NBDE II remembered questions, late June 2012

1. Hypertelorism + midface deciency _ beaten metal appearance Crouzons

syndrome
2. NUG which one except fetid odor, fenestration of gum * , rapid onset, poor
oral hygiene
3. Xray target made of tungsten
4. Group with most untreated caries in permanent dentition blacks
5. Something about pain perception in different cultures different threshold,
different perception, stimulus awareness ( not sure)
6. Picture of leukemia
7. Median rhomboid glossitis picture most associated with candidiasis
8. HIV cell numbers are important, t4 is 30 most immunocompromised
9. 8 months Pregnant patient fell unconscious what to do turn her on her left
side
10.Primary etiology of gingivitis in teenagers and pregnants Plaque
11.Questions about caries factors
12.Management of angry patient
13.Rapport most related to the concept of empathy
14.Carbamazepine used for both epilepsy and management of pain of neuropathic
origin
15.Ginseng interferes with aspirin
16.Acetaminophen doesnt have anti-inammatory properties
17.Prilocaine methemoglobin
18.Picture of lingual varicosities
19.4 year old lost both mandibular rst molars bilateral band and loop
20.7 year old lost both mandibular Es lingual arch
21.A lot of questions about management of pediatric patients
22.How much uoride is in 1 liter of 1 ppm water in mg
23.Garre's sclerosing osteomyelitis onion skin apprearance ( also seen in ewing
sarcoma)
24.Average ouride in community waters 1 ppm
25.Early childhood caries affect which teeth severely :maxillary anterior
26.Denition of implant analogue
27.Average/ normal amount of crestal bone loss on implant after one year
no more than 1 mm
28.Perio bone defects, something about hemiseptem, look it up
29.Herpangina picture
30.Erythema multiforme target shaped lesions on hand picture
31.Referred pain of heart attack in jaw area
32.Which one of the following resembles chancer in syphilis squamous
cell carcinoma, primary herpatic gingivostomatitis , etc ( dont remember

all choices)
33.Panorama , identify structure lateral nasal wall
34.Panorama identify structure coronoid process
35.Panorama identify structure shadow of soft palate
36. Bite wing, obliterated root, short, bulbous crowns dentinogenesis
imperfecta
37. Patient management of patient arguing that your fees are too high
38.Patient with abfraction will most likely have wear facets
39.Features of cemento osseous dysplasia ( 2 questions)
40.Trigeminal neuralgia cant remember
41.Treatment of primary central intruded tooth by 5 mm in 3 year old
42.Treatment of permanent central intruded for 1 mm in 8 year old
43.If tooth doesnt have enough band of keratinized gingiva dont do
gingivectomy
44.Most important factor affecting success of posterior composite
technique and case selection
45.Composite postoperative sensitivity related to polymerization
shrinkage and cusp exture
46.MOD inlay and pain on biting on French bread M-D fracture
47.Management of cusp fracture without pulp exposure
48.Glass ionomer cement which one is not true less soluble than resin
cement
49.Best cement for onlay resin cement
50.Xray for odontoma
51.Parkinson patient facial features
52.Treatment plan for Alzheimer patient based on preventive and alleviate
pain
53.Needle tract infection after ID block will spread to which space
54.A lot of questions about fascial spaces and spread of infections
55.Treatment of necrotic rst molar in 8 year old apexication
56.Turner tooth denition
Enamel hypoplasia of one tooth
57.10 year old have black central incisor, most probable cause trauma
58.Denition of parulis
an elevated nodule at the site of a stula draining a chronic periapical ABSCESS
59.Chronic suppurative infection but no sinus tract drain thru
periodontium
60.Periodontal apparatus includes all but gingiva
61.Suppuration most associated with actinomycosis
62.Diagnosis, asymptomatic tooth with periapical radiolucency, no response
to vitality test periapical granuloma
63.Management of patient who wants dentures but has moderate gag
64.Several questions about epidemiological studies

65.Nikolsky sign pemphigus

66.A questions about arbitrary facebow, dont remember details
67.If you want to increase vertical dimension for a patient you need
another centric relation record
68.Ortho treatment before perio surgery for gum, might change shape of
gum line ( not sure)
69.What antibiotics can be prescribed for patient with sinusitis of non
odontogenic origin amoxicillin and clavulanate
70.Infective endocarditis prophylaxis (2 questions)
71.Intravascular injection of local anesthesia most probable in ID block
72.Modeling behavior management technique in children ( 3 questions)
73.How to decrease prenumbra in Xray lms shorter source to object
distance
74.Which drug is the most potent bronchodilator
75.Asthma either inspiration wheezing or exhalation wheezing
76.Scopolamine for motion sickness
77.Benadryl (diphenhydramine) uses
78.How to treat transverse discrepancy in 40 year old Rapid palatal
expansion, W wire, Quad helix or segmental osteotomy of maxilla ?
79.Morphine bind to receptors of enkephalines
80.Opioids are contraindicated with --? MAO inhibitors
81.Epinephrine contraindicated with nonselective beta blockers
82.Brachial cyst located along anterior border of sternocleidomastoid
muscle
83.Insurance adverse selection policy means takes only low risk patient
beneciaries ?
84.Green and orange stains on teeth means poor oral hygien
85.What type of hemoglobin does sickle cell anemia patient has
86.Which of the following is not a complication of sickle cell anemia
87.Best brushing technique Bass
88.Metoprolol is selective B1 blocker is it contraindicated with
epinephrine
89.What is the normal salivation rate in ml/min
90.Which forcepts can not be used for extraction of premolars #150 ,
#151, #23 , #286
-opend apex tooth after truma no periapical no EPt --- wait
-over triturated amlgam ---- short working time
-vertical x ray errors ----- distortion
-horzantal anglulation 10
- Frankfort used in ortho not in CD
Bilat RPD moving up ward ---- lack direct support
-lefort I sinus only lefort ii naso palatine I think
-persistent 5 mm pocket good oral hygiene whats the next step ?!
-steriod dosent cause ----u have to know the side effects
-giving pt atropine cause all except---- know the action
-denitions---- agonist\ partial agonist\ potency \efficacy
Metal thermal expantion more than porcaline
-increased liquid in MMM --- high shrinkage
-SNA SNB angles ANB class I \II\III

- dark tooth with amalgam --- corrosion products

-stripping perforation in max MB canal ---- distal surface
-2ed most md fracture --- ?angle
-2end most dentist x ray exposure --- pt scatter \wall scatter \air?!?
-best tooth brushing method?!
- repeated incisal veneer fracture -- edge to edge
-the least effective in tx deep jv periodontitis ---- occ adjustment \ antibiotics \ ap
surgery \ ?!
-autism pts ?!?!? MR \ unresponsive \ . .. ?!?
Short term memory loss --- dementia not Alzheimer I think that
-deaf pt -- talk direct with pt and then let the translator explain that to pt
-most difficult impression material to remove from pt mouth --- ether
-gutta percha not do --- \ anti septic \ adaptation \ 3D sealing ?!?!
-multiple radiolucency dentinal dysplasia
-primate space
- n2o know every thing on it ---- contraindicated with
-4gry radiation ---- erythema
-HBs + ----- chronic carrier
-co\cr know every thing very imp
- incisor turner tooth when the trauma happened --- 4 month to 4 yr
-most common nasal sinus fungal infection ? mucormycosis
- pathophesiology of dry socket --- brinolysis
-upper lip infection --- cavernous infection ,, dangerous triangle valve less veins
-tea spoon how much ml nseet !! 15 ml !!?
- signs of cavernous thrombosis
-not causing gingival hyper plasia --- digitalis
- clindamycin pro --- 600mg
-most heamatoma --- PSA
- most intra arterial --- ID
Replacing amalgam with gold ---better outline only
-sialolith --- sub md gland
-tooth fracture below alv bone level --- extraction
- pain in ear ---- md molars
- retention except --- depth of the under cut
-sever CNS o2 deprition --- miosis + light reex I dont know
- black male --- periodontitis
- acute periapical abscess
---- drainage + occlusal adjustment
-Q about drugs and their types except --- type III cant relled on the phone the
answer \ eshi dentist number \ raje3hom in pharma
-drugs cause extrapyramidal ++ ----??!
- LA mg ---- % * 10 *ml =
-water with 1 ppm pt drink 1 lither how many mg --- 1
- 1 pmm = 0.0001
Gorlin syndrome goltz syndrome down syndrome know them well ---dental feature
-intensity = 1 \d^2
- x ray sharpness depend on --Balancing contact and working contact and the interferances --- which surfaces
-creater defect on the x ray is --- under estimated
- palatine toris removal ---- interfere with palatal seal
-incisal reduction 2 mm
-most common ant composit replacement---- discoloration
- fractured porcelain cervical margins repair --- micro etch ??!? I dont know
- warfarine vit k
- INR 2.5 --- extract
-sealed caries --- arrested
-root caries best by --- clinical detection
-245 bur and 330 245 longer I think
- laryngio spasm symptoms stropid nseet sho el kelmeh :P
-MRSA --- vancomycine
-kelles syndrome know every thing about it ---- only lower ant teeth best mnage
bilateral balanced occlusion
-short clinical crowns how do u increase retention and resistance form ?!?! ---- buccl

groove wall a proximal boxes ??

-metho trexate ---- foliat like ?!?!
-incresed foliat papilla with ?!?!?! ---- hairy tongue \ lymphangioma \ ?!?
- 5 mm probing 2mm from CEJ ---- pocket 2 mm
-alterd cast teqnique --- more functional movement to RPD
-pemphigous \ pemphigoid \ I herpetic gingivostmatitis\verroca vulgaris\ aja 3lhom
as2eleh w 9war
- cII posterior composite most affected by ---- size of preparation + technique I think
\ tooth size \ resin type ?!
-insurance \ 3rd party \ capitation \ epidemiology \ billing habal el pt management
- ASA classication
-pregnant need NSAD acetaminophen
- 1 dose of aspirin last for --- week
- thermal emmition in x ray tube the lament I think
-icreased kvp --- increased energy
-most needle injury in recapping
-drug that cause asthma similar to aspirin ?!!?! --- ibuprofen I think
-the highest heat with --- dry heat
-pregnant coma management --- I think position the pt on his left side decreased
vena cava pressure
-tx plan sequence I think --- emergency tx the disease evaluate denitive txmaintenance
- EpT indicade responsive pulp from unresponsive and doesnt reect the pulp state
normal or diseased
- case series case control cohort cross sectional Q ?!?!?!
- proximal caries --- under the contact
- most reduction in caries ---- smooth surfeces or pits and sser I dont know I put it
smooth surface
-best esthetic implant the connection between implant and abutment --- below the
gingival margin \ at the bone margin !?!? I dont know
- prevent crestal bone resorbtion in implant by ---- small abutment \ abutment
implant interface at the bon \above the bone ?!?
-periapical --- showing radio opacity in the upper jaw I think the best answer was the
nose ?!?!
-photograph for sever gingival bleeding and enlagment within 5 weeks leukemia
-photo for a tongue with upthous
-cross bite 3mm md deviate to ---- affected side ?!? I dont know \ un affected side \
-the I cause to restore I tooth ---- space maintenance
-contraindication for gingivectomy
-adv of periodontal pack ---- comfort only
-

Biological width Pedo: How much for max NO?palate and lip cleft disease
rateectodermal dysplasiadown-NSAIDindirect retainerPT normal valuebone
graftvalue,hue,chromaII amalgam have overhang, why?class III cavity in two proximal
teeth, one big,one small, ll which one rst
bzp
antibiotics
hla
wt kg kids n how much la
narcotics
antifungal
endo
pedo
anug
herpetic gingovitis
ameloblastoma- dd
radio - extra, intraoral
mucus retnsion cysts
salivary glands
impression materials
crown root ration
pfm- where fravture- ?porcelain
malleability, ductilty

cements
inlay,onlay- mod- fracturega- nitous oxide
extractions
occlusion- reduce where
rpd- class, guiding plane
cd- muscle molding
pps
anticoaglants
ceph
band n loop
incidence,prevelance,sensitivy, specicity
pics
1denti.imperfecta
2.lympho epithi.cyst
3.mucocele
4.cemetoblastoma
5.facial palsy
6.cementoma
7.migratory glossitis
8.candidiasis
2.pt with inlay have pain during bitting..no radiogrphic evidence-(ans)m-d cusp
fracture
3.cracked tooth with more symptom to---cold,heat,pressure
7.most common area of fracture in children---symphysis,condyle,coronoid
8.apical root closes---21/2-31/2,4yr,5yr
9.tooth with most favourable prognosis---small internal resorption
10.face divided vertical by---3,4,5;
Horizontal is 3 (it should 4 planes that divided
it to 5 area)
11.frankfort horizontal line---(ans)porion to orbitale
12.occlusal rim parallel to----ala tragus line ( camper's line);
13.sterilization most destructive to carbide instruments----steam heat,dry
heat,ethylene oxide,cold chemical
dry heat does not Corrode or dull instruments.
bacillus spores are the benchmark for sterilization I think it is Clostriduim
Botulinium) First aid page336
Mycobacterium is the benchmark for disinfection
14.sterili cause rust----steam heat,dry heat, unsaturated vapour(does NOT rust or
corrode)
18.orange stain is important ---to change chroma
19.which procedure is most unsuccessful in primary tooth with deep caries---direct ,indirect,pulpectomy,partial pulpectomy,pulpotomy
21.resorption of bone takes place in which direction after extraction----downward
inward,downward outward,forward inward (something)
22.which procedure least likely to produce bacteremia--extraction,non surgical
endo,oral prophylaxis
24.which gracey curet is used for the mesial surface of distal root in max
tooth---11-12,13-14
25.which determine energy level of photon in xray---kvp,ma
26.which structure is most radio sensitve----hemopoitic bone marrorw
27.revesal occlusal plane---chin tilted too upward
29.which is most important for diagnosis of maxillary sinus xray---occlusal,panaromic,MRI
31.effect of xray---genetic mutations
32.collimation
34.tranillumination method is most useful in carious diagnosis ---anterior
proximal,posterior proxmal
USE OF ZINC CHLORIDE IS NOT RECOMMENDED=necrosis
Aluminium chloride is hemodent, most commonly used
Epinephrine is not used due risk of increasing BP in hypertensive pts.
38.procelein lamnated veeneer xed by resin show black margin in 2 days cause--porcelein break,resin wears off???
40.active part of ultrasonic
41.torche available fungal agent---clotimazole
49.U shaped radiolucency in max molar---zygomatic process
J shape radiolucency - vertical root fracture
50.pt says i dont have time to stop smoking--contemplatory,precontemplatory,denial,action
51.pt asking more about mask,glove which is NOT correct responds---dont worry
about it we will take carry of it,expaining about each precautions using in clinic
52.using ATM card of elder is not applicable but some suitation is not under
consideration---both true,both false.1st true 2nd ase

53.elderly people abuse question --under reported

54.adult child can decide a treatment plan of his old patient his parent in what
suitation---when he is payig money,when he is impaired either ear or eye,patient want
his decision???
56.dentist do the treatment for 2 crown but the insurance company pay the money for
one crown wha t is it. bondling
57.more questions from cross control study
58.case series study,case study
61.which area most difficult matrix adaptation--max mesial 1 prem
62.which impression material has good wettability---Hydrocolloid>Poly
Ether>hydrophilic Add Sillicone>Poly Sulde>Hydrophobic addition silicone
and condensation silicone has same wettability
64.uses of chlorhexide--reduce plaque accumulation
66.pt has composite restoration with severe pain with localized swelling---- Incision &
Drainage
67.action of sodium hypochloride- Antibacterial
69.most crucial in replantation----time managment
72.ectopic eruption of man 1st molar in relation to pri man 2nd molar cause some
resorption -managmant---extraction of 2nd molar,separation, disking of 2nd molar
73.calcication of premolar tooth at birth----NO
74.patient with tooth 12 of pri and 12 of perma---8 1/2
75.mouth breathers have facial feature of incompetent lips, convex prole, narrow
palatal vault, bilateral cross bite
76.most common cause of frequent urination during 3 trimestor--pressure of uterus
on bladder,gestatory diabetic
77.facial prole of class 2 malocclusion---convex, Class III is concave
78.normal biological width---????? 2mm
Biologic width is the distance established by "the junctional epithelium and
connective tissue attachment to the root surface" of a tooth.[1] This distance is
important to consider when fabricating dental restorations, because they must
respect the natural architecture of the gingival attachment if harmful
consequences are to be avoided.
79.tooth after acid etching show decalcication at the area but did give the appearance
of frosty why?more uoride in toothe,etchent not removed correctly...???
80.beveling in acid etching composite use more surface area.
81.distobuccal ange of denture determined by---masseter
82.removing the mylohoid ridge have the common error in--lingual nerve damage
83.cheek bit due to---facial placement of tooth, reduced horizontal overlap,vertical
overlap...???
if it is mandibular facial placement of teeth, then it is the option.
84.ant ange in max teeth---esthetics
85.facebow transfer for recording---max with hinge axis positioning
86.post po managment after denture delivery pt has pain in crest of the ridge---defect
in post occlusion
87.placement of rubber dam affect the colour selection by----black
background,reection of light..
89.know about the tooth reduction for various materials
90.Tooth set in 20 degree for balanced occlusion...but adjusted to 45 degree wat is
need to corrected for balanced occlusion--compensatory curve
91.dna probind in perio pocket --for bacterial specic
92.tooth with endo treated and post with crown have pain after several days esp during
biting and cold..vertical root fracture
93.use of indium with alloy is mainly to provide chemical bond with porcelein
94.classication of pontic mainly depend on their relationship ---to the ridge
95.know about pier abutment and cantilever
96.physiological rest position
97.working side and non workingside inter fence
98.bennett shift mainly on --lateral movement or working side
99.narcotics mainly contraindicated in ---MOA inhibitor
100.severe alcoholic now recovering need 24 tooth extraction which test needed---INR,CBC
101.easy to extract impaction in max tooth---distoangular
103.property of interocclusal recording material----low resistance to jaw closure
104.incisal guidance mainly depend on ---hori and verti overlap
105.occlusal truma symptoms - fremitus is the best test to test TFO, vascular - blood
clots in PDL, gingival recession, widening of PDL
106.erythema in the palate of the patient wearing denture...ina papillary hyperplasia
107.after having denture (partial) the pat have pressure for few day.later it subside--occlusal trauma,pressure of clasp, pulp damage
108.which dont need replacement or repair--recurrent carious at margin,pulpoaxial
line fracture,ditched restoration
109.pt has restoration shows demarcation b/w restoration, which is fracture in middle
of restoration wats next step---look for further fracture line,replacement of

restoration...???
110.sensitivity following composite restoration in post most comman cause---???due
to resin,polymerization shrinkage in margin,shrinkage oor...???
111.without indirect retainer---outward displacement of distal extension base
113.exiblity of alloy depend on all expect----composition,taper,undercut (ans)
114.epithilium of free ging graft----degenerate
115.distractive osteogenesis defer from osteotomy by..???
distractive osteogenesis is a surgical process used to reconstruct skeletal deformities
and lengthen the long bones of the body.
An osteotomy is a surgical operation whereby a bone is cut to shorten, lengthen, or
change its alignment
116.signs of gingivitis
117.bacteria in healthy mouth---facultative gram positive anerobic bacteria
118.which of the following is not true about local agressive periodontitis----affect less
than 30%,treatmt scaling and systemic antibiotics, genetic
120.disease with Desquamative gingivitis---pemphigus and cicatrial pemphigoid
121.lateral perio cyst common location---bicuspid lower
122.some measurement about attachment loss
123.primary reason for replacing og overhanningrestoration---interfere in plaque
removal
124.which one is common in pregnancy and in normal condition--pyogenic granuloma
125.best longterm care after perio treatmnt---self,professional..???
126.which type of interleukin in most common after perio disease--1
128.if implant with width of 4 is used what should be the bucolingual width of the
ridge----6
minimum Vertical height of bone to place implant 10 mm
minimum Width of bone is 6mm
minimum distance of apex of implant From nerve - 2mm
platform of implant from adjacent CEJ - 2-3 mm
between implants 3mm
between implant and tooth (height of coutour) is 1,5mm
Mini implant is 2.4mm
When there is FPD from natural tooth to implant, the max stress is concentrated on the
SUPERIOR PORTION OF THE IMPLANT.
RPD:
Retention: Direct retainer , and indirect retainer
Stability: Minor, proximal, ligualul plate, denture base
Support: Rest, major, denture base
H2O2 - less than 10% OTC
H2O2 - 30% (superoxol) used in in-office bleaching
Carbemide peroxide - 15-18% tray bleaching (commercially available in syringes)
129.most acceptable root sensitive theory---hydrodynamic
131.attrition---normal wear
132.incisal beveling
133.something about festooning bone,margining bone,attening bone(option)
134.post evalution after perio therapy---3wks
136.pt with diabetic having sedation IV and LA---ask the pt to take high calorie food
with insulin,low calorie food which inusulin
138.mucosal graft epithelization by---connec tissue from underlying tissue(recipient
site)
140.lefort frac 1 associated with- what fracture--nasoethmoidal air cell,frontal
sinus,max sinus,mastoid air cell
Le Fort II - separation of the maxilla, attached nasal complex from the orbital and
zygomatic fractures
Le Fort III - Nasoethmoidal complex, the zygomas, and the maxilla fromt the cranial
base which results in craniofacial separation
143.2 question about apexication ...pt 8 without root closure
144.symptoms of sjogren all expect one---sicca,xerostomia,arthirtis,lymphoma
(another option is ans)
145.acute gingistomatis virus associate with---chicken pox virus(herpes virus) also
147.acylovir---in some viral infection
148.most common cause of failure of in restoratn in primary tooth---cavity
prep,moisture contamination...
150.fusion---two tooth join only by dentin
151.while giving inf inferior alveolar injection the pathway from?contra lateral
premol,contra canine,contra molar,ipisi lat premol
153.how to split the tooth using bur tech of tooth removal---spilt buccal and lingual
upto furcation..
155. constantly exposing the pt to get from the fear factor is---desensitation
Fear decreases pain and anxiety increases pain
158.most common site of herpes--attached gingiva
159.scopolamine-commonly used for motion sickness Anticholenergic drug The drug is
used in eye drops to induce mydriasis (pupillary dilation)
160.prostaglandin inhibitor cause all expect---increase grastic mucous, PG:decrease
gastric acid and increase gastric mucous
162.unconsicous most commonly---psychogenic
163.in asthmatic patient===nsaid contraindications - NSAIDS cause bronchospasm.
longterm asthma give corticosteroid

164.pt with osteoradionecrosis often---have 4-5gy of radiation therapy

165.pt with bisphosphanate 3ml IV for 3 yrs,have carious and unrestorable tooth
managmnt---stop regmen 1 mnth extract,do non invasive, endo treatmnt.
bisphosphonate has half life of 6 months, it is advisable to wait for atleast 6 months
before invasive procedures
http://www.ada.org/prof/resources/topics/osteonecrosis.asp
167.most common side effect of N2O2---nausea and vomitting
169.laryngeal obstruction in---anaphylatic shock
170.steriod supplement indicated in pt with---10mg with 1 yr,10 in 2yr
171.erosive crust in skin with target----erythema multiforme
172. Diazepam action in GABA both relaxing, anti-anxiety and anti-convulsive effects
173.common malignant potential---paget's
Caractheristic of Paget: maxilla>mandible.Lion-like facial deformity.Teeth demonstrate
extensive hypercementosis.Development of malignant bone tumor,usually an
osteosarcoma is recognized complication of Paget,frequency of osteosarcoma is
1%,mostly long bone.NEVILLE
178.absence of primary tooth---premant eruption slow
179.something about visible light curing - 400 - 499nm
181.for caries restoration---prepare large 1st,ll small 1st
182.advantage of gold on oclusal surface,porclien in facial surface----conserve tooth
struc,minimal rsduction...????
184.interaction of proponolol with epinephrine is best described by...????
185.drug most likely cause xerostomia---lithium(anti psychotic) others that cause ca
channel blockers, nedipine and anticonvulsants.
186.Pt have swelling after extraction,he is under penicillin therapy---other family of
antibiotic--drug of choice ????tetracycline,erythromycin????
187.beta lactamase---inhibit the action of penicillin--- Methacillin is an example
resistant to beta latamase
189.both drug have same intrinsic effect and different receptor affinity---same
potency,same efficacy
190.pt is addicted to oxycodone which contra indi---codiene,pentozocaine
192.all drug induce drug reaction expect---teracyclinewith antiacid
193.antipsychotic with irreversible side effect----Tardive dyskinesia ---Sudden
purposesless movement(parkinson like disease)
194. lantaprost indication----Glaucoma(Latanoprost)
196.large radioopaque lesion in carious affected tooth---condensing ostitis
199.syndrome with glossoptosis,micrognathia,cleft lip,mandibular hypoplasia--pierre robin syndrome
200.granulomatous lesion---crohn's disease(ans),ulcerative colitis
204 .patient with labial lesion or 7 days,similar kind for lesion wk before---recurrent
apthous
205.supparative lesion---actinomycosis
Hypercementosis
day 2
Localization of mesiodens is done with occlusal
Occlusal in 2 angulations, diagnostic is 1 occlusal,
Neuropraxia: It is a 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
St John's wort is today most widely known as an herbal treatment for
depression,may work against gram negative bacteria,ADHD
Pt is a child and is diabetic undergoes hypoglycemia in the chair if conscious give him
orange juice ( unconscious give him 50% dextrose IV)

Type I Diabetes leads

a)
Aphasia b) Ataxia c)Blindness d)Deafness
Amantidine is used as Anti Viral
Strawberry tongue seen in scarlet fever
Prophylactic treatment for peacemaker no premedication required
Prophylactic treatment for Prosthetic heart valves premedication required
Pano picture mostly pointing towards earlobe
LA calculations 4.4mg/kg
One carpule of 2% xylocaine has 36mg
Primate spaces are seen between maxillary Lateral incisors and canines mandibular
canines and molar

Which of the following Medication is not by cell wall synthesis?

