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Note to whoever is reading this

It is our opinion that reading about particular topic in each question


will help in solving the MCQ in exam easily than solving this MCQ with
incomplete option.
Also, the choices given may not be entirely correct as it has been
recalled from memory.
However the answers given may not be what THE SCrFHS may deem to
be correct. But its my assurance that the answers given are in
accordance to standard text books(as prescribed on their own
website)
It has been the experience of test takers that up to 10 questions per
test are virtually unanswerable.

Following statement is true about ibuprofen


It cannot cross placenta
It mainly excreted by hepatobiliary route
Its peak plasma level after 6 to 8 hr
Its largely bound to plasma protein
24 year women with history of fatigue and lethargy and history of
syncope. Clinically mid systolic click with late systolic murmur.
Probably she is suffering from
Hypertrophic Cardiomyopathy
Mitral valve prolapse
Aortic regurgitation
Mitral stenosis

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..?
2

Use 1:1000 adrenaline in to socket and soft tissue


8 year girl require lower molar extraction due to severe caries. Gives
history of bleeding. On lab investigation, increased bleeding, increased
APTT, normal PT. she is suffering from
Factor eight deficiency
Van willebrand factor deficiency
DIC
Thrombocytopenia
Orbital cellulitis is caused by
Paranasal sinus infection ??
Soft tissue infection of orbit

Orbital floor trauma which gaze cause diplopia


Upward and lateral
Upward and medial
Downward and lateral
Downward and medial
24 year female with angle fracture. Surgeon decides to fix with
compression plating technique. Following is true
Less chance of motor and sensory nerve injuries
Will need two week IMF postop
Should be approached extraorally
Will heal by secondary intension
Greenstick fracture
3

Fracture of onside of the bone without fracture of other side


Fracture on side and bent on the other side
Will cause severe displacement of while fixation

Compound fracture
Multiple fracture at on site
Severe loss of tissue around the fracture
External communication through oral cavity

Ptosis

New born the mandible is separated in the midline by


Synovial joint
Fibrous joint
Cartilaginous tissue
Fibrous tissue
Commonest cause of myofacial pain
Degenerative joint disease
Internal derangement without reduction
Internal derangement with reduction

Endotracheal tube medication


Atropine
Glycopyrolate
Vasopressin
Naloxone
Here is my mnemonic for endo trac drugs
Drugs that can be given via Endotracheal Tube
1."NAVEL"
N arcan
A tropine
V alium (Diazepam)
E pinephrine
L idocaine
2. ALADIN
a.....atropine
l.....lignocaine
a.....adrenaline
d......diazepam
i.....isoprenaline
n........naloxone
TMJ ankylosis. To pt. induced by inhalation anesthetic after 60
minutes pt produces crowing sound and severe chest wall movement.
Drug which will be not be useful is
IV Propofol
IV lidocaine
Succinyl choline
Fentanyl

Local anaesthetic which can be only injected


Tetracaine
Benzocaine
5

Prilocaine
Etidocaine

Pt with class 2 with good chin


Advancement genioplasty
Increase orthodontically class 2 condition and maxillary setback?
Orthodontically increase and protrude incisors to class 3?
Mandibular advancement and reduction Genioplasty

Ca alveolus and buucal mucosa. Mandibulectomy with SND2.


Reconstruction of choice
Fibula oseocutaneous free flap
Temporalis
SCM
Skin graft

12 yr with orthodontic treatment missing #6, need implant replacement


Wait till growth is complete
Larger implant
Smaller implant
?
Speed of bur in Dentoalveolar surgery
120 200
1200 2000
6

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%

Surgeon plans for surgery. Desires decreased secretion with slight


depression of CNS, drug of choice
Atropine
Scopolamine
Glycopyrolate

Fluid of choice in surgical shock


NS
DNS
RL
Plasma

Hepatitis B can be transmitted by all except

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)
69
PWBooth 2 1021 pg. first paragraph

Prosthodontist desire angulation of implant 30 degree.


Place implant straight
15 degree angulation
30 degree angulation
Revaluate

Prediction of operation time in third molar surgery


Depth of impaction
Approximation of teeth to vital structures
Root pattern angulation ?

