Rqs august 1st 2018

Activity of naloxoneaffinity intrinsic high highhigh lowhigh none

mysthenia gravis safe drug? penicillin

pregnancy sedation safe drug? promethazinpocket depth definition>width of attached gingiva: from gingival margin to mucogingival junction >vasoconstriction of epinephrine due to which receptor?

Nitrous oxide contraind in: nasal congestionRanitidine (zantac) : t can treat and prevent heartburn. it can also treat stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause too much stomach acid.

Dexterity to start brushing; I put 2-5 years

X rays: periapical cemental dysplasia, salivary granl inclusion defect, paget disease,

Most congenial missing teeth: max canine

Most rate of 5 year survival cancer black males

Most rate chronic periodontitis black males

Q about arcon articulator I dont remember

Age primary herpetic gingivostomatitis 4 months, 2 years 6 or 8- I put 6 years old

impending doom - fea(check this one)

Depth pocket from where to where

How to diagnose NUG- wheelchair - sliding techniqueepithelium at recipient comes from?

Cocaine- what not cause : miosis

Hairy tongue is the hyperplasia of- filliform papillae

sequence of treatment -emergency-disease control-re-evaluation-definitive trtmnt-maintainence

Picture of 4 ant carious teeth with lesion like ulcers on the mucogingival junction: sinus tract drainage

Osteogenesis commonly accompany by dentinogenesis imperfect

In a pt with cancer: candida infections appears due to chemoterapy, neoplasm and 2 more options

Child 16 kg- how many mg lido? 4,4 mg/kgX16 kg= 70.4 mg

Nutrient canal x ray

Frequent urination Pregnant pressure on bladder

Organophosphate treat contraind: extraction

Mucocele: mucus retention on minor salivary gland lower lip

Parotid gland sausage like appearance: sialodochitis

Pt with FPD metal ceramic wich fluoride? 5% sodium fluoride 1%sodium fluor, 1.1%acidulated

Who to detect root caries: sensitive to sweet, sensitive to cold, soft enamel, dark color

after taking impressions patient has swollen lips- angioedema, anaphylaxis, 2 more options

Width of palatal strap 8 mm , 4 mm

Reciprocal clasp function

Etiology supernumerary teeth: Atavism

Antifungal troche clotrimazole

Colitis due to clindamycin Ginseng contraind with aspiriNsaid drugs acts by platelet reversible

Metal ceramic crown cervical discoloration- cooperGracey curette 11-12 mesial posteriorGracey curette angle on cutting edge

Most prevalent site for caries formation- I put in interproximal

Bacteria on initiation of caries- strept

Second bacteria producing caries no initiating - I choose lactobacillus

Pilocarpine for xerostomia

I had a lot of question that I didn’t see before Was for analysis, a lot of questions from rita

August 1 st , 2018 (sidra’s rqs)

Teeth with two pulp chambers ; fusion

Teeth joined by dentin and cementum ; fusion

Periodontal disease associated with what- Oral cancer, hep C, cardiovascular diseases, lupus erythrom ; lupus erythmatous

matrix above 1mm marginal ridge

kennedey class 3- occlusal rest

6-benzodiazepen-flumazinil

-antibiotic safe in myasthenia ; penicillin

-radiation cause cervical caries

working non working interferencesWorking ; ULBLNon working ; BULL

short posterior crowm what go give. Pfm wasn't in options i pit 3/4th with axial groovesTrue

-inc powder liquid ratio in zn phosphate ; increase strength , less soluble

- temporal arteritis ; vision loss

external locus control ; Internal vs. External Locus of Control. People who base their success on their own work and believe they control their life have an internal locus of control. In contrast, people who attribute their success or failure to outside influences have an external locus of control

ant mandible for implant

16- antirotation in implantwhere will you check ept on tooth- middle third, incisal third, cervical thirdIncisal third

promethazine for pregnant

condensing ostietis ; osteomylitis

medicine contra in MINitrogycerin, morphine, epinephrine, oxygen ; epinpherine

-d not ised in angina- thiazide

29- dru not safe in renal ; NSAID

30- drug safe in renal toxicity ; penicillin

31- supernumerary causeHereditary, avitistic tendencies something ; avitistic

white image due to underexposed x ray

34- caries first spread to- enamel, smooth surface, DEJDEJ

35- what is DISadvantage of onlay compared to resin compositeIdeal contours, multiple steps, marginal adaptation ; multiple steps

36- what will penetrate biological membraneStrong acid, strong base, ammonium compound, aliphatic alcohol ; aliphatic alcohol

how to measure pocket depth; periodontal probe

38- how to measure attached gingiva ; Place your probe on the outside of the tissue and measure from the gingival margin to the mucogingival junction. Now measure the sulcus or pocket depth (probing depth). Subtract the probing depth from the outside measurement of the gingiva, and you will have the width of attached gingiva

39- ANUG- interdental pappilla

40- strep anguis- inititiate caries

41- GTRCoronal attachememf of pdl ; the answer Coronal attachemenf of CTApical attachment of etc etc

cells present in initial periodontitisLymphocytes, plasma, macrophages, fibroblasts ; plasma cells

most common respiratory emergeny- asthma and emphysema (no hyperbentilation in optns)

chronic perio in black males

45- type 2 diabetes most prevalant in- hispanics, asian, whites, blacks ; black male

46- epith growth 0.5-1mm daily

47- margin fracture- redo

48- isthmus fracture- bcz of inad depth

49- margin green- copper or silve ; copper

August 3-4 2018 (Mustafa rqs)

1. Consistent sign of opioid dependency? Mydriasis, xerostomia, loose stool, chronic cough2. Which is NOT a reason for dentist to become addicted:

easy access to and knowledge of drugsfeel the pressure to be perfectfeeling vulnerable

3. Which of the following is not recommended for a patient who is on Nicotine de-addictionmucous patches, nicotine gum, Bupropione, nicotine nasal sprays.

4. Dentist or surgeon perform surgery perform surgery without informed consent which ethical principle: Autonomy

5. obligate?6. Dentist refers patient to specialist which ethical principle obligate? NON- MALICIFENCE7. Question about pulpal and periapical diagnosis like pop positive or not8. Syphilis is infectious in which stage 1) 1st 2) 2nd 3) 1 &2nd stage 4) 1,2,3rd stage9. Which is not risk factor for oral cancer? 1)HPV 2)EBV 3) HIV 10. Xray identification for sinus, zygomatic process, nutrient canal (ant mandible)11. Favorable fracture of mandibular angle ? 1) fracture displaced, 2)Can’t displaced 12. Treatment of acute asthmatic attack? 1) corticosteroid inhaler 2) epinephrine 13. Treatment of status epilepticus 1) diazepam 2) carbamazepine 3) phenytoine 4) valproate14. Treatment of gi acidity - omiparzole 15. High cyst recurrence –OKC

Board Review16. Biological width Pedo: 0-2mm normally; 0-4mm if next to an erupting permanent tooth or

exfoliating max central calcification 17. Mechanism of Alprazolam – increases inhibition effect of GABA on CNS 18. Orofacial Clefts 1:70019. Cleft Lip: 25%, 4-5 weeks in utero

defect between medial nasal process and maxillary process unilateral 80%, bilateral 20%; 1:1000 births

20. Cleft palate: 25%, 6-8 weeks in utero lack of fusion between palatal shelves 1:2000 births

Both 50%21. Ectodermal dysplasia: "heritable conditions in which there are abnormalities of two or more

ectodermal structures such as the hair, sweat glands, conical teeth

teeth, nails, sweat glands, cranial-facial structure, digits and other parts of the body."22. Congenitally missing teeth, peg shaped, or pointed, defective enamel: MAX LI23. Also have frontal bossing, thin brittle hair/nails, light skin, cannot perspire/ regulate body

temperature: ECOTDERMAL DYSPLASIA24. Bleeding values:

Bleeding: 1-3 minutesPT: 10-13 seconds; extrinsic pathwayINR: 0.8-1.2; (INR=PTtest/PTnormal)

in patients on anticoagulation therapy- 2.0-3.0 PTT: 25-29 seconds; intrinsic pathway

25. Platelet count: 150k-450k / ?L Oral agents that alter/suppress platelet function include: aspirin, clopidogrel, cilostazol,

ticlopidine, and prasugrel26. Best Bone graft: AUTO27. Value – the most important28. Local anesthetic in children: weight * 4.429. ANUG – caused by fusiform bacilli (spirochetes)30. ranula treatment - marsipulization31. Which gland (parotid, submandibular, or sublngual) is a sialoth most common32. Which space is NOT involved in ludwig’s angina? submental submandibular, retropharyngeal,

or submental33. only one q on Impression materials asking about the most wettability – HYDROCOLLOIDS >

Polyether34. class I kennedy– were should the rest located- MESIAL35. study with Prevelance – CROSS SECTIONAL36. Pictures / 2 super easy pictures and 1 super easy radiograph37. pemphigoid / basal membrane deeper38. radio opacity near root of vital tooth condensing osteitis39. Periapical Cemento-Osseous dysplasia – vital, lower anteriors, middle age women, RL then RO;

no symptoms40. Migratory glossitis ( geographic tongue)41. implants ( 4 super easy questions, 1 question about prosthesis on two implants and one of

them is not seating/what to do : section and redo)42. what not to be used as retainer in fixed pd .. inlay43. Cracked tooth , mand 1st molar44. porphoromonas in some perio disease periodontitis45. 4 unknow answers of question involving names with weird drug names .. $%$%#&@ pharma

worst perio prognosis - max 2nd molar46. tooth with facial lingual divergance .. max molar47. alot of easy endo questions

root calcification of perm teeth - 2.5-3.5 years48. Tooth with most favorable prognosis---small internal resorption49. Esthetic analysis, face divided: V3H550. Sterilization -10% glutraldehyde for 10 hours

Bacillus spores - once per week / month ? carbide bur dry heat does not Corrode or dull

51. Disinfection and antiseptic (difference in what surface should it be used on) porcelin color

52. direction of tissue healing after flap coronal53. lefort gaze - downward 54. forceps not used in premolar 21255. Which structure is most radioresistant (only nervous system was relevant)

one weird type of comma - whats not to use ! epinerphrine and oxygen were in options when u give epinepherine and one of the following medication heart problem is likely to

occur ( propranolol was in options) adversing effect of retraction cord / vertical gingival loss?

56. radiolucency under crown margin on radiograph what happened (secondary caries)57. ergosterol antifungal site of action in cell membrane58. erythromycin MOA inhibit protein synthesis 50s59. Pt says “I dont have time to stop smoking” ? contemplatory, precontemplatory, denial,action60. most pay / self61. Dentist does the treatment for crown and post but the insurance company pays the money for

crown only unbundling62. question asking about sandwitch rechnique ( what material) composite and gic63. candidiasis - after antibiotic abuse64. c-difficle pseudomonas colitis65. Cross sectional: Sample of people assessed at one time

clinical trial66. swelling - Incision & Drainage67. Action of sodium hypochlorite –removal of debris, irrigant68. Most important in avulsion - time management69. Ectopic eruption of man 1st molar70. Mouth breathers - class 2 open bite71. Facial profile of class 2 malocclusion - convex72. Normal biological width involves what ?

interfere with flap - buccal shelf area73. Cheek bite due to horizontal overlap 74. no question on facebow at all !75. maintenance phase - 3 months

maintenace - tailored to patient need vertical dimention - excess inter arch distance

76. rubber dam - mercury vapor77. tooth reduction veneer - 0.5 facial middle78. bimax79. Cantilever contraindicated - central 80. mand right crown and mandible deviate to right buccal cusp lingual incline81. alcoholic - 18 months - not fully recovered

82. inr used for - intrinsic pathway - extrinsic factor - prothrombin time 83. Incisal guidance - horizontal84. fracture of mandible involves tooth (simple? compound? comminuted?)85. Erythema in the palate of the patient wearing denture - inflammatory papillary hyperplasia86. repeated questions on apexification 87. valcyclovir antiviral. Candidiasis with aids 88. primary tooth with furcation - spontaneous necrosis89. Asthma - interleukin90. Pt with bisphosphanate what do u expect extractions91. Most common side effect of N2O2 - nausea and vomitting92. fluoride supplement 4 years old .28 -- systemic93. fluoride cost efficient treatment - varnish or systemic

SARA RQS

1. . Most pay in dentistry?2. Cash 3. . Post and core dentist hanged separately insurance considered it on

procedure? Bundling4. . Traumatic injury to mandible no control act on right posterio side what’s

wrong? Hemato..... right condyle 5. . Most common site for caries pit and fissure6. . Best side for implant bone type 1-2-3-4 I said 17. . 3 years old trauma to centrals what you do? Watch

8. . Distance between 2 important 3 mm I had this question 3 times in the exam9. . Day 2. IV Antibiotic injection during IAN causes? Which artery did it get in

to? Which is a branch of ? External carotid 10. . Day 2 know that Cellcept causes gingival hyperplasia 11. . Know numbers of all forceps used for max premolar extraction they are 3

you need to know which is not 12. . X-ray picture Canal like radio lucency in ramus that is mesio distal airways13. . Mod amalgam filling M part broken in the occlusal surface what do you do?

Redo14. . Question about benadryl MOA 15. . Steps done during wax try in in denture includes all but try face bow 16. . Day two patient asks you to extract all his teeth which ethics contradicts

here17. Autonomy and Nonmaleficence18. . 2 questions easy about working and non working interferences during

lateral movement 19. . Failure of amalgam filling due two moisture contamination. Had this

question two or three times 20. . During gingivectomy cut direction? Coronal or apical? and you only go

through which tissues? Keratinized ? 21. . A lot of pulp diagnostics scenarios not hard to figure like cold lingering pain

22. . Day two ortho movement produces changes in all but ( pdl- pulp- chemical.......)

23. . Tylenol 3 is type 3 controlled drugs 24. . Which primary tooth, if lost prematurely, will most frequently result in space

loss?25. . Day 2 patient had gastric bypass surgery and had erosion in teeth what’s

the cause I don’t remember options 😞 26. . Necrotizing ulcerative gingivitis differential diagnosis 27. . Day two radio opaque root like shape what is it? I said remaining roots28. . day two while extracting first molar in went in the max sinus what do you

do? Flap and close monitor? Refer to oral surgeon ? Open and try to get it and give him type of med forgot what it was and one more option

29. . Stridor is diagnostic for ?Laringospasm30. . Which of the following is NOT an indication for removal of a third molar?31. The presence of bony pathology32. History of repeated pericoronal infections33. Prevent crowding and displacement of the incisor teeth34. Advanced, generalized periodontal disease that endangers the second molar35. . Retention grooves in class 5 located axio gingival wall 36. . How we achieve retention in class 2. Prevent restoration from moving

proximally? Retention grooves 37. . Most facio lingual inclination in which primary molar? 38. . Mandibular 2 nd primary molar mostly look like?39. . Day two when surgically extracting mandibular 3rd molar problem

because ?external oblique ridge40. . Which of the following factors has the Most effect on the prognosis of a

periodontally involved tooth?41. . Calcification of permanent mandibular 2 nd molar start at42. . Day 2 Post and core we do it to?43. . Ledge during Endo retreat what we do? I said bypass44. . Least preferred fixed prosthetic to replace a missing tooth 3/4 bridge. Inlay

bridge. Onlay bridge. Full bridge? 45. . The drug of choice for marked bradycardia is which of the following?

