m&m June 2019 RQs
1- Agenesis least in canine → agenesis means tooth did not form
**per DD** (it happens especially in premolars and lateral incisors),
2- Common location of supernumerary teeth: Max anterior (Mesiodens)
3- Developmental anomaly of supernumerary teeth occurs in which stage of tooth development→ Initiation
4- Apical extension of pulp chamber → Taurodontism: (teeth that have significantly elongated pulp chambers
with short stunted roots) Hypoplastic or Hypomaturation Type with Taurodontism: is an example of inherited
defects in both apposition and histodifferentiation stages in enamel formation
5- Petit Mal seizure → absence seizure, in children, treated by ethosuximide
6- Sialolithiasis- Submandibular gland .. Wharton’s duct
7- 16 yr old girl with ectopic canines. What else do you see ? Gingival recession
8- MOD Onlay axial walls? converge gingival to pulpal
**per DD** From facial to lingual, the axiopulpal line angle of an onlay preparation is longer than the
axiogingival line angle) For a cast onlay or inlay, ALL axial walls must be convergent or there will be undercut
and the restoration will not be able to he seated.
9- Apexification definition → Creating an apical stop for obturation in a NON vital tooth using MTA
10- Reversible pulpitis → A clinical diagnosis based upon subjective and objective findings indicating that the
inflammation should resolve and the pulp return to normal
11- Symptomatic Irreversible pulpitis → A clinical diagnosis based on subjective and objective findings
indicating that the inflamed pulp is incapable of healing. Additional descriptors: Lingering thermal pain,
spontaneous pain, referred pain.
11b-Asymptomatic Irreversible Pulpitis : A clinical diagnosis based on subjective and objective findings
indicating that the vital inflamed pulp is incapable of healing. Additional descriptors: No clinical symptoms but
inflammation produced by caries, caries excavation, trauma
12- Cracked tooth syndrome is characterized by:
– Localized pain on biting or release of bite
– Localized vertical periodontal defect in area of vertical fracture
– Radiographic halo in region of fracture
The most likely fractured cusps are the non-functional cusps; maxillary buccal and mandibular
lingual cusps.
13- Microorganism in necrotizing ulcerative gingivitis before necrosis → Fusiforms and spirochetes, as well as
Prevotella intermedia ** Per DD**
14- Percussion test → PDL inflammation
15- Mode of action of Montelukast → Inhibition of Leukotrienes (used for asthma and seasonal allergies)
16- Water fluoridation in USA → 74%
17- Chronic periodontitis → black male
1
18- X-ray showing a canine and premolar, excessive bone loss (I guess roots were exposed) that caused
sensitivity to patient- what will LEAST likely help alleviate sensitivity?
Fluoride,
composite restoration,
Toothpaste with some chemical I forgot
19- How much 2% lidocaine for a 16kg kid → 16 X4.4 = 70.4mg
20- LAP treatment→ SRP and antibiotics
21- Common crown to root fracture→ mand molar, max molar, max premolar , mand premolar
22- Implant analogue ( AKA implant replica ) → mimics the position of the implant in the bone, inside the cast
23- Impression material that is moisture tolerant? polyether, PVS
24- X- ray of dentigerous cyst → associated with unerupted third molar/tooth
25- Class V anterior what is the best restorative material to use ? RMGI (no GIC in options)
26- Dentist did a crown and build up, insurance only paid for crown?
upcoding, downcoding ,unbundling, bundling
27- Distance from cephalometric and midsagittal face of pt? 5 feet “google”
28- Innervation of TMJ → Auriculotemporal
29- How does arrested caries look like → brown leathery
**per DD** Chronic caries is sometimes referred to as slow or arrested caries
• The lesion is shallow (small lesion)
• The entrance to the lesion is wide
• Dark pigmentation with leathery consistency
30- Ectodermal dysplasia → oligodontia
31- Down syndrome → midfacial discrepancy
33. 2-year-old child mother complaining that my son doesn’t eat anything due to pain he has sore red gums.
What is your diagnosis = herpetic gingivostomatitis
34. Cellulitis ? neutrophilia, neutropenia, lymphocytosis
35. Causes allergy in metal ? Nickel
36. Modeling for fearful child ? A. Show him the procedure in non-fearful child (usually siblings)
37. How do you make a retentive clasp more flexible? wrought wire
38. Dentist duties to practice truthfully, which type of ADA ethics → Veracity
39. What is irreversible ? DMFT, OHIS, GI, PI
40. Band and loop space maintainer is all Except? Prevents vertical eruption of opposing tooth
41. Tissue and tooth borne appliance ? Nance appliance
Tissue borne only → Frankel
42. Dental lamina is formed a → 6 weeks IU
43. Best time for treatment of pt under dialysis → The day after dialysis
2
44. Periodontitis in AIDS pt will be treated by all of the following except? free gingival graft
45. Dementia → Short term memory loss
46. Painful response that subsides quickly after removal of stimulus is → Reversible pulpitis
47. What is not an advantage of LED cure in comparison to halogen ? Curing depth
48. what determines implant height in an overdenture? gingival height
49. function of post ? retain core
50. treatment without consent→ battery
51. Flumazenil used to antagonize → Lorazepam
52. Percocet → Schedule II
53. Periodontist doing research on 4 unrelated patients what study→ case series
54. Non working interference → LUBL
55. neuropraxia which one is true:
A- Axon damage mostly stop working because of the damage of the perineum.
B Damage nervous with not disruption of the nerve. (plus more words)
C Involve interruption of axon, but not nerve all together
D There is a disruption only epineurium and perineurium
E none of the above. ✔
Danman file → Neuropraxia = Maintained continuity of axon and Epineurium
Canine file → neuropraxia: a disorder of the peripheral nervous system in which there is a temporary loss of
motor and sensory function due to blockage of nerve conduction (temporary damage to myelin sheath), usually
lasting an average of six to eight weeks before full recovery.
56. which of the following represents the variability about the mean – value of a group of observation :
A t- statistic
B specificity
C standard deviation
D sensitivity
E other
57. 3 dentist has a notice new disease in his office : incidence = new disease
(they post all the options as prevalence, cohort, etc)
58. Learn about surveillance. Statement about going to town …(It is conducting an inspection/monitoring of a
certain area for a certain disease)
59. Compare 2 group of people male and female for periodontal disease. What kind of test to look?
A t test
B chi test ✔
C multiple regression
60. Oxygen percentage in mouth to mouth? 21% 16% 40%
3
61. MSDS who is in charge of it:
A OSHA
B MANUFACTURE DIRECTION ✔
C EPA
D ADA
NOTE: OSHA requires MSDS, and Manufacturer in charge of Data mentioned
62. WHAT CAUSE MORE DENTAL PROBLEM
A BULIMIA cause erosion
B OCD “obsessive compulsive disorder “ its cause trauma to tooth to the pt
C EROSION
D ABRASION
63. FIRST THING TO DO WITH A PT WHEN THEY COME IN:
A talk about chief complaint
B Clinical history
C talk about bills insurance
D pay the fee
64. Dentist what must do every year:
A chicken pox
B flu
C HVB
D TB Test
65. ADA Code of ethics and professional conduct does not Include:
A licensure by credential
B publicity
C issue concerning
D fee
66. best diagnostic for a crack tooth:
A cold
B transillumination
67. We avoid RCT in:
A Pulp necrosis
B fracture horizontal coronal part
C Vertical tooth fracture
68. Etiology of caries: sugar frequency
69. Caries with a sealant arrested
70. why you bevel class V ?
Expose the enamel for esthetic and retention
4
71. Imbibition and syneresis affect?
A impression compound
B Polysulfide
C reversible hydrocolloid
D silicone
72. what not to use in a cast impression:
A reversible hydrocolloid
B irreversible hydrocolloid
C pvs
D polysulfide
73. Picture : Got varicosities & Eagle syndrome
74. how many gm of Fl in a 1 L of water at 1ppm: 1 mg
75. Ectopic sebaceous gland → Fordyce granules
76. Scarlet symptoms and main sign → strawberry tongue and its inflammation of fungiform papillae, Penicillin
77. HIV pt with oropharyngeal candidiasis prescribe:
A other
B nystatin
C metronidazol
D fluconazole
78. USA Percentage of people which have herpes:
A 30-20%
B 50-55%
C 80-85%
D 65-90%
79.Ramsay Hunt Syndrome relate with what virus → Herpes Zoster (Herpes Oticus)
80. Best medication for CMV → Antiviral
Ganciclovir – inhibits viral DNA polymerase/viral DNA synthesis; tx Cytomegalic retinitis & CMV
prophylaxis in transplant pts; cross BBB
Mosby → Treatment for CMV → Foscarnet , Ganciclovir, valganciclovir
81. Differential Diagnosis of DI includes except?
A OI
B enamel hypoplasia
C Ectodermal dysplasia
D dentin dysplasia
5
82. Antral pseudocyst in panoramic →
Require no treatment , seen on the floor of the maxillary sinus
83. AOT in picture → related to impacted Canine

84. Collimation use block by ?
A lead
B aluminum
C other
85. fracture of zygomatic :
A water
B PA
C panoramic
D CT Scan
86. Use of apex locator → an electronic instrument used to assist in determining the root canal working length
or perforation; operates on the principles of resistance, frequency, or impedance.
N.B. Question on the exam was Except ..
87. advantage pedicle flaps: except
A GTR
B providing gingival coverage
C augmentation gingiva
88. support of lower denture→ buccal shelf ,and residual alveolar ridge if wide enough
89. pterygomaxillary fissure identification in Panoramic
90. Frey’s Syndrome → unilateral parotid, sweating while eating, auriculotemporal syndrome is an unusual
phenomenon, which arises as a result of damage to the auriculotemporal nerve and subsequent reinnervation
of the sweat glands by parasympathetic salivary fibers.
91. Causes of ORN: loss of capacity of vascular supply…
92. INR 4, what you do:
A Do nothing
B postpone surgery
C get another set of lab
93. Aspirin contraindicated with:
A coumarin
B diazepam
C triazolam
D barbiturics
6
94. which of the following describes a good outcome in a intrapulpal anesthesia :
A back pressure provides it
B control hemorrhagic
C not creating discomfort during injection (something like that)
95. Mode of action of nitroglycerin → coronary artery vasodilator
96. celebrex Mode of action → Selective Cox 2 inhibitor
97. pt ask for a long medicine for the night after extraction:
A dexamethasone
B aspirin
C Naproxen
D ibuprofen
98. distance between implant and adjacent CEJ → 2-3 mm
99. Why implant fail:
A allergy to antibiotics
B hypotension
C lack of loading
D Smoking
100. how to heal gingivectomy → secondary intention
1ry intention → undisplaced flap
2nd intention → Gingivectomy
3rd intention → graft
101. how gingivectomy heal:
A epithelium in the adjacent alveolar mucosa
B from epithelium to pocket
C endothelial of blood vessel
D primary intention
101. where does the epithelium for a graft come from;
A donor ct
B recipient epithelium
C donor epithelium
D recipient CT
102. GTR happen in:
A bone, cementum, sharpey fiber
B bone, dentin , cementum , sharpey fiber.
C bone, enamel cementum, sharpey fiber
D bone, sharpey fiber, dentin, enamel.
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103. Class 3 male 40 years old how to fix:
A other
B BSSO
C Nance appliance
104. Mode of action of propranolol
A alpha 1
B alpha 2
C beta 2
D beta 1
105. If pt gets unconscious in the chair after few minutes but breathing, what we suspect: Hypoglycemic
106. Diazepam overdosis: flumazenil
107. Crater gingival: ANUG
108. Medicine for ANUG: Pen V **per DD**
109. TX for ANUG: h2o2 , debride, antibiotic **per DD**
110. Combination clasp: regular clasp + wrought wire clasp
120. Primary retention of lower denture: buccal shelf
121. VDO and sounds.
122. Punch out rx lateral skull → multiple myeloma
123 ASA 3. ASA4 know well.
124. Morphine overdosis: Narcan (Naloxone)
125. tin , ion bond with porcelain → oxide layer
126. PFM front crown → incisal 2mm.
127. cherubism description.
128. Gagging pt, what’s the tx for long term? Gradual exposure , desensitization.
129. lower complete denture overextended buccal distal what structure? Masseter.
130. Montelukast Mode of action : block action of leukotrienes.
131. Flared anterior maxillary teeth.which class?
Fractured maxillary anterior teeth occur most often in children with ClassII, Division I malocclusion (maxillary
anteriors are flared) **per DD**
132. which cases we can to damage lingual and IAN? Ext of mandibular third molar
133. Bradycardia,what to give? Epinephrine and Atropine
134. Most secure indicator for future caries? A. bacteria b.salivary flow
135. Serial extraction is done to provide space for: a.Eruption of permanent mand canine and 1st premolar
b.eruption of mand incisors
136. Overjet 14 mm,which kind of surgery you do? Le Fort I
137. Panoramic,all mandibular molar with amalgam filling.
which one is low copper? how do diagnose between low copper and high copper?
8
138. Ortho causes what except:
a.root resorption b.minimum tooth movement c.relapse of tooth movement d.alveolar bone remodelling
139. (temporary anchorage device).where it gets its stability from?
