DEPARTMENT OF ORAL AND

MAXILLOFACIAL SURGERY
GOVERNMENT DENTAL COLLEGE &
HOSPITAL, AHMEDABAD.

PREPROSTHETIC &
ORTHOGNATHIC SURGERY AND
MISCELLANEOUS

Presented by :-Vijay Solanki

Vipul Parmar
1

Que -1. Treatment of choice for a patient with a maxillary complete denture
with severe bilateral tuberosity undercuts is.
A.
B.
C.
D.

Remove both tuberosity undercuts

Remove the tissue on only one side if possible
Maintain the undercuts as they help in retention
Use an mucostatic impression material

Ans:- B . Remove the tissue on only one side if possible

Exp. :- Treatment of bilateral soft tissue undercuts include removal of the tissue
on
only one side and the opposite undercut is used for retention purpose.
Ref. :- Neelima Malik , Page No. 389.
Que -2. Genioplasty procedure is used .
A. To change the attachment of genioglossus muscle in pre-prosthetic
procedure
B. To change the position of genial tubercles
C. To modify the position of the chin
D. To modify the attachment of anterior belly of digastrics
Ans :- C. To modify the position of the chin
Exp. :- Genioplasty is done to correct the deformities of chin without altering
the denture bearing part or occlusion of the patient.
Ref. :- Neelima Malik , Page No. 270, Vinod Kapoor , Page No. 542.
Que -3. Which of the following is true for a flap required for maxillary
tuberosity.
A. Incision is given over the alveolar crest
B. A wedge-shaped incision may be 1st tried
C. Incision extends to the bicuspid cuspid region
D. None the above
Ans :- A. Incision is given over the alveolar crest
Ref. :- Neelima Malik , Page No. 389, Vinod Kapoor , Page No. 104.
2

Que -4. Bimaxillary protrusion may be surgically corrected by.

A.
B.
C.
D.

Mandibular body ostectomy and posterior maxillary osteotomy

Removal of four premolars and anterior alveolar segment repositioning
Step osteotomy of the mandibular body
Subcondylar osteotomy

Ans :- B. Removal of four premolars and anterior alveolar segment repositioning

Exp. :- Anterior maxillary osteotomy is combined with anterior sub apical
mandibular osteotomy to correct bi maxillary protrusion .
Ref. :- Neelima Malik , Page No. 279, Vinod Kapoor , Page No. 528, 540.
Que -5. Sagittal split osteotomy is a procedure done in the mandibular :
A.
B.
C.
D.

Ramus
Body
Symphysis
Angle

Ans :- A. Ramus
Exp. :- The osteotomy splits the ramus (mainly ) and the posterior body of
mandible sagittally which allows either setback or advancement.
Ref. :- Neelima Malik , Page No. 276, Vinod Kapoor , Page No. 536.
Que 6. To obtain best long term result, which of the following procedures
for augmentation genioplasty is recommended :
A.
B.
C.
D.

On lay bone graft

Injection of silastic gel
Insertion of silastic rubber implant
Pedicled horizontal sliding osteotomy

Ans :- D . Pedicled horizontal sliding osteotomy

Ref. :- Neelima Malik , Page No. 70.
3

Que -7. Myoplasty and sulcus extension procedures are helpful in :

A.
B.
C.
D.

Increasing retention
Increasing stability
Increasing support
Increasing retention and stability

Ans :- D . Increasing retention and stability

Ref. :- Neelima Malik , Page No. 391, Vinod Kapoor , Page No. 101.
Que -8. Surgical recontouring of alveolar ridges is called as.
A.
B.
C.
D.

Alveoloplasty
Alveolectomy
Mucogingivectomy
Fiberectomy

Ans :- A. Alveoloplasty
Exp :- Alveoloplasty is performed following multiple extractions for proper
wound closure and for removal of undercut areas.
Ref. :- Neelima Malik , Page No. 385, Vinod Kapoor , Page No. 97.
Que - 9. Y.V plasty procedure is used for
A.
B.
C.
D.

Vestibuloplasty
Ridge augmentation
Frenectomy
Mucogingival surgery

Ans :- C. Frenectomy
Exp.:- V-Y plasty procedure or Z plasty procedure is used for frenectomy
procedure to increase the stability of denture.
Ref. :- Neelima Malik , Page No. 390.

Que-10. Augmented genioplasty is done by:

A.
B.
C.
D.

Sliding horizontal osteotomy

Bone grafts
Silicone implants
None of the above

Ans :- A. Sliding horizontal osteotomy

Ref. :- Neelima Malik , Page No. 270.
Que -11. During the removal of a torus palatinus it was notice that a
portion of palatal of bone is fractured. One would expect :
A.
B.
C.
D.

An opening into the nasal cavity

An opening into the maxillary antrum
Vertical fracture of maxilla
Horizontal fracture of maxilla

Ans :- A. An opening into the nasal cavity

Exp.:- The palatal torus should be excised with the help of burs and rongeurs
by splitting into small segments. Nasal perforation occurs only when
the torus palatines is excised enmass with the help of chisel.
Ref. :- Neelima Malik , Page No. 388, Vinod Kapoor , Page No. 99.
Que -12. To allow space for the dentures, most tuberosity reduction require.
A.
B.
C.
D.

Only soft fibrous tissue removal

Large part of bone to be removed
No reduction, since large tuberosities are more retentive
Removal of bone always

Ans :- A. Only soft fibrous tissue removal

Ref. :- Neelima Malik , Page No. 389, Vinod Kapoor , Page No. 95.

