Local Anesthesia Trivia Questions: Quiz

25 Questions | Total Attempts: 3279

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Anesthesia Quizzes & Trivia

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Questions and Answers
  • 1. 
    Of the following which is the MOST important prior to performing dental treatment including giving local anesthesia?
    • A. 

      Vital signs to determine the baseline in the event of an emergency

    • B. 

      Visual inspection to determine the overall physical state of the patient

    • C. 

      Dialogue history, to ensure the patient has answered truthfully

    • D. 

      Medical history questionnaire, thoroughly reviewed and updated

    • E. 

      Treatment plan and patient consent forms completed

  • 2. 
    • A. 

      To reduce the risk of syncope

    • B. 

      To speed the onset of anesthesia

    • C. 

      To keep the syringe out of a patient's sight

    • D. 

      To ensure clinician caan obtain a firm hand rest

    • E. 

      To slow the absorption of anesthetic into bloodstream

  • 3. 
    Which of the following is the best patient positioning while delivering local anesthetic?
    • A. 

      Knees above sea level

    • B. 

      Heart and hands parallel to the floor

    • C. 

      Head and heart parallel to the floor

    • D. 

      Toes above the nose

    • E. 

      Hear and heart parallel, toes slightly elevated

  • 4. 
    The main reason to inject slowly is to accomplish which of the following?
    • A. 

      Make the injection as comfortable as possible

    • B. 

      Not disturb the homeostasis of the tissues

    • C. 

      Lessen the chance of anesthetic overdose

    • D. 

      Ensure you are not in a blood vessel

    • E. 

      Lessen the chance of a hematoma developing

  • 5. 
    The nerve that can be inadvertently anesthetized during an IA injection is what?
    • A. 

      Facial nerve

    • B. 

      Trigeminal nerve

    • C. 

      Zygomatic nerve

    • D. 

      Middle meningeal nerve

    • E. 

      Buccal nerve

  • 6. 
    Which of the following injection types will provide the longest duration?
    • A. 

      Nerve block

    • B. 

      Field block

    • C. 

      Supraperiosteal

    • D. 

      Infiltration

    • E. 

      Intrasseptal

  • 7. 
    The maxillary division of the Trigeminal nerve travels anteriorly and downward to exit the cranium through which foramen?
    • A. 

      Ovale

    • B. 

      Spinosum

    • C. 

      Magnum

    • D. 

      Rotundum

    • E. 

      Superior orbital

  • 8. 
    Following the administration of a right PSA nerve block, the patient complains that tooth #3 is still sensitive.  What is most likely the cause of this?
    • A. 

      Deposition was too low

    • B. 

      Deposition was too anterior

    • C. 

      The mesiobuccal root of the 1st molar was not anesthetized with the PSA

    • D. 

      Local anesthetic solution has probably expired

    • E. 

      Insufficient amount of anesthetic deposited

  • 9. 
    In order to have a proper duration of a PSA, how much total anesthetic will you give?
    • A. 

      0.6-0.9 ml

    • B. 

      0.9-1.8 ml

    • C. 

      1.5-1.8 ml

    • D. 

      0.9-1.2 ml

    • E. 

      .45-.9 ml

  • 10. 
    The Vazirani-Akinosi mandibular technique is recommended for what type of patients?
    • A. 

      Children

    • B. 

      Large boned

    • C. 

      Reduced opening

    • D. 

      Enlarged tongue

    • E. 

      Autistic

  • 11. 
    Pressure syringes are primarily designed to deliver what type of injection?
    • A. 

      Palatal

    • B. 

      Intraosseous

    • C. 

      Intraseptal

    • D. 

      Periodontal ligament

    • E. 

      Incisive/mental

  • 12. 
    If a right-handed clinician contacts bone too soon (one half penetration depth or less) on the left IA nerve block, what should be done?
    • A. 

      Withdraw and select a penetration site more posterior

    • B. 

      Immediately redirect needle/syringe more laterally

    • C. 

      Withdraw slightly, redirect needle/syringe more medially

    • D. 

      Withdraw and select a penetration site more medially

    • E. 

      Withdraw slightly, redirect needle/syringe more laterally

  • 13. 
    What is the recommended amount of anesthetic deposited for the Gow-Gates injection technique?
    • A. 

