Oral Surgery

Question 0

How would you go about diagnosing a problem?

Answer 0

History
Examination
Special investigation

Question 1

What is the purpose of the pre op assessment?

Answer 1

To diagnose
To assess fitness for treatment
To screen for asymptomatic disease

Question 2

What major body systems should you assess for problems?

Answer 2

CVS, RS, GIT, UGT, CNS, muskoskeletal, haematological

Question 3

What is meant by ‘sensitivity’ of special tests?

Answer 3

The ability of clinical test to identify patients with a particular abnormality.

Question 4

Regarding test sensitivity, what is a true positive result?

Answer 4

Patient with problem & test detects it

Question 5

Regarding test sensitivity, what is a false positive?

Answer 5

Patient without a problem but the test detects it.

Question 6

Regarding test sensitivity, what is a false negative?

Answer 6

Patient with the problem and test doesn’t detect it

Question 7

What is the objective of surgical treatment?

Answer 7

Restoration of form and function
Relief of symptoms
Prevention of reoccurrence

Question 8

What are the different imaging techniques used to aid diagnosis?

Answer 8

Radiographs, CT, ultrasound, MRI, radio isotope imaging, direct visualisation (e.g. colonoscopy, bronchoscopy)

Question 9

What are the two different types of tissue sampling?

Answer 9

Biopsy

Cytology - sputum, urine, smears/brushings, FNA (fine needle aspiration)

Question 10

What blood tests can be done to aid diagnosis?

Answer 10

FBC, coagulation, biochemistry (bilirubin, beta HCG), blood cultures, tumour markers

Question 11

What urine tests can be done to aid diagnosis?

Answer 11

Haematuria
Microscopy
Culture & sensitivity

Question 12

How would you assess cardiovascular function?

Answer 12

ECG, ECHO, thallium scintigraphy scans

Question 13

How would you assess respiratory function?

Answer 13

Lung function tests

Question 14

What is a drug kardex?

Answer 14

Medication administration record

Question 15

What is the purpose of post operative care?

Answer 15

To ensure recovery of the patient, optimal healing and to prevent further complications.
Immediate - ward - home

Question 16

What should you aim to optimise during post op care?

Answer 16

Oxygen delivery to tissues
Acid base equilibrium
Fluid balance
Energy requirements for healing
Rehabilitation

Question 17

What is involved in immediate post operative care?

Answer 17

Monitoring - airway & respiratory rate, oxygen saturation, pulse, blood pressure, urine output, temperature, blood loss (drains)

Question 18

What are the alternative options for intaking food & fluids?

Answer 18

Enteral - nasogastric feeding, PEG

Parenteral - intravenous

Question 19

What is an antiemetic?

Answer 19

A drug that is effective against vomiting and nausea

Question 20

What is an analgesic?

Answer 20

A drug that relieves pain

Question 21

What are common operation complications?

Answer 21

DVT, acute retention, gastric erosion/ulceration, diabetes, antibiotic related, pressure sores, keloid/hypertrophy

Question 22

What are methods of preventing post op complications?

Answer 22

Antibiotics
DVT Phrophylaxis
Mobilise patient - physiotherapy
Monitor wounds
Rehabilitate - hospital or home

Question 23

What are the different types of anaesthetic?

Answer 23

Local
Regional - e.g. spinal
General
Sedation

Question 24

What is meant by bed requirements?

Answer 24

Out patient
Day case
In patient - high dependency, intensive care

Question 25

What are the various timing’s for surgery?

Answer 25

Emergency
Urgent
Semi-elective
Elective

Question 26

What are the factors affecting healing?

Answer 26

Vascular supply
Contamination
Age
Nutrition
Pharmacology