A)
Penicillin B) Amoxicillin 3)Vancomycin 4)Azithromycin - inhibits protein
synthesis
CLEAN
(50s):Clindamycine,erythromycine,azithromycine,chloramphenicol,clarithromycin
e
TAG(30s):tetracycline,aminoglycosides,gentamycine,streptomycine
Other antibiotics that Inhibit protein synthesis:Azithromycin,lincomycin
Lot of questions on public health case studies
Prospective cohort studies: A prospective cohort study is a research effort that
follows over time groups of individuals who are similar in some respects (e.g., all are
working adults) but differ on certain other characteristics (e.g., some smoke and others
do not) and compares them for a particular outcome (e.g., lung cancer).[1] It should be
emphasized that prospective studies begin with a sample whose members are free of
the disease or disorder under study (e.g., free of lung cancer or free of major
depression).
Retrospective cohort studies: A retrospective cohort study, also called a historic
cohort
study, is a medical research study in which the medical records of groups of
individuals who are alike in many ways but differ by a certain characteristic (for
example, female nurses who smoke and those who do not smoke) are compared for a
particular outcome (such as lung cancer).
A retrospective (historic) cohort study is different from a prospective cohort study in
the manner in which it is conducted. In case of Retrospective Cohort Study, the
investigator basically collects data from past records and does not follow patients up
as is the case with a prospective study. However, the starting point of this study is the
same as for all Cohort studies. The rst objective is still to establish two groups Exposed versus Nonexposed; and these groups are followed up in the ensuing time
period.
Case-control is a type of epidemiological study design. Case-control studies are used
to identify factors that may contribute to a medical condition by comparing subjects
who have that condition (the 'cases') with patients who do not have the condition but
are otherwise similar (the 'controls').
What liquids used in GIC Polyacrylic Acid
Focal spot inues resolution
Collimation inuences pentration
Milliampere inuences intensity
KVP inuences energy and pentration
2)
If you
mA intensity
a)
Doubles
b) ********
1/8
Pt is taking methotrexate will have drug interaction with
A)
Beta blockers B) Alpha blockers C) NSAIDs D) Beta lactamase (but also beta
lacatamse)
With methorexate we cannot give amoxillin
Most common odotogenic ectodermal is ameloblastoma
Most common odontogenic mesenchymal is myobroma (odontogenic mixoma)
Recommended daily intake of fat Intake as per USDA is 30% of total daily caloric
intake or 10% saturated fat intake of caloric intake
SRP is used
American Society of Anesthesiology patient classification status
ASA I
Normal healthy Pt
ASA II
No functional limitations; has a well-controlled disease of one body system; controlled
hypertension or diabetes without systemic effects, cigarette smoking without chronic
obstructive pulmonary disease (COPD); mild obesity, pregnancy

ASA III
Some functional limitation; has a controlled disease of more than one body system or
one major system; no immediate danger of death; controlled congestive heart failure
(CHF), stable angina, old heart attack, poorly controlled hypertension, morbid obesity,
chronic renal failure; bronchospastic disease with intermittent symptoms
ASA IV
Has at least one severe disease that is poorly controlled or at end stage; possible risk of death;
unstable angina, symptomatic COPD, symptomatic CHF, hepatorenal failure
ASA V
Unstable moribund Pt who is not expected to survive 24 hours with or without the
operation
ASA VI
Brain-dead Pt whose organs are removed for donation to another
Periapical cyst pic
Odontoma pic
Recurrent apthous pic
Location of Inferior Alveolar Nerve -They then pierce the buccinator muscle between
the palatoglossal & palatopharangeal folds, lying lateral to the medial pterygoid at
the mandibular foramen.
Syphilis Chancre resembles
1)
Cancer 2) Herpes 3)Herpangina 4)Apthous Ulcer
Most common Non-odontogenic cyst
1)

dermoid cyst 2) thyroglossal 3) Nasopalatine 4) Dentigerous cyst

Odontogenic Myxoma: (myobroma)

Most common odontogenic tumor of mesenchymal origin
Post Mand
Honeycomb & multilocular appearance
Rx: similar to ameloblastoma & Giant cell Granuloma
Tx: Curettage, possible recurrence
Ameloblastoma:
Most common EPITHELIAL ODONTOGENIC TUMORmand molar area
Age 40s 50s
Histo: reverse polarity

Ameloblastic broma: compared to ameloblastomahappens in

a. younger age
b. slower growth
c. does not inltrate
Ameloblastic bro-odontoma
similar to the above except it occurs in the max & mand in equal freq.
Ameloblastic odontoma:
same as above except it occurs in max & mand pre-molar & molar area
All of the following applies to oral cancer except
1)Male 2) Smoking 3)African American 4)Low socio economy 5)sex predilection for
location
Metabolism of plasma esterase

Which of the following will not occur in over contouring of crown is

A)Gingival problems 2)caries on the adjacent tooth 3) bone loss
Which of the following will occur more force on opposing dentition?
a)
complete denture b) tooth borne partial c) tissue born partials d) over
dentures
enamel pearls most commonly seen on Molars
gingival palatal groove most like seen on seen in Max laterals
mean energy of Xray photons is increased by increasing KVP
collimation makes the X ray photon
1)decrease of fogging of the lm 2) decrease the radiation to the pt 3) decreese the
radiation to operative
Fogging of lm is in overdevelopment, contaminated sols, deteriorated lms and light
leaks
more Kvp - less contrast for restorative purposes
Dark radiographs - Overdevelopment, excessive mA, excessive peak kilovoltage, lmsource distance too short.

Osteoradionecrosis occurs because of decrease in vascular supply

Traditionally 1-2 wks btw TE and radiotherapy is suggested. however is better to
delay radiotherapy 3 wks after TE.
After Radiotherapy if tooth has necrotic pulp
1-endodontic Tx with systemic antibiotics can be performed
2- if difficult to do RCT(bcoz of sclerotic pulp)>>>tooth can be amputated above
the gingiva and left in place
Pt is on IV bisphosphonates which of the following procedures can be done
1)Scaling and Prophy 2)endodontics 3) surgery 4) extractions
Treatment of mid face deciency is
1)

lefort I 2) lefort II 3) lefort III

Crouzon's syndrome exhibits severe proptosis (exapthalmous)

Hypertelorism is seen in Crouzon's syndrome.maxilla
underdeveloped.brachycephaly
Which endocrine system does thick hair become thin hair thyroid - hypothyroidism
(cretinism in kids and myxoedema in adults)
Extrusion of canine what ap technique is used except
1)Envelope ap 2) Semilunar ap 3) Apical repositioning ap
Collagen disorder seen in advanced is seen in Diabetes and Rheumatoid Arthritis
Mechanism of action of on GABA receptors
increasing the frequency of chloride channels by Benzodiazepines
Barbiturates increase the duration of chloride channel opening
Neurotransmitter in Parkinsons disease is Dopamine
Pt has Asthma and is allergic to Aspirin what pain medicaction will be given?
1)
Acetamenophen 2) Ibuprofen 3) Diclofenac Sodium
NSAIDS - are contraindicated in asthma pts.
When you place a implant,widening of crestal bone is seen because of which force?
a) Horizontal 2) Oblique 3) Vertical 4) Aapical
What is the reason for unhappiness of denture Instability of the lower denture

1)
Mode of action of miconazole - alters the cellular wall permeability. It
works by inhibiting the synthesis of ergosterol, a critical component of fungal
cell membranes.
3)
Cause of indiscrete margins on xray lm
4)
Antibiotic contraindicated with alcohol are Metronidazole, Tinidazole, Antimalarial,
urazolione, Griseofulvin - headache, nausea, vomiting, irregular heart beat,
tachycardia, ushing, breathlessness, low BP
5)
In a # of rt side of body of mandible, which other # is to be suspected condyle on the contra lateral side of the subcondylar region

 Trauma to one side often produces an ipsilateral body fracture and a contralateral subcondylar
fracture.
A heavy blow to the symphysis produces a symphyseal fracture and bilateral subcondylar
fractures.
It is also important to exclude damage to the cervical spine and to ascertain that the airway is not
compromised.
6)
In condylar hyperplasia, mand deviates to which side? to the contralateral
side (the unaffected side), in condylar hypoplasia it deviates to the affected side
7)
Treatment of ranula: a) marsupialisation, enucleation, inj of steroid into it
for mucocele - enucleation
9)
Pt complains of high fees of dentist, how should the dentist answer? Fee is
ne according to the geographic area, it is fair and reasonable, I have to make a
living too
10) Handling of an ADHD pt and how to get them to maintain oral hygiene - no
modications
11) Working side interferences are seen on what surfaces? palatal inclines of
buccal cusp of upper and buccal incline of lingual cusp of lower; In MIP or CO,
the buccal incline of palatal cusp of upper and lingual incline of buccal cusp of
lower
Balanced side interferences are buccal incline of palatal cusp of upper and
lingual incline of buccal cusp of lower
13) Protection for inf alv nerve while placing an implant : surgically move the
nerve, meticulous placement of the implant, place a barrier
14) Action of chlorhexidine? membrane disruption
Denaturation of the proteins - alcohol and autoclave; Coagulation of proteins - dry
heat
16) Source of epithelium for graft: host, graft, adjacent tissue. Source of the
blood supply is the host connective tissue
17) After ap surgery, how does repair occur? Pdl moves occlusally, apically,
laterally
18) Up on using the uorescent light, in which of the conditions is the
complete tooth illuminated: vertical#, periapical abscess, split tooth?
20) Colour of nitrous oxide cylinder - blue, oxygen cylinder is green
21) Description of a biohazard waste box. which one of the following is wrong
about it: made of metal, closed, puncture proof, leak proof.
23) Disadvantage of hydroxyapatite graft - control of granules is hard and in
the region of lower bicuspds, graft might be solidify over the mental foramen
and cause parasthesia.
26) For a pt with head and neck cancer who is to be irradiated, when should be
questionable teeth removed: before irradiation, after, during?
27) Treatment for lingually erupted #9 at age 7 no tx
28) Advantage of bundling instruments before sterilization
29) What happens if penicillin and erythromycin are given together:
summation, potentiation, idiosyncrasy
30) Numbers of surgical forceps for tooth extraction
31) Angulation of cutting edge to the tooth surface while root planning more
than 45 less than 90
32) After using a gingival retraction cord, tissue reacts by recession. Where do
you see this the most; lingual, buccal, interproximal.
33) Which aspect most commonly needs convincing for the pt with new CD:
speech, chewing, max denture retention, mand denture retension
34) Which of the following is absent in facial palsy: drooling, inability to wink,
loss of msl tone, excessive salivation- dry mouth and dry eye
35) Consequences of tooth extn in a pt with adrenaline crisis probably
delayed healing, infection, inammation
If Pt uses more than 10 mg prednisone daily then: double the dose of daily
steroids at the day of
surgery as well as double the dose the day after surgery.
(always after consultation with MD
36) Contraindications for the use of opiates cannot be used with MOA
inhibitors, incase of head injury
37)  Bacteria that is responsible for progression of caries but not causing
the initial phase 38) pt comes with eroded occlusal surface, lingual surface of max teeth,
llings raised from the surface. What should be suspected possible GI
regurgitation
39) pagets disease
40)  radiographic feature of osteoporosis
41) how is the caries rate in downs syndrome is less the patients with DS had a
signicantly lower prevalence of caries and signicantly higher levels of salivary sIgA in
this study. This nding tends to support the hypothesis that higher levels of salivary
sIgA may protect against dental caries. But periodontal disease is more
42) Cleft lip and palate is usually associated with which kind of malocclusion?
class III
43) Purpose of dietary analysis of pt -Caries risk assessment
46) Cause of dry socket: brinolysis of clot, physical dislodgement of clot?

47) Which of the following is a dentist not supposed to do: talk about options provided
by other specialist, risks of not having rx done, benets of having treatment done,
discuss about copay?
Note:If you see a fact e.g broken le,or tooth perforation you have to inform the Pt but
not blame the previous dentist
48) Onset of action of antipsychotic is 5-6 days
49) Child with blue lips, thickened nail beds, pale skin. What disease is to be
suspected( I think cyanotic heart disease)
50) msl that decides posterior extension of lingual side of dental ange?
Mylohyoid, superior pharyngeal constrictor?
53) Dene chief complaint - it should be in pt's own words
54) Oral hygiene instructions for ADHD pt: hygienist to pt, hygienist to pt and
parents, dentist to pt, printed material
55) All of the following can be used for plaque removal except: water
irrigation, tooth picks, toothe brushing, oss
56) Tooth brushing technique best suited for removal of interproximal plaqueModied Charters
57) Where does interproximal caries generally occur: above contact area, below
contact area, at contact area, area between marginal ridge and contact area?
58) How is wheeze heard? (description) - gasp followed by high-pitched
whistling
59) Pregnant woman goes into syncope in second trimester. What should be
the immediate action? turn her to the left in order to remove the pressure from
inf. vene cava
60) Dealing an angry patient
61) Behaviour shaping and modeling
62) Diabetes is common on which race? balck men
63) Use of pulp testing: check disease or health or extension of damage of
pulp, check the responsiveness of pulp nerves.
65) How does a tooth covered with crown react to pulp testing--- cold is
better test
67) Periodontitis is common for which race? Black
68) Night guard is used for: treating bruxism, redistribute occlusal forces
69) Should be able to identify defect in hue, color, chroma on a photograph.
Displacement of fractured segments of mandinble by the action of associated muscles.
If the # is at symphysis the muscles are genioglossus and ant. Digastric. Read more abt
it.
pt is addicted to oxycodone which contra indi- Patients receiving CNS depressants such as
other opioid analgesics, general anesthetics, phenothiazines, other tranquilizers, centrally-acting antiemetics, sedative-hypnotics or other CNS depressants (including alcohol) concomitantly with
PERCOCET tablets may exhibit an additive CNS depression. When such combined therapy is
contemplated, the dose of one or both agents should be reduced. The concurrent use of anticholinergics
with opioids may produce paralytic ileus.
.bioavailability---amount of drug avilable in systemic circulation
.antipsychotic with irreversible side effect----tartive kinesia
.lantaprost indication---- Xalatan (latanoprost ophthalmic) used for gluacoma
.common site for granular cell myoblastoma(granular cell tumor)---tongue
.large radioopaque lesion in carious affected tooth---condensing osteitis
.lesion commonly with dysplasia and carcinoma in situ---erythroplakia
.common nding in patient with ataxic cerebral palsy---ant tooth fracture
.common reason for angular chelitis---decreased vertical dimension,skin fold,poor
diet (Vit B2 and B12)
In edentulous pts, when there is decrease vertical dimension, most common sign is
ANGULAR CHELITIS
Ideal depth of a bone for an implant

What group has the highest prevalence of caries? Blacks, Whites, Native
Americans
Hispanics.
Prevalence of caries in permanent teeth (DMFT) among adults 20 to 64 years of age,
by selected characteristic White >Black>Hispanic
Prevalence of untreated caries in primary teeth hispanic>Black >white
Prevalence of untreated decay in permanent teeth (DT) among adults 20 to 64 years
of age- Black >Hispanic> White
Mean number of decayed, lled, and decayed or lled permanent teeth among
adults 20 to 64 years of age White>Hispanic>Black
Moderate periodontal disease was most prevalent in males, blacks
Prevalence of Class II malocclision more in Europian , Class III maloclusionin Asian
Class III malocclusion with cleft lip and palate is more in Native Americans >
Oriental and Caucasians > Blacks.
Cleft lip is more common in Asians
Clift lip prevalence in USA is 1:700- 1:800
Cleft lip is done in 2-3 months after the child is born
Clept palate is not done until the canine erupts and maxillary growth completes at
age 10-12

The lip is corrected as early as is medically possible.the soft palate is closed btw
18-24 months of age,leaving the hard palate cleft open. the hard palate cleft is
then closed around age 4 or 5.PETERSON
Alveolar correction surgery is at age 8 before the eruption of canine
(Before canine erupt------surgery to correct major defects of clefts in the lip and hard and
soft palate is done in infancy - before the age of two. But correcting the alveolar cleft is
usually left till a later time, around the age of 8 or 9. This is because if the surgery is
conducted when the child is younger than this, the scar tissue that forms during healing will
interfere with the normal development of the face. An alveolar cleft is corrected with a graft
of bone and soft tissue.)

Sodium hypochlorite in root canal treatment has the following advantages

EXCEPT: 1.lubricating, 2.Anti-microbial, 3.Chelating agent, 4.Disinfection

Gutta percha has the following advantages EXCEPT: 1.easy manipulation, 2.

Adapts to tooth surface, 3.Anti-microbial,4. Biocompatible

Temperatures for autoclaves is governed by FDA.

For carbide stainless steel burs, what form of sterilization does not corrode
the surface? 1. Dry Heat, 2. Steam , 3. Both Dry Heat and Steam, 4. Neither Dry
Heat nor Steam

?To improve the quality of radiographic lm, what parameter would be

altered? 1.mA, 2. kVp, 3. Exposure time, 4.

high Kvp low contrast for perio. mA is quantity

What bacteria is involved in the carious process but NOT an intitator? 1.

Streptococcus, 2. Lactobacilli, 3. Actinomyces, 4. Staphylococcus

During root canal treatment, the operator creates a ledge. What is the next
step? 1. Fill up to the ledge and leave the ledge intact, 2. Extract and replace with
an immediate implant, 3. Take a smaller le to working length, remove as much
debris as possible and gently try to remove the ledge.

What is the NOT an advantage of stainless steel les? 1. More exible, 2.

Less chance for breaking, 3. Allows the le to be centered in canal,

Which tooth is least successful for a patient to remove plaque with oss? 1.
Maxillary premolar, 2. Mandibular premolar, 3. Mandibular molar, 4. Maxillary
molar

A study failed to report 5 cases of caries. What is this called? 1. True

Positive, 2. True Negative, 3. False Positive, 4. False Negative

Upon extraction of a maxillary molar, a 2mm sinus defect is noticed. What is the
next step in treatment? 1. Prescribe antibiotics and nasal decongestant, 2. Open a ap
and close the sinus involvement defect with suture, 3. No treatment necessary, follow
up in 3 days.

A teenager (11 yo) presents with an intruded maxillary lateral incisor (#7).
What is the next step of treatment? 1. Extract and Implant, 2. Splint for 2 weeks
with RCT treatment after, 3. Splint for 2 weeks and follow up

For a young patient (6 yo), the treatment of choice for a necrotic pulp on
permanent rst molar would be: 1. Apexication, 2. Apexogenesis, 3. Root Canal
Treatment

Which treatment has the least successful long term prognosis on a deep
carious lesion on #3? 1. Direct pulp capping(correct answer), 2. Indirect pulp
capping, 3. Pulpotomy, 4. Pulpectomy and RCT

What would be the most reasonable cause for a tooths symptoms to change
from reversible to irreversible pulpitis? 1. Accumulation of traumatic injuries, 2.
Bacterial involvement inside pulp chamber, 3. Increased intra-pulpal pressure

What is the most accurate pulpal test to determine vitality of a tooth with a
full-gold crown? 1. Electric testing, 2. Percussion test, 3. Palpation test, 4. Thermal
test

What is the outline shape of the access cavity for a permanent mandibular
rst molar? 1. Triangular, 2. Trapezoid, 3. Oval, 4. Circular

On a radiograph, you notice a distal carious lesion on the mandibular rst

premolar. Upon restoring the adjacent 2nd premolar, with direct vision, you notice
that there is no decay. What is the most probable cause? 1. Cervical burnout, 2.
Root caries,

For a lesion in enamel that has remineralized, what most likely is true? 1.
The enamel has smaller hydroxyapatite crystals than the surrounding enamel, 2.
The remineralized enamel is softer than the surrounding enamel, 3. The
remineralized enamel is darker than the surrounding enamel, 4. The remineralized
enamel is rough and cavitated

On the cementation day for a full gold crown, what is the rst step? 1.
Evaluate margins, 2. Evaluate occlusal contacts, 3. Evaluate proximal contacts, 4.
Evaluate proximal contours

For a surgical extraction of mandibular rst molar, what is the best course
of action? 1. Cut a Y into the coronal portion and extract each root separately, 2.
Cut the coronal portion from the roots and extract the roots separately, 3. Cut the
tooth bucco-lingually and extract the roots separately

For a surgical extraction, what does not contribute to developing postoperative pain? 1. High-speed drill, 2. Low speed low torque drill, 3. Sharp burs, 4.
High-speed drill with water spray

Know the onlay wall preparation, which walls are convergant, divergent and
which wall is axiopulpal, axiogingival, etc.

Axial walls converge in inlay preps.

pulse n bp what kind of measurement - nominal, ordinal, interval, ratio

temperature apirin - single dose - how much time- 4 hours, 1 day, for baby aspirin dosage is
81mg/day
aot - radiograph
sore muscles in the morning Myofacial pain dysfunction syndorme
gingevectomy, alveoloplast , alveolectomy diff, free gingival graft , modied ap- full
trephination- open rct, conv rct, release pressure by incision through bone.
what is th immediate treatment plan - pulpectomy , initial treatment
ginseng- antiplatelet ( interferes with coagulation not given with aspirin).
pt on warfarin, aspirin
width periodontal ligament .2mm
hue color, staining changes, chroma saturation(lightness or darkness of the color),
value number of rods
In natural teeth 2 types of hue yellow and yellow red.
Yellow stain increases the chroma in the yellow hue
Orange stain increase the chroma in the yellow red hue.
Pink purple changes the hue of the teeth. Move from yellow to yellow red.
crown - unesthectic- value
pocket, depth elimination procedures
perodontal stability- attachment loss is the most imp criteria in diagnosing periodontal
conditions, followed by mobitiliy.
buproprion smoking = Bupropion (Wellbutrin, Zyban), previously known as
amfebutamone,[1] is an atypical antidepressant and smoking cessation aid. It acts as a
norepinephrine and dopamine reuptake inhibitor,
veracity - being truthful to patient
dentist doesnot complete the treatment - pt abandonment,
protection act- good smaritan act is accepted in all states, but dentists are not
included in all the states.
1)
Collimation does everything except reduce pt exposure, reduce operator
exposure, lm fog, reduce average energy of x-rays
2)
The Dentist completes exam and advises x-rays but the pt refuses. What
should the dentist immediately do. ANS. Explain the need for X-rays.
3)
What is true of osteoradinecrosis. ANS. Commonly affects mandible
X-ray identication: 4) Median Palatal Suture
5) Zygomatic process of maxilla
6) Dorsal Surface of tongue
7) Odontoma
8)The severity of response increases with the amount of X-ray exposure.This
efeect is called. Deterministic, Stochastic, Genetic?
9) Radiosensitive cells ANS. Hemopoeitic bone marrow.
10) When there is no barrier, protection of dentist. 6 feet; 90-135 degrees
11)If the buccal root of maxillary ist premolar appears distal to palatal root ANS.The
X ray was taken from mesial angulation
12)Reverse occlual plane on a panoramic view. ANS.Chin tilted upwards; smiley
(happy face) is chin down.
13)Best view to observe pathology of maxillary sinus .CT , Panoramic, Lateral skull
view ( all these are good to view max sinus)waters
14)What is the reason for increased radio-opacity on the mesio-occlusal surface
of maxillary I molar. Cusp of Carabelli, restoration on disto-lingual surrface, dens
in dente
15)Transillumination is useful in the diagnosis of .Class 1, class 2, class5, class3
16) The dentist sees caries on the distal root of maxillary 1 molar, he prepares
cavity for 2 molar and realized that the surface is smooth and non-carious. Why?
ANS.Cervical burn-out
17) Commonest tooth with vertical root fracture .Maxillary incisor, mandibular
incisors, maxillary molars, mand.molars.
18) Shape of access opening for mand.molar with 4 canals. ANS.Trapezoidal
19) Which tooth refers pain to the ear ANS. Mandibular molar
Referred pains: Max Incisiors forhead maxillary Canine and premolar
nasolabial, maxillary second Premolars Temporal region, Mand. Molars Ear and
infratemporal region.
20) Which are the two most imp. steps for diagnosis. ANS.History and clinical
examination
21) A no. of questions on pulp vitality testing and the conditions of pulp and peri
apex deending upon the symptoms i.e, normal pulp, normal peri apex, reversible
pulpitis, irreversible pulpitis.
22) Which of the following is not a property of gutta-percha . radiopacity,
Biocompatibility, Antibacterial,Adaptation
23) A no.of questions on pulpal therapy depending upon the pts tooth condition
and age i.e, apexogenesis, apexication e.t.c,
24) Which is not a property of NAOCL . Dissolves tissue, lubricant, bleaches,
antimicrobial. Chelating.
25) Which method of sterilization does not corrode instruments Dry Heat,
Ethylene oxide
26) Which method of sterilization does not dull carbide instruments dry heat
27) Which procedure does not require antibiotic prophylaxis . Non surgical endodontic

treatment, Scaling and root planing, Extraction, surgical treatment.

28) Material used for mouth guard vital bleaching ANS. 10% carbamide peroxide.
29) Most critical for pulpal protection ANS. Remaining dentin thickness 2mm
30) Critical factor determining the success of implantation of avulsed tooth - time
31) Tooth with the best prognosis ANS. Internal resorption
32) What is the effect of extraction of primary 2 molar on the eruption of 2nd
premolar with one third root formation . Eruption is faster. Eruption is slow, no
effect on eruption rate, condition varies depending on the patients age.
33) which structure exhibits synchondrosis (Where the connecting medium is
cartilage, a joint is termed a synchondrosis. An example of a synchondrosis joint
is the sternocostal joint (where the rst ribs meet the sternum). In this example, the
rib will join up with the sternum via the costal cartilage.)
34) What is the effect on growth of a child with unilateral sub-condylar fracture.
retarded growth
35) Gingival index is an example of .ordinal scale, nominal scale
36) what is the reason for loss of shiny surface but not the frosty appearnce after
acid-etching of enamel with 37percent phosphoric acid for 30sec.improper
etching,improper washing of enamel,uoridated tooth
37)Hybrid layer. ANS.primer within intertubular dentin
38)Causes for increased soreness on the crest of the ridge after placing C.D
ANS.Improper occlusion, if generalized redness over the denture area, then it would
be due to allergy to acrylic.
39)The provoking factor for pain after placing bridge. Heat, cold, sweet, biting
(occlusion)
40) Kerrs syndrome Kerrs syndrome shows all except . Maxillary ridge resorption,
abby tissues, enlarged tuberosities, increased vertical dimension of occlusion.
41)Lack of function of indirect retainer is manifested by ANS. Lifting of distal
extension away from tissues.
42)Primary function of labial ange of maxillary denture ANS.esthetics.
43) Function of face bow
44)Frankfurts plane porion to orbitale
45) occlusal plane should be parallel to ANS.ala-tragus line
46)Common feature between porcelain veneer and all-ceramic crown preparation
rounded internal
47)How do you decrease the width of articial teeth. Deepen the facial line angle
proximally and increase the interproximal embrasure, Deepen the facial line angle
proximally and decrease interproximal embrasure, take the facial line angle labially
and increase the interproximal embrasure, take the facial line angle labially and
decrease the interproximal embrasure.
48) The dentist cements the porcelain veneer with light cured resin and the patient
returns with brownish discoloration at the margins.why?not enough cement or
microleakage(depends on duration of pt return)
Pregnant women in syncope turn the pt to left to relieve inferior vena cava
49) patient receives a blow to the chin who has a MOD inlay placed on the maxillary
molar 3 months earlier.Now the patient has a vague pain on biting ,there are no
other symptoms.why? maxillary sinusitis,m-d fracture, b-l fracture
50) questions on pier abutment and cantilever
51)when you wax the removable partial denture on a cast; what is it called- Master
cast, refractory cast
52)Purpose of addition of tin and indium to metal ceramic alloys ANS.chemical
bond-covalent bond
53)What is the basis for classication of different F P D pontics. ANS.relation of the
pontic to the supporting tissue.
54)Cause for post-operative sensitivity of composites - shrinkage
55) The condylar guidance is increased from 20 to 45 degrees,what do you do.
Increase the compensatory curve - the curvature of alignment of the occlusal
surfaces of the teeth that is developed to compensate for the paths of the condyles
as the mandible moves from centric to eccentric positions. A means of maintaining
posterior tooth contacts on the molar teeth and providing balancing contacts on
dentures when the mandible is protruded. Corresponds to the curve of Spee of
natural teeth.
curve of Spee,
n.pr 1. an anatomic curvature of the occlusal alignment of teeth, beginning at the tip of
the mandibular canine, following the buccal cusps of the natural premolars and
molars, and continuing to the anterior border of the ramus, as described by von Spee.
2. the curve of the occlusal surfaces of the arches in vertical dimension, brought about
by a dipping downward of the mandibular premolars, with a corresponding adjustment
of the maxillary premolars.
curve of Wilson,
n.pr the curvature of the cusps, as seen from the front view. The curve in the
mandibular arch is concave, whereas the one in the maxillary arch is convex.
curve, reverse,
n a curve of occlusion that is convex upward when viewed in the frontal plane.
56) What is rest position muscle guided
Centric occlusion is tooth guided, centric relation is ligament guided.
57) Non-working interferences

