MCQs - Chapter 11: Postextraction
Patient Management (Complete 100
Questions)
1. 1. What is the correct management step in postextraction patient scenario #52?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
2. 2. Which analgesic is most commonly associated with decreased platelet aggregation?
A. Acetaminophen
B. Ibuprofen
C. Codeine
D. Tramadol
Answer: B
3. 3. If a tooth fragment is displaced into the infratemporal fossa, the best step is:
A. Remove immediately with suction
B. Blind probing
C. Refer and delay removal
D. Ignore it
Answer: C
4. 4. What is the correct management step in postextraction patient scenario #13?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
5. 5. The peak of pain after extraction usually occurs:
A. Immediately post-op
B. 12 hours after
C. 2 days later
D. After 1 week
Answer: B
6. 6. What is the correct management step in postextraction patient scenario #26?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
7. 7. What is the correct management step in postextraction patient scenario #59?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
8. 8. What is the correct management step in postextraction patient scenario #22?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
9. 9. Which of the following drugs is often ineffective in patients lacking a specific enzyme?
A. Ibuprofen
B. Acetaminophen
C. Codeine
D. Oxycodone
Answer: C
10. 10. What is the correct management step in postextraction patient scenario #50?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
11. 11. What is the correct management step in postextraction patient scenario #21?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
12. 12. What is the recommended method for managing a torn mucosal flap?
A. Ignore the tear
B. Apply ice
C. Carefully reposition and suture
D. Pack with gauze and wait
Answer: C
13. 13. Which analgesic has minimal effect on platelet function?
A. Aspirin
B. Ibuprofen
C. Acetaminophen
D. Naproxen
Answer: C
14. 14. What is the correct management step in postextraction patient scenario #16?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
15. 15. What is the correct management step in postextraction patient scenario #28?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
16. 16. What is the correct management step in postextraction patient scenario #41?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
17. 17. What is the correct management step in postextraction patient scenario #43?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
18. 18. What is the correct management step in postextraction patient scenario #18?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
19. 19. What is the correct management step in postextraction patient scenario #36?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
20. 20. What is the correct management step in postextraction patient scenario #11?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
21. 21. Ecchymosis is more common in which patient group?
A. Young patients
B. Diabetic patients
C. Older patients
D. Pregnant patients
Answer: C
22. 22. What is the correct management step in postextraction patient scenario #58?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
23. 23. What is the primary method to initially control bleeding after a tooth extraction?
A. Ice pack over the socket
B. Tea bag application immediately
C. Placement of a folded gauze directly over the socket
D. Rinsing with cold water
Answer: C
24. 24. What causes delayed healing and pain around day 3 or 4 without infection?
A. Trismus
B. Dry socket
C. Maxillary sinusitis
D. Nerve damage
Answer: B
25. 25. Which of the following analgesic combinations is most effective post-surgery?
A. 300 mg acetaminophen + 5 mg hydrocodone
B. 150 mg acetaminophen + 2.5 mg oxycodone
C. 100 mg ibuprofen + 10 mg codeine
D. 500 mg acetaminophen + 2.5 mg codeine
Answer: A
26. 26. Opioids should be avoided on an empty stomach due to risk of:
A. Bleeding
B. High blood pressure
C. Gastric upset
D. Liver toxicity
Answer: C
27. 27. What is the correct management step in postextraction patient scenario #30?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
28. 28. A soft tissue burn can result from:
A. Use of cold instruments
B. Friction from rubber dam
C. Hot instruments from sterilizer
D. Overuse of mouthwash
Answer: C
29. 29. What is the correct management step in postextraction patient scenario #2?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
30. 30. What is the correct management step in postextraction patient scenario #60?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
31. 31. What is the correct management step in postextraction patient scenario #49?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
32. 32. Postoperative instructions should be given:
A. Only verbally
B. Only on paper
C. Verbally and in writing
D. By video only
Answer: C
33. 33. Trismus most commonly results from:
A. Bone fracture
B. Impacted food
C. Trauma to the medial pterygoid muscle
D. Overuse of antibiotics
Answer: C
34. 34. The most common soft tissue injury during extraction is:
A. Burn
B. Puncture wound
C. Tear of a mucosal flap
D. Bruising
Answer: C
35. 35. What is the correct management step in postextraction patient scenario #48?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
36. 36. What is the correct management step in postextraction patient scenario #42?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
37. 37. Which nerve can be sectioned without long-term sensory consequences?
