1 Flashcards
All of the following are indications for anticoagulant use except
a. MI
b. COPD
c. Venous thrombosis
d. Pulmonary embolism
COPD
Tx for ecchymosis
No tx necessary
Short incisions heal faster than long incisions
a. True
b. False
False – incisions heal edge to edge, not end to end
Most common reason for prolonged post-op bleeding OR delayed healing is failure to
achieve primary closure
a. True
b. False
False
For extraction of a mandibular molar the chair should be positioned so that the
mandibular occlusal plane is
Parallel to the floor when mouth is open
Picture of a triangular elevator and question asking what action was being shown
Wheel and axle
When using forcep which of the following should be considered
a. Continually reseat the beaks apically
b. Use controlled and deliberate forces when luxating and hold each for a
few seconds
When removing max canine which of the following is not true
a. Use strong palatal force because of thick palatal bone
b. They can be difficult to remove b/c of long roots
c. When isolated they can be grasped M-D
d. Labial plate easily fractured b/c it is very thin
a. Use strong palatal force because of thick palatal bone
If a piece of bone is removed with the tooth it should be replaced in the socket and
sutured.
a. True
b. False
False
Mandibular 3rd molars can be displaced into which of the following
a. Max sinus
b. Infratemporal fossa
c. Submental space
d. Submandibular space
e. Mandibular canal
d. Submandibular space
e. Mandibular canal
. The one tooth that can be frequently removed with elevators only i
Max 3rd molars
Which flap has one relaxing incision?
a. Three corner
b. Two corner
c. Four corner
Three corner
After plan A (closed extraction with elevators and forceps) has failed plan B would
entail
Reflect a small envelope flap, access and visualization of bone, etc.
Roots of mandibular molar has been M-D sectioned, flap created, bone removed,
etc. and are still unable to be removed. Sectioning the root B-L will not aid in their
removal
a. True
b. False
False
Of the following patients which is most qualified for an open, surgical extraction
a. Women w/ RCT
b. 30 y-o male with dense buccal bone normal roots
c. male w/ super-erupted tooth and roots into pneumatized max sinus
male w/ super-erupted tooth and roots into pneumatized max sinus
not indicated for tooth extraction
a. Radiation
b. Super-erupted
c. Ortho
d. Extensive caries
Radiation???
. Female has chronic periapical infection around tooth. You extract tooth and small 2mm
portion of root fractures and remains. It is okay to leave this behind because of the
small size.
a. True
b. False
False
Girl has surgical extractions and which of the following would be reasons to see her
post-op (was on there twice)
a. Bright red bleeding >24 hrs after extraction
b. Little swelling at first then increased rapidly after 5 days
c. Little pain at first then unbearable after 3 days
d. Slight swelling 72 hours after extraction
e. Bruised 24 hours after extraction
a. Bright red bleeding >24 hrs after extraction
b. Little swelling at first then increased rapidly after 5 days
c. Little pain at first then unbearable after 3 days
??????
2 Tabs of Tylenol #3 contain:
a. 60 mg codeine
b. 600 mg Tylenol
When extracting a max molar a large part of max tuberosity is fractured. What should
you do?
Stop extraction, splint tooth for 6-8 weeks, sx extraction at that time
Patient is sent to you for ortho extractions of four PMs. You realize you have extracted
wrong tooth. What do you do?
Rinse in saline, reimplant, call orthodontist to see about changing tx
plan
While extracting a tooth you inadvertently luxate the adjacent tooth and it is very loose.
What should you do?
Stop procedure, stabilize tooth that was inadvertently luxated, relieve
occlusion, splint
A 5mm oral antral opening is created when removing a max molar. You close with a
figure 8 stitch, instruct patient to take “sinus precautions” and prescribe which of the
following?
??
Patient complains of prolonged numbness x number of weeks after you performed a
block and extraction. You should wait one year before referral to oral surgeon because
that is how long it takes to heal.
a. True
b. False
False
What is true of Surgicel
a. Can be packed with pressure
b. Has antibacterial properties
c. Is used with Thrombin
a. Can be packed with pressure
b. Has antibacterial properties
Tx of alveolitis
a. Irrigate with warm water and pack with sedative dressing
Incision lines can often collapse into the defect and cause dehiscence after surgical
extraction, in order to prevent this how far should incisions be placed from the bony
defect?
6-8 mm
Incisions are not commonly placed near the canines because of which of the following?
a. Bony eminence so gingiva extremely thin
b. Frena/muscle attachments
c. ….
d. All of the above
All of the above
Alveolitis symptoms
a. Foul smell
b. Narcotics cannot alleviate pain
c. Dull constant pain referred to ear 3-5 after procedure
d. Socket appears empty
e. Irrigate black coffee grounds come out
f. Irrigate w cold water painful
Alveolitis symptoms
a. Foul smell
b. Narcotics cannot alleviate pain
c. Dull constant pain referred to ear 3-5 after procedure
d. Socket appears empty
e. Irrigate black coffee grounds come out
f. Irrigate w cold water painful
Mandible is class III lever, lever (elevator) is class I
.
Dysthesia definition
.
T/F about hand supporting on the adjacent tooth or bony protuberance.
False
what do you put in site #30 if you see the IA exposure AND excessive bleeding
a. pack gelform
b. pack gelform soaked in thrombin
c. pack surgicel
d. place collagen
d. place collagen
part of suture needle that connects needle to material
a. swage
swage
On an operator, the sterile areas are everything above the waist including head & neck, excluding the
posterior
a. True
b. False
False
1.8 cc carpule of 0.5% bupivicane 1:50,000
a. 9mg bupivicane, 0.009 epi
Picture of browns forceps
.
Sterilization definition
.
IDDM is what ASA Class?
Class III
Pt on coumadin, what lab test to have done?
INR
T/F after luxation then using forceps in buccal motion because buccal bone is thinner and less likely
to cause root fracture
False bc apical first then buccal
t/f dr. o writes too lengthy procedure notes that are not needed or something (some dumb q)
false
oral hemostatic challenges all of the following except
a. tissues in mouth highly vascular
b. ext leave open wound
c. pt explore areas of their mouths
d. normal oral bacterium lyse blood clots ??
normal oral bacterium lyse blood clots ??
. t/f pt had surgery 6 hours ago and now complaining of severe pain. You think about
having them return to office to give narco prescription and re evaluate. But the pt lives
3 hours away should you give them the prescription
a. no
no
all of the following w copd except
a. hypoxemia
b. increased co2
c. give 6-8 L o2
d. inability alveolar elasticity
give 6-8 L o2
Drill should be high speed, low torque, and rear exhaust
a. True
b. False
False
Which suture has only one tie and the ability to hold medicaments in the socket?
a. Figure 8
Figure 8
Girl has surgical extractions and which of the following would be reasons to see her
post-op (was on there twice)
a. Bright red bleeding >24 hrs after extraction
b. Little swelling at first then increased rapidly after 5 days
c. Little pain at first then unbearable after 3 days
d. Slight swelling 72 hours after extraction
e. Bruised 24 hours after extraction
a. Bright red bleeding >24 hrs after extraction
b. Little swelling at first then increased rapidly after 5 days
c. Little pain at first then unbearable after 3 days
????
