1-Facial nerve initially one of the cranial nerve which emerges to the face
froms
A)Forumen ovale
b) Forumen spinorum
C) Forumen Kotundum
D)Stylold foramen…..
2-Commonly used topical LA agents are
A)priocaine.
b) Mepivacaine.
C)Lignocaine…..
D)Tetracaine.
3- toxicity of local anaesthesia is term given to
A)allergic manifestation
B)Inadequate oxygenation.
c) Idiosyneruny.
d) Overdose …..
4-Which of the following: is long acting and most potent local anesthetic
agent
A- prilocaine
B- bupivacine…..
C- tetracaine
D-mepivicaine
5-To exclude the allergie reactions related to the local anesthetic carpules ,
the following one is recommended
A)Fungicide is added to the carpule
b) Methylparaben not involved……
C) Sodium metabinulfite in added.
D)Sodium chloride in added
6-The most common complication can occur in a child after inferior
alveolar nerve block is :
A)Angular cheilitis
B)Lip ulceration……
C)Necrosis of lip.
D)Swelling of the tongue.
7-Chorda Tympani nerve is branch of:
a) Trigeminal nerve.
b)Facial nerve…..
C) Mandibular nerve.
D) Hypoglossal nerve
8-The following are the landmarks of the Posterior superior alveolar nerve
except:
a)Mucobuccal fold.
b)Zygomatic process of the maxilla.
C)tuberosity of the maxilla
D)External oblique ridge…..
9-The greater palatine foramen clinically located in :
A)Between the palatal roots of maxillary 2nd and 3rd molar….
B)Between the palatal roots of maxillary 1st and 2nd molar.
C)Directly above the long axis of 2nd molar.
d) Directly above the long axis of 3rd molar.
10- The most common complication related to the posterior alveolar nerve
block is :
a) Facial nerve paralysis.
b) Parasthesia of lower lip.
c) Injury to the orbit.
d) Haematoma formation in area of injection…..
11- The largest cranial nerve is called:
a) Facial nerve.
b)) Trigeminal nerve…..
c)Trochlear nerve.
d) Olfactory nerve.
12- All the muscles of mastication elevate the mandible except:
a) Masseter muscle.
b) Lateral pterygoid muscle…..
C) Medial pterygoid muscle.
d) Temporalis muscle.
13- Which of the following teeth is most be difficult during maxillary
infiltration anesthesia due to nerve supply:
A)Canine tooth
b) 1st molar tooth…..
c) Wisdom tooth
d)2nd molar tooth
14- After posterior superior alveolar nerve block , the patient should be
:……………….
a) Numbness of the palate
b) Numbness of terminal branches of infraorbital nerve
C)Few subjective signs of felling anesthesia……
D) Numbness of the ear, ouricle and TMG area.
15- All the muscles of the palate are supplied by the cranial accessory
nerve except:
a) Palatoglossus muscle.
b) Tensor palati muscle…………..
C) Levator palati muscle
d) Palate pharengeal muscle
18- Which of the following is systemic complication related to local
anesthesia:
a) Hypersensitivity…..
A)Pain on injection
c) Trismus
d) Echymosis and hematoma
19- Amide type of local anesthetic agents are metabolized in :
a) Liver…….
b)Plasma
c)Kidney
d) Lungs
20- Which of the following local anesthetic agents is vasoconstrictor in
action:
a) Cocaine…….
B) Procainc
C)Xylocaine
d) Benzocaine
21- The lateral movements of the mandibular movements are controlled by
the following muscle:
A) Temporalis muscles
b) Masseter muscles
C)Mylohyoid muscles
d) Pterygoid muscles…….
22- The safe dose or maximum dose of Adrenaline in cardiac patients is :
A)0.04 mg……..
b) 0.2 mg
C)0.4 mg
D)0.02 mg
23- Which of the following is added to the content of local anesthetic
carpule to increase the shelf life and act as fungicide:
A)Sodium meta bisulfite
b) Sodium choloride
c) Methy|paraben………
d) Adrenaline
24- All the muscles of the tongue are supplied by the hypoglossal nerve
except:
a)Genioglossus muscle
b) Hyoglossus muscle
c)Styloglossus musele
d) Palatoglossus muscle……..
