Course Title & Code: Oral Medi Assessment : Final exam Program : Bachelor of Dental Time allocated 23 hours have them all. + The exam contains 2 parts: | * True (T) or false (F) + Match 1- Complete | 2. Compare 3- Enumerate 4- Discuss 5- Point out 6- How? 7- Compare 8- Give short account 9- Enumerate 10- List 11- Mention 12- Scientific terms 13-Case 1 14-Case 2 15- Case 3 16- Case 4 ‘aculty of Dentistry - C. : Oral Medicine & Periodontology ne & Dingnosis OMED-4 _— General Student’s instructions: ‘© The exam is composed of 6 pages other than the cover page; please check that you ‘airo Universit +: 2017-2018, 6" May 2018 £75 Marks [10 minutes for revision] ‘& Part One: Answer in the attached bubble sheet [9 questions] [4.5 marks] [4.5 minutes] [13 questions) [6.5 marks] [6.5 minutes] % Part Two: Answer All the following questions [11 spaces} [5.5 marks] [11 minutes} [1 question] [4.5 marks] [12 minutes] {2 questions} [4 marks} [10 minutes] [3 questions] [10.5 marks} [25 minutes] [3 questions} [7.5 marks} [17.5 minutes] [1 question] [4.5 marks] [10 minutes} [1 question] [3 marks] [7 minutes} [1 question] [1.5 marks] [3.5 minutes} [1 question] [1.5 marks] [3.5 minutes] [2 questions} [4.5 marks] [11 minutes} [3 questions} [6 marks] [14.5 minutes] [3 questions} [1.5 marks] [3.5 minutes] [2 marks} [7 minutes} [1.5 marks} [5.5 minutes} [3 marks} [9 minutes] [3 marks} [9 minutes} Course Co-ordinator ol te ht CamScanner + lis. i> sual! 4” Year - New bylaw ‘Ass. Prof. Shereen AliPart One Answer in the attached bubble sheet State whether the following statements are true (T) or false (F): marks, 0.5 marks each} 1+ Carbamazepine is recommended for the treatment of trigeminal neuralgia. 2- Cyclosporins can lead to atrophy of tongue coating. 3- Black hairy tongue is due to hypertrophy of filliform papillae, however pseudo black hairy tongue is due to microorganisms causing black pigment. 4. Atropine can help in the treatment of xerostomia. S- Lingual thyroid is a developmental anomaly of the tongue arising from thyroglossal duct. 6- Famciclovir is recommended for the treatment of Herpes zoster. 7- Papillitis is inflammation of circumvallate and foliate papillae. 8- Sodium perborate mouthwash can be used in the management of black hairy tongue. 9- Hormonal disturbance is one of the causes of burning tongue sensation CamScanner + lis i> sual!Match the column Choose only one correct al ‘Complement fra ‘gment in the column 5 marks each - shade your choice in the bubble sheet nswer ea column] “Acetowhite color” OR “Lightly bluish color” b c+ “Dark” OR “Pale green” “Positive”, “Atypical” OR “Negative” d- “Dark royal blue stain” OR “Pale royal blue stain” CamScanner + lis. i> sual!Part Two An fe SWer All the following questions if Complete the following statements [5.5 marks, 0.5 marks each space] a. Clinical features features of multiple neurofibromatosis.__ include fees : duende eee b. Punch biopsy is indicated in ........... ¢. One of the major risk factors of oral cancer is d. Uses of exfoliative cytology includes evaluation / diagnosis of the buccal mucosa is . Treatment modalities of hemangioma other than conventional surgery are and... h. The highest risk site in oral cavity proper is ... 2- Compare the types of recurrent aphthous stomatitis regarding the clinical picture and treatment. [4.5 marks] 3- Enumerate: [4 marks, 2 marks each] a. Oral ulcerative lesions accompanied by ocular lesions. b. Conditions presenting with crusted lip lesions. CamScanner + lis. i> sual!15- A 40 years old gentleman visited your dental office. During collecting medical history, he mentioned that he was suffering fro! patient reported also thi nsive and anti-depressants medications. m leukemia. Your at he was suffering from hypertension and he was taking anti-hypertel {3 marks] a. Enumerate two serious complications that may occur during his dental “1 mark” treatment. b. Clarify