MCQ Final 2014
MCQ Final 2014
MCQ Final 2014
26- Which of the following factors is the most important predictor of tumor recurrence in the
neck following radical neck dissection?
a. The location of the primary tumor.
b. The number of histologically positive nodes.
c. The presence of multiple histologically positive nodes.
d. The presence of positive nodes at multiple levels in the neck.
e. The presence of extra capsular extension of tumor.
27- Branchial cyst commonly arises from treatment of :
28- The most common source of malignant tumor metastasis to the parotid gland and parotid
lymph nodes is :
A. Stomach.
B. Colon.
C. Lung.
D. Prostate.
E. Ovary.
D. A and B.
E. A ,B and C.
A. Mucoepidermoid carcinoma.
B. Lymphangioma.
C. Hemangioma.
D. Warthin s tumor.
E. Adenocarcinoma.
31- The malignant salivary gland neoplasm that shows the greatest propensity for perineural
invasion is.
A. Adenocarcinoma.
D. Mucoepidermoid carcinoma.
A. Mandibular involvement.
B. Recurrent tumors.
C. Confirmed cervical nodal metastasis.
D. Perineural invasion.
A. Lateral margin.
B. Ventral surface.
C. Dorsal surface.
D. Tip.
E. Posterior portion.
34- The requirement for postoperative radiotherapy when treating alveolar carcinoma is
based on all of the following except.
A. Bony invasion.
B. Dental involvement.
C. Nodal metastasis.
D. Perineural invasion.
A. Crouzon s syndromes.
B. A pert s syndromes.
D. Eraneschetti syndromes.
36- Triangular frontal defect, parrot’s beak nose, hypertelorism and prognathic mandible are
features of:
A. mandibulofacial dysostosis.
B. Craniofacial dysostosis.
D. Cleidocranial dysostosis.
37- Once the stone in submandibular salivary gland duct has been identified the incision
should be placed
38- A 14 year old female patient presented with swelling on right side of face in maxillo-
zygomatic area ,the swelling has been slowly progressive in nature, radiograph shows
diffuse radioopaque mass involving maxillary sinus and zygoma with a typical ground
glass appearance this is a characteristic picture of
A. Osteoma.
B. Ossifying fibroma.
C. Fibrous dysplasia.
D. Osteo sarcoma.
39- A 8 year old boy presented with bilateral swelling of mandible which was asymptomatic
and slowly progressive in nature, radiologic picture had extensive bilateral multilocular
radiolucencies in posterior mandibular angle and body , this is a characteristic picture of
C. Cherubism.
D. Eosinophillic granuloma.
40- Which of the following craniofacial synostosis syndromes is characterized by the following
anatomical features: craniosynostosis , Brachycephaly , shallow orbits with eyes proptosis,
maxillary hypoplasia and absence of syndactyly.
A. A pert s syndromes.
B. Crouzon s syndromes.
C. Gardener s syndromes.
D .Carpenters syndromes.
41- Enlargement of lymph nodes in draining area of primary neoplasm occurs due to:
C. Cancerous involvement.
45- Pharyngiomaxillary space infections may result from which of the following:
D. Board like brawny indurations of mandible with tongue falling back and causing
respiratory embarrassment.
A. Facial artery ,facial vein ,cervical branch of facial nerve and lingual nerve.
D. Facial artery ,facial vein, marginal mandibular branch of facial nerve only.
D. Cortical plates being reabsorbed and cystic lining causes the swelling .
50. About odontogenic myxoma all the following are true except:
a. Rare mesenchymal origin tumor
b. More commonly in children
c. It is female prediction
d. There is no jaw prediction
e. Classic radiographic appearance of a "soap bubbles" or honeycomb" pattern.
51. Regard ameloblastic fibroma all the following are true except:
a. It occur more commonly than ameloblastom in children
b. It composed of both epithelial and mesenchymal tissue.
c. It involve the mandible more than the maxilla.
d. Radigraphically present with unilocular or mulilocular with evidence of root
resorption.
e. Enculation and curettage is adequate treatment.
55. Regarding Burkitt's Lymphoma all the followings are true except:
a. Is an undifferentiated (Non-Hodgkin's) Lymphoma.
b. The endemic form is associated with Epstein Bar Virus.
c. The endemic form involve the jaws more frequently
d. The mandible affected twice as often as the maxilla
e. On radiographic examination anon specific radiolucency seen.
56. Branchial fistulae and sinuses all the followings are true except:
a. Branchial fistulae are congenital defects consisting of a skinlined tract.
b. Opening internally as a slit on the anterior aspect of the tonsillar fossa i f it is of
second arch origin.
c. The external opening is at the anterior border of t h e sternocleidomastoid muscle.
d. They arise as a failure of completion o f development o f the branchial apparatus
including the first, second, third and fourth arches.
e. Clinically, first branchial cleft fistulae are the most common.
57. Keratoacanthoma:
a. This benign tumour of epidermis is seen on the lips.
b. It is characterized by slow growth
c. Aetiology is Epstein Bar Virus.
d. The mature lesion, a nodule with a central crater, mimics squamous carcinoma
clinically and histologically.
e. Aggressive excision, often necessary for to prevent recurrence.
58. Fibromatosis:
a. Presentation is usually in the first decade with a painless slowly growing mass.
b. The cheeks, tongue and submandibular region are favoured oral sites.
c. Lesions may cause erosion of bone.
d. Histologically,differentiation from a low-grade fibrosarcoma may be difficult.
e. All of the above
60. The nasolabial angle in the male is characterized by which of the following?
A. It is 80 degrees.
B. It is 105 degrees.
C. It is more acute than the female.
D. It is more obtuse than the female.
E. There is no difference between males and females.
61. Which is the following surgical technique is best for reconstruction of a full-
thickness defect involving 40% of the upper lip reaching the oral commisure?
