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This document contains 35 multiple choice questions testing knowledge of local anesthetics. It addresses topics like the causes of inadequate pulpal anesthesia, the prolonged duration of action of certain drugs, tachyphylaxis, differences between ester and amide local anesthetics, complications, toxicity levels, and patient considerations for local anesthetic selection.

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78 views4 pages

Os 1

This document contains 35 multiple choice questions testing knowledge of local anesthetics. It addresses topics like the causes of inadequate pulpal anesthesia, the prolonged duration of action of certain drugs, tachyphylaxis, differences between ester and amide local anesthetics, complications, toxicity levels, and patient considerations for local anesthetic selection.

Uploaded by

rizwan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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17.

The inadequate pulpal anaesthesia in presence

of adequate soft tissue anaesthesia can be due

to:

A. Faulty technique

B. Insufficient penetration of core fibres

C. Insufficient penetration of fasciculi

D. Insufficient penetration of mantle fibres

18. Prolonged duration of action of drugs like etidocaine

and bupivacaine can be attributed to their:

A. Increased lipid solubility

B. Increased water solubility

C. Increased protein binding

D. Vasoconstrictor action

19. Tachyphylaxis occurs due to:

A. Increased dose of LA

B. Increased dose of vasoconstrictor

C. Repeated use of LA

D. Allergy to sodium metabisulfite

20. Which of the following belongs to ester group of

local anaesthetics?

A. Bupivacaine B. Benzocuine

C. Etidocaine D. Mepivacaine

21. The only local anaesthetic with vasoconstrictor

properties is:

A. Cocaine B. Procaine

C. Benzocaine D. Lidocaine

22. Which of the following is not a ester local anaesthetic?

A. Propoxycaine B. Procaine

C. Prilocaine D. Piperacaine
23. Which of the following local anaesthetics

crosses the blood brain barrier:

A. Lignocaine B. Etidocaine

C. Bupivacaine D. All of the above

24. All of the local anaesthetics cross the placenta:

A. Except mepivacaine

B. Statement is true

C. Statement is false

D. Except lignocaine

25. Ester type local anaesthetics are metabolised in

the:

A. Liver only B. Kidney

C. Plasma D. Lungs

26. A patient who had a history of prolonged apnoea

during administration of muscle relaxant (succinvlacholine)

should not be given?

A. Ester local anaesthetics

B. Amide local anaesthetics

C. Vasoconstrictors

D. Sodium bisulfite

27. A patient complains of history of hepatitis one

month ago should be preferably given which

local anaesthetic agent?

A. Lignocaine B. Bupivacaine

C. Procaine D. Procainamide

28. One of the complications of prilocaine LA is:

A. Agranulocytosis

B. Hepatic dysfunction

C. Methemoglobinemia
D. None of the above

29. Local anaesthetics are excreted mainly by:

A. Lungs B. Fecal route

C. Kidneys D. Uterus

30. Blood level of >7 pg/ml of LA produces:

A. Anticonvulsive activity

B. Tonic clonic seizure

C. CVS stimulation

D. None of the above

31. The anticonvulsant activity of local anaesthetic

agents occurs at:

A. < 4 pg/ml B. 4-7 pg/ml

C. 7-10 pg/ml D. 10-12 pg/ml

32. The differentiating factor between LA toxicity

and developing syncope would be:

A. CNS stimulation

B. CNS depression

C. Pallor of skin

D. Light reflex

33. The level of 2% lidocaine which reaches blood

after use of one or two cartridges is:

A. 0.5-2 pg/ml

B. 1.5-5 pg/ml

C. 5-10 pg/ml

D. No LA reaches blood if given safely after

aspiration

34. A patient with known history of hyperthermia

should be given:

A. Lignocaine
B. Procaine

C. Bupivacaine

D. Mepivacaine

35. With overdose of local anaesthetic agent one

would observe:

A. Hypertension

B. Hypotension

C. No change in BP

D. Cardiac arrhythmias

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