Pt1 1-60 /Anesthesia general/Prof. Hong Someth

2. All are the contraindications of use of Midazolam, except:

Patient with shock

Patient with coma

Patient with acute glaucoma

Patient with epilepsy

4. Inadequate or excessive dosage or improper administration may result in all, except:

Cerebral hypoxia

Agitation

Hyperactivity

Voluntary movements

6. Anxiolytic agents should:?

Relieve pain

Reduce anxiety and exert a calming effect

Improve mood and behavior in patient with psychotic symptoms

Produce drowsiness, encourage the onset and maintenance of a state of sleep

7. Anxiolytics are also useful for:?

Treatment of epilepsy and seizures

Insomnia

Muscle relaxation in specific neuromuscular disorders

All are corrected

8. Indicate the agents of choice in the treatment of most anxiety states:?

Barbiturates

Benzodiazepines

Lithium salts

Phenothiazines

9. The choice of benzodiazepines for anxiety is based on:?

A relatively high therapeutic index

Availability of flumazenil for treatment of overdose

A low risk of physiologic dependence

All are corrected

10. Which of the following anxiolitics is a benzodiazepine derivative:?

Buspirone

Clordiazepoxide

Meprobamate

Chloral hydrate

11. Indicate the benzodiazepine, which has the shortest elimination half-life:?

Quazepam

Triazolam

Diazepam

Clorazepate

12. Which of the following benzodiazepines has the shortest duration of action?

Triazolam

Clorazepate

Prazepam

Clordiazepoxide

13. Which of the following benzodiazepines is less likely to cause cumulative and residual effects with multiple doses?

Clorazepate

Quazepam

Lorazepam

Prazepam

14. Anxiolytic dosage reduction is recommended:?

In patients taking cimetidine

In patients with hepatic dysfunction

In elderly patients

All are corrected

15. What are the requirements for the provision of safe and effective conscious sedation?

Regulation

Education of the profession

Education of the patients

All of the above

16. Which one of the following sentences is NOT the Principles of Good Sedation Practice?

Consider the range of non-pharmacological and pharmacological methods of anxiety management

It is essential that conscious sedation is provided to the highest possible standards, respecting the rights of patients as individuals.

There is no need any staff training about sedation and no need monitoring equipment

The provision of safe and effective conscious sedation requires both regulation and, more importantly, education of the profession and patients.

18. Which of the following statement about pain and anxiety is FALSE?

Pain is a source of anxiety, anxiety is a factor that increases pain, & increased pain incites further anxiety

When anxiety is reduced through psychosedation, the patient’s subjective experience of pain declines significantly

Pain and anxiety is not inter-related

Anxiety and pain can be reduced through non-pharmacological and pharmacological methods

19. Which of the following statement is TRUE?

The dentist must exhibit compassion , reassurance, and understanding, and show respect for the phobia and patient

The dentist may ignore the patient's reaction to rush the treatment

Ignoring the presence of dental fears provokes many positive responses from the patient

All are corrects

20. What are the symptoms and signs of anxiety?

Tense posture, show excessive vigilance

Move the hands and feet restlessly

Speak with a strained

All of the above

21. Which of the following statement is NOT the method of anxiety management?

Communication skills

Distraction Techniques

Breathing & Relaxation techniques

Taking anti-anxiety drug a week before the treatment

22. How do you recognize a patient with anxiety and fear?

The patient looks alert & on guard at all time, arms & legs are tensed

The patient clutches the arm rest of the dental chair tightly so that their knuckles turn white

Profuse sweating of palms & forehead, quick actions, answer to questions too quickly

All of the above

23. Which of the following statement is NOT the sign of severe anxiety?

Increased blood pressure and heart rate

Trembling

Constriction of pupil

Excessive sweating

24. Which medication is used for premedication for anxious patients a night before appointment?

Diazepam

Tegretol

Tranexamic acid

Tramadol

25. Which medication is used for premedication for anxious patients immediately before appointment?

Codalgin

Midazolam

Dexamethasone

Dilantin

26. Which of the following statement is NOT the stress reduction protocols?

Minimize office waiting time

Psychosedation during therapy

Long appointment time

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?

Because it is part of the code of ethic

Because it can help reduce anxiety and stress for the patients

Because it can help reduce pain

All of the above

28. Which phrases that you should use before giving local anesthetic injection?

I'm going to freeze your teeth

I’m going to give a shot on your gums

I'm going to inject local anesthetic on your gums

All of the above

29. How to reassure the patients during dental treatments?

By repeating: "You’ll be alright, no worry"

By telling how painful it is

By saying: "when you want me to stop, please raise your hand. I’ll stop immediately"

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?

Yellow

Green

Earth colour

Dark red

31. Which of the following statement is TRUE?

Research has shown that dentists who wear white coat does not affect patients' emotion

Research has shown that dental office design and hospitality design unite to create an ambience that reduces fear and anxiety

Study has shown that music does not help patients during dental treatment

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?

