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‫بسم ا الرحمن الرحيم‬

Collection of Saudi License prometric Exam Questions for oral and


maxillofacial surgery (September 2012)
‫ هذا الملف يحتوى على مجموعة من السئلة ورؤس اسئلة التى لم اتمكن من تذكر الخاتيارات‬-
‫فيها جيدا تم تجميعها بفضل من ا عز وجل‬
___________________________________________________________
:The first sign display in traumatized patient is -1
Bradycardia -
Tachycardia -
bradyapnea -
tachyapnea -
-----------------------------------------------------------------------------------
:Most odontogenic infections are caused by -2
Bacteria of normal flora -
exogenous bacteria -
anaerobic gram-positive rods -
bacteria not involved in caries process -

-----------------------------------------------------------------------------------------------------
:The most appropriate source for cranial bone grafts -3
occipital -
temporal -
parietal -
frontal -
------------------------------------------------------------------------------------------------------
:arc smile of maxillary incisal edge should parallel to -4
upper lip -
lower lip -
inferior border of mandible -
mandibular incisor -
----------------------------------------------------------------------------------------
the osteotomy cut for vertical ramus osteotomy procedure is -5
incorrectly high what is the next step
make c- osteotomy -
make inverted L osteotom -
apart procedure and fix condyle -
apart procedure and close -
----------------------------------------------------------------------------------------------------

what,s the first sign ofsyncope


1-paleness
2- miosis
3- epistaxis

1
tooth 36 on x ray no pdl after ex you found lesion like pearl on furcation
1-enamelpearl 2-hyper cemn 3- enostosis

arter extraction of molar you found ahard tissue at furcation like pearl
1-enamel pear 2-enostosis 3-hyper cemntosis

what gauge of needle of aspiration

14- What’s the ratio :

Oral cancer Control


Smoker 90 10
Non smoker 40 60
a- 6
b- 2.35
c- 3.43
d- 13.5

All causes hyperprolactinemia, EXCEPT:


a) Pregnancy
b) Acromegaly
c) Methyldopa

d) Allopurinol
e) Hypothyroidism

 16- an old patient and has skeletal disorder by using x ray found enlargement in …. What’s
the type of x ray should be more accurate :
a- Cephalometric
b- Reverse town
c- Panoramic x ray
d- ……………
17- patient with missing 4,5 and what to make FPD what’s the type :
a- tooth supporting FPD
b- advise him with RPD
c- ………………………………..
d- ……………………………….

18- which muscle not included in facial expression??

52. pt with tb infection with positive sputum and need dental ttt what's ur choice
1. make ttt wearing mask
2, postpone ttt
3,
4

56. the ideal time for begining of tooth brushing of pediatrics is


1, after complete eruption of decidious teeth
2 , after 2 years
3, after 4 years
4 , just before primary school

61. Teeth with RCT and you want to use post, which post is the least cause to tooth fracture :
1. Ready made post.
2. Casted post.
3. Fiber post.

2
4. Prefabricated post.

66- The most accurate diagnosis test:


a- Thermal test
b- EpT
c- cavity test

‫· أعجبني · · مشاركة · تلقي الشإعارات‬

needle for biopsy aspiration:


a. 19 gauge
b. 22 gauge
c. 26 gauge

:lip adhesion and pre-orthopedic surgery is completed in -6


first few weeks of life -
any age of infancy -
one to three month -
four to six month -
--------------------------------------------------------------------------------------------------
: axial C.T for fracture zygoma is used to demonstrate -7
floor of the orbit -
roof of the orbit -
lateral and medial wall of maxillary sinus -
lateral nasal wall -
-------------------------------------------------------------------------------------------------
:photograph for rhyditectomy -8
with ring lens flash -
lateral lens flash -
natural light -
foot flash -
-----------------------------------------------------------------------------------------
:to get more cancellous bone during illic bone graft harvest -9
medial and lateral cortical pedicle -
decapping of crest -
medial cortical pedicle with muscle -
expand medial and lateral cortical cortex -
-----------------------------------------------------------------------------------------
measurement line used for estimation of length of nasopharyngeal -10
airway on lateral cephlometric x-ray (extend from)
external auditory meatus to ala of nose -
external auditory meatus to tip of nose -
mandibular angle to ala of nose -
mandibular angle to tip of nose -

3
-----------------------------------------------------------------------------------------
: primary passive support of mandible is provided by -11
lateral pterygoid muscles -
Sphenomandibular ligament -
stylomandibular ligament -
Medial pterygoid muscles -
-----------------------------------------------------------------------------------------
:Absorbable collagen membrane has effects of hemostasis by -12
stimulate platelet activity and promote platelet aggregation -
scaffold and stabilization for blood clot -
block vascular channel as tamponad effect -
-----------------------------------------------------------------------------------------

