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+QUESTIONS ACCORDING TO TOPIC

(Better to read full topic of each ue!tio"#

PATIENT ASSESE$ENT AND $ANAGE$ENT 1. A hypertensive patient is scheduled for surgery. What antihypertensive drugs should not be taken the morning of surgery a) Thiazide diuretics

b) ACE nhibitors c) Calcium channel blockers

!. a. b. c. d.

Anisocoria refers to "neven pupils Corneal #acerations Corneal in$ury %ith penetration %ound &upils %hich do not constrict

'. a. b.

An unconscious patient undergoing C&() the respiration changes that needs to be made Continue %ith the same rate of '* compressions %ith ! breaths 1! cycle per minute

+. a. b. c. d.

&t is on %arfarin therapy. What is %ay to continue treatment ,it - .//& best antidote) 0top !+ hrs before Consult %ith his haematologist 1o need to stop carry on %ith 2n

3. a. b. c. d.

Which of the follo%ing drugs is contraindicated in pt %ith bronchial asthma 10A 40 Acetaminafen 5eta 5lockers &encillin

6. a. b. c. d.

The skin over the parotid is supplied by %hich nerve /acial Auriculotemporal 7reater Auricular 5ranches of the cervical trunk

8. A '+ year old female patient is rushed to the E( follo%ing 9,A. :er limbs are cold and clammy. The follo%ing vitals %ere recorded. 1. !. '. +. 5&; 1**<6* mm of :g :(; 1** <min Temperature = '3.' deg centigrade "rine = negligible

>. a. b. c. d.

0he is in %hich stage of shock 1 ! ' +

?. a. b. c. d.

Which of the follo%ing is not a secondary immunocompromised state 9alnutrition Anemia #uekemia #ymphocytopenia

1*. The lymphatic drainage of the 0ubmandibular gland is

a. b. c. d.

0ubmental 0ubmandibular 4eep cervical 0uperficial cervical

11. Which of the follo%ing values %ould you term to be hyper tensive a. b. c. d. 1'3<>3 1+*<?* 1+3<?3 13*<?*

1!. 1> year old girl is predisposed to fainting attacks and gives a positive history of syncope and shortness of breath. :er e@amination reveals a mid systolic click and a late systolic murmur. 0he is on 7T1 and anti hypertensives. The dental treatment for such a patient includes a. 0A5E prophyla@is 1'. A 3+ year old man %ith a ho of type ! 49 is diagnose and taking treatment %ith 7lipizide and diet control and e@ercise. :is blood reports are as follo%s (50) /50) &&50) glycosylated :b. .All %ithin normal values).T:EA :A,E 7 ,E1 T:E (A17E) What is the mode of tretament for him a. b. c. nfective prophyla@is 1o change in treatment ! other choices cant remember

1+. What feature is seen in renal failure isB

a. Hypocalcemia++ (Hyperkalemia + Hypocalcemia + Hyper Magnesemia) b. Hypokalemia c. Hypernatremia d. alkalosis


13. % 5uccal branch of facial nerve suppliesB

A. Buccinator B. Buccinator and inferior orbicularis C. Buccinator and superior orbicularis . Buccinator and orbicularis oris++
16. % n an upright position) blood from medial cantus) lateral nose and upper lip drains intoB

A. !nferiorly to t"e facial #ein B. $uperiorly to facial #ein C. Ca#ernous sinus . %terygoid ple&us '

18. After doing C&( to an adult patient the pulse returns but %ithout breath. 9anagement isB A. &rovide rescue breathing at rate of 1*;1!<mint ++ 5. &rovide rescue breathing at rate of 3;6<mint C. &ut the patient in recovery position 1>. All is true about facial nerve e@ceptB A. The facial nerve leaves the skull %ith accessory nerve through the $ugular foramen ++ 5. CDEFEGHDIHDIJKILMDFNLOOPQRSPTUV C. CDEFEGHDIHDIJKILMDFNLOOPQRSPTUV 4. CDEFEGHDIHDIJKILMDFNLOOPQRSPTUV 1?. 0kin belo% the ear covering the parotid gland is supplied byB A. 0uperficial temporal 5. 7reater auricular++ C. Temporal nerve 4. C !*. Chemotherapy results in A. (educed count of W5C 5. (educed count and function of W5C C. (educed function but normal count 4. (educed count but normal function !1. What is the size of 9a@illary 0inusB A. 1+ 9# ++ 5. !*9# C. ?9C !!. Cell life cycle phases A. ! 5. ' C. + 4. 3 !'. The five soft plate muscles arise from .controversial Wuestion %ith no ans%er) A. :ard palate 5. &alatal bone C. 5ase of skull 4. &alatopharyngeal arch !+. 5est plain film to sho% ma@illary sinus and orbital rim A. Cald%ell vie% 5. Water vie% XX C. #ateral obliWue !3. Antibiotic for empiric treatment in end stage renal deficiency isB A. /lagyl 5. 4o@ycillin C. Clindamycin 4. &enicillin !6. buprofenB A. &eak effect .concentration) after 6;> hours of administration 5. nitial secretion is via liver biliary rout C. 9ostly found bound to plasma protein XX !8. 0econdary immunodeficiency is associated %ith all e@cept A. 9alnutrition 5. Anemia ++ (Refer Abubaker pg 208) C. mmunodeficiency drugs

4. 0teroid !>. &atient has been treated for rheumatoid arthritis %as taking steroids for the last year and he needs multiple tooth e@traction. The surgeon should A. 7ive supplement 3*;1**mg before surgery ++? 5. 7ive 1**;13*mg steroid supplment C. &roceed e@traction %ithout steroid supplement

!?. Cyclosporin effect is A. ncrease T;#ymphocytes and decrease 5;#ymphocytes 5. ncrease T;#ymphocytes and 5;#ymphocytes C. 4ecrease T;#ymphocyte and increase 5;#ymphocytes 4. Affect T;#ymphocytes only++ '*. /ollo%ing statement is true about ibuprofen a. b. c. d. t cannot cross placenta t mainly e@creted by hepatobiliary route ts peak plasma level after 6 to > hr ts largely bound to plasma protein

'1. !+ year %omen %ith history of fatigue and lethary and history of syncope. Clinically mid systolic click %ith late systolic murmur. &robably she is suffering from a. b. c. d. :ypertrohic Cardiomyopathy 9itral valve prolapse Aortic regurgitation 9itral stenosis

'!. !+ year %oman %ith history of fall %ith fracture central incisor comes to the clinic for e@traction and immediate implant placement. 0he gives history of fatigue and lethargy and history of syncope. Clinically mid systolic click %ith late systolic murmur. What is your line of management in this pt a. b. c. d. Avoid local anaesthesia %ith vasoconstriction 0A5E prophyla@sis #ab investigation for bleeding problem 4o nothing

''. /luid of choice in surgical shock a. b. c. 10 410 (#

d.

