Which of the following is the preferred local anesthetic technique for

hemophilics?

A. Nerve block

B. Supraperiosteal

C. Intraligamentary

D. Field block

Of the following local anesthetics, which has intrinsic vasoconstrictive action?

A. Cocaine

B. Procaine

C. Xylocaine

D. Bupivacaine

It is difficult to obtain local infiltration anesthesia in the presence of inflammation

because of:

A. a decreased pH

B. increased vascularity

C. odedma

D. pain

Which of the following symptoms is seen in a patient administered with 20-40%

nitrous oxide ?

A. Paraesthesia

B. Floating sensation

C. Sweating

D. None of the above

Alpha adrenergic agonists are used in combination with local anesthetics to:

A. increase the rate of liver metabolism of local anesthetic

B. increase the concentration of LA at receptor site

C. stimulate myocardial contraction

D. increases vascular absorption of LA

Action of toxic doses of local anesthetic on CNS can be described as:

A. first stimulating the CNS followed by depression

B. first depressing it followed by stimulation

C. only depression of the CNS

D. only stimulation of the CNS

To give field block, the LA should be deposited near:

A. main trunk

B. large branch of peripheral nerve

C. small nerve endings

D. periodontal ligament

Most accepted theory for conduction of pain is:

A. Gate control theory

B. Specificity theory

C. Membrane stabilization theory

D. None of the above

In anesthetizing lower anteriors, all of the following are indicated except:

A. Fischer 123 technique

B. Classical inferior alveolar nerve block

C. Mental nerve block

D. Incisive block

Action of lignocaine is affected by all except:

A. pH at the site of injection

B. blood flow at the site of injection

C. vasoconstrictor in the LA solution

D. action of cholinesterase at the site of injection

The addition of hyaluronidase to a local anesthetic solution might:

A. increase the duration of anesthesia

B. limit the area of anesthesia

C. reduce bleeding

D. enhance diffusion of local anesthetic

The effect of local anesthesia can be increased by the addition of:

A. Adrenaline

B. Isoprenaline

C. Dopamine

D. Felypressin (synthetic vasopressin)

Amide type of local anesthetic agents undergo biotransformation primarily in the:

A. kidney
B. liver

C. plasma

D. excreted in the unaltered form

The maximum dose of lignocaine without adrenaline that can be admitted to a

patient is:

A. 4 mg/kg body weight

B. 5 mg/kg body weight

C. 7 mg/kg body weight

D. 9 mg/kg body weight

Surgery is carried out in which stage of general anesthesia?

A. Plane I

B. Plane II

C. Plane III

D. Plane IV

The amount of vasoconstrictor in 1 ml of 2 % lignocaine solution with 1:200000

adrenaline is:

A. 0.5 mg

B. 0.05 mg

C. 0.005 mg

D. 0.0005 mg

Which of the following general anesthetic techniques should be used for

anesthesia in oral surgery?
A. Open drop method

B. Anesthesia with nasopharyngeal airway

C. Nasoendotracheal tube with throat pack

D. IV anesthesia with nitrous oxide and oxygen

The longest acting, most potent and most toxic LA is:

A. Lidocaine

B. Dibucaine

C. Bupivacaine

D. Tetracaine

Which of the following is used to prevent laryngospasm due to GA?

A. Atropine

B. Epinephrine

C. Diazepam

D. Succinylcholine

Among the following, which condition is a contraindication to the use of local

anesthetic agent?

A. Parkinson's disease

B. Liver damage

C. Pregnancy (third trimester)

D. hypersensitivity to the drug

Lidocaine is used more commonly in dentistry because lidocaine:

A. causes less depression of the CNS

B. causes less cardiovascular collapse

C. causes lesser incidence of allergic reactions

D. is 50 times more potent than procaine

Of the following, in which condition local anesthesia is ineffective?

A. Edema

B. Localized infection

C. Hematoma

D. Anemia

LA with adrenaline is absolutely contraindicated in:

A. First trimester of pregnancy

B. Hyperthyroidism

C. Hemophilia

D. Hypertension

Which of the following local anesthetic will be suitable for a hypertensive patient
suffering from a heart disease?

A. Lignocaine without adrenaline

B. Prilocaine

C. Lignocaine with adrenaline 1:1000

D. Prilocaine with Felypressin

Which of the following is true regarding local anesthesia?

