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.

12. 15 yr old edentulous and stuff on hands and feet.

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

24. Asthmatic attack has what?

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. ProzacSerotonin

36. When to fill cavity? Halfway through enamel, cavitated, to CEJ, can see radiographically

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 >.6mg6mo-3yrs 0.25 0 03yrs-6yrs 0.50 0.25 06yrs-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.

24. Active Listening? Have pt repeat what you say.

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.

39. Nutrient Canals Pic! (Lines up side of root)

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.

51. Pic of Myxoma pt. Usually in ant. mandible, no symptoms, moves teeth.

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. EthicsBeneficence- “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 sidePregnant patient lying on back will constrict what? inferior vena cava.Penicillinase resistant penicillins – COMN [clox, ox, methi, naf] b/c of clauvulanic acidCollimation = block (lead), filtration = filter (aluminum)Age <0.3 ppm 0.3 ppm to 0.6

ppm0.6 ppm

Birth – 6 months None None None6 months – 3 years

0.25 mg None None

3 – 6 years 0.50 0.25 None6 – 16 years 1.0 mg 0.50 mg None

Mesial and distal walls of class I amalgam must be divergent not to undermine marginal ridgesIncreased trituration time will increase compressive strength/decrease setting expansion;Diabetes you get infections better not bleed easierCobalt is blue, copper is blue-greenDo 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 restorativeLAP – AA and capnocytophaga; generalized periodontitis involves prevotella and eikenella (know if spirochete/cocci, etc)Most plaque retentive thing – calculusFGG not used for deep/wide (used for narrow)PT (12-14 secs, 2, 5, 7, 10) and INR are extrinsic pathwayNaproxen is longer lasting than ibuprofenMacrolidesCimetidineFlumazenil combats benzos (naloxone combats opioids), disulfuriam is for alcoholicsAfter 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?

TRUE4. 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 smoking8.  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.

2. Contraindications of nitrous oxide 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 occlusally5. 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: EDTA38. endo access for mx central incisor: triangular

39. endo access for md 1st permanent molar: trapezoidal40. 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 dialysisb. the day of renal dialysisc. After 2 hr of renal dialysisd. The day after renal dialysis**

What does NOT cause gingival hyperplasia?a. phenytoinb. cyclosporinc. nifedipined. 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. acyclovirc. systemic antibioticd. steroids

When soldering, what is the most important factor?a. widthb. 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

Implants are placed 3mm apart from each other.

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 paraphrasingb. 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 LeferveB. 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 IIc. Class III

What is the material in reinforced IRM that give it strengthA. amalgam powderB. Zinc phosphateC. 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 sameB. Neither attach the sameC. epi attaches the same but not connective tissue**D. CT attaches the same but not Epi.

The reversal for Versed?A. NarconB. Flumazenil**

Do we probe like normal for an implant?A. No because you will disturb the epithelial attachmentB. 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. ApexogenesisB. Apexification** I think this is right I put A.C. PulpectomyD. Nothing

Pulp is vital, pt’s a 8 year old. Apex is open. What do you do.A. ApexificationB. ApicoectomyC. PulpectomyD. 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. SquareB. Trapezoid**

Pt is taking dicumarol what are they being treated for? This was an old board repeatA. Myocardial infarction (dicumarol is similar to warfarin)

Which of the following is most likely to develop from a dentigerous cystA. AOTB. 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. amoxicillinb. vancomycinc. 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 FlourideB. 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 sureB. Dermoid cystC 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?a. pit and fissure* I put this, but “d” could be a possible answerb. at the contact pointc. slightly incisor to contactd. 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 StudiesDescriptive studies - time, place, personEcologic 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 animalsB. 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 ergosterolalters cell memb. Permeability

2. pt taking antibiotic which is metabolized in the liver. Metabolism of antibiotic decreased by which drug.

a. TCAb. SSRIc. phenothiazined. diazepam

inhibitors of MEOS: erythromycin, cimetidine, isoniazid, phenylbutazone, valproic acid, disulfiram, MAOIenahncers of MEOS: barbs, phenytoin, carbamazepine, rifampin do not take with anticoags3. 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 orWith 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 retainersb. even thickness of porcc. even metal in connector

6. most radioopaque in porcelaina. barium and zirconium glassb. silicac. 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. modeb. mean

c. mediand. standard error

9. most common tooth associated w/ cracked tooth syndromeMandibular second molars, followed by mandibularfirst molars and maxillary premolars, are the most commonlyaffected 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 - distal12. what do you do when some kid you drugged up starts to snore in the chair

a. reposition headb. remove rubber dam & check

13. child goes into insulin shock in the chair (hypoglycemia) a. give OJb. ask parent to give kid insulin shot

14. best way to prevent speech problems in complete denturesa. keep teeth in same position

15. cause of geographic tongue: unka. ulceration of mucosab.

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. precedesb. same timec. after

17. which teeth do you perform pulp eval on?a. tooth onlyb. tooth and neighboring teethc. tooth, neighboring teeth, contralateral toothd. tooth, neighboring teeth, opposing tooth

18. cleft lip & palate usually associated w/a. class Ib. class II

c. class IIId. mandibular retrognathia

19. which tooth has least root surface area?a. max lateralb. 3rd molar w/ fused rootsc. mand premolar

20. which tx is best for type III furcationa. guided tissue regenb. apical flap

21. imbibition and syneresis affect which one the mosta. reversible hydrocolloidb. impression compoundc. polysulfided. silicone

22. which one is sched II drug?a. percocetb. darvon 4c. vicoden 3d. ultrame. Tylenol #3 3

23. best LA to use w/o vasoconstrictora. prob. benzoc. lidod. articainee. mepivicane

24. when upright molars w/ lingual arch w/ omega loops be careful not toa. flare mand. incisorsb. intrude molar

25. all tests for bacteria & their byproducts EXCEPTa. DNA analysisb. microbio culturec. dark field analysisd. test for IL-1e. enzyme analysis

26. best way to eval available space for rests-mounted casts

27. advantages of IM injections28. why is pt taking ACE inhibitor

-CHF29. dual cured resin cements

a. color stability vs. light cured onlyb. light cure for max curec. cement of choice for porc. Veneers

30. main disadv of gold inlaya. deform under load- since it is high noble gold and softer, it may have higher

creepb. wear opposingc. cement is solubled. possible attrition

31. pt gets Hep Ba. carriers for life?—5-10% become carriersb. gets active hepatitis

32. dentist w/ directive interviewinga. 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. DIb. AIc. hypercementosisd. cleidocranial dysplasia

35. pt on coumadin, INR 2a. extract, use sutures, hemostatic agentsb. get pt off coumadin for 2 days before extraction

36. goals of pocket reduction surgery EXCEPT37. pH at which cavities can occur

a. lowest value was 5.538. What do class I & class V Ag ideal prep have in common

a. both slightly extend into dentinb. both have flat axial & pulpal wall

39. CNS lesions w/ muscular defects

a. cerebral palsy40. best to use w/ localized aggressive periodontitis

a. chlorhexidineb. H2O2 rinsec. systemic antibiotic

41. best way to decrease gingival irritation w/ home bleachina. well fitting trays

42. cause of allergic gingivitisa. flavoring in toothpasteb. food coloring in foodsc. Fluoride in toothpasted. pollen

43. tx for large sialolith near orifice of Wharton’s ducta. transoral to unblock ductb. extraoral to remove glandc. cannulation & dilation

44. hypnosis works ona. voluntary musclesb. vol & invol musclesc. organsd. organs and glands

45. least likely cause for failed RCTa. GP beyond apexb. clean & shaping no goodc. obturation no good

46. best reasoning for implant in max laterala. 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 custa. dermoid

b. thyroglossalc. lymphoepithelial

50. least solublea. fluorapatite

51. all associated w/ perio problems accepta. stevens-johnson syndromeb. pap-lefev syndromec. down syndromed. hypophosphatasia

52. major connector design for large inoperable palatal torusa. horseshoe

53. Couple question on Kennedy classifications (w/ modifications)54. Something about best way to monitor conc. of NO2 in brain

a. dosimeter in scavengerb. monitor NO2 conc on machine and flow ratec. talk w/ pt

55. Reason for splint in palatal torus removal56. 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 takea. ethosuimide – petit mal seizuresb. diazepamc. Lasix (furosemide)

58. Cut onlay…find out margin of crown w/in 1 mm of interseptal bonea. pack cord, take impb. crown length surgeryc. use amalgam

59. Lesion that resembles SCC…16wks and then disappersa. papillomab. keratoacanthomac. 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. retreatb. apical curettage onlyc. apical curettage , root end resect, root end fill

61. ways to treat kid w/ herpetic gingivostomatitis EXCEPTa. antibioticsb. give numbing anesthetic before eatingc. have pt rest and drink lots of water

62. bilateral asymptomatic blue stuff under tonguea. hemangiomab. varices

63. main sign of dementiaa. confusionb. short term memory lossc. 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 colonizationb. prevent phosphate…

65. Ways to tx dry socket excepta. curette walls to make socket bleedb. no non-narcotic analgesic as neededc. sedative dressingd. flush out debris w/ sterile solution

66. know what tauradontism looks like on x-ray67. condition of a chronic desquamative gingiva dsz

a. cicatrail pemphigoid68. immunofluoresence used for dx of

a. pemphigusb. LP

69. Fordyce granulesa. ectopic sebaceous glands

70. begin tx of ANUG pt w/a. H2O2 rinseb. debride & instrumentc. antibiotics

71. main reason for implant failurea. smoking

72. face swelling w/ air spray in perio pocket-soft tissue emphysema

73. fastest growing tumor????a. oncocytomab. pyogenic granulomac. pleomorphic adenoma

74. effects of H1 blocker EXCEPT: (causes CNS depression)a. CNS increaseb. CNS decreasec. increase acid secretiond. resp depressione. local anesthesia

75. signs of morphine intoxicationa. coma, pin point pupils, decreased resp: increased accommodation and

sensitivity to light reflexb. dilated pupils, sweating, decreased resp

76. most common reason for porc fracturea. contact at metal-porc jxnb. contaminate metal before opaque layerc. 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 fxna. platelet countb. bleeding timec. PTTd. 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 topicalo Mycelex, nystatin, ketoconazol,Nastatin rinse and Clotrinzol-troch are

topical, o Systemic Ketoconazol, Amphoteracin B.

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: teetho Know Public Healtho 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 darko 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 phaseo 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 wello What is the composition of Glass Ionomers? Silica glass and polyacrylic acid.o What is the hardest metal? Gold Type IVo 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, Erosiono 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 What is expected from a high noble metal? No tarnish or corrosion??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

intracellularlyo 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 anxietyo Most common side effect of nitrous oxide? nauseao If patient does not have 100% oxygen after nitrous oxide: Diffusion hypoxiao What type of caries detection is the Dyfoti used for? Class II?o DaignoDent is Class Io A lot of questions on Local Aggressive Periodontitiso 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 Molarso Vertical Root Fracture is most likely found? Max 1st PreMolar.o What causes most vertical root fractures? Condensation of gutta perchao Leukemia Picture: young person that is fatigued and has a jacked-up moutho 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 IIIo 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? assesmento How do you fix a posterior cross bite? Quad helix, RAPID palatal expansion.o Fusion one less tooth/Gemination on radiographo Know the Imperfectas Amelogenisis: Hyp-plastic pitting enamelo 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>>> EDTAo Know the drugs that cause gingival hyperplasia? Ca+ blocker, Dylantin

Phenotoin. o How do you treat bruxism? Mouthguardo 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 siteso What type of flap do you use in crown lengthening? Apical Repositioning Flapo What environment factor alters healing? Smokingo 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 biopsyo What type of cyst recur the most? Odontogenic Kerotocysto What is the rarest cyst? o Actinomycosis has pus, antibioticso Know Cemento-osseous dysplasia:o Florid Black females vital all four Quadso Focal White females vital edentoulous one lesiono 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 Tight sutures results in what= necrosis

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

split = phengigoid 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 thosecan 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 endit was like. pt just undergone orthognathic surgery.after surgery, he got fever of 102 but no swelling or tenderness what can it be

the choices werewound infectionsmthing ecchymosis

Atelectasis

another Q was that if there is fracture. and u dont immobilize adequately. what is most likely sequalaelike ankylosisnonunionmalunionetcetc

one Q on slob rulelike ur maxillary premolar

if u take the xray from the mesial aspectdoes 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 ideanon-rigid connectors for FPD

there was a Q abt endolike 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+ ATPase2----What is the antidote for Percodone ( oxycoden) Answer: all opiate antidote is naloxones Answer was Naloxones3---- most complication of sagital osteotomy: I think nerological problems4----if someone can’t take ibuprofen what can you give? Aspirin Demerol Pentazocine5-----x-ray of odontoma ( anterior lots of little tooth in the x-ray around the canine)6------most rigid material: Polyether7----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 cancavity9----- how do you distinguish acute apical absess and periodontal absess: Pulp test10----- which of the following anesthetic can be used as topical: Lidocaine12---- orthodontic tx will provide: restorative and periodontal mantanance13---- how long for the root take to complete: 2.5- to 3.5 was the choice14----pupose of insical guidance : mount casts..adjust condylar guidance ..begin prep15---- denstist who work with HEMA( composite) can have what kinda complication contact dermatitis16----why should a dentis figure out the outline for first: for the easy access17--- pulpal pain that only occure at night with no stimulation: puplpal necrosis18--- when the heat apply to tooth..lingering pain for several minutes: irreversible pulpitis19--- 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 sure20---- complete set of dental stone will occur 24 hrs after final setting21----- which sement is the easiest to remover after procedure: Zinc Phosphate22— when the bud stage occurs in utro:23--- Glucocorticoides are contraindicated in : Diabetes24 – related to q # 23, clucocorticoids side effect is all of the following EXCEPT: Infection Reduced inflammation

answer Hypoglycemia *** answer is this because Glucocorticoid cuases Hyperglycemia25- Radiation of 4(Gy) to the skin will cause: Erythema26- 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 catyst30--- removable appliances cuasues : tipping movement31--- depth of the cavity prep on primary teeth should be :32--- Freezed dried cadaver bone is a type of: allograft33—large condenser with lateral condensation is used in: admix,,spherical…etc..34—OSHA rule on hepatitis B vaccination35—Tissue that grows the fastest in the first year neuronal37—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 answer39 – 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 bothIncrease kpv and decrease msAIncrease msA and decrease Kvp40---- surgon extraction a mandibular molar and all of a sudden mesial root break:what instrument u use:

crayer forcepcrane forcep41-- which one of the following drug is chelated with C++ tetracycline42- gingivactomy is contraindicated with: mininmum attached gingiva42-- after orthodontic tx, pt with no other systemic disease develop high fever… 43---- Glossoptosis – micrognathia - - cleft palate Pierre – Robin syndrome44--- 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 Hyperplasia47- 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 GerminationConcrescence48 – if a child is treated with methamphetaimine what disorder the child has:Attention deficit disorder49- if a pt. is treated with coumodin what test you have to do50 – in DMFS “ s” stand for ----------- surface51—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 recall52—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 porcilaneAmin discoloroation of resin53—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 Norepinephrine56 – The causes of Verrcus xanthoma Human papilloma virus57—drug of choice for pulpal involvement Pen V58 –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 dose60—Hepatitis D: through B61 – example of potassium sparing drug: spirolacton62- when a dentist tell the pt what to do: paternalism63—which of the following has the greatest tendancy for malignancy:keratic acanthoma64: actinic cheilitis --- lead to SCC65—make sure u understand PTT .. PT..INR..bleading timePT --- extrinsic factor – PTT – intrinsic factor 8.9.11.12INR deals with PTFactor VIII is hemophila ABleeding time has to do with palatal count64 – deaf pt. they can read the lips65—chroma is the intensity of color66 – rad sor, blow it gingiva lift, you can see denuded root, what is the treatment?67 – cleft lip and palate --- 6-9 weeks in utero68 – with cleft lip and palate what occlusion is mostly seen--- class III malocclusion69- 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 sure71- none vital bleaching is with carbamide and 35 % hydrogen proxide72 – thee usual metabolic path of ingested fluride primarly involves urinary excretion with remaining portion in:skeletal tissue73—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 sure75 – most lab complain : the tooth is not reduced enough76 – the anterior maxillary incisors can given a younger appearance if: rounding the incisal point agle77 – best treatment of localized aggressive periodontitis: 78- 4.5 years old child with .75ppm floride in their water req. how much floride supplement: 0 mg79 – pt taking dicumoral is probably treated for: coronary infarct80 – which of the following physical signs indicates severe CNS oxygen deprivation Dilated pupil with an absence of light reflex81- group of muscle that influence the lingual border of final impression for an edentoulus pt:answer: palatoglossus, sup constrictor, mylohyoid, geniogloassus82—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 reductionall other choice were very wrong84 -- 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 plate87—which one of the following best describe adjunctive orthodontic tx:answer: orthodontic tx to enhance restoratitive and perio rehabilation88- 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 A REACTION TO AN APICAL INFLAMMATORY DISEASE93- most common carried among 5-17 years oldocclusal?ProximalFacialLingualRoot?I don’t know, I put occlusal94 --Pulpal anatomy dictates a triangular-access cavity preparation in the MAXILLARY CENTRAL INCISOR

95 - Patients with natural dentitions generate the greatest amount of occlusal force during PARAFUNCTIONAL MOVEMENT

96—if there is an article and if you want to underatand the definition of Dependent and independent, which part of the article you look:IntroductionMethodBodyResultSummary Answer: I DON”T KNOW 97 – a dentist in his clinic notice new diseases this is : incidence97 __ for the second division of trigeminal nerve block where ( which foramen ) the needle should penetrate:Nasoplatine foramenRotoandomGreater palatine Note: pterigopalatine and sphenopalatine was not the choice98 – uncouncous diabetic is treated with:50 % dexterose in water99 --- maxillary 1st molar access opening:100—in finding the orofic of the canal you can do all of the following EXCEPT: using a high hand piece with diamond bur101: with the mandible is fracture with muscle move it jaw forward and medialMedial pterygoidLateral PterygoidMasseterAnterior belly of digastric102- in releaving a buckle frenum for a mand. Denture which muscle is released:caninusorbiqularis orismasseter several other muscle:

103) which of the following cells appear to be defective in Localized aggressive periodontitis:

neutrophile104) Know oligodontia and hypodontia are signs of what syndrome?105 ) multiple osteoma seen in ?Gardener syndrome105) there was an x-ray asking to distinguish the radiolucency: Tramatic bone cystAneurismal bone cystStefen’s Static bone cyst106) 4 years old avuled max centeral:extract the other central to make it bilateral RCTLeave out107 ) Which one of the following is not part of redistributionoxidationhydrationgluconitiaonCovalant bond *108) the best treatment of a diastma b/w the anterior 8 and 9 is:proximal compositeVeneerFull crownno ortho and surgery was suggested109) another question about diastemawhen you close it:answer: wait until the perm canine are erupted110) most likely lesion after child in dentist office is:lip bitting ( anesthesia)111) all of the following cuase damage to soft tissue excepttopical use of floride112) sealant : micromechanical retention113) most composite resin by,, mechanical retention114) pt had a post and core 6 months ago,,no he has sever pain with no apparent cause:Vertical root fracture115: one hr after placing the crown pt has a soothing pain when teeth comes to gether what is the cause

hyperocclusiongalvanisimpulp116) the amont of the x-ray exposure that a fetus get in a single x-ray is:double the normal amount outsidehalfless than 1 day that a person get it in a day from outside exposure117) all of the following are the x-ray to access the bone in implant of 6 anterior teeth except:topographyPanCTPeriapical – I put this as an answer but I am not sure118 ) patient come to your office and with multiple lesion around the gingival, he mention is gets tired fast:multiple pyogenic tumorLeukima – I chose this as my answer Peripheral giant cell granula119) pt put aspirin on the tooth, white stuff: tissue necrosis120) lots of question about Localized aggressive perio: how you treat them do you use systemic antibiotic what antibiotic you use tetracycline has an effect on mod ( inhibit host collagenase) etc..

121) most complication of IV and general anesth. Hypoxia122) interrupted suture is used for:decrease infectionstable tissue I put stabilize tissue betterdecrease bleeding123) when you suturing always suture from: loose to firm tissue124) dentist try to take an x-ray PA of mandible, but because of interferences in

the moth can’t take it, what kind of extra-oral x-ray can be taken?Oblique mandibleWater view

A- p125- outliers control meanmedianmodestandard deviation126 – you try to take the impression patient keep gaging:Bad techPersonal traitTwo other choices I forgot127 – chance in color of enamel only on the surface can be fixed by:restorationput crownenamoplasy - answer128) what is DNA prob analysis

From the Computer exam 2006(Choices are listed. Not all the choices were remembered. If it is an answer thought to be correct, it says “ANS”)

30% Rocks from 1991/93/98/ 2001/02/03/04Prosth/ restorative was not too difficult- dental secrets is good

129 -Rapport with dentist questionsEye contact… etc

130 Endo trauma- When to do Pulpotomy with CaOHWhen to do a pulpotomy with formocresolWhen to do pulpectomy(Very similar to rock questions)

131 - Oral Path: 5-10 picturesLateral cyst located where?Cleidocranial Dysostosis?

Ectodermal Dysplasia?Cerebral Palsy?

132 - three calculations on how much Local Anesthesia (mg in 5ml of 2% lidocaine)

(20 kg or 44 lb child, what is the maximum local anesthetic to give?)

133- Which artery are you scintillating when checking sphygmomometer? (Asking about where you check the BP) Ans: Brachial Artery

134 -at is the longitudinal study?

135 - cidence vs. Prevalence

136 What is the impression material that causes syneresis and imbibition? (Alginate is not a choice?) Ans: Metallic Oxide??????

137 What is related to Osteogenesis Imperfecta? Ans: Dentinogenesis Imperfecta

138 Most common mental disorder in the public? Ans: Anxiety or Depression?

139 Most common mental disorder in the elderly? Ans: Depression???

140 Of the following, what is a Schedule II drug? HydrocodonOxycodonVicodan

141 What causes the most damage to an opposing restoration?OverdentureComplete DentureTooth-support RPDTooth-tissue RPD

142 Which is the worst prognosis for periodontal defect?

Mx 1st MolarMnd 1st Molar

143 Know justice/ beneficience/ autonomyQuestion states, what follows the statement “do no harm”

144 What is the order of treating a tooth needing restorative?-pain, comprehensive exam, restore the tooth (these were placed in different order, choose the best one)

145 What is the purpose for oil in the house foundation??? (radiology)

146 Contraindication for endo therapy: Ans- Restorability

147 Which of the following not associated with periodontal disease in the primary dentition?

Down’s SyndromeSteven’s Johnson SyndromeCycloneutropenia

148 Treatment plan for 0.8 mm wide nasopalatine cyst?

149- Large Sialolith infected in the Wharton’s duct. What to do?Remove duct Remove the submandibular gland… etc

150 - What syndrome if one side of the face swells after dinner? Ans: Sialolith

151. Which of the following DOES NOT happen in Local Anesthesia Overdose?

152. H1 Antagonists will do what? (one choice was increase in gastric something)

153. What do you with Petit Mal?PhenytoinDiazepamProtect patient from self harm

155. Lithium is used for what?

AntipsychoticSchizophrenia

156- Best way to build rapport with the patient? Persistent eye contactActive listening

157. Treatment of Recurrent Herpes

158. Which of the following has the BEST survival rate?*Squamous cell carcinoma Adenocarcinoma Osteosarcoma

159- Onion Peel look on the radiograph is characteristic of what?

160 - . Air/ Water Syringe after endo, what happens from debris into sulcus?Hematoma????

161. Which disease can be Diagnosed with immunofluorescence?Pemphigus

162. Internal Bleaching can cause what?

163. What has the least root surface area in mm squared?Mx LateralMx CentralMnd 1st PMMx 3M with fused root

164. All the following have mechanism of action that deals with intramembranous permeability through cell membrane except what?

Ans: Propanolol????

165. Which is the most soluble?HydroxyapatiteCarbonic Apatite

Fluoroapatite

166. Which is the most susceptible to caries?Mnd 1st MolarMnd 2nd MolarMx 1st Molar

167. Both primary and secondary molars exfoliate. What is the space maintainer of choice? Lingual Arch???

168. Upright a Mnd 1st Molar with lingual and omega loop? What happens?Tilting of ant toothOver tilting… etc

169. Know about CPR, and not the basic stepsWhat is the biggest problem that causes no air into lungs?

Airway obstructionDid not pinch the nose

Know adverse effects and problems when doing CPR

Why do you get gastric distension when doing CPR?

170. Optimal Incisal Reduction of PFM? Ans: 2mm (1.5mm also given)

171. Patient complains of PFM on #8 and has the PFM for 5 years. Restoration is a lot lighter than the other teeth. What is the treatment of choice?

Teeth whiteningVeneer over PFMReplace PFM

173. Know that Value is the most important.

174. Chroma is the saturation of the Hue

175. Pulpectomy and filling a Mnd Molar, where would you most likely perforate?MesialDistal

176. Which fluoride causes the most staining?(all the fluorides we use were listed)

177. Small white lesion on the tooth the patient’s whole life. What caused it?Hypercalcification during the first 6-12 monthsHypercalcification during natal Hypercalcification during the primary tooth

178. What is the use of Mitronidazole?Ans: Antibiotic and Antifungal

179. Which of the following is least likely to cause progressive perio problems?Soft tissue injuryIll- fitting marginsRough marginsWithin Biologic width

180. When dealing with furcation, Guided tissue regeneration best used with Osseointegrated bone graft. Prognosis of tooth with GTR is better in Mx molar than with Mnd molar.

