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healthy 66 yo patient who had MI 8 years ago needs extraction. Treatment with what kind of anesthetics? - ✔✔Extract in office with LA + vasoconstrictor Application of cold to a tooth will temporarily relieve pain in... - ✔✔pulpal necrosis injection for extraction of maxillary canines - ✔✔Infraorbital & Palatal osseous resective surgery is best suited for periodontal sites with... - ✔✔early to moderate bone loss what should not be prescribed for patient on warfarin? - ✔✔
- acetylsalicyclic acid
- metronidazole
- erythromycin 9 years old, anterior diastema, distally inclined maxillary incisors...what treatment? - ✔✔no treatment necessary how to disinfect GP cones prior to obturation? - ✔✔immerse in 5.25% sodium hypochlorite occlusal prameter used to differentiate between an overbite of dental or skeletal origin is... - ✔✔Mandibular curve of spee a single adjustment of an expansion screw in a removable appliance for dental arch expansion will cause an expansion of how many mm? - ✔✔0.25mm predominant Ig in saliva is... - ✔✔IgA
anatomical structures making up inverted Y in maxillary PA... - ✔✔- floor of nasal fossa
- maxillary sinus border adrenal corticosteroids does this... - ✔✔reduce inflammation (think immunosuppression) Dens in dente is most commonly associated with - ✔✔anterior teeth PA infection from mandibular M2 may spread by direct extension to the following... - ✔✔- buccal space & vestibule
- sublingual pace
- submandibular space most important factor in deterining the dosage of sstemic fluoride supplementation is - ✔✔total daily fluoride intake (instead of patient age and water fluoridation, i think they are trying to make a point on finding out the patient's fluoride sources) the surgical risk for a patient with oganic heart disease depnds upon - ✔✔Cardiac output immediately after trauma, tooth tests non-vital...what should you do? - ✔✔wait and re-evaluate because pulp tests not accurate immediately after trauma clinical management of gingival enlargement caused by phenytoin therapy includes... - ✔✔gingivectomy and maintenance of good oral hygiene leeway space in an 8 yo child... - ✔✔is approximately 3.5mm in mandibular arch 5 yo with multiple well-defined multilocular radiolucencies of maxilla and mandible - ✔✔cherubism
Risk of contraction hep B through needlestick injury from a chronic hep B carrier is increased when the patient's serology report indicates the presence of... - ✔✔HBeAG most common cause of trigeminal neuralgia is... - ✔✔compression of the cranial nerve V sensory root salicyclates are preferred over acetaminophen for their - ✔✔antiinflammatory action a patient diagnosed with multiple mucosal neuromas should be further evaluated for the possibility of - ✔✔neoplasms of endocrine organs 62 yo female, CD, never smoked, what kind of lesion is most likely to progress to SCC? - ✔✔a smooth red patch of the mid posterior dorsal tongue oral foci of infection are of greatest concern in patient with (a disease)... - ✔✔rheumatic heart disease therapeutic INR for a-fib is... - ✔✔ 2 - 3 patient fell on chin, fractured right subcondylar region would reveal... - ✔✔- trismus
- pain and tenderness abx of choice for periradicular dental abscess is... - ✔✔Penicillin V 3 wks history of prolonged tooth pain to hot and cold 3 days ago symptoms changed to moderate pain on biting with dull spontaneous ache relieved by cold Dx? - ✔✔chronic periradicular ascess the bond between porcelain and metal in a ceramometal (porcelain onded to metal) crown is.. - ✔✔chemical
child with painful, fiery-red, diffuse gingivitis is...(dx) - ✔✔primary herpetic gingivostomatitis necrotic pulp can result in ths - ✔✔chronic periadicular periodontitis what conditions are associated with unerupted tooth? - ✔✔- odontogenic adenomatoid tumor (OAT)
- calcifying epithelial odontogenic tumor (CEOT) lower central incisors still respond to heat, cold, EPT..what pathological condition? - ✔✔Periapical cemento-osseous dysplasia radiographic appearance of CGCG is similar to this.. - ✔✔hyperparathyroidism physical sign of impending syncope is - ✔✔pallor what is most likely to be misdiagnosed as proximal caries on a BW of posterior teeth? - ✔✔cemental tear myxedema is associated with excess/insufficiency of which hormone? - ✔✔insufficient thyroid hormone condensing osteitis in PA regions is indicative of a... - ✔✔chronic inflammation of the pulp a severed artery during surgical procedure is best treated by - ✔✔clamping with a hemostat tetracyclin stain on maxillary & mandibular incisors and permanent first molars, when was abx received?
