UR DAY –FILE= updated on 12/24/2018

(ALL OCTOBER RQS-NOVEMBER 15)

all october file

1. Guy in home care and has caries came with his care giver, pt cant talk “does not eating may have tooth ache “ said care giver . Wht sould the dentist do :Endo therapy Refer to physician for medical case- Ans File a neglect case

2. Warfarin what test :PT , HEPARIN-PTT,HAEMOPHILIA-PTT,COUMARIN,ALCOHOLIC-INR,ASPIRIN-BT

Warfarin – INR & PT Hemophilia & Heparin - PTT Aspirin – BT Alcohol- INR

3. Smiling and assuring child :Social reinforcement – ans Cognitions reinforcement

4. Pain under prosthetic after 3rd visit there is sore spot what’s the reason: traumatic occlusionAns - traumatic occlusion

5. Medication that doesn’t cause hypo saliva: Pilocarpine

6.Noble metals used for what, don’t know long span bridges where there so just chose it- ans type 4TYPE 1-INLAYS ,TYPE-2 ONLAYS , TYPE 3-SHORT SPAN BRIDGES,CROWNS ,TYPE 4- FOR LONG SPAN BRIDGES AND RPD

7.Something about when the child can understand articles, had no idea what they are talking about8.Radiolucency in furcation of primary molar what is it: necrotic

necrotic with Periapical abscess

9.Fluoride question the kid needed systemic supplements-above 6months and below 16yrs can prescribe florides-rule of 6

Means after 6 months of age and below 16 yr of age only fluoride is goodRule of 6

10.What is not true about fluoride: something about fissures and grooves less effective in this area-true florides are not effective in pits and fissures, systemic flourides not in root surface11.Battery question-without consent

Technical assault and batteryTort law- If you treat without consent then technical assualt and battery

12.Unbundling question-splitting the fee for individual procedures13.Lower right crown when closing it’s moving mandible to the right , so the interference is where -MMR ,-buccal inclines (It’s working side so bull cusp and inner inclines which are lingual inclines of upper buccal cusp and buccal inclines of lower lingual cusp 14. lingual inclines – for left side Didn’t specify a cusp neither in the question nor in the answers16.Question about a lady who has signs of sjogren but they didn’t mention it u have to figure it out, and the choices were the etiology of it I chose something about lymphocytes destroying endo or exocrines

Autoimmune18.Identify soft tissues of nose on xray19.Something weird in the maxillary sinus on x-ray, it’s like radiopaque sth surrounded with radiolucent margins Options were zygoma and something else chose it

Ans- Antral Mucus retention cyst 20.Posterior nasal spine related to which bone Maxilla or palate

Ans- palate

Ant- Maxilla Post – Palate 21.Hypersalivation after wearing denture why A) direct stimulation 

B)Parasympathetic stimulation, went with para sympathatic dunnoAns- B)Parasympathetic stimulation metal denture causes para..

22. a patient gets a blow to the chin. He complains of pain on the right side and the jaw deviates to the right. What is the cause? a. fracture of symptoms b. fracture of left subcondylar c. fracture of right subcondylar

c. fracture of right subcondylar- ans (Condyle Frature - Same sire Hyperplasia- opposite side)

Tonngue and fracture- affected side deviate Uvula- opposite side

Hyperplasia to opposite side Hypoplasia- same side

23The way x-rays work: photoelectric can’t remembers the exact sentences im sorry (MRI- ELECTROMAGNETIC WAVES) RMIVUXG

24.Most commonly misdiagnosed as endo lesion: Lateral periodontal cyst or periodontal absecc i was so confused

Ans- LPC25.Occlusal reduction for full crown they didnt specify upper or lower I was confused between : Similar to the natural contours Flat and round Ans- Similar to the natural contours 

27.Emergency treatment for active apical abscess with fluctuant mass , what to do if it’s emergency incision & drainge Other options were pulpotomyPulpectomy and leave it open Or one visit rctAns - incision & drainage (Key word fluctuant)

28.Most common cause of osteoporosis in the US  I chose malnutrition, (nutritions )29.Mouth rinse reduced gingival index but doesn't reduce perio disease this question - bias- Improper study design- Nonsignificant - I Went with B but im not sure look it up

Ans- Nonsignificant

30.Main etiological factor for lower lip SSC  Sun was not there I chose smoking

Sun and smoking Lip-sun, oral-alcohol,lung-asbestosOral- alcohol,spices,trauma,sharp cusp,syphilis,tobacoo chewing

31.Angular chelitis ? increase or dec VDO Ans- decrease VDO

32.Bulimia features on teeth, know them very well à black female. and young caucasian females

Lingual erosion in upper and facial of lower. Erosion- GERD- gastric Acidity and bulimeia

Ans - Both lingual side- erosion... More on lower lingual Black female- Periapical cemental dysplasia, Sickle cell and Buliemia

ant. Guidance is letrorutrisive Condylar is protrusive.

l

1- patient has lesion and you want to know more details about the soft tissue of this lesion the best method for diagnosis : MRI with dye contrast-MRI- CT Scan

Ans- MRI-soft tissueCT for hard tissueFor parotid- MRI with dye

2- 45years man coming regularly to this office since 20 y every 4-6 Months for regular Checkup he has red blue cyst on lower buccal side filled with mucous The first line of treatment is ( if aspiration is there in option that will be ans)-Don’t worry it’s viral infection -Antibiotics -incision biopsy -excision biopsy-cytology

Ans- aspiration- 1st line.... if not, cytology

3- 45 y guy smokeless tobacco for 16 years and 2 beer a day came for regular CK UP and he scheduled for oropharyngeal cancer surgery and chemotherapy what is the main reason for his cancersmoking - drinking alcohol-HPV

Ans- HPV-oropharyngeal

4 - complete. denture opposite partial denture which type of movement àWORKING AND BALANC SIDE

Balancing - in DentureNatural - mutually protected

5- many Q about muscles helping to open and close the mandible 6- furcation of the premolar -Coronal /cervical / middle/Apical

Mandi 1st M- - Junction of middle and coronalMaxi 1st PM- Its ApicalMax molar coronal 1/3rd

7-class 2 filling baby molar and the difficulty Coz of Diverge / converge / crown. Size8- the main reason of pain after RCT perforation /coronal leakages/

Coronal leakage 9-you did 1st RCT detriments on a lady and she called in the night said my tooth is sore (she’s not allergic to penicillin) RX NSAID -Vicodin - Clindamycin-pen V

Ans- NSAIDS10-RCT contra indication recent MI-leukemia...

Ans- recent MI11.trisomy 21 except -Macroglosia / clas iii / rampant caries

Ans- No caries, Macroglossia, Perio disease

12-sickle cell patient what’s the most effect NO2/trauma/ bleeding Ans –trauma N2O contraindications- 1st trimester of prg, COPD

13- if the patient has cyst when u decide to do biopsy If the cyst not respond toTT 7-14 daysX-ray to diagnose onlyX-rays and oral evaluation Ct scan

Ans –xray and oral evaluation

14- 60 years old man no medical history after he set on the chair the assistant recognized him with no response after you gave him O2 his pulse stop according to AHA America heat Association the compress should be (gave some number) and what’s the normal pulse rate 60-80-100-120 (compression- 100 if pulse then 80)

Ans- compression- 100 pulse 72

14 MOAAspirin-Cyclooxygenase-cox1,cox2Sulfonamide-PAba DOXY- 30 s ribosome

15- burn on the corner of the mouth – increase or decrease VDO16-irreversible impression You can wait 15 minuets to pour itYou wrapping the imp with wet tissue

Ans - You can wait 15 minuets to pour it 17- 14 years boy has #30 RCT and uneven occlusion on the right side (panovery clear) asymptomatic It’s ossifying fibroma or fibrous dysplasia (more in maxilla)

ossifying fibroma- Well circumscribed Fibrous dysplasia- Not well circumscribed, ground glass

18- 20 y bad OH eating too much sweet and using the computer most of the time and no insurance TT except Instructions Improve OH Fluorides supplement Fluorides tray and tooth paste with Fluorides

Ans - Fluorides supplement

19-mild anxiety patient how to manage his anxiety Pre visit pharma Firmly tell him be quiet the treatment will go forward Explain to him the situation – ans Reassurance the TT will go without pain

20 -pano and show impacted canine asking what’s the reason of upper jaw reduced in the length

Impacted CImpacted 6(he’s adult with full dentition )

Ans- If c erupted...jaw length would be normal. Which causes arch length deficiencyImpacted C

Ans- impacted 6

21-pano asking about the age – he has all the teeth erupt except the canine6-79-11 12-14

22- 4 years boy with congested heart failure hold by his mom and looks very dependent the reason isToo much hospitalization Over protective by parents Physiological effect of his disease Psychological effect of the disease

Ans- Over protective by parents

23.lady with defect on the heart and kidney with face rashes SLE

Butterfly rashes24 lichen Plano’s patient on picture 25 burning tongue- melkrrson disease-fissured tongue,chelitis granulomatosa

Melkersson syndrome has fissure tongue, granulomatous cheilitis and facial paralysis

26-patient has sensitives on upper ant teeth TTtell him to reduce taking the acid drink Use Flouride Varnish Mouth wash after each acid drink

Ans- Varnish-sensitivity, fluoride-remineralization

27- picture of 10 year girl with swelling on the Lowe right side and redness she had pain on Lowe molar before one month and gone also she has fever ( hundred something) diagnosis Cellulitis / PA abscess / PA lesion

28 forcep formax premolar 150mand premolar-151mand 3rd M 222,310max 3rd M 210,105,301mand 3rd M 222,300mand left 2nd M 16,23mand left 1st M 16,17mand right 1st M 16,23mand right 2nd M 16,17max 1st,2nd M- 18,53,88ant max-150ASmax left ant 62,74,203max left ant 62,99

29 difference/B/ 330 -245 bur this one is longer (Length245-3mm330-1.5mmAns - 245 is 3 mm longer

169- bur is convergent in shape but used for divergent walls 245- is divergent in shape but used for convergence of walls

30 why cancer patients with chemo or radio therapy they got bleeding Fragile Vessels or neutropenia

31 steps of cast and analysis which one before which one afterà cast, surveying and analysis

32 adult has vital tooth with resorption but asymptomatic no PA so the TT Will beRCT / leave it and follow up/ polpectomy

Ans- RCT

32 Distance between 2 implant twice..3mmBetween 2 implant- 3 mmBetween Implant and Maxi Sinus floor- 2 mm

lets revise all Implant RQ related diameter ridge Implant Length for CD- 12 mm Diameter - 4 mm (implant buccal and lingual - 1 mm mesial and distal - 1.5 mm Between 2 implant 3 mm Between implant and tooth 1.5 Total width of ridge - 6 mm (in options- 7 given) between 2 implants - 3 mm between Implant and vital structure- 2 mm Between Implant and tooth - 1.5 mm from mental foramen-5 mm From Anterior loop of Mental nerve - 2 mm flarring - enlarging coronal part for implant called countersinking tapping is when we create grooves inside bone with grooved bur level on implant in relation to adjacent CEJ- 1.5 mm apical

33-ADA has something to protect the provider all except Rubber dam34-Optimum fluoride 0-6-1.2 ,1.0ppm optimum –

Ans -0.7-1.035-The mechanism of MRI working –

Magnetic resonance imaging (MRI) uses the body's natural magnetic properties to produce detailed images from any part of the body. For imaging purposes the hydrogen nucleus (a single proton) is used because of its abundance in water and fat.

36-Reduction of PFM crown in the middle third gingival-1.0 middle-1.5 incisal-2.0mmocclusal 1.5 veneerGingival 0.3Middle 0.5Incisal 0.7

37-When you want to make anterior crown which point is most important For aestheticAesthetic ,lip line, gingival health

38-Amalgam failure-moisture contamination

39- you did extraction for a patient and the tip of 3mm apex broke the Reason why you decided to leave it isIts mobile/ it’s embedded in the maxillary sinus

40-all about composite for posterior teeth except Withstand the force of mastication

Oral bacteremias after a tooth extraction are: A. now considered as a myth B. generally transient & last for less than one hour – C. present at least for 6 hours D. rare with Streptococci ViridansAns - B. generally transient & last for less than one hour

serial extraction should be used in a patient with which type of malocclusiona. class 1 b. class 2 c. class 3 d. abnormal overbiteans – class 1

Labially displaced anterior tooth is restored with a gold core porcelain jacket crown so that it is in line with the arch; the crown will appears:

A. ShortB. LongC. NarrowD. WideAns - C. Narrow

cruozon has mental deficeny t or FAns- true

missing second molar ankylosed what least important in presence ankylosis?1.mesial drifting first pm.2.distal drifting first pm.3.prevent occlusal extrusion4.presence alveolar bone widthAns - 1. mesial drifting first pm.

patient lost most teeth , bad occlusion study cast? Vdo , inter-arch distanceAns- VDO

Which of the following dimensions are compared in the transitional dentition analysis?A. Arch width to arch lengthB. Leeway space to freeway spaceC. Leeway space to size of toothD. Space available to space requiredAns - D. Space available to space required

41-patient came for perio maintain with very good oral Hygiene but BOP and 6mm pocket what is the next step of TT- surgery next

Ans- Surgery

42- dentist bill some code to increase to receive payments form the. Insurance more the the real procedure— upcoding

43-which permanent tooth is not seccedenous Canine / first premolar/ second premolar/ mola r

44-pseudo class 3 what is the direction of mandible movement ?? Ans- ForwardDue to mandible is larger in sizeHabitual position of the mandibleforward as patient tends to move mandibular jaw forward

45-patient has diastema and buccal frenulum when you decide to. Correct itWhen central and lateral erupt

When central and lateral and canines eruptWhen all the teeth erupt

Ans - When central and lateral and canines erupt

46-patient missing from 28-32 which Kennedy classification/ cL 2

47-implant and over denture which one give support and which one give retention –

implant:retention, residual ridges/bone:support

48-gag patient managed àgraded exposure

49-patient taking Amphetamine what he has – ADHD

50-what medication you prescribed for stressful patients before the Visit

Diazepam/ lorazepam/ other zipamAns- Lorazepam

51-which bone disease has more chances to transfer to cancer- PagetPaget’s location- pelvis, skull, spine and legs

53-definition of Paraphrase 54-Amantedine- viral (Dopamine promoter and antiviral drug Amantadine for parkinsonism and antiviral for influenza56-pic of hyoid /occlusal pic of cleft palate / 57-mycophenolate (cellcept) side effect all except- hair growth Hair growth /Candida/ infection/ smthg else I seclect smthg elsed

during surgical correction of mand prognathism of postion of the mand condyle should be?1. unrelated2. retruded3. advanced4. intrudedAns – Unchanged / unrelated

least useful retention/resistance form in crown?�-parallelism�-path of insertion�-length of axial walls�-total area of 2 axial wallsAns - total area of 2 axial walls

Kids chewed on cord and has electrical burns at corner of mouth, leads to? Lingualized eruption, teeth would be more facial(Cause electic burn will weaken the lip muscles so upper ant teeth will get protrusion)

What should the dentist do to a child with internal derangement: occlusal splint, ortho treatment and moreNo treatment Ans – Occlusal splint

Is space lacking is less than <4 mm What do you do1.Stripping ant teeth2.Stripping post teeth3.ExtractionAns – 1. Stripping ant teeth5-7.5 mm Extraction 1st PM >7.5 Extraction 2nd PM

A patient who has cleft palate should undergo what kind of surgery?a. Protrude mandibleb. Protrude maxillaryc. Retrude maxillaans - b. Protrude maxillary

P 16 MOD amalgam, demarcated line in the isthmus, and this line is nota junction of two separate amalgams. What you'll do?ReplaceLeave itReplace part to compositeAns - Replace

Which of the following conclusions would be correct if, after six weeks, a pulp-capped tooth were asymptomatic?A. Pulp capping was a success.B. Lack of adverse symptoms might be temporary.C. Reparative dentin formation at the exposure site was complete.D. Adjacent odontoblasts had proliferated to cover the site of exposureAns B. Lack of adverse symptoms might be temporary.

What do you do to camouflage class 2?1- Ext max first premolar2- Ext max second premolarAns - 1- Ext max first premolar

Which of the following is not a cephalometric landmark of a profile?A. NasionB. MentonC. GnathionD. SellaAns – sella

Rapid palatal expander is used for which of the following?1- Crossbite2- Minimal class IIIAns - 1- Crossbite

In a pedo patient there is enough room for eruption of permanent mandibular incisors because?a. Leeway spaceb. Freeway space C. Buccal inclination of primary incisorsAns- C. Buccal inclination of primary incisors

A higher than average mandibular plane angle is often associated with which of the following?A. deep overbite and a Class I division 2 malocclusionB. deep overbite and a long lower anterior face heightC vertical growth pattern and a Class II division 2 malocclusionD vertical growth pattern and a long lower anterior face heightAns - D vertical growth pattern and a long lower anterior face height

Demineralization of enamelA. ph of plague less 6.4B. Dentin ph6.4C. Start at subsurfaceD. Go like enamel rods

Ans - C. Start at subsurface

The primary advantage of an external splint over an internal splint isA. increased rigidity.B. increased retention.C. increased durability.D. conservation of tooth structure.Ans - D. conservation of tooth structure.

