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Local anesthesia infiltration review

Total questions: 29

Worksheet time: 15mins

Name
Class
Date
1.

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.

a)

Resting Potential

b)

Depolarization

c)

Repolarization

d)

Action Potential

2.

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.

a)

Resting Potential

b)

Depolarization

c)

Repolarization

d)

Action Potential

3.

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.

a)

Resting Potential

b)

Depolarization

c)

Repolarization

d)

Action potential

4.

The primary action of local anesthetic agents is in reducing nerve membrane permeability to ______

a)

sodium ions

b)

potassium ions

c)

calcium ions

d)

magnesium ions

5.

Pain receptors of the trigeminal nerves send impulses down the axon of the nerve via which three nerve branches?

a)

V1, V2, and V3

b)

V3, V4, and V5

c)

V5, V6, and V7

d)

V7, V8 and V9

6.

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.

a)

Visceral

b)

Neuroplastic

c)

Nociceptors

d)

Somatic

7.

Local anesthetics block nerve conduction by?

a)

Inhibition of magnesium channels

b)

Inhibition of potassium channels

c)

Inhibition of calcium channels

d)

Inhibition of sodium channels

8.

Multiple factors affect duration of action of local anesthetic. Which of these DO NOT affect duration of action?

a)

Accuracy in deposition of local anesthetic

b)

Lumen size of the needle

c)

Anatomical variation

d)

Type of injection administered

9.

Most local anesthetics are ___________ bases.

a)

Strong

b)

Weak

10.

Localized infection has what effect on the duration of local anesthetic?

a)

Increases duration

b)

Decreases duration

c)

Has no effect

11.

The primary function of vasoconstrictors in local anesthetic is to _________ anesthetic duration and ______ bleeding.

a)

Reduce / Increase

b)

Prolong/ Increase

c)

Prolong / Reduce

d)

Reduce / Reduce

12.

Which vasoconstrictor is not used in the United States?

a)

Epinephrine

b)

Norepinephrine

c)

Levonordefrin

d)

Neo-Cobefrin

13.

Epinephrine can be used in multiple concentrations, but the most common concentration is?

a)

1:50,000

b)

1:100,000

c)

1:200,000

d)

1:400,000

14.

Which of these is NOT an absolute contraindication for vasoconstrictors?

a)

Uncontrolled high blood pressure

b)

Stable angina

c)

Uncontrolled hyperthyroidism

d)

Recreational cocaine use

15.

What is the maximum amount of epinephrine that can be administered for a patient with cardiovascular disease?

a)

.02 mg

b)

.2 mg

c)

.4 mg

d)

.04 mg

16.

What is the cardiac dose in carpules for lidocaine 1:100,00?

a)

1 carpule

b)

2 carpules

c)

3 carpules

d)

4 carpules

17.

These are all anatomical variations that affect the duration of local anesthetic EXCEPT?

a)

Width of ramus

b)

Flaring of palatal roots of maxillary molars

c)

Bone thickness

d)

Number of teeth in the arch

18.

Supraperiosteal infiltrations are effective in providing pulpal anesthesia for ________?

a)

Maxillary teeth

b)

Mandibular teeth

c)

Maxillary and Mandibular teeth

19.

Which anesthetic has the longest duration of action?

a)

Bupivicaine 0.5%

b)

Mepivicaine Plain

c)

Lidocaine 2%

d)

Articaine 4%

20.

Amides undergo biotransformation in the _________?

a)

liver

b)

blood plasma

c)

kidney

d)

small intestine

21.

Esters undergo biotransformation in the _________?

a)

liver

b)

blood plasma

c)

kidneys

d)

small intestine

22.

Which local anesthetic is classified as "short duration"?

a)

Articaine 4%

b)

Lidocaine 2%

c)

Bupivicaine 0.5%

d)

Mepivicaine 3%

23.

Which local anesthetic has the shortest half life?

a)

Prilocaine

b)

Lidocaine

c)

Articaine

d)

Citanest

24.

Articaine has a short half-life because it is mostly hydrolyzed by______?

a)

Blood plasma

b)

Liver

c)

Kidneys

d)

Small intestine

25.

The first sign of systemic local anesthetic toxicity is often _______________?

a)

seizures

b)

drowsiness

c)

slurred speech and dizziness

d)

bradycardia

26.

What is the volume of a local anesthetic carpule?

a)

1.5 mL

b)

1.8 mL

c)

2.0 mL

d)

2.8 mL

27.

Which is NOT a need gauge used in dentistry?

a)

23 ga

b)

25 ga

c)

27 ga

d)

30 ga

28.

When providing local anesthesia with a supraperiosteal infiltration, what length needle should be used?

a)

long

b)

short

29.

What is the most common cause of needle breakage?

a)

Burying the needle to the hub

b)

Contacting bone during the injection

c)

Patient movement

d)

Bending the needle before use