Remembered questions 30-31 August 2018- GOOD LUCK!!!!

Many rqs from Mango

There were more options to these questions.

1) Finish lines for all ceramic restorations

a-chamfer+shoulder A
c-bevel+shoulder
c-feather edge+shoulder
d-feather edge+??
2)What topical anesthetics can you use that will cause vasoconstriction?
a-lidocaine
b-bupivacaine
c-benzocaine
d-cocaine ``````
more options
3)You are planning a bridge where first mand PM is going to be an abutment. Tooth has
short crown, non carious. What would you choose to do on the tooth?
a-full crown ``````
b-3/4 reverse crown
c-inlay
d-onlay
4)You are making and inlay and in the meantime you need a temporary restoration.
Which would be the WORST option?
a-made on the model with resin, cemented with ZPC
b-made in the mouth with resin and cemented with GIC
c-made in mouth and cemented with ZOE``````
d-made with ZOE (maybe it said improved ZOE?)
5)Which is a pulpal sedative?
a-ZPC
b-CaOH

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c-ZO with eugenol``````

6)You are making a RPD tooth supported, which one is not right?
a-Rest should be on mesial part of abutment
b-there’s no need to do an indirect retainer``````
c-the inclined plane should be adjacent to edentulous ridge
other options
7) Correct order to prepare a RPD (this is a rqs)
there were all kinds of combinations between preparing guiding planes, axial contour, rests
Answer: Prepare guiding planes, Heigh of contours(Carbon marker), Retentive contours (Block
out undercuts), Prepare Rests
8) How long to wait after bleaching to prepare a veneer? 1 week (NO option for 2w)
9) Correct order of events when bleaching and doing a veneer (there were a few
combinations including some of these options)
-prepare tooth for veneer
-bleach
-wait 3-4 days
-wait 1 week
-cement
10)Why does the Lingual bar have to be 4-5mm below the free gingival margin in RPD ?
Options were confusing
a-no matter where fulcrum is tissue won’t be impinged (those were exact words, very unclear,
but I thought it was the only logical option)
b-it’s more comfortable for the patient
c-that’s how deep is the vestibulum and it won’t impinge on the tissue or frenum
another option
11)When preparing a personalized tray for an impression for a complete denture, the tray
does NOT have to be 2 mm short on what area?
a-pterygopalatine notch
b- buccal vestibule
other options, none included the soft palate area
12) Recognize in a panoramic: it was quite clear (to me) it was an earlobe

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Recognize in a panoramic: big lesion on right side back of mandible, looked like ground glass.
The history that was given: two years, not painful swelling on back of mandible. I thought it was
fibrous dysplasia. Another option that was there was osteosarcoma and another 2-3 options.
12) When distobuccal part of complete denture is overextended what will interfere? I think
the question was regarding upper denture bc I thought the best option was Coronoid. Masseter
was also an option.
13)Patient complains CD falls off when speaking, what could it be?
a-overextended
b-underextended
14) Lower buccal frenum what muscle?
a-triangularis
b-zygomaticus
c-caninus
15) What will look like one feature only in lateral ceph?
a-pterygomaxillary fissure
b-sella
c- orbit
16) Into what space will lower third lower molar fall?
a-pterygomaxillary
b-submaxillary
c-sublingual
d-submental
17)Histologic description of a radiolucency surrounding a tooth in mandible with
parakeratinized epithelium, palisading (another few details I don’t remember, maybe
hyperchromatic nuclei?)
a-dentigerpus cyst
b- CEOC
d-KOT-- Histological examination of hematoxylin and eosin stained slides demonstrated a
fibrous cyst wall with a uniform stratified squamous epithelium, six to eight cells in thickness.
The epithelium was distinctive for a layer of columnar, pallisading, hyperchromatic basal
cells (Fig. 2). Rete ridges were absent and focally the epithelium was detached from the

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underlying fibrous tissue. The luminal surface was parakeratotic with a corrugated appearance.
The lumen contained keratinaceous and cellular debris
18) Patient feels his upper denture is impinging on his nose, possible reason
a-teeth set too labially
b-flange is too thick
c-occlusal plane set too high

19) What’s NOT an advantage of lingualized occlusion (since I had no idea what that was, it
was a wild guess. Later I read is a theory on how to set teeth on CD that nobody uses)
a-Better esthetic arrangement of teeth
b-No interferences on NW side (maybe W side?)
c-best arrangement for people with class 2 occlusion
more options
20) When pronouncing s, z , ch:
a- upper and lower incisors teeth on CD should almost touch
b- upper and lower incisors teeth on CD should touch
21)When pronouncing sibilants , upper and lower teeth of CD touch, what is the
problem?
a-excessive VDO
b-not enough horizontal overlap
22)What’s the minimum height needed for an implant on a complete denture supported
by implants (I understood- what height is needed minimum between ridge and CD if you want
to put an implant to support the denture. Didn’t know answer)
a- 3-6mm
b-7mm
c-9mm
d-12 mm or more
23)In what week does cleft lip happen?
a-6-9
b-2-3
d-11-12
No option of 5-6. 6-7, etc

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24) What is the genetic of cleft lip?
a-AD
b-AR
c-XLR
-multifactorial
25)What incision should be made to remove a torus in palate?
a-Y incision
b-W incision
c- other options, none included double Y
26)Why do you need the sulcus to be dry in order to put a retraction cord?
a-ease of placing
b-so vasoconstrictors don’t dilute
27)When do you need to do electrosurgery or laser?
a-There’s tissue overlapping the finish line
b-there’s capillary bleeding
c-there’s sulcular seepage
28) What’s the treatment for ranula
a-marsupialization
b-excision of lingual gland
29) Osteoradionecrosis is mostly related to (this is one of the rqs that’s 50:50 in answers
always)
a-Seen in maxilla
b-Seen in mandible
c- related to bisphosphonate use
d-happens when radiation is 42.5Gy
30) What is the first sign of damage after acute irradiation
a- death
b-erythema
c-hair loss
31) Patient started RCT and comes the day after with small cellulitis and fever, what
should we give?

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a- no need to give antibiotics
b-penicillin 1g in one dose then 500mg every 6h for 7-10 days (I hope I’m remembering the
correct dosage)
c-amoxicillin 2g orally in one dose and no more.
There was another option that didn’t sound logical, I chose b
32) What disease has the highest chance of turning to malignant?
a-Paget
b-florid osseous dysplasia
33)What is the lymphoma most likely to present in mouth?
-Burkitt. Cant remember other options
34) Description of a 22 year old that comes with red hyperplastic bleeding gums.
Hemoglobin 12’ WBC count 100000. PMN 90%, L 9%. What could it be?
a- multiple myeloma
c-Trombocytopenic purpura
c-cyclic neutropenia
d-leukemia (Myeloid Leukemia)
there was another option, all of them blood dyscrasias
35) Description of a lucent lesion starting from lower second molar extending to incisor
area (no xray).What’s the least possible diagnosis? I thought there were two equally
impossible diagnosis, at the end went with condensing osteitis
a-condensing osteitis
b-nasopalatine cyst (which I think is also impossible to have in mandible…)
c-adenomatoid odontogenic tumor
d-central giant cell granuloma
36) Most common place to find mucous retention cyst
a-LL
b-UL
c-palate
d-tongue
37) RQ about a doctor recommending a patient to change amalgams in mouth because of
mercury toxicity; what principle of the code of ethics is he violating? Veracity
38) When is a general dentist measured by same standards as a specialist?

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a- when he refers to a specialist
b-when he charges the same as a specialist for same procedure
c-when he works together with a specialist
d-when he decides to do a procedure that s usually done by specialist
39) One question on type 1, type 2 error statistics
40) Teophyline relaxes smooth muscle by inhibiting what?
a-adenylate cyclase
b-phosphodiesterase
c-monoamine oxidase
41) Battle’s sign is a sign of
a-Fracture of nose
b-Fracture of cranial base
other fracture options
42) Patient with Rheumatoid arthritis has been taking 3-4 aspirin a day for 2 months, what
do you expect to see on his blood work:
a-acidosis and metabolite imbalance
Other options that included combinations of: increased/decreased bleeding time, inhibition of
platelet aggregation, hypoprothombinemia.
The ONLY option that did not include anything about prothrombin was option A. Since I
remembered aspirin causes first respiratory alkalosis, I did not choose that option, but I regret it
because aspirin doesn’t influence prothrombin
43)Patient with emphysema, what would you expect to see on Forced expirium 1 second
(those exact words “forced expirium 1 sec”)
a-prolongued
c-delayed
c-high
d-low
44) Short story about a patient with candida, what medicine can we give that can be
given orally (systemically) and locally with efficiency
a-griseofulvin
b-clotrimazole
c-fluconaole

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not sure if miconazole was an option
45) antidote for benzodiazepins-
Flumazenil

46) question on amantadine- had to know is antiviral

47) An act enacted on 1997 that gives free treatments to poor children (etc). What’s the
name of the act? I had no idea, the only one I recognized was Medicaid which is wrong option
bc Medicaid is from the 60’s.
48) Description of a CT lesion that causes pseudoepithelial hyperplasia
a-neuroma (or neurofibroma?)
b-fibroma
c-schwannoma
d- granuloma
other options, I didn’t know the answer so I cant remember the options
49) What lesion is localized, not dysplastic, or inflammatory, or metaplastic or reactive?
a-systemic sclerosis
b-condensing osteitis
c-idiopathic osteosclerosis
50) What influences more the strength of a solder joint?
a-Buccolingual width
b-Mesiodistal
c-occlusogingival
51) Two similar questions on design pontic modified saddle ridge; should the pontics
touch/lightly touch/cause blanching of the ridge. Options included for example scraping the
model and constructing a gold pontic, or a porcelain pontic (since they said scraping the model,
I thought that meant pontic could be impinging on ridge)
52) What percentage of permanent lower permanent incisor is calcified at birth?
a-0
b-2/3
c-3/5, etc
53) one question of symptoms of nerurofibromatosis, obvious signs
54) question about multiple osteomas- Gardner (was obvious)

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55) question of supernumerary teeth – answer was obvious cleidocranial dysplasia
56) Recommended water fluoridation level : only good option was 0.6-1.2ppm