:The cranial nerve passes into internal acoustic meatus -13


abducent nerve -
facial nerve -
glossopharyngeal -
vagus nerve -
-----------------------------------------------------------------------------------------
The dangerous triangle of the face consists of the area from -14:
corner of the mouth to the bridge of the nose -
corner of the mouth to supraorbital rim -
nasal bridge to tip of nose -
supraorbital rim to philtrium -
-----------------------------------------------------------------------------------------
the management of comminuted midface associated bilateral -15
:subcondylar fracture is indicated for
absolute contraindication for open reduction and internal fixation -
absolute indication for closed reduction and maxillomandibular fixation -
absolute indication for open reduction and internal fixation -
absolute contraindication to maxillomandibular fixation -
-----------------------------------------------------------------------------------------
:the most common primary teeth to be impacted -16
mandibular molar -
- maxillary molar
-maxillary central
- maxillary canine
-----------------------------------------------------------------------------------------
Most common site of oral squamous cell carcinoma -17
- Floor of the mouth
Postero-Latera border of tongue -

4
Buccal mucosa -
Lip -
-----------------------------------------------------------------------------------------
:The most common tumor in infancy and children - 18
Fibroma -
Hemangioma -
ameloblastoma -
ameloblastic fibroma -
----------------------------------------------------------------------------------------

patient undergoing hemi mandibular resection with radical neck -19


dissection due to malignant tumor of floor of the mouth , reconstruction is
: best performed using
pectoralis myocutanous flap -
temporalis flap -
sternocleidomastoid flap -
free microvascular fibula flap -
--------------------------------------------------------------------------------------
:the most common odontogenic infection -20
Vestibular abscess -
Celluitis -
ludwig's angina -
-Submandibular abscess
--------------------------------------------------------------------------------------
most causative factor predisposing for malignant tumors -21
Familial -
Alcohlism -
Smoking -
Nutritional deficiency -
-------------------------------------------------------------------------------
Overdevelopment of mesial root of lower 3rd molar result in -22
Mesioangular impaction -
Vertical impaction -
Horizontal impaction -
Distoangular impaction -
---------------------------------------------------------------------------------------
The most adequate thickness for the use of MTA as a root-end filling -23
.material
2mm -
4mm -

5
3mm -
5mm -
----------------------------------------------------------------------------------------
The indicative measure to stop antibiotic therapy in chronic -24
:osteomyelitis mananagement
Formation of new bone in previous radiolucent area shown in -
panoramic x-ray film
Negative uptake of technichum99 in bone scan -
Change in medullary bone in C.T -
Abscence of new bone expansion in clinical examination -
--------------------------------------------------------------------------------

Hand piece air speed during dentoalveolar surgery -25


1o-20 rpm -
1000-12,000rpm -
rpm 2000-20,000 -
120,000-200,000rpm -
---------------------------------------------------------------------------------
dark femal patient suffering from sudden diffue bluish discoloration -26
:over zygomztic area what should be done
incisional biopsy -
follow up observation -
Angiography -
ophthalmology examination -
----------------------------------------------------------------------------------
how to decrease the effect of external beam radiation on surrounding -27
tissue for management of squamous cell carcinoma of tongue
intersteitial brachtherapy technique -
Hyperfractionation -
Intracavity brachtherapy technique -
Submental technique -
----------------------------------------------------------------------------
The length of root to be resected during apicectomy for short rooted -28
tooth is lateral incisor upper
1mm -
2mm -
3mm -
4mm -
----------------------------------------------------------------------------------
The most appropriate cause for Inferior alveolar nerve injury during -29
bilateral sagittal split osteotomy is
method of internal fixation ( bicortical,monocortical or lag screw) -

6
Manipulation of the bony segement -
The use of chisel for osteotomy -
The use of bur or saw for cutting -
-------------------------------------------------------------------------------
after finishing Bimaxillary orthognathic surgery (lefort I and bilateral -30
sagittal split ostotomy) and make internal fixation you see that occlusion
is derranged and patient still intubated what you is the next step
remove maxaillary internal fixation and resume proper occlusion -
remove mandibular fixation and resume proper occlusion -
post operative elastic traction -
follow up observation followed by orthodontic treatement if needed -
------------------------------------------------------------------------------------

