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Intro to Oral Surgery & Pain Management > OEQ > Flashcards

OEQ Flashcards

1
Q

All of the following are indications for anticoagulant use except

  • MI
  • COPD
  • Venous thrombosis
  • Pulmonary embolism
A

COPD

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2
Q

Tx for ecchymosis:

A

No tx necessary

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3
Q

T/F: Short incisions heal faster than long incisions

A

False- incisions heal edge to edge not end to end

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4
Q

T/F: The most reason for prolonged post-op bleeding OR delayed healing is failure to achieve primary closure

A

False- Not enough pressure

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5
Q

For extraction of mandibular molar, the chair should be positioned so that the mandibular occlusal plane:

A

is parallel to the floor when the mouth is open

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6
Q

What type of instrument is being shown? What action is being shown?

A

Triangular elevator; wheel & axel

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7
Q

When using forceps, what should be considered?

A
  1. Continually reseat the beaks apically
  2. Use controlled and deliberate forces when luxating and hold each for a few seconds
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8
Q

When using forceps, continually reseat the beaks ____

A

apically

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9
Q

When using forceps, use controlled and deliberate forces when ____ and hold each for ____

A

luxating; a few seconds

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10
Q

When removing MAXILLARY CANINES, which of the following is NOT true

  • use strong palatal force because of thick palatal bone
  • they can be difficult to remove because of long roots
  • when isolated they can be grasped MD
  • Labial plate can be easily fractured because it is very thin
A

False option is: Use strong palatal force because of thick palatal bone

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11
Q

When extracting maxillary canines what should you NOT do?

A

use strong palatal force

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12
Q

Maxillary canines an be difficult to remove because of:

A

long roots

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13
Q

When maxillary canines are isolated, they can be grasped:

A

MD

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14
Q

What is easily fractured when extracting maxillary canines and why?

A

labial plate easily fractured because its very thin

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15
Q

T/F: If a piece of bone is removed with the tooth it should be replaced in the socket and sutured

A

False

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16
Q

Mandibular 3rd molars can be displaced into which of the following?

  • maxillary sinus
  • infra temporal fossa
  • submental space
  • submandibular space
  • mandibular canal
A

SubMANDIBULAR space & MANDIBULAR canal

(both answers have mandibular in them)

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17
Q

The one tooth that can be frequently removed with elevators ONLY:

A

Maxillary 3rd molars

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18
Q

Which flap has ONE relaxing incision?

A

Three corner

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19
Q

NEVER EVER place a vertical incision flap on:

A

Lingual side of the mandible

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20
Q

Contraindications for placement of vertical release incision lines:

A
  1. Canine prominence
  2. Mental foramen
  3. Palate
  4. INCISIVIE papilla
  5. Bony lesion
  6. Major frena
  7. LINGUAL SIDE OF MANDIBLE
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21
Q

Why should a flap be over an adequate margin of solid bone when repositioned?

A

Increased healing rate; decreases wound dehiscence

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22
Q

The margin of a flap should be atleast ____ mm from the margins of a bony defect

A

5mm

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23
Q

For mandibular flaps, an incision can be made from tip of one coronoid process, down the anterior border of the ramus, and along the crest of the alveolus to the tip of the opposing coronoid process without:

A

cutting any major structures except buccinators artery & long buccal nerve

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24
Q

Hazard areas for mandibular flaps: (3)

A
  1. Lingual region of 3rd molars (lingual nerve damage)
  2. Premolar buccal vestibular region (mental nerve/vessel)
  3. vestibular near 2nd molar (facial artery/vein)
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25
Q

What anatomical structure should be avoided with mandibular flap placement?

A
  1. lingual nerve
  2. mental nerve
  3. long buccal nerve
  4. facial artery
  5. buccinator artery (buccal artery)
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26
Q

T/F: For maxillary flaps, an incision from one tuberosity to the other along the alveolar crest will NEVER sever anything larger than a capillary

A

true

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27
Q

Hazard areas for maxillary flaps include:

A
  1. great palatine artery
  2. nasopalatine nerve
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28
Q

What is the most popular flap in dentistry?

A

full thickness (mucosal tissue + periosteum)

Mucosal tissue = Sub q tissue + CT

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29
Q

After plan A (closed extraction with elevators and forceps) has failed, plan B would entail:

A

Reflect a small envelope flap, access and visualization of bone

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30
Q

Envelope flap:

A
  • Full thickness flap
  • without vertical releasing incision (but 1-2 vertical incisions can be added)
  • apical portion must be wider than vertical portion when doing vertical incision on this envelope flap
  • 2M 1D (teeth)
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31
Q

T/F: 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 the removal

A

False- it will

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32
Q

Of the following patients, which is most qualified for an open, surgical extraction?