57) In a clinical trial, what would the power of statistical test be used for
a-determine the alpha
b-determine validity
c-determine size of sample group
another 1-2 options
58) In a 16 year old girl with a buccally ectopic canine, what else would you expect to
see?
a-gingival recession
b- deep bite
59) Lateral displaced flap is used to:
a- cover areas with gingival recession
more options cannot remember
60) When would we do gingivectomy
a- to reduce pockets
b- osseous surgery
c-to do scaling and planning of an osseous defect
d-mucogingival defect
61) You have a carious exposure of a mature permanent tooth, what’s the best course of
action?
a-pulpotomy CaOH
b-another option with pulpotomy
c-RCT
d-indirect pulp capping
62) What is not a predisposing factor for aggressive periodontal disease
a- race
b-age
c-gender

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d-nutricional deficiencies
Not sure I remember the question correctly

63) What’s is the main problem (disease) in an aging healthy population

a-caries
b-cancer
c-periodontal disease
64) What’s true about the preparation for an osseous graft?
a-Irrigation with saline is the most important
b-Must clean completely the cementum
c-Must clean completely the granulation tissue
d-Can leave a little bit of granulation tissue
65) When taking an intermaxillary bite registration at centric, after using an arbitrary
facebow, there must be only 1mm separation on second molar area. Why?
a- was must always be 1mm thick when using an arbitrary facebow
b-minimal distorsion
sorry I can’t remember rest
66) Bite registration on centric must be
a- thin without perforations
b- think but a few perforations are OK
c-thick
67) Wax is usually used for border molding because it can be redone (can’t remember the
word used but the idea is that you can redo impression many times), that’s because one
of the advantages of wax is
a-its thermoplasticity
68) Lingualized occlusion. What’s not an advantage? (I had no idea what they were talking
about so I don’t remember options very well)
a- Better esthetics
b-No interferences on NW side (or W side?)
c-preferred occlusion in class 2 occlusions

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69) There were 3 questions on what would happen if patient moves during panoramic.
One asked if patient moves for 1 second, what would you see (everything blurry, one vertical
line blurry plus a discontinuation of mandibular border, wavy mandibular border). Another
question if patient moves vertically. Another question was “what’s the worst quality of panoramic
for diagnostics”’ options included bad positioning on orthopantograph, patient moves 1 sec. I
thought asking three questions about it was borderline obsessive on their part.
70) Patient needs surgery to fix an 8 mm Open bite. What surgery would be the best
option?
a-Intraoral vertical osteotomy
b-Le Fort 1
c- genioplasty
d-sagittal split osteotomy
71) What area (out of a list they gave) is involved in a le fort 1 fracture
a-maxillary sinus
b-ethmoid sinus
72) A patient has skeletal class 2, but dentoalveolar is class 3, he has dental
compensation. What movement would you do pre operation
a- Upper I labial and Lower I lingual
b- Upper I lingual and lower I labial
c- both upper and lower incisors labial
d- both upper and lower incisors lingual
73) Stripping is done on what part of the teeth
a-Mesial distal
b-buccal lingual
c- O Gi
74) Incisal table angulation and position is determined by
a-condylar guidance
b- anterior overjet and overbite
75) Occlusal trauma can cause all, except
a- mobility
b-histological changes in PDL, lamina dura, bone
c-cofactor in developing periodontal disease

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d- periodontal disease
76) Side effects of nitroglycerin: learn them, they all sounded similar to me and didn’t know
the answer

77) What is not a consideration when giving medicines to the elderly

a- their metabolism is slower
b-they are less sensitive to CNS depression
78) pKa has most effect on
a-duration
b-potency
c-duration
79) What drug is available to do the desired effects:
a-free in plasma
b-bonded to proteins in plasma
80) What is not typical about dementia
a-Retention of short term memory
b-Those engaged in intellectual activities lose intellect slower
c- Difficulty making decisions, judgement
81) What can be the cause of bleeding 3 days after extraction
a- fibrinolysis
82) Treatment of alveolar osteitis
a-give antibiotics
b-curettage
c-put a palliative dressing
82) Name of the opening in soft tissue of a fistula: parulis
83) Upper lateral incisor has an abcess, fistula and periapical radiolucency. After doing a
RCT, what treatment is needed for the fistula?
a-nothing
b-excision
c-antibiotics

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84) What is NOT an effect of opioids:
a-constipation
b-xerostomia
c-miosis
d-peripheral inhibition of pain nerves
85) Most danger to operator on an xray room comes from:
a-scatter from walls
b-scatter from patient’s face
c-electromagnetic energy from the control panel
86) What kind of radiation does an MRI works on?
a-gamma
b-xray
c-radiowaves
87) Fluorosis affects mostly what tissue?
a- pulp
b-dentin
c-enamel
88) Knowing the composition of calcium and phosphate, when there’s an F ion, what
molecule does he exchange?
a-hydroxyl
89) Why do we wash the film with water?
a-to take away chemicals
b-to reveal latent picture
c-to shrink emulsification
90) Upper central incisor had a RCT because of a periapical radiolucency. After one year
patient comes back and periapical radiolucency looks bigger. What is not a logical
explanation?

13
a- scar is healing
b- leakage from crown
c- lesion s very close to incisive canal
d- xray was done from a different angle
91) During closure of mandible, what is least important (very weird question)
a-relaxation of lateral pterygoids
b-simultaneous contraction of elevators and suprahyoid muscle
c- another combination of muscles that included suprahyoid
92) When symphysis breaks bilaterally chin is pulled back by what muscles? There were
all sorts of combinations between these
a-anterior digastric
b-mylohyoid
c-genioglossus
d-geniohyoid
e-thyrohyoid
93) Most common soft tissue complication during extraction:
a-puncture
b-tearing of mucosa
don’t think there was hematoma, there were other irrelevant answers such as dry socket
94) Pain medication given after extraction that can work overnight:
a-naproxen
b-ibuprofen
c-acetaminophen
95) Oral histoplasmosis lesions resemble
a- cancer
b-aphtous stomatitis
96) What perio disease is not related to bacteria
a-desquamative gingivitis
b-periodontitis
c-gingivitis

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d-ANUG

97) What can cause bone resorption in tissue culture?

a-Endotoxin
b- IL-1
c- IL-2
D- TNF
98) In what instances should we do a biopsy? The only answer I thought works was “when
local treatment hasn’t worked in a lesion for 10-14 days”
99) Demineralized freeze bone works because it has
a-BMP
b-epithelial growth factor
c-fibroblast growth factor
other growth factors of proteins
100) What is responsible for retention of fissure sealants?
a-mechanical lock in pits and fissures
b-chemical bond between fissure sealant and enamel
c-tags inside dentin (this options was a little bit more detailed)
101) Why isn’t light cure able to cure all resins?
a- because activator (or initiator??) doesn’t respond to the wavelength of the lamp.(I don’t know
if that is true but other options didn’t sound to me…).
102) Amount of reduction for an anterior veneer in middle third? 0.5mm
103) Mechanism of action of sulfonamides
104) Question on what is neuropraxia
105) If implant is 4mm diameter, what is the minimum width of the ridge? There was NO
6mm option, closest was 7mm
106) Sphenooccipital synchondrosis resembles
a-epiphyseal plate
b-suture

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107) What is a synchondrosis?
a- cartilage
b-connective tissue
108) Forceps to extract upper first PM- 150
109) How does implant connect to tissue? Hemidesmosomes
110) Effects of cocaine
a- contraction of radial muscle
b- contraction iris dilator
111) Most difficult case to maintain space? I took out two options and was left with these two:
a- 9.5 year old that lost first molar (I know in that case we can let second molar just erupt
forward, but question said clearly “maintain space”, it didn’t say “manage case” )
b- 5 year old missing second primary molar
112) What causes pseudomembranous colitis
a-clinda
b-broad acting antibiotics
c-metronidazole
113) Question on what causes hairy leukoplakia
a- HIV
c- HPV
c- EBV
114) Drugs that are given for motion sickness:
a-scopolamine
b-chlorphenotiazine
(I got confused bc I remember promethazine is used for nausea, and chlorphenotiazine is
related… Obvious answer should be scopolamine)
115) a question on effects of atropine.

Day 2-some things I remember

Pathologies:
1) There was an older farmer, smoker and takes ferric sulfate every day . A description of brown
well demarcated small spots in palate: what can it be? What would you expect to find if you

16
biopsy (melanin, melanocytes, deposits of iron etc). What could be the cause? (smoking,
tobacco chewing, sun)
2) Same older farmer has a white patch on lower lip, doesn’t scrape off. What would you do
(cytology, incisional biopsy, excisional biopsy, put cream on it, etc). What do you expect to see if
you biopsy on upper layers? (I put keratin)
3) Another smoker guy with a white patch under tongue or maybe floor of mouth, he noticed a
month ago and it hasn’t changed since: what would you do (cytology, cream, biopsy, etc).
Looked like leukoplakia so I chose biopsy
4) 24 year old complains of a red bump on palate (can’t remember if there was something about
pain). It tells you it was biopsied and there was hyperplastic epithelium , underneath fibrous CT
and underneath healthy compact bone and Bone marrow. What could it be? Options were
osteoma, osteoblastoma, osteosarcoma and pleomorphic adenoma.
5) Same 24 year old has a lesion on sides of tongue, red with with border, well demarcated and
it wasn’t there a week ago. Only thing I could guess it was is eythema migrans (it did NOT say
geographic tongue). Similar to this:

6) Another older guy with a very small spot on gingiva between two teeth, to me it seemed like
normal pigmentation of gingiva. What do you expect to see if you biopsy (melanin, melanocytes,
etc)
7) lesions on buccal mucosa, little yellow bumpy spots- what to you expect to see if you make a
biopsy? I thought they were Fordyce spots so I chose sebaceous glands
8) 10 year old girl, in photo of lower arch, it asked- what is the darker color we see close to
insertion of lingual frenum: veins/ mucous acini of sublingual gland/serous acini. It was VERY
hard to say it it was acini or veins.

