AGD Fellowship 2026 Exam-Questions with
Verified Correct Answers
The maximum daily dose for Tylenol® extra strength tablets is:
A. 2500 mg.
B. 3000 mg.
C. 3500 mg.
D. 4000 mg.
Correct Answer: (D) 4000 mg.
Max dose according to Lexicomp 2019 is 4000 mg.
Which of the following is a contraindication to using a benzodiazepine as a sedative agent?
A. An epileptic patient
B. A patient who is on coumadin
C. A hyperthyroid patient
D. A patient with narrow angle glaucoma
Correct Answer: (D) A patient with narrow angle glaucoma
Benzodiazepines are contraindicated in patients with narrow-angle closure glaucoma or untreated
open-angle glaucoma.
These agents do not possess anticholinergic activity but have rarely been associated with
increased intraoccular pressure. These medications can cause further narrowing and can lead to
blockage of the eye’s drainage system.
,contraindications for the administration of benzodiazepines
Allergy
Psychoses
and acute narrow-angle glaucoma represent contraindications for the administration of
benzodiazepines.
Benzodiazepines may be administered to patients with open-angle glaucoma who are receiving
appropriate therapy.
psychosis
a psychological disorder in which a person loses contact with reality, experiencing irrational
ideas and distorted perceptions
Patients suffering severe anxiety may be recognized by all of the following symptoms
except one. Which is exception?
A. Increased blood pressure
B. Constricted pupils
C. Increased heart rate
D. Excessive sweating
Correct Answer: (B) Constricted pupils
The panic attack peaks in about 10 minutes and usually lasts for about 20-30 minutes.
Constricted pupils can be caused by most drugs or medication that slow the body down. Sedative
drugs cause pinpoint pupils and lead to changes in the brain that cause relaxation.
,panic attack symptoms
A panic attack consists of a sudden, unexpected, overwhelming feeling of terror with symptoms
of dyspnea, palpitations, dizziness, faintness, trembling, sweating, flushes or chills, numbness or
tingling sensations, and chest pain.
Anesthesia of mandibular teeth in adults by the infiltration method would be achieved best
by the use of:
A. 1.8 mL of Prilocaine 4% + epinephrine 1:100,000.
B. 1.8 mL of Bupivacaine 0.5% + epinephrine 1:200,000.
C. 1.8 mL of Mepivacaine 2% + levonordefrin 1:20,000.
D. 1.8 mL of Articaine 4% + epinephrine 1:100,000.
Correct Answer: (D) 1.8 mL of Articaine 4% + epinephrine 1:100,000.
Articaine 4% with 1:100,000 epi was introduced in June 2000. Four well designed studies
showed articaine to be more successful in achieving adequate anesthesia than lidocaine in
mandibular teeth. One theory is that articaine is more effective due to its higher concentration.
The second theory is that articaine has a thiophene ring that enables it to diffuse more effectively
than the other local anesthetics that have a benzene ring.
The ability to titrate medication, predictability, and the ability to provide amnesic
properties best describes __________ sedation.
A. intramuscular
B. oral
, C. intravenous
D. subcutaneous
Intravenous sedation is the most effective method of ensuring predictable & adequate sedation in
patients. It has a short latent period, it can be titrated, and drugs can be administered that will
have an amnesic period of varying duration. Intramuscular & subcutaneous both have slow rates
of resorption & can't be titrated. Intramuscular and subcutaneous medication cannot be reversed
quickly. Oral sedation can be unpredictable and not easily titrated in some patients.
The only vasoconstrictor used in local anesthetics that is contraindicated with concomitant
MAO inhibitor therapy is:
A. phenylephrine.
B. norepinephrine.
C. epinephrine.
D. levonordefrin.
Correct Answer: (A) phenylephrine.
Despite statements to the contrary in local anesthetic product information approved by the FDA,
local anesthetics containing epinephrine may be used without special reservation in patients
taking monoamine oxidase (MAO) inhibitors. Exogenous catecholamines are mostly degraded
by the enzyme catechol-o-methyltransferase; inhibition of MAO has little impact on their
respective fates or cardiovascular actions. Of the vasoconstrictors used with local anesthetics,
only phenylephrine is contraindicated with concomitant MAO therapy.