True or False of each statement

181. Which is the least likely to cause bacterial endocarditis?ExtractionScaling and Root PlaningProbingAdult ProphyRoot Canal Therapy

182. Purpose of the EPT?Pulpal responseNo pulpal response

183. Which tooth do you test with EPT other than itself?AdjacentContralateral

184. Class V and something about Modulus of elasticity

185. Definitions of:AbfractionAttritionErosion

186. Which space would cause infection in the Mediastinum?

187. How come Maxillary infection is dangerous?Ans: Drainage straight to the brain without valves (Cavernous Sinus)

188. What is the Point A in Cephalometrics?Ans: Most inferior structure in between _____________________

189. Most common complaint of Sagittal split?

190. What does “S” stand for in DMFS? Ans: Surface

191. What does the Weight and height stand for in recordings?OrdinalNominal

192. Plastic instrument, how do you sterilize it? (ethylene oxide)

193. Effect of Norepi? How does it increase Blood Pressure?Heart rateContractilityPeripheral Resistance

194. When do you fill the tooth with CaOH?1st week into splintingAfter 14 days splintingResorption

195. Which of the following is best to know the platelet count?PT TimeBleeding timeINR

196. What is the best way to anticipate a prolonged bleeding time with extraction?Ans: History???

197. What should the dentist predict with the use of Cyclosporine?Increase gingival fibersGingival HyperplasiaIncrease pockets and bleeding

198. Best instrument for SRP of Distal Mandibular tooth?Gracey 1/2Gracey 9/10Universal 13/14Gracey 13/14

199. What causes porcelain to break off from the PFM?Metal OxidationOcclusal ContactMetal Contaminated

200. Increase water:powder ratio to casting investment material will lead to:Increase setting expansionIncrease thermal expansionDecrease setting expansionDecrease thermal expansion

201. The exact mechanism of Caries dyes (detectors) in effected and affected lesions

202. What is pathognemonic for measles:Ans: Koplik Spots???

203. what is the exact treatment plan for an immediate denture?

204.  what are the advantages/disadvantages of an immediate denture?

205.  about 3 questions on the different flourides.   one asked about which type is more likely to cause staining?  which type is mostly in toothpaste?  i had no idea on these questions

206.  why are composites not put in primary posterior teeth?

207.  something about the phosphate ion in an anti-tartar toothpaste.  what is the moa?

208.  cerebral palsy was on there 2 times.

209.  2-3 flouride supplement questions

the clinical part on the second day asked alot about the drugs that can and can not be used on an asthmatic patient and a hypertensive patient. 

NBDE II from july 2006

how u treatment nasopalatine cyst: palatal flap approach -> enucleation, recurrence is rare

Flumazenil came up twice -> for benzodiazepine sedation reversal. C/I are TCA’s.

Peutz Jegher came up a few times too. -> brown pigmentation, intestinal polyps

what is most common bone malignancy in ppl under 25 (Ewing sarcoma wasn’t an option so I picked osteosarcoma)

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) -> if it is really what is the distance between D1 and D2, then it is 1mm…

C and L osteotomy (at least know what they are. Cuz I didn’t) -> for fixing mandibular prognathism can use inverted L. For doing a mandibular advancement, can used either inverted L or a C osteotomy.

Which area of a flame do u use to melt gold? REDUCTION !!!

What is hardest to alter? The hue, chroma, or value -> raising the value is the hardest to do

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.NON SPECIFIC: propranolol, inderal, nadolol, corgard, penbutalol, levatol, sotalol, betax, cartrol, carteolol, timololSPECIFIC B1: metroprolol, lopressor, atenolol, tenormin, acebutolol (or is it partial agonist?), betaxolol, betoptic

Which are mixed-acting opioids?MIXED: nalorphone, pentazocineANTAGONIST: naloxone (narcan)

Impression material with the most dimensional stability = addition silicone

How does caries detecting dye differentiate btw infected and affected dentin? It bonds to denatured collagen (which is only in infected, not affected dentin)

If pt has habitual retruded tongue, what is most likely sequelae?, dislodging of denture,

Cri-du-chat -> loss part of chromosome #5, genetic, cleft palate.

Johnston-Tanaka space analysis -> predicts size of unerrupted canines and premolars. You take ½ the width of the 4 mandibular molars and if you add 10.5mm you get mand canine and PMs in 1 quad… if you add 11.0 you get max canine and PMs in 1 quad.

way anti-fungal works - whether it works on cell membrane (ergosterol)

- AED machine - how many shocks it gives off (one) , any age contraindications for it (seems to be 8 yrs or 30kg… but I’m not sure)

- cause of geographic tongue -> etiology unknown

- kopliks spots are seen in what disease -> rubeola aka measles

- what are the meds used for CHF -> diuretics, digoxin, vasodilators, ace inhibitors

- what happens to the GI tract while doing cpr -> you compress it and they throw up

- what to treat apthous uclers with -> corticosteroids

- pemphegoid: SUBepith, antibody BMZ, skin/eye/pemphigus : SUPRAepith, IgG, immunofluoresc, lip/palat/gingiva

- tmt lichen planus -> if asymptomatic no tx, if symptomatic corticosteroids

- what diseases you see missing teeth/delayed eruption/supernumary (maybe they are talking about cleidocranial dysostosis –> supernumerary teeth, retention of primary teeth, delayed eruption of permanent teeth)

**************************************-Juvenile perio -> 1M and incisors

-Pierre Robin -> cleft palate, mand micrognathia, glossoptosis (asphyxiation)

-SNA of 80 means… retruded max (normal is SNA 82, SNB 80)

- most congenitally missing 1. 3M, 2. max lat

- tooth w/ 3 canals (of the pm’s) max 1pm

-most impacted: 1.3M, 2.max canine, 3. mand PMs, 4. mand canine

-ectodermal dysplasia -> oligodontia

-tx for recurrent ranula -> excision and get rid of glands

-multiple myeloma -> bence jones-pagets -> increased alkaline phosphatase-prostate cancer -> increased acid phosphatase

-nuchal -> meningitis

-normal bleeding time (BT) is 2.4 -8 sec

- mercury toxicity: increased salivation, oral stomatitis & gingivitis, premature tooth loss and alveolar bone loss, tachycardia, photophobia, sweating, tearing, trichtillomania (mad hatter), hair loss, stomach pain, diarrhea, red skin rash

-50% dextrose sol for insulin shock

-rogain (for hair loss) is category C (birth defects)

-know about cromolyn sodium (intal) asthma meds for the cases on the 2nd day.

Things remebered from July 2006

-When doing extractions of max posterior teeth, why to you start with 3M and move forward? 1. prevent sinus perf, 2. prevent root fracture, 3. prevent alveolar fracture, 4. prevent tuberosity fracture.-5cc of 0.5% bupivicaine (epi 1:200k) how much epi and how much LA?

-3 carpules (1.8ml each) of lidocaine 2% (1:100k) how much epi and LA? (yes 2 of these questions)-how many mg of lidocaine can you give to a 20kg (44lbs) kid?-which thing and nerve is mismatched? 1.tic doloroux – V, 2. something –V, 3. auiculotemporal synd – VI, 4. palate phaynx paresthesia – IX (at least I think those were the choices… something like that anyway)-when taking BP in the arm, which artery are you listening to? 1. axial, 2. brachial, 3. radial, 4. ulnar-if you accidentally inject medially to the ptergyomand raphe during IAN block, which muscles will you penetrate? (I think it is sup constrictor and medial pterygoid)-cleidocranial dysostosis… there were 2 questions.-long term mercury poisoning side effects. The choices were tricky, you had to choose the thing that was the exception. Things like 1. birth defects, 2. nerve damage, 3. immunodefic, 4. ?? ( I think I put immunodefic, but I am really not sure if that is right).-what drug is recommended to tx recurrent herpes in HIV patient?-mechanism of action of zafirlukast (asthma med) -> it inhibits leukotriene receptors-height and weight are what kinds of variables? 1. ratio, 2. nominal, 3. ordinal, 4. integer-a kid is whimpering but not resisting in you chair, what do you do? 1. reappoint, 2. sedate, 3. let him whimper and continue, 4. go get the parent-which LA can also be used as topical? (I cant remember all of the choices, but procaine was there, as was lidocaine)-when doing internal bleaching with a poorly obturated canal, what is the immediate bad thing that can happen? Acute periapical periodontitis-what is used to obdurate a pulpectomy on a primary tooth? ZOE with catalyst OR ZOE withough catalyst (!?!)-a denture patient is biting his cheecks, which surface of what teeth do you adjust? (facial of max buccal cusp? Facial of mand buccal cusp?)-when uprighting a mandibular molar using a lingual bar with an omega, what do you have to be sure NOT to do? (flare mand incisors? Intrude molar?)-which is schedule II drug? 1. percocet, 2. vicodin, 3. Tylenol #3-which maxillary tooth has the least root surface area? 1. max lateral, 2. max 3M with fused roots, 3. max 1PM-what is the critical pH for caries formation?-what percentage of the face is the alar of the nose? 10%, 20%, 25%, 33%

-where does cortisol act? (on a receptor in the cytoplasm? On a receptor on a membrane?)-what are the opposing actions of specific B-blocker and epi? (choices were things like heart rate, gi vasodilation, muscle vasoconstriction… stuff like that)-when doing endo on the MF canal of a max 1M, what surface would you be most likely to strip perforate? 1. mesial, 2. distal, 3. buccal, 4. lingual-what is directive interviewing?-what is progressive relaxation?-what does hypnosis affect? (these are the real answer choices, no joke) 1. voluntary muscle, 2. involuntary muscle, 3. both voluntary and invol muscle, 4. organs and glands, 5. glands only-most common malocclusion in the USA is? 1. class 1 malocclusion, 2. class 2 div 1, 3. class 2 div 2, 4. class 3-which is least likely to fracture? 1. max PM, 2. max molar, 3. mand PM, mand M- which is most likely to fracture? 1. ant max, 2. ant mand, 3. max molar, 4. mand molar-why do you go on 100% O2 after being on N2O?-what is the most common way for dental payment in the US? Insurance? Sef-pay?-there was a picture of a 14yr old kid that looked like ANUG, but in the description it said he had red spots on his skin and he felt malaise… I am pretty sure it is leukemia.-least likely to cause a perio problem… 1. rough restoration, 2. tissue damage during prep, 3. over contour, 4. ??-antifungal clotrimazole acts via -> cell membrane permeability-know the difference btwn herpangina and recurrent herpes-osteogenesis imperfecta associate with… dentinogenesis imperfecta-you are given that the patients INR is 2 and they are on coumadin, what do you do? (things like, proceed w/ extraction and use local hemostatic means, take him off coumadin, switch him to heparin…)-what is a the BEST way to investigate a suspected bleeding disorder? 1. history, 2. BT, 3. INR, 4. PTT (how vague is that question??)-which is more likely to give you bacterial endocarditis? 1. prophy, 2. root canal, 3. scaling and root planning, 4. something else involving lots of blood-what is the most likely cause of failure of a RCT on a max canine? (answers were things like missing a 2nd canal, poor obturation, poor cleaning of canal…)

QUESTIONS REMEMBERED 2003

1. Picture of eyes (exopthalmos) - patient is supposed to have hyperthyroidism2. Picture of mucocele on lower lip - 3 questions - 1 is ID, the other is treatment

(excise), the third has to do with the fact that mucous wold be inside and that it has to do with an injured salivary gland

3. Acute herpetic gingivostomatitis - a few questions on this one is ID (small herpes lesions with fever), the other is treatment (palliative with lidocaine rinses and analgesics, etc)

4. Major apthous ulcers - two questions on this, one was on lip the other was on palate…the key is that it was "long standing" and "healed with a scar"

5. Lichen planus - Whickham's Striae on buccal mucosa (left) - treat with steroids6. PAN - MAX left sinus has a raised area on the floor - answer is cyst 7. PA - extension of MAX sinus between premolar and molar8. Picture of tongue - has a "flap" area on right closer to the lateral border - pt had

past trauma to tongue and this is how it healed 9. Lingual varicosities (looked like blue/brown bumps)10. Multiple telangiectasias - looked like little telangiectasias on the tongue11. Hypothyroidism - key was patient was gaining weight, lower voice, feels cold12. Sickle Cell Anemia - shows PA with radiolucent area (less striations in bone)13. Median Rhomboid Glossitis - 2 questions, one was ID the other was Tx - use

nystatin 14. Midline Fracture of Mandible (obvious step between 24 and 25)15. Pleomorphic Adenoma (lesion on palate) 16. Kid with a neck swelling - asked two questions about the pic - not sure what the

answers were - don’t give enough information (check to see if related to 3rd molar, I&D, etc were answer choices)

17. Dowel should be 1/3rd the length of the canal width - seemed to be the reasonable answer since the others were so wide that it would fracture the tooth

18. Picture of patient with obvious class III19. PA dealing with space maintenance - 3 different questions relating to this

A) one has the premolar almost in - so EXT the primary molarB) one has the primary molar there but there is no premolar coming in - maintain

molarC) one has the premolar coming in funky and the primary molar with caries -

answer choice was to either restore the molar (would probably need pulp treatment) or pull the molar and guide the premolar in with ortho (not sure of the answer)

20. Patient with LINGUAL TONSIL - it enlarges when she gets sick (not path)

21. PAN - mistake, the collar got in the way (looks like a white bell curve on the pan)22. PAN - mistake, earrings left in (See two ghost images)23. PAN - interruption in the x-ray (white columns and teeth are different sizes)24. PA - film is backwards25. PA - SLOB rule - the cone was placed mesially and they want you to ID one of the

canals in an endo 26. Pic of person taking a BW - underangulated (this one is stupid)27. Nasty pic of hairy tongue - asks how to get rid of it - take patient off of

meds/mouthrinses and improve oral hygiene28. ID the palatoglossus muscle (it's the one that is the first pillar, in front of the

tonsils)29. BW - blurry - the patient moved30. Ranula - on the floor of the mouth (looks like mucocele but on the floor of the

mouth) - take it out (real answer is marsupialize - but they were dumb)31. MAN has soap bubble radiolucencies - answer is ameloblastoma32. Patient with diabetes 33. Overweight woman = her hypertension is most likely related to that34. Patient had Hep A over a year ago - she is okay to treat35. Patient has OHL and AIDS - how do you treat (may need antibiotics if his immune

system is low)36. Hypocalcified teeth - pic (white and brown spots)37. Patient with fluorosis - can't do anything to reverse (well, you could do

microabrasion and bleach - but that is not an answer)38. Picture of amelogenesis imperfecta (BW or PA - no enamel on teeth)39. Picture of dentinogenesis imperfecta (obliterated pulp chambers)40. Another picture of dentinogenesis imperfecta (teeth are lucent) - see oral path

text41. PA - teeth have pulp stones - this will make endo harder 42. Hypercementosis - follow the PDL (was an upper PA)43. PAN - points to the pharyngeal space - was normal (one of the answer choices

was man fracture)44. Oroantral communication - answer was fix with flap surgery (didn't give any info

on size of the communication)45. What is the common goal of flap surgery (vague question ) either access the roots

for debridement or pocket elimination46. PA with vertical root fracture and PA radiolucency EXT47. PA with horizontal root fracture in the coronal 1/3rd of tooth - what do you do?

48. 3 questions related to gingival hyperplasia 1) Ca++ channel blocker caused it 2) reduce or switch meds of possible 3) ID

49. Best Tx for ANUG is scaling/debridement50. What is the best way to tell if a patient has a stable perio status - there was no

increase in pocket depth51. Primordial cyst - the show you a radiograph an tell you that all the other third

molars came in (#17 area)52. How do you test that the autoclave is working - biological indicators53. WBC was increased above normal - patient has leukemia (also bleeding gingiva)54. Pt has low plat count - thromobocytopenia55. Acute adrenal insufficiency - patient on steroids might have attack if not

supplemented 56. PAN - shows generalized root blunting - was because of ortho57. Picture of palate with nicotinic stomatitis - obvious58. Picture of tobacco pouch keratosis - obvious59. Leukoplakia on left buccal mucosa - biopsy60. PT is the test for COUMADIN61. Pic of geographic tongue - do nothing62. Profile of pateint - patient is taking INH - answer is that patient has TB63. Picture of osteoradionecrosis - on right posterior area of mandible64. Periodontal abscess - upper molar, tooth is vital and there is an infection

65. Picture of a Stillman's cleft (the v-shaped one) - treatment is scale, plane and place a givgival graft

66. PA - showing periapical cemetal dysplasia - obvious67. Slide showing gemination (max lateral) - there is some other odd deformity 68. Pic - ID the circumvallate papillae69. PAN - patient has missing teeth - ectodermal dysplasia70. Kaposis's sarcoma on palate - HIV71. Slide showing Class V caries - check to see if generalized to entire mouth before

restoring that one lesion72. PA with swelling due to wisdom tooth - refer to OMS73. Your patient is having a seizure - protect from injury

74. Pt is not responding - a) activate the EMS b) check airway c) check breathing d) check circulation

75. Pic of very large diastema - too big to do anything about76. Anterior tooth in occlusion - restore with hybrid composite77. PAN - look at styloid process - has eagle's syndrome (pt has pain when he turns

his neck)78. Distobuccal cusp of one tooth occludes in the central fossa of another79. Why are sealants most likely to come off (shows a picture) - had to do with not

properly isolating - not placing right OR wear?80. Yellow material painted on dies for crown was die spacer to make room for

cement81. Picture of an infection of Stensen's duct - what is the first thing you would do -

see if you can get saliva out (palpate) - or take a sialogram?82. Squamous cell carcinoma on lip83. Basal cell carcinoma on face84. Picture of the RINN system - how does this help get better radiographs (more

paralell and perpendicular)85. Picture of traumatic ulcer after extraction of a tooth86. How do you treat alveolar osteitis (dry socket) - with an iodoform gauze87. Picture using transillumination to look for "cracked tooth syndrome" or tooth

fracture88. Patient has pain on release of biting - root fracture syndrome89. 2 questions on endo diagnosis - thought they were irreversible pulpitis90. teeth that are traumatized will not pulp test in an accurate way right away91. Younger teenager with swollen tonsils - was an inflammatory condition92. Overhanging restorations cause perio problems (duh)493. Antianginal drugs (NTG) - cartoon pic - patient is having an MI94. What speed film gives patient least exposure to radiation (B,C,D,E)95. PA of taurodont96. Median palatal cyst - occlusal film - what do you do?97. CASE WITH patient with KIDNEY DISEASE (98- 110) - NOTE, the rest of the cases

were the same is in 1996-97 packet98. What drug is okay to use? (aspirin, tylenol, naproxen, advil)99. What is an interleukin, IL-1 and how does it relate to perio disease100. Does trauma from occlusion contribute to perio disease?101. If a stent was placed for dialysis, does the patient need premed?

102. If the patient had a kidney transplant the patient might need antibiotics due to anti-rejection meds

103. If the patient is on steroids, will need supplementation104. What makes the best bond (best cement) for placing in a PFM? A) glass

ionomer B) zinc phosphate105. Picture of #9 margin - why is it inflamed? A) margin is plaque trap b) porcelain

is rough106. If you had a 2mm pocket, where would you place the finish line? (1 mm under

the gumline to maintain health)107. What is the main reason that things debond (the mechanics of cement) -

didn't understand ?108. What kind of retention do you get when bonding to enamel109. What do you use to etch - 35% phosphoric acid110. Patient has malaise, lethargy, itching - what do you do? A) benedryl b) refer

for kidney eval c) treat, then refer d) do nothing111. Occlusal film - sialolith112. Picture of epulis fissuratum (MAN) coming from underneath denture - treat by

excision113. Advantage of using Maryland bridge - conserves tooth structure114. Disadvantage of using Maryland bridge - debonding115. Slide of lingual varicosities - due to age116. PA with either an odontoma or developing supernumerary tooth117. Patient had supernumerary teeth - cleidocranial dysplasia118. Slide of patient with swelling on face for 24 hrs duration - send to oral surgeon119. Question dealing with "liver clot" - answer - pressure and reassess120. If unable to match the color for porcelain use - low color and less grey121. Patient had needlestick and tested by Elisa for HIV - what are they looking for

- Ab to HIV122. Test function of sterilization - once per week (according to dental secrets

book)123. A 6mm pocket displaying continued bleeding on probing in spite of good oral

hygiene and root planing would result from - retained subgingival bacteria (calculus)

124. After scaling and root planing, you are most likely to find - reduction in inflammation and 1-2 mm probing depth

125. PA of mesioangular 3rd MAN molar impinging on 2nd molar - tx is EXT126. Pic showing funky molar development - syphillis

127. Pic of tetracycline stain - leave aloneGOOD LUCK

-how do benzodiazpenes work? -complication of repeated low dose radiation? Erthymea I think-lowering what will increase density in x-rays?Choices were ma, kvp, source to object, object to focal point-what race has highest incidence of chronic periodontitis?Blacks?-what race has highest type 2 diabetes?-picture of hemangioma-what antibiotic has rxn with alcohol?Metronidazole I think-which antibiotic is specific for anaerobes and parasites? Flagyl -how does DEA categorize drugs?I think abuse potential-which cell is most radioresistant?Muscle-what radiograph is best to see bone levels?BW-know when to do pulpotomy vs pulpectomy-know reversible vs irreversible pulpitis-what does sodium hypocholorite do?-functions of rubber dam-margin for all ceramic crown? shoulder -advantages of composite vs indirect composite?-local anesthetic mgs in cartridges-a lot of pt management like what to say when they are apprehensive or angry-Ex. You walk in and patient is standing in corner facing wall. What do you say first?E=Answer is Hi I am Dr. so and so….Not sit down so we can get started and so forth-question on the definition of mode of set of data-know types of epidemiology studiesEx. Cohort/t test, chi squared-what causes wheezing sound on asthma?

-placement of implants for ideal esthetics?-how to improve retention for a crown on tooth?-whats main cause of implant failure?Smoking or surgical error not sure-know floruide supplement chart from pedo-know eruption and calcification ages-question on which tooth is either most likely or least likely get caries-which has coefficient of thermal expansion closest to tooth?-which cement has least solubility?-whats premed for pen allergic ptClinda 600 mg But know all other doses especially for Pedo. I had a few questions for those.-what are effects of addisons disease-critical pH for enamel carries5.5 (this is when demineralization starts)-know radiology images-odontoma, ameloblastoma, periapical cemental dysplasia, cementoblastoma, sialonecrotizing, pagets, hypercementosis-know oral path lesions-verrucous carcinomam hemangioma, leukoedema, know pics and details-when to treat pt on dialysisDay after-know which are antiplatelets-know whats high and low viral loads and t cell count for aids normal tcell 500-1600-question on biohazard container-advantage of putting composite veneer over porcelain veneer-what is indication for extraction of 3rd molar-reasons for repairing a class 2 restoration-question on cervical pull headgear-what is ANB value indicate? -main side effect of N2OI think nausea also causes hand tingling-what innervates soft palate?-list of conditions, which you don’t premedicate-OKC has correlation with basal cell nevus syndrome-know diff periodontitis bacteria-how to differentiate between endo/perio lesion-which teeth and roots are easiest for hemisection

-questions about pain management for people with codeine allergies and diff levels of pain and what to prescribe-lots of fixed prost questions (dentures/ crowns)-Biomaterial with crowns-how does slurry water effect expansion?-what do you use to probe furcation? Nabers probe-oral surgery armenmentarium…Ex. What forceps do u use for upper molars 150-few questions about diff crown preps and the margins like shoulder/bevels and so forth-questions about tipping, leeway space , VDO and VDR-lots of endo diagnosis! -Had a couple questions about rake angle of a bur-fluoride values for kids-questions regarding attrition/abrasion-few questions about diff ortho appliances like helix/nance/Hawley-tons of questions about carious bacteria whether aerobic/anaerobic and so forth-question about internal resorption and how to treat it.-which benzo will not work for sedation the night before- WTF all were benzos-lots of treatment planning based on demographic/what the most ideal tx is-EDTA-which perio/endo lesion is vital-what type of denture you give someone with a cross bite????-oral surgery questions about BSSO-why don’t you posterior mandib lingual?-question about class V and which material do you use. Glass ionomer due to fluoride release

Bisphosphonate, there is a concern with xrays while on bisphosphonates.         Frey syndrome-sweat on parotid when you eat         Xrays of nutrient canals, inverted Y around pm and k9 max (max sinus and zygomatic process I think), periapical cyst around max lat, perfectly round cyst on pan right above pm( in mosby),         Tons of perio from tx planning, to implants (implants were hit heavy), GTP, BMP, furcations, how to treat, if it’s a deep c2 furcation what are some acceptable tx (I put resection as least desirable),

         Implant success, what factors will help implant osseointegrate and what factors will not let it osseoimtegrate         What is more stable an single implant of 4mm or 5mm or a double implant ligated together for a total of 4mm and 5mm ( I put double implant ligated for a combo of 4mm because it sounded like it would not be as stable as a single implant being 4mm thick.  The other one would be 2 2mm implants ligated together.         30% fat allowed for daily value         What is the most a toothbrush and dental floss can peretrate into sulcus.  I put 1mm and 1mm. the other choices were 2-3mm.  I thought that was too much         ID a CT scan.  Look at MRI example just to be sure.  My picture was of a CT image of the brain and skull.         Nutrient canals!  I had to id 3 of them on pics         Diabetic patient         What could precipitate a seizure- hypoglycemia, hypokalemia, hypocalcemia, hyponuternia, one other hypo-         ANUG, NUG,         Know differences of endo dx hard.  I had at least 15 questions         What Kennedys class does not have mods =(IV)         SS crown prep for pedo, know what you need to do and guides etc         What pedo molar are you concerned with likely pulp horn exposure. Distobuccal , mesiobuccal, 1m or 2m (4 choices)         Pulp tests.  What you see to differentiate b/w acute perio abcess and acute periodontitis, how to differentiate b/w chronic and periodontal abscesses         Know perio and endo abscesses and what pulp test you would do to dx them.         Tx planning for perio and implants         Value, hue, chroma-know what they are and what they depict. Ie “saturation” would be mean value.         How to change the color.  I put bleach the other teeth to match the cown.         Few operative questions.15max- just the basics, outline, gold, cad/cam, inlay only (the remembered ? are good)         Oral path like what is this pic most assoc with, know basics like what does each mean and assoc with.  Not too in depth, but deffinatley know

what it is         Peutz-jeughers, ewing, langerhans, histiocytosis x(what would you see if a child was take a long time of antibiotics, also pt taking long history of corticosteroids what would they be predisposed too.  Also pt is on chemo what are they predisposed to.  I put candidiasis cause of opportunistic organism.         Dude, leavell and Rivera had a combined  I would say 60 questions.  They are easy, but definitely review. Mosbys has good explanation         Cohort, x-sectional, chi-square         Code of Ethics-5questions.  Benefiance, Nonmalfience- which one does keeping up with skills and knowing when to refer fall under (benefiance)         I had 3 calculation question, how much MAX carpules  lido 3% can you give a 40kg child.         How many carpules 2% lido 1:100,000 epi can you give child         Had to figure how many grams of anesthetic you could give child.  (something knowing that anesth would be 4.4 or something like that.  Pedo section in mosby         How to tx plan Alzheimer pt, do you do what he would have wanted before end stage or do you just do palliative keeping out of pain and disease (I put that one)         If an 84 yr old man comes in for new appt with his son.  Son had a paper stating a legal guardian (not son) who can make decision.  This was weird cause I didn’t know if the old man was senile or independent.  I put legal guardian must be there, but I think they should have said that the pt is dependent on legal guardian.         Remembered stuff was good         Know about denture processing and resins and evaporation and temperatures.  They wanted to know something about shirking and leftover resin.         F,v, T, C, all sounds.  Look in mosby and what they are for.  Lisp, whistle, and what sound would that be         Denture should IDEALLY cover entire or 1/3 retromolar pad.  I put entire even though its 2/3 (wasn’t a choice) thought 1/3 too little         Porpanolol what it is and what is it used for         Pharm was basic, what do you give as antidote for overdose of sedative (not naloxone)- I think it was diphenhydramine.  Something dr

Williams said a couple times in class         Preg pt hypotension- lay on left side         Pt with moderate emphysema, stops often to catch breath- position least tolerate- I put horizontal recline         Composites- basic stuff pros cons contra, indications         What was added to zinc oxide eugenol to make IRM- I think it was zinc phosphate. Not sure         Glass ionomer mixed with polyacrylic something.         Have your articulator and want to adjust the VDO and condylar incline, where is the pin?  On the table, raised off the table,         Arcon vs nonarcon- which one will let you do something with mounting casts?? Look at mosbys for explanation         Open impression technique.  Whats its used for and the adv for doing so.  I put something like better detail         CD pt with “abused” tissues.  You want to make new dentures, what do you do first.  I put surgically remove “abused” tissues.         Space you are concerned with extraction on 3 molar max.  I put infratemporal fossa.  Though max sinus was too anterior         Infection from PM goes into buccal space         If trying to take max impression and access buccal space, what muscle would be in the way.  I put masseter, maybe obicularis oris.  Other choices were med and lat ptyerygoid         Pedo mgmt- sedations, behavioral mgmt         Implant osseointegration         Main cell type in Established lesion (mast, tcell etc)         Where do you put a suture for a laceration on the lip to inside of mouth first?  I put line the lip up then proceed         Pt comes in with pain, what do you do first? Remove pain, comp tx plan and exam, adv carious lesions.  Also was comp tx plan first then remove pain.  But I put remove pain first cause that’s what we were taught in school, soooooo I hope they are right..lol         What can cause hypoglycemia and thyroid issues.  Read up on thyroid storm and what you will see         If a pt is hypothyroid they will feel cold to touch or hypotension.  I put cold to touch.         INR values and when it is ok to do oral surgery- 3 or less         Pt on warfarin, when can you do OS-  read on when to stop meds, and

INR values         Fluoride does what to bacteria, what to tooth structure, and anything to collagen?  I don’t think it does anything to collagen as far as reinforcement         Leave a small carious lesion in by accident and place a sealant over it.  What will happen?  Arrest decay or continue lesion.  I put continue lesion because it is already a lesion.  You can leave bacteria in and they will die, but a carious lesion I thought will continue         Poryphomonas- type actual name type of bacteria that is in a needed RCT root canal system- strict anaerobe or facultative         Where to place a gingival margin for ant max incisor pfm.  At the crest of gingiva or between gingival crest and alveolar crest.  I put the latter because it was the only one that hinted at subgingival finish line         Pic of nicotine stomatits or denture stomatits

         Steven Johnson syndrome, EM, pemphigoid, nokolsky sign,Know hyper and hypo thyroid really well…each symptom of each and what goes with what.

