Deck 25: Oral and Maxillofacial Surgery

Question 1

A wet tea bag placed over the socket will help the clotting process.

Answer 1

True

Question 2

There are several new devices on the market that improve the ability to find and treat oral cancers and other tissue abnormalities.

Answer 2

True

Question 3

Three-dimensional imaging has improved the diagnosis and treatments in orofacial trauma cases.

Answer 3

True

Question 4

Which instrument is used to extract tissue, remove small root tips, clamp off blood vessels, and grasp loose objects?

A) Mouth gag
B) Retractor
C) Hemostat
D) Needle holder

Question 5

Bleeding or oozing may occur for the first 12 to 24 hours after oral surgery.

Question 6

Which instrument is used to deflect tissue from the surgical site?

A) Periosteal elevator
B) Scalpel
C) Retractor
D) Mouth prop

Question 7

The oral surgery office is at a higher risk of cross-contamination because of the increased possibility of blood contact.

Question 8

The best means to control bleeding is pressure, which can be accomplished by folding gauze over the surgical site and having the patient bite down.

Question 9

The test kits used to test for dysplasia or cancer of oral lesions is called an oral brush biopsy.

Question 10

Only with hospital authorization can patients who have less complicated oral surgeries have them performed in the oral surgeon's office.

Question 11

The instrument of choice to debride the tooth socket is the ____________.

A) explorer
B) chisel
C) elevator
D) surgical curette

Question 12

For surgical procedures, scalpels can be available as disposable scalpels.

Question 13

The type of scissors used to trim soft tissue and cut sutures is ____________.

A) surgical
B) crown and collar
C) either a or b
D) neither a nor b

Question 14

Food, liquids, or medications in the stomach when general anesthesia is administered may cause vomiting.

Question 15

Oral surgeons can perform surgical procedures in a hospital.

Question 16

In regard to a surgical aspirating tip versus the HVE tip, the surgical aspirating tip is ____________.

A) no different in size or shape
B) more slender or tapers to a smaller opening
C) larger than the HVE tip
D) shorter than the HVE tip

Question 17

Alveolitis, or dry socket, is the most common complication following an extraction.

Question 18

The shape of the forceps' beaks is designed to accommodate the anatomy of the specific tooth.

Question 19

Surgical scalpels are used and ____________.

A) sterilized with heat
B) disposed of in the biohazard trash
C) disposed of in the sharps container
D) none of the above

Question 20

Which instrument is used to keep the patient's oral cavity open during surgical procedures?

A) Mouth prop
B) Mouth gag
C) Retractor
D) Either a or b

Question 21

Instruments that are designed to tease the root tips or fragments from the socket are ____________.

A) root tip picks
B) apical elevators
C) extraction forceps
D) elevators

Question 22

Usually the patient gives the oral surgeon __________ consent.

A) verbal
B) general
C) informed
D) signed informed

Question 23

Which type of radiographs are commonly used in an oral surgeon's office?
1) Bitewings
2) Periapical
3) Panoramic
4) Occlusal
5) Computerized tomography

A) 1, 2, 3, 4, 5
B) 1, 2, 3, 4
C) 1, 2
D) 2, 3, 4, 5

Question 24

Which instrument is used to detach the periosteum from the outer bone?

A) Elevator
B) Surgical chisel
C) Periosteal elevator
D) Surgical curette

Question 25

The process of contouring the alveolar ridge is known as ____________.

A) filing
B) alveolitis
C) alveoplasty
D) apicoectomy

Question 26

A surgical scrub was commonly called a(n) ____-minute scrub.

A) 1
B) 3
C) 5
D) 10

Question 27

Which instruments could be used to section a tooth?

A) Surgical burs
B) Chisel and mallet
C) Either a or b
D) Extraction forceps

Question 28

If dentists wanted to loosen a tooth or remove root fragments, they would ask for a(n) ____________.

A) extraction forceps
B) oeriosteal elevator
C) elevator
D) root tip pick

Question 29

__________ are used to remove or shape the bone and are also used to split teeth.

A) Elevators
B) Rongeurs
C) Bone files
D) Surgical chisels and mallets

Question 30

To luxate means to ____________.

A) move or dislocate
B) suture
C) remove the tooth
D) debride

Question 31

When deciding whether the forceps are to be used on a maxillary or mandibular tooth, check the ____________.

A) curve of the shank
B) number of the forceps
C) either a or b
D) neither a nor b

Question 32

Silk sutures are removed ____ days after placement.

A) 2
B) 7
C) 10
D) 14

Question 33

To smooth the edges of the alveolar bone after the tooth has been extracted, a __________ is used.

A) bone file
B) rongeur
C) surgical chisel and mallet
D) none of the above

Question 34

After the tooth has been removed from the socket, it is examined for ____________.

A) broken restorations
B) fractured root tips
C) either a or b
D) neither a nor b

Question 35

Forceps designed to remove the tooth from the socket are the ____________.

A) transfer forceps
B) extraction forceps
C) rongeur
D) none of the above

Question 36

Place the steps of a routine extraction in order.
1) Postoperative instructions
2) Use of a straight elevator
3) Debridement of the socket
4) Use of extraction forceps
5) Anesthesia

A) 5, 2, 4, 3, 1
B) 5, 3, 2, 4, 1
C) 5, 4, 3, 2, 1
D) 5, 2, 3, 4, 1

Question 37

The oral surgery office is at a(n) __________ level of risk for cross-contamination due to the possibility of contact with blood.

A) equal
B) decreased
C) increased
D) none of the above

Question 38

A biopsy that involves removing a small section of the lesion and a small border of normal tissue is ____________.

