A patient presents to you with a history of local pain in the lower right posterior region, insisting that you extract his lower teeth. The teeth in question are vital without any pathology. You diagnosis is: A. Odontalgia B. Referred pain C. Trigeminal neuralgia

A patient presents to you with a history of local pain in the lower right posterior region, insisting that  you extract his lower teeth. The teeth in question are vital without any pathology. You diagnosis  is: 

A. Odontalgia 

B. Referred pain 

C. Trigeminal neuralgia 


by

1 Answer

Answer :

C. Trigeminal neuralgia 


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Related questions

A 37 years-old patient presents with paroxysmal pain on the left eye that he thinks is related to his maxillary posterior teeth. The pain comes in recurrent bursts and is aggravated by stress and alcohol. Oral exam is negative. The probable diagnosis is: A. Migraine B. Cluster headache C. Trigeminal neuralgia D. Temporal neuritis

Description : A 37 years-old patient presents with paroxysmal pain on the left eye that he thinks is related to his maxillary posterior teeth. The pain comes in recurrent bursts and is aggravated by stress and ... diagnosis is: A. Migraine B. Cluster headache C. Trigeminal neuralgia D. Temporal neuritis

Last Answer : B. Cluster headache

A young female patient presents with throbbing pain in the left lower posterior jaw with trismus and associated lymphadenopathy. What would be your diagnosis? A. Tumor B. Pericoronitis

Description : A young female patient presents with throbbing pain in the left lower posterior jaw with trismus and  associated lymphadenopathy. What would be your diagnosis?  A. Tumor  B. Pericoronitis 

Last Answer : B. Pericoronitis 

Which of the following is NOT CHARACTERISTIC of trigeminal neuralgia?** A. The pain usually last for few seconds up to a minute in the early stages of the disease B. The pain is usually unilateral C. Patient characteristically have sites on the skin that when stimulated precipitate an attack of pain D. An attack of pain is usually preceded by sweating in the region of the forehead E. It is a paroxysmal in nature and may respond to the treatment with Carbamazepine

Description : Which of the following is NOT CHARACTERISTIC of trigeminal neuralgia?** A. The pain usually last for few seconds up to a minute in the early stages of the disease B. The pain is usually ... of the forehead E. It is a paroxysmal in nature and may respond to the treatment with Carbamazepine

Last Answer : D. An attack of pain is usually preceded by sweating in the region of the forehead

Loss of sensation in the lower lip may be produced by,CHECK ADC M07 A. Bell’s palsy B. Traumatic bone cyst C. Trigeminal neuralgia D. Fracture in the mandible first molar region E. Ludwig’s angina Loss of sensation in the lower lip may be produced by,CHECK ADC M07 A. Bell’s palsy B. Traumatic bone cyst C. Trigeminal neuralgia D. Fracture in the mandible first molar region E. Ludwig’s angina

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Last Answer : D. Fracture in the mandible first molar region E. Ludwig’s angina

A person was unable to close his right eye. There is dribbling of saliva from right angle of his mouth and he in unable to make a pout. The probable diagnosis is Options: 1) Bell’s Palsy 2) Trigeminal Neuralgia 3) Optic Nerve Injury 4) Oculomotor Nerve Injury

Description : A person was unable to close his right eye. There is dribbling of saliva from right angle of his mouth and he in unable to make a pout. The probable diagnosis is Options: 1) Bell’s Palsy 2) Trigeminal Neuralgia 3) Optic Nerve Injury 4) Oculomotor Nerve Injury

Last Answer : Correct Answer: 1) Bell’s Palsy

A 10 years-old child presents with crowding of the dentition and desires correction. What would your next step be: a. Perform mixed dentition analysis. b. Extract the deciduous teeth. c. Ask the patient to come after the deciduous teeth fall off and complete permanent dentition erupts. d. Apply a fixed appliance. e. Review in yearly intervals.

Description : A 10 years-old child presents with crowding of the dentition and desires correction. What would your next step be: a. Perform mixed dentition analysis. b. Extract the deciduous teeth. c. Ask ... permanent dentition erupts. d. Apply a fixed appliance. e. Review in yearly intervals.

Last Answer : a. Perform mixed dentition analysis.