The most common symptoms in patient with keratocyst -31


Pain -
Swelling -
Neurosensory deficiet -
Teeth mobility -
--------------------------------------------------------------------------------------
year old patient with bilateral bony impacted mandibular third 18 -32
molar shown accidentally on routine panoramic radiographe ,the
percentage of eruption of it
10-20% -
50-80% -
20-50% -
100% -80 -
--------------------------------------------------------------------------------------
prolonged activated partial thromboplastine with normal -33
prothrombine time indicated deficiency of
factor VII -
factor VIII -
factor X -
factor IX -
----------------------------------------------------------------------------------
The incision used for Cupar modification to perform anterior -34
maxillary alveolar osteotomy
transverse palatal incision -
the buccal and palatal tissue preserved -
vestibular incision reaching up to second premolar -
two vertical incision at first premolar and one at upper lip frenum -
-----------------------------------------------------------------------------------
the osteotomy cut for genioplasty in relation to mental foramen -35
superior to mental foramen -

7
inferior to mental foramen -
anterior to mental foramen -
-------------------------------------------------------------------------------
the length of philtrum ridge in adult in relation to oral commissure -36
level
shorter than oral commissure -
longer than oral commissure -
at same level -
at crown height level -
------------------------------------------------------------------------------

the antigenicity of allogenic bone graft is decreased using -37


autoclaving -
frozen dried -
freezing -
boiling water -
--------------------------------------------------------------------------------
treatment of superiorly displaced fracture angle after extraction of -38
partially impacted lower third molar should be
closed reduction and intermaxillary fixation-
open reduction and internal fixation with bone plate at upper border -
open reduction and internal fixation with bone plate at lower border -
no surgical intervention if occlusion is not disturbed -
-------------------------------------------------------------------------------------
patient on warfarin anticoagulant therapy and prepared for tooth -39
extraction what should be done
INR should be at the level 2-3 before surgery -
administration of Vit-K -
stop medication 24 hour before extraction day -
hospitalized and heparinized the patient -
------------------------------------------------------------------------------------
the normal range of protrusive mandibular movement – 40
mm 10 -
20mm -
25mm -
30mm -
-------------------------------------------------------------------------------------
which of the following anatomical structure involved in the -41
.perauricular approach for TMJ
superficial vessels and temporal branch of facial nerve -
great auricular and temoral branch -

8
Auriculo temoral, superficial vessels and temporal branch of facial -
nerve
zygomatico temoral and superficial temporal -
------------------------------------------------------------------------------
A patient with history of diurnal bruxism present with TMJ pain -42
,muscle tenderness, clicking,and limited mouth opening , A TMJ MRI is
negative for internal derangement. Reasonable treatement at this point
should include
occlusal equlilibration -
arthocentesis with L.A and intrradicular steroid -
splint therapy -
diagnostic arthroscopy for lysis and lavage -
------------------------------------------------------------------------------------
diplopia with orbital floor fracture is due to restriction of eye globe -43
movement in which gaze
limitation of upward and lateral gaze -
limitation of upward and medial gaze -
limitation of downward and lateral gaze -
limitation of downward and medial gaze -
-----------------------------------------------------------------------------
burning of bone during implant surgical procedure occur at -44
C 32° -
C 47° -
C 56° -
C° 60 -
---------------------------------------------------------------------------
which of the following ridge augmentation procedures indicated for -45
patient present with sever maxillary resorption and palatal vault
diminished
submucosal vestibuloplasty -
Interposition bone graft -
onlay bone graft -
-------------------------------------------------------------------------------
The amount of electromyographic feedback that can be expected -46
during facial nerve monitoring and indicate proper facial nerve healing
after paralysis due to trauma
for 5 day monitoring 10% -
for 10 days monitoring % 10 -
for 5 days monitoring % 15 -
for 10-14 day monitoring % 15 -
----------------------------------------------------------------
the Dura mater lines the inside of the skull is -47
-Less thickened and firmly adherent to skull base

9
firmly thickened and firmly adherent to skull base -
less thickened and loosely adherent to skull base -
firmly thickened and loosely adherent to skull base -
---------------------------------------------------------------------
The type of dental needle used with X-tip instrument for intraosseous -48
anaesthesia
G short needle 25 -
G ultra-short needle 27 -
G short needle 30 -
G short needle 27 -
-----------------------------------------------------------------------------

