TEST BANK
Anatomy of Orofacial Structures,
9th Edition by Richard W. Brand
Complete Chapter Test Bank
are included (Ch 1 to 36)
** Immediate Download
** Swift Response
** All Chapters included
,Table of Contents are given below
1. Oral Cavity
2. The Tooth: Functions and Terms
3. Fundamental and Preventative Curvatures
4. Dentition
5. Development, Form, and Eruption
6. Occlusion
7. Dental Anomalies
8. Supporting Structures
9. Clinical Considerations
10. Tooth Identification
11. Root Morphology
12. Incisors
13. Canines
14. Premolars
15. Molars
16. Deciduous Dentition
17. Basic Tissues
18. Development of Orofacial Complex
19. Dental Lamina and Enamel Organ
20. Enamel, Dentin, and Pulp
21. Root Formation and Attachment Apparatus
22. Eruption and Shedding of Teeth
23. Oral Mucous Membrane
24. The Tongue
25. Histology of the Salivary Glands
26. Osteology of the Skull
27. Nose, Nasal Cavity, and Paranasal Sinuses
28. Muscles of Mastication, Hyoid Muscles, and Sternocleidomastoid and Trapezius Muscles
29. Temporomandibular Joint
30. Muscles of Facial Expression
31. Soft Palate and Pharynx
32. Arterial Supply and Venous Drainage
33. Salivary Glands
34. Nervous System
35. Lymphatics and Spread of Dental Infection
36. Anatomical Considerations in Local Anesthesia
,Chapter 36: Anatomic Considerations of Local Anesthesia
Brand/Isselhard: Anatomy of Orofacial Structures, 9th Edition
MULTIPLE CHOICE
1. The buccal bone of the maxilla is much less porous than that of the mandible. This makes it
easier for the anesthetic solution to penetrate the buccal bone of the maxilla and reach the
apices of the maxillary teeth.
a. Both statements are true.
b. The first statement is true; the second statement is false.
c. The first statement is false; the second statement is true.
d. Both statements are false.
ANS: C
The buccal bone of the maxilla is much more porous than that of the mandible.
REF: p. 372
OBJ: To understand the anatomy of the maxillary nerve as it relates to administration of local
anesthesia | To understand the anatomy associated with mandibular blocks
NAT: CDA: GC I. Evaluation, B. Head, neck and oral cavity, including but not limited to: 8.
muscular/skeletal system. TOP: BLOOM: Understanding
2. None of the following anesthetics can be used for mandibular supraperiosteal injections
EXCEPT one. Which one is the EXCEPTION?
a. Lidocaine
b. Articaine
c. Mepivacaine
d. Prilocaine
ANS: B
Only articaine effectively penetrates the mandibular bone. One cannot use lidocaine,
mepivacaine, or prilocaine which are the most common local anesthetic agents because they
do not effectively penetrate the denser mandibular bone.
REF: p. 373 OBJ: To understand the anatomy associated with mandibular blocks
NAT: CDA: GC I. Evaluation, B. Head, neck and oral cavity, including but not limited to: 8.
muscular/skeletal system. TOP: BLOOM: Remembering
3. All of the following are major concerns with nerve blocks EXCEPT one. Which one is the
EXCEPTION?
a. Bruising
b. Injecting into a blood vessel
c. Tearing a blood vessel
d. Puncturing a nerve
ANS: A
, Anesthetic solution injected into a blood vessel continues on the path of that blood vessel.
Anesthetic delivered into the posterior alveolar vein travels into the facial vein and the
maxillary vein both leading into the internal jugular vein and then into the brachiocephalic
vein and eventually to the lungs and the heart where it is pumped all over the body. A patient
could therefore feel numbness in their toes, ears, or even fingers. If this anesthetic contained a
vasoconstrictor unwanted serious cardiovascular events could result. Everything from fainting
to a stroke or even a heart attack could occur.