25- Which of the following one is metabolized in the liver
a) Lidocaine…..
b)Metracaine
C)Chloronrocaine
d) Procaine
26- Inferior alveolar nerve block alone is indicated with the following dental
procedure:
A)Extraction of 1st molar.
B)Extraction of 2nd molar
C)Extraction of 3rdmolar
d) Pulpotomy of molar……..
Mohamed Safwan, [1/13/2023 7:53 PM]
27- In systemic toxicity related to local anesthesia, there were:
A)Convulsions
B)Depression
C)Depression followed by convulsions
D)Convulsions followed by depression…….
28-The following are type of local complications related to needle insertion
except:
a)Trismus
B)Pain on injection
C)edema
D)Allergy……
29- An bizzar like reaction associated with local anesthesia is :
Ca Syncope.
b) Idiosyncrasy……
C)Anaphylactic reaction
d) Toxicity
30- The yellowish discoloration of an expired local anesthetic carpule is
due to the following in the carpule:……….
A)Fellypressin.
B)Sodium met-abisulfite
C)Sodium meta-hisulfate
d) Methylparaben
31-An diabetic patient with control the blood glucose level and accepted
the physician consent , tend to
extract multiple mandibular anterior teeth. what is the simple correct L.A
technique?
A)local infiltration to cach tooth without vasoconstrictor…..
B) Anterior superior alveolar nerve block
C)Middle superior alveolar nerve block
D)Inferior alveolar nerve block.
32-The component of dental syringe that determine the type of syringe to
be aspirated is called:
A)Harpoon portion…..
b) Piston part
c) Thumb ring form
D)Gun Syringe barrel
33-The term Gouge of dental needle is referred to :
A)Needle length
B)needle diameter…….
C)Needle deflection
d) Needle flexibility
34- 3% Articaine of one carpule of local anesthesia meaning that this
carpule containing :
A)75 milligrams of the local anesthetic agent
B)) 54 milligrams of the local anesthetic agent……..
C)36 milligrams of the local anesthetic agent
d) 18 milligrams of the local anesthetic agent
35-Sodium meta bisulfite is added to local anesthetic carpale to be act as :
A)Vasopressor agent
b) Local ancsthctic agent.
C)Reducing agent………
d) Vehicle to act isotonic solution
36-The local anesthetic carpule containing vasoconstrictor, has the
following character except:
A) Containing sodium meta bisulfite
b) Has short duration on action……
c) Has the benefit of bloodless surgical field
D) More acidic than that without vasoconstrictor
37-Which of the following innervate the baccal muccoperimtiam of
maxillary 2'' premolar tooth.
a) Anterior superior alveolar nerve
B)Greater palatine nerve
C)Middle superior alveolar nerve…….
d) Inferior alveolar nerve
38-How many the number of milligrams of 2% lidocaine is present in the
dental carpule of 1.8 volume?
A)18 mg
b) 180 mg
C) 36 mg………….
D)72 mg
39- The most common complication oceur in dental chair following
injection of local anesthesia is:
A)Toxic overdose
B)faintaing and syncope………………
C)Allergy
D)idiosyncrasy
40-In ability to open the mouth following the injection of indirect inferior
alveolar nerve is due to the
affection of the .........muscle…………….
a) Medial pterygoid muscle………………..
b) Masseter muscle
C)Lateral pterygoid muscle
d) Temporalis muscle.
41-The type of pain that felt by the patient with no organic source is called :
a)Pain reaction threshold
b) Vascular pain
C)Referred pain
D) Psycogenic pain………
42-Painless injection of palatal infiltration is achieved by :
A)Using plain anesthesia
B)Using topical anesthesia prior to inject…….
C) Using low dose of local anesthesia
d) Using short needle than long needle
43-The type of pain that felt by the patient away from the site of dental
origin is called :
A)Pain reaction threshold
b) Vascular pain
C)Psycogenic pain
d) Referred pain…….
44-Sodium chloride is added to the content of local anesthetic carpule in
form of
A)Isotonic agent…….
