This document outlines topics related to pharmacology, general anesthesia, local anesthesia, cysts and tumors, infections and osteomyelitis, orthognathic surgery, trauma, basics, temporomandibular joint disorders, minor oral surgery procedures, and cancer in oral and maxillofacial surgery. It includes over 100 questions and discussion points on these topics, ranging from the nature and management of analgesics, chemo therapeutic agents, and antibiotics to surgical approaches for cysts, tumors, fractures and joint disorders.

1. PHARMACOLOGY
1. Discuss the nature of analgesics used in oral surgery and newer developments in this
field.
2. Discuss the mode of action, clinical use and complications of various
chemptherapeutic agents used in oral malignancy.
3. Describe the microbiology and principles of antibiotic therapy in oral infections.
4. Steroids in Maxillofacial surgery
5. Classify antiinflamatory drugs with merits and demerits of each
6. Drug interactions
7. Role of antibiotics in oral surgery. Principles of antibiotic complications.
General Anaesthesia
1. Planes of general Anaesthesia
2. Stages of General Anaesthesia.
3. Discuss in detail the preanaesthetic drugs
4. Classify various complications of GA. Discuss in detail the clinical menifestations
and management of respiratory and CVS complications
5. Classify GA agents.Describe advantages and disadvantages of GA. Explain
mechanism of action and different stages of GA
6. Use of Isofluorane
7. Concious sedation

2. Local anesthetic
1. Define local anaesthesia. How does LA agent acts in tissue medium. Describe local and
systemic complications.
2. Role of vasoconstrictor in LA
3. Mechanism of action of lignocaine
4. Toxicity of LA
Cysts and Tumours
1. Classify fibroosseous lesions of jaws. Differentiate between Paget’s disease and
fibrous dysplasia. Discuss their Histopathological features and management
2. Discuss the differential diagnosis and management of cystic lesions of oral cavity.
3. Classify odontogenic tumours. Write in detail the diagnosis and management of
Ameloblastoma involving the maxilla
4. Classify odontogenic tumours of jaws. Describe diagnosis and Management of
Ameloblastoma of ramus of mandible.
5. Classify ameloblastomas. What are the various views in the treatment of cystic
ameloblastoma.

3. 6. Discuss the grading of tumours in detail. Discuss spread of malignant tumours in the
body.
7. Discuss in detail Giant Cell lesions of jaws.
8. Classify various Giant cell lesions of jaws. Describe about the differential diagnosis
of the Central Giant cell Tumour and give its management.
9. Discuss the differential diagnosis of a multilocular cystic lesion in child at the angle
region of mandible extending upto the sigmoid notch and the presence of a
developing tooth in the lesion. Describe the management.
10. Discuss the surgical pathology and management of peripheral gaint cell reparative
granuloma
11. Classify the tumours involving the palate.How will you diagnose and treat a case of
adenocystic carcinoma involving treatment.
12. Name the angiomatous lesions of jaws. How would you diagnose and treat a case of
central hemangioma.
13. Classify the cysts of the jaws. Describe clinical, radiological and histological aspects
of OKC. How would you manage a case of OKC in angle region of 10 years old boy.
14. Surgical management of various vascular lesions in maxillofacial region. What are the
potential complications which may arise during and after the procedure.
15. Odontogenic Myxoma
16. Fissural Cysts
17. Odontomas

4. 18. CEOT
19. Metastatic tumours of jaw
20. FNAC
21. Fibrous dysplasia
22. Ranula
23. Pagets disease
24. Keratocysts
25. Marsupilization
26. Management of OKC
27. Non odontogenic tumours
28. Non odontogenic cysts
Infections and osteomylitis
1.Describe the mechanism of spread of fascial space infections. Anatomical land
marks of each masticatory space.Management of temporal space.
2. Enumerate supra hyoid fascial spaces. Discuss major complications associated
following acute infections of these spaces.

