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Lilly Pullitzer

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Lilly Pullitzer RED FONT = ANSWERS ADDED AFTER RESEARCH; Green Highlighted # = REPEAT QUESTION ​ ​ May 2019: 1.Molecular mechanism for HPV (inactive protongene)? Inactivate proto-oncogene P53 ​ Expression of high-risk HPV E6 and E7 genes in primary human keratinocytes effectively ​ ​ facilitates their immortalization (59, 96). ... They can undergo malignant progression after extended growth in tissue culture or when additional oncogenes such as ras or fos are expressed ​ ​ 2. Insulin- fastest acting insulin but shortest duration of action Fast acting insulin includes lispro, aspart (NovoLog), Glulisine (Apidra) 3. Articaine max carpule for 150 lb guy = 6 carpules ​ Max dose is 3.2mg/lb or 7mg/kg Math ---> (3.2mg x 150lb )= 480mg for max dose, now since Articaine is 4%, it becomes 40mg/ml. Now you will do (40mg/ml x 1.8ml)= 72mg a carpule. So do 480mg/72mg= 6.666 and round down to 6 carpules max. 4. Recommended tylenol dosage for kid (10-12mg per kg every 3 hours, 25 mg for every 6 hours) 10-15mg q 4-6 hours 5. polyacrylic acid GI component Glass-ionomer cements are based on the reaction of silicate glass-powder (calciumaluminofluorosilicate glass) and polyacrylic acid, an ionomer. ​ 6. Molar uprighting (why difficult in adults) Will cause interference in occlusion/need to fix occlusion 7. Transposition (canine in lateral spot) ​ 8. 38%N2O, how much is nitrogen? 25.3% Nitrogen ​ N2O is made up of 3 molecules total, and the nitrogen is 2 of the 3 molecules for 1 N2O so therefore the % of nitrogen would be ⅔ of the total % of N2O. Math → (⅔) x 38% = 25.3% of Nitrogen ( & therefore 12.7% Oxygen) 9. Ameloblastic fibro- odontoma picture 10. which teeth get caries first in children: incisors and 1st molars ​ 11. if doing a prep and pulpal floor is perpendicular, which likely to expose? max 1st molar (medial ​ ​ ​ inclination of Max 1st molar makes it more susceptible to pulpal exposure) 12. what is wheezing? inflammation/vibration ​ Difficulty exhaling 13. amount of epi that you give % for anaphylaxis? 0.3% ​ 0.2-0.5mL for adults ; 0.01 mL for kids 14. Non rigid 6 unit, when can you use? (in pier FPD) ​ ​ 15. what is the best casting for RPD? Strongest removable framework (gold-pallidium titanium), Type 4 Casting 16. External splinting favored over internal splinting why? Less reduction; allow healing of the PDL, ​ maintain tooth position ○ Internal Splint – inside cavity pre ○ External Splint – No involving tooth preparation, usually confined to anterior teeth – allow healing of the pdL, maintain tooth position 17. class II ANB is larger ​ 18. labial bow, what does that do? Labial bow in retainer retrudes the anterior teeth 19. Calculate attachment loss Determine attachment loss by calculating measurement of CEJ to sulcus (depth of pocket) ​ Ex. recession is 2mm and probing depth is 1mm, attachment loss = 3mm 20. what most likely to injure during distal wedge? Lingual nerve ​ 21. what teeth are anesthetized when IANB? Long buccal? IANB anesthetize mandibular teeth and surrounding hard and soft tissue up to the midline (does not reach buccal soft tissue of molars) ​ ​ Long buccal gets the buccal soft tissue of molars 22. Pt is getting a buccal vestibulopathy, what kind of dissection would you do? Supraperiosteal ​ 23. If you give someone bag ventilation not connected to oxygen, what is the amount of oxygen they’re receiving- 21% ​ 24. Proportional relationship of width of pontic in FPD related to the width of the fpd span ​ ​ 25. Bacteria that causes root caries - Strep Mutans, Lactobacillus, Actinobacillus ​ 26. Molar tipping- most common negative effect - occlusal interference ​ ​ ​ 27. Primary teeth most involved in perio - 1st mandibular molar ​ 28. Half life calculation 29. Why do you aspirate bone lesion before surgical exploration- To check if its a vascular lesion ​ 06/05/19: 1.know pterygomandibular raphe and muscle junctions The pterygomandibular raphe (pterygomandibular ligament) is a ligamentous band of the ​ ​ ​ ​ buccopharyngeal fascia, attached superiorly to the pterygoid hamulus of the medial pterygoid plate and inferiorly to the posterior end of the mylohyoid line of the mandible. ● Its medial surface is covered by the mucous membrane of the mouth. ​ ​ ● 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. ​ ​ ● Its anterior border attaches to the posterior edge of the buccinator. ​ ​ 2. Border molding lingual flange - MYLOHYOID ​ 3. radiograph of pterygomaxillary fissure- teardrop ​ 4. Eagle syndrome - calcified stylohyoid ligament ​ 5. radiograph stylohyoid ​ 6. know ectodermal dysplasia- congenital anodontia/ hypodontia, sweat hair and skin gland ​ problems 7. % roots of MB root maxillary molar Maxillary 