General Anesthesia Dr. Hong Someth (part1)
1. Anxiolytics are used to treat:?
σ¾ Neurosis
σ½ Psychosis
σ½ Narcolepsy
σ½ Bipolar disorders
2. All are the contraindications of use of Midazolam, except:
σ½ Patient with shock
σ½ Patient with coma
σ½ Patient with acute glaucoma
σ¾ Patient with epilepsy
3. All are drugs contraindicated with Midazolam, except:
σ½ Nelfinavir
σ½ Ritonavir
σ¾ Erythromycin
σ½ Indinavir
4. Inadequate or excessive dosage or improper administration may result in all, except:
σ½ Cerebral hypoxia
σ½ Agitation
σ½ Hyperactivity
σ¾ Voluntary movements
5. All are symptoms of overdose of Midazolam, except:
σ½ Loss of coordination
σ½ Drowsiness
σ½ Confusion
σ¾ Unable to speak
6. Anxiolytic agents should:?
σ½ Relieve pain
σ¾ Reduce anxiety and exert a calming effect
σ½ Improve mood and behavior in patient with psychotic symptoms
σ½ Produce drowsiness, encourage the onset and maintenance of a state of sleep
7. Anxiolytics are also useful for:?
σ½ Treatment of epilepsy and seizures
σ½ Insomnia
σ½ Muscle relaxation in specific neuromuscular disorders
σ¾ All are corrected
8. Indicate the agents of choice in the treatment of most anxiety states:?
σ½ Barbiturates
σ¾ Benzodiazepines
σ½ Lithium salts
σ½ Phenothiazines
9. The choice of benzodiazepines for anxiety is based on:?
σ½ A relatively high therapeutic index
σ½ Availability of flumazenil for treatment of overdose
σ½ A low risk of physiologic dependence
σ¾ All are corrected
10. Which of the following anxiolitics is a benzodiazepine derivative:?
σ½ Buspirone
σ¾ Clordiazepoxide
σ½ Meprobamate
σ½ Chloral hydrate
11. Indicate the benzodiazepine, which has the shortest elimination half-life:?
σ½ Quazepam
σ¾ Triazolam
σ½ Diazepam
σ½ Clorazepate
12. Which of the following benzodiazepines has the shortest duration of action?
σ¾ Triazolam
σ½ Clorazepate
σ½ Prazepam
σ½ Clordiazepoxide
13. Which of the following benzodiazepines is less likely to cause cumulative and residual effects with multiple doses?
σ½ Clorazepate
σ½ Quazepam
σ¾ Lorazepam
σ½ Prazepam
14. Anxiolytic dosage reduction is recommended:?
σ½ In patients taking cimetidine
σ½ In patients with hepatic dysfunction
σ½ In elderly patients
σ¾ All are corrected
15. What are the requirements for the provision of safe and effective conscious sedation?
σ½ Regulation
σ½ Education of the profession
σ½ Education of the patients
σ¾ All of the above
16. Which one of the following sentences is NOT the Principles of Good Sedation Practice?
σ½ Consider the range of non-pharmacological and pharmacological methods of anxiety management
σ½ It is essential that conscious sedation is provided to the highest possible standards, respecting the rights of patients as individuals.
σ¾ There is no need any staff training about sedation and no need monitoring equipment
σ½ The provision of safe and effective conscious sedation requires both regulation and, more importantly, education of the profession and patients.
17. Which of the following statement is NOT the dental fear?
σ½ Needle/syringe
σ¾ Aggressive assistants
σ½ Extraction
σ½ Drilling
18. Which of the following statement about pain and anxiety is FALSE?
σ½ Pain is a source of anxiety, anxiety is a factor that increases pain, & increased pain incites further anxiety
σ½ When anxiety is reduced through psychosedation, the patient’s subjective experience of pain declines significantly
σ¾ Pain and anxiety is not inter-related
σ½ Anxiety and pain can be reduced through non-pharmacological and pharmacological methods
19. Which of the following statement is TRUE?
σ¾ The dentist must exhibit compassion , reassurance, and understanding, and show respect for the phobia and patient
σ½ The dentist may ignore the patient's reaction to rush the treatment
σ½ Ignoring the presence of dental fears provokes many positive responses from the patient
σ½ All are corrects
20. What are the symptoms and signs of anxiety?
σ½ Tense posture, show excessive vigilance
σ½ Move the hands and feet restlessly
σ½ Speak with a strained
σ¾ All of the above
21. Which of the following statement is NOT the method of anxiety management?
σ½ Communication skills
σ½ Distraction Techniques
σ½ Breathing & Relaxation techniques
σ¾ Taking anti-anxiety drug a week before the treatment
22. How do you recognize a patient with anxiety and fear?
σ½ The patient looks alert & on guard at all time, arms & legs are tensed
σ½ The patient clutches the arm rest of the dental chair tightly so that their knuckles turn white
σ½ Profuse sweating of palms & forehead, quick actions, answer to questions too quickly
