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1. What is the most commonly used local anesthetic?
A) Bupivacaine
B) Lidocaine
C) Procaine
D) Ropivacaine
Answer: B
2. What is the safe dosage range for lidocaine?
A) 1–2 mg/kg
B) 3–5 mg/kg
C) 6–8 mg/kg
D) 10–12 mg/kg
Answer: B
3. What is the primary advantage of bupivacaine over lidocaine?
A) Faster onset of action
B) Lower risk of allergic reaction
C) Longer duration of action (2–4 hours)
D) Safer in pregnancy
Answer: C
4. What is the safe dosage range for bupivacaine?
A) 1–2 mg/kg
B) 2–3 mg/kg
C) 4–5 mg/kg
, D) 6–7 mg/kg
Answer: B
5. What is the purpose of adding bicarbonate to local anesthetics?
A) To prolong duration of action
B) To reduce the sting/pain of injection
C) To increase potency
D) To prevent allergic reactions
Answer: B
6. What is the role of epinephrine in local anesthesia?
A) It speeds systemic absorption
B) It controls bleeding via vasoconstriction and may allow increased lidocaine
dosage
C) It reduces the duration of anesthesia
D) It numbs the skin independently
Answer: B
7. In which anatomic areas is epinephrine contraindicated for local anesthesia?
A) Scalp, chest, back, thigh
B) Fingers, toes, nose, penis, and jagged lacerations
C) Abdomen, forearm, calf
D) Face, neck, shoulder
Answer: B
Digital Blocks
8. What is a digital block primarily used for?
A) Anesthetizing the entire limb
B) Easy-to-find nerves; useful for deep lacerations of the digits
C) Numbing the scalp
D) Reducing joint dislocations
Answer: B
9. What should you do if strong shocks (paresthesias) are felt during a digital block
injection?