&lasma

'+. :epatitis 5 can be transmitted by all e@cept .controversial) a. b. c. d. 4ialysis 5lood products Transfusion Child birth

'3. a. b. c. d.

ncrease serum sodium level 4ehydration (enal problem #iver problem 7T

'6. 49 period of control evaluation a. b. c. d. :bA1c /50 7TT !+ hr serum creatinine

'8. CY&4 pt for e@traction of multiple teeth you %ill give a. b. c. d. !.3 # o@ygen +# o@ygen 6# o@ygen 1o need if its only CY&4

'>. 1erve through internal acoustic meatus a. b. C1 ? C1 1*

c. d.

C1 8 C1 6

'?. True about penicillin is a. b. c. d. 1arro% spectrum 5road spectrum 5acteriostatic :ighly to@ic

+*. 9anagement of hypoglycemic shock in +1. #argest compartment %here fluid is present

DENTOA&'EO&AR AND I$P&ANT SURGER( )* A +3 year old man has an asymptomatic impacted mandibular third molar detected on radiograph. What are the treatment options that you %ould choose from a. b. c. d. 0urgical e@traction mandatory Zust observe and follo% up on a 6 monthly basis Wait and %atch for several years 1o treatment reWuired

+* a. b. c. d.

As part of preoperative assessment for elective facial cosmetic surgery) photographs need to be done With ring flash /lash at the side of the lens With overhead flood lights n natural light

,* 4uring implant placement surgery) the head of the implant fractured but the surgeon %as able to seat the healing abutment. What are the surgeons options a. b. c. As the internal apparatus is fine nothing further need be done (emoval of the implant &lace another bigger implantC

-* The surgeon has a patient for %hom he has placed an implant last %eek in relation to 13 region. The patient returns %ith the implant in his hand. What should be done a. b. &lace another bigger implant in its place 4o nothing no% but %ait and %atch for + %eeks

c. d.

/i@ the same implant %ith addition of bone C

.* The radiograph is sho%n of a tooth [1*. .The cro%n is destroyed completely up to the level of bone %ith some bone loss at the apical third)The plan is for immediate placement of implant follo%ing surgery. What is the plan for e@traction a. b. c. d. ntralveolor e@traction %ith straight forceps Transalveolar e@traction Transalveolar e@traction %ith elevtors ntraalveolar e@traction using root tip forceps

/* a. b. c. d.

0urgeon %ants to place an immediate implant after e@traction. The role of resorbable membrane in this case 0hould be used to prevent tissue in gro%th in the socket space .abubaker) 0hould be used only in case of bone grafting %hen primary closure is not possible 0hould not be used if primary closure is achieved s used only to prevent crestal bone loss

0* a. b. c. d.

The area lateral to the ptyerogopalatine fossa Yrbital space &terygomandibular space nfratemporal space Temporal space

1* a. b. c. d.

:o% much of minimal cortical thickness is reWuired around an implant 1 ! ' +

2* a.

What is the reason for percussion of primary teeth before e@traction (oot resorption

b. c. d.

&eriapical abcess Ankylosis To check for succadeneous tooth

)3* 9ost commonly impacted primary tooth is a. b. c. d. ncisor Canine 9olar mandible 9olar ma@illa

))* 9ost commonly occurring odontogenic infection is a. b. c. d. ,estibular abcess 0ubmandibular space infection #ud%ig\s Angina Canine space infection

)+* :o% %ould you drain a parotid abcess a. b. c. d. :orizontal in skin )horizontal in fascia ,ertical in skin) vertical in fascia :orizontal in skin) vertical in fascia ,ertical in skin) horizontal in fascia

),* A short ma@illary central incisor %ith short roots is due for endodontic surgery. :o% much of root tip should be cut a. b. c. d. 1mm !mm 'mm + mm

)-* A patient has ceramic cro%ns and reWuires endodontic surgery. Which is the best approach a. b. c. 0emilunar &ara semilunar 0ub marginal

1.

d.

0ulcular

).* A !+ year old has an impacted full bony '> distoangular third molar. 4uring e@traction) the mandibular angle fractured. The pro@imal fragment is displaced up%ards. What is the ne@t step a. b. c. d. 9/ + %eeks Trans cervical fi@ation of the [ %ith plates Transoral fi@ation of the [%ith 1 plate Transoseous %iring

)/* A surgeon is placing a dental implant irt [1!. mplant displaced into sinus. What is ne@t stepC a. b. c. d. #eave in the sinus) prescribe antibiotics and observe Zust leave it as it is E@plore and removal it surgically trans crestally Wait for a %eek and remove it trans nasally after that

)0* What is the speed of handpiece used in Y9/0 a. b. c. d. !***;1!*** rpm 1!***;!**** rpm !****; +**** rpm +**** rpm and more

)1* The antibacterial best suited to treat odontogenic infections in end stage renal failure patients %ho is allergic to pencillin a. b. c. Trimethoprim<0ulbactum /lagyl Clindamycin

11

d. e.

4o@ycycline Cefaclor

)2* The best antibacterial of choice to treat ethmoidal and ma@illary sinusitisi is a. b. c. d. e. &encillin Ceftazidime Ampicillin Trimethoprim]sulfametha@ozole 9etronidazole

+3* a. b. c. d. +)* a. b. c. d.