140. on left side MB cusp of Max 1M touch Disto buccal Cusp of the Man 1M ,
on right side no max 1M,there is max 2PM touch central fossa on man 1M and MB cusp of Max 2M behind DB
cusp of Mand 1M. which class angle on each side? → Class III
141.Clinical sinus track → Parulis
142. Pano show impacted canine asking what’s the reason of upper jaw reduced in the length
a.impacted primary canine
b.impacted permanent canine
143. Most common to see in a teenage girl with buccally erupted canine? anterior deep bite recession
144. Abutment height in restoration selected according to?
145. Patient told you ( you are the best doctor in pain management and my pain doesn’t disappear without
percocet ) → The patient is drug addict seek for drugs
146. kid 3 years old High fever lymphadenopathy and swollen gingiva * same 2 but the patient 15 years
Infection mononucleosis
Primary herpetic gingivostomatitis
147. kid fracture lower tooth laceration in the lower lip what is the best x-ray for him except
Periapical
Panoramic
Lateral cephalometric
Ct
148.ultrasonic all except
Deep pocket
Using during surgery
Leave smooth surface than curettage
149. 2q about Na Hypochlorite, all except:
chelation
Irrigation
Bactericidal
150. painful nodule near mental foramen
Traumatic neuroma
Fibroma
151. reciprocal Anchorage → Both units move equally distance close diastema
9
152. least resolved by surgery
Ankylosed condyle
condyle agenesis
internal derangement
153. the first line to treat severe allergy
A-diphenhydramine
B- epinephrine
154. anterior crossbite by
A-supernumerary teeth
B- thumb sucking
C- tongue thrust
155.one tooth recession history of ortho good oral hygiene free medical Cause of recession all except
A-ortho
B-brushing
C-plaque
D-systematic disease
156. periodontitis commonly
Black male
White male
Caucasian
157. common cells in healthy cervical fluid
Neutrophils
Lymphocytes
Macrophage
Basophils
Board busters Source → GCF may contain a variety of enzymes and cells, particularly desquamating
epithelium & neutrophils being shed through the sulcus
158. methotrexate
Anticancer work on folic acid
159.sulfonamide → Compete with PABA , used to inhibit the synthesis of folic acid in bacteria
160. Sulfonylurea → stimulating insulin secretion from the pancreatic beta-cell
161.Before a new drug approved most important → Randomized clinical trial
162. Multinucleated Giant cell
Hyperparathyroidism
Hypoparathyroidism
Hyperthyroid
Hypothyroid
10
163. most common between premolar mandibular area
Lateral periodontal cyst
Ameloblastoma
Okc
Traumatic cyst
164. pt needs tooth color restoration during preparation subgingival caries best restoration is
Do glass ionomer subgingival + composite supra gingival
All composite
Dual cure composite subgingival + composite supragingival
Rmgic
165. IRM ZnO eugenol we add
Amalgam powder
PMMA
Some mineral forgot the names
166. color stability in composite
His gama
UDEMA
TEGDMA
HEMA
167. tooth painful on stimulus only pain disappear after removing stimulus ,
Asymptomatic irreversible pulpitis
symptomatic irreversible pulpitis
reversible pulpitis
Necrotic
168. Emergency dental patient he can’t sleep last four days from the pain
Lingering pain with cold
A- acute symptomatic abscess
B- symptomatic irreversible pulpitis
C -reversible pulpitis
169. success of pulp capping
A-2mm caoh
B-clean cavity with chx before caoh
C-etched before caoh
D- caoh + zno eugenol liner over it
170. success of pulp cap in immature tooth related to
A- open apex
B- immature roots
C- good circulation in the apical area
11
170. extinction simple explanation → ignoring a bad behavior
171. Management of newly diagnosed Alzheimer’s patient? Talk to caregiver Trx plan for possible ext and cd
Trx plan
172. 5 unrelated cases which study?
Case series
Clinical trial
Case-control
Cohort
Cross section
173. Sialolithiasis common
Warthin duct
Parotid
Sublingual
Minor salivary gland
174. lack of x-ray sharpness
Penumbra
Latitude
175. an implant to a tooth 1.5 mm
176. implant to implant 3 mm
177. not affect for opioids
Somnolence
Xerostomia
Peripheral inhibition of nerve pain
178. microorganisms in ANUG before necrosis
1- filamentous rods
2-spirochetes
3- Cocci
179. Desensitization agent act by
Bactericidal
Demineralization of the dentinal tubules
Depolarization the nerve
**per DD** Desensitizing agents act through the precipitation of crystalline salts on the dentin surface,
which block dentinal tubules.
180. Cimetidine → antihistamine H2-receptor blocker.
181. Osteosarcoma → cortical damage widening of pdl
182. Osteomyelitis
183. Gardner’s syndromes osteopath → look for intestinal polyps
12
184. What you don’t do when you cement a veneer? Use bonding on veneer Each tooth with that fluoro acid
185. GIC acid → polyacrylic
________________________________________________________________________________________
1-class 3 furcation involvement 5 mm bone resorption under furcation best treatment
-bone graft
-gtr
-hemisection and make two crowns like a premolar
-ext and implant
2- B1 agonist → tachycardia and inc cardiac output
3-pt complain of a burning sensation during eating spicy food, clinical you see white lesion surrounded red
atrophic zone history of change site and size
Geographic tongue
Aphthous ulcer
lichen planus
4- partially erupted 17 need extraction to prevent
Pericoronitis
Crowding anterior teeth
Injury IAN
5- osteoradionecrosis common
Maxilla
Mandible
6- most mineral cause hypersensitivity in dentistry
Lead
nickel
Copper
7- the common character of high Noble
Increase strength
Increase the model of elasticity
Better marginal adaptation
Increase resistance to tarnish and corrosion
8 -treatment of Pericoronitis #17 all except
Antibiotics
Extraction 17
Extraction 16
Irrigation
13
9- Gardner syndrome, contain
Polyols
Okc
Scc
Bcc
10- Osseointegration place best in ? D2 bone
11- INR problem with
Extrinsic pathway
Intrinsic pathway
Common pathway
12- the main problem with the cemented abutment in implant
Interference the cement in the gingiva
Lose the screw and abutment more common
Failure implant
13 -best describe to the class II Composite cavity
Extension for prevention
Need adequate resistance and retention
Need adequate depth
Need adequate width
14- tooth number 8 RCT done no change color no destruction tooth structure, Best restoration
-direct composite
-Venner
-full ceramic
-PFM
15- 5mm intrusion primary
Observation
Reposition and splint
Extraction
Ortho extrusion
16- soft tissue trauma for upper extraction:
-mucosal tear
-punched out
– Dry socket
– Gingival swelling
17-2nd visit 6 years kid show bad behavior
Voice control
IV sedation
No2 sedation
Reschedule
14
18- best candidate for iv sedation
4 years 4 primary molars decay
6 years 4 permanent molar decay
2 years early child caries
12 year fearful child
19- good composite restoration you notice it’s whiter than tooth color
Add tint
Replace
Venner
Do nothing
20- periodontal surgery is the best treatment for periodontal disease T/F
Perio surgery allows good instrumentation for deep pockets T/F
21- Drug schedule II
Percocet
Ibuprofen
Tylenol 3
22-for sleep apnea pain killer
Percocet
ibuprofen
Opioid
Corticosteroid
23- pregnant woman which normal structure play the main role when got syncope
Aorta
Ivc
Pulmonary vein
Pulmonary artery
24- The most common site for bone donate
Iliac
Mandible chin
Mandible ramus
25- reimplantation worse result
Immediate splint
Immediate RCT with caoh
Delay reimplantation 2 hours
replacement resorption
26- intentional (elective) RCT
Necrotic tooth
Irreversible pulpitis
Inefficient dentin after reduction for the crown
15
27- x-ray 10mA for 1 sec how ma needs for 0.5 to get the same result
A. 5 B. 10 C. 15 D. 20
28- we see the buccal root in the upper second premolar distal in x-ray
The cone position is
Mesial
Distal
High vertical
Low vertical
29- ala-tragus line parallel to
Frankfort
Posterior occlusal upper plan
30 – the insurance treat the post and core and crown as one this called
Upcoding
Down coding
Bundling
Unbundling
31- 16kg how many lidocaine
32-disadvantage of NiTi over stainless steel
Can perforate apically
Fracture easily
Can’t be straight in the canal
33-home bleaching
10% carbamide
20% carbamide
35% hydrogen peroxide → C is for office Use percentage
34- differences between primary canine + molars and permanent canine + premolar called
Primate space
Leeway space
35-Bacteria cause collagenase
Streptococcus
P.gingivalis
Bacteroid
36- heart attack first to do after calling 911
chest compressions
rescue breath
Glucose
(if patient have pulse-first rescue breath, no pulse start chest compression)
16
37- external bevel for MWF
Apical JE
Apical crest gingival fibers
Apical MGJ
Apical bone crest
38- MWF contain vertical incision T/F
MWF use apical position flap T/F
40-best for bone graft
Deep class 3 bone defect
Class 2 furcation involvement
Hemiseptum
Crater
41- after SRP patient has 5 and 6 mm pocket bleed in probing no calculus
Best treatment
SRP again
Maintenance
Perio Surgery
Local antibiotics medication
42- Progenitor cell
Pdl
Cementum
Bone
** Per DD **progenitors give rise to the myeloid cells (monocytes, macrophages, dendritic cells,
megakaryocytes, and granulocytes)
43 – best type of bone ? Type 1
44- moisture in amalgam
Decrease adhesive to tooth
Decrease amalgam strength
Make late expansion provide better seal of restoration
45- liquid in glass ionomer
polyacrylic acid
Weird acid names
46-concussion
Observation
Ext
Rct
Splint
Per DD** Concussion- The tooth is not mobile and not displaced.
17
47- potassium sparing example of
Spironolactone
48- similar between NSAID and Acetaminophen
Analgesic and antipyretics
Analgesic and anti-inflammatory
anti-inflammatory and antipyretics
49- pt came from Japan swelling cheek
Mumps
Infection mononucleosis
Nevus
50- 7 and 10 years old age good for
Fissure sealant
Fluoride treatment
Regular dental appointment
51- infection endocarditis
Streptococcus mutans
Staphylococcus aureus
52- AED Definition and mechanism of action :
definition how does it moves to analyze patient heart (automatic external defibrillator–> )
Wikipedia → is a portable electronic device that automatically diagnoses the life-threatening cardiac
arrhythmias of ventricular fibrillation and pulseless ventricular tachycardia, and is able to treat them through
defibrillation, the application of electricity which stops the arrhythmia, allowing the heart to re-establish an
effective rhythm.
53- Most common tooth lost due to periodontal problem → Maxillary First molar
54-IRM contain Zinc oxide what else the powder contain ? Zno + PMMA
55- Fail Safe mechanism of N2o oxide ? under what % N2o given ? Min 20% Oxygen and 70%
Nitrous‘’Confirmed DD”
56-most common complication of nitrous oxide ? nausea
57- Agenesis least where ? canine
58- The questions in which hygienist did something wrong in a private practical , who is the held responsible ?
Hygienist and supervising dentist
59- X- ray showing : zygomatic process and maxilla
60- Common system tissue complication following extraction? Mucosal tear.
18
61-Just to know → Gingivitis stages:
A. Initial 2-4 days
B. Early 4-7 days
C. Established 14-21 days
D. Advanced

62- Which one is irreversible?
A. Ibuprofen – reversible
B. Dabigatian
C. Warfarin ???
D. Apixaban (Eliquis)
63- Elderly patient what do me give her to calm her down for a dental appt is a preoperative …?
a) fentanyl
b) lorazepam
c) midazolam
d) lidocaine
64- A child 3 years old , 16 kg max …. anesthetic ? 72 mg
65- sturge weber syndrome is associated with ? seizure
66- normal dentate pt which occlusion is preferred ? canine guided
67- Pregnancy – pressure in injection → inferior vena cava. & rapid fall in BP
68- Mental confusion in a pt? Me give glucose .
69- Pt tingling extremities , even before the dental procedure has started? hyperventilation
70- Cleidocranial dysplasia → absence clavicle
19
71- Gardner syndrome → Osteoma , delayed eruption of permanent
72 – cauliflower lesion-papilloma, keratoacanthoma
73- Characteristics microscopically finding in
-OKC
-Periapical cyst
-fibrous dysplasia
72- Left ventricular failure – pedal edema
73- Patient 2 years old swelling gingiva , high Fever 101 f . What is the Dx?
– Acute herpetic gingivostomatitis
-pemphigus
-recurrent aphthous
74- Two questions : much periosteal flap Full thing: partial
75- Modified Widman Flap→ For instrumentation and removal of pocket lining
76 – Severe periodontal destruction occurs in?
A. Chronic periodontitis
B. ANUG
C. Gingival hypoplasia
D. Acute herpetic gingivostomatitis
77- Bacteria in ANUG , before initiation and necrosis? Spirochetes
78 – Normal salivary flow?
Stimulate: 1 ml/ min
Unstimulated: 0.3 to 0.5 ml / min
79 – Exothermic reaction cause by filling in the mouth → PMMA
80- Bucco-lingual positioning of anterior teeth which sibilant ?

20
81- Fracture in the both condyle ?
a) Posterior open bite
b) Anterior open bite
82- Class II opioid → Percocet (oxycodone + acetaminophen )
83- resolved lesion which resolve in its own → hematoma
84- ludwig’s angina → a type of bacterial infection that occurs in the floor of the mouth, under the tongue. It
often develops after an infection of the roots of the teeth (such as tooth abscess) or a mouth injury
85 – Orbital floor fracture, which movement can not be done?
A. Upper / look up
B. Lower / look down
C. Medial
D. Lateral
86- Tooth and tissue bone ?
A. Lingual axed
B. Quad helix
C.Transpalatal axes
D. Nance appliance
87- hypodontia has an effect on → alveolar bone
88- Down’s syndrome→ deficient midface
89- Decrease nasal passage ? INC vertical height
90- implant placement → high torque low speed
91- What affect posture → vertical dimension of rest
92- Patient grind on denture :
Same strength as in natural teeth
1/8 less than natural
1/5 less than natural
1/2 maximum grinding of natural teeth
GOOGLE → DENTURE OCCLUSION IS 10-15% THE FORCES OF THE NATURAL DENTITION
93- OSHA and CDC what is the mutual thing?
