Question 1

What information is documented in a patient record for local anesthetic injections? Provide an example.

Accepted Answer

The answer of What information is documented in a patient...

Question 2

What elements are included in an informed consent?

Accepted Answer

The answer of What elements are included in an informed...

Question 3

The ________ refers to the specific location where a needle first pierces mucosa.

Accepted Answer

The answer of The ________ refers to the specific location...

Question 4

What are the two most important safety steps during a local anesthetic injection?

Accepted Answer

A)  Aspiration before depositing and recapping needles 
B)  Slow administration and recapping needles 
C)  Patient evaluation and aspiration 
D)  Aspiration before depositing and administering drugs slowly

Question 5

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

Accepted Answer

The answer of The greater the distance from penetration site...

Question 6

What is the most important goal of ergonomic positioning?

Accepted Answer

A)  Prevention of cumulative trauma disorders 
B)  Stabilization of the syringe 
C)  Prevention of patient injury 
D)  Patient comfort and safety

Question 7

The two most important safety steps in the delivery of local aesthetic agents are ________.

Accepted Answer

The answer of The two most important safety steps in...

Question 8

Match the following
-Aspiration test

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

Question 9

What is the primary reason it is recommended to orient needle bevels toward bone during infiltration injections?

Accepted Answer

A)  Needles should be angled away from bone during penetration 
B)  Trauma to periosteum is lessened if bone is inadvertently contacted 
C)  False aspirations can be prevented 
D)  Discomfort from needles is reduced

Question 10

The ________ is defined as the anatomical location at which a drug is deposited.

Accepted Answer

The answer of The ________ is defined as the anatomical...

Question 11

Which of the following describes the target site for local anesthetic solution?

Accepted Answer

A)  Penetration site 
B)  Needle pathway 
C)  Aspiration site 
D)  Deposition site

Question 12

Drying tissue with gauze can reduce ________ of topical agents and improve their uptake into mucosa.

Accepted Answer

The answer of Drying tissue with gauze can reduce ________...

Question 13

Supportive communication includes all of the following, except:

Accepted Answer

A)  It should begin during the pre-injection period 
B)  It should involve positive comments focusing on patient behavior during injections 
C)  It lets patients know that injections will be more comfortable compared to previous injections 
D)  It includes rehearsing injections and providing ways for patients to communicate with clinicians during injection

Question 14

A patient's head should be in a position higher than the heart for comfort during injections.

Accepted Answer

A) True 
 B)False

Question 15

An injection technique that deposits anesthetic solution near terminal nerve endings is called:

Accepted Answer

A)  A periodontal ligament injection 
B)  A field block injection 
C)  An infiltration injection 
D)  A nerve block injection

Question 16

Which of the following procedures represents the correct response following a positive aspiration when a small wormlike thread enters the cartridge?

Accepted Answer

A)  Withdraw the syringe and reinject 
B)  Reposition the syringe away from the area of the positive aspiration, and deposit solution following a negative aspiration 
C)  Withdraw the syringe, change the cartridge, clear the needle of blood and reinject 
D)  Rotate the syringe a quarter turn, reaspirate and continue to deposit solution

Question 17

Gently pulling the mucosa taut will ease penetration of the needle and establish a point of stability for the syringe.

Accepted Answer

A) True 
 B)False

Question 18

Most topical anesthetic agents will reach peak effectiveness in about ________ minute(s).

Accepted Answer

The answer of Most topical anesthetic agents will reach peak...

Question 19

Which statement best describes why retraction of tissue keeping the tissue taut is important during injections?

Accepted Answer

A)  The patient's mouth is open and it improves visibility for the clinician. 
B)  It eliminates the need for stabilization of syringe and fulcrum. 
C)  It allows better identification of landmarks. 
D)  It allows for ease of needle penetration and establishes a point of stability for the syringe.

Question 20

False-negative aspirations typically occur when a clinician has failed to develop adequate negative pressure with the thumb ring.

Accepted Answer

A) True 
 B)False

Exam 11: Fundamentals for Administration of Local Anesthetic Agents

What information is documented in a patient record for local anesthetic injections? Provide an example.

What elements are included in an informed consent?

The ________ refers to the specific location where a needle first pierces mucosa.

What are the two most important safety steps during a local anesthetic injection?

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

What is the most important goal of ergonomic positioning?

The two most important safety steps in the delivery of local aesthetic agents are ________.

Match the following -Aspiration test

What is the primary reason it is recommended to orient needle bevels toward bone during infiltration injections?

The ________ is defined as the anatomical location at which a drug is deposited.

Which of the following describes the target site for local anesthetic solution?

Drying tissue with gauze can reduce ________ of topical agents and improve their uptake into mucosa.

Supportive communication includes all of the following, except:

A patient's head should be in a position higher than the heart for comfort during injections.

An injection technique that deposits anesthetic solution near terminal nerve endings is called:

Which of the following procedures represents the correct response following a positive aspiration when a small wormlike thread enters the cartridge?

Gently pulling the mucosa taut will ease penetration of the needle and establish a point of stability for the syringe.

Most topical anesthetic agents will reach peak effectiveness in about ________ minute(s).

Which statement best describes why retraction of tissue keeping the tissue taut is important during injections?

False-negative aspirations typically occur when a clinician has failed to develop adequate negative pressure with the thumb ring.