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Mandibular anesthesia

Total questions: 10

Worksheet time: 4mins

Name
Class
Date
1.

Which of the following nerves is NOT anesthetized during an IA injection?

a)

buccal nerve

b)

mental nerve

c)

incisive nerve

d)

lingual nerve

2.

Which of the following local anesthetic blocks has the same injection site as the incisive block?

a)

Inferior Alveolar

b)

Mylohyoid

c)

Buccal

d)

Mental

3.

Temporary facial paralysis can occur with which incorrectly administered block?

a)

Incisive

b)

Mylohyoid

c)

PSA

d)

IA

4.

Which of these situations is occurring if bone is contacted too soon in an IA Block?

a)

Needle tip is located too far anteriorly on the ramus

b)

Needle tip is located too far posteriorly on the ramus

c)

Syringe barrel is over the occlusal plain of the same side being anesthetized

5.

Your patient needs treatment on teeth #’s 21-28.  She is only available for 1 appointment due to difficulty of taking off of work. Which choice is best for the patient?

a)

Bilateral IA Block

b)

Bilateral Long Buccal block

c)

Bilateral mental/mylohyoid blocks

d)

Bilateral Incisive/mylohyoid Blocks

6.

After anesthetizing that same patient, she stops you to report that her chin feels extremely numb. What should you do next for the patient?

a)

Stop treatment and explain facial nerve paralysis to the patient

b)

Explain to the patient that this is the usual reaction and continue with treatment

c)

Place a cold compress to prevent hematoma from occurring

d)

Immediately administer an oral antihistamine to reduce inflammation

7.

Which of the following injections anesthetizes the buccal tissues of the mandibular molars?

a)

IA

b)

Mental

c)

Incisive

d)

Long Buccal

8.

When administering the inferior alveolar block, the syringe barrel in MOST cases should usually be over which mandibular tooth?

a)

Premolar on the injection side

b)

Premolar on the contralateral side

c)

First molar on the contralateral side

d)

First molar on the injection side

9.

While administering the inferior alveolar block, you contact bone at a depth of ¾ of the needle. What should the clinician do next?

a)

Slightly withdraw the needle and redirect the syringe barrel more posteriorly

b)

Slightly withdraw the needle and redirect the syringe barrel more anteriorly

c)

Aspirate correctly and then deposit anesthetic agent at the site

d)

Slightly withdraw the needle and redirect the syringe barrel more perpendicularly to the mandibular occlusal plane

10.

Which of the following is a landmark for the administration of the Gow-Gates mandibular local anesthetic block?

a)

Coronoid notch

b)

Mental foramen

c)

Condylar neck

d)

Mandibular canal