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CDCA Local Anesthesia Exam Questions and Answers | Latest Update 2026/2027 | Graded A+ | Guaranteed Pass. which has thicker cortical plate, maxillary or mandibular? - ANSWER-mandibular (this decreased the amount of the local anesthesia molecules that can penetrate to nerves during infiltration injections) due to the thickness of cortical bone, which is a good option for local anesthetic in the mandibular arch during infiltrations? - ANSWER- Articaine (Septocaine) is sometimes effective for mand. infiltrations (4% vs. 2% for lidocaine) due to the increased number of molecules hematomas are most common with which type of injection, and why? - ANSWER-PSA due to nicking a vessel in the pterygoid plexus of veins what is the TX for a hematoma? - ANSWER-pressure, cold compresses on/off, NSAIDS, and time. a positive aspiration when administering a PSA is due to what? - ANSWER-aspirating hemorrhage caused by injection what are the three most common locations for hematomas to occur? - ANSWER-1. PSA 2. IA l blanching of the tissue following/during an injection is caused by what? - ANSWERvasospasm/vasoconstriction caused by epinephrine or brushing against autonomic nerves stimulation vasospasm the pterygomandibular space/triangle is bordered by what anatomical structures? - ANSWER-ramus, lateral pterygoid muscle, and medial pterygoid muscle the pterygomandibular space/triangle is identified intra-orally by what? - ANSWER-pterygoid hamulus (palpation), coronoid notch (palpation), and pterygomandibular raphe (visual) Antero-posteriorly, the greater palatine foramen is located between the ___________________________. - ANSWER-middle oft he maxillary second molar and the middle of the third molar in about 80- 90% of patients. all arteries leading to the oral cavity receive blood from what? - ANSWER-external carotid (most are direct or indirect branches from the maxillary artery with the exception of the lingula -- this is a direct branch from the external carotid) veins from the oral cavity will drain into what? - ANSWER-internal jugular (both internal and external drain into the brachiocephalic veins which drain to the superior vena cava do myelinated or un-myelinated nerves create faster impulse? - ANSWER-myelinated (impulses jump from node to node -- node of ranvier) the mandibular foramen lies approx. __________________________ of the distance from the anterior border of the ramus to the posterior border - ANSWER-1/2 to 2/3

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CDCA Local Anesthesia Exam Questions
and Answers | Latest Update 2026/2027 |
Graded A+ | Guaranteed Pass.

which has thicker cortical plate, maxillary or mandibular? -

ANSWER✔✔-mandibular (this decreased the amount of the local

anesthesia molecules that can penetrate to nerves during infiltration

injections)

due to the thickness of cortical bone, which is a good option for local

anesthetic in the mandibular arch during infiltrations? - ANSWER✔✔-

Articaine (Septocaine) is sometimes effective for mand. infiltrations

(4% vs. 2% for lidocaine)




due to the increased number of molecules

hematomas are most common with which type of injection, and why? -

ANSWER✔✔-PSA due to nicking a vessel in the pterygoid plexus of veins

,what is the TX for a hematoma? - ANSWER✔✔-pressure, cold
compresses on/off, NSAIDS, and time.

a positive aspiration when administering a PSA is due to what? -

ANSWER✔✔-aspirating hemorrhage caused by injection


what are the three most common locations for hematomas to occur? -
ANSWER✔✔-1. PSA

2. IA


3. mental


blanching of the tissue following/during an injection is caused by what?

- ANSWER✔✔vasospasm/vasoconstriction caused by epinephrine or

brushing against autonomic nerves stimulation vasospasm


the pterygomandibular space/triangle is bordered by what anatomical

structures? - ANSWER✔✔-ramus, lateral pterygoid muscle, and medial

pterygoid muscle

, the pterygomandibular space/triangle is identified intra-orally by what?

- ANSWER✔✔-pterygoid hamulus (palpation), coronoid notch

(palpation), and pterygomandibular raphe (visual)




Antero-posteriorly, the greater palatine foramen is located between the

___________________________. - ANSWER✔✔-middle oft he

maxillary second molar and the middle of the third molar in about 80-

90% of patients.


all arteries leading to the oral cavity receive blood from what? -

ANSWER✔✔-external carotid (most are direct or indirect branches from

the maxillary artery with the exception of the lingula -- this is a direct

branch from the external carotid)


veins from the oral cavity will drain into what? - ANSWER✔✔-internal

jugular (both internal and external drain into the brachiocephalic veins

which drain to the superior vena cava

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