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Local Anesthetics
A) extremely short
B) extremely long
A) epidural
B) brachial plexus
C) sciatic
D) intercostal
E) caudal
A) reduced
B) enhanced
A) tetracaine (pontocaine)
B) procaine (Novocain)
C) chloroprocaine (Nesacaine)
Question # 8 (Multiple Choice) Ester type local anesthetics are more likely
available for significant placental transfer
A) true
B) false
A) weak bases
B) may exist as a cation
C) may exist in uncharged form
D) most local anesthetics have pKa's ranging from 6.0-7.0
A) tendon
B) tracheal mucosal
A) increased effectiveness
B) reduced effectiveness
A) dosage
B) presence of epinephrine in the local anesthetic solution
C) injection site
D) chemical properties of the drug
A) liver function
B) cardiovascular status
C) extent of protein binding
D) patient age
A) lidocaine (Xylocaine)
B) tetracaine (pontocaine)
C) ropivacaine (Naropin)
D) dibucaine (Nupercainal, generic)
E) bupivacaine (Marcaine)
A) cocaine
B) tetracaine (pontocaine)
C) prilocaine (Citanest)
D) lidocaine (Xylocaine)
E) bupivacaine (Marcaine)
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Correct Answers
[HIDE]
Question # 1 (Multiple Choice) Duration of action -- subarachnoid injection of
ester-type local anesthetics
ion trapping
Question # 8 (Multiple Choice) Ester type local anesthetics are more likely
available for significant placental transfer
Answer: (B) false
amides-hepatic
(A) dosage
Local Anesthetics
A) no local irritation
B) even absorption
C) no systemic toxicity
D) higher melting point of combined drug than either lidocaine (Xylocaine) or
prilocaine (Citanest) alone
A) prilocaine (Citanest)
B) cocaine
C) mepivacaine (Carbocaine)
D) bupivacaine (Marcaine)
E) tetracaine (pontocaine)
A) direct local anesthetic action on nerve roots and spinal cord following local
anesthetic diffusion across the dura
B) diffusion of local anesthetic into paravertebral regions through the
intervertebral foramina
C) both
D) neither
A) epidural
B) spinal
A) true
B) false
A) allergic reactions
B) systemic toxicity
C) both
D) neither
A) pregnancy
B) presence of calcium channel blockers
C) arterial hypoxemia
D) acidosis
E) hypercarbia
A) epidural
B) spinal
A) lidocaine (Xylocaine)
B) ropivacaine (Naropin)
C) bupivacaine (Marcaine)
A) pregnancy-induced hypertension
B) hepatic disease
C) reduced liver blood flow
D) volatile anesthetics
A) incorrect dosage
B) accidental direct intravascular injection during peripheral or block or epidural
anesthesia
A) enhanced response
B) depressed response
C) no effect
A) arterial cannulation
B) venipuncture
C) myringotomy
D) lumbar puncture
A) hypokalemia
B) rate of injection
C) patient receiving mexiletine (Mexitil) when lidocaine (Xylocaine) is used
D) high PaCO2 (reduced local anesthetic seizure threshold)
A) lidocaine (Xylocaine)
B) tetracaine (pontocaine)
C) mepivacaine (Carbocaine)
D) bupivacaine (Marcaine)
E) dyclonine (Dyclone)
A) hypoxemia
B) hyperkalemia
C) acidosis
A) tetracaine (pontocaine)
B) lidocaine (Xylocaine)
C) cocaine
D) prilocaine (Citanest)
E) chloroprocaine (Nesacaine)
A) chloroprocaine (Nesacaine)
B) mepivacaine (Carbocaine)
C) bupivacaine (Marcaine)
D) all the above
A) CNS toxicity
B) cardiovascular toxicity
C) neurological symptoms
A) ropivacaine (Naropin)
B) bupivacaine (Marcaine)
C) mepivacaine (Carbocaine)
D) cocaine
E) tetracaine (pontocaine)
A) chloroprocaine (Nesacaine)
B) lidocaine (Xylocaine)
C) tetracaine (pontocaine)
D) cocaine
E) procaine (Novocain)
A) rash
B) laryngeal edema
C) bronchospasm
D) urticaria
E) possibly hypotension
A) lidocaine (Xylocaine)
B) bupivacaine (Marcaine)
C) dibucaine (Nupercainal, generic)
D) prilocaine (Citanest)
E) procaine (Novocain)
A) ropivacaine (Naropin)
B) bupivacaine (Marcaine)
C) dibucaine (Nupercainal, generic)
D) procaine (Novocain)
E) chloroprocaine (Nesacaine)
A) hypertension
B) arrhythmias
C) both
D) neither
Question # 33 (Multiple Choice) ropivacaine (Naropin):less cardiotoxic then
bupivacaine (Marcaine)
A) true
B) false
A) initial dose
B) injection site vascularity
C) intrinsic drug properties
D) whether or not epinephrine was used to provide local vasoconstriction
A) lidocaine (Xylocaine)
B) bupivacaine (Marcaine)
C) ropivacaine (Naropin)
D) tetracaine (pontocaine)
A) chloroprocaine (Nesacaine)
B) prilocaine (Citanest)
C) bupivacaine (Marcaine)
D) ropivacaine (Naropin)
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Correct Answers
[HIDE]
(A) pregnancy
(D) acidosis
(E) hypercarbia
(A) epinephrine
(C) dextran
Question # 10 (Multiple Choice) typically a zone of differential sympathetic
nervous system blockade
(B) venipuncture
(C) myringotomy
(D) intradermal testing for possible allergy to local anesthetics should use
preservative-free drug
(A) hypoxemia
(B) hyperkalemia
(C) acidosis
(D) cocaine
(C) bronchospasm
(D) urticaria
pure S-enantiomer