Oral pathology: cysts and odontogenic tumours: central haemangioma of the jaw: practice question

A Dentistry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Dentistry · Oral pathology: cysts and odontogenic tumours: central haemangioma of the jaw

Sample item

A 16-year-old has profuse bleeding around the gingival margin of a mobile lower molar, a palpable pulsation over the mandible and a honeycomb radiolucency. What should be done first?

AIncisional biopsy in the clinicBNeedle aspiration for blood, then vascular imaging, before any surgeryCCurettage of the lesion through the socketDExtract the mobile molar to control the bleeding

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Needle aspiration for blood, then vascular imaging, before any surgery

A central vascular malformation of the jaw can bleed massively if the tooth is extracted or the lesion curetted. Aspiration of blood and angiography are done first and treatment is planned with embolisation or resection.

Option by option

A. Incisional biopsy in the clinic
A blind incisional biopsy risks the same bleeding.
B. Needle aspiration for blood, then vascular imaging, before any surgery (correct)
Correct. Confirm the vascular nature and map the vessels before any procedure.
C. Curettage of the lesion through the socket
Curettage of a vascular lesion causes uncontrolled haemorrhage.
D. Extract the mobile molar to control the bleeding
Extraction can cause life-threatening haemorrhage from the lesion.

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.

Questions about this Dentistry question

What is the answer to this Dentistry question?

The best answer is B, Needle aspiration for blood, then vascular imaging, before any surgery. A central vascular malformation of the jaw can bleed massively if the tooth is extracted or the lesion curetted.

Why is "Incisional biopsy in the clinic" not the answer?

A blind incisional biopsy risks the same bleeding.

Why is "Curettage of the lesion through the socket" not the answer?

Curettage of a vascular lesion causes uncontrolled haemorrhage.

Why is "Extract the mobile molar to control the bleeding" not the answer?

Extraction can cause life-threatening haemorrhage from the lesion.

What concept does this question test?

It tests Oral pathology: cysts and odontogenic tumours: central haemangioma of the jaw in Dentistry. Aspiration of blood and angiography are done first and treatment is planned with embolisation or resection.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Oral pathology: cysts and odontogenic tumours: central haemangioma of the jaw?

Learn the dental formula, eruption ages and tooth structure once, as tables. Then use the flashcards and the other Dentistry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.