1 1- Agenesis is least in= A. Third molars B. 2nd premolars C. Lateral incisor D. Canines 2- Common location of supernumerary teeth: A. Max posterior B. Man anterior C. Man anterior D. Max anterior 3- Developmental anomaly of supernumerary teeth occurs in which stage of tooth development : A. Initiation B. Apposition C. Bell stage 4- Apical extension of pulp chamber and blah blah is A. Concresence �B. Taurodonism C. Fusion 5- One of the following is manifested with seizure = Encephalotrigamino haematosis 6- Bilateral parotid enlargement in = Warthin’s tumor 7- Pt complaints of inability to close the right eye after LA injection in rt side, the affected nerve is: A. Ophthalmic B. Facial C. Optic D. 8- Epinephrine (Adrenalin) should NOT be used with tricyclic antidepressants 9- Sialolithiasis is common in = Wharton's duct 10- If an odontogenic infection involves the pterygomandibular space, the most obvious clinical sign will be = Trismus 11- DiagnoDent = Detects only Class-I caries 12- DYFOTI = Detects Class-I, II and II caries 13- Correct order to prepare RPD = Prepare guiding planes, Height of contours (Carbon marker), Retentive contours (Block out undercuts), Prepare Rests 14- Theophylline relaxes smooth muscles by inhibition of = Phosphodiesterase 15- Columnar, pallisading, hyperchromatic basal cells = OKC 16- CT lesion that causes pseudoepithelial hyperplasia = Granuloma 17- What lesion is localized, not dysplastic, or inflammatory, or metaplastic or reactive = Idiopathic oseteosclerosis 18- Patient with emphysema, what would you expect to see on Forced expirium 1 second = LOW 19- 16 yr old girl with ectopic canines. What else do you see = Gingival recession 20- Lateral displaced or pedicle flap = To treat gingival recession 21- Wax is usually used for border molding because it can be redone = Thermoplasticity 22- Treatment of xerostomia in patients with Sjogren’s syndrome = Cevimeline HCl May GOD make it easy for you (Amen) 2 23- Patient has skeletal class 2, but dentoalveolar is class 3, he has dental compensation. What movement would you do pre operation = Upper LABIAL and lower LINGUAL (ULa-LLi) 24- What drug is available to do the desired effects = Free in plasma 25- What is NOT an effect of opioids = Peripheral inhibition of nerves 26- Most danger to operator on an x-ray room comes from = Scatter from patient’s face 27- During closure of mandible, what is least important = Relaxation of lateral pterygoid 28- Which periodontal disease is NOT related to bacteria = Desquamative gingivitis 29- What will allow complete passage of transillumination = Craze lines 30- Percussion test = PDL inflammation / Symptomatic apical periodontitis 31- Tooth least commonly involved in fracture = Mandibular premolars 32- Conscious sedation. Which reflex = Verbal 33- Mode of action of Montelukast = Inhibition of Leukotrienes (used for asthma and seasonal allergies) 34- Anesthesia of lower lip indicates = Malignancy or fracture of angle of mandible 35- High C-Factor = Class-1 (Occlusal) 36- AVULSED PRIMARY CENTRAL INCISOR = NO NEED TO REPLANT! ! ! 37- Which is the most common location for oral cancer in USA = Tongue 38- Ecchymosis of floor of the mouth after trauma on mandible indicate which site fracture = Fracture of body of mandible 39- The most important factor to reduce sensitivity of root after periodontal treatment is = Plaque control 40- Heavy duty gloves used for = cleaning instruments 41- Anxious patient feels helpless at dental appointment. What do you tell her = Raise hand whenever she feels anxious 42- Which cancer has good prognosis = Cancer of the lip 43- Keratosis is dysplastic if it occurs on = Floor of mouth 44- Common feature of cleidocranial dysplasia = delayed eruption and supernumerary teeth 45- Gingivoplasty can be done in = ANUG 46- An indirect temporary restoration can cause periodontal disease when = margins impinge on soft tissues May GOD make it easy for you (Amen) 3 47- Horizontal root fracture in middle third and the crown is slightly mobile = Splint and recall patient 48- Occlusal trauma causes = widening of PDL 49- East-West (Cryer) elevator = Used to remove roots of lower molars 50- Battle’s sign = Fracture/injury to cranial base 51- Infection of which space will clinically present as a swelling = Canine space 52- Facial bow in maxillary retainers is used for = Light tipping of anterior teeth lingually (but some people say that it is solely for retention…debatable) 53- When can the dentist take x ray for 4 years old child caries free clinically = When spaces are closed 54- Clubbing fingers nails in children indicates = Cyanotic heart problem. 