After removing wisdom teeth, the patient complains of dizziness, ringing in the ears, and muscle twitching. The surgeon suspects:
  1. Disturbed nerve
  2. Muscle apnea
  3. Nothing. These complaints are normal after surgery.
  4. Anesthetic toxicity
Explanation
Answer: D - After removing the wisdom teeth, a patient complains of dizziness, ringing in the ears, and muscle twitching. The surgeon suspect’s anesthetic toxicity. Manifestations of toxicity include disorientation, drowsiness, respiratory arrest, cardiovascular collapse, palpitations, chest pain, and hypotension. Bupivacaine, benzocaine, mepivacaine, and tetracaine can cause stimulation and convulsion.
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