nbde ii questions

7/23/2019 NBDE II questions

1/88

NBDE II remembered questions, late June 2012

1.Hypertelorism + midfae de!ieny " beaten metal appearane#rou$on%s

syndrome

2.N&' ()i) one e*eptfetid odor, fenestration of um , rapid onset, poor

oral )yiene

-.ray taret made of tunsten

/.'roup (it) most untreated aries in permanent dentitionblas

.omet)in about pain pereption in di3erent ultures di3erent t)res)old,

di3erent pereption, stimulus a(areness 4 not sure5

6.7iture of leuemia

8.9edian r)omboid lossitis piture most assoiated (it) andidiasis

:.HI; ell numbers are important, t/ is -0 most immunoompromised

uestions about aries fators

12.9anaement of anry patient

1-.?apport most related to t)e onept of empat)y

1/.#arbama$epine used for bot) epilepsy and manaement of pain of neuropat)i

oriin

1.'insen interferes (it) aspirin

16.@etaminop)en doesn%t )a=e antiAinammatory properties

18.7riloaine met)emolobin

1:.7iture of linual =ariosities

1


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all )oies5

--.7anorama , identify struture lateral nasal (all

-/.7anorama identify strutureoronoid proess

-.7anorama identify strutures)ado( of soft palate

-6. Bite (in, obliterated root, s)ort, bulbous ro(nsdentinoenesis

imperfeta

-8. 7atient manaement of patient aruin t)at your fees are too )i)

-:.7atient (it) abfration (ill most liely )a=e (ear faets

-


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6.Niolsy sin pemp)ius

66.@ questions about arbitrary faebo(, don%t remember details

68.If you (ant to inrease =ertial dimension for a patient you need

anot)er entri relation reord

6:.rt)o treatment before perio surery for um, mi)t )ane s)ape of

um line 4 not sure5

6uad )eli* or semental osteotomy of ma*illa K

8


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A dar toot) (it) amalam AAA orrosion produtsAstrippin perforation in ma* 9B anal AAAA distal surfae

A2ed most md frature AAA Kanle

A2end most dentist * ray e*posure AAA pt satter (all satter airKMKAbest toot) brus)in met)odKMA repeated inisal =eneer frature AA ede to edeAt)e least e3eti=e in t* deep F= periodontitis AAAA o adFustment antibiotis ap

surery KM

Aautism pts KMKMK 9? unresponsi=e P. P.. KMK

)ort term memory loss AAA dementia not @l$)eimer I t)in t)at

Adeaf pt AA tal diret (it) pt and t)en let t)e translator e*plain t)at to ptAmost diOult impression material to remo=e from pt mout) AAA et)er

Autta per)a not do AAA anti septi adaptation -D sealin KMKM

Amultiple radiolueny Q dentinal dysplasiaAprimate spaeA n2o no( e=ery t)in on it AAAA ontraindiated (it)A/ry radiation AAAA eryt)ema

AHBs + AAAAA )roni arrier

Aor no( e=ery t)in =ery impA inisor turner toot) ()en t)e trauma )appened AAA / mont) to / yr

Amost ommon nasal sinus funal infetion K muormyosis

A pat)op)esioloy of dry soet AAA !brinolysisAupper lip infetion AAA a=ernous infetion ,, danerous trianle =al=e less =eins

Atea spoon )o( mu) ml nseet MM 1 ml MMK

A sins of a=ernous t)rombosisAnot ausin ini=al )yper plasia AAA diitalis

A lindamyin pro AAA 600m

Amost )eamatoma AAA 7@A most intra arterial AAA ID?eplain amalam (it) old AAAbetter outline only

Asialolit) AAA sub md land

Atoot) frature belo( al= bone le=el AAA e*trationA pain in ear AAAA md molarsA retention e*ept AAA dept) of t)e under utAse=er #N o2 deprition AAA miosis + li)t ree* R I don%t no( RA bla male AAA periodontitis

A aute periapial absess

AAAA drainae + olusal adFustmentA> about drus and t)eir types e*ept AAA type III ant re!lled on t)e p)one R t)eans(er R es)i dentist number raFe-)om in p)armaAdrus ause e*trapyramidal ++ AAAAKKMA S@ m AAAA T 10 ml UA(ater (it) 1 ppm pt drin 1 lit)er )o( many m AAA 1A 1 pmm U 0.0001'orlin syndrome olt$ syndrome do(n syndrome no( t)em (ell AAAdental featureAintensity U 1 dV2A * ray s)arpness depend on AAA

Balanin ontat and (orin ontat and t)e interferanes AAA ()i) surfaes

Areater defet on t)e * ray is AAA under estimated

A palatine toris remo=al AAAA interfere (it) palatal seal

Ainisal redution 2 mm

Amost ommon ant omposit replaementAAAA disolorationA fratured porelain er=ial marins repair AAA miro et) KKMK I don%t no(A (arfarine Q =it A IN? 2. AAA e*tratAsealed aries AAA arrestedAroot aries best by AAA linial detetionA2/ bur and --0 Q 2/ loner I t)inA larynio spasm Qsymptoms R stropid nseet s)o el elme) 7A9?@ AAA =anomyineAelles syndrome no( e=ery t)in about it AAAA only lo(er ant teet) best mnaebilateral balaned olusionAs)ort linial ro(ns )o( do u inrease retention and resistane form KMKM AAAA bul


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roo=e (all a pro*imal bo*es KK

Amet)o tre*ate AAAA foliat lie KMKM

Ainresed foliat papilla (it) KMKMKM AAAA )airy tonue lymp)anioma KMK

A mm probin 2mm from #EJ AAAA poet 2 mm

Aalterd ast teqnique AAA more funtional mo=ement to ?7D

Apemp)ious pemp)ioid I )erpeti ini=ostmatitis=erroa =ularis aFa -l)omas2ele) ( KMKMKM A pro*imal aries AAA under t)e ontatA most redution in aries AAAA smoot) surfees or pits and !sser I don%t no( I put itsmoot) surfaeAbest est)eti implant t)e onnetion bet(een implant and abutment AAA belo( t)eini=al marin at t)e bone marin MKMK I don%t no(A pre=ent restal bone resorbtion in implant by AAAA small abutment abutment

implant interfae at t)e bon abo=e t)e bone KMK

Aperiapial AAA s)o(in radio opaity in t)e upper Fa( I t)in t)e best ans(er (as t)e

nose KMKM

Ap)otorap) for se=er ini=al bleedin and enlament (it)in (ees Q leuemiaAp)oto for a tonue (it) upt)ousAross bite -mm md de=iate to AAAA a3eted side KMK I don%t no( un a3eted side At)e I ause to restore I toot) AAAA spae maintenaneAontraindiation for ini=etomyAad= of periodontal pa AAAA omfort only

A

Bioloial (idt) 7edo Ho( mu) for ma* NKpalate and lip left diseaserateetodermal dysplasiado(nAN@IDindiret retainer7 normal =alueboneraft=alue,)ue,)romaII amalam )a=e o=er)an, ()yKlass III a=ity in t(o pro*imalteet), one bi,one small, !ll ()i) one !rst

b$pantibiotis)la(t ids n )o( mu) la

narotisantifunalendopedoanu)erpeti ino=itisameloblastomaA ddradio A e*tra, intraoralmuus retnsion ystssali=ary landsimpression materialsro(n root rationpfmA ()ere fra=tureA Kporelainmalleability, dutilty


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ementsinlay,onlayA modA fratureAaA nitous o*idee*trationsolusionA redue ()ererpdA lass, uidin planedA musle moldinppsantioalants

ep)band n loopinidene,pre=elane,sensiti=y, spei!ity

pis

1denti.imperfeta2.lymp)o epit)i.yst-.muoele/.emetoblastoma.faial palsy6.ementoma8.miratory lossitis:.andidiasis

2.pt (it) inlay )a=e pain durin bittin..no radiorp)i e=ideneA4ans5mAd uspfrature-.raed toot) (it) more symptom toAAAold,)eat,pressure8.most ommon area of frature in )ildrenAAAsymp)ysis,ondyle,oronoid

:.apial root losesAAA212A-12,/yr,yr


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-.elderly people abuse question AAunder reported/.adult )ild an deide a treatment plan of )is old patient )is parent in ()atsuitationAAA()en )e is payi money,()en )e is impaired eit)er ear or eye,patient (ant)is deisionKKK6.dentist do t)e treatment for 2 ro(n but t)e insurane ompany pay t)e money for

one ro(n ()a t is it. bondlin

8.more questions from Aross ontrol study

:.ase series study,ase study61.()i) area most diOult matri* adaptationAAma* mesial 1 prem62.()i) impression material )as ood (ettabilityAAAHydroolloidY7olyEt)erY)ydrop)ili @dd illioneY7oly ul!deYHydrop)obi addition silioneand ondensation silione )as same (ettability6/.uses of )lor)e*ideAAredue plaque aumulation66.pt )as omposite restoration (it) se=ere pain (it) loali$ed s(ellinAAAA Inision ZDrainae68.ation of sodium )ypo)lorideA @ntibaterial6


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restoration...KKK110.sensiti=ity follo(in omposite restoration in post most omman auseAAAKKKdueto resin,polymeri$ation s)rinae in marin,s)rinae oor...KKK111.(it)out indiret retainerAAAout(ard displaement of distal e*tension base11-.e*iblity of alloy depend on all e*petAAAAomposition,taper,undercut4ans511/.epit)ilium of free in raftAAAAdeenerate11.distrati=e osteoenesis defer from osteotomy by..KKKdistrati=e osteoenesis is a surial proess used to reonstrut seletal deformitiesand lent)en t)e lon bones of t)e body.

@n osteotomy is a surial operation ()ereby a bone is ut to s)orten, lent)en, or)ane its alinment116.sins of ini=itis118.bateria in )ealt)y mout)AAAfaultati=e ram positi=e anerobi bateria11:.()i) of t)e follo(in is not true about loal aressi=e periodontitisAAAAa3et lesst)an -0T,treatmt salin and systemi antibiotis, eneti120.disease (it) Desquamati=e ini=itisAAApemp)ius and iatrial pemp)ioid121.lateral perio yst ommon loationAAAbiuspid lo(er122.some measurement about atta)ment loss12-.primary reason for replain o o=er)anninrestorationAAAinterfere in plaqueremo=al12/.()i) one is ommon in prenany and in normal onditionAApyoeni ranuloma12.best lonterm are after perio treatmntAAAself,professional..KKK126.()i) type of interleuin in most ommon after perio diseaseAA112:.if implant (it) (idt) of / is used ()at s)ould be t)e buolinual (idt) of t)erideAAAA6minimum ;ertial )ei)t of bone to plae implant Q 10 mmminimum Gidt) of bone is 6mmminimum distane of ape* of implant rom ner=e A 2mm

platform of implant from adFaent #EJ A 2A- mmbet(een implants -mmbet(een implant and toot) 4)ei)t of outour5 is 1,mm9ini implant is 2./mmG)en t)ere is 7D from natural toot) to implant, t)e ma* stress is onentrated on t)e&7E?I? 7?IN HE I97S@N.?7D?etention Diret retainer , and indiret retainertability 9inor, pro*imal, liualul plate, denture baseupport ?est, maFor, denture baseH22 A less t)an 10T #H22 A -0T 4supero*ol5 used in inAoOe blea)in#arbemide pero*ide A 1A1:T tray blea)in 4ommerially a=ailable in syrines512


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16/.pt (it) osteoradionerosis oftenAAA)a=e /Ay of radiation t)erapy16.pt (it) bisp)osp)anate -ml I; for - yrs,)a=e arious and unrestorable toot)manamntAAAstop remen 1 mnt) e*trat,do non in=asi=e, endo treatmnt.bisp)osp)onate )as )alf life of 6 mont)s, it is ad=isable to (ait for atleast 6 mont)sbefore in=asi=e proedures)ttp(((.ada.orprofresourestopisosteonerosis.asp168.most ommon side e3et of N22AAAnausea and =omittin16


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G)i) of t)e follo(in 9ediation is not by ell (all synt)esisK

@5 7eniillin B5 @mo*iillin -5;anomyin /5+0ithromycin inhibits proteinsynthesis

3+%

456s*'lindamycineerythromycinea0ithromycinechloramphenicolclarithromycin

eT+7486s*'tetracyclineaminoglycosidesgentamycinestreptomycine$ther antibiotics that 9nhibit protein synthesis'+0ithromycinlincomycin

Sot of questions on publi )ealt) ase studies

:rospective cohort studies'@ prospeti=e o)ort study is a resear) e3ort t)atfollo(s o=er time roups of indi=iduals ()o are similar in some respets 4e.., all are(orin adults5 but di3er on ertain ot)er )arateristis 4e.., some smoe and ot)ersdo not5 and ompares t)em for a partiular outome 4e.., lun aner5.[1\ It s)ould beemp)asi$ed t)at prospeti=e studies bein (it) a sample ()ose members are free oft)e disease or disorder under study 4e.., free of lun aner or free of maFordepression5.