what you shall do to avoid the previously mentioned two complications. “1 mark” s during the dental care of c. Enumerate two possible drug interaction “] mark” your patient. id female patient came to dental school hospital. She was in 16- A SO years ol al caries, non-restorable teeth, deep periodontal pain and had extensive dent pockets and missed teeth. She was on al hetic heart valve 8 months ago. Elaborate a comp nticoagulant treatment and received a rehensive treatment prost! [3 marks] plan for this patient. GOOD LUCK CamScanner + lis. i> sual!Faculty of Dentistry - Cairo University ue 72017-2018 “Rendemie Year Department 7 Oral Medicine & Periodontology Course Title & Code : Oral Medicine & Diagnosis OMED- Academic Level 1 4™ Year - New bylaw Assessment : Oral Sheet Date +6" May 2018 Program + Bachelor of Dental Science ‘Total Marks 115 Marks ‘Time allocated : 15 minutes Course Co-o1 tor : Ass. Prof. Shereen Ali [15 marks, 0. 5 marks each] Choose the correct answe! Choose only one correct answer Shade your choice in the attached bubble sheet 1. cssesssessei8 characterized by eye lesion: a) Leukodema. b) Hereditary benign intraepithelial dyskeratosis, c) White sponge nevus. d) Darrier’s disease. ‘A lady visited your clinic suffering from an allergic reaction from a new lipstick. She reported that she was suffering from a mild itching sensation followed by appearance of crops of wheals. Your diagnosis was hives. What is most suitable medication for her case? a) Epinephrine. b) Corticosteroid. ©) Non-steroidal at d) Anti 3. Cytokines produced by T-helper | cell include: a) IL-4. b) IL-3 ©) IL-2 4) ILS 4, A patient visiting your de asthma. One of the oral side effects of his medications could be: stamines. tal office mentioned that he was suffering from bronchial a) Oral candidiasis b) Primary herpetic gingivostomatitis. ©) Measles. 4d) Herpangina. CamScanner + lis i> sual!Pree 5, Porphyria is caused by: cy. a) Niacin defici 1¢ biosynthesis. b) Abnormality in the pathway of heme biosy ¢) Increased iron intake. from recurrent bacterial infections 4). Error in copper metabolism. 1. What is 6. A patient presented to your de s due to an underlying immu fal office complaining Tice co ine deficiency disorde and recurrent oral ulceration: ‘most appropriate cause to this immune deficiency case? a) Quantitative T-cell defect b) Phagocytic system defect. ©) Qualitative T-cell defect. 4) Combined immune deficiency, 7. Bleeding may be one of the complicé a) Lichen planus, b)_Discoid lupus erythematosus. ©). Systemic lupus erythematosus. d) Hereditary benign intraepithelial dyskerat 8. Selective Ig M deficiency predisposes the patient to: a) Septicemia. b) Ulceration. ©) Respiratory tract infection. d) GIT infection. A female patient presented to your dental office mentioned that she was suffering from rheumatoid arthritis, One of the oral side effects of her medications could be: a) Erythema multiforme. b) Verrucous leukoplakia. ©) Herpes zoster. 4d) Lichenoid reaction. 10. Before dental extraction for an adult patient with prosthetic heart valve, and allergic to penicillin, the following is prescribed: a) Clindamycin 600 mg. b) Azithromycin 600 mg. ©) Clarithromycin 600 mg. d) Any of the above. CamScanner + Lis dsucalliemoglobinemi eiobinemia is associated wit .. discoloration of skin and oral a) Bluish, b) Brown, ©) Greyish 4) Cherry red, 12, We can reduce corticosteroid dosages by the adjunctive treatment with: a) Azathioprine. b) Baclofen, ©) Triameinolone. d) Any of the above. 13. A female patient presented to your dental office. During collecting her medical history, she mentioned that she was suffering from scleroderma. One of the oral manifestations of this auto-immune disease is: a) Widening of apical foramen. b) Morphea, c) Widening of periodontal ligament, 4) Enamel hypoplasia. 