Remembered questions 30-31 August 2018- GOOD LUCK!!!!

Many rqs from Mango

There were more options to these questions.

1) Finish lines for all ceramic restorations

a-chamfer+shoulder Ac-bevel+shoulder

c-feather edge+shoulder

d-feather edge+??

2)What topical anesthetics can you use that will cause vasoconstriction?

a-lidocaine

b-bupivacaine

c-benzocaine

d-cocaine ``````

more options

3)You are planning a bridge where first mand PM is going to be an abutment. Tooth has short crown, non carious. What would you choose to do on the tooth?

a-full crown ``````

b-3/4 reverse crown

c-inlay

d-onlay

4)You are making and inlay and in the meantime you need a temporary restoration. Which would be the WORST option?

a-made on the model with resin, cemented with ZPC

b-made in the mouth with resin and cemented with GIC

c-made in mouth and cemented with ZOE``````

d-made with ZOE (maybe it said improved ZOE?)

5)Which is a pulpal sedative?

a-ZPC

b-CaOH

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c-ZO with eugenol``````

6)You are making a RPD tooth supported, which one is not right?

a-Rest should be on mesial part of abutment

b-there’s no need to do an indirect retainer``````

c-the inclined plane should be adjacent to edentulous ridge

other options

7) Correct order to prepare a RPD (this is a rqs)

there were all kinds of combinations between preparing guiding planes, axial contour, rests

Answer: Prepare guiding planes, Heigh of contours(Carbon marker), Retentive contours (Block out undercuts), Prepare Rests

8) How long to wait after bleaching to prepare a veneer? 1 week (NO option for 2w)

9) Correct order of events when bleaching and doing a veneer (there were a few combinations including some of these options)

-prepare tooth for veneer

-bleach

-wait 3-4 days

-wait 1 week

-cement

10)Why does the Lingual bar have to be 4-5mm below the free gingival margin in RPD ? Options were confusing

a-no matter where fulcrum is tissue won’t be impinged (those were exact words, very unclear, but I thought it was the only logical option)

b-it’s more comfortable for the patient

c-that’s how deep is the vestibulum and it won’t impinge on the tissue or frenum

another option

11)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 notch

b- buccal vestibule

other options, none included the soft palate area

12) Recognize in a panoramic: it was quite clear (to me) it was an earlobe

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Recognize in a panoramic: big lesion on right side back of mandible, looked like ground glass. The history that was given: two years, not painful swelling on back of mandible. I thought it was fibrous dysplasia. Another option that was there was osteosarcoma and another 2-3 options.

12) 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.

13)Patient complains CD falls off when speaking, what could it be?

a-overextended

b-underextended

14) Lower buccal frenum what muscle?

a-triangularis

b-zygomaticus

c-caninus

15) What will look like one feature only in lateral ceph?

a-pterygomaxillary fissure

b-sella

c- orbit

16) Into what space will lower third lower molar fall?

a-pterygomaxillary

b-submaxillary

c-sublingual

d-submental

17)Histologic description of a radiolucency surrounding a tooth in mandible with parakeratinized epithelium, palisading (another few details I don’t remember, maybe hyperchromatic nuclei?)

a-dentigerpus cyst

b- CEOC

d-KOT-- Histological examination of hematoxylin and eosin stained slides demonstrated a fibrous cyst wall with a uniform stratified squamous epithelium, six to eight cells in thickness. The epithelium was distinctive for a layer of columnar, pallisading, hyperchromatic basal cells (Fig. 2). Rete ridges were absent and focally the epithelium was detached from the

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underlying fibrous tissue. The luminal surface was parakeratotic with a corrugated appearance. The lumen contained keratinaceous and cellular debris

18) Patient feels his upper denture is impinging on his nose, possible reason

a-teeth set too labially

b-flange is too thick

c-occlusal plane set too high

19) What’s NOT an advantage of lingualized occlusion (since I had no idea what that was, it was a wild guess. Later I read is a theory on how to set teeth on CD that nobody uses)

a-Better esthetic arrangement of teeth

b-No interferences on NW side (maybe W side?)

c-best arrangement for people with class 2 occlusion

more options

20) When pronouncing s, z , ch:

a- upper and lower incisors teeth on CD should almost touch

b- upper and lower incisors teeth on CD should touch

21)When pronouncing sibilants , upper and lower teeth of CD touch, what is the problem?

a-excessive VDO

b-not enough horizontal overlap

22)What’s the minimum height needed for an implant on a complete denture supported by implants (I understood- what height is needed minimum between ridge and CD if you want to put an implant to support the denture. Didn’t know answer)

a- 3-6mm

b-7mm

c-9mm

d-12 mm or more

23)In what week does cleft lip happen?

a-6-9

b-2-3

d-11-12

No option of 5-6. 6-7, etc

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24) What is the genetic of cleft lip?

a-AD

b-AR

c-XLR

-multifactorial

25)What incision should be made to remove a torus in palate?

a-Y incision

b-W incision

c- other options, none included double Y

26)Why do you need the sulcus to be dry in order to put a retraction cord?

a-ease of placing

b-so vasoconstrictors don’t dilute

27)When do you need to do electrosurgery or laser?

a-There’s tissue overlapping the finish line

b-there’s capillary bleeding

c-there’s sulcular seepage

28) What’s the treatment for ranula

a-marsupialization

b-excision of lingual gland

29) Osteoradionecrosis is mostly related to (this is one of the rqs that’s 50:50 in answers always)

a-Seen in maxilla

b-Seen in mandible

c- related to bisphosphonate use

d-happens when radiation is 42.5Gy

30) What is the first sign of damage after acute irradiation

a- death

b-erythema

c-hair loss

31) Patient started RCT and comes the day after with small cellulitis and fever, what should we give?

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a- no need to give antibiotics

b-penicillin 1g in one dose then 500mg every 6h for 7-10 days (I hope I’m remembering the correct dosage)

c-amoxicillin 2g orally in one dose and no more.

There was another option that didn’t sound logical, I chose b

32) What disease has the highest chance of turning to malignant?

a-Paget

b-florid osseous dysplasia

33)What is the lymphoma most likely to present in mouth?

-Burkitt. Cant remember other options

34) Description of a 22 year old that comes with red hyperplastic bleeding gums. Hemoglobin 12’ WBC count 100000. PMN 90%, L 9%. What could it be?

a- multiple myeloma

c-Trombocytopenic purpura

c-cyclic neutropenia

d-leukemia (Myeloid Leukemia)

there was another option, all of them blood dyscrasias

35) Description of a lucent lesion starting from lower second molar extending to incisor area (no xray).What’s the least possible diagnosis? I thought there were two equally impossible diagnosis, at the end went with condensing osteitis

a-condensing osteitis

b-nasopalatine cyst (which I think is also impossible to have in mandible…)

c-adenomatoid odontogenic tumor

d-central giant cell granuloma

36) Most common place to find mucous retention cyst

a-LL

b-UL

c-palate

d-tongue

37) RQ about a doctor recommending a patient to change amalgams in mouth because of mercury toxicity; what principle of the code of ethics is he violating? Veracity

38) When is a general dentist measured by same standards as a specialist?

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a- when he refers to a specialist

b-when he charges the same as a specialist for same procedure

c-when he works together with a specialist

d-when he decides to do a procedure that s usually done by specialist

39) One question on type 1, type 2 error statistics

40) Teophyline relaxes smooth muscle by inhibiting what?

a-adenylate cyclase

b-phosphodiesterase

c-monoamine oxidase

41) Battle’s sign is a sign of

a-Fracture of nose

b-Fracture of cranial base

other fracture options

42) Patient with Rheumatoid arthritis has been taking 3-4 aspirin a day for 2 months, what do you expect to see on his blood work:

a-acidosis and metabolite imbalance

Other options that included combinations of: increased/decreased bleeding time, inhibition of platelet aggregation, hypoprothombinemia.

The ONLY option that did not include anything about prothrombin was option A. Since I remembered aspirin causes first respiratory alkalosis, I did not choose that option, but I regret it because aspirin doesn’t influence prothrombin

43)Patient with emphysema, what would you expect to see on Forced expirium 1 second (those exact words “forced expirium 1 sec”)

a-prolongued

c-delayed

c-high

d-low

44) Short story about a patient with candida, what medicine can we give that can be given orally (systemically) and locally with efficiency

a-griseofulvin

b-clotrimazole

c-fluconaole

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not sure if miconazole was an option

45) antidote for benzodiazepins-

Flumazenil

46) question on amantadine- had to know is antiviral

47) An act enacted on 1997 that gives free treatments to poor children (etc). What’s the name of the act? I had no idea, the only one I recognized was Medicaid which is wrong option bc Medicaid is from the 60’s.

