JOSECITO Always in My ALONDRA
JOSECITO Always in My ALONDRA
JOSECITO Always in My ALONDRA
FINALLY IM HERE TO SAY THANK MY MERCIFUL GOD.. THANKS TO YOUR KINDNESS THAT ALLOWED ME
TO MEET PEOPLE LIKE YOU IN THIS GROUP OF WHICH I FEEL IDENTIFIED DENTAL TRIBE GRUP IS THE
BEST!!. PLEASE PRAY FOR ME . BEST LUCK FOR EVERYONE …LET’S GO FOR THE PASS…BY ALONDRA
1. Patient taking Aspirin and Clopidogrel. What modification is required to proceed with
the extraction?
A) stop clopidogrel
B) stop the aspirin
C) Stop both medications
D) No modifications needed
2. Clinical picture showing buccal mucosa with white/red ulcerated patch and bleeding,
lesion present in entire left side of the buccal 3. 3. mucosa, which type of lesion is this?
Photo had ulcerated eroded end redness.
A) Squamous Cell Carcinoma b) metastatic carcinoma C) pleomorphic adenoma
5.
6. What was the reason for evaluating the water lines: (epa
requires less than or equal to
500 cfu of heterotrophic bacteria per ml of water).
i. 200 bacteria
ii. 800 bacteria
iii. Staphylococci
iv. Streptococci
Water Lines
• EPA requires ≤500 CFU of heterotrophic bacteria per mL of water
• Not recommended to flush lines at beginning of clinic bcs makes no
difference
• Anti-retraction valves prevent retraction of fluid from a patient into the handpiece and
water spray hose which could be passed on to the next patient
33. They ask about what structure you repair first and the option
was cleft palate, cleft lip and two more about bone graft:
is cleft lip
At the moment
38. Abfraction
Tooth Exam
• Erosion—caused by acidic foods/beverages or gastric acid
o Chemical loss of tooth structure without bacterial involvement. Manifests as
“cupping”
• Abrasion—loss of tooth structure by mechanical wear (i.e. tooth brushing)
o Pathologic wear of tooth structure due to abnormal mechanical structure.
Most
commonly by porcelain or ceramic crowns against natural teeth.
• Attrition—occlusal wear from functional contacts with opposing natural teeth
o “bruxism”
• Abfraction—loss of tooth structure in cervical areas due to tooth flexure
o Multifactorial factor at cervical third of tooth. Combo of tooth flexure,
toothpaste,
abrasion and chemical erosion
40. Pt brought by mother. Had to travel 1.5 hrs to reach the clinic.
Marginalized background. Pt had poor oral hygiene, multiple caries
and moderately uncooperative. What to give on the first visit?
Silver diamine
Pemphigus
Candidiasis
44. Premolar that have more probability to have 2 roots and two
canals
Maxillary premolar
Morphyne
Varizella zoster
Varicella Zoster Virus (VZV)
• Primary à varicella aka chickenpox, self-limiting and childhood
• Latent in trigeminal ganglion
• Recurrent à herpes zoster aka shingles
• Ramsay Hunt Syndrome= herpes zoster reactivation in geniculate
ganglion affecting cranial nerves VII (facial) and VIII (vestibulocochlearhearing/
balance) resulting in facial paralysis, vertigo, deafness
• Tx: acyclovir
Type IV
49. What component of the patient’s adhesive is most likely
causing myeloneuropathy? Zinc
51. Case with a patient that want oxycodone and don’t want to go
until doctor prescribe? Call 911
(4) Amphetamines
• Oral, intranasal, IV administration or inhalation
• Causes release of dopamine stores into the synapse
• Half-life is much longer than that of cocaine
• Primary effects are management of attention deficit
hyperactivity disorder, weight loss, narcolepsy, and depression
• Abuse can lead to tachycardia, hyperactivity, dysphonia,
headache, confusion, and acute schizophrenia
71. Patient, a non English speaker, comes with her daughter who
speaks English. She says my mother has tooth pain and she feels an
evil spirit is causing it. What do you do?
