Note to whoever is reading this—

It is our opinion that reading about particular topic in each question

will help in solving the MCQ in exam easily than solving this MCQ with
incomplete option.

Also, the choices given may not be entirely correct as it has been
recalled from memory.

However the answers given may not be what THE SCrFHS may deem to
be correct. But it’s my assurance that the answers given are in
accordance to standard text books(as prescribed on their own
website)

It has been the experience of test takers that up to 10 questions per

test are virtually unanswerable.

Following statement is true about ibuprofen

It cannot cross placenta

It mainly excreted by hepatobiliary route

Its peak plasma level after 6 to 8 hr

Its largely bound to plasma protein

24 year women with history of fatigue and lethargy and history of

syncope. Clinically mid systolic click with late systolic murmur.
Probably she is suffering from

Hypertrophic Cardiomyopathy

Mitral valve prolapse

Aortic regurgitation

Mitral stenosis

1
Cleft palate patient prepared for modified lefort I osteotomy. How much
advancement the surgeon plans to counteract relapse during
osteotomy and bone graft healing period and to adjust posterior placed
condyle intraoperatively.

1mm

2mm

4mm

6mm

A 24 year woman with history of fall with fracture central incisor

comes to clinic for extraction and immediate implant placement. She
gives history of fatigue and lethargy and history of syncope. Clinically
mid systolic click with late systolic murmur. What is your line of
management in this pt

Avoid local anaesthesia with vasoconstriction

SABE prophylaxsis

Lab investigation for bleeding problem

Do nothing

Pt on TCA, Local anesthesia with norepinephrine

Lidocaine induces hypotension

Norepinephrine induced hypertension

Norepinephrine induced relapse of depression

Lidocaine induced relapse of depression

Pt after lower third molar surgery suffer severe bleeding, how will you
control bleeding

Local anesthesia with adrenaline , remove clot, pack and suture.

Remove clot, place gelfoam, apply pressure, LA with adrenaline, suture

Give vitamin K……..?

2
Use 1:1000 adrenaline in to socket and soft tissue

8 year girl require lower molar extraction due to severe caries. Gives
history of bleeding. On lab investigation, increased bleeding, increased
APTT, normal PT. she is suffering from

Factor eight deficiency

Van willebrand factor deficiency

DIC

Thrombocytopenia

Orbital cellulitis is caused by

Paranasal sinus infection ??

Soft tissue infection of orbit

Orbital floor trauma which gaze cause diplopia

Upward and lateral

Upward and medial

Downward and lateral

Downward and medial

24 year female with angle fracture. Surgeon decides to fix with

compression plating technique. Following is true

Less chance of motor and sensory nerve injuries

Will need two week IMF postop

Should be approached extraorally

Will heal by secondary intension

Greenstick fracture

3
Fracture of onside of the bone without fracture of other side

Fracture on side and bent on the other side

Will cause severe displacement of while fixation

Compound fracture

Multiple fracture at on site

Severe loss of tissue around the fracture

External communication through oral cavity

Ptosis

New born the mandible is separated in the midline by

Synovial joint

Fibrous joint

Cartilaginous tissue

Fibrous tissue

Commonest cause of myofacial pain

Degenerative joint disease

Internal derangement without reduction

Internal derangement with reduction

4
 Endotracheal tube medication

Atropine

Glycopyrolate

Vasopressin

Naloxone

Here is my mnemonic for endo trac drugs

Drugs that can be given via Endotracheal Tube
1."NAVEL"
N arcan
A tropine
V alium (Diazepam)
E pinephrine
L idocaine

2. ALADIN
a.....atropine
l.....lignocaine
a.....adrenaline
d......diazepam
i.....isoprenaline
n........naloxone

TMJ ankylosis. To pt. induced by inhalation anesthetic after 60

minutes pt produces crowing sound and severe chest wall movement.
Drug which will be not be useful is

IV Propofol

IV lidocaine

Succinyl choline

Fentanyl

Local anaesthetic which can be only injected

Tetracaine

Benzocaine

5
Prilocaine

Etidocaine

Pt with class 2 with good chin

Advancement genioplasty

Increase orthodontically class 2 condition and maxillary setback?

Orthodontically increase and protrude incisors to class 3?

Mandibular advancement and reduction Genioplasty

Ca alveolus and buucal mucosa. Mandibulectomy with SND2.