The most complaint of patient %ith acute infection isB Calor .:eat) 4olor .&ain) Tumor .0%elling) (ubor .(edness) While doing implant in [!! severe bleeding is encountered. The surgeon shouldB continue implanting &ack the socket and reevaluate ++ /ill the socket %ith bone and continue implant &lace surgical stent and follo% up patient the follo%ing day

++* The forceps used for e@traction of of !nd mandibular molar %ith decayed cro%n isB A* 1o !' ++ 5. 1o 131 C. 1o !>6 4. >> +,* The follo%ing day of inserting and implant in [!!) the patient returns complaining of numbness. 9anagement isB . (emove the implant 5. 0urgical e@ploration of the area C. -eep the implant in site since the numbness %ill resolve spontaneously in fe% days 4. /ollo% up for fe% days to and remove implant if numbness persists ++ +-* n 1! year old patient) after doing e@traction of ma@illary first molar for orthodontic treatment) %hat implant is reWuiredB A. "se correct size implant 5. "se smaller size implant C. "se larger size implant 4. 4o not implant but %ait until full gro%th is reached. ++ +.* n thrombocytopenic patient) e@traction of upper molar is contraindicated %hen platelets count isB A. #ess than +**** mm^ 5. #ess than >**** mm^ C. #ess than 13* mm^ 4. #ess than !3*mm^

+/* Antibiotic of choice for treatment of osteomyleties isB A. Clindamycine

12

5. &enicillin (1st choice is Penicillin and then Clinda !cin) C. Ceftazine +0* The test for determining if a patient is affected %ith cat;scratch disease isB A. :andberg C "#($t should be %arthin&'tarr! stain but this test (as not included )PCR* $++,-./0,R.'C1-2 A-2$".34 21'2) C. 0kin protein testC d. hanger = rose . fonseca ) +1* The optimum speed of rotation %hen preparing a tap for inserting an implant isB A. '*;+* ( conte porar! tell! o"l4 ).rp5# 5. +*;6* C. 6*;>* 4. >*;1** +2* ,3* ,)* &atient %ith Ysteomyelitis treated %ith seWuestrectomy and prolonged antibiotic but %ithout improvement. 9anagement isB A. (evie% culture results XXXX 5. 7ive longer antibiotic regime C. C(+a! be repeat procedure is the right ans(er) ,+* 4ifficulty of tooth e@traction is determined byB A. #imited mouth opening and root pattern. ( conte porar! ) 5. depth and age . &eterson ) 5oth ans%ers are correct ,,* &atient returned the follo%ing day after e@traction %ith gross bleeding from socket. 9anagement isB A. rrigate and apply packing to stop bleeding and local anesthesia. 5. 7entle e@ploration of socket and local anesthesia. ++ ,-* 0ublingual 0pace is bounded posteriorlyB A. Communicated %ith submandibular space 5. 9ylohyiod muscle ,.* #ymph from 0ubmandibular gland drains into A. 0ubmandibular lymph nodes 5. 0uperfacial cervical lympf nodes C. 4eep cervical lymph node ++

,/* Acute sinusitis is caused byB A. 9i@ed aerobic and anaerobic bacteria .chronic sinusitis) 5. 0treptococcus pneumonia .ans%er not typed but copied from Abubaker) ,0* 1arro% spectrum antibiotic causes A. :ost flora minimised 5. :ost flora ma@imized C. Causing organisms minimized 4. Causing organisms not affected ,1* Ypening ostectomy to gain access %hen doing microsurgical apicectomy and using ultrasound tip is A. 'mm 5. 3mm C. 8mm 4. 1!mm

1'

,2* Patie"t %ith shallo% vault and severely resorbed alveolar ridge reWuire full denture. What augmentation is needed for this patient A. Ynlay bone graft ++ 5. nterpositional bone graft C. Transpositional bone graft 4. ,estibuloplasty -3* The most common odontogenic infection A. ,estibular abscess ++ 5. Cellulitis C. #ud%ig angina 4. 0ubmandibular abscess -)* The most common route of spread of infection from lo%er third molar A# #ingucoritcal plate ++ 5. 5uccocortical palate C. #ingo;5ucco cortical 4. Through associated muscle

-+* 3> years patient %ith deficient alveolar ridges reWuired construction of full denture and %as determined by the surgeon to undertake 4ean_s method of alveoloplasty .augmentation). 4isadvantage of this method is A. C 5. C 9ain disadvantage 1. (educed ridge thickness !. nability to place implants .Co"te5porar4 Peter!o"# -,* > year old patient reWuired e@traction of decayed tooth and had history of easy bleeding. :ematological picture includes increases 5T) elevated A&TT and normal &T. :is condition is a. 4eficiency /actor , ;C b. C c. ,on Willebrand disease++ d. Thrombocytopenic purpura --* Ydontogenic infection caused by A. 1ormal flora++ 5. E@ogenous flora C. 5acteria different from bacteria causing caries

-.* #ab findings %hich is not seen in ,on;Willbrand disease isB A. ncreases A&TT 5. 1orma &T C. 4eficiency of /actor , ;C and ,on;Willbrand factor 4. 1ormal platelet aggregate studies ++

-/* &rophylactic antibiotic for endocardititis is indicated in A. &rosthetic valve replacement ++ 5. :eart bypass surgery -0* -/% 6!3 mg Augmentin consists of A. 3**mg Ampicillin and 1!3mg Clavunic acid 5. 3**mg Amo@icillin and 1!3mg Clavunic acid ++ C. C

1(

-1* n type + .4+ density) of bone %hen doing implant the surgeon should A. = %ider implant 5. C C. C 4. C -2* &t after lo%er third molar surgery suffer severe bleeding) ho% %ill you control bleeding a. b. c. d. #ocal anesthesia %ith adrenaline ) remove clot) pack and suture. (emove clot) place gelfoam) apply pressure) #A %ith adrenaline) suture 7ive vitamin -``..C "se 1B1*** adrenaline in to socket and soft tissue

.3* > year girl reWuire lo%er molar e@traction due to severe caries. 7ives history of bleeding. Yn lab investigation) increased bleeding) increased A&TT) normal &T. she is suffering from a. b. c. d. /actor eight deficiency ,on Willebrand factor deficiency 4C Thrombocytopenia

.)* Yrbital cellulitis is caused by a. b. c. d. &aranasal sinus infection 0oft tissue infection of orbit = =

.+* 1> year old %ith impacted third molar bilateral %ith soft tissue and bone chance of eruption is a. b. c. d. 1* = '*a '* = 3*a 3* = >*a 1**a

.,* &rosthodontist desire angulation of implant '* degree. a. b. c. &lace implant straight 13 degree angulation '* degree angulation

1)

d.

