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m.c.q.anaesthesia

m.c.q.anaesthesia

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Published by: ahmed_anaes1234 on Jun 24, 2010
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06/24/2013

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7.1 Which of the following statements are correct?
1
A
Flumazenil is a benzodiazepine agonist1
B
Flumazenil is a benzodiazepine antagonist1
C
Benzodiazepines are commonly used anxiolytic drugs1
D
Benzodiazepines may be used in the treatment of epilepsy1
E
Carbamazepine is a benzodiazepine
7.2 Which of the following statements are correct?
1
A
Lidocaine 0.2% with 1:80 000 adrenaline (epinephrine) is a commonlyused dental local anaesthetic1
B
Lidocaine has a longer lasting anaesthetic effect than bupivacaine1
C
Plain lidocaine provides more pronounced dental anaesthesia thanlidocaine with adrenaline1
D
Prilocaine 3% with 0.03 IU/ml felypressin is a commonly used dentallocal anaesthetic1
E
Lidocaine must be stored at 4 °C
7.3 Which of the following statements are correct?
1
A
A 2.2 ml cartridge of 2% lidocaine and 1:80 000 adrenaline contains 4.4mg of lidocaine1
B
Lidocaine and prilocaine contain an ester group1
C
Esters are less likely to cause allergic reactions than amides1
D
Amide local anaesthetics are metabolised by the liver1
E
Prilocaine has a much higher toxicity than lidocaineTHERAPEUTICS133
7.1 BCD
Benzodiazepines are central nervous system depressants and act assedatives,hypnotics, anxiolytics and anti-convulsants. Flumazenil is a benzodiazepineantagonist, commonly used to reverse the action of midazolam. Althoughhaving aname that sounds similar to benzodiazepine, carbamazepine is not abenzodiazepine.
7.2 D
Lidocaine 2% with 1:80 000 adrenaline is a commonly used dental localanaesthetic.It has a more pronounced effect than lidocaine alone as adrenaline causesvasoconstriction, which prevents the solution dispersing away from the siteof action.Bupivacaine is a longer lasting local anaesthetic than lidocaine.
7.3 D
A 2% solution will contain 20 mg/ml, so a 2.2 ml cartridge contains 44 mg of lidocaine. Lidocaine and prilocaine contain an amide group, and as such arelesslikely to cause an allergic reaction than an ester-containing local anaesthetic.Lidocaine has higher toxicity than prilocaine.
 
134MCQS FOR DENTISTRY
7.4 Which of the following drugs interact with warfarin and mayincreasea patient¶s international normalised ratio (INR)?
1
A
Fluconazole1
B
Vitamin K1
C
Metronidazole1
D
Erythromycin1
E
Oral contraceptives
7.5 Non-steroidal anti-inflammatory drugs (NSAIDs) are bestavoided in:
1
A
Patients with a history of gastric bleeding1
B
Asthmatic patients1
C
Patients who are hypersensitive to aspirin1
D
Children under the age of 6 years due to the possibility of Reye¶ssyndrome1
E
Patients on paracetamol
7.6 Penicillins:
1
A
Are the antibiotic of choice for anaerobic infections1
B
Interfere with bacterial cell wall synthesis1
C
Are bacteriocidal1
D
Are antagonistic to tetracycline1
E
Rarely cause allergic reactionsTHERAPEUTICS135
7.4 ACD
Fluconazole, erythromycin and metronidazole may interact with warfarin andpotentiate its action. The oral contraceptive pill and vitamin K may interactwithwarfarin, but they reduce its effect hence lowering the INR.
7.5 ABCD
NSAIDs should be avoided in any patient with a history of hypersensitivity toaspirinor any other NSAID. They should also be avoided in patients withgastric/duodenalulceration, and if it is necessary to prescribe them, then they should begiven inconjunction with a selective inhibitor of cyclo-oxygenase±2 orgastroprotectivetreatment. Reye¶s syndrome can be caused by patients under the age of 16yearstaking aspirin and hence it should be avoided in children. Patients onparacetamolcan take NSAIDs as well as they have different modes of action and do notinteract.
 
7.6 BCD
The penicillins all act by interfering with bacterial cell wall synthesis, byinhibitingcross-linking of the mucopeptides in the cell wall and as such arebacteriocidal.Bacteria are attacked when cells are dividing and so in theory antibiotics thatarebacteriostatic would decrease the efficacy of bacteriocidal drugs. However,thisdoesn¶t often cause a problem but tetracycline and penicillin are antagonisticandshould not be used at the same time. Metronidazole is the antibiotic of choice foranaerobic infections.136MCQS FOR DENTISTRY
7.7 What are the appropriate drugs and dosages for use in thefollowingemergencies?
1
A
In suspected anaphylaxis ± 1:1000 adrenaline 0.5 ml intravenously1
B
In suspected anaphylaxis ± chlorphenamine 10 mg in 1 mlintramuscularly1
C
In a suspected angina attack ± glyceryl trinitrate intramuscularly1
D
In a suspected diabetic hypoglycaemic collapse where the patient isunconscious ± glucagon 10 mg intramuscularly1
E
In a suspected diabetic hypoglycaemic collapse where the patient isunconscious ± 50 ml of 20% glucose intravenously
7.8 Paracetamol is:
1
A
Anti-pyretic1
B
Anti-inflammatory1
C
Locally acting1
D
Hepatotoxic in overdose1
E
Taken in doses of 500 mg ±1 g four times a day
7.9 Which of the following drugs and doses are commonly used inthetreatment of atypical facial pain?
1
A
Amitriptyline 10±25 mg daily1
B
Nortriptyline 10±25 mg daily1
C
Protirelin 10±25 mg daily1
D
Fluoxetine 20 mg daily1
E
Flumazenil 20 mg dailyTHERAPEUTICS137
7.7 BE
In suspected anaphylaxis 0.5 ml of 1:1000 adrenaline is givenintramuscularly as is

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