Que -13. If retromolar pad and tuberosity contact, what should be done ?
A.
B.
C.
D.

Surgical reduction of tuberosity

Do not extend dentures to retromolar area
Denture fabrication not possible
Has no effect on denture

Ans :- A. Surgical reduction of tuberosity

Exp.:- Oro antral fistula is common complication following surgical reduction
of maxillary tuberosity area.
Ref. :- Neelima Malik , Page No. 389, Vinod Kapoor , Page No. 95.
Que -14. Skin graft vestibuloplasty prevent relapse by :
A. Forming a barrier to reattachment of muscle to periosteum
B. Promoting osteogenesis to establish a bone barrier to loss of sulcus
depth
C. Causing an inhibitory effect on fibroblasts in the underlying tissue
D. None of the above
Ans :- A. Forming a barrier to reattachment of muscle to periosteum
Ref. :- Neelima Malik , Page No. 393, Vinod Kapoor , Page No. 101.
Que -15. Acrylic splints are desirable during the postoperative phase of
management in which of the following procedures ?
A.
B.
C.
D.

Mandibular alveoloplasty
Torus palatinus reduction
Mental tubercle reduction
Excision of labial epulis fissuratum

Ans :- B. Torus palatinus reduction

Exp. :- Acrylic splint is given to prevent hematoma formation.
Ref. :- Neelima Malik , Page No. 388, Vinod Kapoor , Page No. 99.
6

Que-16. The orthognathic surgery that is commonly carried out for

correction of mandibular prognathism is
A.
B.
C.
D.

Sagittal spilt osteotomy

Le fort I osteotomy
Vertical ramus osteotomy
Genioplasty

Ans :- A. Sagittal spilt osteotomy

Exp. :- Bilateral sagittal split osteotomy is a very popular, most versatile
procedure performed on the mandibular ramus and body
Ref. :- Neelima Malik , 1st edition , Page No. 276.
Que -17. In a patient with class III facial profile one would think of which
type of genioplasty.
A.
B.
C.
D.

Reduction genioplasty
Advancement genioplasty
Straightening genioplasty
Rotational genioplasty

Ans :- A. Reduction genioplasty

Exp.:- In reduction genioplasty the symphysis part of mandible is reduced so
that the chin will attain a straight profile.
Ref. :- Neelima Malik , Page No. 273.

Que -18 . If severe bony undercut exist, best treatment.

A.
B.
C.
D.

Remove both undercut so that no undercut exists

Remove undercut on one side
Nothing but do only alveolar ridge contouring
None of the above

Ans :- A. Remove both undercut so that no undercut exists

Exp.:- Treatment of choice for bilateral soft tissue tuberosity undercuts is
removal of tissue undercut on one side so that the undercut on the other
side helps in retention. Treatment of choice for bilateral bony tuberosity
undercuts is removal of both the undercuts such that no bony undercut
exists.
Que :-19. Main disadvantage of dry heat used for sterilization is that :
A.
B.
C.
D.

It is time consuming
Rusts the instruments
Dulls the sharp instruments
Ineffective sterilization

Ans :- A. It is time consuming

Exp :- DRY HEAT STERILIZATION OR HOT AIR OVEN
- The killing effect of dry heat is due to protein denaturation, oxidative
damage and toxic effect of elevated levels of electrolytes.
MOIST HEAT STERILIZATION OR AUTO CLAVE
- The lethal effect of moist heat is due to denaturation and coagulation of
protein.
Ref. :- Vinod Kapoor , 2nd edition, Page No. 27.

Que 20. Poor accessibility is the main disadvantage of .flap

A.
B.
C.
D.

Trapezoid
Envelope
Semilunar
Any of the above

Ans :- C. Semilunar
Ref. :- Vinod Kapoor , 2nd edition, Page No. 14.
Que -21. Resorbable sutures are :
A.
B.
C.
D.

Polyglycogenic
Polypropylex
Clycogenic
Polyethylene

Ans :- A. Polyglycogenic
Absorbable sutures
- Catgut
- Chronic catgut
- Polyglycolic
- polyglactin

Non absorbable
- Silk ( Most common intraoral
suture )
- stainless steel
- nylon (Popular skin suture, it has
shape memory)
- vitallium
- Dacron: polyester coated Teflon

Ref. :- Vinod Kapoor , 2nd edition, Page No. 20.

Que -22. Which of the following are not non absorbable sutures :
A.
B.
C.
D.

Silk
Catgut
Metal
Nylon

Ans :- B. Catgut
Ref. :- Vinod Kapoor , 2nd edition, Page No. 20.
9

Que - 23. Which of the following is most commonly used to disinfect dental
units and hand pieces.
A.
B.
C.
D.

Clorox
Glutaraldehyde
Betadine
Ethyl alcohol

Ans :- B. Glutaraldehyde
Ref. :- Vinod Kapoor , 2nd edition, Page No. 31.
Que 24. What is the fastest, safest and most effective to sterilize a metal
impression tray with a solder that melts at a temperature above
175 *C ?
A.
B.
C.
D.

Filtration
Autoclaving
Dry heat sterilization
Soakig in 2% glutaraldehyde

Ans :- B. Autoclaving
Ref. :- Vinod Kapoor , 2nd edition, Page No. 28.
Que - 25. Cidex is :
A.
B.
C.
D.

Gluteraldehyde
Alcohol
A phenolic compound
A caustic agent

Ans :- A. Gluteraldehyde
Exp. :- 2 % glutaraldehyde is known as cidex
Ref. :- Vinod Kapoor , 2nd edition, Page No. 31.

