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1 Grain in lingual.

side of third molar none in which direction

Aneriopostrirlu

Mesially

Verical

horizontal
2 which not present in von willbrend disease

normal pt

increased aptt

deficncy of facor 8 and vowd factor

normal aggeagtion function platlaes

3 implant fixture is displaced in sinus

Should remove immediately through sinus

Wait for week and remove it after one week through nasally

Wait and watch

4 After elevating upper third molar it sleeps into

Infratemporal fossa

Ptreygo maxillary fossa

Glenoid fosaa

Ptergomandibular space

5 12 mm lower mandibular height intram formenn

Which is the best alveloplasty?

Obcagure

Lip swich

Vestibuloplasty with skin grafting

6 8yrd old requires Decidous third molar greter paltine block


Land marks in relation second molar deciduous

7 Dibetes mettlus type 2 pt rqures extraction of molar what is the precutions during
extraction

Nothing extracts the teeth

Stop the medicines before 2 days or three days

Give glucose in Hofmann solution before extraction

8
Fibrous dysplasia

Treatment

9 Ameloblastoma recurrences with curettage and resection should follow-up till

1yr

5yrs

7yrs

10byrs

10 which is trure

Apert

Crouzan Syndoroke

Pefier syndrome

11 Prolabium is used for. In cleft surgery

reconstitution of collumella

lengthen the mucosa

Formation full lip

12 Lip adhesion is done when

First weeks of life

2 to sixth week of life


3months

6 months

13 a 16 yr old adult pt devolps Brown discloration in malar area since 6 months whats the
first step

Opthamic consuktion

Endocrinology

Incisinal biopsy

Observation

14 Condyalr fractures with 8yr old indication for open reduction

Displacement of condyle not invading cranial base

Intracapsular fracture

Failed conservative management

Reduced moth opening and dearrnged occlusion

15 after platets in healing stage which cells comes in the healing are

Megha carocytes

lecocytes

Monocytes

16 after two weeks of truma there is presention lacrmation but absence of Stapdial replex and
loss of taste

Ipsilateral Damge of facial nerve medial to geninucleate ganglion

Contra Damge of facial nerve medial to geninucleate ganglion

Ipsilateral Damge of facial nerve disatl l to geninucleate ganglion


17 Tongue is supleied by all nerves expet

Facial nerve

Hypoglossal nerve

Tigemanal nerve

External larnageal nerve

18 Bluish discolartion of free flap after rectus abodminus

Best way to assess is

Arterial Themometer

Dopller

Ultrasound flow merter

19 Intra op muscle rigity drug high heartrate, change qrs complex ,bp is 150/100

Medicnes given

Nalaoxone

Dantrline

Nipidipne

Reconuriom

20 25 yr girls requires 4 mm mandibular set back .and .tmj pain.

Best way to manage

bsso
ivro .

invetred c osteomy

treat the tmj pain and than orthognathic

21 how assess Nasopharngeal airway clinical assent

Angle of the moth to eam

Al of the nose to eam

Tip of the nose to external acoustic meatus


length from the corner to the mouth to the earlobe

22 Difficulty of intubation epiglottis oesophagus aree seen while intubation as per rocthanal
analysis

Grade 1

Grade 2

Grade3

Grade 4

23 Dosage of adrenaline in tracheal tube

1ml to 1ml

1ml 10ml

2.5mg 10ml

Endotracheal Tube: 2-2.5mg epinephrine is diluted in 10cc NS and given directly into the ET
tube

24 Which drug is not given through rtracheal tube

Liganacaine

Atropine

Vassppressin

Glycopyrollete
lidocaine,epinephrine, atropine, naloxone, and vasopressin.

f vascular access is unavailable, the ET route may be used for the administration of certain drugs,
including lidocaine, epinephrine, atropine, naloxone, and vasopressin. 2-4

Remember the mnemonic NAVEL: or LEAN (PEDS)

N-Naloxone L-Lidocaine
A-Atropine E-Epinephrine
V-Vasopressin (adults only) A-Atropine
E-Epinephrine N-Naloxone
L-Lidocaine

Endotracheal administration of medications other than those on this list may damage air

Lidocaine: Current adult AHA Guidelines recommend4 that an ET-delivered dose of lidocaine of 2 to
4 mg/kg. For this ET dose to reach therapeutic levels takes 5 minutes and to reach peak levels takes
20 minutes. The level remains therapeutic for 30 to 60 minutes.13

