2-the upper limit of pteregomandipular space is :
larteral pterygoid muscle
(Anteriorly:
The pterygomandibular raphe and the fibres of
the superior constrictor and the buccinator muscles
inserted in it
Posteriorly: The parotid gland
Lateral wall: The inner surface of the ascending ramus
Floor and deep boundary: The medial pterygoid muscle
The roof: The lateral pterygoid muscle)
3-the anterior superior alveolar nerve is branch of infraorbital nerve .
4-Not indicacated for surgery ?!
-djd
-ankylosis
-reduction without displacement
5-The longest LA time action is for :
buvicaine
6-Most used for soft tissue :
MRI
7-high sodium and low potassium indicate :
inflammation
11-All in ameloblastoma except :
neuro change
12- not characterized for MPD is :
localiced pain in TMJ
13-best radiograph to detect sympheses fracture is :
occlusal
14-all are for extracapsular ankylosis except :
intracapsular infection causing ankylosis
15-all are indications for open TMJ surgery except :
16-aspirin mode of action is towards :
COX 2
18- arthrocentesis is used for all of the following except :
none of the above
all of them were correct
19- Regional LA can be given if the pt level are :
above 30* 10^9/l
20- All are features can distinguish malignant form benign except :
xerostomia
21-Question was about hemophilia VII single visit treatment.
T or F
22-sialogram should not be used when patient is :
all of the above
23-Which occurs in Buccal graft :
Trismus
24- Retrieve displaced Maxillary molar in Sinus :
Caldwell Luc
25- Most Active resting secretion :
Submandibular
26- Correct about fibrous Dysplasia :
Periods of high bleeding
27- Which doesn't occur from splinting an implant to a natural tooth:
Prevents osseointegration
28-Incorrect about Submandibular gland :
Something to do with salivary composition
29- Regrading sialolithiasis Incorrect :
is that most RO stones are in SM and Parotid
30- Sialogram :
Correct option was if not cleared within 5 minutes something is wrong
31-which of the following is true regarding Sialogram :
if the material stay more than 5 min , then its Abnormal
trd : ter in die
po : per os
prn : as needed
false about ranula...
a)bilateral (answer)
b) retention followed by extravasion
mucocele ....
a) usuallly seen as a soft recurrent swellin at the soft palate
which of the following is false regarding deepening the lower vestibule
A) (an answer with "le fort 1") which is the false answer because le fort 1 procedure is for upper
which of the following is false
a) for fdenture fissaratum, excise and throw away the fibrous tissue (answer)
most dangerous complication of this ( infraorbital region swelng )
cavarenous sinus thrombosis
patient comes with class 2 fracture of incisors and non vital anterior teeth and cyst at the roots
of the anterior teeth,.... what we do ?
a)endo treat nonvital teeth, then send to surgeon for cyst removal and apicectomy (answer)
which of the following is false
a) if the lateral incisor is anomalous the tooth will be buccally impaced (answer)
question about ct scan of maxillary sinus
a) coronal is the best view (answer)
which of the following is true
a) dont give acetaminophen to patients with LIVER failure
1) patient comes with ludwigs angina
A) IV fluids and antibiotics and immediate hospitiization
Most common cause of 3rd molar extraction,,,,, periconitis
10) all of the following are true except :
a-releasing incision is usually mesial rather than distal
b-semilunar is suitable for periapical surgery with minimal effect of rescission in the presence of
crown
c- answer : 3 corner flap is the most commonly used in oral surgery but with high effect on the
rescission in the presence of a crown
d-another choice that i cant remember
line that determines the amount of bone removal accordindg to George classification.,,, ,,the red
line
contraindication for extraction all the following except
jaw malignancy
pericornits
Primary during the operation
Secondary after the operation
Reactionary one day after .. 24 hours usually between 4-6 hrs postop .
Wt the indication of cald wel lac surgery ?
one is not of the indications which is close oral antral communication
Salivary lesions, here the incisional biopsy is difficult because we may damage the facial nerve, so instead, we do FNA."
*Wicking* effect in which type of suture ?? Silk
ORNS osteoradionecrotic
Bisphosphonate-related osteonecrosis of the jaw (BRONJ)
management of the oroantral communication if it was 1-2 mm ,the answer i think leave it to
close by normal clot and suturing.
OKC gorlin goltz syndrome
A ranula is a type of mucocele found on the floor of the mouth. Ranulas present as a swelling ofconnective
tissue consisting of collected mucin from a ruptured salivary glandcaused by local trauma. If small and
asymptomatic .The usual location is usually is lateral to the midline, which may be used to help distinguish it
from a midline dermoid cyst
What is not true..
Garres osteomyelitis is treated by bone resection (answer)
71 old patient taking aspirin . What test does it affect ??
Bleeding time ( not INR )
In the management of vasovegal syncope : Trendelenburg position, the body is laid flat on the back (supine
position) with the feet higher than the head by 15-30 degrees,
1- Safest vasoconstrictor for cardiovascular patients:
Adrenaline
Noradrenaline
Felypressin
Levo...