- ✔✔1yo in children, most common cause of fistula is... - ✔✔suppurative periradicular periodontitis 8yo, all primary molars present cusp-to-cusp relationship on permanent M1s, what to do? - ✔✔observe
malignat bone lesion of mandible - ✔✔- osteosarcoma
- ewing's tumor selective grinding for equilibration CD is most accurate when the dentures are - ✔✔rearticulated with a new series of jaw relation records syndrome that has multiple cyst of the jaws - ✔✔gorlin-goltz Vit B2 deficiency usually arises in patients - ✔✔- who are elderly
- w/ acute infection
- consuming high protein or fat diet
- taking systemic abx between age of 6-12, length of mandibular arch from permanent left M1 to right M1 will normally...(increase or decrease?) - ✔✔decreases with eruption of premolars differential dx for gingival enlargement should include - ✔✔monocytic leukemia which brain struture may be associated with nocturnal bruxism? - ✔✔basal ganglia (nigrostriatal) on a semi-adjustable articulator, the incisal guide table represents... - ✔✔a mechanical equivalent of the horizontal & vertical overlap of anterior teeth cytologic smear - think exfoliative cytology - think - ✔✔1. candidiasis
- herpes simplex paget's disease, bone pain or not? - ✔✔yes
two composite restorations on same tooth - ✔✔charge as two restorations what causes crenated (scalloped) tongue - ✔✔macroglossia Ludwig's angina may cause death by - ✔✔asphyxia major reson for not removing a M3 with acute pricoronitis is the risk of - ✔✔spread of infection what jaw lesion can be removed by curettage - ✔✔CGCG premedication preior to general anesthesia... - ✔✔- lessen metabolic activity
- depress relfex irritability
- control excess salivation Thiopentone sondium (Pentothal) advantages: - ✔✔- smooth pleasant induction
- good sleep production
- rapid recovery
- acceptability for both young and old minimally acceptable percentage of oxygen in safe GA mixture is ... - ✔✔20% IAN block, needle penetrates oral mucosa and the--- - ✔✔buccinator muscle lateral to the pterygomandibular aphe left infraorbital nerve block anesthesizes - ✔✔- left maxillary premolar, canine, and incisors most common venipuncture is - ✔✔hematoma
Ach - ✔✔- NT for both sympathetic & parasympathetic gang.