Absolute indication of root tip fractures removal


Above apical third
Close to vital structures
Fracture while luxation
Infected root can cause a major concern

Cyclosporine
Increase T, decrease B lymphocyte
Decrease T, Increase B lymphocyte
Decrease T and B lymphocyte
Decrease T lymphocyte only

Lateral pharyngeal space infection posterior compartment can lead to


External jugular thrombosis
Carotid artery rupture
Recurrent laryngeal nerve damage

Odontogenic infection following not true


Mucormycosis most common in DM
25% animal bite staph. 25% human bite P. Multicida?
Chronic maxillary sinusitis both aerobic and anaerobic

Ac Max sinusitis Strep Pnuemonia


Chr. Max sinutis Both aerobic and anerobic bacteria
Srious infection in human bites due to Eikinella sp.
Regular infection in human bites due to staph and Strepto
Rabies and tetanus shots mandatory in animal bites
Pencillin or Augumentin drug of choice

Flap design following is not true


Apex smaller than base
Length not greater than base
Axial vessel in the base
No manipulation at base

Post CA upper lip 80% loss. Reconstruction


Wester bernald flap
Perialar advancement flap
Abbe flap
Radial ?

10

Oroantral communication 4mm managed by Moczair Buccal sliding flap


Decrease vestibular depth
Bone exposure on either side

Retropharyngeal abscess driange


Intraoral
Pharyngeal
Anterior to SCM
Angle of mandible
11

Increase serum sodium level


Dehydration
Renal problem
Liver problem
GI?

DM period of control evaluation


HbA1c
FBS
GTT
24 hr serum creatinine

Curettage and enucleation true


Indicated in OKC
Removal of bone 5mm or 1cm
Treatment of Dentigerous cyst

COPD pt for extraction of multiple teeth you will give


2.5 L oxygen
4L oxygen
6L oxygen
No need if its only COPD
12

True Mandibular asymmetry can be detected by


Dental midline and midsymphseal mismatch
Lateral shift in Centric occlusion
Bilateral Edge to Edge cross bite in CO
Mid saggital and Midsymphseal mismatch

Prevention or management of alar base widening in maxillary


osteotomy by
Single layer closure of mucosal incision
Alar Cinch suture with non resorbable suture
Nasal septum suture to nasal spine
By avoiding superior placement of maxilla

Lip length in normal adult will be


Equal to commissural height
Less than commissural height
More than commissural height

Nerve through internal acoustic meatus


CN 9
CN 10
CN 7
13

CN 6

True about penicillin is


Narrow spectrum
Broad spectrum
Bacteriostatic
Highly toxic

Posterior iliac graft nerve injured is


Lateral cutaneous
Lateral femoral
Superior cuneal

Abscess not involving airway true is


Cellulitis more dangerous than abscess
Abscess more dangerous than cellulitis
-

Suture in Hermitically sealed wound


Interrupted suture
Continous suture
Subcuticular suture
14

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

Maxillary molar teeth extraction infection spreading in to cranium


through all except
Superior ophthalmic vein
Inferior ophthalmic vein
Pharyngeal plexus

Commonest aerobic organism in odontogenic infection


Staph
Strept
Bacteriods

Calvarial bone formed by


Intramembraneous ossification
Endochondral ossification
15

Hydrostatic pressure causing TMJ degeneration based on theory


Hypoxic reperfusion theory

1- The most complaint of patient with acute infection is:


A. Calor (Heat) (I assume the main symptom is Pain and main sign is redness)
B. Dolor (Pain)
C. Tumor (Swelling)
D. Rubor (Redness)
2- In surgical shock the patient should be given:
A. Normal Saline
B. Lactated Ringers ++
C. ?
D. ?
3- While doing implant in #22 severe bleeding is encountered. The surgeon should:
A. Continue implanting
B. Pack the socket and reevaluate ++
C. Fill the socket with bone and continue implant
D. Place surgical stent and follow up patient the following day
4- The forceps used for extraction of of 2nd mandibular molar with decayed crown is:
A. No 23 ++
B. No 151
C. No 286
D. 88
5- The following day of inserting and implant in #22, the patient returns complaining of
numbness. Management is:
A. Remove the implant
B. Surgical exploration of the area
C. Keep the implant in site since the numbness will resolve spontaneously in few days
D. Follow up for few days to and remove implant if numbness persists ++
6- In 12 year old patient, after doing extraction of maxillary first molar for orthodontic
treatment, what implant is required:
16

