Pain management midterm review

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 is classified as nociceptive pain? Trigeminal neuralgia Phantom limb pain Chronic muscle pain Traumatic tooth fracture

Traumatic tooth fracture

Which of the following needle gauges has the largest lumen? 23 25 27

23

How long is oxygen administered at the completion of sedation?

5 minutes

Patient is to receive nitrous oxide has a respiration rate of 14. Where should the oxygen level be set initially?

7 lpm

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

A block injection

Has pins that correspond to the holes on the tanks?

Pin index safety system

No more than Of topical anesthetic should ever be given.

200 mg/ml

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

2200 psi

Which is the correct initial dosage and time interval to begin nitrous sedation?

1 liter for one minute

A full cartridge contains 51 mg of drug. You have used 1/3rd of the carpule. How much drug have you administered to the pt?

17 mg

Local anesthetics have been available in dentistry since? 1971 1948 1906 1884

1884

Which of the following are signs of excessive nitrous sedation?

Agitation, combative Uncontrolled laughter Inability to follow commands Dilated pupils

Regarding the care and handle of needles which of the following are correct? Contaminated needles Never use the same needle twice always be aware of the position of the uncovered needle tip Cover the needle when not being used Change the needle after several tissue penetrations

All are correct

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

Anterior superior alveolar and posterior superior alveolar

What color is the N2O tank in the US?

Blue

Nitrous levels vary from pt to pt. Leveled must be recalibrated for each visit.

Both are true

To meet requirement's you must: Complete DH education and 30 hours of didactic and 15 hours of clinical Or Equivalent education

Both are true

Which of the following exit the skull via the jugular foremen?

CN I I

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

Discontinue nitrous

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

Ease of diffusion though bone

A tumor in the parotid gland may place pressure on the. Nerve causing pain.

Facial

Which statement is true regarding fear and local anesthesia? Fear can be a barrier to obtaining adequate anesthesia Fear causes little concern over dental treatment Fear of injections causes 40% of patients to avoid Tx Fear is an a problem for most pt who experience fear of injections

Fear is a barrier to obtain adequate anesthesia

Topical anesthetics have higher concentration of anesthetic than their injection counterparts. This is necessary because some topicals contain a vasoconstrictor.

First is true. Second is false

Nerves of the dental plexus: Interdental branchs Interradicular branchs Nasopalatine Dental nerves Buccal branch

Interdental branchs Interradicular branchs Dental nerves

What is pain tolerance?

It's an individual's reaction to a pain stimulus

The field of anesthesia of an ASA nerve block includes each of the following EXCEPT Upper lip cheek lower nose Lingual periodontium of central incisors-canine Pulps of the maxillary central incisor through canine Facial periodontium of central incisors - canine

Lingual periodontium of central incisors - canine

It joins multiple gas cylinders with one line exiting for each gas?

Manifold

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

Mental nerve

Which of the following nerves when anesthetized provide ONLY soft tissue anesthesia of the lower lip and chin?

Mental nerve

When the inferior alveolar injection is administered which of the following tissues will NOT be affected? Anterior two thirds of the tongue Floor of mouth Mucosa buccal to the molars Lingual gingiva Palatal periodontium

Mucosa buccal to the molars Palatal periodontal

The pterygopalatine nerve is comprised of which of the following?

Nasopalatine nerve Lesser palatine nerve Greater palatine nerve

Which of the following is a enteric mixture that will thicken into a gel once inserted into a periodontal pocket, relieving pain with no surgical periodontal surgery?

Oraqix 2.5 (lidocaine/ 2.5 prilocaine gel)

Which statement best describes pain as a protective response?

Pain is a rapid, reflexive, unconscious reaction.

The fundamentals of pain management includes all except?

Periodontal assessments

Which of the following patients would NOT be a good candidate for the use of N2O: Pt with a small bowel obstruction Pediatric pt Pt with heart disease or heart attack Pt with a chronic pulmonary disease Pt who have recent middle ear surgery

Pt with a chronic obstruction Pt who have recent middle ear surgery

Which statement describes the correct method to see if the harpoon is seated in the stopper?

Pull back on the thumb ring

Which of the following is the most important safety step following an injection? Rinsing the pt mouth Assessing the percentage of solution administrated Recapping the needle with a one hand technique

Recapping with a one hand technique

Reduces pressure coming from cylinders before entering pipes and tubing?

Regulator

The use of a scavenger system with nitrous sedation equipment is desirable because it:

Removes any potential toxic waste gas from the environment

The contents of the anesthetic cartridge include all of the following except: Local anesthetic drug Vasopressin drug plus preservatives Sodium hypochlorite Sodium chloride Distilled water

Sodium hypochlorite

To be certified in NY state you must be licensed or currently registered to practice or applying concurrently for licensure and meet additional education and training.

True

Which of the following procedures represents the correct response following a positive aspiration?

Withdraw the syringe change cartridge clear the needle of blood and re aspirate

Pt has a minute volume of 7.5, receives 3 lpm of nitrous. What percent of nitrous did pt receive?

40%

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

Glossopharyngeal

The palatal gingiva of tooth #13 is supplied by which of the following? Mental nerve Infraorbital nerve Middle superior alveolar nerve Auricular nerve Greater palatine nerve

Greater palatine nerve