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Question 1
What is the mechanism of action of local anesthesia?
Question 2
What are the pharmacokinetics and pharmacodynamics of local anesthesia?
Question 3
What is the calculation of the Maximum recommended dosage for local anesthesia?
Question 4
What is local anesthesia?
Question 5
Who was Francis Rynd and what did he invent?
Question 6
What was the year of the first successful use of local anesthesia?
Question 7
What are the two main types of local anesthetics mentioned in the slide?
Question 8
Which types of local anesthetics are no longer available in dental cartridges due to risk of allergic reactions?
Question 9
What are the desirable properties of injectable local anesthetics?
Question 10
What is the purpose of formulating local anesthetics as a hydrochloride salt?
Question 11
What is the difference between ester-linked and amide-linked local anesthetics?
Question 12
What are the key components of a local anesthetic molecule?
Question 13
What is the difference between the basic form and the protonated (acidic) form of an ester-linked local anesthetic?
Question 14
How does the pH of the local environment affect the dissociation state of an amide-linked local anesthetic?
Question 15
What is the pKa range for local anesthetics?
Question 16
What happens when pKa equals pH?
Question 17
How does an acidic pH affect the efficacy of local anesthetics?
Question 18
What are nociceptors and thermoreceptors and how do they function in pain transmission?
Question 19
How do local anesthetics inhibit the conduction of action potential?
Question 20
What is the mechanism of action of local anesthetics?
Question 21
What are the stages of sodium channel activation?
Question 22
What factors influence the onset of local anesthetic (LA) action?
Question 23
How does vasodilator activity affect the duration of local anesthetic action?
Question 24
What is the anatomical proximity to the injection site?
Question 25
What is differential functional blockade?
Question 26
What is the function of Type A alpha fibers?
Question 27
Which type of nerve fiber is most susceptible to local anesthetics?
Question 28
What is the conduction velocity of Type A alpha fibers?
Question 29
What is the pKa of Benzocaine?
Question 30
What percentage of the base form of Benzocaine is present at pH 7.4?
Question 31
Which local anesthetic has the longest onset time?
Question 32
What is Local Anesthetic Systemic Toxicity (LAST) and what is its incidence rate?
Question 33
What are the initial signs of systemic toxicity in LAST?
Question 34
What are the progression stages of LAST and their corresponding serum concentrations?
Question 35
What is the most common cause of Local Anesthetic Systemic Toxicity (LAST)?
Question 36
What is the importance of aspiration before every injection?
Question 37
What are some co-morbidities that can increase the risk of local anesthetic overdose?
Question 38
What are the initial management steps for Local Anesthetic Systemic Toxicity (LAST)?
Question 39
What medication can be administered by EMS to manage convulsions in cases of LAST?
Question 40
What is the lipid rescue treatment for patients exhibiting seizures or signs of CVS toxicity?
Question 41
What is an ester?
Question 42
What are the key characteristics of esters?
Question 43
What is the primary metabolite of benzocaine?
Question 44
How is benzocaine applied and what is its absorption rate?
Question 45
What is the onset of action for Procaine (Novocain®)?
Question 46
What is the duration of action for Procaine (Novocain®)?
Question 47
What is the onset of action for Chloroprocaine (Nesacaine®)?
Question 48
What is the duration of action for Chloroprocaine (Nesacaine®)?
Question 49
How is Chloroprocaine (Nesacaine®) administered?
Question 50
What is the primary use of Tetracaine (Tetracaine HCl)?
Question 51
What are amides?
Question 52
What is the general formula for an amide?
Question 53
What factors influence the absorption and distribution of local anesthetics?
Question 54
What are the key terms associated with the pharmacokinetics of local anesthetics?
Question 55
What enzymes metabolize lidocaine and mepivacaine in the liver?
Question 56
What are the active metabolites produced from lidocaine?
Question 57
How is prilocaine metabolized?
Question 58
What is the primary organ where Bupivacaine is metabolized?
Question 59
What are the main enzymes involved in the metabolism of Bupivacaine?
Question 60
What is the main organ where Articaine is metabolized?
Question 61
Which enzymes are involved in the metabolism of Articaine in the liver?
Question 62
What is the primary organ for the excretion of metabolites?
Question 63
What is the range of elimination half-life for Amide LAs?
Question 64
Which Amide LAs can be suitable for patients with renal dysfunction?
Question 65
What are the proprietary names for Articaine HCl?
Question 66
What are the proprietary names for Bupivacaine HCl?
Question 67
What are the proprietary names for Lidocaine HCl?
Question 68
What is the prototype of the amide class of local anesthetics?
Question 69
What is the absolute maximum dose of lidocaine per appointment?
Question 70
How does lidocaine compare to other local anesthetics in terms of vasodilation properties?
Question 71
What is the rapid onset of action for Mepivacaine Hydrochloride?
