Oral Surgery 1 Final Examination
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Bell’s palsy is caused by injury to what cranial nerve? *
2 points
CN V
CN VII
CN XII
CN XI
What chemical solution is being used to soak a packing material in the management of
a dead space? *
2 points
GI
Povidone
EDTA
Iodoform
A man is diagnosed as having extremely inflamed retrodiscal tissue as a result of
functional loading of an internally deranged TMJ. All conservative treatment has failed
to resolve the problem. What is the next course of action? *
2 points
Arthrocentesis
Arthroscopic surgery
Prosthetic restoration
Occlusal adjustment
Orthognathic surgery
A 5-month-old mentally retarded patient presents to your office and on clinical
examination, you note brachycephaly, midface hypoplasia, hypertelorism, and
syndactyly of hands and feet. These findings are consistent with the diagnosis of what
syndrome? *
2 points
Apert syndrome
Treacher–Collins syndrome
Eagle syndrome
Beckwith–Wiedemann syndrome
What forceps is indicated in removing a mandibular root fragment? *
2 points
69
44
17
18
What are the most common teeth that may cause referred pain to the ear? *
2 points
Maxillary central incisors
Mandibular central incisors
Mandibular molars
Maxillary premolars
Maxillary molars
Which local anesthesia is associated with causing methemoglobinemia? *
2 points
Lidocaine
Bupivicaine
Prilocaine
Procaine
These are local contraindications in removing a teeth, except: *
2 points
Dentoalveolar abscess
Severe pericoronitis
Hemophilia
History of radiation
How many hours prior to conscious sedation should the patient be instructed with
NPO? *
2 points
2 hours
4 hours
6 hours
8 hours
What is the most important indication for removal of impacted third molars? *
2 points
preserve the vitality of the pulp
preserve the periodontal health
preserve the integrity of the jaw
AOTA
Dental elevators are used for which of the following purposes? *
2 points
To retract the gingival crest tissue
To reflect a full mucoperiosteal flap
To engage the tooth apical to the cementoenamel junction
To engage the tooth coronal to the cementoenamel junction
When is the ideal time for removal of impacted third molars? *
2 points
ages 17 and 20
Nolla’s stage 12
when the roots of the teeth are one-half formed
early teenage years
What is the outcome of not removing impacted teeth under dental prosthesis? *
2 points
ulceration of the overlying soft tissue
initiation of an odontogenic infection
AOTA
NOTA
What mechanical principle is being applied if one is using a Cryer? *
2 points
Wheel and axle
Lever
Wedge
NOTA
This type of motion during dental forceps use will result into root fracture when applied
to multirooted teeth: *
2 points
Apical pressure
Rotational pressure
Palatal pressure
Low pressure
Extraction wounds heal by which method? *
2 points
Primary intention
Secondary intention
Tertiary intention
None of the above
This type of learner would rather demonstrate how to do something rather than
verbally explaining it: *
2 points
Auditory learner
Visual learner
Kinesthetic learner
Removal of a tooth out of the socket is usually done using a tractional force directed
occlusally. True or False? *
2 points
True
False
I don't know
At what age can a third molar tooth bud be radiographically visualized? *
2 points
before eruption of all deciduous teeth
after eruption of all deciduous teeth
6 years old
9 years old
It is an infection of the soft tissue around the crown of a partially impacted tooth and is
caused by the normal oral flora *
2 points
pericoronitis
periodontitis
operculum
obwegesers
This step allows elevator and forceps to be positioned apically, without impingement
on the soft tissue of the gingiva. *
2 points
Loosening of the tooth using elevators
Luxation of the tooth using forceps
Loosening of soft tissue attachment
Adaptation of forceps
The levator veli palatini muscle is primarily innervated by the: *
2 points
V2 branch of the trigeminal (V) nerve
V3 branch of the trigeminal (V) nerve
Facial (VII) nerve
Vagus (X) nerve
Hypoglossal (XII) nerve
Which of the following is considered the “gold standard” in bone grafting? *
2 points
Autologous bone
Allograft
Xenograft
Alloplast
Bone morphogenetic protein (BMP)
What is the ideal radiograph for knowing the exact position and location of an
impacted lower third molar? *
2 points
Panoramic
Periapical
Occlusal
CBCT
How are polyglycolic acid sutures resorbed by the body? *
2 points
Enzymatic degradation
Lipid degradation
Osmosis
Hydrolysis
Which of the following definitions describes the process by which new bone formation
occurs from osteoprogenitor cells that are present in the graft, survive the transplant,
and proliferate and differentiate to osteoblasts? *
2 points
Osteoinduction
Osteogenesis
Osteoconduction
Osseointegration
Angiogenesis