Day 2

1-Pregnant with cyst on lower left premolar since 1.5 year TTX-RAY / incisions/ excision/ antibiotic/ ExcisionAns – Xray

2-prostate cancer patient -know the medicine à Medications known as anti-androgens prevent testosterone from reaching your cancer cells. Examples include bicalutamide (Casodex), nilutamide (Nilandron) and flutamide. The drug enzalutamide (Xtandi) may be an option when other hormone therapies are no longer effective. Surgery to remove the testicles (orchiectomy)

Ans – proscar

3-20 year guy bad OH # 8 has RCT and PFM crown with apical RLAlmost all the other teeth decay and he’s heavy smoker

4-COPD adult 5-Adult narrow Maxilla with posterior cross bite on right side hard Q TT and correction and classification on canine and molars

Quad helix and Palatal expansion

6-depression lady taking Zoloft à selective serotonin reuptake inhibitor (SSRI) sertraline (Zoloft, ) cause xerostomia.7- another depression lady taking Amitriptyline8-lady with osteopenia taking Fosamax know the SI effect andInteractions

9- patient with braces for 5 years and has splint and fracture on #8 What is the reason- Trauma

10. About size of implant accordingly? 1. Implant diameter 2. Impl length 3. Impl width 4. Impl hight--.> 3

Ans-

Hyoid – C4 1. Macrolide antibiotics are usually avoided in asthmatics because: A. it can precipitate asthmatic attack B. it interacts with theophylline C. such patients are usually allergic to penicillins D. such patients show penicillin resistant infections Ans- B. it interacts with theophylline

Increasing evidence suggests atypical bacterial infections contribute to exacerbation severity, as well as stable asthma, particularly severe asthma. Macrolide antibiotics and the new ketolide antibiotic telithromycin are active against atypical bacteria and also have anti-inflammatory activity

2. Anticoagulation therapy should be advised to discontinue before minor or major oral surgical procedures if: A. INR (international normalized ratio) is less than 3.0 B. INR is more than 3.0 C. PT (Prothrombin time) is less than 10 seconds D. PT is in range of 10-15 seconds Ans - B. INR is more than 3.0

3. Which of the following oral manifestations can be often seen in asthmatics? A. Xerostomia B. Geographic tongue C. Enamel hypoplasia D. Aphthous ulcers

4. A male patient of 76 yrs is on warfarin therapy and needs emergency extractions of a decayed tooth. Select the appropriate protocol given below.

A. Do not stop the warfarin therapy – perform the surgery with local hemostatic agents - administer vitamin K if necessary. B. Administer heparin along with warfarin – perform the surgery C. Advise INR – If INR is less than 2 perform surgery, if more than 2 do not perform the surgery D. Extraction cannot be done to a patient who is on warfarin therapy Ans –emergency - A. Do not stop the warfarin therapy – perform the surgery with local hemostatic agents - administer vitamin K if necessary.

INR with 3 can also be done. not more than 4till 3-3.5 is normal.warfin antidote vitamin k

5. A hospitalized patient on heparin therapy needs dental extraction. Select the antidote for such patients from the following: A. Warfarin B. Desmopressin acetate (DDAVP) C. Vitamin K D. Protamine sulfate

Ans DHeparin - Protamine sulfate Warfarin - Vit K

6. Endocarditis prophylaxis is recommended in one of the following conditions before extractions: A. Cardiac pacemakers B. Mitral valve prolapse without valvular regurgitation C. Tetralogy of Fallot

D. Implanted defibrillators Ans - C. Tetralogy of Fallot

7. Which of the oral procedures will not need any antibiotic prophylaxis to minimize the risk of bacterial endocarditis? A. Root planing B. Suture removal C. Placement of orthodontic bands D. Intraligamentary injections Ans -C. Placement of orthodontic bands

8. Why erythromycin and tetracyclines are prescribed carefully in patients with peptic ulcers? A. Increases acid production B. Interacts with acid and the drug availability is reduced C. Interacts with antacids if any D. Both are bacteriostatic Ans -C. Interacts with antacids if any

9. Pigmentation of the face, lips and oral cavity is seen in a patient who gives a history of intestinal polyps. The systemic disorder that is present is: A. Peutz Jeghers syndrome B. Cowden's syndrome C. Gardner's syndrome D. Addison's disease Ans -A. Peutz Jeghers syndrome

Prilocaine, an amide type of local anesthetic should not be used in one of the following conditions: A. Renal disorders B. Hypotension C. G6PD deficiency D. CNS disorders Ans - C. G6PD deficiency

10# Choose one of the following medications that can be safely administered to a patient with chronic renal failure without any change in dosages. A. Doxycycline B. Gentamicin C. Amoxicillin D. Ciprofloxacin

internal void and surface defects

1) leads to stress relaxation 2) decreases elastic modulus3) increases translucencyAns - 2) decreases elastic modulus

11# 'Mona Lisa face' is seen in which disorder? A. Angioedema B. Scleroderma C. Discoid lupus erythematosus D. Sjogren syndrome

12# Which of the following are the prominent features of Behcet's disease? A. Aphthous stomatitis, anemia, cardiac arrhythmia B. Genital ulcers, dermal pustules, oral ulcers C. Hematuria, periodontitis, xerostomia D. Arthralgia, geographic tongue, ear infections Ans -B. Genital ulcers, dermal pustules, oral ulcers

13# Facial xanthomas may help in recognition of: A. Porphyria B. Waldenstrom's hypergammaglobulinemia C. Hyperlipoproteinemia D. Homocysteinuria Ans - C. Hyperlipoproteinemia

14# One of the following disorders will not cause scarring of oral mucosa: A. Major aphthae B. Erythema multiforme C. Epidermolysis bullosa dystrophica Ans B. Erythema multiforme

15# In a patient with cardiac pacemaker, which of the following equipment can be safely used? A. MRI B. Ultrasonic scaler

C. Electrocautery D. Radiographic equipment Ans- D. Radiographic equipment

16# In a 58 year old female with insulin dependent diabetes mellitus under treatment, surgical removal of impacted mandibular third molar can be performed only if the glycated hemoglobin value is:

A. less than 80 % B. less than 88 % C. less than 8 % D. less than 18 % Ans - C. less than 8 %

3. A 9 year old presents with acute gingival pain of four days duration. There are small, roundulcers on the interproximal gingival and buccal mucosa. Which of the following is the most likelydiagnosis?A- Primary herpetic gingivostomatitisB- Necrotizing ulcerative gingivitisC- Aphthous stomatitisD- Gingival abscessAns A

17# A patient gives history of viral hepatitis C after undergoing liver transplant. He is on immunosupressive medications. On examinations of oral cavity, white striated lesions were present. It could be any of the following EXCEPT: A. Graft vs host disease B. Oral lichen planus C. Lichenoid reaction D. Leukoplakia Ans D. Leukoplakia (Not striated…. All others strated)

18# A patient who is on high doses of corticosteroid therapy will face all of the following problems during dental treatments except: A. Impaired wound healing B. minor difficulties to achieve hemostasis

C. Xerostomia D. susceptibility to infections Ans- C. Xerostomia

19# What crystals are deposited in TMJ in gouty arthritis? A. Monosodium urate B. Calcium hydroxyapatite C. Calcium pyrophosphate dihydrate D. Calcium dihydroxide

20# An elderly patient under corticosteroid therapy has to undergo dental extraction. Which is the best method to proceed? A. Taper the dose and perform the extraction B. Completely stop the drug and then perform the extraction C. Supplementation of corticosteroids should be given before extraction D. Stop the drugs immediately after extraction to allow healing Ans- C. Supplementation of corticosteroids should be given before extraction (Need to double the dose)

21# A patient presents with bilateral facial palsy and uveitis with enlargement of parotid glands. He could be suffering from: A. Ramsay Hunt syndrome B. Melkerson Rosenthal Syndrome C. Heerfordt syndrome D. Sjogren syndrome Ans - C

22# A 67 year old male with a medical history of bronchial asthma and glaucoma was diagnosed of xerostomia. The appropriate method to manage the condition is: A. Pilocarpine 5 mg thrice daily B. Cevimeline HCl 10mg twice to thrice daily C. Anetholetrithione D. Artificial saliva (glaucoma no choli- ant cholinergic drug)Ans – D (Pilocarpine contractindicated in Asthma)

23# 'Crowe sign' is seen in which of the following diseases?

A. Neurofibromatosis I B. Albright syndrome C. MEN type III D. Cowden syndrome

25# 'Coast of Maine' like border is seen in pigmented lesions of: A. Von Recklinghausen's disease B. Peutz - Jeghers syndrome C. McCune Albright syndrome D. Acanthosis nigricans Ans- C. McCune Albright syndrome

Coast of California, auxillary frckle – NFM

26# Pseudomembranous candidiasis is seen in oral cavity of AIDS patients commonly when CD4 cells count: below 200 normal range 500-1500A. <80 br="" cells="" cu.="" mm=""> B. <400 br="" cells="" cu.="" mm=""> C. <1000 br="" cells="" cu.="" mm=""> D. <8000 br="" cells="" cu.="" mm="">

A. <80 br="" cells="" cu.="" mm=""

# Trigeminal neuralgia, sensory neuropathy of trigeminal nerve and facial palsy can be usually seen in which of the following diseases? A. Parkinsonism B. Amyotrophic lateral sclerosis C. Multiple sclerosis D. Alzheimer's disease Ans – C with Mona lisa face too

27# Macroglossia is seen in all of the following systemic diseases except: A. Cretinism B. Amyloidosis C. Beckwith's hypoglycemic syndrome

D. Oral facial digital syndrome

28# 'Rh hump' is the term used to describe: A. hump back seen in Rh negative people B. green or blue hue seen in teeth of erythroblastosis fetalis C. ring-like enamel hypoplasia seen in erythroblastosis fetalis –ANSWER confirmed. D. hump joints seen in rheumatoid arthritis

The dentist accidently did not see Occlusal caries and he placed a sealant over it; Will the caries-o Stopo Rapid Progression

o Slow Progressionans – stop pinpoint caries

29# Chromosomal studies should be performed in a patient with taurodontism, mental retardation, tall and thin appearance with prognathic jaws to detect which of the following disorders ? A. Rubinstein Taybi Syndrome B. Klinefelter syndrome C. Acromegaly D. Osteogenesis imperfecta

30# Saddle nose is seen in all of the following disorders except: A. Osteogenesis imperfecta B. Thalassemia major – β C. Congenital syphilis D. Crouzon syndrome

31# “Crocodile tears” is seen in: A. Horton‟s syndrome B. Frey‟s syndrome C. Raeder‟s syndrome D. Meniere‟s disease

32# Widespread osteosclerosis is present in all of the following diseases except: A. Marble bone disease B. Paget‟s disease C. Generalized cortical hyperostosis D. Phantom bone disease

33# “Bald tongue of Sandwith” is an oral manifestation of: A. Pellagra B. Pernicious anemia C. Iron deficiency anemia D. Fanconi‟s anemia Ans- pellagra

34# “Tapir lips” (patient unable to whisper or smile- myopathic facies) is seen in: A. Bell‟s palsy B. Marcus Gunn phenomenon C. Muscular dystrophy D. Myasthenia Gravis

35# A patient with Down‟s syndrome should be sent for Physician opinion before doing any extraction. Choose the appropriate justification. A. As they are mentally retarded, physician opinion is sought. B. They will have to undergo multiple extractions, hence opinion is obtained. C. Down‟s syndrome is usually associated with cardiac problems which may need antibiotic prophylaxis. D. Local anesthesia may cause anaphylactic reactions in such patients.

36# Which among the following antibiotics commonly used in dentistry may not cause pseudomembranous colitis? A. Erythromycin B. Ampicillin C. Clindamycin D. Metronidazole

37# Oral bacteremias after a tooth extraction are: A. now considered as a myth B. generally transient & last for less than one hour C. present at least for 6 hours D. rare with Streptococci Viridans Ans- B. generally transient & last for less than one hour

38# In a patient with splenectomy, which of the following is not a matter of concern for a dentist? A. Antimicrobial prophylaxis B. Thrombocytopenia C. Corticosteroid therapy D. Bleeding dyscrasiasAns DBecause if the spleen inflamed then may bleed but now we remove itSo their is other organ control the procedure I think it is D

1. If you do a study and you get P value < 0.05 and you reject the null hypothesis what does it mean:A. Type 1 error B. Type 2 error C. Correct decision

p<0.05 you reject the null hypothesisif p> 0.05 you accept

2. MOA of Naloxone: non-selective and competitive opioid receptor antagonist in case of opioid overdose3. MOA of Clonidine: centrally acting sympatholytic (α2 adrenoceptor agonists)4. MOA of Zoloft: Sertraline - Selective Serotonin Reuptake Inhibitors

5. What will most affect the decision of extract a mandibular molar:A. Furcation involvement B. VRF -ansC. 2 walls defectD. Periodontal abscess

6. A study conducted in a dental school to find out if the clinical classes improved the students’ performance. What is an individual variable of this study? The class- Independent variable

Independent variable is one which change the outcome of dependant variable students- dependent Clinical classes- Independent

7. If you present only one treatment plan for the patient, because you think it is the best, but there are other alternative. What ethic principle you are breakingA. Beneficence B. Justice C. Non maleficence D. Autonomy

8. What is a provide chemotaxis in the sulcular fluidA. C3a B. C3b C. C5a D. C5bAns – C5A

9. What interleukin is related to bone destruction?A. IL1 B. IL2 C. IL10 Ans- IL1

10. You rise a full mucoperiosteal flap to instrument in the pocket, after reposition of the flap where resorption occurs more?A. Radicular boneB. Interdental crestC. Apical to the sulcusAns - A. Radicular bone

11. What is not a characteristic of DI:A. Short roots that breaks easyB. Abnormal lines at the DEJ C. Excessive deposition of dentinAns =- B. Abnormal lines at the DEJ

12. Laser and curing light (LED) have a specific wavelength and they can’t cure some composites because the photo initiator responds to a different wavelength: T/FTrue

13. Veneer cemented with dual cured resin cement, show a brownish line at the cervical margin 1 month later. What is it:A. Micro-cracks at the porcelain B. Inadequate amount of cement C. Amide discoloration of the cementMicro crack is more than 1 week , few days -1 week is amine1 month- microleakage choose something that has silane14. Arbitrary facebow record is taken 1 mm of separation at the 2nd max molar. Why?A. Arbitrary facebow accept thicker records B. Accept thinner record C. Thinner records avoid errors in the condylar setup

15. CR record how it should beA. Only record cusps and no perforations B. Record cusps and sulcus and a few perforations are accepted C. The material must be well distributed on the occlusal surfaceAns- A

16. % of the Acidulated fluoride: 1,23%

17. Goal of apexogenesisA. Stimulated deposition of secondary dentin ans.B. Create an apical stop for proper obturation-apexification

18. What cement is preferred for veneer cementation:A. Light cured B. Dual cured C. GIC

19. A dentist separate different x-rays from a FMX to trick the insurance and get more $:A. Unbundling -ansB. Upcoding C. Downcoding

20. Patient is taking TCA and Ibuprofen what medicament would not cause and adverse interaction:A. Aspirin B. Carbocaine C. Lidocaine/Epi

21. What is not recommended to place the instruments if you are going to use autoclave:A. Paper packets B. Paper/plastic bags C. Plastic bags – D. Solid metal containers ans

22. Micro-organism to test sterilization: spores of Bacillus stearothermophilus

23. Between patients, how you disinfect the area

A. Spray detergent an allow 10 min B. Spray disinfectant, detergent and dry it off with dry paper towels C. Spray disinfectant and allow 10 min

24. What can make you get false results when probing a sulcus:A. Excessive subgingival calculus and the probe can’t touch the bottom of the sulcusB. Excessive bleeding and you can’t see the marks of the probeAns- A. Excessive subgingival calculus and the probe can’t touch the bottom of the sulcus

25. Indications of dual cure resin cementPosterior teeth crownsLarge post cavities

26. What bur will produce the smoother surface while you are preparing a class 2 cavity:A. Green stones B. Cross-cutC. Plane-cutD. Diamond

Cavity- plane CutTooth prep- Diamond

27. How much mm of coronal tooth structure if you want to place a post for retention-2mm2mm ferrule needed and 4-5mm crown height.

