ORAL SURGERY FINAL EXAM

1. which of the following drugs has the tendency to produce

bleeding disorder
a) Paracetamol
b) Aspirin
c) Warfarin**
d) Declofenac
2. Which of the following sutures is absorbable suture
a) Vicryl**
b) Silk
c) Nylon
d) Proline
3. What is the common type of shock in maxillofacial trauma?
a) Cardiogenic shock
b) Hypovolemic shock**
c) Septic shock
d) Anaphylactic shock
4. What is the most probable diagnosis of a patient with the
history of polydispia, polyuria and polyphagia. ?
a) Renal failure
b) Myocardial infarction
c) Diabetes insubidus**
d) Diabetes mellitus
5. About the complications of local anesthesia which of the
following is the most common one in dental clinic
a) Facial paralysis**
b) Syncope
c) Hematoma
 d) Trismus

6. Aamina is suffering from a mental illness in a prolonged

period of time but her psychiatrist prescribed her some
antiphsycotics in respect to her illness but as a side effect of
the ongoing drugs she developed gingival hypertrophy .
which of the following drugs is more likely to cause that
gingival hypertrophy
a) Phenytoin**
b) Imipramine
c) promethazine
d) lorazepam
7. the cause of trismus after the inferior nerve block is damage to the
a) the temporalis lateral pterygoid muscle
b) medial pterygoid muscle**
c) parotid gland
8. A 65-year-old diabetic patient requires extraction even after
taking the morning insulin dose. Which preoperative
instruction is important in this case?

a) The patient should maintain normal diet.***

b) The patient should have a very big diet more than
usual
c) The patient should attend the clinic without having
any diet
d) The patient should have some drinks only
9. A patient came with a history of sharp , lancinating pain on
right side of the face , not releived by analgesics what will be
the possible diagnosis
a) Acute pulpitis
b) Trigeminal neuralgia***
c) Acute dental abscess
d) Dry socket
10. Inflammation of all or most of the para nasal sinuses
simultaneously is described as
a) Pan sinusitis***
b) Sinusitis
c) Para nasal sinusitis
d) Para sinusitis

11. Maxillary sinus infection of odontogenic origin is most

commonly caused by
a) Aerobic infection
b) Anaerobic infection***
c) Viral
d) Fungal
e) Spirochetes

12. Major duct of submandibular gland is;

a) Bartholini’s duct
b) Senson’s duct
c) Wharton’s duct****
d) Lacrimal duct

13. Maxillary sinus is usually involved in fractures;

a) Le fort 1***
b) Zygomatic arch fracture
c) Le fort 3
d) Symphysis fracture

14. If a patient comes with a history of cardiac problem

taking aspirin what will be the possible complication if you
do extraction
a) Increases bleeding time****
b) Increases prothrombin time
c) Increases clotting time
d) Increases partial thrombin time
e) Decreases bleeding time

15. Cross bar elevator works on mechanical principle of ;

a) Wedge
 b) Lever
c) Wheel and axle***
d) Hammer and axle

16. While removing an impacted wisdom tooth , if you do

the apicoectomy of 2 nd molar , which type of incision should
be given
a) Semilunar
b) Extended ward’s****
c) Envelop
d) Sub marginal

17. Size of suture used most commonly in the oral cavity is;
a) 1/0
b) 2/0
c) 3/0****
d) 4/0
18. Incidence of sialolithesis is very high in;
a) Parotid gland
b) Submandibular gland***
c) Sublingual gland
d) Minor salivary glands

19. Removal of tissue from living individual for diagnostic

purpose is called;
a) Autopsy
b) Biopsy****
c) Cytology
d) Aspiration
e) Hematology

20. The least basic surgical goal for management of oral

parhological lesion is;
a) Eradication of the lesion
b) Functional rehabilitation of the patient
c) Aesthetic improvement
 d) Diagnostic purpose
e) Study purpose*****

21. Enucleation means

a) Creation of surgical window
b) Removal of entire lesion without rupture****
c) Marginal resection
d) curretage

22. if stones are present in salivary duct there are chances

of
a) hyperthrophy of salivary gland
b) hyperplasia of salivary gland
c) hyperplasia of salivary duct
d) dysplasia of salivary gland

23. if patient is taking heparin and we have to do surgery

immediately , the effects of heparin can be reversed by
a) vitamin K
b) protamine sulfate**
c) fresh frozen plasma
d) 5% dextrose

24. If a fracture of the jaw bone is communicated to

external environment , it is called;
a) Comminuted fracture
b) Compound fracture**
c) Green stick fracture
d) Simple fracture

25. Le fort 3 fracture is also called

a) Horizontal fracture
b) Pyramidal fracture
c) Transverse fracture**
d) Simple fracture

26. Treatment of a ptient with cherubism is

a) Surgical excision
b) Enblock dissection
 c) Radiation thearpy
d) Cosmetic surgery**

