Anesthesia Mock Exam UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Where does the mandibular nerve pass through in the skull? - CORRECT ANSWER -
Foramen Ovale
What is the maxillary division of the trigeminal nerve? - CORRECT ANSWER - Sensory
Which nerve is NOT associated with the mandibular nerve branch? - CORRECT
ANSWER - Infraorbital nerve
Which teeth does the PSA injection innervate? - CORRECT ANSWER - 1st, 2nd, and 3rd
maxillary molars
* Does not innervate the mesiobuccal cusp of the maxillary 1st molar
Which injection is needed to anesthetize linguals of maxillary anteriors? - CORRECT
ANSWER - Nasopalatine
Which injections are needed to anesthetize the entire palate on one side? - CORRECT
ANSWER - Greater Palatine & Nasopalatine
How far do you insert the needle on an IANB? - CORRECT ANSWER - 20-25 mm or 3/4
the length of the needle
What happens during depolarization? - CORRECT ANSWER - - Sodium comes in
- Potassium goes out
,When do you aspirate? - CORRECT ANSWER - Right before anesthetic is deposited
* This makes sure you do not insert the needle into a blood vessel
Which type of local anesthetic is metabolized by pseudocholinesterase (PABA)? - CORRECT
ANSWER - Esters
What kind of tissue is topical anesthetic least effective on? - CORRECT ANSWER -
Keratinized tissues
What is true about topical anesthetics? - CORRECT ANSWER - There are no systemic
problems with them
Which Ester has the highest occurrence of allergic reactions? - CORRECT ANSWER -
Ester option; Benzocaine
* Only applied topically
What is the significance of giving an amide anesthetic to a patient with Cirrhosis? - CORRECT
ANSWER - The amide anesthetic is metabolized by the liver
What is the landmark for the IANB injection? - CORRECT ANSWER - Coronoid notch
Psychogenic pain - CORRECT ANSWER - No organic base for the pain
What is the maximum epinephrine dose for cardiac & normal patients? - CORRECT
ANSWER - Cardiac- .04mg
Normal- .2mg
, What is trismus? - CORRECT ANSWER - Limited opening of mouth
Management of hematoma - CORRECT ANSWER - Cold compression & pressure to
bleeding site
Management of trismus - CORRECT ANSWER - - Heat therapy
- Saline rinses
- Asprin
- Jaw exercises
Hematoma can occur if needle penetrates into the pterygoid plexus of veins during which
injection? - CORRECT ANSWER - PSA
What needle should be used for infiltration? - CORRECT ANSWER - 27 short
What is the solution volume of a single cartridge of LA? - CORRECT ANSWER - 1.7-1.8
ml
Which antioxidant prevents biodegration of LA by stoping oxidation of a vasopressor? -
CORRECT ANSWER - Sodium bisulfite
What do vasopressors do? - CORRECT ANSWER - - Increases duration of LA
- Hemostasis (stops blood flow)
- Reduces chance of toxicity
What would cause a dry cornea? - CORRECT ANSWER - Anesthetizing the facial nerve
(VII)
ACTUAL Exam Questions and CORRECT
Answers
Where does the mandibular nerve pass through in the skull? - CORRECT ANSWER -
Foramen Ovale
What is the maxillary division of the trigeminal nerve? - CORRECT ANSWER - Sensory
Which nerve is NOT associated with the mandibular nerve branch? - CORRECT
ANSWER - Infraorbital nerve
Which teeth does the PSA injection innervate? - CORRECT ANSWER - 1st, 2nd, and 3rd
maxillary molars
* Does not innervate the mesiobuccal cusp of the maxillary 1st molar
Which injection is needed to anesthetize linguals of maxillary anteriors? - CORRECT
ANSWER - Nasopalatine
Which injections are needed to anesthetize the entire palate on one side? - CORRECT
ANSWER - Greater Palatine & Nasopalatine
How far do you insert the needle on an IANB? - CORRECT ANSWER - 20-25 mm or 3/4
the length of the needle
What happens during depolarization? - CORRECT ANSWER - - Sodium comes in
- Potassium goes out
,When do you aspirate? - CORRECT ANSWER - Right before anesthetic is deposited
* This makes sure you do not insert the needle into a blood vessel
Which type of local anesthetic is metabolized by pseudocholinesterase (PABA)? - CORRECT
ANSWER - Esters
What kind of tissue is topical anesthetic least effective on? - CORRECT ANSWER -
Keratinized tissues
What is true about topical anesthetics? - CORRECT ANSWER - There are no systemic
problems with them
Which Ester has the highest occurrence of allergic reactions? - CORRECT ANSWER -
Ester option; Benzocaine
* Only applied topically
What is the significance of giving an amide anesthetic to a patient with Cirrhosis? - CORRECT
ANSWER - The amide anesthetic is metabolized by the liver
What is the landmark for the IANB injection? - CORRECT ANSWER - Coronoid notch
Psychogenic pain - CORRECT ANSWER - No organic base for the pain
What is the maximum epinephrine dose for cardiac & normal patients? - CORRECT
ANSWER - Cardiac- .04mg
Normal- .2mg
, What is trismus? - CORRECT ANSWER - Limited opening of mouth
Management of hematoma - CORRECT ANSWER - Cold compression & pressure to
bleeding site
Management of trismus - CORRECT ANSWER - - Heat therapy
- Saline rinses
- Asprin
- Jaw exercises
Hematoma can occur if needle penetrates into the pterygoid plexus of veins during which
injection? - CORRECT ANSWER - PSA
What needle should be used for infiltration? - CORRECT ANSWER - 27 short
What is the solution volume of a single cartridge of LA? - CORRECT ANSWER - 1.7-1.8
ml
Which antioxidant prevents biodegration of LA by stoping oxidation of a vasopressor? -
CORRECT ANSWER - Sodium bisulfite
What do vasopressors do? - CORRECT ANSWER - - Increases duration of LA
- Hemostasis (stops blood flow)
- Reduces chance of toxicity
What would cause a dry cornea? - CORRECT ANSWER - Anesthetizing the facial nerve
(VII)
