Question 1

An ________ injection deposits local anesthetics directly at or near small terminal nerve endings.

Accepted Answer

The answer of An ________ injection deposits local anesthetics directly...

Question 2

Regardless of the amount of blood in a cartridge following positive aspiration, the best practice is to withdraw the needle and reinject.

Accepted Answer

A) True 
 B)False

Question 3

The ________ refers to the route a needle travels as it advances to the deposition site.

Accepted Answer

The answer of The ________ refers to the route a...

Question 4

Resting an elbow on a patient's shoulders or chest during injection creates good stabilization and is a safe ergonomic practice.

Accepted Answer

A) True 
 B)False

Question 5

Discuss management of a positive aspiration.

Accepted Answer

A positive aspiration in which blood is

Question 6

Most topical anesthetic agents will reach peak effectiveness in about 5 minutes.

Accepted Answer

A) True 
 B)False

Question 7

A ________ aspiration can occur when a bevel is in contact with a vessel wall.

Accepted Answer

The answer of A ________ aspiration can occur when a...

Question 8

Which statement describes how to avoid a false-negative aspiration?

Accepted Answer

A)  Withdraw the syringe slightly and reaspirate to release the bevel from a vessel wall 
B)  Rotate the syringe a quarter turn then reaspirate to release the bevel from a vessel wall 
C)  Apply greater force on the thumb ring to permit blood to enter cartridge 
D)  Avoid injections in highly vascular areas 
A)  Withdraw the syringe slightly and reaspirate to release the bevel from a vessel wall 
B)  Rotate the syringe a quarter turn then reaspirate to release the bevel from a vessel wall 
C)  Apply greater force on the thumb ring to permit blood to enter cartridge 
D)  Avoid injections in highly vascular areas

Question 9

A ________ injection deposits local anesthetics near larger terminal nerve branches.

Accepted Answer

The answer of A ________ injection deposits local anesthetics near...

Question 10

Match the following
-Speed and volume

Accepted Answer

A)  Bevel contacts vessel wall 
B)  Piercing point 
C)  Near nerve endings 
D)  Target 
E)  Delivery rate
F) Supraperiosteal
G) Near nerve trunk
H) Passageway
I) PREP
J) Blood in cartridge 
A)  Bevel contacts vessel wall 
B)  Piercing point 
C)  Near nerve endings 
D)  Target 
E)  Delivery rate
F) Supraperiosteal
G) Near nerve trunk
H) Passageway
I) PREP
J) Blood in cartridge

Question 11

Which of the following is not an element of informed consent in local anesthesia?

Accepted Answer

A)  Discussing risks 
B)  Providing alternatives 
C)  Providing information in a language patients understand 
D)  Explaining the costs of procedures 
A)  Discussing risks 
B)  Providing alternatives 
C)  Providing information in a language patients understand 
D)  Explaining the costs of procedures

Question 12

The greater the distance from penetration to deposition site, the greater the potential for deviation of the needle.

Accepted Answer

A) True 
 B)False

Question 13

Match the following
-Deposition site

Accepted Answer

A)  Bevel contacts vessel wall 
B)  Piercing point 
C)  Near nerve endings 
D)  Target 
E)  Delivery rate
F) Supraperiosteal
G) Near nerve trunk
H) Passageway
I) PREP
J) Blood in cartridge 
A)  Bevel contacts vessel wall 
B)  Piercing point 
C)  Near nerve endings 
D)  Target 
E)  Delivery rate
F) Supraperiosteal
G) Near nerve trunk
H) Passageway
I) PREP
J) Blood in cartridge

Question 14

Match the following
-False-negative aspiration

Accepted Answer

A)  Bevel contacts vessel wall 
B)  Piercing point 
C)  Near nerve endings 
D)  Target 
E)  Delivery rate
F) Supraperiosteal
G) Near nerve trunk
H) Passageway
I) PREP
J) Blood in cartridge 
A)  Bevel contacts vessel wall 
B)  Piercing point 
C)  Near nerve endings 
D)  Target 
E)  Delivery rate
F) Supraperiosteal
G) Near nerve trunk
H) Passageway
I) PREP
J) Blood in cartridge

Question 15

A ________ injection deposits local anesthetic near major nerve trunks at a greater distance from the area of treatment, which provides wider areas of anesthesia.

Accepted Answer

The answer of A ________ injection deposits local anesthetic near...

Question 16

Which of the following is the most appropriate documentation following local anesthesia injections?

