Past Paper Q's

Question 1

Other than pain, bruising and swelling. List 6 other signs and symptoms of a mandibular fracture.

Answer 1

Bleeding
Limitation of function
Mobile lower teeth
Lower lip numbness
Occlusal derangement/step deformity
Facial asymmetry

Question 2

What factors would cause a fracture to be displaced?

Answer 2

Angulation of fracture line
Opposing occlusion
Magnitude of force
Pull of attached muscle (unfavourable)

Question 3

What is arthocentesis?
What does it do?

Answer 3

Sterile saline injected into TMJ joint space
Breaks fibrous adhesion and flushes away inflammatory exudate

Question 4

List 6 signs and symptoms of TMD.

Answer 4

Clicking of TMJ
Crepitus of TMJ
Pain on opening/clenching
Limited mouth opening
Linea alba
Wear facets
Tongue scalloping
Facial asymmetry

Question 5

List 8 conservative management techniques of TMD.

Answer 5

Counselling
Reassurance
Soft diet
Avoid wide mouth opening- supported yawning
Avoid chewing gum
Cut food into smaller pieces
Splint therapy (hard/soft)
Analgesics for pain relief
Ensure chewing on both sides

Question 6

What drug is the reverse of Midazolam?

Answer 6

Flumazenil

Question 7

3 pieces of advice to give to patients after sedation.

Answer 7

No driving
No signing legal documents
Don’t go on the internet/or to work

Question 8

List the safety features of the quantiflex machine.

Answer 8

Oxygen flush button
Reservoir bag
Scavenger system
One way expiratory valve
Minimum O2 level at 30%

Question 9

What are the stages of anaesthesia?

Answer 9

Induction
Excitement
Surgical anaesthesia
Overdose

Question 10

What is included in a referral letter?

Answer 10

Patient name
Patient address
Contact details
Medical history
GP
Dental history
Radiographs
Treatment plan
GDP name and contact/address

Question 11

What is the half life of midazolam?

Answer 11

90-150 mins

Question 12

What is GABA?
Function?

Answer 12

Gamma-aminobutryic acid
Inhibitory neurotransmitter in the CNS

Question 13

6 things you assess a patient for before IV sedation?

Answer 13

Heart rate
BP
Weight
Medical history
ASA classification
Oxygen saturation

Question 14

What are strong indications for the extraction of a lower 8?

Answer 14

Previous episodes of pericoronitis
Cellulitis
Abscess formation
Untreatable pulpal/periapical pathology
Caries in the 8, little chance of useful restoration or when caries is present in the 7 that cannot be restored without removal of the 8
Perio disease
Dentigerous cyst formation
External resorption of the 8 or 7, where it appears to be caused by the 8