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International Academy for األكاديمية الدولية للعلوم الصحية Health Sciences تحت إشراف الهيئة السعودية Under supervision of Saudi للتخصصات الصحية Commission for Health Specialties Central Committee Of Examinations Final Exam (First Term 1429/1430H- 2008/2009G) Student's Name: Department : Dental Assistant Academic Number: Level : Three Date of Exam.: / / 14 H Subject :Introduction to Pharmacology Period: Substitute Total Marks in No. Time: 90 minutes Total Marks in Letters Corrected by Revised by 55 Name: Signature: Name: Signature: First question: Choose the correct answer: (30 marks) 1- Route of drug administration includes: a- Topical b- Rectal c- Parentral d- All answers are correct 2- OTC preparations containing very small amount of codiene are scheduled in: a- Scheduled 111 b-Scheduled V c-Scheduled 1V d- Scheduled 1 Page 1 of 9 3- Color coding of the anesthetic cartridge indicates----------of the solution. Epinephrine ratio b- Codaine content c- Corticosteroids ratio 4- -------------is a condition in which numbness lasts after the effects of the local anesthetic should have worn off. a- Analgesia b- Anesthesia c- Paresthesia d- None of the above 5- The over dose that causes death called a- Toxic dose b- Lethal dose c- Over dose d- All answers are wrong 6- The levels of sedations are: a- Conscious sedation. b- Deep sedation. c- Respiratory paralysis d- Answers (a) and (b) are correct 7- The harpoon must be securely engaged so that the dentist can -------------------------------- during the injection. a- Dispense anesthesia. b- Aspirate. c- Inject. d- Load the syringe. Page 2 of 9 8- The Local anesthetic solutions for dental use are classified chemically to: a- Alcohols b- Amides c- Esters d- (b) and (c) are correct 9- The recovery from Nitrous oxide is done by using: a- Nitrous oxide b- Oxygen c- Carbon dioxide d- Hydrogen 10- Which of the following is not true about topical anesthetics? a- They are applied on the surface of the oral mucosa. b- The concentration of topical anesthetics solution is 2-5%. c- The rate of onset of them is faster than anesthesia by injection. d- The duration of them is shorter than that of injection anesthesia. 11- ----------- is the antibiotic of choice against most orofacial infections. a- Penicillin G b- Tetracycline c- Penicillin V d- None of the above 12- Drug Interaction means: a- Response resulting from two or more drugs acting simultaneously. b- Action of drugs together to produce greater effect. c- Response resulting from the altered reactivity d- All answers are correct Page 3 of 9 13- Error in anesthetic solution could endanger the---------a-Dental technician. b- Patient's career. c- Patient's life. d- None of the above. 14- Anesthetic solution without epinephrine is recommended for: a- Patients with untreated hypertension b- Patient with unstable angina c- Patients with recent heart attack d- All are correct 15- The Latin abbreviation bid means: a- Four times daily. b- Twice daily. c- Three times daily. d- When needed. 16- General anesthesia is: a- Stage 1of the anesthesia stages. b- Stage 2 of the anesthesia stages. c- Stage 3 of the anesthesia stages. d- Stage 4 of the anesthesia stages. 17- The prescription must contain:a- Prescriber name, address, telephone number b- Name of the patient and date of the prescription c- Name and strength and quantity of the drug d- All are correct 18- Intermediate-acting barbiturates are used for:a- IV for induction of general anesthesia Page 4 of 9 b- To relive anxiety before a dental appointment c- To control moderate pain d- All answers are correct 19- Infiltration injection of a local anesthetic solution containing ----------------------, is used to minimize bleeding. a-Analgesic. b-Hypnotic. c-Vasoconstrictior. d- Disinfectant. 20- Epinephrine is added in small quantities to local anesthetic solutions as: a- Vasodilator b- Vasoconstrictor c- Anesthetic d- Antibiotic 21- Antifungal agent active against Candida albican is:a- Tetracycline b- Nystatin c- Penicillin d- Atropine 22- ------------------------------- of the anesthetic cartridges indicates epinephrine ratio. a- Type of anesthetic solution. Color coding. b- Type of sterilization used. c- None of the above. 23- The advantages of nitrous oxide include: a- It is administration relatively simple and easily performed. b- Has excellent safety records Page 5 of 9 c- Recovery is rapid and complete in minutes All are correct 24- The hub of the needle is attached to the syringe on the--a- Barrel. b- Threaded tip. c- Harpoon. d- Plunger. 25- Premedication is used for:a- Patient for extensive surgical procedures. b- Very young children. c- Extremely apprehensive patients. All Answers are true. 26- Narcotic analgesics: a- Never abused. b- May be abused c- They produce euphoria An swer (a) not correct 27- Corticosteroids may be applied topically in dental practice for: a- Symptoms related to inflammation b- Treatment oral ulcer c- Local anesthetic (a) and (b) are correct 28- Cartridges must be stored at room temperature and protected from sunlight to prevent----------of the solution. Deterioration. b- Infection. c- Reaction. d- Contamination. Page 6 of 9 29- Drug tolerance acquired by:Repeated use of a drug. b- Once use of a drug c- Irregular use of a drug d- All answers are correct 30- -----------used as Premedication to reduce patient fear. a- Antibiotics b- Atropine Sedatives and Hypnotics d- Ephedrine Second question- Complete the following:- (10 Marks) 1- The ------------------------------------------- is hooked into the rubber stopper of the anesthetic cartridge. 2- The Latin abbreviation t.d.s means -----------------------------. 3- Mild analgesic in combination with Codiene is prescribes to control-----------------------pain. 4- To control moderate pain dentists prescribe mild analgesic in combination with ----------------------------------. 5- Desensitizing the teeth occurs through the ----------------- and pulp. 6- An overdose that causes Poisoning is called -------------- dose. 7- ----------------------------------is the study of drugs 8- Injecting the anesthesia must be very careful not to inject directly into ------------------------------------. 9- ---------------------------- anesthesia may be achieved by using Page 7 of 9 a combination of gases and intravenous medications 10- Inferior alveolar nerve block will cause ----------------------of half of the lower jaw. Third question - Write (T) for True or(F) for False:(10 Marks) 1- Prescription is the written order to the pharmacist to prepare certain drug to a patient. ( ) ( ) 3- Respiratory paralysis occurs in stage one anesthesia. ( ) 2- Sublingual administration means swallowing the medication. 4- Location of the tooth has an effect on the type of injection. ( ) 5- The administration of nitrous oxide is very difficult and not easily performed. ( ) 6- Short-acting local anesthesia lasts more than 60 minutes.( ) 7- The larger the gauge number, the thinner the needle. ( ) 8- The anesthetic syringe must be kept out of the patient view all the time. ( ) 9- Epinephrine is added in large quantities to local anesthetic solutions. ( ) 10- Maxillary second premolar is innervated by the middle superior alveolar nerve. ( Page 8 of 9 ) Fourth question- Enumerate the following :- ( 5 Marks) 1- The types of Anesthesia. ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ 2- Uses of Epinephrine in dentistry. ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ Good luck Dr. Muna Nabag / Dr. Seham Essmat Page 9 of 9