May, 2020 Remembered

Tips:
● Get a comfortable face mask, NOT MEDICAL, because you will have to wear it the
whole time.
● You need an average of 1.2 minute per question, so manage your time.
● If you know the answer, choose it and move on.
● If you are not sure, first do the process of elimination (strike through) the answers that
are wrong, then pick one and MARK the question so you could return to it later.
● Always remember your basics, don’t overthink it. I will explain how later.
● Bring with you (protein bar, juice and vegetable) also tylenol or motrin.

What to study?
● Dental Decks
● Mosby for Patient Management.
● Mental Dental Channel on YouTube.
● Tufts for Pharmacology.
● Remembered Questions as much as you can do, 50% of questions were almost exactly
from remembered.

Now for the questions, I can’t remember the easy or the usual ones, but am pretty sure that
when you see them in the exam, you will know them right away. When you read the
remembered, there will be lots of repeated questions, most of them actually came in the exam.
Read anything about patient management, lots of questions.

Q. What will decrease in patients with Class lll mal occlusion?

● ANB (Anwer)
Q. What is the antihypertensive that causes coughing?
● Norvasc (Amlodipine) Not sure but the rest don’t make sense.
Q. Class lll mal occlusion can cause all of the following ​except​?
● Increase in the lower facial length.
Q. Class V retentive form?

Q. Where is it acceptable to leave unsupported enamel?

● Class lll
Q. Firs and second primary molar, are decayed and pulpal involvement is imminent, they ask
you what to do?
● Extract and place space maintainer
● Do root canal therapy
 ● Extract and no need for space. (Anwer)
● Leave alone.
They give you the age of the child, so make sure you know your basic. In the question
the age of the child was close for the eruption of the premolars. So no need to do pulpal
management or space maintainer.
Q. A kid, had renal dialysis since he was 2 years old, got kidney transplant when he was 5. Also
got Non Hodgkin's lymphoma after that and received radiation therapy (poor kid). He has been
on remission for 4 years. Recently he has been diagnosed with mitral valve prolapse with
regurgitation (for those who complain about life, just shut up). Any ways, the question was:
Which is the most urgent of the following condition requires you to refer the patient to a
physician?

● Kidney transplant.
● Mitral valve prolapse with regurgitation.
● Non Hodhkin’s lymphoma. (I chose this, in the history he is taking Cyclosporine, so, I
assumed he has thrombocytopenia and also can’t tolerate infections very well)

Q. Distance between two implants? Easy right?

3mm

Q. What vessel a pregnant woman would compress? IVC Inferior Vena Cava (position PT on her Left side)

Q. Case: An adult missing both upper laterals, there is a space between centrals and canines
but from the picture, it was not enough to place a bridge. The question was: how do you treat
this patient?

● Place a bridge.
● Reduce canines and central and place a bridge.
● Create a space orthodontically and place an implant (answer).
The other question was what type of occlusion this man has? Pay attention and use your paper.
The answer was: class 2 on the right side, class 1 on the left. (based on canine relationship)

Q. An adult patient is missing his wisdom teeth, what is the most appropriate reason for missing
his third molars?
● Trauma
● Medication
● Radiation
● Congenital (Answer)

Q. you will perform an extraction on a third molar for an adult with a peptic ulcer. The question
does not say what type of extraction or what is the pain level!
What pain medication combination will you give to this patient?
● Acetaminophen with Oxycodone.
 ● Aspirin with codeine.
● Ibuprofen with Oxycodone.
● Acetaminophen with Naproxen. (I chose this, since the rest are either schedule ll or
powerful opioids, Aspirin is out of the question since the patient has peptic ulcer.
Naproxen is NSAID and I know it causes irritation but not as powerful as Aspirin, Also
Naproxen has a long half life (8 hours) and it is recommended for people with pain who
want to have a pain-free sleep.

Q. An edentulous patient, and you want to measure VDO. the choices were very confusing,
however the answer was this.
● Have the patient pronounce the letter F to measure the rest position.
Q. about four to five questions regarding mid-root, and apical root fracture and how manage the
patient. Read this subject well.

Q. A patient has a furcation involvement in her lower first molar. Does not mention the grade.
Also the mentioned tooth has a big Amalgam filling, and you performed a successful endo
treatment. What is the most correct course of treatment to restore this tooth?
● Extraction.
● Composite filling
● PFM
● Provisional and wait until perio treatment is complete then restore permanently. (Answer)
Sequence: Endo, Perio, final restoration

Q. Patient is hyperthermic, hypertensive with other signs, what is the most likely condition?
● Hyperparathyroidism.
● Hypoparathyroidism.
● Hyperthyroidism. (Answer)

Q. Which of the following is the best treatment for a traumatically intruded

primary tooth which in not impinging on the permanent tooth bud?
A- Extraction
B- Allow tooth to spontaneously re-erupt
C- Reposition tooth orthodontically
D- Reposition tooth surgically
ANS: B

Q. The highest incidence of caries around Class II composite resin

restorations occurs on which of the following margins?
A- Occlusal
B- Facial proximal
C- Lingual proximal
D- Gingival proximal
ANS: D

Q.The means by which dental patients are treated to eliminate the caries
process is called
A- Antibiotic prophylaxis
B- Primary prevention
C- Secondary prevention
D- Tertiary prevention
ANS: C

Q. Healing after a gingivectomy?

● Primary Intention
● Secondary Intention (Answer)
● Tertiary Intention

Q. Smooth surface lesions resulting from flexure of the tooth structure are
known as which of the following?
A- Abrasion
B- Erosion
C- Abfraction
D- Attrition
ANS: C

Q. A patient has a spot on his tongue and on his palate. What is the initial diagnosis?
● Ulcer
● SCC
● Candidiasis (Answer).

