ADC Practice Question — Local anaesthetic toxicity

What serious complication should you be most concerned…

Pharmacology questions in the ADC written exam test applied prescribing decisions, not rote recall of drug names. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

Priya Sharma, a 33-year-old software engineer, presents for extraction of her lower right wisdom tooth. She mentions she might be pregnant but hasn't confirmed it yet. During the procedure, you administer 3.6 mL of 2% lidocaine with adrenaline via inferior alveolar nerve block. Five minutes after injection, Priya becomes restless and anxious, complaining of ringing in her ears and dizziness. Her speech becomes slightly slurred and she appears drowsy. What serious complication should you be most concerned about if Priya's condition progresses?

A. Permanent facial nerve paralysis
B. Prolonged anaesthesia lasting weeks
C. Anaphylactic shock requiring adrenaline
D. Seizures and cardiovascular toxicity
E. Methaemoglobinaemia with cyanosis

ADC revision is a must, hence Reviz is a must

The only ADC prep platform where every answer is traced to the guideline source.

No invented explanations. No guesswork content. Every question mapped to Therapeutic Guidelines, Odell's, IADT, and more — so you study what the exam actually tests.

7,000+

Practice questions

All 4

ADC papers covered

Every

Answer cited

🤖

Remy — your AI tutor on WhatsAppRemy figures out what you're getting wrong and keeps hitting those topics until you stop getting them wrong. Like a tutor who remembers every mistake you've ever made.

🔄

You won't forget what you studiedGot a question wrong last week? Remy brings it back — right when you're about to forget it. The more you get right, the less it repeats. The stuff you struggle with keeps coming back until it sticks.

🎯

Know exactly where you're weakSee your score for every topic — Antimicrobials, Trauma, Anaesthesia, all of them. No more guessing what to study next. Remy builds your daily quiz from the gaps.

📱

Study on WhatsApp, review on the webYour daily quiz arrives right on WhatsApp — no app to download, no website to remember. Open WhatsApp, answer questions, done. Check detailed progress anytime on the web dashboard.

📖

Don't trust the answer? Look it up.Every explanation tells you the book, the edition, and the page number. If something doesn't feel right, you can verify it yourself in 30 seconds. No other platform does this.

⏰

Daily quizzes, your time, your timezoneRemy sends questions at the time you pick, in your timezone. You don't have to remember to study — Remy shows up every day. Consistency becomes automatic.

🔥 The Remy Challenge

Score high, pay less.

Think you already know your stuff? The Remy Challenge: 15 questions, one attempt — 13 timed and marked, plus 2 interactive finishers. Your score sets your discount — top scores take 50% off any plan, strong scores 30%, and every challenger leaves with at least 20%, locked for 72 hours.

Take the Remy Challenge

✅ No signup needed

Try Reviz on WhatsApp.

Message Remy and get one cited clinical question every morning — free until the day you sit. No card details, no forms, no app to download. Just open WhatsApp and start practising.

Message Remy on WhatsApp

Sources cited

Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more

Show the answer and cited explanation

Correct answer: D

According to TG, serious systemic effects include seizures and cardiovascular toxicity as progression from early CNS symptoms.

Source: Ch 8: Serious systemic effects

Remy's study tip — For pharmacology vignettes, read the patient’s medical history and allergies BEFORE looking at the drug options.

Exam preparation FAQ

How do I approach an unfamiliar Local anaesthetic toxicity vignette?

Extract key clinical data from the stem before reading options. There are usually 3–4 critical variables that determine the correct answer.

How should I prepare for Pharmacology & Therapeutics in the ADC exam?

Build competence across all topics. The exam tests application of guidelines to clinical scenarios, not memorisation.

Every answer, traced to the source.

Remy — the AI tutor inside Reviz — drills you on 7,000+ ADC-style cited questions with spaced repetition, on WhatsApp and the web.

Start with 10 free questions

What serious complication should you be most concerned…

The only ADC prep platform where every answer is traced to the guideline source.

Score high, pay less.

Try Reviz on WhatsApp.

Exam preparation FAQ

More Local anaesthetic toxicity questions

Every answer, traced to the source.

You're on a roll.