Anesthesia Mock Exam 2026 Questions
and Answers
Where does the mandibular nerve pass through in the skull? - Correct answer-
Foramen Ovale
What is the maxillary division of the trigeminal nerve? - Correct answer-Sensory
Which nerve is NOT associated with the mandibular nerve branch? - Correct
answer-Infraorbital nerve
Which teeth does the PSA injection innervate? - Correct 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? - Correct
answer-Nasopalatine
Which injections are needed to anesthetize the entire palate on one side? - Correct
answer-Greater Palatine & Nasopalatine
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,How far do you insert the needle on an IANB? - Correct answer-20-25 mm or 3/4
the length of the needle
What happens during depolarization? - Correct answer-- Sodium comes in
- Potassium goes out
When do you aspirate? - Correct 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)? -
Correct answer-Esters
What kind of tissue is topical anesthetic least effective on? - Correct answer-
Keratinized tissues
What is true about topical anesthetics? - Correct answer-There are no systemic
problems with them
Which Ester has the highest occurrence of allergic reactions? - Correct answer-
Ester option; Benzocaine
* Only applied topically
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,What is the significance of giving an amide anesthetic to a patient with Cirrhosis? -
Correct answer-The amide anesthetic is metabolized by the liver
What is the landmark for the IANB injection? - Correct answer-Coronoid notch
Psychogenic pain - Correct answer-No organic base for the pain
What is the maximum epinephrine dose for cardiac & normal patients? - Correct
answer-Cardiac- .04mg
Normal- .2mg
What is trismus? - Correct answer-Limited opening of mouth
Management of hematoma - Correct answer-Cold compression & pressure to
bleeding site
Management of trismus - Correct answer-- Heat therapy
- Saline rinses
- Asprin
- Jaw exercises
Hematoma can occur if needle penetrates into the pterygoid plexus of veins during
which injection? - Correct answer-PSA
What needle should be used for infiltration? - Correct answer-27 short
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, What is the solution volume of a single cartridge of LA? - Correct answer-1.7-1.8
ml
Which antioxidant prevents biodegration of LA by stoping oxidation of a
vasopressor? - Correct answer-Sodium bisulfite
What do vasopressors do? - Correct answer-- Increases duration of LA
- Hemostasis (stops blood flow)
- Reduces chance of toxicity
What would cause a dry cornea? - Correct answer-Anesthetizing the facial nerve
(VII)
- The facial nerve can be anesthetized if bone is not contacted during an IANB
injection and anesthetic is deposited into the parotid gland causing bell's palsy
- Temporary bell's palsy will not allow the patients eyelid to blink or close, causing
a dry cornea
How do you calculate the amount of epinephrine in a solution? - Correct answer-
1% solution = 10 X 1.8 (or 1.7) = 18mg (or 17mg)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
and Answers
Where does the mandibular nerve pass through in the skull? - Correct answer-
Foramen Ovale
What is the maxillary division of the trigeminal nerve? - Correct answer-Sensory
Which nerve is NOT associated with the mandibular nerve branch? - Correct
answer-Infraorbital nerve
Which teeth does the PSA injection innervate? - Correct 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? - Correct
answer-Nasopalatine
Which injections are needed to anesthetize the entire palate on one side? - Correct
answer-Greater Palatine & Nasopalatine
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,How far do you insert the needle on an IANB? - Correct answer-20-25 mm or 3/4
the length of the needle
What happens during depolarization? - Correct answer-- Sodium comes in
- Potassium goes out
When do you aspirate? - Correct 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)? -
Correct answer-Esters
What kind of tissue is topical anesthetic least effective on? - Correct answer-
Keratinized tissues
What is true about topical anesthetics? - Correct answer-There are no systemic
problems with them
Which Ester has the highest occurrence of allergic reactions? - Correct answer-
Ester option; Benzocaine
* Only applied topically
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,What is the significance of giving an amide anesthetic to a patient with Cirrhosis? -
Correct answer-The amide anesthetic is metabolized by the liver
What is the landmark for the IANB injection? - Correct answer-Coronoid notch
Psychogenic pain - Correct answer-No organic base for the pain
What is the maximum epinephrine dose for cardiac & normal patients? - Correct
answer-Cardiac- .04mg
Normal- .2mg
What is trismus? - Correct answer-Limited opening of mouth
Management of hematoma - Correct answer-Cold compression & pressure to
bleeding site
Management of trismus - Correct answer-- Heat therapy
- Saline rinses
- Asprin
- Jaw exercises
Hematoma can occur if needle penetrates into the pterygoid plexus of veins during
which injection? - Correct answer-PSA
What needle should be used for infiltration? - Correct answer-27 short
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, What is the solution volume of a single cartridge of LA? - Correct answer-1.7-1.8
ml
Which antioxidant prevents biodegration of LA by stoping oxidation of a
vasopressor? - Correct answer-Sodium bisulfite
What do vasopressors do? - Correct answer-- Increases duration of LA
- Hemostasis (stops blood flow)
- Reduces chance of toxicity
What would cause a dry cornea? - Correct answer-Anesthetizing the facial nerve
(VII)
- The facial nerve can be anesthetized if bone is not contacted during an IANB
injection and anesthetic is deposited into the parotid gland causing bell's palsy
- Temporary bell's palsy will not allow the patients eyelid to blink or close, causing
a dry cornea
How do you calculate the amount of epinephrine in a solution? - Correct answer-
1% solution = 10 X 1.8 (or 1.7) = 18mg (or 17mg)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
