June Rqs merged file

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June Rqs merged file

Discussion Tuesday morning June 1

32. Best time for gardsil using? Before being sexually active

33. kissing lesion on tongue and mentioned same on palate? Median rhomboid glossitis

34.antiangina drug? – propranolol 35. supraventricular antiarrhythmic drug? – quinidine

36. For host modulation in perio? – minocycline another was doxycycline 3

7. How much is the APF concretion? 1.23%

38.neurological problem causing paralysis and problems in motor part brain…gave the definition? cerebral palsy

39. if pt feels nausea after NO2? – give 100 % oxygen

40. What is the main problem of cancellous bone graft? -no structural integrity (it’s weak!)

41. multiple skin nodule + pigmentation -? neurofibromatosis

42.fibrous tuberosity removal, what incision? v shaped incisions undermining d flaps

43. Biopsy helps with soft tissue lesion diagnosis? 2 types -Incisional (small section) – Excisional (complete removal) DO NOT perform biopsy in hemangioma.

44. One case showing a pic of which biopsy to be used? If a small lesion: excisional, if a large region with an important anatomical landmark: Incisional biopsy.

45. Oars? Open-Ended Questions Affirmations Reflective Listening Summarize (psychiatry)

46. Beneficence? To do good and give the highest quality of care one is capable of providing.

47. Penumbra? Dec the sharpness of the pic is related to. Penumbra Shadow and fuzziness

48. Penetration? Kvp 12. How to reduce penumbra? To eliminate penumbra, reduce object film distance and increase source object dist Dec focal spot size

49.Tooth is intruded after trauma, what is the result? t/t? – Pulp necrosis – Internal resorption