Beneficence
Autonomy
Varcity
Justice
21
94- 2 pictures to ameloblastoma and amelofibro odontoma
I couldn’t difference between them , Forgot which unilateral which bilateral, Because same descriptions
95- Patient anxious, took diazepam night before the treatment, and one in the morning. What instructions u
give for post operative care for this patient for the next 24 hrs?
No Drive, or no eat, or don’t take NSAIDs, or no histamin
96- Edrophonium all true except ( cause dry mouth )
97- Contraindication flap in distal molar with thin attached gingiva?
Gingivectomy
Distal wedge flap
98- osseointegration place best → D2 bone , Posterior mandible
99- Disadvantage of cemented implant Retained prosthesis ? Cement layer in the gingival sulcus
100- Not an advantage of LED over Halogen ? a) increase energy B) complete cure
101- hypersensitivity by ? Nickel titanium
102-best amalgam ? high copper & low zinc
103- what do we do …. Composite shade is lighter , when you call the patient after a week
a) obeserve b) add tint c)replace d) veneer
104- Bimaxillary protrusion ? Both jaws the teeth protrude.
________________________________________________________________________________________
1- Carcinoma in situ picture
2- hairy leukoplakia associated with EBV, HSV, HIV
3- warfarin treatment, what food avoid bananas, spinach,..2 more options
4- Bacteria produced collagenase: bacteriod
Per DD Collagenase (which is produced by Bacteroides species) catalyzes the degradation (hydrolysis) of
collagen.
5- red complex in periodontal disease
6- benzodiazepine reversal → Fluma
7- anaesthetic 5 month women pregnancy → Lidocaine 1:100,000
8- woman 40 years, white lesion on both cheeks with erythematous border,cannot be wiped offlichen plans, leukoplakia…
10- bell’s palsy – idiopathic or HSV
11- what not in dementia? preserve short memory loss
12- Ultrasonic scaler is effective based on ?
sharp working edge, vibration tip, pressure that you apply
13- drug motion sickness → scopolamine
14- Radiation most common site for caries: occlusal cervical proximal
22
15- Disinfectant → spray disinfectant 10 minutes before next appointment
16.DI which you cannot seen? increase scalloping in DEJ or wide dentinal irregular tubule
17- why incisal porcelain too opaque?
18- methotrexate not associate- hair growth
19- mentally developed → consistency
20- CR record –
Only record cusps and no perforations
Record cusps and sulcus and a few perforations are accepted (that in protrusive)
The material must be well distributed on the occlusal surface
21.pontic Modified ridge lap- slightly touch the ridge
22.over denture support and retention by- support by soft tissue, retention by implant
23.tooth no symptoms, vital pulp, internal resorption → rct or periodical observation
24.failure of amalgam- moisture contamination
25.neurosarcoma associated with Schwannoma, neurofibromatosis, acoustic neuroma (vestibular
schwannoma)

GOOGLE: neurosarcoma (plural neurosarcomas or neurosarcomata) A malignant peripheral nerve sheath
tumor, a form of cancer of the connective tissue surrounding nerves.
Mosby → B. Neural—malignant peripheral nerve sheath tumor (neurosarcoma).
1. Rare sarcoma showing microscopic evidence of neural differentiation.
2. May arise from preexisting neurofibroma or de novo (no preexisting lesion).
26.cauliflower lesion → papilloma, keratoacanthoma
27- 8 years old boy u have to restorer class 4 what is most significant in incisal margin :
Hue, Chroma , Translucency , Value
28. dentist refer patient to specialist → nonmaleficence
29.not opioid overdose ? somnolence, peripheral inhibitory
30. Trisomy 21 → delay eruption and macroglossia
32.angulation of incisal table
33. two questions sialolithith → whartons duct
23
34.Picture incisive canal cyst
35.histologic similar-i’d choose irritant fibroma
36. MOST important factor responsible for marginal failure of amalgam restoration :
A- Creep
B- Moisture contamination
C- Delayed setting of material
37- sulfonamide MOA
38- not to be used with ginkgo biloba → Blood thinners
39- grand mal seizure medication → dilantin
40- 245 and 330 bur
41- Best image to max sinus-waters or ct?
42- Folic acid analogue → methotrexate
43- Mechanism of action sulfonylurea → stimulate secretion of pancreatic beta cellinsulin
44- brown deposit seen one week after cleaning ? smoker ????
45- slight of primary teeth ? a) normal b)malocclusion c) occlusal interference
46- muscle involvement in bruxism all except ? lateral pterygoid
47- p< 0.05 indicates ? reject null hypothesis
48- measure of dispersion ? variance , standard deviation , range , mean
49- what can not be controlled by the dentist ? condylar guidance
50- Pic of mental foramen
51- use of CHX and Control plaque ?
52- Ameloblastic fibro-odontoma ? mixed lesion
53- Replacement of canine ?
54- leeway space ?
________________________________________________________________________________________
1-Maxillary molar has an MB2 usually located at?
between MB1 and palatal
between MB1 and DB,
mesio-lingual to MB1
disto-lingual to MB1
2-The depth of sulcus is 5mm, the distance between CEJ and the base of sulcus is 2mm.what is the
attachment loss? 2 mm
3-what do u need for periodontal regeneration ?
A-(sharpey fiber : alveolar bone regeneration cementum)
B- ( sharpy gingiva cementum)
24
4- Anterior open bite with normal posterior occlusion
A.thumb sucking “cause posterior crossbite and anterior deep bite”
B.mouth breathing
C.tongue thrusting
D.none
5 -anterior crossbite by
A-supernumerary teeth
B- thumb sucking
C- tongue thrust
6-If both condyle break, what you get?
1. Posterior open bite
2.Anterior open bite
7-Very light an x-ray: Under exposed
8-Which of the following is used for tx tourette syndrome ?
1.phenytoin
2.halpedirol
3.buspirone
4.clozapine
9-Can’t handle finance,how you study his community behaviors pattern that how they have bad oral hygiene ?
Surveillance
10-Veneer cemented with dual cured resin cement, show a brownish line at the cervical margin 1 month later.
What is it:
Silane
Micro-cracks at the porcelain
Inadequate amount of cement
12-prevalence of cleft lip and palate in US is 1 to : 700-1000
13- 25 yrs old male, he extracted his lower left third molar, on the second day he feels feverish, with sublingual
swelling that elevate his tongue, affects the swallowing and breathing,diagnosis : Ludwig angina
14-stridor : Laryngospasm
25
15-cellulitis
A-Neutrophilia
B-Lymphocytosis
16-immunoglobulin IgG : Antigens receptor
17-recurrence is least in : Adenomatoid odontogenic cyst
18-xray with radiolucent /radiopaque lesion in the left posterior molar ramus area , diagnosis : Ameloblastic
fibro-dontoma
19-x ray of Dentigerous cyst impacted tooth with radiolucency around the CEJ
20-which of the following lesion is strictly diagnosed from microscopic features? Okc
21-pic of prescription : name of pt.date. Rx : Motrin 800 mg/ 1 TABLET every 8 HOURS, for dental pain: what
is the wrong of this prescription :
A. Frequency of dose
B. Number of tablets per dose
22-diazepam uses in all Except : Emesis
23- In molar area, the lingual flange of mandibular flange is determined by : Mylohyoid
24-The mandibular flange ( lateral to retromolar area) is determined by : Masseter muscle
25-occlusal morphology determinants, what is correct :
A. Steeper articular eminence, flatter posterior cusps
B. Deeper overbite, flatter posterior cusps
C. Increased overjet, flatter posterior cusps
26-new studies link the leukotriene with which disease: Asthma
27-the mulakotriens moa is : Block of leukotriene receptors
28-Which medication does not affect the effect neostigmine in skeletal muscle:
a) atropine,
b) scopolamine,
c) propantheline,
d) propranolol

26
29- which is correct about the axial walls of gold Onlay : Convergence of gingival wall toward pulpal wall
30-dentist works without consent it is : battery
31-first sign of Multiple Myeloma: Bone pain
32-Teeth lost because of periodontal dz : Max molars
33-Pt, smoker, obese, has productive cough, blue nails, diagnosis : Chronic bronchitis (COPD)
34- most common cause of broken rest : Inadequate depth preparation
35- Cause of using onlay : Minimal dentine support at Cusps
36-deeper depth of rest preparation : Central fossa
37-what of the following has best prognosis: Internal resorption
38-function of oil in x ray tube head : Dissipate the heat
39-mA 10, 1 second exposure, time is changed to 0.5 second, if u want the same density as the first image,
the mA will be :20
40- post function : Retain the core
41- dentist bills core buildup and crown, the insurance says they should be one thing and pay for crown only:
Bundling
42- Non working interference: Buccal inclines of Maxillary lingual Cusps and lingual inclines of mandibular
buccal Cusps
43-The lower right first molar has mesiobuccal facet in mesiobuccal cusp, this may occur in : Protrusion,
working LUBL , inner inclination
44-3 months ago study done cancer among population
retrospective
observational
case series
Cohort
27
45-Experimental study to know the effect of gastric bypass surgery on nutritional status:
– Cohort
– Clinical trial
46-Prevents vertical eruption of opposing tooth
45-tooth and tissue support appliance: Nance
48-pt has skin nodules, Supernumerary teeth and one more description, investigator should investigate for :
intestinal polyps
49- x ray, there are unerupted teeth, retained deciduous, impacted permanent teeth and l saw osteoma also,
What’s the diagnosis : Gardner’s syndrome
50-Treacher choline (mandibulofacial dysostosis) has a relation to zygoma in same manner of cleidocranial
dysplasia relation to : Clavicle
51-Macroglossia doesn’t occur: Hyperthyroidism
52-What is true about elderly pt : Senility comes by age
53-evaluation of 2 groups A and B with 2 drugs for the same period, what type of study
A. Cross sectional
B- clinical trials
C- cohort
54-one month ago, dentists study the prevalence of dental caries among school students, study:
A. Cross sectional
B. Cohort
55- dentist studies 4 unrelated pts with myofascial pain and myalgia, he wants to publish a paper, What type of
study :
A. Case series
B. Clinical trial
C. Observational
56-purpose of percussion : To assess inflammation of pdl
57-painful response that subsides quickly after removal of stimulus is ;
A. Normal pulp
B. Reversible pulpitis
58-polycrystalline ceramic :Zirconia
59-greatest fracture force : Zirconia
28
60-papoose is accepted except → cooperative Child
61-osteoporosis is manifested as → Unusual thin trabeculae
62-desensitizing agent acts by → Depolarizing the nerve
63- bisphosphonate uses in all of the following except → Osteomyelitis
64-15 years old pt with 107 f, lymphadenopathy, sore gums, diagnosis → Primary herpetic gingivostomatitis
65-pic of child with generalized swollen gingiva, bleeds easily, had a history of recurrent skin infection,
diagnosis : Myelocytic leukemia
66-case, pt said my cheeks swollen, he came 1 month ago from Japan, had fever and fatigue followed by
swollen cheeks → Mumps
67-Calculation of la for paedo pt 16 kg : 70
68-most common cells in gcf → Neutrophils
69- effect of smoking on periodontitis all Except → Increase vascularity in gingival sulcus
70- Microorganisms in ANUG before initiation of necrosis → Spirochetes
71- acid of Gic: Poly acrylic
72- most radiosensitive → bone marrow (hemopoietic)
73- Bisphosonate not given in → multiple myeloma (false )
74- Prosthetic heart valve antibiotic prophylaxis → 2 g amoxicillin 1 h b/f surgery
75- Autisitic behavior → repetitive
76- Cirrhosis → hep C
77- recurrent root caries , least material to use ?
-GIC
-Sandwich technique
-Composite resin
78- burning tongue associated with which condition ? geographic tongue
79- Endo shape of mandibular 1st molar ? Trapezoid
80- two canals in which root ? mesial mandibular
81- lithium disilicate → weakest
82- stronger → zirconia
______________________________________________________________________________
29
1-Emphysema characteristic:
Constriction of alveolar spaces
Decreased growth of alveolar space medial
Decreased growth of alveolar space proximal
2-Diabetic pt not well controlled all symptoms except
Irritability
Acute hypoglycemia crisis
Confusion
Bradycardia
3-Determine color of teeth
Enamel
Dentin
4-Between direct composite veneer and indirect porcelain veneer, why choose direct
Easier to readjust if needed
Less tooth reduction needed
5-Pt with fear of choking, associated with:
Chatastrophyzing
General anxiety
Fear of needles
6- Keratinic Lesion in which location most likely to turn into dysplasia
Hard palate
Buccal mucosa
Dorsum of tongue
7-Pendulum fibrotic maxillary tuberosity how to proceed before prosthetic rehabilitation
Vestibuloplasty
Osseous recontour surgery
Osteotomy
CT graft
8-Lateral shift flap, what for?
Reestablish thickness of attached gingiva
Access bone for osteoplasty
Access roots at apical level to better SRP
9-Pt young come with multiple oral lesions, after biopsy of one of the lesions, results indicated neuroma. Which
condition?
MEN (3) “mucosal neuromas”
Polyostotic fibrous dysplasia
Gardner syndrome
10-Chemotherapeutic drug associated with folic acid → Methotrexate
11-Antibiotic inhibit DNA gyrase
Levofloxacin — Per DD
Metronidazole
30
12- Pt weak pulse, unconscious, breath shallow, you laid him down inclined hear a little below the rest and put
him inhaled 100% oxygen. After few min patient still unconscious, what to do?
Consider that pt might had a hypoglycemic crisis
Put in a different position
Apply epinephrine
13-Pediatric pt after one cartridge of lidocaine with epinephrine. Start to feel agitated and euphoric. What
possible reason?
You may exceed dosage of lidocaine for this pt
Injection epinephrine intravascular
Allergic to LA
14-What situation you will see most regression of the inflammation tissue after scale root planing?