A 10 years-old child presents with crowding of the dentition and desires correction. What would your next step be: A. Perform mixed dentition analysis B. Extract the deciduous teeth C. Ask the patient to come after the deciduous teeth fall off and complete permanent dentition erupts D. Apply a fixed appliances E. Review in yearly intervals

Description : A 10 years-old child presents with crowding of the dentition and desires correction. What would your next step be: A. Perform mixed dentition analysis B. Extract the deciduous teeth C. Ask ... off and complete permanent dentition erupts D. Apply a fixed appliances E. Review in yearly intervals

Last Answer : A. Perform mixed dentition analysis

Which drug is specific for Trigeminal Neuralgia: A. Diazepam B. Carbamazepine (Tegretol) C. Ergotamine D. Phenytoin

Description : Which drug is specific for Trigeminal Neuralgia: A. Diazepam B. Carbamazepine (Tegretol) C. Ergotamine D. Phenytoin

Last Answer : B. Carbamazepine (Tegretol)

A 20 yr. old female patient presents with pain in thyroid region of the neck since few days. She gives recent history of mumps. On palpation thyroid is tender and her thyroid function test reveals raised levels of T3, T4 and low TSH. Iodine uptake is also low. Probable diagnosis in this case is:

Description : Which of the following is the most common cause of Hypothyroidism in iodine sufficient area? Options: 1) Iatrogenic hypothyroidism 2) Post-partum thyroiditis 3) Autoimmune thyroiditis 4) Thyroid aplasia

Last Answer : Correct Answer: 3) Autoimmune thyroiditis

A 20 yr. old female patient presents with pain in thyroid region of the neck since few days. She gives recent history of mumps. On palpation thyroid is tender and her thyroid function test reveals raised levels of T3, T4 and low TSH. Iodine uptake is also low. Probable diagnosis in this case is:1) de Quervain’s thyroiditis 2) Silent thyroiditis 3) Primary thyrotoxicosis 4) Hashimoto’s thyroiditis

Description : A 20 yr. old female patient presents with pain in thyroid region of the neck since few days. She gives recent history of mumps. On palpation thyroid is tender and her thyroid function ... 1) de Quervain's thyroiditis 2) Silent thyroiditis 3) Primary thyrotoxicosis 4) Hashimoto's thyroiditis

Last Answer : Correct Answer: 1) de Quervain’s thyroiditis

Which one of the following types of pain is most likely to be associated with craniomandibular disorders: A. Exacerbated pain by hot or cold food B. Keeps patient awake at night C. Associated with muscle tenderness D. Associated with trigger spots related to the trigeminal nerve

Description : Which one of the following types of pain is most likely to be associated with craniomandibular disorders: A. Exacerbated pain by hot or cold food B. Keeps patient awake at night C. Associated with muscle tenderness D. Associated with trigger spots related to the trigeminal nerve

Last Answer : C. Associated with muscle tenderness

A 10 years-old boy presents with small greyish white lesion surrounded by a red halos on the soft palate and tonsillar pillars, small vesicles are found. He has fever and pain in the ear. The MOST probable diagnosis is?********** M07 A. Herpangina

Description : A 10 years-old boy presents with small greyish white lesion surrounded by a red halos on the soft palate and tonsillar pillars, small vesicles are found. He has fever and pain in the ear. The MOST probable diagnosis is?********** M07 A. Herpangina

Last Answer : A. Herpangina

The most accurate finding of pulpal pathology A. Radiolucency on the apical region B. Pain on hot or cold drinks C. he absence of response to pulp testing

Description : The most accurate finding of pulpal pathology A. Radiolucency on the apical region B. Pain on hot or cold drinks C. he absence of response to pulp testing

Last Answer : C. he absence of response to pulp testing

When patient bites in protrusion with complete dentures you notice that the posterior teeth do not meet, what would you do to solve this: A. Increase the compensatory curve B. Decrease the angle of the occlusal plane

Description : When patient bites in protrusion with complete dentures you notice that the posterior teeth do not meet, what would you do to solve this: A. Increase the compensatory curve B. Decrease the angle of the occlusal plane

