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Smile Zone Multispeciality Dental and Orthodontic Center, Kalimati, Kathmandu

 Name of Dental Clinic: Smile Zone Multispeciality Dental and Orthodontic Center
Address: Satya Bhawan, Kalimati chowk (between 50 to 100 meters towards kalanki), Opposite to Everest Bank
Year of Establishment: 2019
Name of the Chief Dental Surgeon: Dr. Bishow Prakash Thakur
CONTACT NUMBER: 9851183390


Binayak Dental clinic, Channauli, Chitwan

 Name of Dental Clinic: Binayak Dental clinic
Address: Channauli , Chitwan
Year of Establishment: 2075
Name of the chief Dental Surgeon: Dr. Binaya Bhandari
CONTACT NUMBER: 9845441843


Baneshwor Smiles Family Dental Clinic, Old Baneshwor Height, Kathmandu

 Name of Dental Clinic: Baneshwor Smiles Family Dental Clinic
Address: Rohini Marg, Old Baneshwor Height, Kathmandu.
Year of Establishment: 2018
Name of the chief Dental Surgeon: Dr. Galav Adhikari
CONTACT NUMBER: 9841333773

SURYODAYA DENTAL CLINIC, BIRTAMODE

 Name of Dental Clinic: SURYODAYA DENTAL CLINIC, BIRTAMOD
Address : Birtamode-5 , Purwa Bus Stand, Jhapa
Year of Establishment: 2072
Name of the chief Dental Surgeon: Dr. Bharat Kharel
CONTACT NUMBER: 9849147138

Factor responsible for gaping of facial wounds

 # The most important factor responsible for gaping of the facial wounds is:
A. Thick and elastic nature of the skin
B. Due to rich vascularity 
C. Cutaneous attachment of the facial muscles
D. Laxity of the skin



The correct answer is C. Cutaneous attachment of the facial muscles.

Although all of the above are characteristics of facial skin, cutaneous attachment of the facial muscles is the most important factor responsible for gaping of the facial wounds. Facial skin is thick and  very elastic because the facial muscles are inserted into it. Therefore, the wounds of the face tend to gape. Rich vascularity of the facial skin makes the face blush and blanch. Wounds of the face bleed profusely but heal rapidly. 

The facial skin is rich in sebaceous and sweat glands. Laxity of greater part of the skin facilitates rapid spread of oedema. Renal oedema appears first in the eyelids and face before spreading to other parts of the body.

Boils in the nose and ear are acutely painful due to the fixity of the skin to the underlying cartilages.

Wounds of the scalp bleed continuously

 # The wounds of the scalp bleed continuously because:
A. Scalp is highly vascular
B. Blood vessels lie just beneath the skin
C. Wounds gape
D. Vessel walls fail to retract



The correct answer is D. Vessel walls fail to retract.

The blood vessels of the scalp are embedded in the dense connective tissue (subcutaneous fibroadipose tissue) layer and their walls are adherent to its fibrous network. 
Therefore, when the vessels are torn in an open wound, they are unable to retract. This results in continuous bleeding. The scalp lacerations even when small, can produce death in unconscious patient, if bleeding is not controlled. 

Natural drainage of maxillary air sinus

 # The natural drainage of maxillary air sinus is impeded because:
A. Its opening into the middle meatus is narrow
B. Of its large size
C. Placement of its opening is higher than its floor
D. Its base is directed towards the lateral wall of the nasal cavity




The correct answer is C. Placement of its opening is higher than its floor.

The maxillary sinus is the one most commonly involved in infection of nasal cavity. This is probably because its aperture is located superior to its floor, impeding its natural drainage.