Penicillins used for treatment for odontogenic infections have -49


narrow antimicrobial spectrum -
wide antimicrobial spectrum -
----------------------------------------------------------------------------
the primary goal in management of odontogenic infection -50
antibiotic therapy -
management of fever -
incision and drainage -
removal of the cause -
--------------------------------------------------------------------------
the crystalloid which should be given first after maxillofacial trauma -51
normal saline -
dextrose 5% -
Ringer's lactate -
dextrose 10% -
------------------------------------------------------------------------------------
hypovolemic shock develop after -52
blood 10% -
20%blood -
blood 30% -
blood 40% -
----------------------------------------------------------------------------
the primary teeth are to be percussed to exclude -53
pulpitis -
apical periodontits -
ankylosis -
root resorption -
--------------------------------------------------------------------------
all of the following antibiotic can be used in infection of maxillary -54
and ethmoidial sinus infection extending to orbit except

10
penicillin with metronidiazole -
clindamycin -
cefatroxil -
ampicilline with sulbactame -
-----------------------------------------------------------------------------------------
Ranula is treated by -55
enuculation -
marsupilization -
marsupilization with packing -
enuculation with underlying minor salivary gland -
---------------------------------------------------------------------------------------

malignancy occur most common in -55


minor salivary gland -
sublingual salivary gland -
submandibular salivary gland -
parotid salivary gland -
----------------------------------------------------------------------------
while making vertical incision for flap for mandibular third molar -56
impaction one can injure
branches of facial nerve -
buccal nerve -
branches of facial artery and vein -
branches of lingual nerve -
-----------------------------------------------------------------------------
patient is prepared for dental implant placement in anterior -57
mandibular edentulous area but clinically there is high crestal
attachement of muscles and tissue and panoramic x-ray showing adequate
bone height , the indicated method of vestibuloplasty is
lip switch -
Obwegeser's -
submucosal vestibuloplasty -
submucosal with sking graft -
------------------------------------------------------------------------------------
the most appropriate antibiotic used for management of osteomyelitis -58
Erythromycin -
Clindymaycine -
Vancomycine -
Metronidazole -
--------------------------------------------------------------------------------
The primary vital sign in traumatized patient -59
blood pressure -

11
pulse rate -
pulse pressure -
respiratory rate -
-----------------------------------------------------------------------------
the most common cause of teeth impaction -60
retained deciduous teeth -
gingival fibrosis -
arch size -
associated lesion -
-----------------------------------------------------------------------------

the laboratory investigation finding that indicate renal failure -61


Hypokalemia -
Hyperkalemia -
ketoacidosis -
hypernatremia -
-------------------------------------------------------------------------------
the most common flap for intraoral procedures -62
envelop flap -
pyramidal flap -
two line incision flap -
semilunar flap -
--------------------------------------------------------------------------------
for controlled type II diabetic patient which type of flap indicated for -63
surgical removal partially erupted horizontal impacted mandibular third
molar
modified Ward's flap -
envelop flap -
curvilinear (comma) flap -
three incision line flap -
----------------------------------------------------------------------------------
the normal range of lateral excursive mandibular movement -64
10-12mm -
15-20mm -
20-25mm -
25-30mm -
----------------------------------------------------------
patient with myofacial pain dysfunction syndrome usually complain -65
from
inability to open mouth -
clicking -

12
localized pain to preauricular area -
diffuse pain radiating to temprofacial region -
----------------------------------------------------------------
the flap design for the maxillary anterior teeth with crowns -66
semilunar flap -
Sub marginal flap -
triangular full mucoperiosteal flap -
rectangular full mucoperiosteal flap -
---------------------------------------------------------------------------

one of the following not included in basic principles of flap design for -67
Prevention of Flap Necrosis
the base of the flap should be broader than apex -
Flaps should have sides converge moving from the base to the apex of -
the flap
the length of a flap should be more than twice the width of the base -
an axial blood supply should be included in the base of the flap -
--------------------------------------------------------------------------
patient with maxillary deficiency commonly appear to have -68
adequate anterior teeth exposure -
deficiency of paranasal and infraorbital rim area -
a prominent chin -
a retruded upper lip-
---------------------------------------------------------------------------------
Which nerve fibers anaesthetized first -69
Large myelinated fibers -
Large unmyelinated fibers -
Small myelinated fibers -
Small unmyelinated fibers -
------------------------------------------------------------------------------
Which one of the following is the weakest vasoconstrictor -70
Epinephrine -
Norepinephrine -
phenylephrine -
levonordefrine -
------------------------------------------------------------------------------
If cartridge soaked in isopropyl alcohol for purpose of antisepsis, it -71
may result in
burning sensation during injection -
Inflammation at site of insertion -
Prolonged paraesthesia -

13
Mucosal ulceration -
------------------------------------------------------------------------------
rotameter on general anaesthesia is used to measure -72
pressure of gas in the cylinder -
pressure of halothane -
flow of gases in the tube -
-----------------------------------------------------------------------------------

