• Cerebral palsy -multiple damage areas to brain causing group of permanent disorders.

True
• Pheochromocytoma
MEN ll & lll
an adrenal medulla tumor
that releases excessive EPI & NE causing
hypertension, tachycardia, & arrhythmias).

• Peri-implantitis - gram -ve motile rods

True
• Bulk-fill composite benefit - can add increments of 4 mm
True
• Anterior 2/3 of tongue taste supply-
Chorda tympani
• Diabetes effect on periodontitis
Delayed healing
• Blood borne pathogen standard - what is correct *regulated by NIOSH * need to wear protective
eye gear and shield - I marked this * need Hep C vaccine * ne training every year on employee
charge
• Basal arterial pressure rising but pulse dropping
- cerebral vascular stroke
• what causes recession in the gingiva ?
-altered passive eruption
-compensatory eruption
• The most likely cause of localized facial gingival recession in a healthy 17 year old individual is

minimal attached gingiva.

occlusal trauma.
traumatic toothbrushing.
factitious injury
• rigid impression material
Polyether
• Which imp material for multiple impression
PVS

• Die stone- Type 4 gypsum

• Sulfonyl urea MOA- stimulating insulin secretion from the pancreatic beta cell and close ATP
sensitive potassium channels in beta cell membrane
• Class 2 because of retrognathic mandible
inverted L surgery

• Contraindications for Endo - leukemia diabetics recent MI

• Myelosuppressive disorder
A condition in which bone marrow activity is decreased, resulting in fewer red blood cells, white
blood cells, and platelets. Myelosuppression is a side effect of some cancer treatments. When
myelosuppression is severe, it is called myeloablation.
• Cancer drugs. Major toxicity of alkylating drugs:
alopecia
myelosuppression
renal damage
hepatic failure
• Nitroglycerin MOA
Vasodilation of coronary. Increase O2 supply. Nitroglycerin is routinely used during
coronary angiography for the diagnosis and management of coronary spasm. Though
nitroglycerin is a potent vasodilator there is evidence that a vasoconstrictor response may bc
observed. since I have noticed some RQs answered VASOCONSTRICTION
• Pt with asthma most common thrush cause
Candida
• Best way to prevent thrush in asthma pt
rinse the mouth after inhaler use
• Altered passive tooth eruption- gummy smile
• Sertraline MOA Selective Serotonin Reuptake inhibitor
• Pt takes Fluoxetine after post traumatic depressive syndrome what will not
happen- hallucinations not sure
• APE-Altered Passive Eruption Clinical situation produced by excessive gum
overlapping over the enamel limits
INBDE day 1 rqs

1)A patient accidentally aspirated a dental instrument;but has no

respiratory problem. What

should a dentist do?

A) Call 911

B) Do Heimlich maneuver

C) Reassurance

D) Refer patient for chest x ray

2) If a dentist has needle prick injury, what are the chances of

transmitting HIV?

● A)3%

● B)10%

● C)15%

● D)50%

3) A pediatric patient comes for a dental treatment with his mother and
tries to show his bruises

in his stomach, but at some point his mother aggressively put clothes
down and tells the child

not to show that again. What should the dentist do?

A) Carry on with the chief complaint

B) Ask the mother about his bruises condition

C) Discreetly tell the dental assistant to call child protect services

D) Call child protective service after you finish treatment and send the patient.

4) pedo abused patient with bruises in her lateral face and trauma to the
front teeth. Who should

you report?

● A)911

● B) police

● C)child protective service

INBDE day 1 rqs

● D) Government agencies

5) muscle that protrude the tongue

A) Genioglossus

B) Styloglossus

C) Hyoglossus

D) Palatoglossus

6) what should include a comprehensive periodontal therapy

● A) chlorhexidine mouthwash of 1.25 concentration

● B)incision and drainage of abscess and irrigation

● C)antibiotic prophylaxis

● D))scaling and root planing and oral hygiene instruction

7) patient has breast cancer and taking chemotherapy what cell does it
affected most of the list:

● A)odontoblast

● B)osteoblasts

● C)Osteoclast

● D)Osteocytes
INBDE day 1 rqs

8) identify hyoid bone in OPG and cephalograph(2 times asked)

9) different shade or color family

● A)Hue

● B)chroma

● C)value

● D)Metamerism
INBDE day 1 rqs

10) intra-oral vesicle formation before a week stops and comes back
again. What could that be

● A) herpes simple

● B)herpes zoster

● C)varicela zoster

● D)aphthous ulcer

11)least

12) What is a safe level of fluoride in community drinking water?

● A)1.7mg/L

● B)0.7mg/L

● C)1.7ppm

● D)0.7ppm

13)topical anesthesia which of this has the agent

● A) benzocaine

● B)bupivacaine

● C)lidocaine

● D)Mepivocaine

14) A patient is hypertensive and takes Lisinopril, which is the MOA of the
drug. Lisinopril is an angiotensin converting enzyme inhibitor (ACEI), preventing the conversion of
angiotensin I to angiotensin II. This action prevents myocyte hypertrophy and vascular smooth
muscle cell proliferation seen in untreated patients.

15) Patient has rash due to some chemical reactions ; what can lead to
this condition:

● A) copper

● B) mercury

● C)phosphers

● D)zink

16) which one of the list is the most forgiving in moist environment

● A)GIC
INBDE day 1 rqs

● B)Resin

● C)Zinc polycarboxylate

● D)Zinc phosphate

17)what is the dosage of amoxicillin when given as prophylaxis

● A)1000mg

● B)2000mg

● C)500mg

● D)4000mg

18) what to check when patient is taking warfarin

INR

19) patient is HIV what not to check

A) CD4 count

B) Hematocrit

C) Hemoglobin

D) White blood cell count

20) which drug group inhibit cyclo-oxygenase-2

A)paracetamol

B)Codin

C)NSAID

D)morphine

21) which drug has 80-100 times more potent than codeine

A)fentanyl

B)morphine

C)hydrocodone

D) heroin

22) which of this a synthetic drug

A) fentanyl
INBDE day 1 rqs

B) Morphine

C) Codeine

D) Hydrocodone

23) For recurrent lesions, what kind of biopsy is usually recommended?

A) punch

B) Incisional

C) Marsupialization

D) Inoculation

24) La which voltage gate channel blocks

A)Na b)K c)Ca

25) Local anesthesia MOA which ion is being blocked from passing in to
the membrane while

A)Na b)K c) ca

26) 12 years old patient with impetigo and have dental appointments the
next day , what are the

dental prophylaxis given

A) no problem just come at appointment time

INBDE day 1 rqs

B) Come 15min early , we need to put mouthy

C) Wash your face with soap before you come

D) Defer the treatment until the impetigo disappears

27) contact dermatitis a)type I b)typeII c)typeIII d) typeIV

28)asthmatic struggle breathing interoperative(during dental treatment )

a) albetrol

b)antihistamine c)la d)O2

29) igA in saliva a) anti bacterial b)antiviral c)anti fungal d)moisten the mouth

30) No2 contraindicated EXCEPT a)copd b)mental problem c) pulmonary problem

31)Which structure is resistant for beta lactam drugs

A)Biofilm

32) clindamycin resistant a) Methicillin resistant Staphylococcus aureus (MRSA)

33) Which of this doesn’t stain the tooth permanently? A) chlorhexidine

mouthwash b)excess

Fluoride

34) mulberry molars a)syphilis

35) distance between implant and IAN a)4mm b)3mm c)2mm d)1mm

36)mesenchymal cells give rise to?? EXCEPT

A)mandible b) maxilla c) muscle d) mucosa

37) endochondral ossification EXCEPT?

A) maxilla b)mandible c) sphenoid d)ethmoid

39) patient is epileptic took drugs what is anti epileptic drug Moa a) MAO-B

40) ovoid radiolucency in X Ray : a) flares b)sialit c)nasolacrimal duct d)nasopalatine canal

41) what decreases mostly scattered irradiation to a dentist and stuff. A)

collumation b)filter

c)lead d) copper

42) patient with strong buting force has cervical A)abfraction b)attrition
INBDE day 1 rqs

43) x ray showed both erosion and attrition- A) attrition and erosion b) erosion only
c)attrition

44) contraindication of RPD from a case shown picture .a) not enough interarch
pontic space.

45) x ray technical error showing reverse smile a)chin up b)chin down c)head move
left d)head

46)Fluoride helps in? A)Decreases HA availability B)Increases HA availability C) Decreases

calcium phosphate dissolution D)Increases calcium phosphate dissolution

47) How to discard used needles? A)Recycling

INBDE day 1 rqs

B)Hazardous Waste C)Disposal D) puncture proof

48) Nitroglycerin MOA? Vasodilator

49)mild to moderate pain what to give

A) acetaminophen 500mg every 6hrs

B) Ibuprofen 800mg every 4hrs

C) Acetaminophen plus codein

D) Diclofenac sodium 10mg

50) which one has least to have two canals

A)max 1pm B)Man 1pm C)mand lateral Inc D)2mand Mlr

INBDE day 1 rqs

51) which have two canals max 1 premolar

52) sleep apnea how to diagnose ? A)by certified sleep specialist b) snorting habits
c)during

dental treatment d)medical hx

53) one root two crown a) germination b)twining c)taurodontism d) fusion

54)porcelain used for a reduced incisal tooth, what kind of edge? A)modified
chamfer edge

b)chamfer c)shoulder d)feather edge

55) least hygienic a)ovoid b) Modified ridge lap

C).Saddle Ridge d) supragingival

56)most factor for implant C/I

57)most osteoradionecrosis affected site a)ant mand b)post mand c)ant max d)post
max

58) from birth until adulthood this structure remains the same a)Auditory canal
b)cranium

c)mandible d) maxilla

59) natural dark pigmentation in a picture showing under lower canines :

a)physiology
INBDE day 1 rqs

pigmentation b)melanoma

60)which xray best to check for bone loss a) vertical bitewing b)horizontal bitewing
c) occlusal

61)xray showing cyst on crown of mesioangular impacted 3rd mand molar

- a) dentigerous cyst

b) okc c
December 2,2021 AM discussion

61)xray showing cyst on crown of mesioangular impacted 3rd mand molar –

a) dentigerous cyst
b) okc

62) acanthosis
Acanthosis is a word pathologists use to describe an increased number of specialized squamous
cells in the skin. A similar change can also be seen on the inside of the mouth.
A skin condition characterized by dark, velvety patches in body folds and creases.
Acanthosis nigricans typically occurs in people who are obese or have diabetes. More rarely, it
can be a warning sign of a cancerous tumor in an internal organ, such as the stomach or liver.

PEMPHIGUS VULGARIS – a chronic RARE SKIN DISEASE characterized by the formation of

vesicles & bullae produced by dyhesion (acantholysis) of epidermal cells due to an autoimmune
mechanism where antibodies attack the intracellular junction of epithelium. Usually occurs
after age 30yrs (usually ages 30-50yrs), and occurs more frequently in JEWISH people.
• Oral lesions are often the FIRST MANIFESTATION. Intact bullae are rarely seen in the oral
cavity, rather, large areas of ulceration and erosions covered by a white or blood-tinged
exudates. Sometimes, areas of epithelium will slide off simply by rubbing of an apparently
unaffected area (Nikolsky’s Sign is an indication of Pemphigus vulgaris that may also be found in
BMMP). This sign occurs when apparently normal epithelium may be separated at the basal
layer and RUBBED OFF when pressed with a sliding motion. Pemphigus is often fatal without
treatment, which includes high-dose systemic steroids or chemotherapy (Methotrexate)

63) SLOB rule

Same lingual opposite buccal

64)stafne bone defect xray

Stafne's bone cavity is a rare, asymptomatic, unilateral oval shaped radiolucent defect in the
posterior region of the mandible below the inferior alveolar canal. The prevalence ranges from
0.10% to 0.48% and more common in males. It is mostly an incidental finding on panoramic
radiograph.

65) cleft palate and cleft lip which one treat first
a)cleft lip
b)cleft palate
Cleft lip txt: 3-6 months
Cleft palate txt: 9-12 months

Cleft palate happens: 6-8 weeks

Cleft lip happens: 5-6 werks

66) pregnant which is safe to treat -a)second trimester

67) x ray shown in gingival of pregnant women : a)pyogenic granuloma

68)least radiolucent:
a)scar
b)cyst
c)abscess
d)foramen

69)which is the best medium

a)HBSS
b)milk
c)saliva

70) chief complaint “my tooth is loss”grade 2 mobility of a lateral incisor

secondary to trauma with no reaction to cold stimulus .
A)splint with flexible wire
b)rct
c) extraction
d) leave and follow up after 3month

71)Case questin: of a patient has loose denture , gingival underneath looks

erythematous and edematous
a)cause loose denture
b)Treatment tissue conditioning
This is case of denture stomatitis.
Tissue conditioning is a method of helping your gums to heal so that your dentures fit
comfortably and function properly. It can be used to help the gums heal after having teeth
extracted for your first set of dentures or if they were injured after wearing ill-fitting dentures
for too long.
If denture loose this is because ridge resorption

73)how to save four anterior tooth with calculus and plaque

a)SRP
b) wire them together
c)overdenture
d)extraction

74) Gow gates block anesthesia which nerves

IAN block

75) order of the nerves and arteries from anterior to posterior:

A) Lingual nerve, inferior alveolar artery and inferior alveolar nerve
B) Inferior alveolar artery, lingual nerve and inf. alveolar nerve
C) Inferior alveolar nerve, inferior alveolar artery and lingual nerve

the inferior alveolar and its branches (incisive and mental), lingual, mylohyoid,
auriculotemporal and buccal
76)Which studies followed as a cohort ?
A)Cross section
B)Case control
C)RCT
77) Amphetamines with LA reduce saliva secretion or increase ?
Increase
Under anaesthesia, amphetamine increased the secretion of salivary fluid and the amount of
protein therein in response to acetylcholine. Phentolamine abolished the increase in salivary
flow and had no effect on the salivary protein concentration, whereas propranolol only reduced
the salivary protein concentration.
amphetamine increased the secretion of salivary fluid and the amount of protein therein in
response to acetylcholine.
amphetamine = alpha-2 receptors
78) Too many cavities and plaque and painful teeth, patient come to the dentist
only when she feel pain.
A)high risk
b)middle
c)low risk
d) no risk

79) informed consent under which ethics

A)autonomy
b)non maleficent
c)justice
d)beneficence

80) A patient who cant speak english came with an under age kid (12 years old
who speaks english)
a) ask the child to translate
b) call certified translation center
c) use online translation website
d) call husband of patient.

81) most to least bloodborne risk to get infected

A)HIV,Hep B, Hepc
b)HIV,Hepc,HepB
c)Hepb,Hepc,Hiv
d)hepc,hiv,hepB

82) diabetic type-1 what is the cause ,a) Beta cells problem

83) Caoh used to form -a)secondary dentin

84) pic showing caries underneath composite restoration a) recurrent caries

85)spore killing sterilization is mostly for which a)mycobacterium

Spore-forming bacteria include Bacillus (aerobic) and Clostridium (anaerobic) species.
If bacillus is not given , mycobacterium can be chosen.

86)OSHA a) employes offer vaccine

True
87) Pregnant Large amalgam MOD composite restoration, can't sleep at night
(extreme pain), what is the best approach now?
A- defer after delivery
B- replace the entire restoration with another composite
C- remove the filling and put a sedative
D- give amoxicillin

88) tooth to have a metal crown C/I a) if crown is rotating

(Question is not clear)

89) Metal crown is used Except a) strength the root

True

90) SCC pic lateral tongue (deep ulcer with irregul borders)
True

91) smoking cessation drug? Chantix

True

92)asymptomatic apical periodontitis

93)chronic apical abscess with sinus formation

94)reversible pulpitis
95)without pulp involvement but exposed dentin a)2

96)how to treat a cavity without pulp involved? A)Direct pulp capping

True

97) OKC
Gorlin syndrome
98)longer duration of action a)bupi
True

99)disinfectant for alginate impressions?

Iodoform spray or Chlorhexidine

100) INR 3.6 what to do with treatment?

postpone
December 2,2021 - PM discussion

100) INR 3.6 what to do with treatment?

Postponte treatment. Talk to the patient’s physician and then decide.

101)painful blisters in oral cavity a) pemphigus

True

102) pemphigus which other area can occur aside the oral cavity a)eye
Pemphigus can be seen in mouth, eyes, nose
103) hand foot mouth disease -a)coxsackievirus
True
hand foot and mouth disease : coxsackie virus
hand foot syndrome : sickle cell

104) local anesthetic a)benzocaine

topical LA

105) amalgam tattoo xray

Radio opaque
106) radiolucent x shaped over insical area- a)artifact
An artifact on an image is a feature that does not correlate with the physical properties of the
subject being imaged and may confound or obscure interpretation of that image.
Like piercing, earring.
107)candida picture white color like thrush floor of the mouth

108) Benzodiazepine antagonist -a)Flumazenil

True

109)periapical cyst on x ray associated with non vital tooth with periapical
inflammation
Radicular cyst
110) extreme pain drug of choice a) acetaminophen +codeine #3
Tylenol
Only if allergic to nsaids . Otherwise we can give ibuprofen.

111) patient fainted during dental treatment; what do you do?

A) upright position
b) make sure ariway is not blocked
c) take pulse
d) call 911

112)HIV case which cells-a) neutrophils

CD 4 T cells
The transmission and pathogenesis of HIV has been reported to be influenced by neutrophils.
Neutrophils have been found to bind HIV-1 and to transfer the virus to T-lymphocytes, thereby
increasing the risk of HIV transmission, particularly at the mucosal interface.

113) in peri implantitis and periodontitis –

a) similar bacteria
b) there is no relation
c) different bacterias

Bacterias found in periodontities and peri-implantitis:

a. Peri-implantitis are more pathogenic
b. Periodontitis are more pathogenic
c. They are similar
d. They are not alike

Periodontitis is for teeth, periimpalntitis is around the implant but bacteria is same and has the
same effect.
periodontal disease, peri-implantitis is triggered by a group of certain bacteria. For the most
part, these are even the same bacteria that are associated with both diseases, predominately a
group of gram-negative anaerobic bacteria.

114) in periapical abscess which bacteria EXCEPT

The predominant species associated with dental abscess include Bacteroides, Fusobacterium,
Actinomyces, Peptococcus,Peptostreptococcus, and Porphyromonas as well as Prevotella oralis,
Prevotella melaninogenica, and Streptococcus viridans.
115) RCT
Endo RCT / Randomized clinical trial is an experimental study.

116) False negative

It means sensitivity. It means person is having disease , but has been tested negative.
117) tooth is healthy but +ve for cold test- False positive
It says if healthy tooth tests positive with cold test. It means it was false positive.

118) least research methodology- peer gather information

Case control

119) most abnormal genetic chromosomes -21

Down syndrome, on the other hand, is by far the most common chromosomal abnormality,
affecting 1 in 800 babies. The risk of having a child with this condition increases with maternal
age, rising exponentially after a woman reaches age 35.

120) PICO - p (population)

PICO stands for patient/population, intervention, comparison and outcomes
121) bonding agent and primer -while applying with most or with out?

122)bleaching - a) carbamide peroxide b)hydrogen peroxide

10%home bleaching
35% vital( office bleaching)
carbamide peroxide - Home bleaching , 10% ,Weakest
Sodium perborate, which is frequently used in bleaching of non-vital teeth

123) Gingival margin crown prep most hygienic (supra gingival ) - posterior
teeth
True

124) Bactericidal EXCEPT – Clindamycin

True
Clindamycin has a primarily bacteriostatic effect. At higher concentrations, it may be
bactericidal. It is a bacterial protein synthesis inhibitor by inhibiting ribosomal translocation, in
a similar way to macrolides.
Clindamycin has significant activity against nonenterococcal gram-positive organisms and
numerous anaerobes, including B. fragilis. It is both bacteriostatic and bactericidal. Clindamycin
is nearly 100% bioavailable via the oral route, but oral doses are lower than IV doses due to
gastric intolerance.
125) P<.01 -reject null
True

P<0.05 reject null

P>0.05 accept null
Standard value is 0.05 (Every time compare it with that)

126) In dental clinic waterline to say high microbial load:

a)Less than 500 cfu
b)greater than 500cfu
c) finding staphylococcus
d)spirochete

All dental units should use systems that treat water to meet drinking water standards (i.e., ≤
500 CFU/mL of heterotrophic water bacteria.
It asks for high water load less than 500 is acceptable more is high load.
More than 500 is not acceptable and considered high load.

127) rate of existing cases until now from the total population .
A)prevalence
b)incidence
c)specificity
d)sensitivity
INCIDENCE =NEW CASES
PREVALENCE= OLD AND NEW CASES

Water already in tub is prevalence. Water that being added is incidence

130) traumatic tooth sequelae – ankylosis

True

131) Bacteria at dental abscess- strict anaerobe

True

132) Wisdom molar in 18 years Pt – pericoronitis

True

133) Nonmaleficence,veracity, justice

134) recovering from cocaine drug addiction - use Epi with caution
True
135) Confidence interval

If interval bigger then bigger sample and more appropriate

136)what is the percentage of alcohol used for hand disinfectant

60%
If soap and water are not available, the CDC recommends using an alcohol-based hand sanitizer
that contains at least 60 percent alcohol.
40-70%

137) bruxism muscles

Temporalis and masseter muscle

138) abnormal skull problems- crouzon

Specialty. Medical genetics. Crouzon syndrome is an autosomal dominant genetic disorder
known as a branchial arch syndrome. Specifically, this syndrome affects the first branchial (or
pharyngeal) arch, which is the precursor of the maxilla and mandible.
139) what to do to an intruded tooth- ext
If the tooth is grossly intruded (>7 mm) and root formation is complete, then surgical or
orthodontic repositioning, followed by splinting for 2–3 weeks, is indicated
1.Pt taking hba1c 7.5, BP 130/80, aspirin 81mg, clopidogrel. what is most imp
before surgery?
Inr, ✅
hba1c,
BP

2.Child swelling cheek,intra-oral swelling,pain

- cellulitis✅

Cellulitis is usually caused by a bacterial infection of a wound, or an area

of skin that is no longer intact. The most common bacterial causes of
cellulitis include the following:
• Group A beta - hemolytic streptococcus
• Streptococcus pneumoniae
• Staphylococcus aureus
• Methicillin-resistant staphylococcus aureus (MRSA)

3.Child progressive swelling cheek

- cherubism✅

Cherubism is caused by changes (mutations) in the SH3-domain binding protein 2

(SH3BP2) gene on chromosome 4. The protein encoded by SH3BP2 is important for
bone metabolism and remodeling.
Cherubism is a disorder characterized by abnormal bone tissue in the jaw.
Beginning in early childhood, both the lower jaw (the mandible) and the upper
jaw (the maxilla) become enlarged as bone is replaced with painless, cyst-like

4.Pt 80 yr,came with son in law..brushing in elbow

Report instantly
Ignore & treat
Talk with pt separately about the bruising✅

5.HIPPA
Safety n privacy act✅

6.dentist offered split fee.violate

- justice✅
7.stuff irregular recently, suspected addiction
Report✅
Observe
Discuss with the stuff personally

8. Something about business don't remember

9. Pt 9 yrs old, how many permanent tooth visible

6-7
9-12✅
16-20
10.TNF beta how inhibit periodontal destruction
Th2
T cell
RANKLE✅

11.MOA of RANKLE

Soluble protein delivery of antagonists to tumor necrosis factor-α (TNF-α)

inhibits alveolar bone resorption due to periodontitis.
bone resorption can be decreased by inhibiting the RANK/RANKL signal way
during periodontitis
12.cresor mechanism of action (no HMGcoA in option)
selective and competitive inhibitor of HMG-CoA reductase, the rate-limiting
enzyme that converts -3-hydroxy-3- methylglutaryl coenzyme A to mevalonate, a
precursor of cholesterol.

