Oral medicine, oral surgery and medically compromised patients R11 Oral medicine, oral surgery and medically compromised patients | Part 3 Facebook X LinkedIn Messenger Messenger WhatsApp Telegram Print Report a question What’s wrong with this question? You cannot submit an empty report. Please add some details. 0% 12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182838485868788899091 Oral medicine, oral surgery and medically compromised patients R11 Oral medicine, oral surgery and medically compromised patients | Part 3 DentQuiz SDLE Mock Exam Instruction To mark a question and come back to it later, click the Bookmark icon. For the best experience, use a computer and switch to full screen button (from the top left corner). You can review and change your answers before clicking Next. Explanations will appear after each question to help you understand the correct answer. 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Please fill in your details to continue NameEmailPhone Number 1 / 91 Category: Oral medicine, oral surgery and medically compromised patients 1) Primary blood supply to floor of mouth: Lingual artery Facial artery Maxillary artery Inferior alveolar artery The lingual artery is the main blood supply to the floor of the mouth and tongue. 2 / 91 Category: Oral medicine, oral surgery and medically compromised patients 2) Paracetamol dose calculation for 30kg child: 300mg (10mg/kg) 450mg (15mg/kg) 600mg (20mg/kg) 750mg (25mg/kg) Standard pediatric paracetamol dose is 15mg/kg: 15 × 30 = 450mg. 3 / 91 Category: Oral medicine, oral surgery and medically compromised patients 3) Blood supply to the floor of the mouth: Lingual Artery Facial Artery Maxillary Artery Inferior Alveolar Artery The lingual artery branches supply the floor of mouth. 4 / 91 Category: Oral medicine, oral surgery and medically compromised patients 4) Paracetamol dose for a 30 kg child: 450 mg (15 mg/kg) 300 mg 600 mg 150 mg 15 mg/kg × 30 kg = 450 mg. 5 / 91 Category: Oral medicine, oral surgery and medically compromised patients 5) Ibuprofen dose for a 30 kg child: 6-15 mL (100mg/5mL) 3-6 mL 15-30 mL 1-3 mL 30 kg child: 10 mg/kg/dose → 300 mg = 15 mL max. 6 / 91 Category: Oral medicine, oral surgery and medically compromised patients 6) A 29-year-old with retained primary molar and no successor needs: Specialist Referral Extraction Extraction + Implant Space Maintainer Implants replace missing permanent teeth. 7 / 91 Category: Oral medicine, oral surgery and medically compromised patients 7) HBsAg+ with anti-HBc IgM+ indicates: Acute Hepatitis B Chronic Hepatitis B Immunity Carrier State IgM antibodies signify acute infection. 8 / 91 Category: Oral medicine, oral surgery and medically compromised patients 8) Snail-track ulcers + abdominal pain indicate: Syphilis Crohn’s Disease Lichen Planus Pemphigus Snail-track ulcers are pathognomonic for secondary syphilis. 9 / 91 Category: Oral medicine, oral surgery and medically compromised patients 9) Pyostomatitis vegetans management: Immunosuppressants Topical Steroids Antibiotics Surgery Linked to IBD; treat underlying condition. 10 / 91 Category: Oral medicine, oral surgery and medically compromised patients 10) Bilateral cheek swelling in a psychiatric patient is due to: Schizophrenia Bipolar Disorder Eating Disorder Anxiety Disorder Parotid enlargement from excessive chewing/purging. 11 / 91 Category: Oral medicine, oral surgery and medically compromised patients 11) Ameloblastoma treatment: Excision Resection Enucleation Radiation Resection with margins prevents recurrence. 12 / 91 Category: Oral medicine, oral surgery and medically compromised patients 12) Honeycomb radiolucency suggests: Ameloblastoma Odontogenic Keratocyst Dentigerous Cyst Fibrous Dysplasia Ameloblastoma often appears multilocular. 13 / 91 Category: Oral medicine, oral surgery and medically compromised patients 13) A recent MI patient needs FPD: Refer to Cardiologist Postpone Treatment Proceed with Caution Use Sedation Elective procedures are deferred post-MI (6-month wait). 