Hypertrophic tissue
Hyperplastic tissue
Edema
15-Pt asthmatic, came to office, to treat caries lesion on tooth 8. Use albuterol. How to access this pt asthmatic
condition before the treatment?
Check pulse, blood pressure, breathing
Check breathing, pulse, frequency of albuterol use
Check pulse, breathing and gait
Blood test count
16-Most common related to elderly:
Most common drug abuse is alcohol
Most common drug abuse is illegal drugs
More prone to overuse drugs than misuse them
Elderly least frequently have problems with misuse of drugs
17-What most common gland related with thickness of the hair?
Thyroid
Adrenal
Parathyroid
18-Vertical flaps should be performed:
At the line angle of tooth
At the middle of cervical contour of tooth
At the middle of interproximal papilla
19-How to decrease perception of tooth being too wide?
Increase embrasures, put vertical lines more proximal
Decrease embrasures, put vertical lines more at middle
20-Pt with angina, taking nitroglycerin twice a day for the past weeks. Before you saw this pt and he has
angina taking nitroglycerin twice a week. What ASA classification now?
ASA IV severe mildly uncontrolled angina
ASA III severe well controlled angina
31
21-What is the most helpful factor to differentiate angina from acute myocardial infarction?
Duration of pain
Sensation of pain
Location of pain
Severity of pain
22-Best technique to teach a child to self protect against anxiety:
Fantasy
Rationality
Other weird options
23-3 full associated dentists run an office together. A hygienist works there, and did something wrong for a
patient. Who can be responsible in a lawsuit?
The 3 dentists and the hygienist
Only hygienist
The dentist who was working with the hygienist and the hygienist
24-Bind to dopaminergic receptors:
Levodopa
Carbidopa
25-Pt came to office for restorative treatment. Return 3 days later saying that he woke up with his lips
swallowed. You see edema and erythema equally distributed on his lips. Which immune cells most present in
that kind of reaction that the pt had?
Mast cells
T cells
B cells
26-Classic triad: glossoptosis, mandibular retrognathia, cleft palate → Pierre Robin syndrome
27-What among those present best survival rate:
SCC on lips
Melanoma on gingiva
SSC on tongue
Osteosarcoma
28-Pt with Factor V Leiden syndrome. Pt taking rivaroxaban. What most likely NOT happen:
Pt take oral contraceptives to avoid thromboembolism
Pt can develop pulmonary embolism
Difficult in controlling coagulation after extractions
29-MOA of medication (rivaroxaban):
Inhibition factor V
Inhibition factor Xa
Interfere with vitamin K
Mosby → Direct thrombin inhibitors—lepirudin, bivalirudin, argatroban, dabigatran, rivaroxaban. Protamine is
inactive as an antagonist
32
35- Pt heavy smoker. Had a white, small, smooth lesion on palate, asymptomatic. What would NOT be in the
differential diagnosis?
Pleomorphic adenoma
Keratosis
Stomatitis nicotinic
36- Pt complains about sensation of burning on the lateral of tongue, examination reveals white lesion with
white stripes. What would be possible diagnostic?
Lichen planus (erosive)
Geographic tongue
DD →Lichen planus : may also been seen on the tongue, lips, hard palate, and gingiva. The lace-like striae are
usually asymptomatic, but sometimes the patient may complain of a burning sensation
37- Pt with hard lesion, without cortical expansion, free movable mucosa, well circumscribed, asymptomatic, at
the buccal distal of lower molar. pt was unaware of the condition. What is probably diagnostic? Osteoma
38- What would be a small radiopacity disto apical of the upper second molar in a panoramic radiograph?
Greater palatine foramen
Air space of something
Abscess
39-Picture of compound odontoma
40- Image of normal eruption follicle
41- Image of osteosclerosis
42- Image of nasolabial fold in periapical
43- Maxillary sinus on the right different from the left on panoramic. → chronic sinusitis
44- Pt 22 yo, diabetic type I, HbA1c of 10, had a good medical record, but the past few years has no records,
no evaluations, was busy at college. Pt takes insulin according to recommended years ago. Scheduled an
appointment at office for cleaning.
Q: What would probably NOT be observed in this pt?
Diabetic ketoacidosis
Increased resistance to insulin
Hyperglycemia
45- Pt had the ramus on the left wider than on the right on panoramic. Pt healthy without any skeletal
discrepancy.
Why ramus appear different? → Panoramic positioning error
46- Pt has a brown-blueish small lesion on the hard palate. What would NOT be included in differential
diagnostic?
Lentigo
Melanocytic nevus
Melanotic macule
33
47- Pt 25 yo, presented to extraction of 2 third molars. Wants to have the surgery under nitrous oxide sedation.
What would be recommended for this patient?
Give at least 30% of O2
Be 6 hours fasting before the procedure
**per DD** Fasting is not required for patients undergoing nitrous oxide sedation.
48- In which a group of people would a compromised unaesthetic smile would matters more for themselves
and interfere in a job interview? Bar graph, 3 bars (low, middle and high income) with percentages. High
income group showed more “yes” (interfere in job interview).
High income
49- Pt needs wears a lower RPD, had missing all molars both sides, only one circumferential clasp on
premolar one side, lingual plate major connector. Making a new RPD, how to increase the stability?
Improving design following RPI system
Extending border into buccal shelf (looked like it was already covering buccal shelf area)
Lingual plate major connector
50- What best restorative material for patient cervical caries class V lesions?
Resin glass ionomer
Micro filled composite
51- Pt needs an implant at area of congenital missing tooth. Pt is young, has the primary molar in the region.
What is the best approach?
Maintain the primary molar there until the pt has 18yo, then extract to deliver implant
Extract primary molar and place a space maintainer
Extract primary molar and immediately place an implant
52- You want to develop a new diagnosis test for caries. What would be the most important to consider?
Dichotomic results for the test – either have the disease or not have the disease
Have to know the incidence of caries lesion in the population
________________________________________________________________________________________
1. Pt with a mandibular molar that was non restorable, refused to x-rays. No major systemic disease. You
should do
a. Document with a clinical photo and extract the tooth
b. Make him sign an informed consent and extract the tooth
2. Dentist was doing a RCT, when he was done cleaning a shaping, he irrigated with hypochlorite and pt
jumped cuz she felt pain, and some blood came out of the canal. What was the bleeding from
a. Hypochlorite accident
b. Remain vital tooth
Mosby → b. NaOCl accident.
(1) Signs and symptoms.
(a) Instant extreme pain.
(b) Excessive bleeding from the tooth.
(c) Rapid swelling.
(d) Rapid spread of erythema.
(e) Later—bruising and sensory and motor nerve deficits.
34
3. Access shape for mand molar: trapezoidal
4. Agenesis is least in= max canines
5. Taurodontism
6. An indirect temporary restoration can cause periodontal disease when = margins impinge on soft tissues
7. When can the dentist take x ray for 4 years old child caries free clinically = When spaces are closed
8. Primary support for mandibular Complete Denture: Buccal shelf
9. What is not important in class 3 cavity preparation: extension for prevention
10. Modeling of a fearful child: show him the procedure usually with a sibling
11. Most common associated with dysplastic cells: erythroplakia “Carcinoma in situ”
12. Dentist ignoring unacceptable behavior: extinction
13. Informed consent: autonomy
14. Chronic periodontitis most common in: black males
15. Systemic antibiotics plus SRP for: LAP
16. Medication for Status epilepticus: diazepam
17. Pts with skin nodules, supernumerary teeth, and osteomas, the dentist should investigate for: intestinal
polyps (Gardner syndrome)
18. Dental lamina: 6 wks
19. Treacher Collins syndrome has a relation to the zygoma in the same manner of cleidocranial dysplasia
has relation to: clavicle
20. Cross bites are treated with maxillary expansion. Tongue thrusting causes crossbit. First true, second false
21. Dementia: short term memory loss
22. What is true about elderly: become less intelligent and difficult to change * (this option is not true ,. It
should be senility change with age )
23. Dentist studies 4 unrelated pts with myofascial pain and myalgia. What type of study: Case series
24. Purpose of percussion: to assess inflammation of PDL
25. Polycrystalline ceramic: Zirconia
26. Greatest fracture force: zirconia
27. Least resistance fracture force: Leucite and feldspathic
28. To prevent demineralization of enamel from ortho treatment: Fluoride varnish every 6 months
29. What determines implant height in an overdenture: Gingiva height
30. Question about penumbra
31. Source/object distance for lateral cephalometric → 5 feet
32. Waters view for: maxillary sinus
33. x-ray Fixer purpose: to remove unexposed silver halide crystals
35
34. Amalgam restoration should be removed when: it shows recurrent caries
35. If pt has infected maxillary sinusitis you can know it from all methods except: A. when pt. bends forward it
bothers him B. it irradiates to the ear . C. pain irradiates to max molars
36. Study to know the effect of gastric bypass surgery on nutritional status: Cohort
37. When fail and safe mechanism start in nitrous at what percentage
Nitrous fail safe mechanism → not more than 70% Nitrous, & O2 → min 20 %
38. You can check all drugs in complete blood count except apixaban. (the rest options were anticoagulants)
39. Mitral valve relapse do you premedicate? No
40. Pt comes after 1
st
round of SRP, He does not have calculus or plaque but still pockets of 4 and 5. No
bleeding. What do you do? A. another SRP B. Surgery
41. Stafne bone question
42. Dentigerous cyst question
43. Panoramic pointing zygomatic process
a. zygomatic process of maxilla
b. zygomatic process of temporal bone
44. Discolor in veneer one month after seating → not enough marginal seal (microleakage)
45. Treatment without consent: battery
46. Interferences in non-working side → LUBL
47. Differences between periodontal and periradicular abscess: vitality test
48. Therapeutic index question
↑LD50/↓ED50 = ↑therapeutic index = ↑safety. (LD = lethal dose, ED = effective does).
Ideal = therapeutic index of 100; ratio measures drug’s SAFETY.
49. 3 mm crowding what to do: Interproximal stripping
50. Leeway space definition: → is the size differential between the primary posterior teeth (canine, first and
second molars), and the permanent canine and first and second premolar.
51. MOA of benzodiazepines → depresses limbic system & reticular formation thru strengthening GABA
(gamma aminobutyric acid, inhibitory neurotransmitter); NOT used during pregnancy
52. MOA of atorvastatin → hydroxymethylglutaryl coenzyme A reductase (HMG-Coa reductase)
53. Montelukast → Leukotriene modifiers act on inflammatory mediators of asthma, which contributes to
airway obstruction.
54. Percocet → Acetaminophen + Oxydocone
55. Most stable impression material in moisture environment : Polyether
56. Critical pH for enamel demineralization: 5.5
57. Axial walls on a MOD for a cast gold onlay should: Converge from gingival walls to pulp.
58. What can you give for candida that can be oral and systemically ? ketoconazole & amphotericin B
59. Ludwig angina → sublingual , submandibular , submental
36
60. Cellulitis: lymphocytosis, neutrophils
61. Least recurrent: AOT
62. Ameloblastic fibro odontoma ?
63. Distance bt implants: 3mm
64. Diazepam uses except: emesis
65. Photo of teeth with erosion, cause: bulimia
66. Dry socket
67. Cause of hemorrhage after 3 days of extraction: fibrinolysis
68. Most common location for oral cancer → Tongue
69. DMFT to measure what → Permanent dentition , irreversible
70. Bisphosphonates in all except: osteomyelitis
71. Most recurrence: OKC
72. Most common malignancy in oral cavity : SCC
73. PID length changed from 16 inches to 8 inches, what effect on beam → 4 times more intense
74. Free gingival graft nutrients come from: viable connective tissue bed.
75. Most common teeth to get plaque: ant mand
76. Medication for sleep apnea → Nuvigil (armodafinil). also there is Modafinil (Provigil) – CNS stimulant to
improve wakefulness in pts w/ excessive daytime sleepiness & ADHD
77. Pseudomembranous colitis etiology: clostridium difficile
78. Pt stating: “I don’t have time to quit smoking”: precontemplation
79. Pt with EXCELLENT OH, comes to consult, gums bleed easily and spontaneous. What to do: I put refer for
medical consultation because he had excellent oral hygiene
80. Best type of bone for implants → type 2 bone
81. Placebo is given to 25% of pts. Dentists has an influence in placebo (something like this, I had not seen
this question before). The options were both statements true, both false, first true 2
nd
false, 1
st
false 2
nd
true.
82. Pt with EXCELLENT OH, comes to consult, gums bleed easily and spontaneous. What to do: I put refer for
medical consultation because he had excellent oral hygiene.
83. Differential diagnosis for peripheral giant cell granuloma → Pyogenic granuloma and Peripheral ossifying
fibroma
84. One question on Ante law → states that the root surface area of the abutment teeth supported by bone
must equal or surpass the root surface area of the teeth being replaced with pontics. DD
85. What is most likely to occur when repositioning an ectopic canine with ortho treatment: lack of keratinized
gum, or recession.
________________________________________________________________________________________
37
1-To make a rapport with fearful child:
Sit at level of him
Ensure him there is no hurting
2-OSHA since thing about blood borne pathogen except → MSDS (not related to blood borne pathogen)
3- Informed consistent is form of → autonomy
4- Most common in men
Hemophilia
Diabetes
**Per DD** Hemophilia A and B are inherited as a sex-linked recessive trait by which males are affected and
females are carriers
5- Pka of l.a is: onset
6- Least recurrence among:
fibroma.