(evaluate

.-* &rediction of operation time in third molar surgery a. b. c. 4epth of impaction Appro@imation of teeth to vital structures (oot pattern angulation C

..* a. b. c. d.

Absolute indication of root tip fractures removal Above apical third Close to vital structures /racture %hile lu@ation nfected root can cause a ma$or concern

./* Cyclosporine a. b. c. d. ncrease T) decrease 5 lymphocyte 4ecrease T) ncrease 5 lymphocyte 4ecrease T and 5 lymphocyte 4ecrease T lymphocyte only

.0* a. b. c. d.

#ateral pharyngeal space infection posterior compartment can lead to E@ternal $ugular thrombosis Carotid artery rupture (ecurrent laryngeal nerve damage =

.1* Ydontogenic infection follo%ing not true a. b. c. 9ucormycosis most common in 49 !3a animal bite staph. !3a human bite &. 9ulticidaC Chronic ma@illary sinusitis both aerobic and anaerobic

.2*

/lap design follo%ing is not true

1*

a. b. c. d.

Ape@ smaller than base #ength not greater than base A@ial vessel in the base 1o manipulation at base

/3* a. b. c. d.

Yroantral communication +mm managed by marzi@ 5uccal sliding flap 4ecrease vestibular depth 5one e@posure on either side = =

/)* a. b. c. d.

(etropharyngeal abscess driange ntraoral &haryngeal Anterior to 0C9 Angle of mandible

/+* Abscess not involving air%ay true is a. b. Cellulitis more dangerous than abscess Abscess more dangerous than cellulitis

/,* 0uture in :ermitically sealed %ound a. b. c. d. nterrupted suture running suture 0ubcuticular suture 0uture 1;*

/-* 4syesthesia is a. b. c. d. "npleasant sensation due to normal stimuli ncreased pain sensation to normal stimuli ncreased sensation to painful stimuli Anaesthesia for a prolonged period of time

1+

/.* 9a@illary molar teeth e@traction infection spreading in to cranium through all e@cept a. b. c. 0uperior ophthalmic vein nferior ophthalmic vein &haryngeal ple@us

//* Commonest aerobic organism in odontogenic infection a. b. c. 0taph 0treptococcus 5acteriods

/0* Calvarial bone formed by a. b. c. d. ntramembraneous ossification Endochondral ossification = =

/1* E@traction forceps number for lo%er anterior tooth (O"l4 theor4 6ritte"# 131 = lo%er ant.) 131A = mand bicuspids) 18 = molars lo%er) !'; co%horn mandibular) mand %isdom = !!! 13* = upper anterior and single rooted .universal ) 13*A = "pper bicuspids 3' = up molars

1,

!1*s = upper 'rd molar >> = co%horn !>6 = bayonet 13*s ma@illa deciduous) 131s = mandible deciduous /2* upper molar e@traction Y&A = (0 !6 4iabetic patients = open or closed e@traction 03* cyst in the ma@illa =enucleation or endodontic surgery or e@traction = order of treatment 0)* commonly used flap in oral surgery ;;;; envelope flap) 0+* bleeding from the anterior ma@illa %hile placing implant`. %hat %ill u do ` $ust place 0,* &&0 9a@illa = 1mm bone from sinus.. narro% palatal vault = %hich surgery %ill u do` ;;; superior border augmentation 0-* &reprosthetic procedure for 1! mm ridge in bet%een foramina 0.* Chances of Tumor development %ith 'rd molar = increases decreases) no change) 0/* 00* 09) #ATE(A# &:A(A17EA# CCCCCCCC 01* ncision for drainage of retropharngeal space ; anterior border of 0C9 Yrganism not seen in acute suppurative osteomyelitis ; s.aureus``CCCCCCCCC. 0ublingual space communicates posteriorly %ith ;;;;; implant

02* Cavernous 0inus thrombosis = doesn_t occur ;;;; via 0up ophthalmic vein ) inferior opthalmic) angular) pterygoid ple@us CCCCCCCCC 13* Complication of draining retropharyngeal space = in$ury to carotid sheath 1)* 9anagement of impacted tooth in +3 year old patient %ithout any problem 1+* 1,* 1-* 1.* 1/* 10* 11* 12* 23* mplant in sinus Chances of eruption of impacted tooth after the age of 1> 9ost common cause for impaction E@traction of 1* root stump 9ost common flap in oral surgery Cyst %.r.t to ? and 1* in the ma@illa mplant causing numbness in !1 %hat u do ne@t mplant coming out after placement after 1 %eek %hat to do buprofen metabolism

2)* Absolute indication for e@traction of tooth 2+* 0tudy after methylene t?? in osteomyelitis 2,* &rotocol for :5Y therapy

1-

94. /ollo0ing statement is true about ibuprofen e. !t cannot cross placenta f. !t mainly e&creted by "epatobiliary route

g. !ts peak plasma le#el after * to , "r ". !ts largely bound to plasma protein 95. 2( year 0omen 0it" "istory of fatigue and let"argy and "istory of syncope. Clinically mid systolic click 0it" late systolic murmur. %robably s"e is suffering from a. Hypertrop"ic Cardiomyopat"y b. Mitral #al#e prolapse c. Aortic regurgitation d. Mitral stenosis

2.

&OCA& ANEST7ESIA 1. A patient %ith history of uncontrolled hyperthyroidism reWuires surgery. Which is the surgeon_s is choice of #A a. b. c. d. #idocaine 9epivacaine ; &ropo@ycaine 5upivacaineC = least to@ic

+* A patient presents %ith submandibular space infection reWuiring and 4. The surgeon %ishes to makes use of E9#A for the site of ,enipuncture. Which of the statements are correct a. b. c. d. E9#A is a mi@ture of 5upivacaine and &rilocaine E9#A is !.3 a of lidocaine and &rocaine E9#A is a combination of !.3 a of lidocaine and &rilocaine t should be applied at least 6* mins prior to venipuncture

,* a. b. c. d.