13.metoprolol MOA
B1 selective blocker
decreases cardiac output by negative inotropic and chronotropic effects.

14.my whole exam was all about bisphosphonate

15.too many apthus

16.2ndary herpes symptoms,no evidence of primary one,why?

-primary was subclinical✅

17.mitrall vulve prolapse with regurgitation

No need ab✅

18.antibiotic safe with bisphosphonate

Penicillin VK✅
Tetra
Cephalosporin
Clynda
penicillin, amoxicillin, amoxicillin/clavulanic acid, metronidazole,

19. Antibiotic contra with digoxin

Certain antibiotics including sulphasalazine, neomycin and aminosalicylic acid
reduce digoxin absorption while others, including erythromycin and
tetracycline, increase the bioavailability of digoxin in some patients.

20.after drinking soda, sudden drop of pH..how long it will stay low
20-25 min
30-35. Min
5-10 min

As this enamel wears down, your teeth become more susceptible to tooth decay,
cavities, and other dental problems. The carbonation in soda is also acidic.
So, when you drink soda your teeth are vulnerable to two separate acid
attacks. These so called “acid attacks” can last for up to 20 minutes after
you drink a soda.

21.enamel demineralization
- pH 5.5✅

Enamel 5,5
Dentin 6/2-6/5
Flororoxyapathi 4/5

22.implant osteointregation
Posterior mandibles ✅
23.how fluoride decrease solubility
The results showed that combined application of aluminium and fluoride led to
a marked reduction in solubility of enamel (p less than 0.001). Application of
strontium (0.01 M) and fluoride also led to a significant reduction in enamel
solubility (p less than 0.01). The interaction of fluoride with the mineral
component of teeth produces a fluorohydroxyapatite (FHAP or FAP) mineral, by
substitution of OH- with F-. This results in increased hydrogen bonding, a
more dense crystal lattice, and an overall decrease in solubility.

24.fluoride varnish Moa

Bioavailability related options ( don't remember)

25.appropiate inr for warfarin

Below 1
1.1-2.1
2-3✅
More than 3
26. Spore test
weekly✅

27.4 canals cmn in

Mn m1
Mx m1✅
Mx M2
Mn M2
28. Mx PM2 OD amalgam box what is the difference between OD box &
conventional amalgam

29.A delta
- sharp pain✅
30. Night pain

- irreversible pulpitis✅
( no necrosis in option)

31.extracted tooth with periapical lesion containing fibrous CT, inflammatory

cell & lined by
stratified squamous epithelium.
Periapical cyst✅
Granuloma

32.picture PM rct with silver cone, periapical lesion.treatment??

Retreatment✅
Surgical treatment
Extraction
31.extracted tooth with periapical lesion containing fibrous CT, inflammatory
cell & lined by
stratified squamous epithelium. ✅
Periapical cyst
Granuloma

The periapical granuloma is an accumulation of chronically inflamed

granulation tissue seen at the apex of a nonvital tooth. The radicular cyst is
a lesion that develops over a prolonged period of time within an existing
periapical granuloma. A cyst, by definition, has an epithelial lining.

32.picture PM rct with silver cone, periapical lesion.treatment??

Retreatment
Surgical treatment
Extraction

A or B

33.cause of silver cone failure?

there was periapical lesion
Silver doesn't seal tightly ✅
degrade with time
Missing lateral canal
34.ketoacidosis except
Hyperglycemia
Gluconeogenesis ✅

35.hypoglycemia
- confusion ✅

• Shakiness.
• Dizziness.
• Sweating.
• Hunger.
• Fast heartbeat.
• Inability to concentrate.
• Confusion.
• Irritability or moodiness.

36.extract tooth & pt stood up..felt dizzy.reason??

-syncope ✅

37.what to do
Give O2
Tendelenburg position ✅

38.chest pain.give nitro,no improvement.what to do next

EMS( emergency medical service)
Aspirin ✅
O2

39.corticosteroid inhaler
- candida ✅

40.cupping in cusp tip

- erosion ✅

41.Some weird question about amalgam.remove amalgam restoration except

Chair side tort.
Inspection & tort
Collect & recycle
Collect in sealed container

42.failure to ref ,which ethics violation

Non- malifecance ✅

43.dental office doesn't follow ADA rules except

Eyewash solution
Needle gauge
Forgot other 2 options

44.hiv pt ,xray precautions

Double x-ray packets ✅

45.hiv pt
Decline to treat
Use universal precautions ✅
Ask assistant not to schedule him

46.kennedy 2 question

47.pt on bisphosphonate, RPD clasp on 31 Complaining pain on 31. Treatment

48.gardeners syndrome
✅Intestinal polyps
Odontomas

49. Amelogenesis imperfecta 2 ques

50.dentinogenesis imperfecta.

51.dentinogenesis imperfecta which cell defective

- odontoblasts ✅

52.pus which cell found

Epithelial
Neutrophils ✅
Plasma cell

53.White lesion can be whipped off

candidiasis ✅

54.scc
✅2)Squamous Cell Carcinoma:
• Caused by oncogenes or inactivation of tumor suppressor
genes
• Increased incidence of oropharyngeal SCC associated with
HPV 16 and 18
• 5-year survival is about 50%
• Plummer-Vinson Syndrome= mucosal atrophy + dysphagia
+ iron deficiency anemia + increased risk of oral cancer
• Tx: excision or radiation
55.La in lingual vein,where it will go
IJV ✅
EJV
Anterior jugular

56.mumps out break.except question

Ask pt affected with mumps to stay at home
Ask stuff & pt to get MMR vaccine
Wait until get the test result to inform some govt agency , don't remember

57.pain & swelling during eating

- sialolithiasis ✅

58.pyogrnic granuloma

✅Pregnancy tumor, occur anywhere in oral cavity specially in gingiva and

interdental area

59.LA in floor of mouth,which nerve block

Lingual ✅
Myelohyoid

The lingual nerve block will anesthetize the lingual gingiva, floor of the
mouth, and tongue from the third molar anteriorly to the midline

60.sensory supply to tongue except

- hypoglossal ✅

62.tongue movement muscle

63.too many HIPPA

64.too many law releted ques

65.trigeninal neuralgia
carbamezepine drug, lancing pain ✅

66. Facial palsy

ipisilateral, facial nerve, can be relation with herpes ✅

67. Medicine prescribed for facial plasy except Prednisone

- acyclovir ✅

68.cox 2 inhibitor

69. Mild liver cirrhosis,GERD.which analgesics

ACAP
Opioid
NSAID

70.chronic liver cirrhosis,which avoid

ACAP ✅
Tramadol
Ibuprofen
Naproxen

71.single.tooth extraction. Pt asked for oxycodone.what to do

Prescribe for 7 days oxy
Ref to primary Dr
Prescribe ibuprofen & ACAP ✅

72.autistic pt.what is Inappropriate

DeSensitization
Modeling
Voice control ✅

73. Common chromosomes defect

- 21 ✅

74.bacteria in pus
✅Staphylococcus aureus or Streptococcus pyogenes are especially prone to
pus.

75.bac responsible for decalcification of tooth

s.mutance
76.temporomandi disorder pain mainly due to
Messeter ✅
Temporalis
M.pterygoid
L.pterygoid

77.condyle fracture.where it will displace

Medial
Lateral
Anterior ✅
Post

78.mumps
- parotid ✅

79.beneficience

80.nonmaleficence

81.confidence interval
82.epulis fissuratam

83.too many antibiotics prophylaxis at least ⅚ questions

84.clindamycin not active against

- auruginosa ✅

85.Optimum fluoride
0.7ppm ✅

86.p value 0.05

✅Failure to reject hypothesis for type 1 error

87.rate of disease among 10k people from 2000 till now

Incidence
Prevalence

88.confound bias

✅distortion in measure the association between exposure and outcome

89.randomized clinical trial 2 question

Sunday December 5th, 2021

Evening Discussion

80. Nonmaleficence
No harm

81. Confidence interval

82. Epulis fissuratam

Excisional biopsy.Epulis fissuratum is a mucosal hyperplasia that results from chronic low-grade trauma
induced by a denture flange. (See the image below.) Epulis fissuratum is analogous to acanthoma
fissuratum of ski

83. Too many antibiotics prophylaxis at least 5⁄6 questions

84. Clindamycin not active against-

Pseudomona auruginosa

85. Optimum fluoride

0.7 - 1.2 ppm

86. p value 0.05

Failure to reject hypothesis for type 1 error

87. Rate of disease among 10k people from 2000 till now
a. Incidence
b. Prevalence

88. Confound bias

A systematic distortion in the measure of association between exposure and the health outcome caused by
mixing the effect of the exposure of primary interest with extraneous risk factors.
89.Randomized clinical trial 2 question
Mouthwash study

90. Pt has carcinoma, metastasis, will live 1 yr..take too many medicine..what is the reason of too
many caries except
a. Recent shift to non fluoridated area
b. Medicine
c. Altered oral hygiene

91. Female breast cancer, remission, hip replacement 2 yrs ago...takes oral bisphosphonate
for 7 yrs..what will be the concern for surgery?
a. Previous chemotherapy
b. Present medication

92. Pt has cellulitis..which radiography?

a. PA
b. OPG
c. CBCT

93.Rotated upper centrals, complications to corrected with Hawley due to

a. Rotated crown
b. Root needs to move distally
c. Compromised oral health condition

94. Bilateral balanced occlusion:

For complete dentures. Bilateral balanced occlusion is observed when simultaneous contacts
achieved in both centric and eccentric positions. Bilateral balance occlusion in combination
syndrome

95. Post for?

Retention

96. Which will affect designing central Incisor crown except?

a. Protrusion
b. Material of crown

97. Picture of yellow central & lateral..what is the reason

a. Tetracycline
b. Trauma

98. Apexification:
It used on an non-vital immature tooth with an open apex. It stimulates the formation of a hard
tissue barrier to allow for optimal filling of the canal and by reinforcing the weakened root
against fracture, both during and after apexification.

99. Ellis classification:

100. Indirect pulp capping:

Procedure performed in a tooth with a deep carious lesion approximating the pulp but without
signs or symptoms of pulp degeneration. Caries excavation is done by removal of the superficial
demineralized necrotic dentin and then the removal of the peripheral dentin. After excavation,
the remaining carious dentin is lined with CH and sealed with a provisional material.

101. Finish line for full ceramic crown:

Shoulder finish line.
102. Why we do beveling except?
a. Esthetic
b. more surface,
c. to involve more enamel rod

103.which will require more time to light cure

a. A1
b. A4
c. B3
d. C4

104. Pt has 3-7 mm probing depth, maximum tooth has CAL 5. What is the stage & grade?
a. Stg 4 grd a
b. Stg 4 grd b
c. Stg 3 grd a
d. Stg 3 grd b

105. Pt didn't visit dentist last 2 yrs..now few proximal caries..what is the classification?
Moderate caries risk

106. PICO..o for?

Outcome

107. Periapical cemental dysplasia:

Vital anterior mandibular teeth

108. Xray of stafne bone cyst.asked which is not a differential diagnosis?

Traumatic bone cyst

109. Geographic tongue cause-

Nutritional deficiency

110. Mild liver cirrhosis, gerd..which analgesics?

a. Opioid
b. NSAID
c. ACAP
111. Xray of mandibular parasymphysis fracture:

112. Xray mental nerve

113. Xray- both right & left side have 2 3rd molar impaction...what is the error?

114. Xray odontodysplasia:

115. Xray dentinogenesis imperfecta:

116. Xray periapical lesion, treatment:

RCT

117. BP 180/100..what to do?

a. Ref primary Dr
b. Send to emergency
c. Check bp again after 5 min

118. Smooth surface caries except -

Occlusal

119. Pic of composite veneer

120. After receiving partial denture from lab what will you check 1st except
a. Pt
b. Design
c. Occlusion
d. Fit
Extra File

1. Hypertelorism definition
Increased distance between two body parts

2. Craniosynostosis definition
Craniosynostosis is a birth defect in which the bones in a baby's skull join together too early.
This happens before the baby's brain is fully formed. As the baby's brain grows, the skull can
become more misshapen. Click here to view a larger image.

3. Disulfusiam-
Drug used to treat alcohol addiction

4. Ectodermal dysplasia
Hypodontia, oligodontia
Am discussion
Lot of bisphosphonate in different type like
extraction to pt who take oral 6 months (options was take concent for osteonecrosis
and extract)

extraction for pt who take IV

lot of questions like that like 15 questions

radiation and chemotherapy

when mucositis occur after chemotherapy
(2weeks)
pt under radiation ask physician for (blood count test-prognosis-and some more options
i can’t remember)
after radiation because during radiation or an head and neck cancer any surgical act is conter
indicated

opioid in which category according to ADE ( 2 )

pt has unrestorable teeth referred to you from physician he will start radiation Tx after 2
weeks what will you do ( i think extraction is fine in this situation)
Ext. hopeless case teeth
some more questions in these two topic

few questions on warfarin and Ab prophylaxis

digitalis toxicity with thiazide
the trick here given in the case lot of information INR=1.4 & prosthetic heart valve 5
years ago & and in medicine section pt take digoxin- thiazide -warfarin
the question is what should you worry about in this pt (bleeding- infective endocarditis-
digitalis toxicity)

know difference between pyogenic granuloma, peripheral ossifying, peripheral giant cell,
fibroma

󰗔
Histological
PYOGENIC GRANULOMA (PREGNANCY TUMOR) – an
elevated ulcerated mass that bleeds easily, more common
in females (pregnant women), and may recur. Caused by
minor trauma that provides a pathway for non-specific
organisms & calculus. Most commonly found on the gingiva,
but also the lips, tongue, & buccal mucosa. TREATMENT:

C
EXCISION
FIBROMA (“IRRITATION FIBROMA OR “TRAUMATIC
FIBROMA”)-the most common intra-oral BENIGN
neoplasm of CONNECTIVE TISSUE (soft tissue)
but are most common on the
buccal mucosa, lateral border of tongue, and lower lip.
NODBULAR PINK MORPHOLOGY (pink, fibrous nodule
with smooth surface)
Treatment:

C
conservative surgical excision. Recurrence is rare.
PERIPHERAL GIANT CELL GRANULOM-relatively
uncommon, pedunculated broad-based growths with a
smooth surface (usually). Always on GINGIVA (between
1st permanent molar & incisors) or ALVEOLAR
PROCESS.
REDDISH-BLUE
Treatment: COMPLETE SURGICAL EXCISION

🔔
know difference between bell’s palsy, stroke, trigeminal neuralgia and multiple sclerosis

C palsy -> N7 - damage or viral

C trigeminal -> triggers zone- stab like

MS->attacks the CNS (brain and spinal
cord) due to an autoimmune response
(tingling,
numbness, paralysis, and blindness).
facial and jaw weakness, and Bell’s Palsy &
Trigeminal Neuralgia

multiple sclerosis as the brain was involved in the question and the pt fell numbness in
tongue and face and didn’t mention anything unilateral

know all ulcerative, vesiculobullous and white and red lesion are important

medical emergency
after LA pt wheezing and rash (anaphylactic allergic)
⚠how to tx rash (no antihistamine in option i pick local corticosteroids)
Epinephrine
after LA pt become pallor and increase HR
Syncope
after LA pt become lightheaded and increase HR
Stroke

pt have angina after nitroglycerin become better what do next (monitor vital signs- send
to home) no complete the work in option

trumatic endo cases

% of canal lower 2nd premolar
1 maxillary PM
diagnosis of different endo cases especially chronic apical abscess
which tooth have two canal most ( out of the option was lower lateral incisor)
allodynia

elder abuse like 3 times with different options

side effects of amphetamine(twice)

mild to moderate pain

(800 ibuprofen every 4hrs- 500 acetaminophen every 6 hr)

patient has pain scales 3 he but something that is CI use ibuprofen with it (i can't
remember what it was )so i pick acetaminophen

pregnant in 3rd trimester has mod restoration with symptoms apical periodontitis with
symptomatic irreversible pulpitis
(initiate pulpectomy- remove MOD and place palliative material)

ortho case in mixed dention with cast, cephalo and panoramic radiograph asked about
angle classification , hyoid bone , and question like what you see in this pt depend on
cephalo (like lip incompetence-mandiblar protrude- midface diffecence)

false positive mean is F in test but have the disease in reality

Error type 1
incidence and prevalence (one question)

one question in study given like pictures people with disease and people without and
follow them
Case control
p value is ,
Less than 0.05 mean there no statistically significant

Hypothyroidism has (Hypertension, increase HR, lethargy)

-
Sickle cell diseases in x ray
(ladder shape)

HIV which cancer

(kaposi's sarcoma)

Primary bacteria in endo

Fluoride 0.7 PPM

⚠What differ medium dis-infictant from low (TB)

Minimum chest compression

2 inch

stafne bone defect in X-ray

Pemphagius
(insional, Biopsy)

Odontoma in X-ray, Which Syndrome (gardenal syndrome)

White lesion in floor of the mouth (Uni-lateral) (can candida - White sponge nevus)

⚠Tooth tilted, why you can't do FPD (inadequate- No pass of insertion)

⚠how to know if Ian block work (Ask patient Numbness in Lip and tongue - sharp
explorer in gingiva - cold test)
⚠Caries risk assessment
Multiple restoration (High)
Interproximal Caries (Moderate

PM discussion

Pedal edema
Cardiac heart failure
Pat abandonment
Non- malifecance
Cyanosis
symptom of methemoglobinemia
Operculum
Pericoronitis
Epinephrine and TCA
Contraindicated
Working non working interferences

Engineering
OSHA
Ataxic effect cerebral palsy
Ataxia is the least common form of cerebral palsy. Ataxia means 'without order' or
'incoordination'. Ataxic movements are characterised by clumsiness, imprecision, or instability.
Movements are not smooth and may appear disorganised or jerky.
Another one: anterior fracture teeth
Maxillary centrals
Tetracycline at 5 years which tooth are affected
canine,PM,M
5cc lidocaine 3% how much anesthetic
150
Bio transformation
Non polar fat soluble transformed to polar water soluble
Gingivectomy
Apical flap

Wrapped around parotid:

mandibular ramus
Medial to pterygopalatine raphe
Its medial surface is covered by the mucous membrane of the mouth.[1]
Its lateral surface is separated from the ramus of the mandible by a quantity of adipose tissue.
Its posterior border gives attachment to the superior pharyngeal constrictor muscle.[1]
Its anterior border attaches to the posterior edge of the buccinator muscle.[
CHIP
1997
MOA diazepam
Inhibit GABA
MOA opioid
Act on cns mu receptor
MOA K+ sparring:
spironolactone
Thyroid storm

Addison’s disease
decrease mineralocorticoid
Asthma x epinephrine
Bronchodilator
Wheezing in ashtma:
narrow bronchioles
Most commom arthritis:
osteoarthritis!!
Cardiac heart failed:
murmurs
Resistance to tarnish and corrosion in chromium-cobalt framework partial denture due to?
Chromium
Director supervisor
Direct supervision means supervision of dental procedures based on instructions given by a
licensed dentist
Coping skills
Good Coping Skills
• Practicing meditation and relaxation techniques;
• Having time to yourself;
• Engaging in physical activity or exercise;
• Reading;
• Spending time with friends;
• Finding humor;
• Spending time on your hobbies;
• Engaging in spirituality;
Confidential interval
December 7, 2021, morning

1.extraction to pt who take oral 6 months (options extract)

We can extract

2.extraction for pt who take IV

No extraction for IV

3.when mucositis occur after chemotherapy

2weeks

4.the trick here given in the case lot of information INR=1.4 & prosthetic heart
valve 5 years ago & and in medicine section pt take digoxin- thiazide -warfarin

5.diagnosis of different endo cases especially chronic apical abscess

Asymptomatic, periapical radiolucent present, sinus tract involvement

6.which tooth have two canal most ( out of the option was lower lateral incisor)
Allodynia (mand lateral)

7.elder abuse like 3 times with different options

local agency

8.side effects of amphetamine(twice)

9.mild to moderate pain (800 ibuprofen every 4hrs- 500 acetaminophen every 6 hr)
500 Acetaminophen

10.patient has pain scales 3 he but something that is CI use ibuprofen with it (i
can't remember what it was )so i pick acetaminophen
If pain innscale -3 we give acetoaminophen

11.pregnant in 3rd trimester has mod restoration with symptoms apical

periodontitis with symptomatic irreversible pulpitis
initiate pulpectomy- remove MOD and place palliative material

12.false positive mean is F in test but have the disease in reality -incidence and
prevalence (one question)
FP means don’t have the disease - prevalence

13.p value is ,105 mean there no statistically significant✅

14.Hypothyroidism has (Hypertension, increase HR, lethargy)
Hypertension has increase heart rate and lethargy

15.Sickle cell diseases in x ray (ladder shape)✅

16.HIV which cancer

Kaposi’s sarcoma

17.Primary bacteria in endo

Gram anaerobic obligates

18.Fluoride 0.7 PPM✅

19. What differ medium dis-infictant from low (TB) - Minimum chest compression
2 inches

20.stafne bone defect in X-ray

Radio lucency on the mandible

21.Pemphigus (insional, Biopsy)

Incisional

22.White lesion in floor of the mouth (Uni-lateral) (can candida - White sponge
nevus) - Tooth tilted, why you can't do FPD (inadequate- No pass of insertion)
Path of insertion won’t be present, Candida

23.how to know if Ian block work (Ask patient Numbness in Lip and tongue -
sharp explorer in gingiva - cold test)
Numbness in Lip and tongue
24.Caries risk assessment

25.Multiple restoration (High) Interproximal Caries (Moderate)✅

26.Periodontal disease seen in (Type2 diabetes - Scleroderma)

type 2

27.Failure on implant stability

28.Used for Topical anesthesia

Lidocaine, benzocaine

29.Longest duration of action

Bupivacaine
30. Cause of erysipelas
B-Hemolytic

31.white lesion 15mm in tonsil area what is it ( leukoplakia-tonsillitis ) how to tx (

tonsillectomy - biopsy )
Leukoplakia and biopsy

32.which muscle just anterior to the lesion

Palatoglossus

like 10 question in ethics easy one (I get refer the pt like 3 times in different
scenario)
prosthesis is important for that exam
I get question like you want acrylic base for complete denture but the lab did
something else and give picture for the prescription that the doc sent it for the lab and
ask what is missing in prescription
I can't remember to much in this topic but most of the question based on clinic and
complete denture is important also get many question on that

1 or 2 Q on occlusion one of them was during try in lower right crown the maxilla
midline deviate to the left which surface interfere (some like that ) the trick here is
division of the maxilla midline this mean division of the mandible to the other side
Koyel day 2

Today was my day 2. I got Too many new topics,too many new names of
drugs,..x-ray was poor quality..most is them were cut at the apex or at the crown...60%
of the cases were from prostho,40% pharma and patho,rest from conser & Ortho..here
some cases that I can remember..I can only remember the easy and common
ones...please guys pray for me

Case1. 5 yr old child.Buccal swelling.history of anesthesia 1 day before

A.nerve innervation?
buccal nerve

B.treatment?-
ask the parent to monitor

C.reason ?
trauma

D.what anesthesia will you use?