;etrospective cohort studies'@ retrospeti=e o)ort study, also alled a )istori

o)ort

study, is a medial resear) study in ()i) t)e medial reords of roups ofindi=iduals ()o are alie in many (ays but di3er by a ertain )arateristi 4for

e*ample, female nurses ()o smoe and t)ose ()o do not smoe5 are ompared for apartiular outome 4su) as lun aner5.

@ retrospeti=e 4)istori5 o)ort study is di3erent from a prospeti=e o)ort study int)e manner in ()i) it is onduted. In ase of ?etrospeti=e #o)ort tudy, t)ein=estiator basially ollets data from past reords and does not follo( patients upas is t)e ase (it) a prospeti=e study. Ho(e=er, t)e startin point of t)is study is t)esame as for all #o)ort studies. )e !rst obFeti=e is still to establis) t(o roups AE*posed =ersus None*posedW and t)ese roups are follo(ed up in t)e ensuin timeperiod.

asecontrol is a type of epidemioloial study desin. #aseAontrol studies are usedto identify fators t)at may ontribute to a medial ondition by omparin subFets()o )a=e t)at ondition 4t)e CasesC5 (it) patients ()o do not )a=e t)e ondition butare ot)er(ise similar 4t)e ControlsC5.

G)at liquids used in 'I# Q :olyacrylic +cid

illiampere in=uences intensity?,: in=uences energy and pentration2* 9f youm+ @ intensity

a* Aoublesb* CCCCCCCC1DE

7t is tain met)otre*ate (ill )a=e dru interation (it)@5 Beta bloers B5 @lp)a bloers #5 N@ID%s D5 Beta latamase 4but also betalaatamse5Git) met)ore*ate (e annot i=e amo*illin9ost ommon odotoeni etodermal is ameloblastoma

9ost ommon odontoeni mesen)ymal is myo!broma 4odontoeni mi*oma5

?eommended daily intae of fat Intae as per &D@ is86F of total daily caloricintaGe or 16F saturated fat intaGe of caloric intaGe

(;: is used

American Society of Anesthesiology patient classication status+(+ 9Normal )ealt)y 7t+(+ 99No funtional limitationsW )as a (ellAontrolled disease of one body systemW ontrolled)ypertension or diabetes (it)out systemi e3ets, iarette smoin (it)out )roniobstruti=e pulmonary disease 4#7D5W mild obesity, prenany


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+(+ 999ome funtional limitationW )as a ontrolled disease of more t)an one body system orone maFor systemW no immediate daner of deat)W ontrolled onesti=e )eart failure4#H5, stable anina, old )eart atta, poorly ontrolled )ypertension, morbid obesity,)roni renal failureW bron)ospasti disease (it) intermittent symptoms

+(+ 9,Has at least one se=ere disease t)at is poorly ontrolled or at end staeW possible ris of deat)Wunstable anina, symptomati #7D, symptomati #H, )epatorenal failure

+(+ ,&nstable moribund 7t ()o is not e*peted to sur=i=e 2/ )ours (it) or (it)out t)eoperation+(+ ,9BrainAdead 7t ()ose orans are remo=ed for donation to anot)er

:eriapical cyst pic

$dontoma pic

;ecurrent apthous pic

Soation of Inferior @l=eolar Ner=e A)ey t)en piere t)e buinator musle bet(eent)e palatolossal Z palatop)araneal folds, lyin lateral to the medial pterygoidatt)e mandibular foramen.

yp)ilis #)anre resembles15 #aner 25 Herpes -5Herpanina /5@pt)ous &ler

9ost ommon NonAodontoeni yst

15 dermoid yst 25 t)yrolossal -5 Nasopalatine /5 Dentierous yst

dontoeni 9y*oma 4myo!broma5

9ost ommon odontoeni tumor of mesen)ymal oriin

7ost 9and

Honeyomb Z multiloular appearane

?* similar to ameloblastoma Z 'iant ell 'ranuloma

* #urettae, possible reurrene

@meloblastoma

9ost ommon E7IHESI@S DN'ENI# &9?Pmand molar area

@e /0%s 0%s

Histo re=erse polarity

@meloblasti !broma ompared to ameloblastomaP)appens in

a.youner ae

b.slo(er ro(t)

.does not in!ltrate

@meloblasti !broAodontoma

similar to t)e abo=e e*ept it ours in t)e ma* Z mand in equal freq.

@meloblasti odontoma

same as abo=e e*ept it ours in ma* Z mand preAmolar Z molar area

@ll of t)e follo(in applies to oral aner e*ept

159ale 25 moin -5@frian @merian /5So( soio eonomy 5se* prediletion forloation

9etabolism of plasma esterase


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G)i) of t)e follo(in (ill not our in o=er ontourin of ro(n is@5'ini=al problems 25aries on t)e adFaent toot) -5 bone loss

G)i) of t)e follo(in (ill our more fore on opposin dentitionKa5 omplete denture b5 toot) borne partial 5 tissue born partials d5 o=erdentures

enamel pearls most ommonly seen on >olarsini=al palatal roo=e most lie seen on seen in 9a* laterals

mean enery of ray p)otons is inreased byincreasing ?,:

ollimation maes t)e ray p)oton15derease of foin of t)e !lm 2* decrease the radiation to the pt -5 dereese t)eradiation to operati=eoin of !lm is in o=erde=elopment, ontaminated sols, deteriorated !lms and li)tleasmore ]=p A less ontrast for restorati=e purposes

Dar radiorap)s A =erde=elopment, e*essi=e m@, e*essi=e pea ilo=oltae, !lmA

soure distane too s)ort.

steoradionerosis ours beause of decrease in vascular supplyTraditionally 12 wGs btw T3 and radiotherapy is suggested. however is better todelay radiotherapy 8 wGs after T3.+fter ;adiotherapy if tooth has necrotic pulp

1endodontic T& with systemic antibiotics can be performed2 if dicult to do ;T4bco0 of sclerotic pulp*HHHtooth can be amputated abovethe gingiva and left in place

7t is on I; bisp)osp)onates ()i) of t)e follo(in proedures an be done15alin and 7rop)y 25endodontics-5 surery /5 e*trations

reatment of mid fae de!ieny is

15 lefort I 25 lefort II 8* lefort 999

#rou$onCs syndrome e*)ibits severe proptosis 4e&apthalmous*Iypertelorism is seen in rou0on#s syndrome.ma&illaunderdeveloped.brachycephaly

G)i) endorine system does t)i )air beome t)in )air thyroid hypothyroidism4cretinism in Gids and my&oedema in adults*

E*trusion of anine ()at ap te)nique is used e*ept

15En=elope ap 25 emilunar ap -5 @pial repositionin ap

#ollaen disorder seen in ad=aned is seen in Aiabetes and ;heumatoid +rthritis

9e)anism of ation of on '@B@ reeptors

inreasin t)e frequeny of )loride )annels by Ben$odia$epines

Barbiturates inrease t)e duration of )loride )annel openin

Neurotransmitter in 7arinson%s disease is Aopamine

7t )as @st)ma and is alleri to @spirin ()at pain mediation (ill be i=enK15 @etamenop)en 25 Ibuprofen -5 Dilofena odiumN@ID A are ontraindiated in ast)ma pts.

G)en you plae a implant,(idenin of restal bone is seen beause of ()i) foreKa5 Hori$ontal 25 blique -5 ;ertial /5 @apial

G)at is t)e reason for un)appiness of denture 9nstability of the lower denture

15 9ode of ation of miona$ole A alters t)e ellular (all permeability. It(ors by in)ibitin t)e synt)esis of erosterol, a ritial omponent of funalell membranes.-5 #ause of indisrete marins on *ray !lm/5 @ntibioti ontraindiated (it) alo)ol are 9etronida$ole, inida$ole, @ntimalarial,ura$olione, 'riseoful=in A )eada)e, nausea, =omitin, irreular )eart beat,ta)yardia, us)in, breat)lessness, lo( B75 In a L of rt side of body of mandible, ()i) ot)er L is to be suspeted Aondyle on t)e ontra lateral side of t)e subondylar reion


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rauma to one side often produes an ipsilateral body frature and a ontralateral subondylar

frature.

@ )ea=y blo( to t)e symp)ysis produes a symp)yseal frature and bilateral subondylar

fratures.

It is also important to e*lude damae to t)e er=ial spine and to asertain t)at t)e air(ay is not

ompromised.

65 In ondylar )yperplasia, mand de=iates to ()i) sideK to t)e ontralateralside 4t)e una3eted side5, in ondylar )ypoplasia it de=iates to t)e a3eted side85 reatment of ranula a5 marsupialisation, enuleation, inF of steroid into itfor muoele A enuleation


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/85 G)i) of t)e follo(in is a dentist not supposed to do tal about options pro=idedby ot)er speialist, riss of not )a=in r* done, bene!ts of )a=in treatment done,disuss about opayKNoteIf you see a fat e. broen !le,or toot) perforation you )a=e to inform t)e 7t butnot blame t)e pre=ious dentist/:5 nset of ation of antipsy)oti is A6 days/


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)e lip is orreted as early as is medially possible.t)e soft palate is losed bt(1:A2/ mont)s of ae,lea=in t)e )ard palate left open. t)e )ard palate left ist)en losed around ae / or .7EE?N@l=eolar orretion surery is at ae : before t)e eruption of anine4Before anine eruptAAAAAAsurery to orret maFor defets of lefts in t)e lip and )ard andsoft palate is done in infany A before t)e ae of t(o. But orretin t)e al=eolar left isusually left till a later time, around t)e ae of : or


16/88

pulse n bp ()at ind of measurement A nominal, ordinal, inter=al, ratiotemperature Aapirin A sinle dose A )o( mu) timeA / )ours, 1 day, for baby aspirin dosae is:1mdayaot A radiorap)sore musles in t)e mornin Q 9yofaial pain dysfuntion syndormeine=etomy, al=eoloplast , al=eoletomy di3, free ini=al raft , modi!ed apA fulltrep)inationA open rt, on= rt, release pressure by inision t)rou) bone.()at is t) immediate treatment plan A pulpetomy , initial treatment

insenA antiplatelet 4 interferes (it) oaulation Q not i=en (it) aspirin5.pt on (arfarin, aspirin(idt) periodontal liament Q .2mm)ue Q olor, stainin )anes, )roma Q saturation4li)tness or darness of t)e olor5,=alue Q number of rodsIn natural teet) 2 types of )ue Q yello( and yello( red.