28. Common perforation during RCT instrumentation in MX CI happens in what surface: mesial

29. By increasing the voltage in an x-ray machine we can produce beams with:A. Short frequency / high potency B. Large frequency / high potency C. Short frequency / low potencyAns - B. Large frequency / high potency

30. By doubling the PID distance from the target how much you need to increase exposure time: 4 times

31. Water’s view for: sinus

32. Sphenooccipital synchondrosis what is it: cartilage

33. What is similar to sphenooccipital synchondrosis: epiphyseal plate

34. Plan created by the government for free health care to the kids: CHIP

35. What is a measure of tendency: variance

36. Medicare is plan created for elderly persons but it does not cover dental care. True

37. What % of US population is infected by HSV 1:A. 30-32%B. 45-50% C. 80-85%

38. Periodontal diseases are more frequently in what group:A. Female black B. Male black C. Hispanics D. White

39. Most common emergency in dental clinic: syncope

40. How many chest compressions in 1 min indicated:A. 30 B. 60 C. 90 D. 120

41. Initial indication for a leukoplakia. All options were type of biopsy: A. Cytology –in candidiasisB. Incisional C. Excisional D. Immunofluorescence stainAns – Incisional Biopsy

42. What is not common in opioid poisoning: mydriasis was there-miosis happens

43. Management of a 2 mm sinus communication, all except:A. Irrigate with CHX B. Place a geofoam to promote coagulation C. Rise a flap from palate

more than 7mm = Cul de sac and flapmore than 2-7mm = figure 8 2 or less than 2 mm - do nothing

Larger than 7 mm flap = need rise flap from palate

44. Not indicated for prophylaxis: mitral valve prolapseTetralogy of Fallot – Prophylaxis needed

45. Indicated for prophylaxis: congenital heart defect not resolved

46. Most common epilepsy in childs: febrile

48. Picture of retained canine in a child like this: asking if it is a supernumerary or a retained permanent canine very similar to this but was a little bit more horizontal

49. X-ray of cleft palate very similar or would say probably the same as this

50. X-ray to identify fibrous dysplasia, easy for diagnosis, it was obvious 51. X-ray for ear lobe52. X-ray for hyoid bone53. Pictures for geographic tongue & lichen planus

54. Patient noticed a bump 1 month ago in the palate, after biopsy the result indicated parakeratinized epithelium with underlaying CT and trabecular bone, what is the most likely diagnosis:A. Pleomorphic adenoma B. Exostosis

55. Patient has a tumor in parotid gland, what is the most likely tumor there:A. Whartin tumor B. Pleomorphic C. Mucocele

57. Patient with fluorosis image was almost 99% like this:

In what stage can we first observe the shape of the tooth:A. Morphodifferentiation C. Apposition

58. Patient with anterior cross bite, right side in the canine like this:

Asking in what movement would be interference: A. ProtrusiveB. Left lateral excursiveC. Right lateral excursive

Right canine is affected. So, left lateral movement will be affected

59. Another patient with right posterior cross bite on PMs and 1st molar. Asking how to correct it.Cross elastics

Veneer Gingival 0.3mmMiddle 0.5mmIncisal 0.7mm

62. Question with a LPC similar to this, asking what would not be a differential diagnosis:

A. OKC B. Ameloblastoma C. Dentigerous D. Traumatic bone cyst

63. What would be the worst prognosis for replacing a #6 canine, patient had the rest of the maxillary teeth except for 1st PM on left side and 3 molars:A. Implant supported crown with group function B. FPD from 5 to 7 and group function C. Implant supported crown and mutually protected occlusionD. RPD and mutually protected

you should not use LI as only ant abutment

64. What would be less important in mandibular closure:A. Contraction of masseter and depressors B. Relaxation of lateral pterygoid C. Contraction of lateral pterygoid and temporalis

65. Patient comes to the clinic with BP 190/110, what would not be included in the management of this patient:A. Inject systemic antihypertensive B. Wait 5 minutes and take BP again C. Defer the treatment that day D. Recommend follow up with physician

66. Patient with the history of heart disease, having a hard chest pain just before you put anesthetic, what not to do:A. Inject epinephrineB. Give Oxygen C. Activate emergency protocol D. Take BP before give nitroglycerin

1. Erythromycin + penicillin (amoxicillin?): potentiation, induction, antagonism, synergismAns- Antagonsim

the interaction or cooperation of two or more organizations, substances, or other agents to produce a combined effect greater than the sum of their separate effects.

Erythromycin: inhibit protein synthesis (50S)Penicillin: inhibits cell wall synthesis (cross-linking of collagen)Drugs interaction on the pharmacodynamic level appears in form of synergism or antagonism. Synergism is a coordinated or correlated action of two or more agents so that the combined action is greater than the effect of each acting separately. It can be in two forms: summation (additive) and potentiation.

2. Gardner syndromeGardner syndrome: adenomatous polyps of the GI tract, desmoid tumours, osteomas, epidermoid cysts, lipomas, dental abnormalities and periampullary carcinomas. Equal sex distribution. Autosomal dominant familial polyposis coli gene (APC) on chromosome 5. Oral findings: multiple  impacted and supernumerary teeth, multiple jaw osteomas that give a "cotton-wool" appearance to the jaws, as well as multiple odontomas.

3. Sickle cell anemia crisis, what will cause it.a. Nitrous oxide / oxygen useb. A coldc. Traumad. Something else

Cause- Cold- then traumaNot cause- N2O/ o2 use

Most episodes of sickle cell crises last between five and seven days. "Although infection, dehydration, and acidosis (all of which favor sickling) can act as triggers, in most instances, no predisposing cause is identified."Cold: blood vessels become narrow, making it hard for cells to flow, which can lead to a crisis.

4. Patient with a LOT of drugs, 86 years old, had mandibular pain associated with an impacted third molar, the third molars were completely over the IAN canal, how do you extract: under GA and local anesthesia, local anesthesia only, sedation and LA

Age: patient is old, in older patients 3rd molars removal is a difficult procedure due to dense bone; roots are completely formed at this pointStatus: patient waited till the symptoms occurredIAN position: close proximityTooth position: level A, class I, vertical position (overall: moderate difficulty, mostly due to proximity of IAN canal)

5. Cervical burn-out, descriptionA phenomenon caused by relatively low x-ray absorption on the mesial or distal surfaces of teeth, between the edges of the enamel and adjacent crest of the alveolar ridge it’s an artifact.

6. OKT on a radiograph

7. For disc: MRI8. For zygomatic arch: submentovertex

Sinus- Water’s Disc, parotid gland- MRISialolith- MRI with dyeCondyle- Towne

Zygomatic Arch- SubmentovertexHard tissue- CT

9. Sensitivity and specificitySensitivity (also called the true positive rate, the recall, or probability of detection in some fields) measures the proportion of actual positives that are correctly identified as such (e.g., the percentage of sick people who are correctly identified as having the condition).Specificity (also called the true negative rate) measures the proportion of actual negatives that are correctly identified as such (e.g., the percentage of healthy people who are correctly identified as not having the condition).

If you still having issues, please go to: http://dentalhygienehelper.com/calculations/11. What is the component of color that most closely corresponds to` wavelength?A. HueB. ChromaC. ValueD. Brilliance

12. Nitroglycerin, MOA: relaxation of vascular smooth muscle13. Opioids cause all, except: Mydriasis

Opioid causes Miosis

- Nausea and vomiting- Abdominal distention and bloating- Constipation- Liver damage (especially prevalent in abuse of drugs that combine opiates with acetaminophen)- Brain damage due to hypoxia, resulting from respiratory depression- Development of tolerance- Dependence

15. The Dr changed heparin medication to Plavix, what’s the management: don’t change anything

“There is general agreement that in most cases, treatment regimens with older anticoagulants (e.g., warfarin) and antiplatelet agents (e.g., clopidogrel, ticlopidine, prasugrel, ticagrelor, and/or aspirin) should not be altered before dental procedures. The risks of stopping or reducing these medication regimens (i.e., thromboembolism, stroke, MI) far outweigh the consequences of prolonged bleeding, which can be controlled with local measures. In patients with comorbid medical conditions that can increase the risk of prolonged bleeding after dental treatment or who are receiving other therapy that can increase bleeding risk, dental practitioners may wish to consult the patient’s physician to determine whether care can safely be delivered in a primary care office. Any suggested modification to the medication regimen prior to dental surgery should be done in consultation and on advice of the patient’s physician.”

https://www.ada.org/en/member-center/oral-health-topics/anticoagulant-antiplatelet-medications-and-dental-

16. What causes a superinfection: broad spectrum antibiotic, narrow spectrum

Which of the following antibiotics is LEAST likely to cause superinfection? a. Gentamycin b. Tetracycline c. Penicillin G d. Streptomycin

17. Frey syndrome

It is a rare neurological disorder resulting from damage to or near the parotid glands responsible for making saliva, and from damage to the auriculotemporal nerve often from surgery. The symptoms of Frey's syndrome are redness and sweating on the cheek area adjacent to the ear (see  focal hyperhidrosis). They can appear when the affected person eats, sees, dreams, thinks about or talks about certain kinds of food which produce strong salivation. Observing sweating in the region after eating a  lemon wedge may be diagnostic.

18. Anemia is caused by: vitamin A deficiency, vitamin C or vitamin B12,b919. Amitriptyline, Sertraline, Adderall in casesAmitriptyline (Elavil): TCA, acts primarily as a serotonin–norepinephrine reuptake inhibitor (SNRI)For: major depressive disorder, anxiety disorders, and less commonly ADHD and bipolar disorder, prevention of migraines, treatment of neuropathic pain (fibromyalgia and postherpetic neuralgia), and less commonly insomniaCan cause dry mouth (anticholinergic effects)With epinephrine: tachycardia, hypertension!

Sertraline (Zoloft): selective serotonin reuptake inhibitor (SSRI)For: major depressive disorder, obsessive–compulsive disorder, panic disorder, and social anxiety disorderSafe with epinephrine.

Adderall: amphetamine derivative, a central nervous system (CNS) stimulant of the phenethylamine class. For: ADHD, narcolepsy, athletic performance enhancer, cognitive enhancer, aphrodisiac and euphoriant.People taking stimulants may notice bruxism (teeth grinding and clenching) and a decrease in saliva, resulting in dry mouth (called xerostomia).

20. What is less likely cause periodontal disease: xerostomia or poor keratinized gingiva

21. Why aspirate a cyst: to rule out a vascular disease

23. What do you close first: palatal fissure, labial fissure, or both at same time

. Patient with braces since 5 years, has splint and fracture on #8, what is the reason.Ans – Trauma

Adenoid cystic-minor

24. Mild fluorosis pictures

25. Bottle decay, order: maxillary anterior, maxillary posterior, mandibular posterior and mandibular anterior

Early childhood is max ci and max 1st mlr

26. Kenalog in Orabase

24. Dental phobia is classified as a personality disorder Dental anxiety can result from the pairing of previously innocuous stimuli with an unpleasant experience

A- Both statements are trueB- Both statements are falseC- The first statement is true, the second is falseD- The first statement is false, the second is trueAns - D

Which of the following medications shortens the recovery period of primary herpetic gingivostomatitis?a. Acyclovirb. Zidovudinec. Kenalog in Orabased. None of the above

KENALOG® IN ORABASE® (Triamcinolone Acetonide Dental Paste, USP), 0.1% is indicated for adjunctive treatment and for the temporary relief of symptoms associated with oral inflammatory lesions and ulcerative lesions resulting from trauma. It is contraindicated in those patients with a history of hypersensitivity to any of the components of the preparations; it is also contraindicated in the presence of fungal, viral, or bacterial infections of the mouth or throat. It is a topical corticosteroid, has anti-inflammatory, antipruritic, and vasoconstrictive properties.

27. Mumps: paramyxovirus, parotid gland enlargement, orchitis 28. Bacteria of ANUG: Spirochetes

Nug-spiro,fuso,prevotella interLap-aa Chronic-p gingivalis

Necrotizing periodontal disease is caused by a mixed bacterial infection that includes anaerobes such as P. intermedia and Fusobacterium as well as spirochetes, such as

Treponema. ANUG may also be associated with diseases in which the immune system is compromised, including HIV/AIDS. ANUG is an opportunistic infection that occurs on a background of impaired local or systemic host defenses. The predisposing factors for ANUG are smoking, psychological stress, malnutrition and immunosuppression.

29. Patient swallows a crown, where would you find it: right bronchus30. Workers of nuclear plant, how much radiation permitted. 5 REM ans

On average, a nuclear worker receives approximately 150 mrem of occupational exposure a year (Source: Nuclear Regulatory Commission). The Nuclear Regulatory Commission (NRC) allows up to 5,000 mrem of exposure annually for nuclear workers.Radiation is measured in units called rems and millirems. The rem is a unit of measure that takes into account the effect different types of radiation have on the body. A millirem is 1/1000th of a rem.

31. Bifid spine shuntAfter googling & looking on the group:A ventriculoperitoneal shunt removes excessive cerebrospinal fluid from the ventricles and shunts it to the peritoneum = the shunt is used in hydrocephaly, not spina bifida. I don’t know what this question might be about.

Medical conditions associated with an increased risk of latex protein allergy: Spina bifida

Urogenital abnormalities Imperforate anus Tracheo-oesophageal fistula Multiple congenital deformities Ventriculo-peritoneal shunt Cerebral palsy Quadriplegia Pre-term infants

32. Percentage of Fluor ion in 1 liter of water at 1 ppm concentration ANS 1 MG/KG

33. Which one is stronger: fluorapatite, hydroxyapatite

34. What bacteria starts caries: S. mutans or Lactobacillus

35. Best type of Fluor in school with high caries rate: daily 0.05% NaF or weekly 0.2% NaF

36. Most common Fluor in dental office: APF (acidulated phosphate fluoride)39. Varices in ventral tongue

41. Apexogenesis and apexification cases

Apexogenesis: open apex, vital pulp therapyApexification: closed apex, non-vital pulp therapy (pulp is removed)

43. When taking the first radiograph in a child: when all contacts closedAns- when all contacts closed, when about 1st molar is erupting

44. GI in a radiograph

45. Pulp at 6 weeks, asymptomatic what this means: not definitive, dentin bridge has formedKaplan Notes: “…after a 3-4 month waiting period the tooth is pulp-tested and evaluated for symptoms. During the waiting period, it is hoped that the secondary dentin formation and arresting of any caries remain. If asymptomatic and vital, a permanent restoration can be placed.”

46. Torque

48. How to apply intrapulpal anesthesia: with pressure

49. Pins in amalgam: perpendicular to pulp floor,

parallel to wall, parallel to vertical axis Ans – parallel to wall,

50. Most relapse: rotation of toothDue to supracrestal fibresLeast= intrusion

Most common area of fracture in children: condyle, least common coronoid

51. Macrodontia, what stage: bud stage, morphodifferentiation-size and shape

-INITIATION: Defects in this stage result in anodontia or supernumerary teeth. -CAP STAGE: Defects in this stage result in dens-in-dente, gemination, fusion, and tubercles. -bell stage : Defects in this stage result in dentinogenesis imperfecta, amelogenesis imperfecta, and macrodontia / microdontia.

52. Concrescence, what stage: apposition and maturation stages

53. Induces root dentin formation: Hertwig sheath54. Treatment of intrusion in a permanent with complete apex: orthodontic or surgical intervention first ortho if impinging to nerve its surgical,

55. In which order will appear canals of a first mandibular molar if you take x-ray from mesial: ML, MB, DMesial – Palatal, MB2, MB1, Distal Mb2 is lingual and mesial to Mb1

y56. Old patient fell and broke her central incisor resin, treatment: Rct, we can try pulp capping, splint, re-do the restoration & observe – depends on type of fractureellis 3-dpc If minor exposure3more pulp exposure & more time-RCTmore crownstructure lost- Rct+post core

57. Horizontal fracture: splint and observe apical upto 3 weeks splint. Horixontal 4-6weeks middle 4-6 weekscoronal upto 2weeks, avulsion 7-10daysnon rigid in avulsion rigid in fracture

58. Replacement resorption: ankylosis 60. Angle class 1, 2, 3; molar in pictures

Go to: https://www.youtube.com/watch?v=CMw-bTds1XE&fbclid=IwAR08d0VFM64EXwiziDPKMX3zRuo7D-TWj_GPFtSFJjkc-Ia7jYI4qkoaD20

62. Avulsed primary, when do you replant: you don’t

63. Replanted permanent with closed apex outcome: revascularization, external root resorption

64. 8-year-old patient lost his first permanent molar, what treatment: space maintainer ASAP, let second molar eruptAns - space maintainer ASAP.. to prevent upper extrution

65. Second premolar extracted and first molar drift to that space, you’re creating space between first premolar and first molar, which one will move more? 1St Molar66. Prazosin: alpha-1 blocker, beta blocker67. Where you auscultate pulmonary valve: second left intercostal space68: MOA of Aspirin: irreversible COX inhibitor, inhibits PG synthesis, effects: analgesic,

antipyretic, bleeding time69. Thyroglobulin reservoir of thyroid hormone: precursor of the thyroid hormones

Thyroglobulin protein accounts for approximately half of the protein content of the thyroid gland. The protein is a precursor of the thyroid hormones; these are produced when thyroglobulin's tyrosine residues are combined with iodine and the protein is subsequently cleaved.

71. Scopolamine, atropine: anticholinergics (decrease salivary flow)72. Patient came back after you placed a restoration and has spontaneous pain and pain to percussion, diagnosis: hyperocclusion74. Osteogenesis imperfecta

A group of inherited disorders characterized by fragile bones that break easily. Blue sclera, associated with dentinogenesis imperfecta – type 1Type 1 and 2 show total obliteration of pulp chamber, but type 3 show thin dentin which appears as “shell”.

