2009-2010 Boards

1. Dehisense defined as?

The loss of buccal or lingual bone overlying a tooth root.
2. Collimation is?
The accurate adjustment of the line of sight of a telescope.
Control of size and shape of xray beam
3. After periodontal surgery, what type of healing is it most of the time?
Repair
4. Pic of chick with bells palsy.
5. Biggest disadvantage of BSSO?
parasthesia
6. Class 3 furcation tooth already had RCT, best tx, ext not option?
split and tx as two premolars
7. Class 3 furcation which not an option?
GTR
8. Tetracylcine interacts with?
Penicillin
9. Pregnancey, dont take?
diazepam
10. Periostat- twice daily 20 mg has doxycycline which works by inhibiting
collegenase/protein synthesis (30s subunit not an option) Jon put perio chip
Periochip is 2.5mg of chlorohexidine gluconate though.
11. Tissue least sensitive to xray?
Muscle.
12. 15 yr old edentulous and stuff on hands and feet.

Papillon Lefevre syndrome

13. Which is not a symptom of combination syndrome?
Increased VDO
14. Pt. with inflamed abused tissue and needs new cd, what do u do?
Tissue conditioning
15. Intrabony bone defect?
Same as infrabony, Vertical bone loss.
16. Bleeding spots established in gingevectomy to?
I think outline incision line.
17. What is involved in periodontal regeneration?
I think pdl, cementum, alveolar bone maybe one other thing in there. Pdl & bone cells
18. Which is not expected in successful RCT?
Dentin regeneration
19. Not considered as increased risk for oral cancer?
HPV, HIV, Alcohol, or tobacco
20. If bone kept at what temp for 1-5 mins it causes necrosis?
55 C
21. Demineralized, freeze dried bone has what?
BMP
22. Hunter syndrome has what?
Lysosome storage disease. Get abdominal hernias, ear infections, colds, prominent
forehead, enlarged tongue, mental retardation.
23. Autistic kids have what characteristic.
Repetitive behavior
24. Asthmatic attack has what?

Wheezing on inhalation
25. What race for children has highest caries incidence?
White Kids
26. Most common side effect of oral contraceptive?
Blood clots
27. Drug for seizures?
Dilantin
28. Largest incidence of recurrence?
OKC

29. Mechanism of most drugs that tx arrhythmias?

Decreases repolarization rate, Prolongs refractory period.
30. Pt. on saw palmetto what do u want to avoid?
Aspirin
31. Pt. on ginsing what do u want to avoid?
Warfarin
32. What edge of curette do u want to be in contact at line angle?
Lower 1/3
33. Sodium hypochlorite is not a chelating agent.
*34. After drug goes through liver?
More water soluble and less lipid soluble.
35. Prozac
Serotonin
36. When to fill cavity?
Halfway through enamel, cavitated, to CEJ, can see radiographically

37. Methadon?
Helps alleviate withdrawl from heroine.
38. Which pemphigoid like lesion most often in infants?
Pemphagus Vulgaris, pemphigoid etc dont remember.
39. Which one not seen radiographically?
Naoslabial cyst
40. Which has increased over time?
Pit and fissure
*41. Most abrasive to tooth structure?
Amalgam, hybrid composite, microfilm composite, enamel dont know
42. Best indication for onlay?
Low caries index, dentin not supporting cusps.
43. Most important primary tooth?
1st or 2nd molar
44. Primary max molar has how many canals?
3
45. Cardiac referred pain not consistent with?
Pain goes away with LA
46. Pt. has pain and wants to sleep for eight hours?
Naproxen
*47. Know Specificity and sensitivity
48. Become aware of potential cross rxn who report to?
FDA
49. BW placed vertically why?
More alveolar bone

50. What form of mercury is the worst for dental office?

Elemental, ethlymercury, methylmercury, etc no idea.
51. Most successful spot for implant?
I think anterior mandible but other people say posterior mandible.
*52. Characteristic of implant drill that keeps bone cool?
Dont know answer, high torque was option
53. If keep bone at 55 C temp for five min it necroses.
2009
1. NO cannot go above 70%.
2.

Fluoride Chart

Age

<.3mg

6mo-3yrs

0.25

3yrs-6yrs

0.50

0.25

1.0

0.50

6yrs-16yrs

.3-.6mg

>.6mg

3. Lower compartment of TMJ is for? Rotation, upper compartment - translation

4. Neuropraxia? Transient episode of motor paralysis with little or no sensory or
autonomic dysfunction. Neurapraxia describes nerve damage in which there is no
disruption of the nerve or its sheath
5. Retention/Resistance form from? Cavity prep
6. Know where L.A. metabolized? Amide (2 Is) met. in P450 enzyme of Liver. Esters
(1 i) met. in pseudocholinesterase of plasma.
7. First pass metabolism? Concentration will decrease exponentially. Drug eliminated
in proportional fasion.

8. How to differentiate between an endo. or a perio. Lesion? Pulp vitality test.

9. Know Structures on Maxillary Sinus Radiograph!
10. PEDS eruption and calcification charts!
11. L.A. in inflamed tissue? Not enough free base to be effective.
12. Phenothiazine mechanism? Block dopamine D2 receptors.
13. What wears tooth down more? Amalgam
14. You have a pt. with a composite filling that complains of pain to cold a chewing,
you ditch it out with a bur, no more pain. What was the cause of the pain?
Polymerization Shrinkage.
15. Silver turns porcelain what color? Green
16. What is PapillonLefvre syndrome? You get periodontitis, Crust on hands and
soles, and premature loss of primary teeth.
17. Opiod (Fentanyl, Morphine, Meperidine, Methadone, Sulfentanil, Codeine, Heroin,
Dextromethorphan) reversal drug? Noloxone.
18. How many canals in primary maxillary molar? 3.
19. Where does caries start? Apical to proximal contact.
20. Fluoride is used for? Smooth interproximal surfaces.
21. Remineralization? Harder than normal. (Pit and fissure are most prevalent caries).
22. Amilnitrate & Nitroglycerine? Vasodialate coronary arteries.
23. Cleft Lip and Cleft Palate? Child most likely Class III.
24. Active Listening? Have pt repeat what you say.

25. Look at max sinus radiograph!

26. Treat fungal infection with? Nystatin.
27. Increase set time with Alginate (Reversible Hydrocolloid)? Cold water and more
water.
28. Erosion? Chemical & Bulimia.
29. What connects major connector to occlusal rest? Minor Connector.
30. Dont use for casting impression? Reversible Hydrocolloid.
31. Value? Most important, Lightness. Put shade guide from light to dark. Hue, actual
color.
32. BW Overlap? Horizontal angulation off.
33. Most common medical emergency in the dental office? Syncope.
34. Avulsed tooth splint how long? 1-2 weeks.
35. Ludwigs Angina symptoms? Swelling, pain and raising of the tongue, swelling of
the neck and the tissues of the submandibular and sublingual spaces, malaise, fever,
dysphagia (difficulty swallowing) and, in severe cases, stridor or difficulty breathing.
36. What type of malocclusion does a child have that is most likely to break there ant.
teeth? Class II div. I.
37. What is the most common impacted tooth? Maxillary K-9.
38. You have an 8 year old with a fibrous frenum and a diastema what do you do? Do
frenectomy only.
39. Nutrient Canals Pic! (Lines up side of root)

40. Cleidocranial dysplasia? Disease of the bones of the skull and clavicles. Short, big
head, shoulders move in, high palate, retention of primary teeth, and supernumerary
teeth.
41. Ectodermal dysplasia? Abnormality of 2 or more ectodermal structures. Hair loss,
thick nails, light skin, no sweat glands, missing teeth.
42. Endo tests?
Percusion- presence of inflammation in PDL or not.
Palpation- spread of inflammation to perodotium from PDL or not.
EPT- Pulp vitality.
Thermal test (hot & cold)-pulp vitality
43. Disinfection? Destroy majority of microorganisms but not bacterial spores.
44. Dehiscence? The loss of the buccal or lingual bone overlaying the root portion of
a tooth, leaving the area covered by soft tissue only.
45. ANUG? Usually 15-35 years old, aka Vincents infection and trench mouth,
punched out papilla, fetid odor, prevotella intermedia.
46. What defect is best for regeneration? 3 walled defect.
47. What cells do x-rays not affect? Muscle cells.
48. Who is protected under Americans with disabilities act? AIDS pt. and
accommodate the handicapped.
49. Hurlers Syndrome? genetic disorder that results in the buildup of
mucopolysaccharides due to a deficiency of alpha-L iduronidase, an enzyme
responsible for the degradation of mucopolysaccharides in lysosomes. Without this
enzyme, a buildup of heparin sulfate and dermatan sulfate occurs in the body.
50. Pic of Basel Cell Carcinoma on face.
51. Pic of Myxoma pt. Usually in ant. mandible, no symptoms, moves teeth.

52. Specificity? Proportion of truly nondiseased persons who are so identified by a

screening test (measures how good a test is at correctly identifying nondiseased
persons). Sensitivity tests identifying diseased persons.
53. Ethics
Beneficence- Do good.
Patient Autonomy- Self governance.
Nonmaleficence- Do no harm. Dentists are to keep skills and knowledge up-to-date
and practice within their limits in order to protect the pt from harm.
Justice- Fairness.
Veracity- Truthfulness.
Jurisprudence- The theory and philosophy of law.

Pregnant patient needs to lie on her left side

Pregnant patient lying on back will constrict what? inferior vena cava.
Penicillinase resistant penicillins COMN [clox, ox, methi, naf] b/c of
clauvulanic acid
Collimation = block (lead), filtration = filter (aluminum)
Age

<0.3 ppm

0.3 ppm to 0.6

0.6 ppm

Birth 6 months
6 months 3

None
0.25 mg

ppm
None
None

None
None

years
3 6 years
6 16 years

0.50
1.0 mg

0.25
0.50 mg

None
None

Mesial and distal walls of class I amalgam must be divergent not to

undermine marginal ridges
Increased trituration time will increase compressive strength/decrease
setting expansion;
Diabetes you get infections better not bleed easier
Cobalt is blue, copper is blue-green
Do all selective grinding before any restorations (BULL rule)
Minor connector connects major connector and retentive elements
Know what increases and decreases setting time for gypsum
(slurry/temperature/spatulation) longer spatulation time, greater
expansion (shorter time)

mandibular (primary - buccal shelf, secondary ridge)

If you have max denture opposite mand anteriors, you must have post
occlusion or max anterior will be beat up (know combination syndrome)
Know GI cement/GI restorative
LAP AA and capnocytophaga; generalized periodontitis involves prevotella
and eikenella (know if spirochete/cocci, etc)
Most plaque retentive thing calculus
FGG not used for deep/wide (used for narrow)
PT (12-14 secs, 2, 5, 7, 10) and INR are extrinsic pathway
Naproxen is longer lasting than ibuprofen
Macrolides
Cimetidine
Flumazenil combats benzos (naloxone combats opioids), disulfuriam is for
alcoholics
After indirect pulp capping, wait 6-8 weeks
1. Caries progression lactobacillus
2. Bur used for polishing Carbide more threads
3. Xerostomia. Does it lead to PDL breakdown/does it often cause root caries?
TRUE
4. pictures of molars in 16 y/o does it need sealants, no treatment, Class I.
Book says do sealant age 6-12, so no treatment most likely unless caries
visualized.
5. Ortho Treatment sequence question. (prophy, restorative, etc). be able to
rank
6. Perio Surgery. Know what is regenerating? bone, cementum, and more was
listed.
7. What is the #1 reason for implant failure? Surgical technique over smoking
8.

Blue sclera - seen osteogenesis imperfecta

9. Methyl methacrelate (reinforced ZOE)

10. Insurance HMO = capitation plan
1. Know SBE prophylaxis regimens thoroughly: Amoxcillin, amphicillin,
clindamycin, etc.
2. Contraindications of nitrous oxide

3. Know the ideal preps of Amalgam Class I and V. (can leave unsupported
enamel in class V) both into dentin.
4. Know the differences between primary and permanent teeth anatomy,
especially enamel rod orientations. Primary rods go occlusally
5. Reason why it is hard to restore permanent Mx 1st premolar with MO amg:
excessive mesial curvature.
6. Whats the reason why we want the proximal clearances both facially and
lingually in class II amg prep? Better access for cleaning.
7. Know when to do indirect pulp cap, pulpotomy, apexification (non vital teeth
with MTA), and pulpectomy (ZOE if apex is not closed in primary teeth) in
pedo patients.
8. What would happen if mA, kvP, distance of the source of radiation to object
are altered? COME BACK TO THIS
9. When do germination, concrescence, fusion occur during the tooth
development? Initiation and proliferation
10. know lesions that can occur in hard palate: ex. Sialometaplasia, Kaposi CA,
pleomorphic adenoma, etc.
11. several questions on dentigerous cyst, ameloblastoma, OKC. Know their
etiology, dx methods, tx.
12. The strength of Zinc Oxide Eugenol can be increased by adding what?
methylmethacrylate
13. treatment for internal resorption (endo)
14. Know flush terminal plane of Ortho/pedo. How will it effect the outcome of
permanent dentition?
Ex: if flush terminal plane Class I; mesial step Cl III; distal step Cl II
15. know tetracycline thoroughly: when to use, side effects, its drug interactions
(ex. Dec effect of (DENTIN, ANUG) (not for pregnancy)
oral contraceptive).
16. Know different types of impression materials: which provides best dimensional
quality (PVS), which is hardest one to remove from the oral cavity (polyether),
etc.
17. know the SLOB rule. Also know Vertical rule, which is same as SLOB but in a
vertical dimension.

18. amantadine -Tx influenza (anti-viral)

19. Amphetamine - Indirect-acting symphathomimetics
20. Buspirone - Psychotropic w. anxiolytic; low CNS depression, low psychomotor
skill impairment
21. Carbamazapine - Tx trigeminal neuralgia
22. Carbidopa - Use in conjunction with levodopa
23. Cephalosporin - 20% cross rxn w/ PCN; contraindicated on PCN allergic pt
24. Chlorpeniramine - Tx dermatologic manifestation of allergic rxn
25. Chlorpromazine - Inhibit dopaminergic receptor; same group as phenothiazine
and haloperidol
26. Chlortetracycline- Broadest antibiotic effect
27. Cocaine -Intrinsic vasocontrictive activity
28. Diazepam -No effect on respiration as oppose to other BZ
29. Dicloxacillin- Use for penicillinase producing bacteria
30. Digitalis -Increase Ionotropic effect of the heart, know the mechanism as well
31. Diphenhydramine -Antihistamine; AKA Benedryl
32. Flumazenil -Reverse the BZ effects
33. Gentamycin- May cause auditory nerve deafness
34. Hydroxyzine -Antianxiety med for child, fast clearance w/ low side effect
35. Ketamine -Used in General Anesthesia with dissociative effects
36. Lidocaine: -Cause cardiac/respiratory depression, and convulsion; know what
to give to reverse the convulsive effect of lidocaine; know other local
anesthesia; know which gets metabolized in plasma/liver which is based on
their chemical str (amide/ester); this will effect their duration of medication
37. chelating agents in endo: EDTA
38. endo access for mx central incisor: triangular
39. endo access for md 1st permanent molar: trapezoidal
40. most consistent root canal shape? Mx. Canine
41. know the content of pulp.
42. specific types of nerve in pulp
43. all the stimulation to pulp will generate pain free end.
44. know autograft, allograft, and xenograft
Pt needs to get renal dialysis. When should do oral surgery to this pt?
a. the day before renal dialysis
b. the day of renal dialysis

c. After 2 hr of renal dialysis

d. The day after renal dialysis**
What does NOT cause gingival hyperplasia?
a. phenytoin
b. cyclosporin
c. nifedipine
d. digoxin** (first three causes gingival hyperplasia) NEFEDIPINE does not.
Why opioid analgesic containing both acetaminophen and hydrocodone so effective?
a. acetaminophen and hydrocodone works differently, and combining these
effects makes it stronger* I put this, but not sure.
b. acetaminophen blocks the binding of protein with hydrocodone, so
hydrocodone level in blood is high, so it is strong
(make sure know why)
Which one is an antiviral agent?
a. Amantadine**
b. etc.
(know names of antiviral/antifungal agent, there was another question asking
about antifungal agent)
How does antihistamin work? I put competitively block histamine receptor
Know how CT scan/MRI images look like. (There was a picture question asking what
type of image is this mine was CT scan** image)
Which type of kennedy classification doesnt have a modification? Kennedy Class IV**
4-5 question about cast post/core What is the purpose of cast post, how should prep
for cast post? Etc.
What is the purpose of ring liner in investing process? Answer was to compensate
for some kind of expansion, cant remember for sure. Look for it.
What is an advantage of CAD/CAM technique when making a crown? Can prep and
delivery of crown in one visit

When doing gingivectomy, which is NOT right about internal and external bevel?
Order of maxillary molar extraction?
a. 3rd, 2nd, and 1st ; to protect tuberosity* this is what I put, but not 100% sure.
b. 1st, 2nd, and 3rd
c. 3rd, 1st, and 2nd
What is disadvantage of using NaOCl when doing RCT? Its toxic to the soft tissue
Know well about Localized aggressive periodontitis and ANUG.
Tx for herpatic gingivostomatitis?
a. palliative tx**
b. acyclovir
c. systemic antibiotic
d. steroids

When soldering, what is the most important factor?

a. width
b. height**
c. etc..
Stephen-Johnson syndrome? conjuctiva, and genital problems
Neurofibromatosis ? caf au lait spots.
Peutz Jeger syndrome ? Not cafe au lait, but freckles on lips.
Pt has Asthma attack, would you here Wheezing on inhalation or exhale?
Answer: wheezing on exhalation
What is the #1 reason for implant failure? I put surgical technique.
Blue sclera seen in? osteogenesis imperfecta
Implants are placed 3mm apart from each other.

Whats the best way to prevent proximal dislodgement/fracture of class II amalgam

filling?
a. Retentive grooves* I put this, but not 100% sure
b. converging axial walls
c. depth of prep
Know what a nutrient canal looks like on radiograph. (x-ray of mandibular incisor
area)
Know what an intermaxillary suture looks like on radiograph. (x-ray of max incisor
area)
What is the inverted Y made up of? Maxillary sinus/floor of nasal cavity
Know antibiotic classes pretty good, how much to pre-med, what adverse side effects
they can have
What is the first step in bacterial plaque formation on a tooth? Pellicle formation,
etc..

Know what a healthy T cell count is. 500-1500units/ml

(Question: Pts viral load was 100,000, and T cell count was 50. What is the right
sentence?
a. Pts T cell count is too low**
Periapical cemento-osseous dysplasia.on a radiograph, anterior mandible, black
ladies
Pt has a hypocalcified permanent max central incisor. When did this occur.
a. 4months in utero
b. 3 to 7 months
c. 6mo-3yrs*
d. 4-6 years old
Breastfeeding mother dont give her What? I was expecting tetracycline but it wasnt
there so I put Propoxyphene because it has aspirin. Maybe could cause Reyes

Which statement is NOT correct about Paraphrasing?

a. to put in your own words its correct meaning of paraphrasing
b. there were a few other example, but cant remember
You work at a HMO office and the patient has used up all his yearly benefits, what can
you do?
a. still accept the same fee under the HMO* this is what I put, but I dont
know.
b. Charge your regular fee like you would for cash pt.

Pt has problems on one side or their face when they eat, they recently had parotid
surgery, also had to do with something with their nerve.
A. Papillon Leferve
B. Freys Syndrome*
Pt is in Mixed dentition and they are end on, what type of occlusion will this result in
permanent dentition?
a. Class I**
b. Class II
c. Class III
What is the material in reinforced IRM that give it strength
A. amalgam powder
B. Zinc phosphate
C. Poly methyl methacrylate**
D. Titanium powder
Pt. had something to do with respiratory secretions and sweat. I put Cystic Fibrosis
(salty sweat)
Cherubism? Bilateral Swelling of jaws
Difference between hatchet and gingival margin trimmer?
Pt has an implant. Do the connective tissue and epithelium attach the same as they
do to natural tooth, meaning biological width?

A. Both attach the same

B. Neither attach the same
C. epi attaches the same but not connective tissue**
D. CT attaches the same but not Epi.
The reversal for Versed?
A. Narcon
B. Flumazenil**
Do we probe like normal for an implant?
A. No because you will disturb the epithelial attachment
B. I put yes. It didnt say anything about a plastic probe being available but it
seems like we still would have to probe.
What is the sign that a pt is having a laryngeal spasm?
A. Stridor
Pt is 13 years old and has a non-vital maxillary central. The apex is still open what do
you do.
A. Apexogenesis
B. Apexification** I think this is right I put A.
C. Pulpectomy
D. Nothing
Pulp is vital, pts a 8 year old. Apex is open. What do you do.
A. Apexification
B. Apicoectomy
C. Pulpectomy
D. calcium hydroxide pulpotomy.**
If you inject a pt that is taking propranolol directly into there vein what will happen.
Increase BP and HR?
What is the shape of the access of mandibular 1st molar?
A. Square
B. Trapezoid**

Pt is taking dicumarol what are they being treated for? This was an old board repeat
A. Myocardial infarction (dicumarol is similar to warfarin)
Which of the following is most likely to develop from a dentigerous cyst
A. AOT
B. Ameloblastoma**
C. Ameloblastic fibroma
Know the doses for someone that is allergic to penicillin, What you can give them. I
put clarithromycin 500mg but not sure if its right.
Which antibiotic is NOT inhibit cell wall synthesis?
a. amoxicillin
b. vancomycin
c. azithromycin** (this inhibits protein synthesis)
Same old question of where is the max 3rd molar most likely to be displaced?
A. infratemporal fossa**
B. maxillary sinus
Pt has veneers from 6-11, which fluoride do you use to not stain?
A. Stannous Flouride
B. Sodium Flouride**
C. Acid Flouride
Which would be located in the floor of the mouth and be doughy?
A Ranula, this is what I put but could be B or C not sure
B. Dermoid cyst
C Lymphoepithelial cyst **
Where does fluoride work the best?
A. interproximal**
B. Pit and fissure (I saw this somewhere and it said smooth surfaces, pit and
fissure is prr/sealant)
What is the most common site of enamel caries?
a. pit and fissure* I put this, but d could be a possible answer

b. at the contact point

c. slightly incisor to contact
d. slightly cervical to contact
What is best to sterlize carbide burs? Sorry I still dont know the answer

Definitely know the difference between Cohort, clinical trial and case study ? There
will be at least 5 of them, I guarantee it.

Hypothesis Generating Observational Studies

Descriptive studies - time, place, person
Ecologic studies - use groups rather than individuals
1. Correlation studies - measure linear relationship between two
factors within defined groups, no cause and effect established
2. Cross-sectional (epidemiological) studies - all variables measures
simultaneously at one point in time
Example It was observed that there was less caries in certain
geographic
areas. Higher fluoride in water supplies was suspected as the probable
cause
II. Longitudinal Studies - Hypothesis Testing Observational Studies
A. Case-control (retrospective) studies - start with disease and look
backwards for exposure
B. Cohort (prospective) studies - look forward from exposure to disease
development
C. Example Hypothesis testing observational studies supported the
explanation of increased fluoride levels causing a reduced rate of caries
III. Hypothesis Testing Experimental Studies
A. True experiments - usually not ethical on humans, only used on animals
B. Contrived experiments

1. Intervention - modify risk exposure factor within a defined

population
2. Clinical Trial - Use randomization and blinding to compare effects of
treatment with non-treatment. This is the Gold Standard for
establishing cause and effect
C. Example Clinical trials confirmed the value of fluoride as a caries
preventive
Clinical trials: Trials to evaluate the effectiveness and safety of medications or
medical devices by monitoring their effects on large groups of people.
Clinical research trials may be conducted by government health agencies such as
NIH, researchers affiliated with a hospital or university medical program, independent
researchers, or private industry.
Typically, government agencies approve or disapprove new treatments based on
clinical trial results. While important and highly effective in preventing obviously
harmful treatments from coming to market, clinical research trials are not always
perfect in discovering all side effects, particularly effects associated with long-term
use and interactions between experimental drugs and other medications.
There are four possible outcomes from a clinical trial:

Positive trial -- The clinical trial shows that the new treatment has a large
beneficial effect and is superior to standard treatment.

Non-inferior trial -- The clinical trial shows that that th

1. action of clotrimazole
Alter the enzyme for synthesis of ergosterol
alters cell memb. Permeability
2. pt taking antibiotic which is metabolized in the liver. Metabolism of antibiotic
decreased by which drug.
a. TCA
b. SSRI
c. phenothiazine
d. diazepam

inhibitors of MEOS: erythromycin, cimetidine, isoniazid, phenylbutazone, valproic

acid, disulfiram, MAOI
enahncers of MEOS: barbs, phenytoin, carbamazepine, rifampin do not take with
anticoags
3. what is progressive relaxation
a. intermittent relax & tense (T/F)
b. something about visualized images or something (T/F)
4. cortisone exerts its action on
Enter cell and bind to cytosolic receptor migrate to nucleus gene expression or
With plasma membrane on target cells
-receptors on membrane, proteins in plasmaetc.
5. why do full contour waxup on PFM bridge and then do cutback?
a. even thickness of retainers
b. even thickness of porc
c. even metal in connector
6. most radioopaque in porcelain
a. barium and zirconium glass
b. silica
c. quartz
7. action of Zafirlukast (Accolate)
is a nonsteroidal tablet for the prevention and continuous treatment of asthma in
adults and children 5 years of age and older. oral leukotriene receptor antagonist
used for treating asthma. Leukotrienes are a group of chemicals manufactured in the
body from arachidonic acid. Release of leukotrienes within the body, for example, by
allergic reactions, promotes inflammation in many diseases such as asthma, a
disease in which inflammation occurs in the lungs. Zafirlukast blocks the binding of
leukotriene types D4 (LTD4), and E4 (LTE4). It was approved by the FDA in 1996.
8. outlier has greatest effect on
a. mode
b. mean
c. median
d. standard error
9. most common tooth associated w/ cracked tooth syndrome
Mandibular second molars, followed by mandibular
first molars and maxillary premolars, are the most commonly
affected teeth.

10. why oil in x-ray tube

-heat: cools off the anode
11. most likely to strip which wall in MB root of max molar: stripping refers to furcal
perforations - distal
12. what do you do when some kid you drugged up starts to snore in the chair
a. reposition head
b. remove rubber dam & check
13. child goes into insulin shock in the chair (hypoglycemia)
a. give OJ
b. ask parent to give kid insulin shot
14. best way to prevent speech problems in complete dentures
a. keep teeth in same position
15. cause of geographic tongue: unk
a. ulceration of mucosa
b.
pseudoepitheliomatus hyperplasia: resembles SCCA. It is seen in inflamm papillary
hyperplasia, chronic hyperplastic candida, GCT, blastomycosis.
16. growth of cranial base (2mm/yr up to ages 7-9) compared to the jaws (2mm/yr,
but continues til later)
a. precedes
b. same time
c. after
17. which teeth do you perform pulp eval on?
a. tooth only
b. tooth and neighboring teeth
c. tooth, neighboring teeth, contralateral tooth
d. tooth, neighboring teeth, opposing tooth
18. cleft lip & palate usually associated w/
a. class I
b. class II
c. class III
d. mandibular retrognathia
19. which tooth has least root surface area?
a. max lateral
b. 3rd molar w/ fused roots
c. mand premolar

20. which tx is best for type III furcation

a. guided tissue regen
b. apical flap
21. imbibition and syneresis affect which one the most
a. reversible hydrocolloid
b. impression compound
c. polysulfide
d. silicone
22. which one is sched II drug?
a. percocet
b. darvon 4
c. vicoden 3
d. ultram
e. Tylenol #3 3
23. best LA to use w/o vasoconstrictor
a. pro
b. benzo
c. lido
d. articaine
e. mepivicane
24. when upright molars w/ lingual arch w/ omega loops be careful not to
a. flare mand. incisors
b. intrude molar
25. all tests for bacteria & their byproducts EXCEPT
a. DNA analysis
b. microbio culture
c. dark field analysis
d. test for IL-1
e. enzyme analysis
26. best way to eval available space for rests
-mounted casts
27. advantages of IM injections
28. why is pt taking ACE inhibitor
-CHF
29. dual cured resin cements
a. color stability vs. light cured only
b. light cure for max cure

c. cement of choice for porc. Veneers

30. main disadv of gold inlay
a. deform under load- since it is high noble gold and softer, it may have higher
creep
b. wear opposing
c. cement is soluble
d. possible attrition
31. pt gets Hep B
a. carriers for life?5-10% become carriers
b. gets active hepatitis
32. dentist w/ directive interviewing
a. less possibility of misunderstanding in office?
33. width % of alar base to total face width? 20%??
a. 33%
b. 25%
c. 50
34. osteogenesis imperfecta usually assoc w/
a. DI
b. AI
c. hypercementosis
d. cleidocranial dysplasia
35. pt on coumadin, INR 2
a. extract, use sutures, hemostatic agents
b. get pt off coumadin for 2 days before extraction
36. goals of pocket reduction surgery EXCEPT
37. pH at which cavities can occur
a. lowest value was 5.5
38. What do class I & class V Ag ideal prep have in common
a. both slightly extend into dentin
b. both have flat axial & pulpal wall
39. CNS lesions w/ muscular defects
a. cerebral palsy
40. best to use w/ localized aggressive periodontitis
a. chlorhexidine
b. H2O2 rinse
c. systemic antibiotic
41. best way to decrease gingival irritation w/ home bleachin

a. well fitting trays

42. cause of allergic gingivitis

a. flavoring in toothpaste
b. food coloring in foods
c. Fluoride in toothpaste
d. pollen
43. tx for large sialolith near orifice of Whartons duct
a. transoral to unblock duct
b. extraoral to remove gland
c. cannulation & dilation
44. hypnosis works on
a. voluntary muscles
b. vol & invol muscles
c. organs
d. organs and glands
45. least likely cause for failed RCT
a. GP beyond apex
b. clean & shaping no good
c. obturation no good
46. best reasoning for implant in max lateral
a. no rest on central & canine
47. horiz root fracture
a. reduce & immobilize
48. why do penicillins have decreased effectivness in abscess
-hyaluronidase, pen unable to reach organism
49. most common nonodontogenic cyst nasopalatine duct cust
a. dermoid
b. thyroglossal
c. lymphoepithelial
50. least soluble
a. fluorapatite
51. all associated w/ perio problems accept
a. stevens-johnson syndrome

b. pap-lefev syndrome
c. down syndrome
d. hypophosphatasia
52. major connector design for large inoperable palatal torus
a. horseshoe
53. Couple question on Kennedy classifications (w/ modifications)
54. Something about best way to monitor conc. of NO2 in brain
a. dosimeter in scavenger
b. monitor NO2 conc on machine and flow rate
c. talk w/ pt
55. Reason for splint in palatal torus removal
56. Hazardous communication regulation
a. train worker right after you hire (T/F)
b. train worker when new hazardous product in office (T/F)
57. Epileptic pt least likely to take
a. ethosuimide petit mal seizures
b. diazepam
c. Lasix (furosemide)
58. Cut onlayfind out margin of crown w/in 1 mm of interseptal bone
a. pack cord, take imp
b. crown length surgery
c. use amalgam
59. Lesion that resembles SCC16wks and then disappers
a. papilloma
b. keratoacanthoma
c. papillary hyperplasia
60. max 2nd premolar w/ no apical pathosis. Final RCT 1mm away from apex. 1yr
recall shows 5 mm radiolucency. What do you do
a. retreat
b. apical curettage only
c. apical curettage , root end resect, root end fill
61. ways to treat kid w/ herpetic gingivostomatitis EXCEPT
a. antibiotics
b. give numbing anesthetic before eating
c. have pt rest and drink lots of water
62. bilateral asymptomatic blue stuff under tongue
a. hemangioma

b. varices
63. main sign of dementia
a. confusion
b. short term memory loss
c. long term memeory loss
64. why are inorganic pyrophasphates in anti-tartar toothpaste: In toothpaste, sodium
pyrophosphate acts as a tartar control agent, serving to remove calcium and
magnesium from saliva and thus preventing them from being deposited on teeth
a. prevent bacterial colonization
b. prevent phosphate
65. Ways to tx dry socket except
a. curette walls to make socket bleed
b. no non-narcotic analgesic as needed
c. sedative dressing
d. flush out debris w/ sterile solution
66. know what tauradontism looks like on x-ray
67. condition of a chronic desquamative gingiva dsz
a. cicatrail pemphigoid
68. immunofluoresence used for dx of
a. pemphigus
b. LP
69. Fordyce granules
a. ectopic sebaceous glands
70. begin tx of ANUG pt w/
a. H2O2 rinse
b. debride & instrument
c. antibiotics
71. main reason for implant failure
a. smoking
72. face swelling w/ air spray in perio pocket
-soft tissue emphysema
73. fastest growing tumor????
a. oncocytoma
b. pyogenic granuloma
c. pleomorphic adenoma
74. effects of H1 blocker EXCEPT: (causes CNS depression)
a. CNS increase

b. CNS decrease
c. increase acid secretion
d. resp depression
e. local anesthesia
75. signs of morphine intoxication
a. coma, pin point pupils, decreased resp: increased accommodation and
sensitivity to light reflex
b. dilated pupils, sweating, decreased resp
76. most common reason for porc fracture
a. contact at metal-porc jxn
b. contaminate metal before opaque layer
c. metal oxide formed before porc applied
77. complication of lugwigs angina
-edema of glottis
78. best way to determine abnormal bleeding tendencies
-history
79. best way to determine platelet fxn
a. platelet count
b. bleeding time
c. PTT
d. INR
o

Infection Drainage:

Zyban (bupropion) is used for Smoking Cessation.*

Statistics (T-test: compare two groups one control and the other test, chichart, etc.)