What is considered as the ma@imum dose for adrenaline in a hypertensive patient *.! mg *.*!mg *.*+mg *.**1> mg

-* A surgeon %ants to use 2 tip system for intraosseous anesthesia of the mandibular premolar. What is the size of the needle used.study from malamed) a. b. c. !3 gauge short needle !8 gauge long needle !8 gauge ultra short needle

21

d.

'* gauge short needle

NOTE8 A1 = !3 7auge long needle 5uccal = !8 gauge short needle 9ental = !8 short 0upraperiosteal = !8 short &4# = !8 0hort ntraosseus = !8 short &0A = !8 0hort ) nfraorbital = !3 long) 9a@illary = !3 long ) nfiltration = !8 short

.*

#ocal anesthetic of choice in uncontrolled hyperthyroidism

a) prilocaine b) mepivacaine c) bupivacaine d# lidocaine /* A person on tricyclic antidepressants if in$ected %ith #idocaine containing 1B1***** of epinephrine %ill have the follo%ing effects a. b. c. d. An increase in blood pressure due to ,C A decrease in heart rate due to #A An increase in heart rate due to ,C A decrease in blood pressure due to #A

0* a. b. c. d.

The heart has the follo%ing number of receptors sensitive to adrenaline in the body 1 ! ' +

1* An > year old child %ho %eighs 16 kg is in need of e@traction. :o% many carpules of !a lidocaine %ith 1B1***** epi be safely given a. b. c. d. 1 ' 3 1*

22

2* a. b. c. d.

&ain conduction is through %hich nerve fibres "nmyelinated c fibres 9yelinated c fibres A fibres 4elta fubres . f A 4E#TA / 5(E0 T: 0 0 T:E CY((ECT A10WE()

)3* After reversal of the A15) in %hich of the structures %ill the effects first be felt a. b. c. d. Central incisor Canine &remolar 9olar

))* An ine@perienced dentist soaks his dental anesthetic cartridges in isopropyl alcohol. When he delivers a nerve block %hat %ill be the effect C a. b. c. d. 7ingival sloughing &alatal ulcerations &rolonged anesthesia 1o change

)+* 0ubclasses adrenergic receptors %hich vasoconstrictor act upon in myocardium A. 1 5. ! C. ' ++ .b1 X c1 X c!) 4. 3 ),* The least effective vasoconstrictor A. 1orepinephnne 5. Epinephnne C. #evonordefrin++ 4. Yctapressin ./elypressin) )-* &t on TCA) #ocal anesthesia %ith norepinephrine a. b. c. d. #idocaine induces hypotension 1orepinephrine induced hypertension 1orepinephrine induced relapse of depression #idocaine induced relapse of depression

).* #ocal anaesthetic %hich can be only in$ected

2'

a. b. c. d.

Tetracaine 5enzocaine &rilocaine Etidocaine

GENERA& ANEST7ESIA )* A patient %ho cannot maintain the air%ay has a tendency for vomiting. 5est method to prevent aspiration is by employing

2(

a. b. c.

A cuffed ET tube #aryngeal mask CC

+* n a conscious patient %ith intact pharyngeal refle@es) %hich is the best method of air%ay patentC a. b. c. d. 1asopharyngeal air%ay ,enturi mask 5ifid nasal canula Yropharyngeal air%ay

maintaining

,* The anesthetist is at %ork in a pt %ith limited mouth opening and manages to secure his air%ay after repeated attempts. Which of the follo%ing laryngeal cartilages are most likely traumatized a. b. c. d. Cuneiform Cricoid Thyroid Arytemoid medial surface

-* a. b. c. d.

Which of the follo%ing drugs need to be stopped on the day of the surgery ACE inhibitors 5eta blockers Thiazide 4iuretics Ca Channel blockers

.* 4uring anesthesia) the patient starts coughing and body becomes rigid. The pt is apneic. Which of the follo%ing drugs is not helpful in this condition a.#idocaine b. 0u@amethonium c. &ropofol d. fentanyl

/* a. b.

Which of the follo%ing devices can hold the ma@imum gastric content in case the patient accidently vomits. Cuffed ET tube #aryngeal mask air%ay

2)

c.

Cobra #9A.&#A ; &erilaryngeal air%ay)

0* a. b. c. d.

The drug of choice in /entanyl associated chest %all rigidity is one of the follo%ing #ido caine /lumezenil 1ala@one &ropranol

1* A !6 year old male patient has a skeletal class ! %ith retrogenia. :is 59 is '!. What is the best %ay to secure his air%ay before surgery a. b. c. d. 5lind a%ake nasotracheal %ithout sedation A%ake Yrotracheal under sedation /iberoptic guided nasotracheal intubation Treacheostomy

2* n a post trauma patient %ho is obtunded) in %hom pharyngeal refle@es are intact) %hich of the folo%ing is advised to secure air%ay b. c. d. e. Yrotracheal air%ay 1asopharyngeal air%ay 1asal cannula ,enturi mask

)3* 7eneral anesthetist uses topical anesthesia = %hich area= supraglottic ) infraglottic .transtracheal) or glottic .duestion not clear)

))* (otameter ; used for %hat ;;; 7A0 flo%

A1E0:T:E0 A 9EA0"(9E1T.

)+* 9alampatti classification

),* Adrenaline dose in intubated patient isB A. 1 mg in 1 9# 5. 1 mg in 1* 9# C. !.3 mg !.3 9# 4. !.3 mg in 1* 9# )-* The fastest nondepolarisingneuromascular drug isB

2*

A. 0uccinylcholine 5. Artacurium C. vecuronium 4. Rocuroniu 56 'ec) ).* &atient %ith difficult air%ay posted for surgery) premedication all e@cept A. 4iazepam++ 5. (anitidine )/* Endotracheal drugs are all e@cept A. 7lycopyrrolate++ 5. Atropine C. ,asopressin 4. 1alo@one )0* The most common cause of hypotention after general anesthesia A. :ypo@ia ++ (Assu ingl! this one) 5. C / 1:A#AT Y1 A1E0T:ET C 4("70 A(E T:E(E 1 T:E A10WE( = C:Y0E T / (0T )1* T9Z ankylosis to pt. induced by inhalation anesthetic after 6* minutes pt produces cro%ing sound and severe chest%all movement. 4rug %hich %ill be not be useful is a. b. c. d. , &ropofol , lidocaine 0ch /entanyl

)2* 0urgeon plans for surgery. 4esires decreased secretion %ith slight depression of C10) drug of choice

a. b. c.