75. Flap design77. Patient with difficulty in swallowing, sore throat, very erythematous: pharyngitis

Could be simple pharyngitis, but also…

78. What is hypertelorism: term used to describe an abnormally large distance between the eyes

79. What happens to epithelium of the graft: sloughs off 80. Painful nodule on the tongue: neurofibroma, traumatic neuroma

81. Cyclic neutropenia

82. What won’t let you do distal wedge flap: mandible ramus too close, insufficient space distal to the last molar85. Plaque index used for: patient motivation

86. Patient incorrectly diagnosed as having the disease: false positive87. Why do you use bags when you sterilize: to prevent contamination after sterilization88. Face mask will loss effectivity after: 2 hours 20 mins89. PPO90. Patient on radiation therapy, needs extractions: patient under hyperbaric oxygen before and after extraction

90. Frankfort line used to: estimate occlusal plane91. Nikolsky’s sign positive in: pemphigus, erythema multiforme92. Infection of an inferior premolar with apex at level of muscle attachment, what space goes the infection: buccal, sublingual, submandibular, submentalAsn - sublingual,94. Rapport- Active listening95. How to know if patient understands informed consent: make patient tells you the treatment options in his own words96. A lot of questions on autonomy97. Patient says “I don’t have time”: precontemplation98. What doesn’t modify health behavior: social, politics (?), cultureAns - Politics

99. Repair of composite veneer- clean,etch and resto. Microetch silane bonding100. Shaping: stimulus-response101. Systematic desensitization102. Flooding103. X-ray of a complex odontoma

Compound odontoma: anterior maxillaComplex odontoma: posterior maxilla and mandible, unrecognizable dental tissues

104. X-ray of torus

105. X-ray of sialolith in the floor of mouth

106. Minimum buccolingual space for an implant: 1 mm + 0.5 mm + size of the implant (3.5 mm?)Ans- 2mm+implant

1.5mm labial 1.5 lingualSize of the implant – 4 mm Total diameter we need- 7 mm

Mental foramen- 5 mm Implant to implant – 3 mm Implant to tooth- 1.5 mm

107. What not give to a patient with hyperthyroidism: epinephrine, lidocaine, carbocaine108. Dentist doesn’t tell that he’s not collecting patient portion, what principle: veracity, justice

Ans-AUTONOMY 109. Bisphosphonates to treat except : Paget, osteoporosis, osteomyelitis, hypercalcemia

Ans- osteomyelitis110. Drugs with amnestic effect (retrograde amnesia): benzodiazepines111. Symptoms of epinephrine toxicity: CNS stimulation, hypertension, vasoconstriction112. Treatment for a lesion on the tongue (it looked like candida): Nystatin113. Dietary evaluation for what: to check consumption of carbohydrates114. X-ray of concrescence

115. Picture of pyogenic granulomagingiva and tongue

116. Aphthous ulcer picture

117. Pathology description: it was ANUG (punched out lesions)118. Behcet syndrome characteristics-oral and genital ulcers119. Erythema multiforme, cause-hypersensitivity reaction to some drugs ,steven Johnson ,target and bull.121. Leucoedema, differential diagnosis: leucoedema disappear with stretching the mucosa; leukoplakia, frictional keratosis122. Picture of glossitis migratoria

123. Lupus affects: heart and kidney124. Parulis (fistula granuloma)

Iapical prob

125. Cheilitis angular treatment: removal of the cause, vitamin B12, nystatin126. Melanoma differential diagnosis

127. Picture of papilloma in gingiva129. Bohn nodules

Bohn’s nodules are distributed over the junction of the hard and soft palate. They are derived from minor salivary glands. They are found at the junction of the hard and soft palate, and along lingual and buccal parts of the dental ridges, away from the midline. These nodules are 1–3 mm in size, and filled with keratin. Bohn also classified cysts in the alveolar ridges as mucous gland cysts. However, a century later it was shown that these cysts are microkeratocysts.

Epstein’s pearls are palatal cysts found along the median palatal raphae and arise from the epithelium entangled along the line of fusion. They are small white or yellow cystic vesicles (1 to 3 mm in size) often seen in the median palatal raphe of the mouth of newborn infants (occur in 60-85% of newborns). They are typically seen on the roof of the mouth (palate) and are filled with fluid. They are caused by entrapped epithelium (fissural cyst) during the development of the palate.

130. Eruption cyst

1 Ibuprofen moa?Irreversible inhibit platelet aggregationReversible inhibit platelet aggregationExtrinsic pathwayIntrinsic pathway

2 Hydrolisis CO2CO2 + H20 <=> H2CO3(carbonic acid) what is catalyst? Carbonic Anhydrase

3-What cyst is a true cyst?DermoidalStaffineDentigerousNasolabialAns- Dermoidal,Dentigerous,Nasolabial (Multiple). If they ask 1 – Dermoid

4-The most common genetic disorder? Amelogenesis ImperfectaFibtous displasiaDentinogenesis imperfecteDentinal displasiacranial disostosis

6 Mandibular nerve foramen, ovale

7 Take care of avulsed tooth, EXCEPTSoluton (forgot name of it)ReplantingScrabble tooth surface from debrisTo take appointment patient sooner

8 Cause of secondary hyperparathyroidismPituitary tumor renal failurecardiac congestion

Safe drug in renal failure ? Oxycodon

Oxycodon- Safe drug in Renal failure Hydrocodon- schedule 2 in severe pain condition

9 Delayed side effect of corticosteriod treatment of TMJEar painretroorbital painnauseablurred vision

10 Chronic pericoronitisSeen on x-ray as flame-like appearance distal to the mand. third molarSeen as radiolusency medial to M 3-rd- ANSNot seenSeen only in period of exacerbation

11 Less recurrence tumorOdontogenic keratocystCompound odontomaAmeloblastoma

12- A stent for palatal flap for what?Preserve from displacementTo eat patient normal food after surgeryTo improve the nutrition of the flapAns –A Preserve from displacement

32- For big osseous defect, what graft is better?AllograftAutograft- ansDried frozen

14 Patient age (don't remember), 17 years on amphitamines. if to give her an epinephrinewhat gonna be? TachycardiaLoss of consciousnessInfarct

15 Gardner and Neurodibromatosis what is common? Autosomal dominant Gardner and cleido-supernumery.

16 MOD amalgam, demarcated line in the isthmus, and this line is nota junction of two separate amalgams. What you'll do?ReplaceLeave itReplace part to composite

17 Cause of isthmus fracture in amalgam? insufficient depth bulk.

18 You noticed that lower molar restoration is unstable in occlusion,What you will do?Make deeper buccal grooveMake deeper lingual grooveMake depper proximal groovesAns - Make deeper buccal groove

19 What tooth has developmental grove, which influences to development of primary periodontitis?Max.1 prem (mesial marginal groove)max 2 premmand.1 premmand 2 prem

20 Which relationship of primary molars can lead to Class 3 malocclusion? Mesial step

class1- fluah and mesialclass2-distalclass3-extreme mesial

21 2-nd class amalgam, you notice a small chip on margin - 0,5 mm (It's not a mistake,just millimetres, a half of millimetre.) What you'll do?To replace a part of amalgamTo replace all amalgamLeave it and observe?Update: for 1st option it was written as add bonding agent and repair... They mention there were no evidence of caries.Upto 0.5- leave and observe more than 0.5- replace

22 During endo the dentist can feel all ECXEPT:Canal shapeCanal lenghtCanal structurecanal composition

23 During endo you meet a ledge inside the canalWhat to do?Take a larger fileLeave and obturate before the ledgeTry to remove ledgeTaka a smaller file and try to pass by

24 Question with a graphic

.You have two drugs, A and B. According to this graphicwhat you can sau about an efficacy of drugs?The efficacy of A is greater than BEfficacy of B greater than A

Efficacy of the drugs the sameAns- The efficacy of A is greater than B

26 If the drug's liver metabolism is very efficient how it will influence to it potency? Decrease potency

27 What is Piere abutment?

28 Child 13 kg, how max. dose of anesthetic?13*4.4= 57.2 mg. 2% Lido used, 57.2/36= 1.58 carpules

29 Pregnant women after knee surgery on tramadol and Tylenol 3. What will you give for relieving tooth pain? Oxycodone, I answered. Other options were ibuprofen, acetaminophen, aspirin - clearly, that after tramadol nothing will help her.ANS- INCREASE DOSE OF PERCOCET

30. Who must give prescription to schedule 2 drugs?Dental assistantDentist have to callPhysician Needs writing prescription

31-What cannot be on tongue Ectopic thyroid Peripheral giant cellPyogenic

32-Paresthesia of lips indicates i choose malignancy

33- During an IAN not been able to achieve proper anesthesia means it went to which accessory innervation MylohyoidAuricotemporalTwo more neeves

34- Most radio resistant So confusing choices were nerveStriated muscleLEAST-HEMATOPOITIC

35- Dentist made an IAN block but during caries preparationthe patient feels a pain. What is the cause of this pain?Dentist unprofessionalismAcessory innervation

37- Open bite more than 8 mm, what you'll do?Le Fort 1 osteotomySaggital osteotomyVertical osteotomyOrthodontic

38- Cephalometric x-ray with open-bite and question what is the class of occlusion we seeClass 2Skeletal class 3Functional class 3Someone else, don't rememberI answered skeletal class 3 because there was a big mandible protruded ahead and molars relation was class 3, and all profile was elongated.

Open bite... Can't be class 2 Deep bite- class 2

39- Cephalometric x-ray, and in an upper right corner there is an image of a ruler, it's just a vertical part of ruler line.What for the ruler here?For cephalometric measuringFor determining of magnification of the imageFor determining relation of upper part to lower (face)

1. Boys and girls in school age study? T test

2. First step to start Desensitization, I choose apply topical, other options were related to the procedure3. Manipulative kid, extinction was not an option6. Who is at least risk of inhaling N2O? patient7. Lesion associated with impacted canine, eruption cyst wasn’t there, but AOt was 9. Swelling on lips after taking impression-angioedema 10. White mass in the palate - leukokeratosis11. Guy with bluish lesion on lateral tongue for more than 5 years? Hemangioma I choose but hamartoma was in the options

12. The amount of radiation on a panoramic RX is compared to? 1. A CT scam 2. MRI 3. 4 bitewings 4. Full mouth series of rxAns - 4 bitewings13. Very big RL related to the palatal root of max first molar. How will you know the extension of the RL? 1. Periapical 2.bitewing 3.CT scan 4. PanoramicAns - 1. Periapical or CT SCAN. Group-confuse14. Another crazy one was... if you are doing the injection of local anesthesia and two drops fall into the mouth and the patient complains about the bitter taste, this happens because of what? . - Reaction of the LA with the topical-LA altered the taste sense of the pt . -because LA are acid or something like thisAns –b or c GROUP- C20. What do you check in the wax trying Except? face bow transfer21. Taking impression for a lower denture? Ask patient to close or move the tongue left and right How much dental peronal accepted radiation dose than nuclear-1/5 i remmeber23.What causes the least buccal-lingual resistance to lateral forces two 5mm diameter splinted implantsTwo 4mm diameter splinted implantsOne 5mm diameter implantOne 4mm diameter implantTwo 5mm diameter splinted implants

23. Antibiotic for NO- ODONTOGENIC Maxillary Sinusitis? Dentin say Ampicillin is the best choice but it wasn’t an option, Penicillin was sinusitis- AMOXI+CLAVULINIC ACID

26. Pregnant women taking Percotet (yes my dear Percocet) and Tramadol they asked which medication would you give her: Increase the dosage of Percocet, Aspirin, Ibuprofen, Increase the dosage of Tramadol, Or giver her Tylenol 3Ans- Increase the dosage of Percocet,

27 Papilloma on palate29. Cephalometric of Paget disease31. Nutritious Chanels on PA32. Panoramic with Stafne defect, they put salivary gland defect instead of it, other 3 options were cyst that could appear in the area, so don’t get confused 33. PA of Cemento Osseous Dysplasia 34. Oral Sedation disadvantage-severe absorption35. Advantage of given No2/oxigen like reduce gag reflect, activate cognitive, very confusing thingsAns- reduce gag

Aim 30 oct1. Implant distance between 2 teeth it wasnt asked directly

3mm 2. Pics3. Aot

4. Erythtoplakia

5. Eruption cyst

6. Hyoid bone7. Repair after occlusal trauma:A. Cementum resorptionB. Narrow pdlC. Cortical bone thin to expand bone marrow

7. Lisence n advertising one

8. Back pressure theory ques

9. Dessication

10.Omperazol moa

It acts as proton pump inhibitors One option was stomach antacid dont pic that

11.No2 sedation what does not affectCold ,Trauma ,Sickle cell anemia ,BleedingAns – Cold

88. What is the LEAST likely reason for postoperative sensitivity after a Class I occlusalcomposite restoration is placed?A- Gap formation which allows bacterial penetration into the dentin tubulesB- Gap formation which allows an outward flow of fluid from through the dentin tubulesC- Direct toxic effects of a 15 second acid etc on the pulpD- Cuspal deformation due to contraction forces of polymerization shrinkageAns - C

12.You have to remove impacted mandibular 3 molar n some long story reaso for removal was asked mainlyOptions wereA-Distal caries to 2mB-Peri apical bone lossC-Distal inflammation 2m

D-Pt dont wnt it

Ans- A-Distal caries to 2m

13.5r’s of tobacco cessation this was a exception ques like which of this is not included in 5 R’s of tobacco cessation so know those

14.Sinus treatment direct ques Lefort 1 was in option

15.That enamel calcification of permanent molar we use to scrach our birth A- ZeroB- 1/2 C- 2/3D- 3/4

Now you know it zero as it starts at birth

16.Histoplasmosis in oral cavity looks like

A- Carcinoma- scc

B- UlcersC- Something else

1 is ans

17.Acute Abcess u vital or nonvital??? Non-vital

18.Over denture support n retention by

Implant- retentionSupport- Ridge

19.Ada seals on material reason fr it- safety and efficacy

20.I had one ques on some act in 1997As was mediaidSeizure in children was asked-febrile

21.2/4 ques on postive false true neg n all type

22.Not dd of diDdAi Ecto

23.scoplamine used for-motion sickness

24.Leukoterine action remember something ques

25.Omeprazole

26.Broad base origin which caries

27.A man had a complain of hard swelling on palate Acc was ans

28.No abx given in A- LapB- Chronic periodontitis

C- Apical periodontal abcess

D- General gingivitis

29.2/4 on nonmalinamne autonomy

30.Like dentist dont know he wont be able to do trtment so he snd pt to specialist whic ada code- maleficence

31.Then pt is asking fr his trtment to be done by some specialist

32.Cyst nt in bone?? Nasolabial

33.Tetra most affect?Ans-Dentin

34.Tumor having ename dentin ename matrix cementum???

A- Odontoma

B- Aot

C- Ameloblastoma

D- Amelo fibroma

Ans - Odontoma

35.Action of nalorexen A-High highB- Low highC- Low zeroD Zero high

Ans –D Zero intrinsic potency, high efficasy

36.Veener facial reduction was asked0.5mm

37.Vestibuloplasty which muscle involved??? Was askedA-Buccinator B-MentalisC-TriangularisD. One more

Ans – Mentalis, Mylohoid, Buccinator - All 3

97. Which of the following is the single most important factor affecting pulpal response to toothpreparation?A- HeatB- Remaining dentin thickness- ans C- DesiccationD- Invasion of bacteria

38.A women had a lesion on palate few years ago what culd be DD of that lesion she had bfre

39.Ph is dec in inflmmation whaat is the action of nsaids there??A- Inc action of nsaid B- Dec actionC- Nsaids move to area where no inflammationD- Nsaid move to near the area of inflammation ANS

40.One ques i had on abfraction causes strain due toA- ShearB- Copressive

C- Other 2 wer nt relevant

D- Ans – shear

41.Variocsities are due toElderly ageHypertension Young ageOne moreAns - Elderly age

42.Maxilla cd n rpd in lower impression technique was asked - passive

43.Xray tube metal -lead

Target- Tungsten

44.Wavelength withHue Chroma Value

The space for the eruption of permanent mandibular second and third molars is created by the A. apposition of the alveolar process. B. apposition at the anterior border of the ramus. C. resorption at the anterior border of the ramus. D. resorption at the posterior border of the ramusAns - C. resorption at the anterior border of the ramus.

45.Epinephrine which organ somethng -thyroid

46.MRI BYRadiowaves

47.15 year old kid painful vesicles in mouth lymphadenopathy and 103 temp for 3 daysInfectious mononucleosis

48.Another 5 year old kid has fever, swollen red gums (other feathers which I cannot remember)-primary herpetic gingivostomatitis

49.Leukotrines clinical manifestation- they cause asthma

50.Monteleukast- block leukotrines

51.Athetoid Palsy-slow movements

52.what does the O stand for in PICO(t) -Outcome

53.Class V composite retention features?

