Sam NBDE RQs

Hey guys,
So the exam is not easy but not extremely hard either. It is a marathon exam for sure and I do
recommend to take your breaks or else you will feel a bit unfocused at times. Make sure to
bring with you snacks and water to hydrate yourself from this marathon. Also, key importance
is to manage your time well because they give the questions in two blocks, first block is 200
questions that they give you 3hrs and 30 minutes to complete (but you can take a break in
between for 15 minutes which I recommend), then you get a lunch break and return back to
finish the last 200 questions (break in between optional 15 minutes) for another 3hrs and 30
minutes. I took all my breaks, and finished the exam an hour and a half earlier than expected.
(there was a controversy of someone mentioning on the group they only had 200 questions for
their exam. Unfortunately, the mistake was she probably thought after the first block of
questions (broken down into two, section A and B) that she was done after this. But after this
there is another block of 200 questions also broken down to Section C and D. So make sure you
know: THERE IS 400 QUESTIONS IN THE EXAM!!!

My exam didn’t have any of the same teslets from Tangy or any file, and I got atleast 70-90
questions just on testlets alone. But they were doable, they are just trying to test your general
knowelege on all topics, so even if your anatomy/physio/patho is weak, you will still get atleast
5-7/10 questions discussing dental anatomy..

What I would say is if you read the rq’s of 2014 (first 16 pages), 2016, and all in one 2017 along
with tangy and veronica you are well more than prepared if you have a good critical thinking
mind (Keep in mind no need to read more than once because by the time you went through all
those files all are repeated atleast 2-3 times). Oh and an important point to make, I know a lot
of people say memorize tangy or other files. But the idea is just understand Tangy, don’t waste
your time memorizing because the questions that come are not word for word from tangy.
They are just testing your basic knowledge so if you know the general idea of Tangy you should
be fine.

Anyways, My questions are below and all I ask in return is to Please Pray for the pass for me,
that is all I ask for in return for these questions. I was way too tired the day of the exam to even
go on the internet, slept like a bear for the whole day until now. Lol Anyways good luck with
your studies, and keep me in your prayers:

1 Most variable stage of cell cycle

2 Question regarding what directly influence a decrease in Aldosterone, they had renin
and macula densa barorecptors as choices.
3 Queston regarding autosomal dominant gene 50% what it is the percentage in offspring
(25% so this is a gimmie question)
4 Got a question about what is not found between the medial and lateral pterygoid
muscle, I picked buccal nerve as the other choices were for sure found (IAN, Lingual
nerve etc)
5 When body is exercising, what quality and quantity of saliva would one expect to see?
Weird question but asking about mucous vs serous and heavy load vs minimal load
6 Myglobin vs hemoglobin
7 Which type of disease you see tangles and amyloid deposits? (alzhemer)
8 TMJ try to trick u with fibrocartilage and fibrous connective tissue regarding baby TMJ,
they mention both alogn with hyaline.
9. now the essential/non essential aminoacids
10. Function of hexokinase, glucokinase and which has the higher km
11. Qs on gas sterilization/ethylene dioxide. Also question on sterilization Vs disinfection
difference (one kills all, and one doesn’t)
12. Competitive and non competitive inhibition, allosteric enzymes
13. Hormones secreted from anterior/post pituitary that are glycoprotein
14. Portal system of hypothalamus
15. Got a question to Calculate % to ppm of fluoride, took a wild guess as they had the
normal value of what it should be below 0.5 so I picked that.
16. Primary dentition= primary teeth resembling permanant teeth
17. What tooth is distal to an erupting 2nd molar.
18. Injury to lateral pterygoid, -mandible deviates to which side?
19. Nerve fiber type in pulp
20. Know the trigeminal nuclei for pain (interpolaris)
21. Innervation of anterior wrist
22. Salivary glands mucus/serous. Intercalated ducts presence-for what, also which gland
has mucus/serous secretion
23. Border of posterior triangle
24. Some question on azygous vein
25. Know branches of abdominal aorta
26. Nerves responsible for gag reflex
27. falx cerebri drain to where?
28. Most prevalent pdl fibres found aside from type 1
29. What happens to action potential if potassium is less around free nerve ending
30. Muscle contraction and length of bands-know which band shortens, which stays
constant.
31. Amino acid that is purely ketogenic: LEUCINE and LYSINE
32. Anticodon is found on: tRNA
33. The arteries in the pulp are most similar to those in which other organ: cranium/brain
34. Muscle of the fauces: palatoglossus and palatopharyngeus
35. Girl has to give a speech so how do you numb #22 without affecting tongue: mental
block
36. Method of action of anti-cancer drug, fluorouracil: aka suicide inhibitor which inhibits
thymidylate synthethase
37. Hallmark of autoimmune: hashimotos
38. Question on Howship’s lacuna: didn’t say osteoclast but “multi-nucleated giant cell”
which I think is another term for it
39. Type of epithelium in buccal vestibule: non-keratinized
40. Salivary gland with highest resting-volume secretion: submandibular gland
41. Difference between shigella and salmonella: Shigella causes dysentry and Salmonella
causes typhoid fever but the key is which is motile and that is salmonella
42. What innervates biceps brachii: musculocutaneous
43. triceps innervated by radial nerve
44. Fusion of roots of neighboring teeth that were once separate: CONCRESCENCE
45. How do you dilate the pupil: epinephrine
46. What type of lipid is not incorporated into membrane: triacylglycerol
47. Thymus gland comes from: third pharyngeal pouch
48. What adducts the scapula: Ans: Rhomboid minor
49. Root canal on tooth #3... which nerves are you affecting: posterior and middle superior
alveolar (MB root is ONLY supplied by latter)
50. Most significant outcome of thrombosis: infarction
51. Most common root to have a second canal: mesiofacial of first molar maxillary
52. Most common artery involved in epidural hematoma: middle meningeal artery
53. Order of making active calcium: skin, liver, kidney
54. Gomphosis: teeth and alveolar bone
55. Most likely tooth to have 3 cusps: maxillary 2nd molar and in another version, it’s mand
2nd PM
56. Hardest parts of teeth to scale: distal of maxillary first molar and mesial of maxillary first
premolar (and in another version, distal of Max Lateral Incisor)
57. Blood cells seen in allergic infection (rash): eosinophils
58. Know the plasma oncotic, hydrostatic and all those pressures – had a question about
which ones keeps fluid in the cell,plasma oncotic: pull into the plasma ,plasma
hydrostatic: push out of the plasma
59. Maxillary sinus drains to: middle meatus
60. Most swallows throughout day occur... Ans: always between meals
61. Hering-Brurer reflex: stretch reflex; used to prevent over-inflation of the lungs
62. Most common immunoglobulin in secretions: IgA They ask mucosa rather than secretion
63. Not a part of the thoracic cage: clavicle
64. Vitamins needed for proper bone development: A & D (didn’t have C and D)
65. What is the term for bone that invades scar tissue: Fibroplasia
66. Only type of cellular change that is not premalignant: aplasia
67. What inserts into coronoid process: temporalis
68. Substrate for thrombin: fibrinogen
69. Southern blot identifies: DNA● Memorize “SNOW DROP”-->Southern, Northern, o,
Western; DNA, RNA, o, and Protein (respectively)
70. Tooth likely to have only one pulp horn: mandibular 1st PM or canine?
71. What causes striations in ducts: infoldings of membrane to compartmentalize
mitochondria
72. Most variable cell phase: G1
73. chin deviates to one side and dude was slapped in the right face: due to fracture of right
condyle
74. Dude flinches and you nick the dorsal part of tongue: deep lingual artery
 75. Foramen ovale and rotundum found in which bone? Ans: Sphenoid
Which of the following is not a GAG or has no GAG’s – can’t remember but answer was
obvious (just know the heparin, heparin sulfate, hyaluronate, etc.)

Teslets:
Case 1: Regarding wheelchair, and patient had fracture of femur 1 month ago.
What type of bone you expect to see?
What would delay her wound healing? Choices were hypertention, stroke history or smoking
(she is a 30 year smoker)
Find pseudo stratified columnar tissue on extracted tooth, what is this from?

Case 2:Traveller/visiting country, has history of asthma and takes bronchiodilator and is
hypertensive.
What medications causes bronchioconstriction
Extraoral exam there is bruise infraorbital, what is this called? Hematoma
She wants to extract and refuse endo therapy what ethics will you encounter?

Case 3: Patient comes to you having history of GERD, and multiple erosions on anterior teeth
which he would like to get restored.
What type of epithelium you would expect in normal esophagus compared to one with Gerd
What nerve would be inovled for relaxing the muscles involved in esophageal movements
Patient wants veneers for his eroded teeth, which cannot be done without treatement of gerd,
what conflict in ethics does dentist encounter?