10

Que 26. Cryosurgery utilizes which of the following ?

A.
B.
C.
D.

Nitrous oxide
Carbon dioxide
Liquid oxygen
Nitric dioxide

Ans :- A. Nitrous oxide

Ref. :- Vinod Kapoor , 2nd edition, Page No. 23.
Que-27. The scalpel blade most commonly used for oral surgical procedures
is :
A.
B.
C.
D.

No: 22
No: 12
No:11
No:15

Ans :- D . No:15
Ref. :- Peterson ,4th edition, Page No.77.
Que 28polyglycolic acid suture material (vicryl) is an:
A.
B.
C.
D.

Absorbable natural suture

Absorbable synthetic suture
Non-Absorbable natural suture
Non-Absorbable synthetic suture

Ans :- B. Absorbable synthetic suture

Ref. :- Vinod Kapoor , 2nd edition, Page No. 20.

11

Que :-29. Very commonly used suture material in oral surgical procedures
A.
B.
C.
D.

Chronic gut
Polygalactin
Cotton
Black silk

Ans :- D . Black silk

Ref. :- Peterson ,4th edition, Page No.90.
Que :-30. Ethyl alcohol is effective (against spores)
A.
B.
C.
D.

70 %
60 %
50 %
100 %

Ans :- A. 70 %
Ref. :- Vinod Kapoor , 2nd edition, Page No. 30.
Que :- 31. A patient is no periodic renal dialysis, Minor oral surgery should be
performed .
A.
B.
C.
D.

One day before dialysis

On the of dialysis
One day after dialysis
One week after dialysis

Ans :- C. One day after dialysis

Exp.:- In patients requiring elective oral surgery, elective surgery is best
undertaken one day after a dialysis treatment has been performed. This
allows the heparin used during dialysis to disappear and the to be in the
best physiologic status with respect to intravascular volume and
byproducts.
Ref. :- Peterson ,4th edition, Page No. 90.
12

Que 32. The blood product of choice for treatment of hemophilics is.
A.
B.
C.
D.

Fresh blood
Cryoprecipitate
Fresh frozen plasma
Plasma

Ans :- B. Cryoprecipitate
Ref. :- Neelima Malik , Page No. 689.
Que -33. During cryosurgery
A.
B.
C.
D.

Cells get evaporated

Cells will not die, only freeze
Cell death occurs when the temperature falls below -20*C
Patients need general anesthesia

Ans :- C. Cell death occurs when the temperature falls below -20*C
Exp.:- In cryosurgery extreme cooling temperature ranging from -20*C to -180*C
is used. At this temperature range, the tissues, capillaries, small arterioles
and veinules undergo cryogenic necrosis. This is caused by dehydration and
denaturation of lipid molecules. Cryosurgery is specially used to treat
superficial hemangiomas.
Ref. :- Neelima Malik , Page No. 677.
Que -34. Visor osteotomy is a:
A.
B.
C.
D.

An orthognathic surgical procedure

A cancer resection procedure
A fracture reduction and fixation procedure
A preposthetic procedure

Ans :- D. A preposthetic procedure

Exp. :- The goal of visor osteotomy is to increase the height of the mandibular
ridge for denture support.
Ref. :- Neelima Malik , 1st Edition , Page No. 397.
13

Que -35. The principal problem with tuberosity reduction is :

A.
B.
C.
D.

Poor access
Formation of oro-antral fistula
Infection
Damage to posterior superior alveolar nerve

Ans :- B. Formation of oro-antral fistula

Ref. :- Vinod Kapoor , 2nd edition, Page No. 100.
Que -36. Apicectomy is:
A.
B.
C.
D.

Periapical curettage
Restrograde restoration
Surgical removal of root
Surgical removal of root tip of an endodontically treated tooth

Ans :- D. Surgical removal of root tip of an endodontically treated tooth

Exp.:- The amount of root to be resected in apicoectomy in approximately 3mm .
Ref. :- Vinod Kapoor , 2nd edition, Page No. 83,85.
Que -37. Vertical section of ramus of mandible is done in which condition:
A.
B.
C.
D.

Mandibular protrusion
Mandibular retrusion
Maxillary prognathism
Maxillary retrognathism

Ans :- A. Mandibular protrusion

Ref. :- Neelima Malik , 1st Edition , Page No. 273.

14

Que -38. Intra oral vertical ramus osteotomy is done for:

A.
B.
C.
D.

Anterior open bite

Mandibular advancement
Mandibular set back
Maxillary deformity

Ans :- C. Mandibular set back

Ref. :- Neelima Malik , 1st Edition , Page No. 273.
Que -39. Time taken for osseointegration of implants in the maxilla is :
A.
B.
C.
D.

4 months
2 months
6 months
8 months

Ans :- C. 6 months
Exp.:Region of implant placement
Anterior mandible
Posterior mandible
Anterior maxilla
Posterior maxilla
In to bone graft

Minimum integration time

3 months
4 months
6 months
6 months
6 to 9 months

Ref. :- Peterson ,4th edition, Page No. 322.

15

Que 40. A dermatome is used :

A.
B.
C.
D.

To remove scar tissue

To harvest skin grafts
To abrade skin which is pigmented
For pairing of lacerated soft tissue

Ans :- B. To harvest skin grafts

Exp.:- Special instruments are used for cutting split skin grafts. The instruments
are:
a) Hummby knife : Most frequently used instrument for graft cutting.
b) Power driven dermatome : for cutting a thin graft.
Ref. :- Vinod Kapoor , 2nd edition, Page No. 502.
Que -41.orthognathic decompensation is done :
A.
B.
C.
D.