  • Woman with RCT
  • 30 year old male with dense buccal bone and normal roots
  • male with super-erupted tooth and roots into pneumatized maxillary sinus
A

Male with super-erupted tooth and roots into pneumatized maxillary sinus

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33
Q

Which is not indicated for tooth extraction?

  • radiation
  • super-erupted
  • ortho
  • extensive caries
A

radiation

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34
Q

T/F: 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 size

A

False- this is not okay with PA infection

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35
Q

Girl has surgical extractions and which of the following would be reasons to see her post op?

a- bright red bleeding for more than 24 hours after extraction
b- little swelling at first then increased rapidly after 5 days
c- little pain at first and then unbearable after 3 days
d- slight swelling 72 hours after extraction
e- bruised 24 hours after extraction

A

ABC

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36
Q

Two tabs of Tylenol #3 contain:

A

60 mg codeine & 600mg of Tylenol

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37
Q

When extracting a maxillary molar, a large part of the maxillary tuberosity is fractured. What should you do?

A

Stop extraction, splint tooth for 6-8 weeks, surgical extraction at that time

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38
Q

Patient is sent to you for ortho extractions of four PMs. You realized you have extracted the wrong tooth. what do you do?

A
  1. Rinse with saline
  2. Reimplant
  3. Call orthodontist to see about changing treatment plan
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39
Q

While extracting a tooth, you accidentally luxate the adjacent tooth and it is very loose. What should you do?

A
  1. Stop procedure
  2. Stabilize the tooth that was accidentally luxated
  3. Relive occlusion
  4. Splint
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40
Q

A 5 mm oral antral opening is created when removing a maxillary molar. You close with a figure 8 stitch, instruct patient to take “sinus precautions” and prescribe which of the following?

A

a- antibiotic (PCN)
b- nasal spray
c- possible nasal decongestant

41
Q

T/F: Patient complains of prolonged numbness for a 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

False

42
Q

What is true of surgical?

A
  1. Can be packed with pressure
  2. Has antibacterial properties
43
Q

T/F: Surgical is used with thrombin

A

False

44
Q

Treatment of alveolitis?

A

irrigate with warm water and pack with sedative dressing

45
Q

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?

A

6-8 mm

46
Q

Why are incisions NOT commonly placed near the canines?

A
  1. Bony eminence so gingiva is extremely thin
  2. Frena/muscle attachments

(ALL OF THE ABOVE)

47
Q

Alveolitis symptoms (dry socket)

A
  1. foul smell
  2. narcotics cannot alleviate pain
  3. dull constant pain referred to ear 3-5 days after procedure
  4. socket appears empty
  5. When irrigating, black coffee grounds come out
  6. Irrigation with cold water is painful
48
Q

What type of lever is used in the mandible?

A

Class III

49
Q

A class I lever =

A

elevator (lever)

50
Q

A blood pressure of 118/88 is considered:

A

elevated

51
Q

A normal BP is:

A

less than 120 / less than 80

52
Q

Hypertensive crisis BP:

A

Greater than 120/ greater than 180

53
Q

What do you put in site #30 if you see the IA exposure AND excessive bleeding?

A

place collagen

54
Q

What is the part of the suture needle that connects needle to material?

A

swage

55
Q

T/F: On an operator, the sterile areas are everything above the waste including head and neck and excluding the posterior

A

false

56
Q

1.8 cc carpal of 0.5% bupivicaine 1:50,000 contains:

A

9 mg bupivicaine; .009 epi

CC x percentage = mg of anesthetic

mg x epi ratio = epi

57
Q

Process of making something free from bacteria or other living microorganisms

A

Sterilization

58
Q

How do we accomplish sterilization in dentistry?

A

chemical steam, saturated steam, dry heat

59
Q

Insulin Dependent DM= ASA class

A

Class III

60
Q

Pt is on Coumadin what lab test do they need done?

A

INR

61
Q

T/F: After lunation then using forceps in bucccal motion because buccal bone is thinner and less likely to cause root fracture

A

False; apical motion first then buccal motion

62
Q

T/F: Dr. O writes too lengthy procedure notes that are not needed

A

False

63
Q

What are the oral hemostatic challenges?