5. 3. Describe the surgical anatomy of cavernous sinus. How would you diagnose and
manage a case of cavernous sinous thrombosis.
4.Discuss the fascia of neck and their applied importance.
5.Surgical anatomy of infratemporal space. State how infections of this space can
occur. Also write a note on their management.
6.Sign, symptoms, management and complications of lateral pharyngeal space
infections.
7.Discuss about the osteomyelitis of jaws. Latest concepts in their management.
8.Management of acute orofacial infections
9.Osteoradio necrosis
10.Fungal infections of head and neck
11.Hyperbaric oxygen
12Masticatory space infection

6. Orthognathic surgery
• Surgical procedures for mid face advancement
• Indications, technique and complications of BSSO
• Facial defects and their corrections
• Recent trends in corrective jaw surgeries
• Evolution of orthognathic surgery
• Various treatments of mandibular prognathisms
• Discuss the assessment and treatment planning for patients with dentofacial
deformities with a note on recent trends
• Describe various pushback procedures for mandible. Give their advantages and
disadvantages.
• How would you diagnose and manage a case of vertical maxillary deficiency.
• Profile planning in the orthognathic surgery. What is the most suitable method in this
planning , discuss.
• What are the various types of genioplasties? How would you manage a case of
deficient chin in a young lady.
• Discuss the various repositioning procedures in Mandible in establishing maxilla-
mandibular relationship.

7. • Distraction Osteogenesis
• Kole’s procedure
• Reduction genioplasty
• Surgical management of maxillary prognathism
• Complications in orthognathic surgery
• Ridge augmentation procedure
• Extended sliding genioplasty
• Nasal septum reconstruction
• Intraoaral Vertical Sub sigmoid Osteotomy
• Comparatively evaluate the use of distraction osteogenesis versus osteotomies for the
management of dentofacial deformities.
Trauma
• Recent concepts in the management of complex cranio maxillary trauma
• Controversies in management of zygomatic complex fractures
• Changing trends in management of mandibular fractures
• Role of diagnostic imaging in the management of oral and maxillofacial trauma.
• Recent trends in the management of maxillofacial trauma
• Mono cortical versus bi-cortical system of bone plating.

8. • Concepts of Bone plating in Oral surgery
• Closed versus open reduction of condylar fractures
• Sign, Symptoms and Management of blow out fracture
• Surgical anatomy of the orbit. Various incisions for access to orbital floor
• Management of Le fort II fracture with midline palate split
• Classify fractures of the middle third of the face. Discuss the management of Naso-
ethmoid complex fractures stressing newer concepts of this treatment.
• Classify the fracture of mandible as per AO philosophy. What is the present trends in
the management of mandibular fractures.
• Discuss the planning and management of malunited Le fort II fracture.
• Classify fractures of Zygoma. Discuss the management of of a defect in the floor of
the orbit. What are the various diagnostic aids useful in ZMC injuries.
• Line of management of a malunited Lefort II with enopthalamos and epiphora. How
would you arrive at diagnosis.
• What are Guardsman fracture. Give your treatment options with justifications.
• Post traumatic facial reconstruction and biomaterials.
• Discuss the causes of post traumatic enopthalamos . How would you investigate and
treat it.

9. • Discuss rigid versus semi- rigid internal fixation of bones in OMFS. Discuss
advantages and dis advantages of self and pretap screws.
• Disscuss the sequence of management with logic to treat apan facial trauma case
• Various plating systems for OMF Trauma. Disscuss their merits and demerits.
• Discuss surgical anatomy of the Orbit.
• Discuss the surgical anatomy of Naso ethmoid orbital complex.
• Discuss about the diagnosis and management of condylar fractures
• Describe the surgical anatomy of orbit. Discuss blow out fracture and its management.
• Management of fracture of condyle. Highlight the controversies.
• Management of condylar fracture in children.
• Classify the fractures of mid facial region. Signs and symptoms of Le fort III.
Describe the investigations tobe carried out in mid face fracture and management of the
same.
• Advances in the suturing techniques and the body response to various suture materials
• Use of rigid fixation in oral surgery
• Dynamic compression in Osteosynthesis
• Lag screws
• Diplopia

10. • Orbotal blow out fracture
• Resorbable bone plates
• ATLS
• Enophthalamos
• Compression plating
• Surgical anatomy of the orbit
• Healing of fractured bones
• Alveolar fracture
• Biomechanics of Mandible.
• Grafts in Maxillo-Facial Surgery.
Basics
1. Discuss Surgical Anatomy of External Carotid Artery and explain its ligation.
2. Signs, Symptoms and Management of Hypovolemic Shock.
3. Surgical Anatomy for inferior Alveolar Nerve Block.
4. Pathophysiology of syncope.
5. Carbamazepine.
6. Hemorrhage in Maxillofacial Surgery.
• Write the detail about blood grouping and cross matching. What are the effects of
mismatched blood transfision?
• Describe the extracranial and intracranial course of trigeminal nerve.