Last Answer : A. Increase the compensatory curve

Patient presents with rapidly progressive root caries on many teeth. Which of the following laboratory results would be a possible indicator of this? A. Stimulated salivary secretion rate of 1.5ml/min B. S. mutans concentration of 105 organism/ml C. A plaque sample containing 5% S. mutans D. A lactobacilli concentration of 105 organism/ml E. Salivary buffering PH 5.5 > 100000 CFU/ml high caries incidence

Description : Patient presents with rapidly progressive root caries on many teeth. Which of the following laboratory results would be a possible indicator of this? A. Stimulated salivary secretion rate of 1.5ml/min B. ... of 105 organism/ml E. Salivary buffering PH 5.5 > 100000 CFU/ml high caries incidence

Last Answer : E. Salivary buffering PH 5.5

Which nerve is anesthesised in anterior border of ramus and 1 cm above occlusal plane of lower posterior teeth: A. Lingual nerve B. Long buccal nerve

Description : Which nerve is anesthesised in anterior border of ramus and 1 cm above occlusal plane of lower posterior teeth: A. Lingual nerve B. Long buccal nerve

Last Answer : B. Long buccal nerve

A 30 years old male presents with a history of injury to the eye with a leaf 5 days ago and pain, photophobia and redness of the eye for 2 days. What would be the most likely pathology? a. Anterior uveitis b. Conjunctivitis c. Fungal corneal ulcer d. Corneal laceration

Description : A 30 years old male presents with a history of injury to the eye with a leaf 5 days ago and pain, photophobia and redness of the eye for 2 days. What would be the most likely pathology? a. Anterior uveitis b. Conjunctivitis c. Fungal corneal ulcer d. Corneal laceration

Last Answer : ANSWER: C

In a posterior vital molar with a core the best material to restore is: A. Amalgam B. Composite resin C. GIC

Description : In a posterior vital molar with a core the best material to restore is: A. Amalgam B. Composite resin C. GIC

Last Answer : A. Amalgam

A patient suffers a blow to his maxillary central incisor without resulting in fracture. The pulp may: A. Show immediate necrosis B. Become non-vital but only if treatment is delayed too long C. Become non vital irrespective of treatment D. No changes are seen later if fracture does not occur

Description : A patient suffers a blow to his maxillary central incisor without resulting in fracture. The pulp may: A. Show immediate necrosis B. Become non-vital but only if treatment is delayed too long C. Become non vital irrespective of treatment D. No changes are seen later if fracture does not occur

Last Answer : C. Become non vital irrespective of treatment

A patient complains of itching and vesicalis on the upper labium (Vermillion region) every year, your diagnosis would be: A. Herpes simplex B. Recurrent ulceration aphthae C. Impetigo

Description : A patient complains of itching and vesicalis on the upper labium (Vermillion region) every year, your diagnosis would be: A. Herpes simplex B. Recurrent ulceration aphthae C. Impetigo

Last Answer : A. Herpes simplex

A 50 years-old patient presents with pain from time to time on light cervical abrasions. What is your first management to help patient in preventing pain in the future? A. Change diatary habits B. Change brushing habits C. GIC fillings

Description : A 50 years-old patient presents with pain from time to time on light cervical abrasions. What is your first management to help patient in preventing pain in the future? A. Change diatary habits B. Change brushing habits C. GIC fillings

Last Answer : B. Change brushing habits

A 10 years-old boy presents with a non-vital, non-mobile tooth. Treatment is: A. Pulpectomy with calcium hydroxide B. Pulpectomy with Zinc oxide eugenol C. Pulpotomy with formocresol D. No treatment is required if tooth is asymptomatic

Description : A 10 years-old boy presents with a non-vital, non-mobile tooth. Treatment is: A. Pulpectomy with calcium hydroxide B. Pulpectomy with Zinc oxide eugenol C. Pulpotomy with formocresol D. No treatment is required if tooth is asymptomatic

Last Answer : A. Pulpectomy with calcium hydroxide

A patient with long standing rheumatoid arthritis and a history of steroid therapy presents for multiple extractions. The dentist should consult the patient’s physician because: A. Patient is more susceptible to infection B. Patient may have a suppressed adrenal cortex C. Patient will need haematological evaluation

Description : A patient with long standing rheumatoid arthritis and a history of steroid therapy presents for multiple extractions. The dentist should consult the patient's physician because: A. Patient is more ... B. Patient may have a suppressed adrenal cortex C. Patient will need haematological evaluation

