Dr Samreen Younas, Oral And Maxillofacial surgery, Mayo Hospital

MCQ,s IMM Oct 2015

1. Patient with bilateral subcondylar fracture, Pattern of occlusion ?
✓ Anterior open bite
2. In condylar fractures deviation on mouth opening is towards?
✓ Fracture side
3. Traumatic telecanthus with deranged occlusion is common in
✓ Lefort-II
4. In condylar fractures open bite is
✓ Opposite side to the fracture
Same side
5. Structures exposed with bicoronal flap include
.Forehead .Supraorbital rim
.zygomatic arches .infraorbital rim
6. A patient with h/o fall and displaced parasymphysis fracture, type of fracture
✓ Compound fracture

7. In burn injury patient, with laryngeal edema, emergency airway management

✓ Cricothyroidotomy, Tracheostomy

8. In ATLS step after securing the airway is

✓ Cervical spine stabilization
9. In FAI angle to angle fracture, posterior nasal bleeding , palatal swelling
✓ Cricothyroidotomy
10. In a patient with RTA, emergency duty doctor will stabilize first
✓ Circulation, . GCS
Do CT scan .chest x ray
 Dr Samreen Younas, Oral And Maxillofacial surgery, Mayo Hospital

11. Cervical spine radiograph to C7

✓ Cross table lateral view, .odontoid peg view
Lateral cervical
12. Patient allergic to lignocaine, alternatives
✓ Bupivacaine .Procaine
.Benzocaine .cocaine
13. Odontogenic myxoma treatment in maxilla
✓ Resection
14. 14 year old, presents with cystic lesion,with bluish color on erupting
2nd molar, treatment plan
.Simple incision .Marsupialiization
.Extraction .Leave as such
15. Upper canine infection leads to abcess in infra orbital area due to
✓ Muscle attachments . Long roots
16. Right upper central and lateral incisor infection most likely goes to
✓ Cavernous sinus
17. A patient with T1 lesion, possible treatments
. No treatment .Excision with selective neck dissection
18. Elongated styloid process occurs in
✓ Eagle’s syndrome .Treacher Collins syndrome
19. In ID block, most likely cause for trismus is
✓ Medial pterygoid muscle injury
20. The ratio between blood transfusion, and FFP transfusion is
2:1 4:1
1:1 3:1
 Dr Samreen Younas, Oral And Maxillofacial surgery, Mayo Hospital

21. Structures crossed in ID block

. mucosa, medial pterygoid, areolar tissue
.mucosa, buccinator ,areolar tissue
.mucosa, pharyngeal constrictor, areolar tissue
22. Stone formation most likely occurs in
✓ Whartons duct .Stenson duct
23. In an inta osseous lesion in which bruit is felt we will go for
✓ Aspiration
24. A patient presented with radiolucency in angle area, our next step will be
✓ Aspiration
25. Preauricular incision in TMJ ankylosis case, most serious complication
✓ Damage to facial nerve
26. In Parotid swelling surgery,Auriculotemporal nerve damage leads to
✓ Gustatory sweating
27. A patient presented with acute ulcers on palate, white slough,
surrounded by inflammation, diagnosis ?
.Aphthous .Pemphigus Vulgaris
.Acute lymphonodular pharyngitis
28. A patient with clusters of ulcers on tongue and buccal mucosa, diagnosis?
.Herpangina .Aphthae
29. Mucous membrane pemphigoid is most common cause of
Desequamative gingivitis
30. A patient who is treated case for cleft palate, presented with retruded
maxilla and reverse overjet – 8mm, ceph shows SNA 74, SNB 80, treatment
plan?
✓ Maxillary advancement and mandibular setback
31. Organism in dogbite?
✓ Pasteurella multocida
 Dr Samreen Younas, Oral And Maxillofacial surgery, Mayo Hospital

32. WBC’s are diagnostic in

✓ Eosinophilia .TTP
.ITP . Hemophilia
33. Qualitative blood disorder is
✓ Von willibrand disease .Hemophilia A, B
34. A patient with BT and PT normal APTT raised and CT deranged diagnosis?
✓ Hemophilia A . Von willibrand disease
35. A patient presented to you with bleeding gums and looks like hemophilia
A patient, your first line of treatment
.Factor assessment .Factor transfusion
36. FFP contains
. All clotting factors . +RBC
.+ Hb .+Platelet
37. In mild liver disease, to avoid bleeding
✓ Vit K
38. In a patient with hepatic failure, most common local anesthetic
complication?
✓ Bleeding
39. During extraction in diabetic patient monitoring is required for
✓ Hyoglycemia
40. Differential cell count is for
✓ Eosinophilia .Anemia
41. In a patient with normal occlusion and retruded chin, treatment?
✓ Advanced genioplasty
 Dr Samreen Younas, Oral And Maxillofacial surgery, Mayo Hospital

