Chemical Properties of Local Anesthetic Agents

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Questions and Answers

What is considered the prime determinant of potency of a Local Anesthetic Agent (LAA)?

  • Molecular weight
  • Charge
  • Solubility
  • Hydrophobicity (correct)

Why do hydrophobic agents have better potency in theory?

  • They are larger in size
  • They penetrate cell membranes better (correct)
  • They are better at vasoconstriction
  • They have a higher charge

What is the significance of pKa value for a Local Anesthetic Agent?

  • It represents the solubility of the LAA
  • It measures the charge of the LAA
  • It indicates the molecular weight of the LAA
  • It shows the pH at which basic and ionic forms are equal (correct)

Why do protonated charged molecules have decreased efficacy as Local Anesthetic Agents?

<p>Their charge affects cell membrane penetration negatively (B)</p> Signup and view all the answers

In what type of environment are protonated charged molecules more predominant?

<p>Acidic environment (D)</p> Signup and view all the answers

What influences the availability of Local Anesthetic Agents at the action site apart from hydrophobicity?

<p>Vasoconstriction (C)</p> Signup and view all the answers

What effect does higher dosage of local anesthetic agents have on anesthesia?

<p>Improved anesthesia and reduced latency of action (A)</p> Signup and view all the answers

Why is vasoconstrictor like adrenaline combined with local anesthetic agents?

<p>To improve the efficacy of the local anesthetic agents (A)</p> Signup and view all the answers

Which type of nerve fibers are more susceptible to local anesthetic agents?

<p>Non-myelinated fibers (A)</p> Signup and view all the answers

What principle is utilized in tumescent anesthesia regarding the dosage of local anesthetic agents?

<p>Higher dosages can be used without significant risk of systemic toxicity (A)</p> Signup and view all the answers

How does lidocaine affect blood vessels at lower concentrations?

<p>Causes vasoconstriction (D)</p> Signup and view all the answers

Why is the combination of lidocaine, tetracaine, and phenylephrine preferred over benzocaine 20%?

<p>It is more effective in producing cutaneous anesthesia (D)</p> Signup and view all the answers

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