14 / 91 Category: Oral medicine, oral surgery and medically compromised patients 14) Definitive treatment for dentigerous cyst: Enucleation + Tooth Removal Marsupialization Curettage Cryotherapy Complete removal is curative. 15 / 91 Category: Oral medicine, oral surgery and medically compromised patients 15) Treatment for a 4×4 cm dentigerous cyst: Incisional Biopsy Marsupialization FNA Enucleation Large cysts benefit from marsupialization first. 16 / 91 Category: Oral medicine, oral surgery and medically compromised patients 16) Management of a dentigerous cyst with impacted third molar: Remove Cyst + Tooth Marsupialization Enucleation Observation Cyst and tooth removal prevent recurrence. 17 / 91 Category: Oral medicine, oral surgery and medically compromised patients 17) Treatment for a large mandibular cystic lesion: Marginal Resection Biopsy Marsupialization Enucleation Marsupialization decompresses large cysts. 18 / 91 Category: Oral medicine, oral surgery and medically compromised patients 18) If a patient feels pain during 44 extraction after IANB: Repeat IANB Buccal Infiltration Only Lingual Infiltration Stop Procedure Supplemental buccal infiltration anesthetizes premolars. 19 / 91 Category: Oral medicine, oral surgery and medically compromised patients 19) Which lesion improves with aspirin? Osteoid Osteoma Fibrous Dysplasia Mucocele Pyogenic Granuloma Aspirin relieves prostaglandin-mediated pain in osteoid osteoma. 20 / 91 Category: Oral medicine, oral surgery and medically compromised patients 20) Painless lip swelling without filler history suggests: Angioedema Mucocele Allergic Reaction Trauma Angioedema is idiopathic or allergy-related. 21 / 91 Category: Oral medicine, oral surgery and medically compromised patients 21) HAART-treated AIDS patients may develop: Candidiasis Xerostomia Viral Infections All of the Above HAART reduces but doesn’t eliminate opportunistic infections. 22 / 91 Category: Oral medicine, oral surgery and medically compromised patients 22) AIDS is defined by CD4 count below: 200 cells/µL 500 cells/µL 1000 cells/µL 1500 cells/µL CD4 <200 or AIDS-defining illness confirms AIDS. 23 / 91 Category: Oral medicine, oral surgery and medically compromised patients 23) Oral hairy leukoplakia indicates: Uncontrolled HIV Controlled HIV Early HIV Infection Medication Side Effect OHL signals severe immunosuppression (CD4 <200). 24 / 91 Category: Oral medicine, oral surgery and medically compromised patients 24) Linear gingival erythema in HIV is caused by: Candida Albicans Herpesvirus Bacterial Plaque Autoimmune Reaction Candida often colonizes HIV-associated gingivitis. 25 / 91 Category: Oral medicine, oral surgery and medically compromised patients 25) Advanced HIV symptoms include: Oral Hairy Leukoplakia Kaposi’s Sarcoma Wasting Syndrome All of the Above Advanced HIV (AIDS) manifests with multiple signs. 26 / 91 Category: Oral medicine, oral surgery and medically compromised patients 26) Common HIV-related malignancy: Non-Hodgkin Lymphoma SCC Leukemia Osteosarcoma NHL is an AIDS-defining cancer. 27 / 91 Category: Oral medicine, oral surgery and medically compromised patients 27) HIV’s absolute oral association is: Melanoma Candidiasis Leukoplakia Lichen Planus Oral candidiasis is highly prevalent in HIV. 28 / 91 Category: Oral medicine, oral surgery and medically compromised patients 28) HIV-associated palatal nodules with hemorrhage are: Melanoma SCC Kaposi’s Sarcoma Non-Hodgkin Lymphoma Kaposi’s sarcoma is an AIDS-defining lesion. 29 / 91 Category: Oral medicine, oral surgery and medically compromised patients 29) Action for a diabetic with HbA1c >8% pre-extraction: Refer to Physician Proceed with Caution Hospitalize Cancel Treatment HbA1c >8% indicates poor control, requiring medical optimization. 