Oral surgery 2 (part3)
1. What are the ideal treatment plans?
σ� Long-term outcomes
σ� Address all patient concerns
σ� Minimum intervention
σ� All of the above
σ� None of the above
2. In which cases consent should be informed before starting the treatment?
σ� Suture removal
σ� Surgical removal of deep unerupted mandibular wisdom teeth
σ� Extraction of a maxillary second molar which the root is close proximity to the sinus
σ� Prescription writing for orofacial pain
σ� Surgical removal of deep unerupted mandibular wisdom teeth and Extraction of a maxillary second molar which the root is close proximity to the sinus
3. The difficulty of extraction?
σ� Severely divergent roots
σ� Periapial radiolucency
σ� Dilacerated roots
σ� Endodontically treated teeth with or without post and core
σ� Increased number of roots present
4. Which one of the following is NOT one of the basic steps of surgical extraction?
σ� Incision & raising a flap
σ� Application of Betadine
σ� Removal of bone
σ� Tooth or root division
σ� Removal of tooth or roots
σ� Removal of tooth or roots
5. When a fractured root tip can be left in-situ?
σ� The root tip is smaller than 2mm in an infected root
σ� For small root fragments as the risk of removing them may cause potential complications
σ� The infected root tip is closed to the maxillary sinus
σ� The infected root is close to the inferior alveolar nerve
σ� All of the above
6. Which suture that can be used in contaminated wounds?
σ� Vicryl
σ� Silk
σ� Nylon
σ� Catgut
σ� Stainless steel
7. Which suture creates eversion of the wound edges?
σ� Interrupted sutures
σ� Continuous sutures
σ� Horizontal mattress suture
σ� Vertical mattress suture
σ� Figure-of-eight suture
8. What sizes of the sutures that commonly used in oral cavity?
σ� 2//0
σ� 3/0 & 4/0
σ� 4/0 & 5/0
σ� 6/0
σ� 7/0
9. What is the atraumatic suturing technique?
σ� No crushing tissues with forceps
σ� Not too large suture and needle
σ� Not too large tissue bites
σ� Not too tight
σ� Not too dry
σ� All of the above
10. Which suture is used for extraction socket of molar teeth to control bleeding?
σ� Horizontal mattress
σ� Vertical mattress
σ� Figure-of-eight and interrupted
σ� Interrupted
σ� Sling suture
11. How many knots do you need to tie tissues intra-orally?
σ� One knot
σ� Two knots
σ� Three knots
σ� Four knots
σ� Five knots
12. Suture is selected depends on:
σ� Tissue to be suturing, ie. mucosa, muscle, skin
σ� Healing process
σ� Tissue tolerance
σ� Patient’s availability to come for suture removal
σ� All of the above
13. Which of the followings are the treatments of ecchymosis?
σ� Apply ice pack on the bruise
σ� Reassure the patient
σ� Inject steroid
σ� Apply warm moist pack
σ� Apply ice pack on the bruise and Inject steroid
σ� Reassure the patient and Apply warm moist pack
14. Which of the following are the local measures to control bleeding after surgical extraction?
σ� Use vitamin K
σ� Apply pressure with sterilized gauze
σ� Use tranexamic acide injection
σ� Place Gelfoam or Surgicel in the socket
σ� Suture across the socket
σ� Apply pressure with sterilized gauze, Place Gelfoam or Surgicel in the socket and Suture across the socket
15. Which case of cyst do you need to do marsupialization?
σ� Very large cyst involving vital structures
σ� Traumatic bone cyst
σ� Pocket cyst of lateral incisor
σ� Mucous retention cyst in the floor of the mouth (ranula)
σ� Very large cyst involving vital structures and Mucous retention cyst in the floor of the mouth (ranula)
