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