3% mepivacaive or lido without epi (depends the options)

Case2. Pt has HIV.

A.lesion on tongue
hairy leukoplakia

B.what can be seen 1st?? options are

Oropharyngeal lesion due to HSV

Oropharyngeal lesion due to EBV

Oral Hairy Leukoplakia:

• Caused by EBV
• White patch on lateral tongue that does not wipe off
• Opportunistic infection associated with HIV
• Associated with Burkitt’s lymphoma

Case3.pt has hyperlipidemia, hypertension, diabetes...takes all medications

according to disease

A.reason of xerostomia?
medication

B.bp 150/90
stage 2

C.After injecting 4 cartridge of la with 1:100k his BP rose 200/100..what is the

reason?
Epinephrine

Case 4.pt wears denture upper & lower full for 50 yrs..come for a new
denture..Has palatal lesion

A.yoi told to say "San Francisco"what change will you observe?

B.what is the reason of palatal lesion

candida

C.angular cheilitis, treatment for this pt-

ketokonazole according to the options

D.if you make CD with an increased occlusal vertical height,what will happen?-
pain in tmj & MOM
Case 5.exaggerated but no lingering pain on 4.no cold sensitivity,bt pain on
percussion on 3..lower molar has small periapical lucency

A.Pulpal diagnosis of 3
Normal pulp

B.pulpal diagnosis for 4

Reversible pulpite

C.periapical diagnosis for 3

Symptomatic Apical Period.

D.only rct & restoration on lower molar,what will be the prognosis?

excellent,
good,
poor

Case 6.picture of Lichen planus

A d/d ?
Keratosis, lichenoid reactions, leukoplakia, lupus erythematosus, pemphigus, mucus membrane pemphigoid,
erythematous candidiasis and chronic ulcerative stomatitis

B. confirmatory diagnosis
Biopsy

Some single questions

1.pic of fissured tongue

• Folds and furrows of tongue dorsum

• Melkersson-Rosenthal Syndrome= fissured tongue
+ granulomatous cheilitis + facial paralysis

2.pic of scc

3.white lesion , can't be wipe off.what is not the d/d

Actinic keratosis,
leukoplakia,
candida

4.Multiple myeloma
plasma cell

5. Atorvastatin-
HMGcoA inhibitor

7.inr 3.2,platelet 30k..what is most imp to check before surgery

INR - ok
Platelet - low

A normal platelet count ranges from 150,000 to 450,000 platelets per microliter of
blood.

8.pt Hba1c 10 –
ref

9.too many biopsy ques

10. 3 or 4 ab prophylaxis ques.

Day 6 and 1 nbde 2

hey guys, i had my test today but it was horrible i left out 100 mcq which is like one whole
section just because of computer error so make u guys check ur computers before hand talk to
the prometric manager present or do something about it because i just travelled from inda to
america for the exam and now i m stuck because cannot retake exam for 3 months

overall the test was good i attempeted 300 questions

here are my rqs

1. Suppuration
Pus formation
Neutrophils cell

Suppuration (pus) is dead tissue, bacteria, dead white blood cells, and other
products of tissue breakdown.

Suppuration is mainly the result of the combined action of four factors; which of
the following is not one of these factors?
A. Necrosis
B. Presence of lymphocytes
C. Collection of neutrophils
D. Accumulation of tissue fluid
E. Autolysis by proteolytic enzymes

2. abuse report –
state agency
local police

3. caries present but during exacavation pulp exposure then –

normal pulp,
reversible
ireversible

4. chx useful in root caries or secondary caries prevention around restoration

5. incidence definition
6. buccal infection goes to - sublinngual or retrophryngeal

7. post tongue directly drains too

Deep cervical lymph nodes

TIP OF TONGUE ——> SUBMENTAL. ANT 2/3RD

LATERAL BORDER —–> IPSILATERAL SUBMANDIBULAR. 3. ANT 2/3RD
CENTRALLY ——-> SUBMANDIBULAR NODES ON BOTH SIDES. 4.
POST 1/3RD ——-> UPPER DEEP CERVICAL LYMPH NODES.

8. nitrous contra-
2nd trimester pregnancy
uncontrolled hypertension
9. pt comes with wife and wife says her husband is not feeling well something abut
gullain barrier syndrome same nodule present but vesicle filled and only there on
post lateral tongue rest oral cavit clear – lymphangioma
10. nitrous abuse –
peripheral neuropathies similar to multiple sclerosis

11. some injury happen to pt during implant osteotomy in ant mandi which cause life
threatining-
mylohyoid,
mental ,
diagastric muscle

12. pt comes with 6*3cm lesion and 19 years wearing denture –

relieve spots and reevaluate or
refer to surgeon

13. pt wearing denture show flabby ridges and spontoues blleeding use otc denture
relivers what product in that reliver causes pain –
eugenol
paba
phenol
alcohol
8 December Morning Discussion

1-which of the following should you only use in mandibular denture that can
be a cause of problem in posterior area for phonetic and esthetic problem in
anterior (options were-hyginic ,ridge lap,ovate, modified ridge lap)

2-a person is getting head and neck radiation and has a lot of issues with it,
get mucositis (stated in a different way) which you shouldn't use
Clorexidine
3-If pt undergoes radiotherapy for cancer, the most common oral infection?
a-candidiasis
b-mucositis
4-erysipelas causing organism
bacteria Streptococcus pyogenes, also known as group A β-hemolytic streptococci

5-sleep apnea best method to test

CPAP for tx and polysomnography for diagnosis

6-what is the most common cause of sleep apnea in children
Adenoids -tonsillitis .
o İn adults : obesity

7-zirconium yytria or something like this asking about structure ( i had no

idea about it)
% of yttrium oxide in Zirconium oxide 5-8% polycrestaline
8-prilocain Moa
ACE inhibitor

9-warfarin Moa
vitamin K antagonists

10-aspirin Moa
non-selective and irreversibly inhibits cox1-2
11-weird radiograph of coronoid process!?( options were supererupted

Supererupted coronoid process)

12-avulsed tooth best solution

Storage Media: if the tooth cannot be replanted

immediately, proper storage can favorably influence PDL
cell viability. MILK is the BEST storage media due to
its near neutral pH (6.5-6.8) and osmolality which is
conducive for cell survival. Physiologic saline and saliva
are other tooth storage media.
13-levothyroxine moa
bind to thyroid receptor proteins in the cell nucleus and cause metabolic effects through the control of
DNA transcription and protein synthesis.

-14- cleidocranial dysplasia

CLEIDOCRANIAL DYSPLASIA (DYSOSTOSIS)-genetic
disorder of bone development characterized by absent or
incomplete formed COLLAR BONES, heavy protruding jaw,
wide nasal bridge, and dental abnormalities (malaligned
teeth, multiple supernumerary teeth, and unerupted
teeth). Observing a panorex or FMX alone often suggests
the diagnosis

15-kid 4yr old has a lot of pain in upper right quadrant for last 3days, crying a
lot, lesion is getting bigger, swelling in cheek,hot, painful to touch (cellulitis,
periapical abscess..
CELLULTIS-an acute spreading infection of the dermis
and subcutaneous tissues causing pain/tenderness,
erythema, edema, and warmth of the affected area
(hallmarks of cellulitis). Cellulitis is a common infection that
may progress to a serious illness by uncontrolled spread
contiguously or via the lymphatic or circulatory systems.
Group A Streptococci & Staphylococcus Aureus are the
most common causative organisms.
16-dentist recommended fluoride and systemic water fluoridation which
two ethical conflicts (something like this)
Autonomy and beneficence

17-reat seat
In the design of occlusal rest seats, which of
the following statements properly applies?
1. Occlusal rest seats should be kept to a
minimum size on all teeth.
2. Occlusal rest seats need not be prepared
if adequate occlusal clearance is already
present.
3. Occlusal rest seat preparations should be
spoon-shaped, lacking sharp angles, and
the floor shou Id slope from the marginal
ridge toward the center of the tooth.
4. Occlusal rest seats should incline
gingivally at the marginal ridge.
18-Most common cause of rest breaking?
A.Heavy occlusion
B. wear by opposing tooth
C.inadequate rest seat prep
19-Rest seat distance from OOPOSING tooth? 0.5 or 0.8 or 1 or 2mm
20-combination syndrome question
21-CPr chest compression/min

22-community water fluride noal range 0.7ppm

23-4yr old kid non fluridated area how much he needs(twice)0.5mg

24-#17,#18,#19 missing kennedy classification

25-picture of a with class 2div 2 classification,which one is normal in

her(compitent lip),

26-under maxillary denture other than staph mutans which organisms is

common?C. albicans

27-clindamycin effective against organisms exception?

28-Clindamycin is not effective against?
A) p. Arg
B) streptococcus
C) staphylococcus

29-which of the following describes clindamycin

a. inhibits cell wall synthesis
b. does not penetrate well into bony tissue
c. it usually given in combination with erythromycin
d. is effective against gram-negative bacteria only
e. is effective against most anaerobes
30-Clindamycin is MOST effective against:
1. Staphy Aureus aerobic
2. Streptococcus anaerobic
3. Bacteroids
4. All

28-pemphigus case which test to confirm it

Punch biopsy
29-vesicles, blisters, painful,nikolsky sign positive dx
Pemphigus
30-picture of a man with retained #20 roots best tx opt for him
overdenture if root stumps are asymptomatic

31-father has congenitally missing teeth ,mom asking doctor is there any
possibility there kid gonna have same problem or not,if yes which tooth is
more possible to be missing in the arch(options were #7-#10,#6-#13,#22-26)
32-vicryl suture acid hydrolysis

33-kid has severe lip trauma from LA numbless last time which LA you want
to use this time

articaine infiltration
34-shade selection which way to prevent metamerism
35-Which of the following is the best choice to avoid the effect of
metamerism
A- Select a porcelain shade using light only
B- Select the shade that looks optimal under multiple light sources
C- Avoid fluorescent lighting when selecting a porcelain shade
D- Add additional layer of opaque porcelain prior to placing body porcelain

36-metamerism invariably involves ______.

a. color difference between two objects under one or more illuminants
b. one object having a lower chroma than another
c. one object having a lower lightness than another
0d. significant color change of one object as it moves from one illuminant to another
38-When a light beam passes through a mass, it reduces in intensity as it’s
absorbed and reflected from different material surfaces, what does this
describes? A. Refraction B. Metamerism C. Other options
-
8 DECEMBER EVENING DISCUSSION DAY2

Case 1.
69 .years old lady have 140/80 bp , hyperlipidemia , angina attack
previously and she takes medication
Aspirin
80mg
Clopidogre
l Lisinopril

Q1. Her BP according to asa

stage? Normal
Elevated
Stage 1
Stage2

Q2. No modification in medication before tx require ,

During procedure prolong bleeding related to
procedure may occur.? Both statements false
Both statements true
1st false 2nd true
2nd true 1st false

Q3. Medication she taking for BP acts through which mechanism?

Inhibit angiotensin 2 and dilate blood vessels
 Q4. Antihypertensive may show following side
affects except? A orthosstatic hypotension
B non-productive cough
C interaction with prolong use of nsaids
D decrease in potassium level

Case2
long drug history but just 2 questions
1. Which drug will cause issues with local
bleeding control? Clopidogrel (anti - platelet)
Inhibitor of platelet activation and aggregation through the
irreversible binding of its active metabolite to the P2Y12
class of ADP receptors on platelets.

2. Due to which drug extraction will be a

problem? zoledronic acid IT IS BISPHOSPHONATE

Case 3
Patient having aching pain on #9

1. Xray to identify: internal resorption

2.Same pt wanted to know where is the lesion on 9 root- within the root - there were 2x rays
provided and RL did not move
3. What is the reason you see on
radiograph? Underfilled gutta percha

Case 4
Pt had 6 -11 loss previously , had provisional rpd for 3 years.single mom
financial issue.#30 had filling n RL periapical too.

Q cost
affective tx A
A-rpd
B bridge
C Implant

Q she had discoloration is lower n cervical

caries .tx? Gic

Q. #30 cause of RL
apicaly A-radicular cyst
B periodontal cyst
C okc
D chronic abcess

Q what is radiolucency apically

in DB root a Oropharyngeal space
B greater palatine foramen
C abscess
D nasopharygeal space

Case5

Pt with positive skin and sputum test- (TB)

1. How to treat pt for urgent

things? In dedicated and isolated
room

2. What is correct?
Defer pt for elective tx until physician says ineffective

3. Most potent
drug? Isoniazid

Case 6
Patient having white lesion on floor of the mouth
4.5 × 2.5cm Already had radiotherapy before for
another cancer 3 years ago

1. What to do
? Incisional
biopsy
2. What it could not
be? Nicotinic
stomatitis

3Cause of xerostomia?
A. Medication
B. Radiotherapy

4.What advice do you give for dry

mouth? A.Juices
B. Xylitol gum for salivary gland stimulation
C. Chx

Some questions , don’t remember whole case

1. Knee surgery pt if you have to give prophylaxis what is the determining factor?
- Time after surgery no need

2. Radiograph - tell the radiopaque thing next to Alphabet R-

styloid process eagle syndrom
 3. Pano - identify radiopacity behind the ramus-
Earlobe

4. IOP identify radiopaque line on mand

2nd molar - internal oblique ridge

5. Low copper amalgam identify- the most dull dark amalgam

6. Pt had rct on 8 and on IOPA u see a pinpoint RO at just beyond apex
of root and in photo u see dark pigment near vestibule of 8

Amalgam tattoo

7. Max upper molar and PM buccal cusp facets

which movement Working movement BULL

8. How would you know if an anterior open bite of pt was present before
trauma to right upper ant where 8 was lost
Mand anterior still have mamelons

9. Same pt with ant open bite and 8 lost - space was also lost as 9
tipped distally and 10 mesially- what is the biggest issue in regaining
space?
over jet will increase

10. Yellow discolored 9?After Truma

Best choice Internal bleaching

11. Another adult pt best material for his

cervical caries? GIC
Amalgam

12. Identify radiolucency on DB root of max 6th tooth from midline

on Right- In wrote Palatoglossus space

13. Q what nerves to anesthetize for

removal of 9 A ASA& nasopalatine
B. ASA& infraorbital
C infraorbital & nasopalatine etc

(Same ques asked 2times)

Q again

While removing #10 pt still feel pain after anesthesia ,which accessory
nerve to anesthesia? A ASA and nasoplatine redo
B infraorbital
C other

Max. Lidocaine 2% 1:100,000 which can be given in a adult male 195 lb-
7
10
14

Pt has crepitus no pain what kind of arthritis? don’t remember if

she had asthma.. osteoarthritis

Which receptor
lisnopril
A1Angiotensive
receptor

Colored tiny spot on the internal surface of lower lip, most

probable diagnosis? A- melanotic macule
B- melanocytic nevus
1. Cerebral palsy –

• multiple damage areas to brain causing group of permanent disorders.

•
2.Pheochromocytoma

• Pheochromocytoma is a rare tumor that usually starts in the cells of one of your adrenal glands.
Although they are usually benign, pheochromocytomas often cause the adrenal gland to make
too many hormones. This can lead to high blood pressure and cause symptoms such as :
Headaches.

3. Peri-implantitis –

• Gram-negative anaerobic rods with a proteolytic metabolism such as, Fusobacterium,

Porphyromonas, Prevotella and Tannerella, as well as anaerobic Gram-positive cocci
4. Bulk-fill composite benefit –

• can add increments of 4 mm

•
5.Anterior 2/3 of tongue taste supply-

• Taste- Chorda tympani from facial nerve

• General sensation- v3

6.Diabetes effect on periodontitis- true

7.Blood borne pathogen standard - what is correct

A. regulated by NIOSH
B. need to wear protective eye gear and shield
C. need Hep C vaccine
D. training every year on employee charge
8. Basal arterial pressure rising but pulse dropping - cerebral vascular stroke

• true

9. recession in gingiva

10.- rigid impression material

Polyether
• Very stable but easily influenced by water and humidity
 Hydrophilic
 Imbibition
• Very stiff and easy to break teeth on cast
• 60 minutes to pour
11. Which imp material for multiple impression:

• Addition Silicone (PVS)

 No byproducts
 PVS= Polyvinyl Siloxane
 Best fine detail, elastic recovery, dimensional stability
 Inhibited by the sulfur in latex gloves and rubber dam

12. Die stone- Type 4 gypsum

13. Sulfonyl urea MOA-

• stimulate synthesis and release of insulin from pancreas

• Binds to ATP sensitive k channels on beta cells opens ca channels and rise insulin secretion

14.Class 3 because of retrognathic mandible-

• inverted L surgery
This is a procedure that can be employed for:
o posterior repositioning,
o mandibular rotations
o shortening and lengthening of the posterior ramus
o large mandibular advancements (with bone grafting

o
15. Contraindications for Endo – not sure if these are all options or answers because I think it should be
all of the above but if not I guess best answer would be, recent MI.

A. luekemia
B. diabetics
C. recent MI

16. Myelosuppresive disorder-

• A condition in which bone marrow activity is decreased, resulting in fewer red blood cells, white
blood cells, and platelets.

17. Nitroglycerin MOA – vasodilation

• Niroglycetin causes the relaxation of vascular smooth muscles, causing arteriolar and venous
dilatation. It reduces cardiac preload and afterload and reduces coronary artery spasm,
decreasing systemic vascular resistance as well as systolic and diastolic blood pressure.

•
18. Pt with asthma most common cause of thrush - steroid inhaler

19. Best way to prevent thrush in asthma pt is to - rinse the mouth after inhaler use

20.Altered passive tooth eruption- gummy smile

21 .Sentraline MOA- SSRI serotonin inhibitor

• Sertraline is a selective serotonin reuptake inhibitor (SSRI) indicated to treat major depressive
disorder, social anxiety disorder and many other psychiatric conditions.
22.Pt takes Fluoxetine after post traumatic depressive syndrome what will not happen- hallucinations
not sure

Side effects of fluoxetine:

• nervousness.
• anxiety.
• difficulty falling asleep or staying asleep.
• nausea.
• diarrhea.
• dry mouth.
• heartburn.
• yawning.

23.Best imaging for TMJ-

A. MRI
B. CBCT
24- VDR recorded best in which position

A. Upright
B. Standing position
C. Supine position

25.dentist did build up and crown insurance paid only crown-

A. Bundling
B. down coding
C. upcoding

Bundling is defined by the ADA as "The systematic combining of distinct dental

procedures by third-party payers that results in a reduced benefit for the
patient/beneficiary."

Downcoding is defined by the ADA as "A practice of third-party payers in which the
benefit code has been changed to a less complex and/or lower cost procedure than
was reported except where delineated in contract agreements

26.Gingival Index is used for -patient motivation

27.Ameloblastoma feature-

• Benign but aggressive

• Classic differential diagnosis for multilocular radiolucency in posterior mandible is
ameloblastoma, KCOT, CGCG, COF
• Tx: wide excision or resection, high recurrence if too conservative
• Soap bubble, tumor odontogenic

28.dentrigrius cyst

• Also called eruption cyst if lesion occurs over erupting teeth in children
• Radiolucency attached to CEJ of impacted tooth
• Most common with canines and third molars
• Accumulation of fluid between crown and reduced
• enamel epithelium
• Tx: excision, but may be source of future odontogenic tumor

•
29.MOA of using a Forcep during extraction

• In permanent tooth go more buccal less palatal. In primary the mechanism should be more
platal and less buccal
30 .MoA of peristeal elevator

• Moa:
o Luxate
o lifting full thickness soft tissue flap
o Usually it breaks the ligaments

31. Which of these is not under dentist control-

A. condylar guidance
B. Inicial guidance
Friday 10,21: Morning.

1._ is more frequently associated with multiple sclerosis.

A)Trigeminal neuralgia

B)Bell’s palsy

C)Migraine

D)A & B

E)All of the above

2.10 year old incisor fracture 4 mm exposure

RCT

3.pulp caping indirect direct

Direct less than 2mm exposure

Indirect leave affected dentin in deep cavity

In direct pulp capping, the protective dressing is placed directly over an exposed pulp; and in indirect
pulp capping, a thin layer of softened dentin, that if removed would expose the pulp, is left in place
and the protective dressing is placed on top.

4.which test is used to test vitality

Thermal

5.:traumatic injury:which test is least reliable

Ept

6.yellow color teeth

exposed to tetracycline, a child's newly erupted teeth appear fluorescent yellow. Exposure to
sunlight, though, causes a change in color, and the teeth become brownish or grayish over time.

6 traumatic teeth mangement different cases Mentioning Ellis classes know

7.which tooth you change angulation during access cavity

Man pm1

8..know everything about class 1 and 2 prep Like what gives resistance retention

Retention prevent displacement of restoration

Resistance prevent fracture

9.composite composition

Bis-Gama

Filler particle

10.VDR recorded best in which position

Upright

11 Phases of amalgam which one is weak

Gamma2

12 high cu amalgam advantage

Low corrosion

13.,cusp showing when indicated intercuspal width

More than 1/3 cusp width indicated to cusp coverage

14,bleaching material in office

35% Hydrogen peroxide

15 know about class 2 3 snb all angles

Class 3- snb increases and in. Class2- it decreases?

16 Trismus due to which space infection

Massetric

17.Status epilepticus drug

Diazepam

18.Not causes angular cheilitis

Increase vdo

19,Which one the best for status treatment diazepam or midazolam ?

Diazepam

20.Denture dislodge on smiling

Overextension

21.Crohn’s disease has

Inflammatory bowel disease

22 Crouzon syndrome

Beaten skull Synatosis

Crouzon Syndrome

• Craniosynostosis= early closure of skull sutures

– Brachycephalic= short skull

– Midface deficiency

– Frontal bossing= prominent forehead

– Hypertelorism= widely separated eyes

– Proptosis= bulging eyes

Which disease characterized by fusion of fingures?

apert syndrome, and its similiar to Cruzon

23.Max N2O which can be given in kid 30%, 50 %

50%

24.Gic cement advantages and bond questions

ionic bond

25.composite etch function

Mucromechanical bond

26cledocranial dysplasia

Missed clavicles, supernumerary teeth and delayed eruption

27gardern syndrome

Multiple polyps, odontoma

28apert syndrome

1. Best for acute odontogenic infections? tetracycline, penicillin, erythromycin…

Penicilln

2. Stafne Bone defect picture

Stafne bone defect : Asymptomatic, unilateral , oval shaped radiolucent defect on posterior
mandible, below alveolar canal, it is depression of mandible

Ectopic part of submandibular gland causes bone of lingual cortical plate to remodel.

3. 53 years old with pain when touches the chin? Don’t remember exactly the word used but it was
like mild pain, just to touch.

TN?

29 The most carious sugar? Sucrose, fructose, lactose

Sucrose
Evening discussion

1. Best for acute odontogenic infections? tetracycline, penicillin, erythromycin…

Penicillin

2. Stafne Bone defect picture

Stafne bone defect : Asymptomatic, unilateral , oval shaped radiolucent defect on posterior
mandible, below alveolar canal, it is depression of mandible

Ectopic part of submandibular gland causes bone of lingual cortical plate to remodel.