_ello( stain Q inreases t)e )roma in t)e yello( )uerane stain Q inrease t)e )roma in t)e yello( red )ue.7in purple Q )anes t)e )ue of t)e teet). 9o=e from yello( to yello( red.ro(n A unest)etiA =aluepoet, dept) elimination proeduresperodontal stabilityA atta)ment loss is t)e most imp riteria in dianosin periodontalonditions, follo(ed by mobitiliy.buproprion Q smoin U Bupropion4Lellbutrin, Myban5, pre=iously no(n asamfebutamone,[1\ is an atypial antidepressant and smoin essation aid. It ats as anorepinep)rine and dopamine reuptae in)ibitor,=eraity A bein trut)ful to patientdentist doesnot omplete t)e treatment A pt abandonment,protetion atA ood smaritan at Q is aepted in all states, but dentists are not

inluded in all t)e states.

15 #ollimation does e=eryt)in e*ept Qredue pt e*posure, redue operatore*posure, !lm fo, redue a=erae enery of *Arays25 )e Dentist ompletes e*am and ad=ises *Arays but t)e pt refuses. G)ats)ould t)e dentist immediately do. @N. E*plain t)e need for Arays.-5 G)at is true of osteoradinerosis. @N. #ommonly a3ets mandibleAray identi!ation /5 9edian 7alatal uture

5 Xyomati proess of ma*illa65 Dorsal urfae of tonue85 dontoma

:5)e se=erity of response inreases (it) t)e amount of Aray e*posure.)isefeet is alled. Deterministi, to)asti, 'enetiK


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treatment, alin and root planin, E*tration, surial treatment.2:5 9aterial used for mout) uard =ital blea)in @N. 10T arbamide pero*ide.2


18/88

:5 _ou are i=in usidAuspid bride and (ant to )ane t)e anine uidedanterior dislusion.G)at is required. Q )ane to roup funtion


19/88

1005 9ode of ation of ultra sonis. @N. ;ibration in elliptial4manetostriti=e5 ,sonis is linear4(or (it) air51015 G)i) of t)e follo(in is not an ad=antae of NiAi o=er stainless steel !le.9aintains t)e s)ape of anal, e*ibility, resistane to frature.1025 Best t)eory to e*plain dentin )ypersensiti=ity. @N Hydro dynami t)eory10-5 'astri aids ause. @N. Erosion10/5 7rimary e3et of an o=er )an. @N interferes (it) plaque remo=al105 9ediations assoiated (it) )yperplasia. #alium )annel bloers, Dilantinsodium, #ylosporine

1065 In most of t)e ases, loali$ed !bromas are often. Dysplasias, metaplasia,anaplasia, )yperplasia.1085 )e maFor en=ironmental ris fator for periodontal disease. Diabetes,smoin10:5 ()i) is not true of elder abuse. 9ost of t)e elder abuse is at =itims )ome,mostly it is by =itims relati=e, elder%s abuse is often o=er reported ande*aerated, unAaut)ori$ed use of @9 ard is some times onsidered rime butnot abuse.10


20/88

oaulants. 7 s)ould be 1.A2 times t)at of ontrol, IN? s)ould be abo=e 2.Norma IN? is 1, an be treated till -4a to manual51-65>uestion on parulisbumps on t)e um parulis, 7yoeni ranuloma, perip)eral aint ell ranuloma,perip)eral ossiyin !broma,perip)eral odontoeni !broma,1-85 @ patient reei=ed radiation t)erapy and requires e*tration,()at s)ould t)etreatment be.E*tration, e*tration (it) al=eoloplasty and sutures, e*tration (it)al=eoloplasty of basal bone and suture, preAe*tration and post e*tration)yperbari o*yen

1-:5 ;irus assoiated (it) #)ien po* also auses @N )erpes $oster&nilateral lesions after )erpes $oster infetion. ?eati=ation of t)e =irus from saralanlion auses s)inles, indued by stress and sunli)t e*posure.

1/05 luoride supplement required in a 2. yrs )ild in a nonAuoridated area.

0.2m#ommunity (ater uoridation Q 1ppm, s)ool (ater uoridation Q /.ppm1/15@ / yr old )ild manaementA@N .empat)y and respet1/25 9anaement of moderately appre)ensi=e )ild?eplain (ords lie S@ (it) sleepy Fuie is alled as Eup)enism.1/-5 >uestion on tell, s)o( , do1//5 &se of praise, smile and appreiation isAoen4positi=e5 reinforement, soialreinforement1/5G)at is not an ad=antae of rubber dam ()en ompared to not usin it.Impro=ed properties of materials, s)ortens operati=e time,failitates t)e use of(ater spray1/65 #losest resemblane of deiduous mand I I molar @N permanent mand I molar1/85 )e suess of implants does not depend on.@N .@e of t)e patient1/:5 lefort I frature in=ol=es .rontal, et)moidal, ma*illary ,mastoid

1/


21/88

185 )e dru of )oie in status epileptius Dia$epam1865 )e bateria t)at auses r)eumati fe=er.streptooal infetion lie soret)roat or sarlet fe=er1885 G)at is t)e orret met)od of e*a=ation of deep aries. Son bur from

perip)ery to t)e enter, lare bur from enter to perip)ery, small bur fromperip)ery to enter, small bur from enter to t)e perip)ery.18:5 purpose of post. @N.retention of ore18


22/88

2.Neuropra*ia A ner=e damae in ()i) t)ere is no disruption of ner=e or itCs

s)eat), but auses interruption in ondution of impulses

-.?eommended daily dose of fat A -0T of total alorie and saturated fat is 10T of

daily alorie intae

/.E*tension of lo(er denture A till retro molar area

a.

primary support area mandible Bual s)elf , ma*illaA ?ide, seondaryon ma* A ruae.

.G)at inision is i=en to remo=e palatl tori A double _ inision (as not t)e

)oie W ot)er possible ans(er mi)t be a linear inision from @A7 (it) obliquereleasin inisions

6.Ho( do u lean implants A saler (it) a plasti slee=eW rubber up and paste,

stailess steel saler, titanium saler

8.It is required mandatory to report all e*ept A )ild abuse, reation to dru, one

more )oie, @buses t)at )a=e to be reported to aut)orities A olleaue pratiin(it) )emial impairment, olleaue ad=ertisin on eletroni media, )ildabuse, domesti =iolene, elderly abuse

:.@st)ama A ()ee$in on inspirationW #7D A ()ee$in on e*piration


23/88

stati reistration. ;ertial motion is possible.4#lass 25 @n instrument t)at permits )ori$ontal as (ell as =ertialmotion but does not orient t)e motion to t)e temporomandibular Foints.&ses inle restorations

9ultiple restorations if ood bilateral uspid dislusion e*ists#ertain 7D%s.

emiA@dFustable A 4#lass -5 @n instrument t)at simulates ondylar pat)(ays by usina=erae or me)anial equi=alents for all or part of t)e motion. )ese instruments

allo( Fointorientation of t)e asts and may be aron or nonaron instruments.E*amplesHanau H2 4ondylarnonAaron5Hanau &ni=ersity eries 4aron5

G)ip 9i* 4aron5

&ses 9ultiple restorationsi*ed partial dentures (it)

A minimal olusal pat)oloyA no loss of ;DA no immediate side s)iftull mout) restoration if ood anterior uidane e*ists.

ullyA@dFustable A 4#lass /5 @n instrument t)at (ill aept t)ree dimensional dynamireistrations. )ose instruments allo( for orientation of t)e asts to t)etemporomandibular

Foints.

&ses ull mout) restorationE*tensi=e olusal pat)oloy'roup funtionposterior uidane?estorin at a di3erent ;D

@?#N @?I#&S@? A @n instrument follo(in anatomi uidelines su) t)at t)e balloft)e ondyle analos are arried on t)e mandibular element, and t)e fossa assemblieson t)ema*illary element.

#ND_S@? @?I#&S@? A @ nonAaron artiulator.

@d=antae of @ron o=er #ondylar @rtiulator A G)en usin an olusal reord torelate opposin asts, t)e t)iness of t)e reord inreases t)e ;D upon artiulation.G)en t)e

reord is remo=ed t)e ondylar uidane inlination (ould be dereased in t)e nonA

aron

artiulator reatin a potential neati=e error in e*ursi=e mo=ements.2


24/88

Solai$ed @@, 'en is 7re=otella intermedia, Eienella orrodens/2.9idline s(ellin all e*ept A lobuloma*illary yst

a.midline s(ellins A nasopalatine, median r)omboid, t)yrolossal

dut, dermoid yst,/-.ranuloma + bleedin + apt)ous uler A ulerati=e olitis, )rons disease//.>uestion of muoele and ranula/.# and 9?I reonition/6.)o( to pre=ent pro*imal displaement of #l II !llin A retention roo=es

/8.)o( to inrease t)e resistane and pre=ent from f* of t)e restoration do=e tail itpro=ides t)e retention form/:.#oeOient of t)ermal e*pansion is most for ()i) material Atoot)oldamalam!lled resinun!lled resin/


25/88

2 I9 orI; 0 mI9 or I;&nable to taeoral mediation#efa$olin oreftria*one 1 I9 or I;1 I9 or I; 0 mI9 or I;

@lleri topeniillins orampiillin Qral reimen

#ep)ale*in 2 2 0 m@lleri topeniillins orampiillin Qral reimen

$;


#lindamyin 600 m600 m 20 m@lleri topeniillins orampiillin Qral reimen

$;


@$it)romyin orlarit)romyin 00 m00 m 1 m@lleri topeniillins orampiillin and

unable to taeoral mediation#efa$olin oreftria*one$;1 I9 or I;1 I9 or I; 0 mI9 or I;@lleri topeniillins orampiillin andunable to taeoral mediation #lindamyin 600 m I9or I;600 m I9or I; 20 mI9 or I;LLLL2.2 m of Naf (ill pro=ide 1 m of ouride.its a standard memori$e it beenalulated aordin to t)e atomi (ei)t of bot) sodium and ouride

1. G)en (ill t)e B&SS rule be uti li$ed (it) t)e seleti=e rindin

a. (orin side

b. balane side

. protrusi=e mo=ement

d. all of t)e abo=e2. 7an s)o(in lueny oin inferior o=er t)e body of mandible lose to t)e anle.


