LOCAL ANESTHESIA BOARD
REVIEW 2026/2027 ACTUAL
QUESTIONS WITH VERIFIED
ANSWERS.
What is a possible cause of pain upon removal of the needle? -
correct answer-needle barb
Needle gauge and which lumen is smallest? - correct answer-
smaller number, larger lumen
What sensation is lost first? - correct answer-pain
What function does sodium chloride provide in LA solutions? -
correct answer-makes the solution isotonic
Sodium bisulfite - correct answer-antioxidant preventing
biodegration of LA
,Action of vasodepressolrs - correct answer-increasing duration
of LA
What could be the cause if a patient had a lesion on lower lip
the day after getting LA? - correct answer-bit lip
Why does infiltration work better on maxilla than mandible -
correct answer-mandible is more dense
Where is epi naturally found in the body? - correct answer-
adrenal gland, endocrine system
Which anesthetic is not an amide? - correct answer-procaine
All amides have a " in prefix
If a patient has liver disease (cirrhosis), you would use caution
with an amide because - correct answer-it is metabolized in the
liver
, What is the suggested deposit rate for anesthetic? - correct
answer-1ml/min
Infraorbital injection turned pts cheek white, what happened? -
correct answer-blanching or vasoconstriction of blood vessels
in area
Cause of pain on injection - correct answer-injecting too fast
Burning on injection - correct answer-vasoconstrictor
Most common anesthetic without epi - correct answer-
mepivicaine 3%
If a patient if allergic to wine you should use - correct answer-
plain anesthetic- no sulfites
REVIEW 2026/2027 ACTUAL
QUESTIONS WITH VERIFIED
ANSWERS.
What is a possible cause of pain upon removal of the needle? -
correct answer-needle barb
Needle gauge and which lumen is smallest? - correct answer-
smaller number, larger lumen
What sensation is lost first? - correct answer-pain
What function does sodium chloride provide in LA solutions? -
correct answer-makes the solution isotonic
Sodium bisulfite - correct answer-antioxidant preventing
biodegration of LA
,Action of vasodepressolrs - correct answer-increasing duration
of LA
What could be the cause if a patient had a lesion on lower lip
the day after getting LA? - correct answer-bit lip
Why does infiltration work better on maxilla than mandible -
correct answer-mandible is more dense
Where is epi naturally found in the body? - correct answer-
adrenal gland, endocrine system
Which anesthetic is not an amide? - correct answer-procaine
All amides have a " in prefix
If a patient has liver disease (cirrhosis), you would use caution
with an amide because - correct answer-it is metabolized in the
liver
, What is the suggested deposit rate for anesthetic? - correct
answer-1ml/min
Infraorbital injection turned pts cheek white, what happened? -
correct answer-blanching or vasoconstriction of blood vessels
in area
Cause of pain on injection - correct answer-injecting too fast
Burning on injection - correct answer-vasoconstrictor
Most common anesthetic without epi - correct answer-
mepivicaine 3%
If a patient if allergic to wine you should use - correct answer-
plain anesthetic- no sulfites
