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Boards 2 > Surg > Flashcards

Surg Flashcards

1
Q

Straight elevator ?301)

A

Lever

Most common

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2
Q

Triangular elevator (cryer)

A

Wheel and axle for removing broken root

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3
Q

Pick elevator

A

Wedge

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4
Q

What stroke for bone files?

A

Pull stroke

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5
Q

Hemostat ca needle holder

A

Hemostat = long thin curved beaks with lined hatching

Needle holder = short stout crisshatched beaks

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6
Q

Suture

A

Placed from MOVABLE to non-movable, purpose to immobilize a flap. Simple interrupted easiest

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7
Q

Silk stitching con

A

Wicking

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8
Q

Where is the fulcrum when luxatinf a tooth and what happens?

A

Fulcrum is alveolar bone and causes expansion of bone

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9
Q

Semi lunar incision used for what

A

Apicoectomy. Apical a displaced flap is impossible in MX palatial

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10
Q

Screw retained implant

A

Better for restricted restorative space and can be removed later

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11
Q

Cement retained implant crown

A

Cement may be trapped subgingivally and cause perio-implantitis

Abutment is attached separately to implant

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12
Q

Worst bone and best bone for implants?

A

Type 1 in A MN is best, dense cortical bone

Type 2 in P MN
Type 3 in A MX

Type 4 in P MX is worst, soft medullary bone

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13
Q

Implant placement space needed

A

1mm to everything EXCEPT

1.5 to natural tooth
3 to another implant

2mm to IAN
5 to mental nerve due to loop

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14
Q

One vs two stage surgery

A

One = implant and healing abutment in one visit

Two = implant and cover screw in frost appointment, abutment at next visit

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15
Q

Desires orientation of ginigival fibers next to implant?

A

Parallel with cuff

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16
Q

Most common MN fractures? Evaluated best by?

A

Condylar > angle > symphysis

*pano

17
Q

Mid face fractures best evaluated with

A

CBCT

18
Q

Zygomaticomaxillary complex fracture

A

Tripod fracture, blow to malar eminence

BLEEDING UNDER CONJUNCTIVA

19
Q

How are mandible fractures ideally treated?

A

ORIF = Open reduction (fragments exposed surgically) and internal fixation (bone plates to hold bones together); occlusion guides surgeon

20
Q

Axis 1 vs axis 2 biopsychosocial model of pain

A

Axis 1 = bio, somatic, acute

Axis 2 = psychosocial, chronic

21
Q

Pain pathway

1) transduction
2) transmission
3) modulation
4) perception

A

1) transduction - pns to CNS
2) transmission - CNS to thalamus
3) modulation - limitation of pain flow
4) perception - the experience

22
Q

Trigeminal neuralgia

A

Tic doulourex
Post-menopause, 50+
Unilateral- electric, sharp, shooting and episodic

Txt with anticonvulsants (carbamazepine)

23
Q

Atypical odontalgia

A

Phantom toothache

Second to deafferentation (removal of nerve) due to endo

24
Q

Postherpetic neuralgia

A

Potential sequels of heroes zoster

Anticonvulsants, antidepressant, sympathetic blocks

25
Q

Migraine and how to treat?

A

Photophobia and photophobia (unilateral, pulsating and nausea)

Trip tab for migraine (selective serotonin receptor agonist)

26
Q

Chronic headaches

A

1) migraine
2) tension type - bilateral and nonpulsating
3) cluster - intense near one eye

27
Q

Where is rotation and translation?

A

Rotation= HINGE, lower joint space

Translation = down & forward, upper joint space

28
Q

TMJ blood supply

A

MADS

Maxillary
Ascending pharyngeal
Deep auricular
Superficial temporal

29
Q

Muscle to open jaws

A

Lateral pterygoid

30
Q

TMJ ligaments

A

Capsular= completely covers TMJ

Fiscal/collateral ligament= attach medial and lateral, pull consume

Posterior= prevents anterior displacement

Lateral= prevents posterior displacement, wraps around console

31
Q

Displacement with reduction

A

CLICK

Console pops over anterior lay displaced disc and pops on the way back to fossa

32
Q

Displace withOUT reduction

A

LOCK

Console is stuck and has minimal motion

33
Q

Deflection vs deviation

A

Deflection is towards side that is stuck at max opening

DeViation deViates to one side and returns to midline are max opening

34
Q

How to treat recurrent dislocation

A

Botox into lateral pterygoid

35
Q

Put biopsy in what for traveling?

A

10% formalin with biohazard label

36
Q

Management of cysts vs tumors

A

Cyst- enucleate, marsupialization and curettage

Tumors- enucleate, curettage and resect

Boards 2 (15 decks)

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