10. A patient who has an implant supported complete denture has difficulty swallowing Possible problems are: A.

Excessive interocclusal space\ B.Insufficient interocclusal space C.Maxillary anterior teeth too far palatally D.Mandibular anterior 11. A 37 year oldmale whose mandible was resected, presents for dental reconstruction of a large defect, whichresults in the loss of ten teeth was grafted and placed 18 months ago. A. Utilize a hyperbaric chamber for 12 sessions before surgery B. Six sessions both before an after surgery C. The dentist must start antibiotic theraphy 1 hour prior to surgery and continue for 14 days D. The implants can be place without any other intervention 12. Onlay bone graft is best utilized in a A. 1 wall defect B. 3 wall defect C. 4 wall defect D. 5 wall defect 14. After the patient was anesthesized, patient became unconscious, not breathing and no pulse, what is the best treatment: A. intubation B. criccothyrotomy C. mask mouth

16. Patient has implant bridge connected from posterior to anterior teeth. After 3 wks, patient came back and complaint of pain on chewing and biting: A. take bridge out of occlusion B. Make the anterior guidance C. group functioning D. eliminate protrusive guidance. 17. A 50 y/o female has six root form implants place 1 years ago to support maxillary overdenture reports the bar loosened at 4-6 weeks, two screws have broken and the bar is loose, but the implants are tight. The most likely problem is: a. The screws have inadequate preload b. The cantilever is too long c. The bar doesnt fit passively d. The bar flexes 106.The most important consideration in implant occlusion: a. narrow occ table b. wide occ table c. lingualized occ d. axially directed loads* 107.Five mandibular implants were placed in mandibular symphysis region. What is the MOST common postoperative problem. a. gingival inflammation b. opening of the suture c. inadequate keratinized tissue d. denture sore spots 109. A 55 year old patient has been edentulous for 15 years, what is the greatest influence on development of excessive force on implant? a. implant diameter

b. crown: implant ratio c .length of most distal implant d. length of distal cantilever 126. Patient has prosthetic heart valve and is on 7.5mg coumadin. What is the INR value for maintenance of coagulation of wound and maintenance of value? A. 1.5-2.0 B. 2.5-3.5 C. 4.0-5.0 D. 6.5-8.0 127. Laboratory values in anemia or bleeding can be best assessed by: A. WBC count B. Hemoglobin level C. Eosinophil count D. Hematocrit level 1. Law of Beams says flexure increases with length A. Exponentially B. Linearly C. Log linearly D. Variably 3. In a severely atrophic mandible, an incision to expose the mental bundle should be made: A. Make incision full thickness lingually in area mental nerve B. Split thickness buccal C. Split thickness lingual D. Full thickness buccal

4. Best esthetic result in implant placement determined by A. Emergence point B. Trajectory C. Depth D. 12. A 37 y/o male with a resected mandible presents for dental reconstruction. A large defect, which resulted from the loss of 10 teeth, was plated and grafted 18 months previously. The dentist wants to place implants into the grafted bone. The patient is best managed by: A. The dentist should use a hyperbaric oxygen chamber for 12 sessions prior to the surgery. B. The dentist should use a hyperbaric oxygen chamber for 6 session before and 6 sessions after the surgery. C. The dentist should prescribe antibiotics 1hr before and 14 days after surgery. D. The dentist can place the implants with no changes to the procedure. 96. Which of the following conditions result in bone with normal appearance: A. Osteomalacia B. Osteoporosis C. Rickets D. Vitamin D deficiency
5. After implant placement which patient would you not use post op steroids? A. Diabetes B. Hypothyroid C. Hypertension D. Chrons 11. How many mg of anesthetic is there in 1.8ml lidocaine 2% A. 9mg

B. 18mg C. 27mg D. 36mg 13. What minimum amount of space is needed between implants and implants and a natural tooth ? Implant to Implant Implant to tooth A. 3 2 B. 3 1 C. 4 2 D. 2 3 15. When you have a gold Meso-bar the most common complication is? A. Wear B. Flexibility C. Corrosion D. Galvanic action 17. What is the MOST dangerous complication when performing a Mandibular anterior ostotomy? A. Air Embolism B. Lingual Artery C. Facial Artery D. Mylohyoid 40. When placing 5 implants in symphisis dense bone the dentist should Expect To? A. wait for 6 months or more B. Wait for 3 months or less C. expect 50% bone to implant contact D. Immediate osteointegration 51. Implant HA coating. Which is correct. A. B. C. D. Ion splitting is most common Amorphous HA is sprayed and high heat makes crystalline coating Amorphous HA is soluble HA is heat resistant
a. b. c. d. infection in head and neck region spread through? arterial venous lymphatics connective tissue

