2009-2010 Boards
1. Dehisense defined as?
The loss of buccal or lingual bone overlying a tooth root.
2. Collimation is?
The accurate adjustment of the line of sight of a telescope. Control of size and shape of xray beam
3. After periodontal surgery, what type of healing is it most of the time? Repair
4. Pic of chick with bell’s palsy.
5. Biggest disadvantage of BSSO? parasthesia
6. Class 3 furcation tooth already had RCT, best tx, ext not option? split and tx as two premolars
7. Class 3 furcation which not an option? GTR
8. Tetracylcine interacts with? Penicillin
9. Pregnancey, don’t take? diazepam
10. Periostat- twice daily 20 mg has doxycycline which works by inhibiting collegenase/protein synthesis (30s subunit not an option) Jon put perio chip… Periochip is 2.5mg of chlorohexidine gluconate though.
11. Tissue least sensitive to xray? Muscle.
Papillon Lefevre syndrome
13. Which is not a symptom of combination syndrome? Increased VDO
14. Pt. with inflamed abused tissue and needs new cd, what do u do? Tissue conditioning
15. Intrabony bone defect?
Same as infrabony, Vertical bone loss.
16. Bleeding spots established in gingevectomy to? I think outline incision line.
17. What is involved in periodontal regeneration?
I think pdl, cementum, alveolar bone maybe one other thing in there. Pdl & bone cells
18. Which is not expected in successful RCT? Dentin regeneration
19. Not considered as increased risk for oral cancer? HPV, HIV, Alcohol, or tobacco
20. If bone kept at what temp for 1-5 mins it causes necrosis? 55 C
21. Demineralized, freeze dried bone has what? BMP
22. Hunter syndrome has what?
Lysosome storage disease. Get abdominal hernias, ear infections, colds, prominent forehead, enlarged tongue, mental retardation.
23. Autistic kids have what characteristic. Repetitive behavior
Wheezing on inhalation
25. What race for children has highest caries incidence? White Kids
26. Most common side effect of oral contraceptive? Blood clots
27. Drug for seizures? Dilantin
28. Largest incidence of recurrence? OKC
29. Mechanism of most drugs that tx arrhythmias? Decreases repolarization rate, Prolongs refractory period.
30. Pt. on saw palmetto what do u want to avoid? Aspirin
31. Pt. on ginsing what do u want to avoid? Warfarin
32. What edge of curette do u want to be in contact at line angle? Lower 1/3
33. Sodium hypochlorite is not a chelating agent.
*34. After drug goes through liver? More water soluble and less lipid soluble.
35. Prozac Serotonin
36. When to fill cavity?
37. Methadon?
Helps alleviate withdrawl from heroine.
38. Which pemphigoid like lesion most often in infants? Pemphagus Vulgaris, pemphigoid etc don’t remember.
39. Which one not seen radiographically? Naoslabial cyst
40. Which has increased over time? Pit and fissure
*41. Most abrasive to tooth structure?
Amalgam, hybrid composite, microfilm composite, enamel don’t know
42. Best indication for onlay?
Low caries index, dentin not supporting cusps.
43. Most important primary tooth? 1st or 2nd molar
44. Primary max molar has how many canals? 3
45. Cardiac referred pain not consistent with? Pain goes away with LA
46. Pt. has pain and wants to sleep for eight hours? Naproxen
*47. Know Specificity and sensitivity
48. Become aware of potential cross rxn who report to? FDA
49. BW placed vertically why? More alveolar bone
50. What form of mercury is the worst for dental office? Elemental, ethlymercury, methylmercury, etc no idea.
51. Most successful spot for implant?
I think anterior mandible but other people say posterior mandible.
*52. Characteristic of implant drill that keeps bone cool? Don’t know answer, high torque was option
53. If keep bone at 55 C temp for five min it necroses.
2009 1. NO cannot go above 70%. 2. Fluoride Chart Age <.3mg .3-.6mg >.6mg 6mo-3yrs 0.25 0 0 3yrs-6yrs 0.50 0.25 0 6yrs-16yrs 1.0 0.50 0
3. Lower compartment of TMJ is for? Rotation, upper compartment - translation
4. Neuropraxia? Transient episode of motor paralysis with little or no sensory or autonomic dysfunction. Neurapraxia describes nerve damage in which there is no disruption of the nerve or its sheath
5. Retention/Resistance form from? Cavity prep
6. Know where L.A. metabolized? Amide (2 I’s) met. in P450 enzyme of Liver. Esters (1 i) met. in pseudocholinesterase of plasma.
7. First pass metabolism? Concentration will decrease exponentially. Drug eliminated in proportional fasion.
8. How to differentiate between an endo. or a perio. Lesion? Pulp vitality test.
9. Know Structures on Maxillary Sinus Radiograph!
10. PEDS eruption and calcification charts!
11. L.A. in inflamed tissue? Not enough free base to be effective.
12. Phenothiazine mechanism? Block dopamine D2 receptors.
13. What wears tooth down more? Amalgam
14. You have a pt. with a composite filling that complains of pain to cold a chewing, you ditch it out with a bur, no more pain. What was the cause of the pain?
Polymerization Shrinkage.
15. Silver turns porcelain what color? Green
16. What is Papillon–Lefèvre syndrome? You get periodontitis, Crust on hands and soles, and premature loss of primary teeth.
17. Opiod (Fentanyl, Morphine, Meperidine, Methadone, Sulfentanil, Codeine, Heroin, Dextromethorphan) reversal drug? Noloxone.
18. How many canals in primary maxillary molar? 3.
19. Where does caries start? Apical to proximal contact.
20. Fluoride is used for? Smooth interproximal surfaces.
21. Remineralization? Harder than normal. (Pit and fissure are most prevalent caries).
22. Amilnitrate & Nitroglycerine? Vasodialate coronary arteries.
23. Cleft Lip and Cleft Palate? Child most likely Class III.
25. Look at max sinus radiograph!
26. Treat fungal infection with? Nystatin.
27. Increase set time with Alginate (Reversible Hydrocolloid)? Cold water and more water.
28. Erosion? Chemical & Bulimia.
29. What connects major connector to occlusal rest? Minor Connector.
30. Don’t use for casting impression? Reversible Hydrocolloid.
31. Value? Most important, Lightness. Put shade guide from light to dark. Hue, actual color.
32. BW Overlap? Horizontal angulation off.
33. Most common medical emergency in the dental office? Syncope.
34. Avulsed tooth splint how long? 1-2 weeks.
35. Ludwig’s Angina symptoms? Swelling, pain and raising of the tongue, swelling of the neck and the tissues of the submandibular and sublingual spaces, malaise, fever, dysphagia (difficulty swallowing) and, in severe cases, stridor or difficulty breathing.
36. What type of malocclusion does a child have that is most likely to break there ant. teeth? Class II div. I.
37. What is the most common impacted tooth? Maxillary K-9.
38. You have an 8 year old with a fibrous frenum and a diastema what do you do? Do frenectomy only.
40. Cleidocranial dysplasia? Disease of the bones of the skull and clavicles. Short, big head, shoulders move in, high palate, retention of primary teeth, and supernumerary teeth.
41. Ectodermal dysplasia? Abnormality of 2 or more ectodermal structures. Hair loss, thick nails, light skin, no sweat glands, missing teeth.
42. Endo tests?
Percusion- presence of inflammation in PDL or not.
Palpation- spread of inflammation to perodotium from PDL or not. EPT- Pulp vitality.
Thermal test (hot & cold)-pulp vitality
43. Disinfection? Destroy majority of microorganisms but not bacterial spores.
44. Dehiscence? The loss of the buccal or lingual bone overlaying the root portion of a tooth, leaving the area covered by soft tissue only.
45. ANUG? Usually 15-35 years old, aka Vincent’s infection and trench mouth, punched out papilla, fetid odor, prevotella intermedia.