50. Plaque indices primarily for: Patient motivation

51. Systematic desensitization? Fear

52. Pt had previous endo tx. Came back with abcess. Best graphy for locating problrm? A. Pano B. CBCT C. Pa

53. Longest duration ? Bupivacaine 54. Fibrinogen,? CLOT

55. Best X ray for finding bone loss? Vertical bitewing 30. X ray multiple myeloma with big punched out lesion? Bone pain 56. What is the correct order? Liner, Etch, Bonding ,composite 57. Down coding: veracity / autonomy / unbundling 58. Necrotic tooth with abscess, what emergency treatment? Incision and drainage 59. Hyperventilation leads to what? cyanosis increase co2 low level of Co2 (Respiratory Alkalosis) 60.Recurrent ranula treatment? Removal of sublingual gland ( no marsupialization, no excision in the options) 61.Xylitol best in what form? Chewing gum62. Pic of traumatic bone cyst? Scalloped margins 63. Pic of stafne cyst ( Know the difference, Don’t confuse them. In traumatic: history of trauma, its picture is bigger than salivary gland cyst, apics of roots included, but stafne is little, and very thick border) 64. Picture of antral pseudocyst65. Pic of internal resorption 66. Acetaminophen? Not cyclooxygenase related, Mechanism: Inhibition of cyclooxygenase in CNS. Clinical uses: Antipyretic and analgesic. Toxicities: Hepatotoxicity with overdose. Acetaminophen metabolite depletes glutathione and forms toxic metabolite, NAPQI, in liver. N-acetylcysteine is antidote 67. Acetaminophen? not an anti-inflammatory 68. Status epilepticus? diazepam 69. Verapamil? gingival enlargement 70. Hyperthyroidism? contraindication for epinephrine 71. Cleidocranial dysplasia? multiple supernumerary teeth missing clavicle 72. Replacing amalgam because of mercury toxicity? veracity 73. Patient in on non-selective beta blocker(propanol)? be caution with epinephrine. 74. Patient having an acute allergy attack and with low blood pressure? epinephrine 75. Glossoptosis, micrognathia, retrognathia and cleft palate? Pierre Robin Syndrome ■ Collagen gene 2A1 mutation ■ Hypermobility of joints ■ Mitral valve prolapse ■ Micrognathia leading to breathing and feeding difficulties ■ Glossoptosis ■ High arched76. A very confusing Question about Kennedy classification roles. Read the table from dentin very well 77.Patient in the dental chair and presenting tingling of the hands? Hyperventilation 78. Patient after LA injection become pale, loose conscious, slurred speech. What is diagnosis? A. Hyperventilation B. Cva C.MI D. Syncope 80.Horizontal angulation of film error? overlapping (not perpendicular to the film) 81. Benzocaine, prilocaine problem- pt become culyanotic after injection? Methemoglobinemia82. Actinomyces? sulfur granules, Suppuration, lumpy jaw 83. Dentinogenesis imperfecta type 1? Osteogenesis imperfecta , blue sclera other two types only dentin s 84. 2 y old child what’s the classical stimuli? Pain Light Loud sound instruments 85. What is the force used in an open NITI coil spring to gain space between tooth 6 and 8? Continuous force 86. Titanium implants? Biocompatible and bio-integration, oxide layer that helps in Osseointegration. 87. Implants SRP? Use plastic scalers 88. Bacteria resistant to beta lactam which one is correct? Produce beta lactamase enzyme that inactivate antibiotic. 89 Combination syndrome kelly? grown in downward plane and dec vdo 90. MO restoration on tooth 4 and marginal ridge high or cause premature contact what should you reduce? -mesiolingual cusp of 29 -Buccal cusp of 29 -Buccal cusp of 28 -buccal cusp of 30 91. Antibiotic prophylactic: Prosthetic heart valve Placement of aortic valve place cardioverter Heart murmur 92. Fear of choking? Pseudo dysphagia Catastrophizing 93.Important thing when you treat child? Emotional development rather than age 94.. Alcoholic abuse and take naltrexone. Got surgery and extracted all 4 impacted 3rd molars, what analgesic you give? -hydrocodone + acetaminophen (Vicodin) -hydromorphone -ibuprofen .-acetaminophen 95. Digitalis moa? NA/K ATPase inhibitor The main mechanism of action of digitalis is on the sodium-potassium ATPase of the myocyte. It reversibly inhibits the ATPase resulting in increased intracellular sodium levels. Furthermore, digitalis has a positive inotropic and antiarrhythmogenic effect. 97. Study to know efficacy of 2 mouth rinse on 2 groups of people at specific time? Clinical trial Cohort Case control Cross section 98. Implant to adjacent tooth 1.5 mm 1.5-2mm 99. Between implant and implant? should be at least 3mm 100. Feldspathic porcelain structure has? Silica 101. Best prognosis? Perio coming from endo lesion 102. Best prognosis? Deep 3 wall defects 103. Why do you have maintenance visit after perio treatment? To avoid relapse of the disease 104. Most important factor for medical emergencies situation? Medical history of the patient 105. Pt after local anesthesia becomes pale and feeling ill, what will you do? (exact information given, not given blood pressure of patient or more information) -Give 0.5 epinephrine -Give dextrose diluted in water -Give 100& oxygen via face mask or nose cannula 106. Pt with systemic uncontrolled disease. Which phase? Know the phase of tx very well. There is pic. Learn Emergency, systemic, phase 1 and 2 107. Endo and perio tx which phase?! surgical phase 108. Many questions from fulcurum table codes of ethics. Veracity, autonomy.. 109. Doing emergency tx for pt is which code? – Beneficence- “Do good”. – Patient Autonomy- “Self-governance”. – Nonmaleficence – “Do no harm”. Dentists are to keep skills and knowledgeup-to-date and practice within their limits in order to protect the pt from harm. – Justice- “Fairness”. – Veracity- “Truthfulness 110. Many questions from confidence interval, type of studies, p value, fulcurum+ rq+ new pdf for study was enough) 111. Last year 200/1000 cases of perio. this year 300/1000 cases what is the incidence? Answer is 100/1000 you don’t have to divide they put it like that 112. Intra-pulpal anesthesia? Back pressure The advantage of the intra-pulpal injection is that it works well for profound anesthesia if given under back‐ pressure. Disadvantage: painful and short-lived 113. Patient with controlled hypertension and diabetes? ASA II 114. Aspirin bleeding? Must wait 1 week (5-7 days) after one effective dose of aspirin.115. Last year 200/1000 cases of perio. this year 300/1000 cases what is the incidence? Answer is 100/1000 you don’t have to divide they put it like that. 116. Verrucous carcinoma? human papilloma virus (tobacco, alcohol) 117. Café au lait spot? Neurofibromatosis (Von-Recklinghausen’s), Albright syndrome 118. Nitrates? direct vasodilation of smooth muscles. Acts in 2-3 mins for acute angina attacks in the dental office 118.Disinfectant? Tuberculocidal activity for inanimate objects 119. Steam sterilizer harder to kill?Geobacillus stearothermophilus 120. Best way to see bony defects? Open flap surgery 121. Patient with perio disease check? Gingival recession is most related to the initiation of caries in the elderly. 122. Level of fluoride water? 0.7-1.2mg/L (2 times) 123. Most common teeth lost by perio? Maxillary molars 124. After placement of amalgam sensitive to? Cold 125. Best to put a little patient in the chair? ask the parents to do it 126. Best for tmj? Mri 127. Which of the following is least likely cause of peri-implantitis -Previous perio problems history -Pt on anticoagulants -Iatrogenic causes 128. Why hydrocodone and acetaminophen? They have different mechanisms of action but giving together synergistic action. 129. Alcoholic patient? INR 174 Avulsed to of deciduous tooth? leave it out 130. Intrusion of permanent tooth first thing to do? Orthodont repositioning if more than 3 mm and then splint for 2 semanas 131. Primary molar first or second mesial or distal pulp horn easiest to pulp out on? Mesial of primary molar 132. FGG pt seen after 1 week, sloughing seen at the site. What is the prognosis of the graft? normal finding 133. Fracture of amalgam at the isthmus? Inadequate depth 134.Lingual muscle for denture? Mylohyoid 135. Composite change? Discoloration 136. Composite and amalgam change? recurrent caries 137. Best test for glucose? Glycated hemoglobin HbA1c 138. You don’t tell your patient to don’t worry because? They will feel that you’re ignoring their fears and feeling 139.You smile and praise the patient, what is that: – Contingence – Social reinforcement – Positive reinforcement 140.Stress bearing area for mandibular? buccal shelf and alveolar ridge 141.IAN block what accessory nerve not anesthetized? Mylohyoid 142. Pregnancy gingivitis? Plaque 143. Critical pH of enamel? went with 5.4, not 5.5 in options 144. Hemangioma? Blanches when pressure applied 145. The best bone for osseointegration? Type 2 bone in the posterior mandible region 146. The best bone for implant? Anterior mandible 147. Most likely in lingual surface of teeth? erosion 148. Pt with diabetes, unconscious? Treatment of choice for hypoglycemia in an UNCONSCIOUS diabetic is IV injection of 50% dextrose in water. 149. Least likely to have 2 canals? mand incisors Max premolar Mand premolarMand. Second premolar Max secons premolar 150.First appointment? Build rapport with patient 151. In which direction should we reduce the mandible which is dislocated? Downward and backward 152. School children having an increased rate of interproximal caries? Fluoride mouthwas 153.Dementia? Short term memory 154. Alveolar osteitis? Pain 155. Occlusal rest? support 156. Best tx for alveolar osteitis? NO ANTIBIOTICS or curettage needed. Just medicinal dressing. (eugenol) 157. Dentist gives N2O without parent consent? BATTERY DENTIST AUTONOMY PATIENT 158. HIPPA? Patient information security, veracity 159. Hba1c is 7.5. which asa classification? ASA 3 (it is uncontrolled) 160.-MOA of Montelukast: Inhibition of leukotrienes, seasonal allergies 161.Normal INR for surgery ?2.5 162.Drug A and drug B question about potency Both Drug A and Drug B achieve the same maximum effect, i.e. they have equal efficacy. However, drug A achieves this effect at a lower dose. Thus, Drug A has higher potency than Drug B. 163.Which drug can’t be used with alcohol? Metronidazole (disulfiram reaction) 164.ST johns Mild depression St. John’s wort had similar effects on mild to moderate depression as antidepressants.Evening discussion June 1 Fernanda Souza Day 1 JUNE 1 1-Down syndrome and Heart problems assoc. Three of the most common heart conditions seen in children with Down syndrome are atrioventricular septal defect, patent ductus arteriosus, and tetralogy of Fallot. AVSD is the most frequently diagnosed congenital heart condition in children with Down syndrom 2-Opioid receptors causing nausea-chemoreceptor triggered zone? medulla 3-Benzodiazepines contraindicated in? asthma and pregnat 4-Advertising which code? varacity 5-Short crown least retentive feature? buccal groove (multiple vertical grooves were the closest options) 6-they asked what alloy causes allergy? Nickel 7-How tetracycline cancel penicillin- they described the action ex: inhibition of, or decreasing something, excretion penicillin in liver, tetra blocks the formation of bacterial cell wall( I picked this one). cancel each other!!!! 8-Non-working interference in mandibular molar- inner inclines of buccal.? LUBL 9-Pterygomandibular raphe- junction of? ( asked twice) Buccinator and superior pharyngeal constrictor 10-MOA of NSAIDs. Asked 4 times! They restated the questions.? NSAIDs is the inhibition of the enzyme cyclooxygenase (COX). Cyclooxygenase is required to convert arachidonic acid into thromboxane’s, prostaglandins, and prostacyclin’s. [9] The therapeutic effects of NSAIDs are attributed to the lack of these eicosanoids. 11-After preparation of a s.s crown, the selected crown is rotating (loose) on prep. What dentist should do? I picked: select a smaller crown. The other choices were: fill the crown with cement, make the prep smaller…12-IAN block: tongue anesthetized but lip don’t what should we do? I picked long buccal block because the question just mentioned lip not anesthetized? administer another one IAN 13-Most Common complication of Down syndrome: Heart complications. It is not leukemia. the most serious complications of Down syndrome include heart defects, blood disorders that can include leukemia (cancer of the blood), and immune system problems. Heart defects — Approximately half of all babies with Down syndrome are born with (often repairable) heart defects. 14-Best analgesic dressing for pulp? ZOE I got a lot of endo diagnosis: easy ones all RQ’s 15-Picture of papilloma in lateral border of tongue 16-Primary herpetic gingivostomatitis (asked twice) 17-First treatment in ANUG? debridement and instrumentation 18-Major connector? No option with stability support and rigidity retention and rigidity 19How to prevent a clasp from breaking? Increase thickness !!!! 20-Class III what feature is going to decrease with growing? ANB 21-treatment for anterior crossbite should be done? as soon as possible 22-MOA meperidine? 23-MOA doxycycline? given the concept and you have to pick the drug causes Amelogenesis Imperfecta, host modulation in perio 24-Scarlet fever? given description of white coating of the tongue that sloughs off… scarlet fever 25-Cleidocranial dysplasia? supernumerary teeth, absent clavicles, autosomal dominant26-Ectodermal dysplasia 27-Gardner’s multiple odontomas, Intestine polyps, Cotton wool appearance 28-Nevoid basal cell carcinoma Multiple? kcot,Multiple bccs,Calcified flexcerbri All Syndromes with triad. All were asked. They gave the triad and I had to choose. 29-Adenomatoid odontogenic tumor: describing it with speckles. . 30-Treatment for recurrent rânula: Marsupialization + excision of sublingual gland(only for recurrent cases) 1 / beta agonist vs xanthine bronchodilator ✅Beta 1 agonist dobutamine Beta 2 agonist albuterol salmeterol Xanthine theophylline 2/xanthines mechanism of action. ✅Bonchodilators 3/potassium nitrate 3 time know it very well in details ✅Desensitizer Potassium nitrate and sodium fluoride are widely used to treat tooth sensitivity4. Potassium nitrate decreases the fluid flow through the tubules by clogging them, decreases the level of activity of dental sensory nerves and prevents or reduces the sensation signals from reaching the brain5. 4/chlorhexidine in details. Chlorhexidine (CHX) is one of the most commonly prescribed antiseptic agents in the dental field. It has a long-lasting antibacterial activity with a broad-spectrum of action and it has been shown to reduce plaque, gingival inflammation and bleeding. ✅substantivity p value Less than 0.5 reject null More than 0.5 accept null hypothesis a hierarchy of evidence ✅meta analysis 7/amalgam tattoo in radiograph. 8) /polyether 2 times. ✅most rigid,most difficult to remove.pour within 24hrs,good dimensional stability,cationic polymerization9) why we cover the crown in wax for fabrication?! ✅, wax pattern forms the outline of the mold into which an alloy is cast or a ceramic is hotisostatically pressed. 10) east invasive for teeth sensitivity 1 naf 2 chlorhexidine ✅NaF 11) adverse in patient management which ethnic. ✅✅non maleficence 12/endo diagnosis ✅thermal test and cold test for kids 13 / culture sensitivity. ✅selection of proper antibiotics 14 / indication for osseous surgery in details. 15/regeneration vs repair 16/ thyroid storm vs pheochromocytoma. ✅Pheochromocytoma inc in cortisol levels Thyroid storm t3 and 17/composite bulk 3 or 5 mm ✅✅5mm18) 18/Gingivectomy incision where exactly. ✅apical to pocket, above MGJ, below pocket 19/exposed root how you treat it ? CT, FGG, double papillae ✅CT 20 / abscess vs granuloma differentiate on the basis of histology granuloma well circumscribed border 21/ bleach how much we should remove from GP (pin) ✅✅21.Apply rubber dam 2) Clean out ALL of pulp chamber including pulp horns 3) Remove gutta percha at least 3mm below gingiva line (so dark root won’t show through4) Cover gutta percha with thin layer of glass ionomer cement to prevent peroxide from going down voids in root canal seal 5) Apply high strength H2O2 on a pellet into the open chamber (I use Ultradent’s Boost because it is easier to see and runs less than Superoxyl).Once the endo obturation is complete make sure that the gutta percha has been removed to the level of the crestal bone. Leaving gutta percha above this level can add an orange cast to the root which creates a shadow at the margin of a new all porcelain restoration. 22/old patient deep nasolabial angle or prognathisme profile ✅✅prognathic mandible 23/why maintenance in 3 months. ✅prevent recurrence 24) radiolucency above max anterior teeth in pano why. ✅heart shaped -nasopalatine 25) can’t found canal why , carious lesion or not use microscope ✅large carious lesion 26 . filtration ✅.aluminium is used.reduces low energy photons 27/.best place to put implan ✅✅ ant mand 28. all indication for extraction 3rd molar. ✅recurrent pericoronitis,decay,bone pathology. 29) stage 2 periodontitis. ✅✅3-4 mm 30. allergy to penicillin what not to give. ✅Cephalosporin 31.thiazides ✅✅Direct vasodilator,inhibits renal absorption of na,It can exacerbate digitalis toxicity,Cause hypokalemia and hyperglycaemia(long term use causes glucose tolerance) 32.GTR best which cases 2 times. ✅✅class 2 furcation and 3 walled narrow defects,More wall greater predictability of regeneration 33.patient with abscess on gingiva and fever what to do. ✅✅ I &D,Antibiotics 34. very small internal resorption what to do. ✅✅RCT 35.caoh in details✅✅36.Antibacterial,Dentin bridge formation,PLaced when 0.5mm of dentin is remaining, 12.5 ph antimicrobial and inactivates lipopolysaccharides,BEST INTRACANAL MEDICAMENT. 36.contamination of oxide layer in porcelain crown. ✅✅Debonding of porcelain, 37./most reliable test cavity test or pulp test. ✅✅thermal test ✅✅thermal test,The cavity test is initiated on a suspicious tooth, without anesthetic, and involves drilling a small window through either enamel or a restoration to dentin. The cavity test will stimulate a vital pulp and provoke a painful response when dentin is invaded. 38.something benzol hydrochloride can’t remember. 39.sticky food direct or indirect retainer ✅✅.indirect retainer, indirect is for vertical dislodgement, for sticky food 40. tongue goes to left which muscle paralysis. ✅✅left genoglossus 41.which better prognosis small perforation with internal resorption or extruded GP. ✅✅extruded gp 42.1997 ✅✅CHIP,Medicaid for the families who are high something but low for insurance 43.give child lA , then he has reaction what to give ✅✅Epi for anaphylaxis Phentolamine helps in wear off of la 44. .why not rigid splin ✅✅to avoid ankylosis 45poor ridge what is the problem the teeth will look longer or shorter ✅✅longer 46. bleach why hypersensitive, use heat ✅✅more hypersensitivity leads to-Expose dentinal tubule,fluid movement,Temp enhance efficiency of hydrogen peroxide so high temp more effective bleaching. 47open apex good prognosis why. ✅✅highly vascularized 48. mu receptions. ✅✅opiods, G protein coupled 49.A block went medialy which muscles will hit ✅✅medial pterygoid Not the correct combination? Metronidazole- disulfiram Clindamycin- nausea Cephalosporins- hepatotoxicity Patient with severe asthma. What to give? Epinephrine Glucose a✅ Opioids contraindicated in: Severe head injury Pregnant in the 3rd semester A✅✅ Moa benzodiazepine? Potentiate the action of GABA and increase the number of chloride channels. ✅✅ After giving nitroglycerin how to differentiate if it is MI or Angina? Duration of pain.✅✅ Prazosin MOA: a. Selective alpha-1 blocker b. Beta 1 blocker c. Alpha agoisA✅✅ After administration of nitroglycerin patient doesn’t respond diagnosis: Myocardial infarction ✅✅ .Patient has allergy and rash after using aspirin what drugs should be avoided Codiene Oxycodone Ibuprofen C✅✅ What causes anaphylaxis of LA? Too much of the lido in the plasma. Too much of the vasodilator in the plasma. A✅✅ Lido toxicity reversal: Benzodiazepines ✅✅ What happens when give thiazide? a. Need Na supplement b. Need k supplement B✅✅ Important thing when you treat a child? Emotional development rather than age✅✅ Alcoholic abuse and take naltrexone. Got surgery and extracted all 4 impacted 3rd molars, what analgesic you give? -hydrocodone + acetaminophen (Vicodin) -hydromorphone -ibuprofen .-acetaminophen C✅✅ Digitalis moa? Positive inotropic effect, inc calcium concentration inside the cell.✅✅ Study to know the efficacy of 2 mouth rinse on 2 groups of people at specific time? Clinical trial Cohort Case control Cross section A✅✅ Implant to adjacent tooth 1.5✅✅ Between implant and implant? should be at least 3mm✅ Feldspathic porcelain structure has? Silica✅✅ ✅Best prognosis? Perio coming from endo lesion ✅ Best prognosis Deep 3 wall defects Cristiano Rodrigues: Why do you have maintenance visits after perio treatment? To avoid relapse of the disease ✅✅ Most important factor for medical emergencies? Medical history of the patient✅✅ Pt after local anesthesia becomes pale and feeling ill, what will you do? (exact information given, not given blood pressure of patient or more information) -Give 0.5 epinephrine -Give dextrose diluted in water -Give 100& oxygen via face mask or nose cannula C✅✅ Pt with systemic uncontrolled disease. Which phase? ASA3✅✅ Endo and perio tx which phase?! Phase 2✅✅ . Doing emergency tx for pt is which code? a. Autonomy b. Non malificence c. Beneficince C✅✅ Mosby – Beneficence (“do good”). The dentist has a duty to promote the patient’s welfare. Last year 200/1000 cases of perio. this year 300/1000 cases what is the incidence? Answer is 100/1000 you don’t have to divide they put it like that✅✅ Intra-pulpal anesthesia? Back pressure✅✅ Patient with controlled hypertension and diabetes? asa2✅✅ Aspirin bleeding? 1 week (5-7 days)✅✅ Café au lait spot? ✅Neurofibromatosis (Von-Recklinghausen’s), Albright syndrome Nitrates? ✅direct vasodilation of smooth muscles.Acts in 2-3 mins for acute angina attacks in the dental office Disinfectant? ✅Tuberculocidal activity for inanimate objects Steam sterilizer harder to kill? ✅Geobacillus stearothermophilus Best way to see bony defects? ✅Open flap surgery Patient with perio disease check? ✅Root caries. Gingival recession is most related to the initiation of caries in the elderly. Level of fluoride water?0.7-1.2mg/L (2 times) ✅Most common teeth lost by perio? Maxillary molars After placement of amalgam sensitive to? ✅Cold Best to put a little patient in the chair? ✅ask the parents to do it Best for tmj? ✅Mri Which of the following is least likely cause of peri-implantitis -Previous perio problems history -Pt on anticoagulants -Iatrogenic causes b✅✅ Why hydrocodone and acetaminophen? ✅They have different mechanisms of action but giving together synergistic action. Alcoholic patient? ✅INR Avulsed to of deciduous tooth? ✅leave it out Intrusion of permanent tooth first thing to do? ✅Orthodontic repositioning if more than 3 mm and then splint for 2 weeks. Primary molar first or second mesial or distal pulp horn easiest to pulp out on? ✅Mesial of primary molar FGG pt seen after 1 week, sloughing seen at the site. What is the prognosis of the graft? ✅normal finding . Fracture of amalgam at the isthmus? ✅Inadequate depth Lingual muscle for denture? ✅Mylohyoid Composite change? ✅Discoloration Composite and amalgam change? ✅recurrent caries Best test for glucose? ✅Glycated hemoglobin HbA1c You don’t tell your patient to don’t worry because? ✅They will feel that you’re ignoring their fears and feeling You smile and praise the patient, what is that: – Contingence – Social reinforcement – Positive reinforcement b✅✅(PIN) Stress bearing area for mandibular? ✅buccal shelf and alveolar ridge IAN block what accessory nerve not anesthetized? ✅Mylohyoid Pregnancy gingivitis? ✅Plaque Critical pH of enamel? ✅went with 5.4, not 5.5 in options Hemangioma? ✅Blanches when pressure applied POLLO FILE Stages of AIDS and no. of Leukocyte count. Stage 1: Acute primary infection, Stage 2: The asymptomatic stage, Stage 3: Symptomatic HIV infection | >150,000 -according to this website CDC classification is below, WHO classification 1) Primary HIV infection, 2) Clinical Stage 1, 3) Clinical Stage 2, 4) Clinical Stage 3, 5) Clinical Stage 4 According to CDC: Stage 1: Acute HIV infection , Stage 2: Clinical latency (HIV inactivity or dormancy), Stage 3: Acquired immunodeficiency syndrome What are the four stages of HIV? • Stage 1 (HIV infection): The CD4+ cell count is at least 500 cells per microliter. • Stage 2 (HIV infection): The CD4+ cell count is 350 to 499. • Stage 3 (advanced HIV disease or AHD): The CD4+ cell count is 200 to 349. • Stage 4 (Acquired immunodeficiency syndrome [AIDS]): The CD4+ cell count is less than 200. Treacher Collin Syndrome ? Deficiency of growth of facial bone and tissues, Small jaw and chin, Downward slanting eyes, delay development, Malformed ear,mandibular hypoplasia, hypoplasia zygomatic bone, Defect in all 1st pharyngeal pouch derivatives Treacher Collins syndrome, autosomal dominant syndrome caused by mutation of TCOF1. Coloboma is part of a set of characteristic facies that features craniofacial malformations, such as downslanting eyes, ear anomalies, or hypoplasia of zigomatic bone and jaw (micrognathia).✅✅ Ectodermal dysplasia Cause supernumerary teeth, Anodontia or oligodontia,conical teeth, slow hair gland growth, Lack of sweat glands, concave nasal bridge, pt. looks older in age.✅✅ What is the key factor for a denture to be successful?Stability ✅✅ 4 yrs old child – fluoride supplement? 0.25 to 0.28 ppm✅✅ Infection stage of syphilis? Second stage✅✅ What happens when you change from 8’’ to 16’’? ¼✅✅ 3 canals- which premolar? Maxillary 1st PM✅✅ Triangular canal central incisor- why? For striaght line access✅✅ according to DD 42( 2016-2017) (if not in option then to expose pulp horn) chances of trauma the most ? class? Class 2 div 1✅✅ Most broad spectrum antibiotic? Tetracycline and chloremphenicol✅✅ Angioedema not caused by which drug? ACE inhibitor✅✅ Dens in dente? Mostly in maxillary lateral✅✅ One question on SLOB rule? ✅✅ Most difficult to floss where? Mesial aspect of max PM1✅✅ Dental clicking? increased VDO✅✅ Function of rest? Provide vertical support✅✅ function of axial guidance? Equals retention on all abutments. Provides reinforcement and creates a cross-stabilization of the dental arch. Minimize partial denture torsion forces Allow partial denture to be removed without interference Distributes forces along the longitudinal axes of teeth. Provides retention by Contact friction between parallel surfaces on the teeth.✅✅ Question on horizontal axis of condyle? rotation movement of mandible / Opening and closing movement✅✅ As teeth ages, what increases? Hue/chroma? Hue unchanged, chroma increases and value decreases✅✅ Hue is the individual color of the object, chroma is the intensity of the hue, and valueis the lightness or darkness of an object. Translucency is the fourth dimension of color in dentistry Patient wakes up in the morning with sore pain in muscles? Bruxism/Sinusitis? Bruxism✅✅ Difference between 245 and 330 bur? Length (245-3mm | 330 – 1.5mm, 245 has sharper angle)✅✅ Prostaglandin analogue? Misoprostol.✅✅ (given in open angle glaucoma i.e latanoprost, and reduce the Intraocular pressure, Bimatoprost) Aspirin and Ginseng? What happens if given together? Bleeding induces✅✅ Filtration used in X-ray machines? Aluminum.✅✅ (2.5 mm using 70 Kvp federal norm. Reduce wavelengths and dose to the patient) (Lead is used for collimination) Compton effect? compton effect increase in wavelength of x rays or gamma rays✅✅ Flouride water level? ? 0.7 to 1.2 ppm✅✅ (if not in option, 1 ppm)Cristiano Rodrigues: Angioedema? Rapid swelling of dermis,subcutaneous, mucosa and submucosa tissues Emergency treatment is Intubation and cricothyrodotomy✅✅ Diphenhydramineanti motion sickness✅✅ (Benadryl, also given when pt. is allergic to both esters and amides. Antihistamin, anti cholinergic, sedation) Difference between snuff dipper and nicotina stomatitis? nicotinic stomatitis lesion seen on palate due to smoking…..snuf dipper lesion seen on buccal side and it is mainly due to smokeless tobacco. Snuff— dysplastic, premalignant, Nicotinic — non malignant✅✅ Sjogrens syndrome is associated with? Lymphoma✅✅ Most commom reason for pt. to have a negative attitude for dental treatment. a) Own dental experience b) Heard from peer/friends? A✅✅ Clinical test for Rheumatoid arthritis? Rh factor ESR C protein CCP ( anticyclic citrullinated peptide)✅✅ Reasons for eruption failure? Ankylosis, primary eruption failure, impaction, down syndrome, agenisis etc✅✅ Critical pH for demineralization of dentin? 6.0 – 6.7 for Dentin✅ Reciprocal anchorage? Stabilization, Reciprocation, Indirect retention, Elastics to close diastema✅✅ Diabetes in children can lead to? Blindness✅✅ (depend of options) B.P. 160/140. Pulse 90. What do you do? Repeat after 15 mins/ call the physician immediately? Repeat after 15 mins✅✅ Area of least attached gingival? Which tooth? Maxillary canine, mandibular 2nd pm✅✅ How to check clinically for the prognosis of PDL attachment? Probing✅✅ Pt. with alcohol abuse? What to check in lab report before extraction? Blood alcohol level? INR✅✅ Pain on eating sweet? reversible pulpitis✅✅ ossifying fibroma? ossifying fibroma encountered in young children often <10✅✅ Pt receive blow to eye orbital floor less common t/f? answer is true✅✅ In Facebow transfers relation of arches? In centric/ In occlusion? centric✅✅ epinephrine action on which receptor in epinephrine reversal? ✅✅ explanation given:Epinephrine has effect on both alpha and beta.. but epinephrine reversal is due to alpha receptor stimulation. Epinephrine reversal is best demonstrated when it is given after alpha blocker….which lead to beta mediated vasodilation in peripheral vessels against vasoconstriction by alpha receptor, so total peripheral resistance is decreased and mean blood pressure falls…..so epinephrine action on Beta receptor in presence of alpha blocker causes Epinephrine reversal. initiator in heat cured resin?(PIN) benzoyl peroxide✅✅ cause of brown discoloration of gingival margin of resin restoration?microleakage (still depends on exact question and options)✅✅ skewed distribution Negative and positive.. bimodal distribution. (Positive right peak and negative left peak)✅✅ Bell shaped Positive- right Negative- left cimetidine function Cimetidine is a drug that blocks the production of acid by acid-producing cells in the stomach. Decrease clearance of LA✅✅ topical antibiotic in perio doxycycline✅✅ multiple caries in child? how to treat under GA✅✅ least congenitally missing tooth max canine✅✅ Gingseng contra with? aspirin( induced bleeding)✅✅ Salva: Major connector function? rigidity and stability✅✅ incisal position during record? Midline of incisal part of upper incisors✅✅ first pass metabolism? Enterohepatic circulation | Liver – oral drugs✅✅ Polymerization shrinkage In composite depends upon? given answer Filler content✅✅ Pulpitis 5 days after class ll composite is due to? Increase occlusal contact, microleakage, Undercured composite? Increase occlusal contact | Microleakage (if the condition is after 2-3 weeks, this one goes true)✅✅ which sound during wax try in? yes✅✅ least occurance cyst?? lateral periodontal cyst✅✅ young female pt with vital tooth canine features with? AOT✅✅ ortho tipping before of veneering? before✅✅ most imp feature of single implant? Anti-rotational (go with osteointigration if in option)✅✅ drug bio- transformation? Excretion of drug.. by passing through✅✅ white rough peduncalted lesion on palate? papilloma or fibroma? papilloma✅✅ primary and secondary stress bearing areas in maxilla? Primary – Residual alveolar ridge, Secondary – Rugae✅✅ primary and secondary stress bearing areas in mandible? Primary- buccal shelf area, Secondary- residual Alveolar ridge✅✅ best area for successful implant? Anterior mand ✅✅ reason for image distortion Pt. moved during exposure (Incorrect horizontal and vertical angulation, technique error)✅✅ reason for light radiograph? Low Kvp, Ma and exhausted developer and overfixing✅✅ pedicle graft? When there is recession of SINGLE tooth, excellent esthetic, less chance of failure, good vascularization✅✅ epi of free gingival graft? yeah from donor✅ gingivectomy indication ؟ Gingival hyperplasia, abnormal growth, pseudopockets present, suprabony pockets✅✅ clotrimazole which form torche? Candidiasis ✅✅ topical antifungal? Nystatin and ketoconazole✅✅ dentist did wrong treatment and didnt tell pt . whats that term? veracity✅✅ disc movement first it moves 25 mm click is hear than 5 mm. so what side it goes in 5 mm ? given answer is anterior to normal✅✅ Salva: tooth size and morphology in which stage of tooth development? bell stage ✅✅ mandibular denture position in relation to tongue below✅✅ unbunding? dentist seperating treatment charges which actually can be counted as single procedure whose cumulative is more than actual charge ✅✅ lateral surface of tongue asymptomatic blue lesion in old pt since 5 yrs hemangioma or varicosities? Varicosities (hemangioma if less than 10 year age)✅✅ lactating mother sedation drug? promethazine✅✅ amiNoglycoside✅✅ fever in children drug of choice? tylenol✅✅ nephrotoxicity by which drug? amiNoglycoside✅✅ reduced insulin dose in what? IV sedation✅✅ wheel chair transfer? sliding✅✅ desquamative gingivitis? In pemphigus and pemphigoid, lichen planus✅✅ antibiotic and surgery is treatment for what lap or anug? Antibiotic، :LAP،Surgery :ANUG✅✅ Herpes peak 2-5 yrs✅✅ difference between affected and infected dentin? affected has discoloration but no active caries…infected has active progressive caries. Infected always need to be removed ✅✅ movement for recording buccal frenal area of mandible? upward and outward✅✅ opioid allergy Itching, flushing, hives and dec bp.✅✅For allergic Replace for synthetic opioids. E.g. Tramadol, meperidine. oevrdose causes resp depression✅✅ Pain killer in renal disease? Oxycodone✅✅ Cocaine Mydriasis (opioid cause miosis pin point pupil)✅✅ BDZ anatgonist flumazenil✅✅ Neurofibromatosis? Cafe au lauts spots, axillary freckling and lisch nodules ✅✅ Direct retainer uses? retention✅✅ Which immunoglobulin is concentrated in gingival clevicular fluid? IgG✅✅FERNANDA DAY 2 Had to identify class I related with molar and canine right side ANB 6 which class? Class II 0-4 class 1 rectangular wire is ortho is used to what?torque A girl with crowding and you have to choose the sequence of treatment. You have to see the picture. I choose extractions of pre molars, and fixed ortho- something like this. I boy with númerous primary molars retained without permanents buds. Which sequence of treatment? You have to diagnose his facial type: dolico, meso, brachy. just based in his intra oral exam. Why he has posterior open bite? I choose primary molar infraocclusion I got asthma and what albuterol causes as a side effect but exception. You have to choose the not related one Common side effects of albuterol sulfate include: headache, dizziness, sleep problems (insomnia), cough, hoarseness, sore throat, runny or stuffy nose, nausea, I got pregnant 8 weeks, contraindicated benzodiazepines and nitrousI guy addicted to hydrocodone best medication for pain after extraction best choice was Aleve. The others were opioids. Most dentist’s concern about this patient? Lack of compliance in post op. Orientation ( his history showed that he tried to extract his teeth by himself after a fight and he is very resistant person) INR for implant- 2.5 Question about aspirin dose 81mg – the dose is therapeutic, don’t stop it What possible to see in this patient after extraction? Prolonged bleeding. Was the best answer. I got a case that they described a patient after anesthesia was anxious and head lighted. What you have to give to him.oxygen Also, they asked about which muscles are attached to angle. Angle- Inner -medial pterygoid Outer- masseter Fracture of mandible, which muscle is gonna displace the posterior fragment distally? medial pterygiod HIV cell related: CD4 T cells Which class ANB 6- Class II Identify palatoglossus space in panoramic- very narrow image of it. Fracture of angle what is possible to cause? Parenthesia of ⅔ anterior tongue. What used for internal bleaching?hydrogen Peroxide DENNTISTA DAY 2 24. I got a case abou a old man with various carious lesions in anterior, facial cervical. But not GIC in options. I choose composite. They weren’t favorable for crowns. The man lost his job in his history… also, about crown and root ratio Got a question about a fraction. What was the least reason causing abfraction? OCCLUSAL TRAUMA,PARAFUNTION CAUSES ABFRATION 26. X ray to identify idiopathic osteosclerosis in mandible. Very bad radiograph. Very small lesions.27. I got a question about apnea, cpap causes xerostomia 28.I got an x ray to identify pterygomaxillary fissure again on day 2 tear drop 29.I got a question on day 2 about cantilever. The answer was – to prevent lateral forces 30.a question that you have today true or false if there was a cantilever between upper 2nd molar. And I said yes 31.a case about a lady who is gonna loose all superior and keep inferior teeth. They asked about what possible syndrome she is predisposed to have combination syndrome 32.Oh, I got a question about hemostasis. The guy takes 81mg baby aspirin. You need just put compression with gauze. And another question about what you should expect about him? I choose prolonged bleeding because aspiring takers you see at least 1 week of bleeding. That’s normal33.I got a case about posterior cross bite. Don’t remember it though Posterior cross bite – quad helix , ortho surgery, elastics 34. Nitrous oxide( indications and contraindications) 35.Endo diagnosis thermal 36. Diabetes test -Hb a1c normal values-5.7-6.4 medicines -Metformin diet and exercise,Oral hypoglycemics contraindications- glucocorticosteroidsAnalgesic for a patient with diabetes? NSAIDs (nonsteroidal anti-inflammatory drugs) reduce inflammation and relieve pain. Those available without a prescription include aspirin, ibuprofen (Advil, Motrin, Nuprin), and naproxen (Naprosyn 37.Hypertension (stages and values, medicines from tufts) 38. ASA patient classification 39.Asthma (medicines) and COPD albuterol, theophylline, steroids 40.LA calculations (there is a table pinned in the group has all the info) 41.Ortho from pepiada (three pages) 42. ANTIBIOTIC PROPHYLAXIS43.Fluoride values 44. TCA Block eeuptake of seretonin and norepi 45.Anti inflammatory (???) NSAIDS 46. Medicines cause bad taste (speedo)metronidazole 47.Antibiotics not with contraceptive (from tufts) rifampicin Rifampin is the only antibiotic to date that has been reported to reduce plasma estrogen concentrations. Oral contraceptives cannot be relied upon for birth control while taking rifampin. 