LOCAL ANESTHESIA MOCK EXAM AND LOCAL
ANESTHESIA MOCK BOARD EXAM ACTUAL EXAM 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
The maxillary division exits the skull through which foramen? - ANSWER: foramen
rotundum
The mandibular division exits the skull through which foramen? - ANSWER: foramen
ovale
The ophthalmic division exits the skull through which foramen? - ANSWER: superior
orbital fissure
what division of the trigeminal nerve is the largest? - ANSWER: mandibular-v3
inadvertent anesthesia of facial nerve can occur with which injection? - ANSWER: IA-
inferior alveolar injection
what is the purpose of the bevel? - ANSWER: decrease deflection
is topical (benzocaine) absorbed systemically? - ANSWER: no
What cause would you expect if a patient had a lesion on the lower lip the day after?
- ANSWER: trauma
Which one transmits impulses faster? A myelinated nerve or unmyelinated nerve -
ANSWER: myelinated
How should you recap a needle? - ANSWER: One-handed scoop technique
Should the bevel be towards or away from bone? - ANSWER: against/towards bone
When do you aspirate? - ANSWER: right before anesthetic is deposited
what part of the syringe indicates it is an aspirating syringe? - ANSWER: harpoon
What tissue is local anesthetic least effective on? - ANSWER: keratinized/palatal
what local anesthetic is metabolized by pseudocholinesterase? - ANSWER: esters
where are amides metabolized? - ANSWER: liver
Which antiseptic should not be used? - ANSWER: alcohol
, the coronoid notch is a landmark for which injection? - ANSWER: inferior alveolar
what could happen if you insert the needle into the hub? - ANSWER: breakage
what is the possible cause of pain upon removal of the needle? - ANSWER: needle
barb
how does a self aspirating syringe work? - ANSWER: when you let off pressure, it
aspirates
what is the maximum recommended dose for a normal patient - ANSWER: 0.2 mg
what is the maximum recommended dose for a cardiac patient? - ANSWER: 0.04 mg
What causes a hematoma? - ANSWER: Injecting in the pterygoid plexus during a PSA
injection
how much volume is in a single cartridge of LA? - ANSWER: 1.8 (1.7 ml)
How much volume is in 2 cartridges? - ANSWER: 3.6 ml (3.4)
which needle gauge is the smallest? - ANSWER: 30
which needle gauge is the largest? - ANSWER: 25
what function does sodium chloride provide in LA solutions? - ANSWER: makes it
isotonic
what is the antioxidant in la that prevents biodegradation of la? - ANSWER: sodium
bisulfite (not sulfide)
what is the action of vasopressors? (epi is a vasopressor) - ANSWER: increases
duration
How much epi in one cartridge of 2% lidocaine with 1:100,000 epi? -
ANSWER: .018mg
what is the common cause of needle breakage? - ANSWER: sudden movement of
patient
if a patient receives an electric shock during delivery of anesthetic, what happened?
- ANSWER: touched the nerve sheath
why does infiltration work better in the maxilla than the mandible? - ANSWER: bone
density-more dense in mandible
ANESTHESIA MOCK BOARD EXAM ACTUAL EXAM 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
The maxillary division exits the skull through which foramen? - ANSWER: foramen
rotundum
The mandibular division exits the skull through which foramen? - ANSWER: foramen
ovale
The ophthalmic division exits the skull through which foramen? - ANSWER: superior
orbital fissure
what division of the trigeminal nerve is the largest? - ANSWER: mandibular-v3
inadvertent anesthesia of facial nerve can occur with which injection? - ANSWER: IA-
inferior alveolar injection
what is the purpose of the bevel? - ANSWER: decrease deflection
is topical (benzocaine) absorbed systemically? - ANSWER: no
What cause would you expect if a patient had a lesion on the lower lip the day after?
- ANSWER: trauma
Which one transmits impulses faster? A myelinated nerve or unmyelinated nerve -
ANSWER: myelinated
How should you recap a needle? - ANSWER: One-handed scoop technique
Should the bevel be towards or away from bone? - ANSWER: against/towards bone
When do you aspirate? - ANSWER: right before anesthetic is deposited
what part of the syringe indicates it is an aspirating syringe? - ANSWER: harpoon
What tissue is local anesthetic least effective on? - ANSWER: keratinized/palatal
what local anesthetic is metabolized by pseudocholinesterase? - ANSWER: esters
where are amides metabolized? - ANSWER: liver
Which antiseptic should not be used? - ANSWER: alcohol
, the coronoid notch is a landmark for which injection? - ANSWER: inferior alveolar
what could happen if you insert the needle into the hub? - ANSWER: breakage
what is the possible cause of pain upon removal of the needle? - ANSWER: needle
barb
how does a self aspirating syringe work? - ANSWER: when you let off pressure, it
aspirates
what is the maximum recommended dose for a normal patient - ANSWER: 0.2 mg
what is the maximum recommended dose for a cardiac patient? - ANSWER: 0.04 mg
What causes a hematoma? - ANSWER: Injecting in the pterygoid plexus during a PSA
injection
how much volume is in a single cartridge of LA? - ANSWER: 1.8 (1.7 ml)
How much volume is in 2 cartridges? - ANSWER: 3.6 ml (3.4)
which needle gauge is the smallest? - ANSWER: 30
which needle gauge is the largest? - ANSWER: 25
what function does sodium chloride provide in LA solutions? - ANSWER: makes it
isotonic
what is the antioxidant in la that prevents biodegradation of la? - ANSWER: sodium
bisulfite (not sulfide)
what is the action of vasopressors? (epi is a vasopressor) - ANSWER: increases
duration
How much epi in one cartridge of 2% lidocaine with 1:100,000 epi? -
ANSWER: .018mg
what is the common cause of needle breakage? - ANSWER: sudden movement of
patient
if a patient receives an electric shock during delivery of anesthetic, what happened?
- ANSWER: touched the nerve sheath
why does infiltration work better in the maxilla than the mandible? - ANSWER: bone
density-more dense in mandible
