INBDE Pharmacology and Pain Management

Question 1

Which local anesthetic has the longest duration of action?

Accepted Answer

Bupivacaine

Answer

Lidocaine

Answer

Mepivacaine

Answer

Prilocaine

Question 2

Epinephrine is added to local anesthetic solutions primarily to:

Accepted Answer

Prolong the duration of anesthesia by causing vasoconstriction

Answer

Decrease the pH of the solution

Answer

Increase the rate of absorption

Answer

Prevent allergic reactions

Question 3

A patient taking warfarin requires a dental extraction. The INR is 2.5. The most appropriate management is to:

Accepted Answer

Proceed with extraction using local hemostatic measures

Answer

Stop warfarin 3 days before extraction

Answer

Refer to physician to switch to heparin

Answer

Postpone treatment indefinitely

Question 4

Which analgesic is contraindicated in patients with aspirin-exacerbated respiratory disease (AERD)?

Accepted Answer

Ibuprofen

Answer

Acetaminophen

Answer

Codeine

Answer

Tramadol

Question 5

Tetracyclines are contraindicated in children under 8 years of age because they:

Accepted Answer

Cause permanent tooth discoloration and enamel hypoplasia

Answer

Cause nephrotoxicity

Answer

Inhibit bone growth

Answer

Cause hepatic failure

Question 6

Which benzodiazepine is most commonly used for IV conscious sedation in dentistry?

Accepted Answer

Midazolam

Answer

Diazepam

Answer

Lorazepam

Answer

Triazolam