48. Tetracycline 30s protien synthesis,bacteriostatic Tetracycline is a broad spectrum polyketide antibiotic produced by the Streptomyces genus of Actinobacteria. It exerts a bacteriostatic effect on bacteria by binding reversible to the bacterial 30S ribosomal subunit and blocking incoming aminoacyl tRNA from binding to the ribosome acceptor site. 49. Autism medications risperdal 50. The medicines that cause Xerostomia diuretics, beta blockers, tricyclic antidepressants, antihistamines, anticonvulsants and antipsychotics. Xerostomia is also reported with oral morphine. what medicines treat it pilocarpine, methacholine, etc. are direct acting cholinergic agonists 51. Trauma and how to be treated ( intrusion extrusion etc Intrusion primary leave In permanent intrusion » less than 3 mm no re erupt,,,, >3 ortho or surgical reposition than 7 surgical reposition and splint for 4 weeks 52 Perio new classification (dental mental new video on youtube, and try to read cases with dental chart from Asda, remember patient with less than 4 doesn’t need scaling ! )53. AnkylosisReplacement resorption ,Dull thud ,Infraocclusion 54. Tooth eruption timings 55. Most Missing teeth md 3rd molars>>Mx 3 rd molar >>Mx lateral inc.>>>2nd premolars 56. Bisphosphonates Oral bisphosphonates use to manage milder bony diseas like osteoprosis Where as intravenous bisphosphonates use in treating bone metastasis and Hyper calcification resulting from malignsncy 57. MI>>>>MONa 58. Syncope supine and oxygen,temporary loss of consciousness caused by a fall in blood pressure. 59. Space infection Submandibular, sublingual and submental60. Melanotic macule pic d/d nevus Melanoma light er Smaller Smooth border 61. Nevus pic>>>>>nevi elevated 62. Nicotonic stomatitis pic63. Lichen planus pic lichen planus has saw tooth shape rete pegs 64. Dens in dente xray65. Amalgam tatto pic Amalgam tatto in soft tissue 66. Amalgam blue pic.Amalgum blue in hard as in teeth • Learning disability mostly diagnosed in? a-boys b-girls c-those who have family tendencies d-equally 2-the most preventable cause of premature death A-smoking b-alcohol c-overeating d-acute myocardial infarction 3-hpv vaccine is given in (Early as 9 otherwise 11-12) a-after 18 b-before sexual maturity 4-night guard of people with bruxisim what do you notice in it? perforation , crack due excessive pressure on the appliance (N/G) I don’t remember options but I chose something about finding a crack in it 5-a new denture was fitted and the dentist took a new central and remounted the cast a-to correct occlusal disharmony b-to correct VDO 6- when doing a new amalgam and putting the articulating paper to check occlusion and dots appear on the tooth a-carve it away with a plunger only on the cusps b-carve it away until no contact c-until the color of the markings becomes slightly lighter than the rest of the teeth in the archd- when there is a dark red ring where you can see the amalgam in the center of it 7- when you are doing a class 2 amalgam cavity prep which is conservative box only, where do you place the retentive grooves? • Facioaxial and lingoaxial line angles • Along the whole axiopulpal line angle • Faciogingival and lingugingival 8-multiple cns lesion that are causing multiple different neuromuscular dysfunction a-crebral palsy b-muscular dystrophy 9- a 5 yrs old fell from a bike and now he can’t bring his right posterior teeth together and radioraghic examination is Negative • Right condylar head fracture • Left condylar head fracture • Hemarthrosis on the right tmj • Hemarthrosis on the left tmj 10- elavtors of the mandible • Medial and lateral pterygoid • Masseter and lateral pterygois • Temporalis and maseter • I don’t remember the other options 11-most important thing in color of restoration Value 12- two easy question describing a partially dentate arch and want you to know which kennedy classification is this13-acrylic resin provisional restoration what can hurt the gingiva more • The excess monomer hurt the gingiva • The restoration margin imping on the ginigva • Underextention of the restoration margin 14- exposed buccal margin of a crown what not to do? Coronaly displaced flap Free gingival graft Crown lengthening 15- the acidulated fluoride percentage 1.23% 16- the dentist do a 2 surface restoration and the insurance consider it as a one surface restoration • Down coding • Unbundling • Bundling • Upcoding 17- distal wedge procedure what can be an obstacle • Close proximity to the ramus • Buucal nerve • 18- what nerve get damaged by genioplasty? a-lingual b-mental c-hypoglossal19- pits and fissure caries how is the shape of the cone Narrow at the occlusal and wide at theh dej 20-montelukast mechanism of action inhibit leukotrines 21- lithium what is correct about it? Narrow therapeutic index and need monitoring Treat major depression 22- metoprolol blocks the action of which of these a-epinephrine induced tachycardia b-the isoprotrenol induced vasodilation c-epinephrine induced bronchodilation 23- moa of nitroglycerin Something about cyclic adynlase and decreasing cyclic amp 24- benzodiazipines act on what receptor? GABA 24- 3 easy questions about definition of C factor know it well and about what type of filling has it higher 25- a question about increasing the water of gypsum what all correct except Decreased strength More porosity Decreased expansion Decreased setting time 26- Which bactria not acidogenic S. MutansS.sanguis Lactobacilus Actinomyces 27-what on the surface of the tooth that supragingival plaque initiated from Insoluble glycoprotein Lipopolysaccharide 28-bacteria associated with perimplantitits I chose gram negative anaerobic 29- the extension of buccal and lingual walls of the proximal cavity preparation of a composite restoration depends on ? The caries extension The space with adjacent tooth The resistance to fracture 30- the orientation of epithilaial attachement around an implant I chose parallel around the cuff Another option was parallel and inserted in the cuff 31-type of epithillial attachement around implant Hemidesmosis 32-two weird questions on implant About lower and higher attachement of the implant-abutement interface 33- question asking about a 3 unit fpd replacing maxillary canine Simple cause ante’s law is satisfied Simple cause all 3 units fpd are simple Complex cause of the inter abutement axis Complex cause of some weird named angles 34- which gives more support to prosthesis Vertical rest and denture bases Denture bases alone 35-distal step occlusion of a child and retrognathic mandible and the lee way space was not closed after eruption of permenant molars what occlusal relation is this Class 2 Class 3 Class 1 Edge to edge 36-the vertical length of the face is measued on cephalometric from nasion to what point Pogonion Menton Gonion 37- dysthesia meaning Unpleasant painful sensation Absence of sensation Reduced sensation Highened sensation 38-pics of tongue with a red spot and saying that the patient also had another one on his palate Candidiasis 39- pic of antral pseudocyst on pano asking to identify it 40- a pano asking to identify the shadow of earlobe and one of the soft tissue of the nose 41- avulsed tooth need to be replanted in less than an hour what not to do ? a-hold the tooth with 4*4 gauze soaked with saline from the crown only b-currete the socket to remove blood clot c-preform RCT within 2 weeks d-splint from 7-14 days 42-when replanting avulsed tooth with closed apex in less than an hour you do caoh treatment if• You don’t need to do it when you already giving antibiotic • You do it within 2 weeks • At the first sign of resorption • You always do it as a permenant restoration 43-why do you increase the distance between clasp arm of awrougt wire and minor connector a-increase it’s flexibility b to increase it’s bracing action • To make it more retentive 44-child feeling nauseous after giving him 50/50 o2/no2 what to do Unplug the machine Increase o2 Increase no2 Ask the pt to relax and try to breathe from his nose 45-after giving block anasthesia to extirpate a pulp and preform a RCT to lower molar the pt feels numb only in tongue not lips You give another block Buccal nerve block Intrapulpal block 46-after administering anasethesia to treat upper molar pt eyelid starts to drop and lip crocked on one side only and after a while he starts to feel better what happened a-lido toxicity b-la allergy c-intravascular injection • Mechanical injury to IAN 47- How to make a crown looks narrower Deepen the embrasures and bringing the facial line angles to the middle third 48- When to extract 3rd molar impaction on a 43 year old man?- Bony defect or pathological defect – to prevent 2nd molar distal caries To prevent perio disease on the 2nd molar 49- Culture for sensitivity: Ans was treatment doesn’t respond to previous antibiotic therapy 50-there was a question asking that you should be held to the same standard of care of specialist in what case a-you do the same work that a specialist should do b: or you coordinate care with a specialist c-when you refer patient to a specialist 51- caries after radiation i chose cervical 52-pt with history of oral cancer came to extract 4 wisdom teeth i chose refer to oral surgeon 53- a question asking about pontic designe that doesn’t hurt gums Passive and doesn’t blanch gingiva 54- a question asking about provitional restoration margines and perio It should be positive convex surface Or concave Or margins adapted and fitted 55-105. Mandibular canal is on lingual of mandibular 3rd molar, by moving the x-ray sensor inferiorly and x-ray direction superiorly which way will the canal appear to move: A) Apical, B) Mesial, C) Distal, D) Coronal 106. Informed consent can have all of the following EXCEPT: A) Informed consent must be presented in advance of the treatment. B) Informed consent must contain treatment options. C) Informed consent must be in written form. D) Informed consent must contain risks and benefits of the treatment 107. Which of the following shows the best way of active listening? A) Rephrasing the listener’s understanding of speaker’s communication. B) Active eye contact. C) By sounding listener’s concern 108. Patient complains, “Why do I have to stay here for so long for you to do this, why can’t you finish it already?” A) Because that’s how treatment works you idiot. B) That’s how long it takes to provide quality care. C) It seems like you’re upset, may be we can reschedule you for another day for longer appointment. D) It seems you are upset, what are your concerns about the procedure we’re doing today 109. Question on Type – I error, gave the test result value of 0.01 and the researchers rejected the null hypothesis, what kind of error?- type 1 error 110. Adolescent have trouble following OHI at home after getting braces. What is the most effective way to make sure they follow the cleaning regimen? A) Ask the parents to supervise them. B) Educate them about oral hygiene. C) Give them limited praise with good progress at each appointment? 111. Porcelain porosity: ? – Inadequate condensation 112. What do we write the consult for: A) To gain certain information B) To gain clearance C) To have a better relationship with patient’s physician? 113. Child starts throwing fits?- voice control 114. Disabled kid, best measure?- Consistency 115. Implant to implant distance?- 3 mm 116. Middle-aged male has a fluctuant mass in the midline of neck? A) Thyroglossal duct cyst B) Brachial cleft cyst? 117. What else do S. mutans produce along with dextran after breaking down sucrose: A) mucopolysaccharides B) macros C) levans D) proteins? 118. Nerve involved in Bell’s palsy?- facial 119. 4mm implant, how much do you need buccolingually?- 6 mm 120. Mandibular 3rd molar root lost: which space?- Submandibular 121. IAN block needle infection where: Pharyngeal, Pterygoid, medial pterygoid muscle? 122. Veneer facial reduction?- .5 mm 123. PFM buccal margin depth?- 1.5 mm 124. Patient comes back after 1 year of composite restoration with pain and sensitivity?- microleakage 125. Radiograph to check integrity of Zygomaticarch?- submentovertex 126. TMJ radiograph?- MRI 127. Behcet’s syndrome associated with: Herpes simplex, Aphthous ulcers, Leukemia? 128. Bradycardia treatment?- Atropine & scoplamine 129. Which is NOT used to inhibit salivary secretion?- Pilocarpine or Cevimeline 130. Which is contraindicated in nitrous?- nasal congestion 131. Which of the following confirms the diagnosis of xerostomia: A) location of probing depths of >4mm. B) location of anterior restorations. (because chemotherapy causes xerostomia which leads to class V lesions) C) location of partial denture flange.? 132. Over titration of Amalgam leads to?- fast setting so decreased working time, High contractility, Increase corosion 133. Cavernous thrombosis infection via?- lymphatic vessels. as are on the upper lip is valveless 134. Patient does not have tooth #11 and has all the premolars, which one has the Worst Prognosis: A) fixed bridge from #10-12. B) RPD with pontic for #11 C) Implants? 135. Metalloceramic crown which type of bevel?- Chamfer 1mm (in dd for pfm labial shoulder is 1.5mm Chamfer is 0.5mm) 136. predominant cells in gcf?- PMN 137. cleft palate, mand hypoplasia and tonue obstruction?-pieree Robin syndrome 138. Neurofibromatosis type 1 features?- Cauflet,Lisch nodules,Crowe sign 139. Radiograph with multiple periapical radiolucencies.( cementosseous dysplasia)?- Florid cementoosseous dysplasia 140. Radiograph of cementoblastoma, stafne cyst?- stafne cyst is by lingual, angle of mand, and it is radioluc, and cementobl is radioopaque, at apical of molars, you can see it at the mandible angle, but it is tilted to lingual of the angle 141. Sequence of using retraction cords? 142. Gracey curette 13/14 used for- post. Distal 143. girl with gingival bleeding and recurrent infection- leukemia 144. 5 mm intrusion of primary tooth?- observe 145. sodium hypochlorite properties?- Root canal irrigant, dissolve s organic substance, not a chelating agent, so irritant to the oral tisues 146. Reason for amalgam fracture at isthmus?- Inadequate depth, sharp angles, irregular surfaces, too shallow 147. they give child’s age and asked for max dosage of lidocaine?- 4.4 mg /kg child 148. ledge what to do?- bypass it and continue 149. most common area for caries? pit and fissure or apical to contact?- Pit and fissure150. pt came back after a month with discolored margins wat could be the reason? – Micro leakage 151. Function of reciprocal arm?- Resists displacement of tooth due to retentive arm, Stabilization, prevents abutment tooth displacement during removal and insertion 152. function of anti-retraction valve? -One way flow check, it prevents the flow of water back into dental units 153. What dentist cannot increase? – value 154. How to manage hearing disable patients? -Talk to them slowly and for them to interpret 155. Dentist performing treatment without patients consent? – battery 156. Impending doom? – panic attack / anxiety 157. majority of fees paid for dental treatment? – self pay 158. Antifungal in troche form?- CLOTRIMAZOLE 159. Ludwig angina?- Ludwig’s angina is a fascial space infection with bilateral involvement of the submandibular, sublingual and submental spaces. The external signs may include bilateral lower facial edema around the mandible and upper neck. Intraoral signs may include a raised floor of mouth due to sublingual space involvement and posterior displacement of the tongue. Symptoms may include dysphagia, pain with swallowing, difficulty breathing, and pain. Ludwig’s angina should be treated urgently due to the airway being compromised. The infection may rapidly spread to other fascial spaces of the head and neck, further compromising the airway.The route of infection in most cases is from infected lower molars or from pericoronitis. 160. antagonist for benzodiazepines? -FLUMAZENIL 161. Closest speaking space sound? – S 162. Palatal root of max 1st molar appear mesial to MB root, from where does the beam projected?- mesial 163. Efficacy of a drug?- nax ceiling effect 164. Frankfurt horizonal plane?-Porion- Orbitale 165. fusion and germination?-Fusion two tooth bud fused, giving a apparently a missing tooth. It has independent pulp chambers and canals. Germination just one tooth bud trying to split in two. Tooth count is normal. One pulp chamber but two pulp canals 166. Dry socket mainly in which tooth? -mandi 3rd molar 167. Reason for porcelain greening at cervical margin? -Silver. (whole crown – silver, at margins –copper) 168. Antibiotic for Clostridium difficile? -Metro, clinda for G+ve( with few G-ve) coci and staph but it is static not cidal as Penicillin 169. Penumbra?-fuzzy, decrease the object image distance Causes of penumbra – large focal spot size, movement of receptor or object, To decrease penumbra reduce focal spot size 170. most common emergency in dental setting? -syncope 171. Deviation of mandible on the opposite side of lesion?-Condylar hyperplasia, same side hypoplasia172. Patient has cold sensitivity and pain on biting?-hyperocclusion 173. Most common impacted tooth?-mandi 3rd kolar 174. most common congenitally missing tooth?-3rd molars – mn 2nd pm- Mx li. (Maxi 3rd molar, upper jaw have more tendency) 175. Early loss of primary canines, due to?-Severe tooth-arch length discrepancy 176. most common type of seizure in young children?-absence of seizure / ferbile, then grand mal 177. Treatment for grand mal seizure?-PHENYTOIN 178. For maxillary protrusion? Treatment option- Maxi protrusion is class 2 so we use cervical/ straight pull. Reverse head gear is for class 3, i.e madibular retrustion. 179. saturation of color? -chroma 180. Patient was standing along a wall, looking at floor in waiting area, what should dentist say? -What brings you here today 181. question on desensitization? – slowly increasing anxiety stimuli while using relaxation skill 182. primary etiological factor of periodontitis?-pkaque 183. most common osseous defect?-CRATER (2 wall) 184. One wall defect?-Hemiseptum 185. effective way for cleaning large proximal areas? – Interdental brushes 186. Denture patient difficulty in swallowing?-Increased VDO 187. Blue lines seen on ventral tongue and floor of mouth?- varicose vein 188. At what age child develops manual dexterity to brush without any assistance?- 6-9 yrs 189. Galvanic shock? – Amalgam opposed gold1.chronic perio often seen in ?- black males 2.diabetes type 2 most common in ?- black males 3.recent increase in which type of. Caries?- root caries 4.denture become tight?? – paget 5.treatment for class 2 furcation?? – GTR 6what decide formation of new epithelium at receptor site??- Donor connective tissues 7.success rate of non surgical endo therapy??- 81-90% 8.hand piece for implant placement torque is??- High torque slow speed 9.physiologic antagonist??- Epi – histamine 10.transient ischemic attack feature??- Paralysis of different limbs depending on the affected brain region. Difficulty in speech or understanding. Numbness of a limb, particularly on one side of the body. Clumsiness during walking or with certain hand movements. Lack of balance and coordination. Severe headache. 11.displacement of mandibular 3rd molar root tip in??- Submandibular space 12.young person can give consent for treatment for an old person if have ? Power of attorney 13.what represents variability about mean value of group of observations??-Standard deviation 14.unbundling??-Dentist fraud 15closed panel??- 15combination syndrome??-16.sulphur in latex gloves retard setting time of which impression material?? -PVS 17.function of plaster index?? -facebow record is preserved 18.indication of lingual plate?? – 19.green and orange stain on maxillary incisors due to??- Poor Oral hygiene 20.treatment of anug and alveolar osteitis?? 21.use of lithium?? -Bipolar disorder 22. least reliable test on primary teeth??- EPT 23.in hairy leukoplakia hypertrophy of which papillae??- Filiform 24.reason for dry mouth??- medication 25.pt need antibiotic prophylaxis for what??26.has white lesion on floor of mouth,it could be anything except SCC, verrucous carcinoma and nicotinic stomatitis. 27.when should be treated for cross bite?? – During eruption 28.preventive approach for caries?? Sealants 29maxillary first molar tilted what should be the treatment?? – Space regainer 30.which is not side effect of methotrexate??-Thrombosis formation what cause gypsum to set faster?? Borax Na nitrate Sulfide 31.missing more than 2 teeth but not all ??-Hypodontia 32.enamel loss is not symptom of dentine dysplasia?? T/F 33.most common superneumary teeth?? – mesiodens 34.most common variable tooth?? – max lateral 35.dens in dente most common in??-max lateral 36.regional odontodysphagia??- Ghost teeth 37.common tooth surface effect by bulimia??-lingual 38.tooth loss due to tooth flexure??- abfraction 39.bald tounge and dysphagia is in risk of developing which cancer?? – Scc(plumer Vinson syndrome) 40.problem in chloride channel which disease??- cystic fibrosis 41.Crowe sign??- Axial freckling in neurofibromatosis 1 42.uniform widening of pdl and bilateral resorption of angle what disease?? – Scleroderma 43.condensing osteitis??- Focal scelerotic osteomyelitis with vital teeth localized radiopaque , infected tooth. 44.oral manifestation of acondroplaysia ??- Maxillary hypoplasia Periodontal diseases and gingivitis incidence increases , crowding and class 3. 45.dental problems with decrease alkaline phosphate??-Hypo phosphatasia and hypo calcification, increase perio disease 46.x linked associated with thin hair and hypodontia??-ectodermal dysplasia 47.superneumary teeth with cranial bossing which disease??-Cleidocranial dysplasia 48.warm bone sign of which disease??Paget disease49.early she’s of primary teeth and premature eruption of permanent teeth??- hyperthyroidism 50.dry and rough hair , enlarge tounge and maxillary over growth associated with ?? – Hypothyroidism 51.Bell’s palsy which nerve ? – facialJune 2nd 22-metoprolol blocks the action of which of these a-epinephrine induced tachycardia b-the isoprotrenol induced vasodilation c-epinephrine induced bronchodilation ◦ Ans – A 23- moa of nitroglycerin Something about cyclic adynlase and decreasing cyclic amp Ans -Vasodialation✅ 24- benzodiazipines act on what receptor? Ans – GABA 24- 3 easy questions about definition of C factor know it well and about what type of filling has it higher 25- a question about increasing the water of gypsum what all correct except Decreased strength More porosity Decreased expansion Decreased setting time ANS- D 26- Which bactria not acidogenic S. Mutans S.sanguis Lactobacilus Actinomyces Ans-B 27-what on the surface of the tooth that supragingival plaque initiated from Insoluble glycoprotein Lipopolysaccharide Ans-A 28-bacteria associated with perimplantitits Ans-obligate anaerobes 29- the extension of buccal and lingual walls of the proximal cavity preparation of a composite restoration depends on ? The caries extension The space with adjacent tooth The resistance to fracture ANS-A 30- the orientation of epithilaial attachement around an implant I chose parallel around the cuff Another option was parallel and inserted in the cuff Ans-parallel 31-type of epithillial attachement around implant Ans- hemidesmosomes 32-two weird questions on implant About lower and higher attachement of the implant-abutement interface ? 33-question asking about a 3 unit fpd replacing maxillary canineSimple cause ante’s law is satisfied Simple cause all 3 units fpd are simple Complex cause of the inter abutement axis Complex cause of some weird named angles 34- which gives more support to prosthesis Vertical rest and denture bases Denture bases alone Ans-A 35-distal step occlusion of a child and retrognathic mandible and the lee way space was not closed after eruption of permenant molars what occlusal relation is this Class 2 Class 3 Class 1 Edge to edge Ans – CLASs 2 36-the vertical length of the face is measued on cephalometric from nasion to what point Pogonion Menton Gonion ANS- Menton 37- dysthesia meaning Unpleasant painful sensation Absence of sensation Reduced sensation Highened sensation ANS- A 38-pics of tongue with a red spot and saying that the patient also had another one on his palate ANS -CANDIDA 39- pic of antral pseudocyst on pano asking to identify it  40- a pano asking to identify the shadow of earlobe and one of the soft tissue of the nose  41- avulsed tooth need to be replanted in less than an hour what not to do ? a-hold the tooth with 4*4 gauze soaked with saline from the crown only b-currete the socket to remove blood clot c-preform RCT within 2 weeks d-splint from 7-14 days Answer B 42-when replanting avulsed tooth with closed apex in less than an hour you do caoh treatment if a- You don’t need to do it when you already giving antibiotic b- You do it within 2 weeks c- At the first sign of resorption d- You always do it as a permenant restoration ANS-B 43-why do you increase the distance between clasp arm of awrougt wire and minor connectora-increase it’s flexibility b to increase it’s bracing action c- To make it more retentive ANS C 44-child feeling nauseous after giving him 50/50 o2/no2 what to do Unplug the machine Increase o2 Increase no2 Ask the pt to relax and try to breathe from his nose Ans-B 45-after giving block anasthesia to extirpate a pulp and preform a RCT to lower molar the pt feels numb only in tongue not lips You give another block Buccal nerve block Intrapulpal block Ans A 46-after administering anasethesia to treat upper molar pt eyelid starts to drop and lip crocked on one side only and after a while he starts to feel better what happened a-lido toxicity b-la allergy c-intravascular injection d- Mechanical injury to IAN Ans C 47- How to make a crown looks narrower Deepen the embrasures and bringing the facial line angles to the middle third 48- When to extract 3rd molar impaction on a 43 year old man? – Bony defect or pathological defect – to prevent 2nd molar distal caries To prevent perio disease on the 2nd molar Answer A 49- Culture for sensitivity Ans -abx 50-there was a question asking that you should be held to the same standard of care of specialist in what case a-you do the same work that a specialist should do b: or you coordinate care with a specialist c-when you refer patient to a specialist Answer B 51-type caries after radiation Ans – cervical 52-pt with history of oral cancer came to extract 4 wisdom teeth – ANSER – refer pt to oral surgeon 53- a question asking about pontic designe that doesn’t hurt gums Ans -sanitary 54- a question asking about provitional restoration margines and perio It should be positive convex surface Or concave Or margins adapted and fitted Answer – cAmel rq 1. Combination syndrome – all except? A. Increased VDO B. Bone loss in anterior maxilla C. Supraeruption of mandibular teeth D. Papillary hyperplasia of hard palate Ans A✅ 2. Facial alcohol syndrome feature  3. Orange brown stain from irrigation causes by combination ✅Sodium hypochlorite and cHX 4. Lack of indirect retainer in distal extension ✅Displacement 5. Acidulated phosphate fluoride percentage ✅1.23% 6. Direct and indirect pulp caping Large carious lesion no pulp capping Indirect when thin layer of dentine bridge present And for direct – pinpoint exposure 7. Treatment of xerostomia✅Pilocarpine 8. Gingivectomy contra indication ✅infrabony pockets 9. Nitrous oxide contra indication  10. After 3% Prilocaine give it to patient become pale ✅La + pale == SYNCOPE for methomglobinemia it’s bluish 11. Frequency urination of pregnant woman (option gestational diabetes ,pressure of baby on bladder) ✅B 12-Sedation stages ✅✅ 1- amnesia/analgesia 2- demntia/ exictement 3- surgical anesthsia 4- medullary paralysis 13. What is in correct toxic combination (cephalosporin and hepatotoxic ) ✅true 14. Patient have gingival enlargement in pic ,tired ,red macule on gingiva most likely Leukemia 15. Patient gingiva destructive in epithelium ✅Desquamative,pemphiguis 16. Clicking in cd ✅high vdo 17. Pic horizontal white on buccal mucosa ✅linea Alba 18. Child hyper active after LA ✅toxicity la 19. Autisim ✅ Repetitive upper extremities movement Sensitive to loud sounds 20. OSHA 21. Spore test effective option heat sterilization ,cold sterilization >>>>>✅Heat 22. Hand foot disease cause by ✅coxsackie 23. Pation had red lesion on palate and on tongue✅candidiasis 24. ChF featureOrthopnea,dyspnea 25. High blood pressure ,tachy cardia nausea ,fine hair ,weight loss (option hyperthyroidism ,ectodermal dysplasia ✅A 26. Infection of primary teeth lead to option enamel hypoplasia ✅true 28. Lip crusted ✅EM 29. Patient have soure in her mouth and said it come again ✅recurrent aphthous ulcer 30. Lesion healing without scar Minor aphthous ulcer 31. Pic Herpes 32. Pic Scc in tongue  33. Implant distance to implant ✅3mm 34. Implant remain 4 mm in sinus what you do Bone graft ✅ 35. Ulcer on the palate option (sialometaplasia )deep crater like 36. Down syndrome chromosome – chromosome 21 37. Mode- ✅most receptive number 38. Hue—-✅wavelength 39.Chroma——-✅saturation 40. Bunding   41. Decrese with age option ✅✅✅ANB 42. Opaque in icisal third ✅inadequate reduction in second plane 43. Dentist make another final impression cause ✅improper margins, distortion 44. Different bet primary and permanent Do all differences  45. Posterior palatal seel compensate✅shrinkage 46. Necrosis 3 times usually asymptomatic can be partial or total due to long term interruption of blood supply to pulp crown discoloration (mental dental) 47. Sinus tract diagnosis ✅with a Gp 48. Eruption of primary molar ✅12 months 49. Bilateral swelling of cheeck (cretinism,cherubism) ✅cherubim 50. Failure of amalgam Moisture contamination Improper cavity design 51. Metformin ✅for diabetes 2 Decrease hepatic gluconeogenesis Toxicity- lactic acidosis Metformin has been widely used as a first-line anti-diabetic medicine for the treatment of type 2 diabetes (T2D). As a drug that primarily targets the liver, metformin suppresses hepatic glucose production (HGP), serving as the main mechanism by which metformin improves hyperglycemia of T2D benzocaine Moa and antagonistblock sodium channels 53. Quinine MOA Block beta haemtatin 54. Physiological antagonist Epinephrine- histamine Epinephrine- nitroglycerine 55. Carcinoma in situ ✅ Not invading the basement membrane Dysplasia Erythoplakia 56. Which cancer metastasizing to jaw ✅Breast most Kidney prostate options too Lungs least 57. Neurofibromatosis57- café au lait Neurofibromas lisch spots and Crowe von reklinghousing disease of skin ✅ 58. Amalgam with marginal proplem what do u do Observe if isn’t any sign of pain , caries , or less than 0.5 ✅ 59. Tell and show ✅Most important technique of behavioral management in the pediatric dental pt Can’t work in pt with phobia 60. Autonomy deffintion and cases ✅self governing 61 . P value ✅Less than 0.5 reject null More than 0.5 accept null 62. Indication of Third molar extraction ✅pericornitis 63. Specifity and sensitivity Disease free = specifity Disease = sensitivity1)metoprolol with norepinephrine effect : Antagonist Beta-blockers like metoprolol may reduce the effects of vasopressors like norepinephrine. If you have been using metoprolol, you may not respond as well to vasopressors given to treat an emergency such as shock or a severe allergic reaction. 2) diabetic patient type 2 not feel well what his blood sugar A: 40 b:70 c 120 d 200 Normal blood sugar levels are between 60-110 mg/dL (normal values may vary from laboratory to laboratory). If you have a fasting blood sugar level of between 110 and 125 mg/dl, you are diagnosed as having impaired glucose tolerance. This is a strong risk factor for developing diabetes. 3 lithium : for bipolar maniac disorder 4) nitroglycerin not give with with drug: epinephrine 5) patient with uncontrolled hypertension not feel well and anxious what you suspect a) syncope b) stroke. 6 ) survey questions when you do RPD on crown surgery 7) survey technique when you restore anterior tooth with distal extension?? 8 ) Gardner syndrome: multiple odontomas+intestinal polyps 9) heavy patient what you do when you take x ray for him: increase Kvp 10) you did 2 restorations and insurance paid one: bundling 11) unbundling: dentist abused benefits by charging separate fee 12) sterilization check: Weekly ,Spore test ,Geothermophillus 13) child with trauma can’t bite on left side no radiograph finding: right condylar fracture 14) eugenol: inhibits polymerization14) mental foramen location: between mandibular premolars 16) gingival hyperplasia medication: Phenytoin ccb cyclosporine 17) papilloma picture 18) force on center of resistance: translation 19) distal step: class 2 20) old patient with anxiety what you not do a ) behaviour management b ) lorazepam 21) ace inhibitors MOA: inhibits conversion of angiotensin 1 to angiotensin 2 22) what you give to patient with thiazides: potassium 23) Learning disability mostly diagnosed in: boys 24) hpv vaccine is given in a-after 18 b-before sexual maturity 25) exposed buccal margin of a crown what not to do? Coronaly displaced flap Free gingival graft Crown lengthening 26) widman flap: new attachment. No pocket reduction 27 ) panorama with chin up: frown smile. Max foreshortening and mand teeth elongated. 29) why penicillin is the best: Penicillin are not broad spectrum that’s why they are safe 30) clinical remount why: to correct occlusal disharmony31) retention groove for class 2 where: 32) 2% lidocaine 5cc: 100mg lido 0.05 epi 33) RPD design: 34) picture with crown and they ask if it’s good or not Crown preparation 35) Antral cyst 36) apexogenesis vs apexofication: apexogenesis on vital teeth, apexification on non vital 37)antidepressants drug work on: SSRI? 38) value most important: yes 39) why I bar is good: good esthetics40) neurofibromatosis: Axillary freckling ,Lisch nodule,Cafe e lait spots 41) child with nausea while taking N2o what you do: give oxygen 42) patient with cancer need extraction what you do I put refer: refer 43) caries on mesial and distal, why you include oblique ridge: less than 1.5 mm distance 44) give discretion of fetal alcohol syndrome and ask what the cause: alcohol 45 )autism: repetitive behaviour 46) patient think that you don’t like him and you talking about him what his mental disorder: paranoia 47) you ask a child you need help to get on chair what we call this?? Weird options I never heard about them 48) medical emergency for anaphylactic shock: epinephrine 49) you take impressions and lips get swelling: angioedema 50) artery damage in graft: greater palatine artery 51) limit to distal wedge: ramus 52) what is not limit for upper 1st molar implant: I put superior alveolar nerve 53) nerve damage in genoplasty: mental neve 54) tmj ligament function: limits mandible movement 55) disco buccal in mandibular area which muscle: masseter 56) toothbrush lesion: abrasion 57) I what is not iatrogenic cause of perio lesion: The etiology of periodontal disease can be iatrogenic in nature. Diagnostic procedures, Restorations, Endodontic therapy, Fixed and removable prosthesis, Orthodontic therapy and Oral and maxillofacial surgical procedures have the potential to become iatrogenic to periodontal structures if not carried out properly.58) sinus lift… 59) how you make tooth look narrower: Deepen the embrasures and bringing the facial line angles to the middle third 60) which one least resistance bucco lingual: implant 4mm 61) pregnant lady on her left: IVC compression 62) which material is good substantivity: CHX 63) epinephrine and histamine: physiologic antagonist 64) autonomy definition: self determination 65) Benzocaine MOA and antagonist: block Na channels.. reverse with phentolamine.. (incase of toxic episode give benzo) 66) incidence question: new cases 67) endo diagnosis were easy 68) what is best indication for periodontal status:CAL 69) why it’s important to do maintenance visits: to prevent recurrent disease 70) why important to treat abscess on upper teeth: cavernous sinus 71) picture of patient has swelling on lower mandible area with inflamed lower 1st molar where this infection will go if not treated: submandibular 72) sinus tract indication for what: chronic apical abscess 73) what limit buccolingual extraction of composite restoration: I put caries 74) s sound important for what: VDO 75) patient with clicking teeth , what is the problem: excessive VDO 76) patient with denture and he keep biting his cheeks what is the problem: insufficient horizontal overlap 77) dentinogenasis imperfecta with what: blue sclera 78) facebow mounting: relation between maxilla and hinge 79) you add more water to gypsum what will happen: increased setting time, decreases thermal expansion and strenght 80) primary herpetic picture 81) fusion Less one tooth: true 82) initiation stage: all teeth number related anomalies 83) cledocranial dysplasia: absence of clavicle, supernumerary teeth, delayed permanent 84) mucous membrane pemphigoid: hemidesmosomes,autoimmune 85) ulcer on tongue and palate: median rhomboid glossitis ,candida06/7/2021 This the rest of my questions that I remember from day 1 and day 2 1. Burkitt lymphoma causes by: EBV 2. Penetration of x-ray options (kvp,ma): kvp 3. All cause by virus except (hairy leukoplakia,kaposi’s sarcoma,verrucous carcinoma): all of these are due to viruses 4. Pico ,I stand for : intervention 5. Suprneumeary teeth which stages : initiation 6. Causes of Cone cut in x-ray: improper tube position 7. Ameloblastoma develop of which cyst: dentigerous cyst 8. 5 yrs fell from bike she cant bring her post teeth together options (RT condyle fracture ,left condyle fracture ,RT hemaarthosis or left 9. Which wrong in medication and associated I chose this (propranolol –alpha blocker) because it is B blocker not alpha 10. Benzodiazepine act on which receptor : GABA 11.Which material best thermal expansion: 12.Which material is dimentional stable : PVS 13.Most cariogenic dietary I chose sucrose 14.Best area for implant : anterior mandible 15.When you have caries near pulp options :round bur start from peripheral or center I forget other options: from peripheral to centre16.Crack tooth treatment I chose extracronal cover 17.Sturge weber syndrome I chose port wine 18.Cerepral palsy 95% mental retardation T/F I chose F because just 30 to 50 % ) 19.Leukemia seen in children : ALL 20.Best prognosis for salivary gland tumor: pleomorphic adenoma 21.Oral candidosis ttt no nystatin in options just clotrimazol, fluconazole) Clotrimazole: troche Fluco: systemic Nystatin: oral 22.Clicking in denture cause( excessive vdo 23.Part of article in research except (introduction ,method ,discussion ,interpretation ) 24.Digoxin (inotropic ) 25.Difference bet enamel trimmer and hatchet: Hatchet – F and L enamel wall, straight GMT- bevelling of Gingival seat, angled 26.Cimetidine MOA: H2 antagonist Day 2 Questioins 27.Patient have hep B how you treat this patient (option wear double gloves ,standard precautions 28.Medication for hep B patient options (acetaminophine hydrocodone ,tramadol) pinned Q 29.Patient have white lesion in his tongue not wipe off option (candida ,leukoplakia 30.Patient have removable partial denture discoloration of tooth (amalgam tattoo ,oxidation of clasp?, 31.Patient wear partial denture have gingival projection distal to 1 molar options (hyperplasia ,bony projection ??? 