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WorksheetsLocal anesthesia infiltration review
Total questions: 29
Worksheet time: 15mins
When a balance exists between positive sodium ions on the outside of the nerve membrane and negative potassium ions on the inside of the membrane.
Resting Potential
Depolarization
Repolarization
Action Potential
The nerve membrane becomes more permeable to the sodium ion, and the ion balance of the nerve cell reverses. The inside of the nerve is now electrically positive compared with the outside of the nerve.
Resting Potential
Depolarization
Repolarization
Action Potential
Immediately after depolarization, the permeability of the membrane to the sodium ion once again decreases, as the sodium pump actively transports the sodium ion out of the nerve cell while potassium ions diffuse and are pumped to the inside of the nerve cell.
Resting Potential
Depolarization
Repolarization
Action potential
The primary action of local anesthetic agents is in reducing nerve membrane permeability to ______
sodium ions
potassium ions
calcium ions
magnesium ions
Pain receptors of the trigeminal nerves send impulses down the axon of the nerve via which three nerve branches?
V1, V2, and V3
V3, V4, and V5
V5, V6, and V7
V7, V8 and V9
The body's system for detecting and signaling potential or actual tissue damage, using specialized nerve endings called ____________ to send "warning signals to the brain.
Visceral
Neuroplastic
Nociceptors
Somatic
Local anesthetics block nerve conduction by?
Inhibition of magnesium channels
Inhibition of potassium channels
Inhibition of calcium channels
Inhibition of sodium channels
Multiple factors affect duration of action of local anesthetic. Which of these DO NOT affect duration of action?
Accuracy in deposition of local anesthetic
Lumen size of the needle
Anatomical variation
Type of injection administered
Most local anesthetics are ___________ bases.
Strong
Weak
Localized infection has what effect on the duration of local anesthetic?
Increases duration
Decreases duration
Has no effect
The primary function of vasoconstrictors in local anesthetic is to _________ anesthetic duration and ______ bleeding.
Reduce / Increase
Prolong/ Increase
Prolong / Reduce
Reduce / Reduce
Which vasoconstrictor is not used in the United States?
Epinephrine
Norepinephrine
Levonordefrin
Neo-Cobefrin
Epinephrine can be used in multiple concentrations, but the most common concentration is?
1:50,000
1:100,000
1:200,000
1:400,000
Which of these is NOT an absolute contraindication for vasoconstrictors?
Uncontrolled high blood pressure
Stable angina
Uncontrolled hyperthyroidism
Recreational cocaine use
What is the maximum amount of epinephrine that can be administered for a patient with cardiovascular disease?
.02 mg
.2 mg
.4 mg
.04 mg
What is the cardiac dose in carpules for lidocaine 1:100,00?
1 carpule
2 carpules
3 carpules
4 carpules
These are all anatomical variations that affect the duration of local anesthetic EXCEPT?
Width of ramus
Flaring of palatal roots of maxillary molars
Bone thickness
Number of teeth in the arch
Supraperiosteal infiltrations are effective in providing pulpal anesthesia for ________?
Maxillary teeth
Mandibular teeth
Maxillary and Mandibular teeth
Which anesthetic has the longest duration of action?
Bupivicaine 0.5%
Mepivicaine Plain
Lidocaine 2%
Articaine 4%
Amides undergo biotransformation in the _________?
liver
blood plasma
kidney
small intestine
Esters undergo biotransformation in the _________?
liver
blood plasma
kidneys
small intestine
Which local anesthetic is classified as "short duration"?
Articaine 4%
Lidocaine 2%
Bupivicaine 0.5%
Mepivicaine 3%
Which local anesthetic has the shortest half life?
Prilocaine
Lidocaine
Articaine
Citanest
Articaine has a short half-life because it is mostly hydrolyzed by______?
Blood plasma
Liver
Kidneys
Small intestine
The first sign of systemic local anesthetic toxicity is often _______________?
seizures
drowsiness
slurred speech and dizziness
bradycardia
What is the volume of a local anesthetic carpule?
1.5 mL
1.8 mL
2.0 mL
2.8 mL
Which is NOT a need gauge used in dentistry?
23 ga
25 ga
27 ga
30 ga
When providing local anesthesia with a supraperiosteal infiltration, what length needle should be used?
long
short
What is the most common cause of needle breakage?
Burying the needle to the hub
Contacting bone during the injection
Patient movement
Bending the needle before use
