| Post Name | Assistant Professor in Oral and Maxilofacial Surgery - Medical Education |
|---|---|
| Question Paper Code | 053/2024/OL |
| Category Code | 294/2023 |
| Date of Test | 23 May 2024 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
During teeth extraction the dental elevators can be used to advantage when which of the following situations
Answer
C. Multiple adjacent teeth are to be extracted
2
Which of the following drug is not an antimycotic antimicrobial agent ?
Answer
Question Cancelled
3
In hand scrub technique, the scrubbing begins at the tip of the finger, then to forearm and extends how many inches above the elbow ?
Answer
D. 2 inches
4
The usual dosage internal for the therapeutic use of antibiotics is how many times the plasma half life (t½) ?
Answer
A. 4 times
5
Which of the following is not true in preventing displacement of maxillary posterior tooth into the maxillary sinus ?
Answer
C. Remove the roots by passing instruments up through the socket
6
The cytokines and growth factors are secreted during which stage of wound healing ?
Answer
B. Inflammatory stage
7
All the following statements are true for a mucoperiosteal flaps except
Answer
C. Incision line should be on the interdental papilla
8
As per Pell and Gregory's difficulty index score for a distoangular impacted mandibular third molar of level B and Class II is as follows
Answer
D. 8
9
Generally a rise in temperature by 10º Celcius has the following effect on the antibacterial activity of the chemical agents used in disinfection
Answer
C. Doubles the effect of antibacterial activity
10
Which of the following statement is false about the principles of suture ?
Answer
A. The bite taken by needle should be about 5 to 6 mm from the wound margin of flap
11
In which of the following conditions there is no decrease in the white blood cell count ?
Answer
B. Polycythemia
12
High alkaline phosphatase values are seen in all of the following except
Answer
B. Hypothyroidism
13
All the imaging modalities exposes the body to ionising radiation except
Answer
C. Ultrasonography
14
During clinical examination of a trauma patient the depression of the zygomatic maxillary complex is best inspected and viewed by which view ?
Answer
B. Superior or Bird's view
15
Which among the following is false for a positron emission tomography scan ?
Answer
A. Is recommended for neoplasms that are inactive metabolically
16
Which mode of imaging modality best detects fluid collection in the body ?
Answer
D. Ultrasonography
17
Group of processes and techniques that are used to fabricate physical scale models directly from 3D computer assisted design data is known as
Answer
C. Rapid prototyping
18
Current advances in non-invasive methods for the diagnosis of oral squamous cell carcinoma are all of the following except
Answer
C. Biopsy
19
The neurotransmitters passing across a synaptic cleft are mainly
Answer
A. Acetyl choline, gamma amino butyric acid, glycine, glutamate and norepinephrine
20
Nerve fibers are classified according to their velocity of conduction. Among them which are the fibers conducting pain ?
Answer
B. A δ fibers acute stabbing pain and C fibers dull aching pain
21
With regard to cardiac resuscitation after bupivacaine induced cardiac toxicity the current guide lines focus on
Answer
A. Standard cardio pulmonary resuscitation, titrated doses of epinephrine, early administration of lipid emulsion and avoidance of propofol in the setting of harmodynamic instability
22
For procedures necessitating dental occlusion, the best option of securing airway will be
Answer
B. Nasal endotracheal intubation
23
EMLA cream is
Answer
A. Eutectic mixture of 2.5% lignocaine and 2.5% prilocaine base
24
Which statement is false with regard to entonox ?
Answer
D. The mixture is stable for use in all temperatures
25
The mechanism of action of ketamine ?
Answer
B. Non competitive inhibition of NMDA receptor also ligand at opioid receptor
26
Which is the wrong statement about cisatracurium besylali ?
Answer
C. Acts by stimulation of Ach receptors and persistent depolarisation
27
As per AHA ACLS algorithm the first measure should be
Answer
Question Cancelled
28
Parameters assessed in modified aldrete scoring system are
Answer
A. Activity, respiration, circulation, consciousness, oxygen saturation
29
The medial border of the pterygomandibular space is bounded by the
Answer
B. Medial pterygoid muscle
30
Which of the following fascial space is not involved in Ludwig's angina ?
Answer
C. Pterygomandibular space
31
Which of the following is not considered as a surgical option for the management of stage II osteoradionecrosis ?