Epinephrine: Current AHA Guidelines for ET use of epinephrine in an adult recommend4,14 using 2 to
2.5 times the standard IV dose of 1 mg (ET dose = 2 to 2.5 mg), while suggesting that the
(PEDS) pediatric ET dose of epinephrine be increased by approximately 10 times the standard IV
dose of 0.1 mL/kg of a 1:10 000 solution (0.01 mg/kg) (ET dose = 1 mL/kg of 1:10 000 solution or 0.1
mg/kg).4 For neonatal resuscitation, ET doses of epinephrine up to 0.1 mg/kg of a 1 to 10 000 (0.1
mg/mL) are suggested.4

Atropine: Current AHA Guidelines4 suggest that the recommended ET delivered dose of atropine be
2 to 2.5 the standard IV dose of 1 mg (ET dose= 2 to 2.5 mg). PEDS: AHA Guidelines4 suggest that
the pediatric ET dose should be 0.04 to 0.6 mg/kg with a minimal dose of 0.1 mg.a

Naloxone: Human data on the use of naloxone ET is sparse to nonexistent. Current AHA
Guidelines4 do not specifically give an adult dose for naloxone ET, but logic would suggest that the
dose should be 2 to 2.5 times the standard IV/IO dose of 0.4 to 2 mg. PEDS: AHA Guidelines do not
recommend ET use of naloxone in neonates; for pediatric patients, the AHA states that other routes
are preferred.4 If used, a reasonable dose, based on 2 to 10 times the IV/IO dose of 0.1 mg/kg, would
be 0.2 to 1 mg/kg. For a single dose, a maximum of 2 mg is consistent with standard dosing
recommendations.

Vasopressin: The administration of vasopressin appears to be equally effective by ET and IV


routes.3,15 No currently published studies clearly define the optimal dose of ET vasopressin.
Therefore, at this time, using the standard IV dose of 40 units of vasopressin diluted with normal
saline to 10 mL is reasonable. PEDS: There is no current recommendation for use of vasopressin in
pediatric patients.

25 In upright position blood from the medial canthus lateral nose upper lip drains to

Inferior through the facial vein

Cavernous sinus
Ptergoid plexus

Superior with opthalic vein

.26 lateral canthotomy and which is best incsion to expose floor and rim

-sub cilliry

trnas conjuctival

infra orbital rim

tarsal plate

27 which drug is safe .end satge renal disease .

antibiotic doxy

doxycycline

clindamycin

28 .Allergy for pencillin and maxillary sinus infection which antibiotic

Erthomycin

Clindamycin

Ammocxcillin with clanuc acid

We recommend treatment with an antibiotic for patients whose clinical symptoms meet criteria for
ABRS (algorithm 1) (Grade 1B). In light of increasing microbial resistance to antibiotics, we suggest
initial empiric treatment with amoxicillin-clavulanate rather than macrolides
(clarithromycin or azithromycin), trimethoprim-sulfamethoxazole, or oral second- or third-generation
cephalosporins (Grade 2B). For most patients, amoxicillin-clavulanate (either 500 mg/125 mg orally
three times daily or 875 mg/125 mg orally twice daily) should be given for five to seven
days. Doxycycline is a reasonable alternative for first-line therapy and can be used in patients with
penicillin allergy. A respiratory fluoroquinolone (levofloxacin or moxifloxacin) is another option for
penicillin-allergic patients. (See 'Choice of antibiotic'above and 'Duration for initial treatment' above.)

29.odontogenic infeaction maxilaruy infection l orbital infection which antibiotic is better

Flagyl

Sulbactum

Amcilling
Optimal therapy for septic cavernous sinus thrombosis may include antibiotics, anticoagulant,
corticosteroids and surgery. In general, a penicillinase-resistent penicillin, often with a third
generation cephalosporin, is appropriate empiric therapy. Metronidazole may be added to the
regime to optimize anaerobic coverage, especially when the process originates from a dental or
otorhinologic process. When there is rapid progression of septic cavernous sinus thrombosis, initial
therapy including vancomycin should be immediately administere

Cezadine

Ceftriaxone

.30 how many Sub adregnic receprtra in cardioac muscle .

.1,

,3,

4
32 Tmj capsule medial side attachment

Ptergoid plates

Medial rim of glenoid fossa

Sphenoid bone

Medial side of arch of zygomatic

33 modern era mortality of head and neck serious infections are reduced because of

Secure airway and aggressive drangae

Antibiotics and fluid management’

Extraction and control of fever

34
23yr old history syncope systolic murmur

Mitral valve prolapse

35 a healthy 28 yr old male pt suddenly develops chest stiffness rapid brathing high pulse rate

Hypoglucimia

Cardiac arrest
Huponutrmiia

36 Dilated pupil...nerve damaged is

4
37 Percnatge ofmandubular imapcted tooth normal eruption.percenatge

..10

30 to 50

50 -80

100
38 whike placing 14 implant

Fixture is in sinus ..

