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This document contains the most up-to-date exam questions and verified answers for Module 3 of the DAANCE (Dental Anesthesia Assistant National Certification Examination), covering the 2025/2026 exam period. Module 3 focuses on anesthetic drugs and techniques, including classifications, dosages, administration methods, and their physiological effects. A valuable resource for mastering core pharmacological knowledge and clinical application in oral surgery settings.
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Brevitalc(SodiumcMethohexital)c-cCORRECTcANSWER- Primarycanestheticcagentcintroducedcincthec1960's. BalancedcAnesthesiac-cCORRECTcANSWER-Usecofcseveralcagentsctogether BasiccRequisitescofcancAnestheticc-cCORRECTcANSWER-Lackcofctoxicity,cnon-cflammable,cnon- addictive,cminimalcallergenicity. Analgesiac-cCORRECTcANSWER-Givenctocfeelcnocpainc(ex:cFentanylcandcLocal) Amnesiac-cCORRECTcANSWER-Benzodiazepinesc(ex:cVersed) Relaxationc&cImmobilityc-cCORRECTcANSWER- Versed,cPropofolc(Diprivan),cBrevitalc(Methohexital),cKetamine LosscofcConsciousnessc(Hypnosis)c-cCORRECTcANSWER-Propofolc&cBrevital WakefulnesscSystemc-cCORRECTcANSWER- Corecofcbrainstem,cneuronsctoccerebrum.cWhencacsleepcinducingcdrugciscintroducedcitcinterruptsctra nsmission. Anxiolyticc(AnxietycReducing)cMedsc-cCORRECTcANSWER-DiazepamcorcMidazolam RelaycCenterc-cCORRECTcANSWER-Sensorycneuronscthatcsensecpaincpasscthroughcthis. Homeostasisc(HomeostaticcState)c-cCORRECTcANSWER- Normalcstatecincwhichcthereciscminimalcvariationcincrespirationcandccirculation. Pharmacokineticsc-cCORRECTcANSWER-Theceffectscthatcthecbodychasconcdrugs. Pharmacodynamicsc-cCORRECTcANSWER-Theceffectscthatcthecdrugchasconcvariouscbodycsystems. RapidcRedistributionc-cCORRECTcANSWER- Shortcactingcdrugconlycremaincattachedctocthecreceptorcsitescforcacshortctimecandcthencmovectocthec otherctissues. POc(percos)c-cCORRECTcANSWER-Throughcthecmouth.
(Delayedconset,cunpredictableceffects,cpatientccompliance,cnotcgoodcwhencptcincnauseated) Subcutaneousc(SQ)c-cCORRECTcANSWER- BeneathcthecSkinc(AbsorptionciscsomewhatcdelayedccomparedctocIMcorcIV) Intramuscularc(IM)c-cCORRECTcANSWER- Incthecmusclec(Unpredictableconsetcofcdrugceffect,ccannotctitratecthecdose) Intravenousc(IV)c-cCORRECTcANSWER-Incthecvein InhalationcRoutec-cCORRECTcANSWER- Inhaledc(Verycrapidcabsorptioncandctitration) 4 cLevelscofcContinuumc-cCORRECTcANSWER- MinimalcSedation,cModeratecSedation,cDeepcSedationc(Analgesia),candcGeneralcAnesthesia MinimalcSedationc(Anxiolysis)c-cCORRECTcANSWER- Normalcresponsectocverbalcstimulation,ccardiovascularcfunctioncunaffected. ModeratecSedationc(ConsciouscSedation)c-cCORRECTcANSWER- Normalcresponsectocverbalcorclightctactilecstimulationcwithccardiovascularcfunctioncusuallycmaintai ned. DeepcSedationc(Analgesia)c-cCORRECTcANSWER- Notceasilycarousedcbutchascpurposefulcresponsecaftercrepeatedcorcpainfulcstimulation. GeneralcAnesthesiac-cCORRECTcANSWER-Notcacrousablecevencwithcpainfulcstimulation. Diffusionchypoxiac-cCORRECTcANSWER- NitrouscOxidecrapidlycmovescfromcthecbloodctocthecalveolicofctheclungscandcdisplacescothercgases,ci ncludingcoxygen. Hypoxiac-cCORRECTcANSWER-Lowclevelscofcoxygencincthecbodiesctissues. Hypercarbiac-cCORRECTcANSWER-Ancincreasedclevelcofccarboncdioxide. Anxiolyticc-cCORRECTcANSWER-Triazolam,cDiazepam,cModazolam Propofolc(Diprivan)c-cCORRECTcANSWER-Hascantiemeticc(anti- nausea)cproperties,cinsolublecincwater,chighlyclipidcsoluble. Propofolc(Diprivan)c-cCORRECTcANSWER- Respiratorycdepressantcandcapneacmaycbecnotedcafterconcinductioncdose.