58) You are giving cusid-cuspid bridge and want to change the canine guided
anterior disclusion.What is required. change to group function
59) All are requirements of interocclusal record material except. Hard when set,
capable of trimming with sharp knife after set, resistance to biting.
60) Anterior guidance is determined by overjet and overbite
61) Minimum ridge width for 4mm implant is. 6mm, 8mm, 4mm, 10mm
62) All are symptoms of TFO on an implant except. Gingivitis, pain, loosening of
implant, breakage of abutment screw.
63) Incidence of cleft lip&/ cleft palate is 1 in 700
64) Heart rate of 4 yr child is
Age 3 is 110 and age 5 is 100
65) Highest incidence of untreated dental caries is seen in .Americans, blacks,
Asians, Hispanics,
66)Highest incidence of dental caries in children is seen in hispanics
67) Greatest incidence of malignancy is seen in .Pagets disease, monostotic brous
dysplasia
monostotic brous dysplasia: malignant change ,usually development of osteosacoma
has been RARELY associated with brous dispalsia.radiation for this lesion is
contraidicated because it carries the risk for developmant of post-radoiation bone
sarcoma .Development of malignant bone tumor,usually an osteosarcoma is recognized
complication of Paget,frequency of osteosarcoma is 1%,mostly long bone. NEVILLE
68)Oral granulomas, apthous ulcer, rectal bleeding is seen in. Wegeners
granulomatosis, ulcerative colitis, crohns disease.
69) Pierre-robin syndrome consists of a triad of retrognathia, glossoptosis, cleft
palate.
70) Most important factor in shade selection. ANS-value
71) Flexibility of a clasp arm depends on all except. Length, taper, circumference,
depth of undercut,
72) Which is most rigid .pd-Ag, typeIII gold,typeIV gold.
73.Least wettability is seen with which impression material.polysulde,
condensation silicones, hydrocolloids, polyether.
74) Most stable in moisture environment. Polysulde, condensation silicones,
addition silicones, polyether.
75) Setting of polyvinylsiloxanes is retarded by. ZOE, latex gloves, ferric chlorides,
aluminium chloride
76) Which produces least change on implant surface while removing calculus.
Ultrasonics, sonics, curettes, plastic curettes
77) What has ultimate effect on the thickness of epithelium of free gingival graft.
Recipient epithelial tissue, donor epithelial tissue, donor CT, recipient CT
78) Disadvantage of partial thickness ap are Visibility, access???
79) The purpose of GTR is to prevent. Long J.E, migration of PDL cells, Migration of
CT cells.
80) The resorption of bone in PD disease is caused by.IL1, IL8, IL10
IL 8 chemotaxis, IL 10 is macrophages.
81) The biological width is. 2mm,3mm, 4mm, 1mm, 5mm.
82) The internal bevel gingivectomy extends approximately from? (undisplaced
ap)
83) Indications for gingivectomy gingival hyperplasia,
84) The purpose of barrier. Apical movement of PDl cells, Coronal movement of
cells.
84) Gingivectomy is contraindicated in .The sulcus is apical to gingival groove,
sulcus is apical to convexity of tooth, sulcus is apical to the crest of alveolar bone.
86) periodontal pathogens in health- ANS Gram +ve facultative cocci and laments.
87) Desquamative gingivitis is associated with which 2 conditions. Pemphigus and
bullous pemphigoid, Lichen planus and erythema multiforme
Pemphigus supra, acantholysis
Pemphigoid - basal
88) The depth of sulcus is 5mm,the distance between CEJ and the base of sulcus is
2mm.what is the attachment loss. 2mm
89) The role of chlorhexidene is cos of.ANS- Substantivity high concentrations for long
time
90) Condition seen in normal individuals and also in pregnant patients.ANS
Pyogenic granuloma or pregnancy tumor.
91) Antibiotic seen in GCF- ANS Doxycycline, minocycline
92) First thing u need to check while placing crown.ANS Esthetics then Proximal
contact
93) The normal recall appointment between periodontal treatment. 3 months, 1
month, 4 month, 6 month
94) 45 year patient comes for appointment schedule.His B.P is 160/100.What
should the dentist do.Call up the physician, reschedule appointment when the B.P
comes down , check B.P again after 15 mts
95) Frequent urination seen during 3rd trimester ANS. Pressure on the bladder.
96) Curettes used for distal surface of maxillary II molar ANS. #13-14
97) Pt comes with carious involvement and localized swelling of cheek.What is the
immediate treatment. ANS.establish drainage
98) After periodontal surgery, the dentist leaves interproximal bone apical to
radicular bone.What is this called negative architecture.
99) Evaluation after scaling and root planning is done after how many days. 7-10
days, 14-21 days 4-6 weeks

100) Mode of action of ultra sonics. ANS. Vibration in elliptical(magnetostrictive) ,

sonics is linear(work with air)
101) Which of the following is not an advantage of Ni-Ti over stainless steel le.
Maintains the shape of canal, exibility, resistance to fracture.
102) Best theory to explain dentin hypersensitivity. ANS Hydro dynamic theory
103) Gastric acids cause. ANS. Erosion
104) Primary effect of an over hang. ANS interferes with plaque removal
105) Medications associated with hyperplasia. Calcium channel blockers, Dilantin
sodium, Cyclosporine
106) In most of the cases, localized bromas are often. Dysplasias, metaplasia,
anaplasia, hyperplasia.
107) The major environmental risk factor for periodontal disease. Diabetes,
smoking
108) which is not true of elder abuse. Most of the elder abuse is at victims home,
mostly it is by victims relative, elders abuse is often over reported and
exaggerated, un-authorized use of ATM card is some times considered crime but
not abuse.
109) Most common condition affecting elders. ANS Depression
110) features of dementia are all except. Short term memory, long term memory
111) All are seen in DI except. Large bulbous crowns with short tapered roots, large
irregular dentinal tubules, accentuated DEJ, opalescent hue.
112)In a scientic article ,where should the description of study sample
be.materials and methods, results, discussion
113) Common form of leukemia in children Acute lymphocytic leukemia; acute
leukemias respond to tx well, chronic doesnt . AML is worst prognosis,
Viral load for HIV pts test sensitivity detect more than 48 viral copies.,
Neutrophils less than 500 no tx
Platelets below 50000 no tx
CD4 should be 200, but 50 is critical.
114) Increased no.of teeth + supernumerary and impacted teeth is seen in ANS.
Cleidocranial dysplasia.
Gradners syndrome has supernumerary teeth.
115) when should the dentist not use para-phrasing. When trying to speak to a
patient in his second language, When the dentist is upset with what patient says,
when giving factual values.
117) The patient who is diagnosed with Basal cell carcinoma, says to the dentist
give me the report,do I have cancer, what should the dentists initial reaction be.
DO you have any one accompanying you, this cancer has better prognosis than
other cancers.
118) Which of the following is not recommended for a patient who is on Nicotine
de-addiction .mucous patches, nicotine gum, Bupropione, nicotine nasal sprays.
119) Which of the following does not have cauliower like , pebbly appearance.
Verrucous carcinoma, broma, condyloma accuminata, papilloma.
120) Common nding in a patient with cerebral athetoid palsy. ANS. Anterior teeth
fracture
121) Anti-fungal used as troches for treatment of oral candidiasis.ANs Clotrimazole;
swish and swallow is nystatin. AmphotericinB is only antifungal given in IV, Fluconazole
(tab) is given for systemic candidiasis.
122) The direction of healing of wound after extraction of tooth in mandibular
arch .outward and upward, inward and down ward, etc
123) Infections from premolars spread to which space.ANS. Submandibular,
because the roots are below the mylohyoid. Anterior roots above the mylohyoid has
submental spread.
Cellulitis most of the time involves unilateral , ludwigs angina is bilateral and
complication is edema of GLOTTIS.
124)The patient who is a tobacco addict says to the dentist,I want to quit the
habit,what should the initial reaction of the dentist be.
125) All are seen in a patient with sjogrens syndrome except Xerostomia,
lymphoma, arthritis, other choice is option.
126)Amount of uoride supplementation required in 16 yr .0 mg
127) The greatest incidence of dysplasia and carcinoma in situ ANS.erythroplakia
128) Clinical photographs- Lymphoepithelial cyst, cheek biting, smokers palate,
Dentigerous imperfecta, facial palsy, migratory glossits, mucocele, fordyces
granules
129) Dentist realizes that the distal margin of crown preparation is within 1mm of
interdental bone.what should the dentist do. ANS crown lengthening
Necrotizing sialometaplasia minor salivary gland disease presents on the palate
which is most commonly confused with carcinomas due to the ulcerated
presentation. Heals without scarring.
130) Transillumination in children is used for.ANS sialolithiasis
131) Questions on herpes ulcers and apthous ulcers
132) The patient develops oral ulcers and target or bulls eye skin lesions within 24
hrs.ANs Erythema multiforme
133) Suppuration is seen with ANS.Actinomycosis sulphur granules, seen in the
neck.
134) A chronic alcoholic requires extraction.what test should the dentist advise
for.ANS INR
135) which of the following is not true for a patient requiring surgery and on oral anti

coagulants. PT should be 1.5-2 times that of control, INR should be above 2.5
Norma INR is 1, can be treated till 3(acc to manual)
136)Question on parulis
bumps on the gum parulis, Pyogenic granuloma, peripheral gaint cell granuloma,
peripheral ossigying broma,peripheral odontogenic broma,
137) A patient received radiation therapy and requires extraction,what should the
treatment be.Extraction, extraction with alveoloplasty and sutures, extraction with
alveoloplasty of basal bone and suture, pre-extraction and post extraction
hyperbaric oxygen
138) Virus associated with Chicken pox also causes ANS herpes zoster
Unilateral lesions after herpes zoster infection. Reactivation of the virus from sacral
ganglion causes shingles, induced by stress and sunlight exposure.
140) Fluoride supplement required in a 2.5 yrs child in a non-uoridated area.
0.25mg
Community water uoridation 1ppm, school water uoridation 4.5ppm
141)A 4 yr old child management-ANS .empathy and respect
142) Management of moderately apprehensive child
Replacing words like LA with sleepy juice is called as Euphenism.
143) Question on tell, show , do
144) Use of praise, smile and appreciation is-Token(positive) reinforcement, social
reinforcement
145)What is not an advantage of rubber dam when compared to not using it.
Improved properties of materials, shortens operative time,facilitates the use of
water spray
146) Closest resemblance of deciduous mand II molar ANS permanent mand I molar
147) The success of implants does not depend on.ANS .Age of the patient
148) lefort I fracture involves .Frontal, ethmoidal, maxillary ,mastoid
149) Prilocaine above 500mg causes. Apnoea, cardiogenic shock,
methemoglobinemia.
150) complication associated with removal of internal oblique ridge(mylohyoid)
ridge. ANS Lingual.n
151) The drug which causes withdrawal symptoms in pts taking oxycodiene
152) The drug contra indicated in pt taking gingko biloba ANS Heparin
Ginseng used for male impotency, diabetes
Ginkgo biloba used for memory loss.
153) The drug of choice in patient with bradycardia - Atrophine, Epinephrine.
154)Which of the following does not have anti-inammatory action. ANS Acetaminophen
155) The immediate choice of treatment for large radiolucency in the mandible.
Biopsy, aspiration biopsy and wait for the bone to ll in
Safest of all biopsies aspirational
156) The common symptom of trismus is associated with which space involvement.
Sub-masseteric, supercial temporal
During IAN block, pierce Buccinator muscle and inject in pterygomandibular space.
157) The patient returns to the dentist the next day after extraction with pain and
swelling.The drug of choice in this penicillin allergic pt. Clindamycin 300mg qid
158) The restraining of unco-operative 2 yr child should be done by.Dentist,
Assistant, Parent
159) The information about hazards of chemicals used in the office should be
present in ANS. Material safety data sheets
Red ammable; White Personal protection, Blue health hazard, Yellowidentities the reactivity or stability of a chemical.
160) The failure of a test to detect the presence of 5 cases of disease. ANS. False
negative
161) The 16 yr old can take the decisions for the elder pts if. If the elders are deaf
and dumb, if the boy makes the payment, if the elders are over 60yrs, if the kid has
the power of an attorney
163) The dentist separately for core- build up and the crown but the insurance
company says that the core build up is part of crown.what is this called. bundling
164) the investigator studies the occurrence of oral cancer in pts in a private
nursing home.what is this . Cross-sectional study, longitudinal study, Descriptive
epidemiology(prevalence and incidence)
166) common missing permanent tooth ANS. Maxillary third molar
167) The main role of chlorhexidene before surgery ANS. Reduce the no.of
microbes
168) What is an allograft
169) Crowing sounds are seen with. Acute asthmatic attck, COPD.
Asthma Exhalation wheezing, COPD expiration wheezing.
Croup------Barking Cough
170) Blood transfusion before surgery should be done when the platelet
concentration falls below. 20,000, 50,000 , 100,000 etc
171)The most effective method of caries reduction. ANS. Systemic water
uoridation
172) 5 As of cancer prevention :
Ask, Advise, Assess, Assist, and Arrange
173) The Child has 12 deciduous and 12 permanent teeth.what is the age of the
patient 8-9 yrs
174) When does the calcication of permanent incisors occur 3-4 months(decks)
Excepting maxillary lateral incisors 10-12 months

175) The drug of choice in status epilepticus Diazepam

176) The bacteria that causes rheumatic fever.streptococcal infection like sore
throat or scarlet fever
177) What is the correct method of excavation of deep caries. Long bur from
periphery to the center, large bur from center to periphery, small bur from
periphery to center, small bur from center to the periphery.
178) purpose of post. ANS.retention of core
179) Apical closure of permanent tooth occurs. ANS.21/2 to 31/2 yrs after eruption
180) Face is divided vertically by how many planes.2, 3, 4, 5
Vertically in 5's, horizontally thirds
181) The dentist realizes that there is formation of ledge.what should he do
next.ANS Gently by pass the ledge.
182) Pt asks questions regarding the face mask, gloves and other sterilization
methods.what should the dentist say. probably something to do with standard
(universal) precautions
183) The patient retires and loses health benets.the treatment is done on the next
day.the pt requests the dentist to enter the previous day date and the dentist does
so.what is this called.ANS. Fraud
184)The frequent intake of juices by the child does all except. ANS. Increase ph.,
juices decrease PH
185) Which is true of intra-pulpal anesthesia.produces anesthesia after 30 sec, it
does not cause the discomfort to patient, produces anesthesia by pressure.
186) The position of permanent incisors in relation to deciduous incisors.
ANS.inferior and lingual
187) Advantage of distraction osteogenesis over ostectomy . better patient
compliance, wider range movements, less relapse and can be done in yonger
patients
188) What is not true of alveolar osteitis.ANS pain starts on the rst day,
curettage should not be done in pts with dry socket, no antibiotics.
189) Acid-etching does not cause. Reduced leakage,better esthetics, increased
strength of composites.
190) Purpose of placing posterior palatal seal ANS.compensates for shrinkage.
191) Patient comes back to the clinic 5 hrs after extraction with bleeding .what
should the dentist do. ANS.search for the source of bleeding
192) exibility of the clasp depends on all except. Depth of the undercut, crosssection of the clasp arm, taper of the clasp, length of the clasp.
193) Pt after scaling and root planing and with excellent oral hygiene does not
show reduction of pocket depth, what is the next step for the dentist to do.ANS.
Periodontal surgery.
194) Common location for periodontal cyst.ANS. Lower bicuspid.?
lateral periodontal cyst is detected only during radiographic examination.65% of cases
occur in mandibular canine-premolar area.NEVILLE
195) Patient has 2mm communication with the maxillary sinus.what is the
treatment of choice.
2mm dont do anything and follow up
2-6 mm place gel foam (surgicel), suture ,decongestant and antibiotic , inform patient
more than 6 mm buccal ap.( Peterson)
196) How to split the impacted mandibular tooth when viewed from occlusal.+, Y
slope, split buccal to lingual till the furcation.
197) Questions about potency and efficacy.
potency - response to a drug over a given range of concentrations.Potent = depend
on dose of drug- less mg for same efficacy has more potency
efficacy - effect of a drug -efficacy is the max effect of the drug. Max effect is also
called as intrinsic activity.
Therapeutic index - is an estimate of the margin of safety of a drug.
TI = Lethal dose 50/Effective dose 50
198) What is bioavailability of a drug. - amount of drug that is available is blood.
199) What is the effect seen when propranolol and epinephrine are injected
simultaneously - in cases of mild reactions it causes hypotension; in severe
reaction it is malignant hypertension
Synergism - same target of action-increase action
additive = target of action is different
Day-2
1)
2)
3)
4)
5)
6)

patient c/o burning sensation at the corner of the mouth.- angular chelitis
Peri apical abscess
Trauma to the anterior area of the mouth
Cheek biting
6 yr old complaining of halitosis.
Pt c/o frequent dislodgement of anterior crown.(post and core)

New qs
1. Angular chelitis - common reason is malnutrition; due to decrease VD in
removable pts

2. Neuropraxia - nerve damage in which there is no disruption of nerve or it's

sheath, but causes interruption in conduction of impulses
3. Recommended daily dose of fat - 30% of total calorie and saturated fat is 10% of
daily calorie intake
4. Extension of lower denture - till retro molar area :
a. primary support area mandible : Buccal shelf , maxilla- Ridge, secondary
on max - rugae.
5. What incision is given to remove palatl tori - double Y incision was not the
choice ; other possible answer might be a linear incision from A-P with oblique
releasing incisions
6. How do u clean implants - scaler with a plastic sleeve; rubber cup and paste,
stailess steel scaler, titanium scaler
7. It is required mandatory to report all except - child abuse, reaction to drug, one
more choice, Abuses that have to be reported to authorities - colleague practicing
with chemical impairment, colleague advertising on electronic media, child
abuse, domestic violence, elderly abuse
8. Asthama - wheezing on inspiration; COPD - wheezing on expiration
9. Why do you splint teeth in FPD - to distribute forces equally
10.Listerine - Phenolic compound - Listerine is a combination of alcohol + phenolic
compound. Burning after use of mouth wash is due to alcohol (causes drying of
the mucosa).
11.Patient had old PFM on # 9, he complains that PFM is lighter than other teeth,
what will u do? - change PFM, bleach teeth
12.When will you bleach teeth in anterior veneer prep- before veneer prep, wait for
2-3 weeks, after preping veneer and then bleach, after cementing veneer and
bleach
a. bleaching affects both enamel and dentine
13.something on incisal guidance - guided by overjet and overbite
14.IRM is - what is the compoisition - zinc oxide-eugenol with polymer reinforcement.
15.where will you place the margins in a anterior PFM prep - Subgingival, at the
crest
16.PVS impression material has which of the following - is unstable, doesnot come
out completely from tissue undercut, releases alcohol as byproduct, may release
H ion
17.Mostly periodontits occurs in : Diabetes, Tobacco
18.St John Wort(herb) is used for - mild depression--St John's wort is today most
widely known as an herbal treatment for depression,may work against gram
negative bacteria,ADHD; has drug interaction with BNZ
19.Drug that interferes with coagulation - Saw palmetto; Saw palmetto products
could theoretically interfere with blood coagulation, so concurrent use with blood
thinning medications, such as coumadin (warfarin,aspirin and other NSAIDs)
should be avoided.
20.Differentiate hypothyroidism and hyperthyroidism
21.Hypoglycemia is common in : Hypotension, Hyponatremia, Hypokalemia
22.Picture of : herpetic gingivostomatitis; steven johnson syndrome
23.X ray of odontoma;
24.Drugs used to control salivary secretion - Pilocarpine- increases salivary
secretion, Atropine - decreases salivary secretion
25.To expose a mandibular lingual torus of a patient who has a full complement of
teeth, the incision should to
a. semilunar
b. paragingival
c. in the gingival sulcus and embrasure area
d. directly over the most prominent part of the torus
e. inferior to the lesion, reecting the tissue superior
26.Periodontitis is most prevalent in - Black female, Black male, white male, white
female
27.Arcon and Non arcon articulator - when u use acron articulator
28.Patient has a stable bite, ant. guidelines are ne and you need to fabricate FPD.
What kind of articulators do you use? - Semi adjustable.
Non-Adjustable (Class 1) A simple holding instrument capable of accepting a single

static registration. Vertical motion is possible.

(Class 2) An instrument that permits horizontal as well as vertical
motion but does not orient the motion to the temporomandibular joints.
Uses: Single restorations
Multiple restorations if good bilateral cuspid disclusion exists
Certain FPDs.
Semi-Adjustable - (Class 3) An instrument that simulates condylar pathways by using
average or mechanical equivalents for all or part of the motion. These instruments
allow joint
orientation of the casts and may be arcon or nonarcon instruments.
Examples:
Hanau H2 (condylar/non-arcon)
Hanau University Series (arcon)
Whip Mix (arcon)
Uses: Multiple restorations
Fixed partial dentures with:
- minimal occlusal pathology
- no loss of VDO
- no immediate side shift
Full mouth restoration if good anterior guidance exists.
Fully-Adjustable - (Class 4) An instrument that will accept three dimensional dynamic
registrations. Those instruments allow for orientation of the casts to the
temporomandibular
joints.
Uses: Full mouth restoration
Extensive occlusal pathology
Group function/posterior guidance
Restoring at a different VDO
ARCON ARTICULATOR - An instrument following anatomic guidelines such that the ball
of
the condyle analogs are carried on the mandibular element, and the fossa assemblies
on the
maxillary element.
CONDYLAR ARTICULATOR - A non-arcon articulator.
Advantage of Arcon over Condylar Articulator - When using an occlusal record to
relate opposing casts, the thickness of the record increases the VDO upon articulation.
When the
record is removed the condylar guidance inclination would be decreased in the nonarcon
articulator creating a potential negative error in excursive movements.
29.Purpose of making plaster index of complete denture -to preserve face bow
record
30.why do we remount complete denture-31.Lesion that blanches - Leukoedema - it disappears on streching, it is always
bilateral.
32.Apexication and apexogenesis
33.Tooth responds with lingering pain to cold - irreversible pulpitis with normal
periradicular tissue; irreversible pulpitis with chronic periradicular tissues
34.Hallmark of periradicular abscess - sinus tract
35.Hallmark of acute periradicular periodontitis - sensitivity to percussion
36.Rubella embryopathy - also called chronic rubella panencephalitis.occurs in early
stages.
a. http://books.google.com/books?id=uRgcYkTT1AC&pg=PA147&lpg=PA147&dq=rubeola
+embryopathy&source=bl&ots=AZ7lTSnhHA&sig=oGAF6VDLHlmLXpqHo
OhGdCj_qV8&hl=en&ei=Qu91S_WXMYnkswO24cnKCA&sa=X&oi=book_
result&ct=result&resnum=10&ved=0CCsQ6AEwCTgK#v=onepage&q=rub
eola%20embryopathy&f=false
37.Periodontium surrounding the implant - no periodontium, bone and implant.
38.Differentiate perio and pulpal abscess- Endo to perio lesion is outward, Perio to
Endo lesion is inward.
39.Reliable test for teeth with open apex - heat, cold, ept--- same when tooth has
gold , or porclain crown
40. http://www.endomail.com/articles/blm03properdiagnosis.html
41.Organisms in chronic periodontitis - Porphyromonas gingivalis: Aggresive perio -

Loclaized: AA, Gen is Prevotella intermedia, Eikenella corrodens

42.Midline swelling all except - globulomaxillary cyst
a. midline swellings - nasopalatine, median rhomboid, thyroglossal
duct, dermoid cyst,
43.granuloma + bleeding + apthous ulcer -: ulcerative colitis, chrons disease
44.Question of mucocele and ranula
45.CT and MRI recognition
46.how to prevent proximal displacement of Cl II lling - retention grooves
47.how to increase the resistance and prevent from fx of the restoration: dove tail it
provides the retention form
48.Coefficient of thermal expansion is most for which material tooth<gold<amalgam<lled resin<unlled resin
49.Calculation of LA - Max dose of epi for cardio pt----- 0.04mg, Two carps
Max dose of epi for healthy pt---- 0.2 mg, Eight carps
0.01 mg of epi in each ml of lido with 1:100,000 or 0.018 per
carpule
50.Picture of benign migratory glossitis
51.Some queston on internal bevel/ externam bevel incision
52.Tooth release of pain on biting and sensitive to cold - cracked tooth syndrome
a. Tooth with a recent crown - sensitive to cold and biting ( hyperocclusion)
53.Why do we use a post - retention of core
54.how to remove caries from deep preparation - with small bur peripheral to center,
large bur periphery to center, small bur - from center, large bur - from center
55.gingival index is what - Ordinal , nominal, ratio, interval
56.Diagnosis of ANUG - punched interdental crater on the interdental papilla, fetid
odor, metallic taste and pseudomembrane.
57.many questions on epidemiology
58.Reason of cheeck biting in a denture patient - when mandibular molars placed
more buccally
59.IF SNA is -8 what type of malocclusion---Class III
60.What will happen if pt consumes too much of opiod analgesic - respiratory
depression
61.pic of cyclosporine (probably gingival hyperplasia)
62.cracked tooth syndrome
63.complication following distraction osteogenesis : - long term followup, nerve
damage
64.Desquamative gingivitis - not a straigt forward question
65.attrition, abfraction
66.NaOCl does all except - chelating agent
67.Overdose of prilocaine - Methemoglobenemia
68.Lidocaine toxicity is due to - overdose - increased vasoconstrictor, due to
preservative
69.Drug with no inammatory action - acetaminophen
70.Antidote for benzodiazipine overdose - Flumazenil (Anexate)
71.Nalaxone - antidote for opiods.
72.If dentist seals a small carious lesion what happens - caries stops, caries
increases
73.Disulram is used to treat alcohol addiction
74.If patient is allergic to penicillin give - clindamycin - some particular dose given,
azithromycin, cephalo
Regualr dosage:
Amoxillin - 500mg TID
Clindamycin - 300mg qid, longterm usage is pseudomembranous colitis
Cefalexin - 500mg qid
Azithromycin Situation Agent
Regimen Single dose
3060 minutes before
procedure
Regimen Single dose
3060 minutes before
procedure
Regimen Single dose
3060 minutes before
procedure
Situation Agent
Adults Children
Children
Oral Amoxicillin 2 gm
2 gm 50 mg/kg
Unable to take
oral medication
Ampicillin
OR
2 g IM or
IV*

2 g IM or
IV* 50 mg/kg
IM or IV
Unable to take
oral medication
Cefazolin or
ceftriaxone 1 g IM or IV
1 g IM or IV 50 mg/kg
IM or IV
Allergic to
penicillins or
ampicillin
Oral regimen
Cephalexin** 2 g
2 g 50 mg/kg
Allergic to
penicillins or
ampicillin
Oral regimen
OR
Allergic to
penicillins or
ampicillin
Oral regimen
Clindamycin 600 mg
600 mg 20 mg/kg
Allergic to
penicillins or
ampicillin
Oral regimen
OR
Allergic to
penicillins or
ampicillin
Oral regimen
Azithromycin or
clarithromycin 500 mg
500 mg 15 mg/kg
Allergic to
penicillins or
ampicillin and
unable to take
oral medication
Cefazolin or
ceftriaxone
OR
1 g IM or IV
1 g IM or IV 50 mg/kg
IM or IV
Allergic to
penicillins or
ampicillin and
unable to take
oral medication Clindamycin 600 mg IM
or IV
600 mg IM
or IV 20 mg/kg
IM or IV
####2.2 mg of Naf will provide 1 mg of ouride.its a standard memorize it been
calculated according to the atomic weight of both sodium and ouride
1. When will the BULL rule be utilized with the selective grinding
a. working side
b. balance side
c. protrusive movement
d. all of the above
2. Pan showing lucency going inferior over the body of mandible close to the angle.

