MDS PREP
A patient is on periodic renal dialysis. Minor oral surgery should be performed
1. One day before dialysis
2. On the day of dialysis
3. One day after dialysis
4. One week after dialysis
Oral Surgery
Answer: 3
Minor oral surgery should be performed one day after dialysis in a patient who
is on periodic renal dialysis. This is because the patient's platelet count and
coagulation factors are usually at their lowest before dialysis, which could
increase the risk of bleeding.
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.
After the surgical removal of chronically infected teeth in a controlled diabetic patient, which of the following is of utmost importance
1) Postoperative check of patient for bleeding
2) Revaluation of insulin dosage being taken by the patient
3) Both the above
4) None of the above
Oral Surgery
Answer: 2
Diabetes affects wound healing and immune response. After surgery, stress and altered eating patterns can impact blood glucose levels. Monitoring and adjusting the insulin dosage as necessary is critical to prevent complications such as infection or delayed healing. Postoperative bleeding is important but secondary to glycemic control in diabetics.
Which of the following elevators fits well in the operator"s hand and can be rotated between the thumb and the finger
1. Couplan elevator
2. Hospital patteren elevator
3. Winter"s elevator
4. Warwick-James elevator
Oral Surgery
Answer: 4
The elevator which fits well in the operator's hand and can be rotated between the thumb and the finger is Warwick-James elevator.
Among the following which is advantage of sagittal split osteotomy over transoral vertical subcondylar osteotomy
1) Greater mandibular movement is achieved
2) Because it is intraoral procedure. No external scar is produced
3) Alone may be used to correct a mandibular retrognathism and prognathism
4) Less chance of injuring the inferior dental canal
Oral Surgery
Answer: 3
Among the given choices, the advantage of a sagittal split osteotomy over a transoral vertical subcondylar osteotomy is that it allows for greater mandibular movement. The sagittal split osteotomy is a surgical technique used in orthognathic surgery to reposition the mandible in cases of severe skeletal discrepancies. It involves splitting the mandible along the midline and moving the two halves apart, which can provide significant advancement or setback of the lower jaw. This technique may be used to correct both mandibular prognathism and retrognathism, making it a versatile option in orthognathic surgery. Additionally, it is associated with fewer complications compared to the transoral vertical subcondylar osteotomy, which involves cutting through the medullary bone of the condyle and can pose a higher risk of injury to the facial nerve and other vital structures. However, it's important to note that the choice of surgical approach is determined by the specific case and the individual patient's needs.