Professional Documents
Culture Documents
Cleft palate patient prepared for modified lefort I osteotomy. How much
advancement the surgeon plans to counteract relapse during
osteotomy and bone graft healing period and to adjust posterior placed
condyle intraoperatively.
1mm
2mm
4mm
6mm
A 24 year woman with history of fall with fracture central incisor
comes to clinic for extraction and immediate implant placement. She
gives history of fatigue and lethargy and history of syncope. Clinically
mid systolic click with late systolic murmur. What is your line of
management in this pt
Avoid local anaesthesia with vasoconstriction
SABE prophylaxsis
Lab investigation for bleeding problem
Do nothing
Pt on TCA, Local anesthesia with norepinephrine
Lidocaine induces hypotension
Norepinephrine induced hypertension
Norepinephrine induced relapse of depression
Lidocaine induced relapse of depression
Pt after lower third molar surgery suffer severe bleeding, how will you
control bleeding
Local anesthesia with adrenaline , remove clot, pack and suture.
Remove clot, place gelfoam, apply pressure, LA with adrenaline, suture
Give vitamin K..?
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Compound fracture
Multiple fracture at on site
Severe loss of tissue around the fracture
External communication through oral cavity
Ptosis
Prilocaine
Etidocaine
12000 20000
20000 40000
18 year old with impacted third molar bilateral with soft tissue and
bone chance of eruption is
10 30%
30 50%
50 80%
100%
Dialysis
Blood products
Transfusion
Child birth
Pt with wide cleft lip and palate lip adhesion or naso alveolar molding
planned
Few week after birth
First third month
Third to sixth (4-5 months)
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PWBooth 2 1021 pg. first paragraph
Cyclosporine
Increase T, decrease B lymphocyte
Decrease T, Increase B lymphocyte
Decrease T and B lymphocyte
Decrease T lymphocyte only
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CN 6
Suture 1-0
Dsyesthesia is
Unpleasant sensation due to normal stimuli
Increased pain sensation to normal stimuli
Increased sensation to painful stimuli
Anaesthesia for a prolonged period of time
D. 2.5 mg in 10 ML
Abubaker OMfs secrets given at the beginning point number 86. If given thru ET
tube, adrenaline(or any drug) should be given 2- 2.5 times the normal dose. So
answer Is D
15- After doing CPR to an adult patient the pulse returns but without breath. Management is:
A. Provide rescue breathing at rate of 10-12/mint ++
B. Provide rescue breathing at rate of 5-6/mint
C. Put the patient in recovery position
D. ?
16- What is the CT scan interval for zygomatic fracture:
A. 0.5mm
B. 1-1.5mm
C. 15.2.5mm
D. 2.5-3.5 (May be this one ++)
1.25 mm ideal for ZMC.
OBLIQUE PARASAGITTAL VIEW FOR ORBITAL FRACTURE 0.5 mm
17. Axial CT scan view. What can u see better.
a. Superior wall
b. Medial wall
c. Lateral wall
d. Floor wall
18- In maxillofacial trauma patient with suspected injury to cervical thoracic vertebra, the
diagnostic radiograph is:
AP
B. Odontoid View
C. Swimmers view
D. ?
Cross table lateral - SWIMMERS VIEW c7 and t1 vertebrae.
19- The fastest nondepolarising neuromuscular drug is:
A. Succinylcholine
B. Artacurium
C. ?
D. ? (Vecuronium 60 Sec / Rocuronium 75 Sec)
19- All is true about facial nerve except:
A. The facial nerve leaves the skull with accessory nerve through the jugular foramen ++
B. ?
C. ?
D. ?
20- Skin below the ear (Or may be it was behind ramus of the mandible) covering the
parotid gland is supplied by:
A. Superficial temporal
B. Greater oricular++
C. Temporal nerve
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D. ?
21- The optimum speed of rotation when preparing a tap for inserting an implant is:
A. 30-40
B. 40-60 ++
C. 60-80
D. 80-100
Dr Khaled all sources I got suggest speed of drill tap at 15 rpm(including Omar
abubaker ) with max of 20 rpm. So the closest is a. So I am not sure of how u chose it. If
sure of ur answer do share the reference
22- Patient with Osteomyelitis treated with sequestrectomy and prolonged antibiotic but
without improvement. Management is:
A. Review culture results
B. Give longer antibiotic regime
C. ?(May be repeat procedure is the right answer)
D. ?
22a. Which is the best way to monitor osoemyelitis
Scintigraphy
23- Difficulty of tooth extraction is determined by:
A. Limited mouth opening and root pattern. ++
B. Space between Second molar and ramus
C. Root Angulation
D.
24- Patient returned the following day after extraction with gross bleeding from socket.
Management is:
A. Irrigate and apply packing to stop bleeding and local anesthesia.
B. Gentle exploration of socket and local anesthesia. ++
C. ?
D. ?
25- Chemotherapy results in
A. Reduced count of WBC
B. Reduced count and function of WBC (I assume this is the right answer) ++
C. Reduced function but normal count (Dr Khaled friend is hematologist)
D. Reduced count but normal function
26- What is the size of Maxillary Sinus:
A. 14 ML ++
B. 20ML
C. 9M?
D. ?
27- Cell life cycle phases
A. 2
B. 3
C. 4 (This is correct if u do not consider G0 phase which is the resting phase)
D. 5 { Go , G1, S, G2 Mitotic phase}
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A. Attached to skin but movable and not attached to underlying connective tissue sebaceous
cyst.
B. Attached to skin but movable and not attached to underlying connective tissue epidermoid
cyst.
