AS RQs, NBDE 2, 9-10 September, 2018

Feel free to correct my mistakes and share a new version of the file with others.

Hi everyone, wanna thank all active group members on facebook for discussing
questions.
I hope this file will have all future takers. I an writing it a few days after my exam.
I had about 45-50% of all RQs that were ever discussed in the internet.

Exam interface changed and now more convenient: different cases.

Day 1 has about 16 small cases/sophisticated info about a case with just one given
question (not like in day 2 where it is 10 questions and a lot of complex data per a
case). Also have a few pictures plus qn for it (not more than 5).

Repeat all qns from HYDROGEN PEROXIDE 9/11/18 file and Rita main 315 qns file,
also from here https://www.facebook.com/saras.nnde/posts/327332207831665 all that are
in comments.

Day 1

On day 1 I had about 50% of RQs that were ever discussed.

Always have 3-5 minutes to yourself to come back to review Marked qns on the exam.

1. Wha
t are the oral contraceptives interrogations with drugs and how it affect gum
bleeding? Can they cause it? What are side effects of these drugs for oral cavity?
I answered increase bleeding (I don’t know the right answer).

2. Den
tist ignores patient’s bad behavior. What the technique does the dentist use? (I
don’t remember the exact options)
⁃ posi
tive reinforcement
⁃ Opp
osite restrain or something (I chose it)
⁃ Neg
ative reinforcement (don’t remember the options clearly you have to check)

4. Pict
ure a case of upper RPD #8-11 of red inflamed mucosa of alveolar ridge. Qn: what
is most common/possible condition can it be:

similar to pic below

- Allergic reaction (my answer)
- Candidiasis (cannot be because it white but pic is red)
- Pimphingus
- Cancer

3. One
bitewing xray picture with white-yellowish opaque teeth and bone of similar
brightness. What’s the mistake of image making is that?
⁃ over
exposure
⁃ und
erexposure (you have to see and compare online xrays and understand the
difference between option 2 and 3)
⁃ war
m conditions of post-processing (my answer)

6. Clini
cal picture of upper frontal inflamed segment: edema at papilla plus marginal
gingiva between canine and lateral/canine and premolar (I don’t remember). Qn:
What is that?
⁃ carc
inoma
⁃ Loc
al aggressive periodontitis
⁃ Apht
hous lesion
⁃ Gin
gival abscess (my answer)
7. Pan
o with arrow pointed to a vertical opaque line (looks like an osseous suture)
(bilateral anatomical feature) at projection of maxillary sinus posterior third. What is
it? options include all normal anatomy items:
⁃ zyg
omatic bone part
⁃ Zyg
omatic process of temporal bone
⁃ Ther
e were no option for maxillary sinus internal trabecula (I’d go with it)
⁃ Bac
k wall of maxillary sinus (no, back wall was more distally you can track it)
⁃ Nos
e cavity wall
⁃ Zyg
omatic process of maxilla (was my answer)

8.

shady/unclear imaging on xray is called?

- Penumbra (my answer)
- Cloud
- Some other two weird options

9. Pano with question about unclear walls radiolucency near left mandibular second
premolar apex. Radiolucency Tooth has DO medium size amalgam not close to the
pulp. No other even signs of crown cavitation. At the opposite side premolar apex area
you can’t see the same but mental foramen there is a bit smaller, round, with more
opaque wall contours, and it’s located more close to the 1st premolar. What is this left
side radiolucency?

- tumor
- peri
odontitis
- mental foramen (i went with this answer, not periodontitis, only because you can
track how the radiolucency is kinda connecting downward and medially with nerve
canal, and then you can also see lower incisal foramen of mental nerve continuation)

10. INR test is uses to determine?

- No
option for bleeding time
- plat
elets activity (my answer)
- prot
hrombin activity
- som
ething else not reliable

11. Old lady with son (her guardian) stating that her gums and teeth are in excellent
shape. On examination you see a lot of spreader decays and gingivitis.
What is the worst thing you can do?
- If you see that pt is in clear mind for decisions taking - do what she says
- Go
ahead and just do what she says (the answer)
- Foll
ow pt desires
- Ask
her son to make a decision

12. It is 30 minutes after closing your office for a day. Pt comes and states he needs to
see a dentist. Complaining about tooth pain for a week. Pt says he is visiting here and
stays in his friend (which means doesn’t provide address). No clinical sings of positive
palpation, tests, percussion, no radiographic evidence of pathology. You suggest pt to
take Tylenol or other painkillers. He answers that he tried it all and it doesn't help. They
he becomes demanding and says he will no going away until you give him a recipe for
Oxycet (i dont remember the name of drug but remember it was from schedule 2 or 3).
What do you do?