Answer
C. Segmental resection
32
The classical hallmark of the masticator space infection is
Answer
D. Trismus
33
According to Chandler classification of orbital infections, group 4 is
Answer
A. Orbital abscess
34
Which of the following statements are correct ? i. HBO therapy is used in the management of refractory chronic osteomyelitis ii. According to Marx protocol stage III non responders are considered as stage IV osteoradionecrosis cases iii. HBO therapy is absolutely contraindicated in untreated pneumothorax patients
Answer
B. Statements i and iii are correct
35
Most common organism causing cervicofascial necrotizing fasciitis are
Answer
C. Group A beta haemolytic streptococci
36
Palsy of which cranial nerve is seen in cavernous sinus thrombosis ?
Answer
D. Oculomotor
37
Most severe complication of submasseteric space abscess is
Answer
B. Osteomyelitis
38
Which of the following drugs causes osteonecrosis of the jaws ?
Answer
C. Bisphosphonate
39
Waldron's procedure is
Answer
C. Marsupialization followed by enucleation
40
Which of the following is not a cyst enlargement hypothesis ?
Answer
A. Orthodontic theory
41
Carnoy solution is composed of
Answer
D. 3 ml chloroform, 6 ml ethanol, 1 ml glacial acetic acid
42
The disadvantages of marsupialization is
Answer
B. Pathological tissue is left in situ
43
Which of the following is an odontogenic tumour with mesenchymal origin alone ?
Answer
B. Cementifying fibroma
44
Ashley flap used in oro antral fistula closure is a
Answer
C. Palatal rotational flap
45
The content of which cyst contains white cheesy material
Answer
C. Odontogenic kerato cyst
46
Which of the following statements are correct regarding fibrous dysplasia ? i. Characterised by normal bone being replaced by fibrous tissue ii. Maxillary lesions causes expansion of the maxillary antrum iii. Radiotherapy is contraindicated because of chance of malignant transformation iv. Always requires aggressive debulking of the lesion
Answer
A. Statements i and iii are correct
47
Ameloblastomas which are metastasizing to distant organs like lungs are called
Answer
D. Malignant ameloblastoma
48
In intranasal antrostomy in an adult patient, the puncture is carried out through the
Answer
A. Inferior meatus
49
A 12-year-old girl sustains a right subcondylar fracture and a left parasymphyseal fracture when she falls headfirst. Radiographs show that the right condylar head is displaced laterally out of the glenoid fossa, with medial rotation of the condylar neck; the left parasymphyseal fracture is nondisplaced. Which of the following is the most appropriate management ?
Answer
B. Closed reduction and intermaxillary fixation for two weeks and passive/active physical therapy
50
A 40-year-old woman is referred for evaluation of asymmetry of the cheek bones. Six months ago, she underwent open reduction and internal fixation of a left zygomatic fracture. Physical examination shows decreased projection over the body of the left zygoma with fullness of the ipsilateral nasolabial fold, when compared with the contralateral side, Palpation of the orbital rim shows a microplate with no evidence of an infraorbital step-off. A CT scan shows an anatomically reduced zygoma secured with mini-and microplates. These findings are most consistent with
Answer
A. ptosis of the malar fat pad
51
Best emergency airway procedure is
Answer
C. Cricothyrotomy
52
A 28-year-old man sustains blunt trauma to the face. Examination shows enophthalmos, periorbital ecchymosis, subsutaneous emphysema and ipsilateral epistaxis. These findings are most consistent with a fracture of the
Answer
C. Medial wall of the orbit
53
Bucket handle type fracture seen in
Answer
C. Edentulous mandible
54
Lowering of the papillary level of eyeball occurs if
Answer
Question Cancelled
55
Patient with suspected cervical spine fracture should be kept in
Answer
D. None of the above
56
Eburnation is seen in
Answer
B. Non union
57
A 25-year-old woman sustains a fracture of the frontal bone. A CT scan shows extensive communication and displacement of the posterior wall and floor of the frontal sinus, as well as a frontal lobe contusion. Which of the following is the most appropriate management of the frontal sinus ?
Answer
D. Cranialization of the frontal sinus
58
Paresthesia is seen in
Answer
B. Zygomaticomaxillary complex
59
Patient is in Class 4 shock with comminuted fracture. Immediate treatment is to give
Answer
C. Whole blood
60
Initial management in head injury patient
Answer
D. Secure airway
61
Autogenous rib graft for ridge augmentation is usually harvested from
Answer
C. 6th–9th rib
62
The bony enlargement of the maxillary tuberosity usually occurs in
Answer
D. Downward and lateral direction
63
Temporomandibular joint arthroscopy is used for
Answer
D. All of the above
64
Myofascial pain dysfunction syndrome is also known as
Answer
C. Costens syndrome
65
An 18-year-old woman has severe microgenia, effacing of the labiomental fold, and increased height of the lower anterior face. Which of the following is the most appropriate operative management ?
