which of the following statements is true?
A. states are more likely to allow dental hygienists to administer local anesthesia than
they are to allow them to administer nitrous oxide
B. states are more likely to allow dental hygienists to administer nitrous oxide than they
are to allow them to administer local anesthesia
C. dental hygienists are not currently permitted to administer nitrous oxide in the United
States
D. none of the above - ANS-
Which of the following defines pain threshold?
A. a neurological experience of pain
B. the personal interpretation and response to the pain message
C. the point at which a sensation becomes painful, resulting in discomfort
D. a method or tool used to measure pain - ANS-C
A patient's pain reaction may be influenced by his/her
A. age
B. culture
C. emotional state
D. all of the above - ANS-D
A visual analog scale (VAS) is used to
A. locate pain
B. measure pain
C. block pain receptors
D. constrict blood vessels - ANS-B
The relationship between a patient's needs and behaviors is best defined as
A. the human needs paradigm
B. stress
C. the tension paradigm
D. dental phobia - ANS-A
,The majority of patients who experience dental anxiety trace the onset of fear to
A. infancy
B. toddlerhood
C. childhood or adolescence
D. adulthood - ANS-C
The health and dental history review is an opportune time to detect signs of patient
anxiety. Which of the following signs would indicate a patient is fearful of dental
treatment?
A. elevated blood pressure, decreased heart rate, and relaxed posture
B. low blood pressure, decreased rate of respiration, and pupil dilation
C. elevated blood pressure, rapid heart rate, and cold, sweaty palms
D. Dry mouth, decreased heart rate, and decreased rate of respiration - ANS-C
Scheduling a ___________ appointment can help prevent apprehension in the anxious
patient
A. short midweek
B. long afternoon
C. short evening
D. long morning - ANS-A
Although the patient may be apprehensive about receiving an injection, once the
anesthesia is administered, its effect will help attain the patient's human need for ___ by
providing comfort
A. safety
B. self-actualization
C. belonging
D. esteem - ANS-A
Which of the following will lower the pain reaction threshold?
A. fear
B. fatigue
C. emotional distress
D. all of the above - ANS-D
______ is defined as the neurologic experience of pain; it differs little between
individuals
A. stress
B. pain reaction
C. pain perception
, D. pain threshold - ANS-C
_______ is a physical and emotional response to a particular situation
A. pain
B. stress
C. apprehension
D. anxiety - ANS-B
Dr. Henry Beecher is credited with defining _____ as a combinatino of physical
sensation and cognitive perception
A. pain
B. pain control
C. stress
D. pain reaction - ANS-A
What potent drug used for pain control was derived from opium?
A. lidocaine
B. novocaine
C. morphine
D. codeine - ANS-c
What drug did Horace Wells first introduce into dentistry for pain control?
A. nitrous oxide
B. local anesthetics
C. topical antesthetics
D. morphine - ANS-d
All of the following are reasons why procaine was not as desirable as lidocaine for pain
control except which one?
A. difficult to produce the desired anesthetic result
B. it causes allergic reactions
C. it was not as potent
D. it was addictive - ANS-d
Inject able amides are recommended over esters because there is:
A. less risk of allergic reactions
B. increased potency
C. decreased mechanism of action
D. both A & B - ANS-d
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