Surgery
1. Lingual balcony is a bony prominence that interferes with insertion of the
lower complete denture, it lies at the posterior part of the mandible
lingually and its removal is considered as a corrective periprosthetic
surgical procedure.
a. True
b. False
2. In radical alveoloplasty, the surgeon doesn’t do the following:
a. make green stick fracture at labial cortical plate and squeeze it with
lingual or palatal one
b. completely remove interseptal bone
c. completely remove labial cortical bone
d. both(b) and (c)
3. ………….. limits the inferior spread of the infection originating from
mandibular central incisor:
a. levator labii superioris
b. mentalis muscle
c. buccinator muscle
d. geniohyoid muscle
4. infection of the submandibular, sublingual and submental spaces
bilaterally is known as:
a. phlegmon
b. Ludwig’s angina
c. Pericoronitis
d. Cavernous sinus thrombosis
5. the causes of inflammation in pericoronitis are all of the following except:
a. food entrapment under the operculum
b. insufficient space for mandibular third molar to erupt
c. trauma from the opposing tooth
d. bacterial exotoxins
6. Intraoral evacuation of infected lingual space is:
a. Performed in isolated lingual space
b. Performed incase of skin incision isn’t preferable
c. Performed in case of involvement of submental space
d. Not performed as the incision is opened antigravity
7. The clinical indication of sublingual space affection in ludwig’s angina is:
a. Swelling of the upper part of the neck
b. Trismus
c. Upward elevation of tongue
d. Fever
8. Plasminogen activation into plasmin is the main etiologic factor of:
a. focal sclerosing osteomyelitis
b. dry socket
c. necrotizing fasciitis
d. brain abscess
9. torus mandibularis is removed surgically through:
a. trapezoidal flap
b. crestal flap
c. buccal pyramid flap
d. lingual pyramidal flap
10. The principles of incision line are all of the following except:
a. Placed in esthetically acceptable are
b. 1-2 cm to permit adequate egress of pus
c. Placed over the most fluctuant area
d. Obtain dependent drainage
11. After multiple extraction of adjacent teeth the following should not be
done following extraction:
a. Alveoloplasty without trimming excess of tissue
b. Vestibuloplasty with trimming of excess tissue
c. Apicectomy with alveoloplasty
d. All of the above
12. Segmentation of torus mandibularis is important to avoid its
disappearance into the sublingual space during its surgical removal.
a. Correct
b. Fault
13. Sequestrectomy with or without decortectomy is one of the treatment
options of :
a. Focal sclerosing osteomyelitis
b. Diffuse sclerosing osteomyelitis
c. Chronic suppurative osteomyelitis
d. Garre’s osteomyelitis
14. the best prescribed antibiotic for patient of penicillin allergy and
pseudomembranous colitis is:
a. 625 mg augmentin /8hours
b. 500mg erythromycin/6hours + 500mg metronidazole
c. 300mg clindamycin/6hours
d. 500mg Amoxil/8hours + 500mg metronidazole
15. Hyperbaric oxygen is recommended for patients of hypovascularized bone
diseases as:
a. Osteoradionecrosis
b. Osteopetrosis
c. Paget’s disease
d. All of the above
16. Vertically impacted mandibular third molar will direct the infection to:
a. Sub-masseteric space
b. Sub-mandibular space
c. Infra-temporal space
d. Buccal space infection
17. Drain type that absorbs blood or pus is :
a. Fenestrated rubber dam drain
b. Gauze drain
c. Penrose drain
d. Corrugated red rubber drain
18. Injection of tetracycline and woods lamp viewer will
illuminate……………..intraoperatively
a. Sequestra
b. Healthy bone
c. Necrotic bone
d. Granulation tissue
19. In case of inaccessible space infection plastic syringe aspirate is
mandatory to detect pus formation:
a. True
b. False
20. One of the following sentences is not correct:
a. Relative ridge heightening is a process that describe vestibuloplasty
b. Ridge augmentation is preventive periprosthetic surgical procedure
c. Removal of denture fissuratum is classified as a corrective surgical
procedure
d. Routine measures during extraction as socket squeezing and removal
of projecting interseptal bone are considered a preventive
periprosthetic surgical procedure
21. A drain that withdraw the pus by vacuum suction is called:
a. Fenestrated rubber damn drain
b. Active drain
c. Penrose drain
d. Corrugated red rubber drain
22. The maxilla is the most common site for dry socket and osteomylitis:
a. True
b. False
23. Shaving of enlarged fibrous maxillary tuberosity is a process that
eliminate the undesired undercuts prior to denture construction
a. Correct
b. Fault
24. The approach through which you can evacuate more than four spaces is:
a. Intraoral vestibular incision
b. Extraoral sub-mandibular incision
c. Extraoral submental incision
d. Extraoral supra-zygomatic incision
25. The incision and drainage are done to:
a. release tissue tension and pressure on air way by edematous tissues
b. allow for prompt drainage since suppuration develops in
postoperative period
c. obtain specimen for culture and sensitivity test to give specific
antibiotics
d. all of above
26. regarding to the inflammation:
a. it’s the systemic body reaction to an irritant to dilute their effects
b. it’s not occurred as a response to thermal irritant
c. it’s not necessary to be associated with infection
d. it’s usually associated with infection
27. which of the following is an objective of periprosthetic surgery?