46. What defect is best for regeneration? 3 walled defect.
47. What cells do x-rays not affect? Muscle cells.
48. Who is protected under Americans with disabilities act? AIDS pt. and accommodate the handicapped.
49. Hurlers Syndrome? genetic disorder that results in the buildup of
mucopolysaccharides due to a deficiency of alpha-L iduronidase, an enzyme responsible for the degradation of mucopolysaccharides in lysosomes. Without this enzyme, a buildup of heparin sulfate and dermatan sulfate occurs in the body.
50. Pic of Basel Cell Carcinoma on face.
52. Specificity? Proportion of truly nondiseased persons who are so identified by a screening test (measures “how good a test is at correctly identifying nondiseased persons). Sensitivity tests identifying diseased persons.
53. Ethics
Beneficence- “Do good”.
Patient Autonomy- “Self governance”.
Nonmaleficence- “Do no harm”. Dentists are to keep skills and knowledge up-to-date and practice within their limits in order to protect the pt from harm.
Justice- “Fairness”. Veracity- “Truthfulness”.
Jurisprudence- The theory and philosophy of law.
Pregnant patient needs to lie on her left side
Pregnant patient lying on back will constrict what? inferior vena cava. Penicillinase resistant penicillins – COMN [clox, ox, methi, naf] b/c of clauvulanic acid
Collimation = block (lead), filtration = filter (aluminum)
Age <0.3 ppm 0.3 ppm to 0.6
ppm
0.6 ppm
Birth – 6 months None None None
6 months – 3 years
0.25 mg None None
3 – 6 years 0.50 0.25 None
6 – 16 years 1.0 mg 0.50 mg None
Mesial and distal walls of class I amalgam must be divergent not to undermine marginal ridges
Increased trituration time will increase compressive strength/decrease setting expansion;
Diabetes you get infections better not bleed easier Cobalt is blue, copper is blue-green
Do all selective grinding before any restorations (BULL rule)
Minor connector connects major connector and retentive elements Know what increases and decreases setting time for gypsum
(slurry/temperature/spatulation) – longer spatulation time, greater expansion (shorter time)
mandibular (primary - buccal shelf, secondary ridge)
If you have max denture opposite mand anteriors, you must have post occlusion or max anterior will be beat up (know combination syndrome) Know GI cement/GI restorative
LAP – AA and capnocytophaga; generalized periodontitis involves prevotella and eikenella (know if spirochete/cocci, etc)
Most plaque retentive thing – calculus
FGG not used for deep/wide (used for narrow)
PT (12-14 secs, 2, 5, 7, 10) and INR are extrinsic pathway Naproxen is longer lasting than ibuprofen
Macrolides Cimetidine
Flumazenil combats benzos (naloxone combats opioids), disulfuriam is for alcoholics
After indirect pulp capping, wait 6-8 weeks
1. Caries progression – lactobacillus
2. Bur used for polishing – Carbide more threads
3. Xerostomia. Does it lead to PDL breakdown/does it often cause root caries? TRUE
4. pictures of molars in 16 y/o – does it need sealants, no treatment, Class I. Book says do sealant age 6-12, so no treatment most likely unless caries visualized.
5. Ortho Treatment sequence question. (prophy, restorative, etc). be able to rank
6. Perio Surgery. Know what is regenerating? bone, cementum, and more was listed.
7. What is the #1 reason for implant failure? Surgical technique over smoking 8. Blue sclera - seen osteogenesis imperfecta
9. Methyl methacrelate (reinforced ZOE) 10. Insurance – HMO = capitation plan
1. Know SBE prophylaxis regimens thoroughly: Amoxcillin, amphicillin, clindamycin, etc.
3. Know the ideal preps of Amalgam Class I and V. (can leave unsupported enamel in class V) both into dentin.
4. Know the differences between primary and permanent teeth anatomy, especially enamel rod orientations. Primary rods go occlusally
5. Reason why it is hard to restore permanent Mx 1st premolar with MO amg: excessive mesial curvature.
6. What’s the reason why we want the proximal clearances both facially and lingually in class II amg prep? Better access for cleaning.
7. Know when to do indirect pulp cap, pulpotomy, apexification (non vital teeth with MTA), and pulpectomy (ZOE if apex is not closed in primary teeth) in pedo patients.
8. What would happen if mA, kvP, distance of the source of radiation to object are altered? COME BACK TO THIS
9. When do germination, concrescence, fusion occur during the tooth development? Initiation and proliferation
10. know lesions that can occur in hard palate: ex. Sialometaplasia, Kaposi CA, pleomorphic adenoma, etc.
11. several questions on dentigerous cyst, ameloblastoma, OKC. Know their etiology, dx methods, tx.
12. The strength of Zinc Oxide Eugenol can be increased by adding what? methylmethacrylate
13. treatment for internal resorption (endo)
14. Know flush terminal plane of Ortho/pedo. How will it effect the outcome of permanent dentition?
Ex: if flush terminal plane à Class I; mesial step à Cl III; distal step à Cl II 15. know tetracycline thoroughly: when to use, side effects, it’s drug interactions
(ex. Dec effect of (DENTIN, ANUG) (not for pregnancy) oral contraceptive).
16. Know different types of impression materials: which provides best dimensional quality (PVS), which is hardest one to remove from the oral cavity (polyether), etc.
17. know the SLOB rule. Also know Vertical rule, which is same as SLOB but in a vertical dimension.
18. amantadine -Tx influenza (anti-viral)
19. Amphetamine - Indirect-acting symphathomimetics
20. Buspirone - Psychotropic w. anxiolytic; low CNS depression, low psychomotor skill impairment
21. Carbamazapine - Tx trigeminal neuralgia 22. Carbidopa - Use in conjunction with levodopa
23. Cephalosporin - 20% cross rxn w/ PCN; contraindicated on PCN allergic pt 24. Chlorpeniramine - Tx dermatologic manifestation of allergic rxn
25. Chlorpromazine - Inhibit dopaminergic receptor; same group as phenothiazine and haloperidol
26. Chlortetracycline- Broadest antibiotic effect 27. Cocaine -Intrinsic vasocontrictive activity
28. Diazepam -No effect on respiration as oppose to other BZ 29. Dicloxacillin- Use for penicillinase producing bacteria
30. Digitalis -Increase Ionotropic effect of the heart, know the mechanism as well 31. Diphenhydramine -Antihistamine; AKA Benedryl
32. Flumazenil -Reverse the BZ effects
33. Gentamycin- May cause auditory nerve deafness
34. Hydroxyzine -Antianxiety med for child, fast clearance w/ low side effect 35. Ketamine -Used in General Anesthesia with dissociative effects
36. Lidocaine: -Cause cardiac/respiratory depression, and convulsion; know what to give to reverse the convulsive effect of lidocaine; know other local
anesthesia; know which gets metabolized in plasma/liver which is based on their chemical str (amide/ester); this will effect their duration of medication
37. chelating agents in endo: EDTA
38. endo access for mx central incisor: triangular
39. endo access for md 1st permanent molar: trapezoidal 40. most consistent root canal shape? Mx. Canine
41. know the content of pulp. 42. specific types of nerve in pulp
43. all the stimulation to pulp will generate “pain” free end. 44. know autograft, allograft, and xenograft
Pt needs to get renal dialysis. When should do oral surgery to this pt? a. the day before renal dialysis
c. After 2 hr of renal dialysis d. The day after renal dialysis**
What does NOT cause gingival hyperplasia? a. phenytoin
b. cyclosporin c. nifedipine
d. digoxin** (first three causes gingival hyperplasia) NEFEDIPINE does not.
Why opioid analgesic containing both acetaminophen and hydrocodone so effective? a. acetaminophen and hydrocodone works differently, and combining these
effects makes it stronger* I put this, but not sure.
b. acetaminophen blocks the binding of protein with hydrocodone, so hydrocodone level in blood is high, so it is strong
(make sure know why)
Which one is an antiviral agent? a. Amantadine**
b. etc.