Informed the patient was involved in an accident. Identify the lucency

a. pharyngeal airspace
b. fracture
c. artifact-retake radiograph
33. There are more detached plaques within supragingival plaques that subgingival
plaques. The detached plaques within subgingival area are the ones that are more toxic
to tissue than attached plaques
a. both statements are correct
b. the rst statement is correct but not the second
c. the rst statement is wrong, but the second statement is correct - supragingival
plaque is always attached and subgingival is unattached.
d. both statement are wrong
8. Organism implicated on causing severe spreading abscesses include
a. Fusobacterium
b. Campylobacter
c. Enterococci
d. Bacteroides --- black pigmantation
unbundling, Bundling, Up coding, down coding:
The American Dental Association (ADA) denes unbundling of procedures as "the separating of
a dental procedure into component parts with each part having a charge so that the cumulative
charge of the components is greater than the total charge to patients who are not beneciaries
of a dental benet plan for the same procedure."
Looking at this issue from another perspective, bundling is the exact opposite of unbundling
and can occur on the insurance carrier end. Bundling is dened by the ADA as "the systematic
combining of distinct dental procedures by third-party payers that results in a reduced benet
for the patient/beneciary."
Upcoding or overcoding is dened by the ADA as "reporting a more complex and/or higher cost
procedure than was actually performed."
Downcoding on the other hand is dened by the ADA as "a practice of third-party payers in
which the benet code has been changed to a less complex and/or lower cost procedure than
was reported except where delineated in contract agreements."
Recording of retro mylohyoid area during border molding - muscles in this area are
Superior constrictor(directly) medial pterygoid and glossopalatinal(indirectly)
On the buccal of mandibular border molding - u record Buccinator when the pt opens
his mouth.
When the posterior border(distal of tuberosity) of the max denture is thick, denture
dislodges as the pt opens, reason is coronoid process hits the denture.
Retro mylohyoid area - directly superior constrictor
Gardner's, Peutz Jeghers syndromes have intestinal polyps.
OKC has scalloping of radiolucency around the roots
Black women, middle aged , anterior radioluceny(can be radio opaque) is cemento
osseous dysplasia.
Cafe au lait spot - Peutz Jeghers syndrome, Albright's syndrome, Basal cell nevus bid
rib syndrome(gorlin - goltz syndrome), Jeff's syndrome (severe form),
neurobromatosis
Peutz Jegher's syndrome - addisson's disease
Mucles responsible to record retromylohyoid area:direct
A study is designed to determine the relationship bet. emotional stress and ulcers .To
do this , the researchers used hospital records of pt's diagnosed with peptic ulcer
disease and pt. diagnosed with other disorders over the period of time from july 1988
to july 1998 . The amount of emotional stress each pt. is exposed to was determined
from these records. This study is
A) Cohort
B)Cross-sectional
C)Case-study*
D)Historical Cohort
E)Clinical Trial
4. Why is the surgical stent required for an immediate denture?
a. to give an idea of the anatomy of the region
b. prevent hematoma
c. to determine occlusion
Ans: in immediate dentures its there to give an idea of the anatomy of the region NOT

to determine occlusion that too is in the prosthodontics decks

5. Which tooth will the matrix band be a problem with when placing a two surface
amalgam?
a. mesial on maxillary rst molar b/c of the cusp of carabelli
b. distal on maxillary rst premolar
c. mesial on maxillary second premilar
d. distal on mandibular rst molar
------Mesial Of max premolar> Distal of max molar>....
11.Asprin stops pain by
a. stopping the unpward transduction of pain signal in the spinal cord
b.intefere wiht signal intrepretation in the CNS
c. stopping the local signal produtction and transduction
d.stopping the signal transduction in the cortex
Q's from A
-Maximum dose of mepivicaine?
400mg
Note: 400mg for prilocaine,300mg for lidocaine without epi,300mg for lidocaine with
epi,90mg for bupivacaine
-Know about the following: Autonomy, maliciousness, nonmaliciousness, cohort,
clinical trial
-Which of the following mandibular fracture will heal in 4-6 weeks?
SymphysisBody
Condyle
Angel
-Pt on kidney dialysis, when can you perform TE?
One day after dialysis
Note: Pt with end stage renal disease(ESRD) >>> 1)are on steroid therapy 2)prone to
bleeding 3) do NOT use NSAID because they cause nephrotoxicity
-Action of Listerine?
it disrupts adhesion of bacteria to plaque
is a phenolic compound
Chlorhexidine :The mechanism of action is membrane disruption
LISTERINE :Antiseptic mouthrinse is a broad-spectrum antimicrobial, and it kills
bacteria associated with plaque and gingivitis by disrupting the bacterial cell wall.
Note: (Active Ingredients: Thymol(which is a phenol) 0.064%, Eucalyptol 0.092%, Methyl
Salicylate 0.060%, Menthol 0.042%)
-Dental anxiety can be caused by Pts helplessness. What would reduce it?
Telling Pt to raise her/his hand when feels pain
-What does St. John's Wort do?
Decrease the body immunity
Note: there is no option anti depressant in choices. in Pt with HIV it interact with anti
HIV drugs such as Indinavir(increase immunity) and reduces their function so the
immunity decreases
-Primary risk factor for periodontitis?
Tobacco
Alcohol
Cardiac condition
-By recent studies, which one has correlation with periodontitis?
Diabetes - diabetics are 15 times at risk
Cardiovascular disease
-A kid is on recall appointment and is not cooperative. You should do voice control
followed by?
Alternating appraisal
-What is the side effect of pilocarpine (Tx of dry mouth)in toxic dose?

Bradicardia and hypotension

Apnea
Cardiac shock
Note: nontoxic side effects>>> excess sweating and salivation, bronchospasm
-Benzodiazepine works on? >>> inhibits GABA inhibitors
-Which of the following potentiates anticoagulant activity ?
St. John's Wort
Licorice (Tx of Dyspepsia, indigestion, GERD) and Upper respiratory infections
Saw palmetto
Note: never prescribe with coumadine, Increased anticoagulant effect of warfarin has
been reported during concurrent ingestion of saw palmetto.
-Which of the following decreases the salivary ow?
Scopolamine(also use for nausea and motion sickness)
-Know about lidocaine calculation
-Study group A and B give some agents for plaque control then compare which agent
is more effective. Which study is that?
Clinical trial
-Which of the following images shows better the mid-facial fracture?
Pano >>>> best for mandible fracture
CT might be
Waters(occipito-mental projection)>>> IS THE BEST VIEW TO EVALUATE THE FACIAL
FRACTURE and maxillary sinus
Reverse townes>>>> for condyle fracture
Submentovertex>>>>for zygomatic fracture
-Tx for ClassII furcation involvement (called cul-de-sac)?
guided tissue regeneration
Note:2nd maxillary molar has the worst prognosis in furcation involvement
-Know about difference between regenerative surgery and ap surgery?
regenerative surgery - for regeneration with bone graft
ap surgery - to get acess for better srp
-Pt is on rehab of cocaine. what you prescribe for pain?
codeine
advil
-Disable Pt comes in and not cooperative, how should you act?
Permissiveness (give Pt freedom and treat in the way Pt feel comfortable)
Consistency
-EPT>>> not in primary teeth
-Ankylosed tooth diagnoses best by?
Percussion test(metallic sound)
See on xray a thick lamina dura and no PDL space
-Know about apexication, apexogenesis, EPT versus thermal test(when false negative
when false positive)
-what prevents corrosion in base metal alloy?
Cobalt
Chromium
Zinc - increases hardness
Tin
Tn and In helps in - porcelain bonding
Zinc increase Hardness
-Know about ANB ,SNA,SNB
SNA=82* SNB=80*
Negative ANB>>> classIII
ANB>4* then ClassII
Cl 1 average 2 ; range 0-5 degree
Cl 2 average 7 ; range 2-12 degree
Cl 3 average -1 ; range -6 -0 degree
-Cheek biting caused by?
Decreasing posterior horizontal overlap
Note: Cheek biting causes by:
Posterior teeth placed edge to edge. Tx: reduce facial of mand molar
Inadequate VDO. Tx: new denture
-Biting on the corners of the mouth?

Reset canine position

-lip biting may be due to the following:
Reduced muscle tones
Large anterior horizontal overlap
-Tongue biting caused by:
Having posterior mandibular teeth too lingually (increasing posterior over jet)
- two different drugs with same dosages bind to the same receptor and cause same
intrinsic affect however they have different affinities for the receptor: In which aspect
these 2 drugs are similar?
Efficacy
ED50
Potency
-What reverse alcoholism?
Antabuse(disuram) it inhibits aldehyde dehydrogenese. Metronidazole inhibits this
enzyme as well. Antabuse (disulram) interferes with the metabolism of alcohol
resulting in unpleasant effects when alcohol is consumed.
-After caries removal sound tissue is on cementum. How do you restore?
Build up with GI and place composite
-Periapical lesion caused by all except?
Occlusal trauma
Abrasion
Maxillary sinusitis
-Sings of thyroid crisis?
Diaphoresis(excess sweating),tachycardia,fever
Bradicardia
Untreated hyperthyroidism : atropine and excesive amounts of Epi should be avoided
Thyrotoxic crisis signs
Early symptoms: restlessness, nausa, abdominal cramp
Later symptoms: high fever, diaphoresis, tachycardia, cardiac decompensation, nally
Pt becomes hypotensive.
Note: Betadine contraindicationes: Not for use in children under 6 years of age and in
patients with a known or suspected iodine hypersensitivity. Regular use is contraindicated in
patients and users with thyroid disorders (in particular nodular colloid goitre, endemic goitre
and Hashimoto's thyroiditis).
-What differentiate hypothyroidism from hyperthyroidism and?
Fever
Cold to touch
Low BP
-All are the actions of vasoconstrictor in one carpule of local anesthesia except:
Minimizes toxicity and facilitate hemostasis
Reduces the rate of absorption
Increases duration of action
What will prohibit the mesial drift of tooth toward edentulous area?
Proper axio-occlusal contact(opposing and adjacent tooth)
2-Diabetic Pt under NO2 Tx. Precaution? Medication? Change in food?
4-in Neurapraxia which one is affected?
-Axonal membrane
-perineurium.
-Nothing is affected
A relatively mild form of nerve injury caused by compression of a nerve. It involves no
structural damage to the nerve axon, although the myelin sheath may be temporarily
disrupted. I is characterized by temporary loss of nerve function, tingling, numbness,
and weakness. It usually heals quickly
5- least chance of needle injury?
-cleaning up
-recap
-setting up
6-which one is less sedative?
-promethazine(Phenergan)
-Benadryl (Diphenhydramine)
increase in sleep duration chlorpheniramine>promethazine>diphenhydramin.
Phenergan is widely used to treat nausea/vomiting and comes in an injectable, can
only be obtained with a prescription. Benadryl, commonly used for allergies (itchy eyes,
runny nose,sneezing) Benadryl can be bought over the counter for as needed use.
9-mode of action of antihistamine? http://en.wikipedia.org/wiki/Histamine_receptor
10-radiographic appearance of crater defect?
An osseous crater defect is a concavity in the crest of interdental bone conne within

facial and lingual walls

12-Study among smokers and nonsmokers in a period of 6 years(e.g 2000-2006) to
develop disease?
-cohort
-Cross sectional
14-which race has a higer F in DMFT index? Whites
15-picture of midline of oor of the mouth,the color is NOT blue
-ranula
-dermoid cyst
17 - Frey's Syndrome (Auriculotemporal Syndrome)
neurological disorder that results from injury or surgery near the parotid glands ,
damaging the facial nerve. This syndrome is characterized by ushing or sweating on
one side of the face when certain foods are consumed.
Auricutemporal nerve a branch of V3,this nerve supplying sensory bers to
preauricular and temporal areas, also carries parasympathetic bers to the parotid
gland (initially this bers carried by glossopharyngeal up to Otic ganglion) and
sympathetic vasomotor and sudomotor(sweat-stimulating) bers to periauricular skin.
After parotid surgery or trauma the parasympathetic bers may be severed. In their
attempt to re-establish innervations ,these bers occasionally become misdirected and
regenerated along sympathetic nerve pathway.
18-Comparision between 2 proportion, which test we do?
-t test: camparison of mean value of two groups - difference between 2 means; this
can be compared between, control group and tx group or tx A vs. Tx B ...
-chi square test - measures the association between 2 variables and comparision of
groups when the data are expressed as counts or proportions.
19-in which syndrome Pt has multiple odontoma? Gardner's syndrome and esophageal
stenosis syndrome
20-which syndrome Pt has calcied falx cerebri, multiple okcs, bid ribs? - Gorlin
Goltz syndrome or Basal cell nevus disease or basal cell bid rib syndrome.
- Nevoid basal cell carcinoma syndrome(Gorlin-Goltz syndrome)
21-radiographic projection from the base of the skull
- submentovertex projection(The zygomatic arches stand out like the handles of a jug
on this view)
ahooye vahshi
1. Which population has the most number of UNRESTORED caries
a. black
Note:unrestored >>>>black
untreated caries >>>>blacks
untreated caries in kids is hispanics
lling >>>>white
2. A lesion that has re-mineralized will be
a.
Darker that the adjacent enamel
b.
Rougher and cavitated
c.
Softer
d.
Will be more difficult to penetrate in the future
3. A class II caries is
a.
Apical to contact
b.
Gingival to contact
Both has same meaning???
4. Caries exists below critical pH of 5.5
5. What is the bacteria that is not initially involved in caries but plays an
important role? LACTOBACILLI>>>> gram positive facultative anaerobe, the # of
this species has been used as a caries test
8. What is Gingival Plaque Index?
a.
Nominal
like mild, moderate, severe
b.
Ordinal
include numbers: like furcation involvement 1,2,3
c.
Interval like Celcius degree
d.
Ratio e.g Kelvin degree, or BP measurement(can not be zero), PH,
length(can not be negative),weight
Note:gingival index: both ordinal and nominal
9. Pit and Fissure caries is described as two cones:
a.
Two bases are pointing toward the pulp
b.
Two apexes are pointing toward pulp>>>> in smooth surface
(proximal caries)
c.
One apex toward the pulp and one base toward DEJ
d.
Both bases facing DEJ
11. How is transillumination helpful when examining a kid?
a.
Koplik spots
b.
Herpetic gingivomatitis
12. Difference between Infected and Affected dentin (affected dentin has bacteria
present but smaller amounts and can be reversed. Infected dentin has large
amounts of bacteria and needs to be removed because non-reversible)
13. The dentist accidently did not see Occlusal caries and he placed a sealant over
it; Will the caries
a.
Stop
b.
Rapid Progression
c.
Slow Progression

14. What does caries detector stain?

a.
Denatured collagen
b. gram negative bacteria
Note: Research indicates that the dye in the caries detector bonds to the
denatured collagen which is present in the outer infected dentin but which
is not present in the inner uninfected dentin and normal dentin
15. Recently placed gold inlay; what is the most common reason for pain
afterwards?
a.
Galvanic shock Sensitivity - choose this if only q says opposing
dissimilar metal, other wise it is
Fracture of the tooth has to be suspected
16. Everything cannot be controlled with light activated composites
EXCEPT:
a.
Shrinkage
b.
How far polymerization goes
17. Control Polymerization
18. For a resin bonded FPD (Maryland Bridge) everything is necessary EXCEPT:
a.
Wrap around proximal
b.
Draw
c.
Occlusal rest
d.
Chamfer
e.
Bevel
19. How is bioavailability measured?
a.
How much drug is absorbed in the circulation
b.
Blood to urine ratio
Note: efficacy of drug: level of binding a drug to its receptor
20. There are two drugs that with the same dosages bind to the same receptor
and have same intrinsic affect however different affinities for the receptor: How are
these two drugs the same?
a.
ED50
b.
LD50
c.
Potency
d.
Efficacy
21. Question asking the denition of antagonist vs. agonist; the answer choices
also included partial agonist and partial antagonist
22. Therapeutic Index = LD50/ED50 or TD/ED and higher therapeutic index is
better because wont do as much harm
Note: A drug with high LD50 and low ED50 has high therapeutic index, therefore
relatively safe.
23. When you stimulate alpha 1 receptors what happens?
a.
Vasoconstriction more reasonable
b.
Hypertension
24. There was a question that said something like how will Propranolol (is a nonselective beta blocker) affect the following?
a.
Ephedrine induced mydriasis (contraction of papillary muscle)>>>
ephedrine is Sympathomimetic drug .with anesthesia causes hypotension. it
suppress apetite(use for wait loss)
b. &nbsp; Phynylephrine-induced hypertension>>>> is alpha 1 receptor
agonoist
25. There was a question that said something about how benzodiazepines have a
anxiolytic effect: in moderate doses ANTIANXIOLYTIC and high doses is SEDATIVE
26. Sedative rebound (or something like that)
a.
Antiphysicotic
27. Some question about Atropine treat bradycardia, and control excess
salivation during dental procedures (Atropine-most common, also exhibit
mydriasis (dilated pupils), contra for nursing mothers and patients with Glaucoma)
28.
Zyban (bupropion) is used for smoking cessation.
29. Sodium Thiopental rapid-onset short ultra acting barbiturate(IV) for general
anesthesia- for De sensation
30. What receptors do benzodiazepine act on? GABA
31. What is the most common type of seizures found in children?
a.
Grand mal
b.
Juvenile absence seizures
c.
Simple partial seizure- if there was not option of Febrile go with this
Febrile seizure: A convulsion that occurs in association with a rapid increase in
body temperature. Febrile seizures are common in infants and young children
and, fortunately, are usually of no lasting importance.
A febrile seizure occurs when a child contracts an illness such as an
earinfection, cold, or chickenpox accompanied by fever. Febrile seizures are the
most common type of seizure seen in children. Two to ve percent of children
have a febrile seizure at some point during their childhood. Why some children
have seizures with fevers is not known, but several risk factors have been
identied.
Note: One of the most common seizure types is a convulsion. This may be
called a "tonic clonic" or "grand mal Febrile (A febrile seizure is a
convulsion in a child triggered by a fever). The movements are the same as
in a grand mal seizure.

32. tricyclic Antidepressants ( Amitriptyline, Imipramine, Trimipramine)Tricyclic

antidepressants (TCAs) inhibit the reabsorption (reuptake) of serotonin and
norepinephrine by brain cells. To a lesser extent, TCAs also inhibit reabsorption of
dopamine
33. Lithium- bipolar disorders
34. What do you often need to supplement with diuretics? Potassium
Potassium sparing Diuretics : Spirinolactone , Triamterene, Amiloride
35. Which of the following ACE inhibitor? (look for something ending with pril)
like lisnopril
36. Which of the following drugs causes gingival hyperplasia?
a.
Calcium channel blocker : Nephidipine , cyclosporines
37. Patient comes in and is on Coumadin, what do you do?
a.
Stop for 1 day
b.
Stop medication of 3 days
c.
Do not need to stop medication
38. What drug is used for ANUG?
a.
Tetracyclin
b.
Penicillin
ANUG debriment+peroxide -------in HIV use antimicrobial--- no
attachment loss
40. Child comes in with an oral infection and is NOT allergic to Pen. What do you
prescribe?
a.
Penicillin
b.
Amoxicillin
c.
Tetracyclin
i. amoxicillin .. why not penicillin?
41. What drug has cross allerginicity with Penicillin? Cephalosporin- both have
Beta lactamase ring. If pt has allergic to penicllin then pt has allergy to
cephalosporin
42. What is the effect of Tetracycline? (on protein synthesis 30s)
43. What is the effect of Penicillin and Cephalosporins (cell wall synthesis)
44. Which drug should not be used with someone with Liver damage?
a.
Tylenol
sulfonamides They are bacteriostatic rather than bactericidal
49. Know the effects of histamine and that it is derived from histidine?
Note: histamine is bronchospastic and vasodilator
50. Cimetidine- H2 Blocker(reduce the acid secretion) for GERD(gastro
esophageal reux disease)
51. There was a question that said which drug would inactivate the latter?
a.
Antacids- Tetracycline
note: Do not take iron supplements, multivitamins, calcium supplements,
antacids, or laxatives within 2 hours before or after taking tetracycline.
Antacids and milk reduce the absorption of tetracyclines.
52. In a gold MOD onlay, how are the axial pulpal walls?
a.
Converging
b.
Diverging
53. When pouring up a cast which of the following has the least wet ability with a
slurry water?
a.
Polyether
hydrophilic ,no byproduct
b.
Polysulde
byproduct>>> H2o
c.
Condensation Silicone
poor wet ability, byproduct>>> ethyl alcohol
d.
Irreversible Hydrocolloid
54. A patient with stable posterior occlusion and only missing maxillary incisors
you are making a bridge from #6-#11. What do you need to send to the lab?
a.
Semi adjustable articulator in CR with facebow, lateral records, and
incisal guide
b.
Semi adjustable articulator in MIP with facebow, lateral records, and
incisal guide
c.
A simple nonadjustable articulator in MIP
55. What is the purpose of a facebow to set the Maxillary arch to the
a.
Terminal hinge axis
b.
Mandibular arch
56. When looking at a patient from a vertical view, how many planes on their face?
a.
3 (Horizontal view)
b.
5
57. When a person is in physiological rest position.. something about
interocclusal distance
a.
freeway space which is 2-3mm
58. Angular chelietis is caused by all of the following except:
a.
Fungal infection
b.
Decreased VDO
c.
Increased VDO
d.
Other options
Note : Nutritional deciencies- most common
59. 2 questions on working and non working interferences
Note: BULL rule is for working side
61. What is the function of Hex on implants?
a.
To screw on implant

b. anirotational
62. If there is an implant that is 4mm in width at least how many mm does the
labiofacial bone need to be?
a.
6mm
b.
7mm
c.
8mm
63. How does titanium of an implant help in osseointegration?
a.
Forms Titanium oxide layer
b.
Tensile strength
64. What is the cause of cheek biting in a complete denture?
a.
No enough horizontal overlap
65. A post palatal seal (post dam) is used for
a.
Tissue displacement
b.
Polymerization shrinkage of acrylic
66. Indirect retainer is used to prevent distal extension dislodgement away from
the tissue TRUE
67. The exibility of a clasp is determined by everything except?
a.
Length
b.
Diameter
c.
Shape
d.
Type of Metal
e.
Depth of undercut
68. What is the strongest type of metal a FPD can be made from?
a.
Type 3
b.
Type 2
c.
Type 4 FPD
"Crown and Bridge" Gold Alloys (Non-ceramic)
Type I (soft) - min. 83% Noble Metal
Type II (medium) - min. 78% Noble Metal
Type III (hard) - min. 78% Noble Metal
Type IV (extra hard) - min. 75% Noble Metal
Type I - small inlays; very slight stress
Type II - inlays, thick 3/4 crowns, complete crowns
Type III - thin 3/4 crowns, abutments, pontics, complete crowns,
short-span FPD's
Type IV - RPD Frameworks, long span FPD's
69. Know everything about Kelly (Combination Syndrome)
Combination syndrome was rst described by Kelly1 as destructive changes in hard and soft
tissues of patients with complete maxillary denture opposing an unstable bilateral free-end
mandibular partial denture.2,3 The long-term result is extrusion of the remaining mandibular
anterior teeth and the alveolar process surrounding them with loss of posterior mandibular bone.
The plane of occlusion becomes reversed. Papillary hyperplasia of the hard palate develops. The
premaxilla becomes atrophic as a result of the force exerted on this soft bone during occlusion.
The maxillary tuberosity develops hypertrophy, creating a limited interarch space. If not corrected,
the unstable occlusion can result in progressive posterior mandibular atrophy leading
to greenstick fractures. The method of reestablishing a proper occlusal relationship is discussed
in this article using a conventional maxillary denture and xed mandibular implant restoration to
correct the occlusal issues.
70. What do a veneer and all ceramic crown have in common?
a.
Incisal reduction
b.
Rounded internal
c.
Facial reduction
71. Biological width- 2mm why then we say we want the margin of prep 3mm
away from crest of the bone? because of 1mm distance from the attached gingiva
72. You have an FPD and when you seat it, you want the pontic to:
a.
Blanch the tissue
denitely NOT!!
b.&nbsp; Other options what we need to see???
73. What is an active screw (post) vs. inactive post?
75. A resin bonded FPD in not seated all the way or is not stable or something like
that. What could be the reason?
a.
microleakage
76. There is a veneer which is bonded with resin and the patient comes back after
a month or so with a dark stain near margin,reason?
a.
Microleakage
77. When you want to seat a crown, the following contribute to it tting passively
EXCEPT:
a.
Die spacer
b.
Increasing gypsum investment material
c.
Fit checker
78. When you receive a crown back and want to seat it what is the rst thing you
check for?
a.
Shade (Aesthetics)
b.
Proximal contacts
c.
Margins
79. Know about metamerism and how it can affect color based on the light source?
Note: The quality of some colors that causes them to appear differently under
different light sources. For example, two color samples might appear the same in
natural light, but not in articial light.

80. If a kid comes in and has trauma to the face and the IA is damaged, where did
the kid get hit?
a.
Angle of mandible
IN KIDS: most mandibular fractures occurred at the condyle (55%), followed by
the parasymphysial region (27%), then the body (9%), and angle (8%)
IN ADULTS: Condyle : 29% > Angle 24.5%>Symphysis 22%> Body 16%>
Ramus 1.7% > Coronoid 1.3%
81. Know the Maximum dose of lido with epi is 7mg/kg for an adult
Note: text says 5mg/kg for (According to Malamed 4.4mg/kg) and 7mg/kg for
articaine
82. Adding a vasoconstrictor to local anesthesia does all the following EXCEPT:
a.
Decreases rate of absorption
b.
Increases duration of action
c.
Minimizes toxicity and helps homeostasis
d. all of above
83. Max amount of Nitrous Oxide for a kid
a.
40 %
b.
50%
c.
70% Adult
84. The maximum amount of nitrous on the machine safety hinge is 70%
85. What does band and loop NOT do?
a.
Maintain space
b.
Does NOT create a vertical stop
86. Patient with white palate
a.
Patient wears denture all night
87. What is the average pulse rate for a child?
a.
60
b.
80
c.
100
Note: depends on age
Newborn (1d to 1yr)= 100-160
1yr-6yr= 60-140
6yr-11yr= 70-100
11yr and up= 60-100
89. Loss of which tooth important in retaining space
a.
Primary second molar
90. What do you do if mandibular central incisor is erupting lingually?
a.
extract primary teeth and use appliance to move forward
b.
Leave it was an option
note: if primary retain more than 8 yrs of age then extract and place
appliance to reposition permanent mandibular anterior
91.which of the following is most likely to be interpreted as toothache by
Pt?
a.maxillary sinusitis
b. tmj dysfunction
c. otitis media
Maxillary sinusitis - can cause pain or pressure in the maxillary (cheek) area
(e.g., toothache, headache)
92.of the following which is most likely to have reffered pain?
a.acute apical periodontitis
b.irreversible pulpitis
c.phoenix abscess
93.when pulp stone presents on radiograph
a.normal pulp
b.pulp has been injured in the past but has recovered
Some authors believe that pulp calcication is a pathologic process related
to various forms of injury, whereas others regard it as a natural
phenomenon.
94.lateral periodontal abscess is best differentiated from the acute apical
abscess by?
a-pulp testing
b.radiographic appearance
c.probing patterns
95. radiographically the acute apical abscess
a. is generally of larger size than other lesions
b.may not be evident
c.has more diffuse margins than other lesion
Epidermology question :
A study is done to determine the affectiveness of a new antihistamine .To do this ,
25 allergic pts are assigned to one of the two groups ,the new drug (13 pts) ,
placebo (12 pts) . The pts are followed for 6 months . This study is called
1. cohort
2.cross-sectional
3case-controlled
4.historical cohort
5. clinical trail
ANS 5
( assigned or give is the clue )

-Study among smokers and nonsmokers in a persons of 6 years(e.g 2000-2006) to

develop disease?
-cohort
-Cross sectional
---------------------------------------------------------------------------------------------------------Date: 02/15
1.
which is a disorder commonly seen in sjogrens? (xerostomia & altered
glands not listed)
Rheumatoid arthritis
Xerostomia (dry mouth)
Keratoconjuctiva sicca (dryness of the eyes)
9. Which articular disease most often accompanies Sjgrens syndrome?
A. Suppurative arthritis.
B. Rheumatoid arthritis.
C. Degenerative arthrosis.
D. Psoriatic arthritis.
E. Lupus arthritis.
2.
contraindication for max molar with class 2 furcation? hemisection wI
crown
hemisection = mand molar Mandibular molars to treat Class II or III furcation
invasions
For max molar - we do root amputation
3.
what substance has corrosion resistance in pfm metal? Cobaltchromium
and are more rigid in comparison to gold and palladium (mosbys 331)
base metals (also called non-precious metals) are less resistant to corrosion.
Base metal alloys are based on active metallic elements that corrode, but which
develop corrosion
resistance via surface oxidation that produces a thin, tightly adherent lm, which
inhibits further
corrosion. Example: Cobalt-chromium alloys form a Cr20 3 oxide lm, which
passivates the
surface. (Decks)
Base metal alloy advantages are principally found only in their strength and
low density.
4.
how does uoride play role in decreasing caries? makes enamel stronger
(idiots)!
Mechanisms of action for uoride in caries inhibition: (Decks)
1. The topical effect of constant infusion of a low concentration of uoride into
the oral cavity
is thought to increase remineralization of enamel.
2. Fluoride inhibits glycolysis in which sugar is converted to acid by bacteria.
Specically,
uoride ion inhibits the enzymatic production of glucosyltransferase.
3. The incorporation of uoride into the enamel hydroxyapatite crystal. Fluoride
ions
replace the hydroxyl radicals of the hydroxyapatite crystals in the enamel,
producing
uorapatite. This form of enamel is less soluble in catabolic acids produced by
oral bacteria.
4. Recent research suggests a bacteriocidal action ~ topical uoride may also
prevent
caries by directly interfering with the growth and metabolism of cariogenic
bacteria organisms such as streptococcus mutans that produce acids responsible for
decay.
5.
what sleep med do you give to a pt the night before a dental appt?
Value is the single most important factor in shade selection.
Intensity is included in the term value.
Important points about staining porcelain:

 Stains are metallic oxides that fuse to the porcelain during a predetermined
ring cycle.
Drastic changes of the hue (color or shade) are often impossible. Orange stain
is the most
often used to change the hue.
Staining a porcelain restoration will reduce the value (as will using a
complementary color). It is almost impossible to increase the value.
Chroma can be successfully increased by the use of stains. particularly in the
gingival area.
6.
tooth #30 is endo tx with restoration, pt is in pain when he bites, why?
cracked tooth
Resorbable sutures evoke an intense inammatory reaction. This is the main
reason neither plain gut or chromic gut are used for suturing the surface of a
skin wound. When suturing an extraction site in the anticoagulated patient, a
non-resorbable suture is recommended.
Suture size is based on strength and diameter. This system uses "0" as the
baseline, average size suture. As suture diameter decreases, "a's" are added or
numbers followed by a "a" (for example, 000 and 3-0 are the same size). As
suture diameter increases above "a," numbers are assigned to the suture
material. Because suture material is foreign to the human body, the smallestdiameter suture sufficient to keep the wound closed properly should be used.
Most oral and maxillofacial surgical procedures require the use of 3-0 or 4-0
sutures.
7.
what meds do you take for asthma? Bronchial relaxation, airway dilation
(asthma) - (Beta - adrenergic agonists albuterol, salmeterol and
metaproterenol
8.
what does sodium hypochlorite do? disinfectant. germicidal solvent
action, 5.25% solution provides excellent germicidal solvent action
9.
what is a sign of ectodermal dysplasia?
retained teeth
Ectodermal dysplasia is a hereditary condition characterized by abnormal development
of the
skin and associated structures (hair. nails, and teeth, and sweat glands). It involves all
structures
which are derived from the ectoderm. It affects males more than females. Common
clinical ndings
include hypothrichosis (decrease in hair), anhidrosis (no sweat glands, leading to heat
intolerance),
anodontia or oligodontia (complete or partial absence of teeth), depressed bridge of
nose, lack of salivary glands and the child appears
much older than what he or she is.
10. all these meds decrease saliva except?
pilocarpine
Pilocarpine (Sa/agen) is used to stimulate salivary ow in patients suffering from
xerostomia
due to radiation therapy in the treatment of head
and neck cancer.
11. pt has round bump on midline of oor of mouth, what is it? ranula
The ranula, a true retention cyst, characteristically occurs in the oor of the mouth and
is unilaterally located.
12. patient is getting front tooth xed ... whats the purpose of using an
incisal guide table?
Generally made of acrylic resin and are made to reproduce the surface of
teeth (usually lingual concavity and incisal edges of ant teeth)
tha have a direct inuence in guiding the mand. Through ALL
EXCURSIVE movements (Mosbys 318)
incisal guidance plays as important a role as the temporo-mandibular
articulation in establishing a functional and harmonious occlusion, as much
on the anterior teeth as the posterior teeth.
17. which is least likely to occur with occlusal trauma? gingivitis
On the trauma of occlusion -----gingival reccetion

Radiographic signs of trauma from occlusion:

Widening of the periodontal ligament space
Sometimes thickening of the lamina dura
Angular bone loss and infrabony pocket formation
Root resorption
Hypercementosis
Trauma from occlusion is reversible,
Other ndings associated with excessive occlusal forces:
Altemating areas of resorption and repair of the alveolar bone
. Fibrosis of the alveolar bone marrow spaces
Cemental resorption leading to dentinal resorption
Cemental tears
Possible ankylosis
Periodontal pocket formationis an inammatory lesions and are not caused by
occlusal trauma or bruxism
1. most common characteristic of cherubism? bilateral jaw swelling
2. 4. normal occlusal wear shows what? Attrition
5. what substance has corrosion resistance in PFM metal? chromium
7. what sleep med do you give to a pt the night before a dental appt? ambien CR
(zolpidem tartrate)
8. 19 ylo girl has halatosis, interproximal recession and bleeding ... because?
ANUG
11. best way to suture an incision? interrupted suture
15. best way to determine outcome of disease?
A. med history of the patient (If the lab test was choose may be that)
B. ESR LAB result
16. best reason to do an onlay? cuspal coverag
17. what is a sign of ectodermal dysplasia? anodontia, aligodonsia
19. mechanism of opiods? attach to mu receptors
20. main advantage of using GI cement?
a. Fluoride Release
33. the drug enforcement agency is concerned with what? potential for abuse
34. where are you most likely to perforate on a maxillary central incisor? Buccal
37. what do you use to SC/RP implants? pl
38. dentist restored tooth and accidentally left caries ... what happens to caries?
caries is arrested
39. where are the primate spaces?
40. osteoporosis is associated with which of the following diseases?
Hyperparathyroidism
41. do not give which medication to lactating female? codiene and tetracycline
43. two things that account for a successful posterior composite restoration?
a. type of resin and size of tooth
b. size of tooth and type of prep
c. type of resin and type of prep
44. what is the initial step when you have an acute perio abscess?
a. incision and drainage
b. anti-biotic therapy
c. antibiotics then incision

45. how do you repair a porcelain veneer with composite?

a. microetch, etch and silane
b. sandblast, etch and pumice
c. pumice, silane, etch
46. which is the best systemic anti-fungal?
a. ketoconazole, and others areamphotericin B and uoconozole
b. nystatin
c. miconazole
d. clotrimazole
47. conical shaped caries w/ broad base with apex towards pulp is commonly
seen in?
a. root caries
b. smooth caries
c. pit/ssure caries
48. best clinical determinant of root caries
a. sensitivity to cold
b. sensitivity to sweets
c. soft spot on tooth - visual and tactile methods are used for detect caries
49. 40 yo pt w/ all 32 teeth. No cavities. Has stain & catch in pit of molar. what do
you do?
a. watch and observe
b. sealant
c. composite
50. 12 yo kid w/ carious lesion on tooth #9 that shows pulp exposure w open
apex... what do you do?
a. rct
b. apexication
51. what is most numerous at site of chronic inammation?
a. plasma cells
b. mast cells
c. macropahges
d. leukocytes
What is the name of the federal funded medical care for the elderly and its
coverage?
a. medicare wI dental coverage
b. medicare wlo dental coverage
c. medicaid wI dental coverage
d. medicaid w/o dental coverage
55. main difference and advantage of using GMT instead of Enamel hatchet?
a. bi-angled cutting surface
b. angle of the blade

c. push/pull action instead of

56. tooth #30 has huge MOD amalgam and is deep. Hurts pt when he eats french
bread. what is the cause?
a. root fracture
b. acute periapical periodontitis
c. decay/abcess
57. when do you do calcium hydroxide therapy in an avulsed tooth?
a. wait 2 weeks
b. asap
c. do it rst and then replant tooth
58. chronic periodontitis most likely found in?
a. black males
b. black females
c. hispanic males
d. hispanic females
59. what branch off facial nerve gets damaged the most during TMJ surgey?
a. buccal
b. temporal
60. when pt has mouth open, what oral structure would inhibit from capturing
buccal ange when taking impression?
a. masseter
b. buccinator
c. coronoid process
d. forgot the other option
Note: Masseter an buccinator are not functioning during opening of mouth.
coronoid process has direct involvement in max molar buccal area during
mouthopening and can interfere with impression taking. SANATH et al. 2010. Los
Angeles.
61. surgical dressing is indicated for what?
a. protect the wound
b. help advance healing process
c. stop bleeding
62. you see 3 mand incisors w/1 wide tooth. x-ray shows tooth has 2 canals. what
condition is it?
a. fusion
b. gemination
c. concrescence
d. dilacerations
63. praising, smiling and congradulating is what type?
a. social reinforcement
b. aversive reinforcement
c. behavior conditioning

Positive reinforcement:
1-Social reinforcement: Praising, smiling, ....
2-No-Social(Token) reinforcement: Toy, Token
64. what do you do when pt on hospital bed has allergic reaction to iv antibiotics?
a. take off iv antibiotics
b. give epi
65. what are you most likely to see in a kid who has a mand canine tipped
facially?
a. gingival recession
b. deep overbite
c. ectoptic eruption
67. why do you do triangular access on incisors (max central inccisor?)
a. to help with straight line access
b. help expose pulp horn
c. to follow the shape of the crown
68. metastasis to the oral cavity is most likely to end up where?
a.lip
b. tongue
c. palate
d. mucosa
e. oor of mouth
69. how do you make a crown narrower?
a. move line angles towards interproximal
b. move line angles more facially
70. not enough room when edentulous pt closes. what do you do?
a. tuberosity reduction
b. adjust mandibular denture
c. adjust maxillary denture
71. what do x-rays depict when viewing osseous craters ... or something?
a. overestimates bone reduction
b. underestimates bone reduction
c. forgot the other choices
72. unconscious diabetic is treated with what?
a. subcutaneous sugar
b. give him Orange Juice
c. give him insulin injection
d. 50 % dextrose solution
e. IV sugar solution or IM glucagon pt should wake up within 15mins
73. most common place of recurrent caries in a class 2 composite?
a. occlusal
b. facial interproximal

c. lingual interproximal
d. gingival
74. what type of bond is composite on tooth structure?
a. chemical bond
b. mechanical bond
c. organic coupling
d. adhesion
75. what is the most common reason for composite restoration failure?
a. improper design (no)
b. rubber dam not placed gingivally enough
c. forgot the rest
76. what occlusion class will it be if you have an ANB of -8 degrees?
a. class I
b. classII
c. class III
d. class 1\ mod 1
e. class II mod 2
77. trauma to max incisor, x-ray shows no pulp, asymptomatic and no endo
lesion. what do you do?
a. rct
b. observe
c. extract
78. main advantage of doing direct composite over composite onlay?
a. less shrinkage
b. better marginal adaptation - best answer among the options
c. greater hardness and wear resistance
79. pt trouble keeping her lower complete denture in because of a low ridge, how
to x this problem?
a. ridge augmentation
b. place anterior implants
c. alveolar bone sectioning
80. mand complete dentures must be extended how far distally?
a. just anterior to retromolar pad
b. must sit on the retromolar pad
c. must be 5mm beyond the retromolar pad
81. pt says "your fees seem high" ... how do you respond?
a. "i believe my fees are fair"
b. "shut your bitch ass up
c. "i got to make a living too, ya know"

d. "my fees are comparable to geographic area"

e. "we can discuss why fees are so high"
82. an 82 y/o pt comes in with his son, who says his guardian is someone
else,who okays certain tx's?
a. it's okay as long a next of kin is says it is
b. have to get consent from guardian
c. as long as informed consent is signed, doesn't matter
83. pt has some condition that had blue sclera ... what disease does the pt have?
a. osteogenesis imperfect
b. marfan's syndrome
84. a dentist has an ethical obligation to report a colleague is all situations ...
except?
a. working under substance abuse
b. advertising on electronic media
c. abusing patients
85. you are extracting a 2nd mand premolar... what injections do you give?
a. lingual, buccal and IA
b. mental, long buccal and inltration
c. mental, buccal and IA
86. most common condition that occurs in the dental office?
a. hypertention
b. syncope
c. anaphylactic shock
87. pt's max denture made her tissue inamed and weird, you decide to make her
a new denture after?
a. you reline her old denture
a. you place tissue conditioning material in her old denture
c. you surgically remove her tissue
88. you inadvertantly extract the wrong tooth ... what do you do?
a. replant it asap
b. do rct and then replant it
c. wait until next appointment to replant
d. place implant asap
89. you extract a molar and bone fragments come out with it... what do you do?
a. take out bone fragments and make sure its all gone
b. ap back the tissue and see the entire area
90. which does not show empathy to the patient?
a. open-mindedness
b. sharing personal experiences
c. reection and showing understanding
91. patients with autism will usually show?

a. decreased rate of caries

b. heightened sense of lights and sounds
c. the compassion to interact with people Children with autism are easily
overwhelmed by sensory overload. This can cause stimming (apping of arms,
rocking, screaming, etc). Autistic children are hypersensitive to loud noises,
sudden movement, and things that are felt.
92. a gingival bevel can be placed with all, except?
a. sharp uted instrument
b. enamel hachet
c. gmt
d. thin diamiond bur
93. pt comes in with 1 year baby, how do you do exam?
a. parent and dentist are knee to knee, baby's head is in parent's lap
b. parent and dentist are knee to knee, baby's head is in dentist's lap
94. in what situation would a pt need to premedicate?
a. mitral valve prolaspe
b. prosthetic heart valve
c. bicuspid valve disease
d. rheumatic heart disease
1. pt crown (had for 10 yrs) is lighter than the other teeth ... how do you tx?
a. vital tooth bleaching
b. replace PFM
c. direct composite over crown
d. veneer the crown
2. proximal resistance form of amalgam restoration comes from what?
a. convergence of buccal/lingual wall
b. retention grooves in axiobuccal/axiolingual walls - for proximal resistance
c. Dovetail - provides retention form
3. what is the purpose of a surgical stent?
a. used as a guide to place implant
b. used so the teeth won't move in surgery
c. protect the adjacent teeth during surger
-------------------------------------------------------------------------------------------------------------Day: 17
Stages of anesthesia
Analgesia /Amnesia
Excitement/Delerium : begins with unconsciousness and ends with loss of
eyelid reex ,purposeless movements and hyper-reaction ,dilated pupils, reex
vomiting ,tachycardia and hypertension
Surgical anesthesia working in this stage
Medullary paralysis:Cessation of respiration
Denture sore throat : palatoglossal and superior constrictor of pharynx is inammed
(pt. cannot swallow)
Port-wine stains associated with sturge-weber
Cephalosporins beta-lactam family, anaerobic.
A prodrug is a drug made active by metabolism.
What happens if you have more water?

Less expansion
Slower setting
Less strength
More porosity
How much reduction venner in the middle 1/3 of facial? 0.5mm
What does vertical pull headgear do?
The Vertical Pull Headgear with Chin Cup has been designed specically to correct vertical and a wide
range of facial myofuntional problems, such as open bite. As soon as therapy begins, the Vertical Pull
Headgear with Chin Cup holds the mouth closed continuously, reducing interdental habits and tongue
protrusion. In addition, the intrusive force on the molars is increased. This appliance can quickly change a
mouth breathing habit to nose breathing
what is an open-ended question?
Allows freedom of response
New patient comes into office, not of record, what do you do 1st visit?
Full exam, record probing, med history, impressions.
Dene osseointegration.
Why amalgam fails.
Bad prep design.
What drug causes dilation of eye or midriasis?
Atropine, antimuscarinic
How soon do you correct a noticeable crossbite
ASAP
most difficult part of seting denture teeth.
What causes greatest occlusal wear?
Porclain
Amalgam is the strongest to wear
What increases in pulp with age?
Fibroblasts
A couple x-rays telling you to identify landmarks. Not too difficult.
Second day was like our tx planning nal. Kinda subjective but I felt pretty well
prepared. Know premeds and when to do it. When not to do it.
Width of Keratinized gingiva is : Free gingiva + attached gingiva
Bone density changes : Subtraction Radiography
Occlusal sealants succeed by
altering the SUBSTRATE
change Pt susceptibility
Which of matterial cause less allergy?
1-Lido
2-Procaine
3- epi
The most common between ve?
1-Papiloma
2-Rhabdomyoma
3-Leiomyoma 4-Lymphangioma 5-Neurobroma
The Most connective tissue tumor : Fibroma (Not true tumor)
TMJ pain are mostly related to:
1- VII
2- V3
3- V2
4-VIII
What is the most common site of new cases of oral cancer? mosby 207
1-Palate 2-Tongue 3-Floor of mouth 4-lip
Major mechanisms for the destruction of osseointegration are
1. Related to surgical technique
2.Similar to those of natural teeth
3.related to implant material
4.related to nutrition
A painless ,well-circumscribed radiolucency and radioopacity in the posterior mandible
of 11yrs old boy . what is the differential diagnosis
ANS .Ameloblastic bro -odontoma
(If age above 50 ,its Paget's disease also remember Ameloblastoma occurs in oldies)
"Ghost teeth "
Regional odontodysplasia( only one side of mouth affected)
Where do we nd most caries?
1- Ocllusal
2- Proximal
Dermoid cyst
Occurs in the midline in the oor of the mouth ( previously we discussed something
else ?)
The Stafne defect is a depression of the mandible on the side nearest the tongue. It was previously
known as a latent bone cyst and static bone cyst but is now known as a pseudocyst. The depression
usually allows for the presence of a salivary gland
Which of the following resembles an epiphysial growth plates?
Synchodrosis
Sutures
Most benecial aspect to brush tongue is reduce?
Halotosis
GIngivatis
cancer
What is diff of 330 and 255 bur?
Long- 255 is longer
thicker
sharper
The main reason of breaking of RPD clasp?
High Mudule of Elastisity

work Work Hardening

HIV with recurrent herpes labialis?
Acyclovire
Which medication is controbuting to Insomnia and lack of apetite? Dextro Amphethamine
How far the brush and oss goes in sulcus?
Brush 1mm , oss 2mm
Is Propoxyphen contraindicated in pregnant women?
65years with loss denture? implant b) Augmentation c)vestibuloblasti
What is the best to clean implant?
a-water pick b-tooth pick c-oss
d-proxibrush
What is hyper `telorism? eyes too far
in Gorlin and Down syn.
chi test, t-test
What give to pt allergy to codein? Propoxyphen
What is 4 -7 years old afraid of ? a- pain
b-unknown
ADHD is most common in? boy
Boys have higher rates of ADHD than do girls.

c-dental chai r

d- sepration from parent

Former smoker has less chance of periodontitis compare with current smoker.
Examination reveals a soft, uctuant, tender swelling in the middle of the hard palate.
The teeth test vital. Radiographs reveal a radiolucent area projected between the roots
of the maxillary central incisors. The cyst that represents the most likely diagnosis is a
Nasopalatinal cyst
Nasiolabial cyst
Pleomorphic adenoma
globulomaxillary cyst
The pulpal oor is perforated during access preparation. The best course of action is to
a. CONTINUE RCT, REPAIR THE PERFORATION AT A SUBSEQUENT APPOINTMENT ONLY IF
ASSOCIATED PATHOSIS DEVELOPS.
b .REPAIR THE PERFORATION, SCHEDULE PT FOR ANOTHER APPOINTMENT TO FINISH RCT
c. REPAIR PERFORATION,INITIAL CLEANING/SHAPING SCHEDULE PT FOR FINISHING RCT
Factors that affect the prognosis of perforation repair include location of perforation, time
delay before perforation repair, ability to seal the defect, and previous contamination with
microorganisms
Immediate repair is better than delayed repair, because delay can cause breakdown of the
periodontium, resulting in endoperiodontal lesions that are difficult to manage, and
elimination of microbial contamination of the defect and proper sealing are critical to success
----------------------------------------------------------------------------------------------------------18th
tx of ANUG: ultrasonic, debridment, oral rinse chlorhexidine or hydrogen peroxide, ab tetra and
metro
tx of juvenile periodontitis: ab alone or with sc/rp
-----------------------------------------Which of the following drugs best reverses the effects of benzodiazepines?
A. Naloxone
B. Flumazenil
C. Midazolam
D. Aminophylline
E. Physostigmine
Following ap surgery, new junctional epithelium can form on either cementum or
dentin. Junctional epithelium is reestablished as early as one week.
A. Both statements are TRUE.
B. Both statements are FALSE.
C. The rst statement is TRUE, the second is FALSE.
D. The rst statement is FALSE, the second is TRUE
No answer in courseware
Ostectomy is a procedure that involves the
E. use of an autograft.
F. use of an allograft.
G. use of a contiguous graft.
H. removal of tooth-supporting bone.
I.
removal of non-tooth supporting tooth
Which of the following drugs is administered orally to treat vaginal candidiasis?
A. Fluconazole (Diucan)
B. Griseofulvin (Grifulvin)
C. Clotrimazole (Mycelex Troche)
D. Miconazole (Monistat)
E. Nystatin (Mycostatin
osteotomy vs ostectomy------supporting -proper

-------------------------------------------------------------------------------

NOTES
ENDODONTIC TREATMENT of Avulsed tooth(pathway of the pulp
Extraoral Time Less Than 60 Minutes :
Closed Apex
Endodontic treatment is initiated at 7 to 10 days. In cases in which endodontic
treatment is delayed or signs of resorption are present, long-term calcium
hydroxide treatment is given before root canal lling.
No chance exists for revascularization of these teeth, and endodontic treatment
should be initiated at the second visit at 7 to 10 days. If therapy is initiated at this
optimum time, the pulp should be necrotic without infection or at most only
minimal infection. Therefore endodontic therapy with an effective inter
appointment antibacterial agent over a relatively short period (7 to 10 days) is
sufficient to ensure effective disinfection of the canal. If the dentist is condent of
complete patient cooperation, long-term therapy with calcium hydroxide remains
an excellent treatment method. The advantage of calcium hydroxide use is that it
allows the dentist to have a temporary obturating material in place until an intact
periodontal ligament space is conrmed. Long-term calcium hydroxide treatment
should always be used when the injury occurred more than 2 weeks before
initiation of the endodontic treatment or if radiographic evidence of resorption is
present.
The calcium hydroxide is changed every 3 months within a range of 6 to 24
months. Calcium hydroxide is an effective antibacterial agent and favorably
inuences the local environment at the resorption site, theoretically promoting
healing. It also changes the environment in the dentin to a more alkaline pH,
which may slow the action of the resorptive cells and promote hard-tissue
formation. However, the changing of the calcium hydroxide should be kept to a
minimum (not more than every 3 months) because it has a necrotizing effect on
the cells attempting to repopulate the damaged root surface.
Open Apex
For the open-apex tooth, endodontic treatment should be avoided and signs of
revascularization should be checked. At the rst sign of an infected pulp, the
apexication procedure is begun.
Teeth with open apices have the potential to revascularize and continue root
development, and initial treatment is directed toward reestablishment of the
blood supply .The initiation of endodontic treatment is avoided if at all possible
unless denite signs of pulp necrosis, such as periradicular inammation, are
present. The diagnosis of pulp vitality is extremely challenging in these cases.
After trauma, diagnosis of a necrotic pulp is particularly desirable because
infection in these teeth is potentially more harmful as a result of cemental
damage accompanying the traumatic injury. External inammatory root
resorption can be extremely rapid in these young teeth because the tubules are
wide and allow the irritants to move freely to the external surface of the root.
Avulsed tooth should be soaked in doxycycline then Minocycline powder placed
on the root surface before replantation.
Patients are seen every 3 to 4 weeks for sensitivity testing. Recent reports
indicate that thermal tests with carbon dioxide snow (78C) or
diuordichlormethane (50C) placed at the incisal edge or pulp horn are the
best methods of sensitivity testing, particularly in young permanent teeth.One
of these two tests must be included in the sensitivity testing of these
traumatized teeth. Recent reports conrm the superiority of the laser Doppler
owmeter in the diagnosis of revascularization of traumatized immature
teeth.Radiographic (apical breakdown or signs of lateral root resorption) and
clinical (pain to percussion and palpation) signs of pathosis are carefully
assessed. At the rst sign of pathosis, endodontic treatment should be
initiated, and after disinfection of the root canal space, an apexication
procedure should be carried out.
Extraoral Time More Than 60 Minutes
Closed Apex
Treatment for closed-apex teeth with an extraoral time of more than 60
minutes is the same as with less than 60-minute dry time.
Closed-apex teeth are treated endodontically in the same way as those teeth
that had an extraoral time of less than 60 minutes.
Open Apex (If Replanted)
If endodontic treatment was not performed out of the mouth, the apexication
procedure is initiated.
In open-apex, replanted teeth the chance of revascularization is extremely

poor.Therefore no attempt is made to revitalize these teeth. An apexication

procedure is initiated at the second visit if root canal treatment was not
performed at the emergency visit. If endodontics was performed at the
emergency visit, the second visit is a recall visit to assess initial healing only.
Crack toth syndrome:
A common nding with a fractured cusp or cracked tooth is the frequent
presence of pain upon release of biting pressure.
Test Cavity
The test cavity method for assessing pulp vitality is very seldom used today. This
method is used only when all other test methods are deemed impossible or the
results of the other tests are inconclusive. An example of a situation where this
method might be used is when the tooth suspected of having pulpal disease has
a full coverage crown. If no sound tooth structure is available to use a bridging
technique with the electric pulp tester and cold test results are inconclusive, a
small class I cavity preparation is made through the occlusal surface of the crown.
The patient is not anesthetized while this procedure is performed, and the patient
is asked to respond if any painful sensation is felt during the drilling procedure.
If the patient feels pain once the bur contacts sound dentin, the procedure is
terminated and the class I cavity preparation is restored. This sensation signies
only that there is some viable nerve tissue remaining in the pulp, not that the
pulp is totally healthy. If the patient fails to feel any sensation when the bur
reaches the dentin, it is a good indication that the pulp is necrotic and root canal
therapy is indicated.
Treacher Collins syndrome genetic disorder downward slanting
eyes, micrognathia, conductive hearing loss, underdeveloped zygoma, drooping
part of the lateral lower eyelids, and malformed or absent ears.
Turner tooth----Infection and trauma

Hand-Schuller-Christian triad

nDiabetes insipidus
nExophthalmos
nBone lesions (Langerhans dis)
Oral signs of hand-schuler-christ. = bad breath, sore mouth, loose teeth
lesion are sharply punched out radiolucency and teeth appear as FLOATING IN AIR
Amelobelastoma---- Hony comb-soap bubble
Paget's: Billatral maxilla------Cotton wool
Cherubism: billatral, mutilucular
Gorlin syn or Basal Nevus Cell Syndrome: Bid rib, OKC, BCC
Gardner Syn: multiple facial osteoma, Odontomas, hyperdontia, GI polyps potential
for colon carcinoma
Erythema Multiform: young men, viral or drug, sudden onset, vermilion, intraoral
not on gingiva, (target)bull eye on hands and feet
Stevens Johnson = severe form of Erythema Multiforme (affects eyes, mouth, and
genitalia)
PDL widening in Hyper paratyriod osteosarcoma and scleroderma(Trismus,
widened PDL spaces, mask like face, Excess type I & III collagen)
Eagle Syn: Stylohyoid ligament calcication
Zoster = shingles = unilateral
Multiple neuromas on lips, tongue or palate may indicate that pt has MEN III
adrenal pheochromocitoma
Tumors of Endocrine glands esp. Medullary carcinoma of thyroid (can cause
death)
Actinic chelitis---> SCC
Oral hairy leukoplakia & Mono, Burkit lymphoma both caused by EBV
Kaposi sarcoma by herpes 8
Garre's (prolifrative periostitis) and Ewing sarcoma are both onion skin
Myxoma and ameloblastoma are soap bubble pattern
Desquamative gingivitis includes pemphigoid, pemphigus and erosive
lichen planus
To change from long scale intensity (low contrast) to short scale intensity (high
contrast) but maintain image density, the operator should decrease kVp and
increase mAs