Reconstruction of choice

Fibula oseocutaneous free flap

Temporalis

SCM

Skin graft

12 yr with orthodontic treatment missing #6, need implant replacement

Wait till growth is complete

Larger implant

Smaller implant

Speed of bur in Dentoalveolar surgery

120 – 200
600-2000
1200 – 2000

6
12000 – 20000

20000 – 40000

18 year old with impacted third molar bilateral with soft tissue and
bone chance of eruption is

10 – 30%

30 – 50%

50 – 80%

100%

Surgeon plans for surgery. Desires decreased secretion with slight

depression of CNS, drug of choice

Atropine

Scopolamine

Glycopyrolate

Fluid of choice in surgical shock

NS

DNS

RL

Plasma

Hepatitis B can be transmitted by all except

7
Dialysis

Blood products

Transfusion

Child birth

Pt with wide cleft lip and palate lip adhesion or naso alveolar molding
planned

Few week after birth

First – third month

Third to sixth (4-5 months)

6–9

PWBooth 2 1021 pg. first paragraph

Prosthodontist desire angulation of implant 30 degree.

Place implant straight

15 degree angulation

30 degree angulation

Revaluate

Prediction of operation time in third molar surgery

Depth of impaction

Approximation of teeth to vital structures

Root pattern angulation ?

8
Absolute indication of root tip fractures removal

Above apical third

Close to vital structures

Fracture while luxation

Infected root can cause a major concern

Cyclosporine

Increase T, decrease B lymphocyte

Decrease T, Increase B lymphocyte

Decrease T and B lymphocyte

Decrease T lymphocyte only

Lateral pharyngeal space infection posterior compartment can lead to

External jugular thrombosis

Carotid artery rupture

Recurrent laryngeal nerve damage

Odontogenic infection following not true

Mucormycosis most common in DM

25% animal bite staph. 25% human bite P. Multicida?

Chronic maxillary sinusitis both aerobic and anaerobic

9
Ac Max sinusitis – Strep Pnuemonia

Chr. Max sinutis – Both aerobic and anerobic bacteria

Srious infection in human bites due to Eikinella sp.

Regular infection in human bites due to staph and Strepto

Rabies and tetanus shots mandatory in animal bites

Pencillin or Augumentin drug of choice

Flap design following is not true

Apex smaller than base

Length not greater than base

Axial vessel in the base

No manipulation at base

Post CA upper lip 80% loss. Reconstruction

Wester – bernald flap

Perialar advancement flap

Abbe flap

Radial ?

10
Oroantral communication 4mm managed by Moczair Buccal sliding flap

Decrease vestibular depth

Bone exposure on either side

Retropharyngeal abscess driange

Intraoral

Pharyngeal

Anterior to SCM

Angle of mandible

11
Increase serum sodium level

Dehydration

Renal problem

Liver problem

GI?