26/88

Informed t)e patient (as in=ol=ed in an aident. Identify t)e lueny

a. p)aryneal airspae

b. frature

. artifatAretae radiorap)

--. )ere are more deta)ed plaques (it)in supraini=al plaques t)at subini=al

plaques. )e deta)ed plaques (it)in subini=al area are t)e ones t)at are more to*ito tissue t)an atta)ed plaques

a. bot) statements are orret

b. t)e !rst statement is orret but not t)e seond. t)e !rst statement is (ron, but t)e seond statement is orret A supraini=al

plaque is al(ays atta)ed and subini=al is unatta)ed.

d. bot) statement are (ron

:. ranism impliated on ausin se=ere spreadin absesses inlude

a. usobaterium

b. #ampylobater

. Enterooi

d. Bateroides AAA bla pimantationunbundling Bundling Np coding down coding'

)e @merian Dental @ssoiation 4@D@5 de!nes unbundlin of proedures as ct)e separatin ofa dental proedure into omponent parts (it) ea) part )a=in a )are so t)at t)e umulati=e)are of t)e omponents is reater t)an t)e total )are to patients ()o are not bene!iariesof a dental bene!t plan for t)e same proedure.cSooin at t)is issue from anot)er perspeti=e, bundlin is t)e e*at opposite of unbundlinand an our on t)e insurane arrier end. Bundlin is de!ned by t)e @D@ as ct)e systematiombinin of distint dental proedures by t)irdAparty payers t)at results in a redued bene!tfor t)e patientbene!iary.c&podin or o=erodin is de!ned by t)e @D@ as creportin a more omple* andor )i)er ostproedure t)an (as atually performed.cDo(nodin on t)e ot)er )and is de!ned by t)e @D@ as ca pratie of t)irdAparty payers in()i) t)e bene!t ode )as been )aned to a less omple* andor lo(er ost proedure t)an(as reported e*ept ()ere delineated in ontrat areements.c?eordin of retro mylo)yoid area durin border moldin A musles in t)is area areuperior onstritor4diretly5 medial pteryoid and lossopalatinal4indiretly5n t)e bual of mandibular border moldin A u reord Buinator ()en t)e pt opens)is mout).G)en t)e posterior border4distal of tuberosity5 of t)e ma* denture is t)i, denturedislodes as t)e pt opens, reason is oronoid proess )its t)e denture.?etro mylo)yoid area A diretly superior onstritor'ardnerCs, 7eut$ Je)ers syndromes )a=e intestinal polyps.]# )as sallopin of radiolueny around t)e rootsBla (omen, middle aed , anterior radiolueny4an be radio opaque5 is ementoosseous dysplasia.#afe au lait spot A 7eut$ Je)ers syndrome, @lbri)tCs syndrome, Basal ell ne=us bi!drib syndrome4orlin A olt$ syndrome5, Je3Cs syndrome 4se=ere form5,neuro!bromatosis7eut$ Je)erCs syndrome A addissonCs disease9ules responsible to reord retromylo)yoid areadiret@ study is desined to determine t)e relations)ip bet. emotional stress and ulers .odo t)is , t)e resear)ers used )ospital reords of ptCs dianosed (it) pepti ulerdisease and pt. dianosed (it) ot)er disorders o=er t)e period of time from Fuly 1


27/88

to determine olusion t)at too is in t)e prost)odontis des

. G)i) toot) (ill t)e matri* band be a problem (it) ()en plain a t(o surfae

amalamK

a. mesial on ma&illary Orst molarb of t)e usp of arabelli

b. distal on ma*illary !rst premolar

. mesial on ma*illary seond premilar

d. distal on mandibular !rst molar

AAAAAA9esial f ma* premolarY Distal of ma* molarY....

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

>Cs from @A9a*imum dose of mepi=iaineK

/00m

Note /00m for priloaine,-00m for lidoaine (it)out epi,-00m for lidoaine (it)epi,


28/88

Bradiardia and )ypotension@pnea#ardia s)oNote nonto*i side e3etsYYY e*ess s(eatin and sali=ation, bron)ospasm

ABen$odia$epine (ors onK YYY in)ibits '@B@ in)ibitors

AG)i) of t)e follo(in potentiates antioaulant ati=ity Kt. Jo)nCs Gort

Siorie 4* of Dyspepsia, indiestion, 'E?D5 and &pper respiratory infetionsa( palmettoNote ne=er presribe (it) oumadine, Inreased antioaulant e3et of (arfarin )asbeen reported durin onurrent inestion of sa( palmetto.

AG)i) of t)e follo(in dereases t)e sali=ary o(Kopolamine4also use for nausea and motion siness5

A]no( about lidoaine alulation

Atudy roup @ and B i=e some aents for plaque ontrol t)en ompare ()i) aentis more e3eti=e. G)i) study is t)atK#linial trial

AG)i) of t)e follo(in imaes s)o(s better t)e midAfaial fratureK7ano YYYY best for mandible frature# mi)t beGaters4oipitoAmental proFetion5YYY I HE BE ;IEG E;@S&@E HE @#I@S

?@#&?E and ma*illary sinus?e=erse to(ne%sYYYY for ondyle fratureubmento=erte*YYYYfor $yomati frature

A* for #lassII furation in=ol=ement 4alled ulAdeAsa5Kuided tissue reenerationNote2nd ma*illary molar )as t)e (orst pronosis in furation in=ol=ement

A]no( about di3erene bet(een reenerati=e surery and ap sureryKreenerati=e surery A for reeneration (it) bone raftap surery A to et aess for better srp

A7t is on re)ab of oaine. ()at you presribe for painKodeinead=il

ADisable 7t omes in and not ooperati=e, )o( s)ould you atK7ermissi=eness 4i=e 7t freedom and treat in t)e (ay 7t feel omfortable5#onsisteny

AE7YYY not in primary teet)

A@nylosed toot) dianoses best byK7erussion test4metalli sound5ee on *ray a t)i lamina dura and no 7DS spae

A]no( about ape*i!ation, ape*oenesis, E7 =ersus t)ermal test4()en false neati=e()en false positi=e5

A()at pre=ents orrosion in base metal alloyK#obalt#)romiumXin A inreases )ardness

inn and In )elps in A porelain bondin

Xin inrease HardnessA]no( about @NB ,N@,NBN@U:2 NBU:0Neati=e @NBYYY lassIII@NBY/ t)en #lassII#l 1 a=erae 2 W rane 0A deree#l 2 a=erae 8 W rane 2A12 deree#l - a=erae A1 W rane A6 A0 deree

A#)ee bitin aused byKDereasin posterior )ori$ontal o=erlapNote #)ee bitin auses by7osterior teet) plaed ede to ede. * redue faial of mand molarInadequate ;D. * ne( denture

ABitin on t)e orners of t)e mout)K


29/88

?eset anine position

Alip bitin may be due to t)e follo(in?edued musle tonesSare anterior )ori$ontal o=erlap

Aonue bitin aused byHa=in posterior mandibular teet) too linually 4inreasin posterior o=er Fet5

A t(o di3erent drus (it) same dosaes bind to t)e same reeptor and ause sameintrinsi a3et )o(e=er t)ey )a=e di3erent aOnities for t)e reeptor In ()i) aspett)ese 2 drus are similarKEOayED07oteny

AG)at re=erse alo)olismK@ntabuse4disu!ram5 it in)ibits alde)yde de)ydroenese. 9etronida$ole in)ibits t)isen$yme as (ell. @ntabuse 4disul!ram5 interferes (it) t)e metabolism of alo)olresultin in unpleasant e3ets ()en alo)ol is onsumed.

A@fter aries remo=al sound tissue is on ementum. Ho( do you restoreKBuild up (it) 'I and plae omposite

A7eriapial lesion aused by all e*eptKlusal trauma@brasion9a*illary sinusitis

Ains of t)yroid risisKAiaphoresis4e&cess sweating*,ta)yardia,fe=erBradiardia&ntreated )ypert)yroidism atropine and e*esi=e amounts of Epi s)ould be a=oided

)yroto*i risis sinsEarly symptoms restlessness, nausa, abdominal rampSater symptoms )i) fe=er, diap)oresis, ta)yardia, ardia deompensation, !nally7t beomes )ypotensi=e.

Note Betadine ontraindiationes Not for use in )ildren under 6 years of ae and inpatients (it) a no(n or suspeted iodine )ypersensiti=ity. ?eular use is ontraindiated inpatients and users (it) t)yroid disorders 4in partiular nodular olloid oitre, endemi oitreand Has)imotoCs t)yroiditis5.AG)at di3erentiate )ypot)yroidism from )ypert)yroidism andKe=er#old to tou)So( B7

A@ll are t)e ations of =asoonstritor in one arpule of loal anest)esia e*ept9inimi$es to*iity and failitate )emostasis?edues t)e rate of absorptionInreases duration of ationG)at (ill pro)ibit t)e mesial drift of toot) to(ard edentulous areaK7roper a*ioAolusal ontat4opposin and adFaent toot)52ADiabeti 7t under N2 *. 7reautionK 9ediationK #)ane in foodK/Ain Neurapra*ia ()i) one is a3etedKA@*onal membraneAperineurium.ANot)in is a3eted@ relati=ely mild form of ner=e inFury aused by ompression of a ner=e. It in=ol=es nostrutural damae to t)e ner=e a*on, alt)ou) t)e myelin s)eat) may be temporarilydisrupted. I is )arateri$ed by temporary loss of ner=e funtion, tinlin, numbness,and (eaness. It usually )eals quilyA least )ane of needle inFuryKAleanin upAreapAsettin up6A()i) one is less sedati=eKApromet)a$ine47)eneran5ABenadryl 4Dip)en)ydramine5inrease in sleep duration )lorp)eniramineYpromet)a$ineYdip)en)ydramin.7)eneran is (idely used to treat nausea=omitin and omes in an inFetable, anonly be obtained (it) a presription. Benadryl, ommonly used for alleries 4it)y eyes,runny nose,snee$in5 Benadryl an be bou)t o=er t)e ounter for as needed use.


30/88

faial and linual (alls12Atudy amon smoers and nonsmoers in a period of 6 years4e. 2000A20065 tode=elop diseaseKAo)ortA#ross setional1/A()i) rae )as a )ier in D9 inde*K G)ites1Apiture of midline of oor of t)e mout),t)e olor is N blueAranulaAdermoid yst

18 A reyCs yndrome 4@uriulotemporal yndrome5neuroloial disorder t)at results from inFury or surery near t)e parotid lands ,damain t)e faial ner=e. )is syndrome is )arateri$ed by us)in or s(eatin onone side of t)e fae ()en ertain foods are onsumed.@uriutemporal ner=e a bran) of ;-,t)is ner=e supplyin sensory !bers topreauriular and temporal areas, also arries parasympat)eti !bers to t)e parotidland 4initially t)is !bers arried by lossop)aryneal up to ti anlion5 andsympat)eti =asomotor and sudomotor4s(eatAstimulatin5 !bers to periauriular sin.@fter parotid surery or trauma t)e parasympat)eti !bers may be se=ered. In t)eirattempt to reAestablis) inner=ations ,t)ese !bers oasionally beome misdireted andreenerated alon sympat)eti ner=e pat)(ay.1:A#omparision bet(een 2 proportion, ()i) test (e doKAt test amparison of mean =alue of t(o roups A di3erene bet(een 2 meansW t)isan be ompared bet(een, ontrol roup and t* roup or t* @ =s. * B ...A)i square test A measures t)e assoiation bet(een 2 =ariables and omparision ofroups ()en t)e data are e*pressed as ounts or proportions.1


31/88

1Q. Lhat does caries detector stainPa. Aenatured collagenb. gram negative bacteria%ote' ;esearch indicates that the dye in the caries detector bonds to thedenatured collagen which is present in the outer infected dentin but whichis not present in the inner uninfected dentin and normal dentin15. ;ecently placed gold inlayU what is the most common reason for painafterwardsPa. 7alvanic shocG (ensitivity choose this if only ! says opposing

dissimilar metal other wise it is


32/88

82. tricyclic +ntidepressants 4 +mitriptyline 9mipramine Trimipramine*riyliantidepressants 4#@s5 in)ibit t)e reabsorption 4reuptae5 of serotonin andnorepinep)rine by brain ells. o a lesser e*tent, #@s also in)ibit reabsorption ofdopamine88. ithium bipolar disorders8Q. Lhat do you often need to supplement with diureticsP :otassium:otassium sparing Aiuretics ' (pirinolactone Triamterene +miloride85. Lhich of the following +3 inhibitorP 4looG for something ending with -pril*liGe lisnopril