3. 53 years old with pain when touches the chin? Don’t remember exactly the word used but it
was like mild pain, just to touch.

Myofacial pain syndrome

4. The most carious sugar? Sucrose, fructose, lactose

Sucrose

5. Best prognosis long term carcionoma of salivary glands

pleomorphic carcinoma

6. 4 mm of bone and patient wants implant? put a wide implant, bone at sinus floor, bone at
alveolar ridge?

Bone at alveolar ridge

7. Pleomorphic Adenoma

Major benign salivary gland tumor

8. If you don’t have indirect retainer, what happens?

Rpd dislodge

9. What doesn’t cause xerostomia?

Xerostomia doesn’t cause by vitamin deficiency right?

10. Endodontic abscess question? single gram – anaerobes, multiple types of anaerobes…

Multiple anaerobes

11. Patient with a crown and caries subgingivally (including X-ray), what you do first? Remove
crown to see if its restorable, increase clinical crown?

12. Leading question 2 times, same example.

➢ Leading question: is designed to VERIFY particular information by leading a person to

suggested answer.
13. Manifestation of bulimia in oral cavity, but not erosion in options. Options gingivitis, pleo…
something

perimylolysis

14. Onlay that when you are prepping it you realize its 1 mm from bone, what to do? Continue or
increase crown

Inhibits both free factor Xa and factor Xa bounded in prothrombinase complex

True

16. HPV serotypes related to carcinoma? HPV 16 and 18

Correct

17. OKC? Nevoid Basal Cell carcinoma

True

18. Reabsorption of maxillary bone Combination syndrome (Kelly): superior and anterior

Yes

19. Arthicaine primarily? Liver or plasma?

plasma

20. What property makes a substance liquid under compression? Isometric, isotropic, thixotropic

21. Proximal Caries related to BTW, related with histology of the caries? Translucency, body…

Body?

22. Synthetic opioid? Methadone

heroin, fentanyl, hydromorphone, methadone, buprenorphine

23. Smokers related to periodontal disease

Have poor prognosis

24. Best to tx dental infections in children

Penicilln

25. Patient under general anesthesia, hypoxia, what you need to see? Or what are you going to
see?
Nails or lips

26. Related to periodontal progression? TNF-a, IL-1B, IL-14

Il-1

27. Host modulation? Doxycycline

YES

28. Pilocarpine? To Tx xerostomia

Yes

29. Atropine? To reduce salivation

YES

30. Gorllin syndrome but not OKC options

Calcified falx cerebrii

31. After biopsy found streptococci

Calcifying odontogenic cyst, Gorlin cyst, calcifying cyst odontogenic tumor all = Ghost cells

32. Burkitt’s lymphoma? EBV

33. Macule

A macule is a flat, distinct, discolored area of skin. It usually does not include a change in skin texture
or thickness.

Melanotic macules most common oral mucosal lesions of melanocytic origin, lower lip, gingiva and
palate

34. Reason for inadequate preparation and failure of primary restorations

Primary teeth ??

35. Deep 3 wall defect: best for bone grafting

Yes. 3 wall defect aka trough . And best type 2 furcation

36. Thyroid Storm (they give you the symptoms)

Thyroid storm occurs due to a major stress such as trauma, heart attack, or infection in people with
uncontrolled hyperthyroidism. In rare cases, thyroid storm can be caused by treatment of
hyperthyroidism with radioactive iodine therapy for Graves disease

37. External locus control

Control from outside factors

38. Best cement for unretentive crown

Composite ? Any reference?

39. You place an oral device, its positive reinforcement or negative reinforcement?

positive reinforcement

40. Ameloblastous transformation

yes,
NBDE part II, Day 1 Laura

1. Best for acute odontogenic infections? tetracycline, penicillin,

erythromycin…

2. Stafne Bone defect picture

3. 53 years old with pain when touches the chin? Don’t remember
exactly the word used but it was like mild pain, just to touch.
Myofascial pain

4. The most carious sugar? Sucrose, fructose, lactose

5. Best prognosis long term carcionoma of salivary glands

Acinic cell carcinoma

Acinic cell carcinoma is most commonly found to occur in the parotid gland

,
and has an excellent prognosis with a 5-year survival rate of about 90%.
6. 4 mm of bone and patient wants implant? put a wide implant,
bone at sinus floor, bone at alveolar ridge?

7. Pleomorphic Adenoma
8. If you don’t have indirect retainer, what happens?
Lack of indirect retainer: will result in denture being lifted away from tissue

when pressed on one side

9. What doesn’t cause xerostomia?

Each of the following may cause
xerostomia EXCEPT
1 . mumps.
2. a sialolith.
3. diabetes mellitus.
4. glandular aplasia.
5. morphine addiction
Which diseases does NOT cause xerostomia?
- Vitamin B12 deficiency
- VItamin C deficiency
- Sjögren's syndrome
- Anemia

10. Endodontic abscess questi…on? single gram – anaerobes,

multiple types of anaerobe s

11. Patient with a crown and caries subgingivally (including

X-ray), what you do first? Remove crown to see if its restorable, increase
 clinical crown?

12. Leading question 2 times, same example.

Leading question: is designed to VERIFY particular information by leading a

person to suggest answers.

You are anxious what type of question ?

A) open

B)leading

13. Manifestation of bulimia in oral cavity, but not erosion in

options. Options gingivitis, pleo… something
Perimylolysis is the term applied to the wearing down of tooth enamel by

mechanical or chemical means, the latter including repeated vomiting.

14. Onlay that when you are prepping it you realize its 1 mm
from bone, what to do? Continue or increase crown

15. MOA of Riveroxaba- Factor Xa Inhibitor

Inhibits both free factor Xa and factor Xa bounded in prothrombinase complex

16. HPV serotypes related to carcinoma? HPV 16 and 18

17. OKC? Nevoid Basal Cell carcinoma

18. Reabsorption of maxillary bone Combination syndrome

(Kelly): superior and anterior

19. Arthicaine primarily? Liver or plasma?

20. What property makes a substance liquid under

compression? Isometric, isotropic, thixotropic
21. Proximal Caries related to BTW, related with histology of
the caries? Translucency, body…

22. Synthetic opioid? Methadone

heroin, fentanyl, hydromorphone, methadone, buprenorphine

23. Smokers related to periodontal desease

True

24. Best to tx dental infections in children Pinicillin

25. Patient under general anesthesia, hypoxia, what you need
to see? Or what are you going to see
Cyanotic lips and nails but before that they will see in the monitor that O2

dropping
26. Related to periodontal progression? TNF-a, IL-1B, IL-14

27. Host modulation? Doxycycline

28. Pilocarpine? To Tx xerostomia

29. Atropine? To reduce salivation

30. Gorllin syndrome but not OKC options

31. After biopsy found streptococci

32. Burkitt’s lymphoma? EBV

33. Macule
34. Reason for inadequate preparation and failure of primary
restorations lack of retention and insufficient amount of material can lead

to failure

35. Deep 3 wall defect: best for bone grafting True

36. Thyroid Storm (they give you the symptoms)

37. External locus control

38. Best cement for unretentive crown

(6) Resin
• Most compressive strength
• Bonds to dentin
• Light cure, chemical cure, or dual cure varieties
Light cure cement is more color stable than dual cure cement
39. You place an oral device, its positive reinforcement or
negative reinforcement?

40. Ameloblastous transformation

Ameloblastoma is benign and can transform to malignant ameloblastic

carcinoma

41. After the formation of the clout, what’s the next step?
Osteoblast, osteoclast…

42. SDF in gingiva Senstivity and Staning

43. Tooth with caries on mesial and distal, but little dentine
F-L, what’s the ideal treatment?MOD

44. With age increases? Chroma, hue, valueValue Dec, chrome inc
45. Enamel and dentin crack to see, except? X-ray, touch, uv
light
external ridge

46. This same question: External oblique ridge

47. Where self-limiting pin is place Flate surface

48. Floor of mouth puncture during an extraction, what to do?

Suture?
49. Class V retention: gingival and occlusal

50. Most common reason to repeat a final impression of a

crown? , ,
Movement inadequate gingival expansion bleeding patient

51. Both agonist and antagonist Bupronorphine, pentazocine

52. Glucocorticosteroids CI Dibeties

53. Chemotherapy related with blood? Neutropenia,

thrombocytopenia

54. Question about COVID, negative tests- High Specificity

55. After injection of prilocaine- Methemoglobinemia

56. If the patient is old and doesn’t take any medication,

which is not going to change? I put saliva flow

57. What’s not true about scaling and root planning?

Patient with cardiac transplant premedication is not required in
A ) scaling and root planning
B putting bands on molar in ortho treatment
 C ) surgical endodontics
D ) fixing fixed orthodontic prosthesis

58. Amantadine: For influenza A and Parkinson s’

59. What’s not true about Parkinson’s? I picked one that said
intentional movements

60. Necrotic pulp therapy: apexification

61. Most common reason of perforation of Max 1 premolar

Mesial Concavity

62. Reason for adequate coronal preparation for endo (2

times): prevent separation of the file

63. NSAID that irreversible binds to cox Asprine

64. 1 carpule on a kid and then euphoric, what’s the reason?

You anesthetize a pedo patient and following the anesthesia the
patient start
to act euphoric and agitated, what is the probable cause?
A. Intravascular anesthesia

B. Allergic to lidocaine

C. Allergic to epinephrine

65. Intrapulpal anesthesia effectiveness: back pressure

66. Blue sclera and osteogenesis: dentinogenesis imperfecta

67. Sinus tract: chronic periapical abscess (2 times)

68. Sialolithiasis: -
occlusal x ray

69. Which patient don’t use papoose

70. Cognitive coping
71. Frey’s syndrome: Gustatory sweating

72. Symptoms: ortopnea.. à congestive heart failure

73. Latent phase after radiotherapy

Is the time between exposure and development of biological effect

74. ALL most common in children True

12th December AM and PM discussion

MEXA December 9th 2021 :)

1. Regular Rx vs digital : a) easier to take with digital película b) less radiation

2. Fluoride MOA: demineralization

• Remineralization of tooth structure
• Decreasing enamel solubility (lowering critical pH)
• Interfering with metabolic activity of cariogenic bacteria

3. Endodoncia punt with plata: / degradation of the material / pigmentation/ doesn’t fit well

4. Syncope: Trendelenburg position

12th December AM and PM discussion

5. P value , examples in a case with results abound 3 types of laser . The results were
something in % like 95 or 96 % and also with 2.35 so you have to chose which one it’s
your best option to buy it .

6. Herpes zoster related with Bell’s palsy with a reaction in the middle of palate and hurts.
Ramsay Hunt Syndrome.

7. Clindamycin: colitis pseudomonas’s

8. Cause of the colitis pseudo membranous: swelling or inflammation of the large intestine
(colon) due to an overgrowth of Clostridioides difficile (C difficile) bacteria. This infection is a
common cause of diarrhea after antibiotic use.

9. Warfarin : INR
10. Hypertension, diabetes / warfarin which test better before extraction ( - bleeding time ,
HbA1c, INR, )
11. BULL

12. What you change if you use a stain in a crown ? Value, chroma, hue,(Not sure)

13. Which one has more chroma :A2, D3, C3, B2 (confused between D3 and C3)
12th December AM and PM discussion

14. What is the minimum space required for a gold crown? 1.5, 2.0, .5, 1.0,
1.5mm clearance functional cusp; 1mm for non-functional.

15. Present tooth at age of 8 . How many? 12 permanent, 12 primary.

16. Why, in a picture of 2 temporarily molars (one in left the other one in the right). In the a
picture looks inside the bone and the permanent teeth erupted . The teeth look trap .
Cause . Ankylosis , supraeruption of permanent …

17. Candida,which drug could produce it? Corticosteroids.

18. Asthma medication what can cause in paladar. After the application of the salbutamol
what recommend. Something like , rinse after with water , rinse with mouthwash and
others .

19. If the posterior mandibular plane is elevated, what type is . Overjet , overbite, something
like that. Long Profile

20. Zirconia phases: Monophase

12th December AM and PM discussion

21. Kennedy classification ( photos , avoid 4 questions )

22. Classification caries ( low risk, high risk,): 2 within 2 yrs low risk. 4-5 high risk as well as diet

23. OSHA examples Need to learn very good

24. What to do first if patient feels dizzy, after a tooth extraction ( about which position ):
Trendelenburg position

25. Muscle related to bruxism: masseter, temporal,

26. Trigeminal neuralgia / symptoms:

Trigeminal neuralgia (tic douloureux and atypical facial pain): severe pain in head and
neck region (all other things ruled out)
• Cause is usually idiopathic
• Most frequently diagnosed neuralgia in US 4/100,000
• Abrupt onset of pain (elicited by light touch) over specific trigger point, distribution over
one or more branches of trigeminal nerve, episode less than 60 seconds
• Remission can last 6 months
• Treatment: anticonvulsants (carbamazepine, phenytoin), local injection of
alcohol or glycerin over trigeminal ganglion, local anesthetic of nerve or trigeminal
ganglion, neurosurgery
12th December AM and PM discussion

27. Muscles affected in Bell’s palsy: Facial muscle

28. Nerves affected in Bell’s palsy: CN VII

29. Sensorial nerve to the tongue: ant 2/3 is V3, post 1/3 is IX

30. Sensorial nerve for palate

31. Cholesterol drugs: Statin drugs

32. Beta blockers MOA: Beta receptors, propranolol non selective.

33. Diabetes 2 what is affected: damage pancreas células beta / insulin resistant

34. Absceso periapical vs periodontal: Periapical non-vital tooth, perio tooth vital.
12th December AM and PM discussion

35. Histology of periapical cyst and periapical abscess

36. Tooth Fracture classification

37. Disinfection many questions/ treponema , and hepatitisB

38. Spores test : one a week / autoclave

39. Disinfection and Treponema Palladium/ hepatitis

12th December AM and PM discussion

40. What to do in case assistant get pinch and the patient has Hepatitis B. get her in
vaccination , observation , I don’t remember the others
Wash and report, then test if not vaccinated then hep series vaccination.

41. Avulsion and contusion what to do first ( endo, observation , place a rigid splint) - —how
many days or max days you can wait to start the pulpar treatment.
Place flexible splint
Proper management of an avulsed PERMANANT tooth replanted by the dentist
within 2hrs of the accident:
• 10-14 days after replantation, clean and shape (prepare) the root canal, and
place calcium hydroxide paste into the canals. Replace this paste every 3 months for
on year. After 1 year, if the root resorption has reversed or stopped, a permanent
gutta-percha filling can be placed.
Proper management of an avulsed PERMANANT tooth out for > than 2hrs of the
accident:
• Ankylosis & external root resorption will probably occur within 2 years. Ankylosis
caused by the replacement gives a better prognosis than external root resorption
which leads to failure.
• RCT is performed in its entirety PRIOR to replantation.
• Soak the tooth in 2.4% fluoride solution acidulated at 5.5pH for at least 20min.
Fluoride slows the resorptive process.
• Gently curette the blood clot out of the alveolar socket and irrigate with saline.
• Rinse the tooth with saline, replant it into the socket, and splint for 4-6 weeks

42. Examples of study and you have to said which one was

43. Cohort study, cross sectional , case control study , randomized

12th December AM and PM discussion

44. Odd ratio: case control?

45. Clindamycin MOA what kind of microorganism , ( aerobics, Anaerobic)

It is effective for S. Aureus, streptococcus and anaerobes except gram- bacili

46. Clindamycin what specific MO it good for: Clostridioides difficile colitis

47. Antibiotic prophylaxis several questions

12th December AM and PM discussion

48. Microorganism present in the periapical abscess

Acteroides, Fusobacterium, Actinomyces, Peptococcus,Peptostreptococcus, and
Porphyromonas as well as Prevotella oralis, Prevotella melaninogenica, and Streptococcus
viridans.

49. Total percentage of caries in US : incidence or prevalence

50. What to do if patient said that doesn’t like the sound of the hand piece. Show and tell

51. MSDS material safety data sheets: by manufacturer

52. FDA regulation: Food, drugs, medical devices

53. Many questions of the principles of the code of ethics ( autonomy, veracity , non
maleficence , justice , beneficence ) at list 2 of each.

54. Several questions about squamous cellular carcinoma

12th December AM and PM discussion

55. Dental recession / related with a smokeless Tobacco / nicotine MOA

Nicotine mainly shows its action through specific nicotinic

acetylcholine receptors located in brain. It stimulates
presynaptic acetylcholine receptors thereby enhancing
Ach release and metabolism. Dopaminergic system is also
stimulated by it, thus increasing the concentration of
dopamine in nuclear accumbens

56. Endodontic silver tips , what happen in apice/ cause of the fail: corrosion and can act as
cytotoxic. Fails due to inadequate seal.

57. NSAID MOA : reversibly or irreversibly binds to Cox 1 and Cox 2

58. Cirrhosis
Cirrhosis is a late stage of scarring (fibrosis) of the liver caused by many forms of liver
diseases and conditions, such as hepatitis and chronic alcoholism. Each time your liver is
injured — whether by disease, excessive alcohol consumption or another cause — it tries to
repair itself

59. KOA and sx related

60. HPV oral manifestations:

12th December AM and PM discussion

61. Panoramic errors

62. Taurodontism and syndrome related. Associated with AI, ectodermal dysplasia, tricho
dentoosseus syndrome.

63. Gardner’s syndrome

1. An autosomal dominant disorder
2. Consists of intestinal polyposis, osteomas, skin lesions, impacted permanent and supernumerary teeth,
and odontomas.
3. Intestinal polyps have a very high rate of malignant conversion to colorectal carcinoma.

64. Basal cell nevus syndrome, Gorlin syndrome , keratocystic

12th December AM and PM discussion

65. Down Syndrome / behavioral treatment

66. Action of the epinephrine in LA/ in the heart and vessel:

vasoconstriction and increase in BP, α1,2 & β1,2 direct acting agonist

67. Fibrous dysplasia

68. Why mucoccele looks blue

Vascular congestion and cyanosis of tissue above and accumulation of fluid below

69. Lichen planus/ is it contagious? Not contagious

70. Biopsy in cell carcinoma / what to do first , ask the doctor , do the biopics,: Refer to
physician
71. Supernumerary teeth syndrome related: Cleidocranial syndrome

72. Amelogenesis imperfect cause, characteristics of the enamel (photos).

an inherited hereditary ECTODERMAL DEFECT
transmitted as a dominant trait that affects the
deciduous & permanent dentition, causing
enamel to be soft, thin, and yellow due to
EXPOSED DENTIN through the thin enamel layer.
12th December AM and PM discussion
11th PM discussion, 12th AM discussion Laura’s Day 2 (12.11)

Day 2 NBDE II. 12.11 Laura

1. Xerostomia most likely due to: a) Lisinopril and Rosuvastatin b)Methylphenidate

and Rosuvastatin c)Bupropion and duloxetine d)Lisinopril and bupropion (not
sure).

2. Angular cheilitis: candida albicans (T)

3. They give you a panoramic x-ray to identify what they selected with arrows
(Radiolucent space both sides) on the glossopalatine space: space of air. Other
option was fracture of the mandible.

4. C4: thyrohyoid membrane.

• hyoid bone (C3)
• thyrohyoid membrane (C4)
• thyroid cartilage (C5 and 6)
• cricothyroid membrane (C6)
• cricoid cartilage (C6 and 7)
• thyroid isthmus (2nd and 3rd tracheal rings)

5. What is the purpose of the vertical btw? One of the options was to analyze the
bone resorption. Sorry don’t remember the other ones.

6. Pt with MI 8 months ago. ASA 3

7. Same MI patient, how long after MI she can do elective treatment? The biggest
option was 6 months.
4 to 6 weeks after MI

8. If the MI patient tells you she is felling chest pain: Nitroglycerin

9. What ethic if you compliance to put an implant on the patient? Autonomy or non
mal (ques isn’t clear)
11th PM discussion, 12th AM discussion Laura’s Day 2 (12.11)

10. Most likely complication of the extraction of a 3 rd molar (you need to see the
pano, the roots were in contact with the mandibular canal): IAN damage

11. Identify the least favorable prognosis of a tooth. It was furcation involvement: 1
wall

12. Identify radiolucency between to teeth. It was calculus

13. Which one have the same amount of radiation as a pano: a) four btw b)FMX
c) tomography of the I think it was the neck and don’t remember the other option.

14. Patient with a lot of cavities and very dark mostly on cervicofacial. The most
likely cause is: a) bulimia b)Ingestion of lemon c)use of drugs. Don’t remember the
other option

15. Inhibits calcineurin: a) -sartan b)propranolol c)insulin d) cyclosporin

16. Produce swollen gums: a) -sartan b)propranolol c)insulin d) cyclosporin

Old lady (86 yo). With lower 3rd molars.

17. Amalgam tattoo

The picture was like this, but less clear because it

was a lower left molar and the picture was taken
more to the front. The tooth also had a crown I
think a gold crown.

18. What to do with the 3rd molars? Do Nothing. She was not complaining about it

19. Pericoronitis TX: irrigation and antimicrobial

11th PM discussion, 12th AM discussion Laura’s Day 2 (12.11)

20. After, you receive a call from her son that she fell on ice and the distal composite
of #8 is gone. What to do? I put crown, but you have to see the picture (not sure,
depends on the picture and options)

21. What’s not a consequence of the medications she is taking? I put erosion of
anterior (sorry don’t remember the other options)

Child hit with a baseball ball. Avulsion of E and D

22. Mom says that the kid had emesis and lethargy on the way: a) concussion b)nasal
fracture c)zygomatic fracture d)Don’t remember very well which but I think it was
subdural hematoma

23. If they don’t have the solution available, which other one is better to put? Milk

24. If reimplanted less than 30 min, For how long splint? a) 1-2 weeks b) 2-4 weeks
25. When do RCT? a)7-10 days b)2 weeks
26. Vaccine: tetanus

Girl 10 yo. With band and loop on left side. Pano and cephalometric

27. With arrows they asked for paladar line ???

28. Function of the rule in the cephalometric.: to know the magnification

29. Excluding the 3rd molars, how many permanent tooth she is missing? Just the left
second premolar (so 1)

30. Why 21 and K are on underocclusion? 21 is erupting and K is ankylosed (T)

31. Replacement resorption for K: ankylosis

11th PM discussion, 12th AM discussion Laura’s Day 2 (12.11)

32. Where are going to erupt the canines? I put Mesial and facial.
With sufficient increase in the size of the subnasal area, the maxillary canine
normally moves downward, forward and laterally away from the root end of the
lateral incisor.

33. Also asked about a radiolucency around erupting #11. I put it was normal, but you
have to see the picture

Case of the Bell’s Palsy patient. Left side.

34. Patient is drooling. Which nerve? Left facial nerve

35. Which muscle something about the saliva? Orbicularis oris

36. All cause xerostomia except: Prilocaine

Prilocaine stimulates saliva production.

37. What medication can you give? Acyclovir

38. He comes depressed because after a week it doesn’t go away? Tell him that it will
go away and refer him to a psychiatrist. (TRUE)

Patient 10y mom worried about teeth not coming out. Oligodontia in lower right, but
in the pano you can see little ghost teeth.

