ZIAD NASR

F RIDAY, 1 8 JULY 2 0 0 8

MANDIBULARFRACTUREMCQ
1. Fracture of mandible all are true except

SPACEINFECTION

A. Fractures of the mandible are common at the angle of

the mandible
B. Fractures of the mandible are effected by the muscle
pull
C. Fractures of the mandible are usually characterized by
sublingualhematoma

diffuse

0 (0%)

chronic

0 (0%)

pus formation

0 (0%)

all of the above

0 (0%)

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D. C.S.F. rhinorrhea is a common finding

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2009 (3)

2. The ideal treatment for fracture of the angle of

mandible is

2008 (3)

A. Transosseous wiring

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B. Intermaxillary fixation
C. Plating on the lateral side of the body of the mandible
D. Plating at the inferior border of the mandible

3. A 7yearold boy presented with fracture of left sub

condylar region with occlusion undisturbed, the
treatment would be

August (1)
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A. Immobilization for 7 days

B. Immobilization for 14 days with intermittent active
opening
C. No immobilization with restricted mouth opening for 10
days
D. No immobilization and active treatment

4. A fracture mandible should be immobilized for an

average of
A. 3 weeks
B. 6 weeks
C. 9 weeks
D. 12 weeks

5. Most common complication of condylar injuries in

children
A. Pain
B. Ankylosis
C. Osteoarthritis
D. Fracture of glenoid fossa
.
6. In case of sub condylar fracture, the condyle move in

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A. Anterior lateral direction

B. Posterior medial direction
C. Posterior lateral direction
D. Anteriormedial direction

7. The fracture of the tooth bearing segment of the

mandible is
A. Simple B. Complex
C. Compound D. Comminuted

8. The proximal segment of mandibular angle fracture

usually displaced in which direction
A. Anterior and Superior
B. Posterior and interior
C. Interior only
D. Posterior and superior

9. A displaced mandibular fracture in a child should be

managed by
A. Circum mandibular wiring
B. Early mobilization
C. Intermaxillary fixation
D. Transosseous wiring

10. A fracture of the mandible in the canine region in a 6

year old child should be
Managed by
A. Cap splint fixation
B. Intermaxillary fixation
C. Risdon wiring
D. Transosseous wiring

11. The most common site of fracture of the

mandible is the:
A. Body
B. Angle
C. Symphysis
D. Condyle

12. A patient with unfavourable fracture of the angle of

mandible is best treated by:
A. Closed reduction with intermaxillary fixation
B. Closed reduction with cap splints
C. Open reduction with interosseous wiring
D. Open reduction with rigid bone fixation

13. Bucket handle type of fractures are seen in

A. Children
B. Soldiers
C. Edentulous persons
D. Young adults

14. A fractured mandibular condyle is displaced forward

and medially by the
action of The following muscle:
A. Temporalis
B. External pterygoid
C. Internal pterygoid
D. Masseter


15 .Primary healing of a mandibular fracture is seen
following fixation with :
A. Gunning splints
B. Compression plates
C. Transosseous wires
D. Clampy plates

16.Eburnation is seen in
A . Malunion
B. Non union
C. Osteomyelitis
D. Osteoradionecrosis

17.All are features of mandibular fracture except :

A. Malocclusion
B. Paresthesia of lower lip
C. Fractured ends are prevented from dislocation by
masticatory muscles
D. Are usually compound

18. Green stick fractures are most common with :

A. Older people B. Adult
C. Children D. Soldiers

19. The treatment for a mandibular fracture between the

incisors is :
A. Risdon wiring
B. Essig wiring
C. Cap splint with circummandibular wiring
D. Transosseous wiring
..
20. Compression osteosynthesis heals fracture mandible
by :
A. Primary union with out callus formation
B. Secondary union with out callus formation
C. Compression union
D. All of the above