48) Description of a CT lesion that causes pseudoepithelial hyperplasia

a-neuroma (or neurofibroma?)

b-fibroma

c-schwannoma

d- granuloma

other options, I didn’t know the answer so I cant remember the options

49) What lesion is localized, not dysplastic, or inflammatory, or metaplastic or reactive?

a-systemic sclerosis

b-condensing osteitis

c-idiopathic osteosclerosis

50) What influences more the strength of a solder joint?

a-Buccolingual width

b-Mesiodistal

c-occlusogingival

51) Two similar questions on design pontic modified saddle ridge; should the pontics touch/lightly touch/cause blanching of the ridge. Options included for example scraping the model and constructing a gold pontic, or a porcelain pontic (since they said scraping the model, I thought that meant pontic could be impinging on ridge)

52) What percentage of permanent lower permanent incisor is calcified at birth?

a-0

b-2/3

c-3/5, etc

53) one question of symptoms of nerurofibromatosis, obvious signs

54) question about multiple osteomas- Gardner (was obvious)

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55) question of supernumerary teeth – answer was obvious cleidocranial dysplasia

56) Recommended water fluoridation level : only good option was 0.6-1.2ppm

57) In a clinical trial, what would the power of statistical test be used for

a-determine the alpha

b-determine validity

c-determine size of sample group

another 1-2 options

58) In a 16 year old girl with a buccally ectopic canine, what else would you expect to see?

a-gingival recession

b- deep bite

59) Lateral displaced flap is used to:

a- cover areas with gingival recession

more options cannot remember

60) When would we do gingivectomy

a- to reduce pockets

b- osseous surgery

c-to do scaling and planning of an osseous defect

d-mucogingival defect

61) You have a carious exposure of a mature permanent tooth, what’s the best course of action?

a-pulpotomy CaOH

b-another option with pulpotomy

c-RCT

d-indirect pulp capping

62) What is not a predisposing factor for aggressive periodontal disease

a- race

b-age

c-gender

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d-nutricional deficiencies

Not sure I remember the question correctly

63) What’s is the main problem (disease) in an aging healthy population

a-caries

b-cancer

c-periodontal disease

64) What’s true about the preparation for an osseous graft?

a-Irrigation with saline is the most important

b-Must clean completely the cementum

c-Must clean completely the granulation tissue

d-Can leave a little bit of granulation tissue

65) When taking an intermaxillary bite registration at centric, after using an arbitrary facebow, there must be only 1mm separation on second molar area. Why?

a- was must always be 1mm thick when using an arbitrary facebow

b-minimal distorsion

sorry I can’t remember rest

66) Bite registration on centric must be

a- thin without perforations

b- think but a few perforations are OK

c-thick

67) Wax is usually used for border molding because it can be redone (can’t remember the word used but the idea is that you can redo impression many times), that’s because one of the advantages of wax is

a-its thermoplasticity

68) Lingualized occlusion. What’s not an advantage? (I had no idea what they were talking about so I don’t remember options very well)

a- Better esthetics

b-No interferences on NW side (or W side?)

c-preferred occlusion in class 2 occlusions

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69) There were 3 questions on what would happen if patient moves during panoramic. One asked if patient moves for 1 second, what would you see (everything blurry, one vertical line blurry plus a discontinuation of mandibular border, wavy mandibular border). Another question if patient moves vertically. Another question was “what’s the worst quality of panoramic for diagnostics”’ options included bad positioning on orthopantograph, patient moves 1 sec. I thought asking three questions about it was borderline obsessive on their part.

70) Patient needs surgery to fix an 8 mm Open bite. What surgery would be the best option?

a-Intraoral vertical osteotomy

b-Le Fort 1

c- genioplasty

d-sagittal split osteotomy

71) What area (out of a list they gave) is involved in a le fort 1 fracture

a-maxillary sinus

b-ethmoid sinus

72) A patient has skeletal class 2, but dentoalveolar is class 3, he has dental compensation. What movement would you do pre operation

a- Upper I labial and Lower I lingual

b- Upper I lingual and lower I labial

c- both upper and lower incisors labial

d- both upper and lower incisors lingual

73) Stripping is done on what part of the teeth

a-Mesial distal

b-buccal lingual

c- O Gi

74) Incisal table angulation and position is determined by

a-condylar guidance

b- anterior overjet and overbite

75) Occlusal trauma can cause all, except

a- mobility

b-histological changes in PDL, lamina dura, bone

c-cofactor in developing periodontal disease

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d- periodontal disease

76) Side effects of nitroglycerin: learn them, they all sounded similar to me and didn’t know the answer

77) What is not a consideration when giving medicines to the elderly

a- their metabolism is slower

b-they are less sensitive to CNS depression

78) pKa has most effect on

a-duration

b-potency

c-duration

79) What drug is available to do the desired effects:

a-free in plasma

b-bonded to proteins in plasma

80) What is not typical about dementia

a-Retention of short term memory

b-Those engaged in intellectual activities lose intellect slower

c- Difficulty making decisions, judgement

81) What can be the cause of bleeding 3 days after extraction

a- fibrinolysis

82) Treatment of alveolar osteitis

a-give antibiotics

b-curettage

c-put a palliative dressing

82) Name of the opening in soft tissue of a fistula: parulis

83) Upper lateral incisor has an abcess, fistula and periapical radiolucency. After doing a RCT, what treatment is needed for the fistula?

a-nothing

b-excision

c-antibiotics

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84) What is NOT an effect of opioids:

a-constipation

b-xerostomia

c-miosis

d-peripheral inhibition of pain nerves

85) Most danger to operator on an xray room comes from:

a-scatter from walls

b-scatter from patient’s face

c-electromagnetic energy from the control panel

86) What kind of radiation does an MRI works on?

a-gamma

b-xray

c-radiowaves

87) Fluorosis affects mostly what tissue?

a- pulp

b-dentin

c-enamel

88) Knowing the composition of calcium and phosphate, when there’s an F ion, what molecule does he exchange?

a-hydroxyl

89) Why do we wash the film with water?

a-to take away chemicals

b-to reveal latent picture

c-to shrink emulsification

90) Upper central incisor had a RCT because of a periapical radiolucency. After one year patient comes back and periapical radiolucency looks bigger. What is not a logical explanation?

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a- scar is healing

b- leakage from crown

c- lesion s very close to incisive canal

d- xray was done from a different angle

91) During closure of mandible, what is least important (very weird question)

a-relaxation of lateral pterygoids

b-simultaneous contraction of elevators and suprahyoid muscle

c- another combination of muscles that included suprahyoid

92) When symphysis breaks bilaterally chin is pulled back by what muscles? There were all sorts of combinations between these

a-anterior digastric

b-mylohyoid

c-genioglossus

d-geniohyoid

e-thyrohyoid

93) Most common soft tissue complication during extraction:

a-puncture

b-tearing of mucosa

don’t think there was hematoma, there were other irrelevant answers such as dry socket

94) Pain medication given after extraction that can work overnight:

a-naproxen

b-ibuprofen

c-acetaminophen

95) Oral histoplasmosis lesions resemble

a- cancer

b-aphtous stomatitis

96) What perio disease is not related to bacteria

a-desquamative gingivitis

b-periodontitis

c-gingivitis

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d-ANUG

97) What can cause bone resorption in tissue culture?

a-Endotoxin

b- IL-1

c- IL-2

D- TNF

98) In what instances should we do a biopsy? The only answer I thought works was “when local treatment hasn’t worked in a lesion for 10-14 days”

99) Demineralized freeze bone works because it has

a-BMP

b-epithelial growth factor

c-fibroblast growth factor

other growth factors of proteins

100) What is responsible for retention of fissure sealants?

a-mechanical lock in pits and fissures

b-chemical bond between fissure sealant and enamel

c-tags inside dentin (this options was a little bit more detailed)

101) 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 to me…).

102) Amount of reduction for an anterior veneer in middle third? 0.5mm

103) Mechanism of action of sulfonamides

104) Question on what is neuropraxia

105) If implant is 4mm diameter, what is the minimum width of the ridge? There was NO 6mm option, closest was 7mm

106) Sphenooccipital synchondrosis resembles

a-epiphyseal plate

b-suture

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107) What is a synchondrosis?

a- cartilage

b-connective tissue

108) Forceps to extract upper first PM- 150

109) How does implant connect to tissue? Hemidesmosomes

110) Effects of cocaine

a- contraction of radial muscle

b- contraction iris dilator

111) 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

112) What causes pseudomembranous colitis

a-clinda

b-broad acting antibiotics

c-metronidazole

113) Question on what causes hairy leukoplakia

a- HIV

c- HPV

c- EBV

114) Drugs that are given for motion sickness:

a-scopolamine

b-chlorphenotiazine

(I got confused bc I remember promethazine is used for nausea, and chlorphenotiazine is related… Obvious answer should be scopolamine)

115) a question on effects of atropine.

Day 2-some things I remember

Pathologies:

1) There was an older farmer, smoker and takes ferric sulfate every day . A description of brown well demarcated small spots in palate: what can it be? What would you expect to find if you

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biopsy (melanin, melanocytes, deposits of iron etc). What could be the cause? (smoking, tobacco chewing, sun)

2) Same older farmer has a white patch on lower lip, doesn’t scrape off. What would you do (cytology, incisional biopsy, excisional biopsy, put cream on it, etc). What do you expect to see if you biopsy on upper layers? (I put keratin)

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). Looked like leukoplakia so I chose biopsy

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 and underneath healthy compact bone and Bone marrow. What could it be? Options were osteoma, osteoblastoma, osteosarcoma and pleomorphic adenoma.

5) Same 24 year old has a lesion on sides of tongue, red with with border, well demarcated and it wasn’t there a week ago. Only thing I could guess it was is eythema migrans (it did NOT say geographic tongue). Similar to this:

6) Another older guy with a very small spot on gingiva between two teeth, to me it seemed like normal pigmentation of gingiva. What do you expect to see if you biopsy (melanin, melanocytes, etc)

7) lesions on buccal mucosa, little yellow bumpy spots- what to you expect to see if you make a biopsy? I thought they were Fordyce spots so I chose sebaceous glands

8) 10 year old girl, in photo of lower arch, it asked- what is the darker color we see close to insertion of lingual frenum: veins/ mucous acini of sublingual gland/serous acini. It was VERY hard to say it it was acini or veins.

On drugs: I can’t remember most of them, but questions were very specific, need to know well pharma. I remember amytriptilline, 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 bc

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the name was “naso “ something), inhaler for asthma (cant 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- what drugs cannot give.

Need to know how to classify perio disease: for example there was an old person with generalized bone loss, but worse in incisors and lower molars (upper M missing). Is it generalized moderate/aggressive periodontitis, localized aggressive, localized moderate.