32.Patient have erosion what causes : bulimia, GERD 33.What cause of caries except option(alcohol?? ,plaque, poor oral hygiene )34.Patient have small nodule in gingiva pyogenic granuloma ,peripheral gaint cell granuloma ,fibro osseous 35.Patient have Decrease vdo what disese we found: angular chelitis 36.Teeth edge to edge what reason options (excesive max teeth size ,excessive mand teeth size 37.Patient come to clinic hold his tooth in his hand and he said it was fight 1 hr ago his age 21 yrs what is treatment : Reimplant and splint for2 weeks then RCT and caoh 38.Patient have xerostomia what reason (he takes antidepressant medication39.Patient have furcation what treatment : stage 2 GTR 40.What causes of x-ray light : Low Kvp, Ma and exhausted developer and overfixing 41.Genial tubercle : Geninal tubercles are the area of muscle attachment for the SUPRAHYOID MUSCLES. 42.Mand fossa: Depression in the temporal bone where the condyle articulates 43.RL line from 2 to 6 teeth ?? 44.Pterygomaxillary fissure: tear drop shaped45.Multiple myloma: bone pain, punched out lesion 46.Patient have fracture at angle of mandible what nerve affected : IAN 47.Which muscle attach to angle of mandible: masseter on lateral and medial pterygoid on medial 48.What the action of this muscle: elevation 49.Patient have Tongue deviation to right which nerve it affects? Right hypoglossal1 Sensitivity after amalgam due to which ion ? Zinc (sensibility) 2 Aim from using Facebow ? To record maxillary mandibular relation of hinge axis. 3 Clinical remounting mainly done for ?! Errors in occlusion are checked most accurately by REMOUNTING the dentures on the articulator using remount casts and new inter-occlusal records. 4 Know about propylthiouracil can cause hypothyroidism Propylthiouracil (PTU) is an oral medication that is used to manage hyperthyroidism which is due to an overactive thyroid gland. It is an antithyroid drug that has a mechanism of action that is similar to methimazole (Tapazole). 5 Best anatomical place for implant Anterior mandible 6 Emergence profile7 Occlusal plane setting of upper molars in dentures why to buccal tilt the molars ?! Curve of Wilson the MEDIOLATERAL U-SHAPED CURVE of the occlusal plane of maxillary and mandibular posterior teeth. 8 Most common cause of xerostomia ??! Medications 9 How to make incisors look narrower?! Facial line angle closer and wide interproximal 10 Pt develop asthma and hypotension. What medication ??! Epi (treatment)11 Cleft lip and palate treatment sq ?! Lip first then palate 12 Maxillary hypoplasia in cleft case due to?! normal sequence of the disease 13 Moa of Acyclovir?! inhibits viral DNA Polymerase 14 Mandibular denture limiting structure?! Yes masseter for distobuccal Buccinator for buccal shelf Mylohyoid for lingual Distoangular for superior constrictor Mentalis for labial 15 How to mask amalgam discoloration after removing it to be replaced by composite ?! put full crown or veneer (depend of options) 16 Caries risk in Ortho treatment ?! high risk17 Cambra? Caries management by risk assessment (CAMBRA) is a standard of care that involves identifying the cause of caries through individual patient risk assessment, then managing those risk factors through patient behavioral changes and minimally invasive care. 18 OARS ? Open ended questions Affirmation Reflection Summarize 19 operative management of all except wired options? -diagnosis of lesion requires intervention – Diagnosis of lesion requires non surgical intervention -low risk assessment – high risk assessment 20 HIV transmission risk ,,Disability actno 21 Direct and indirect composite22 SLOB Rule same lingual opposite buccal 23 TB lesions in the oral cavity – most common in the tongue – 24 Orthodontic extrusion vs crown lengthening- Orthodontic extrusion you preserve biologic width, and in crown lengthening we remove alveolar bone and it can compromise aesthetics. – 25. Elderly people’s options were a: abuse drugs more than misuse b.rare to misuse c.abuse alcohol 26Mean very easy calculation question -mean (average) median(middle number) mode (number that shows up the most) 27. P value – p value is the final arithmetic answer that is calculated by a statistical test of a hypothesis (H0, called the null hypothesis) – If p<.05 is rejected – If p > .05, accept the Hypothesis – 28 Fixed dose drug A with low dose of Drug B increases drug B effect when same dose of drug A is given w/ increased dose of drug B: competitive antagonist, synergism, partial agonist? – Partial Agonist – 29 Occlusal rest dimensions in detail -Rounded, semicircular outline form (spoonshaped) • One-third MD width • One-half intercuspal width • 1.5mm deep for base metal • Floor inclines apically toward center • Angle formed with vertical minor connector is <90˚30 Amount of undercut for retentive tip in distal extension options a. 0.01 b.0.02 c.0.1 31 Orthodontic tooth movement 2 questions not direct 1. Apply force to a tooth 2. PDL is stressed – Compression side= osteoclasts – Tension side= osteoblasts 3. Boné remodels 4. Tooth moves 32 Elderly patient abuse options talk to his closest relative,,,,,, report state agency ,,,,, call the police “no option for ask the elderly’’ -Suspected elder abuse must be reported to Department of Health and Human Services (HHS)agency 33 2 years old kid most fearfully stimulus options a.loud noise b.pain c.light 34 Cement for jacket crown – Zinc phosphate – 35Most common cause for changing amalgam and composite restorations – Secondary caries – 36 X rays needed for extraction of impacted 3rd molars plus pan already there case like question(question is not clear) Could be PA for impacted37 Endo a lot of cases not straightforward need to look for the cause 38 Treatment needed for pulp calcification options. a. endo b.EXO c. no treatment.(if Radiolucency is present than we do Endo otherwise no treatment is required) 39 Accurate study Most specific and accurate study: -Randomized closed clinical trial -Randomized longitudinal trial 40 Variables and distribution around the mean 2 studies they give A variables = 9 B variables = 25 ✅variable B more spread around mean 41 Self motivation ?. 42 One question is you smile to the patient and say good job ,,,, no positive reinforcement in options I picked social reinforcement but there is 2 more options like other types of reinforcement I don’t remember names43 OSHA Basic ones44 Patient called and in pain what to do ?! 45You give NO2 to child and feel nausea Give oxygen. 45 Aversive conditioning example all except 46 Anatomy question about injury to the face in accident and the insurance patient can’t feel his lips which bone broken Mandible 47 Condylar fracture both sides which malocclusion I picked anterior open bite other options are posterior open bite ,,,, mandibular shift ,,,,, The common malocclusion for a bilateral condylar fracture is an anterior open bite (AOB). This is caused by the loss of mandibular ramus height bilaterally causing clockwise or posterior rotation of the mandibular plane bilaterally. Both of these problems may cause significant problems for a patient. 48 They love beta blockers in day one and day 2 selective and non selectiveBeta-Adrenergic Receptor Blockers (β Blockers): with all “selective” beta-blockers, selectivity for the β1 is lost at high doses. As the dose is increased, they also block β2 receptors, thus having effects on bronchial smooth muscle. The most common adverse side effects of beta blockers are WEAKNESS & DROWSINESS. Beta blockers treat hypertension, angina, cardiac arrhythmias, MI, glaucoma, and prophylaxis of migraine. • Propranolol (Inderal), Timolol, & Nadolol (longestacting)-lipid soluble drugs that blocks both β1 & β2 receptors (thus are “non-selective” beta-blockers). Widely used to treat hypertension (↓BP by ↓CO). Non-selective beta blockers are absolutely contraindicated in patients with asthma or other chronic obstructive airway disease as they cause fatal bronchospasm. Selective β1 blockers are contraindicated in the patients. Also, contraindicated in patients with insulin-dependent diabetes as they block hypoglycemia recovery. Propranolol exerts its major anti-anginal effect by BLOCKING beta-adrenergic heart receptors. Beta-Adrenergic Receptor Blockers (Beta Blockers)- reduce the volume of cardiac output into the circulation, causing reduced peripheral pressure. There are 2 types of Beta Blockers: • Cardioselective Beta Blockers-block beta 1 receptors in the heart muscle, such as Atenolol (Tenormin) and Metoprolol (Lopressor & Toprol XL). • Non-Cardioselective Beta Blockers-include Nadolol (Corgard) and Propranolol (Inderal) 49 Ortho arch change length and circumference .✅Lenghth Decreases Circumference Inc in Max & Dec in Mand 50 PPE order51 Condition stimulates examples 52 ADHD and Nitrous oxide. Nitrous oxide inhalation allows children with ADHD to undergo lengthy dental appointments with infrequent episodes of disruptive behavior. Dental appointments should be held in the morning as most children with ADHD receive their medication in the morning. Nitrous oxide does not interact with the medications for ADHD. 53 Pictures to identify 54 AOT55 Antral pseudocyst 56 Abrasion Abrasion: Abnormal wear due to a mechanical process other than mastication (e.g., toothbrush)58 Granuloma (which granuloma?) 59 Median rhomboid glossitis60 SLOB rule 3 x rays only one they mentioned the angulation other 2 you figure it out . DAY. 2 1 diabetic women and hypertensive which teeth need extraction??? From x ray 2 ASA ??!3 3 HBA1c 8 >> uncontrolled 4 Lower 7 need pocket reduction surgery with minimal keratinized gingiva you can do all except Options gingivectomy ,, ,, distal wedge,,,, flap surgery ,,,, 5 While giving LA she feel shortness of breath what is the cause no asthma in options anaphylactic shock 6 Pulmonary embolism,,, Anxiety,,, From Epi in LA,,,, from LA 7 Which kind of bone loss you see in x ray ?? horizontal bone loss when 50-60% 8 Which disease ?! Acute ,,, aggressive,,, chronic periodontitis9 Tooth number 3 Why implant restoration is problematic?! posterior maxilla is not good for implant 10 Herpes case easy one11 Pt has vesicles on gingiva have the same from 2 months ago what are the cause ??!12 How to treat after you see vesicles in the mouth ?! 13 Topical agent useful for the patient options are wired names one of them is cortisone other one is lidocaine(benzocaine is most common topical anesthesia and the second most used is lidocaine) Ortho case 14 Type of profile15 Mandibular angle ,,16 Type off occlusion you see in right canine canine guided occlusion17 Pigmentation on the tongue causes except18 Which teeth are caries in x ray 19 Gingival bio type Hypotonia case decrease muscle tone, speech,swallowing and digestion problems occur. Incomplete case below20 Retained 1ry 2nd molars no upper left 2pm no 8s 21 How many missing teeth you see in pan – Need more info wrt to pan image,. there is no panoramic image to refer – 22 Type of resorption in retained molars 23 Type of gingival pigmentation you see ?! – 24 When you gonna extract 1ry molars — 25 How many proximal decay in bitewing x ray !? — 26 Prostho case combination syndrome Kelly (combination) syndrome: specific changes cause by a mandibular Kennedy class I removable partial denture opposing a maxillary complete denture (5 characteristics) • Bone loss in anterior maxilla, overgrowth of maxillary tuberosity, papillary hyperplasia of hard palate, supraeruption of mandibular teeth, and bone loss under distal extension 27 Upper a lot of cavities lower anterior remaining and only 1st premolars — 28Treatment plan phases ?! Which is to be done first ?! emergency treatment– 29 He is on plavix and Aspirin and all max teeth need exo ?! What to do ?? no consultation options check INR implants needed in the lower arch posterior area to ?! 30 Lesion on the tongue Sq cell carcinoma 31 How to biopsy — incisional biopsy 32Hypertensive smoking and fat patient drInking alcohol but ‘socially’ GERD– H2 Blocker 33Reflex and sleep apnea –Gag reflex and palatal reflex, a simple noninvasive test regularly performed in a systematic neurological examination can disclose the impact of the local neurogenic injury associated to snoring and/or obstructive sleep apnea… 34 Need consultation for all except Nitration,, , smoking ,,,, drug abuse 35Which type of restoration preferred for caries teeth 3 and 30 cavities are cervical and proximal amalgam 36 Cause of cavities ?! No acid cause in option I picked xerostomia 37 Nerve supply increasing stomach secretion I picked vagus 38 Which defect cause GERD I picked lower esophageal sphincter 39Type of enamel defect you see ??! erosion Other cases >>40 You have to see x ray to know the answer like bone loss,, periodontal disease type and classification,,,, caries detection from bite wings ,,,, hyoid bone ,,,,, lingual canal ,,,,, which tooth will be need crown or not it’s vital tooth so I picked not needed 41Other cases on crown and bridge C/R ratio from x ray ,,,, some direct ethics questions easy onesMedian romboid glossitis Palate and tongue involved✅✅ Fusion Maximum cartridge 2% lido for 195 lbs (57kg). A- 5, B- 6, C- 7, D- 8 D- 8 Rectangular wire torque and finishing✅✅ -Collimation with tricky options Restrict the size and shape✅✅ -1.7cc articaine 0.0085 mcg , 0.0085 g , 0.85 mcg 5cc 4% arti 1:100,000 epi Arti 68×5= 340 arti Epi 1.7×5=.85×0.1=0.085 epi✅✅ -Pterygomandibular raphae The buccinator and superior pharyngeal constrictor muscles of the pharynx are attached to each other at the pterygomandibular rather✅✅ -syncope exceptdont give EPI -hypoglycemia except bradycardia Pictures -dentin dysplasia Papilloma HPV varices (picture)pterygomaxillary fissure (raio-x) -ph 3.2 tissue Options 1 fast action like normal tissue 2 slow action like normal tissue 3 normal action normal tissue ( this was worded with long options) 2✅✅ ✅pierre Robin syndrome PIERRE ROBIN SYNDROME-a hereditary disorder that presents micrognathia (smallness of the jaws), glossoptosis (downward displacement or retraction of the tongue), & a high-arched or cleft palate. Most children require orthodontics. highest recurrence cyst okc✅✅ – lateral periodontal cyst vital tooth mainly k9 and pm region tx enucleation✅ major connector. A- retention and rigidityA- modified ridge lap B saddle C hygienic A✅✅ anterior cross bite in kid and adult how to treat In adults If it’s just dental then try Ortho with elastics etc. If skeletal then osteotomy✅✅ – fordyce granuleS Sebaceous glands systematic desensitization A behavior modification technique which reduces anxiety by identifying a stimulus hierarchy and implementing graduated exposure. -supplement flouride starts at what age 6 months✅✅ downcoding B- Support rigidity C- Retention support B✅✅ pulmonary emphysema pink puffer✅✅ Pulmonary emphysema is a chronic lung condition. It’s often part of COPD, a group of lung diseases that cause airflow blockage and breathing problems. It develops very slowly over time. It’s most often caused by smoking. mod inlay question -best rpd pontic design for premolarInsurance change the code to a lower cost✅✅ Tardive dyskinesia Extrapyramidal sysmtoms with frst genration antipsychotics✅✅ – alpha adrenergic Vasoconstriction alpha 1 And alpha 2 dec the catecholamines✅✅ cyst with lining pseudo stratified epithelium in anterior Nasolabial cyst ✅✅ -impacted canine cyst dentigerous cyst✅✅ distal wedge Max. – parallel Mand – V shape✅✅ Vertical fracture tto extraction Tmj* ligaments function Limit the movement of TMJ✅✅ Opioid contra indicated head injury✅✅ Benzo a lot of times == Flumazenil – Pt on takes an aspirin, how long does it inhibit the platelet activity? (1 hr, 1 week, 24 hrs, 1 month… 1 week✅✅ Pt had a injection of 4% PRILOCAINE, and had cyanosis of lips and area of injections, what happened? Methemoglobinemia The most common between cleft lip/palate, ectodermal dysplasia, AI, DI, and OI? Cleft lip and palate What is not a factor sodium hypochlorite? Chelating agent Most common location for a siaolith? Submandibular ductWhat syndrome will you see multiple OKCs? Gorlin or Nevoid Basil Cell Syndrome hereditary autosomal dominant multiple basal cell carcinoms of the skin, multiple OKS, bifid ribs, frontal –bossing, calcifications of falx cerebi, palmer and plantar pitting.✅✅ .Polyether most rigid; stiffes; hard to remove✅✅ Nursing home patients with pneumonia should be treated with antibiotics for five to eight days. The duration may need to be extended if there is a lack of clinical response, medical instability, or infection with P. aeruginosa.✅✅ How much distance from inferior alveolar canal and implant should be: 2mm Which of the following has the least chance of getting two canals? mand Incisors Vital pulp therapy is called: Apexogenesis Pain wakes up at night. Thermal test lingering pain: Irreversible pulpitis How many canals are mostly found on a Max 1 molar: 4 canals Case of a teenager his Permanent incisor tooth 8 has mobility class II what is the treatment: Reposition and splint Internal bleach for RCT tx tooth main side effect: Cervical resorption Function of IgA: Antibacterial Understand examples for ( true positive, false positive, true negative, False negative) specifically read about all How to disinfect an impression glutaraldehyde or iodiphor You can use a disinfectant for: Pressure cuff other option ( intra oral mirror, impression tray) pressure cuff ✅ Low and medium disinfectant High glutaraldehyde Medium Gultaraldehyde -high Chlorine , bleach , quaternary halogen – medium✅ Know which structures in xray are radiolucent or radiopaque That is quaternary ammonium compoundCandida is common in pt w HIV True Why can candida be present in the oral cavity? immunodeficiency pt, opportunistic infection Which muscle helps to protrude the tongue: Genioglossal True The tongue is innervated by another branch (options Maxillary, external carotid artery) INR is 3.7 what do you do: REFER INR = 1 → Normal PT (approximately 12 seconds) INR > 1 → Indicates an anticoagulant effect Many patients taking anticoagulants have INR values of 2,3 and even up though 6. The acceptable upper limit for safely proceeding with oral surgery is 3. How to treat alveolar osteitis: Zoe pack gently irrigate debris with saline solution and place a sedative dressing (eugenol) in the socket✅✅ Case: Child comes in with his mother, child has past history of trauma, he says his stomach hurts and accidentally pulls his shirt and a bruise is shown, mother punches his hand and tells him to put his shirt down. What should the dentist do: Options: a. Discreetly ask the assistant to call the police b. Finish with appointment and report to Child protective services B✅✅ An elderly patient has a bruise lip what should the doctor do: Options: a. Ask family member what happened to himb. b. Ask patient c. Call the police B✅✅ Which is related to different color families: Options ( Hue, Chroma, Value) Hue✅✅ Best way to prevent incipient cavities: Options (Sealant, Fluoride) ✅✅FLOURIDE 24) Picture of Mesiodens What is the most common cause of toxicity from local anesthetics in children: (Options a. High dose, b. hypotension) HIGH DOSE ✅✅ Best solution to place avulsed tooth: Hanks solution If not hank then Milk Steps to remove ppe: Gloves first with mask last option 1 Remove gloves. … 2 Remove gown. … 3 Healthcare personnel may now exit patient room. 4 Perform hand hygiene. 5 Remove face shield or goggles. … 6 Remove and discard respirator (or facemask if used instead of respirator). Which muscles grows in size because of bruxism, except: Options: Temporalis, Buccinator, Medial pterygoid, Masseter bucccinator MOA of ACE inhibitors: Inhibit the conversion of inactive Angiotensin I and Angiotensin II. This causes peripheral vasodilation and secondarily increases urinary volume excretion. Both actions reduce BP.Benzodiazepine antagonist: Flumazenil Coumadin (warfarin) drug, you check for what in the px: INR Max dose of Tylenol: (options a. 1,500 b. 6,000 c. 3,000 other option) GO FOR 3000 mg if not in option then 4000 mg ✅✅✅✅ Gingival hyperplasia: Medication Bisphosphonates acts on which cell for this question they give you medication names: Osteoclasts Your dental patient asks for a diazepam prescription as she wants to go on vacation. You always prescribe antianxiety to her before dental treatment. What should a dentist do? Deny giving prescriptions and mention in her chart. Ectodermal dysplasia: (weird options) Cleidocranial dysplasia characteristic: supernumerary teeth Ectodermal dysplasia: oligodontia Ectodermal dysplasia: scarce hair Best way to treat ranula: Excision with the associated gland sub mand or sub lingual Sickle cell anemia on xray: Options cotton appearance , no hair option The most common oral manifestations of sickle cell disease are mucosal pallor, yellow tissue coloration, radiographic abnormalities, delayed tooth eruption, disorders of enamel and dentin mineralization, changes to the superficial cells of the tongue, malocclusion, hyperce-mentosis, and a degree of periodontitis that is unusual in children.4 For dental treatment to be carried out, it is recommended that dental surgeons have an understanding of the pathophysiology of this disease, enabling them to determine treatment plans so that they can also take systemic conditions into consideration.Ortho case Type of profile Mandibular angle ,, Type of occlusion you see in right canine Pigmentation on the tongue causes except Which teeth are caries in x ray Gingival bio type Angle anb 0-4 class 1 More than 4 class 2 Less than 0 class 3 Concave convex and straight profile Angle between Mandibular plane to anterior cranial base and mean reading is 32 degree. Canine guidedGingival biotype Wide band of keratinised tissues associated with thick bio type Hypotonia case Retained 1ry 2nd molars no upper left 2pm no 8s How many missing teeth you see in pan Type of resorption in retained molars-Replacement resorption Type of gingival pigmentation you see ?! When you gonna extract 1ry molars How many proximal decay in bite wing x ray !? Weak muscles reduce muscle tone and it can cause speech difficulty dysphagia and also digestion issuesProstho case combination syndrome Upper a lot of cavities lower anterior remaining and only 1st premolars Treatment plan phases ?! Which is to be done first ?! Upper edentulous and lower ant present Preliminary phase Non surgical Surgical Restorative Maintenance He is on plavix and Aspirin and all max teeth need exo ?! What to do ?? no consultation options implants needed in lower arch posterior area to ?! PT AND INR Both aspirin and plavix irreversibly inhibits platelets aggregation Lesion on the tongue Sq cell carcinoma How to biopsy Less than 1 cm excisional More than 1 cm incisional Lateral border of tounge if it’s more than 2 weeks do incisional biopsy to rule out scc of tongueHypertensive smoking and fat patient drInking alcohol but ‘socially’ GERD Reflex and sleep apnea Need consultation for all except Nitration,,, smoking ,,,, drug abuse Acid reflux occurs when the sphincter muscle at the lower end of your esophagus relaxes at the wrong time, allowing stomach acid to back up into your esophagus. This can cause heartburn and other signs and symptoms. Frequent or constant reflux can lead to gastroesophageal reflux disease (GERD Which type of restoration preferred for caries teeth 3 and 30 cavities are cervical and proximal-AMALGAM Cause of cavities ?! No acid cause in option I picked xerostomia Nerve supply increasing stomach secretion I picked vagus Which defect cause GERD I picked lower esophageal sphincter- Type of enamel defect you see ?Erosion- lower linguals Other cases >> You have to see x ray to know the answer like bone loss,, periodontal disease type and classification,,,, caries detection from bite wings ,,,, hyoid bone ,,,,, lingual canal ,,,,, which tooth will be need crown or not it’s vital tooth so I picked not needed Other cases on crown and bridge C/R ratio from x ray ,,,, some direct ethics questions easy ones Best prognosis 1 crack & fracture cusp 2 infraction & fracture cusp 3 splint & fracture cusp Craze lines are superficial, vertical lines that appear in tooth enamel, usually as people age. They’re also referred to as hairline cracks or superficial cracks. Craze lines may be translucent. They may also appear gray, yellow, or brownGiant cell lesions with 1 hyper/hypothyroidism 2 hyper/hypoparathyroidism Giant cell lesion seen in hyperparathyroidism Pierre robin syndrome associated with 1 Down syndrome 2 stikler syndrome Stickler syndrome is a genetic disorder that can cause serious vision, hearing and joint problems. Also known as hereditary progressive arthro-ophthalmopathy, Stickler syndrome is usually diagnosed during infancy or childhoodWorst media for avulsion.-WATER Aulsion in primary tx Leave it, if impinge permanent then extraction Intusion of mature tx If more than 3 mm reposition and splint for 2 weeks then rct Intrusion of immature tooth tx Let it reerupt Function of IgG Most abundant antibody Chemotaxis In gingival crevice fluid Removal of caries Yes from peripheral to central part Main demineralized acid in caries Pyruvi lactic acetic Lactic acid Thrombocytopenia in oral cavity..mucosal bleedingHow prevent fovea fatigue/not looking more than 5 sec on an object Sickle cell anemia..hypoxia Bacteria involved but not initiate caries Actino, lacto..i pick this one Pocket depth 6..recssion 2..what’s the attachment loss /8 i pick this one 6+2 Pocket depth 2..distance from free gingival margin to muccogingival junction 3..what’s the amount of attached gingiva-1MM Most ortho treatment to relapse Rotaton then tipping tipping movement 8yrs child missing permenant 1M what to do? Putting space maintainer Wait for 2M to erupt & drift mesially covenant restriction Many dental contracts include some version of a restrictive covenant, also called a non-compete clause. These clauses prohibit an employee from practicing within a specific geographical area (typically a defined radius) for a certain period of time after leaving a practice.tetanus vaccine should be given in these cases except one Animal bite human bite knive injury needle stick injury hematoma on floor of the mouth result from fracture of Mandibular body madibular condyle-First body and then angle leukoedema..normal variant of mucosa Leukoedema disappears when stretched and leukoplakia doesnt disappears epi anaphylaxis 2 times you did access opening on a tooth & when insertig paper point there bleeding what’s the cause? Remenants of pulp tissue lateral perforation When you insert paper points u see blood after preparing post space with rotary instrumnts, why? You did strip perforation, apical GP was accidentally taken out, previous RCT left behind residual pulp, blood from accessory canal fillitration for long wavelengthAluminum filter best xray to see the extent of periapical lesion PA ,CBCT best xray for tmj derangement i choose MRI implant analog most common pattern of bone loss-Horizontal most tooth wear against? There was no PFM in options I choose ENAMEL -PINNED reason for failure of composite restoration? Debris on the opening of light cure function of silane Coupling agent A silane coupling agent acts as a sort of intermediary which bonds organic materials to inorganic materials. It is this characteristic that makes silane coupling agents useful for improving the mechanical strength of composite materials, for improving adhesion, and for resin modification and surface modification largest composition of amalgam restoration? Silver Silver 40-70% many questions on Endo diagnosis & Endo test like thermal,percussion 3-4 questions on occlusion not on cusp movement,,it was for protrusive ,group function cause of papillay hyperplasia[ill fitting denture lesion of fibrous connective tissue with osteod somthig like that..i choose fibrous dysplasia pic of mucocele esionphilic cells something like that I choose langerhans disease pic of zygomatic processChelating agent? Edta sealant will stop carious lesion,decrease I choose stop sealant…primary secondary tertiary Down sydrome & choose the exception I choose high caries index aneurysmal bone cyst on xray The aneurysmal bone cyst of the jaw is a pseudocystic lesion. It is a rapidly growing and destructive bone lesion characterized by replacement of the normal bone with fibro-osseous tissue containing blood-filled sinusoidal or cavernous spaces treatment of ranula Marsupilazation Excisional biopsy excision of the sublingual gland and marsupialization function of keyway in post & core Prevent rotation rest-Support for studies i got only 2 questions may be…one of them FDA & drug I choose clinical trial4-5 questions on occlusion like mutually protected or protrusive records dentist recieve the crwon from the lab & there is space interproximally when seated in pt mouth & no space in cast what should the dentist do?? Place composite on interpoximal Take new impression & redo pink tooth-Internal resorption vertical fracture on xray Lateral defect Apical only Apical & lateral..i choose this as i appear as J shape but idk CAMBRA PT came after 2 years with one or 2 interproximal caries I choose moderate Low- no caries in last 24 months Moderate- caries in last 7-23 monthsHigh- caries in last 6 months in bell’s palsy all of this happens except Eye drop Corner of mouth Altered taste Hyper salivation lightheadness & dizziness Hyperventalation & other choices why autologous graft best PDGT Bone morphogenic protein carier on xray, on clinical examination it will be Deeper Same Shallow HIV positive dentist Work normally Day 2I don’t remember the cases but i got like 3 or more ortho cases with photographs & you should answer which class One of them according to canine The others i think according to angle’s classification One question the case was class 2 div 1- Asking about overjet & overbite by numbers Overjet 3 overbite 3 Overjet 8 overbite 8 Overjet 3 overbite 8 Overjet 8 overbite 3The normal overbite is considered to be 2-3 mm, or approximately 20–30% of the height of the mandibular incisors. Sometimes, the maxillary teeth do NOT overlap the mandibular incisors in a vertical or horizontal dimension Xray of dentin dysplasia Soft peduncleated lesion Macule nodule Papule neurofibroma is a nodule and fordyces granules papules Laceration of upper lip lead to bleeding from which artery Maxillary Facial ⁃ Case about a patient who is taking omeprazole. What’s the name of the enzyme that helps proton pump inhibitor to inhibit gastric secretion. Choices were secretin, intestinal peptide, or something that started with cyclokinitin (something like this ⁃ Case about a 16 years old patient with ADHD. ⁃ ADHD case: They asked about the dorsum of the tongue on radiograph. ⁃ ADHD case: They also asked about an ankylosed K. It had resorption so I put it’s due to replacement resorption ADHD case: what will code of ethics will you violate if you give this patient nitrous oxide without telling parents-autonomy ⁃ Is nitrous oxide contraindicated in patients with ADHD-no ⁃ what will be something to take in consideration when giving this person LA? Choices were: check vasoconstrictor or lower lidocaine ⁃ Interaction between vasoconstrictor in LA with metanolol (non selective beta blocker). They asked if it’s going to have an effect if they were giving together. I put no[bradycardia and hypertension] ⁃ Interaction of epi with atenolol- there will be interaction because atenolol is a selective beta blocker. ⁃ Case about a lady that has hypothyroidism and taking levothyroxin. What will the medicine she is taking cause? I chose exophthalmos as other options were more of hypothyroidism signs ⁃ Case about a lady with hypertension and has dental anxiety. Her blood pressure was 160/100 and pulse is 125. They asked if she is about to have syncope or heart attack man with chipped enamel in lower anterior teeth. He takes tons of medications. They ask if he the enamel chips are due to caries or nail biting. The maxillary incisors were damaged and half of them were lost so I put the chips are due to caries since he has xerostomia case about a lady with bad periodontal disease, deep pockets, and furcation involvement. She comes in for cleaning. What do you tell her? Tell her that she will need two appointments because cleaning will be difficult and do Prophylaxis, or explain to her that she has a periodontal disease that needs to be treated ⁃ Case about a lady with short crowns I put Passive eruption. ⁃ Asked for treatment of the short crowns, I chose crown lengthening Odontomas and impacted premolar what will you use to locate it. occlusal PA or CBCT SSC which layer is damaged? Basele, spinosum Biopsy of a lesion from the socket of extracted tooth, lesion showed pesudostartified columner ciliated epithelium-maxillary sinus ⁃ Hepatitis C- which ASA classification? ⁃ Do we need to hospitalize patients with Hep C when doing dental procedures past -asa 2 Active – asa 3 Dont require to be hospitalised ⁃ Do cephalometric. They asked about the mandibular angle if it was stew or flat. ⁃ Easy questions about angle’s classifications ⁃ A case about a woman who has a white lesion on the lateral side of her tongue. Do you take incisional biopsy or follow up in 2 weeks incisional biopsy case of a man with a 2*2 red lesion on gingiva and a hickory of RCT. He has some aching on that tooth and percussion test was positive. Options were chronic apical abscess or symptomatic apical periodontitis Question about the same guy above, it asked about the degree of hardness of that case according to the American dental association of endodontists. Mild, moderate, or severe-pinned In symptomatic apical periodontitis pain on percussion is significant diagnostic feature Some implants questions. Which nerve is ASA nerve. V1, V2, V3 V2 maxillary nerve ⁃ a case about a lady that doesn’t have teeth number 5 and 12. What’s the cause of missing teeth. ortho or congenitally missing. They don’t give you a history of ortho but I put ortho because her lateral was positioned labially and I thought it might be due to relapse There was a radiograph of a big carious lesion on tooth # 2 and it asked from which surface will you access the lesion? Occlusal, distal, facial, lingual Facial gingiva light brown lesion- malignant melanoma or melanotic maculeJune 13th Discussion Questions MORNING 1. Maxillary complete denture, Mandibular natural teeth – upon biting the jaw closes 2mm to the left. Which cusps will you grind? Working: Upper buccal, lower lingual (BULL) 2. Compound odontoma x ray? Unilocular radiolucency with the central aspect occupied by variable numbers of small, malformed tooth-like structures. Occur more frequently in the anterior segment of the jaws. 3. Herpes virus causes what? A. Measles B. Mumps C. Chicken pox 4. Epinephrine amount in 1.7cc articaine 4% 1:100,000. 0.017mg (0.01mg/ml) (1.7ml) = .017 5. Papilloma on tongue picture. 6. PICO, comparing the effect of sealant and fluoride use comes under which heading of PICO. C Comparison 7. During a treatment, air gets entrapped in the mucosa and there is crackling sound. What is it: A. Emphysema B. Empyema C. Edema 8. From Past 15 years, which caries has become more prevalent: A. Occlusal B. Root caries C. Smooth surface 9. 20 kg kid dose of amoxicillin prophylaxis: 20*50mg/kg=1000mg 1 hr before 10. Component of cigarette that causes addiction: Nicotine11. Most congenitally impacted tooth: Mandibular 3rd molar 12. Distance between 2 implants: 3 mm 13. Tetracycline used in perio treatment, why? Host modulation, broad spectrum 14. Where does tetracycline concentrate in the oral cavity? Gingival Crevicular Fluid (GCF). 15. Down syndrome assoc with: A. Cardiac problem B. Hypothyroidism 16. Systematic Desensitization: Gradual exposure to something they fear. 17. Acute herpatic gingivostomatitis 2/3 Q’s on age, location and treatment: Age: Children (2-5 years old) Location: Fiery red, marginal gingivitis that usually affect all areas of the dental arches. Multiple, small vesicular lesions appear on the gingiva, lips, tongue, oral mucosa, and occasionally on perioral skin. KERATINIZED Treatment: – Palliative treatment with soft diet, liquids that are not acidic, and non carbonated beverages is optimal. – Acyclovir suspension is beneficial when administered in the first 3 days. – Lesions usually resolve completely within 10 to 14 days. 18. Multiple myeloma “punched-out” radiolucency pic 19. Most common F from DMFT in: A. Hispanic B. White C. Black 20. Opioid antagonist: Naloxone 21. Codeine acts on which receptor: Mu22. Opioid acts on: Enkephalins 23. Diazepam antagonist: Flumazenil 24. Ranula treatment: Surgical removal of the associated sublingual gland and marsupilization. 25. Dentin dysplasia x ray: Normal enamel but atypical dentin formation with abnormal pulp morphology. Type 1 (Radicular dentin dysplasia) Type 2 (Coronal dentin dysplasia) Type 1 Radicular dentin dysplasia Xrays: In both dentitions, roots appear short, blunt, conical, or similarly malformed. Primary dentition: Pulp chambers and root canals completely obliterated. Permanent dentition: Crescent-shaped pulpal remnant may still be seen in the pulpal chamber. Granulomas, cysts, or abscesses involving apparently intact teeth. 26. Sialolithiasis in submandibular: Wharton’s duct 27. IANB block given- lip is still sensitive what to do? Apply IANB again 28. Infection from upper lip goes where: Cavernous sinus, Valveless communication to the cranium. 29. Etching mechanism: Creates Resin tags (micro tags) 30. Sclerotic dentin: Composite doesn’t bond 31. NUG treatment 1st what do you do: A. Antibiotic B. Chlorhexidine 32. Lateral positioned flap indication: To cover exposed root surfaces.33. Furcation class 3: what not to do? GTR 34. GTR in which bony defect: 3 wall narrow defect 35. Leukemia diagnosis: CBC, gingival bleeding, hyperplasia 36. Lateral displaced flap when not to give: Not enough keratinized gingiva from the donor. 37. Extrinsic stain causes: Food, 38. Bacteria in root apex: 39. Face bow transfer: Hinge axis 40. Patient with severe pain in Max tooth, couldn’t sleep, buccal swelling, fever with chills. What will you do? A. Incision and drainage B. Give antibiotics C. Refer to physician 41. Myocardial infarction and angina how to differentiate: Angina attack is controlled with nitroglycerine and MI not. 42. Myocardial infarction- what not to give? Morphine 43. Cerebral palsy- what is the etiology? 44. Hemophilia 45. Why to keep the material thick between minor connector and rest? To avoid fracture or displacement 46. New assistant in the clinic.what all vaccinations are required? Hep B47. 40 yr old patient has posterior cross bite: how will you correct it? A. Hyrax B. Rapid palatal extraction C. Osteotomy 48. Implant best in n which area: Anterior mandibular 49. Implant osseointegration best in which area: Posterior mandibular 50. Type 1 bone where: Anterior mandibular 51. When you give hyperbaric oxygen to a patient on bisphosphonate- what does it do? It prevents osteonecrosis 52. Closed tooth apex which is non vital what do you do? A. Apexification B. Apexogenesis C. RCT 53. Histamine- what is not its action 54. Pterygomaxillary fissure on x ray: Teardrop 55. Stickler syndrome: Pierre Robyn Syndrome – Genetic disorder – Diagnosed during infancy or childhood – Can cause serious vision, hearing, and joint problems. – Distinctive facial features: • Prominent eyes • Small nose with a scooped-out facial appearance • Receding chin • Cleft palate 56. Myxedema fibroma: – Hypothyroidism- Accumulation of a substance within connective tissue cells that causes water retention, which can lead to malfunction of organs such as the heart and digestive tract. 