REF: p. 374
OBJ: To understand the major concerns associated with different local anesthetic nerve blocks
NAT: CDA: GC I. Evaluation, B. Head, neck and oral cavity, including but not limited to: 8.
muscular/skeletal system. TOP: BLOOM: Remembering
4. A crossover effect is created when nerves and blood vessels do not stop at the midline because
some nerve branches crossover into an area innervated by another adjacent nerve.
a. Both the statement and the reason are correct and related.
b. Both the statement and the reason are correct but are NOT related.
c. The statement is correct, but the reason is NOT correct.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.
ANS: A
If the crossover nerve comes from the right side at the midline, it innervates something on the
left side. Giving an anesthetic on the left side in this case does not work because the nerve that
crossed over from the right innervates this area. When dealing with anesthetics in the areas of
the central incisors it is sometimes necessary to anesthetize both sides due to this crossover
effect. Crossover nerves occur not only at the midline but between areas affected by different
nerve branches. A crossover effect can also occur at the junction between areas adjacent to
each other but typically innervated by two different nerve branches. If one nerve block does
not affect the desired target area, a second nerve block (that normally serves the adjacent area)
might be required.
REF: p. 377
OBJ: To understand the anatomy of the maxillary nerve as it relates to administration of local
anesthesia
NAT: CDA: GC I. Evaluation, B. Head, neck and oral cavity, including but not limited to: 8.
muscular/skeletal system. TOP: BLOOM: Understanding
5. There are three palatal nerve blocks that provide anesthesia to the palatal periodontium and
gingiva; they affect only the lingual tissues.
a. Both statements are true.
b. The first statement is true; the second statement is false.
c. The first statement is false; the second statement is true.
d. Both statements are false.
ANS: C
There are two palatal nerve blocks that provide anesthesia to the palatal periodontium and
gingiva (nasopalatine and greater palatine). Neither of these two blocks anesthetizes the pulp
of teeth nor the associated buccal periosteum and gingiva; only lingual tissues are affected.
REF: p. 377
Anatomy of Orofacial Structures,
9th Edition by Richard W. Brand
Complete Chapter Test Bank
are included (Ch 1 to 36)
** Immediate Download
** Swift Response
** All Chapters included
,Table of Contents are given below
1. Oral Cavity
2. The Tooth: Functions and Terms
3. Fundamental and Preventative Curvatures
4. Dentition
5. Development, Form, and Eruption
6. Occlusion
7. Dental Anomalies
8. Supporting Structures
9. Clinical Considerations
10. Tooth Identification
11. Root Morphology
12. Incisors
13. Canines
14. Premolars
15. Molars
16. Deciduous Dentition
17. Basic Tissues
18. Development of Orofacial Complex
19. Dental Lamina and Enamel Organ
20. Enamel, Dentin, and Pulp
21. Root Formation and Attachment Apparatus
22. Eruption and Shedding of Teeth
23. Oral Mucous Membrane
24. The Tongue
25. Histology of the Salivary Glands
26. Osteology of the Skull
27. Nose, Nasal Cavity, and Paranasal Sinuses
28. Muscles of Mastication, Hyoid Muscles, and Sternocleidomastoid and Trapezius Muscles
29. Temporomandibular Joint
30. Muscles of Facial Expression
31. Soft Palate and Pharynx
32. Arterial Supply and Venous Drainage
33. Salivary Glands
34. Nervous System
35. Lymphatics and Spread of Dental Infection
36. Anatomical Considerations in Local Anesthesia
,Chapter 36: Anatomic Considerations of Local Anesthesia
Brand/Isselhard: Anatomy of Orofacial Structures, 9th Edition
MULTIPLE CHOICE
1. The buccal bone of the maxilla is much less porous than that of the mandible. This makes it
easier for the anesthetic solution to penetrate the buccal bone of the maxilla and reach the
apices of the maxillary teeth.
a. Both statements are true.
b. The first statement is true; the second statement is false.
c. The first statement is false; the second statement is true.
d. Both statements are false.