8V. Lhich of the following drugs causes gingival hyperplasiaPa. alcium channel blocGer ' %ephidipine cyclosporines8W. :atient comes in and is on oumadin what do you doPa. (top for 1 dayb. (top medication of 8 daysc. Ao not need to stop medication8E. Lhat drug is used for +%N7Pa. Tetracyclinb. :enicillin+%N7 debrimentpero&ide in I9, use antimicrobial noattachment lossQ6. hild comes in with an oral infection and is %$T allergic to :en. Lhat do youprescribePa. :enicillinb. +mo&icillinc. Tetracyclini. amo&icillin .. why not penicillinPQ1. Lhat drug has cross allerginicity with :enicillinP ephalosporin both haveBeta lactamase ring. 9f pt has allergic to penicllin then pt has allergy to

cephalosporinQ2. Lhat is the eect of TetracyclineP 4on protein synthesis 86s*Q8. Lhat is the eect of :enicillin and ephalosporins 4cell wall synthesis*QQ. Lhich drug should not be used with someone with iver damagePa. Tylenolsulfonamides They are bacteriostatic rather than bactericidalQS. ?now the eects of histamine and that it is derived from histidineP%ote' histamine is bronchospastic and vasodilator56. imetidine I2 BlocGer4reduce the acid secretion* for 73;A4gastroesophageal re=u& disease*51. There was a !uestion that said which drug would inactivate the latterPa. +ntacids Tetracyclinenote' Ao not taGe iron supplements multivitamins calcium supplementsantacids or la&atives within 2 hours before or after taGing tetracycline.+ntacids and milG reduce the absorption of tetracyclines.52. 9n a gold >$A onlay how are the a&ial pulpal wallsPa. onvergingb. Aiverging58. Lhen pouring up a cast which of the following has the least wet ability with a

slurry waterPa. :olyether hydrophilic no byproductb. :olysulOde byproductHHH I2oc. ondensation (ilicone poor wet ability byproductHHH ethyl alcohold. 9rreversible Iydrocolloid5Q. + patient with stable posterior occlusion and only missing ma&illary incisorsyou are maGing a bridge from RVR11. Lhat do you need to send to the labP a. (emi adjustable articulator in ; with facebow lateral records andincisal guideb. (emi adjustable articulator in >9: with facebow lateral records andincisal guidec. + simple nonadjustable articulator in >9:55. Lhat is the purpose of a facebow to set the >a&illary arch to thea. Terminal hinge a&is

b. >andibular arch

5V. Lhen looGing at a patient from a vertical view how many planes on their facePa. 8 4Iori0ontal view*b. 55W. Lhen a person is in physiological rest position^.. something aboutinterocclusal distancea. freeway space which is 28mm5E. +ngular chelietis is caused by all of the following e&cept'a.


33/88

b. anirotationalV2. 9f there is an implant that is Qmm in width at least how many mm does thelabiofacial bone need to bePa. Vmmb. Wmmc. EmmV8. Iow does titanium of an implant help in osseointegrationPa. etale. Aepth of undercutVE. Lhat is the strongest type of metal a etal Type 999 4hard* min. WEF %oble >etal Type 9, 4e&tra hard* min. W5F %oble >etal Type 9 small inlaysU very slight stress Type 99 inlays thicG 8DQ crowns complete crowns Type 999 thin 8DQ crowns abutments pontics complete crownsshortspan


34/88

E6. 9f a Gid comes in and has trauma to the face and the 9+ is damaged where didthe Gid get hitPa. +ngle of mandible9% ?9A(' most mandibular fratures ourred at t)e ondyle 4T5, follo(ed byt)e parasymp)ysial reion 428T5, t)en t)e body 4a&imum dose of lido with epi is WmgDGg for an adult%ote' te&t says 5mgDGg for 4+ccording to >alamed Q.QmgDGg* and WmgDGg for

articaineE2. +dding a vasoconstrictor to local anesthesia does all the following 3J3:T'a. Aecreases rate of absorptionb. 9ncreases duration of actionc. >inimi0es to&icity and helps homeostasisd. all of aboveE8. >a& amount of %itrous $&ide for a Gida. Q6 Fb. 56Fc. W6F +dultEQ. The ma&imum amount of nitrous on the machine safety hinge is W6FE5. Lhat does band and loop %$T doPa. >aintain spaceb. Aoes %$T create a vertical stopEV. :atient with white palatea. :atient wears denture all nightEW. Lhat is the average pulse rate for a childPa. V6b. E6

c. 166%ote' depends on age%ewborn 41d to 1yr*Y 1661V61yrVyrY V61Q6Vyr11yrY W616611yr and upY V6166ES. oss of which tooth important in retaining spacea. :rimary second molarS6. Lhat do you do if mandibular central incisor is erupting linguallyPa. e&tract primary teeth and use appliance to move forwardb. eave it was an optionnote' if primary retain more than E yrs of age then e&tract and placeappliance to reposition permanent mandibular anteriorS1.which of the following is most liGely to be interpreted as toothache by:tPa.ma&illary sinusitisb. tmj dysfunctionc. otitis media>a&illary sinusitis can cause pain or pressure in the ma&illary 4cheeG* area

4e.g. toothache headache*S2.of the following which is most liGely to have reered painPa.acute apical periodontitisb.irreversible pulpitisc.phoeni& abscessS8.when pulp stone presents on radiographa.normal pulpb.pulp has been injured in the past but has recovered(ome authors believe that pulp calciOcation is a pathologic process relatedto various forms of injury whereas others regard it as a naturalphenomenon.SQ.lateral periodontal abscess is best dierentiated from the acute apicalabscess byPapulp testingb.radiographic appearancec.probing patternsS5. radiographically the acute apical abscessa. is generally of larger si0e than other lesionsb.may not be evidentc.has more diuse margins than other lesion3pidermology !uestion '

+ study is done to determine the aectiveness of a new antihistamine .To do this

25 allergic pt/s are assigned to one of the two groups the new drug 418 pt/s* placebo 412 pt/s* . The pt/s are followed for V months . This study is called1. cohort2.crosssectional8casecontrolledQ.historical cohort5. clinical trail+%( 54 assigned or give is the clue *


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Atudy amon smoers and nonsmoers in a persons of 6 years4e. 2000A20065 tode=elop diseaseKAo)ortA#ross setional

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Date 021

1. ()i) is a disorder ommonly seen in sForen%sK 4*erostomia Z alteredlands not listed5` ;heumatoid arthritis` Jerostomia 4dry mouth*` ?eratoconjuctiva sicca 4dryness of the eyes*


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g tains are metallic o&ides t)at fuse to t)e porelain durin a predetermined!rin yle.g Drasti )anes of t)e )ue 4olor or s)ade5 are often impossible. rane stainis t)e mostoften used to )ane t)e )ue.` (taining a porelain restoration (ill reduce the value 4as (ill usin aomplementary olor5. It is almost impossible to inrease t)e =alue.` hroma an be suessfully increased by t)e use of stains. partiularly in t)eini=al area.

V. toot) L-0 is endo t* (it) restoration, pt is in pain ()en )e bites, ()yKcracGed tooth

?esorbable sutures e=oe an intense inammatory reation. )is is t)e mainreason neit)er plain ut or )romi ut are used for suturin t)e surfae of asin (ound. G)en suturin an e*tration site in t)e antioaulated patient, anonAresorbable suture is reommended.

uture si$e is based on strength and diameter.)is system uses "6" as thebaseline a=erae si$e suture. @s suture diameter decreases caCsc are added ornumbers follo(ed by a cac 4for e*ample, 000 and -A0 are t)e same si$e5. @ssuture diameter increases abo=e ca,c numbers are assined to t)e suture

material. Beause suture material is forein to t)e )uman body, t)e smallest

diameter suture sucient to eep t)e (ound losed properly s)ould be used.9ost oral and ma*illofaial surial proedures require t)e use of 86 or Q6sutures.

W. ()at meds do you tae for ast)maK Bronchial rela&ation airway dilation4asthma* 4Beta adreneri aonists Q albuterol, salmeterol andmetaproterenol

E. ()at does sodium hypochloritedoK disinfectant. germicidal solventaction 5.25F solution provides e&cellent germicidal solvent action

S. ()at is a sin of etodermal dysplasiaKretained teeth3ctodermal dysplasiais a )ereditary ondition )arateri$ed by abnormal de=elopmentof t)esin and assoiated strutures 4)air. nails, and teet), and s(eat lands5. It in=ol=es allstrutures()i) are deri=ed from t)e etoderm. It a3ets males more t)an females. #ommonlinial !ndins

inlude )ypot)ri)osis 4derease in )air5, anhidrosis4no s(eat lands, leadin to )eatintolerane5,anodontia or oliodontia 4omplete or partial absene of teet)5, depressed bride ofnose, la of sali=ary lands and t)e )ild appearsmu) older t)an ()at )e or s)e is.

16. all t)ese meds decrease saliva e&ceptKpilocarpine7iloarpine 4aaen5 is used to stimulate sali=ary o( in patients su3erin from*erostomiadue to radiation t)erapy in t)e treatment of )eadand ne aner.

11. pt )as round bump on midline of oor of mout), ()at is itK ranula)e ranula a true retention yst, )arateristially ours in t)e oor of t)e mout) andis unilaterally loated.

12. patient is ettin front toot) !*ed ... ()ats t)e purpose of usin aninisal uide tableK7enerally made of acrylic resin and are made to reproduce the surface of

teeth 4usually lingual concavity and incisal edges of ant teeth*tha have a direct in=uence in guiding the mand. Through +

3JN;(9,3 movements 4>osby/s 81E*

inisal uidane plays as important a role as t)e temporomandibulararticulationin establis)in a functional and harmonious occlusion, as mu)on t)e anterior teet) as t)e posterior teet).

1W. ()i) is least liely to our (it) olusal traumaK gingivitis$n the trauma of occlusion gingival reccetion


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?adiorap)i sins of trauma from olusiong Gidenin of t)e periodontal liament spaeg ometimes t)ienin of t)e lamina durag @nular bone loss and infrabony poet formationg ?oot resorptiong Hyperementosis

rauma from olusion is re=ersible,

t)er !ndins assoiated (it) e*essi=e olusal fores

g @ltematin areas of resorption and repair of t)e al=eolar boneg. ibrosis of t)e al=eolar bone marro( spaesg #emental resorption leadin to dentinal resorptiong #emental tearsg 7ossible anylosis:eriodontal pocGet formation\is an in=ammatory lesions and are not caused byocclusal trauma or bru&ism

1.most common characteristic of cherubismP bilateral jaw swelling

2.Q. normal occlusal wear shows whatP +ttrition

5. what substance has corrosion resistance in : metalP chromium

W. what sleep med do you give to a pt the night before a dental apptP ambien ;40olpidem tartrate*E. 1S ylo girl has halatosis interpro&imal recession and bleeding ... becauseP

+%N7

11. best way to suture an incisionP interrupted suture

15. best way to determine outcome of diseaseP

+. med history of the patient 49f the lab test was choose may be that*

B. 3(; +B result

1V. best reason to do an onlayP cuspal coverag

1W. what is a sign of ectodermal dysplasiaP anodontia aligodonsia

1S. mechanism of opiodsP attach to mu receptors

26. main advantage of using 79 cementP

a.