Animal has caries and feed them cariogenic food via stomach tube what will happen to the caries intraorally? Decrease, stopped, increase, increase dramatically

Extension of retromolar pad in dentures? 1/3,2/3. In front

Daily requirement of fat? 10,20,30,40(who cares)

What is most common reason children get coronary artery disease? Obesity, diabetes

Oseteogenesis surgery vs ostectomies why is one prefer over the other? Less parasthesia and some more

What are leukotrienes are now being linked to? Asthma

Know what to do if you fracture the aleveolar bone while extracting….they had place flap to visualize the pieces(which is what you should do) but they also had refer to oral surgeon which is what a general dentist SHOULD do so who knows

Know how to remove mandibular tori. Is was like with osteotome, bur, etc. I said

section w bur and use the osteotome

I had the inverted Y question. I put floor of nasal and wall of max sinus

Know how to treat hypo(called insulin shock) and hyperglycemia in pediatric and adult patients…I chose juice, had glucose but u they said IM and u give it via IV and u def don’t give more insulin

I had a lot of fear vs anxiety questions…know the diff thoroughly in terms of children.

Random statistic questions…

How far does floss and toothbrush penetrate sulcus? I put 2-3mm for both and I looked it up before the test and couldn’t find a definitive answer but I did see that toothbrush goes up to 3

Know IRM, ZOE, and Glass ionomer…they seemed to like them and know the composition of each one of those materials

What surface is caries most prevalent? Occlusal, interprox, facial, lingual

Cutting access prep on Max incis, angle bur distally to avoid what? (this is in dental decks)

Want to gain straight line access…they had many reasons that seemed good access preps but ultimately this is what we want to do

Osteoporosis and bisphosphates…know what happens when on bisphosphanates and get messed up jaw similar to osteoradionecrosis but here its called regular osteonecrosis bcuz ur assuming pt didn’t have radiation treatment

Smiling, praising a child? Token reinforcement, social reinforcement

Know that you will use glass ionomer if you are close to gingival margins

GI over composite due to….fluoride release

Glass ionomer has….polyacrylic acid

IRM is ZOE combined with…… methyl methacrylate

Autistic people have? Heightened perception to sounds, lights, or greater than average intelligence

Have implant should the emergence profile be from the? 1mm below CEJ of adjacent, 1mm above, 2-4mm below, 2-4mm above

Asked what part of framework resists corrosion? Chromium-cobalt wasn’t there together but listed as separate parts. Cobalt, chromium, blah blah

Epipheseal plate is most similar to what? syncodrosis

What don’t u take with methotrexate? Beta-lactam antibiotics

If you have a patient with an overdenture, what is the treatment for the roots? Fluroide treatment for them

Know when to biopsy and when not to (vague I know but its prob related to length of lesion and common locations where cancer could be, refer to oral path book)

I had a patient who had like a super furcation on #18 bone loss all around and am impacted #17, they said that these teeth were being sent to be biopsied upon extraction. The question asked why…it was either due to #18 or because of the locsalozed aggression on #18, which is what I chose

Know when to use chlorohexidne rinse vs fluoride treatment in medically compromised patients(unclear I know but I cant remember what the illness was)

Know tensile strength is the ultimate strength before breaking….yield strength is one before it deforms permanently. They asked me this in relation to why would I choose a metal framework for a patient.

They had a patient and they asked what would give her the best retention for her dentures? Ridge augmentation, implant supported denture….i like both

In a case I had a man with sickle sell…know what special precautions needed to be taken with these patients

I also had a man who was a crackhead…it asked me that since this patient is on cocaine should I not expect him to maintain his oral health. True or false

Also asked me what drug would I give him for pain…I chose the regular ibuprofen vs Percocet,etc(just didn’t seem to give a drug abuser something more to abuse)

I had some SOPS too, ph caries etc

Know about the incisal guidance on the articulator….

Know arcon vs non acron articulates and how they differ in terms of the condyle

Know in terms of the solder that if u want it stronger than make it wider

Oral Bisphospanates heavy

Genial turbercles picture but make sure

Know about a precision attachment…asked what was it used for, key is that it is used for esthetics on people who don’t want the clasp showing on their RPD

If taking a palatal graft, know what nerves can be damaged (guessing u should know MC location) Nasopaltine, ant palatine, greater palatine

  Best way to view maxillary sinus? Water’s view2.       Best way to view maxillary sinus disease? CT3.       Lipid solubility and nonionized base.  Nonionized is lipid soluble, ionized is water soluble4.       Child has pain? Osteomyletis, chronic osteitis5.       What do you check on bone graft to see if osseous integration worked? Post, instant, Pre6.       Extraction sequence

7.       Horizontal overlap8.       Which is harder to anesthesize? Mx molar IRP, chronic9.       Hemisectio cut molar into 2 premolar10.   Mucopolysaccaride is answer11.   Undercut12.   2 questions about reducing mx tuberosity –denture wont fit because of undercut13.   LED curing vs regular curing? Why is LED curing beter? Range, last longer14.   Test for boy/girl-chi square15.   How do you know if non-odontogenic tumor, pain doesn’t subside16.   Difference between 245 and 330 bur17.   What turns porcelain green? Copper18.   Referred pain19.   Warfarin, Coumadin, what test do you use? INR20.   How far you place implants from tooth? 2-3 mm  apart and 1mm from adjacent tooth apical21.   Remove rampant caries from anterior22.   Curretage what part of blade do you use in perio? Middle 1/3, etc23.   Pregnant lady? Lay right side up, what are artery are you protecting?24.   If patient is laying backwards and going into syncope what is being smushed? Abdominal aorta25.   Periapical abcess vs periapical radiolucency which do you do first? Endo then perio26.   Mandib incisor coming in crowded how do you make space? Interarch distance from primitive space27.   Which do you gain back? Tooth mobility, bone, etc,28.   Neuropraxia29.   Key to RCT, cleaning and shaping, why did it fail30.   Manic depressive not tking medicine what will happen? Mood swings31.   Band and loop for 1st primary molar32.   5 year old child having pain what do you give them? Asprin, ibuprofen, codeine, acetominphen33.   PCOD34.   Which least likely to have hepatitis B? café workers @ hospital,  down syndrome, diabetic35.   Freeze dried bone

36.   OKC-most likely to reoccur37.   Nevoid BC38.   #8 Reduce @ gingival-need crown lengthening39.   Material least to do impression with-irreverisble hydrocolloid40.   H2 histamine-gastric reflux41.   Hue, value, chroma which is in 100ths42.   Papilloma43.   Apexification-when do u use-nonvital want to close apex44.   Apicoectomy-when do you do it-ant get to apex45.   Calcified canal what do you do-refer46.   When is it ok to do a temporary fixing on patient? Emergency47.   Incidence 100/100048.   Principle of tell show do49.   How do you get a child acting out to act favorably? Let them watch another child behaving50.   Fibroma51.   Cancer translocation52.   Greatest degree of expansion? Resin53.   Calcification sequence? 7mos-3yrs54.   Class 3- cleft palate, cleft lip55.   Sickle cell-trauma, infection-thrombocytopenia56.   Thyrotoxic crisis57.   Sequence for nausea , vomiting58.   Periostat and doxycycline. What does it do59.   Bevel for occlusal on a crown? Retention60.   Closed panel go to specialist which would allow you to go to another dentist but reimburse you-HMO,PPO, etc61.   Increase mucus from obstruction62.   Patient has increase in salivation how does it affect denture? No affect, problem seating, soft tissue reline, differing salivation63.   Emergency phase, perio, reeval, fixed, maintenance64.   How many canals in primary 2nd molar65.   Denture for 19years- relieve  pain denture and have white spot what do you do66.   Patient has successful treatment for gum disease but still keeps poor oral hygiene. What kind of study? Incomplete67.   Null hypothesis

68.   Amoxicillin and clonavonic acid is combined to keep from degrading beta lactam ring69.   How long do you take patient off of Coumadin before surgery? 2-3 days70.   Benzodiazepine affects gaba71.   Albuterol –asthma72.   If patient wants to last for 8 hours which is long acting drug? Aspirin, ibuprofen, acetominaphine, n-something73.   Glass ionomer placed on rampant caries74.   Epulis fissuratum-inflamed tissue in ridge area to put denture back in75.   Why do you take denture out at night76.   Ectodermal dysplasia77.   Ameloblastoma-dentigerous cysts78.   Process of PCN-not wide range79.   Periostat n doxycycline inhibits what80.   How do you clean furcation after perio surgery? Floss, toothbrush, water81.   What type of reinforcement is smiling and praising a child82.   ANUG comes with spirochetes83.   Pic of white spongy nevus84.   Periodontitis and doxycycline85.   Patient has hip replacement a year ago what kind of treatment can you render?86.   What can you not give a patient with a heart condition87.   Contraindication for implant-myocardial infarct, smoking, bone loss88.   How long do you splint with avulsion. 7-10 days, bony fracture 2-8 weeks89.   Why is core better than another-lets out fibers90.   Ppm in water-191.   How much do you take off facial for veneer?.5-1mm92.   Capping-2mm for caoh293.   Pics of chronic osteitis, myleits, bells palsy, gingival hyperplasia94.   Child with asthma-inspire vs expire95.   Contraindication for diazepam-diabetic, pregnancy, etc96.   Child with gum disease-chronic, acute herpetic gingivitis97.   Ging recession 5-6mm on #4 & 20, Hemoglobin of 12. Wht do you do? Treat, refer to dr, scaling n root planning

98.   What muscle covers denture? Buccinators, masseter, lat & med pterygoid99.   What provides lingual retention? Mylohyoid100.                        Neurofibromatosis-axiallary freckling, café au late, lesch nodules101.                        Most impacted tooth? Mx k9102.                        Least likely to graft? Mn 1st premolar, Mx k9103.                        Purpose of hex implant104.                        Push on rest seat it comes up? Base doesn’t come up bc of resin105.                        2nd to s. mutan-L. bacillus106.                        RCT done on a big RL a year ago, assymptomatic and bigger 2 years later? Necrotic or actinomyces107.                        Pt gets a injection few days later have lateral bilateral swelling tongue-ludwigs angina108.                        Base metal vs noble metal-single crown-3 unit bridge109.                        Papillon le fever110.                        Oligiodontia-ectodermal dysplasia111.                        Collimation-tube112.                        Erosion- bullemia113.                        Patient gets 25% home bleaching. Wrong its 10% but 2nd part is true114.                        What goes into cavernous sinus from upper lip? Subcutaneous tissue115.                        URI-no NO2116.                        In posterior composite why do you have to redo-occlusal117.                        Periosteum-sharpeys fibers, cementum, alveolar bone, or all 3118.                        Symphisis-intraocciptal, phenoocciptal, which bone forms last119.                        Vertical root fracture- taking bite registration? Doesn’t interfere with bite class3120.                        Pt with denture and need to increase VDO what do you do?121.                        Calcification sequence122.                        Nonworking-bull working-lubl123.                        Transillumination-vertical fracture

124.                        Minor connector connects to125.                        Last number on instrument126.                        Seizure-gv diazepam127.                        To far superior and anterior dentures-what sounds128.                        If you did  a DO what axioline angle is not there129.                        If you fall and break incisor which class is it due to? Class 2 div 1130.                        Indirect vs direct onlay while child is waiting131.                        Only reason to remove cusp-decay132.                        Large structure in mouth appears on xray-radiolucent133.                        Support area for max and mand denture134.                        Cleidocranial dysplasia135.                        Nitrates vs nitrites what do they do136.                        Nausea and vomiting from opoid receptor poisoning? Chemoreceptor trigger137.                        Xerostomia can cause what?138.                        PCN and tetracycline cancels each other out139.                        Obliterate pulps-dental dysplasia140.                        Child heart failure-resp dysplasia141.                        Which does not contribute to oral cancer-HIV, tobacco, alcohol, HBV142.                        Hyperocclusion143.                        Reason for not doing a inlay144.                        Indirect vs direct145.                        Sodium hyper colloid is not chelating agent146.                        EDTA is chelating agent147.                        Combination syndrome- decrease VDO, increase interocclusal distance148.                        Extraction sequence for molar-3,2,1-1,2,3-1,3,2-2,1,3149.                        Increasing spatulation does what to setting expansion150.                        Increase water to powder ratio does what151.                        Die plaster vs die stone152.                        Why do teeth shift after braces removed? What fibers153.                        Tx mentally challenged patient with consistency or flattery154.                        PIC-white spng nevus, cleido cranial dysp, ging hyperplasia, COT

155.                        Hypertolerism156.                        Why is 3 degree burn vs 1 degree burn157.                        Arcon vs non arcon articulator (pg 319 mosby)Arcon- where the condyles are attached to the lower member of the articulator and the fossae are attached to the upper member. More accurate for fabricating fixed restorations, especially when an interocclusal record is used to mount mandibular cast. Nonarcon has upper and lower members rigidly attached. Provide easier control in setting teeth for complete and partial dentures. Both are semiadjustable and use a facebow.

1.       Know primate spaces max and mand2.       What primary tooth is unlike any other tooth? Mn 1m3.       Enamel hypoplasia of permanent central incisor? 7mos-3yr4.       Kid with otitis media giving nitrous? Diffusion hypoxia5.       Max mepivicaine 300 mg, how many ml of 2%? 15ml6.       Most diagnostic of primary molar ankylosis? Sound (metallic) on percussion7.       “sleepy juice” relabeling8.       Perio disease at certain time of life theory? Random9.       MOA Listerine10.   Man w/ multiple neuromas include what in dif dx? MEN11.   Color consistency of resins? Light cured due to HEMA12.   Pt. moves for 1 sec during a PAN what happens to radiograph?13.   Ext. of max 3rd molar, complication-into infratemporal fossa14.   Trismus-damage to medial pterygoid(infection)15.   What muscle can be covered by denture flange? Buccinators16.   Differences in VDO affect what sounds? S,Th17.   Doing post and core, vertical fracture resistance? Vertical stop?18.   Controlled diabetic have increased or decreased perio disease than a normal person?19.   Mx denture to far ant & sup-sibilant sounds S & Th20.   Repairing a ceramic restoration w/ composite and order? Microetch, etch, silonate, bonded, resin21.   What does osseous crater look like on xray? Cervical burnout of facial

and lingual wall22.   Reason for cuspal reduction of onlay?23.   Least likely to cause bone loss in children? Acrodynia, leukemia, hypophosphatasia24.   All ceramic finish lines? Buttjoint25.   All stainless steel prep of a primary mandibular 1m all except? Chamfer on proxx ging margins?26.   Gorlins syndrome it listed a few symptoms and asked what gardeners syndrome27.   Tx for keratocyst? Enucleation, marsupialization, aspiration28.   Problem with OKC’s? recurrent29.   Café au lait seen with? Neurofibromatosis30.   Describes Crohn’s disease key in question is granulamatous inflammation31.   Untreated acromegaly will have? Increase growth of mandible, class 332.   Denture max tuberosity hits retromolar but you have good VDO? Decrease tuberosity33.   What primary dentition will-class 2 malocclusion-distal step34.   End to end-class 1 –why? Mesial movement35.   Retruded tongue-unstable mand denture36.   Major factors for success of post composite?37.   Hopless prognosis? Severe facial & lingual bone loss38.   RCT cant be used for? Vertical root fractures39.   Monoclonal spikes of mult myeloma? Punched out RL’s40.   Localized aggressive periodontitis? Non specific bacterial environment41.   Best way to prevent decay of k9 roots for overdenture? Cast caps42.   Biggest reason for implant failure? Lack of antibiotics43.   Best study for prevalence  of a disease? Cross sectional44.   Give both groups mouth wash A & B? case control study45.   Match drug with category? Furosemide-Thiazide diuretic46.   Tx of periconitis? Ab if high fever47.   ANB -6= Cl348.   Reciprocating arm of clasp? Stabilization49.   Cherubism-bilateral expansion of both jaws50.   Why tooth movement(ortho) b4 perio?51.   Radiation? Directly affects/alters cells?52.   Flumazenil to Tx versed overdose

53.   Max molar ext order & why?54.   Eosinphilic granuloma of bone assoc w. what? Langerhans55.   When is porcelain strongest? Under compression56.   2 yr old-separation anxiety57.   4-6 yr old- fear of the unknown58.   Angular chelitis-excessive interocclusal distance59.   Host modulation? Doxycycline60.   Most prob of pulpal exposure on primary molar? MB61.   Stafne bone cyst below mand canal? Sal gland inclusion62.   Antral pseudocyst (pale RO above Mx 2nd molar)63.   Amantadine is antviral64.   Most common seen disorder? Syncope65.   Coronary A.D. in children most often assoc w/ obesity66.   Hue & chroma dif67.   Tx of cl 3- Lefort 1 & bilateral sagital split osteotomy68.   All used to decrease excessive salivation except? Prilocarpine69.   Allergic rxn to PCN-dermatitis70.   All true about tetracycline except? Not used for prophy for IE71.   IV injxn of tetracycline a few sec later pt become hypotensive? What is first Tx?72.   Most imp part of identifying a disease? Exam73.   Pt. with chronically obstructive nasal passage will have? Ant open bite74.   Remove palatal tori when? Interferes w/ post pal seal75.   Advantage of direct comp vs indirect comp onlay? Better marginal adaptation76.   Main advantage of CAD-CAM-one appt77.   Diabetes type 1 can cause-blindness78.   Leukemia all except-parotitis79.   Keratotic lesion most likely to be dysplasia if found? Floor pf the mouth80.   Best 5 yr survival rate? SCC of lower lip81.   Candidiasis in caner pt due to? Chemo82.   Increase bleeding in cancer pt due to-thrombocytopenia83.   All cause ging hyperplasia except? Digoxin84.   Key sign of asthma attack in kid? Inspiratory wheezing85.   Emphysema pt trouble breathing problem is? Reclined chair position86.   Dif between fear and anxiety? Fear is focal, anxiety is generalized87.   Dentist asks a lot of directing questions? Will know specific facts about

pts88.   Pt with severe tooth pain who will also need restorative Tx what order? Comprehensive exam, relieve pain, restorative work89.   HIV pt viral load 100,000 t cells 30? No contraindications90.   Referred cardiac pain to teeth? All except relieved by LA91.   Autoimmune disorders most commonly seen in ? middle aged females92.   Took too many Rx analgesics what side effect93.   “reverse architecture” of periodontium? More common in maxilla94.   MOA benzodiazepines-GABA95.   Vicodin (Acetominophen & Hydrocone) works by96.   Metab of a drug? More ionized at a plasma ph, more pharmalogically active97.   Corticosteroids (longterm) cause all ecept? Hypoglycemia?98.   A few INR questions just know that if INR is?99.   Reverse effects of atropine? Neus100.                        Most common side effect of nitrous? Nausea101.                        Reubella(congental) is an example of mental retardation that is acquired102.                        Who gets prophylaxis? Prosthetic valve103.                        Max dose of lidocaine 2% to give to a 20 kg child? 80mg104.                        Metastatic cancer is most often to-post mandible105.                        Def of bisphosphonate related osteonecrosis therapy of the jaw-absence of radiation therapy106.                        Blue sclera-osteogenesis imperfect107.                        Exfolative cytology most useful in diagnosing-candidiasis108.                        Pic of mucocele109.                        Pic of drug induced ging hyperplasia110.                        Stevens Johnson syndrome affects? Conjunctiva, genitals, oral cavity111.                        Candidiasis in cancer pt is due to? Chemo112.                        Pt undergoing radiation therapy rapidly develops wha kind of caries? Class 5113.                        Epiphyseal plate most closely resembles-synchondriasis114.                        Pic of geographic tongue115.                        Sweating of 1 side of face-freys116.                        When using the preauricalar approach for tmj surgery ,

what brach of facial n could be damaged? Temporal117.                        Most likely to be damaged when doin full thickness graft for free gingival margin? Greater palatine118.                        Xray of inttermaxillary suture119.                        Bacteria not assoc w. chronic periodontitis? Actinomyces viscous120.                        Gingival index is and ordinal scale121.                        Gingivectomy can have internal or external bevel. Internal bevel has less discomfort & better healing? Both true122.                        Remove plaque from implants except> steel123.                        Probe implant with plastic124.                        Implant least resistant to lateral forces?4,5125.                        Epi attachement to implants is the same as teeth. Connective tissue attachment to implants is the same as teeth. T or F126.                        Tooth was not in occlusion as abutment for a FPD & now pt has pain/sensitivity why? Stresses upon PDL127.                        What herbal supplement is contraindicated in pt on Coumadin/warfarin or some anticoagulant? St johns wort128.                        St johns wort? Mild depression129.                        Indication for an onlay? Insufficient dentinal support130.                        How strong is the correlation b/t long term marginal ditching & recurrent decay? Weak131.                        Not bevel ging margin? Hatchet132.                        Liquid in glass ionomer? Polyacrylic acid133.                        Why is access prep for CI a triangle? Remove material from pulp horns134.                        Hypothyroidism vs hyperthyroidism? Cold, dry skin135.                        Plaque matures in?24-36hr136.                        Food affects rate of oral clearance137.                        Bacteria adhere to teeth by dextrans138.                        Autistic children heightened stim to touch and sound139.                        Neuopraxia140.                        Niti vs stainless steele141.                        Long term nitrous use? Neuropathies similar to multiple sclerosis142.                        Sodium hypochlorite for endo all except-chelating agent143.                        Chelating agent-edta

144.                        Main reason for loss of mesiodistal arch length-caries, rotated teeth145.                        Dental fear-intensifies pain146.                        Nonverbal communication-uses many dif senses147.                        All affect the success of an implant except-# of remaining teeth148.                        Compare the proportion of guys w. disease w. proportion of girls w. disease? Chi square149.                        Tooth w/ a luxation/subluxation injury that doesn’t respond to pulp test indicates-there is an interruption in neural transmission150.                        During canal filing of mx incisors what part of the root is most commonly perforated? Mesial151.                        Which of following would cause sudden mobility of a tooth-secondary traumatic occlusion152.                        All indicate occlusal trauma to an implant except ? gingival inflammation153.                        To make a ceramic ant restoration appear thinner mesiodistally? Deepen gingival embrasure moving it more incisally & contouring facial line angles to middle of tooth154.                        What disease causes steattorhea, chronic resp infections & functional disturbances in secretory mech of various glands-cystic fibrosis155.                        Remineralized enamel? Stronger or weaker than enamel156.                        Diabetic pt. for IV sedation for minor oral surgery? Skip breakfast, full dose, half dose, none157.                        When should oral surgery be performed on a dialysis pt? next day158.                        Non working condyle moves in what direction-medially159.                        When processing acrylic for  denture chemical vs heat excess monomer160.                        Pt has veneer and needs bleaching in wohat order do you do it161.                        Failure of post composites is usually directly or indirectly related-polymerization shrinkage162.                        DOC xerostomia-pilocarpine163.                        DEA schedule based on-potential for abuse164.                        FDA requires what before drug is approved?

