Oral and Maxillofacial Surgery Exam Questions Answered Correctly Latest Version 2024 (Rated 100%)
What specific radiographic view is used to detect a fracture of the frontal bone? - Answers Water's view
List two advantages of three-dimensional imaging - Answers anatomy that interferes with viewing can
be eliminated
before and after models can be generated
in addition to radiographic studies (including 3-dimensional imaging), what other items may be useful to
the surgeon during facial reconstruction surgery? - Answers photographs and dental records obtained
prior to illness and injury
define cerebrospinal rhinorrhea - Answers CSF leaking from the nose- can indicate a dural tear
list two options for sealing an intranasal dural tear - Answers placing a suture
sealed off with fat, fascia, or muscle graft
what are dental caries and what is their cause? - Answers tooth decay and enamel decay caused by
bacteria in the mouth which creates an acidic environment and low pH demineralized enamel
what is the importance of having x-rays in the OR room prior to and during the surgical procedure? -
Answers x-rays are a useful reference for reconstruction
define autogenous, and list two possible donor sites for autogenous bone grafts - Answers bone graft
from oneself
rib, iliac crest, calvarial bone
why is a local anesthetic with epinephrine often injected at the operative site preop when the patient is
under general anesthesia? - Answers to reduce intaop bleeding and postop pain
what can be done during lengthy oral procedures to prevent drying and cracking of the lips? - Answers
application of cream or ointment to lips
what is accomplished by inserting a mouth prop during certain oral surgical procedures? - Answers
keeps mouth open during surgery to help with visualization and prevent injury to surgical team
, what is the purpose of inserting a throat pack? how it is inserted? - Answers McGill or dressing forceps
used for insertion, prevent oral secretions, irrigation fluids, blood, bone, or tooth fragments from
lodging in pharynx
when is the throat pack removed, why? - Answers removed prior to extubation
ensures airway is patent and prevents gag reflex stimulation
where does the mandible articulate? name the three sections of the mandible - Answers with glenoid
fossa of each temporal bone at the TMJ
body, ramus, angle
in what situation(s) is an arch bar fixation employed - Answers following mandibular and/or maxillary
surgery or fractures
what are the typical sizes of wire used for arch bar fixation? when preparing the wire, how long will it
be? - Answers 22, 23, 24, 26 gauge wires cut into 10 cm segments
what will the surgeon use to apply the wires that will secure the arch bars to the upper and lower teeth?
which direction will the hook face on each one? which direction are the wires twisted when inserted and
removed? - Answers with a wire twister or driver
hooks face up on upper teeth and down on lower teeth
applied- clockwise, removed- counterclockwise
once the arch bars are attached, what will be sued to immobilize the jaw? - Answers wire or elastic loops
(loops more common now)
with an open reduction internal fixation (ORIF) what has to be removed before the plate can be placed?
How is the plate prepared to fit the bone? - Answers periosteum removed with freer elevator
plate benders or plate bending irons
what is the sequence for placement of the plate? - Answers secure plate with bone clamps, drill,
measure, tap, screw
What specific radiographic view is used to detect a fracture of the frontal bone? - Answers Water's view
List two advantages of three-dimensional imaging - Answers anatomy that interferes with viewing can
be eliminated
before and after models can be generated
in addition to radiographic studies (including 3-dimensional imaging), what other items may be useful to
the surgeon during facial reconstruction surgery? - Answers photographs and dental records obtained
prior to illness and injury
define cerebrospinal rhinorrhea - Answers CSF leaking from the nose- can indicate a dural tear
list two options for sealing an intranasal dural tear - Answers placing a suture
sealed off with fat, fascia, or muscle graft
what are dental caries and what is their cause? - Answers tooth decay and enamel decay caused by
bacteria in the mouth which creates an acidic environment and low pH demineralized enamel
what is the importance of having x-rays in the OR room prior to and during the surgical procedure? -
Answers x-rays are a useful reference for reconstruction
define autogenous, and list two possible donor sites for autogenous bone grafts - Answers bone graft
from oneself
rib, iliac crest, calvarial bone
why is a local anesthetic with epinephrine often injected at the operative site preop when the patient is
under general anesthesia? - Answers to reduce intaop bleeding and postop pain
what can be done during lengthy oral procedures to prevent drying and cracking of the lips? - Answers
application of cream or ointment to lips
what is accomplished by inserting a mouth prop during certain oral surgical procedures? - Answers
keeps mouth open during surgery to help with visualization and prevent injury to surgical team
, what is the purpose of inserting a throat pack? how it is inserted? - Answers McGill or dressing forceps
used for insertion, prevent oral secretions, irrigation fluids, blood, bone, or tooth fragments from
lodging in pharynx
when is the throat pack removed, why? - Answers removed prior to extubation
ensures airway is patent and prevents gag reflex stimulation
where does the mandible articulate? name the three sections of the mandible - Answers with glenoid
fossa of each temporal bone at the TMJ
body, ramus, angle
in what situation(s) is an arch bar fixation employed - Answers following mandibular and/or maxillary
surgery or fractures
what are the typical sizes of wire used for arch bar fixation? when preparing the wire, how long will it
be? - Answers 22, 23, 24, 26 gauge wires cut into 10 cm segments
what will the surgeon use to apply the wires that will secure the arch bars to the upper and lower teeth?
which direction will the hook face on each one? which direction are the wires twisted when inserted and
removed? - Answers with a wire twister or driver
hooks face up on upper teeth and down on lower teeth
applied- clockwise, removed- counterclockwise
once the arch bars are attached, what will be sued to immobilize the jaw? - Answers wire or elastic loops
(loops more common now)
with an open reduction internal fixation (ORIF) what has to be removed before the plate can be placed?
How is the plate prepared to fit the bone? - Answers periosteum removed with freer elevator
plate benders or plate bending irons
what is the sequence for placement of the plate? - Answers secure plate with bone clamps, drill,
measure, tap, screw
