AAPD QE BOARD EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
What are the milestones reached by a 4 - 5 year old? - ANSWER-Can listen to and
answer questions about short stories
hears and understands most of what is said at home and school
Sentences with details/adjectives
tells stories
communicates easily with others
may have trouble with l, r, v, z, ch, sh, th
says rhyming words,
letters and numbers
same grammar as rest of family
What is the recommended and max dosage of 2% Lidocaine and 3% Mepivacaine? -
ANSWER-4.4 mg/kg
Do not exceed 300 mg
How many mg mepivacaine are in a 3% 1.7 mL cartridge? - ANSWER-51 mg
How many mg lidocaine are in a 2% 1.7 cc cartridge? - ANSWER-34 mg
How many mg septocaine area in a 4% 1.7 cc cartridge? - ANSWER-68 mg
What is the recommended and maximum dosage for 4% Articaine? - ANSWER-7
mg/kg
500 mg max
What is the recommended and maximum dosage for 4% Prilocaine? - ANSWER-6
mg/kg
400 mg max
Bupivacaine 0.5% has how many mg in 1.7 cc? What is the dosage and maximum? -
ANSWER-8.5 mg bupivacaine 0.5% in 1.7 cc
1.3 mg/kg,
Do not exceed 9 mg
What are 3 common ester local anesthetics? - ANSWER-Procaine
Benzocaine
Tetracaine
What are 4 common amide local anesthetics? - ANSWER-Lidocaine
Mepivacaine
,Articaine
Procaine
T/F - Local anesthetics are vasoconstrictors? - ANSWER-False. Vasodilators -
diffuse rapidly
The duration of action of LA is because of what? - ANSWER-Protein binding
The potency of LA is determined by what? - ANSWER-Lipid solubility
Septocaine should not be used in children under what age? - ANSWER-4 ---check
this question
What is the common inhalation agent of choice for GA? Why? - ANSWER-
Sevoflurane (agent of choice - less CV depression than halothane, faster onset, less
airway irritability)
Used for mask induction
When can the first dose of Hep B given? How long after are the second and third
doses given? - ANSWER-Birth.
Second dose at 4 wks
Third dose at least 16 weeks after first, minimum age for final dose is 24 weeks
What is the minimum age for Rotavirus,
Diphtheria/tetanus/pertussis,
H influenza,
pneumococcal,
inactivated polio, and meningococcal vaccinations? - ANSWER-6 weeks
What three vaccines require a minimum age or 12 months ? - ANSWER-MMR
Varicella
Hep A
What talking and understanding does a birth - 3 month old do? - ANSWER-Startles
to loud sounds,
smiles/quiets when spoken to/recognizes your voice
sucking changes w/sound
coos, babbles
cries differently for different reasons
What are some of the milestones reached by 4 -6 month old? - ANSWER-Follows
sounds with eyes
responds to changes in your voice
notices toys that make sounds
likes music
, babbling with p, b, m
giggles
vocalized excitement/displeasure
gurgles when alone
What are the verbal skills of a 7 month - 1 year old? - ANSWER-Babbles long and
short, imitates speech sounds
gets attention with speech sounds
uses gestures (arms up, waving)
1-2 words: mama, dog, hi
What are the milestones reached by a 1 - 2 year old? - ANSWER-ID body parts
simple commands "kiss the baby, where's your shoe?"
