Advanced OMS Midterm (this one!!)
What plays a role in transmission of HPV **** sexual transmission
What is the malignant transformation rate for leukoplakia with no dysplasia? **** 1-
17%
**with dysplasia it goes up to ~36%
What is the 5 year survival rate for stage 2 oral cancer?
A. 91%
B. 85%
C. 70%
D.50% **** C'
Stage 1 - 91%
Stage 2 - 77
Stage 3 - 50-61%
Stage 4a - 32%
Stage 4b - 25%
Stage 4c - 4%
If you are going to give a patient antibiotics but do not know the exact organism, what
theory encourages you to give them amoxicillin or augmentin for covering the most
common pathogens? **** Empiric antibiotic coverage
What is it called when you isolate the bacteria that are causing the infection? ****
culture
What are the 5 spaces that are involved with Ludwig's Angina? **** 1-2. bilateral
submandibular
3-4. bilateral sublingual
5. submental
Which of the following is not involved in masticator space infection?
A. Submasseteric space
B. submandibular space
C. pterygomandibular space
D. Superficial and deep temporal space **** B
What are the 2 hallmarks for masticator space infection? **** trismus and pain
Which of the following is not a primary space of the maxilla?
A. Canine space
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,B. Buccal Space
C. Submental space
D. Infratemporal space **** C
What are the primary spaces of the mandible? **** submental, sublingual,
submandibular, buccal
Which of the following is NOT an indication for immediate treatment and referral to
OMFS?
A. Fever >101.5
B. severe trismus (<10mm opening)
C. trouble swallowing/breathing (dysphagia)
D. vestibular swelling
E. toxic appearance **** D
Statement A: Inoculation is the first stage of infection. It occurs in the first 3 days and is
associated with aerobic bacteria and no pus.
Statement B: Cellulitis is the third stage of infection that occurs on days 4-1-. This stage
is associated with anaerobic bacteria. Fluctuant mass, pus, tender to touch.
A. Both are true
B. both are false
C. A is true. B is false
D. A is false. B is true **** C
ABSCESS is the 3rd stage.
Cellulitis is the 2nd stage. (2-5 days) - mixed bacteria, red, firm, severe pain
What stage of infection has mainly anaerobic bacteria? **** Abscess
List an aerobic and an anaerobic gram positive cocci **** aerobic: streptococcus
milleri/veridans
Anaerobic = streptococcus,peptostreptococcus
Which of the following is NOT a gram negative rod?
A. Prevotella
B. Streptococcus
C. Porphyromonas
D. Fusobacterium **** B
What is the acceptable resection margin for Ameloblastoma? **** 1-1.5 cm
What type of tumor or odontogenic cyst exhibits aggressive clinical behavior and has a
high reccurence rate?
A. Dentigerous cyst
B. OKC
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, C. CEOT
D. AOT **** B
What is the most likely diagnosis of a radiolucency with a pinched appearance at the
CEJ and circling the crown? **** dentigerous cyst
What is the treatment for complete removal of dentigerous cyst? **** excisional
biopsy - enucleation
T/F: You should biopsy a leukoplakic lesion that wipes off **** FALSE
this is candidiasis
When doing an incisional biopsy how do you make the incision? **** deep and narrow
How many biopsies do you take for a mixed red and white lesion? **** take several of
each kind of tissue if the lesion is not uniform
What is an appropriate way to manage a large ameloblastoma? ****
hemimandiblectomy - in order to get clear margins you have to do a partial resection of
the mandible
What is fractionation of radiation therapy? **** giving smaller increments of radiation
over several weeks which allows the healthier normal tissue time to recover between
doses. helps reduce post radiation symptoms
What is the most common organism in acute bacterial rhinosinusitis? **** strep
pneumonia and H. infleunza
**moraxella catarrhallis in kids
What is the typical antibiotic to treat acute bacterial rhinosinusitis
A. Penicillin V
B. Augmentin
C. Clindamycin
D. Azithromycin **** B
Most common organism found in Sialadenitis **** Staphylococcus A
Where is the most common salivary glands to find malignancy? **** minor salivary
glands
**smaller gland = higher risk of malignancy
What is a treatment option for Sialorrhea **** botox
For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
What plays a role in transmission of HPV **** sexual transmission
What is the malignant transformation rate for leukoplakia with no dysplasia? **** 1-
17%
**with dysplasia it goes up to ~36%
What is the 5 year survival rate for stage 2 oral cancer?
