Deck 18: Oral and Maxillofacial Surgery

Question 1

The mandible articulates with which part of the temporal bone to form the temporomandibular joint (TMJ)?

A) alveolar process
B) glenoid fossa
C) orbital floor
D) symphysis

Answer 1

B

Question 2

Which of the following statements regarding arch bars is CORRECT?

A) They are thin, malleable bars with hooks facing up for maxilla and down for mandible.
B) They are thin, malleable bars with hooks facing down for maxilla and up for mandible.
C) They are thick, rigid, semicircle bars with hooks facing up for maxilla and down for mandible.
D) They are thick, rigid, semicircle bars with hooks facing down for maxilla and up for mandible.

Answer 2

A

Question 3

A closed ventilation system and special endotracheal tube may be used in maxillofacial procedures to reduce risk of:

A) airway fire
B) aspiration
C) hyperthermia
D) obstruction

Answer 3

A

Question 4

Coral would be classified as what type of graft material?

A) autograft
B) homograft
C) synthetic
D) xenograft

Question 5

Which teeth are located in the center front of the mouth?

A) bicuspids
B) cuspids
C) incisors
D) molars

Question 6

Which of the following is NOT one of the three regions of a tooth?

A) crown
B) neck
C) root
D) socket

Question 7

All of the following are configurations of fixation plates for maxillofacial fracture reduction EXCEPT:

A) H
B) L
C) W
D) Y

Question 8

Which procedure is performed for removal of impacted wisdom teeth?

A) enucleation
B) extraction
C) mandibulectomy
D) odontectomy

Question 9

What is the MOST common position for patients undergoing oral and maxillofacial procedures?

A) supine with arms on armboards
B) supine with arms tucked in at sides
C) Trendelenberg with arms on armboards
D) Trendelenberg with arms tucked in at sides

Question 10

Tapping of bone is done in fixation procedures to reduce:

A) number of screws needed
B) torque pressure on screws
C) size of fixation plate used
D) need to strip periosteum first

Question 11

Strands of wire used to attach arch bars to the upper and lower jaw should be prestretched and cut to which length?

A) 5 mm
B) 10 mm
C) 15 mm
D) 20 mm

Question 12

How many craniofacial bones make up the orbit?

A) three
B) five
C) seven
D) nine

Question 13

Which type of sterile drape is commonly used for oral and maxillofacial procedures?

A) plastic incise
B) thyroid
C) pediatric laparotomy
D) U-drape

Question 14

Which of the following facial bones is the largest and strongest?

A) ethmoid
B) frontal
C) mandible
D) maxilla

Question 15

Which sequence of steps for plate fixation is CORRECT?

A) Drill all holes, place plate, tap, measure with depth gauge, and insert screws.
B) Drill all holes, place plate, measure with depth gauge, tap, and insert screws.
C) Place plate, drill one hole at a time, tap, measure with depth gauge, insert screw, and repeat steps for remaining holes.
D) Place plate, drill one hole at a time, measure with depth gauge, tap, insert screw, and repeat steps for remaining holes.

Question 16

What is the name of the narrow, double-angle retractor frequently used in oral procedures?

A) Minnesota
B) mouth prop
C) plastic cheek
D) Senn

Question 17

Which countable sponge is used in oral procedures to prevent bone or tooth fragments and other foreign matter from becoming lodged in the pharynx?

A) Cottonoids
B) lap pads
C) throat pack
D) Weck-Cel

Question 18

Irrigation and what other item is used anytime the dental drill is used during odontectomy?

A) bone wax
B) ESU pencil
C) Ray-Tec 4 x 4
D) suction

Question 19

Which radiographic technique or view shows the alveolar processes, mandible, posterior maxillary sinuses, and the zygomas?

A) AP
B) basal
C) PA
D) panoramic

Question 20

What is the term that describes the side of teeth closest to the cheek?

A) alveolar
B) buccal
C) labial
D) lingual

Question 21

What other role is the surgical technologist often required to fill during oral and maxillofacial procedures?

A) anesthesia provider
B) assistant
C) circulator
D) radiology tech

Question 23

Dental procedures require thorough cavity prepping due to possibility of surgical site infections.

Question 24

Surgical treatment of which anatomical area might result in a postoperative complication of malocclusion?

A) jaw
B) nose
C) orbit
D) palate

Question 25

Which hemostatic agent is used during oral and maxillofacial procedures that requires advising the anesthesia provider of its use?

A) absorbable collagen
B) bone wax
C) epinephrine
D) topical thrombin

Question 26

Patients treated for Le Fort type fractures may have extensive scarring and change in facial characteristics.

Question 27

Which of the following must accompany the patient to the PACU who has undergone maxillomandibular fixation?

A) mouth prop
B) wire cutters
C) throat pack
D) dental rolls

Question 28

Which type of nonabsorbable maxillofacial implant used in fracture fixation is lightweight, noncorrosive, and strong?

A) copper
B) plastic
C) titanium
D) tungsten

Question 29

Which bone contributes to the posterior and inferior portion of the nasal septum?

A) mandible
B) nasal
C) vomer
D) zygoma

Question 30

The hard palate is the:

A) floor of the mouth
B) protrusion of the chin
C) roof of the mouth
D) separation of the nostrils

Question 31

Which muscle attaches to the coronoid process of the ramus?

A) frontalis
B) platysma
C) temporalis
D) sternocleidomastoid

Question 32

What should the surgical technologist do before handing a retractor to the surgeon for use in orbital floor fracture?

A) Bend it to a curved configuration.
B) Lubricate it with mineral oil.
C) Pad it with a Cottonoid.
D) Moisten it with saline.

Question 33

Care must be taken when preauricular and submandibular incisions are made to protect which cranial nerve?

A) third (III)
B) fifth (V)
C) seventh (VII)
D) eighth (VIII)

Question 34

Which of the following is the MOST common type of midfacial fracture and is also known as a transmaxillary fracture?

A) Le Fort I
B) Le Fort II
C) Le Fort III
D) Le Fort IV

Question 35

Which of the following may be used as permanent support on top of the orbital floor following fixation of fracture?

A) arch bar
B) silastic sheeting
C) titanium plate
D) polymethyl methacrylate

Question 36

Odontectomy procedures are given a wound classification of Class II.

Question 37

Which diameter fixation screw would MOST likely be used for a fracture of the mandible?

A) 1.0 mm
B) 2.0 mm
C) 3.0 mm
D) 4.0 mm

Question 38

Craniofacial disjunction fractures are severe traumatic injuries categorized as Le Fort III fractures.

Question 39

Which of the following involves the highest portion of the midface and presents the most extensive damage?

A) Le Fort I
B) Le Fort II
C) Le Fort III
D) Le Fort IV

Question 40

Which bones of the face form the prominences of the cheeks?

A) mandible
B) nasal
C) vomer
D) zygomatic

Question 41

Dental drills are always used to cut bone so that teeth can be extracted whole.