57. Lichen planus diagnosis and treatment Diagnoses: Wickham striae observed bilaterally on the buccal mucosa and possibly on the gingiva. Treatment: No treatment unless the disease becomes erosive and symptomatic. 58. Scarlet fever Strawberry tongue feature 59. Eagle syndrome on X-ray-and symptoms: – Elongation of styloid process, a calcified stylohyoid ligament, or both. – Symptoms due to compression of the internal carotid artery and the CN V, VII, IX, and X: sharp neuritic pain that begins below the angle of the mandible and radiates into the tonsillar area, temporomandibular joint, and base of the tongue. The pain is triggered by swallowing, movement of the mandible, or turning go the neck. 60. A practice owned by 3 dentist. Hygienist is sued by a patient. Who all would be responsible. 3 dentists + hygienist 61. Class 3 patient, what decreases with age: A. ANB B. SNA C. SNB 62. You gave one LA cartridge to a kid, he becomes hyper all of a sudden. Reason: A. Gave Intravascular B. LA toxicity 63. Well controlled diabetic has perio problem: A. Similar to a non diabetic person B. Less than a non diabetic person C. More than a non diabetic person 64. Epinephrine effect with Alpha blocker 65. Which muscle is pierced by IANB Buccinator66. Pterygomandibular raphe- which muscles are attached? Superior constrictor and buccinator. 67. What doesn’t occur in hypoglycemia? Bradycardia 68. Patient became unconscious- you gave oxygen for 1min. Still patient is unconscious. What will you do? Start CPR and call 911 69. Level of implant as compared to adjacent tooth: 2-3 min apical to the adjacent CEJ 70. CRACK tooth diagnosis: Based on patient’s history alone. History of sharp pain during mastication and prolong failure of the dentist to identify the source of pain. 71. Which test is least affective in pulp diagnosis: (EPT) Electric Pulp Test 72. Patients eats 6-7 lemons everyday: what would you see on clinical examination? Erosion 73. More than 5mm pocket- what is the prognosis? Deep infra bony pocket. 74. Most important in shade selection: A. Value B. Hue C. Chrome 75. What is affected by value? A. Lightness or darkness B. Intensity C. Color 76. Why should you select shade before putting in the rubber dam: A. Teeth color is different when there is no moisture B. Rubber dam reflects light 77. Diabetic patient came for treatment with HBA1c 9. What do you do? Do not do treat, refer to doctor.78. Asthma patient: what would you check: A. Inhaler, pulse, respiration rate. B. Inhaler, blood pressure, respiration rate 79. Patient is at high risk of caries. What is ADA recommendation for X ray frequency: A. Every 3 months B. Every 4 months C. Every 6-18 months D. Every 3 years 80. Calcium hydroxide characteristics: Dentin bridge formation, pH 12.5 81. What doesn’t occur in cleidocranial dysplasia. Know it’s features – Autosomal dominant trait – Individuals are short in stature with the average height of males 5’2’’ and females 4’10’’ – Midface is often deficient, resulting in the appearance of overdevelopment of the lower jaw. – The palate is often cleft – Multiple impacted supernumerary teeth (10 or more) – Lack of eruption of permanent teeth due to: • Overcrowding • Lack of deposition of cellular cementum on the roots 82. Gardner syndrome features: – Autosomal dominant trait – Hyperdontia (supernumerary teeth) – Disease highly penetrant, patients who inherit the defective gene from a parent will normally show many, if not all of the characteristic features. – Multiple odontomas – Multiple epidermoid cysts of the skin in the neck – Desmoid tumors in the abdominal area and soft tissues – Multiple osteomas involving the skull, face, and jaws are distinguishing features. – Presence of numerous polyps in the large intestine and rectum (100% incidence of eventual transformation to cancer) 83. Minimum amount of Nitrous oxide that can be given in an adult:1 to 1.5L 84. Mean (minimum) alveolar concentration (MAC) of nitrous oxide: MAC value 104 85. A tooth with RCT and post and a well formed crown is asymptomatic. There is radiolucency in the apex. What would you do? A. Observe until it becomes symptomatic B. Re Endo, C. Do Apicoectomy with root end filling. 86. First sign of radiation therapy: A. Erythema B. Osteoradionecrosis C. Baldness 87. Deep cavity on posterior load bearing tooth. Which filling: A. Amalgam B. GIC C. Composite 88. How to make a tooth appear narrow: Facial line angles closer 89. Neuropraxia- which structures are intact: Axon and endoneurium. 90. 4yr old kid. central incisor is intruded 4mm what do you do: A. Orthodontic repositioning B. Surgically relocate and splint C. Let it erupt on its own 91. Serial extraction is preferred in which case: More than 10mm crowding 92. Elderly patient what is more common: A. Misuse of drug B. Abuse of drugs 93. Alcoholic patient- what do you test: A. INR B. PT C. Bleeding time94. Difference between plaster and stone. A. Plaster: Used for study models that do not require abrasion resistance. BHemihydrate B. Stone: Stronger and more resistant to abrasion than plaster and is used for casts that need abrasion resistance. Alpha-hemihydrate 95. After extraction, bone fractures. What do you do: Remove the broken pieces that aren’t attached to periosteum and close the wound 96. Osteotomy done on : A. Supporting bone B. Non supporting bone 97. Graft for root coverage: Lateral pedicle graft for single, Connective tissue for multiple. 98. Who does nitrous oxide affect least in clinic: A. Patient B. Dentist C. Hygienist D. Staff 99. Tooth most affected by perio: A. Max 1st molar B. Mandibular 1st molar C. Maxillary canine 100. Aphthous ulcer picture EVENING 1. Elements of evidence based dentistry, except: A. Dentist expertise B. Dentist values (correct answer) C. Patients preference and needs D. Scientific evidence 2. Where is systemic fluoride stored? A. Muscle tissue B. Skeletal tissue C. Teeth3. Best X-ray to diagnose periodontal disease in primary teeth? A. Pano B. Bitewing C. PA 4. What is likely to happen when a patient has pockets >5mm? A. Good prognosis if he comes back every 6 months B. Hard to do root planing that far down C. Easy to manage with ultrasonic scalers D. Good with skilled hygienists 5. Mass in abnormal location that is normal but altered? A. Hyperplasia B. Hypotrophy C. Hamartoma (correct answer) 6. Remove supporting bone? A. Ostectomy B. Osteotomy 7. Palatal root appears mesial to the mesialfacial root. What direction was the Xray taken? A. Mesial (correct answer Same – Lingual) B. Distal C. Inferior D. Superior 8. Which is not a symptom of Post Traumatic Stress Disorder (PTSD)? A. Being really startled by someone behind you B. Hallucinations and delusions 9. What detects blood movement in pulp? A. Ultrasounds B. EPT 10. Topical application of Benzocaine on ulcer on the palate. Patient has hypotension and cyanosis. A. Allergic reaction B. Methemoglobinemia 11. 2% lidocaine 1.7ml 1:100,000. How much epinephrine? 0.017mg 12. Omeprazole (Prilosec) MOA:A. Anticholinergic B. Antihistamine C. Protein pump inhibitor (correct answer) 13. Facial 1/3 anterior teeth reduction for porcelain metal crown? A. 0.7 B. 1.0 C. 1.5 (correct answer) D. 2 14. Maxillary tooth with the least root surface area? A. Central incisor B. Lateral incisor (correct answer) C. 3rd molar fused roots D. First premolar 15. Caries on maxillary incisal edges. What is most likely the cause? Xerostomia 16. Meperidine overdose treat with what? A. Atropine B. Naloxone (correct answer) 17. Diazepam contraindication? A. Pregnant B. Asthma C. Hypertension 18. Drug given for status epilepticus? A. Phenytoin B. Diazepam (correct answer) 19. What is a risk factor for periodontitis in individual 40 and older? Smoking. 20. Why does GIC need to be on the internal gingival floor when doing sandwich technique in class 2? A. Ion attachment (I think this is correct but I put B) B. Decrease sensitivity C. Compressive strength 21. What does RMGI and composite have in common? A. Both can be light cured (correct answer)B. Esthetics 22. What is seen in thrombocytopenia? A. Low neutrophils B. Low platelets (correct answer) C. High platelets 23. What is least likely in sclerotic dentin? A. Less permeable B. More dentinal tubules are closed C. More adhesive than normal enamel ( correct answer) 24. Most tooth wear on occluding teeth from? A. Tooth borne FPD B. Complete denture 25. Disadvantage of sodium hypochlorite? Increase risk for fracture 26. Calcium hydroxide characteristic that is true? A. Antimicrobial (correct answer) B. High acidic pH 27. Trauma in 7 year old maxillary incisor. Crown fracture. What do you use with the pulpectomy? A. Calcium hydroxide B. Formocresol 28. What results increase chance of internal resorption with internal teeth whitening? A. Remove 6mm of guts percha B. Put base/liner C. Use heat/light 29. You haven’t had a cavity in 3 years. What is the caries risk? A. Low (correct) B. Moderate C. High D. None 30. Patient first appointment. How do you determine what X-rays to do? A. First do clinical exam and then decide B. Always do pano on first visit and bite wings31. Lady has uncontrolled hypertension, COPD, and diabetes level 7.5%. What ASA stage? A. I B. II C. III (correct answer) D. VI 32. Most common failure of esthetic MOD inlay or onlay? A. Micro leakage B. Adhesion C. Hypersensitivity 33. What does < 0.05 P-value mean? A. There is a 5% chance the results were not by chance B. 95% this will happen again C. 5% chance that this will not happen again (Something like that…) 34. If IA nerve block doesn’t work fully what accessory nerve might be innervating? Got this question twice. A. Mylohyoid (correct answer) B. Lingual C. Mental 35. What affect the penetration of the X-ray? A. Ma B. Kvp C. Filtration 36. Which is a dentist not responsible for? A. Compensating curve B. Occlusal plane C. Condylar guidance D. Incisal guidance1. Burs used for different finish lines. Chamber. – round end tapered 2. Description of a dark blue lesion – cavernous hemangioma amalgam tattoo 3. Location of pier abutment Between two edentulous spaces, or middle. 4. Minimum clearance for occlusal rest 1.5mm 5. Difference between crystalline and amorphous? .. their melting points atomic range 6. Description of a lesion (except question) – I chose verruca vulgaris out of herpes, pemphigus, and pemphigoid 7. Which pulp horn is exposed first of primary man molar ? Mesial of 1 distal of 1 mesial of 2distal of 2 8. Emergency drug for bronchospasm? Epinephrine 9. Stannous floured mouthwash? For medically compromised patients 10. Oligodontia/anadontia is common in: (list of syndromes) answer:- Ectodermal dysplasia. 11.2 – 3 questions on endocarditis prophylaxis – needed in aortic valve replacement and the dosage and all12. Pictures and description on granular cell tumor, lymphangioma (granular cell tumor) (lymphangioma) 13.Autoimmune diseases most common in which demographics Ashkenazi jews 14.Targetoid lesions Erythema Multiforme 15.Topical agent for Perio disease Periochip arrestin artidox16.Rheumatoid arthritis – oral manifestations Xerostomia 17.Pierre robin syndrome micrognathia, glossoptosis, cleft lip18.Taurodontism – which developmental stage histodifferentiation 19.Cafe au lait spots neurofibromatosis , mc cune albright , fanconi anemia 20 Luxated tooth, negative EPT, why? Disruption of nerves to tooth 21 Sodium hypochlorite is used for everything except? Chelation, NaCl is not a chelating agent 22 Which is a chelator/chelating agent for endo? EDTA 23 Treatment for internal resorption: RCT 24 When a tooth is ankylosed, what type of resorption? Replacement resorption 25. The most important factor for reducing sensitivity after periodontal treatment? Plaque control 26. Incomplete removal of bacteria, pulp debris, and dentinal shavings is commonly caused by failure to irrigate thoroughly. Another reason is failure to: A. use broaches. B. use a chelating agent. C. obtain a straight line access. D. use Gates-Glidden burs. 27 You separate an endo file 3mm from the apex and obturate above it, which case will show the best prognosis? a. vital pulp w/ no periapical lesion (yes)28. Pt has crown cemented 2 weeks ago & is sensitive to pressure and cold, why? Occlusal trauma 29. Crack tooth syndrome is most likely found? Mandibular Molars 30. Cracked tooth with no pulpal involvement, what is the treatment? Endo Extracoronal restoration Occlusion reduction Amalgam with adhesive 31.Oral cancer poor prognosis? Black male 32.Antibiotic and surgical therapy? Debridment and antibiotic therapy 33.Implant most retentive in?Anterior mandible ( bone more dense ) rule : more in Mand than max, more in anterior than post 34. What first thing to do after u gives shock to pt with cardiac arrest? I put check pulse 35. Pterygomandibular raphe: buccinator and superior constrictor 36. IAN block only tongue numb no lips? Re do the block 37. You give 1 carpule of lido to kid and he start being super active and agitated why? IV administration, Toxicity of lidocaine 38.What to make sure to do in pedo anesthesia? I pick aspirate and administer slowly 39.What make intracanal anesthesia work? Pressure anesthesia 40- Deep caries? Remove infected, leave affected if two close 41-Class 5 lower premolar what filling? Amalgam 42-What is the difficulty? Isolation 43-Pt drink energy drinks 3-5 times a day. While he was walking to clinic he was drinking also? What is his mouth PH once he sits on your chair? 5.6 – 6.5 – 7.5 – 8 44-Who build Dentin Bridge? Calcium hydroxide45- Ferule effect? Prevent root fracture 46. Questions on apexification and apexogenesis Apexification- non vital therapy Apexogenesis- vital therapy 47. Black pigmented area over 7, best diagnosed by (pic related) A. Incisional biopsy B. Excisional biopsy C. Cytology 48. Change in hair texture is associated with which gland disfunction – Thyroid 49. After giving nitroglycerin to stroke pr, how will you you differentiate if it is MI or Angina A. Intensity of pain B. Location of pain C. Characteristic of pain SHOULD BE DURATION OF PAIN 50. Pt comes with pain, tells he is unable to sleep last night as pain was waking him up. Treatment is? A. RCT B. Antibiotics C. I and D of root canals51. Question on calculating attachment loss 52. Question on wavelength in shade selection: HUE 53. Bonding of pit and fissure sealants with tooth: Micromechanical retention 54. Pt. On warfarin/coumadin, what blood test? CBC, INR, Hb 55. Anesthetizing canine and premolar only which nerve? No lingual in option only Inferior, alveolar and lingual 56. Facial nerve passes through : Stilomastoid foramen 57. Implant bone width can be found by which process? CT MRi Study models PA 58. Bells palsy occurs when needle passes too far forward, backward, lateral, medial59. Electrical shock pain after biting? Galvanic shock 60. “Radiolucency” chronic apical periodontitis 61. “Sinus/Swelling” Chronic apical abcess 62. Parulis-infection/pus/abscess/gum boil Chronic apical abcess63. Masseter buccal flange in denture 64. Pt has sickle cell anemia and has thrombolytic crisis, what can precipitate this? COLD The cold causes the blood vessels in your skin, hands and feet to narrow, which makes it more likely that sickled (crescent-shaped) red blood cells will get stuck and stop oxygen from reaching your muscles and important organs. 65. Patient has hypotension, reason for unconsciousness in middle of the treatment? syncope 66. Bisphosphanates affect which cells osteoclast 67. Which drug used for mild sedation most commonly used benzodiazepine as a premedication for sedation? Midazolam 68.Ranitidineantihistamine H269.Alginate exhibit syneresis even in 100% humidity 70. 10 MA exposure 1 gy .what is the exposure for 0.5 gy if the density is same for both. I don’t remember. 71.Orbital on facebow is for? Occlusal plane parallel to alatragus line orbitalor insicsal pin72.Recording in protrusive jaw relation what changes are must in articulator related to guide pin? a. increased distance bw guide table and pinb. add material to maje it angle n touch 73.Vdo assessment sounds? a S b F c TH 74.Unilateral balanced? a. mutual protected b. canine guided c. group75.Freeway space calculation VDO-VDR 76.Biological load rests in? a abfraction b attrition 77. Green and oral stains: poor oral hygiene 78. Does not affect denture: buccinators79. A question of ending of calcification of 1 st molar 80. Most associated with candidiasis:· Insufficient radiation Chemotherapy 81. Patient presents with grade 3 furcation involvement in a tooth with no additional apparent bone loss what to do? Hemisection 82. Discoloration 1 week after placing a veneer, what could be the cause?- Microleakage. 83. Green discoloration of porcelain is caused by?- Silver84. All are effects of opioid except?- Diuresis, diarrhea 85. Gustatory sweating? Frey’s syndrome FREY’S SYNDROME (AURICULOTEMPORAL SYNDROME)–an uncommon phenomenon due to damage to the auriculotemporal nerve and subsequent re- innervation of the sweat glands by parasympathetic salivary fibers. Can occur after surgery (i.e. removal of a parotid tumor, ramus of the mandible, or infection of the parotid that has damaged the auriculotemporal nerve (branch of V3). Gustatory sweating is the chief complaint. Patient exhibits flushing and sweating of the involved side of the face during eating. 86. LD50 and ED 50 is the? Therapeutic index. 87. Slight anterior crowding and canines are erupting what to do? – Stripping (enamel disking) When the space lacking is < 4mm, in most cases,it is obtained by carefully stripping some interproximal enamel from each anterior tooth. A space deficiency > 4mm indicates extraction to correct the malocclusion. 88. Best antibiotic to give a patient who is allergic to penicillin for endocarditis? – Clindamycin 600 mg (child 20 mg/kg) 89. Diazepam antagonist? Flumazenil. 90. Morphine overdose antidote? Naloxone. 91. What includes a Lefort I? Max sinus92) Cauliflower lesion? Papilloma/HPV 93) Picture of a pt missing some teeth. What is the concern if you are planning on giving himan RPD? He didn’t have space on the right side for RPD? Hard to answer with no picture 94) Pt with no attached gingiva on 2nd molar. What not to do? Distal wedge 95) Xray of pneumatization of max sinus and if its true that it happens when the pt has chronic sinusitis 96) Sealants (what kind of retention)? Micromechanical’ 97) Systemic fungal infection? fluconazole, amphotericin B 98) Pt with pulp necrosis and sinus tract, what to do after RCT? Nothing 99) Lefort I fracture are associated with? nasoethmoidal air cell,frontal sinus, maxillary sinus ,mastoid air cell 100) Not true about Sodium Hypochlorite? chelating agent its not 1) post teeth loose contact during protrusive excursion how to fix it? Increase compensating curve 2) anterior maxilla resorbtion by? anterior and superior. 3) who uses MSDS? OSHA 4) antagonist of benzodiazepines? Flumanezil 5. overdose of la? Benzodiazepines 6. component of cement used for bonding? polyacrylic acid 7. aspirin taking patient which one is not contraindicated? Naproxen8.aspirin taking patient which is contraindicated? Ibuprofen 9. Not developmental in origin? periapical cyst 10) lesion without scar minor apthae? 11)pic of scc on ventrilateral part of tongue? SSC 12 scc on soft palate 13 pic of denture stomatitis with history?14 test for warfarin: INR 15 pic of acute myelogenous leukaema oral manifestation 16 failure of amalgam restoration in primary tooth? Moisture conrol 17 flush terminal plane18 gracey curette 13/14? Distal posterior 19 differences between curette and hoe? Angle 20 distances between two implants: 3mm 21 following nitroglycerin patient is still feeling pain what is the diagnosis? MI 22Which one has more temp? Dry heat Moist heat Radiation Glutaraldehyde 23 latent period in radiobiology? Time between radiation and onset of symptoms 24 supernumerary teeth (what stage)? Initiation 25 calcification of 1st molar completes at 0-2 yrs 4-5 yrs 2-3 yrs 26. raynouds phenomenon? multiple sclerosis, Osteomasthe diseases most often linked with Raynaud’s are autoimmune or connective tissue diseases such as:Lupus (systemic lupus erythematous),Scleroderma,CREST syndrome (a form of scleroderma),Buerger disease,Sjögren syndrome,Rheumatoid arthritis,Occlusive vascular disease, such as atherosclerosis,Polymyositis. 27 different wavelengths: hue 28 def of direct reimbursement Direct Reimbursement: • Employer. Beneficiaries are reimbursed by employer or benefit administrator • Not a true insurance. • Self-funded plan that reimburses patients according to dollars spent on dental care, not type of treatment received. • Employers pay employees a percentage of actual treatment received, saving cost of middleman, the insurance plan administrator. • Allow freedom of choice and autonomy of decision making about treatment • ADA’s preferred method of financing dental treatment. 29 dmft same question30 behavior shaping? 31 why penicillin can’t effect in abscess?Narrow spectrum 32 prilocaine? 33 ameloblastoma develops from? Dentigerous cyst 34 case patient has less height something blah blah I chose hypothyroidism!!! 35) easiest cement to remove? Zinc phosphate 36 most difficult to cut? I chose crown with base metal not zirconia in option 37 most rigid crown? platinum palladium!! 38 highest coefficient of thermal expansion? unfilled resin 39 not given in inlay? I put round internal line angles 40 why use cad /cam For better color esthetic For better proximal contact 41 papoose for safety of kids and dental staff 42 in mild conscious sedation? Midazolam 43 chd44 angina and mi? duration of pain 45 actions of vasoconstrictor? increase duration 46 don’t give in mi patient? Epinephrine 47acute pulpitis Single anaerobic bacteria Multiple anaerobic bacteria 48 caries detector dye on affected and infected dentin? caries detector dye on infected dentin 49 class 3 which angle is worsened? ANB <0 50.fusion? initiation, 2 tooth buds joined together, normal teeth count 51 interfere in resin? Eugenol 52 antibiotic prophylaxis we need Heart transplant with valve problem 53. amide la metabolized in: liver 54 gorlin syndrome? Nevoid basal cell carcinoma, OKC, bifid ribs, calcified falx 55 methotrexate? inhibits folic acid synthesis by competing with PABA 56 illegal for dentist Prescribe dea schedule 2 drug for back pain 57 inr 2 doextraction or not? Yes 58 uses of indirect retention? prevent displacement59 ectodermall dysplasia Oligo anodontia hypothiricosis 60 neurofibromas 61 most imp? value 62 saturation? chroma 63 avulsed tooth? splint for 10-14 daysDAY 2 There is a case 8 yrs old kid Trauma Gave pic of socket 1)They said what it is? Avulsion 2) which radiograph you preferred? PA 3) what’s the treatment There was no reimplantation in option A rpd B fpd C implant Another case Patient is taking 76 yrs taking so much medication A) on the premolar there was abfractionB ) on the radiograph they want to choose me which has best prognosis C) xerostomia due to lots of medication Another Orbicularis oris is supplies by which nerve that exit from A ext auditory meatus B stylomastoid foramen chose this Larynx muscles are all except A) geniohyoid chose this B)thyrohyoid C)sternothyroid 1 pano exposure is equal to I chose 4 bitewing. Radiograph They said what is radio opaque line from tooth number 2 to 6? I choose palatal process Opposite to c4 I choose hyoid bone. Cricoid is c6 Thyroid is c5 Hyoid is c3Wich INR is the minimum for extraction? 3 Which elevator for root tip? cryer Lots of pathology First sign of perio disease.. inflammation Space needed between 2 implants? 3mm Several questions on treatment for fractured teeth Facts about reimplanting a third molar How gaba acts GABA is the primary inhibitory neurotransmitter, which means it decreases the neuron’s action potential. When the action potential drops below a certain level, known as the threshold potential, the neuron will not generate action potentials and thus not excite nearby neurons. Hypoglycemic patient in the dental office If conscious juice if not IV dextroseDifferences in upcoding, downcoding etc ➢ Up Coding: If you treat tooth with one crown and you get the money for two crown this is upcoding, ➢ Down Coding: is the reverse of upcoding, you treated two teeth, fixed two crowns but you get the money for one only Billing twice How to calm an anxious patient with questions talk about life, interest etc Amantadine- Parkinson CHI twice Stylohyoid ligament? eagle syndrome maybe, elongation on xray Gorlin goltz characteristic Gorlin-Goltz syndrome is an uncommon autosomal dominant inherited disorder, which is characterized by multiple odontogenic Keratocysts and basal cell carcinomas, skeletal, dental, ophthalmic, and neurological abnormalities, intracranial ectopic calcifications of the falx cerebri, and facial dysmorphism Herpetic stomatitis? 2-5 years, palliative tx, subclinical, keratinized, acyclovir In which pathology you do exfoliative cytology Pseudimembranous candidiasis Ectodermal dysplasia? anodontia, oligodontia, sparse hairDifferences between dentin dysplasia and dentinogenesis imperfecta Normal color in dentin dysplasia Yellow or opulent in dentinogensis imperfecta Candida? nystatin When infiltration anesthetic in mandible and lip isnt numb which nerve you need to anesthetize? mental nerve When fracture condyle.. to which side there’s mandible shift? same side, opposite on condylar hyperplasia1- what makes composite radiopaque in x-rays BARIUM✅✅✅ 2- an old amalgam resto with pulpcap has careis along the margine of resto and enamel: x ray shows tertiary dentin has been depositet under pulp cap more that 2 mm. now after removing amalgam and caries do we still have to pulp cap the pulp or just do restoration? just restoration ✅ ✅ ✅ 3- value can not be increased True ✅ ✅ ✅ 4- which composite shade number cures slower A1 B2 B3 C4 ✅ ✅ the darker the slower (C4) 5- case with dark resto distal of maxillary second premolar while laughing why? the answer is the dentist should have made a conventional preparation with minimum buccal extension to reduce this phenomenon ✅ ✅ ✅ ✅ true 6- which one is wrong? how fluoride affects on tooth to prevent caries? by raising PH except ph rising✅ ✅ ✅ ✅ 7- which one is the worst for a patient’s teeth-Low PH or high and low viscosity or high of saliva? low ph high viscosity ✅ ✅ 8- aman pain on biting and cold? fracture True✅ ✅ ✅ ✅ 9- transillumination on a tooth with pain, half of it is dark? Fracture True ✅ ✅ 10- least chance for caries on surfaces? Mesial Distal Occlusal Lingual Individual tooth surfaces have vastly different susceptibilities to caries, with the pit and fissure (occlusal) surfaces the most susceptible, and the smooth (labial and lingual) surfaces the least susceptible. 11- bevel on enamel which one is wrong? esthetic- better adhering- less microleakage(these are true ones forgot the wrong one) All correct ✅ ✅ 12- after etching what phenomenon irritates pulp? over-drying dentin Desiccation ✅ ✅ 13- metamerism Metamerism is a phenomenon where the color of two objects appear the same under a particular light source, but actually have different spectral energy distributions. 24. When a different kind of light source is used, the color difference between them is revealed.✅ ✅ 14- which one cant cause error in shade selecting? a) metamerism b) difference between shade color and porcelain color at same codes c) eye fatigue d)selecting color before prep D ✅ ✅ 15- a 14 year old girl all teeth are virgin and in good shape- she has started modeling and her parents insist you to make veneers for her. what do you recommend? bleaching and do not accept veneer treatment depend on choices respect autonomy under 14 Guardians ✅ ✅ ✅ ✅ 4- an adopter child with numerous caries. his guardian says she think the child has tooth ache. what is this phenomenon? the child is neglected the answer is neglected they ask this is what kind of sth and neglectance was option ✅ ✅ ✅ 5- an elderly has bruise on her wrist. what to do first? A)call HSH B)first ask her about the reason of bruise in a place who her children are not present C) dont do anything B ✅ ✅ ✅ 6- a kid has an appointment to go under Nirous oxide.Her parents believe their kid has not eaten anything from the night before. the kid says I eat a bowl of cereal with milk. what to do? cancel the apointment and ask them to schedule another – wait 1 hour and proceed cancel or reschedule ✅ ✅ ✅7- a study was presented in the exam and they ask about confidence interval a range of values so defined that there is a specified probability that the value of a parameter lies within it.✅ ✅ ✅ 8- meaning of false positive? not error type just the exact definition diagnosed with disease when they are actually free of disease .✅ ✅ ✅ 9-🌸🌸🌸🌸 study about different laser for desensitizing exposed root and their prices with outcomes. outcomes was like the same with different confidense interval rate and prices were different. dentist should do ? buy the expensive onebuy the cheap onebuy the one with average price which has the lowest confidential intervaleducate the patient and dont buy laser PIN 10-🌸🌸🌸🌸 a patient doesnt know his treatment would be cover by insurance. the dentist should explain it to him. what code of ethics? 📌PIN 11- HIPAA definition Privacy and security of protected health information✅ ✅ ✅ 12- FDA role,? 13- NIH is in charge of paying for underserved people’s treatment? Wrong NIH for research✅ ✅ ✅ ✅ ✅ ✅ 14- a chart that shows rich people who have smile design have higher chance to find a job compare to those who have not True ✅ ✅ ✅ 15- which one has less potential in hep C transmission? bladeniddlehandpeaceface bow ✅ ✅ ✅ 16- hep B patient how to treat him? double glovesseperate roomdont treat him-treat him normally ✅ ✅ ✅ 17- what is wrong about HPV? it is a gram neg bacteria True✅ ✅ ✅ 18- your patient has returned from a trip. he calls the office and it seems he has chicken pox. what to do? cancel appointment True✅ ✅ ✅ 19- about HPV? it causes cancer True ✅ ✅ ✅ 20- during RC T file breaks in root. what to do? dentist should take it outdont tell anything and proceed tell your patient and proceed tell him and refer to specialist 1- why a semilucent area in PA around root of maxillary lateral apears? becuase bone thickness in maxilla around root of maxillary laterals is low a bit 📌PIN 2- which on doenst affect on contrast: tube size and shape-kvpmiliamper 📌PIN 3- which one is not a good feature of digital sensors? placing it in mouth is like normal films True ✅ ✅ ✅ 4- a cheek piercing in a Pano view 5- a CBCT- sections on a missing mandibular second premolar- what is the nerve appearing in that area : mental nerve True ✅ ✅ ✅ 6- a young man coms with pain on lower mandibular incisors after a fight- what u see in CBCT? shows a vertical fracture at midline if mandible True ✅ ✅ ✅ 1- a bridge based on implants is mobile in lingual and buccal- ( xray shows bone resorption around one of the implants) first step to do? taking out the bridge and check each seperately True ✅ ✅ ✅ 2- at the maxillary molars usually we consern about proximity to an specific anatomical area. what is that? maxillary sinus True ✅ ✅ ✅ 3- what compromises implants? tobacco use Tobacco use✅ ✅ Prosthodontics: 1- in a decayed mandibular molar with a failed amalgum biuld up and a good rct whats yout plan? post- core- crown True ✅ ✅ ✅ 2- 🌸🌸🌸🌸maximum intercuspation in two type of articulator( forgot the name)? both are same PIN 3- while protruding mandible – forward and downward movements True ✅ ✅ ✅ 4- 3 questions on kennedy classification( pic) N02 ✅ ✅ ✅ 5-🌸🌸🌸🌸 a case with sourness on mandibular ridge which one couldn’t be the reason? excessive buccal flangs PIN 6- why we do bordermolding? to record muscular functions at the vestibules True ✅ ✅ ✅ 7 -what to do for unfit CD at first step for a 80 years old woman? reline it True ✅ ✅ ✅ 8-🌸🌸🌸🌸how to arrange teeth in making upper CD and lower RPD for combination syndrome? PIN 9- reasons for a crown to not sit at delivery appointment? proximal tight proximal contacts- nodule inside of frame- and… Tight contact✅ ✅ ✅10- night guard distribute forces to all teeth True ✅ ✅ ✅ 11- an old RPG starts to irritate soft tissue around the frame? needs reline True ✅ ✅ ✅ 12- after patient closes mouth his jaw moves to left why? immature contact in buccal incline of lingual cusp in maxilla with lingual incline of buccal cusp True ✅ ✅ ✅ 13- a pic of maxilary first central with preparation. what was on tooth before? porcelain venner True ✅ ✅ ✅ 14- what is the most important in CD ? patients expectations True ✅ ✅ ✅ 1- a pic of missing canine 2- a pic mesiodense in a child 3- a pic of supernumerary maxilla in a child 4- a 9 year old girl with one mising maxillary central. how many permanent and primary teeth does she have ?( the maxillary incisor has 1 primary and its not exfoliated ✅✅12 perm 12 primary 5- two more Qs on tooth eruption one primary eruption sequences and one permanet eruption sequences 6- diagnosing ectodermal dysplasia in Pano view for a child with mix dentition 7- pic of peg lateral in a child 8- most common reason for remaining primary second molars? Ankylosis ✅✅ 9- what to do for a autism child? a) modeling- b)voice control-c) tel show do- d)Nitros oxide C✅✅ 10-first dental visit? after first tooth erupts in first year ✅✅Yes 6 months after 1st tooth or after 1yr b day which ever comes first 11 – swollen geographic tongue of 4 year old boy. what to do? change his food✅✅ 12- eruption cyst in anterior mandible 1- Flap for impacted wisdom tooth is Ortho: 1-hawley retainer doesn’t compromise the oral hygiene Surgery: 1- Flap for impacted wisdom tooth is full thickness True ✅✅ 2- mandibular remained root how to remove it? by cryer✅✅ 3- dry socket treatment? rinse and use socket paste✅✅ 🛑🛑4- broken condyle- while not moving mandible it locates? lateral- medial- posterioranterior 📌pin 5- left side deviation why? a) broken left condyle-b) broken right condyle-c) right TMJ disc sth-d) left TMJ disc sth A✅✅ 6-not to do during wisdom tooth surgery? extending flap on oblique ridge and lingual✅✅ 7- SCC on left side of tongue. need to biopsy . what nerve should we block? inferior alveolar nerve ✅✅ 8- ANS blocks tooth number? ✅✅ incisors canine maxillary 6,7,8,9,10,11 9- Inr: 3.5 and physician clear patient for surgery. first step for bleeding control during surgery? pack with gaus True✅✅ Pharmacology: 1- OD on benzodiazepin? Flumazenil ✅✅ 2- opoid antagonist naloxone✅✅ 3- all metabolsm of actions( 4 or 5 Qs asked indirectly in cases) – 2 LA with different potency but both numbs lip. what is true? the only one which fits better was same efficacy ✅✅ -Liver cancer not to give? Acetaminophen ✅✅ 6-LA MOA? sodium channel blocker✅✅ Syndromes: 1-crouzon syndrom ? know characteristics Premature closure of fontanel sutures Hypyerterlorism midface discrepancy✅✅ 2- which trisomy is common? 21✅✅ Oral medicine: 1- young girl after injection drowsiness and bp low? syncope✅✅ 2 – pregnat woman low HR and low BP on chair why? inappropriate chair position✅✅ (put her on left and legs up) 3- old man with chest pain in your office. you gave him Notroglycrine tablet what is next step? discharge him- call 911- aspirin Call 911✅✅ 4-INR 3-4 Q just know the safe zone and drugs which require INR tests 5- type 2 diabetes physiopathology ? Decrease insulin sensitivity✅✅ 6- hba1c best test for diabetes True ✅✅ 7- case with diabetes what not to prescribe? dexamethasone✅✅ 8- a man has fainted in your office what to do? trendelenburg✅✅ 9- why HR rises after LA block inject? effect of EPI injected in vein✅✅ 10- a conscious diabetes patient is hypoglycemic ? Orange juice ✅✅ 11- prosthetic knee joint antiobiotic prophylaxis? No prophylaxis ✅✅ 12- testis cancer with metastasis all over the body what is safe to prescribe? oral penicilineampiciline- clynda- metronidazole Amoxicillin is a widely used antibiotic in the penicillin group of drugs. It is used to treat bacterial infections in patients with cancer, and may be used as prophylaxis in some patients. Penicillin ✅✅ 13-child 20kg PCN allergy what is safe for antibiotic prophylaxy Clinda20mg/kg Clindamycin ✅ 14- a man PCN allergy what is safe for antibiotic prophylaxy Clindamycin 600mg ✅✅ 15-BP 180/12 what to do? 911 . Call 911 ✅ 16-what is not responsible in increasing caries after chemotherapy? a)chemo drugsb)recently moved to a town where water of there is not riched with floride- c)poor oral hygine due to depression B ✅✅ 17-addison syndrome which is not related? moon face- low level of adrenalin- dark macules on lips- brown skin Moon face ✅✅ 18-COPD why? cigarette ✅✅ 19- patient on bisphosphonate ? implant surgery contra✅✅ (IF possible Surgical and dental implant placement should be avoided Endodontic treatment should be considered before extraction) 20- 2 more question on bisphosphonates about contraandications that I dont remember 21- an old patient who has khnee implant what is the reason of his joint damage? I picked inflamation factors like IL-1✅✅ Sleep apnea device Continuous positive airway pressure (CPAP) therapy is a common treatment for obstructive sleep apnea. A CPAP machine uses a hose and mask or nosepiece to deliver constant and steady air pressure. Common problems with CPAP include a leaky mask, trouble falling asleep, stuffy nose and a dry mouth. Mechanism by which this device works? Blows air and continues pressure down throat.✅✅🛑Widened pulp in central incisors 📌PIN What is in posterior mandible Tumor,cyst,malignancy Tumour ✅ Potency curve A is more potent or B? Low dose more action more potent✅ ✅ You have doubt about ur assistant being drug abuse? Wat do u do..a)reportb),ask your colleagues,c)conduct random drug test C ✅ Ur Dental assistant accidentally deleted patient case report…so wat do u do..fire her from job, ask her to apologise to the patient, u apologise on her behalf,csl patient and inform wat happens and ask her to come to clinic whenever possible to again take the history Last option ✅ To good to society Beneficence ✅✅ There was a question about HIPPA saying HIPPA deals with patient record privacy and ____deals with only electronic information of the patient ✅✅ Silver cones obturation…. y periapical lesion…reason for that Corrosion✅ No Fluoride release.. gic,compomer,resin gic Ok so compomer ✅• • • Athamatic attack wat 1st Position patient then albuterol • Lightheaded feeling… wat?? And wat to do?? Syncope and tendleburg position. Give oxygen • Lisonopril moa Ace inhibitor • Albuterol moa Beta2 agonist • 8yr old how many primary, permanent12 primary 12 perm • A case of 5yr old and gave an opg and asked whether chronological age is ahead or dental age?? • Lots of part 1 questions which i dont remember much • Verrucus pemphigus Pemphigus affects the outer of the skin (epidermis) and causes lesions and blisters that are easily ruptured. Pemphigoid affects a lower layer of the skin, between the epidermis and the dermis, creating tense blisters that do not break easily. Sometimes pemphigoid may look like hives or eczema without blisters. • Ssc pic • • • Increase in stratum corneum… which lesion???Hyperkeratosis, Pipe smooker keratosis ,Verruca • Dexamethasone moa Anti inflammatory and immunosuppressive • Factor 8 clotting factor problem…difference in what is seenclotting time,bleeding time, PTT hemophilia A ,Classic hemophilia PTT test checks the function of specific coagulation factors. These include factors known as factor VIII, factor IX, factor X1, and factor XII. • Lower recession depends on what Poor oh, grinding habit, aggressive brushing • Lots of except questions… i felt my paper was full of except questions than straightforward once • Mutliple myloma wat test to confirm.. not xray Bence Jones in urine • Bence jones are seen in which specimen?? urine,bone,skin ( blood and urine) • Swelling in left side of neck… lymphnodes palpable infection is seen in which region…sublingual,submandibular?