Is done at the time of surgery

Is done before the surgery
Is done after the surgery
Nature itself decompensate or dental compensation

Ans:- B. Is done before the surgery

Ref. :- Peterson ,4th edition, Page No. 566.
Que :- 42. Which of the following is used in the management of haemophillic
patient ?
A.
B.
C.
D.

Tranxemic acid
Acetic acid
Ascorbic acid
Palmitonic acid

Ans :- A. Tranxemic acid

Ref. :- Neelima Malik , 1st Edition , Page No. 681.
16

Que -43. In Haemorrhagic shock, hypotension occurs when blood loss is more
than :
A.
B.
C.
D.

10% - 15%
15% - 30%
30% - 40%
More than 40%

Ans :- C. 30% - 40%

Ref. :- Neelima Malik , 1st Edition , Page No. 685 Tab 47.3 .
Que 44. Antiseptic technique in surgery was first introduced by :
A.
B.
C.
D.

Joseph Lister
Louis Pasteur
Robert Koch
Antony Van Leeuwenhoek

Ans :- A. Joseph Lister

Ref. :- Neelima Malik , 1st Edition , Page No. 63 .
Que -45. Gut suturing material is absorbed by:
A.
B.
C.
D.

Oxidation
Hydrolysis
Fibrinolysis
Proteolysis

Ans :- B. Hydrolysis
Exp.:- Absorbable sutures are digested by tissue enzymes by Hydrolysis, whereas
are walled of or encapsulated.
Ref. :- Neelima Malik , 1st Edition , Page No. 59 .

17

Que-46. Abbey-Estlander flap is used in the reconstruction of :

A.
B.
C.
D.

Buccal mucosa
Lip
Tongue
palate

Ans.:- B. Lip
Ref. :- Kruger , 6th Edition , Page No. 488 .
Que :-47. What is the most common skeletal finding in cephalometric
radiographs in a patient with a history of cleft palate and anterior
crossibte :
A.
B.
C.
D.

Maxillary retrusion
Mandibular protrusion
Mandibular retrusion
Maxillary protrusion

Ans :- A. Maxillary retrusion

Ref. :- Vinod Kapoor , 2nd edition, Page No. 577.
Que :-48. In children below age of 8 years, high level of cranio-facial
disjunction of Lefort III classification is rarely seen because :
A.
B.
C.
D.

Children in that age group really get affected by such traumatic incidence
Facial skeleton is covered with thick soft tissue
There is lack of poorly developed ethmoidal & sphenoidal sinus
The line of demarcation between medullary & cortical bone is less evident.

Ans :- C. There is lack of poorly developed ethmoidal & sphenoidal sinus

Ref. :- Kabans Pediatric Oral surgery

18

Que:-49. Prophylactic antibiotic in surgical practice:

A.
B.
C.
D.

Is given orally
Depends on individual preference
Continued for a minimum of 7 days
First dose is given before induction of anesthesia

Ans :- C. Continued for a minimum of 7 days

Exp. :- antibiotic regimen for prophylaxis of bacterial endocarditis
Ref. :- Peterson ,4th edition, Page No. 363.
Que :-50. Subcondylar osteotomy for correction of prognothism was first
reported by:
A.
B.
C.
D.

Robinson and Hinds

Huston O Kruger
Krug H. Thoma
Obwegeser

Ans :- A. Robinson and Hinds

Ref. :- Neelima Malik , 1st Edition , Page No. 274.
Que :-51. A specimen for a biopsy should be taken from :
A.
B.
C.
D.

Necrotic area
Subdermal layer
Borderof an ulcerated area
Center of an ulcerated area

Ans :- C. Borderof an ulcerated area

Exp.:- The biopsy site should be selected in an area that shows complete tissue
changes. Necrotic tissue should be avoided, because it is useless in
diagnosis. The material should be taken from the edge for the lesion to
include some normal tissue. It is much better to take a deep, narrow biopsy
rather than a broad, shallow one, because superficial change may be quite
different from those deeper in tissue.
Ref. :- Peterson ,4th edition, Page No. 468.
19

Que :-52. The proper rate of rescue breathing in an adult is :

A.
B.
C.
D.

4 times per min.

12 times per min.
20 times per min.
28 times per min.

Ans :- B. 12 times per min.

Exp.:- The rate of rescue brerathing in adults is 12/minute but for child and infant,
it is 20/min.
Ref. :- Malamed Medical Emergencies, 5th edition, Page No. 487.
Que :- 53.Which of the following is NOT an objective of preprosthetic
surgical preparation ?
A.
B.
C.
D.

Conditioning of patient musculature

Correcting conditions that preclude optimal prosthetic function
Enlargement of denture bearing areas
Provision for placing tooth root analogues by means of osseointegrated
dental implants

Ans :- A. Conditioning of patient musculature

Ref. :- Peterson ,4th edition, Page No. 249.
Que :- 54. The thickness of split thickness skin graft used in maxillofacial
surgery ranges from .
A. 2 to 3 mm
B. 1 to 2 mm
C. 0.3 to 0.5 mm
D. 1.3 to 1.5 mm
Ans :- C . 0.3 to 0.5 mm
Exp.:- The split thickness graft consists of epidemis and the superficial part of
dermis, thus containing few skin appendageal structures.
Ref.:- Textbook of dermatology by Braun, Plewing and Wolff 2nd Edition, page
No. 1085.
20

Que :- 55. I.V. diazepam causes following in a patient on dental chair:

A.
B.
C.
D.

Tinels sign
Virrels sign
Battels sign
Bells sign

Ans :- B. Virrels sign

Exp.:- The three features of Verrills sign are:
- Partial ptosis (50%)
- Blurring vision
- Slurring speech that indicate the correct level after Diazepam sedation
Ref.:- www. Millenium3.org.uk
Que :- 56. Non absorbable suture material is
A.
B.
C.
D.

