MCQs on Mandibular Fractures and Middle Third of Face Fractures - Oral and Maxillofacial Surgery

# Which is the immediate danger to a patient with severe facial injuries?
A. Bleeding
B. Associated fracture spine
C. Infection
D. Respiratory Obstruction

# Craniofacial dysjunction is seen in:
A. LeFort III fracture
B. Guerrin's fracture
C. High LeFort I fracture
D. None of the above

# The 'hanging drop appearance' in the maxillary sinus radiograph indicates:
A. a nasal polyp
B. a blowout fracture of the orbit
C. a radiograph artefact
D. an antrolith

# Suturing in facial wound injuries should be done within:
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours

# Diplopia is most common with:
A. Mandibular fracture
B. Craniofacial dysjunction
C. Nasal fractures
D. Zygomaticomaxillary complex fracture

# Paresthesia is seen with which of the following types of fractures?
A. Subcondylar
B. Zygomatico maxillary
C. Coronoid process
D. Symphyseal

# Forceps used for maxillary fracture disimpaction:
A. Rowe's
B. Bristows
C. Ashs
D. Walshams

# 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

# Walsham's forceps are used to:
A. remove teeth
B. remove root
C. clamp blood vessels
D. Reduce nasal bone fractures

# 'Panda facies' is commonly seen after:
A. Le Fort I fractures
B. Le Fort II fractures
C. Mandible fractures
D. None of the above

# A fracture of eye by a ping pong ball is:
A. Blow out fracture
B. Orbital fracture
C. Blow in fracture
D. Compound fracture

# Guerin fracture is :
A. Maxillary fracture
B. Maxillary and zygomatic fracture
C. Maxillary and nasal bone fracture
D. only nasal bone fracture

# Gillis approach for reduction of zygomatic fractures is done through:
A. Temporal fossa
B. Infratemporal fossa
C. Infraorbital fossa
D. All of the above

# Which of the following is not a feature of Le Fort II fracture?
A. Enophthalmos
B. Malocclusion
C. Paresthesia
D. CSF rhinorrhea

# The first step in management of head injury is:
A. Secure airway
B. i.v. mannitol
C. i.v. dexamethasone
D. Blood transfusion

# 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

# The most common complication of CSF rhinorrhea is:
A. Brain herniation
B. Blindness
C. Ascending meningitis
D. Cavernous sinus thrombosis

# A 35 year old man with Le fort III fracture complains of blood tinged watery discharge from his nose 2 days after the trauma. CT scan confirms NOE fracture as well. What investigation is most confirmatory for detecting CSF leak?
A. CT scan
B. MRI scan
C. Presence of glucose in the fluid
D. presence of Transferrin Beta

# CSF rhinorrhea is found in:
A. Frontal bone fracture
B. Zygomaticomaxillary fracture
C. Nasoethmoidal fracture
D. Condylar fracture

# Which of the following is not included in the Glasgow coma scale?
A. Eye opening
B. Motor response
C. Verbal response
D. Pupil size

# Le fort III fracture is the same as:
A. Craniofacial dysjunction
B. Guerrin's fracture
C. Pyramidal fracture
D. None of the above

# Compression osteosynthesis heals fracture mandible by:
A. Primary union without callus formation
B. Secondary union without callus formation
C. Compression union
D. All of the above

# The treatment for a mandibular fracture between the incisors is:
A. Risdon wiring
B. Essig wiring
C. Cap splint with circum-mandibular wiring
D. Transosseous wiring

# Green stick fracture are most common with:
A. Older people
B. Adult
C. Children
D. Soldiers

# Lower lip paresthesia occurs in:
A. Body fracture
B. Symphysis fracture
C. Coronoid fracture
D. Condyle fracture

# Eburnation is seen in:
A. Malunion
B. Non union
C. Osteomyelitis
D. Osteoradionecrosis

# Primary healing of mandibular fracture is seen following fixation with ?
A. Gunning Splints
B. Compression plates
C. Transosseous wires
D. Clampy plates

# A fractured mandibular condyle is displaced forward and medially by the action of the following muscle:
A. Temporalis
B. External Pterygoid
C. Internal Pterygoid
D. Masseter

# Bucket handle type of fractures are seen in:
A. Children
B. Soldiers
C. Edentulous persons
D. Young adults

# A patient with unfavourable fracture of the angle of mandible is best treated by:
A. Closed reduction with intermaxillary fixation
B. Closed reduction with cap splints
C. Open reduction with interosseous wiring
D. Open reduction with rigid bone fixation

# The most common site of fracture of the mandible is the:
A. Body
B. Angle
C. Symphysis
D. Condyle

# A fracture of the mandible in the canine region in a 6 year old child should be managed by:
A. Cap splint fixation
B. Intermaxillary fixation
C. Risdon wiring
D. Transosseous wiring

# A displaced mandibular fracture in a child should be managed by:
A. Circum mandibular wiring
B. Early mobilization
C. Intermaxillary fixation
D. Transosseous wiring

# The proximal segment of mandibular angle fracture is usually displaced in which direction?
A. Anterior and superior
B. Posterior and Interior
C. Interior only
D. Posterior and Superior

# The fracture of the tooth bearing segment of the mandible is :
A. Simple
B. Complex
C. Compound
D. Comminuted

# In cases of subcondylar fracture, the condyle moves in :
A. anterior lateral direction
B. posterior medial direction
C. posterior lateral direction
D. anterior medial direction

# Most common complication of condylar injuries in children:
A. Pain
B. Ankylosis
C. Osteoarthritis
D. Fracture of glenoid fossa

# A fracture mandible should beimmpbilized for an average of:
A. 3 weeks
B. 6 weeks
C. 9 weeks
D. 12 weeks

# A 7 year old boy presented with fracture of left sub condylar region with occlusion undisturbed, the treatment would be:
A. Immobilization for 7 days
B. Immobilization for 14 days with intermittent active opening
C. No immobilization with restricted mouth opening for 10 days
D. No immobilization and active treatment

# The ideal treatment for fracture of the angle of mandible is:
A. Transosseous wiring
B. Intermaxillary fixation
C. Plating on the lateral side of the body of the mandible
D. Plating at the inferior border of the mandible

# All are true regarding fracture of mandible EXCEPT:
A. Fractures of the mandible are common at the angle of the mandible
B. Fractures of the mandible are effected bythe muscle pull
C. Fractures of the mandible are usually characterised by sublingual hematoma
D. CSF rhinorrhea is a common finding


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