Last Answer : B. Patient may have a suppressed adrenal cortex

A 8 years-old patient has 3 first premolars erupted and a swelling on the ridge of the un-erupted premolar. X ray shows a fully developed crown and ¾ roots development with no other pathology. What is your management: A. Remove the dentigerous cyst B. Soft tissues recision to allow eruption C. Soft tissues recision accompanied with orthodontic appliance to help with eruption

Description : A 8 years-old patient has 3 first premolars erupted and a swelling on the ridge of the un-erupted premolar. X ray shows a fully developed crown and ¾ roots development with no ... recision to allow eruption C. Soft tissues recision accompanied with orthodontic appliance to help with eruption

Last Answer : C. Soft tissues recision accompanied with orthodontic appliance to help with eruption

18 years old female weighting 52Kg and 163cm tall. On dental examination erosion of teeth on the most of her lingual surfaces is clearly showing. Dietary history revealed a daily rate of 5000 to 7000 Kcal/day. What is the most probable diagnosis? A. Alcoholism B. Drug abuse C. Bulimia D. Excessive smoking E. Diabetic mellitus type I

Description : 18 years old female weighting 52Kg and 163cm tall. On dental examination erosion of teeth on the most of her lingual surfaces is clearly showing. Dietary history revealed a daily rate of 5000 to 7000 ... . Alcoholism B. Drug abuse C. Bulimia D. Excessive smoking E. Diabetic mellitus type I

Last Answer : C. Bulimia

A child presents to you with a sore throat, fever and joint swelling; the MOST probable diagnosis is: A. Rheumatic fever B. Rheumatic arthritis C. Osteoarthritis

Description : A child presents to you with a sore throat, fever and joint swelling; the MOST probable diagnosis is: A. Rheumatic fever B. Rheumatic arthritis C. Osteoarthritis

Last Answer : A. Rheumatic fever

A patient presents with long time history of knee pain suggestive of osteoarthritis. Now he complains of unilateral lower limb swelling and on examination there is +ve pedal & tibial pitting edema. What is the next appropriate investigation? a. CXR b. ECG c. Echocardiography d. Duplex ultrasound of lower limb

Description : A patient presents with long time history of knee pain suggestive of osteoarthritis. Now he complains of unilateral lower limb swelling and on examination there is +ve pedal & tibial pitting edema ... appropriate investigation? a. CXR b. ECG c. Echocardiography d. Duplex ultrasound of lower limb

Last Answer : d. Duplex ultrasound of lower limb

The drug of choice for trigeminal neuralgia is: A. Aspirin B. Imipramine C. Carbamazepine D. Valproic acid

Description : The drug of choice for trigeminal neuralgia is: A. Aspirin B. Imipramine C. Carbamazepine D. Valproic acid

Last Answer : C. Carbamazepine

Carbamazepine possesses the following property not shared by phenytoin: A. Modification of maximal electroshock seizures B. Raising threshold for pentylenetetrazol convulsions C. Suppression of complex partial seizures D. Amelioration of trigeminal neuralgia

Description : Carbamazepine possesses the following property not shared by phenytoin: A. Modification of maximal electroshock seizures B. Raising threshold for pentylenetetrazol convulsions C. Suppression of complex partial seizures D. Amelioration of trigeminal neuralgia

Last Answer : B. Raising threshold for pentylenetetrazol convulsions

How to Treat Trigeminal Neuralgia

Description : How to Treat Trigeminal Neuralgia

Last Answer : How to Treat Trigeminal Neuralgia Trigeminal Neuralgia, also known as tic douloureux, is the frequent occurrence of stabbing facial pains. Here are some tips you can follow to treat this condition. ... too hot or too cold foods. These may trigger another pain attack. Avoid shaving your face.

