Deck 56: Oral and Maxillofacial Surgery

Question 1

A process in which tissue is removed and examined,to distinguish malignancies from nonmalignant lesions,is called a(n):

A)alveoplasty.
B)biopsy.
C)exfoliative cytology.
D)both b and c.

Answer 1

both b and c.

Question 2

Immediately after an extraction,sterile 2 × 2 gauze is folded and placed over the socket to control bleeding.The patient is told to keep the pack in place for at least:

A)five minutes.
B)thirty minutes.
C)two hours.
D)four hours.

Answer 2

thirty minutes.

Question 3

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

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

Answer 3

Board of Oral and Maxillofacial Surgery

Question 4

Which instrument is used to cut into the soft tissue?

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

Question 5

The term that means to dislocate,as in a tooth from its socket,is:

A)alveolitis.
B)luxate.
C)exfoliate.
D)curettage.

Question 6

The instrument used to loosen the tooth from the socket to make the extraction easier is the:

A)periosteal elevators.
B)root tip picks.
C)forceps.
D)straight elevators.

Question 7

By keeping the surgical instruments,surgical unit,and gloved hands sterile,the members of the surgical team are maintaining a(n) _____ field.

A)sterile
B)aseptic
C)disinfected
D)both a and b

Question 8

_____ is/are used to remove a tooth in one piece,with the crown and root intact.

A)A periosteal elevator
B)Forceps
C)A surgical curette
D)A rongeur

Question 9

The surgical team will perform oral surgery procedures in the:

A)the hospital operating room or outpatient surgical suite.
B)the general dentist's office.
C)the private dental office.
D)both a and c.

Question 10

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

A)critical
B)semicritical
C)noncritical
D)both b and c

Question 11

Which of the following is an absorbable suture material?

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

Question 12

A situation in which additional skill,knowledge,and instrumentation are required to remove a tooth-for example,the removal of an impacted wisdom tooth-is termed a ______ extraction.

A)complex
B)simple
C)surgical
D)forceps

Question 13

A forceps extraction:

A)is not considered to be a surgical procedure.
B)is performed on teeth that are impacted.
C)is performed on a tooth that has a solid, intact crown that can be grasped firmly with forceps.
D)will require placement of sutures.

Question 14

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

A)two
B)four to six
C)seven
D)two to three

Question 15

A hospital may grant the oral surgeon privileges to operate in the hospital based on:

A)the surgical team.
B)if they have room.
C)their experience and competency.
D)their training only.

Question 16

When assisting in an invasive oral surgery procedure,members of the dental team wear _____ gloves.

A)latex
B)prepackaged sterile
C)nitrile
D)exam

Question 17

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 18

The surgical assistant should have knowledge of:

A)patient monitoring.
B)use of specialized instruments.
C)pain control techniques.
D)all of the above.

Question 19

Which instrument is used following 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 20

Dislodgement of the clot from the socket or an infection in the socket that results in a failure of the healing process can lead to:

A)alveolitis.
B)dry socket.
C)severe bleeding.
D)both a and b.

Question 21

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, since the biopsy would cause a functional problem with the tongue.

Question 22

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

A)ten; ten
B)twenty; ten
C)twenty; twenty
D)ten; twenty

Question 23

Postsurgical instructions include:

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.

Question 24

The difference between surgical and suture scissors is:

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 25

Which instrument is designed to split teeth?

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

Question 26

A surgical scrub is to be done for a total of about ____ minutes.

A)five
B)seven
C)fourteen
D)two

Question 27

An incisional biopsy is indicated when the lesion is:

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.

Question 28

Which statement is not true of a dry socket?

A)The healing process of a dry socket may take as long as two 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 29

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 30

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 31

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

A)Incisional
B)Excisional
C)Exfoliative
D)None of the above

Question 32

Which statement is not true 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 33

Which statement is not true of 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 34

Which statement is not true of sutures?

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

Question 35

The surgical setup cannot be open for more than _____ before it is considered unsterile and should not be used.

A)thirty minutes
B)sixty minutes
C)ninety minutes
D)three hours

Question 36

What is the purpose in luxating a tooth before 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 make sure the dentist can get a good grip on it with the elevators
D)To pull the tissue away from the surgical site