Sedation-Related

Self-Study Examination

Instructions: After studying the text answer the following true/false or multiple choice questions.  Remember, there's only one answer to each question.

1. What keeps patients away from the dental office?

a) pain
b) fear and anxiety about pain

2. Which of the following techniques requires the most amount of training, experience, and skill on the part of a dentist?

a) conscious sedation
b) deep sedation
c) general anesthesia

3. During conscious sedation the patient is able to respond appropriately to verbal command.

a) True
b) False

4. General anesthesia is contraindicated in the following class of adult patients:

a) ASA class I or II
b) ASA class III or IV

5. Children with severe, compromising medical conditions should receive general anesthesia only in a hospital setting.

a) True
b) False

6. How many individuals should be involved during administration of deep sedation or general anesthesia in the dental office?

a) 1
b) 2
c) 3
d) 4

7. What is the minimum number of people involved for conscious sedation in the dental office?

a) 1
b) 2
c) 3

8. Oral sedation requires no specialized training beyond the doctoral level.

a) True
b) False

9. Which of the following is not an advantage of oral sedation?

a) ease of administration
b) low cost
c) ability to titrate dose based on patient response
d) patient acceptability

10. What is the most widely used class of drugs for oral sedation?

a) Antihistamines
b) barbiturates
c) benzodiazepines

11. Nitrous oxide is most efficacious for the moderately to severely anxious patient.

a) True
b) False

12. Which of the following is not True of nitrous oxide sedation?

a) ease of use
b) rapid onset of action
c) ability to titrate to effect
d) requires extensive training

13. Patient recovery is normally complete within ______ of discontinuing the nitrous oxide.

a) 2-3 minutes
b) 15 minutes
c) 1 hour
d) 2-3 hours

14. Nitrous oxide sedation can safely be given to pregnant patients.

a) True
b) False

15. Which form of sedation has the highest efficacy?

a) oral
b) inhalation
c) IV sedation

16. For IV sedation which drug is used more widely for its superior properties

a) midazolam
b) diazepam

17. For which form of sedation intraoperative monitoring is a necessity?

a) oral
b) inhalational
c) parenteral

18. Which is the reversal agent for the benzodiazepines?

a) flumazenil (Romazicon)
b) naloxone (Narcan)

19. Generally, unconscious patients should have their head extended (tipped back). Which patients, however, should not be placed on their back?

a) children
b) women in late pregnancy
c) patients with lower-back problems
d) elderly patients

20. The patient feels sudden pressing anterior chest pain. This is a sign of

a) angina pectoris.
b) syncope.
c) acute myocardial infarction.
d) stroke.

21. Hyperventilation is generally self-limiting once the treatment is stopped and the patient is allowed to rest on his or her back.

a) True
b) False

22. Which of the following metabolic emergencies a dentist is more likely to encounter in practice?

a) hypoglycemic crisis
b) hyperglycemic shock

23. Which of the following crises a diabetic patient is likely to experience if the patient has missed a meal?

a) Hypoglycemia
b) hyperglycemia

24. What would be your response if a diabetic patient appears vague and is about to lose consciousness?

a) give glucose or sugar
b) administer insulin

25. Which of the following emergency drugs is required for conscious sedation?

a) Antihypertensive
b) corticosteroid
c) muscle relaxant
d) antiarrhythmic