a. Restore normal masticatory function
b. Restore ideal bone support with broad bridge form
c. Offering protection to neurovascular bundle
d. All of the above
28. Localized vague radiolucent area with irregular margin related to the
periapical region of carious tooth indicates:
a. Periapical-cemental dysplasia
b. Focal sclerosing osteomylitis
c. Chronic dentoalveolar abscess
d. Periapical granuloma
29. ………….appearsextraorally as a unilateral swelling of the lower eye lid:
a. Cavernous sinus thrombosis
b. Canine space infection
c. Brain abcess
d. Facial cellulitis
30. Preprosthetic surgery is an absolute preventive operation performed
before denture construction and placement to create proper support,
stability and retention for prosthetic appliance
a. True
b. False
31. The solution to treat mild pericoronitis with normally erupting third molar
is:
a. Tooth extraction
b. Operculectomy
c. Coronectomy
d. Alternative daily use of hot salt water mouth baths and H2O2 mouth
wash
32. Cavernous sinus thrombosis after canine space infection is mainly caused
by the following anatomic communication:
a. Emissary veins
b. Pterygoid venous plexus
c. Anterior facial vein
d. Direct spread
33. The signs of pus localization are all of the following except:
a. Pointed fluctuant redness appearing in the general redness of the
swelling
b. Localized area of tenderness over the periphery of the swelling
c. Pitting edema in the middle of firm swelling
d. Sharp rise of body temp particularly if pt is taking antibiotics
34. Alveoloplasty is considered as :
a. Alveolotomy
b. Alveolectomy
c. Both of them
d. None of the above
35. Ridge splitting is a process used in case of
a. Ridge with multiple irregularities
b. Prominent mylohyoid ridge
c. Knife edge ridge
d. All of the above
36. After evacuation of infraorbital space infection, the patient complaint of
permanent paresthesia due to following mistake:
a. Injury of mental nerve
b. Injury of anterior superior alveolar nerve
c. Injury of infraorbital nerve
d. Injury of middle superior alveolar nerve
37. …………..occurs when the microorganisms are non-virulent or attenuated
by proper treatment with increased host resistance:
a. Acuteness
b. Resolution
c. Chronicity
d. Resistance
38. Staph. Aureus and streptococcal bacterial infection release spreading
factors in case of :
a. Phlegmon
b. Submental abcess
c. Ludwig’s angina
d. Cavernous sinus thrombosis
39. Spreading factors that enable the staph. Aureus and streptococci to affect
the tissue attachments are:
a. Lysozymes
b. Hyaluronic acid
c. Coagulase enzyme
d. Hyaluronidase and fibrinolysin
40. Rapidly fulminating massive brawny hard cellulitis characterized by
elevation of the tongue upward and buffalo neck:
a. Facial cellulitis
b. Acute suppurative osteomyelitis
c. Cavernous sinus thrombosis
d. Ludwig’s angina
41. After surgical removal of torus palatinus the patient returns to your clinic
complaining from fluid regurgitation, the expected problem happened is:
a. Oroantral communication
b. Oronasal communication
c. Oropharyngeal communication
d. Oropalatal communication
42. After radical alveoloplasty the patient came to your clinic few months
later complaining from flabby ridge, which of the following was the
proper way to prevent that complaint:
a. Good oral hygiene
b. Leaving the excess mucosa uncut
c. Trimming of excess mucosa
d. None of the above
43. Usually, the initial source of ludwig’s angina is:
a. Septic focus related to mandibular second or third molars
b. Septic focus related to mandibular first molar
