Oral Surgery for MFD and ORE
Q1: In the normal patient, an increase in stress will lead to a/an _____ in ACTH production and large
doses of circulating systemic steroids will _____this production.
A. decrease, repress
B. increase, stimulate
C. increase, repress
D. decrease, stimulate
Answer: increase, repress
Q2: A person who has been on suppressive doses of steroids will? Select all that apply.
A. may show signs of hyperpigmentation
B. take as long as a month to regain full adrenal cortical function
C. take as long as a year to regain full adrenal cortical function
D. does not require consultation with a physician prior to surgery
Answer: • take as long as a year to regain full adrenal cortical function
• May show signs of hyperpigmentation
Q3: Hypercortisolemia can lead to ______, whereas hypocortisolemia can lead to______.
A. Cushing syndrome, Addison disease
B. Cushing syndrome, ectopic ACTH syndrome
C. Addison disease, Cushing syndrome
D. Addison disease, ectopic ACTH syndrome
Answer: Cushing syndrome, Addison disease
Q4: A 52-year-old woman requests removal of a painful mandibular second molar. She tells you that she
has not rested for 2 days and nights because of the pain. Her medical history is unremarkable, except that
she takes 20 mg of prednisone daily for erythema multiforme. How do you treat this patient?
A. instruct the patient to take 3 grams of amoxicillin 1 hour prior to extraction
B. give steroid supplementation and remove the tooth with local anesthesia and sedation
C. have patient discontinue the prednisone for 2 days prior to the extraction
D. no special treatment is necessary prior to extraction
Dr. Omar Mokhtar
Answer: give steroid supplementation and remove the tooth with local anesthesia and sedation
,Q5: Sensory innervation to the palate is supplied by _____. Motor innervation to tensor veli palatini is
supplied by _____. A greater palatine block can anesthetize the palate as anterior as the maxillary _____.
A. CN V2, CN V3, first premolar
B. CN V3, CN V2, canine
C. CN V2, CN V3, canine
D. CN V3, CN V2, first premolar
Answer: CN V2, CN V3, first premolar
Q6: Please match the following cranial nerves with their appropriate preganglionic parasympathetic fibers.
Remember, postganglionic fibers from these nerves are carried via the opthalmic nerve (V1), maxillary
nerve (V2), and mandibular nerve (V3).
1. CN III Oculomotor
2. CN VII Facial
3. CN IX Glossopharyngeal
A. Parotid Gland
B. Pupil Constriction, Accomodation
C. Lacrimal, Submandibular, Sublingual Gland
Answer: 1:B, 2:C, 3:A
Q7: The retrodiscal tissue of the TMJ is highly vascularized and innervated.
Only the extreme periphery of the articular disc is slightly innervated.
A. both statements are true
B. both statements are false
C. the first statement is true, the second is false
D. the first statement is false, the second is true
Answer: both statements are true
Q8: The average size of the maxillary sinus is 14.75 mL, with a range of 9.5-20 mL. On average, the width
is _____; the height is _____; and the depth is _____.
A. 1.0 cm, 2.75 cm, 2 cm
B. 2.5 cm, 3.75 cm, 3 cm
C. 4.0 cm, 4.75 cm, 4 cm
D. 5.0 cm, 5.75 cm, 3.5 cm
Answer: 2.5 cm, 3.75 cm, 3 cm
Dr. Omar Mokhtar
,Q9: The _________ arises from the anterior surface of the external carotid artery and then passes near
the greater cornu of the hyoid bone.
A. submental artery
B. inferior alveolar artery
C. lingual artery
D. ascending pharyngeal artery
Answer: lingual artery
Q10: The pterygomandibular raphe, an important landmark for the administration of inferior alveolar block,
provides attachment to which of the following muscles? Select all that apply.
A. superior constrictor of the pharynx
B. buccinator
C. masseter
D. levator labii superioris
Answer: superior constrictor of the pharynx, buccinator
Q11: Which of the following are involved in the path for parasympathetic innervation of the parotid gland?
