PALLIATIVE AND SUPPORTIVE THERAPY

1. A 65-year-old patient with advanced oral cancer is experiencing severe pain despite
ongoing treatment. Which pharmacological intervention is most appropriate for
managing breakthrough pain in palliative care?
a) Nonsteroidal anti-inflammatory drugs (NSAIDs)
b) Opioid analgesics
c) Topical anesthetics
d) Antiepileptic medications
e) Topical corticosteroids

2. A patient with oral cancer has difficulty communicating due to advanced disease.
What strategies should healthcare providers employ to enhance communication and
address the patient's psychosocial needs?
a) Implementing sign language interpreters
b) Referring the patient for speech therapy
c) Using written communication aids
d) Administering sedative medications
e) Wait until the patient can talk

3. A patient with advanced maxillofacial cancer is experiencing significant emotional

distress. What psychosocial support measures should be integrated into the palliative
care plan?
a) Administration of sedative medications
b) Referral to a mental health professional
c) Increased opioid dosage for pain management
d) Invasive surgical interventions
e) Give medication

4. A patient with a history of head and neck cancer presents with trismus affecting their
quality of life. Which supportive therapy is recommended to address trismus and
improve oral function?
a) Physical therapy and jaw exercises
b) Maxillofacial reconstruction surgery
c) High-dose opioid analgesics
d) Long-term antibiotic therapy
e) Topical anesthetics

5. A terminally ill patient with extensive maxillofacial cancer expresses concerns about
end-of-life care. What is a crucial aspect of providing palliative and supportive care in
this situation?
a) Surgical interventions to prolong life
b) Resuscitation measures in case of cardiac arrest
c) Advance care planning and discussions about patient preferences
d) Administration of high-dose chemotherapy
e) Radiotherapy interventions to prolong life
DENTOALVEOLAR SURGERY
Know and understand the various types of dentoalveolar surgery.

1. A 65-year-old man comes to the dentist's office complaining that the denture he has
been wearing for two years is starting to be uncomfortable and unstable. Based on the
history and clinical examination results, the dentist removed the alveolar bone and
recontoured the anterior alveolar ridge in the maxilla and mandible to support denture
stability.
What type of surgery will be performed according to this scenario?
A. Alveoloplasty
B. Osteotomy
C. Osteoplasty
D. Torus removal
E. Alevelectomy

2. A patient with a partially erupted mandibular second molar complains of pain,

swelling, and difficulty in mouth opening. What is the initial management strategy for
acute pericoronitis?
a) Immediate extraction of the impacted tooth
b) Antibiotic therapy and analgesics
c) Warm saline rinses
d) Splinting of adjacent teeth
e) Extraction with open method technique

3. A 20-year-old boy who came to RSGM Unhas had a history of motor vehicle
accidents. Extra oral examination revealed swelling of the upper lip. An intra-oral
examination obtained a tooth 21 mobile 2 degrees. Radiographic examination showed
a fracture line running in 1/3 of the root of tooth 21.
What is the most likely condition that happened in the case above?
A. Le-Fort fracture
B. Prosesus alveolaris fracture
C. Dentoalveolar fracture
D. Maxillary fracture
E. Mandibular fracture

4. A teenager presents with an impacted maxillary canine, causing significant

displacement of adjacent teeth. What is the preferred surgical approach to expose and
align the impacted canine?
a) Closed eruption technique
b) Orthodontic extrusion
c) Open surgical exposure
d) Distraction osteogenesis
e) Tooth replantation

5. A 28-year-old woman visited RSGM Unhas with X-ray findings indicating a circular
radiolucent lesion with distinct white opaque borders in the apical region of tooth 23.
Following a thorough examination and consideration of the patient's history, the
dentist diagnosed a radicular cyst. Subsequently, the decision was made to extract the
cyst associated with tooth 23.
What type of surgery will be performed according to this scenario?
A. Incision and drainage
B. Apex resection
C. Enucleation
D. Apicoectomy
E. Marsupialization
ARMAMENTARIUM FOR ALVEOLAR SURGERY
Knowing the armamentarium of dentoalveolar surgery.