• • Hypothyroxine what is observed?? Hypertension,fatigue,high sugar Adhd best way to control child in clinic?? papoose,medicines • Coronoid process pic • • • Most chromosomal defects seen in meiosis doesn’t happen normally, a baby may have an extra chromosome (trisomy), or have a missing chromosome (monosomy) • White coating tongue with red papules Strawberry tongue • Hiv which type of virus ??Epstein barr virus,HIV is rna, retrovirus • Herpes virus strand DNA,RNA?double stranded • Lower lateral- one canal or 1 apex,,,or 2canals 2apex or 2canals 1apex • I in PICO.P patient population,I intervention, C comparison, O outcome • Most effective surface disinfectant,gluterldehyde • Dentist poke his finger before giving to patient what to do??? wash and continue with new one,antivirals,inform his assistant • Super white colour crown… wat defect flourosis • Dentin exposed what ellis fracture??? 2 • Child 44lbs 4% articaine 1,00000 how many cartridges??? 1.29cartridges • Candidiasis wat test and wat is seen Smear cytology,Blood test for deep fungal infection • Lipid control drugs moa :HMG CoA reductase inhibition : Atorvastatin,Lovastatin • • Patient Just out of Opoid drugs abuse,, wat to avoid: MAOI • Patient looks confused and disoriented and ask u extract a tooth… wat u do… extract it,ask pt to get there relative and caretaker with them,just send the patient off 1hr after treatment pt feels dizzy and pale and suddenly loses conscious.. wat happened wat do u do ;Syncope • Asthama patient wat is irrelevant??? Last Asthama attack, type of medicine, symptoms of nuts allergy • Herpes recurs as the virus stays in hepatocyctes? T or F • Lower anteriors is supplied by Incisive nerve • How to remove caries lesions??? Remove completely and place CAOH, leaving some amount of dentin?? • Helps in Dentin bridge formation???CAOH • U need to do biopsy wat is the preoperative procedure? TAke consent,talk to his wife and explain procedure • Informed consent shud consists of??Everything except the cost of treatment • Case report shud consists of except?? Payment insurance 1. C factor what is seen? Positive effect or negative?Negative effect 2 pt. Drink energy drinks 3-5 times a day. While he was walking to clinic he was drinking also. What is his mouth ph once he sits in the chair? 5.6, 6.5, 7.5, 8? 3 warfarin MOA-Inhibitors of vit k absorption 4 Ranitidine MOA-H2 receptor blocker 5 premolar slightly Buccal… what to do? Simple removable z spring, surgical or extraction?pinned 6 ectodermal dysplasia EXCEPT image7 Down syndrome face features Epicantal folds, Mid face deficiency, Upward eyes 8 sickle cell anemia – if both parents have the genes… percentage of child getting it ?25% 9 Penicillin sensitivity , what to give Clindamycin 600 mg (adults) 20mg/kg kids,or erythromycin 10 Ada provides lobby?yes 11 IV bisphosphonates MOA-Inhibits osteoclasts 12 Pt. Taking IV bisphosphonates.. needs extraction what do you do?hyperbaric before and after 13 high evidence study.. (no meta analysis in option) Systematic review or RCT 14pt. Has swelling which is painful , to know the extent of swelling what would be the best aid? Intraoral camera, CBCT, Pano 15 Host modulation – Doxycycline 16 digoxin- slow your heart rate Increases force of contraction slows rate 17 Verapamil – CCB 18Epinephrine[7 times]19 amoxicillin – no allergy 20 Penicillin; hyaluronidase??-pinned 21 tetracycline; no bactericidal Bacteriostatic 22 ACE (lisinopril) chronic cough 23 Aspirin-Cox 1 2 inhibitor 24what lab for warfarin? INR 25 Smoking cessation first “ ASK “ (remember 5 A’s) 26after medical history of patient and inject anaesthesia, what gold; pain threshold?pinned 27anaesthesia IAN block, what accessory? Mylohyoid 28 apexification (easy) open apex, permanent etc Non vital 29 man gets filling of tooth and comes after 2 days with pain on bite? Over Occlusion 30 after SRP, in home to treat sensitivity of root? Potassium nitrate?30 child with leukemia have a lesion in furca of molar? Extraction 31 supernumerary tooth; initiation stage like cap stage (is same) 32 more blades; more efficient and smooth surface? 33 BEST time to gingivoplasty: I put the same time of surgery 34 burn; first erythema 35 H2 gastro; cimetidine 36 macroglossia acquired or genetic (see differene) clinical case they give you a picture super impressive but the patient had many medical conditions, he was diabetic (one of them 37 OKC ; Gorlin gotz syndrome 38 what do you see in mandibular nevoid BCC or Gorlin Gotz; I chose CYST in mand; no OKC in option 39 1.23 % and no to home-Acidulated fluoride 40 most malignant salivary gland tumor-mucoepidermoid carcinoma41 aging patient; SENIL with age 42 between younger and elder; elderly have less change Elder better prognosis for perio 43 BZD overdose; Flumazenil (like 3 time 44 agonist and antagonist Pentazocine nalbuphine 45 Eugenol ; inhibit resin 46 more thermal expansion? Resin? 47Prevalence-STUDY IT 48 mandible move to right. What muscle move? Lateral Pterygoid? 49 Pierre Robin syndrome; wine port-NO Port wine-Struge weber 50 most common- te daban muchos numeros de syndromes y yo escogi? 21 trisomy 2151 in child more leukemia ; lymphoblastic (no estaba ALL AML 52 most common: amelogenesis imperfecta? 53 child with 4 years old, sleep apnea? I put adenoid hypertrophic 54 why you examine sterncleidomastoid; I put check nodes in neck 55 anemia in girL- below 11g/dl Hb 56 what nerve to anesthetise for superior canine? Nasopalatine 57 mesial concavity first maxillary premolar; like 4 times but different questions same answer 58 Papoose no use in cooperative child 59 doctor report abuse of child , what evidence needed ; physical evidence like bruises No need for evidence if he suspects must call 60 High arched palate less retention 61 s/ ch/ tip tongue between anterior teeth dentoalveolar sounds62 stafne cyst in image63 dens in dente in image64 macroglossia image will show indentations 65 carcinoma of lateral tongue image66 torus mandibularis in image 67 the questio of 30 caries , 15 fillings, etc? 50% 5 Pka; 5 Pka= ph+log oh-/h+ If 50% ionized means log oh-/h+=1 So pka=ph 5 68 you administered prilocaine 4% , patient is blue ? Methemoglobinemia 69 diabetic patients type 1 ; skipping insulin , now he is unconscious, pale , disoriented, etc. what to do? I chose administer insulin? Other days glucagon administer but idk prilocaine benzocaine1 a second premolar has an old silver point rct. apical radiolucency and pain by percussion. what to do? tooth with silver endo filling is not retreata le so the answe is epico surgery 2- why the silver rct filling is failed? it did not seal properly the canal( in xray it was obvious) 3- molar cusp fracture only dentine is exposed? class 2 4- severe pain at nigh ? Necrosis 5- 3 or 4 Q on diferent truma cases 6- traumatized tooth discoloration pic 7- dont need to splint concussion and subluxed tooth(Splint needed for subluxation 1-2 weeks if mobile. Not needed if no mobility) 8-what is not a good treatment plan for internal root resoption at the middle of root? extraction pulpectomy- Pulpotomy 9-non vital bleaching side effect? cervical root resorption 10- best treatment for external root resorption? RCT+ surgery to curretage the resorption area extraction- RCT alone- surgery to curretage the resorption area alon – Pinned 11- apexification for non vital 12- x ray of a tooth with perfect RCT and composite biuldup. between composite and orifice radiolucent area is obvious. why? GIC to seal orifices13- same case radiopaque spread out from apex why? sealer puff Perio 1- what happens after bone graft that makes it hard? some growth factors and different type of mechanisms ( dont remember)– either osteoinductive conductive or osteogenic most important factors are bmp and pdgf 2- after bone graft in anterior of maxilla as much as implant surgery is delayed the more resorption we Have 3- we hav suppiration from sulcus. what kind of cell we have and what we dont have 2 different Qs– Acute case pmn cells predominantly 4-mandibular second premolar has deep pocket on buccal and lingual. tooth has pain by biting. what is the problem? vertical root fracture Oral Path 1- A 14 year old boy with bilateral lucent lesions in mandible that deforms the jaw? Cherubism 2- a boy with BCC. Lucent lesions in both ramuses. what are the lesions?( Gorlyn syndrom) OKC 3- leckoplaqua on tongue ( hairy) what is the reason? EBV was not in options so i picked candida and other were not relevant- Correct 4-white soft palate dentist can wipe it off. what to do? antifungal not in options 5- stafne x-ray asks the origin? ectopic salivary gland 6-your patient has toothache. you made a great RCT for his mandibular premolar. after three days a skin sores in area and sever pain around the tooth. tooth has no sign with percussion or any other tests. what is the reason? recurrent herpess after stress 7- butterfly on face? SLE 8-a kid lip and tongue and buccal is engaged and hyperkeratosis also and pain. it wipes off. what is it? erythme multiform 9- lichen plan characteristics—Wickhams striae 10-SCC pic 11- why mocucel has sometimes blueish color? i picked due to capillary dameges(Mucoceles present as bluish, soft, and transparent cystic swelling that frequently resolve spontaneously. Blue color is due to vascular congestion, cyanosis of the tissue above, and accumulation of fluid below.) 12- melanoma could vary in dark to light brown in oral cavity and Common on palate and gingiva13-epulis fisshuratum in a patient with old denture 14- a piogenic granuloma pic– 15- a gingival hyperplasia pic due to Dilantin 16- a neuralgia case 17- pleomorphoc adenoma distal of a tongue? Wrong 18-cemento blastoma x-ray19- Gardner syndrome ? multiple osteomas odontomas and intestinal polypsSupernumerary teeth, Odontomas,Impacted permanent 20-punched out ? multiple myeloma 21- denture unfit? Paget 22- condensing osteotitis xray. what is the reason? healed after infection sth like this23-which one is X linked? ectodermal 24-a pic of amelogenesis imperfecta25- a young boy who his teeth is getting mobile and obligated pulps why? dentin dysplasia type one 26- same case. what cells are engaged? i picked odontoblasts Anatomy 1-vein to tongue come from? Lingual 2sinus nerve? Max sinus, infraorbital nerve 3 all from same nerve except? hypoglus- genioglus- palatoglose- stiloglos 4- which are engaged with elevating tongue? palatoglose 5-which one has 4 canals usually? maxillary fist molar 6- which one has a root with 2 canals? maxillary first molar Evening discussion Optimal fluoride? 0.7-1.2ppm Coronoid process xrayCase control study example– A case–control study is a type of observational study in which two existing groups differing in outcome are identified and compared on the basis of some supposed causal attribute.Color family—Hue Primodial cyst xraywhite lesion that wipes off—Candida Lateral tori (Lingual tori) xray—CBCT Kid not able to open his mouth, fracture, xray? Occlusal,peri apical,CBCT How to correct pharyngeal space in xray– place their tongue on the roof of their palate during the entire exposure and to keep their lips together. Abrasion and abfraction difference– Abfraction flexural forces, Abrasion mechanical forces like tooth brush 1missing teeth hypo or ana—Hypo Pierre robin except– glossoptosis, micrognathia, cleft palate, Mandibular facial distosis Downward eyes Mandibular deficiency (any other than these will be the answer) Pt diabetes uncontrolled bp controlled ASA.—ASA III Ferrule y— Prevent root fractureMamelons—Open bite Congenital missing among these– Mand 3rd molar>maxillary 3rd molar> mand 2pm> max lateral incisor(This is the normal sequence know these and choose accordingly) Blood during irrigation wat does that mean…improper rct,furcation perforation Allergic to hypochlorite,wat nex—H2O2 saline, chlorhexidine 8yrs how many primary,permanent—8 Perm and 8 Primary Cauliflower like in lateral border of tongue..no papilloma in options– verruca vulgaris Dentures infection least in heat cure Acrylic,light cure Penicillin allergy which hypersensitivity—Type 1,2,3,4 Penicillin allergy is because of? beta ring, mast cells Marijuina MOA– Cannibinoidal receptor agonists Marijuina Active agent– Tetra hydro cannabinol Denture adhesive active agent ? The active ingredients mainly respon- sible for the adhesive properties include karaya gum, tragacanth, acacia, pectin, gelatin, methyl cellulose, hydroxymethyl cellulose, sodium carboxymethyl cel- lulose and the synthetic polymers (polyethylene oxide, acrylamides, acetic polyvinyl) Mand angle more what happens? Ant open bite,posterior open bite,class 3— Pinned Pemphigus is because of??? Autoantibodies to desmosomes Wat test to be done to confirm pemphigus??? Immunoflourence Periapical cemento osseous dysplasia ?? xray and wat test to be done and what increases in test??? Alkaline phosphatase increases HbsAg Antibody meaning?? Already infected or vaccinated?? Infected Bruxism, which muscle does not have a role?? Three major muscle groups are associated with bruxism. These include the temporalis and masseter muscles, which close the jaw; and the lateral pterygoid muscles, which move the jaw side to side. Accessory muscles of the neck may also be involved, leading to head and neck aches, especially in the morning. Mandibular protrusion what muscle—Lateral and medial pterygoid tongue retrusion muscles??— Styloglossus tongue anterior 2/3rd taste and sensory—Chorda tympani taste, general sensation lingual nerve Tongue posterior taste and sensory??? Glossopharyngeal 51. Sialolitiasis; best view occlusal Rx 52. Pregnant woman pee; el feto comprime la vejiga Pressure on bladder 53. Angina and MI difference duration of pain 54. Cerebral palsy; True or false neurological problems causing paralysis and problems in the motor part brain.. TRUE 55. home bleaching; patient complains Sensitivity 56. hyperthyroidism; stormy LA without epinephrine ✅ 57. Biometabolism of drug; less lipid soluble and more polar and hydrophilic???? 58. Cemento osseous dysplasia (like 5 times) 1. women come with a checkup and have all anterior teeth with RL, asymp, no pain etc, what do you do? nothing, follow up 🆙59. Infection in 1rst premolar inferior; go to buccal space 60.0Amantadine; influenza A and Párkinson 61. Traumatic bone cyst, in child 62. Ulcera en el labio inferior; no keratinization 63. candida Case . Pt with red tongue and also in palate , they provide a picture Rhomboid glossitis 64. candida treatment except:Antibiotics given in option Nystatin fluconazole clotrimazole 65. everything’s caused for virus except: 66. Coxsackievirus; niños, manos pies y boca Herpangina 67. Todos son virus excepto? Candidiasis 68. dentin give color Yes 69. dentin not form in RCT Yes 70. instrument pinch mouth; 2 intension ??? Secondary intention 71. methemoglobinemia cause by 4 % prilocaine 72. hyperglycemia; bradycardia73. hypoglycemia; tachycardia 74. why do you examine the sternocleidomastoideo? I put search any lymphatic nodule 75. a child with 4 years old with sleep apnea, what causes? I put hypertrophic Adenoid 76. Man with Coumadin, and INR in 2, what do you do? extraction, stop any bleeding and suture if necessary!!! 77. pregnant 🤰 with much pee, what cause; fetus compresses the bladder. 78. what is the different or what healing more rapid ( i don’t remember exactly question); I put the child have dehydration more rapid 79. all are true in parkinson disease except? is progressive??? (for me is more degenerative) Parkinson’s disease (PD), or simply Parkinson’s, is a long-term degenerative disorder of the central nervous system that mainly affects the motor system. Progressive disease 80. Parasympathetic and sympathetic; the question says; intestinal movements and others, what act? 81. hue; wavelength82. value; most important 83. chroma; saturation and decrease with age 84. what is most import to put antibiotics in child ; I choose weight 85. Pierre Robin’s Syndrome except Port wine 🛑85 – port wine ✅✅ This Q is more an example of except Question . Pierre Robins Syndrome isn’t have a port wine characteristics!!!! Sturge- Weber has it !!!! 86. alcoholic; INR, After extraction you can give ibuprofen 87.Man with 50% de N2Ocome palido, nausea etc, what do you do; remove the N2O and 100% oxygen Yes 88. what causes allergy with penicillin except ? Penicillin have a cross allergy with first generation Cephalosporin and a negligible cross allergy with second generation cephalosporin ✅✅ 89. how lab test determine the neutropenia? Your doctor can use these tests to diagnose neutropenia: Complete blood count (CBC) ….. … .. the moderate 1,000 came to me. The severity of neutropenia is related to the relative risk of infection and is classified as follows: • Mild: 1000 to 1500 / mcL (1 to 1.5 × 109 / L) • Moderate: 500 to 1000 / mcL (0.5 to 1 × 109 / L) • Severe: <500 / mcL (<0.5 × 109 / L) 90. Patient with Type 1 diabetes skipping insulin and breakfast…. he come diaphoresis, palido, unconscious what do you do?If is unconscious- IV glucose When is conscious – Orange juice 91. what nerve to anesthetic the canino to canino superior; Nasopalatine 92. Antagonist to Benzodiazepines; flumazenil 93. Antagonist to opiod; Naproxen 94. time to primary first tooth to erupt; 6 month of life 95. mandibular Left lateral movement; move by Right lat pterygoid 96. what muscle in right mov of mandibula; LEFT Lateral pterygoid 97. what is the best to malignant biopsy; I put incisional 98. cyst is formed by; ???? Fluid-filled cavity lined by epithelium 99. Dentist, what is unethical; I put drink 2 cup of wine 🍷 100. Leading question is; ??? You’re afraid of needles , are you?? Those that suggest a particular answer Shouldn’t generally be used 101. Avulsion of tooth; splint 7-14 days 102. Best to class V; GI 103. Risk to patient in chemotherapy, what is the risk to hemorrhage??? High risk of bleeding104. Infected dentin ( bacteria) and Affected Dentin???? Affected dentin- brownish color ,leave it don’t remove Infected- has to be removed104. Infected dentin ( bacteria) and Affected Dentin???? -Affected dentin- brownish color ,leave it don’t remove Infected- has to be removed 105. component of Saliva? -IgA 106. why the anesthesia no work in abscess. – low ph 🛑107. PICO; 108. ASK; the first in cessation of smoking 109. inhibit resin bonding Eugenol 110. 3 month visit of periodontal patient -to prevent recurrence and to ensure long term preservation of the periodontal health 111. Older people; – senil 112. motivation of patient; – indice de placa(plaque inde 113. remove calculo; mantener good periodontal. 114. what not ion in anesthesia? calcio, chloro, L and Na 115. Anticoagulant what test -inr 116. Chemotherapy patient is more prone to ? -thrombocytopenia 117. supernumerario; stage Inicial and Bud stage 118.What structure at the coronoid process? – zygomatic process. 119. Patient explain to patient the treatment, but patient don’t understand, what the doctor do? – rx and study model to explain the treatment. 120. Pin-Retained Amalgam RestorationsPins are used whenever adequate resistance and retention forms cannot be established with slots, locks, or undercuts only. The pin-retained amalgam is an important adjunct in the restoration of teeth with extensive caries or fractures. 1 pin for 1 missing line angle and maximum 4. It should 2 mm in dentin. 121. hypochlorite except; chelante agente 122. hypochlorite and chlorexhidine result in what color brown and orange 123. Best time to extract 3 molar When the root is 2/3rd formed 124. hypertension patients; epinephrine dose in LA 0.04 epinephrine in LA 125. 3 wall defect; best prognostic 126. 2 furca defect; best prognostic with GTR to convert to class 1 127. OSHA all, except; Manual de Manufacture 🛑128. who protect a patien medical plan Department of Health and Human Services (HHS) 129. prevalence and Incidence1-Supra ventricular anti arrhythmic drug-quinidine 2- blanching positive in -hemangioma 3-if pt feels nausea after no2 -100%oxygen 4-fibrous tuberosity removal what incision -V shaped incision undermining d flaps 5-biopsy- incision to rule out malignancy 6-oars-Open ended. Affirmations. Reflective. Summarize 7-how to reduce penumbra decrease film and object distance – true 8-in digital dentistry what will we use -denture teeth impression4.supra ventricular tachyarrythmia drug of choice?? Quinidine 5.blanching positive in?? Hemangioma 6.pt feel vomiting after nitrous oxide what to do ?? 100% oxygen 7.fibrous tuberosity removal what incision?? Distal wedge but incision is parallel 8.biopsy ?? 9.which LA is contraindicated in kids Lidocaine Bupivicaine Mepivicaine Articaine 10. abdundant bacteria in dental caries? S mutans S sanguis Lactobacillus 11.implant gives retention or support ,Which gives support?? Implant retention tissue support 12.height of abudment in implant retained over denture depends on Gingival height No of implant Width of implant Height of implant 13.support in tooth supported rpd given by ?? Rest and major connectors 14.pt with phase A periodontitis and phase C periodontitis of similar stage what is recall interval of phase A compared to C?? Same Less More 15.absolute neutrophil count at which we discontinue kids treatment is ?? < 1000mm3>1200mm3 >1300mm3 >1500mm3 16.fenestration ?? Window in the bone 17.penetration of X-ray?? KvP 18.systemic desensitisation asked twice ? Graded exposure with relaxation excercise 19.best X-ray for bone loss?? Vertical bitewing 20.what is the correct order? Liner Etch Bonding Composite 21.necrotic tooth with abcess what treatment ?? Incision and drainage then RCT 22.hyperventilation symptoms?? 23.xylitol best in what form ?? Gum 24.recurrent ranula treatment?? Excise 25-traumatic bone cyst Scalloped and not a true cyst 26-picture of antral cyst 27-picture of inverted yLine of Elis it’s a superimposition 28-acetominophen -non cox 29-Status epilepticus-diazepum 30-patient after la injection becomes pale loose concious slurred speech what is the diagnosis-syncope 31-fear of chocking Pseudodysphagia 32.Pt with prognanthic mandible Class III 33-What age child start brushing by self 1-4 6-9 34Doxycycline -host modulation 35.Minocyclin–host modulation 36-class-2 malocclusion Lefort 1 37-patient has large diastema between incisor and one of the is rotated the main thing which you focus first Mesiodens 38-patient with uncontrolled hypertension patient become pale and slurry speech Stroke 39-autogenous graft epithelial movement (pinned) -which antibiotic does not work on cellwall Erythromycin Vancomycin Amoxicillin Cephalexin1. HIV got from needle stick injury, how it would progress ..something like that / – Acute phase longer – Serosomething more in blood – All stages are same like other routes – Asymptomatic phase is longer 2. Removal of max tuberosity, flabby tissue from ridge – – V shaped incision – Horizontal some procedure – Electro resection 3. Wound injury- when college form? – 7 days – 14 – 28 – 45Many questions are same from June 19 file which you got so I didn’t add those one !! Pray for my Pass Guys!! Much needed!! 1. HIV got from needle stick injury, how it would progress ..something like that / – Acute phase longer – Serosomething more in blood – All stages are same like other routes – Asymptomatic phase is longer 2. Removal of max tuberosity, flabby tissue from ridge – – V shaped incision – Horizontal some procedure – Electro resection 3. Wound injury- when college form? – 7 days – 14 – 28 – 45 4. Cephalometric norms – – Some option with evaluation and treatment planning – Racial and ethnic characteristic – Some population statical parameter stuff – Facial growth 5. Patient has bad previous experience how to handle – Desensitization – Neurolingual teaching – Other 2 options definitely didn’t make sense 6. Not for perio condition – – Amox – Erythro – Metro – Tetra 7. Lymphoepithilial cyst –very easy from pic 8. Mental nerve block which direction – – Anterior – Posterior – Lateral – Inferior 9. Mouthwash study question- RCT 10. US water floridation optimum ratio – – 1-1.2 – 0.7 – 0.8-1.2 – 1.2 11. Us floridation optimum value – 0.7 – -1 – -1.2 – 0.6 12. Kelly syndrome: Max edentulous , mand only anteriors present. Recession in ant maxilla, flabby posterior tuberosity 13. Difficulty in speaking., muscle pain after denture insertion , what is the problem- – Decrease VDO – Decrease interocclusal space – Wrong facebow14. Periapical fibrous dysplasia – got 5-6 questions : non neoplastic, radiographically=ground glass appearance 15. Radio- opaque periapical , painful , restored tooth – – CEOT – PA fibrous dyplasia – Condensing ostitis – Chronic Apical periodontitis 16. School fl program – middle school students – Mouth rinse 17. Ventricular arrhythmia: lidocaine 18. SLOB question -2 (same lingual opposite buccal) 19. Simple LA calculation very basic 20. The famous radio calculation question – answer is 20 21. Gingevectomy- 4-5 questions indications and contraindications 22. Wildman flap- indication23. Dentifrice in tooth paste- percentage pinned Q 24. Gingevectomy healing- – From clot formation – From granulation tissue formation – CT tissue from recipient site 25. CHX – substantivity 26. Medical compromised kid which mouthwash- – CHX – NAF – SAF2 27. Patient had accident 3 yrs back , lower anterior trauma, no pain no complain , patient come to clinic for routine check up , You find out PARL in lower anteriors what ll do – – Do vitality test and proceed with further treatment – RCT – RCT AND CURRETAGE – Extraction 28. Many endo questions but not that difficult29. Asked something from lefort fracture stuff I didn’t remember bcz too lengthy explanations and options so read those well 30. Maxillary proclination (they use some weird word here )- treatment – Sagittal – BSSO – LEFORT – Otectomy 31. Read healing phases, dont remember those questions. 32. Implant –tooth distance: 1.5mm 33. Implant –sinus distance : 1mm 34. Max pm – blocks: MSA block? 35. Civvte bodies in patient lesions Histology- treatment- – Some weird name drug – Diphenhydramine – Clotrimazole – Valacyclovir First choice corticosteroids Second choice anti histamines for relief Intralesional triamcinolone acetonide (Kenalog), 5 to 10 mg per mL injection, should be used to treat hypertrophic lichen planus. Three to six weeks of oral prednisone therapy should be used to treat severe, widespread lichen planus (tapered course, 30 to 60 mg per day starting dose). 36. Many situational questions with long options 37. Adult misuse question 38. Arch length and circumferential arch in permanent – – Both increase – Both decrease – Length increase arch decrease – Vice versa 39. In us water fluoridation level in percentage: 74% 40. Most common anti anxiety drugs MOA– Inhibit serotonin reuptake – Inhibit NE uptake – Release dopamine – Something else ?? 41. Affirmation : OARS 42. Law suit question, how to handle situation? 43. Most common demo had malignant condition- middle aged women 44. Radiograph- inverted y 45. Pic- herpengina 46. Gingivitis – – Erythrocyte more in crevice – Increase CT vascularity – Remove keratinization – 47. Measure attached gingiva width- – Subtracts gingival crevice legth from total depth – MGJ to pocket – Base of pocket to crest – Something very irrelevant 48. Prevalence definition 49. Incidence – 100/1000 question 50. What ion responsible for amalgam sensitivity – Hg – Ag – Zn – Copper 51. Pt has orbital muscle damaged and left nose affected which part of max sinus affected: superior medial wall 52. Pierre robin: glossoptosis, micrognathia, cleft palate 53. Cleidocranial dysplasia : absent clavicles, supernumerary teeth 54. Cerebral palsy : spastic paralysis,impaired coordination of voluntary muscles Higher incidence of periodontal disease, caries, bruxism, and malocclusion. Prone to gingival hyperplasia if Dilantin is used for seizures 55. For kid most fearful stimulus – Dentist – Hand piece sound – Eugenol smell 56. For 2 yr -loud sound 57. 35% carbamide for home, pt complain about sensitivity . – Both true – Bothe false – First true second false- First false ,second true 58. Ventricular tachycardia: lidocaine 59. Center of rotation – pinned – Always change – Be constant – Other options doesn’t make sense – 60. Some thyroid question – what stop convertion from t4 – thyroxin – Prophythiouracil 61. Dimensionally stable impression material – PVS – Polyether – Alginate – Silicons 62. #4 MO restoration, while checking occlusal interference , interfering with which tooth? – Buccal 28 – Buccal 29 – Disto buccal 30 63. Condylar guidance increase from 20-45 wht you do? Increase compensative curve 64. Perio dressing- most important reason 65. Stent for palatal flap- prevent hematoma 66. Condyloma accumi.- – HPV (6,11) – CSV – HIV- Zoster 67. Pregnant lady – Left side tilt 68. Fibroma- hyperplasia ( most common benign tumor) 69. Fibroma- pic and ask for DD 70. Melanoma intra oral common site : hard palate and gingiva 71. Lip paresthesia- Malignancy 72. Primary supporting structures – mandible : buccal shelf and retromolar 73. Emergence profile : 74. Direct and indirect composite : Indirect:Esthetics ,Strength and bonding benefit75. Partial Agonist: nalbuphine, pentazocine, buprenorphine 76. Cement for porcelain jacket crown: resin 77. Best bone type for implant placement : ant mandible, type 1 D1 78. Why we use face bow –very long questions and options, must say not in easy words very twisted way to put options so be ready with all synonyms: to transfer relationship to articulatorGEMSTONE RQS • The incisal edges of the maxillary anterior teeth will be in line with , • Upper lip line when relaxed • Lower lip line when relaxed • Upper lip when stretched/smiling(not sure which word) • Lower lip when stretched. • Frankels behaviour scale 2 qs.one was kid is very cooperative,good rapport…. • Next was kid is moderately cooperative, willing to listen. Score 3. • Cambra 2 qs., one was orthodontic..which rating Moderate• Next was pt had caries in teeth number something.according to cambra whats the rating. Moderate • Which is not a cox inhibitor • Ibuprofen • Acetaminophen • Aspirin • Celecoxib• Most commonly seen with amalgam restoration • Sensitivity to cold • Galvanic shock • Ig G antibodies seen in between the spinous cells of • Pemphigus,pemphigoid and two more options • Cause of mucocele, • Severed or crushed minor salivary gland duct • Obstruction of minor salivary gland duct by sialolith • Obstruction of minor salivary duct by mucus plug • Highest affinity • Articaine,lidocaine,mepivacaine • Drug given as IV for ventricular arrythmia • Lidocaine, quinidine… • Most commonly used antidepressant moa• Inhibition of serotonin reuptake • Inhibition of NE reuptake • Nitrous oxide overdose or long term side effect.. • Hepatotoxicity • Vision loss • Neurological problems • Drug tolerance develops in which system • CVS,CNS,Immunoreticuloendothelial system • Enamel abrasion • Bleaching • Removal of enamelstains • Xerostomia in kids most commonly because of Nocturnal breathing,… • An endo treated tooth is about to be internally bleached,where should the barrier be, • 1mm coronal to cej • At the level of cej • At the level of alveolar crest • Apical to gingival margin… • Osteogenesis imperfecta associated with Dentinogenesis imperfect • Rate limiting step in tooth eruption Alveolar bone resorption • Which inhibits the binding of iodine to thyroxine somethingPropylthiouracil(inhibit conversion of iodide to iodine) • What should not do with porcelain veneer not etch enamel with hydrofluoric acid • What cement with porcelain – Resin • Biologic width • Gracey currete features,• Triangular cross section • One cutting edge • Fibers around an implant Hemidesmosomes Parallel to cuff • After curing composite a sticky white layer… Oxygen forms a layer.. • Other than fluoride release whats the advantage of gic… Forms chemical bond with dentin • Gave pic of a cast with rpd, and asked where the fulcrum line passes through which two teeth, Ans was between 5 and 15. • The dose and response of a drug was shown in a graph…dose as x axis and max response as y axis. The curve was an elongated tall S shown as dotted line. another drug is added which is a competitive antagonist.how will that affect the response of the first drug.and many solid same shape S lines in front and behind, one tall and one short.• Taurodontism which stage • Histodifferentiation • Morphodifferentiation • What is the optimum value of fluoride and options were, • 0.7 • 1.2 then 2 other numbers. • Biotransformation happens • In the liver microsomal enzymes • In the liver non microsomal enzymes • Conjugation of glucuronic acid • In the plasma • Which fixed prosthetic material is exothermic • Pmma• Bis acrylic resin • UDMA • La calculation 2% lido in 5cc.1:100000 epi. How much lido and epi. 20*5=100 mg lido 5*0.01=0.05 epi• Radio calculation. Exposure 10ma in 1 sec.if u want the same density in 0.5 sec then howmuch exposure. Use the formula,C2/C1=T1/T2 20 • Fpd doesn’t seat on the teeth,but seats on the die.why? • Drug A can achieve maximum effect in 5mg.drug B does the same in 100mg. Drug A is, • More potent • More efficacy • Less potent • Thrs a big lucency in the mandible, when u open it surgically,it is empty with no lining. What isit, • Traumatic cyst(it’s a psudocyst not lined by epithelium) • What most likely causes oral cancer • Alcohol • Asbestos • Sun exposure • When extracting a maxillary molar, a small root tip is retained. If u leave it what will happen to it, • No pathology • Will cause infection • Absolute neutrophil count whr u should not do any procedure in a pedo pt. • <1000 • >1200 • >1300 • >1500 • Which is X-radiation? • MRI • CBCT• Ultrasonography • Subgingival calculus whatstrue • It gets its minerals from saliva • Its white and yellow in color• Its dark in color • Easier to remove than supragingival calculus • What blanches, Hemangioma • What blanches, • Hematoma • Hemangioma • Failure of a composite in a class 2 at the gingival margin is due to? • Isolation • Voids • Contamination • Patient had trauma,midroot fracture, why do u splint, • For reattachment • For patient comfort • • Osteogenic potential is less in • Cancellous bone • Cortical bone • Periosteum • What causes ledge formation? • Going from small file to big file too quickly • High speed of rotary file • Why do u do straight line access? • To widen the apical end of the canal • To prevent instrument separation• So u can visualize the apical end • • 92 yr old pt. before getting informed consent whats the first thing a dentist should do? • Make sure he can give consent or needs someone to give consent • Explain all the treatment plan• Talk to his relatives • • One pt ,he sips on soda all day . what will be the pH of his mouth? • 2.4, • 4.5 • 6.5 • 8.2 OTHER QS that r repeated from files and rqs. • Pulp horn most likely to expose in primary first molar Mesial • IAN block,needle went to parotid. U did too far? Posterior • Non working movement which musclelateral pterygoid • Infection goes to mediastinum from which space Retro pharyngeal space • Cerebral palsyuncoordinated movements • Autistic kid Repitative movements • Lupus – butterfly rash(malar rash) • Bifid spine,OKC(gorlin syndrome) • Ameloblastoma fromdentigerous cyst • To decrease valueadd complementary colour • Thixotropic • Steam sterilization – Bacillus stearothermophillus. • CHXSubstantivity(anti plaque) • Medically compromised child what mouthwash-CHX, stannous, NAF • Sequence of liner,etch,bonding,composite( its correct)• Nitrous and oxygen.nausea.what to do100%oxygen • Pierre robin • Gardeners syndrome • Neurofibromatosis• Recurrent ranula Excision of sub lingual gland duct.• NITIcontinuous force • Crouzon • Multiple myeloma first sign bone pain (spine and chest) • Fetal alcohol all except- distinct philtrum • Avulsion• Leukoedema Normal variant of mucosa and disappear on stretching. • IAN accessory nerve -mylohyoid • No infection control-dental assistant report to who? Osha• Elderly abuse-report to who Department of human health services. • KVPPenetration • How to lower penumbra • Pregnant ptleftside( to relieve pressure on inferior vena cava) • Syncope• Amalgam moisture contamination due to zinc causes delayed expansion. • Amalgam, which ion causes sensitivity,..Zn,silver… • • Amalgam,most common reason for fracture at isthmus Inadequate cavity depth and inadequate estoration material. • Why bevel margin of class 3 composite Improve esthetics and retention and only bevel in class 3 when doing facial approach. • Difference between onlay ceramic and onlay gold Internal line angles Why carbidopa with levodopa To prevent enzymatic degradation of levodopa. • Study to test the efficacy of 2 mouthwash.what study? Clinical trial Pictures • Lymphoepithelial cyst • Compound odontoma• Y line • Erosion• AOT • Antral pseudocystAnkitas rqs. I got 80% of those qs. Im not adding them here.and lots of qs from pulpectomy,pulpotomy,apexification,apexogenesis. Most of the qs will be , whats the initial treatment,what will u not do, all except, and options will be very close and long. DAY 2 • 16 yr old,ADHD. Had missing teeth.had a retained primary second molar.and no permanent second premolar bud is seen on pano. #QS. How many teeth missing? 2 nd pm missing #qs. What is the reason for the short roots of that retained primary – inflammatory resorption,replacement resorption #qs.if that tooth is going to be replaced by implant when do u do? -after growth finishes – immediately – after ortho # qs. Can we give nitrous for this patient Yes #qs. Dentist gave nitrous without asking parents.what ethic violated? autonomy • One radiograph.permanent maxillary CI.root canal done few yrs ago.in the middle of the root can see internal resorption around the gutta-percha. #qs. What is the difficulty level for this endotreated tooth according to the American association of endodontics? High difficulty acc to AAE • Pt.2 weeks postpartum,white lesion on lateral surface of tongue.had pic.it was bright white.what will u do? -incisional biopsy – re evaluate in 2 weeks 4. another pt. maxillary teeth.had pics.had diastema. Lateral missing. Some space aftercanine. #qs. Rationale for treatment all except, -distema close-distal movement of canine -move molar distal5. angles classification was asked 2 times.pics were clear. 