Atropine46. . Which pigmented lesion of the oral cavity will resolve spontaneously?

Hematoma 47. . Distance between X-ray tube and patient in cephalo? 5 feet48. . LeFort I osteotomy involves? max sinuse49. . Some metal elements used in ceramic restorations have been known to

cause reactions in patients. The most common causative element is? Nickel50. . When saying F the upper teeth should touch? Posterior to vermilion 51. Q131: Which of the following is NOT true regarding orthodontic tooth

movement?A- Blood flow within the PDL is altered after force application

B- Pulpal tissue activates a neural responseC- Chemical changes in the compressed PDL stimulate cellular differentiationD- Oxygen tension is increased in some areas of the PDL and decreased in other areas.ANS: B52. . HIV count 53. . Which of the following statements most describes the purpose of using

sodium hypochlorite during biomechanical preparation?54. Dissolves necrotic tissue55. Reduces hemorrhage56. Produces cavitation57. Chelates inorganic tissue58. . electronic pulp testing how it works?59. . Which of the following best describes the outcome of and intrapulpal

anesthetic injection?60. Provides anesthesia by back-pressure61. . Smokeless tobacco has NOT been associated with which of the following?

Nicotine stomatitis62. . In conducting a patient interview, the dentist should begin by asking

questions that are general, because it provides the patient with a greater opportunity to express his or her concerns and emotions

Both statement and the reason are correct and related63. . 6-year-old patient exhibits defiant behavior at a recall examination. Which

of the following techniques is indicated for the examination? Voice control 64. . Few questions 3-4 about porcelain that I haven’t seen before. 65. . The highest incidence of caries around Class II composite resin restorations

occurs on which of the following margins? Gingival, proximal

66. . Day two case premolar after treatment pain only on one cusp67. . 2 questions about Adontogentic kerato cyst 68. . Child see another patient. Modeling69. . Asthma patient taking albuterol has? dry mouth. 70. . HIV patient initial infection is symptoms free. Acute infection was not an

option 71. . Infections arising from the periapical region of mandibular third molars

perforate through the lingual cortex to the? Submandibular space72. . What is the best indicator of periodontal stability over time for the patient

on periodontal maintenance therapy? Bleeding on probing 73. . A similar question to this 74. 45-year-old patient has undergone scaling and root planing in all 4 quadrants.

The oral hygiene of the patient is excellent but generalized 5 mm and 6 mm

pockets remain that bleed upon probing. What is the next step and the best treatment for the patient?

75. Periodontal surgery76. . Hygienist made mistakes 3 doctors there who’s responsible ? she and

attending dr77. . What is the most likely cause for hemorrhage 3 day after removal of a

mandibular third molar? Fibrinolysis78. . Access opening for mandibular 1st molar shape triangular or trapezoidal? 79. . Chipped ceramic don’t wanna re do ?Micro-etch, etch, silanate, bonding resi80. . Same concept question on day 2 Which of the following might precipitate an

asthma attack? NSAID81. . PA cemento-osseous dysplasia : ant 82. mandible, middle age black women83. . cemento-osseous dysplasia PA pictures 84. . Brush tongue for? Bad breath 85. . 3-4 questions Anti- cholinergic and cholinergic86. . Big pulp short roots? Taurodontism87. . Nitroglycerin downsides or side effects 88. . First thing to do in dry socket? Irrigation- Dressing- curettage89. . Ludwigs angina which space?90. . Asked about a tooth in x-ray when did that happen? histodifferntiation and

morphodifferntiation X-ray was bad 91. . Radio opacity in mid canine root92. . Chronic perio common in blacks93. . Dry mouth in kids and elderly? Mouth breathing 94. . retentive clasp tip location? gingival third95. . Impression material that is moisture tolerant96. . Which receptors is the action of xerostomia on? alpha, beta ?97. . The ratio of cleft: 1 to 70098. . Vertical 99. Hole for class 5 prep should be more to the buccal 100. The best time perform oral surgery on a patient receiving dialysis 3

times per week is? Day after dialysis101. Similar concept question 102. 90 kVp and 15mA at a BID distance of inches, the exposure time for a

film is 0.5 seconds. In the same situation, which of the following should represent the exposure time at 16 inches?

103. But had to know new time to get same pictures 104. Causality (cause and effect) may NOT be inferred from which of the

following studies?105. A- Cross-sectional 106. . Acromegaly – classIII107. . Which of the following represents the 3 essential factors for the

initiation of the carious lesion? Bacteria, suitable carbohydrate, and susceptible tooth

108. . Same concept but different way to say it 109. Which permanent teeth are least often congenitally missing? Canines110. . Gingivectomy is NOT indicated when the base of the pocket is

located? Apical to the alveolar crest 111. . Regeneration of the periodontal attachment apparatus include? Cementum, bone, and periodontal ligament112. We have a small occlusal caries dentist made a composite filling on top

of it what will happen113. . Adrenal suppression may result from which of the following regimens

of hydrocortisone? 20 mg for 2 weeks within 2 yearsHimani Rqs ( Aug 18-19, 2018)

Do MANGO and RITA file

1. Lots of q with least and except2. Body dismorphic disorder? Mental illness involving obsessive focus on perceived flaw in

appearance, contraindicated for implants3. 8mm anterior open bite. Which surgery? Lefort 14. Gastric ulcer? Ranitidine H25. Contraindications of pulpotomy? Leukemia, recent MI, Diabetes all6. Mental foramen?

Below 1st pm between 1-2nd pm below 2nd pm

7. Monoplane occlusion- no curve of spee8. Varicosities- elderly9. Pt. with emphysema. Recent MI. taking warfarin. What is not indicated?

Give 2 carpuscles of 2% LA Lay the pt horizontally Do not give 2 appt in a week

10. Pt. with sinus tract and radiolucency. Endo with antibiotic coverage Curettage Anibiotics Saucerisation No tt

11. Pt comes for evaluation after perio, 6mm pockets what to do? Good OHI- flap, bad then SRP12. FLap for gingivectomy external bevel incision13. Test for newly erupted tooth cold test14. Old pt with posterior cross bite. Tt?

Quad helix Palatal expander

15. Rapport? Bond, empathy

16. Meaning of rephrasing? Quote exact Interpretation of what speaker said

17. What do u do to achieve autonomy in pt? informed consent and value pts decision18. Max permissible dose? 19. Displacement of odontoblastic process? dessication20. Tough q on arbitrary facebow? 21. Lots of facebow. Not from files.22. Caries risk assessment. Exception q?23. Pictures- ear lobe, geographic tongue, FD24. Lots of endo and perio

Betty Wilson (Aug 17-18, 2018)

1. Do recent rqs, like 2-3 months before your exam date.2. Lots of pt management, perio.3. Methotrexate? Anticancer drug, side effect- bone marrow suppression4. Led light? Less wt.5. 6mm pocket what to do? Flap6. Flumanezil? Antidote for BZD’s7. Chroma saturation8. Hue wavelength9. Xray for maxillary sinus disease anatomy?10. Xray for condyle?11. Regular occlusion q’s12. Class 2 inlay wall? Diverging from gingival to pulpal13. Radiograph of hyoid bone, ear lobe14. Picture of erythroplakia15. Ceph q on day 216. Weird drugs q’s, don’t know the names.17. Carbocaine? Mepivacaine- LA without vasoconstrictor18. Opioids adverse effects? Respiratory depression, miosis, constipation19. Drugs contraindicating with TCA? MAO, epinephrine20. N2O side effects? nausea21. Diuretic related to potassium? spironolactone22. Status epilepticus? Diazepam not in option phenytoin or midazolam23. Finasteride? Proscar- Treatment for BPH24. Interleukin in perio? IL-125. Epulis fissaratum resembles what? Irritation fibroma26. Histoplasmosis- oral lesion? Tb27. Basic of facebow?28. Know LA complete in and out.

29. Something not used in perio ans was Metrogel.30. Tori31. Exostosis32. Sealants – micromechanical bond

24 th August

First 270 rita

271.Tooth mostly lost in perio?

272.Dentist gives smile to patient and rewards him by smiling?a)token reinforcementb)positive reinforcementtwo more options don't remember

273.While discussing treatment plan with dentist patient folded his arms and continuously shaking his feet.What you conclude form his behavior?a.feeling coldb.feeling anxiousc.want to ask questiond.dont want to discuss( this option I dont remember exactly but not an answer I was sure)

274.You have to disclose that patient has cancer. how will you do this?a.directly that u have cancerb.prepare him first and then tell him.c.tell his relative or who came with him to go out first.4.Not an answer foresure

275.Caries start first at?a.interproximalb.at contact pointc.below contact pointd.above contact point

276. GTR?a.contact epithelium to toothb.contact PDL cells to toothc.contact connective tissue to toothd.dont remember this option 277.For apex in apexification least irritant?a.MTAb.Caohc.IRMd.Dont remember but it was in capital letters like there might be full form of that

278.Bone used for large areas?

a.autologousb.decalcified freeze dried bone

279.Implant failure?a.occlusal traumab.plaque biolayerother options not relevent

280.How to enhance color of porcelain in PFM?a.internal glazingb.external glazingc.adding color tint in porcelain.d. by metal oxide something like this

281.Which polymer produces highest exothermic reaction?a.PMMAb.Methyl meth acrylatec.urethane dimeth acrylated.Bis GMA

282.When too much monomer is added to polymer what heppens?a.shrinkageb.porosityc.expansiond.brittleness 283.Which medicine to give in renal failure?a. ibuprofenb.aspirinc.acetaminophend.ketolorac

289.Enamel hypoplasia in what age?a.in utero 4 months before deliveryb.1-2 yearsc.3-4yearsd.2-7 years

290. P=0.01 and alpha value is 0.05 and researches rejected the null hypothesis?a.type one errorb.type 2 errorc.no errord.not relevent option

291.A test has 95 predicted as true cases out of 100?what is ita.specificity 95b.sensitivity 95c.predictive true value

d.not relevent option

292.disulfuram action?a.acts at aldehyde dehydrogenaseb.acts at alcohol dehydrogenase

293.Bisphosphonates has effect on?a.lymphocytesb.osteoclastsc.osteoblastsd.mesenchymal cells

294.Not an advantage of LED over halogen?a.light weightb.energy efficientc.compatible.d.cure more properly(it was something like this that it cures better)

295.How to see crown fit?a.occlusion, proximal contact, marginal, 4th option dont rememberb.proximal contact, occlusion, marginal, 4th optionc.margine, occlusion proximal answer was B because there was no option in which proximal followed by occlusal was there296.All act on alpha adrenergic except?a.epinephrineb.phenylephrinec.metoprolol is answerd.it was also epinephrine class297.Electrosurgery used in surgical procedures for?a.finishing gingival lineb.something like clearing gingival crevicular fluid.c.stop hemorrhage from vesselsd.dont remember but not answer298.Avulsed luxation in child.What to do?a.splint 4-7 days b.splint 10 -14 days b.No treatmentd.It was also splint time

PENGUIN FILE (August 3-5)

1. Which one has the least osteogenic potential?- Cancellous bone, Cortical bone, Periosteum, Bone marrow

2. Epithelial cells cover the exposed connective tissue at what rate per day?- 0.5-1mm per day, 2-3 mm, etc

3. Tori removal Rx in patient taking which drug is not modified?a. Methotrexate, Alendronate, Denosumab and one more option

4. A study in nursing home to see incidence of cases?a. Case control, longitudinal, cross sectional, experimental

5. Least affected by Nitrous oxide is long term?a. Dentist, assistant, patient, front desk

6. Rubber dam doesn’t protect from?a. Nitrous oxide, Mercury vapours, object aspiration

7. Phenytoin used for? Grand mal, status epilepticus, febrile epilepsy8. Most common dental emergency? Syncope, hyperventilation, asthma attack9. Prevalence of chronic perio highest in? Blacks, Hispanics, Asians whites10. Prevalence of DM2 highest in? Asians, whites, Blacks, Hispanics11. Identify Stafne defect.12. Identify Ameloblastoma13. Identify Adenomatoid Odontogenic Tumor14. Fusion of teeth with dentin + cememtum= Fusion 15. Fusion of two teeth so that they have same pulp chamber= Gemination16. First sign of pulpal necrosis is primary molar? Furcal radiolucency17. Not a characteristic of Combination syndrome?18. 18.Characteristic of osteoporosis? Brown tumor, Mosaic bone pattern, Unusually thin mandible

bone trabeculae Brown tumors- Hyperparathyroidism, Mosaic pattern- Paget’s

19.Class V cavity material of choice? RMGIC

20.Identify complex odontoma.

21. Difference between NSAIDS and Aspirin? NSAIDS reversibly affect platelet aggregation. 22. Cause of Light x-ray? Reduced Exposure, cool developer23. Interference in balancing occlusion? 24. While adjusting the condylar guidance, the incisal guide should be? Adjusted according to the

horizontal and vertical overlap of teeth. 25. Battery? Rx without consent 26. Unbundling?27. Rapport best by? Persistent eye contact.28. How to deal with manipulative pt.? Distraction29. Nodular lesions on skin with café- au- lait spots? Neurofibromatosis-130. Cervical white spot lesion on lower 1st PM, matte finish, non cavitated.. best Rx? Fluoride

varnish31. Increase in powder: liq ratio for Zn phosphate cement will affect what? Reduce Solubility32. Slow growing, radio opaque jaw lesion on posterior mandible- Ossifying fibroma33. Dental pay is US is mostly? Self-Pay34. Broken amalgam less than 0.5 mm? Observe35. Smoking affects perio health- yes, Socio economic status affects perio- yes36. Flap repositioned in its place.. Collagen fibrils from it reconnect with sharpeys of tooth.. what

kind of attachment? Reattachment37. Cavernous sinus infection? Anterior triangle38. Posterior composite success depends on? Operator skill, resin used, pt selection, technique39. Lip paresthesia? Metastatic tumor40. Less likely to see in Chr 21 defect?