Billing:

What is synostosis?
o
o

What causes a crowing sound?

o

Abnormal development of a joint.

COPD (maybe)* laryngeal SPASMS

Child makes a wheezing sound before injection?

o

Asthma (induced by stress)

When do you check phonetics for a CD/CD?

o

Wax try-in

QWhat does Alpha-1 do?

A.Vasoconstriction of peripheral vessels

Q.Whats the action of the Benzodiazepines?

A.Facilitates GABA receptor binding by Increasing the frequency
of chloride channel opening.*

Q Radiograph what is it:

A.Dentinogenesis Imperfecta* pulpless tooth 1 and 2Type 3 are shell
teeth

Dentinal dysplasia type 1 is pulpless.

A lot of questions on Inlays/Onlays : Pulpal axial walls converge

Q.What oral manifestation is seen in children with HIV?

A* Candidiasis #1

o
o

When does a permanent 1st molar or complete calcification?

o

4-5y.o. after eruption

When do incisors start calcification?

16 weeks

Whats the incidence of cleft lip?

o

Child with granulomatous gingiva and bleeding rectal-anus has what?

o

Wegners //// not sure

How does an antagonist work?

o

1:700

No intrinsic activity, High affinity

Know what happens with an overdose of Acetaminophen and Morphine

(Mosbys page 291) Morphine: respiratory depression, liver

Most common antidepressant does what?

o

Inhibits reuptake of both Norepinephrine and 5-HT (if the most

common is TCA)

Which drug best reverses the effect of benzodiazepines?

o

Flumazenil

Benzo flu away

Carbamazepine:
o

used for Trigeminal Neuralgia, Do not use to treat constant, fascial

pain. Use NSAIDS

How does Digoxin work?

o

Inhibits Na/K ATPase of cardiac cell membranes resulting in

increase of Na concentration intracellularly. cardiac glycoside.

Adverse Effects of Thiazide Diuretics: Hyperuricemia, hypokalemia, what do

you give for it Potasium K+.

Epinephrine: Does not cause bronchodilationYES IT DOES

If a patient is allergic to Ampicillin, what else can you premedicate with?

Clindamycin 600mg 1-hr before, Cephalexinn2000, Azithromycin 500, or
Clarithromycin 500 (look at specific doses!) all 1-hr before.

What drug has the highest concentration in crevicular fluid?

Tetracycline

What are the reasons a dentist needs to pre-medicate?

Antifungals: Know which ones are systemic and which ones are topical
o

Mycelex, nystatin, ketoconazol,Nastatin rinse and Clotrinzol-troch are

topical,

Systemic Ketoconazol, Amphoteracin B.

Grisofalvin: used for athletes foot.

Know drugs that are used for Herpes: Acyclovir, valtrex

Why dont you give Sulfonylureas to Type I diabetic patients? They do not
have beta cells for insulin (pg. 47)

What analgesic do you give a child with Asthma? Tylenol

What are you worried about when a patient is on Naproxin?

o

Heart attack or stroke short breathe, later kidney toxic.

What is affected on an overdose of Acetaminophen? Liver

What material should not be used to take an impression of a bridge?

o

What happens if you increase water in gypsum stone?

o

Polyether Hydrophillic.

Lower expansion and strength.

Know the landmarks for the Fox plane.

o

Lower alla upper tragus and interpuplar distance.

VDR-Freeway Space=VDO (p. 57)

Centric Relation: Man to Max

Centric Occlusion: teeth

Know Public Health

Pre-contemplation /contemplation

Know the positioning of panoramic films (why is there an error? ex: chin tilted
to high/low, etc.)

When looking at a radiograph, what zone of caries are you looking at?
Demineralization.

What is true of Strep. mutans? Can live in plaque, Can live on gingival Can
live in a child with no teeth Has to live on a non-shedding surface

How do you determine the severity of fluorosis? Look at the two worst teeth?

What does arrested caries look like?

o

Black dark

How does caries indicator work? (p.17)

o

A colored dye in an organic base adheres to the denatured collagen

which distinguishes between infected dentin and affected dentin

What instrument would not be used to bevel the gingival margin of an MOD
prep?
o

What has the largest thermal expansion?

o

Enamel Hatchet??

Composite?

What is the corrosive phase of amalgam?

o

Tin/Copper phase

What type of amalgam needs to be condensed more? Spherical.

MC amalgam: Irregular cut last cut.

Filler composites: Larger fillers have more strength, but do not polish as well

What is the composition of Glass Ionomers? Silica glass and polyacrylic acid.

What is the hardest metal? Gold Type IV

What is a compomer? (p. 26) GI and Composite modified with polyacid

groups, used in low-stress-bearing areas (Less wear resistant than composite,
Releases fluoride)Root caries and Class V. RMGI is better.

Reinforced Zinc Phosphate Eugenol: Best luting agent?

Know definitions of Attrition, Abfraction, Erosion

When do you do perio surgery (crown lengthening) when the caries is

subgingival?

What causes the greatest incidence of implant failure? Smoking.

What is the worst type of force for an implant? Horizontal.

Primary stability for an edentulous CD on maxillary? Palate and residual

ridges.

Mand buccal shelves and 2/3 RMP.

What determines lingual border of Mandibular impression? Superior

Pharyngeal Constrictor muscle and buccal is masseter.

What is expected from a high noble metal? No tarnish or corrosion??

When is a post and core indicated?

What does staining do for ceramics? Alters hue.

What is the mechanism of local anesthetics? Blocks Na channels

intracellularly

A bunch of Nitrous Oxide questions:

What is an absolute contra-indication for the use of Nitrous Oxide? Sickle cell
anemia or nasal congestion?

Why is nitrous oxide used on children? alleviate anxiety

Most common side effect of nitrous oxide? nausea

If patient does not have 100% oxygen after nitrous oxide: Diffusion hypoxia

What type of caries detection is the Dyfoti used for? Class II?

DaignoDent is Class I

A lot of questions on Local Aggressive Periodontitis

Where are the most teeth lost in local aggressive periodontitis? Max molars.

Do you use antibiotics with local aggressive periodontitis? No.

Crack tooth syndrome is most likely found? Mandibular Molars

Vertical Root Fracture is most likely found? Max 1st PreMolar.

What causes most vertical root fractures? Condensation of gutta percha

Leukemia Picture: young person that is fatigued and has a jacked-up mouth

What is a problem with neutropenia? Infection? (not enough neutrophils to

fight off infection)

Patient fractures one condyle, what is the expected growth? The fractured
side will lag. The unaffected will continue growth.

BSSO = Vertical Osteotomy (when used) push mand. Forward or back word for
class III.

What is the difference btw distraction osteogenesis Max and BSSO Man?

What is the most common? Dentinal dysplasia, amelogenesis imperfecta,

dentinogenesis imperfecta, cleft lip (Cleft Lip)

A chanker due to Syphilis mostly resembles: Aphthous ulcers.

Know how to treat pediatric teeth (SSCrown primary molars that have MO
caries due to the cervical constriction)

Reverse Pull headgear Class III

Would you use an RPI or surgery to expand the palate on a 17 y.o. female?
(surgery)

When a primary molar is extracted what type of space maintainer would be

used? Know the different types and indications distal shoe.

Most common type of occlusion in primary teeth: End-on-end?

Know the syndromes with supernumerary teeth cleidocranial Gardners and

adontia ectodermal displasia.

What conditions not to use bisphosphonates: Metastatic disease to bone,

Multiple myeloma, Metastatic breast cancer, Metastatic prostate cancer?
(prostate)

Know how to determine if a patient is a high caries risk? assesment

How do you fix a posterior cross bite? Quad helix, RAPID palatal expansion.

Fusion one less tooth/Gemination on radiograph

Know the Imperfectas Amelogenisis: Hyp-plastic pitting enamel

Hypo-mature brown molding, Hypo-calcified soft flaks off, normal looking.

Know Herpes vesicles, no scars (what happens and what they look like)

When do you do a pulp cap? Small exposure, iatrogenic.

Know apexification vs. apexogenesis (p. 184) 3yrs for root to form.

What doesnt hypochlorite do? Chelation>>> EDTA

Know the drugs that cause gingival hyperplasia? Ca+ blocker, Dylantin
Phenotoin.

How do you treat bruxism? Mouthguard

What disease will alter healing after root canal treatment? HIV or diabetes?

How does a gingivectomy heal? Secondary intention?

What do you want to see healing after perio surgery? PDL, bone, etc.

Restore: PDL Bone Cement. Repair: Long junctional epi and CT.

What is the disadvantage of a connective tissue graft? Two surgical sites

What type of flap do you use in crown lengthening? Apical Repositioning Flap

What environment factor alters healing? Smoking

What cells are radiosensitive? Bone marrow cells, sperm.

A lot of questions on Down Syndrome: small Max Big tongue, Crowding, small
teeth short roots, Heart problems mitral valve, Cleft lip and palate.

What causes Pink Tooth Mummery? Trauma and infection

Picture of Odontogenic Myxoma: Soups bubbles.

Know when to biopsy

What type of cyst recur the most? Odontogenic Kerotocyst

What is the rarest cyst?

Actinomycosis has pus, antibiotics

Know Cemento-osseous dysplasia:

Florid Black females vital all four Quads

Focal White females vital edentoulous one lesion

Periapical black female vital, man anteriors.

Etiology of Squamous Cell Carcinoma, external factors and stress.

Multiple Myeloma: Punched out lesions.

What sterilization is safe for carbide burs? Dry-heat.

NERB CONCEPTS

Nuchal Stiffness =

Permanent Tooth with most prominent cervical bulge=

meningitis
mandibular

molar

Differentate btw perio and pulpal abcess=

What do you find in Basal Cell Nevus,=

Glucocorticoids result in all except,=

Why use non rigid fixed retainers,= correct path of insertion

Where put pier abutment= distal of female component

What is Isorsbide use fo=, Angina pectoris, Congestive heart failure

What is probantine. Antisialogue

Tetracylcline binds to what, calcium components of bones and teeth

Percodan antagnonist = nalaxone

What is in a root canal sealer = Zinx oxide

Concentration of sodium hyperclorite = I put 5.5%, other conc too

electrical

pulp test

OKC

osteoporosis

high

What cement cant use under bonded amalgam = ZOE

When cant use Ketoconozole,= erythromycin

What antibiotic is in gingival crevicular fluid = tetracycline

All are clinical signs of mobility except = increase in PDL space

What is similar to squamous cell carcinoma= keratocanthoma

Microthnathia, cleft palate, glossoptosis = Pierre robin syndrome

Puetz Jegger syndrome = brown macules on lips

Cyst around CROWN of third impacted molar= dentigerous

Teeth responds to heat, cold and electrical pulp test= periapical

dysplasia

What is not a genetic disease= odontoregional dysplasia

Why is DNA probe use = what alleles cause the disease

If have tuberosity and facial undercuts = remove tuberosity

Best implant location = man anterior

How tx aggressive perio= debridemen/scaling and antibiotics

What bacteria associated with JLP =

What is the test for coumadin = PT/INR

What muscle translate the condyle= lat pterygoid

What muscle position and pull condyle in fracture = lat pterygoid

What antibiotic for odontogenic infection= Pen VK

What main adverse effect of erythromycin = GI disturbances

What is main adverse effect of Nitrous = nausea

What causes mydrasis = anticholinergics

If have antral oral fistula = what meds give pt

How tx max dome cyst in sinus = no tx

All restore 1.5mm diastema except = composites

If 10 yr old have diastema, what do you do = observe until K9 erupts

Why remove flabby tissue= denture have firm base

Max complete denture with 6 lower ant teeth = see bone loss in ant

Aa

max

When is fixed bridge CI in ant area =

What is the purpose of an indirect retainer

What is efficacy of a drug = max reponse of that drug

KVP = the energy, quality of photons in the beam

MA = # of photons in the beam

Mechanism of prozac= serotononin inhibitor an SSRI

Narcotic antagonis= flumanzil or naloxone

Principle of interrupted sutures= immobilized the flap

How to suture = from movable to fixed

Tight sutures results in what= necrosis

loss of alveolar bone

What is the bacteria in periodontitis = P gingivalis

Place post and core, pain on biting= vertical fracture

Where most likely to perforate in max centrals = facial

Where most likely to perforate in max 1PM = mesial

When polishing composites, what to avoid = removing contacts

Implants = high torque low speed

When do gingivectomy= suprabony pockets

Which tooth is likely to fail after perio= max 1st molar

What causes dyguesia= radiation tx

What can xerostmia cause= retrograde salivary infection

How tx denture sore mouth

Nodules on alveolar ridge of infant= bohn nodules

What is freeze dry cadaver bone= autoplast

What is the migration rate of epi tissue= 0.5mm to 1mm/24hrs

Where should obturation end= 0.5 t0 1mm from radiographic apex

When do primary central erupts= 6 months

Child is 4 yrs, lost 2nd primary molar= distal shoe

Removable appliances in ortho produce = tipping forces

Most commom malocclusion= class II div I

Primary CI is avulsed, dont put it back= never replant primary teeth

Where do permanent teeth erupt= facially

How to tx pregnant pt with hypotension in 3rd trimester= lay on side

of back

How to tx pt with hearing impairment

If extract max molar, mesial root is left= use cryer elevator

Overextension of man distobuccal flange= massater muscle

Overextension of man ant buccal frenum = obicularis oris

5 yr old child has .75ppm fluoride in water, what RCT

supplementation needed = none

Concentration of NaF = 1.23%

When extracting upper molars, why start from 3rd molar to anterior:
to decrease chance of tuberosity fracture ( remember beware of lone
molar)

If have 1mm of space btw upper and lower molars= reduce

tuberosity

No teeth development = results in resorbtion of alveolar ridge

What do you see in langerhans cell disease = teeth floating in air

Tx for bilateral round opacities in man anterior area = none, they are
torrus

What amalgam best for interproximal spaces= admixed

What amalgam use strong lat condensation forces.=Spherical

What calcium channel blocker causes gingival hyperplasia,=

neferdrine

What drug tx ventricular arrhythmia= lidocaine

Where do you place heavier bevel on an onlay= working cusp

Where store scrap amalgam,= under sulfide

Which papilla involve in hairy luekoplakia= filliform

Where is cancer least likely to occur= alveolar ridge

When do you use an occl separator= for muscle spasms

Pt has severe head injury, give all excepts= opiods

Pt has peptic ulcer, should avoid= Steroids

Unseating of max denture can result from.=Excessive depth of

palatal seat

What is the closest speaking sound= S sound

What is the best combination for Parkinson disease= Ldopa and

carbidopa

Whats best way to avoid root caries,= maintaing perio attachment

What causes contraction of amalgam= tin

What delay expansion of amalgam= Zinc

What is the therapeutic index= LD50/ED50

Drug that demonstrate redistribution= thiopental

Which tooth radiates pain to the ear= man molar

Whats a pear shape bur = #330

What do see in eagles syndrome = calcification of stylohyoid

ligament

What test use to asses hemophiliac= PTT

What is ZIDOVERDINE= an HIV med

Main cause of caries = plaque formation

What is peer review = organize dentistry

When do you see blue sclera= with osteogenisis imperfectar, also

osteogenesis imperfector occurs with dentinogenesis imperfectar
type I

Conditions associated with multiple supernumary teeth = gardner

syndrome and cleidocranial dysplasia

Median palatal cyst=

Where do you see sulfer granules= actinomycosis

What see in erythema multiforme= target iris or bull lesion

Why are filters use, = to remove low energy photons

What are intensifying screens used for= to reduce pt dose

What cell type found most in PDL= fibroblast

What coating is responsible for plaque adhering to teeth = salivary

a true fissural cust

pellicle

Term used to describe HIV gingivitis= linear gingival erythema

What see with pseudopocketing,=NO ATTACHMENT LOSS

WHAT TYPE OF FILE IS STRONGEST AND CUTS LEAST AGGRESSIVE, =

k FILE

What is a Stephan plot, measures the PH changes on tooth enamel

surface

KVP controls what= contrast

Picture of buccal mucosa with white plaque, wipe off = candidiasis

Picture of redish puple lesion on hard palate, pt has AIDS = karposi

sarcoma

Premalignant precursor of squamous cell carcinoma= actinic chelitis

What is pagets a premalignant condition for, osteosarcoma

Picture showing localized widening of post man molars and sunburst

pattern of bone = osteoscarcoma

Picture showing bone loss around 1st molars and incisors = LJP

Picture showing radiolucence btw man premolars, = mental foreman

Picture showing desquamtive gingivitis, scars in eye, subepitheilal

split = phengigoid

Picture showing non healing lesion on lat border of tongue =

squampos cell carcinoma

Picture showing rodent ulcer on cheekbone = basal cell carcinoma

Which type of basal cell nevus is premalignant = junctional type

Picture showing pear shape radiolucency = nasopalentine cyst

Picture showing lots of osteomas = most likely to have gardners

syndrome

Picture showing a oval red patch in midline of tongue, how tx =

nyastatin b/c its median rhomboid glossitis

Picture showing an outgrowth on interdental papilla, its dark red in

color and bleeds easily = pyogenic granuloma

What is concrescence = fusion of cementum only

Picture showing unilateral enlargement of max, xray showing ground

glass = fibrous dysplasia

Picture showing cotton wool pattern and hypercementosis = pagets

Where do you see positive nikosky sign = phemphigus vulguis

Infectious mono see what = positive mono spot test

Best combo for tx of TB = rifampin and isoniazid

Earliest carious lesion = incipient

What is a slot prep, narrow acess to reach interproximal caries

Lots of trauma/endo questions, know diff btw apexification and

apexogensis vs conventional RCT tx. Intusion, avulsion. fractures etc
Lots of behavorial science questions , good luck on those
can u use benadryl for delayed hypersensitivity?
how u treatment nasopalatine cyst
there were a few Qs on goldhow the preps differ from amalgam, etc
one Q near the end
it was like. pt just undergone orthognathic surgery.
after surgery, he got fever of 102 but no swelling or tenderness

what can it be
the choices were
wound infection
smthing ecchymosis
Atelectasis
another Q was that if there is fracture. and u dont immobilize
adequately. what is most likely sequalae
like ankylosis
nonunion
malunion
etcetc
one Q on slob rule
like ur maxillary premolar
if u take the xray from the mesial aspect
does the buccal root look mesial, distal, facial, or lingual to the palatal
root

learn ur Cohort, X-sectional, case studie, correlational...studies..etc

Flumazenil came up twice
Peutz Jegher came up a few times too.
what is most common bone malignancy in ppl under 25 (Ewing sarcoma
wasnt an option so I picked osteosarcoma)

all the Qs abt indirect retainer, rests,..i have no idea

non-rigid connectors for FPD
there was a Q abt endo
like for K file and reamers (i think)
what is distance btw D1 to D2

or was it D0 to D1.. ..(something like thatsorry cant really remember)

C and L osteotomy (at least know what they are. Cuz I didnt)
Syneresis, imbibition
Why bevel functional cusp?
Which area of a flame do u use to melt gold? Reduction, oxidation,
mixing, zone?
Material for home bleaching?
If MOD amalgam crack in the middle, but patient asymptomatic. What do
u do?
What is hardest to alter? The hue, chroma, or value
Kennedy classifications
Which area is implant more successful? (I went by how good the bone is..ie. post
mandible, ant maxilla, etcbut they didnt have an answer choice like that. So am
not sure wtf they r asking)
If complete denture on one arch, tooth-supported rpd on other arch, what kind of
occlusion do u go for? (like contact on working, non-working? Both? Etc)
Know btw vWD, hemophilia A and B
There was a Q abt maxillary osteotomy to correct smthing (I forget what). I was
looking for LeFort I but that wasnt an option
Levodopa and Parkinsons.
There was a Q abt matching the drug with its use. They were mainly drugs for
herpes, TB, HIV, that kind of thing.

Q about B--blockers. Unfortunately I didnt recognize some of the namesbut the q

basically asked u to differentiate btw specific and non-specific ones. But too bad Ive
never heard of some of them.
How do most diuretics work.
Which are mixed-acting opioids?
Impression material with the most dimensional stability
How does caries detecting dye differentiate btw infected and affected dentin?
If pt has habitual retruded tongue, what is most likely sequelae? (sorry I have not a
fucking clue wtf they are asking. Answer choices were things like, speech problem,
mastication problem, dislodging of denture, etc)
Something about Alveolar clefts.
Cri-du-chat
Know the diff btw mean, median, mode
If Whartons duct has sialolith obstruction near orifice. What is the tx?
Know that SLE is associated with endocarditis and glomerulonephritis
A few Q on cerebral palsy
Johnston-Tanaka space analysis

2006 NBDE II
Day 1:
1----Action of Cardiac glycosides
Answer : binds and inhibits Na+/K+ ATPase
2----What is the antidote for Percodone ( oxycoden)

Answer: all opiate antidote is naloxones

Answer was Naloxones
3---- most complication of sagital osteotomy:
I think nerological problems
4----if someone cant take ibuprofen what can you give?
Aspirin
Demerol
Pentazocine
5-----x-ray of odontoma ( anterior lots of little tooth in the x-ray around the canine)
6------most rigid material: Polyether
7----most stable impression material:
additional silicon ( same as PVS ) they just used another name
8----perforation caused during endo tx of max f MOLAR:
mesial cancavity
9----- how do you distinguish acute apical absess and periodontal absess:
Pulp test
10----- which of the following anesthetic can be used as topical:
Lidocaine
12---- orthodontic tx will provide:
restorative and periodontal mantanance
13---- how long for the root take to complete:
2.5- to 3.5 was the choice
14----pupose of insical guidance :
mount casts..adjust condylar guidance ..begin prep
15---- denstist who work with HEMA( composite) can have what kinda complication
contact dermatitis
16----why should a dentis figure out the outline for first:
for the easy access
17--- pulpal pain that only occure at night with no stimulation:
puplpal necrosis
18--- when the heat apply to tooth..lingering pain for several minutes:
irreversible pulpitis
19--- which of the following is the endocrine involvement that is related to jaw
deformity:
Acromegaly
Pagets disease
Cherubisim

Albrites
I think the answer is pagets but I am not sure
20---- complete set of dental stone will occur
24 hrs after final setting
21----- which sement is the easiest to remover after procedure:
Zinc Phosphate
22 when the bud stage occurs in utro:
23--- Glucocorticoides are contraindicated in :
Diabetes
24 related to q # 23, clucocorticoids side effect is all of the following EXCEPT:
Infection
Reduced inflammation
answer Hypoglycemia *** answer is this because Glucocorticoid cuases
Hyperglycemia
25- Radiation of 4(Gy) to the skin will cause: Erythema
26- if the patient tell you why you fees are so hight, what would be your response:
27---- the most radiopaque in composite is:
Barrium ( it is a metal)
28--- the main component of any root sealers is:
Zinc oxide
29when you used ZOE in a primary what kind to u use:
ZOE with catalyst
ZOE with no catyst
30--- removable appliances cuasues :
tipping movement
31--- depth of the cavity prep on primary teeth should be :
32--- Freezed dried cadaver bone is a type of:
allograft
33large condenser with lateral condensation is used in:
admix,,sphericaletc..
34OSHA rule on hepatitis B vaccination
35Tissue that grows the fastest in the first year
neuronal
37what speed and torque for implant is used:
--- answer

High Torque ,,slow speed (238 oral surgery book)

38- in an appointment for the impression of implant what do you do firsit:

put the coping first

check the tray first to see if it fits

put the coping with acrylic resin
another choice I dont remember
and I dont know the answer
39 keeping the Kvp and msA the same and changing from the D film to E film, to
keep the same intensity one should do :
increase KVp and msA
Decreae both
Increase kpv and decrease msA
Increase msA and decrease Kvp
40---- surgon extraction a mandibular molar and all of a sudden mesial root break:
what instrument u use:
crayer forcep
crane forcep
41-- which one of the following drug is chelated with C++
tetracycline
42- gingivactomy is contraindicated with:
mininmum attached gingiva
42-- after orthodontic tx, pt with no other systemic disease develop high fever
43---- Glossoptosis micrognathia - - cleft palate
Pierre Robin syndrome
44--- Ameloblastoma histology :
45xerostomia depelope in what complication: increase salivary N+,
some syndrome, etc..
46 there was a picture of Fibroma but the term fibroma was not used instead they
used another name: Focal Fibrous Hyperplasia
47- There was an x-ray that showed anterior teeth with buch of smaller teeth in the
lingual site and one of the anterior teeth with missing:
Here were the choices: it looked like crown of the impacted teeth were tuching the
erupted teeth roots: Since there was one less anterior tooth I put : fusion for the
answer
Fusion
Germination
Concrescence
48 if a child is treated with methamphetaimine what disorder the child has:
Attention deficit disorder
49- if a pt. is treated with coumodin what test you have to do

50 in DMFS s stand for ----------- surface

51except question: all of the following are associated with metastisis to the jaw
expect:
parestesia of the lip
irregular radiolucency
to more choice that I dont recall
52after placing a crown with composite resin, after six month arouth the porceline
gingiva there is a discoloroation ( brown color) what is the cause:
Microcrack of porcilane
Amin discoloroation of resin
53Propantheline bromide is:
anti-cholinergic ( they used another name )
54-- Fluoxetine ( prozac ) Mechanism of action:
Serotonine selective
55 know the mechanism of action of TCA
answer it decreases the reuptake of Norepinephrine
56 The causes of Verrcus xanthoma
Human papilloma virus
57drug of choice for pulpal involvement
Pen V
58 mechanism of action of pen is closely related to
keflx ( cephalaxin )
59- if a pt. has been using 10 mg of corticosteroid for 10 years, what would you do for
pt. before any tx
have pt continue and increase the dose
60Hepatitis D: through B
61 example of potassium sparing drug:
spirolacton
62- when a dentist tell the pt what to do:
paternalism
63which of the following has the greatest tendancy for malignancy:
keratic acanthoma
64: actinic cheilitis --- lead to SCC
65make sure u understand PTT .. PT..INR..bleading time
PT --- extrinsic factor
PTT intrinsic factor 8.9.11.12
INR deals with PT

Factor VIII is hemophila A

Bleeding time has to do with palatal count
64 deaf pt.
they can read the lips
65chroma is the intensity of color
66 rad sor, blow it gingiva lift, you can see denuded root, what is the treatment?
67 cleft lip and palate --6-9 weeks in utero
68 with cleft lip and palate what occlusion is mostly seen--class III malocclusion
69- most of the x-ray is converted to :
heat
70- which one of the following cement is the easiest to clean:
resin cement
Glass Ionomers
Polycarboxylic
Zin Phosphate -- I put this choice I am not sure
71- none vital bleaching is with carbamide and
35 % hydrogen proxide
72 thee usual metabolic path of ingested fluride primarly involves urinary excretion
with remaining portion in:
skeletal tissue
73which one of the things can be seen with TMP pt in elders:
depression
74

a football player has: crepetis, stiffness of muscle, and difficulty opening :

I put arthritis and TMJ I am not sure

75 most lab complain :
the tooth is not reduced enough
76 the anterior maxillary incisors can given a younger appearance if:
rounding the incisal point agle
77 best treatment of localized aggressive periodontitis:
78- 4.5 years old child with .75ppm floride in their water req. how much floride
supplement:
0 mg
79 pt taking dicumoral is probably treated for:
coronary infarct

80 which of the following physical signs indicates severe CNS oxygen deprivation
Dilated pupil with an absence of light reflex
81- group of muscle that influence the lingual border of final impression for an
edentoulus pt:
answer: palatoglossus, sup constrictor, mylohyoid, geniogloassus
82stupid wheel chair question:
83when pt. closes, there is only 1 mm b/w retromolar pad and tubercity:
you should refer the pt. for tuberocity reduction
all other choice were very wrong
84 -- pt presents with a restricted floor of the mouth, only 6 mandiblar anterior teeth
and diastama b/w several teeth, which of the following major connector is
appropriate for this pt:
answer: a lingual plate with interruptions In the palate at the diastama

85 the porpus of the rest seat is:

86--- after surveying and designing which is the first step to do:
reduction the axial for proximal plate
87which one of the following best describe adjunctive orthodontic tx:
answer: orthodontic tx to enhance restoratitive and perio rehabilation
88- child has a sor ulceration in a lower lip. There is no history of obvious trauma, the
ulceration appeared several hrs after the pt. received dental tx. Which of the
following represent the most:
answer: --- post anesthetic lip biting
89 to prove it clinical effectiveness an antimicrobial agent must demonstrate that it:
help to reduce the disease
90 - The pulpal floor is perforated during access preparation. The best course of
action is to CONTINUE RCT, REPAIR THE PERFORATION AT A SUBSEQUENT
APPOINTMENT ONLY IF ASSOCIATED PATHOSIS DEVELOPS.
91 route of infection to midiatiam:
submandibular --- later pharyngeal retropharyngeal prevertebral92- Patients with
natural dentitions generate the greatest amount of occlusal force during
PARAFUNCTIONAL MOVEMENT.
92 - A 22-year old male patient complains of dull pain in the posterior left mandibular
region. A radiograph reveals not only a radiolucency around the 1 st molar roots, but a
radiopacity of bone peripheral to this radiolucency. The best explanation of his
condition is

A REACTION TO AN APICAL INFLAMMATORY DISEASE

93- most common carried among 5-17 years old
occlusal?
Proximal
Facial
Lingual
Root?
I dont know, I put occlusal
94 --Pulpal anatomy dictates a triangular-access cavity preparation in the
MAXILLARY CENTRAL INCISOR
95 - Patients with natural dentitions generate the greatest amount of occlusal force
during PARAFUNCTIONAL MOVEMENT
96if there is an article and if you want to underatand the definition of Dependent
and independent, which part of the article you look:
Introduction
Method
Body
Result
Summary
Answer: I DONT KNOW
97 a dentist in his clinic notice new diseases this is :
incidence
97 __ for the second division of trigeminal nerve block where ( which foramen ) the
needle should penetrate:
Nasoplatine foramen
Rotoandom
Greater palatine
Note: pterigopalatine and sphenopalatine was not the choice
98 uncouncous diabetic is treated with:
50 % dexterose in water
99 --- maxillary 1st molar access opening:
100in finding the orofic of the canal you can do all of the following EXCEPT:
using a high hand piece with diamond bur
101: with the mandible is fracture with muscle move it jaw forward and medial
Medial pterygoid

Lateral Pterygoid
Masseter
Anterior belly of digastric
102- in releaving a buckle frenum for a mand. Denture which muscle is released:
caninus
orbiqularis oris
masseter
several other muscle:
103) which of the following cells appear to be defective in Localized aggressive
periodontitis:
neutrophile
104) Know oligodontia and hypodontia are signs of what syndrome?
105 ) multiple osteoma seen in ?
Gardener syndrome
105) there was an x-ray asking to distinguish the radiolucency:
Tramatic bone cyst
Aneurismal bone cyst
Stefens
Static bone cyst
106) 4 years old avuled max centeral:
extract the other central to make it bilateral
RCT
Leave out
107 ) Which one of the following is not part of redistribution
oxidation
hydration
gluconitiaon
Covalant bond *
108) the best treatment of a diastma b/w the anterior 8 and 9 is:
proximal composite
Veneer
Full crown
no ortho and surgery was suggested
109) another question about diastema
when you close it:
answer: wait until the perm canine are erupted

110) most likely lesion after child in dentist office is:

lip bitting ( anesthesia)
111) all of the following cuase damage to soft tissue except
topical use of floride
112) sealant : micromechanical retention
113) most composite resin by,, mechanical retention
114) pt had a post and core 6 months ago,,no he has sever pain with no apparent
cause:
Vertical root fracture
115: one hr after placing the crown pt has a soothing pain when teeth comes to
gether what is the cause
hyperocclusion
galvanisim
pulp
116) the amont of the x-ray exposure that a fetus get in a single x-ray is:
double the normal amount outside
half
less than 1 day that a person get it in a day from outside exposure
117) all of the following are the x-ray to access the bone in implant of 6 anterior
teeth except:
topography
Pan
CT
Periapical I put this as an answer but I am not sure
118 ) patient come to your office and with multiple lesion around the gingival, he
mention is gets tired fast:
multiple pyogenic tumor
Leukima I chose this as my answer
Peripheral giant cell granula
119) pt put aspirin on the tooth, white stuff:
tissue necrosis
120) lots of question about Localized aggressive perio:
how you treat them
do you use systemic antibiotic
what antibiotic you use
tetracycline has an effect on mod ( inhibit host collagenase) etc..
121) most complication of IV and general anesth.