Atropine 0copolamine XXX 7lycopyrolate

+3* /irst skeletal muscles to contract after using succinyl choline used during general anesthesia is A. Eyelids 5. 0houlder C. :ands 4. Abdomen

+)* &t on TCA) #ocal anesthesia %ith norepinephrine a. #idocaine induces hypotension b. 1orepinephrine induced hypertension

2+

c. d.

1orepinephrine induced relapse of depression #idocaine induced relapse of depression

DENTO9ACIA& DE9OR$ITIES )* A pt %ith Class 1 molar relation has severe retrogenia and a severe disparity in the anteroposterior relation of her mand to ma@illa relation. What Treatment plan

2,

a. b. c.

7enioplasty 9andibular advancement %ith genioplasty #efort 1 %ith mandibular advancement

+* A patient %alks into your clinic %ith subcon$unctival ecchymosis %ithout visualization of posterior limit. .0he also has black eye.C 1o nerve paresthesia. 0he gives h<o an Yrthognathic surgery done to correct mid face deformity. What %ould be the most likely procedure a. b. c. d. :igh #efort 1 duadrangular lefort ! #efort ' &yramidal #efort !

,* A patient has midface deformity %ith deficiency in the malar and zygomatic regions. :o% %ould you correct her condition. a. b. c. d. :igh level lefort 1 duadrangular lefort ! #efort ! #efort '

-* While doing an ,(Y osteotomy of the mandible for advancement) there is an unfavourable fracture high in the pro@imal segment. What is the most apt %ay the surgeon should proceed. a. b. c. d. Change the osteotomy to the inverted # 4o a C osteotomy Treat the pt for a condylar neck fracture Abandon the procedure and do 99/

.* a. b. c. d.

/ollo%ing 500Y) the T94s commonly seen are (etro positioned chin 4eviation of the mandible &osterior displacement of the condyle in high mandibular plane angle cases 4erangement of the disc

/* a. b.

&ost operative numbness associated %ith the lo%er lip after 500Y is seen commonly after "se of drill to osteotomize "se of 5one osteotomy

2-

c. d.

"se of plate and scre% for fi@ation 9andibular manipulation

0*

Class 1 %ith A& deficiency.Class!) and good chin

1*

0urgery for midface and infraorbital and malar deficiency

2* After doing bima@illary osteotomy and fi@ation the surgeon realises that the occlusion is unstable. 9anagement isB A. (emove ma@illary fi@ation and stabilise the occlusion and fi@ again 5. (emove mandibular fi@ation and stabilise the occlusion and fi@ again C. (emove both ma@illary and mandibular fi@ation and stabilise occlusion and fi@ again 4. 4o nothing )3* 7enioplasty is done A. nferior to mental foramen ++ 5. 0uperior to mental foramen C. Anterior to mental foramen 4. According cephalometric analysis ))* n true asymmetry of mandible A. ncisor midline doesn_t coincide to symphysis middline in centric occlusion 5. 1o functional shift C. 9idsymphysis doesn_t coincide %ith midsagittal plane ++ 4. 5ilateral end to end crossbite )+* $a:i5u5 range of interincisal opening A. !3mm 5. +3mm C. +3;33 in men ++ '3;+3 in %omen ++ ),* 9a@imum range of lateral movement of mandible A. 1*mm ++ A7erage 0ateral e8cursion 5. !3mm o7e ent is 10)16 ( 8)19 Protrusion)

)-* The effect of #e fort on nasal tip isB A. &rotrusion %hen doing advancement++ 5. 1ot affected %hen doing do%n%ard positioning C. (etrusion %hen doing stepback ).* &t %ith class ! %ith good chin a. b. c. d. Advancement genioplasty ncrease orthodontically class ! condition and ma@illary setbackC Yrthodontically increase and protrude incisors to class 'C 9andibular advancement and reduction 7enioplasty

)/* True 9andibular asymmetry can be detected by

'.

a. b. c. d.

4ental midline and midsymphseal mismatch #ateral shift in Centric occlusion 5ilateral Edge to Edge cross bite in CY 9id saggital and 9idsymphseal mismatch

)0* &revention or management of alar base %idening in ma@illary osteotomy by a. b. c. d. 0ingle layer closure of mucosal incision Alar Cinch suture %ith non resorbable suture 1asal septum suture to nasal spine 5y avoiding superior placement of ma@illa

)1* #ip length in normal adult %ill be a. b. c. d. EWual to commissural height #ess than commissural height 9ore than commissural height =

PAT7O&OG( 1. a. b. c. d. Ca alveolus and buucal mucosa. 9andibulectomy %ith 014!. (econstruction of choice /ibula oseocutaneous free flap Temporalis 0C9 0kin graft

!.

9ost commonest odontogenic tumor

a) ameloblastoma .!nd most common)

'1

b) odontoma c) CEYT d) /ibroma .non;odontogenic tumor commonest)

'. "lcer in the /Y9 in a 63 yr old. 0Y:14 . 1 to ') is chosen to treat him. What are the reconstructive options that are best suitedC a. b. c. d. &99C Temperomyofascial flap 9assetric C (adial forearm free flap

+. a. b. c. d.

A ca of lo%er lip entails sacrificing >*a of the lo%er lip. Which is the best reconstructive option availableC Advancement of the lip flap based on sup labial artery (otation flap 5ernard ... flap < techniWue

3. A 3+ year old man has undergone an anterior en;bloc resection of the mandible for treating as part of cancer therapy. The surgeon %ishes to use the clavicle based on the 0C9 to reconstruct the mandibular defect. 0elect the statement %hich is true. a. b. c. d. The graft cannot be segmented to fit the morphology The graft is good to place dental implants 7ives good morphological substitution for defect t is the best of reconstructive options available

6. A 36 year old lady has a small giant cell granuloma in her mandible. 0he is diagnosed to be having secondary hyperparathyroidism. What is the ne@t step a. b. c. d. Treat her tumour by enucleation and curettage E@cision of the parathyroid gland to conrol e@cess secretion of &T: Treat her renal condition and supplement %ith ,it 4 and Calcium Treat the lesion by steroid in$ections

8. a. b.

