AMERICAN BOARD OF ANESTHESIOLOGY (ABA)|
ANESTHESIA BOARD REVIEW ORACTICE EXAM
QUESTIONS WITH CORRECT ANSWERS
The long buccal injection anesthetizes which areas?
A. Maxillary tissue to the midline
B. Retromolar area
C. Tissue just buccal to the mandibular molars and premolars
D. Mandibular labial tissue from cuspid to cuspid --CORRECT ANSWER--C. tissue just
buccal to the mandibular molars and premolars
Which of the following agents would be best to administer, if one were to anticipate both
severe and prolonged post-operative dental pain?
A. Mepivacaine (Carbocaine)
B. Prilocaine with epinephrine (Citanest Forte)
C. Bupivacaine with epinephrine (Marcaine)
D. Lidocaine with epinephrine (Xylocaine)
E. None of the above --CORRECT ANSWER--C. Bupivacaine with epinephrine (Marcaine)
Because the patient complains of inadequate "numbing," eight more cartridges of lidocaine
2% with epinephrine 1:100,000 vasoconstrictor are injected. The patient then begins talking
incessantly, exhibiting restlessness and fasciculations (twitching) of the extremities, and then
becomes sleepy and suffers a convulsion. The blood pressure and heart rate are depressed.
These symptoms are most likely caused by:
A. A toxicity reaction to the local anesthetic agent
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,B. A toxic reaction to the vasoconstrictor
C. A fear reaction
D. The fact that the patient is epileptic
E. None of the above --CORRECT ANSWER--A. a toxicity reaction to the local anesthetic
agent
An allergy to sulfites would be an absolute contraindication to the use of:
A. Mepivacaine 3%
B. Citanest Plain
C. Lidocaine 2%
D. Lidocaine 3% --CORRECT ANSWER--C. lidocaine 2%
Which of the following is a name for prilocaine?
A. xylocaine
B. septocaine
C. scandonest
D. citanest
E. marcaine --CORRECT ANSWER--D. citanest
Prilocaine is biotransformed by the:
A. liver
B. liver and blood
C. liver, kidneys, and lungs
D. liver, lungs, and large intestines --CORRECT ANSWER--C. liver, kidneys, and lungs
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,The anatomical landmark for the MSA injection is:
A. Above the maxillary first premolar
B. Above the maxillary second premolar
C. Above the mesiobuccal cusp of the maxillary first molar
D. None of the above --CORRECT ANSWER--B. above the maxillary second premolar
Local anesthetic dosages should be reduced for which of the following conditions?
A. Frail elderly
B. Very young children
C. Liver disease
D. All of the above
E. None of the above --CORRECT ANSWER--D. all of the above
What is the primary reason for a burning sensation when the anesthetic agent is injected?
A. pH of the solution
B. Psychogenic
C. Developing hematoma
D. Contaminated solution --CORRECT ANSWER--A. pH of the solution
Your client is 75 years old and is of average height and weight. His health history includes
high blood pressure for which he takes medication, and arthritis for which he takes aspirin
daily. He is in the office for restorative treatment on the facial of #27, 28, and 29. Which
injection would be indicated?
A. RIA
B. LPSA
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, C. R Incisive
4. R mental --CORRECT ANSWER--C. R incisive
Your client is 75 years old and is of average height and weight. His health history includes
high blood pressure for which he takes medication, and arthritis for which he takes aspirin
daily. He is in the office for restorative treatment on the facial of #27, 28, and 29.What
anesthetic will you choose?
A. Mepivacaine 3%
B. Prilocaine 4% w/epi.
C. Lidocaine 2% w/ epi
D. Bupivacaine --CORRECT ANSWER--C. lidocaine 2% with epi
How many milligrams of mepivacaine is in 3 cartridges of a 3% solution?
A. 30 mg
B. 30 mg
C. 72 mg
D. 108 mg
E. 162 mg --CORRECT ANSWER--E. 162 mg
[T:F] A rapid rate of injection will increase the rate of absorption at the site of injection,
thereby decreasing local anesthetic blood levels --CORRECT ANSWER--false: increasing
the rate increases local anesthetic blood levels
The most common emergency in relation to local anesthesia that will be encountered is:
A. Allergy to the anesthetic
B. Syncope
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ANESTHESIA BOARD REVIEW ORACTICE EXAM
QUESTIONS WITH CORRECT ANSWERS
The long buccal injection anesthetizes which areas?