Hypoxia
122) interrupted suture is used for:
decrease infection
stable tissue I put stabilize tissue better
decrease bleeding
123) when you suturing always suture from:
loose to firm tissue
124) dentist try to take an x-ray PA of mandible, but because of interferences in
the moth cant take it, what kind of extra-oral x-ray can be taken?
Oblique mandible
Water view
A- p
125- outliers control
mean
median
mode
standard deviation
126 you try to take the impression patient keep gaging:
Bad tech
Personal trait
Two other choices I forgot
127 chance in color of enamel only on the surface can be fixed by:
restoration
put crown
enamoplasy - answer
128) what is DNA prob analysis

From the Computer exam 2006

(Choices are listed. Not all the choices were remembered. If it is an answer thought to
be correct, it says ANS)
30% Rocks from 1991/93/98/ 2001/02/03/04
Prosth/ restorative was not too difficult- dental secrets is good
129 -Rapport with dentist questions

Eye contact etc

130 Endo traumaWhen to do Pulpotomy with CaOH
When to do a pulpotomy with formocresol
When to do pulpectomy
(Very similar to rock questions)
131 - Oral Path: 5-10 pictures
Lateral cyst located where?
Cleidocranial Dysostosis?
Ectodermal Dysplasia?
Cerebral Palsy?
132 - three calculations on how much Local Anesthesia (mg in 5ml of 2%
lidocaine)
(20 kg or 44 lb child, what is the maximum local anesthetic to give?)
133- Which artery are you scintillating when checking sphygmomometer?
(Asking about where you check the BP)

Ans: Brachial Artery

134

-at is the longitudinal study?

135

- cidence vs. Prevalence

136

What is the impression material that causes syneresis and imbibition?

(Alginate is not a choice?)

137

Ans: Metallic Oxide??????

What is related to Osteogenesis Imperfecta?

Ans: Dentinogenesis

Imperfecta
138

Most common mental disorder in the public?

Ans: Anxiety or

Depression?
139

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

140

Of the following, what is a Schedule II drug?

Hydrocodon
Oxycodon
Vicodan
141

What causes the most damage to an opposing restoration?

Overdenture
Complete Denture
Tooth-support RPD
Tooth-tissue RPD

142

Which is the worst prognosis for periodontal defect?

Mx 1st Molar
Mnd 1st Molar

143

Know justice/ beneficience/ autonomy

Question states, what follows the statement do no harm

144

What is the order of treating a tooth needing restorative?

-pain, comprehensive exam, restore the tooth (these were placed in
different order, choose the best one)

145

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

146

Contraindication for endo therapy: Ans- Restorability

147

Which of the following not associated with periodontal disease in the

primary dentition?
Downs Syndrome
Stevens Johnson Syndrome
Cycloneutropenia
148

Treatment plan for 0.8 mm wide nasopalatine cyst?

149- Large Sialolith infected in the Whartons duct. What to do?

Remove duct
Remove the submandibular gland etc

150 - What syndrome if one side of the face swells after dinner? Ans: Sialolith
151. Which of the following DOES NOT happen in Local Anesthesia Overdose?
152. H1 Antagonists will do what? (one choice was increase in gastric something)
153. What do you with Petit Mal?
Phenytoin
Diazepam
Protect patient from self harm
155. Lithium is used for what?
Antipsychotic
Schizophrenia

156- Best way to build rapport with the patient?

Persistent eye contact
Active listening
157. Treatment of Recurrent Herpes
158. Which of the following has the BEST survival rate?
*Squamous cell carcinoma
Adenocarcinoma
Osteosarcoma
159- Onion Peel look on the radiograph is characteristic of what?
160 - . Air/ Water Syringe after endo, what happens from debris into sulcus?
Hematoma????
161. Which disease can be Diagnosed with immunofluorescence?
Pemphigus
162. Internal Bleaching can cause what?
163. What has the least root surface area in mm squared?

Mx Lateral
Mx Central
Mnd 1st PM
Mx 3M with fused root
164. All the following have mechanism of action that deals with intramembranous
permeability through cell membrane except what?
Ans: Propanolol????
165. Which is the most soluble?
Hydroxyapatite
Carbonic Apatite
Fluoroapatite
166. Which is the most susceptible to caries?
Mnd 1st Molar
Mnd 2nd Molar
Mx 1st Molar
167. Both primary and secondary molars exfoliate. What is the space maintainer
of choice?

Lingual Arch???

168. Upright a Mnd 1st Molar with lingual and omega loop? What happens?
Tilting of ant tooth
Over tilting etc
169. Know about CPR, and not the basic steps
What is the biggest problem that causes no air into lungs?
Airway obstruction
Did not pinch the nose

Know adverse effects and problems when doing CPR

Why do you get gastric distension when doing CPR?
170. Optimal Incisal Reduction of PFM? Ans: 2mm

(1.5mm also given)

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

Teeth whitening
Veneer over PFM
Replace PFM
173. Know that Value is the most important.
174. Chroma is the saturation of the Hue
175. Pulpectomy and filling a Mnd Molar, where would you most likely perforate?
Mesial
Distal
176. Which fluoride causes the most staining?
(all the fluorides we use were listed)
177. Small white lesion on the tooth the patients whole life. What caused it?
Hypercalcification during the first 6-12 months
Hypercalcification during natal
Hypercalcification during the primary tooth
178. What is the use of Mitronidazole?
Ans: Antibiotic and Antifungal
179. Which of the following is least likely to cause progressive perio problems?
Soft tissue injury
Ill- fitting margins
Rough margins
Within Biologic width
180. When dealing with furcation, Guided tissue regeneration best used with
Osseointegrated bone graft. Prognosis of tooth with GTR is better in Mx molar than
with Mnd molar.
True or False of each statement
181. Which is the least likely to cause bacterial endocarditis?
Extraction
Scaling and Root Planing

Probing
Adult Prophy
Root Canal Therapy
182. Purpose of the EPT?
Pulpal response
No pulpal response
183. Which tooth do you test with EPT other than itself?
Adjacent
Contralateral
184. Class V and something about Modulus of elasticity
185. Definitions of:
Abfraction
Attrition
Erosion
186. Which space would cause infection in the Mediastinum?
187. How come Maxillary infection is dangerous?
Ans: Drainage straight to the brain without valves (Cavernous Sinus)
188. What is the Point A in Cephalometrics?
Ans: Most inferior structure in between _____________________
189. Most common complaint of Sagittal split?
190. What does S stand for in DMFS? Ans: Surface
191. What does the Weight and height stand for in recordings?
Ordinal
Nominal
192. Plastic instrument, how do you sterilize it? (ethylene oxide)

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

Heart rate
Contractility
Peripheral Resistance
194. When do you fill the tooth with CaOH?
1st week into splinting
After 14 days splinting
Resorption
195. Which of the following is best to know the platelet count?
PT Time
Bleeding time
INR
196. What is the best way to anticipate a prolonged bleeding time with extraction?
Ans: History???
197. What should the dentist predict with the use of Cyclosporine?
Increase gingival fibers
Gingival Hyperplasia
Increase pockets and bleeding
198. Best instrument for SRP of Distal Mandibular tooth?
Gracey 1/2
Gracey 9/10
Universal 13/14
Gracey 13/14
199. What causes porcelain to break off from the PFM?
Metal Oxidation
Occlusal Contact
Metal Contaminated
200. Increase water:powder ratio to casting investment material will lead to:
Increase setting expansion

Increase thermal expansion

Decrease setting expansion
Decrease thermal expansion
201. The exact mechanism of Caries dyes (detectors) in effected and affected lesions
202. What is pathognemonic for measles:
Ans: Koplik Spots???

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

204. what are the advantages/disadvantages of an immediate denture?
205. about 3 questions on the different flourides. one asked about which type is
more likely to cause staining? which type is mostly in toothpaste? i had no idea on
these questions
206. why are composites not put in primary posterior teeth?
207. something about the phosphate ion in an anti-tartar toothpaste. what is
the moa?
208. cerebral palsy was on there 2 times.
209. 2-3 flouride supplement questions
the clinical part on the second day asked alot about the drugs that can and can
not be used on an asthmatic patient and a hypertensive patient.

NBDE II from july 2006

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

Flumazenil came up twice -> for benzodiazepine sedation reversal. C/I

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

what is most common bone malignancy in ppl under 25 (Ewing sarcoma

wasnt an option so I picked osteosarcoma)
there was a Q abt endo
like for K file and reamers (i think)
what is distance btw D1 to D2
or was it D0 to D1.. ..(something like thatsorry cant really remember)
-> if it is really what is the distance between D1 and D2, then it is 1mm
C and L osteotomy (at least know what they are. Cuz I didnt) -> for
fixing mandibular prognathism can use inverted L. For doing a
mandibular advancement, can used either inverted L or a C osteotomy.

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

What is hardest to alter? The hue, chroma, or value -> raising the value
is the hardest to do
Q about B--blockers. Unfortunately I didnt recognize some of the namesbut the q
basically asked u to differentiate btw specific and non-specific ones. But too bad Ive
never heard of some of them.
NON SPECIFIC: propranolol, inderal, nadolol, corgard, penbutalol, levatol, sotalol,
betax, cartrol, carteolol, timolol
SPECIFIC B1: metroprolol, lopressor, atenolol, tenormin, acebutolol (or is it partial
agonist?), betaxolol, betoptic

Which are mixed-acting opioids?

MIXED: nalorphone, pentazocine

ANTAGONIST: naloxone (narcan)
Impression material with the most dimensional stability = addition silicone
How does caries detecting dye differentiate btw infected and affected dentin? It
bonds to denatured collagen (which is only in infected, not affected dentin)
If pt has habitual retruded tongue, what is most likely sequelae?, dislodging of
denture,
Cri-du-chat -> loss part of chromosome #5, genetic, cleft palate.
Johnston-Tanaka space analysis -> predicts size of unerrupted canines and premolars.
You take the width of the 4 mandibular molars and if you add 10.5mm you get
mand canine and PMs in 1 quad if you add 11.0 you get max canine and PMs in 1
quad.
way anti-fungal works - whether it works on cell membrane (ergosterol)
- AED machine - how many shocks it gives off (one) , any age contraindications for it
(seems to be 8 yrs or 30kg but Im not sure)
- cause of geographic tongue -> etiology unknown
- kopliks spots are seen in what disease -> rubeola aka measles
- what are the meds used for CHF -> diuretics, digoxin, vasodilators, ace inhibitors

- what happens to the GI tract while doing cpr -> you compress it and they throw up
- what to treat apthous uclers with -> corticosteroids
- pemphegoid: SUBepith, antibody BMZ, skin/eye
/pemphigus : SUPRAepith, IgG, immunofluoresc, lip/palat/gingiva
- tmt lichen planus -> if asymptomatic no tx, if symptomatic corticosteroids

- what diseases you see missing teeth/delayed eruption/supernumary (maybe they

are talking about cleidocranial dysostosis > supernumerary teeth, retention of
primary teeth, delayed eruption of permanent teeth)
**************************************
-Juvenile perio -> 1M and incisors
-Pierre Robin -> cleft palate, mand micrognathia, glossoptosis (asphyxiation)
-SNA of 80 means retruded max (normal is SNA 82, SNB 80)
- most congenitally missing 1. 3M, 2. max lat
- tooth w/ 3 canals (of the pms) max 1pm
-most impacted: 1.3M, 2.max canine, 3. mand PMs, 4. mand canine
-ectodermal dysplasia -> oligodontia
-tx for recurrent ranula -> excision and get rid of glands
-multiple myeloma -> bence jones
-pagets -> increased alkaline phosphatase
-prostate cancer -> increased acid phosphatase
-nuchal -> meningitis
-normal bleeding time (BT) is 2.4 -8 sec
- mercury toxicity: increased salivation, oral stomatitis & gingivitis, premature tooth
loss and alveolar bone loss, tachycardia, photophobia, sweating, tearing,
trichtillomania (mad hatter), hair loss, stomach pain, diarrhea, red skin rash
-50% dextrose sol for insulin shock

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

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

Things remebered from July 2006

-When doing extractions of max posterior teeth, why to you start with 3M and move
forward? 1. prevent sinus perf, 2. prevent root fracture, 3. prevent alveolar fracture,
4. prevent tuberosity fracture.
-5cc of 0.5% bupivicaine (epi 1:200k) how much epi and how much LA?
-3 carpules (1.8ml each) of lidocaine 2% (1:100k) how much epi and LA? (yes 2 of
these questions)
-how many mg of lidocaine can you give to a 20kg (44lbs) kid?
-which thing and nerve is mismatched? 1.tic doloroux V, 2. something V, 3.
auiculotemporal synd VI, 4. palate phaynx paresthesia IX (at least I think those
were the choices something like that anyway)
-when taking BP in the arm, which artery are you listening to? 1. axial, 2. brachial, 3.
radial, 4. ulnar
-if you accidentally inject medially to the ptergyomand raphe during IAN block, which
muscles will you penetrate? (I think it is sup constrictor and medial pterygoid)
-cleidocranial dysostosis there were 2 questions.
-long term mercury poisoning side effects. The choices were tricky, you had to
choose the thing that was the exception. Things like 1. birth defects, 2. nerve
damage, 3. immunodefic, 4. ?? ( I think I put immunodefic, but I am really not sure if
that is right).
-what drug is recommended to tx recurrent herpes in HIV patient?
-mechanism of action of zafirlukast (asthma med) -> it inhibits leukotriene receptors
-height and weight are what kinds of variables? 1. ratio, 2. nominal, 3. ordinal, 4.
integer
-a kid is whimpering but not resisting in you chair, what do you do? 1. reappoint, 2.
sedate, 3. let him whimper and continue, 4. go get the parent
-which LA can also be used as topical? (I cant remember all of the choices, but
procaine was there, as was lidocaine)
-when doing internal bleaching with a poorly obturated canal, what is the immediate
bad thing that can happen? Acute periapical periodontitis

-what is used to obdurate a pulpectomy on a primary tooth? ZOE with catalyst OR

ZOE withough catalyst (!?!)
-a denture patient is biting his cheecks, which surface of what teeth do you adjust?
(facial of max buccal cusp? Facial of mand buccal cusp?)
-when uprighting a mandibular molar using a lingual bar with an omega, what do you
have to be sure NOT to do? (flare mand incisors? Intrude molar?)
-which is schedule II drug? 1. percocet, 2. vicodin, 3. Tylenol #3
-which maxillary tooth has the least root surface area? 1. max lateral, 2. max 3M
with fused roots, 3. max 1PM
-what is the critical pH for caries formation?
-what percentage of the face is the alar of the nose? 10%, 20%, 25%, 33%
-where does cortisol act? (on a receptor in the cytoplasm? On a receptor on a
membrane?)
-what are the opposing actions of specific B-blocker and epi? (choices were things like
heart rate, gi vasodilation, muscle vasoconstriction stuff like that)
-when doing endo on the MF canal of a max 1M, what surface would you be most
likely to strip perforate? 1. mesial, 2. distal, 3. buccal, 4. lingual
-what is directive interviewing?
-what is progressive relaxation?
-what does hypnosis affect? (these are the real answer choices, no joke) 1. voluntary
muscle, 2. involuntary muscle, 3. both voluntary and invol muscle, 4. organs and
glands, 5. glands only
-most common malocclusion in the USA is? 1. class 1 malocclusion, 2. class 2 div 1, 3.
class 2 div 2, 4. class 3
-which is least likely to fracture? 1. max PM, 2. max molar, 3. mand PM, mand M
- which is most likely to fracture? 1. ant max, 2. ant mand, 3. max molar, 4. mand
molar
-why do you go on 100% O2 after being on N2O?
-what is the most common way for dental payment in the US? Insurance? Sef-pay?
-there was a picture of a 14yr old kid that looked like ANUG, but in the description it
said he had red spots on his skin and he felt malaise I am pretty sure it is leukemia.
-least likely to cause a perio problem 1. rough restoration, 2. tissue damage during
prep, 3. over contour, 4. ??
-antifungal clotrimazole acts via -> cell membrane permeability
-know the difference btwn herpangina and recurrent herpes
-osteogenesis imperfecta associate with dentinogenesis imperfecta

-you are given that the patients INR is 2 and they are on coumadin, what do you do?
(things like, proceed w/ extraction and use local hemostatic means, take him off
coumadin, switch him to heparin)
-what is a the BEST way to investigate a suspected bleeding disorder? 1. history, 2.
BT, 3. INR, 4. PTT (how vague is that question??)
-which is more likely to give you bacterial endocarditis? 1. prophy, 2. root canal, 3.
scaling and root planning, 4. something else involving lots of blood
-what is the most likely cause of failure of a RCT on a max canine? (answers were
things like missing a 2nd canal, poor obturation, poor cleaning of canal)
QUESTIONS REMEMBERED 2003
1. Picture of eyes (exopthalmos) - patient is supposed to have hyperthyroidism
2. Picture of mucocele on lower lip - 3 questions - 1 is ID, the other is treatment
(excise), the third has to do with the fact that mucous wold be inside and that it
has to do with an injured salivary gland
3. Acute herpetic gingivostomatitis - a few questions on this one is ID (small herpes
lesions with fever), the other is treatment (palliative with lidocaine rinses and
analgesics, etc)
4. Major apthous ulcers - two questions on this, one was on lip the other was on
palatethe key is that it was "long standing" and "healed with a scar"
5. Lichen planus - Whickham's Striae on buccal mucosa (left) - treat with steroids
6. PAN - MAX left sinus has a raised area on the floor - answer is cyst
7. PA - extension of MAX sinus between premolar and molar
8. Picture of tongue - has a "flap" area on right closer to the lateral border - pt had
past trauma to tongue and this is how it healed
9. Lingual varicosities (looked like blue/brown bumps)
10. Multiple telangiectasias - looked like little telangiectasias on the tongue
11. Hypothyroidism - key was patient was gaining weight, lower voice, feels cold
12. Sickle Cell Anemia - shows PA with radiolucent area (less striations in bone)
13. Median Rhomboid Glossitis - 2 questions, one was ID the other was Tx - use
nystatin
14. Midline Fracture of Mandible (obvious step between 24 and 25)
15. Pleomorphic Adenoma (lesion on palate)
16. Kid with a neck swelling - asked two questions about the pic - not sure what the
answers were - dont give enough information (check to see if related to 3rd molar,
I&D, etc were answer choices)

17. Dowel should be 1/3rd the length of the canal width - seemed to be the reasonable
answer since the others were so wide that it would fracture the tooth
18. Picture of patient with obvious class III
19. PA dealing with space maintenance - 3 different questions relating to this
A) one has the premolar almost in - so EXT the primary molar
B) one has the primary molar there but there is no premolar coming in - maintain
molar
C) one has the premolar coming in funky and the primary molar with caries answer choice was to either restore the molar (would probably need pulp
treatment) or pull the molar and guide the premolar in with ortho (not sure of
the answer)
20. Patient with LINGUAL TONSIL - it enlarges when she gets sick (not path)
21. PAN - mistake, the collar got in the way (looks like a white bell curve on the pan)
22. PAN - mistake, earrings left in (See two ghost images)
23. PAN - interruption in the x-ray (white columns and teeth are different sizes)
24. PA - film is backwards
25. PA - SLOB rule - the cone was placed mesially and they want you to ID one of the
canals in an endo
26. Pic of person taking a BW - underangulated (this one is stupid)
27. Nasty pic of hairy tongue - asks how to get rid of it - take patient off of
meds/mouthrinses and improve oral hygiene
28. ID the palatoglossus muscle (it's the one that is the first pillar, in front of the
tonsils)
29. BW - blurry - the patient moved
30. Ranula - on the floor of the mouth (looks like mucocele but on the floor of the
mouth) - take it out (real answer is marsupialize - but they were dumb)
31. MAN has soap bubble radiolucencies - answer is ameloblastoma
32. Patient with diabetes
33. Overweight woman = her hypertension is most likely related to that
34. Patient had Hep A over a year ago - she is okay to treat
35. Patient has OHL and AIDS - how do you treat (may need antibiotics if his immune
system is low)
36. Hypocalcified teeth - pic (white and brown spots)
37. Patient with fluorosis - can't do anything to reverse (well, you could do
microabrasion and bleach - but that is not an answer)
38. Picture of amelogenesis imperfecta (BW or PA - no enamel on teeth)
39. Picture of dentinogenesis imperfecta (obliterated pulp chambers)

40. Another picture of dentinogenesis imperfecta (teeth are lucent) - see oral path
text
41. PA - teeth have pulp stones - this will make endo harder
42. Hypercementosis - follow the PDL (was an upper PA)
43. PAN - points to the pharyngeal space - was normal (one of the answer choices was
man fracture)
44. Oroantral communication - answer was fix with flap surgery (didn't give any info
on size of the communication)
45. What is the common goal of flap surgery (vague question ) either access the roots
for debridement or pocket elimination
46. PA with vertical root fracture and PA radiolucency EXT
47. PA with horizontal root fracture in the coronal 1/3rd of tooth - what do you do?
48. 3 questions related to gingival hyperplasia 1) Ca++ channel blocker caused it 2)
reduce or switch meds of possible 3) ID
49. Best Tx for ANUG is scaling/debridement
50. What is the best way to tell if a patient has a stable perio status - there was no
increase in pocket depth
51. Primordial cyst - the show you a radiograph an tell you that all the other third
molars came in (#17 area)
52. How do you test that the autoclave is working - biological indicators
53. WBC was increased above normal - patient has leukemia (also bleeding gingiva)
54. Pt has low plat count - thromobocytopenia
55. Acute adrenal insufficiency - patient on steroids might have attack if not
supplemented
56. PAN - shows generalized root blunting - was because of ortho
57. Picture of palate with nicotinic stomatitis - obvious
58. Picture of tobacco pouch keratosis - obvious
59. Leukoplakia on left buccal mucosa - biopsy
60. PT is the test for COUMADIN
61. Pic of geographic tongue - do nothing
62. Profile of pateint - patient is taking INH - answer is that patient has TB
63. Picture of osteoradionecrosis - on right posterior area of mandible
64. Periodontal abscess - upper molar, tooth is vital and there is an infection

65. Picture of a Stillman's cleft (the v-shaped one) - treatment is scale, plane and
place a givgival graft
66. PA - showing periapical cemetal dysplasia - obvious
67. Slide showing gemination (max lateral) - there is some other odd deformity
68. Pic - ID the circumvallate papillae
69. PAN - patient has missing teeth - ectodermal dysplasia
70. Kaposis's sarcoma on palate - HIV
71. Slide showing Class V caries - check to see if generalized to entire mouth before
restoring that one lesion
72. PA with swelling due to wisdom tooth - refer to OMS
73. Your patient is having a seizure - protect from injury
74. Pt is not responding - a) activate the EMS b) check airway c) check breathing d)
check circulation
75. Pic of very large diastema - too big to do anything about
76. Anterior tooth in occlusion - restore with hybrid composite
77. PAN - look at styloid process - has eagle's syndrome (pt has pain when he turns
his neck)
78. Distobuccal cusp of one tooth occludes in the central fossa of another
79. Why are sealants most likely to come off (shows a picture) - had to do with not
properly isolating - not placing right OR wear?
80. Yellow material painted on dies for crown was die spacer to make room for
cement
81. Picture of an infection of Stensen's duct - what is the first thing you would do - see
if you can get saliva out (palpate) - or take a sialogram?
82. Squamous cell carcinoma on lip
83. Basal cell carcinoma on face
84. Picture of the RINN system - how does this help get better radiographs (more
paralell and perpendicular)
85. Picture of traumatic ulcer after extraction of a tooth
86. How do you treat alveolar osteitis (dry socket) - with an iodoform gauze
87. Picture using transillumination to look for "cracked tooth syndrome" or tooth
fracture
88. Patient has pain on release of biting - root fracture syndrome
89. 2 questions on endo diagnosis - thought they were irreversible pulpitis
90. teeth that are traumatized will not pulp test in an accurate way right away
91. Younger teenager with swollen tonsils - was an inflammatory condition
92. Overhanging restorations cause perio problems (duh)4

93. Antianginal drugs (NTG) - cartoon pic - patient is having an MI

94. What speed film gives patient least exposure to radiation (B,C,D,E)
95. PA of taurodont
96. Median palatal cyst - occlusal film - what do you do?
97. CASE WITH patient with KIDNEY DISEASE (98- 110) - NOTE, the rest of the cases
were the same is in 1996-97 packet
98. What drug is okay to use? (aspirin, tylenol, naproxen, advil)
99. What is an interleukin, IL-1 and how does it relate to perio disease
100.

Does trauma from occlusion contribute to perio disease?

101.

If a stent was placed for dialysis, does the patient need premed?

102.

If the patient had a kidney transplant the patient might need antibiotics due

to anti-rejection meds
103.

If the patient is on steroids, will need supplementation

104.

What makes the best bond (best cement) for placing in a PFM? A) glass

ionomer B) zinc phosphate

105.

Picture of #9 margin - why is it inflamed? A) margin is plaque trap b) porcelain

is rough
106.

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

the gumline to maintain health)

107.

What is the main reason that things debond (the mechanics of cement) -

didn't understand ?
108.

What kind of retention do you get when bonding to enamel

109.

What do you use to etch - 35% phosphoric acid

110.

Patient has malaise, lethargy, itching - what do you do? A) benedryl b) refer

for kidney eval c) treat, then refer d) do nothing

111.

Occlusal film - sialolith

112.

Picture of epulis fissuratum (MAN) coming from underneath denture - treat by

excision
113.

Advantage of using Maryland bridge - conserves tooth structure

114.

Disadvantage of using Maryland bridge - debonding

115.

Slide of lingual varicosities - due to age

116.

PA with either an odontoma or developing supernumerary tooth

117.

Patient had supernumerary teeth - cleidocranial dysplasia

118.

Slide of patient with swelling on face for 24 hrs duration - send to oral surgeon

119.

Question dealing with "liver clot" - answer - pressure and reassess

120.

If unable to match the color for porcelain use - low color and less grey

121.

Patient had needlestick and tested by Elisa for HIV - what are they looking for -

Ab to HIV
122.

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

book)
123.

A 6mm pocket displaying continued bleeding on probing in spite of good oral

hygiene and root planing would result from - retained subgingival bacteria
(calculus)
124.

After scaling and root planing, you are most likely to find - reduction in

inflammation and 1-2 mm probing depth

125.

PA of mesioangular 3rd MAN molar impinging on 2nd molar - tx is EXT

126.

Pic showing funky molar development - syphillis

127.

Pic of tetracycline stain - leave alone

GOOD LUCK
-how do benzodiazpenes work?
-complication of repeated low dose radiation?
Erthymea I think
-lowering what will increase density in x-rays?
Choices were ma, kvp, source to object, object to focal point
-what race has highest incidence of chronic periodontitis?
Blacks?
-what race has highest type 2 diabetes?
-picture of hemangioma
-what antibiotic has rxn with alcohol?
Metronidazole I think
-which antibiotic is specific for anaerobes and parasites?
Flagyl
-how does DEA categorize drugs?
I think abuse potential
-which cell is most radioresistant?
Muscle
-what radiograph is best to see bone levels?
BW
-know when to do pulpotomy vs pulpectomy
-know reversible vs irreversible pulpitis
-what does sodium hypocholorite do?
-functions of rubber dam

-margin for all ceramic crown?

shoulder
-advantages of composite vs indirect composite?
-local anesthetic mgs in cartridges
-a lot of pt management like what to say when they are apprehensive or angry
-Ex. You walk in and patient is standing in corner facing wall. What do you say first?
E=Answer is Hi I am Dr. so and so.Not sit down so we can get started and so forth
-question on the definition of mode of set of data
-know types of epidemiology studies
Ex. Cohort/t test, chi squared
-what causes wheezing sound on asthma?
-placement of implants for ideal esthetics?
-how to improve retention for a crown on tooth?
-whats main cause of implant failure?
Smoking or surgical error not sure
-know floruide supplement chart from pedo
-know eruption and calcification ages
-question on which tooth is either most likely or least likely get caries
-which has coefficient of thermal expansion closest to tooth?
-which cement has least solubility?
-whats premed for pen allergic pt
Clinda 600 mg But know all other doses especially for Pedo. I had a few questions
for those.
-what are effects of addisons disease
-critical pH for enamel carries
5.5 (this is when demineralization starts)
-know radiology images-odontoma, ameloblastoma, periapical cemental dysplasia,
cementoblastoma, sialonecrotizing, pagets, hypercementosis
-know oral path lesions-verrucous carcinomam hemangioma, leukoedema, know pics
and details
-when to treat pt on dialysis
Day after
-know which are antiplatelets
-know whats high and low viral loads and t cell count for aids normal tcell 500-1600
-question on biohazard container
-advantage of putting composite veneer over porcelain veneer
-what is indication for extraction of 3rd molar

-reasons for repairing a class 2 restoration

-question on cervical pull headgear
-what is ANB value indicate?
-main side effect of N2O
I think nausea also causes hand tingling
-what innervates soft palate?
-list of conditions, which you dont premedicate
-OKC has correlation with basal cell nevus syndrome
-know diff periodontitis bacteria
-how to differentiate between endo/perio lesion
-which teeth and roots are easiest for hemisection
-questions about pain management for people with codeine allergies and diff levels of
pain and what to prescribe
-lots of fixed prost questions (dentures/ crowns)
-Biomaterial with crowns
-how does slurry water effect expansion?
-what do you use to probe furcation? Nabers probe
-oral surgery armenmentariumEx. What forceps do u use for upper molars 150
-few questions about diff crown preps and the margins like shoulder/bevels and so
forth
-questions about tipping, leeway space , VDO and VDR
-lots of endo diagnosis!
-Had a couple questions about rake angle of a bur
-fluoride values for kids
-questions regarding attrition/abrasion
-few questions about diff ortho appliances like helix/nance/Hawley
-tons of questions about carious bacteria whether aerobic/anaerobic and so forth
-question about internal resorption and how to treat it.
-which benzo will not work for sedation the night before- WTF all were benzos
-lots of treatment planning based on demographic/what the most ideal tx is
-EDTA
-which perio/endo lesion is vital
-what type of denture you give someone with a cross bite????
-oral surgery questions about BSSO
-why dont you posterior mandib lingual?
-question about class V and which material do you use. Glass ionomer due to fluoride
release

Bisphosphonate, there is a concern with xrays while on bisphosphonates.

Frey syndrome-sweat on parotid when you eat

Xrays of nutrient canals, inverted Y around pm and k9 max (max

sinus and zygomatic process I think), periapical cyst around max lat,
perfectly round cyst on pan right above pm( in mosby),

Tons of perio from tx planning, to implants (implants were hit heavy),

GTP, BMP, furcations, how to treat, if its a deep c2 furcation what are some
acceptable tx (I put resection as least desirable),

Implant success, what factors will help implant osseointegrate and

what factors will not let it osseoimtegrate

What is more stable an single implant of 4mm or 5mm or a double

implant ligated together for a total of 4mm and 5mm ( I put double implant
ligated for a combo of 4mm because it sounded like it would not be as
stable as a single implant being 4mm thick. The other one would be 2 2mm
implants ligated together.

30% fat allowed for daily value

What is the most a toothbrush and dental floss can peretrate into

sulcus. I put 1mm and 1mm. the other choices were 2-3mm. I thought that
was too much

ID a CT scan. Look at MRI example just to be sure. My picture was of

a CT image of the brain and skull.

Nutrient canals! I had to id 3 of them on pics

Diabetic patient

What could precipitate a seizure- hypoglycemia, hypokalemia,

hypocalcemia, hyponuternia, one other hypo

ANUG, NUG,

Know differences of endo dx hard. I had at least 15 questions

What Kennedys class does not have mods =(IV)

SS crown prep for pedo, know what you need to do and guides etc

What pedo molar are you concerned with likely pulp horn exposure.

Distobuccal , mesiobuccal, 1m or 2m (4 choices)

Pulp tests. What you see to differentiate b/w acute perio abcess and

acute periodontitis, how to differentiate b/w chronic and periodontal

abscesses

Know perio and endo abscesses and what pulp test you would do to

dx them.

Tx planning for perio and implants

Value, hue, chroma-know what they are and what they depict. Ie

saturation would be mean value.

How to change the color. I put bleach the other teeth to match the

cown.

Few operative questions.15max- just the basics, outline, gold,

cad/cam, inlay only (the remembered ? are good)

Oral path like what is this pic most assoc with, know basics like what

does each mean and assoc with. Not too in depth, but deffinatley know
what it is

Peutz-jeughers, ewing, langerhans, histiocytosis x(what would you

see if a child was take a long time of antibiotics, also pt taking long history
of corticosteroids what would they be predisposed too. Also pt is on chemo
what are they predisposed to. I put candidiasis cause of opportunistic
organism.

Dude, leavell and Rivera had a combined I would say 60 questions.

They are easy, but definitely review. Mosbys has good explanation

Cohort, x-sectional, chi-square

Code of Ethics-5questions. Benefiance, Nonmalfience- which one

does keeping up with skills and knowing when to refer fall under
(benefiance)

I had 3 calculation question, how much MAX carpules lido 3% can

you give a 40kg child.

