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NEET MDS Quiz - Practice Test

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Oral Surgery - 3 Questions

1
Oral Surgery
30-years-old female patient with a BP of 150/80 requires treatment. You would
1) Recommed general anaesthesia
2) Seek medical treatment to lower BP
3) Refer the patient to an oral surgeon
4) Use sedation preoperatively

πŸ“ Explanation:

For a 30-year-old patient with BP 150/80 mmHg requiring dental treatment, preoperative sedation is the most appropriate approach. This blood pressure reading indicates stage 1 hypertension, which is not severe enough to contraindicate dental procedures but may benefit from anxiety reduction through sedation to prevent further BP elevation during treatment.

2
Oral Surgery
During extraction of a maxillary molar a root tip is left in the maxillary sinus. The treatment of choice is 
 1. Perform Caldwell-Luc to remove the tip
 2. Perform hemi maxillectomy
 3. Enlarge opening in the socket area
 4. No treatment indicated

πŸ“ Explanation:

Perform Caldwell-Luc to remove the tip: The Caldwell-Luc procedure (or a modified, less invasive version) has long been considered the standard surgical method for retrieving a displaced root or foreign body from the maxillary sinus, especially when it is mobile within the sinus cavity or the condition has become chronic. It involves creating a small bone window in the anterior wall of the maxillary sinus to access and remove the fragment.

3
Oral Surgery
Dry socket following extraction of a tooth is caused due to:

1. Staph aureus infection.
2. Distintegration of blood clot.
3. Prolonged antibiotic cover.
4. Unsutured socket.

πŸ“ Explanation:

Dry socket, also known as alveolar osteitis, occurs when the blood clot that forms in the socket after a tooth extraction is dislodged or dissolves prematurely. This leaves the underlying bone and nerve endings exposed, leading to significant pain.

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