A. they are basic salts of weak acids

B. not effective in alkaline pH

C. form salts with acids

D. they are acidic salts of weak bases

The local anesthetic which has sympathomimetic property is:

A. Procaine

B. Lidocaine

C. Cocaine

D. Tetracaine

he onset of action of lidocaine is after:

A. 1-2 minutes

B. 5-10 minutes

C. 3-5 minutes

D. 7-8 minutes

The common complication of the local anesthetic prilocaine is:

A. Agranulocytosis

B. Hepatic dysfunction

C. Methemoglobinemia

D. Loss of taste

Which of the following local anesthetic is a vasoconstrictor>

A. Lidocaine
B. Procaine

C. Bupivacaine

D. Ropivacaine

First local anesthetic to be used clinically was:

A. Cocaine

B. Bupivacaine

C. Procaine

D. Lignocaine

Which of the following inducing agents has analgesic property?

A. Nitrous oxide

B. Halothane

C. Enflurane

D. Sevoflurane

The most common anesthetic complication occuring within first 24 hours after
surgery under general anesthesia is :

A. Hypertension

B. Renal failure

C. Atelectasis

D. Cardiac arrest

Atelectasis (at-uh-LEK-tuh-sis) is a complete or partial collapse of the entire lung

or area (lobe) of the lung. It occurs when the tiny air sacs (alveoli) within the lung
become deflated or possibly filled with alveolar fluid. Atelectasis is one of the
most common breathing (respiratory) complications after surgery.

Xylocaine strength used in dentistry is:

A. 2 %

B. 5 %

C. 8 %

D. 10 %

The first sensation to be lost following administration of local anesthetic is:

A. Proprioception

B. Pain

C. Touch

D. Temperature

The role of sodium metabisulphite in local anesthetic agent is:

A. Preservative

B. Fungicide

C. Reducing agent

D. Vasoconstrictor

The color of a nitrous oxide cylinder is:

A. Red

B. Blue

C. White

D. Black
Which of the following is not used as a topical LA?

A. Procaine

B. Tetracaine

C. Lidocaine

D. Benzocaine

The primary excretory organ for the local anesthetic and its metabolites is:

A. Lungs

B. Kidneys

C. Liver

D. Skin

Which one of the following local anesthetics belongs to the ester group?

A. Procaine

B. Bupivacaine

C. Lignocaine

D. Mepivacaine

All of the following are complications of LA toxicity except:

A. Cardiac depression

B. CNS depression

C. Paresthesia

D. Respiratory depression

Paresthesia refers to a burning or prickling sensation that is usually felt in the

hands, arms, legs, or feet, but can also occur in other parts of the body. The
sensation, which happens without warning, is usually painless and described as
tingling or numbness, skin crawling, or itching.

An anesthetist orders a new attendant to bring the oxygen cylinder. He should

order to bring:

A. black cylinder with white shoulder

B. black cylinder with grey shoulder

C. white cylinder with black shoulder

D. grey cylinder with white shoulder

Toxic effect of local anesthetic include:

A. Convulsions

B. Asystole

C. Methemoglobinemia

D. All of the above

The maximum concentration of lidocaine for topical block is:

A. 2 %

B. 4 %
C. 15 %

D. 10 %

The site of action of local anesthetic is on:

A. Axioplasm

B. Epineurium

C. Nerve membrane

D. Perineurium

The gas used in LA cartridge is:

A. Oxygen

B. Helium

C. Nitrogen

D. Carbondioxide

Which of the following local anesthetic is active topically?

A. Lidocaine and Benzocaine

B. Lidocaine and Mepivacaine

C. Mepivacaine and Benzocaine

D. Prilocaine and Mepivacaine

The most common emergency seen after the use of local anesthetic is:

A. Trismus
B. Toxic reaction

C. Swelling

D. Syncope

Syncope, also known as fainting, is a loss of consciousness and muscle strength

characterized by a fast onset, short duration, and spontaneous recovery. It is
caused by a decrease in blood flow to the brain, typically from low blood pressure.

Local anesthetics block nerve conduction by:

A. Depolarising the nerve membrane reducing threshold potential

B. Decreasing the membrane permeability to Na+ ions thereby stabilizing nerve

membrane

C. Increasing the membrane permeability to K+ ions and by depolarising the

nerve membrane

D. None of the above

Local anesthetic with lowest placental transfer rate is:

A. Lignocaine

B. Bupivacaine

C. Mepivacaine

D. Chloroprocaine

Which preservative is most commoly used in LA in India?

A. Methyl hydroxyl benzoate

B. Cetrimide
C. Sodium Paraben

D. Silica gel

Most potent topical anesthetic is:

A. Mepivacaine

B. Prilocaine

C. Benzocaine

D. Tetracaine

The following affects the duration of local anesthesia EXCEPT:

A. Protein binding capacity of local anesthetic

B. Addition of vasoconstrictor

C. Vasodilator activity of local anesthetic

D. Non-nervous tissue diffusibility