BOARD VITALS QUESTIONS AND VERIFIED ANSWERS
Which of the following antibiotics will most likely have interactions with other drugs?
a) cephalexin
b) erythromycin
c)metronidazole
d) doxycline - CORRECT ANSWER✅✅✅B) eryhtromycin
Vasoconstrictors in local anesthetics constrict the vessels in surrounding tissues and thereby help
control perfusion of the local anesthetic into those tissues. Several reasons this is important are:
1) Decreased blood flow to the tissue site
2) increased flow of the local anesthetic into the bloodstream
3) minimizing the risk of toxicity from local anesthetic
4) decreased bleeding at the administration site
which are correct? - CORRECT ANSWER✅✅✅1, 3, 4
Excessive salivation may be a sign of which of the following:
a) digoxin toxicity
b) methamphetamine use
c) diuretic drug overdose
d) pathologic vomiting - CORRECT ANSWER✅✅✅digoxin toxicity
Which of the following NSAIDS inhibits only COX-2?
a) Ketorolac
b) Indomethacin
c) Celecoxib
D) Acetylsalylic acid
E) acetominaphin - CORRECT ANSWER✅✅✅C) Celecoxib
,All of the following characteristics are true regarding metformin, except for which one?
a) used to treat type 2 diabetes
b) should not be used with patients with significant kidney disease and GFR <30 mL/min
c) common side effect is mostly GI irritation
d) Adverse effects of causing hypoglycemia
e) used to treat PCOS - CORRECT ANSWER✅✅✅d) adverse effect of causing hypoglycemia
Which channels are blocked when local anesthetics are used? - CORRECT ANSWER✅✅✅Sodium
Which of the following antihypertensives is known to cause gingival hyperplasia in patients?
a) Ca2+ channel blockers
b) alpha adrenergic receptor blockers
c) ACE inhibitors
D) ATII receptor antagonists
E) beta-adrenergic receptor blockers - CORRECT ANSWER✅✅✅a) calcium channel blockers
For therapeutic use in patients with moderate to severe xerostomia, which of the following classes of
drugs would be most beneficial?
a) muscarinic receptor antagonists
b) nicotine receptor antagonists
c) adrenergic receptor agonists
d) muscarinic receptor agonists - CORRECT ANSWER✅✅✅d) muscarinic receptor agonists
Which analgesia medications provide the best pain management for the corresponding type of acute
endodontic pain? - CORRECT ANSWER✅✅✅moderate pain; ibuprofen 400mg plus acetominaphen
650-1000 mg
Which of the following regarding histamine biochemistry is false? - CORRECT ANSWER✅✅✅anti-
histamines act by stimulating the histamine receptor to activate inhibitory G-proteins
,Statement 1: Amides have the lowest incidence of allergic responses when administered in local
anesthetics.
Statement 2: allergic reactions with amide local anesthetics occur in <1% of the population
Which statements are true? - CORRECT ANSWER✅✅✅Both statements are true
Which local anesthetics is characterized by long duration of action?
a) lidocaine
b) articaine
c) bupivicaine
d) mepivicaine - CORRECT ANSWER✅✅✅bupivacaine
In an effort to combat cancer cell function, scientists have created a new drug that targets the organelle
responsible for completing the post translational modification of proteins synthesized in the rough ER.
Which organelle does this new drug target? - CORRECT ANSWER✅✅✅Golgi apparatus
Gingival enlargement is known to be modified by medications such as:
A) Warafarin
B) Insulin
C) Phenytoin
D) Aspirin - CORRECT ANSWER✅✅✅Phenytoin
True or false: Skin pricks, intradermal injections, or subcutaneous testing dose challenges are
recommended for patients with suspected local anesthetic allergic reactions - CORRECT
ANSWER✅✅✅True
Which of the following medications is a short acting agent that is contraindicated in individuals with
acute narrow angle glaucoma? - CORRECT ANSWER✅✅✅Midazolem
, Local anesthetics block pain by:
1) blocking nerve impulses conducting pain signals
2) absorbing calcium, at the synapse
3) interfering with sodium ion movement
4) releasing magnesium at the synapse
Which are true? - CORRECT ANSWER✅✅✅1 and 3
Metforamin is an oral hypoglycemic drug that is used to treat Type 2 diabetes. This drug is also effective
in treating polycystic ovary diseases. Which statements are true? - CORRECT ANSWER✅✅✅Both
statements are true
Which of the following is not a mechanism of drug metabolism?