39. Which condition? Regional odontodysplasia.

Regional Odontodysplasia:
• Quadrant of teeth exhibit short roots, open apices, and enlarged pulp chambers
• Ghost teeth
• Tx: extract affected teeth

40. What can you do to replace teeth? Removable partial denture

41. Type of disease? Developmental (can also be hereditary,
depending on options)
11th PM discussion, 12th AM discussion Laura’s Day 2 (12.11)

Patient with SCC ventral side of the tongue

42. Which nerve? Lingual N

43. What to do first? Incisional biopsy, cytology, excisional

44. If we excise the SCC, which lymph nodes you need to be aware? Or something
about the lymph nodes related to that side? Options: submental or deep cervical
(don’t remember the other 2)

45. Which salivary gland can be damaged? Von Ebner, submandibular, sublingual,
parotid (Not Sure )

Case G: COPD
• What does he has to have? Albuterol
• If he had an attack what to give? Epinephrine.
• Lesions cause by medication? Candida
• Tx: Nystatin

Everything is TRUE for Case H

11th PM discussion, 12th AM discussion Laura’s Day 2 (12.11)

This last one, the question was:

oral manifestation of apnea: a)bold tongue b)swollen lymph nodes c)enlarged parotid
d)clicking upon closing

No 13: C-take impression ; Type of biopsy: brush biopsy

All are True

December 12/13

THIS FILES IS FROM DECEMBER 9 INBDE

74. Apexogensis and apexification

Apexification is a method of inducing a calcified barrier at the apex of a nonvital tooth

with incomplete root formation.
Apexogenesis refers to a vital pulp therapy procedure performed to encourage
physiological development and formation of the root end.

75. Mandibular Fracture / condyle and Symphysis

76. Ferrule effect/ protect root from fracture, improve structural integrity of
tooth

77. One question about new classification of periodontitis / depth pockets

78. Hemophilia one question about coagulation factors
 79. what type of occlusion you do, in a total denture in maxilla and posterior
removable in mandibula, options bilateral balance and group function, anterior
guidance?

80. About the ceiling effect in NSAID.

DRUG EFFICACY (CEILING EFFECT) is a drug’s ability to produce a desired therapeutic
effect REGARDLESS OF DOSAGE and is NOT RELATED to drug potency.
The drug ceiling effect refers to a particular phenomenon in pharmacology where a
drug's impact on the body plateaus. At this point, taking higher doses does not
increase its effect. It does not have any benefits if you take more than this dose

81. Something about conformation of amalgam class I and other extended to

distal with a box. 1. More retentive, more weak, more resistant.
 82. Beta blockers MOA
Decrease blood pressure, reduce angina, reduce risk after myocardia infarction,
reduce heart rate and force, have antiarrhythmic effect, decrease intraocular pressure.

83. Which drugs produce gingival changes

Phenytoin/Dilantin, Cyclosporine A, Nifedipine, Valproic acid, Calcium Channel
Blockers, Amlodipine, Felodipine, Verapamil and Diltiazem.
 84. treatment for pseudomembranous colitis
Metronidazole (Flagyl), Vancomycin (Vancocin) or Fidaxomicin (Dificid) for up to 14
days

85. Longer action of the LA / lidocaine, mepivacaine, bupivacaine

86. Calcium Chanel blockers / gingival enlargement

87. Best bone for implants/ mand ant, mand post, max ant, max post

88. Case of 15 years old boy, why don’t put implants / because needs to be his
until craniofacial growth process ended.

89. One mesiodents tooth in photo you have to put what is that.

Supernumerary, oligodontia, anodontia.

🛑🛑90. What to do in an abutment for a removable prosthesis???

Restore an abutment tooth for an RPD to create ideal guiding planes, rest seats, and
undercuts. Also, the question can be focused on the occlusal rest…. (Preparation of the
tooth)

🛑🛑91. What to do in a tooth if patient is taking bisphosphonates and need to be

extracted. Endo, extraction, don’t do nothing (But is missing information, the answer
will be dependent of the bisphosphonate oral or IV and for long the pt has been taking
it )

🛑🛑92. Second molar rich root has more frequently 2 canals/ mesial root

🛑🛑93. denture show flabby ridges and spontaneous bleeding use otc denture
relivers what product in that reliver causes pain and the reaction / Zinc ,paba, phenol,
alcohol
Phenol topical is used on the skin to help protect skin from infection in minor cuts,
scrapes, or burns. Phenol topical is used on the scalp to treat dandruff. Some forms of
phenol topical are used inside the mouth to provide temporary relief of minor mouth
pain or irritation, sore throat, or canker sore pain
🛑🛑94. Medication for Treponema pallium / it wasn’t Rifampicin
Penicillin G
DECEMBER 13,

FROM DECEMBER 9 (DAY2)

Q 1 which drug to avoid in hypertension?

A) propofol
B) ketamine
C) diazapam

* Ketamine ↑ secretions of salivary and bronchial glands, BP, HR, and muscle tone (not respirations).
Side Effects: hypertension, increased pulse, delirium.

Q.2 Which has x ray radiation?

Mri
Cbct

Q3 after curing for 60 seconds why is the bottom of the composite hard abd the top is soft?
Resto de Composite en la punta de lampara
Q. After light curing a composite for 65 second u find sticky white layer on the surface ... what is the
reason or why ?
My answer was O2 prevent polymerization of external layer
other option was over heated or something like this

Bottom hard . No idea 🤷‍♀️ if top hard bottom soft that is due to more bulk >2mm increment

Ok I will mark the answer that it is due to long curing time and oxygen inhibited layer . If we come up
with something els we will share

Q4. 5mm probing dept

A) questionable prognosis
B) skilled hygienist
Bleeding, pocket depths > 5mm, and changes in tissue color and tone cannot lead to a diagnosis
of periodontitis WITHOUT radiographic evidence of
Q.5 what is the best indicator of caries?
A) white spot lesion
B) cariogenic bacteria

Q6 first sign of multiple myeloma?

A) bone pain
B) fever and leukocytosis

Q7. Crown keeps coming out all are reason except?

A) 4mm occlusal reduction
B) 25 degree taper
C) interfering contacts
IDEAL TAPER FOR A CROWN is 5-6° (2.5-3.0° inclination on each opposing axial wall). Axial walls of a
crown preparation should taper no more than 3-6°).
Q8 the main support in rpd is by?
A) denture base
B) major connector
C) occlusal rest

Q9. Main component of feldspathic porcelain

A) alum
B) silica

Q10. Which muscle associated with lateral excursion trismus

A) medial pterygoid
B) lateral pterygoid
C) masseter

Q11. What to do incase of flood?

A) switch of electricity
B) save patient records
C) place sand bangs

Q12. Implant shoulder should be

A) at adjacent gingival margin level
B) 1-2mm below adj gingival margin
C) 2-3 mm below adj CEJ

Q13. Child has uncontrolled muscle movements and speech difficulties and limb weakness. Reason?
A) muscular dystrophy
B) cerebral palsy

Q14 Which anti depressants are most commonly used?

A)SSRI
B) NE reuptake inhibitor
C) monoamine oxidase.

Q15 anti antihistamine most useful in which?

A) allergy
B) anaphylaxis
C) asthma

Q) 16 most common type of allergy of ester anasthetic?

A) swelling
B) dermatiis
C) itching
D) edema

Q) 17 which bur is best for beveled shoulder finish line?

A) flame shaped diamond
B) end cutting carbide
C)

Q18. Mesiodense/ MOST COMMOM SUPERNUMERARY

Q) 19 granular cell tumor most common site?

A) tongue
B) buccal mucosa

Q20 heigh of abutment of implant for over denture

A) implant length
B) gingival height

Q21 Which class is most common?

A) mesial step
B) distal step
C) flush
The most common primary maxillary and mandibular second molar relationship is the
FLUSH TERMINAL PLANE. (IDENTIN)

Q 22 What age can patient brush their teeth with supervision?

A) 5-6
B) 6-7
C) 7-8 (MOSBY) 8 YEARS OLD
D) 8-9
E) 9-10

Q 23. When trying to fix a rotated central incisor in a child, the dentist should first?
A) check for mesiodense
B) do ortho
24)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

25)You are making an 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?)

26)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

27) 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
28) When is a general dentist measured by same standards as a specialist?
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

29) 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

30. bacteria in anug endo teeth 2.

31. MOA of Riveroxaba- Factor Xa Inhibitor

32) 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

33Q. Bleeding on the lower eyelid and lateral side of nose, which part of maxillary sinus is damaged?
Medial wall

34Q. Which is not true about bio transformation? Options: can happen in plasma and kidneys/ Might
tell you about duration of drug
The most important enzyme systems for the biotransformation of drug molecules are found in the
LIVER.

Q36. identify x ray of bilateral radiolucency on the ramus and hyoid bone.
CALCIFICATION OF CAROTID ARTERY
Q37. Case of a man who’s jaw deviates to the left. Reason?
A) disk dislocation with reduction
B) spasm of left lateral pterygoid
C) spasm of medial pterygoid
D ) spasm of masseter
E) spasm of right lateral pterygoid
• U.S.Public Health setoptimal fluoride = 0.7–1.2 ppm for public water.
True
• Fluoride question 3-4
Ok
• FL question in 4year how much fl need per day? - .50
True

• Kennedy classification Questions 4 with modification give cast picture

- Class 4 no modifications

• Bulimia question
ok
• Dry socket questions
In dry socket don't use antibiotic only irrigation
• Diabetes questions value - type 2 diabetes in most of the questions
 • Syncope questions
Most common emergency syncope
Most common respiratory emergency hyper ventilation
• Give Anesthesia and increase heart rate and decrease BP what is the problem
No definite answer.. see related slides below
• INR value

• Oral path questions,

• CBCT radiograph and show arrow asked which nerve pass from here

• Afraction
Abfraction in junction of enamel and cementum, v shape, wedge shape, etiology is
occlusal trauma
• HPV questions many times
HPV 16,18 responsible for most HPV related cancers
• AIDS questions

• Pt has HIV for which precaution

UNIVERSAL GUIDANCE FOR HIV PT

• HIPPA, OSHA, Not any questions unbundling and insurance

Hippa is for privacy
• Prostho questions-
• For Molar which pontic use
• Value questions i think 3-4 times
value is lightness or darkness. Value is the most important one to choose. when you add
color you decrease the value; when add stain can't increase tge value

• Lots of pharmac questions but not MOA more Like 2-3 questions

• Implant question

Implants distance from anatomical parts 2 mm, from mental foramen 5, btwn implants 3,
btw tooth and implant 1.5, and minimally facio lingual 1 mm

• Not any marijuana, opioid, pregnancy, perio new classification, LA calculation

• NOt math questions, Not ED50 and Ld50 questions

• Herpes Whitlow

• Trigeminal neuralgia
tx carbamazepine, valproic acid or phenytoin

• Reversible pulpitis and normal pulp

• Type 1 error question one

• What is the type 2 diabetes value
Less than 7%
7 to 8 %
8 to 9%
Above 9%
• How many compression per minute for cpr
60
80
100
120
Choose 100-120

• Tongue questions
tongue most common site for scc
• Ethics questions 20-25
• Amalgam restorations remove from non-toxic pt –
Veracity
• Biostatatics questions 10-15
• Not any calculations but Cl, p-value give
P value: probability that two variables are un-related
Null hypothesis= a hypothesis that a researcher wants to disprove
if p <0.05 ◊ reject the null hypothesis (statistically significant) We accept that there is a
connection between the two variables (alcohol, oral cancer)
If p> 0.05 ◊ accept the null hypothesis (not significant)

• Null hypothesis
Null hypothesis= a hypothesis that a researcher wants to disprove

• Pico from what is O

Outcome

• 4-year-old pt how many permanent teeth

None

• SCC with picture’

• Mumps

Mump transmission:
By airborne respiratory droplets (coughs or sneezes).
By saliva (kissing or shared drinks).
By touching a contaminated surface (blanket or doorknob).

• Autism pt question

patients sensitive to noise and lights, most common DEVELOPMENTAL disorder

• Except questions lots of,

• Some questions with words least likely
• NOt too many syndrome questions

• Candidiasis question

• Ellis classifications one question

1 enamel
2 dentin
3 pulp exposure
4 root fracture
5 location
6 avulsion

• Dentinogenesis imperfecta with picture

• Prophylaxis questions

• tylenol dose - 4000 mg

• Caries risk questions 3-4

• ABuse questions 3-4 may be more
• Little bit rqs
• bell's palsy case
which nerve affect – Facial Nerve
which medication aclyclovir
 1. Chroma –
✓ Saturation
✓ chroma is the saturation of a color, is the NUMBER fro the shade colors

2. Value –
✓ decreases with age

3. 3. Clinical trial –
✓ mouthwash rinse case
✓ RcT

4. Cohort

5. Veracity
6. Sturge weber syndrome
✓ Congenital
✓ portwine stain

7. What to give a girl that had gingivectomy due to swollen gums & has a seizure
5 mins later
⁃ Oral Dilantin
⁃ IV diazepam
✓ ⁃ Wait for seizure to end
10. What do Peutz & Gardner have in common?
⁃ Pigmentation
✓ ⁃ GI polyps

11. Scarlet fever –

✓ strawberry tongue

12. Yttrium (Y3)

✓ % of yttrium oxide in Zirconium oxide 5-8%

13. Gingivectomy indicated in

✓ suprabony
infrabony

15. Fibers in pulp

16. Opioid OD –
✓ Naloxone

17. Pt after LA administration had swollen lips & edema - what to give?
✓ Epinephrine

18. Description of envelope flap - apex of flap smaller than base of the flap &
same answer choice inverted i put base larger than apex

19. Material safety data sheet - who does it?

OSHA
✓ Manufacturer
EPA
Distributor

20. Wrong vertical angulation what does it cause in radio?

✓ distortion
overlapping
21. Purpose of freeze-dried allograft ?
- to prevent connective tissue to stick on bone
✓ -prevent migration of long junctional epithelium

22. X-ray of tissue above teeth –

✓ soft tissue of nose

23. X-ray of radiolucency in palate, looked like it was broken & it said the patient
had not gotten any teeth extracted or fractured- options were nasopalatine duct
cyst (i almost put this because it looked a little heart shaped, but the alveolar
bone was separated too & there was a gap between the teeth also,
✓ cleft palate

24. Reason a rest in RPD breaks or dislodges ( I don’t remember the exact word)
-inadequate depth of occlusal rest prep
-inadequate width

25. Another xray pointing to the sinus but asking what structure it was?
floor of the sinus,
zygomatic process
✓ infraorbital foram

26. Cyst mainly found between premolars

✓ Lateral periodontal cyst
27. Where do you see erosion mainly? -
✓ lingual of maxillary

28. Tx for recurrent ranula -

-marsupialization
ennucleation,
✓ excision of sublingual gland

29. Patient with xerostomia & xerophtalmia has rheumatoid arthritis & systemic
lupus erythematous. What is the reason for the xerostomia?
primary sjrogens
✓ secondary sjrogens

30. What ethics code you violate if you don’t tell the patient they need a crown
after RCT? -
✓ veracity
justice

31. Dentist says to automatically charge core buildup with post & core, what is he
violating?
—— different question with the same scenario but it was confusing so I don’t
know if the answers were the same or not

32. Dentist charges core buildup & crown separately but insurance company says
they have to be charged together and only refunds for the crown. This situation is
an example of? Bundling, unbundling, upcoding, downcoding (same choices for
both questions)
✓ bunding insurence fraud
✓ Bundling by insurance company
33. They gave a table with some values for positive COVID cases vs negative,
something about positive rate?
✓ ⁃ 20%
⁃ 25%
⁃ 50%

34. Graph with drugs A, B, C - choices were

⁃ Drug A is more potent than Drug B but less potent than C
⁃ Drug C is less (efficient or potent I don’t remember) than both Drug A & B (i chose
this)

35. Sloughing of tissue

✓ chemical burn by asprin

36. How much epi in 1.7cc of lido 2% with epi 1:50,000? - answer is 34 but they
put mcg as the unit.
✓ 0.034mg=34 micro gram

37. What to do when recovering patient records on paper that have been
damaged by water, mold and mildew?
⁃ wear PPE
✓ ⁃ Put records on sealed bag
⁃ Increase heat & humidity
⁃ Decrease ventilation

38. Dentrifice for sensitivity?

⁃ NaF
⁃ sodium phosphate
⁃ Stannous fluoride i think also
✓ 0.454% SnF2
39. Most minimally invasive tx for sensitivity?
⁃ CHX mouthwash
⁃ Sodium fluoride varnish
✓ ⁃ Stannous FL
⁃ Nerve desensitization
40. Describe the process of enamel abrasion —-
✓ used for removal of enamel stains

✓ Microabrasion and macroabrasion represent conservative alternatives for the

reduction or elimination of superficial discolorations. As the terms imply, the
stained areas or defects are abraded away. These techniques result in the
physical removal of the tooth structure and are indicated only for stains or
enamel defects that do not extend beyond a few tenths of a millimeter in depth.
If the defect or discoloration remains even after treatment with microabrasion or
macroabrasion, a restorative alternative is indicated.
December 16,2021 -PM discussion

41. Pt on IV zolendronate for 4yrs has an unrestorable #14 what to

do?
⁃ extract
⁃ Extract & discontinue zolendronate for the next 2 months
⁃ Discontinue zolendronate for 2 months and then extract tooth
Zolendronate is a Bisphosphonate.
It cause osteonecroisi bc it is used as medication and not radiation.
Bisphosphonate-related osteonecrosis of the jaw (BRONJ).

42. Bleeding points when doing a gingivectomy, what are they for?
❌ ⁃ guide for incision ⁃
True
43. Kid’s primary #K was extracted, what would happen? ✅
— mesial drift of primary permanent molar
— distal drift
B’coz the kid lost primary 2nd molar. So permanent tends to move mesial there is
nothing blocking that permanent.

44. Lethargy –
It means lack of energy it can be side effect of a drug or symptom of a
disease.
45. Pt after 5hrs of extraction calls because bleeding has not stoped.
What do you do?
⁃ refer to lab for Bleeding time & PT
⁃ Remove clot & find source of bleeding
⁃ Inject socket with thrombin
⁃ Administer vit K

How its bleeding and clot?

Should be dry the field then go from there .
It is not heart surgery I think with vit k bleeding stops then you will move from
there.
46. What is thought but not officially proven to be associated with
Perio? ✅
⁃ smoking
⁃ Diabetes
Periodontal disease is more advanced in diabetic smokers compared to diabetic
non-smokers.
thats a good point, in the new classification of PERIODONTITIS they include
SMOKING, but NO diabetes.

47. What is C-factor? - bonded/unbonded ratio, the lower the better

(all answers were the same but inverted the terms) .

48. What is the last thing you lose when anesthetized? - pressure
Pain, temp, touch, deep pressure (order of losing ) then MOTOR

If the question ask you for the V3 nerve, thats NOT a motor nerve, so
be careful.
49. What is characteristic of trisomy 21?
⁃ normal maxilla
⁃ Mandibular deficiency
⁃ Maxillary deficiency
⁃ Midface deficiency

50. Why you cannot choose shade with rubber dam on the patient?
⁃ too much glare with the light of the dental chair, doesn’t permit
appropriate shade selection
⁃ Dark rubber dam behind/around the teeth makes teeth look grayer
⁃ Rubber dam makes a shadow on the teeth
⁃ Teeth dehydrate and look lighter after isolation

51. What do you see on radiograph of patient with

Hyperparathyroidism?
⁃ increased bone density
⁃ Lytic spots “brown tumors___” something

52. Reason for “headlight” or translucent porcelain on PFM?

⁃ insufficient axial reduction
⁃ too thin porcelain
⁃ Too thick metal
Too thick metal will cause radiopacity and too thin porcelain will show metal.

53. The line angles of the contacts on the facial of a veneer can be
seen? (ASDA QUESTION)
⁃ incisal
⁃ Facial
⁃ Distal
⁃ Lingual

54. Reason for keyway shape preparation for post & core?
⁃ better retention
⁃ Resistance of rotation

54. Major connector function?

⁃ retention
⁃ Stability

56. What can’t be done on tooth where a Class IV?

⁃ crown
⁃ Veneer
Veneer is more facial. If there is Caries you cannot put veneer specially in class 4.
Veneer can make deeper caries bcs it can add more tartar and plaque.
57. For a single anterior implant, where to locate it?
⁃ facially inclined to have good emergence profile
⁃ Use mandibular teeth as guide
⁃ In the middle of the residual ridge

58. Picture of cast with fixed denture preps, what is the error of the
prep?
⁃ insufficient incisal reduction on 6
⁃ Insufficient axial reduction on 6
⁃ Wrong axial reduction, is not 4 is 5
⁃ Wrong occlusal reduction, is not a 4 is 5

59. Paget’s disease- cotton wool

True
60. sun shaped radiopacity?
⁃ osteoma
⁃ Osteosarcoma
⁃ Osteomyeloma

61. EBV associated with which hematologic disorder?

⁃ Thalassemia
⁃ Burkitts lymphoma
⁃ Multiple myeloma
EBV burkit lymphoma and also HAIRY LEUKOPLAKIA

62. What does the oil in the xray tube for?

⁃ dissipates heat to the target
⁃ Lubricates something
⁃ Filtrates the beam

63. If you stand 12 meters away from the radiation instead of 4

meters, the radiation exposure will be diminished by a factor of?
⁃3
⁃6
⁃9
⁃ 12
because is 3 times 4.
12/4=3 and then it will be diminish by 3 square

Inverse Square Law:

The intensity of light decreases with an increase in distance. The decrease is
inversely proportional to the square of the distance of the object from the light
source. This can be applied to ionized radiation as well. See below:
In radiography, the radiation spreads out as it travels away from the gamma or X-
ray source. Therefore, the intensity of the radiation follows Newton's Inverse
Square Law. As shown in the image to the right, this law accounts for the fact that
the intensity of radiation becomes weaker as it spreads out from the source since
the same about of radiation becomes spread over a larger area. The intensity is
inversely proportional to the distance from the source
It’s asking for factor. Factor of 9. You increase distance by 3 you will decrease
exposure by 9.

64. Agonist-antagonist
⁃ high affinity ,
no intrinsic activity
Agonists are drugs with both affinity (they bind to the target receptor) and
intrinsic efficacy (they change receptor activity to produce a response).
Antagonists have affinity but zero intrinsic efficacy; therefore they bind to t the
target receptor but do not produce a response.
do you guys know that penthazocine or nalbuphin are agonist antaonist in
opioids? don you think they are different that just antagonists?
Antagonist only have affinity for receptor.
65. % of US population that has fluoridated water?
74%

67. Daily dose of fluoride for a 4 y/o that weights 45kg and lives on a
non flouridated water community?
0.5 mg
68. Cleidocranial dysplasia- supernumerary, missing clavicles

69. Mandibular retrognathia-Pierre Robin’s

70. What bur to use for occlusal adjustment?
⁃ Diamond
⁃ Carbide
⁃ Green disk something
Green disk is used for bulk amalgam.

