This seemed simple enough but I have to be missing something. I have the following config to block all DNS request from the inside that are not going to the allowed external DNS server.
access-list INSIDE-ACCESS-OUT extended permit udp any object open-dns1 eq domain
access-list INSIDE-ACCESS-OUT extended permit udp any object open-dns2 eq domain
access-list INSIDE-ACCESS-OUT extended permit tcp any object open-dns1 eq domain
access-list INSIDE-ACCESS-OUT extended permit tcp any object open-dns2 eq domain
access-list INSIDE-ACCESS-OUT extended deny udp any any eq domain
access-list INSIDE-ACCESS-OUT extended deny tcp any any eq domain
access-list INSIDE-ACCESS-OUT extended permit ip any any
access-group INSIDE-ACCESS-OUT out interface inside
DNS can still get out to any server and packet tracer doesn't show the ACL being hit.