How many carpules 2% lido 1:100,000 epi can you give child

Had to figure how many grams of anesthetic you could give child.

(something knowing that anesth would be 4.4 or something like that. Pedo
section in mosby

How to tx plan Alzheimer pt, do you do what he would have wanted

before end stage or do you just do palliative keeping out of pain and
disease (I put that one)

If an 84 yr old man comes in for new appt with his son. Son had a

paper stating a legal guardian (not son) who can make decision. This was

weird cause I didnt know if the old man was senile or independent. I put
legal guardian must be there, but I think they should have said that the pt is
dependent on legal guardian.

Remembered stuff was good

Know about denture processing and resins and evaporation and

temperatures. They wanted to know something about shirking and leftover

resin.

F,v, T, C, all sounds. Look in mosby and what they are for. Lisp,

whistle, and what sound would that be

Denture should IDEALLY cover entire or 1/3 retromolar pad. I put

entire even though its 2/3 (wasnt a choice) thought 1/3 too little

Porpanolol what it is and what is it used for

Pharm was basic, what do you give as antidote for overdose of

sedative (not naloxone)- I think it was diphenhydramine. Something dr

Williams said a couple times in class

Preg pt hypotension- lay on left side

Pt with moderate emphysema, stops often to catch breath- position

least tolerate- I put horizontal recline

Composites- basic stuff pros cons contra, indications

What was added to zinc oxide eugenol to make IRM- I think it was

zinc phosphate. Not sure

Glass ionomer mixed with polyacrylic something.

Have your articulator and want to adjust the VDO and condylar

incline, where is the pin? On the table, raised off the table,

Arcon vs nonarcon- which one will let you do something with

mounting casts?? Look at mosbys for explanation

Open impression technique. Whats its used for and the adv for doing

so. I put something like better detail

CD pt with abused tissues. You want to make new dentures, what

do you do first. I put surgically remove abused tissues.

Space you are concerned with extraction on 3 molar max. I put

infratemporal fossa. Though max sinus was too anterior

Infection from PM goes into buccal space

If trying to take max impression and access buccal space, what

muscle would be in the way. I put masseter, maybe obicularis oris. Other

choices were med and lat ptyerygoid

Pedo mgmt- sedations, behavioral mgmt

Implant osseointegration

Main cell type in Established lesion (mast, tcell etc)

Where do you put a suture for a laceration on the lip to inside of

mouth first? I put line the lip up then proceed

Pt comes in with pain, what do you do first? Remove pain, comp tx

plan and exam, adv carious lesions. Also was comp tx plan first then
remove pain. But I put remove pain first cause thats what we were taught
in school, soooooo I hope they are right..lol

What can cause hypoglycemia and thyroid issues. Read up on

thyroid storm and what you will see

If a pt is hypothyroid they will feel cold to touch or hypotension. I put

cold to touch.

INR values and when it is ok to do oral surgery- 3 or less

Pt on warfarin, when can you do OS- read on when to stop meds,

and INR values

Fluoride does what to bacteria, what to tooth structure, and anything

to collagen? I dont think it does anything to collagen as far as

reinforcement

Leave a small carious lesion in by accident and place a sealant over

it. What will happen? Arrest decay or continue lesion. I put continue lesion
because it is already a lesion. You can leave bacteria in and they will die,
but a carious lesion I thought will continue

Poryphomonas- type actual name type of bacteria that is in a needed

RCT root canal system- strict anaerobe or facultative

Where to place a gingival margin for ant max incisor pfm. At the

crest of gingiva or between gingival crest and alveolar crest. I put the latter
because it was the only one that hinted at subgingival finish line

Pic of nicotine stomatits or denture stomatits

Steven Johnson syndrome, EM, pemphigoid, nokolsky sign,

Know hyper and hypo thyroid really welleach symptom of each and what goes with
what.
Animal has caries and feed them cariogenic food via stomach tube what will happen
to the caries intraorally? Decrease, stopped, increase, increase dramatically

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

Daily requirement of fat? 10,20,30,40(who cares)
What is most common reason children get coronary artery disease? Obesity, diabetes
Oseteogenesis surgery vs ostectomies why is one prefer over the other? Less
parasthesia and some more
What are leukotrienes are now being linked to? Asthma
Know what to do if you fracture the aleveolar bone while extracting.they had place
flap to visualize the pieces(which is what you should do) but they also had refer to
oral surgeon which is what a general dentist SHOULD do so who knows
Know how to remove mandibular tori. Is was like with osteotome, bur, etc. I said
section w bur and use the osteotome
I had the inverted Y question. I put floor of nasal and wall of max sinus
Know how to treat hypo(called insulin shock) and hyperglycemia in pediatric and
adult patientsI chose juice, had glucose but u they said IM and u give it via IV and u
def dont give more insulin
I had a lot of fear vs anxiety questionsknow the diff thoroughly in terms of children.
Random statistic questions
How far does floss and toothbrush penetrate sulcus? I put 2-3mm for both and I
looked it up before the test and couldnt find a definitive answer but I did see that
toothbrush goes up to 3
Know IRM, ZOE, and Glass ionomerthey seemed to like them and know the
composition of each one of those materials
What surface is caries most prevalent? Occlusal, interprox, facial, lingual

Cutting access prep on Max incis, angle bur distally to avoid what? (this is in dental
decks)
Want to gain straight line accessthey had many reasons that seemed good access
preps but ultimately this is what we want to do
Osteoporosis and bisphosphatesknow what happens when on bisphosphanates and
get messed up jaw similar to osteoradionecrosis but here its called regular
osteonecrosis bcuz ur assuming pt didnt have radiation treatment
Smiling, praising a child? Token reinforcement, social reinforcement
Know that you will use glass ionomer if you are close to gingival margins
GI over composite due to.fluoride release
Glass ionomer has.polyacrylic acid
IRM is ZOE combined with methyl methacrylate
Autistic people have? Heightened perception to sounds, lights, or greater than
average intelligence
Have implant should the emergence profile be from the? 1mm below CEJ of adjacent,
1mm above, 2-4mm below, 2-4mm above
Asked what part of framework resists corrosion? Chromium-cobalt wasnt there
together but listed as separate parts. Cobalt, chromium, blah blah
Epipheseal plate is most similar to what? syncodrosis
What dont u take with methotrexate? Beta-lactam antibiotics
If you have a patient with an overdenture, what is the treatment for the roots?
Fluroide treatment for them

Know when to biopsy and when not to (vague I know but its prob related to length of
lesion and common locations where cancer could be, refer to oral path book)
I had a patient who had like a super furcation on #18 bone loss all around and am
impacted #17, they said that these teeth were being sent to be biopsied upon
extraction. The question asked whyit was either due to #18 or because of the
locsalozed aggression on #18, which is what I chose
Know when to use chlorohexidne rinse vs fluoride treatment in medically
compromised patients(unclear I know but I cant remember what the illness was)
Know tensile strength is the ultimate strength before breaking.yield strength is one
before it deforms permanently. They asked me this in relation to why would I choose
a metal framework for a patient.
They had a patient and they asked what would give her the best retention for her
dentures? Ridge augmentation, implant supported denture.i like both
In a case I had a man with sickle sellknow what special precautions needed to be
taken with these patients
I also had a man who was a crackheadit asked me that since this patient is on
cocaine should I not expect him to maintain his
oral health. True or false
Also asked me what drug would I give him for painI chose the regular ibuprofen vs
Percocet,etc(just didnt seem to give a drug abuser something more to abuse)
I had some SOPS too, ph caries etc
Know about the incisal guidance on the articulator.
Know arcon vs non acron articulates and how they differ in terms of the condyle
Know in terms of the solder that if u want it stronger than make it wider
Oral Bisphospanates heavy

Genial turbercles picture but make sure

Know about a precision attachmentasked what was it used for, key is that it is used
for esthetics on people who dont want the clasp showing on their RPD
If taking a palatal graft, know what nerves can be damaged (guessing u should know
MC location) Nasopaltine, ant palatine, greater palatine
Best way to view maxillary sinus? Waters view
2.

Best way to view maxillary sinus disease? CT

3.

Lipid solubility and nonionized base. Nonionized is lipid soluble,

ionized is water soluble

4.

Child has pain? Osteomyletis, chronic osteitis

5.

What do you check on bone graft to see if osseous integration

worked? Post, instant, Pre

6.

Extraction sequence

7.

Horizontal overlap

8.

Which is harder to anesthesize? Mx molar IRP, chronic

9.

Hemisectio cut molar into 2 premolar

10. Mucopolysaccaride is answer

11. Undercut
12. 2 questions about reducing mx tuberosity denture wont fit because of
undercut
13. LED curing vs regular curing? Why is LED curing beter? Range, last
longer
14. Test for boy/girl-chi square
15. How do you know if non-odontogenic tumor, pain doesnt subside
16. Difference between 245 and 330 bur
17. What turns porcelain green? Copper
18. Referred pain
19. Warfarin, Coumadin, what test do you use? INR
20. How far you place implants from tooth? 2-3 mm apart and 1mm from
adjacent tooth apical
21. Remove rampant caries from anterior
22. Curretage what part of blade do you use in perio? Middle 1/3, etc
23. Pregnant lady? Lay right side up, what are artery are you protecting?

24. If patient is laying backwards and going into syncope what is being
smushed? Abdominal aorta
25. Periapical abcess vs periapical radiolucency which do you do first?
Endo then perio
26. Mandib incisor coming in crowded how do you make space? Interarch
distance from primitive space
27. Which do you gain back? Tooth mobility, bone, etc,
28. Neuropraxia
29. Key to RCT, cleaning and shaping, why did it fail
30. Manic depressive not tking medicine what will happen? Mood swings
31. Band and loop for 1st primary molar
32. 5 year old child having pain what do you give them? Asprin, ibuprofen,
codeine, acetominphen
33. PCOD
34. Which least likely to have hepatitis B? caf workers @ hospital, down
syndrome, diabetic
35. Freeze dried bone
36. OKC-most likely to reoccur
37. Nevoid BC
38. #8 Reduce @ gingival-need crown lengthening
39. Material least to do impression with-irreverisble hydrocolloid
40. H2 histamine-gastric reflux
41. Hue, value, chroma which is in 100ths
42. Papilloma
43. Apexification-when do u use-nonvital want to close apex
44. Apicoectomy-when do you do it-ant get to apex
45. Calcified canal what do you do-refer
46. When is it ok to do a temporary fixing on patient? Emergency
47. Incidence 100/1000
48. Principle of tell show do
49. How do you get a child acting out to act favorably? Let them watch
another child behaving
50. Fibroma
51. Cancer translocation
52. Greatest degree of expansion? Resin
53. Calcification sequence? 7mos-3yrs
54. Class 3- cleft palate, cleft lip

55. Sickle cell-trauma, infection-thrombocytopenia

56. Thyrotoxic crisis
57. Sequence for nausea , vomiting
58. Periostat and doxycycline. What does it do
59. Bevel for occlusal on a crown? Retention
60. Closed panel go to specialist which would allow you to go to another
dentist but reimburse you-HMO,PPO, etc
61. Increase mucus from obstruction
62. Patient has increase in salivation how does it affect denture? No affect,
problem seating, soft tissue reline, differing salivation
63. Emergency phase, perio, reeval, fixed, maintenance
64. How many canals in primary 2nd molar
65. Denture for 19years- relieve pain denture and have white spot what
do you do
66. Patient has successful treatment for gum disease but still keeps poor
oral hygiene. What kind of study? Incomplete
67. Null hypothesis
68. Amoxicillin and clonavonic acid is combined to keep from degrading
beta lactam ring
69. How long do you take patient off of Coumadin before surgery? 2-3 days
70. Benzodiazepine affects gaba
71. Albuterol asthma
72. If patient wants to last for 8 hours which is long acting drug? Aspirin,
ibuprofen, acetominaphine, n-something
73. Glass ionomer placed on rampant caries
74. Epulis fissuratum-inflamed tissue in ridge area to put denture back in
75. Why do you take denture out at night
76. Ectodermal dysplasia
77. Ameloblastoma-dentigerous cysts
78. Process of PCN-not wide range
79. Periostat n doxycycline inhibits what
80. How do you clean furcation after perio surgery? Floss, toothbrush,
water
81. What type of reinforcement is smiling and praising a child
82. ANUG comes with spirochetes
83. Pic of white spongy nevus
84. Periodontitis and doxycycline

85. Patient has hip replacement a year ago what kind of treatment can you
render?
86. What can you not give a patient with a heart condition
87. Contraindication for implant-myocardial infarct, smoking, bone loss
88. How long do you splint with avulsion. 7-10 days, bony fracture 2-8
weeks
89. Why is core better than another-lets out fibers
90. Ppm in water-1
91. How much do you take off facial for veneer?.5-1mm
92. Capping-2mm for caoh2
93. Pics of chronic osteitis, myleits, bells palsy, gingival hyperplasia
94. Child with asthma-inspire vs expire
95. Contraindication for diazepam-diabetic, pregnancy, etc
96. Child with gum disease-chronic, acute herpetic gingivitis
97. Ging recession 5-6mm on #4 & 20, Hemoglobin of 12. Wht do you do?
Treat, refer to dr, scaling n root planning
98. What muscle covers denture? Buccinators, masseter, lat & med
pterygoid
99. What provides lingual retention? Mylohyoid
100.

Neurofibromatosis-axiallary freckling, caf au late, lesch

nodules
101.

Most impacted tooth? Mx k9

102.

Least likely to graft? Mn 1st premolar, Mx k9

103.

Purpose of hex implant

104.

Push on rest seat it comes up? Base doesnt come up bc

of resin
105.

2nd to s. mutan-L. bacillus

106.

RCT done on a big RL a year ago, assymptomatic and

bigger 2 years later? Necrotic or actinomyces

107.

Pt gets a injection few days later have lateral bilateral

swelling tongue-ludwigs angina

108.

Base metal vs noble metal-single crown-3 unit bridge

109.

Papillon le fever

110.

Oligiodontia-ectodermal dysplasia

111.

Collimation-tube

112.

Erosion- bullemia

113.

Patient gets 25% home bleaching. Wrong its 10% but 2nd

part is true
114.

What goes into cavernous sinus from upper lip?

Subcutaneous tissue
115.

URI-no NO2

116.

In posterior composite why do you have to redo-occlusal

117.

Periosteum-sharpeys fibers, cementum, alveolar bone,

or all 3
118.

Symphisis-intraocciptal, phenoocciptal, which bone

forms last
119.

Vertical root fracture- taking bite registration? Doesnt

interfere with bite class3

120.

Pt with denture and need to increase VDO what do you

do?
121.

Calcification sequence

122.

Nonworking-bull working-lubl

123.

Transillumination-vertical fracture

124.

Minor connector connects to

125.

Last number on instrument

126.

Seizure-gv diazepam

127.

To far superior and anterior dentures-what sounds

128.

If you did a DO what axioline angle is not there

129.

If you fall and break incisor which class is it due to?

Class 2 div 1
130.

Indirect vs direct onlay while child is waiting

131.

Only reason to remove cusp-decay

132.

Large structure in mouth appears on xray-radiolucent

133.

Support area for max and mand denture

134.

Cleidocranial dysplasia

135.

Nitrates vs nitrites what do they do

136.

Nausea and vomiting from opoid receptor poisoning?

Chemoreceptor trigger
137.

Xerostomia can cause what?

138.

PCN and tetracycline cancels each other out

139.

Obliterate pulps-dental dysplasia

140.

Child heart failure-resp dysplasia

141.

Which does not contribute to oral cancer-HIV, tobacco,

alcohol, HBV

142.

Hyperocclusion

143.

Reason for not doing a inlay

144.

Indirect vs direct

145.

Sodium hyper colloid is not chelating agent

146.

EDTA is chelating agent

147.

Combination syndrome- decrease VDO, increase

interocclusal distance
148.

Extraction sequence for molar-3,2,1-1,2,3-1,3,2-2,1,3

149.

Increasing spatulation does what to setting expansion

150.

Increase water to powder ratio does what

151.

Die plaster vs die stone

152.

Why do teeth shift after braces removed? What fibers

153.

Tx mentally challenged patient with consistency or

flattery
154.

PIC-white spng nevus, cleido cranial dysp, ging

hyperplasia, COT
155.

Hypertolerism

156.

Why is 3 degree burn vs 1 degree burn

157.

Arcon vs non arcon articulator (pg 319 mosby)Arcon-

where the condyles are attached to the lower member of the articulator and
the fossae are attached to the upper member. More accurate for fabricating
fixed restorations, especially when an interocclusal record is used to mount
mandibular cast. Nonarcon has upper and lower members rigidly attached.
Provide easier control in setting teeth for complete and partial dentures.
Both are semiadjustable and use a facebow.

1.

Know primate spaces max and mand

2.

What primary tooth is unlike any other tooth? Mn 1m

3.

Enamel hypoplasia of permanent central incisor? 7mos-3yr

4.

Kid with otitis media giving nitrous? Diffusion hypoxia

5.

Max mepivicaine 300 mg, how many ml of 2%? 15ml

6.

Most diagnostic of primary molar ankylosis? Sound (metallic) on

percussion
7.

sleepy juice relabeling

8.

Perio disease at certain time of life theory? Random

9.

MOA Listerine

10. Man w/ multiple neuromas include what in dif dx? MEN

11. Color consistency of resins? Light cured due to HEMA
12. Pt. moves for 1 sec during a PAN what happens to radiograph?
13. Ext. of max 3rd molar, complication-into infratemporal fossa
14. Trismus-damage to medial pterygoid(infection)
15. What muscle can be covered by denture flange? Buccinators
16. Differences in VDO affect what sounds? S,Th
17. Doing post and core, vertical fracture resistance? Vertical stop?
18. Controlled diabetic have increased or decreased perio disease than a
normal person?
19. Mx denture to far ant & sup-sibilant sounds S & Th
20. Repairing a ceramic restoration w/ composite and order? Microetch,
etch, silonate, bonded, resin
21. What does osseous crater look like on xray? Cervical burnout of facial
and lingual wall
22. Reason for cuspal reduction of onlay?
23. Least likely to cause bone loss in children? Acrodynia, leukemia,
hypophosphatasia
24. All ceramic finish lines? Buttjoint
25. All stainless steel prep of a primary mandibular 1m all except?
Chamfer on proxx ging margins?
26. Gorlins syndrome it listed a few symptoms and asked what gardeners
syndrome
27. Tx for keratocyst? Enucleation, marsupialization, aspiration
28. Problem with OKCs? recurrent
29. Caf au lait seen with? Neurofibromatosis
30. Describes Crohns disease key in question is granulamatous
inflammation
31. Untreated acromegaly will have? Increase growth of mandible, class 3
32. Denture max tuberosity hits retromolar but you have good VDO?
Decrease tuberosity
33. What primary dentition will-class 2 malocclusion-distal step
34. End to end-class 1 why? Mesial movement
35. Retruded tongue-unstable mand denture
36. Major factors for success of post composite?

37. Hopless prognosis? Severe facial & lingual bone loss

38. RCT cant be used for? Vertical root fractures
39. Monoclonal spikes of mult myeloma? Punched out RLs
40. Localized aggressive periodontitis? Non specific bacterial environment
41. Best way to prevent decay of k9 roots for overdenture? Cast caps
42. Biggest reason for implant failure? Lack of antibiotics
43. Best study for prevalence of a disease? Cross sectional
44. Give both groups mouth wash A & B? case control study
45. Match drug with category? Furosemide-Thiazide diuretic
46. Tx of periconitis? Ab if high fever
47. ANB -6= Cl3
48. Reciprocating arm of clasp? Stabilization
49. Cherubism-bilateral expansion of both jaws
50. Why tooth movement(ortho) b4 perio?
51. Radiation? Directly affects/alters cells?
52. Flumazenil to Tx versed overdose
53. Max molar ext order & why?
54. Eosinphilic granuloma of bone assoc w. what? Langerhans
55. When is porcelain strongest? Under compression
56. 2 yr old-separation anxiety
57. 4-6 yr old- fear of the unknown
58. Angular chelitis-excessive interocclusal distance
59. Host modulation? Doxycycline
60. Most prob of pulpal exposure on primary molar? MB
61. Stafne bone cyst below mand canal? Sal gland inclusion
62. Antral pseudocyst (pale RO above Mx 2nd molar)
63. Amantadine is antviral
64. Most common seen disorder? Syncope
65. Coronary A.D. in children most often assoc w/ obesity
66. Hue & chroma dif
67. Tx of cl 3- Lefort 1 & bilateral sagital split osteotomy
68. All used to decrease excessive salivation except? Prilocarpine
69. Allergic rxn to PCN-dermatitis
70. All true about tetracycline except? Not used for prophy for IE
71. IV injxn of tetracycline a few sec later pt become hypotensive? What is
first Tx?
72. Most imp part of identifying a disease? Exam

73. Pt. with chronically obstructive nasal passage will have? Ant open bite
74. Remove palatal tori when? Interferes w/ post pal seal
75. Advantage of direct comp vs indirect comp onlay? Better marginal
adaptation
76. Main advantage of CAD-CAM-one appt
77. Diabetes type 1 can cause-blindness
78. Leukemia all except-parotitis
79. Keratotic lesion most likely to be dysplasia if found? Floor pf the mouth
80. Best 5 yr survival rate? SCC of lower lip
81. Candidiasis in caner pt due to? Chemo
82. Increase bleeding in cancer pt due to-thrombocytopenia
83. All cause ging hyperplasia except? Digoxin
84. Key sign of asthma attack in kid? Inspiratory wheezing
85. Emphysema pt trouble breathing problem is? Reclined chair position
86. Dif between fear and anxiety? Fear is focal, anxiety is generalized
87. Dentist asks a lot of directing questions? Will know specific facts about
pts
88. Pt with severe tooth pain who will also need restorative Tx what order?
Comprehensive exam, relieve pain, restorative work
89. HIV pt viral load 100,000 t cells 30? No contraindications
90. Referred cardiac pain to teeth? All except relieved by LA
91. Autoimmune disorders most commonly seen in ? middle aged females
92. Took too many Rx analgesics what side effect
93. reverse architecture of periodontium? More common in maxilla
94. MOA benzodiazepines-GABA
95. Vicodin (Acetominophen & Hydrocone) works by
96. Metab of a drug? More ionized at a plasma ph, more pharmalogically
active
97. Corticosteroids (longterm) cause all ecept? Hypoglycemia?
98. A few INR questions just know that if INR is?
99. Reverse effects of atropine? Neus
100.

Most common side effect of nitrous? Nausea

101.

Reubella(congental) is an example of mental retardation

that is acquired
102.

Who gets prophylaxis? Prosthetic valve

103.

Max dose of lidocaine 2% to give to a 20 kg child? 80mg

104.

Metastatic cancer is most often to-post mandible

105.

Def of bisphosphonate related osteonecrosis therapy of

the jaw-absence of radiation therapy

106.

Blue sclera-osteogenesis imperfect

107.

Exfolative cytology most useful in diagnosing-

candidiasis
108.

Pic of mucocele

109.

Pic of drug induced ging hyperplasia

110.

Stevens Johnson syndrome affects? Conjunctiva,

genitals, oral cavity

111.

Candidiasis in cancer pt is due to? Chemo

112.

Pt undergoing radiation therapy rapidly develops wha

kind of caries? Class 5

113.

Epiphyseal plate most closely resembles-synchondriasis

114.

Pic of geographic tongue

115.

Sweating of 1 side of face-freys

116.

When using the preauricalar approach for tmj surgery ,

what brach of facial n could be damaged? Temporal

117.

Most likely to be damaged when doin full thickness graft

for free gingival margin? Greater palatine

118.

Xray of inttermaxillary suture

119.

Bacteria not assoc w. chronic periodontitis? Actinomyces

viscous
120.

Gingival index is and ordinal scale

121.

Gingivectomy can have internal or external bevel.

Internal bevel has less discomfort & better healing? Both true
122.

Remove plaque from implants except> steel

123.

Probe implant with plastic

124.

Implant least resistant to lateral forces?4,5

125.

Epi attachement to implants is the same as teeth.

Connective tissue attachment to implants is the same as teeth. T or F

126.

Tooth was not in occlusion as abutment for a FPD & now

pt has pain/sensitivity why? Stresses upon PDL

127.

What herbal supplement is contraindicated in pt on

Coumadin/warfarin or some anticoagulant? St johns wort

128.

St johns wort? Mild depression

129.

Indication for an onlay? Insufficient dentinal support

130.

How strong is the correlation b/t long term marginal

ditching & recurrent decay? Weak

131.

Not bevel ging margin? Hatchet

132.

Liquid in glass ionomer? Polyacrylic acid

133.

Why is access prep for CI a triangle? Remove material

from pulp horns

134.

Hypothyroidism vs hyperthyroidism? Cold, dry skin

135.

Plaque matures in?24-36hr

136.

Food affects rate of oral clearance

137.

Bacteria adhere to teeth by dextrans

138.

Autistic children heightened stim to touch and sound

139.

Neuopraxia

140.

Niti vs stainless steele

141.

Long term nitrous use? Neuropathies similar to multiple

sclerosis
142.

Sodium hypochlorite for endo all except-chelating agent

143.

Chelating agent-edta

144.

Main reason for loss of mesiodistal arch length-caries,

rotated teeth
145.

Dental fear-intensifies pain

146.

Nonverbal communication-uses many dif senses

147.

All affect the success of an implant except-# of

remaining teeth
148.

Compare the proportion of guys w. disease w. proportion

of girls w. disease? Chi square

149.

Tooth w/ a luxation/subluxation injury that doesnt

respond to pulp test indicates-there is an interruption in neural transmission

150.

During canal filing of mx incisors what part of the root is

most commonly perforated? Mesial

151.

Which of following would cause sudden mobility of a

tooth-secondary traumatic occlusion

152.

All indicate occlusal trauma to an implant except ?

gingival inflammation
153.

To make a ceramic ant restoration appear thinner

mesiodistally? Deepen gingival embrasure moving it more incisally &

contouring facial line angles to middle of tooth
154.

What disease causes steattorhea, chronic resp

infections & functional disturbances in secretory mech of various glands-

cystic fibrosis
155.

Remineralized enamel? Stronger or weaker than enamel

156.

Diabetic pt. for IV sedation for minor oral surgery? Skip

breakfast, full dose, half dose, none

157.

When should oral surgery be performed on a dialysis pt?

next day
158.

Non working condyle moves in what direction-medially

159.

When processing acrylic for denture chemical vs heat

excess monomer
160.

Pt has veneer and needs bleaching in wohat order do

you do it
161.

Failure of post composites is usually directly or indirectly

related-polymerization shrinkage
162.

DOC xerostomia-pilocarpine

163.

DEA schedule based on-potential for abuse

164.

FDA requires what before drug is approved?

Randomized clinical trial

165.

Strength of soldered connector of a fixed partial denture

is best enhanced by- increased height

166.

Splinting abutment teeth in a fpd is to improve

distribution occlusal load

167.

Sodium hypochlorite that is most indeisrable? Toxicity to

tissue
168.

When there is a loss of tooth what is primary factor that

prevent the adjacent tooth moving mesially? Occlusal contacts

169.

A diagnostic test failed to i.d. 5 cases of disease false

negative
Guy has problem with a tooth and has a hole drilled thru the O of MOD composite and
the pain is relieved. What caused it? Void in composite or polymerization shrinkage
2.

Primary mandibular 2nd molar has how many canals? 1-4

3.

Patient removes denture and its red, also taking ampicillin whats the reason?

Candidiasis, allergic reaction to denture

4.

Radiolucency below 1 molar of a 18 yr old? Salivary gland occlusion, OKC

5.

Which division is likely to break incisors?

6.

Neuropraxia question-nothing severed, perioneum intact, can get it from

stretching.

7.
8.
9.

What happens if you over titrate amalgam?

Sialolith commonly found? Submandibular gland, whartons duct
Reason for mucocele on lip? Obstruction, minor salivary gland by mucus plug,

trauma
10. What is the best way to view Maxillary sinus? Waters
11. What is best way to view TMJ? MRI
12. When you move to right what nonworking cusp lingual interfere with non
working movement- non-bull
13. What do you Tx ANUG with? Antibiotics, chlorhexidine rinse
14. Common periodontal disease in school age disease?
15. Tetracycline vs penicillin
16. Methotextrate metronidazole
17. Metronidazole is a drug of choice for ANUG and cause disulfarim affect(nausea,
vomiting, flushing of the skin, tachycardia, and shortness of breath). Rarely causes
stevens- Johnson syndrome (true or false)
18. Patient got 25% bleaching and has increased sensitivity. True or false (1 st part is
false because home bleaching is 10%)
19. Home care patient responsibility is to brush teeth and remove bacteria and
remove subplaque. True then false.
20. Highest % of caries population-hispanic
21. What do you see first the donors epithelium or recipients epithelium?
22. Glucose in kids what is most important? Quantity, time, composition
23. What do you see in freeze-dried bone? Osseobond cells?
24. What is freeze dried bone? Allograft
25. What is malignant? Fibrous dysplasia, pagents , central giant cell granuloma
26. Pic of gingival hyperplasia, caused by what? Phenytoin
27. Grand mal(tonic-clonic) seizure drug of choice? Dilantin( phenytoin),
carbamazepine(tegretol)
28. If you need to increase VDO on mounted cast how do you do it? Bite
registration, facebow, increase VDR
29. What is contraindicated when treating a sickle cell Patient?
30. Fenestration31. 6 questions about furcations.
32. What do you do with probe if furcation is wide and narrow, narrow, wide? Probe
or cant probe? Grade 1 probe goes less than 1/3, G2 probe goes more than 1mm(do
GTR n graft), G3 probe goes straight thru
33. What do you do for a furcation that you can see through? T or F. Tunneling, GTR

membrane?
34. 8 year old Central incisor canal is constricted but has apical RL what do you do?
Refer
35. What is worst if doing a RCT? Insufficient obturation, insufficient cleaning and
shaping,
36. In RCT was is plastic post good to use? Same strength as dentin, better strength
then steel, same strength as steel, when cemented you can view on xray
37. RCT done and years have RL below what caused this?
38. Xray of woman who had molar extracted, now has infection, what caused this?
Osteomyletis, residual cyst
39. C factor(configuration factor)- composite ratio for bonded to unbounded
40. Bilateral split osteotomy what nerve do you worry about severing? Inferior
alveolar
41. Cleft palate/lip- class 3
42. Main reason for redoing anterior composite-discolored
43. Fluoride- how much do we use in community water
44. 5yr old has .28 fluoride how much do you supplement-.5 (6mos-3=.25, 6-16=1)
(if 0.3-.6 for 3-6=.25, 6-16=.5)
45. What is true and not true about fluoride?
46. What is helpful in senior citizens?????
47. When you transilluminate tooth what does the light go thru?
48. Flabby tissue for a denture what do you do first?
49. Most likely to cause candidiases? Excess VDO
50. Glass ionomer benefits besides fluoride? Used as cement, covalent bond, resist
to fracture
51. Pic of white spongy nevus
52. Benefit of methadone vs morphine? Withdrawal less severe, used 2 detox
morphine addicts
53. Purpose of plaque index? Show the patient
54. Synchondrosis what is last to fuse? Sphenooccipital(starts in teens ends @ 20),
intraoccipital (frontal ethmoid/sphenoethmoid might be 1st)
55. Cauliflower like lesion on lip
56. Fentanyl antidote for benzodiazepine overdose (I think fentanyl is used with
benzo for preop sedation and the antidote for benzo over dose is flumazenil)
57. Start vomiting after because it triggers chemoreceptor zone
58. Chemo causes thrombocytopenia
59. Dental office matches benefits of other offices but patient can choose dentist-

PPO, HMO, closed or open panel

60. Patient has to go to specific dentist in this plan-hmo,ppo,closed or open panel
61. How does collimation work? A device capable of collimating radiation, as a long
narrow tube in which strongly absorbing or reflecting walls permit only radiation
traveling parallel to the tube axis to traverse the entire length.
62. What muscle does the denture cover? Buccinator
63. EDTA chelating agent
64. Sodium in RCT what does it NOT do? Not a chelating agent
65. Antipsychotic drugs act on which receptors? Multi receptors but mostly
dopamine
66. Nitrate(NO3) vs nitrites(NO2) mechanism of action? Nitrates increase O2 supply
by vasodilating action on smooth muscle in coronary arteries.
67. How do you treat dry sockets? Surgical dressing,
68. If patient has excess saliva-realign, no affect, helps with retention(I think reline)
69. Why do you place a functional cusp bevel? Retention & resistance, structural
integrity, (ensure contour with max durability and conservation of tooth structure)
70. Which patient is more likely to have thrombocytopenia- taking oral
contraceptive
71. Patient has small cavity @ what point do you interfere with decay? way thru
enamel, seen on xray, seen in dentin
72. What do you see in thyroid storm? High temperature, sweating, rapid
heartbeats, weight loss
73. What is a minor connector? Connects things t major connector
74. What is the rest seat connected to if that is connected to major connector?
Minor connector
75. Least congenitally missing tooth? 3m-lat incisor-2pm
76. Erution sequence/ calc seq
77. When is 1st sign of calcification (4months in utero)
78. Fractured mandible how long is appropriate to keep in closed reduction? 4weeks,
6 weeks, 9 weeks, 12 weeks(4-6 weeks) (2 weeks deciduous)
79. Irreversible hydrocolloid is not used in fixed
80. How do you increase working time with irreversible hydrocolloid? Increase
spatulation, increase cold water, increase hot water
81. Which stone and how do you make it set up faster? Slurry water, hot water, cold
water
82. If you cut a DO what axiolineangle is not there? No distal wall
83. Flap surgery wide gap in between how do you clean interproximal furaction?

