OMF_Prof.Keamborn(51-100)

51The following are the signs and symptoms of osteomyelitis , except…?

Chill,high fever(40 C),rapid pulse,trismus and general malaise

As the infection progresses, the infected area becomes painful, mobility of teeth , swollen, and extremely tender.

Pus,fistula,sequestra(4-6 weeks),fetid odor and trismus

All of the above.

52Radiographic imaging of osteomyelitis :

Moth eaten r/lucency, I.e. irregular, ,patchy, ragget and poorly outline

Radiopaque sequestrae, I.e. Piece of necrotic bone

Evidence of involucrum surrounding area of destruction

All of the above.

53The treatment of chronic suppurative osteomyelitis is :

Hyperbaric oxygen therapy

Sequestrectomy,saucerization and hyperbaric oxygen therapy

Sequestrectomy ,with hyperbaric oxygen therapy

Saucerization only

54Chronic focal sclerosing osteomyelitis is also known as :

Perosteitis ossificans

Condensing osteitis

Garre`s osteomyelitis

Alveolar osteitis

55Garre`s osteomyelitis was first described by Garre in the year :

1873

1883

1893

1903

56A focal gross thickening of the periosteum with peripheral bone formation is :

Chronic osteomyelitis

Condencing osteitis

Garre`s osteomyelitis

Periostitis

57Inflammatory cells seen chiefly in acute suppurative osteomyelitis histology are :

Plasmacells

Lymphocytes

Monocytes

Neurophilic PMNL`s

58After decortication of mandible in osteomyelitis,closed irrigation suction and/or placement of antibiotic is done for a period of :?

5-7 days

7-10 days

10-14 days

14-20 days

59Decortication of the mandible for the treatment of osteomyelitis was described by ;

Maxwell

Mowlem

Mader

Michellin

60For a patient of osteomyelitis who is allergic to penicillin,all of the following drugs are recommended as 2nd and 3rd choices except :?

Clindamycin

Cephalosporin

Erythromycin

Sulfa drugs

61Radiographic characteristics of osteomyelitis were described by :

Wilson

Worth

Wright

Williams

62Radiolucencies due to spreading infection of osteomyelitis:

Moth eaten r/lucency, I.e. irregular & poorly outline

Radiopaque sequestrae, I.e. Piece of necrotic bone

Patchy,ragget & ill define radiolucency

All of the above.

63All of the following are true about osteomyelitis of the mandible, except :?

Symphysis is more commonly involved than angle

Ramus is more commonly involved than symphysis

Body is more commonly involved than symphysis

Angle is more commonly involved than condyle

64Osteomyelitis of the jaws is primarily caused by :

Peptostreptococcus

Prevotella (Bacteroids)

Streptococcus sp

Vincent`s organism

65The most common organisms isolated from primary hematogenuos osteomyelitis of long bones in adult :?

Staphylococcus sp

E.coli

Salmonella typhi

Pneumococcus

66What is sinusitis ?

Sinusitis is a flammation of medular bone.

Sinusitis is a painful swelling of the soft tissue of the mouth and face resultating from a diffuse spreading of purulent exudate along the facial planes that separate the muscle bundles.

Sinusitis is an inflammatory of the mucosa of the sinus.

Sinusitis is an infection of sinus bone

67The following are the blood supply to the mucous membrane of sinus ,except….?

External Carotid artery.

Facial and maxillary arteries.

Facial ,maxillary and infraorbital arteries

Facial ,maxillary , infraorbital arteries and greater palatine arteries.

68The following are the nerve supply to the mucous membrane of sinus , except…?

Facial nerve.

V1 of trigeminal nerve or Nerve ophthalmic.

V2 of trigeminal nerve or superior dental nerve and the greater palatine nerve.

V3 of trigeminal nerve or Inferior alveolar nerve.

69I health,the thickness of sinus lining from :?

0,1-0,2 mm thick(on CT)

0.3 - 2 mm thick.

3-4 mm thick

5-6 mm Thick

70The following are the function of maxillary sinus,except…?

No special function is necessary.

Lighten head, phonetic resonance and auditory feedback

Insulation,air conditioning, water conservation,olfaction,

Strengthen area against trauma and protect eyes and nasal cavity

71Radiography for sinusitis are :?

Periapical radiograph

PA projection

OPG ,Water views or CTScan.

Occlusal views

72Indication of Caldwell Luc procedure ?

Acute sinusitis

Subacute sinusitis

Chronic sinusitis

Treatment of chronic maxillary sinusitis not responding to conservative medications.

73The following are contraindication for Caldwell-luc procedure,except…

Age < 3 Yrs

Age >18 Yrs

Trauma to maxillary sinus or fracture of antral floor.Acute maxillary sinusitis untreated by antibiotics

Diagnosis of maxillary antral hematoma.

74Caldwell-Luc may be performed under :

Topical anesthesia only

Infiltration anesthesia only

Regional block with infiltration anesthesia or general anesthesia.

Medical drug

75Flap disign for antral closure of Oroantral Communication :

Vestibular flap,palatal flap,bridge flap and fat pad flap.