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Q5. how do you repair a porcelain veneer with compositeP

a. microetch etch and silane

b. sandblast etch and pumice

c. pumice silane etch

QV. which is the best systemic antifungalP

a. Getocona0ole and others areamphotericin B and =uocono0ole

b. nystatin

c. micona0ole

d. clotrima0ole

QW. conical shaped caries wD broad base with ape& towards pulp is commonly

seen inP

a. root caries

b. smooth caries

c. pitDOssure caries

QE. 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

QS. Q6 yo pt wD all 82 teeth. %o cavities. Ias stain Z catch in pit of molar. what do

you doP

a. watch and observe

b. sealant

c. composite

56. 12 yo Gid wD carious lesion on tooth RS that shows pulp e&posure w openape&... what do you doP

a. rct

b. ape&i=cation

51. what is most numerous at site of chronic in=ammationP

a. plasma cells

b. mast cells

c. macropahges

d. leuGocytesLhat is the name of the federal funded medical care for the elderly and its

coverageP

a. medicare w9 dental coverage

b. medicare wlo dental coverage

c. medicaid w9 dental coverage

d. medicaid wDo dental coverage

55. main dierence and advantage of using 7>T instead of 3namel hatchetP

a. biangled cutting surface

b. angle of the blade


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c. pushDpull action instead of

5V. tooth R86 has huge >$A amalgam and is deep. Iurts pt when he eats french

bread. what is the causeP

a. root fracture

b. acute periapical periodontitis

c. decayDabcess

5W. when do you do calcium hydro&ide therapy in an avulsed toothP

a. wait 2 weeGs

b. asap

c. do it Orst and then replant tooth

5E. chronic periodontitis most liGely found inP

a. blacG males

b. blacG females

c. hispanic males

d. hispanic females

5S. what branch o facial nerve gets damaged the most during T>) surgeyP

a. buccal

b. temporal

V6. when pt has mouth open what oral structure would inhibit from capturing

buccal =ange when taGing impressionP

a. masseter

b. buccinatorc. coronoid process

d. forgot the other option

%ote' >asseter an buccinator are not functioning during opening of mouth.coronoid process has direct involvement in ma& molar buccal area duringmouthopening and can interfere with impression taGing. (+%+TI et al. 2616. os

+ngeles.

V1. surgical dressing is indicated for whatP

a. protect the wound

b. help advance healing process

c. stop bleeding

V2. you see 8 mand incisors wD1 wide tooth. &ray shows tooth has 2 canals. what

condition is itP

a. fusion

b. gemination

c. concrescence

d. dilacerations

V8. praising smiling and congradulating is what typeP

a. social reinforcement

b. aversive reinforcement

c. behavior conditioning


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:ositive reinforcement'1(ocial reinforcement' :raising smiling ....2%o(ocial4ToGen* reinforcement' Toy ToGen

VQ. what do you do when pt on hospital bed has allergic reaction to iv antibioticsP

a. taGe o iv antibiotics

b. give epi

V5. what are you most liGely to see in a Gid who has a mand canine tipped

faciallyP

a. gingival recession

b. deep overbite

c. ectoptic eruption

VW. why do you do triangular access on incisors 4ma& central inccisorP*

a. to help with straight line access

b. help e&pose pulp horn

c. to follow the shape of the crown

VE. metastasis to the oral cavity is most liGely to end up whereP

a.lip

b. tongue

c. palate

d. mucosa

e. =oor of mouth

VS. how do you maGe a crown narrowerP

a. move line angles towards interpro&imal

b. move line angles more facially

W6. not enough room when edentulous pt closes. what do you doP

a. tuberosity reduction

b. adjust mandibular denture

c. adjust ma&illary denture

W1. what do &rays depict when viewing osseous craters ... or somethingP

a. overestimates bone reduction

b. underestimates bone reduction

c. forgot the other choices

W2. unconscious diabetic is treated with whatP

a. subcutaneous sugar

b. give him $range )uice

c. give him insulin injection

d. 56 F de&trose solution

e. 9, sugar solution or 9> glucagonpt should waGe up within 15mins

W8. most common place of recurrent caries in a class 2 compositeP

a. occlusal

b. facial interpro&imal


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d. "my fees are comparable to geographic area"

e. "we can discuss why fees are so high"

E2. an E2 yDo pt comes in with his son who says his guardian is someoneelsewho oGays certain tsP

a. it#s oGay as long a ne&t of Gin is says it is

b. have to get consent from guardian

c. as long as informed consent is signed doesn#t matter

E8. pt has some condition that had blue sclera ... what disease does the pt haveP

a. osteogenesis imperfect

b. marfan#s syndrome

EQ. a dentist has an ethical obligation to report a colleague is all situations ...

e&ceptP

a. worGing under substance abuse

b. advertising on electronic media

c. abusing patients

E5. you are e&tracting a 2nd mand premolar... what injections do you giveP

a. lingual buccal and 9+

b. mental long buccal and inOltration

c. mental buccal and 9+

EV. most common condition that occurs in the dental oceP

a. hypertention

b. syncope

c. anaphylactic shocG

EW. pt#s ma& denture made her tissue in=amed and weird you decide to maGe her

a new denture afterP

a. you reline her old denture

a. you place tissue conditioning material in her old denture

c. you surgically remove her tissue

EE. you inadvertantly e&tract the wrong tooth ... what do you doP

a. replant it asap

b. do rct and then replant it

c. wait until ne&t appointment to replant

d. place implant asap

ES. you e&tract a molar and bone fragments come out with it... what do you doP

a. taGe out bone fragments and maGe sure its all gone

b. =ap bacG the tissue and see the entire area

S6. which does not show empathy to the patientP

a. openmindedness

b. sharing personal e&periences

c. re=ection and showing understanding

S1. patients with autism will usually showP


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a. decreased rate of caries

b. heightened sense of lights and sounds

c. the compassion to interact with peoplehildren with autism are easilyoverwhelmed by sensory overload. This can cause stimming 4=apping of armsrocGing screaming etc*. +utistic children are hypersensitive to loud noises

sudden movement and things that are felt.

S2. a gingival bevel can be placed with all e&ceptP

a. sharp =uted instrument

b. enamel hachet

c. gmt

d. thin diamiond bur

S8. pt comes in with 1 year baby how do you do e&amP

a. parent and dentist are Gnee to Gnee baby#s head is in parent#s lap

b. parent and dentist are Gnee to Gnee baby#s head is in dentist#s lap

SQ. in what situation would a pt need to premedicateP

a. mitral valve prolaspe

b. prosthetic heart valve

c. bicuspid valve disease

d. rheumatic heart disease

1. pt crown 4had for 16 yrs* is lighter than the other teeth ... how do you t&P

a. vital tooth bleaching

b. replace :

c. direct composite over crown

d. veneer the crown

2. pro&imal resistance form of amalgam restoration comes from whatP

a. convergence of buccalDlingual wall

b. retention grooves in a&iobuccalDa&iolingual walls for pro&imal resistance

c. Aovetail provides retention form

8. what is the purpose of a surgical stentP

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 Aay' 1W(tages of anesthesia

+nalgesia D+mnesia3&citementDAelerium ' begins with unconsciousness and ends with loss of

eyelid re=e& purposeless movements and hyperreaction dilated pupils re=e&vomiting tachycardia and hypertension

(urgical anesthesia - worGing in this stage>edullary paralysis'essation of respiration

Denture sore t)roat palatolossal and superior onstritor of p)aryn* is inammed

4pt. annot s(allo(5:ortwine stains associated with sturgeweberephalosporins - betalactam family anaerobic.+ prodrug is a drug made active by metabolism.Lhat happens if you have more waterP


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ess e&pansion(lower settingess strength>ore porosityIow much reduction venner in the middle 1D8 of facialP0.mmLhat does vertical pull headgear doP

)e ;ertial 7ull Headear (it) #)in #up )as been desined spei!ally to orret =ertial and a (iderane of faial myofuntional problems, su) as open bite. @s soon as t)erapy beins, t)e ;ertial 7ullHeadear (it) #)in #up )olds t)e mout) losed ontinuously, reduin interdental )abits and tonue

protrusion. In addition, t)e intrusi=e fore on t)e molars is inreased. )is appliane an quily )ane amout) breat)in )abit to nose breat)inwhat is an openended !uestionP

+llows freedom of response

%ew patient comes into oce not of record what do you do 1st visitP


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(or Gor HardeninHI; (it) reurrent )erpes labialisK @ylo=ireG)i) mediation is ontrobutin to Insomnia and la of apetiteK De*tro @mp)et)amineHo( far t)e brus) and oss oes in sulusKBrus) 1mm , oss 2mmIs Propoxyphenontraindiated in prenant (omenK6years (it) loss dentureK implant b5 @umentation 5=estibuloblastiG)at is t)e best to lean implantKaA(ater pi bAtoot) pi Aoss dApro*ibrus)

G)at is )yper htelorismK eyes too farin 'orlin and Do(n syn.

)i test, tAtestG)at i=e to pt allery to odeinK PropoxyphenG)at is / A8 years old afraid of K aA pain bAunno(n Adental )ai r dA sepration from parent@DHD is most ommon inK boyBoys )a=e )i)er rates of @DHD t)an do irls.

ormer smoer )as less )ane of periodontitis ompare (it) urrent smoer.

E*amination re=eals a soft, utuant, tender s(ellin in t)e middle of t)e )ard palate.)e teet) test =ital. ?adiorap)s re=eal a radioluent area proFeted bet(een t)e rootsof t)e ma*illary entral inisors. )e yst t)at represents t)e most liely dianosis is aNasopalatinal ystNasiolabial yst7leomorp)i adenomalobuloma*illary yst

)e pulpal oor is perforated durin aess preparation. )e best ourse of ation is toa. #NIN&E ?#, ?E7@I? HE 7E??@IN @ @ &BE>&EN @77IN9EN NS_ I

@#I@ED 7@HI DE;ES7.b .?E7@I? HE 7E??@IN, #HED&SE 7 ? @NHE? @77IN9EN INIH ?#. ?E7@I? 7E??@IN,INII@S #SE@NIN'H@7IN' #HED&SE 7 ? INIHIN' ?#ators t)at a3et t)e pronosis of perforation repair inlude loation of perforation, timedelay before perforation repair, ability to seal t)e defet, and pre=ious ontamination (it)mirooranismsImmediate repair is better t)an delayed repair, beause delay an ause breado(n of t)eperiodontium, resultin in endoperiodontal lesions t)at are diOult to manae, andelimination of mirobial ontamination of t)e defet and proper sealin are ritial to suess

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1:t)

t* of @N&' ultrasoni, debridment, oral rinse )lor)e*idine or )ydroen pero*ide, ab tetra andmetrot* of Fu=enile periodontitis ab alone or (it) srpAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA

G)i) of t)e follo(in drus best re=erses t)e e3ets of ben$odia$epinesK@. Nalo*oneB. luma$enil#. 9ida$olamD. @minop)yllineE. 7)ysostimineollo(in ap surery, ne( Funtional epit)elium an form on eit)er ementum ordentin. Juntional epit)elium is reestablis)ed as early as one (ee.@. Bot) statements are ?&E.B. Bot) statements are @SE.#. )e !rst statement is ?&E, t)e seond is @SE.D. )e !rst statement is @SE, t)e seond is ?&ENo ans(er in ourse(arestetomy is a proedure t)at in=ol=es t)eE. use of an autoraft.. use of an alloraft.'. use of a ontiuous raft.H. remo=al of toot)Asupportin bone.I. remo=al of nonAtoot) supportin toot)

G)i) of t)e follo(in drus is administered orally to treat =ainal andidiasisK

@.luona$ole 4Diuan5

B.'riseoful=in 4'riful=in5

#.#lotrima$ole 49yele* ro)e5

D.9iona$ole 49onistat5

E.Nystatin 49yostatin

osteotomy =s ostetomyAAAAAAsupportin Aproper


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%$T3(

3%A$A$%T9 T;3+T>3%T of +vulsed tooth4pathway of the pulp

3&traoral Time ess Than V6 >inutes '

losed +pe&3ndodontic treatment is initiated at W to 16 days. 9n cases in which endodontictreatment is delayed or signs of resorption are present longterm calciumhydro&ide treatment is given before root canal Olling.%o chance e&ists for revasculari0ation of these teeth and endodontic treatmentshould be initiated at the second visit at W to 16 days. 9f therapy is initiated at thisoptimum time the pulp should be necrotic without infection or at most onlyminimal infection. Therefore endodontic therapy with an eective interappointment antibacterial agent over a relatively short period 4W to 16 days* issucient to ensure eective disinfection of the canal. 9f the dentist is conOdent ofcomplete patient cooperation longterm therapy with calcium hydro&ide remainsan e&cellent treatment method. The advantage of calcium hydro&ide use is that itallows the dentist to have a temporary obturating material in place until an intactperiodontal ligament space is conOrmed. ongterm calcium hydro&ide treatmentshould always be used when the injury occurred more than 2 weeGs beforeinitiation of the endodontic treatment or if radiographic evidence of resorption is

present.The calcium hydro&ide is changed every 8 months within a range of V to 2Qmonths. alcium hydro&ide is an eective antibacterial agent and favorablyin=uences the local environment at the resorption site theoretically promotinghealing. 9t also changes the environment in the dentin to a more alGaline pIwhich may slow the action of the resorptive cells and promote hardtissueformation. Iowever the changing of the calcium hydro&ide should be Gept to aminimum 4not more than every 8 months* because it has a necroti0ing eect onthe cells attempting to repopulate the damaged root surface.