On drugs: I can’t remember most of them, but questions were very specific, need to know well
pharma. I remember amytriptilline, Lisinopril, Plavix, baby aspirin, something for type 2 diabetes
that I didn’t recognize, something for sinusitis that I didn’t recognize (I know it’s for sinusitis bc

17
the name was “naso “ something), inhaler for asthma (cant remember if albuterol type or steroid
type). Needed to know contraindications, drug interactions and side effects. What not to give to
renal disease (story of a 48 year old guy who 12 years ago overdosed on lithium and now has
only 40% function of kidneys)
Allergy to sulfa- what drugs cannot give.
Need to know how to classify perio disease: for example there was an old person with
generalized bone loss, but worse in incisors and lower molars (upper M missing). Is it
generalized moderate/aggressive periodontitis, localized aggressive, localized moderate.
One case of a 10 year old girl, late mixed dentition, only some second primary molars in mouth-
asked about upper midline compared to face (photo of face was tiny!, I had a hard time deciding
if it was deviated to left or not), Second question about lower midline, is it deviated? To right, or
left or not deviated. It did NOT specify if deviated compared to face or compared to upper
dental midline, plus you cannot see it in a photo. In my opinion question wasn’t written as it
should, it wasn’t clear. What’s her caries risk? She was caries free and good OH, so I put low
(some might say intermediate bc of divorced parents)
Same 10 year old had a missing second lower PM, second primary molar retained a little bit
under occlusion. Asked what is not a reason to keep the primary second molar? options were to
keep first perm molar form coming forward, to keep first PM from moving distally, to maintain
bone width. I chose option “ to keep upper PM form erupting”, and I chose that bc the tooth was
already infraoccluded, it could not have prevented overeruption of opposite tooth. What
resorption is undergoing the second primary molar? Replacement resorption. We needed to
classify Angle (it wasn’t as obvious bc of mixture of primary and permanents)
There was one of the cases around upper lateral that gums were gray (you can quickly say its
an amalgam tattoo). Questions was how can you make a definitive diagnosis on the
pigmentation? I chose “xray” bc you could see the pieces of amalgam around the tooth in
xray,didn’t think a biopsy is needed. The tooth didn’t have RCT so it could not have been the
post or cement.
Another upper lateral had a post-core: is the post: too long/too short/ Ok? Too wide/too thin. It
was difficult to answer bc I could not see the outline of the root (it wasn’t obvious if it was too
wide or normal).
Another case we had to recognize the radiolucency under two fillings- looked to me like
base/liner, not secondary caries.
There was a case with a bridge tooth 18X20 (or 17XX20). A small gap on margins of crown on
18. Tooth 20 no RCT, periapical radiolucency around root (not huge but a halo around apex).
History of pain and cold sensitivity on area. Which tooth could it come from? I wasn’t sure if 18
because of gap in margins or 20. I thought 20 was necrotic and could not have caused pain. Not
sure.
An xray of a tooth with a post and core and a gap between the post and remaining gutta- what is
it? Overpreparation for the post or taking away too much gutta?
A case of an older guy with many cervical abrasions on buccal and a lot of gold restorations-
what is not a probable ethiology? Toothbrush abrasion/cervical caries/ parafunction/chemical

18
erosions. I was thinking maybe the parafunction can cause abfractions so I chose chemical
erosions- probably wrong answer. What would you recommend him to do at home? I wrote
fluoride trays.
A younger guy around 25- had slight open bite from tooth 3 to 7 and mild crossbite on PM and
first molar on that area- what’s causing the xbite? Upper teeth tilted lingually, lower teeth tilted
buccally, constricted maxilla. It was local, lower arch was very well aligned and upper arch PM
and M were in a lingual position, so I chose “upper teeth tilted to Li”. Another question- how
could you fix the xbite? I answered by tipping upper teeth labially . He was also half class 2 in
molars and canine, but OJ and OB were minimal- what could be the reason that the OJ and OB
are normal? Options were bc molars are class 2, because canines are class 1, I chose because
upper arch is more crowded than lower
A case where first and second upper M were missing and sinus had undergone pneumatiztion-
asks about radiolucent area close to ridge- is it a residual cyst/other options/I chose normal
anatomy bc it was sinus.

Diseases: a lot of heart conditions, after MI, after stents. Depression, bipolar, renal insufficiency,
one needed prophylaxis according to his physician’s orders. Diabetes type 2, asthma.
Worth reading about medicines given to those diseases.

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BLACK ANGELS
Q: We are given fluoride supplement to a pt but she said she read we cant use fluoride so what
would you response be- Conflicting statement in puzzling or Up to you to use it
Pallor, chest pain and tachycardia where:
-CVS accident
-Myasthenia
-Heart attack
Hyperventilation
-Pre syncope

Professional code conduct means:

-Specific conduct
-Binding for Hygienist and Dentist
-Legal rules in and out the office
-Out of law rules

What is the first consideration for treatment planning?

-Pain and discomfort
-Medicaments and Systemic considerations

What results affected for Aspirin-- Bleeding time (Not PT or PTT) PT= Extrinsic Pathway is
affected by Warfarin, PTT intrinsic pathway is affected by Heparin
Clopidogrel affect- Bleeding time
Distal to 2nd Molar edentulous space with moderate to severe pockets, what no to do-- Option
Distal wedge or Gingivectomy
Pt reports nauseas while NO2 what to do:
-Turn off
-Give O2
-Give NO2

20
-Relax the pt
Pt had vasovagal syncope, do you do all except:
-Administer O2
- Place in Trendelenburg position
-Give Epi
-Apply spirits of ammonia
Q: Two implants with 3 units screw retained bridge. You took an xray and in that you found
there is no space at abutment-implant interface in one of two implants and in other one there is
space, what is your next action?
-Take another xray
-Tighten the screw
-Split the bridge and remove it
- Another option I don’t remember

You smile and praise the pt what is that:

-Contingence
-Social reinforcement
-Positive reinforcement

2nd click in TMJ is due to the disk:

-Anterior to normal
-Normal to anterior
-Free from dash

How is Incidence calculated:

-Estimated
-Rate

Stablish biological width- Approx 2 mm

21
Is Kaposi Sarcoma directly caused by HIV- False ( its caused by (HHV8) when pt is immune
depressed)

Altered passive eruption, 3 mm above the CEJ- APF or Gingivectomy ( I picked gingivectomy)
Bilateral balance occlusion disarticulates posterior- False

Unexposed Image- Light

Overexposed into developer- To dark image
Most important in shade selection- Value (Cannot be increased)
Wavelenght- Hue
Child who got an electrical burn on the corner of his mouth: How can this can affect dentition?
Rheumatoid arthritis- Autoimmune , Developmental or Inherited
Maxillary 1st premolar or maxillary lateral incisor which on is congenial missing-
Child 9 years old mixed dentition, lower canines unerupted, crowding of mand anterior, what to
do:
1-Disk and observe
2- extraction
3- lingual arch and observe

Some word for word the same some slightly differently worded some are the opposite of mango
or Andres like what is NOT true as opposed to what is true

My radiographs
Dentiginous cyst
Zygomatic process of maxilla
Amelo fibro odontoma----Ameloblastic Fibro-odontoma they said mixed radiolucent with
radiopaque in the question so was very clear

Simple LA calculation
Dentigerous cyst was obvious in Xray
Function of major connector: No option of stability and rigidity together
I picked Rigidity and Retention

22
5- Gold inlay prep-- Diverge from gingival to pulpal wall
When that Dental Lamina form?
What stage do supernumeraries form? Initiation
Description of Taurodontism like Extra-enamel organ or Dental lamina formed, make sure to
know this very well
Class 5 retentive grooves where?- Gingival and Occlusal walls
Contra of NO2
Fail safe of NO2 stops how much-70%
What is not function of Diazepam- Anti mimetic
MOA of Diazepam-- Ptentiate GABA
Side effect of Nitroglycerine- Nausea, Tachycardia and Head ache
Which hormone will interact with Epi--Thyroid hormones T3 and T4
Causes of anterior dental cross bite (2 check)
1-Thumb sucking, 2- Incisal crowding, 3- Supernumerary teeth
Minimun A Neutrophil Count needed for surgery-- I put 1000
Initial sign of HIV-- Asymptomatic
Actynomycosis infection--

Bzp reversal- Flumazil

Scopolamine used in-- Sickness motion
Least recurrent when removed-AOT
Mucocele tx-- Marsupialization or Sub mand gland removal
Has had previous radiotherapy what to do--- Refer to Oral surgeon
Veener-0.5 mm reduction
Short crown what to use- Full veener
Disadvantage of retraction cords- Necrosis do not specify
What pt to use GA- 2 yld with rampant caries
Histoplasmosis mimic what lesion-
Tooth must hard to floss- Max 1st PM
% of population with Fluoridated water- 71-76%

23
Most affected in perio disease- Max molars
Maintenance pt with 6mm pockets what to do- Local Abx or Local Abx + SRP in that region
Maintenance pt with 5mm pockets with excellent OH and no calculus what to do next-
Surgery
Function of MWF--
Disadvantage of Partial thickness flap- Impaired bloody supply (No periosteum in the flap)
Gingivectomy incision-- Coronal or Apical to MGJ
Difference btw Gingivitis and Periodontitis
Clinical Attachment Levels, Mobility or Pockets
Orbital fx what happens with movements- Limited to upper
First symptom of Cavernous sinus infection- Head ache
Hypersalivation temporary: Reason
Stimulation of receptors for apprehensive pt
Direct stimulation of salivary glands
Stimulation of Parasympathetic
Main bacterial complex in Perio disease-Red complex
Pt sits with elbows crossed and shaking legs: Implies what-Axious
Pt says he cant take care of his oral care at home: What to do next--
Features of Cherubism- Bilateral jaw expansion most commonly in young
40 YLD pt with bilateral cross bite what tx-Surgery
Athlete with jaw pain in the morning what is it-Myofacial pain syndrome
Extraction mand 3rd- Neuralgia or Trigeminal Neuralgia
Pt has sensitivity to hot and cold, pain when he gets up in the morning, what the diagnosis-
Reasons for extraction of 3rd molar-Recurrent pericoronitis
Intrusive movement risks- Cut nerver or blood supply
Anticonvulsivant used for chronic facial pain- MYSD, Neuralgia
Pregnancy what is concerned when she is on the chair- IVC (Sit her with left side, right hip
up)
Communicating honestly what is it-- Veracity
Gonadal xray question-
Remove amalagam what ethic-Veracity