Triangula flap

Trapezoid flap

Semi-lunar flap

77Maxillary sinus is also known as :

Paranasal sinus

Antrum of Highmore

Antrum of Keith

No other name

78The best view for maxillary sinus is :?

Town`s view

Occlusal view

PA view in waters`s position and OPG

Lateral view of skull

79A small opening is made into the maxillary antrum during extraction, immediate treatment is :?

Phack the socket with gauge

Allow the clot to form No special treatment is necessary

Place the patient on antibiotics

Rise a big mucoperiosteal flap and close the antrum

80How to diagnose an Oro-antral fistula?

Squeeze patient nose & ask to strongly blow to see air bubble

Insert a large needle into fistula & take X-ray

Use the probe to explore the fistula

None of the above

81The following are the signs and symptoms of newly created oro-antral fistula,except…

Antral floor attached to roots apices of extracted tooth or teeth.

Fracture of the alveolar process or the tuberosity and bubbling of blood from the socket or nostril.

Dry shcket.

Change in speech tone or resonance and radiographical evidence of sinus involment

82When the sinus disease is caused by an oroantral communication,typically close spontaneously,if defects less than :?

< 5mm

< 7 mm

< 9 mm

<10 mm

83<>procedure is done to :

Visualize the antrum from oral cavity

Visualize the antrum from nasal cavity

To establish drainage through nasal cavity

To pack the maxillary antrum

84Acute maxillary sinusitis :

Results in referred pain to a single tooth

Results in referred pain to the orbit and maxillary posterior tooth

Is exacerbated by cold history

Is usually a non-infection process

85Surgical treatment of sinusitis is :?

Antral irrigation

Caldwell-Luc procedure

Antrostomy

Enucleation

86A tooth displaced into maxillary antrum can be removed by :?

Caldwell-luc procedure

Transalveolar extraction

Bergers`s method

Intranasal antrostomy

87The other name of maxillary sinus is :?

Antrum of Highmore

Antrum of Denver

Antrum of Khnopfleer

Antrum of Wilson

88The base of the maxillary sinus is formed by the :?

Zygomatic bone

Orbital floor

Hard palate

Lateral wall of the nose

89The shape of the adult maxillary sinus is :?

Rhomboid

Trapezoid

Rectangular

Pyramidal

90The incidence of oro-antral fistulae is less in :?

Children and young adults

Midle aged adults

Elderly

All of the above

91The apex of the maxillary sinus faces the :

Nasal bone

Floor of the orbit

Palate

Zygomatic process of the maxilla

92Inflammation of most or all para nasal sinuses simultaneously is described as :?

Pan sinusitis

Sinusitis

Para nasal sinusitis

Sinus thrombosis

93Maxillary sinus infection of odontogenic origin is most commonly caused by :?

Aerobic bacteria

Anaerobic bacteria

Fungal

Viral

94Classification of maxillary fracture by location :?

Close Fracture and open Fracture

Le Fort I,Le Fort II and Le Fort III Fractures.

Nasal Fracture and Zygomatic Complex Fracture.

Pan facial or split palate

95All of the following are signs and symptoms of dento-alveolar fractures, except :?

Pain ,paraesthsia ,stepped deformity alveolar bone and palpable fracture

Lacerations / bruising / haematoma of mucosa or gingiva and Visible fracture line

Through torn mucosa

Teeth – missing, avulsed, fractured , unusual mobility of teeth/bone

Loos of consciousness.

96What are components of NOE Fracture ?

Frontal bone,nasal bone, maxillary bone.

Frontal bone,nasal bone, maxillary bone, lacrimal bone.

Frontal bone,nasal bone, maxillary bone, lacrimal bone, ethmoid bone and sphenoid bone.

Nasal bone,eth moid bone and sphenoid bone.

97What are components of Zygomatic complex Fracture ?

Zygomatic bone,Frontozygomatic bone and Zygomatic arch.

Zygomatic bone,Frontozygomatic bone , Zygomatic arch,Orbital rim.

Zygomatic bone,Frontozygomatic bone ,Zygomatic arch,Lateral orbital rim,infraorbital rim,orbital floor, anterior and lateral maxillary sinus.

Zygomatic bone,Frontozygomatic bone and Zygomatic arc

98What is the treatment of Zygomatic Complex Fracture ?

MMF or IMF Technique

Trans osseous wiring

Trans osseous wiring and Mini bone plates.

Reduction alone and reduction &fixation.

99 Classification of mandibular fracture by type :?

Close and open fracture.

Simple Fx,compound Fx,comminuted Fx,greenstick Fx,Complex Fx,telescoped or impacted Fx.

Dentoalveolar Fx,symphysisFx,parasymphysis Fx,body Fx,angle Fx,coronoid Fx,condyle Fx.

Class I ,Class II ,Class III

100Classification of mandibular fracture by location :?

Close and open fracture.

Simple Fx,compound Fx,comminuted Fx,greenstick Fx,Complex Fx,telescoped or impacted Fx.

Dentoalveolar Fx,symphysisFx,parasymphysis Fx,body Fx,angle Fx,coronoid Fx, condyle Fx.

Class I ,Class II ,Class III

OMF_Prof.Keamborn(51-100)

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