σ¾ All of the above
23. Which of the following statement is NOT the sign of severe anxiety?
σ½ Increased blood pressure and heart rate
σ½ Trembling
σ¾ Constriction of pupil
σ½ Excessive sweating
24. Which medication is used for premedication for anxious patients a night before appointment?
σ¾ Diazepam
σ½ Tegretol
σ½ Tranexamic acid
σ½ Tramadol
25. Which medication is used for premedication for anxious patients immediately before appointment?
σ½ Codalgin
σ¾ Midazolam
σ½ Dexamethasone
σ½ Dilantin
26. Which of the following statement is NOT the stress reduction protocols?
σ½ Minimize office waiting time
σ½ Psychosedation during therapy
σ¾ Long appointment time
σ½ Adequate pain control during therapy
27. Why do we need to spend a few moment with patients describing the planned procedure before starting the treatment?
σ½ Because it is part of the code of ethic
σ¾ Because it can help reduce anxiety and stress for the patients
σ½ Because it can help reduce pain
σ½ All of the above
28. Which phrases that you should use before giving local anesthetic injection?
σ¾ I'm going to freeze your teeth
σ½ I’m going to give a shot on your gums
σ½ I'm going to inject local anesthetic on your gums
σ½ All of the above
29. How to reassure the patients during dental treatments?
σ½ By repeating: "You’ll be alright, no worry"
σ½ By telling how painful it is
σ½ By saying: "when you want me to stop, please raise your hand. I’ll stop immediately"
σ¾ By repeating: "You’ll be alright, no worry" and By saying: "when you want me to stop, please raise your hand. I’ll stop immediately"
30. What is the calm colour which provides a warm, cheerful environment in the dental office?
σ½ Yellow
σ½ Green
σ¾ Earth colour
σ½ Dark red
31. Which of the following statement is TRUE?
σ½ Research has shown that dentists who wear white coat does not affect patients' emotion
σ¾ Research has shown that dental office design and hospitality design unite to create an ambience that reduces fear and anxiety
σ½ Study has shown that music does not help patients during dental treatment
σ½ Dentists are not supposed to talk to the patients during dental treatment
32. Apart from dentists, who else can help to establish line of communication with the patients?
σ½ Receptionist
σ½ Dental assistants
σ½ Dental personnel/staff
σ¾ All of the above
33. What are the current advances in anxiety management?
σ½ Music intervention
σ½ Breathing techniques & relaxation techniques
σ½ Imagery and distraction technique
σ¾ All of the above
34. What is the reason for patient to select a dentist?
σ½ A dentist who has got high degrees
σ¾ The dentist who cares about his/her patients
σ½ The dentist who has got nice clinic
σ½ The dentist who talks a lot
35. What are the levels of sedation?
σ½ Mild, moderate, and severe levels
σ½ Shallow, medium, and high levels
σ½ Mild, intermediate, and profound levels
σ¾ Minimum, moderate, dissociate, and deep levels
36. Which sedation level that requires assistance in maintaining a patent airway?
σ½ Minimum level
σ½ Moderate level
σ½ Dissociated level
σ¾ Deep level
37. Which one of the following statements in NOT the contraindication to conscious sedation?
σ½ Chronic obstructive pulmonary disease
σ¾ Gag reflex
σ½ Psychosis
σ½ Acute narrow-angle glaucoma
38. How much Midazolam 5mg/1ml solution mixed with Paracetamol syrup or sweet drink for 20kg child?
σ½ 0.5 ml
σ½ 1 ml
σ½ 1.5 ml
σ¾ 2 ml
39. What is the half-life of Midazolam injectable used as oral solution in children?
σ½ 15 minutes
σ½ 20 minutes
σ¾ 30 minutes
σ½ 1 hour
40. Which one of the following statement is NOT the suggested use of IM route?
σ½ Disruptive children
σ¾ Patients with severe asthma
σ½ Patients with gag reflex
σ½ Patients with TMJ dysfunction
41. Which muscle that IM sedation is injected for children age 1 to 6 years old?
σ¾ Vastus lateralis (thigh)
σ½ Deltoid (upper arm)
σ½ Gluteal area (lower back)
σ½ Ventrogluteal area (side of the upper thigh)
42. Which muscle that IM sedation is preferred for injecting for adults?
σ½ Vastus lateralis (thigh)
σ½ Ventrogluteal area (side of the upper thigh)
σ½ Gluteal area (lower back)
σ¾ Deltoid (upper arm)
43. What is the Midazolam IM dosage for adults?
σ½ 0.1mg - 0.5mg/kg
σ½ 0.6mg - 0.9mg/kg
σ¾ 0.07 mg – 0.08mg/kg
σ½ 1.5mg - 4.5mg/kg
44. 30. How many milliliters of Midazolam for IM injection for a 30kg child?
σ½ 0.6ml
σ½ 0.9ml
σ½ 1.5ml
σ¾ 2ml
45. Which one of the following statement is NOT the determinants of IM dose of Benzodiazepines?
σ¾ Gender
σ½ Body weight
σ½ Degree of anxiety
σ½ Level of desired sedation
46. 32. Why children have got greater risk of airway obstruction than adults?
σ½ Anatomic and physiologic differences in children
σ½ Differences in basal metabolic and respiratory rate and cardiovascular parameters are different
σ½ Reduced tolerance to respiratory obstruction
σ¾ All of the above
47. How many hours do the patients need to fast or not eating solid foods before IV sedation?
σ½ 2 hours
σ½ 3 hours
σ½ 4 hours
σ¾ 6 hours
48. 34. How many hours do the patients need to fast or not drinking clear liquids before IV sedation?
σ½ 1 hour
σ¾ 2 hours
σ½ 3 hours
σ½ 4 hours
49. Why can't the patients eat and drink (fasting) several hours before sedation?
σ½ Because aspiration of foods may even lead to aspiration pneumonia
σ½ Because the patient will be weighed for the sedative dosage
σ½ To prevent emesis during / after a sedative procedure that can result in aspiration of stomach contents leading to laryngospasm or severe airway obstruction
σ¾ Because aspiration of foods may even lead to aspiration pneumonia and To prevent emesis during / after a sedative procedure that can result in aspiration of stomach contents leading to laryngospasm or severe airway obstruction
50. What is the benefit of IV sedation for hypertensive patients?
σ½ It helps to prevent stroke
σ¾ It helps minimize risk of adverse cardiovascular and cerebrovascular events during treatment
σ½ It decreases blood pressure and oxygen saturation
σ½ It helps to prevent dizziness
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