14.

Failure of primary suturing occurs in facial

wounds when:

A. Fine silk has not been used

B. Catgut has been used

C. Dead space develops

D. Continuous suturing is done

15. A patient presents with lateral subconjunctival

haemorrhage. Infraorbital step and diplopia on

right side with inability to open mouth, he can

be having:

A. Fracture subcondylar right side

B. Fracture zygoma right side

C. Fracture he Fort II right side

D. Fracture of floor of the orbit

16. A patient presents with bilateral infraorbital

step, paraesthesia on left cheek region, with

posterior gagging, and mobility of maxillary

complex at nasal bones, it indicates:

A. Bilateral fracture zygoma

B. Bilateral fracture Le Fort II

C. Fracture zygoma left side with bilateral Le

Fort II

D. Fracture bilateral subcondylar and fracture

zygoma left side

1". Diplopia would result if fracture line around

zygomatio-frontal suture passes:

A. Below the Whitnall's tubercle

B. Above the Whitnall's tubercle

C. Through zygomatico-fronta-1 suture

zygomatic bone

18. A patient complains of diplopia following fracture

zygoma, this is because of:

A. Fracture of orbital floor

B. Entrapment of medial rectus

C. Entrapment of superior oblique

D. All of the above

1Q . Traumatic telecanthus is associated with:

A. Bilateral Le Fort II fracture

B. Nasoethmoidal injury

C. Fracture nasal bones

D. Bilateral fracture zygoma with enophthalmos

20. Guerin sign is presence of:

A. Ecchymosis at mastoid area

B. Ecchymosis at greater palatine foramen area

C. Ecchymosis in zygomatic butress area

D. Ecchymosis in sublingual area

21. Battle's sign is associated with:

A. Fracture zygoma

B. Fracture anterior cranial fossa

C. Fracture middle cranial fossa

D. 'Fracture nasoethmoid

22. The differentiating feature of bleeding due

in black eye and that due to fracture of orbit is/

are:

A. Circumorbital ecchymosis in black eye develops

rapidly

B. Posterior limit of subconjunctival haemorrhage

C. Posterior limit of subconjunctival haemorrhage

can be seen in black eve

D. None of the above

23. The typical 'cracked pot' sound on percussion of

upper teeth is indicative of fracture:

A. Le Fort I B. Le Fort II

C. Le Fort III D. All of the above

24. Guerin type fracture is same as fracture:

A. Le Fort I

B. Le Fort II

C. Suprazygomatic

D. Le Fort III

25. In Le Fort I fracture infraorbital rim is:

A. Bilaterally involved

B. Not involved

C. Involved medially

D. May or may not be involved

26. 'Moon face' appearance is not present in fracture:

A. Le Fort I

B. Le Fort II

C. Zygomatic complex

D. Le Fort III

27. Ecchymosis at zygomatic buttress would indicate

fracture:

A. Le Fort I B. Le Fort II

C. Zygoma D. All of the above

28. 'Dish face' deformity commonly seen with fractures

of middle third of face is because of:

B. Anterior and forward movement of maxilla

C. Anterior and downward movement of ~ a

D. Nasal complex fracture

29. On palpation there is a step at bilateral i r r n -

orbital margins and mobility of midface i

detectable at nasal bridge a possible dia;- -

would be fracture:

A. Le Fort I B. Le Fort II

C. Le Fort III D. Le Fort III and n

Oral and Maxillofacial Surgery 3

30. There is tenderness at ZF suture, with hooding

of eyes and step at zygomatic arches with disturbed

occlusion, a possible diagnosis would be:

A. Fracture zygoma and zygomatic arch

B. Fracture zygoma with paralysis of III nerve

causing hooding

C. Fracture Le Fort II and fracture zygoma

D. Fracture Le Fort III

31. On moving the maxilla bimanually, movement

is felt at ZF suture area in a case of middle third

fracture of face, it is indicative of fracture:

A. Le Fort I

B. Le Fort II

C. Le Fort III

D. Zygoma

32. Step and mobility at infraorbital margin and

step at ZF region would indicate fracture:

A. Le Fort III and Le Fort II

C. Le Fort III and zygoma

D. None of the above

33. Fracture Le Fort II involves the following bones:

A. Frontal process of maxilla, nasal, lacrimal

B. Frontal process of maxilla, lacrimal ethmoidal

C. Frontal maxilla and nasal

D. Maxilla, frontal process of zygoma, nasal and

lacrimal

34. A patient presents with open bite on left side

and with tenderness at nasal bones, it could be

fracture:

A. Unilateral Le Fort I on right side

B. Subcondylar on left side and zygoma on right

side

C. Le Fort II on right side

D. Zygoma on right side and subcondylar on

right side

35. In a crown-root fracture of the tooth, if fracture

is not below alveolar bone and pulp is not exposed

the tooth should be:

A. Endodontically restored

B. Extracted

C. Only jacket crown given

D. Observed for 3-6 weeks

36. If there is root fracture in apical third of tooth

without mobility:

A. Tooth should be extracted

B. Treated endodontically
C. No treatment and periodic review

D. None of the above

37. In replanting an avulsed tooth:

A. It should be thoroughly made sterile

B. Root filling with apicoectomy should be done

C. There is failure due to external root resorption

D. All of the above

38. High rate of fractures at canine region of mandible

is due to:

A. Change of direction of forces occurring here

B. Long canine root

C. Lower border is thin in this area

D. Alveolus is thin in this area

39. Pathognomonic sign of fracture mandible is:

A. Deranged occlusion

B. Tenderness and swelling at site

C. Sublingual haematoma

D. Inability to open mouth

40. Fracture of coronoid process can occur due to:

A. Trauma at chin region

B. Trauma from posterior region

C. Reflex muscular contraction

D. Lateral trauma.

41. Respiratory embarrassment can occur in fracture:

A. Angle

B. Parasymphysis

C. Bilateral parasymphysis

D. Bilateral subcondylar

42. A patient reported with deviation of jaw to the

right ear, is a typical picture of:

A. Left-subcondylar fracture

B. Right-subcondylar fracture

C. Right-subcondylar with fracture of anterior

cranial fossa

D. None of the above

43. A patient with bilateral subcondylar fracture

presents with:

A. Inability to open mouth

B. On opening mandible moves forward

C. Anterior open bite

D. Closed bite

44. The term vertical in 'vertical favourable' fractures

connotes:

A. The fracture line running in vertical direction

B. The displacement of fracture is in vertical

plane

C. The direction of view of the observer is in