- call law service 911 (my answer)

- start RCT (cant do because no indications)
- give him Tylenol or other painkillers (cant do bc it doesnt help)
- give him recipe for the drug he is demanding) (cant do by law)

13. What’s the maximum acceptable dose of lidocaine for a 3 y o kid 16 kg weight?
- 32 mg (i forgot how to calculate so just chose this)
- 42 mg
- 50+
- 70+
(i forgot the exact numbers)

14. What lesions between roots of premolars are the least recurrent in case of
surgical removal?
 15. What are the best diagnostic methods for lateral periodontal cyst?
- perio probing
- incis
ional biopsy
- x-
ray
- percussion

16. If pt has perio plus endo lesion involving apex (and tooth is necrotic), what do you
do first?
- endo (answer)
- endo and perio at the same visit
- perio
- leave to watch/ or something else

17. Before FDA approve the drug for use what needs to do before
- study on drug efficacy 
- case control
- -
radomized clinical trial (answer)

18. If a researcher does the study on human what is the most important thing for him to
do?
- mak
e sure there is no harm for people under study (the answer)
- mak
e sure they sign and informed consent

19. weakest strength porcelain?

- no
option of Feldspar
- lithi
um type of porcelain
- leuci
te porcelain (correct answer)
- full
zirconia (it is the strongest)
- met
al ceramic

20. .Strongest porcelain for compression strength and resistance to occlusal forces - zirconia
- other options were Feldspar, lithium one, metal ceramic.

21. Protrusive interocclusal record is taken for

- for
condylar guidance (ans)
- inter
condylar distance

22. You are prepared a crown prep for tooth #9. Pt doesnt have upper back teeth (both side distal
extension teeth absence). How will you register occlusion for lab technician to make that crown?
- wax block bite in anterior
- wax
registration and maxillary frontal impression (my answer)
- use
full arch wax impression
- do
bite registration on back teeth only (cant be)

23. Opioids cause all except- pin point pupils

24. What drug helps against 3 types of Herpes infection

- last option,

25. Dental hygienist comparing efficacy of two mouthwash in two pt groups during one period of
time
- cross-sectional study
- Clini
cal trial
- Case control
(i dont remember my answer)

26. Osteoradionecrosis associated with?

- maxi
llary location
- medi
cations
- radio
dose of 42 something
- man
dibular location (answer)

27. Dependent on pt posture- VRO

28. If pt has infected maxillary sinusitis you can know it from all methods except what?
- the he bends forward it bothers him

- it
irradiates to the ear
- pain
irradiates somewhere else

- by
palpation and percussion of upper molars and premolars (answer)
29. Pt is 45 y o. What will be the most acceptable indication for lower third molar extraction?

- prev
ent pocket formation between 3rd and 2nd molar

- prev
ent crowding of anterior teeth

- prev
ent gum resorption

- elimi
nate active inflammation (the answer)
30. Pregnant woman, syncope, position changed to protect pressure on
answer - inf vena cava
31. Implant analog is what for - to simulate implant position on cast
32. Most lingual inclination are in what teeth?

- max
molars

- max
pms

- man
d molars (my answer)

- man
d pms

33. About 2-3 qns about apexification and apexogenesis

- what we do when. just remember
apexification - the pulp is necrotic and we place calcium at apex.
apexogenesis - when tooth is vital yet so we do partial pulpotomy and allow residual pulp tissue to
finish apex developmental closure
34. Papoose restriction of patient if contraindicated:
- in pt under sedation
- in a good patient to make quadrant therapy (the answer)

- to
protect pt and medical team
- in uncontrolled infant under emergency

35. Sialoliths are most common in Wharton’s duct (answer).

Other options: Stensen duct, minor salivary glands, sebaceous glands.

36. Best type of location for implant to set and heal well? (they ask about type of bone)
- anterior maxilla

- ante
rior mandible (my answer)
- posterior maxilla
- posterior mandible

37. Pano with an error

For day 1 read: “Hydrogen Peroxide” file, Rita, Zoya, Mango first 1500, SJ if you have time.
Day 2
Exam has 2 parts: I had 44 qns + 56 qns
On day 2 I had around 20-35% of questions that were discussed.
I didn't memorize all cases descriptions. Just some separate questions.