-parallel occlusal and gingival walls. -Parallel mesial and distal walls. -Grooves on occlusal and gingival-Grooves on mesial and distal.Ans--Grooves on occlusal and gingival

54.Most radioresistant? muscle, nerve

55.IL 1 for bone resorption

56.Wht does rest do -Vertical support

rest- vertical support clasp- retention Major connector- Rigidity and support

57.All new cases but short

58.Cases on papilloma 59.One ortho 60.Multiple myloma61.Had some endo case on irreversible pulpitis

Elosmile 0ct 30th 3 A recent hired dental assistant erased the information about a patient and patient is upset. How doctor managment this issue Fire the dental assistant ask to the higenist deal with the patient Doctor explain the situation to the patient, and ask him to return to refill your information and let him to make the decision

4 All this test are for bacteria? Which is the execption? Interleukin 1 (I L1). ADN test. Dark test. Another optionAns – IL1

5 How does oxycodone works?

Infraorbital in facebow for what?-anter reference point

6 pregnant in her 8 month, what not to give her acetaminophen ibuprophenAns – Ibuprophen

7 Pyogenic granuloma 10 X ray show a mandibular radiopacity Boy 20 year in mandibular area. Cementoblastoma. Or complex odontoma. Ans- Cementoblastoma.

11 picture of mandibular case of compound odontoma 12 Differential diagnosis of odontoma ? 13 EPT for? 14 Pic of paget disease 15 Which one is more frecuent? DI, AI, dentinal dysplasia cleft lip Ans- DI

16 What not to do in a low keratinized moderate- severe distal pockect in tooth number 2 Gingivectomy Distal wedge Apical displace flapAns - Gingivectomy

17. A girl have a radio lucent/opaque image in lower mandibulars, what is it? Odontoma Ameloblastoma Ameloblastic FIBROdontoma

18 only 1 question about non working side interferences, in which inclines? LINGUAL MANDI, BUCCAL MAXIlingual inclines of buccal cusp of mandi20 what to expect in a acute periodontal abcess plasma cell, PMN-ANS, 21 currette gracey knows about their blades, angles, shank and blades relation. How they are related one to each other. Gracey - working angulation - 45-90 Universal - 90Blade - Gracey - 70Cutting edge - C+Gracey - 1Universal - 2Gracey - biangledUnivers- single

22 A picture of palate with hemangioma

23 what is the best preventive treatment for angina? Except question Thiazide Propanolol Digoxin Ans – digoxin and Thiazide – both not given

26 Question about which of the following medication reduce the reabsorption of Na? caffeine, mannitol, spirolonolactone hydroclrothiazide.Ans - hydroclrothiazide.

27 main bacteria in the initiation of caries........S. Mutans 28 bacteria that has the funtion to mantain caries after initiation of S mutans......Lactobacillous 29 what do you see in the tension side of the bone in orthodontic treatment Osteoclastic activity Osseous formation,,,tension is osseus bone formation 30 Which procedure is when you are taken apart the ssuportive bone: osteoctomy 31 which factor is less important related to implant: smoke, age, 32 best place for implant. Mandibular inferior. Less important-age

33 raport? It is active listening? Or Contact eyes? There were both of option. 34 What is the fucntion of the internal part of an implant. Ans-hex for antirotation35 MRI to see what? Anatomy of condyle, disc. ANS-DISC 36 oclussal trauma type 2- ANS-DAMAGED PDL 37 oclussal trauma type 1-IN HEALTHY PDL38 alveolitis managment. What to do , place antibiotic, clean the clot, place sedative? Ans- place sedative

39 x ray showing nutrient canal –periapical of mandi pm will be there40 Cleft lip due to wich process? nasal median and maxillary process,happens during 5-6week.multifactorial41 what do you see in osteoporosis?- THIN TRABECULAE 42 Traumatic cyst bone- SCALLOPED AROUND MANDIBULAR MOLAR 43 2 question about how doctor deal with a lawsuit?- DOCUMENTATION 44 A picture with ulcers. looks like herpes virus 45 DEA schedule – CODEINE+ACETA= SCHEDULE 3HYDROCODONE+IBU= SCEDHULE 3 VINCODINHYDROCODONE+ACETA=SCHEDULE 3OXY+ACETA=SCHEDULE 2 PERCOCET

46 which is one better for remineralized a tooth in a patient with xerostomia , varnish fluoride, Prilocaine, sodium fluoride? SENSITIVITY VARNISH, REMINERALIZATIO NaF

47 which one have the higher effect over the outcome of pulp capping. . use it if you have a 0.75 mm exposition. Always use caoh. A good isolation. 48 overhang in amalgam is the result o af thick matrix, non well positioned wedge...... 49 reverse papilla

50 lession identified by cytology, what to do next.? Ans. Biopsy, 51 Localized periodontitis treatment? Ans. SRP plus antibiotic Cocaine intoxication you dont see. Ans Mosis54 most common see in dental chair syncope or hyperventilation ans SYNCOPE 55 Width of attachdd gingiva measure is 2mm width of free gingiva is 1mmbiological width 2.04 mm 56 width of gingiva is measure from. fornix of gingiva to cej. Ans-Margin to mucogingival junction 57 the most important is: value 58. Unbundling – charging separately for all services to get more money 104. At what age child gain toothbrush's skills? 2-5 6-9 11-13 He can do it alonetooth brush 2-5yearsflossing 6-8years

-Avulsed tooth, wt not to do?-water. Ans hanks solution-Slob rule one question-1 mm overseal wt to do? Observe every 3 month true-7 year boy big cavity on 19 , not pulp involve- manage by amalgam or ipc-sodium hypo for cleaning-irrigantnaocl- for removing organic substances-bypass canal-ledgetake smaller size file and u try to bypass ledge -Root resorption. Inflammatory External root resorption 3 types Inflammatory-necrosisAnkyloses avulsion-replacementTrauma surfaceCervical bleaching

-horizontal tooth fracture what not to do? Root clean-percentage of mandibular LI for 2 canal-lots of reversible/ irreversible pulpitis and abscess, periodontitis-flap, ginvectomy indication, conta-braceros for chr periodontitis-plaque theory-LAP .. Anibiotic and SRP-primary /2nday trauma-gracy cureter tips how it looks?-neutrophil in lesion..cyst/ abscesscyst ans-OHI for 8 year child

-palatial tori remove- GP artery -mandibular 3 rd molar lost which space- man 3 rd molar infection which space-advantage N2O- disadvantage of inhalation sedative-8mm overjet-syncope first sign.. weak pulse or hypotension -Adrenalin crisis - thyroid crisis

-after extraction too much bleeding wt to do? Give k/ 911/ 3-0 stich/ ANS 3=0 STICH-Ludwig angina space- submandibular,sublingual,submental-indication for impacted tooth extractionANS- CARIES ON DISTAL 2ND MOLAR-heroin addiction pat tooth extraction most important concern Infection/ post oparative complicationAns- infection due to post op complication,healing does not happen-bad force for implant ANS HORIZONTAL

- laboratory test WBC 1980, diagnosis? Agranulocytosis/ leukemiaans= agranulocytosis-- Epi with amphetamine ANS INCREASE BP CRAZILY

-epi works on which receptor for vesoconstiction- alpha 1-pain killer for renal disease patient-percocet-Pregnent patient taking Percocet and tramadol,need extraction, after extraction wt u recomand for Pain -Tylenol 3Extend dose of Percocet ANS

-dry mouth treatment- fake saliv ANS-opioid antidote ANS NALOXONE-epinephrine contraindication with…..? tca,moa,thyroid

-anti cancer drug side effect- BONE MARROW SUPPRESSION,HAIR LOSS-antidepressant drug side effect- ANTICHOLINER LIKE SIDE EFFECT

-h1 blocker how work- by receptor blocking / by physiologic antagonist?-clindamycin side effect- PSEDUOMEMBRANE COLITIS-dementia- SHORT TERM MEMORY LOSS-aged patient – depression

-angina drug- NITROGLYCERIN,PROPANOLOL &CA+ CHANNEL BLOCKER-Opioid side effect which one not-uritis/ cough suppression/miosis - cocane side effects- miosis/ mydriasis ANS MEISOSIS

-pain killer for kidney disease patient ANS ACETAMINOPHEN-benzodiazepines contraindication with pregnency T/F true, -side effect of OCP ANS THINNING OF BLOOD BT -which is not craniofacial disorder-differential diagnosis of white lession and brown lesion -true cyst- dermoid cyst-scalloped outline cyst -all about pulp caping, pulpotomy-trauma and avulsed tooth treatment-lot of behavior management-hypodontia when occurs- dentinogenesis imperfecta occurs in histodifentiation or morphodifential stage- trisomy21- macroglossia/ class 3 malocclusion/ recent caries/ which one bestANS- ALL EXCEPT RAMPANT

-direct pulp capping prognosis depends on isolation/less than .75 expose/ less bleeding?ANS- ISOLATION-distal step for- class 2-nasal blockage patient face profileANS CONCAVE,LONG FACE-hyoid bone in ceph X-ray-acrylic reSin activator- TOLUIDINE ANS-major connector function ANS RIGIDITY & SUPPORT- Kennedy class 3 support comes from- ANS TOOTH

-cement for class 5 ANS RESIN , IF CARIES GIC-polyvinyl siloxin – sulfur TRUE, DON’T USE GLOVES WITH THIS-rubber dam leaking- ANS TOO CLOSE LEAKING -Tracey curettes tips looks like? ANS SPOON

-HPV vaccine should get before 18 or after 18 age ANS BEFORE 18-syncope first sign ANS- TACYCARDIA+WEAK PULSENO- TINGLING & NAUSEACAVERNOUS SIGN- BLURRING VISIONSYMPTOM HEADACHEPANIC-DOOMEDHYPERVENTILATION-TINGLING

HYPOXIA-INCREASE PULSE & CYANOSIS

- CAMBRAX-ray Nutrition canalInferior conchaHyoid boneSinus floor Nasal floorCementoblastomaCondensing ostitisPapilloma MelanomaLeukoplakiaHeamangeomaDry mouth syndromePeget diseaseI also got this from Elosmile Val

1Naloxone reverse.....? 2Flumazemil reverse ....?3 A recent hired dental assistant erased the information about a patient and patient is upset. How doctor managment this issueFire the dental assistantask to the higenist deal with the patientDoctor explain the situation to the patient, and ask him to return to refill your information and let him to make the decision4 All this test are for bacteria? Which is the execption?Interleukin 1 (I L1). ADN test. Dark test.Another option5 How does oxycodone works?Infraorbital in facebow for what? Distance between maxilar and mandibular Centric relation6 pregnant in her 8 month, what not to guive her acetaminophenibuprophen7 Pyogenic granuloma8 Description of pericoronaritis for recognition.flame shape9 Down syndrome 3 question

10 X ray show a mandibular radiopacity Boy 20 year in mandibular area.Cementoblastoma. Or complex odontoma.

11 picture of mandibular case of compound odontoma12 Differential diagnosis of odontoma ?13 EPT for?14 Pic of paget disease15 Which one is more frecuent?DI, AI, dentinal dysplasia cleft lip16 What not to do in a low keratinized moderate- severe distal pockect in tooth number 2GingivectomyDistal wedgeApical displace flap

17. A girl have a radio lucent/opaque image in lower mandibulars, what is it?OdontomaAmeloblastomaAmeloblastic odontoma

18 only 1 question about non working side interferences, in which inclines?19 the best indication of nitro

20 what to expect in a acute periodontal abcess plasma cell,PMN, 

21 currette gracey knows about their blades, angles, shank and blades relation. How they are related one to each other.22 A picture of palate with hemangioma

23 what is the best preventive treatment for angina? Except questionThiazidePropanololDigoxinAns =Thiazide and Digoxin

24- gingivectomy like 3 question.........for what is used?, amount of keratinized gingiva.

25 Which lozanger for treatment of oral candidiasisFluconazoleNystatine.Clotrimazol.Ans – Nystatin

26 Question about which of the fallowing medication reduce the reabsortion of Na? caffeine ,mannitol,spirolonolactonehydroclrothiazide.29 what do you see in the tension side of the bone in orthodontic treatmentOsteoclastic activityOsseous formationAns - Osseous formation30 Which procedure is when you are taken apart the ssuportive bone: osteotomy? osteotomy?Ans – Osteoctomy31 which factor is less important related to implant: smoke, age, Ans – AGE AS PER DENTIN GIRL 16, BOYS 18 SMOKING CONTRAINDICATION32 best place for implant. Mandibular anterior38 alveolitis managment. What to do , place antibiotic, clean the clot, place sedative?Ans- Sedative39 x ray showing nutrient canal40 Cleft lip due to wich process? nasal median and maxillary? 41 what do you see in osteoporosis? 42 Traumatic cyst bone 43 2 question about how doctor deal with a lawsuit?

44 A picture with ulcers. looks like herpes virus 45 DEA schedule 46 which is one better for remineralized a tooth in a patient with xerostomia, varnish fluoride, Prilocaine, sodium fluoride?47 which one have the higher effect over the outcome of pulp caping. . use it if you have a 0.75 mm exposition. Always use caoh. A good isolation.48 overhang in amalgam is the result o af thick matrix, non well positioned wedge......

Matrix or wedge Ans – Wedge

-primary /2nday trauma? Primary : high force / normal pdl. Secondary : normal force/ diseased

pdl

-palatial tori remove- GP artery

Adrenalin crisis: Symp.: Pain in your lower back, abdomen or legs. Severe vomiting and

diarrhea, leading to dehydration. Low blood pressure. Loss of consciousness. High potassium

(hyperkalemia) and low sodium (hyponatremia). Tx: with injectable hydrocortisone and fluid

support

- thyroid crisis? tachycardia

- laboratory test WBC 1980, diagnosis? Agranulocytosis/ leukemia

Ans- Agranulocytosis

Epi with amphetamine- Tachycardia

-epi works on which receptor for vesoconstiction? Alpha1

-pain killer for renal disease patient? Fentanyl or methadone

-h1 blocker how work- by receptor blocking / by physiologic antagonist?Ans - physiologic

antagonist

130- If the 4 maxillary incisors were to be replaced by partial removable denture prosthesis, which of the following would be desirable?A- Protrusive contact on the maxillary incisors onlyB- Contact of the maxillary incisors in centric relationC- Contact on the canines in lateral excursionsD- Balanced occlusion for stability of the prosthesisQues all of the following will show cranio-facial deformity except-Crouzon-hemifacial microstomia -pire robin -alchohol fetal

-scalloped outline cyst

-all about pulp caping, pulpotomy

-trauma and avulsed tooth treatment

-lot of behavior management

-hypodontia when occurs

- dentinogenesis imperfecta occurs in histodifentiation or morphodifential stage

- trisomy21- macroglossia/ class 3 malocclusion/ repent caries/ which one best?

-direct pulp capping prognosis depends on isolation/less than .75 expose/ less bleeding?

Isolation

1. Which DEA STAGE has less tendency for addiction? Sch-5 2 - need precription .. not refill on phone 3 - need prescription once 5- Safe - no addiction

2. Percocet? Schedule23. No of canals in lower first premolar? 14. Analysis of arch distance perm mesial of 1st M to 1st M And primary is distal of 2nd m to

2nd m5. Patient image with gingival hyperplasia, taking medications for skin lesion. Diagnosis? One

option was Ewing’s sarcoma.. others were minor conditions. 6. How to adjust occlusal surface of PFM CROWN? Diamond, green stone,carbide burs

diamond7. How to increase crown adaptation? 1.increase expansion of gypsum, 2,thin luting cement

3.trim the internal nodules Ans - 3.trim the internal nodules

8. Initial treatment for LAP SRP (debridement) and antibiotics9. Drug with good first pass effect ? Low bioavailability , high plasma half life10.How to measure length of attached gingiva? 1.substract probing depth from Cal 2.free

gingival margin to mgj 3.free gingival groove to vestibular fornixans- substract probing depth from Cal

11.Function of infraorbital pointer in a face bow

12.Which is primary stress bearing area apart from post residual ridge? 1.Ant ridge 2.hard palate

Ans – maxi-palate ridge, mandi buccal shelfSecondary max rugaeMand ridge but if good it becomes primary13.Causes of gingival recession-malocclusion,tooth brush,some perio prob.some anatomical

factors

14.Occlusal rest where should it be? Marginal ridge bucally erupted tooth provides vertical support

15.- What is the most common form of wound healing after a periodontal flap surgery? Primary-flap second-gingiva srp

16.primary CT17.Which is not the disadvantage of subgingival margin placement n PFM crown esthetic18.Lots of endo questions: -asymptomatic pain, pain when eating, during sleeping, No pain, RL,

without RL all scenarios know well19.Rubber dam doesn’t prevent from? Nitrous oxide vapours & Mercury vapours20.What topical anesthetics can you use that will cause vasoconstriction: lidocaine21.Drugs for angina pectoris nitroglycerin, propranolol, calcium channel22.Material used for pulpotomy in kids formocresol

23.Deaf patient how you communicate -SPEAK WITH HIM SLOWLY AND ASK HIM TO INTERPRETE

24.Rate of epithelium formation 0.5-1MM/DAY25.Blue swelling on tongue -Hematoma, hemangioma26.White pedunculated swelling on palate- Papilloma27.Tooth with periapical radiolucency, no tenderness on palpating , ept no result.diagnosis?-

CHRONIC APICAL ABSCESS28.Pt with blow to the face, tooth 7 fractured with pulp exposure. X-ray ? SMV OR WATERS

OR PANOROMIC OR PERIAPICALAns- PERIAPICAL

29.In a clinic, newly appointed dentist finds out that all senior dentists prescribe a 7 day course of antibiotics,. What does he do? 1.follow them 2. He starts opening up old cases 3.does research on extraction and antibiotics Ans - 3.does research on extraction and antibiotics

30.Acantholysis seen in? pemphigus, LICHEN PLANUS acantho- Pemphigus (Not in Pemphigoid) Retepegs- in Lichen planus

31.Tooth 7 fractures pulp exposed palatal impingement no idea32.Missing lateral and treatment option 33.Single cantilever – TRANSPOSITION- changing shape, CANINE LATERLIZATION move

canine at lateral place and give shape of ortho

34.Tooth A with Periapical radiolucency only buccal cusps of 6 seen. Pt has swelling trt plan ? extraction

35.What drug will you give it’s pt is allergic to ibuprofen aceta36.Drug safe in renal failure aceta37.Mid face deficiency down syndrome, fetal alcoholans-Both38.Dermatologist referred a patient?What problem nevoid basal cell carcinoma39.What happens at tension zone in ortho trt? osteoblast,compression/pressure-osteoclast40.Which tooth gets blocked out from the arch? Got 2q.. one for max and other n mandible max

canine, mand 2nd pm 1-Hygienist employed by 3 dentists equally in the contract. Hygienist injured a patient. Who is legally responsible for the incident?