A
  1. tissues in mouth are highly vascular
  2. Extractions leave open wound
  3. Patient explore areas of mouth with tongue

NOT: normal oral bacterium lyse blood clots

64
Q

T/F: Patient had surgery 6 hours ago and now are complaining of severe pain. You thing about having them return to the office to give narco prescription and re evaluate, but the patient lives 3 hrs away. Should you just give them the prescription?

A

No

65
Q

All of the following are considered COPD:

A
  • hypoxemia
  • increased Co2
  • inability of alveolar elasticity
66
Q

What should you NOT do with COPD patient?

A

give 6-8 liters of O2

67
Q

T/F: A drill should be

HIGH speed
LOW torque
Rear exhaust

A

False

68
Q

Which suture has only one tie and the ability to hold medicaments in the socket?

A

Figure 8

69
Q

A 65 year old female e patient with history of NIDDM , GERD, and pack a day smoker for past 40 years. She keeps good record of her glucose which are never over 250 and her A1C is 6.5. She comes to you swollen, in a lot of pain and unable to eat or drink. She can wiggle the crown of the tooth that is bothering her.

T/F: You may extract the tooth at this time:

A

True

70
Q

When should a dialysis patient come in for an extraction?

A

day after dialysis

71
Q

Pt had MI 6 months ago, cleared now, and under care of cardiologist. What is the max dose of epi he can receive?

A

.04 mg

3 cartridges of 4% articaine 1:200k epi (least amount of epi)

72
Q

Patient comes in with ecchymosis, what is the treatment?

A

No treatment

73
Q

When using forceps, which of the following shouldn’t be considered?

A
  1. continually reseat the beaks apically
  2. hold for a few seconds to allow bone to expand
74
Q

When removing a maxillary premolar, which of the following is NOT true?

A

use strong palatal force because of thick palatal bone

75
Q

Mandibular 3rd molars can be displaced into which of the following?

A
  1. submandibular space
  2. mandibular canal
76
Q

Of the following patients which is most qualified for an open surgical extraction?

A

64 year old male with super-erupted tooth and roots into very pneumatized maxillary sinus

77
Q

Which of the following is NOT an indication for an extraction?

A

radiation caries secondary to area being irradiated

78
Q

While extracting a tooth that is locked out (pushed lingual because of crowding) you inadvertently luxate the adjacent tooth and it is now loose. What should you do?

A

Stop and splint the accidental luxated tooth

79
Q

What is true of surgicel?

A
  1. easy to pack
  2. antibacterial properties
  3. can pack with pressure
80
Q

Alveolitis treatment:

A

irrigate socket
sedative dressing

81
Q

Incisions are not commonly placed near the canines because of which of th following?

A
  1. bony eminence so thin gingival tissues
  2. frenulum attachment
  3. something else valid

(all of the above)

82
Q

The main purpose of a flap is to:

A

provide access to the area (then visualization second I think)

83
Q

What is the part of the needle called that should NOT be touched and connect the threat to the needle?

A

Swage

84
Q

On an operator, the sterile areas are everything above the waist including the head and neck:

A

false

85
Q

T/F: After lunation, first use a buccal force

A

False- apical force first

86
Q

Surgical sterile technique refers to keeping microbes out of surgical sites in surgery. Medical sterile technique refers to keeping medical professionals/staff free of microbes

A

Both statements true

87
Q

What is the absolute cut off for BP when performing dental treatment?

A

180/110

88
Q

T/F: Hypertrophy referes to excessive wound healing beyond the border. Keloids refer to excessive wound healing within the wound borders

A

False

89
Q

All of the following require antibiotic prophylaxis except:

A

rheumatic fever

90
Q

list examples of situations that require antibiotic prophylaxis:

A
  1. previous infective endocarditis
  2. congenital heart defect repaired 5 months prior
  3. prosthetic heart valve
91
Q

All of the following are indications for tooth extraction except:

A

mild controlled platelet disorder

92
Q

Wound repair heals through what mechanism?

A
  1. proliferation
  2. migration
  3. contact inhibition
93
Q

Spontaneous and subjective altered sensation that is not painful/uncomfortable

A

parastehsia

94
Q

Reduction in the number of viable microorganisms not connected to public health standards

A

decontamination

95
Q

Max permissable dose for acetominophin =

ibuprofen=

A

4000mg

3200mg

96
Q

Elevating a tooth out is a class 1 lever.

Mandible is a class 1 lever.

A

first statement true; second statement false

97
Q

OS should support finger on adjacent tooth or bone when using elevator to get roots in maxilla

A

true

98
Q
A

Intro to Oral Surgery & Pain Management (4 decks)

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