A- Use trained interpreter
Ellis Classification
• Class I enamel only
• Class II enamel and dentin
• Class III enamel, dentin, and pulp
• Class IV traumatized tooth that has become non-vital (kills tooth)
• Class V luxation (mobile tooth)
• Class VI avulsion (tooth out of socket
97. A patient presents lingering pain with cold and percussion. The
pulpal and periapical diagnosis that best describe this patient are?
Endodontic Microbiology
• Primary endodontic infection à Bacteroides
o (gram neg obligate anaerobes bacteria)- no O2
• Failed endodontic treatment à Enterococcus faecalis
o (gram pos facultative anaerobic bacteria
dentigerous cyst
Dentigerous Cyst
• 2nd most common odontogenic cyst
• Also called eruption cyst if lesion occurs over erupting teeth in children
Beneficence
High
Metaanalisis.
Maxilar 3 mloar
Final impression
Candida albicans
119. was the likely restorative material that was utilized in restoring
tooth number 29 in the area shown?
-false positive
c. Coxsackie
d. HIV
a. PTT
b. aPTT
c. BT
d. INR
127. what classe doest not have modification? 4
2-3
a. Direct contact
b. Airborne
c. Needle sharing
a. PMNs
b. Plasma cells
c. Macrophages
d. Lymphocytes
Voice control
Universal precautions
Maxillary laterals
Pyramidal
phenytoin
137. Spore test in sterilization for? effectiveness of autoclave
138. Pt has ear infection and paralysis ,cheek and half of the face
,what muscle is involved A Masseter B buccinator C lateral
pterygoid
A cold
B heat
C electric
Similar
C
Infection
Primary Spaces: can be infected via direct spread of infection
• Canine
• Buccal
• Submandibular
• Sublingual
• Vestibular
• Submasseteric
• Superficial/Deep Temporal
• Parapharyngeal
• Danger
• Prevertebral
• Periorbital
148. An old patient came with his daughter and bad oral hygiene
and caries. His daughter asked for a new partial denture and no
other treatments for now.
Xray quality
Benzocaine
Risk Factors
• Smoking
• Diabetes
• Pathogenic bacteria
Risk Determinants
• Age—due to prolonged exposure to etiologic factors rather than the actual aging process
smoking
Risk Indicators
Risk Markers
• Previous hx of PD
• BOP
• CAL
151. Pt with a spider bite comes in with swelling what do you do?
refer to physician
Mints
95%
ASA III
a) Lateral cephalometric
b) CBCT
c) OPG also oral
163. Father arrived at the office complaining that his son had
no teeth, periorbital wrinkles, and dry skin. What can be a
Diagnosis:
Ectodermal Dysplasia
165. What else can you see in this patient? Dry eyes.
167. They asked about what type of tissue whit one picture and the
answer was
Friable
168. Same case but asking about what was the best sign to
identify the lesion
Nikolsky
within 6 months
Decrease urination
Tuesday
176. Another question about how was the first step to treat the
epulis and I pick fixed the denture flanges
Candida albicans
95%
180. In which way does the AIDS (HIV) virus not transmit?
Fomite
Hepatitis
182. 6 years old boy with Von Willbrand disease and a pano Xray
with mesiodent. F was mobile but E no
Mesiodent
Diastema
185. Case with Betel nut (Tx, oral manifestation and how to treat
patient anxiety)
Angioedema
Angioedema
• Allergic reaction to drug or food contact
Sharpey fibers
Helicobacter pylori
Submandibular
Tooth Displacement
• Mandibular third molar à submandibular space• Tooth lost into the oropharynx, send to ER for chest and
abdominal x-raY
193. Patiente has 8 years old how many teeth?
194. workers to return to work only when they no longer have the
symptoms, it is a level of care?
a. adm control b. engineer control
196.
197.
198. Patient is on methotrexate, and has a known case of Arthritis.
Which vitamin mayprove to be helpful is
helpful out of the following
A. B9 — folic acid
B. B12
C. B6
D. Vit E
201.
201 . Identify on Pano:
Hyoid bone
Ear lobe
Post max sinus
Genial tubercle
Clavicle!
205. Test was made, most of pt who have the disease were
incorrectly assigned, that mean the test has low in what?