Interproximal brush, water pick, floss

84. Guy on recall for perio has mesial on #4 distl on #20 with 6mm perio pockets
what do you do? Surgery, scaling(6-7mm for 3-4month recall), etc
85. 10 yr old with gap what do you do? Take away frenum, ortho, wait for Mx k9
eruption
86. What isnt seen on xray gingival cyst or
87. Supragingival plaque is more gram negative or positive
88. Key features of cleidocranial dysplasia. Retain primary dentition longer
89. After 10 years % of people with successful implants? (5 year 95 Mn 90 Mx) so
80-90%
90. Alvused teeth best prognosis? Something to do with time and what its stored
in(best in 15-30minutes, hanks solution, or milk,saline,saliva)
91. Test for prevelance of incidence investigating oral cancer in a nursing home pts
what kind of study is this?
92. T test vs chi square (The t-test assesses whether the means of two groups are
statistically different from each other)
93. INR determines PT measure warfarin dose, liver damage, vit k status
94. Kid wheezes with inspiration(vocal cord obstruction)
95. Common dental office problem? Asthma hyperventilation, syncope
96. Patient needs to be medicated for 8 hrs what do you give them? Aspirin,
ibuprofen(4-8), acetaminophen, naproxene(12)
97. H2 histamine receptor is for gastric acid reduction
98. Most likely to reoccur OKC
99. What do you use to cool bone when place a implant? Air, irrigated solution
100.

Maximum amount of nitrous? 70%

101.

100th in hue, value, chroma? ???Brightness, hue???

102.

Gardner syndrome- nevoid basal cell (cysts, polyps that turn into

adenocarcinomas, have multiple impacted and unerupted teeth

103.

Tell show do is for who-child

104.

2yr ol acting up what do you do-get down to their level and talk

to them
105.

Same question-show them another child behaving

106.

LED cure light why is it more beneficial than halogen and know

the range. 430-490 shorter curing time

107.

Permanent teeth vs primary teeth-higher pulp

108.

Pt has Mn molar extracted 3 days later have pain-ludwig angina

109.

Infection on lip cavernous sinus thromboses

110.

Autistic child-likes affection, needy, repeat things over

111.

Patient with heart attack-answer is heart attack?

112.

Ameloblastoma from dentigerous cysts

113.

What do you have with seizures-hyper(hyperventilation,

hyperthyroidism, hyperexcitable nerves)

114.

What does cusp reduction do? Retention, resistance(conserve

tooth struct and gives rigidity)

115.

Unbundling and beneficence definitions-bene promotes wellbeing

of others, unbundling is charging separately

116.

Waive copay-price fixing

117.

Pic of compound odontoma

118.

Alpha agonist acts on?(adrenergic, epinephrine, SNS)

119.

What can you get back? Tooth mobility

120.

% of people that get fluoridation? 67-70

121.

Treat external resorption with what? RCT, CAOH2

122.

Apexification-nonvital tooth

123.

Indirect vs direct on child

124.

Pt on antidepressant what is your greatest concern? Epinephrine

or time in chair
125.

Pt is emergency remove decay that is medium to deep but not

pulpal exposure so you temp it what are the indication for that? Emergency
126.

Order of treatment perio not endo related, order of Tx endo not

perio related.
127.

Pt has Mn molar cracked? Best description? Stabbing pain,

released when open mouth

128.

40 yr old pt has 32 teeth with deep fissures what do you do?

Sealant, amalgam, observe

129.

1st molar decay what do you do? MOD & DO, MO & DO

130.

Hex implant prevents rotation

131.

What is the initiator of caries? S. mutans not option so L. bac

132.

Dont give a pregnant woman what? Diazepam,

133.

5 year old extraction what do you give them? Acetaminophen

134.

Braces move due to transseptal fibers

135.

Ortho Tx does..pulpal response, decrease blood to PDL

136.

Important with successful RCT what is the least likely to happen-

regen of dentin, regen of cementum, regen of alveolar bone

137.

Prescribed opioid analgesic physical signs-headache, irritability,

hypo (nausea, vomiting, drowsiness, itching, constipation, respiratory depression)

138.

IV antibiotic has tachycardia and other problems 1st thing you do

is what? Epinephrine, stop antibiotic (if serious cardioversion, admin adenosine,

stable refer,ECG)
139.

All effects the success of implant except-remaining teeth

140.

Epitomizes dental fear-chair

141.

Causes sudden mobility- secondary traumatic occlusion

142.

Mandibular lateral incisor eruption where do you get space-k9

primate space
143.

Pregnant woman in dental chair- lay on left side to prevent from

laying on vena cava

144.

Perio disease time of life theory episodic or random-random burst

theory
145.

Neurofibromatosis freckling, lisch nodules, caf au lait,

146.

Major complaint from a denture patient-can say certain words,

lack of retention in mandibular denture

147.

Osteoradionecrosis most associated with mandible

148.

Best time to get children to stop children from sucking thumb-

primary dentition period

149.

Device place to prevent thumb-sucking-positive, negative,

adversive
150.

Smiling, praising down syndrome pt-social, positive reinforcement

151.

Modeling & shaping questions

152.

What model to get child to follow directions

153.

Teach child to turn negative thoughts to positive experience-

reshaping, modeling
154.

Drug A has higher efficacy than B? more potent, smaller dose

155.

When do you do maintenance phase in perio?

156.

Added to polymethyl methacrylate for? Strength, polymerization,

157.

What size do you do a excision?

158.

Salivary gland defect

159.

Palmar plantar keratosis

160.

#8 lighter than the rest of teeth what do you do? Bleach other

teeth, crown
161.

Whats not on ADA website? Licensing

162.

How much do you take off facial view of veneer? .5

163.

Regen of periosteum needs- sharpeys fibers, cementum, alveolar

bone
164.

Benefits of PCN except? Cheap, low toxicity, not broad spectrum

165.

What will happen if you issue broad spectrum antibiotics-creates

infection
166.

Denture pt with opposing teeth? Mx bone resorption, post

tuberosity droops, Mx anterior resorption

167.

What cause angular chelitis-VDO loss

168.

Pt has hypoparathyroid disorder can be prevented by giving

what?iodine?(vit d, calcium, no way to prevent primary)

169.

Pt has low alkaline phosphatase what do they have? (magnesium

deficiency, hypothyroidism, hemolytic anemia, wilsons disease. Elevated levels in

Pagets
170.

Periodontal disease in children? Acute periodontitis, marginal

gingivitis
171.

Articaine is metabolized where? Plasma esterase

172.

A drug is first passed means? Excreted in urine, metabolized in

liver
173.

Diagnosis for bullemia

174.

Bullemia is form of erosion

175.

Wipe something down and it kills everything but spores-

disinfected
176.

Allergic to amoxicillin give the patient what

177.

Identify nasal septum-zygoma

178.

Where do you use base metal-bridge

179.

Where do you use noble metal-single crown

180.

Premed with endocarditis main concern? If had previous

181.

Pt had hip replacement 10 months ago do you premed? Yes

182.

30 year old pt has deep fissure least likely to do? Sealant,

amalgam, etc
183.
184.

Most common root fracture- Mn 1st molar

Most successful place to put a implant? Mn anterior

185.

Ectodermal dysplasia

186.

Doxycyclin does what? Tetracycline use in sinusitis, molaria, lyme

disease, acne
187.

What sound is hard to make it denture is placed to far facially?

188.

Bony resorption from implant considered successful If you have .

1mm of resorption per year? Yes

189.

How much radiation exposure is considered bad? 50(6000),45

190.

What is considered safe amount of radiation?

191.

If xray goes through something thick what will it look like on xray?

Cancer, thickness, no cancer, radioopaque, had to penetrate thick structure looks

radioopaque
192.

Cementing all porcelain or all ceramic crown what resin good to

use and what benefits? Fracture, fill in margin, color control

193.

Contraindication with St Johns Wort? Asthma, warfarin, pregnancy

194.

Replacement resorption- necrotic pulp resorption

195.

In a injury this acid is produced and is responsible for what?

Prostaglandin??
196.

Tooth fused to bone-replacement resorption

197.

Porcelain is strongest in what stage? Firing, cooling, stressed

198.

Most damaging type of mercury? methyl(organic)

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

Know the difference between modeling and shaping in terms of behaviour.

Know what the 5 ethics are and what they mean and how they are applied
(beneficence, veracity, justice etc.)

1. Amantadine..what type of drug is it

o

Anti viralused for TB

2. St. Johns wort used for minor depression

o

St johns wort is a herbal medication used to treat depression

3. Oral path pic of herpes zoster (lesion of tongue stopping at the midline)
o

Herpes zoster is seen in adults.

Lesions are unilateral b/c affects the trigeminal nerve pathway

4. The USDA recommends that ___% of your daily diet should come from fat.
o

Around 35% of caloric intake should be fat

5. When you include cusp (like shoeing it), what form is it? Resistance, retention,
convienienceno idea I put retention I think
o

Shoeing cusp is a form of resistance

6. Prilocaine causes methemoglobinemia

o

Prilocaine is an amid which gets metabolized in liver

The one amide that causes methemoglobinemia

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

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

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

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

Raas is the oncogene affected in oral cancer (squamous cell

carcinoma)

Main intiating factor for SSC is smoking

9. How do antihistamines work?? Competitive inhibition of histamine receptors

o

Antihistamines are two types (HI and H2)

HI for irritation of skin

H2 antihistamines to treat gastric ulcers

Anti histamines block (thru competitive ) histamine receptors

10. What is reverse architecture (interdental papilla gingival tissue is more apical
than the facial and gingival tissues)
o

Normal perio health the interdental papilla is higher interoximally

than on the F and L gingiva thus you see a parabolic shape

11. In disease its called reverse architecture and you see that the F and L
gingiva is higher than interdental papilla
12. Know difference between attrition, abfraction, abrasion, and erosion
o

Attrition wear facets on enamel. Can be due to grinding, bruxism

Abraction at the cervical region of the tooth

Erosion chemical wear on the tooth.

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

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

14. Double the distance of x-ray source will quarter the intensity
o

Distance and intensity are inversely related.

When you double the distance, the intensity is affected by (1/4)

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

Y line of Ennis: seperates the nasal fossa with the maxillary sinus

16. Know irrigating and chelating solutions for endo. (Sodium hypochlorite and
EDTA came up a bit)
o

NaOCL this is an irrigant used for endo. Also disinfectant and

lubricant for the canal. NaOCL is NOT a chelating agent

EDTA this is NOT an irrigant. This is a chelating agent. RC prep is a

form of EDTA

17. Patient is on Warfarin, should perform a INR test

o

Patient on Coumadin (wafarin) must always do an INR rest

(international normalized ratio)

If patients INR is above 5 Oral surgery is contraindicated

Normal INR is 1-2

Do NOT give aspirin to a patient who is on coumadin.

The only NSAID you can give a patient who takes Coumadin is
Tylenol(which as acetminophen and has no anti inflammatory
properties)

18. Know difference between LeFort 1, 2 and 3

o

LeFort fractures are types of facial fractures that are classic in facial
trauma

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

directed low on the maxillary alveolar rim in a downward
direction

Le Fort II fractures (pyramidal) may result from a blow to the

lower or mid maxilla and usually involve the inferior orbital rim

Le Fort III fractures (transverse) are otherwise known as

craniofacial dissociation and involve the zygomatic arch

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

o
19. Angular chelitis is due to increased interocclusal space (decreased VDO)
o

Angular chelitis aka perleche

This is seen in patients who have a loss in VDO

Decreased/loss in VDO= increase in freeway space (interocclusal

space)

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

To induce salivation: these are cholinergic drugs such as pilocarpine

To cause xerstomia: you would use anticholinergic drugs such as

scopalmine, atropine.

To antagonize scopalmine: use Physostigmine

Part 2 Questions since Fall 2009: 600+ questions

January 2009 Exam
1. -LOTS OF ETHICS QUESTIONS: what to say what to do in these situations. If
your patient is looking around a lot at your masks and gloves, safety
equipment, whats the most appropriate response? Some of the answers are
vague.
2. -What do you not report to the ADA? Reporting an advertisement for a
colleague or an announcement for specialty practice? Principles of ethics and
conducts does not cover and you have to pick one. Published paper on
principles of ethics and conducts does not cover which one?
3. -non-malifecence, justice, all that kind of stuff from first year was tested on.
4. -benzodiazepines, anxiolytics how do they work? GABA!
5. -Versed is a BDZ.
6. -what meds to decrease saliva? Should be atropine (belladonna derivative),
scopolamine, etc. Pilocarpine, methacholine, neostigmine, etc. cause
salivation.
7. -ENDO CASES: apexification questions
8. -not that many biomaterials questions: not many composition or lab
techniques.
9. -primate spaces
10. -when you include cusp into preparation, what is it called? Is it convenience or
retention form?
11. -most questions so far: ethics, a good mix of everything. Try studying Part I
ethics cards for those questions stuff from sarkis class. ?

12. -which antibiotics will not work well on someone taking prolonged drug for
awhile. He put TCA down.
13. -Antibiotics do not work well on patients taking ____. Which drug? Oral
contraceptive?
14. -Prilocaine causes methemoglobinemia.
15. -Abuse of nitrous oxide it results in neuropathy.
16. -Articaine can be processed in the plasma. Its an amide. This makes it unique.
17. -Antihistamine question not that many but one.
18. -Whats the oncogene that is disabled in oral cancer? ??
19. -How many carpules max can give before patient dies? 1 mL = 20 mg of 2%
anything.
20. -Warfarin and drugs that you have to mix and match and match with the
category. Diuretic drugs.
21. -Amantadine is an anti-viral and anti-parkinosonian or anti-TB and its antiviral.
22. -If youre breast feeding what drug should you not take? Something
prohibited in the states.
23. -There are a lot of questions on case studies! Double blind studies, etc. need
to know the definitions.
24. -all of these inhibit cell wall synthesis except: penicillin wrong!
25. -The MEDS they ask are straightforward so we should know them. We need to
know the classes and the characteristic drug of that class.
26. -histamine question: antihistamines work by working on histamine receptors.
27. -children coronary artery disease: what is risk factor? Obesity and high
cholesterol.

28. -apexification and order of things for endo and treatment planning. Pulp test is
not used when first go through trauma, avulused tooth what to do next if
mature or apex closed. Avulsed tooth: adult vs. children. Children immature
put back in and watch it. Adults stick it back in and watch it. Under endo and
pedo!
29. -Perio: reverse architecture (papilla is supposed to be a mound not a volcano)
what is diference between open bevel and cloesd bevel: both of them would
cause the same amount of recovery pain. Only one bacteria quetsion. Acute
ulcertaive gingivitis what could be indicated: host overreacting to infection.
Bacteria is releasing deadly toxins (no toxin in acute periodontitis or is not
main reason) and the answer was normal bacterial flora is what youd find in
acute ulcerative gingivitis.
30. -key bacteria in localized periodontitis is AA which is part of normal flora. P
intermedia (ANUG) is kinda part of normal flora.
31. -OS: order you should pull teeth out on upper maxilla 1st 2nd 3rd molar? 3 2
then 1.
32. -dental anatomy: patient has 3 incisors one tooth has two pulp canals which is
fusion.
33. Second Day:
34. -If patient is allergic to ampicillin, then what antibiotic should be given?
Clindamycin, but should be 600 mg and the answer choice was wrong since
they said 2 g so he picked cephalomycin. fixin
35. -cephalomycin
36. -Cyanotic heart valves you must premedicate. Kid had unrepaired cyanotic
something valves, cyanotic congential heart disease. Premedicate with
amoxicillin and you need to know the dosage so that you pick the right dosage
60 lb kid. 50mg/kg dosage.
37. -Lots of questions on what you should do with a tooth to treat it with lots of
answers including doing nothing.

38. -Intraoral picture of nasopalatine cyst by incisive papilla on backside of 7 and

8. The foramen and nasopalatine canal is where the incisive papilla is and if
theres a cyst there then what does it look like clinically? Soft tissue is swelling
and discolored.
39. -The clinical radiograph and picture didnt match up. The clinical pictures were
taken after the radiographs so it could have developed afterwards and there
was fineprint that this was written and not for other cases so it was a trick and
it was a nasopalatine cyst probably
40. -There were 8 casesyou have to click something to open the picture. There
are 4 pictures instead of 1 and so you can drag it to the side to look at it.
Some of them have extra pictures on an extra tab of the window so you have
to click it to open more but you could miss it if you didnt notice it.
41. -Whats the best way to restore the edentulous space: ridge is so thin you cant
place implants but you have to have noticed in that one specific picture so
best situation is partial because bone graft then implant isnt option.
42. -Abfraction: if not too deep dont touch it. If deeper, fill with glass ionomer
cement? compomers
43. -Barely talked about amalgam in this exam
44. *Zinc oxide eugenol is IRM but theres an extra component that makes it IRM
which is the methylmethacrylate which is an inactive ingredient.
45. *Whats an adverse effect of a drug that you cant mix with antibiotics?
Methotrexate because it wont clear out of the system specifically with
amoxicillin.
46. -One of his patients has a pacemaker, but dont premedicate either? Just stay
away from ultrasonic and electric testing and such.
47. -3.5 hours for 200 questions for a total of 400 questions. 2 nd day is
100 questions 8 cases 3.5 hours since its cases and you have to
investigate. What are you not supposed to do and what cant you do?

48. -What does it look like on a pano when your patient moves during the pano? A
vertical blur line vs horizontal defect.
49. -Big artifact in pano which was a ghost of a necklace.
50. -kVp asked once. By what factor would you increase kVp if the doctor doubles
the distance. Its a factor of 4 since its squared distance.
51. -what is the isthmus of Y (where nasal floor and maxillary sinus start and
meet). What are the two anatomical factors that border this?
52. -Genial tubercle x-ray question today. What is this that is pointed on the
radiograph. You can pick osteoma, but its not.
53. -They liked to ask intermaxillary suture a lot which comes up clear on
radiograph and it looks like a fracture (which is an answer choice), but its not.
The decks are good enough.
54. -Earlobe on the pano was asked from yesterday. Yesterday had some radiology
picture questions.
55. -Not too much disinfections stuff: disinfectant, sterilant, know definition which
is in behavioral science decks but not much on it.
56. -Why do you flush the lines?
January 2009 Exam:
1. Lots of implants ques: like how you treatment plan them, how to place them
(high torque, low speed, what temperature, what area has good/bad
prognosis). Success of osteointegrated implants after 10 years? Etc.
2. Lots of endo/perio lesion questions. Know the difference in diagnosing b/w
acute vs. chronic, reversible vs. irreversible apical
periodontitis/pulpitis/abscess/vertical root fracture and their treatments.
3. Perio questions about bone graft, tissue graft, GTR and when and where to use
them. Perio maintenance procedure, tx for different types of periodontitis
(ANUG/ANUP, LAP), techniques for using curettes.

4. Know pulpectomy, pulpotomy, apicoectomy and when they are use

5. Different b/w remineralized enamel vs. regular enamel
6. Polymerization shrinkage, base metal vs. noble metal, function of major vs.
minor connector, combination syndrome, FPD not fit
7. Veneer prep criteria, chelating agents/EDTA/sodium hypochloride, bleaching
8. Know your analgesics( Asp, vs Tylenol vs Ibuprofen vs Naproxen), lots of
opoids ques (when to use them, what rxn in overdose, etc), antidepressants,
antipsychotic, BZD and their mechanism of action, nitrites/nitrates,
9. Metronidazole, Teracycline, bacteriostatic vs. bacteriocidal drugs
10. White lesions that can be wiped off (Lichen planus , candidiasis, white sponge
nevus)
11. Know diff b/w Cleidocraniomastoid vs. ectodermal dysplasia, AI vs DI
12. Which herbal meds is contraindicated with anticoagulant? I put St.Johns wort
but had no idea
13. Manifestation of medical emergencies like thyrotoxic symptoms, syncope,
shock, etc.
14. Pregnant women should lay in which direction (Trendelenberg, right hip up,
left hip up?) More proned to what medical emergency?
15. longitudinal vs. cohort studies, p-value, code of ethics (I think reading the tuft
notes is good enough)
16. Other weird question like the purpose of tongue brushing (gingivitis, bad
breadth), henly & huntler syndrome, percentage of cleft palate in caucasian? I
had no idea since I dont remember reading it anywhere.
December 2009 Exam
1]I had lot of" sentences " by the dentist type of question and they asked What tone
is the dentist using? Choices were like controlled,sympathy etc. I dont remember

each sentence but it was like Patient complains of pain in relation to a particular
tooth.So the best answer/reply of the dentist would be
1. If you came here earlier things would not be bad
2. If you took more care this would not have happened
3. I will take care of everything
2]Complications of Sjogrens syndrome features of (Stevenson sth) Answer
was with keratoconjunctivitis it involes the genitalia too.
3]Questions about difference between empathy,sympathy and apathy .These
belonged to behaviour maangement questions which I didnt understand.Like if
a child came with a history of aggressive behavior and is crying then should
the dentist show empathy or sympathy or control
4]Children response to treatment and what dentist should do for ex: if child is
6 yrs old and mentally retarded shud GA be given.Or an apprehensive child
-should/not be given papoose board .
5]Remo -dont worry.I had 8 questions and very direct ones.
6]Fixed -do preparation and design.Ex type of margin for ceramic. What
should be placed against porcelain bridge. What is a "key"
7]Ordinal and nominal classification[ I dont know what this is ]
8]Antagonist for ( I think Methadone) Just do all the antagonists given in
overdose and toxicity.
9] Check what is Ambien!!
10]Best medicine for sedation for children, asmatic and anxious.
11]Lot of pulpectomy questions .Whether u shud do pulpectomy,pulpotomy or
RCT.Scenarios like if tooth was avulsed or if it was kept in Hanks 120 mn later.

12]Space maintainers-indications.Which is the exception?

13]function of dressing on wound? Protection
14]suture -movable to non movable
15]gingivectomy - is it incisional or excisional procedure?
16)if person is asthmatic and has pain even if he walks 5 steps how should
you treat him -he is under care of physician what should be the best way to
treat him
A) only 2 appts per week
B) Treat him in a reclined procedure

17]For pharma - materials from Tufts didnt help at all. Check drugs like
prpythione or sth. Ambien etc
18]What is neurotraxia
19]calculation of 2% mepivacaine max amnt
20]check functions of epi
21]what happens when Vertical is lost-signs that is reduced VDO
22]lab and patient remount?Why are they done- establish and maintain VDO
23}incisal guide pin position while checking protrusive,why
24] Manndibular tori removal 4-5 questions About the
procedure.indications.Type of incison,instruments used
25]Common complication of Type 1 diabetes: I wrote as blindness assuming
retinopathy!!
26]Do we need to take precautions for person allergic to shellfish.

27]Soldering and flux

28]Glazing of bridges: when is it done .Is glazing uniform?
29] Hallmark/sign of acute sinusits?
30} Splinting avulsed teeth for how many days?
31]6 year old mentally retarded child.Treatment is recall.Would you give
sedation,antianxiolytic,voice control or positive reinforcement.
32]Guerin sign is a feature of Le Fort 1/2/3?
33] 8 Oral pathology slides.Showing migratory glossitis,ceph induced hyperplasia,
CGCGranuloma, Pano showing ear lobe, Radiograph showing double exposure,
34] Distance of implants from natural teeth
35] Cervical position while placing an implant-How much below CEJ?
36]grooves for a cl 5 composite where are they placed?
37) Couple of questions with which is the best treatment option like FGC,7/8 th or
3/4th crown
38]SBE prphy-exception
39]One photograph of pano asking the error-the tongue was not in the correct
position
40]which is the only surface not beveled for an onlay
41]adv of heat cure-strength and less residual monomer
42]periapical cemental dysplasia radiograph
43]what would you give to a patient who goes into a diabetic shock?
44] Dentist lets the patient sign informed consent-autonomy
45] Dentist refers a difficult case to a speacialist-non malfiecence

December 2009 Exam:

picture questions
1. recognize bell's palsy
2. herpes zoster...... hard palate just one side
3. lateral boarder of the tongue picture looked like squamous cell carcinoma
4. a picture of basal cell or kerato ancathoma ......on the face crater like with a crust
in the middle

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

2. question about reduction of tuberocity if there is no space in the back. this
question came twice
3. there were multiple questions about about cleidocranial dysplasia.
4. multiple osteomas are found in--> garderners
5. a question about lingering spontaneous pain --> irreversible pulpitis
6. question that was testing INR numbers .....i forgot the details
7. hypohydrotic child --> ectodermal dysplasia
8. drug given in case of seizures ...... i remember they were very particular i.e mgs
9. Make sure you know about chroma value and hue
10. memorize the fluoride table for pedo...... you will use that multiple times
11. the use of intensifying screens --> reduce the radiation

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

general outline guides

1. lots of questions about behavior management . i thought mosby was good with
that
2. Lots of insurance questions . Un bundling and bundling questions. May be you can
read online about dental insurance

December 2009 Exam

1.
2.
3.
4.
5.
6.
7.
8.

Whats the purpose of facebow preservation?

Gingivitis, nominal and ordinal?
Schuger Johnson syndrome.
Spaces: mandibular/mental.
Alpha agonist (anesthetics), beta agonists, etc Q.
Calculation Q for anesthetics.
Cross sectional studies Q.
What do you use for average Q? Mean, median, mode

9. Implants
10. open vs closed tray technique for implants
11. how to clean implants (os decks)
12. type of epithelial and connective tissue attachment to implants
13. What is minimum distance between implants
14. why do you use a stent?
15. how far up or down from tissue should the implant be placed in relation to
adjacent CEJ (efffffff that question!!! I didnt know)
16. Most important thing about implant success (in the procedure the things are
most important for osseointegration)

17. Tooth brushing and flossing-what is maximum depth that tooth brush and
tooth floss can penetrate tissue
18. Question about ANUG (repeated in every exam)
19. Fear in the dental office (causes)
20. What is difference between fear and anxiety?
21. which kennedy class has no modification-I put class 4???
22. Next 5 are radiology Qs; intermaxillary suture
23. recognize odontoma
24. nutrient canal
25. radiolucency below inferior alveolar canal
26. Lots on behavior modification for Pedo
27. For Pharm, KNOW THE NAMES!!! Major drugs
28. Know herbal remedies
29. Depression-st johns wort
30. How to treat endo perio lesion
31. Lots of trauma questions for endo
32. Most common fracture of permanent tooth -crown I think??
33. Know lots on types of studies
34. What is t test?
35. Z test
36. Know questions about Case control

37. Cohort study

38. Cross sectional study
39. Longitudinal study
40. For Perio; Why do you put a surgical dressing over a wound?
41. For Ortho- Questions about end on end?
42. what will happen as permanent teeth erupt?
43. Ask questions about what the facial profile will look like for certain class
44. Know snb vs SNA
45. KNOW HOW TO figure out max amount of lidocaine and mepivicane to give
pedo patient!
46. Know about hypertension and drugs related
47. Know Pemphigoid
48. Pemphigus
49. Peutz jeghers
50. Steven Johnson
51. Freys syndrome (Oral path I thought was pretty straight forward)
52. Know what happens to the teeth and bone during orthodontic movement
53. Iv bisphosphonates and extractions are needed-what do you do?
54. Know about effects of chemo and radiation therapy on oral cavity
55. Where do you put the margin of an anterior crown?
56. Asked about facial spaces

57. Asked about what sound will determine VDO

58. Why take plaster index?
59. Asked about posterior composites
60. Asked about use of glass ionomer what is liquid made of?
61. Hemangioma
62. Papilloma
63. What property of metal prevents corrosion
64. What are contraindications for using bleaching technique for crowns
65. What does sodium hypochlorite do for root canal therapy
66. How do you recognize ankylosis
67. Lots of complete denture questions
68. What muscle makes it hard to take a maxillary impression (something to do
with the buccal space)
69. What muscle is related to trying to get more room for lingual aspect of
mandibular complete denture
70. What is the order that you extract teeth? 1-2-3 or 3-2-1 and reason for doing
so
71. Know what are best diagnostic tests for treating endo lesions
72. Best test for endo vs perio lesion
73. Pt is 18 and is class 3, needs surgery, what procedures do you do? Saggital
split and lefort 1??? That is what I put, not sure. Other answers included rapid
palatal expansion with saggital split or lefort 2 with saggital split, different
variations on surgical procedures to correct

74. Know antidotes to pharm drugs

75. How do anti histamine drugs work?
76. Primary tooth trauma
77. Open apex with permanent teeth
78. Trauma and vitality how to proceed with young children (permanent teeth
open apex)
79. Nitrous oxide question asked
80. Question about vicodin (os decks)
81. How to acetaminophen and hydrocodone interact to relieve pain??? (os
decks)
82. What is best prognosis for breaking off a file a couple millimeters from apex
83. radiolucency vs no radiolucency and vital tooth vs nonvital tooth prior to RCT
therapy
84. Cherubism
85. What do tetracyclines do to teeth and oral environment (pharm book on CD)
86. Systemic vs topical antibiotics why use one or the other
November 2009 Exam
1. Each of the following can occur as a result of successful rct tx except which
one? 1. Apical seal of cement, b. regeneration of alveolar bone, c.
regeneration pdl, d. formation of reparative dentin (answer)
2. Which of the following factor is most critical in determining the prognosis of
periodontal disease? 1. Probing depth, 2. Mobility, 3. Class 3 furcation, 4.
Attachment loss (answer)
3. The strength of soldered connector of FPD in enhanced? 1. Using higher carat
solder, 2. Increasing height (answer), 3. Increasing width, 4. Increasing gap
4. Sodium hypcholorite, the property of most undesirable? Toxicity to what to
vital tissue (answer)

5. If a dentist seals a caries lesion on tooth, what would be the most likely result?
1. Arrest caries (answer), 2. Extension caries, 3. Discoloration of tooth, 4.
Micro-leakage
6. Cephalousporins, are contraindicated for what kind of patients? 1. Patients
allergic to penicillin (answer).
7. Qs about false + and false -. If you have cases of true disease, and test fails
to identify true disease: false negative (answer)
8. Most common cause of dental trauma, in primary dentition of children 1.5-2.5
yrs of age, is what? 1. Under-developed motor coordination (answer)
9. Which of the following pdl disease causes rapid destruction of alveolar bone?
1. Periodontal abcess (answer), 2. ANUG, 3. Chronic periodontitis.
10. Most adverse reaction of oral contraceptives? 1. Hypertension, 2. Thromboembolic disorder (answer)
11. 1993 exam. Composite restoration is wider of than the light tip of curing unit.
In this situation how do you cure the restoration? 1. Placing the tip step wise
over each area, and exposing each area for the required time (answer).
12. Radiograph of mandibular gland depression. 1. Stafne defect (answer)
13. Which pair of anesthetics is most likely to cause cross allergy? 1. Lidocaine
and mepivocaine (answer)
14. Questions about SNA and SNB, what kind of relationship do they tell you? In
terms of maxilla/mandibular relation. Look this up on ortho section.
15. which condition describes a combination of steatorrhea, chronic respiratory
infection, and functional disturbances and secretory mechanism of various
glands? 1. Cystic fibrosis (answer)
16. which is the most likely Indication of splinting? 1. Mobility with pt discomfort
(answer)
17. what determines max. dose for anesthetic for a child? 1. Weight (answer)
18. a lot of questions of plupotomy, pulpectomy, and rct? Ready first aid section
for this, endo section
19. when you do amalgam on primary tooth, which primary tooth doesnt
resemble any other tooth? 1. Mandibular 1st molar (answer)
20. picture of nicotine stomatis, case question where you identify picture. Medical
hx said smoking.
21. Main cause of failure of replanted teeth? 1. External resorption (answer)
22. Which NUG or ANUG, which microorganisms predominate? 1. Spirochetes
(answer)
23. What dimension of face reaches the greatest % of its adult size at birth. 1.
Height, 2. Width (answer), 3. Depth
24. If you have leukoplakia for biopsy, do you incise or excise for biopsy? 1.
Incision (answer)
25. Drug of choice of status epilepticus (seizure that last for long period)? `1.
Valium (diazapams) (answer) look up how much too, 5ml?
26. Oral cytology smears are more appropriate for diagnosis of which of the
following? 1. Pseudomembranous candidiasis (answer)