Question 72
What is the absolute maximum dose of Mepivacaine Hydrochloride per appointment?
Question 73
Does Mepivacaine Hydrochloride produce vasoconstriction?
Question 74
What is the onset of action for Prilocaine Hydrochloride?
Question 75
What is the absolute maximum dose of Prilocaine Hydrochloride?
Question 76
What is the duration of action for Prilocaine Hydrochloride without a vasoconstrictor?
Question 77
What is the onset time of Articaine Hydrochloride?
Question 78
What is the half-life of Articaine Hydrochloride?
Question 79
What are the two main groups in the chemical structure of Articaine Hydrochloride?
Question 80
What is the moderate onset time for Bupivacaine Hydrochloride?
Question 81
What is the absolute maximum dose of Bupivacaine Hydrochloride per appointment?
Question 82
How is Bupivacaine Hydrochloride metabolized and excreted?
Question 83
What are dental cartilages?
Question 84
What is the function of dental cartilages?
Question 85
What is the color coding system for local anesthetic cartridges as per the American Dental Association Council on Scientific Affairs?
Question 86
What is the purpose of the color-coded band on local anesthetic cartridges?
Question 87
What are the components of a dental cartridge (LA Solution)?
Question 88
What is the pH range for LA with vasoconstrictors compared to LA without vasoconstrictors?
Question 89
What is the purpose of LA buffering in dental procedures?
Question 90
What is the pKa range for local anesthetics (LA)?
Question 91
What is the concentration of the lidocaine used in the study?
Question 92
What is the ratio of epinephrine used in the study?
Question 93
When was the study published?
Question 94
What is a vasoconstrictor?
Question 95
What is the purpose of using vasoconstrictors with local anesthesia?
Question 96
What is vasodilation and how does it affect local anesthesia?
Question 97
What are vasoconstrictors and what do they do?
Question 98
What is vasoconstriction and what are its effects?
Question 99
List the effects of vasoconstriction on local anesthesia.
Question 100
What are the effects of epinephrine on the cardiovascular system?
Question 101
What is the dilution of epinephrine used as a hemostatic reagent?
Question 102
What are the CNS symptoms of epinephrine overdose?
Question 103
What is the effect of increasing the concentration of epinephrine on the duration of local anesthesia?
Question 104
What is the maximum duration of local anesthesia for Lidocaine 2% with Epinephrine 1:50,000?
Question 105
What is the maximum dose of epinephrine in local anesthesia for a healthy subject?
Question 106
What is the maximum dose of epinephrine in local anesthesia for a patient with severe cardiovascular disease (ASA III and IV)?
Question 107
What is the recommended maximum recommended dose (MRD) for epinephrine-sensitive individuals (ASA category III patients)?
Question 108
What is the American Society of Anesthesiologists' Physical Status Classification system?
Question 109
What are the five categories in the ASA Physical Status Classification system?
Question 110
What does ASA I represent in the Physical Status Classification system?
Question 111
What is the effect of epinephrine on blood glucose levels in diabetic patients who do not use their hypoglycemic medication?
Question 112
What is glycogenolysis?
Question 113
What is Levonordefrin?
Question 114
How does Levonordefrin affect the heart and central nervous system?
Question 115
What is the dilution ratio of Levonordefrin when combined with mepivacaine?
Question 116
What is the FDA risk category for lidocaine and prilocaine during pregnancy?
Question 117
Which amide local anesthetics have FDA risk category B during pregnancy?
Question 118
What is the maximum total dosage of lidocaine with vasoconstrictors?
Question 119
What is the mechanism of action of Phentolamine Mesylate (OraVerse)?
Question 120
How is Phentolamine Mesylate (OraVerse) dispensed and used?
Question 121
What are the indications for using a specific medication?
Question 122
What are the side effects of the medication?
Question 123
What is tachyphylaxis in the context of local anesthesia (LA)?
Question 124
How can tachyphylaxis be prevented?
Question 125
What are the common contraindications for local anesthetics (LA)?
Question 126
What precaution should be taken when using prilocaine with patients who have G6PD deficiency?
Question 127
What is the precaution for patients with hyperthyroidism or ASA III/IV patients regarding epinephrine concentration?
Question 128
What are GABA receptors and how do they work in the context of general anesthesia?
Question 129
What are NMDA receptors and how do they relate to general anesthesia?
Question 130
What are the four goals of general anesthesia?
Question 131
What is the first stage of general anesthesia?
Question 132
What is the second stage of general anesthesia?
Question 133
What is the maximum recommended dose (MRD) of Mepivacaine for Patient A?
Question 134
How many cartridges of Mepivacaine HCl can be administered to Patient A?
Question 135
What is local anesthesia?
Question 136
Which book is recommended for understanding the pathophysiology of drug therapy?