Description : The main advantage of ketorolac over aspirin is that ketorolac (a) Can be combined more safely with an opioid such as codeine (b) Can be obtained as an over-the-counter agent (c) Does not ... (e) Is less likely to cause acute renal failure in patients with some preexisting degree of renal impairment
Last Answer : Ans: D
Description : A persistent oroantral fistula for a 12 weeks period following the extraction of a maxillary first permanent molar is best treated by, a. Further review and reassurance since it will most ... Excision of the fistula and surgical closure. e. Maxillary antral wash out and nasal antrostomy.
Last Answer : d. Excision of the fistula and surgical closure.
Description : A persistent oroantral fistula for a 12 weeks period following the extraction of a maxillary first permanent molar is best treated by,** A. Further review and reassurance since it will most ... . Excision of the fistula and surgical closure E. Maxillary antral wash out and nasal antrostomy.
Last Answer : D. Excision of the fistula and surgical closure
Description : The prognosis of teeth with apical resorption is : A. Poor B. Good if apex can be sealed C. Dependant upon periapical surgery D. Contingent upon systemic antibiotic therapy combined with treatment of the canal
Last Answer : B. Good if apex can be sealed
Description : Which of the following medications would represent arthritis therapy that is least likely to cause gastric ulceration? (a) Aspirin (b) Acetaminophen (c) Piroxicam (d) Meclofenamate (e) Rofecoxib
Last Answer : Ans: E
Description : As far as surgical removal of wisdom teeth is concerned which of the following is true? a- Prophylactic prescription of antibiotic reduces dramatically the chances of infection. b- Raising a lingual ... e- The use of vasoconstrictors in local anaesthetics will increase the chances of infection.
Last Answer : b- Raising a lingual flap will increases the incidence of neurapraxia but will reduce the incidence of neurotmesis with respect to the lingual nerve.
Description : As far as surgical removal of wisdom teeth is concerned, which of the following is true?**CHECK A. Prophylactic prescription of antibiotic reduces dramatically the chances of infection B. Raising ... root E. The use of vasoconstrictors in local anaesthetics will increase the chances of infection.
Last Answer : C. Prophylactic prescription of dexamethasone will dramatically reduces post operative swelling
Description : A patient on dicoumarol treatment needs extraction. Which of the following is MOST valuable in evaluating surgical risks: A. Clotting time B. Bleeding time C. Prothrombin time D. Sedimentation rate E. Complete blood cell count
Last Answer : C. Prothrombin time
Description : A patient who has been taking quantities of aspirin might show increased post operative bleeding because aspirin inhibits:** A. Synthesis of thromboxane A2 and prevents platelet aggregation B. ... network E. Increase the absorption of vitamin K and prevents synthesis of blood clotting factors
Last Answer : A. Synthesis of thromboxane A2 and prevents platelet aggregation
Description : he initial therapy in HIV patients is, A. Debridement and antimicrobial mouth rinses B. Root planing and surgical approach
Last Answer : A. Debridement and antimicrobial mouth rinses
Description : Which of the following local anaesthetics is indicated in case of the need to long acting one after a surgical operation, A. Lidocaine B. Mepivacaine C. Bupivacaine (Marcaine)
Last Answer : C. Bupivacaine (Marcaine)
Description : Which of the following is the best evidence that a previous periodontal treatment is successful? A. The patient keeps a 3 month recall appointment B. There is no extrinsic stain C. The patient demonstrates good understanding of brushing and flossing techniques D. There is no bleeding on probing
Last Answer : D. There is no bleeding on probing
Description : Plaque is considered as an infection because: A. Antibiotic therapy prevents or stop its formation B. Indication of bacterial activity C. It is common to both animal and human
Last Answer : B. Indication of bacterial activity
Description : The treatment of the following patient should include: a. Initial empiric therapy directed against both aerobes and anaerobes b. The addition of anti-fungal therapy in an elderly patient ... therapy is appropriate if the agents selected possess activity against both aerobic and anaerobic bacteria
Last Answer : Answer: a, e The primary treatment for a perforated viscus is surgical, however antimicrobial therapy is an extremely important adjunct. Empiric antibiotic therapy for secondary ... whereas longer periods are indicated for immunosuppressed patients and with patients with extensive contamination
Description : A man has an Escherichia coli bacteremia with a low-grade fever (101.6°F). Appropriate management of his fever would be (a) Give acetaminophen 650 mg orally every 4 hours (b) Give aspirin 650 ... fever curve to monitor his response to antibiotic therapy (e) Use tepid water baths to reduce the fever
Description : You may suspect poor reaction to bleeding if there is a history of: A. Cirrhosis of liver B. Hypertension
Last Answer : A. Cirrhosis of liver