Which of the following is not indicated to maintain airway in post -73


traumatic patient
Nasopharyngeal -
oropharyngeal -
binasal cannula -
Virtue mask -
---------------------------------------------------------------------------------------
patient present to emergency room with pain facial trauma with -73
fracture mandible and prepared for intubation for GA, which of the
following provide appropriate airway
oropharyngeal intubation -
endotracheal intubation -
submental intubation -
Cricothyridectomy -
--------------------------------------------------------------------------------------
patient take tricyclic antidepressant with local anaesthesia and -74
norepinephrine
lignocaine cause hypotension -
lignocaine cause hypertension -
norepinephrine cause decrease depression-
norepinepharine cause increase depression -
--------------------------------------------------------------------------------------
year old female patient prepared for tooth extraction and dental 18 – 75
implant and there was past history of episodic recurrent syncope and
shortness of breath , examination reveal slight systolic and minimal
murmur , this patient suffer from
hypertrophic cardiomyopathy -
mitral valve prolapse -
aortic regurgitation -
mitral valve stenosis -
----------------------------------------------------------------------

14
which of the following case is recommended for endocarditis -76
prophylaxis
coronary artery bypass graft -
surgically constructed pulmonary shunt -
mitral valve prolapse without regurgitation -
implanted defibrillator -
-----------------------------------------------------------------------------

the following drug can be administrated through endotracheal tube -77


except
Atropine -
Epinephraine -
glycopoyrrolate -
Naloxone -
-----------------------------------------------------------------------------------
what is the fentanyl opoid antagonist commonly used for clinical -78
anaesthesia
Flumazenil -
Naloxone -
------------------------------------------------------------------------------------
During GA procedure ,The patient show fever ,an unexplained -79
tachycardia, hypertension and early muscle rigidity , the following
anaesthetic agent may be a cause for this clinical finding except
succinylcholine depolarizing neuromuscular blockade agent -
halothane -
catecholamine -
non depolarizing neuromuscular agent -
-------------------------------------------------------------------
the primary effect of succinylcholine neuromuscular depolarizing -80
agent can be noticed frst on
eyelid -
abdomen -
shoulder -
hand -
------------------------------------------------------------------------------------
which of the following antihypertensive drug associated with gingival -81
enlargement
dilantin -
Inderal -
Thiazide -

15
phynotoin -
--------------------------------------------------------------------------------------
the most invasive and aggressive type of ameloblastoma -82
unicystic ameloblastoma of posterior mandible -
multicystic ameloblastoma of posterior mandible -
mulyicystic ameloblastoma of posterior maxilla -
-----------------------------------------------------------------------------------------

radiographic view for zygomatic arch fracture -83


water's view -
submentovertex view -
posterioanterior view -
lateral view -
---------------------------------------------------------------------------------------
the pharmacological action of Acyclovair -84
absolute inhibitor for B lymphocyte -
absolute inhibitor for T lymphocyte -
absolute inhibitor for B&T lymphocyte -
---------------------------------------------------------------------------------------
85- Respiratory embarrassment can occur in fracture
-angel.
-para symphysis.
-bilateral para symphysis
-bilateral subcondylar.
------------------------------------------------------------------------------------
86- The treatment of localized osteitis(dry socket)
-Debridement, curettage &sedative packing
-Curettage ,irrigation &sedative packing
-Irrigation &sedative packing
-None of above
-------------------------------------------------------------------------------
87- treatment of chronic osteomyelitis consists of
- culture sensitivity and prolonged antibiotic therapy
- culture sensitivity with antibiotic therapy and hyperbaric oxygen
therapy
-sequestrectomy ,surgical exploration and prolonged antibiotic therapy
after culture sensitivity.
sequestrectomy , surgical exploration and short course of antibiotic after -
.culture sensitivity
----------------------------------------------------------------------------------

16
88- most of Fluid in body water found in :
- Intracellular
-between cells
- interestatial cells
- plasma
--------------------------------------------------------------------------------------
--
89- The position of a pregnant woman when fainting
- right lateral
- left lateral
- Trandlberg
- supine
90- the signs present for patient with cerebral concussion
- fixed pupil
- dilated pupil
- narrowed pupil
- normal pupil
--------------------------------------------------------------------------
91- Battle s Sign is
-fracture zygoma.
-fracture anterior cranial fossa.
- fracture middl cranial foss
- fracture condyle.
------------------------------------------------------------------------------
aspirated foreign body goes to -92
right bronchi -
left bronchi -
according to size -
-----------------------------------------------------------------------
to make extraction for a patient following radiotherapy the best time -93
weeks 2 -
weeks 4-6 -
weeks 6 -
one year -
----------------------------------------------------------------------------
The dose of radiation that is consider risk factor for the development -94
of osteoradionecrosis
Gy 10 -
Gy 30 -
Gy 40 -
6oGy -
-----------------------------------------------------------------------------
the best suture material used for tongue -95