Auriculotemporal syndrome (Frey syndrome) Often after parotid gland surgery

Periapical Cementoosseous Dysplasia OR periapicalcemental dysplasia OR periapical
cementoma:
This is a relatively common phenomenon that occurs at the apex of vital teeth. A biopsy is
unnecessary because the condition is usually diagnostic by clinical and radiographic features.
Women, especially black women, are affected.appears in middle age (around 40 years) . The
mandible, especially the anterior periapical region, is far more commonly affected than other
areas. More often, the apices of two or more teeth are affected.No Tx. REGEZI
Cementoblastoma:
also known as true cementoma, is a rare benign neoplasm of cementoblast origin. It occurs
predominantly in the second and third decades of life, typically before 25 years of age. There is no
gender predilection. It is more often seen in the mandible than in the maxilla and more often in
posterior than in anterior regions. It is intimately associated with the root of a tooth, and the tooth
remains vital. Cementoblastoma may cause cortical expansion and, occasionally, low-grade

intermittent pain. Radiographically, this neoplasm is an opaque lesion that replaces the root of the
tooth . It is usually surrounded by a radiolucent ring representing the periodontal ligament space
and the advancing front of the tumor. TX: Because of the intimate association of this neoplasm
with the tooth root, it cannot be removed without sacricing the tooth. Bone relief is typically
required to remove this well-circumscribed mass. Recurrence is not seen.REGEZI
Glossodynia: tender or painful tongue
Glossopyrosis: burning sensation of tongue
Epstein-Barr virus It is known to cause infectious mononucleosis, is implicated
in the causation of
Burkitt's lymphoma and Nasopharyngeal carcinoma and
hairy leukoplakia
Warthin's Tumor : Swelling in neck , more diffused
Infectious Mononucleosis : Swelling in neck ,more rounded and localized
Osteosarcoma : Radiographic - sunburst appearance
Fibrous displysia: Ground Glass Appearance
Candidiasis Pt has both burning sensation of tongue and altered taste sensation.
Sjogrens syndrome does NOT have burning sensation of tongue but has altered
taste sensation. Pt complains of difficulty wearing the denture and shows cervical
caries.
Tx of sicca(dry mouth, eye) in Sjogren syn is pilocarpine
Multiple myeloma: Bence jones proteinuria, punched out lucencies
Most common salivary gland tumor = pleomorphic adenoma. M
8-bit digital image would have 256 shades of gray
Most common salivary gland benign major or minor : Pleomorphic adenoma
Most common malignant minor :Adenoid cystic carcinoma
Most common malignant major : Mucoepidermoid carcinoma
Recurrance: OKC, Ranula
Symptomatic Irreversible Pulpitis
Teeth that are characterized as having symptomatic irreversible pulpitis exhibit
intermittent or spontaneous pain, whereby rapid exposure to dramatic temperature
changes (especially to cold stimuli) will elicit heightened and prolonged episodes of pain
even after the source of the pain is removed. The pain may be sharp or dull, localized or
referred. Typically there are minimal changes in the radiographic appearance of
the periradicular bone. With advanced irreversible pulpitis a thickening of the periodontal
ligament may be evident, and there may be some suggestion of pulpal irritation by virtue
of extensive canal calcication. Deep restorations, caries, pulp exposure, or any other
direct or indirect insult to the pulp, recently or historically, may be present and may be
seen radiographically or clinically or be suggested from a complete dental history.
Typically, when a symptomatic irreversible pulpitis remains untreated, the tooth will
eventually succumb to necrosis.
Percussion and palpation may or may not positive. Cold alleviates pain in severe cases
Asymptomatic Irreversible Pulpitis
Occasionally, deep caries will not produce any symptoms, even though clinically or
radiographically the caries may be well into the pulp. Left untreated, the tooth may
become symptomatic or even necrotic. In cases of asymptomatic irreversible pulpitis,
endodontic treatment should be performed as soon as possible so that this conversion
does not take place and cause the patient distress. Internal resorption and pulp polyp are
examples.
Necrosis
This condition is subsequent to symptomatic or asymptomatic irreversible pulpitis. Under
complete necrosis and before any pathosis extends into the periodontium, the tooth is
typically asymptomatic. It will not respond to electric pulp tests or to cold stimulation.
However, if heat is applied for too long, the tooth may respond, possibly relating to
remnants of pulpal uid or gases expanding and extending into the periapical
region.Pulpal necrosis may be partial or complete and it may not involve all of the canals in
a multirooted tooth. For this reason, the tooth may present with confusing symptoms,
whereby pulp testing over one root may give no response and pulp testing over another
root may give a vital response, and the tooth may exhibit symptoms of an irreversible
pulpitis.
After the pulp becomes necrotic, bacterial growth can be sustained within the canal. When
this infection (or the bacterial toxins from this infection) extends into the periodontal
ligament space, the tooth may become symptomatic to percussion or exhibit spontaneous
pain. Radiographic changes may occur, ranging from a thickening of the periodontal
ligament space to the appearance of a periapical radiolucent lesion. The tooth may become
very hypersensitive to heat, even to the warmth of the oral cavity, and is often relieved by
applications of cold. As previously discussed, this may be very helpful in attempting to
localize a necrotic tooth when the pain is referred or nonlocalized.
Periapical Disease
Periradicular Periodontitis
A tooth with acute periradicular periodontitis will have a very painful response to biting
pressure or percussion. This tooth may or may not respond to pulp vitality tests, and the
radiograph or image of this tooth will generally exhibit a widened periodontal ligament
space but no periradicularradiolucency.
A tooth with chronic periradicular periodontitis generally presents with no clinical
symptoms. This tooth does not respond to pulp vitality tests, and the radiograph or image
will exhibit a periradicular radiolucency, usually around the apical third of the root. This
tooth is generally not sensitive to biting pressure but can feel different to the patient
upon percussion.
Periradicular Abscess

A tooth with an acute periradicular abscess will be very painful to biting pressure,
percussion, and palpation. This tooth will not respond to any pulp vitality tests and will
exhibit varying degrees of mobility, and the radiograph or image can exhibit anything
from a widened periodontal ligament space to a periradicular radiolucency. Swelling will be
present in the mucobuccal fold and facial tissues adjacent to the tooth. The patient will
frequently be febrile, and the cervical and submandibular lymph nodes will be tender to
palpation.
A tooth with a chronic periradicular abscess
(suppurative periradicular periodontitis) will not generally present with clinical
symptoms. This tooth will not respond to pulp vitality tests and the radiograph or image
will exhibit a periradicular radiolucency. The tooth is generally not sensitive to biting
pressure but can feel different to the patient upon percussion. This entity is
distinguished from chronic periradicular periodontitis because it will exhibit intermittent
drainage through an associated sinus tract.
___Anti-psychotic drugs___
1.phenothiazines
-chlorpromazine(can cause Tardive dyskinesia)
2butyrophenones
- haloperidol tx of schizophrenia/tourette syndrome
3.thioxanthenes
4.Diverse heterocyclic
1.
lesion that occurs from tooth exure?
abfraction (yes)
2.
what liquid is found in glass ionomer?
polyacrylic acid (yes)
Glass ionomer cements are mixed powder-liquid component systems. The powder
is a uoro alumino-silicate glass that reacts with a liquid which is polyacrylic acid to
form a cement of glass particles surrounded by a matrix of uoride elements.
3.
infection from premolars most like to
drain into? sublingual area (mand.
Molarssubmand area)
4.
the drug enforcement agency is
concerned with what? potential for abuse
5.
where are you most likely to perforate
on a maxillary central incisor? Facial
Note: The lingual wall of mandibular teeth is most easily perforated when preparing an
access
opening due to the lingual inclination of these
teeth.
6.
implant placement is placed where? lmm
apical to adjacent cej
7.
what do you use to SC/RP implants?
plastic instruments
8.
how far do implants need to be spaced
apart one another? 3 mm apart and 1mm
from crown of adjacent teeth see page 320
mosby
9.
dentist restored tooth and accidentally
left caries ... what happens to caries? caries is
arrested
10. where are the primate spaces? max=
between lateral & canine & mand= between
canine & 1st molar
11. osteoporosis is associated with which of the following
diseases? Hyperparathyroidism
12. do not give which medication to lactating female? codiene
(yes)
FDA pregnancy category C. This medication may be harmful to an unborn baby, and could cause
breathing problems or addiction/withdrawal symptoms in a newborn.

13. all are advantages of using nickel titanium endo les over regular steel les
except?
a. exibility (yes)
b. bending memory (yes)

c. direction of the utes (no)?

The signicant advantage of a nickel-titanium le is its unique ability to negotiate curvatures
during continuous rotation without undergoing the permanent deformation or failure that
stainless steel les might incur.
A signicant risk during NiTi rotary instrumentation is instrument separation. When the
instruments are stressed over time, the crystalline structure can change or deform making the
les weaker and more prone to reaching their elastic limit.
1.
you separate an endo le 3mm from the apex and obturate above it...
which case will show the best prognosis?
a. vital pulp w/ no periapical lesion(yes)
b. vital pulp wI periapical lesion
c. necrotic pulp wI no periapical lesion
d. necrotic pulp wI periapical lesion

2.
two things that account for a successful posterior composite restoration?
a. type of resin and size of tooth
b. size of tooth and type of prep???
c. type of resin and type of prep (ash thinks: b/c type of resin re: occ wear)
3.
what is the initial step when you have an acute perio abscess?
a. incision and drainage (yes)
b. anti-biotic therapy
c. antibiotics then incision
4.
how do you repair a porcelain veneer with composite?
a. microetch, etch and silane
b. sandblast, etch and pumice
c. pumice, silane, etch
The enamel surface should be cleaned with pumice and water.
While protecting adjacent teeth with matrix strips, the enamel is acid-etched.
The etched surface is washed and dried and a layer of unlled bond resin is applied and
thinned with oil-free air.
5.
least effective sedative?
a. diphenhydramine (benedryl)
b. nitrous oxide (ash could be wrong, but doubted)
Nitrous oxide is a weak anesthetic and is used with other agents, such as thiopental, to
produce surgical
anesthesia.
Diphenhydramine (Benadryl) is representative of the sedating-type antihistamines, a class of
drugs that causes signicant xerostomia.
6.
which is the best systemic anti-fungal?
a. ketoconazole (yes)
b. nystatin
c. miconazole
d. clotrimazole
e. uconazole
7.
conical shaped caries w/ broad base with apex towards pulp is commonly
seen in?
a. root caries (same as smooth caries)
b. smooth caries (look like v w/ apex towards pulp) (mosbys 32)
c. pit/ssure caries (inverted v with apex towards occlusal)
8.
best clinical determinant of root caries
a. sensitivity to cold
b. sensitivity to sweets
c. soft spot on tooth (Ash thinks)
(according to mosbys pg 37: root surface caries appears early as a well dened
discolored area adj to the gingival margins, near cej)
The most commonly used clinical signs to describe root caries utilized visual (color, contour,
surface cavitation) and tactile (surface texture) specications (Banting, 1993). There are no
reported clinical symptoms of root caries although pain may be present in advanced lesions.
Clinical Signs of Root Caries
Clinical diagnosis is the process of recognizing diseases by their
characteristic signs and symptoms. It is an imperfect process because there is considerable

variation both in the signs and symptoms of disease in individual subjects and in the
interpretation of those signs and symptoms by clinicians. Nevertheless, clinical observations are
extensively relied upon for diagnosis in the absence of more denitive methods
Note: Most current research suggests that the microbial etiology of root caries is very similar to
coronal
Caries. in the past it was thought that Actinomyces species (viscosus and naeslundli) were
most commonly associated with root surface caries.
9.
40 ylo pt w/ all 32 teeth. No cavities. Has stain & catch in pit of molar.
what do you do?
a. watch and observe (yes)
b. sealant
c. composite
10. 12 ylo kid w/ carious lesion on tooth #9 that shows pulp exposure wI open
apex... what do you do?
a. rct
b. apexication (yes)
1-How enough space provided for eruption of permanent anterior mandible?
a.primate space
b.lee way space
c.mesial shift
d.anterior maxillary teeth tilt labialy
2-Dentist charge fro crown $500.insurance only covers $400.Dentist waves copayment
($100) but still let insurance he charges $500 for crown. what this action called?
a.Down codding
b. Over billing
c.Price xing
d.Unbundling
3- how many canal 2nd max primary molar has?
a.1
b.2
c.3
d.4
Max rst molar 4 canals
Mand rst molar 3 canals (25% 4 canals)
Mand second molar 3 canal (25% 4 Canals)
4-Early childhood caries in?
a. black
b. Hispanic
c.white
Hispanics have the highest rate of ECC in both developed and developing countries with an
average prevalence of 13%-29%, second only to Native Americans (Huntington, et al., 2002).
5-Pt with cafe au lai and some problem with iris(lisch nodules)...does not mention
about GI polyps
a.neurobromatosis
b.peutz jegher
c.jaffe syndrome
neurobromatosis characteristics: lisch nodules: traslucent brown-pigmented spot of
iris
axillary freckling(crowe's sign).enlargement of fungiform papilla. enlargement of
mandibular foramen
6-Dentist reviewed of his existing 1000 Pt chats .he noticed among these 1000,last
year 200 had periodontitis but in a year after 300 have periodontitis, how much is the
incidence?
a.0.3
b.0.1
c. 0.2
7-what kind of study is above?
a. descriptive
b. analytical
c. experimental
8-differential diagnosis of periodontal abscess and periradiculal abscess?
a.percussion
b.vitality test
c.palpation
9-implant success rate after 10 yrs
a. 85% is 5 years
b.95%
c 80%
10.what percentage of US population have access to uoridate water?
a.45% b.65% (42 states) c.85%
11-Pt states you are the 8th dentist that he met recently,he did not like none of them
and like you very much and will bring all his family for check up.which disease Pt
suffers from?
a.narcism
b.paranoid--no trust
c.schizoid
What is most odontogenic cyst that could end up to amelioblastoma?
1-Dentigerous 2-Residual
A primordial cyst is a devleopmental odontogenic cyst. It is found in an area where a tooth should have

formed but is missing. Primordial cysts most commonly arise in the area ofmandibular third molars.
Under microscopes, the cyst looks like an odontogenic keratocyst.
M.n for heroin addiction ------ ????withowing syndrome-pt may get addict to this drug
kid 5 years with systemic ds came to control plaque- sodium uoride or chlohexidine
Schizoid personality disorder (SPD) is a personality disorder characterized by a lack of interest in
social relationships, a tendency towards a solitary lifestyle, secretiveness, and emotional coldness
Paranoid personality disorder is a psychiatric diagnosis characterized by paranoia and a pervasive,
long-standing suspiciousness and generalized mistrust of others.
Bipolar disorder or manicdepressive disorder (also referred to as bipolar affective disorder or manic
depression) is a psychiatric diagnosis that describes a category of mood disorders dened by the
presence of one or more episodes of abnormally elevated mood. --- Aggressise brushing ---http://www.cda-adc.ca/jcda/vol-69/issue-1/20.pdf
47C (1-5 Min) you can expect necrosis
Kelly's combination(5 symptoms) : supra erupting lower anterior teeth, premolar area
bone resorption , Maxillary tuberosity supra eruption , mandibular bone resorption ,
papillary hyperplasia
Eye----Only alpha1
Lung----Only B2
Heart---B2, B1
Blood vessle------Alpha1, 2, B2
No parasym in Vessele (Alpha----contriction,,,,,,Beta-----Dilation)
Papillion-Lefevre:
Autosomal recessive,impaired T and B lymphocyte,reduced killing of bacterial and
fungal infection,advanced periodontitis in primary and permanent dentition related to
AA,hemoraghic gingivitis-teeth oat in the soft tissue, excessive bone loss,
spontaneously tooth exfoliation, palmar-plan-tar keratosis, keratosis of elbow and
knee, may be confused with psoriasis, ectopic calcication of falx cerebri.
Tx: rigorous OH, chloxexidine rinse and periodic antibiotic therapy
Mucopolysaccharidosis (autosomal recessive) such as Huler and Hunter
syndrome:
Macroglossia, anterior gingival hyperplasia due to mouth breathing. Thin enamel with
pointed cusp in posterior teeth. in some cases multiple impacted teeth in one large
follicle forming a rosette-like pattern radiographically(in Hunter syndrome).Coronary
heart disease(Huler)
1-A practitioner has been using bisect technique for taking xray for his patients. His
distance was 8 inches using that system now if he wants to take x-ray utilizing parallel
technique form a distance of 16 inches the time of exposure would be:
( double,half.) Same
2 -Asthma exhalation wheezing sound!! correct Exhale on both Asthma and COPD
Asthma, emphysema and chronic bronchitis usually cause wheezing on the exhale. A wheeze or
noise upon inhaling is usually caused by an obstruction in the upper part of the respiratory
tract.
3- Best caries preventive measure for retained root under Compete Denture ( Fluoride
therapy, cast copping)
4 -fear and anxiety (4-5 ? one of the item was fear is painful and anxiety is a disease)
6) rectal bleeding, granolumatous gingivitis and recurrent aphtous ulcer! What is the
disease?\Crohn disease
7) linear in the casting ring! Its purpose? compensate for casting material expantion
8) Most common cell in necrotic pulp? PMN cells
9) Daily fat need/use for body 30%
10)all causes gingival hypertrophy except (dilantin, niohidipine, dixosin, cephalox)
and among ca channel blokers Nifedipine and Diltiazem
11)pic of pamphigous, denture stomatitis
12) how does neuropraxia affects the neurons and axons( the answer :both of them
are normal It was asking if they loose their epithelium I guess!!!)
13) yrs old male who has had a history of trauma comes to ur office. The pulp is
necrotic. On the xray it shows that the apex is open and it has a wide cancal! The tX
would be: ( apexiiffication , routine RCT, Epico surgery)
14) Medicare is a federal thing that provide health care for elderly . It does not cover
dental ( answer: both statements are true)
15) Which pulp horn in primary teeth is most susceptible for exposure during operative
procedure
- MB of rst molar
- MB of 2nd molar
- DB of rst molar
- DB of 2nd molar
16) Most common cause of arch space lost in primary dentition ( decay( not sure
though) / ectopic eruption 1st molar)
17) Cancer of the other part of the body metastases most commonly to ?
lip
FOM
tongue
Gingiva
Bone:Molar region of mandible Soft tissue: attached gingiva then tongue.Breast cancer
is the most metastatic to the oral cavity appearing in the mandible and then lung
cancer is the second appearing in the soft tissue.
18) Which has the most thermal coefficient ( enamel, composite, amalgam, gold)
Linear thermal coefficient is most for tooth- gold- amalgam- composite
19) Picture of a narrow Lucent canal next to upper lateral (nutrient cancal ( I guess the
answr), incisive never canal)
20) A question pointing to the Ear lobe on the Pano

21) How tooth decay develops( answer : fructan has adhesive property then it sticks to
the tooth surface)
22) Perio disease is most common in black male
23) After trying the anteriori teeth in the mouth for complete denture patient. In order
to determine condylar inclination we make a record of patients anterior guidance.
What we have to take into consideration in the lab: ( Raise the pin on the articulator
while setting the condylar inclination)
24) A tooth is not responsive to cold, not percussion and pulpation tender ( - necrotic
pulp and chronic apical periodontitis irreversible pulpitis and normal apex) there
was not an item saying necrotic pulp and normal apex)
25) A child is allergic to ampicillin, what is the regimen for prophylaxis? ( know the
dosage for cephalexin , azithromicin)
28) open technique impression for implant ( to transfer the exact angle of implant to
the lab)
http://idasmiles.com/les/ImpressionTechnique.pdf
29)what is the least important factor when evaluating for implant: ( concavity of
mandible, bone density , distance to mandibalr cancal, bone width)
------------------------------------------------------------------------------------------------------25. In office bleaching changes the shade through all except
a. dehydration
b. etching tooth
c. oxidation of colorant
d. surface demineralization ---31. After implant placement, an edentulous patient should
a. avoid wearing anything for 2 weeks
b. immediately have healing abutments placed over the implants
c. should wear an immediate denture to protect the implant site
All implant supported overdenture: Minimum 4 implants in Mand, 6 implants Maxilla
Implant and tissue supported overdenture: For mandibular denture ,2 implants in
Mand symphysis btw mental foramina, may be joined by a bar
A minimum of 3 months healing time is usually recommended following xture placement
(nonimmediate loading) to allow for osseointegration of the implant xture
17.what is the most denite way to distinguish amelloblastoma from OKC
a.smear cytology
b.reactive light microscopy
c.reective microscopy
16. Which of the following describes the character of dentinal tubules at the pulpal end
when compared to
those at the enamel end?
a. More per unit surface area and more wider in diameter.
b. Less per unit surface area but much wider in diameter.
c. More per unit surface area and smaller in diameter.
d. Less per unit surface area and smaller in diameter
Table 12-1 -- Mean Number and Diameter per Square Millimeter of Dentinal Tubules at Various
Distances from the Pulp in Human Teeth
DISTANCE FROM PULP
(mm)
Number of Tubules
(1000/mm2)
Number of Tubules
(1000/mm2) Tubule Diameter
(m)
Tubule Diameter
(m)
DISTANCE FROM PULP
(mm) MEAN RANGE MEAN RANGE
Pulpal wall 45 3052 2.5 2.03.2
0.10.5 43 2259 1.9 1.02.3
0.61.0 38 1647 1.6 1.01.6
1.11.5 35 2147 1.2 0.91.5
1.62.0 30 1247 1.1 0.81.6

2.12.5 23 1136 0.9 0.61.3

2.63.0 20 740 0.8 0.51.4
3.13.5 19 1025 0.8 0.51.2
histologically loss of retepegs is seen in
1)phemhigus
2)pemphigoid
3)lichen planus(sawtooth-shaped rete pegs of epithelium)
1)
a)
b)
c)
35%

For internal bleaching: use sodium perborate &

10% hydrogen peroxide
35% hydrogen peroxide
10% carbamide peroxide****
carbamide peroxide

1)
Have lot of incisal overlap, what do you want to change to maintain balanced
occlusion
a)
condylar inclination
b) condylar inclination****
During the child's rst visit, the dentist requested that the parents wait in the reception
room. The child cried moderately, but tearfully, throughout the dental examination and
prophylaxis. The dentist "gave her permission" to cry while he/she worked and then took
no notice of her crying. Her crying diminished in intensity over time and then stopped.
With respect ONLY to the crying behavior, the dentist has
A. used positive reinforcement.
B. used negative reinforcement.
C. extinguished the behavior.
D. ignored the problem.
50) You have HIV+ pt you can do all of the followin except a) treath with
metronidozole b) free gingival graft c)prophylaxix to treat candidiasis
56) You give the nitroglycerin to the pt with angina and heart rate goes up
what's the reason ? natural reex to the decrease in blood pressure
77) Which durg will be used to treat an overdose of
methotraxate

leucovorine
8)Which uoride causes the most staining?
Which one of these has the least sedative effect? I have no idea
Diphenylhydramine
ChlorpheniramineTripelennamine

New FMX Radio- pregnancy or 6 months ago had Taken one

Which kid of caries has been reduced over time? Occlusal, root, proximal
Max ridge in denture pt is .. over time?
Narrow, wide , small , large
1. St johns wart- used for?

Short term memory loss

depression------not with benz and HIV medication

2. Diabetic undergoing surgery?
o Take Clear uids with same insulin intake
o Take Clear uids with amount insulin?
3. Implants

Do not probe, disrupt attachment

Probe to check bone level (maybe)

4. different symptoms between hyperthyroid shock and hypothyroid shock?

Cold

5. fear vs anxiety?

Fear is local, anxiety is generalized?

6. implant stable?

1 unit

2 unit
7. pic of dorsum of tongue with 1 side totally red with white nasty patches and
painful?

Phemigus

8. what sound altered with altered vertical dimension?

S sound**

P
9. symptoms if too much codeine?

Insomnia (I think)
Cold and claming skin

Irritable
10.Diabetes leads to

Blindness

Ataxia
11.Know where are primate spaces

Betw laterals and canines in max, betw canines and 1st molar in mand
12.Hep A is transmitted by?

Blood

Aerosols

Food
13.Daily recommended calorie from fat?
10%
20%
30% (I think)
14.Max depth of toothbrush and oss going subgingival?

Toothbrush 0mm, oss 2-3 mm

Toothbrush 2-3 mm, oss 0mm

Tooth brush 1mm, oss 2-3 mm (I have no clue, maybe this?)

15.Pilocarpine used for?

Increase in salivation
16.Stucture most likely damaged with gingival graft?

Greater palatine nerve (I think)

Less palatine nerve

Some other arteries

17.Know the level CD4 and neutrophils of HIV patients
18.If theres space, what is most likely prevent the tooth distal from it to move into
space?

Occluding to opp tooth?

Dense bone?

Non interference contact

19.Most associated with developing stage of gingivitis?

Macrophages
20.Best ap surgery for gingival recession?

Double papilla ap

Lateral pedicle
21.Know that PDL thickens as you get older
22.Mouth breathers leads to?

Short face

Open bite
23.Primary tooth most like to have high chance of pulp exposure?

Mand rst molar

24.Want to extract all posterior teeth, what is the order?

1st,2nd,3rd b/c easier access?

1st,3rd,2nd b/c do easier tooth rst?

3,2,1st b/c .
25.which technique to view midfacial?

Waters projection
26.Who has highest autoimmune diseases?

Adult male

Adult female

Teenage male

Teenage female
27.Which diseases are assoc with positive nikolsky sign?

Pemphigus

Fibrous dysplasia
28.If do class 2 on patient with high caries?

Resin bond composite


Resin GI at gingival and composite the rest
29.If have large caries near pulp, what do you do?

Restore with composite

Remove caries, place appropriate temprorary and follow up

Placed GI liner, restore with composite

30.Know apexication
31.What is function of reciprocal clasp?

Retention

Oppose force on buccal clasp or stability

32.Know all signs of hyperocclusion

Recession

Pain when biting down hard

Root resorption

Alteration of lamina dura

Alteration of perio space

33.Know antibiotic prophylaxis
34.patient with past heart attack, high bp, high chlosterol, asa type?

Type 3
35.asthma what kind of sound?

Inspiration wheezing

Expiratory wheezing

Inspiratory
36.Bennett shift, what is the path of movement

Mesially

Laterally

Inferiorly

Superiorly
37.Distobuccal ange of denture is determined by

Masseter
38.When do the max centals calcify?

At birth

2-3 months

6 years etc
39.when do plaque accumulate after eating?

24 hours

36 hours

1 hour
40.Know perio diagnosis, what is considered hopeless?

Mobility of tooth

Furcation involvement?
41.How do you make crown narrower?