listens to stories, rhymes, songs
points to pictures in books, 2 word sentences
What are the milestones reached by a 2 - 3 year old? - ANSWER-Go-stop, in-out,
big-little, up-down
follows requests
enjoys longer stories
words for almost everything
k, g, f, t, d, n
family understands most speech
names objects
What are the milestones reached by a 3 - 4 year old? - ANSWER-Come when called
from another room
hears TV and radio at same loudness as other family members
answers who what where why questions
talks about school or friends' home
non-family understand speech
4+ word sentences
talks easily
What type of reaction is an overdose on LA? - ANSWER-Biphasic - CNS excitation
and then depression
Early: dizziness, anxiety, confusion, tremors, talkativeness, slowed speech
Later: diplopia, tinnitus, drowsiness, circumoral numbness or twitching
also CVS biphasic reaction (CVS more resistant to LA than CNS)
HR BP may increase,
followed by vasodilation and bradycardia
What is the mechanism of action of Oraverse? - ANSWER-Non-selective alpha-
adrenergic blocker & vasodilator
WITH COMPLETE SOLUTIONS
What are the milestones reached by a 4 - 5 year old? - ANSWER-Can listen to and
answer questions about short stories
hears and understands most of what is said at home and school
Sentences with details/adjectives
tells stories
communicates easily with others
may have trouble with l, r, v, z, ch, sh, th
says rhyming words,
letters and numbers
same grammar as rest of family
What is the recommended and max dosage of 2% Lidocaine and 3% Mepivacaine? -
ANSWER-4.4 mg/kg
Do not exceed 300 mg
How many mg mepivacaine are in a 3% 1.7 mL cartridge? - ANSWER-51 mg
How many mg lidocaine are in a 2% 1.7 cc cartridge? - ANSWER-34 mg
How many mg septocaine area in a 4% 1.7 cc cartridge? - ANSWER-68 mg
What is the recommended and maximum dosage for 4% Articaine? - ANSWER-7
mg/kg
500 mg max
What is the recommended and maximum dosage for 4% Prilocaine? - ANSWER-6
mg/kg
400 mg max
Bupivacaine 0.5% has how many mg in 1.7 cc? What is the dosage and maximum? -
ANSWER-8.5 mg bupivacaine 0.5% in 1.7 cc
1.3 mg/kg,
Do not exceed 9 mg
What are 3 common ester local anesthetics? - ANSWER-Procaine
Benzocaine
Tetracaine
What are 4 common amide local anesthetics? - ANSWER-Lidocaine
Mepivacaine
,Articaine
Procaine
T/F - Local anesthetics are vasoconstrictors? - ANSWER-False. Vasodilators -
diffuse rapidly
The duration of action of LA is because of what? - ANSWER-Protein binding
The potency of LA is determined by what? - ANSWER-Lipid solubility
Septocaine should not be used in children under what age? - ANSWER-4 ---check
this question
What is the common inhalation agent of choice for GA? Why? - ANSWER-
Sevoflurane (agent of choice - less CV depression than halothane, faster onset, less
airway irritability)
Used for mask induction
When can the first dose of Hep B given? How long after are the second and third
doses given? - ANSWER-Birth.
Second dose at 4 wks
Third dose at least 16 weeks after first, minimum age for final dose is 24 weeks
What is the minimum age for Rotavirus,
Diphtheria/tetanus/pertussis,
H influenza,
pneumococcal,
inactivated polio, and meningococcal vaccinations? - ANSWER-6 weeks
What three vaccines require a minimum age or 12 months ? - ANSWER-MMR
Varicella
Hep A
What talking and understanding does a birth - 3 month old do? - ANSWER-Startles
to loud sounds,
smiles/quiets when spoken to/recognizes your voice
sucking changes w/sound
coos, babbles
cries differently for different reasons
What are some of the milestones reached by 4 -6 month old? - ANSWER-Follows
sounds with eyes
responds to changes in your voice
notices toys that make sounds
likes music
, babbling with p, b, m
giggles
vocalized excitement/displeasure
gurgles when alone
What are the verbal skills of a 7 month - 1 year old? - ANSWER-Babbles long and
short, imitates speech sounds
gets attention with speech sounds
uses gestures (arms up, waving)
1-2 words: mama, dog, hi
What are the milestones reached by a 1 - 2 year old? - ANSWER-ID body parts
simple commands "kiss the baby, where's your shoe?"
listens to stories, rhymes, songs
points to pictures in books, 2 word sentences
What are the milestones reached by a 2 - 3 year old? - ANSWER-Go-stop, in-out,
big-little, up-down
follows requests
enjoys longer stories
words for almost everything
k, g, f, t, d, n
family understands most speech
names objects
What are the milestones reached by a 3 - 4 year old? - ANSWER-Come when called
from another room
hears TV and radio at same loudness as other family members
answers who what where why questions
talks about school or friends' home
non-family understand speech
4+ word sentences
talks easily
What type of reaction is an overdose on LA? - ANSWER-Biphasic - CNS excitation
and then depression
Early: dizziness, anxiety, confusion, tremors, talkativeness, slowed speech
Later: diplopia, tinnitus, drowsiness, circumoral numbness or twitching
also CVS biphasic reaction (CVS more resistant to LA than CNS)
HR BP may increase,
followed by vasodilation and bradycardia
What is the mechanism of action of Oraverse? - ANSWER-Non-selective alpha-
adrenergic blocker & vasodilator
