Deck 56: Oral and Maxillofacial Surgery

Question 1

Which type of extraction,such as an impacted third molar,requires additional skill,knowledge,and instrumentation to remove a tooth?

A)Complex
B)Simple
C)Surgical
D)Forceps

Answer 1

Complex

Question 2

The oral surgeon is a dentist who has received approximately ____ years of additional training after dental school in a hospital-based residency.

A)2
B)4 to 6
C)7
D)2 to 3

Answer 2

4 to 6

Question 3

Which instrument is used to cut into the soft tissue?

A)Rongeur
B)Retractor
C)Scalpel
D)Mallet

Answer 3

Scalpel

Question 4

Which instrument is used after an extraction to scrape the inside of the socket to remove diseased tissue or abscesses?

A)Surgical curette
B)Forceps
C)Root tip picks
D)Elevators

Question 5

Which instrument is used to smooth the surface of the bone after most of the undesirable bone has been removed?

A)Rongeur
B)Bone file
C)Curette
D)Hemostat

Question 6

Which item is an absorbable suture material?

A)Silk
B)Polyester fiber
C)Plain catgut
D)Nylon

Question 7

By keeping the surgical instruments,surgical unit,and gloved hands sterile,the members of the surgical team are maintaining which type of field?

A)Sterile
B)Clean
C)Disinfected
D)Both a and b

Question 8

Which instrument is used to loosen the tooth from the socket?

A)Periosteal elevators
B)Root tip picks
C)Forceps
D)Straight elevators

Question 9

In which location will the surgical team perform oral surgery procedures?

A)Hospital operating room or outpatient surgical suite
B)General dentist's office
C)Private dental office
D)Both a and c

Question 10

When assisting in an invasive oral surgery procedure,members of the dental team wear which type of gloves?

A)Latex
B)Prepackaged sterile
C)Nitrile
D)Over

Question 11

The surgical assistant should have knowledge of which tasks?

A)Patient monitoring
B)Use of specialized instruments
C)Pain control techniques
D)All of the above

Question 12

Which instrument is used to remove a tooth in one piece,with the crown and root intact?

A)Periosteal elevator
B)Surgical forceps
C)Surgical curette
D)Rongeur

Question 13

Which statement is correct regarding a forceps extraction?

A)Not considered to be a surgical procedure
B)Performed on teeth that are affected
C)Performed on a tooth that has a solid, intact crown that can be grasped firmly with forceps
D)Requires placement of sutures

Question 14

An oral and maxillofacial surgeon (OMFS)must pass a national standardized examination,given by the American _____,in order to practice.

A)American Dental Association
B)Association of Oral and Maxillofacial Surgeons
C)Board of Oral and Maxillofacial Surgery
D)American Medical Association

Question 15

Dislodgement of the clot from the socket or an infection in the socket can facilitate which condition?

A)Alveolitis
B)Dry socket
C)Severe bleeding
D)Both a and b

Question 16

Immediately after an extraction,a sterile 2 * 2 gauze is folded and placed over the socket to control bleeding.How long is the patient instructed to keep the pack in place?

A)5 minutes
B)30 minutes
C)2 hours
D)4 hours

Question 17

A hospital can grant the oral surgeon privileges to operate in the hospital based which situation?

A)Surgical team
B)If they have room
C)Experience and competency
D)Training

Question 18

Oral surgery instruments are classified as _____ instruments and must be sterilized after each use.

A)critical
B)semi-critical
C)non-critical
D)both semi- and non-critical

Question 19

Which term means to dislocate,as in a tooth from its socket?

A)Alveolitis
B)Luxate
C)Exfoliate
D)Curettage

Question 20

Which procedure removes and examines tissue to distinguish malignant from nonmalignant lesions?

A)Alveoplasty
B)Biopsy
C)Exfoliative cytology
D)Both b and c

Question 21

Postsurgical instructions include which statements?