42. A diabetic patient presented with pericoronitis, trismus and

submandibular swelling , treatment?
✓ Admission in ward, monitoring, antibiotics, extraction under
G.A
.I×D .I×D and antibiotics
43. Treatment for well localized abcess
✓ Incision and drainage
44. During radiotherapy for tongue scc, abcess formation occurs in upper
four, treatment?
✓ RCT . Incision and grainage
. Antibiotics for 2 months .Antibiotics for 6 months
45. Reversal lines are seen in
✓ Paget’s disease
46. Patient presented with maxillary growth leading to blindness, likely
diagnosis
✓ Paget’s disease
47. Multilocular radiolucency in posterior mandible with widening of PDL and
root resorption, likely diagnosis
✓ CGCG . Fibrous dysplasia
48. Brownish s raw colored fluid on aspiration, and soap bubble appearance
on radiograph are diagnostic for
.ABC .CGCG .Amelobastoma
49. Suture cutting should be
✓ Under the knot close to skin
.Under the knot away from skin
 Dr Samreen Younas, Oral And Maxillofacial surgery, Mayo Hospital

50. Radiograph of a patient 15 years after implant shows 0.1 mm bone loss
what is management?
✓ No treatment required
51. Management for accidental maxillary sinus exposure with sinus
membrane intact
✓ No treatment required
52. A patient presented with oroantral fistula in upper 2nd molar area
which of the following flap will not be suitable
.Buccal fat pad .Buccal advancement flap
.Palatal rotational flap .Island flap
53. Flash sterilization temperature is?

54. Gravitation sterilization is not done for?

55. Alternate for penicillin allergic patients?

✓ Clindamycine
56. A patient with prosthetic heart valves is on Augmentin TDS since 3 days
Prophylaxis for any procedure?
✓ Clindamycine 600mg .Augmentin 1.2g
57. A patient with pericoronitis is on steroids currently, treatment protocol
for any procedure?
✓ Double the dose and give prophylaxis
58. Distal root of lower 3rd molar, displaced after instrumentation, most
commonly to ?
✓ Sub mandibular space . Sublingual
59. ID nerve most commonly injured in?
✓ BSSO
 Dr Samreen Younas, Oral And Maxillofacial surgery, Mayo Hospital

60. Tuberculous abcess most commonly involves nodes in

.Supra omohyoid .Digastric
.Cervical .Supraclavicular (Collar stud)
61. Best prognosis is for SCC involving
✓ Lower lip . Tongue
.Buccal mucosa
62. A lesion with T4 and M1 stage will be?
✓ IV
63. Ipsilateral facial paralysis, deafness and vertigo are characteristic for?
✓ Ramsay hunt syndrome
64. Vesicular eruptions in V1 division , diagnosis ?
✓ Virecella zoster
65. A patient presented with pain in posterior maxilla, intermittent headache
No dental cause can be identified, diagnosis ?
✓ Cluster headache
66. Jafferson fracture level
✓ Atlanto axial sub laxation
67. Most serious complication of sinusitis or maxillary teeth infection?
✓ Cavernous sinus thrombosis
68. Which one is malignant tumor of salivary glands ?
✓ Polymorphous low grade adenocarcinoma
69. Patient presented with tenderness in TMJ area, occlusion normal, with no
clicking since 2 weeks, management?
✓ Behavior modification
70. Most common G.A emergeny in outpatient ?
✓ Respiratory obstruction .Anaphylaxis
 Dr Samreen Younas, Oral And Maxillofacial surgery, Mayo Hospital

71. Which is local anesthetic complication in depression phase ?

.Nervousness
72. A patient presented with ankle edema, orthopnea, diagnosis ?
✓ Cardiac decompensation
73. In a patient taking Angised drugs, what are considerations
✓ Consult physician, extract under L.A, per op Angise drugs
. Extract under L.A
74. For epicectomy of upper central and lateral incisors, best incision ?
.Semilunar .Crevicular
.4 cornered .3 cornered
75. Distoangular impaction, Pell and Gregory depth C ?
.Wards incision .4 cornered
.3 cornered
76. What should be position of elevator while doing extraction ?
.Mesiobuccal .Distbuccal
77. Suspicion lesion, in which cytology is unconclusive
✓ Biopsy
78. In OSF patient most important consideration ?
✓ Mouth opening .Malignant potential
.Burning
79. Abnormally large pulp chamber occurs in
✓ Taurodontism
80. Blood borne micro-organism transfer most commonly occurs
✓ Patient to doctor .Patient to patient
 Dr Samreen Younas, Oral And Maxillofacial surgery, Mayo Hospital

81. During implant placement the distance between sinus and nasal floor
should be
✓ 1mm
82. During extraction of maxillary posterior teeth tuberosity is fractured with
periosteum intact, management ?
83. Dry eyes and dry mouth, occurs in
✓ Sjogren’s syndrome
84. Most common systemic disease associated with Sjogren’s syndrome is ?
✓ Rheumatoid arthritis
85. In which leukemia oral manifestations are most common ?
✓ CML