1st molar: 40% for 3, 60% for 4 Maxillary 2nd molar: 60% for 3 and 40 % for 4 Mandibular 1st molar: 70 % for 3, 30% for 4 Mandibular 2nd molar: 90 % for 3 and 5% for 4 8. rectangular wire in orthodontics - advantage is rotation of crown and root ​ Control crown and root movement - torque 9. know desensitization a treatment or process that diminishes emotional responsiveness to a ​ negative, aversive or positive stimulus after repeated exposure to it. Systematic desensitization- 3 steps: Construct a hierarchy, relaxation exercises, associate components of hierarchy with relaxation state 10. what does tin do in porcelain making? (has something to do with corrosion in amalgam) (In PFM, the metal has indium which is tin and iron - oxidative elements for porcelain to bond with alloy) - provide chemical bonding ​ 11. diabetic patient what do you tell him prior to IV sedation? (TQ- about eating and medications) No ​ eating or taking medication prior to sedation 12. ALOT of endo and ethics 13. Where is the A in cephalometric SNA - the deepest point in the maxillary concavity ​ 14. know how to treat cytomegalovirus - Ganciclovir or valacyclovir ​ 15. two questions on ectodermal dysplasia - sparse hair; missing teeth ​ ​ Ectodermal dysplasia = X-linked conditions in which there are abnormalities of 2 or more ectodermal ​ structures (ex. Hair (sparse hair), teeth, nails, sweat glands (will have hypohydrotic child = sweating dysfunction, abnormal reduction of sweating due to heat), salivary glands, cranial-facial structure, digits). During tooth bud development, it frequently results in congenitally absent teeth (in many cases, a lack ​ ​ ​ ​ ​ of a permanent set and/or in the growth of teeth that are peg-shaped or pointed. Teeth develop abnormally causing anodontia or oligodontia (partial). Retained primary teeth. ​ ​ CONICAL shaped anterior teeth. ● Having hypodontia (FEWER number of teeth) will cause alveolar bone deficiency (prevent/undermine formation of alveolus) ● Less teeth, reduced alveolar ridge development so the vertical dimension of the lower face is reduced 16. radiograph showing dentinal dysplasia - normal color teeth, PARL, Short blunted apices ​ ​ 17. adrenal gland for hair loss ​ 18. drug that prevents bleeding and fibrinolysis after surgical extraction - Tranexamic Acid? ​ 19. know ludwigs angina - emergency Serious bilateral cellulitis (CT infection) of the floor of the mouth (submandibular and sublingual spaces), if left untreated may obstruct the airways and has complications including edema of glottis. 20. kid skeletal class 3 what most likely decreases with age? ANB ​ ​ ​ 21. gingival floor most likely recurrent caries ​ ​ ● Gingival margin of class II through class V restorations is where the recurrent caries showed up the most 22. better fracture resistance for amalgam: beveling Axio-Pulpal line angle ​ ​ ​ Resistance: 1st = Flat floors, rounded angles (bevel in axiopulpal line angles to reduce stress and ​ increase resistance) Retention: 1st = BL walls converge, 2nd = retention grooves/occlusal dovetail ​ 23. Dovetail or beveling axio-pulpal line angle - Dovetail occlusal = retention for amalgam ​ ​ - Beveling axio-pulpal line angle = resistance of fracture for amalgam ​ ​ 24. know substance P relation to opioids- substance P is pain receptor that is blocked by opioids ​ - Both endogenous opioids and somatostatin inhibit the release of substance P from central and peripheral endings. 25. Mandibular NOT Maxillary related to ear pain - high occlusion can refer pain to ear ​ 26. Potassium (K+) sparing diuretics (Midamor, Dyrenium) ​ 27. Lisinopril causes unproductive cough? Yes, Its an ACE Inhibitor. ​ 28. Disadvantage of band and loop--------> No vertical occlusal stop ​ 29. Posterior cross bite, where you should place the bands Lingual of maxillary and buccal of ​ mandibular 30. Slob rule with vertical angulations - if same direction its lingual ​ 31. What palatal groove is associated with the most periodontal disease? Palatogingival groove (or ​ radicular lingual groove (RLG)) most common on maxillary lateral incisors 32. Bisphosphonates - for multiple myeloma ​ 33. OS Instruments: -Max lateral - #65 Bayonet-shaped forceps or #150 maxillary universal forceps ​ ​ -Premolar- Mandibular → #74 ash forcep or #151A; Maxillary → #150 max universal ​ -Cryer elevator and east/west elevator - to remove root tips in mandibular molars ​ Day 2 is case studies: some said they kinda got rocked and the questions dealt a lot with Orthodontics. ​ (6/05/19): -didn’t get specific questions from her (not that close to her lol) but did get the name of the docs she studied from and she said she had about 40% TQs from those on Day 1 but No TQs for Day 2 and that it was hard. -there was a lot of oral
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