Sensitivity??
Specificity ,Predictive positive ,Predictive negative
206. INR 1.7, pt need extraction, what’s the management?
Hemostatic and suture
219. Dentist does not disclose that she getting paid from a dental
supplying company for trying their material, which code of ethics
she violate? Veracity
220. Dentist doesn’t want to treat an HIV positive pt. He violated all
of the following ethics code EXCEPT:
Veracity
Justice
Beneficence
Non maleficence
224. Dentist cut her glove and finger with high speed and blood
got into pt mouth and she didn’t inform the pt ? veracity
228. Most common donor site for connective tissue graft? Max post
229. 8 yrs pt has diastema, tooth was rotated? What’s first thing
dentist should do? Check if supernumerary teeth.
238. Dentin shown on palatal surface of all max ant teeth? Erosion!
241. Pulp cap and pulpotomy why are they better in immature
tooth than non-immature?
shorter roots
increased vascularization
more odontoblasts
The distal of the tooth not the edentuolous space! The answer
should be A
252. Mandibular rpd with tooth 19 to 29 present Support given by
what structure?
Occlusal rest on 22
bar of rpd
Proximal plate on 29
253. Orthodontic uprighting of a mandibular second molar that has
tipped mesially into the space of a missing mandibular first molar in
an otherwise intact dentition may result in?
A. decreased overbite
B. intrusion of the mandibular second molar
C. extrusion of the mandibular second premolar
D. initial mobility of the mandibular second molar
257. Dentist charged more for the pt. because his insurance
covers more, what ethics is involved
here there is no veracity option
A. Autonomy
b. Non maleficence
c.justice
d.beneficence
Descriptive/Epidemiological Studies
• To quantify disease status in a community
• Prevalence= proportion of a given population that is affected
by a condition at a given time
• Health literacy= capacity at which individuals obtain, process and understand basic health
o Up to the dentists to bridge the gap btw what they know and understand and the
264. Given forest plot study, and asked what study is involved-
systematic review
267. Given a case study, in the history given pt. is a smoker- 2pack
year history, estriadol, and poor oral hygiene
what contributes the greatest risk factor for alv. Osteitis
272. An implant xray given with 8mm bone loss on mf, ml, with
4mm bone loss, what the tx plan
A. SRP only
b. SRP with antibiotics
c. Surgical debridement
273. . after an implant placement, when does the collagen matrix
begins
Pathogenesis of Gingivitis
• Stage 2, Early Lesion—4 to 7 days, T lymphocyte infiltration, increased collagen loss, BOP
plasma cells, collagen loss, clinical changes in color, contour, and consistency
amoxicillin – 2g
275. A case with TOF, who had multiple caries. What do you do
A. Consult with ped. Cardiologist about the antibiotic prophylaxis
B. consult with pediatric dentist
279. A pt. with liver disorder, what lab test u take prior to
extraction
a. PTT
b. INR
c. Vit. K
285. Each of the following is indicated by a high C-factor EXCEPT one. Which is
the EXCEPTION?
A. More bonded-to-unbonded restoration surface areas
B. A higher potential for bond disruption
C. A higher Calset temperature
D. More stress on the walls of the preparation
A. Pigmentation B. GI polyps
289. - x-ray and explanation is dome shape ?
290. - picture of multiple Myeloma in the skull ( so clear)
- subgingival calculus color?
A. White yellow
B. Darke black
B. x-ray
D. Clinically and x-ray together
D. Lymph nodes
- SLOB definition
292. . 35 yr old using ethinyl estradiol and smokes 20 cigars per year, had extraction 3days
back and is with severe pain at extraction site
a. What could be the reason
Dry socket
b. What has more effect
Tobacco use
Case2:
296.. Old lady (come with her caregiver)with PRD not remove it out of her mouth, have
erythema all over her mouth, why? Gingival hyperplasia
Questions are:
1) what is this? – denture stomatitis
306. Patient has pain in lower jaw and shoulder since 12 hours
ago. which type of pain?
A) neuropathic
B) referred
C) psychosomatic
307. A pic with an arrow point to the cheek around. Ask you
which nerve does not supply here?
