The Vazirani-Akinosi mandibular technique is recommended for what type of patients?

Children

Large boned

Reduced opening

Enlarged tongue

Autistic

Pressure syringes are primarily designed to deliver what type of injection

Palatal

Intraosseous

Intraseptal

Periodontal ligament

Incisive/mental

If a right-handed clinician contacts bone too soon (one half penetration depth or less) on the
.left IA nerve block, what should be done

.Withdraw and select a penetration site more posterior

Immediately redirect needle/syringe more laterally

Withdraw slightly, redirect needle/syringe more medially

Withdraw and select a penetration site more medially

Withdraw slightly, redirect needle/syringe more laterally

What is the reccomended amount of anesthetic deposited for the Gow-Gates injection
technique

1.5

1.8

1.2

1.3

1.0

What type of injection is contraindicated in primary teeth

Intraosseous

Infraorbital

.Periodontal

Posterior superior alveolar

Inferior alveolar

.15

Applying topical for longer than indicated can result in sloughing of the tissues - this is
?officially called what

.A

Epithelial desquamation
 .B

Sterile abscess

.C

Cheek rot

.D

White lacy striations

.E

Epithelial dysplasia

.F

Epithelial dysplasia

.16

Persistent paresthesia following a local anesthetic injection

Discuss

.A

Is always preventable

.B

Is often caused by a needle penetrating the cheek

.C

Is always reversible

.D
 Is desirable

.E

Is the most common on the tip/side of the tongue

.17

?Trismus is best defined as what

Discuss

.A

A low grade infection

.B

A holiday in December

.C

"Anesthesia that doesn't "wear off

.D

Trauma to muscles and/or blood vessels

.E

A flooding or pooling of blood

.18

An epinephrine overdose reaction

.A

Usually requires formal management

 .B

Requires placing the patient in a supine position

.C

May manifest as anxiety or restlessness

.D

Minimally affects blood pressure and heart rate

.E

Indicates an epinephrine allergy

.19

A patient suffering from local anesthetic overdose induced seizures should be given
?what

.A

Oxygen only

.B

Glucose

.C

Oxygen and diazepam

.D

Oxygen and epinephrine

.E
 Oxygen and diphenhydramine

.20

After administering topical Benzocaine 20% and 3% Mepivicaine with epinephrine

1:100,000, the patient complians of intense itching of the face and is feeling a tightening in
?the throat. What is most likely the cause of this reaction

.A

The patient is experiencing psychogenic anxiety

.B

The anesthetic was injected too rapidly

.C

The patient is having a reaction to the epinephrine

.D

The patient is allergic to the Benzocaine

.E

The patient is having an idiosyncratic reaction

.21

All of the following are acceptable alternatives for an anesthetic-allergic patient except
?one, which is the exception

.A

Hypnosis

.B
 Electronic dental anesthesia

.C

Use limited amounts of esters

.D

Use general anesthesia

.E

Use limited amounts of sterile Benadryl

.22

All of the following patients represent a potential for a local anesthetic overdose except
?one, which is the exception

.A

Pregnant women

.B

Patients with hepatitis

.C

A marathon runner

.D

Highly anxious patients

.E

A sweet little child

 .23

If a patient has an allergy to esters, which of the following topical anesthetics should not
?be used

.A

Lidocaine

.B

Denti-patch

.C

Benzocaine

.D

Pressure

.E

Betadine

.24

You administer 2% lidocaine with epinephrine 1:50,000 into the palate of your patient.
Three days later, they call complaining of a large sore on the roof of their mouth. What is
?the sore MOST likely to be

.A

Herpes simplex virus

.B

Aphthous ulcer

.C
 Epithelial desquamation

.D

Sterile abscess

.E

Necrotizing sialiometaplasia

.25

Your patient is a 190 lb man. He was scheduled with the dentist prior to seeing you
today. The dentist used 3 cartridges of 4% Articaine withe epinephrine 1:100,000. He is
becoming sensitive during root planing and scaling. How many additional cartridges of 2%
?lidocaine with epinephrine 1:100,000 can he have

.A

2.3

.B

4.5

.C

7.3

.D

3.8

.E

1.9
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