Move line angles more facially and deepen the embrasures

Move line angles proximally and deepen embrasures

Move line angles facially, widen embrasures

Move line angles proximally, deepen embrasures

--------------------------------------------------------------------------------------------------------------1.
our office is fee schedule and pt needs new crown but pt used up all of her
allowance (or something like that), what do you do?
Charge
her a higher fee
Cant
not treat her
Negotiate

a lower fee
Charge
same fee
2. Want to compare 2 groups of people, male and female for something, what test
do you look at?
Multiple
regression
Chi
square

test
T-test

3. What least likely treatment for class 3 furcation?

Endo
and root amputation
Guided
tissue
SRP

Extraction

4. What is gives a higher failure rate after perio treatment?

Smoking

Diabetic
patient
5. What is rst thing when you re-eval patient after perio treatment?
OHI

Plaque
index

 Review
medical history (I think)
5'-reason of using plaque disclosing agent?
-motivate Pt to clean suspected area
-observe degree of disease
6. What is most likely to cause gingival recession?
Tooth
brushing (I think)
SRP

Bruxism

7. Which drug is least sedating?

Hydroxyzine

Claritin non sedating antihistamin

8. Is tetracycline good for prophylaxis for children? No
9. Know wrought wire clasp (pg 330 mosby)
10.Know all properties of porcelain
11.Pic of all max anterior lingual totally eroded but incisal edges are ne
Pt
sucking

on lemon
Attrition

Bruxism

Occlusal

trauma
12-Inform consent is for which ethic principle?
-Veracity
-autonomy
-benecence
-justice
13-Anesthesia done into the vein results in?
-increased BP
-increased HR
-pain in the periphery
14-Pt with hemoglobin A1C of 12%,Pt just visited the MD,what kind of TX we
can do?
-FM ext.
-Sc/Rp
-Consult with MD prior tx
In most labs, the normal range is 4-5.9 %. In poorly controlled diabetes, its 8.0% or above, and in well
controlled patients it's less than 7.0%.
15-Buccal cheek of 60 yrs man,not wipe-able?
-leukoplakia( more on oor 50%, tounge25%)
-candida
-white spongy nevous bilatral- auto dominat- place
ANUG debriment+peroxide -------in HIV use antimicrobial--- no attachment loss
Most common place oral cavity cancer------Tounge
1.
Hunter Hurler syndrome
2.
Temp at necrosis happens during implant placement is 47 for 1-5 min
3.
What do u use to dripp for implant space hight torque slow speed drill, I had
option of alkaline phosphate irrigation but it's salin
4.
Specicity
5.
Pic of bells palsy
6.
Pic of odontoma
7.
Pic of periapical cementeal osseous dysplasia
8.
Ameloblastoma
9.
Risk factors for oral cancer
10. Green stain in porcelain due to cu
11. Methotrexate drug interaction beta-lactamase
12. Study thoroughly about irreversible pulpitis, reversible, apical periodontitis, acute
apical abscess, periodontal abscess
13. Vitality test
14. Erosion
15. Attrition
16. GIC- root caries
17. What do you do when you see a decalcication spot? Fluoride and leave
18. Community water uoride level 1ppm (1 mg per one liter)
19. Kid is 15 yrs old and living in a community with 0.75ppm of uoride, what do u
do? no supplementation
20. TFO on implant,all of the following except. gingivitis and periodontitis
plaque disctuctive periodontitis
21. T- test
22. Free gingival graft receives its eptithelium from adjacent tissue (blood supply
from CT)
23. Where is apical positioned graft contraindicated maxillary palatal region
24. In latest periodontal longitudinal studies, the research says apically position
ap is best, keratinized tissue is necessary for attached gingival and some other
answers

25. Most common reason for cardiac arrest in children respiratory depression,
CHD, atrial septal defects, congenital heart disease ----26. Common between chronic periodontitis and gen aggressive periodontitis teeth,
predisposing factors, local factors
27. Pt with caf au lait spots, axillary freckling, lish nodules of iris
Neurobromatosis
28. Dentist said, pt doesnt have to pay his copay. He didnt inform third party payer
what is he doing? = downcoding, unbundling, price xing, over billing
29. Most common impacted tooth Max canine, max lateral, mand premolar or max
premolar(if wisdom was chioce that one)
30. What do u do in a composite restn. make a prep depth of 2mm, just prep
carious pits and ssures, involove O surface with M and D lesion
31. Lot of questions of pulp testing
32. Radiograph showing radiolucency in furcation area in a primary second mand
molar reason is periodontal, pulp necrosis, trauma
35. If you have to extract 1st, 2ed and 3rd molar, in which order do u extract? 1, 2, 3
to preserve tuberosity; 3, 2,1 for better visibility
36. In which direction do you luxate distoangular max third molar
distal palatal, distobuccal ,palatal, mesial
37. What is the diff between LED curing ling and conventional choices were too long
(it is an except question)
Rapid Cure - light instantaneously on with no warm up required
No heating of substrates - cold curing close up to cure head
One peak wavelength of output power (multiple peaks possible as required by process)
No fuming of cured material normally caused by excessive radiant power from conventional lamps
Safe operation - no UVB, no ozone, no bulb break, low voltage, no mercury
Predictable radiant output power with limited drop off with life
Variable power - ability to create a cure prole with time e.g. reduced stress curing
Even intensity of radiant power over curing area
Long life time> 10,000 hrs of LED on time (LEDs only need to be on when curing)
Minimal drop off in power over life
Small size and light weight of cure heads
Ability to create three dimensional ood areas for curing complex shape
38. What is compomer
Compomers are recently introduced products marketed as a new class of dental materials. These
materials are said to provide the combined benets of composites (the comp in their name) and glass
ionomers (omer).
39. Why dont you use GI resin cement in cementation of all ceramic restoration - its
expansion could cause cracking of porclain
40. Lichen planus
41. Epidermolysis bullosa
Epidermolysis bullosa (EB) is a rare genetic disorder caused
by a mutation in the keratin gene. The disorder is characterized by the presence of extremely fragile skin and
recurrent blister formation, resulting from minor mechanical friction or trauma.
42. Black woman with radioopacity in lower anterior periapical osseous cemental
dysplasia
43. PAN to identify pterygomaxillary ssure
44. Stafne radiographic identication
45. Which cyst doesnot appear in radiograph Nasolabial
46. Pear shaped Radiolucency on # 9 incisive foramen
47. Which is the best technique to view maxillary sinus options were both MRI and
Waters view
48. Best radiograph to view maxillay sinus disease depends on the type of question
being asked. if they are asking about the anatomic form then CT scan is best. If you
are intending to nd soft tissue pathology then MRI.
Best radiograph: CT>water>
Best technqie to maxillary sinus: CT>Water>
Best for diagnosis for soft tissue: MRI
both MRI and CT were there
http://www.ghorayeb.com/ImagingMaxillarySinusitis.html ( comparative view of all
three)
Computer Tomography. Computed tomography (CT) scanning is the best method for viewing the paranasal sinuses.
There is little relationship, however, between symptoms in most patients and ndings of abnormalities on a CT scan.
CT scans are recommended for acute sinusitis only if there is a severe infection, complications, or a high risk for
complications. CT scans are useful for diagnosing chronic or recurrent acute sinusitis and for surgeons as a guide
during surgery. They show inammation and swelling and the extent of the infection, including in deeply hidden air

chambers missed by x-rays and nasal endoscopy. Often, they can detect the presence of fungal infections.
X-Rays. Until the availability of endoscopy and CT scans, x-rays were commonly used. They are not as accurate,
however, in identifying abnormalities in the sinuses. For example, more than one x-ray is needed for diagnosing
frontal and sphenoid sinusitis. X-rays do not detect ethmoid sinusitis at all. This area can be the primary site of an
infection that has spread to the maxillary or frontal sinuses.asa
Magnetic Resonance Imaging. Magnetic resonance imaging (MRI) is not as effective as CT in dening the paranasal
anatomy and therefore is not typically used to image the sinuses for suspected sinusitis. MRI is also more expensive
than CT. However, it can help rule out fungal sinusitis and may help differentiate between inammatory disease,
malignant tumors, and complications within the skull. It may also be useful for showing soft tissue involvement
49. Faint radiolucency with radioopaque border in max sinus Mucocoele
50. U shaped radio-opacity/radioopaque in max sinus zygomatic process
51. Pt has a chronic periapical abscess with sinus tract tx is RCT, what is that tx for
sinus tract : antibiotics, curettage, cautery, no tx
52. Apicoectomy
53. Which is the best test EPT or thermal -cold is best
54. Benign lesion with Cauliower appearance papilloma
55. Perineural invasion is seen in adenoid cystic carcinoma, Pleomorphic adenoma
or low grade muco epidermoid carcinoma
Another very important factor with adenoid cystic carcinoma is the tendency for perineural invasion. This tumor has
a marked tendency to invade nerves. Perineural invasion is seen in about 80% of all specimens.
56. Post herpetic neuralgia cause by varicela zoster virus- shigles-extreme unilateral
pain
57. Lichen planus pic
58. Desensitization - In psychology, desensitization (also called inurement) is a
process for mitigating the harmful effects of phobias or other disorders. For medical
purposes, desensitization is a method to reduce or eliminate an organism's negative
reaction to a substance or stimulus.
59. Why do you give methadone to pt who is trying to stop heroine? to decrease
withdrawl symptoms
60. Patient tried using nicotine patches, gum but still couldnt stop what do you do?
Buproprion, or behavior counseling
61. When RPD is rocking on the fulcrum line, whats the problem?No option about the
base
problem with denture base
problem with indirect retainer
62. Nitrous oxide safe mechanism level 70%
63. In which condition Nitrous is contraindicated Asthma, respiratory infections
contraindication: contagious disease, emphysema, bronchitis, autistics Pt. 1st trimester
of Pregnancy.
64. OKC
65. Periostat doxycycline 20mg placed in periodontal pocket what does it do? I
think it inhibits collagenase
66. What is allograft? same species
http://en.wikipedia.org/wiki/Bone_grafting
67. Something about freeze dried graft proteins, what is going to happens?how does
it generate the bone?
68. Couple of questions about bisphosphanate
http://www.ada.org/prof/resources/topics/osteonecrosis.asp
http://www.ada.org/prof/resources/topics/
topics_osteonecrosis_bisphosphonate_report.pdf
http://www.ada.org/prof/resources/topics/
topics_osteonecrosis_bisphosphonate_report.pdf
Avoid invasive dental procedures while receiving bisphosphonate treatment. For
patients who develop osteonecrosis of the jaw while on bisphosphonate therapy,
dental surgery may exacerbate the condition. Clinical judgment by the treating
physician should guide the management plan of each patient based on an individual
benet/risk assessment.
Dental infections should be managed aggressively and nonsurgically (when
possible).
Endodontic therapy is preferable to extractions; and, when necessary, coronal
amputation with root canal therapy on retained roots to avoid the need for
extraction.
69. Dentist tells a patient that mecury is toxic and she should replace her amalgams
with composite which principle of ethics dentist does not follow?
benecence
justice
veracity
70. What do you prescribe for pts with ANUG? tetracycline,Debridement and mouthwash
Hydrogen peroxide
71.Pt with manic depression (bipolar) disorder not willing to get treated for that
is now getting dental treatment from you. What do you see in this patient
a) mood swings b)depression c)excitement
72. One of your patient is having a dental problem and treating that is not

under your capability and you are reffering that patient to a specialist, this type
of behaviour comes under which of the following codes of ethics
a)Autonomy b)Justice c)Benecience d)Veracity e)nonmalecience
http://www.ada.org/prof/prac/law/code/principles_01.asp
73- Which of the following causes Cavernous sinus thrombosis
A)Subcutaneous Abscess of upper lip
b)Subcutaneous abscess of lower anterior region
Infections in upper front teeth are within the area of the face known as the
"dangerous triangle". The dangerous triangle is visualized by imagining a
triangle with the top point about at the bridge of the nose and the two lower
points on either corner of the mouth. If your mother ever told you not to pick a
pimple on your face or else you would get a brain infection, this is what it would
look like if it actually happened
74- Pt brushes twice a day n also oss but stil;l he has calculus what do u
suggest
A) written instructions B) video C) demonstration of brushing techniques
75. First upper molar is supra erupted and the lower opposite molar is missing
which of the following u will not do?
A) up righting the molar B) rotation of molar C) Intrusion
76.In Implant Preparation which of the following can be used
A)Hydroxyapatitie Irrigant b) High Speed Hand Piece c) Low torque Drill d)Air Coolant.
77-Cast restoration procedure which impression is least used ?
Additional, polyether, Irreversable hydrocolloid(alginate), agar
78-Pt has hepatic dysfunction which pain medication can prescribe?
a-Oxycodone
b-naproxen c-acetaminophen
http://www.hepatitis-central.com/mt/archives/2007/05/is_there_pain_r.html
79-Highest cleft palate incidence
black
Caucasians Asian
80-which of the following dental treatment can be done with pts taking
bisphosponate A)Alveoloplasty B) endo C) Extraction D) Scaling
81- Confounders known n unknown ?
case control, cohort, cross sectional
http://www.experiment-resources.com/confounding-variables.html

Confounding

In Epidemiology a confounder is:

not part of the real association between exposure and disease
predicts disease
unequally distributed between exposure groups
A researcher can only control a study or analysis for confounders that are:
known
measurable
Example: Grey hair predicts heart disease if it is put into a multiple regression model
because it is unequally distributed between people who do have heart disease (the
elderly) and those who don't (the young). Grey hair confounds thinking about heart
disease because it is not a cause of heart disease.
Strategies to reduce confounding are:
randomization (aim is random distribution of confounders between study groups)
restriction (restrict entry to study of individuals with confounding factors - risks bias in
itself)
matching (of individuals or groups, aim for equal distribution of confounders)
stratication (confounders are distributed evenly within each stratum)
adjustment (usually distorted by choice of standard)
multivariate analysis (only works if you can identify and measure the confounders)
82-Primary stress bearing area in mandible
a-Retomolar pad b-alveolar ridge c-buccal shelf
and incase the residual ridge is in good shape it also contributes to primary support.
http://www.docstoc.com/docs/20113319/antomical-landmark
83-In which of the following muscles you can place the mandibular denture
a-lateral pterygoid b-middle pterygoid c- buccinator (Buccal) d-maseter (Distobuccal)
84-picture of diffused pigmentation in anterior max and mad incisors in attached
gingiva?
Melanoma
Racial pigmentation
85-5 yrs with systemic disease what MW used for plaque control
a-NAF b- Chlorhexidine
86-which of the following is conditioned stimulus
a) dentist
b)dental chair
87)which of the following are necessary for a test to be accurate
a)specicity
b)reliability
c)validity
Note: Most common mid facial fracture is Zygomatic complex fracture (Peterson)
A few thoughts on the conventional perioperative management of
diabetics
Hypoglycaemia is much more dangerous in a patient rendered unconscious than
hyperglycaemia
Therefore it is safer to err on the side of hyperglycaemia in patients undergoing

surgery.
Nevertheless ketoacidosis must be avoided.
IDDM require insulin constantly or they will become ketoacidotic. Depending on the
metabolic upset associated with surgery (i.e. stress response), the patient will require
either a intravenous infusion or iv pump with sliding scale.
The "Alberti" solution of combining insulin and glucose in a single bag of uid has the
advantage of safety (you can't get too much of either).
The local modication of this regime is: 1/3 of total morning dose (or 40% of total
daily dose) of insulin as actrapid in 1L Solution 18 + 10 mmol KCl over 8 hours; an
additional subcutaneous sliding scale of actrapid can be added for tighter
perioperative control. Intermediate duration-depot insulin (insulatard) should be
avoided during the perioperative period.
For most well controlled Type II diabetics, hypoglycaemia caused by OHAs and insulin
pose a higher risk in the perioperative period than hyperglycaemia.
"No glucose no insulin" BMJ 1996; 76; 198-202
OHAs should be withheld on the morning of surgery and on the evening before. It is
the sulphonyureas that cause hypoglycaemia.
Take special precaution with chlorpropamide (diabenase) and glibenclamide (daonil) as
these have a very long duration of action, and should be stopped a couple of days in
advance.
Take home message: be paranoid of hypoglycaemia in patients on OHAs and
remember that blood sugar levels that constitute euglycaemia for non diabetics will
cause symptoms of hypoglycaemia in diabetic patients.
====================
1. Your office is fee schedule and pt needs new crown but pt used up all of her
allowance (or something like that), what do you do?

Charge
her a higher fee

Cant
not treat her

Negotiate

a lower fee

Charge
same fee
2. Want to compare 2 groups of people, male and female for something, what test
do you look at?

Multiple

regression

Chi
square

test

T-test

3. What least likely treatment for class 3 furcation?

Endo
and root amputation

Guided
tissue

SRP

Extraction

4. What is gives a higher failure rate after perio treatment?

Smoking

Diabetic

patient
5. What is rst thing when you re-eval patient after perio treatment?

OHI

Plaque
index

Review
medical history (I think)
6. What is most likely to cause gingival recession?

Tooth
brushing (I think)

SRP

Bruxism

7. Which drug is least sedating?

Hydroxyzine

Claritin

8. Is tetracycline good for prophylaxis for children?

9. Know wrought wire clasp (pg 330 mosby)
10.Know all properties of porcelain
11.Pic of all max anterior lingual totally eroded but incisal edges are ne

Ptsucking

on lemon

Attrition

Bruxism

Occlusal

trauma
==============================================
NBDE Part 2 Day 2
8 yrs
old kid with autism

 Ectodermal

dysplasia
Asthma

Hx
of
Heat Attack
Sjogerns

syndrome
Pt
with
no med Hx but has attrition and lichen planus
Day 1
Penumbra how to prevent this in x-rays
o Should be produced from a point source to blurring of the edges of the image
o Strong beam to penetrate
o Xray should be parallel
Beaten metal skull crouzons
NUG tons of questions
Impending doom panic attack
Asthma why use corticosteroids decrease inamation
Beta blocker mechanism of action
Alpha -1 = vasoconstriction
Dowel core = vertical stop
Extruded gutta percha observe
Purpose of placing a post after RCT = retain core
X-rays/pictures
o Dentinogenesis imperfecta
o Coronoid process
o Ameloblastoma
o AOT?
o Buccal bifurcation cyst?
Saw an xray of a primary tooth with a stainless steel crown and an
erupting tooth underneath; giant RL in the furcation of the primary tooth..
o Odontoma
Glucocorticoids C/I in diabetes
C/I for implants = adolescent
Extracted teeth in a preggo give Tylenol for pain
Ordinal and nominal - temperature, heart rate (??)
Kernicterus = excess bilirubin in blood
Borderline personality patient went to several dentists and tells you she loves you and
will refer you all her friends/family
Voice control know why you use it
SLOB rule: palatal root appeared mesial to the MB root of a max rst molar where was
the x-ray beam directed?
Modied Widman ap full thickness; how far from MGJ coronal, esthetics
Which ap CANT you do if there is little attached gingival

o Partial thickness ap
Diazepam (3Q)
Status epilepticus (3Q) diazepam (lido toxicity)
Grand mal/digoxin OD dilantin/phenytoin
Petit mal - ethosuximide
Tobacco - #1 risk factor for oral cancer
Most likely site for SCC? I put Ventrolateral tongue (other choices were weirdpalate
(least))
Case control study = odds ratio
A 5 year old kid with 0.75ppm in water = no uoride supplementation
Fluoride in water depends on temperature of the air
If you take a single therapeutic dose of aspirin, how long will it prolong bleeding time? (4
hours, 10 hours, 1 day, 1 week)??
Cant mix aspirin with garlic or ginsing
Root amputation of MB root cut at furcation and smooth for patient to keep clean
Irreversible pulpitis (3Q)
EPT does NOT indicate health of the pulp
Tooth with closed apex gets intruded, what is most likely to occur? Necrosis (avulsion,
resporption)
Treatment of choice for primary tooth with caries causing pain for 24 hourstooth is
restorablepulpectomy
CaOH is NOT for direct pulp capping in primary teeth
What daily oral rinse would you give to a medically compromised child for plaque
control? (choices were CHX, Listerine, Nystatin, stannous uoride)
What population has the worst survival rate for SCC? (whites, blacks, native
Americans)
Best way to see a horizontal root fracture? Multiple x-rays from vertical or horizontal?
Ectodermal dysplasia and cleidocranial dysplasia which one has ano/oligodontia?
o Ectoerdermal
Cerebral palsy patient will have spastic oral mucosa during treatment
TONS of questions of primary herpetic gingivostomatitis
Patient presents with a 1.5cm ulcer on the buccal mucosathere are scars from previous
ulcers just like thisdx = Major Aphthous
Shows a picture of what looks like a giant SCC incisional biopsy
+ Nikolsky (pemphigus was not a choice) erythema multiforme
Immunouorescence = pemphigus
If you blow air and it lifts the tissue and leaves a bloody area (something about evaluating
the patient further)

 Candida white and scrapes off

Picture of a child with primary herp on the lips
Culture sensitivity assay (2Q) I think its for recurrent infections
Why dont we use broad spectrum antibiotics? Produce resistant bugs
Why bevel for a gold onlay? Resistance; percent elongation for burnishing and
remove unsupported enamel
How to remove a gold inlay? Section isthmus and remove in 2 pieces
Know about hemiseptum (perio) 1 wall defect 2=crater, 3=infrabony, 4=moat,
circumfrencial
Easiest defect to ll in? (choices: Hemiseptum, 3 wall intrabony defect, narrow
shallow defect)
How to replace large chunks of mandible? Freeze dried bone; autogenous
What is the most osteogenic? (Choices: alloplast, autograft, etc)
Cognitive restructuring
There were like 4-5 Q on osteoradionecrosis
Most common tooth for vertical root fracture? Mandbular molars mandibular
premolar?
Patient has at posterior occlusal surfaces and excessive wear on maxillary anteriors
erosion attrition
Know the denition of attrition
Biologic width = 2mm
INR of ___ allows you to do extractions? 2.5
PCD 3Q
How to tell if something is a perio lesion or endo lesion? Vitality tests
After RCT and placement of cast post and core and PFM crown a patient presents with
pain on biting 3 months laterwhy? Vertical root fracture
Recently placed MOD amalgam; pain on biting = hyperocclusion
Most common topical antimicrobial? CHX
Focal radiopacity no history of inammation or anything else Dx = idiopathic
osteosclersosis
o Condensing osteitis was a choice but I think that has to do with inammation
Most common sequela of dry socket? Pain
Trephonation cut into bone to relieve pressure at the apex of a tooth
Excess vertical angulation of x-ray = longer roots?
4Q on where you nd localized aggressive periodontitis incisors and rst molars
AA = Localized aggressive perio
Most likely place in an x-ray to see nutrient canals? Mandibular anteriors

 3Q on ASA classication
A patient wears a nitroglycerine patch and takes nitroglycerine tabs 2-3 times/day
o ASA classication? III
o Stable or unstable angina? unstable
3Q on angina
Know signs of hypoglycemia
Know trendelenburg position
How to be sure youre far enough away from the IAN when placing an implant? Measure
it on pano
Lesion on gingival if you press, it blanches and it bleeds easily dx = pyogenic
granuloma?
Patient has a retruded tongue. What complication do you expect when he tries to wear a
denture? (choices: speech problems, problems with the lower denture, problems with
food bolus)
When you lose teeth, your face sinks in. What happens when you lose alveolar bone?
(choices: prognathia, increased muscle tone, decreased nasolabial fold)
Child lost both his primary mandibular canines prematurely why? Lack of arch space
How to do measure the projected arch space for permanent teeth? Canine to canine
Value is the most important in color
Cannot decrease value ? by adding gray
Most technique sensitive part of placing veneers? Preparation, color match,
impressing..?
What prevents lingual displacement of a crown? Lingual margin
You see a RO on the mesial-occlusal portion of a maxillary rst molar wanted to know
what it was? Choices: cusp of carabelli, sealant.(weird question)
Which one is NOT RO? (choice: osteopetrosis marble bone, extremely rare;
osteoporosis, pagets cotton wool)
Bilateral swelling of parotid NOT caused by: (choices: anorexia, HIV, mumps..)
Critical pH = 5.5
What is that FIRST thing that happens when caries develops? Fermentation or drop in
pH
Interproximal caries 2 trianglesknow where the point of the triangles point
Mouthguard bleaching = 10% carbamide peroxide
Most common reason for mand fractures? Sports injury (other choices were domestic
violence, workplace mishaps, self injury)
If you get a blow to one side of the mandible, which condyle gets fractured .. or
something?
Something about nonverbal vs verbal communication nonverbal is not as reliable

 MSDS sheets chemical information

Leathery, dark brown = what kind of caries anaerobic root caries; sclerotic dentin
Know how caries indicator works??!??!! (specic mechanism) binds to inorganic stuff
Components of GI CEMENT alumina silicate and polycarboxylate cement w/uoride
Gingival index = nominal
Most recurrent cyst OKC
Picture of epilus ssuratum
ANB = maxilla-mand relationship
Monteleukast (singulair) mechanism inhibit leukotrienes
Cheek biting not enough horizontal overlap
Mercury most often ingested by inhalation
Morphine and enkephalins weird question
Most reliable measure of HIV progression? CD4 count (viral load was also a choice)
How can you get a class III? Maxillary deciency
Osseous surgery for alveolar bone proper = ostectomy
When would you give systemic tetracyclines AND do perio surgery?
Implant hex is for anti-rotation
Girl with caries into the pulp on tooth #3 radiograph shows alternating RL/path at
inferior border of mandible (a.k.a onion skin, bacterial)Garres Osteomyelitis
# of vertical planes in the face? 5
Know how beta blockers work for angina
Patient with dentures when he speaks the back teeth click what should you do?
Loss of both mandibular rst primary molars lingual holding arch (with permanent
incisors and 1st molar)
Loss of mandibular 2nd primary molar = distal show
What is the LAST thing you do to correct cleft lip/palate?
ugly duckling stage maxillary centrals
Le Fort II fracture what nerve is most likely injured? infraorbital
Heroin addict. Why shouldnt you give Nubain?
o mixed agonist-antagonists analgesics
Inammatory Resorption:
o Necrotic pulp
Convulsions - hypokalemia
Replacement resorption:
o Ankylosis
Avulsed tooth splint time?
o 7-10 days (mosbys)

o Dont remember answer choices

Closed xation splint time?
o 6 weeks?
o 9 weeks?
o 12 weeks?
Involved in caries progression but not an initiator?
o Lactobacillus
Consequence of overtriturating?
o Stays soft a long time? No consequence
Cleft lip/palate most commonly occurs in which type of occlusion
o Class 3?
Percentage of USA with Community water uoridation
o 40%?
o 60%?
o 80%?
o As of 2008, 72.4%
What does Gingival Index measure?
o Disease severity? nominal
Cleft lip & palate 1 in 700
Neurobromatosis
o Caf-au-lait
o Axillary freckling (crowes sign)
o Iris freckling (lisch spots)
Mucus retention cyst = sialolith
Submandibular gland = sialolith
Adenoid cystic carcinoma
o Spreads thru peri neural spaces
OKC recur
Compound odontoma (Picture) mini teeth
Medically compromised child. What should you give for daily plaque control mouth
rinse?
o Nystatin?
o Sodium uoride?
o Stannous Fluoride?
o CHX?
Epidermolysis bullosa blisters, scarring and hypoplastic teeth
Nutrient canals (picture) mandibular anterior

 Ugly duckling central max centrals

Cleidocranial dyplasia
o Lots of Qs
o Delayed tooth eruption and supernumary teeth
Ectodermal dysplasia
o Partial or complete anodontia
Dentin dyplasia (radiograph)
Perio vs Endo Lesion VITALITY
Traumatized tooth. Why is EPT going to give u a false reading?
o Damage to blood supply? Damage to nerve supply?
Cracked tooth lower 1st molar
Veneer
o 0.3 gingival
o 0.5 facial
Cleaning and shaping tapers adequate to prepare for obturation
NaOCl
o Dissolves organic
o Does NOT remove smear layer
EDTA
o Chelator
o Removes smear layer
Indications for apicoectomy
Hemisection Class 3 or 4 furcation
Avulsion success rate depends on extra-alveolar dry time
Why do we use ber over cast post?
o Modulus of elasticity same as dentin?
Mandibular molars refer pain to ears
Collimation
o To decrease size of xray beam and volume of irradiated tissue
Muscle is radioresistant
Mandible more prone to osteonecrosis
Increased horizontal angulation = overlap
Waters view maxillary sinus
Maxillary sinus disease? CT, MRI, Pano?? I think MRI
Arachidonic acid makes prostaglandins
Young pt and old pt have chronic periodontitis who has better prognosis? Older pt
Gingivectomy bleeding points outline the incision

 Allograft
Implant best bone anterior mandible
Subantimicrobial dose doxycycline inhibits collagenase
Most common impacted teeth
o Man 3rd, max 3rd, max canine
Healthy implant
o Less than 0.1mm of bone loss per year
Post herpetic neuralgia consequence of herpes zoster
Dont give antibiotics in dry socket
Articaine
o Hydroxylation in liver?
o Conjugation in liver?
o Plasma esterase?
Hypokalemia = seizures
Amitriptyline increased sensitivity to epi
Nitrous has emergency stop so you dont give more than how much nitrous?
o 70%? 90%?
Leeway space
Fluoride chart 2 Qs
Primary teeth begin to calcify 4 months in utero
Trauma to max incisors more likely with class 2 div 1
Treat crossbite immediately
Most common missing teeth
o Mand 2nd premolar
o Max lat
BSSO
o Paresthesia side effect
Problem at morphodifferentiation = size and shape abnormalities
Best way to know when tooth will erupt:
o Root formation?
2/3 formation erupt thru bone
root form erupt thru gingival
Failure to thrive rst 6 months = enamel hypoplasia
Diastema wait till canines erupt before doing anything
Distance between implants 3mm
When should you check mobility of implant? \
o At impression appt?

