Deck 10: Anatomic Considerations for the Administration of Local Anesthesia

Question 1

The coronoid notch is a landmark for the administration of which injection?

A) Anterior superior alveolar nerve block
B) Posterior superior alveolar nerve block
C) Inferior alveolar nerve block
D) Lingual nerve block

Answer 1

Inferior alveolar nerve block

Question 2

Which part of the maxilla articulates with the zygomatic bone laterally,thus completing the infraorbital rim?

A) Zygomatic process
B) Frontal process
C) Palatine process
D) Alveolar processes

Answer 2

Zygomatic process

Question 3

Match the name of the nerve to the predominant structures that it innervates.

The tongue

A)Anterior superior alveolar nerve
B)Middle superior alveolar nerve
C)Posterior superior alveolar nerve
D)Greater palatine nerve
E)Nasopalatine nerve
F)Lingual nerve
G)Mental nerve
H)Incisive nerve

Answer 3

Lingual nerve

Question 4

What is the name of the foramen located palatal to the maxillary central incisors?

A) Mental foramen
B) Infraorbital foramen
C) Incisive foramen
D) Lingual foramen

Question 5

Match the name of the nerve to the predominant structures that it innervates.

Mucosa of the anterior hard palate

A)Anterior superior alveolar nerve
B)Middle superior alveolar nerve
C)Posterior superior alveolar nerve
D)Greater palatine nerve
E)Nasopalatine nerve
F)Lingual nerve
G)Mental nerve
H)Incisive nerve

Question 6

Match the name of the nerve to the predominant structures that it innervates.

Afferent nerve for the chin,lower lip,and labial mucosa of anterior teeth and premolars

A)Anterior superior alveolar nerve
B)Middle superior alveolar nerve
C)Posterior superior alveolar nerve
D)Greater palatine nerve
E)Nasopalatine nerve
F)Lingual nerve
G)Mental nerve
H)Incisive nerve

Question 7

Which area of the maxilla articulates with the other to form the anterior or major part of the hard palate?

A) Zygomatic process
B) Frontal process
C) Palatine process
D) Alveolar processes

Question 8

The lesser palatine foramen transmits the lesser palatine nerve and blood vessels to the soft palate and tonsils.Due to close proximity to the greater palatine foramen and its nerve,the patient's soft palate can become inadvertently anesthetized with the greater palatine block.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Question 9

What is the median palatine raphe?

A) A fibrous band of tissue
B) A landmark for the administration of the anterior middle superior alveolar block
C) The tissue that covers the suture between the two palatine processes of the maxillae
D) All options listed

Question 10

Match the name of the nerve to the predominant structures that it innervates.

In some cases,the mesiobuccal root of the maxillary first molar

A)Anterior superior alveolar nerve
B)Middle superior alveolar nerve
C)Posterior superior alveolar nerve
D)Greater palatine nerve
E)Nasopalatine nerve
F)Lingual nerve
G)Mental nerve
H)Incisive nerve

Question 11

Match the name of the nerve to the predominant structures that it innervates.

Buccal gingival tissue of the maxillary molars

A)Anterior superior alveolar nerve
B)Middle superior alveolar nerve
C)Posterior superior alveolar nerve
D)Greater palatine nerve
E)Nasopalatine nerve
F)Lingual nerve
G)Mental nerve
H)Incisive nerve

Question 12

Match the name of the nerve to the predominant structures that it innervates.

Afferent nerve for mandibular anterior teeth and premolars

A)Anterior superior alveolar nerve
B)Middle superior alveolar nerve
C)Posterior superior alveolar nerve
D)Greater palatine nerve
E)Nasopalatine nerve
F)Lingual nerve
G)Mental nerve
H)Incisive nerve

Question 13

What is the name of the radiopaque line that denotes where the ramus joins the body of the mandible?

A) Mylohyoid line
B) Internal oblique line
C) External oblique line
D) Coronoid notch

Question 14

What is the name of the opening that is located between the apices of the mandibular first and second premolars?

A) Mandibular foramen
B) Lingual foramen
C) Mandibular symphysis
D) Mental foramen

Question 15

Match the name of the nerve to the predominant structures that it innervates.

Maxillary central incisors,lateral incisors,and canines

A)Anterior superior alveolar nerve
B)Middle superior alveolar nerve
C)Posterior superior alveolar nerve
D)Greater palatine nerve
E)Nasopalatine nerve
F)Lingual nerve
G)Mental nerve
H)Incisive nerve

Question 16

Which of the following is a prominent landmark for the administration of the anterior superior alveolar block?

A) Canine fossa
B) Canine eminence
C) Infraorbital foramen
D) Posterosuperior to the roots of the maxillary canine teeth

Question 17

With which teeth will the clinician have a higher degree of success in achieving profound anesthesia with infiltration of local anesthetic?

A) Maxillary teeth
B) Mandibular anterior teeth
C) Mandibular posterior teeth
D) Equal success no matter the arch

Question 18

Which bones does the mandible have a movable articulation with?

A) Maxillae
B) Temporal bones
C) Sphenoid bone
D) Palatal bones

Question 19

The maxillary tuberosity is a landmark for the administration of which injection?

A) Anterior superior alveolar block
B) Middle superior alveolar block
C) Posterior superior alveolar block
D) Inferior alveolar block

Question 20

Match the name of the nerve to the predominant structures that it innervates.