DM period of control evaluation

HbA1c

FBS

GTT

24 hr serum creatinine

Curettage and enucleation true

Indicated in OKC

Removal of bone 5mm or 1cm

Treatment of Dentigerous cyst

COPD pt for extraction of multiple teeth you will give

2.5 L oxygen

4L oxygen

6L oxygen

No need if its only COPD

12
True Mandibular asymmetry can be detected by

Dental midline and midsymphseal mismatch

Lateral shift in Centric occlusion

Bilateral Edge to Edge cross bite in CO

Mid saggital and Midsymphseal mismatch

Prevention or management of alar base widening in maxillary

osteotomy by

Single layer closure of mucosal incision

Alar Cinch suture with non resorbable suture

Nasal septum suture to nasal spine

By avoiding superior placement of maxilla

Lip length in normal adult will be

Equal to commissural height

Less than commissural height less in 2-3 mm

More than commissural height

Nerve through internal acoustic meatus

CN 9

CN 10

CN 7

13
CN 6

True about penicillin is

Narrow spectrum

Broad spectrum

Bacteriostatic

Highly toxic

Posterior iliac graft nerve injured is

Lateral cutaneous

Lateral femoral

Superior cuneal superior cluneal nerves

Abscess not involving airway true is

Cellulitis more dangerous than abscess

Abscess more dangerous than cellulitis

Suture in Hermitically sealed wound

Interrupted suture

Continous suture

Subcuticular suture

14
Suture 1-0

Dsyesthesia is

Unpleasant sensation due to normal stimuli

Increased pain sensation to normal stimuli

Increased sensation to painful stimuli

Anaesthesia for a prolonged period of time

Maxillary molar teeth extraction infection spreading in to cranium

through all except

Superior ophthalmic vein

Inferior ophthalmic vein

Pharyngeal plexus

Commonest aerobic organism in odontogenic infection

Staph
viridans. anaerobic:bacteroid
Strept

Bacteriods

Calvarial bone formed by

Intramembraneous ossification

Endochondral ossification

15
 –

Hydrostatic pressure causing TMJ degeneration based on theory

Hypoxic – reperfusion theory through xanthine oxidase and free radicals formation

1- The most complaint of patient with acute infection is:

A. Calor (Heat) (I assume the main symptom is Pain and main sign is redness)
B. Dolor (Pain)
C. Tumor (Swelling)
D. Rubor (Redness)

2- In surgical shock the patient should be given:

A. Normal Saline
B. Lactated Ringers ++
C. ?
D. ?

3- While doing implant in #22 severe bleeding is encountered. The surgeon should:
A. Continue implanting
B. Pack the socket and reevaluate ++
C. Fill the socket with bone and continue implant
D. Place surgical stent and follow up patient the following day

4- The forceps used for extraction of of 2nd mandibular molar with decayed crown is:
A. No 23 ++
B. No 151
C. No 286
D. 88

5- The following day of inserting and implant in #22, the patient returns complaining of
numbness. Management is:
A. Remove the implant
B. Surgical exploration of the area
C. Keep the implant in site since the numbness will resolve spontaneously in few days
D. Follow up for few days to and remove implant if numbness persists ++

6- In 12 year old patient, after doing extraction of maxillary first molar for orthodontic
treatment, what implant is required:

16
A. Use correct size implant
B. Use smaller size implant
C. Use larger size implant
D. Do not implant but wait until full growth is reached. ++

7- What feature is seen in renal failure is:

A. Hypocalcemia++ (Hyperkalemia + Hypocalcemia + Hyper Magnesemia)
B. Hypokalemia
C. Hypernatremia
D. Metabolic alkalosis

8- Buccal branch of facial nerve supplies:

A. Buccinator
B. Buccinator and inferior orbicularis
C. Buccinator and superior orbicularis
D. Buccinator and orbicularis oris++

9- In an upright position, blood from medial cantus, lateral nose and upper lip drains into:
A. Inferiorly to the facial vein
B. Superiorly to facial vein ++ (I assume This one)
C. Cavernous sinus
D. Pterygoid plexus

10- After doing bimaxillary osteotomy and fixation the surgeon realises that the occlusion is
unstable. Management is:
A. Remove maxillary fixation and stabilise the occlusion and fix again
B. Remove mandibular fixation and stabilise the occlusion and fix again
C. Remove both maxillary and mandibular fixation and stabilise occlusion and fix again
D. Do nothing

11- In thrombocytopenic patient, extraction of upper molar is contraindicated when platelets

count is:
A. Less than 40000 mm³
B. Less than 80000 mm³ ++
C. Less than 150 mm³
D. Less than 250mm³

12- Antibiotic of choice for treatment of osteomyelitis is:

A. Clindamycine
B. Penicillin (I assume 1st choice is Penicillin and then Clindamycin)
C. Ceftazine(Or may be it was ceftazidime OR Cefepime) ?
D. ?

13- The test for determining if a patient is affected with cat-scratch disease is:
A. Handberg ?(It should be Warthin–Starry stain but this test was not included)
B. special staining of Bartonella henselae in tissue biopsy
C. Skin protein test? after immunoflourescence and elisa serum assays
D.

14- Adrenaline dose in intubated patient is:

A. 1 mg in 1 ML
B. 1 mg in 10 ML ++ (Assumingly this one)
C. 2.5 mg 2.5 ML

17
D. 2.5 mg in 10 ML
Abubaker OMfs secrets given at the beginning point number 86.– If given thru ET
tube, adrenaline(or any drug) should be given 2- 2.5 times the normal dose. So
answer Is D

15- After doing CPR to an adult patient the pulse returns but without breath. Management is:
A. Provide rescue breathing at rate of 10-12/mint ++
B. Provide rescue breathing at rate of 5-6/mint
C. Put the patient in recovery position
D. ?

