INBDE Pharmacology and Pain Management 2

Question 1

Which local anesthetic is safest for a patient with a true amide allergy?

Accepted Answer

Procaine (Novocain)

Answer

Procaine is an ester-type local anesthetic and can be used in patients with confirmed allergy to amide local anesthetics, as the two classes are chemically distinct.

Question 2

Methemoglobinemia is a rare but serious side effect associated with which local anesthetic?

Accepted Answer

Prilocaine

Answer

Prilocaine's metabolite o-toluidine oxidizes hemoglobin to methemoglobin; this is clinically significant at doses above 400 mg.

Question 3

A patient taking a MAO inhibitor should NOT receive which drug?

Accepted Answer

Meperidine (Demerol)

Answer

Meperidine combined with MAO inhibitors can cause a serotonin syndrome, characterized by hyperthermia, seizures, and death.

Question 4

The maximum recommended dose of lidocaine with epinephrine in a healthy adult is:

Accepted Answer

7.0 mg/kg (max 500 mg)

Answer

The maximum dose of lidocaine with epinephrine is 7.0 mg/kg up to a maximum of 500 mg in a healthy adult patient.

Question 5

Flumazenil is used as an antagonist for which drug class?

Accepted Answer

Benzodiazepines

Answer

Flumazenil is a competitive benzodiazepine receptor antagonist used to reverse the sedative effects of benzodiazepines in overdose or post-procedure.

INBDE - Integrated National Board Dental Exam Practice Test

INBDE - Integrated National Board Dental Exam Practice Test

INBDE Pharmacology and Pain Management 2