41. Irreversible pulpitis?42. Epinephrine reversal? Phentolamine43. Partial agonists?44. Biotransformation affects? 45. Causes of anterior crossbite?46. SNA of 87 degree is? Class 247. Green discoloration of gingival 1/3rd of PFM crown margin is by?copper48. Which oral lesion will resorb on it’s own? Varix, hematoma, hemangioma, melanotic macule?49. Initial RX of Localized Aggressive perio? Prophylaxis + Systemic AB50. RX of dry mouth? Pilocarpine51. Safe oral sedation for a 25 yr old pregnant woman who is breast feeding her 12 month old

daughter? Nitrous oxide, Triazolam ( Halcion) 52. During Wax tryin for VDO should both wax rims be in mouth? Yes53. Facebow is used for?54. Rest seat requirements55. Supernumerary etiology?56. Reverse curve of occlusal plane in OPG? Pt’s chin too high

1. Study conducted in a nursing home- cohort, case, descriptive, longitudinal? 2. Rubber dam doesn’t protect what? Mercury vapors. 3. Most common medical emergency in dentistry? Syncope, hyperventilation both were in option... 4. LA calculation 5. sensitivity and specificity calculations 6. Phenytoin used in which conditions- status epileptics, grand mal, petit mal, absence seizures? 7. LA without vasoconstrictor- mepi 3% 8. Primary herpetic gingivostomatis question 9. Fusion of teeth with dentin and cementum 10. Not true regarding orthodontic movement? Chemical changes in pdl 11. Sec Hyperparathyroidism - renal failure 12. Xerostomia treatment? 13. Manual dexterity of brushing- 2-5,6-9,10-12 Year’s. 14. 4ys kid with 0.25mg fluoride. Treatment? 15. Zirconia crown on R mandibular molar, deflected right on biting.. occlusion affected? 16. Bur used to polish porcelain? 17. Crown has low retention buccolingually..what will u do ? Groove buccal, lingual grove, proximal groove ? 18. Picture of hemangioma- lateral border of tongue. 19. Multiple myeloma how do you identify ? Pano and occ, pa and occlusal, bitewing and pa ? 20. Fetal alcohol syndrome what u won’t see ? Midface, palpebral fissures, philtrum defects ? 21. Anterior mandible radg- nutrient canals 22. Candidiasis Troche- clotrimazole in option 23. Most ankylosed teeth ? 24. Pain at mental foremen- traumatic neuroma, neurofibromas, ossifying fibroma and last one with neuro something 25. Flap done and diseased tissue removed..how will new tissue grow ? Apical to gingiva, apical to cdj..like options.. 26. Same kind of flap quest.. what is the newly formed attachment called ? Replacement, enhancement, reattachment ?

27. Saturation in ? Chroma 28. Inc powder in Zn phosphate ? 29. Mand. 3rd molar root disappear into ? Submand space 30. Cervical white spot of premolar with Matt kind- varnish or no treatment ? 31. Which do not recur.. AOT 32. Rad pic pano radio opacity in mandible..given it’s slowly growing..fibrousdysplasia, pagets, ossifying fibroma, odontoma? 33. Throtoxic crisis- tachycardia 34. Dental pay in USA- self 35. Blacks mostly seen - perio, gingivitis...? 36. Smoking effect on perio/ not socioeconomic dependent - T/F 37. Skin abnormalities and melanotic patches ? Peutzoger/ Albright 38. Cavernous sinuous- anterior triangle 39. Pain when ? Enamel 2mm, dentin 2mm, 3mm from pulp ? 40. Amalgam broke less than 0.5mm.. what you do ? 41. Composite on posterior tooth? It’s success depends on and why does failure occur ? 2 quesns 42. Avulsion is classified as ? 43. Lip paresthesia ? Okc , metastatic tumor, cerebovascular damage? 44. Radg of condensing osteitis..they did mention the tooth is vital.. 45. Most fractured tooth ? Jus mand molar 46. 5year kid not cooperating at all.. tel parents to control and get him back was only good one I found. other weird options.. 47. Oral sedation disadvantage? 48. If drug bypass liver..dec bioavailability, enterohepatic circulation ? 49. FDA quesn.. drugs and prescription something..

50. Clinical attachment loss.advanced 51. Posterior tooth extending subgingivally . crown lengthening or caries excavation? 52. When to take consent form sign ? After doc discuss treatment with pt. 53. Best indicator for periodontal stability ? Bop, plaque, attachment loss 54. Best indicator for anug ? Type of bacteria 55. How can u say the condition is not aids ? Features of it given 56. Test not used for bacteria... intelukien 1 57. Primary stress bearing areas in max and mand.. no exact options.. palatial seal and buccal shelf, residual ridges for both, rugged and residual ridge.. 58. Least osteogenic ? Cancellous, cortical? 59. Arch length measurements? Menial to medial of premolar/ molar/ canine.. 60. What is not best way to maintain after perio surgery ? Toothpick water irrigating device , interdental brushes ? 61. Alveolar osteitis first line of treatment? Dressing 62. How to chk vdo ? S sound63. Lesion 0.3mm for three months.. excision biopsy 64. Which tooth pops out in max and mand if lack of arch ? 2 separate quesns 65. Trphenation ? Relieve pressure/apical puncture / softissue tear ? 66. Ct. Tissue development? 1mm per month/ 0.5mm per week kind of options 67. Temporal arteritis complication ? Vision loss in options 68. Wheelchair quesn with same options 69. Gold thermal expansion quesn. 70. When do u remove palatal tori ? RQs

1.Leeway space 2. Dental crossbite cause? lack of space for anterior dentition 3. Light Film? insufficient exposure time

4. Complex perception of pain and stress? 5. PDL disease more common in? Black male 6. Bulimia more common in? black young female 7. What happens if you leave a radiograph too long in a developer? 8. Loss of which premature primary tooth could cause loss of arch space? (primary 2nd mandibular molar) 9. Asymptomatic tooth but hurts to bite after 2 weeks of newly placed crown, No percussion senstivitiy and the tooth is vital? Cracked tooth, periapical periodontitis 10. Composite too white but otherwise acceptanle class 4 rest, what to do? Re-do, stain, … 11. Composite Class III, with stains in the margin, what to do? Reveneer, re-do, stain 12. Battery (doing surgery without consent) 13. Autonomy (consent form) 14. Precontemplation 15. Mandibular molar 30 moved to the right during occlusion, where is the interference? 16. Interference in balance 17. Interference in working 18. Bone involved in Le Fort I? (maxillary sinus) 19. Leukotriene, associated with systemic diseases? (asthma, thyroid, etc) 20. Ectodermal dysplasia (2 questions) 21. Pemphigoid mucous membranous 22. Furcation in primary molar? (due to pulp necrosis) 23. Time to close apices of eruption of primary teeth? (9-15 months) 24. Frenum Labial prevent movement of which muscles? (triangle, zygomatic, canine) 25. Combination syndrome (Kelly) 26. Ulcerative lesion in palate ?(necrotizing sialometaplasia) 27. Function of Beta-1 agonist? (increase Heart rate, Dilatation of bronchial muscles) 28. Loosed primary teeth in young kid, cause? (hypophosphatemia) 29. Melanoma more common in? (Palate and gingiva, gingiva, floor of the mouth) 30. Healing of occlusal trauma? (narrow PDL) 31. Fracture infraorbital ridge … glazed?... downward, forward, medial or lateral 32. Prostaglandin is inhibited by? 33. Amalgam Class II retention? (proximal grooves, axial pulpal bevel, ) 34. Large pulp chambers? (tauradontism) 35. Indications of selective Endo? 36. who has Best prognosis? ( internal resorption, vertical fracture, avulsed tooth,) 37. Secondary prevention? 38. Disensitization ? 39. Arrested caries? (brown shiny enamel at the cervical region of the tooth, discovered after gingival recession) 40. Mandibular molar endodontically treated with furcation involvement 5mm to apex, how to treatment plan (hemisection and treat as if it where 2 premolars) 41. Least common missing permanent tooth? Canine 42. How many Americans have fluoride water? (74%) 43. Max. Dosage of local anesthesia with a child weighing 16kg? (72) 44. Safe of nitriousoxide? (70%) 45. 5 year old intruded tooth, what do you do? (observe) 46. Maxillary RPD and mandibular denture patient wants to have a denture that crowns last longer? (composite teeth, proceleain teeth, hybrid acrilyic teeth) 47. Radiograh? Pericapical cemento-osseous dysplasia 48. Radiograph of dentigerious cyst 49. Smokeless tabacoo is associated with (verrucous papillary lesions) 50. Opioid side effects except? ( congestion and pinpoint pupil dialation)

51. Diazepan does? (relax muscles, treatment for epileptic, causes amnesia) 52. Sulfonamide? inhibits Gaba 53. Apex closing in non-vital tooth. (Apixification) 54. Distance between dental implants? (3mm) 55. Retentive points of the RPD clasp? (gingival or middle 3rd. , gingival third) 56. New research shown that Tobacco is associated with? root caries, 57. Kids systemically compromised, what do you use? (chlorhexidine or sodiumfloride) 58. Everything is associated except? (jaundice) 59. A patient becomes cyanotic/ respiratory stress after you administer topical anesthesia in an ulcerative area, what is the most likely thing the patient is suffering from? (allergic, diabetic crisis, sickle cell crisis) 60. Hexi to upright a mandibular molar, where does it have to be located? 61. Cleidocranial dysplasia is the same as Pier Robinsons syndrome to….? (t/F) 62. Mand central primary teeth calcification? (5-7months?) 63. Mandibular Premolar drain to the sublingual space 64. Ludwigs angina? 65. What is the most common emergency in a dental office ?(Syncope) 66. Pregnant women need to be positioned to the left during syncope to avoid? compression of inferior cava vein 67. If you have a patient having intravenous bisphosphonate and you need to do a dental treatment what would you do? (endo, extract, …) 68. Which condition do you see secuestra formation? (osteomyelitis, osteonecrosis, etc?) 69. Xrays will display? bone loss associated with the CEJ 70. In a Perio maintainece every 3 month: could be modified if patients condition changes? Can never be modified? 71. Axial wall of MOD onlay 72. Most common type of bone loss in chronic periodontitis? (horizontal) 73. Caries elements? (bacteria + polysaccharides + enamel or Bacteria + situated carbohydrates + susceptible tooth) 74. After surgical graft epithelium comes from? (receiver site) 75. What do you see radiographically in osteoporosis? (fine trabeculation, dimeralization of ostoids islands) 76. After cleaning the tooth surface form first the alternative is? material alba, pellicle, bacteria, plaque 77. Fibroma caused by? trauama and irritation 78. Sealing complete dentures too posteriorly will cause? (gag reflex, hyperplasia of mucosa, more retention, less retention) 79. Pronouncing the letter F or “ph”, The incisal edge of the anterior mandibular teeth: (contact at the vermillion of the lower lip, anterior to the vermillion of the lower lip, posterior to the vermillion of the lower lip) 80. Treatment fo HPV, CMV, EBV? Valcyclovil 81. Antifungal for oral and systemic candiasis? (miconosol, clotrimadol, fluconazole) 82. Xerostemia is most often caused by in younger kids? (medication, SJrogren, mouth breathing) 83. Osteonecrosis is most common in? posterior mandible 84. Descamative gum bleeding treatment? 85. Local acute aggressive periodontitis initial therapy? (SRP or SRP with antibiotics) 86. Hematoma, freckles, melanoma, which of them disappears by itself? 87. Ranula tx? (marsupilization) 88. Elder, what is the most common? Depression 89. Dementia is associated with? short term amnesia, long term amnesia 90. Elderly people normally surfer from? decreased learning, decreased attention? 91. Geographic tongue?

92. Why do you brush your tongue? (prevent bad breath) 93. Anesthesia duration is due to all of the following except for. . . 94. Periapical abscess vs periodontal abscess? Electrical pulp test 95. Macroglosia is seen in all the conditions except? (alidosis, hypothryroism, acromegalia, hyperparathyroidism) 96. Mixedma is seen in? hypothyroidism 97. In a clinical trial your samples you organize it alphabetically and you pick randomly every 10 people, what kind of randomized selection is this? (simple randomized, stratified randomized) 98. Basal cell carcinoma patient, how do you react? ( do you have anyone with you what you would like to come to the room?) 99. There is a compliant patient that is now denying to do a root canal tx, what is the appropriate approach? (if you don’t do the rtc it will get worse, is there something you want to know about the treatment plan?) 100. Insurance charged crown + post under the same procedure: Bundling ? 101. What do you not do with the consent form? Don’t give it before the exam 102. Actinomycosis? fistula in the head and neck 103. Which is only a radiolucent lesion: Ameloblastoma, AOT, Pingborg tumor, Ameloblastic fibro-odontoma 104. KOT, Ameloblatoma, AOT, which is the less recurrent? 105. Condensing osteitis 106. After RCT Periapical radiolucency slightly enlarged in the radiograph, what is the cause? Fibrous scar, angulation of Xray 107. Space maintainer, bend and loop, has everything except? a vertical thing that prevents the overeruption of the opposite tooth. 108. Asymptomatic apical periodontitis 109. A practice of 1 Hygienist and 3 doctors, the hygienist has harmed the patient, who is liable? The hygienist and the attending doctor 110. Irreversible pulpitis 111. Best diagnosis for irreversible pulpitis? 112. Liable test pulp in a crowned tooth (cold test EPT, Xray, Percussion and palpation) 113. Progenitor cell for perio rehabilitation, comes from gingiva, connective tissue or PDL? 114. Periodontium regeneration: cementum, alveolar bone, sharpeys fibers, or cementum, alveolar bone and gingiva? 115. Penicillin B is a good option, why? (inexpensive, broad spectrum, non toxic) 116. Labial extrusion of the canine (gingival recession) 117. Treatment for multiple chronic dislocation condyles. (athroscopy, condylotomy, total joint replacement) 118. Clarithromyocin acts upon the ribsome-50 119. Potassium sparing is an Amiloride 120. Vicodin belongs to what drug class I, II, III, or IV? 121. There is a picture of a multiple pyogenic tumor or Lymphoma, etc. pt is taking antibiotics for a infection of the skin. 122. The opaque porcelain does all the following except ? 123. The disadvantage of Distraction osteogenesis vs osteotomy (patient follow up time) 124. Inflammatory resorption 125. AED has the general caratheristics of, the citated many characteristic of AED but I only remember the option that said if is contraindicated in those younger than 12

1-Hemorrhage in mn after extraction due to /fragidity, fibrinolysis 2-Function of mid palatine suture in set of denture ? give support , retention,both 3-child when cry become blue ? inc in heart rate or dec

4-Correction of an inadequate zone of attached gingiva on several adjacent teeth is best accomplished with a/an? a. apically repositioned flap. b. laterally positioned sliding flap. c. double- 5-pt with ulcer in the mouth and seqstrum due to truma ,ask about the location?palate, lingual in the floor , lingual near the oblique ridge , buccaly near the ridge 6-Smoker patient what don’t u see: a) Increased BOP b) decreased gingival inflammation 7-Pt takes too much opioid, what do you see? 1. Insomnia - 2. Irritability 3. Headache 4- cold 8 Diabetic undergoing surgery Take clear fluids with same insulin intake Take clear fluids with 1/2 amt of insulin? 9-Resective osseous surgery is best suited for periodontal sites with A. severe attachment loss. B. severe intrabony defects. C. teeth with short roots. D. early to moderate bone loss 10-child come to u bec her upper teeth set behind the lower but in the radiograph the child look like cl 2 What type of profile ? convex concave 11-leat common fracture tooth 12-An uncooperative 5 year old child has a carious lesion in her primary mandibular second molar. There is no tooth mobility, but the practitioner notes a small, draining sinus tract adjacent to the tooth. Which of the following is t/t of choice? a. Extraction b. Pulpectomy c. Indirect pulp therapy d. Calcium hydroxide pulpotomy e. Formocresol pulpotomy 13-pt positive ept ,sensitive to cold and linger pain,pain to specific tooth?irreversible pulpitis, symptomatic irrive with periodontal , symptomatic irr with apical absucss 14-what do you see when your max is constricted by 3mm? A,bilateral cross bite B.shift midline towards the effected side C.shift midline towards the unaffected side 15-Which cyst is most likely to lead to the development of an ameloblastoma? A. Radicular B. Residual C. Primordial D. Dentigerous E. Stafne bone cyst 16-You take an X-rays at a certain MA & kvp & exposure time is 8 seconds when the beam is 10 inches away . What if everything were the same except the beam was 20 inches away??? 10 20 16 seconds 32 seconds 17-Treatment of traumatic bone cysts usually involves A. opening the area, followed by induction of bleeding B. opening the area, followed by packing the cyst C. enucleation 18-The best way to produce a radiographic image with low contrast is by doing which of the following? (1)Increasing the kilovoltage peak (kVp) (2)Increasing the milliamperage (mA) (3)Increasing the focal spot-skin distance

08/19/2018

1. Success rate in endodontics: 80-85%

2. Fetal alcoholic syndrome, two questions.Mid face discrepancyCleft lip Canthous eyesLow nasal bridge / flat philtrum

3. Most prevalent: DI, AI, DD, cleft palate, ectodermal dysplasiaCleft lip + palate 1:700Cleft lip 1:800-1:1000Cleft palate 1:2000DI 1:6000

4. FusionLess # of teeth in jaws, separate canals and chambersJoining two tissues of teeth, also can be present as two separates pulp chambers

5. Cephalogram with large swelling on the angle of the mandible: ossifying fibroma, fibroma, CGCG or OKC

OKC – Odontogenic Ketarocyst, radiolucent

CGCG – Central Giant Cell Carcinoma

Ossifying fibroma – radiopaque

6. Gorlin, hypochondria, neurofibromatosis.Gorlin: multiple OKC, falx cerebri calcification, multiple BCCHypochonria: obsession with the idea of having a serious but undiagnosed medical condition.Neurofibromatosis: lichs nodules, Crow sign, cafe au laite spots, gliomas, optic nerve affected- Freckles - Crows- Caffe

7. More resistance: nerve and muscle both were there, asking for acute radiation: skeletal muscles8. Drug for won Willebrand disease: desmopressin9. Rate of formation of epithelium on connective tissue graft: 0.5-1.0 mm per day (?)

