Dental Anesthesia Test 0% 0 votes, 0 avg 0 You will have 60 minutes to complete all the questions. After the timer reaches 60 minutes, the exam will end and be saved automatically. Good luck! *Fingers crossed* The timer has been reached. The exam has now been terminated and saved. Dental Anesthesia Test 1 / 60 The area used to anesthetized the maxillary premolars, corresponding alveolus, and buccal gingival tissue is called a. MSA nerve block b. ASA nerve block c. PSA nerve block d. Naso palatine nerve block 2 / 60 Which one of the following agents is classified as the intermediate one? a. Prilocaine HCL 4% b. Mepivacaine 3% c. Articaine HCL 4% d. Bupivacaine HCL 0.5% 3 / 60 At what time are professionals MOST at risk for a needle stick? a. Unsheathing the needle b. Giving the injection c. Assembling the syringe d. Recapping e. Disassembly of syringe 4 / 60 Most local anesthetic agents is consist of 😕 a. Intermediate chain (commonly including an ester or amide) b. amino group c. Lipophilic group (frequently an aromatic ring) d. All of the above 5 / 60 Surface activity and low toxic potential? a. procaine b. Benzocaine c. Bupivacaine d. Lidocaine e. Cocaine 6 / 60 In the dental office, the MOST important consideration when selecting a syringe type is the ability of the following:? a. Accept a 30 gauge needle b. Be cost effective c. Aspirate d. Delivery anesthetic solution to a patient 7 / 60 The area of insertion needle is at the mucous membrane of the medial border of the mandibular ramus at the intersection of a horizontal line and vertical line is called a. IAN block, lingual nerve block b. Lingual nerve block only c. Long buccal nerve block d. Akinosi or close mouth nerve block 8 / 60 Local anesthetic used in greater than 50% of rhinolaryngologic cases:? a. bupivacaine (Marcaine) b. prilocaine (Citanest) c. mepivacaine (Carbocaine) d. tetracaine (pontocaine) e. cocaine 9 / 60 Technique of anesthesia in which local anesthetic solution is injected into the vein is ? a. Infiltration anesthesia b. Intra venous regional anesthesia c. Epidural anesthesia d. Nerve block e. No such technique exists. 10 / 60 Inferior alveolar nerve block (IAN) mouth must be open for this technique, best to utilize mouth drop, the depth of injection is about a. 27mm to 29mm b. 30 mm to 33 mm c. 29mm to 30 mm d. 25 mm to 27mm 11 / 60 Local Anesthetic deposited near a larger terminal branch of a nerve is called a. Field block b. Periapical injection c. Nerve Block d. Infiltration 12 / 60 Epinephrine added to a solution of lidocaine for local anesthesia will:? a. Increase the duration of local anesthesia b. Cause cyanosis locally. c. Increase the absorption of lidocaine d. Decrease the heart rate when absorbed. e. Increase the risk of convulsion. 13 / 60 The technique used to anesthetized the maxillary canine, lateral incisor, and central incisors and buccal gingival is called a. ASA nerve block b. MSA nerve block c. PSA nerve block d. Greater palatine nerve block 14 / 60 Which of the following drugs can cause methemoglonemia? a. Lidocaine b. Bupivacaine c. Procaine d. Cocaine e. Prilocaine 15 / 60 Most serious toxic reaction to local anesthetics is:? a. Seizures b. All of the above c. Cardiovascular collapse d. Respiratory failure 16 / 60 In local anesthetic dissociation, tissues with a low pH would have effect on base(RN) and cation(RNH+) in the solution? a. A lower portion of RN and higher portion of RNH+ b. A lower portion of RNH+ and a higher portion of RN c. Rapid onset of local anesthetic d. Increase duration of local anesthetic e. Decrease potency of local anesthetic 17 / 60 Factors that influence lidocaine (Xylocaine) metabolism:? a. hepatic disease b. pregnancy-induced hypertension, hepatic disease, reduced liver blood flow and volatile anesthetics c. volatile anesthetics d. pregnancy-induced hypertension e. reduced liver blood flow 18 / 60 Indicate the local anesthetic agent, which has a shorter duration of action:? a. Bupivacaine b. Articaine c. Lindocaine d. Procaine 19 / 60 You notice a lesion on the labial alveolar mucosa of the lower right lateral incisor tooth of one of your patients and decide to take a biopsy to send for oral pathology report Which nerve would require local anesthesia in order to carry out a pain-free biopsy? a. The lingual nerve b. The buccal nerve c. The incisive nerve 20 / 60 One of the many proprietary names for lidocaine is what? a. Sandonest HCL b. Candicaine HCL c. 35%Polocaine d. Mepivacaine e. Xylocaine HCL 21 / 60 In a patient with a normal healthy mouth, you would expect the mucosa covering the alveolar process supporting the mandibular teeth to be? a. red on both sides of the mucogingival junction b. light pink in colour on both sides of the mucogingigival junction. c. light