A. Maxillary
B. mandibular
C. Ophthalmic
326During root canal procedure, you saw blood on the tip of the
paper point. What to do?
A. Inject local anesthesia to
the PDL
B. Inject local anesthesia to
the pupal chamber
336MOA of metformin
338A down syndrome patient cannot control his tongue and has
limited mouth opening. Which nerve is mainly responsible for
his limited tongue movement?
A. VII
B. IX
C. X
D. XII
339When you make the sound of “v”, your incisor touches which
part of your lip?
A. Outer third
B. Middle third
C. Inner third
340If you suspect a child is being abused but you did not report
it. Which ethics do you violate?
A. Beneficence
B. Non-maleficence
341If you presented a few options for a patient, but the patient
decided on extract. What ethic principle is this?
A. Veracity
B. Beneficence
C. Autonomy
347 -O in pico
Outcome
352 -Pt alcohol and opioid abuser, had peptic ulcer and liver cirrhosis, which
analgesic we will give
Ibuprofen
Acetaminophen
Naloxone
Something else
-
355. Contraindications of AED
not given to pt under 12
Not given to hypertension pt
Other 2 options
358. Inhalation sedation with flow rate 6 L, 3.5 L nitrous oxide, 2.5 L oxygen,
what is the present of nitrous
36%
38%
40%
58%
358. Which of the following is the correct sequencing of steps for the placement of a
liner?
a. etch- liner - bond
b. liner- etch- bond
c. etch – bond- liner
d. bond- etch – liner
363. -Child with low carries risk, has small white spot, and he is in under
fluoride community
What to do
Fluoride every 3 months
Fluoride every 6 month
Brush with fluoride toothpaste once daily
Other option
364. Adult with no carries except non cavitated white spot, what to do
5% fluoride varnish
Remove it and put glass ionomer
Remove it and put composite
373. Pt with new upper complete denture, with pain when moving the
mandible to the right, why?
Fatigue of left lateral pterygoid muscle
Overextension in the left distobuccal ares
Other options
378. Each of the following is a risk factor of TOF except one.which is the exception?
A.Maternal Alcholic
B.Maternal folic acid supplementation
C.Smoking
D.Deficit of iron
379. IM injection, what reduces absorption
Exercise
Heart failure
Vasoconstriction
Drug in form of insoluble complex
387. Patient feels lightheaded after LA. No relevant medical history .What should
you do?
A- call 911
B- Give Aspirin
C-Give nitroglycerine
D-Give oxygen
391. A down syndrome patient cannot control his tongue and has limited mouth
opening. Which nerve is mainly responsible for his limited tongue movement?
A. VII
B. IX
C. X
D. XII
393. XEROSTOMIA ?
Which of the following occlusal schemes would be the most ideal for complete
dentures?
a. In Centric relation with bilateral balanced occlusion
b. In Centric relation with mutually occlusion
c. In Centric occlusion and bilateral balanced occlusion
Which of the following occlusal schemes would be the most ideal for complete
dentures?
a. In Centric relation with bilateral balanced occlusion
b. In Centric relation with mutually occlusion
c. In Centric occlusion and bilateral balanced occlusion
Veneer case, common failure due to?
a. Under preparation leading to fracture of incisal.
b. Under preparation leading to fracture of gingival
c. Overpreparation leads to fracture of incisal.
d. Overpreparation leads to fracture of gingival.
All OF the following are primary effects of opioids EXCEPT one. Which is the
EXCEPTION?
A-pain reduction
B-sedation
C-euphoria
D-altered perception
392. Pt. with DM type 1 , blurred vision, fruity breath, All expected in this pt. except?
a. Increase gluconeogenesis
b. Increase glycogenolysis
c. Increase glycolysis
d. I forgot
391. Lower left buccal space abscess, Tooth 18 grossly carious, 2 carpules of 2%
lidocaine given, Patient still
reports pain during extraction. Which of the following is most likely contributing to the
lack of profound
anesthesia?
a. Low pH
b. Insufficient amount of local anesthetic given
c. Allodynia of the soft tissue
391. Premature shedding of deciduous teeth and eruption of permanent teeth seen in
(accelerated eruption)
a. Rickets
b. Cretinism
c. Congential hyperthyroidism
d. Downs syndrome
391. Patient arrived for restorative treatment on tooth 5. What would be a challenge in
treating this tooth?
a) mesial concavity of root
b) mesial marginal ridge
c) distal marginal ridge
391. Radiograph with vertical bone loss on distal has mild radiolucency on the mesial
surface of the max 1st premolar( 3 options)
A) Circumferential
B) Crater
C) Horizontal
392.