c. Septic focus related to mandibular first premolar
d. Septic focus related to mandibular incisors
44. Sub-massetric space infection indicates:
a. Presence of septic foci related to disto-angular impacted maxillary
third molar
b. Presence of septic foci related to vertical impacted maxillary third
molar
c. Presence of septic foci related to disto-angular impacted mandibular
third molar
d. Presence of septic foci related to mesio-angular impacted
mandibular third molar
45. The first step after hospitalization of non-suppurative ludwig’s angina is;
a. Through and through incision and drainage
b. Intravenous antibiotic till localization
c. Hot fomentation till suppuration
d. Bed rest and high protein diet
46. Squeezing of socket after extraction is avoided in patient:
a. Prepared for delayed implant placement
b. Going to have fixed prosthesis
c. Going to have removable prosthesis
d. Doesn’t care about any prosthesis
47. On extraoral evacuation of sub-lingual space the hemostat dissect:
a. Platysma muscle only
b. Mylohyoid muscle only
c. Platysma and mylohyoid muscles
d. Platysma and hyoglossus muscles
48. On extraoral evacuation of sub-mandibular space the hemostat fissects:
a. Platysma muscle only
b. Mylohyoid muscle only
c. Platysma and mylohyoid muscles
d. Platysma and hyoglossus muscles
49. The best solution to treat pericoronitis of mesio-angular partially
impacted third molar is:
a. H2O2 mouth wash and follow up
b. Operculectomy using bardbaker blade no.12
c. Operculectomy using laser blade
d. Surgical removal of the tooth
50. Localization of infection to the sub-masseteric space is probably caused
by:
a. Vertically positioned lower third molar
b. Horizontally impacted lower third molar with lingo-version
c. Horizontally impacted lower third molar with bucco-version
d. Mandibular second molar
51. As the sequestra is detached and surrounded with granulation tissue
prevent the reach of antibiotic to the area of infection this condition is
called:
a. Acute suppurative osteomyelitis
b. Necrotic bone exfoliation
c. Smoldering osteomyelitis
d. Moth eaten appearance
52. 6 years old child suffering from plugging mandibular swelling appears
radiographically as onion skin appearance indicate:
a. Garre’s osteomyelitis
b. Diffuse sclerosing osteomyelitis
c. Focal sclerosing osteomyelitis
d. Chronic sclerosing osteomyelitis
53. Which of the following teeth direct pus palatally?
a. Maxillary central incisor
b. Maxillary lateral incisor
c. Maxillary canine
d. Maxillary third molar
54. The infection from the mandibular canine usually spreads:
a. Intraoral/labially only
b. Intra and extraorally
c. Extraorally only
d. Intraoral/ lingually only
55. The least aggressive type of alveoloplasty is:
a. Interseptalalveoloplasty
b. Labial plate alveoloplasty
c. Re-contouring of rough and sharp bone edges
d. Decreasing the ridge height
56. Torus palatinus is removed in segments to avoid:
a. Stress on patient
b. Stress on surgeon
c. Oronasal communication
d. Oroantral communication
57. Lingual balcony is a bony prominence that interfere with the insertion of
the lower complete denture that lies at the anterior part of the mandible
just beneath the genial tubercles and it’s removal is considered as a
corrective preprosthetic surgical procedure
a. Correct
b. Fault
58. The proper flap used to remove torus mandibularis is dentulous patient is:
a. Trapezoidal flap
b. Crestal flap
c. Envelop flap
d. Lingulal pyramidal flap
59. Segmentation of torus mandibularis is important to avoid injury to mental
nerve during its surgical removal
a. True
b. False
60.