When setting up teeth for complete dentures having bilateral balanced occlusion, separation of posterior teeth during protrusion is done by: A. Increasing the anterior posterior occlusal curve B. Decreasing the angle orientation of the occlusal plane

Description : When setting up teeth for complete dentures having bilateral balanced occlusion, separation of posterior teeth during protrusion is done by: A. Increasing the anterior posterior occlusal curve B. Decreasing the angle orientation of the occlusal plane

Last Answer : B. Decreasing the angle orientation of the occlusal plane

In complete dentures, cheek biting is most likely a result of: A. Reduced Overjet of posterior teeth B. Increased vertical dimension C. Teeth have large cusp inclines

Description : In complete dentures, cheek biting is most likely a result of: A. Reduced Overjet of posterior teeth B. Increased vertical dimension C. Teeth have large cusp inclines

Last Answer : A. Reduced Overjet of posterior teeth

Overdentures are best used for, A. Canines and premolars B. Posterior teeth

Description : Overdentures are best used for, A. Canines and premolars B. Posterior teeth

Last Answer : A. Canines and premolars

A 22-year-old man sustains a single stab wound to the left chest and presents to the emergency room with hypotension. Which of the following statement(s) is/are true concerning his diagnosis and management? a. The patient likely is suffering from hypovolemic shock and should respond quickly to fluid resuscitation b. Beck’s triad will likely be an obvious indication of compressive cardiogenic shock due to pericardial tamponade c. Echocardiography is the most sensitive noninvasive approach for diagnosis of pericardial tamponade d. The placement of bilateral chest tubes will likely resolve the problem

Description : A 22-year-old man sustains a single stab wound to the left chest and presents to the emergency room with hypotension. Which of the following statement(s) is/are true concerning his ... diagnosis of pericardial tamponade d. The placement of bilateral chest tubes will likely resolve the problem

Last Answer : Answer: c Shock from cardiac compression occurs when external pressure on the heart impairs ventricular filling. Because ventricular filling is a function of venous return and myocardial compliance, ... sternotomy. Chest tube placement would not be appropriate as the sole treatment in this patient

A patient on the dental chair has cardiac arrest. What is INCORRECT, A. Observing the vital signs and check that the air way is clear is at high importance B. Expired air has 15% O2 only, and cardiac compressions achieve 30-40% of cardiac output C. Intermittent positive pressure at the rate of 40/min will reduce the chances of cerebral hypoxia D. Intermittent positive pressure is better than mouth to mouth when it has been given at the same rate.

Description : A patient on the dental chair has cardiac arrest. What is INCORRECT, A. Observing the vital signs and check that the air way is clear is at high importance B. Expired air has 15% O2 only, ... D. Intermittent positive pressure is better than mouth to mouth when it has been given at the same rate.

Last Answer : C. Intermittent positive pressure at the rate of 40/min will reduce the chances of cerebral hypoxia

Which of the following is true in regard to periapical cementoma: A. Teeth are vital. B. Teeth are not vital

Description : Which of the following is true in regard to periapical cementoma: A. Teeth are vital. B. Teeth are not vital

Last Answer : A. Teeth are vital.

In a patient suffering from ARCUS SENILIS, which Chapter of Kent's repertory needs to be referred to find medicines specifically covering this pathology. Options: 1) Eye 2) Vision 3) Generalities 4) Head

Description : In a patient suffering from ARCUS SENILIS, which Chapter of Kent's repertory needs to be referred to find medicines specifically covering this pathology. Options: 1) Eye 2) Vision 3) Generalities 4) Head

Last Answer : Correct Answer: 1) Eye

An adult patient with a history of bacterial endocarditis requires prophylactic administration of antibiotics prior to removal of teeth. Indicate the pre-operative regimen:** A. Amoxicillin 2 gram one hour before operation orally B. Penicillin 250 mg orally six hours before operation C. Tetracycline 250-500 mg orally 2 hours before treatment

Description : An adult patient with a history of bacterial endocarditis requires prophylactic administration of antibiotics prior to removal of teeth. Indicate the pre-operative regimen:** A. Amoxicillin 2 gram ... orally six hours before operation C. Tetracycline 250-500 mg orally 2 hours before treatment

Last Answer : A. Amoxicillin 2 gram one hour before operation orally

A patient presents with rheumatic fever and suspected allergy to penicillin. The antibiotic of choice is: A. Chloromycetin B. Sulphonamide C. Buffered penicillin D. Erythromycin could be better if is clindamycin E. Achromycin

Description : A patient presents with rheumatic fever and suspected allergy to penicillin. The antibiotic of choice is: A. Chloromycetin B. Sulphonamide C. Buffered penicillin D. Erythromycin could be better if is clindamycin E. Achromycin