10. Occlusion, rest distance: 1.5 mm

11. Full cast crown reduction and where to put groove for extra retention: retention – buccal grooveResistance – proximal 1.5 mm for working, 1.0 mm for non-working cusps

12. Angioedema from impressions: T13. Picture of hematoma14. X-ray of Paget’s disease, odontoma, cementoblastoma, nutritional canal, melanin pigments, hyoid bone in OPGCementoblastoma (below)

Hyoid bone

Paget’s: cotton wool, denture doesn’t fit

15. Angina medicine: nitroglycerine 16. Cocaine side effect, all except...: pick miosis (causes mydriasis) 17. Acute adrenal insufficiency: identify one symptomHypotension, leads to CV collapseHypoglycemiaIncreased pigmentation18. Many ethical and behavior management questions.19. Competence: competence is ones ability to perform a task as well as they can

From the following list, select the ethical principles found in the ADA Principles of Ethics and Code of Professional Conduct. (Choose all that apply.)A. ToleranceB. CompassionC. Beneficence D. IntegrityE. Veracity F. Competence

To avoid getting sued a dentist should be: competent

20. Panic attack - patient is feeling doomed.21. How to record mandibular distobuccal border? Masseter muscle22. Questions on articulators, jaw relation, condylar movement, protrusion movement and why we record, what relationship we recorded, phonetic.

Face bow: maxilla-hinge axis

23. Plaque index is for: patient motivation24. For prevalence of caries in children dentist do: caries risk assessment?

When this measure is applied to the primary dentition, the acronyms deft and defs are used, with e indicating a carious primary tooth that is indicated for extraction.

25. Not included in autonomy - telling patient that another treatment is available, treatment by specialist...?26. Object fear in a childAge 2: fear of leaving parentsAge 4-6: fear of unknownGraded exposure, Tell-Show-Do

27. Chronic pain since long time in an aged patient, what you might find difficult during management? I choose: he will still feel pain-like-thing after getting treatment (3-4 questions on psychology and behavior management).

28. Patient standing looking downward in waiting room, what do you say? “What brings you here?”29. Manipulative patient: what to do?Need to send patient to the psychiatrist because patient still feels pain after anesthesia?

Patients may try to manipulate you into giving them what they want even if, in your professional judgment, it is not warranted. Manipulative patients may use guilt or threats. The key to dealing with such patients is the art of saying no. They may request a drug that they don’t need or a procedure that is inappropriate. Give the patient an honest opinion and explanation along with a firm refusal.

30. 3-month-old patient extraction: LA

31. Titration in NO: 70% NO & 30% O2

32. Penubra - lack of perpheral sharpness in a filmUse small focal X-ray to prevent it.

33. Why we took x Ray from right angle of object - compton or pholo-electric?

To avoid scaterring ray X – Comptonscattering is a type of interaaction of x ray with matter which creates low energy photonswe should avoid low energy photons and for that we must be placed in right angle to the cone of the x ray

34. In which X-Ray you will find max sinuses more apically: panoramic, bisecting bitewing paralleled?Bisecting technique

35. Low exposure time: X-ray will be light

JHANSI’S RQS (last week of august)

1. Infection stage of syphilis? Second stage 2. Difference between 245 and 330 bur? 3. Ectodermal dysplasia – many in different ways4. nicotinic stomatitis lesion 5. Reciprocal anchorage 6. what happens when you increase water in gypsum? 7. INR 8. child with multiple caries? give GA 9. best area for successful implant? ant mandible 10. reason for light radiograph? 11. epi of free gingival graft? Recipient epithelium 12. Neurofibromatosis? 13. Informed consent can have all of the following EXCEPT: A) Informed consent must be

presented in advance of the treatment. B) Informed consent must contain treatment options. C) Informed consent must be in written form. D) Informed consent must

contain risks and benefits of the treatment? B) Informed consent must contain treatment options.

14. Adolescent have trouble following OHI at home after getting braces. What is the most effective way to make sure they follow the cleaning regimen? A) Ask the parents to supervise them. B) Educate them about oral hygiene. C) Give them limited praise with good progress at each appointment? C) Give them limited praise with good progress at each appointment

15. Porcelain porosity: Inadequate condensation 16. What do we write the consult for: 17. Implant to implant distance? 3mm 18. Behcet’s syndrome associated with: 19. predominant cells in gcf? PMN 20. Radiograph with multiple periapical radiolucencies.( cementosseous dysplasia) 21. fever in children drug of choice? Tylenol (acetaminophen) 22. retraction cords 23. 5 mm intrusion of primary tooth , 3 years kid24. sodium hypochlorite properties 25. ledge what to do? 26. Dentist performing treatment without patients consent? BATTERY 27. Chronic periodontitis, frequently seen in? Black male 28. High torque handpiece for implant placement

29. Missing more than two teeth but not all them? Oligodontia 30. Missing more than two teeth but not all them? Oligodontia 31. uniform widen in pdl and bilateral resorb of angel what is the disease? Scleroderma 32. condensing ostetits? Chronic pulp inflammation, Non-vital tooth 33. periapical cemental dysp more in? (Black middle age female in ant mandible.) 34. location for periapical osseus dysplasia (periapical cemento-osseus dysplasia) is? Lower 35. anteriors. 36. not associated with macroglossia? 37. light pass through to through (craze line/crack)? Craze line 38. modify Widman flap – know thoroughly 39. most common cause of amalgam failure is? 40. best test to test tooth with crown? 41. change amalgam to composite? veracity 42. steroid dose need medical consultant? 20 mg for 2 weeks 2 year 43. Repair veneer? miroetch-etch-saline 44. stridor? Larangyospasm

45. not Side effect of opioid 46. oral and systemic antifungal47. schedule 2 drugs48. which condtions cause tachycardia

49. what is the most common psych disorder? Depression 50. Consent? Autonomy

51. Most common emergency in dental clinic? Syncope 52. best filling for class 5? RMGIC 53. insluin shock? If conc oral juce,If not iv glucagon when return conc give oral glucose 54. source 55. Functions of major connector? Rigidity, support, stability 56. Three dentist hired a hygienist - patient injured by hygienist, whose liability? 57. Indications for elective endodontics

58. Distobuccal by? Masseter 59. Mandibular buccal frenum which muscle? Triangularis 60. Dementia? 61. Lingual flange recorded by?62. Sinus lift procedure

63. Which sinus involved in fracture Le fort 1? Maxillary 64. Deviation to which side on fracture of orbit

65. wat is leeway space? max--b/w lateral and canine ,mand -canine and mand 1 st molar 66. Scrap amalgam? Sealed 67. Location of retentive arm tip?

68. Wat does opaquer porcelain help in all except? 69. Metal can be used in denture base for the reasons except? (headsup- there is no

esthetic option)70. Caries begin at?

71. Which property is imp for burnishing the restoration? ( no Work hardening option)72. The inflamed red spots in smokers palate? Not the name of condition73. 0mA 1sec and .5secs same effect of the film. What is the ma? 2 74. Buccal root distal to palatal root. Where was d cone placed? Mesial (SLOB Rule) 75. The bur used to polish porcelain? Diamond 76. The bur with more flutes? 77. The margin on cementum. Which material to be placed in gingival third? 78. Melanoma location? Hard palate and Gingiva 79. Cause of mucocele? 80. Treatment of ranula? 81. supernumerary teeth , multiple osteomas, and skin and soft tissue tumors. What else

you check for?82. Ration of cleft lip in Caucasian? 1:700 83. Chronic periodontitis common? Male black 84. Plastic heat sensitive materials sterilisation? Cold/Chemical like gluteraldehyde 2% 85. Does not reoccur? Aot 86. 12 month rct increase in size of radiolucency all the reason except? Apical scar 87. Moa of suphauryl anti diabetic drug? increase insulin production by stimulating b cells 88. of pancreas

89. Which can be diagnosed only histologically? Radicular cyst from granuloma 90. After 12 months increase in size of lesion in rct treatment teeth? Healing by apical scar 91. Pulp necrosis type of wat resorption? Inflammatory 92. Cellulitis? Lymphocytosis (In cellulitis the number of lymhocytes increase thereby 93. causing lymphocytosis.) 94. OSHA blood borne pathogens? msds sheet 95. Placement of pfm crown margin ant? At crest of gingival 96. wat makes penicillin allergic? 97. Gingivectomy indications contraindications? inadequate attached gingiva,base of 98. pocket apical to mucogingival junction (Indication - supragingival pocket, enlargement,

Contraindication - infrabony pocket, inadequate width of attached gingiva.) 99. facial vertical axis divided? 100. cleidocranial wat is absent? Clavicle 101. most common salivary gland Tumor? Pleomorphic Adenoma 102. consent not taken? Which ethic? Autonomy 103. treatment with out consent? Battery 104. liquid in gic? polyacrylic acid 105. Powder in zinc poly carboxylate cement? 106. Reason for incisal guide table? Anterior guidance 107. least strength of ceramic crowns 108. perforation of root canal 3mm apical to gingival sulcus . Rx?109. cheek biting in complete denture caused by allof the following, except?110. Goal of occlusal adjustment111. Best bone for implant112. Specific plaque theory113. Poor prognosis for which salivary gland tumor114. Gingivectomy: external bevel115. Gtr indications116. Autonomy117. Veracity118. Traumatic neuroma119. Complications of distraction osteogenesis120. Complications of extraction121. Complications of extraction in maxilla122. Prolonged time in developer results in?123. Purpose of post124. Pencillin properties125. INR126. difference between primary & secondary trauma – pdl involve, bone support, mobility,

( no option to choose all)127. hypodontia affects – alveolar bone, midface, max, mand? alveolar bone 128. bullemia prevalent in which population?129. Apexogenesis indication130. Apexification indication131. Band & loop has nt feature? vertical stop for opposite teeth, causes decalcify after 132. bands looses cemented, plaque accumulation? vertical stop for opposite teeth 133. Primary incisor 5mm intrude – observation, splint, reposition, splint & reposition?

134. Most occlusal convergence in which primary tooth135. Distance from xray to midsaggital plane? 136. Organisms in newly formed plaque

137. sign of "W" on clamp of rubber dam means ? wing clamp, wingless clamp? wingless

138. clamp 139. least keratinized epithelium seen on ? upper incisor, lower inc,upper pre mplar,lower

premolar? lower premolar 140. dental lamina proliferation in which week during pregnancy141. Epithelium comes from 142. Freys syndrome143. Brown iscloration of veneer after a month, due to?144. Antibiotic treatment? LAP 145. Seizures grand mal? Phenytoin 146. petit mal? enthosuximide 147. La calculation148. Arrested caries149. Unbundling150. Bundling151. Space discrepancy after loss of which tooth? Mand 2nd molar 152. Tooth lost in perio153. Cyst found close to premolars154. Perio success? establish epithelial attachment 155. Mouthguard? MPDS 156. Drug testing phases (what’s done in phase 3)157. 8yr old boy ..crowding in insicors ...canines r yet to erupt ..what to do ??extraction of

primary canines ..stripping ..? 158. best way to gain max info about pain?

159. spontaneous pain at night pt wake up, had lingering pain from cold from a week? irreversible pulpits or pulp necrosia?

160. inc water powder ratio in gypsum does not161. best way to dec fear of child ? sit down to child's level 162. dentist ask a child u want me to help you to sit on the chair, how to define this

situation ? perceived, helplessness? Perceived 163. adv of stainless steel over ni titanium? Fracture resistance 164. mod amalgam, fracture on occlusal surface but not at isthmus wat to do? polished out 165. of occlusio..n observe .. take mo do piece separate? 166. shape of mand access prep? Trapezoid (max molars- triangular, max premolar - oval) 167. if pt injects la intravs wat will happen? tachycardia 168. childs age - max dosage of lidocaine? multiply it with 4.4 169. drugs that Dec salivation? Atropine 170. ledge wat to do - bypass it and continue with ...use larger file to get rid of it...use bur to

get rid of it? Bypass it and continue 171. what band and loop does provide? vertical stop

172. collagenase and elastase by which bacteria? 173. angle of instruments in srp? 45-90 174. what to do to prevent proximal movement in restoration?( something lie this)175. color stability? tegdma 176. irm Zoe with? pmm

177. after dpc (direct pulp capping)? place gic liner over caoh

178. why v record protusive relationship?

179. Cardiac arrest in children?

180. pt had fracture and numbness on side on nose cheeks...fracture site? floor of maxillary 181. sinus roof of orvit ..medial wall of maxillary sinus ...? Medial wall of maxillary sinus 182. (because its le fort 2)

183. if prostaglandin is not there what will not happen

184. antiviral for hsv cmv vzv?

