ABOMS Flashcards
Is extension or flexion worse in a brain injury?
extension
What is seen 1st on the retina during ocular exam in people diabetes
micro aneurysms
Why does propofol cause bradycardia and hypotension?
inhibits baroreceptors
Transcaruncular incision landmarks
Incise between caruncle and plica semilunaris
Sensory nerve to tip of nose
ext ciliary
nasociliary nerve
anterior ethmoidal nerve
Nerve injured in hip graft
iliohypogastric nerve
Deltopec artery supply
internal mammary artery
Hypokalemic periodic paralysis vs GBS after surgery
hypokalemia has low K and recovers quickly
Tissue layer depth for chemical peels
superficial- 0.06mm
medium- 0.45mm (papillary and upper reticular dermis)
deep- 0.60mm (mid reticular dermis)
Hardest tooth position for coronectomy
position most likely to mobilize roots
What is type 4 nec fasc?
fungal
Body burn % estimate
Rule of 9s
18: chest, back
9: each arm, head, each leg surface
Min % Improvement in fev1 with bronchodilator
12%
Exact insertion point of superior head lateral pterygoid
Originates from greater wing of sphenoid
Inserts into articular disc and fibrous capsule
What type of flap is a buccal fat pad?
axial
Precedex MOA
alpha-2 agonist
What size LMA would you use on a patient who weighs 50kg?
4
A NIDDM pt with hyperosmolar nonketotic state would have hyponatremia?
false: Normal lytes, increased Cr and osms
Why fat graft after superficial parotidectomy
prevent frey’s syndrome
During trauma which nerve is injured with which bone fracture? CN 1,3,4,6
1-ethmoid
3-
4-occipital
6-temporoparietal
Which part of face loses the most volume with age
malar
During neck trauma what is the most frequent indication for trach?
blunt neck trauma
How do you prevent recurrence of odontogenic myxoma
cryotherapy
How does a myxoma grow?
mitosis
Change on lateral ceph after SARPE
clockwise rotation of maxilla
To prevent iatrogenic fracture of the sphenoid and orbital bone during sarpe which cuts have to be done adequately?
pterygomaxillary/tuberosity
Most common cardiac side effect of peds with succinylcholine
bradycardia
A lefort 2 is done for which developmental abnormality?
Binder’s syndrome
Maxillary and mandibular alveolar bone is derived from which arch?
1st branchial, ectoderm
What does BMP stimulate?
mesenchymal stem cells
What ABG value will lead you to believe that an ashthmatic is pending respiratory failure?
increased CO2
Trauma to face anterior 2/3 tongue have anesthesia and tongue drops to side of injury. What nerves are damaged?
lingual and hypoglossal
What preoperative treatment could you do to avoid hyperpigmentation after laser?
trentoin and azaleic acid
Ex fix is indicated for which fracture?
resorbed edentulous mandible
Eyelid test shows laxity on lower lid, what procedure would you do?
canthopexy
Surgery in which zone can result in shoulder injury?
2B
Local anesthesia toxicity is increased in pediatric patient with simultaneous use of
opioids
An increased dose adjustment is needed for patients with myasthenia gravis for which paralytic?
succ
During cleft lip repair which layer of orbicularis oris needs to be re- approximated for good white roll?
horizontal
What do you use to treat cocaine induced HTN?
diltiazem
Frey’s syndrome crossover
damage to auriculotemporal
PS connected to sympathetic
When placing extraoral drain draining pterygomandibular abscess drain is placed where?
superficial to medial pterygoid, deep to ramus
Pt with fever malaise horners syndrome has abscess where?
post styloid lateral pharyngeal abscess
What is true about skin graft around implant indications?
may be the only choice due to volume in cancer patients
What percentage of full bony impacted canines come into occlusion after uncovering?
75
Maximum relapse you would expect after maxillary down graft
2.3mm
What is the disadvantage of using DO on a 20mm high anterior mandible to fill a defect of 20mm?
vector maintenance
An orbital abscess causes vision loss by:
venous thrombosis
Where does reduction of dorsal hump take place?
superficial to bone and cartilage
Chronic TMJ pain and GI problem which NSAID is best?
etodolac
Which medicine should you not use on a patient with parkinsons?
droperidol
What is same for both obstructive and restrictive lung disease?
TV
Nonunion after LF I most commonly caused by:
bruxism
When do you cranialize frontal sinus?
comminuted anterior and posterior table
Trigger zones for Trigeminal neuralgia are distributed in areas innervated by which nerves?
