THEME 6. Pain control in prosthodontics. Indications to different types of anesthesia. Troubleshooting of local anesthesia.

1. It is necessary to make application anaesthesia on maxilla in frontal area before infiltration anaesthesia. What concentration of lidocaine is used?

À) *10%;

B) 15%;

C) 2%;

D) 3%;

E) 0.1%;

2. Tooth 22 needs a preparation for ceramic crown. What anesthesia is preferable for insertion of retraction cord?

À) *intraligamentary;

B) palatal;

C) incisive

D) infraorbital;

E) intraossal.

3. You should make preparation of teeth under combined crowns. A patient has intolerance to local anesthetics. What type of anesthesia is indicated?

À) *general anaesthesia;

B) cryoanaesthesia;

C) conduction anaesthesia;

D) premedication;

E) intraligamentary anaesthesia;

4. Patient is having ceramic crowns on 22, 23 vital teeth made. What type of anaesthesia is applied?

À) *infiltration anaesthesia;

B) audioanesthesia;

C) cryoanaesthesia;

D) application anaesthesia;

E) general anaesthesia;

5. It is planned to cover 46, 47 teeth by swaged crowns. What anesthesia should we choose?

À) *conductive anaesthesia;

B) cryoanaesthesia;

C) intraligamentary;

D) general anaesthesia;

E) application anaesthesia;

6. In 4 days after preparing of tooth of patient A., pulsating pain appeared in that tooth under swaged crown. What could be the reason of pain?

À) *overheat of tooth;

B) cooling;

C) infection;

D) injuring;

7. Pain during teeth preparation could NOT be eliminated by?

À) *uninterrupted tooth grinding;

B) precision centering of instrument;

C) cooling;

D) interrupted tooth grinding;

E) change of speed of rotation instrument;

8. Making of ceramic crowns on 35, 33 is planned. Teeth are vital. A patient is afraid of preparing. What type of anaesthesia it is necessary to make?

À) *premedication, injection anaesthesia;

B) cryoanaesthesia;

C) audioanesthesia;

D) general anaesthesia;

E) application anaesthesia;

9. Anesthesia for tooth preparation was made with an unmarked ampoule. A patient lost conscious. What mistake was performed by doctor?

À) *used an unknown substance;

B) did not make an allergic test;

C) did not find out anamnesis of life;

D) did not process the place of injection;

E) had no right to perform anesthesia

10. A 32-year-old patient presented to a clinic for taking an upper jaw impression. During this

procedure she choked with a piece of impression material, there was risk of asphyxia. What

are the first-priority actions within emergency care?

A *Abrupt push-like compressions of the lower thorax

B Artificial ventilation of lungs

C Plaster removal from the airways

D Closed-chest cardiac massage

E Tracheotomy

11. What could not be general reaction of organism on preparation?

À) *somnolence;

B) sense of fear;

C) excitement;

D) change of rhythm of cardiac activity;

E) insignificant increase of temperature;

12. Preparation of 46 is being performed. 47tooth is covered by cast crown. Teeth are vital. What type of anaesthesia it is necessary to do?

À) *conductive;

B) infiltration;

C) application of tranquilizers;

D) audioanalgesia;

E) topical;

13. A 32-year-old patient needs to be provided with metal-ceramic crowns for the 12, 11, 21 and

22 teeth. During the dental visit he is given infiltration anaesthesia with Ultracain DS

anaesthetic. What elements enter into its composition?

A *4\% articaine with adrenaline

B 2\% mepivacaine with adrenaline

C 4\% articaine without a vasoconstrictor agent

D 3\% mepivacaine without a vasoconstrictor agent

E 2\% articaine with epinephrine

14. A 39-year-old patient complains about experiencing pain in the region of the 21 tooth for 2

days. It is known from the anamnesis that the indicated tooth was treated for carious.

Objectively: the 21 tooth is covered with metal-ceramic crown, mucous membrane in apex

projection is hyperaemic. Percussion of the tooth is sharply painful. X-ray picture shows

improperly filled root canal. It is planned to take off the 21 tooth crown. What kind of

anesthesia should be applied?

A *Field block anesthesia

B Infiltration anesthesia

C Intraligamentous anesthesia

D Applicationanesthesia

E Intraosseous anesthesia

15. Preparation of 36 and 37 teeth for artificial crowns is planned. What anaesthesia need to be chosen?

À) *torusal;

B) tuberal;

C) palatal;

D) infiltration;

E) mental

16. It is planned to make preparation of 12, 11, 21, 22 teeth under acrylic crowns. What anaesthesia need to be chosen?

À) *infiltration;

B) palatal;

C) tuberal;

D) torusal;

E) mandibular;

17. It is planned to make preparation of 44, 45 teeth for combined crowns. What type of anaesthesia need to be chosen?

À) *mental;

B) tuberal;

C) palatal;

D) incisive;

E) infraorbital;

18. It is planned to make preparation of 24, 25 teeth under combined crowns. What anaesthesia need to be chosen?

À) *infiltration;

B) tuberal;

C) incisive;

D) palatal;

E) mental;

19. It is planned to make preparation of 16, 17 teeth under cast crowns. What anaesthesia need to be chosen?

À) *tuberal and palatal;

B) torusal and mental;

C) mandibular and intraligamental;

D) mental and mandibular;

E) tuberal and incisive;

20. A doctor is planning to fabricate swaged-soldered bridge from 34 to 37 for patient C. Anamnesis: 6 months ago got a myocardial infarction. During preparation the patient had felt acute pain in an area of breastbone. What mistake was made?

À) *preparation without premedecation and anaesthesia;

B) earlyprosthetics;

C) incorrect treatment planning;

D) consultation of therapeutist wasn’t performed;

21. Indications for selection of anesthesia include all of the following except:

A. *Type of insurance coverage

B. Anxiety or fear

C. Medical history

D. Level of invasive procedure

E. Physical inability to receive dental treatment

22. Patients with the diseases of liver and kidneys are allowed to use:

À) *ultracaine;

B) novocaine;

C) ubisthezine;

D) lidocaine;

E) trimecaine

23. A 68-year-old patient with compensated insulin-dependent diabetes mellitus had to spend 8

hours at a hospital. Within this time he didn't eat and was nervous. The patient became

aggressive, pale and sweaty, then he lost consciousness. What is the most likely diagnosis?

A *Hypoglycemic coma

B Anaphylactic shock

C Hypertensic crisis

D Acute respiratory failure

E Collapse

24. A 22-year-old patient is afraid of pain from conduction anaesthesia. A dentist decided that this

anaesthesia should be preceded by applicational anaesthesia of mucous membrane on the

spot of injection. What drug should be used for this purpose?

A *5\% lidocaine ointment

B 1\% synthomycin ointment

C 5\% oxacillin ointment

D 3\% sinaflan ointment

E 3\% doxycyclinointment

25. The signs of overdose of adrenalin:

À) *increase of B.P., head pain, tachycardia, paleness;

B) reduction of B.P., coma;

C) bradycardia, an increase of B.P., edema of soft tissues;

D) reduction of B.P., skin involvement, dizziness;

E) increase of B.P., somnolence, hyperemia.

Дата добавления: 2015-11-30