One case of a 10 year old girl, late mixed dentition, only some second primary molars in mouth- asked about upper midline compared to face (photo of face was tiny!, I had a hard time deciding if it was deviated to left or not), Second question about lower midline, is it deviated? To right, or left or not deviated. It did NOT specify if deviated compared to face or compared to upper dental midline, plus you cannot see it in a photo. In my opinion question wasn’t written as it should, it wasn’t clear. What’s her caries risk? She was caries free and good OH, so I put low (some might say intermediate bc of divorced parents)

Same 10 year old had a missing second lower PM, second primary molar retained a little bit under occlusion. Asked what is not a reason to keep the primary second molar? options were to keep first perm molar form coming forward, to keep first PM from moving distally, to maintain bone width. I chose option “ to keep upper PM form erupting”, and I chose that bc the tooth was already infraoccluded, it could not have prevented overeruption of opposite tooth. What resorption is undergoing the second primary molar? Replacement resorption. We needed to classify Angle (it wasn’t as obvious bc of mixture of primary and permanents)

There was one of the cases around upper lateral that gums were gray (you can quickly say its an amalgam tattoo). Questions was how can you make a definitive diagnosis on the pigmentation? I chose “xray” bc you could see the pieces of amalgam around the tooth in xray,didn’t think a biopsy is needed. The tooth didn’t have RCT so it could not have been the post or cement.

Another upper lateral had a post-core: is the post: too long/too short/ Ok? Too wide/too thin. It was difficult to answer bc I could not see the outline of the root (it wasn’t obvious if it was too wide or normal).

Another case we had to recognize the radiolucency under two fillings- looked to me like base/liner, not secondary caries.

There was a case with a bridge tooth 18X20 (or 17XX20). A small gap on margins of crown on 18. Tooth 20 no RCT, periapical radiolucency around root (not huge but a halo around apex). History of pain and cold sensitivity on area. Which tooth could it come from? I wasn’t sure if 18 because of gap in margins or 20. I thought 20 was necrotic and could not have caused pain. Not sure.

An xray of a tooth with a post and core and a gap between the post and remaining gutta- what is it? Overpreparation for the post or taking away too much gutta?

A case of an older guy with many cervical abrasions on buccal and a lot of gold restorations- what is not a probable ethiology? Toothbrush abrasion/cervical caries/ parafunction/chemical

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erosions. I was thinking maybe the parafunction can cause abfractions so I chose chemical erosions- probably wrong answer. What would you recommend him to do at home? I wrote fluoride trays.

A younger guy around 25- had slight open bite from tooth 3 to 7 and mild crossbite on PM and first molar on that area- what’s causing the xbite? Upper teeth tilted lingually, lower teeth tilted buccally, constricted maxilla. It was local, lower arch was very well aligned and upper arch PM and M were in a lingual position, so I chose “upper teeth tilted to Li”. Another question- how could you fix the xbite? I answered by tipping upper teeth labially . He was also half class 2 in molars and canine, but OJ and OB were minimal- what could be the reason that the OJ and OB are normal? Options were bc molars are class 2, because canines are class 1, I chose because upper arch is more crowded than lower

A case where first and second upper M were missing and sinus had undergone pneumatiztion- asks about radiolucent area close to ridge- is it a residual cyst/other options/I chose normal anatomy bc it was sinus.

Diseases: a lot of heart conditions, after MI, after stents. Depression, bipolar, renal insufficiency, one needed prophylaxis according to his physician’s orders. Diabetes type 2, asthma.

Worth reading about medicines given to those diseases.

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BLACK ANGELSQ: We are given fluoride supplement to a pt but she said she read we cant use fluoride so what would you response be- Conflicting statement in puzzling or Up to you to use it

Pallor, chest pain and tachycardia where:

-CVS accident

-Myasthenia

-Heart attack

Hyperventilation

-Pre syncope

Professional code conduct means:

-Specific conduct

-Binding for Hygienist and Dentist

-Legal rules in and out the office

-Out of law rules

What is the first consideration for treatment planning?

-Pain and discomfort

-Medicaments and Systemic considerations

What results affected for Aspirin-- Bleeding time (Not PT or PTT) PT= Extrinsic Pathway is affected by Warfarin, PTT intrinsic pathway is affected by Heparin

Clopidogrel affect- Bleeding time

Distal to 2nd Molar edentulous space with moderate to severe pockets, what no to do-- Option Distal wedge or Gingivectomy

Pt reports nauseas while NO2 what to do:

-Turn off

-Give O2

-Give NO2

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-Relax the pt

Pt had vasovagal syncope, do you do all except:

-Administer O2

- Place in Trendelenburg position

-Give Epi

-Apply spirits of ammonia

Q: Two implants with 3 units screw retained bridge. You took an xray and in that you found there is no space at abutment-implant interface in one of two implants and in other one there is space, what is your next action?

-Take another xray

-Tighten the screw

-Split the bridge and remove it

- Another option I don’t remember

You smile and praise the pt what is that:

-Contingence

-Social reinforcement

-Positive reinforcement

2nd click in TMJ is due to the disk:

-Anterior to normal

-Normal to anterior

-Free from dash

How is Incidence calculated:

-Estimated

-Rate

Stablish biological width- Approx 2 mm

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Is Kaposi Sarcoma directly caused by HIV- False ( its caused by (HHV8) when pt is immune depressed)

Altered passive eruption, 3 mm above the CEJ- APF or Gingivectomy ( I picked gingivectomy)

Bilateral balance occlusion disarticulates posterior- False

Unexposed Image- Light

Overexposed into developer- To dark image

Most important in shade selection- Value (Cannot be increased)

Wavelenght- Hue

Child who got an electrical burn on the corner of his mouth: How can this can affect dentition?

Rheumatoid arthritis- Autoimmune , Developmental or Inherited

Maxillary 1st premolar or maxillary lateral incisor which on is congenial missing-

Child 9 years old mixed dentition, lower canines unerupted, crowding of mand anterior, what to do:

1-Disk and observe

2- extraction

3- lingual arch and observe

Some word for word the same some slightly differently worded some are the opposite of mango or Andres like what is NOT true as opposed to what is true

My radiographsDentiginous cyst

Zygomatic process of maxilla

Amelo fibro odontoma----Ameloblastic Fibro-odontoma they said mixed radiolucent with radiopaque in the question so was very clear

Simple LA calculation

Dentigerous cyst was obvious in Xray

Function of major connector: No option of stability and rigidity together

I picked Rigidity and Retention

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5- Gold inlay prep-- Diverge from gingival to pulpal wall

When that Dental Lamina form?

What stage do supernumeraries form? Initiation

Description of Taurodontism like Extra-enamel organ or Dental lamina formed, make sure to know this very well

Class 5 retentive grooves where?- Gingival and Occlusal walls

Contra of NO2

Fail safe of NO2 stops how much-70%

What is not function of Diazepam- Anti mimetic

MOA of Diazepam-- Ptentiate GABA

Side effect of Nitroglycerine- Nausea, Tachycardia and Head ache

Which hormone will interact with Epi--Thyroid hormones T3 and T4

Causes of anterior dental cross bite (2 check)

1-Thumb sucking, 2- Incisal crowding, 3- Supernumerary teeth

Minimun A Neutrophil Count needed for surgery-- I put 1000

Initial sign of HIV-- Asymptomatic

Actynomycosis infection--

Bzp reversal- Flumazil

Scopolamine used in-- Sickness motion

Least recurrent when removed-AOT

Mucocele tx-- Marsupialization or Sub mand gland removal

Has had previous radiotherapy what to do--- Refer to Oral surgeon

Veener-0.5 mm reduction

Short crown what to use- Full veener

Disadvantage of retraction cords- Necrosis do not specify

What pt to use GA- 2 yld with rampant caries

Histoplasmosis mimic what lesion-

Tooth must hard to floss- Max 1st PM

% of population with Fluoridated water- 71-76%

23

Most affected in perio disease- Max molars

Maintenance pt with 6mm pockets what to do- Local Abx or Local Abx + SRP in that region

Maintenance pt with 5mm pockets with excellent OH and no calculus what to do next- Surgery

Function of MWF--

Disadvantage of Partial thickness flap- Impaired bloody supply (No periosteum in the flap)

Gingivectomy incision-- Coronal or Apical to MGJ

Difference btw Gingivitis and Periodontitis

Clinical Attachment Levels, Mobility or Pockets

Orbital fx what happens with movements- Limited to upper

First symptom of Cavernous sinus infection- Head ache

Hypersalivation temporary: Reason

Stimulation of receptors for apprehensive pt

Direct stimulation of salivary glands

Stimulation of Parasympathetic

Main bacterial complex in Perio disease-Red complex

Pt sits with elbows crossed and shaking legs: Implies what-Axious

Pt says he cant take care of his oral care at home: What to do next--

Features of Cherubism- Bilateral jaw expansion most commonly in young

40 YLD pt with bilateral cross bite what tx-Surgery

Athlete with jaw pain in the morning what is it-Myofacial pain syndrome

Extraction mand 3rd- Neuralgia or Trigeminal Neuralgia

Pt has sensitivity to hot and cold, pain when he gets up in the morning, what the diagnosis-

Reasons for extraction of 3rd molar-Recurrent pericoronitis

Intrusive movement risks- Cut nerver or blood supply

Anticonvulsivant used for chronic facial pain- MYSD, Neuralgia

Pregnancy what is concerned when she is on the chair- IVC (Sit her with left side, right hip up)

Communicating honestly what is it-- Veracity

Gonadal xray question-

Remove amalagam what ethic-Veracity

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Type of drill for implant- High torque low speed

