Feb 4-5, 2021 RQ’s

1.Disulfiram to treat which dependence? alcohol, benzo, or heroin
2.Incisal guide pin–in contact or not in contact or at occlusal plane level? rise out the pin
3.Omeprazole works on what? h2 proton pump inhibitor etc
4.Benzo work on what receptor? GABA
5.Primary molar first or second mesial or distal pulp horn easiest to pulp out on? Mesial of primary first molar
6.Periodontal disease bone loss horizontal vertical circumferential- horizontal and common
7.Old people: increased perio disease, tooth loss, or loss of tooth translucency?
8.T. denticola red complex
9.Primary etiology gingival pregnancy plaque was there and progesterone Plaque
10.Palatogingival groove which max teeth? incisors canine premolar or molar incisor max lateral
11.Ptsd no visual hallucinations? visual hallucinations
12.Most common type of arthritis? Osteoarthritis
13.Not something to consider tx planning an endo tooth? Function adjective tooth place in arch amount of structure remaining
14.What is it called when Dental manager not on site but still controlling things general super incision
15.Not a function of Diazepam? emesis
16.Something to do with a palavag something causes hypernasality stuttering nasal emissions or something else= velopharyngeal defect
17.Shows a little tooth but the mulo chamber #7 but the tooth is small and has lots of radiolucencies inside of it–what is it? Odontodysplasia, microdontia, dens in dente
18.What’s Monoamines endogenous neurotransmitters (serotonine, epinephrine, norepinephrine)
19.Indirect retainer class 1 div 1 it div 2 not class 2 option
20.5ml 3% mepi mg? 150 mg
21.Premolar buccal root over temporal out buccal side which space buccal space
22.SRP an option for pregnant woman? 2nd trimester
23.Study that measured people who had the disease but measured them wrong, resulting in a lot of false positives? Sensitivity
24.Which one is quantitative? Case control, cohort, cross-sectional, meta-analysis
25.Which is last to stop to growing? Cranial base, cranial vault, maxilla, mandible
26.What is trephination? Hole drilled into bone to relieve pressure from an infection at apex of tooth. (Another answer was to get through the mucoperiosteum or something like that but it made it sound like it was more on the tissue than the bone so i went with the other answer)
27.Which one has a serious reaction but does NOT invade the basement membrane? Dysplasia, hypoplasia, hyperplasia, SCC. I picked dysplasia
28.What’s the best way to diagnose a leukoplakia? Incision, smear cytology, other stuff
29.What’s the best way to tell the blood flow in a tooth? Pulp test, sonogram, some weird answer I’ve never heard of before. I picked the weird answer laser dopler
30.Why does a tooth with an open apex have a better chance of healing than a tooth not with an open apex after an avulsion? Bc there are more odontoblasts, bc the apex being open allows for greater blood flow. Don’t remember the other options but I think the answer was one of those
31.Which one of these is caused by an endodontic infection? Peripheral giant cell granuloma, CGCG, apical granuloma, another answer
32.How do you take an impression if patient has flabby maxillary palatal tissue? I think the answer was basically just “gently” passively
33.Acute primary herpetic gingivostomatitis peaks at what age? 2 years
34.Acanthylosis? Pemphigus vulgaris
35.Turner tooth? Trauma or local infection
36.Pedal edema? CHF
37.Lady with migraines? Loud noises
38.Most likely to find in CP? Fractured anterior teeth
39.What causes CP? Repeated trauma to the brain
40.Stretch white cheeks and it disappears? Leukoedema
41.Showed x-ray that looked really similar to this one. I think ans was osteomyelitis