1. Hygienist alone2. Attending dentist3. Hygienist and 3 dentist (I picked)

4. Hygienist and the attending dentistAns- Hygienist and the attending dentist

2-Toothpaste which have Desensitization action, work by? 1. Demineralization of dentin tubules wrong2. Depolarize nerve endings-ANS3. Remove smear layer4. Kills bacteria5. 3-what determines implant height in an overdenture?

implant length (I picked), implant diameter, gingiva height, number of implants.4- Cavity prep amalgam class 5 retention form ?Proximal grooves on mesial -distal, or proximal grooves occlusal gingival or parallel walls mesial distal or parallel walls occlusal gingival5- Prep for onlay gold axial walls? axial wall diverges gingival to palpal, or converge gingival to pulpal, or 2 more options cant remember.6- Athetoid cerebral palsy ... what symptoms?Extended stretch reflexes, Frequent tendon jerks , 2 other optionsAthetoid cerebral palsy or dyskinetic cerebral palsy (sometimes abbreviated ADCP) is a type of cerebral palsy primarily associated with damage, like other forms of CP, to the basal ganglia in the form of lesions that occur during brain development due to bilirubin encephalopathy and hypoxic-ischemic brain injury.7-Major connector in RPD main function?Support and rigidity, retention and rigidity, retention and stability, ANS- stability and rigidity8- The least recurrent soft tissue lesion?-ANS IRRITATION FIBROMAPeripheral ossifying fibroma, Peripheral giant cell granuloma, Pyogenic granuloma, Irritation Fibroma.9- Patient anxious, took diazepam night before the treatment, and one in the morning. What instructions u give for post operative care for this patient for the next 24 hrs?No Drive, or no eat, or don’t take NSAIDs, or no antihistaminics10- Mild facets on occlusal surfaces in primary dentition indicate?

1) normal feature, 2) indicate early malocclusion, 3) parafunction habits, 4) occlusal interferences ANS A

2) 11- Drug with a half-life of 4 hour, how much of the drug the patient has in his BODY after he took the 3rd dose given that the dose is 2 gm, and you give it every 4 hours?

A- 1 gm b- 3.5 gm c- 2 gm d- 4 gm

12- Incidence of cleft lip and/or palate is 1:?700, or 1000, or 2000BOTH 1:70013- Mandibular molar with 3 canals access shape is?1-Triangle, 2-trapezoid, 3-oval, or 4th option cant remember14- Maxillary molar has an MB2 usually located at?

1-Half way on a straight line between MB1 and palatal, 2- half way on a straight line between MB1 and DB, 3-mesio-lingual to MB1, 4- disto-lingual to MB115- A question (with numbers) about what’s the exposure time to get the same quality of x-ray, if the distance was decreased by half from the original….you will use the equation to answer this. 4times ANS- DISTANCE DOUBLE- RADIATION INCREASE TO 4 TIMES & INTENSITY DECREASE TO 4 TIMES17-Best way to diagnose endo lesion from perio lesion? 1-Vitality test 2-percussion 3-EPT 4- x-ray18- Management of alveolar osteitis? 1-Antibiotic 2-SEDATIVE Dressing 3- curettage….19- PA with very high contrast (teeth r so white and background is black) and asking whats the problem?

1- Very high speed 2- 2- High temp of developer solution ANS3- r options but was tricky4- 20- Best type bone for ossteointegration? 1, or 2, or 3, or 4 ANS TYPE2

22- What causes dry socket? Fibrinolysis26- Short crown is to be used as an abutment for RPD, it has conservative filling, and healthy pulp, what’s the best approach?

1- MOD Onlay 2- Full Crown 3- MOD amalgam 4- Indirect composite inlay ANS-SHORT MEANS FULL CROWN

29- Tooth with recent big MOD filling, has pain with cold that lingers for a short time?Reversible pulpitis, irreversible pulpitis, necrotic pulp, normal pulp30- Patient on perio maintainance is seen every?4 weeks, 3 months, 6 months, whenever he needs31- Discoloration of restoration margin after 4 months is due to? Amine, micro leakage, or other options…ANS THAT SILANE ONE32- Drug for treating VZV, HSV, CMV? Valcyclovir was the only correct option, others were not antivirals.

Acyclovir- HSV +VZV Valcyclovir & ACYCLOVIR- HSV + VZV

FOSCARNET- VZV+CMV+HSV33- The decision to replace an existing amalgam restoration should be made as soon as the restoration exhibitsA- CreepB- Recurrent caries C- Corrosion and tarnishD- Ditching around occlusal margins34-2. A child’s behavior problem can be managed by desensitization if the basis of the problem isA- PainB- Fear C- EmotionalD- The parents

35. A 9 year old presents with acute gingival pain of four days duration. There are small, round ulcers on the interproximal gingival and buccal mucosa. Which of the following is the most likely diagnosis?A- Primary herpetic gingivostomatitis ANS!!B- Necrotizing ulcerative gingivitisC- Aphthous stomatitis D- Gingival abscess36- Which of the following premolars is most likely to have three canals?A- Maxillary first B- Maxillary secondC- Mandibular firstD- Mandibular second37- What percent of hydrogen peroxide should be used for debriding and intraoral wound?A- 3 percent B- 10 percentC- 20 percentD- 37 percent38-Which of the following factors does NOT impact the development of xerostomia in an aging population?A- Chronological ageB- Medications C- Radiation therapy to the head and neckD- Systemic disease39. Informed consent reflects which of the following ethical principles?A- JusticeB- Autonomy C- BeneficenceD- Nonmaleficense40- DMFT measures? Caries activity, perio index, and other wrong options43. Best test for patient with warfarin? ANS-INR AND PT BOTH, PTT , BT44- Which structure is least likely to show on intro oral radiographs?Mandibular foramen, Mental foramen, Hamulus notch47- Young patient plays sports and wears a night guard at night, now complains from jaw stiffness upon waking up and pain above his ear, whats the diagnosis? Arthritis of the TMJ, or myofascial pain syndrome48- Best impression moisture tolerant? vinyl polysiloxane, or polyether ANS PVSMOISTURE TOLERANT IS PVS, HYDROPHILIC IS POLYETHER49- Median rhomboid glossitis is caused by? Answer was candida50- AED (automated external defibrillator) best described as? Shock is Monosnaptic..something, or single dose is 2 shocks, or not used under 12 years of age, or other confusing optionsCANT USE UNDER AGE 1, DIFFERENT SIZE FOR DIFFERENT AGE GROUPS51- Cellultitis? NEUTROPHILIA52- Giant cell lesion? Hyperparathyroidism browns tumour

LIST OF GIANT CELL CGCG,PGCG,HYPERPARA,CHERUBISM53- Mercury toxicity symptoms? Blindness, hearing loss,

tremor for chronic headage for acute

Elemental and Vaporized Mercury Poisoning Symptoms mood swings, nervousness, irritability, and other emotional changes, insomnia, headache, abnormal sensations, muscle twitching, tremors, weakness, muscle atrophy, and.

54- Patient has probing depth of 5 mm, and the probe tip dips down 2 mm apical from the CEJ, how much attachment loss he has? 7 mm, 2 mm, 5 mm ANS 2 MM55- What is advantage of indirect restorations versus amalgam restoration?ANS ideal contours57- 5 years old kid what to give for pain? Aceta, or advil or aspirin58-. A patient’s mandibular canal is positioned lingually to her mandibular third molar. In what direction would the canal appear to move on a radiograph, if the X-ray tube were moved inferiorly (i.e., if the x-ray beam were pointing superiorly)?

A- Apically B- Mesially C- Distally D- Occusally 59-Bisphosphonates can treat all except? 2 metastasis options, or Multiple Myeloma, or osteomyelitis

60- What is main cause of failure amalgam resto? MOISTURE CONTAMINATION- prep - inadequate condensation - inadequate trituration61- Dental lamina is formed at? 6 months, 6 weeks IU, or other 62- Open apex tooth with necrotic pulp tx? Apexification63-Excessive depth of posterior palatal seal in a CD cause ? EXCESS DEPTH-DECREASE RETENTION, EXCESS EXTENTION GAG66- What do you need for periodontium regeneration? sharpey’s fiber, alveolar bone regeneration andANS--Cementum68- Dementia first signs? ANS Short term memory

70- Patient comes back after extraction with severe bleeding, u can use all for hemostasis except? Collagen, or gelatin, or cellulose, or hemostatic dressing

Ans – HEMOSTATIC DRESSING71- After injection of LA, patient starts to wheeze on expiration, he has? Hyperventilation, ANS-Asthma, anaphylaxis…72- Patient with insignificant medical history and normal vital signs, starts to be a management problem. She tells u that you r hurting her even before you started treatment, then she says she is light headed and her fingers are tingling, and became unresponsive, what’s the diagnosis?

1-Myocardial infarction 2-hyperventilation 3-thyroid storm 4-hypergylcemiaANS- HYPERVENTILATION

73- Purpose of the oil in the xray tube is to ? dissipate heat, or scatter xray Ans- dissipate heat,74- Max anterior teeth in CD is set too far anterior, problem with? S and ch sound, or v sound or many other soundsAns- F and V TOO ANTERIORIf Maxi ant - too palatally- Than siblant Too ant 0- not sibilant75-Bur with too many flutes yields? Less cutting efficiency and smooth surface, or many other options76- Porcelain finishing bur is? diamond78- Q about epithet separation and bullae which disease? Pemphigoid79- Why do u brush your tongue? To control gingivitis, or for breath smell or kill bacteria80- Where do u put amalgam waste? Metal container, or mercury something bag, or biohazard container83- Lingual flange of mand CD is recorded primarily by action of? Genioglossus, or mylohyoid, or geniohyoid, or palatophayngeus85- External resorption of pulp necrosis by which process? Inflammatory, or replacement, or Trauma- Replacement Pulp necrosis – replacement ……86- Why posterior composite restorations are not preferred? wear87- Differences between status epilepticus and grand mal and petit mal, how they manifest.Petit mal - absence - less than 30 secs Grand mal - tonic cloninc - 1-2 min

Statuis epilepticus -= 30 minsPetit mal - EthosuximideGrandmal - pheynytoinSTATUS DIAZEPAMCHILD FEBRILEADULT GRAND88- Pka related to? onset of drug, or duration of drug, or potency or drug. ANS POTENCY?89- Primary trauma and secondary trauma from occlusion, main difference is? Amount of Force, or duration of force, or periodontium support, or mobility of teeth90- Recurrent caries under composite restoration starts at? Gingival proximal, or occlusal proximal or ….ANS-GINGIVAL PROXIMALOpiod mixed agonist antagonist- Pentazocaine and nalbubiphine22 year female with high fever, lymph nodes tender and erythema of oral and pharyngeal mucosa. a. Strep pharyngitis b. Cat scratch fever - HPV(I don’t remember if there was a herpes option) Not from the options-infectious mononucleosisSocial couponingRecommending unnecessary services Choosing patients based on cultureKeeping knowledge and skills up to date Prophylaxis for calcified aortic stenosis- No needProphylaxis for- No need for these 2a. Adjusting of orthob. Placement of ortho bands Female with anterior crown broken after endo and post and core, she’s wearing a bite splint, 5 year history of ortho treatment. Crown broken due to all except a. Improper ferruleb. Parafunctional habits c. Occlusion d. Post material -ANSKid with bump on his lip- Lip means mucocele but common in females and Middle Ages. Missing queMultiple lateral lesions in neonates -Bohn nodules Neonatal teeth are found where?- Mandibular anteriorReally tough questions about studies- with tricky options. Don’t remember Punched out lesions- ANUG. Multiple myeloma in radiographyAntibiotic for endo lesions-pen vDrug blocking tubulin assembly A mitotic inhibitor is a drug that inhibits mitosis, or cell division. These drugs disrupt microtubules, which are structures that pull the chromosomes apart when a cell divides. Mitotic inhibitors interfere with the assembly and disassembly of tubulin into microtubule polymers.Examples of mitotic inhibitors include: Docetaxel. Estramustine. Ixabepilone. Paclitaxel. Vinblastine. Vincristine. Vinorelbine. (from google) no idea what this is

What not to give IV with non selective B blockers- EpinephrineAntibiotic for children – Amox 50 mg/kgGirl with swelling under right mandible goes into what space (infection with molars I think) I put buccal space - because the other option was sublingual – Ans should be submandibularXerostomia is not associated witha. Muscle atrophy b. Cervical caries Child with uncontrolled diabetes will have a. Rampant cariesb. Periodontal problemsEpulis fissuratum --- over extended denture1. What not to use for instrument sterilization with steam n heat.

A. PaperB. Paper+ plastic bagC. cloth

D-METAL ANS2. Code of ethic not followed if your assistant dosnt have a liscence or trained well-non

maleficence3. Permission and treatment plan by a dentist and auxillary perfom the treatment but the dentist

is not present on premisesI. direct supervisor

II. general supervisor4. Cpr..compression per minute-1005. Angina… don’t give what..

A. OxygenB. NitroglyC. check vitaLD. tenderlenberg positon

6. AsthmaA. Bronchiocontriction0- happens B. brontiodilation

Emphysema defect at what level.A. Lung.B. Bronchi.C. Alveoli

7. Does not block cyclooxygenase pathway,,, aceto, asprin , celexib, naprosin, ibuprofen8. What determine the extension of occlusion

I. intnertuberosity distance,II. fox plane,

III. 2/3 from retromolar par, IV. centric relation.

9. Distance increase from 8-16 inches intensity will increase decrease or decrease by half

ANS-WHEN DISTANCE DOUBLE EXPOSURE TIME INCREASE BY 4, INTENSITY DECREASE BY 4 TIMES10.Asthma and leukotriene-brodilator11.Mountelukast…leukotriene antagonist12.Il1 for osteoclast or perio problems IL1. IL2. IL8 ( which one causes bone resorption)13.Penicillin…low level of toxicity14.Anticonvulsant used for neuropathic pain or myofascial pain-carbamazepaine15.Cleft lip and palate is…

I. autosomal dominant, II. autosomal recessive

III. x-linkedIV. ,genetic multifactorial –ANS!!

16.Nasolabial is soft tissue cyst17.Lateral excursion movement of mandible…which will be in spasm. Masseter lateral

pterygoid, 18.Difference between abfraction and abrasion= shape19.Submerged tooth=ankyloses20.Acrodynia-Acrodynia is a condition of pain and dusky pink discoloration in the hands and feet most

often seen in children chronically exposed to heavy metals, especially mercury. 21.Ageusia Ageusia, the inability to taste, can be caused by a variety of factors. A dry mouth is the most

common cause of this condition. ... Other causes of this condition can include burns to the tongue, dental problems, brain trauma or injury, depression, and certain diseases.

22.Pulpal anesthesia=back pressure felt23.Not a succedenous tooth

A. Premolar. B. CanineC. First molar

24.Most effective toothbrushing tech A. .stilman B. carterC. sulcular - ANS

SAME AS CANINE FILE .