Pyogenic granuloma
Peripheral ossifying fibroma
Peripheral giant cell granuloma (confirmed DD)
7- Least recurrence neoplasm: AOT
8- Knowing from microscopic: OKC,(KOT)
9- White lesion asymptotic under denture what to do ? Biopsy , Cytology smear
10- Alveolar osteitis : sedative dressing
11- 46 yrs women removing impacted 3rd molar :
Periodontal problem
Decayed lower 2nd molar
Pathology in bone
To reduce mand fracture chance
12-What disadvantage of oral sedative? Not knowing exact amount will absorb from GI
13- Know about types of seizures
14-Fpd for crown missing
a) Simple . As antes law fine
B)Complex . Out of inter arch
16- 15 yrs man lymphadenopathy fever sore throat
Gingivostomatitis
Infection Mononucleosis
17- what split thickness flap → gingiva and … without periosteum
18- A lot of q about MWF
19- Disadvantage of partial thickness flap over full thickness flap
38
20- Check furcation of max. Molar
Mid facial and mid distal mesio palatal
Mid facial .
mid palatal
21-Headache with nausea
Migraine headache
Tension headache
Trigeminal neuralgia
22- Narcotics all except ? I was between somnolence and no pain in peripheral nerve fibers
DD . Narcotics work in the brain(CNS) while ibuprofen & NSAIDS work in peripheral tissues (PNS); can be
given in combination b/c 2 different mechanisms complement each other for effective pain reduction
23- what decrease in Elderly?
a. Learning
b. Intelligence
24) External bevel of gingivectomy apical to
Mucoalveolar junction
Gingival fiber
Epi attachment
Alveolar bone
________________________________________________________________________________________
1. Ankylosis is type of: replacement resorption
2. Function of oil on x-ray: dissipate heat
3. Zinc oxide is powder of poly carboxylic a. ? T/f
4. Increase water/ Powder ratio effect → increase setting expansion and decrease strength
DD When a high proportion of water is used, the powder particles are farther apart. This results in more
expansion with a retarded setting time and a weaker product
5. Difference between 1st and 2nd trauma of occlusion: PDL involvement in 2ndary
6. Nasal obstruction with low mand.angle – Ant Open bite
7. Disadvantage of distraction osteogenesis osteotomy over traditional osteotomy? Inc time of follow up
8. Most common cause of death in children and infants:
cardiac arrest
electric shock
Drowning
respiratory depression
9. INR: extrinsic pathway
10. Stridor: laryngospasm
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11. IgG : antigen receptor
12. Antifungal oral and systemic : mico
13. Cellulitis: neutrophilia
14. Use of diazepam all except : emesis
15. Dentist work without consent: battery
16. Using onlay: when there is decreases dentin support under cusp
17. Most tooth extracted due to periodontal problems: max. Molar
18. Which has best prognosis : internal resorption
19. Diagnosis from microscopic : OKC
20. Pic of fibro odontoma
21. Pic of complex odontoma
22. Pic of pyogenic fibroma
23. Buccal frenum if mand. Should be free to allow contraction of : zygomaticus , triangularis
24. Shape of mand. Molar acc. : triangles- trapezoidal- oval
25. Sealant retention → micromechanical
26. SSR test found in :
discoid lupus
systemic lupus
diabetes
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4918207/
27. Neoplasm associated with smokeless tobacco ? answer: Leukoplakia , Verruca Vulgaris, and submucous
fibrosis (betel quid)
28. 69 yrs man has painful ulcer on left behind 2nd molar and u notice noticed erythema on left cheek
virus ass.: hzv – hsv – ebv
29. Side effect of nitroglycerin → headache , nausea , and hypotension
30. Cherubism : bilateral mandibular Swelling
31. Chronic periodontitis: black male
32. Incidence of cleft lip and /or palate in USA→ 1:700-1000
33. Dentist can change all except( my own words): condylar inclination- compositing curve
34. Montelukast MOA: leukotrienes inhibitor
35. Leukotrienes use in asthma
36. Patient smoking, WHEEZING, blue nail: chronic bronchitis
37. Cause of ant crossbite : supernumerary
38. Most supernumerary: mesiodens
39. Bacteria of endocarditis → Strep. Viridans (subacute) , Alpha hemolytic Staph. Aureus (infective)
40. Bacteria in ANUG → spirochetes
40
41. In molar area lingual flange determine by : genioglossus , mylohyoid, geniohyoid
42. Q about cemento osseous dysplasia
43. Basal m. Separating from underlying ct : pemphigoid
44. Description of class 2 div. 2:
________________________________________________________________________________________
1.dentist angry with pts and the hygienist drop inst! dentist yell hygienist? Beneficence
2. dentist hiring hygienists pts injured?who is responsible? hygienist and supervising dentist
3. Not an ion blocker→ propranolol
4. Root amputation where to cut in furcation?
A.middle 3rd of root
B.below furcation and rounding root for easy cleaning
5.reason for amalgam removal? Recurrent Caries
6.reason for replacement of anterior composite → Stain
7.moderate pain with cold n bread? crack tooth
8. Galvanic shock → is the brief but sharp electrical sensation one can receive when two dissimilar metals
come into contact in the mouth
9. pts undergoing heart surgery 16 18 30 non restorable caries
-send for dental clearance
-ext before surgery
-prophylaxis before surgery
-rct n coronectomy
10.dentist find new case in office → incidence
11.OPG of → eagle syndrome & Pterygomaxillary fissure & MM
12.PIC of → papilloma & fibroma & lichen planus
14.small case of TB
15.MSDS sheet who responsible → manufacturer and OSHA
16.root caries → soft
17.root caries how to detect → probing with exp
18.What is imp → Value
19.what is most important for success of dental practice
-practice in VIp area
-high flow of pts
-good communication skill
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20- Value is → lightness and darkness
21- Fnx of tin and indium in PFM → oxides layer
22- Minimum redn in incisal of pfm → 1.5
23- What is not in code of ethics → licensure by credential – Speciality
24- What can’t dentist do
-drink alcohol in lunch
-Have relationship with pts
25- What is important in human study? Consent
26- Bacteria in necrotic pulp
27- After nitroglycerin,how to differentiate between angina and MI → duration of pain
28.case of mentally disable lots of caries palpation pain on3 18 30? Live in home care! what to do first?
-report for negligence
-refer for clearance of medical prob
-initiate rct
________________________________________________________________________________________
1.In order to design a new study to assess caries, what do you need?
a.Incidence of caries needs to be known
b.It should reflect dichotomy
c.Wrong definition of specificity
2- Class 2 inlay design?
a.Diverging from gingival wall to pulpal wall
b.Diverging from pulpal to the gingival wall
3.The disadvantage of fillers in composite?
a.refractive index
b.opaque
However, the presence of glass filler in some resin cement materials reduces the shrinkage and can impart
radiopacity.
To deal with problems of incomplete curing with VLC due to the thickness of restorations and filler particles
scattering light
42
4.Coumarin’s effect will be reduced by?
a.Hepatic insufficiency
b.Increase in hepatic enzymes
c.Drug is displaced from proteins
5.Self-drilling pin is used in?
a. Curved surface
b.Flat surface
c. Large tooth
6.Asymptomatic mass in the marginal gingiva opposite to 6. It was pinkish in color in clinical picture, diagnosis
– Peripheral ossifying fibroma
– Peripheral Giant cell granuloma
– Pyogenic granuloma
– Papilloma
7- Blocking the synthesis of prostaglandins does NOT produce which of the following conditions?
A- Antipyresis
B- Increased gastric mucous production
C- Decreased platelet aggregation
D- Decreased renal blood flow
8.How do antagonists work.
a. bind irreversible to active site
b. bind irreversible to inactive site
C. bind reversible to active site
D. bind reversible to inactive site
9.Dentist reporting a child abuse, which ethic code
veracity
Justice
beneficence
non maleficence
10.Drug that acts on all three viruses HSV VZV and CMV
a. valacyclovir
b. foscarnet
11.Ca inhibits Tetracycline absorption by
a. pharmacological antagonism
b. Chemical and physical inhibition
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12.Orbital injury, the nerve I think wasn’t mentioned, asking which way patient cant look
a. Upward
b. downward
C. lateral
d. medial
13- Which drugs action is irreversible?
Plavix
Warfarin
Heparin
Apixaban
DD pidogrel (Plavix) inhibits blood clotting by inhibiting platelet aggregation in an irreversible manner.
14.what can be done with very little keratinized gingiva
a.gingivectomy
b.distal wedge
c.apically displaced flap
15.Mechanism of action of Lipritor (atorvastatin) → Hmg Coa reductase
16.Drug potassium sparing
a.Spironolactone
b. thiazides
C furosemide
17.Liver issues what benzodiazepines to give ? Lorazepam
18. Burning sensation with upper denture, what does it press on → incisive papilla
19.Crohns disease manifestation → aphthous ulcer
20.Intrapulpal anesthesia →backpressure
21.what is added to Zoe to make inr ? PMMA
20- strawberry gingiva and geographic necrosis ? wegener’s granulomatosis
23- which clamp used for class V → #212
24- which drug caused xerostomia in patient
-amphetamine
-buspirone
25- etching removes does what ?
removes organic content
removes moisture from enamel
Missing options may be removes smear layer?
DD Purposes of acid etching:
1. Increases surface energy, which promotes wetting and adhesion.
2. Chemically cleans the tooth structure, which also promotes wetting and adhesion.
3. Creates micropores for micromechanical retention by removing the smear layer
26.drug conjugation → Add a molecule
44
27what will you see in a girl with buccally erupted canine
-deep bite
-recession
28- class V retention
-groove occlusally and gingivally
– parallel disto mesial walls
29.oral mucositis after radiation patin treated by
– Benzydamine hydrochloride
– nystatin
– morphin
30- patient having chest pain, nitro doesn’t help. what can you give except
aspirin
ibuprofen
morphine
nitrous oxide/oxide
________________________________________________________________________________________
1. What is the difference between a young person and an aging adult? No senility or intelligence in options.
I chose the one that said that they couldn’t do things as fast as young people.
2. They asked about what teeth are more susceptible of being lost because of periodontal problems (it was
general and I chose Max Molars)
3. There was another q about treatment planning. Something like if it’s ok to do emergency treatment before
the treatment plan is complete, or if it’s ok to start doing work without having a treatment plan ready (like you’ll
see on the way) You can start only emergencies after obtaining history and consents
4. What is the major problem when doing a distal wedge on a mandibular 2 molar?
The ascending ramus is too close,
the long buccal nerve is on the way,
the lingual on AIN
5. Which teeth can you extract if you gave the patient the IANB and lingual block?
Canine and 1st premolar, only molars, premolars and 1st molar
6. What is important when you do a study where there is more than one evaluator? The calibration between
them
7. How many inches do you have to compress when doing CPR on a kid? 0.5 , 1, 1.5, 2?
**per DD** → 1.5-2 Adults ,1-1.5 Child (1 year to puberty) – 0.5-1 infant
8. Amitriptyline came out a lot. Like side effects and interactions
9. If you did a surgery on a patient with sickle cell what could precipitate a sickle cell attack after the
procedure? Having too much liquid before procedure, using anesthesia with epinephrine, hypoxia on the site?
45
10. A lot of pics and q on radio opaque images, like idiopathic osteosclerosis, complex odontoma, compound
odontoma, osteoporosis (but they came in a very confusing way).
11. Leukoedema. unilateral diffuse, unilateral localized, malignant, or a normal characteristic
12. Incidence is expressed as rate, fraction?
13. Something about an organization can recall name, that was based on? Except kind of q. The growing
population, number of establishments, (sorry I don’t remember) I think is like for distribution of dental offices…
14. 2 questions about the color of teeth (anterior teeth being different), I chose in one because pulp necrosis,
the other one because of initial trauma.
15. The main function of epinephrine → Hemostasis, keep the analgesic in place preventing fast
metabolism…
16. Heroin addiction patient taking methadone → tooth extraction most important concern
1) infection
2)post operative complication
________________________________________________________________________________________
1. All are effects of propofol except … (I think it causes amnesia)
It causes respiratory depressant but doesn’t produce vomiting/nausea and doesn’t increase intracranial
pressure; safer for pregnant women but contra for kids
2. Combination clasp – c-clasp with retentive arm made of WW
3. Penicillinase resistant pen – Penicillinase resistant penicillins are used to treat resistant strains of
staphylococci and other infections → Cloxacillin and dicloxacillin and Augmentin and Unasyn
4. Antagonist and agonist opioid → Pentazocine
5. Bzp is not an antiemetic
6. upper 1st permanent molar is extracted at 8 years what would you do? Allow the space to close or reposition
the 2nd molar instead
7. Moving root without moving crown → torque
8. What determines the level of a class II gingival seat on primary tooth.
Based on the Contact of the adjacent tooth
axial depth
Gingival papillae
Marginal gingiva
**per DD** it is hard due to cervical constriction of the tooth, especially of you extend deep gingivally
** Mosby** Interproximal contacts are broader and flatter in primary teeth and therefore, preparations for
primary teeth are altered by preparing relatively wider gingival seats
46
9. Where would a maxillary third molar be displaced? maxillary sinus or infratemporal fossa
10. Reason for those brown spots seen on face? increase production of melanin, keratinocytes proliferation
11.How to make the mx incisors look larger? Bring facial line angles outwards
12. Acid of GIC? Polyacrylic acid
13. All of the following are an indication for putting a temporary on a deep caries and restoring it at a later time
except
A. Lack of time due to being an emergency appointment
B. Weakened dentin under cusps
C. To assess pulp condition
D. multiple restoration at the same time
(we are not sure if answer B is right) 😀 search ….
________________________________________________________________________________________
1. Which tooth will be unable to erupt on time ? Dilercation, fusion, germination
2. X Ray on exam Max sinus X-ray arrow pointed to zygoma
3. Pt who wants to get a dangerous procedure done what do you do.. take consent? Refer to specialist, refuse
the treatment
4. Pt has wheezing, asthma?
5. The lingual incline of the buccal cusp of the maxillary 2nd premolar in class II occlusion, will occlude where ?
6. A woman who has metastatic cancer she has 8mm pockets gonna have radiotherapy bad OH:
do graft, extract, Perio dental surgery, scaling root planing.