C. Attached to skin not movable and attached to underlying connective tissue sebaceous cyst.
D. Attached to skin not movable and attached to underlying connective tissue epidermoid
cyst.
37- Acute sinusitis is caused by:
A. Mixed aerobic and anaerobic bacteria
B. ?
C. ?
D. ?
(Inadequate choices so difficult to answer)
38- Definitive treatment of ranula is
A. Marsipulization
B. Marsipulization and packing
C. Sublingual gland excision ++
D. ?
39- Narrow spectrum antibiotic causes
A. Host flora minimised
B. Host flora maximized
C. Causing organisms minimized ++
D. Causing organisms not affected
40- The 3 soft plate muscles arise from
A. Hard palate
B. Palatal bone
C. Base of skull
D. Palatopharyngeal arch
41 normal respiratory rate is normal adul
a.12-14
b.14-16
c.16-18
d. 18-20
(Contemporary Peterson )
41- 16 year old patient require apicectomy of relatively short rooted central incisors. The root
dissection is
A. 2mm
B. 3mm ++
C. 5mm
D. ?
42- Opening ostectomy to gain access when doing microsurgical apicectomy and using
ultrasound tip is
A. 3mm
B. 5mm
C. 7mm
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D. 12mm
43- The most degenerative changes of bony parts of TMJ is done when
A. Diskoctemy++
B. Eminectomy
C. Disk treatment
D. ?
44- Maximum MMF in fracture mandible of 12 year old boy is:
A. One week
B. 2-3 weeks
C. 5-6 weeks
Killeys fractures of mandible
51- Trauma patient with pulse rate =130, BP 100/60, breathing =30/mint, how much blood
loss is expected in this patient
A. Less than 15%
B. 15-30%
C. 40%
D. 30-40 % ++
Pulse rate Respiratory rate Urine output (mL/h)
52- Patient with shallow vault and severely resorbed alveolar ridge require full denture. What
augmentation is needed for this patient
A. Onlay bone graft ++
B. Interpositional bone graft
C. Transpositional bone graft
D. Vestibuloplasty
53- The most common odontogenic tumor
A. Ameloblastoma++ (Note = The most common = Odontoma)
B. Cementoblastoma
C. Adenotamoid tumor
D. Calcifying epithelial odontogenic cyst
54- The most common odontogenic infection
A. Vestibular abscess ++
B. Cellulitis
C. Ludwig angina
D. Submandibular abscess
55- In trauma patient the initial pulmonary reaction
A. Tachypnea and decreased CO2 serum++
B. Tachypnea and increased CO2 serum
C. Bradypnea and increased CO2 serum
D. Bradypnea and decreased CO2 serum
56- Patient with difficult airway posted for surgery, premedication all except
A. Diazepam++
B. Ranitidine
C. ?
D. ?
57- Endotracheal drugs are all except
A. Glycopyrrolate++
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B. Atropine
C. Vasopressor/ Adrenaline/Epinephrine
D. Naloxone/ Narcan
Abubaker remember LEAN - lidocaineE pineprhine, Adrenaline Naloxone/narcan
2.5 times in ET tube
58- Glasgow comma scale score in trauma patient who is non responsive to verbal
communication + can open the eye + responds to pain stimuli
A. 8 ++ (Assumingly this one)
B. 10
C. 12
D. 15
EYE
Eye opening
Spontaneously 4
To speech 3
To pain 2
None 1
Motor response
Obeys 6
Localizes pain 5
Withdraws from pain 4
Flexion to pain 3
Extension to pain 2
None 1
Verbal response
Oriented 5
Confused 4
Inappropriate 3
Incomprehensible 2
None 1
59- Genioplasty is done
A. Inferior to mental foramen ++
B. Superior to mental foramen
C. Anterior to mental foramen
D. According cephalometric analysis
60- In true asymmetry of mandible
A. Incisor midline doesnt coincide to symphysis middline in centric occlusion
B. No functional shift
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B. Blow in fracture
C. Perforation of the eye ball ++?
D. ?
77- Reason of airway obstruction in obtunded patient
A. Bleading
B. Vomitus
C. Tongue fall ++
D. ?
78- Patient with Treacher Collins syndrome needed correction of mandibular deficiency which
included 12cm advancement. Best approach is
A. BSSO
B. Inverted L osteotomy ++ extra oral
C. Intraoral vertical ramus osteotomy
D. Extraoral vertical ramus osteotomy
Peter ward Booth 2 page 947
79- Millard C flap in correction of cleft lip is
A. Rotation flap of lateral lip
B. Rotation flap of medial lip
C. A divided rotation to increase columella length and nasal floor ++
D. ?
80- 8 year old patient required extraction of decayed tooth and had history of easy bleeding.
Hematological picture includes increases BT, elevated APTT and normal PT. His condition is
A. Deficiency Factor VIII-C
B. ?
C. Von Willebrand disease++
D. Thrombocytopenic purpura
81- Odontogenic infection caused by
A. Normal flora++
B. Exogenous flora
C. Bacteria different from bacteria causing caries
D.
82- Lab findings which is not seen in Von-Willbrand disease is:
A. Increases APTT
B. Norma PT
C. Deficiency of Factor VIII-C and Von-Willbrand factor
D. Norma platelet aggregate studies ++?
83- Prophylactic antibiotic for endocardititis is indicated in
A. Prosthetic valve replacement ++
B. Heart bypass surgery
C. ?
D. ?
84- 625 mg Augmentin consists of
A. 500mg Ampicillin and 125mg Clavunic acid
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42-45
45-50
50-60 degree centigrade
(47 degree centigrade critical temperature)
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