1. When preparing a personalized tray for an impression for a complete denture, the tray does NOT have to be 2 mm short on what area?

a. pterygopalatine notchb. buccal vestibule

No options with soft palate area2. Recognize in a panoramic:

i. it was quite clear (to me) it was an earlobeii. big lesion on right side back of mandible, looked like ground glass. The

history that was given: 2 years, not painful swelling on back of mandible. I

thought it was fibrous dysplasia. Another option: osteosarcoma3. When distobuccal part of complete denture is overextended what will interfere? I think

the question was regarding upper denture bc I thought the best option was coronoid. Masseter was also an option.Ans - Coronoid

4. Patient complains CD falls off when speaking, what could it be?a. overextendedb. underextended

5. Lower buccal frenum what muscle?a. Triangularis ANS & BUCCINATORb. zygomaticusc. caninus

6. In what week does cleft lip happen:a. 6-9b. 2-3c. 11-12

No option of 5-6, 6-7, etc.Why do you need the sulcus to be dry in order to put a retraction cord:

d. ease of placinge. so vasoconstrictors doesn’t dilute

7. When do you need to do electrosurgery or laser:a. there’s tissue overlapping the finish lineb. there’s capillary bleedingc. there’s sulcular seepage (przesięk)

8. Osteoradionecrosis is mostly related to:a. seen in maxillab. seen in mandiblec. related to bisphosphonate used. happens when radiation is GREATER THAN 42.5Gy

9. What is the first sign of damage after acute irradiation:a. deathb. erythemac. hair loss

10.Patient started RCT and comes the day after with small cellulitis and fever, what should we give:

a. no need to give antibioticsb. penicillin 1 g in one dose then 500mg every 6 h for 7-10 daysc. amoxicillin 2 g orally in one dose and no more

There was another option that didn’t sound logical, I chose b11.What is the lymphoma most likely to present in mouth: NHL, if not present then Burkitt12.Most common place to find mucous retention cyst:

a. LLb. ULc. palate

d. tongue13.Doctor recommending to a patient to change amalgams in mouth because of mercury

toxicity; what principle of the code of ethics is he violating: veracity14.When is a general dentist measured by same standards as a specialist:

a. when he refers to a specialistb. when he charges the same as a specialist for same procedurec. when he works together with a specialistd. when he decides to do a procedure that is usually done by specialist

15.Bite registration on centric must be:a. thin without perforationsb. think but a few perforations are OKc. thick. cusp n fossa record with thin perforation

16.What drug is available to do the desired effects:a. free in plasmab. bonded to proteins in plasma

17.What is not typical about dementia:a. retention of short-term memoryb. those engaged in intellectual activities lose intellect slowerc. difficulty making decisions, judgement

18.Treatment of alveolar osteitis/dry socketa. give antibioticsb. curettagec. put a palliative dressing

19.What is NOT an effect of opioids:a. constipationb. xerostomia ANS!!c. miosisd. peripheral inhibition of pain nervese. depress respirationf. somnolence (sleepiness)

20.Most danger to operator in an x-ray room comes from:a. scatter from wallsb. scatter from patient’s facec. electromagnetic energy from the control panel

21.What kind of radiation does an MRI works on?a. gammab. x-rayc. radiowaves

22.Fluorosis affects mostly what tissue?a. pulpb. dentinc. enamel

23.Knowing the composition of calcium and phosphate, when there’s an F ion, what

molecule does he exchange: hydroxyl group24.Why do we wash the film with water:

a. to take away chemicalsb. to reveal latent picturec. to shrink emulsification

25.Most common soft tissue complication during extraction:a. punctureb. tearing of mucosa

26.I don’t think there was hematoma, there were other irrelevant answers such as dry socket27.Pain medication given after extraction that can work overnight:

a. naproxenb. ibuprofenc. acetaminophen

28.Oral histoplasmosis lesions resemble:a. cancerb. aphthous stomatiti

29.In what instances should we do a biopsy: when local treatment hasn’t worked in a lesion for 10-14 days

30.Demineralized freeze-dried bone allografts work because they have:a. BMPb. epithelial growth factorc. fibroblast growth factorother growth factors of proteins

31.What is responsible for retention of fissure sealants:a. mechanical lock in pits and fissures-ANS!!!!b. chemical bond between fissure sealant and enamelc. tags inside dentin (this option was a little bit more detailed)

32.Why isn’t light cure able to cure all resins:a. because activator (or initiator?) doesn’t respond to the wavelength of the lamp

I don’t know if that is true but other options didn’t sound good to me…33.Sphenooccipital synchondrosis resembles:

a. epiphyseal plateb. suture

34.What is a synchondrosis:a. cartilage (cartilaginous joint)b. connective tissue

35.How does implant connect to tissue: A. hemidesmosomesB. collegen type 1C. sharpey’s fiber

36.Most difficult case to maintain space? I took out two options and was left with these two:a. 9,5-year-old that lost first molar (I know in that case we can let second molar just

erupt forward, but question said clearly “maintain space”, it didn’t say “manage case”)

b. 5-year-old missing second primary molar—ANS!!!37.What causes pseudomembranous colitis

a. clindamycinb. broad acting antibioticsc. metronidazole

38.Question on what causes hairy leukoplakia:a. HIVb. HPVc. EBV

39.Drugs that are given for motion sickness:a. scopolamineb. chlorphenotiazine

DAY 2

Multiple myeloma:1.amyloid in heart causes what…restrictive cardiomyopathy2.bence johce protein is checked in urine – Multiple Myeloma 3. what is seen with MM--- hyperbilirubnemia 4. pt is taking bisphospho …reendow and decoronation.Same as canine file 3. Another smoker guy with a white patch under tongue or maybe floor of mouth, he noticed a month ago and it hasn’t changed since: what would you do (cytology, cream, biopsy, etc). 4. 24-year-old complains of a red bump on palate (can’t remember if there was something about pain). It tells you it was biopsied and there was hyperplastic epithelium, underneath fibrous CT, healthy compact bone and bone marrow. What could it be? Osteoma, osteoblastoma, osteosarcoma and pleomorphic adenoma.I can’t remember most of them, but questions were very specific, need to know pharma well. I remember amitriptyline, Lisinopril, Plavix, baby aspirin, something for type 2 diabetes that I didn’t recognize, something for sinusitis that I didn’t recognize (I know it’s for sinusitis because the name was “naso-something”), inhaler for asthma (can’t remember if albuterol type or steroid type). Needed to know contraindications, drug interactions and side effects. What not to give to renal disease (story of a 48-year-old guy who 12 years ago overdosed on lithium and now has only 40% function of kidneys). Allergy to sulfa-drugs: what drugs cannot give.1- Most common age for primary teeth fracture? 1-3 years  2- Reason for children to have fracture\luxation injuries? Coordination \balance something like this3- Which occlusion in children leads to class 2? Options :Mesial step ,distal steps or forgotAns – Distal step 4- When does the mandibular permanent first molar crown completes its calcification?2.5-3yrs5- What are the factors that influence choosing prostheses? Answer had 3 combined factors: profile, gender and age or height, length and gender and recall the rest options6- Radiation effects which surface of the teeth more?cervical10- When is the child 1st dental visit-frst tooth erupts (Within 6 months of eruption)

11- Pocket depth only definition12- Biological width only definition13- Who is responsible for dental equipment? FDA there was no ADA14- Child had trauma in tooth 7 and u want to check if it’s not stucked in lower lip do u ?increase x-ray by 25% or increase it by 50% or decrease it by 25% or decrease it by 50%?15- I had a line graph with drug a and drug b? both were the exact curve so I chose same efficacy16- Impression material shrinkage in moisture is known as? Synersism something like this20- 5 year old child this is his first visit and he is uncooperative how do manage his behavior? TSD21- In which x-ray the sinus appears inferior to the molars? They mean if u look at x-ray part of the sinus will appear downward periapical\bisecting\parallel tech\ bitwings22- Stabilization board is not used for? Cooperative patient23- Calculation of file # 35 at D7 and 0.06? 24- Simple LA calculation in Kg25- Nov 5 file helped too so I don’t want to repeat the same q I got some qs from it26- Maha zineb file27- Elizabeth file28- Hydrogen peroxide29- Dees file30- Rita around 10 questions only31- Mango the least I got from32- Revise all recent Rq if u can from May till ur exam date cause these the one that helped me and Follow the face-book main page posts is the best source I believe and check for the answers from the research bar.NOVEMBER 15-16 RQ2. LA ques..3 yrs 16 kg, max dose: option was 72 (no 70.4 in option)3. no. of canal found in mand central incisor: 26, (no 30 in options)4. ques.. pt with lack of CO2, leading to over breathing… option didn’t include hyperventilation: Ans Resp alkalosis..6. Ibuprofen allergic: acetaminophen ( options were all NSAIDS like diflunisal, ketorolac)7. tooth with a 2 canal least: there wasn’t max canine in option: so went with max incisor8. max teeth pulling: Facemask 9.duodenal ulcer caused by: H. Pylori ( this was case)10. antibiotic for sinusitis: Amox + clavulonate potassium11. biological width: Epithelium + Connective tissue, there was option of; Sulcus width+ Epithelium+ Connective tissue, don’t choose sulcus..12. Safe drug for renal: acetaminophen13.Drugs for angina: propranolol (other nitrates, Ca channel wasn’t in options)14. Drugs not given in angina: Thiazide15.Plaque index used for: Pt motivation16. HPV vaccine: Option 1.after 18 yrs 2.before involving in sex.something like that... 3. 26yrs. (no option before 18)17.Nitrous oxide adv: to decrease gag reflex

18. Which muscle u palpate extraorally: 1. Buccinator 2. Masseter 3. Medial Pterygoid 4. Lateral 20. Oxycodone + Acetaminophen which class: Sch 221. Sch 2 drug refill: must be prescribed22. Pregnancy pt, what don’t u do: Prescribe Diazepam23.Nitrous oxide C/I: nasal congestion24. Pic of Epulis Fissuratum25. Not found in kelly’s syndrome: Inc Vdo26. Supporting area: 1. Residual ridge for both maxilla and mandible. 2. Rugae for maxilla and buccal shelf are for mandible 3. Palatal rugae for max and residual ridge for mandible. Overall I got mixed questions fromFatema Murtaza Izzee ,NOVEMBER 2, 2018November 5 rqSara Sams: NOV. 7:November 9-10PAULINA’S RQSNBDE Pass: November 13-14*So, the key is do the recent RQ’s as much as u can.. + Rita, the question/cases were concept wise, clinical like u r in clinic and dealing w/ pt.., which will resist force least single implant 4mm, 5mm , two splintedwhich two principles of ethics will be in conflict when a dentist prescribe community water flouridation i picked autonomy and beneficienceepinehrine and levonordiphrin act on which receptor to cause hypertensionafter extraction to control brisk bleeding what to use? ( gauze and pressure or epinephrine impreginated cord)Pregnant, third trimester (36 weeks was given), why we dont administer ibuprofen: premature ductus arteriosus closure, cleft lip and palate, spina bifida, tachycardia in the mother (not sure, tachycardia or hypertension, don’t rememberWhat is the 2nd thing you do after cast surveyingLeast contributor for denture stability in max 1.undercut on tubercle 2. Curve of speeWhich headgear moves teeth forwardManage

PAULINA’S RQS

1. Two different cases with a 17-year old boy and a young girl with a broken tooth and lip laceration, same question: how to adjust time exposure for an xray to find the tooth fragment in the lip; combination of increase/decrease time 25%/50%2. What is important in single implant tooth replacement: smooth interface, connecting the implant to neighbouring teeth, broad contact with neighbouring teeth ?3. Antibiotic in gingival cervicuoar fluid that fights perio bacteria: clindamycin or doxycycline

4. After extraction, cant control bleeding with simple gauze pressure or local antihemorrhagic means, patients starts experiencing Dysphagia, what to do: 3-0 silk suture or activate emergency protocol (something like that)5. Before drug was submitted to fda had to go through: randomized clinical trial6. Water fluoridation, which two ethical principles are in conflict: autonomy and beneficienceTrue7 What material for buccal restoration in posterior tooth if may get moisture contaminated dring placement: resin, glass ionomer, amalgamGic8. Green and orange discoloration of anterior teeth due to: diet, bad oral hygiene9. Cord with epinephrine, what can cause: tachycardia, local necrosis10 Hearing impared patient, what to do to establish good relationship with the patient: speak directly to the interpreter, speak to the patient and allow time for interpratation cancel all background noise, rely on patient lip-reading abilities11.Macrolide antibiotics are usually avoided in asthmatics because: A. it can precipitate asthmatic attack B. it interacts with theophylline C. such patients are usually allergic to penicillins D. such patients show penicillin resistant infections12. Brown discoloration in porcelain gingival margin after a month of placement with resin cement, what is the most likely causeMicroleakage13. Osteotomy I indications (questions about anterior open bite)

14. What is the main reason we do tooth testing: to mimic the pain (the only logical option15.ranula-sunlingual gland16 A child comes to your office with a neighbour, he states that he was playing in the yard and injured himself, they gave me the class of injury, i think it was Ellis III but it wasnt relevant for the qs. The adult states they couldnt contact his mother, the kid says he has a dentist but

doesnt remember his name. What do you do: do the treatment, look for the dentist and try contact him, try contacting the parents (picked this, in the case they said they tried to contact mom), send to emergency roomA?17. Picture of a kids primary front teeth, literally eaten by caries, with two sticking out fistulas - asked what are those changes on mucoginguval junction (pus draining fistulas)Parulis18. Xray picture of lateral skull, big lesion with cortical bone expansion, unilateral, what is it19 Erythromycin metabolism in liver or kidney20 Big alveolar defect, which graft has the best prognosis: went with autologous boneAuto-dried freeze21. Kids dexterity to brushing teeth on his/her own - 2-3 years, 6-8 years6 to 8 Floss 8 yearsBrush 5 years22 Latex gloves, which impression material can mess upPvs or addition silicon23. Arcon and non-arcon, difference: picked something with more movement abilities24. Adolescent son comes to the office with a father that doesn’t speak English, what is best to do: use a certified call-center line, relay on son translation, translate on the internet25. Mucous extravasation phenomenon on lower lip due to: sialolith of small gland, trauma (wasn’t stated like that)...Truama26 Biological width, how much is it and what does it consist of -2.727. False about cocaine: miosis, mydriasis28. H-antagonist work by: blocking histamine at the receptor, preventing histamine synthesis, physiologicsl antagonism29. You want to do a study to compare DMFT of girls and boys at school, which test: chi square, t-test30 Primary canine lost prematurely, why: arch length discrepancy or developing class III31. What teeth’s mesial surface is used for... (something ortho-related with the arch), I think the answer is first premolar-primary distal of 2nd mlr to distal of 2nd molar32 Bimaxillary effect: something with relation of both jaws to the cranial base33.Case, patient with porcelain crown, a lot of caries, what would you suggest: all obernight treatments and had to pick which fluoride would be best; acidulated / 1.1% neutral fluoride / 0.4% not neutral but forgot which one it was…34..Picture of kid’s teeth and gingiva, very swollen, in the history it says he’s been treated for skin infections and gingivatis look like that for a couple of months now, it bleeds and it’s yucky, what is most likely diagnosis: myeloblastic leukemia, pyogenic granulomaB35 What we don’t asses before implant treatment planning: age, smoking history, quali36 Best prognosis for implant: anterior mandible, posterior mandible, anterior maxilla, posterior maxilla

Mand ant,d2 type bone37 Pregnant, first trimester, picture of pyogenic granuloma, what to do: wait till second trimester, biopsy, root planning38. Piezoelectric ultrasonic device, what movenets: ovoid, linear, circular39.Nitrous oxide, when contraindicated: first trimester only, second trimester only, third trimester only, all trimestersA39 Sedation during procedure, saturation below 90, what do you do: abort the mission and wait for the patient to go back to normal, call 911, give patient oxygen (under positive pressure?)911?40. Pregnant, third trimester (36 weeks was given), why we dont administer ibuprofen: premature ductus arteriosus closure, cleft lip and palate, spina bifida, tachycardia in the mother (not sure, tachycardia or hypertension, don’t remember)C?41 MOA of ibuprofen: reversible, irreversible platelet inhibition, extrinsic pathway, intrinsic pathway142.Kid after baseball trauma, tooth is broken (dentin with exposure), no signs of laceration, tooth fragment was not found, what best for diagnosis: panoramic, periapical with different angulation MRI is best for43. FAS syndrome, what is characteristic: mid-face discrepancyTrue44. Picture of a maxillary incisor with calcified chamber and root canal, what is the most likely reason: resorption, trauma, periodontal issue (no leriapical radiolucencies were present)B.2 separate canals in: fusion Tooth least likely to have two canals: went with maxillary incisors Percentage of second2 27%45.Characteristic feature of a tooth (a developmental groove) that can cause it to be more prone to periodontal issues: lateral incisorTrue46.Patient wants implants, he is edentolous, bone looks goods, but it’s not great - good enough for the implant treatment (they said that in the question), what is the next step for the treatment plan: palpate bone to check, evaluate facial profileA47.order molding on buccal posterior, near masseter, what movements: lateral tounge movements to both cheeks, closing mandibule against pressure, lateral jaw movements74.ori removal, most commonly because of: prosthetic treatment, malignancy transformation Combination syndrome: know the features, was asking what was falseA75.1. Pregnant, third trimester (36 weeks was given), why we dont administer ibuprofen: premature ductus arteriosus closure, cleft lip and palate, spina bifida, tachycardia in the mother (not sure, tachycardia or hypertension, don’t remember)

1.Ranidina ? H2 antagonist 2.Clicking mouth opening 25 mm and 5 mm ? It’s in mango file -normal to anterior3.Pi index used to ? evaluate inflammation disease/ disease activity/ calculus 5.alveolpasty and many extraction when to do alevoloplasty ? at the tyme of extraction10.something about hpv vaccine 11.Isthmus fracture -inadeqate depth of cavity12.Verruca vulgarisms/ verrcous carcinoma appearance or -buccal mucosa and gingiva13.one questions about beclametazone ? In Rita filedental exam rq1. S,z,che sounds : Teeth barely touching 2. How much of the population has herpes? 80% 3. Aspirin mode of action - inhibit irreversible platelet aggregation thromboxane a26. Asthma physiology definition - Wheezing on expiration 7. Not accurate, reversible hydrocolloid or irreversible hydrocolloids

Most common site for graft iliac – true Implant analogue

8. Two questions on ideal resto material for a class v lesion but this patient was young and had an active caries condition (I was shocked to see this question repeat twice with minor formation changes) - According to DD: glass ionomer is indicated in high caries risk and CLASS V where esthetics is a concern, so I would go with GIC.

paque in Incisal 3rd - insufficeint reduction in 2nd plane Spheno-occipital synchondrosis - cartilage Pt stand up and fall back on the chair- call 911 Leakoplakia - incision biopsy Cleft lip - developmental Warfarin - INR All cancer cases old and new - prevalence (not sure) Not NSAIDS- try to know all of them 1. best antobacterial rinse (clorehexidene, triclosan,and other option that is also use but I don't remember, I picked chi...)

