INBDE (Integrated National Board Dental Examination) Practice Exam

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

  1. Amide--Lidocaine

  2. Ester--Articaine

  3. Amide--Bupivacaine

  4. Ester--Mepivacaine

The correct answer is: 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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