1) oxidation
2) reduction
3) hydrolysis
4) dehalogenation - CORRECT ANSWER✅✅✅All of these are mechanisms of drug metabolism
A patient is taking Apixaban (Eliquis). What clotting factor does Apixaban target? - CORRECT
ANSWER✅✅✅Xa
Chronic inhalation of nitrous oxide gas may lead to pernicious anemia by what mechanism - CORRECT
ANSWER✅✅✅Nitrous oxide interacts with colbalt in cobalamin (Vitamin B12) to oxidize and
inactivate it
All of the following drugs affect the thyroid except for which one?
a) Levothyronine
b) iodide
c) methimazole
d) thyroxine
Which of the following antibiotics will most likely have interactions with other drugs?
a) cephalexin
b) erythromycin
c)metronidazole
d) doxycline - CORRECT ANSWER✅✅✅B) eryhtromycin
Vasoconstrictors in local anesthetics constrict the vessels in surrounding tissues and thereby help
control perfusion of the local anesthetic into those tissues. Several reasons this is important are:
1) Decreased blood flow to the tissue site
2) increased flow of the local anesthetic into the bloodstream
3) minimizing the risk of toxicity from local anesthetic
4) decreased bleeding at the administration site
which are correct? - CORRECT ANSWER✅✅✅1, 3, 4
Excessive salivation may be a sign of which of the following:
a) digoxin toxicity
b) methamphetamine use
c) diuretic drug overdose
d) pathologic vomiting - CORRECT ANSWER✅✅✅digoxin toxicity
Which of the following NSAIDS inhibits only COX-2?
a) Ketorolac
b) Indomethacin
c) Celecoxib
D) Acetylsalylic acid
E) acetominaphin - CORRECT ANSWER✅✅✅C) Celecoxib
,All of the following characteristics are true regarding metformin, except for which one?
a) used to treat type 2 diabetes
b) should not be used with patients with significant kidney disease and GFR <30 mL/min
c) common side effect is mostly GI irritation
d) Adverse effects of causing hypoglycemia
e) used to treat PCOS - CORRECT ANSWER✅✅✅d) adverse effect of causing hypoglycemia
Which channels are blocked when local anesthetics are used? - CORRECT ANSWER✅✅✅Sodium
Which of the following antihypertensives is known to cause gingival hyperplasia in patients?
a) Ca2+ channel blockers
b) alpha adrenergic receptor blockers
c) ACE inhibitors
D) ATII receptor antagonists
E) beta-adrenergic receptor blockers - CORRECT ANSWER✅✅✅a) calcium channel blockers
For therapeutic use in patients with moderate to severe xerostomia, which of the following classes of
drugs would be most beneficial?
a) muscarinic receptor antagonists
b) nicotine receptor antagonists
c) adrenergic receptor agonists
d) muscarinic receptor agonists - CORRECT ANSWER✅✅✅d) muscarinic receptor agonists
Which analgesia medications provide the best pain management for the corresponding type of acute
endodontic pain? - CORRECT ANSWER✅✅✅moderate pain; ibuprofen 400mg plus acetominaphen
650-1000 mg
Which of the following regarding histamine biochemistry is false? - CORRECT ANSWER✅✅✅anti-
histamines act by stimulating the histamine receptor to activate inhibitory G-proteins
,Statement 1: Amides have the lowest incidence of allergic responses when administered in local
anesthetics.
Statement 2: allergic reactions with amide local anesthetics occur in <1% of the population
Which statements are true? - CORRECT ANSWER✅✅✅Both statements are true
Which local anesthetics is characterized by long duration of action?
a) lidocaine
b) articaine
c) bupivicaine
d) mepivicaine - CORRECT ANSWER✅✅✅bupivacaine
In an effort to combat cancer cell function, scientists have created a new drug that targets the organelle
responsible for completing the post translational modification of proteins synthesized in the rough ER.
Which organelle does this new drug target? - CORRECT ANSWER✅✅✅Golgi apparatus
Gingival enlargement is known to be modified by medications such as:
A) Warafarin
B) Insulin
C) Phenytoin
D) Aspirin - CORRECT ANSWER✅✅✅Phenytoin
True or false: Skin pricks, intradermal injections, or subcutaneous testing dose challenges are
recommended for patients with suspected local anesthetic allergic reactions - CORRECT
ANSWER✅✅✅True
Which of the following medications is a short acting agent that is contraindicated in individuals with
acute narrow angle glaucoma? - CORRECT ANSWER✅✅✅Midazolem
, Local anesthetics block pain by:
1) blocking nerve impulses conducting pain signals
2) absorbing calcium, at the synapse
3) interfering with sodium ion movement
4) releasing magnesium at the synapse
Which are true? - CORRECT ANSWER✅✅✅1 and 3
Metforamin is an oral hypoglycemic drug that is used to treat Type 2 diabetes. This drug is also effective
in treating polycystic ovary diseases. Which statements are true? - CORRECT ANSWER✅✅✅Both
statements are true
Which of the following is not a mechanism of drug metabolism?
1) oxidation
2) reduction
3) hydrolysis
4) dehalogenation - CORRECT ANSWER✅✅✅All of these are mechanisms of drug metabolism
A patient is taking Apixaban (Eliquis). What clotting factor does Apixaban target? - CORRECT
ANSWER✅✅✅Xa
Chronic inhalation of nitrous oxide gas may lead to pernicious anemia by what mechanism - CORRECT
ANSWER✅✅✅Nitrous oxide interacts with colbalt in cobalamin (Vitamin B12) to oxidize and
inactivate it
All of the following drugs affect the thyroid except for which one?
a) Levothyronine
b) iodide
c) methimazole
d) thyroxine
