#15 has a perio abscess and you've already given the PSA - what other injection
will you need to numb the linguals of tooth 15? Ans✓✓✓ Greater Palatine
A barbed needle causes pain upon:
A. Insertion
B. Withdrawal
C. Deposition of anesthetic
D. Aspiration Ans✓✓✓ B. Withdrawal
A central incisor has a periodontal defect on the lingual root surface, which
injection would you use? Ans✓✓✓ Nasopalatine
After the administration of a local anesthetic, what causes a droopy eyelid?
A. Depositing the solution in the parotid gland
B. Depositing the solution medial to the mandibular foramen
C. Depositing the solution above the infraorbital foramen
D. Depositing the solution at the anteromedial border of the neck of the
mandibular condyle Ans✓✓✓ A. Depositing the solution in the parotid gland
At the first indication of a hematoma, the clinician should:
A. Apply ice to the area
B. Apply heat to the area
C. Apply pressure to the area
,D. Apply ice for 10 minutes followed by heat for 10 minutes Ans✓✓✓ C. Apply
pressure to the area
Delayed signs and symptoms of an allergic reaction are more intense and serious.
If skin reactions develop immediately following the injection, anaphylaxis may
occur.
A. Both statements are true.
B. Both statements are false.
C. The first statement is true; the second statement is false.
D. The first statement is false; the second statement is true. Ans✓✓✓ D. The first
statement is false; the second statement is true.
Do myelinated nerves travel faster or slower than unmyeliated nerves? Ans✓✓✓
Myelinated nerves travel faster than unmyelinated
During manufacturing, local anesthetics are formulated as which of the following
to render them water-soluble?
A. Muriatic acid
B. Sodium bisulfite
C. Hydrochloride salt
D. Sodium bicarbonate Ans✓✓✓ C. Hydrochloride salt
During the inferior alveolar block the patient feels a sudden electrical shock. This
is due to:
A. The needle touching the inferior alveolar nerve
B. The needle touching the lingual nerve
, C. The needle touching the buccal nerve
D. The needle touching the pterygomandibular raphe Ans✓✓✓ B. The needle
touching the lingual nerve
Hematoma can occur if needle penetrates into the pterygoid plexus of veins
during which injection? Ans✓✓✓ PSA
How can the clinician correct the problem of hitting bone while administering the
PSA injection?
A. The needle needs to be bent slightly in order to accomplish the necessary
needle angulation.
B. The syringe needs to be farther away from the occlusal plane, thereby
increasing the angle to more than 45 degrees.
C. The syringe needs to be closer to the occlusal plane, thereby reducing the angle
to less than 45 degrees.
D. The patient most likely has a larger size skull, so a long needle should be
utilized for patient comfort. Ans✓✓✓ C. The syringe needs to be closer to the
occlusal plane, thereby reducing the angle to less than 45 degrees.
How do you calculate the amount of epinephrine in a solution? Ans✓✓✓ 1%
solution = 10 X 1.8 (or 1.7) = 18mg (or 17mg)
2% solution = 20 X 1.8 (or 1.7) = 36mg (or 34 mg)
3% solution = 30 X 1.8 (or 1.7) = 54 mg (or 51 mg)
How do you manage an allergic reaction? Ans✓✓✓ - For an immediate reaction,
give epinephrine