Answer
A. Jumping genioplasty
66
The maximum biting load occurs in which of the following areas ?
Answer
D. Molar area
67
The minimum distance between dental implants and superior border of the inferior alveolar canal is
Answer
D. 2mm
68
The stability of the dental implant depends on
Answer
C. Both quantity and quality of the bone
69
Which of the following salivary gland tumours spread(s) along the perineural lymphatics ?
Answer
D. Both 1 and 3
70
Mikulicz's disease is characterized by
Answer
C. Both of the above
71
A white patch on the tongue has increased in size over the last months. Biopsy demonstrates cellular atypia and loss of normal maturation and stratification present in over two thirds of the epithelium. What does this represent ?
Answer
B. Severe dysplasia
72
A patient presents with an 18 mm lesion on the forehead. Biopsy reveals nodular BCC-Basal Cell Carcinoma, the patient reluctant for surgical excision, the least appropriate treatment option is
Answer
B. Cryosurgery
73
Critical size which help to differentiate aggressive and non-aggressive central giant cell lesions is
Answer
A. 5 cm
74
The chemo therapeutic drug acting by binding to the B subunit of tubulin and stabilises microtubules thereby interrupting mitosis is
Answer
B. Taxanes
75
Which of the following is not an indication for adjuvant radiotherapy following neck dissection in oral squamous cell carcinoma ?
Answer
C. N1 neck
76
Nocturnal pain of more intense nature is associated with
Answer
B. Osteoid osteoma
77
Precricoid nodes are known as
Answer
A. Delphian nodes
78
Metastases in multiple ipsilateral nodes, none larger than 6 cm is designated as
Answer
B. N2b
79
The principle of trhe Abbé-Estlander flap repair is that the width of the base of the triangular flap is
Answer
A. One half that of the width of the base of the triangular surgical defect
80
Brandwein-Gensler model is useful in
Answer
A. Risk assessment
81
Holdaway ratio for males is
Answer
A. 1 : 1
82
Average distance from piriform rim to descending palatine artery is
Answer
B. 30 - 34 mm
83
If the RDI falls between 10-30, the OSA is graded as
Answer
A. Mild
84
Very rare complication of blindness can occur following Lefort 1 ostetomy by many reasons, one of the following is not attributed to this complication
Answer
D. Cribriform fracture
85
In Bergland scale, if the uptake of bone graft is less than 75% its included as
Answer
C. Type 3
86
The major vascular supply of the pectoralis major flap is derived from
Answer
A. Thoracoacromial artery
87
The direction of the pterygoid chisel in the maneuver of pterygo maxillary dysjunction is
Answer
B. Anterior inferior medial
88
According to hierarchy of stability, which of the following is least stable in movements ?
Answer
D. Mandibular set back
89
A patient presents with an underdeveloped orbit, external ear, and facial cleft. This cleft results from failure of fusion of which structures ?
Answer
B. Maxillary and mandibular processes
90
Type 1 mandibular asymmetry is characterized by all of the following except
Answer
D. Anterior cross bite
91
All are Dermal filler injection techniques except
Answer
D. Strip method
92
The best source of intra-oral stem cells for maxillofacial surgical procedures is
Answer
A. Third molars with open apices
93
The incision used in standard surgical facelift procedure includes
Answer
D. All of the above
94
Endonasal Rhinoplasty is done in
Answer
B. Principal deformity at the nasal vault
95
What is the range of frequency modulation used in piezosurgery device in Maxillofacial surgey ?
Answer
B. 20-35 KHz
96
The most important disadvantage of computer assisted Navigation in Orthognathic surgery is
Answer
C. Increase in operating time
97
Tumescent fluid anesthesia is used in
Answer
A. Liposuction
98
Endoscopic calibration used in Maxillofacial trauma
Answer
A. 30º, 4 mm diameter
99
The most common complication of open-technique Rhinoplasty which requires a revision surgery is
Answer
C. Residual hump
100
Piezosurgery is considered to be one of the best methods of bone harvesting because of
Answer
B. Improved survival of Osteocytes in harvested bone
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