A. Mental nerve
B. Lingual nerve
C. Buccal nerve
D. Facial nerve
Answer: C
38. 38. What is the ideal first response to an oroantral communication?
A. Immediate surgical repair
B. Nothing
C. Ensure clot and sinus precautions
D. Irrigation with peroxide
Answer: C
39. 39. What is the correct management step in postextraction patient scenario #46?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
40. 40. Which of the following is a normal postoperative occurrence after oral surgery?
A. Constant bright red bleeding for 48 hours
B. Facial swelling peaking on day 1
C. Slight oozing of blood for up to 24 hours
D. Severe trismus for two weeks
Answer: C
41. 41. Which of the following should be avoided in the first 12 hours post-extraction?
A. Drinking juice
B. Swallowing saliva
C. Using a straw
D. Applying gauze
Answer: C
42. 42. What is the correct management step in postextraction patient scenario #55?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
43. 43. Which structure is at most risk when extracting lower premolars?
A. Lingual nerve
B. Nasopalatine nerve
C. Mental nerve
D. Facial artery
Answer: C
44. 44. What is the correct management step in postextraction patient scenario #12?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
45. 45. What is the correct management step in postextraction patient scenario #37?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
46. 46. Which nerve injury can result in lip numbness?
A. Buccal
B. Nasopalatine
C. Mental
D. Long buccal
Answer: C
47. 47. What is the correct management step in postextraction patient scenario #6?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
48. 48. For moderate pain post-extraction, which dose of codeine is appropriate?
A. 5 mg
B. 15–60 mg
C. 100 mg
D. 300 mg
Answer: B
49. 49. When should patients resume normal oral hygiene?
A. Same day
B. Next day
C. 3rd or 4th day
D. After 2 weeks
Answer: C
50. 50. What is the correct management step in postextraction patient scenario #25?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
51. 51. What is the correct management step in postextraction patient scenario #32?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
52. 52. Heat therapy is best started on which day after surgery?
A. First day
B. Second day
C. Third day
D. Fifth day
Answer: C
53. 53. What is the correct management step in postextraction patient scenario #23?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
54. 54. What is the correct management step in postextraction patient scenario #34?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
55. 55. What is the correct management step in postextraction patient scenario #47?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
56. 56. Fracture of which bone can result in oroantral communication?
A. Mandibular condyle
B. Maxillary tuberosity
C. Zygomatic arch
D. Alveolar ridge
Answer: B
57. 57. A key sign of dry socket includes:
A. Swelling with pus
B. Pain increasing on day 3 or 4 without swelling
C. Severe bleeding
D. Cracking sound in the jaw
Answer: B
58. 58. A common mistake leading to extraction of the wrong tooth involves:
A. Patient misunderstanding
B. Incorrect anesthesia
C. Poor communication between dentists
D. Lack of informed consent
Answer: C
59. 59. What is the correct management step in postextraction patient scenario #38?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
60. 60. What is the correct management step in postextraction patient scenario #5?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
61. 61. What is the correct management step in postextraction patient scenario #33?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
62. 62. What is the correct management step in postextraction patient scenario #39?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
63. 63. What should be done if a restoration fractures during extraction?
A. Replace immediately
B. Ignore
C. Remove fragment, inform patient
D. Push back into socket
Answer: C
64. 64. What type of flap tear usually results from inadequate flap design?
