1 .
when you are doing difficult third molar extraction, what is the chance of Lingual nerve
injury?
1. >0.001%
2. 2-3%
3. 5-6%
4.10-12%
5. 15-30%
2 . orthodontist refer a patient for prophylactic ELA of lower last molar. According to NICE
guideline, which one of the following would leave the tooth remain?
1. acute sever periodontitis
2. chronic periodontitis of second molar
3. unrestorable teeth
4. prophylactic removal referred by orthodontist
5. associated pathology
3. pt came complain from pain in TMJ after day from doing RCT what u do?
A)reassurance , muscle relaxant ,review
B)reassurance , instruction ,review
C)refer
4.After giving IAN , how to evaluate effectiffness of anesthesia ?
a. probe lingually & buccally
b. ask the pt. of numbness
c. probe lingually
d. ask pt. about numbness of lip and tongue
5. 45. Risk of damage to lingual nerve during surgucal removal?
1. 0.5-2%
2. 3%
3. 10%
4. 0%
6. Pt cant close her mouth what is the condition
1.myofacial pain dysfuction syndrome
2. Disc displacement with reduction
3. Disc displacement without reduction
4. Dislocation
7.during placement of implat in lower lateral incisor area u faced with sever bleeding what migt
be damged
1.facial artery
2.lingual artery
3.Lingual vien
4.sublingual artery
8. 10)according to NICE guidline for extraction of impacted 3rd molar which is indication?
A)anterior crowding
B)one episode of pericoronitis
C)two episode of pericoronitis
9. .vicryl rapids loss 50% of tensile strength in how many days????
A.7 days
B.10 days
C.15 days
D.30 days
10-Resorbtion time of Vicryl suture ?
a) 10 days
b) 14 days
c) 21 days
d) 50 days
e) 70 days
11. Patient taking chemotherapy and presented to you complaining of pain and difficulty in
swallowing. this may be due to:
a-Acute xerostomia
b-Acute mucositis
c-Necrosis
d-Malignancy relapse
e-Fibrosis and stenosis
12. )during u doing surgical extraction of lower 8 there was massive bleeding ,, extraction was
difficult ,..pt came to u with numbness in lower lip & tongue nerve damge after surgical extraction what
u do?
A)reassurance and review 6 months later
B)refetr to OMFs
C)prescribe dexamethadone & review later
13. after u give IAN block..pt feel numbness..but u not able to work b.cpt complain of
pain what u will do next?
A)intraligmentary injection
B)intrapulpalanaesthesia
14.fine root fracture during extraction not mobile best action?
A)leave it
15. patient who cut his temporal area he lost sensation on temporal area and lost secretion capacity
on parotid gland
A) auriculotemporal nerve
b)facial nerve
c)marginal mandibular nerve
16. Best Flap for Lower premolar apicectomy :
A. Semilunar
B. Trapezoidal
C. Envelope
D. Triangular
17. Patient came to you 2 days after extaction of lower wisdom with pain and bla bla (Dry socket ),he
is
fit and well –no systemic manifestation Whats the treatment plan :
A. apply local measure and give strong antibiotic and analgesic
B. apply local measures and prescribe metronidazole 500mg and analgesic
C. apply local measures and prescribe analgesic only
D. irrigation and new pack
18. What is the least reason to extract Third molar tooth :
A. One or more episodes of infection such as pericoronitis, cellulitis, abscess formation;or
untreatable pulpal/periapical pathology.
B. Caries in the third molar which is unlikely to be usefully restored, or caries in the adjacent
second molar which cannot satisfactorily be treated without the removal of the third molar.
C. Periodontal disease due to the position of the third molar and its association with the
secondmolar.
D. Cases of dentigerous cyst formation or other related oral pathology
E. Cases of external resorption of the third molar or of the second molar where this would appear
to be caused by the third molar
19. Permanent damage to inferior dental nerve after third molar surgery
A. 1%
B. 3%
C. 5%
D. 8%
20. The Nerve affected when the tongue deviated to the right side is :
A. Right hypoglossal nerveZ
B. right glossopharyngeal
C. Vagus nerve
D. left hypoglossal nerve
E. left glossopharyngeal
21. Patients comes to you with an ulcer on the lateral border of his tongue. He wears a lower full
denture
and is complaining that his denture is loose and sore. How would you manage?
A. Refer the patient as an emergency case
B. Refer the patient to the oncologist
C. Relieve the denture and ask the patient to come in for a review
D. Send the patient to the Oral Maxillofacial surgery department
E. Take biopsy
22.After doing mesio-angular impaction of lower third molar, which suture material is best used to
close mucoperiosteal flap (SBA)
A. 3-0 Silk cutting needle
B. 3-0 Vicryl cutting needle
C. Catgut
23. Which nerve is associated with absent or affected corneal reflex ?
a) Facial nerve
b) Trigeminal nerve
c) Glossopharyngeal nerve
d) Optic nerve
e) Occulomotor nerve
24. Best way of giving oral health education
a) Nurse advice
b) Leaflet
c) Diagrams
d) Makesure thepatient understands what causes gum disease and dental caries
25. During surgery on the submandibular gland
a) An incision on the lower border of the mandible is safe
b) Thesubmandibular gland is seen to wrap around the posterior border of mylohyoid
c) The facial artery and vein are divided as they course through the deep part of the gland
d) The hypoglossal nerve is seen to loop under the submandibular duct
e) Damage to the lingual nerve will cause loss of sensation to the posterior third of the tongue
26. lady in 40s got TMJ pain for about few mths, she got divorced recently what is the first line
treatment
a) amitriptyline (antidepressant)
b) physiotherapy
c) occlusal splint
27. A patient came after two days of extraction, complains he had pain for two days,
examination
showed localized swelling, no lymphadenopathy. What is the first line of treatment?
a) Possible dry socket –irrigation and placement of sedative medicament
b) Irrigation – curettage of socket, antibiotics and analgesics
c) Irrigation and antibiotics
d) Possible root piece or bone piece take IOPA x-ray and analgesics