Zinc oxide eugenol- Pulp sedative

Sequence of bleaching and restorations-

Vasoconstrictor anhesthetic- Cocaine

To distinguish betw Perio and Endo abscess-- Vitality test

Forceps for Max PM- 150

Moisture in amalgam decrease: Strenght or Retention

Moisture in amalagam: Dec stick to the walls or improve marginal seal

Mucous retention cyst most common location-

Pka in anesthetic affect- Onset

Bleeding 3 days after extraction- Fibrinolysis

What lymphoma in mouth- None hodking in option but Burkitt was there

The rita question about the direct toxic etch on the dentin

Occlusion question asked why you need to remove non working interference before putting a new crown in- Something related to proper thickness of the crown

Most stable type of composite-TEGDMA matrix

Calcification of mand central primary teeth when-

Activator of light cure resin- Camphoquinone

Most fracture resistan ceramic- Zirconia

Class 5 root cavity what to use: GIC or Resin cement

Least fx strength ceramic- Feldespal

Cavitated non carious lesion- Abrasion or occlusal attrition

How to identify white spot- Air

Child become uncooperative and you use voice control it is everything except:

Tell child his behavior is unacceptable

Controlling voice tone

Gaining child attention

Mild form of punishment

Reciprocal anchorage what is it?- Equal and Opposite

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What is a 3rd order bend-

How to treat Angular cheilitis with VDO-Increase VDO

Muscle dystrophy cause what problem

Function of incisal table influenced by Vertical and Horizontal overlap

0.2 mm wire options were 4mm, 6, 8

What does Apirin NOT influence Prothrombine time

Fluoride MOA-

Proscar used in what- Bening Prostate hyperplasia

What drug give in Hirsuitariam- I picked Eflornithine

Tetracycline affect what structure- Dentin

Kid taking Ritalin what disorder has- ADHD

Lefort 1- Max Sinus

No predisposing for Chronic perio- Age, Sex, Gender, Nutrition

Strenght of solder joint- Occluso-Gingival

Worst temp for Inlay- Make it in mouth and cemented with ZOE

Mandibular CD distobuccal- Masseter

Mandibular molar lingual CD what muscle- Mylohyoid

Flange thick on max anterior question

Questions on mandibular movement musculature

Dens in Dens picture and what stage

Sialithiasis most common- Wharton duct Submandibular gland

Cracked tooth most common---Mand molars

Self-removing lesions: Both Melanotic and macule were in options (Hemangioma)

First sign of radiotherapy- Mucosistis (Erythema)

Soft blue lesion unilaterally fluctuanting on the palate- Options were SCC pleomorphic and Adenoma ACC

Girl with ulcers, lymphoadenopathy and fever- Herpes

Treatment of dry socket- Palliative (Sedative dressing)////What do we irrigate it with- Saline (I had CHX in options but I think was wrong)

Most common problem during Max extraction- I picked fx of the alveolus (IDK if sinus perforation was in options) but it did not mention posterior zone so I picked Fx

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Most common after Max extraction- Hemorrage

Most common mand extraction and each option had 3 choices

Mechanism of Sulfonyl Ureas- Stimulation of Pancreas Beta cells

to secrete Insuline

Sulfamides Abx MOA- Inhibit PABA (Options were like Pryglyoclic acid that compete with PABA product or summin) so I picked the 1st

Reason why mandible keep popping up-

Potasium sparing diuretics-Spironolactone

What do you do when making a CD for a pt- Set a realistic outcome of the Denture, other options were Sell them the TP, Get the family involved to take care of their well being, Encourage them to think is amazing or summin

How to treat mild anxiety pt- Try to answer their worries before gove BDZ

What NOT to do when dealing with anxious pt- Tell them everything is going to be fine

Worst place to do graft- Canine eminence or Interdental

Problem with making an FPD for missing upper canine- Abutment lie outside of the central line (Something like that)

I have a hard question on lingualized occlusion in CD

Check biting in CD why- Dec horizontal overlap

What do we check at perio maintainence in xerostomia pt? Root caries or gcf amount?

GA contra indi in parkinson? Parkinson is ASA 3 so not contraindicated

I got some question from hydrogen file aug 30/31 and Rita

Identify RO or RL structures from a list

That implant length question where we thought is 12+ answer asks distance from bone crest to opposing dentition in cd --I went 7 mm

Apical vs period abscess Pulp vitality

Ortho 7-9 ni ti what kind of movement to make room for implant on 8 position?

Gic advantage over composite very hard choice

External root resporption seen more in?

At birth a mand molar has calcified how much 1/3 1/4 1/2

Geo tongue picture

40 year old guy post crossbite tx- Surgery

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Flange thick on max anterior question

IV administration of antibiotic not anaesthetic the patient starts wheezing, tachycardia, feels faint

I assumed it was a type 1 allergic reaction to the abx- Anaphylactic reaction more options were Shock, Anxiety attack

First degree of burn- Redness (Other option were Complete destruction of epithelium and dermis, Vesicle formation, Loss of sensation)

Question about the X-ray formula (Law square) they give time and intensity except distance< so you have to calculate distance- Answer was 20

Which type of perio needs surgery and abx-ANUG?

Type of bacteria in ANUG initially before necrotic-

LAP needs ABX- Yes

Class 5 filling material if caries prone- GIC

Root coverage filling material- RMGIC

Disadvantage of fillers in comp, was no less esthetic during polishing but there was- higher radiopacities

No an Effect of Opioids

-Depress respiration

-miosis

-blockage of peripheral pain pathways

-constipation

-somnolence

Most important thing when doing clinical trials on patients options were like

-making sure they know about the trial

-making sure they take no accountability for side effects

-informed consent

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What is not needed in consent inform-to be written down??? I strongly doubt on this one

Interdental and marginal involvement- Gingival abscess

When not to do a gingivectomyapical to crest

The one about space behind 2nd molar- Distal wedge

Pt undergoing Dyalisis when is better to do appointment- 1 day after dialysis

1. Which drug can cause seizure in patients taking Venlafaxine? A. Hydrocodone B. Azithromycin C. Tramadol D. Diclofenac ANS C 2.

2. Gracey currette 11/12 --MESIAL POST.TOOTH 3. Gracey currette 13/14---DISTAL POST.TOOTH 4. Adrenal crisis --CARDIOGENIC SHOCK,100MG

0.9%HYDROCORTISONE WITH SALIN 5. Purpose of Antiretraction valve-TO STOP INFECTION

&PREVENT SUCKBACK BACTRIA 6. 2 implant overdenture –

-A.Retention and support by implant -B.Retention and support by tissue -C.Retention by tissue,support by implant -D.Support by tissue,retention by implant

7- HPV strain in oral lesions A.6 and 11 B.16 and 18

Manipulative patient A.Setting limits B.Distraction C.Behavior assessment

Antianxiety in pregnant patient PROMETHAZINE

10. Epinephrine reversal acts on which receptor? ALPHA1 R PHENTOLAMINE 11. Epinephrie in LA causes vasoconstricton through which receptor? A.Alpha 1 B.Alpha 2 C.Beta 1 D.Beta 2 ALPHA 1

12. Contraindication of nitrous oxide - nasal congestion TRUE

13. Contraindication of nitrous oxide A. First trimester only B.Second trimester only C.third trimester only D.All trimesters

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4. Dentist keeps up with recent developments and new skills, knows ones limitations and when to refer patient to a specialist A. benefecience B. Non maleficence

5. Contraindicated with ginseng - Aspirin TRUE

15- Sound to assess vertical dimension - S (SIlabants)

17. Purpose of plaque index A. to assess gingivits b. periodontitis C.for patient motivation C

18. which margin is contraindicated in cast metal A. Chamfer B. Shoulder C. Shoulder with bevel D. feather edge

19. Bur to use on porcelain A. Diamond B. Carbide C. Green stone

20. sodium hypochlorite - not chelating TRUE ,REMOVE DEBRIS

21-Calcium hydroxide use A. Intracanal medicament B. root perforation C. Apicectomy

22. non working interference is seen on which cusps? LUBL

23. Temporal arteritis - loss of vision TRUE

24. passive night guard can be used for A. Masticatory muscle spasm B. TMJ derangement C. Migraine headache

25. single implant feature ---ANTIROTATIONAL HEX

26 Forces destructive on implant surface A. Apical B. Horizontal C. Vertical D.Oblique

27. GTR - coronal movement of PDL

28. GTR is used in A. Class 2 furcataion B. two walled defect 29. most common A. one walled defect B. two walled defect C. three walled defect

30. advantage of laser flap A. improvement in clincial attachment B. New attachment

31. NSAID's like Ibuprofen act on A.platelts reversibly B.platelets irrerversibly C. extrinsic pathway D. intrinsic pathway What condition shows sequestered bone in Xray- Osteomyelitis

Varicose tongue most common in: Elderly if not in option Hypertensive pt

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Most radiolucent- Amelo- Fibroma

Green discoloration around the margin after porcelain crown 1 month later: Amide, Micro crack or Microleakage

What happen when Amalagam get contaminated with moisture:

-Doesn’t stick to the walls

-Gets stronger

-Delayed setting expansion (Confirmed!!)