(know names of antiviral/antifungal agent, there was another question asking about antifungal agent)
How does antihistamin work? – I put “competitively block histamine receptor”
Know how CT scan/MRI images look like. (There was a picture question asking what type of image is this – mine was CT scan** image)
Which type of kennedy classification doesn’t have a modification? Kennedy Class IV**
4-5 question about cast post/core – What is the purpose of cast post, how should prep for cast post? Etc.
What is the purpose of ring liner in investing process? Answer was “to compensate for some kind of expansion”, can’t remember for sure. Look for it.
What is an advantage of CAD/CAM technique when making a crown? “Can prep and delivery of crown in one visit”
When doing gingivectomy, which is NOT right about internal and external bevel?
Order of maxillary molar extraction?
a. 3rd, 2nd, and 1st ; to protect tuberosity* this is what I put, but not 100% sure.
b. 1st, 2nd, and 3rd
c. 3rd, 1st, and 2nd
What is disadvantage of using NaOCl when doing RCT? “It’s toxic to the soft tissue”
Know well about Localized aggressive periodontitis and ANUG.
Tx for herpatic gingivostomatitis? a. palliative tx**
b. acyclovir
c. systemic antibiotic d. steroids
When soldering, what is the most important factor? a. width
b. height** c. etc..
Stephen-Johnson syndrome? conjuctiva, and genital problems
Neurofibromatosis ? café au lait spots.
Peutz Jeger syndrome ? Not cafe au lait, but freckles on lips.
Pt has Asthma attack, would you here Wheezing on inhalation or exhale? Answer: wheezing on exhalation
What is the #1 reason for implant failure? I put surgical technique.
Blue sclera seen in? osteogenesis imperfecta
What’s the best way to prevent proximal dislodgement/fracture of class II amalgam filling?
a. Retentive grooves* I put this, but not 100% sure b. converging axial walls
c. depth of prep
Know what a nutrient canal looks like on radiograph. (x-ray of mandibular incisor area)
Know what an intermaxillary suture looks like on radiograph. (x-ray of max incisor area)
What is the inverted Y made up of? Maxillary sinus/floor of nasal cavity
Know antibiotic classes pretty good, how much to pre-med, what adverse side effects they can have
What is the first step in bacterial plaque formation on a tooth? Pellicle formation, etc..
Know what a healthy T cell count is. 500-1500units/ml
(Question: Pt’s viral load was 100,000, and T cell count was 50. What is the right sentence?
a. Pt’s T cell count is too low**
Periapical cemento-osseous dysplasia….on a radiograph, anterior mandible, black ladies
Pt has a hypocalcified permanent max central incisor. When did this occur. a. 4months in utero
b. 3 to 7 months c. 6mo-3yrs* d. 4-6 years old
Breastfeeding mother don’t give her What? I was expecting tetracycline but it wasn’t there so I put Propoxyphene because it has aspirin. Maybe could cause Reyes
Which statement is NOT correct about “Paraphrasing”?
a. to put in your own words – it’s correct meaning of paraphrasing b. there were a few other example, but can’t remember…
You work at a HMO office and the patient has used up all his yearly benefits, what can you do?
a. still accept the same fee under the HMO* this is what I put, but I don’t know.
b. Charge your regular fee like you would for cash pt.
Pt has problems on one side or their face when they eat, they recently had parotid surgery, also had to do with something with their nerve.
A. Papillon Leferve B. Frey’s Syndrome*
Pt is in Mixed dentition and they are end on, what type of occlusion will this result in permanent dentition?
a. Class I** b. Class II c. Class III
What is the material in reinforced IRM that give it strength A. amalgam powder
B. Zinc phosphate
C. Poly methyl methacrylate** D. Titanium powder
Pt. had something to do with respiratory secretions and sweat. I put Cystic Fibrosis (salty sweat)
Cherubism? Bilateral Swelling of jaws
Difference between hatchet and gingival margin trimmer?
Pt has an implant. Do the connective tissue and epithelium attach the same as they do to natural tooth, meaning biological width?
A. Both attach the same B. Neither attach the same
C. epi attaches the same but not connective tissue** D. CT attaches the same but not Epi.
The reversal for Versed? A. Narcon
B. Flumazenil**
Do we probe like normal for an implant?
A. No because you will disturb the epithelial attachment
B. I put yes. It didn’t say anything about a plastic probe being available but it seems like we still would have to probe.
What is the sign that a pt is having a laryngeal spasm? A. Stridor
Pt is 13 years old and has a non-vital maxillary central. The apex is still open what do you do.
A. Apexogenesis
B. Apexification** I think this is right I put A. C. Pulpectomy
D. Nothing
Pulp is vital, pt’s a 8 year old. Apex is open. What do you do. A. Apexification
B. Apicoectomy C. Pulpectomy
D. calcium hydroxide pulpotomy.**
If you inject a pt that is taking propranolol directly into there vein what will happen. Increase BP and HR?
What is the shape of the access of mandibular 1st molar?
A. Square B. Trapezoid**
Pt is taking dicumarol what are they being treated for? This was an old board repeat A. Myocardial infarction (dicumarol is similar to warfarin)
Which of the following is most likely to develop from a dentigerous cyst A. AOT
B. Ameloblastoma** C. Ameloblastic fibroma
Know the doses for someone that is allergic to penicillin, What you can give them. I put clarithromycin 500mg but not sure if its right.
Which antibiotic is NOT inhibit cell wall synthesis? a. amoxicillin
b. vancomycin
c. azithromycin** (this inhibits protein synthesis)
Same old question of where is the max 3rd molar most likely to be displaced?
A. infratemporal fossa** B. maxillary sinus
Pt has veneers from 6-11, which fluoride do you use to not stain? A. Stannous Flouride
B. Sodium Flouride** C. Acid Flouride
Which would be located in the floor of the mouth and be “doughy”? A Ranula, this is what I put but could be B or C not sure B. Dermoid cyst
C Lymphoepithelial cyst **
Where does fluoride work the best? A. interproximal**
B. Pit and fissure (I saw this somewhere and it said smooth surfaces, pit and fissure is prr/sealant)
What is the most common site of enamel caries?
b. at the contact point c. slightly incisor to contact d. slightly cervical to contact
What is best to sterlize carbide burs? Sorry I still don’t know the answer
Definitely know the difference between Cohort, clinical trial and case study ? There will be at least 5 of them, I guarantee it.
Hypothesis Generating Observational Studies
Descriptive studies - time, place, person
Ecologic studies - use groups rather than individuals
1. Correlation studies - measure linear relationship between two factors within defined groups, no cause and effect established 2. Cross-sectional (epidemiological) studies - all variables measures
simultaneously at one point in time
Example – It was observed that there was less caries in certain geographic
areas. Higher fluoride in water supplies was suspected as the probable cause
II. Longitudinal Studies - Hypothesis Testing Observational Studies
A. Case-control (retrospective) studies - start with disease and look backwards for exposure
B. Cohort (prospective) studies - look forward from exposure to disease development
C. Example – Hypothesis testing observational studies supported the explanation of increased fluoride levels causing a reduced rate of caries
III. Hypothesis Testing Experimental Studies
A. True experiments - usually not ethical on humans, only used on animals B. Contrived experiments
1. Intervention - modify risk exposure factor within a defined population
2. Clinical Trial - Use randomization and blinding to compare effects of treatment with non-treatment. This is the Gold Standard for
establishing cause and effect
C. Example – Clinical trials confirmed the value of fluoride as a caries preventive
Clinical trials: Trials to evaluate the effectiveness and safety of medications or medical devices by monitoring their effects on large groups of people.
Clinical research trials may be conducted by government health agencies such as NIH, researchers affiliated with a hospital or university medical program, independent researchers, or private industry.