Posterior hard palate and posterior lingual gingival tissue of the posterior teeth

A)Anterior superior alveolar nerve
B)Middle superior alveolar nerve
C)Posterior superior alveolar nerve
D)Greater palatine nerve
E)Nasopalatine nerve
F)Lingual nerve
G)Mental nerve
H)Incisive nerve

Question 21

Which nerve is anesthetized through localized diffusion of the local anesthetic agent through the tissue when administering an inferior alveolar block?

A) Posterior superior alveolar nerve
B) Anterior superior alveolar nerve
C) Lingual nerve
D) Mandibular nerve

Question 22

Which of the following could occur as a complication of the posterior superior alveolar local anesthetic block?

A) Hematoma
B) Infection of the cavernous venous sinus
C) Piercing the pterygoid plexus
D) All options listed

Question 23

What is the name of the first division of the sensory root of the trigeminal nerve?

A) Mixed
B) Ophthalmic
C) Mandibular
D) Maxillary

Question 24

Which nerve carries sensory information for the maxillary sinuses,nasal cavity,and palate?

A) First division of the trigeminal nerve
B) Second division of the trigeminal nerve
C) Third division of the trigeminal nerve
D) Ophthalmic nerve

Question 25

When the clinician administers an IO injection,which nerves are anesthetized?

A) Posterior superior alveolar,middle superior alveolar,and ophthalmic nerves
B) Posterior superior alveolar,middle superior alveolar,and infraorbital nerves
C) Anterior superior alveolar,middle superior alveolar,and infraorbital nerves
D) Some other combination of nerves

Question 26

If the MSA nerve is not present,the area is innervated by the PSA,but mostly by the ASA.If the MSA nerve is present,there is communication between the PSA and the ASA.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Question 27

Which nerve is considered to be the most involved when a patient experiences paresthesia complications?

A) Lingual nerve
B) Posterior superior alveolar nerve
C) Anterior superior alveolar nerve
D) Inferior alveolar nerve

Question 28

What is the specific name of the part of the mandible that forms the temporomandibular joint?

A) Condyle
B) Coronoid process
C) Coronoid notch
D) Mandibular notch

Question 29

Which nerve travels through the mandibular canal,exits the mandibular foramen,and innervates the mandibular teeth?

A) Lingual nerve
B) Mandibular nerve
C) Inferior alveolar nerve
D) Anterior superior alveolar nerve

Question 30

What is the name of the largest contributor to the maxillary nerve trunk?

A) Infraorbital nerve
B) Ophthalmic nerve
C) Second division of the trigeminal nerve
D) Third division of the trigeminal nerve

Question 31

Which nerve serves as an afferent nerve for the skin of the cheek?

A) Infraorbital nerve
B) Ophthalmic nerve
C) Zygomaticofacial nerve
D) Zygomaticotemporal nerve

Question 32

Which nerve supplies innervation to the second and third maxillary molars?

A) ASA
B) MSA
C) PSA
D) Infraorbital

Question 33

Identify the divisions of the sensory root that carry only afferent nerves to the teeth and associated tissue.

A) Ophthalmic and mandibular nerves
B) Ophthalmic and maxillary nerves
C) Mandibular and maxillary nerves
D) All options listed

Question 34

Which structures of the body are most likely to experience the loss of sensation after the administration of an anesthetic agent to the lingual nerve?

A) Floor of the mouth
B) Body of the tongue
C) Lingual gingival tissue of the mandibular teeth
D) All options listed

Question 35

The mental foramen is an important landmark to note intraorally and on a radiograph before administration of mental and incisive nerve blocks.The mental foramen can be as far posterior as the apex of the mandibular first molar or as far anterior as the apex of the mandibular canine.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Question 36

Which of the following is a landmark for the inferior alveolar block?

A) Lingula
B) Pterygomandibular raphe
C) Coronoid notch
D) All options listed

Question 37

Each of the following describes the buccal nerve associated with the buccal block EXCEPT one.Which one is the EXCEPTION?

A) Afferent nerve
B) Efferent nerve
C) Serves skin of the cheek and molar region periodontal tissues
D) Anterior border of the mandibular ramus is a landmark for the buccal block

Question 38

What is the name of the point of attachment of the muscle that forms the floor of the mouth?

A) Mylohyoid line
B) Internal oblique ridge
C) All options listed
D) None of the options listed

Question 39

Which nerve provides sensory information for the teeth and associated tissue?

A) V nerve
B) Fifth cranial nerve
C) Trigeminal nerve
D) All options listed

Question 40

The medial surface of the mandibular ramus is a landmark for the administration for which of the following?

A) Incisive and inferior alveolar blocks
B) Inferior alveolar block and Vazirani-Akinosi blocks
C) Vazirani-Akinosi and the incisive blocks
D) None of the above

Question 41

Avoiding anesthesia of the facial nerve at the parotid salivary gland is important when administering an inferior alveolar block because it may result in transient facial paralysis if given incorrectly.

A) Both the statement and reason are correct and related.
B) Both the statement and reason are correct but NOT related.
C) The statement is correct,but the reason is NOT.
D) The statement is NOT correct,but the reason is correct.
E) NEITHER the statement NOR the reason is correct.

Question 42

Which nerve may also serve as an afferent nerve for the mandibular first molar?

A) Anterior middle superior alveolar
B) Mylohyoid
C) Mental
D) Lingual

Question 43

A patient may present with a bifid inferior alveolar nerve,in which case a second mandibular foramen is more superiorly placed.The second foramen may be detected by noting a doubled mandibular canal on a radiograph.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.