Previous MCQ Flashcards

(48 cards)

1
Q

What is the maximum safe dose of paracetamol can a pt have over 24 period?

A
  • 4g
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2
Q

You are examining neck of a pt who has had a recent throat infection. What diagnosis on lymph nodes is most likely correct?

A
  • Enlarged deep cervical nodes only
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3
Q

When thinking about potential of post op bleeding following tooth XLA, what is a systemic haemostatic agent that could be provided to help alleviate prolonged bleeding?

A
  • Tranexamic acid
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4
Q

What is the documented permanent neuro-sensory damage to IAN following XLA of low risk wisdom tooth?

A
  • <10%
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5
Q

What is a peri-operative complication?

A
  • Fracture of alveolar plate
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6
Q

Osteoporosis is a common finding in elderly and can result in ?

A
  • Increase in risk of lower vetebral fractures
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7
Q

Osteoarthritis is a frequently a problem in elderly. Main supplement or drug take to reduce the disability associated with this is?

A
  • Non-steroidal anti inflammatories
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8
Q

What space is the most common for an acute abscess to track to from an upper lateral incisor tooth?

A
  • Buccal
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9
Q

An elderly pt feels faint when made to sit rapidly from lying flat in dental chair. Most likely reason in the ageing pt is?

A
  • Reduced baroreceptor response
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10
Q

Following dental trauma the most likely place to find a missing tooth fragment is where?

A
  • In right main lunch bronchi
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11
Q

An older person attend GP as he has been losing weight and getting breathless. GP takes a blood sample to check for anaemia. What first line blood test does he request?

A
  • Full blood count
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12
Q

Haemophillia A is caused by deficiency of ?

A
  • Factor VIII
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13
Q

Haemophilia B is caused by deficiency of ?

A
  • Factor IX
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14
Q

Patients with RA can have difficulty holding toothbrush due to destruction of

A
  • Metacarpophalangeal joints?
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15
Q

68 year old female taking alendronic acid for osteoporosis. Requires non-surgical tooth XLA. How should she be managed?

A
  • XLA and review pt 4 weeks later
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16
Q

60 year old male attends 6 months after radiotherapy for left tonsillar tumour. Dry mouth. Wears maxillary denture and has 10 mandibular teeth remaining, you prescibe him saliva substitutes - what should NOT be prescribed?

A
  • Glandosane aerosol spray
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17
Q

23 female with Type 1 von willebrands disease requires XLA of 3 molar teeth. What medications will she need prior to removing these?

A
  • Desmopressin (DDVAP)
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18
Q

Hypothyroid pt found to have?

A
  • Low T4 and high TSH
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19
Q

What is the most appropriate post-surgical advice to give to pt who has just had tooth XLA>

A
  • Avoid eating until effect of anaesthetic has worn off
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20
Q

Sharp shooting painful sensation affecting lower lip?

21
Q

Pt has medication that directly inhibits thrombin. Needs XLA of 4 teeth and has appointment monday at 9am. What instructions related to medication?

A
  • Miss morning dose of Dabigatran and take medication as normal in evening
22
Q

What is an IV bisphosphanate drug that may cause complications following XLA?

A
  • Zoledronic acid
23
Q

What applies to flap design?

A
  • Base of flap should be wider than apex
24
Q

Weakness of lower facial muscles and upper limb on same side starting suddenly during dental treatment would suggest pt has had a?

A
  • Transient ischaemic attack
25
Pt living with myeloma for 3 years. Presents with area of exposed bone and has been present for 10 weeks following tooth XLA. What is it?
- Medicated related osteonecrosis of Jaw (MRONJ)
26
What is a luxator used for?
- Cutting PDL
27
What is a parrot beak nose associated with>
- Aperts
28
What muscles causes resistance to open mouth and sore right TMJ
- Lateral pterygoid
29
Where is the lingual nerve position>
- Between medial ptyergoid and mandible
30
What drains into the submandibular ?
- Maxillary sinus
31
What is the percentage of dry socket/osteonecrosis>
- 2-3% - 20-30% in L8s
32
Why do you decrease the dosage for elderly pt?
- Reduced excretory capacity in kidney
33
What is the maximum dose of lignocaine?
4.4mg/Kg cartridges - 7 cartridges for 70kg
34
How much of retained root can be safely left?
- 3mm
35
What lies behind the zygomatic arch ?
- Temporalis
36
What LA should you avoid in pregnant women?
- Felypressin - Octopressin - Induces labour
37
When is nerve damage most likely to be permanent?
- Improvement can occur 18-24 months, after this there is little chance
38
What does chronic bronchitis lead to?
- Hypersecretion of mucous in bronchus - Persistent cough - Damage to airway
39
What does Asthma lead to?
- Bronchial contraction - Airway oedema - Mucous secretion
40
What are the beta 2 agonist for asthma?
- Short acting - salbutamol blue - Long acting - salbutamol green
41
What are some corticosteroids for asthma?
o Beclomethasone (brown) o Budesonide (brown) o Fluticosone (orange) o Momethasone (pink)
42
How does LA work?
- Binding to Na reception of inside of cell
43
What are some amide LA?
- Lidocaine 2% 1:80 000 adrenaline - Prilocaine (citanes) 3% - don't use in pregnant - Articaine (septanest) 4% 1:100,000 - use in liver pt
44
What are some ester LA?
- Cocaine - Procaine - Benzocaine
45
How does adrenaline work?
- Affects alpha and beta receptors equally - Decrease TPR because more beta receptors on BV than alpha - Increase cardiac output - Little to no effect on mean arterial BP
46
How does Noradrenaline work?
- More effective on alpha than beta receptors - Increase in TPR because alpha > beta - Increase cardiac output - Increase mean arterial BP
47
What dialysis is a pt likely to be on if they have been given Heparin?
- Hemodialysis
48
What dialysis is a pt likely to be on if they have been given Heparin?
- Haemodialysis