A. 91%
B. 85%
C. 70%
D.50% **** C'
Stage 1 - 91%
Stage 2 - 77
Stage 3 - 50-61%
Stage 4a - 32%
Stage 4b - 25%
Stage 4c - 4%
If you are going to give a patient antibiotics but do not know the exact organism, what
theory encourages you to give them amoxicillin or augmentin for covering the most
common pathogens? **** Empiric antibiotic coverage
What is it called when you isolate the bacteria that are causing the infection? ****
culture
What are the 5 spaces that are involved with Ludwig's Angina? **** 1-2. bilateral
submandibular
3-4. bilateral sublingual
5. submental
Which of the following is not involved in masticator space infection?
A. Submasseteric space
B. submandibular space
C. pterygomandibular space
D. Superficial and deep temporal space **** B
What are the 2 hallmarks for masticator space infection? **** trismus and pain
Which of the following is not a primary space of the maxilla?
A. Canine space
For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
,B. Buccal Space
C. Submental space
D. Infratemporal space **** C
What are the primary spaces of the mandible? **** submental, sublingual,
submandibular, buccal
Which of the following is NOT an indication for immediate treatment and referral to
OMFS?
A. Fever >101.5
B. severe trismus (<10mm opening)
C. trouble swallowing/breathing (dysphagia)
D. vestibular swelling
E. toxic appearance **** D
Statement A: Inoculation is the first stage of infection. It occurs in the first 3 days and is
associated with aerobic bacteria and no pus.
Statement B: Cellulitis is the third stage of infection that occurs on days 4-1-. This stage
is associated with anaerobic bacteria. Fluctuant mass, pus, tender to touch.
A. Both are true
B. both are false
C. A is true. B is false
D. A is false. B is true **** C
ABSCESS is the 3rd stage.
Cellulitis is the 2nd stage. (2-5 days) - mixed bacteria, red, firm, severe pain
What stage of infection has mainly anaerobic bacteria? **** Abscess
List an aerobic and an anaerobic gram positive cocci **** aerobic: streptococcus
milleri/veridans
Anaerobic = streptococcus,peptostreptococcus
Which of the following is NOT a gram negative rod?
A. Prevotella
B. Streptococcus
C. Porphyromonas
D. Fusobacterium **** B
What is the acceptable resection margin for Ameloblastoma? **** 1-1.5 cm
What type of tumor or odontogenic cyst exhibits aggressive clinical behavior and has a
high reccurence rate?
A. Dentigerous cyst
B. OKC
For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
, C. CEOT
D. AOT **** B
What is the most likely diagnosis of a radiolucency with a pinched appearance at the
CEJ and circling the crown? **** dentigerous cyst
What is the treatment for complete removal of dentigerous cyst? **** excisional
biopsy - enucleation
T/F: You should biopsy a leukoplakic lesion that wipes off **** FALSE
this is candidiasis
When doing an incisional biopsy how do you make the incision? **** deep and narrow
How many biopsies do you take for a mixed red and white lesion? **** take several of
each kind of tissue if the lesion is not uniform
What is an appropriate way to manage a large ameloblastoma? ****
hemimandiblectomy - in order to get clear margins you have to do a partial resection of
the mandible
What is fractionation of radiation therapy? **** giving smaller increments of radiation
over several weeks which allows the healthier normal tissue time to recover between
doses. helps reduce post radiation symptoms
What is the most common organism in acute bacterial rhinosinusitis? **** strep
pneumonia and H. infleunza
**moraxella catarrhallis in kids
What is the typical antibiotic to treat acute bacterial rhinosinusitis
A. Penicillin V
B. Augmentin
C. Clindamycin
D. Azithromycin **** B
Most common organism found in Sialadenitis **** Staphylococcus A
Where is the most common salivary glands to find malignancy? **** minor salivary
glands
**smaller gland = higher risk of malignancy
What is a treatment option for Sialorrhea **** botox
For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