B)Vasopressor agent
C)Antioxidant
d) Fungicidal agent
45-Felypressin as one of vasopressors in the content of dental local
anesthetic carpule, has the great benefit to be sate for
A)Pregnant patients.
B) Diabetic metlilus patients.
C)Diver dysfunction disorders.
D)Thyrotoxic palients……….
46-Temporary loss of pain and other sensation including sensory and
motor function with loss of consciousness is the scope of :
A)General anesthesia…….
b) Local anesthesia
c) Pain pathway
D)Pain analgesia
47-Local anesthesie carpales that contains corbasil are contra indicated in
……..….This due to several deaths reportes
a) Thyrotoxie patients………………….
B)Pregnant patients
C)Diabetic mellitux patients
D) Liver dysfunction disorder.
48-Local anesthetie carpules:
That containiog Corbasil vasoconstrictor Is more acidic than
Carpules not containing Corbasil vasoconstrictor, this due to.
a) The effect of Corbasil vasoconstrictor…………………
b) It containing sodium meta bisutfite
c) It containing sodium choloride.
d) It containing methylparperen.
49-An 20 old patient after administration of inferior alveolar nerve
complained from temporary facial [Link] due to:
a) Too high injection…….
b) To medial injection
c) Too low injection
d) Deep insertion.
50-Mcpivicaine hcl is one of local anesthetie agent of :
a)Ester type of local anesthetic agent.
b) Long acting type of local anesthetic agent.
C)Not containing intermedinte chain.
d) Amide type of local anesthetic agent……….
51-Plasma cholinesterase enzyme is responsible for the biotransformation
of :
A)Articaine local anesthetic agent.
b) Lidocaine local anesthetic agent.
c) Cocaine local anesthetic agent……..
d) Mepivicaine local anesthetic agent.
52-The following local anesthetie agent are vasodilators except of :
a) Articaine local anesthetic agent.
b) Lidocaine local anesthetic agent.
c) Cocaine local anesthetic agent…….
53- patient manifestation against the process of pain received is called
A)dual aspect of pain
B)pain perception
C)pain pathway
D)pain reaction……..
54- patient who is characterized as less reactive to pain is considered has
A)high pain thresholed………
B)high pain perception
C)low pain threshold
D)low pain perception
55-Which of the following is true regarding the main trank of the
mandibular braneh of the trigeminal nerve
a) Descends through foramen rotundum.
b) Gives two branches one motor and one is sensory……..
c) Gives two motor branches.
d) Divides into a large anterior division and a smaller posterior division.
56-The only sensory branch of the anterior division of the mandibular nerve
is..
A) Nerve to lateral pterygoid musele
b) Nerve to masseter muscle
c) Nerve to temporalis muscle
d) Long buccal nerve………
57- Which of the following is true regarding the posterior division of the
mandibular nerve?
a) Is mainly motor
b) Is mainly sensory with a small motor branch to masseter muscle
c) It gives off three sensory branches, lingual, inferior alveolar.
d) Is mainly sensory……….
58-Which of the following is true regarding chorda tympani?
a) Conveys the sense of taste from the whole tongue
b) Conveys the sense of taste from the anterior two-thirds of the
tongue…….
c) Conveys the sense of taste from the anterior one-thirds of the tongue
d) Originates from the lingual branch of the mandibular nerve
50) the course of this nerve can be described as; passes down deep to the
lateral pterygoid muscle,
where it is separated from the medial pterygoid muscle by the
sphenomandibular ligament, to reach the
mandibular foramen
a)Inferior alveolar nerve……..
b) Lingual nerve
C)Nerve to my lohyoid
d) Auriculotemporal nerve
60-This nerve passes along the mandibular canal to supply all the teeth on
that side of the jaw.
a) Mental nerve
B) Inferior alveolar nerve………
C)Intraorbital nerve
d) Lingual nerve
61-Which technique of the following is best described as; the needle is
inserted far away from the
mucobuccal fold by 2-3 mm and at 45-degree angle to the outer cortical
plate and passed until the bone
is encountered.
a)Posterior superior alvcolar nerve block
b) Buccal infiltration injection
C)Lingual infiltration injection……………………..
d) High tuberosity injection
62-Which technique of the following is best described as; the needle
should be at right angle of the vault, so should be derived from the
opposite side.
a)Introsseous injection
B)buccal injection
C)Palatal injcction……..