A. Abbé flap
B. Estlander flap
C. Primary closure
D. Rhomboid flap
E. Nasolabial flap
62. Which of the following statements is TRUE about Millard technique for unilateral
cleft lip repair?
63. Which of the following subtypes of basal cell carcinoma (BCC) is the MOST
common?
A. Nodular BCC
B. Superficial BCC
C. Morpheaform BCC
D. Infiltrative BCC
E. Basosquamous carcinoma
64. Which of the following areas is the IDEAL skin/donor site in the repair of a defect of
the skin at the tip of the nose?
A. Preauricular
B. Postauricular
C. Forehead
D. Supraclavicular
E. Infraclavicular
65. Which of the following anesthetic agents has the longest duration of action?
A. Lidocaine (plain)
B. Lidocaine (with epinephrine)
C. Tetracaine
D. Bupivacaine
E. Cocaine
66. Which of the following techniques is the IDEAL for the reconstruction of an upper
or lower eyelid defect of up to 50%?
A. Primary closure with skin grafting
B. Transposition flap
C. Rotational myocutaneous flap from the lateral canthal area, Tenzel Flap
D. Two-stage reconstruction, Hughes tarso-conjuntival flap
E. Two-stage reconstruction, the Cutler Beard technique
67. If a skin graft is wrapped in saline soaked gauze and placed in a sterile jar in a
refrigerator at 4° C, what is the maximum time that it can be stored before grafting?
A. 72 hours
B. 1 week
C. 2 weeks
D. 3 weeks
E. 4 weeks
68. Which of the following reconstructive surgical techniques is the BEST for closure of
defects encompassing 40% of the lower lip but not involving the oral commisure?
69. Which of the following statements about the paramedian forehead flap is FALSE?
A. It is a axial flap.
B. It is mostly supplied by the infratrochlear vessels.
C. It is useful for reconstruction of any or all nasal subunits.
D. It is a delayed flap requiring a minimum of two stages.
E. The single-vessel paramedian forehead flap has a pedicle of approximately 1.5 cm
wide at its origin.
72. Which of the following antibiotics is contraindicated with the use of Botox?
A. Penicillin
B. Cephalosporin
C. Tetracycline
D. Aminoglycoside
E. Clindamycin
73. Which of the following would benefit the LEAST by using Botulinum Exotoxin A
(Botox) injections?
A. Glabellar lines
B. Horizontal forehead lines
C. Lateral orbital lines “crow’s feet”
D. Nasal flare
E. Nasolabial folds
74. Which of the following regarding the diagnosis of flap venous congestion is
FALSE?
A. The flap is warm.
B. The flap has an edematous appearance.
C. The flap has a purplish blue color.
D. The flap’s color blanches with pressure but does not refill.
E. A pinprick demonstrates dark venous blood.
75. Which of the following anatomic sites will heal by Second-Intention with the worst
cosmetic result?
A. Temple
B. Concave surface of the eye
C. Antihelix
D. Forehead
E. Chin
76. In which of the following medical conditions is the use of synthetic tissue adhesives
for wound closure indicated?
A. Patients with insulin-dependent diabetes
B. Patients with collagen vascular disease
C. Patients with tendency to form hypertrophic scars or keloids
D. Patients with a known history of an allergic response to formaldehyde
E. Wound depth beyond the depth of the dermis with tendency toward skin-edge
inversion
77. In parotid surgeries the most reliable way of identifying the facial nerve is
a. By using the tragal pointer
b. By removing the styloid process
c. By tracing it from the mastoid cavity
d. Searching at the tympanomastoid sulcus
e. By tracing TMJ.
85. A patient with cheek cancer has a tumor of 2.5 cm located close to and involving the
lower alveolus. A single mobile homolateral lymphnode measuring 6 cm is palpable
the TNM staging is?
a. T4 N1 M0.
b. T3 N1 M0.
c. T3 N2 M0.
d. T4 N2 M0.
e. T2 N1 M0.
86. General indications of arthroscopic intervention of TMJ include all of the followings
except
a. Articular disorder
b. Mandibular dislocation
c. Advanced fibrous ankylosis
d. Preauricular atypical facial pain
e. Arthralgia
91. Multiple cystic lesions inside both the parotid glands in a patient should alert the
clinician for a possible diagnosis of
a. HIV infection
b. Measles infection
c. Mumps
d. Pleomorphic adenoma
e. Malignancy
95. A 77-year-old female is evaluated for a mass palpated near the angle of the
mandible. She has an otherwise unremarkable history and physical examination.
Ultrasonography demonstrates a 1 cm mass in the tail of the parotid gland. Fine-
needle aspiration of the mass is consistent with pleomorphic adenoma. She is
consented for a superficial parotidectomy. Intraoperatively, the mass is closely
associated with the lower division branches of the facial nerve
a. Facial nerve resection with reconstruction is warranted to achieve a 1 cm tumor-
free margin to improve recurrence-free survival .
b. A complete superficial parotidectomy with facial nerve dissection to remove the
tumor is superior to a subtotal superficial parotidectomy in terms of recurrence-
free survival and facial nerve preservation.
c. Preoperative facial nerve deficit is an indication for facial nerve sacrifice during
parotidectomy
d. Enucleation of a benign tumor is an acceptable alternative to extracapsular
dissection to preserve the facial nerve
e. None of the above