$pen +pe&inocycline powder placedon the root surface before replantation.:atients are seen every 8 to Q weeGs for sensitivity testing. ;ecent reportsindicate that thermal tests with carbon dio&ide snow 4-WE* ordi=uordichlormethane 4-56* placed at the incisal edge or pulp horn are thebest methods of sensitivity testing particularly in young permanent teeth.$neof these two tests must be included in the sensitivity testing of thesetraumati0ed teeth. ;ecent reports conOrm the superiority of the laser Aoppler=owmeter in the diagnosis of revasculari0ation of traumati0ed immatureteeth.;adiographic 4apical breaGdown or signs of lateral root resorption* andclinical 4pain to percussion and palpation* signs of pathosis are carefullyassessed. +t the Orst sign of pathosis endodontic treatment should beinitiated and after disinfection of the root canal space an ape&iOcation

procedure should be carried out.

3&traoral Time >ore Than V6 >inutes

losed +pe&Treatment for closedape& teeth with an e&traoral time of more than V6minutes is the same as with less than V6minute dry time.losedape& teeth are treated endodontically in the same way as those teeththat had an e&traoral time of less than V6 minutes.

$pen +pe& 49f ;eplanted*9f endodontic treatment was not performed out of the mouth the ape&iOcationprocedure is initiated.9n openape& replanted teeth the chance of revasculari0ation is e&tremely


47/88

poor.Therefore no attempt is made to revitali0e these teeth. +n ape&iOcationprocedure is initiated at the second visit if root canal treatment was notperformed at the emergency visit. 9f endodontics was performed at theemergency visit the second visit is a recall visit to assess initial healing only.

racG toth syndrome'+ common Onding with a fractured cusp or cracGed tooth is the fre!uentpresence of pain upon release of biting pressure.

Test avityThe test cavity method for assessing pulp vitality is very seldom used today. Thismethod is used only when all other test methods are deemed impossible or theresults of the other tests are inconclusive. +n e&ample of a situation where thismethod might be used is when the tooth suspected of having pulpal disease hasa full coverage crown. 9f no sound tooth structure is available to use a bridgingtechni!ue with the electric pulp tester and cold test results are inconclusive asmall class 9 cavity preparation is made through the occlusal surface of the crown.The patient is not anestheti0ed while this procedure is performed and the patientis asGed to respond if any painful sensation is felt during the drilling procedure.9f the patient feels pain once the bur contacts sound dentin the procedure isterminated and the class 9 cavity preparation is restored. This sensation signiOesonly that there is some viable nerve tissue remaining in the pulp not that thepulp is totally healthy. 9f the patient fails to feel any sensation when the burreaches the dentin it is a good indication that the pulp is necrotic and root canaltherapy is indicated.Treacher ollins syndrome genetic disorder downward slantingeyes micrognathia conductive hearing loss underdeveloped 0ygoma drooping

part of the lateral lower eyelids and malformed or absent ears.Turner tooth9nfection and trauma

-Iand(chullerhristian triadnAiabetes insipidusn3&ophthalmosnBone lesions 4angerhans dis*$ral signs of handschulerchrist. Y bad breath sore mouth loose teethlesion are sharply punched out radiolucency and teeth appear as ultiform' young men viral or drug sudden onset vermilion intraoralnot on gingiva 4target*bull eye on hands and feet(teven/s )ohnson Y severe form of 3rythema >ultiforme 4aects eyes mouth andgenitalia*

:A widening in Iyper paratyriod osteosarcoma and scleroderma4Trismuswidened :A spaces masG liGe face 3&cess type 9 Z 999 collagen*3agle (yn' (tylohyoid ligament calciOcationMoster Y shingles Y unilateral>ultiple neuromas on lips tongue or palate may indicate that pt has >3% 999adrenal pheochromocitomaTumors of 3ndocrine glands \ esp. >edullary carcinoma of thyroid 4can causedeath*+ctinic chelitisH ($ral hairy leuGoplaGia Z >ono BurGit lymphoma\ both caused by 3B,?aposi sarcoma by herpes E7arre#s 4prolifrative periostitis* and 3wing sarcoma are both onion sGin>y&oma and ameloblastoma are soap bubble patternAes!uamative gingivitis includes pemphigoid pemphigus and erosivelichen planusTo change from long scale intensity 4low contrast* to short scale intensity 4highcontrast* but maintain image density the operator should decrease G,p andincrease m+s

-+uriculotemporal syndrome 4


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intermittent pain. ;adiographically this neoplasm is an opa!ue lesion that replaces the root of thetooth . 9t is usually surrounded by a radiolucent ring representing the periodontal ligament spaceand the advancing front of the tumor. TJ' Because of the intimate association of this neoplasmwith the tooth root it cannot be removed without sacriOcing the tooth. Bone relief is typicallyre!uired to remove this wellcircumscribed mass. ;ecurrence is not seen.;373M9

7lossodynia' tender or painful tongue7lossopyrosis' burning sensation of tongue

3psteinBarr virus 9t is Gnown to cause infectious mononucleosis is implicatedin the causation of BurGitt#s lymphoma and %asopharyngeal carcinoma and

hairy leuGoplaGiaLarthin#s Tumor ' (welling in necG more diused9nfectious >ononucleosis ' (welling in necG more rounded and locali0ed$steosarcoma ' ;adiographic sunburst appearanceost common salivary gland tumor Y pleomorphic adenoma. >

Ebit digital image would have 25V shades of gray>ost common salivary gland benign major or minor ' :leomorphic adenoma>ost common malignant minor '+denoid cystic carcinoma>ost common malignant major ' >ucoepidermoid carcinoma

;ecurrance' $? ;anula

(ymptomatic 9rreversible :ulpitis

eet) t)at are )arateri$ed as )a=in symptomati irre=ersible pulpitis e*)ibitintermittent or spontaneous pain, ()ereby rapid e*posure to dramati temperature)anes 4espeially to old stimuli5 (ill eliit )ei)tened and proloned episodes of paine=en after t)e soure of t)e pain is remo=ed. )e pain may be s)arp or dull, loali$ed orreferred. ypially t)ere are minimal )anes in t)e radiorap)i appearane oft)e periradicularbone. Git) ad=aned irre=ersible pulpitis a t)ienin of t)e periodontalliament may be e=ident, and t)ere may be some suestion of pulpal irritation by =irtueof e*tensi=e anal ali!ation. Deep restorations, aries, pulp e*posure, or any ot)erdiret or indiret insult to t)e pulp, reently or )istorially, may be present and may beseen radiorap)ially or linially or be suested from a omplete dental )istory.

ypially, ()en a symptomati irre=ersible pulpitis remains untreated, t)e toot) (ille=entually suumb to nerosis.7erussion and palpation may or may not positi=e. #old alle=iates pain in se=ere ases+symptomatic 9rreversible :ulpitisasionally, deep aries (ill not produe any symptoms, e=en t)ou) linially orradiorap)ially t)e aries may be (ell into t)e pulp. Seft untreated, t)e toot) maybeome symptomati or e=en neroti. In ases of asymptomati irre=ersible pulpitis,endodonti treatment s)ould be performed as soon as possible so t)at t)is on=ersiondoes not tae plae and ause t)e patient distress. Internal resorption and pulp polyp are

e*amples.%ecrosis

)is ondition is subsequent to symptomati or asymptomati irre=ersible pulpitis. &nderomplete nerosis and before any pat)osis e*tends into t)e periodontium, t)e toot) istypially asymptomati. It (ill not respond to eletri pulp tests or to old stimulation.Ho(e=er if heat is applied for too long the tooth may respond, possibly relatin toremnants of pulpal uid or ases e*pandin and e*tendin into t)e periapialreion.7ulpal nerosis may be partial or omplete and it may not in=ol=e all of t)e anals ina multirooted toot). or t)is reason, t)e toot) may present (it) onfusin symptoms,()ereby pulp testin o=er one root may i=e no response and pulp testin o=er anot)erroot may i=e a =ital response, and t)e toot) may e*)ibit symptoms of an irre=ersiblepulpitis.@fter t)e pulp beomes neroti, baterial ro(t) an be sustained (it)in t)e anal. G)ent)is infetion 4or t)e baterial to*ins from t)is infetion5 e*tends into t)e periodontalliament spae, t)e toot) may beome symptomati to perussion or e*)ibit spontaneouspain. ?adiorap)i )anes may our, ranin from a t)ienin of t)e periodontalliament spae to t)e appearane of a periapial radioluent lesion. )e toot) may beome=ery )ypersensiti=e to )eat, e=en to t)e (armt) of t)e oral a=ity, and is often relie=ed byappliations of old. @s pre=iously disussed, t)is may be =ery )elpful in attemptin toloali$e a neroti toot) ()en t)e pain is referred or nonloali$ed.:eriapical Aisease:eriradicular :eriodontitis@ toot) (it) acute periradicular periodontitis(ill )a=e a =ery painful response to bitinpressure or perussion. )is toot) may or may not respond to pulp =itality tests, and t)eradiorap) or imae of t)is toot) (ill enerally e*)ibit a (idened periodontal liamentspae but no periradicularradiolueny.@ toot) (it) chronic periradicular periodontitisenerally presents (it) no linialsymptoms. )is toot) does not respond to pulp =itality tests, and t)e radiorap) or imae(ill e*)ibit a periradicularradiolueny, usually around t)e apial t)ird of t)e root. )istoot) is enerally not sensiti=e to bit in pressure but an Rfeel di3erent` to t)e patientupon perussion.:eriradicular +bscess


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@ toot) (it) an acute periradicular abscess(ill be =ery painful to bitin pressure,perussion, and palpation. )is toot) (ill not respond to any pulp =itality tests and (ille*)ibit =aryin derees of mobility, and t)e radiorap) or imae an e*)ibit anyt)infrom a (idened periodontal liament spae to a periradiular radiolueny. (ellin (ill bepresent in t)e muobual fold and faial tissues adFaent to t)e toot). )e patient (illfrequently be febrile, and t)e er=ial and submandibular lymp) nodes (ill be tender topalpation.@ toot) (it) a chronic periradicular abscess

4suppurative periradicular periodontitis*(ill not enerally present (it) linialsymptoms. )is toot) (ill not respond to pulp =itality tests and t)e radiorap) or imae(ill e*)ibit a periradicularradiolueny. )e toot) is enerally not sensiti=e to bitinpressure but an Rfeel di3erent` to t)e patient upon perussion. )is entity isdistinuis)ed from )roni periradicularperiodontitis beause it (ill e*)ibit intermittentdrainae t)rou) an assoiated sinus trat.