17
Vicryl -
blak silk -
chromic -
Nylon -
------------------------------------------------------------------------------
facial wounds are primary sutured at -96
hours 12 -
hours 24 -
hours 48 -
hours 72 -
-------------------------------------------------------------------------

97- the best radiographic view of tempromandibular


joint is given by:
-transorbital view
-reverse towen,s view
-transpharyngeal
-panorex
-----------------------------------------------------------------
the opposite radiographic view for reverse towen view -98
anteroposterior view -
posterioanterior view -
occipito mental view -
lateral oblique view -
-----------------------------------------------------------------------
the recommended preoperative fasting status for human milk infant -99
is how many hour
hour 2 -
hour 4 -
hour 6 -
hour 8 -
-------------------------------------------------------------------------------
the most unstable skeletal movement in orthognathic procedure -100
Genioplasty -
Transverse maxillary expansion -
maxillary inferior repositioning -
mandibular setback -
-----------------------------------------------------------------------
the best bone graft used in secondary alveolar cleft bone graft -101
procedure
Particulated cancellous bone -
Cortical bone -
Corticocancellous bone -

18
alloplastic bone -
-------------------------------------------------------------------------------------
which of the following is associated with the finding of bilateral -102
complex syndactyly of finger and toe
Apert syndrome -
Carpenter syndrome -
Crouzon syndrom -
Saethre- Coetzen syndrom -
--------------------------------------------------------------------------------------

103- viral infections which can seen in oral


cavity of patient with HIV
-Hairy leukoplakia
-Herpetic stomatitis
-Papilloma wartes
All of above-
-----------------------------------------------------------------------------
the main purpose for placing collagen membrane over an alveolar -104
ridge augmentation graft is
stabilize the graft -
prevent fibrous ingrowth -
give ridge contour on graft -
reduce vascular ingrowth to gain a hypoxic stimulus for bone -
regeneration
-------------------------------------------------------------------------------
The attachment of the bilaminar zone to meniscus of TMJ -105
anterior -
posterior -
lateral -
medial -
---------------------------------------------------------------------------
during inferior alveolar nerve block which of the following muscles -106
penetrated by the needle
medial pterygoid -
lateral pterygoid -
buccinator -
superior constrictor -
----------------------------------------------------------------------------------
During TMJ arthrocentesis the injection is performed -107
extracapsular -
intracapsular -

19
upper and lower joint space -
paracapsular -
-------------------------------------------------------------------------------
year old patient had finishing orthodontic treatement and require 12 -108
placement of dental implant in extracted upper first molar what should be
done
place short implant -
place large size implant -
wait until growth is finished -
--------------------------------------------------------------------------------------

‫التالى هو ماجموعة مان السائلة او النقاط التى جاءت فى الماتحان ولم اتذكر الخاتيارات جيدا‬

Diagnosis, the main treatment and antimicrobial therapy for -1


. actinomycosis

.The secondary goal in management of odontogenic infection -2

The toluidine blue test for tumors (Acetic acid 1% & toluidine blue -3
1%)

Management of Hyperventilation -4

Contents of the infratemporal fossa -5

Anatomical boundaries and communications of pterygopalatine fossa -6

Management of dental implant accidentally pushed into maxillary -7


sinus during step of Fixture placement

Disadvantage of buccal advancement flap used for closure of oroantral -8


communication

Advantage of Millard rotation flap for cleft lip repair -9

The height of vertical bone and width between the antral floor and the -10
crest of residual alveolar ridge in sinus lift procedure with subantral
augmentation with endosseous placement

The inhibitory mechanism of low dose long term Aspirin on platelet -11
function " antiplatelet aggregation " (Aspirin's ability to suppress the

20
production of prostaglandins and thromboxanes is due to its irreversible
inactivation of the (COX) enzyme)

The growth (The weight, density) of human adult skull in comparison -12
.to child

The device used for airway protection without gastric emptying for -13
.traumatized patient

Syndroms associated with increased risk of sustaining transient spinal -14


.neurologic deterioration after minor trauma

The radiographic pictures taken for the cervical spine for traumatized -15
patient: (AP or anterior-posterior view), (lateral view), and (odontoid
view). Additional pictures swimmer's view C7-T1 of the cervical spine
might be needed