Catgut
Fascia lata
Polyglycolic
Nylon

Ans :- D. Nylon
Exp.:- Non-absorbable suture usually remain burried within the tissues causing
late complication such as development of gall stones around nonabsorbable suture is common bile duct or bladder stones in the urinary
bladder.
Ref.:- www. Edu.rcsed.ac.uk

21

Que :- 57. Which of the following Osteotomy is carried out for mandibular
deformity .
A.
B.
C.
D.

Inverted L Osteotomy
C Osteotomy
Intraoral sagitall split Osteotomy
All of the above

Ans :- D. All of the above

Ref. :- Peterson principles of Oral and Maxillofacial surgery , 2nd edition,
Page No. 1136.
Que :-58. In Jorgensen technique on IV sedation for dental procedure drugs
are
A.
B.
C.
D.

Pentobarbital
Mepiridine
Scopolamine
All of the above

Ans:- D. All of the above

Exp.:- Jorgenson technique includes intravenous administration of opioids. The
drugs used in Jorgenson technique are:
a.
b.
c.
d.

Pentobarbital
Mepiridine
Scopalamine (Hyoscine)
Pethidine, etc.

Ref.:- www.dentalfearcentral.org

22

Que :- 59. The concept of One Stage Full Mouth Disinfection has been put
forth to prevent
A. Adhesion of microorganisms
B. Proliferation of microorganisms
C. Translocation of microorganisms
D. Bacterial invasion
Ans:- C. Translocation of microorganisms
Exp.:- The oral cavity offers a range of different niches (mucosa, tongue, tonsils,
saliva and teeth, etc. ) where the bacteria can adhere and survive. The
transmission of bacteria from one niche to another is likely to occur.
Ref.:- www.dentalfearcentral.org
Que :- 60. During extraction of tooth to known cardiac patient experienced
angina this was most likely to be precipitated by
A.
B.
C.
D.

Allergy to LA
Stimulus of pain and anticipation
Adrenaline in drug
Upright position of chair

Ans :- B. Stimulus of pain and anticipation

Que :- 61. Catgut suture is packed in
A.
B.
C.
D.

Isopropyl alcohol
Ethanol
Formalin
Gluteraldehyde

Ans:- A. Isopropyl alcohol

Exp.:- Surgical gut suture (plain and chronic) is an absorbable sterile surgical
suture composed of purified connective tissue (mostly collagen ) derived
from either the serosal layer of beef or the submucosal fibrous layer of
sheep intenstines.
Ref.:- www.sinomedicals.com
23

Que:-62. Saggital split osteotomy was first advocated by

A.
B.
C.
D.

Obwegesser
Dalpont
Wundrer
Moose

Ans :- A . Obwegesser
Exp.:- Bilateral saggiatal split osteotomy (BSSO) was first described by Trauma
and Obwegesser and later modified by Dalpont, Hunsuck and epker
Ref. :- Neelima Malik , 2nd Edition , Page No. 297-298.
Que :-63. All of the following statement about ketorolac are incorrect
EXCEPT.
A.
B.
C.
D.

An effective analgesic for mild to moderate post operative dental pain

Like morphine it interacts with opioid receptors.
Administered only by intravenous route.
Safe even in chronic use.

Ans :- A. An effective analgesic for mild to moderate post operative dental pain
Exp.:- Option B In post operative pain it has equaled the efficacy of morphine
but doesnot interact with opioid receptors.
- Option C Ketorolac is rapidly absorbed after oral and I.M administration.
- Option D Contonuous use for more than 5 days is not recommended at
present.
Ref. :- K.D. Tripathi , 4th Edition , Page No.463.

24

Que :- 64. One of the following is considered as best imaging modality for
detecting sequestra in osteotomyelitis.
A.
B.
C.
D.

Radionuclide imaging
Tomography
MRI
Computed tomography

Ans :- D. Computed tomography

Exp.:- It gives a more definitive picture of calcified tissue involvement,
especially with regard to disruption of cortical plate.
Ref. :- Neelima Malik , 2nd Edition , Page No. 644.
Que :-65. What is the advantage of chronic gut over plain gut suture in deep
wounds?
A.
B.
C.
D.

Greater strength
Greater ease of use
Delayed resorption
Less tissue irritation

Ans :- C. Delayed resorption

Exp.:- Chronic gut suture resorbs in 90 days.
- Plain gut suture resorbs in 70 days
Ref. :- Neelima Malik , 1st Edition , Page No. 57/National boards, Oral surgery
and pain control July 1978,Q-88, Page No. 46.

25

Que :-66. Inhaled general anaesthetic with low blood gas partial coefficient
are characterized by
A.
B.
C.
D.

Rapid induction and quick recovery from anaesthesia

Rapid induction and slow recovery from anaesthesia
Slow induction and slow recovery from anaesthesia
Slow induction and quick recovery from anaesthesia

Ans :- A. Rapid induction and quick recovery from anaesthesia

Exp.:- Solubility of anaesthetic in blood is the most important property
determining induction and recovery.
Ref. :- K.D. Tripathi , 4th Edition , Page No.345.
Que:-67. Differential general anaesthetic with low blood gas partial
coefficient are characterized by
A.
B.
C.
D.