Typically, government agencies approve or disapprove new treatments based on clinical trial results. While important and highly effective in preventing obviously harmful treatments from coming to market, clinical research trials are not always perfect in discovering all side effects, particularly effects associated with long-term use and interactions between experimental drugs and other medications.
There are four possible outcomes from a clinical trial:
Positive trial -- The clinical trial shows that the new treatment has a large beneficial effect and is superior to standard treatment.
Non-inferior trial -- The clinical trial shows that that th
1. action of clotrimazole
-Alter the enzyme for synthesis of ergosterol alters cell memb. Permeability
2. pt taking antibiotic which is metabolized in the liver. Metabolism of antibiotic decreased by which drug.
a. TCA b. SSRI
c. phenothiazine d. diazepam
inhibitors of MEOS: erythromycin, cimetidine, isoniazid, phenylbutazone, valproic acid, disulfiram, MAOI
enahncers of MEOS: barbs, phenytoin, carbamazepine, rifampin do not take with anticoags
3. what is progressive relaxation
a. intermittent relax & tense (T/F)
b. something about visualized images or something… (T/F) 4. cortisone exerts its action on…
Enter cell and bind to cytosolic receptor migrate to nucleus gene expression or With plasma membrane on target cells
-receptors on membrane, proteins in plasma…etc.
5. why do full contour waxup on PFM bridge and then do cutback? a. even thickness of retainers
b. even thickness of porc c. even metal in connector 6. most radioopaque in porcelain
a. barium and zirconium glass b. silica
c. quartz
7. action of Zafirlukast (Accolate)
is a nonsteroidal tablet for the prevention and continuous treatment of asthma in adults and children 5 years of age and older. oral leukotriene receptor antagonist used for treating asthma. Leukotrienes are a group of chemicals manufactured in the body from arachidonic acid. Release of leukotrienes within the body, for example, by allergic reactions, promotes inflammation in many diseases such as asthma, a disease in which inflammation occurs in the lungs. Zafirlukast blocks the binding of leukotriene types D4 (LTD4), and E4 (LTE4). It was approved by the FDA in 1996. 8. outlier has greatest effect on
a. mode b. mean c. median
d. standard error
9. most common tooth associated w/ cracked tooth syndrome Mandibular second molars, followed by mandibular
first molars and maxillary premolars, are the most commonly affected teeth.
10. why oil in x-ray tube
-heat: cools off the anode
11. most likely to strip which wall in MB root of max molar: stripping refers to furcal perforations - distal
12. what do you do when some kid you drugged up starts to snore in the chair a. reposition head
b. remove rubber dam & check
13. child goes into insulin shock in the chair (hypoglycemia) a. give OJ
b. ask parent to give kid insulin shot
14. best way to prevent speech problems in complete dentures a. keep teeth in same position
15. cause of geographic tongue: unk a. ulceration of mucosa b.
pseudoepitheliomatus hyperplasia: resembles SCCA. It is seen in inflamm papillary hyperplasia, chronic hyperplastic candida, GCT, blastomycosis.
16. growth of cranial base (2mm/yr up to ages 7-9) compared to the jaws (2mm/yr, but continues til later)
a. precedes b. same time c. after
17. which teeth do you perform pulp eval on? a. tooth only
b. tooth and neighboring teeth
c. tooth, neighboring teeth, contralateral tooth d. tooth, neighboring teeth, opposing tooth 18. cleft lip & palate usually associated w/
a. class I b. class II c. class III
d. mandibular retrognathia
19. which tooth has least root surface area? a. max lateral
b. 3rd molar w/ fused roots
20. which tx is best for type III furcation a. guided tissue regen
b. apical flap
21. imbibition and syneresis affect which one the most a. reversible hydrocolloid
b. impression compound c. polysulfide
d. silicone
22. which one is sched II drug? a. percocet
b. darvon 4 c. vicoden 3 d. ultram e. Tylenol #3 3
23. best LA to use w/o vasoconstrictor a. pro
b. benzo c. lido d. articaine e. mepivicane
24. when upright molars w/ lingual arch w/ omega loops be careful not to a. flare mand. incisors
b. intrude molar
25. all tests for bacteria & their byproducts EXCEPT a. DNA analysis
b. microbio culture c. dark field analysis d. test for IL-1 e. enzyme analysis
26. best way to eval available space for rests -mounted casts
27. advantages of IM injections 28. why is pt taking ACE inhibitor
-CHF
29. dual cured resin cements
a. color stability vs. light cured only b. light cure for max cure
c. cement of choice for porc. Veneers 30. main disadv of gold inlay
a. deform under load- since it is high noble gold and softer, it may have higher creep
b. wear opposing c. cement is soluble d. possible attrition 31. pt gets Hep B
a. carriers for life?—5-10% become carriers b. gets active hepatitis
32. dentist w/ directive interviewing
a. less possibility of misunderstanding in office? 33. width % of alar base to total face width? 20%??
a. 33% b. 25% c. 50
34. osteogenesis imperfecta usually assoc w/ a. DI
b. AI
c. hypercementosis d. cleidocranial dysplasia 35. pt on coumadin, INR 2
a. extract, use sutures, hemostatic agents
b. get pt off coumadin for 2 days before extraction 36. goals of pocket reduction surgery EXCEPT
37. pH at which cavities can occur a. lowest value was 5.5
38. What do class I & class V Ag ideal prep have in common a. both slightly extend into dentin
b. both have flat axial & pulpal wall 39. CNS lesions w/ muscular defects
a. cerebral palsy
40. best to use w/ localized aggressive periodontitis a. chlorhexidine
b. H2O2 rinse
c. systemic antibiotic
a. well fitting trays
42. cause of allergic gingivitis a. flavoring in toothpaste b. food coloring in foods c. Fluoride in toothpaste d. pollen
43. tx for large sialolith near orifice of Wharton’s duct a. transoral to unblock duct
b. extraoral to remove gland c. cannulation & dilation 44. hypnosis works on
a. voluntary muscles b. vol & invol muscles c. organs
d. organs and glands
45. least likely cause for failed RCT a. GP beyond apex
b. clean & shaping no good c. obturation no good
46. best reasoning for implant in max lateral a. no rest on central & canine
47. horiz root fracture
a. reduce & immobilize
48. why do penicillins have decreased effectivness in abscess -hyaluronidase, pen unable to reach organism…
49. most common nonodontogenic cyst nasopalatine duct cust a. dermoid
b. thyroglossal c. lymphoepithelial 50. least soluble
a. fluorapatite
51. all associated w/ perio problems accept a. stevens-johnson syndrome
b. pap-lefev syndrome c. down syndrome d. hypophosphatasia
52. major connector design for large inoperable palatal torus a. horseshoe
53. Couple question on Kennedy classifications (w/ modifications) 54. Something about best way to monitor conc. of NO2 in brain
a. dosimeter in scavenger
b. monitor NO2 conc on machine and flow rate c. talk w/ pt
55. Reason for splint in palatal torus removal 56. Hazardous communication regulation
a. train worker right after you hire (T/F)
b. train worker when new hazardous product in office (T/F) 57. Epileptic pt least likely to take
a. ethosuimide – petit mal seizures b. diazepam
c. Lasix (furosemide)
58. Cut onlay…find out margin of crown w/in 1 mm of interseptal bone a. pack cord, take imp
b. crown length surgery c. use amalgam
59. Lesion that resembles SCC…16wks and then disappers a. papilloma
b. keratoacanthoma c. papillary hyperplasia
60. max 2nd premolar w/ no apical pathosis. Final RCT 1mm away from apex. 1yr
recall shows 5 mm radiolucency. What do you do a. retreat
b. apical curettage only
c. apical curettage , root end resect, root end fill 61. ways to treat kid w/ herpetic gingivostomatitis EXCEPT
a. antibiotics
b. give numbing anesthetic before eating c. have pt rest and drink lots of water 62. bilateral asymptomatic blue stuff under tongue
b. varices
63. main sign of dementia a. confusion
b. short term memory loss c. long term memeory loss
64. why are inorganic pyrophasphates in anti-tartar toothpaste: In toothpaste, sodium pyrophosphate acts as a tartar control agent, serving to remove calcium and
magnesium from saliva and thus preventing them from being deposited on teeth a. prevent bacterial colonization
b. prevent phosphate… 65. Ways to tx dry socket except
a. curette walls to make socket bleed b. no non-narcotic analgesic as needed c. sedative dressing
d. flush out debris w/ sterile solution 66. know what tauradontism looks like on x-ray 67. condition of a chronic desquamative gingiva dsz
a. cicatrail pemphigoid
68. immunofluoresence used for dx of a. pemphigus
b. LP
69. Fordyce granules
a. ectopic sebaceous glands 70. begin tx of ANUG pt w/
a. H2O2 rinse
b. debride & instrument c. antibiotics
71. main reason for implant failure a. smoking
72. face swelling w/ air spray in perio pocket -soft tissue emphysema
73. fastest growing tumor???? a. oncocytoma
b. pyogenic granuloma c. pleomorphic adenoma
74. effects of H1 blocker EXCEPT: (causes CNS depression) a. CNS increase
b. CNS decrease
c. increase acid secretion d. resp depression
e. local anesthesia
75. signs of morphine intoxication
a. coma, pin point pupils, decreased resp: increased accommodation and sensitivity to light reflex
b. dilated pupils, sweating, decreased resp 76. most common reason for porc fracture
a. contact at metal-porc jxn
b. contaminate metal before opaque layer c. metal oxide formed before porc applied 77. complication of lugwig’s angina
-edema of glottis
78. best way to determine abnormal bleeding tendencies -history
79. best way to determine platelet fxn a. platelet count
b. bleeding time c. PTT
d. INR
o Infection Drainage:
o Zyban (bupropion) is used for Smoking Cessation.*
o Statistics (T-test: compare two groups one control and the other test, chi-chart, etc.)
