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This website represents the opinions of the owner and participants. Evimax neither discusses nor discloses any questions or answers of any of the American medical or surgical board exams. The sole purpose of this website is to offer high-quality education in the field of oral, craniomaxillofacial, and head and neck surgery. EviMax is neither approved/endorsed nor recommended by the any American medical or surgical boards. It is not, and should not, be construed as an official guide in the prepar

OMS Oral Board: 12 Essential Cases

The key to start strong, gain confidence, and have a great first impression, is to: 

  • Have a concise scripted answer for the first two to three questions about each case

And to navigate through the questions confidently and efficiently, we should:

  • Have a system of describing photos, panos, CTs, and MRI with correct terminology and pertinent positive and negatives
  • Have a scripted answer to surgical approaches
  • Know all the new guidelines and white/position papers (ACLS/ABX PPX/MRONJ/ONJ/sedation guideline, definitions, and regulations/periop management of marijuana/periop management of new diabetes meds, etc)

Quick answers:

Medications

Diseases 

Approaches


Section I 

Orthognathic Surgery

Infection

TMJ

Pathology

Section II 

Trauma

Implants

Reconstruction

Dentoalveolar

Section III 

Adult Medical- Assessment/Anesthesia

Pediatric Medical-  Assessment/Anesthesia

Emergency Management

Focused Additional Short Topics (FAST)


Section I 

Orthognathics

Patient is not happy with bite > CC/MH/focused HPI & ROS > PE > Pano/Lateral and PA ceph > models to assess true vs relative transverse descrepancy > diagnoses (eg openbite, and max in 3 dimensions and mandible in AP) > ortho consultation if not already done (If planning on SARPE first, what are presurgical orthodontics before SARPE?) > treatment plan per jaw > presurgical records > VSP > presurgery anesthesia considerations > surgery (which jaw first and why, what hardware) > periop complications (bleeding, bad split, lost splint) > postop complications (maxillary necrosis, hardware failure, palatal tear, etc)


Infection

Patient comes in with swelling > CC/MH/focused HPI & ROS > PE > pano/CBCT > office vs hospital (sepsis vs SIRS vs septic shock) > labs (CBC, CMP, INR) and ABX > CT with contrast (know the space borders) > talk to anesthesia about fiberoptic > OR set up with having cric/trach set ready > sterile culture > approaches and drains > keep intubated and transfer to ICU > tube removal and extubation criteria > worsening vs neck fascia (mark the edges, serial debridements) vs ludwigs vs orbital vs carotid vs cavernous sinus management (any change or lack of improvement points to the need for new PE and imaging)

Know antibiotics

Know mucor


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