Randomized clinical trial165.                        Strength of soldered connector of a fixed partial denture is best enhanced by- increased height166.                        Splinting abutment teeth in a fpd is to improve distribution occlusal load167.                        Sodium hypochlorite that is most indeisrable? Toxicity to tissue168.                        When there is a loss of tooth what is primary factor that prevent the adjacent tooth moving mesially? Occlusal contacts169.                        A diagnostic test failed to i.d. 5 cases of disease –false negative

Guy has problem with a tooth and has a hole drilled thru the O of MOD composite and the pain is relieved. What caused it? Void in composite or polymerization shrinkage2.       Primary mandibular 2nd molar has how many canals? 1-43.       Patient removes denture and it’s red, also taking ampicillin what’s the reason? Candidiasis, allergic reaction to denture4.       Radiolucency below 1 molar of a 18 yr old? Salivary gland occlusion, OKC5.       Which division is likely to break incisors?6.       Neuropraxia question-nothing severed, perioneum intact, can get it from stretching.7.       What happens if you over titrate amalgam?8.        Sialolith commonly found? Submandibular gland, wharton’s duct9.       Reason for mucocele on lip?  Obstruction, minor salivary gland by mucus plug, trauma10.   What is the best way to view Maxillary sinus? Water’s11.   What is best way to view TMJ? MRI12.   When you move to right what nonworking cusp lingual interfere with non working movement- non-bull13.   What do you Tx ANUG with? Antibiotics, chlorhexidine rinse14.   Common periodontal disease in school age disease?15.   Tetracycline vs penicillin16.   Methotextrate metronidazole17.   Metronidazole is a drug of choice for ANUG and cause disulfarim affect(nausea, vomiting, flushing of the skin, tachycardia, and shortness of breath). Rarely causes stevens- Johnson syndrome (true or false)18.   Patient got 25% bleaching and has increased sensitivity. True or false (1st part is

false because home bleaching is 10%)19.   Home care patient responsibility is to brush teeth and remove bacteria and remove subplaque. True then false.20.   Highest % of caries population-hispanic21.   What do you see first the donors epithelium or recipients epithelium?22.   Glucose in kids what is most important? Quantity, time, composition23.   What do you see in freeze-dried bone? Osseobond cells?24.   What is freeze dried bone? Allograft25.   What is malignant? Fibrous dysplasia, pagent’s , central giant cell granuloma26.   Pic of gingival hyperplasia, caused by what? Phenytoin27.   Grand mal(tonic-clonic) seizure drug of choice? Dilantin( phenytoin), carbamazepine(tegretol)28.   If you need to increase VDO on mounted cast how do you do it? Bite registration, facebow, increase VDR29.   What is contraindicated when treating a sickle cell Patient?30.   Fenestration-31.   6 questions about furcations.32.   What do you do with probe if furcation is wide and narrow, narrow, wide? Probe or cant probe? Grade 1 probe goes less than 1/3, G2 probe goes more than 1mm(do GTR n graft), G3 probe goes straight thru33.   What do you do for a furcation that you can see through? T or F. Tunneling, GTR membrane?34.   8 year old Central incisor canal is constricted but has apical RL what do you do? Refer35.   What is worst if doing a RCT? Insufficient obturation, insufficient cleaning and shaping,36.   In RCT was is plastic post good to use? Same strength as dentin, better strength then steel, same strength as steel, when cemented you can view on xray37.   RCT done and years have RL below what caused this?38.   Xray of woman who had molar extracted, now has infection, what caused this? Osteomyletis, residual cyst39.   C factor(configuration factor)- composite ratio for bonded to unbounded40.   Bilateral split osteotomy what nerve do you worry about severing? Inferior alveolar41.   Cleft palate/lip- class 342.   Main reason for redoing anterior composite-discolored43.   Fluoride- how much do we use in community water

44.   5yr old has .28 fluoride how much do you supplement-.5 (6mos-3=.25, 6-16=1) (if 0.3-.6 for 3-6=.25, 6-16=.5)45.   What is true and not true about fluoride?46.   What is helpful in senior citizens?????47.   When you transilluminate tooth what does the light go thru?48.   Flabby tissue for a denture what do you do first?49.   Most likely to cause candidiases? Excess VDO50.   Glass ionomer benefits besides fluoride? Used as cement, covalent bond, resist to fracture51.   Pic of white spongy nevus52.   Benefit of methadone vs morphine? Withdrawal less severe, used 2 detox morphine addicts53.   Purpose of plaque index? Show the patient54.   Synchondrosis what is last to fuse? Sphenooccipital(starts in teens ends @ 20), intraoccipital (frontal ethmoid/sphenoethmoid might be 1st)55.   Cauliflower like lesion on lip56.   Fentanyl antidote for benzodiazepine overdose (I think fentanyl is used with benzo for preop sedation and the antidote for benzo over dose is flumazenil)57.   Start vomiting after because it triggers chemoreceptor zone58.   Chemo causes thrombocytopenia59.   Dental office matches benefits of other offices but patient can choose dentist-PPO, HMO, closed or open panel60.   Patient has to go to specific dentist in this plan-hmo,ppo,closed or open panel61.   How does collimation work?  A device capable of collimating radiation, as a long narrow tube in which strongly absorbing or reflecting walls permit only radiation traveling parallel to the tube axis to traverse the entire length.62.   What muscle does the denture cover? Buccinator63.   EDTA chelating agent64.   Sodium in RCT what does it NOT do? Not a chelating agent65.   Antipsychotic drugs act on which receptors? Multi receptors but mostly dopamine66.   Nitrate(NO3) vs nitrites(NO2) mechanism of action? Nitrates increase O2 supply by vasodilating action on smooth muscle in coronary arteries.67.   How do you treat dry sockets? Surgical dressing,68.   If patient has excess saliva-realign, no affect, helps with retention(I think reline)69.   Why do you place a functional cusp bevel? Retention & resistance, structural integrity, (ensure contour with max durability and conservation of tooth structure)

70.   Which patient is more likely to have thrombocytopenia- taking oral contraceptive71.   Patient has small cavity @ what point do you interfere with decay? ½ way thru enamel, seen on xray, seen in dentin72.   What do you see in thyroid storm? High temperature, sweating, rapid heartbeats, weight loss73.   What is a minor connector? Connects things t major connector74.   What is the rest seat connected to if that is connected to major connector? Minor connector75.   Least congenitally missing tooth? 3m-lat incisor-2pm76.   Erution sequence/ calc seq77.   When is 1st sign of calcification (4months in utero)78.   Fractured mandible how long is appropriate to keep in closed reduction? 4weeks, 6 weeks, 9 weeks, 12 weeks(4-6 weeks) (2 weeks deciduous)79.   Irreversible hydrocolloid is not used in fixed80.   How do you increase working time with irreversible hydrocolloid? Increase spatulation, increase cold water, increase hot water81.   Which stone and how do you make it set up faster? Slurry water, hot water, cold water82.   If you cut a DO what axiolineangle is not there? No distal wall83.   Flap surgery  wide gap in between how do you clean interproximal furaction? Interproximal brush, water pick, floss84.   Guy on recall for perio has mesial on #4 distl on #20 with 6mm perio pockets what do you do? Surgery, scaling(6-7mm for 3-4month recall), etc85.   10 yr old with gap what do you do? Take away frenum, ortho, wait for Mx k9 eruption86.   What isn’t seen on xray gingival cyst or87.   Supragingival plaque is more gram negative or positive88.   Key features of cleidocranial dysplasia. Retain primary dentition longer89.   After 10 years % of people with successful implants? (5 year 95 Mn 90 Mx) so 80-90%90.   Alvused teeth best prognosis? Something to do with time and what its stored in(best in 15-30minutes, hanks solution, or milk,saline,saliva)91.   Test for prevelance of incidence investigating oral cancer in a nursing home pts what kind of study is this?92.   T test vs chi square (The t-test assesses whether the means of two groups are statistically different from each other)

93.   INR determines PT measure warfarin dose, liver damage, vit k status94.   Kid wheezes with inspiration(vocal cord obstruction)95.   Common dental office problem? Asthma hyperventilation, syncope96.   Patient needs to be medicated for 8 hrs what do you give them? Aspirin, ibuprofen(4-8), acetaminophen, naproxene(12)97.   H2 histamine receptor is for gastric acid reduction98.   Most likely to reoccur OKC99.   What do you use to cool bone when place a implant? Air, irrigated solution100.                        Maximum amount of nitrous? 70%101.                        100th in hue, value, chroma? ???Brightness, hue???102.                        Gardner syndrome- nevoid basal cell (cysts, polyps that turn into adenocarcinomas, have multiple impacted and unerupted teeth103.                        Tell show do is for who-child104.                        2yr ol acting up what do you do-get down to their level and talk to them105.                        Same question-show them another child behaving106.                        LED cure light why is it more beneficial than halogen and know the range. 430-490 shorter curing time107.                        Permanent teeth vs primary teeth-higher pulp108.                        Pt has Mn molar extracted 3 days later have pain-ludwig angina109.                        Infection on lip cavernous sinus thromboses110.                        Autistic child-likes affection, needy, repeat things over111.                        Patient with heart attack-answer is heart attack?112.                        Ameloblastoma from dentigerous cysts113.                        What do you have with seizures-hyper…(hyperventilation, hyperthyroidism, hyperexcitable nerves)114.                        What does cusp reduction do? Retention, resistance(conserve tooth struct and gives rigidity)115.                        Unbundling and beneficence definitions-bene promotes wellbeing of others, unbundling is charging separately116.                        Waive copay-price fixing117.                        Pic of compound odontoma118.                        Alpha agonist acts on?(adrenergic, epinephrine, SNS)119.                        What can you get back? Tooth mobility120.                        % of people that get fluoridation? 67-70121.                        Treat external resorption with what? RCT, CAOH2122.                        Apexification-nonvital tooth

123.                        Indirect vs direct on child124.                        Pt on antidepressant what is your greatest concern? Epinephrine or time in chair125.                        Pt is emergency remove decay that is medium to deep but not pulpal exposure so you temp it what are the indication for that? Emergency126.                        Order of treatment perio not endo related, order of Tx endo not perio related.127.                        Pt has Mn molar cracked? Best description? Stabbing pain, released when open mouth128.                        40 yr old pt has 32 teeth with deep fissures what do you do? Sealant, amalgam, observe129.                        1st molar decay what do you do? MOD & DO, MO & DO130.                        Hex implant prevents rotation131.                        What is the initiator of caries? S. mutans not option so L. bac132.                        Don’t give a pregnant woman what? Diazepam,133.                        5 year old extraction what do you give them? Acetaminophen134.                        Braces move due to transseptal fibers135.                        Ortho Tx does…..pulpal response, decrease blood to PDL136.                        Important with successful RCT what is the least likely to happen-regen of dentin, regen of cementum, regen of alveolar bone137.                        Prescribed opioid analgesic physical signs-headache, irritability, hypo… (nausea, vomiting, drowsiness, itching, constipation, respiratory depression)138.                        IV antibiotic has tachycardia and other problems 1st thing you do is what? Epinephrine, stop antibiotic (if serious cardioversion, admin adenosine, stable refer,ECG)139.                        All effects the success of implant except-remaining teeth140.                        Epitomizes dental fear-chair141.                        Causes sudden mobility- secondary traumatic occlusion142.                        Mandibular lateral incisor eruption where do you get space-k9 primate space143.                        Pregnant woman in dental chair- lay on left side to prevent from laying on vena cava144.                        Perio disease time of life theory episodic or random-random burst theory145.                        Neurofibromatosis –freckling, lisch nodules, café au lait,146.                        Major complaint from a denture patient-can say certain words, lack of retention in mandibular denture

147.                        Osteoradionecrosis most associated with mandible148.                        Best time to get children to stop children from sucking thumb- primary dentition period149.                        Device place to prevent thumb-sucking-positive, negative, adversive150.                        Smiling, praising down syndrome pt-social, positive reinforcement151.                        Modeling &  shaping questions152.                        What model to get child to follow directions153.                        Teach child to turn negative thoughts to positive experience-reshaping, modeling154.                        Drug A has higher efficacy than B? more potent, smaller dose155.                        When do you do maintenance phase in perio?156.                        Added to polymethyl methacrylate for? Strength, polymerization, …157.                        What size do you do a excision?158.                        Salivary gland defect159.                        Palmar plantar keratosis160.                        #8 lighter than the rest of teeth what do you do? Bleach other teeth, crown161.                        What’s not on ADA website? Licensing162.                        How much do you take off facial view of veneer? .5163.                        Regen of periosteum needs- sharpeys fibers, cementum, alveolar bone164.                        Benefits of PCN except? Cheap, low toxicity, not broad spectrum165.                        What will happen if you issue broad spectrum antibiotics-creates infection166.                        Denture pt with opposing teeth? Mx bone resorption, post tuberosity droops, Mx anterior resorption167.                        What cause angular chelitis-VDO loss168.                        Pt has hypoparathyroid disorder can be prevented by giving what?iodine?(vit d, calcium, no way to prevent primary)169.                        Pt has low alkaline phosphatase what do they have? (magnesium deficiency, hypothyroidism, hemolytic anemia, wilson’s disease. Elevated levels in Paget’s170.                        Periodontal disease in children? Acute periodontitis, marginal gingivitis171.                        Articaine is metabolized where? Plasma esterase

172.                        A drug is first passed means? Excreted in urine, metabolized in liver173.                        Diagnosis for bullemia174.                        Bullemia is form of erosion175.                        Wipe something down and it kills everything but spores-disinfected176.                        Allergic to amoxicillin give the patient what177.                        Identify nasal septum-zygoma178.                        Where do you use base metal-bridge179.                        Where do you use noble metal-single crown180.                        Premed with endocarditis main concern? If had previous181.                        Pt had hip replacement 10 months ago do you premed? Yes182.                        30 year old pt has deep fissure least likely to do? Sealant, amalgam, etc183.                        Most common root fracture- Mn 1st molar184.                         Most successful place to put a implant? Mn anterior185.                        Ectodermal dysplasia186.                        Doxycyclin does what? Tetracycline use in sinusitis, molaria, lyme disease, acne187.                        What sound is hard to make it denture is placed to far facially?188.                        Bony resorption from implant considered successful If you have .1mm of resorption per year? Yes189.                        How much radiation exposure is considered bad? 50(6000),45190.                        What is considered safe amount of radiation?191.                        If xray goes through something thick what will it look like on xray? Cancer, thickness, no cancer, radioopaque, had to penetrate thick structure looks radioopaque192.                        Cementing all porcelain or all ceramic crown what resin good to use and what benefits? Fracture, fill in margin, color control193.                        Contraindication with St Johns Wort? Asthma, warfarin, pregnancy194.                        Replacement resorption- necrotic pulp resorption195.                        In a injury this acid is produced and is responsible for what? Prostaglandin??196.                        Tooth fused to bone-replacement resorption197.                        Porcelain is strongest in what stage? Firing, cooling, stressed198.                        Most damaging type of mercury? methyl(organic)

- Study patient management section in mosby’s if you have it. I had questions that tested all of the different type of studies (cross-sectional, case studies, prospective and retrospective cohorts)

- Know the difference between modeling and shaping in terms of behaviour. - Know what the 5 ethics are and what they mean and how they are applied

(beneficence, veracity, justice etc.)

1. Amantadine…..what type of drug is ito Anti viral…used for TB

2. St. John’s wort used for minor depressiono St johns wort is a herbal medication used to treat depression

3. Oral path pic of herpes zoster (lesion of tongue stopping at the midline)o Herpes zoster is seen in adults. o Lesions are unilateral b/c affects the trigeminal nerve pathway

4. The USDA recommends that ___% of your daily diet should come from fat. o Around 35% of caloric intake should be fat

5. When you include cusp (like shoeing it), what form is it? Resistance, retention, convienience…no idea I put retention I think

o Shoeing cusp – is a form of resistance6. Prilocaine causes methemoglobinemia

o Prilocaine is an amid which gets metabolized in livero The one amide that causes methemoglobinemia

7. Know your shit for the application of and difference between apexification and apexogenesis

o Apexification – used for NON vital tooth therapy—when the apex has not closed thus you cannot do RCT yet and get a good apical seal.

o You clean out the canals and place CaOH to enhance the closure of the apex

8. What is the oncogene that is affected in oral cancer? Ras, tnf, etc. o Raas is the oncogene affected in oral cancer (squamous cell

carcinoma)o Main intiating factor for SSC is smoking

9. How do antihistamines work?? Competitive inhibition of histamine receptorso Antihistamines are two types (HI and H2)o HI – for irritation of skino H2 antihistamines to treat gastric ulcers

o Anti histamines block (thru competitive ) histamine receptors10. What is reverse architecture (interdental papilla gingival tissue is more apical

than the facial and gingival tissues) o Normal perio health – the interdental papilla is higher interoximally

than on the F and L gingiva thus you see a parabolic shape11. In disease its called reverse architecture and you see that the F and L

gingiva is higher than interdental papilla12. Know difference between attrition, abfraction, abrasion, and erosion

o Attrition – wear facets on enamel. Can be due to grinding, bruxismo Abraction – at the cervical region of the tooth – o Erosion – chemical wear on the tooth.

13. What does a pano look like if the patient moves? Is there a blurry horizontal line or blurry horizontal line

o When patient moves during pano, you will find vertical blurryiness and blurriness of the inferior border of the mandible

14. Double the distance of x-ray source will quarter the intensityo Distance and intensity are inversely related.o When you double the distance, the intensity is affected by (1/4)

15. Radiographic picture of Y line of Ennis asking what it separated: nasal fossa and maxillary sinus

o Y line of Ennis: seperates the nasal fossa with the maxillary sinus16. Know irrigating and chelating solutions for endo. (Sodium hypochlorite and

EDTA came up a bit)o NaOCL – this is an irrigant used for endo. Also disinfectant and

lubricant for the canal. NaOCL is NOT a chelating agento EDTA – this is NOT an irrigant. This is a chelating agent. RC prep is a

form of EDTA17. Patient is on Warfarin, should perform a INR test

o Patient on Coumadin (wafarin) must always do an INR rest (international normalized ratio)

o If patients INR is above 5 Oral surgery is contraindicatedo Normal INR is 1-2o Do NOT give aspirin to a patient who is on coumadin. o The only NSAID you can give a patient who takes Coumadin is

Tylenol(which as acetminophen and has no anti inflammatory properties)

18. Know difference between LeFort 1, 2 and 3o LeFort fractures are types of facial fractures that are classic in facial

trauma Le Fort I fractures (horizontal) may result from a force of injury

directed low on the maxillary alveolar rim in a downward direction

Le Fort II fractures (pyramidal) may result from a blow to the lower or mid maxilla and usually involve the inferior orbital rim

Le Fort III fractures (transverse) are otherwise known as craniofacial dissociation and involve the zygomatic arch

o Lefort I surgery– when you want to pull the maxillay forward. – called Anterior Maxillary Osteotomy

o

19. Angular chelitis is due to increased interocclusal space (decreased VDO)o Angular chelitis aka perlecheo This is seen in patients who have a loss in VDO o Decreased/loss in VDO= increase in freeway space (interocclusal

space)20. Know what drugs are used to induce salivation (atropine, pilocarpine etc.)

o To induce salivation: these are cholinergic drugs such as pilocarpineo To cause xerstomia: you would use anticholinergic drugs such as

scopalmine, atropine.o To antagonize scopalmine: use Physostigmine

Part 2 Questions since Fall 2009: 600+ questionsJanuary 2009 Exam

1. -LOTS OF ETHICS QUESTIONS: what to say what to do in these situations. If your patient is looking around a lot at your masks and gloves, safety equipment, whats the most appropriate response? Some of the answers are vague.

2. -What do you not report to the ADA? Reporting an advertisement for a colleague or an announcement for specialty practice? Principles of ethics and conducts does not cover and you have to pick one. Published paper on principles of ethics and conducts does not cover which one?

3. -non-malifecence, justice, all that kind of stuff from first year was tested on. 4. -benzodiazepines, anxiolytics how do they work? GABA!5. -Versed is a BDZ.

6. -what meds to decrease saliva? Should be atropine (belladonna derivative), scopolamine, etc. Pilocarpine, methacholine, neostigmine, etc. cause salivation.

7. -ENDO CASES: apexification questions 8. -not that many biomaterials questions: not many composition or lab

techniques. 9. -primate spaces 10. -when you include cusp into preparation, what is it called? Is it convenience or

retention form?11. -most questions so far: ethics, a good mix of everything. Try studying Part I

ethics cards for those questions stuff from sarkis’ class. ?12. -which antibiotics will not work well on someone taking prolonged drug for

awhile. He put TCA down. 13. -Antibiotics do not work well on patients taking ____. Which drug? Oral

contraceptive? 14. -Prilocaine causes methemoglobinemia. 15. -Abuse of nitrous oxide it results in neuropathy.16. -Articaine can be processed in the plasma. It’s an amide. This makes it unique. 17. -Antihistamine question not that many but one.  18. -Whats the oncogene that is disabled in oral cancer? ?? 19. -How many carpules max can give before patient dies? 1 mL = 20 mg of 2%

anything. 20. -Warfarin and drugs that you have to mix and match and match with the

category. Diuretic drugs. 21. -Amantadine is an anti-viral and anti-parkinosonian or anti-TB and its anti-

viral. 22. -If youre breast feeding what drug should you not take? Something

prohibited in the states.  23. -There are a lot of questions on case studies! Double blind studies, etc. need

to know the definitions.  24. -all of these inhibit cell wall synthesis except: penicillin wrong! 25. -The MEDS they ask are straightforward so we should know them. We need to

know the classes and the characteristic drug of that class. 26. -histamine question: antihistamines work by working on histamine receptors.  27. -children coronary artery disease: what is risk factor? Obesity and high

cholesterol.  

28. -apexification and order of things for endo and treatment planning. Pulp test is not used when first go through trauma, avulused tooth what to do next if mature or apex closed. Avulsed tooth: adult vs. children. Children immature put back in and watch it. Adults stick it back in and watch it. Under endo and pedo!  

29. -Perio: reverse architecture (papilla is supposed to be a mound not a volcano) what is diference between open bevel and cloesd bevel: both of them would cause the same amount of recovery pain. Only one bacteria quetsion. Acute ulcertaive gingivitis what could be indicated: host overreacting to infection. Bacteria is releasing deadly toxins (no toxin in acute periodontitis or is not main reason) and the answer was normal bacterial flora is what youd find in acute ulcerative gingivitis.

30. -key bacteria in localized periodontitis is AA which is part of normal flora. P intermedia (ANUG) is kinda part of normal flora.

31. -OS: order you should pull teeth out on upper maxilla 1st 2nd 3rd molar? 3 2 then 1.

32. -dental anatomy: patient has 3 incisors one tooth has two pulp canals which is fusion.  

33. Second Day:34. -If patient is allergic to ampicillin, then what antibiotic should be given?

Clindamycin, but should be 600 mg and the answer choice was wrong since they said 2 g so he picked cephalomycin. fixin

35. -cephalomycin  36. -Cyanotic heart valves you must premedicate. Kid had unrepaired cyanotic

something valves, cyanotic congential heart disease. Premedicate with amoxicillin and you need to know the dosage so that you pick the right dosage 60 lb kid. 50mg/kg dosage.

37. -Lots of questions on what you should do with a tooth to treat it with lots of answers including doing nothing.

38. -Intraoral picture of nasopalatine cyst by incisive papilla on backside of 7 and 8. The foramen and nasopalatine canal is where the incisive papilla is and if theres a cyst there then what does it look like clinically? Soft tissue is swelling and discolored.

39. -The clinical radiograph and picture didn’t match up. The clinical pictures were taken after the radiographs so it could have developed afterwards and there was fineprint that this was written and not for other cases so it was a trick and it was a nasopalatine cyst probably…

40. -There were 8 cases…you have to click something to open the picture. There are 4 pictures instead of 1 and so you can drag it to the side to look at it. Some of them have extra pictures on an extra tab of the window so you have to click it to open more but you could miss it if you didn’t notice it.

41. -Whats the best way to restore the edentulous space: ridge is so thin you cant place implants but you have to have noticed in that one specific picture so best situation is partial because bone graft then implant isnt option.

42. -Abfraction: if not too deep don’t touch it. If deeper, fill with glass ionomer cement? compomers

43. -Barely talked about amalgam in this exam…44. *Zinc oxide eugenol is IRM but theres an extra component that makes it IRM

which is the methylmethacrylate which is an inactive ingredient. 45. *Whats an adverse effect of a drug that you cant mix with antibiotics?

Methotrexate because it wont clear out of the system specifically with amoxicillin.

46. -One of his patients has a pacemaker, but don’t premedicate either? Just stay away from ultrasonic and electric testing and such.

47. -3.5 hours for 200 questions for a total of 400 questions. 2nd day is 100 questions 8 cases 3.5 hours since its cases and you have to investigate. What are you not supposed to do and what cant you do?  

48. -What does it look like on a pano when your patient moves during the pano? A vertical blur line vs horizontal defect.

49. -Big artifact in pano which was a ghost of a necklace. 50. -kVp asked once. By what factor would you increase kVp if the doctor doubles

the distance. It’s a factor of 4 since its squared distance. 51. -what is the isthmus of Y (where nasal floor and maxillary sinus start and

meet). What are the two anatomical factors that border this? 52. -Genial tubercle x-ray question today. What is this that is pointed on the

radiograph. You can pick osteoma, but its not. 53. -They liked to ask intermaxillary suture a lot which comes up clear on

radiograph and it looks like a fracture (which is an answer choice), but its not. The decks are good enough.

54. -Earlobe on the pano was asked from yesterday. Yesterday had some radiology picture questions.

55. -Not too much disinfections stuff: disinfectant, sterilant, know definition which is in behavioral science decks but not much on it.

56. -Why do you flush the lines? 

January 2009 Exam:

1. Lots of implants ques: like how you treatment plan them, how to place them (high torque, low speed, what temperature, what area has good/bad prognosis). Success of osteointegrated implants after 10 years? Etc.

2. Lots of endo/perio lesion questions. Know the difference in diagnosing b/w acute vs. chronic, reversible vs. irreversible apical periodontitis/pulpitis/abscess/vertical root fracture and their treatments.

3. Perio questions about bone graft, tissue graft, GTR and when and where to use them. Perio maintenance procedure, tx for different types of periodontitis (ANUG/ANUP, LAP), techniques for using curettes.