9ost common affliction of the 0ublingual salivary gland 0ialolith 9ucocele

'2

c. d.

(anula &leomorphic adenoma

>. a. b. c. d. e.

n a patient %ho is '* years old) %hich of the follo%ing is the most common tumour Ameloblastoma CEYT Cementoblastoma AYT

?. a. b. c. d.

g7 antibodies is demonstrated in the basement layer of %hich of the follo%ing #ichen &lanus Erythema 9ultiforme 4iscoid lupus erythematosus &emphigus ,ulgaris

1*. A +3 year old man %ho is a chronic smoker for the past !3 years has been diagnosed %ith a %ell differentiated carcinoma of the lo%er lip measuring ! cm. Yn e@amination there are no palpable lymph nodes. Which is the best method of treatment for himC a. b. c. d. Wedge e@cision Chemotherapy Zust observe (adiotherapy

11. A 3> year old male presents %ith an ulcer that is '@! cm in size %ith no palpable lymph nodes. Contrast enhanced CT is done and reveals no cortical perforation in the lesion and no lymphatic involvement. A 014.i; iii) is planned for his treatment. The surgeon %ishes to reconstruct the defect. :is best option is a. b. c. d. &99C Temporalis myofascial flap /ull thickness skin graft 0plit thickness skin graft

1!. cysts of $a%s usually cause CY(T CA# E2&A10 Y1) (YYT (E0Y(&T Y1) TYYT: 4 0&#ACE91T 1'. :airy leukoplakia in A 40 1+. 9ost common tumor in pediatric age group = haemangioma. #ipoma) fibroma

''

13. (ecent modality of treatment of pagets disease 16. (econstruction after snd 1;' 18. Treatment of choice for salivary cancers 1>. Clavicle based graft 1?. *.+ cm lesion found belo% ear lobe. The lesion isB A. Attached to skin but movable and not attached to underlying connective tissue sebaceous cyst. 5. Attached to skin but movable and not attached to underlying connective tissue epidermoid cyst. C. Attached to skin not movable and attached to underlying connective tissue sebaceous cyst. 4. Attached to skin not movable and attached to underlying connective tissue epidermoid cyst. !*. 4efinitive treatment of ranula is A. 9arsipulization 5. 9arsipulization and packing C. 0ublingual gland e@cision ++ 4. C !1. &osterior iliac graft nerve in$ured is a. b. c. d. #ateral cutaneous #ateral femoral 0uperior cuneal =

!!. The most common odontogenic tumor A. Ameloblastoma++ (-ote : 2he ost co 5. Cementoblastoma C. Adenotamoid tumor 4. Calcifying epithelial odontogenic cyst !'. !+. !3.

on : .donto a)

&ost CA upper lip >*a loss. (econstruction a. b. c. d. e. Wester = bernald flap &erialar advancement flap Abbe flap (adial C

!6. Curettage and enucleation true .duestion incompleteCCC a. b. ndicated in Y-C (emoval of bone 3mm or 1cm

'(

c. d.

Treatment of 4entigerous cyst =

')

C&E9TS AND S(NDRO$ES 1. a. b. c. The skin of the prolabium is used for Collumela lengthening Creation of vermillion #ining the labial mucosa

!. A 8 year old boy has come to your ma@illofacial clinic %ith a history of congenital facial deformity. :is Y9E10 score is >. What systemic e@amination %ill you send the boy to ne@t. a. b. c. d. C10) 0keletal) C,0 C,0) &ulmonary ) skeletal C,0) C10) 0keletal C10) C,0) &ulmonary

'. 0yndrome Wuestion e /acial paralysis X fissural tongue X s%ollen lip A. 9elkersson;(osental 0yndrome ++ +. 0yndrome Wuestion.duestion incomplete) A. Crhon syndrome 5. Carpenter 0yndrom C. Crouson 4. Angioneurmatic Edema 3. 5est site for harvesting clavarial bone graft A. &arietal bone 5. Yccipatal bone C. Temporal bone 4. /rontal bone 6. With age the cranium becomes A. Thick and dense 5. Thin and light++ C. Thick and heavy 8. &atient %ith Treacher Collins syndrome needed correction of mandibular deficiency %hich included 1!cm advancement. 5est approach is A. 500Y 5. nverted # osteotomy ++ e8tra oral C. ntraoral vertical ramus osteotomy 4. E@traoral vertical ramus osteotomy Peter 6ard Booth + pa;e 2-0 >. 9illard C flap in correction of cleft lip is A. (otation flap of lateral lip 5. (otation flap of medial lip C. A divided rotation to increase columella length and nasal floor ++ 4. C ?. Cleft palate patient prepared for modified lefort osteotomy. :o% much advancement the surgeon plans to counteract relapse during osteotomy and bone graft healing period and to ad$ust posterior placed condyle intraoperatively.

a. 1mm '*

b. 2mm c. (mm d. *mm


1*. 1e% born the mandible is separated in the midline by

a. b. c. d.

$yno#ial 1oint /ibrous 1oint Catrilagenous tissue /ibrous tissue

11. &t %ith %ide cleft lip and palate lip adhesion or nasoalveolar molding planned a. b. c* d. /e% %eek after birth /irst = third month Third to !i:th 6=?

'+

TRAU$A 1. A !3 year old man is admitted for surgery after (TA %ith diagnosis of 5ilateral Condylar [ %ith communition of 9idface. This condition is a case for a. b. c. d. Absolute indication for fi@ing the condyles (elative indication ... Case for 99/ Absolute contraindication for fi@ing Condyle

!. a. b. c. d.

n %hich condition there is no need for Y( / for f9C fractures 9edial displacement #ateral displacement nferior displacement 1o displacement

'. a. b. c. d.