A) incisional
B) excisional
C) smear
D) none of the above

Question 39

A hinged instrument that is used to trim and shape the alveolar bone after extraction is a(n) ____________.

A) extraction forceps
B) bone file
C) rongeur
D) none of the above

Question 40

A biopsy that involves removing the complete lesion and a border of normal tissue is ____________.

A) incisional
B) excisional
C) smear
D) none of the above

Question 41

Which of the following is called a "smear biopsy"?

A) Incisional
B) Excisional
C) Exfoliative cytology
D) All of the above

Question 42

Immediately after surgery, __________ is placed on the face over the extraction site.

A) heat
B) nothing
C) ice
D) moist heat

Question 43

During an impacted third molar extraction, __________ is the irrigating solution used.

A) sodium hypochlorite
B) saline
C) warm water
D) all of the above

Question 44

The dry socket is packed with ____________.

A) 2 x 2 gauze
B) absorbent paper points
C) iodoform gauze
D) none of the above

Question 45

After surgery, the patient is asked to refrain from:
1) brushing and flossing the teeth
2) rinsing the mouth
3) sleeping with the head elevated
4) sucking on a straw or smoking
5) spitting

A) 1, 2, 3, 4, 5
B) 1, 3
C) 2, 4, 5
D) 1, 2, 3

Question 46

The __________ biopsy is performed by using a small sterile brush to "wipe" the surface of the lesion.

A) incisional
B) oral brush
C) excisional
D) postop

Question 47

Postoperative instructions should be ____________.

A) written
B) verbally reviewed
C) reviewed with the escort of the patient
D) all of the above

Question 48

The most common sedation used for removal of impacted third molars is ____________.

A) local anesthetic
B) oral sedation
C) intravenous IV
D) none of the above

Question 49

The failure of a blood clot to form, or when the clot is lost, is called ____________.

A) alveoplasty
B) alveolitis
C) dry socket
D) either a or c

Question 50

Which of the following crackling sounds signals a sign/symptom of TMJ disease/disorder/dysfunction?

A) Tinnitus
B) Crepitus
C) Trismus
D) None of the above

Question 51

A biopsy that involves removing a layer of cells from the surface of the lesion is ____________.

A) incisional
B) excisional
C) smear
D) none of the above

Question 52

The curette is used during treatment of an impacted third molar to accomplish which of the following?

A) debride the socket
B) remove the follicle
C) remove the sac of thickened membrane
D) all of the above

Question 53

TMJ diagnosis is an important step in the success of treatment. Which of the following diagnostic procedures are included in the diagnosis?

A) Complete dental history
B) Complete medical history
C) Tomography
D) Study models
E) All of the above

Question 54

Patients who require hospitalization for dental treatment include ____________.

A) trauma victims
B) only patients with excellent hospitalization insurance
C) patients who require extensive surgical procedures
D) both a and c

Question 55

The best way to control bleeding is by ____________.

A) sutures
B) lying down
C) pressure
D) elevating the head

Question 56

How soon after a biopsy is the patient rescheduled for an appointment to return to the office for results of the biopsy?

A) 2 days
B) 5 days
C) 1 week
D) 3 days

Question 57

After 48 hours, __________ is placed on the face over the extraction site.

A) moist heat
B) nothing
C) ice
D) heat or ice

Question 58

Alveolitis usually occurs __________ after surgery.

A) 1 to 2 days
B) 3 to 5 days
C) 1 week
D) 2 weeks

Question 59

A plastic stint is placed during which of the following procedures?

A) Routine extractions
B) Alveoplasty
C) Uncomplicated extractions
D) Impacted third molar extractions

Question 60

The most frequent site for a dry socket to occur is the ____________.

A) maxillary third molars
B) maxillary first molars
C) any primary tooth socket
D) mandibular third molars

Question 61

Which of the following are causes of TMJ?

A) Accidents
B) Clenching the teeth
C) Grinding the teeth
D) All of the above

Question 62

Identify the instrument in the photo.

A) Cryers elevator
B) Periosteal elevator
C) Surgical bone file
D) Surgical rongeurs

Question 63

What does it mean to debride the suture site?

A) To cleanse
B) To take sutures out
C) To count the number of sutures placed
D) None of the above

Question 64

Identify the instrument in the photo.

A) Cryers elevator
B) Periosteal elevator
C) Surgical bone file
D) Surgical rongeurs

Question 65

Place the steps of suture removal in order.
1) Count the sutures removed
2) Gently lift the suture away from the tissue
3) Cut the thread below the knot close to the tissue
4) Remove the suture
5) Debride the suture site

A) 5, 1, 2, 3, 4
B) 1, 5, 3, 2, 4
C) 5, 2, 3, 4, 1
D) 2, 3, 5, 4, 1

Question 66

Irrigation of the joint to treat TMJ disease is called ____________.

A) arthroscopy
B) arthrocentesis
C) arthroplasty
D) articular eminence recontouring

Question 67

Identify the instrument in the photo.

A) Cryers elevator
B) Periosteal elevator
C) Surgical bone file
D) Surgical rongeurs

Question 68

Identify the instrument in the photo.

A) Cryers elevator
B) Periosteal elevator
C) Surgical bone file
D) Surgical rongeurs

Question 69

When the muscles, bones, and joints of the jaw do not work correctly, which of the following are affected?

A) Chewing
B) Speaking
C) Swallowing without discomfort
D) All of the above

Question 70

Suture removal is usually done how long after placement?

A) 5 to 7 hours
B) 3 days
C) 5 to 7 days
D) 10 days