Verified Correct Answers
The maximum daily dose for Tylenol® extra strength tablets is:
A. 2500 mg.
B. 3000 mg.
C. 3500 mg.
D. 4000 mg.
Correct Answer: (D) 4000 mg.
Max dose according to Lexicomp 2019 is 4000 mg.
Which of the following is a contraindication to using a benzodiazepine as a sedative agent?
A. An epileptic patient
B. A patient who is on coumadin
C. A hyperthyroid patient
D. A patient with narrow angle glaucoma
Correct Answer: (D) A patient with narrow angle glaucoma
Benzodiazepines are contraindicated in patients with narrow-angle closure glaucoma or untreated
open-angle glaucoma.
These agents do not possess anticholinergic activity but have rarely been associated with
increased intraoccular pressure. These medications can cause further narrowing and can lead to
blockage of the eye’s drainage system.
,contraindications for the administration of benzodiazepines
Allergy
Psychoses
and acute narrow-angle glaucoma represent contraindications for the administration of
benzodiazepines.
Benzodiazepines may be administered to patients with open-angle glaucoma who are receiving
appropriate therapy.
psychosis
a psychological disorder in which a person loses contact with reality, experiencing irrational
ideas and distorted perceptions
Patients suffering severe anxiety may be recognized by all of the following symptoms
except one. Which is exception?
A. Increased blood pressure
B. Constricted pupils
C. Increased heart rate
D. Excessive sweating
Correct Answer: (B) Constricted pupils
The panic attack peaks in about 10 minutes and usually lasts for about 20-30 minutes.
Constricted pupils can be caused by most drugs or medication that slow the body down. Sedative
drugs cause pinpoint pupils and lead to changes in the brain that cause relaxation.
,panic attack symptoms
A panic attack consists of a sudden, unexpected, overwhelming feeling of terror with symptoms
of dyspnea, palpitations, dizziness, faintness, trembling, sweating, flushes or chills, numbness or
tingling sensations, and chest pain.
Anesthesia of mandibular teeth in adults by the infiltration method would be achieved best
by the use of:
A. 1.8 mL of Prilocaine 4% + epinephrine 1:100,000.
B. 1.8 mL of Bupivacaine 0.5% + epinephrine 1:200,000.
C. 1.8 mL of Mepivacaine 2% + levonordefrin 1:20,000.
D. 1.8 mL of Articaine 4% + epinephrine 1:100,000.
Correct Answer: (D) 1.8 mL of Articaine 4% + epinephrine 1:100,000.
Articaine 4% with 1:100,000 epi was introduced in June 2000. Four well designed studies
showed articaine to be more successful in achieving adequate anesthesia than lidocaine in
mandibular teeth. One theory is that articaine is more effective due to its higher concentration.
The second theory is that articaine has a thiophene ring that enables it to diffuse more effectively
than the other local anesthetics that have a benzene ring.
The ability to titrate medication, predictability, and the ability to provide amnesic
properties best describes __________ sedation.
A. intramuscular
B. oral
, C. intravenous
D. subcutaneous
Intravenous sedation is the most effective method of ensuring predictable & adequate sedation in
patients. It has a short latent period, it can be titrated, and drugs can be administered that will
have an amnesic period of varying duration. Intramuscular & subcutaneous both have slow rates
of resorption & can't be titrated. Intramuscular and subcutaneous medication cannot be reversed
quickly. Oral sedation can be unpredictable and not easily titrated in some patients.
The only vasoconstrictor used in local anesthetics that is contraindicated with concomitant
MAO inhibitor therapy is:
A. phenylephrine.
B. norepinephrine.
C. epinephrine.
D. levonordefrin.
Correct Answer: (A) phenylephrine.
Despite statements to the contrary in local anesthetic product information approved by the FDA,
local anesthetics containing epinephrine may be used without special reservation in patients
taking monoamine oxidase (MAO) inhibitors. Exogenous catecholamines are mostly degraded
by the enzyme catechol-o-methyltransferase; inhibition of MAO has little impact on their
respective fates or cardiovascular actions. Of the vasoconstrictors used with local anesthetics,
only phenylephrine is contraindicated with concomitant MAO therapy.
