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NEETMDS- Oral Surgery mcq
MDS PREP

The sterilising units should be monitored at which of the following intervals 
 1. Daily
 2. Weekly
 3. Biweekly
 4. Monthly

Oral Surgery Answer: 2


Sterilizing units should be monitored weekly to ensure proper function and
efficacy in killing bacteria and other microbes. This is done through
biological, chemical, and physical indicators.


A dermatome is used  
 1. To remove scar tissue
 2. To harvest skin grafts
 3. To abrade skin which is pigmented
 4. For pairing of lacerated soft tissue
Oral Surgery Answer: 2

A dermatome is used to harvest skin grafts.


The addition of hyaluronidase to a local anaesthetic solution might
1) Increase the duration of anaesthesia
2) Limit the area of anaesthesia
3) Reduce bleeding
4) Enhance diffusion of local anaesthetic
Oral Surgery Answer: 4

Hyaluronidase is an enzyme that breaks down hyaluronic acid, a component found in the extracellular matrix. When added to a local anesthetic, it increases the permeability of tissues, facilitating enhanced diffusion of the anesthetic agent into the surrounding areas. This can broaden the spread of the anesthetic, allowing for a more effective and comprehensive blockade of nerve signaling.

Which of the following should be included in the preoperative orders? 
 1. NPO from midnight
 2. Take written informed consent
 3. Void on call to the OR
 4. All of the above
Oral Surgery Answer: 4

Which of the following should be included in the preoperative orders: All of the above.


All of the following statements of nasal fractures are true except
1) Even if minor, they may be followed by bilateral ecchymosis and facial oedema
2) They may need to be reduced for a few weeks
3) They need not be complicated by traumatic telecanthus
4) They may lead to the telescoping of the nasal complex into the frontal sinus
Oral Surgery Answer: 2

Nasal fractures, even minor ones, can lead to bruising (ecchymosis) and
swelling (edema) around the nose and face due to the vascularity of the area.
 Most nasal fractures, especially minor ones, do not require reduction
(surgical realignment) unless there is significant displacement or functional
impairment. Typically, if reduction is necessary, it is done shortly after the
injury, not for a few weeks.
Traumatic telecanthus (increased distance between the inner canthi of the
eyes) can occur with severe nasal injuries, but it is not a necessary
complication of all nasal fractures.
Severe nasal fractures can lead to complications such as the telescoping of
the nasal complex, which may involve displacement into adjacent structures,
including the frontal sinus.

The maximum dose of lignocaine without adrenaline that can be administered to a patient is 
 1. 4 mg/kg body wt
 2. 5 mg/kg body wt
 3. 5 mg/kg body wt
 4. 9 mg/kg body wt
Oral Surgery Answer: 3

The maximum dose of lignocaine without adrenaline that can be administered to a patient is 5 mg/kg body wt.

In a 19-years-old patient with a swelling over the left angle of the mandible, temperature of 38 degree celcius and negative history of trauma, one should suspect
1) Spontaneous fracture of the mandible
2) Pericoronal infection
3) Mumps
4) Sjorgen"s syndrome
Oral Surgery Answer: 2

Explanation:In this scenario, the presence of swelling and fever in a young adult, particularly in the area of the mandible, suggests a pericoronal infection, which is often associated with the eruption of third molars (wisdom teeth). The lack of trauma further supports this diagnosis, as pericoronal infections are common in the absence of direct injury.

Which of the following is preferred local anaesthetic technique for haemophilics 
 1. Nerve block
 2. Supraperiosteal
 3. Intraligamentary
 4. Field block
Oral Surgery Answer: 3

Intraligamentary anaesthesia is the preferred local anaesthetic technique for haemophilics.

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