6. pano. Inferior border had a radiopaque line on the border ,like 2cm,around halfway on right side.on left also it was thr but slightly radiopaque. Qs .what isthat? – anterior spine of cervical vertebra,- hyoid, – clavicle, – thyroid cartilage. 7. crown of a premolar had fallen off.thr was pic and radiograph.it had caries.and the remaining crown was a very small discolored stump. #qs. whats the reason the crown fell off ? • Due to caries , – lack of retention. #qs. How do u proceed with the treatment? • Redo endo. – extract – crown lengthening. 8. squamous cell carcinoma on lateral of tongue, had pics . he did radiation few yrs ago. #qs. Which nerve would have been affected during surgery? • Lingual. – facial , -IAN. #qs. That nerve supplies all these structures except • Sublingual, – submandibulargland , – parotid#qs. Which cranial nerve could have been affected during surgery and that nerve supplies all these structures except,……… • Sensory to posterior of tongue, – taste to posterior of tongue,- parasympathetic to parotid, – some muscle of the tongue. 9. pt had 5 to 6 teeth left in the maxilla.and 7 to 8 teeth left in themandible. #qs. If all the upper teeth is extracted, the patient is prone to have combination syndrome. T/F true #qs. Implant retained overdenture will help the premaxilla to mitigate the combination syndrome.T/F true 10. Thr was a upper secondpremolar with no teeth adjacent to it on mesial and distal.thr was bone loss seen on both the sides. #qs what kind of bone loss is seen? -circumferential bone loss, – horizontal bone loss, -vertical bone loss. #qs. Can the lost tooth be replaced with implant? #qs. If implant is done,what can affect the prognosis? – smoking, – periodontal disease 11. one maxillary first molar had interproximal caries on the distal side with second molar present. #qs. How will u access this during caries excavation?- distal,-occlusal,-mesial,-lingual. 12. one mandibular first molar was missing .had teeth on both sides.had teeth on oppositeupper quadrant also.#qs. If this patient had complete removable upper denture,this would affect what? • Speech impairment, – anterior hyperfunction syndrome, – increased gagging. 13.thr was a radiolucent line across the entire pano.not straight,slightly curved. #qs. What is this? –developmental artifact-bilateral fracture of ramus 14. one maxillary second molar.no third molar present.roots wer touching the sinus floor.adjacent first molar had a crown. #qs. What could be the complications when extracting this tooth? – fracture of buccal bone, – sinus opening,- crown of the first molar can come off. #qs. U extracted this tooth,and did biopsy of the tissue. It was pseudostratifiedncolumnar epithelium.this most likely came from? – maxillary sinus 15. one pt lots of cardiac problems.on clopidogrel and aspirin. #qs. When doing multiple extractions,what should u do,? – schedule less number of extractions per visit, – monitor till hemostasis is achieved, – fill socket with some hemostatic agent. #qs.to achieve hemostasis in this patient,what can be kept in the socket? – collagen , -gelatin, – colloid, – dry socket paste. 16. thr was radiolucency between lateral and canine. Very less and lateral was tilted mesially very slightly. #qs. Whats this radiolucency? – globulomaxillary cyst, – its normal. 17. another radiolucency between centrals. #qs. What is this,? – nerve canal lucency, – normal,- cyst.(it was a normal incisive canal space) 18. another periapical radiograph. Had a lucency in the lowercorner. #qs. Is this a defect? Or normal. Most of the patients had hypertension,diabetes,asthma, one had liver transplant.carcinoma.so they r taking medicines related to that.and qs wer if we can give them this.what cannot do?Almost all the qs we have to go back and forth to the radiographs,pictures, dental chart and read qs again and go through the options. Day 1 look out for words like,initial treatment, most common,most likely diagnosis, least. The exam is not that difficult.do all the files and understand the basic concepts. All the best to you!!!1. Viral drug MOA – Lysis of virus protein – Lysis of virus DNA’s molecule – Stop replication 2. Occlusal rest distance from opposite arch 1.5mm 3. Occlusal rest function – support 1.5mm 4. 3 yr kid , primary max CI out- – No treatment – Reposition and non rigid splint for 7 days – Reposition and rigid splint for14 days ✅✅As usuall depend on time Mention on pic If less than 30 minutes B 5. B lactam resistant bacteria create resistant ✅✅MRSA 6. Basal cell nevus – OKC 1. Which has a better prognosis for GT:Class 2 furcation ✅✅1.true,narrow 3 walled pocket 2. Which one doesn’t involve any ionic function:proponalol 3. Which drug decreases the preload: ✅✅nitroglycerine or furosemide.depends on options 4. What increases GI motility:Nesostigmine 5. Indirect sypothomemtic drug:Isoproterenol tca cocaine 6. If Subcondylar fracture which direction would the pull from lateral Petergoid move : Midline shifts towards side of injury 7. A question on Pico P patient population I intervention C comparison O outcome 8. The meaning of Point a( which is the deepest point btw ans and incisor)Deepest point on the curvature of maxillary alveolar process 9. Case of a pt taking Bisphostnapte oral 6 month and non restorable tooth what best treatment:get consent and extraction or decoronate depends on options 11. All happen with shock except:hypertension 12. If I’ve sedation what increase the mortality rate: respiratory depression 13. Upcoding: Unethical providers may tell Medicare that they provided a more expensive service than they actually did, which results in the provider receiving more money from Medicare than they should. This is known as “upcoding” and is a violation of the federal False Claims Act 14. Dmft is it ( oral hygiene or caries assmessment) I caries assessment 15. To assess Future caries look at :past caries history 16. Percentage of nitrous oxide in children: Kids max 50% Adult 70% (1-1.5 liter) 17. All causes premature loss of teeth except : achondroplasia 18. Measurement of Pdl space: 0.2mm 19. Main assessment for perio inflammation bleeding: bleeding on probing 20. La calculation for maxoum no. Pf carloge in a 57 kg pt given 1.8 lidocaine 1:100000 epih: 11 cartridge 21. Patient has bleeding gums and brusing in extremities: leaukemia22. Glucocorticoids except:don’t treat peptic ulcer”true,Yes ci with diabetes pt also ,herpes infection” 23. Abnormal plasma pseudocholinstrase : artican 24. ALARA definition to decrease pt exposure of radiation or to guide clinician when to take a radiograph as low as reasonably achievable 25. Elimination of articatin: plasma 26. Case where 9 year old was given anesthesia and then he became hyperactive: IV injection 27. Why you do S curve in amalgam 28. Anxious pt got dentist angry and assitant breals an instrument dentist gets angry at the assistant : displacement 29. Why Beading in partial : To provide positive tissue contact Prevent food entrapment under major connector and provide additional strength to major connector,Beading 6 mm away a from gingival margin and depth .5 to 1 m 30. What is the Distance btw Pt and dentist as they are discussing the financial: 3-6 ft 31. Pt High caries risk ,when give radiographs:maintenance 6-12 month) 32. If Temporary cement on a definitive restoration what is the problem: i picked it will cuade irritation 33. Case on erosive licken planus with picture of gingval desqumation and give other choices like erthma Multiforme Candidais 34. Which has same family as herpes simplex: Varvilla zooster 35. Eagles syndrome give pan of calcified styloiod ligment and Pain on swallowing and moving head also36. Extrnal resorption what best radiograph: cbct or mesio distal angulation 37. Case where there is Internal resorption and it’s non perforating what do u do: rct 38. Which has higher risk for caries:bulimia or Anorexia 39. Draining abscess from pdl what is it do you: I put untreated abscess 40. Tooth gets it’scolor from :dentin 41. Lease irritating irritant:silane 42. T-test: T test between two means✅Between 2 means..small sample size ..standard deviation unknown 43. MEN syndrome: thyroid carcinoma,Multiple neuroma 44. Which has more palatial grooves: Max lateral incisor 45. Strep mutants not found on non shedding surfaces 46. Pedunculated papilloma: HPV 47. Apthous ulcer due to: from the choices I found b12 deficiency acceptable 49. Emphysema intraorally(air in mucosa) what do you hear:crepitus sound on palpatation 50. Best tolerated occlusion with complete denture wearers:anatomical teeth with balanced occlusion 51. Geographic tongue loss of filliform 52. Indication of FGG and lateral positioned flap: increase width attatched gingiva Lateral ..cover single tooth root… Lateral pedicle- root coverage when single root denudition and adjacent tooth has adequate attach gingiva 53. Arrested caries what color:shiny brown at gingiva with recession 54. Case with patient having marginal deficiencies in restoration what do you give him for home: I put At home 5.5 fluoride varnish for decalcification 55. Furcation is a horizontal defect: grade 2! 56. Bonding will decrease with presence of sclerotic dentin 57. Acid etch remove inorganic,Smear layer 58. Post amalgam filling mainly sensitivity on cold 59. What type of anchorage you do for Diastema : Reciprocal anchorage 60. Rectanglur ortho wire used for Torque and finishing✅ 61. Cheek biting due to Decrease horizontal overlap 62. If carious lesion and you put a sealant what will happen to it? I put stay the same 63. Why use stent in removal of tori :to approximate the flap on bone and prevent hematoma 64. Serial extraction contraindicated in deep bite 65. initially for Anug treatment:gently debride,h2o2 mouthwash..If systemic abx. 66. Apex locator : It doesn’t tell about curvature and number of accessory canals 67 hiv except increase the risk of caries 2. Also study benzodiazepine interactions really well The FDA strongly reminds providers that extreme care should be taken when administering benzodiazepines with other central nervous system depressants such as alcohol, barbiturates, and opioids. The activated charcoal administration is contraindicated in benzodiazepine (BZ) ingestion toxicity/overdose BNZ interact with alcohol, narcotics ,barbiturates3. Endo diagnosis 4. Case of ossifying fibroma 5. Odontomas Compound tooth like 6. Hypertension pt main concern for taking meds is : sexual dystfunction 7. As you grow up ANB decresases 8. Mandibular crowding wait until :canine eruptipn or lower 5 eruption 9. Oral sleeping appliance : help gaining balanced oclussion 10. know differnece between cohorot study and cases study Cohort is time dependent, Case control is disease progression 11. Where in research paper is the study described Method✅ 12. Drug potent efficacy hydrolysis conjugation Efficacy max effect Potency dose to reach effect Hydrolysis phase 1 Conjugation phase 2 13. New drug causing adverse effect should report to :FDA 14. Sedation and diabetesInsulin dependant…don’t eat and half dose of insulin in iv sedation Day 2: 15. Antibiotic prophylaix: Infective endocarditis prosthetic heart valve Any congenital heart condition not treated16. I got 3 -4 cases on pt taking anti depressants And there interaction with epinephrine and benzodiazepines Will cause hypertension with epinephrine 17. Idiopathic osteosclerosis Radiopaque..tooth is vital a symptomatic 18. Eagle syndrome: Stylohyoid claficied elongated pain on swallowing and turning head 19. ASA patient classification GEMSTONE RQS 1. The incisal edges of the maxillary anterior teeth will be in line with , – Upper lip line when relaxed – Lower lip line when relaxed – Upper lip when stretched/smiling(not sure which word) – Lower lip when stretched.2. Frankels behaviour scale 2 qs.one was kid is very cooperative,good rapport….4 3. Next was kid is moderately cooperative, willing to listen.3 4. Cambra 2 qs., one was orthodontic..which rating Moderate✅5. Next was pt had caries in teeth number something.according to cambra whats the rating.2yrs 6. Which is not a cox inhibitor – Ibuprofen – Acetaminophen – Aspirin – Celecoxib 7. Most commonly seen with amalgam restoration – Sensitivity to cold – Galvanic shock 8. Ig G antibodies seen in between the spinous cells of – Pemphigus,pemphigoid and two more options 9. Cause of mucocele, – Severed or crushed minor salivary gland duct – Obstruction of minor salivary gland duct by sialolith – Obstruction of minor salivary duct by mucus plug 10. Highest affinity – Articaine,lidocaine,mepivacaine 11. Drug given as IV for ventricular arrythmia – Lidocaine, quinidine… 12. Most commonly used antidepressant moa – Inhibition of serotonin reuptake – Inhibition of NE reuptake 13. Nitrous oxide overdose or long term side effect.. – Hepatotoxicity – Vision loss – Neurological problems 14. Drug tolerance develops in which system – CVS,CNS,Immunoreticuloendothelial system 15. Enamel abrasion – Bleaching – Removal of enamel stains 16. Xerostomia in kids most commonly because of – Nocturnal breathing,… 17. An endo treated tooth is about to be internally bleached,where should the barrier be, – 1mm coronal to cej – At the level of cej – At the level of alveolar crest – Apical to gingival margin… -18. Osteogenesis imperfecta associated with – Dentinogenesis imperfecta – In the plasmaNemo 21 /21 Lateral periodontL cyst characteristic: Lateral pdl cyst rare ..common bt canine and premolar..pain on lateral percussion Nicotinic stomatitis; Nicotinia stomatitis inflamed minor glands due to smoking Red dots surrounded by whitish Papillary hyperplasia; Papillary hyperplasia hard palate due to ill fitting denture DD..type 1 radicular Type 2 coronal Has radiolucent.open apex,cysts. Ceot..posterior mandible related to ghost cell …radiopaque. Ossifying ostits from infected tooth Ostitis Buprion intraction; Ticlopidine And Clopidogrel, Carbamazepine, Phenobarbital, Phenytoin,moai and epi,Alcohol Maxilla mand relation; jaw relation when the mandible is kept in its most posterior position, it can rotate in the sagittal plane around an imaginary transverse axis passing through or near the condyles. This record gives the angulation of the maxilla in relation to the base of the skull. Facebow and third point which reference :orbitale made sense only Plaster index ;to keep facebow record Asthma in clinic women what 3 things to check Bp pulse resp Bp pulse albuterol Pulse albuterol resp AOT 2/3 anterior 2/3 female 2/3 maxilla, snowflakes, mostly impacted canine EROSIVE LICHEN PLANUS:LOSS of rete pegs inflammtory cells,Corticosteroids tt Painful Buccal mucosa All; Most common children bad prognosis ACUTE HERPETIC GINGIVOSTOMATITIS;2-5 years peak Tt with in 3 days acyclovir 15mg/kg After 3 day plalative ttwhat dec with age anb sna snb; ANB decrease and SNB increase with age What effect arch width – ectopic permenant , rotated teeth other options dont remember NALOXONE;opiod antagonist Flumazenil; antagonist for benzo Daughter power of attorney so will decide old rq; TRUE Son will translate or automated translator Old rq Max growth , btw cranium nd maxilla with in alveolar process Sub condtylar fracture where and which muscle will move Ant medial by lateral ptery Post ant Post lateral Lateral ant dont remember somethn like this Hyperpigmentation in which disease ; Adisson, McCune,Neurofibromatosis Hypothyroid; Cold intolerance, low blood pressure hypotension, seen it in Hashimoto Hyperthyroid; igh blood presure, increased heart rate, underveloped mandible, graves plummer exopthalmos Hypoaldosterone; Pituitary gland defect ! …adernal cortex doesn’t produce enough Addison disease ; Low cortisone Cushing; too much cortisone..moon facies Eagle syndrome same picstyloid Sclerotic dentine and edta whole process which is lost frst organic ingoranic Edeta remind in organic which is smear layer inorganic Naocl remind bacteria (organic) Fl release in which restorations Giomer Resin mirco nano hybrid Tuberosity reduction which technique wise; Distal wedge (horizontal) Sinus augmentation technique step wise;. we fill toward sinus Osha or some organization hep b patient ( HBV carrier are designed to allow the dental practitioner to continue practice, but, at the same time, give maximum protection to the patient) not allowed to practice can practice levels of hbe ag lower than 1000 hp b dna not found in blood can tell pts abt his hepb Primary diagnostic for periodontal disease is ? Mobilty probing depth cal gingivitis Turners tooth ;Infection to permanent due to trauma of primary Treatment for non perforating internal resorption; RCTXray for external resorption . From medial lateral view; RCT Cross elastics for posterior;upper lingual lower buccal 40 year old what surgery to correct post x bite surgical maxillary osteotomy Which Biopsy for papiloma <0.5cm; ExcIsional Median rhomboid glossitis pic but not in option only candiasis in option kissing lession, lack of tongue papilla Gingival hyperplasia from drugs happen when correct option or incorrect option After 3 months of using Implant best bone;mandibular anterior Implant best osteointegration;post mandible Lateral peridontal cyst twice features in detail ; Tooth vital ..bt canine pm..rare..lateral percussion Diastema treatmnt;Reciprocal anchorage Traumatic bone cyst features in detail;Pseudo cyst no epth lining fluid filled scalloped margins no tt Chondrosarcoma osteosarcoma age and sex feautures; Osteosarcoma young adult ..osteoid cancer ..sun burst 💥 on x ray ..paget disease can become osteosarcoma Chondrosarcoma typically affects adults between the age of 20 and 60 years old, and it is more common in men. The disease usually starts in the bones of the arms, legs or pelvis, but it can be found in any part of the body that contains cartilage Lethal dose of fl in adult all in points 0.9-1.2 or above 100 -200 except for one 20-50 mg Day 2 Pharma interactions of Antidepressants ; high blood pressure high heart rate HTN Asthma drugs; Albuterol, beta 2 agonist, theophylline corticosteroids, Bleaching; Office %35 h2o2 Home 10% carbAMIDE PEROXIDE Gemiation; cap stage ,one bud to two corwn Fusion; cap stage, two teeth fuse at crown Asthma;Wheezing inflammation of bronchial ..obstruction of bronchioles Prostho Rpd Crowns types in what conditionPts with Zillion disease; Zollinger-Ellison syndrome is a rare digestive disorder that results in too much gastric acid. This excess gastric acid can cause peptic ulcers in your stomach and intestine. Symptoms include abdominal pain, nausea, vomiting, weight loss, and diarrhea. If left untreated, there can be serious complications. The worst mouth u could imagine and find the treatments Xrays to smalls half images missing teeth with faults poke ur eyes out to see tiny details and correlate which archRQs June 27th, 21 MORNING 1. Patient Penicillin allergy indicated for prophylaxis: Clindamycin 600mg, but in the new AHA guidelines Clindamycin is no longer recommended, instead we should use cephalexin, azithromycin, clindamycin, or doxycycline if the patient is allergic to penicillin. 2. Frankl behavior scale, kid is very cooperative, good rapport: Frankl 4 3. Which is not a cox inhibitor ? Acetaminophen 4. Most seen with amalgam restoration: Sensitivity to cold 5. Cause of mucocele: Trauma and severance of a an accessory salivary excretory duct. 6. Drug given as IV for ventricular arrhythmia: Lidocaine 7. Most used antidepressant MOA = Inhibit SSRI (selective serotonin reuptake inhibitors) 8. Enamel micro abrasion: Removal of enamel stains9. Nitrous oxide overdose or long-term side effects: Peripheral neuropathy 10. Xerostomia in kids most commonly because of: Mouth breathing 11. Osteogenesis imperfecta associated with: Dentinogenesis imperfecta Type 1 12. Hyperpigmentation in which disease: Addison disease 13. Which Biopsy for papilloma <0.5cm = Excisional 14. Implant best bone: Mandibular anterior 15. Implant best osseointegration: Posterior mandibular 16. Implant worst place: Posterior maxillary 17. Most common tooth lost due to periodontal problem: Maxillary 1st molar 18. Rate limiting step in tooth eruption: Alveolar bone resorption 19. Picture of a cast with RPD and asked where the fulcrum line passes through which two teeth: Between 5 and 15. Remember: Fulcrum line is with two most distal teeth 20. Which inhibits the binding of iodine to thyroxine: Propylthiouracil 21. What should not do with porcelain veneers: Should not etch enamel with hydrofluoric acid 22. What cement with porcelain: Resin 23. Biologic width: 2mm 24. Gracey curette features = • Rounded back and toe • One working cutting edge per working end • Lower cutting edge is the working cutting edge 25. After curing composite a sticky white layer =Oxygen forms a layer. 26. Other than fluoride release, what is the advantage of GIC: Aesthetics and ionic bond 27. Taurodontism which stage ? Morphodifferentiation 28. What is the optimum value of fluoride = 0.7 ppm 29. Biotransformation happen = Liver 30. La calculation 2% lido in 5cc. (5 ml) 1:100000 epi. How much lido and epi? Lidocaine: 100 mg Epinephrine: 0.05mg 31. What is last thing to feel after local anesthesia gone? Soft tissue 32. Which fixed prosthetic material is exothermic: PMMA (polymethyl methacrylate) 33. Radio calculation. Exposure 10ma in 1 sec. if u want the same density in 0.5 sec, then how much exposure 20 mA 34. FPD does not seat on the teeth, but seats on the die. Why? Improper impression 35. Drug A can achieve maximum effect in 5mg.drug B does the same in 100mg. Drug A is = More potent than drug B 36. What most likely causes oral cancer = Smoking or alcohol (given answer) 37. Absolute neutrophil count when u should not do any procedure in a pediatric Pt = ANC <1000/mm3 38. Which is X-radiation? A high-energy radiation produced by the collision of a beam of electrons with a metal target in an xray tube. CBCT (Cone-beam computed tomography) 39. What blanches? Hemangioma 40. What causes ledge formation? Large files 41. Why do u do straight line access?To prevent instrument separation. 42. 92 years old pt. before getting informed consent, what is the first thing a dentist should do? Make sure he can give consent or needs someone to give consent 43. IAN block, needle went to parotid. U did too far: Posterior and lateral 44. Non-working movement which muscle? Lateral pterygoid 45. Infection goes to mediastinum from which space? Retropharyngeal 46. Lupus: Butterfly rash 47. Bifid spine, OKC: 48. To decrease value: Add complementary color 49. Steam sterilization Autoclave 121 C (250 F), 15 PSI, 15-20 mins Geobacillus stearothermophilus 50. CHX = Highest substantivity 51. Sequence of liner, etch, bonding, composite: Liner – etch – bond – composite 52. Medically compromised child what mouth wash = CHX mouthrinse 53. Nitrous and oxygen, nausea. what to do = Administer oxygen 54. Congenital condition that affects the lower jaw and palate, Cleft palate, Severe underdevelopment of the lower jaw tongue falls back in the throat and difficulty breathing. It is present at birth: Pierre Robin Syndrome 55. A polyposis syndrome inherited in a dominant manner. The most serious complication of is multiple (thousands) of POLYPS that affect the large intestine, duodenum, colon, and stomach Gardner Syndrome 56. Recurrent ranula treatment: Excision 57. NITI:Continuous force 58. Metal beaten appearance skull, autosomal dominant disorder: Copper beaten skull. Crouzon syndrome. 59. Multiple myeloma first sign: Infiltration of the bone by the plasma cells and the activation of osteoclasts, resulting in bone resorption, pathological fractures, and bone pain. 60. Fetal alcohol all except: • Growth deficits: Microcephaly, underweight at birth, short in length. • Characterisitc facial features: narrow eyes (small palpebral fissures) with epicentral folds, short nose with a turned-up end, and thin upper lip with an indistinct flat philtrum area. • Neurodevelopmental problems: mild to moderate mental deficiency (lower IQ), attention deficit and hyperactivity disorders, learning disabilities, language impairment, poor coordination, poor judgment, behavior problems, and poor social skills. • Other problems include: seizure disorders, eye disorders, hearing loss, congenital heart defects, and an increased risk for certain cancers. • Oral characteristics: Cleft lip and palate, increased rate of caries and periodontal disease EXCEPT: Distinct philtrum 61. IAN accessory nerve = Milohyoid nerve 62. KVP: Ability for the beam to penetrate tissues, energy 63. How to lower penumbra? Having a small focal spot area, decrease object film distance, and increase source object distance. 64. Pregnant patient left side, why = To avoid compression of inferior vena cava 65. Pregnant patient: Left side, right hip up 66. Contraindicated in Pregnancy: Tetracycline 67. Vertical root fracture associated with = Isolated deep pocket 68. Amalgam, which ion causes sensitivity? Zinc 69. Amalgam, most common reason for fracture at isthmus: Inadequate cavity preparation, inadequate depth. 70. Why bevel margin of class 3 composite: Esthetic71. Difference between onlay ceramic and onlay gold: Internal line angle 72. Why carbidopa is given with levodopa? Prevents breakdown of levodopa before it crosses the blood brain barrie 73. Study to test the efficacy of 2 mouth wash. what study? Randomized controlled trials or systemic reviews 74. Lymphoepithelial cyst Picture 75. AOT Picture 76. Odontoma Picture 77. Antral pseudocyst Picture 78. Bad impression Picture what to do? Redo 79. Most retentive post: Parallel serrated 80. Major component of feldspathic: Silica 81. What is the weakest porcelain? Feldesphatic 82. Hypersensitivity after composite: Polimerization shrinkage 83. Cryer: Lower mand remains roots 84. Papoose using: Uncooperative kids 85. Main reason for maintenance phase in 3-4 months: Prevent recurrence 86. Which is effective against gram negative and parasite: Metronidazole 87. Sialolith: Wharton submandibular 88. Gingival enlargement, Which drug? Phenytoin, cyclosporine, calcium channel blockers. 89. Hyperbaric O2: ORNJ (Osteoradionecrosis of the jaws)90. IV bisphosphonates MOA: Decrease osteoclasts 91. X-Ray of endodontic sealer around root 92. X-ray of antra pseudo cyst. 93. Need to do long bridge prosthesis, where is the stub/pier abutment would be placed: A. Most distal to posterior teeth B. Most mesial to anterior teeth C. Cannot remember the others. Sorry 94. Prevalence: Looks all current cases. # of existing cases/ total # of people 95. Pt has eye muscle damaged and Left nose affected, which part of max sinus: Upper medial 96. Distance between implant and adjacent tooth: 1.5 mm 97. 40 years of study shows which is associated with periodontal disease: Smoking 98. Cleidocranial dysplasia: Absence of clavicle, supernumerary teeth 99. Incidence calculation: # of new cases/ # people at risk 100. Mean calculation: Sum / N (30/10) 101. Chamfer margin which bur: Round taper 102. Epinephrine is contraindicated in: Uncontrolled hypertension, diabetes, hyperthyroidism 103. OARS = Open ended question, Affirmation, Reflective learning, Summary 104. Which material curette used for implants: Plastic or teflon 105. Exception from all the antibiotic whose MOA on cell wall inhibition: AzithromycineEVENING 108. Patient who has quit alcoholism recently has undergone extraction of all third molars. which analgesics would you give? Ibuprofen 109. Two drugs A and B, some amount of Drug A given with small amount of Drug B increases it efficacy, Same amount of Drug A given with higher amount of Drug B decreases it results: Partial agonist 110. Which has best prognosis? A. Perio from endo B. Endo from perio 111. Cyst <0.5cm: Excisional 112. Least cytotoxic for Root end closure: MTA 113. Demineralized tooth surface A. Will result in cavitation in 1 year. B. Will result in cavitation in 2 years. C. Unredectable prognosis if untreated. D. Answer not given 114. Open apex, not vital: Apexification 115. Which makes Post and core stronger? Amount of coronal tooth remaining116. Pear shaped bur: 330 117. Granular cell tumor: Tumor 118. How long do you etch? 15 – 20 secs 119. Gold crown is not seating in patient mouth, places well on the cast: Check proximal contact. 120. Condyloma accuminatum HPV 121. Lip paresthesia: Malignancy 122. Primary supporting structure in mandible: Buccal shelf and retromolar pad 123. Emergence profile: 2 – 3 mm from CEJ 124. Direct and indirect composite: MAIN DIFFERENCES 125. Why amoxicillin is the best AB? It has broad spectrum 126. Antibiotic prophylaxis: To prevent infective endocarditis 127. Fear of choking: Pseudodisphagia Another File 1. How macula looks? A. Flat and diffuse B. Raised and diffuse C. Flat and defined D. Raised and defined 2. Mechanism of fluoride A. Decrease HA availability B. Increase HA availability C. Decrease Calcium phosphate dissolution D. Increase Calcium phosphate dissolution 3. Drug diversion:Drug diversion is a medical and legal concept involving the transfer of any legally prescribed controlled substance from the individual for whom it was prescribed to another person for any illicit use. 4. HIV cells A. T cells B. B cells C. Plasma cells 5. NaF varnish is better A. Neutral ph and high fluoride ion concentration B. Neutral ph and high bioavailability C. Substantivity and high ionic concentration 6. Red orange complex in irrigation: Red orange complex formed due to mixing CHX and hypochlorite 7. What is the Main principle of access opening A. Preservation of tooth structure B. Straight line access C. Removal of all caries and restoration 8. All about dry socket is true except A. Fibrinolysis of clot B. More chances in smoking C. Increases due to contraception D. It’s easy to find a cause for dry socket 9. All is seen in La toxicity except A. Headache B. Nystagmus C. Slurred speech D. Confusion 10. All is true about HPV except A. Vaccine works mainly against cancer causing virus B. Association with squamous cell carcinoma C. Basal cell is involved in the cancer caused by how 11. Worst for implant A. Osteopenia B. Ostepetrosis 12. Muscle responsible for changing shape of vestibule on blowing air A. Masseter B. Orbicularis Iris C. Buccinator 13. Which space infection cause swelling A. Infection in canine B. PterygomandibularC. Retropharyngeal 14. Drainage from lower molar, space infection A. Sublingual B. Vestibular C. Infratemporal D. Maxillary sinus 15. Maxillary sinus closest to A. Upper 1st molar B. Upper 2nd molar 16. 8 years old has one central fully erupted and other is not seen clinically, reason A. Agenesia B. Habit C. Mesiodens 17. Rest feature A. Inclined to centre B. 2.5 mm width C. More than half the BL width 18. Box preparation for DO in a patient with attrited teeth A. Should involve all the fissures of the tooth B. Should have retentive grooves in the occlusal outline C. Conventional is more conservative than box preparation 19. Mandibular molar Crown broken at furcation while extraction A. Split the root without raising flap B. Use rongeur to extraction C. Raise flap with lingual releasing 20. Target HB1ac of diabetic should be: Less than 6.5 21. First thing to do after alginate impression for disinfection A. Wash with water B. Hypochlorite 22. Assistant can do what A. Primary alginate impression B. Fill and approve final lab form for crown fabrication C. Final impression 23. Which study gives temporal relation of exposure and disease A. Case control B. Cohort C. Rct 24. A tooth had high frenum attachment, and bit recession, asked what can cause recession except A. Tooth brush traumaB. Frenum attachment C. Lack of attach gingiva D. Gingivitis 25. Osteoinducive nature of DFBDA except A. BMP B. Platelet drived factor C. Interlukine 1 D. Tumour growth factor 26. Successful graft should A. End on heathy bone than the spaces B. Have tension 27. On mouth opening , left condyle jumps to right when 30 mm open, cause A. Left condyle cant translate B. Left condyle can’t rotate C. Right Condyle can’t translate D. Right condyle can’t rotate 28. Condyle moves in right Disc displacement? 29. Child has canine class 3, open bite, all r causes except A. Pacifier B. Digit habit C. Mouth breathing D. Geneticskyrra INBDE 25th June For part 1, I got Multiple questions on nerve supply of tongue 1. How macula looksa. flat and diffuse b. raised and diffuse C. Flat and defined D. Raised and defined ans c 2. Mechanism of fluoride a. Decrease HA availability b. Increase HA availability C. Decrease Calcium phosphate dissolution d. Increase Calcium phosphate dissolution ans c source- dentin- fluoride in small amount causes remineralisation of enamel. it decreases the solubility of hydroxy-ap and increase crystal size. 3. Drug diversion 4. HIV cells a T cells b. B cells C. Plasma cells ans 5. NaF varnish is better A. Neural ph and high fluoride ion concentration b. Neural ph and high bioavailability C. Substantiavity and high ionic concentrion Ans- A 6 Red orange complex in irrigation 7. What is the Main principle of access opening a. Preservation of tooth structure b. Straight line access c. Removal of all caries and restoration 8. All about dry socket r true except A. Fibrinolysis of clot B. More chances in smoking C. Increases due to contraception D. It’s easy to find a cause for dry socket 9. All r Sean in La toxicity except a. Headache b. Nystagmus c. Slurred speech d. Confusion 10. All r true about HPV except a. Vaccine works mainly against cancer causing virus b. Assosciation with squamous cell carcinoma c. Basal cell is involved in the cancer caused by how11. Worst for implant a. Osteopenia b. Ostepetrosis 12. Muscle responsible for changing shape of vestibule on blowing air a. Masseter b. Orbicularis Iris C. Buccinator 13. Which space infection cause swelling – Infection in canine – pterygomandibular – retropharyngeal 14. Drainage from lower molar, space infection – sublingual – vestibular – infratemporal – maxillary sinus 15. Maxillary sinus closest to – upper 1st molar – upper 2nd molar 16. 8 years old has one central fully erupted and other is not seen clinically, reason – agenesis – habit – mesioden 17. Rest feature – inclined to centre -2.5 mm width – more than half the BL width 18. Box preparation for DO in a patient with attrited teeth – should involve all the fissures of the tooth – should have retentive grooves in the occlusal outline – conventional is more conservative than box preparation 19. Mandibular molar Crown broken at furcation while extraction – split the root without raising flap – use rongeur to extraction – raise flap with lingual releasing 20. Target HB1ac of diabetic should be 21. First thing to do after alginate impression for disinfection – wash with water – hypochlorite 22. Assistant can do what – primary alginate impression – fill and approve final lab form for crown fabrication – final impression 23. Which study gives temporal relation of exposure and disease – case control – cohort- Rct 24. A tooth had high frenal attachment, and bit recession, asked what can cause recession except – tooth brush trauma – frenum attachment – lack of attach gingiva – gingivitis 25. Osteoinducive nature of DFBDA except 1. BMP 2. Platelet drived factor 3. Interlukine 1 4 Tumour growth factor 26. Successful graft should – end on heathy bone than the spaces – have tension 27. On mouth opening , left codyle jumps to right when 30 mm open, cause 1. Left condyle cant translate 2. Left condyle can’t rotate 3. Right Condyle can’t translate 4. Right condyle can’t rotate 28. Condyle moves in right – disc displacement 29. Child has canine class 3, open bite, all r causes except 1 pacifier 2. Digit habit 3. Mouth breathing 4. Genetics 30. High Mandbular angle – open bite – deep bite ans- bilateral balanced 31. Difference in nature and artificial occlusion PINNED – force reduces by 8 times in denture – force reduces by 5 times ITS 1/5TH TO ⅙ -DD – muscle force increase artificial- balanced natural- group function 32. Desired occlusion in upper CD and lower partial denture BALANCED OCCLUSION IN POSTERIOR AND CENTRIC IN ANTERIOR 33. Direction of movement when mandible move from centric occlusion to maximum inter isolation – downward and anterior- ANS – downward and superior – upward and superior – upward and anterior 34. Subcondylar fracture cause movement of condyle in which direction – medial- ANS – anterior – lateral – posterior 35. How many years we have to keep patient record – depends on state to state rule -ANS – forever – 5 years – discard after patient treatment is over 7 YEARS- FULCRUM 36. Most resistant bacterial – biofilm- ANS – flagella – prokaryotic 37. Clindamycin causes pseudomonas , cause – c. Difficile – ANS – S. Aureus – S. Mutans38. Patient got stomach upset and cramps due to clindamycin – give probiotics -ANS – change the drug and complete the course – leave the course there itself without completing 40. Which in not used for antibiotic prophylaxis – amox 2gm oral – caphazolin 1gm I.v – clindamycin 300mg 41. 44lb child need prophylaxis, dosage of clindamycin – 400mg -500mg – 100 mg 42. Patient taking inhaler for asthma, has white patch on palate, can be wiped off, what to tell patient – eat before using inhaler – rinse after inhaler use – ANS – biopsy 43. Patient had tipped lateral on central with a red lesion , bleeds mildly, got removed 6 months back, reoccurred, so dentist got biopsy done Shows acantosis, few mitotic 1 pyogenic granuloma- ANS 2. Irritation fibroma 3. Squamous cell carcinoma 44. Diabetic patient, got weakness and tired and dizziness after 2 hour appointment of endodotics – syncope – hypoglycaemia- ANS – shock 45. Immediately after Aspiration of crown will cause all except 1. Violent effort for respiration 2 cyanosis 3. slow pulse ANS 46. Adult Dose of acetaminophen – 4000MG/DAY (DENTIN) 47. 4 year baby has periapical and extra oral swelling in A Limited mouth opening Best X ray – IOPA – -OPG – ANS – CBCT48. Dentist is doubtful about safety installation of new laser, whom will he contact – CDC -OSHA – FDA- ANS -EPA 48. Best way to protect patients and other staff – hand hygiene – PPE usage – air evacuation MAYBE B 49. KOPLlK SPOT spot SEEN IN MEASLES MULTIPLE WHITE LESION ON BUCCAL MUCOSA . CAUSED BY RUBEOLA(PARAMYXOVIRUS) . 50. Patient suspected of contagious lesion, what not to do – treat -ANS – tell them it to go to public places – don’t disclose to concern authority, until the test result comes ALWAYS TREAT IN EMERGENCY . 51. Old patient came with daughter and son in law, has bruises on hand – talk to him in person alone -ANS – ignore – report 52. Patient got trauma and has bluish content PINNED – colour is because mucoid content in the lesion reflect only blue colour – because fibres in the lesion reflect only blue colour 53. Patient got hit by basketball, you took consent, what to check after that – physical – neurological – intraoral ASK PATIENT IF HE HAD ANY HEAD INJURY 54. Patient is not rich and has issue with payment, you agreed to give a payment plan so they can get benefit from insurance in next cycle, which principal violated – VERACITY (TRUTHFULNESS) – ANS 55. Patient has financial constrain, final treatment plan will depend on – medical status – ANS – payment 56. HiV what to follow – universal precaution -ANS – double gloves – tell staff to be extra causcious 57. Similar situations asked for hepatitis C- FOLLOW UNIVERSAL PRECAUTION 58. Patient BP 180/100 What will you do next – treat – call EMS – refer to physician- ANS – take BP again after 5 mins 59. 