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