4. Know pulpectomy, pulpotomy, apicoectomy and when they are use5. Different b/w remineralized enamel vs. regular enamel6. Polymerization shrinkage, base metal vs. noble metal, function of major vs.

minor connector, combination syndrome, FPD not fit7. Veneer prep criteria, chelating agents/EDTA/sodium hypochloride, bleaching8. Know your analgesics( Asp, vs Tylenol vs Ibuprofen vs Naproxen), lots of

opoids ques (when to use them, what rxn in overdose, etc), antidepressants, antipsychotic, BZD and their mechanism of action, nitrites/nitrates,

9. Metronidazole, Teracycline, bacteriostatic vs. bacteriocidal drugs10. White lesions that can be wiped off (Lichen planus , candidiasis, white sponge

nevus)11. Know diff b/w Cleidocraniomastoid vs. ectodermal dysplasia, AI vs DI12.   Which herbal meds is contraindicated with anticoagulant? I put St.John’s wort

but had no idea 13. Manifestation of medical emergencies like thyrotoxic symptoms, syncope,

shock, etc.14. Pregnant women should lay in which direction (Trendelenberg, right hip up,

left hip up?) More proned to what medical emergency? 15. longitudinal vs. cohort studies, p-value, code of ethics (I think reading the tuft

notes is good enough)16. Other weird question like the purpose of tongue brushing (gingivitis, bad

breadth), henly & huntler syndrome, percentage of cleft palate in caucasian?  I had no idea since I don’t remember reading it anywhere.

December 2009 Exam

1]I had lot of" sentences " by the dentist type of question and they asked What tone is the dentist using? Choices were like controlled,sympathy etc. I don’t remember each sentence but it was like Patient complains of pain in relation to a particular tooth.So the best answer/reply of the dentist would be

1. If you came here earlier things would not be bad2. If you took more care this would not have happened3. I will take care of everything

2]Complications of Sjogrens syndrome –features of (Stevenson sth) Answer was with keratoconjunctivitis it involes the genitalia too.  3]Questions about difference between empathy,sympathy and apathy .These belonged to behaviour maangement questions which I didnt understand.Like if a child came with a history of aggressive behavior and is crying  then should the dentist show empathy or sympathy or control  4]Children response to treatment and what dentist should do for ex: if child is 6 yrs old and mentally retarded shud GA be given.Or an apprehensive child -should/not be given papoose board .  5]Remo -dont worry.I had 8 questions and very direct ones.  6]Fixed -do preparation and design.Ex type of margin for ceramic. What should be placed against porcelain bridge. What is a "key"  7]Ordinal and nominal classification[ I dont know what this is ]  8]Antagonist for ( I think Methadone) Just do all the antagonists given in overdose and toxicity. 

9] Check what is Ambien!!   10]Best medicine for sedation for children, asmatic and anxious.  11]Lot of pulpectomy questions .Whether u shud do pulpectomy,pulpotomy or RCT.Scenarios like if tooth was avulsed or if it was kept in Hanks 120 mn later. 

 12]Space maintainers-indications.Which is the exception?  13]function of dressing on wound? Protection  14]suture -movable to non movable  15]gingivectomy - is it incisional or excisional procedure?  16)if person is asthmatic and has pain even if he walks 5 steps how should you treat him -he is under care of physician what should be the best way to treat him

A) only 2 appt’s per week

B) Treat him in a reclined procedure

 17]For pharma - materials from Tufts didnt help at all. Check drugs like prpythione or sth. Ambien etc  18]What is neurotraxia  19]calculation of 2% mepivacaine max amnt  20]check functions of epi 

21]what happens when Vertical is lost-signs that is reduced VDO  22]lab and patient remount?Why are they done- establish and maintain VDO 

23}incisal guide pin position while checking protrusive,why

24] Manndibular tori removal 4-5 questions About the procedure.indications.Type of incison,instruments used

25]Common complication of Type 1 diabetes: I wrote as blindness assuming retinopathy!!

26]Do we need to take precautions for person allergic to shellfish.

27]Soldering and flux

28]Glazing of bridges: when is it done .Is glazing uniform?

29] Hallmark/sign of acute sinusits?

30} Splinting avulsed teeth –  for how many days?

31]6 year old mentally retarded child.Treatment is recall.Would you give sedation,antianxiolytic,voice control or positive reinforcement.

32]Guerin sign is a feature of Le Fort 1/2/3?

33]  8 Oral pathology slides.Showing migratory glossitis,ceph induced hyperplasia, CGCGranuloma, Pano showing ear lobe, Radiograph showing double exposure,

34] Distance of implants from natural teeth

35] Cervical position while placing an implant-How much below CEJ?

36]grooves for a cl 5 composite –where are they placed?

37) Couple of questions with –which is the best treatment option like FGC,7/8th or 3/4th crown

38]SBE prphy-exception

39]One photograph of pano asking the error-the tongue was not in the correct position

40]which is the only surface not beveled for an onlay

41]adv of heat cure-strength and less residual monomer

42]periapical cemental dysplasia radiograph

43]what would you give to a patient who goes into a diabetic shock?

44] Dentist lets the patient sign informed consent-autonomy

45] Dentist refers a difficult case to a speacialist-non malfiecence 

December 2009 Exam:

picture questions 

1. recognize bell's palsy

2.  herpes zoster...... hard palate just one side

3.  lateral boarder of the tongue picture  looked like squamous cell carcinoma

4.  a picture of basal cell or kerato ancathoma ......on the face crater like with a crust in the middle    

1.  most of the x-ray is converted to:  heat

2.  question about reduction of tuberocity  if there is no space in the back.  this question came twice

3. there were multiple questions about about cleidocranial dysplasia.

4. multiple osteomas are found in--> garderners

5. a question about lingering spontaneous pain --> irreversible pulpitis

6. question that was testing INR  numbers .....i forgot the details

7.  hypohydrotic  child --> ectodermal dysplasia 

8. drug given in case of seizures ......  i remember they were very particular i.e  mgs 

9. Make sure you know about   chroma  value  and hue

10. memorize the fluoride table  for pedo...... you will use that multiple times

11. the use of intensifying screens --> reduce the radiation

12. classical sign of aggressive perio ---> something about mobility   

general  outline guides

1. lots of questions  about behavior  management . i thought  mosby was good with that

2.  Lots of insurance questions . Un bundling and bundling questions. May be you can read online about dental insurance 

December 2009 Exam1. What’s the purpose of facebow preservation?2. Gingivitis, nominal and ordinal?3. Schuger Johnson syndrome.4. Spaces: mandibular/mental.5. Alpha agonist (anesthetics), beta agonists, etc Q.6. Calculation Q for anesthetics.7. Cross sectional studies Q.8. What do you use for average Q? Mean, median, mode

9. Implants 10. open vs closed tray technique for implants11. how to clean implants (os decks)12. type of epithelial and connective tissue attachment to implants13. What is minimum distance between implants14. why do you use a stent?15. how far up or down from tissue should the implant be placed in relation to

adjacent CEJ (efffffff that question!!! I didn’t know)16. Most important thing about implant success (in the procedure the things are

most important for osseointegration) 17. Tooth brushing and flossing-what is maximum depth that tooth brush and

tooth floss can penetrate tissue 18. Question about ANUG (repeated in every exam) 19. Fear in the dental office (causes)20. What is difference between fear and anxiety?

21. which kennedy class has no modification-I put class 4??? 22. Next 5 are radiology Q’s; intermaxillary suture23. recognize odontoma24. nutrient canal25. radiolucency below inferior alveolar canal26. Lots on behavior modification for Pedo27. For Pharm, KNOW THE NAMES!!! Major drugs 28. Know herbal remedies29. Depression-st johns wort 30. How to treat endo perio lesion 31. Lots of trauma questions for endo 32. Most common fracture of permanent tooth -crown I think?? 33. Know lots on types of studies34. What is t test?35. Z test 36. Know questions about Case control37. Cohort study38. Cross sectional study39. Longitudinal study 40. For Perio; Why do you put a surgical dressing over a wound? 41. For Ortho- Questions about end on end? 42. what will happen as permanent teeth erupt?43. Ask questions about what the facial profile will look like for certain class 44. Know snb vs SNA 45. KNOW HOW TO figure out max amount of lidocaine and mepivicane to give

pedo patient!46. Know about hypertension and drugs related 47. Know Pemphigoid48. Pemphigus49. Peutz jeghers50. Steven Johnson51. Freys syndrome (Oral path I thought was pretty straight forward) 52. Know what happens to the teeth and bone during orthodontic movement 53. Iv bisphosphonates and extractions are needed-what do you do? 54. Know about effects of chemo and radiation therapy on oral cavity 55. Where do you put the margin of an anterior crown? 56. Asked about facial spaces 

57. Asked about what sound will determine VDO58. Why take plaster index? 59. Asked about posterior composites 60. Asked about use of glass ionomer what is liquid made of? 61. Hemangioma 62. Papilloma 63. What property of metal prevents corrosion 64. What are contraindications for using bleaching technique for crowns 65. What does sodium hypochlorite do for root canal therapy66. How do you recognize ankylosis 67. Lots of complete denture questions 68. What muscle makes it hard to take a maxillary impression (something to do

with the buccal space) 69. What muscle is related to trying to get more room for lingual aspect of

mandibular complete denture 70. What is the order that you extract teeth? 1-2-3 or 3-2-1 and reason for doing

so 71. Know what are best diagnostic tests for treating endo lesions72. Best test for endo vs perio lesion 73. Pt is 18 and is class 3, needs surgery, what procedures do you do? Saggital

split and lefort 1??? That is what I put, not sure. Other answers included rapid palatal expansion with saggital split or lefort 2 with saggital split, different variations on surgical procedures to correct 

74. Know antidotes to pharm drugs75. How do anti histamine drugs work? 76. Primary tooth trauma77. Open apex with permanent teeth – 78. Trauma and vitality how to proceed with young children (permanent teeth

open apex) 79. Nitrous oxide question asked 80. Question about vicodin (os decks)81. How to acetaminophen and hydrocodone interact to relieve pain??? (os

decks) 82. What is best prognosis for breaking off a file a couple millimeters from apex83. radiolucency vs no radiolucency and vital tooth vs nonvital tooth prior to RCT

therapy 84. Cherubism 

85. What do tetracyclines do to teeth and oral environment (pharm book on CD) 86. Systemic vs topical antibiotics why use one or the other

November 2009 Exam1. Each of the following can occur as a result of successful rct tx except which

one? 1. Apical seal of cement, b. regeneration of alveolar bone, c. regeneration pdl, d. formation of reparative dentin (answer)

2. Which of the following factor is most critical in determining the prognosis of periodontal disease? 1. Probing depth, 2. Mobility, 3. Class 3 furcation, 4. Attachment loss (answer)

3. The strength of soldered connector of FPD in enhanced? 1. Using higher carat solder, 2. Increasing height (answer), 3. Increasing width, 4. Increasing gap

4. Sodium hypcholorite, the property of most undesirable? Toxicity to what to vital tissue (answer)

5. If a dentist seals a caries lesion on tooth, what would be the most likely result? 1. Arrest caries (answer), 2. Extension caries, 3. Discoloration of tooth, 4. Micro-leakage

6. Cephalousporins, are contraindicated for what kind of patients? 1. Patients allergic to penicillin (answer).

7. Q’s about false + and false -. If you have cases of true disease, and test fails to identify true disease: false negative (answer)

8. Most common cause of dental trauma, in primary dentition of children 1.5-2.5 yrs of age, is what? 1. Under-developed motor coordination (answer)

9. Which of the following pdl disease causes rapid destruction of alveolar bone? 1. Periodontal abcess (answer), 2. ANUG, 3. Chronic periodontitis.

10. Most adverse reaction of oral contraceptives? 1. Hypertension, 2. Thrombo-embolic disorder (answer)

11. 1993 exam. Composite restoration is wider of than the light tip of curing unit. In this situation how do you cure the restoration? 1. Placing the tip step wise over each area, and exposing each area for the required time (answer).

12. Radiograph of mandibular gland depression. 1. Stafne defect (answer)13. Which pair of anesthetics is most likely to cause cross allergy? 1. Lidocaine

and mepivocaine (answer)14. Questions about SNA and SNB, what kind of relationship do they tell you? In

terms of maxilla/mandibular relation. Look this up on ortho section.

15. which condition describes a combination of steatorrhea, chronic respiratory infection, and functional disturbances and secretory mechanism of various glands? 1. Cystic fibrosis (answer)

16. which is the most likely Indication of splinting? 1. Mobility with pt discomfort (answer)

17. what determines max. dose for anesthetic for a child? 1. Weight (answer)18. a lot of questions of plupotomy, pulpectomy, and rct? Ready first aid section

for this, endo section19. when you do amalgam on primary tooth, which primary tooth doesn’t

resemble any other tooth? 1. Mandibular 1st molar (answer)20. picture of nicotine stomatis, case question where you identify picture. Medical

hx said smoking.21. Main cause of failure of replanted teeth? 1. External resorption (answer)22. Which NUG or ANUG, which microorganisms predominate? 1. Spirochetes

(answer)23. What dimension of face reaches the greatest % of its adult size at birth. 1.

Height, 2. Width (answer), 3. Depth24. If you have leukoplakia for biopsy, do you incise or excise for biopsy? 1.

Incision (answer)25. Drug of choice of status epilepticus (seizure that last for long period)? `1.

Valium (diazapams) (answer) – look up how much too, 5ml?26. Oral cytology smears are more appropriate for diagnosis of which of the

following? 1. Pseudomembranous candidiasis (answer)27. Most common type of leukemia in children? 1. ALL (answer)28. When you do biopsy, how do you store the specimen before it gets to oral

pathologist? 1. Formalin (answer)29. Most convenient method of an 18 months child? 1. Knee-to-knee position

(answer)30. If pt undergoes radiotherapy for cancer, the most common oral infection that

necessitates drug tx in this stage is? 1. Candida albicans (answer)31. Dental plaque is believe to adhere teeth, why? 1. Dextrans, because they

insoluble and sticky (answer)32. If you have lesion of maxillary sinus, what kind of radiograph do you take? 1.

Waters (answer)33. Side effects most often seen in the administration of NO? 1. Nausea (answer)

34. The distofacial periphery of mand. Impression should receive special attention, because of which of the following anatomical structures might cause soreness if denture is over extended? 1. Masseter (answer)

35. Ameloblastoma case Q. You get a picture, slow progessing, other false choices included dentigirous cyst.

36. Statistic Q’s: know nominal37. Case studies, know longtitudinal vs cross-sectional studies.38. What most common form of standard deviation? 1. 2 stand deviations

(answer)39. Best tx for bisphosphonate iv patient? 1. Best tx is do rct and section crown

off (as oppose to ext) (answer), 2. Atraumatic ext, 3. Ext under hyperbaric oxygen. The answer was confirm by oral surgeon.

40. Calc of anesthetic. 2% lodicaine or 1:100,000. how much anesthetic in it? 1. 36mg (answer)

41. Necrotizing Ulcertative Cytolometaoplasia, know that it’s very painful and believed to be necrosis of tissue due to poor blood flow. If you know this, you will know the answer.

42. What is the most common salivary gland tumor? 1. Pleomorphic adenoma.43. Radiation induced mutation is the result of? 1. Hydrolysis of water molecules.44. Guideline of antibiotic prophylaxis, specially for kids. ie 2g of amoxicillin,

600mg of clindomycin. 45. What is AHA recommended antibiotic prophylaxis conditions?46. What if someone has joint replacement or high risk procedures? 1. Life time

prophylaxis before dental tx (answer)47. If some can’t pronounce “th”? 1. Becomes denture teeth are set too labially

and superiorly (look this answer up)48. The closest a dentist should get to their patient is? 1. Tap their shoulder49. Flumazanil is used for? 1. Reverses benzodiazapines (answer)50. What meds do you prescribe for heroin addicts?51. When is someone is taking MOA, what drugs can’t give?52. Lots of Q’s of warfarin, Coumadin, and bleeding time and INR. 53. You splint teeth for? 1. For Pt comfort (answer)54. Oral contraceptive that can become ineffective for antibiotics? 1. An antibiotic

for TB, look up (answer)55. What is a safe pain killer to give a woman who is pregnant? 1. Tylenol

(answer)

56. Pano, with short upper roots? 1. Patient’s didn’t put tongue on the top of their mouth (correct answer)

57. How much an implant could be below the CEJ of adjacent teeth? 2-3mm.58. Different types of graft? 59. Mandibular 2nd molar infection spreads to what space? Submandibular space.60. What causes Trauma in the US? By auto-accidents! (in 3rd world is knife fights)61. What do you use St. John’s Wart? Depression (look it up)62. Order of extraction? Max before mandibular and posterior before anterior.63. What is the most effective way of bleaching teeth? In-home vital bleaching.64. When ortho is end to end? Shifts to mesial, turns to class 1. If it remains, class

2.65. Leading cause of implant failure? Poor surgical technique (not sure ,look it

up!)66. A patient has appointment next morning, he is anxious, and the night before

he had hard time sleeping, which of the following tx would you prescribe? Ambien! (sedative and makes patient sleep).

67. What is the purpose of epi in anesthetic? To prolong it! (other wrong answers were to constrict blood vessels).

68. Distobuccal extension for denture? Masseter.69. A kid presents for bilateral enlargement, painless, etc (they are implying

Cherubism, what is the Tx? No Tx required!70. Most of primary teeth are out by 2.5-3 yrs!71. Where do you give maxillary nerve (v2) for all upper teeth? Sphenopalatine

foramen.72. Most malignant cancer in oral cavity? Epidermoid carcinoma! (look it up)73. Direct capping and Indirect pulp caping Q’s.74. Which of the benzodiazepine you don’t give to seniors? Long acting one (like

diazepam, look up)75. If person has long standing infection, what you give? If it has been there for

short time, pencillin, clindamycin for long standing infection.76. What was the most common fracture in the face? Zygomcomplex fracture.77. Ortho tx, when you use a light force on pdl, what is it? Continous. (look it up)78. You use surgical stent for immediate dentures for what reason? To know

anatomy to make denture easier. (some answers were occlusion).79. Which one can human eye see, hue vs value, vs chroma? Value.80. COPD vs Asthma? Asthma have problem breathing in,, COPD has problem

exhaling! (look it up)

81. What does multiple OKC tell you? Gorlyn syndrome! 82. If you both condyle break, what you get? Posterior open bite! (look it up)83. Widening of pdl is early sign of what? Osteosarcoma!84. If you have 3mm unifected root into sinus, what you do? You do one an

attempt, and if unsuccessful, leave it alone, no surgery.85. Avulsed tooth, extraoral time was less than 60 mins, primary tooth, what you

do? Don’t put it back.86. Case question, what is this (was associate with Trauma)? Fibroma!87. If tooth has open apex, and it gets avulsed, how you close it? You use MTA.88. gold on upper tooth, lower amalgam, patient has severe pain? Galvanic

shock.89. IF someone has a history of depression, what do you give? Zaipan, not Chantix

(smoke cessation)90. Black woman, middle aged, case Q’: osseous cemental dysplasia.

November 2009 Exam:Pharm:

1. Amphetamines – lead to NE release in brain

2. Adrenalin – stimulates alpha 1, 2 and beta 1, 2 receptors

3. Heart has beta 1 receptors

4. Levodopa used to treat Parkinson’s disease

5. Sulfonylrea – mech of action is stimulation of increase of pancreas insulin production

6. Mech of action of local anes on nerve axon – decreases sodium uptake through sodium channels of axon

7. Amitrriptyline – most common tricyclic antidepressant, inhibits reuptake of NE and serotonin

8. Claritin/loratidine – second generation H1 blocker/antihistamine

9. Tetracycline – interferes w protein synth/bacteriostatic

10. Erythromycin – bacteriostatic – inhibits prot synth

11. Amphotericin-B – antifungal agent

12. NSAIDs – mech of action of suppressing platelets – inactivate prostaglandins/arachadonic acid cascade via cyclooxygenase

13. Clindamycin – pseduomembranous colitis caused by clostridium difficile

14. Tylenol – non-narcotic analgesic of choice for pt taking anti-coagulants – no anti-inflamm. Properties

15. Effects of cholinergic drugs – slow heart, constrict pupils, stimulate GI smooth musc, stim sweat, saliva, tears

16. Belladonna derivatives – anticholinergic

17. Drug causing moonface (Cushing’s disease) – prednisone

18. Renin – formed in kidney – leads to formation of angiotensin I – converted to angiotensin II by ACE – leads to aldosterone release (saves salt)

19. Vasopressin saves water

20. Anticoagulants – antagonize vit. K, INR used for Coumadin patients

21. INR – value of 1 is normal (12 sec)

22. Nitrous oxide – in blue cylinder (oxygen in green)

23. Opioid antagonist – naloxone

24. Know schedule of drugs (I to V) Schedule I is not for medicinal use (LSD), V is small potential for addiction (codeine)

25. Oral drugs – undergo first pass metabolism in liver

26. Clopidogrel (Plavix) inhibits platelet aggregation irreversibly

27. Know COX1 and COX2 selective inhibitors

28.Oral Path:

29. Review:

30. Consecrence

31. Hypercementosis

32. Paget’s Disease – cotton wool appearance of skull

33. Fibrous Dysplasia – ground glass appearance

34. Dentinogenesis Imperfecta

35. ALL – most common children’s leukemia

36. CML – Philadelphia chromosome (chromosomal translocation)

37. Median rhomboid glossitis

38. McCune Albright’s Syndrome – Café au lait spots (coast of Maine)

39. Fluoride – toxic dose 5-10 mg/kg

40. Nevoid basal cell carcinoma syndrome – multiple OKCs

41. OKC – from remnants of dental lamina

42. Periapical cemental dysplasia – predilection for middle aged black women43. Peutz-Jeghers syndrome – multiple menanotic macules and gastrointestinal

polyposis

44. Traumatic bone cyst (simple bone cyst) – nothing inside

45. Pleomorphic adenoma – most common benign tumor of salivary glands

46. Actinic chelitis

47. Difference between incisional and excisional biopsy

48.Operative:

49. pH of ZOE (near 7), zinc phosphate

50. Check proximal contacts first when cast that fits on die cannot be seated on the tooth in the mouth

51. Reduction dimension for functional/non-functional cusps in gold and PFM

52. Which fluoride is not found in toothpaste? Acidulated (???)

53.Pedo:

54. Know fluoride supplementation chart (check out last card in operative stack)

55.Ortho:

56. Dolycocephalic – long narrow face

57.Other:

58. What P and Q stand for in a scientific study

59. Difference between sensitivity, specificity, etc.

60. Endo!!!a. Diagnosisb. Spontanouts pain

c. Hot and cold- irreversible pulpitis61. Least ortho 62. Pedo very little

a. One fluoride questionsb. Few sequence of eruption

63. Implantsa. Why do you use irrigationb. How do you know if the implant is succeful? Mobility

64. Completes- nothing65. Partials- no classifications66. A denture tooth falls of y is that? She put down there was some wax that was

not removed 67. Nothing on amalgam

a. Case- why is this tooth dark, amalgam tattoo68. Nothing on composition of materials

a. What do you need to control to keep the area dry69. Pharm-

a. Tylenol- liver toxicity b. Tylenol vs. NSAID

i. Apirin- reyes fever and adults GIii. If liver problems give aspirin

70. Wat herb effect coagulation? She did not recognize any of thema. Green tea- ginsing- decreaseb. Increases tannic acid

71. Syncope- 72. Hypoglycemia73. Heart palpation- due to epi74. Radiograph- 18M- canyou place denture, implant here?75. OS- which direction do you luxate the tooth 76. Oral path

a. Dentigerous cyst- can become an ameloblastomab. Can it be residual cyst.. tooth was just extractedc. Nasopalatine X-ray- heart shaped central

77. Pic- white sponge nevus 78. Candida- can wipe away

a. Nysatatin79. Behaverial science- read mosby

a. Example- positive, negative reinforcement and adverive conditioning i. Positive punishment, negative punishmentii. Know the terms!

80. A lot (10 questions)a. Patient comes in and they say “oh I hate the dentist, I hate being here”

i. What would be your response 81. OSHA

a. Hep B vaccinatedb. if employee does not want it need prrof that they didn’t get it

82. conditioning- classical 83. Universal percautions84. Salivary tuors- submandibular

a. Can get salivary glands from submandibular85. Sqaumous cell carcoma- just a pic86. Tons of endo87. Acute radicular periodontitis 88. Pic- is this tooth Mesio angular89. .5ppm for 6 yr old how much supplement90. Wat is the average fluoride in water- 1ppm91. Asthma- patient take albuterol92. X-ray is this dental age before or after cronilogical age93. What bacteria in the red complex

a. Know the gram positive bacteria b. What the initiator of decay- plaque

94. Where can you not do a apical positioning flapa. Max palatal area

95. Probing depths- what would you do a. Pic treatment sequence

96. What is a collomiter used for97. Move x- ray to far horizontally over lapping98. Nothing on cemenets99. Class V lesion- what do u place- GI100. Alginates- how do you increase setting time (not working)- add hot

water101. Space maintaners- when to use cand and loop lingual hlding arch102. Penicillin- if allergic- clindo

103. Amphetamines- what are symptoms of it- increased hear rate and excitability

104. Cocaine- is a natural drug105. No ASA classification106. Premedication

a. In case questionsb. Patient has penicillin and Rheumatic heart disease- no

107. Tricyclic antidepressant- didn’t remember what the question wasa. SSRI- prevent uptake of serotonin

108. Hypertension- lisinopril- know the mechanisms a. Lisinopril- is an Ace inhibitor

109. Coumadin- PT

110. How much space between implant and tooth? Answers were 1.5, 2, 3.5 3,

111. If change from 8mm cone to 16mm how much exposure time do u need to increase by? 2.4.6.8?

112. Patient with alzhiemers how do u treat? As much in the beginning of the disease as possible, as they wanted previously, preventative

113. Herpes lesion intra orally how do u treat? Palliative, acyclovie?114. Which systemic antifungal would u use? Nysastin, methazole115. Efficacy, what study would u go? Cohort, longitudinal, multiple short

ones116. Lots of study model questions- as is this a cohort, clinical...117. Wat is the main problem with class 2 composite- water or constructions

of material118. Which part of composite stains the most- gingival proximal, facial

proximal, lingual proximal, or occlusal119. Angular chelitis- incrase interocclusal space120. Class 3 is due to what? Max retrusin, mand protrusion121. Wat does arcon do better than non-arcon- take facebow, CR, reproduce

mandibular movements, 122. Notroglycerin, proponol, and something else are all used for- cardiac

arythmias, angina123. Most common cavity area- surface, below interproximal, above

interproxima, root124. Candidasis in cancer patients due to- chemotherapy, radionecrosis

125. Y perform remount- to differentiate between try in and dentures, wrong CR

126. What type of incision for palatal tuberosity reductoin- T, Y127. If 2cm laceration on lip how do u stich- continous, in middle and work

both ways, reconnect orbicularis oris first, reconnect vermillion border first, continous

128. Max does is 300mg of some 2% drug for a patient- how many 2ml can u give- 5,10

129. Percentage to be considered generalized perio130. Who has most immunosupression- youn, middle aged, men or women

(combine them)131. DMFT- who has the most F- white, blacks, Hispanic, Indians132. Which is the worst for lateral forces- 4mm, 5mm, 2-4mm splinted, or 2-

5mm splinted implants133. St johns wort- is for depression134. Which causes herb causes hypocoagulation- I wrought St. johns wort (I

don’t even no what the other drugs were135. Sulfer for alcoholics136. Can press on a red lesion and it goes away- hematoma or hema____137. Place class 2 Onlay- do to resistance, or retention138. Difference between gingival trimmer and hatchet139. Patient is 40 has no cavities small stick wat do u do... PRR, amalgam,

composite...140. How many surface to be considered generalized perio- 10,20, 30, 40,

50%141. Patient had portid surgery now sweats before he eats only on one side

this is due to what? I wrote Freys syndrome (whatever it is the guy needs serious help and should not be in my office!)

