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Dentistry · Maxillofacial surgery: dry socket
Sample itemThree days after molar extraction a patient has severe throbbing pain radiating to the ear, foul taste and an empty socket with exposed bone. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Alveolar osteitis (dry socket)
Dry socket results from loss or lysis of the blood clot, leaving bone exposed. Pain peaks 2 to 4 days after extraction. Management is irrigation and a medicated dressing with analgesia.
Option by option
A. Oroantral fistula
An oroantral fistula presents with air or fluid passing into the nose.
B. Normal healing
Normal healing does not cause severe pain.
C. Acute osteomyelitis
Osteomyelitis presents with fever and purulence.
D. Alveolar osteitis (dry socket) (correct)
Correct. Timing and exposed bone fit dry socket.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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