A divided rotation to increase columella length and nasal floor ++

D. ?

9. Cleft palate patient prepared for modified lefort I osteotomy. How much advancement the surgeon plans to counteract relapse during osteotomy and bone graft healing period and to adjust posterior placed condyle intraoperatively.

a. 1mm

b. 2mm c. 4mm d. 6mm

10. New born the mandible is separated in the midline by a. Synovial joint

b. Fibrous joint

c. Catrilagenous tissue d. Fibrous tissue

11. Pt with wide cleft lip and palate lip adhesion or nasoalveolar molding planned a. Few week after birth

b. First – third month c. Third to sixth d. 6 – 9

TRAUMA

1. A 25 year old man is admitted for surgery after RTA with diagnosis of Bilateral Condylar # with communition of Midface. This condition is a case for

a. Absolute indication for fixing the condyles b. Relative indication ...

c. Case for MMF

d. Absolute contraindication for fixing Condyle

2. In which condition there is no need for ORIF for ZMC fractures a. Medial displacement

b. Lateral displacement c. Inferior displacement d. No displacement

3. Which is a most relevant finding for a patient in shock a. Pulse pressure

b. Heart rate

c. Systoic blood pressure d. Diastolic blood pressure

4. An 8 year old child has sustained a fracture of the condyle. What is the indication for ORIF a. Dentoalveolar injury

b. Intarcapsular fracture with middle cranial fracture c. Inability to open mouth after 1 week of closed reduction d. The degree of displacement of condyle

5. A 34 year old man has sustained a MVA with fractures of the skull base with orbital fractures. On examination for consensual light reflex in the right eye, there is a negative response. The same reflex for the left eye is normal. There is associated ptosis of the left eye. The pt has damage to

a. CN1 on the L; CN 2 R b. CN2 R and CN3 L c. CN2 L and CN1 L d. CN3 R and CN2 L

6. A patient has sustained head injury after MVA. He has cerebral concussion and is in coma. If the patient stays in coma for how many hours, will there be residual nuerological deficit.

a. 1 b. 2 c. 4 d. 8 0r 6

7. predominant medial wall of orbit – ethmoid(lateral wall – zygomatic & gr wing of sphenoid, floor – orbital surface of maxilla, palatine bone and zygoma)

8. Placement of

9. Airway maintenance in a conscious patient 10. Nerve injured commonly in ZMC fracture 11. Cause for sublingual ecchymosis

12. In surgical shock the patient should be given:

A. Normal Saline B. Lactated Ringers ++

13. What is the CT scan interval for zygomaticfracture: (OBLIQUE PARASAGITTAL VIEW FOR ORBITAL FRACTURES)

D. swimmers view or cross table views

15. Maximum MMF in fracture mandible of 12 year old boy is:

A. One week B. 2-3 weeks

C. 5-6 weeks

16. Trauma patient with pulse rate =130, BP 100/60, breathing =30/mint, how much blood loss is expected in this patient

A. Less than 15%

B. 15-30%

C. 40%

D. 30-40 % ++

17. In trauma patient the initial pulmonary reaction A. Tachypnea and decreased CO2 serum++

B. Tachypnea and increased CO2 serum C. Bradypnea and increased CO2 serum D. Bradypnea and decreased CO2 serum

18. Glasgow comma scale score in trauma patient who is non responsive to verbal communication + can open the eye + responds to pain stimuli

A. 8 B. 10 C. 12 D. 15

19. Best plain film for showing zygomatic arches A. Submentovertix++

B. Occipatal C. PA D. ?

20. Towne’s view is similar to A. Anteroposterior++

B. Posteroanterior C. Water

D. ?

21. Trauma patent to the skull showed vertical diplopia and torsional diplopia. The most likely injured nerve A. II

B. III C. IV++

D. V

22. Trauma patient developed asymmetrical pupil (Not round). The most likely cause A. Blow out fracture

B. Blow in fracture

C. Perforation of the eye ball D. ?

23. Reason of airway obstruction in obtunded patient A. Bleeding

B. Vomitus C. Tongue fall ++

D. ?

24. Axial CT for zygomatic fracture is done to show A. Orbit floor involvement

B. lateral wall and zygomatic arches C. ?

D. ?

25. Orbital floor trauma which gaze cause diplopia a. Upward and lateral

b. Upward and medial c. Downward and lateral d. Downward and medial

26. 24 year female with angle fracture. Surgeon decides to fix with compression plating technique. Following is true

a. Less chance of motor and sensory nerve injuries b. Will need two week IMF postop

c. Should be approached extraorally d. Will heal by secondary intension

27. Greenstick fracture

a. Fracture of onside of the bone with out fracture of other side b. Incomplete fracture

c. Will cause severe displacement of while fixation d. –

28. Compound fracture a. Multiple fracture at on site

b. Severe loss of tissue around the fracture c. External communication through oral cavity d. –

29. Ptosis

A. –drop upper eyelid B. –

C. – D. –

TMJ

1. Which of the following statements are true of Pulsed MRI a. T1 images are useful to visualize discal perforations and position b. T2 images signify the presence of Inflammation

c. T2 images signify inflammatory changes.

d. ??

2. Pulsed MRI scanning of the TMJ shows

a. T1 weighted images shows disc position and disc perforation b. T2 weighted images shows disc position and disc perforation c. T1 weighted Images show inflammatory changes

d. T2 weighted Images show inflammatory changes

3. What is the position of disc irt to condyle in case of early internal derangement when mandible is in closed position

a. Anterior and straight b. Anterior and medial c. Anterior and lateral d. No change

4. Hypermobility of tmj botulinum toxin

5. stylomandibular ligament a. Formed from the parotid fascia

b. Runs from styloid process to the angle mandible c. Lateral check ligament

d. Prevents the movement of the condyle

6. Disc position

7. In Internal disk derangement the disk is displaced A. Anteriorly ++ ( antromedially )

B. Medially C. Posteriorly D. Laterally

8. The most degenerative changes of bony parts of TMJ is done when A. Diskectomy

B. Eminectomy C. Disk treatment

9. Most likely cause of myofacial pain dysfunction is A. Bruxism following stress++

B. Internal derangement with reduction C. Internal derangement without reduction D. ?

10. Commonest cause of myofacial pain a. Degenerative joint disease

b. Internal derangement without reduction c. Internal derangement with reduction . Bruxism following stress++

11. Hydrostatic pressure causing TMJ degeneration based on theory a. Hypoxic – reperfusion theory

b. – c. – d. –

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