ANESTHESIA MOCK EXAM 2025
QUESTIONS AND ANSWERS
Where does the mandibular nerve pass through in the skull? - ....ANSWER ...-
Foramen Ovale
What is the maxillary division of the trigeminal nerve? - ....ANSWER ...-Sensory
Which nerve is NOT associated with the mandibular nerve branch? -
....ANSWER ...-Infraorbital nerve
Which teeth does the PSA injection innervate? - ....ANSWER ...-1st, 2nd, and 3rd
maxillary molars
* Does not innervate the mesiobuccal cusp of the maxillary 1st molar
Which injection is needed to anesthetize linguals of maxillary anteriors? -
....ANSWER ...-Nasopalatine
Which injections are needed to anesthetize the entire palate on one side? -
....ANSWER ...-Greater Palatine & Nasopalatine
How far do you insert the needle on an IANB? - ....ANSWER ...-20-25 mm or 3/4
the length of the needle
What happens during depolarization? - ....ANSWER ...-- Sodium comes in
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 1
,- Potassium goes out
When do you aspirate? - ....ANSWER ...-Right before anesthetic is deposited
* This makes sure you do not insert the needle into a blood vessel
Which type of local anesthetic is metabolized by pseudocholinesterase (PABA)? -
....ANSWER ...-Esters
What kind of tissue is topical anesthetic least effective on? - ....ANSWER ...-
Keratinized tissues
What is true about topical anesthetics? - ....ANSWER ...-There are no systemic
problems with them
Which Ester has the highest occurrence of allergic reactions? - ....ANSWER ...-
Ester option; Benzocaine
* Only applied topically
What is the significance of giving an amide anesthetic to a patient with Cirrhosis? -
....ANSWER ...-The amide anesthetic is metabolized by the liver
What is the landmark for the IANB injection? - ....ANSWER ...-Coronoid notch
Psychogenic pain - ....ANSWER ...-No organic base for the pain
What is the maximum epinephrine dose for cardiac & normal patients? -
....ANSWER ...-Cardiac- .04mg
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 2
, Normal- .2mg
What is trismus? - ....ANSWER ...-Limited opening of mouth
Management of hematoma - ....ANSWER ...-Cold compression & pressure to
bleeding site
Management of trismus - ....ANSWER ...-- Heat therapy
- Saline rinses
- Asprin
- Jaw exercises
Hematoma can occur if needle penetrates into the pterygoid plexus of veins during
which injection? - ....ANSWER ...-PSA
What needle should be used for infiltration? - ....ANSWER ...-27 short
What is the solution volume of a single cartridge of LA? - ....ANSWER ...-1.7-1.8 ml
Which antioxidant prevents biodegration of LA by stoping oxidation of a vasopressor? -
....ANSWER ...-Sodium bisulfite
What do vasopressors do? - ....ANSWER ...-- Increases duration of LA
- Hemostasis (stops blood flow)
- Reduces chance of toxicity
What would cause a dry cornea? - ....ANSWER ...-Anesthetizing the facial nerve
(VII)
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 3
QUESTIONS AND ANSWERS
Where does the mandibular nerve pass through in the skull? - ....ANSWER ...-
Foramen Ovale
What is the maxillary division of the trigeminal nerve? - ....ANSWER ...-Sensory
Which nerve is NOT associated with the mandibular nerve branch? -
....ANSWER ...-Infraorbital nerve
Which teeth does the PSA injection innervate? - ....ANSWER ...-1st, 2nd, and 3rd
maxillary molars
* Does not innervate the mesiobuccal cusp of the maxillary 1st molar
Which injection is needed to anesthetize linguals of maxillary anteriors? -
....ANSWER ...-Nasopalatine
Which injections are needed to anesthetize the entire palate on one side? -
....ANSWER ...-Greater Palatine & Nasopalatine
How far do you insert the needle on an IANB? - ....ANSWER ...-20-25 mm or 3/4
the length of the needle
What happens during depolarization? - ....ANSWER ...-- Sodium comes in
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 1
,- Potassium goes out
When do you aspirate? - ....ANSWER ...-Right before anesthetic is deposited
* This makes sure you do not insert the needle into a blood vessel
Which type of local anesthetic is metabolized by pseudocholinesterase (PABA)? -
....ANSWER ...-Esters
What kind of tissue is topical anesthetic least effective on? - ....ANSWER ...-
Keratinized tissues
What is true about topical anesthetics? - ....ANSWER ...-There are no systemic
problems with them
Which Ester has the highest occurrence of allergic reactions? - ....ANSWER ...-
Ester option; Benzocaine
* Only applied topically
What is the significance of giving an amide anesthetic to a patient with Cirrhosis? -
....ANSWER ...-The amide anesthetic is metabolized by the liver
What is the landmark for the IANB injection? - ....ANSWER ...-Coronoid notch
Psychogenic pain - ....ANSWER ...-No organic base for the pain
What is the maximum epinephrine dose for cardiac & normal patients? -
....ANSWER ...-Cardiac- .04mg
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 2
, Normal- .2mg
What is trismus? - ....ANSWER ...-Limited opening of mouth
Management of hematoma - ....ANSWER ...-Cold compression & pressure to
bleeding site
Management of trismus - ....ANSWER ...-- Heat therapy
- Saline rinses
- Asprin
- Jaw exercises
Hematoma can occur if needle penetrates into the pterygoid plexus of veins during
which injection? - ....ANSWER ...-PSA
What needle should be used for infiltration? - ....ANSWER ...-27 short
What is the solution volume of a single cartridge of LA? - ....ANSWER ...-1.7-1.8 ml
Which antioxidant prevents biodegration of LA by stoping oxidation of a vasopressor? -
....ANSWER ...-Sodium bisulfite
What do vasopressors do? - ....ANSWER ...-- Increases duration of LA
- Hemostasis (stops blood flow)
- Reduces chance of toxicity
What would cause a dry cornea? - ....ANSWER ...-Anesthetizing the facial nerve
(VII)
....FOR STUDY PURPOSES...©️2025 ALL RIGHTS RESERVED... 3