Function of Helix:

What cause anterior cross bite- Retained primary teeth

Implant failure and you have to extract the implant with trephination what is the next step- Take another PA to see position of the implant respect to SLOB

Systemic and topical fungal infection Miconazole

Multiples osteomas- Gardner

Min count of Granulocytes for surgery- 1000

Main Problem in healthy aging population- Perio or caries

Before doing any studies what to get- Inform consent

Ceramic finishing lineShoulder

2 Years old kid- Have mother hold him

how to build rapport with a child- I went with lean down to eye level and talk options were say nothing explain treatment increase rewards

What not to do with an uncooperative pt- Re schedule

Most common type of intrabony defects 2 wall (crater)

i got a flap or graft question the one we did here where the answer was clean of granulation tissue

Secondary colonizers what group- Red complex

Bacterias in the Red complex T. Denticola

You let the child walk around and touch the instruments how is that called: Systematic desensitasion

Time for Perio maintenance after Surgery 3 Months

Most common dental emergency Vaso vagal syncope

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Another about why u adjust it options were change in patients situation u never adjust increase maintenance will improve patient compliance increased maintenance will decrease patient compliance- I chose Pt situation can be either A or C This is for perio maintenance visits

One question on unbundling and 1 with bundling

Inssurance pay for your crown and core together even though were billed separately Bundling

TAD- Cortical bone

What type of model is for IPA- Network model

1st visit of patient young child best approach

Parents stay in room

Parents stay out side

Use of chair is recommended

Knee to knee with active participation

Teenage boy doesn’t look at you and gives 1 word answer what to do ask him in person or call in parents

11 YLD multiple class 3 and 5 caries on primary and secondary teeth what would u initially do:

Restore class 3

Restore class 5

Find out what is causing the caries before tx

Tooth with most facial lingual convergence in primary Mand 1st molar

One tooth lower canine has vey little attached gingiva but not recession what does this means:

-Candidate for graft

-May show reesion in the future

-Nothing will happen

-Common problem easy fixable

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The most important indication for prognosis of periodontal tooth- Attachment levels (Options were BOP, Plaque blab la)

How many furcations in upper if 3rd is missing- 16 (2 PM and 6 molars=8 +8=16)

Orbital blow out fx what movement is limited Upper because lower muscles are stuck with fat in the inferior orbital rim

#19 thin attached gingiva what can you do- Gingivectomy

Cocaine what causes on pupil Mydriasis

What type of tumor in hyperparatiroidism- Brown tumor

4mm mass or tumor around parotid Pleomorphic and ACC in options

Old pt like 71 years old has a lower denture for 19 years there is 6x3 mm white lesion on the buccal border of his lower mandible denture what to do

-Biopsy

-Refer to Surgeon

-Radiotherapy

-Releive are and review in 1 week

Most common sport for calculus- Mand anterior and Max molars

Most cracked tooth Mand Molar

Where does caries beging after cleaning: Occlusal, Contact, Occlusal to contact, gingival to contact

Most common perio in what race Black male

Dens in dente seen in Lat incisor

Outline for Mand molar access Trapezoid

Max amount of lido for 16 kg kid- Around 74mg

If a test show 95 of 100 blabla 95% sensitivity

Fx of Amalgam MOD at distal and Mesial isthmus what to do- Redo

When to replace amalgam Recurrent decays

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NSAID reversible Ibuprophen

Facially erupted canine what would yo see-recession

What NSAID will have least effect on bleeding Aspirin, Ketoralac, Indomethacine, Colecoxib

Perforation in max anteriors where- Mesial

Commonly btw Aspirin and AcetominophenAnalgesic and Antipyretic

Pt take heavy breath every 10 stepson a bounch of meds what will you not do: Cant Put him on horizontal position

Pt got messed up anterior teeth want a smile make over, what the best to tx plan or best aid in tx plan

-Xrays

-Diagnostic wax up

Type of bacteria in plaque after 1-2 days-Gram + Cocci and Rods

Bacteria responsible for collagenase activity Porphiromone. Gingivalis

Apexification where- Non vital tooth

Separate from basal tissue Pemphigoid

Apexogenesis where- Vital tooth

Submandibular drain into what space- Platysma

Large bone graft from where Iliac, Rib, Chin, Ramus

Epulis fisuratum resembles- Irritation fibroma

Pain in mental nerve area- Traumatic neuroma

Methotrexate all except- Bone morrow suppression

Advantage of indirect over amalgamBetter occlusal contour

Deciding to do a cusp reduction Stability, Resistance, Retention

Why do we use onlayCusps are undermained

Pt with Xerostomia what is best RPD base Acrylic or Metal

Less tissue detail in what RPD base- Metal

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ASA 3 patient- Systemic diseases but controlled

ASA 6 patient Cerebral dead

Distance btw midsagittal and xray in lateral cephalometric xray- Options 5ft, 6ft, 150 cm

Day 2

For day 2 you need practice, do a lot of prostho and Ortho cases

Learn drug interactions

Learn what to give and what no in Liver and Renal disease

Learn what disease need prophylaxis

Radiographs have two parts 1 and 2 they don’t tell you that in the intro

Some case histories are in the dental chart so make sure to read it carefully

Learn plaque score and what OH indication according to the score

Case asking about effect of estradiol in gum tissues,

Patient with syncope what to give and what not

Mesio dens in Xray

Post and core question- Role of post, role of farrule

Lateral cephalometric xray asking for palatal floor of maxilla

Typically extruded tooth, not counter tooth in the arch

Make sure to know the correct post length

Farmer given xray asked what did you see in opg. Missing 19, near the apex what is the radiopacity. I said retained root tips

Lesion inside the mouth asking what can be except-Focal keratosis

In what cases we can do inmidiate implant after extraction When you have good bone quality and not residual apical infection

ADHA patient if you give Epi with LA what could happen-

One case tooth #2 has a MOD Ag restoration and #31 opposing has metal ceramic crown, if you want to change the filling in #2 what material would be the best:

Amalgam, Lab Indirect composite, Direct composite (No ceramic in options)

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Case with temporal arthritis asking immediate effect: if ear ache or loss of vision

Normal levels of Hba glucose, the answer was talking about level 8 I don’t know if its high or low Normal level 5,6

Side effects of lisinopril: Cough, Orto hypotension, Angioedema, Contraindicated in pregnancy

Todays Day 1 QsA lot of qs on Pt management including Battery: Do a procedure in a pt without inform concent Unbundling: Charge every single xray of a FMX rather than the complete procedure

Nonmaleficinece: Do no harm, do well, know your own limitations and refer to an specialist if you think you cant do the tx, keep your knowledges updated, consult a second opinion when ever prudent, delegate the care of the pt who those qualified to do certain procedures (assistants), do not practice under abuse substance, do not undertake the course of a treatment of one pt without given the pt a prudent time to find another doctor putting in risk the health of this pt, do not contract relationship with your patients

Benificence: “Do good”, Community service, Shared discoverements, report child abuse or any other of abuse sign, dentist is the leader of the oral health team and should promote an environment of mutual respect and consideration among co-workers and patients

Justice: “Be fair” “Fairness”, do not discriminate against sex, gender, race or any other type of segregation, a Dentist is in the obligation to make arrangement in the schedule in order to provide Emergency care to those in need, fault in report harm from other Dentists, Malpractice to your pts is a violation of this principle (Justificable Criticism), Dentist should not accept split or fees from marketing or propaganda while selling products of unknown results to a ptVeracity: “Communicate truthfully” The Dentist should be honest when communicating with people and maintain intellectual integrity, the removal of dental amalgam from a pt mouth by just stating that it’s a toxic substance it’s a violation of this principle, any procedure or diagnosis made without based scientific facts is a violation of this principle, its illegal for a Dentist to increase the fee of a pt just because the pt has a better insurance, A dentist to send a claim with an altered date in order to take advantage of the pt benefits is violating this principle, perform unnecessary dental service to profit its another example, a dentist who announce a title or diploma that he don’t really have,

Autonomy: “Self-Governance” The Dentist has the right to respect patient decision and confidentiality Types of cases given options had

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Case control: Two groups Cases and Controls, look back in time (Medical records) to correlate a risk factor with an outcome Measured with Odd Ratio, good to identify rare diseasesCross sectional surveys: Snapshot in time of the population, shows prevalence, inexpensive t test: Evaluation of two means (Treatment and Control), or two groups A vs B Chi test: Comparison between two groups Example boys and girls. Measures the association between to categorical variables ( Ex: When an investigator wants to compare the rate of caries in childs using fluor and the rate of those that do not use fluor)The evaluation involve two categorical variable 1) Caries status of the child( Craries free or With caries) 2- Status of the water fluoridation in the area ( Water contain fluor or not)

Pt looking down what to say: What brings you in today sirDesensitization how: Progressive stimulus from an ascending hierarchy [Graduated exposure] It occurs in 3 steps:

A) Identification of the anxiety and induce hierarchy stimulusB) Learning of relaxation or coping techniques (Diaphragmatic respiration)C) Connect the stimulus with the coping technique ( Learn of self-control)

( Start with topical, massage the surface, prepare the patient, do the anesthetic pinch), another is let the pt take the xray holder to home and practice, another

How to treat manipulative kids: Operant extinctionTN calculation : TN/ TN+FP*100 (Shows specificity people without the disease)PharmacologyEpinephrine: Sympatico mimetic, alfa and beta agonist, reversed with Phentolamine (Oral versa) What LA drug to give in hyperthyroidism: Mepivacaine (no epi)

Beclamathasone: Cortico steroid used in many areas included Asthma, COPD

Ginseng: Blood thinner, not should be given with any anticoagulant

NSAID S action: Inhibit COX 2 irreversible only by aspirin other are reversible

Pt taking anticancer drug what adverse effect: Bone marrow toxicity, GI toxicity, Skin and hair affected, Nausea and vomiting

Actions of atropine: Antimuscarinic (Dry mouth, eyes, mydriasis, constipation, tachycardia)Codeine: Opioid (Mixed with Acetaminophen=Tylenol 3 Schedule 3) Also used to control cough Hydrocodene: Opioid (Mixed with Acetominophen is Vicodin Schedule 2) Used to treat strong pains more chances to create dependence.

