34 Questions
Which stage of general anesthesia is characterized by the patient being awake?
Stage I: Analgesia
Which stage of general anesthesia is considered undesirable?
Stage II: Delirium
Which stage of general anesthesia is characterized by the patient not responding to surgical stimuli?
Stage III: Surgical Anesthesia
Which stage of general anesthesia is characterized by the onset of respiratory arrest?
Stage IV: Medullary Paralysis
Which of the following is NOT a factor used in determining the stages of general anesthesia?
Heart rate
Which of the following is the correct order of CNS depression during general anesthesia?
Cerebral cortex, basal ganglia, cerebellum, spinal cord, medulla
What is the main indication for sedation in pediatric patients?
Extensive and complicated treatment
Which type of sedation involves the patient being unconscious and not responding to commands?
Deep Sedation
What is the primary difference between Moderate (Conscious) Sedation and Deep Sedation?
Presence of protective reflexes
Which patient group is at an increased risk of adverse drug reactions during sedation?
Geriatric Patients
Which method of sedation relies on doctor-patient communication and trust?
Iatrosedation
What is the primary difference between Minimal Sedation and Deep Sedation?
Depressed level of consciousness
Which route of administration bypasses the gastrointestinal (GI) tract?
Parenteral
What is the maximum initial dosing for a single enteral drug in minimal sedation?
The maximum recommended dose (MRD) for unmonitored home use
What is the primary concern with administering preoperative sedatives to children aged 12 and under?
Risk of unobserved respiratory obstruction during transport
In moderate sedation, which of the following statements is true?
The patient responds purposefully to verbal commands
What is the primary concern with deep sedation?
All of the above
Which statement about repeated dosing in moderate sedation is correct?
Repeated dosing should only be given after full drug effects are evident
What is the primary purpose of titration when administering sedative drugs?
To achieve the desired level of sedation gradually
Which ASA classification is assigned to a patient with well-controlled type 1 diabetes mellitus?
ASA III
What is the primary concern with administering preoperative sedatives to children aged 12 and under?
Increased risk of paradoxical agitation
Which of the following conditions is classified as ASA V?
End-stage cardiac disease
Which of the following is NOT a component of a comprehensive preoperative evaluation?
Intraoperative monitoring plan
What is the primary difference between general anesthesia and pharmacosedation?
General anesthesia involves loss of consciousness and arousability
During which stage of general anesthesia do patients respond to commands and have a decreased response to noxious stimuli?
Stage I: Analgesia
What is a characteristic of Stage II of general anesthesia that makes it undesirable?
Nystagmus is present
Which stage of general anesthesia is characterized by the patient being unconscious and not responding to surgical stimuli?
Stage III: Surgical Anesthesia
What is the primary consequence of Stage IV of general anesthesia?
Onset of respiratory arrest
Which stage of general anesthesia involves the onset of CNS depression, leading to diminished intellect and memory?
Stage I: Analgesia
Why is monitoring blood pressure important during sedation in the dental office?
To detect changes in perfusion and ensure patient safety
What value range for heart rate should be evaluated before treatment during sedation?
Below 60 or above 110 beats per minute
Why is monitoring oxygen saturation of arterial blood mandatory for IV sedation and general anesthesia?
To detect hypoxemia before EKG changes occur
What should be included in the written record of sedation administration?
Patient biographical data, medications/fluids administered, and vital signs
Why is postoperative monitoring essential following sedation in the dental office?
To detect any adverse reactions and ensure a smooth recovery
Test your knowledge of the stages of general anesthesia and CNS depressants used for pain and anxiety control. Learn about the criteria for anesthesia staging based on various physiological responses.
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