LOCAL ANESTHESIA BOARD
EXAM CORRECT 100%
How much epinephrine can a healthy patient receive in one appointment? -
ANSWER0.2mg
This was definitely on the exam
After receiving local anesthesia, a patient complains of nausea, abdominal cramps, a
feeling of substernal tightness, difficulty breathing, chest pain, and is wheezing. The
dental hygienist measures the patient's blood pressure and pulse. The blood pressure
has dropped from the initial reading of 120/78mm Hg to 100/60mm Hg and the pulse is
thread and the rate increased from 70 to 120. Which of the following conditions do these
signs and symptoms most suggest? What do you do? - ANSWERAnaphylaxis
Administer Epi - Immediate allergic reaction
This was definitely on the exam
What would you use to manage a delayed allergic reaction? - ANSWERBenadryl
This may have been on the exam
Patient reports of pain on opening the next day after an injection. What is the patient
experiencing? - ANSWERTrismus
I believe this was on the exam
How do you manage trismus? - ANSWERHeat and light jaw exercises
This was definitely on the exam
What nerve was damaged if the anterior 2/3 of the tongue has a loss of sensation? -
ANSWERLingual
This was definitely on the exam
What is the volume of LA anesthetic solution in 2 cartridges of lidocaine (1.7 or 1.8mL)?
- ANSWER3.4mL (1.7 x 2) or 3.6mL (1.8 x 2)
I believe this was on the exam
What type of injection would be used to achieve hemostasis? - ANSWERInfiltration
This was definitely on the exam
Where are used needles disposed of? - ANSWERHazard Sharps
I believe this was on the exam
What do you do with used cartridges? - ANSWERDispose in sharps container
This was on the exam
A burning feeling from the injection can be caused by what? - ANSWER- Lowered pH
, - Expired solution
This was on the exam, both were options. I believe the correct answer is lowered pH
Why would you use caution with amides and a patient who has cirrhosis? -
ANSWERAmides are metabolized in the liver
I believe this was on the exam
The maxillary division of the trigeminal nerve passes through which foramen? -
ANSWERForamen Rotundum
This may have been on the exam
The mandibular division of the trigeminal nerve passes through which foramen? -
ANSWERForamen Ovale
This may have been on the exam
What is the treatment for a hematoma? - ANSWERJust know compression, ice, and
then heat... not sure of exact wording.
This was definitely on the exam
What is the primary reason for needle breakage? - ANSWERSudden patient movement
This was definitely on the exam
How is topical anesthetic best described? - ANSWERAbsorbed through mucosal tissue
This may have been on the exam
What type of tissue is least effected by topical? - ANSWERKeratinized or Keratotic
This was definitely on the exam
Where do you inject the nasopalatine injection? - ANSWERIncisive Foramen/Papilla
This may have been on the exam
Before using a cartridge you should:
a. wipe it w/ disinfectant
b. soak it in alcohol
c. autoclave it and/or sterilize it
d. NONE of the above - ANSWERd. NONE of the above
This was definitely on the exam
What is the foramen associated with the inferior alveolar nerve? - ANSWERMandibular
Foramen
This may have been on the exam
What injection would numb the lower lip? - ANSWERMental/Incisive Nerve block
This may have been on the exam
EXAM CORRECT 100%
How much epinephrine can a healthy patient receive in one appointment? -
ANSWER0.2mg
This was definitely on the exam
After receiving local anesthesia, a patient complains of nausea, abdominal cramps, a
feeling of substernal tightness, difficulty breathing, chest pain, and is wheezing. The
dental hygienist measures the patient's blood pressure and pulse. The blood pressure
has dropped from the initial reading of 120/78mm Hg to 100/60mm Hg and the pulse is
thread and the rate increased from 70 to 120. Which of the following conditions do these
signs and symptoms most suggest? What do you do? - ANSWERAnaphylaxis
Administer Epi - Immediate allergic reaction
This was definitely on the exam
What would you use to manage a delayed allergic reaction? - ANSWERBenadryl
This may have been on the exam
Patient reports of pain on opening the next day after an injection. What is the patient
experiencing? - ANSWERTrismus
I believe this was on the exam
How do you manage trismus? - ANSWERHeat and light jaw exercises
This was definitely on the exam
What nerve was damaged if the anterior 2/3 of the tongue has a loss of sensation? -
ANSWERLingual
This was definitely on the exam
What is the volume of LA anesthetic solution in 2 cartridges of lidocaine (1.7 or 1.8mL)?
- ANSWER3.4mL (1.7 x 2) or 3.6mL (1.8 x 2)
I believe this was on the exam
What type of injection would be used to achieve hemostasis? - ANSWERInfiltration
This was definitely on the exam
Where are used needles disposed of? - ANSWERHazard Sharps
I believe this was on the exam
What do you do with used cartridges? - ANSWERDispose in sharps container
This was on the exam
A burning feeling from the injection can be caused by what? - ANSWER- Lowered pH
, - Expired solution
This was on the exam, both were options. I believe the correct answer is lowered pH
Why would you use caution with amides and a patient who has cirrhosis? -
ANSWERAmides are metabolized in the liver
I believe this was on the exam
The maxillary division of the trigeminal nerve passes through which foramen? -
ANSWERForamen Rotundum
This may have been on the exam
The mandibular division of the trigeminal nerve passes through which foramen? -
ANSWERForamen Ovale
This may have been on the exam
What is the treatment for a hematoma? - ANSWERJust know compression, ice, and
then heat... not sure of exact wording.
This was definitely on the exam
What is the primary reason for needle breakage? - ANSWERSudden patient movement
This was definitely on the exam
How is topical anesthetic best described? - ANSWERAbsorbed through mucosal tissue
This may have been on the exam
What type of tissue is least effected by topical? - ANSWERKeratinized or Keratotic
This was definitely on the exam
Where do you inject the nasopalatine injection? - ANSWERIncisive Foramen/Papilla
This may have been on the exam
Before using a cartridge you should:
a. wipe it w/ disinfectant
b. soak it in alcohol
c. autoclave it and/or sterilize it
d. NONE of the above - ANSWERd. NONE of the above
This was definitely on the exam
What is the foramen associated with the inferior alveolar nerve? - ANSWERMandibular
Foramen
This may have been on the exam
What injection would numb the lower lip? - ANSWERMental/Incisive Nerve block
This may have been on the exam