Description : Laboratory monitoring of coagulation and anticoagulation includes testing of platelet function. Which of the following statements is/are true concerning tests of platelet function? a. A ... platelet aggregation should be part of the standard preoperative evaluation of patients using aspirin
Last Answer : Answer: a, c Tests of platelet function include peripheral platelet counts, bleeding times, and platelet aggregation. Usually, a platelet count of 50,000/mL or more ensures adequate hemostasis ... is not available in most laboratories, probably because of the observer-dependent nature of the test
Description : Which of the following statement(s) is/are true concerning the management of a patient with hemophilia A undergoing an elective surgical operation? a. Concentrates of factor VIII should be given ... observed e. A new recombinant preparation of factor VIII offers the advantage of being virus-free
Last Answer : Answer: b, c, e Although the half-life of factor VIII is 2.9 days in normal individuals, the half-life of factor VIII concentrates is 9 to l8 hours. Levels of 80% to ... infection in the hemophilia population. A new recombinant preparation of factor VIII offers the advantage of being virus-free
Description : Surgical antibiotic prophylaxis for clean elective surgery started just before operation should be continued for: A. One day B. Three days C. Five days D. Seven days
Last Answer : A. One day
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)
Description : Concurrent administration of aspirin interacts unfavourably with the following drugs except: A. Furosemide B. Spironolactone C. Codeine D. Methotrexate
Last Answer : C. Codeine
Description : Which is the LEAST likely to cause Xerostomia? a. Sjogren’s syndrome. b. Emotional reaction. c. Antidepressants drugs. d. Submandibular sialolith.
Last Answer : d. Submandibular sialolith.
Description : Which is the LEAST likely to cause Xerostomia: A. Sjögren’s syndrome B. Emotional reaction C. Antidepressants drugs D. Submandibular sialolith
Last Answer : D. Submandibular sialolith
Description : Which of the following surgical techniques lead to improved wound healing? a. Atraumatic handling of tissue b. Approximation of underlying fatty tissue to obliterate dead space c. Protecting the wound from water for at least one week d. Meticulous hemostasis
Last Answer : Answer: a, d There are numerous practical implications for the care of wounds and surgical incisions. Meticulous hemostasis reduces the inflammation of phagocytosis necessary to clear the wound of ... or shower one or two days after surgery actually serves useful purpose in debriding the wound
Description : Patient on anti-coagulant therapy requires an extraction to be performed. Which of the following is NOT true: A. Minor post operative bleedings can be reduced somehow by using tranexamic acid B. ... takes at least 8 hours for heparin to take effects D. Heparin should be administered sub-cutaneous
Last Answer : C. It takes at least 8 hours for heparin to take effects
Description : What is your management with a chronic oral antral fistula for some time after the extraction of maxillary first molar: A. Surgical closure B. Anti-biotic and nasal decongestant C. Wash the antrum D. All of the above
Last Answer : D. All of the above
Description : The first thing to do after surgical removal of an impacted 3rd molar in the mandible is:
Last Answer : Cold application from the outside
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
Description : A 75-year-old man had been receiving gentamicin (an aminoglycoside antibiotic) to treat an urinary tract infection. After three months of therapy patient's serum creatinine levels were 10 mg/ ... Type II allergic reaction b)Type III allergic reaction c) Pseudo allergic reaction d) Overdose toxicity
Last Answer : d) Overdose toxicity
Description : The most common cause of caries in children is, A. Soft diet B. High intake of carbohydrate C. Poor oral hygiene
Last Answer : B. High intake of carbohydrate
Description : The adhering of tissues on the surgical electrode usually means: A. Current intensity is too high B. Current intensity is too low C. Dispersion plate not applied to patient D. None of the above
Last Answer : B. Current intensity is too low
Description : A palatal root displaced into the antrum while extracting; what is your decision to retrieve it: A. Through the alveolar B. Surgical opening of canine fossa C. Nasal antrostomy
Last Answer : B. Surgical opening of canine fossa
Description : The most important factor in surgical removal of impacted teeth is, A. Removal of enough bone B. Preoperative assessment C. The flap design D. The use of general anaesthetic
Last Answer : B. Preoperative assessment
Description : Treatment of either salivary or multiple Giant Cell lesion is, A. Marsupialization B. In velation and packing ap?? C. Cold well?? D. Surgical curettage E. None of the above
Last Answer : D. Surgical curettage
Description : In regard to third molar surgery: A. Maximum swelling is seen after 24-48 hours B. Prophylactic antibiotic will reduce swelling C. Antibiotic cover is compulsory
Last Answer : A. Maximum swelling is seen after 24-48 hours
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
Description : By which of the following mechanism reduces Aspirin pain: A. It is anti inflammatory by the release of histamine B. It blocks the cyclo-oxygenase pathway.
