Opioid Schedules Quiz
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Questions and Answers

Which type of local anesthetic is metabolized by the liver and commonly ends with the suffix '-caine'?

  • Neither amides nor esters
  • Both amides and esters
  • Amides (correct)
  • Esters
  • Which amide local anesthetic has the shortest duration among all the local anesthetics?

  • Mepivacaine
  • Prilocaine
  • Lidocaine
  • Articaine (correct)
  • Which of the following is a therapeutic effect of corticosteroids?

  • Gastric ulcers
  • Fat redistribution
  • Immunosuppression (correct)
  • Acute adrenal insufficiency
  • Which of the following drugs is a competitive opioid antagonist used for emergencies?

    <p>Naloxone</p> Signup and view all the answers

    Which of the following is one of the toxic side effects of morphine?

    <p>Respiratory depression</p> Signup and view all the answers

    Which schedule is heroin classified under?

    <p>Schedule I</p> Signup and view all the answers

    What is the minimum alveolar concentration (MAC) of nitrous oxide?

    <p>105%</p> Signup and view all the answers

    Which route of administration involves intravenous, intramuscular, or subcutaneous administration?

    <p>Parenteral</p> Signup and view all the answers

    What is the only route of administration that can achieve 100% bioavailability?

    <p>Intravenous</p> Signup and view all the answers

    Which of the following statements about local anesthetics is true?

    <p>Local anesthetics block the influx of sodium ions to initiate depolarization.</p> Signup and view all the answers

    How many milligrams of lidocaine are present in a carpule (1.8mL) of a 2% lidocaine (1:100,000 epinephrine) solution?

    <p>36mg</p> Signup and view all the answers

    What is the maximum dosage of lidocaine without epinephrine for a healthy patient?

    <p>7mg/kg</p> Signup and view all the answers

    Which technique can be useful in cases of truisms?

    <p>Vazirani-Akinosi</p> Signup and view all the answers

    Which nerve block anesthetizes the soft tissue buccal to molars?

    <p>Buccal Nerve Block</p> Signup and view all the answers

    Which nerve block anesthetizes the soft tissue facial to anterior teeth?

    <p>Mental Nerve Block</p> Signup and view all the answers

    Which nerve block anesthetizes the anterior teeth and premolars of the quadrant?

    <p>Incisive Nerve Block</p> Signup and view all the answers

    Which type of antibiotic is chemically related to cephalosporins and may cause a cross-allergic reaction in patients allergic to cephalosporins?

    <p>Penicillins</p> Signup and view all the answers

    Which antibiotic is commonly used for prophylaxis of infective endocarditis in patients with prosthetic cardiac valves?

    <p>Amoxicillin</p> Signup and view all the answers

    Which antibiotic is NOT recommended for patients with liver disorders?

    <p>Tetracycline</p> Signup and view all the answers

    Which drug combination should NOT be prescribed because the drugs cancel each other out?

    <p>Bactericidal and bacteriostatic drugs</p> Signup and view all the answers

    Which of the following describes the distribution of a drug across three body water compartments?

    <p>Plasma, interstitial, and intracellular compartments</p> Signup and view all the answers

    Which phase of drug metabolism reactions involves the addition of polar side chains to the drug?

    <p>Phase II</p> Signup and view all the answers

    Which of the following is true about drug elimination?

    <p>Phase II creates larger molecules for urinary clearance</p> Signup and view all the answers

    Which of the following drug interactions can lead to an increased risk of bleeding?

    <p>NSAIDs and anticoagulants</p> Signup and view all the answers

    Study Notes

    Pharmacology of Local Anesthetics for INBDE

    • Local anesthetics can be categorized into amides and esters.
    • Amides are metabolized by the liver and commonly end with the suffix "-caine."
    • Important amide local anesthetics include lidocaine, mepivacaine, articaine, prilocaine, and bupivacaine.
    • Esters are metabolized in plasma by pseudocholinesterase enzymes and also end with the suffix "-caine."
    • Important ester local anesthetics include benzocaine, cocaine, and procaine.
    • Pharmacodynamics of local anesthetics involve blocking sodium channels in neurons to prevent depolarization and signal pain.
    • Non-ionized forms of local anesthetics can cross the neuron membrane to block sodium channels.
    • Local anesthetics are less effective in inflamed tissue due to lower pH and excess H+ ions.
    • Pharmacokinetics describes how the body responds to local anesthetics.
    • Protein binding affects the duration of action.
    • The pKa of a local anesthetic affects its onset of action.
    • The dosage of local anesthetics can be calculated based on the concentration of the solution.

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