Anesthesia Mock Exam UPDATED
Questions and CORRECT 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)
- The facial nerve can be anesthetized if bone is not contacted during an IANB injection and
anesthetic is deposited into the parotid gland causing bell's palsy
Questions and CORRECT 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)
- The facial nerve can be anesthetized if bone is not contacted during an IANB injection and
anesthetic is deposited into the parotid gland causing bell's palsy