D)Infraorbital nerve block (upper second premolar approach)
63-Which technique of the following is best described as; the solution is
deposited near a nerve trunk
will block all impulses of nerve supplying the area
A)Regional nerve block…….
b) Field anesthesia
c) Infiltration anesthesia
d) General anesthesia
the infraorbital nerve block injection produces anesthesia ol;
a) Incisors, canine and their supporting structures
b) Incisors, canine, premolars and their supporting structures………
C)Incisors, canine, premolars and their buccal and palatal supporting
structures
d) Incisors, canine and their buccal and palatal supportine structures
65-When the syringe is directed in line passing from mesioincisal angle of
the central incisor to its distocervical angle and to the apical region of the
canine the technique is
A)Posterior superior alt colar nerve block
B)Middle: superior atveolar nerve block
c) Intraotbital nerve block……….
D)Infiliration to the canine tooth
66-In the tuberosits injection block technique. the needle is passed inward,
upwards, and backward for distance of
a) 1-1.5 cm
B)1.5-2 cm
c) 2-2.5 cm
d) 2.5-3 cm……….
67-In this technique the maxillary teeth and their investing bone and soft
tissues buccal and palata) are anesthetized
A)Maxillary nerve block………
b)Posterior superior alveolar nerve block with greater palatine nerve block
C)Posterior superior alveolar nerve block
d)Sphenopalatine injection
68-In this technique the needle is slowly passed upwards and inwards untill
reaching sphenopalatine fossa
A)Posterior superior alveolar nerve block
B)Maxillary nerve block………….
c)Trigeminal nerve block
d) Pterygopalatine canal block
69-Elcctronie anesthesia have the following advantages:
a) Can be used in the needle phobia patients……….
b)Need high skill from the operator
C)Used in allergic patient to local anesthesia
d) Cheap method of anesthesia.
70-Electronic anesthesin depends on the following principle:
a) Change of serotonine into tryptophan
b)Change of tryptophan into serotonine……..
c) Performing vasoconstriction in the anaesthetized area
d) Perform vasodilatation in the anesthetized area.
71- jet injetor can be used to produce
A) deep anesthesia
B) surface anesthesia ……….
C) sedation to the patient
D) analgesia to the patient
72- self aspirating syringe depends on
A) elasticity of the rubber diaphragm …………………..
B)elasticity of the tissues
C) osomotic pressure of the local anesthetic fluid
D) operator skills
73- This nerve arises from two roots surrounds the middle meningent
artery supplying the
tomporomandibular joint, skin of the upper two thirds of outer skin of the
auricle
a) Nerve to temporomandibular joint
b) Auriculo temporal nerve…….
C)Posterior auricular nerve
D)Long buccal nerve
74-One of the following local anesthetic agents does not produce
vasodilatation
a) Prilocaine
b) Procaine
C)Lidocaine
d)Cocaine…….
75-Which statement of the following is true regarding the addition of
vasoconstrictors to LA
A) the reduced blood flow decreases the pH. of the tissues…….
b) the reduced blood flow increases the pH. of the tissues
C)stabilize the equilibrium reaction regarding the ionized form
d)none of the above
76-Regarding vasoconstrictors dilution of 1:100,000
means;
a)1000 mg solute in 1000 mL solution
b) 1000 mg solute in 100,000 mL solution…….
C)1 g solute in 10,000 in solution
d) 10 ug solute in 10,000 mL. solution
77-Which of the following statements is not true regarding epinephrine?
a) May be prepared synthetically
b) Is unstable in acid solution
c) Used in concentration varying from 1:50,000 to 1: 30,000………
D) Obtained from extract of mammalian adrenal glands
78-The vasoconstrictive action of ...............is very much less than
adrenaline so, used in relatively
high concentration of 1:10.000
A)Corbasil…….
