anesthesia

flow meter

provide visual indicator

reservoir bab

provides a source from which additional gas may be drawn

conduction tubing

provides the connection from the cylinders to the tubing feeding the nasal hood and to the suction

The student must demonstrate the following clinical experiences:

B and C

What color is a N2O tank in the United States?

BLUE

Amounts of local anesthetic drugs are expressed in percentages; amounts of vasoconstrictors are expressed in ratios.

t

Limiting drug: Drug that limits the amount of solution that can safely be administered10

t

A fibers (A delta or Aδ) •Lightly myelinated, conduct more rapidly •Provide sensations of sharp, stabbing pain

true

Anesthetic only effective at the nodes of Ranvier

true

BOTH "c" and "a" fibers have been found in dental pulps. •Greater distribution of C fibers than a fibers

true

C fibers •Most numerous of peripheral nervous system •Nonmyelinated, conduct more slowly •Provide sensations of dull and aching pain

true

concentrated epinephrine is 1:50,000 provides greatest hemostasis. there is no difference in pain control between 50,000 and 100,000

true

guage on full tank of nitrous oxide will read ______

750 psi

nitrous tanks are ____ liquid and ___ vapor

95 5

The use of a scavenging system with N2O sedation equipment is desirable because it:

Removes any potentially toxic waste gas from the environment.

scavenging system

eliminates excess gas being exhaled by patients. prevents nitrous leaking out into atmosphere

Pin Index Safety System (PISS)

ensure the correct attachment of gas

MRD represents the maximum quantity of drug that can be safely administered during an appointment,

true

Motor neurons•Impulses leave the CNS to travel to effector cells, tissues, and organs

true

The maximum recommended dose of topical anesthetic is:

200 mg/ml

What will the gauge on an oxygen tank read when it is full?

2200 PSI

guage on full tank of oxygen is ______. guage reflects actual gas quantity

2200 psi

The field of anesthesia of an ASA nerve block includes each of the following except

Lingual periodontium of central incisor through canine

Which of the following is the most important safety step following an injection?

Recapping the needle with a one-handed technique

Dentists allowed to administer local anesthetics in cartridge form since 1921•Delivered by dental hygienists since 1971 (Washington State)

true

Dose recommendations are •Determined by & provided by manufacturers in product inserts for each drug.

true

high doses of epinephrine

1:1000

Regulator

Reduces pressures coming from clylinders

oxygen tanks contain ______

100% gas or vapor

manifold

it joins multiple gas cylinders with one line exiting for each gas

How long is oxygen administered at the completion of sedation?

5 MINS

The didactic component must include the following:

All of the above

The following are necessary considerations when utilizing nitrous oxide/oxygen sedation:

A, C, and E

Which is the correct initial dosage and time interval to begin N2O-O2 sedation?

1 liter for one minute

The hour requirement for local anesthesia/nitrous oxide-oxygen sedation clinical and laboratory experience component is:

15

The didactic component must be _____hours to meet competence for New York State Certification:

30

Which of the following gauge numbers indicates the needle with the smallest lumen?

30

An injection that deposits anesthetic solution near a major nerve trunk is called:

A nerve block injection

To meet the education requirements for certification, you must have completed:

A or B

The clinical component didactic information must include:

ALL

Which of the following are ADA criteria for syringe acceptance?

All except B

In the absence of an MSA nerve, which of the following two nerves may innervate the premolars and the mesiobuccal root of the first molar?

Anterior superior alveolar and posterior superior alveolar

The soft tissue of alveolar process of the mandible is innervated by

Buccal, lingual, and mental nerves.

What is the first step a clinician should take when mild over-sedation is observed?

Discontinue the N2O

Which of the following best explains why infiltration techniques are highly successful in the maxilla?

Ease of diffusion through bone

The fee for a dental hygiene restricted local infiltration anesthesia/nitrous oxide analgesia certificate is $100.

F

The specific requirements for certification are contained in Title 25, Article 144, Section 6605-6 of New York's Education Law and Part 61 of the Commissioner's Regulations

F

Sensory innervation of the posterior 1/3 of the tongue is supplied by the _____ nerve.

Glossopharyngeal

The palatal gingiva of tooth #3 is supplied by which of the following?

Greater palatine nerve

Which of the following conditions does NOT contraindicate the administration of N2O?

Hypertension or cardiovascular disease

The buccal gingiva of #23 is supplied by which of the following?

Mental nerve

When lingual nerve is anesthetized, which of the following tissue will NOT be affected?

Palatal periodontium

Which of the following patients would NOT be a good candidate for the use of N2O?

Patient with chronic obstructive pulmonary disease

All forms, along with the appropriate fee, must be submitted to the New York State Office of the Professions. It is your responsibility to follow up with anyone you have asked to send us material.

T

The fee due is the one in law when your application is received (unless fees are increased retroactively). You will be billed for the difference if fees have been increased.

T

To be certified in New York State you must be a New York State licensed dental hygienist currently registered to practice or applying concurrently for licensure and meet additional education and training requirements.

T

Nitrous levels vary from patient to patient. Fortunately, once the nitrous level has been established for an individual patient, that level is to be used at each appointment for that patient.

The first statement is true and the second is false

Which statement describes the correct positioning of the long window of the syringe?

Toward the clinician to permit visibility throughout the injection

Which of the following nerve branches anesthetizes the upper lip and skin of the cheek?

Trigeminal nerve, division 2

Which of the following procedures represents the correct response following a positive aspiration when a small wormlike thread enters the cartridge?

Withdraw the syringe, change the cartridge, clear the needle of blood and reinject

Must NOT EXCEED maximum recommended dose per appointment NO MATTER THE PATIENT'S WEIGHT!!!

true

Nociceptors are sensory receptors that detect injury and are polymodal

true

Sensory neurons• Carry incoming signals called IMPULSES from the body to the brain (CNS

true

The event where impulse propagation may be interrupted by local anesthesia is known as nontransmission, or impulse extinction

true

diluted epinephrine 1:200,000 is safer for cardiovascularly compromised patients

true

levonordefrin is 1/6 as potent as epi maximum permissible dose: healthy patient: 1mg medically compromised pt: 0.2 mg

true

maximum recommended dose of epi in a healthy patient is 0.2mg medically compromised patient 0.04mg use lowest dose possible

true

mepivacaine 3% and prilocaine 4% are good alternatives for patients whocannot receive a vasoconstrictor

true