16- What is the CT scan interval for zygomatic fracture:

A. 0.5mm
B. 1-1.5mm
C. 15.2.5mm
D. 2.5-3.5 (May be this one ++)
1.25 mm ideal for ZMC.
OBLIQUE PARASAGITTAL VIEW FOR ORBITAL FRACTURE 0.5 mm

17. Axial CT scan view. What can u see better.

a. Superior wall
b. Medial wall
c. Lateral wall
d. Floor wall

18- In maxillofacial trauma patient with suspected injury to cervical thoracic vertebra, the
diagnostic radiograph is:
AP

B. Odontoid View
C. Swimmers view
D. ?

Cross table lateral - SWIMMERS VIEW c7 and t1 vertebrae.

19- The fastest nondepolarising neuromuscular drug is:

A. Succinylcholine
B. Artacurium
C. ?
D. ? (Vecuronium 60 Sec / Rocuronium 75 Sec)

19- All is true about facial nerve except:

A. The facial nerve leaves the skull with accessory nerve through the jugular foramen ++
B. ?‫ﻻﺃأﺗﺫذﻛﺭرﻫﮬﮪھﺫذﺍاﺍاﻟﺧﻳﯾﺎﺭرﻟﻛﻧﻬﮭﻛﺎﻧﻛﺎﻧﺻﺣﻳﯾﺣﺎ‬
C. ?‫ﻻﺃأﺗﺫذﻛﺭرﻫﮬﮪھﺫذﺍاﺍاﻟﺧﻳﯾﺎﺭرﻟﻛﻧﻬﮭﻛﺎﻧﻛﺎﻧﺻﺣﻳﯾﺣﺎ‬
D. ?‫ﻻﺃأﺗﺫذﻛﺭرﻫﮬﮪھﺫذﺍاﺍاﻟﺧﻳﯾﺎﺭرﻟﻛﻧﻬﮭﻛﺎﻧﻛﺎﻧﺻﺣﻳﯾﺣﺎ‬

20- Skin below the ear (Or may be it was behind ramus of the mandible) covering the
parotid gland is supplied by:
A. Superficial temporal
B. Greater oricular++
C. Temporal nerve

18
D. ?

21- The optimum speed of rotation when preparing a tap for inserting an implant is:
A. 30-40
B. 40-60 ++
C. 60-80
D. 80-100
Dr Khaled all sources I got suggest speed of drill tap at 15 rpm(including Omar
abubaker ) with max of 20 rpm. So the closest is a. So I am not sure of how u chose it. If
sure of ur answer do share the reference

22- Patient with Osteomyelitis treated with sequestrectomy and prolonged antibiotic but
without improvement. Management is:
A. Review culture results
B. Give longer antibiotic regime
C. ?(May be repeat procedure is the right answer)
D. ?

22a. Which is the best way to monitor osoemyelitis

Scintigraphy

23- Difficulty of tooth extraction is determined by:

A. Limited mouth opening and root pattern. ++
B. Space between Second molar and ramus
C. Root Angulation
D.

24- Patient returned the following day after extraction with gross bleeding from socket.
Management is:
A. Irrigate and apply packing to stop bleeding and local anesthesia.
B. Gentle exploration of socket and local anesthesia. ++
C. ?
D. ?

25- Chemotherapy results in

A. Reduced count of WBC
B. Reduced count and function of WBC (I assume this is the right answer) ++
C. Reduced function but normal count (Dr Khaled friend is hematologist)
D. Reduced count but normal function

26- What is the size of Maxillary Sinus:

A. 14 ML ++
B. 20ML
C. 9M? orbit 30 cc
D. ?

27- Cell life cycle phases

A. 2
B. 3
C. 4 (This is correct if u do not consider G0 phase which is the resting phase)
D. 5 { Go , G1, S, G2 Mitotic phase}

19
Answer is c because lit is in favor of 4. Generally G0 is not considered

28- In Internal disk derangement the disk is displaced

A. Anterior and straight ++ Assumingly this one
B. Anterior and Medially
C. Posteriorly
D. Anterior Laterally

29- Sublingual Space is bounded posteriorly:

A. Communicated with submandibular space (Contemporary Peterson)
B. Mylohyiod muscle
C. ?
D. ?
E.

30- Syndrome question = Facial paralysis + fissural tongue + swollen lip

A. Melkersson-Rosental Syndrome ++

31- Syndrome question

A. Crhon syndrome
B. Carpenter Syndrom
C. Crouson
D. Angioneurmatic Edema

32- Neoplastic around impacted third molar

A. Increase with age
B. Generally rare – most probably correct. (I got this question too but could not remember
this choice… In the absence of this choice I assumed a to be correct.. So chose as per the
choice Dr. khaled ) decreases with age
C. Doesn’t Change with age
D. ?