42.Slow-growing paresthesia in the lip? Malignancy
43.Why would you not find the MB2? One of the answers was bc you don’t have a microscope. I think it was that calcified canal
44.If you fracture 2 mm off the incisal, what’s the best Tx? Glass ionomer, veneer, resin + pins
45.Lots of surface caries? Glass ionomer GIC
46.Why would someone have incisal caries? Don’t remember options but I went with xerostomia
47.Best way to tell the diff between perio and endo lesion pulp vitality test
48.Best way to test vitality? Thermal
49.8 yr old with broken tooth? Pulpotomy or apexogenesis —> bleeding care
50.Purpose of CaOH? Antibacterial
51.Most common med for pulpotomy/pulpectomy? I think it’s formocresol
52.Find a periapical lesion on a kid? In the furcation
53.Which one has numbing properties? ZOE
54.Which one inhibits resin bonding? ZOE
55.13 yr old with twisted central incisor but the other one looks normal. What do you do? I went with check to see if he has any abnormal habits like thumb-sucking
56.Primary purpose of straight-line access? So you don’t break the instrument or strip the canals
57.In a kid, which tooth are you most likely to pulp out on? 1st or 2nd Molar, mesial or distal (I think the answer was mesial of 1st molar)
58.Large MOD on a molar and patient calls a week later in pain. What do you do? Redo it, redo it and replace it with a calming medicament (Occlusion was NOT an answer), redo with liner
59.Mandibular molar access shape? Trapezoid
60.Which one is true regarding an amalgam prep? Walls are convergent, proximal boxes are greater than 1.5 mm
61.What don’t strep mutans eat? Dextran xylitol sucrose
62.What’s the role of NaF? Substantivity, causes fluorapatite (exact words–didn’t say “helps formation of fluorapatite” but that it causes it)
63. Curette for mesial of mandibular teeth? 11/12
64.After SRP (i think), how do the PDL, cementum, and alveolar bone regenerate? coronal migration, reattachment, cementm, pdl, bone
65.Pockets greater than 5mm–which one is true? Piezo totally treats it, operator with great hand skills is able to get definitive positive result, unclear if you’ll get good results since you can’t get down there
66.Why come for perio maintenance after 3 months? One answer was that’s when subgingival bacteria starts to build up
67.What do you not do at a perio maintenance appt? SRP on 1-3 mm
68.All of the following cause gingival hyperplasia except? Verapamil, nifedipine, phenytoin, there were 2 others so it must have been one of those
69.Where can you not do an apical flap? Lingual of max molars
70.Pt with new denture is biting his cheeks a lot. Which part do you take down? Linguals of maxilla & mand, maxillary buccal, mandibular buccal
71.What do aspirin and tylenol with hydrocodone have in common? analgesic
72.Ostectomy–removal of supporting or non-supporting bone? Supporting
73.Pt turning blue a couple of hours after LA? I think answer was methemoglobinemia
74.Which one comes from endo? Lateral periodontal cyst, apical granuloma, other options
75.Difference between periapical granuloma and periapical cyst? Aspiration, cytology, biopsy, whether patient ever had pain there
76.Which disease causes expiratory wheezing? asthma
77.What does the sound of wheezing come from? Vibration of the lungs upon exhalation, sound going through inflamed bronchioles, others
78.Why do you do cultural sensitivity antibiotic resistance
79.Nitroglycerin MOA? Increased cardiac output, strengthens diff valvular contractions (multiple answers that specified specific valvular contractions) (prolonged refractory period not an option), vasodilation
80.Which antihistamine causes least amount of tiredness? Claritin/Loratadine
81.Longest-acting NSAID? Naproxen
82.Concentration of APF used in dental offices? 1.23%
83.What causes gingival inflammation with temp crowns? One option was monomer from the acrylic temp or something
84.What do you base the survey line on? Occlusal surface, cementum surface, dento-enamel junction
85.Melanocytic nevus in buccal vestibule above #7 and 8. Sort of looked like this:

86.Osteogenesis imperfecta related to? Dentinogenesis imperfecta
87.Root tip broke off during ext. What to do? Clear area of heme and visualize
88.Can’t remember question, but answer choices were stimuli-caused behavior, behavior is caused by consequences
89.Autism and repetitive behavior
90.Autism and loud noises
91.Most likely to cause candidiasis in kid who just started using inhaler? Steroids, albuterol inhaler, different kind of inhaler
92.Max NO for kids? 50%
93.For PFM, how many mm to take off incisal 1/3rd of the facial? 0.5, 1, 1.5, 3
94.MOA of Sulfa drugs? Stimulate beta cells in pancreas
95.Which one prevents rotation? Indirect, direct, circumferential, major connector, another one
96.Concrescence? 2 roots fused by cementum
97.Questions on fusion and gemination
98.X-ray with a tooth that looked like this. It’s odontodysplasia

99.#12 drains from which lymph node to the thoracic duct submandibular
100.Occipital deep cervical submandibular or submental
101.Lots of questions on bumps on the gingiva like what are they
102.Leukoplakia one was smear one was incision
103.What muscle attaches to the zygoma masseter
104.5 year old luxate primary central tooth extract monitor
105.Purpose of a distal shoe space maintainer
106.Dude with xerostomia chlorhexidine twice daily or chew xylitol gum
107.What is not a risk factor for him – it was osteoradionecrosis because he had radiation therapy but it was on his colon or something tricky question
108.Dude’s on aspirin and plavix and said does he need to stop before a “routine dental procedure…” no stop
109.Had a brown stain like a nevus anterior max buccal vestibule what is it melanoma
110.Small round brown pigment posterior maxilla palate what is it
111.What receptors lisinopril B1 b2 a1 a2
112.Moa of xanax? Straight out said gaba increase gaba potentiation
113.Kid with congenital atrial septal defect where will blood flow be messed up? Between right atrium and right ventricle I went with that back flow of blood from left atria to right atria
114.Pt with deep overbite and crowded lower anteriors which statement is true? Went with you can leave deep overbite but will need lower ipr
115.COPD which is true? Less goblet cells? Collagen fibers aren’t being made? Smooth muscle atrophy?
116.Least amount of o2 for a 16 year old during nitrous? I went with 30 for kids 30 average in maximum 50%, adults 70%
117.Identify hyoid
118.Had this pretty much exactly:

119.X-ray of ext oblique ridge:

120.Identify ear lobe on a pan
121.Had this pic. Went with Melanotic macule:

122.Radiograph of a RCT anterior (I think 9) that had internal resorption
123.Q asking if the endodontist is at fault for the RCT? TRICKY! if you look carefully he wayyyy under filled the gutta percha at the apex missed it by like 7mm.
124.Pt had 4 premolars extracted as a kid, one from each arch–why are there spaces between teeth? Went with teeth drifted
125.Crossbite on one side went with unilateral maxillary constriction because the mandibulars looked like they were in the right place
126.Patient with prosthetic knee replacement 6 month ago, H/O bypass surgery and radiotherapy for prostate adenocarcinoma. Taking many medications.
a.Reason for dry mouth? Xerostomia due to medication
b.He needs antibiotic prophylaxis for what reason? based on patient and physician preference went with that
c.Has a white lesion on floor of mouth..It could be anything except SCC. Verrucous carcinoma, Nicotinic stomatitis? Nicotinic stomatitis
d.What can silver diamine fluoride cause? went with staining
e.Pt has crepitus no pain what kind of arthritis? don’t remember if she had asthma
f.5 year old–is her chronological age older younger or same as her dental age? I went with younger because she has erupted 6 year molars
g.Lady on bisphosphonates needs a tooth extracted. You explain reasons and tell her it needs exo- beneficence, nonmaleficence, veracity, justice (Didn’t have autonomy went with beneficence).
h.Same bisphosphonate case as above. What is the Tx for that tooth? Went with RCT and coronectomy because of bisphosphonates
i.Girl who had a trauma tooth with a “bubble on the gums”, she also drank a ton of soda? Bubble on gum is related to abscess
j.A man who is smoker with knee replacement 6 month ago, White lesion under the tongue. Brown pigment near midline of palate. Hypertensive, took many meds and he had weird occlusion of post class II and anterior cross bite. Missing upper canine (premolar took place and function as a canine, noticed it was missing when asked history) and the other side, he was missing 1M.
k.The decision to give prophylactic antibiotic is based on: According to the patient AND physician recommendation or preference
l.The cause for this pt occlusion is: Early loss of a maxillary tooth
m.What to do with the lesion, cytology or biopsy? Biopsy
n.If you would do emergency surgery to this pt, the MOST you would concern is Prolonged bleeding or Cardiovascular issues? CVS (because of profound bleeding not prolonged, he was not on aspirin)
o.Lesion could be any of these except: Nicotine Stomatitis (reverse smoking to be exact cause smoker’s keratosis.. smokeless won’t appear on palate.. they cause Verrucous Carcinoma. Nicotine melanosis and stomatitis both by smoking)
p.The pigment is most likely caused by? Smoking
q.The biopsy of the lesion came back with increase melanin in epithelial layer so the lesion is? nicotine stomatitis-increased production of melanin by the normal number of melanocytes(melanin 1q) A benign lesion on the hard palate typically associated with pipe and cigar smoking.(smoke 2q)
r.There’s one more q to this case in the unicorn file but i didn’t have that q (RO body in upper 1PM socket? Remaining root tip)
s.Wear on buccal maxillary posterior cusps why? Working non-working protrusive. Went with working
t.What block to use for an anterior central extraction when local doesn’t work
u.A few on meds causing xerostomia but one of them the guy smoked also didn’t know which to choose
v.Pt bites down on max M1, which has big amalgam filling, and breaks off cusp supragingivally. What Tx? PFM crown
w.Pic with spots on palate–nicotinic stomatitis (spots were very hard to see!)
x.Leukoplakia on FOM–which is not in differential? Nicotinic stomatitis
y.New pt with lot of issues. Which not to do at first visit? think answer was full SRP on all 4 quads because his pockets were only 4mm (there were like 2 5’s no 6’s) and the other answers made more sense
z.Case with 5 years old girl. She had all first molars and erupting max central. Second central incisors – had accident and was avulsed.
aa.What you do with concussion? observe and control max central (only said observe not control on my exam)
bb.What is her dental age? the same as bone age (I went with dental age is advanced bc 1st molar already erupted)
cc.She had dark changes in her gingival? racial changes sth like this
dd.On her gingiva above her central incisor.? It was sinus tract because of her accident 3 months earlier.
ee.Again, more q’s to this case in unicorn that I didn’t have (171. She has lateral crossbite – how to treat it.? maxillary expansion; 172. Can you give her for daily use CHX – T/F? True; 173. You should show her and her parent how to brush T/F? True)

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