 Increased VDO = Decreased freeway space

F and V sounds position of anterior teeth
Indirect retainers assist direct retainer to prevent displacement of denture base in
occlusal direction
Base metals long span bridge
FPD fracture bad design
Increased water: powder in gypsum
o Increased setting time
o Decreased setting expansion
Incidence
o Number of new cases/total # of people
Longitudinal incidence
Statistical signicance
o To reject the null hypothesis
Sterilization vs disinfection
Know case study (ratio) vs. cohort. (relative risk) Etc
PPO versus individual practice association
Telling a patient to switch from amalgam to composite because of amalgam toxicity?
o Veracity?
Knowing when to refer a patient?
o benecence
Classical conditioning, desensitization, operant conditioning, etc
Agonist have intrinsic activity; antagonists dont
Efficacy level of binding to receptor
Alpha 1 vasoconstrictor
Phenothiazines (anti-psychotics) block dopamine, tardive dysk
Fluoxetine (SSRI) inhibits reuptake of serotonin
Grand mal seizure tx phenytoin/dilantin
Acetominophen liver toxicity
H2 receptor blockers decrease gastric acids
Anti-arrythmia increase refractory period of cell
Nitrites/nitrates dilate mostly veins
Saw palmetto C/I with Coumadin
Gingko C/I with Aspirin
Herpes valacyclovir
Impending doom panic attack
Pregnant women syncope

o Inferior vena cava

2 year old uncooperative patient
o Have parent hold them down?
o Have assistant hold them down?
o Papoose them?
Which is more common social disorder?
o Depression or anxiety?
Can pregnant patients take BZD? no
Methotrexate
o Folic acid
o Turns urine red
Functional cusp bevel?
o Protect the pulp?
o Prevent overreducing?
o Structural compatibility?
PFM FPD multiple failures
o Improper metal framework design
ANB: maxillomandibular relations
What does not resorb?
o Rugae?
o Horizontal palate?
How far should you place ceph from the kid..5 ft, 6 ft, 60cm, 15cm
Hyperkeratosis of palms and feet with tooth loss in kids?
o Papillion-lefevre
Patient comes in with nitroglycerin patch and is taking nitroglycerin patches. Which
ASA classication? III
Lipid solubility
Diffusion
Class III caused by maxillary insufficiency
Which do you refer immediately to a physician temporal arteritis
Composition of GI cement
Why do you add cross linking to monomers?
o Increased strength?
Hypothyrodism in kids?
o Give vitamin D
Least likely to cause oral cancer
o HIV

 If you have an adverse drug reaction who do you report it to?

o FDA?
People on cortical steroids
o Adrenal insufficiency
Corticosteriods work
o By decreasing inammation in the airways
Acute asthma attack.
o Albuterol?
o Amiphyilline
o Theophyilline severe asthma
o Phenylepherine?
Immunouorescence?
o Pemphigus
IV bisphosphonates for 3 years
o RCT
Where do you do SRP?
o JE to.
Lower denture support?
o Buccal shelf
St. Johns Wart: whats it used for? depression
Which of the following potentiates anticoagulation? St. Johns Wart (other options:
licorice, camomile)
Which opoid is contraindicated for nursing mothers? (all 4 options were opiods)
Demerol, propoxyphine, pentozine, codeine (oxycodone)
Hypoglycemia, whats a risk factor? hypopituitary (other options: hypotension,
hypophoso)
Leukotrienes (potentiate inammation and cause attacks) asthma
What does/could uprighting a molar cause? Excessive open bite
Lots of questions on what the studies are
False neg/false positive
Impending dome, what is it? panic attack
Fear vs Anxiety anxiety for situation, fear is emotional for general?
Lots of questions
Necrotic pulp strict anaerobes
Toothbrushing -1mm; Flossing - 2-3mm
Generalized gingivitis 30%
Hopeless prognosis class II mobility
Multiple Myolma punched out lesions, plasma cells

 Neuromas men
Neurobromatosis caf au lait, axial freckling
Steven Johnson syndrome (erythema multiforme) what areas does it affect: eyes,
genitals, mouth
Freys Syndrome sweat when you get hungry around oricular temporal
Know t-cell count/CD4 for AIDS pt bad = 200-500 HIV <200 AIDS
Know INR 2.5
What percent of daily intake is fat? - options: 10, 20, 30, 40, 50%
40 yr old with pit and ssure uoride, no tx, prr, monitor
pt allergic to codeine, what do you give her for pain? Demerol (not vicodin hydrocodone, percocet - oxycodone, Tylenol - codeine)
Ortho histology of tooth and movement (pdl, bone, pulp, resportion)
Enamel hypoplasia to affect max central 3-6 mo
Asthma how to control? Options: Nitrous, voice control, general anesth
Case: Autism how to control? Options: iv sedation, nitrous, voice control, bdz
Case: Autism what is not contributing to his fear? Age, medical condition, past dental
history, parental fear
Case: ectodermal dysplasia (congenitally missing teeth) what is not appropriate/
meaningful question to ask the patient: can you pull your shoulders together
o Ortho question how do you proceed with closing the gap only between the
centrals ortho immediately then frenectomy
Recurrent caries on a class II proximal box
Dowel core vertical stop
Why not ept on tooth after trauma? options: neural damage or blood
Case: space maintenance; band and loop
Fixed- repeated questions
What do you want porcelain opposing porcelain or composite
Precision attachment RPD?
Carious exposure, when is vital tooth therapy indicated: immature tooth, low bleeding,
low caries
Case: sensitive to cold, sensitive to sweets, caries what do you do after you remove
caries: crown, endo and crown, temp, MOD; history of caries endo and crown; not a ton
of restorative crown depending on tooth structure left; not a lot of structure- endo, post,
crown
Remove Tori: max (y incision) mand (retract and grind); Denuded area of bone: let it
heal, send to oral surgeon, graft, rinse with h2o2 and eugenol
Nitrous oxide, use too much, what do you show symptoms of: multiple sclerosis
Odontoma radiograph

 ANB -6=class III

What would Opiod overdose cause? CONSTIPATION, resp depression, euphoria,
sedation, dysphoria, analgesia, urinary retention, increase intracranial pressure
Emphysema, can you give an Opiod? No
Pt with difficulty breathing (asthma, inhaler) cant: lido, epi, more than 2+appts/week,
lay at
What xray for midface fracture waters view
Sinusitis - CT
Why triangular axis for max central? Straight line access, shape of tooth, etc remove
pulp horns
Tooth avulsed, replanted within an hr? splint, wait, rct or splint, rct
Whats the most common? subluxation, crown fracture, or root fracture

Know the order of repair of cleft lip/palate

o Which do u do last? Repair cleft? Repair lip? Repair nasal deformity?
Remove teeth?

Trephination denition

Herpangina from coxsakie virus

ANB measures max /man plane

Prego
o U can give Tylenol if extraction

Know ordinal, ratio, and interval things

o Ex: bp and pulse measured in ratio
o Temp measured by what? Not sure

When do u do a sensitivity test?

o I put when recurrence of infection after intial AB tx failed?

Tons of questions on primary, acute herpes gingivostomatitis

ANUG
o Tons of questions


13 year old with 1-3 mm pockets and bleeds a lot
o Chronic gingivitis

7 year old with swollen gums, fever, malaise, easy bruising?

o Acute leukemia, chronic leukemia? Peridontits?
o I put acute leukemia

candida

Crouzon- beaten metal skull

Gardners- supernumerary teeth, inte polyps, epidermoid cysts, etcc.

Which disorder doesnt have premature exfoliation of primary teeth?

o I put cliedocranial dysplsia

Few questions on PA cemental dysplasia

Lots of endovitality, pulp dx tests etcc..

Lots on pt compliance, and pedo (Read mosbys pt amnagment section)

Studies
o Case controlodds ratio
o Cohortrelative risk
o Spec, sens
o Etc

Where is def on dep and indep variable?

o I put methods

Which LA makes GABA

o Cocaine?

Crown: rt ration acceptable= 1:1

Pt has no post teeth in max arch and u need to make a CR record, what do u do

o Make a record base and occlusal rims

Good samaritain law

Impending doom-panic attak

Ugly duck stage

o Diastema in max CI and lat I

Veneers, which stage is most technique sensitive? Finishing, prep, impression,

cementation, shade selection

Veneers on max anteriors and PMs, which tooth do u make slightly darker for
nat look?
o Canines?

Value, chrom, hue

o Value= whitness/blackness?
o Value is most imp

Pic of odontoma

Pic of mand tori

Pic of zygomatic arch

Pic of ameloblastoma

Pic of ranula or hemangioma?

o They said 3 cm sac in ant oor of mouth lled with blue uid, I said
henamgioma bec of blue uid?

3 year old with spont pain, what tx? Pulp cap, RCT? Pulpotomy?

4 year old loses both primary 1 molars, what space maintenance? None needed
so young?

BZD needed in pt with liver ds, which can u administer?

o Diazepam? Oxazepam? Dont rem other choices, look up


Asthma
o Steroids to reduce inammation of airway

Metaleukast rx mechanism

Sulfonyly urea drug mech

Macroglossia and Megaloblastic anemia- vit b def

Koplicks spots in rubella (no oral lesions in mumps and rubeola)

Easy perio stuff

Implants
o Dont want to damage IAN, what o u do? Look on pan, measure bone on
PA with grid?
o No metal (SS) used to clean
o Disadvantage of cement retained? Not retrievable

Initiator in PVS?
o Lead dioxide? Sulfur?

Synersis and imbition occur in irreversible hydrocolloids

o Pour immediately

Luxation
o Splint for 10 days

Intruded tooth =necoris

Lots of old questions

Hypoglycemia vs hyperglycemialots of questions

o Type 1 diabetic- most likely to have hyperglycemia

Ginsing CI aspirin

Diabetes CI steroids

Bacteriostatic drugs stop pr synthesis

Pen CI tetracylcline

B blockers- decrease force of contraction

ASA classication, 2 questions

9 year old with infection of perm 1M with lamination of RO and RL lesion around
bone?
o Proliferative periostitis

Turners tooth
o From infection

Tooth with most caries?

Space analysis from perm canine-canine

Best px of oral cancer is seen in which population? Blacks, whites, Hispanic,

Indians?

Lesion that is pedunculated? Papilloma?

Cleft palate assoc with what in preg? Def in folic acid, or alcohol?

Penumbra is decreased by what?

o I put dec object-target distance, not sure

Something about ph and pka

Ciritcal ph= 5.5

Lots on loc aggressive PD

o Bacteria= AA
o Location= perm 1M and incisors

o Not from plaque

o Can be from neutrophil problem
o Give systemic antibiotic to kill PD pathogens all over mouth not just in
localized area

Acute PA pain tx? Remove pulp

Dx test used to? Reproduce pain or eliminate pain

Apexication/genesis

Immunoourescence= pemphigus test

Pemphigoid= positive nikolsky sign

Ectodermal dysplacia-oligoontia

Neurobiromatosis
o Lisch nodules, caf au lait, axillary freckles

Grand mal seizures-phenytoin

Zantac- H1 recpetor for peptic ulcers

Perm max central is linual to normal position, why? Prolonged retention or early
exfoliation of primary tooth?

Cracked tooth- mand molars

MB root fracture of max 1 M, root amputation needed. Cut off root at chamber
and smooth for hygiene

Dowel-vertical stop

Palatal grooves of which teeth associated with PDD?

o Not sure, max molars, max Is, etc?

2 M has min keratinized tissue and u need to do PD sx, what can u not do?
o Distal wedge? Apically positioned ap (I put this), etc..


Free ginig graft gets blood supply from donor or recipient site? CT or
epithelium?
o I put recipient CT

Full thickness ap= periosteum+ CT+ epithelium

Compontent of GI

Components of resin
o Bisgma, silane coupler and initiator

Resin has therm coeff of expansion thats the highest

Erosion, abfraction, abrasion

On xrays root caries on proximal look like cervical burnout

Non-maleence
o CE courses and referral

Change dates for ins companies= fraud

Hesitant pt, can u help them ll out forms?

Liquid sterilization
o I put gluteraldehyde, also had alcohol, etc..

Non working interfenrences occur where?

Protrusion interfences occur where?

Pt moves jaw to left which muscle is resp?

o Left or right Lat pterygoid? I put left

ORN mainly in mand

Iv bisph for over 3 years RCT of root tips


Implant Can be placed in INR=2? Not above?

Least caries seen in mand ant teeth

Highest recurrence OKC

RCt done on max PM and has MO amalgam and years later has RL lesion? Re=tx
conventionally

How do u know how to adapt a perio instrument?

o Terminal shank? Tip of instrument? Handle?

Specicity identies which individuals are free of a disease

Which disorder doesnt have premature exfoliation of primary teeth - cliedocranial
dysplsia
Endo Diagnosis know this section very well
Cohort study relative risk
Minimum acceptable crown:root ratio = 1:1
Picture of an odontoma
Panoramic x-ray pterygomaxillary ssure
Panoramic x-ray hyoid bone
x-ray periapical cemental dysplasia
which area has the highest incidence of implant success anterior mandible
Picture of a lesion in the anterior mandible differential diagnosis: adematoid
odontogenic tumor, central giant cell granuloma, nasopalatine duct cyts
When mixing alginate, how do you slow the setting process use cold water
When mixing gypsum how do you decrease setting expansion use more water in the
mix
Which material cannot be used for metal castings? irreversible hydrocolloids
A lot of questions on hypoglycemia, hyperglycemia
Penicillin cannot be combined with tetracycline
Ginseng cannot be combined with aspirin
Poorest prognosis for oral cancer Blacks
What happens when you increase voltage shorter wavelengths, higher energy waves
Best method for diagnosing pulpal pathology thermal tests (pretty sure this is the
answer)
Ectodermal dysplasia oligontia
External bleaching completed for 2 weeks placement of veneers following a 2 week
period
Grand mal seizures phenytoin

Least likely tooth to be congenitally missing I put canine

If patient is taking bisphosphanates (case study) should complete RCT
If anterior incisor erupts lingual to normal due to prolonged retention of primary
teeth
Free gingival grafts blood supply comes from donor CT
Know psychology well a lot of questions on conditioning, de-sensitizing, etc
Know ethical principles well autonomy, benecence, non-malecience
Jaw moves forward I put that both condyles are translating
Highest incidence of vertical fracture mandibular molars
Nonworking interferences maxillary lingual cusps, mandibular buccal cusps (conrm
this in the prosth section)
ANUG dont use antibiotics if there are no systemic effects
Picture of lichen planus
First action when a le separates on the lingual surface of a premolar answers were
weird, best answer was to offer the patient referral to an endodontist
Primary teeth large pulp horns
Kernicterus excessive bilirubin in blood
A lot of uoride questions
Vertical BW x-ray (in a case study) more alveolar bone is exposed
Lesion on buccal mucosa, no scarring minor apthous ulcers
Angular cheilitis treat with topical antifungals (antifungal infection)
Functional cusp bevel increases resistance
Patient with a PFM crown that is overcontoured (case study) not enough reduction of
the preparation, too much metal, too much porcelain
Easiest defect to ll 3 walled defect
Best prognosis for guided tissue regeneration class II furcation
Endo-perio lesions a lot of questions (can be separated via vitality tests)
Chronic periodontitis scaling and root planning but no antibiotics (most effective for
juvenile periodontitis)
X-ray with nutrient canals
A lot of questions of in-office emergencies syncope, allergic reaction, etc
Most common respiratory difficulty in an office asthma
Side effect of Ritalin appetite suppression (case study question)
Non-verbal communication not as reliable as verbal communication
Remineralized enamel I put that it is more resistant to decay (not sure if this was the
right answer)
Picture of a sinus tract (case study) tooth was previous traumatized
Prostaglandins stimulates prostaglandin synthesis
Implant hex used for anti-rotation
Heroin addict, should not give morphine mixed agonist-antagonist reaction
Convulsions caused by hypokalemia

Implant success rate after 10 years 95%

Percentage of Americans with uoridated water most correct answer was 65% (I
would look this up because the answers were weird)
Closed xation due to fractured jaw 6 weeks
Where is a sialolith most likely submandibular gland
Incidence of cleft lip/palate 1/700
OKC most recurrent
Radiograph of dentinal dysplasia
Traumatized either damage to the nerve supply or damage to blood supply (I wasnt
sure which was correct)
NaOCl vs. EDTA
Fiber post similar modulus of elasticity to dentin
Maxillary sinus best viewed using Waters view

There was another question that didnt include Waters view as an option I put
MRI
Best way to view TMJ I put MRI
Graft from one individual to another (not genetically identical) allograft
Healthy implant less than 0.1 mm of vertical bone loss/year, no mobility
Gingevectomy bleeding points help outline the incision
Muscle most radioresistant cell
Young person with perio disease vs. older person older person has a better prognosis
Diastema wait until canines erupt
Best way to predict when tooth will erupt look at root formation (roots typically 2/3
formed when teeth erupt)
Crossbite should be treated immediately

One question gave options about treating a crossbite and asked what not to do
I put observation as an answer
Articaine metabolized by plasma esterase
Fluoxetine serotonin reuptake inhibitor
Least likely to cause oral cancer? hairy leukoplakia, dentigerous cyst, HIV
Adverse drug reaction reported to the FDA
Best esthetic result (case study) porcelain crowns
Know angles classication, ANB
Radiograph of slight radiopacity of the maxillary sinus I put maxillary sinus
pseudocyst
1. Cross link bonding in PMMA: Benzoyl peroxide
2. Know the HEMA and BIS-GMA
3. Most reason for hyperemia under denture is candidosis
4. The least important factor about root under overdenture is the crown shape-root, perio,

caries control are important

5. Primary role of anterior teeth, esthetics- secondary, ver and hor overlap
6. Cheek biting in CD, lack of horizontal overlap
7. Working side condyl adjustment can be done either by protrusion or working side
record
8. Minimal reduction for PFM 1.5mm for incisor reduction 2 mm- due to translucency
effect of the incisor l edge
9. Coping does not t in FPD, cut and index of the prosthesis
10.Incorrect procedure before xing the indirect veneer, etching tooth with HF acid. All
others were correct
11.Best long term prognosis of complete edentulous pt considering the ridge resorption ,
esthetics and comfort is the over denture on implant
12.Be aware of deep of restoration in operative. Exp, class one cavity lling with amalgam
on the x-ray, deep is not in to the dentin. Very shallow, retreatment with increasing the
deep
13.Reduction for gold crown 1 mm functional cusp, 1.5 mm onlay
14.Be aware of crown to root ratio on the x-ray in treatment planning( day 2)
15.Know the gauges for sprues and needles ( 8- 10- 12 for sprue, 25- 27- 30 for needles)
16.Small under cut of bout tuberositis I CD. What to do? 1- surgically reduction of both
2 reduction of one of them 3- compensate with waxing on the denture 4- soft liner
( Sultan thinks 3)
17.Indirect retainer is not needed in tooth born RPD
18.Know the altered cast technique
19.The most effective feature for crown retention is axial convergent ( 6) not the pin or
groove or box, however between the last three the box is more retentive than groove and
pin respectively
20.Most disadvantage of polyether impression materials is inability to proper disinfection
due to dimensional instability in the present of moisture extreme stiffness and
inability to remove form undercut was not in the answer choices
21.Additional radiographic method for supernumerious tooth is CAT Scan or occlusal
22.Be aware of earrings and piercing in e-ray
23.Leas radio resistance tissue is the bone marrow then thyroid gland
24.90 KVP and 15 mA from 8 inches distance and 0.5 second exposure. If the dentist will
increase distance , to 16 inches and he/she wants the same density and contrast what
would be the exposure time ( 0.5 , 1, 2, 4 second) Sultan thinks 2 second??
25.Percentage of reduction to the pt by using the rectangular collimation instead of round
( a question from the space)??? 10 -30 -60 -90 ( sultan guesses 60)
26.Know the chronic periradicular abscess and chronic periradicular periodontitis
27.Best long term graft is auto graft
28.First pulp vitality test is the thermal test not EPT
29.You must know and be able to recognize on the OPG the different type of the bone D1
.D4
30.Be able to distinguish cervical burn out and class 2 caries.
31.Pt has recession on the facial aspect of tooth 14, no sensitivity

and no esthetical

concern of the pt, no treatment

32.Scaling and root planning can be either done in control and maintenance stage of
therapy
33.After extracting the tooth 14, tooth 15 will move mesially bodily if pt is young, and
mesiallly or mesially with mesiolingual rotation if the pt is older,
34.For extracting mesiodent can be done several periapical radio with different angle and
occlusal for determination of the location of the tooth.
35.For restoring the class 4 cavity of fracture of upper inisals the most important

consideration is the protrusive movment not working side

36.Bilateral band and loop is better befor age of 6-8 and lingual arch is better after age of
8 when the incisor teeth have been erupted due to lingual eruption of these teeth
( lingual arch may interfere with them
37.Intrusion of tooth 8 in the pt 25 years. 1-Splinting 2-reposition 3-extraction 4 endo ,
Sultan thinks 2
38.Hawley appliance will not treat the single rotated tooth, since it can just tip the tooth
using nger spring
39.Lateral upper incisor start calcication after canine do, in 10 month, canine and central
approximately 4-5 moth
40.In taurodontism the pulp will move: 1- apically 2- coronally 3- apically and coronally 4mesio distal ( Sultan checked it, the answer is 1, oor of the cavity will move apically
form Wikipedia
41.Know the PT, PPT and blooding time very good, and there indication. Lots of
questions.
42.First manifestation of cavernous sinus thrombosis is the pain in eye ( Sultan thinks )
elevate temperature was not in the answers
43.Radiolucency between the apex of two teeth can be all of the following except: 1keratocyst 2- lateral perio 3- cementblastoma 4- radicular ( Sultan thinks 3cementoblastoma can be either completely radiolucence or with the radio opacity in the
center
44.Most serious complication of Ludwigs angina is edema of glottis
45.For esthetics the tip of the platform of implant should be in what level comparing with
the gingival margin of adjacent toth: 1 - 2 mm coronal 2 - 5 mm coronal , 3- at the same
level , 4 1-2 mm lower
46.Never do immediate loading after sinus lift.
47.Bisphosphonate drug effect: inhibit the activity of osteoclasts
48.Different between under lled class 1 composite and occlusal wear in the photo( day 2)
check the occlusion , if there is a contact with opposing tooth it is olcclusal wear , if the
opposing tooth is under occlusion or it has been missed then under lling
49.Doctor says to the pt that all her/his amalgam restoration should be replaced by
composite because amalgam has mercury and the following has toxicity. Answer is
Veracity , doctor lied
50.How long wait after bleaching to restore the tooth with composite? 1 - Restore before,2 immediate after, 3 -next day , 4 - week after ( Sultan thins 4)
51.Know the delay expansion of amalgam and its reasons and outcome
52.Know number of hand instruments and surgical forceps
53.With increasing the number of blade in bur- less reduction and more smooth.
Remember the amalgam polish bur
54.Memorize the coefficient of thermal expansion, I mean the numbers, from dental decks
operative. There are some stupid questions about them like what is the Coefficient
thermal expansion of amalgam. Answer is 22-28 ppm/c * 10
55.Try to memorize the percentage , effects, indication and contraindication of NaF, APT
and Stannous uoride
56.NSAID are contraindication with steroids , both will lead to GI problem day 2
( Sultan think)
57.The steam under pressure cycle? 1- 100 t and 10 psi , 2- 100 t and 20 psi, 3- 121 t and
10 psi, 4- 121 t and 20 psi. ( in the materials it has been mentioned that 121 t and 15 psi
is the standard cycle, however Sultan thinks 4 is correct)
58.The governmental budget for dental treatment is coming from? 1- medicade
medicare
3- PPO 4- HMO ( Sultan does not think anything in this situation)
59.Read tuft pharmacology, very helpful
60.My exam on 30.04.2012/01.05.2012
61. ANUG debriment+peroxide -------in HIV use antimicrobial--- no attachment loss
62.Interimplant distance? 3mm, 4mm, 5mm
63.Prevalence of cleft lip/palate in US? 1/700

2-

64.Brown discoloration in the margin of veneer after 1 year? Breakout of coupling agent,
discoloration of the amine, reduction of the cement in the margin of the veneer
65.Most cases of oral cancer? Black men
66.Mechanism of digitoxin? Positive inotropic effect
67.Which one is not a symptom of aspirin toxicity? Bradycardia
68.Which LA causes MH? Prilocaine
69.All Symptoms of LA toxicity except? Bradycardia and respiratory depression, nausea and
vomiting, dizziness,
70.NO contraindicated in? Sickle cell anemia, Hemophilia, nasal congestion, asthma
71.What happens as a result of long term mercury toxicity? Hair loss, weight gain, vision
impairement
72.Low occlusal plane is most likely to cause what? Excessive stress on the ridge (?),
73.As patient ages: increased show of maxillary incisors, decreased show of mandibular
incisors,
74.Statistical test used to compare the mean DMFT among three groups: t test, chi square,
anova
75.Know some facts about ginseng
76.Bleaching of the endodontically treated teeth most likely results in: External cervical root
resorption, inammatory root resorption, internal cervical root resorption
77.Rapport= sympathy
78.Several questions about informed consent, modeling, fear and anxiety
79.The most common reason for heart attack in children? Drowning (?),
80.Factor most likely inuencing cerebrovascular accident: age, gender, medication, sth else
81.Demineralized freeze dried bone has: Insulin like growth factor, tumor necrotizing factor,
bone morphogenic protein, sth else
82.Case: 9 year old boy presents with ant. Maxillary open bite, incisal protrusion and
posterior cross bite. He has sickle cell anemia.
83.What is the dental anomaly associated with his systemic condition?
84.He takes folic acid, why?
85.Know the number of forceps
86.Case: Patient with diabetes type2, Hep C, Depression: ASA 3 or 4?
87.Patient with loose partial denture has a 1cm lesion on the lateral border of tongue. The
lesion could be: recurrent aphthus, trauma of denture, leukoplakia (doesnt say
anything about pain or how long it has been there)
88.14 year old girl has asthma, severe crowding of anterior teeth, ectopic eruption of
Canines, dental angle classication 1. Has white patches on her oral mucosa: Best
treatment for her ectopic canines? The reason for the whit patches? With ANB=6, what is
her skeletal classication? Also one question about her facial prole (dolicocephal,
convex, nasolabial angle, nasal deviation)
89.1 Liter of 1ppm uoride equals how many miligrams of uoride?
90.
As2la+dftr+syndromes ----- 3-4 days
Pharma ----3 days
As2lt oral pathology+ as2lt pt management---- 1 day
Clinical cases + pict ----1day
x ray pic
S: patient presented in our clinic for SCRP
A/O:RMH: nochange

Bp:130/79
P:77
P: anesthetized w 1 carpule lidocaine w epi 1:100000 inltrations. LL AND UL
Qaudrent, SCRP UR LR SIDE.
Patient handles the procedure well. Treatment plan was discussed w the patient and
patient agrees on the given treatment.
N.V. picture, impression
the most common disorder for adult is: 1 depression,2 dementia
2.how much incisor preparation for veneer is: 1 0.3 2 0.5 3 1.0mm
3.patient got trauma on lower lip and make nodule rm is:1 traumatic granuloma 2
mucoele
4.most common sign for inammation of cavernus sinus is:1 opthalmologia 2 partial
loss vision
5.most common cause infection on cavernus sunis in :inamation in upper teeth
6.if u have patient 1 year old,how can u make check his teeth:put his head on my legs
and remain his body with his parents
7.referral pain on supercial temporal area from:?maxillary second premolar
8.which one of them pay more percent on dental treatment in US:1 people 2 third party
3 government insurance
9.which analgesic durg give for pregnant woman?acetopatamin
10.nikolosky sign:pemphigus vulgaris
11.patient take biphosphonate how u can extract his anterior teeth? I answered by
amuptution the crowns and leave the roots by ap
12.if we double the distance between the patient and X-ray device,how many time the
intensity will decrease:1 2 2 4 3 8 4 16
13.most important factor for post. comp.:technique and case selection
14.one of side effect of N2o:noseia
15.one of side effect use of corticosteroid:???
16.which test we make for extraction is:INR
17.how the warfarin work as anti-coagulant? on vit k
18.how can u treat patient after u treated and come back to u after 24hrs?1. 2 dose of
amoxicillin 2g 2. 1 week for erythromycin with qid 3 No treatment
19.white patiches on cheek when u streched that disappear,what is it:leukoderma
20.prilocaine:metheglobinimia
21.presence of vasoconstrictor in anasthesisa work as less:1 systimic absorption 2
metabolism
22.stridor:laryngospasem
23.side effect of cortico steroid therapy:oestoporosis
24.if u made separation of le while in RCT treatment HOW do u deal with patient?1
offer him referal to specialist 2 record it and continue your treatment
25.if u want to diagnosis TMJ,which method do u use it?1 CT scan 2 panoramaic x-ray
3 MRI
26.which tooth most common accidentally fracture:upper central incisor
27.when u got pregnant woman with hypertension what does that mean:precamlsia
28.patient with down syndrome has:mid face defect

29.patient with down syndrome has:small cranial base bones???