o Billing:
What is synostosis?
o Abnormal development of a joint.
o What causes a crowing sound?
o COPD (maybe)* laryngeal SPASMS
o Child makes a wheezing sound before injection? o Asthma (induced by stress)
o When do you check phonetics for a CD/CD? o Wax try-in
o QWhat does Alpha-1 do?
A.Vasoconstriction of peripheral vessels
o Q.What’s the action of the Benzodiazepines?
A.Facilitates GABA receptor binding by Increasing the frequency of chloride channel opening.*
o Q Radiograph what is it:
A.Dentinogenesis Imperfecta* pulpless tooth 1 and 2…Type 3 are shell teeth
o Dentinal dysplasia type 1 is pulpless.
o A lot of questions on Inlays/Onlays : Pulpal axial walls converge
o Q.What oral manifestation is seen in children with HIV? A* Candidiasis #1
o
o When does a permanent 1st molar or complete calcification?
o 4-5y.o. after eruption
o When do incisors start calcification? 16 weeks
o What’s the incidence of cleft lip? o 1:700
o Child with granulomatous gingiva and bleeding rectal-anus has what? o Wegners //// not sure
o How does an antagonist work?
o No intrinsic activity, High affinity
o Know what happens with an overdose of Acetaminophen and Morphine (Mosby’s page 291) Morphine: respiratory depression, liver
o Most common antidepressant does what?
o Inhibits reuptake of both Norepinephrine and 5-HT (if the most common is TCA)
o Which drug best reverses the effect of benzodiazepines? o Flumazenil Benzo flu away
o Carbamazepine:
o used for Trigeminal Neuralgia, Do not use to treat constant, fascial pain. Use NSAIDS
o How does Digoxin work?
o Inhibits Na/K ATPase of cardiac cell membranes resulting in increase of Na concentration intracellularly. cardiac glycoside.
o Adverse Effects of Thiazide Diuretics: Hyperuricemia, hypokalemia, what do you give for it Potasium K+.
o Epinephrine: Does not cause bronchodilation…YES IT DOES
o If a patient is allergic to Ampicillin, what else can you premedicate with? Clindamycin 600mg 1-hr before, Cephalexinn2000, Azithromycin 500, or Clarithromycin 500 (look at specific doses!) all 1-hr before.
o What drug has the highest concentration in crevicular fluid? Tetracycline
o What are the reasons a dentist needs to pre-medicate?
o Antifungals: Know which ones are systemic and which ones are topical o Mycelex, nystatin, ketoconazol,Nastatin rinse and Clotrinzol-troch are
topical,
o Grisofalvin: used for athletes foot.
o Know drugs that are used for Herpes: Acyclovir, valtrex
o Why don’t you give Sulfonylureas to Type I diabetic patients? They do not have beta cells for insulin (pg. 47)
o What analgesic do you give a child with Asthma? Tylenol
o What are you worried about when a patient is on Naproxin? o Heart attack or stroke short breathe, later kidney toxic.
o What is affected on an overdose of Acetaminophen? Liver
o What material should not be used to take an impression of a bridge? o Polyether Hydrophillic.
o What happens if you increase water in gypsum stone? o Lower expansion and strength.
o Know the landmarks for the Fox plane.
o Lower alla upper tragus and interpuplar distance.
o VDR-Freeway Space=VDO (p. 57)
o Centric Relation: Man to Max
o Centric Occlusion: teeth o Know Public Health
o Pre-contemplation /contemplation
o Know the positioning of panoramic films (why is there an error? ex: chin tilted to high/low, etc.)
o When looking at a radiograph, what zone of caries are you looking at? Demineralization.
o What is true of Strep. mutans? Can live in plaque, Can live on gingival Can live in a child with no teeth Has to live on a non-shedding surface
o How do you determine the severity of fluorosis? Look at the two worst teeth? o What does arrested caries look like?
o Black dark
o How does caries indicator work? (p.17)
o A colored dye in an organic base adheres to the denatured collagen which distinguishes between infected dentin and affected dentin o What instrument would not be used to bevel the gingival margin of an MOD
prep?
o Enamel Hatchet??
o What has the largest thermal expansion? o Composite?
o What is the corrosive phase of amalgam? o Tin/Copper phase
o What type of amalgam needs to be condensed more? Spherical. o MC amalgam: Irregular cut last cut.
o Filler composites: Larger fillers have more strength, but do not polish as well o What is the composition of Glass Ionomers? Silica glass and polyacrylic acid. o What is the hardest metal? Gold Type IV
o What is a compomer? (p. 26) GI and Composite modified with polyacid groups, used in low-stress-bearing areas (Less wear resistant than composite, Releases fluoride)Root caries and Class V. RMGI is better.
o Reinforced Zinc Phosphate Eugenol: Best luting agent? o Know definitions of Attrition, Abfraction, Erosion
o When do you do perio surgery (crown lengthening) when the caries is subgingival?
o What causes the greatest incidence of implant failure? Smoking. o What is the worst type of force for an implant? Horizontal.
o Primary stability for an edentulous CD on maxillary? Palate and residual ridges.
o Mand buccal shelves and 2/3 RMP.
o What determines lingual border of Mandibular impression? Superior Pharyngeal Constrictor muscle and buccal is masseter.
o When is a post and core indicated?
o What does staining do for ceramics? Alters hue.
o What is the mechanism of local anesthetics? Blocks Na channels intracellularly
o A bunch of Nitrous Oxide questions:
o What is an absolute contra-indication for the use of Nitrous Oxide? Sickle cell anemia or nasal congestion?
o Why is nitrous oxide used on children? alleviate anxiety o Most common side effect of nitrous oxide? nausea
o If patient does not have 100% oxygen after nitrous oxide: Diffusion hypoxia o What type of caries detection is the Dyfoti used for? Class II?