1. Almost all the pts were smokers, obese, compromised with cardio diseases, 3-10
years after cardiac or knee replacement surgeries. Some had systolic BP lower than
150, others had higher.
According that, a few questions were asking what you do if pt has systolic higher BP
than 150 - you normally have to wait for 15 minutes before proceed with procedure.

2. Kno
w xray errors:
What’s the opacity at incisors ares of xrays?
- From Xray film metal holder (answer - artifact)
1. Anot
her similar artifacts on sides of some upper and lower anterior PAs. Asked what is
that?
⁃ artif
act (answer)
⁃ nor
mal anatomical opacity
⁃ dent
al material
⁃ erro
r of xray processing

4. Inter
actions of beta-drugs. A few Qns.

2. Lisin
opril
Drug interactions? Does it interact with long-term NSAID?
Does it deplete K+ potassium?

3. Pt
taking Clopidogrel for blood thinning after myocardial infarction - you cannot cancel
what drug before some dental surgery (extraction)?
⁃ You
can cancell all except Clopidogrel (Plavix)

7. HIV pt. What you cannot do with his perio problem?

- multiple grafts replacements to close recessive roots

8. Elderly pt. What is the best type of study in his society (which study type gives
the best results)?
- cohort
- cross-sectional
- clinical trial (my answer)

9. If you want to do hypothetical study about caries spread in society, what would
be a correct rule?
- some long tricky answer (i don't know it it were a correct one)
- some short unreliable answer
- groups should divide to those who has disease and those who don't (my answer)

10. Adolescent (a boy), diabetes type 1, becomes almost unconscious, whats the
best way to help him?
- give orange juice (answer)
- change his position
 - administer insulin
- say that he’s just stressed out

11. Asked about pano: due to what lower anteriors are blurred/badly visible?

pic close to this but not clouded in incisors area, just blurred and lower incisors
were shortened in roots

- due to normal anatomy

⁃ chro
nic osseous disease
⁃ wro
ng incline of a pt/pt moved during xray (my answer)
⁃ carc
inoma

⁃
⁃
⁃
⁃
⁃
⁃
⁃ 12. Pano like this p
⁃
13. Pano with arrow pointing with an arrow on atlantis/C-1 body and asking what is
that. Can be confused with styloid process really easily (idk the final answer but it

looked for me like C-1 body)

14. Tongue pigmentation with brown dots in afro pt. Like on the pic i added below.
Qn what is that?
- normal feature (the answer, bc afro have more melanin there)
- raspberry tongue
- infection like virus
- hairy tongue

15. Case with leukoplakia tongue that was unnoticed by pt (pic is similar). Asked
what is that? - leukoplakia
-What is the best next step of management of this lesion?
- biopsy (might be the answer)
- surgery
- prescribe regular mouthwash rinse
- prescribe nystatin solution rinse (i chose this bc wasn’t sure if its leukoplakia and
thought its a good idea for dentist to eliminate differential diagnosis of candidiasis,
which may also be the answer)
⁃
⁃ 16.
A bit distorted pano asking why one mandibular rams is larger than the other.

⁃ -
bone tumor
⁃ -
congenital disorder
⁃ -
due to TMJ trauma long time ago
⁃ -
incorrect positioning of pt during pano taking (my answer)
⁃
⁃
⁃
⁃
⁃
⁃ Add
itionally:

A must to read article about dental pano reading

http://cdn.intechopen.com/pdfs/25169/InTech-
Diagnostic_imaging_in_oral_and_maxillofacial_pathology.pdf
Basically I took the most important for you to know from this link:
For Day 2 read
Rita, Zoya, Fruitpunch

these important discussions links to the group (by september-october 2018)

1.
https://www.facebook.com/groups/371596126190042/permalink/2223189194364050/?
comment_id=2420693111280323&notif_id=1539020749947589&notif_t=group_comme
nt_mention

2.
https://www.facebook.com/groups/371596126190042/permalink/2405008676182100/?
comment_id=2420692607947040&notif_id=1539020724736986&notif_t=group_comme
nt_mention

3.
https://www.facebook.com/groups/371596126190042/permalink/1942294232453549/?
comment_id=2420691247947176&notif_id=1539020649472301&notif_t=group_comme
nt_mention

4.
https://www.facebook.com/groups/371596126190042/permalink/2192497434099893/?
comment_id=2420692344613733&notif_id=1539020709576916&notif_t=group_comme
nt_mention

5.
https://www.facebook.com/groups/371596126190042/permalink/2127071993975771/?
comment_id=2420693447946956&notif_id=1539020771526459&notif_t=group_comme
nt_mention

6. https://www.facebook.com/saras.nnde/posts/327332207831665