1. A 30-year-old male sought assistance at the Oral Surgery Department of RSGM

Unhas due to experiencing pain in the lower right posterior tooth. Upon clinical
examination, the dentist identified an impacted tooth, 48, and decided to perform
an odontectomy on this tooth. In the initial stages of the procedure, an L-shaped
flap incision was made, involving a horizontal incision along the gingival sulcus
and a vertical or oblique incision.
What is the most appropriate type of blade to make the flap incisions in the
case above?
A. Blade No. 10
B. Blade No. 15
C. Blade No. 11
D. Blade No. 12
E. Blade No. 22

2. A 60-year-old male visits the dental clinic, expressing discomfort with the
dentures he has worn for a year, citing a sense of looseness and instability.
Additionally, he reports experiencing pain at various points in both the upper and
lower jaws. Following an evaluation of the patient's history and clinical
examination findings, the dentist addressed the issue by removing and
recontouring the alveolar bone in both the maxilla and mandible, aiming to
enhance the stability of the dentures.
What is the main instrument needed for the surgical procedure in the
scenario?
A. Handpiece and bone bur
B. Periosteal elevator
C. Bone file and rongeur forceps
D. Chisel and mallets
E. Suture and needle

3. A 15-year-old female student visited RSGM Unhas, reporting an issue with the
upper left canine, which had not erupted properly and was misaligned.
Examination showed crowding in the upper arch and a deviation of the midline to
the right. X-ray analysis indicated that the upper left permanent canine was tilted,
with its crown overlapping the lateral incisor. In response, the dentist opted to
expose the permanent canine and make provisions to create sufficient space for its
proper eruption.
What is the main instrument needed to remove the surrounding bone of the
tooth based on the case in the scenario?
A. Handpiece and bone bur
B. Bone file and rongeur forceps
C. Chisel and mallets
D. Periosteal elevator
E. Suture and needle

4. A dentist employed at the Oral Surgery Polyclinic of RSGM Unhas is scheduled

to conduct an alveoloplasty to reshape the front alveolar ridge in the upper and
lower jaws of a patient without teeth. Following the creation of an incision flap,
 the dentist raises the mucoperiosteum or tissue from the bone to uncover the
underlying alveolar bone.
What type of instrument was used in the procedure mentioned above?
A. Excavator
B. Dental elevator
C. Surgical forceps
D. Hemostat
E. Periosteal elevator

5. A dentist from the Oral Surgery Polyclinic at RSGM Unhas is set to conduct an
alveoloplasty to reshape the front alveolar ridge in both the upper and lower jaws
of a patient without teeth. During the suturing process, the dentist uses a tool to
hold the tissues in place while passing the needle securely.
What type of instrument was used in the procedure mentioned above?
A. Excavator
B. Surgical forceps
C. Dental elevator
D. Periosteal elevator
E. Hemostat
INTERNATIONAL CLASSIFICATION OF DISEASE (ICD)-10

1. A 30-year-old man came to the Oral Surgery Department of RSGM Unhas with the chief
complaint of pain in the lower right tooth. Clinical examination revealed an impacted
tooth 18, and the dentist performed an odontectomy on tooth 18. Before the treatment, the
dentist fills in a diagnosis code in the patient's medical record to complete the hospital
administration.
Which kind of the following international classification of diseases (ICD) was used by
the dentist in the scenario?
A. International classification of disease -11
B. International classification of disease -10
C. International classification of disease -9
D. International classification of disease -6
E. International classification of disease -4

2. A 32-year-old man came to the Oral Surgery Department of RSGM Unhas with the chief
complaint of pain in the lower right tooth. Clinical examination revealed an impacted
tooth 38, and the dentist performed an odontectomy on tooth 38. Before the treatment, the
dentist fills in a diagnosis code in the patient's insurance form to complete the hospital
administration.
What is the primary purpose of the ICD-10 according to the case in the scenario?
A. Epidemiology
B. Clinical purpose
C. Reimbursement
D. Health management
E. Resource allocation

