LOCAL ANESTHESIA PROMETRIC
EXAMINATION REVIEW 2026 COMPLETE
QUESTIONS AND CORRECT SOLUTIONS
◉ Free gingival margin. Answer: You are scaling the lingual of #13,
where would you give the injection for an infiltration?
Mucobuccal fold, Mucogingival junction, free gingival margin, or
apex of #13
◉ Nasopalatine. Answer: A central incisor has a periodontal defect
on the lingual root surface, what injection would you use?
◉ Cold and compression for 12 hours. Answer: What is the
treatment for a hematoma?
◉ Patient has complications metabolizing the drug. Answer: ****You
are seeing a patient for SRP and they have Cirrhosis of the liver, what
complications could arise from using an amide local anesthetic?
◉ #1. Works on mucous membranes. #2 not systemically toxic.
Answer: *****What best describes a topical anesthetic?
,◉ Keratinized/palatal tissue. Answer: *****Where would topical
anesthetic be least affective?
◉ Expiration date on cartridge. Answer: What is the shelf-life of LA?
◉ No problems. Answer: What would happen if you administered 1
ml of solution per min?
A. No problems
B. Discomfort for patient
◉ The infected area is more acidic which does not allow ionization
of sodium molecules. Answer: Why doesn't LA work in infected
areas?
◉ What are the safe doses of epinephrine for a cardiac patient and a
healthy patient?. Answer: ***0.2 mm for healthy
0.04 mm for cardiac pt
◉ 3.4-3.6. Answer: Some manufactures have changed how many mL
of solution are in a cartridge. How much would be administered if
you had given 2 full cartridges?
◉ IA. Answer: Where is most likely to use a long needle?
, ◉ 1.8 ml. Answer: How much mL is in a single cartridge of LA?
◉ Smaller number, larger lumen. Answer: Which gauge has the
smallest lumen?
◉ Pain. Answer: Which sensation is lost first?
◉ Makes the solution isotonic. Answer: What function does sodium
chloride provide in LA solutions?
◉ Antioxidant preventing biodegration of LA. Answer: ***What is
the purpose of sodium bisulfate in LA?
◉ Increases duration. Answer: What do vasopressors do?
◉ IA injection not contacting bone and going into parotid gland -
anesthesia to the facial nerve. Answer: What would cause a dry
cornea?
◉ Foramen Ovale. Answer: Where does the mandibular nerve pass
through in the skull?
EXAMINATION REVIEW 2026 COMPLETE
QUESTIONS AND CORRECT SOLUTIONS
◉ Free gingival margin. Answer: You are scaling the lingual of #13,
where would you give the injection for an infiltration?
Mucobuccal fold, Mucogingival junction, free gingival margin, or
apex of #13
◉ Nasopalatine. Answer: A central incisor has a periodontal defect
on the lingual root surface, what injection would you use?
◉ Cold and compression for 12 hours. Answer: What is the
treatment for a hematoma?
◉ Patient has complications metabolizing the drug. Answer: ****You
are seeing a patient for SRP and they have Cirrhosis of the liver, what
complications could arise from using an amide local anesthetic?
◉ #1. Works on mucous membranes. #2 not systemically toxic.
Answer: *****What best describes a topical anesthetic?
,◉ Keratinized/palatal tissue. Answer: *****Where would topical
anesthetic be least affective?
◉ Expiration date on cartridge. Answer: What is the shelf-life of LA?
◉ No problems. Answer: What would happen if you administered 1
ml of solution per min?
A. No problems
B. Discomfort for patient
◉ The infected area is more acidic which does not allow ionization
of sodium molecules. Answer: Why doesn't LA work in infected
areas?
◉ What are the safe doses of epinephrine for a cardiac patient and a
healthy patient?. Answer: ***0.2 mm for healthy
0.04 mm for cardiac pt
◉ 3.4-3.6. Answer: Some manufactures have changed how many mL
of solution are in a cartridge. How much would be administered if
you had given 2 full cartridges?
◉ IA. Answer: Where is most likely to use a long needle?
, ◉ 1.8 ml. Answer: How much mL is in a single cartridge of LA?
◉ Smaller number, larger lumen. Answer: Which gauge has the
smallest lumen?
◉ Pain. Answer: Which sensation is lost first?
◉ Makes the solution isotonic. Answer: What function does sodium
chloride provide in LA solutions?
◉ Antioxidant preventing biodegration of LA. Answer: ***What is
the purpose of sodium bisulfate in LA?
◉ Increases duration. Answer: What do vasopressors do?
◉ IA injection not contacting bone and going into parotid gland -
anesthesia to the facial nerve. Answer: What would cause a dry
cornea?
◉ Foramen Ovale. Answer: Where does the mandibular nerve pass
through in the skull?
