Local Anesthetics - quiz

Beschreibung

Pharmacology - Bio 528
thomasina413
Quiz von thomasina413, aktualisiert more than 1 year ago
thomasina413
Erstellt von thomasina413 vor fast 11 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
A weak acid becomes more than 50% un-ionized following IV injection (blood pH = 7.4). The pKa of this weak acid could be...
Antworten
  • 7.6
  • 7.4
  • 7.2
  • 1.5

Frage 2

Frage
When injected into the body, any of the local anesthetics used currently in clinical practice will be:
Antworten
  • less than 50% un-ionized
  • more than 50% un-ionized
  • 50% un-ionized
  • 100% un-ionized

Frage 3

Frage
Sodium drug has pKa of 8.2. When injected into the blood, this drug will become:
Antworten
  • less than 50% un-ionized
  • more than 50% un-ionized
  • 50% un-ionized
  • 100% un-ionized

Frage 4

Frage
What situation most facilitates accumulation of local anesthetic by the fetus?
Antworten
  • maternal acidosis and fetal acidosis
  • maternal acidosis and fetal alkalosis
  • maternal alkalosis and fetal alkalosis
  • maternal alkalosis and fetal acidosis

Frage 5

Frage
Potency is determined by what property(ies) of a local anesthetic?
Antworten
  • pKa
  • lipid solubility
  • protein binding
  • both lipid solubility and protein binding

Frage 6

Frage
Speed of onset is determined by what property(ies) of a local anesthetic?
Antworten
  • pKa
  • lipid solubility
  • protein binding
  • both lipid solubility and protein binding

Frage 7

Frage
Duration of action is determined by what property(ies) of a local anesthetic?
Antworten
  • pKa
  • lipid solubility
  • protein binding
  • both lipid solubility and protein binding

Frage 8

Frage
Local anesthetics work on which segment(s) of the neuron?
Antworten
  • axon only
  • cell body and axon
  • axon and nerve terminal
  • cell body, axon and nerve terminal

Frage 9

Frage
Conduction block occurs when the...
Antworten
  • ionized form of the local anesthetic binds to the voltage-gated sodium channel outside the cell
  • ionized form of the local anesthetic binds to the voltage-gated sodium channel inside the cell
  • un-ionized form of the local anesthetic binds to the voltage-gated sodium channel outside the cell
  • un-ionized form of the local anesthetic binds to the voltage-gated sodium channel inside the cell

Frage 10

Frage
You can make your own local anesthetic. If you want the local anesthetic to have a fast onset, you will want to have the local anesthetic have what pKa?
Antworten
  • 2.3
  • 7.0
  • 7.4
  • 11.5

Frage 11

Frage
Injection of local anesthetic at which of the following sites is most likely to result in systemic toxicity?
Antworten
  • epidural space
  • paracervical tissue
  • intercostal muscles
  • brachial plexus

Frage 12

Frage
Methemoglobinemia can occur if what local anesthetic is used?
Antworten
  • Tetracaine
  • Prilocaine
  • Ropivacaine
  • Mepivacaine

Frage 13

Frage
What condition most prevents passage of local anesthetic from fetus to mom?
Antworten
  • maternal alkalosis
  • maternal acidosis
  • fetal alkalosis
  • fetal acidosis
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