HESI Exit Exam Comprehensive Review Test Bank:
Collection of Past Exam Versions Featuring 1170 Practice
Questions with Verified Correct Answers
Which of the following local anesthetics may be useful in patients with herpetic dysfunction?
A. lidocaine
B. mepivacaine
C. articaine
D. bupivacaine - Answer - articaine
What are the two groups of local anesthetics? Which has the highest potential for allergic
reactions? Which are allergic reactions rare? - Answer - esters and amides; esters; amides
Where are esters metabolized? Where are amides metabolized? - Answer - plasma and blood;
liver
T/F: If you are allergic to one ester, you will not be allergic to all the other esters. - Answer -
False (if allergic to one ester allergic to all esters)
What is the most commonly used topical anesthetic? What product do we use in clinic that
contains this anesthetic? Is it an ester or an amide? - Answer - benzocaine; lollicaine; bEnzocaine
is an Ester
Which ester local anesthetic is no longer used in dentistry?
A. propoxycaine (Ravocaine)
B. tetracaine (Pontocaine)
C. procaine (Novocaine) - Answer - procaine (NOvocain) like no
All are amide local anesthetics except:
,A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - benzocaine (ester)
What is the most commonly used anesthetic in dentistry?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - lidocaine
What local anesthetics are safe in pregnancy and during lactation? Which is the drug of choice
for pregnant women? What class drug are these two?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - lidocaine and prilocaine; lidocaine; class B
Which local anesthetic is a category B?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
,E. benzocaine
F. articaine - Answer - lidocaine
Which local anesthetic is an amide anesthetic with ester linkage/hybrid/partially metabolized in
the liver and partially metabolized in the blood?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - articaine
Which local anesthetic has the greatest duration of action?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - bupivacaine
Which local anesthetic has a longer duration and lower epi content than lidocaine?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - prilocaine
Which local anesthetic is associated with methemoglobinemia?
, A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - prilocaine
All are contraindications of using prilocaine except:
A. patients with anemias
B. patients taking aspirin
C. Patients taking acetaminophen
D. patients with methemoglobinemia - Answer - patients taking aspirin
What condition is characterized by iron in hemoglobin not carrying oxygen effectively? What
does acetaminophen do in patients with this condition?
A. pernicious anemia
B. methemoglobinemia
C. sickle anemia
D. thalassemia - Answer - methemoglobinemia; raises methemoglobin levels
Which local anesthetic has the shortest duration of action?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - mepivacaine
When choosing a local anesthetic, a lower pKa does what?
Collection of Past Exam Versions Featuring 1170 Practice
Questions with Verified Correct Answers
Which of the following local anesthetics may be useful in patients with herpetic dysfunction?
A. lidocaine
B. mepivacaine
C. articaine
D. bupivacaine - Answer - articaine
What are the two groups of local anesthetics? Which has the highest potential for allergic
reactions? Which are allergic reactions rare? - Answer - esters and amides; esters; amides
Where are esters metabolized? Where are amides metabolized? - Answer - plasma and blood;
liver
T/F: If you are allergic to one ester, you will not be allergic to all the other esters. - Answer -
False (if allergic to one ester allergic to all esters)
What is the most commonly used topical anesthetic? What product do we use in clinic that
contains this anesthetic? Is it an ester or an amide? - Answer - benzocaine; lollicaine; bEnzocaine
is an Ester
Which ester local anesthetic is no longer used in dentistry?
A. propoxycaine (Ravocaine)
B. tetracaine (Pontocaine)
C. procaine (Novocaine) - Answer - procaine (NOvocain) like no
All are amide local anesthetics except:
,A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - benzocaine (ester)
What is the most commonly used anesthetic in dentistry?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - lidocaine
What local anesthetics are safe in pregnancy and during lactation? Which is the drug of choice
for pregnant women? What class drug are these two?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - lidocaine and prilocaine; lidocaine; class B
Which local anesthetic is a category B?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
,E. benzocaine
F. articaine - Answer - lidocaine
Which local anesthetic is an amide anesthetic with ester linkage/hybrid/partially metabolized in
the liver and partially metabolized in the blood?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - articaine
Which local anesthetic has the greatest duration of action?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - bupivacaine
Which local anesthetic has a longer duration and lower epi content than lidocaine?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - prilocaine
Which local anesthetic is associated with methemoglobinemia?
, A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - prilocaine
All are contraindications of using prilocaine except:
A. patients with anemias
B. patients taking aspirin
C. Patients taking acetaminophen
D. patients with methemoglobinemia - Answer - patients taking aspirin
What condition is characterized by iron in hemoglobin not carrying oxygen effectively? What
does acetaminophen do in patients with this condition?
A. pernicious anemia
B. methemoglobinemia
C. sickle anemia
D. thalassemia - Answer - methemoglobinemia; raises methemoglobin levels
Which local anesthetic has the shortest duration of action?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Answer - mepivacaine
When choosing a local anesthetic, a lower pKa does what?
