ORE Part 2 Oral Surgery & Extractions 2

Question 1

What is the correct management of a patient with suspected Ludwig's angina?

Accepted Answer

Immediate hospital admission, IV antibiotics, airway management, and surgical drainage

Answer

Ludwig's angina is a life-threatening spreading cellulitis of the floor of the mouth; immediate hospitalisation, IV antibiotics, and airway protection are mandatory.

Question 2

Which nerve is at risk of damage during extraction of a lower premolar?

Accepted Answer

Mental nerve

Answer

The mental nerve emerges from the mental foramen near the apices of the lower premolars and is at risk during surgical procedures or overzealous elevation in this region.

Question 3

What is the maximum recommended dose of lidocaine with adrenaline for a 70 kg adult in the UK?

Accepted Answer

500 mg (7 mg/kg)

Answer

The maximum safe dose of lidocaine with adrenaline is 7 mg/kg, equating to approximately 500 mg (about 14 cartridges of 2% lidocaine with 1:80,000 adrenaline) for a 70 kg adult.

Question 4

In the WHARFE assessment for lower third molar surgery difficulty, what does the 'H' stand for?

Accepted Answer

Height of mandibular ramus

Answer

In the WHARFE index, 'H' represents the Height of the mandibular ramus, which affects the difficulty of surgical access to the third molar.

Question 5

What is the first-line management for a patient presenting with a displaced tooth following dentoalveolar trauma?

Accepted Answer

Reimplant immediately if avulsed, or reposition and splint if luxated

Answer

Immediate reimplantation of avulsed teeth (or repositioning of luxated teeth) and splinting with a semi-rigid splint offers the best prognosis for tooth survival.

ORE Part 2 Practice Test

ORE Part 2 Practice Test

ORE Part 2 Oral Surgery & Extractions 2