σ� All of the above
16. How to diagnose an Oro-antral fistula?
σ� Squeeze patient nose & ask to strongly blow to see air bubble
σ� Insert a large needle into fistula & take X-ray
σ� Use the probe to explore the fistula
σ� None of the above
σ� All of the above
17. Which one of the following is NOT the factors influencing the course of infection?
σ� Portal of entry
σ� Virulence
σ� Patient's weight
σ� Pathogenicity
σ� Host defense
σ� Numbers/types of bacteria
18. What are the investigations for infection?
σ� Take swap of pus for microbiology & antibiotic sensitivity
σ� Immunoflurescence
σ� Blood culture
σ� Urine test
σ� Take swap of pus for microbiology & antibiotic sensitivity and Blood culture
σ� All of the above
19. Which of the following are NOT the modes of spread of infection?
σ� Saliva
σ� Lymphatic
σ� Blood
σ� Tear
σ� Direct spread
σ� Saliva and Tear
20. What is the first line antibiotic for acute infection?
σ� Rodogyl
σ� Tetracycline
σ� Amoxicillin or with clavulanic acid
σ� Cephaxin
σ� All of the above
21. In which case do you need to refer the patient to the hospital?
σ� Localized infection
σ� Ludwig’s Angina
σ� Palatal abscess
σ� Cavernous sinus thrombosis
σ� Localized infection and Palatal abscess
σ� Ludwig’s Angina and Cavernous sinus thrombosis
22. How to confirm the definitive diagnosis of a soft tissue lesion (diameter ˃2cm) on the lateral border of the tongue?
σ� Blood test
σ� Fine needle aspiration
σ� Incisional biopsy
σ� Excisional biopsy
σ� All of the above
23. Which lesions are needed for fine needle aspiration?
σ� Vascular lesions
σ� Fluctuant soft tissue pathology
σ� Surgical emphysema
σ� Intraosseous pathology
σ� Vascular lesions and Surgical emphysema
σ� Fluctuant soft tissue pathology and Intraosseous pathology
24. When aspirate a cystic lesion which shows cholesterol, what type of cyst might it be?
σ� Dentigerous cyst
σ� Eruption cyst
σ� Inflammatory cyst
σ� Odontogenic keratocyst
σ� Aneurysmal bone cyst
25. When aspirate a cyst-like lesion which shows blood, what type of lesion might it be?
σ� Contamination
σ� Lipoma
σ� Aneurysmal bone cyst
σ� Radicular cyst
σ� Haemengioma and Mucoccel
σ� Contamination, Aneurysmal bone cyst and Haemengioma
26. When aspirate a cyst-like lesion which shows air, what type of lesion/structure might it be?
σ� Salivary gland duct
σ� Maxillary sinus
σ� Nerve canal
σ� Traumatic bone cyst
σ� Salivary gland and Nerve canal
σ� Maxillary sinus and Traumatic bone cyst
27. How do you perform pulp vitality tests?
σ� Tap on the tooth
σ� Use hot GP points
σ� Spray air on the tooth
σ� Use cold spray
σ� Use electric pulp tester
σ� Use hot GP points, Use cold spray and Use electric pulp tester
28. What are the surgical options of jaw cysts?
σ� Apply acid
σ� Marsupializaion
σ� Incision and drainage and Enucleation
σ� Root canal canal treatment
σ� Local resection +/- reconstruction
σ� Marsupializaion, Enucleation and Local resection +/- reconstruction
29. Which one of the following is the best method of amrsupialization of large cysts?
σ� Packing with gauze into the cystic cavity
σ� Open the cystic cavity with robber urinary catheter
σ� Packing with alveogyl
σ� Cover the cystic cavity with resine stent
σ� Plug the cystic cavity with gelfoam
30. Which one of the soft tissue lesions that penetrate into underlying bone (cupping)?
σ� Peripheral Giant Cell Granuloma
σ� Central giant cell granulama
σ� Focal fibrous hyperplasia
σ� Drug induced gingival hyperplasia
31. Which of one the following lesions do NOT need to do excisional biopsy?
σ� Firoepithelial polyps
σ� Mucocoeles
σ� Fibromas
σ� Haemengioma
σ� Papillomas
32. What is the flap design for removal of torus palatinus?
σ� Envelop flap
σ� Triangular flap
σ� J-shape flap
σ� Y-shape flap
33. What is Compound Odontome?
σ� Odongenic tumour characterized by the formation of calcified enamel & dentin in