A. Troponin I
B. Troponin C
C. CPK-MB
D. D- dimer
398. white lesion with irregular borders on gingiva of upper left premolar
region.What all can be the diagnosis EXCEPT
A) Actinic keratosis
B) lichen planus
C) leukoplakia
D) candidiasis
400. The teeth look shorter than normal in radiograph, what reason?
a. decreased angle horizontal
b. decreased angle vertical
c. increased angle horizontal
d. increased angle vertical*
403. case of upper left 2nd molar ...endo treated few years ago..No crown was there
on endo treated tooth..Patient complaint of pain in this area..how to proceed with this
case??
A) apical surgery
B) ortho grade endo treatment
C) Extraction
A) by neutralizing acids
B) saliva has calcium and phosphate ions which helps in remineralisation
C) saliva releases fluorapatite.
412. Patient had 2nd premolar in left mandibular region in crossbite,mild crowding
was present in mandibular región...
Management of crossbite?
A)finger spring in removable prosthesis
B)need to have or get space to move teeth in
C)extraction
415. Dentist is cleaning the canals and suddenly it starts bleeding a lot and pt says
that it hurts.
a. accident of Sodium hypochlorite *
b. rest of the pulp
c. anesthetic low
418. 10 years old patient with edentulous area in upper right canine region. Patient
box already had band and loop space maintainer placed 6 months ago in upper right
region for premature loss of upper right primary 1st molar.
Radiograph: upper right permanent canine was seen erupting very near to occlusal
plane, occlusal bulge on gingiva was also present in canine region on observing
carefully
Which space maintainer is needed?
A) no space maintainer
B) band and loop
C)Nance
421.
422. crepitus is associated with -> arthritis
True.
Clicking sounds in disc displacement with reduction
Disc displacement Without reduction no sounds.
423. Which of the following occlusal schemes would be the most ideal for complete
dentures?
a. adm control
b. engineer contr
a.1-6 weeks
b. hours - 7 days
c. minutes to hours
d. 3 months
428. All are correct regarding chronic bronchitis, except one, which is the exception?
A-underweight
B-cyanotic
C-elevated hemoglobin
D-wheezing
429. All of the following are dental considerations for patients with well-controlled
adrenal insufficiency EXCEPT one. Which is the EXCEPTION?
A-provide adequate steroid supplementation.
B-avoid epinephrine
C-monitor BP during procedure
D-avoid fluconazole
430.
431. -which of the following should be given to a patient with Addison crisis
A-IM glucagon
B-IV diphenhydramine
C-IM epinephrine
D-IV hydrocortisone
432. All of the following are considered to be treatment options for an active MRONJ
except one , which is the exception?
A-chlorohexidine rinse
B-local debridement
C-hyperbaric oxygen
D-use of bevacizumab
433.
437.
lady came to the office with the husband and the dad , the dad was the patient : the
dad had bad periodontitis , lots of calculus , haven’t been to the dentist in couple. Of
years, clinical show bruise in the wrist and on the face on the zygomatic area, lots of
caries and broken teeth with just root tip left and bleeding gums.
A) should you report immediately
B) ask the patient separately
C)ask the daughter what happenened
440. Patient with an open bit and Class III, what can cause it. except?
a) Genetic
b) Mouth respirator
c) Tongue Thrust
d) Digital Suction
Cor pulmonale is a condition that causes the right side of the heart to fail. Long-term
high blood pressure in the arteries of the lung and right ventricle of the heart can lead
to cor
447.
451. clase 2 ?
452.
453. wich is quad helix ?
454. P valium ?
455. Pt .loss the organization and fotgot names ?
BY ALONDRA