Iran OMFS Board Exam case studies
Iran OMFS Board Exam · Put your knowledge to work in context.
The Iranian specialty board examination in oral and maxillofacial surgery (بورد تخصصی جراحی دهان، فک و صورت) is the national credentialing assessment that residents sit at the end of their four-year OMFS training programme, and passing it is what allows a surgeon to register and practise as a specialist in Iran. It is aimed at graduating residents from accredited Iranian OMFS programmes, and it is administered under the authority of the Ministry of Health and Medical Education through the specialty board structure. The Iran OMFS Board Exam case studies are 5 cases and about 4,888 words.
1Dual antithrombotic therapy and a high-risk mandibular third molar
A 61-year-old man with permanent atrial fibrillation is referred for removal of teeth 38 and 48. His medication list is apixaban 5 mg twice daily, bisoprolol, atorvastatin, and aspirin 81 mg, which he began himself after reading about stroke prevention; his cardiologist is abroad and unreachable.
985 words, about 5 min2A non-healing socket with lip numbness: when 'one more antibiotic course' is the wrong answer
A 63-year-old man who smokes 25 cigarettes daily (40 pack-years) and drinks alcohol most evenings is referred six weeks after extraction of tooth 36. The socket has not healed.
941 words, about 5 min3An 8-mm atrophic edentulous mandible in a frail patient on clopidogrel
A 74-year-old edentulous woman is brought to the emergency department after a fall at home. CT shows a 3-mm displaced fracture of the right mandibular angle and an undisplaced fracture of the left parasymphysis; the mandible measures 8 mm in height at the symphysis.
1,057 words, about 5 min4Obstructive sleep apnoea, a Class II skeleton and painful clicking joints: is this a surgical problem?
A 31-year-old woman with a BMI of 33 is referred for loud snoring and daytime sleepiness (Epworth 16). Polysomnography shows an apnoea–hypopnoea index of 34/h with oxygen desaturation to 78%.
971 words, about 5 min5Spreading odontogenic infection with a threatened airway and no drainable collection
A 48-year-old man with type 2 diabetes (HbA1c 11.2%) presents on the fifth day of a spreading odontogenic infection from tooth 47. He is drooling, has a muffled 'hot potato' voice, trismus of 15 mm, bilateral brawny submandibular swelling and elevation of the floor of the mouth.
934 words, about 5 min