Select all that apply.
A. trigeminal nerve
B. glossopharyneal nerve
C. vagus nerve
D. otic ganglion
E. pterygopalatine ganglion
Answer: glossopharyneal nerve, otic ganglion
glossopharyngeal otic ganglion
Q12: A dentist is performing a routine restoration on the left mandibular first molar. He is giving an inferior
alveolar nerve block injection, where he deposits anesthetic solution right next to the lingula and
mandibular foramen. Which ligament is most likely to get damaged?
A. sphenomandibular ligament
B. temporomandibular ligament
C. stylomandibular ligament
D. none of the above
Answer: sphenomandibular ligament
Dr. Omar Mokhtar
, Q13: Which of the following injuries would cause a patient to deviate toward the side of injury when
protruding? Select all that apply.
A. damage to the lateral pterygoid muscle
B. ankylosis of the condyle
C. condylar hyperplasia
D. unilateral condylar fracture
Answer: • damage to the lateral pterygoid muscle
• ankylosis of the condyle
• unilateral condylar fracture
Q14: Which lymph nodes directly receive lymph from the tip of the tongue?
A. submental lymph nodes
B. submandibular lymph nodes
C. parotid lymph nodes
D. none of the above
Answer: submental lymph nodes
Q15: Which artery descends on the posterior surface of the maxilla and supplies the maxillary sinus and
the maxillary molar and premolar teeth?
A. sphenopalatine artery
B. greater palatine artery
It
C. posterior superior alveolar artery
D. infraorbital artery
Answer: posterior superior alveolar artery
Q16: The submandibular gland is a _____ gland whose secretomotor innervationcomes from the _____
nerve. The sublingual caruncle marks the opening of its duct into the oral cavity.
A. purely mucous, CN VII
B. mixed, CN IX
C. purely mucous, CN IX
D. mixed, CN VII
Answer: mixed, CN VII
facial nerve
Dr. Omar Mokhtar
Q1: In the normal patient, an increase in stress will lead to a/an _____ in ACTH production and large
doses of circulating systemic steroids will _____this production.
A. decrease, repress
B. increase, stimulate
C. increase, repress
D. decrease, stimulate
Answer: increase, repress
Q2: A person who has been on suppressive doses of steroids will? Select all that apply.
A. may show signs of hyperpigmentation
B. take as long as a month to regain full adrenal cortical function
C. take as long as a year to regain full adrenal cortical function
D. does not require consultation with a physician prior to surgery
Answer: • take as long as a year to regain full adrenal cortical function
• May show signs of hyperpigmentation
Q3: Hypercortisolemia can lead to ______, whereas hypocortisolemia can lead to______.
A. Cushing syndrome, Addison disease
B. Cushing syndrome, ectopic ACTH syndrome
C. Addison disease, Cushing syndrome
D. Addison disease, ectopic ACTH syndrome
Answer: Cushing syndrome, Addison disease
Q4: A 52-year-old woman requests removal of a painful mandibular second molar. She tells you that she
has not rested for 2 days and nights because of the pain. Her medical history is unremarkable, except that
she takes 20 mg of prednisone daily for erythema multiforme. How do you treat this patient?
A. instruct the patient to take 3 grams of amoxicillin 1 hour prior to extraction
B. give steroid supplementation and remove the tooth with local anesthesia and sedation
C. have patient discontinue the prednisone for 2 days prior to the extraction
D. no special treatment is necessary prior to extraction
Dr. Omar Mokhtar
Answer: give steroid supplementation and remove the tooth with local anesthesia and sedation
,Q5: Sensory innervation to the palate is supplied by _____. Motor innervation to tensor veli palatini is
supplied by _____. A greater palatine block can anesthetize the palate as anterior as the maxillary _____.