185. Battery186. Studies

187. Bimaxiallryprotrusion?

188. Pka has effect on what? 189. Pt with bizarre behavior and disorientation you give what? ; insulin, glucose, thyroid? 190. glucose 191. Cures by itself192. Neurofibromatosis193. Concussion194. Geographic tongue195. Most common crown root fracture tooth? Maxillary Incisor 196. Primary mandibular 2nd resembles to? perm 1st molar

197. Mouth breather features?

198. I don’t have time to quit smoking, which stage?

199. 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek, asthmatic taking albuterolQ1. albuterol can cause all except? increased salivary secretionQ2. small white lesions on palate? Cause of inhaler its candidiasis Q3. is nitrous oxide is contraindicated? Not contraindicated for AsthmaQ4. Will you explain the whole ortho tx to her parents and post complications like she may need

gingival grafts? YesQ5 The reason of pigmentation on her cheek? Proliferation of melanocites, proli of basement cells, deposition of melanin or foreign body? Deposition of Melanin (According to DD)Q6. will ectopically canine resorb #7 roots? TrueQ7. Anb 6, class 1, 2, 3? Class 2Q8. Clinicall picture what class, it was? class 1Q9. Features of her face has everything except? incompetent lipsQ10. If she decided to extract premolars what forceps not to used? 150 upper 151 lowerQ11. In this case there the best treatment can be? a) extract all canines b) expansion of upper and lower arch? expansion of upper and lower arch Q12. the profile? convex depending in the photographQ13. what is the preventive treatment for this patient? a) sealant for #3,14, 19, 30 b) encourage the patient to use brushing and dental floss c) use mouth wash? sealant for #3,14, 19, 30Q14. what is the treatment of choice for tooth #19 if it is already catch the prob during examination? a) compsite filling b) sealant c) no treatment? Composite filling (sealent is best for age 6-12 according to DD)Q15. What is the most costly to do to prevent declassification around the braces? a) varnish every 6 month b) scaling every 3 month c) daily systemic supplement d) using mouthwash? Varnish every 6 months

200. Case 29:, 45 years male, 2 pack smoke a day, dry mouth, lot of carious teeth, went successful rehab for bad alcohol habits, seems he doesn’t drink nowQ1. will you prescribe Acetaminophen/oxycodone in this patient? noQ2. missing canine will make max rpd compromised? True Q3. If you use #7 in rpd will it compromise the tooth? Yes cause no posterior teeth and no canineQ4. Rg picture shows tori in maxilla and mandible bothQ5. 2*3 radioopacity on LI which has RCT on it, what is it? It is hypercementosis and will you biopsy it

201. Q6. photo showing the patient has preparation about 0.5 from facial and incisal, what type of restoration the patient lost? a) crown b) Veneer c) composite? VeneerQ7. why not prescribe acetaminophen/ oxycodone on this pt?? pt. is alcoholic and cause hepatotoxicity

202. Middle male, smokes daily and she is fed up from falling restorations every time and she wants to extract her all teeth, psoriasis in hands and feetQ1. by doing what patient want, is conflict bw what two, autonomy, justice, nonm, bene? Autonomy and nonmal Q2. treatment options for him? CrownsQ3. what clasp will you give in max RPD if you class II kennedy? RPIQ4. why you can see condyles in PAN, bilateral fracture, osteoarthritis, rheumatoid arthritis? Rheumetoid arthritisQ5. radiolunceny in bw 8 and 9 it was? incisive foramenQ6. if you want her to quit smoking the day of extraction would be the quit date and you give Chantix 1 week beore the quit date? TrueQ7. consent

203. 11 years old, kidney dialysis for 10 years and got transplant 1 year ago. He had Hodgkin lymphoma 5 years ago, mitral valve and regurgitation. He is taking lot of complex medicinesRG and clinical pictures shows that he has amelogenisis imperfecta Q1. all are immunocompromised drugs except? know all immunocompromised names

Q2. what drug can cause amelogenisis imperfecta? tetracycline cause amelogensis imperfecta Q3. why his third molars are missing? Third molars do not erupt by 11 yrs ageQ4. bilateral radioopacity in mandible whats the dx? CherubismQ5. in a Rg canine was short in length whats the dx? AI, DI, Dentin dysplasia? DD

Q6. does he need Ab before procedures? NoAccording to new guide line mitral valve or without regurgrition dont need AB , check this in dentinQ7. why he has gingival enlargement? He was taking cyclosporine too

August 20, 2018

1. Croma? degree of saturation, easiest to change. Value? Lightness/darkness, cannot increased, most critical in shade selection

2. Sialoliths? transillumination in kids. Most common in submand. gland

3. Sulphonamide Moa? Inhibit folic acid synthesis, interfere with PABA

4. Atropine? Anticholinergic effect (bradycardia in surgery and provoque xerostomia also the antidote of physostigmine

5. Xerostomia? tx is pilocarpine or cevemiline also sialogogues cehwing gums and more is when salivary flow is less than 0.1 ml / min i guess

6. Leukoplakia diagram? cannot be brushed off. Premalignant condition

7. Hairy tongue diagram? hypertrophy of filliform

8. Endo or implant which treatment is better? normal patient yes , bisphosphonate necrosis endo

9. Prevalence? total number of diseased cases

10. Sensitivity? total number of positive cases- is a measure of the true positives rate, person with disease correctly classified having it.

11. Specificity? disease free- is measure of the true negative rate, persons free of disease who are correctly classified as not having it.

12. Endo diagnosis identification? Thermal test

13. Cold or EPT which one is better? cold

14. Reliability? repeatability, reproducibility of a test

15. Copay? Pt pays out of pocket

16. Perio in which race higher? black males

17. Laterally placed flap (a variation of double papilla flap)

18. Attrition? Incisal-occlusal

19. Abrasion? Cervical, mechanical

20. Hyoid bone radiograph? radioopacity below mandible at C3

21. TMj viewing radiograph

22. Zygomatic bone identification

23. Le fort 1 osteotomy? correction of open bite

24. Kennedy class 2? Distal extension unilateral edentulous

25. F v sounds problem? Upper ant teeth too far anteriorly and superior

26. Open bite wat sounds compromised? s sounds sibilant

27. If denture falling down wat problem? Dec retention-overextension of buccal flange-too thick, disto-buccal aspects of upper periphery which may be displaced by buccinator on mouth opening.

28. If denture is not seating properly when closing what is the problem? Increased VDO

29. Genioplasty what nerve damage? mental

30. Mandible Impaction most difficult? (note, Mesioangular-Max) Distoangular- Mand.

31. Trigeminal neuralgia? CN V, carbamazepine

32. SJ syndrome? Steven johnson severe form of erythema multiformae

33. Gardners syndrome? intestinal polyps and supernumerary teeth

34. Cleidocranial dysphasia teeth? malformed clavicle and supernumerary teeth

35. Hypodontia ? <6teeth missing

36. Vdo more what will happen? clicking of denture. Cannot open mouth wide enough for food’. May be speech problems and facial pain especially over masseter region

37. Adhd drug? Amphetamine and Ritalin

38. Class ii isthmus break reason amalgam? not enough bulk of amalgum

39. 2mm composite increments what will happen to prognosis of filling? good as less polymerization shrinkage

40. Premolar extraction forceps? 150 max-151 mand

41. Dry socket? Irrigation with warm saline gently and then sedative dressing eugenol for every 48 hours until it recover

42. Bleeding not stopping why ? blood thinners –hemophilia- no clot

43. Max extraction complication

44. Distance between two implant? 3 mm

45. What is genioplasty? Chin augmentation-mental nerve injury risk

46. Down's syndrome? Low rate caries and high perio

47. Fibroma? benign tumor composed of fibrous or CT.

48. Osteosarcoma ? most common bone tumor- Widening of PDL space-Sun burst appearance

49. Purely Radiolucent patho lesions on X-ray

50. Distal shoe? 2M lost prematurely and 1M permanent not erupted

51. Premolar not present what will u do if congenital missing ? retain primary 2nd molar

52. Identify occlusion photo given

53. Bipolar disease ; lithium tx

54. Pontic should touch ridge or not

55. Antifungal oral supplements : Nystatin, Clotrimazole

56. Wavelength determines? hue value chroma or translucency

Farida 21-08-2018

1. The longest acting anesthesia most toxic LA2. What do you rupture during extraction: 3. Adrenal hypoplasia4. Lichen Planus: symptoms5. What happens when you suppraerrupt the molars and keep mandibular incisors monoplane:

Anterior open bite6. Ranula Treatment: 7. Condylar hyperplasia 8. Pro-Bromide: antiemetic, antisialogogue, I picked antisialogogue9. Lining of nasolabial cyst ? stratified, cuboidal, pseudostratified squamous10. What causes hyperplasia: very weird options that I don’t remember on top of my head. One was

fibrous histocytes. 11. Highest reoccurrence: 12. Annesthesia good for? Couple diseases, but I picked ANUG13. How does the sealant work on the occlusal: I said micromechanical tag 14. Perio success in re-eval based on: BOP, probe depth, attachment loss…..I went with BOP

James 21-8: jennifers post august 3rd and rita

1) One month after bonding , a brownish discoloration is noted around the gingival margins o a porcelain laminate veneer bonded with light cured resin . Which represents the most likely cause?

A: inadeq amount of resin cement at the marrgin

B: micro crack in the porcelain

C: break down of silane coupling agent

D: amine discoloration of the resin

2) class 2 deep furcation for lower mand molar, what do u NOT do in ur tx?

hemisection

ext and implant

GTR

and bone sx to turn furcation into class 1

3) 5 years old was normal but not listening? 1- bribe the child with a toy or 2- figure out childs fear4) Mand denture teeth should be set: slightly above tongue, lower, or tongue does matter in lower

denture teeth placement5) nsaids such as ibuprofen work by? 1- reversible inhibition of platelets, 2- irreversible inhibition

of platelets, 3- extrinsic pathway, 4- instrinic pathway

6) which is best for big area to replace? auto or freezed7) what part of tooth development is size of tooth? Proliferation or morph or histo8) patient had hearing impairment, how do u communicate to patient? 1- speak to interpreter or

2-speak to patient; pause for interpretation.3- communicate directly with the interpreter who will then interprete to pt

9) Regarding patient with hearing impairments, management which is true: A: speak directly to patient, pause to interpreter B: rely on the patient s ability to lip readC: communicate directly with the interpreter who will then interprete to pt D: remove all backgrounds noise

10) patient is taking 4g aspirin, what would you see? metabolic acidosis and increasd PTT, hypothrombin

11) A posterior tooth has a large carious lesion extending subgingivally. Which of the following is the best initial treatment?A- Endodontic therapyB- Crown lengthening surgery C- Caries excavation D- Crown fabrication

12) Sample size not important for ? Cross sectional / case study/ case history?13) Max LA dose for 16 kg kid? i got 70.4 mg but 72 was closest14) FAS would have all of the following except? or maybe it was it would have (i had 2 q on FAS)

Fetal alcohol syndrome?Cleft lipMidface deficiency Anencephaly All

15) Drugs which undergo high degree of first-pass metabolism in liver:

Have lower bioavailability

Are excreted primarily in bile

Are contraindicated in liver disease

Exhibit zero order kinetics of elimination

16) beclosmate drug question and antialkylating agent mustard whatever its called and ap harm question directly from tufts

17) mand molar first when does it finish calcifying? 2-3 y or 4-5 y18) Minimum bone needed for osteotome sinus lift? 7 mm19) Mouthwash given to a compromised child:chx20) impacted maxillary anterior tooth how can u determine its placement? answer choices were pan

and pa, 2 pas different angles, pa and occlusal film21) discoloration is along margin, whats the culprit? silver (crown) or cu22) Pt starts wheezing on expiration. what will you not do?

1. give oxygen2. give inhalation steriods

3. give beta agonist4. make patient sit in a comfortable position

23) patient has a history of dry socket. What would you recommend the patient NOT to do? Dentist should prescribe an antiobtioc for 7 days, wash before extraction with antiseptic soln, cannot smoke

24) asking if post looked wide, or adequate, or poor

25) what kind of study is sample size not an important factor? case history longitudinal

26) tooth was supererupted and patient was symptomatic and the patients opposing were all missing

question asked what would you do for treatment?

sedative filling, RCT, or extraction

27) patient is missing 27-30, 27 is important tooth that is missing? if considering rpd? should you put an implant in 27 space then put rpd?

it was one question true false scenario

28) You are going to remove palatal tori from a pt`s palate,, which drug regimen you don’t have to modify before proceeding in ur surgery?

1. Methotrixate (rheumatrex) 15 mg per week for 18 month2. Denosumab (Prolia) 2% 60 mg for 2 months3. Bevacizumab ( Avas n) 70% or 6 month4. Alendronate sodium (fosamax)5. Another 5th drug ,, I don’t remember it but is was belong to Denosumab family

29) if 2 teeth are joined by cementum and dentin what is this concresence or fusion?

30) what is bimaxilarry protrusion

31) heart rate of a 4 year old? 130 or 110

32) Kid is 65 pounds, how many carpules of lido? 1-3 True or false?

33) Each of the following is an advantage if the free gingival graft auto graft is placed directly on bone tissue during widening of attached gingiva EXCEPT one. Which one is this EXCEPTION?

A) Less swelling B) Better hemostasis C) Less postoperative mobility D) Less shrinkage E) Faster healing rate

34) First pass metabolism? Enterohepatic circulation or Metabolism in liver or Absorption in the small intestine

08/27/2018

GO THROUGH “RITA” FILE! ITS ONLY 200 QUESTIONS AND I WOULD SAY 70% OF THOSE QUESTIONS WERE ON MY EXAM VERBATIM

Below were questions that I don’t think were in Ritas but showed up, I also used arroz con mango and like 50 pages of el-maetro, lots of RQs from there too

1. Sooooo many behavioral management questions that all seem like the right thing to say to pta. Apparently mosbys has the best behavioral management section

2. What is the ideal fluoride amount in water (I think it’s 0.7ppm)3. What is the mx fluoride amount in water (the next highest from 0.7 was 1.2 but I put .7 for both)4. Girl has .25ppm in water and is 4 years old: recommend supplement

a.

5. indication for subgingival margins: I put thick tissue biotype6. doxyclycline MOA: inhibits collagenase7. can’t take ginseng with asprin8. epi works with which receptors to cause what: Hersh’s chart9.

