DENT2150 Surgical Dentistry I (propaedeutics)

Midterm Exam Version 1

Closed Question – 0.125 point, Total:5 points;

True / False – 0.2 point, Total: 6 points;
Open Question – 1 point, Total: 8points;
Definition - 1 point, Total: 5 points;
Total score – 24 points.

Closed Question – 0.25 point, Total: 5 points

1. Standard format for recording Results of History and Physical examinations consist of
A) Biographic data B)Laboratory and imaging results C)Review of systems D) All of the
mentioned

2. Biographic data does not include:

A)Patient’s full name B)Age C)Date of last medical physical examination D)Occupation

3. Which of the following could not be the chief complaint for maxillofacial patients:
A)Pain B)Swelling C)Fever D)All of the mentioned

4. Which of the following is not one of the primary means of physical evaluation:
A)Auscultation B)Percussion C)Dental X-ray D)Palpation

5. In dentistry auscultation is used for evaluation of:

A)Salivary glands B)TMJ C)Oral mucosa D)All of the mentioned

6. Which of the following stimulations can be triggering true Asthma attack

A)Infectious B)Chemical C)Emotional D)All of the mentioned above

7. !!!!!!!Which of the following can alert the dentist before surgery about the bleeding disorders
A)Epistaxis B)Easy bruising C)Prolonged bleeding after injuries D)All of the mentioned above

8. !!!!!!Name the factors to increase the likelihood of medical emergencies :

A)The ability of keeping relatively unhealthy persons ambulatory B)The large variety of
drugs used C)The age of the patient D)all of the mentioned above

9. Which type of hypersensitivity can cause immediate threat to patients life:

A)Type I B)Type II C)Type III D)Type IV

10. Which of the following are severe dermatologic manifestation of type I hypersensitivity:
A)Erythema B)Angioedema C)Urticaria D)All of the mentioned
11. Usual cause of death from generalized anaphylaxis is:
A)Cardiac arrest B)Unconsciousness C)Laryngeal obstruction D)Dyspnea

12. To prevent the hypersensitivity reaction the dentist should

A)Question the patient about their history of drug allergies B)Ask patients about
medications he/she is intended to use C)Send suspicious patients to the physician who can
perform hypersensitivity testing D)all of the mentioned

13. Which instrument is used for incising tissues:

A)Scalpel B)Elevator C)Retractor D)All of the mentioned

14. Molt elevator is used for:

A)Elevating tongue B)Elevating mucosa C)Elevating mucoperiosteum D)None

15. Which of the following is used for grasping soft tissues?

A)Pickup B)The Allis forceps C)The Stillies forceps D)all of the mentioned above

16. Dental elevator consists of following parts:

A)Handle B)Shank C)Blade D)All of the mentioned

17. How many basic types of elevators exist:

A)One B)Two C)Three D)Four

18. Which of the following instruments is used to get the better view of the surgery sight
A)Scalpel B)Elevator C)Retractor D)Pickup

19. Of how many parts the scalpel consists

A)One B)Two C)Three D)Four

20. Which of the following scalpel blades are used in oral surgery:
A)N 11 B)N 12 C)N15 D)All of the mentioned

21. The suture materials are classified by

A)Diameter B)Resorbability C)Whether they are monofilament or polyfilament D)All of
the mentioned

22. Which of the following is used to hold the mouth open to sedated patient
A)Bite block B)Mouth prop C)Needle holder D)All of the mentioned

23. !!!!!!!!The basic types of elevators are

A)Straight type B)Triangle or pennant-shape type C)Pick type D)All of the mentioned
24. Inferior alveolar nerve innervates
A)Mandibular teeth B)Buccal soft tissues of canines C)Buccal soft tissues of molars D)All of
the mentioned above

25. lingual nerve innervates

A)Maxillary molars except portion of the first molar tooth B)Maxillary premolars C)Lingual
soft tissue of all teeth D)None of the mentioned above

26. Long buccal nerve innervates

A)Buccal soft tissue of incisors and canines B)Buccal soft tissue of molars and second premolar
C)Buccal soft tissue of premolars D)All of the mentioned

27. Indications for removal of teeth

A)Caries B)Pulpal Necrosis C)Periodontal Disease D)All of the mentioned

28. Teeth Involved in Jaw Fractures should be removed if they are

A)injured B)infected C)severely luxated D)All of the mentioned

29. How many groups of contraindications for the removal of teeth exist
A)One B)Two C)Three D)Four

30. To prevent transmission of the blood borne diseases to the surgical crew is required
A)Surgical gloves B)Surgical mask C)Eyewear with side shields D)All of the mentioned

31. Before the extraction it is advised to rinse the mouth vigorously with antiseptic (chlorhexidine) to
A)Reduces the incidence of postoperative infections B)Helps to prevent transmission of the
blood borne diseases to the surgical crew C)Helps to remove the teeth properly D)None

32. For the maxillary extraction the chair should be tipped backwards so that maxillary occlusal plane
to the floor would be at an angle of
A)30 degrees B)60 degrees C)90 degrees D)None