27. Most common type of leukemia in children? 1. ALL (answer)

28. When you do biopsy, how do you store the specimen before it gets to oral
pathologist? 1. Formalin (answer)
29. Most convenient method of an 18 months child? 1. Knee-to-knee position
(answer)
30. If pt undergoes radiotherapy for cancer, the most common oral infection that
necessitates drug tx in this stage is? 1. Candida albicans (answer)
31. Dental plaque is believe to adhere teeth, why? 1. Dextrans, because they
insoluble and sticky (answer)
32. If you have lesion of maxillary sinus, what kind of radiograph do you take? 1.
Waters (answer)
33. Side effects most often seen in the administration of NO? 1. Nausea (answer)
34. The distofacial periphery of mand. Impression should receive special
attention, because of which of the following anatomical structures might
cause soreness if denture is over extended? 1. Masseter (answer)
35. Ameloblastoma case Q. You get a picture, slow progessing, other false choices
included dentigirous cyst.
36. Statistic Qs: know nominal
37. Case studies, know longtitudinal vs cross-sectional studies.
38. What most common form of standard deviation? 1. 2 stand deviations
(answer)
39. Best tx for bisphosphonate iv patient? 1. Best tx is do rct and section crown off
(as oppose to ext) (answer), 2. Atraumatic ext, 3. Ext under hyperbaric
oxygen. The answer was confirm by oral surgeon.
40. Calc of anesthetic. 2% lodicaine or 1:100,000. how much anesthetic in it? 1.
36mg (answer)
41. Necrotizing Ulcertative Cytolometaoplasia, know that its very painful and
believed to be necrosis of tissue due to poor blood flow. If you know this, you
will know the answer.
42. What is the most common salivary gland tumor? 1. Pleomorphic adenoma.
43. Radiation induced mutation is the result of? 1. Hydrolysis of water molecules.
44. Guideline of antibiotic prophylaxis, specially for kids. ie 2g of amoxicillin,
600mg of clindomycin.
45. What is AHA recommended antibiotic prophylaxis conditions?
46. What if someone has joint replacement or high risk procedures? 1. Life time
prophylaxis before dental tx (answer)
47. If some cant pronounce th? 1. Becomes denture teeth are set too labially
and superiorly (look this answer up)
48. The closest a dentist should get to their patient is? 1. Tap their shoulder
49. Flumazanil is used for? 1. Reverses benzodiazapines (answer)
50. What meds do you prescribe for heroin addicts?
51. When is someone is taking MOA, what drugs cant give?
52. Lots of Qs of warfarin, Coumadin, and bleeding time and INR.
53. You splint teeth for? 1. For Pt comfort (answer)
54. Oral contraceptive that can become ineffective for antibiotics? 1. An antibiotic
for TB, look up (answer)

55. What is a safe pain killer to give a woman who is pregnant? 1. Tylenol
(answer)
56. Pano, with short upper roots? 1. Patients didnt put tongue on the top of their
mouth (correct answer)
57. How much an implant could be below the CEJ of adjacent teeth? 2-3mm.
58. Different types of graft?
59. Mandibular 2nd molar infection spreads to what space? Submandibular space.
60. What causes Trauma in the US? By auto-accidents! (in 3rd world is knife fights)
61. What do you use St. Johns Wart? Depression (look it up)
62. Order of extraction? Max before mandibular and posterior before anterior.
63. What is the most effective way of bleaching teeth? In-home vital bleaching.
64. When ortho is end to end? Shifts to mesial, turns to class 1. If it remains, class
2.
65. Leading cause of implant failure? Poor surgical technique (not sure ,look it up!)
66. A patient has appointment next morning, he is anxious, and the night before
he had hard time sleeping, which of the following tx would you prescribe?
Ambien! (sedative and makes patient sleep).
67. What is the purpose of epi in anesthetic? To prolong it! (other wrong answers
were to constrict blood vessels).
68. Distobuccal extension for denture? Masseter.
69. A kid presents for bilateral enlargement, painless, etc (they are implying
Cherubism, what is the Tx? No Tx required!
70. Most of primary teeth are out by 2.5-3 yrs!
71. Where do you give maxillary nerve (v2) for all upper teeth? Sphenopalatine
foramen.
72. Most malignant cancer in oral cavity? Epidermoid carcinoma! (look it up)
73. Direct capping and Indirect pulp caping Qs.
74. Which of the benzodiazepine you dont give to seniors? Long acting one (like
diazepam, look up)
75. If person has long standing infection, what you give? If it has been there for
short time, pencillin, clindamycin for long standing infection.
76. What was the most common fracture in the face? Zygomcomplex fracture.
77. Ortho tx, when you use a light force on pdl, what is it? Continous. (look it up)
78. You use surgical stent for immediate dentures for what reason? To know
anatomy to make denture easier. (some answers were occlusion).
79. Which one can human eye see, hue vs value, vs chroma? Value.
80. COPD vs Asthma? Asthma have problem breathing in,, COPD has problem
exhaling! (look it up)
81. What does multiple OKC tell you? Gorlyn syndrome!
82. If you both condyle break, what you get? Posterior open bite! (look it up)
83. Widening of pdl is early sign of what? Osteosarcoma!
84. If you have 3mm unifected root into sinus, what you do? You do one an
attempt, and if unsuccessful, leave it alone, no surgery.
85. Avulsed tooth, extraoral time was less than 60 mins, primary tooth, what you
do? Dont put it back.
86. Case question, what is this (was associate with Trauma)? Fibroma!
87. If tooth has open apex, and it gets avulsed, how you close it? You use MTA.

88. gold on upper tooth, lower amalgam, patient has severe pain? Galvanic
shock.
89. IF someone has a history of depression, what do you give? Zaipan, not Chantix
(smoke cessation)
90. Black woman, middle aged, case Q: osseous cemental dysplasia.

November 2009 Exam:

Pharm:
1. Amphetamines lead to NE release in brain
2. Adrenalin stimulates alpha 1, 2 and beta 1, 2 receptors
3. Heart has beta 1 receptors
4. Levodopa used to treat Parkinsons disease
5. Sulfonylrea mech of action is stimulation of increase of pancreas insulin
production
6. Mech of action of local anes on nerve axon decreases sodium uptake
through sodium channels of axon
7. Amitrriptyline most common tricyclic antidepressant, inhibits reuptake of NE
and serotonin
8. Claritin/loratidine second generation H1 blocker/antihistamine
9. Tetracycline interferes w protein synth/bacteriostatic
10. Erythromycin bacteriostatic inhibits prot synth
11. Amphotericin-B antifungal agent
12. NSAIDs mech of action of suppressing platelets inactivate
prostaglandins/arachadonic acid cascade via cyclooxygenase
13. Clindamycin pseduomembranous colitis caused by clostridium difficile

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

anti-inflamm. Properties
15. Effects of cholinergic drugs slow heart, constrict pupils, stimulate GI smooth
musc, stim sweat, saliva, tears
16. Belladonna derivatives anticholinergic
17. Drug causing moonface (Cushings disease) prednisone
18. Renin formed in kidney leads to formation of angiotensin I converted to
angiotensin II by ACE leads to aldosterone release (saves salt)
19. Vasopressin saves water
20. Anticoagulants antagonize vit. K, INR used for Coumadin patients
21. INR value of 1 is normal (12 sec)
22. Nitrous oxide in blue cylinder (oxygen in green)
23. Opioid antagonist naloxone
24. Know schedule of drugs (I to V) Schedule I is not for medicinal use (LSD), V is
small potential for addiction (codeine)
25. Oral drugs undergo first pass metabolism in liver
26. Clopidogrel (Plavix) inhibits platelet aggregation irreversibly
27. Know COX1 and COX2 selective inhibitors
28.Oral Path:
29. Review:

30. Consecrence
31. Hypercementosis
32. Pagets Disease cotton wool appearance of skull
33. Fibrous Dysplasia ground glass appearance
34. Dentinogenesis Imperfecta
35. ALL most common childrens leukemia
36. CML Philadelphia chromosome (chromosomal translocation)
37. Median rhomboid glossitis
38. McCune Albrights Syndrome Caf au lait spots (coast of Maine)
39. Fluoride toxic dose 5-10 mg/kg
40. Nevoid basal cell carcinoma syndrome multiple OKCs
41. OKC from remnants of dental lamina
42. Periapical cemental dysplasia predilection for middle aged black women
43. Peutz-Jeghers syndrome multiple menanotic macules and gastrointestinal
polyposis
44. Traumatic bone cyst (simple bone cyst) nothing inside
45. Pleomorphic adenoma most common benign tumor of salivary glands
46. Actinic chelitis
47. Difference between incisional and excisional biopsy
48.Operative:

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

50. Check proximal contacts first when cast that fits on die cannot be seated on
the tooth in the mouth
51. Reduction dimension for functional/non-functional cusps in gold and PFM
52. Which fluoride is not found in toothpaste? Acidulated (???)
53.Pedo:
54. Know fluoride supplementation chart (check out last card in operative stack)
55.Ortho:
56. Dolycocephalic long narrow face
57.Other:
58. What P and Q stand for in a scientific study
59. Difference between sensitivity, specificity, etc.
60. Endo!!!
a. Diagnosis
b. Spontanouts pain
c. Hot and cold- irreversible pulpitis
61. Least ortho
62. Pedo very little
a. One fluoride questions
b. Few sequence of eruption
63. Implants
a. Why do you use irrigation
b. How do you know if the implant is succeful? Mobility
64. Completes- nothing
65. Partials- no classifications

66. A denture tooth falls of y is that? She put down there was some wax that was
not removed
67. Nothing on amalgam
a. Case- why is this tooth dark, amalgam tattoo
68. Nothing on composition of materials
a. What do you need to control to keep the area dry
69. Pharma. Tylenol- liver toxicity
b. Tylenol vs. NSAID
i. Apirin- reyes fever and adults GI
ii. If liver problems give aspirin
70. Wat herb effect coagulation? She did not recognize any of them
a. Green tea- ginsing- decrease
b. Increases tannic acid
71. Syncope72. Hypoglycemia
73. Heart palpation- due to epi
74. Radiograph- 18M- canyou place denture, implant here?
75. OS- which direction do you luxate the tooth
76. Oral path
a. Dentigerous cyst- can become an ameloblastoma
b. Can it be residual cyst.. tooth was just extracted
c. Nasopalatine X-ray- heart shaped central
77. Pic- white sponge nevus
78. Candida- can wipe away
a. Nysatatin
79. Behaverial science- read mosby
a. Example- positive, negative reinforcement and adverive conditioning
i. Positive punishment, negative punishment
ii. Know the terms!
80. A lot (10 questions)
a. Patient comes in and they say oh I hate the dentist, I hate being here
i. What would be your response
81. OSHA
a. Hep B vaccinated
b. if employee does not want it need prrof that they didnt get it
82. conditioning- classical

83. Universal percautions

84. Salivary tuors- submandibular
a. Can get salivary glands from submandibular
85. Sqaumous cell carcoma- just a pic
86. Tons of endo
87. Acute radicular periodontitis
88. Pic- is this tooth Mesio angular
89. .5ppm for 6 yr old how much supplement
90. Wat is the average fluoride in water- 1ppm
91. Asthma- patient take albuterol
92. X-ray is this dental age before or after cronilogical age
93. What bacteria in the red complex
a. Know the gram positive bacteria
b. What the initiator of decay- plaque
94. Where can you not do a apical positioning flap
a. Max palatal area
95. Probing depths- what would you do
a. Pic treatment sequence
96. What is a collomiter used for
97. Move x- ray to far horizontally over lapping
98. Nothing on cemenets
99. Class V lesion- what do u place- GI
100.

Alginates- how do you increase setting time (not working)- add hot

water
101.

Space maintaners- when to use cand and loop lingual hlding arch

102.

Penicillin- if allergic- clindo

103.

Amphetamines- what are symptoms of it- increased hear rate and

excitability
104.

Cocaine- is a natural drug

105.

No ASA classification

106.

Premedication
a. In case questions
b. Patient has penicillin and Rheumatic heart disease- no

107.

Tricyclic antidepressant- didnt remember what the question was

a. SSRI- prevent uptake of serotonin

108.

Hypertension- lisinopril- know the mechanisms

a. Lisinopril- is an Ace inhibitor

109.

Coumadin- PT

110.

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

3,
111.

If change from 8mm cone to 16mm how much exposure time do u

need to increase by? 2.4.6.8?

112.

Patient with alzhiemers how do u treat? As much in the beginning of

the disease as possible, as they wanted previously, preventative

113.

Herpes lesion intra orally how do u treat? Palliative, acyclovie?

114.

Which systemic antifungal would u use? Nysastin, methazole

115.

Efficacy, what study would u go? Cohort, longitudinal, multiple short

ones
116.

Lots of study model questions- as is this a cohort, clinical...

117.

Wat is the main problem with class 2 composite- water or constructions

of material
118.

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

proximal, lingual proximal, or occlusal

119.

Angular chelitis- incrase interocclusal space

120.

Class 3 is due to what? Max retrusin, mand protrusion

121.

Wat does arcon do better than non-arcon- take facebow, CR, reproduce

mandibular movements,
122.

Notroglycerin, proponol, and something else are all used for- cardiac

arythmias, angina
123.

Most common cavity area- surface, below interproximal, above

interproxima, root
124.

Candidasis in cancer patients due to- chemotherapy, radionecrosis

125.

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

CR
126.

What type of incision for palatal tuberosity reductoin- T, Y

127.

If 2cm laceration on lip how do u stich- continous, in middle and work

both ways, reconnect orbicularis oris first, reconnect vermillion border first,
continous
128.

Max does is 300mg of some 2% drug for a patient- how many 2ml can

u give- 5,10
129.

Percentage to be considered generalized perio

130.

Who has most immunosupression- youn, middle aged, men or women

(combine them)

131.

DMFT- who has the most F- white, blacks, Hispanic, Indians

132.

Which is the worst for lateral forces- 4mm, 5mm, 2-4mm splinted, or 2-

5mm splinted implants

133.

St johns wort- is for depression

134.

Which causes herb causes hypocoagulation- I wrought St. johns wort (I

dont even no what the other drugs were

135.

Sulfer for alcoholics

136.

Can press on a red lesion and it goes away- hematoma or hema____

137.

Place class 2 Onlay- do to resistance, or retention

138.

Difference between gingival trimmer and hatchet

139.

Patient is 40 has no cavities small stick wat do u do... PRR, amalgam,

composite...
140.

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

50%
141.

Patient had portid surgery now sweats before he eats only on one side

this is due to what? I wrote Freys syndrome (whatever it is the guy needs
serious help and should not be in my office!)
142.

Patient had SSC removed and now has a mucocele looking lesion on

the lower lip what is it? I wrote mucocele, other choices fibroma, SSC
143.

When do u have to do a biopsy- I wrote if cant treat in 10-14days

144.

How to distinguish the exact dianosis- lab test, lab diagnosis, clinical ,

medical hotory
145.

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

choice with 3 answers each)- brocho dilater, increase HR, increase blood flow,
increase BP
146.

Pic with nicotinic stomatitis

147.

Pic with half the tongue (left side) that looks like herpes lesion and

other nothing on it- I wrote zoster

148.

Radiolucency at the end of a tooth that looks like there might be an

AOT but the patient is having symptoms (I wrote pericapical cyst)

149.

To differenciate with reversible or non reversible- EPT or thermal test

150.

To differenciate necrotic and irreversible, reverasable- something like

that
151.

Blue sclera? Ectodermal dysplasia or OI

152.

Ectodermal dysplasia- sparse hair

153.

1.5-2 yrs old kids tooth trauma? Abuse, profile

154.

How far back should a mand denture go- to RMP

155.

Gagging patient give denture what should u do- I wrote have them

stick a spoon down there throught till they get used to it

156.

Patient is 4yrs old on lots of AB what is most likely? Candidiasis

157.

Reverse architecture- interproximal is lower than on facial and lingual

158.

Crater like lesion looks smaller on x-ray

159.

IRM is ZOE mixed with what? Titanium, MMA

160.

how do u get rid of all the free MMA in a denture- no worries there is no

allergies to it, over the 8hrs at 161 it will be gone, increase to 260 for an hour
161.

double exposure film

162.

patient moves for 1 sec during pano what happens? Nothing 1 sec is

ok, whole pano will be distorted, only that section will be distorted
163.

x-ray shows naso and maxillary sinus

164.

x ray showing what I think was an antral neoplasm

165.

ear lob on pano

166.

class 3 occlusion do wat surgical procedures- I wrote lefort 1 and BSSO

167.

patient has tongue retruded what will the patient have? Soreness in

lingual, hard time saying sounds, hard time controlling denture

168.

is teeth to far forward and superior wat happens? Hard time saying F

and V, th and S....

169.

how to verify VDO- F and V...

170.

if tooth is has a bas survey line wat do u do? Restore tooth, adjust to

new survey line, not use the tooth in the framework

171.

what does the reciprocal brace do? Counteract retentive clasp,

stabalize the tooth, indirect retainer

172.

if tooth is straightened what happens? It will be supererupted, the

anchored teeth will move mesial/distal

173.

which one does not have modification? Class 1,2,3 or 4

174.

what protects a tooth from drifting/tipping if there is a tooth missing

infront of it- occlusion, occlusal forces down the axial, cortical bone
175.

pedunculated lesion on palate what is it? Papilloma

176.

what will u damage when getting FGG- Nasopalatine, anterior, or

greater palatine vasculature

177.

3rd trimester pregnant women hard time breathing hypotension what

do u do? Give oxygen, lay her on her left side, call her OBGYN, lift her legs
178.

If give Antibiotic and patient slows breathing what do u do immediatly?

Remove AB IV, give oxygen?

179.

Most commin side effect in office- syncope

180.

What do u need to premedicate (1 question)

181.

Tetracycline- not used for premedication

182.

Image- what type of x-ray- I thought it was an MRI- could be CT,

submental...
183.

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

(variance tests (ANORVA or something like that), Z- test, T-test, chi- test)
184.

Benzo give flumaznil to reverse

185.

Increase saliva- prilocaine

186.

False negative example

187.

Keratocyst what biobsy? Masipruzation, enucleaion, incisional,

excisional...
188.

Clindo- pseudomembranous colitis

189.

Which AB does not act on protein synthesis

190.

How do H1 act- I wrote competitively inhibit H1 receptors

191.

Dentist can diagnose? Bilemia, anorexia and some other choices

192.

Mentally challenged 6 yr old that is chanelenging by crying and some

physical what to do?

193.

Depression causes- eating, lonliness, and something else

194.

Dental allergies 3 or for of them- demititis (repeat question...)

195.

Controlled diabetic patients do not get more perio disease than non-

diabetic
196.

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

amount of remaining teeth

197.

When is the prognosis that there is no hope- class 2 mobility or deep

class 2 furcation, deep probings with suparation

198.

Class 2 furcation can treat with all but- GBR, take of enamel of root to

make shallow class 2, hemisection and restore

199.

Which hormone is used to bone graft? BMP, GH...

200.

Scaling Is to take of accumulated plaque on enamel and cementum

201.

Place post to retain core

202.

Patient has big amalgam, margins are good but patient is in pain when

eats peanutbutter sandwich- vertical fracture

203.

What not to repair? Vertical fracture

204.

Most common tooth trauma? Avulsion, subluxation, crown fracture

205.

Most common to cause mobility- trauma or perio

206.

Patient with HIV has candidiasis- bec it is HIV related, increased CD 4...

( I wrote increase CD4...?)

207.

What to use for a viral drug? Dont remember the answers but there

were a couple ending with azole and that not the answer (thats for fungus)
208.

What space is mand 2nd molar below buccinators? Submandibular,

submenal, sublingual, or Buccal

209.

What muscle can u impinge on with denture- maseteer, medial

pterygoid, or lateral pterygoid

210.

What happens to cause class one from edge to edge- both mesial shift,

only mand shift, only max shift

211.

If loose primary max second molar early what happens? Class 2 or

class 3 occlusion?
212.

If recession is 2mm and probing is 1mm how much attachment loss?

0,1,2,3
213.

Placing an implant in anterior how much below adjacent CEJ- 1mm or

2-4mm
214.

Brush and floss how much can reach in perio pocket (choose one for

brush and one for floss (1mm and 2-3mm)

215.

How does Listerine act? Stops cells from binding, (some other

choices... this is not the one I chose)

216.

How do cells first attach- dextran or lextran?

217.

Perio bacteria- no Acint... V.....

218.

How long does it take to form mature plaque (I wrote 5- 10 hrs), some

others included 24-36hrs, 1hr...

219.

40kg kid how many cartridges can u give of 2% lido

220.

Least scary- SSC on lip, melanosis on palate, something on posterior

ridge...
221.

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

place staple implants

222.

What is chroma- saturation

223.

What is value- black and white

224.

Something that looked like geographic tongue on lateral tongue but no

symptoms what is it? I wrote SSC but it could just be geographic tongue (it
looked similar to question 73 on J exam in the clinical question area
225.

How to clean implant- prophy cup, plastic, not stainless steel!

226.

What is the weakness of Ni files vs regular- strength, flexibility... and

some other choices ( I wrote strength)

227.

Implant interface- how does CT and epithelium react? Like normal or

not (for each)

228.

Established gingivitis- macrophages or plasma cells?

229.

3 anterior mandibular teeth one tooth has 2 canals- does this happen

do to fusion, germination or twining

230.

How to treatment plan if patient is in pain- treat pain, comprenhive oral

exam, other teeth (these 3 in all different orders- this is the one I picked- 2
questions on this!!)
231.

How to excavate if think might be close to pulp- small or large bur, take

out first in deepest or periphery first

232.

If think might pulp what do u do? Pulp out follwed by enfo, leave some

decay and close, leave some decay do indirect and look back in 2 weeks
233.

Which has chealating agent NaOH or EDTA (2 questions!)

234.

Disadvantage of pulling bone up with tooth- I wrote long follow up

235.

How releated is amalgam wear and margin breakdown- I wrote slightly,

other choices very, no correlation

236.

What is considered bisphosphonate osteonecrosis- when it is

spontaneous, readiotherapy, extraction

237.

Patient is on 6 months of bosphophanate therapy what do u do? Hypo

dives and extract, atraumatic extraction, or endo with crownectomy and place
sealants
238.

Diabetes 1 causes blindness

239.

Something about otitis media

240.

Day of surgery- diabetic what do u tell him- no food no insulin, food

and insulin, clear liquid and insulin, clear liquid and normal insulin
241.

Insulin shock, what do u give?- give insulin, give OJ, give oral sucrose

242.

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

smoking
243.

When taking impression and patient is open what can interfere with

fully seating- coronoid

244.

What most likely leads to class 2 bite? Mesial step, distal step, or flush

245.

Difference between fear and axiety- fear is on something anxiety is

everythin (harder to treat)

246.

Fearful kid patient- TSD

247.

Exam baby head in ur lap and ur knee to knee with mom

248.

Wheezing in asthma occurs when they breathe in or out?

249.

What is the most common mutation in oral cancer- I think p53- other

were ras..

250.

Couple questions on crohns disease and mouth- I think one of the

questions mentioned something about ulcerations in the rectum (thats right

we are going to be dentist and checking peoples buttholes out for our
differential diagnosis!)
251.

Can tell its ankylosed if submerged (there was an answer different

sound but I think thats wrong)

252.

When pulling out tooth and jaw fractures what do you do? Open flap to

see all of the fracture, remove all the fractured pieces, remove all the
fractured pieces that are not attached to periosteum
253.

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

OS
254.

If patient on Coumadin and is an emergency what do you do? I think

extract if Coumadin is less than 2.5, other choises where no treatment, give
pain meds
255.

I believe u can place implant in patient who has INR less than 2.5

256.

Consent- due to autonomy

257.

Reason y we need to CE and know our limitation- forget the name the

one where we do no harm to patient

258.

Consent- do not need to discuss the witness signature (I think)

259.

Patient is scared bec he has no control what to do- I said tell him to

raise his hand if he needs a break/ you to stop

260.

Canine abutments under a denture- what is the best way to prevent

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

261.

If patient has their nose always stuffed and they breathe through their

mouth what happens? I said anterior open bite, some of the other choices
posterior open bite, constriction on arches....
262.

Patients crown does not match the other teeth what do u do? I wrote

make new crown

263.

What caries lesion has a V shape pointing to pulp- occlusal, smooth (I

think this one- interproximal), root caries

264.

Reason for luting on ring- to ease release of investment from ring or to

have equal amount of expansion/ constriction

265.

Pic that looked like herpangia in back of palate- qusion stated there are

nikoski signs what is it- I wrote herpangia... but pemphigus was also a choice
266.

Y do we not like giving barbirurates- many things can go wrong...

267.

Opoids act on mu receptor

268.

Which drug do you give to anxiety patient before day of appointment

bec they cant sleep due to anxiety- I wrote methdiazepam (something like
that...- its a ultrashort acting barbiturate
269.

Chromium for corrosion resistance

270.

What happens to a drug after conjugation- more ionic, more

hydrophilic, more active...

271.

If there is an old women in ur chair and u think there might be abuse

what do you have to do?- tell family or tell human health services
272.

Image with staphne defect- called it something with salvary (no

staphne defect in the answer)

273.

Image with odontoma- did not ask to differentiate between compound

and complex
274.

Wat does acetametaphine do with codeine? Increase its activity,

increase how long its around due to clearance,...

275.

DEA schedules there drugs by their toxicity

276.

Y would u move a tooth before doing ortho? I wrote bec more likely to

get bone loss after perio surgery, other choices bec it easier to move now,
stable teeth are harder to access...
277.

If want to make tooth thinner what do u do- match these- make the

embrasure space smaller or larger and move the facial lines to the midlle of
the tooth or bring them out
278.

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

patient comfort?
279.

When moving with ortho what does not happen? Chemical change in

pdl, pressure on one side and release on the other...

280.

If tooth has been out of contact and know you place a partial on it and

it acts up this Is due to what? I wrote due to pulp response to stress

281.

What sinus will the tooth be displaced if taking out wisomd? Maxillary

or pterygo...
282.

Bleeding during RCT y- bec hit the periapical area

283.

Pic of inflamed gingica, what is it caused by... cyclosporine

284.

Material of choice for cervical decay- glass ionomer

285.

First thing to do at recall- I think update medical history

286.

Remineralized teeth are they stronger than regular enamel?

287.

How do u identify root caries- Brown stain, sensitivity or softness of the

tooth?

288.

Subgingival composite where cementum is exposed- what type should

u place? Dual cure or fluoride releaseing composite?

289.

Direct composite vs inlay- what is better about the direct composite- I

wrote seal
290.

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

include snitching on other dentists that us electronic advertising

291.

When making a bevel on the gingival floor what dont u use? Hatchet,

gingival trimmer, carbide flared bur, or diamond flared bur

292.

what is the best to communicate with patient- apathy, empathy, or

some other stuff

293.

to show empathy you dont need which of these? An imagination,

understanding.... I dont remember what I put down though...

294.

to paraphrase a question you do not need to agree with it

Is Friend
1.
2.
3.
4.
5.
6.
7.
8.
9.

What is the best xray for TMJ?

What is the tx for horizontal fracture?
Recurrent epthous on image?
Mylohoid and pterogofissue (tear drop) on pano!
Ortho A and B = -4, what is this? Class 3?
Stafnes defect
Zinc in Amalgam, what is used for?
Optimal time to etch dentin and enamel?
Antis law; 3 abutments, one being lateral, with 2 pontics, prognosis good,

poor, excellent? Poor?

10. Microorganisms of supra and sub-g calculus?
11. Reversal of cocaine overdose?
12. Patient salivates a lot, what is tx before surgery? Atropine
13. Xerostomic pt, give pilocarpaine! Or cevimeline.
2007 Questions:
1.most common primary malignant tumor of young people-osteosarcoma
dentist cant wrute class 2 for back pain.
2.Edgewise bracket- for intrusion motion
3.Omega loop- main bad is push ant teet forward
4.Injure arteritemporal nerve-sweating out of parotid (anterior temporal syndrome)
Occlusal guard-distribute occlusal force
Which disorder least developmental delay-trecher collins syndrome
Eagle syndrome pic -calcified stylo mand ligament

Traumatic bone cyst picMost common most pathogenic location verrucus carcinoma-floor mouth
Keratoacanthoma (pic)-most like scc goes away 18 weeks
What is intal asthma med
Kids w fever- tylenol
Nsaid least likely to effect stomach cylebrex(viox)
Function digoxinSemi fixed articulator-take bite reg w/o face bow.-failure to take face bow so remount
w/ facebow
Guided grafts- better for max
Probing furcation from facial is best. Better accesss to facio mesial furcation from
facial.
Most common mistreatment of odontogenic infection- wrong antibiotics or Not doing I
and D
Agonistic and antagonistic- parazosine (?) in review under morphine analgesia
Nasopalatine cyss tx- enucleation
Pic of nasopalatine canal
Nose vs lip line in radiograph
Scanning disk tmj- mri best view
Collimater function is all but- increase penetratability
Which more likely to covert to cancerTissue least affected by radiation- muscle
Neural tissue done growing by 6
Zygomatic arch on radiograph
GI non benefit- good tensile (not compression)
Psych Q: modelling (copy older child), effective ways to speak (eye contact),
paraphrasing, Filtration of tube- extrinsic and intrinsic.
Most common petite mal seizure med-diazapam
Nitrous to pedo at 50%-what we do? We stop giving it.
Contraindication to nitrous- breathing disorder
Likely reason to having low O2 except- paralysis of muscle Reversal for valiumflucalozoline?
For delayed onset hypersensitivity-benedryl
Cimetidine- H2 blocker (for gastric ulcers)
Fibrous dysplasia picture- lucency w/ no opacity, no tooth involved
Dimensionally stable impression- additional silicone

Alginate impresssion shrinks due to - syneresis.

Autonomy is- letting pt keep control over their fate
Orthodontic movement- widened pdl due to decalcification?
Labial bow- tipping teeth? (treats overjet)
Best time to fix lingaual inclined incisors- when canines erupt.
Most common malocclusion- class 2 div 1
Class 2 amalgam vs class 2 gold inlay except
Reason of reduction of tooth for MOD inlay except- amt of enamal on teeth
4 mm superruption tx- full cover crown
Change VDO w/ natural dentition- must take face bow
What is horizontal line reference- hinge axis and below inferior orbit
Best occlusion for denture-bilateral balanced
What discludes post teeth upon protrusion- mutually protective design
2nd premolar is tooth most likely to be pushed out of arch
Perfect impression of masseter for buccal flange you must to bite against force?
Couamadin( 3 Q)-test Pt, effects vit k, extrinsic
#30 hyperoccluded, deviated incline most effected is max/mand balancing cusp?
Sealants- mechanical binding to tooth
Etchant does all except- provide chemical bond
Bleach used to dissolve organic tissue
Purpose of bleach except- getting past foramen to treat bone
D1 to D2 in endo- 1mm
Etch dissolves smear (does not)- dry out collagen
Caries die- marks denatured collagen
Part of flame to melt metal- reducing zone
Main dif porcelaine veneer and composite- cost and fixability?
Home bleaching-10 % carbamide peroxide
Flouride in acidualted flouride. 1.23 %
Usual waster flouridation- 1.0 ppm
Class 5 restorations on caries pt- glass ionomer
Erosion- chemical wearing of tooth (gerd)
Why bevel edge of gold- marginal stability
Effects burnishability in gold- yield
Example pear shape bur- 56 or 699?
Flouride accumulated most- away from DEJ (surface of tooth)

Dry socket (except Q)- need for oral antibiotics

Rubber dam- not put on b4 taking shade
Bacteria for implant failure- gram neg anaerobic
Bac lysosomal enzymes-perfomonas?
Bac need to cause decayWhy cavities exist- host, sugar, and bac present
What age strep mutans colonize mout- 6 months to year
All cause by disorder except- bottle caries
Cerebral palsy- neuro lesions and movement dz
Pts with Cerebral palsy have- injury to anterior teeth
Studty when 2 dif pops and comparing effect- cross sectional
Property hardest to regain- value
Opaque dentin used all except- start initial color of restoration?
Pt comes in with horizontzal class 3 fracture for 1 month (periapical lucency and root
apex open)- caoh (apex closure inititation)
Use for sedation of children- Meperidol?
Finger sucking end habit- Or 4 to 6
When to fix cross bite-ASAP
For child w avulsed 4 yr old mand incisor- what would you do? Leave out?
Most common space maintainer- band and loop.
What does band and loop not have- occlusal stop for tooth above?
Enlarged ANB angle class 2
Dislocation of condyle- mandible deviates opposite
Can tx all with appliances except- crepetis
Containdation use corticosteroid-diabetes
IAN to parotid gland- injection too posterior
Which root most likely knocked to max sinusPt w/ onlay, 3yrs later sensitivity- cement wash out?
Hyperventialtion syndrome most common effect-pass out
Acetominophen overdose- liver toxicity
Check on pt first- systemic disorders
Free gingival graft gets blood from base first,
Least important to tx pt- weight
Bupivicaine calc in 3 cartidges- epi and bup
Lidocaine-not broken in plasma
Topical anesthetic- lidocaine

Muscle does not form retromolar pad- masseter muscle; pterygomandibular raphe;
retromylohyoid muscle; temporalis tendon do.
Leukoplakia all over- incise multiple areas w incisional.
White film w/ pos nikolsky-pemphigus tx w incisional biopsy
Antivirals(wrong match)- azt with herpes zoster
Whats not achieved in class 2 box area- retentive form
Edentulous- alveolar ridge height decreases and alveolar width_______decrease?
Epulis fissuratum- most related to fibroma
Pt has macules on face and oral cavity Z(nothing else)- Puetz Jager
Karposis sarcoma caused by- type 8 hpv
Cemental dysplasia-ant incisors of mandible
Flourid osseous dysplasia tx- no tx
Nasal cyst in max siunusMost common cancer salivary glad- pleomorphic adenoma
Cleidocranial dysplasia- over retained primary teeth
Candiasis- diagnosed by cytological smear
Condyloma acumulatum- caused by HPV (venereal warts)
Which skin condition has endocaditis and glom- lupus
Thrombolytics- stroke
Primary herpatic gingivostomatitis- fever, ulcer in mouth. No symptoms
Primary herpatic gingivostomatitis- child 2 yrs , fever, not ant to eat
Ranula picture
Fibroma picture
Pyogenic granuloma
Lining of nasolabial cyst- pseudo stratified squamous
Pregnant women more gingivitis why- hormones
Sialolith in wartons duct tx- excision of sialolith alone/close it up
Cause of radio opacity of infected tooth- condensing osteitis
Langerhans x- floating teeth in air.
Reason for parilis- incomplete root canal (redue root canal)
Gardners and putz jeugers in common-polyps
Reason pts get aggressive perio- host cant fight off
Allergic gingivitis caused most by- toothpaste flavor(cinnamon)

MEN- adrenal over production

Pic of kid with bleeding gums problem healing- leukemia
What goes away from mouth by itself- eccymosis
Keratoacanthoma- gone 16 weeks.
Irradiation cause saliva to have lower- sodium content
Not cause perio dz- vit c deficiency
SLOB rule
Asprin burn (coagulative necrosis)- area that gets topical asprin
Rhomboid tongue thought to be- a type of candidiasis
Most likely route metastatic cancer in jaw- eating through cortical plate
Cause giant cell granuloma- hyper parathyrodism
Endentulous pt painful nodule between laterals and molars- buccal extension to
mandibular nerve
----------------------1.