10. Why oral conscious sedation is hard: unpredictable absorption11. Contraindication for nitrous: psychosis

12. When WOULDN’T you need to increase insulin dosage: options were like during stress, steroid intake, trauma, sedation,

13. Which one would exhibit cross allergenicity: picked the option that was two amides, other options were amides paired with esters

14. Macroglossia seen in all these disease except? Options were like hypothyrpoid, hyperparathyroid,

15. Initial treatment for alveolar ostetitis options were curragate (NO), irritgate with antibiotics, apply sedative packing

16. When would hypoplastic permanent central incisors start developing: in utero, 2-4 mo, 6mo-1 year

17. Mandibular canal is lingual to root if you move the x ray tube inferiorly (rays are now pointed superiorly) where would the canal show: SLOB rule

18. How to pulp test a crown: rq’s say cold test 19. Gingivectomy contraindications: base of pocket apical to osseos crest20. pseudomembraneous colitis: clindamycin21. myasthenia gravis pt is probably on which antibiotic? IDFK22. most likely to have dens invaginatus: max later23. what happens if you take nitroglycerin with Viagra: hypotension y’all24. stridor seen in : lyarngospasm25. succinylcholine or dantrolene and skeletalmuscle relaxation26. atropine decreases saliva content27. pilocarpine treats xerostomia28. sodium hypoch;oride DOES NOT chelate29. EDTA does chelate30. What is neuropraxia: damage to epineurium is axon is fine31. What you would if your abutment is a short clinical crown (make a ¾ crown? According to RQ32. If you have short clinical crown: can do ¾ crown with retentive pins33. Least likely permanent tooth to be congentially missing? Canine34. How to pulp test teeth: adjacent and contralateral35. Percussion: precence of inflamm in pdl36. Palpation: has it affect corticol bone37. Which area would have pain radiate to ear: mandibular molar38. EPT tests for responsiveness39. HOW TO VIEW TMJ DISC40. Know the full name of MTA: mineral trioxide aggregate: least irritating 41. Fiber post same modulus of elasticity to dentin42. Why did amalgam fail? Moisture

JENNIFER RQS

Rita also

Another q about percussion - PDL inflammation Xray tech : maxillary sinus appears closer to roots? Bisecting technique Minimum width of the maxillary palatal strap? 8 mm width & thickness 1.5 mm For treatment planning for an implant what is NOT considered? Age / Bone quality/Region /Smoking Most important feature in a single implant placement: Antirotational element in the implant(HEX) Internal connection in the implant: cementing the pontic to abutment ( they used these exact word in the exam CEMENTING ,,, in files they used word attaching the abutment to the implant ) 

Which drug works by mechanism other than acting on receptors; Osmotic diuretics 2ry hyperparathyroidism caused by : Renal failure Melasma Patient has a moderate to deep pocket on distal of #19, minimal keratinized gingival..what is contraindicated? Gingivectomy, distal wedge, lateral displaced flapRoute of spread of Hepatitis A Food and beverages ( this the only option given comply with feco-oral route ,, other options were respiratory ,, blood porne...etc) maximum carpule for 65lb kid (2 % lido with 1:100k epi)Two factors that will decide the placement of the posterior composite Tech and pt selectionResin type and technique Support for kennedy class 3 with modifica on oneIndirect retainers / Occlusal rest / Denture base / Major connector Acute Herpetic gingivostomatitis is common in 4 month2 yrs6 yrs 8 yrsHistologic or microscopic feature of Herpes Lipschultz bodies Longest LA agent lidocaine Articane Bupvicane Fixed partial denture , the palatal cusp tips interfere in all excursive movement. What is ur next step Make the prosthesisGrind the palatal cusp tipsMount and evaluate the diagnostic cast Occlusion in which all the posterior teeth disarticulate during right excursive movement - Balanced occlusion- Group function- Mutually protected - Fully balanced occlusion Which is least important in causing root caries Low salivary rateElevated levels of sucrose consumption History of chemo/ radio therapy S. sanguis present in plaqueSite for caries initiation Pit and fissure enamel Rubber dam does NOT protect againstExhaled nitrous oxideMercury vapor inhalation during amalgam removalAspiration of inlayLaceration of tissueUnecessary chemical exposure(( this Q had been debated in the Fb group and we came up with nothing,, I picked Hg vapor because N2o is not harmful )) Fetal alcohol syndrome :: cleft lip / midface deficiency / anencephalyI got some Q about smoking, alcohol and cancer relationship, I don’t remember weather they combined these 3 in a two statements T/F q or they had been asked separately,, anyways, U HAVE TO KNOW THE FOLLWING FACTS: and u will be able to answer any Q regarding this topic.- smoking is the most approved worldwide material that cause oral cancer ( they used word worldwide ) - Alcohol predispose cancer ( notice the difference because they used this word predispose in the exam ) - alcohol when combined with smoking synergetic effect ,,,i.e the probability of developing cancer is much higher than smoking alone or consuming alcohol alone whichofthefollowingisinchargeofdentalmaterialsanddevices FDABorder molding for the masster what movement is done Close mandible against pressure To capture the masseter under function ask the pt to clinch during border moldingTo record lingual flange FUNCTIONAL movement of tongue (be cautious :: there is another option - full movement of tongue – don’t chose it ) 

candida albicans will increase in chemotherapy What make age 11 characteristic-. Maxillary canine and 1st premolar- all 1st premolar and mandibular canines - all 2nd premolar- all 2nd molar headgear used to move the maxillary dentition forward face mask (reverse pull head gear)( I am not sure weather they used the word protraction in this q or not ,, anyways be careful because they will through words like protraction / retraction to confuse u ) not found in trisomy 21 macroglossiaClass 3Rampant decay Delayed eruption intraoral + skin nodules + macular pigmentation , no other clinical sign or symptom peutzjegherMc AlbrightNeurofibromatosis Hereditary familial Dentition in achondroplasia Normal (but crowed) MacrodontiaSupernumary least desirable in making a crown seat completely Use die spacerUsing cast ring for investementUse disclosing agent to identydiscrpencies Altering the w/p ratio what will happen when u increase the powder in zinc phosphate cement Decrease viscosityIncrease initial irritation in the cavityDecrease film thickness Decrease solubility Initial treatment for gingival bleeding , loss of strippling and rolled margins SRP radiographic feature of sickle cell anemia Step ladder trabeculationMultiple radiolucenciesMultiple radiopacities Pt has von will brand disease desmopressin( this q was a quite long ,, ,,, once u c von will brand disease ,,, go to the answers and find desmopressin even if they put it with other drug name like (desmopressin and clooting factor ) handing out questionnaire at the end of a evalution . what type of study Cross sectional First pass metabolism Enterohepatic circulation Metabolism in liverAbsorption in the small intestine Dentifrice for dentin hypersensitivity 5% Cacl25% KNO4 White spot on facial surface non cavitated and has matte finish. Treatment 5% fluoride varnishNo treatment 10% chlorhexidine is used inPit and fissuresSecondary caries prevention ◄ Incipent enamel lesions Ideal material to replace the loss of large alveolar bone Autologous / Dried freeze decalcified Side effect of allkylating anticancer agents Bone marrow suppressionwhich orofacial pain will you refer the patient to a physician Temporal arthritis another Q about Temporal arthritis the most serious complication blindness which of the following is not part of scientific article InterpretationMethodResult IntroductionBest method to deliver xylitol Chewing gum child with ortho ttt is completed ,,, he has poor oral hygiene, best retainer Removable Avulsion is classified according to WHO Luxation in rela on to the marginal ridge , height of matrix band for class 2 should be Below

At same level1mm higher 3 mm higherYou did a large MOD amalgam . after 2 days pt complains of sensi vity and pain of 2 sec on cold . Thin liner thickness- observeThin liner thickness- initial pulp therapyGIC linear- redoCalicium hydroxide liner – redo( myb. Dnt remember the treatment given with this option ) hypoxia in a patient under GA. First sign Increase pulse rateBluish tinge in the skin all of the following affect the base thickness except Size of toothRemaining dentin thicknessBase thickness Thickness of the restorative material usedPt present with moderate celluli s and fever of 100.8 . a er incision and drainage what will u do Penicillin VK – 1g followed by 500mg 4-6 hrs for 7-10 days, penicillin drug of choice interdental bone is apical to redicular bone. Its called Reverse architecture which of the test is Not used for type of bacteria and its metabolic products DNA testEnzyme testInterleukin (IL -1 ) test Dark field micrscopy Antibiotic for Non odontogenic Maxillary Sinusitis ?Augmentin amoxicillin +clavulanic acid ( for any upper respiratory infection augmentin) local anesthetic for hyperthyroid patient? Mepivacaine MOA of H1 Histamine blocker??competitive antagonism of histamine binding to cellular receptors (specifically, the H1-receptors) how to motivate the pt for proper oral hygiene, you do all except? carrot & stickhydroxyzine?? Antihistamine used to treat anxiety, used with anesthesia before medical procedures Tooth with a ledge- how to manage? Bypass with smaller instrumentsag factor low deformity clopidogrel? antiplatlet , increase bleeding timePurpose of making record of protrusion relation... To adjust horizontal condylar guidance Sedative Meds for pregnant and lactic mother ; PromethazineANUG Debride h2o2 and an bio cs only if systemic involvement Who LEAST affected by N/O (nitrous oxide ) patient ( den st and other dental staff are exposed to n2o frequently) Meds for pet mall EthosuximideKids most having what type of seizure? febrile) What meds not use in Angina diuretics Major connector function? Stability and rigidity Ca hypochlorite ( 3 or 4 q) , u have to know what ca hypo does don’t remove smear layer , only necrotic tissue , no cleations antimicrobial effect  lubricant, irrigantEDTA function Chelating agent ( remove smear layer and hard tissue) Hystodifferention what happening Amelogenesis imperfecta dentinogeneussimperfecta ,dentin dysplasia - structural deformity SLOB ??Same lingual opposite buccal used for interposed objects Most radioresistent nerveReason why people have supernumerary teeth GeneticWho responsible for dental materials and technology?? Powder in ZOE?? Zinc oxide Xerostomia treatment??Pilocarpine, civemiline Pilocarpine does not increase xerostomea ,,, it does treat xerostoma 

Pt has bad OH, calculus , gum bleeding. She wants prophylactic cleaning , what is your treatment ? 1.you do prophy as Pt request.2 explain her that it can take 2 visits.3 tell her that she need to do be er job with OH 3 SRP Fusion, germinationWhen you need to use papoose blanket? Uncooperative patientTranslumination use for kids for?SialolithiasisN/O q all contraindica ons?NO is contraindicated in nasal conges on and COPD,+ 1st trimester What age you can place implants.??a er 18Q about pt transfer Sliding remain the best method A new diagnos c test is evaluated against an independent “gold” standard” in 100 subjects with the following results: NPV=TN/(FN+TN) 8/(32+8)True posi ve = 48True nega ve = 8 False posi ve = 12False negative = 32What is the negative predictive value of this new diagnostic test? A- 20 percentB- 40 percentC- 60 percentD- 80 percent Ludwings angina doesn’t involve?Retropharyngeal Antifungal Troche – clotrimazole Effect of traumatic cyst on roots Scalloping around roots ◄ resorb roots displace roots what is the radiolucency in the pic:it is stafen bone cyst but in the exam they gave other name : salivary gland depression or something like idiopathic salivary gland depressionit is same cyst ,, it is very rude Q because there is many nomenclature for this cyst perforation- anteriors mesial,ant teeth are inclined distally,, so there is a great chance to perforate the mesial wall of canal during instrumention hairy tongue. which papille? filliformNO2 is teratogenic and not recommend : 1st trimester Abscess,, what cell predominate? – neutrophils have PMN) frankfort line?Prion to orbitchronic perio? black maleThe wall absent in class v Pulpal Battery ttt without consent You are going to remove palatal tori from a pt`s palate,, which drug regimen you don’t have to modify before proceeding in ur surgery? Methotrixate (rheumatrex) 15 mg per week for 18 monthDenosumab (Prolia) 2% 60 mg for 2 months Bevacizumab ( Avas n) 70% or 6 monthAlendronate sodium (fosamax)Another 5th drug ,, I don’t remember it but is was belong to Denosumab family  I picked 1st choice Methotrixate because the rest of drugs are bone stabilizer and could induce MRONJ optimum reduction for buccal cusp in PFM crown : 0.51.01.5 2.0hex in implant for antirotational abutment feldspar main ingredient?? silicaalumina which medicine is not good to give in patients with kidney disease? ibuprofen, aspirin, codeine melasma is seen in - preganant. alveolar bone graft whole mandible area what should be used?? autograftdecalcified freezed 

Disadvantage of using elastomeric impression material in taking occlusal record? ReboundHow deos wrought wire loose its elasticity.??Overadjustmentuse of arcan articulator?? record condylar guidance in the maxilla and axial rotation in mandible pt suffering from bone disease , ( pic below) , want new denture because his old one is no longer fit Ans: pagets disease ,,, u can notice that his bone is extremely opaque what is the error in the pic :: ( the xray they gave in the exam was extremely white, u can easily detect that it is over developed ,,, overdevelopment was not in the options options were related to exposure time,,too warm developer I picked too warm solution

Etiology for supernumerary teeth- answer is ATAVISM.Mandibular first molar calcification Minimum bone needed for osteotome sinus lift Some xrays on pagets, photo of tongue with hematoma, questions on concresence, fusion, osteogenesis imperfect seen with what it is DI. Xray with hyoid bone, mylohyoid ridge, stafnes cyst, root piece, odontoma, guys remember the landmarks well I actually had a lot of xrays on day 1. Neurofibromatosis features and they asked which one is asymptomatic Antidote for narcotic and diazepam.Nitroglycerin and epinephrine what antagonism- answer is physiologic Maximum drug effect- EFFICACY Drug with high oral first pass metabolism will have low BIOAVAILIBILITY Antifungal as troche CLOTRIMAZOLE Lot of questions on aspirin and anticoagulants Aspirin will cause inc bleeding and hypoprothombinemia remember non selective beta blockers like propanolol are contraindicated with epinephrine they CAUSE HYPERTENSION. But beta 1 blockers like atenolol are safe with epinephrine. Which study does not depend on sample size What causes porcelain greening on cervical COPPER Non working interferenceIncisal guidance and face bow simple questionsReciprocal clasp feature STABILIZATION Questions on case studies which led to a common answer clinical trial, they basically asked about a drug being tested by FDA so which study Know how to calculate negative and positive predictive value Most dental care in USA is self payKnow unbundling and downcoading differenceSystemic desensitization Intra pulpal anesthesia by back pressure. A few easy ones on dry socket one is a caries causing bacteria but not the one to initiate caries I went for lactobacilli. Strep would initiate caries Site for initiation of caries Ludwigs angina which spaces How to record masseter ask patient to bite with pressure Know histodifferntiation and morphodifferntiation They asked about when nitrous is contraindicated in pregnancyQuestion on thyrotoxicosis feature is tachycardia Most common seizure in children FEBRILEFor an unfavorable fracture they asked what would be the interference something like that I went for the pull of muscles LA without epinephrine MEPIVACAINE