.Syndromes associated with craniofacial synostosis -16

Direct immunofluorescence studies for Ulcers, vesicles, or -17


erythematous lesions suspicious for immune‐based diseases like
pemphigus, pemphigoid, and lichen planus

Type of tissue found in development and ossification of mandibular -18


symphsis

CPR (cardiopulmonary resuscitation) for intubated patient, the -19


number of chest compression and breath

Recommended and non recommended medication in pregnancy -20

The age and percentage at which Asymptomatic and radiographically -21


pathology-free retained third molars do possess the potential of cystic (or
neoplastic) transformation

Laboratory test used for patient with Cat scratch disease -22

Clinical picture and diagnosis of Nevus of Otta -23

The type of bone scan used for patient with malignancy and -24
osteomyelitis following T 99 bone scan

21
Function of Abducent (VI) cranial nerve -25

The most fatal bone lesion -26

the most common cause for developing bird face clinical picture -27

Clinical & Radiographic picture of esinophalic granuloma -28

Management of delayed postoperative bleeding for healthy patient -29


after tooth extraction

Blood supply for submandibular salivary gland -30

The first emergency drug of choice for shocked patient -31

Treatment of subcondylar fracture in children -32

Origin and insertion of pterygomandibular raphe -33

Management of Diabetic coma -34

Radiographic picture of cherubism -35

Clinical picture of hyperthyroidism -36

Absolute contraindication to hyperbaric oxygen -37

Clinical presentation of trigeminal neuralgia -38

Management of peripheral amelobastoma -39

Dautray's procedure-40

The drug used to antagonize benzodiazepine -41

Radio resistant tumors -42

Management of Hemophilic patient-43

Drugs contraindicated in Asthmatic patient -44

22
Drugs contraindicated in Renal failure -45

Pharmacology of Ibuprofen -46

Surgical steps for tracheostomy -47

Drug used to reverse effect of Heparine -48

management of inactive fibrous dysplasia in anterior -49


mandible

Management of mental nerve parasthesia following dental -50


implant placement

Management of implant mobility after one week of -51


placement
---------------------------------------------------------------------
‫ل تنسونا من صالح دعائكم والتوفيق للجميع ان شاء ال‬

References
Contemporary Oral and Maxillofacial Surgery, Hupp, Ellis, and Tucker, 5th Edition,
2008 Mosby

Handbook of Local Anesthesia, Malamed, 5th Edition, 2004, Mosby

Harrison's Principles of Internal Medicine, Fauci et al, 17th Edition, 2008, McGraw-
Hill

Maxillofacial Surgery, Vol. 2, Ward-Booth, Schendel, Hausamen, 2006, Elsevier

Medical Emergencies in the Dental Office, Malamed, 5th Edition, 2000, Mosby

Oral and Maxillofacial Surgery, Fonseca, Marciani, and Turvey, 2nd Edition, 2008,WB
Saunders

Oral and Maxillofacial Trauma, Foneseca el al, 2nd Edition, 2009, Elsevier Canada

Oral and Maxillofacial Trauma, in 2 Volumes, Foneseca el al, 3rd Edition, 2004,
Saunders

Oral Maxillofacial Surgery Clinics of North America, Journal volumes as listed, 1990-
2011, Elsevier

23
A patient suddenly becomes pale and
sweaty after an injection of 4ml of
lidocaine 2% with epinephrine l:l00,000.
The radial pulse is slow and steady. The
respiration is slow. The blood pressure is
80/60. What is the most probable
diagnosis?
A. A toxic reaction to lidocaine.
B. A toxic reaction to epinephrine.
C. An allergic reaction to the local
anesthetic.
D. Incipient syncope.
E. An impending adrenal insufficiency.

-A child with acute herpetic gingivostomatitis, the most appropriate treatment is


1-Topical antiviral.
2-Topical antifungal.
3-Antibiotic.
4-Analgesic & hydration management

instruments used for closed treatment of nasal fracture:


a- asch forceps
b- walsha forceps
c- boies fracture elevato

A patient has sustained head injury after MVA. He has cerebral concussion and is in coma. If the
patient stays in coma for how many hours, will there be residual nuerological deficit.
1
2
4
8 0r 6

How much of minimal cortical thickness is required around neck of implant


1
2

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3
1>>>>>>>>>>>>>>>bone support at the implant neck: 1-mm-thick cortical bone
(model 1), 0.5-mm-thick cortical bone
(model 2), absence of cortical bone (model 3), and absence of cortical bone with 0.5
mm of resorption
of marginal trabecular bone (model 4). T4

child 6 years have abnormal enamel and dentin and pulp in aquadrant your diagnosis is
a- hypodontoplasia
b-reginonal odontplasia
c-dentinogensis imperficta
d- amelogensis imperfecta

A surgeon is placing a dental implant irt #12. Implant displaced into sinus. What is next step?