Last Answer : B. It blocks the cyclo-oxygenase pathway.
Description : The following is not true of the cytochrome P450 isoenzyme CYP2D6: A. It generates the hepatotoxic metabolite N-acetyl benzoquinone immine from paracetamol B. It is involved in demethylation of ... for poor capacity to hydroxylate many drugs including metoprolol D. It is inhibited by quinidine
Last Answer : A. It generates the hepatotoxic metabolite N-acetyl benzoquinone immine from paracetamol
Last Answer : A. It generates the hepatotoxic metabolite N-acetyl benzoquinone immine from paracetamo
Description : A 50 years-old man presented after a full mouth extraction complaining that he bled all night . Which of the following pre. existing conditions could be responsible for the post operative bleeding: a. Blood ... 140/80 b. Gastric ulcer. c. Elevated prothrombin time. d. None of the above.
Last Answer : c. Elevated prothrombin time.
Description : A 50 years old man presents after a full mouth extraction complaining that he bled all night . Which of the following pre existing conditions could be responsible for the post operative bleeding: A. Blood ... ulcer C. Elevated prothrombin time D. A & C are correct E. None of the above
Last Answer : D. A & C are correct
Description : Two central incisors on a radiograph are showing with what looks like eye drop radiolucency. You decided to start endodontic treatment on these teeth but when you tried to open access to the root ... and start a permanent restoration. B. Start systemic antibiotic C. Try to ream and file canals
Last Answer : C. Try to ream and file canals
Description : What is the main purpose of using corticosteroids in pulpal obturation material? A. For their antibiotic action B. For their antiinflammatory action C. To relief pulp pressure
Last Answer : B. For their antiinflammatory action
Description : A female patient comes to you complaining of persistent pain in a heavily restored central incisor; you suspect pulpitis and you have been told that she is in transit leaving by plane ... B. Pulp extirpation and obturate with Ledermix dressings C. Prescribe analgesics and systemic antibiotic
Last Answer : B. Pulp extirpation and obturate with Ledermix dressings
Description : What is the main purpose of using corticosteroids in pulpal obturation material: A. For their antibiotic action B. For their antiinflammatory action C. To relief pulp pressure
Description : Treatment of Osteoradionecrosis is: A. Antibiotic coverage B. Conservative treatment including antibiotic coverage and resection of jaw segment. C. Conservative treatment with sequestrectomy
Last Answer : C. Conservative treatment with sequestrectomy
Description : All of the following should be considered for systemic antibiotic except: A. Extraction of tooth with acute dento alveolar abscess B. Necrotic ulcerative gingivitis (ANUG) unless it is acute. C. ... of 38 or 48 with acute pericoronitis D. Full mouth extraction for a patient with perio disease
Last Answer : B. Necrotic ulcerative gingivitis (ANUG) unless it is acute.
Description : Which of the following conditions would be considered for antibiotic prophylaxes: A. Malignancy recently removed B. Congenital valve heart disease C. Functional heart murmur
Last Answer : B. Congenital valve heart disease
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
Description : Prophylactic administration of antibiotic is indicated before oral surgery in patients with: A. Herpes simplex B. Whooping cough C. Bacterial endocarditis
Last Answer : C. Bacterial endocarditis