142. Patient had SSC removed and now has a mucocele looking lesion on the lower lip what is it? I wrote mucocele, other choices fibroma, SSC

143. When do u have to do a biopsy- I wrote if can’t treat in 10-14days144. How to distinguish the exact dianosis- lab test, lab diagnosis, clinical ,

medical hotory145. Epi for laryngiospasm what does it do? (multiple answers- multiple

choice with 3 answers each)- brocho dilater, increase HR, increase blood flow, increase BP

146. Pic with nicotinic stomatitis

147. Pic with half the tongue (left side) that looks like herpes lesion and other nothing on it- I wrote zoster

148. Radiolucency at the end of a tooth that looks like there might be an AOT but the patient is having symptoms (I wrote pericapical cyst)

149. To differenciate with reversible or non reversible- EPT or thermal test150. To differenciate necrotic and irreversible, reverasable- something like

that151. Blue sclera? Ectodermal dysplasia or OI152. Ectodermal dysplasia- sparse hair153. 1.5-2 yrs old kids tooth trauma? Abuse, profile154. How far back should a mand denture go- to RMP155. Gagging patient give denture what should u do- I wrote have them

stick a spoon down there throught till they get used to it156. Patient is 4yrs old on lots of AB what is most likely? Candidiasis157. Reverse architecture- interproximal is lower than on facial and lingual158. Crater like lesion looks smaller on x-ray159. IRM is ZOE mixed with what? Titanium, MMA 160. how do u get rid of all the free MMA in a denture- no worries there is no

allergies to it, over the 8hrs at 161 it will be gone, increase to 260 for an hour161. double exposure film 162. patient moves for 1 sec during pano what happens? Nothing 1 sec is

ok, whole pano will be distorted, only that section will be distorted 163. x-ray shows naso and maxillary sinus164. x ray showing what I think was an antral neoplasm165. ear lob on pano166. class 3 occlusion do wat surgical procedures- I wrote lefort 1 and BSSO167. patient has tongue retruded what will the patient have? Soreness in

lingual, hard time saying sounds, hard time controlling denture168. is teeth to far forward and superior wat happens? Hard time saying F

and V, th and S....169. how to verify VDO- F and V...170. if tooth is has a bas survey line wat do u do? Restore tooth, adjust to

new survey line, not use the tooth in the framework171. what does the reciprocal brace do? Counteract retentive clasp,

stabalize the tooth, indirect retainer172. if tooth is straightened what happens? It will be supererupted, the

anchored teeth will move mesial/distal

173. which one does not have modification? Class 1,2,3 or 4174. what protects a tooth from drifting/tipping if there is a tooth missing

infront of it- occlusion, occlusal forces down the axial, cortical bone175. pedunculated lesion on palate what is it? Papilloma176. what will u damage when getting FGG- Nasopalatine, anterior, or

greater palatine vasculature177. 3rd trimester pregnant women hard time breathing hypotension what

do u do? Give oxygen, lay her on her left side, call her OBGYN, lift her legs178. If give Antibiotic and patient slows breathing what do u do immediatly?

Remove AB IV, give oxygen?179. Most commin side effect in office- syncope180. What do u need to premedicate (1 question)181. Tetracycline- not used for premedication182. Image- what type of x-ray- I thought it was an MRI- could be CT,

submental...183. What test will u do to differentiate men and women in a study

(variance tests (ANORVA or something like that), Z- test, T-test, chi- test)184. Benzo give flumaznil to reverse185. Increase saliva- prilocaine186. False negative example187. Keratocyst what biobsy? Masipruzation, enucleaion, incisional,

excisional...188. Clindo- pseudomembranous colitis189. Which AB does not act on protein synthesis190. How do H1 act- I wrote competitively inhibit H1 receptors191. Dentist can diagnose? Bilemia, anorexia and some other choices192. Mentally challenged 6 yr old that is chanelenging by crying and some

physical what to do? 193. Depression causes- eating, lonliness, and something else 194. Dental allergies 3 or for of them- demititis (repeat question...)195. Controlled diabetic patients do not get more perio disease than non-

diabetic196. Which does not effect recall period- furcatoin involvement, patient OH,

amount of remaining teeth197. When is the prognosis that there is no hope- class 2 mobility or deep

class 2 furcation, deep probings with suparation

198. Class 2 furcation can treat with all but- GBR, take of enamel of root to make shallow class 2, hemisection and restore

199. Which hormone is used to bone graft? BMP, GH...200. Scaling Is to take of accumulated plaque on enamel and cementum201. Place post to retain core202. Patient has big amalgam, margins are good but patient is in pain when

eats peanutbutter sandwich- vertical fracture203. What not to repair? Vertical fracture204. Most common tooth trauma? Avulsion, subluxation, crown fracture205. Most common to cause mobility- trauma or perio206. Patient with HIV has candidiasis- bec it is HIV related, increased CD 4...

( I wrote increase CD4...?)207. What to use for a viral drug? Don’t remember the answers but there

were a couple ending with azole and that not the answer (that’s for fungus)208. What space is mand 2nd molar below buccinators? Submandibular,

submenal, sublingual, or Buccal209. What muscle can u impinge on with denture- maseteer, medial

pterygoid, or lateral pterygoid210. What happens to cause class one from edge to edge- both mesial shift,

only mand shift, only max shift211. If loose primary max second molar early what happens? Class 2 or

class 3 occlusion?212. If recession is 2mm and probing is 1mm how much attachment loss?

0,1,2,3213. Placing an implant in anterior how much below adjacent CEJ- 1mm or

2-4mm214. Brush and floss how much can reach in perio pocket (choose one for

brush and one for floss (1mm and 2-3mm)215. How does Listerine act? Stops cells from binding, (some other

choices... this is not the one I chose)216. How do cells first attach- dextran or lextran?217. Perio bacteria- no Acint... V.....218. How long does it take to form mature plaque (I wrote 5- 10 hrs), some

others included 24-36hrs, 1hr...219. 40kg kid how many cartridges can u give of 2% lido220. Least scary- SSC on lip, melanosis on palate, something on posterior

ridge...

221. Atrophic ridge what do u do? Restructure it, place endosteal implants, place staple implants

222. What is chroma- saturation223. What is value- black and white224. Something that looked like geographic tongue on lateral tongue but no

symptoms what is it? I wrote SSC but it could just be geographic tongue (it looked similar to question 73 on J exam in the clinical question area

225. How to clean implant- prophy cup, plastic, not stainless steel!226. What is the weakness of Ni files vs regular- strength, flexibility... and

some other choices ( I wrote strength)227. Implant interface- how does CT and epithelium react? Like normal or

not (for each)228. Established gingivitis- macrophages or plasma cells?229. 3 anterior mandibular teeth one tooth has 2 canals- does this happen

do to fusion, germination or twining 230. How to treatment plan if patient is in pain- treat pain, comprenhive oral

exam, other teeth (these 3 in all different orders- this is the one I picked- 2 questions on this!!)

231. How to excavate if think might be close to pulp- small or large bur, take out first in deepest or periphery first

232. If think might pulp what do u do? Pulp out follwed by enfo, leave some decay and close, leave some decay do indirect and look back in 2 weeks

233. Which has chealating agent NaOH or EDTA (2 questions!)234. Disadvantage of pulling bone up with tooth- I wrote long follow up235. How releated is amalgam wear and margin breakdown- I wrote slightly,

other choices very, no correlation236. What is considered bisphosphonate osteonecrosis- when it is

spontaneous, readiotherapy, extraction237. Patient is on 6 months of bosphophanate therapy what do u do? Hypo

dives and extract, atraumatic extraction, or endo with crownectomy and place sealants

238. Diabetes 1 causes blindness239. Something about otitis media 240. Day of surgery- diabetic what do u tell him- no food no insulin, food

and insulin, clear liquid and ½ insulin, clear liquid and normal insulin241. Insulin shock, what do u give?- give insulin, give OJ, give oral sucrose

242. Most common cause of perio- diabetes, cardio, some other stuff and smoking

243. When taking impression and patient is open what can interfere with fully seating- coronoid

244. What most likely leads to class 2 bite? Mesial step, distal step, or flush245. Difference between fear and axiety- fear is on something anxiety is

everythin (harder to treat)246. Fearful kid patient- TSD247. Exam baby head in ur lap and ur knee to knee with mom248. Wheezing in asthma occurs when they breathe in or out?249. What is the most common mutation in oral cancer- I think p53- other

were ras..250. Couple questions on crohns disease and mouth- I think one of the

questions mentioned something about ulcerations in the rectum (that’s right we are going to be dentist and checking peoples buttholes out for our differential diagnosis!)

251. Can tell its ankylosed if submerged (there was an answer different sound but I think that’s wrong)

252. When pulling out tooth and jaw fractures what do you do? Open flap to see all of the fracture, remove all the fractured pieces, remove all the fractured pieces that are not attached to periosteum

253. If need to extract teeth after patient had radionecrosis- I think refer to OS

254. If patient on Coumadin and is an emergency what do you do? I think extract if Coumadin is less than 2.5, other choises where no treatment, give pain meds

255. I believe u can place implant in patient who has INR less than 2.5 256. Consent- due to autonomy257. Reason y we need to CE and know our limitation- forget the name the

one where we do no harm to patient 258. Consent- do not need to discuss the witness signature (I think) 259. Patient is scared bec he has no control what to do- I said tell him to

raise his hand if he needs a break/ you to stop260. Canine abutments under a denture- what is the best way to prevent

caries- places something covering the tooth or daily fluoride rinses?

261. If patient has their nose always stuffed and they breathe through their mouth what happens? I said anterior open bite, some of the other choices posterior open bite, constriction on arches....

262. Patients crown does not match the other teeth what do u do? I wrote make new crown

263. What caries lesion has a V shape pointing to pulp- occlusal, smooth (I think this one- interproximal), root caries

264. Reason for luting on ring- to ease release of investment from ring or to have equal amount of expansion/ constriction

265. Pic that looked like herpangia in back of palate- qusion stated there are nikoski signs what is it- I wrote herpangia... but pemphigus was also a choice

266. Y do we not like giving barbirurates- many things can go wrong...267. Opoids act on mu receptor268. Which drug do you give to anxiety patient before day of appointment

bec they can’t sleep due to anxiety- I wrote methdiazepam (something like that...- it’s a ultrashort acting barbiturate

269. Chromium for corrosion resistance270. What happens to a drug after conjugation- more ionic, more

hydrophilic, more active...271. If there is an old women in ur chair and u think there might be abuse

what do you have to do?- tell family or tell human health services272. Image with staphne defect- called it something with salvary (no

staphne defect in the answer)273. Image with odontoma- did not ask to differentiate between compound

and complex274. Wat does acetametaphine do with codeine? Increase its activity,

increase how long its around due to clearance,...275. DEA schedules there drugs by their toxicity276. Y would u move a tooth before doing ortho? I wrote bec more likely to

get bone loss after perio surgery, other choices bec it easier to move now, stable teeth are harder to access...

277. If want to make tooth thinner what do u do- match these- make the embrasure space smaller or larger and move the facial lines to the midlle of the tooth or bring them out

278. After patient comfort do you splint the teeth to decrease motility or patient comfort?

279. When moving with ortho what does not happen? Chemical change in pdl, pressure on one side and release on the other...

280. If tooth has been out of contact and know you place a partial on it and it acts up this Is due to what? I wrote due to pulp response to stress

281. What sinus will the tooth be displaced if taking out wisomd? Maxillary or pterygo...

282. Bleeding during RCT y- bec hit the periapical area283. Pic of inflamed gingica, what is it caused by... cyclosporine284. Material of choice for cervical decay- glass ionomer285. First thing to do at recall- I think update medical history286. Remineralized teeth are they stronger than regular enamel?287. How do u identify root caries- Brown stain, sensitivity or softness of the

tooth?288. Subgingival composite where cementum is exposed- what type should

u place? Dual cure or fluoride releaseing composite?289. Direct composite vs inlay- what is better about the direct composite- I

wrote seal290. Something about the code of ethics and what it includes- it did not

include snitching on other dentists that us electronic advertising291. When making a bevel on the gingival floor what don’t u use? Hatchet,

gingival trimmer, carbide flared bur, or diamond flared bur292. what is the best to communicate with patient- apathy, empathy, or

some other stuff293. to show empathy you don’t need which of these? An imagination,

understanding.... I don’t remember what I put down though...294. to paraphrase a question you do not need to agree with it

I’s Friend1. What is the best xray for TMJ?2. What is the tx for horizontal fracture?3. Recurrent epthous on image?4. Mylohoid and pterogofissue (tear drop) on pano!5. Ortho A and B = -4, what is this? Class 3?6. Stafne’s defect7. Zinc in Amalgam, what is used for?8. Optimal time to etch dentin and enamel?

9. Anti’s law; 3 abutments, one being lateral, with 2 pontics, prognosis good, poor, excellent? Poor?

10. Microorganisms of supra and sub-g calculus?11. Reversal of cocaine overdose?12. Patient salivates a lot, what is tx before surgery? Atropine13. Xerostomic pt, give pilocarpaine! Or cevimeline.

2007 Questions:1.most common primary malignant tumor of young people-osteosarcoma

dentist cant wrute class 2 for back pain.

2.Edgewise bracket- for intrusion motion3.Omega loop- main bad is push ant teet forward4.Injure arteritemporal nerve-sweating out of parotid (anterior temporal syndrome)

Occlusal guard-distribute occlusal force

Which disorder least developmental delay-trecher collins syndromeEagle syndrome pic -calcified stylo mand ligamentTraumatic bone cyst pic- Most common most pathogenic location verrucus carcinoma-floor mouthKeratoacanthoma (pic)-most like scc goes away 18 weeksWhat is intal –asthma medKids w fever- tylenolNsaid least likely to effect stomach –cylebrex(viox)Function digoxin-Semi fixed articulator-take bite reg w/o face bow.-failure to take face bow so remount

w/ facebowGuided grafts- better for maxProbing furcation from facial is best. Better accesss to facio mesial furcation from

facial.Most common mistreatment of odontogenic infection- wrong antibiotics or Not doing I

and DAgonistic and antagonistic- parazosine (?) in review under morphine analgesiaNasopalatine cyss tx- enucleationPic of nasopalatine canalNose vs lip line in radiographScanning disk tmj- mri best viewCollimater function is all but- increase penetratability

Which more likely to covert to cancer-Tissue least affected by radiation- muscleNeural tissue done growing by 6Zygomatic arch on radiographGI non benefit- good tensile (not compression)Psych Q: modelling (copy older child), effective ways to speak (eye contact), paraphrasing, Filtration of tube- extrinsic and intrinsic.

Most common petite mal seizure med-diazapamNitrous to pedo at 50%-what we do? We stop giving it.Contraindication to nitrous- breathing disorderLikely reason to having low O2 except- paralysis of muscle Reversal for valium- flucalozoline?

For delayed onset hypersensitivity-benedrylCimetidine- H2 blocker (for gastric ulcers)Fibrous dysplasia picture- lucency w/ no opacity, no tooth involvedDimensionally stable impression- additional siliconeAlginate impresssion shrinks due to - syneresis.Autonomy is- letting pt keep control over their fateOrthodontic movement- widened pdl due to decalcification?Labial bow- tipping teeth? (treats overjet)Best time to fix lingaual inclined incisors- when canines erupt.Most common malocclusion- class 2 div 1Class 2 amalgam vs class 2 gold inlay exceptReason of reduction of tooth for MOD inlay except- amt of enamal on teeth4 mm superruption tx- full cover crown Change VDO w/ natural dentition- must take face bowWhat is horizontal line reference- hinge axis and below inferior orbit

Best occlusion for denture-bilateral balanced

What discludes post teeth upon protrusion- mutually protective design

2nd premolar is tooth most likely to be pushed out of arch

Perfect impression of masseter for buccal flange you must –to bite against force?

Couamadin( 3 Q)-test Pt, effects vit k, extrinsic#30 hyperoccluded, deviated – incline most effected is max/mand balancing cusp?Sealants- mechanical binding to toothEtchant does all except- provide chemical bond

Bleach used to dissolve organic tissuePurpose of bleach except- getting past foramen to treat boneD1 to D2 in endo- 1mmEtch dissolves smear (does not)- dry out collagenCaries die- marks denatured collagenPart of flame to melt metal- reducing zoneMain dif porcelaine veneer and composite- cost and fixability?Home bleaching-10 % carbamide peroxideFlouride in acidualted flouride. 1.23 %Usual waster flouridation- 1.0 ppmClass 5 restorations on caries pt- glass ionomerErosion- chemical wearing of tooth (gerd)Why bevel edge of gold- marginal stabilityEffects burnishability in gold- yieldExample pear shape bur- 56 or 699?Flouride accumulated most- away from DEJ (surface of tooth)Dry socket (except Q)- need for oral antibioticsRubber dam- not put on b4 taking shadeBacteria for implant failure- gram neg anaerobicBac lysosomal enzymes-perfomonas?Bac need to cause decay-Why cavities exist- host, sugar, and bac presentWhat age strep mutans colonize mout- 6 months to yearAll cause by disorder except- bottle cariesCerebral palsy- neuro lesions and movement dzPts with Cerebral palsy have- injury to anterior teethStudty when 2 dif pops and comparing effect- cross sectionalProperty hardest to regain- valueOpaque dentin used all except- start initial color of restoration?Pt comes in with horizontzal class 3 fracture for 1 month (periapical lucency and root apex open)- caoh (apex closure inititation)

Use for sedation of children- Meperidol?

Finger sucking end habit- Or 4 to 6When to fix cross bite-ASAPFor child w avulsed 4 yr old mand incisor- what would you do? Leave out?Most common space maintainer- band and loop.

What does band and loop not have- occlusal stop for tooth above?Enlarged ANB angle – class 2Dislocation of condyle- mandible deviates oppositeCan tx all with appliances except- crepetisContaindation use corticosteroid-diabetesIAN to parotid gland- injection too posteriorWhich root most likely knocked to max sinus- Pt w/ onlay, 3yrs later sensitivity- cement wash out?Hyperventialtion syndrome most common effect-pass out

Acetominophen overdose- liver toxicityCheck on pt first- systemic disordersFree gingival graft gets blood from base first, Least important to tx pt- weightBupivicaine calc in 3 cartidges- epi and bupLidocaine-not broken in plasmaTopical anesthetic- lidocaineMuscle does not form retromolar pad- masseter muscle; pterygomandibular raphe; retromylohyoid muscle; temporalis tendon do.

Leukoplakia all over- incise multiple areas w incisional.

White film w/ pos nikolsky-pemphigus tx w incisional biopsy

Antivirals(wrong match)- azt with herpes zosterWhats not achieved in class 2 box area- retentive formEdentulous- alveolar ridge height decreases and alveolar width_______decrease?Epulis fissuratum- most related to fibromaPt has macules on face and oral cavity Z(nothing else)- Puetz JagerKarposis sarcoma caused by- type 8 hpvCemental dysplasia-ant incisors of mandible

Flourid osseous dysplasia tx- no tx

Nasal cyst in max siunus-

Most common cancer salivary glad- pleomorphic adenoma

Cleidocranial dysplasia- over retained primary teethCandiasis- diagnosed by cytological smearCondyloma acumulatum- caused by HPV (venereal warts)Which skin condition has endocaditis and glom- lupus

Thrombolytics- strokePrimary herpatic gingivostomatitis- fever, ulcer in mouth. No symptomsPrimary herpatic gingivostomatitis- child 2 yrs , fever, not ant to eatRanula pictureFibroma picturePyogenic granulomaLining of nasolabial cyst- pseudo stratified squamousPregnant women more gingivitis why- hormonesSialolith in wartons duct tx- excision of sialolith alone/close it up

Cause of radio opacity of infected tooth- condensing osteitis

Langerhans x- floating teeth in air.

Reason for parilis- incomplete root canal (redue root canal)

Gardners and putz jeugers in common-polypsReason pts get aggressive perio- host cant fight offAllergic gingivitis caused most by- toothpaste flavor(cinnamon)MEN- adrenal over productionPic of kid with bleeding gums problem healing- leukemiaWhat goes away from mouth by itself- eccymosisKeratoacanthoma- gone 16 weeks.Irradiation cause saliva to have lower- sodium contentNot cause perio dz- vit c deficiencySLOB ruleAsprin burn (coagulative necrosis)- area that gets topical asprinRhomboid tongue thought to be- a type of candidiasisMost likely route metastatic cancer in jaw- eating through cortical plateCause giant cell granuloma- hyper parathyrodismEndentulous pt painful nodule between laterals and molars- buccal extension to

mandibular nerve-----------------------

1. You are using a rotary to make post space for a post and core and after GP removal while drying the tooth you have blood on the paper points. Why? – Lateral strip perfiration

2. Material to use for best interprox contact of a CLASS II is Admix Amalgam (others Spherical amalg., Composite w/ and w/o filler)

3. Why is it hard to place the gingival floor on 1O max molars for a box of a CLASS II prep is-Cervical constriction.

4. At what age does florousis of teeth anterior perminant teeth occur?- 4-6mo (others 0-4mo, 1year, 2years and 6 years)

5. Why cool the slab for zinc phos cement?- incorporate more powder6. How do you tx Infuenza A?- amantadine (Symmetrel)7. An opiate type MAA with both agonist and antagonist properties is- pantazocin8. Aspirin works on which pathway for pain?- Cyclo-ox pathway9. Aspirin works how to inhibit bleeding?- Thrombox A210. Which AB would the 1997 premed ok for a pt Allergic to penicillin?

Clarythromicin was only listed non-Pen.11. Pts on insulin will need an insulin boost for all except what? Sedation, all

others follow sick day rule of insulin.12. Pt on 3mo tx of steroids needs what?- no tx and consult gp for dose rase13. All these drugs alter ionic movement except- Propanolol, others were CCB,

HCTZ, and Digoxin 14. Pt who took too much insulin will have all except- Hyperglycemia15. HCTZ work mainly on-Na+ resorption16. If a 3rd trimester pt all of a sudden feels a drop in BP what do you do?- Have pt

lay on left side.17. Purpouse of the trendelberg position is to- maint circulation so that the most

vital organs are never hypoxic. 18. What is capitation? Cap off how much the dentist gets reimbursed per

procedure.19. What parameter study lets you have a risk quotient?- Cohort20. What causes Clefts?- Multiple factors is the answer.21. Pt goes home from elective orthognathic sx and in 24hrs, without sign of

inflam or edema, but a fever of 102oF- Atelectasia22. What is the sign of implant falure?- mobility23. What do you want to do first when taking an impression of the implant and

abutment splinting the 3 implants with a bar?- Make sure the abut is attached right when the pt comes in others were check fit of custom tray, incert impression coaping, insert imp coaping with acrylic.

24. The diff in dental stone IV and II is that stone II-expands more25. Does a pt need premeds for Murmur with regurge-yes26. #1 dental antibiotic for an infection within 24hrs is Pen VK 1gm booster and

500mg q6h27. What is the primary func of rest seats? To resist vertical tissue force

28. Whats the purpouse of an indirect retainer?-to prevent distal extention from lifting up

29. First step in religning a distal extention denture you must first- try in the framework

30. Which Kennedy Classif can’t have modifications?- IV31. Where do you attach a non-ridgid retainder from a FPD? Don’t know and don’t

remember choices, they were medial and distal of and to somethings.32. For a stress breaker on a FPD to be effective it must be- don’t know and don’t

remember but something mesial of the distal abut and so on and so forth.33. In a mesialy tilted mand molar where is the biggest undercut? Distoling,

mesioling, mesiofacial, distofacial.34. What allows for or gives problems to eruction of perm 2nd molars?- The resorp

of the ant ramus.35. When the 1st permanent molar is lost but before the second started erupting

and before the loss of the primary 2nd molars whats the right course of tx- Don’t save space and the 2nd molar will drift into the space.

36. How do tricyclics work?- by not allowinf reuptake of neurotransm.37. What slows metab of lidocaine?- propanalol38. Morphene causes all but what? Pinpoint puples39. What is the primary reason for putting epi in LA?- to slow its removal from the

site.40. Where do you inject if infiltration in the area will not be able to avoid the

infection?- Block41. How much epi for a cardio pt? 0.0442. Pt comes in for a RCT on a non-vital tooth with 1mm apical lucency. 5mo later

comes back with 5mm lucency, why?- Improperly done endo, retx. Others another canal, osteosarcoma, carcinoma.

43. Most commonly used surgery for mand augmentation?- bilateral sagital osteotomy

44. What is the CTI?- perio incidence index45. What muscle is allowed to be covered with a denture?- lat pterigoids cause

they go around ham notch is my thinking. Others Massater, temporalis, sup constrictor.

46. Radiograph of internal resorp.47. After 2 weeks of chlorohexedine for how long do you remove the pathology of

S. mutans?- 1-2months, 3-6 months, 6-12mo

48. What are the reasons for closing a cleft lip except?- Support the premax on a unilat cleft, felp speech, and the not is to support the ala of the nose.

49. Where is the MOD inlay hitting when it contacts early?- interprox50. Whats not useful for removing plaque?-water pick51. Whats is not the function of saliva?- Antibacterial action vs. s. salivarius52. Man comes in after years of tmjd with reduction and is now only able to open

25mm and that’s it with muscle pain. Whats his disorder?- Myofacial pain syndrome.53. An OD on LA will be fatal by- resp. depression. 54. What should be the hygenists thought when treating a geri pt.?- There quality

of life after process.55. What is paternalism? to act like a father, or to treat another person like a

child.56. What is the purpouse of the voice control technique? Sets boundaries57. How do you hold an infant? That whole knee-to-knee thing.58. Most likely post sx result on a hemopheliac pt is?- I put fragile capillaries.

