Oral Surgery Shorts - NEET MDS Dental PG Prep

#1 Oral Surgery

�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.

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Answer

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

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#2 Oral Surgery

In a pregnant patient experiencing syncope during dental extraction, the left lateral position is preferred to prevent supine hypotensive syndrome. When pregnant women lie supine, the enlarged uterus can compress the inferior vena cava, reducing venous return and cardiac output, leading to hypotension and syncope. The left lateral position relieves this compression and improves venous return.

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Answer

A pregnant patient in second trimester falls into syncope during extraction of upper molars. She should be kept in
1) Trendelenburg position
2) Head down towards her feet
3) Right lateral position
4) Left lateral position

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#3 Oral Surgery

Number 16 cowhorn forceps are specially designed to extract mandibular molars.

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Answer

Number 16 cowhorn forceps are specially designed to extract
1. Maxillary first and second premolars
2. Mandibular central incisors
3. Mandibular molars
4. Maxillary molars

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#4 Oral Surgery

Lidocaine is used more commonly in dentistry because it causes lesser incidence of allergic reactions.

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Answer

Lidocaine is used more commonly in dentistry because lidocaine
1. Causes less depression of CNS
2. Causes less cardiovascular collapse
3. Causes lesser incidence of allergic reactions
4. Is 50 times more potent than procaine

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#5 Oral Surgery

The most effective primary treatment for a pyogenic granuloma that requires definitive diagnosis and recurrence prevention is:

1) Topical corticosteroids

2) Cryotherapy

3) Complete surgical excision with margins

4) Laser therapy only

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Answer

The most effective primary treatment for a pyogenic granuloma that requires definitive diagnosis and recurrence prevention is:

1) Topical corticosteroids

2) Cryotherapy

3) Complete surgical excision with margins

4) Laser therapy only

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#6 Oral Surgery

Longest acting local anaesthetic is Bupivacaine.

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Answer

Longest acting local anaesthetic is
1. Bupivacaine
2. Tetracaine
3. Lidocaine
4. Both A and B

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#7 Oral Surgery

Needle breakage is a rare complication in local anesthesia, but it is most likely to occur during a mandibular nerve block (specifically, the inferior alveolar nerve block). This is because it involves a longer needle insertion into deeper tissues, closer to bone, increasing the risk of the patient suddenly moving or the needle bending and snapping at the hub.

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Answer

The needle is most likely to break when giving
1. infiltration anesthesia
2. posterior superior alveolar block
3. mandibular block
4. long buccal nerve block

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#8 Oral Surgery

Ludwig's angina is a rapidly spreading cellulitis involving the bilateral fascial spaces of the floor of the mouth.

It classically involves:

Submandibular spaces
Sublingual spaces
Submental space

The infection commonly originates from mandibular second or third molars and may compromise the airway.

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Answer

A 35-year-old male presents with a woody, board-like swelling of the upper neck and floor of the mouth following an infection of the mandibular second molar. He is drooling and exhibits upward and backward displacement of the tongue, causing an impending airway obstruction. This severe condition involves a simultaneous bilateral infection of which of the following anatomical compartments?�

1) Carotid sheath and retropharyngeal space exclusively

2) Submandibular, sublingual, and submental spaces

3) Parotid and masseteric spaces only

4) Sublingual and pterygomandibular spaces only�

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#9 Oral Surgery

The Campbell line is an important anatomical reference line used in radiology, particularly in the context of the occipitomental view (also known as the Water's view). This line is drawn from the outer canthus of the eye to the midpoint of the maxillary sinus and is used to assess the position of the maxillary sinuses and other related structures in the skull.

Occipitomental view: This view is commonly used in maxillofacial imaging to visualize the maxillary sinuses, orbits, and nasal cavity. The Campbell line helps in evaluating the relationship of these structures.

Transpharyngeal view: This view is used to visualize the pharynx

Transorbital view: This view focuses on the orbits and surrounding structures

Towne view: This view is used to visualize the occipital bone and the base of the skull

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Answer

Compbell line is seen in
1) Transpharyngeal view
2) Transorbital view
3) Occipitomental view
4) Towne view

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