Bhatia’s Dentogist | MCQs in Oral Surgery
DISEASES OF TMJ, MAX. SINUS, CRANIAL NERVES AND SALIVARY GLANDS
Part 3: Oral and Maxillofacial Surgery
Bhatia’s Dentogist: MCQs in Dentistry
Part 3 : Oral and Maxillofacial Surgery (Diseases of TMJ, Max. Sinus, Cranial Nerves and Salivary Glands.)
- An excisional biopsy is characterized by?
A. Using a trephine
B. Exfoliative cytologic technique.
C. Including normal tissues and most of the lesion
D. Including normal tissues and all of the lesion - Which is the correct statement regarding facial nerve palsy in temporal bone fracture?
A. More common with transverse fracture
B. More common with longitudinal fracture
C. Facial palsy is of immediate onset.
D. It is always associated with CSF leakage - Following a Caldwell- Luc procedure a nasal antrostomy is done through the: (AI 2001)
A. Superior meatus
B. Middle meatus
C. Inferior meatus
D. Middle and inferior meatus - Which of the following procedures can be used to treat an oro-antral fistula resulting from denture surgery: (AI 2001)
A. Buccal mucoperiosteal flap
B. Palatal mucoperiosteal flap
C. Bridge flap
D. Palatal island flap - Desiker’s operation may result in injury to which nerve: (AI 2001)
A. Posterior superior alveolar nerve
B. Anterior superior alveolar nerve
C. Greater palatine nerve
D. Nasopalatine nerve - Nerve that may be injured in submandibular incision:
A. Marginal mandibular bunch of facial nerve
B. Hypoglossal
C. Mylohyoid nerve
D. Lingual nerve - Unilateral TMJ ankylosis is associated with the following features, except: (AI 2004)
A. Multiple carious teeth
B. Facial asymmetry with fullness on the normal side of mandible
C. Chin deviated towards the affected side
D. Prominent antegonial notch on the affected side. - Sialography cannot be used in which condition?
A. Viral Parotitis
B. Salivary Duct Stone
C. Contracture of Duct
D. None - Best incision to expose the TMJ without dividing temporal fascia for ankylosis surgeries? (PGI Dec 2007)
A. Ross Incision
B. Preauricular Incision
C. Risdon Incision
D. Alkayat Bramley Incision - In a 10 year old child with TMJ Ankylosis, the treatment of choice is? (PGI Dec 2007)
A. Gap Arthoplasty
B. Interpositional Gap Arthoplasty
C. Gap Arthoplasty With Costo-chondral Graft
D. None - Hydrocortisone Acetate is injected in a painful arthritic TMJ to? (PGI Dec 2008)
A. Increase the blood supply
B. Lubricate the synovial joint.
C. Anesthetize the nerve supply
D. Decrease the inflammatory response. - Traumatic injury of a nerve causing paresthesia is: (PGI June 2006)
A. Neuropraxia
B. Neurotemesis
C. Axonotmesis
D. Toxolysis - The oral cleft problem occurs between the period of (KCET 2007)
A. 1st and 2nd week of embryo foetal life
B. 6th and 10th week of embryo foetal life
C. 3rd week of embryo foetal life
D. None of the above - Frey’s syndrome can occur following:
A. Saggital split osteotomy
B. Cald-wel-luc operation (KCET 2007)
C. Parotidectomy
D. Marsupialization - Generalized microdontia is often associated with:
A. Pituitary dwarfism
B. Pituitary gigantism
C. Hereditary ectodermal dysplasia
D. All of the above - The treatment of unilateral TMJ ankylosis in a 8-year-old child would be:
A. Simple gap arthroplasty
B. Condylectomy
C. Gap arthroplasty with costochondral grafting
D. High condylotomy with costochondral grafting - The ideal surgical approach to TMJ ankylosis is:
A. Endaural
B. Submandibular
C. Postauricular
D. Preauricular - Interposition of temporal muscle and fascia in treatment of TMJ ankylosis is advocated:
A. To prevent ankylosis
B. To prevent erosion of glenoid fossa due to movement of ramal end
C. To provide soft pad for easy movement of ramal end
D. None of the above - Which of the following is/are causes/s of TMJ ankylosis?
A. Trauma
B. Middle ear infection
C. Rheumatoid arthritis
D. All of the above - In surgical management of TMJ ankylosis, one can encounter excessive bleeding from:
A. Inferior alveolar artery
B. Internal maxillary artery
C. Pterygoid plexus of veins
D. All of the above - In unilateral TMJ ankylosis the chin is deviated to:
A. The affected side
B. The contralateral side
C. No deviation seen
D. Side where growth is occurring - In a bilateral TMJ ankylosis case the chin would be deviated to:
A. Side of intense ankylosis
B. Side where more movement is present
C. No deviation
D. None of the above - Dautrey procedure is a treatment modality for:
A. TMJ clicking
B. TMJ dislocation
C. TMJ arthritis
D. TMJ ankylosis - A patient complains of pain in TMJ area on mastication, his muscles of mastication are tender and an audible click is there, these features are characteristic of:
A. MPDS
B. Traumatic subluxation
C. Rheumatoid arthritis
D. Rheumatic arthritis - The hypertonic saline or sclerosing solution is used for conservative management of TMJ subluxation and dislocation. These injections are given:
A. In superior compartment
B. In inferior compartment
C. Paracapsular
D. In the articular disc - In TMJ osteoarthritis which medicament is injected in TMJ?
A. Sodium morrhuate
B. Hydrocortisone
C. Sodium salicylate
D. Hypertonic saline - Myofascial pain dysfunction syndrome can be precipitated by:
A. High filling or malocclusion
B. Psychogenic factors
C. Bruxism
D. All of the above - Arthroscopy is a technique by which:
A. The inside of joint can be seen from outside but for treatment open surgery is required
B. The inside of joint can be seen and operated from outside, without any open surgery
C. Dye is injected into the joint and serial radiographs are taken to see movement of disc in the joint
D. Dye is injected into the joint and outline of joint cavity is delineated to see any bony erosion spur formation, etc. - A patient who reports with B/L dislocation of TMJ should be managed:
A. Manually without LA
B. Manually with LA
C. Under GA only
D. Surgically under GA - The management of recurrent TMJ dislocation is:
A. High condylotomy
B. Eminectomy
C. Dautrey procedure
D. All of the above - A patient of MPDS with typical psychosomatic aetiology should be prescribed:
A. Carbamethexanol
B. Diazepam
C. Fomentation and cold compresses
D. All of the above - Berger’s flap for OAF closure utilises a:
A. Palatal flap
B. Buccal flap
C. Only a mucosal mobilisation
D. None of the above - A palatal flap has high success rate in management of OAF because:
A. Abundance of tissue
B. Branch of palatal artery is also mobilised
C. It is resistant to infection
D. Of fatty layer there are less chances of tear - If nasal antrostomy is planned after OAF closure opening should be made in:
A. Middle meatus
B. Inferior meatus above nasal floor level
C. Inferior meatus at nasal floor level
D. Just above middle concha - OAF should never be closed if:
A. Palatal mucosa is deficient
B. Signs of infection are present
C. Opening is too large
D. Patient is to have a complete denture - If on removing a tooth, one realises that a large OAF has been formed:
A. Immediate primary closure should be done
B. Closure should be done after 7 days
C. The sinus should be irrigated, lavaged for 2/3 days then closed
D. None of the above - Nasal decongestants are prescribed in management of OAF to:
A. Allow drainage
B. Shrink antral lining
C. Prevent infection
D. Make breathing easier - Sialoangiectasis denotes:
A. Salivary gland and duct system as vastly dilated
B. A sialolith is present
C. A stricture in duct is present
D. Chronic inflammation of salivary gland - The treatment of parotid abscess is:
A. Antibiotics only
B. Dilation of duct and (A)
C. Incision parallel to facial nerve branches and drainage with (A)
D. Fomentation with (A) - The stone in anterior submandibular salivary gland duct should be removed by placing the incision:
A. Medial to plica sublingualis
B. Lateral to plica sublingualis
C. Never in anterior region
D. Just superficially in 2nd-3rd molar region - Once the stone in submandibular salivary gland duct has been identified the incision should be placed:
A. Longitudinally and duct sutured
B. Transversely and duct sutured
C. Longitudinally and surgical wound closed without suturing the duct
D. Transversely and surgical wound closed without suturing the duct - While removing a submandibular gland one encounters:
A. Facial artery, facial vein, cervical branch of facial nerve and lingual nerve
B. Facial artery, facial vein, cervical branch of facial nerve only
C. Facial artery, facial vein, hypoglossal nerve only
D. Facial artery, facial vein, marginal mandibular branch of facial nerve only - The early manifestation of sialadenitis on a sialogram is:
A. Terminal acini are dilated
B. The acinar system is dilated
C. The ductal system is dilated
D. Constriction of ductal and acinar system - Warthin’s tumour is:
A. Malignant parotid tumour
B. Benign submandibular tumour
C. Benign parotid tumour
D. Any tumour of salivary glands which can be benign or malignant - Mucoepidermoid tumour is:
A. Malignant
B. Benign
C. Squamous cell tumour of salivary gland
D. Same as adenocarcinoma - Cylindroma:
A. Is malignant tumour
B. Is slow growing but metastasises
C. Shows extensive invasion
D. All of the above