What are the possible postoperative complications that will arise if mandibular third
molar is removed during the time of active infection? *
2 points
pain and swelling
ineffectivity of local anesthesia
dry socket and postoperative infection
death
Superficial portion of the tooth is covered by soft tissue, but the height of the tooth's
contour is below the level of the surrounding alveolar bone *
2 points
soft tissue impaction
hard tissue impaction
partial bony impaction
full bony impaction
On removal of #14, you have broken off a root tip. The tooth is missing a portion of its
palatal root. Unable to visualize the root tip, you take a radiograph and note its
position to be: *
2 points
In the infratemporal fossa
In the nerve canal
In the maxillary sinus
In the nasal floor
Surgical handpiece do exhaust air into the operative field thus, recommended for
surgical procedures. True or False? *
2 points
True
False
Maybe
I think
The nerve injury classified as neurotmesis is described as? *
2 points
A contusion of the nerve
Complete loss of nerve continuity
Loss of epineural sheath but intact axon
A stretching of the nerve
Excess granulation tissue should be removed after tooth extraction because it *
2 points
may prolong postoperative hemorrhage
causes delayed wound healing
may lead to osteoradionecrosis
will be difficult to suture the soft tissues if present
Impacted maxillary canines that are located in a transverse position is classified as? *
2 points
Class 1
Class 3
Class C
NOTA
After giving two cartridges of 2% lidocaine to anesthetize the inferior alveolar nerve,
the patient develops facial drooping on the side of the injection. This complication
occurred because the needle was directed: *
2 points
Too far lateral
Too far inferior
Too deep
Too far superior
This type of seizure presents as simple as a blank stare: *
2 points
Petit mal seizure
Grand mal seizure
Extreme seizure
Mild seizure
Stensen’s duct can be found at which of the following anatomic sites? *
2 points
Mandibular angle
Preauricular border
At the zygomatic arch
Between the superficial and deep lobes of the parotid gland
Within the buccal space
Which factor makes removal of a lower third molar more difficult: *
2 points
Conical, fused roots
Wide PDL space
Class A impaction
Small follicular sac
What makes Hydrogen Peroxide an ideal irrigating solution for pericoronitis? *
2 points
removes virus with its foaming action
reduces the number of anaerobic bacteria by releasing oxygen
AOTA
NOTA
What blade number should you use if you are doing an Incision and Drainage surgical
procedure? *
2 points
No.10
No.11
No.12
No.15
Which of the following is the most common site of squamous cell carcinoma of the oral
cavity? *
2 points
Buccal mucosa
Floor of the mouth
Mandibular gingivae
Palate
Tongue
The most basic principle in local anesthesia is to use or give the smallest amount of
solution enough to provide profound anesthesia. True or False? *
2 points
False
True
AOTA
NOTA
The mental nerve exits the mental foramen at which of the following sites? *
2 points
Below the canine halfway down the mandible
Below the first premolar halfway down the mandible
Below the first premolar, directed posteriorly
Below the second premolar halfway down the mandible
Below the lateral incisor
What is a possible diagnosis associated with pain in the retromolar region aside from
an impacted tooth? *
2 points
retropharyngeal infection
badly carious second premolar
myofascial pain dysfunction syndrome
psychological
In repositioning the flap for closure after odontectomy, where do we place the initial
suture? *
2 points
Distal aspect of first molar
Distal aspect of second molar
Mesial aspect of third molar
Along the ramus
The panoramic radiograph depicts what type of fracture in the left mandible? *
2 points
Pathologic fracture
Comminuted fracture
Closed fracture
No fracture present
As a general rule, all impacted teeth should be subjected to observation first before
removal unless removal is contraindicated. *
2 points
true
false
maybe
case-to-case basis
Which of the following suture materials is classified as nonresorbable?
2 points
Vicryl
Chromic gut
Plain gut
Nylon
Clear selection
Which factor determines local anesthetic onset time? *
2 points
Lipid solubility of the anesthetic
The percentage of protein binding
The presence of a vasoconstrictor
The degree of ionization
This instrument is usually used to remove a lingual torus: *
2 points
Rongeur
Periosteal elevator
Chisel and mallet
Bone file
A patient presents to your office with symptoms that include stabbing, shocking pain
lasting a few seconds to minutes. He says that the pain is provoked by cold and only
occurs on the left side. What is the most likely diagnosis for this patient? *
2 points
Myofascial pain dysfunction syndrome
Trigeminal neuralgia
TMJ ankylosis
Disk displacement