71. Which is a base metal?

⁃ palladium
⁃ Chromium
Base metals are non-ferrous industrial metals including copper, aluminum, lead,
nickel, tin and zinc.
72. What happens when you use curing light for more than 40 secs?
⁃ increase polymerization shrinkage
⁃ Becomes brittle
⁃ No adverse effects
⁃ Increase strength
shrinkage would occur if a huge amount of composite is added
73. Hyperbaric oxygen chamber function? ❌
⁃ helps with bone vascularization
⁃ Good for treating patients with Bisphosphonate related
osteonecrosis
⁃ Decreases osteoclast action
Hyperbaric oxygen therapy, or HBOT, is a type of treatment used to speed up
healing of carbon monoxide poisoning, gangrene, stubborn wounds, and
infections.
synergic effect

74. Xray of Stafnes Bone

under the IAN, very circumbscribed, radiolucent.

75. Hydrocodone & Acetaminophen How they function together for

analgesia? ⁃ different MOAs
Hydrocodone and acetaminophen combination is used to relieve pain
severe enough to require opioid treatment.
Hi guys, those are my rememberer questions. This is from El Eterno, gallo pinto, el duo, limon y sal
and Omjo’ s file. Hopefully this can help all of you because I’m so grateful for this group . I have faith
that we will PASS
Keep me in your prayers

1. Ig related with anaphylactic shock IGE

2. Sickle cell anemia: How do we see it on an X-ray? “
a. Stepladder
b. Punched out
c. Ground glass
d. Cotton Wood
3. Lot’s of questions about eruption sequence
4. According to OSHA which solution should be used to disinfect an alginate impression
a. Hypoclorite
b. Chlorhexidine
c. Other options I don’t remember.
5. What is the first step when disinfecting an impression?
a. Rinse it with water
b. Hipoclorite
c. Other options I don’t remember
6. All of these teeth have the same shape of access for a root canal EXCEPT:
a. Maxillary lateral incisors
b. Maxillary canines
c. Maxillary premolars
d. Mandibular premolars

7. Fracture that includes dentin and extends supragingivally:

Ellis class II
8. Impetigo is transmitted by
 a. Aerosols
b. Contact
c. Bloodborne
d. Mosquito bites

9. Ketone bodies are produced due to low

a. Glucose
b. Fatty acids
c. Can’t remember other options
10. What’s the first sign HIV patients presents?
Early symptoms
• headache.
• fever.
• tiredness or fatigue.
• joint pain.
• loss of appetite.
• swollen lymph nodes.
• sore throat.
• rash
11. Dental assistant have been missing work a lot, late all the time. You suspect abuse of drugs,
what do you do?
a. Fire her
b. Address your concerns talking to her
c. Can’t remember other options but they were absurd, none included random test drug for
everyone at the office so I chose B.
12. Dental assistant after cleaning up operatory, she bended the needle and disposed it at the
container. What do you do?
a. Call manufacturer and request MSDS papers.
b. Talk to everyone about safety protocols
c. Other two options
13. Primary cells in starting gingival lesion
a. PMN
b. T cells
c. B cells
d. Masts
14. Scenarios about ethic violations (very simple and straight forward)
15. What is correct about biofilm community
a. The biofilm community is a prime example of a spatially heterogeneous structure that
constantly varies in form. Growth and metabolic rate, oxygen and nutrient availability, cell
density size and morphology vary radically throughout the biofilm structure

16. In a randomized study or experimental (can’t remember exactly the type of study) from
communities with fluoride water, anyway, they were basically asking what would affect or
alter the results
a. Communities at the level of the sea
b. Other option I can’t remember
c. Consumption of fluor in other resources
d. Different levels of fluoride in the water
17. Patient’s chief complaint: pain in some teeth. He had cancer with metastasis, primary
physician said he only had one year left of life. All of these treatments were acceptable,
EXCEPT:
a. Implant in #20
b. Extractions
c. Restorations
18. Patient, practiced wrestling, 22 years old. Last time at the dentist was 4 years ago. We took
full mouth xrays and noticed an apical radiolucency in tooth #20. Asymptomatic and tooth
virgin.
18.1 What other x ray would you take for a diagnosis
a. Panoramic
b. CBCT
c. Bitewings
d. Periapical
 18.2 what’s the diagnose of #20 (no xrays or pictures were shown in this case)
a. Apical granuloma
b. Apical scar
c. Other choice I can’t remember
d. Mental foramen (my choice)
18.3 Which pain medication would you prescribe? (this question was misleading since they
mentioned patient was Asymptomatic)
a. Ibuprofen
b. Metronidazol
c. Codeine
d. Tramadol
18.4 Hypothetically speaking if we decided to do a root canal in this tooth, how would you
restore it? (once again, the case had no xrays or pictures)
a. Post and core
b. Post, core and crown
c. Other option I can’t remember
d. Core and crown

19. Bisphosphonate questions, mostly questions rephrased “Which medication we have to take
into consideration before treating this patient”. Some were taking bisphosphonates for more
than 3 year so I would choose Bisphosphonates.
20. Two cases with pictures and asking which pathology we would include in our differential
diagnosis: both of my answers were granuloma piogeno.
Know the differences and x-rays presentations of each: Cleidocrenial dysplasia, Ectodermal dysplasia
and Gardner’s disease.
Cleidocranial DY: supernumerary, retained primary, unerupted supers and permanents.
 Ectodermal: hypo or oligodontia

Gardner : osteoma; odontoma, supernumerarys

21. Know very well clinical signs of Sjogren's syndrome(SS) is a chronic systemic autoimmune
disease characterized by dry eyes and dry mouth, arising from autoimmune-induced
inflammation of the lacrimal and salivary glands..
22. Know very well when to do antibiotic prophylaxis….
23. Clindamycin – Clostridium difficile
24. MOA of local anesthetics, omeprazole

25. Know very well which nerves innervate the tongue and the muscles. Not only by memory but
understand it in cases (it can be confusing, lol at least for me it was)
26. Which pontic we can use in posterior but not in anterior due to esthetics and phonetics:

hygienic
27. Identify veneer prep in a picture (honestly it wasn’t very marked, it was confusing because in
the palatal you couldn’t see a termination line and it was clear in the facial. Though, in the
palatal side of the tooth you would see dentin, not enamel so I was confused. I chose veneer
but it was definitely not a clear picture
28. Why do we palpate the ECM (esternocleidomastoideo)? To feel lymph nodes was my choice.

29. Which hormone affects tooth eruption?

a. Thyroxine
b. Other options I can’t remember
30. HbA1c measures glucose where? (hemoglobin was not a choice)
a. Blood (my choice)
b. Red cells
c. Serum
d. White cells
31. Why are antibiotics no longer given to patients who have joint replacement for dental
appointments?
a. Because it causes allergies
b. Because they make you resistant to antibiotics
c. Because the studies have not demonstrated relation between dental procedures and joint
infection
32. Benzodiazepines reversal: Flumazenil
33. Opioid reversal: Naloxone
34. Which disinfectant we need to use
a. Those who kill TB TRUE
35. Chromosome most affected: 21 DOWN SYNDROME
36. How many compressions we need to do in a minute per the American Heart Association
a. 100
b. 120 (my choice, I wasn’t sure)
37. What is not necessary when managing tissue for a crown?
a. Tofflemire
b. Electrosurgery
c. Cord
d. Laser
38. Non-vital bleaching causes what type of resorption?
a. External cervical
b. Internal apical
39. Everything is true about dry socket (osteitis), EXCEPT
a. It is due to an increase of fibrinolytic activity
b. Cause is impossible to determine
c. Contraceptives may play a role in causing dry socket
d. Another option I can’t remember but it was true about dry socket.
40. What means O in PICO?
a. Outcome TRUE
41. A lot of questions with pictures or just a description about Candidiasis (specially the
pseudomembranous)
42. Which medication would you give before treatment for an extreme anxious patient?
a. Diazepam
43. How to differentiate Condensing osteitis from another pathology I can’t remember but it was
not cementoblastoma.How is condensing osteitis diagnosed?Condensing osteitis is usually
diagnosed after a dentist finds the condition on routine X-rays. If you're found to have this
 inflammatory dental disease, your dentist may find the bone becoming denser in your jaw

44. None is true about NSAIDs except

a. They act in the CNS
b. Can’t remember other options but they do act in the CNS.
45. Mucositis in an implant will have all except
a. Bone Loss TRUE
46. Which nerve do you anesthetize in TEETH to block sensation (or something like that)
a. ASA
b. IAN (I chose this one but question was weird)
c. Another option I can’t remember
47. A lot of questions in day 1 and 2 of Kennedy classification in a bunch of pictures, models and
panoramic xrays. They were a little bit difficult because they didn’t give me an option of

modifications.
48. A patient with a lot of crowding, you decide to place a removable Hawley appliance, the
appliance will make compliance difficult because all of these, EXCEPT
a. Difficult hygiene
b. Can’t remember other questions

49. Patient taking a lot of medications (in the list lisinopril was included) they asked which
medicine may cause a cough. Lisinopril

50. They asked for Bell’s palsy (VII) in a case, it was a patient box and they asked everything
related to facial nerve.
51. A few questions about X-rays, know Kvp, mA, etc
 52. Which muscles elevate the tongue a. Hygloso b. Genio gloso c. Styloglosso and Palatoglossus

53. A few questions about occlusion , please know BULL, LUBL

54. Patient got a root fracture during extraction, the root went to the maxillary sinues. a. Max 1
pm b.Max 2 pm c. Max Canine .

55. Statistical anesthesia of articaine with lidocaine Study determines that Articaine is more

potent than lidocaine.

56. Error type one and two a.False positive type 1 , b. False negative type , c.Relationship with null
hypothesis

A question from the CBCT and what nerve came out

mental

❓Evaluate extent of sublingual swelling

-CBCT

-Cephalometrics
 -Intraoral something

❓Which one has xray ?

a. MRI

b. cbct

c. ultrasound

❓Test for neutropenia?

- Periodic CBC

- Neutrophil count

- ANC

- HCT

Cardiac patient with his medication before getting up gets dizzy what is the diagnosis?

syncope

🛑🛑62. position of a pregnant woman

we place it lying on the left to avoid pressure on the inferior vena cava

63..A diabetic patient has a drop in glucose, what do we give him?

Glucose (In another orange juice if the patient with kidney disease is not given orange juice, they are
given cranberry or apple juice or grape juice)

🛑🛑65. Ketoacidosis
It was given in type 1 diabetic patients with hyperglycemia and is considered low due to low insulin
levels.

what was he saying for lack of

⮚ glucose

⮚ lipids

⮚ insulin

66. Which surface is at least to get caries

a. Buccal

b. Mesial

c.Facial

d. Lingual
 67. Tooth eruption, 9-year-old patient, how many teeth does he have?

10 primary-14 permanent

69.. Patient with an INR 4.5 what are you doing?

 You send it to the doctor

71. Diabetic patient management

Appoiment in the mornings (because cortisol levels are high in the mana and have less risk of
hypoglycemia), Short dates, You must eat, The insulin must be hung

Insulin Peak
73. rehabilitate a 9 with crown that movement is important to check

Protrusive (previous guide)

Retrusive

Lateral

74. Patient you put the crown on him and everything perfect goes home and the week doesn't like
what happened or is this phenomenon due to?

Metamerism

75.. Dentist delays so that the insurance covers everything to the patient who is initially violating

A. Autonomy

B. Charity

C. Justice Justice

D.Truthfulness.

76. What code of ethics can the patient ask for their records?

Autonomy

77. Albuterol patient so that he does not have candidiasis

Wash after the pouf

78. ectodermal dysplasia except———Y-linked

Remember that ectodermal dysplasia is: X-linked and Autosomal dominant autosomal recessive

79. What is the fluoride that is best for crown and root?

Stannous

Diamide.

Varnishes

94. Amalgam Vs amalgam box which one is better.

Box

95.A-delta fibers evoke what kind of endodontic pain? rapid, sharp, lancinating pain reaction.

DAY 2

1-HIV

2-Pharmacology but they asked a lot of questions about side effects and EXCEPTs

3- Pathology was a little bit weird because they asked questions about like what do you think this
patient had (most of the time without photos or x-rays) and differential diagnosis.

4-Prosthodontics a lot of questions

5-Orthodontics

6. Which material induces dentin bridge formation?

Calcium hydroxide.

7- Question about what is contraindicated to a 7 years old who has asthma.

A- Diazepam

B-Óxido nitroxo

8.MOA of Thiazide, it will decrease what? Options were weird:

a. Arterioles vasoconstriction

b. Vagal reaction

c. Urine excretion

d. 4th option is also excluded

9. All mesenchymal origin except?

A) Mucous tissue

B) Cartilage

C)Bone

D)Skeletal muscles

10. What age maxillary central incisor affected by tetracycline?

a. During erupting
b. Before born

c. 3 yrs

d. 6 yrs

11. Asthmatic pt taking albuterol, due to their lower respiratory disease what common condition will
they experience?

a. Candidiasis

12. MOA of ACE Inhibitor?

Decrease conversion from Angiotensin I to II

13. Pt sips a lot of soda all day, was sipping soda while walking towards your clinic something like
that, what's his PH most likely?

A)5

B)6.5

C)7.5

D)8

14. Was like pedo pt last time she came she got anesthesia and bit her lip really bad. What anesthesia
will you give her to anesthetize lower molar?

A) Infiltration without epi

B) Infiltration arti with epi

C)Block lido with epi

D)Block arti with epi

15. Extraction of the upper third molar: what's the direction of removal?

A) Buccal distal

B) Buccal mesial

C)Palatal distal

D)Palatal mesial
34. Benzodiazepines reversal:
Flumazenil

35. Opioid reversal:

Naloxone

36. Which disinfectant we need to use

a. Those who kill TB

37. Chromosome most affected: 21

38. How many compressions we need to do in a minute per the American Heart Association
a. 100
b. 120 (my choice, I wasn’t sure)

39. What is not necessary when managing tissue for a crown?

a. Tofflemire
b. Electrosurgery
c. Cord
d. Laser

40. Non-vital bleaching causes what type of resorption?

a. External cervical
b. Internal apical

41. Everything is true about dry socket (osteitis), EXCEPT

a. It is due to an increase of fibrinolytic activity
b. Cause is impossible to determine
c. Contraceptives may play a role in causing dry socket
d. Another option I can’t remember but it was true about dry socket.

42. What means O in PICO?

a. Outcome

43. A lot of questions with pictures or just a description about Candidiasis (specially the
pseudomembranous)

44. Which medication would you give before treatment for an extreme anxious patient?
a. Diazepam

45. How to differentiate Condensing osteitis from another pathology I can’t remember but it was
not cementoblastoma.
46. None is true about NSAIDs except
a. They act in the CNS
b. Can’t remember other options but they do act in the CNS.

Effects of NSAIDs on Systems Central nervous system. PGs have been found in
many regions of the brain. ... Gastrointestinal system. PGI2 and PGE2 inhibit gastric
acid secretion and have vasodilator effects on the vessels of the gastric mucosa. ...
Urinary system. ... Cardiovascular system. ... Bone metabolism. ... Respiratory
system. ... Cancer.

47. Mucositis in an implant will have all except

a. Bone Loss

48. Which nerve do you anesthetize in TEETH to block sensation (or something like that)
a. ASA
b. IAN (I chose this one but question was weird)
c. Another option I can’t remember

49. A lot of questions in day 1 and 2 of Kennedy classification in a bunch of pictures, models and
panoramic xrays. They were a little bit difficult because they didn’t give me an option of
modifications.
50. A patient with a lot of crowding, you decide to place a removable Hawley appliance, the
appliance will make compliance difficult because all of these, EXCEPT
a. Difficult hygiene
b. Can’t remember other questions

51. Patient taking a lot of medications (in the list lisinopril was included) they asked which
medicine may cause a cough.

a. Lisonopril

52. They asked for Bell’s palsy (VII) in a case, it was a patient box and they asked everything
related to facial nerve.

53. A few questions about X-rays, know Kvp, mA, etc

54. Which muscles elevate the tongue

a. Hygloso
 b. Genio gloso

c. Styloglosso and Palatoglossus

55. A few questions about occlusion , please know BULL, LUBL

56. Patient got a root fracture during extraction, the root went to the maxillary sinues.

a. Max 1 pm

b.Max 2 pm

c. Max Canine .

Not Max 1st molar in the options

57..Una pregunta del CBCT y q nervio salía

Mental

58.. Anestesia estadística de articaine con lidocaine?

Estudio determina que la Articaina es mas potente que la lidocaine

59. Error tipo uno y dos

Falso positivo tipo 1

Falso negativo tipo 2

 Relación con hipótesis nula

60. Cardiac patient with his medication before getting up gets dizzy what is the diagnosis?
⮚ Syncope

61. What did you do after the position??

⮚ trendelenburg position

62. position of a pregnant woman

we place it lying on the left to avoid pressure on the inferior vena cava

63.. A diabetic patient has a drop in glucose, what do we give him?

Glucose

64. 64. A diabetic patient has a drop in glucose that we give him?

In another orange juice (if the patient with kidney disease is not given orange juice, they are
given cranberry or apple juice or grape juice)

65. Ketoacidosis It was given in type 1 diabetic patients with hyperglycemia and is considered
low due to low insulin levels. what was he saying for lack of

a. glucose

b. lipids
c. insulin

d. other

66. Which surface is at least to get caries

a. Buccal

b. Mesial

c.Facial

d. Lingual

67. Tooth eruption, 9-year-old patient, how many teeth does he have?

10 primary-14 permanent

68.Missing tooth un diente anterior cual es la causa principal?

⮚ Agenesia
⮚ infeccion
⮚ deficit d vitamina
⮚ supernumerario

69.. Patient with an INR 4.5 what are you doing?

You send it to the doctor

70.. To stop the bleeding first step?

a.Bite gauze (the first thing you do)

b.Suture

c.Bone wax

71. Diabetic patient management

Appoiment in the mornings (because cortisol levels are high in the mana and have less risk of
hypoglycemia); Short dates; You must eat; The insulin must be hung

*Insulin Pieak:

Quick 1 hour ago

Short or regular 2 3 hours

Intermediate from 4 to 12

Long several hours ago

Question originl a Keto bodies are produced by

Lack of lipids

Triglycerides

Insulin

72. Ketones bodies are produced by

Lack of insulin

73. rehabilitate a 9 with crown that movement is important check

Protrusive (previous guide)

Retrusive

Lateral

74. Patient you put the crown on him and everything perfect goes home and the week doesn't
like what happened or is this phenomenon due to?

Metamerism

75.. Dentist delays so that the insurance covers everything to the patient who is initially
violating

Autonomy

Charity.

Justice

Truthfulness (Veracity)

76. What code of ethics can the patient ask for their records?
Autonomy

77. Albuterol patient so that he does not have candidiasis

Wash after the pouffe

78. ectodermal dysplasia except

Y-linked

Remember that ectodermal dysplasia is: X-linked Autosomic dominant Autosomic recessive

79. What is the fluoride that is best for crown and root?
Stannous

Diamide.
Varnishes

o
o
o Ease of placing sensor.
o Allows teledentistry.
o Eliminate need for dark room.
o
94. Amalgam Vs amalgam box which one is better.

95.A-delta fibers evoke what kind of endodontic pain?

rapid,
sharp,
lancinating pain reaction.

My 2nd day

1-HIV
2-Pharmacology but they asked a lot of questions
about side effects and EXCEPTs
3- Pathology was a little bit weird because they asked
questions about like what do you think this patient
had (most of the time without photos or x-rays) and
differential diagnosis.
4-Prosthodontics a lot of questions
5-Orthodontics
-6- Which material induces dentin bridge formation?
Calcium hydroxide.

7- Question about what is contraindicated to a 7 years old who has asthma.

A- Diazepam
B- Óxido nitroxo

consider that diazepam may be contraindicated in patients with asthma. (e.g. irregular
expirations) in asthmatic patients 6. Diazepam has been the principal sedative agent used in
our intensive care unit for asthmatic patients requiring controlled ventilations.

MOA of Thiazide, it will decrease what? Options were weird:

a. Arterioles vasoconstriction
b. Vagal reaction
c. Urine excretion
d. 4th option is also excluded
. All mesenchymal origin except?
A) Mucous tissue
B) Cartilage
C)Bone
D)Skeletal muscles

What age maxillary central incisor affected by tetracycline?

a. During erupting
b. Before born
c. 3 yrs
d. 6 yrs

Asthmatic pt taking albuterol, due to their lower respiratory disease what common
condition will they experience?

Candidiasis

MOA of ACE Inhibitor?

Decrease conversion from Angiotensin I to II

Pt sips a lot of soda all day, was sipping soda while walking towards
your clinic something like that, what's his PH most likely?
A)5
B)6.5
C)7.5
D)8

Was like pedo pt last time she came she got anesthesia and bit her lip really bad. What
anesthesia will you give her to anesthetize lower molar?
A) Infiltration without epi
B) Infiltration arti with epi
C)Block lido with epi
D)Block arti with epi

Extraction of the upper third molar: what's the direction of removal?

A) Buccal distal
B) Buccal mesial
C)Palatal distal
D)Palatal mesial
December 19, 2021 Evening Discussion

106. Most common complication of removal of impacted 3rd molars?

• Damage to adjacent tooth
• Paresthesia
• Dry socket

108. Female had 4 impacted third molars removed 2 weeks ago. She calls and says one side of her
lower lip is numb compared to the other side. What can this be?
• Anesthesia
• Hyperesthesia
• Hypoesthesia
• Allodynia

109.CaoH
Antibacterial

110.MOA Sulfonamides?
PABA

111.Pt sweats when eating

Frey’s syndrome

112. Various insulin preparations differ in what?

• MOA
• Onset duration
• Biotransformation

113. What will impair the action of Tetracycline if given concurrently?

Penicillin

114. Palmar and plantar hyperkeratosis can be seen in ?

• Down syndrome
• Papillon levefre

115. Where does sialolith occur?

Whartons duct

116. Which is the maximum width for an implant with 7mm space?
4.2mm

117. Code of ethics that regard dentist’s personal impairment?

Non maleficence

118. Water fluoridation?

0.7ppm
119. Best way to use xylitol?
Gum

120. Substantivity?
CHX

121. Harder to kill with disinfectant?

- MRSA
- Mycobacterium tuberculosis

122. Which bacteria present in abscess?

Strict anaerobic

123. Drug for moderate to severe pain?

Ibuprofen 400-600mg & acetaminophen 500mg every 6hrs

124. Stevens-Johnson syndrome?

⁃ Affects palate, parotid, liver
⁃ Affects skin, mucous membrane, genitals & eyes

125. Most common cause of xerostomia in children?

Mouth breathing

126. Movement to the left, which muscle is working?

• Right Lateral Pterygoid
• Left Lateral Pterygoid
• Masseter
• Medial Pterygoid

127. Increased VDO can cause?

- Cheek biting
- Sore ridge
- Angular cheilitis (Decreased)

128. Non working interference?

129. What to give for lidocaine overdose?

Epi

130. Least sensitive to radioactivity?

• Bone
• Hematopoietic bone marrow
• Nerve cells
131. The protrusion record in denture is for what?
• Eminence incline record
• Occlusal record

132. Early loss of primary canines due to?

Decreased arch length

133. Nitrous oxide contraindicated in?

Psychotic pts

134. What you don’t do in hyperventilation?

Do not give oxygen

135. Opioid receptor that causes nausea?

Nausea and vomiting are well-known opioid-induced effects that may possess peripheral and central
components. The mechanisms involved in nausea are extremely complex. Low doses of opioids activate
mu opioid receptors in the chemoreceptor trigger zone (CTZ), thereby stimulating vomiting.