NystagmiccGazec-cCORRECTcANSWER-Distantcorcwanderingcgaze. Ketaminec(Ketalar)c-cCORRECTcANSWER- Undergoescmetabolismcincthecliver,candcexcretedcincthecurine. Ketamine(Ketalar)c-cCORRECTcANSWER- Increasecinccerebralcoxygencconsumption,ccerebralcbloodcflowcandcintracranialcpressure. Ketaminec(Ketalar)c-cCORRECTcANSWER- Stimulatesctheccardiovascularcsystem,cincreasescBP,cheartcratecandccardiaccoutput. ContraindicationsctocKetaminecuse.c-cCORRECTcANSWER- Severeccardiovascularcdisease,cseverechypertension,cglaucomac(notccontrolled),cseverecpsychoticci llnesses,cpregnancy. Barbituratesc-cCORRECTcANSWER- Takencupcbycbodycfatcandcreleasedcintocthecsystemcslowly,cdepressingcthecCNS. Barbituratesc-cCORRECTcANSWER-Detoxifiedcincthecliver. SideceffectscofcBrevitalc-cCORRECTcANSWER- Apneaconcinduction,claryngospasm,cbronchospasm,chypotension,ctachycardia,chiccups,candcmusc lectwitching. Estersc-cCORRECTcANSWER- Metabolizedcincthecbloodstreamcbycancenzymecknowncascpseudocholinesterase. Amidesc-cCORRECTcANSWER-Metabolizedcmorecslowlycincthecliver. Estersc-cCORRECTcANSWER-Cocaine,cProcainc(Novocaine) Amidesc-cCORRECTcANSWER-Lidocainec(maxc 10 corc 11 ccarpules) Amidesc-cCORRECTcANSWER-Mepivacainec(Carbocaine)c(maxc 7 - 8 ccarpules) Amidesc-cCORRECTcANSWER-Prilocainec(Citamest)c(maxc 6 ccarpules) Amidesc-cCORRECTcANSWER-Bupivacainec(Marcaine)c(maxc 10 ccarpules) Amidesc-cCORRECTcANSWER-Articainec(Septocaine)c(maxc 7 ccarpules) Sympatho-mimeticc-cCORRECTcANSWER-Mimicsctheceffectscofcthecsympatheticcnervouscsystem.
Anxiolyticc-cCORRECTcANSWER-Dissolvingcanziety
Succinylcholinec(Anectine)c-cCORRECTcANSWER- Cancbecacsignificantctriggercforcmalignantchyperthermiacincsusceptiblecindividuals,ceithercadultscorcchil dren.cShortcActing.
Rocuroniumc-cCORRECTcANSWER- Steroidcbased,cshortctocintermediatecactingcmusclecrelaxantcwithcrapidconsetcofcaction.cNotcactrigge ringcagentcforcmalignantchypertheria. Longcacting HalogenatedcHydrocarbonsc-cCORRECTcANSWER-Inhalationcagentscusedcforcgeneralcanesthesia.