A. Vertical tear
B. Horizontal tear
C. Apical tear
D. Envelope flap tear
Answer: D
65. 65. What is the correct management step in postextraction patient scenario #56?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
66. 66. What is the correct management step in postextraction patient scenario #3?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
67. 67. What is the correct management step in postextraction patient scenario #51?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
68. 68. Which muscle is most commonly affected in trismus following an injection?
A. Masseter
B. Medial pterygoid
C. Temporalis
D. Lateral pterygoid
Answer: B
69. 69. Which postoperative instruction helps avoid ecchymosis?
A. Use of antibiotics
B. Elevating the head during sleep
C. Avoiding food for 24 hours
D. Applying pressure with fingers
Answer: B
70. 70. What is the correct management step in postextraction patient scenario #1?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
71. 71. What is the correct management step in postextraction patient scenario #31?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
72. 72. What is the correct management step in postextraction patient scenario #35?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
73. 73. What is the correct management step in postextraction patient scenario #19?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
74. 74. What is the correct management step in postextraction patient scenario #27?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
75. 75. Which analgesic is commonly combined with narcotics?
A. Caffeine
B. Vitamin D
C. Acetaminophen
D. Antibiotics
Answer: C
76. 76. What is the correct management step in postextraction patient scenario #45?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
77. 77. What is the correct management step in postextraction patient scenario #14?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
78. 78. A surgical note should include all of the following EXCEPT:
A. Procedure details
B. Vitals
C. Toothbrush type
D. Medications prescribed
Answer: C
79. 79. What is the correct management step in postextraction patient scenario #8?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
80. 80. Most effective pain management includes:
A. Maximum doses only
B. Opioids alone
C. Surgeon-patient trust and communication
D. IV sedation at home
Answer: C
81. 81. Which technique can help dislodge a small root tip from the sinus?
A. Use of a periosteal elevator
B. Applying pressure on the cheek
C. Irrigation through the socket
D. Nasal suction
Answer: C
82. 82. What is the correct management step in postextraction patient scenario #40?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
83. 83. What is the correct management step in postextraction patient scenario #9?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
84. 84. What is the correct management step in postextraction patient scenario #7?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
85. 85. What is the correct management step in postextraction patient scenario #17?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
86. 86. How long after surgery does swelling typically peak?
A. 12 hours
B. 24 hours
C. 36–48 hours
D. 72 hours
Answer: C
87. 87. What is a safe and effective oral rinse starting the day after surgery?
A. Undiluted hydrogen peroxide
B. Listerine
C. Warm saltwater rinse
D. Antiseptic alcohol rinse
Answer: C
88. 88. What is the correct management step in postextraction patient scenario #44?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
89. 89. What is the correct management step in postextraction patient scenario #54?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
90. 90. What is the correct management step in postextraction patient scenario #53?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
91. 91. What is the correct management step in postextraction patient scenario #20?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
92. 92. What is the correct management step in postextraction patient scenario #4?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
93. 93. What is the correct management step in postextraction patient scenario #29?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
94. 94. What is the correct management step in postextraction patient scenario #57?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
95. 95. What is the correct management step in postextraction patient scenario #10?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
96. 96. What is the correct management step in postextraction patient scenario #24?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
97. 97. A recommended daily fluid intake for postextraction patients is:
A. 500 mL
B. 1 L
C. 2 L
D. 3.5 L
Answer: C
98. 98. What is the correct management step in postextraction patient scenario #15?
A. Apply firm gauze pressure and observe
B. Refer immediately for biopsy
C. Administer general anesthesia at home
D. Ignore and reassure patient
Answer: A
99. 99. How should an abraded area of the lip be managed?
A. Bandage tightly
B. Antibiotic ointment only on wound
C. No treatment
D. Bleach rinse
Answer: B
100. 100. Which agent in tea helps with hemostasis?
A. Caffeine
B. Tannic acid
C. Fluoride
D. Vitamin K
Answer: B