11. • Discuss the surgical anatomy of major salivary glands.
• Discuss the role of various bio chemical investigations in the oral surgery.
• Discuss the inflammation and pharmacological control on inflammation.
• Discuss the Nuclei, extra and intra cranial course of facial nerve with relations,
branches and applied anatomy.
• Development of mandible. Describe various developmental anomalies and their
features.
• Discuss the Muscles of mastication and their role in displacement of fractures of
mandible.
• Discuss about the carotid triangle and carotid artery ligation.
• Parasympathetic ganglia associated with Trigeminal nerve
• Course of maxillary nerve
• Ciliary ganglion
• Plasma proteins and their functions
• Hyper-parathyroidism
• Carotid sinus
• Bleeding disorders and their investigations
• Pathogenesis of shock

12. • Role of vasoconstrictor in LA
• Anti- oxidants
• Surface antigens
• Laboratory investigations of importance in oral surgery
• Mechanism of action of lignocaine
• Development of tooth
• Pterygopalatine ganglion
• Effect of hormones on Bones
• Mechanism of detoxication in the body
• Steroid and maxillofacial surgery
• Hepatitis B
• AIDS
• Lacrimal Apparatus
• Blood transfusion and its reactions
• Hemophilia
• Muscles of mastication
• Nerve injuries

13. • Venous drainage of maxillofacial region and its applied importance
• Internal maxillary artery
• Role of nutrition in post operative care
• Consumptive coagulopathy
• Discuss the importance of fluid electrolyte balance in major maxillofacial
surgery
• Nerve supply of major salivary glands
• Sublingual gland
• Mild red muscle
• Sphenopalatine ganglion
• Styloid process
• Circle of Willis
• Coronoid process
• Syncope
• Calcium metabolism
• Pain pathways
• Balance diet

14. • Chromosomal abnormalities
• Temporal muscle and it ssurgical implications
• Maxillary antrum
• Types of Suture Techniques.
• AIDS.
• Orthopantomo gram
• Principles of incision and drainage
• Management of Surgical extraction in Hemophilia `A’ patient.
• Cone beam computed tomography.
Tmj
• Psychoneuroimmunology of TMJ disorder
• Current concepts in imaging of TMJ disorders
• Discuss the autogenous reconstruction of TMJ
• Various surgical approaches to TMJ
• Surgical anatomy of TMJ.Merits and demerit of various materials used for
management of TMJ ankylosis
• Describe TMJ dysfunction, its diagnosis, clinical presentation and management with
special reference to internal derangements.

15. • DD of painful TM joint
• Detailed anatomy of TMJ. Describe subluxation.
• Neuroanatomy of facial pain.
• What do you under stand by growth centre transplantation. Illustrate your statements
in relation to TMJ ankylosis of a child.
• Various condyle related deformities of mandible. Management of a case b/l condylar
hyperplasias.
• MPDS and its management.
• Describe the anatomy of TMJ and changes that take place with age
• Disscuss the various surgical approaches to TMJ
• Surgical anatomy of TMJ
• Surgical anatomy of access to the TM Joints.
• Describe the anatomy of TMJ and age changes.
• Arthrocentesis
• Arthroscopy
• Condylar hyperplasia
• Costochondral graft
• TMJ dislocation

16. • Neurological disorders and their Management.
• Surgical Management of Trigeminal Neuralgia.
Minor
1. .Flaps used in Mandibular impacted third molar
2. Classify Mandibular third molar impactions. Discuss the various difficulty index in
evaluation of Mandibular third molar extraction.
3. Transplantation of tooth.
4. What is Preprosthetic Surgery? Discuss the various vestibuloplasty techniques
5. Discuss the role of free and pedicled flaps in Pre-prosthetic surgery.
6. Parotidectomy.
Others
• Tracheostomy
• Cricothyrotomy
• Cryotherapy

17. • Hemorrage
• Medically compromised patatents
• Sialography
• Glass Gow Comma Scale
• Quinsy
• Caldwell luc operation
• Distraction
• Facial palsy
• Discuss the management of Cleft lip.
• Discuss the radiological picture of various bony tumours arising in the Mandible.
Cancer
1. Expalin on the basis of lymphatic drainage the rationale of neck
dissection in management of oral carcinoma
2. Discuss lymphatic drainage of the tongue and its importance in
relation to malignancy.