Nitrous in pregnancy what trimester not to give- 1st trimestrer but its not an absolute contraindication, can be given in an emergency

GA Sedation advantages- Titration (Can be measured better)Calculation of child LA 62 Pounds× 4.4 (28kg x 4.4= 123.6)Hydrocortisone: Used in adrenal crisis Adrenal insufficiency : Caused by prolonged regimen of Corticosteroids more than 2 years

37

Angina drugs: Nitroglycerine, Beta blockersEpinephrine reversal act on what adrenergic receptors: Alfa 1 and 2Benzodiazepines reversal: FlumazenilWeelchair question how to transfer the pt: Sliding boardWho is at a least risk of inhaling NO patient dentist hygienist assistantOrtho Frankfort horizontal what points= Porion to OrbitaleNot many qs that I can recallPathologyTraumatic neuroma= Painful, commonly in mental nerve foramenVericous carcinoma appearance: Cauliflower, warts caused by HPV mainly 16 and 18What is not a true cyst: Traumatic bone cyst, Stafne cyst Traumatic cyst appearance in a radio scalloped around the rootsOkc= Associated with Gorlin syndrome, high chances of recurrence, frecuent in mand post and ramus,pallisanding cells, hyperchromatic nucleus, keratinized epithelium, from REE)Least recurrence= Adenomatoid Odontogenic Tumor (Teenager, anterior region 50% of the times associated with an impacted canine, female)Most prevalence caries: Caries=White, Caries in kids=Hispanics, Untreated caries=Black Perio diseases=BlackLower lip swelling due to what: Mucocelle (Severance of minor salivary gland)Biopsy incisional excisional when to do: If less than 1cm excisional, if more Incisional) and if lesion do not resolve after 14 days of follow up and removal of risk factorsWas presence of desquamative cells in cytology. What to do next: Repeat cytology, Biopsy, Refer for radiation, Refer for Resection

Blue growth on tongue for 5 years Hematoma or Hemangiona- Hemangioma

Hard palate has a white mass- PapillomaRadio Dark radio why- Overexposed, Overdeveloped, Solution to hotRadio resistant- Muscle cellExposure Square law E1/E2= (D1)2/ (D2)2Erythema on slow low dose-Occur after 2 weeks of radioBiological system exposure-Operative Base thickness depends on Remain Dentin thickDiffernt scenarios and how it treat them: Rule of thumb: When 2 teeth adjacent to each other have Class3 lesions, prepare the larger first and fill the smaller one first, access to the prep and color matching are better when you do both at the same app.Which cavity to fill first and prepare first

38

Prostho Arcon articulator The condylar element is in the lower member, resemble most accurately the TMJ anatomy, good for Fixed prothoFacebow many qs on it: Transfer the hinge axig of the mandible respect to the MaxillaF sounds: Position if anterior teeth (Wet line by incisal max)Wax try in sounds: Fricatives for Anterior teeth position, Silabants for Antero posterior position of incisors S sound tell the pt say 66Protrusive record: To set condylar inclination in articulator

Tongue position above or below the mandibular plane: ABOVE THE OCCLUSAL PLANEBuccal flange in Border moulding what movements of tongue: Should be buccinaor, masseterSurgery Lefort: Runs anteroposterioly above the max teeth apices along the maxillary bone and can affect pterygoid plate of sphenoidImplants Peri implantitis causes: Progressive peri implant bone lose due to accumulation of plaque, overload of the implant or combinations of itInr Normal 0.8-1.2 it’s a measure of the PT External pathway of coagulation Safe range for surgery up to 3Drug relationship to Pt PTT bleeding time: P, INR affected by Warfarin, PTT affected by HeparinWarfarin= Coumadin Blood thinner, interfere with the Vit K factors of the coagulationFactor X= Hemophilia

Types of grafts best typeWhat does the recipient epi depend on after GraftWhat is the purpose of internal attachment In implantPerioFurcation most common GTRWhat isn't useful in grade 2 furcation soft toothbrush, irrigation water pik, small brushes suprabony GingivectomyAttached gingivaPercussion testHallmark of acute abscessSupporting bone removal wht procedure

Question asking transillumination in kids:Cleft palateKoplik spotsHerpetic Gingivo…Sialolithiasis

Fetal alcohol syndrome features:With nasal bridge, cleft palate, microcephaly, micrognathia, palpebral fissures

Trisomia 21- Macroglosia

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Most common congenital defect or anomaly-Cleft lip-AI-DI-Ectodermal dysplasia

What disease have not been proven to be associated to perio disease- Diabetes- Smoking- Nutritional deficiency- Poor oral hygiene

Pt with mouth breathing will have- Open bitePt with 8mm of open bite what tx-Lefort 1-Sagittal split-Vertical oblique something

Cracked tooth syndrome most common sign- Pain when release the biteMost common tooth involved in Cracked tooth- Mand MolarsMinimum width of the major connector:

- 6-8- 4-6

Attached gingiva from what point to where- MCJ to the base of the pocketWhat is the function of the major connector- Stability and RigidityPeriimplantitis least cause of it: Iatrogenic and something to do with clottingA break in a recently placed MOD in the isthmus why- Inadequate depth/ Axiopulpal line angle not beveledPins Inc retention but dec strength Order to place cords-Around margins PFM discoloration why- Silver if not in options then CooperPt who feels he will be doomed has:-Fear -Phobia

Bence Jones proteins- MMPregnant lady with urination and something else Preeclampsia (Symptoms of Preeclampsia= (Elevated protein in urine, Swelling in feet and face, elevated blood pressure, suddenly weight gain)Punched out lesions-MMBest way to diagnose NUG= Punched out interdental papilla

40

Tx for LAP Abx and Debridement Most prevalent perio disease in kids-Trauma in kids at what age-Dental brush without assistance at what age-BBB made of what- Astrocytes and tight junctionsBioavailability means- Fraction of the drug reaching the systemic circulation and its targetLichen planus- Autoimmune lesion, destruction of basal layerTrauma in young kids due to- Lack of neuromuscular coordinationInformed consent does not include- Insurance cost, copayment or any financial factPerio assessment

- CPTIN (Community Periodontal index of Treatment Needs)- DMFS

Most frecuent wall defect- 2 walls defectPartial antagonism means: Percentage dose curve and Dose effect curve similarity-Combination syndrome has what least likely- Increased VDOMost common impacted Maxillary and Mandibular tooth-Max=Canine, Mand=3rd molarArch discrepancy in mand and Max which tooth blocked out-Max canine, Mand 2nd PMHead neck radiation what caries- CervicalWhat bacteria in plaque, but no an initiatior- What drug does not dec saliva-PilocarpineImplant best site-Post mandPrevention of Pt law suite what should the Dentist do- CompetenceLudwing angina not in what space-NO in RetropharyngealMand 3rd molar root deplaced to what space- SubmandibularDuring IAN not been able to achieve proper anesthesia means went to which accessory innervation- MylohyoidClicking of teeth- Excessive VDOFacebook measure what (Infra orbital to max?)Post teeth disocclude what type of occlusion-Mutual Avulsed tooth tx:Intruded primary teeth txSplinting not done in what situation: IntrusionCandida in a pt with Cancer because- Due to radio, due to chemo or due to neoplasia?Sausage like appearance- SialoDOCHITISWhat cannot be on tongue- Peripheral Giant cell granulomaSpace maintainer after lost what tooth- Primary 1st or 2nd MolarArch length: Primary Distal of 2nd Molar, Permanent Mesial of 1st molarMyastenia Gravias what Abx- Penicillin, Contraindicated- Erythromycin

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Bipolar disorder what medicament- LithiumClick sound on closing because of what position- Disk displacement with reduction (When pt is at rest the disk is anterior to the condyle and when the patient open the disk comes posteriorly and insert in between the condyle and fossa {1st click} when pt close again the disk return to its ectopic position anteriorly {2nd click} the condyle at rest position will be constantly facing the fossa bone-to-bone which cause pain and inflammation)What do the dentist do to a child with internal derangement-- Options Occlusal splint, Ortho tx and moreRigid fixation has what- Screw or Wire (Wire is semi rigid)A displaced fx of the Jaw is difficult to treat with internal fixation because-- Muscle pullReciprocation (2 click) due to- Reduced disk displacement PVS retarded setting because- LatexZinc phosphate powder increased what happen

- Dec viscosity- Dec thickness- Inc Acidity

Pulp capping best results - 0.75 mm exposureElastomer disadvantages- Cost and Record VDO, not good for bite registration, poor tear strength Hypoxia first sign- Elevated pulse, cyanosisOral sedation disadvantages- Prolonged duration of action, non predictable sedation level, GI absorption Paresthesia of the lip indicates- MalignancyClass 2 the matrix should be placed where- 1mm above marginal ridgeWhat not to do if less keratinized gingiva on distal of second molar- Distal wedge (Sufficient attached gingiva and space must be present to do Distal wedge) keep in mind that Gingivectomy is contraindicated if the bottom of the pocket is apical to the MCJ

Infectious mononucleosis features- Sore throat, lymphadenopathies, EBV is the culprit Something called PICO and what means the O- OutcomeMontelukast MOA- Inhibit leukotrienesLeukotrienes clinical manifestationsPt has class 2 decay deep into cementum where gingival margin is and wants composite for aesthetics. What material would you place in gingival margin? -- RMGIC (Sandwich technique) Mercury toxicity causes Visual or Audtory disturbances- Hearing disturbance, speech problems, renal toxicity Class V composite where is the retention-- Grooves on occlusal and gingivalAthetoid Palsy features- Athetosis=Slow, continuous writhing movements, Dystonia=Repetitive movements, Chorea=Small, quick unpredictable movements, they have difficult maintaining posture and balance, standing and walk and coordinating movements

1-What is the difference between primary & secondary trauma ?Both option was there occulsal and health of the periodontum--- In both there are perio problems-Occlusion is

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the cause in primary but not in secondary.2- what is conjunction?The addation of molcules is the Ans (Link together)3-periodontal problems mostly assoicted with HypertensionSmoking,Deibetes plaque4- freacture on the orbit of the left eyes which border of the maxillary sinus will it effect?SuperiorInferiorPostierAnterior 5- What was Chess and Thomas categories of Children Temperament?