30 / 91 Category: Oral medicine, oral surgery and medically compromised patients 30) Dental extraction in a well-controlled diabetic: Delay Extraction Morning Appointment + Insulin Prophylactic Antibiotics Check HbA1c Morning appointments minimize metabolic stress. 31 / 91 Category: Oral medicine, oral surgery and medically compromised patients 31) Stable angina is characterized by: Pain at Rest Relief with Exercise Relief with Rest Right Shoulder Pain Stable angina resolves with rest/nitroglycerin. 32 / 91 Category: Oral medicine, oral surgery and medically compromised patients 32) Hypocalcification in anterior teeth and molars suggests: Molar-Incisor Hypomineralization Amelogenesis Imperfecta Dentinogenesis Imperfecta Fluorosis MIH involves hypocalcification in specific teeth. 33 / 91 Category: Oral medicine, oral surgery and medically compromised patients 33) Brown spots on incisors and molars with sensitivity indicate: Molar-Incisor Hypomineralization Dental Caries Fluorosis Enamel Hypoplasia MIH causes discoloration and hypersensitivity. 34 / 91 Category: Oral medicine, oral surgery and medically compromised patients 34) Hypomineralization affecting central incisors and first molars is: Amelogenesis Imperfecta Molar-Incisor Hypomineralization Dentinogenesis Imperfecta Fluorosis MIH specifically affects these teeth. 35 / 91 Category: Oral medicine, oral surgery and medically compromised patients 35) Best fluoride source for Down syndrome patients: Fluoride Varnish (2.6%) Fluoridated Water Fluoride Toothpaste Fluoride Supplements High-concentration varnish compensates for hygiene challenges. 36 / 91 Category: Oral medicine, oral surgery and medically compromised patients 36) Congenital heart disease is associated with: Down Syndrome Treacher Collins Syndrome Marfan Syndrome Pierre Robin Sequence Down syndrome commonly includes cardiac defects. 37 / 91 Category: Oral medicine, oral surgery and medically compromised patients 37) Fissured tongue is associated with: Erythema Migrans Erythema Multiforme Lichen Planus Lupus Fissured tongue may occur with geographic tongue (erythema migrans). 38 / 91 Category: Oral medicine, oral surgery and medically compromised patients 38) Desquamative gingivitis with positive immunofluorescence is treated by: Topical Steroids Systemic Steroids Antifungals Penicillin Topical steroids are first-line for immune-mediated gingivitis. 39 / 91 Category: Oral medicine, oral surgery and medically compromised patients 39) Ibuprofen’s adverse effect in ischemic heart disease: Myocardial Infarction Tachycardia Hypertension Arrhythmia NSAIDs increase MI risk in coronary artery disease. 40 / 91 Category: Oral medicine, oral surgery and medically compromised patients 40) Clinical image of Treacher Collins syndrome shows: Mandibular Hypoplasia Facial Asymmetry Cleft Palate All of the Above Treacher Collins involves multiple craniofacial anomalies. 41 / 91 Category: Oral medicine, oral surgery and medically compromised patients 41) A 20-year-old with Class II open bite and mandibular hypoplasia has: Eagle’s Syndrome Treacher Collins Syndrome Acromegaly Osteomyelitis Treacher Collins features include mandibular hypoplasia. 42 / 91 Category: Oral medicine, oral surgery and medically compromised patients 42) Multiple mandibular radiolucencies + Bence Jones protein indicate: Multiple Myeloma Metastatic Cancer Cherubism Fibrous Dysplasia These are classic signs of multiple myeloma. 43 / 91 Category: Oral medicine, oral surgery and medically compromised patients 43) Bence Jones proteins are linked to: Hodgkin’s Lymphoma Multiple Myeloma Burkitt’s Lymphoma Infectious Mononucleosis Bence Jones proteins (light chains) are myeloma markers. 44 / 91 Category: Oral medicine, oral surgery and medically compromised patients 44) Dizziness post-LA in a first-time dental patient is: Hypoglycemia Vasovagal Syncope Hypotension Anaphylaxis Anxiety-induced vasovagal syncope is common. 