A. CN V2, CN V3, first premolar
B. CN V3, CN V2, canine
C. CN V2, CN V3, canine
D. CN V3, CN V2, first premolar
Answer: CN V2, CN V3, first premolar
Q6: Please match the following cranial nerves with their appropriate preganglionic parasympathetic fibers.
Remember, postganglionic fibers from these nerves are carried via the opthalmic nerve (V1), maxillary
nerve (V2), and mandibular nerve (V3).
1. CN III Oculomotor
2. CN VII Facial
3. CN IX Glossopharyngeal
A. Parotid Gland
B. Pupil Constriction, Accomodation
C. Lacrimal, Submandibular, Sublingual Gland
Answer: 1:B, 2:C, 3:A
Q7: The retrodiscal tissue of the TMJ is highly vascularized and innervated.
Only the extreme periphery of the articular disc is slightly innervated.
A. both statements are true
B. both statements are false
C. the first statement is true, the second is false
D. the first statement is false, the second is true
Answer: both statements are true
Q8: The average size of the maxillary sinus is 14.75 mL, with a range of 9.5-20 mL. On average, the width
is _____; the height is _____; and the depth is _____.
A. 1.0 cm, 2.75 cm, 2 cm
B. 2.5 cm, 3.75 cm, 3 cm
C. 4.0 cm, 4.75 cm, 4 cm
D. 5.0 cm, 5.75 cm, 3.5 cm
Answer: 2.5 cm, 3.75 cm, 3 cm
Dr. Omar Mokhtar
,Q9: The _________ arises from the anterior surface of the external carotid artery and then passes near
the greater cornu of the hyoid bone.
A. submental artery
B. inferior alveolar artery
C. lingual artery
D. ascending pharyngeal artery
Answer: lingual artery
Q10: The pterygomandibular raphe, an important landmark for the administration of inferior alveolar block,
provides attachment to which of the following muscles? Select all that apply.
A. superior constrictor of the pharynx
B. buccinator
C. masseter
D. levator labii superioris
Answer: superior constrictor of the pharynx, buccinator
Q11: Which of the following are involved in the path for parasympathetic innervation of the parotid gland?
Select all that apply.
A. trigeminal nerve
B. glossopharyneal nerve
C. vagus nerve
D. otic ganglion
E. pterygopalatine ganglion
Answer: glossopharyneal nerve, otic ganglion
glossopharyngeal otic ganglion
Q12: A dentist is performing a routine restoration on the left mandibular first molar. He is giving an inferior
alveolar nerve block injection, where he deposits anesthetic solution right next to the lingula and
mandibular foramen. Which ligament is most likely to get damaged?
A. sphenomandibular ligament
B. temporomandibular ligament
C. stylomandibular ligament
D. none of the above
Answer: sphenomandibular ligament
Dr. Omar Mokhtar
, Q13: Which of the following injuries would cause a patient to deviate toward the side of injury when
protruding? Select all that apply.
A. damage to the lateral pterygoid muscle
B. ankylosis of the condyle
C. condylar hyperplasia
D. unilateral condylar fracture
Answer: • damage to the lateral pterygoid muscle
• ankylosis of the condyle
• unilateral condylar fracture
Q14: Which lymph nodes directly receive lymph from the tip of the tongue?
A. submental lymph nodes
B. submandibular lymph nodes
C. parotid lymph nodes
D. none of the above
Answer: submental lymph nodes
Q15: Which artery descends on the posterior surface of the maxilla and supplies the maxillary sinus and
the maxillary molar and premolar teeth?
A. sphenopalatine artery
B. greater palatine artery
It
C. posterior superior alveolar artery
D. infraorbital artery
Answer: posterior superior alveolar artery
Q16: The submandibular gland is a _____ gland whose secretomotor innervationcomes from the _____
nerve. The sublingual caruncle marks the opening of its duct into the oral cavity.
A. purely mucous, CN VII
B. mixed, CN IX
C. purely mucous, CN IX
D. mixed, CN VII
Answer: mixed, CN VII
facial nerve
Dr. Omar Mokhtar