2- duration of action for bupivicaine
8-10 hours
3- maximum dose of vasoconstrictor can patient take it in one day safely
20 mg
200 mg this
400 mg
600 mg
4- Carrier sulotion for the local anesthetic agent is modified ringer lactate
5- reducing agent in local anesthesia is * metabisulphite
7- size of suture used intraorally: 3-0,4-0
8- the lever in extraction of lower third molar is :
Buccal shelf
Lingual shelf
Distal side of the crown of 2nd molar
Bone distal to the third molar
12- while extracting lower third molar the distal root disappeared most probably its in:
Submandibular space
Pterygomandibular space
Submental
....
13- most common tooth to be fractured : upper 4
14- most cmmon inherited coagulation disorder :
von willebrand disease
Hemophelia a
Hemophelia b
15- position while extracting lower right second molar : behind the patient, below elbow level
16- facial nerve paralysis can happen after
ID block (+)
Infraorbital block
Posterior superior alveolar nerve block
17- anesthesia incisive nerve will:
Anestesis mental and incisive
Onley incisive
Inferior dental, mental and incisive
18- most desirable anathesia for extraction (I think lower incisor !)
19- dry socket usually happen : after 3 days
20- young women complaint is pericoronitis for her lower mesioangular third molar your decision will be
I think I answer it > give proper antibiotic and arrange for surgery after 2 weeks
21- one of these will contraindicate doing extraction
PT test for the patient with value of >45
22- preoperative radiograph needed for:
Third molars since it could have different morphology
An upper moalr
Heavly restored molar
All of the above
23- for checking of anesthesia
With tip of probe
Ask about lip numbness
With tip of rongeure or something else
24- rongure used for : bone removing
25- line showe the amount of bone to be removed : red line
Osteotomes have bibevel.
Class III malocclusion because of midfacial haypolpasia is found in all of the following except :
I think the answer is : pierre robin seqence
If parents have a child with clap , whats the chance of having another child with clap ?
- 2-5%
1- False regarding hemifacial microsomia :
A. Almost half percent associated with larger syndrome
B. Type IIb and III needs surgical intervention
C. May cause severe facial asymmetry
D. Most common bone graft used is costochondral
E. None of the above (answer)
2- Large mandible setback and produces open bite post operative :
- VSSO
3-Cgcg :
- Agressive lesion needs agressive curretage
- Needs always surgical treatment
- Histopathology similar to hyperparathyoidism (mostly answer)
- Affects post mandible
5- Pt have a child with cleft lip and palate , percentage of having another child :
- 1:700
6- Primary palate repair :
- 9-18 months
7- With is the major problem which needs reconstruction :
- Loss of continuity
10- most common cause of facial assymetry :
- Condylar hyperplasia
11- which of the following is false regarding condylar hyperplasia :
- Condylar shaving is done as soon as the diagnosis is made to stop the disease process(mostly answer)
- Condylar hyperplasia is in the vertical dimension
- Produce asymmetry
- Other answers
12- treatment for small benign tumor:
-marginal resection
13- conventional treatment for cgcg:
-Aggressive curretage
14- treatment for squamous cell tumor :
- marginal resection
15- the most common benign odontogenic tumor 10%odontogenic 1% jaw tumor :
- Ameloblastoma
16- Pedicled sternocleidomastoid muscle :
- pedicled composite
17- advantages of grafting the cleft alveoulus :
- Close oronasal fistula and eruption for canines
18-Rule of ten:
- All are correct
19- middle ear infections caused by :
- Tensor veli palatini, levaror veli palatini
20- hemifacial microsomia causes damage mostly to :
- facial nerve
21- one of the following is not primarily affected by hemifacial microsomia :
-maxilla
22- which of the following is false regarding ameloblastoma :
- Peripheral ameloblastoma is treated by curretage
23- least stable and most stable orthognathic :
- transverse expansion , impaction
24-orthognatic surgery in cleft lip and palate :
- mostly to advance the maxilla
25- which of the following is true regarding BSSO :
- used to treat facial asymmetry
26- which is true to reduce the incidence of cleft lip and palate :
- reduce inter relative marriage (answer)
- increased intra-operative mortality
- Increased "something" mortality
-all
6- ultra sound + FNA : used to aspirate cells from lumps " especially in neck cancers "
1- CT : " is the gold standard " most commonly used.
2- chest x-ray : metastasis to chest and lungs.
3- MRI : soft tissue tumor, cervical lymph node invasion, base of skull invasion, perinueral invasion
4- pet scan : sensitive to metastasis, used to check for recurrences
5- radionuclide scan : activity of lesion
2. Indicated in cases of severe bleeding:
- 2 short, wide peripheral venous needles.
3. Maxillary bone, palatine bones, most of the nasal bones, and pterygoid plates involvement are seen in:
- Le fort II.
4. Not an indication for orbit exploration and reconstruction:
- Biocular diplopia.
8. In a patient with severe respiratory distress and mid-facial fractures, you would consider:
- Tracheostomy.
13. Best material for facial sutures is:
- Nylon.
Best view for orbit floor
Coronal ct (answer )
- If INR =2 , its not contraindication to place the implant .
- HbA1c = 7 and fasting blood glucose is 120 , we can place implant .