45 / 91 Category: Oral medicine, oral surgery and medically compromised patients 45) Order of treatment for submandibular infection with fever: I&D → Antibiotics → Extract I&D → Extract → Antibiotics Antibiotics → I&D → Extract Extract → I&D → Antibiotics Drainage and antibiotics precede extraction to control infection. 46 / 91 Category: Oral medicine, oral surgery and medically compromised patients 46) Primary odontogenic infection spreads to: Infratemporal Space Submandibular Space Buccal Space Canine Space Submandibular space is a common primary spread site. 47 / 91 Category: Oral medicine, oral surgery and medically compromised patients 47) Pericoronitis with trismus indicates infection of: Masseteric Space Buccal Space Submandibular Space Temporal Space Trismus suggests masseteric or pterygomandibular space involvement. 48 / 91 Category: Oral medicine, oral surgery and medically compromised patients 48) Inferior border of submandibular space: Digastric Muscle Mylohyoid Muscle Hyoid Bone Mandible The digastric muscle forms the inferior boundary. 49 / 91 Category: Oral medicine, oral surgery and medically compromised patients 49) Best imaging for fascial space infection spread: CT OPG MRI Ultrasound CT provides detailed 3D visualization of infection spread. 50 / 91 Category: Oral medicine, oral surgery and medically compromised patients 50) Treatment for pericoronitis with impacted third molar: Irrigation + Antibiotics Extraction Operculectomy Laser Therapy Acute cases require infection control before extraction. 51 / 91 Category: Oral medicine, oral surgery and medically compromised patients 51) Definitive treatment for pericoronitis after acute phase: Extract Involved Tooth Extract Opposing Tooth Operculectomy Antibiotics Tooth extraction prevents recurrence. 52 / 91 Category: Oral medicine, oral surgery and medically compromised patients 52) Pericoronitis management for impacted wisdom teeth: Extract Upper Tooth Extract Lower Tooth Antibiotics Only Incision & Drainage Extract the opposing tooth if it traumatizes the operculum. 53 / 91 Category: Oral medicine, oral surgery and medically compromised patients 53) Optimal positioning for COPD patients: Supine Semi-supine Reclined Upright Semi-supine improves breathing comfort. 54 / 91 Category: Oral medicine, oral surgery and medically compromised patients 54) Isolation method for RCT in respiratory distress: Rubber Dam Cotton Rolls Dry Angle None Cotton rolls are less restrictive than rubber dam. 55 / 91 Category: Oral medicine, oral surgery and medically compromised patients 55) Primary concern during RCT in severe COPD: Supine Position Avoid Rubber Dam Bronchodilators Short Appointments Rubber dam may impede breathing in COPD patients. 56 / 91 Category: Oral medicine, oral surgery and medically compromised patients 56) Treatment for aphthous ulcers: Antivirals Antibiotics Topical Corticosteroids Systemic Steroids Topical steroids reduce inflammation and pain. 57 / 91 Category: Oral medicine, oral surgery and medically compromised patients 57) Stress-related elevated lip lesion is likely: Mucocele Ranula Aphthous Ulcer Fibroma Mucoceles are common stress-related salivary lesions. 58 / 91 Category: Oral medicine, oral surgery and medically compromised patients 58) Recurrent palatal ulcer in a child that self-resolves is: Recurrent Aphthous Ulcer Recurrent Herpetic Ulcer Traumatic Ulcer Erythema Multiforme Aphthous ulcers often recur and heal spontaneously. 59 / 91 Category: Oral medicine, oral surgery and medically compromised patients 59) White lesion in a Strepsils user suggests: Chemical Burn Traumatic Ulcer Recurrent Aphthous Ulcer Candidiasis Strepsils can cause chemical irritation. 60 / 91 Category: Oral medicine, oral surgery and medically compromised patients 60) Etiology of Cushing’s syndrome with weight gain and muscle weakness: High Corticosteroids Hypercholesterolemia Hypertension Pituitary Adenoma Excess corticosteroids (endogenous or exogenous) are causative. 