Which procedure cant be done in presence of minimal attached gingiva I went for DISTAL WEDGE Which graft for a large defect I went for DFDB. Cant go for autograft as it would leave a large defect. Single implant feature hexAnterior triangle cavernous sinus thrombosisWhat not to consider for implant I choose age we discussed it on groupPatient had oral lesions with persistent bleeding I went to AMLTemporal arteritis causes blindnessWhat would a dentist refer a patient for again temporal arteritisShort dose of radiation for a long time will lead to carcinogenesisSide effect of alkylating agent I went for bone marrow depressionPseudomemb colitis caused by clindamycinDrug most effective on gingiva doxycyclineWhat is not a treatment for class 2 furcation I choose extractionT test for 2 means Mean/median/standard deviationDiabetes most common in blacks Chronic perio common in blacks Whats not seen in downs answer is rampant caries True cyst dermoid the answer other options were aneurysmal, traumatic and stafnes Not seen in bone nasolabial cyst Cyst least recurrent AOT I had a xray on day 2 which had a cyst in between lateral and canine and roots looked divergent I went for globulomax cyst Know how to calculate LA and epi dosage I got like 3 questions NaOCl is all except not chelating agent What treatment for a patient with bisphosphonates with grossly carious teeth I went for RCT Albuterol side effect xerostomiaCocaine causes mydriasisQuestion on concresenceWall missing in class 5 pulpalWhen to remove tori in maxilla prosthetic intervention?Questions on non malificience know code of ethics wellAlso a question on autonmyBattery treatment without consentWhen can we make treatment decision for adult power of attorneyPatient comes to clinic looks depressed we ask him wht brings you here today When to do biopsy after 15 days something like that Adrenal suppression dosage 20mg 2 months 2 years Survival rate for oral cancer lowest in?If 2 year old needs 12 restorations need to do in GA Most common emergency syncope Drug not given in angina THIAZIDES. Rest of options were beta blocker, CCB and nitro Difference between angina and MI is THROMBOSIS DEMENTIA short term memory loss LAP treatment SRP and antibiotics For implant high torque Radiograph with cementoblastoma. They asked ass with a vital pulp so remember for condensing

osteitis mostly non vital pulp Periapical cemental dysplasia lower anteriors vital toothAdrenal insufficiency feature What not to do in maintainance phase Pocket measurement from gingival margin to JE Maxillary central perforation on root common on MESIAL Whats the best for class 2 furcation- floss, interproximal brush…etcHistology shows neutrophils whats diagnosis I went for abscess Alginate shrinkage due to syneresis Transillumination for kids SIALOLITH Carcinoma in situ erythroplakia Distance from occlusal rest to opposing tooth Epiphyseal plate resembles synchondrosisLower 3 molar infection to submandibular spaceFirst sign of hypoxia inc HRManual dexterity for brushing Know the SNA ad SNB PLUS ANB angles for day 2 Disadv of elastomers something like rebound of the material Know VDO and free way space simple question Maxillary and mandibular primary stress bearing area. Rugae for maxillary and buccal shelves for mandibular? No alveolar ridge in option for maxillaryPedunculated rough lesion PAPILLOMARoot caries detection they are SOFTInitial treatment for deep subgingival caries 2 pulp chambers fusion flame shaped pericoronitissafe to give for renal patient acetaminophenherpes ass with lipshutz bodieshairy tongue filliform papillaequestions on varicose veins there was a pic of ventral tonguesec hyperparathyroidism due to kidney diseasexray ameloblastoma clear soap bubble appearancefree gingival graft what str causes problem went for external oblique ridge orange and green stains ass with bad oral hygiene intruded primary what treatment none with age shrinkage in amalgam decreases RCT contraindicated went for vertical root fracture Class 3 fill smaller first prepare large one first Support for kennedy class 3 is from rest seat pins it was a except question and I choose it inc strength of amalgam Saturation of color chroma Not a test for presence of bacteria interlukein test NUG how to diagnose I went for necrosis of interdental papilla there was another option for biopsy also am not sure whats correct for this Picture with multiple lesions on gingiva went for herpes there was another option like sinus tract and apthous X ray looked like nutrient canal it had option like incomplete fracture and radiographic artifact Class 5 material of choice resin modified GIC

Percussion for PDL inflammation Route of spread of hep A ITS FOOD AND BEVERAGE Long duration LA BUPIVACAINE Fix partial denture palatal cusp tip interferes in excursive mov what to do next I think choose mount diagnostic cast Rubber dam doent protect against Rubber dam holes too close cause leakage200. Fetal alcohol synd mid face deficiency201. What makes age 11 characteristics I went for 1 premolar and lower canine202. Which is in charge of dental material FDA203. RECORD LINGUAL FLANGE functional tongue mov204. Candida inc in chemotherapy205. Reverse pull headgear for moving maxilla forward206. Least desirable to make a crown seat completely I went for altering the water powder ratio 207. What happens if u inc powder in znpo4 went for dec solubility208. Xray sickle cell is step ladder pattern209. Questionnaire with cross sectional study210. Dentifrice for hypersensitivity kno3 211. CHX for secondary caries prevention212. Best method to deliver xylitol is chewing gum213. Child with poor oral hygiene after completion of ortho we give removable retainer 214. Matrix band should be a min 1mm above marginal ridge215. All of the following effect base thickness except size of tooth216. Interdental bone apical to radicular bone reverse architecture 217. H1 antihistaminic is a competitive blocker of histamine at h1 sites. Guys know the difference between competitive and physiologic antagonism. Epinephrine is a physiologic antagonist of nitroglycerine. 218. question on carrot stick on day 2219. tooth with a ledge how to manage u bypass and move apical 220. sag factor221. clopidogrel irreversible platelet inhibition222. sedative for lactating promethazine223. ANUG treatment224. Medicine for petit mal ethosuccimide225. Major connector function rigid and stability226. EDTA 17% chelating agent227. Xerostomia treatment pilocarpine228. Papoose board contraindicated for mentally challenged229. Implants what age 18-21 years230. Wheel chair transfer don’t choose sliding method that’s wrong 231. Traumatic bone cyst scalloping around roots232. Frankfort plane porion orbitalae233. Arcon articulator resembles condyle234. Light xray cause was low exposure time 235. Antibiotic for non odontogenic maxillary sinusitis I think I went for augmentin don’t remember this one Some more rqs 236. Pain resembling tooth ache zoster 237. Double cord technique I put 000 followed by 00 I hope I got this one correct. 238. J shaped opacity above max posteriors it was zygomatic process of maxilla 239. Opg they asked what is opacity seen from angle of mandible and traversing through molar apices I went for mylohyoid the other options were external oblique ridge internal oblique ridge and artifact 240. Laser used for sulcular debridement.

DAY 2 Case 1: old man , has MI, had adenocarcinoma before, took radiotherapy for that, hepa s before 24b yrs, smokers, knee replacement before 6 months,Medications – aspirin, warfarin, and some other medicinesOral findings: white patch on floor of mouth, anterior cross bite, missing maxillary molar and exostosis on the buccal of mandibular premolar /molar area, melanotic macule on the palate Quest:1. Reason for dry mouth- medication2. Reason for the brown lesion on palate- cigarette use3. Patch on the floor can be all except: stoma s nico nia4. Which lab test for the viral infec on : HgSab ,/ HgcAb/, Transaminase ,/ no test5. The pa ent is at increased risk for all except:Procedure related bleeding / Hyposalivation / Osteoradionecrosis / SCC6. Reason for the anterior cross bite : early loss of maxillary molar7. What is true for his malocclusionRelated only to the anterior region ( on the left side he had a missing canine maxillary and the posterior bite looked collapsed)Correction of ant cross bite will improve esthetic and functionThe premolar will function for the missing canine(smthg like this)8. Most important to consider when deciding for the an bio c prophylaxis : me elapsed since the surgery Case 2: 8 yr old girl with many missing teeth due to caries and poor oral hygiene.. anterior cross bite and a supernumary tooth 1. All will be included in the ortho informed consent exceptOrtho treatment can bend roots of the teethCaries and gums dieses can happen during ortho treatmentInjury to the nerve due to any previous accident can be increased(or somthg like that) during ortho During ortho Pt will have to wear mouthguard during sports 2. All are nega ve sequel of extrac on of the supernumary tooth except Necrosis of 7Non erup on of 7Necrosis of 8 Necrosis of 63. Correc on of the anterior cross bite will result in all exceptIncrease maxillary arch perimeterImprove erup on of tooth 11Stop root development of the central incisorOne more option4. Correc on of cross bite ASAPRemovable appliance with finger springs is one of the ways of correcting cross bite True/ false question Case 3:A 20 years old girl , complains of occasional pain in the back lower jaws, has asthma Take albuterol Quest:1. Reason for her pain3rd molarOcclusal traumaCaries(in the radiograph and pic there was no clue of 3rd molars or trauma or caries) 2. She starts wheezing on expira on . what will u Not doSteroid inhalerB2 agonist inhalerPut pt is comfortable positionGive oxygen 

Case 4: 42 yr old man, many teeth missing, wants dentureOral finding : mandibular Canine to canine teeth r present, posteriors all edentulous Maxillary: upper 2nd molar and 2nd premolar present rest all missingQuest:1. All are reason for his early tooth loss exceptPoor oral care as a childLack of fluoridated waterUntreated periodontal disesese Incomplete tooth development2. All are risk of extrac on of the upper teeth. Which is LEAST excepted Dry socketTuberosity fracturedamage to adjacent toothone more option (that was not the least ) 3. For denture in the mandible- least preferredExtracted remaining teeth. Complete dentureExtract all anterior except canines on both sides, crown on the canine and removable Extract all teeth, 2 implants and denturesExtract all, implant and fixed from 27- 25 and 22- 24, remaning removable Case 5Another case where the patient had edentulous space in the mandibular teeth with 18 present. Has radio opaci es in that edentulous area.Quest was smthg likeWhat is least considered when planning for an implant.Extrac on of 18Excision of the radioopacityProximity to vital structuresOne more- don’t remeber( it was important consideration) Random true/false that remember 1. Smoking is a contribu ng factor for periodontal disease Accumulated calculus causes periodontal disease 2. Extrac on of 32 causes damage to the lingual nerve A er extrac on of 32 the so ssue should be biopsied 3. Periodontal disease will inevitably cause tooth mortality And one more regarding tooth mortality. Don’t remember

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

c-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

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

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

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

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

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?

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’s 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

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?

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

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)

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

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

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

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

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?

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

d-ANUG

97) What can cause bone resorption in tissue culture?

a-Endotoxin

b- IL-1

other interleukins or TNF in list

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

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 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 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 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

My rq. August 24-25 

1-freys syndrome auricotemporal nerve injury, gustatory function inhibits, crocodile tears2-The decision to replace an existing amalgam restoration should be made as soon as the restoration exhibitsA- CreepB- Recurrent cariesC- Corrosion and tarnishD- Ditching around occlusal margins

2-Implant retained fixed prosthesis, doctor took radiograph and it showed 2 out of 3 implants seat positively with good margin. What should doctor do after?

• section and index• tighten screw• take another x-ray

3- first symptoms of cavernous sinus thrombosis A-thrombosis carotid artery B- lateral gaze eyeC- numbness midfaceD-numbness forhead

4- Best osteintigrationA- maxilla antB- max post C- mand antD-mand post

5- gun shots in mandible what type of fracture A-simpleB- compoundC- comminuted6-retention mean that prevent proximal box from proximal dislogment A- converage occlusal wallB- retention groove in axiao buccal and axiolingual

7-pt has class v and class lll in primary and permanent teeth what to do first 1-fill all teeth 2-filling max incisor first 3- search reason for caries 8- What are not true the demographics of 65 yr old females in USA. Women age 65 are more likely to be in nursing homesB. Women age 65 are more likely to be married by that age as comapred to males9-The bur with more flutes?cut efficiently and polish efficientlyDoes not cut efficiently and polish efficientlyCut efficiently and do not polish efficientlyNor cut nor polish

10- (not )characters lead to of fracture amalgam A- ideal thickness of amalgam 1.5B- bevel axiopulpal line angle11- granuloma around apex of tooth what see in histology 12-you made a zirconia crown on right mandibular molar. When patient bites, it shifts to the right.What area is effected? (mandibular incline – cusp) -buccal – buccal-lingual – buccal -buccal – lingual lingual – lingual14-The patient who is diagnosed with Basal cell carcinoma, says to the dentist “give me the report, do I have cancer”, what should the dentist’s initial reaction be? A Pic of basal cell carcinoma,. B DO you have any one accompanying you C this cancer has better prognosis than other cancers.15- pt has burning in his tongue when eating spicy food this due to 1- geographic tongue Another options i cant remember But burning mouth syndrome was no there 16- alot of patho especially about tumors in palate they loooove it read every tumor in palate they ask about histology too or they give you information like swelling in palate and bluish color also contain fluid and fluctuant what is that -adenocarcinoma or pleomorphic adenoma or another option I don't remember well

17- In a clinical trial your samples you organize it alphabetically and you pick randomly every 10 people, what kind of randomized selection is this? (simple randomized, stratified randomized)18- different between stainless steel and nickle titanium files in endo niti has memory, easily fractured. Vice versa for steel

I got a lot of questions about reversible and irreversible pulpits I got alot of questions about acute apical abscess and chronic apical abscess also acute apical periodontitis and chronic apical periodontitis Endo endo endoooooo Read it well pls

September 4, 2018

1. Down Syndrome presents? Macroglossia, Delayed Eruption, Perio disease, class III All2. Medication for motion sickness Diazepam or there where antidepressant and steroids or Cholinergic

drug in options Scopolamine3. 2 questions on Temporary Anchorage Devices regarding how they are held in place and if the

cortical was most important on how they work extra anchorage due to cortical placement4. Pic of tongue looked like geographic but could have been Lichen planus 5. Pic of panoramic for earlobe o sty loud was styloid6. Question of which looks as as unique object in CEJ orbitals, Ramus, Sella turcica, zigomatic arch, 7. Why do we rinse with water film? Wash the developer8. Shape of collimator? Rectangular is more efficient than circular9. Material the focal spot is made of? tungsten10. Question on Pemphigoid with something in the nasal layer have it away that it was not pemphigus11. Chronic periodontitis more common in? Hispanics male, Hispanic female, black male or black female12. Mouth breather has? Excessive lower facial height13. Condition associated to Odontomas? Gardener syndrome14. Age of calcification of lower permanent Central Incisors Starts at 3-4 months15. Mechanism of action of sulfas? Acts on PABA16. Benzo reversal? flumazenil17. Penicillin is the first choice and is options were 1) low toxicity or 2) broad spectrum 3) Bacteriostatic

4) something else that was not true can’t remember 18. Ginseng not with aspirin true19. Reversal of epinephrine they had phentolamine in the options20. Antifungals local and systemic? Keto, amphotericin b21. Pseudomembranous colitis caused by C Difficille22. When to use Prophylaxis? ans prosthetic heart valves,23. Why it’s better to use prophylaxis in previous effect of endocarditis bacteriatitis? ans was because

the benefit is greater that side effects of AB prophy24. What is more important when calculating Anesthetic in kids - weight25. Cleft palate or cleft lip alone are multifactorial genetic X linked recessive or dominant or Autosomal

dominant or recessive26. Picture of paño it was either ossifying fibroma or fibrous dysphasia was kid 14 so I ans Ossifying

Fibroma

27. Characteristic of lateral incisor that promotes loss of attachment ans was cingulum fissure , linguogingival groove

28. Question of growth in parotid gland most likely answer I think Pleomorphic Adenoma no Warthin tumor in answers

29. Lymphoma most common in oral cavity non Hodgkin b cell30. I screwed up one of Mucous retention cyst most common place max sinus31. Question of Cafe au laite axillary freckels ans Neurofibromatosis32. I also screwed up on the one of lupus erythematous got confused with Erythema multiform but

asked about rash over nose 33. After impression reason for lip to swell ans angioedema

Tooth Guys repeated questions September 8 th

1.To prevent the class 2 dislogement ? 1. Wide dovetail 2. Proximal groove 3. (agree to disagree)

2. Implant retained fixed prosthesis, doctor took radiograph and it showed 2 out of 3 implants seat positively with good margin. What should doctor do after?• section and index• tighten screw• take another x-ray

3.during extraction of max molar and root enter to max sinus ,what do you have to do?a.send to ct and give antibioticsb.observe the patient and flow upc.make flap and remove the rootd.put cotton and give the patient cortisone drop

4.physiologcal stress and nexous stress and relation with pain ?????? Increased pain

5.IRM is zinc oxide eugenol with materal what is this materal?? PMMA 1990 introduced

6.patient have radiolucent area in lower jaw ,after biopsy show lymphocyte ,neutrophil and epth. What is the differential diagnosis ?a.lymphoma b. non hodgkin's lymphoma ,c.leukemia d.bone marrow abnormality

7.luting angina ?i put it related with molar mand ,there is not in option sub mand sub lingual sub mental8.patient after extract molar tooth swelling bilateral and elevated tongue ,? I put luting angina9.forceps not for premolar I put 23 in option 150,151,286

10.the main object Widman flap? Difficult options

11. can we use Widman flap with endodontics ? NO

12.lots of question about Widman flap13.v f ph ? at or ant or post vermillion bordear- posterior

14.persone eat spiecy, and her tongue red surrounded with white ?a. erythema multiform b. geographic tongue c . sequmous cell carcinoma .d ?