A. Use correct size implant


B. Use smaller size implant
C. Use larger size implant
D. Do not implant but wait until full growth is reached. ++
7- What feature is seen in renal failure is:
A. Hypocalcemia++ (Hyperkalemia + Hypocalcemia + Hyper Magnesemia)
B. Hypokalemia
C. Hypernatremia
D. Metabolic alkalosis
8- Buccal branch of facial nerve supplies:
A. Buccinator
B. Buccinator and inferior orbicularis
C. Buccinator and superior orbicularis
D. Buccinator and orbicularis oris++
9- In an upright position, blood from medial cantus, lateral nose and upper lip drains into:
A. Inferiorly to the facial vein
B. Superiorly to facial vein ++ (I assume This one)
C. Cavernous sinus
D. Pterygoid plexus
10- After doing bimaxillary osteotomy and fixation the surgeon realises that the occlusion is
unstable. Management is:
A. Remove maxillary fixation and stabilise the occlusion and fix again
B. Remove mandibular fixation and stabilise the occlusion and fix again
C. Remove both maxillary and mandibular fixation and stabilise occlusion and fix again
D. Do nothing
11- In thrombocytopenic patient, extraction of upper molar is contraindicated when platelets
count is:
A. Less than 40000 mm
B. Less than 80000 mm ++
C. Less than 150 mm
D. Less than 250mm
12- Antibiotic of choice for treatment of osteomyelitis is:
A. Clindamycine
B. Penicillin (I assume 1st choice is Penicillin and then Clindamycin)
C. Ceftazine(Or may be it was ceftazidime OR Cefepime) ?
D. ?
13- The test for determining if a patient is affected with cat-scratch disease is:
A. Handberg ?(It should be WarthinStarry stain but this test was not included)
B.
C. Skin protein test?
D.
14- Adrenaline dose in intubated patient is:
A. 1 mg in 1 ML
B. 1 mg in 10 ML ++ (Assumingly this one)
C. 2.5 mg 2.5 ML
17

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
18

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}
19

Answer is c because lit is in favor of 4. Generally G0 is not considered


28- In Internal disk derangement the disk is displaced
A. Anterior and straight ++ Assumingly this one
B. Anterior and Medially
C. Posteriorly
D. Anterior Laterally
29- Sublingual Space is bounded posteriorly:
A. Communicated with submandibular space (Contemporary Peterson)
B. Mylohyiod muscle
C. ?
D. ?
E.
30- Syndrome question = Facial paralysis + fissural tongue + swollen lip
A. Melkersson-Rosental Syndrome ++
31- Syndrome question
A. Crhon syndrome
B. Carpenter Syndrom
C. Crouson
D. Angioneurmatic Edema
32- Neoplastic around impacted third molar
A. Increase with age
B. Generally rare most probably correct. (I got this question too but could not remember
this choice In the absence of this choice I assumed a to be correct.. So chose as per the
choice Dr. khaled )
C. Doesnt Change with age
D. ?
33- Lymph from Submandibular gland drains into
A. Submandibular lymph nodes
B. Superfacial cervical lympf nodes
C. Deep cervical lymph node ++
D. ?
34- To drain acute parotid abscess the incision is
A. Preauricular Vertical ++ Assumingly this one not correct
B. Vertical over the skin and horizontal over the parotid gland
C. ?
D. ?
35- A patient with 2x3 cm lesion on buccal mucosa found to be SCC. Reconstruction flap is:
A. Pectoralis major
B. Temporal flap- temperomyofascial flap
C. Full thickness graft
D. Split thickness graft
36- 0.4 cm lesion found below ear lobe. The lesion is:

20

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
21

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

45- Pterygopalatine fossa is bounded laterally with


A. Orbit
B. Infratemporal fossa ++
C. Middle cranial fossa
D. Nose
46- Best plain film to show maxillary sinus and orbital rim
A. Caldwell view
B. Water view ++
C. Lateral oblique
D. ?
47- Antibiotic for empiric treatment in end stage renal deficiency is:
A. Flagyl
B. Doxycillin
C. Clindamycin
D. Penicillin
48- Ibuprofen:
A. Peak effect (concentration) after 6-8 hours of administration
B. Initial secretion is via liver biliary rout
C. Mostly found bound to plasma protein ++
D. ?
49- Subclasses adrenergic receptors which vasoconstrictor act upon in myocardium
A. 1
B. 2
C. 3 ++ (1 + 1 + 2)
D. 5
50- The most commonly used flap in oral surgery
A. Pyramidal ++
B. Envelop
C. Two lines
D. Semilunar
Contemporary Peterson
22

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)

Stage1 -< 100


1420
Stage2 > 100
2030
Stage 3 > 120
30-40
Stage 4 > 140
>40
Negligible
Normal urine output 1ml/kg/hr in Children
0.5 ml/kg/hr Adults

