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Exam (elaborations)

Local Anesthesia – CDCA Board Exam Questions with Correct and Updated Answers (Latest Edition)

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This document provides a complete set of the latest CDCA Local Anesthesia board exam questions along with verified correct answers. It covers essential topics such as pharmacology of anesthetic agents, injection techniques, maxillary and mandibular nerve blocks, dosage calculations, complications, patient assessment, and safety protocols. The material is aligned with current CDCA testing standards, offering reliable and comprehensive preparation for candidates seeking licensure.

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Institution
LOCAL ANESTHESIA -CDCA BOARD
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LOCAL ANESTHESIA -CDCA BOARD

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Uploaded on
November 17, 2025
Number of pages
48
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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LOCAL ANESTHESIA -CDCA BOARD EXAM
Questions and Correct Answers Latest


What type of pain is inflicted on a patient when we give a local
anesthesia injection? --- correct answer ---Somatic




Pain is multidimensional and often requires more than one treatment
modality (T/F) --- correct answer ---True



Why is the debriefing process (when used in conjunction with the
PREP strategy) helpful for patients during treatment planning? ---
correct answer ---- It allows for patient-to-clinician discussion after
the procedure

- It gives the patient a voice in his or her own care

- The information gleaned from the debriefing can be used for future
appointments




Which of the following pharmacological interventions for patient
anxiety are the more commonly used approaches?

- Benzodiazepines

,- IV sedation

- Nitrous oxide

- General anesthesia --- correct answer ---Benzodiazepines and
nitrous oxide



What are the nerves that conduct signals from sensory neurons to the
spinal cord or brain called? --- correct answer ---Afferent nerves




What are the endogenous chemicals that transmit signals from a
neuron to a target cell across a synapse called? --- correct answer ---
Neurotransmitters




What type of rapid electrical impulse propagation jumps down the
axon between the nodes of ranvier? --- correct answer ---Saltatory
conduction



Which type of fibers are responsible for burning dental pain and are
easily affected by local anesthesia? --- correct answer ---C fibers



What can happen during the absolute refractory period of
depolarization? --- correct answer ---No action potential can be
initiated at this time

,What is the study of how a drug enters the body, circulates within the
body, is changed by the body, and leaves the body. --- correct answer -
--Pharmacokinetics




Local anesthesia injections are considered to be a what route of
administration? --- correct answer ---Parenteral



The most potent local anesthetic is bupivacaine, which has the
greatest degree of lipid solubility (T/F) --- correct answer ---True




What factor/factors influence the duration of the effects of local
anesthetic? --- correct answer ---- Degree of protein binding

- Vascularity of injection site

- Addition or absence of vasoconstrictor



All local anesthetic injectable drugs today are amide drugs. procaine
was the only injectable ester, but it is no longer manufactured for
dental use (first statement, second statement) --- correct answer ---
Both statements are true

, A comparison of levonordefrin and epinephrine revels that hemostasis
is less effective with the vasoconstrictor epinephrine (T/F) --- correct
answer ---False




How long do adverse effects of vasoconstrictors last in the body? ---
correct answer ---5 to 10 minutes




You have administered 2% lidocaine with 1:50,000 mg/mL
epinephrine to a healthy patient. The patient experiences restlessness,
nausea, and begins to hyperventilate. What should you suspect? ---
correct answer ---Overdose of epinephrine




Which ingredient added to the dental cartridge alkalinizes, or adjusts
the pH, of the solution between 6 and 7? --- correct answer ---Sodium
hydroxide



Which represents the HIGHEST concentration of epinephrine? ---
correct answer ---1:1,000 epinephrine




What type of injection if near the primary nerve trunk at a greater
distance from the area of infiltration? --- correct answer ---Nerve
block injection

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