pink below the mucogingival junction and red above it. d. ed below the mucogingival junction and light pink above it 22 / 60 A patient with epilepsy is scheduled for root planning and scaling with local anesthetic today. What should the dental hygienist know about this condition? a. In low doses local anesthetic is an anti-convulsant b. Oxygen should be available to deliver in an emergency. c. Epilepsy is a relative contraindication to ester type anesthetics d. The patient should be pre-medicated prio to treatment e. Epilepsy is an absolute contraindication to amide type anesthetics 23 / 60 Manifestation of systemic toxicity a. cardiovascular toxicity b. CNS toxicity, cardiovascular toxicity and neurological symptoms c. CNS toxicity d. neurological symptoms 24 / 60 The more lipophilic drugs ? a. Are more potent b. Have longer duration of action c. Bind more extensively to protein d. All of the above 25 / 60 The injection that able to perform in maxilla with thin cortical nature of bone, to tissue immediately surgical site is called. a. Field block b. Infiltration c. Inferior alveolar nerve block d. Nerve block 26 / 60 Most commonly used local anesthetic for rhinolaryngologic cases a. mepivacaine (Carbocaine) b. cocaine c. bupivacaine (Marcaine) d. ropivacaine (Naropin) e. tetracaine (pontocaine) 27 / 60 When procaine undergoes metabolic breakdown, the major metabolic product (metabolite) is what? a. Para-aminobenzoic acid b. Pseudocholinesterase c. chloroprocaine d. Succinylcholine 28 / 60 The technique can be used to anesthetize the palatal soft tissue of the teeth posterior to maxillary canine and corresponding alveolus and hard palate is called a. Naso palatine nerve block b. PSA nerve block c. Greater palatine nerve block d. Infraorbital nerve block 29 / 60 The maxillary nerve exclusively sensory, passes through the foramen rotundum to reach the pterygopalatine fossa, where it off a number of branches.How many branches will theses nerves passes through the sphenopalatine ganglion? a. three branches b. two branches c. five branches d. four branches e. There two branches of maxillary nerve, which enter the sphenopalatine ganglion. 30 / 60 Least likely to exhibit cross-sensitivity with amide or ester local anesthetics.? a. dyclonine (Dyclone) b. tetracaine (pontocaine) c. bupivacaine (Marcaine) d. lidocaine (Xylocaine) e. mepivacaine (Carbocaine) 31 / 60 The technique that use the non-dominant hand to retract the buccal soft tissue at the area of coronoid notch of mandible , and index finger on posterior border of extra oral mandible is called a. IAN nerve block b. Mental Nerve Block c. Akinosi Nerve Block d. Gow-Gate Nerve block 32 / 60 Most local anesthetics can cause:? a. Cardiovascular collapse b. Depression of abnormal cardiac pacemaker activity, excitability, conduction c. Depression of the strength of cardiac contraction d. All of the above 33 / 60 Allergic reactions to local anesthetics:? a. cross-sensitivity between esters and amide-type local anesthetics are common b. high-risk with ester-type agents which are metabolized to p-aminobenzoic acid-related compounds c. intradermal testing for possible allergy to local anesthetics should use preservative-free drug d. common > 10% of adverse reactions due to allergic mechanisms e. high-risk with ester-type agents which are metabolized to p-aminobenzoic acid-related compounds and intradermal testing for possible allergy to local anesthetics should use preservative-free drug 34 / 60 When given nerve block , will also cause anesthetized to the lower eyelid, lateral aspect of nasal skin tissue, and skin of infraorbital region is called a. Anterior superior alveolar nerve block b. Posterior superior alveolar nerve block c. Middle superior alveolar nerve block d. Infraorbital nerve block 35 / 60 The area of insertion needle is at the incisive papilla into incisive foramen and inject 0.3cc to 0.5cc of local anesthetic is called a. Greater palatine nerve block b. Posterior superior alveolar nerve block c. Naso-palatine nerve block d. Infraorbital nerve block 36 / 60 Common eutectic mixture of local anesthetics (EMLA)? a. lidocaine (Xylocaine) and prilocaine (Citanest) b. prilocaine (Citanest) and bupivacaine (Marcaine) c. tetracaine (pontocaine) and epinephrine d. tetracaine (pontocaine) and bupivacaine (Marcaine) e. lidocaine (Xylocaine) and tetracaine (pontocaine) 37 / 60 Indicate the anesthetic agent of choice in patient with a liver disease:? a. Bupivacaine b. Procaine c. Eticaine d. Lidocaine 38 / 60 Factor(s) which determine extent of systemic local anesthetic absorption: a. initial dose b. All are not correct c. intrinsic drug properties d. injection site vascularity e. whether or not epinephrine was used to provide local vasoconstriction 39 / 60 