Attempting Exam

Dr. Waqar Ali Jeelaniwjeelani@gmail.com

• How to attempt MCQ’s?• How to attempt SEQ’s?

Attempting MCQ’s

• Attempt as many questions as you can• Four Options = 25%• Five Options = 20 %

Go for the easy money!

• Things you know!• Answer them!

• Things you do not know!• Read them!

Reading The Question

• Instead of reading "which of the following suggests a disease other than multiple sclerosis", students read "which of the following suggests multiple sclerosis" and give the wrong answer.

• Look out especially for the phrase "all of the following statements are correct except..."

Reading The Options

• Read every option, even if you are more than 100% sure about the 1st option.

• If the first option is a correct one, look at the last option to make sure it is not an "all of the above" option

Using Exclusion Method

• If you do not know what is the right answer, try to find out what is

wrong.• In case there is confusion always

apply exclusion method. Try to exclude those options which cannot

be the answers.

WHAT IF YOU DO NOT KNOW THE ANSWER?

• If you do not know anything about the question or the options :

• Never attempt that question if there is negative marking

• Always attempt the question if there is no negative marking

GUESSING!

DO NOT HATE THE BLINDHATE THE BLINDNESS

One cannot do “inky pinky ponki” and choose an answer

Certainty Words

• Look for certainty words – there will be questions with absolute certainty which requires equally certain answers.

Which of the following is most painful condition• Acute pulpitis• Periradicular periodontitis• Gingivitis• Recurrent aphthous ulcer

First is the Best

• Many Researches indicate that your first answer is usually the correct one.

• However, don't be afraid to change answers when you have quite a good reason for doing so.

The Commonest is the Correct

• A patient has missing #36, 37, 38 and #33, 34. According to Kennedy’s Classification this is a case of:

• Class I Modification I• Class IV Modification II• Class II Modification I• Class II Modification II• Class III Modification I

Exclusion Based Marking

The leading cause of death in 21st century is:• Cancer• Diabetes• Ischemic heart disease• AIDS• Wars

The Longer is the Answer

A 39 year old man goes to see his doctor as he is feeling slowed down. He has previously been super fit. What did his doctor do? A. Diagnose hypothyroidism B. Diagnose hypothyroidism and start thyroxine C. Diagnose hypothyroidism, start thyroxine, and send him out to fight Leon Spinks. You don't need to be a fight fan to realise that option C is the longest and most specific and therefore correct (Ali's doctor had perhaps not heard of parkinsonism due to multiple head trauma).

Middling the Middle

What is the optimal dose of bisoprolol in patients with heart failure? A. 5 mg B. 10 mg C. 20 mg. The correct answer is 10 mg in this case.

• This is not a reliable method. Good examiners will not put all the correct answers in the middle. And this tip will definitely let you down when you are faced with a "best of four" question where

there is no middle answer.

ALL OF THE ABOVE

Which of the following are signs of heart failure? A. Ankle oedema B. Raised jugular venous pulse C. Displaced apex beat D. Third heart sound E. All of the above. You may not know all the signs of heart failure but if you know that two of the answers are correct then all of them have to be correct.

THE MOST IMPORTANT TIP

THERE IS NO SUBSTITUTE FOR KNOWLEDGE OF YOUR SUBJECT

From where you can get knowledge?

1. Text Books2. Teachers3. Other Books and Notes4. Discussions

Attempting the SEQ’s

Understanding the Question

• Reading the Question twice• Understanding the common terms• See the Marks

• See the Checked Papers• See the Keys

Planning your questions

Better results are product of Better Planning

More InformationLess Information

Useful informationUseless information

Right InformationCorrect InformationWrong Information

Discuss different techniques of labial fenectomy. 3 Marks

Frenectomy is the surgical procedure of removal of fraenum for prosthetic, orthodontic or aesthetic reasons.

Techniques of frenectomy• Simple Excision• Frenectomy with secondary epithelialization• Z plasty• LASER assisted Frenectomy

Technique Procedure Adv Dis Adv Special indications

Simple Excision Frenum removed with the help of Artery forecep, wound closed

Simple procedure Less vestibular depth Scarring,

Thin frenum

Frenectomy with secondary epithelialization

Frenum removed,Periosteum lined wound left open for healing

Simple technique More painful, slow healing Wide based frenum

Z plasty Two releasing incisions given, flaps interposed and sutured

Better vestibular depthLess scaring

Time consuming, More suture placement

Suitable for thin freni

LASER assisted Frenectomy

Laser surgery done and wound left open for healing

No bleeding, Better healing

Special instrument req.Scarring

any type of fraenum

• A 40 year old patient reported to Dental OPD with slowly growing hard swelling on the posterior part of mandible. On intraoral examination there is missing wisdom tooth. How will you manage this patient?

3 Marks

The Process of Diagnosis

• A 40 year old patient reported to Dental OPD with slowly growing hard swelling on the posterior part of mandible. On intraoral examination there is missing wisdom tooth.

How will you MANAGE this patient?

MANAGE• History• Clinical Features• Investigation• Differential Diagnosis• Diagnosis• Treatment options• Treatment of Choice• Follow up

• History:– Slowly growing – More likely to be cystic– History of Pain, Fever, Pus discharge – infectious disease– Pain at lips – Nerve involvement – Non-vital teeth – Neoplastic lesion– Straw color fluid discharge?

• Examination:Hard swelling – Intrabony lesionMissing tooth – Suggestive of Dentigerous cyst/KeratocystMucosa – inflammed PericoronitisMouth opening – Limited -> pericoronitisEgg shell crackling

• Investigations:– Aspiration

• Straw color – radicular cyst/dentigerous cyst• White cheasy – keratocyst

– Biochemistry of cyst content• Low protein – keratocyst

• Radiographs:• OPG, PA view skull• CT scan• MRI

• Biopsy

• DD: Dentigerous cyst OKC lateral periodontal cyst Ameloblastoma myxoma Central Giant cell granuloma Central mucoepidermoid carcinoma Browns’s tumor

Diagnosis: Dentigerous Cyst Treatment options: intraoral procedures

Enucleation – If small – primary closure – whole lesion for biopsy Marsupelization – If large – window creation with BIPP packing – part of lesion

for biopsy Enucleation after Marsupelization – to save morbidity and discomfort Antibiotics only if the lesion is large or for prophylaxis

Follow up: After 7 days for stitch removal After one month- to see the signs of bone formation After 6 month and on yearly bases

Thank You!and

Goodbye