3. A 27-year-old researcher comes to the Oral Surgery Department of RSGM Unhas to

collect secondary data from the patient’s medical record. He used the ICD-10 code to track
the prevalence of maxillofacial fracture in the city and assist with outcomes research.
What is the primary purpose of the ICD-10 according to the case in the scenario?
A. Health management
B. Epidemiology
C. Reimbursement
D. Resource allocation
E. Clinical purpose

4. A 27-year-old man came to the Oral Surgery Department of RSGM Unhas with the chief
complaint of pain in the lower right tooth. Clinical examination revealed an impacted
tooth 38, and the dentist performed an odontectomy on tooth 38.
Based on the ICD-10, what is the diagnosis code of the case in the scenario?
A. K01.1
B. K08.9
C. K09.0
D. K09.1
E. K09.9

5. A 65-year-old man came to the RSGM with a chief complaint of pain in the back of the
lower right tooth five days ago, followed by swelling three days later. Based on the
anamnesis, clinical, and supporting examination, the dentist established the submandibular
abscess diagnosis at the cellulitis stage.
Based on the ICD-10, what is the diagnosis code of the case in the scenario?
A. K12.0
B. K12.2
C. K12.3
D. M27.2
E. M27.3
INTERDISCIPLINARY HOLISTIC AND PROFESSIONAL PRINCIPLE IN
PATIENT MANAGEMENT IN DENTISTRY

1. A 15-year-old schoolgirl presented to RSGM Unhas with a complaint of unerupted

misplaced upper left canine. She had a crowded upper arch and a midline shift to the
right. Radiographic examination revealed that the upper left permanent canine is tilted,
with the crown overlapping the lateral incisor. After discussing the case, an oral surgeon
and orthodontist agreed to collaborate and do surgical exposure to the permanent canine,
then proceed with inserting an orthodontic appliance to pull out tooth 22 in the normal
position.
The kind of collaboration dentists perform to treat the patient in the scenario is…
A. Complex treatment collaboration
B. Structured treatment collaboration
C. Unstructured treatment collaboration
D. Interdisciplinary treatment collaboration
E. Multidisciplinary treatment collaboration

2. A 15-year-old boy came to RSGM Unhas with a history of falling on the floor while
playing futsal. Extra oral examination revealed swelling of the upper lip. Intra-oral
examination obtained tooth 11 mobile 2 degrees. Radiographic examination showed a
fracture line running in 1/3 of the root of tooth 11. In determining the treatment, the
dentist also considers the patient's physical, emotional (psychological), and social living
conditions to obtain effective treatment outcomes.
What is the principle of treatment applied by the dentist in the above case?
A. Holistic care
B. Continuing care
C. Holistic approach
D. Comprehensive treatment
E. Comprehensive dental tools

3. A dentist performs a dental examination on a pediatric patient who visits the RSGM for
routine check-ups. Based on clinical examination, dentists recommend that patients do
scaling treatment and fillings for cavities. In addition, the dentist also recommended
tooth extraction to the remaining roots of tooth 36. The patient agreed to the dentist's
advice and took the recommended treatments.
What is the principle of treatment applied by the dentist in the above case?
A. Holistic approach
B. Holistic care
C. Continuing care
D. Comprehensive dental care
E. Comprehensive dental tools

4. A dentist who worked at the Oral Surgery Polyclinic of RSGM Unhas will perform an
alveoloplasty procedure for recontouring the anterior alveolar ridge in the maxilla and
mandible of an edentulous patient. After the operation, the dentist asks the patient to
come back seven days later for a follow-up evaluation and educates the patient on
maintaining oral hygiene habits at home.
What is the principle of treatment applied by the dentist in the above case?
A. Holistic care
 B. Continuing care
C. Holistic approach
D. Comprehensive treatment
E. Comprehensive dental care

5. A 30-year-old female patient came to the dentist with complaints of toothache.

Previously, the tooth was under the treatment of another dentist. However, the dentist
is abroad, so the patient cannot return to the same dentist. Then, other doctors
continued the treatment without approval from the first dentist.
What violations has the second dentist committed based on the case in the scenario?
A. Criminal offenses
B. Ethical violations
C. Violation of the law
D. Violation of discipline
E. Professional misconduct