2. most involved with local aggressive periodontitis (prevotella intermedia, maxillary first mollar with vertical bone loss, I picked the second one)-AA,mand 1st molar

3. most common tooth with den in dente (maxillary lateral)

4. all are use in a dental office for disinfection purposes except ( sterilization,sanitation,disinfection and ultrasonic...I picked sanitation)

5. ephiphyseal plate resembles something...but I don't remember the options, just periosteum...sorry-cartilage

6. pt with wheezing in expiration, pedal enema and decrease in diastolic end volume will have (enphisema,renal failure,congestive heart failure...picked the last one)

7. most efficient toothbrushing technique ...sulcular

8. muscle that suffer spasm during lateral movements of mandible ( masseter, temporal, medial pterigoid and lateral pterigoid...I think I picked lateral, but not sure)

9. what muscle of mastication is involved when an interference occurs in a centric relation..temporalis

10. neurofibromatosis(landmarks)

11. polymerization of light cured composited initiator ( champoroquinone)

12 food that interfieres with coumarin ( banana,spinach,shrimp,lettuce...I picked banana but I don't know)

13. NSAID MOA several questions

14. fungal medication that works systemically and topical (cotrimazol,fluconazole,nystatin...I picked Fluconazole)

15. Mucocele tto (incisional biopsy,excisional biopsy,aspiration cytology...I picked excisional biopsy because I thought is would be the closest one to enucleation)

16. mucous retention cyst most common location ( lower lip)--upper lip

17. something about the material in the collimator ( I think options were cooper and tungsten...but I don't remember well...sorry)-lead

18. behavior measure modification technique or something like that ( dental fear scale)

19. 2 years old child not cooperative what to do ( sedation, tell the parents to help to hold the child...I choose the last one, is too littler for sedation in my opinion)

20. beta 1 adrenergic receptors ( increase heart output)

21. most related with esteems ( Garder syndrome)

22. what you don't do to diagnose Paget's disease of bone(rx, alkaline phosphatase test and calcium level test...I picked calcium level)

23. acute adrenal crisis ( hypotension)

24. ephinephrine interacts with ( insulin, thyroid, parathyroid)

25. not true about karposi sarcoma ( directly caused by HIV)

26. wall not present in a class 2 amalgam (Distogingival)

32. advantages between light cured resin cement and dual-cure resin cement

Wael Victor rqs nov 111. radiographic picture of radio opaque thing in anterior of maxilla,

a, lip pierceing,b,surgical pin fixation,c, two more option.

2. what is the ruler in lateral cephalometric? improves the magnification

3. two q about pterygomandibular raphae form by union of which muscles?1. sup constrictor and masseter.2. masseter and buccinator.3.buccinator and medial pterygoid4. sup consi and buccinator _ ans

4. what structure pierced during IAN? buccinator

5. penicillin function? cell all synthesis is inhibited

6. ques about motor accident of 10 yrs and many ques about sequance of tt plan

7. avulsed tooth placed in which of them _ NaF ans

8. pt with lower posterior are missing, which type of major connector play role as indirect retainer? ligual plate

9. pic of girl having left occlusion class2 molar relation and right class 3

10.which tooth have pulp in cusp?1. dens in dent2, cusp of carabelli3, talon cusp4?

11.ulcer in interdental gingiva and buccal mucosa?ans- aphthous ulcer

12.. panaroma asking how many teeth missing

13.pic, pt 5-7 yr with erosion in tooth no 9 only asking about side effect of medicationexcept erosion

14. advantage of implant template

20. contra and indications of implants

21. radio of anterior maxilla, small radiolucency seen - periapical cemeno osseous ans

22. radio in area of tooth no 4, there is radio opacity in apical area?ans retain tip of root

23. tooth no 32 with DO, what is tt plan for long term prognosis?a.amalgambcompositec,crownd,GIC

24. pic of denture stomatitis25. diastema in anterior maxilla how will u treat it? ans reciprocal anchorage?

26. difference between angina and MI?

27. drug cause tardive dyskinesia?acts extrapyramidal-phenothiazines

28. 4 questions about hyperbaric oxygen( pt taking bisphoshonate)why, when funtion, like these questions

29. DMF for-permanent teeth

30. AMICAR for?

31. question about girl did endo on tooh no 3, after one day she had itchy, red cheek on the same side, what kind of cells involved?mast cell, t lymph, pmn?

32. fracture tooth no 9 in middle third? what is the treatment options?slpint and observe

33. propranolol action

34. .pt 63 yr old take aspirin, lisinopril, chlorathiazide, diagoxinwhich among above cause non productive cough? cholrthiazide

35. question about AIDS sheet who regulate that?

36. type of resorption in ankylosed tooth no K? was radiograph pic shows no permanent teeth underneath?options werea, inflammatoreb, internal resorptionc, replacement

38. tramadol antagonist? 39. midazolam antagonist

40. 10 yr female pt, she have open bite cause? ans was mouth breathing

41. case about pt 55 yrs old hv hypertension. larynx cancer. takechlorthiazide,, radio theraphy, what problem he is going to ahve in future due to radiation therapy?ans- osteo radionecrosis

42. which is best for root cariesl filling material? edit root caries

43. 18 yrs old girl, we cant extract her wisdom tooth? reason?

44. frodyces granules, what are they?

45. picture of lichen planus on buccal cheek

46. in x ray between 30-31 tooth showRL not extended to lingual surfce of mandible bone, what surface will be less damaged during extraction? ans- lingual nerve47. hard, movable, bony under the tonguewas given in Xray? what is it? sialolith and what type of RG is that? ans occlusal radio graph

48. panaroma, elongation of styloid process, asking for what syndrome? ans eagle syndrome was patient in pain when open his mouth

49. pic of pedunculated soft tissue on the cheek? ans fibroma

50. pt 45 yrs partial denture broken,dentist notice pedunculated soft tissue underline of partial denture? ans hyperplasia

Nov 13, 14Just Done with my day 2 guys . Here are some of my q .. pray for me to pass

- 1-which headgear move teeth forward

2- short crown where to put grooves for retention and resistance

3- percentage of lower central with 2 canals

7- how much connective tissue will cover epithelium per day after perio surgery( weird question i put 1.5-2mm)

8-why okc is important

9- why the anterior face infections are dangerous cuz they will spread infection to what structure? ( i choose cavernous sinus)

9- edentulous maxilla , minimum implants?

12- difference between MI and angina

16- which will resist force best single implant 4mm, 5mm , two splinted ??

19- why chrom cobalt alloy will resist tarnish and corrosion( surface oxide layer, noble ) ?

20- sensitivity to cold and pressure two weeks after pfm? Vertical fracture or occlusal trauma

22- which two principles of ethics will be in conflict when a dentist prescribe community water flouridation i picked autonomy and beneficience

23- referal to specialist which principle-non mal

24- distal 2nd molar with moderate pocket and inadequate keratinized gingiva which contraindicated? gigivectomy

25- epinehrine and levonordiphrin act on which receptor to cause hypertension

26- after extraction to control brisk bleeding what to use? ( gauze and pressure or epinephrine impreginated cord)

A lot of perio questions and new q that i can remember, a lot of new patient management q also they put a big emphesis on the incidence of cancer in the USI got a last question that really was crazy it was a big diagram show u the prevalence of oral cancer among us population and asked me qes about that.

edentulous maxilla , minimum implants??

which will resist force least single implant 4mm, 5mm , two splinted

which two principles of ethics will be in conflict when a dentist prescribe community water flouridation i picked autonomy and beneficience

epinehrine and levonordiphrin act on which receptor to cause hypertension

after extraction to control brisk bleeding what to use? ( gauze and pressure or epinephrine impreginated cord)

Pregnant, third trimester (36 weeks was given), why we dont administer ibuprofen: premature ductus arteriosus closure, cleft lip and palate, spina bifida, tachycardia in the mother (not sure, tachycardia or hypertension, don’t remember

What is the 2nd thing you do after cast surveying

Least contributor for denture stability in max 1.undercut on tubercle 2. Curve of spee

November – 2nd week rq(got some from rita some from mango)Don’t be scared about pharma it’s was all rq and easy. I was so worried about it but pharma was easy. And had lots of prosthodontics and oral pathology for me. I did some blunder known mistakes. Changed my answers on second thought never do that. Had 4-5 from ASDA. 1. Osteoctomy

2.Multiple myeloma initially what sign do v see?? Bone pain !! 3.cold lingering,cold non lingering. 4.blue nails wer ?? Like in asthma or sarcoidosis or wer?? 5.many questions on cross sectional study. 6.super numerary teeth n multiple osteomas .wat do u investigate?? In options intestinal polyposis is der.its a twisted question I think for gardener’s syndrome. 7. Divergent pupal to gingival is the answer dnt remember question dnt knw if this is correct ans also.

8.many questions from operative n perio flaps especially modified widman flap incision like apical to mucogingival? It goes like dat. wer do u give n y do u give??regarding pocket elimination or y ?? Very little prostho n very little pharma.

9.many mango almost all n Rita.

10.radiograph radiolucent area wid radioopaque foci.

11.3 yr kid 16 kg hw much lidocaine??

12.tooth n tissue born appliance.

13.10 MA exposure 1 gy .wat is the exposure for 0.5 gy if the density is same for both.i don’t remember.

14.t or f question vertical incision on mid root area....and vertical incision to cover roots or to cover recession it goes like dat..

15.dentigerous cyst radiograph.

16.cellulitis Wat do u see??neutropenia,lymphocytisis are options.

17.folic acid something in which cancer drug??methotrexate,fluorouracil are options.

18.bur with many flutes.

19.which microorganism in periodontitis without necrosis dint rem question .options were like filamentous rods,spirichetes

20.Nitrous oxide inhalation causes amnesia

21.oral sedation has better titration .i don’t remember.

22.periapical cemento osseous dysplasia radiograph.

23.hyoid bone radiograph.

24.radiolucency between mandibular central incisors no signs or symptoms.answer is menta fossa I think .im not sure. 1. Which DEA STAGE has less tendency for addiction?2. Percocet? Schedule3. Common occlusion in kids?4. No of canals in lower first premolar?5. Which surface most commonly perforated in maxillary incisors

6. Analysis of arch distance7. Patient image with gingival hyperplasia, taking medications for skin lesion. Diagnosis? One option was Ewing’s sarcoma.. others were minor conditions8. How to adjust occlusal surface of PFM CROWN? Diamond, green stone,carbide burs9. How to increase crown adaptation? 1.increase expansion of gypsum, 2,thin luting cement 3.trim the internal nodules10. Bacteria in LAP11. Initial treatment for LAP12. Drug with good first pass effect ? Low bioavailability , high plasma half life13. How to measure length of attached gingiva? 1.substract probing depth from Cal 2.free gingival margin to mgj 3.free gingival groove to vestibular fornix14. Function of infraorbital pointer in a face bow15. Frankfort horizontal plane?16. Which is primary stress bearing area apart from post residual ridge? 1.Ant ridge 2.hard palate17. Causes of gingival recession18. Occlusal rest where should it be?19. - What is the most common form of wound healing after a periodontal flap surgery?20. Which is not the disadvantage of subgingival margin placement n PFM crown21. Lots of endo questions: -asymptomatic pain, pain when eating, during sleeping, No pain, RL, without RL all scenarios know well22. Rubber dam doesn’t prevent from? Nitrous oxide vapours23. Who is least risk of inhaling nitrous oxide? Patient24. What topical anesthetics can you use that will cause vasoconstriction:25. Drugs for angina pectoris26. Material used for polpotomy in kids27. Deaf patient how you communicate28. Non working interference29. Rate of epithelium formation30. Short crown31. Blue swelling on tongue -Hematoma, hemangioma32. White pedunculated swelling on palate33. Tooth with periapical radiolucency, no tenderness on palpating , ept no result.diagnosis?34. Pt with blow to the face, tooth 7 fractured with pulp exposure. X-ray ? SMV OR WATERS OR PANOROMIC OR PERIAPICAL35. In a clinic, newly appointed dentist finds out that all senior dentists prescribe a 7 day course of antibiotics,. What does he do? 1.follow them 2. He starts opening up old cases 3.does research on extraction and antibiotics36. Stafne bone cyst X-ray37. Acantholysis seen in?38. Tooth 7 fractures pulp exposed palatal impingement39. Non working interference40. Missing lateral and treatment option41. Single cantilever

44. What drug will you give it’s pt is allergic to ibuprofen45. Drug safe in renal failure46. Mid face deficicency47. What common between Gardner and Peutz jeghers48. Dermatologist referred a patient?What problem49. What happens at tension zone in ortho trt?50. What cannot be on tongue? Ectopic thyroid, peripheral giant cell. Pyogenic granuloma51. Which tooth gets blocked out from the arch? Got 2q.. one for max and other n mandible

52.At what age child gain toothbrush's skills?A.2-5B.6-9C.11-13D.He can do it alone

53.Chronic periodontitis most seen in? black male

54-hpv vaccine Option were 1) 8-102)11-12 3)14-164)16-28

55.How to prevent from malpractice litigationOptions were 1) follow ethics 2) make  thorough document in patient chart

56. laser in periodontal therapyOption were 1) improve clinical attachment2)provide new attachment3) has be evaluated through RCT4) provide sterile gingival sulcus

57.best prophylaxis treatment for angina pectoris1) digoxin 2) procainamide3)propanolo 4) quinidine

58..mucous retention cyst on lower lip due to 1) severing and laceration fo minor salivary gland’s duct2) due to sialolithiasis in duct3) due to mucous plug in duct

59. internal void and surface defects1) leads to stress relaxation 2) decreases elastic modulus3) increases translucency

60.Next question was all are benefits of 3/4 crown as compared to full crown except1) better retention 2) Better marginal acess3) can perform diagnostic testing 4) esthetic

61.Another question was benefits of nitrous oxide/inhalation1) to decrease gag reflex 2) increase cognition 3)decrees respiratory rate4)increase heart rate

62.Another question was percentage of two canals in mandible second premolar1 - 1-3 % 2)4-6/.3)14-15/.4) 39/. Something

63.patient is having big mod amalgam with mb fracture cusp and going to have radiation in future for laryngeal cancer which is recently discovered, what tx plan? 1) crown2)modb composite3)extraction 4)RCTShe went crown 

64.test for means of dmft in boys and girls1)t test2) chi square3) annova

65- Rheumatic fever disease most common leads to:1)joint effusion 2) cardiac murmur 3) bone infection

66-was systemic antibiotics with surgical therapy for which type of periodontal problem: 

1) LAP2) NUG3) chronic periodontitis 

67-Patient is allergic to ibuprofen is in pain so which pain killer will you prescribe1) aspiration 2) phenylbutazone3) disulfiram 4) acetaminophen

68-Patient want to change his habit of smoking, How will you address this patient1) identity patient interests in habit changing 2) give threats to patient of future SCC

69-Patient is having pain in 19 molar and negative percussion mobility, Small radiolucency with root apex, Wat is the reason1.condensing osteitis2.acute apical abcess, 3.peri apical cemental dysplasia

70=how many cutting edges in gracey currete, One lateral cutting edge1 in gracey 2 in universal

71-Most common perforation in maxillary central incisor during access preparation1) facial 2) lingual 3) Mesial 4) distal

72-What is common between Gardener Syndrome and peutz jeghers syndrome. Ans: Intestinal polyps

73-Latex gloves shows reaction with which elastomeric material?Options were:

1. PVS 2. Polyether3. Condensation silicon 4. Polysurphide

74-CEPHALOMETRIC SCALE- FOR MAGNIFICATION

75-Non working inclines?

76-Gingivectomy

77-Benzodiazepam overdose?

78-Opoids overdose? 79-Save drug in renal patient?

80- Linsopril advrse effect?81- lefort 1

82.In which type of studies sample size irrelevant? A. Case control B. Cross sectional C. Case history

83. epinephrine cause what? Vasoconstriction.