- both muscarinic & nicotinic actions
- rapidly hydrolysed in body by cholinesterase prescribe drug for anxious dental patient with peptic ulcer - ✔✔diazepam a natural alkaloid obtained from opium - ✔✔codeine most important first aid measure in facial injury management - ✔✔establish and maintain an airway a patient under corticosteroid therapy requires an extraction under LA. You would... - ✔✔proceed with extraction w/o alteration of the corticosteroid therapy diazepam (valium) - ✔✔- benzozdiazepine
- contraindicated in glaucoma
- anxiolytic
- produces muscle relaxation when given orally nitrous oxide analgesia or IV using diazepam in healthy patient, you would require... - ✔✔- patient be supine
- patient have no food/drink for 4 hrs prior
- emergency drugs available
- oxygen available describing dry-socket - ✔✔continuous severe pain with no swelling buccal infiltration anesthesial for removal of max. premolar, patient complains sharp pain in the cheek which blanches. This is a result of... - ✔✔stimulating sympathetic nerves around an artery
what is the strongest stimulus to respiration? - ✔✔increase in arterial carbon dioxide bilateral dislocated fractures of mandibular condyles result n... - ✔✔- anterior open bite
- inability to protrude the mandible fact VIII hemophiliac. which lab finding is typical? - ✔✔- prolonged clotting time acute PA abscess originating from a mand M3 generally points and drains in the.. - ✔✔submandibular space during ext of max M3, tuberosity is fractured. Tooth w/ tuberosity remains attached to surrounding soft tissue, you should... - ✔✔leave both & stabilize, if possible oral flurazepam is superior to oral diazepam s - ✔✔a hypnotic is Nitrous oxide explosive and flammable? - ✔✔no use of nitrous oxide analgesia produces ringing in th ears why? - ✔✔due to increased pressure in the middle ear Hydrochlorothiazide is used to treat... - ✔✔- hypertension
- congestive heart failure Cardiovascular collapse caused by a high circulating dose of a LA is due to... - ✔✔myocardial depression allergy to para-amino benoic acid derivatives, which LA can be used safely? which cannot be used? - ✔✔cannot use esther. Use amide in primary molars, radiographic bony changes from an infection re initially seen in... - ✔✔in the furcation area
celph, most stable point in growing skull is... - ✔✔sella turica endomorph - ✔✔short & fat when does PDL achieve final structural form? - ✔✔until tooth reaches a functional occlusion clinically normal gingiva, distance btw bottom of sulcus & alveolar crest is - ✔✔1.5-2mm vitamin D deficiency in ADULTS causes - ✔✔osteomalacia tooth grinding is due to - ✔✔stress alone..according to answer important clinical sign's of gingivitis - ✔✔BOP and cyanosis of tissue (remember cyanosis) clinical diagnosis of NUG is This is confirmed by - ✔✔- pain
- interdental papillae covered by greyish-white membrane microscopic exam of gram stained smear what kind of drugs influences perio treatment planning? - ✔✔- insulin
- cortisone
- nitroglycerin
- dicumarol (anticoagulant) narrow "slit-like' areas of gingival recession over the roots of teeth are called - ✔✔clefts
vit A deficiency during tooth development may result in - ✔✔enamel hypoplasia efficacy of pit & fissure sealants is affected by - ✔✔stage of tooth eruption root surfaces that have concavities and make SRP difficult - ✔✔mesial of max P mesial of mand incisors which fibers make up gingival collar (cuff) - ✔✔circular trauma from occlusion affects blood supply to gingiva T/F? - ✔✔T histopathologic changes in chronic gingivitis are characterized by - ✔✔disruption of gingival fibers and inflammatory infiltrate of plasma cells and lymphocytes destruction of bone in perio disease occurs in wht kind of cycle pattern? - ✔✔random how long does it take bacterial plaque to form acid from sucrose - ✔✔ 2 - 10min what enamel structure is most resistant to action of acid? - ✔✔interprismatic substances green vermillion index measures... - ✔✔oral hygiene hypochroic anemia is associated with - ✔✔Fe deficiency most common cause of class I malocclusion - ✔✔inequity between tooth size and supporting bone site for development of bottle caries syndrome - ✔✔gingival area of maxillary incisors