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++
23

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
24

C. Midsymphysis doesnt coincide with midsagittal plane ++


D. Bilateral end to end crossbite
61- Maximum range of interincisal opening
A. 25mm
B. 45mm
C. 45-55 in men ++ 35-45 in women ++
D. ?
62- Maximum range of lateral movement of mandible
A. 10mm ++ Average Lateral excursion movement is 10-15mm (and 8-14 mm Protrusion)
B. 25mm
C. ?
D. ?
63- The most common route of spread of infection from lower third molar
A. Lingucoritcal plate ++ (Assumingly this one)
B. Buccocortical palate
C. Lingo-Bucco cortical
D. Through associated muscle
64- The most common cause of hypotention after general anesthesia
A. Hypoxia ++ (Assumingly this one)
B. ?
C. ?
D. ?
65- The least effective vasoconstrictor
A. Norepinephnne
B. Epinephnne
E. Levonordefrine++
C. Octapressin (Felypressin) ??????
66- Correct statement is
A. 75% of Infection of human bites caused by Pasteurella. Multocida.
B. 25: of Infection of animal bites caused by Staphylococcus aureus + Streptococcus.
C. Mucormycosis (phycomycosis) The most common infection in diabetic patients ++
D. ?
67- 58 years patient with deficient alveolar ridges required construction of full denture and
was determined by the surgeon to undertake Deans method of alveoloplasty (augmentation).
Disadvantage of this method is
A. ?
B. ?
C. ?
D. ?
Main disadvantage
Reduced ridge thickness
Inability to place implants
Contemporary Peterson
25

68- Secondary immunodeficiency is associated with all except


A. Malnutrition
B. Anemia ++ (Assumingly this one)
C. Immunodeficiency drugs
D. Steriod
Refeer Abubaker pg 208
69- Patient has been treated for rheumatoid arthritis was taking steroids for the last year and
he needs multiple tooth extraction. The surgeon should
A. Give supplement 50-100mg before surgery ++?
B. Give 100-150mg steroid supplment
C. Proceed extraction without steroid supplement
70- Anesthetic of choice for hyperthyroidism patient
A. Prilocaine
B. Mepivacain++ ?
C. Lidocain
D. ?
71- Best plain film for showing zygomatic arches
A. Submentovertix++
B. Occipatal
C. PA
D. ?
72- Townes view is similar to
A. Anteroposterior++
B. Posteroanterior
C. Water
D. ?
73- Best site for harvesting clavarial bone graft
A. Parietal bone ++?
B. Occipatal bone
C. Temporal bone
D. Frontal bone
74- With age the cranium becomes
A. Thick and dense
B. Thin and light++
C. Thick and heavy
D. ?
75- Trauma patent to the skull showed vertical diplopia and torsional diplopia. The most likely
injured nerve
A. II
B. III
C. IV++
D. V
76- Trauma patient developed asymmetrical pupil (Not round). The most likely cause
A. Blow out fracture
26

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
27

B. 500mg Amoxicillin and 125mg Clavunic acid ++


C. ?
D. ?
85- Axial CT for zygomatic fracture is done to show
A. Orbit floor involvement
B. Lateral wall of orbit and Zygomatic arch
C. ?
D. ?paraAbubaker page 277 last para q.44
86- Patient with deficiency of maxilla and zygoma and infraorbital rim but with normal nasal
projection.
A. High level LeFort I osteotomy
B. QuadroangularLeFortII osteotomy
C. LeFort III osteotomy
D.
87- Most likely cause of myofacial pain dysfunction is
A. Bruxism following stress++
B. Internal derangement with reduction
C. Internal derangement without reduction
D. ?
88- Cyclosporin effect is
A. Increase T-Lymphocytes and decrease B-Lymphocytes
B. Increase T-Lymphocytes and B-Lymphocytes
C. Decrease T-Lymphocyte and increase B-Lymphocytes
D. Affect T-Lymphocytes only++
89- First skeletal muscles to contract after using succinylcholine used during general
anesthesia is
A. Eyelids
B. Shoulder
C. Hands++
D. Abdomen
90- The effect of Le fort I on nasal tip is:
A. Protrusion when doing advancement++
B. Not affected when doing downward positioning
C. Retrusion when doing stepback
D. ?
91- In type 4 (D4 density) of bone when doing implant the surgeon should
A. ?
B. ?
C. ? D. ?
92. What is the temperature that does not cause cell death during implant.
35-42 Choose this answer less than Critical temp i.e.47 deg centigrade

28

42-45
45-50
50-60 degree centigrade
(47 degree centigrade critical temperature)

29

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