6-Pain on half of the face, that comes once a month and its?I believe the answer was Migraine.7- know the different btween granuloma and cyst histologialy they ask you like

Periapical granuloma= Fibrocellular connective tissue stroma with chronic inflammatory cells infiltrated (Mainly plasma cells and lymphocytes) fibroblasts and collagen fibers

Radicular cyst= Stratified squamous epithelial lining, surrounding C.T fibrous capsuled with chronic inflammatory cells, Rushton bodies, Multinucleated giant cells, Cholesterol cleft, epithelium may undergo malignant transformation

… the histology content for each I had 2 Q for each like Periapical lesion biopsied after apicoectomy of RCT treated tooth, tooth still sensitive tooth, with lymphocytes, plasma cells, and connective tissue�a. abcess�b. granuloma�c. cyst,� GRANULOMA

8- Pateint

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9- Distance btween 2 implants?Answer 3mm 10- I had like 4 question on dental anatomy.11- primary first molar and 2nd in compare to first molar and premolar of permentet teeth?1-Greater then2-Smaller the12- Mucus retention cyst –lower lip, ansupper lip, gingiva,buccal mucosa13- Most stable imprassion– pvs, – polyether�Which impression has water as by product?PolyetherHyrdrocoilled Silicon addationCondseation sillion14- which mouth rinse you give to disabled chiled?NaFListerinChx15- conical shape anterior teeth are related to ectodermal dysphasia�16- which one is schedule 2? Both are the same Vicodin=Hydrocodone + Acetominophen1- Vidocn 2- hydroxycodon + Acet �

17- which one is nsaid selective cox 2 inhibitorcelocoxib ans18- bis-phosphate used in all except?

�A) Prostate cancer to bone b) breast cancer to bone c) osteomyelitis (ans) D) metastatic 19- TEGDMA? I think the answer was makes better on restoration color20- Herpangia test ?serum�21- leeway space = 1.5 Max 2.5 Mand each side22- 4.4*16kg=72 �23- Atropine lead to ? I think disorientation �24- Veracity truthfulness �Autonomy – consent �25- cleft lip/palate percentage ? 74% not sure check it26- Major conector- 1- support and retention �2-rtention and rigidity2- rigidity and support. I can’t remember the 4th option

27- Laryngospsam ans(stridor) �28 Angle of SRP instrumetns is (45-90) �29-MOA of BNZ- Potentiate GABA receptors30-Phontics problem associated with F,V and anther question problems with T, D31- Gingivectomy contraindication (not enough keratinzed gingiva) � True also infrabony pockets 32 Disability Act - you can’t refuse any patient to treat. The same act protects the right for HIV �patient (true or false) both true, �which antiviral you give patient wo has herpes and CMV?33-a question about disability Act you can’t refuse any patient to treat. The same act protects the right for HIV �patient (true or false) both true, �34- Disability Act - you can’t refuse any patient to treat. The same act protects the right for HIV �patient (true or

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false) both true, �35- Ferrule for 1- retin the core2- to hold the tooth and prevent fracture ** Minimun farrule 1.5 mm3- for something about post and core36- Sialolith most common in which gland submand gland37- 132- Panic attack means -impedding doom38-#212 Ivory function ? for Class 5

39-Chronic inflammation – plasma cell, t-lymphocytes, mast cell, neutrophil 40- Recall appointments should be scheduled for children at? a. 3 months b. 6 months�c. 9 months�d. 12 months�40- How do you repair a porcelain veneer with composite? a. microetch, etch and silane�b. sandblast, etch and pumice�c. pumice, silane, etch�41- Dentist or surgeon perform surgery perform surgery without informed consent which ethical principle obligateVeracity�Battry 41- High cyst recurrence –OKC�42. More cutting blade on carbide bur�a. Smooth surface and less cutting� b. Smooth surface and more cutting�c. Rough surface and less cutting�42- Mn MB incline on MB cusp of stainless steel crown has wear, mvmt of WORKING AND PROTRUSIVE�what is the different btween endodontic absess and periodonc abscess in non-endodontic treated tooth?1- pulp vitiltiy2- percussion3- I can’t remember the other options

43- Reason for failure of replantation of avulsed tooth:�a. external resorption.�b. internal resorption�44- Cementation of band and loop common outcome All of the above, except�A. Creates space�B. If leakage from cement – recurrent decay�C. Prevents tooth from super erupting with opposing�45- What is reason for the altered cast technique when doing an distal extension rpd :�A. Support�B. esthetics.�C. Retention.�d. resistance� The dentist charges separately for core build up and the crown but the insurance company says that the core build up is part of crown.what is this called? Bundling�And had anthor question about unbundling

Day 2: Based on everything you studied ?Case 1:64 year old want to remove all his teeth” Iam so fed up with my teeth”

Dental history: couple restoration and are filling down inclusing I believe PFM or cermic crown that fills down in tooth #9?

Medical history he was an alcoholic and stoped after being on consultion and now is taken Bupiron and Actamohine for pain?

Quesitions were asking what Kenddy class he has?It was class 3 MOD 1And which drug is safe to take for him. Actamophine+ hydrocodin was among the option don’t remember the rest?study kenddy class and the alchol and acta reaction..

Another question what code of eithics the doctor would break by extracting all the teeth?Varcity and …Benfince and.. Nonmelfinces and 

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14 year old girl she has Asthma and is taken Albutrol and Lukoterian, she has ectopic erupticed canines both #6 & 12 what is the treatment ?

- what occlusion she had it was class 2 divison 1- ANB = 6 Ans was Class 2 I believeAnother case9 year old boy he had medical history of kidney dialysis and heart valve defect, question what should we do the dental procedure. he also had enamel dysplasia 

Another case where man is taken Bupropion what is the side effect. Chantix one question about it too. 29 year old female had PFM on upper pm wants to cover the black line on the crwon what to do.1- resion bond2- redo the crown3- put venter 4- I can’t remember She had spots on the face options wereBasal cell Melanocytes

Posterior nasal spine- Palate

Anterior nasal spine- Maxilla

Most commonly misdiagnosed as endo lesion: Lateral periodontal cyst or periodontal absecc- Lateral Periodontal cyst

Emergency treatment for active apical abscess with fluctuant mass , what to do if it’s emergency I chose incision & drainge Other options were pulpotomyPulpectomy and leave it open Or one visit rct Anterior guidance and condylar guidance-anterior guidance should be equal to or greater than condylar giudnace due to it helps keep the condyles working against the posterior slopes of the articular eminences during excursive movements. Distraction of the condyles due to CR or excursive interferences can be harmful to the TMJ

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 Scan2- 45years man coming regularly to this office since 20 y every 4-6 Months for regular Ck up he has red blue cyst on lower buccal side filled with mucous The first line of treatment is-Don’t worry it’s viral infection -Antibiotics -incision biopsy -excision biopsy-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 cancer

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smoking - drinking alcohol-HPV 4 - complet. denture opposite partial denture which type of movement= Bilateral balanced occlusion5- many Q about muscles helping to open and close the mandible 6- furcation of the premolarCoronal /cervical / middle/Apical7-class 2 filling baby molar and the difficulty Coz ofDiverge / converge / crown. Size8- the main reason of pain after RCT perforation /coronal leakages/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) RXNSAID -Vicodin - Clindamycin-pen V10-RCT contra indication recent MI-leukemia...10- trisomy 21 both was their Macroglosia / clas iii / rampant caries 11-sickle cell patient what’s the most effectNO2/trauma/ bleeding 12 if the patient has cyst when u decide to do biopsyIf the cyst not respond toTT 7-14 daysX-ray to diagnose onlyX-rays and oral evaluation Ct scan13- 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 60-80-100-12014 MOAAspirin-Cyclooxygenase-Cox 2Sulfonamide-PABADOXY- 30 s ribosom15- burn on the corner of the mouth - Micrognatism16-irreversible impression -You can wait 15 minuets to pour itYou wrapping the imp with wet tissue 17- 14 years boy has #30 RCT and uneven occlusion on the right side (panovery clear) asymptomatic It’s ossifying fibroma or fibrous displassia 17- 20 y bad OH eating too much sweet and using the computer most of the time and no insurance TT except Instructions Improve OH Flouride supplement (No systemic fluoride over 16 yrl)Flouride tray and tooth paste with Flouride 18-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 Reassurance the TT will go without pain 19 -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 )20-pano asking about the age6-79-11 he has all the teeth erupt except the canine 12-1421- 4 years boy with congested heart failure hold by his mom and looks very dependent the reason isToo much hospitalization Over protective by parents

