This is last year mid term exam questions..hope it helps..

Ramadhan kareem~ Q1 : Which of the following is correct regarding the sultatory conduction in physiology : A : the nerve signal jump from one node of ronvier to another . Q2 : Electric potential of a typical nerve is : Is not 70 becoz it's -70 mv .. So the correct answer is : it's caused by the action of Na-K ATPase which move Na extracellulary & K intracellulary . Q3 : Which of the following correct regarding Action potential ? The correct answer is : all of choices are wrong . Q4 : Which of the following describe the mechanism of action of LA agents ? A : - they may prevent the generation of action potential ( recall infiltration technique ) - they may prevent the propagation of action potential ( recall block injection ) - they interfere with ion channels & prevent the exchange of Na . so all are correct. Q5 : Which of the following is/are not necessarily present in LA cartridge : - fungiside - vasoconstrictor - reducing agent so B +C +D >> the only one which is necessarily to be present in LA cartridge is LA agent .

Q6 : Which of the following is / are correct regarding the procaine : - it's a amide based >>> wrong - it's currently commonly used >>> wrong

- it's less likely to cause toxicity & allergies >> wrong - it's molecules include hydrophilic but not hydrophobic >> wrong - so all choices are wrong . Q7 : Changing the hydrophilic / hydrophobic ratio may result to all of the following Except : A :The Exception ( the correct answer is the mechanism of action ) it's not affected but the duration , potency , duration etc does . Q8 : Intrinsic potency of LA agent is measured by : A : The minimum Conc the reduce the potential to it's half amplitude within 5 minutes .. Q9 : The larger the diameter of the nerve to be anesthetized , the slower will be the onset of the LA ? A : TRUE Q10 : which of the following have the longer duration of action ? A : bupivacaine >> it remain for 8-10 Hours >> recall postoperative analgesia . Q11 : The effects of VC in LA solution include all of the following Except : A : it may decrease the total amount of LA thats needed to a surgical procuders >> becoz it increase the potency & duration . Q 12 : Which of the following are correct regarding the LA cartridge : A : it contain 1.8-2.2 ml ( & it's important to know how much it contain in order not to exceed the maximum safe dose ) Note : the rubber bung is the one that pushed by a plunger & the diaphragm is on the other side toward the needle .

Q13 : Which of flowing is correct about infiltration technique : - LA prevent the generation of the Action potential . correct - It's rarely fails . correct >>> so A & C are correct .

Q14 : Which of following are correct regarding regional block technique : A : the anesthetic agent is deposited at a distant from a target area . Note : injection at the main trunk of a nerve not the terminal branches . Q15 : if you apply LA in the buccal sulcus opposite to the upper second molar all of the following will be anesthetized except: A : palatal mucosa of the upper teeth . It anesthetize the buccal mucose , PDL , PULP & the bone . Q16 : Buccal cortical plate of the maxilla is : A : thin & porous . Q17 : In order to do a restoration on the upper 6 which nerves we need to anesthetize ? A : the middle & posterior superior alveolar nerves .. Noting to do with the greater palatine nerve .. Q18: How many palatal injections we need to extract painlessly the upper 4 , 6 , 7 & 8 ?? A: two injections >>> greater palatine & incisive nerves >> recall the overlap in the first premolar area >> Although I return to our lec & the doc said the same Q & the answer was only one injection ( I'm sure from this information in the lec becoz I heard it carefully But now ??!! why ?? I dont know >>> so the students who answered two injections they will have one extra mark & if you selected one injection ( As me ) you loooooooooose one mark .

Q19 : Which of the following may reduce the pain from a LA injection : A : - diameter of the needle - slow injection

- topical anesthesia . so the length of the needle is not important in reducing the pain . Q20 : How many nerves supply the soft tissue , PDL , bone , buccal gingiva & palatal gingival of the upper 6 ? A : 3 nerves . we already know them Q21 : What will happen if you insert the needle more posterior in buccal mucosa opposite to the third molar area : A; - hematoma & - increase the chance of intravenous injection recall in this area we have a pterygoid plexus Q22 : How many nerves we need to block in order to anesthetize the palatal mucosa of whole maxillary teeth ? A : three nerves >>> incisive nerve & two greater palatine nerves ) . Q23 : The thickest part in the palatal mucosa is located : A : midway between the midline & the free gingival margin , by the way this information was repeated in the lec more than three times . Q24 : How many nerves we need to anesthetize in order to guarantee painless manipulation on the palatal gingival of the upper 4 ? A : two nerves >> the greater palatine & incisive . recall overlap . Q25 : How many nerves we need to anesthetize in order to manipulate on the palatal gingival of the maxillary incisors ? A: we block only the incisive nerve . Q26 : Which of the following is correct regarding the LA in the mandible : A : - it's easier than in the maxilla >> wrong - we usually need a long needle >> correct - infiltration technique in the incisor area >> correct - block injection are used posteriorly >> correct

Q27 : Which of the following will not be anesthetized by ID block ? A : - mandibular canine on the same side - the skin of the lip on the same side - buccal mucosa of the lower 4 on the same side So all choices are wrong >> all of the above will be anesthetized .. Q28 : Which of the following will not be anesthetized by a lingual nerve block injection ? A : the posterior one third of the tongue" one the same side "( recall the glossopharyngeal nerve ) Q29 : If you need to excise a superficial lesion on the labial mucosa of the lower lip ( on the right side ) , which of the following may give adequate anesthesia ? A : - right ID block - right mental block - infiltration around the lesion . all of them are correct , the doc here didn't ask us about the best technique . so be careful . Q30 : When giving a right ID block for right-handed dentist , the dentist should stand : A: in front of the patient. Q31 : Which of the fllowing is correct about the entry point of the needle when you give ID block ? A : - lateral to the pterygomandibular raphe .

Q32 : When you give ID block the syringe should come from the opposite molar area ? A : FALSE >> from the opposite premolar area . Q33 : When you give a ID block , the syringe will be injected in the ptergopalatine space ?

A : FALSE >> ptergomandibular space . Q34 : the lingual nerve usually anesthetized with the same injection with ID block : A: TRUE . Q35 : What may happen if the needle pass too far posteriorly behind the mandible ? A : failure of the LA .. Not permanent paralysis . >> BUT temporary paralysis Not uncontrolled bleeding . Q36 : Bilateral ID blocks are absolutely contraindicated ? A : FALSE , we said previously that we will not kill the pt but we try to avoid that Q37 : If you need to manipulate on the lower right lateral incisor , which of the following may give adequate anesthesia ? - infiltration . - right ID block - right mental block all of them will Sufficiently anesthetize the target area here >> the same idea in Q 29 .. above Q38 : When you treat a deciduous second molar for a 5 year old child , then the ID block is indicated ? A : TRUE Q39 : If you need to excise a lesion that present on the buccal mucosa opposite to second molar then you need to block the long buccal nerve ? A : TRUE . Q40 : Noradrenaline is more safer than adrenaline ? A : FALSE >> it's not safer , that's why we don's use it anymore