A. Maxillary tissue to the midline
B. Retromolar area
C. Tissue just buccal to the mandibular molars and premolars
D. Mandibular labial tissue from cuspid to cuspid --CORRECT ANSWER--C. tissue just
buccal to the mandibular molars and premolars
Which of the following agents would be best to administer, if one were to anticipate both
severe and prolonged post-operative dental pain?
A. Mepivacaine (Carbocaine)
B. Prilocaine with epinephrine (Citanest Forte)
C. Bupivacaine with epinephrine (Marcaine)
D. Lidocaine with epinephrine (Xylocaine)
E. None of the above --CORRECT ANSWER--C. Bupivacaine with epinephrine (Marcaine)
Because the patient complains of inadequate "numbing," eight more cartridges of lidocaine
2% with epinephrine 1:100,000 vasoconstrictor are injected. The patient then begins talking
incessantly, exhibiting restlessness and fasciculations (twitching) of the extremities, and then
becomes sleepy and suffers a convulsion. The blood pressure and heart rate are depressed.
These symptoms are most likely caused by:
A. A toxicity reaction to the local anesthetic agent
Page 1 of 118
,B. A toxic reaction to the vasoconstrictor
C. A fear reaction
D. The fact that the patient is epileptic
E. None of the above --CORRECT ANSWER--A. a toxicity reaction to the local anesthetic
agent
An allergy to sulfites would be an absolute contraindication to the use of:
A. Mepivacaine 3%
B. Citanest Plain
C. Lidocaine 2%
D. Lidocaine 3% --CORRECT ANSWER--C. lidocaine 2%
Which of the following is a name for prilocaine?
A. xylocaine
B. septocaine
C. scandonest
D. citanest
E. marcaine --CORRECT ANSWER--D. citanest
Prilocaine is biotransformed by the:
A. liver
B. liver and blood
C. liver, kidneys, and lungs
D. liver, lungs, and large intestines --CORRECT ANSWER--C. liver, kidneys, and lungs
Page 2 of 118
,The anatomical landmark for the MSA injection is:
A. Above the maxillary first premolar
B. Above the maxillary second premolar
C. Above the mesiobuccal cusp of the maxillary first molar
D. None of the above --CORRECT ANSWER--B. above the maxillary second premolar
Local anesthetic dosages should be reduced for which of the following conditions?
A. Frail elderly
B. Very young children
C. Liver disease
D. All of the above
E. None of the above --CORRECT ANSWER--D. all of the above
What is the primary reason for a burning sensation when the anesthetic agent is injected?
A. pH of the solution
B. Psychogenic
C. Developing hematoma
D. Contaminated solution --CORRECT ANSWER--A. pH of the solution
Your client is 75 years old and is of average height and weight. His health history includes
high blood pressure for which he takes medication, and arthritis for which he takes aspirin
daily. He is in the office for restorative treatment on the facial of #27, 28, and 29. Which
injection would be indicated?
A. RIA
B. LPSA
Page 3 of 118
, C. R Incisive
4. R mental --CORRECT ANSWER--C. R incisive
Your client is 75 years old and is of average height and weight. His health history includes
high blood pressure for which he takes medication, and arthritis for which he takes aspirin
daily. He is in the office for restorative treatment on the facial of #27, 28, and 29.What
anesthetic will you choose?
A. Mepivacaine 3%
B. Prilocaine 4% w/epi.
C. Lidocaine 2% w/ epi
D. Bupivacaine --CORRECT ANSWER--C. lidocaine 2% with epi
How many milligrams of mepivacaine is in 3 cartridges of a 3% solution?
A. 30 mg
B. 30 mg
C. 72 mg
D. 108 mg
E. 162 mg --CORRECT ANSWER--E. 162 mg
[T:F] A rapid rate of injection will increase the rate of absorption at the site of injection,
thereby decreasing local anesthetic blood levels --CORRECT ANSWER--false: increasing
the rate increases local anesthetic blood levels
The most common emergency in relation to local anesthesia that will be encountered is:
A. Allergy to the anesthetic
B. Syncope
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