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Physiological effect of his disease Psychological effect of the disease 22 lady with defect on the heart and kidney with face rashes Systemic lupus 23 lichen Plano’s patient on picture 24 burning tongue- melkrrson disease25-patient has sensitives on upper ant teeth TTtell him to reduce taking the acid drink Use Flouride Varnish Mouth wash after each acid drink26- 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 27 forcep for upper premolar 15028 difference/B/ 330 -245 bur this one is longer 3mm29- why cancer patients with chemo or radio therapy they got bleeding Fragile Vessels or neutropenia 30- steps of cast and analysis which one before which one after:::: Tooth prep-1- Parallel guiding planes, 2-Heigh of contours (Survey), 3-Blockout undercuts 4- Rests RPD prep Path of insertion, Rests, Major connector, Minor, direct retainer, Indirect retainer31 adult has viral tooth with resorption but asymptomatic no PA so the TT Will beRCT / leave it and follow up/ polpectomy 31 Distance between 2 implant twice..3 mm32-ADA has something to protect the provider all except Rubber dom33-Optimum fluoride 0-6-1.234-The mechanism of MRI working - Radio wave35-Reduction of PFM crown in the middle third 1.536-When you want to make anterior crown which point is most important For aestheticAesthetic ,lip line, gingival health37-Amalgam failure-moisture contamination38- 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 39-all about composite for posterior teeth except Withstand the force of mastication 40-patient came for perio maintain with very good oral Hygiene but BOP and 6mm pocket what is the next step of TT- SUrgery41- dentist bill some code to increase to receive payments form the. Insurance more the the real procedure— upcoding42-premolar with bifurcation Coronal part/cervical/ apical/ middle 43-which permanent tooth is not seccedenous Canine / first premolar/ second premolar/ molar44-pseudo class 3 what is the direction of mandible movement - Functional protrusive45-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 erupt46-patient missing from 28-32 which Kennedy classification/ cL 247-implant and over denture which one give support and which one give retention (Retention by the attachments and support by the implant) In mand minim 2 implants, in Max 448-gag patient managed Gradual exposure49-patient taking Amphitamine what he has / ADHD

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50-what medication you prescribed for stressful patients before the VisitDiazepam/ lorazepam/ other zipam (Halcion---> Triazolam has the shorter half life) Remember OLAN and ZEPAN are Benzos51-which bone disease has more chances to transfer to cancer/ Paget (Bone is warm, cotton wool appareance, tx FOSAMAX, Reposition and resorption of bone)52-burn in the corner of the mouth / decrease VD 53-definition of Paraphrase In our own words54-Amantedine- viral, also used in Parkinson tx56-pic of hyoid /occlusal pic of cleft palate / 57-mycophenolate (cellcept) side effect all except (this is an immune supressor0

Hair growth /Candida/ infection/ smthg else I seclect smthg else

Many Q about sensitivity and patient managementMango the first thousand and Rita

Day Tooooo———————————@1—Pregnant with cyst on lower left premolar since 1.5 year TTX-RAY / incisions/ excision/ antibiotic @2—-prostate cancer patient -know the medicine (Proscar) or (Docetaxel)@3—-20 year guy bad OH # 8 has RCT and PFM crown with apical RLAlmost all the other teeth decay and he’s heavy smooker @4-COPD adult (Blue boater or Pink panfer)-Tx Beta 2 blockers and steroids also Ipatropium an antimuscarinic is very used@5-Adult narrow Maxilla with posterior cross bite on right side hard Q TT and correction and classification on canine and molars @6-depression lady taking Zolof (Sertaline)- SSRI

@7- anothe depression lady taking Ametriptin@8-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

2- Patient with biohosphonte how you extract? Stop the therapy Give hyperbaric oxygen Extract give antibiotics and rinse chx

3- Reumathoid fever what you see: A-Heart murmur or B-Joint fusion4- Occlusion in primary: Flush terminal5- Class 2 due to Distal step6- What no to give with Epinephrine: Meperidine, Lisinopril or Propanolol7- Drug for avoid addiction to opioids- Methadone8- Drug to revert action of Hydrocodone Nolaxone9- Every year Dentist is scruted for: Tuberculosis10-Immunoglobulin function in Periodisease- Defense ( activate complement 11- Pt denture don’t fit anymore- Paget disease of bone12-How long need to stop bisphosphonates before tt--13-How long need to stop aspirin before tt- 2 days only if its more than 81mg

(Baby aspirin14-Categorical variables- Nominal (Sex, race) Ordinal (Plaque index, something

with an order)

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10-07-18

-If you do an 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

- MOA of Nolaxone- MOA of Clonidine- MOA of Zoloft

-What Will most affect the decision of extract a mandibular molar

a) Furcation involvement b) VRF b) 2 walls defect d) Perio abscess

- An study conducted in a Dentistry school to find out if the clinical classes improved the students performance. What is an individual variable of this study?

- If you present only one treatment plan for the pt because think is the best but there are other alternative. What ethic principle you are breaking

a) Beneficience b) Justice c) Non malef d) Autonomy

- What is a provide chemotaxis in the sulcular fluid

a)C3a b) C3b c) C5a d)C5b

- What interleukin is related to bone destruction?

a) IL1 b) IL2 3) IL10

- What micro-organism from red complex T. Denticole

You rise a full mucoperiosteal flap to instrument in the pocket, after reposition of the flap where resorption occurs more?

a) Radicular bone b) Interdental crest c) Apical to the sulcus

What is not a characteristic of DI

a) Short roots that breaks easy b) Abnormal lines at the DEJ c)Excessive deposition of dentin

- Laser and curing light (LED) have an specific wavelength and they cant not cure some composites because the photo initiator respond to a different wavelength T/F

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- 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 cement

- 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- CR record how it should be

a) 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 occl surface

- % of the Acidulated fluoride- Goal of Apexogenesisa) Stimulated deposition of 2ndary dentin b) Create an apical stop for proper

obturation

-What cement is preferred for venner cementation

a) Light cured b) Dual cured c) GIC

- A dentist separate different xrays from a FMX to trick the insurance and get more $

a) Unbundling b)Upcoding c) Downcoding

- Pt taking TCA and Ibuprofen what medicament would not cause and adverse interaction

a) Aspirin b) Carbocaine c) Lidocaine/Epi

- 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

- Micro-organism to test sterilization

- Between pt and pt how you disinfect the area

a) Spry detergent an allow 10 min b) Spry disinfectant, detergent and dry it off with dry paper towels c) Spray disinfectant and allow 10 min

- Nolaxone MOA

- What can make you get false lectures when probin a sulcus

a) Excessive subgingival calculus and the probe cant touch the botton of the sulcus

b) Excessive bleeding and you cant see the marks of the probe

- Principal cause of Amalgam failure

a) Moisture contamination

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- Indications of dual cure resin cement

- What bur will produce the smother surface while you are preparing a class 2 cavity

a) Green stones b) Cross-cut c) Plane-cut d) Diamond

- How much mm of coronal tooth structure to decide if place a post for retention

-Common perforation during RCT instrumentation in max CI happens in what surface

- By inc the voltage in a Xray machine we can produce beams with

a) Short frecuency/ high potency b) Large frecuency/ high potency c) Short frec/ low potency

- By doubling the PID distance from the target how much you need to increase exp time

- Water,s view for sinus

- Spheno-occipital synchondrosis what is it- Cartilage

- What is similar to spheno-occipital synchondrosis- Epiphyseal plate

- Plan created by the government for free health care to the childs- CHIP

-What is a measure of tendency- Variance

-Medicare is plan created for elderly persons but it does not cover Dental care. T/F

- What % of US population is infected by HSV 1

a) 30-32% b) 45-50% c) 80-85%

- Periodontal diseases are more frequently in what group

a) Female black b) Male black c) Hispanics d) White

-Most common emergency in Dental clinic- Syncope

- How many chest compressions in 1 min indicated by American blabla

a) 30 b) 60 c) 90 d) 120

- Initial indication for a leukoplakia. All options were type of biopsy a) Cytology b) Incisional c) Excisional d) Immunofluorescence stain

- What is not common in Opioids poisoning Mydriasis was there

- Management of a 2mm sinus communication except

a) Irrigate w/ CHX b) Place a geofoam to promote coagulation c) Rise a flap from plate

Not indicated for prophilaxis- Mitral valve prolapse

Indicated for prophylaxis Congenital heart defect no resolved

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Most common epilepsy in childs- Febrile

Pt with INR=3 do or not to do exo

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

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

Xray to identify Fibrous dysplasia easy for diagnosis was obvious

Xray for ear lobe

Xray for Hyoid bone

Pictures for Geo-tongue, Lichen planus

- Pt noticed 1 months ago a bump in the palate after biopsy the result indicated Parakeratinized epithelium with underlaying connective tissue and trabecular bone what is the most likely diagnosis. A) Pleomorphic Adenoma b) Exostosis

- Pt has tumor in parotid gland what is the most likely tumor therea) Whartin tumor b) Pleomorphic c) Mucocele

-Most common duct for sialolithiasis

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a) Wharton duct b) Stenon duct

- Ectodermal dysplasia came 2 times always with- Oligodontia

- Pt with Fluorosis image was almost 99% like this

-Question asking in what stage can be first observe the shape of the tooth

a) Morpho b) Histo c) Apposition

- Dens in dent at what stage

- Pt with anterior cross bite right side in the canine like this

Asking in what movement would be interference Protrusive, Left lateral excursive, Right lateral excursive

- Another pt with right posterior cross bite on PMs and 1st molar. Asking how to correct it

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- Lisch nodules and axillary freakling where---Neurofibromatosis

Cleidocraneal dysplasia twice- Supernumerary teeth

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

-What would be the worst prognosis for replacing a #6 canine pt had the rest of the Max teeth except for 1 PM on left side and 3 molars

a) Implant supported crown w/ group function b) FPD from 5 to 7 and group function c) Implant supported crown and mutually protected d) RPD and mutually protected

-What would be less important in mand closure

a) Contraction of Masseter/ and depressors b) Relaxation of lateral pterygoid c) Contraction of lateral pterygoid and Temporalis

Pt come to the clinic with BP 190/110 what would not be included in the management of this pt

a) Inject systemic antihypertensive b) Wait 5 minutes and take BP again c) Defer the tx that day d) Recommend follow up with Physician

Pt with history of heart disease having a hard chest pain just before you put anesthetic what not to do

a) Inject Epi b) Give Oxygen c) Activate emergency protocol d) Take BP before give Nitroglycerin

-

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