24
Type of drill for implant- High torque low speed
Zinc oxide eugenol- Pulp sedative
Sequence of bleaching and restorations-
Vasoconstrictor anhesthetic- Cocaine
To distinguish betw Perio and Endo abscess-- Vitality test
Forceps for Max PM- 150
Moisture in amalgam decrease: Strenght or Retention
Moisture in amalagam: Dec stick to the walls or improve marginal seal
Mucous retention cyst most common location-
Pka in anesthetic affect- Onset
Bleeding 3 days after extraction- Fibrinolysis
What lymphoma in mouth- None hodking in option but Burkitt was there
The rita question about the direct toxic etch on the dentin
Occlusion question asked why you need to remove non working interference before putting a
new crown in- Something related to proper thickness of the crown
Most stable type of composite-TEGDMA matrix
Calcification of mand central primary teeth when-
Activator of light cure resin- Camphoquinone
Most fracture resistan ceramic- Zirconia
Class 5 root cavity what to use: GIC or Resin cement
Least fx strength ceramic- Feldespal
Cavitated non carious lesion- Abrasion or occlusal attrition
How to identify white spot- Air
Child become uncooperative and you use voice control it is everything except:
Tell child his behavior is unacceptable
Controlling voice tone
Gaining child attention
Mild form of punishment

Reciprocal anchorage what is it?- Equal and Opposite

25
What is a 3rd order bend-
How to treat Angular cheilitis with VDO-Increase VDO
Muscle dystrophy cause what problem
Function of incisal table influenced by Vertical and Horizontal overlap
0.2 mm wire options were 4mm, 6, 8
What does Apirin NOT influence Prothrombine time
Fluoride MOA-
Proscar used in what- Bening Prostate hyperplasia
What drug give in Hirsuitariam- I picked Eflornithine
Tetracycline affect what structure- Dentin
Kid taking Ritalin what disorder has- ADHD
Lefort 1- Max Sinus
No predisposing for Chronic perio- Age, Sex, Gender, Nutrition
Strenght of solder joint- Occluso-Gingival
Worst temp for Inlay- Make it in mouth and cemented with ZOE
Mandibular CD distobuccal- Masseter
Mandibular molar lingual CD what muscle- Mylohyoid
Flange thick on max anterior question
Questions on mandibular movement musculature
Dens in Dens picture and what stage
Sialithiasis most common- Wharton duct Submandibular gland
Cracked tooth most common---Mand molars
Self-removing lesions: Both Melanotic and macule were in options (Hemangioma)
First sign of radiotherapy- Mucosistis (Erythema)
Soft blue lesion unilaterally fluctuanting on the palate- Options were SCC pleomorphic and
Adenoma ACC
Girl with ulcers, lymphoadenopathy and fever- Herpes
Treatment of dry socket- Palliative (Sedative dressing)////What do we irrigate it with- Saline
(I had CHX in options but I think was wrong)
Most common problem during Max extraction- I picked fx of the alveolus (IDK if sinus
perforation was in options) but it did not mention posterior zone so I picked Fx

26
Most common after Max extraction- Hemorrage
Most common mand extraction and each option had 3 choices
Mechanism of Sulfonyl Ureas- Stimulation of Pancreas Beta cells
to secrete Insuline
Sulfamides Abx MOA- Inhibit PABA (Options were like Pryglyoclic acid that compete with
PABA product or summin) so I picked the 1st
Reason why mandible keep popping up-
Potasium sparing diuretics-Spironolactone
What do you do when making a CD for a pt- Set a realistic outcome of the Denture, other
options were Sell them the TP, Get the family involved to take care of their well being,
Encourage them to think is amazing or summin
How to treat mild anxiety pt- Try to answer their worries before gove BDZ
What NOT to do when dealing with anxious pt- Tell them everything is going to be fine
Worst place to do graft- Canine eminence or Interdental
Problem with making an FPD for missing upper canine- Abutment lie outside of the central
line (Something like that)
I have a hard question on lingualized occlusion in CD
Check biting in CD why- Dec horizontal overlap

What do we check at perio maintainence in xerostomia pt? Root caries or gcf amount?
GA contra indi in parkinson? Parkinson is ASA 3 so not contraindicated
I got some question from hydrogen file aug 30/31 and Rita
Identify RO or RL structures from a list
That implant length question where we thought is 12+ answer asks distance from bone
crest to opposing dentition in cd --I went 7 mm
Apical vs period abscess Pulp vitality
Ortho 7-9 ni ti what kind of movement to make room for implant on 8 position?
Gic advantage over composite very hard choice
External root resporption seen more in?
At birth a mand molar has calcified how much 1/3 1/4 1/2
Geo tongue picture
40 year old guy post crossbite tx- Surgery

27
Flange thick on max anterior question

IV administration of antibiotic not anaesthetic the patient starts wheezing, tachycardia, feels faint
I assumed it was a type 1 allergic reaction to the abx- Anaphylactic reaction more options
were Shock, Anxiety attack

First degree of burn- Redness (Other option were Complete destruction of epithelium and
dermis, Vesicle formation, Loss of sensation)
Question about the X-ray formula (Law square) they give time and intensity except distance< so
you have to calculate distance- Answer was 20

Which type of perio needs surgery and abx-ANUG?

Type of bacteria in ANUG initially before necrotic-
LAP needs ABX- Yes
Class 5 filling material if caries prone- GIC
Root coverage filling material- RMGIC

Disadvantage of fillers in comp, was no less esthetic during polishing but there was- higher
radiopacities

No an Effect of Opioids
-Depress respiration
-miosis
-blockage of peripheral pain pathways
-constipation
-somnolence

Most important thing when doing clinical trials on patients options were like
-making sure they know about the trial
-making sure they take no accountability for side effects
-informed consent

28
What is not needed in consent inform-to be written down??? I strongly doubt on this one
Interdental and marginal involvement- Gingival abscess
When not to do a gingivectomyapical to crest
The one about space behind 2nd molar- Distal wedge

Pt undergoing Dyalisis when is better to do appointment- 1 day after dialysis

1. Which drug can cause seizure in patients taking Venlafaxine? A.

Hydrocodone B. Azithromycin C. Tramadol D. Diclofenac ANS C 2.
2. Gracey currette 11/12 --MESIAL POST.TOOTH
3. Gracey currette 13/14---DISTAL POST.TOOTH
4. Adrenal crisis --CARDIOGENIC SHOCK,100MG
0.9%HYDROCORTISONE WITH SALIN
5. Purpose of Antiretraction valve-TO STOP INFECTION &PREVENT
SUCKBACK BACTRIA
6. 2 implant overdenture –
-A.Retention and support by implant
-B.Retention and support by tissue
-C.Retention by tissue,support by implant
-D.Support by tissue,retention by implant
7- HPV strain in oral lesions A.6 and 11 B.16 and 18
Manipulative patient A.Setting limits B.Distraction C.Behavior assessment
Antianxiety in pregnant patient PROMETHAZINE
10. Epinephrine reversal acts on which receptor? ALPHA1 R PHENTOLAMINE
11. Epinephrie in LA causes vasoconstricton through which receptor? A.Alpha 1
B.Alpha 2 C.Beta 1 D.Beta 2 ALPHA 1
12. Contraindication of nitrous oxide - nasal congestion TRUE
13. Contraindication of nitrous oxide A. First trimester only B.Second trimester
only C.third trimester only D.All trimesters
4. Dentist keeps up with recent developments and new skills, knows ones
limitations and when to refer patient to a specialist A. benefecience B. Non
maleficence

29
5. Contraindicated with ginseng - Aspirin TRUE
15- Sound to assess vertical dimension - S (SIlabants)
17. Purpose of plaque index A. to assess gingivits b. periodontitis C.for patient
motivation C
18. which margin is contraindicated in cast metal A. Chamfer B. Shoulder C.
Shoulder with bevel D. feather edge
19. Bur to use on porcelain A. Diamond B. Carbide C. Green stone
20. sodium hypochlorite - not chelating TRUE ,REMOVE DEBRIS
21-Calcium hydroxide use A. Intracanal medicament B. root perforation C.
Apicectomy
22. non working interference is seen on which cusps? LUBL
23. Temporal arteritis - loss of vision TRUE
24. passive night guard can be used for A. Masticatory muscle spasm B. TMJ
derangement C. Migraine headache
25. single implant feature ---ANTIROTATIONAL HEX
26 Forces destructive on implant surface A. Apical B. Horizontal C. Vertical
D.Oblique
27. GTR - coronal movement of PDL
28. GTR is used in A. Class 2 furcataion B. two walled defect 29. most common A.
one walled defect B. two walled defect C. three walled defect
30. advantage of laser flap A. improvement in clincial attachment B. New
attachment
31. NSAID's like Ibuprofen act on A.platelts reversibly B.platelets irrerversibly C.
extrinsic pathway D. intrinsic pathway
What condition shows sequestered bone in Xray- Osteomyelitis
Varicose tongue most common in: Elderly if not in option Hypertensive pt
Most radiolucent- Amelo- Fibroma
Green discoloration around the margin after porcelain crown 1 month later: Amide,
Micro crack or Microleakage
What happen when Amalagam get contaminated with moisture:

30
-Doesn’t stick to the walls
-Gets stronger
-Delayed setting expansion (Confirmed!!)

Function of Helix:
What cause anterior cross bite- Retained primary teeth
Implant failure and you have to extract the implant with trephination what is the next
step- Take another PA to see position of the implant respect to SLOB
Systemic and topical fungal infection Miconazole
Multiples osteomas- Gardner
Min count of Granulocytes for surgery- 1000
Main Problem in healthy aging population- Perio or caries
Before doing any studies what to get- Inform consent
Ceramic finishing lineShoulder
2 Years old kid- Have mother hold him
how to build rapport with a child- I went with lean down to eye level and talk options were say nothing explain
treatment increase rewards

What not to do with an uncooperative pt- Re schedule

Most common type of intrabony defects 2 wall (crater)
i got a flap or graft question the one we did here where the answer was clean of granulation tissue

Secondary colonizers what group- Red complex

Bacterias in the Red complex T. Denticola
You let the child walk around and touch the instruments how is that called: Systematic
desensitasion
Time for Perio maintenance after Surgery 3 Months
Most common dental emergency Vaso vagal syncope
Another about why u adjust it options were change in patients situation u never adjust increase maintenance will
improve patient compliance increased maintenance will decrease patient compliance- I chose Pt situation can be
either A or C This is for perio maintenance visits

One question on unbundling and 1 with bundling

31
Inssurance pay for your crown and core together even though were billed separately
Bundling
TAD- Cortical bone
What type of model is for IPA- Network model
1st visit of patient young child best approach
Parents stay in room
Parents stay out side
Use of chair is recommended
Knee to knee with active participation

Teenage boy doesn’t look at you and gives 1 word answer what to do ask him in person
or call in parents

11 YLD multiple class 3 and 5 caries on primary and secondary teeth what would u
initially do:
Restore class 3
Restore class 5
Find out what is causing the caries before tx