A)No drinking from a straw for the first 24 hours.
B)No smoking within the first 24 hours.
C)Restriction of strenuous work or physical activity for the rest of the day.
D)All of the above are correct statements.

Question 22

How does the surgeon determine the level of anesthesia before performing a surgical procedure?

A)The surgeon asks the patient if they are numb.
B)The surgeon taps on the tooth.
C)The surgeon probes the area with an explorer.
D)If the dentist has given the patient enough local anesthetic, it will be numb.

Question 23

The surgical setup cannot be open for more than _____ before it is no longer considered sterile.

A)30 minutes
B)60 minutes
C)90 minutes
D)3 hours

Question 24

Which statement is incorrect about sutures?

A)Generally, if a scalpel is used, sutures are indicated.
B)Absorbable sutures should be removed 5 to 7 days after the procedure.
C)Suture removal can be an expanded function of a dental assistant.
D)The type of surgery performed will determine the type of suture technique used.

Question 25

What is the difference between surgical scissors and suture scissors?

A)Surgical scissors are more delicate than suture scissors.
B)Surgical scissors have a small notch on the cutting edge of blade, whereas suture scissors have straight blades.
C)Suture scissors have serrated cutting edges designed to cut only suture material, whereas surgical scissors have only smooth cutting edges.
D)Suture scissors are interchangeable with surgical scissors, whereas surgical scissors should only be used for surgical tasks.

Question 26

Which statement is incorrect about mouth props?

A)A mouth prop allows the patient to relax and rest the jaw muscles.
B)The mouth prop prevents to the patient from closing the mouth.
C)The mouth prop is placed close to the area being treated.
D)The mouth prop is also known as a bite-block.

Question 27

Which instrument is designed to split teeth?

A)Bi-bevel chisel
B)Single-bevel chisel
C)Bi-bevel mallet
D)Single-bevel mallet

Question 28

What is the purpose in luxating a tooth prior to extraction?

A)To sever the periodontal ligaments
B)To compress the bone and enlarge the socket, making it easier to remove the tooth
C)To ensure that the dentist can grip it well with the elevators
D)To pull the tissue away from the surgical site

Question 29

Which statement is incorrect regarding a dry socket?

A)The healing process of a dry socket may take as long as 2 weeks.
B)The patient will need to return daily for a dressing change until the socket begins to heal.
C)Women taking oral contraceptives (birth control pills) are more susceptible to a dry socket.
D)Dry sockets do not hurt and occur immediately after tooth removal.

Question 30

How many minutes should a surgical scrub last?

A)Two
B)Five
C)Seven
D)Fourteen

Question 31

If using a cold pack to reduce swelling,it should be placed for ____ minutes on and ____ minutes off.

A)10; 10
B)20; 10
C)20; 20
D)10; 20

Question 32

Which biopsy procedure involves removal of adjacent tissue in addition to removal of the entire lesion?

A)Incisional
B)Excisional
C)Exfoliative
D)Punch

Question 33

A patient comes into the office with a lesion that is approximately 2.5 cm on the lateral border of the tongue.Which type of biopsy would most likely be completed?

A)Exfoliative
B)Excisional
C)Incisional
D)No biopsy is done because the biopsy would cause a functional problem with the tongue.

Question 34

Which statement is incorrect concerning forceps extractions?

A)A "simple" forceps extraction is not considered a surgical procedure.
B)Most routine extractions do not require placement of sutures.
C)A forceps extraction is performed on a tooth that is fully erupted.
D)A forceps extraction is performed using extensive instrumentation.

Question 35

Which procedure is used to contour and smooth the margins of the tooth socket after an extraction?

A)Alveolitis
B)Alveoplasty
C)Donning
D)Exfoliate

Question 36

An incisional biopsy is indicated when the lesion is what size?

A)Larger than 1 mm in all dimensions
B)Larger than 1 cm in all dimensions
C)Located in an area that would be cosmetically or functionally impaired by surgery
D)Both b and c