Others, hemangioma, hemorrhage (correct answer is unusual bleeding)59. Whats the best way to tx a moderately anxious 7 year old?-sedation, others

were restraints and stupid others that were wrong.60. What is modeling?- showing kids other good kids61. Whats Kelley’s Syndrome? Flabby max anterior arch due to lower ant mand

teeth still retained.62. Whats not found on the OSHA poster?- How many days each employee is

allowed to work with that chemicals.63. How do you test an autoclave best?- Biological microbe test64. Infection on the mand buccal side of premolars is most likely to go where?

Submand space. 65. When tx planning an RPD for a pt what is the first attachment placed on the

serveyor?- analyzing rod66. When tx planning an RPD for a pt whats the first thing you do?- Mount casts.

Others, find undercuts, find abutments, extract hopeless and perio teeth. 67. After fx a mesial root tip on a molar extraction whats the first thing you do?-

get hemostasis and visualive the root. Others, take an xray, pick at it with root pick, surgical retreval

68. What kind of bone loss in aggressive perio? Vertical. Others, horizontal, mesial distal, interprox.

69. What are the hep b vaccine rules by OSHA?- all must always be offered and able to get the shit…..yeah

70. What Class Occlusion gets most ant tooth fx?- Class II Div. 171. At what age should all speech disorders be fixed?- 8, others 6, 11, 1472. First step in tx planning is?- treat the initial pain and discomfort of the pt.

others, see how you can make a preventitive plan, treat all restorations.73. What do you do for an 8 year old with a fibrous frenum and a large diastema?

I put wait till all ant teeth are in and then fix diast and frenum. (wait until canines come in?)

74. A narrow 1mm band of attached gingival around a tooth that has no resession, what is that tx for this condition?- No tx

75. What do you not do at the perio maintenance apt.?- S&P pockets of 1-3mm76. Most likely shape of furcation is?- wide but still not very accessible to dental

tools, others used variations of that.77. In a primary tooth apical infection the first radigrapoh sign is where?- in the

furcation.78. Child has clubbed fingers, whats the likely disorder?- Cyanotic heart condition79. What does floride do? Floroapitate that’s acid resistance. 80. Lots of tooth fx questions with a bitestick test being positive and no xray

evidence81. What drug does not cause myosis of the eyes?- atropine82. Most of the dental payments are by?- cash for service-67%83. Where to the condyles go in CR?-Superio-anterio-laterally84. If teeth on the wax tryin don’t occlude like they did on the articulator what do

you do?- Remount, redo teeth and retry!!85. A successful fractice is built on- friendship86. Why not use broad-spec or overuse antibiots?- bacterial mutations 87. When pt is on amunosupessents for transplanted liver, what happends in the

mouth?- CT overgrowth and hyperplasia. 88. Weakest part of the gold mod inlay is its??- cement layer89. If two cavities were thought to be two separate fillings but upon exam it was a

crack through the isthmus. What do we tx this symptomless crack with?- observe90. After 2 days plaque consists of? Gram –and+ cocci and rods91. Whats not the reason for rising dental costs?- the number of dental students

in dental schools.92. Whats true about abuse cases? You’ll see at least 2 a year93. Whats the #1 cause of med induced ging hyperplasia?- dylantin-30% of all

drug induced, this was a perio test question. 94. Floridation supplement for a 5 year old drinking .75ppm h2o?- 0mg

95. #1 side-effect of erythromycin is?- stomach upset. 96. Digoxin strengthens contractions97. Sometimes can’t tell radiographically that there are classV carries due to the-

shadow of the cervical constriction and the lucent line it causes.98. Whats the worst thing you can do to a tooth you plan to re-implant right

before you do so?- Scrape the tooth with a curret.99. Premed all conjenital heart defects.100. Carries most often located where on interprox?- Just below contact101. Most likely dx indicator of pit and fissure carries is what?- explorer catch.

Others, xray, adjacent tooth decalcify, contralateral tooth thingy102. Diabetics are more prone to perio and are less resistant to the effects of bact.-

both statements are true.103. Hypofunction of adrenal cortical system will cause what?- hypotention104. Whats not a method of biotransformation? Covalent bonding, others,

oxidation, hydration, 105. Whats contraindicated for pt post mand radio tx.?- flap apico on pt. 106. Child hit head in bike crash and feels nauseous and dizzy, what do you do?

Tell em it might be a concussion, to watch kid for 24 hrs after they immediately go see a physician.

107. Pt. that thinks youre talking about him when youre not is suffering from what? Delusional disorder.

108. Benzos are great for dentistry due to an action of- amnesia and little memory of the event.

109. Most to least implant reseptive was: ant man ant max post man post max110. Best place for implant is ant mand111. Levdopa is used in oarkinsons in order to do what?- increase dopamine in the

CNS112. SLOB X-Ray113. Most common result of an avultion is necrotic pulp114. A bunch of reversible and irreversible pulpitis guestions with a cold test and

duration. So long and dull is irreversible and so forth. 115. AZT is not used to tx herpes-zoster.116. Set short term attainable goals for pts. 117. Stress causes immune weakness which leads to disease and bruxism118. In the DFMS system whats the S stand for?- Surfaces119. Whats the D__ the one that’s only three letter system of tooth carries tracking,

what can it not do?- Track how teeth were lost.

120. With clefts you’re prone toward- Class III occlusion. 121. All are true except- Cephalosporin has a broader spec then Penecillins122. In gardners Syndrome there may be cancerous transform of what?- polyps in

intestine.123. Retruded tongue habbit with full denture means what?- difficulty swallowing124. What bacteria is responsible for implant falure?- gram – anaerobics

http://forums.studentdoctor.net/showthread.php?t=190136Random Stuff from DECKS:

1. Alcohol abuse med: Disulfiram (antioxidant, interferes with hepatic oxidation) or Naltrexone for alcohol dependence.

2. Dyspesia: unable to digest3. Syncpe? Inhale ammonia, irritates es trigeminal nerve sensory. 100% oxygen

works, except hyperventilation syndrome.4. Anticoagulants act antagonize Vitamin K to work, prolong bleeding.5. The higher the INR, the greater the anticoagulant effect.6. DEA number required for prescribing opioids/narcotics, like codeine,

oxycodeine, etc7. Major disadvantage of opioids is respiratory depression.8. Articaine (septocaine) has an ester group, unlike other amides it is

metabolized in blood stream.9. Tetracycline is usually not used because they cause yeast infections, as well

opportunistic infect.

Day 1:1----Action of Cardiac glycosides Answer : binds and inhibits Na+/K+ ATPase2----What is the antidote for Percodone ( oxycoden) Answer: all opiate antidote is nalaxons Answer was Nalaxons3---- most complication of sagital osteotomy: I think nerological problems4----if someone can’t take ibuprofen what can you give? Asprin Demoral Pentazocine ..

5-----x-ray of odontoma ( anterior lots of little tooth in the x-ray around the canine)6------most ridid material Polyether7----most stable impression material: additional silicon ( same as PVS ) they just used another name8----perforation caused during endo tx of max f MOLAR: mesial cancavity9----- how do you distinguish acute apical absess and periodontal absess: Pulp test10----- which of the following anesthetic can be used as topical: Lidocaine12---- orthodontic tx will provide: restorative and periodontal mantanance13---- how long for the root take to complete: 2.5- to 3.5 was the choice14----pupose of insical guidance : mount casts..adjust condylar guidance ..begin prep15---- denstist who work with HEMA( composite) can have what kinda complication contact dermatitis16----why should a dentis figure out the outline for first: for the easy access17--- pulpal pain that only occure at night with no stimulation: puplpal necrosis18--- when the heat apply to tooth..lingering pain for several minutes: irreversible pulpitis19--- 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 sure20---- complete set of dental stone will occur 24 hrs after final setting21----- which sement is the easiest to remover after procedure: Zinc Phosphate22— when the bud stage occurs in utro:

23--- Glucocorticoides are contraindicated in : Diabetes24 – related to q # 23, clucocorticoids side effect is all of the following EXEPT: Infection Reduced inflammation answer Hypoglycemia *** answer is this because Glucocorticoid cuases Hyperglycemia25- Radiation of 4(Gy) to the skin will cause: Erythema26- 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 catyst30--- removable appliances cuasues : tipping movement31--- depth of the cavity prep on primary teeth should be :32--- Freezed dried cadaver bone is a type of: allograft33—large condenser with lateral condensation is used in: admix,,spherical…etc..34—OSHA rule on hepatitis B vaccination35—Tissue that grows the fastest in the first year neuronal37—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 bothIncrease kpv and decrease msAIncrease msA and decrease Kvp40---- surgon extraction a mandibular molar and all of a sudden mesial root break:what instrument u use:crayer forcepcrane forcep

41-- which one of the following drug is chelated with C++ tetracycline42- gingivactomy is contraindicated with: mininmum attached gingiva42-- after orthodontic tx, pt with no other systemic disease develop high fever… 43---- Glossoptosis – micrognathia - - cleft palate Pierre – Robin syndrome44--- 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 Hyperplasia47- 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 GerminationConcrescence

48 – if a child is treated with methamphetaimine what disorder the child has:Attention deficit disorder49- if a pt. is treated with coumodin what test you have to do50 – in DMFS “ s” stand for ----------- surface51—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 recall52—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 porcilaneAmin 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 Norepinephrine56 – The causes of Verrcus xanthoma Human papilloma virus57—drug of choice for pulpal involvement Pen V58 –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 dose60—Hepatitis D through B61 – example of potassium sparing drug: spirolacton62- when a dentist tell the pt what to do: paternalism

63—which of the following has the greatest tendancy for malignancy:keratic acanthoma64: actinic cheilitis --- lead to SCC65—make sure u understand PTT .. PT..INR..bleading timePT --- extrinsic factor – PTT – intrinsic factor 8.9.11.12INR deals with PTFactor VIII is hemophila ABleeding time has to do with palatal count64 – deaf pt. the can read the lips65—chroma is the intensity of color66 – rad sor, blow it gingiva lift, you can see denuded root, what is the treatment?67 – cleft lip and palate --- 6-9 weeks in utero68 – with cleft lip and palate what occlusion is mostly seen--- class III malocclusion 69- most of the x-ray is converted to : heat70- 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 sure71- none vital bleaching is with carbamide and 35 % hydrogen proxide72 – thee usual metabolic path of ingested fluride primarly involves urinary excretion with remaining portion in:skeletal tissue73—which one of the things can be seen with TMP pt in elders: depression

75— 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 enough76 – the anterior maxillary incisors can given a younger appearance if: rounding the incisal point agle77 – best treatment of localized aggressive periodontitis: 78- 4.5 years old child with .75ppm floride in their water req. how much floride supplement: 0 mg79 – pt taking dicumoral is probably treated for: coronary infarct80 – which of the following physical signs indicates severe CNS oxygen deprivation Dilated pupil with an absence of light reflex81- group of muscle that influence the lingual border of final impression for an edentoulus pt:answer: palatoglossus, sup constrictor, mylohyoid, geniogloassus82—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 reductionall other choice were very wrong84 -- 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 plate87—which one of the following best describe adjunctive orthodontic tx:answer: orthodontic tx to enhance restoratitive and perio rehabilation88- 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 disease90 - 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 A REACTION TO AN APICAL INFLAMMATORY DISEASE93- most common carried among 5-17 years oldocclusal?ProximalFacialLingualRoot?I don’t know, I put occlusal94 --Pulpal anatomy dictates a triangular-access cavity preparation in the MAXILLARY CENTRAL INCISOR

95 - Patients with natural dentitions generate the greatest amount of occlusal force during PARAFUNCTIONAL MOVEMENT

96—if there is an article and if you want to underatand the definition of Dependent and independent, which part of the article you look:IntroductionMethodBodyResultSummary Answer: I DON”T KNOW

97 – a dentist in his clinic notice new diseases this is : incidence97 __ for the second division of trigeminal nerve block where ( which foramen ) the needle should penetrate:Nasoplatine foramenRotoandomGreater palatine Note: pterigopalatine and sphenopalatine was not the choice98 – uncouncous diabetic is treated with:50 % dexterose in water99 --- maxillary 1st molar access opening:100—in finding the orofic of the canal you can do all of the following EXCEPT: using a high hand piece with diamond bur101: with the mandible is fracture with muscle move it jaw forward and medialMedial pterygoidLateral PterygoidMasseterAnterior belly of digastric102- in releaving a buckle frenum for a mand. Denture which muscle is released:caninusorbiqularis orismasseter several other muscle:

103) which of the following cells appear to be defective in Localized aggressive periodontitis: neutrophile104) Know oligodontia and hypodontia are signs of what syndrome?105 ) multiple osteoma seen in ?Gardener syndrome105) there was an x-ray asking to distinguish the radiolucency: Tramatic bone cystAneurismal bone cystStefen’s Static bone cyst106) 4 years old avuled max centeral:extract the other central to make it bilateral

RCTLeave out107 ) Which one of the following is not part of redistributionoxidationhydrationgluconitiaonCovalant bond *108) the best treatment of a diastma b/w the anterior 8 and 9 is:proximal compositeVeneerFull crownno ortho and surgery was suggested109) another question about diastemawhen you close it:answer: wait until the perm canine are erupted110) most likely lesion after child in dentist office is:lip bitting ( anesthesia)111) all of the following cuase damage to soft tissue excepttopical use of floride112) sealant : micromechanical retention113) most composite resin by,, mechanical retention114) pt had a post and core 6 months ago,,no he has sever pain with no apparent cause:Vertical root fracture115: one hr after placing the crown pt has a soothing pain when teeth comes to gether what is the causehyperocclusiongalvanisimpulp116) the amont of the x-ray exposure that a fetus get in a single x-ray is:double the normal amount outsidehalfless than 1 day that a person get it in a day from outside exposure117) all of the following are the x-ray to access the bone in implant of 6 anterior teeth except:topographyPan

CTPeriapical – I put this as an answer but I am not sure118 ) patient come to your office and with multiple lesion around the gingival, he mention is gets tired fast:multiple pyogenic tumorLeukima – I chose this as my answer Peripheral giant cell granula119) pt put aspirin on the tooth, white stuff: tissue necrosis120) lots of question about Localized aggressive perio: how you treat them do you use systemic antibiotic what antibiotic you use tetracycline has an effect on mod ( inhibit host collagenase) etc..

125) most complication of IV and general anesth. Hypoxia126) interrupted suture is used for:decrease infectionstable tissue I put stabilize tissue betterdecrease bleeding127) when you suturing always suture from: loose to firm tissue128) dentist try to take an x-ray PA of mandible, but because of interferences in

the moth can’t take it, what kind of extra-oral x-ray can be taken?Oblique mandibleWater viewB- p125- outliers control meanmedianmodestandard deviation126 – you try to take the impression patient keep gaging:Bad techPersonal traitTwo other choices I forgot127 – chance in color of enamel only on the surface can be fixed by:

restorationput crownenamoplasy - answer128) what is DNA prob analysis

From the Computer exam 2006(Choices are listed. Not all the choices were remembered. If it is an answer thought to be correct, it says “ANS”)

30% Rocks from 1991/93/98/ 2001/02/03/04Prosth/ restorative was not too difficult- dental secrets is good

129 -Rapport with dentist questionsEye contact… etc

130 Endo trauma- When to do Pulpotomy with CaOHWhen to do a pulpotomy with formocresolWhen to do pulpectomy(Very similar to rock questions)

131 - Oral Path: 5-10 picturesLateral cyst located where?Cleidocranial Dysostosis?Ectodermal Dysplasia?Cerebral Palsy?

132 - three calculations on how much Local Anesthesia (mg in 5ml of 2% lidocaine)

(20 kg or 44 lb child, what is the maximum local anesthetic to give?)

133- Which artery are you scintillating when checking sphygmomometer? (Asking about where you check the BP) Ans: Brachial Artery

149 -at is the longitudinal study?

150 - cidence vs. Prevalence

151 What is the impression material that causes syneresis and imbibition? (Alginate is not a choice?) Ans: Metallic Oxide??????

152 What is related to Osteogenesis Imperfecta? Ans: Dentinogenesis Imperfecta

153 Most common mental disorder in the public? Ans: Anxiety or Depression?

154 Most common mental disorder in the elderly? Ans: Depression???

155 Of the following, what is a Schedule II drug? HydrocodonOxycodonVicodan

156 What causes the most damage to an opposing restoration?OverdentureComplete DentureTooth-support RPDTooth-tissue RPD

157 Which is the worst prognosis for periodontal defect?Mx 1st MolarMnd 1st Molar

158 Know justice/ beneficience/ autonomyQuestion states, what follows the statement “do no harm”

159 What is the order of treating a tooth needing restorative?-pain, comprehensive exam, restore the tooth (these were placed in different order, choose the best one)

160 What is the purpose for oil in the house foundation??? (radiology)

161 Contraindication for endo therapy: Ans- Restorability

162 Which of the following not associated with periodontal disease in the primary dentition?

Down’s SyndromeSteven’s Johnson SyndromeCycloneutropenia

163 Treatment plan for 0.8 mm wide nasopalatine cyst?

149- Large Sialolith infected in the Wharton’s duct. What to do?Remove duct Remove the submandibular gland… etc

150 - What syndrome if one side of the face swells after dinner? Ans: Sialolith

151. Which of the following DOES NOT happen in Local Anesthesia Overdose?

152. H1 Antagonists will do what? (one choice was increase in gastric something)

153. What do you with Petit Mal?PhenytoinDiazepamProtect patient from self harm

155. Lithium is used for what?AntipsychoticSchizophrenia

156- Best way to build rapport with the patient? Persistent eye contactActive listening

157. Treatment of Recurrent Herpes

158. Which of the following has the BEST survival rate?*Squamous cell carcinoma

Adenocarcinoma Osteosarcoma

159- Onion Peel look on the radiograph is characteristic of what?

160 - . Air/ Water Syringe after endo, what happens from debris into sulcus?Hematoma????

161. Which disease can be Diagnosed with immunofluorescence?Pemphigus

162. Internal Bleaching can cause what?

163. What has the least root surface area in mm squared?Mx LateralMx CentralMnd 1st PMMx 3M with fused root

164. All the following have mechanism of action that deals with intramembranous permeability through cell membrane except what?

Ans: Propanolol????

165. Which is the most soluble?HydroxyapatiteCarbonic ApatiteFluoroapatite

166. Which is the most susceptible to caries?Mnd 1st MolarMnd 2nd MolarMx 1st Molar

167. Both primary and secondary molars exfoliate. What is the space maintainer of choice? Lingual Arch???

168. Upright a Mnd 1st Molar with lingual and omega loop? What happens?Tilting of ant tooth

Over tilting… etc169. Know about CPR, and not the basic steps

What is the biggest problem that causes no air into lungs?Airway obstructionDid not pinch the nose

Know adverse effects and problems when doing CPR

Why do you get gastric distension when doing CPR?

170. Optimal Incisal Reduction of PFM? Ans: 2mm (1.5mm also given)

171. Patient complains of PFM on #8 and has the PFM for 5 years. Restoration is a lot lighter than the other teeth. What is the treatment of choice?

Teeth whiteningVeneer over PFMReplace PFM

173. Know that Value is the most important.

174. Chroma is the saturation of the Hue

175. Pulpectomy and filling a Mnd Molar, where would you most likely perforate?MesialDistal

176. Which fluoride causes the most staining?(all the fluorides we use were listed)

177. Small white lesion on the tooth the patient’s whole life. What caused it?Hypercalcification during the first 6-12 monthsHypercalcification during natal Hypercalcification during the primary tooth

178. What is the use of Mitronidazole?Ans: Antibiotic and Antifungal

179. Which of the following is least likely to cause progressive perio problems?Soft tissue injuryIll- fitting marginsRough marginsWithin Biologic width

180. When dealing with furcation, Guided tissue regeneration best used with Osseointegrated bone graft. Prognosis of tooth with GTR is better in Mx molar than with Mnd molar.

True or False of each statement

181. Which is the least likely to cause bacterial endocarditis?ExtractionScaling and Root PlaningProbingAdult ProphyRoot Canal Therapy

182. Purpose of the EPT?Pulpal responseNo pulpal response

183. Which tooth do you test with EPT other than itself?AdjacentContralateral

184. Class V and something about Modulus of elasticity

185. Definitions of:AbfractionAttritionErosion

186. Which space would cause infection in the Mediastinum?

187. How come Maxillary infection is dangerous?Ans: Drainage straight to the brain without valves (Cavernous Sinus)

188. What is the Point A in Cephalometrics?Ans: Most inferior structure in between _____________________

189. Most common complaint of Sagittal split?

190. What does “S” stand for in DMFS? Ans: Surface

191. What does the Weight and height stand for in recordings?OrdinalNominal

192. Plastic instrument, how do you sterilize it? (ethylene oxide)

193. Effect of Norepi? How does it increase Blood Pressure?Heart rateContractilityPeripheral Resistance

194. When do you fill the tooth with CaOH?1st week into splintingAfter 14 days splintingResorption

195. Which of the following is best to know the platelet count?PT TimeBleeding timeINR

196. What is the best way to anticipate a prolonged bleeding time with extraction?Ans: History???

197. What should the dentist predict with the use of Cyclosporine?Increase gingival fibersGingival HyperplasiaIncrease pockets and bleeding

198. Best instrument for SRP of Distal Mandibular tooth?Gracey 1/2Gracey 9/10Universal 13/14Gracey 13/14

199. What causes porcelain to break off from the PFM?Metal OxidationOcclusal ContactMetal Contaminated

200. Increase water:powder ratio to casting investment material will lead to:Increase setting expansionIncrease thermal expansionDecrease setting expansionDecrease thermal expansion

201. The exact mechanism of Caries dyes (detectors) in effected and affected lesions

202. What is pathognemonic for measles:Ans: Koplik Spots???

203. what is the exact treatment plan for an immediate denture?

204.  what are the advantages/disadvantages of an immediate denture?

205.  about 3 questions on the different flourides.   one asked about which type is more likely to cause staining?  which type is mostly in toothpaste?  i had no idea on these questions

206.  why are composites not put in primary posterior teeth?

207.  something about the phosphate ion in an anti-tartar toothpaste.  what is the moa?

208.  cerebral palsy was on there 2 times.

209.  2-3 flouride supplement questions

the clinical part on the second day asked alot about the drugs that can and can not be used on an asthmatic patient and a hypertensive patient. 

Patient Management

-Capitation(4): HMO-Community water fluoridation: 1mg /1L of water = 1 ppm-Cohort study: type of analytic (observational) study; determines relative risk(risk factors)Prospective: population is followed through time to see who develops the diseaseRetrospective: used to evaluate the effects that a specific exposure has had on a population.-Double blind design: Investigators and people being studied don’t know about each other-Specificity: % people without disease who are correctly classified as not having the disease.-Sensitivity: % people with disease who are correctly classified as having the disease-Where would you look in an article to find dependent/independent variables? : methods-Rampant caries etiology: decrease in salivary flow-Incidence(2): number of new cases of disease/total # people at risk-open ended questions: to amplify answer, invites a patient to express their feelings and strengthens rapport, most effective type of questions.-Systematic desensitization: Exposing a patient to items from a collaboratively constructed hierarchy of slowly increasing anxiety provoking stimulus.-Medicaid: children and low income families…covers dental treatment for children-Medicare: geriatric…does not cover dental treatment unless it is needed for medical purposes.-1997 a program which stated all children need dental coverage even with no insurance

-% of geriatric population over 65 edentulous: 21-30-BP and pulse are: nominal-ordinal-ratio-Most dental treatment are covered by:-Closed panel: beneficiaries have limited choice of offices where they can go to obtain dental care…often uses in HMO and PPO plans..-Bundling-Undercoding-Hepatitis B is more infectious with surface antigen-Behavior shaping : modeling-When there is a toxic reaction to a medication the dentist must contact: FDA Food drug administrator-Informed consent is a principle of: Autonomy-How to manage an angry, apprehensive, cheap patient-T test-Autonomy-HIPPA-Desinfection-Hepatitis B least risks: food servers, down syndrome, drug addicts-Annual exam for dental worker that is mandatory? HEP B , TB???-Example of studies between 2 different medications: Clinical trials

Operative Dentistry-Inlay contraindication: Increased caries rate-Days after restore MOD amalgam pain upon biting and to cold: check contacts-overhang restoration: trapping of food-only advantage of composite over porcelain: one appointment-What happen when you etch and it gets contaminated: need to re-etch-Glass ionomer: polyacrilic acid-Resistance form in amalgam prep: beveling gingival angle in proximal box-Angle of contact and surface tension for adhesion-Best predictor of future caries: past caries-Reducing a weak cusp during onlay preparation is considered: resistance form-When would transilumination show the whole crown? Fractured cusps, cracked tooth, craze lines-Location of interproximal caries: below the contact-When must interproximal caries be treated: when appears on bitewing, on CEJ, on DEJ

-Shape of interproximal carious lesion-According to the most recent ADA research: increase in root caries-Line angles in DO preparation are: axio-pulpar, axio-gingival,disto-axial except meso-facial.-Patient has a crown for 10 years in good condition but lighter in color: change crown, bleach natural teeth or a veneer-Matrix band is placed first and wedge after in a class II restoration-Class IV restoration changed color..what todo??-When is a class III restoration indicated?-When to restore interproximal caries?-Treatment plan sequence: Urgent, control, reevaluation, definitive, maintenance-What principle of ethics when is offered more than 1 treatment plan to patient? autonomy

Oral Pathology-Lateral periodontal cyst (2)(picture): tooth is vital-Lateral radicular cyst (picture): Tooth is non-vital-Ulcer more than 2 weeks: biopsy-Hyperparathyroidism: hypercalcemia-Hyperthyroidism(2): loss weight, sweating, fine hair-Dentinogenesis imperfect type 1 associated with osteogenesis imperfect (2)-Aplastic anemia associated with drug toxicity.-Neurofibromatosis: café u lait, Iris(lisch nodules) and axillary freckling-Vitamin D deficiency children: Rickets-Osteomyelitis: Stept. Aureus-Pagets(3): Skull rx..Cotton wall -Pagets disease(2) : increase alkaline phosphatase-Ectodermal dysplasia (4): Oligodontia, partial or complete anondontia-Amelogenesis imperfect: picture-Cleidocranial dysplasia(2): retained primary teeth and multiple supernumerary teeth.-SSC: smoking is a risk factor-smokeless tobacco: verrucous carcinoma(2)-Alcohol: cancer-Multiple myeloma: punched out lesions -First sign of multiple myeloma(2): bone pain(limbs and thoracic region)-Angular cheilitis (picture)

-Picture nasopalatine cyst(2): confusing with nasopalatine foramen-Picture periapical cemental dysplasia (2) -black women xray : periapical cemental dysplasia(2)- most common place for periapical cemental dysplasia(2) : Lower anteriors teeth are vital - Stafne bone cyst(2) :very well defined round radiolucency in panoramic, posterior mandible below inferior alveolar canal:- Peut-jeghers syndrome : intra oral melanin pigmentation also intestinal polyps -what Addison disease causes : a)bone loss b)pigmentation of the mucosa- what cyst can become ameloblastoma : dentigerous cyst-Hunter syndrome(2) : build up of glycosaminoglycan due to lack of an enzyme : enzyme iduronate-2-sulfatase-Adenocystic carcinoma(2) : neurotrophic factor, high grade malignancy, palate common site, spreads through perineural spaces-osteosarcoma in x ray : sun burst and simetrical widening of pdl.-Picture of patient with inferior lip lesion: biopsy- photo of maxillary sinus with radiopacity in one of the sinus and you have to identify the condition : sinus retention cyst-Picture of compound odontoma(4)-Leukoedema: stretch test-Picture of white sponge nevus-Erythema multiforme: young adults and kids- Pemphigoid: SUBEPIthelial-Pemphigus: intraepithelial-Sialolithiasis(2): more common in submandibular gland-Pleomorphic adenoma: Most common salivary gland neoplasia-Picture of salivary gland tumor-Sturge webber syndrome(2): port wine sign….A type of vascular hemangioma-Osteoradionecrosis: biphosphanates-White lesion under denture: biopsy …cytologic smear-Gardener syndrome: Autosomal dominant disorder, intestinal polyposis,osteomas, skin lesions, impacted permanent and supernumerary teeth, odontomas, high rate of conversion to colorectal carcinoma.-Sjogren syndrome(2): chronic lymphocyte-mediated autoimmune disease affecting exocrine glands and other organ systems

-Herpetic gingivoestomatitis: common in children less than 6y/o, ulcers preceded by vesicles in oral (nonkeratinized gingival) and perioral areas. Treated with acyclovir if symptomatic and heal within 7-14 days.-Treatment for herpes simples/zoster: valtrax-Aphtous ulcers: nonkeratinized tissue; recurrent painful ulcers not preceded by vesicles

Minor: starts as a macule, develops into a 3-10 mm ulceration, removable membrane with erythematous halo, heals 1-2 weeks without scarring.Mayor: up to 10 crateform ulcers bigger than .5 cm, painful, seen in AIDS patients, heals 2-6 with possible scarring.

