INBDE (Integrated National Board Dental Examination) Practice Exam 2025 - Free Practice Questions and Study Guide

Question: 1 / 1180

If a patient has liver disease, what type of anesthetic would be better to give?

Amide--Lidocaine

Ester--Articaine

Option A and C are both amide-based anesthetics, which may not be suitable for a patient with liver disease as they are metabolized by the liver. Option D, an ester-based anesthetic, may also be problematic as it can cause accumulation of toxic byproducts in patients with liver disease. Option B, articaine, is a type of ester-based anesthetic that is rapidly metabolized and does not pose a risk for patients with liver disease. Therefore, it would be the most suitable choice for patients with liver disease.

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Amide--Bupivacaine

Ester--Mepivacaine

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