o DaignoDent is Class I
o A lot of questions on Local Aggressive Periodontitis
o Where are the most teeth lost in local aggressive periodontitis? Max molars. o Do you use antibiotics with local aggressive periodontitis? No.
o Crack tooth syndrome is most likely found? Mandibular Molars o Vertical Root Fracture is most likely found? Max 1st PreMolar.
o What causes most vertical root fractures? Condensation of gutta percha o Leukemia Picture: young person that is fatigued and has a jacked-up mouth o What is a problem with neutropenia? Infection? (not enough neutrophils to
fight off infection)
o Patient fractures one condyle, what is the expected growth? The fractured side will lag. The unaffected will continue growth.
o BSSO = Vertical Osteotomy (when used) push mand. Forward or back word for class III.
o What is the difference btw distraction osteogenesis Max and BSSO Man? o What is the most common? Dentinal dysplasia, amelogenesis imperfecta,
dentinogenesis imperfecta, cleft lip (Cleft Lip)
o A chanker due to Syphilis mostly resembles: Aphthous ulcers.
o Know how to treat pediatric teeth (SSCrown primary molars that have MO caries due to the cervical constriction)
o Reverse Pull headgear Class III
o Would you use an RPI or surgery to expand the palate on a 17 y.o. female? (surgery)
o When a primary molar is extracted what type of space maintainer would be used? Know the different types and indications distal shoe.
o Most common type of occlusion in primary teeth: End-on-end?
o Know the syndromes with supernumerary teeth cleidocranial Gardners and adontia ectodermal displasia.
o What conditions not to use bisphosphonates: Metastatic disease to bone, Multiple myeloma, Metastatic breast cancer, Metastatic prostate cancer? (prostate)
o Know how to determine if a patient is a high caries risk? assesment
o How do you fix a posterior cross bite? Quad helix, RAPID palatal expansion. o Fusion one less tooth/Gemination on radiograph
o Know the Imperfectas Amelogenisis: Hyp-plastic pitting enamel
o Hypo-mature brown molding, Hypo-calcified soft flaks off, normal looking. o Know Herpes vesicles, no scars (what happens and what they look like) o When do you do a pulp cap? Small exposure, iatrogenic.
o Know apexification vs. apexogenesis (p. 184) 3yrs for root to form. o What doesn’t hypochlorite do? Chelation>>> EDTA
o Know the drugs that cause gingival hyperplasia? Ca+ blocker, Dylantin Phenotoin.
o How do you treat bruxism? Mouthguard
o What disease will alter healing after root canal treatment? HIV or diabetes? o How does a gingivectomy heal? Secondary intention?
o What do you want to see healing after perio surgery? PDL, bone, etc. o Restore: PDL Bone Cement. Repair: Long junctional epi and CT.
o What is the disadvantage of a connective tissue graft? Two surgical sites o What type of flap do you use in crown lengthening? Apical Repositioning Flap o What environment factor alters healing? Smoking
o What cells are radiosensitive? Bone marrow cells, sperm.
o A lot of questions on Down Syndrome: small Max Big tongue, Crowding, small teeth short roots, Heart problems mitral valve, Cleft lip and palate.
o What causes Pink Tooth Mummery? Trauma and infection o Picture of Odontogenic Myxoma: Soups bubbles.
o Know when to biopsy
o What type of cyst recur the most? Odontogenic Kerotocyst o What is the rarest cyst?
o Actinomycosis has pus, antibiotics o Know Cemento-osseous dysplasia:
o Florid Black females vital all four Quads
o Focal White females vital edentoulous one lesion o Periapical black female vital, man anteriors.
o Etiology of Squamous Cell Carcinoma, external factors and stress. o Multiple Myeloma: Punched out lesions.
o What sterilization is safe for carbide burs? Dry-heat.
NERB CONCEPTS
Nuchal Stiffness = meningitis
Permanent Tooth with most prominent cervical bulge= mandibular molar
Differentate btw perio and pulpal abcess= electrical pulp test What do you find in Basal Cell Nevus,= OKC
Glucocorticoids result in all except,= osteoporosis
Why use non rigid fixed retainers,= correct path of insertion Where put pier abutment= distal of female component
What is Isorsbide use fo=, Angina pectoris, Congestive heart failure What is probantine. Antisialogue
Tetracylcline binds to what, calcium components of bones and teeth Percodan antagnonist = nalaxone
What is in a root canal sealer = Zinx oxide
Concentration of sodium hyperclorite = I put 5.5%, other conc too high
What cement can’t use under bonded amalgam = ZOE When can’t use Ketoconozole,= erythromycin
What antibiotic is in gingival crevicular fluid = tetracycline All are clinical signs of mobility except = increase in PDL space What is similar to squamous cell carcinoma= keratocanthoma Microthnathia, cleft palate, glossoptosis = Pierre robin syndrome Puetz Jegger syndrome = brown macules on lips
Cyst around CROWN of third impacted molar= dentigerous
Teeth responds to heat, cold and electrical pulp test= periapical dysplasia
What is not a genetic disease= odontoregional dysplasia Why is DNA probe use = what alleles cause the disease If have tuberosity and facial undercuts = remove tuberosity Best implant location = man anterior
How tx aggressive perio= debridemen/scaling and antibiotics What bacteria associated with JLP = Aa
What is the test for coumadin = PT/INR
What muscle translate the condyle= lat pterygoid
What muscle position and pull condyle in fracture = lat pterygoid What antibiotic for odontogenic infection= Pen VK
What main adverse effect of erythromycin = GI disturbances What is main adverse effect of Nitrous = nausea
What causes mydrasis = anticholinergics If have antral oral fistula = what meds give pt How tx max dome cyst in sinus = no tx
All restore 1.5mm diastema except = composites
If 10 yr old have diastema, what do you do = observe until K9 erupts Why remove flabby tissue= denture have firm base
Max complete denture with 6 lower ant teeth = see bone loss in ant max
When is fixed bridge CI in ant area = loss of alveolar bone What is the purpose of an indirect retainer
What is efficacy of a drug = max reponse of that drug KVP = the energy, quality of photons in the beam MA = # of photons in the beam
Mechanism of prozac= serotononin inhibitor an SSRI Narcotic antagonis= flumanzil or naloxone
Principle of interrupted sutures= immobilized the flap How to suture = from movable to fixed
What is the bacteria in periodontitis = P gingivalis Place post and core, pain on biting= vertical fracture Where most likely to perforate in max centrals = facial Where most likely to perforate in max 1PM = mesial
When polishing composites, what to avoid = removing contacts Implants = high torque low speed
When do gingivectomy= suprabony pockets’
Which tooth is likely to fail after perio= max 1st molar
What causes dyguesia= radiation tx
What can xerostmia cause= retrograde salivary infection How tx denture sore mouth
Nodules on alveolar ridge of infant= bohn nodules What is freeze dry cadaver bone= autoplast
What is the migration rate of epi tissue= 0.5mm to 1mm/24hrs Where should obturation end= 0.5 t0 1mm from radiographic apex When do primary central erupts= 6 months
Child is 4 yrs, lost 2nd primary molar= distal shoe
Removable appliances in ortho produce = tipping forces Most commom malocclusion= class II div I
Primary CI is avulsed, don’t put it back= never replant primary teeth Where do permanent teeth erupt= facially
How to tx pregnant pt with hypotension in 3rd trimester= lay on side
of back
How to tx pt with hearing impairment