Last Answer : D. Erythromycin could be better if is clindamycin

Patient with haemophilia presents which of the following findings:** A. Increased prothrombin time B. Increased bleeding time C. Increased clotting time

Description : Patient with haemophilia presents which of the following findings:** A. Increased prothrombin time B. Increased bleeding time C. Increased clotting time

Last Answer : A. Increased prothrombin time

An old male presents complaining of having numerous white lesions in the oral cavity within past few days. Prior to this the family physician prescribed chlorite tetracycline for an upper respiratory infection, the patient is taking this antibiotic for the past two weeks; lesions are relatively non-painful, slightly elevated, adhered plaques on the lip mucosa, buccal mucosa and the tongue. MOST LIKELY to be:

Description : An old male presents complaining of having numerous white lesions in the oral cavity within past  few days. Prior to this the family physician prescribed chlorite tetracycline for an upper  respiratory infection, ... plaques on the lip mucosa, buccal mucosa and  the tongue. MOST LIKELY to be: 

Last Answer : Moniliasis (Which is candidiasis) 

12 years old child presents with symptoms of widespread gingivitis with bleeding and general malaise for several weeks. How would you manage this patient? M07 ********* A. Prescribe Metronidazole 100mg B. Locally debride, give oral hygiene instruction and prescribe H2O2 mouth wash. C. Give a prophylaxis with ultra sonic scaling D. Refer for haematological screening

Description : 12 years old child presents with symptoms of widespread gingivitis with bleeding and general malaise for several weeks. How would you manage this patient? M07 ********* A. Prescribe ... mouth wash. C. Give a prophylaxis with ultra sonic scaling D. Refer for haematological screening

Last Answer : D. Refer for haematological screening

A patient presents complaining of a stomach upset 48 hours after starting a course of antibiotic for oral infection, this is an example of, A. Type I allergic reaction B. Nervous disorder C. Side effect of the drug D. Type IV hypersensitivity reaction E. Pyloric stenosis

Description : A patient presents complaining of a stomach upset 48 hours after starting a course of antibiotic for oral infection, this is an example of, A. Type I allergic reaction B. Nervous disorder C. Side effect of the drug D. Type IV hypersensitivity reaction E. Pyloric stenosis

Last Answer : C. Side effect of the drug

What is TRUE about vertical dimension: A. Does not change for the whole life B. Decreases when head is tilted back (is the opposite and if is tilted forward decreases, patient supine reduced, stress and pain also reduced) C. Increases when a lower denture is placed in mouth

Description : What is TRUE about vertical dimension:  A. Does not change for the whole life   B. Decreases when head is tilted back (is the opposite and if is tilted forward decreases, patient  supine reduced, stress and pain also reduced)  C. Increases when a lower denture is placed in mouth 

Last Answer : C. Increases when a lower denture is placed in mouth 

A patient complains of finger-like growth on the lateral aspect of the tongue. The lesion is painless and of normal colour. The MOST PROBABLE diagnosis is: A. Folate papillae B. Filiform papillae C. Neurofibroma D. Papilloma

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Last Answer : D. Papilloma

A patient has painful lesions on her buccal mucosa. Biopsy report shows acantholysis and supra basilare, your diagnosis is: A. Pemphigus vulgaris B. Bulla lichen planus C. Erythema multiform D. Systemic lupus erythematosus

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Last Answer : A. Pemphigus vulgaris

A patient is complaining of an open sore on the buccal mucosa. The lesion is painless, ulcerated, has indurated margins, 1.5 cm in diameter, covered by greyish-white exudate, enlarged lymph nodes and tender, negative tuberculin test and positive serology. The diagnosis is

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Last Answer : Chancre /Primary lesion of syphilis 

What is to be done with instruments after surgically treating a patient with confirmed diagnosis of hepatitis B,** A. Soak them in hypochlorite solution “Milton” B. Sterilize, scrub and sterilize C. Handle them with two pairs of household rubber gloves D. Scrub them with iodine surgical solution

Description : What is to be done with instruments after surgically treating a patient with confirmed diagnosis of hepatitis B,** A. Soak them in hypochlorite solution Milton B. Sterilize, scrub ... Handle them with two pairs of household rubber gloves D. Scrub them with iodine surgical solution

Last Answer : B. Sterilize, scrub and sterilize