33- Lymph from Submandibular gland drains into

A. Submandibular lymph nodes
B. Superfacial cervical lympf nodes
C. Deep cervical lymph node ++
D. ?

34- To drain acute parotid abscess the incision is

A. Preauricular Vertical ++ Assumingly this one – not correct
B. Vertical over the skin and horizontal over the parotid gland
C. ?
D. ?

35- A patient with 2x3 cm lesion on buccal mucosa found to be SCC. Reconstruction flap is:
A. Pectoralis major
B. Temporal flap- temperomyofascial flap
C. Full thickness graft
D. Split thickness graft

36- 0.4 cm lesion found below ear lobe. The lesion is:

20
A. Attached to skin but movable and not attached to underlying connective tissue sebaceous
cyst.
B. Attached to skin but movable and not attached to underlying connective tissue epidermoid
cyst.
C. Attached to skin not movable and attached to underlying connective tissue sebaceous cyst.
D. Attached to skin not movable and attached to underlying connective tissue epidermoid
cyst.

37- Acute sinusitis is caused by:

A. Mixed aerobic and anaerobic bacteria
B. ?
C. ?
D. ?
(Inadequate choices so difficult to answer)

38- Definitive treatment of ranula is

A. Marsipulization
B. Marsipulization and packing
C. Sublingual gland excision ++
D. ?

39- Narrow spectrum antibiotic causes

A. Host flora minimised
B. Host flora maximized
C. Causing organisms minimized ++
D. Causing organisms not affected

40- The 3 soft plate muscles arise from

A. Hard palate
B. Palatal bone
C. Base of skull
D. Palatopharyngeal arch

41 normal respiratory rate is normal adul

a.12-14
b.14-16
c.16-18
d. 18-20

(Contemporary Peterson )

41- 16 year old patient require apicectomy of relatively short rooted central incisors. The root
dissection is
A. 2mm
B. 3mm ++
C. 5mm
D. ?

42- Opening ostectomy to gain access when doing microsurgical apicectomy and using
ultrasound tip is
A. 3mm
B. 5mm
C. 7mm

21
D. 12mm

43- The most degenerative changes of bony parts of TMJ is done when
A. Diskoctemy++
B. Eminectomy
C. Disk treatment
D. ?

44- Maximum MMF in fracture mandible of 12 year old boy is:

A. One week
B. 2-3 weeks
C. 5-6 weeks

Killeys fractures of mandible

45- Pterygopalatine fossa is bounded laterally with

A. Orbit
B. Infratemporal fossa ++
C. Middle cranial fossa
D. Nose

46- Best plain film to show maxillary sinus and orbital rim
A. Caldwell view
B. Water view ++
C. Lateral oblique
D. ?

47- Antibiotic for empiric treatment in end stage renal deficiency is:
A. Flagyl
B. Doxycillin
C. Clindamycin
D. Penicillin

48- Ibuprofen:
A. Peak effect (concentration) after 6-8 hours of administration
B. Initial secretion is via liver biliary rout
C. Mostly found bound to plasma protein ++
D. ?

49- Subclasses adrenergic receptors which vasoconstrictor act upon in myocardium

A. 1
B. 2
C. 3 ++ (α1 + β1 + β2)
D. 5

50- The most commonly used flap in oral surgery

A. Pyramidal ++
B. Envelop
C. Two lines
D. Semilunar
Contemporary Peterson

22
51- Trauma patient with pulse rate =130, BP 100/60, breathing =30/mint, how much blood
loss is expected in this patient
A. Less than 15%
B. 15-30%
C. 40%
D. 30-40 % ++
Pulse rate Respiratory rate Urine output (mL/h)
Stage1 -< 100 14–20
Stage2 > 100 20–30
Stage 3 > 120 30-40
Stage 4 > 140 >40 Negligible
Normal urine output – 1ml/kg/hr in Children
0.5 ml/kg/hr Adults