Tooth with most facial lingual convergence in primary Mand 1st molar

One tooth lower canine has vey little attached gingiva but not recession what does this
means:
-Candidate for graft
-May show reesion in the future
-Nothing will happen
-Common problem easy fixable

The most important indication for prognosis of periodontal tooth- Attachment levels
(Options were BOP, Plaque blab la)

32
How many furcations in upper if 3rd is missing- 16 (2 PM and 6 molars=8 +8=16)
Orbital blow out fx what movement is limited Upper because lower muscles are stuck
with fat in the inferior orbital rim
#19 thin attached gingiva what can you do- Gingivectomy
Cocaine what causes on pupil Mydriasis
What type of tumor in hyperparatiroidism- Brown tumor
4mm mass or tumor around parotid Pleomorphic and ACC in options

Old pt like 71 years old has a lower denture for 19 years there is 6x3 mm white lesion
on the buccal border of his lower mandible denture what to do
-Biopsy
-Refer to Surgeon
-Radiotherapy
-Releive are and review in 1 week

Most common sport for calculus- Mand anterior and Max molars
Most cracked tooth Mand Molar
Where does caries beging after cleaning: Occlusal, Contact, Occlusal to contact,
gingival to contact
Most common perio in what race Black male
Dens in dente seen in Lat incisor
Outline for Mand molar access Trapezoid
Max amount of lido for 16 kg kid- Around 74mg
If a test show 95 of 100 blabla 95% sensitivity
Fx of Amalgam MOD at distal and Mesial isthmus what to do- Redo
When to replace amalgam Recurrent decays
NSAID reversible Ibuprophen
Facially erupted canine what would yo see-recession

33
What NSAID will have least effect on bleeding Aspirin, Ketoralac, Indomethacine,
Colecoxib
Perforation in max anteriors where- Mesial
Commonly btw Aspirin and AcetominophenAnalgesic and Antipyretic
Pt take heavy breath every 10 stepson a bounch of meds what will you not do: Cant Put
him on horizontal position

Pt got messed up anterior teeth want a smile make over, what the best to tx plan or best
aid in tx plan
-Xrays
-Diagnostic wax up

Type of bacteria in plaque after 1-2 days-Gram + Cocci and Rods

Bacteria responsible for collagenase activity Porphiromone. Gingivalis
Apexification where- Non vital tooth
Separate from basal tissue Pemphigoid
Apexogenesis where- Vital tooth
Submandibular drain into what space- Platysma
Large bone graft from where Iliac, Rib, Chin, Ramus
Epulis fisuratum resembles- Irritation fibroma
Pain in mental nerve area- Traumatic neuroma
Methotrexate all except- Bone morrow suppression
Advantage of indirect over amalgamBetter occlusal contour
Deciding to do a cusp reduction Stability, Resistance, Retention
Why do we use onlayCusps are undermained
Pt with Xerostomia what is best RPD base Acrylic or Metal
Less tissue detail in what RPD base- Metal
ASA 3 patient- Systemic diseases but controlled
ASA 6 patient Cerebral dead

34
Distance btw midsagittal and xray in lateral cephalometric xray- Options 5ft, 6ft, 150
cm

Day 2
For day 2 you need practice, do a lot of prostho and Ortho cases
Learn drug interactions
Learn what to give and what no in Liver and Renal disease
Learn what disease need prophylaxis
Radiographs have two parts 1 and 2 they don’t tell you that in the intro
Some case histories are in the dental chart so make sure to read it carefully
Learn plaque score and what OH indication according to the score
Case asking about effect of estradiol in gum tissues,
Patient with syncope what to give and what not
Mesio dens in Xray
Post and core question- Role of post, role of farrule
Lateral cephalometric xray asking for palatal floor of maxilla
Typically extruded tooth, not counter tooth in the arch
Make sure to know the correct post length
Farmer given xray asked what did you see in opg. Missing 19, near the apex what is the
radiopacity. I said retained root tips
Lesion inside the mouth asking what can be except-Focal keratosis
In what cases we can do inmidiate implant after extraction When you have good bone
quality and not residual apical infection
ADHA patient if you give Epi with LA what could happen-
One case tooth #2 has a MOD Ag restoration and #31 opposing has metal ceramic
crown, if you want to change the filling in #2 what material would be the best:
Amalgam, Lab Indirect composite, Direct composite (No ceramic in options)
Case with temporal arthritis asking immediate effect: if ear ache or loss of vision

35
Normal levels of Hba glucose, the answer was talking about level 8 I don’t know if its
high or low Normal level 5,6
Side effects of lisinopril: Cough, Orto hypotension, Angioedema, Contraindicated in
pregnancy

Todays Day 1 Qs
A lot of qs on Pt management including 
Battery: Do a procedure in a pt without inform concent
 
Unbundling: Charge every single xray of a FMX rather than the complete procedure

Nonmaleficinece: Do no harm, do well, know your own limitations and refer to an specialist if you
think you cant do the tx, keep your knowledges updated, consult a second opinion when ever
prudent, delegate the care of the pt who those qualified to do certain procedures (assistants), do not
practice under abuse substance, do not undertake the course of a treatment of one pt without given
the pt a prudent time to find another doctor putting in risk the health of this pt, do not contract
relationship with your patients

Benificence: “Do good”, Community service, Shared discoverements, report child abuse or any other
of abuse sign, dentist is the leader of the oral health team and should promote an environment of
mutual respect and consideration among co-workers and patients

Justice: “Be fair” “Fairness”, do not discriminate against sex, gender, race or any other type of
segregation, a Dentist is in the obligation to make arrangement in the schedule in order to provide
Emergency care to those in need, fault in report harm from other Dentists, Malpractice to your pts is
a violation of this principle (Justificable Criticism), Dentist should not accept split or fees from
marketing or propaganda while selling products of unknown results to a pt
Veracity: “Communicate truthfully” The Dentist should be honest when communicating with people
and maintain intellectual integrity, the removal of dental amalgam from a pt mouth by just stating that
it’s a toxic substance it’s a violation of this principle, any procedure or diagnosis made without based
scientific facts is a violation of this principle, its illegal for a Dentist to increase the fee of a pt just
because the pt has a better insurance, A dentist to send a claim with an altered date in order to take
advantage of the pt benefits is violating this principle, perform unnecessary dental service to profit
its another example, a dentist who announce a title or diploma that he don’t really have,

Autonomy: “Self-Governance” The Dentist has the right to respect patient decision and
confidentiality

Types of cases given options had

Case control: Two groups Cases and Controls, look back in time (Medical records) to correlate a risk
factor with an outcome Measured with Odd Ratio, good to identify rare diseases

36
Cross sectional surveys: Snapshot in time of the population, shows prevalence, inexpensive
t test: Evaluation of two means (Treatment and Control), or two groups A vs B
Chi test: Comparison between two groups Example boys and girls. Measures the association
between to categorical variables ( Ex: When an investigator wants to compare the rate of caries in
childs using fluor and the rate of those that do not use fluor)The evaluation involve two categorical
variable 1) Caries status of the child( Craries free or With caries) 2- Status of the water fluoridation in
the area ( Water contain fluor or not)

Pt looking down what to say: What brings you in today sir

Desensitization how: Progressive stimulus from an ascending hierarchy [Graduated exposure]
It occurs in 3 steps:
A) Identification of the anxiety and induce hierarchy stimulus
B) Learning of relaxation or coping techniques (Diaphragmatic respiration)
C) Connect the stimulus with the coping technique ( Learn of self-control)
( Start with topical, massage the surface, prepare the patient, do the anesthetic pinch), another is let
the pt take the xray holder to home and practice, another

How to treat manipulative kids: Operant extinction

TN calculation : TN/ TN+FP*100 (Shows specificity people without the disease)
Pharmacology
Epinephrine: Sympatico mimetic, alfa and beta agonist, reversed with Phentolamine (Oral versa)
 
What LA drug to give in hyperthyroidism: Mepivacaine (no epi)

Beclamathasone: Cortico steroid used in many areas included Asthma, COPD

Ginseng: Blood thinner, not should be given with any anticoagulant

NSAID S action: Inhibit COX 2 irreversible only by aspirin other are reversible

Pt taking anticancer drug what adverse effect: Bone marrow toxicity, GI toxicity, Skin and hair
affected, Nausea and vomiting

Actions of atropine: Antimuscarinic (Dry mouth, eyes, mydriasis, constipation, tachycardia)

Codeine: Opioid (Mixed with Acetaminophen=Tylenol 3 Schedule 3) Also used to control cough
Hydrocodene: Opioid (Mixed with Acetominophen is Vicodin Schedule 2) Used to treat strong pains
more chances to create dependence.

Nitrous in pregnancy what trimester not to give- 1st trimestrer but its not an absolute
contraindication, can be given in an emergency

GA Sedation advantages- Titration (Can be measured better)

Calculation of child LA 62 Pounds× 4.4 (28kg x 4.4= 123.6)
Hydrocortisone: Used in adrenal crisis
Adrenal insufficiency : Caused by prolonged regimen of Corticosteroids more than 2 years
Angina drugs: Nitroglycerine, Beta blockers

37
Epinephrine reversal act on what adrenergic receptors: Alfa 1 and 2
Benzodiazepines reversal: Flumazenil
Weelchair question how to transfer the pt: Sliding board
Who is at a least risk of inhaling NO patient dentist hygienist assistant
Ortho 
Frankfort horizontal what points= Porion to Orbitale
Not many qs that I can recall
Pathology
Traumatic neuroma= Painful, commonly in mental nerve foramen
Vericous carcinoma appearance: Cauliflower, warts caused by HPV mainly 16 and 18
What is not a true cyst: Traumatic bone cyst, Stafne cyst
Traumatic cyst appearance in a radio scalloped around the roots
Okc= Associated with Gorlin syndrome, high chances of recurrence, frecuent in mand post and
ramus,pallisanding cells, hyperchromatic nucleus, keratinized epithelium, from REE)
Least recurrence= Adenomatoid Odontogenic Tumor (Teenager, anterior region 50% of the times
associated with an impacted canine, female)
Most prevalence caries: Caries=White, Caries in kids=Hispanics, Untreated caries=Black Perio
diseases=Black
Lower lip swelling due to what: Mucocelle (Severance of minor salivary gland)
Biopsy incisional excisional when to do: If less than 1cm excisional, if more Incisional) and if lesion
do not resolve after 14 days of follow up and removal of risk factors
Was presence of desquamative cells in cytology. What to do next: Repeat cytology, Biopsy, Refer
for radiation, Refer for Resection