You are using a rotary to make post space for a post and core and after GP

removal while drying the tooth you have blood on the paper points. Why? Lateral
strip perfiration
2.

Material to use for best interprox contact of a CLASS II is Admix Amalgam

(others Spherical amalg., Composite w/ and w/o filler)

3.

Why is it hard to place the gingival floor on 1 O max molars for a box of a

CLASS II prep is-Cervical constriction.

4.

At what age does florousis of teeth anterior perminant teeth occur?- 4-6mo

(others 0-4mo, 1year, 2years and 6 years)

5.

Why cool the slab for zinc phos cement?- incorporate more powder

6.

How do you tx Infuenza A?- amantadine (Symmetrel)

7.

An opiate type MAA with both agonist and antagonist properties is- pantazocin

8.

Aspirin works on which pathway for pain?- Cyclo-ox pathway

9.

Aspirin works how to inhibit bleeding?- Thrombox A2

10.

Which AB would the 1997 premed ok for a pt Allergic to penicillin?

Clarythromicin was only listed non-Pen.

11.

Pts on insulin will need an insulin boost for all except what? Sedation, all

others follow sick day rule of insulin.

12.

Pt on 3mo tx of steroids needs what?- no tx and consult gp for dose rase

13.

All these drugs alter ionic movement except- Propanolol, others were CCB,

HCTZ, and Digoxin

14.

Pt who took too much insulin will have all except- Hyperglycemia

15.

HCTZ work mainly on-Na+ resorption

16.

If a 3rd trimester pt all of a sudden feels a drop in BP what do you do?- Have pt

lay on left side.

17.

Purpouse of the trendelberg position is to- maint circulation so that the most

vital organs are never hypoxic.

18.

What is capitation? Cap off how much the dentist gets reimbursed per

procedure.
19.

What parameter study lets you have a risk quotient?- Cohort

20.

What causes Clefts?- Multiple factors is the answer.

21.

Pt goes home from elective orthognathic sx and in 24hrs, without sign of

inflam or edema, but a fever of 102oF- Atelectasia

22.

What is the sign of implant falure?- mobility

23.

What do you want to do first when taking an impression of the implant and

abutment splinting the 3 implants with a bar?- Make sure the abut is attached right
when the pt comes in others were check fit of custom tray, incert impression coaping,
insert imp coaping with acrylic.
24.

The diff in dental stone IV and II is that stone II-expands more

25.

Does a pt need premeds for Murmur with regurge-yes

26.

#1 dental antibiotic for an infection within 24hrs is Pen VK 1gm booster and

500mg q6h
27.
28.

What is the primary func of rest seats? To resist vertical tissue force

Whats the purpouse of an indirect retainer?-to prevent distal extention from

lifting up
29.

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

framework
30.

Which Kennedy Classif cant have modifications?- IV

31.

Where do you attach a non-ridgid retainder from a FPD? Dont know and dont

remember choices, they were medial and distal of and to somethings.

32.

For a stress breaker on a FPD to be effective it must be- dont know and dont

remember but something mesial of the distal abut and so on and so forth.
33.

In a mesialy tilted mand molar where is the biggest undercut? Distoling,

mesioling, mesiofacial, distofacial.

34.

What allows for or gives problems to eruction of perm 2 nd molars?- The resorp

of the ant ramus.

35.

When the 1st permanent molar is lost but before the second started erupting

and before the loss of the primary 2 nd molars whats the right course of tx- Dont save
space and the 2nd molar will drift into the space.
36.

How do tricyclics work?- by not allowinf reuptake of neurotransm.

37.

What slows metab of lidocaine?- propanalol

38.

Morphene causes all but what? Pinpoint puples

39.

What is the primary reason for putting epi in LA?- to slow its removal from the

site.
40.

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

infection?- Block
41.

How much epi for a cardio pt? 0.04

42.

Pt comes in for a RCT on a non-vital tooth with 1mm apical lucency. 5mo later

comes back with 5mm lucency, why?- Improperly done endo, retx. Others another
canal, osteosarcoma, carcinoma.
43.

Most commonly used surgery for mand augmentation?- bilateral sagital

osteotomy
44.

What is the CTI?- perio incidence index

45.

What muscle is allowed to be covered with a denture?- lat pterigoids cause

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

constrictor.
46.

Radiograph of internal resorp.

47.

After 2 weeks of chlorohexedine for how long do you remove the pathology of

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

48.

What are the reasons for closing a cleft lip except?- Support the premax on a

unilat cleft, felp speech, and the not is to support the ala of the nose.
49.

Where is the MOD inlay hitting when it contacts early?- interprox

50.

Whats not useful for removing plaque?-water pick

51.

Whats is not the function of saliva?- Antibacterial action vs. s. salivarius

52.

Man comes in after years of tmjd with reduction and is now only able to open

25mm and thats it with muscle pain. Whats his disorder?- Myofacial pain syndrome.
53.

An OD on LA will be fatal by- resp. depression.

54.

What should be the hygenists thought when treating a geri pt.?- There quality

of life after process.

55.

What is paternalism? to act like a father, or to treat another person like a

child.
56.

What is the purpouse of the voice control technique? Sets boundaries

57.

How do you hold an infant? That whole knee-to-knee thing.

58.

Most likely post sx result on a hemopheliac pt is?- I put fragile capillaries.

Others, hemangioma, hemorrhage (correct answer is unusual bleeding)

59.

Whats the best way to tx a moderately anxious 7 year old?-sedation, others

were restraints and stupid others that were wrong.

60.

What is modeling?- showing kids other good kids

61.

Whats Kelleys Syndrome? Flabby max anterior arch due to lower ant mand

teeth still retained.

62.

Whats not found on the OSHA poster?- How many days each employee is

allowed to work with that chemicals.

63.

How do you test an autoclave best?- Biological microbe test

64.

Infection on the mand buccal side of premolars is most likely to go where?

Submand space.
65.

When tx planning an RPD for a pt what is the first attachment placed on the

serveyor?- analyzing rod

66.

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

Others, find undercuts, find abutments, extract hopeless and perio teeth.
67.

After fx a mesial root tip on a molar extraction whats the first thing you do?-

get hemostasis and visualive the root. Others, take an xray, pick at it with root pick,
surgical retreval
68.

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

distal, interprox.
69.

What are the hep b vaccine rules by OSHA?- all must always be offered and

able to get the shit..yeah

70.

What Class Occlusion gets most ant tooth fx?- Class II Div. 1

71.

At what age should all speech disorders be fixed?- 8, others 6, 11, 14

72.

First step in tx planning is?- treat the initial pain and discomfort of the pt.

others, see how you can make a preventitive plan, treat all restorations.
73.

What do you do for an 8 year old with a fibrous frenum and a large diastema?

I put wait till all ant teeth are in and then fix diast and frenum. (wait until canines
come in?)
74.

A narrow 1mm band of attached gingival around a tooth that has no resession,

what is that tx for this condition?- No tx

75.

What do you not do at the perio maintenance apt.?- S&P pockets of 1-3mm

76.

Most likely shape of furcation is?- wide but still not very accessible to dental

tools, others used variations of that.

77.

In a primary tooth apical infection the first radigrapoh sign is where?- in the

furcation.
78.

Child has clubbed fingers, whats the likely disorder?- Cyanotic heart condition

79.

What does floride do? Floroapitate thats acid resistance.

80.

Lots of tooth fx questions with a bitestick test being positive and no xray

evidence

81.

What drug does not cause myosis of the eyes?- atropine

82.

Most of the dental payments are by?- cash for service-67%

83.

Where to the condyles go in CR?-Superio-anterio-laterally

84.

If teeth on the wax tryin dont occlude like they did on the articulator what do

you do?- Remount, redo teeth and retry!!

85.

A successful fractice is built on- friendship

86.

Why not use broad-spec or overuse antibiots?- bacterial mutations

87.

When pt is on amunosupessents for transplanted liver, what happends in the

mouth?- CT overgrowth and hyperplasia.

88.

Weakest part of the gold mod inlay is its??- cement layer

89.

If two cavities were thought to be two separate fillings but upon exam it was a

crack through the isthmus. What do we tx this symptomless crack with?- observe
90.

After 2 days plaque consists of? Gram and+ cocci and rods

91.

Whats not the reason for rising dental costs?- the number of dental students

in dental schools.
92.

Whats true about abuse cases? Youll see at least 2 a year

93.

Whats the #1 cause of med induced ging hyperplasia?- dylantin-30% of all

drug induced, this was a perio test question.

94.

Floridation supplement for a 5 year old drinking .75ppm h2o?- 0mg

95.

#1 side-effect of erythromycin is?- stomach upset.

96.

Digoxin strengthens contractions

97.

Sometimes cant tell radiographically that there are classV carries due to the-

shadow of the cervical constriction and the lucent line it causes.

98.

Whats the worst thing you can do to a tooth you plan to re-implant right

before you do so?- Scrape the tooth with a curret.

99.

Premed all conjenital heart defects.

100. Carries most often located where on interprox?- Just below contact
101. Most likely dx indicator of pit and fissure carries is what?- explorer catch.
Others, xray, adjacent tooth decalcify, contralateral tooth thingy
102. Diabetics are more prone to perio and are less resistant to the effects of bact.both statements are true.
103. Hypofunction of adrenal cortical system will cause what?- hypotention
104. Whats not a method of biotransformation? Covalent bonding, others,
oxidation, hydration,
105. Whats contraindicated for pt post mand radio tx.?- flap apico on pt.

106. Child hit head in bike crash and feels nauseous and dizzy, what do you do? Tell
em it might be a concussion, to watch kid for 24 hrs after they immediately go see a
physician.
107. Pt. that thinks youre talking about him when youre not is suffering from what?
Delusional disorder.
108. Benzos are great for dentistry due to an action of- amnesia and little memory
of the event.
109. Most to least implant reseptive was: ant man ant max post man post max
110. Best place for implant is ant mand
111. Levdopa is used in oarkinsons in order to do what?- increase dopamine in the
CNS
112. SLOB X-Ray
113. Most common result of an avultion is necrotic pulp
114. A bunch of reversible and irreversible pulpitis guestions with a cold test and
duration. So long and dull is irreversible and so forth.
115. AZT is not used to tx herpes-zoster.
116. Set short term attainable goals for pts.
117. Stress causes immune weakness which leads to disease and bruxism
118. In the DFMS system whats the S stand for?- Surfaces
119. Whats the D__ the one thats only three letter system of tooth carries tracking,
what can it not do?- Track how teeth were lost.
120. With clefts youre prone toward- Class III occlusion.
121. All are true except- Cephalosporin has a broader spec then Penecillins
122. In gardners Syndrome there may be cancerous transform of what?- polyps in
intestine.
123. Retruded tongue habbit with full denture means what?- difficulty swallowing
124. What bacteria is responsible for implant falure?- gram anaerobics
http://forums.studentdoctor.net/showthread.php?t=190136
Random Stuff from DECKS:
1. Alcohol abuse med: Disulfiram (antioxidant, interferes with hepatic oxidation)
or Naltrexone for alcohol dependence.
2. Dyspesia: unable to digest
3. Syncpe? Inhale ammonia, irritates es trigeminal nerve sensory. 100% oxygen
works, except hyperventilation syndrome.
4. Anticoagulants act antagonize Vitamin K to work, prolong bleeding.
5. The higher the INR, the greater the anticoagulant effect.
6. DEA number required for prescribing opioids/narcotics, like codeine,
oxycodeine, etc

7. Major disadvantage of opioids is respiratory depression.

8. Articaine (septocaine) has an ester group, unlike other amides it is
metabolized in blood stream.
9. Tetracycline is usually not used because they cause yeast infections, as well
opportunistic infect.
Day 1:
1----Action of Cardiac glycosides
Answer : binds and inhibits Na+/K+ ATPase
2----What is the antidote for Percodone ( oxycoden)
Answer: all opiate antidote is nalaxons
Answer was Nalaxons
3---- most complication of sagital osteotomy:
I think nerological problems
4----if someone cant take ibuprofen what can you give?
Asprin
Demoral
Pentazocine
..
5-----x-ray of odontoma ( anterior lots of little tooth in the x-ray around the canine)
6------most ridid material
Polyether
7----most stable impression material:
additional silicon ( same as PVS ) they just used another name
8----perforation caused during endo tx of max f MOLAR:
mesial cancavity
9----- how do you distinguish acute apical absess and periodontal absess:
Pulp test
10----- which of the following anesthetic can be used as topical:
Lidocaine
12---- orthodontic tx will provide:
restorative and periodontal mantanance
13---- how long for the root take to complete:
2.5- to 3.5 was the choice
14----pupose of insical guidance :
mount casts..adjust condylar guidance ..begin prep
15---- denstist who work with HEMA( composite) can have what kinda complication
contact dermatitis

16----why should a dentis figure out the outline for first:

for the easy access
17--- pulpal pain that only occure at night with no stimulation:
puplpal necrosis
18--- when the heat apply to tooth..lingering pain for several minutes:
irreversible pulpitis
19--- which of the following is the endocrine involvement that is related to jaw
deformity:
Acromegaly
Pagets disease
Cherubisim
Albrites
I think the answer is pagets but I am not sure
20---- complete set of dental stone will occur
24 hrs after final setting
21----- which sement is the easiest to remover after procedure:
Zinc Phosphate
22 when the bud stage occurs in utro:
23--- Glucocorticoides are contraindicated in :
Diabetes
24 related to q # 23, clucocorticoids side effect is all of the following EXEPT:
Infection
Reduced inflammation
answer Hypoglycemia *** answer is this because Glucocorticoid cuases
Hyperglycemia
25- Radiation of 4(Gy) to the skin will cause:
Erythema
26- if the patient tell you why you fees are so hight, what would be your response:
27---- the most radiopaque in composite is:
Barrium ( it is a metal)
28--- the main component of any root sealers is:
Zinc oxide
29when you used ZOE in a primary what kind to u us
e:
ZOE with catalyst
ZOE with no catyst
30--- removable appliances cuasues :

tipping movement
31--- depth of the cavity prep on primary teeth should be :
32--- Freezed dried cadaver bone is a type of:
allograft
33large condenser with lateral condensation is used in:
admix,,sphericaletc..
34OSHA rule on hepatitis B vaccination
35Tissue that grows the fastest in the first year
neuronal
37what speed and torque for implant is used:
--- answer

High Torque ,,slow speed (238 oral surgery book)

38- in an appointment for the impression of implant what do you do firsit:

put the coping first
check the tray first to see if it fits
put the coping with acrylic resin
another choice I dont remember
and I dont know the answer
39 keeping the Kvp and msA the same and changing from the D film to E film, to
keep the same intensity one should do :
increase KVp and msA
Decreae both
Increase kpv and decrease msA
Increase msA and decrease Kvp
40---- surgon extraction a mandibular molar and all of a sudden mesial root break:
what instrument u use:
crayer forcep
crane forcep
41-- which one of the following drug is chelated with C++
tetracycline
42- gingivactomy is contraindicated with:
mininmum attached gingiva
42-- after orthodontic tx, pt with no other systemic disease develop high fever
43---- Glossoptosis micrognathia - - cleft palate
Pierre Robin syndrome
44--- Ameloblastoma histology :

45xerostomia depelope in what complication:

increase salivary N+
some syndrome
etc..
46 there was a picture of Fibroma but the term fibroma was not used instead they
used another name:
Focal Fibrous Hyperplasia
47- There was an x-ray that showed anterior teeth with buch of smaller teeth in the
lingual site and one of the anterior teeth with missing:
Here were the choices: it looked like crown of the impacted teeth were tuching the
erupted teeth roots:
Since there was one less anterior tooth I put : fusion for the answer
Fusion
Germination
Concrescence
48 if a child is treated with methamphetaimine what disorder the child
has:
Attention deficit disorder
49- if a pt. is treated with coumodin what test you have to do
50 in DMFS s stand for ----------- surface
51except question: all of the following are associated with metastisis to
the jaw expect:
parestesia of the lip
irregular radiolucency
to more choice that I dont recall
52after placing a crown with composite resin, after six month arouth the
porceline gingiva there is a discoloroation ( brown color) what is the cause:
Microcrack of porcilane
Amin discoloroation of resin
53Propantheline bromide is:
anti-cholinergic ( they used another name )
54-- Fluoxetine ( prozac ) Mechanism of action:
Serotonine selective
55 know the mechanism of action of TCA

answer it decreases the reuptake of Norepinephrine

56 The causes of Verrcus xanthoma
Human papilloma virus
57drug of choice for pulpal involvement
Pen V
58 mechanism of action of pen is closely related to
keflx ( cephalaxin )
59- if a pt. has been using 10 mg of corticosteroid for 10 years, what would
you do for pt. before any tx
have pt continue and increase the dose
60Hepatitis D
through B
61 example of potassium sparing drug:
spirolacton
62- when a dentist tell the pt what to do:
paternalism
63which of the following has the greatest tendancy for malignancy:
keratic acanthoma
64: actinic cheilitis --- lead to SCC
65make sure u understand PTT .. PT..INR..bleading time
PT --- extrinsic factor
PTT intrinsic factor 8.9.11.12
INR deals with PT
Factor VIII is hemophila A
Bleeding time has to do with palatal count
64 deaf pt.
the can read the lips
65chroma is the intensity of color
66 rad sor, blow it gingiva lift, you can see denuded root, what is the
treatment?
67 cleft lip and palate --6-9 weeks in utero
68 with cleft lip and palate what occlusion is mostly seen--class III malocclusion

69- most of the x-ray is converted to :

heat

70- which one of the following cement is the easiest to clean:

resin cement
Glass Ionomers
Polycarboxylic
Zin Phosphate -- I put this choice I am not sure
71- none vital bleaching is with carbamide and
35 % hydrogen proxide
72 thee usual metabolic path of ingested fluride primarly involves urinary
excretion with remaining portion in:
skeletal tissue
73which one of the things can be seen with TMP pt in elders:
depression
75

a football player has: crepetis, stiffness of muscle, and difficulty

opening :

I put arthritis and TMJ I am not sure

75 most lab complain :
the tooth is not reduced enough
76 the anterior maxillary incisors can given a younger appearance if:
rounding the incisal point agle
77 best treatment of localized aggressive periodontitis:
78- 4.5 years old child with .75ppm floride in their water req. how much
floride supplement:
0 mg
79 pt taking dicumoral is probably treated for:
coronary infarct
80 which of the following physical signs indicates severe CNS oxygen
deprivation
Dilated pupil with an absence of light reflex
81- group of muscle that influence the lingual border of final impression for
an edentoulus pt:
answer: palatoglossus, sup constrictor, mylohyoid, geniogloassus
82stupid wheel chair question:
83when pt. closes, there is only 1 mm b/w retromolar pad and tubercity:
you should refer the pt. for tuberocity reduction
all other choice were very wrong

84 -- pt presents with a restricted floor of the mouth, only 6 mandiblar

anterior teeth and diastama b/w several teeth, which of the following major
connector is appropriate for this pt:
answer: a lingual plate with interruptions In the palate at the diastama

85 the porpus of the rest seat is:

86--- after surveying and designing which is the first step to do:
reduction the axial for proximal plate
87which one of the following best describe adjunctive orthodontic tx:
answer: orthodontic tx to enhance restoratitive and perio rehabilation
88- child has a sor ulceration in a lower lip. There is no history of obvious
trauma, the ulceration appeared several hrs after the pt. received dental
tx. Which of the following represent the most:
answer: --- post anesthetic lip biting
89 to prove it clinical effectiveness an antimicrobial agent must
demonstrate that it:
help to reduce the disease
90 - The pulpal floor is perforated during access preparation. The best course of
action is to CONTINUE RCT, REPAIR THE PERFORATION AT A SUBSEQUENT
APPOINTMENT ONLY IF ASSOCIATED PATHOSIS DEVELOPS.
91 route of infection to midiatiam:
submandibular --- later pharyngeal retropharyngeal prevertebral92Patients with natural dentitions generate the greatest amount of occlusal
force during PARAFUNCTIONAL MOVEMENT.
92 - A 22-year old male patient complains of dull pain in the posterior left
mandibular region. A radiograph reveals not only a radiolucency around the
1st molar roots, but a radiopacity of bone peripheral to this radiolucency.
The best explanation of his condition is
A REACTION TO AN APICAL INFLAMMATORY DISEASE
93- most common carried among 5-17 years old
occlusal?
Proximal
Facial
Lingual
Root?
I dont know, I put occlusal

94 --Pulpal anatomy dictates a triangular-access cavity preparation in the

MAXILLARY CENTRAL INCISOR

95 - Patients with natural dentitions generate the greatest amount of

occlusal force during PARAFUNCTIONAL MOVEMENT

96if there is an article and if you want to underatand the definition of Dependent
and independent, which part of the article you look:
Introduction
Method
Body
Result
Summary
Answer: I DONT KNOW
97 a dentist in his clinic notice new diseases this is :
incidence
97 __ for the second division of trigeminal nerve block where ( which foramen ) the
needle should penetrate:
Nasoplatine foramen
Rotoandom
Greater palatine
Note: pterigopalatine and sphenopalatine was not the choice
98 uncouncous diabetic is treated with:
50 % dexterose in water
99 --- maxillary 1st molar access opening:
100in finding the orofic of the canal you can do all of the following EXCEPT:
using a high hand piece with diamond bur
101: with the mandible is fracture with muscle move it jaw forward and medial
Medial pterygoid
Lateral Pterygoid
Masseter
Anterior belly of digastric
102- in releaving a buckle frenum for a mand. Denture which muscle is released:
caninus

orbiqularis oris
masseter
several other muscle:
103) which of the following cells appear to be defective in Localized aggressive
periodontitis:
neutrophile
104) Know oligodontia and hypodontia are signs of what syndrome?
105 ) multiple osteoma seen in ?
Gardener syndrome
105) there was an x-ray asking to distinguish the radiolucency:
Tramatic bone cyst
Aneurismal bone cyst
Stefens
Static bone cyst
106) 4 years old avuled max centeral:
extract the other central to make it bilateral
RCT
Leave out
107 ) Which one of the following is not part of redistribution
oxidation
hydration
gluconitiaon
Covalant bond *
108) the best treatment of a diastma b/w the anterior 8 and 9 is:
proximal composite
Veneer
Full crown
no ortho and surgery was suggested
109) another question about diastema
when you close it:
answer: wait until the perm canine are erupted
110) most likely lesion after child in dentist office is:
lip bitting ( anesthesia)
111) all of the following cuase damage to soft tissue except
topical use of floride
112) sealant : micromechanical retention

113) most composite resin by,, mechanical retention

114) pt had a post and core 6 months ago,,no he has sever pain with no apparent
cause:
Vertical root fracture
115: one hr after placing the crown pt has a soothing pain when teeth comes to
gether what is the cause
hyperocclusion
galvanisim
pulp
116) the amont of the x-ray exposure that a fetus get in a single x-ray is:
double the normal amount outside
half
less than 1 day that a person get it in a day from outside exposure
117) all of the following are the x-ray to access the bone in implant of 6 anterior
teeth except:
topography
Pan
CT
Periapical I put this as an answer but I am not sure
118 ) patient come to your office and with multiple lesion around the gingival, he
mention is gets tired fast:
multiple pyogenic tumor
Leukima I chose this as my answer
Peripheral giant cell granula
119) pt put aspirin on the tooth, white stuff:
tissue necrosis
120) lots of question about Localized aggressive perio:
how you treat them
do you use systemic antibiotic
what antibiotic you use
tetracycline has an effect on mod ( inhibit host collagenase) etc..
125) most complication of IV and general anesth.
Hypoxia
126) interrupted suture is used for:
decrease infection
stable tissue I put stabilize tissue better
decrease bleeding

127) when you suturing always suture from:

loose to firm tissue
128) dentist try to take an x-ray PA of mandible, but because of interferences in
the moth cant take it, what kind of extra-oral x-ray can be taken?
Oblique mandible
Water view
B- p
125- outliers control
mean
median
mode
standard deviation
126 you try to take the impression patient keep gaging:
Bad tech
Personal trait
Two other choices I forgot
127 chance in color of enamel only on the surface can be fixed by:
restoration
put crown
enamoplasy - answer
128) what is DNA prob analysis

From the Computer exam 2006

(Choices are listed. Not all the choices were remembered. If it is an answer thought to
be correct, it says ANS)
30% Rocks from 1991/93/98/ 2001/02/03/04
Prosth/ restorative was not too difficult- dental secrets is good
129 -Rapport with dentist questions
Eye contact etc
130 Endo traumaWhen to do Pulpotomy with CaOH
When to do a pulpotomy with formocresol
When to do pulpectomy

(Very similar to rock questions)

131 - Oral Path: 5-10 pictures
Lateral cyst located where?
Cleidocranial Dysostosis?
Ectodermal Dysplasia?
Cerebral Palsy?
132 - three calculations on how much Local Anesthesia (mg in 5ml of 2%
lidocaine)
(20 kg or 44 lb child, what is the maximum local anesthetic to give?)
133- Which artery are you scintillating when checking sphygmomometer?
(Asking about where you check the BP)

Ans: Brachial Artery

149

-at is the longitudinal study?

150

- cidence vs. Prevalence

151

What is the impression material that causes syneresis and imbibition?

(Alginate is not a choice?)

152

Ans: Metallic Oxide??????

What is related to Osteogenesis Imperfecta?

Ans: Dentinogenesis

Imperfecta
153

Most common mental disorder in the public?

Ans: Anxiety or

Depression?
154

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

155

Of the following, what is a Schedule II drug?

Hydrocodon
Oxycodon
Vicodan

156

What causes the most damage to an opposing restoration?

Overdenture

Complete Denture
Tooth-support RPD
Tooth-tissue RPD
157

Which is the worst prognosis for periodontal defect?

Mx 1st Molar
Mnd 1st Molar

158

Know justice/ beneficience/ autonomy

Question states, what follows the statement do no harm

159

What is the order of treating a tooth needing restorative?

-pain, comprehensive exam, restore the tooth (these were placed in
different order, choose the best one)

160

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

161

Contraindication for endo therapy: Ans- Restorability

162

Which of the following not associated with periodontal disease in the

primary dentition?
Downs Syndrome
Stevens Johnson Syndrome
Cycloneutropenia
163

Treatment plan for 0.8 mm wide nasopalatine cyst?

149- Large Sialolith infected in the Whartons duct. What to do?

Remove duct
Remove the submandibular gland etc
150 - What syndrome if one side of the face swells after dinner? Ans: Sialolith
151. Which of the following DOES NOT happen in Local Anesthesia Overdose?
152. H1 Antagonists will do what? (one choice was increase in gastric something)

153. What do you with Petit Mal?

Phenytoin
Diazepam
Protect patient from self harm
155. Lithium is used for what?
Antipsychotic
Schizophrenia

156- Best way to build rapport with the patient?

Persistent eye contact
Active listening
157. Treatment of Recurrent Herpes
158. Which of the following has the BEST survival rate?
*Squamous cell carcinoma
Adenocarcinoma
Osteosarcoma
159- Onion Peel look on the radiograph is characteristic of what?
160 - . Air/ Water Syringe after endo, what happens from debris into sulcus?
Hematoma????
161. Which disease can be Diagnosed with immunofluorescence?
Pemphigus
162. Internal Bleaching can cause what?
163. What has the least root surface area in mm squared?
Mx Lateral
Mx Central
Mnd 1st PM
Mx 3M with fused root
164. All the following have mechanism of action that deals with intramembranous
permeability through cell membrane except what?

Ans: Propanolol????
165. Which is the most soluble?
Hydroxyapatite
Carbonic Apatite
Fluoroapatite
166. Which is the most susceptible to caries?
Mnd 1st Molar
Mnd 2nd Molar
Mx 1st Molar
167. Both primary and secondary molars exfoliate. What is the space maintainer
of choice?

Lingual Arch???

168. Upright a Mnd 1st Molar with lingual and omega loop? What happens?
Tilting of ant tooth
Over tilting etc
169. Know about CPR, and not the basic steps
What is the biggest problem that causes no air into lungs?
Airway obstruction
Did not pinch the nose

Know adverse effects and problems when doing CPR

Why do you get gastric distension when doing CPR?
170. Optimal Incisal Reduction of PFM? Ans: 2mm

(1.5mm also given)

171. Patient complains of PFM on #8 and has the PFM for 5 years. Restoration is a
lot lighter than the other teeth. What is the treatment of choice?
Teeth whitening
Veneer over PFM
Replace PFM
173. Know that Value is the most important.

174. Chroma is the saturation of the Hue

175. Pulpectomy and filling a Mnd Molar, where would you most likely perforate?
Mesial
Distal
176. Which fluoride causes the most staining?
(all the fluorides we use were listed)
177. Small white lesion on the tooth the patients whole life. What caused it?
Hypercalcification during the first 6-12 months
Hypercalcification during natal
Hypercalcification during the primary tooth
178. What is the use of Mitronidazole?
Ans: Antibiotic and Antifungal
179. Which of the following is least likely to cause progressive perio problems?
Soft tissue injury
Ill- fitting margins
Rough margins
Within Biologic width
180. When dealing with furcation, Guided tissue regeneration best used with
Osseointegrated bone graft. Prognosis of tooth with GTR is better in Mx molar than
with Mnd molar.
True or False of each statement
181. Which is the least likely to cause bacterial endocarditis?
Extraction
Scaling and Root Planing
Probing
Adult Prophy
Root Canal Therapy
182. Purpose of the EPT?
Pulpal response

No pulpal response
183. Which tooth do you test with EPT other than itself?
Adjacent
Contralateral
184. Class V and something about Modulus of elasticity
185. Definitions of:
Abfraction
Attrition
Erosion
186. Which space would cause infection in the Mediastinum?
187. How come Maxillary infection is dangerous?
Ans: Drainage straight to the brain without valves (Cavernous Sinus)
188. What is the Point A in Cephalometrics?
Ans: Most inferior structure in between _____________________
189. Most common complaint of Sagittal split?
190. What does S stand for in DMFS? Ans: Surface
191. What does the Weight and height stand for in recordings?
Ordinal
Nominal
192. Plastic instrument, how do you sterilize it? (ethylene oxide)

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

Heart rate
Contractility
Peripheral Resistance

194. When do you fill the tooth with CaOH?

1st week into splinting
After 14 days splinting
Resorption
195. Which of the following is best to know the platelet count?
PT Time
Bleeding time
INR
196. What is the best way to anticipate a prolonged bleeding time with extraction?
Ans: History???
197. What should the dentist predict with the use of Cyclosporine?
Increase gingival fibers
Gingival Hyperplasia
Increase pockets and bleeding
198. Best instrument for SRP of Distal Mandibular tooth?
Gracey 1/2
Gracey 9/10
Universal 13/14
Gracey 13/14
199. What causes porcelain to break off from the PFM?
Metal Oxidation
Occlusal Contact
Metal Contaminated
200. Increase water:powder ratio to casting investment material will lead to:
Increase setting expansion
Increase thermal expansion
Decrease setting expansion
Decrease thermal expansion
201. The exact mechanism of Caries dyes (detectors) in effected and affected lesions

202. What is pathognemonic for measles:

Ans: Koplik Spots???