Leave in the sinus, prescribe antibiotics and observe


Just leave it as it is
Explore and removal it surgically trans crestally
Wait for a week and remove it trans nasally after that

- 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
C. Cavernous sinus
D. Pterygoid plexus

The optimum Temperature when preparing a tap for inserting an implant is:
A. 30-40
B42-47
C.50-55
D.55-60

child had farcture of coronoid process ex. show right side have occl I and left side have occl II ,,
what u should do :
a-rigid fixation
b-flexible fixation
c-leave it
d- surgical removal of the fractured segament and bone graft

lesion arround impacted lower 8 mutilocular with corse septa slowly growing buccolingual with
root resorption
1- ameloblastoma
2-keratocyst
3-dentigerous cyst
4-giant cell granuloma

patient will make endo surgery, the dr give her block and still the tooth was not anasthetized ,
why ?
a- anesthesia spread so far in nerve
b- anesthesia spread with inflammatory fluid
c- inflammatory fluid make circulation cycle
d- …………………………………

Trauma blow in to r8 side of face with occular haemorrhage in r8 side and echymosis of buccal
sulcus and cant open his mouth
a-lefort1
b- le fort 2

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c- le fort
d- zygomatic

Pt with wide cleft lip and palate lip adhesion or nasoalveolar molding planned
Few week after birth
First – third month
Third to sixth
6–9

‫أ‬

pt with phynytoin u did gingivectomy u will wait for how much time to heal
a-3 days
b-5-7 days
c-months

least tooth causing crowding in lower arch (LEAST)


a- upper 6
b-lower 6
c-primary first molar
d-2ry pri mola

What is the CT scan cut for zygomaticfracture: (OBLIQUE PARASAGITTAL VIEW FOR
ORBITAL FRACTURES)
A. 0.5mm
B. 1-1.5mm
C. 15.2.5mm
D. 2.5-3.5

may

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 then surgery to mandible?
Mandibular advancement and reduction Genioplasty

‫فاعى‬

A patient walks into your clinic with subconjunctival ecchymosis without visualization of
posterior limit. (She also has black eye.? No nerve paresthesia. She gives h/o an
Orthognathic surgery done to correct mid face deformity. What would be the most
likely procedure

High Lefort 1
Quadrangular lefort 2
Lefort 3
Pyramidal Lefort 2
Quadrangular lef 1

A pt with Class 1 molar relation has normal chin and a defect in the anteroposterior relation of
her mand to maxilla relation. What Treatment plan

Genioplasty
Mandibular advancement with genioplasty
Lefort 1 with mandibular advancement

26
Local anesthetic of choice in uncontrolled hyperthyroidism
a) prilocaine
b) mepivacaine
c) bupivacaine
d) lidocaine

cause pain on mastication w limit function


1 m f p with dysfunction
2 arthiritis
3 internal drangment w out displacment

tunel fracture involve


1-1bone
2-2 bone
3-3bone
4-1and 3bone

Organism not seen in acute suppurative osteomyelitis

- s.aureus
-actinomyces
‫ماش فاكر‬

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……..?
Use 1:1000 adrenaline in to socket and soft tissue

What is the size of Maxillary Sinus:


A. 14 ML
B. 20ML
C. 9M?
d.30

As part of preoperative assessment for elective facial cosmetic surgery, photographs need to be
done
With ring flash
Flash at the side of the lens
With overhead flood lights
In natural light

Muscle control cleft palat ??


A.tensor palatini
B.levator palatini

tooth 36 on x ray no pdl after ex you found lesion like pearl on furcation
1-enamelpearl 2-hyper cemn 3- enostosis

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

A 34 year old female patient is rushed to the ER following MVA. Her limbs are cold and clammy.
The following vitals were recorded.

27
BP- 100/60 mm of Hg
HR- 100 /min
Temperature – 35.3 deg centigrade
Urine – negligible

Antibiotic for empiric treatment in end stage renal deficiency is:


A. Flagyl
B. Doxycillin
C. Clindamycin
D. Penicillin

As part of preoperative assessment for thyroidectomy surgery, photographs need to be done


With ring flash
Flash at the side of the lens
With overhead flood lights
In natural light

he optimum Temperature when preparing a tap for inserting an implant is:


A. 30-40
B42-47
C.50-55
D.55-60

‫د احمد السعيد‬
80% ‫السئلة لن تخرج عن هذا‬
‫ذاكرها كويس وزميل دخال المتحان وهو ده اللى جه‬

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