Blue growth on tongue for 5 years Hematoma or Hemangiona- Hemangioma

Hard palate has a white mass- Papilloma

Radio 
Dark radio why- Overexposed, Overdeveloped, Solution to hot
Radio resistant- Muscle cell
Exposure Square law E1/E2= (D1)2/ (D2)2
Erythema on slow low dose-Occur after 2 weeks of radio
Biological system exposure-
Operative 
Base thickness depends on Remain Dentin thick
Differnt scenarios and how it treat them: Rule of thumb: When 2 teeth adjacent to each other have
Class3 lesions, prepare the larger first and fill the smaller one first, access to the prep and color
matching are better when you do both at the same app.
Which cavity to fill first and prepare first

38
Prostho 
Arcon articulator The condylar element is in the lower member, resemble most accurately the TMJ
anatomy, good for Fixed protho
Facebow many qs on it: Transfer the hinge axig of the mandible respect to the Maxilla
F sounds: Position if anterior teeth (Wet line by incisal max)
Wax try in sounds: Fricatives for Anterior teeth position, Silabants for Antero posterior position of
incisors S sound tell the pt say 66
Protrusive record: To set condylar inclination in articulator

Tongue position above or below the mandibular plane: ABOVE THE OCCLUSAL PLANE
Buccal flange in Border moulding what movements of tongue: Should be buccinaor, masseter
Surgery 
Lefort: Runs anteroposterioly above the max teeth apices along the maxillary bone and can affect
pterygoid plate of sphenoid
Implants 
Peri implantitis causes: Progressive peri implant bone lose due to accumulation of plaque, overload
of the implant or combinations of it
Inr Normal 0.8-1.2 it’s a measure of the PT External pathway of coagulation Safe range for surgery
up to 3
Drug relationship to Pt PTT bleeding time: P, INR affected by Warfarin, PTT affected by Heparin
Warfarin= Coumadin Blood thinner, interfere with the Vit K factors of the coagulation
Factor X= Hemophilia

Types of grafts best type

What does the recipient epi depend on after Graft
What is the purpose of internal attachment In implant
Perio
Furcation most common 
GTR
What isn't useful in grade 2 furcation soft toothbrush, irrigation water pik, small brushes 
suprabony 
Gingivectomy
Attached gingiva
Percussion test
Hallmark of acute abscess
Supporting bone removal wht procedure

Question asking transillumination in kids:

Cleft palate
Koplik spots
Herpetic Gingivo…
Sialolithiasis

Fetal alcohol syndrome features:

With nasal bridge, cleft palate, microcephaly, micrognathia, palpebral fissures

Trisomia 21- Macroglosia

39
Most common congenital defect or anomaly
-Cleft lip
-AI
-DI
-Ectodermal dysplasia

What disease have not been proven to be associated to perio disease

- Diabetes
- Smoking
- Nutritional deficiency
- Poor oral hygiene

Pt with mouth breathing will have- Open bite

Pt with 8mm of open bite what tx
-Lefort 1
-Sagittal split
-Vertical oblique something

Cracked tooth syndrome most common sign- Pain when release the bite
Most common tooth involved in Cracked tooth- Mand Molars
Minimum width of the major connector:
- 6-8
- 4-6
Attached gingiva from what point to where- MCJ to the base of the pocket
What is the function of the major connector- Stability and Rigidity
Periimplantitis least cause of it: Iatrogenic and something to do with clotting
A break in a recently placed MOD in the isthmus why- Inadequate depth/ Axiopulpal line angle not
beveled
Pins Inc retention but dec strength
Order to place cords-
Around margins PFM discoloration why- Silver if not in options then Cooper
Pt who feels he will be doomed has:
-Fear
-Phobia

Bence Jones proteins- MM

Pregnant lady with urination and something else Preeclampsia (Symptoms of Preeclampsia=
(Elevated protein in urine, Swelling in feet and face, elevated blood pressure, suddenly weight gain)
Punched out lesions-MM

40
Best way to diagnose NUG= Punched out interdental papilla
Tx for LAP Abx and Debridement
Most prevalent perio disease in kids-
Trauma in kids at what age-
Dental brush without assistance at what age-
BBB made of what- Astrocytes and tight junctions
Bioavailability means- Fraction of the drug reaching the systemic circulation and its target
Lichen planus- Autoimmune lesion, destruction of basal layer
Trauma in young kids due to- Lack of neuromuscular coordination
Informed consent does not include- Insurance cost, copayment or any financial fact
Perio assessment
- CPTIN (Community Periodontal index of Treatment Needs)
- DMFS
Most frecuent wall defect- 2 walls defect
Partial antagonism means:
Percentage dose curve and Dose effect curve similarity-
Combination syndrome has what least likely- Increased VDO
Most common impacted Maxillary and Mandibular tooth-Max=Canine, Mand=3rd molar
Arch discrepancy in mand and Max which tooth blocked out-Max canine, Mand 2nd PM
Head neck radiation what caries- Cervical
What bacteria in plaque, but no an initiatior-
What drug does not dec saliva-Pilocarpine
Implant best site-Post mand
Prevention of Pt law suite what should the Dentist do- Competence
Ludwing angina not in what space-NO in Retropharyngeal
Mand 3rd molar root deplaced to what space- Submandibular
During IAN not been able to achieve proper anesthesia means went to which accessory innervation-
 Mylohyoid
Clicking of teeth- Excessive VDO
Facebook measure what (Infra orbital to max?)
Post teeth disocclude what type of occlusion-Mutual
Avulsed tooth tx:
Intruded primary teeth tx
Splinting not done in what situation: Intrusion
Candida in a pt with Cancer because- Due to radio, due to chemo or due to neoplasia?
Sausage like appearance- SialoDOCHITIS
What cannot be on tongue- Peripheral Giant cell granuloma
Space maintainer after lost what tooth- Primary 1st or 2nd Molar
Arch length: Primary Distal of 2nd Molar, Permanent Mesial of 1st molar

41
Myastenia Gravias what Abx- Penicillin, Contraindicated- Erythromycin
Bipolar disorder what medicament- Lithium
Click sound on closing because of what position- Disk displacement with reduction (When pt is at
rest the disk is anterior to the condyle and when the patient open the disk comes posteriorly and
insert in between the condyle and fossa {1st click} when pt close again the disk return to its ectopic
position anteriorly {2nd click} the condyle at rest position will be constantly facing the fossa bone-to-
bone which cause pain and inflammation)
What do the dentist do to a child with internal derangement-- Options Occlusal splint, Ortho tx and
more
Rigid fixation has what- Screw or Wire (Wire is semi rigid)
A displaced fx of the Jaw is difficult to treat with internal fixation because-- Muscle pull
Reciprocation (2 click) due to- Reduced disk displacement
PVS retarded setting because- Latex
Zinc phosphate powder increased what happen
- Dec viscosity
- Dec thickness
- Inc Acidity

Pulp capping best results - 0.75 mm exposure

Elastomer disadvantages- Cost and Record VDO, not good for bite registration, poor tear strength
Hypoxia first sign- Elevated pulse, cyanosis
Oral sedation disadvantages- Prolonged duration of action, non predictable sedation level, GI
absorption
Paresthesia of the lip indicates- Malignancy
Class 2 the matrix should be placed where- 1mm above marginal ridge
What not to do if less keratinized gingiva on distal of second molar- Distal wedge (Sufficient
attached gingiva and space must be present to do Distal wedge) keep in mind that Gingivectomy is
contraindicated if the bottom of the pocket is apical to the MCJ

Infectious mononucleosis features- Sore throat, lymphadenopathies, EBV is the culprit

Something called PICO and what means the O- Outcome
Montelukast MOA- Inhibit leukotrienes
Leukotrienes clinical manifestations
Pt has class 2 decay deep into cementum where gingival margin is and wants composite for
aesthetics. What material would you place in gingival margin? -- RMGIC (Sandwich technique)
Mercury toxicity causes Visual or Audtory disturbances- Hearing disturbance, speech problems,
renal toxicity
Class V composite where is the retention-- Grooves on occlusal and gingival
Athetoid Palsy features- Athetosis=Slow, continuous writhing movements, Dystonia=Repetitive
movements, Chorea=Small, quick unpredictable movements, they have difficult maintaining posture
and balance, standing and walk and coordinating movements

42
1-What is the difference between primary & secondary trauma ?
Both option was there occulsal and health of the periodontum--- In both there are perio problems-Occlusion is
the cause in primary but not in secondary.
2- what is conjunction?
The addation of molcules is the Ans (Link together)
3-periodontal problems mostly assoicted with
Hypertension
Smoking,
Deibetes plaque
4- freacture on the orbit of the left eyes which border of the maxillary sinus will it effect?
Superior
Inferior
Postier
Anterior
5- What was Chess and Thomas categories of Children Temperament?

