DENTAL ANESTHESIA 4DD FIRST SEMESTER
CERTIFICATION TEST PAPER 2026 FULL
QUESTIONS AND PRECISE CORRECT
ANSWERS GRADED A+
⩥ Which of the following statements is TRUE?
a. The maxillary teeth are more difficult to anesthetize the mandibular
teeth
b. The buccal nerve is a part of the posterior branch of the mandibular
nerve
c. The infraorbital nerve is a part of the mandibular nerve
d. Anatomic variation in the height of the mandibular foramen leads to
greater failure for IA blocks. Answer: d. Anatomic variation in the height
of the mandibular foramen leads to greater failure for IA blocks
Buccal nerve is part of the anterior branch of the mandibular branch (not
posterior).
The infraorbital nerve is part of the maxillary branch of the trigeminal
nerve (and not a part of the mandibular branch).
⩥ Which of the following is the brand name of mepivacaine?
,a. Xylocaine
b. Marcaine
c. Carbocaine
d. Septocaine. Answer: c. Carbocaine
⩥ Which injection method is useful for dental procedures that require
the clinician to evaluate a smile while providing anesthesia to the max
anterior teeth?
a. P-ASA
b. AMSA
c. IAN
d. A and B
e. All of the above. Answer: d. A and B
P-ASA: anesthetizes the nasopalatine nerve and the anterior branch of
the ASA nerve
AMSA: anesthetize the anterior superior alveolar nerve and MSA
These are given through the hard palate.
⩥ Which type of injection can best achieve hemostasis?
,a. a nerve block
b. a field block
c. an infiltration. Answer: c. an infiltration
For hemostasis, local anesthetic should be injected directly into the area
where the procedure is being performed. Infiltration best localize the
delivery of a local anesthetic with a vasoconstrictor.
⩥ If the clinician needed to provide treatment on the maxillary left
second molar, what would be the most appropriate injection?
a. Infiltration
b. PSA nerve block
c. ASA nerve block
d. MSA nerve block. Answer: a. Infiltration
Only one tooth needed. Infiltration targets small area (one or two teeth)
to be anesthetized.
⩥ The right IA block has not been successful in anesthetizing the central
and lateral incisors on the same side.
, a. Failure to provide a separate incisive nerve block
b. Cross-innervation of nerves
c. Administration of local anesthetic at the improper height
d. Use of plain local anesthetic. Answer: b. Cross-innervation of nerves
⩥ Which of the following structures can the mental nerve block
anesthetize?
a. lingual gingiva of the mandible
b. facial gingiva of the man. anterior teeth
c. buccal gingiva of the man molars
d. All teeth posterior to the mental foramen. Answer: b. facial gingiva of
the man. anterior teeth
mental nerve is terminal branch of inferior alveolar nerve that exists in
the mental foramen located on the *outside* of the body of the
mandible.
⩥ Which injection is needed to anesthetize the palatal tissue around the
left max molar?
a. Nasopalatine nerve block
b. Greater palatine nerve block
CERTIFICATION TEST PAPER 2026 FULL
QUESTIONS AND PRECISE CORRECT
ANSWERS GRADED A+
⩥ Which of the following statements is TRUE?
a. The maxillary teeth are more difficult to anesthetize the mandibular
teeth
b. The buccal nerve is a part of the posterior branch of the mandibular
nerve
c. The infraorbital nerve is a part of the mandibular nerve
d. Anatomic variation in the height of the mandibular foramen leads to
greater failure for IA blocks. Answer: d. Anatomic variation in the height
of the mandibular foramen leads to greater failure for IA blocks
Buccal nerve is part of the anterior branch of the mandibular branch (not
posterior).
The infraorbital nerve is part of the maxillary branch of the trigeminal
nerve (and not a part of the mandibular branch).
⩥ Which of the following is the brand name of mepivacaine?
,a. Xylocaine
b. Marcaine
c. Carbocaine
d. Septocaine. Answer: c. Carbocaine
⩥ Which injection method is useful for dental procedures that require
the clinician to evaluate a smile while providing anesthesia to the max
anterior teeth?
a. P-ASA
b. AMSA
c. IAN
d. A and B
e. All of the above. Answer: d. A and B
P-ASA: anesthetizes the nasopalatine nerve and the anterior branch of
the ASA nerve
AMSA: anesthetize the anterior superior alveolar nerve and MSA
These are given through the hard palate.
⩥ Which type of injection can best achieve hemostasis?
,a. a nerve block
b. a field block
c. an infiltration. Answer: c. an infiltration
For hemostasis, local anesthetic should be injected directly into the area
where the procedure is being performed. Infiltration best localize the
delivery of a local anesthetic with a vasoconstrictor.
⩥ If the clinician needed to provide treatment on the maxillary left
second molar, what would be the most appropriate injection?
a. Infiltration
b. PSA nerve block
c. ASA nerve block
d. MSA nerve block. Answer: a. Infiltration
Only one tooth needed. Infiltration targets small area (one or two teeth)
to be anesthetized.
⩥ The right IA block has not been successful in anesthetizing the central
and lateral incisors on the same side.
, a. Failure to provide a separate incisive nerve block
b. Cross-innervation of nerves
c. Administration of local anesthetic at the improper height
d. Use of plain local anesthetic. Answer: b. Cross-innervation of nerves
⩥ Which of the following structures can the mental nerve block
anesthetize?
a. lingual gingiva of the mandible
b. facial gingiva of the man. anterior teeth
c. buccal gingiva of the man molars
d. All teeth posterior to the mental foramen. Answer: b. facial gingiva of
the man. anterior teeth
mental nerve is terminal branch of inferior alveolar nerve that exists in
the mental foramen located on the *outside* of the body of the
mandible.
⩥ Which injection is needed to anesthetize the palatal tissue around the
left max molar?
a. Nasopalatine nerve block
b. Greater palatine nerve block