σ� An abnormal arrangement
σ� A bag of teeth
σ� A variant type of ameloblastoma
σ� A malignant tumour of the tooth
34. In which cases consent should be informed before starting the treatment?
σ� Non-invasive procedures such as extraction of a just root
σ� Prescribing an analgesic
σ� All the invasive procedures such as surgical removal of mandibular third molar
σ� Prescribing an antiseptic mouthwash
35. Which of the following is NOT the differential diagnosis of a soft tissue lesion?
σ� List all the most probable diagnosis
σ� Look at the characteristics of each condition/lesion
σ� Blood tests
σ� Compare & distinguish between them and choose on a “best-fit” basis
36. Which one of the following is NOT the investigation before extraction?
σ� Radiographs
σ� Antibiotic
σ� Pulp vitality tests
σ� Study models
37. Which one of the following is NOT the ideal treatment plans?
σ� Meet all patient concerns
σ� Future procedures for long-term outcomes
σ� Provide treatment options
σ� Treat only painful tooth
38. Which cases consent should be informed before starting the treatment?
σ� Non-invasive procedures such as extraction of a just root
σ� All the invasive procedures such as surgical removal of mandibular third molar
σ� Prescribing an analgesic
σ� Prescribing an antiseptic mouthwash
39. Which of one of the following is NOT the clinical factors predicting the difficulty of extractions?
σ� Extensive loss of coronal tooth structure
σ� Limited access to the area of extraction
σ� Severe periodontitis
σ� History of past root canal therapy
40. Which of one of the following is NOT the radiographic factors predicting the difficulty of extraction?
σ� Severely divergent roots and dilacerated roots
σ� Enlargement of periodontal ligament space seen in a radiograph
σ� Hypercementosis/bulbous roots and dense bone
σ� Endodontically treated teeth with or without post and core
41. Which teeth are at risk for sinus exposure when doing extraction?
σ� Lone standing maxillary molar with pneumatized maxillary sinus
σ� Roots projecting into a severely pneumatized maxillary sinus and minimal coronal bone visible radiographically
σ� Teeth with advanced periodontal disease but with no mobility; also teeth with the maxillary sinus extending into the trifurcation area
σ� All of the above
42. Which one of the following is NOT one of the principles of flap designs?
σ� Avoid vital structures
σ� A little broad base flap
σ� Very broad base
σ� Gentle soft tissue handling
43. What are the factors to consider in flap design?
σ� Depth of the buccal sulcus
σ� Position & size of labial fraenum and muscle attachments
σ� Size of lesion and number of teeth to be treated
σ� All of the above
44. Which one of the following is NOT one of the basic steps of surgical extraction?
σ� Incision & raising a flap
σ� Application of Betadine around the tooth
σ� Removal of bone and tooth or root division
σ� Wound debridement and suture
45. When a fractured root tip can NOT be left in the socket?
σ� The root tip has got infection
σ� The root tip is smaller than 3mm
σ� The root tip is closed to the maxillary sinus and closed to inferior alveolar nerve
σ� All of the above
46. How do you prevent aspiration of a tooth or root into the lungs when doing an extraction?
σ� Place a piece of sterilized gauze as a pharyngeal screen at the back of the patient's mouth
σ� Place a rubber dam on the tooth
σ� Patient stands up while extracting the tooth
σ� Lay the patient flat while extracting the tooth
47. Which of the followings are the treatments of ecchymosis?
σ� Apply ice pack on the bruise
σ� Inject steroid
σ� Reassure the patient and apply warm moist pack
σ� Prescribe antibiotic and analgesics
48. How do you avoid TMJ dislocation during dental procedures?
σ� Use mouth prop or bite block
σ� Make short appointment
σ� Support the mandible during extraction
σ� All of the above
49. What are the symptoms and signs of alveolar osteitis (dry socket)?
σ� Severe pain and discomfort from the extraction site and may radiate from to other parts of the head, ear, eye, and neck
σ� Exposed bone around the socket and remaining food debris inside the socket
σ� Delayed healing
σ� All of the above
50. Which one of the treatment procedures of alveolar osteitis (dry socket) below is NOT always given to the patients?
σ� Irrigate the socket with chlorhexidine
σ� Prescribed antibiotic
σ� Apply alvogyl in the socket
σ� Prescribe strong analgesics
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