27. Vasoconstrictor in local anesthetics solution.

a) Reduces toxic effects of LA**
b) Decreases depth and duration of LA
c) Increases bleeding
d) Has no effect on efficacy of LA

28. The most common complication of posterior superior

alveolar nerve block is;
a) Trismus
b) Hematoma**
c) Infection
d) Facial palsy

29. Disto buccal root of upper 1 st molar is supplied by

a) Middle superior alveolar nerve
b) Posterior superior alveolar nerve**
c) Infraorbital nerve
d) Mental nerve

30. The most common complication after tooth extraction is

a) Bleeding
b) Alveolar osteitis**
c) Condensing osteitis
d) Infection
e) Swelling

31. Thechnique of anaesthesia in which local anesthesia

solution is injected into the vein is;
a) Nerve block
b) Infiltration anaesthesia
c) Intravenous anaesthesia**
d) Epidural anaesthesia
32. Most common complication of rheumatoid arthritis
involving TMJ is;
a) Ankylosis**
b) Subluxation
c) Osteoma of condyle
d) Reccurrent dislocation`

33. Local anaesthetic solution with highest tissue irritancy

is
a) Procaine
b) Lignocaine
c) Bupivacaine**
d) Mepivacaine

34. The most serious complication which may occur following

removal of maxxilary canine is
A. Iritis
B. Cellulitis
C. Localization of pus
D. Cavernous sinus thrombosis**

35. An acute alveolar abscess should be treated

A. First antibiotics for three days and then incision and

drainage
B. Incision and drainage with broad spectrum antibiotics
C. Broad spectrum antibiotics and analgesics
D. Antibiotics and proteolytics drugs such as chemotrypsin
 PART TWO EMQS

THEME ONE salivary glands

option list
(i) Sialadenitis; E
(ii) Bacterial sialadenitis;
(iii) Mumps/viral parotitis/viral sialadenitis;
(iv) Sialadenosis; A
(v) Sialorrhea/Ptyalism;C
(vi) Xerostomia;
(vii) Sialolithiasis;B
(viii) Sialectasis;
(ix) Sialodochitis;
(x) Sialography;D
(xi) Sialoceles;
(xii)Sarcoidosis; and
(xiii) Sialosis

Use each option at a time

 A. : Enlargement of the salivary gland
B. : Formation of salivary calculi or salivary stone in the
salivary duct or gland
C. Excessive salivation

D. Roentgenographic evaluation of the salivary gland and the

ductal system

E. : Inflammation of the salivary duct

THEME TWO : PAROTID DISEASE

OPTION LIST
A .mumps

B .measles virus
C .Hiv virus
D .coxsackie virus
E .pleomorphic adenoma
F .adenocarcinima
G. kerayocyst
H. adenoma
I .salivery retention
J. salivery extravasation cyst
K .salivery gland calculus
L .gram-posative organisms
M. candida

For each of the following questions, choose the most appropriate option from the list
above .you may use each option once , more than once or not at all
 1. Omar is 12- years old child he has bileteral swelling of the paroridreagion .
Which common childhood infection causes bilateral parotid enlargement?
_____A________
2. Abdi is 50-year-old smoker and gatt chewer he has occopational history of working
chemical industry before 10-years and now he is complainng of swelling which is
increasing from time to time on his left parotid reagion.Whichsalivery neoplasm is
the most common in the parotid gland?_E_________________
3. A patient comes to you and presents with unilateral parotid swelling and facial
palsy. What lesion would you suspect?__F________________________________

4. Zamzam is 15- year-old lady,she comes to your clinical practice and tells you that
she feels more pain when ever she smells and even going to eat food . (meal time
syndrome ) what is your diagnosis?______K__________

5. A patient presents with pus exuding from stensens duct of the left side of his
mouth.
Which organism would u suspect?________L_____________________

THEME THREE : EMERGENCIES IN THE DENTAL CHAIR

OPTION LIST
A Adrenaline 1:1000(1mg/ml)

B Adrenaline 1:10000(1mg/10ml)

C Aspririn oral
D chlorphenamine
E Diazepam
F Glucagon
G glucose
H glyceryltrinitrate spray
I hydrocortisone (iv)
J oxygen
K Salbutamol

For each of the following questions, choose the most appropriate option from the list above .you
may use each option once , more than once or not at all
 1 Following oral administration of a 3g of amoxillin for prophalysis, a 20-year-old women
reports shortness of breath and the development of red rash over her body What is the
appropiriate management for this case.?_____________A___________

2 A 20- year old man comes your dental surgery asoon he comes in side waiting room he
started shaking involuntarily, frothing at the mouth and showing signs of incontinence.
What is your immediate managent?__________________E________________

3 A 57-year-old women with type 1 diabetes collapses in the dental chair and dipstick
tastshows low blood glucose. What is your immediate managent?_F__________________
__