If extract max molar, mesial root is left= use cryer elevator Overextension of man distobuccal flange= massater muscle Overextension of man ant buccal frenum = obicularis oris 5 yr old child has .75ppm fluoride in water, what RCT
supplementation needed = none Concentration of NaF = 1.23%
When extracting upper molars, why start from 3rd molar to anterior:
to decrease chance of tuberosity fracture ( remember beware of lone molar)
If have 1mm of space btw upper and lower molars= reduce tuberosity
No teeth development = results in resorbtion of alveolar ridge What do you see in langerhans cell disease = teeth floating in air Tx for bilateral round opacities in man anterior area = none, they are
torrus
What amalgam best for interproximal spaces= admixed
What amalgam use strong lat condensation forces.=Spherical What calcium channel blocker causes gingival hyperplasia,=
neferdrine
What drug tx ventricular arrhythmia= lidocaine
Where do you place heavier bevel on an onlay= working cusp Where store scrap amalgam,= under sulfide
Which papilla involve in hairy luekoplakia= filliform Where is cancer least likely to occur= alveolar ridge When do you use an occl separator= for muscle spasms Pt has severe head injury, give all excepts= opiods Pt has peptic ulcer, should avoid= Steroids
Unseating of max denture can result from.=Excessive depth of palatal seat
What is the closest speaking sound= S sound
What is the best combination for Parkinson disease= Ldopa and carbidopa
Whats best way to avoid root caries,= maintaing perio attachment What causes contraction of amalgam= tin
What delay expansion of amalgam= Zinc What is the therapeutic index= LD50/ED50
Drug that demonstrate redistribution= thiopental Which tooth radiates pain to the ear= man molar Whats a pear shape bur = #330
What do see in eagles syndrome = calcification of stylohyoid ligament
What test use to asses hemophiliac= PTT What is ZIDOVERDINE= an HIV med
Main cause of caries = plaque formation What is peer review = organize dentistry
When do you see blue sclera= with osteogenisis imperfectar, also osteogenesis imperfector occurs with dentinogenesis imperfectar type I
Conditions associated with multiple supernumary teeth = gardner syndrome and cleidocranial dysplasia
Median palatal cyst= a true fissural cust
Where do you see sulfer granules= actinomycosis
What see in erythema multiforme= target iris or bull lesion Why are filters use, = to remove low energy photons
What are intensifying screens used for= to reduce pt dose What cell type found most in PDL= fibroblast
What coating is responsible for plaque adhering to teeth = salivary pellicle
Term used to describe HIV gingivitis= linear gingival erythema What see with pseudopocketing,=NO ATTACHMENT LOSS
WHAT TYPE OF FILE IS STRONGEST AND CUTS LEAST AGGRESSIVE, = k FILE
What is a Stephan plot, measures the PH changes on tooth enamel surface
KVP controls what= contrast
Picture of buccal mucosa with white plaque, wipe off = candidiasis Picture of redish puple lesion on hard palate, pt has AIDS = karposi
sarcoma
Premalignant precursor of squamous cell carcinoma= actinic chelitis What is pagets a premalignant condition for, osteosarcoma
Picture showing localized widening of post man molars and sunburst pattern of bone = osteoscarcoma
Picture showing bone loss around 1st molars and incisors = LJP Picture showing radiolucence btw man premolars, = mental foreman Picture showing desquamtive gingivitis, scars in eye, subepitheilal
Picture showing non healing lesion on lat border of tongue = squampos cell carcinoma
Picture showing rodent ulcer on cheekbone = basal cell carcinoma Which type of basal cell nevus is premalignant = junctional type Picture showing pear shape radiolucency = nasopalentine cyst Picture showing lots of osteomas = most likely to have gardners
syndrome
Picture showing a oval red patch in midline of tongue, how tx = nyastatin b/c its median rhomboid glossitis
Picture showing an outgrowth on interdental papilla, its dark red in color and bleeds easily = pyogenic granuloma
What is concrescence = fusion of cementum only
Picture showing unilateral enlargement of max, xray showing ground glass = fibrous dysplasia
Picture showing cotton wool pattern and hypercementosis = pagets Where do you see positive nikosky sign = phemphigus vulguis Infectious mono see what = positive mono spot test
Best combo for tx of TB = rifampin and isoniazid Earliest carious lesion = incipient
What is a slot prep, narrow acess to reach interproximal caries
Lots of trauma/endo questions, know diff btw apexification and apexogensis vs conventional RCT tx. Intusion, avulsion. fractures etc
Lots of behavorial science questions , good luck on those can u use benadryl for delayed hypersensitivity?
how u treatment nasopalatine cyst
there were a few Qs on gold…how the preps differ from amalgam, etc
one Q near the end
it was like. pt just undergone orthognathic surgery.
what can it be
the choices were wound infection smthing ecchymosis Atelectasis
another Q was that if there is fracture. and u dont immobilize adequately. what is most likely sequalae
like ankylosis nonunion malunion etcetc
one Q on slob rule
like ur maxillary premolar
if u take the xray from the mesial aspect
does the buccal root look mesial, distal, facial, or lingual to the palatal root
learn ur Cohort, X-sectional, case studie, correlational...studies..etc
Flumazenil came up twice
Peutz Jegher came up a few times too.
what is most common bone malignancy in ppl under 25 (Ewing sarcoma wasn’t an option so I picked osteosarcoma)
all the Qs abt indirect retainer, rests,..i have no idea non-rigid connectors for FPD
there was a Q abt endo
like for K file and reamers (i think) what is distance btw D1 to D2
or was it D0 to D1.. ..(something like that…sorry can’t really remember)
C and L osteotomy (at least know what they are. Cuz I didn’t)
Syneresis, imbibition
Why bevel functional cusp?
Which area of a flame do u use to melt gold? Reduction, oxidation, mixing, zone?
Material for home bleaching?
If MOD amalgam crack in the middle, but patient asymptomatic. What do u do?
What is hardest to alter? The hue, chroma, or value
Kennedy classifications
Which area is implant more successful? (I went by how good the bone is..ie. post mandible, ant maxilla, etc…but they didn’t have an answer choice like that. So am not sure wtf they r asking)
If complete denture on one arch, tooth-supported rpd on other arch, what kind of occlusion do u go for? (like contact on working, non-working? Both? Etc)
Know btw vWD, hemophilia A and B
There was a Q abt maxillary osteotomy to correct smthing (I forget what). I was looking for LeFort I but that wasn’t an option…
Levodopa and Parkinson’s.
There was a Q abt matching the drug with its use. They were mainly drugs for herpes, TB, HIV, that kind of thing.
Q about B--blockers. Unfortunately I didn’t recognize some of the names…but the q basically asked u to differentiate btw specific and non-specific ones. But too bad I’ve never heard of some of them.
How do most diuretics work.
Which are mixed-acting opioids?
Impression material with the most dimensional stability
How does caries detecting dye differentiate btw infected and affected dentin?
If pt has habitual retruded tongue, what is most likely sequelae? (sorry I have not a fucking clue wtf they are asking. Answer choices were things like, speech problem, mastication problem, dislodging of denture, etc)
Something about Alveolar clefts.
Cri-du-chat
Know the diff btw mean, median, mode
If Wharton’s duct has sialolith obstruction near orifice. What is the tx?
