If you are rushing for exam prep, here are 5 high-yield MCQs that would appear in any top-tier 2025 PDF. Try to answer these before looking at the key below.
Question 1: During a sagittal split ramus osteotomy (BSSO), which nerve is most at risk?
A) Lingual Nerve
B) Inferior Alveolar Nerve
C) Buccal Nerve
D) Hypoglossal Nerve
Question 2: The most common site for an odontogenic keratocyst (OKC) is:
A) Maxillary anterior
B) Mandibular angle/ramus
C) Maxillary tuberosity
D) Symphysis
Question 3: A patient cannot close their left eye after a zygomatic complex fracture. Which nerve is involved?
A) Temporal branch of the Facial nerve (VII)
B) Zygomatic branch of the Facial nerve
C) Buccal branch of the Facial nerve
D) Auriculotemporal nerve mcq in oral and maxillofacial surgery pdf hot
Question 4: The drug of choice for a patient with a history of penicillin allergy undergoing dental extraction for infective endocarditis prophylaxis is:
A) Clindamycin
B) Amoxicillin
C) Metronidazole
D) Cephalexin
Question 5: In the management of mandibular angle fractures, what is the "ideal" load-bearing area for plate placement?
A) Superior border (above the inferior alveolar canal)
B) Inferior border (Champy’s line)
C) Lingual surface
D) External oblique ridge
Downloading the PDF is step one. Here is a 5-day "Hot Study" protocol used by top scorers: If you are rushing for exam prep, here
Day 1-2: Topic Isolation
Don't do a random mix. Use Ctrl+F to search your PDF for "Impacted teeth." Do only those 50 questions. Read every rationale, even for correct answers.
Day 3: The "Flashcard" Conversion Copy-paste 20 difficult questions from the PDF into Anki (free flashcard app). Convert the Q&A into cloze deletions.
Day 4: Speed Round Set a timer for 60 seconds per question. The "hot" PDF should have 200+ questions. Do 100 in the morning, 100 at night. then re-test using the PDF.
Day 5: Error Analysis Create a spreadsheet of your wrong answers. Identify your weak domain (e.g., "Failed all Syndromes questions"). Go back to a standard textbook (Peterson’s or Fonseca) for that specific topic, then re-test using the PDF.
6. Ludwig’s angina is a bilateral cellulitis of the: A) Parapharyngeal space B) Submandibular, sublingual, and submental spaces C) Buccal space D) Masticator space Answer: B (Bilateral "woody" edema, airway emergency)
7. The first-line empirical antibiotic for severe odontogenic infection in a healthy adult is: A) Clindamycin B) Metronidazole alone C) Amoxicillin with Clavulanate (Co-amoxiclav) D) Ciprofloxacin Answer: C (Amoxicillin-clavulanate covers aerobes & beta-lactamase anaerobes)
8. A patient with penicillin allergy and severe odontogenic infection should receive: A) Doxycycline B) Clindamycin C) Azithromycin D) Cephalexin Answer: B (Clindamycin: bone penetration & anaerobes)
9. The most common organism in cervicofacial actinomycosis is: A) Actinomyces israelii B) Streptococcus viridans C) Bacteroides fragilis D) Staphylococcus aureus Answer: A (Sulfur granules in pus)