FREE DMD Pharmacology and Pain Control Questions and Answers

Question 1

A 58-year-old male patient with a history of gastric ulcers and mild renal insufficiency requires extraction of a severely decayed mandibular molar.
Which of the following analgesic regimens is most appropriate for managing his postoperative pain?

Accepted Answer

Acetaminophen 650 mg every 6 hours

Answer

Ibuprofen 600 mg every 6 hours

Answer

Aspirin 81 mg daily and Naproxen 500 mg twice daily

Answer

Oxycodone/acetaminophen 5/325 mg every 4-6 hours

Question 2

A dentist administers 1.8 mL of 2% lidocaine with 1:100,000 epinephrine. How many milligrams of lidocaine and epinephrine did the patient receive?

Accepted Answer

36 mg lidocaine and 0.018 mg epinephrine

Answer

18 mg lidocaine and 0.018 mg epinephrine

Answer

36 mg lidocaine and 0.18 mg epinephrine

Answer

20 mg lidocaine and 0.01 mg epinephrine

Question 3

Which of the following best describes the primary mechanism of action of nonsteroidal anti-inflammatory drugs (NSAIDs) in managing dental pain?

Accepted Answer

Inhibiting the cyclooxygenase (COX) enzymes

Answer

Binding to mu-opioid receptors in the central nervous system

Answer

Blocking sodium channels in peripheral nerve fibers

Answer

Potentiating the effects of GABA at the GABAA receptor

Question 4

A 25-year-old female patient presents for a restorative procedure. She reports an allergy to 'Novocain' from a past dental experience where she developed a rash. Which local anesthetic would be the safest to use for this patient?

Accepted Answer

Articaine

Answer

Procaine

Answer

Benzocaine

Answer

Tetracaine

Question 5

According to CDC and ADA guidelines, which of the following is considered the first-line therapy for managing acute dental pain, such as after a routine extraction?

Accepted Answer

A combination of an NSAID and acetaminophen

Answer

Codeine combined with acetaminophen

Answer

Tramadol as a single agent

Answer

A short course of an immediate-release opioid

Question 6

A patient is prescribed an opioid analgesic after a complex surgical extraction. Which of the following concurrent medications would represent the most significant risk for life-threatening respiratory depression?

Accepted Answer

Diazepam

Answer

Lisinopril

Answer

Metformin

Answer

Atorvastatin

A 58-year-old male patient with a history of gastric ulcers and mild renal insufficiency requires extraction of a severely decayed mandibular molar.Which of the following analgesic regimens is most appropriate for managing his postoperative pain?

A 58-year-old male patient with a history of gastric ulcers and mild renal insufficiency requires extraction of a severely decayed mandibular molar.
Which of the following analgesic regimens is most appropriate for managing his postoperative pain?