MDS PREP
Subjective symptom of buccal nerve block is
1. Numbness and tingling sensation of the buccal mucosa
2. Numbness of the lingual mucosa near molars
3. No subjective symptoms
4. A & B
Oral Surgery
Answer: 3
While the buccal nerve block is used to anesthetize the buccal mucosa and buccal
gingival tissues of the maxillary molars, the actual technique does not
typically produce any specific subjective symptoms in the patient other than the
sensation of the needle. The patient may feel numbness if the anesthetic
solution is inadvertently placed in the oral mucosa or if the block is done
improperly.
The treatment of choice for TMJ ankylosis is
1. exercise and warm packs
2. condylectomy
3. steroid therapyv
4. sclerosing solutions
Oral Surgery
Answer: 2
The treatment of choice for TMJ ankylosis is condylectomy. This is a surgical procedure where the ankylotic tissue is removed from the temporomandibular joint, allowing for the restoration of normal joint movement.
Exercise and warm packs may be used as adjunctive treatments to help manage the symptoms of TMJ ankylosis and maintain joint mobility, but they are not the primary treatment for the condition itself. Steroid therapy and sclerosing solutions might be used in some cases, but condylectomy is the definitive surgical procedure to address the ankylosis directly by removing the bony or fibrous tissue that is obstructing the joint..
A contraindication to local infiltration technique
1. Hypertension
2. Diabetic patient in whom urine sugar present
3. Infection in the arch
4. Kidney problems
Oral Surgery
Answer: 3
Local infiltration is a safe and effective technique for achieving anesthesia in
most situations. However, it is contraindicated in the presence of infection in
the arch because it can spread the infection further or lead to complications
like an abscess. Hypertension and kidney problems are not direct
contraindications to local anesthesia, but they may require careful monitoring
of the patient's condition. Diabetes with urine sugar present does not directly
contraindicate the use of local anesthetics unless there are severe
complications or neuropathy involved.
Which is the best method to counteract severe acidosis following cardiopulmonary resuscitation?
1) Administration of adrenaline by IV routes
2) Administration of sodium bicorbonate intravenously
3) Administration of adrenaline intramuscularly
4) No treatment is necessary because it is self-limiting
Oral Surgery
Answer: 2
Severe acidosis, particularly metabolic acidosis, can occur following
prolonged cardiac arrest and subsequent CPR. The primary goal in managing such
cases is to restore normal pH levels in the body, which is crucial for proper
cellular function and overall physiological homeostasis.
1. Sodium bicarbonate Sodium bicarbonate is a strong base that reacts with
hydrogen ions (H+), which are responsible for acidity in the blood, to form
carbon dioxide (CO2) and water (H2O). This reaction helps to neutralize the
excess hydrogen ions, thereby raising the pH of the blood. It is administered
intravenously because it allows for rapid distribution throughout the body and
direct access to the circulatory system where it can counteract acidosis most
effectively. The intravenous route ensures that the medication reaches the
bloodstream quickly and in a controlled manner, making it the preferred method
for acute and severe cases.
2. Adrenaline (epinephrine)*: Although adrenaline is a crucial medication used
in CPR for its vasopressor and cardiac stimulant effects, it is not the primary
treatment for severe acidosis. Adrenaline is typically administered to improve
cardiac output and blood pressure during CPR.
The prime purpose of bibevel chisel is
1. Split teeth
2. Sharpen the angles
3. Remove bone
4. Engage point establishment
Oral Surgery
Answer: 1
The prime purpose of bibevel chisel is to split teeth.
The maximum dose of lignocaine without adrenaline that can be administered to a patient is
1. 4 mg/kg body wt
2. 5 mg/kg body wt
3. 5 mg/kg body wt
4. 9 mg/kg body wt
Oral Surgery
Answer: 3
The maximum dose of lignocaine without adrenaline that can be administered to a patient is 5 mg/kg body wt.
The sterilising units should be monitored at which of the following intervals
1. Daily
2. Weekly
3. Biweekly
4. Monthly
Oral Surgery
Answer: 2
Sterilizing units should be monitored weekly to ensure proper function and
efficacy in killing bacteria and other microbes. This is done through
biological, chemical, and physical indicators.
A patient is allergic to PABA. Most probably he will also be allergic to
1. Lignocaine
2. Carbocaine
3. Prilocaine
4. Tetracaine
Oral Surgery
Answer: 4
A patient allergic to PABA will most probably also be allergic to Tetracaine.