136. What do Trigeminal neuralgia & myofascial pain have in common?

Trigger points

137. Sharp pain

A delta fibers

138. Not in pulp?

Parasympathetic

139. Best way to clean wide embrasure after periodontal surgery?

Interdental brush

140. Osteoinduction allograft depends on?

Bone morphogenic protein

141. Hazard products are?

Contact with blood or secretions

142. Ultrasonic contraindicated in?

Acute infection

143. OSHA required process reviews?

Annually

144. DMFT (F) is seen more in?

Caucasians

145. Localized 10mm deep pocket in endo treated tooth, what can it be?
Root fracture
146. After MOD pt comes back with pain when he bites, reason?
- Vertical root fracture
- Hyper occlusion

147. What type of question is are you brushing your teeth every day?
Closed

148. Which radiolucent lesion will be more successful after RCT?

Periapical cyst

149. Person was scared after Flu vaccine and now is afraid of injection but never had dental
anesthesia?
Generalization
 DECEMBER 15 NBDE PART2

Day-1

Q1.If the patient has Mo and do and no buccal and lingual support, what is
the suitable treatment?
Inlay

Onlay

Amalgam filling

Q2.you place an oral device,for the habit breaking?

A positive reinforcement

B negative reinforcement

C. Aversive conditioning

Q.3 prevelance and incidence defination?

Q4.In overall healthy patient, what is the reason of periodontal issues?

Poor oral hygiene

Smoking

Q5.In what patient not to give nitrous ?

Extremely anxious patient

Psycotic patient

Q6.Opiod is contraindicated in?

Head injury
2nd trimester pregnancy
Q7.If dentist doesn’t have scientific knowledge about something and
giving advice to the patient without knowledge? What principal he is
voilating
Beneficence

Non - malifecance
VerACITY

Autonomy

Q8.If the instrument slips while doing extraction and toungue got injured?
By which intention does it heal?
Primary ir secondary

Q9.warfrin and acetoaminophen together?acetaminophen together with

warfarin is generally considered safe .

Q10.In MI Patient, what is best way to give nitroglycerine?

Oral

Sublingual

Subcutaneous

Iv

IM

Q11.Patient got crown done with post and core, and now complain of
tooth pain while biting after 3month, radiographs does not show anything,
whats the reason Of pain?
Vertical root fracture

Crown become loose

Q12. Pictures of
A.Pyogenic granuloma
B.Stafne bone cyst

C.squamous cell carcinoma

D. Soft palate
Q13.Hue, value, choma all three came in different questions
Q14.MoA of penicilln
MOA of penicillin is disruption of cell wall synthesis in metabolically growing cells\

Q15. Which medicine to prescribe for odontogenic infection?

Pinicilline if allergy to pinicilline tetracycline
Q16 Most common tumor of salivary gland
Pleomorphic adenoma

.
B Mucoepidermoid carcinoma C ACC.
Q17.Most common region to get tumor
.
A Parotid gland

. .
B Minor salivary gland hard palate C Others

Q18. Half life of heparin

A.60 - 90 mins
B. 24 hrs c.72 - 96 hrs
Q19.Retention in amalgam in Class V
a Parallel mesial and distal walls

b Parallel occlusal and gingival walls C Occlusal and gingival grooves Others

Q20.Unsupported enamel can be left on

.
A Class 3 restoration of composite
B.Class 5 oclusal wall for amalgam c.Others

Q21.Least important for inlay

.
A Margins in enamel

B. Occlusal divergence

Q22. A patient with facial lancerating pain. What nerve is affected:

.
a Glossopharyngeal nerve

b. Hyoglossus nerve

c. Other

d. Third branch of the 5t h cranial nerve

Q23.Which of these angles decrease with growth?

. .
a SNA b SNB c ANB .
Q24.Which surfaces create interferences in non- working side:
a. Lingual planes of buccal inferior cusps and buccal planes of lingual
superior cusps. b. other
Q25.After applying local anesthesia, the patient became bluish with
headache, dizziness, shortness of breath, nausea, poor muscle
coordination, and blue - colored skin?
.
a Syncope

b. Methemoglobinemia

c. Others

Q26. common cleft lip at what stage of formation?

. ' 4
Cleft lip and cleft palate happen very early in pregnancy Your baby s lips form between

and 7 weeks of pregnancy, and the palate forms between 6 and 9 weeks of pregnancy.
Q27Patient with a severe asthma. What to give?
.
a Epinephrine

.
b Glucose

c. Amphetamine

Q28.Supernumerary teeth in which stage of development?

Q29.Which of the following best explains why a dentist should provide a
post - palatal seal in a complete maxillary denture? The seal will
compensate for:
.
a Errors in fabrication

b. Tissue displacement

c. Polymerization and shrinkage

d. Deformation of the impression material

Q30.Know about bundling and unbundling

Q31.A patient with facial lacerating pain.. Jus this word only lancinating
pain that's all
.
a Glossopharyngeal nerve

.
b Hyoglossus nerve

c. Other

d. Third branch of the 5t h cranial nerve

Q32.Spontaneous gum bleeding, feeling tired. Just tired was the word
nothing details
.
a Leukemia

. .
b Myelopathy c others

Q33. NOT a property of sodium hypochlorite

Chelation

Q34. Acetyl Salicylic Acid cyclooxygenase

.
A Aspirin

. .
B Ibuprofen C Tramadol

Q35. Trauma to permanent during formation:

Turner hypoplasia
Q36.. Resorption of anterior maxilla occurs in which direction
a. Superior and anterior

b Superior and posterior

b. Inferior and anterior

c. Inferior and posterior

Q37. Mandibular tori in x- ray

Q38.Exposure after x ray: long history of SCC and the patient is going
radiotherapy what could be the problem
a. mucositis

b. Increased bleeding

c. others

Q39. Anterior to mandibular fossa:

a. Articular eminence or tubercle i forget

b. Zygomatic arch

Q40.Host modulation done by:

a. Doxycycline
b. Minocycline c. Penicillin

d. periochip

Q41. How to motivate patient to maintain oral health ( weird options )

a. Keep next visit to doctor (tae next appointment)

b. Write every time he flosses in a note

c. Write every sunday mornings

d. Write whenever he forget to floss

Q42.Emergence profile ideal for a single central incisor implant:

a. 3-4 mm apical from adjacent cej

b. 1 mm apical

c. 2-3 mm coronal

d. 2-3 mm apical to adjacent cej

Q43. The occlusal caries has reached to dej where is its apex
a. At the enamel surface

b. At dej

c. others

Day-2
For day-2 i got 15 cases,I don’t remember whole cases, but I remember
the topics, I mostly got many repeated cases from October, November and
December merged files.please be thorough in these topics:

1. Bells palsy

2. Myocardial infarction
3. Sleep Apnea

4. Candidiasis

5. Rheumatoid Arthritis

6. Hypertension

7. Diabities

8. Copd and gerd

9. Autism

10. Caries
1. Know what eagle syndrome look like on pan?
• Elongation of the styloid process or mineralization of the stylohyoid ligament complex
can be seen on panoramic or lateral-jaw radiographs (Fig. 1-47). The mineralized
stylohyoid complex may be palpated in the tonsillar fossa area, and pain often is
elicited.

•
2. Know what carotid sinus syndrome look like on pan?

3. Peutz Jeghers syndrome on radiograph?

• It is characterized by freckle-like lesions of the hands, perioral skin, and oral mucosa, in
conjunction with intestinal polyposis and predisposition for affected patients to develop
cancer.

•
4. TMJ condylar hyperplasia on pan?

•
5. Function of external oblique ridge
• Anatomical landmark that is continuous with anterior border of mandibular ramus to
the region of first molar
• Attachment of buccinator muscle

•
6. Picture of thyroglossal duct cyst

•
•

•
7. Facebow records → relationship of maxilla to the hinge axis of rotation of mandile

•
8. Is mepivacaine safe for cardiac patients? → NO it is cardiotoxic
9. Meds that cause xerostomia?
• Know the meds that causes xerostomia
i. Diuretics, beta blockers, TCA, antihistamines, anticonvulsants, antipsychotics,
oral morphine

•
10. Effects of thyroid to diabetes
• Thyroid disorder and diabetes coexist → both dysfunction of endocrine system
• HYPOthyroidism linked to T2DM

•
11. Metabolic syndrome can cause cancer →YES especially COLON CANCER and LIVER CANCER
12. Parkinson disease patient and flossing → hard time due to tremors
13. X rays: odontoa, osteoma, peripheral odontoma, dentinogenesis imperfecta
• Compound odontoma

i.
• Complex odontoma

i.
• Osteoma

i.
• Dentinogenesis imperfecta
 i.
ii.

iii.
14. Know the nerves for tongue
• CN V Lingual: general sensory (touch)
• CN VII Chorda Tympani: special sensory (taste!)
• CN IX Glossopharyngeal: general sensory (touch) + special sensory (taste!)
• CN X Vagus and CN XII Hypoglossal: movement of muscles of the tongue

•
15. Opioid overdose causing mydriasis → False (overdose causes
meiosis) opioid withdrawal causes mydriasis
•

•
16. Nitric oxide cause stage 1 anesthesia (weakest)
17. What medications cannot be taken with digoxin →
A. Antacids
B. milk of magnesia
C. sulfasalazine
D. metoclopramide
• Drugs which reduce digoxin absorption include the antacids aluminium hydroxide,
magnesium hydroxide and magnesium trisilicate, the antidiarrhoeals kaolin and pectin,
the hypocholesterolaemic agent cholestyramine and the chemotoxins
cyclophosphamide, vincristine and bleomycin

18. Ataxic cerebral palsy symptoms →

• walk with feed spread apart, looks like jerky movements, cannot use their muscles to
reach for fork (Stiff), involuntary movement in hands/arm/leg, but still awake and know
what is happening

19. Polydipsia →
• feeling excess thirst (know the def)
20. Full mandible flap will affect what nerve→
• lingual nerve (from google not sure, but other option was facial nerve)
21. Marsupialization definition →
• surgical technique of cutting a slit into abscess or cyst and suturing the edges of the slit
to form continuous surface from the exterior surface to the interior surface of the cyst
or abscess

•
22. Vagovagal syncope →
• faint due to body over reacting to triggers from stress, long periods of standing, head
exposure, blood sight
• People will faint, have nausea, sweating, rapid heart beat

•
 •

23. If root tip leads to maxillary sinus do you leave it or do surgery to take it out? →
• can cause sinusitis so extract
• You only leave root tip if the root is small, deep within alveolus, not infected
24. External root resorption vs internal root resorption
• External will still have the shape of the root canal on x ray

•
25. Stylohyoid on pan

•
26. Main cause of periodontal disease →
• plaque build up and calculus
27. Perio disease will mainly have HORIZONTAL bone loss:
• True

28. Effectiveness of GI cement →

• protect from secondary caries (antimicrobial), release fluoride for remineralization
29. Keloid will form from hair follicle? (if question is asking how will keloid for? Folliculitis
• Keloids are a type of raised scar. They occur where the skin has healed after an injury.
They can grow to be much larger than the original injury that caused the scar. They are
not at all common, but are more likely for people who have dark skin. Anything that can
cause a scar can cause a keloid.
• Folliculitis keloidalis is an unusual form
of chronic folliculitis (inflammation of hair follicle unit)
and cicatricial alopecia (scarring hair loss) that affects the nape of the neck.

•
30. What to look out for with T1DM at dentist → HYPOglyecemia
31. Not telling patient that hey have cancer is against →
A. patient autonomy
B. veracity

•
32. Implant placement →
• high torque, low speed
1. Cement for porcelain crown →resin
• porcelain veneer (feldespatic ) is LIGHT CURE RESINE
• ALL CERAMIC (EMAX, LITUM DISILICATE) is DUAL CURE
• Best cement for Zirconia is RMGI
• Best cement for PFM is RRGI

2. Penicllin vK dosae → 500mg

• Best for abscess tx

3. Mental nerve is a branch from → CN V trigeminal

4. What reacts with Viagra

• Nitroglycein

5. Bisphosphonate used for cancer that metasitize? → yes

6. Is teeth vital in traumatic bone cyst? → YES

7. Osteosarcoma
• sunburst pattern on x ray

8. See the mark of abuse on a pediatric patient but dentist doesn’t report. What ethic is
violated?
A. veracity
B. beneficence

C.

9. Contrainidicated for opioids

A. Second trimester
B. head injury

10. Endo lesion

• Multiple anaerobic organisms
11. Koplik spots -> measles
c. White spots with red halos, buccal mucosa and palate

d.

e.
12. Jarish Herxheimer
- Spirochetes (syphillis)--> Treponema pallidum
- ransient clinical phenomenon that occurs in patients infected by spirochetes who
undergo antibiotic treatment.

-
13. Mucolabial fold, recurring ulcers that dont scar
- Minor aphthae (herpes also answer choice)

14. Leukoplakia = unilateral

15. Easies cement to clean?

- Said zinc polycarboxylate because most soluble

- Zinc phosphide, resin, and something else also listed

16. Insufficient indirect retainers

- Lifting away from distal extension (medial and later movement also an option)

17. Which is true

A. Don’t prepare buccal space for retentive arm
B. .5mm rest seat
C. 1mm rest seat
18. Two surgical sites
- Connective tissue graft (donor and recipient)

19. Common thing between methotrexate, sulfa and trimethropim?

a. Liver disease?
b. Folate
c. Google says nephrotoxicity?
i. (Concomitant use of MTX and trimethoprim-sulfamethoxazole can result in life
threatening disease)

20. Thyroid storm (hyperthyroidism)

- acute, life-threatening, hypermetabolic state induced by excessive release of thyroid
hormones (THs) in individuals with thyrotoxicosis.
21. Picture of median rhomboid glossitis
- Candidiasis
- Causes: smoking, denture wearing, use of corticosteroid sprays or inhalers and human
immunodeficiency virus (HIV) infection.

-
22. Ferrule – 2mm

23. Most common Ab for children

• Penicillin

24. Blue sclera

- OSTEOGENESIS imperfecta

-
25. Amalgam in water supply
- clean water act by EPA

-
26. HEMA -> dermatitis for practitioner
• HEMA (hydroxyethyl methacrylate)
i. HEMA consists of
1. Monomer + solvent
a. Amphiphilic resin monomer which means that it has
hydrophobic and a hydrophilic end. Hydrophilic end contacts
the tooth surface
b. Solvent: acetone or water act as solvent that caries the
monomer.
ii. If HEMA contacts the skin it can cause allergic reaction known as contact
dermatitis.
•
27. Why aspirational biopsy (fine needle biopsy)
- Rule out vascular lesion

28. Most important factor for sealants

- Isolation

29. B1 antagonist will prevent what action of epinephrine?

- blocking B1 will cause decreased heart rate, thus decreasing cardiac output, thus
decreasing BP

30. Gave child lido, now he is acting restless

- Too much LA agent in bloodstream (NOT epi)

31. Most essential thing to give in anaphylaxis

- Epinephrine
- Diphenhydramine was also listed but I thought it might be more time sensitive than that
32. Picture of radiolucency on 7, most likely diagnosis, no other clinical info given
A. apical abscess
B. periapical granuloma
- Google says granuloma -= 50% and abscess = 35%

33. 6yo w/ leukemia with furcation radiolucency on 1st man primary molar, how do you treat?
A. EXT
B. drain and procedures for vital pulp

34. Feature of gracey curette

- Blade on one side of lateral blade
- end 1/3rd of blade was triangular

-
35. Premedicate
- Came up like twice or 3x
- Cardiovascular stent = no
- Cardio valve replacement = yes

-
-
File: Remembered, continued from #67 24th Dec Am discussion

1. Premedicate
- Came up like twice or 3x
- Cardiovascular stent = no
- Cardio valve replacement = yes
antecedent endocarditis and valvulopathie or proth valvular
amoxicillin 2g 1 hour before the act

2. azithromycin is given cause patient was allergic to penicillin (T)

Cephalexin cross reactivity with penicillin
It appears that cross-reactivity between penicillins and cephalosporins is more likely associated
with structurally similar side chains rather than the beta-lactam ring itself.

3. Best cement for lithium disilicate crown

- dual cure resin cement (like veneer need to etch)

4. What are the components of composite? Dont remember answer choices but it was an
EXCEPT question
Bis-GMA and other dimethacrylate monomers (TEGMA, UDMA, HDDMA), a filler material such
as silica
File: Remembered, continued from #67 24th Dec Am discussion

5. Ideal dimensions for post and core. Other option I was questioning said 2mm gutta percha left
- 4-5 mm from apex
Mosby: 5-7mm gutta percha should remain.

6. Contraindicated for endo tx

- Lateral root fracture. Endocarditis, uncontrolled diabetes, MI within 6 months

7. Which is an indication to ext partially impacted 17 in an ?

o Prevent chronic pericoronitis
o Prevent perio pocketing on distal of 2nd molar
o Prevent caries on distal of 2nd molar
File: Remembered, continued from #67 24th Dec Am discussion

8. Most common site for salivary gland tumor

- Palate (Pleomorphic for benign / Muco for malignant)
- Palate for minor salivary gland , parotid for major salivary gland.

9. Straight line access - prevent file separation

improved instrument control, transportation, To avoid ledges, instrument separation

10. Carious exposure when preparing primary tooth with minimal bleeding, tx of choice
- Pulpotomy?
- Direct pulp cap (<2mm carious or mechanical exposure / >2mm = pulpotomy)
- Dimensions of exposure not given, I think minimal bleeding means pulp cap

Direct pulp capping is normally contraindicated in Primary teeth, unless the exposure is small <2mm
File: remembered. Docx continuation from #77-100. 26th dec Pm discussion

1. No occlusion on right side following trauma but no radiographic findings

- Right Hemarthrosis
Not condylar fracture, another recall doc had a similar q and said it was contralateral

2. All contribute to retention/resistance form of crown for short molar EXCEPT

- REMEMBER: BUCCAL grooves for RETENTION / PROX groove for RESISTANCE

3. Parallelism
- retention (less taper = more retention)

4. Muscle that protrudes tongue – genioglossus

5. IAN may be incomplete because of cross innervation from what nerve? IDK answer
- I think answer = incisive nerve (cross innervation of man anteriors)
- Buccal N

6. Ortho movement that takes most force: Translation (100g)

File: remembered. Docx continuation from #77-100. 26th dec Pm discussion

7. TAD finds primary anchorage in: Cortical bone (google)

8. Example of patient with external control sense?

- “What does it matter? Im gonna lose my teeth.”
- Honestly just make sure you review patient management there was a good amount
- Someone believes what happens to them is luck or fate and that they are not in
control of their life

9. Calling the needle a “pinch” =

- Relabeling
- Refocusing?

10. Most important factor for long term success of implant at time of placement
- Implant stability

11. PVS has most dimensional stability → addition silicone → no by products, inhibited by sulfur in
latex gloves and rubber dam
- Polyether has more dimensional stability then
File: remembered. Docx continuation from #77-100. 26th dec Pm discussion

12. Infected area with local

o LA acidulated/polarized, polar form not active/can’t penetrate tissue.
o -More difficult for penicillin to penetrate into abscess space.
fact, in vivo pharmacokinetic data demonstrate that substantial antibiotic concentrations can be
reached within abscesses in humans and animals, provided the choice of an appropriate agent
and an optimal dosing regimen. However, the efficacy of antibiotics in pus may be hampered by
various factors like low pH, protein binding and degradation by bacterial enzymes.

13. True of elder

- Sanity (NOT dis-intelligent)
- Other options made no sense

14. Frey syndrome -> gustatory sweating

File: remembered. Docx continuation from #77-100. 26th dec Pm discussion

15. Lateral periodontal cyst not odontogenic? False, it is developmental odontogenic cyst

16. Nasopalatine or nasolabial cyst = most common non odontogenic cyst

File: remembered. Docx continuation from #77-100. 26th dec Pm discussion

17. Multiple nodules on the skin with multiple large melanotic somethings and NO other
symptoms
- Neurofibromatosis: Neurofibromatosis is a genetic disorder of the nervous system.
(MEN2B)
- Depending on option, but it can be gorlin, nevoid basal cell carcinoma, and
Neurofibromatosis

18. 15 yo with right max swelling that had been present for 3 years, no other symptoms, “ground
glass” description of radiograph, teeth stable: (case = fibrous dysplasia)

19. What happens as we get older

- Increase chroma,
- decrease ANB angle too

20. Ensure improvements in patients home are (Wasn’t sure)

- Schedule recall?
- Write on a card everytime they floss?
- Write on a card every Saturday how many times they flossed?
21. Lichen planus: Caused by T cells ???
File: remembered. Docx continuation from #77-100. 26th dec Pm discussion

22. Wickham stirae : Usually bilateral

23. Patient taking diuretic and antihistamine, what is seen most likely?
- Xerostomia?
24. NOT seen in combination syndrome
- Increased vertical dimension
December 27/2021

101. Which is NOT a moa of metformin

- Increased insulin secretion from beta cells

Metformin →inhibitor of liver glucose production.

a. Activates AMP kinase, which regulates energy production, b. Used orally, c. Reduces
gluconeogenesis and lipogenesis in the liver. e. Adverse effects—GI problems and malabsorption,
f. Used for type 2 diabetes.

102. Class II patient with open bite?

- Le fort osteotomy - just go over this and BSSO, they both came up a few times

Lefort 1

103. Least essential for sterilization

- Facebow

104. Teeth at 20 degrees, something at 45

- Increase compensating curve

105. H2 antagonist = cimetidine

106. /14 Gracey -> distal molars

107. Port wine stain

- Sturge weber Syndrome

108. First sign of hypoxia in a patient

- I said bluish tint of skin, not sure

 109. Dyspnea, orthopnea, and something else in patient

- CHF

110. Buprenorphine = opioid partial agonist

- opioid used to treat opioid use disorder, acute pain, and chronic pain
 111. Opioid alkaloid(natural) = morphine

- Codeine is also
 112. Gorlins has multiple OKCs

113. Benzocaine (ester) /Prilocaine (amide) -> methemoglobinemia

115. kVp -> penetration of x-rays

116. mA: # of x-ray in a beam radiation quantity (not quality!), density & patient dose

- YOU WANT TO HAVE HIGH KVP AND LOW mA for MOST penetration

117. Evaluate disks of TMJ -> MRI

118. Working contacts = BULL (buccal incline U and lingual incline of L

119. EBV (HHV4) -> Burkitt’s lymphoma (also associated with malaria)

120. Coxsackie -> herpangina/hand-foot-mouth

121. A few questions about leading questions “the dentist makes you nervous, doesn’t it?”
- Closed ended questions

122. Cyclic neutropenia testing

- Between CBC and ANC TRUE

- Neutropenia: ANC 500-1000 (<500 is severer risk!) TRUE

123. Best finish line for all ceramic

- 1mm (>1-1.2m) all around shoulder

124. Facial shoulder and lingual chamfer PFM

125. Consideration for primary dentition restorations

- Broad contacts

126. Most common congenital abnormality

- Cleft lip and palate (1 in 700)

127. Don’t have to remove unsupported enamel from

- Occlusal of class V amalgam prep

128. Retention of class V

- Grooves at occlusal and gingival line angles

129. Flumazenil = benzodiazepine antagonist

130. Corresponds to wavelength = hue

131. 3-month recall 1st year after periodontic treatment TRUE

132. Concentration of at home carbamide peroxide

- 10-35% with bleaching tray overnight or 2-3 hours during the day

133. Stafne bone defect or cyst shown, another name used

- lingual cortical mandibular defect, static bone

134. Seen on palate

Necrotizing sialometaplasia

135. Contraindication for papoose

- Cooperative child

- (all others were like screaming child or sedated child)

136. medical conditions and a certain drug = FDA

137. Material safety data sheet is MADE BY manufacture NOT OSHA

i. It is required by OSHA to have it!

ii. Blue = health hazard

iii. Red = fire

iv. Yellow = reactivity of chemical

v. White = require PPE

138. Habit appliance for ortho (to stop thumb sucking)

- Aversion training

Pemphigoid

Autoimmune disease of mucous membranes; antibodies directed against basement membrane antigens

a. Affects older adults (typically >50 years old).

b. Manifests as multiple, painful ulcers preceded by bullae that form below the epithelium at the
basement membrane.
c. Oral lesions may be found in any region, especially and sometimes exclusively in the attached gingival;

ocular lesions can lead to blindness if untreated.

d. Positive Nikolsky’s sign may be present.

e. Persistent disease.