52- Patient with shallow vault and severely resorbed alveolar ridge require full denture. What
augmentation is needed for this patient
A. Onlay bone graft ++
B. Interpositional bone graft
C. Transpositional bone graft
D. Vestibuloplasty

53- The most common odontogenic tumor

A. Ameloblastoma++ (Note = The most common = Odontoma)
B. Cementoblastoma
C. Adenotamoid tumor
D. Calcifying epithelial odontogenic cyst

54- The most common odontogenic infection

A. Vestibular abscess ++
B. Cellulitis
C. Ludwig angina
D. Submandibular abscess

55- In trauma patient the initial pulmonary reaction

A. Tachypnea and decreased CO2 serum++
B. Tachypnea and increased CO2 serum
C. Bradypnea and increased CO2 serum
D. Bradypnea and decreased CO2 serum

56- Patient with difficult airway posted for surgery, premedication all except
A. Diazepam++
B. Ranitidine
C. ?
D. ?

57- Endotracheal drugs are all except

A. Glycopyrrolate++

23
B. Atropine
C. Vasopressor/ Adrenaline/Epinephrine
D. Naloxone/ Narcan
Abubaker remember – LEAN - lidocaineE pineprhine, Adrenaline Naloxone/narcan
2.5 times in ET tube

58- Glasgow comma scale score in trauma patient who is non responsive to verbal
communication + can open the eye + responds to pain stimuli
A. 8 ++ (Assumingly this one)
B. 10
C. 12
D. 15

EYE
Eye opening
Spontaneously 4
To speech 3
To pain 2
None 1

Motor response
Obeys 6
Localizes pain 5
Withdraws from pain 4
Flexion to pain 3
Extension to pain 2
None 1

Verbal response
Oriented 5
Confused 4
Inappropriate 3
Incomprehensible 2
None 1

59- Genioplasty is done

A. Inferior to mental foramen ++
B. Superior to mental foramen
C. Anterior to mental foramen
D. According cephalometric analysis

60- In true asymmetry of mandible

A. Incisor midline doesn’t coincide to symphysis middline in centric occlusion
B. No functional shift

24
C. Midsymphysis doesn’t coincide with midsagittal plane ++
D. Bilateral end to end crossbite

61- Maximum range of interincisal opening

A. 25mm
B. 45mm
C. 45-55 in men ++ 35-45 in women ++
D. ?

62- Maximum range of lateral movement of mandible

A. 10mm ++ Average Lateral excursion movement is 10-15mm (and 8-14 mm Protrusion)
B. 25mm
C. ?
D. ?

63- The most common route of spread of infection from lower third molar
A. Lingucoritcal plate ++ (Assumingly this one)
B. Buccocortical palate
C. Lingo-Bucco cortical
D. Through associated muscle

64- The most common cause of hypotention after general anesthesia

A. Hypoxia ++ (Assumingly this one) hypotension: rewarming vasodilation, hypovolemia, hypothyroidism and myocardial
B. ? depresiion
hypertension: hypoxia, pain and axiety, distended bladder and hypercapnia
C. ?
D. ?

65- The least effective vasoconstrictor

A. Norepinephnne
B. Epinephnne
E. Levonordefrine++
C. Octapressin (Felypressin) ??????

66- Correct statement is

A. 75% of Infection of human bites caused by Pasteurella. Multocida.
B. 25: of Infection of animal bites caused by Staphylococcus aureus + Streptococcus.
C. Mucormycosis (phycomycosis) The most common infection in diabetic patients ++
D. ?

67- 58 years patient with deficient alveolar ridges required construction of full denture and
was determined by the surgeon to undertake Dean’s method of alveoloplasty (augmentation).
Disadvantage of this method is
A. ?
B. ?
C. ?
D. ?
Main disadvantage
Reduced ridge thickness

Inability to place implants

Contemporary Peterson

25
68- Secondary immunodeficiency is associated with all except
A. Malnutrition
B. Anemia ++ (Assumingly this one)
C. Immunodeficiency drugs
D. Steriod
Refeer Abubaker pg 208

