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ZIAD NASR
MONDAY, 2 1 JULY 2 0 0 8

MIDDLETHIRDFRACTUREMCQ
1) Le Fort III fracture is the same as
A. Craniofacial dysjunction
SPACEINFECTION

B. Guerrin's fracture
C. Pyramidal fracture
D. None of the above

2) Which of the following is not included in the

Glassgow coma scale
A. Eye opening B. Motor response
C. Verbal response D. Pupil size

whichofthefollowing
issignofcellulitis

3) CSF rhinorrhea is found in :

A. Frontal bone structure

diffuse

0 (0%)

B. Zygomatico maxillary fracture

chronic

0 (0%)

pus formation

C. Naso ethmoidal fracture

0 (0%)

all of the above

0 (0%)

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2009 (3)
2008 (3)
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MIDDLE THIRD
FRACTURE MCQ
MANDIBULAR
FRACTURE MCQ

D. Condylar fracture

Votes so far: 0
Poll closed

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4) After fracture of middle cranial foramen

there is epiphora this is due to damage of:
A. Ciliary ganglion
B. Greater palatine nerve
C. Infraorbital nerve
D. None of the above

5) The first step in management of head injury

is :
A. Secure airway
B. I.V. mannitol
C. I.V. dexamethasone
D. Blood transfusion

Presentations
Neck dissection

6) Which of the following is not a feature of Le

Fort II fracture :
A. Enophthalmos

ORALSURGERYFILE
BIOPSY

B. Malocclusion

INCSION AND DRAINAGE

OF ABSCESS

C. Paraesthesia

PREPROSTHETICS

D. CSF rhinorrhea

RADIOLOGY OF TRAUMA

SOME TRAUMA PICTURE

7) Gillis approach for reduction of zygomatic

fractures is done through
A. Temporal fossa

Imazingpicture

A. Temporal fossa
B. Intra temporal fossa
C. Infra orbital fossa
D. All of the above

8) Guerin fracture is :
A. Maxillary fracture
B. Maxillary and zygomatic fracture
C. Maxillary and nasal bone fracture
D. Nasal bone fracture only

9) A fracture of eye by a ping pong boll is

A. Blow out fracture
B. Orbital fracture
C. Blow in fracture
D. Compound fracture

.
10) CSF rhinorrhea is not found in
A. LEFORT I
B. LEFORT II
C. LEFORT III
D. ethmoidal .

11. "Panda facies" is commonly seen after

A. Le fort I fractures
B. Le fort II fractures
C. Mandible fractures
D. None of the above

12. Walsham's forceps are used to :

A. Remove teeth
B. Remove root
C. Clamp blood vessels
D. Reduce nasal bone fractures

13. A patient is in shock with gross comminuted

fracture, immediate treatment is to give :
A. Normal saline
B. Ringer's lactate solution
C. Whole blood
D. Plasma expanders

14. Forceps used for maxillary fracture

disimpaction
A. Rowe's
B. Bristows
C. Ashs

C. Ashs
D. Walshams

15. Paresthesia is seen with which of the

following types of fractures:
A. Subcondylar
B. Zygomatico maxillary
C. Coronoid process
D. Symphyseal

16. Diplopia is most common with :

A. Mandibular fracture
B. Craniofacial dysjunction
C. Nasal fractures
D. Zygomatico maxillary complex
..
17. Suturing in facial wound injuries should be
done with in:
A. 2 hours B. 6 hours
C. 4 hours D. 8 hours
.
18.The "hanging drop appearance in the
maxillary sinus radiograph indicates :
A. A nasal polyp
B. A blow out # of the orbit
C. A radiograph artifact
D. An antrolith

19. Le fort 1 fracture is characterized by:

A. Bleeding from the ear
B. Bleeding from the antrum
C. Angle class 2 skeletal relationship
D. None of the above
..
20. Which is the immediate danger to a patient
with severe facial injuries
A. Bleeding
B. Associated fracture spine
C. infection
D. respiratory obstruction.

21. The safest initial approach to open airway

of patient with maxillofacial trauma is
A. Head tiltchin tilt
B. Jaw thrust technique
C. Head liftneck lift
D. Heimlich procedure

22. In depressed zygomatic arch fracture,

difficulty in opening the mouth is caused by

difficulty in opening the mouth is caused by

impingement of:
A. Condyles
B. Ramus
C. Petrous temporal
D. Coronoid process

23. True open bite is caused by :

A. Horizontal fracture of the maxilla
B. Unilateral fracture of mandibular angle
C. Fracture of the coronoid process of left side of
mandible
D. Fracture of mandibular symphysis
.
24. All of the following statements of nasal
fractures are true except:
A. Even if minor, they may be followed by
bilateral ecchymosis and facial
oedema
B. They may need to be reduced for a few weeks
C. They need not be complicated by traumatic
telecanthus
D. They may lead to the telescoping of the nasal
complex into the frontal sinus

25. Fixation with pack in maxillary sinus is

A. To support comminuted fracture of the body of
zygomatic complex
B. To support and reconstitute comminuted
orbital floor fracture
C. To protect mucosal covering of maxillary sinus
D. (A) and (B) are correct
.
26. Floating maxilla is typically found in :
A. Le Fort I or guerin fractures
B. Le Fort II or pyramidal fractures
C. Craniomandibular dysjunction
D. All of the above
..
27. In a patient of head njury which is more
important to note first:
A. Pupillary light reflex
B. Pupillary size
C. Corneal reflex
D. Ability to open eye

28. Which of the following always indicates

obstruction to the airway?
A. Slow pounding pulse
B. Stertoreous breathing
C. Increase in pulse rate

C. Increase in pulse rate

D. Decrease in blood pressure

29. Moon face is seen in

A. Le Fort I
B. Le Fort II
C. Le Fort III
D. Orbital fractures

30. Whitehead's varnish in gauze is used to

arrest bleeding from
A. Gingival crest
B. Bleeding from pulp
C. Bleeding from bone
D. Bleeding from capillaries

31. In blow out fractures which of the following

is seen
A. Enophthalmos
B. Exophtholmos
C. Bulbar hemorrhage
D. None

32. Gillis approach is used in

A. Open reduction of zygomatic fracture
B. Mandible
C. Closed reduction of zygomatic fracture
D. None of the above
.
33. Le Fort II fracture is called
A. Guerin
B. Pyramidal
C. Floating
D. Cranial disjunction

34. Diplopia after fracture results fro

entrapment of
A. Inferior rectus
B. Inferior oblique
C. Lateral rectus
D. Superior oblique

35. In Le Fort III fracture all are seen except

A. Crack pot sound on tapping teeth
B. CSF rhinorrhea
C. Fracture at frontozygomatic suture
D. Whole face is mobile
E. None of the above

E. None of the above

36. The muscle that aids in displacement of

maxillary fractures are
A. Masseter
B. Temporalis
C. Orbicularis oculi and orbicularis oris
D. None of the above

37. Hooding of eyes is seen in which fracture :

A. Le Fort 1
B. Le Fort 2
C. Le Fort 3
D. Nasal bone

Posted by ziad at 06:27

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