48 Questions
What is the composition of Eutectic Mixture of Local Anesthetics (EMLA)?
5% cream containing 25 mg/g lidocaine and 25 mg/g prilocaine
When should EMLA be applied to the skin?
1 hour prior to the anticipated procedure
In which patients is EMLA contraindicated?
Patients under 6 months of age
What is the purpose of Onpharma?
To provide rapid onset of analgesia and less injection pain
When is Onpharma added to Lidocaine with Epinephrine?
Immediately prior to administration
Who is not recommended to use OraVerse (phentolamine mesylate)?
Children less than 3 years of age or weighing less than 15 Kg
What is the maximum dose of 0.5% ropivacaine for nerve blocks and infiltration?
200 mg, or about 3 mg/kg
Which enzyme subcategory is responsible for the metabolism of ropivacaine?
Cytochrome oxidase liver enzymes subcategory 1A2
What is a potential advantage of ropivacaine over bupivacaine for dental procedures?
Lower cardiovascular toxicity
What is the limiting factor for the introduction of ropivacaine as a popular choice for routine dental local anesthesia administration?
Not available in dental cartridges
What is the maximum dose of EXPAREL for single dose administration?
266 mg
At what age can EXPAREL be used to produce postsurgical anesthesia?
6 years
What is the maximum recommended dose of EXPAREL based on patient's weight?
4mg/kg
What gauge needle is recommended for injecting EXPAREL into soft tissue sites?
25 gauge needle
What is the recommended waiting time after administrating other non-bupivacaine based local anesthetics before administering EXPAREL into the same site?
20 minutes
What are the most common adverse reactions associated with EXPAREL administration?
Nausea, constipation, and vomiting
How should EXPAREL be dosed for a patient undergoing extraction of 4 impacted third molars?
2-4 ml for maxillary and 6-8 ml for mandibula
What is the purpose of Kovanaze?
To provide pulpal anesthesia from 1st premolar to 1st premolar
What is the composition of Kovanaze?
Tetracaine and Oxymetazoline
What did patients undergoing ENT procedures note when using Tetracaine?
Their upper teeth felt 'numb'
What is the purpose of evaluating the latest PT/INR for a patient on Coumadin?
To evaluate the extrinsic pathway and common pathway of coagulation
What is the significance of an international normalization ratio (INR) <3.0 while a patient is on Coumadin?
It is usually safe to extract 1 to 2 teeth
What is the primary concern with a patient with liver problems before the dental extraction procedure?
a and b
What potential issue might arise with the metabolism of medications in a patient with an unspecified 'liver problem'?
Altered drug effectiveness due to liver metabolism
What information should be included under 'Disp' when writing a prescription for medication?
Number of tablets, capsules, to be dispensed
What does 'Sig' refer to in prescription writing?
Direction on how the drug is to be taken
What information is required to be included in a prescription?
a and c
What does 'hs' stand for in prescription writing?
At bedtime
What does 'prn' indicate in medical terminology?
As needed
What does 'bid' signify in the context of medication instructions?
Twice a day
Which medication is recommended for mild post-operative dental pain?
Aspirin and ibuprofen
For which type of procedures may the use of an opioid be required for post-operative pain relief?
Surgical procedures
What information is important to consider when writing a prescription for post-operative pain relief?
Duration of pain relief needed
What is the maximum daily dose of Motrin recommended in a 24 hour period?
3.2 grams
Which adverse reaction is associated with Motrin usage in the cardiovascular system?
Fluid retention
What is a potential drug interaction with Motrin that could increase the risk of adverse gastrointestinal reactions?
Aspirin
What is the recommended APAP dosage for adults?
325 to 650 mg P.O. every 4 to 6 hours
How does acetaminophen (APAP) relieve fever?
By central action in the hypothalamic heat regulating center
What is the mechanism of action of acetaminophen (APAP) as an analgesic?
Inhibiting prostaglandin synthesis in the CNS
What is the reported daily dose of acetaminophen (APAP) that may induce hepatic toxicity if exceeded?
4000 mg
What is not the comparative oral dosing equivalent of 5mg of oxycodone?
15 mg hydrocodone
What is the purpose of including a nonopioid as a component of the formulation in orally administrated analgesics?
To provide added analgesia
Which of the following medications contains acetaminophen and Oxycodone?
Percocet
What is the active ingredient in Tylenol #3?
Codeine
Which medication combines Tylenol (acetaminophen) with Hydrocodone?
Norco
How does amoxicillin act against bacteria?
It inhibits cell-wall synthesis during bacterial multiplication
How do bacteria resist amoxicillin?
By producing penicillinases
What is the recommended adult dosage of amoxicillin?
250 – 500mg P.O. every 8 hours
Test your knowledge about Eutectic Mixture of Local Anesthetics (EMLA) with this quiz. Explore the application, components, and contraindications of EMLA, a topical anesthetic cream commonly used in medical procedures. Ideal for healthcare professionals and students seeking to enhance their understanding of pediatric anesthesia and pain management.
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