LOCAL ANESTHESIA CDCA EXAM Question
and Answer 2026 | Ultimate Certification
Preparation Bundle | Grade A+
• How do you dispose of the syringe armamentarium? -✓✓Sharps
Container
• What is the longest you should leave a lidocaine topical patch on? -
✓✓15 mins
• What injections do you give for perio treatment on #14,15,16 -
✓✓MSA, PSA, GP
• What nerve supplies the tissue of the maxillary anterior lingual? -
✓✓Nasopalatine
• What nerve has been anesthetized if the lower lip is numb? -
✓✓Mental
• A women has immediate swelling on her face following a PSA
injection, what was the cause? -✓✓Needle entered the ptyergoid plexus
of veins
• what is the immediate treatment in the office for a hematoma? -
✓✓Pressure, then ice
, • What is the recommend treatment to the patient for a hematoma
following the appointment? -✓✓Ice then moist heat
• What causes trismus? -✓✓Needle entering muscle
• What is the patient care for trismus? -✓✓exercise the jaw, oral
analgesics
• when does anesthetic shelf life end? -✓✓when the date on the side of
the cartridge states
• if you give a PSA, what root may not be anesthetized? -✓✓mesial
buccal root of the 1st molar
• V3 innervates all but? -✓✓mental, IA, infraorbital, preauricular
• what would you not use for an intramural antiseptic on an injection
site? -✓✓Alcohol
• if you inject 1/3 of the needle on an IA and hit bone, what do you do?
-✓✓retract the needle from bone, readjust the syringe so the needle is
pointing more posteriorly along the mandible
and Answer 2026 | Ultimate Certification
Preparation Bundle | Grade A+
• How do you dispose of the syringe armamentarium? -✓✓Sharps
Container
• What is the longest you should leave a lidocaine topical patch on? -
✓✓15 mins
• What injections do you give for perio treatment on #14,15,16 -
✓✓MSA, PSA, GP
• What nerve supplies the tissue of the maxillary anterior lingual? -
✓✓Nasopalatine
• What nerve has been anesthetized if the lower lip is numb? -
✓✓Mental
• A women has immediate swelling on her face following a PSA
injection, what was the cause? -✓✓Needle entered the ptyergoid plexus
of veins
• what is the immediate treatment in the office for a hematoma? -
✓✓Pressure, then ice
, • What is the recommend treatment to the patient for a hematoma
following the appointment? -✓✓Ice then moist heat
• What causes trismus? -✓✓Needle entering muscle
• What is the patient care for trismus? -✓✓exercise the jaw, oral
analgesics
• when does anesthetic shelf life end? -✓✓when the date on the side of
the cartridge states
• if you give a PSA, what root may not be anesthetized? -✓✓mesial
buccal root of the 1st molar
• V3 innervates all but? -✓✓mental, IA, infraorbital, preauricular
• what would you not use for an intramural antiseptic on an injection
site? -✓✓Alcohol
• if you inject 1/3 of the needle on an IA and hit bone, what do you do?
-✓✓retract the needle from bone, readjust the syringe so the needle is
pointing more posteriorly along the mandible
