3.2 A) Anaesthetics Local Anaesthetics

Front 1

Which of the following is not an amide

Local Anaesthetic?

A. Lignocaine
B. Amethocaine
C. Bupivacaine
D. Prilocaine

Back 1

B. Amethocaine

Amides have 2 "i" in name:

Lignocaine
Bupivacaine
Prilocaine
Ropivocaine

Front 2

Which of the following local anaesthetics is not an ester Local Anaesthetic ?

A. Benzocaine
B. Cocaine
C. Bupivicaine
D. Amethocaine

Back 2

C. Bupivacaine

Esters have one "i" in name

Amethocaine /Tetracaine
Benzocaine
Cocaine
Procaine /Novocaine

Front 3

In regards to Local Anaesthetics, which of the

following is incorrect?
A. Esters are metabolised by

pseudocholinesterases (PCE)
B. Amides are metabolised by the liver
C. Amides are more prone to allergic reactions.
D. Lignocaine is an amide.

Back 3

C. Esters are more prone to allergic reactions

Front 4

(Dunn)
In regards to the maximum safe single dosing of local anaesthetics, which of the following is

incorrect ?
A. 0.5 % bupivacaine = 2 mg / kg
B. Lignocaine 1% = 4 - 5 mg / kg
C. Lignocaine 1% + adrenaline = 3 mg / kg
D. Bupivacaine 0.5% + adrenaline = 3 mg / kg

Back 4

C. Lignocaine 1% + adrenaline = 7 mg / kg

Front 5

In regards to the adverse effects of Local

Anaesthetics, which of the following is incorrect?
A. Bupivacaine is less cardiotoxic than lignocaine.
B. True Ester allergies are rare.
C. The treatment of Hypotension and arrhythmias from LA toxicity

involves standard ALS measures and sodium bicarbonate (NaHCO3)
D. IVLE ( IV Lipid Emulsion Therapy) may be effective in resuscitation of circulatory collapse.

Back 5

A. Bupivacaine is more cardiotoxic.

Front 6

In regards to Local Anaesthetic toxicity, which of the following is incorrect?
A. Seizures are usually self-limiting due to drug redistribution.
B. Sodium bicarbonate and IVLE therapy are used in circulatory collapse.
C. EMLA cream is contraindicated in age < 12 months due to a methaemoglobinaemia risk.
D. The allergy rate is 1 in a million.

Back 6

C. EMLA Cream contraindicated in

Age < 6 months.

Front 7

Which is incorrect regarding ALA cream / drops
( Amethocaine 2% / Lignocaine 4% /

adrenaline 1:2000) ?
A. Indicated for Wound length < 5 cm
B. Scalp and face anaesthesia effective in 85%
C. Extremity wound anaesthesia is less effective than facial / scalp

anaesthesia: being effective in only 60%
D. ALA reduces treatment time and requirement for procedural sedation.

Back 7

C. 40%