ropivacaine (Naropin):less cardiotoxic then bupivacaine (Marcaine) a. false b. true 40 / 60 When it is necessary to administer more than one anesthetic drug, a safe total should be determined by not exceeding what? a. 25% of the maximum dose of each drug being administered b. Dental work being done in many more than on quadrant c. the lower of the two maximum doses for the individual agents d. the maximum dose of each drug being administered e. 35% of the maximum dose of each drug being administered 41 / 60 Which of the following local anesthetics is more cardiotoxic? a. Procaine b. Lidocaine c. Mepivacaine d. Bupivacaine 42 / 60 When injecting Local solutionin maxilla on buccal side. The technique is ? a. Supra periosteal b. Sup mucosal c. Intra osseous d. Intra septal e. Sup periosteal 43 / 60 Local anesthetic lipophilicity and effectiveness of epinephrine on local anesthesia: a. more lipophilic anesthetics benefit most by epinephrine in addition to local anesthetic solutions b. more lipophilic anesthetics benef ileast by epinephrine in addition to local anesthetic solutions® 44 / 60 Correct statements concerning lidocaine include all of the following EXCEPT:? a. It is metabolized in liver b. It has esteratic linkage c. It is an universal anesthetic d. It widely used as an antiarrhythmic agent 45 / 60 You suspect that your patient has an enlarged submandibular salivary gland. You expect the enlarged gland? a. to be palpable extraorally. b. to be palpable intraorally c. To be palpable both intra- and extraorally d. only to be detectable by radiographical examination. 46 / 60 The area of insertion needle of local anesthesia is about 1cm medial from 1st and 2nd maxillary molar on the hard palate foramen is called a. ASA nerve block b. PSA nerve block c. Greater Palatine nerve block d. MSA nerve block 47 / 60 The technique of insertion at mucobuccal fold in the area of 1st and 2nd premolars is called a. PSA nerve block b. MSA nerve block c. Infraorbital nerve block d. ASA nerve block 48 / 60 Which of the following local anesthetics in an acetanilide derivative? a. Procaine b. Cocaine c. Lidocaine d. Tetracaine 49 / 60 Most common cause of toxic plasma local anesthetic concentrations? a. without solution of vasoconstrictors for anesthetic b. increase vasoconstrictors solution in the anesthetic c. accidental direct intravascular injection during block d. incorrect dosage during peripheral or block 50 / 60 A successful infraorbital nerve block will produce anaesthesia of the? a. maxillary anterior teeth, their labial gingivae, the upper lip and anterior hard palate b. maxillary anterior teeth and their labial gingivae. c. maxillary anterior teeth. d. maxillary anterior teeth, their labial gingivae and the upper lip 51 / 60 Which one is the ester type of local anesthetic a. Prilocaine ( or citanest) b. Mepivacaine( or carbocaine) c. Bupivacaine(or Marcaine) d. Procaine 52 / 60 Needle used for infiltration is ? a. 16 gauge b. 27 gauge c. 25 gauge d. 18 gauge e. 30 gauge 53 / 60 Which one of the following groups is responsible for the potency and the toxicity of local anesthetic? a. Intermediate chain b. Inonizable group c. Lipophylic group d. Non Ionize group 54 / 60 You notice that your patient’s submandibular lymph nodes are enlarged. You would look for potential infection sites in the? a. Hard palate. b. Hard palate, upper lip and upper central incisor. c. Hard palate and upper lip. d. hard palate, upper lip, upper central incisor and lower first molar 55 / 60 Which of the following local anesthetcs is a short-acting drug? a. Ropivacaine b. Bupivacaine c. Procaine d. Tetracaine 56 / 60 Ionizable group is responsible for ? a. All of the above b. The potency and the toxicity c. The duration of action d. The ability of diffuse to the site of action 57 / 60 Preferred local anesthetics for local infiltration:? a. lidocaine (Xylocaine), ropivacaine (Naropin) and bupivacaine (Marcaine) b. bupivacaine (Marcaine) c. ropivacaine (Naropin) d. lidocaine (Xylocaine) 58 / 60 Disto buccal root of upper first molar is supplied by:? a. Buccal nerve b. Mental nerve c. Middle superior alveolar nerve d. Infra orbital nerve e. Posterior superior alveolar nerve 59 / 60 As with all local anesthetics, the dose varies depending on the area to be anesthetized, the vascularity of tissues, individual tolerance, and the techniques of anesthesia. Which type of the following patient should be decreased the dose for them? a. debilitate or elderly patient b. young patient c. adult patient d. children patient 60 / 60 Individual nerve fibers(axons) are surround and separated from each other by a. Perineurium b. Epineurium c. Fasciculi d. Edoneurium Your score isThe average score is 0% Facebook 0% Restart quiz Any comments? Send feedback