Understanding Topical Anesthetics

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Questions and Answers

What is the primary effect of local anesthetics on nerve impulses?

  • They increase the conduction of nerve impulses along nerve fibres
  • They amplify the strength of nerve impulses along nerve fibres
  • They change the direction of nerve impulses along nerve fibres
  • They block the conduction of nerve impulses along nerve fibres (correct)

Which of the following is NOT a property of an ideal topical anesthetic?

  • Effective for a reasonable duration
  • Non-toxic
  • Quick in onset
  • Interacts with other drugs (correct)

What is the primary advantage of using anesthetics in ophthalmology and optometric procedures?

  • They reduce the risk of hypersensitivity reactions
  • They increase the accuracy of tonometry
  • They allow for more efficient procedures (correct)
  • They reduce the cost of the procedure

What is a potential disadvantage of using anesthetics in ophthalmology procedures?

<p>They may cause hypersensitivity reactions (D)</p> Signup and view all the answers

Which of the following is an indication for the use of anesthetics?

<p>Contact lens fitting (B)</p> Signup and view all the answers

What is the order of blockade of nerve fibres by local anesthetics?

<p>Pain, touch, temperature, motor (D)</p> Signup and view all the answers

What is the classification of cocaine in terms of anesthetic type?

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

What is the probable cause of delayed healing in cases of trauma to corneal epithelium in patients using mydriatics?

<p>Action of preservative in multiuse bottles (A)</p> Signup and view all the answers

What is a major disadvantage of using cocaine as an anesthetic?

<p>Its high toxicity and potential for dependence (C)</p> Signup and view all the answers

What is the result of the influx of sodium ions in nerve transmission?

<p>Depolarization, causing a positive charge (D)</p> Signup and view all the answers

What is a characteristic of amide-type anesthetics?

<p>High lipid solubility and long duration of action (A)</p> Signup and view all the answers

What is the purpose of using proxymetacaine hydrochloride in optometry?

<p>To reduce the discomfort of anesthesia administration (D)</p> Signup and view all the answers

Which type of nerve fibers are more sensitive to blockade by local anaesthetics?

<p>Small nerve fibers (A)</p> Signup and view all the answers

What is the legal status of cocaine for optometrists in practice?

<p>It is not legally available for use (D)</p> Signup and view all the answers

What is the significance of protein binding in local anesthetics?

<p>It affects the duration of action of the anesthetic (D)</p> Signup and view all the answers

What is the primary difference between ester- and amide-type anesthetics?

<p>Their chemical structure (D)</p> Signup and view all the answers

What is the mechanism by which local anaesthetics cause a return to resting potential?

<p>Influx of potassium ions (C)</p> Signup and view all the answers

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