Local Anesthetics - quiz

Descrição

Pharmacology - Bio 528
thomasina413
Quiz por thomasina413, atualizado more than 1 year ago
thomasina413
Criado por thomasina413 quase 11 anos atrás
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Resumo de Recurso

Questão 1

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

Questão 2

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

Questão 3

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

Questão 4

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

Questão 5

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

Questão 6

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

Questão 7

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

Questão 8

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

Questão 9

Questão
Conduction block occurs when the...
Responda
  • 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

Questão 10

Questão
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?
Responda
  • 2.3
  • 7.0
  • 7.4
  • 11.5

Questão 11

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

Questão 12

Questão
Methemoglobinemia can occur if what local anesthetic is used?
Responda
  • Tetracaine
  • Prilocaine
  • Ropivacaine
  • Mepivacaine

Questão 13

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

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