B)felypressin
c) Noradrenaline
D) Levonordefrin
79-This type of anesthesia is the most popular and the easist in the sites
recommended for such type;
A)Paraperiosteal infiltration ……
b) Submucous intiltration
C)Subperiosteal infiltration
d) Intraosseous injection
80-Nervous spinosum is considered as a branch from:
A)Maxillary nerve.
B)anterior division of mandibular nerve.
C)Posterior division of mandibulat nerve.
d) Trunk of mandibular nerve…………
81- The mandibular nerve is considered as:
A)sensory nerve
B)Motor nerve.
,c)Mixed nerve………
d) Parasympathetic nerve
Mohamed Safwan, [1/13/2023 7:53 PM]
82-The largest branch of the mandibular nerve is:
A)Inferior alveolar nerve……….
B)Lingual nerve.
C)Nervous spinosum
D)Long buccat nerves
83- The branches of the posterior division of the mandibular nerve includes
the following except:
A) Long buccal nerve………..
B)auriculotemporal nerve.
C) Lingual nerve
D)Inferior alveolar nerve
84-The motor branch of the posterior division of the mandibular nerve :
A)mylohyoid branch……….
B)massetric branch
C) branch to temporalis muscle
D)branch to external pterygoid muscle
85-The following are considered as branches from the antrior division of
the mandibular nerve except
A) temporal branch
B) masseteric branch
C) long buccal branch
D) lingual branch …………………….
86- the motor root fibers are derived from motor cells located in
A) medulla oblongata……….
B) pons
C) cerebral cortex
D) none of the above
87- all muscles of mastications are supplied by the anterior division of the
mandibular nerve except
A)medial pterygoid………..
B)lateral pterygoid
C)temporalis muscle
D)masseter muscle
88-all muscles of the palate and pharynx are supplied by accessory nerves
except
A) tensor tympani
B) tensor palati
C) palatopharyngeous muscle
D) palatoglossus muscle………….
89-the extra oral lndmark of maxillary nerve block technique include
A) the inter tragic notch and corner of mouth
B) the infra orbital rim
C) the infra orbital notch
D) the mid point of zygomatic arch ………….
90-the degree of pain reaction determined by
A) pain perception
B) pain reaction threshold………..
Emotional status of the patient
D) age of the patient
91-The technique which anestisizes the inferior alveolar nerve with its
branches in patient suffered
from trismus is called:
A) akinosi technique……….
B)High tuberosity technique.
C)Indirect inferior alveolar nerve block.
d) Gow gates technique.
92-Following injection of inferior alveolar nerve block , and the patient felt
of temporary blindness this
due to:
a)Too high injection…….
b) To medial injection
C)Too low injection
d) Deep insertion .
93-The following nerve blocks are indicated in maxilla except:
A)Incisive nerve block.
b)Infra orbital nerve block.
C)Greater palatine nerve block.
d) Long buccal nerve block…………
94-The technique which anestisizes the inferior alveolar nerve with its
branches using extra oral landmarks is called.
A) akinosi technique
B)High tuberosity technique.
C)Indirect inferior alveolar nerve block.
d) Gow gates technique………..
95-The target area during Gow gates technique of inferior alveolar nerve
block is:
A)Neck of the condyle……….
B)Mandibular foramen.
C)Retromolar triangle.
d) Medial aspect of the ramus.
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96-Accidental intravenous injection of local anesthesia may result in the
complication of:
A) Fainting and syncope
B) toxicity of local anesthesia……..
C)Allergy due to the drug.
d)Pain in injection.
97-Mandibular nerve passes through.
A)Foramen Rotundum
B)Superior orbital fissure.
C)Inferior orbital fissure.
D) Foramen Ovale………
98-Maxillary nerve passes through:
A)Foramen Rotundum…….
b)Superior orbital fissure.
C)Inferior orbital fissure.
d) Foramen Ovale.
99-The nerve that emerges from the two superficial heads of lateral
pterygoid muscle is:
a)Buccal nerve
b) Massetric nerve
C)Nerve to pterygoid muscle
d)Inferior alveolar nerve……….
100-Main nerve supply of soft palate is:
A)Lesser palatine nerve………….
b)Greater palatine nerve
C)Glossopharyngeal nerve
d)Facial nerve