Anemia
Eosinophilia
Spherocytoses
Thrombocytopenic purpura

Ans :- B. Eosinophilia
Exp:- Differential white blood cell count
This count is the cell type distribution of the total white blood cell count. It
includes neutrophils, lymphocytes, monocytes, eosinophils, basophils.
Ref. :- Neelima Malik , 1st Edition , Page No. 13/National boards, Oral surgery
and pain control Q-33, Page No. 41.

26

Que :-68.best graft for alveolar cleft surgery

A.
B.
C.
D.

Posterior iliac crest

Anterior ilic crest
Clavicle
Rib

Ans :-A. Posterior iliac crest

Exp.:- Autogenous cancellous bone and marrow are still the gold standard and are
inductive and conductive agents, especially when in contact with the
connective tissue closely related to the living bone-periosteum.
Ref.:- Reconstruction of the alveolar cleft by John F. Helfrick ch 58,
Page No. 1580,1581.
Que:-69. Primary anatomic structure of concern in posterior mandible
periradicular surgery.
A.
B.
C.
D.

Neurovascular bundle coursing through infraorbital canal.

Neurovascular bundle near incisive foramen.
Neurovascular bundle near palatine foramen.
Neurovascular bundle coursing through mandibular canal.

Ans :- D. Neurovascular bundle coursing through mandibular canal.

Exp.:- It is the answer of exclusion as rest all landmarks is present in maxilla.
Que:- 70. On radiograph of upper lateral incisor a periacal lesion is found
after 2 years following RCT curettage was done and histopathology
showed presence of apical cyst. Lesion continued to enlarge even
after surgery, What is the reason for this.
A.
B.
C.
D.

Leaking from main canal

Unobturated accessory canal
Apex was not resected
Actinomycoses infection

Ans :- A. leaking from main canal

Ref. :- Neelima Malik , 1st Edition , Page No. 409, 410.
27

Que:-71. Treatment of malignant hyperthermia is

A.
B.
C.
D.

Propranolol
Halothane
Dantrolen
Nitrous oxide

Ans :- C. Dantrolen
Exp.:- In management of malignant hyperthermia, dantrolene sodium IV 2.5 mg/kg
is given and repeated as necessary based on ongoing signs of malignant
hyperthermia.
Ref.:- Malameds LA 5th Edition , Page No. 154.
Que :-72. Miniplate fixation is effective at
A.
B.
C.
D.

Zone of tension
Near the roots of teeth
Zone of compression
Near to the mental foramen

Ans:- A. Zone of tension

Exp.:- Masticatory forces produce tensional forces in the alveolar region or at the
upper border & compression forces at the lower border. This explains the
cause of distraction of fracture segments in the upper border, and
compression in the lower border.
Ref.:- S.M. BALAJI, 1st Edition, Page No. 581.

28

Que:-73. In patient with cleft palate alveolar bone grafting should be done
A. After expansion of maxilla and correction of cross bite, but before cuspid
eruption
B. Before expansion of maxilla and correction of cross bite but after canine
eruption
C. Before expansion of maxilla and correction of cross bite and after canine
eruption.
D. After expansion of maxilla and correction of cross bite and after canine
eruption.
Ans :- A. After expansion of maxilla and correction of cross bite, but before
cuspid eruption
Ref. :- Still searching
Que :-74. Radiograph of mandibular 3rd molar shows fading of trabeculations
and narrowing of canal in apical region of tooth. What will be the
diagnosis ?
A.
B.
C.
D.

Deep grooving of the root and loss of dense cortical walls of the canal
Nerve is passing in between the roots.
Horizontal superimposition of radiograph
Inherent faulty radiographic technique

Ans :- A. Deep grooving of the root and loss of dense cortical walls of the canal
Exp.:- Radiological prediction of injury to the inferior alveolar nerve depends on
the relationship of the root to the canal.
Ref. :- Neelima Malik , 1st Edition , Page No. 119.

29

Que :-75. In a patient with 15% blood loss, the immediate management is?
A.
B.
C.
D.

Immediate blood replacement

Blood transfusion is not required
Aggressive replacement of crystalloid only
Aggressive replacement of crystalloid and blood

Ans :-B. Blood transfusion is not required

Exp.:- Approximately 10-15 % of total blood volume loss will have no significant
effect on arterial pressure or cardiac output.
Ref. :- Neelima Malik , 1st Edition , Page No. 684 - 685.
Que :-76. In mass causality cases, the mechanism to sort out patient is ?
A. Treating first patients with life threatening conditions
B. Treating patients with higher chances of survival with least available
infrastructure
C. Treating patients with multiple organ failure & that need equipment and
mobility
D. None
Ans :- B. Treating patients with higher chances of survival with least available
infrastructure
Exp.:- ADVANCED TRIAGE
In advanced triage, doctors may decide that some seriously injured people
should not receive advanced care because they are unlikely to survive.
Advance care will be used on patients with less severe injuries.
Ref.:- http://en.wikipedia.org/wiki/Triage
Que:-77. Delayed prolonged bleeding after a minor surgery is caused by
defect in
A. Primary hemostasis.
B. Secondary hemostasis
C. Defect in capillary bed to support the clot.
D. Defect in connective tissue to support capillaries.
Ans :- B. Secondary hemostasis
30

Que :-78. Latency period in distraction osteosynthesis is defined as

A.
B.
C.
D.

Time period between surgical osteotomy and starting of distruction

Time period between starting of distraction to the completion of distraction
Time period for completion of distraction process
Time period between distraction and functional loading of the area

Ans :- A. Time period between surgical osteotomy and starting of distruction

Exp.:- Latency period / Delay- This period which generally ranges from 4 to7days,
allows for the initial fracture healing to occur, by callus formation in order
to bridge the cut bone segments.
Ref. :- Vinod Kapoor , 2nd edition, Page No. 561.
Que:-79. In a patient of syncope the pupils are
A.
B.
C.
D.