CN V2 and 3
Normal RR for 3 year old
24-40
Which is not a good choice for cranial and frontal developmental abnormality?
a. autograft
b. allograft
c. cranial advancement
d. subcranial LF3
D
MC bacteria in odontogenic infections
a. strep
b. staph
c. bacteroides
d. actino
a.strep
Pulseless rhythm is seen in:
WPW
Ion uptake by Fentanyl in the stomach where acid is present leads to:
a. faster onset
b. short acting
c. delayed onset
c. delayed onset
What is beneficial for someone with Hypertrophic cardiomyopathy?
expand volume
Homograft rejection is mediated by:
cellular immunity
What is true about burkitts?
extranodal spread is seen in GI Tract of Americans
23 yo AA M with maxillary submucosal painful swelling for the past 2 months
actino
Orbital trauma what causes loss of crease in upper eyelid?
levator disinsertion
Lab value you check to see muscular dystrophy
creatinine kinase
How is BMP made?
a. distillation from freeze dried bone
b. polymerizing BMP amino acids
c. gene splicing into cells
b
How do you correct ectropion with 4mm scleral show?
lateral canthopexy
Implant placed in incisor region the tooth was previously endo treated then had infection and was removed how will you ensure papilla will grow
papilla will grow if the distance from the bone crest to contact is 5mm
What determines longevity of implant placed in posterior maxilla?
use of a longer implant than shorter implant
Thalessemia and facial deformity leads to what kind of hypoplasia?
sagittal (vertical)
First stage of metabolic phases
ebb
Difference between imbibition and inosculation
Imbibition- graft absorbs (imbibe) nutrients from underlying recipient bed
Inosculation- blood vessels in skin graft grow to meet the vessels (inosculate = kiss) of the recipient bed
Doing a vestibulopathy and floor lowering procedure with a 0.7mm skin graft, what is most likely late complication?
hair growth
papillary dermis is 0.45, reticular (has hair follicles) is 0.6, so this depth would grow hair
Normal STSG is ~0.015”
Precedex – Alpha 2 agonist, how does it affect a child also getting sevoflourane?
requires less sevo
Crouzon’s – how does it affect mandible growth?
variable
What does mineralized bone graft provide better?
osteoconduction
Maxilla and mandible are from which brachial arches?
1st
Minimal space required “for an implant-supported overdenture”
12
Definition of the Keystone area
where nasal bones and upper lateral cartilages overlap
Treatment of lacrimal duct injury
cannulation for 3-4 months
Minimum amount of time for consolidation of distraction for implant placement
2 months
Large parotid mass with nerve-involvement symptoms… what is the next step?
FNA
Where do you see a pterygomandibular space infection?
Above the angle and below the ear
What determined onset of a local anesthetic?
dissociation constant (pKa)
Triceps out but biceps work.. where is the lesion?
C7/8
Some lady with gingival overgrowth.. they show histology which is full of lymphocytes… what is the lesion?
leukemia
What is responsible for cat scratch disease?
Gm – bacillus, bartonella
In an oculomotor palsy, where does the eye look?
down and out
What is the test for hyperparathyroidism?
Parathyroid immunoassay
What is protective against PONV?
smoking
Which increases the risk of alveolar osteitis?
age >25
What is treatment for serotonin syndrome?
cyproheptadine
Where will a STSG not work?
scalp avulsion to skull
Artery supplying the scapular free flap
Circumflex scapular
Artery supplying the iliac crest free flap
deep iliac circumflex
Which is true of lichen planus?
it can become malignant
Young lady with boyfriend with history of an STI now has TMJ septic arthritis…bacteria?
gongococcal
On pediatric rheumatoid arthritis of the TMJ – do steroid injections work?
no
Why wait 3 months for primary cheiloplasty?
muscle maturation
What is a contraindication to an LMA?
Limits to positive pressure, cannot position other than supine, doesn’t prevent aspiration
Feature most likely to indicate nerve injury during thirds removal?
darkening of root
Medial osteotomy of a BSSO too high what happens?
condyle stays on distal segment
Rushton Bodies are found in:
Lateral radicular cysts
Correct dose of lidocaine in micrograms/min/kg to treat ventricular fib
1-1.5mg
position of upper eyelid in primary gaze in relation to limbus
2-3mm inferior
best way to monitor blood loss in trauma patient
CVP
position for CSF leak
semi fowler
osteotomy for LF III
FZ suture extending into inferior orbital fissure
temperature that necrosis bone during implant
47
In lip switch where is mucosa sutured to?
periosteum at depth of vestibule
difference between staple and TMI
TMI requires less bone
what percentage of discs recapture after arthroscopy
0-10
which noise of TMJ has best prognosis
early opening and late click
how is pain felt if disc perforation
subchondral nociceptors
what nerve is damaged above condylotomy
auriculotemporal
RA diagnostic aid
ANA
MC AVM site after LFI
descending palatine
area most resistant to RPE
mid palatal suture
stripping of which muscles causes condylar sag after IVRO
medial pterygoid and masseter
what causes immediate relapse following BSSO
proximal segment distraction during fixation
What do patients with VME have?
decreased masticatory force
SARPE in which patients?
> 18 with >5mm transverse
MC bad split in BSSO
buccal plate fracture
microscopic anatomy of lingual nerve
10-25 fascicles
graft with more long term shrinkage
STSG
maxillary vein plus what make retromandibular vein?
superficial temporal
what type of bond exists between HA and bone?
chemical
cant feel pulse in anterior temporalis, what to do next?
discard and use posterior
mentalis I/O
I-dermis of skin
O-mental tubercle
how does freeze dried bone work?
osteoconduction/provides BMP
pec major blood supply
thoracoacromial