21. Which of them is not rigid osteosynthetic fixation

A. Osteosynthesis
B. Microplating
C. Screw plating
D. Wiring

22. The most (common ) sign mandibular fracture is :

A. Malocclusion
B. Trismus
C. Deviation of the jaw on opening
D. Paraesthesia of the mental nerve

23. Direct inter dental wiring is also known as :

A. Risdon's wiring
B. Gilmer's wiring
C. Eyelet wiring
D. Col. Stouts wiring

24. An adult patient sustained a subcondylar fracture on

the left side. Clinically it is seen
that then

that then
A. Moderate intraoral bleeding
B. Trismus and bilateral crepitus
C. Deviation of the mandible to the right on protrusion
D. Inability to deviate the mandible to the right

25. The weakest point of the mandible where fracture

occurs is
A. Neck of the mandible
B. Angle of the mandible
C. Symphysis menti
D. Oblique ridge near mental foramen

26. Clinical sign that is always positive in fracture is

A. Crepitus
B. Tenderness
C. Abnormal mobility
D. All of the above

27. The extraoral Xray view required for a fracture

mandible is :
A. Submentovertex B. Posterioanterior
C. Water's D. Towne's

28. Postauricular ecchymosis is cases of fracture the base

of the skull is called :
A. Battle's sign B. Tinel's sign
C. Trousseau's sign D. Nikolsky's sign.

29. Direct impact on the bone will produce a :

A.Transverse fracture
B. Oblique fracture
C. Spiral fracture
D. Comminuted fracture

30. A deviation of mandible to right side may suggest

A. Fracture of left condyle
B. Hyperplasia of right condyle
C. Hypoplasia of left condyle
D. Fracture of right condyle
.
31. If fracture of mandible occurs distal to lost tooth, the
treatment of choice:
A. Closed reduction with IMF
B. Open reduction with bone plating
C. Open reduction with interosseous wiring
D. Closed reduction with cap splint

32. Following bilateral mandibular fracture in the canine

region, the following muscles
will tend to pull the mandible back:
A. Genioglossus and anterior belly of digastrics
B. Genioglossus and mylohyoid
C. Genioglossus and thyrohyoid
D. Genioglossus and masseter

33. Treatment of choice to manage symphyseal fracture in

a 8yearold child is :
A. Intermaxillary fixation
B. Cap splint with circumferential wiring
C. Open reduction
D. No treatment indicated

34. In osteosynthesis all are used except:

A. Lag screw B. Wires
C. Clampy bone plate D. Eyelet wiring

35. Fracture of body of mandible with full arch of teeth

35. Fracture of body of mandible with full arch of teeth

(undisplaced) is treated by :
A. IMF
B. Open reduction and internal fixation
C. Close reduction and internal fixation
D. External pin fixation

36. Fracture of mandible not involving dental arch is

treated by :
A. Open reduction
B. Closed reduction
C. No treatment required
D. None of the above

37. Treatment of choice of a linear nondisplaced fracture

of the body of the mandible, with full compliment of
teeth is
A. Kirschner wire
B. Circumferential wiring
C. External pin fixation
D. Interdental fixation
..
38. Which of the following condition is associated with
anterior open bite
A. Unilateral condylar #
B. Bilateral condylar #
C. Maxillary fractures
D. Coronoid fracture

39. When subcondylar fractures on protrusion of

mandible it deviates to
A. Same side B. Opposite side
C. Does not move D. retrudes

40. Battle's sign is.

A. Subconjunctival ecchymosis.
B. Sublingual ecchymosis.
C. Palatal ecchymosis.
D. Ecchymosis in the mastoid region.

41. Risdon wiring is indicated for

A. Body fracture
B. Angle fracture
C. Symphysis fracture
D. Subcondylar fracture

42. The optimum length of screw, for fixation of plate in

mandible is
A. 2mm B. 3mm
C. 4mm D. 6mm

43. The splint which is most commonly used identulous

mandibular fracture is
A. Gunning splint B. Cap splint
C. Ribbon splint D. All of the above.

44. A displaced, unfavorable fracture in the mandibular

angle region is a potentially difficult fracture to treat
because of
A. Injury to neurovascular bundle
B. Malocclusion secondary to injury
C. Distraction of fracture segments by muscle pull
D. Increased density of bone in this region of mandible

Posted by ziad at 15:41 2 Comments:

said...
This comment has been removed by the author.
27 April 2015 at 12:01
Unknown said...
Can i get the answers
23 March 2016 at 07:51
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