ANS: C
The buccal bone of the maxilla is much more porous than that of the mandible.
REF: p. 372
OBJ: To understand the anatomy of the maxillary nerve as it relates to administration of local
anesthesia | To understand the anatomy associated with mandibular blocks
NAT: CDA: GC I. Evaluation, B. Head, neck and oral cavity, including but not limited to: 8.
muscular/skeletal system. TOP: BLOOM: Understanding
2. None of the following anesthetics can be used for mandibular supraperiosteal injections
EXCEPT one. Which one is the EXCEPTION?
a. Lidocaine
b. Articaine
c. Mepivacaine
d. Prilocaine
ANS: B
Only articaine effectively penetrates the mandibular bone. One cannot use lidocaine,
mepivacaine, or prilocaine which are the most common local anesthetic agents because they
do not effectively penetrate the denser mandibular bone.
REF: p. 373 OBJ: To understand the anatomy associated with mandibular blocks
NAT: CDA: GC I. Evaluation, B. Head, neck and oral cavity, including but not limited to: 8.
muscular/skeletal system. TOP: BLOOM: Remembering
3. All of the following are major concerns with nerve blocks EXCEPT one. Which one is the
EXCEPTION?
a. Bruising
b. Injecting into a blood vessel
c. Tearing a blood vessel
d. Puncturing a nerve
ANS: A
, Anesthetic solution injected into a blood vessel continues on the path of that blood vessel.
Anesthetic delivered into the posterior alveolar vein travels into the facial vein and the
maxillary vein both leading into the internal jugular vein and then into the brachiocephalic
vein and eventually to the lungs and the heart where it is pumped all over the body. A patient
could therefore feel numbness in their toes, ears, or even fingers. If this anesthetic contained a
vasoconstrictor unwanted serious cardiovascular events could result. Everything from fainting
to a stroke or even a heart attack could occur.
REF: p. 374
OBJ: To understand the major concerns associated with different local anesthetic nerve blocks
NAT: CDA: GC I. Evaluation, B. Head, neck and oral cavity, including but not limited to: 8.
muscular/skeletal system. TOP: BLOOM: Remembering
4. A crossover effect is created when nerves and blood vessels do not stop at the midline because
some nerve branches crossover into an area innervated by another adjacent nerve.
a. Both the statement and the reason are correct and related.
b. Both the statement and the reason are correct but are NOT related.
c. The statement is correct, but the reason is NOT correct.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.
ANS: A
If the crossover nerve comes from the right side at the midline, it innervates something on the
left side. Giving an anesthetic on the left side in this case does not work because the nerve that
crossed over from the right innervates this area. When dealing with anesthetics in the areas of
the central incisors it is sometimes necessary to anesthetize both sides due to this crossover
effect. Crossover nerves occur not only at the midline but between areas affected by different
nerve branches. A crossover effect can also occur at the junction between areas adjacent to
each other but typically innervated by two different nerve branches. If one nerve block does
not affect the desired target area, a second nerve block (that normally serves the adjacent area)
might be required.
REF: p. 377
OBJ: To understand the anatomy of the maxillary nerve as it relates to administration of local
anesthesia
NAT: CDA: GC I. Evaluation, B. Head, neck and oral cavity, including but not limited to: 8.
muscular/skeletal system. TOP: BLOOM: Understanding
5. There are three palatal nerve blocks that provide anesthesia to the palatal periodontium and
gingiva; they affect only the lingual tissues.
a. Both statements are true.
b. The first statement is true; the second statement is false.
c. The first statement is false; the second statement is true.
d. Both statements are false.
ANS: C
There are two palatal nerve blocks that provide anesthesia to the palatal periodontium and
gingiva (nasopalatine and greater palatine). Neither of these two blocks anesthetizes the pulp
of teeth nor the associated buccal periosteum and gingiva; only lingual tissues are affected.
REF: p. 377