69- Patient has been treated for rheumatoid arthritis was taking steroids for the last year and
he needs multiple tooth extraction. The surgeon should
A. Give supplement 50-100mg before surgery ++?
B. Give 100-150mg steroid supplment
C. Proceed extraction without steroid supplement

70- Anesthetic of choice for hyperthyroidism patient

A. Prilocaine
B. Mepivacain++ ?
C. Lidocain
D. ?

71- Best plain film for showing zygomatic arches

A. Submentovertix++
B. Occipatal
C. PA
D. ?

72- Towne’s view is similar to

A. Anteroposterior++
B. Posteroanterior
C. Water
D. ?

73- Best site for harvesting clavarial bone graft

A. Parietal bone ++?
B. Occipatal bone
C. Temporal bone
D. Frontal bone

74- With age the cranium becomes

A. Thick and dense
B. Thin and light++
C. Thick and heavy
D. ?

75- Trauma patent to the skull showed vertical diplopia and torsional diplopia. The most likely
injured nerve
A. II
B. III
C. IV++
D. V

76- Trauma patient developed asymmetrical pupil (Not round). The most likely cause
A. Blow out fracture

26
B. Blow in fracture
C. Perforation of the eye ball ++?
D. ?

77- Reason of airway obstruction in obtunded patient

A. Bleading
B. Vomitus
C. Tongue fall ++
D. ?

78- Patient with Treacher Collins syndrome needed correction of mandibular deficiency which
included 12cm advancement. Best approach is
A. BSSO
B. Inverted L osteotomy ++ extra oral
C. Intraoral vertical ramus osteotomy
D. Extraoral vertical ramus osteotomy
Peter ward Booth 2 page 947

79- Millard C flap in correction of cleft lip is

A. Rotation flap of lateral lip
B. Rotation flap of medial lip
C. A divided rotation to increase columella length and nasal floor ++
D. ?

80- 8 year old patient required extraction of decayed tooth and had history of easy bleeding.
Hematological picture includes increases BT, elevated APTT and normal PT. His condition is

A. Deficiency Factor VIII-C

B. ?
C. Von Willebrand disease++
D. Thrombocytopenic purpura

81- Odontogenic infection caused by

A. Normal flora++
B. Exogenous flora
C. Bacteria different from bacteria causing caries
D.

82- Lab findings which is not seen in Von-Willbrand disease is:

A. Increases APTT
B. Norma PT
C. Deficiency of Factor VIII-C and Von-Willbrand factor
D. Norma platelet aggregate studies ++?

83- Prophylactic antibiotic for endocardititis is indicated in

A. Prosthetic valve replacement ++
B. Heart bypass surgery
C. ?
D. ?

84- 625 mg Augmentin consists of

A. 500mg Ampicillin and 125mg Clavunic acid

27
B. 500mg Amoxicillin and 125mg Clavunic acid ++
C. ?
D. ?

85- Axial CT for zygomatic fracture is done to show

A. Orbit floor involvement
B. Lateral wall of orbit and Zygomatic arch
C. ?
D. ?paraAbubaker page 277 last para q.44

86- Patient with deficiency of maxilla and zygoma and infraorbital rim but with normal nasal
projection.
A. High level LeFort I osteotomy
B. QuadroangularLeFortII osteotomy
C. LeFort III osteotomy
D.

87- Most likely cause of myofacial pain dysfunction is

A. Bruxism following stress++
B. Internal derangement with reduction
C. Internal derangement without reduction
D. ?

88- Cyclosporin effect is

A. Increase T-Lymphocytes and decrease B-Lymphocytes
B. Increase T-Lymphocytes and B-Lymphocytes
C. Decrease T-Lymphocyte and increase B-Lymphocytes
D. Affect T-Lymphocytes only++

89- First skeletal muscles to contract after using succinylcholine used during general
anesthesia is
A. Eyelids
B. Shoulder
C. Hands++
D. Abdomen

90- The effect of Le fort I on nasal tip is:

A. Protrusion when doing advancement++
B. Not affected when doing downward positioning
C. Retrusion when doing stepback
D. ?

91- In type 4 (D4 density) of bone when doing implant the surgeon should
A. ?
B. ?
C. ? D. ?

92. What is the temperature that does not cause cell death during implant.

35-42 Choose this answer less than Critical temp i.e.47 deg centigrade

28
42-45

45-50

50-60 degree centigrade

(47 degree centigrade critical temperature)

29