18 years old Patient having ideal teeth, doing modelling since 11 years age Her parents wants you to do veneer, because her tooth look dull You had analyses that, they are so adamant that if you won’t doc they will get it done by another dentist – inform the patient there is no need, explain the risk, and if they still insist do veneer -ANS – inform there is no need, and decline the request and give option of bleaching 60. Patient has pain in Rct treated teeth and filled with silver point What is the higher possibility – presence of lateral canal, that was missed -ANS – root fracture 61. Alveolar bone fracture in a traumatic injury, splinting time – 4 WEEKS – ANS 62. Patient has decrease salivation recently due to medication usage, and got 3 new caries, when to call him next- 3 months -6 months -9 months -12 months 63. Acc to AAPD, home should be introduced at what age – 6 month – 1 year -18 month – not more than 24 months 64. Crown not sitting in tooth, all except PINNED – voids in die – left out temporary cement – insufficient occlusal reduction 65. Most underprepared area in veneer PINNED – incisal – gingival – gingival bevel – incisal edge67. Ideal finish line – 1 mm above gingiva -1 mm below – at gingival margin 68. Cause of opage crown except – insufficient reduction – thick metal -thick opaque – wrong shade of opaque 69. Gingival tissue management is by all except – electrosurgery – laser – retraction cord – retainer and wedge 70. All are phases of zirconia except – pyramidal – cubic – pollycrystalline 71. Max affected gene- 21 72. A recently adopted child has geographic tongue with swelling, cause – malnutrition – allergy to toothpaste contentVitamin deficiencies: People who don’t have enough zinc, iron, folic acid and vitamins B6 and B12 are more likely to have geographic tongue. Fissured tongue: Doctors think there might be a genetic link between geographic tongue and fissured tongue, a condition that causes deep grooves or wrinkles on the tongue 73. Agent in toothpaste for Root sensitivity – potassium nitrate 74. Collapse of collagen will be caused by- over drying – heat 75. Freshly done and polished class 5 GIC show crack, what is the cause – light shrinkage – self cure shrinkage – dehydration – traumatic polishing 75. Intraoral piercing can cause all except – decrease chance of infection -recession – tooth fracture 76. What is a community level program 1. Free bleaching campaign 2. Advertisement 3. Fluoride application in school community 77. 50 years got caries, all cause except – change in oral hygiene – shift to a non fluoridated area – medication 78. 3 unit loose FPD with 2 implants – remove bridge and inspect individual implant – place a new bridge – correct occlusion 79. All are modified to increase retention of post except pinned – post length – post width – resin cement – surface roughness of post 80. Young Patient has lesion on Buccal mucosa 81. Extra oral and intraoral lesion only on right side – shingles 82. Cavernous sinus thrombosis sign that’s makes the diagnosis more confirmatory – fever – lymphadenopathy – restricted eye movement The diagnosis of cavernous sinus thrombosis is made clinically, with imaging studies to confirm the clinical impression. Proptosis, ptosis, chemosis, and cranial nerve palsy beginning in one eye and progressing to the other eye establish the diagnosis.Cavernous sinus thrombosis is a clinical diagnosis with laboratory tests and imaging studies confirming the clinical impression 83. An non English speaking patient comes with her daughter who speaks English she says my mother has tooth pain and she feels evil spirit is causing it – use translator- can trust daughter for translation 84. For translation – use certified on phone translator – use mobile application to make person understand translation 85. Shade needs more curing – A1 – B2 – C1 – C4 86. Patient accepted crown on chair and comes back after a week saying at hone she didn’t like the crown, reason – lookin at crown for more than 5 sec – fatigue eyes – metamerism 87. Block Graft from Ramus area get blood supply from where – recepient underlying vasculature 88. Brown teeth, with obliterated pulp – dentin dysplasia / DENTINOGENESIS IMPERFECTA 89. Amelogenesis imprefecta is linked to x or y -X LINKED 90. A delta pain – sharp – aching – Dull – throbbing 91. Fracture involving dentine -1 -3 -4 -2 92. Ketone bodies are formed due to lack of – glucose – amino acid – protein 93. Mechanism of action of proponalol NON SELECTIVE b BLOCKER 94. Action of lisinopril – Inhibit angiotensin 1 to angiotensin 2 – ACE INHIBITOR 95. What’s the action of lisinopril( no hypertension in option) – smooth muscle relaxation – diuretic 96. How calcium channel blockers work 97. Ion responsible for La action 1. Sodium 2. Calcium 3. Pottasium 98. Patient has soft liner placed on denture and doesn’t remove denture at night since years, what to do first – biopsy -reline – give home care 99. white spots lesion on multiole tooth with adequate salivary flow – observe – fluoride – xylitol 100. Patient drink sweeting soda drink, upto what time his pH will be lo -10-15 mins -15-20 mins -20-25 mins -25-30 mins 101. Ph at what demineralization starts -5.5102. Emergency management of cusp fracture with pupal involvement – crown – pulpectomy – pulpotomy 103. Why in new guidelines, ada said AB prophylaxis is not needed for joint replacement – NOT USEFUL 104. O in PICO – OUTCOME 105. Intervention can be done in which type of study PINNED – cohort – case control – RCT 106. OSHA doesn’t include – HIV – herpes – hepatitis – malaria 107. Disinfectant should- kill Tuberculosis bacteria 108. Spore test – to check autoclave efficiency – to keep record of sterilization 109. Patient has colorectal polyp, which test to ask for – CBC – INR -OPG 110. Anaphylaxis involves IgE IgG IgM IgA 111. Got CBCT for parasymphysial fracture 112. What to look for if patient has multiple osteomas – INTESTINAL POLYP 113. INr for surgery 2.5 IMPLANT 3 – SURGERY 114. Warfarin above 4.5, what to do – REFER TO PHYSIAN 115. Patient taking aspirin 81 mg and clopidogrel, excess bleeding is seen at time of extraction – use pressure with gauge – use bone wax 116. Patient had chest pain, you gave nitroglycerin and patient didn’t respond, what to do next – give oxygen – give aspirin 325 mg – call ems DO b then c 117. Fentanyl which 80-100 times more potent than-morphine -tramadol -codeine 118. Mild to moderate pain in dentistry – NSAID, acetaminophen – antibiotics – opioids 119. SSRI with benzodiazepines – In practice, combining a benzodiazepine with an SSRI can offer the patient the following benefits: (1) more rapid control of anxiety, (2) reduction of SSRI-induced anxiety or agitation that can occur early in the course of therapy, (3) improved adherence to antidepressant therapy, and (4) improved control of episodic 120. DM2 – alpha cells defective – B cells defective – insulin resistance 121. Failed Endo bacteria – enterococcus faecalis 122. Endo treated teeth got pain again after 10 years, next – retreat non surgically – extract 123. Tooth didn’t get illumination, isolated pocket on medial and distal side – cusp fracture – root fracture 124. Lesion on oral mucosa, skin, dried blood on lips – erythema multiforme – herpes – apthous 125. Young pregnant patient, occasional drinker, good hygiene – do nothing – perform oral prophylaxis – educate her about fetal alcohol syndrome 126. Difference between condenstising osetitis and sclerosing 127. Patient with I’ll fitting denture has sore mouth Has erythematous tissue and edematous tissue – denture stomatitis – Epulis fissuratum 128. Caries causing bacteria 129. Smooth surface caries least likely to occur 1. Lingual 2. Occlusal 3. Buccal 4 proximal 130. Use of indirect retainer 131. A patients says, I have just one caries since many year, and I m here for the 2nd opinion as the dentist I visit says I have 6 caries and need fillingDentist checks and find only 1 caries lesion – explain him there can be differences in the diagnosis – inform him he can complaint to insurance company – inform him can can show his grievance to some social thing, don’t know what 132. An 82 years old patient says I m healthy and I have no issues with my mouth, I am still here just for a checkup Doctor finds multiple caries and very bad hygiene, what should he do – show her her status and make her know it’s bad – formulate his treatment plan and proceed – refer to geriatric specialist 133. Only Pontic that can be used in posterior, if used in anterior cause speech defect and looks unpleasant – saddle – modified ridge lap – sanitary – Ovate 134. Connector size of zirconia -3*3 -4*4 -9*9 135. Affect contrast in all except -kvp -distance – sensor – mA 136. Advantage of digital X-ray to conventional except – no hassle of processing – no processing error – sensor easy to use than film 137. Complication of internal bleaching – replacement resorption – external cervical resorption 138. Non vital tooth therapy except – pulpectomy – pulpotomy – direct pulp capping 139. Why we do bevelling of tooth for composite restoration except – to make it more aesthetic – to increase surface area – to expose enamel rods 140. Patient gave BNZ to addict, which principle he didn’t follow – negligence – justice -non Meleficence – beneficiancekyrra INBDE 25th June For part 1, I got Multiple questions on nerve supply of tongue 1. How macula looksa. flat and diffuse b. raised and diffuse C. Flat and defined D. Raised and defined ans c 2. Mechanism of fluoride a. Decrease HA availability b. Increase HA availability C. Decrease Calcium phosphate dissolution d. Increase Calcium phosphate dissolution ans c source- dentin- fluoride in small amount causes remineralisation of enamel. it decreases the solubility of hydroxy-ap and increase crystal size. 3. Drug diversion 4. HIV cells a T cells b. B cells C. Plasma cells ans 5. NaF varnish is better A. Neural ph and high fluoride ion concentration b. Neural ph and high bioavailability C. Substantiavity and high ionic concentrion Ans- A 6 Red orange complex Formed due to mixing chlorhexidine and hypochlorite 7. What is the Main principle of access opening a. Preservation of tooth structure b. Straight line access c. Removal of all caries and restoration 8. All about dry socket r true except A. Fibrinolysis of clot B. More chances in smoking C. Increases due to contraception D. It’s easy to find a cause for dry socket 9. All r Sean in La toxicity except a. Headache b. Nystagmus c. Slurred speech d. Confusion 10. All r true about HPV except a. Vaccine works mainly against cancer causing virus b. Assosciation with squamous cell carcinoma c. Basal cell is involved in the cancer caused by how11. Worst for implant a. Osteopenia b. Ostepetrosis 12. Muscle responsible for changing shape of vestibule on blowing air a. Masseter b. Orbicularis Iris C. Buccinator 13. Which space infection cause swelling – Infection in canine – pterygomandibular – retropharyngeal 14. Drainage from lower molar, space infection – sublingual – vestibular – infratemporal – maxillary sinus 15. Maxillary sinus closest to – upper 1st molar – upper 2nd molar 16. 8 years old has one central fully erupted and other is not seen clinically, reason – agenesis – habit – mesioden 17. Rest feature – inclined to centre -2.5 mm width – more than half the BL width 18. Box preparation for DO in a patient with attrited teeth – should involve all the fissures of the tooth – should have retentive grooves in the occlusal outline – conventional is more conservative than box preparation 19. Mandibular molar Crown broken at furcation while extraction – split the root without raising flap – use rongeur to extraction – raise flap with lingual releasing 20. Target HB1ac of diabetic should be Less than 6.7 21. First thing to do after alginate impression for disinfection – wash with water – hypochlorite 22. Assistant can do what – primary alginate impression – fill and approve final lab form for crown fabrication – final impression 23. Which study gives temporal relation of exposure and disease- case control – cohort – Rct 24. A tooth had high frenal attachment, and bit recession, asked what can cause recession except – tooth brush trauma – frenum attachment – lack of attach gingiva – gingivitis 25. Osteoinducive nature of DFBDA except 1. BMP 2. Platelet drived factor 3. Interlukine 1 4 Tumour growth factor 26. Successful graft should – end on heathy bone than the spaces – have tension 27. On mouth opening , left codyle jumps to right when 30 mm open, cause 1. Left condyle cant translate 2. Left condyle can’t rotate 3. Right Condyle can’t translate 4. Right condyle can’t rotate 28. Condyle moves in right – disc displacement 29. Child has canine class 3, open bite, all r causes except 1 pacifier 2. Digit habit 3. Mouth breathing 4. Genetics 30. High Mandbular angle – open bite – deep bite ans- bilateral balanced 31. Difference in nature and artificial occlusion PINNED – force reduces by 8 times in denture – force reduces by 5 times ITS 1/5TH TO ⅙ -DD – muscle force increase artificial- balanced natural- group function 32. Desired occlusion in upper CD and lower partial denture BALANCED OCCLUSION IN POSTERIOR AND CENTRIC IN ANTERIOR 33. Direction of movement when mandible move from centric occlusion to maximum inter isolation – downward and anterior- ANS – downward and superior – upward and superior – upward and anterior 34. Subcondylar fracture cause movement of condyle in which direction – medial- ANS – anterior – lateral – posterior 35. How many years we have to keep patient record – depends on state to state rule -ANS – forever – 5 years – discard after patient treatment is over 7 YEARS- FULCRUM 36. Most resistant bacterial – biofilm- ANS – flagella – prokaryotic 37. Clindamycin causes pseudomonas , cause – c. Difficile – ANS – S. Aureus – S. Mutans38. Patient got stomach upset and cramps due to clindamycin – give probiotics -ANS – change the drug and complete the course – leave the course there itself without completing 40. Which in not used for antibiotic prophylaxis – amox 2gm oral – caphazolin 1gm I.v – clindamycin 300mg 41. 44lb child need prophylaxis, dosage of clindamycin – 400mg -500mg – 100 mg 42. Patient taking inhaler for asthma, has white patch on palate, can be wiped off, what to tell patient – eat before using inhaler – rinse after inhaler use – ANS – biopsy 43. Patient had tipped lateral on central with a red lesion , bleeds mildly, got removed 6 months back, reoccurred, so dentist got biopsy done Shows acantosis, few mitotic 1 pyogenic granuloma- ANS 2. Irritation fibroma 3. Squamous cell carcinoma 44. Diabetic patient, got weakness and tired and dizziness after 2 hour appointment of endodotics – syncope – hypoglycaemia- ANS – shock 45. Immediately after Aspiration of crown will cause all except 1. Violent effort for respiration 2 cyanosis 3. slow pulse ANS 46. Adult Dose of acetaminophen – 4000MG/DAY (DENTIN) 47. 4 year baby has periapical and extra oral swelling in A Limited mouth opening Best X ray – IOPA – -OPG – ANS – CBCT48. Dentist is doubtful about safety installation of new laser, whom will he contact – CDC -OSHA – FDA- ANS -EPA 48. Best way to protect patients and other staff – hand hygiene – PPE usage – air evacuation MAYBE B 49. KOPLlK SPOT spot SEEN IN MEASLES MULTIPLE WHITE LESION ON BUCCAL MUCOSA . CAUSED BY RUBEOLA(PARAMYXOVIRUS) . 50. Patient suspected of contagious lesion, what not to do – treat -ANS – tell them it to go to public places – don’t disclose to concern authority, until the test result comes ALWAYS TREAT IN EMERGENCY . 51. Old patient came with daughter and son in law, has bruises on hand – talk to him in person alone -ANS – ignore – report 52. Patient got trauma and has bluish content PINNED – colour is because mucoid content in the lesion reflect only blue colour – because fibres in the lesion reflect only blue colour 53. Patient got hit by basketball, you took consent, what to check after that – physical – neurological – intraoral ASK PATIENT IF HE HAD ANY HEAD INJURY 54. Patient is not rich and has issue with payment, you agreed to give a payment plan so they can get benefit from insurance in next cycle, which principal violated – VERACITY (TRUTHFULNESS) – ANS 55. Patient has financial constrain, final treatment plan will depend on – medical status – ANS – payment 56. HiV what to follow – universal precaution -ANS – double gloves – tell staff to be extra causcious 57. Similar situations asked for hepatitis C- FOLLOW UNIVERSAL PRECAUTION 58. Patient BP 180/100 What will you do next – treat – call EMS – refer to physician- ANS – take BP again after 5 mins 59. 18 years old Patient having ideal teeth, doing modelling since 11 years age Her parents wants you to do veneer, because her tooth look dull You had analyses that, they are so adamant that if you won’t doc they will get it done by another dentist – inform the patient there is no need, explain the risk, and if they still insist do veneer -ANS – inform there is no need, and decline the request and give option of bleaching 60. Patient has pain in Rct treated teeth and filled with silver point What is the higher possibility – presence of lateral canal, that was missed -ANS – root fracture 61. Alveolar bone fracture in a traumatic injury, splinting time – 4 WEEKS – ANS 62. Patient has decrease salivation recently due to medication usage, and got 3 new caries, when to call him next- 3 months -6 months -9 months -12 months 63. Acc to AAPD, home should be introduced at what age – 6 month – 1 year -18 month – not more than 24 months 64. Crown not sitting in tooth, all except PINNED – voids in die – left out temporary cement – insufficient occlusal reduction 65. Most underprepared area in veneer PINNED – incisal – gingival – gingival bevel – incisal edge67. Ideal finish line – 1 mm above gingiva -1 mm below – at gingival margin 68. Cause of opage crown except – insufficient reduction – thick metal -thick opaque – wrong shade of opaque 69. Gingival tissue management is by all except – electrosurgery – laser – retraction cord – retainer and wedge 70. All are phases of zirconia except – pyramidal – cubic – pollycrystalline 71. Max affected gene- 21 72. A recently adopted child has geographic tongue with swelling, cause – malnutrition – allergy to toothpaste contentVitamin deficiencies: People who don’t have enough zinc, iron, folic acid and vitamins B6 and B12 are more likely to have geographic tongue. Fissured tongue: Doctors think there might be a genetic link between geographic tongue and fissured tongue, a condition that causes deep grooves or wrinkles on the tongue 73. Agent in toothpaste for Root sensitivity – potassium nitrate 74. Collapse of collagen will be caused by- over drying – heat 75. Freshly done and polished class 5 GIC show crack, what is the cause – light shrinkage – self cure shrinkage – dehydration – traumatic polishing 75. Intraoral piercing can cause all except – decrease chance of infection -recession – tooth fracture 76. What is a community level program 1. Free bleaching campaign 2. Advertisement 3. Fluoride application in school community 77. 50 years got caries, all cause except – change in oral hygiene – shift to a non fluoridated area – medication 78. 3 unit loose FPD with 2 implants – remove bridge and inspect individual implant – place a new bridge – correct occlusion 79. All are modified to increase retention of post except pinned – post length – post width – resin cement – surface roughness of post 80. Young Patient has lesion on Buccal mucosa 81. Extra oral and intraoral lesion only on right side – shingles 82. Cavernous sinus thrombosis sign that’s makes the diagnosis more confirmatory – fever – lymphadenopathy – restricted eye movement The diagnosis of cavernous sinus thrombosis is made clinically, with imaging studies to confirm the clinical impression. Proptosis, ptosis, chemosis, and cranial nerve palsy beginning in one eye and progressing to the other eye establish the diagnosis.Cavernous sinus thrombosis is a clinical diagnosis with laboratory tests and imaging studies confirming the clinical impression 83. An non English speaking patient comes with her daughter who speaks English she says my mother has tooth pain and she feels evil spirit is causing it – use translator- can trust daughter for translation 84. For translation – use certified on phone translator – use mobile application to make person understand translation 85. Shade needs more curing – A1 – B2 – C1 – C4 86. Patient accepted crown on chair and comes back after a week saying at hone she didn’t like the crown, reason – lookin at crown for more than 5 sec – fatigue eyes – metamerism 87. Block Graft from Ramus area get blood supply from where – recepient underlying vasculature 88. Brown teeth, with obliterated pulp – dentin dysplasia / DENTINOGENESIS IMPERFECTA 89. Amelogenesis imprefecta is linked to x or y -X LINKED 90. A delta pain – sharp – aching – Dull – throbbing 91. Fracture involving dentine -1 -3 -4 -2 92. Ketone bodies are formed due to lack of – glucose – amino acid – protein 93. Mechanism of action of proponalol NON SELECTIVE b BLOCKER 94. Action of lisinopril – Inhibit angiotensin 1 to angiotensin 2 – ACE INHIBITOR 95. What’s the action of lisinopril( no hypertension in option) – smooth muscle relaxation – diuretic 96. How calcium channel blockers work 97. Ion responsible for La action 1. Sodium 2. Calcium 3. Pottasium 98. Patient has soft liner placed on denture and doesn’t remove denture at night since years, what to do first – biopsy -reline – give home care 99. white spots lesion on multiole tooth with adequate salivary flow – observe – fluoride – xylitol 100. Patient drink sweeting soda drink, upto what time his pH will be lo -10-15 mins -15-20 mins -20-25 mins -25-30 mins 101. Ph at what demineralization starts -5.5102. Emergency management of cusp fracture with pupal involvement – crown – pulpectomy – pulpotomy 103. Why in new guidelines, ada said AB prophylaxis is not needed for joint replacement – NOT USEFUL 104. O in PICO – OUTCOME 105. Intervention can be done in which type of study PINNED – cohort – case control – RCT 106. OSHA doesn’t include – HIV – herpes – hepatitis – malaria 107. Disinfectant should- kill Tuberculosis bacteria 108. Spore test – to check autoclave efficiency – to keep record of sterilization 109. Patient has colorectal polyp, which test to ask for – CBC – INR -OPG 110. Anaphylaxis involves IgE IgG IgM IgA 111. Got CBCT for parasymphysial fracture 112. What to look for if patient has multiple osteomas – INTESTINAL POLYP 113. INr for surgery 2.5 IMPLANT 3 – SURGERY 114. Warfarin above 4.5, what to do – REFER TO PHYSIAN 115. Patient taking aspirin 81 mg and clopidogrel, excess bleeding is seen at time of extraction – use pressure with gauge – use bone wax 116. Patient had chest pain, you gave nitroglycerin and patient didn’t respond, what to do next – give oxygen – give aspirin 325 mg – call ems DO b then c 117. Fentanyl which 80-100 times more potent than-morphine -tramadol -codeine 118. Mild to moderate pain in dentistry – NSAID, acetaminophen – antibiotics – opioids 119. SSRI with benzodiazepines – In practice, combining a benzodiazepine with an SSRI can offer the patient the following benefits: (1) more rapid control of anxiety, (2) reduction of SSRI-induced anxiety or agitation that can occur early in the course of therapy, (3) improved adherence to antidepressant therapy, and (4) improved control of episodic 120. DM2 – alpha cells defective – B cells defective – insulin resistance 121. Failed Endo bacteria – enterococcus faecalis 122. Endo treated teeth got pain again after 10 years, next – retreat non surgically – extract 123. Tooth didn’t get illumination, isolated pocket on medial and distal side – cusp fracture – root fracture 124. Lesion on oral mucosa, skin, dried blood on lips – erythema multiforme – herpes – apthous 125. Young pregnant patient, occasional drinker, good hygiene – do nothing – perform oral prophylaxis – educate her about fetal alcohol syndrome 126. Difference between condenstising osetitis and sclerosing 127. Patient with I’ll fitting denture has sore mouth Has erythematous tissue and edematous tissue – denture stomatitis – Epulis fissuratum 128. Caries causing bacteria 129. Smooth surface caries least likely to occur 1. Lingual 2. Occlusal 3. Buccal 4 proximal 130. Use of indirect retainer 131. A patients says, I have just one caries since many year, and I m here for the 2nd opinion as the dentist I visit says I have 6 caries and need fillingDentist checks and find only 1 caries lesion – explain him there can be differences in the diagnosis – inform him he can complaint to insurance company – inform him can can show his grievance to some social thing, don’t know what 132. An 82 years old patient says I m healthy and I have no issues with my mouth, I am still here just for a checkup Doctor finds multiple caries and very bad hygiene, what should he do – show her her status and make her know it’s bad – formulate his treatment plan and proceed – refer to geriatric specialist 133. Only Pontic that can be used in posterior, if used in anterior cause speech defect and looks unpleasant – saddle – modified ridge lap – sanitary – Ovate 134. Connector size of zirconia -3*3 -4*4 -9*9 135. Affect contrast in all except -kvp -distance – sensor – mA 136. Advantage of digital X-ray to conventional except – no hassle of processing – no processing error – sensor easy to use than film 137. Complication of internal bleaching – replacement resorption – external cervical resorption 138. Non vital tooth therapy except – pulpectomy – pulpotomy – direct pulp capping 139. Why we do bevelling of tooth for composite restoration except – to make it more aesthetic – to increase surface area – to expose enamel rods 140. Patient gave BNZ to addict, which principle he didn’t follow – negligence – justice -non Meleficence – beneficiance123. Tooth didn’t get illumination, isolated pocket on medial and distal side – cusp fracture – root fracture 124. Lesion on oral mucosa, skin, dried blood on lips – erythema multiforme – herpes – apthous 125. Young pregnant patient, occasional drinker, good hygiene – do nothing – perform oral prophylaxis – educate her about fetal alcohol syndrome 126. Difference between condenstising osetitis and sclerosing Condensing osteitis is a periapical inflammatory disease that results from a reaction to a dental related infection. This causes more bone production rather than bone destruction in the area (most common site is near the root apices of premolars and molars) 127. Patient with I’ll fitting denture has sore mouth Has erythematous tissue and edematous tissue – denture stomatitis – Epulis fissuratum128. Caries causing bacteria? S mutans 129. Smooth surface caries least likely to occur 1. Lingual 2. Occlusal 3. Buccal 4 proximal Individual tooth surfaces have vastly different susceptibilities to caries, with the pit and fissure (occlusal) surfaces the most susceptible, and the smooth (labial and lingual) surfaces the least susceptible. The most frequent sites of attack are the occlusal surfaces of the first and second permanent molars. 130. Use of indirect retainer? Prevents dislodgwment 131. A patients says, I have just one caries since many year, and I m here for the 2nd opinion as the dentist I visit says I have 6 caries and need filling Dentist checks and find only 1 caries lesion – explain him there can be differences in the diagnosis – inform him he can complaint to insurance company – inform him can can show his grievance to some social thing, don’t know what132. An 82 years old patient says I m healthy and I have no issues with my mouth, I am still here just for a checkup Doctor finds multiple caries and very bad hygiene, what should he do – show her her status and make her know it’s bad – formulate his treatment plan and proceed – refer to geriatric specialist 133. Only Pontic that can be used in posterior, if used in anterior cause speech defect and looks unpleasant – saddle – modified ridge lap – sanitary – Ovate 134. Connector size of zirconia -3*3 -4*4 -9*9 135. Affect contrast in all except -kvp -distance – sensor – mA 136. Advantage of digital X-ray to conventional except – no hassle of processing – no processing error – sensor easy to use than film137. Complication of internal bleaching – replacement resorption – external cervical resorption 138. Non vital tooth therapy except – pulpectomy – pulpotomy – direct pulp capping 139. Why we do bevelling of tooth for composite restoration except? Pinned All correct !! – to make it more aesthetic – to increase surface area – to expose enamel rods 140. Patient gave BNZ to addict, which principle he didn’t follow – negligence – justice -non Meleficence – beneficiance1.Know everything related to C factor? bonded to unbonded, highest class I class 5 2.We used general ansthesia to A. Kid 2 years old with EEc B.autistic child ,hyperactive with 4 carious molars!!! 3.Every thing related to flap and implant,I got more than 20 questions 4.Cause and exposure which type of study? Randomized control trial: develops cause and effect relationship (fulcrum) 5.Mand postion to max in newborn? Retrusive 6.Least effect on liver (hydrocodone, morphine,codeine, tramadol 50 mg does as I remembered) Morphine has little hepatic metabolism and is generally excreted unchanged in the urine, perhaps accounting for their relative lack of hepatotoxicity 7.Pt on dialysis two days (monday,Thursday) At which day do dental treatment (option Friday, Tuesday, Wednesday) 8.Pt said I have chest pain ,heart rate 110,low blood pressure, give him Epi Nitroglycerine 9.Scc? lateral tongue intraoral, Lower lip, Bad prognosis 10.Fibroma? Benign tumor, Local irritation 11. Median rhomboid glossitis? Candida, tongue, Erythematous 12 Papilloma? Cauliflower like lesion,Hpv warts 13.Central giant cell? Hyperparathyroid,jawbones,Ant mandible,currettge and surgical excision14.Varicose? Ventral tongue, old people,htn 15.Insicive foramen? Burning sensation of the upper denture, incisive nerves and vessels 16 Difficult one about soft palate or dorsal surface of tongue?????? 17. Traumatic bone cyst? Pseudocyst, scalloped margins around teeth 18.Dentigerous bone cyst19.Multiple myeloma? Bence jones,punched out skull appearance 20.Odontoma? Multiple radio opacities, Complex post mandible. Compound ant maxilla 21.Endo casses know everything related to apexification ,apexiogensis ,time for fixation, and ask more than one Q ,in avulsion we put calcium hydroxide immediately or after 1-2 week? Aft22.2-4 questions x.ray ask about patient age 23.Fery syndrom related to salivary gland Sweat gland 24.Which drug we give to this type of syndrom .atropine one of them. True 25.Fordyce granules? Ectopic sebaceous gland Angioedema26.Lichen planus Wickhams striae, autoimmune buccal mucosa gingiva give corticosteroids, Bullous erosive typesSaw tooth appearance 27.Erthyma multiforme? Bulls eye lesion,Target lession,Crusted lesion,Reaction to medications,Positive nickolsky sign,Damaged skin blood vessels 28.Herps zoster? Varicella primary infection Zoster, reactivation of virus latent in trigeminal ganglion,Shingles,Give acyclovir,ostherpatic neurolgia,Cause dental pain29.Treatment of candida? Nystation, clotrimazole,Troches lozenges 30.Sarcoidosis? Affect lung middle aged black women,Skin rashes,Granulamatous 31 Hyperthyroidism32 peutz jeeghers syndrome? Oral pigmentation and intestinal polyps. Does not predispose to colon cancer, but other types of cancer 33 about condensing osteitis 34 least canal which tooth Lower 1st pm Lower 2nd pm 35 how to calculate width of attached gingiva 36. Know about the normal platelet,neutrophil normal platelet count ranges from 150,000 to 450,000 platelets per microliter of blood. Having more than 450,000 platelets is a condition called thrombocytosis; having less than 150,000 is known as thrombocytopenia✅ normal (absolute) neutrophil count is between 2500 and 7500 neutrophils per microliter of blood. 2 The neutrophil count may be high with infections, due to increased production in the bone marrow as with leukemia, or due to physical or emotional stress 37 infection in lower molars spread to which space No submandibular in option Just sublingual, temporal,vestibular One worong option I can’t remember it. 38 frankfort plane? Orbitale proion 39 moa of aspirin? Dec prostaglandins synthesis dec thrombxane A2 Cox inhibitor 40 moa of Quinidine? Increase refractory period,anti arrythimitic, supravent arrhythmia 41 what heart condition needs prophylaxis more than 5 questions Prosthetic heart valve, infective endocarditis, cardiac transplant, Previous history of IE, Congenital heart diseases Cardiac transplant with valvulopathy 42 dysguesia mean what? altered taste 43 mantience phase to A.re evaluate prognosis of the treatment B.to prevent new inflammation. some thing related to same meaning 44. perforation on mb cusp of Max 1st molar will be on ???? pinned A.mb cusp B.palatal cusp C.distal cPINNED QUESTIONS 27) over denture least affected by Abutment crown size Because in over denture we cover with coping ✅ 31) pain killer in alcoholics Ibuprofen✅ 62) pt came to clinic with measles what not to do A) treatment b) send back patient c) take measures regarding air something A✅ 66) crown fixed on die but not in tooth Impression faulty✅ Patient is feeling sharp pain from a tooth that was filled a month ago, what could be the reason Crack ✅ 141. Patient wants you to NOT report the obvious abuse. Which ethics are you violating if you are going to keep quiet? Beneficence✅ Pediatric child receive a LA injection and respond with oral-hives, how do you manage it? There was no option for anti-histamine) Epi✅ What does the American Dental Association provide? -Insurance Help -Procedure code – Lobby for dentist C✅ Shared characteristic with RMGI and resin composite? Light cure ✅ When will we know there is crowding? After Canine Eruption, after laterals eruption, after second molar eruption A✅ ⦁ Woman brings her daughter in and tells the dentist her upper teeth are rotated and are flared? Check for supernumerary ✅ ⦁ X-Ray: Lateral incisor showing enlarged pulp space divided by RP lines in the root canal and there was periapical radiolucency around the apex?? Dense in dente✅ Direct and indirect composite which one is better and why Indirect.. esthetic ,less shrinkage ,more adaptation ✅ Mortality in IV sedation due to? Hypotension, MI ✅ hypotension Acetaminophen+Vicodin: some ethical Vicodin Schedule 2 ✅ Adolescents undergoing orthodontic treatment often have problems with home oral hygiene regimens. The MOST effective management plan is to A- Educate the patient about the importance of oral hygiene when wearing braces B- Develop a plan of contingent reinforcement for brushing and flossing C- Refuse to continue treatment unless oral hygiene improves D- Have parents remind adolescents to brush E- Provide limited praise for small progress made at each visit E✅ . Infections arising from the periapical region of the mandibular first premolars perforate through the lingual cortex to the A- Pterygomaxillary space B- Submental space C- Sublingual space D- Submandibular spaceC✅ for which factor is least likely to refer endo case A. Dilacerations B. Calcification C. Inability to obtain anesthesia D. Mesial inclination of molar D✅ 5. short crown retentive features ✅buccal groove- retention Proximal groove resistanc posterior tooth has a large carious lesion extending subgingivally. Which of the following is the best initial treatment? A- Endodontic therapy B- Crown lengthening surgery C- Caries excavation D- Crown fabricatio C✅(not sure) what is common between chronic periodontitis and generalized aggressive periodontitis? 1-the teeth that are involved 2-the rate of progression of the disease 3-the response to the local factors 1✅ Of following conditions, inflammatory gingival enlargement is least characteristic of: 1. Desquamative gingivitis 2. pregnancy 3. hereditary fibramatosis 4. Phenytoin induced hyperplasia 5. Leukemia 1✅ Which systemic disease does not especially predispose to perio? ⦁ Cyclic neutropenia ⦁ Trisomy 21 ⦁ Leukemia ⦁ sarcoidosis ⦁ Diabetes mellitus 2 or 4?✅ not sure First treatment in ANUG ✅debridement and hydrogen peroxide rinsed . Major connector: support and rigidity ou retention and rigidity? No option with stability rigidty & stability for major connector✅ Nickel- they asked what alloy cause allergy Nikle✅ how to prevent a clasp from breaking? Cold working ✅ 06. Pt with systemic uncontrolled disease. Which phase? 3 ✅ Know the phase of tx very well. There is pic. Learn Emergency, systemic, phase 1 and 2? Not sure ✅ 7. Endo and perio tx which phase?! Phase 2✅ You smile and praise the patient, what is that: – Contingence – Social reinforcement – Positive reinforcement B✅ If IAN was two branches where will the branching be? Pterygomandibular space?✅ not sure finishing lines and what finishing line to do it you had little buccal and lingual surface ✅chamfer what is likely to happen when pt has pockets >5 mm? Good prognosis if come back every 6 months Hard to do root planning that far down Easy to manage with ultrasonic scalers Good with skilled hygiene ✅A or D? Not sure Dentinogenesis Imperfecta not associated with- **Ectodermal dysplasia ● Associated with Ameloblastoma True ✅ electrical shock pain after biting ✅Galvanic failure of amalgam restoration in primary tooth they have both option inadequate depth Moisture contamination ✅A Not for perio condition – – Amox – Erythro – Metro – Tetra B✅ 0. 10 MA exposure 1 gy .wat is the exposure for 0.5 gy if the density is same for both.i don’t remember. C1/C2=T2/T1 ✅20 71.Orbital on facebow is for?a. distance bw tmj n mandb. distance bw orbit and plane B ✅ not sure Dentifrice in tooth paste- percentage ✅Sensitivity toothpastes have 5%potassium nitrate Most common anti anxiety drugs MOA- – Inhibit serotonin reuptake – Inhibit NE uptake – Release dopamine – Something else ✅inhibit serotonin reuptake Measure attached gingiva widthA- Subtracts gingival crevice legth from total depth B- MGJ to pocket C- Base of pocket to crest Something very irrelevan ✅A Center of rotation – Always change – Be constant – Other options doesn’t make sense ✅always changes 79. Patient has max pusedoprognatism and open bite , whats the reason – Cleft lip surgery late – Cleft palate closure late – Not done properly – Don’t remember much about this ✅B 83. 3 yr kid , primary max CI out- – No treatment – Reposition and non rigid splint for 7 days – Reposition and rigid splint for14 days✅A . Which has higher risk for caries:Bulemic or Anorexia ✅bullemia After extraction patient feels dizzy… Low BP✅ Testicular tumours that doesn’t affect oral cavity: Seminomatous tumors are germ cells tumour of testis and it’s confined to testis mainly Non seminomatous tumour are germ cells tumour which found in pineal gland , abdomen and mediastinum.

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