61 / 91 Category: Oral medicine, oral surgery and medically compromised patients 61) An asthmatic child with Cushingoid features likely has: Insulin Resistance Systemic Steroid Use Thyroid Tumor Hypercholesterolemia Long-term steroids cause iatrogenic Cushing’s. 62 / 91 Category: Oral medicine, oral surgery and medically compromised patients 62) Buffalo hump + moon face + enlarged abdomen suggests: Cushing’s Syndrome Acromegaly Hypothyroidism Diabetes These are classic signs of hypercortisolism. 63 / 91 Category: Oral medicine, oral surgery and medically compromised patients 63) “Saw-tooth” appearance microscopically indicates: Lichen Planus Lupus Pemphigus Leukoplakia This pattern is diagnostic for lichen planus. 64 / 91 Category: Oral medicine, oral surgery and medically compromised patients 64) Histologic hallmark of lichen planus: Saw-tooth Rete Ridges Civatte Bodies Hyperkeratosis Basal Cell Degeneration Saw-tooth rete ridges are pathognomonic. 65 / 91 Category: Oral medicine, oral surgery and medically compromised patients 65) Management of a fibroma includes: Excision Laser Ablation Observation Cryotherapy Surgical excision is definitive treatment. 66 / 91 Category: Oral medicine, oral surgery and medically compromised patients 66) A small gingival mass in an adult is most likely: Pyogenic Granuloma Giant Cell Granuloma Fibroma Peripheral Ossifying Fibroma Fibroma is a common benign gingival lesion. 67 / 91 Category: Oral medicine, oral surgery and medically compromised patients 67) Action for acute asthma attack during dental treatment: Give Oxygen Call Emergency Use Inhaler All of the Above Combined actions ensure patient safety. 68 / 91 Category: Oral medicine, oral surgery and medically compromised patients 68) White spots in an asthmatic using inhalers suggest: Candidiasis Leukoplakia Lichen Planus Chemical Burn Steroid inhalers cause oral candidiasis. 69 / 91 Category: Oral medicine, oral surgery and medically compromised patients 69) Severe asthma unresponsive to inhaler requires: Epinephrine Injection IV Steroids Emergency Call All of the Above Status asthmaticus needs aggressive intervention. 70 / 91 Category: Oral medicine, oral surgery and medically compromised patients 70) Preventive measure for an asthmatic with dry cough/chest pain: Supine Positioning Pre-use of Inhaler Morning Appointment Avoid Rubber Dam Pre-treatment with a bronchodilator prevents attacks. 71 / 91 Category: Oral medicine, oral surgery and medically compromised patients 71) A patient with high arched vault, candida, and xerostomia has: Asthma Diabetes HIV Leukemia Long-term asthma and inhaler use cause these signs. 72 / 91 Category: Oral medicine, oral surgery and medically compromised patients 72) A patient with xerostomia, high palatal vault, and bullous hemorrhages likely has: Asthma Diabetes HIV Sjögren's Syndrome These are oral manifestations of chronic asthma. 73 / 91 Category: Oral medicine, oral surgery and medically compromised patients 73) Pseudocandidiasis in asthmatics is caused by: Steroid Inhalers Antibiotic Use Poor Oral Hygiene Diabetes Steroid inhalers promote fungal overgrowth. 74 / 91 Category: Oral medicine, oral surgery and medically compromised patients 74) Which LA component triggers asthma? Sodium Bisulfite Epinephrine Lidocaine Methylparaben Sodium bisulfite (a preservative) can induce asthma attacks. 75 / 91 Category: Oral medicine, oral surgery and medically compromised patients 75) How to manage an asthmatic patient in the dental clinic? Avoid Triggers Use Beta-2 Agonists Schedule Morning Appointments All of the Above Comprehensive asthma management includes all these measures. 76 / 91 Category: Oral medicine, oral surgery and medically compromised patients 76) A steroid-treated LP patient with burning sensation and red palate has: Chemical Burn Candidiasis Allergic Reaction Hypersensitivity Candidiasis is a common complication of steroid therapy. 77 / 91 Category: Oral medicine, oral surgery and medically compromised patients 77) White spots on hard palate in a steroid-treated lichen planus patient: Chemical Burn Candidiasis Allergic Reaction Leukoplakia Steroid use predisposes to oral candidiasis. 