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Logothetis: Local Anesthesia for the
Dental Hygienist Chapter 02:
Neurophysiology Answers to End-of- chapter Review Questions and Answers Already Passed
What is the role of sodium ions during nerve impulse conduction?
- They block the nerve impulse
- They maintain the resting potential
- They exit the cell during depolarization
✔✔ C. They rush into the neuron to depolarize it
What happens when a local anesthetic is applied to a nerve?
- It opens sodium channels permanently
- It stimulates the nerve
- It speeds up the nerve conduction
✔✔ C. It blocks sodium ion influx
Which of the following best describes a resting nerve fiber? 1 / 4
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- It is depolarized
- It is flooded with sodium ions inside
- It has an action potential
✔✔ C. It has a negative charge inside
What is the threshold potential in a neuron?
- The most negative potential possible
- The charge required to open potassium channels
- The potential after repolarization
✔✔ B. The minimum level required to trigger an action potential
Which ion is primarily responsible for repolarization of the nerve?✔✔ A. Potassium
- Sodium
- Calcium
- Chloride
Which of the following statements is true about local anesthetics and nerve conduction? 2 / 4
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- They stimulate potassium release
- They permanently alter nerve structure
- They open calcium channels
✔✔ B. They prevent depolarization by blocking sodium entry
Myelinated nerves conduct impulses more rapidly because:
- They are shorter in length
- They contain more sodium
- They require less energy
✔✔ C. They use saltatory conduction between nodes
The all-or-none principle means:
✔✔ A. A nerve fires completely or not at all
- A nerve only fires if a stimulus is weak
- A stronger stimulus causes a larger action potential
- The nerve will fire repeatedly with a weak signal
Where do local anesthetics primarily act on the neuron? 3 / 4
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- The axon hillock
- The synaptic vesicle
- The dendrite
✔✔ C. The nerve membrane (axon membrane)
Which of the following is NOT needed for a nerve impulse to occur?
- Sodium influx
- Threshold stimulus
- Membrane depolarization
✔✔ B. Permanent membrane blockage
Which statement about action potentials is correct?
- They vary in strength depending on the stimulus
- They increase with repeated stimuli
- They occur without ion movement
✔✔ B. They have the same size once threshold is reached
What effect does local anesthesia have on nerve repolarization?
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