      1.5 ml

    • B. 

      1.8 ml

    • C. 

      1.2 ml

    • D. 

      1.3 ml

    • E. 

      1.0 ml

  • 14. 
    What type of injection is contraindicated in primary teeth?
    • A. 

      Intraosseous

    • B. 

      Infraorbital

    • C. 

      Periodontal ligament

    • D. 

      Posterior superior alveolar

    • E. 

      Inferior alveolar

  • 15. 
    Applying topical for longer than indicated can result in sloughing of the tissues - this is officially called what?
    • A. 

      Epithelial desquamation

    • B. 

      Sterile abscess

    • C. 

      Cheek rot

    • D. 

      White lacy striations

    • E. 

      Epithelial dysplasia

    • F. 

      Epithelial dysplasia

  • 16. 
    Persistent paresthesia following a local anesthetic injection.
    • A. 

      Is always preventable

    • B. 

      Is often caused by a needle penetrating the cheek

    • C. 

      Is always reversible

    • D. 

      Is desirable

    • E. 

      Is the most common on the tip/side of the tongue

  • 17. 
    Trismus is best defined as what?
    • A. 

      A low grade infection

    • B. 

      A holiday in December

    • C. 

      Anesthesia that doesn't "wear off"

    • D. 

      Trauma to muscles and/or blood vessels

    • E. 

      A flooding or pooling of blood

  • 18. 
    An epinephrine overdose reaction.
    • A. 

      Usually requires formal management

    • B. 

      Requires placing the patient in a supine position

    • C. 

      May manifest as anxiety or restlessness

    • D. 

      Minimally affects blood pressure and heart rate

    • E. 

      Indicates an epinephrine allergy

  • 19. 
    A patient suffering from local anesthetic overdose induced seizures should be given what?
    • A. 

      Oxygen only

    • B. 

      Glucose

    • C. 

      Oxygen and diazepam

    • D. 

      Oxygen and epinephrine

    • E. 

      Oxygen and diphenhydramine

  • 20. 
    After administering topical Benzocaine 20% and 3% Mepivacaine with epinephrine 1:100,000, the patient complains of intense itching of the face and is feeling a tightening in the throat.  What is most likely the cause of this reaction?
    • A. 

      The patient is experiencing psychogenic anxiety

    • B. 

      The anesthetic was injected too rapidly

    • C. 

      The patient is having a reaction to the epinephrine

    • D. 

      The patient is allergic to the Benzocaine

    • E. 

      The patient is having an idiosyncratic reaction

  • 21. 
    All of the following are acceptable alternatives for an anesthetic-allergic patient except one, which is the exception?
    • A. 

      Hypnosis

    • B. 

      Electronic dental anesthesia

    • C. 

      Use limited amounts of esters

    • D. 

      Use general anesthesia

    • E. 

      Use limited amounts of sterile Benadryl

  • 22. 
    All of the following patients represent a potential for a local anesthetic overdose except one, which is the exception?
    • A. 

      Pregnant women

    • B. 

      Patients with hepatitis

    • C. 

      A marathon runner

    • D. 

      Highly anxious patients

    • E. 

      A sweet little child

  • 23. 
    If a patient has an allergy to esters, which of the following topical anesthetics should not be used?
    • A. 

      Lidocaine

    • B. 

      Denti-patch

    • C. 

      Benzocaine

    • D. 

      Pressure

    • E. 

      Betadine

  • 24. 
    You administer 2% lidocaine with epinephrine 1:50,000 into the palate of your patient.  Three days later, they call complaining of a large sore on the roof of their mouth.  What is the sore MOST likely to be?
    • A. 

      Herpes simplex virus

    • B. 

      Aphthous ulcer

    • C. 

      Epithelial desquamation

    • D. 

      Sterile abscess

    • E. 

      Necrotizing sialiometaplasia

  • 25. 
    Your patient is a 190 lb man.  He was scheduled with the dentist prior to seeing you today.  The dentist used 3 cartridges of 4% Articaine with epinephrine 1:100,000.  He is becoming sensitive during root planing and scaling.  How many additional cartridges of 2% lidocaine with epinephrine 1:100,000 can he have?
    • A. 

      2.3

    • B. 

      4.5

    • C. 

      7.3

    • D. 

      3.8

    • E. 

      1.9