Know that SLE is associated with endocarditis and glomerulonephritis
A few Q on cerebral palsy
Johnston-Tanaka space analysis
2006 NBDE II
Day 1:
1----Action of Cardiac glycosides
Answer : binds and inhibits Na+/K+ ATPase 2----What is the antidote for Percodone ( oxycoden)
Answer: all opiate antidote is naloxones Answer was Naloxones
3---- most complication of sagital osteotomy: I think nerological problems
4----if someone can’t take ibuprofen what can you give? Aspirin
Demerol Pentazocine
5---x-ray of odontoma ( anterior lots of little tooth in the x-ray around the canine) 6---most rigid material: Polyether
7----most stable impression material:
additional silicon ( same as PVS ) they just used another name 8----perforation caused during endo tx of max f MOLAR:
mesial cancavity
9--- how do you distinguish acute apical absess and periodontal absess: Pulp test
10--- which of the following anesthetic can be used as topical: Lidocaine
12---- orthodontic tx will provide:
restorative and periodontal mantanance 13---- how long for the root take to complete: 2.5- to 3.5 was the choice
14----pupose of insical guidance :
mount casts..adjust condylar guidance ..begin prep
15---- denstist who work with HEMA( composite) can have what kinda complication contact dermatitis
16----why should a dentis figure out the outline for first: for the easy access
17--- pulpal pain that only occure at night with no stimulation: puplpal necrosis
18--- when the heat apply to tooth..lingering pain for several minutes: irreversible pulpitis
19--- which of the following is the endocrine involvement that is related to jaw deformity:
Acromegaly Paget’s disease Cherubisim
Albrite’s
I think the answer is paget’s but I am not sure 20---- complete set of dental stone will occur 24 hrs after final setting
21--- which sement is the easiest to remover after procedure: Zinc Phosphate
22— when the bud stage occurs in utro: 23--- Glucocorticoides are contraindicated in : Diabetes
24 – related to q # 23, clucocorticoids side effect is all of the following EXCEPT: Infection
Reduced inflammation
answer Hypoglycemia *** answer is this because Glucocorticoid cuases Hyperglycemia
25- Radiation of 4(Gy) to the skin will cause: Erythema
26- if the patient tell you why you fees are so hight, what would be your response: 27---- the most radiopaque in composite is:
Barrium ( it is a metal)
28--- the main component of any root sealers is: Zinc oxide
29—when you used ZOE in a primary what kind to u use: ZOE with catalyst
ZOE with no catyst
30--- removable appliances cuasues : tipping movement
31--- depth of the cavity prep on primary teeth should be : 32--- Freezed dried cadaver bone is a type of:
allograft
33—large condenser with lateral condensation is used in: admix,,spherical…etc..
34—OSHA rule on hepatitis B vaccination
35—Tissue that grows the fastest in the first year neuronal
37—what speed and torque for implant is used:
--- answer High Torque ,,slow speed (238 oral surgery book)
38- in an appointment for the impression of implant what do you do firsit: put the coping first
check the tray first to see if it fits put the coping with acrylic resin another choice I don’t remember and I don’t know the answer
39 – keeping the Kvp and msA the same and changing from the D film to E film, to keep the same intensity one should do :
increase KVp and msA Decreae both
Increase kpv and decrease msA Increase msA and decrease Kvp
40---- surgon extraction a mandibular molar and all of a sudden mesial root break: what instrument u use:
crayer forcep crane forcep
41-- which one of the following drug is chelated with C++ tetracycline
42- gingivactomy is contraindicated with: mininmum attached gingiva
42-- after orthodontic tx, pt with no other systemic disease develop high fever… 43---- Glossoptosis – micrognathia - - cleft palate
Pierre – Robin syndrome 44--- Ameloblastoma histology :
45—xerostomia depelope in what complication: increase salivary N+, some syndrome, etc..
46 – there was a picture of Fibroma but the term fibroma was not used instead they used another name: Focal Fibrous Hyperplasia
47- There was an x-ray that showed anterior teeth with buch of smaller teeth in the lingual site and one of the anterior teeth with missing:
Here were the choices: it looked like crown of the impacted teeth were tuching the erupted teeth root’s: Since there was one less anterior tooth I put : fusion for the answer
Fusion Germination Concrescence
48 – if a child is treated with methamphetaimine what disorder the child has: Attention deficit disorder
50 – in DMFS “ s” stand for --- surface
51—except question: all of the following are associated with metastisis to the jaw expect:
parestesia of the lip irregular radiolucency
to more choice that I don’t recall
52—after placing a crown with composite resin, after six month arouth the porceline gingiva there is a discoloroation ( brown color) what is the cause:
Microcrack of porcilane Amin discoloroation of resin 53—Propantheline bromide is:
anti-cholinergic ( they used another name ) 54-- Fluoxetine ( prozac ) Mechanism of action: Serotonine selective
55 – know the mechanism of action of TCA
answer – it decreases the reuptake of Norepinephrine 56 – The causes of Verrcus xanthoma
Human papilloma virus
57—drug of choice for pulpal involvement Pen V
58 –mechanism of action of pen is closely related to keflx ( cephalaxin )
59- if a pt. has been using 10 mg of corticosteroid for 10 years, what would you do for pt. before any tx
have pt continue and increase the dose 60—Hepatitis D: through B
61 – example of potassium sparing drug: spirolacton
62- when a dentist tell the pt what to do: paternalism
63—which of the following has the greatest tendancy for malignancy: keratic acanthoma
64: actinic cheilitis --- lead to SCC
65—make sure u understand PTT .. PT..INR..bleading time PT --- extrinsic factor –
PTT – intrinsic factor 8.9.11.12 INR deals with PT
Factor VIII is hemophila A
Bleeding time has to do with palatal count 64 – deaf pt.
they can read the lips
65—chroma is the intensity of color
66 – rad sor, blow it gingiva lift, you can see denuded root, what is the treatment? 67 – cleft lip and palate
6-9 weeks in utero
68 – with cleft lip and palate what occlusion is mostly class III malocclusion
69- most of the x-ray is converted to : heat
70- which one of the following cement is the easiest to clean: resin cement
Glass Ionomers Polycarboxylic
Zin Phosphate -- I put this choice I am not sure 71- none vital bleaching is with carbamide and 35 % hydrogen proxide
72 – thee usual metabolic path of ingested fluride primarly involves urinary excretion with remaining portion in:
skeletal tissue
73—which one of the things can be seen with TMP pt in elders: depression
74— a football player has: crepetis, stiffness of muscle, and difficulty opening :
I put arthritis and TMJ I am not sure 75 – most lab complain :
the tooth is not reduced enough
76 – the anterior maxillary incisors can given a younger appearance if: rounding the incisal point agle
77 – best treatment of localized aggressive periodontitis:
78- 4.5 years old child with .75ppm floride in their water req. how much floride supplement:
0 mg
79 – pt taking dicumoral is probably treated for: coronary infarct
80 – which of the following physical signs indicates severe CNS oxygen deprivation Dilated pupil with an absence of light reflex
81- group of muscle that influence the lingual border of final impression for an edentoulus pt:
answer: palatoglossus, sup constrictor, mylohyoid, geniogloassus 82—stupid wheel chair question:
83—when pt. closes, there is only 1 mm b/w retromolar pad and tubercity: you should refer the pt. for tuberocity reduction
all other choice were very wrong
84 -- pt presents with a restricted floor of the mouth, only 6 mandiblar anterior teeth and diastama b/w several teeth, which of the following major connector is
appropriate for this pt:
answer: a lingual plate with interruptions In the palate at the diastama
85 – the porpus of the rest seat is:
86--- after surveying and designing which is the first step to do: reduction the axial for proximal plate
87—which one of the following best describe adjunctive orthodontic tx: answer: orthodontic tx to enhance restoratitive and perio rehabilation
88- child has a sor ulceration in a lower lip. There is no history of obvious trauma, the ulceration appeared several hrs after the pt. received dental tx. Which of the
following represent the most: answer: --- post anesthetic lip biting
89 – to prove it clinical effectiveness an antimicrobial agent must demonstrate that it: help to reduce the disease
90 - The pulpal floor is perforated during access preparation. The best course of action is to CONTINUE RCT, REPAIR THE PERFORATION AT A SUBSEQUENT APPOINTMENT ONLY IF ASSOCIATED PATHOSIS DEVELOPS.
91 – route of infection to midiatiam:
submandibular --- later pharyngeal – retropharyngeal – prevertebral92- Patients with natural dentitions generate the greatest amount of occlusal force during
PARAFUNCTIONAL MOVEMENT.
92 - A 22-year old male patient complains of dull pain in the posterior left mandibular region. A radiograph reveals not only a radiolucency around the 1st molar roots, but a
radiopacity of bone peripheral to this radiolucency. The best explanation of his condition is