Which is a most relevant finding for a patient in shock &ulse pressure :eart rate 0ystoic blood pressure 4iastolic blood pressure

+. a. b. c. d.

An > year old child has sustained a fracture of the condyle. What is the indication for Y( / 4entoalveolar in$ury ntarcapsular fracture %ith middle cranial fracture nability to open mouth after 1 %eek of closed reduction The degree of displacement of condyle

',

3. A '+ year old man has sustained a 9,A %ith fractures of the skull base %ith orbital fractures. Yn e@amination for consensual light refle@ in the right eye) there is a negative response. The same refle@ for the left eye is normal. There is associated ptosis of the left eye. The pt has damage to a. b. c. d. C11 on the #g C1 ! ( C1! ( and C1' # C1! # and C11 # C1' ( and C1! #

6. A patient has sustained head in$ury after 9,A. :e has cerebral concussion and is in coma. f the patient stays in coma for ho% many hours) %ill there be residual nuerological deficit. a. b. c. d. 1 ! + > *r 6

8. predominant medial %all of orbit = ethmoid.lateral %all = zygomatic h gr %ing of sphenoid) floor = orbital surface of ma@illa) palatine bone and zygoma)

>. ?.

&lacement of Air%ay maintenance in a conscious patient

1*. 1erve in$ured commonly in f9C fracture 11. Cause for sublingual ecchymosis 1!. n surgical shock the patient should be givenB A. 1ormal 0aline 5. #actated (ingers ++ 1'. What is the CT scan interval for zygomaticfractureB .Y5# d"E &A(A0A7 TTA# , EW /Y( Y(5 TA# /(ACT"(E0) A. *.3mm 5. 1;1.3mm C. 13.!.3mm 4. !.3;'.3 1+. n ma@illofacial trauma patient %ith suspected in$ury to cervical thoracic vertebra) the diagnostic radiograph isB A. C 5. C C. C 4. s%immers vie% or cross table vie%s 13. 9a@imum 99/ in fracture mandible of 1! year old boy isB A. Yne %eek 5. !;' %eeks

'-

C. 3;6 %eeks 16. Trauma patient %ith pulse rate e1'*) 5& 1**<6*) breathing e'*<mint) ho% much blood loss is e@pected in this patient A. #ess than 13a 5. 13;'*a C. +*a 4. '*;+* a XX 18. n trauma patient the initial pulmonary reaction A. Tachypnea and decreased CY! serum++ 5. Tachypnea and increased CY! serum C. 5radypnea and increased CY! serum 4. 5radypnea and decreased CY! serum 1>. 7lasgo% comma scale score in trauma patient %ho is non responsive to verbal communication X can open the eye X responds to pain stimuli A. > 5. 1* C. 1! 4. 13 1?. 5est plain film for sho%ing zygomatic arches A. 0ubmentoverti@++ 5. Yccipatal C. &A 4. C !*. To%ne_s vie% is similar to A. Anteroposterior++ 5. &osteroanterior C. Water 4. C !1. Trauma patent to the skull sho%ed vertical diplopia and torsional diplopia. The most likely in$ured nerve A. 5. C. ,++ 4. , !!. Trauma patient developed asymmetrical pupil .1ot round). The most likely cause A. 5lo% out fracture 5. 5lo% in fracture C. &erforation of the eye ball 4. C !'. (eason of air%ay obstruction in obtunded patient A. 5leeding 5. ,omitus C. Tongue fall ++ 4. C !+. A@ial CT for zygomatic fracture is done to sho% A. Yrbit floor involvement 5. lateral %all and zygomatic arches C. C 4. C

(.

!3. Yrbital floor trauma %hich gaze cause diplopia a. b. c. d. "p%ard and lateral "p%ard and medial 4o%n%ard and lateral 4o%n%ard and medial

!6. !+ year female %ith angle fracture. 0urgeon decides to fi@ %ith compression plating techniWue. /ollo%ing is true a. b. c. d. #ess chance of motor and sensory nerve in$uries Will need t%o %eek 9/ postop 0hould be approached e@traorally Will heal by secondary intension

!8. 7reenstick fracture a. b. c. d. /racture of onside of the bone %ith out fracture of other side ncomplete fracture Will cause severe displacement of %hile fi@ation =

!>. Compound fracture a. b. c. d. 9ultiple fracture at on site 0evere loss of tissue around the fracture E@ternal communication through oral cavity =

!?. &tosis A. =drop upper eyelid 5. = C. = 4. =

(1

T$< 1. a. b. c. d. Which of the follo%ing statements are true of &ulsed 9( T1 images are useful to visualize discal perforations and position T! images signify the presence of nflammation T! images signify inflammatory changes. CC

!. a. b. c. d.

&ulsed 9( scanning of the T9Z sho%s T1 %eighted images sho%s disc position and disc perforation T! %eighted images sho%s disc position and disc perforation T1 %eighted mages sho% inflammatory changes T! %eighted mages sho% inflammatory changes

'. What is the position of disc irt to condyle in case of early internal derangement %hen mandible is in closed position a. b. c. d. Anterior and straight Anterior and medial Anterior and lateral 1o change

+.

:ypermobility of tm$ botulinum to@in

3. a. b. c.

stylomandibular ligament /ormed from the parotid fascia (uns from styloid process to the angle mandible #ateral check ligament

(2

d. 6.

&revents the movement of the condyle 4isc position

8. n nternal disk derangement the disk is displaced A# Anteriorly ++ ( antro ediall! ) 5. 9edially C. &osteriorly 4. #aterally >. The most degenerative changes of bony parts of T9Z is done %hen A. 4iskectomy 5. Eminectomy C. 4isk treatment

?. 9ost likely cause of myofacial pain dysfunction is A. 5ru@ism follo%ing stress++ 5. nternal derangement %ith reduction C. nternal derangement %ithout reduction 4. C 1*. Commonest cause of myofacial pain a. b. c. 4egenerative $oint disease nternal derangement %ithout reduction nternal derangement %ith reduction

. 5ru@ism follo%ing stress++

11. :ydrostatic pressure causing T9Z degeneration based on theory a. b. c. d. :ypo@ic = reperfusion theory = = =

('