Local Anesthesia NERB Questions and Correct Answers What nerve was damaged if the anterior 2/3 of the tongue has a loss of sensation? Answer: Lingual What type of injection would be used to achieve homeostasis? Answer: Infiltration Where are needles disposed? Answer: Hazardous sharps A burning feeling from an injection can be caused by what? Answer: Too fast of an insertion or the preservative. Why would you use caution with Amides and a patient who has Cirrhosis? Answer: Amides are metabolized in the liver. Cirrhosis is liver failure. The mandibular division passes through which foramen? Answer: Foramen Ovale Treatment for hematoma? Answer: Apply pressure for 2 minutes, ice the area, use a warm, moist towel 4 -
6 hours a fter, and rinse with salt water. Primary reason for needle breakage? Answer: Weakening of the dental needle by bending it before insertion. Another reason: patient movement. How is topical anesthetic best described? Answer: It is absorbed through mucos al tissue. How far are you into tissue when you first hit bone on the IA block? Answer: 1 inch. How much epinephrine for a cardiac patient? Answer: 0.04 mg How much epinephrine for a healthy patient? Answer: 0.20 mg Foramens & nerves that enter and exit: Answer: Foramen Rotundum - Maxillary nerve Foramen Ovale - Mandibular nerve Mandibular Foramen - IA nerve Incisive Foramen - Incisive nerve Mental Foramen - Mental nerve
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