Implant should be removed immediately

Observe

Remove after one week through nose

No need to remove

39 Bleeding in.22region while drilling for implant

Place the implant’

Wait and start next day

Place the pack and revaluate

40 Paraesthesia after placing implant what's the next

Remove the implant immediately

Wait and watch

Observe and if paraesthesia is present than remove implant


41
Extortions upper grossly decayed molar teeth for implant

Transa alvlor extr with .root tip forceps

Transa alvlor extr with .elivators

Intra alvlor extr with .root tip forceps

Intra alvlor extr with elivaorts

42

Lataera radiograph in retro pharyngeal infection

Redced in c2

6mm or a8mmom space between c6

Lordiac sign

43platlate count which is dangerous for exrtcion for throbo cytopenia

Less than 40000

50000

100000

200000

44 aerobic Microorgnisms causing odontogenic infection

Atyphococcus

Atetococcus

Mutidans

fungi

45 58yr old pt done with deans alavoplasty main dis adavnatage of this teccnique is

Reduction of thickness of ridge


Incsred reaobtion of bone

Difficulty to maintain periosteal attachment

46 Odontogenic infection which is not true

Mucur mycosiss is commona in dibetes meltius

Human bite 25% atyphlo and

47 Calvarial bone foromed by

Cartilgenous

Membrounus

48 Normal healthy pat requires surgical removal of impacted tooth..what’s thee need for
giving antibiotic. To reduce the

Infection

trismus

dry socket

Swelling

49
Which true in intr liagmnetry I jection.of lowe anterioss

..27guge needle

intra formina inj

mucosal injection

50
First skelital muscle to contract after using succnyl coline during general aesthesia is

Eylids

Abdomen

Buccinatr
Caugh
51 Genioplasty is done with realation to formina

superior or

inferior to

anterio mental formaen

posterior

52 massetric space is

primary

secondar y

potential.space

non space
53 Sub mandibular and sub lingaula gland most common mallignat tumour

adenoid cystic carcinoma

mucoepdrmoid carcinoma

cylndroma

54

Best site for harvesting calvarial bone graft

Parietal

Occipital

Temporal

55 Facial hemi atrophy which is not true

Half pt bosy is bigger tha aother side

Lip is normal

Atrophy of normal side

56
adduction and difficulty in superior movement blocked
in media wall fracture l or

lateral wall fracture

Blow in fracture

Trochlea

57 Ecchymosiss of the the floor of the mouth indicates which

fracture.anterio mandible

.bl ramus frature

Bilateral angle fracture

Fracture at the lingual

58

Zygomatic fractures ct scan cuts should be

interv ...

0.5mm

1to 1,5

1.5 to .2.5.mm

2.5 to 3.5mm
59 Arthroscopy ..cannula is placed in

supr joint space

infra joint space

into disc

retrodsiscal tissue

60 mpds most common cause

-bruxcism with stess

61 peri apcal cyst non vital teeth ‘histry of trauma

Dentigerous cyst
Radicular cyst

Okc

Ameloblastoma

62 Pt is on warfarin therapy. What is way to continue treatment


a. Vit K (FFP best antidote)
b. Stop 24 hrs before
c. Consult with his haematologist
d. No need to stop carry on with Xn
63

Tetanus injection(prophylaxis)

Tentuns inj

Tetanus pus dietrriod

Tetunos gb

64 orange peel appearance of palatal mucosa is because of

Absence of sub mucosal layer

Opening of minor salaivary gland ducts

Vitamin deficiency

65 most common cause of oral cancer is

Sharp teeth

Smoking

Alcohol

66 cupar method amo

Blood supply is from palatal mucosa

Blood supply is from palatal and buccal

Trnaspaltal incision is given

Buccal and veritical incions made in

67 SECONDRY GOALS IN TREATING INFECTION

DRAINAGE

ANTIBIOTIS
REMOVAL OF THE CAUSE

EASTHETICS

68DANGER AREA OF SCALPIS

LOOSEAREAOLAR TISSUE

69
1. Prediction of operation time in third molar surgery
a.
b. Depth of impaction
c. Approximation of teeth to vital structures
d. Root pattern angulation ?

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