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

204. what are the advantages/disadvantages of an immediate denture?
205. about 3 questions on the different flourides. one asked about which type is
more likely to cause staining? which type is mostly in toothpaste? i had no idea on
these questions
206. why are composites not put in primary posterior teeth?
207. something about the phosphate ion in an anti-tartar toothpaste. what is
the moa?
208. cerebral palsy was on there 2 times.
209. 2-3 flouride supplement questions
the clinical part on the second day asked alot about the drugs that can and can
not be used on an asthmatic patient and a hypertensive patient.

Patient Management
-Capitation(4): HMO
-Community water fluoridation: 1mg /1L of water = 1 ppm
-Cohort study: type of analytic (observational) study; determines relative risk(risk
factors)
Prospective: population is followed through time to see who develops the disease
Retrospective: used to evaluate the effects that a specific exposure has had on a
population.

-Double blind design: Investigators and people being studied dont know about each
other
-Specificity: % people without disease who are correctly classified as not having the
disease.
-Sensitivity: % people with disease who are correctly classified as having the disease
-Where would you look in an article to find dependent/independent variables? :
methods
-Rampant caries etiology: decrease in salivary flow
-Incidence(2): number of new cases of disease/total # people at risk
-open ended questions: to amplify answer, invites a patient to express their feelings
and strengthens rapport, most effective type of questions.
-Systematic desensitization: Exposing a patient to items from a collaboratively
constructed hierarchy of slowly increasing anxiety provoking stimulus.
-Medicaid: children and low income familiescovers dental treatment for children
-Medicare: geriatricdoes not cover dental treatment unless it is needed for medical
purposes.
-1997 a program which stated all children need dental coverage even with no
insurance
-% of geriatric population over 65 edentulous: 21-30
-BP and pulse are: nominal-ordinal-ratio
-Most dental treatment are covered by:
-Closed panel: beneficiaries have limited choice of offices where they can go to
obtain dental careoften uses in HMO and PPO plans..
-Bundling
-Undercoding
-Hepatitis B is more infectious with surface antigen
-Behavior shaping : modeling
-When there is a toxic reaction to a medication the dentist must contact: FDA Food
drug administrator
-Informed consent is a principle of: Autonomy
-How to manage an angry, apprehensive, cheap patient
-T test
-Autonomy
-HIPPA
-Desinfection
-Hepatitis B least risks: food servers, down syndrome, drug addicts
-Annual exam for dental worker that is mandatory? HEP B , TB???

-Example of studies between 2 different medications: Clinical trials

Operative Dentistry
-Inlay contraindication: Increased caries rate
-Days after restore MOD amalgam pain upon biting and to cold: check contacts
-overhang restoration: trapping of food
-only advantage of composite over porcelain: one appointment
-What happen when you etch and it gets contaminated: need to re-etch
-Glass ionomer: polyacrilic acid
-Resistance form in amalgam prep: beveling gingival angle in proximal box
-Angle of contact and surface tension for adhesion
-Best predictor of future caries: past caries
-Reducing a weak cusp during onlay preparation is considered: resistance form
-When would transilumination show the whole crown? Fractured cusps, cracked tooth,
craze lines
-Location of interproximal caries: below the contact
-When must interproximal caries be treated: when appears on bitewing, on CEJ, on
DEJ
-Shape of interproximal carious lesion
-According to the most recent ADA research: increase in root caries
-Line angles in DO preparation are: axio-pulpar, axio-gingival,disto-axial except
meso-facial.
-Patient has a crown for 10 years in good condition but lighter in color: change crown,
bleach natural teeth or a veneer
-Matrix band is placed first and wedge after in a class II restoration
-Class IV restoration changed color..what todo??
-When is a class III restoration indicated?
-When to restore interproximal caries?
-Treatment plan sequence: Urgent, control, reevaluation, definitive, maintenance
-What principle of ethics when is offered more than 1 treatment plan to patient?
autonomy
Oral Pathology
-Lateral periodontal cyst (2)(picture): tooth is vital
-Lateral radicular cyst (picture): Tooth is non-vital
-Ulcer more than 2 weeks: biopsy
-Hyperparathyroidism: hypercalcemia

-Hyperthyroidism(2): loss weight, sweating, fine hair

-Dentinogenesis imperfect type 1 associated with osteogenesis imperfect (2)
-Aplastic anemia associated with drug toxicity.
-Neurofibromatosis: caf u lait, Iris(lisch nodules) and axillary freckling
-Vitamin D deficiency children: Rickets
-Osteomyelitis: Stept. Aureus
-Pagets(3): Skull rx..Cotton wall
-Pagets disease(2) : increase alkaline phosphatase
-Ectodermal dysplasia (4): Oligodontia, partial or complete anondontia
-Amelogenesis imperfect: picture
-Cleidocranial dysplasia(2): retained primary teeth and multiple supernumerary teeth.
-SSC: smoking is a risk factor
-smokeless tobacco: verrucous carcinoma(2)
-Alcohol: cancer
-Multiple myeloma: punched out lesions
-First sign of multiple myeloma(2): bone pain(limbs and thoracic region)
-Angular cheilitis (picture)
-Picture nasopalatine cyst(2): confusing with nasopalatine foramen
-Picture periapical cemental dysplasia (2)
-black women xray : periapical cemental dysplasia(2)
- most common place for periapical cemental dysplasia(2) : Lower anteriors teeth are
vital
- Stafne bone cyst(2) :very well defined round radiolucency in panoramic, posterior
mandible below inferior alveolar canal:
- Peut-jeghers syndrome : intra oral melanin pigmentation also intestinal polyps
-what Addison disease causes : a)bone loss b)pigmentation of the mucosa
- what cyst can become ameloblastoma : dentigerous cyst
-Hunter syndrome(2) : build up of glycosaminoglycan due to lack of an enzyme :
enzyme iduronate-2-sulfatase
-Adenocystic carcinoma(2) : neurotrophic factor, high grade malignancy, palate
common site, spreads through perineural spaces
-osteosarcoma in x ray : sun burst and simetrical widening of pdl.
-Picture of patient with inferior lip lesion: biopsy
- photo of maxillary sinus with radiopacity in one of the sinus and you have to
identify the condition : sinus retention cyst
-Picture of compound odontoma(4)
-Leukoedema: stretch test

-Picture of white sponge nevus

-Erythema multiforme: young adults and kids
- Pemphigoid: SUBEPIthelial
-Pemphigus: intraepithelial
-Sialolithiasis(2): more common in submandibular gland
-Pleomorphic adenoma: Most common salivary gland neoplasia
-Picture of salivary gland tumor
-Sturge webber syndrome(2): port wine sign.A type of vascular hemangioma
-Osteoradionecrosis: biphosphanates
-White lesion under denture: biopsy cytologic smear
-Gardener syndrome: Autosomal dominant disorder, intestinal polyposis,osteomas,
skin lesions, impacted permanent and supernumerary teeth, odontomas, high rate of
conversion to colorectal carcinoma.
-Sjogren syndrome(2): chronic lymphocyte-mediated autoimmune disease affecting
exocrine glands and other organ systems
-Herpetic gingivoestomatitis: common in children less than 6y/o, ulcers preceded by
vesicles in oral (nonkeratinized gingival) and perioral areas. Treated with acyclovir if
symptomatic and heal within 7-14 days.
-Treatment for herpes simples/zoster: valtrax
-Aphtous ulcers: nonkeratinized tissue; recurrent painful ulcers not preceded by
vesicles
Minor: starts as a macule, develops into a 3-10 mm ulceration, removable
membrane with erythematous halo, heals 1-2 weeks without scarring.
Mayor: up to 10 crateform ulcers bigger than .5 cm, painful, seen in AIDS
patients, heals 2-6 with possible scarring.
-Cherubism(2): Bilateral enlargement of jaws
- lesion in lip with cauliflower shape
- most common placed of sialolith : submandibular gland
-aspirin burn(2) is due to : coagulation necrosis.
-aphtous ulcers in non keratinized tissue herpes in keratinized tissue
-Bells palsy (picture): acute manifestation of unilateral paralysis of muscles of facial
expression. Reactivation of herpes simplex virus
-Sickle cell anemia in kids: risk factors are cold and N2O2.genetic
hemoglobinopathy found in patients fo African decent. Typical signs of anemia
(dyspnea on exertion, fatigue, pallor), muscle joint pain. Patients are managed with
supportive therapy.
-Papillon Lefevre syndrome(2):

-OKC: most recurrent

-Dentigerous cyst: ameloblastoma
-Dentigerous cyst:
-White lesion close to the commisure: liquen planus, cheek bite??
-Bulimia produces tooth erosion
-Picture of patient with a tongue lesion in dorsal area 3 weeks duration:
-Ranula: mobile, floor of mouth
-mucocele: lesion in lower lip full of fluid

Oral Maxillofacial Surgery

-picture of Bells palsy
-Most common adverse reaction to LA: Syncope(HTA) after surgery will be pain (HTA)
-Trendelemburg
-In nitrous oxide sedation the use of 100% O2 after N2O: avoid diffusion hypoxia
-Last part of the brain depressed in general anesthesia: Medulla
-Chronic use of corticosteroids (long term): adrenal insufficiency
- Patient currently taking steroids: double daily dose at day of surgery
-Asthma: wheezing expiration
-CHF: decreases ventricular ejection fraction below 50%
-End stage renal disease: extraction the day after dialysis
-Ludwings angina: Most commonly encountered neck space infection. Involves
sublingual, submandibular and submental.
-Dry socket: no antibiotics
-Treatment dry socket: sedative dressing (eugenol)
-Fracture of condylar neck unilateral: deviation on side of injury upon opening
-Mandibular fracture: Inmobilization for 3-6 weeks
-Internal derangement with reduction: click
-Test for hemophilia: PTT 25-36 sec.
-Evaluation of nitrous oxide: oximeter
-Safety valve on N202 no more than 50,80,90%
-Cavernous sinus thrombosis: via ophthalmic vein can result in canine space
infections and deep temporal space infections.
-Extraction of molar with divergent roots: section
-Where is most likely to damage nerve in vertical release of flap?

-13 y/o for implants? Wait until 18-21 y/o

-Child after concussion trauma vomits and nausea: check with doctor
-Bleeding time:
-Muscles elevate jaw: masseter,temporalis, medial pterygoid
-Order of extraction of teeth # 1, 2, 3: Extract # 3 first to start with most difficult or
extract # 1 first to protect tuberosity.
-Most common complication after an extraction? Dry socket, bleeding, paresthesia
-Fracture of condyle, what makes it go forward and medially?: lateral pterygoid.
-Hyperbaric oxygen for extractions in a patient undergoing radiation therapy:
osteoradionecrosis
-Increased risk of osteoradionecrosis with radiation therapy of 40-80Grays or more
than 6000 Grays
-Mandibular molars: pain is referred to ears
-40 week pregnant patient: hypotension in supine position; the correct position for
the patient must be: right hip up or left hip up
-Graft from a different species: xenograft
-Convulsions: hypoglycemia, hypokalemia, hypovolemia
-Treatment in closed reduction
-Neuropraxia: a condition in which a nerve remains in place after a severe injury
although it no longer transmits impulses.

Endodontics
-Autotransplantation failure: external root resorption
-Resorbable resorption: ankylosis
-contraindications calcium hydroxide: pulp symptomatic for last months
-Treatment of external resorption: ca(oH)
-Treatment of internal resorption: Endo
-If taken biphosphonates for 3 years and non restorable tooth: endo on remaining
roots?
-Irreversible pulpitis
-Hypochlorite
-SLOB rule
-Avulsed permanent tooth with open apex:
Extraoral time less than 60 min: clean tooth with saline, irrigate socket with
saline,Pplace tooth in doxycicline, replant tooth, stabilize with a flexible splint 1-2

weeks, monitor for pulpal vitality and root development. If vitality does not return:
apexification
Extraoral time more than 60 min: not recommended
-Treatment for a sinus tract after Endo: no treatment
-Treatment of external resorption on a permanent reimplanted tooth: obturation with
CaOH
-Apexogenesis: apical closure in a vital tooth. CaOH
-Apexification: apical closure in a necrotic tooth: MTA or CaOH
-Patient with Radiolucency #8, open access and no pulpar chamber, no canal: refer to
endodontist, or Close and observe
-Non vital bleaching consequence: cervical resorption
Prosthodontics
-Difference between base metal alloy and gold: higher resistance to deflection
-Quenching: metal cooled
-Porcelain: stronger upon compressive forces
-All ceramic crowns main reason: esthetics
-Only advantage of porcelain over gold: esthetics
-3/4 crown: anterior path of insertion parallel to long axis : gold display
-Pontic design: convex, should not blanch tissues
-Most commonly used connector: RIGID (solder joint)
-Value: most important in shade selection
-Value: brightness
-Value color 0=black 10=white
-How to change Hue?
-PFM displays metal: opaque defect
-Ceramic restorations: can be damaged by acidulated fluoride
-Chromium: Resistant to tarnish and corrosion
-If RPD (distal extension) when pressure is done over abutments (fulcrum line) and
denture rocks: needs an indirect retainer.
-Combination syndrome(2): Bone resorption>>mand ant opposing a max complete
severe damage to premaxilla. Enlarged tuberosities??
-Accurate border molding: lack of displacement
-Maxillary complete denture area of maximum retention: mucogingival fold
-Coronoides displaces upper denture if too bulky.
-Muscles help in lingual retention of a complete denture: Genioglossus(lingual
frenum), mylohyoid, palatoglossus(retromylohyoid) sublingual gland

-Posterior buccal extension of a mandibular complete denture is limited by: masseter

-Muscle that covers denture flange and does not affect stability: buccinator
-Picture of F and V sound
-Evaluation of phonetics in a complete denture: fricatives(labio dental sounds) F,V,Ph
Sibilants (linguo alveolar sounds) s,z,sh,ch,j Evaluate vertical dimension
-When do you check for sibilant sounds: Try in
-Cheek biting in denture patient: posterior teeth are edge to edgeneed more
horizontal overlap
-Length gelation time in alginate: cold water
-Alginate: reduce water to the mix it will set rapidly
-Addition silicones: No byproductsno ethyl alcohol
-Ethyl alcohol byproduct of condensation silicones produces shrinkage
-Disadvantage of polyether: RIGID
-Shim stock: Check occlusion
-Stones: increase water concentration: less expansion
-angulation condyle: anterior guidance
-If palatal vault too deep: vibrating line more pronunciating and forward
-What kind of occlusion if in right lateral movement all posterior teeth not in
occlusion? Anterior guidance
-Minimun incisal reduction for anterior PFM: 2mm
-Remounting complete dentures
-Hinge axis facebow
-Retraction cord can cause
-Pterygomandibular raphe(2): union of buccinators and superior constrictor
-Multiple failures of fixed partial dentures??
-Distance between an implant: 3mm
-% implant success after 10 years: 95%
-Temperature for implant placement: 55 degrees
-Implant handpiece: increased torque and decreased speed
-Distal extension RPD and push on ext and rest comes up: reline
-Interferences BULL
-Minor conectors
-Indirect retainer
-Irreversible hydrocolloid
Periodontics
-Supracrestal fibrotomy: removal of circular fibers

-Cells of crevicular fluid

-Probing: Loss of attachment
-GTR: best results in furcation II
-3 wall bone defect(2): best for bone graft and regeneration procedures
-Primary colonizers plaque: GRAM +
-Plaque of two days: GRAM + cocci and rods
-Spirochetes: Subgingival
-Gingivitis: No attachment loss
-Similar characteristics between aggressive perio and chronic: treatment response?
-Gingivectomy indication: Suprabony pockets
-Primary occlusal trauma
-Secondary occlusal trauma
-Crown lengthening: when crown prep is 1mm above bone crest.
-Localized or generalized aggressive periodontitis: not too much gingival
inflammation
-ANUG(2): punched out papilla; treatment would be debridement , hydrogen peroxide
rinses , ab therapy.
-ANUG produced by fusiforms, spiroquetes and prevotella intermedia.
-Metronidazole: used in perio
-Most beneficial from SRP: edematous gingival
-Indications for a Modified Widman flap: moderate pockets in which base is coronal to
mucogingival junction, infrabony defects and when esthetics is important
-Antibiotic in crevicular fluid: tetracycline
-Perio treatment is more difficult in maxillary molars due to trifurcations
-Type of healing in SRP and free gingival graft
Pharmacology
-Narcotic antagonist: Narcan
-Reverse opioid: Naloxene(2)
-Nubain: mixed agonist/antagonist. Dont give on patients who were addict to heroin
-Opioid: opioid receptors in GI
-Coumadin(Warfarin)(3): INR no oral surgery if its 5
-Warfarin should be suspended 3 days before extraction
-History of Rhematic fever without valvular disfunction: NO antibiotic prophylaxis
-Rheumatic fever needs premedication: no
-Joint replacement needs premedication? If less than 18 months
-Osteomyelitis: Stept Aureus

-Lidocaine used IV: ventricular arrhythmia

-Articaine: metabolized in bloodstream
-Flumazenil (3): Benzodiazepine antagonist
-Barbiturates: NO ANALGESICS
-TCA antidepressants: dry mouth
-LA with EPI: contraindicated in patients taking MAO inhibitors
-Drug of choice for ADHD: methylphenidate
-Tetracycline: Broad spectrum: Increase of opportunistic infections
-Tetracycline what does to penicillin?
-Tetracycline action:
-Tetracycline: ab in crevicular fluid
-Metronidazole: used in perio
-Nystatin: drug of choice for Candidiasis
-H2 blockers: duodenal ulcers
-H2 histamine: gastric
-Cimetidine: gastric ulcers
-Acetaminophen: No effect in platelets
-Ibuprofen: analgesic of choice after extractions
-Cardiac arrhythmia drugs: increase refractory period of cardiac muscle
-Aspirin: inhibit platelet aggregation in IRREVERSIBLE manner.
-1 carpule: 0,018 epi
-Status epilecticus: valium
-Gran mal seizure: Phenitoin
-Multiple sclerosis: no EPI
-Heart transplant with valvulopathy: AB prophylaxis
-side effect of nitroglycerin:
-Nitroglycerin: coronary arteries
-Congestive heart failure: Peripheral edema , increased systole
-Phenitoin, nifedipine, verapamil: gingival overgrowth
-What antihistaminic has less drowsiness?: H1 second generation such as Loratadine,
cetirizine, fexofenadine.
- what does alpha 1 receptors do in the heart ? Vasoconstriction, MIDRIASIS and
urinary retention
-Patient allergic to penicillin and had hip replacement 10 years agoneed ab
prophylaxis?
-Angular cheilitis medication? Nystatin

-Symptoms of opioid overdose: Respiratory depression, constipation, miosis, additive

CNS depression and addiction. Naloxone, Narcan and Nubain are antagonists
-Symptoms of lidocaine overdose: circumoral numbness, tachycardia, HTA,
drowsiness, confussion, tinnitus, tremor, hallucinations, seizures. Diazepam is
treatment for LA induced seizures.
-Symptoms of anticholinergic(atropine, scopolamine): dry mouth, blurred vision,
tachycardia, constipation, disorientation. Physostigmine (anticholinesterase) will
reverse atropine poisoning.
-Symptoms of syncope(fainting): nausea, lightheadedness, tingling on toes and
fingers, pallor, sweating, flaccid muscles, pale, weak pulse. Supine position, open
airwayA,B,C, oxygen if needed
-Nitrous oxide contraindications: head injury, chest trauma(pneumothorax),
hypotension, COPD
-Digitalis work: block na/k ATPase (influx of more Ca)
-Hydroxizyne is used with chloral hydrate because it decreases nausea
-LD/ED is a measure of safety of a drug
-Aminophyline: treat asthma
-Aminoglucosides: oto and nephro toxicity
-TCA (tricyclyc antidepressants)
-Phenothiazines
-Methadone; less withdrawal symptoms for desintoxication
-Contraindications for Diazepam: pregnancy
-Nitrites/nitrates: vasodilation
-Fluoxetine: SSRI
-Birth control pills: tromboflebitis
-Agonist of folic acid?
-Ca channel blocker
-Increases broad spectrum: increase superinfection and resistance
-Cephalosporin: cross allergenicity with penicillin
-Diazepam contraindication: pregnancy
Radiology
-Picture of coronoides
-Radiolucency at level of second premolar vital: mental foramen
-Picture of cygomatic process of maxilla
-10 mA 1 sec for same density with 0.5 sec how many mA?
-Too long in developer: dark x ray

-Problem with x-ray (very white):

-What is the oil in xray tube for: cooling(2)
-SLOB rule
-Collimation
Angulation of bite wings: +5 to +10
-Sinusitis in Panoramic
-Hyoid bone in Panoramic
-Rx for sinuses: waters
Orthodontics
-Patient lost primary second molar: distal shoe
-Anterior crowding: mixed dentition analysis
-If mandibular primary is lost: loss of arch length, midline deviation to side of loss
-How to fix gingival recession in anterior incisor that has cross bite: correct cross bite
-Cross bite in adults
-SNA 74 (82), SNB 76(80), ANB -2(2) what is the diagnosis? Class III
-Cleft lip(boys) and cleft palate(girls): Class III(2)
-Frenectomy (labial) after the eruption of permanent canines
- # of cases cleft lip /palate at year in caucasians: 1/700 births
Pediatric Dentistry
-Child with N2O: max nitrous 30%
-20 kg and how many mg of lidocaine: 1 cartridge for every 20 lb.1 cartridge =36 mg
-Child fear is best treated with nitrous oxide
-Premedication for 44 lb child: 1 g amoxicillin 1 hour prior
-Voice control: type of aversive conditioning on children older than 3 who are
uncontrolled or defiant.
-Parent not in the operatory room: interfere with communication
-Fluoride supplementation chart
< 0.3 ppm
0-6 m

6m -3 y

0.3-0.6 ppm

>0.6ppm

0.25mg

3-6y

0.5 mg

6-16y

1mg

0.25mg
0.5mg

0
0
0

-Attention dficit disorder ADHD (2)is more common in boys

-Treatment for a luxation teeth E in a 6 year old patient: allow passive repositioning; if
not active repositioning (splinting) for 1-2 weeks (pulpal necrosis)

-Tell-Show-Do technique
-Children with more caries seen in : blacks or hispanics

1. Pt. on warfarin but needs extractions, prescribe vit. K, if INR =

3.5 OK, see oral surgeon

2. Kid w/ectodermal dysplasia what is sign? Sparse hair

3. Dependence of NO, what signs will you have?

4. What responds to cytology better? CANDIASIS

5. A child, fear? Fear makes pain worse

6. 5 questions on TELL-SHOW-DO
7. If you have a mentally challenged pt. who is screaming and
resistant how to treat for recall only
8. ANB angle is -6, what class occlusion? I think he meants ANB
angle of -6 which would make it Class 3
9. Pushed root of 3rd molar (max) in, what space is it in?
Infratemporal Fossa
10.
When taking pano, pt. moves for 1 second what will it look
like?
11.
Pt. w/otis media, given NO, what happens? Diffusion
Hypoxia

12.

What is most similar to epiphyseal plate?Syncondriasis.

13.

Signs of hyperthyroidism/hypothyroidism?

14.

Asthma: WHEEZING ON EXPIRATION

15.
Pic of 2 yr. old bright red lips w/lesions, pt. has fever what
is it? Erythforme Multiform or Leukemia
16.

2 pulps, fused body. What is it fusion

17.

Blue sclera, what is it osteogenesis imperfecta

18.

What skeletal profile is Class 3 occlusion? Concave

Class 1 straight
class 2 convex

19.
Cause of cheek biting w/complete dentures? Inadequate
horizontal overlap- facial max cusp
20.
What problem can you diagnose a dentist? Anorexia,
bulimia (erosion in lingual anteriors), etc.
21.
After placing tooth back in socket less than 1 hour, when
do you use calcium hydroxide? 7-10 days
22.
What is the first thing you do on recall? Check plaque
score, asses next treatment, etc.
23.
Pt. w/HIV has viral count of 100,000, CD4 count of 40.
TOO LOW
24.
V

Most susceptible surfaces to caries of radiation tx. CLASS

25.

Problem w/Sjoggens

26.

Caf au lait macules neurofibromatosis

27.

Radiation affects the cells how? DNA

28.
Where are you more likely to get metaplastia in oral cavity
HARD PALATE
29.
Dentist switches from 8 inch bilateral technique to 16 inch
parallel techniques how much extra radiation? 4 times
30.
Which sex age group more susceptible to autoimmune
disease? WOMEN OF CHILD BEARING AGE> ME
31.
Flush water lines 2 mins before starting day purpose? Not
indicated anymore but to remove bacteria
32.
One way valve in handpiece. Purpose?prevent backflow
of contaminated water
33.
Brush goes into subgingival sulcus how man mm?... floss
how many mm?... NEED TO KNOW BOTH 2mm
34.

Scaling/Rp how is it effective?

35.

Splinting in periodontically involved pt. why?

36.

Know how plaque formation process 7mos-3 years

1) pellicle- within seconds after tooth is cleanes.

2) Adhesion or attachment3) Colonization
37.

Enamel hypoplasia when does it start? 7mos-3 years

38.

What % is considered generalized? More than 30%

Less than 30% Localized

39.

Le Fort 1 + BSSO, class 3

40.

How to deal with angry pt.

41.

ADA and advertising

42.
43.

Acute periradicular vs. periodontal abscess PULP TEST

Opiate contraindications HEAD INJURIES

44.
Gingival hyperplasia
45.
Non-verbal communication- MANY SENSES
46.
Tardive dyskinesia.side effect of anti-psychotic drugs
haloperidol
47.
Molar extraction sequence 321
48.

Class 2 furcation, what dont you do?

49.
GTR what affects success the least? RCT, width, depth
50.
Gingevectomy internal/external bevel?
Gingivectomy can have internal or external bevel. Internal bevel
has less discomfort & better healing? Both true
51.
All ceramic crown finish lineBUTT JOINT
52.
Class 2 composite, what is not important Extension for
prevention
53.
What is the least significant cause of alveolar bone loss in
primary dentition? Tooth loss
54.
Caries w/wide base and gets smaller? Smooth, pit,
etc?...Smooth/proximal pit inverted V
55.

Reverse architecture?- Maxillary

56.

Vertical root fracture

57.

Class 2 amalagmam, pain (cold) when chewing occlusion

58.

Pt. in pain comes in sequence of tx. Pain, tx. Plan, etc

59.
17 y/o w/mandibular canine sticking facially.. what
happened?... gingival recession, ankylosis, mobility?
60.

w/ cardio problems. 2 carpules

61.

Replacement of class 1 amalgam. Recurrent caries

62.
63.
64.

Steven JohnsonsSturge-weber
Periodontitis

70. Diff btw distraction, osteogenesis and conventional osteotomies

71.Herbal supp inc mechanism of effect of antioxidantst
72.Lots of pharm
73.Best systemic antiviral med- AMANTADINE
74.Sed hypnotic to give if want pt to sleep at night after apptNAPROXEN
75.Tx lichen planus
ASYMPTOMATIC NO TXT SYMPTOMATIC STEROIDS
76.Hemangioma, ranula, mucoceole
77.Know amantidine anti viral blocks uncoating of virus and blocks
replication
79.Antibuse used for? Alcohol abuse
80.Acetaminophen hepatotoxicity
82.Depth to put implant compared to neighboring teeth
84.Medicare and Medicaid questions (medicare isnt as good as
Medicaid.)
85.Diff btw apical periradicular abcess and apical periodontal
abscess

86.Vital pulp vs. necrotic pulp

87.Irreversible pulpitis and what vital pulp therapy you do on it
88.Know MOA for meperidine89.Flumazinilbdz antagonist

Oralpath:
2questionsaboutmandteeth,vital,lucency,nosymptoms.
OKC:recurrent
Positiveneklosysign:pemphigus
Immunoglobinfluorescent:pemphigus
Granularcelltumorpic
Garnders:polyps,coloncancer
Pagets:
Fibromatosis:vonreckler
Erythemamultiform
Leukemia:bluntredbleeding,fatigued
Lechenplachus:wickam;sstriaepicture
Apthousucler:majorformleavesscar
Ptwithbighead,andpyrostosis?Crouzon?
Ranula:floorofthemouthbluish,removesublingualgland
Mucocle:lowerlip,minorsalivaryductmucinplug
Pyogeincgranuloma:removeirritantsfactor
Herpessimplex:hardpalateandbonelayinggingival
Candidais:wipesoff
Lateralperiodontalcystanddentigerouscyst
Oralcancer:firstreasontobacco
Papilloma:elevatedwhitecawliflower
Brownspot:seeninAddison,pseutz
Radiology:
Readdr.kahnsradiologyfacts
Picofmandtoriandmaxtori
Zygomaticprocess
Picofbonewithnotmuchopacity:Ithinkosteoporosis
Increasedensity:decreasesourceobjectdistance
Wherecanuusuallyseenutrientcanals:andmandibulararea

Manyendo:manydiagnosis
Edta:chlatingagent
Sodiumhypochlorite:dilutenecrotictissues
Txhorizaontalfracture:splint24weeks
Apexification:nonvitaltooth,withopenapex
Perio:
Ifuremovedalveolarbone:calledosteoctemy(supportingbone)
Iwalldefect:hemiseptum
3walldefectbestforgrafting
hex(impant)preventsrotation
Howdoesexternalbevelgingivectomyheal:1or2ndaryintention
Mostsuccefullimplant:antmax
MANNNNNYLAPQUESTIONS:howtxit,whichteethareaffectedtwice(1molar+
anterior),whodouseeitinadolesent,whichbacteria:AA.
Anug:twice:punched,fetidodor
Plaquemature:3436hrs.
Chlorohexidinebestforplaquecontrol?
Prosth+operative:
Chemicalerosion:lingualofmaxcentralandonocclusal.
Cairesformbelowcontactpoint
Proximalcarieswillhave2trianglespointingtowardtheapex
Pitandfissure:mostofthecaries?
Removeanonlybycuttingintwoandremovingitin2pieces
2adjacentclass3:preplargeonfirstthenfillthesmallonefirst
Bleachintrayhas10%carbamide
Hue,chroma,valueseeninpicture
Orangestainschangehue
Ridgeandrugaehelpforsupport
Compensatorycurveandheightofcusp
Balalncedocclusion
Rubberdamholemadetoobig:iftheareaoftheneckoftoothhasleakage
Polymerationshrinkge:composite
Tissueconditioning
Pictureofepulisfissuratum
Oralsurgery:
Thyroidstorm
Blowtothemandibulewillaffectsamesidecondyle?
Bestgraft:autogenousbone
Syncopedef
Valvewithregurgitation:premed
Sialothis:seeninsubmandibuarduct

Angina
Arrythmiadef
Givebagofoxygenhowmany%isthere:21%bcthatwhatisintheair?
Hardermand3rdmolarextraction:distoangular
Crackedtoothsyndrome:mandmolars
Bbsosurgery:canaffectnerve,lipparasthesiafromian.
Nono2forsicklecellpatient
Pedo:
Whichhasretainedprimary:cleodrianal
Ectodermaldysplasia:anodontia
Somefluridation
Airhumiditydetermineswaterfluoride
Ortho:
Appliancedistalshow,bandandloop
Supernumarcyisfoundinwhichdeveopemntalstageoftooth.
Class3doesnthavemaxprognathia
Class3:6anb
Class3:concavefacialprofile.
Facesplitverticallyinfifth,sixth,fourth,third?Isaidfifth.
Pharm:
Anginathathappensatrest:unstableangina
Ptonginsingnoaspiring(bcincreasebleeding)
Viralload:toseeHIVprogression
H2blcokers:nameofdruge,ratinidir?
Aspirin:inhibitthromboxaneA
Aspirin:preventplateltaggregation
Aspirinshouldbestopthedaybefore?
Aspirin:keepbleddingforhowlong?1hr,4hr,5days,1monthect
Vomiting:duetochemoreceptorzone
Gingivalhyperplasiacausebyphenytoin
Manydilantin:epileptic
Methehtoxate:folicacidanticanerdrug
Proponololasaantihypertensiveandasaantianginaldruge:howdoesitwork
Adrenergicagonist:epinephrine
Mepiridine(narcotic)antidote:naxolone
Acetaminophen:doesntchangebleeding,doesntcauseulcer
Whatcanugivetopregnantpatitnetaftersurgery:tylenol3?
Singular:leukotrieneblockerforasthma

Prilocaine:causemethoglobineanemia
Behaviroal:
MSDS:aboutthechemicalsandinfoaboutthem.
Crosssectionalstudy
Ordinalvsnominal(ptstemprartureiswhichone,ptpulse/vitals)
Paranoidpatient
Modelingforchildren
Desentitization
Specificity
benefience
Smokingcessation:precomtemplation
Undubling
Recappingtechnique:onehanded
Patientwhoasktobilladaybeforehereceivedtx:fraud?
Patientwithfairfeelpainmore
Day2:
Casewithpictureofgranularcelltumor,amalgamtattoo,racialpigmentation,drugswith
HTN,diabetes,ptwhoneedspremed,uglyduckingstage,combinationsyndrome,hue
value,chroma,orthoaapliance,