7. 3q about smoking effects of smoking causing hairy leukoplakia
8. Geographic tongue pic see the pic mucocele
9. Prophylaxis not requiring ? SRP, probing, ortho bands, ortho
alignment wires
10. Class 2 increase in what ANB and in Class III ANB will decrease
11. BNZ instead of barbi: marginal safety, addiction ..?
12. Salisylic acid 12 ml how much after 3 half lives? 1.5 ml
13. Nuclear vs DA < 1/10th
If u compare the radiation dose of person working in nuclear power plant and that of a dental assistant (or
whoever takes x ray in a dental setting),how much will the dosage of that person be = 1/5 times of the nuclear
worker
14. Max dose of lidocaine → For adults Lidocaine or Mepivacaine: 300mg , For Adults epinephrine: 200
microgram (11 carpules)
15. Extractions bleeding what should doc do ?

47
16. Articaine (primary blood and then liver)
17. Pregnant lady put on left IVC right side up
18. Which one will heal better 55 year 20 year ?
19. Rebate pt: justice
20. Common reaction of LA with kids.. high epi, more lido.. ??
21. Uncontrolled diabetes .. more Perio diseases
22. Widening PDL: osteosarcoma , MM , Kaposi sarcoma
23. Lower PM parulis on lateral side: buccal space
24. Intrusion.. necrosis
25. Rotation relapse more
26. Maxillary extrusion: supra occlusion
27. Oclusion interference pain on biting: occlusal trauma
28. MOD on post pt complains cold sensation: occlusal trauma tx. Occlusal interface removed
29. Filtration: AL, remove long waves
30. Tn used in PFM: bond, Cr: passivation
High noble resistance: oxide layer.. ??
31. Pt came with kidney transplant and he is taking cyclosporine what he will have ? hypotension, GINGIVAL
ENLARGEMENT
32. Post and core fracture exception
33. Post in endo, retain core
34. Muscle fibers run along parallel buccinator
35. Fracture of mandible body: hematoma at floor
36. Lower wisdom extraction reason ? Bone problem
37. Internal bleaching: Sodium Perborate
38. Which of the following will be used to widen the canal? EDTA, CaOH ,
39. percussion use? PDL status
40. Xerostomia exception Q: caries, mucosal atrophy, conjunctivitis..
41. Collimation decreases what:
42. School fluoridation → rinsing weekly with 0.2% neutral sodium fluoride (NaF) is more common than using a
0.05% NaF solution **per DD**
43. Gingiva has no salivary glands
44. direct pulp cap? COAH is liner and top it off with a base
45. Mandible denture support area → buccal shelf
46. Pt said he has OKC 3rd time and BCC on body: Goriln Goltz
47. O2 mask same as mouth breathing → mouth to mouth 16%
48. Agonist- antagonist → pentazocine
48
49. Indications for Tissue plasminogen activator → thrombotic stroke
50. Camper line: occlusal line (ALA- targal)
51. Clinical mounting Plaster index: to preserve face bow record
52. Pt protrudes mandible all teeth dis occlude → bilateral protected occ
53. Headlight phenomena too much opaque porcelain, b/c we didnít reduce tooth structure
54. Implant analog purpose
55. Simple white spot: hyper calcification from Fl
56. what will affect Perio surgery least: spacing between teeth
57. Cancellous bone: weak bone
58. Class 3 furcation 5mm pocket of maxillary first molar ? bicuspidization and hemisection
59. Cyclic neutropenia why test ? Complete Blood count , Single CBC with cell differentiation
60. cell not in chronic infection: neutrophils
61. Class 3 occ rest fracture: inadequate reduction
62. Pontic modified ridge:minimally touch the ridge
63. GIC cement vs composite class 2: b/c GIC doesnít have wear resistance
64.Treachery Collin syndrome .
65. Side effects of diphenhydramine: dry mouth, nausea, drowsiness
66. Acetaminophen side effects: hepatotoxicity
67. Eagle syndrome pano
68. Pterygomaxillary fissure pano
69. Surveillance question
70. Fluoride dosage (read more ABOUT IT )
71. Amelogenesis imperfecta features →
72. Dentin dysplasia short roots radiograph
73. INCISAL reduction on PFM crown → 1.5 minimum
74. Caries rate in dog with high risk effect, if food given directly by Gut how will caries rate → will decrease
75. How will you increase stability of mandibular denture? More extension and coverage
76. Arcon- non arcon articulation difference
77. Most common tooth with 2nd canal → Mandibular 1st premolar
78. Most common primary tooth With cervical construction → Mandibular 1st molar
79. Bilateral enlargement in mandible is seen in – CHERUBISM
80. PTumour suppressor genes → P53
81. Anti sailalogues → Pilocarpine – Cevi
82. Mech of action of ACE inhibitor
83. Questions from behaviour therapy techniques
________________________________________________________________________________________
49
1. which tooth is least missing congenitally…canine
2. large carious lesion subgingivally, initial treatment to excavate or crown lengthening
3. 9 year old patient and first permanent maxillary molar is extracted ? we give space maintainer or simply wait
for second molar to erupt
4. good behavior with colleagues which ADA Code of Ethics ? beneficence
5. knowing one’s limits and referral to specialist ? nonmaleficence
6. reporting a bad incident during practice? Nonmaleficence
7. reversible ,irreversible, apical periodontitis, simple questions
8. Widening on the PDL space → osteosarcoma
9. skin disease with heart and kidney involvement? lupus ,steven johnson syndrome,erythema multiforme
10. ameloblastoma can develop from dentigerous cyst.
11. aluminum filters long wavelengths low energy
12. how to see if the article is of good quality → peer review
13. which is most linked to gingival recession after plaque? age, tobacco use,(missing Options )
14. Which vitamin will decrease with smoking ? vitamin C
15. Glossitis which vitamin → vitamin b
16. in which occlusion there is no contact of posterior teeth on both working and nonworking sides.mutually
protected occlusion, group function, bilateral balanced
17. how to prevent disclusion of posterior teeth on protrusion → increase compensating curve
18. protrusive record for → condylar inclination
19. what affects shaping of behaviour….i chose something like small praises for each change
20. Minocycline- discoloration gengiva – mini case21. a patient is asked to visualize and think about all the bad stimuli, flooding, systematic desensitization
22. patient moves around the clinic touches all instrument and then lets dentists use explorer on him?
desensitization again (can be Tell Show Do)
23.White spot on a single tooth question
hypoplasia due to fluoride exposure
hypoplasia due to primary incisor trauma
hypercalcification due to excessive calcium intake.
24. Atropine except salivation
25. Non keratinized- → Aphthous
26. Fusion → see image
27. Least 2 canal – max incisors
28. Chromium → passivation
29. Incision line where? line angles

50
30. X-ray order mand molar beginning in Mesial
ML MB D for lower. For Upper Palatal MB2 MB1 DB
31. Elavil (amitriptyline) → xerostomia
32. Hypertelorism → Cleidocranial dysplasia and Gorlin Goltz
33. Where interpreted data of article → Discussion
34. Concussion → observation
35. That Question asking difference between affected and infected dentin?
36. Salivation on cheek ? Frey’s
37. Porcelain ? Chamfer and shoulder
38. Hyperventilation? Hypotension
39. PT? Extrinsic
40. When in contraindicated Endo surgery Except Q ? Uncontrolled diabetes , 2nd trimester pregnancy
44. Root of primary tooth compared with permanent? slender and other more character was the answer
45. Bridge with type of Gold II or III ? type 3
46. Free of disease? Specificity. With disease ? Sensitivity
47. Most important consider article? Peer Review
48. What is most important to see on kid with nitrous ? Nails and lip or oximeter ?
49. Clinical attachment loss calculation 6 mm pocket and 2 recession → 8mm
50. When RPD is inside the mouth like at rest how is retentive clasp ? Passive , More pressure , Little pressure
________________________________________________________________________________________
1- when you do cavity prepare on Class II you start
– Large bur from the periphery to the center
– Small burs from the periphery to the center
– Large bur from the center to the periphery
– Small burs from the center to the periphery
2- Which Code of Ethics will be for the patient abandonment
– Vercity
– Justice
– Autonomy
– Non maleficence
3- Labial Bow .. Q
4- doing a keyhole for post and core on an endo treated teeth why ?
– To prevent antirotation
– Effect on ferrule ?
51
5- Depend on what you will choose for preparation Class II cavity preparation on Primary tooth ?
– Axial wall
– Contact of Adjacent tooth
– Gingival papilla
– Marginal gingiva
6- Leukoderma considered to be
– Unilateral … something
– Normal
– malignancy
7- which one of the local anesthetic will fade the last
– Touch
– Pain
– Pressure
– Cold sensation
8- slow progressive upright will cause all except ?
9- Upright a molar will cause hyper occlusion and long face ?
10- you put a coil spring for molar uprighting on lower molar which will move more the two molars or premolar
day 2
11-Child has dental or previous experience of fear what is the reason
– Parents attitude
– The mass media
– Modeling
– cognitive
12- while you are extracting a 1st molar root dislodge .. what will you do next ?
– Send the pt home with analgesic and ab
– Open a flap and try to get the root fragment
– Send the pt to have CBCT to locate the size and location for the root fragment
13- which primary tooth will unlike any other permanent tooth
– Maxillary 1st molar primary
– Mandibular 1st molar primary
– Maxillary 2nd molar
– Maxillary 3 molar
14- loss of filiform papillae and angular cheilitis is due to decrease on which Vitamin
– A – B – C – D – E
15- Success rate for doing a Root canal treatment for a patient with HIV
– Pt with HIV positive will have a success rate higher that the pt with HIV negative
– Pt with HIV negative will have a success rate high that the pt with HIV positive
– Both patient will have the same rate of success for the RCT
16- dental professional dose → 0.05 sv/yr
52
17- if someone working on the nuclear … is his doseage will be the same as the dental professional ? high, low
, same
18- % of O2 when we do inflate with mask ?
– 10 – 21 – 60 – 100
19- how much Mg of epinephrine in anaphylactic shock? a) 0.3mg b) 0.03mg c) 3mg d) 30mg 15) atropine
20- while you are doing a maxillary denture the buccal flange was too high, which will be affected when you
seat the denture on pt mouth ?
– Buccinator
– Zygomatic
– Masseter
– Coronoid
21- what is the symptoms of Acute myocardial infarction
– Pain , dyspnea , atrial fibrillation, tachycardia
– Pain , not normal EKG , ..
22- Oral mucosa has no minor salivary gland? a) Hard palate b) Soft palate c) Gingiva d) Buccal mucosa
23- Pictures .. tongue tie , erythema migrans on tongue lateral border
24- OPG – Florid cemento osseous dysplasia
25- – indirect retainer will needed in
– Kennedy class II
– Kennedy class III with modification I
– Kennedy class III
– Kennedy class IV
26-primary support on Kennedy class III modification one (both indirect retainer and rest was on the option)
– Indirect retainer
– Major connector
– Rest
– Clasp
27- implant analogue what’s the purpose for ir ?
– To guide on the placement of the implant
– To help on the final impression
– Cemented after final impression ..
28- Substantivity
29- patient come with a heart defect , and you decide to prescribe prophylaxis before the procedure which of
these will not need the AB prophylaxis before it ?
– SRP and prophylaxis
– Dental extraction
– Adjustment on appliance of fixed orthodontic
– Dental probing
– Placing ortho brackets
53
30- ankylosis on intruded teeth due to
– Internal inflammatory resorption
– External Replacement resorption
– External inflammatory resorption
– Internal Replacement resorption
– External surface resorption
31- how much milligram of Fluoride in 1 Liter of water 1 ppm? 1 mg
32- If the facial surface of #23 is 2 mm probing depth and the measure from the free gingival margin to the
muco gingival junction is 3 mm . What’s the width of the attached gingiva of tooth #23
0 mm
1 mm
2 mm
3 mm
33-most common salivary gland get affected with disease.
– Sublingual
– Submandibular
– Submental
– Parotid
34- on a study of a periodontal cases on clinic you have studied 1000 PEriodontal person .. 300 of them have
found that they have periodontal disease .. after one year only 200 had periodontal disease of the same person
. whas the incidence rate in that year ..
– 100/1000
– 200/1000
– 300/1000
– 500/1000
Read that Q carefully on the exam and put your answers based on your judge ,, may be i miss
something while i am typing the Q
35- you got the most attached keratinized attached gingiva from
– Double papilla flap
– Sagittal split papilla flap
– Free gingival graft
36- Select shade for the tooth all of these right except one
– Use multiple sources of light
– Change your eye looking in less than 5 sec
– Moist teeth
– Have a distance less than 3 feet bet you and pt
37- you did a buildup core and crown preparation . and you submit to the insurance separate . the insurance
only cover the crown and return back to you paying only for the crown what is that ?
– Downcoding
– Bundling
– Unbundling
– upcoding
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38- After doing RCT all of these will happen except one .?
– Regeneration dentin
– Regeneration cementum
– Regeneration alveolar bone
– Regeneration PDL
39- Paresthesia of lip sign of? Malignancy , angle fracture , nerve injury
40- What is the name of the anti plaque agent available in the current anti tartar dentifrices ? pyrophosphate
41- a 4 year old child came to your office for the first visit for a filling. she is very shy . and when you just start
cavity preparation she starts crying what you will do
– Voice control
– Send her home
– Show empathy , stop the procedure and ask her why she is crying
42- You want impacted 3rd molar to be extracted on a 64 year old man . he is asymptomatic why you decide to
extract the 3th molar
– Presence of bone pathology
– Prevent caries on the distal 2nd molar to occur
43- Developmental anomaly of Supernumerary teeth occurs in which stage of tooth development :
A. Initiation
B. Apposition
C. Bell stage
44- First time visit for a dental child he is fearful what the cause of the fear
– Objective fear
– Subjective
– Objective and subjective
45- Which one will prevent the Corrosion on PFM
– Moblynedium
– Chromium
– Cobalt
– Nickel
46- Penicillinase resistant penicillin which
– Amoxicillin
– Dicloxacillin
– Penicillin
– Ampicillin
47-Send the records to the new doc with sending the copayment to the pt address also
55- small case pt she is 17 yr old has attachment loss around the mand incisors and maxillary molar which
bacteria will be the cause of that ?
