MESIAL STEP 2)2Nd Class Amalgam, You Notice a Small Chip

1)Which relationship of primary molars can lead to Class 3 maloclusion? MESIAL STEP 2)2nd class amalgam, you notice a small chip on margin - 0,5 mm . What you'll do? OBSERVE 3)Dentist made an IAN block but during caries preparation the patient feels a pain. What is the cause of this pain?accessory innervation- Mylohiod nerve acts as an accessory to the IAN and needs to be Blocked as well in this case. 4)MOD amalgam, demarcated line in the isthmus, and this line is not a junction of two separate amalgams, and an explorer catches there. What you'll do? explorer catches - so redo- It will be a site for plaque accumulation 5)Vasovagal syncope, first sign? PALLOR 6)What’s not included in CAMBRA Caries assessment?caries management by risk assessment - GENETIC FACTOR 7)What kind of resorption is happening to second primary molar?REPLACEMENT 8)what’s the cause of recession on that mandibular Incisor? MALOCLUSION, CROWDING 9)osteoctomy?removal of supporting bone-use in class 2 wall defect in moderate defect 10)Gold vs porcelain, what’s advantage?Gold closest thermal expansion as tooth ... Preparation is less fine adaptation. accept bevel in preparation. Porcelain no bevel.Gold in heavy occlusion 11)Most harmful force in implant? HORIZONTAL FORCE 12)Arcon vs non acorn ?Arcon for fpd ,non acron: rpd and cd 13)Ankylosis? Replacement resorption 14)4.Sinus appears inferior to the roots of molars, which radiographic technique used ? Bisecting bitewing 15)Doctor billed insurance couple of procedure when actually there is a global procedure that combines them?UNBUNDLEING 16) Distal occlusion leads to? CLASS 2 17)Child’s BP? –(heart rate)110( 3-4y 120,5-6y 115) 18)Mineralization of the PERM. crown of mandibular 1st molar?starts: at birth ,Completed: at 2-3 years. 19)Saturation? Chroma 20)Ephinephrine + levonordorphine? - Alpha-1 21) Interaction between nitroglycerine and epinephrine.What type of antagonism?physiologic antagonism 22)Which headgear moves maxillary teeth forward?reverse pull Cervical pull , Straight pull, High pull are for class 2 23) How to increase retention/resistance on Short teeth?Proximal grooves 24) Size and shape defect ?morpho differentiation.(seen in belll stage!!micro n macrodontia can be seen but histodiferentiation too like AI n DI) 25)Pocket depth?- Free gingival margin to base to pocket 26)ATTACHMENT LOSS 27)Natural wear down of teeth surfaces? Attrition 28)Hypodontia? initiation stage 29) All of the following are characteristics of Sodium hypochlorite EXCEPT?A - Chelating agent B- Irrigation C- Lubricant D- Disinfectan 30)Opioid antagonist?naloxone 31) Pain med with renal disease? acetomenophen 32)Cells predominantly in acute and chronic inflammation:ACUTE:PMNs , CHRONIC:MACROPHAGES, PLASMA CELLS 33)Trephination?drilling bone to release pressure/puncture of bone 34)OKC is associated most commonly with-Gorlin syndrome,Nevoid basal cell carcinoma 35)The dentist obligation to keep updated with current practices and procedures and refer the patient to specialist when necessary corresponds to which ADA principle of ethics? - Nonmaleficence 36)What is common between peutz jeghers and Gardner’s syndrome? intestinal polyps 37)All off the following cause craniofacial dysformity EXCEPT? A- Tetralogy of fallot B- Crouzon C- Treacher collins D- Midfacial deformity 38)Initiator of acrylic resin-bensoyl peroxide 39)What’s described by lack of sharpness and unclear borders of objects in the film? Penumbra 40)What sound is affected if teeth lack spacing between them? S sound 41)Myasthenia gravis, what antibiotic is given? Penicillin 42)Dose of hydrocortisone taken per year that will indicate have adrenal insufficiency and need supplement dose for surgery?- 20 mg 2 weeks for 2 years 43) 2 pulp chambers? Fusion 44) Less recurrence tumor:Adenomatoid odontogenic tumor (Aot) and Compound odontoma 45)Most recurrent tumor - Odontogenic keratocyst/OKC 46)Mandibular nerve foramen cranium: foramen ovale 47)What’s Aspirin mechanism of action?irreversible Cox inhibition/inhibits sysnthesis of thromboxane A2 preventing platelet synthesis/inhibits sysnthesis of prostaglandins/inhibits synthesis of PG in the hypothalmic temp regulation center 48)During an IAN not been able to achieve proper anesthesia means it went to which accessory innervations?Mylohyoid 49)What cyst is NOT a true cyst?A- Dermoid B- Stafne C- Dentigerous D- Nasolabia(NOTE: true cyst is fluid fill cavity line by epithelium) 50)Which of the following is the Most radio resistant?muscle 51)For an amalgam Class 2 matrix should be placed where ?1 mm above marginal ridge, 1 mm below gingival floor 52)what antibiotic is given in sinusitis that is not caused by odontogenic infection?AUGMENTIN(NOTE: if odontogenic first you should identify the source and decide whether you can eliminate it or not.) 53)What causes the least buccal-lingual resistance to lateral forces? A- Two 5mm diameter splinted implants BTwo 4mm diameter