Accepted Answer

A)  03/03/2014: Review health history. BP 115/78. Two cartridges of 4% prilocaine (144 mg) w/epi 1:100,000 (0.036 mg), benzocaine topical, Rt PMC, MMC, GP, (-) aspiration. No adverse reactions. 
B)  Review health history. BP 120/70. Three cartridges 3% mepivacaine w/1:20,000 levonordefrin. No adverse reactions. 
C)  05/03/2014: Review health history. Two cartridges 2% lidocaine w/epi, (-) aspiration. 
D)  07/07/14: Review health history. BP normal. One and a half cartridges (27 mg) of 2% lido w/1:100:00 epi, Left IA and buccal, (-) aspiration. No adverse reactions. 
A)  03/03/2014: Review health history. BP 115/78. Two cartridges of 4% prilocaine (144 mg) w/epi 1:100,000 (0.036 mg), benzocaine topical, Rt PMC, MMC, GP, (-) aspiration. No adverse reactions. 
B)  Review health history. BP 120/70. Three cartridges 3% mepivacaine w/1:20,000 levonordefrin. No adverse reactions. 
C)  05/03/2014: Review health history. Two cartridges 2% lidocaine w/epi, (-) aspiration. 
D)  07/07/14: Review health history. BP normal. One and a half cartridges (27 mg) of 2% lido w/1:100:00 epi, Left IA and buccal, (-) aspiration. No adverse reactions.

Question 17

An injection that deposits anesthetic solution near a major nerve trunk is called:

Accepted Answer

A)  A periodontal ligament injection 
B)  A supraperiosteal injection 
C)  A field block injection 
D)  A nerve block injection 
A)  A periodontal ligament injection 
B)  A supraperiosteal injection 
C)  A field block injection 
D)  A nerve block injection

Question 18

The most stable position when using a syringe is palm up.

Accepted Answer

A) True 
 B)False

Question 19

What is the first step in preparation for local anesthesia injections?

Accepted Answer

A)  Obtain informed consent 
B)  Prepare the armamentarium 
C)  Make sure solution will flow through the needle 
D)  Assess the patient 
A)  Obtain informed consent 
B)  Prepare the armamentarium 
C)  Make sure solution will flow through the needle 
D)  Assess the patient

Question 20

Which of the following is the most important safety step following an injection?

Accepted Answer

A)  Rinsing the patient's mouth 
B)  Assessing the patient for adverse reactions 
C)  Recapping the needle with a one-handed technique 
D)  Making a complete chart entry 
A)  Rinsing the patient's mouth 
B)  Assessing the patient for adverse reactions 
C)  Recapping the needle with a one-handed technique 
D)  Making a complete chart entry

Exam 11: Fundamentals for Administration of Local Anesthetic Agents

An ________ injection deposits local anesthetics directly at or near small terminal nerve endings.

Regardless of the amount of blood in a cartridge following positive aspiration, the best practice is to withdraw the needle and reinject.

The ________ refers to the route a needle travels as it advances to the deposition site.

Resting an elbow on a patient's shoulders or chest during injection creates good stabilization and is a safe ergonomic practice.

Discuss management of a positive aspiration.

Most topical anesthetic agents will reach peak effectiveness in about 5 minutes.

A ________ aspiration can occur when a bevel is in contact with a vessel wall.

Which statement describes how to avoid a false-negative aspiration?

A ________ injection deposits local anesthetics near larger terminal nerve branches.

Match the following -Speed and volume

Which of the following is not an element of informed consent in local anesthesia?

The greater the distance from penetration to deposition site, the greater the potential for deviation of the needle.

Match the following -Deposition site

Match the following -False-negative aspiration

A ________ injection deposits local anesthetic near major nerve trunks at a greater distance from the area of treatment, which provides wider areas of anesthesia.

Which of the following is the most appropriate documentation following local anesthesia injections?

An injection that deposits anesthetic solution near a major nerve trunk is called:

The most stable position when using a syringe is palm up.

What is the first step in preparation for local anesthesia injections?

Which of the following is the most important safety step following an injection?

Perspectives on Local Anesthesia for Dental Professionals

Fundamentals of Pain Management

The Neuroanatomy and Neurophysiology of Pain Control

Pharmacology Basics

Dental Local Anesthetic Drugs

Vasoconstrictors in Dentistry

Dose Calculations for Local Anesthetic Solutions

Topical Anesthetics

Local Anesthetic Delivery Devices

Patient Assessment for Local Anesthesia

Injections for Maxillary Pain Control

Injections for Palatal Pain Control

Injections for Mandibular Pain Control

Supplemental Techniques and Adjunctive Strategies

Troubleshooting Inadequate Anesthesia

Local Anesthesia Complications and Management

Insights for the Fearful Patient

Insights From Pedodontics

Insights From Specialties: Oral Surgery, Periodontics, and Endodontics

Fundamentals for the Administration of N2O-Oxygen Sedation

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