Constricted
Constricted and non-reacting to light
Dilated-fixed and non-reacting to light
Dilated and fixed

Ans :- D . Dilated and fixed

Exp.:- Signs & symptoms of syncope :
- Signs of syncope are pallor of the skin, dilation of the pupil, cold,
perspiration, feeling of nausea, vomiting, small pulse pressure and in case
patient is sitting or standing there is tendency to fall.
- Compression of 3rd nerve and occulomotor nucleus in brain leads to light.
- Bailey & love 24th Edition, Page No.601
Ref. :- Vinod Kapoor , 2nd edition, Page No. 355, 605.

31

Que:-80. Which of the following drugs are used in the management of

haemophilia?
A.
B.
C.
D.

Tranexamic acid
Heparin
Calcium gluconate
Thrombin

Ans :- A. Tranexamic acid

Exp.:- In the treatment of haemophilis A patients, Tranexamic acid is a more
potent and longer acting antifibrinolytic drug. It is available as both oral
and parentral forms.
Ref. :- Neelima Malik , 2nd Edition , Page No. 769.
Que:-81. Test of primary hemostasisA.
B.
C.
D.

Coagulation time
Bleeding time
Prothrombin time
Platelet count

Ans:- B. Bleeding time

Que:-82. Proline is a
A.
B.
C.
D.

Natural absorbable suture material

Synthetic absorbable suture material.
Natural non absorbable suture material.
Synthetic non absorbable suture material

Ans :- D. Synthetic non absorbable suture material

Exp.:- Proline or polypropylene is a synthetic, monofilament, non-absorbable
suture having minimal transient acute inflammatory reaction.
Ref. :- Neelima Malik , 2nd Edition , Page No. 60.

32

Que :-83. A patient who is on a regimen of steroid therapy and has need for
extraction of chronically infected teeth requires premedicated with
A.
B.
C.
D.

Atropine to reduce the hazard of vagal stimulation and cardiac arrest.

Antihypertensive to combat tendency towards shock
Antihistaminics to prevent allergic reaction
Antibiotics

Ans :- D. Antibiotics
Ref.:- National boards, Oral surgery and pain control July 1978, Q-23,
Page No. 40.
Que:-84. Head shaking test is done to diagnose
A.
B.
C.
D.

Maxillary sinusitis
Vertigo
Position of root in relation to maxillary anturm
Maxillary fracture

Ans :- C. Position of root in relation to maxillary anturm

Exp.:-Foreign bodies in sinus:
The presence of a foreign body, such as a tooth or root fragment or any other
things its position with movement of head. This change in position can be
confirmed by serial radiograph. In case the foreign body does not move in
consecutive radiographs, then it is
- Either trapped in to polyp or thick mucosa.
- Is present between the antral lining membrane and the bony wall.
Ref. :- Neelima Malik , 2nd Edition , Page No. 60.
Que :- 85. The contribution of operation of sodium potassium electrogenic
pump for the development of net-90 millivolt on resting membrane potential is
A. 4 millivolt
B. 80 millivolt
C. 70 millivolt
D. + 4 millivolt
Ans :- A. 4 millivolt
33

Que :-86. Most stable orthognathic procedure for anterior open bite
correction is
A.
B.
C.
D.

Sagittal split osteotomy

Lefort I osteotomy
Inverted L osteotomy
Intraoral vertical subsigmoidal osteotomy

Ans :- B. Lefort I osteotomy

Exp.:- Indication for Lefort I osteotomy
- It can be used to correct variety of maxillofacial problems, deformities of
maxilla exist in all planes, and commonly such deformities exist in multiple
planes.
Ref.:- Fonseca seven series Vol.2 orthognathic surgery, Page No.232.
Que :-87.campbell line is seen in X-ray of following projection
A.
B.
C.
D.

Transcranial
Transorbital
Transpharyngeal
Occipitomental

Ans :- D. Occipitomental
Exp.:-McGregor and Campbells lines: Seen in Occipitomental view / Para Nasal
Sinus view.
Ref. :- Peter ward Booths maxillofacial surgery 2nd, Edition, Vol 1, Page No.278.

34

Que :-88. A 12 yr old child is HIV positive & comes in a dental clinic with
sever pain due to abscess in the oral cavity and needs tooth
extraction. What should be done?
A.
B.
C.
D.

Take the CD4 count & consult the physician

Send the child for ELISA & consult the physician
Send the child to get the sputum test done
Do nothing

Ans :- A. Take the CD4 count & consult the physician

Exp.:- CD4+ T cell count is the laboratory test generally accepted as the best
indicator of the immediate state of immunologic competence of the patient
with HIV infection. Normal CD4 cell count is 400-1600/mm3.
Ref.:- Topazians Oral & Maxillofacial Infection, 4th Edition, Page No. 274,462 /
Harrison 16th Edition, Page No. 1103.
Que :-89. The latent period in distraction osteogenesis is
A.
B.
C.
D.