-Cherubism(2): Bilateral enlargement of jaws- lesion in lip with cauliflower shape- most common placed of sialolith : submandibular gland-aspirin burn(2) is due to : coagulation necrosis. -aphtous ulcers in non keratinized tissue – herpes in keratinized tissue-Bells palsy (picture): acute manifestation of unilateral paralysis of muscles of facial expression. Reactivation of herpes simplex virus-Sickle cell anemia in kids: risk factors are cold and N2O2….genetic hemoglobinopathy found in patients fo African decent. Typical signs of anemia (dyspnea on exertion, fatigue, pallor), muscle joint pain. Patients are managed with supportive therapy.-Papillon Lefevre syndrome(2):-OKC: most recurrent-Dentigerous cyst: ameloblastoma-Dentigerous cyst:-White lesion close to the commisure: liquen planus, cheek bite??-Bulimia produces tooth erosion-Picture of patient with a tongue lesion in dorsal area 3 weeks duration:-Ranula: mobile, floor of mouth-mucocele: lesion in lower lip full of fluid

Oral Maxillofacial Surgery-picture of Bells palsy-Most common adverse reaction to LA: Syncope(HTA) after surgery will be pain (HTA)

-Trendelemburg-In nitrous oxide sedation the use of 100% O2 after N2O: avoid diffusion hypoxia-Last part of the brain depressed in general anesthesia: Medulla-Chronic use of corticosteroids (long term): adrenal insufficiency- Patient currently taking steroids: double daily dose at day of surgery-Asthma: wheezing expiration-CHF: decreases ventricular ejection fraction below 50%-End stage renal disease: extraction the day after dialysis-Ludwings angina: Most commonly encountered neck space infection. Involves sublingual, submandibular and submental.-Dry socket: no antibiotics-Treatment dry socket: sedative dressing (eugenol)-Fracture of condylar neck unilateral: deviation on side of injury upon opening-Mandibular fracture: Inmobilization for 3-6 weeks-Internal derangement with reduction: click-Test for hemophilia: PTT 25-36 sec.-Evaluation of nitrous oxide: oximeter-Safety valve on N202 no more than 50,80,90%-Cavernous sinus thrombosis: via ophthalmic vein can result in canine space infections and deep temporal space infections.-Extraction of molar with divergent roots: section-Where is most likely to damage nerve in vertical release of flap?-13 y/o for implants? Wait until 18-21 y/o-Child after concussion trauma vomits and nausea: check with doctor-Bleeding time:-Muscles elevate jaw: masseter,temporalis, medial pterygoid-Order of extraction of teeth # 1, 2, 3: Extract # 3 first to start with most difficult or extract # 1 first to protect tuberosity.-Most common complication after an extraction? Dry socket, bleeding, paresthesia-Fracture of condyle, what makes it go forward and medially?: lateral pterygoid.-Hyperbaric oxygen for extractions in a patient undergoing radiation therapy: osteoradionecrosis-Increased risk of osteoradionecrosis with radiation therapy of 40-80Grays or more than 6000 Grays-Mandibular molars: pain is referred to ears-40 week pregnant patient: hypotension in supine position; the correct position for the patient must be: right hip up or left hip up

-Graft from a different species: xenograft-Convulsions: hypoglycemia, hypokalemia, hypovolemia-Treatment in closed reduction-Neuropraxia: a condition in which a nerve remains in place after a severe injury although it no longer transmits impulses.

Endodontics-Autotransplantation failure: external root resorption-Resorbable resorption: ankylosis-contraindications calcium hydroxide: pulp symptomatic for last months-Treatment of external resorption: ca(oH)-Treatment of internal resorption: Endo-If taken biphosphonates for 3 years and non restorable tooth: endo on remaining roots?-Irreversible pulpitis-Hypochlorite-SLOB rule-Avulsed permanent tooth with open apex:Extraoral time less than 60 min: clean tooth with saline, irrigate socket with saline,Pplace tooth in doxycicline, replant tooth, stabilize with a flexible splint 1-2 weeks, monitor for pulpal vitality and root development. If vitality does not return: apexificationExtraoral time more than 60 min: not recommended-Treatment for a sinus tract after Endo: no treatment-Treatment of external resorption on a permanent reimplanted tooth: obturation with CaOH-Apexogenesis: apical closure in a vital tooth. CaOH-Apexification: apical closure in a necrotic tooth: MTA or CaOH-Patient with Radiolucency #8, open access and no pulpar chamber, no canal: refer to endodontist, or Close and observe-Non vital bleaching consequence: cervical resorption

Prosthodontics-Difference between base metal alloy and gold: higher resistance to deflection-Quenching: metal cooled-Porcelain: stronger upon compressive forces

-All ceramic crowns main reason: esthetics-Only advantage of porcelain over gold: esthetics-3/4 crown: anterior path of insertion parallel to long axis : gold display-Pontic design: convex, should not blanch tissues-Most commonly used connector: RIGID (solder joint)-Value: most important in shade selection-Value: brightness-Value color 0=black 10=white-How to change Hue?-PFM displays metal: opaque defect-Ceramic restorations: can be damaged by acidulated fluoride-Chromium: Resistant to tarnish and corrosion-If RPD (distal extension) when pressure is done over abutments (fulcrum line) and denture rocks: needs an indirect retainer.-Combination syndrome(2): Bone resorption>>mand ant opposing a max complete severe damage to premaxilla. Enlarged tuberosities??-Accurate border molding: lack of displacement-Maxillary complete denture area of maximum retention: mucogingival fold-Coronoides displaces upper denture if too bulky.-Muscles help in lingual retention of a complete denture: Genioglossus(lingual frenum), mylohyoid, palatoglossus(retromylohyoid) sublingual gland-Posterior buccal extension of a mandibular complete denture is limited by: masseter-Muscle that covers denture flange and does not affect stability: buccinator-Picture of F and V sound-Evaluation of phonetics in a complete denture: fricatives(labio dental sounds) F,V,Ph Sibilants (linguo alveolar sounds) s,z,sh,ch,j Evaluate vertical dimension-When do you check for sibilant sounds: Try in-Cheek biting in denture patient: posterior teeth are edge to edge…need more horizontal overlap-Length gelation time in alginate: cold water-Alginate: reduce water to the mix it will set rapidly-Addition silicones: No byproducts…no ethyl alcohol-Ethyl alcohol byproduct of condensation silicones produces shrinkage-Disadvantage of polyether: RIGID-Shim stock: Check occlusion-Stones: increase water concentration: less expansion-angulation condyle: anterior guidance

-If palatal vault too deep: vibrating line more pronunciating and forward-What kind of occlusion if in right lateral movement all posterior teeth not in occlusion? Anterior guidance-Minimun incisal reduction for anterior PFM: 2mm-Remounting complete dentures-Hinge axis facebow-Retraction cord can cause-Pterygomandibular raphe(2): union of buccinators and superior constrictor-Multiple failures of fixed partial dentures??-Distance between an implant: 3mm-% implant success after 10 years: 95%-Temperature for implant placement: 55 degrees-Implant handpiece: increased torque and decreased speed-Distal extension RPD and push on ext and rest comes up: reline-Interferences BULL-Minor conectors-Indirect retainer-Irreversible hydrocolloid

Periodontics-Supracrestal fibrotomy: removal of circular fibers-Cells of crevicular fluid-Probing: Loss of attachment-GTR: best results in furcation II-3 wall bone defect(2): best for bone graft and regeneration procedures-Primary colonizers plaque: GRAM +-Plaque of two days: GRAM + cocci and rods-Spirochetes: Subgingival-Gingivitis: No attachment loss-Similar characteristics between aggressive perio and chronic: treatment response?-Gingivectomy indication: Suprabony pockets-Primary occlusal trauma-Secondary occlusal trauma-Crown lengthening: when crown prep is 1mm above bone crest.-Localized or generalized aggressive periodontitis: not too much gingival inflammation

-ANUG(2): punched out papilla; treatment would be debridement , hydrogen peroxide rinses , ab therapy.-ANUG produced by fusiforms, spiroquetes and prevotella intermedia.-Metronidazole: used in perio-Most beneficial from SRP: edematous gingival-Indications for a Modified Widman flap: moderate pockets in which base is coronal to mucogingival junction, infrabony defects and when esthetics is important-Antibiotic in crevicular fluid: tetracycline-Perio treatment is more difficult in maxillary molars due to trifurcations-Type of healing in SRP and free gingival graft

Pharmacology-Narcotic antagonist: Narcan-Reverse opioid: Naloxene(2)-Nubain: mixed agonist/antagonist. Don’t give on patients who were addict to heroin-Opioid: opioid receptors in GI-Coumadin(Warfarin)(3): INR …no oral surgery if its 5-Warfarin should be suspended 3 days before extraction-History of Rhematic fever without valvular disfunction: NO antibiotic prophylaxis-Rheumatic fever needs premedication: no-Joint replacement needs premedication? If less than 18 months-Osteomyelitis: Stept Aureus-Lidocaine used IV: ventricular arrhythmia-Articaine: metabolized in bloodstream-Flumazenil (3): Benzodiazepine antagonist-Barbiturates: NO ANALGESICS-TCA antidepressants: dry mouth-LA with EPI: contraindicated in patients taking MAO inhibitors-Drug of choice for ADHD: methylphenidate-Tetracycline: Broad spectrum: Increase of opportunistic infections-Tetracycline what does to penicillin?-Tetracycline action:-Tetracycline: ab in crevicular fluid-Metronidazole: used in perio-Nystatin: drug of choice for Candidiasis-H2 blockers: duodenal ulcers-H2 histamine: gastric

-Cimetidine: gastric ulcers-Acetaminophen: No effect in platelets-Ibuprofen: analgesic of choice after extractions-Cardiac arrhythmia drugs: increase refractory period of cardiac muscle-Aspirin: inhibit platelet aggregation in IRREVERSIBLE manner.-1 carpule: 0,018 epi-Status epilecticus: valium-Gran mal seizure: Phenitoin-Multiple sclerosis: no EPI-Heart transplant with valvulopathy: AB prophylaxis-side effect of nitroglycerin:-Nitroglycerin: coronary arteries-Congestive heart failure: Peripheral edema , increased systole-Phenitoin, nifedipine, verapamil: gingival overgrowth-What antihistaminic has less drowsiness?: H1 second generation such as Loratadine, cetirizine, fexofenadine. - what does alpha 1 receptors do in the heart ? Vasoconstriction, MIDRIASIS and urinary retention -Patient allergic to penicillin and had hip replacement 10 years ago…need ab prophylaxis?-Angular cheilitis medication? Nystatin-Symptoms of opioid overdose: Respiratory depression, constipation, miosis, additive CNS depression and addiction. Naloxone, Narcan and Nubain are antagonists-Symptoms of lidocaine overdose: circumoral numbness, tachycardia, HTA, drowsiness, confussion, tinnitus, tremor, hallucinations, seizures. Diazepam is treatment for LA induced seizures.-Symptoms of anticholinergic(atropine, scopolamine): dry mouth, blurred vision, tachycardia, constipation, disorientation. Physostigmine (anticholinesterase) will reverse atropine poisoning.-Symptoms of syncope(fainting): nausea, lightheadedness, tingling on toes and fingers, pallor, sweating, flaccid muscles, pale, weak pulse. Supine position, open airwayA,B,C, oxygen if needed-Nitrous oxide contraindications: head injury, chest trauma(pneumothorax), hypotension, COPD-Digitalis work: block na/k ATPase (influx of more Ca)-Hydroxizyne is used with chloral hydrate because it decreases nausea-LD/ED is a measure of safety of a drug

-Aminophyline: treat asthma-Aminoglucosides: oto and nephro toxicity-TCA (tricyclyc antidepressants)-Phenothiazines-Methadone; less withdrawal symptoms for desintoxication-Contraindications for Diazepam: pregnancy-Nitrites/nitrates: vasodilation-Fluoxetine: SSRI-Birth control pills: tromboflebitis-Agonist of folic acid?-Ca channel blocker-Increases broad spectrum: increase superinfection and resistance-Cephalosporin: cross allergenicity with penicillin-Diazepam contraindication: pregnancy

Radiology-Picture of coronoides-Radiolucency at level of second premolar vital: mental foramen-Picture of cygomatic process of maxilla-10 mA 1 sec for same density with 0.5 sec how many mA?-Too long in developer: dark x ray-Problem with x-ray (very white):-What is the oil in xray tube for: cooling(2)-SLOB rule-CollimationAngulation of bite wings: +5 to +10-Sinusitis in Panoramic-Hyoid bone in Panoramic-Rx for sinuses: watersOrthodontics-Patient lost primary second molar: distal shoe-Anterior crowding: mixed dentition analysis-If mandibular primary is lost: loss of arch length, midline deviation to side of loss-How to fix gingival recession in anterior incisor that has cross bite: correct cross bite-Cross bite in adults-SNA 74 (82), SNB 76(80), ANB -2(2) what is the diagnosis? Class III-Cleft lip(boys) and cleft palate(girls): Class III(2)

-Frenectomy (labial) after the eruption of permanent canines- # of cases cleft lip /palate at year in caucasians: 1/700 births

Pediatric Dentistry-Child with N2O: max nitrous 30%-20 kg and how many mg of lidocaine: 1 cartridge for every 20 lb….1 cartridge=36 mg-Child fear is best treated with nitrous oxide-Premedication for 44 lb child: 1 g amoxicillin 1 hour prior-Voice control: type of aversive conditioning on children older than 3 who are uncontrolled or defiant.-Parent not in the operatory room: interfere with communication-Fluoride supplementation chart

< 0.3 ppm 0.3-0.6 ppm >0.6ppm0-6 m 0 0 06m -3 y 0.25mg 0 03-6y 0.5 mg 0.25mg 06-16y 1mg 0.5mg 0

-Attention déficit disorder ADHD (2)is more common in boys-Treatment for a luxation teeth E in a 6 year old patient: allow passive repositioning; if not active repositioning (splinting) for 1-2 weeks (pulpal necrosis)-Tell-Show-Do technique-Children with more caries seen in : blacks or hispanics

1. Pt. on warfarin but needs extractions, prescribe vit. K, if INR = 3.5 OK, see oral surgeon

2. Kid w/ectodermal dysplasia… what is sign? Sparse hair

3. Dependence of NO, what signs will you have?

4. What responds to cytology better? CANDIASIS

5. A child, fear? Fear makes pain worse

6. 5 questions on TELL-SHOW-DO

7. If you have a mentally challenged pt. who is screaming and resistant… how to treat for recall only

8. ANB angle is -6, what class occlusion? I think he meants ANB angle of -6 which would make it Class 3

9. Pushed root of 3rd molar (max) in, what space is it in? Infratemporal Fossa

10. When taking pano, pt. moves for 1 second what will it look like?

11. Pt. w/otis media, given NO, what happens? Diffusion Hypoxia

12. What is most similar to epiphyseal plate?Syncondriasis.

13. Signs of hyperthyroidism/hypothyroidism?

14. Asthma: WHEEZING ON EXPIRATION

15. Pic of 2 yr. old bright red lips w/lesions, pt. has fever what is it? Erythforme Multiform or Leukemia

16. 2 pulps, fused body. What is it… fusion

17. Blue sclera, what is it… osteogenesis imperfecta

18. What skeletal profile is Class 3 occlusion? Concave

Class 1 straight… class 2 convex

19. Cause of cheek biting w/complete dentures? Inadequate horizontal overlap- facial max cusp

20. What problem can you diagnose a dentist? Anorexia, bulimia (erosion in lingual anteriors), etc.

21. After placing tooth back in socket less than 1 hour, when do you use calcium hydroxide? 7-10 days

22. What is the first thing you do on recall? Check plaque score, asses next treatment, etc.

23. Pt. w/HIV has viral count of 100,000, CD4 count of 40…. TOO LOW

24. Most susceptible surfaces to caries of radiation tx…. CLASS V

25. Problem w/Sjoggen’s…

26. Café au lait macules… neurofibromatosis

27. Radiation affects the cells how? DNA

28. Where are you more likely to get metaplastia in oral cavity HARD PALATE

29. Dentist switches from 8 inch bilateral technique to 16 inch parallel techniques how much extra radiation? 4 times

30. Which sex age group more susceptible to autoimmune disease? WOMEN OF CHILD BEARING AGE> ME

31. Flush water lines 2 mins before starting day… purpose? Not indicated anymore but to remove bacteria

32. One way valve in handpiece…. Purpose?prevent backflow of contaminated water

33. Brush goes into subgingival sulcus how man mm?... floss how many mm?... NEED TO KNOW BOTH 2mm

34. Scaling/Rp… how is it effective?

35. Splinting in periodontically involved pt…. why?

36. Know how plaque formation process 7mos-3 years

1) pellicle- within seconds after tooth is cleanes. 2) Adhesion or attachment- 3) Colonization

37. Enamel hypoplasia… when does it start? 7mos-3 years

38. What % is considered generalized? More than 30%

Less than 30% Localized

39. Le Fort 1 + BSSO, class 3

40. How to deal with angry pt.

41. ADA and advertising

42. Acute periradicular vs. periodontal abscess PULP TEST43. Opiate contraindications HEAD INJURIES

44. Gingival hyperplasia45. Non-verbal communication- MANY SENSES46. Tardive dyskinesia….side effect of anti-psychotic drugs…

haloperidol 47. Molar extraction sequence 321

48. Class 2 furcation, what don’t you do?

49. GTR what affects success the least? RCT, width, depth50. Gingevectomy internal/external bevel?

Gingivectomy can have internal or external bevel. Internal bevel has less discomfort & better healing? Both true

51. All ceramic crown finish line…BUTT JOINT 52. Class 2 composite, what is not important Extension for

prevention

53. What is the least significant cause of alveolar bone loss in primary dentition? Tooth loss

54. Caries w/wide base and gets smaller? Smooth, pit, etc?...Smooth/proximal… pit inverted V

55. Reverse architecture?- Maxillary

56. Vertical root fracture

57. Class 2 amalagmam, pain (cold) when chewing occlusion

58. Pt. in pain comes in sequence of tx…. Pain, tx. Plan, etc

59. 17 y/o w/mandibular canine sticking facially.. what happened?... gingival recession, ankylosis, mobility?

60. w/ cardio problems…. 2 carpules

61. Replacement of class 1 amalgam…. Recurrent caries

62. Steven Johnson’s- 63. Sturge-weber64. Periodontitis

70. Diff btw distraction, osteogenesis and conventional osteotomies

71.Herbal supp inc mechanism of effect of antioxidants—t

72.Lots of pharm

73.Best systemic antiviral med- AMANTADINE

74.Sed hypnotic to give if want pt to sleep at night after appt- NAPROXEN

75.Tx lichen planusASYMPTOMATIC NO TXT SYMPTOMATIC STEROIDS

76.Hemangioma, ranula, mucoceole

77.Know amantidine – anti viral blocks uncoating of virus and blocks replication

79.Antibuse used for? Alcohol abuse

80.Acetaminophen hepatotoxicity

82.Depth to put implant compared to neighboring teeth

84.Medicare and Medicaid questions (medicare isn’t as good as Medicaid.)

85.Diff btw apical periradicular abcess and apical periodontal abscess

86.Vital pulp vs. necrotic pulp

87.Irreversible pulpitis and what vital pulp therapy you do on it

88.Know MOA for meperidine-

89.Flumazinil—bdz antagonist

Oral path:2 questions about mand teeth, vital, lucency, no symptoms.OKC: recurrentPositive neklosy sign: pemphigusImmunoglobin fluorescent: pemphigusGranular cell tumor picGarnders: polyps, colon cancerPagets:Fibromatosis: von recklerErythema multiform

Leukemia: blunt red bleeding, fatiguedLechen plachus: wickam;s striae pictureApthous ucler: major form leaves scarPt with big head, and pyrostosis? Crouzon?Ranula: floor of the mouth bluish, remove sublingual glandMucocle: lower lip, minor salivary duct mucin plugPyogeinc granuloma: remove irritants factorHerpes simplex: hard palate and bone laying gingivalCandidais: wipes offLateral periodontal cyst and dentigerous cystOral cancer: first reason tobaccoPapilloma: elevated white cawliflowerBrown spot: seen in Addison, pseutz

Radiology:Read dr. kahn’s radiology factsPic of mand tori and max toriZygomatic processPic of bone with not much opacity: I think osteoporosisIncrease density: decrease source-object distanceWhere can u usually see nutrient canals: and mandibular area

Many endo: many diagnosisEdta: chlating agentSodium hypochlorite: dilute necrotic tissuesTx horizaontal fracture: splint 2-4 weeksApexification: non-vital tooth, with open apex

Perio:If u removed alveolar bone: called osteoctemy (supporting bone)I wall defect: hemiseptum3 wall defect best for graftinghex (impant) prevents rotationHow does external bevel gingivectomy heal: 1 or 2ndary intentionMost succefull implant: ant maxMANNNNNY LAP QUESTIONS: how tx it, which teeth are affected twice (1molar+ anterior), who do u see it in adolesent, which bacteria: AA.Anug: twice: punched, fetid odorPlaque mature: 34-36 hrs.Chlorohexidine best for plaque control?

Prosth + operative: Chemical erosion: lingual of max central and on occlusal.Caires form below contact pointProximal caries will have 2 triangles pointing toward the apex

Pit and fissure: most of the caries?Remove an only by cutting in two and removing it in 2 pieces2 adjacent class 3: prep large on first then fill the small one firstBleach in tray has 10% carbamideHue, chroma, value…seen in pictureOrange stains change hueRidge and rugae help for supportCompensatory curve and height of cuspBalalnced occlusionRubber dam hole made too big: if the area of the neck of tooth has leakagePolymeration shrinkge: compositeTissue conditioningPicture of epulis fissuratum

Oral surgery:Thyroid stormBlow to the mandibule will affect same side condyle?Best graft: autogenous boneSyncope defValve with regurgitation: premedSialothis: seen in submandibuar ductAnginaArrythmia defGive bag of oxygen how many % is there: 21% bc that what is in the air?Harder mand 3rd molar extraction: distoangularCracked tooth syndrome: mand molarsBbso surgery: can affect nerve, lip parasthesia from ian.No no2 for sickle cell patient

Pedo:Which has retained primary: cleodrianalEctodermal dysplasia: anodontia

Some fluridationAir humidity determines water fluoride

Ortho:

Appliance distal show, band and loopSupernumarcy is found in which deveopemntal stage of tooth.Class3 doesn’t have max prognathiaClass 3: -6 anbClass 3 : concave facial profile.Face split vertically in fifth, sixth, fourth, third? I said fifth.

Pharm:

Angina that happens at rest: unstable anginaPt on ginsing no aspiring (bc increase bleeding)Viral load: to see HIV progressionH2 blcokers: name of druge, ratinidir?Aspirin: inhibit thromboxane AAspirin: prevent platelt aggregationAspirin should be stop the day before?Aspirin: keep bledding for how long? 1 hr, 4 hr, 5 days, 1 month ectVomiting: due to chemoreceptor zoneGingival hyperplasia cause by phenytoinMany dilantin: epileptic

Methehtoxate: folic acid anti caner drugProponolol as a antihypertensive and as a antianginal druge: how does it workAdrenergic agonist: epinephrineMepiridine (narcotic) antidote: naxoloneAcetaminophen: doesn’t change bleeding, doesn’t cause ulcerWhat can u give to pregnant patitnet after surgery: tylenol3?Singular: leukotriene blocker for asthmaPrilocaine: cause methoglobineanemia

Behaviroal: MSDS: about the chemicals and info about them.Cross-sectional studyOrdinal vs nominal (pt’s temprarture is which one, pt pulse/vitals)Paranoid patientModeling for childrenDesentitizationSpecificitybenefienceSmoking cessation: precomtemplationUndublingRecapping technique: one handedPatient who ask to bill a day before he received tx: fraud?Patient with fair feel pain more

Day2:Case with picture of granular cell tumor, amalgam tattoo, racial pigmentation, drugs with HTN, diabetes, pt who needs premed, ugly ducking stage, combination syndrome, hue value, chroma, ortho aapliance,