infection in the paraphrangeal spaces spread to i. submandibular space ii. sublingual space iii. superior mediastinal space iv. posterior auricular space pitch of the implant is related to o number of threads o minor diameter o taper o angle of collar Life threatening hemorahages are related to

o lingual artery o submental artery what is the minimum implant crater required for bonding of bone? 100 u 50u 200u 25u 1. what minor movement is needed for fibrous tissue development around implant? a. 0-50 u b. 100-150u c. 200-300u d. 300-800u Which tendon encircles hamular notch? o Tensor veli palatine o Levator veli palatine o Medial pterygoid o Lateral pterygoid a. Which muscle is responsible for lateral movement of mandible during chewing? Medial pterygoid Lateral pterygoid Temporalis Buccinator rd Q. nerve supply to the anterior 3 of tongue for taste sensation o chorda tempani. Q.Normal patient in dental chair drops BP from 120/80 to 60/40. which drug you will administer? o Naloxone o Propranolol o Nitroglycerine o Phenylephrine Q. In excessively resorbed mandibular ridge you are giving lingual inscision for flap. What is purpose?

o To better visualize o To avoid anatomical structure o Keratinized tissue Q. Off axial load o Generates shear forces o Generates vertical forces o Generates forces on cervical region only Q. most bioactive alloplast graft material is o Calcium phosphate o HA-methacrylate o Bovine o autogenous Q. Which impression material causes least damage to bone cells? o Addition silicon o Polyether o Condensation silicon o Irreversible hydrocolloid Q. Which impression material causes least dimensional changes? o Addition silicon o Polyether o Condensation silicon o Irreversible hydrocolloid Q. 70 y female patients presents with subperiosteal maxillary implant placed. Strut is exposed. Patient is asymptomatic. What will you do? o No treatment o Debride and antibiotic o Allograft o Removal of the implant o Grind the strut Q. A maxillary full denture supported by 2 blade implants. Head of 1 implant fractured and a part is visible through tissue. Patient is asymptomatic. What will you do? o No treatment o Remove the exposed part of implant o Remove the whole blade Q. Most of the time bleeding disorder can be detected by o PT o APTT o BT o Medical history Q. Length of the fixed denture is related to flexure o Linearly o Exponentionally Q. The flexion of 1 pontic vs 3 pontics increases o 18 times o 27 times o 36 times

Q. If there is green stick fracture during maxillary bone expansion occur what will you do and? o Immediate implant o Immediate implant and immediate loading o Leave it as such o Dont place implane Q. No change in appearance of bone occurs in o Dietry deficiency o Osteoporosis o Osteomalacia o Rickets Q. In maxillary 2nd premolar region bone width is 4mm length is 7 mm height is 13 mm. what are the options to achieve bone support? o Ectraosseous ridge augmentation o Horizontal distractiom o Anachoresis osteotomy o Bone expansion Q. Best bone graft for 3 wall defect is o Onlay Q. In normal healthy edentulous patient what will you prefer? o Fixed appliamce o Removable Q. Blood supply of anterior cortical bone in mandible o Lingual artery o Submental artery o Inferior alveolar artery Q. Computer assisted surgery o Better than conventional o Highly accurate o Has some problems associated with it Q. Flaples surgery require o Knowledge of osseous contour o Use of surgical stent o Knowledge of osseous density Q. During maxillary sinus elevation the dentist currete the posteriomedial wall of sinus and the bleeding starts due to o Internal maxillary artery o Posterior superior alveolar artery o Sphenopalatine artery o Lateral nasal artery Q. During sinus elevation there is a bleeding from small endosseous artery the treatment is o Compress the bone o Ligate the artery o Call for medical emergency Q. Chin block bone harvesting can cause o Paraesthesia Q. Excessive offset overload on angled abutment of 25-30 degree can cause

o Fibrous eccapsulation of implant o No effect Q. excessive load on angle abutment can cause o Screw fracture o Implant fracture o Abutment fracture o Prosthesis fracture Q. the most important considerations during clinical examination of a implant candidate o Interarch space o Bleeding index o Tone and color of tissue o Keratinized tissue Q. Advantages of PRP o Soft tissue healing o Bone healing Q. In order to expose the mental verve bundle o Full thickness with blunt dissection o Full thickness with sharpdissection Q. 50N or greater torque force o Can damage implant Q. Cantilever should not extend rthan o 5mm o 10mm o 15mm o 20mm Q. The bar with the low profile attachment o Locator o Header bar o Dolder bar o O ring Q. Increase alkalinephosphatase levels are seen in o Metastasis o Hypothyroidism Q. HU of cortical bone is o Image distortion o Increased o Decreased Q. suture material for 3-5 days of wound closure o Gut o Chromic o vicryl