4 - 6 weeks
5 7days
6 8 months
4 months

Ans :- B. 5 7days
Exp.:- Latency period/Dealy
Fracture healing is allowed to occur This period generally ranges froms 4-7
days , allows for the initial fracture healing to occure, by callus formation
in order to bridge the cut bone segments.
Ref. :- Vinod Kapoor , 2nd edition, Page No. 561.

35

Que :-90. A 30 year old patient underwent resection of mandible for the
treatment of ameloblastoma. The best graft is
A.
B.
C.
D.

Free iliac crest graft.

Free vascularized iliac crest graft.
6th rib
Allograft of the bone

Ans :- B. Free vascularized iliac crest graft.

Exp.:-Mandibular reconstruction after resection of mandible for treatment of
Ameloblastoma.
Mandibular reconstruction can also be accomplished by a variety of means.
They include
Ref.:- Various texts
Que :- 91. Ecchymosis and hematoma are treated with
A.
B.
C.
D.

Intermittent ice pack.

Continuous ice pack.
Intermittent hot pack.
Pressure and pack.

Ans :- A. Intermittent ice pack.

Exp.:- Management of ecchymosis consists of immediate application of cold
followed by heat. In severe cases, antibiotics are given along with
proteolytic enzymes which causes breakdown of coagulated blood.
Ref. :- Vinod Kapoor , 2nd edition, Page No. 624.
Que :-92. ORF stands for
A. Open reading frame
B. Oncocytic removing fraction
C. Oncogenic removing frequency
D. Oil fraction in blood
Ans :-A. Open reading frame
Ref.:- Journal of Virology, april 2001, Page No. 4008-4013, vol 75, No.8
36

Que :-93. Submandibular salivary duct calcification treatment includes

A.
B.
C.
D.

Longitudinal incision and suturing the duct.

Longitudinal incision and suturing the wound leaving the duct open.
Transverse incision and suturing the duct
Transverse incision and suturing the wound leaving the duct open.

Ans :-B. Longitudinal incision and suturing the wound leaving the duct open.
Exp.:- While removing the calculus, the duct is located and a longitudinal slit is
made directly over the stone. The duct must not be cut transversely because
retraction may complete the division and a fistula may result.
Ref. :- Vinod Kapoor , 2nd edition, Page No. 381/ Neelima Malik ,
2nd Edition , Page No. 520.
Que :-94. Z-platy is performed in cases of
A.
B.
C.
D.

High frenal attachment

Shallow sulcus
Deep sulcus
Low frenal attachment

Ans :-A. High frenal attachment

Exp.:- The Z plasty procedure can be used when the frenum is broad and vestibule
is short. These type of procedures can be used for eliminating the frenum, as
well as for deepening the vestibule.
Ref.:- Neelima Malik , 2nd Edition , Page No. 427.
Que :- 95. The site from which biopsy should not be taken is
A.
B.
C.
D.

When the lesion subsides on local treatment.

Area with large, spontaneous enlargement.
A pigmented lesion.
A white like lesion.

Ans :- A.When the lesion subsides on local treatment.

Ref.:- Contemporary Peterson 3rd , Edition, Page No. 520.
37

Que :- 96. A major indication for orthognathic surgery before puberty is

A.
B.
C.
D.

Transverse deficiency of maxilla

Ankylosis of mandible
Prognathic mandible
Hyperdivergent facial pattern with anterior open bite

Ans :- B. Ankylosis of mandible

Exp.:- As for set other options orthognathic surgeries will be required which are
done in the phase when active growth will stop, while in case of ankylosis
treatment should be rendered as soon as possible to minimize the
complications and to get the better results.
Ref.:- Neelima Malik , 1st Edition , Page No. 427.
Que :-97. In case of nodal metastasis, which is notseen on CT scan
A.
B.
C.
D.

Speculated node
Size more than 6 mm
Necrotic node
Rounded node

Ans :- A. Speculated node

Exp.:- The characteristics of metastatic lymph nodes that can be depicted are.
a. Increased size,
b. A rounder shape,
c. And presence of noncontrast enhancing parts inside metastatic lymph
nodes, caused by tumor necrosis, tumor keratinization, or cystic areas inside
the tumor.
Ref.:- The Otolaryngological clinics of North America Vol 31 No 4 Aug 1998
Page No. 646, 647.

38

Que :-98. An itching wound suggests a

A.
B.
C.
D.

Hypersensitivity reaction
Infection
Contraction
Separation

Ans :- A. Hypersensitivity reaction

Que :- 99. Posterior mandible resorbs at a rate approximately ..times faster
than the anterior mandible
A.
B.
C.
D.

2 times
4 times
6 times
8 times

Ans :- B. 4 times
Exp.:-Atrophy of the maxillary arch proceeds at a slower rate than in the mandible.
The posterior mandible resorbs approximately four times faster than the
enterior mandible.
Ref.:- Implants & Restrorative Dentistry by Gerard M Scortecci Page No. 59.
Que :-100. The earliest operative procedure undertaken in the management of
a complete unilateral cleft lip with alveolus and palate is
A.
B.
C.
D.

Palatorrhaphy
Cheilorrhaphy
Alveolar cleft grafts
Correction of maxillomandibulardisharomonies

Ans :- B. Cheilorrhaphy
Ref.:- Textbook of Oral and Maxillofacial surgery by Neelima Malik 1st , Edition,
Page No.513.
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39