Receptionist

Dental assistants

Dental personnel/staff

All of the above

33. What are the current advances in anxiety management?

Music intervention

Breathing techniques & relaxation techniques

Imagery and distraction technique

All of the above

34. What is the reason for patient to select a dentist?

A dentist who has got high degrees

The dentist who cares about his/her patients

The dentist who has got nice clinic

The dentist who talks a lot

35. What are the levels of sedation?

Mild, moderate, and severe levels

Shallow, medium, and high levels

Mild, intermediate, and profound levels

Minimum, moderate, dissociate, and deep levels

36. Which sedation level that requires assistance in maintaining a patent airway?

Minimum level

Moderate level

Dissociated level

Deep level

37. Which one of the following statements in NOT the contraindication to conscious sedation?

Chronic obstructive pulmonary disease

Gag reflex

Psychosis

Acute narrow-angle glaucoma

38. How much Midazolam 5mg/1ml solution mixed with Paracetamol syrup or sweet drink for 20kg child?

0.5 ml

1 ml

1.5 ml

2 ml

39. What is the half-life of Midazolam injectable used as oral solution in children?

15 minutes

20 minutes

30 minutes

1 hour

40. Which one of the following statement is NOT the suggested use of IM route?

Disruptive children

Patients with severe asthma

Patients with gag reflex

Patients with TMJ dysfunction

41. Which muscle that IM sedation is injected for children age 1 to 6 years old?

Vastus lateralis (thigh)

Deltoid (upper arm)

Gluteal area (lower back)

Ventrogluteal area (side of the upper thigh)

42. Which muscle that IM sedation is preferred for injecting for adults?

Vastus lateralis (thigh)

Ventrogluteal area (side of the upper thigh)

Gluteal area (lower back)

Deltoid (upper arm)

43. What is the Midazolam IM dosage for adults?

0.1mg - 0.5mg/kg

0.6mg - 0.9mg/kg

0.07 mg – 0.08mg/kg

1.5mg - 4.5mg/kg

45. Which one of the following statement is NOT the determinants of IM dose of Benzodiazepines?

Gender

Body weight

Degree of anxiety

Level of desired sedation

46. 32. Why children have got greater risk of airway obstruction than adults?

Anatomic and physiologic differences in children

Differences in basal metabolic and respiratory rate and cardiovascular parameters are different

Reduced tolerance to respiratory obstruction

All of the above

47. How many hours do the patients need to fast or not eating solid foods before IV sedation?

2 hours

3 hours

4 hours

6 hours

48. 34. How many hours do the patients need to fast or not drinking clear liquids before IV sedation?

1 hour

2 hours

3 hours

4 hours

49. Why can't the patients eat and drink (fasting) several hours before sedation?

Because aspiration of foods may even lead to aspiration pneumonia

Because the patient will be weighed for the sedative dosage

To prevent emesis during / after a sedative procedure that can result in aspiration of stomach contents leading to laryngospasm or severe airway obstruction

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?

It helps to prevent stroke

It helps minimize risk of adverse cardiovascular and cerebrovascular events during treatment

It decreases blood pressure and oxygen saturation

It helps to prevent dizziness

51. Which one of the following statement is NOT the disadvantages of IV sedation?

Venipuncture is necessary

Venipuncture complications may occur

No monitoring is required

Recovery not complete – escort needed

52. How much Midazolam is needed for slow IV titration?

1mg to 2.5mg over 30 seconds

2mg - 4mg over 1 minute

3mg - 5mg over 2 minutes

5mg - 10mg over 5 minutes

53. Which one of the following statements is NOT the actions and effects of Benzodiazepines?

Anxiolytic

Hypnotic

Antiemetic

Anticonvulsant and muscle relaxant

54. What Benodiazepines do when using low-doses?

Calm and relaxed behaviour

Sleepiness

Respiratory depression

Loss of airway reflexes

56. Which one of the following is NOT the contraindications of Benzodiazepines?

Pregnancy

Severe hepatic impairment

Patient with gag reflex

Severe respiratory impairment

57. Which one of the following statement is NOT the disinhibitory effects of Benzodiazepimes?

. Excitement

Sadness

Hyperactivity and agitation

Hostility

58. What are the things to be avoided when using Triazolam?

Pineapple juice and antibiotics

Orange juice and steroids

Melon juice and Tricyclic antidepressant drug

Grape juice, alcohol and Barbiturates

59. Which one of the following is Benzodiapine antagonist or the reversal drug?

Temazepam

Naloxone

Flumazenil

Fluconazole

60. Which one of the following is NOT the vital signs?

Blood sugar or glucose level

Heart rate (pulse) & rhythm

Blood pressure

Respiratory rate

Pt1 1-60 /Anesthesia general/Prof. Hong Someth

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