"""@ntiApsy)oti drus"""

1.p)enot)ia$inesA)lorproma$ine4an ause ardi=e dysinesia52butyrop)enonesA )aloperidol t* of s)i$op)reniatourette syndrome-.t)io*ant)enes/.Di=erse )eteroyli1. lesion t)at ours from toot) e*ureKabfraction 4yes*2. ()at liquid is found in lass ionomerKpolyacrylic acid 4yes*

7lass ionomer cements are mi*ed po(derAliquid omponent systems. )e po(deris a =uoro aluminosilicate glass t)at reats (it) a liquid ()i) is polyacrylic acid toform a ement of lass partiles surrounded by a matri* of uoride elements.

8. infetion from premolars most lie todrain intoK sublingual area 4mand.>olars\submand area*

Q. t)e dru enforement aeny isonerned (it) ()atK potential for abuse

5. ()ere are you most liely to perforateon a ma*illary entral inisorK


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. diretion of t)e utes 4no5K

)e sini!ant ad=antae of a nielAtitanium !le is its unique ability to neotiate ur=aturesdurin ontinuous rotation (it)out underoin t)e permanent deformation or failure t)atstainless steel !les mi)t inur.@ sini!ant ris durin Nii rotary instrumentation is instrument separation. G)en t)einstruments are stressed o=er time, t)e rystalline struture an )ane or deform main t)e!les (eaer and more prone to rea)in t)eir elasti limit.

1. you separate an endo !le -mm from t)e ape* and obturate abo=e it...()i) ase (ill s)o( t)e best pronosisKa. vital pulp wD no periapical lesion4yes*b. =ital pulp (I periapial lesion. neroti pulp (I no periapial lesiond. neroti pulp (I periapial lesion

2. t(o t)ins t)at aount for a suessful posterior omposite restorationKa. type of resin and si$e of toot)b. si0e of tooth and type of prepPPP. type of resin and type of prep 4as) t)ins b type of resin re o (ear5

8. ()at is t)e initial step ()en you )a=e an aute perio absessKa. incision and drainage 4yes*b. antiAbioti t)erapy

. antibiotis t)en inision

Q. )o( do you repair a porelain =eneer (it) ompositeKa. miroet), et) and silaneb. sandblast, et) and pumie. pumie, silane, et)

)e enamel surfae s)ould be leaned (it) pumie and (ater.g G)ile protetin adFaent teet) (it) matri* strips, t)e enamel is aidAet)ed.

)e et)ed surfae is (as)ed and dried and a layer of un!lled bond resin is applied andt)inned (it) oilAfree air.

5. least e3eti=e sedati=eKa. dip)en)ydramine 4benedryl5b. nitrous o&ide 4ash could be wrong but doubted*

%itrous o&ideis a (ea anest)eti and is used (it) ot)er aents, su) as t)iopental, to

produe surialanest)esia.

Aiphenhydramine 4Benadryl5 is representati=e of t)e sedatinAtype anti)istamines, a lass ofdrus t)at auses sini!ant *erostomia.

V. ()i) is t)e best systemi antiAfunalKa. Getocona0ole 4yes*b. nystatin. miona$oled. lotrima$olee. uona$ole

W. onial s)aped aries ( broad base (it) ape* to(ards pulp is ommonlyseen inKa. root aries 4same as smoot) aries5b. smooth caries 4looG liGe v wD ape& towards pulp* 4mosby/s 82*. pit!ssure aries 4in=erted j=% (it) ape* to(ards olusal5E. best linial determinant of root ariesa. sensiti=ity to oldb. sensiti=ity to s(eets. soft spot on tooth 4+sh thinGs*4according to mosby/s pg 8W' root surface caries appears early as a well deOneddiscolored area adj to the gingival margins near cej*

)e most ommonly used linial sins to desribe root aries utili$ed =isual 4olor, ontour,surfae a=itation5 and tatile 4surfae te*ture5 spei!ations 4Bantin, 1


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=ariation bot) in t)e sins and symptoms of disease in indi=idual subFets and in t)einterpretation of t)ose sins and symptoms by liniians. Ne=ert)eless, linial obser=ations aree*tensi=ely relied upon for dianosis in t)e absene of more de!niti=e met)ods

%ote' 9ost urrent resear) suests t)at t)e mirobial etioloy of root aries is =ery similar tooronal#aries. in t)e past it (as t)ou)t t)at @tinomyes speies 4=isosus and naeslundli5 (eremost ommonly assoiated (it) root surfae aries.

S. /0 ylo pt ( all -2 teet). No a=ities. Has stain Z at) in pit of molar.()at do you doKa. watch and observe 4yes*b. sealant. omposite

16. 12 ylo id ( arious lesion on toot) L< t)at s)o(s pulp e*posure (I openape*... ()at do you doKa. rtb. ape&i=cation 4yes*1AHo( enou) spae pro=ided for eruption of permanent anterior mandibleKa.primate spaeb.lee (ay spae.mesial s)iftd.anterior ma*illary teet) tilt labialy

2ADentist )are fro ro(n k00.insurane only o=ers k/00.Dentist (a=es opayment

4k1005 but still let insurane )e )ares k00 for ro(n. ()at t)is ation alledKa.Do(n oddin

b. =er billin.7rie !*ind.&nbundlin-A )o( many anal 2nd ma* primary molar )asKa.1b.2.-d./9a* !rst molar / anals9and !rst molar - anals 42T / anals59and seond molar - anal 42T / #anals5/AEarly )ild)ood aries inKa. bla b. Hispani .()iteHispanis )a=e t)e )i)est rate of E## in bot) de=eloped and de=elopin ountries (it) ana=erae pre=alene of 1-TA2


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formed but is missin. 7rimordial ysts most ommonly arise in t)e area ofmandibular t)ird molars.&nder mirosopes, t)e yst loos lie an odontoeni eratoyst.9P.!n for )eroin addition AAAAAA KKKK(it)o(in syndromeApt may et addit to t)is druid years (it) systemi ds ame to ontrol plaqueA sodium uoride or )lo)e*idine(chi0oid personality disorder47D5 is a personality disorder )arateri$ed by a la of interest insoial relations)ips, a tendeny to(ards a solitary lifestyle, sereti=eness, and emotional oldness:aranoid personality disorderis a psy)iatri dianosis )arateri$ed by paranoia and a per=asi=e,lonAstandin suspiiousness and enerali$ed mistrust of ot)ers.Bipolar disorderor manic-depressive disorder4also referred to as bipolar a3eti=e disorder or mani

depression5 is a psy)iatri dianosis t)at desribes a ateory of mood disorders de!ned by t)epresene of one or more episodes of abnormally ele=ated mood. AAA @ressise brus)in AAAA)ttp(((.daAad.aFda=olA6


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215 Ho( toot) deay de=elops4 ans(er frutan )as ad)esi=e property t)en it stis tot)e toot) surfae5225 7erio disease is most ommon in bla male2-5 @fter tryin t)e anteriori teet) in t)e mout) for omplete denture patient. In orderto determine ondylar inlination (e mae a reord of patient%s anterior uidane.G)at (e )a=e to tae into onsideration in t)e lab 4 ?aise t)e pin on t)e artiulator()ile settin t)e ondylar inlination52/5 @ toot) is not responsi=e to old, not perussion and pulpation tender 4 A nerotipulp and )roni apial periodontitis Q irre=ersible pulpitis and normal ape*5 t)ere

(as not an item sayin neroti pulp and normal ape*525 @ )ild is alleri to ampiillin, ()at is t)e reimen for prop)yla*isK 4 no( t)edosae for ep)ale*in , a$it)romiin52:5 open te)nique impression for implant 4 to transfer t)e e*at anle of implant tot)e lab5)ttpidasmiles.om!lesImpressione)nique.pdf2ean %umber and Aiameter per (!uare >illimeter of Aentinal Tubules at ,ariousAistances from the :ulp in Iuman TeethA9(T+%3 :N:4mm*

%umber of Tubules41666Dmm2*%umber of Tubules41666Dmm2* Tubule Aiameter4m*Tubule Aiameter4m*A9(T+%3 :N:4mm* >3+% ;+%73 >3+% ;+%737ulpal (all / -0Q2 2. 2.0Q-.20.1Q0. /- 22Q< 1.< 1.0Q2.-0.6Q1.0 -: 16Q/8 1.6 1.0Q1.61.1Q1. - 21Q/8 1.2 0.


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2.1Q2. 2- 11Q-6 0.< 0.6Q1.-2.6Q-.0 20 8Q/0 0.: 0.Q1./

-.1Q-. 1< 10Q2 0.: 0.Q1.2

)istoloially loss of retepes is seen in

15p)em)ius

25pemp)ioid

-5li)en planus4sa(toot)As)aped rete pes of epit)elium5

15 or internal blea)in use sodium perborate Za5 10T )ydroen pero*ideb* 85F hydrogen pero&ide5 10T arbamide pero*ide-T arbamide pero*ide

15 Ha=e lot of inisal o=erlap, ()at do you (ant to )ane to maintain balanedolusiona5 ondylar inlinationb5 ondylar inlination

Durin t)e )ildCs !rst =isit, t)e dentist requested t)at t)e parents (ait in t)e reeptionroom. )e )ild ried moderately, but tearfully, t)rou)out t)e dental e*amination andprop)yla*is. )e dentist ca=e )er permissionc to ry ()ile )es)e (ored and t)en toono notie of )er ryin. Her ryin diminis)ed in intensity o=er time and t)en stopped.Git) respet NS_ to t)e ryin be)a=ior, t)e dentist )as

@.

used positi=e reinforement.

B.used neati=e reinforement.

#.e*tinuis)ed t)e be)a=ior.

D.inored t)e problem.

56* ou have I9, pt you can do all of the followin e&cept a* treath withmetronido0ole b* free gingival graft c*prophyla&i& to treat candidiasis5V* ou give the nitroglycerin to the pt with angina and heart rate goes upwhat#s the reason P natural re=e& to the decrease in blood pressureWW* Lhich durg will be used to treat an overdose ofmethotra&ate !"#$%&'()*+,-./0123456789:;?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~leucovorine

:5G)i) uoride auses t)e most staininKG)i) one of t)ese )as t)e least sedati=e e3etK I )a=e no ideaDip)enyl)ydramine#)lorp)eniramineAripelennamine

Ne( 9 ?adioA prenany or 6 mont)s ao )ad aen oneG)i) id of aries )as been redued o=er timeK lusal, root, pro*imal9a* ride in denture pt is PPPP.. o=er timeKNarro(, (ide , small , lare

1.t Fo)ns (artA used forK

^ )ort term memory loss^ depressionAAAAAAnot (it) ben$ and HI; mediation

2.

Diabeti underoin sureryK

oae #lear uids (it) same insulin intae

oae #lear uids (it) amount insulinK

-.Implants

^ Do not probe, disrupt atta)ment^ 7robe to )e bone le=el 4maybe5

/.di3erent symptoms bet(een )ypert)yroid s)o and )ypot)yroid s)oK

^ #old


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.fear =s an*ietyK

^ ear is loal, an*iety is enerali$edK

6.implant stableK

^ 1 unit^ 2 unit

8.pi of dorsum of tonue (it) 1 side totally red (it) ()ite nasty pat)es and

painfulK^ 7)emius^

:.()at sound altered (it) altered =ertial dimensionK

^ sound^ ;^ 7


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^ ?esin 'I at ini=al and omposite t)e rest2


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?e=ie( medial )istory 4I t)in5CAreason of usin plaque dislosin aentKAmoti=ate 7t to lean suspet

nbde ii questions

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