15.inflamation in gingiva margion and interdental papillia?a. gingivitis b.perocronitis c periodentitis d.?

16 arrengement of max ant teeth in comptet denture for more esthetics ? I put ant to rigde17.NSAID not cause anti agglutination of blood ? a. celecoxib (Celebrex)b.naproxen

18.not use for short crown? A. converge crown B. shoulder finishing line C. proximal groove

19 best bone for implant ?D1,D2,D3

20 distance between 2 implant- 3.0mm21 distance between implant and overdenture ? 1.5mm22.not cause of angular chelitis?a. vit b diffecency, b.candida c. max tooth lingually d. I don’t remember it.23 x ray of dentigerous cyst24 pic of leukemia 25 day 2 case 4 , 6 of kiwi/ and the rest cases are new?

26. What does happened when Amalgam contamination with saliva ? a. decrease strength b. slip the restoration and can not hold inside cavity

27. the disadvantage of using retraction cord:A- Coagulative necrosis of blood vesselsB- lateral displacement of gingival tissueC- vertical displacement of gingival tissue

28 .when make flap in post area what make it difficult a. external oblique ridge, b. internal oblique , c. tori and something i dont remember it

29. Mandibular molar endodontically treated with furcation involvement 5mm to apex, how to treatment plan (hemisection and treat as if it where 2 premolars)

30. Why does zarcone more strength- sintering technique

31.disadvantage of cemented implant? I put cement flow inside sulcus- can be but cemented usually need more occlusal clearance and are more technique sensitive to seat

31 cleft lip and/ or palate in Caucasian people ? a. 1/500 , b.1/1100, c. 1/ 3000

32 Face division vertically and horizontally - vertical 3 and horizontal 5

*34. disadvantage of filler in composite ? a.more opacity b.low coefficient of thermal c? look for more options, if not A

35. When crowns are to be placed on abutment teeth for a partial denture, the 1. wax pattern contours should be surveyed. 2. crowns should be placed prior to surveying for clasp design. 3. wax pattern should be carved by the direct method. 4. wax pattern should be carved to the original morphology. 5. All of the above

36 what is not work of space maintainer? I put it prevent super-eruption of against tooth- true

HYDROGEN PEROXIDE 9/11/18

1. Dentist comparing efficacy of two mouthwash in two pt grps- case control or Clinical trial<?2. Fda needs study before launching drug- study on drug efficacy Is it RCT or case control?-radom clinical trial3. MOA of coumarin- inhibits Vit K dependent coagulation factors4. Weakest porcelain- feldspar5. strongest porcelain- zirconia6. Protrusive interocclusal record- for condylar guidance or intercondylar distance? condylar guidance7. Coumarol action decreased by? Inducing hepatic microenzymes<<< or displacing it frm plasma protein binding sites? Other two options were like increase hepatic function, increase prothrombin productionDecrease hepatic func8. Wats nt a reason for nursing home pneumonia- salivary hypofunc<</parkinsons/ dysphagia/ microbes in upper resp tract9. Condylar hyperplasia- opposite side chin hemarthrosis10. Benzodiazaepine blocks GABA or potentiates it- POTENTIATE11. Water fluoridation- 75% or 85% (no65%)12. Division of vertical proportion- 313. Opioids effects except- pin point pulp (miosis)14. cocaine- mydriasis 15. oral path: Pigmented lesions, Leukemia16. Dd of NUG, i was confused between HSV and erosive LP. Chose HSV. 17. classification of nsaids, selective cox inhibitor - one ques18. INR works on EXTRINSIC19. Perio maintenance-3/4/6 months?20. Ok cystic lesion between mandi premolars. Most common- LPC?21. X ray was very light xray, i marked less exposure time22. One was leukemic gingivitis23. One was some xray, it was there since childhood, big radiolucnecy wid tooth like- ameloblastic fibroodontoma24. Chronic apical abscess vs apical perio- asymp,no vital no sinus, periapical radiolucency= abscess25. Fearful pt, when do u make rapport- aftet pt takes medicine to relax,3-5 mins of appointment beginning, after appt , ot after u gv pt 30 mins to relax I chose 3-5 mins26. Tachycardia not seen in - obstructive jaundice27. Dependent on pt posture- i hd both VRO and protrusion28. Needed for caries, bacteria, susceptible tooth and carbs

29. Another q was initiation of caries where, i chose pit n fissure in enamel, other options were proximal caries. Thats correct too but pit n fissure caries is more than proximal30. molar uprighting, use of helix- more force or range of motion? RANGE OF MOTION31. Proximal resistance form of amalgam restoration comes from what? a. convergence of buccal / lingual wall b. retention grooves in axiobuccal / axiolingual walls c. Dovetail —— No dovetail in option so B32. Repair after occlusal trauma- cementum resorption, >>narrowing of pdl, cortical bone thins to expand bone marrow33. One on primary and secondary occlusal trauma34. One on band and loop35. Pregnant woman, syncope, position changed to protect pressure on- inf vena cava?36. Implant not in line- section and index37. Implant analog- simulate implant in cast38. Disadv of cemented restoration on implant- Doesnt give possibility for minor correction. I chose that one. Other option was like leaving cement in gingiva<<39. Radiograph for pediatric periodontal disease: Bite wing, Periapical, OPG40. Bitewing in adult perio maintenance: BW41. Not used for cast restoration- irrev hydrocolloid 42. Prostho sounds: S, th / F, V43. Labial lingual inclination issue- S, TH (f,v not in options)44. Percocet schedule 2 (vicodin in option too, go with perc bc vicodin recently cl2)45. Which antifungal is taken orally and works for mucocutaneous and systemic infxns- mico, clotrimazole, fluconazole, griseofulvin- FLUCO?46. Dpc success depends on - coronal seal47. Calcium hydroxide pulp capping success- put gic liner on top48. With aging normal to lose- reaction time/ learning49. apexification and apexogenesis50. Protective is papoose board/ Active is like parents holding baby for examination51. small baby is held by parents and head on dentists’ lap52. most common complication post extraction- hemorrhage53. Most common complication with maxillary extraction- i marked bone fracture54. Bluish, sessile, fluctuant mass on soft palate- herpangia55. Mucocele reason- calculus in minor salivary duct Or trauma to duct<<56. Sialolith in wharton’s duct56. Least recurrent - AOT, Options were amelo, odontogenic myxoma and KOT57. MEN 3 (multiple endocrine neoplasm)- THYROID58. Gardener’s- 59. Multiple times - hyperparathyroidism60. pt wid osteomas, neuroma, supernum teeth, what will u look for- GARDNERS

61. after placing a crown with composite resin, after six month around the porceline gingiva there is a discoloration ( brown color) what is the cause: a.. Micro crack of porcelain, b.. amine discoloration of resin (what is this?), c. microleakage62. osteoradionecrosis- radiation> 40 Gy smthing or mandible63. Why do u brush ur tongue- esthetics/ bad odor and sm other option64. osteomyelitis- one was on etiology65. The other - use of bisphosphonates- i marked no for OM66. Similarities btwn idiopathic ostesclerosis and condensing osteitis (or maybe differences?)

67. Carbide- more flutes- chose less cutting, smoother68. Idiopathic osteosclerosis and condensing osteitis look similar First is vital but the latter is non-vital T/F69. osteoporosis- thin trabeculae70. Powder liq ration in carboxyLated doesnt affect solubility, Solubility, Irm PMMa71. Triangularis- mandibular buccal vestibule72. class v dam hole - buccal73. Amalgam class 5- grooves or converge incisal occlusal walls (GROOVES ON GINGIVAL & OCL WALL)74. moisture contamination of amalgam- delayed expansion that can seal margins, reduces pain75. Epithelium separated frm basal connective tissue- pemphigus, Erosive LP, pemphigoid—suprabasilar= pemphigus /// subepithelial- pemphigoid76. Niklosky sign is in pemphigus77. Porcelain wid metal- how , smthing about imp of glazed layer78. What is not measure of dispersion: variance, range, median<<79. Nitrous onset depends on lack of solubility in blood (NO2 have lower solubility in blood)80. Pka of drug/ La decides what: ONSET81. duration of LA will depend on all excpt: Diffusion away frm site, syetemic absorption, one option was membrane potential of nerve, Systemic absorption or memb potential82. Pt got cyanosed, resp distress after benzocaine application to ulcer for pain relief after some hours- methemoglobinemia83. Submandibular space drainage- platysma84. methotrexate mechanism- folic acid inhibitor85. Pt believes he can tolerate stress of endodontics- belief in self efficacy somethig (self belief or cognitive restructuring)86. You are to prepare for a metal ceramic crown. Where are you going to place the facial margins?At Cervical line, Gingival crest, Gingival crest and Epithelium87. what will treat perio in Hiv/ aids: Fgg , Antifungals for candidiasis88. Action of Albuterol- beta 2 agonist89. Major connector requirements? - Stable and Hard, - Rigid and Rentive, - Stable and Rigid90. MOA Sulfonamide 91. MOA Sulfonylurea

92. Wear facets in primary dentition- i chose occlusal habits93. Seizure present in encephalotrigeminal angiomatosis94. Topical fluoride mechanism95. Arrested caries- hard, dark, near gingival recession96. Common between acetaminophen and aspirin- Analgesic and antipyretic97. What will not affect platelet function- celecoxib98. Nonkeratinized epithelium in which cyst (nasopalatine not option) OKC, others were tumors99. Helix to upright molar- range of motion100. least ledge formation in: short canal, Small canal, Long canal, Curved canal101. One dental hygienist is hired by three dentists who are equal partners. She harms a patient. Whose legal obligation? Hygienist and supervising dentist, Hygienist and three dentists102. perio probe not reliable, probing depth depends on tissue health. T/ F both type question103. Inc h20 to powder- More water- less expansion, less strength, increased setting time104. Large bone graft from: ilium or rib105. Smokeless tobacco- verrucous carcinoma106. Adenocarcinoma pt- at risk for all except- bleeding, hyposalivation, ORN and SCC

107. leeway space. What is it- dimensions of primary molars and canine 108. larger than premolars and perm canine109. Occlusal rest deepest in central fossa110. Which pain required anti convulsants- neurogenic pain111. Sportsman wears mouthguard, gettin pain in TMJ, reason: MPDS112. Endo treatedMandibular molar, attachment loss present, furcation is 5mm above apex.Best tt: extract and implantOther options: redo rct i thinkHemisection and fpd

113. taurodontism, pulp chamber extending till root smthing- APEX114. dentist performs and bills for build up and crown. Insurance pays only for crowns saying buildup is part of crown- bundling, bundling or downcoding115.Distance btween x ray and pt mid sagittal- 5ft116. Secondary prevention of oral disease- i chose early filling of cavities, other options were sealants, oral hygiene instruction, rpd117. Niti files vs ss files Disadv of niti- breakagecrown on 30, shifts right- Lingual incline of Buccal cusp

118. Radiographic feature- bone that forms socket and interdental septum tip somethingCortical, Cancellous, Lamina dura

119. One qs on kelly syndrome It involves1. Bilateral extension max denture2. Resorption of max posterior ridge3.Can be prevented by supporting with mandible posterior implants4. Caused anterior downward tilt of occlusal plane

120. Lesion only in marginal gingiva and interdental papilla-gingival abscess, perio abscess, other two stupid options. Chose gingival abscess121. 2 days after scaling, u will see in plaque- cocci and rods

122. Cleft lip and/ or cleft palate in US: 1:700123. Most important sequence: HCV124. Implant placement: Low speed high torque125. Child Pt uncoperartive: you dont Increase prizes at the end of appt, Reschedule d appt126. Radiolucnecy under class 3 composite, clinically all normal- pooled bonding agent127. Path of insertion of crown- Height of axial walls , Surface area, Parallelism128. elective root canal treatment needed in: I marked crown structure not enough for ( i think it was prosthesis or smthing)129. Fracture of orbit floor will prevent downward movement of eye?

DAY 2:1. Pt is takin albuterol, and they describe candida lesion on palate2. Some radiolucnet lesion biopsy showed neutrophils, lymphocytes and blood cell precursors: hodgkins, non hodgkins, ALL,bone marrow defect

3. What u wont use as retainer- inlay, onlay, 3/4crown, full crown in three unit fpd?

4.Mycophenolate side effect? Candida or aphthous5. Cyclosporine cause ging enlargement6. Ritalin interactions/ side effects7. Side effect of albuterol? Does albuterol cause cns stimulation?8. Lymphoma case , mitral prolapse9. Asthma girl case

NANCY’S RQS (September 14-15)

1. Types of validity and their definitions2. Function of luting agent like there were 4 options, except q so only one was wrong3. Use of opaquer in porcelain, except q so 3 options were correct4. Bluish fluctuant sessile mass on soft palate, related to minor salivary glands5. Myxedema related to which organ6. 1 la q of 3yr kid 16 kg7. 6-7 crown interference Q's8. Split thickness flap, which tissue involved9. Mwf, related to tissue and use.. 10. Pt with something something, no sulphur granules was given and no lumpy jaw word used but ans was actimycosis.11. Q related to pemiphigus12. Penicillin in except q less toxic was ans13. Pt with no radiographical evidence, everything good in pano but when closes mouth deviates to right. Diagnosis?14. Self pin- flat surface15. Tachycardia- except obstructive jaundice16. Xerostomia which receptor like sns alpha, sns beta, pns and 2 more options17. Opioid side effects except q.. no diarrhoea in options18. Cause of loss of consciousness- hypoglycemia19. Kid with angular chelietis cause- no vitamin or iron in options . I went for mouth breather20. Type of bone best for osteointegration- I went for type 221. Pics- Zygomtic process of temporal bone in pano, dentigerous cyst, pcod.22. X-ray light given, cause asked23. Had a q with night pain and lingering pain at day time- irreversible24. Painful removes on stimulus- reversible25. Exaggerated response on eating ice cream, subsides on removal of stimulus, large mod filling donerecently- i went for normal pulp26. Study between treatment and outcome????27. Cause and effect not seen in28. Around 9-10 studies Q's.. some were new29. They asked Ludwig angina in very different terms... Description of a case and asked for diagnosis which was Ludwig's.. like pt not able to swallow, bilateral and blah blah.. nothing mentioned about glands30. Moa of sulphonyl urea but in difficult wordings..

31. Occlulomoter nerve damage, eye ball rotates in which direction?32. If Infraorbital fracture then gaze limit to? 33. Culture and sensitivity test used for : penicillin allergy?34. First degree burn shows??

Cases:7 cases in total3 from sj..1. 11 yr boy with kidney and all disease.. sj case.. but all new Q's for that2. 64 yr lady wants to pull teeth out.. that one but with different Q's3. That girl with 4 ectopic canines.Taking Albuterol for asthma. But different Q's.4. Another was a girl with non palpable macule on cheek.. and wants tooth to be replaced that was previously extracted..So implant and perio Q's in this case

Revise immunosuppressants.. like 5 drugs of immunosuppressants in 1 case. Reads flaps properlyQ's are twisted.. so read and understand before answering.