6-Pain on half of the face, that comes once a month and its?
I believe the answer was Migraine.
7- know the different btween granuloma and cyst histologialy they ask you like
Periapical granuloma= Fibrocellular connective tissue stroma with chronic inflammatory cells infiltrated (Mainly
plasma cells and lymphocytes) fibroblasts and collagen fibers
Radicular cyst= Stratified squamous epithelial lining, surrounding C.T fibrous capsuled with chronic inflammatory
cells, Rushton bodies, Multinucleated giant cells, Cholesterol cleft, epithelium may undergo malignant transformation
… the histology content for each I had 2 Q for each like Periapical lesion biopsied after apicoectomy of RCT treated
tooth, tooth still sensitive tooth, with lymphocytes, plasma cells, and connective tissue�a. abcess�b. granuloma�c.
cyst,� GRANULOMA

43
8- Pateint
9- Distance btween 2 implants?
Answer 3mm
10- I had like 4 question on dental anatomy.
11- primary first molar and 2nd in compare to first molar and premolar of permentet teeth?
1-Greater then
2-Smaller the
12- Mucus retention cyst –
lower lip, ans
upper lip,
gingiva,
buccal mucosa
13- Most stable imprassion
– pvs,
– polyether�
Which impression has water as by product?
Polyether
Hyrdrocoilled
Silicon addation
Condseation sillion
14- which mouth rinse you give to disabled chiled?
NaF
Listerin
Chx
15- conical shape anterior teeth are related to
ectodermal dysphasia�
16- which one is schedule 2? Both are the same Vicodin=Hydrocodone + Acetominophen
1- Vidocn
2- hydroxycodon + Acet �

17- which one is nsaid selective cox 2 inhibitor

celocoxib ans
18- bis-phosphate used in all except?
�A) Prostate cancer to bone
b) breast cancer to bone
c) osteomyelitis (ans)
D) metastatic
19- TEGDMA? I think the answer was makes better on restoration color
20- Herpangia test ?
serum�
21- leeway space = 1.5 Max 2.5 Mand each side
22- 4.4*16kg=72 �
23- Atropine lead to ? I think disorientation �
24- Veracity truthfulness �
Autonomy – consent �
25- cleft lip/palate percentage ? 74% not sure check it
26- Major conector-
1- support and retention �
2-rtention and rigidity
2- rigidity and support. I can’t remember the 4th option

27- Laryngospsam ans(stridor) �

28 Angle of SRP instrumetns is (45-90) �
29-MOA of BNZ- Potentiate GABA receptors
30-Phontics problem associated with F,V and anther question problems with T, D
31- Gingivectomy contraindication (not enough keratinzed gingiva) � True also infrabony pockets
32 Disability Act - you can’t refuse any patient to treat. The same act protects the right for HIV �patient (true or false)
both true, �
which antiviral you give patient wo has herpes and CMV?
33-a question about disability Act you can’t refuse any patient to treat. The same act protects the right for HIV

44
�patient (true or false) both true, �
34- Disability Act - you can’t refuse any patient to treat. The same act protects the right for HIV �patient (true or
false) both true, �
35- Ferrule for
1- retin the core
2- to hold the tooth and prevent fracture ** Minimun farrule 1.5 mm
3- for something about post and core
36- Sialolith most common in which gland submand gland
37- 132- Panic attack means -impedding doom
38-#212 Ivory function ? for Class 5

39-Chronic inflammation – plasma cell, t-lymphocytes, mast cell, neutrophil

40- Recall appointments should be scheduled for children at?
a. 3 months
b. 6 months
�c. 9 months
�d. 12 months�
40- How do you repair a porcelain veneer with composite?
a. microetch, etch and silane�b. sandblast, etch and pumice�c. pumice, silane, etch�
41- Dentist or surgeon perform surgery perform surgery without informed consent which ethical principle obligate
Veracity�
Battry
41- High cyst recurrence –OKC�
42. More cutting blade on carbide bur
�a. Smooth surface and less cutting�
b. Smooth surface and more cutting�
c. Rough surface and less cutting�
42- Mn MB incline on MB cusp of stainless steel crown has wear, mvmt of WORKING AND PROTRUSIVE�
what is the different btween endodontic absess and periodonc abscess in non-endodontic treated tooth?
1- pulp vitiltiy
2- percussion
3- I can’t remember the other options

43- Reason for failure of replantation of avulsed tooth:�a. external resorption.�b. internal resorption�
44- Cementation of band and loop common outcome All of the above, except�A. Creates space�B. If leakage from
cement – recurrent decay�C. Prevents tooth from super erupting with opposing�
45- What is reason for the altered cast technique when doing an distal extension rpd :�A. Support�B. esthetics.�C.
Retention.�d. resistance�
The dentist charges separately for core build up and the crown but the insurance company says that the core build up
is part of crown.what is this called? Bundling�
And had anthor question about unbundling

Day 2: Based on everything you studied ?

Case 1:
64 year old want to remove all his teeth” Iam so fed up with my teeth”

Dental history: couple restoration and are filling down inclusing I believe PFM or cermic crown that fills down in tooth
#9?

Medical history he was an alcoholic and stoped after being on consultion and now is taken Bupiron and
Actamohine for pain?

Quesitions were asking what Kenddy class he has?

It was class 3 MOD 1
And which drug is safe to take for him. 
Actamophine+ hydrocodin was among the option don’t remember the rest?
study kenddy class and the alchol and acta reaction..

Another question what code of eithics the doctor would break by extracting all the teeth?
Varcity and …

45
Benfince and.. 
Nonmelfinces and 
14 year old girl she has Asthma and is taken Albutrol and Lukoterian, she has ectopic erupticed canines
both #6 & 12 what is the treatment ?

- what occlusion she had it was class 2 divison 1

- ANB = 6 Ans was Class 2 I believe
Another case
9 year old boy he had medical history of kidney dialysis and heart valve defect, question what should we
do the dental procedure. he also had enamel dysplasia 

Another case where man is taken Bupropion what is the side effect. Chantix one question about it too. 
29 year old female had PFM on upper pm wants to cover the black line on the crwon what to do.
1- resion bond
2- redo the crown
3- put venter 
4- I can’t remember 
She had spots on the face options were
Basal cell 
Melanocytes

Posterior nasal spine- Palate

Anterior nasal spine- Maxilla
Most commonly misdiagnosed as endo lesion: 
Lateral periodontal cyst or periodontal absecc- Lateral Periodontal cyst

Emergency treatment for active apical abscess with fluctuant mass , what to do if it’s emergency 
I chose incision & drainge 
Other options were pulpotomy
Pulpectomy and leave it open 
Or one visit rct

 Anterior guidance and condylar guidance-anterior guidance should be equal to or greater than
condylar giudnace due to it helps keep the condyles working against the posterior slopes of the articular
eminences during excursive movements. Distraction of the condyles due to CR or excursive interferences
can be harmful to the TMJ

1- patient has lesion and you want to know more details about the soft tissue of this lesion the best method for
diagnosis
MRI with dye contrast-MRI- CT Scan
2- 45years man coming regularly to this office since 20 y every 4-6 Months for regular Ck up he has red blue
cyst on lower buccal side filled with mucous
The first line of treatment is
-Don’t worry it’s viral infection
-Antibiotics
-incision biopsy
-excision biopsy
-cytology
3- 45 y guy smokeless tobacco for 16 years and 2 beer a day came for regular CK UP and he scheduled for
oropharyngeal cancer surgery and chemotherapy what is the main reason for his cancer

46
smoking - drinking alcohol-HPV
4 - complet. denture opposite partial denture which type of movement= Bilateral balanced occlusion
5- many Q about muscles helping to open and close the mandible
6- furcation of the premolar
Coronal /cervical / middle/Apical
7-class 2 filling baby molar and the difficulty Coz of
Diverge / converge / crown. Size
8- the main reason of pain after RCT
perforation /coronal leakages/
9-you did 1st RCT detriments on a lady and she called in the night said my tooth is sore (she’s not allergic to
penicillin) RX
NSAID -Vicodin - Clindamycin-pen V
10-RCT contra indication
recent MI-leukemia...
10- trisomy 21 both was their
Macroglosia / clas iii / rampant caries
11-sickle cell patient what’s the most effect
NO2/trauma/ bleeding
12 if the patient has cyst when u decide to do biopsy
If the cyst not respond toTT 7-14 days
X-ray to diagnose only
X-rays and oral evaluation
Ct scan
13- 60 years old man no medical history after he set on the chair the assistant recognized him with no
response after you gave him O2 his pulse stop according to AHA America heat Association the compress
should be (gave some number) and what’s the normal pulse rate
60-80-100-120
14 MOA
Aspirin-Cyclooxygenase-Cox 2
Sulfonamide-PABA
DOXY- 30 s ribosom
15- burn on the corner of the mouth - Micrognatism
16-irreversible impression -
You can wait 15 minuets to pour it
You wrapping the imp with wet tissue
17- 14 years boy has #30 RCT and uneven occlusion on the right side (panovery clear) asymptomatic
It’s ossifying fibroma or fibrous displassia
17- 20 y bad OH eating too much sweet and using the computer most of the time and no insurance TT
except
Instructions
Improve OH
Flouride supplement (No systemic fluoride over 16 yrl)
Flouride tray and tooth paste with Flouride
18-mild anxiety patient how to manage his anxiety
Pre visit pharma
Firmly tell him be quiet the treatment will go forward
Explain to him the situation
Reassurance the TT will go without pain
19 -pano and show impacted canine asking what’s the reason of upper jaw reduced in the length
Impacted C
Impacted 6(he’s adult with full dentition )
20-pano asking about the age
6-7
9-11 he has all the teeth erupt except the canine
12-14
21- 4 years boy with congested heart failure hold by his mom and looks very dependent the reason is
Too much hospitalization

47
Over protective by parents
Physiological effect of his disease
Psychological effect of the disease
22 lady with defect on the heart and kidney with face rashes
Systemic lupus
23 lichen Plano’s patient on picture
24 burning tongue- melkrrson disease
25-patient has sensitives on upper ant teeth TT
tell him to reduce taking the acid drink
Use Flouride Varnish
Mouth wash after each acid drink
26- picture of 10 year girl with swelling on the Lowe right side and redness she had pain on Lowe molar
before one month and gone also she has fever ( hundred something) diagnosis
Cellulitis / PA abscess / PA lesion
27 forcep for upper premolar 150
28 difference/B/ 330 -245 bur this one is longer 3mm
29- why cancer patients with chemo or radio therapy they got bleeding
Fragile Vessels or neutropenia
30- steps of cast and analysis which one before which one after:::: Tooth prep-1- Parallel guiding planes,
2-Heigh of contours (Survey), 3-Blockout undercuts 4- Rests RPD prep Path of insertion, Rests, Major
connector, Minor, direct retainer, Indirect retainer
31 adult has viral tooth with resorption but asymptomatic no PA so the TT Will be
RCT / leave it and follow up/ polpectomy
31 Distance between 2 implant twice..3 mm
32-ADA has something to protect the provider all except
Rubber dom
33-Optimum fluoride 0-6-1.2
34-The mechanism of MRI working - Radio wave
35-Reduction of PFM crown in the middle third 1.5
36-When you want to make anterior crown which point is most important
For aesthetic
Aesthetic ,lip line, gingival health
37-Amalgam failure-moisture contamination
38- you did extraction for a patient and the tip of 3mm apex broke the
Reason why you decided to leave it is
Its mobile/ it’s embedded in the maxillary sinus
39-all about composite for posterior teeth except
Withstand the force of mastication
40-patient came for perio maintain with very good oral Hygiene but BOP
and 6mm pocket what is the next step of TT- SUrgery
41- dentist bill some code to increase to receive payments form the.
Insurance more the the real procedure— upcoding
42-premolar with bifurcation
Coronal part/cervical/ apical/ middle
43-which permanent tooth is not seccedenous
Canine / first premolar/ second premolar/ molar
44-pseudo class 3 what is the direction of mandible movement - Functional protrusive
45-patient has diastema and buccal frenulum when you decide to.
Correct it
When central and lateral erupt
When central and lateral and canines erupt
When all the teeth erupt
46-patient missing from 28-32 which Kennedy classification/ cL 2
47-implant and over denture which one give support and which one
give retention (Retention by the attachments and support by the implant) In mand minim 2 implants, in Max
4
48-gag patient managed  Gradual exposure

