D.

Bupivacaine

36. Epinephrine (Adrenalin) which is used in dental

cartridge of LA acts on:

A. a receptors only

F3. p receptors only

C. a and P receptors but P predominantly

D. a and P receptors but a predominantly

37. When local anaesthetic agent with adrenalin is

injected, the termination of activity of the

vasoconstrictor is brought by:

A. Adrenergic nerve endings

B. Blood enzymes COMT and MAO

C. Excretion in urine (80%)

D. A and B

38. Use of norepinephrine in dental practice is not

recommended because it causes:

A. Bradycardia

B. Intense peripheral vasoconstriction

C. Hypertension

D. Sensitisation of myocardium

39. When one has to use the weakest vasoconstrictor

(e.g. in patient with history of angina) one

should consider:

A. Epinephrine

B. Norepinephrine

C. Phenylephrine

D. Levonordefrin

40. Rebound phenomenon is most commonly seen

with use of:

A. Epinephrine

B. Norepinephrine

C. Phenylephrine

D. Levonordefrin

41. The absolute contraindication for use of

adrenalin in LA is:

A. Myocardial infarction, 3-6 months ago

B. Angina pectoris

C. Hyperthyroidism

D. Pregnancy

42. Adrenalin should not be used when halothane is

used during GA because halothane:

A. Sensitises the myocardium to adrenalin

B. Inr eases the heart rate

C. Increases the blood pressure

D. Interferes with AV conduction.

43. A cartridge of LA contains 1:200,000 adrenalin, it

indicates that there is:

A. 0.005 mg/ml of adrenalin

B. 0.065 mg/ml of adrenalin

C. 0.0125 mg/ml of adrenalin

D. 0.02 mg/ml of adrenalin

Oral and Maxillofacial^urgery^ 33

>3. When injecting into relatively highly vascular

area as in posterior superior alveolar nerve

block, one should use needle with:

A. Smaller gauge

B. Larger gauge

C. Gauge does not matter

D. None of the above

54. One should use a needle which has:

A. Greatest angle of bevel

B. Minimum angle of bevel with tip lying in the

centre of the lumen

No bevel at all

None of the above

C.

D.

55

56

Which of the following is a long acting LA

agent?

A. Mepivacaine B. Bupivacaine

C. Prilocaine D. Propoxycaine

The safest local anaesthetic agent:

A. Cocaine

B. Procaine

C. Chloroprocaine

D. Propoxycaine

57. Which local anaesthetic agent when used

topically interferes with sulphonamide actions:

A. Lidocaine base

B. Lidocaine

C. Benzocaine

D. Propoxycaine

58. Self-aspirating syringes, provide aspiration by:

A. Pulling the thumb ring

B. Negative pressure created due to elasticity of

rubber diaphragm

Pressure release on thumb disc

All of the above

C.

D.

59. The jet injectors are used to obtain:

A. Pulpal anaesthesia

B. Topical anaesthesia

C. Regional block

D. Nerve block also

60. The gauge of needle used in dental syringes

refers to:

A. Internal diameter of the lumen

B. External diameter of needle

C. Diameter of bevel only

D. Diameter of hub

61. Sodium bisulphite used in dental LA cartridge

acts as:

A. Antioxidant for adrenalin

B. Antioxidant for lignocaine

C. Antibacterial for lignocaine

D. Not used any more

62. The allergic reactions commonly seen following

use of cartridge of LA is due to:

A. Lignocaine

B. Vasoconstrictor

C. Methyl paraben

D. Sodium metabisulphite

63. Glass LA cartridge should be sterilised by:

A. Autoclaving

B. Dry heat

C. Cold sterilisation

D. None of the above

64. If the diaphragm of cartridge is soaked in isopropyl

alcohol for purpose of antisepsis, it may

result in:

A. Reduced anaesthesia

B. No anaesthesia

C. Long-term paraesthesia

D. None of the above

65. Local infiltration should be:

A. Paraperiosteal B. Subperiosteal

C. Transeptal D. None of the above

66. Infiltration is not successful for anaesthetising

buccal roots of:

A. -Maxillary 1st permanent molar

B. Maxillary 1st deciduous molar

C. Mandibular 1st permanent molar

D. Decidous maxillary