splinted implants C- One 5mm diameter implant D- One 4mm diameter implant 54)What do you check in the wax try in Except: A.Aesthetics B. Vertical dimension C- Occlusion D- Obtain facebow record 55) The amount of radiation on a panoramic RX is compared to? 4 bitewings 56) A 20 yrs old patient with multiple jaw cysts, you suspect that he has syndrome so you refer him to specialist, what’s the most probable diagnosis?gorlin 57)Open bite more than 8 mm, what you'll do?lefort 1 orthognathic surgery 58)Case. Patient comes with bilateral bone expansion, and complains about Dentures won’t fit? Paget’s disease 59)A stent for palatal flap for what? prevent displacement,stop bleeding/ For hemostasis provide support n help in healing/promote healing, tissue protection and patient comfort after torus removal 60)During endodontic treatment you encounter a ledge inside the canal, What to do?bypass 61)Who is associated with the least risk of inhaling N2O?A- Dentist B- Patient C- Dental hygienist D- Dental assistant (NOTE:dentist and assistnat as well as hygienist will be in the office for longer duration than that particular patient, hence , less) 62)The most common form of periodontal disease seen in school- aged children is- Marginal gingivitis 63)Which of the following contributes most to a successful pulp capping procedure?- An isolated field 64)An exposure of less than 0.75 mm D- Use of calcium hydroxide(NOTE:< 1mm direct pulp cap with CaOH) 65)A 16-year-old patient has a long history of mild pain in the area of the mandibular left first molar. Radiographs reveal deep caries in the tooth with an irregular radiopaque lesion apical to the mesial root. Which of the following represents the most likely diagnosis? A- Periradicular granuloma B- Condensing osteitis C- Asymptomatic apical periodontitis D- Periapical cyst 66)6-year-old patient is uncooperative during treatment. Which of the following techniques is indicated?AConscious sedation B- General anesthesia C- Physical restraint D- Voice control 67)Hypotensive effect and itching from oxycodone is due, in part, to its?A- Allergenicity B- Release of histamine C- Antispasmodic effect D- Cardiac depressant effect excitation of the chemoreceptor trigger zone 68)Which of the following does NOT produce a pharmacologic decrease in saliva production?A- Atropine (AtroPen)B- Scopolamine (Trasderm-Scop) C- Pilocarpine (Salagen) D- Glycopyrrolate (Robinul) 69)Which muscle help in centric relation ?Lateral pterygoid 70)Strongest corticosteroid.:Dexamethasona 71)Critical dose of steroids for adrenal insufficiency? 20mg of cortisone for 2 weeks for 2 years 72)Each of the following osseous defects would be classified as infrabony except :1- a trough 2- dehiscence 3-hemiseptum 4. Crater 73)To fix a class 3 you would do? It all depends where is the fault - if maxilla is deficient then Lefort 1 - if only mandible is prognathic then bsso alone - if both like maxilla short and mandible prognathic then both Lefort and bsso - if they said narrow maxilla and mandible protruded then we have to expand maxilla and do bsso 74)NSAIDS act by a reversible or irreversible action?reversible except aspirin(irreversible) 75)Order of ectopic eruptions from most to least: maxillary 1st molar - max canine -man canine - man 2nd pm - max LI 76)Succinylcholine administration would cause prolonged apnoea because the respiratory muscles would go into spasm?Yes and then paralysis Coz it's a depolarizing NMB. Succinylcholine is very short acting paralytic drug 77)In what form is a drug best absorbed by the stomach?Weak acid 78)Opioid causes:Nausea is most common side effect with opioids. They also cause constipation. Respiratory depression is the most dangerous side effect. 79)Rate of implant success in 10yrs ?80% 80)Rate of implant success in 5yrs ?85% 81) What is problem with preloading a screw of implants?high loading can make implant creep 82)Patient is on aspirin 3-5 grams per day for 3 months what is the most likely to see in this patient? a.Increased PT and Bleeding time b.Increased PT and PTT c.Acidosis and increased bleeding time 83)2cm laceration on lip?continous suture 84)socket after extraction- interrupted 85)Guided tissue regeneration is most commonly used to treat which of the following Classes of furcations? 2 86) 87)That buccal frenum pull which muscle in denture: triangularis 88)exposed necrotic Mandi bone in which stage of osteoradionecrosis??stage 3 89)Dental waterline should be flushed at the beginning of day for: 30 seconds 90) 91) Best systemic antifungal:Fluconazole 92)Lateral border of tongue with white lesion. Most possible diagnosis??Leukoplakia 93)a keratinized white nodule on palate what’s the most possible diagnosis? Papilloma 94)Lidocaine overdose treated with?Diazepam 95)Which teeth to choose in denture which will be less abraded against natural teeth?Acrylic or Composite or Porcelain??Porcelain Natural+acrylic >> acrylic teeth wear.

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