3. Patients are managed with corticosteroids.

IV bisphosphonates - do u do the treatment?

No extraction just endo Or if emergency do extraction under hyperbaric o2

no treatment if its more than 3-4 months, in case of emergency hyperbaric o2

Community water fluoridation recommended by a dentist (which two ethics in conflict)

Autonomy and benefic

Small round radiolucency below 1st and 2bd premolar→

PCOD/Mental foramen/cementoblastoma

Muscles of mastication attachment

Tongue muscles/never supply

EDA drug classification

Why do you place the rest on mesial side→ support, to prevent displacement force
 upper third molar extraction (buccal and distal/buccal and palatal/ coronal/ apical and rotation)

cleft palate surgery timelines all except (at birth/speech during 2nd year/ alveolar surgery 7-8 etc)

Cleft lip txt: 3-6 months

Cleft palate txt: 9-12 month

So at birth is except

Incision/excision - lesions with sizes given. sometimes ulcers given. Not sure whether to choose
these as options for ulcer.

Incisional more than 1 cm or 10 mm

Excisional less than 1 cm or 10 mm

biopsy done in all except. Answer is minor ulcer

 fee splitting which ethics (justice/ involving in fee splitting) - similar choices

anything related fee is justice

Sulfonyl urea causes hypoglycemia with which drug (APAP/ibuprofen/codeine/hydroxycodone)

 Warfarin should not be mixed with Metronidazole

Pt on IV drug abuse, what you won't give(fentanyl/propofol/midazolam/ketamine)

Denture adhesive component which causes some nervous issue (zinc/methyl

cellulose/Cu/gelatin) It causes neuropathy

But in large amounts, zinc can be toxic, resulting in prolonged numbness and nerve impairment. In the
mid to late-2000s, denture adhesive manufacturers were being sued because their products had been
linked to making people sick and causing permanent debilitating nerve damage

Perio bone defects, GTR indication

Furcation 2 and 3 wall defects

1st dental visit of asymptomatic 18year old - wat you won't do

prophylaxis/OHI/restore only deep caries/nutritional counseling

Bulimic patient all expect

APF gel/NaHCl rice/nutritional counseling/psychiatrist

Ideal test for diabetes

HbA1C/GTT

senile caries in

attrition/abrasion/abfraction/abrasion
Ectodermal dysplasia features
 Smooth surface caries →Lysol

Mesodermal origin all except

bone/cartilage/mucosa/skeletal muscle

Diarrhea and abdominal tenderness 4 weeks later (cephalosporin). Why?

GI chemical irritation/GI flora disturbed

What can be seen visually? Dark color of fissure/Translucency of enamel/Depth of fissure) - for
diagnosis

🛑🛑All are business goals except (Amonitarization/Lissar's insurance/Staff benefits/monthly average

something)

🛑🛑Protrusion of lower anterior with black triangle. Treatment

proximal stripping/ retroclination to bring the contact apically

🛑🛑Fluoride varnish and Silver diamine fluoride For children

caries management system names include all except one (CABRA/ all abbreviations/ diagnodent
option seemed weird so I chose that. diagnodent, difoti,qlf, elecrical conductance

🛑🛑Ortho case - angles/nasolabial angle )

Alveolar ridge resorption we see all except one (mandibular foramen moving superiorly/mylohyoid
superior/Pseudo class 2/one more option)

Resorption of the residual alveolar ridges results in forward–upward rotation of the mandible, decreases
in the occlusal vertical dimension, and increases in the mandibular prognathism (the class III tendency

🛑🛑If a dentist violates OSHA and CDC which ethical principle is being violated? Justice

🛑🛑Patient's BP raises to 200/90 after 4 carpules of LA with epi 1:100,000 (hypertension in the
history). Reason? drug interaction with propofol/thyroid storm/ because LA with epi 1:100,000 was
given

🛑🛑Hypothyroid patient symptoms

🛑🛑After extraction patient faints

Syncope/Hypoglycemia/hypovolemic shock

🛑🛑Autistic child reluctant to treatment. Voice control/Desensitization

🛑🛑2 non restorable caries with one having huge PA lesion. Patient referred by his cardio for
clearance beofee open heart surgery in 2 weeks. Hospitalized patient. what do you do.

Prophylaxis and extraction/ only prophylaxis/ prophylaxis now and extraction after heart surgery

🛑🛑While doing treatment you change the material into a costlier one and you don't want to charge
the patient. what do you first do?

inform office management

🛑🛑Advice patient about the change and do not charge/ don't tell patient carry on and don't charge/
tell the office management first

🛑🛑HIPAA deals security. Another form of HIPAA deals with electronic report/ written records
• Pemphigus

• Pemphigoid
Subbasilar, Middle age but pemphigid old age 60 average,

• IV bisphosphonates - do u do the treatment?

No extration just endo
Or if emergency do extration under hyperbaric o2
• Community water fluoridation recommended by a dentist (which two ethics in
conflict)
Autonomy and benef
• Small round radiolucency below 1st and 2bd premolar
(PCOD/Mental foramen/cementoblastoma)
• Muscles of mastication attachment

• Tongue muscles/never supply

• EDA drug classification

• Why do you place the rest on mesial side
To prevent displacement force
• upper third molar extraction (buccal and distal/buccal and palatal/ coronal/ apical
and rotation)
Buccal and distal

• cleft palate surgery timelines all except

(at birth/speech during 2nd year/ alveolar surgery 7-8 etc)
• Incision/excision - lesions with sizes given. sometimes ulcers given. Not sure
whether to choose these as options for ulcer.
Incisional more than 1 cm or 10 mm
Excisional less than 1 cm or 10 mm
• fee splitting which ethics (justice/ involving in fee splitting) - similar choices
• Sulfonyl urea causes hypoglycemia with which drug
(APAP/ibuprofen/codeine/hydroxycodone)
• Warfarin should not be mixed with Metronidazole
True
• Pt on IV drug abuse, what you won't give(fentanyl/propofol/midazolam/ketamine)
• Denture adhesive component which causes some nervous issue (zinc/methyl
cellulose/Cu/gelatin)
But in large amounts, zinc can be toxic, resulting in prolonged numbness and nerve impairment.
In the mid to late-2000s, denture adhesive manufacturers were being sued because their
products had been linked to making people sick and causing permanent debilitating nerve
damage
• Perio bone defects, GTR indication
Furcation 2 and 3 wall defect
• 1st dental visit of asymptomatic 18year old - wat you won't do (prophylaxis/OHI/restore
only deep caries/nutritional counseling)
• Bulemic patient all expect (APF gel/NaHCl rice/nutritional counseling/psychiatrist)
• Ideal test for diabetes (HbA1C/GTT)
• senile caries in attrition/abrasion/abfraction/abrasion
• Difference in abrasion/abfraction
• Ectodermal dysplasia features

• Smooth surface Disinfectant (Lysol)

True
• Mesodermal origin all except (bone/cartilage/mucosa/skeletal muscle)
• Diarrhea and abdominal tenderness 4 weeks later (cephalosporin). Why? (GI chemical
irritation/GI flora disturbed)
• What can be seen visually? (Dark color of fissure/Translucency of enamel/Depth of fissure) -
for diagnosis
• All are business goals except (Amonitarization/Lissar's insurance/Staff benefits/monthly
average something)
Amortization is an accounting technique used to periodically lower the book value of a loan or an
intangible asset over a set period of time. Concerning a loan, amortization focuses on spreading
out loan payments over time.
• Protrusion of lower anteriors with black triangle. Treatment (proximal stripping/
retroclination to bring the contact apically)
• Fluoride varnish and Silver diamine fluoride

• OSHA lots of question

• caries management system names include all except one (CABRA/ all abbreviations/
diagnodent option seemed weird so I chose that.
• Ortho case - angles/nasolabial angle )
• Alveolar ridge resorption we see all except one (mandibular foramen moving
superiorly/mylohyoid superior/Pseudo class 2/one more option)
• Curve of Spee in class 2 div 2 is flat/steep/normal/reverse)
• If a dentist violates OSHA and CDC which ethical principle is being violated?
Justice
• Patient's BP raises to 200/90 after 4 carpules of LA with epi 1:100,000 (hypertension
in the history). Reason? drug interaction with propofol/thyroid storm/ because LA with epi
1:100,000 was given
• Hypothyroid patient symptoms
• After extraction patient faints. Syncope/Hypoglycemia/hypovolemic shock
• Autistic child reluctant to treatment. Voice control/Desensitization
• 2 non restorable caries with one having huge PA lesion. Patient referred by his cardio
for clearance beofee open heart surgery in 2 weeks. Hospitalized patient. what do
you do. Prophylaxis and extraction/ only prophylaxis/ prophylaxis now and extraction after heart
surgery
• While doing treatment you change the material into a costlier one and you don't want
to charge the patient. what do you first do. Advice patient about the change and do not
charge/ don't tell patient carry on and don't charge/ tell the office management first
1. OARS:
✓ Open ended, affirmations, reflective, summary

2. Kennedy classification

3. Apex locator cannot be used to find small canal orifice or curvature of canal? Another question
about apex locator
✓ True
✓ Accessory canal and curvature canal

4. unbundling:
✓ charging a two surface restoration as two separate restorations

5. best topical anesthesia for gingival tissue –

water based, lipid based, protein based, or acid based?
✓ Topical- benzocaine, lidocaine are lipid soluble

6. Sturge Weber Syndrome - what stain is pathognomy?

✓ Port wine

7. Diabetic angiopathy isn’t an oral finding

✓ True
8. Osteoconductive vs osteoinductive

9. Synthetic opioid –
✓ Fentanyl

10. Alveolar osteitis has connection with oral contraceptives –

✓ True

11. Fractured palatal root, needs

rdx
✓ CBCT
12. Active restraint indicated for –
✓ adult with autism

13. Longest acting Local Anesth-

✓ Bupivicaine
14. 5 cc 2% LA 1:100,000- 100 mg & 0.05 mg epi
✓ 20 mgX 5ml= 100mg lidocaine
✓ 0.01X5= 0.05 mg epi

15. Post should be

✓ 2/3 of root length

16. Clindamycin not useful against

✓ Pseudomonas auerginosa
✓ Clindamycin is a antibiotic used to treat serious infections caused by susceptible
anaerobic, streptococcal, staphylococcal, and pneumococcal bacteria.

17. TMJ –> FIBROCARTILAGE

✓ True
✓ One of the unique characteristics of fibrocartilage is that it contains both types I and II
Collagens, compared to articular hyaline cartilage, which only contains type II Collagen.

18. RPD support –

✓ occlusal rests

19. Antidepressants –
✓ Serotonin
✓ inhibit the reuptake of serotonin

20. General dentist measured by same standards of specialist - when he decides to do a

procedure that is usually done by a specialist
✓ False

21. Know all Ethics principles

22. Bisphosphonate –
✓ inhibit osteoclasts
23. Valve replacement –
✓ Prophylaxis

24. Spore test for sterilizer –

✓ Weekly

25. Corticosteroid inhaler –

✓ prone to candidiasis
✓ rinse mouth after each use

26. Gardner’s & Peutz in common –

✓ intestinal polyp

27. Denture cheek biting –

✓ lack of horizontal overlap

28. Dentinogenesis imperfecta –

✓ obliterated pulps
29. Apexification vs apexogenesis

30. How to diagnose taurodontism –

✓ radiographically
clinically
both

31. Normal INR

✓ Below 1.1

32. In a periodontal surgery when you start removing the alveolar supporting bone. What is it
called?
✓ Ostectomy
1. Clinical case with description of ground glass radiographic appearance and woven
bone. What is the treatment?
✓ o Complete resection
✓ o Chemotherapy
✓ o Resection then chemotherapy

2. Absorption of the anterior maxilla direction

✓ o Superior and posterior
✓ o Posterior
✓ o Superior
✓ o Superior and anterior

3. Primary tooth that is most convergent in the MD? direction

✓ o Mandibular Maxillary 1st

4. When is the best time to extract 3rd molars

✓ o when the crown is completely formed but the roots are not
✓ When the roots are partially formed

5. Which of the following is a non-odontogenic infection?

✓ o Nasopalatine duct cyst(nasolabial cannot see on Xray)
6. Showed a radiograph and asked what it most likely is?
✓ o Dentigerous Cyst
✓ o Ameloblastoma
✓ o OKC

7. Best treatment for acute odontogenic infections

✓ o Penicillin

8. A mother taking Valproic acid causes what kind of birth defects?

a. o Craniofacial
b. o Heart
c. o Lungs

9. Broad spectrum antibiotics and anticoagulant drug interaction?

✓ o enhance the action anticoagulants because of the reduction in Vitamin K
sources

10. Which is unilateral?

a. o White sponge nevus
b. o Leukoedema
c. o Leukoplakia

11. Showed a radiograph and described Stafne bone defect but the answer choice called it
12. Epstein Bar Virus is associated with?
✓ o Burkitt’s Lymphoma

13. Red lesions with a halo on the buccal mucosa near the molars and premolars?
a. o Herpangina
b. o Hand-foot-and-mouth disease
c. o Mumps
d. o Measles (Köplik spots in measles)

14. Lichen Planus caused by

a. o inflammatory process involving B cells
b. o inflammatory process involving T cells

15. All of the following would help a mandibular denture retention except?
✓ o prescribing an ant sialagogue

16. “you have never had problems with needles before, have you?” is an example of?
✓ o a leading question

17. H2 blocker?
a. o Cimetidine
b. o Prochlorperazine

18. Rivaroxaban?
✓ o antiplatelet
✓ Rivaroxaban inhibits both free Factor Xa and Factor Xa bound in the
prothrombinase complex. It is a highly selective direct Factor Xa inhibitor with a
rapid onset of action.

19. Self-limiting pin drill is used on ?

a. o only flat surfaces
b. o sloping surfaces
c. o short surfaces

20. Pt used Prilocaine, had a bunch of symptoms

✓ o methemoglobinemia

21. Safest anesthetic for a pregnant patient

a. o lidocaine
b. o bupivicaine
c. o mepivacaine
22. Pregnant patient be aware when laying them on their side of
✓ o IVC

23. Unsupported enamel can be left on which surface

a. o Class III facial surface
b. o Class II facial surface
c. o Class V occlusal surface

24. ADA principle violation – removing old amalgam restoration because patient wants
to?
✓ o Veracity

25. ADA principle violation – doing procedures without proper research?

✓ o Veracity

26. How to increase retention on a short crown?

✓ o Buccal grooves for retention and Proximal grooves for resistance

27. Which color has to do with wavelength

a. o Hue
b. o chroma
c. o translucency
d. o Value

28. 12 y/o has Class III skeletal. As he gets older what will decrease?
a. o ANB
b. o SNB
c. o SNA
d. o Y axis

29. Best radiograph to view the articular disc of the TMJ

a. o MRI
b. o Transcranial

30. How to tell difference between MI and angina

✓ Duration time
✓ angina gets better within few mins, mi goes longer than 30 mins
31. Which of the following do you not use during an MI?
a. o morphine
b. o oxygen
c. o nitroglycerin
d. o epinephrine

32. Know working and nonworking interferences

✓ Bull- working
✓ LUBL- non work

33. Most common location for salivary gland tumors?

✓ o Parotid gland

34. Most common salivary gland tumor?

a. o Mixed tumor
b. pleomorphic

35. Best radiograph to view sialolithiasis?

✓ o occlusal

36. Child is causing trauma to bottom lip with their tooth. Lesion keeps reappearing on
bottom lip
✓ o Mucocele

37. Recognize the dorsal tongue on a radiograph

38. Soreness on ridge from denture
✓ o excessive VDO

39. Reason to dismiss the patient except?

✓ o youre the only dentist for miles

40. 3 day old plaque, what kind of bacteria?

a. o gram + aerobic
b. o gram – anerobic
c. o gram – spirochets

41. Best for GTR

a. o one wall
b. o 2 wall
c. o 3 wall
d. o circumferential

42. Primary tooth avulsion

✓ o don’t put back

43. Sodium hypochlorite all except

✓ o chelating

44. APF %
✓ o 1.23%

45. Which is true for post?

✓ o 4-5 from apex

46. Infection to primary teeth can lead to

✓ o Enamel hypoplasia
✓ Turner

47. Systemic fluoride is mostly excreted and stored in

✓ o skeletal
✓ Excreted in kidney

48. Critical ph of enamel

✓ o 5.5
49. know what medication cause xerostomia
✓ pilocarpine, civemeline

50. know the sensory, special and motor innervations of the tongue
✓ 1/3 chorda tympani
✓ 2/3 gloss, post most vagus

51. BIOTENE
✓ dry mouth medication
✓ Stimulates saliva

52. Normal INR

a. 2-3
b. normal less then 1 warfarin 2.5-3
I. INR of 1.1 or below is considered normal.
II. higher than 3.5 INR
III. range of 2.0 to 3.0 is generally an effective therapeutic range for people
taking warfarin for disorders such as atrial fibrillation or a blood clot in
the leg or lung
53. In a periodontal surgery when you start removing the alveolar supporting bone. What
is it called?
✓ Ostectomy

54. Case study on a pedo patient: 5 year old patient went to the dentist and had to put a
SSC on tooth K. After going home her mom realized she had a swollen lower lip.
✓ Soft tissue Trauma do to pt being numb
✓ Lip biting from anesthesia.. mucocele

55. Which caries risk-

✓ low
✓ High
✓ medium
i. I went with high due to her age

56. What anesthesia was put on her?

✓ there was bupivacaine in the answer choices but do not put that bc it is Is
contraindicated for a child and disabled patient.
✓ LIDOCAINE is safest in children. And Mepivacaine can be used without epi
57. Which nerve was involved?
✓ mental nerve
✓ mental if lip biting ,if tooth then IAN

58. Case study: Patient with HIV and alcoholic. What test to do, except?
a. CD4
b. HbA1c
c. INR

59. Had to do with tooth #17 that had pericorinitis- an except question.
✓ wont extract the adjacent tooth.

60. An X-ray that had to with a radio opaque not attached to a tooth. It was mentioned
somewhere in the question or case study that patient had a lot of extractions done.
✓ a piece of root that was left.

61. endo questions regarding a post.

62. One of them was which canal is the best place to put a post on a mandibular molar?
a. DL
b. MB
c. Distal

63. What does coumadin most react with?

a. Ibuprofen
b. Antibiotic

64. A case study question that was asking what is causing the staining, except:
a. Tetracycline
b. Tobacco
c. Coffee
d. Chlorohexidine

65. There was a question that pointed out the hyoid bone.
66. Uncontrolled diabetic patient, which is the value?
a. 5
b. 7
c. 9
December 30,2021 – AM discussion

Advantage of GI over composite

a) Chemical ionic bonds to enamel and dentin
b) Resistant to wear
c) High in aesthetics

Mandibular denture occlusal plane in relation to the tongue

at rest
a) No relationship
b) Slightly above
c)Slightly under

BASICALLY BELOW THE TOUNGE .

In which case become above?

Besides community fluor in water what else is taken into
consideration for supplementation
a) Age only
b) Age and meds
c)Age and weight

Anterior pfm where to place the finish line

a) Supra
b) Sub
c) Equigingival

Sub for esthetic reasons

Implant is more resistant to which forces
a)Vertical
b) Horizontal
c)Tangential
d)Oblique

If want to sterilize in a steam pressure machine what not to

put
a) Vouches
b) Bags
c) Cloth
d) Hard rigid material
I assume the choices means material and not instrument.
Main component of feldespatic porcelain
a) Alumina
b) Silica
c)Zirxonia
Silica – 63%

Patient with no medical issues, u haven’t started to treat her

and she says you hurt her, then her fingers tingled and then
she got unresponsive
a)Hyperglicemia,
b) MI
c)Hyperventilation

Patient with no medical issues, he got the flu vaccine 1 week

ago, doesn’t feel ok and has ascending muscle something
a) Multiple sclerosis
b) Guillain barre syndrome

For more aesthetic in a max denture upper teeth

a) Facial to the ridge
b) On the ridge
c)Behind the ridge

Modified ridge pontic

a) Compressing the tissues
b) Touching facial of the ridge
c)Completely cover the ridge

If after 24 hrs of permanent tooth exposure after fracture

tooth is responsive to cold and heat, what to do
a) Extraction
b) Endo plus apicoectomy
c)Direct pulp cap

look theres a similar question in mosby

the keyword is pin point exposure. in the above question its response to cold and heat.
And didn’t mention any pinpoint lesion, which means it is still vital. So ,we should save
the vitality of the pulp. response to heat is irreversible.

We save vitality in case of open apex.

(B) in case of no more options.

If you want to open the airway of a victim with suspected

neck injury what to do
a) until paramedics come
b) jaw thrust
c)Chin up
Perform "Rescue Breathing" without moving the neck or spine and Seek Emergency
Care. (See "Airway and Breathing".) But do not tilt the head back or move the head or
neck. Instead, pull the lower jaw (chin) forward to open the airway.

I guess bcz we can not move pt head back or left due to injury.

Who do you give antibiotic prophylaxis

a) Heart murmur with regurgitation
b) Aortic valve prosthesis
If you did a MO on #4 and need to adjust opposite, which one
it is
a) MB of 30
b) Lingual of 29

Why is zirconia resistant

a) Union of zirconia with oxygen
b) Stresses on the surface
zroxide is very hard material

The one of the 5 mm that is not predictable with srp but the
tricky part is that it said EXCEEDS 5 mm

Gum turned gray

a) Minocycline
b)Tetracycline

Antibiotic delivered locally

a) Minocycline
b) Tetracycline
Part of the jaws with best quality quantity and anatomy to
place implants
a) Posterior mandible
b) Anterior mandible

Anterior jaw
Relates to osteonecrosis
a)rankled inh
b)Ampicillin

A question asking for specificity of covid cases they gave

you numbers like 4500 cases in total...

Crown seems dull and non-vital what was not correctly

matched
a) Hue
b) Chroma
c) Value
Tooth that has perio problems after treatment
a) Max molars
b) Mandible molars

Perio problem of max 1st premolar due to the medial

concavity
True

MESIAL CONCAVITY

If you advertise as a only esthetic clinic and patient comes

with pain what do you do
a) Pulpectomy
b) Refer to endo