– AA
– Provetalla
– T. denticola
– T forsythia
55
48- Silothiasis is common in
A. Stenson’s duct
B. Sublingual duct
C. Wharton’s duct
D. Minor salivary gland duct
49- Informed consent is → autonomy
50- unethical to fee the patient solely because he is benefiting from insurance
– Justice
-Veracity
– Benfinence
-Non maleficence
51- chronic periodontitis is more common in black males
52- opioid antagonist receptor → naloxone
53- Flumenzil → benzol
54- you had a patient has a copayment and he called requesting to send his dental records to a new dental
clinic what will you do ?
– Refuse to send the records
– Send the records with a billing for his copayment to the new dr
– Send the record to the new doctor and send a bill to the pt address
56- Vestibuloplasty?
– supra periosteal,
– sub periosteal
– Sub Osseous
– supra osseous
57- Reducing the cuso during preparation ?
Resistance
Retention
Outline
Convenience form
58- pt has surface root sensitivity which restoration you will use ?
– Cast Gold
– Direct Gold
– Composite
– Amalgam
59- 4 years old Child came to your office with avulsed primary central incisor what will you do ?
Reimplant the tooth into the socket and splinted
Leave it (don’t put it back )
Curettage the socket
56
60- Something like the dentist has to share his knowledge and provide service to the population or community
something like that
Benfinece
Justice
Non Maleficence
________________________________________________________________________________________
1. The department in the U.S government that insures that people get right health care especially handicapped
is
a. NIH
b. Department of health and human services
2. If you are preparing a cavity perpendicular to the long axis of the tooth where would you have pulp
exposure first
a. max peromlar
b. mand premolar
c. mand molar
d. all the same exposure risk
3. The importance of “contingency”
4. The most important is human behavior is to know about
a. learning and emotion or development
b. forgot the options but they were all paired
5.what is the purpose of packaging instruments before sterilization
a. to make sure instruments are sterile
b. to prevent contamination after sterilization until used
6. a general dentist can not say that his practice is “limited to” a certain specialty because it is against which
code of ethics → Veracity
7. When the spectrum becomes broader in an antibiotic what increases? → risk of superinfection
8. mechanism by which HPV causes cancer
a. activation of tumor suppressor
b. activation of proto oncogene
C. deactivation of A
D. deactivation of B
9. Question about bone morphogenetic protein (like which protein induces bone formation of something like
that)
10. 3 questions about molar up righting … what can make the process take longer
a. insufficient anchorage
b. something about coil and spring
11. a post should be placed
a. parallel to the long axis of tooth
b. perpendicular to floor
C. also something about the floor
57
12. when speaking to a deaf person you
a. speak directly to the interpreter
b. address the patient and wait for the interpreter to translate after (pause)
13. refusing treatment for a patient with a blood-borne pathogen is against which ethics ? → justice
14. rebate which ethic → justice
15. inadequately curing composite will lead to
a. less water sorption
b. more water sorption
(all about water sorption and effect on bonding and microleakage)
16. what is the maximum allowed dose for an assistant compared to a nuclear worker (NOT how much is an
assistant getting in comparison) → same dosage
17. hatchet vs GMT
18. pic of supernumerary tooth (mesiodens)
19. cimetidine is used to
a. reduce gastric acid
b. treatment of cold and flu
20. which salivary gland is more prone to get a tumor
a. parotid
b. minor in palate
21. acute myocardial infarction
a. dyspnea – tachycardia – pain
b. ECG stuff
22. asthma
a. congenital narrowing
b. chronic inflammation
23. during auscultation what does wheezing indicate
a. explosion of something during expiration
b. fluid edema long answers
24. the system where self employed gives dollars for employees to choose the dentist that they want
a. hmo
b. PPO
C. Iap
26. plasma cholinesterase → articaine
27. plaque index is most useful for → I chose patient motivation can’t remember all the answers
28.incision for lingual tori
a. 2 vertical releasing
B. other options
58
29. vestibuloplasty in the palate – sub or supra periosteal
30. disadvantage of autologous cancellous bone graft
a. not enough BMP
b. not enough strength
31. the amount of x ray absorbed by the object depends on:
a. exposure time
b. MA
32. GTN causes hypotension by which mechanism?
a. reflex to vasodilation effect
b. effect on ganglia
33. root planing – u do all except
a. remove plaque
b. remove calculus
C. remove epithelium from base of sulcus
34. Drug Enforcement Administration checks drugs for
a. potency
b. safety
C. therapeutic index
D. dependence
35. altered passive eruption what clinical sign (no excessive gingival display in answers)
a. short clinical crowns
36. substantivity (one was definition one was about why Chx is superior)
37. free gingival graft undergoes
a. proliferation
b. degeneration
38. after flap what happens immediately → I chose endothelial something
39. sign of malignancy
a. cortical expansion
b. cortical (breakdown something like that)
40- Patient think dr and assistant are talking bad about her but they are not talking about him what it will be
that ?
– paranoid
-Illusion
-Hallucination
59
41- Piaget’s 4 Stages of Development =sensorimotor stage, preoperational stage, concrete operational stage,
formal operational stage
-Anesthesia calculations
-Difference between parulis and
Pyogenic granuloma
-Behcet syndrome
-Bohn’s Nodule
– Condyle deviation to the unaffected
side → hyperplasia
-Wavelength where?, hue, chroma,
value
-Marsupialization when?
– Frey’s syndrome
– PPO
– Cimetidine → H2 blocker for the GI stomach
– Irreversible pulpitis with acute apical abscess – Symptomatic irreversible pulpitis
– Lateral periapical Cyst → x ray
– Sickle Cell anemia
– First thing you do when patients come for first time office → Establish rapport
– Transillumination in a tooth


________________________________________________________________________________________
1-At which of the following locations is apical repositioned flap procedure difficult to perform → Maxillary palatal
2- crown lengthening flap?
Apical displaced flap
MWF in options
3- Researcher has set alpha at 0.05 result showed P value: 0.01 and researcher rejected the null hypothesis .
What kind of error is it?
. Type 1
. Type2
. No error
4-A researcher establishes the following null hypothesis. “There is no difference in student achievement
between the promise self instructional strategy and the conventional lecture discussion format”
In this study, the independent variables will be:
1. type of instruments being used.
2. number of students who participated.
3. relevance of course material
4. examination scores obtained*?
60
5- Why risk of bleeding during chemotherapy:
Thrombocytopenia
fragile vessels
6- Health care expenses in USA is paid by
Medicaid
Medicare
Self
Private insurance
7-NOT included in ADA code and ethics and professional conduct:
A licensure by credential
B publicity
C issue concerning
D fee
9- CR record
1.Only record cusps and no perforations
2.Record cusps and sulcus and a few perforations are accepted
3.The material must be well distributed on the occlusal surface
10- you got the most attached keratinized attached gingiva from
Double papilla flap
Sagittal split papilla flap
Free gingival graft
11- gingivectomy
Coronal to MGJ
12- disocclusion of posterior teeth
Mutually protected occlusion
13- which antidepressant inhibits norepinephrine?
Amitriptyline (TCA)
14- Naloxone MOA
high affinity high intrinsic activity
high affinity low intrinsic activity*?
low affinity and low intrinsic activity
low affinity and high intrinsic activity
15- What kind of radiation does an MRI works on?
Gamma,
xray
Radio waves
16- benzodiazepines reversal → Flumazenil
17- Lisinopril MOA
decrease sodium’s amount in kidney
Decrease peripheral resistance
61
18- gastric ulcer medication?
Ranitidine
19- increase salivary production
Cholinergic parasympathetic
20- patient taking TCA what would you considered can cause a reaction in the patient
Epinephrine in LA
23- patient with white erythematous borders lesion on the side of the tongue
Erythema migrans
24- treatment for this lesion except
Nystatin
Improve OH technique
Chlorhexidine
25- medication substitute of Cevimeline
Pilocarpine
26- most crown root fracture?
Maxillary anteriors?
27- transillumination test
Craze lines
28- probing in vertical root fracture
Deep probing in one side
Deep probing in two sites
29- Bacteria in red complex
P.gingivalis
30- subsulfate ferric effect after endo surgery
Something about osteoclasts activity
32- patient obese with macules and pigmentation in mucosa. What is suspected by the dentist ?
33- hyoid bone in x rays, ear lobe
34- patient with cross bite . What is related to this patient’s occlusion? Class 2 division 2
Kind of the same question again but in options there was malocclusion class 1, I picked class 2 canine
malocclusion
35- Epulis is histologically similar to what:
Traumatic fibroma
Traumatic neuroma
Granular cell tumor
62
36- Patients complains of a red bump on palate, It was biopsied and there was hyperplastic epithelium,
underneath fibrous CT, healthy compact bone and bone marrow. What could it be? (I think patient was
smoker)
Osteoma*?
Osteoblastoma,
Osteosarcoma
Pleomorphic adenoma.
37- Cause of the red bump except:
Hérpes
Nicotinic Stomatitis
Pleomorphic adenoma
Aphthous ulcer
38- Cause of hairy leukoplakia?
EBV
39- Most common lymphoma in jaw?
A. Burkit
B. Myelogenous lymphoma
40- How does implant connect to tissue:
A. hemidesmosomes
B. collagen type 1
C. sharpey’s fiber
41- patient with fracture of distal cusp supragingival in pic there was amalgam restoration, how to restore
PFM
Amalgam with pins
42- troches → clotrimazole
43- not a NSAID → Ketamine
44- carpopedal spasm → Hyperventilation (& Hypocalcemia)
45- affection in emphysema
Bronchi
Bronchioles
Alveoli
46- patient agitated and exhale wheezing after LA
Asthma
47- what can be an effect produced by the epinephrine in LA? Tachycardia?
48- motion sickness → Scopolamine
49- coast of Maine, cafe au lait, freckles → McCune Albright Polyostotic Fibrous dysplasia
63
50- white lesion border tongue
Incisional biopsy
Excisional biopsy
Exfoliative cytology
51- if you present a patient a complete denture as the only choice of treatment what code of ethics would you
be violating → Autonomy
52- child watching relative → Modeling
53- safety n2o mechanism → 70%
54- Before drug was submitted to the FDA had to go through → a randomized clinical trial
55- peripheral nerve branch of V2 to block in order to make a biopsy in the palatal area near molars
A-Greater platine
B-Posterior superior alveolar nerve
56- Ginkgo biloba dangerous side effect → bleeding
57- methotrexate effects except → hair grow
58- hormone ( I don’t remember but something related with epinephrine sensitivity → Thyroid
59- osteoma found in patient → Gardner
60- Patient with prosthetic valve allergic to amoxicillin prophylactic AB → Clinda 600mg 1 hour prior tx
61- What drug is available to do the desired effects
A. free in plasma
B. bonded to proteins in plasma
62- synchondrosis: cartilage
63- at birth calcification of man incisors are?
A- not started
B- 1/4 completed
C- 1/2 completed
D- 3/4 completed
64- HMG CoA reductase (hydroxymethylglutaryl coenzyme A reductase) → lovastatin
65- supernumerary and retained teeth → cleidocranial dysplasia
66- Down syndrome except → incipient caries
67- hypodontia → ectodermal dysplasia
68- nsaids moa → Inhibit COX
69- Ultrasonic scaler is effective based on?
64
A-vibration tip B-pressure that you apply
70-Kaposi sarcoma most common in HIV patients, most common location palate → Both true
71- periodontitis seen more in → black male
72- conical shaped caries wI broad base with apex towards pulp is commonly seen in? smooth caries
73- which group is replaced by fluoride in enamel ? Hydroxyl group
74- after remineralization enamel is → More resistant
75- sulfonamides moa → Inhibit para aminobenzoic acid (PABA) in folic acid and folic acid synthesis
76- 2mm less in denture border where?
a. Mucobuccal fold
b. Buccal vestibule
c. Lingual frenum
77- buccolingual width in mm between 2 implants? 7mm
78 young patient, 13 years old maybe, lesion in posterior mandible, asymptomatic what can be the cause?
Fibrous dysplasia (remember asymptomatic, young patients and occlusal problems when the lesión increase in
size can lead to occlusal disharmony)
79 patient comes back the next day with a restriction in opening after a procedure, in which dentist performed
nerve block with LA patient can open mouth what’s the cause?
Medial pterygoid injured by needle (remember trismus causes, space affected is pterygomandibular,
buccinator is normally pierced during IAN nerve block)
80- cheek biting → Inadequate horizontal overlap
81- Patient feels his upper denture is impinging on his nose and bulky appearance something like that possible
reason:
A. teeth set too labially
B. flange is too thick
C. occlusal plane set too high
82- Modified ridge Pontic → Barely contact with ridge
83- When pt says S, CH?
A. tongue between incisal edges of anterior teeth
B. incisal edge apart
C. incisal edge touching
D. incisal edge almost touching
84-Strength of non rigid connector depends on
A. Mesiodistal dimension of connector
B. Buccolingual dimension of connector
C. Occluso Gingival
85- critical PH for demineralization → 5.5
65
86- fluoridation in USA communities → 0.6-1.5
87-percent of people with Hérpes → 80-85%
88- Bell’s palsy → Idiopathic
89- Perio failure in → Maxillary molars
90- oral hygiene difficulty in which tooth → Max 1 PM
91- What is not recommended to place the instruments if you are going to use a steam sterilizer?
a) Paper packets
b) Paper/plastic porous bags
c) Plastic bags
d) Solid containers
e) Cloth pouches
91-systemic candidiasis → Fluconazole
92- treatment for a primary intruded tooth
A- Extraction
B- Allow tooth to spontaneously re-erupt
C- Reposition tooth surgically
93- Dentist tell patient they need to replace all amalgams due to systemic toxicity. Which principle of ethics
does the dentist violate?