Q. What is the predominant method of financing dental care in Health

Maintenance Organizations?
A- Fee for service
B- Capitation
C- Usual, customary, and regular fee
D- Table of allowances
ANS:B

Q. Billing for a full-mouth series of radiographs as if they were a number of

individual radiographs is an example of
A- Non-rendering services
B- Upcoding
C- Unbunding
D- Mischaracterization
ANS: C
Q. Which of the following is the most likely cause of ankylosis of the
temporomandibular joint?
A- Neoplasm
B- Rheumatoid arthritis
C- Traumatic injury
D- Developmental abnormality
ANS: C

Q. 40-year- old patient has 32 unrestored teeth. The only defects are deepstained
grooves in posterior teeth. The grooves are uncoalesced. What is the
treatment of choice?
A- Periodic observation
B- Pit and fissure sealant
C- Preventive resin restoration
D- Application of topical fluoride
ANS:A

Q. Which of the following sealer components interferes with composite

resin polymerization?
A- Zinc oxide
B- Zinc stearate
C- Polyvinyl resin
D- Eugenol
ANS:Dg

Q. Succuess of indirect pulp capping depends on

1 age of the patient
2 exposure location
3 coronal seal
4 thickness of CAOH

ANS: 3

Q. Polishing bure
1 more fluts less depth
2 Less flutes less depth
3 More flutes more depth
4 Less flutes less depth
Ans 1

Q. What do you use to evaluate a TMJ disc?

● CT Scan.
● PA
● MRI (Answer).
● Antero-Posterior.

Q. Color property which give strength, intensity , saturation to the color

1 Value
2 Chroma
3 hue
4 translucency
Ans 2

● About 4 questions about Hue, Chroma and Value. Very easy. The usual.

Q. Clear picture of SCC of the tongue. Make sure to review Dental Decks Patho booklet and
other files.

Q. You have tooth with Sinus tract what is the additional treatment beside RCT for this sinus
tract
1 surgical excision
2 nothing
3 antibiotics
Ans 2

Q. Lingual Artery is a direct branch of?

● Facial Artery.
● Maxillary Artery
● External Carotid Artery (I think this is the answer).
● Ophthalmic Artery.

Q. aggressive periodontitis is characterized by

1 loss of bone around 1st molars
2 loss of bone around canines
3 horizontal bone loss
4 associated with plaque
Ans 1
Q. if you compare the radiation dose of the person working in a nuclear power plant and that of the dental
assistant or whoever takes the x-Rey in the dental office, how much will the dosage of that person be?
A. 1\10 of the nuclear worker
b. 10 times of the nuclear worker
C. 5 times of the nuclear worker
D. 1\7 times of the nuclear worker
Ans A

Q. W written on the rubber dam clamp refers to?

● Wingless. (Answer).

Q. Radiograph of Idiopathic sclerosis, two times.

Q. During Endo procedure, a perforation happened. They will give you some choices on how to
proceed?
● Manage the perforation immediately. (Answer).
● Postpone Treatment.
● Refer.

Q. Patient is taking Coumadin, what test do you need to perform before surgery?
● INR (Answer)
● Bleeding time.
● PTT
● CD4
Q. Identify in image?

Answer: ​Hyoid bone

Q. Which part of the cutting edge of the curet should be adapted to the
line angle of the tooth?
A- Lower third
B- Middle third
C- Upper third
D- Entire cutting edge
ANS:A

Q. What is the optimal average amount of fluoride, in ppm, for public

drinking water of most communities?
A- 0.5
B- 0.7
C- 1.0
D- 1.5
Answer: C, average its. If you didn’t find 1.0 instead 1.2, go with it.
0.7 ppm is the correct
Q. Some basic local anesthetic questions, like you gave an L.A. to a child and he suddenly
started to feel agitated, can’t remember the choices but it was straight forward,​ toxicity or
Intraparenteraly.

Q. What is the most common form of wound healing after a periodontal

flap surgery?
A- Long junctional epithelium
B- New connective tissue attachment
C- Connective tissue adhesion
D- Regeneration of the new periodontal ligament, cementum and bone
ANS: A

Q. Each of the following is a property of sodium hypochlorite EXCEPT one.

Which one is the EXCEPTION?
A- Chelating agent
B- Lubricating agent
C- Solvent of necrotic tissue
D- Antimicrobial agent
Ans: A

Q. Patient has a large cyst. Appears radiolucent on radiograph. What to do first?

● Aspiration biopsy. (Answer)
● Excisional biopsy.
● Incisional biopsy.
● Antibiotics.

Q. Which of the following is the best initial treatment for a patient with
localized aggressive periodontitis?
A- Dental prophylaxis plus subgingival irrigation
B- Dental prophylaxis
C- Scaling and root planing
D- Scaling and root planing plus systemic antibiotics
Ans: D

Q. Case: Patient Blood pressure was 178/109. What is the most likely emergency this patient
would have in the dental office?
● Syncope
● Hypertensive crisis.
● Hyperglycemia
● Hyperventilation.
 # I chose Hypertensive crisis. I have a friend who is an MD, he said it might be true. But I
am not sure.

Q. Opaque layer is showing on a veneer crown, what is the reason?

● Inadequate reduction.

Q. A posterior tooth has a large carious lesion extending

subgingivally. Which of the following is the best initial treatment?
A- Endodontic therapy
B- Crown lengthening surgery
C- Caries excavation
D- Crown fabricatio​n

B.

There were many easy questions, it took like 5 seconds to answer, so I cannot
remember them, but am pretty sure you will do the same.
Trust your information and intelligence. Do not panic.
Good luck my fellow dentists.