inlay wax patterns should be invested asap in order to decrease distortion cuased by - ✔✔rlease of internal stress use of reservoir on the sprue of a wax pattern decreases - ✔✔casting porosity during solidification GP may be softened or dissolved w/in root canal by - ✔✔Xylene prime advantage of vacuum firing of porcelain is - ✔✔increased strength lower mercury content will affect strength in what way? - ✔✔increase strength GI contain... - ✔✔fluoro aluminosilica powder & Polyacrylic acid barbiturates are excreted by - ✔✔kidney penicillin that is least resistant to level of acidity in stomach - ✔✔benzylpenicillin (do not administer po?) warfarin acts by - ✔✔inhibiting prothrombin synthesis in liver abnormally large pulp chambers - ✔✔regional odontodysplasia multiple fractures and blue sclera - ✔✔OI Plaque Index of Silness & Loe measures - ✔✔quantity of plaque at gingival margin lowest level of Fluoride in drinking water that will cause enamel mottling is - ✔✔3.0ppm propylthiouracil is used in treatment of - ✔✔hyperthyroidism
propoxyphene (Darvon) has become an important drug of abuse because - ✔✔in combination with alcohol its effects are greatly intensified Periodontal disease is most likely to cause tooth loss in which age group? - ✔✔ 65 - 75yrs characteristic sign of aggressive periodontitis in an adolescent (juvenile peridontitis0 is - ✔✔drifting of the teeth pulpal floor of a class II cavity is cut perpendicular to long axis of tooth EXCEPT in which tooth? - ✔✔mandibular 1st premolar area of tooth that is most sensitive during cavity prep is - ✔✔DEJ in taking interocclusal wax record in PROTRUSIVE position, what to check for? - ✔✔check that the patient has not closed in a lateral position which tooth is immediately distal to the intermaxillary suture - ✔✔maxillary central incisors for mandibular denture impression, the muscle determining the form of the lingual flange in the molar region is...for anterior region is... - ✔✔mylohyoid genioglossus denture clicking..what are likely causes? - ✔✔excessive VDO & poor retention longer amalgam trituration increases or decreases strength? - ✔✔decreases advantage of resin bonded bridges are... - ✔✔- improved aesthetics compare to traditional bridge
- tooth structure conservation
- short chair-side time
in serial extraction, most common order of tooth removal is - ✔✔primary canine, primary M1, permanent premolars Trephination is indicated when - ✔✔pus is trapped w/in bone mandible grows primarily at these two location - ✔✔condyles & posterior border of ramus mechanisms of growth of naso-maxillary complex - ✔✔- sutural
- cartilaginous
- appositional what can you do to reduce the tendency to post-ext complication of dry socket? - ✔✔pre-op mouthrinse of 0.2% chlorhexidine gluconate lateral pterygoid muscle pulls the disc of TMJ in which direction? - ✔✔forward & medially during CPR, external chest compression of an adult male should be how many cm? - ✔✔ 4 - 5cm excessively dark radiograph will result from - ✔✔- overexposure
- excessive millimperage luting material that will bond to enamel are - ✔✔polycarboxylate & GI premolar with occlusal grove pattern of a Y is... - ✔✔mandibular P what is ketorolac? - ✔✔NSAID hypercementosis at root apex is often asociated with... - ✔✔Paget's disease
perodontal condition showing loclized advanced vertical bone loss involving M1 and incisors...think - ✔✔Juvenile periodontitis Girls are how many years ahead of boys in terms of growth? - ✔✔2yrs main support and most numerous PDL fiber is... - ✔✔Oblique Primordial cyst probably resutls from - ✔✔cystic degeneration of the stellate reticulum early in the formation of the tooth curve of spee is greatest in which malocclusion relationship? - ✔✔Class II is there difference in the response of basal and alveolar bone to pressure? - ✔✔yes optimal time for ortho treatment involving growth manipulation is during - ✔✔late mixed dentition maxillary CI erupting in lingually directed path should be... - ✔✔corrected before it reaches the occlusal plane Mesioden in 7 yo. #9 erupted partially & #8 not erupted. Proper treatment? - ✔✔remove mesiodens &observe progress carefully mouth breathing, which angle's Class? - ✔✔Class ii Div 1 Frankel functional regulator - ✔✔- for treating Class II Div 2
- increase VDO
- reposition mandible foward
- expand dental arches
- a removable appliance