Veracity
Beneficence
Non maleficence
94- Diagnostic test fails to prove that patients had a disease this means the test has poor:
A-Sensitivity
B-Specificity
95- What bur will produce the smoother surface while you are preparing a class 2 cavity:
A. Green stones
B. Cross-cut
C. Plane-cut
D. Diamond
96- how you get incisal table angulation?
A-Overjet and Overbite
B-Facebow
C-Condylar guidance
97-Medicare insurance for elderly cover medical but don’t cover dental True*
98- most frequent cause of failure of dental amalgam restorations?
A- Moisture contamination
B- Improper cavity design
C- Improper condensation
66
D- Inadequate trituration
99-shape and size stage → Morphodifferentiation
100-In treating a tooth with both endodontic and periodontic involvement, which of the following would the
dentist perform first?
A- Antibiotic regimen
B- Endodontic therapy
C- Periodontal therapy
D- Endodontic concomitant with periodontal therapies should be performed (something like that)
101- effective antimicrobial → Chlorhexidine
102-Mouthwash for a mentally compromised child?
Chlorhexidine
Stannous fluoride
Sodium fluoride
103- A developmentally disabled patient should be treated with
A- Flattery
B- permissiveness
C- consistency
104- If a particular test is to correctly identify 95 out of 100 existing disease cases, then that test would have a
A- Specificity of 95%
B- Sensitivity of 95%
C- Positive predictive
105- X Ray for sinus → Waters
106. dentist generates code to increase reimbursement → Unbundling, Upcoding
107. The best time to perform oral surgery on a patient receiving dialysis
A- Day of dialysis
B- 1 day before dialysis
C- 1 day after dialysis
D- 2 days after dialysis
108. A displaced fracture of the mandible courses from the angle to the third molar. This fracture is potentially
difficult to treat with a closed reduction because of
A- Injury to the neurovascular bundle
B- Malocclusion secondary to the injury
C- Compromise of the blood supply to the mandible
D- Distraction of the fracture segments by muscle pull
109. Patient needs surgery to fix an 8 mm open bite. What surgery would be the best option:
A. intraoral vertical osteotomy
B. Le Fort 1
C. genioplasty
D. sagittal split osteotomy
67
110. 40 years old patient bilateral posterior crossbite , what would be the way to correct the problem?
a. Hyrax
b. BSSO
c. Quad helix
111. The case related with question 34 and a picture that was like this asking about the interference in which
side because of the canine.
Asking in what movement would be interference:
A. Protrusive
B. Left lateral excursive*
C. Right lateral excursive
Xrays and photos
1. Genial tubercle
2. Thin line of resin cement on both upper molars (asking about resin cement)
3. Maxillary sinus
4. reason why #8 RCT treated is darker a.necrotic tissue b.previous trauma
7. amalgam tattoo around gingiva of #18 under crown
8. Be careful old lady taking Boniva has pericoronitis around 17 .. I chose irrigate with antibacterial mouthwash
9. they list tons of sedation vs GA extraction I chose no treatment since the patient is on Boniva and the teeth
are laying on the IAN anyway
68
Cases Day 2
Case no 1
Pt 10 years old, missing space for proper alignment of teeth, wearing band and loop tooth 14, tooth 13 erupting, can
see clinical crown, tooth 12 still not erupted (second premolars erupting before first premolars). Other side of upper
arch eruption order was right, first premolars erupting, primary second molar still present. Deviation of superior
midline to the right. Missing lower second premolar on the left. Lower arch primary second molars present both
sides and first premolars erupting.
Q1 : Why the reason of infraocclusion of K and 21? Ankylosis of K and 21 in the process of erupting
Q2: What will be the probably direction which upper canines will erupt? Mesially and Buccally
Q3: Why would NOT be a reason for keeping the tooth K in that patient?
To prevent the supraocclusion of tooth 13 (this, because K is already in infraocclusion)
To avoid that tooth 21 goes distally and tooth 19 goes mesially
Case no 2
Young pt 16 yo with anterior open bite, had car accident before, lost tooth 8 in the accident. Teeth 7 and 9 inclined
towards the space. Pt needs to extract third molars.
Q1: What is the best way to confirm that the anterior open bite was NOT related to the accident?
Presence of mamelons on lower and upper incisors
Absence of endo tx on the lower incisors
depending on the rest of the options
Q2: What was the most possible reason for the anterior open bite seen in this pt?
Incorrect posture of the tongue
Q3: What is the best way to confirm that this pt peak of growth is already over?
Epiphyseal closure of long bones in radiograph
Comparison of 2 cephalometric radiographs from the past 2 years
Q4: What would be best ortho tx for opening space for implant in this pt?
Fixed ortho
Aligners
Q5: What would be advantage to extract third molars before 21 years old?
Less risk of injuring the inferior alveolar nerve
Less alveolar bone loss
Less risk of injure of lingual nerve
Q6: What would be strong light radiopacity between teeth 7 and 9?
Piercing (nasal)
Case no 3
Pt hypertensive, hypercholesterolemia, diabetic type II had removal of gallbladder, had bypass surgery stomach.
Had adenocarcinoma removed and radiotherapy. Pt a lot of drugs for hypertension, also cimetidine, omeprazole,
metformin.
Q1: You want to test the effect of bypass surgery in the pts nutritional habits. What would be the best way to
study?
Cohort
69
Clinical trial
Observational study
Q2: Pt has many teeth with caries lesion on cervical area, what can be a factor that influence this?
Radiotherapy
Q3: Successful of restorative treatment of this pt considering a long term, would be most compromised by
which condition?
Risk of worsen periodontal disease
Risk of recurrence of carcinoma
Risk of osteoradionecrosis
Case no 4
Pt 55 yo, with only anterior teeth, poor oral hygiene, not wearing rpd, wants to improve his ability for chewing. Pt has
limited income.
Q1: What would be the best for accessing this patient`s community behavioral towards oral health?
Surveillance
Clinical exams
Q2: What would be best to prescribe to this pt periodontal condition to use at home?
Chlorhexidine
Xylitol
Cetylpyridinium chloride
Case no 5
young pt CC: “My wisdom teeth are hurting”. Pt with all 4 wisdom teeth, pericoronitis in 17. No relevant systemic
compromise.
Q1: What is not recommended for the ACUTE treatment of the pericoronitis:
a. Irrigation
b. Curettage of the socket
c. Extraction of 17
d. Extraction of 16
e. Antibiotic therapy
Q2: If you were to extract 16 or 1 what would be the most important complication DURING the extraction:
a. Hemorrhage
b. Displacement of teeth into the infratemporal fossa
c. Fracture of tuberosity
Case no 6
Pt systemically compromise, taking Plavix and aspirin, I think he also some stends etc.
Q1. If you are doing an extraction what would you use to control the hemorrhage in the socket
a. Cellulose
b. Collagen
c. Dry socket pack
d. Gelatin
Case no 7
Rita case with palatal pigment!all same (Read Rita Cases Day 2 )
old women with canine to canine left n 1st molar left wear rpd
A. what is problem with ext of max molar?tuberosity#
B.what problem she will have in ?-retrusive(i choose)-protrusive-lateral excursion
C.swelling on gingiva on canine-edema
70
D.growth of tissue in mesial of max1st molar due to -rpd
Case no 8
old man with laryngeal cancer radiation therapy 10yr ago,HTN,med for HTN
A.cause of caries-radiation
B.material for root caries -RMGIC
C.what can increase risk for caries-plaque n poor OH
4.short case for amalgam tattoo n eagle syndrome
Case no 9
Hispanic Girl 16 year old girl with her mom.Congenitally missing both upper laterals – one upper premolar and
both lower 2nd premolars , lower primary 2nd molars ankylosed. She is wearing an upper TPP to replace the
laterals
Q 1. How many permanent teeth are missing: charting is not consistent with the OPG the question did not
specify if u should include the unerupted 3rd molars or not .. totally messed up question
6, 7 , 8 , 9 ?
Q 2. If you initiate treatment without consenting her mom which code of Ethics you are violating ?
Veracity , Justice , Autonomy , Non malifenciens
Q 3. What is the reason for the brown discoloration on the gingiva under lower anteriors
a. physiologic
b. melanotic macule
Q 4. If you are going to replace the laterals with implants what is not a consideration (I chose the midline)
SAME Q: There were 2 lateral incisors missing, the question was which factor wouldn’t affect implant
placement:
– The fact that midline is not at the Center
– Decreased MD with Available
– Growth of patient is still remaining to be completed
– Not enough bone height
Q 5. If you are going to extract K what is the best time
a. when growth is completed
b. when ortho is done opening space for the implants on the upper laterals (I chose this since I assumed
implants will be placed at the same time for the upper and lower)
Q 6. why are the roots on K short?
a. replacement resorption
b. inflammatory resorption
Q 7. Which tooth will move more with a coiled spring premolar or molar ?
Q 8. There were many questions to tell whether the canine relationship was a class 1 2 or 3
Case no 10
** Lady taking o/contraception pills and antihypertensive
Black gums why? It can be normal or due to medication (Check the image on the case and the meds)
Care during extraction
Side effect of OCPs
** Aids patient Which all tests before extraction?
71
Case no 13
86 years some med history need extract both mand 3 molar almost on the IAN
– GA with local anestésic,
– GA with sedation,
– GA and no anesthesia,
– Local sedation on the office
1. Tooth # 13 has a large MOD defective tooth colored restoration (they don’t tell u that they just say
the patient says it’s sharp) best replacement would be
a. composite
b. inlay
C. full PFM
2. Tooth #8 distally had a filling that broke when the patient fell what’s the best way to restore
a. resin modified GI
b. full crown
C. composite
3. Son tells u another dentist suggested crowning all 6 anteriors what is your best response:
a. “I can do that right now”
b. “so you are interested in esthetic options let me discuss them with you”
c. “That is the most ridiculous idea”
5. tooth # 29 has a large mod , if you want to place a class II RPD what it the best tx for 29
a. I chose PFM
6. What is the worst clasp design for tooth #29
a. c-clasp with mesial rest
b. c-clasp with distal rest
c. I-bar
7. Picture of a blue discoloration on the buccal mucosa
a. amalgam tattoo
b. varix (of course!!!! So very clearly )
8. How is the gingiva ? gingivitis , Chronic periodontitis , moderate periodontitis , aggressive
periodontitis
Same Q. written in other way → Question about the gums…. I put gingivitis but for a moment hesitate
about localized periodontitis in 2 molars has 875 other 5 at P but I wasn’t sure so I put Gingivitis cause
the rest of teeth were 34343434 :O)
Antisialalogues
Anti hypertensives
Case no 14
Son call the mother broke the composite on distal what do ? Crown – not too much broke on pic but X-ray
showed that the tooth was with a lot of composite but the options like veneer, GI
1. Candidiasis tongue . when you rub off the white lesion will show a red tongue
2. Lesion on tongue when remove plaque bleeding, tt? Nystatin or anti inflammatory
3. Lesion corner mouth what is ? Candida ?
4. ADHD – stop medication ? Give more ? Give less ? Or continuous with the same medication?
5. Line radiopaque on the middle of the crown on x ray what is ? cement
72
6. Resin cement because pt has crown and line was all extension of the tooth ( options GI , caoh )
Case no 15
a patient having migraine – what fibers contribute to her vascular condition (they don’t say migraine in the
question and she doesn’t have any other relevant issue) they used symbols too to confuse us
a. A β
b. A δ
c. C
A patient has Bell’s palsy what do you tell her about her condition
a. will improve with time with motor function regained
b. will worsen over time
c. will not change
Case no 16
Pt of methamphetamine mouth asking about reason of caries – u can see lots of cervical lesions
a. bulimia
b. lemon sucking
C. recreational narcotic use
Case no 17
Patient taking Elavil (amitriptyline) and Ibuprofen ( you have to check the history window they don’t mention
that in the question ) which will not affect his medication
a. Lidocaine with epi
b. epi
C. carbocaine
d. Aspirin
Pt 78 yr crack a tooth,10 yrs without going to the dentist, no insurance. taking venlafaxine
Angular Cheilitis
-Pt. With Parkinson taking levodopa… You talk to the patient about oral condition or with the family?
-Pleomorphic adenoma, osteoma
Case no 18
112. Case 42 year old man, many teeth missing, wants denture
Oral finding : mandibular Canine to canine teeth are present, posteriors all
edentulous
Maxillary: upper 2nd molar and 2nd premolar present rest all missing
Questions:
All are reason for his early tooth loss except?
A-Poor oral care as a child
B- Lack of fluoridated water
C- Untreated periodontal disease
D- Incomplete tooth development**
73
All are risks of extraction of the upper teeth. Which is LEAST expected?
A- Dry socket
B- Tuberosity fracture
C- damage to adjacent tooth
D- one more option
For denture in the mandible what is least preferred “or not acceptable”
treatment?
A- Extracted remaining teeth then Complete denture
B- passage all anterior except canines on both sides, then put crown on the canine and removable denture** (I
picked this one, I have never seen a RPD with only two teeth, is a contraindication for RPD when there’s a lack
of suitable teeth in arch to support, stabilize and retain denture)
C- Extract all teeth, put 2 implants and dentures (That’s the minimum amount of implants for an implant retain
denture)
D- Extract all, put implant and fixed from 27- 25 and 22- 24, then RPD
ALL THE SUCCESS!
m&m

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