Logothetis Test Bank

Local Anesthesia for the Dental Hygienist 2nd Edition Logothetis Test Bank Chapter 01: Local Anesthesia in Dental Hygiene Practice: An Introduction

Logothetis: Local Anesthesia for the Dental Hygienist, 2nd Edition

MATCHING

Match the following word or phrase with the correct drug category.

• ester (E)
• amide (A)
• inhalation drug (I)
• Ether
• Lidocaine
• Prilocaine
• Procaine
• Nitrous oxide
• Halothane
• Mepivacaine
• Novocaine
• Causes more allergic reactions
• Patients experience fewer allergic reactions

• ANS: C DIF: Recall REF: 2 OBJ: 1

TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• ANS: B DIF: Re

N call R I G RE B

F:

.C 2

M OBJ: 1

TOP: NBDHE, 3.0 Planning andUMaSnagNing DTental HOygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• ANS: B DIF: Recall REF: 2|3 OBJ: 1

TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• ANS: A DIF: Recall REF: 2|3 OBJ: 1

TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• ANS: C DIF: Recall REF: 2|4|5|6 OBJ: 1

TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• ANS: C DIF: Recall REF: 2|3 OBJ: 1

TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• ANS: B DIF: Recall REF: 2|3 OBJ: 1

TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• ANS: A DIF: Recall REF: 2|3 OBJ: 1

TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• ANS: A DIF: Recall REF: 2|3 OBJ: 1

TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• ANS: B DIF: Recall REF: 2|3 OBJ: 1

TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain 1 / 4

Control| NBDHE, 6.0 Pharmacology

MULTIPLE CHOICE

• The first objections to the use of inhalation sedation included which of the following?
• It was viewed as a religious offense
• It was viewed as an unethical practice
• It was viewed as a retardant to the health process
• All options listed

ANS: D

All options listed. Objections to operating on an unconscious patient included all options listed. Some viewed it as offensive to their religious beliefs; some viewed it as an ethical matter; and some objected because they believed that the relief from pain might actually retard the health process.

DIF: Recall REF: 2 OBJ: 1 TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• Who was the first dentist to use “laughing gas” for dental procedures?
• William Clarke
• Horace Wells
• Henry Beecher
• Nils Lofgren

ANS: B

Horace Wells was the first deN nUtisR t StoI uNseG “TlaB ug.hC inOg M gas” for dental procedures. William Clark is known for his work with ether, Henry Beecher for his observations regarding clinical trials, and Nils Lofgren for the synthesis of lidocaine.

DIF: Recall REF: 2| 3 OBJ: 1 TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• A highly effective analgesic and antipyretic compound, introduced in 1899 and still used

today, is commonly referred to as what?

• Aspirin
• Alcohol
• Novocaine
• Opium

ANS: A

A new compound, introduced as aspirin in 1899, proved to be remarkably safe and well tolerated by patients. It is a highly effective analgesic and antipyretic. Alcohol and opium were universally popular narcotics used for pain control as was Novocaine (procaine), a local anesthetic.

DIF: Recall REF: 2 OBJ: 1 TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology 2 / 4

U S N T O

• Early methods of pain control included which of the following?
• Use of opium
• Scaring off of demons
• Roots, berries, and seeds
• All options listed

ANS: D

All options listed. Early methods of pain control included all options listed: the use of opium, religious techniques of scaring off demons; and the use of plants and herbs for treating pain.

DIF: Recall REF: 2 OBJ: 1 TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control| NBDHE, 6.0 Pharmacology

• Pain threshold is best described as which of the following?
• The physical and emotional response to a particular situation.
• The relationship between human need fulfillment and human behavior.
• A neurologic experience of pain.
• The point at which a sensation starts to be painful and discomfort results.

ANS: D

Pain threshold is best described as the point at which a sensation starts to be painful and discomfort results. The physical and emotional response to a particular situation describes stress; the relationship between human need fulfillment and human behavior is known as the Human Needs Paradigm; and a neurologic experience of pain describes pain perception.

DIF: Recall REF: 6 OBJ: 4

TOP: NBDHE, 3.0 Planning aN

nd MR anaI gingG DeB nt.alC HygM iene Care| NBDHE, 3.4 Anxiety and Pain Control

• The neurologic experience of pain is referred to as what?
• Pain control
• Pain threshold
• Pain perception
• Pain reaction

ANS: C

Pain perception is the neurologic experience of pain. It differs little between individuals. Pain control refers to the mechanism to alleviate pain; pain threshold is the point at which a sensation starts to be painful and discomfort results; and pain reaction is the personal interpretation of and response to the pain message and is highly variable between individuals.

DIF: Recall REF: 6 OBJ: 4 TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control

• An unpleasant sensory and emotional experience is called what?
• Pain
• Pain control
• Pain threshold
• Pain reaction 3 / 4

U S N T O

ANS: A

Pain is an unpleasant sensory and emotional experience. Pain control refers to the mechanism to alleviate pain; pain threshold is the point at which a sensation starts to be painful and discomfort results; and pain reaction is the personal interpretation of and response to the pain message.

DIF: Recall REF: 2 OBJ: 4 TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control

• The personal interpretation and response to the pain message is called what?
• Pain
• Pain control
• Pain threshold
• Pain reaction

ANS: D

The personal interpretation and response to the pain message is called one’s pain reaction. It is highly variable among individuals. Pain is an unpleasant sensory and emotional experience; pain control refers to the mechanism to alleviate pain; and pain threshold is the point at which a sensation starts to be painful and discomfort results.

DIF: Recall REF: 6 OBJ: 4 TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control

• The creation of the loss of sensation in a circumscribed area, without loss of consciousness,

best defines which of the follNowiRng?I G B.C M

• Inhalation anesthesia
• Local anesthesia
• General anesthesia
• All options listed

ANS: B

Local anesthesia creates a numbing feeling or the loss of sensation in a circumscribed area, without loss of consciousness. Inhalation and general anesthesia involve loss of consciousness.

DIF: Recall REF: 2|3 OBJ: 4 TOP: NBDHE, 3.0 Planning and Managing Dental Hygiene Care| NBDHE, 3.4 Anxiety and Pain Control

• The newest amide to arrive on the dental market in the United States is which one of the

following?

• Articaine
• Mepivacaine
• Lidocaine
• Bupivacaine

ANS: A

The newest amide local anesthetic, introduced to the dental field in 2000, is articaine.Mepivacaine and bupivacaine were introduced in 1957, and lidocaine was introduced in 1943.

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