Elite Batch 2012

Oral Surgery II – Midterm Questions

2012
1. Which of the followings is The most common cause for extraction of an
impacted third molar ?
- pericornitis

2. Which of the following is false about MI ?

-we don't extract 6 months post MI)
-The best test to used for MI patients before extraction is platelet count

3. A 71 years old patient who is taking baby aspirin , Which of the following is
TRUE about him :
-Increased bleeding time

4. A patient came 72 hours after extraction of the 3rd molars with painful hard
swelling , What is he suffering from most commonly ?
-Hematoma

5. We can't do as a doctor standing in front of the patient :

- Do anesthesia for the left lower six molar

6. 64 years old patient with HT,DM & take aspirin , hypoglycemic agent & you
did for him SIMPLE extraction and he came with excessive bleeding What is
true:
1.You must prevent aspirin before the procedure
2. L.A with adrenaline is contraindicated
3. Wet gauze and pressure
4. Tight suturing
5. Gel foam or surgecil
Answer : 3 +4 + 5

7. Epileptic pt came for you for an extraction :

1. You must stop the medication before a day consulting the physician
2. Diazepam or midozolam IV pre-operative is always given
3. Stabilize the pt on chair wn the seizure came
4. Mouth prop(gag) is used
5.all if the following
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8. Which of the followings is a complication may happen post-operative to

extraction with liver diseased patients :
1. Bleeding
2. Infection

9. Which of the following is the management of a dry socket ?

- irrigation with alveolo-gel

10. Horizontal impacted 3rd molar with Pericoronitis procedure :

-Extract the opposite tooth , give antibiotics and after two weeks let him go to
specialist

11. Which of the followings is wrong about extraction of upper 3rd molar :
- pushing lower 3rd molar too much will penetrate maxilla-sinus

12. Anesthesia with adrenaline is contraindicated for all of the following except :
a-angina
b-diabetes
c-hypertension
d-pregnant lady

13. Which of the following is true about preoparative antibiotics :

a-2mg of amoxicillin
b-600 mg of clindamycin if the patient is allergic to penicillin

14. All of the following can be used for tongue retraction except :
a-minnesota retractor
b-tongue blade ( metal )
c-towel clip
d-silk suture 6-0
e. all of the above

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15. drainage of an acute abscess could be performed by :

a-extraction of the tooth
b-access cavity through the canals
c-sharp no 11 blade through the tissue
d-all of the above
e-none of the above

16. all of the following is true regarding hypertension except :

a-bleeding in the uncontrolled is usually problematic
b-anesthesia with adrenaline is always safe

17. All of the following are true about the flaps except :
a- the buccal flap width should be more than the length
b-in the palatal flap according to the greater palatine nerve the length should
never exceed twice the width
c-the sides should be converging d-the apex should be narrower than the base
e- axial blood flow should be included in the base to prevent necrosis

18. All of the following are true except :

a-releasing incision is usually mesial rather than distal
b-semilunar is suitable for periapical surgery with minimal effect of rescission in
the presence of crown
c- 3 corner flap is the most commonly used in oral surgery but with high effect
on the rescission in the presence of a crown
d- Envelope = one sided = gingival flap

19. All of the followings are true about Prosthetic heart valve patient except :
- must give him prophylactic antibiotic to prevent ED
- always on heparin
- give him 2g of amoxcillin pre surgically
- Most important test is INR

20. Diabetic patient take insulin came to dental surgery clinic without meal, most
common complication is :
-Hypoglycemic shock

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21. The line that determines the amount of bone removal according to George
classification is :
- the red line

22. Adequate visibility depends on all of the following except

-good light
-good access
-dry field with suction d
-dry field with drying with gauze

23. Patient has a renal failure and he does every 3day/week dialysis need
extraction for 4 wisdom teeth , and she has HCV . what is the perfect decision
to extract her teeth :
-midway between two dialysis, give local anesthesia and then extract

24. You dismissed a patient at 12am , caame back at 6pm because of continuous
bleeding, what to do
-place collagen sponge in socket and suture on top
-give heparin
-give warfarin
- give aspirin

25. local contraindication for extraction all the following except:

- jaw malignancy
-pericornitis
-radiation to breast

26. how to control post operative edema

-ice for 5 days giving
-dexsamethasone preoperative

27.Which of the followings make it harder to do the extraction ?

-Replacement resorption ( NOT internal resorption , the replacement resorption is
kind of ankylosis )

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28. if the patient decided to o implants after extraction what are the appropriate
measures during extraction :
a-extract with peritome
b-don`t reduce socket
c-don`t remove bone
d-all of the above
e- none of the above

29. The followings are principles of flap design all are true except :
a-cutting is full muco-periosteal
b-the nasopalatine nerve bundle is commonly traumatized during the flap
reflection
c-the papilla must not be cut in the middle
d-long incision heal as quickly as short incision

30. Why we don't use air-driven hand pieces in Surgical extraction :

- to avoid emphysema

31. what is the most important finding from extra oral examination ……
a- mouth opening
b- lymph node
c- TMJ dysfunction
d- Dental infection

32.. The instrument that is most commonly used to extract 3rd molars :
-warwick james

33. Most common autosomal inheritance diseased :

-Von Willibrand’s disease

34. Which of the following is true about this suture material :

-The answer was all of the above

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35. Hypercemntosis

36. Internal Resorption

1. Severe Pain in the jaw after 3-4 days of the extraction of a lower third
molar usually Includes :
-Dry Socket
-Acute pulpitis of Adjacent tooth
-Exposure of dentine of the adjacent tooth
-Periocoronitis
-Periodontitis

2."Syncope" In dental office is managed by :

-Putting the patient in prone position
-Putting the patient in up-right position

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-Putting the patient in trendelenburg position. (PIC)

-Putting the patient in a semi recumbent position .

3. The Best treatment of Dry Socket is :

-Alveogel

4. All are true regarding mucocele except :

-Cysts type of papillary cystadenoma
-Most common on the lower lip
-Associated with trauma of secratory acini
-Can be an extravasation or retention variety
-Arises from Epithelial remanence of dental lamina

5. There was a question about when is the maximum severity of the dry socket
after the extraction ,, there was no choice (3-4days)

Q.Pregnant women position if she gets into syncope?

Q. Contraindication of extraction of 3rd molar?

Q. Post operative complications are most likely due to ??

-Poor oral hygiene ..
-Inadequate post operative instructions
- poor surgical technique

Facial Spaces are Filled with ?

-

when the infection or...moves from the massetric space to the parotid space
why does the patient feel pain?
-irritation to the facial nerve
-capsule of parotid doesnt expand.

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In ludwigs angina when we do incision they have to be deep till

-mylohyoid
-geniohyoid
-Ant, Belly of digastric

There Was a Q about how to treat Dentigurous cyst

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