4 While being treated ,a 60-year-old man complains of severe central crushing chest pain
which radiates down the left arm and nausea. the pain does not respond to
glyceryltrinitrate spry and oxgen What is your immediate management ?
__C___________________

5 You are treating a 30-year-oldknown asthmatic women during thea preparation for
exraction your nurse tells you that the patient begins to wheeze and is short of breath
What is your immediate management? ____________________K_____________

THEME FOUR : INFECTION

OPTION LIST
A candida albicans

B coxsackievirus

C cytomegalovirus

D Epstein- par virus

E herpes simplex virus
F mycobacterium tuberculosis
G staphylococcus aureus
H treponemapllidum
I varicella zoster virus
For each of the following questions, choose the most appropriate option from
the list above .you may use each option once , more than once or not at all
1. A mother brings to you a 7-year old child with multiple oral ulcers and fever,
systemicaly he is health .what isyourdiagnosis ? ___________E__________________

2. A 48-year –old women comes to you and presents with multiple unilateral ulcers on
her face. what is your diagnosis? _________I_______________

3. A 20 _year old man comes to you and presents with a single sinuous ulcer on the
buccal last by history he told you that his physitionbriscriped some antibiotics for
systemic infection .what is your diagnosis?__H__________________

4. You are working as general dentist in BORAMA REGIONAL HOSPITAL, a young adult
patient comes to you an presents with White corrugated lesions which are bilateral
on his toungue.what is your diagnosis? ______D___________

5. A 30-year knownn HIV posative man comes to you and complaining of pain full
Multipleiiregular ulcers on the soft tissue in the mouth .what is your diagnosis?
________________C_____

THEME FIVE

Option list

A. .Paralysis;
B. Paresis
C. Anesthesia;
D.Ageusia;
E. Analgesia;
F. Hyperesthesia
 G.Hyperalgesia/hypoalgesia

USE EACH OPTION ONCE

1. : Loss of taste D
2. Loss of sensitivity to painful stimuli C
3. Excessive sensitivity F
4. Incomplete paralysis denoting neuromuscular
Deficit B
5. More/less painful stimuli. G

PART THREE

SHORT NOTE
1. . What is the difference between anesthesia and paresthesia?
_Anesthesia: its absence of all sensation
_paraesthsia:its abnormal sensation wether spontaneous or
evoked…………………………………………………………………………
……………………………………………………………………………………
……………………………………………………………………………………
……………………………………………………………………………………
……………………………………………………………………………………
……………………………………………………………………………………
…..
2. What are the ideal requisites of a local anesthetic
agent?
A. …rapid onset of action
…………………………………………………..
……………………………………………………….
B. ………long duration …………………
C. Reversible
action……………………………………………………………
………………………………………………………………………
…….
D.No allergy
E. Safe
F. Economical
G.Sterisable
H.nosystemi toxicity
………………………………………………………………………
………………………………………………………………………
3.How can we prevent syncope during anesthetic
injection?
A. Topical anesthesia
B. Slow injection
C. Anxirty reducing protocol
D. ………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
E. ………………………………………………………………………………
………………………………………………………………………………
…………………………………………………………………….
F.
……………………………………………………………………………………
…………………………………………………………………………
4.What are the advantages of adrenaline in a local
anesthetic
agent?
A. …reduces systemic toxicity
………………………………………………………………………
……………………………………………………………………
B. Prolong the duration
………………………………………………………………………
………………………………………………………………………
C. Vasoonstricttion
………………………………………………………………………
…………………………………………………………………….

5. If a tooth is inhaled during extraction, what is the

site to
enter and what complications can arise?

………………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………..
6. What are the immediate and late complications of a local
anesthetic agent?

Immediate complications
A. Pain
B. Needle fracture
C. Syncope
D. Toxicity and allergy
Late complications

A. Edema
B. Infection hemotoma
C. Pronlonged anesthesia
D. Aleolarostitis

7..compare the methods of tooth extractions ; open method of

tooth extraction and closed method of tooth extraction

Open method Closed method

Forcep

Surgical
Closed

Open
Intralveolar
8. list the synonymous of dry socket
A. Alveolar ostitis
B. Localized ostitisAlveolagia
C. Dry socket
D. Postoperative ostitis
E. Alveolar osteomyelitis
F. Fibrinolyticalveolitis
9. What are the clinical complications of the classic Ludwig’s
angina?
 Airways obstruction
 Carvaneous sinus thrombosis
 Distal mediatinitis
 Minigitis
 Osteomyelitis
 Brain abcess
 Rotion of carotid artery
 Jagular vein thrombosis

10. What are the complications of the untreated maxillary

sinusitis?

 Infection of eyelieds
 Orbital abcess
 Restricted eye movement
 Osteomyelitis
 Intracrainial complication
10.What is the general outline for the management of a
patient
with maxillofacial trauma?
i. First aid treatment
ABCD guidelines

ii. Definitive treatment

MAINTAIN THE FUNCTION

RESTORE THE ESTHETICS