14. Ketoconazole can be prescribed to whom of the following? a) Patient under warfarin therapy. b) Elderly patient ©) Diabetic patient d) Patient with liver disease. 15. patient visited your dental office complaining from red raised vascular neoplasm affecting the palate. By asking about the medical history, the patient answered that he was suffering from HIV. What is the diagnosis of the oral mucosal neoplasm? a) Hemangioma. b) Hematoma. ©) Kaposi's sarcoma d) Varix. 3 CamScanner + lis. i> sual!arly detection of ora dental office for jents in your ati o eae tie tool that shows nuclear irregularities rather e diagnost Si invasiv cancer. You require a non-in' ect fi ‘ll be this than a change in light absorption profile, What will a) VELscope. &) Confocal microscopy. ©) ViziLit 4) Electron microscopy. 17. The adenoid face is characterized by: a) The mouth is usually open with high palatal vault. b) Rounded, flushed and obese face. c) Puffy and pale face with baggy eye lids. 4) Coarse features with protruded mandible, 18, Intrinsic teeth staining may be caused by: a) Chromogenic bacteria. b) Smoking, ©) Calculus 4d) Tetracycline. 19. One of the causes of increased tongue coating is: 8) Cyclosporin, b) Mouth breathing. ©) Diabetes mellitus. 4) Long standing xerostomia. 20, Alkaline phosphatase enzyme is increased in: a) Healing fractures. b) Metastasis to bone. ©) Liver disease, 4) All ofthe above, 21. Ifthe result of the brush biopsy is “inconclusive”, this means that: 4) Cells do not fulfill the malignant criteria adequately to allow a positive report BUT reveal enough deviation from normal, ) Criteria for malignant cellular change are observed ©) The cells may appear atypical but do not demonstrate ‘malignant criteria 4) Cellular morphology is not preserved adequately for interpretation. CamScanner + Lig do sucall29, Negative-patient related treatment plan modifiers include a) Patient is interested in oral health, b) The patient is medically compromised, ©) The ability of the patient to afford treatment, d) History of regular dental care 23. Blood urea nitrogen ( BUN) is increased in; a) Kidney disease, b) Liver disease. c) Hepatitis, 4) None of the above. 24. One of your colleagues had informed you that that he is using a diagnostic tool for oral cancer detection. During using this tool in evaluation of white keratotic lesion, the lesion appeared acetowhite, What is the name of the diagnostic tool? a) VELscope. b) Identafi. ©) ViziLite d) Smear. 25. For medically complex patients in dental clinic a) Dentist should request the patient's physician to clear the patient for dental care. b) ‘The dentist still retains the responsibility for the procedures actually carried out. ty of the treating dentist to ensure the patient's safety ©) Itis the responsibi d) All of the above. 26. Asking the patient to say “Ah” while looking for symmetrical elevation of the palate is a way of testing: a) Cranial nerve 7. b) Cranial nerve 5 c) Cranial nerve 12. d) Cranial nerves 9 and 10. 27. Referring a patient to another clinician for an opinion or to obtain specific information about the patient's condition is considered: a) A referral b) A consultation. ©) Arrequest. d) None of the above. CamScanner + lis. i> sual!DB. acc may appear on the soft palate: a) Frictional keratosis. b) Pseudo membrane of diphtheria, ©) Pizza burn d) Torus palatinus, 29. A patient visited your dental o! ffice complaining of a swelling affecting the floor of the mouth, Ifyou suspected that this lesion is ranula, which type of biopsy ean confirm your diagnosis? a) Exfoliative biopsy. b) Drill biopsy. ¢) Aspiration biopsy. 4) Incisional biopsy. 30. All the following procedures could be included in phase I priority phase of dental treatment plan EXCEPT: a) Occlusal analysis. b) Management of mucosal lesions. ¢) Incision and drainage of dental abscess. 4) Placement of temporary restorations in teeth having caries. GOOD LUCK CamScanner + lis. i> sual!