33. During the extraction the height of the chair should be that patients mouth level was
A)Equal or slightly below surgeons elbow level B)Slightly above surgeons elbow level C)Equal
or below surgeons shoulder level D)None of the mentioned

34. ?????The elevators are primarily used as

A)Lever B)Axle C)Wheel D)All of the mentioned

35. ?????The elevators can also be used as

A)Wheel B)Wedge C)Axle D)None of the mentioned
36. Why the base of the flap should be wider than the free margin
A)To preserve the adequate blood supply B)To be easily replaced in the original place C)To
gain access to underlying bone D)All of the mentioned

37. Vertical releasing incisions in the posterior aspect of the palatine should be avoided because
A)Of the bleeding from the grater palatine artery B)Of the flap necrosis C)They cannot provide
adequate visualization of the area D)All of the mentioned

38. Vertical-releasing incision is usually made on which side of the envelope component
A)Posterior end B)Anterior end C)Straight in the middle D)None

39. Flaps for tooth removal consist of the following parts

A)The surface mucosa B)The submucosa C)The periosteum D)All of the mentioned

40. When the incision line is unsupported by sound bone

A)It heals better B)It tends delayed healing C)It does not matter D)None of the mentioned
above

True / False – 0.2 point, Total: 6 points;

41. The review of the systems may reveal undiagnosed medical problems
A)True B)False

42. !!!!!!!Patients with MI (myocardial infarction) take aspirin and other anticoagulants this can
affect on the surgical decision making
A)True B)False

43. ?????Some immunosuppressive drugs used after organ transplantation can cause gingival
hyperplasia
A)True B)False

44. ????The health history forms should include questions to obtain only the basic information
about disease
A)True B)False

45. The narrowest part of the air ways is the vocal cords in the larynx
A)True B)False

46. !!!!!!Toxicity reactions occur if the local anesthetic is given in an amount or in a manner that
produces an excessive serum concentration
A)True B)False
47. Continuous or repeated seizures without periods of recovery between them are known as status
epilepticus.
A)True B)False

48. Anxiety that manifests as hyperventilation - can frequently be prevented through anxiety
control.
A)True B)False

49. If patient losses consciousness during generalized anaphylaxisreaction cricothyrotomy or

tracheotomy may be required to bypass the laryngeal obstruction
A)True B)False

50. Mallet and chisel are used for removing the bone
A)True B)False

51. Bite Blocks are used to prevent stress on the temporomandibular

joint (TMJ).
A)True B)False

52. Triangular elevators (Cryer) are single instrument:

A)True B)False

53. Dental Elevators are used to luxate (loosen) teeth from surrounding bone
A)True B)False

54. ????Triangular elevators (Cryer) are used for extracting mesial and distal roots.
A)True B)False

55. Extraction of a tooth is a procedure that combines the principles of surgery and elementary
physical mechanics
A)True B)False

56. Malposed teeth should be removed in any case

A)True B)False

57. Patients with any of a variety of severe uncontrolled cardiac diseases - should have their
extractions deferred until the disease can be brought under control
A)True B)False

58. Surgeons must prevent inadvertent injury or transmission of infection to their patients or to
themselves
A)True B)False
59. For the extraction of the mandibular teeth the occlusial plane should be parallel to the floor
A)True B)False

60. ?????Extraction forceps are usually working as wedge when they are used
A)True B)False

61. ???? Long straight incision with adequate flap incision heals more rapidly than short torn
incision
A)True B)False

62. Periosteum is the primary tissue for the bone healing

A)True B)False

63. ????The flap should be designed to avoid the injury of the local structures
A)True B)False

64. Less bleeding is produced when full-thickness flap is elevated

A)True B)False

65. The role of the assistant is to suction blood away during the extraction
A)True B)False

66. The role of the assistant is to protect the teeth of the opposite arch during the extraction
A)True B)False

67. The assistant helps the surgeon to visualize and gain access to the operative area by reflecting
the soft tissue of cheeks and tongue
A)True B)False

68. The opposite hand protects the other teeth from forceps should it release suddenly from the
tooth socket
A)True B)False

69. The opposite hand stabilizes the jaw when mandibular teeth are extracted
A)True B)False

70. Vigorous curettage of the socket wall produces additional injury and may delay healing
A)True B)False
 Open Question – 1 point, Total: 8points

71. Name areas of oral surgical management with potential for creating fetal damage?
72. What is the main action of the medial staff during the occurrence of a seizure while a patient is
undergoing care in the dental office?
73. What changes does gastric contents aspiration in airways cause?
74. The different beaks of the extracting forceps are designed to adapt which part of the tooth?
75. When do we need to use Periotomes?
76. Why the teeth that are located within an area of tumor, especially a malignant tumor, should not
be extracted?
77. If large portion of the tooth’s crown which we plan to remove is destroyed by caries, the
likelihood of which outcome is increased during the extraction?
78. In which cases should the tooth socket be curreted after the extraction?

Definition - 1 point, Total: 5 points

79. Define the term flap, which is used in oral surgery?

80. Define the simple machines used in teeth extraction and briefly describe them?
81. Define the role of the assistant during the tooth extraction briefly describe them?
82. Define the different kind of suture materials?
83. Define the role of the dental elevators in tooth extraction?