78 / 91 Category: Oral medicine, oral surgery and medically compromised patients 78) A patient on Zometa with infection post-extraction needs: Antibiotics Only Surgical Debridement Hyperbaric Oxygen Observation Surgical debridement is critical for infected MRONJ. 79 / 91 Category: Oral medicine, oral surgery and medically compromised patients 79) A patient on Zometa with asymptomatic necrotic bone has: Stage 0 MRONJ Stage 1 MRONJ Stage 2 MRONJ Stage 3 MRONJ Exposed necrotic bone without symptoms defines Stage 1. 80 / 91 Category: Oral medicine, oral surgery and medically compromised patients 80) What characterizes Stage I MRONJ? Exposed Necrotic Bone Pain + Inflammation Pathologic Fracture Asymptomatic Osteosclerosis Stage I MRONJ involves exposed bone without symptoms. 81 / 91 Category: Oral medicine, oral surgery and medically compromised patients 81) Which condition is associated with Graves’ disease? Hyperthyroidism Hypothyroidism Diabetes Mellitus Cushing's Syndrome Graves’ disease is an autoimmune cause of hyperthyroidism. 82 / 91 Category: Oral medicine, oral surgery and medically compromised patients 82) First action for a patient with angina? Semi-supine Position Aspirin Nitroglycerin Oxygen Nitroglycerin dilates coronary arteries to relieve ischemia. 83 / 91 Category: Oral medicine, oral surgery and medically compromised patients 83) An MI patient with peptic ulcer develops severe chest pain after ibuprofen: Angina Pectoris Myocardial Infarction GERD Pericarditis NSAIDs like ibuprofen can exacerbate angina/ischemia. 84 / 91 Category: Oral medicine, oral surgery and medically compromised patients 84) Controlled asthma + uncontrolled hypertension + chest pain post-anesthesia: Angina Asthmatic Attack Vasovagal Syncope Anesthesia Allergy Hypertension increases angina risk during stress. 85 / 91 Category: Oral medicine, oral surgery and medically compromised patients 85) A patient with asthma and hypertension experiences chest pain. Diagnosis? Angina Anoxia Asthmatic Attack Undiagnosed COPD Chest pain with sweating suggests angina, especially with hypertension. 86 / 91 Category: Oral medicine, oral surgery and medically compromised patients 86) Fracture over the nose bridge with bilateral infraorbital fractures is: LeFort II LeFort I LeFort III Zygomaticomaxillary LeFort II involves the nasal bridge and infraorbital rims. 87 / 91 Category: Oral medicine, oral surgery and medically compromised patients 87) A concave facial profile is corrected by: Maxillary Impaction LeFort I & Retrude Maxilla LeFort I Advance & Setback Mandibular Advancement Combining maxillary advancement with mandibular setback balances the profile. 88 / 91 Category: Oral medicine, oral surgery and medically compromised patients 88) Which procedure advances a deficient mandible? BSSO VFO Genioplasty Sliding Osteotomy BSSO is the standard for mandibular advancement. 89 / 91 Category: Oral medicine, oral surgery and medically compromised patients 89) A 25-year-old male with a Class III mandible requires: BSSO Headgear LeFort Advancement Orthognathic Surgery BSSO is used to correct mandibular prognathism. 90 / 91 Category: Oral medicine, oral surgery and medically compromised patients 90) Which surgery corrects a prognathic maxilla with a normal mandible? LeFort I Osteotomy LeFort II Osteotomy BSSO Genioplasty LeFort I Osteotomy is used to reposition the maxilla. 91 / 91 Category: Oral medicine, oral surgery and medically compromised patients 91) What is the most common site of mandibular fractures? Coronoid Angle Symphysis Condyle The angle of the mandible is the most common site due to its biomechanical weakness. Your score is The average score is 0% Facebook Twitter 0% Restart quiz Please rate this exam and leave a comment with any notes or suggestions. 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