48
 49-patient taking Amphitamine what he has / ADHD
50-what medication you prescribed for stressful patients before the
Visit
Diazepam/ lorazepam/ other zipam (Halcion---> Triazolam has the shorter half life) Remember OLAN and
ZEPAN are Benzos
51-which bone disease has more chances to transfer to cancer/ Paget (Bone is warm, cotton wool
appareance, tx FOSAMAX, Reposition and resorption of bone)
52-burn in the corner of the mouth / decrease VD
53-definition of Paraphrase  In our own words
54-Amantedine- viral, also used in Parkinson tx
56-pic of hyoid /occlusal pic of cleft palate /
57-mycophenolate (cellcept) side effect all except (this is an immune supressor0
Hair growth /Candida/ infection/ smthg else I seclect smthg else

Many Q about sensitivity and patient management

Mango the first thousand and Rita

Day Tooooo
———————————
@1—Pregnant with cyst on lower left premolar since 1.5 year TT
X-RAY / incisions/ excision/ antibiotic
@2—-prostate cancer patient -know the medicine (Proscar) or (Docetaxel)
@3—-20 year guy bad OH # 8 has RCT and PFM crown with apical RL
Almost all the other teeth decay and he’s heavy smooker
@4-COPD adult (Blue boater or Pink panfer)-Tx Beta 2 blockers and steroids also Ipatropium an
antimuscarinic is very used
@5-Adult narrow Maxilla with posterior cross bite on right side hard Q
TT and correction and classification on canine and molars
@6-depression lady taking Zolof (Sertaline)- SSRI
@7- anothe depression lady taking Ametriptin
@8-lady with osteopenia taking Fosamax know the SI effect and
Interactions
@9- patient with braces for 5 years and has splint and fracture on #8
What is the reason
2- Patient with biohosphonte how you extract? Stop the therapy Give hyperbaric oxygen Extract give antibiotics
and rinse chx
3- Reumathoid fever what you see: A-Heart murmur or B-Joint fusion
4- Occlusion in primary: Flush terminal
5- Class 2 due to Distal step
6- What no to give with Epinephrine: Meperidine, Lisinopril or Propanolol
7- Drug for avoid addiction to opioids- Methadone
8- Drug to revert action of Hydrocodone Nolaxone
9- Every year Dentist is scruted for: Tuberculosis
10-Immunoglobulin function in Periodisease- Defense ( activate complement
11- Pt denture don’t fit anymore- Paget disease of bone
12-How long need to stop bisphosphonates before tt--
13-How long need to stop aspirin before tt- 2 days only if its more than 81mg
(Baby aspirin

49
 14-Categorical variables- Nominal (Sex, race) Ordinal (Plaque index, something
with an order)

10-07-18
-If you do an study and you get P value<0.05 and you reject the null hypothesis what
does it mean
a) Type 1 error b) Type 2 error C) Correct decision

- MOA of Nolaxone
- MOA of Clonidine
- MOA of Zoloft
-What Will most affect the decision of extract a mandibular molar
a) Furcation involvement b) VRF b) 2 walls defect d) Perio abscess
- An study conducted in a Dentistry school to find out if the clinical classes improved the
students performance. What is an individual variable of this study?
- If you present only one treatment plan for the pt because think is the best but there are
other alternative. What ethic principle you are breaking
a) Beneficience b) Justice c) Non malef d) Autonomy
- What is a provide chemotaxis in the sulcular fluid
a)C3a b) C3b c) C5a d)C5b
- What interleukin is related to bone destruction?
a) IL1 b) IL2 3) IL10
- What micro-organism from red complex T. Denticole
You rise a full mucoperiosteal flap to instrument in the pocket, after reposition of the flap
where resorption occurs more?
a) Radicular bone b) Interdental crest c) Apical to the sulcus
What is not a characteristic of DI
a) Short roots that breaks easy b) Abnormal lines at the DEJ c)Excessive deposition
of dentin

50
 - Laser and curing light (LED) have an specific wavelength and they cant not cure
some composites because the photo initiator respond to a different wavelength
T/F
- Veneer cemented with dual cured resin cement, show a brownish line at the
cervical margin 1 month later. What is it a) Micro-cracks at the porcelain b)
Inadequate amount of cement c) Amide discoloration of the cement
- Arbitrary facebow record is taken 1 mm of separation at the 2 nd max molar. Why?
a) Arbitrary facebow accept thicker records b) Accept thinner record c) Thinner
records avoid errors in the condylar setup
- CR record how it should be
a) Only record cusps and no perforations b) Record cusps and sulcus and a few
perforations are accepted c) The material must be well distributed on the occl
surface
- % of the Acidulated fluoride
- Goal of Apexogenesis
a) Stimulated deposition of 2ndary dentin b) Create an apical stop for proper
obturation
-What cement is preferred for venner cementation
a) Light cured b) Dual cured c) GIC
- A dentist separate different xrays from a FMX to trick the insurance and get more $
a) Unbundling b)Upcoding c) Downcoding
- Pt taking TCA and Ibuprofen what medicament would not cause and adverse
interaction
a) Aspirin b) Carbocaine c) Lidocaine/Epi
- What is not recommended to place the instruments if you are going to use autoclave
a) Paper packets b) Paper/plastic bags c) Plastic bags d) Solid metal containers
- Micro-organism to test sterilization
- Between pt and pt how you disinfect the area
a) Spry detergent an allow 10 min b) Spry disinfectant, detergent and dry it off with dry
paper towels c) Spray disinfectant and allow 10 min
- Nolaxone MOA
- What can make you get false lectures when probin a sulcus
a) Excessive subgingival calculus and the probe cant touch the botton of the sulcus
b) Excessive bleeding and you cant see the marks of the probe

51
- Principal cause of Amalgam failure
a) Moisture contamination
- Indications of dual cure resin cement
- What bur will produce the smother surface while you are preparing a class 2 cavity
a) Green stones b) Cross-cut c) Plane-cut d) Diamond
- How much mm of coronal tooth structure to decide if place a post for retention
-Common perforation during RCT instrumentation in max CI happens in what surface
- By inc the voltage in a Xray machine we can produce beams with
a) Short frecuency/ high potency b) Large frecuency/ high potency c) Short frec/ low
potency
- By doubling the PID distance from the target how much you need to increase exp time
- Water,s view for sinus
- Spheno-occipital synchondrosis what is it- Cartilage
- What is similar to spheno-occipital synchondrosis- Epiphyseal plate
- Plan created by the government for free health care to the childs- CHIP
-What is a measure of tendency- Variance
-Medicare is plan created for elderly persons but it does not cover Dental care. T/F
- What % of US population is infected by HSV 1
a) 30-32% b) 45-50% c) 80-85%
- Periodontal diseases are more frequently in what group
a) Female black b) Male black c) Hispanics d) White
-Most common emergency in Dental clinic- Syncope
- How many chest compressions in 1 min indicated by American blabla
a) 30 b) 60 c) 90 d) 120
- Initial indication for a leukoplakia. All options were type of biopsy a) Cytology b)
Incisional c) Excisional d) Immunofluorescence stain
- What is not common in Opioids poisoning  Mydriasis was there
- Management of a 2mm sinus communication except
a) Irrigate w/ CHX b) Place a geofoam to promote coagulation c) Rise a flap from plate

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Not indicated for prophilaxis- Mitral valve prolapse
Indicated for prophylaxis Congenital heart defect no resolved
Most common epilepsy in childs- Febrile
Pt with INR=3 do or not to do exo
Picture of retained canine in a child like this: Asking if its is a supernumerary or a
retained permanent canine very similar to this but was a little bit more horizontal

X-ray of cleft palate very similar or would say probably the same as this

Xray to identify Fibrous dysplasia easy for diagnosis was obvious

Xray for ear lobe
Xray for Hyoid bone
Pictures for Geo-tongue, Lichen planus
- Pt noticed 1 months ago a bump in the palate after biopsy the result indicated
Parakeratinized epithelium with underlaying connective tissue and trabecular
bone what is the most likely diagnosis. A) Pleomorphic Adenoma b) Exostosis
- Pt has tumor in parotid gland what is the most likely tumor there

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 a) Whartin tumor b) Pleomorphic c) Mucocele
-Most common duct for sialolithiasis
a) Wharton duct b) Stenon duct

- Ectodermal dysplasia came 2 times always with- Oligodontia

- Pt with Fluorosis image was almost 99% like this

-Question asking in what stage can be first observe the shape of the tooth
a) Morpho b) Histo c) Apposition
- Dens in dent at what stage
- Pt with anterior cross bite right side in the canine like this

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Asking in what movement would be interference Protrusive, Left lateral excursive, Right
lateral excursive
- Another pt with right posterior cross bite on PMs and 1 st molar. Asking how to correct it
- Lisch nodules and axillary freakling where---Neurofibromatosis
Cleidocraneal dysplasia twice- Supernumerary teeth

Question with a LPC similar to this asking what would not be a differential diagnosis

a) OKC b) Ameloblastoma c) Dentigerous d) Traumatic bone cyst

-What would be the worst prognosis for replacing a #6 canine pt had the rest of the
Max teeth except for 1 PM on left side and 3 molars
a) Implant supported crown w/ group function b) FPD from 5 to 7 and group function
c) Implant supported crown and mutually protected d) RPD and mutually
protected
-What would be less important in mand closure
a) Contraction of Masseter/ and depressors b) Relaxation of lateral pterygoid c)
Contraction of lateral pterygoid and Temporalis
Pt come to the clinic with BP 190/110 what would not be included in the
management of this pt
a) Inject systemic antihypertensive b) Wait 5 minutes and take BP again c) Defer
the tx that day d) Recommend follow up with Physician
Pt with history of heart disease having a hard chest pain just before you put
anesthetic what not to do
a) Inject Epi b) Give Oxygen c) Activate emergency protocol d) Take BP before give
Nitroglycerin

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