55- Pt. has lesion on posterior palate need biopsy. What nerve should get infiltration LA = Greater Palpatine 56- Methotrexate for Rheumatoid arthritis = Thrombocytopenia 57- What epithelium is found at the base of sulcus = Junctional epithelium 58- Most common pattern of osseous defect in chronic periodontitis = Horizontal (Facebook friend went with Crater something if horizontal not in option!) 59- Turner’s incisors = Trauma during pregnancy 60- Why mucous cyst appears blue = Vascular congestion 61- Function of the key way in post preparation = Anti-rotational feature. To limit movement or resist removal (Dentin) 62- High risk to get retinal damage from dental staff = light used in polymerization of photoactivated materials 63- Which teeth can be removed without pain when you give IAN block and lingual nerve block = Canine and 1st premolar on the injection side (Dentin) 64- Which infiltration is given with IAN block to extract 2nd PM and all molars = Long buccal nerve 65- Which drug is most likely to dry secretions in the oral cavity = Propantheline 66- Most recurrent caries after MO composite restoration = Gingival 67- what element added to alloy to produce corrosion resistance = Chromium (Dentin) 68- Finishing margin for full GOLD restorations = Bevel (Feather Edge) margin May GOD make it easy for you (Amen) 4 69- Luting agent for gold restorations and orthodontic appliances = Zinc Phosphate cement 70- Why gold made alloyed = increase strength 71- Perio-chip contains = Chlorhexidine 72- Most dangerous for dentist – Hepatitis B 73- Cognitive coping = INNER. Cognitive coping involves teaching a patient to identify negative thoughts and behaviors that increase their stress burden and the situations where stress occurs. 74- All can happen in shock except = Hypertension 75- Fear of choking because of dental treatment = Catasphoring 76- Hypoglycemia causes all EXCEPT = Bradycardia 77- Root caries = Soft tissue in dentin 78- Ectodermal dysplasia = Oligodontia and hypodontia 79- Child in dental office u gave him LA with epinephrine only one cartridge he felt agitated after giving la what do u suspect = too much epinephrine in LA 80- Indication for nitrous oxide sedation = Anxiety 81- There was swelling 3 x 3 on the floor of the mouth and the swelling is fluctuant. What will be the treatment = Marsupialization 82- Collimation = Restricts the dimensions of the x-ray beam 83- Neuropraxia = Maintained continuity of axon and Epineurium 84- 2-year-old child mother complaining that my son doesn't eat anything due to pain he has sore red gums. What is your diagnosis = Herpes 85- A posterior crossbite in the deciduous dentition will most likely = present in permanent dentition 86- Class III furcation defect. What would you not do = GTR 87- Patient came with the history of swelling and around mand premolar she has fever 101 and difficulty in sleeping tooth has grade 3 mobility what u will do = Incision and drainage and recall 88- Treatment of cellulitis = Antibiotics 89- Patient with the history of bleeding n also bruising on extremities what it can be = Medications (but some say Leukemia) 90- Bonding is difficult to accomplish where = Sclerotic dentin is not removed May GOD make it easy for you (Amen) 5 91- In what order the 3 canals of mand 1st molar will appear = If your x-ray coming from mesial. So order slob ML MB D for lower. For Upper Palatal MB2 MB1 DB 92- What systemic condition associated with endocarditis and glomerular nephritis = SLE 93- Primary support for mandibular CD = Buccal shelf 94- What is not important in class 3 cavity preparation = Extension for prevention 95- x ray shows very small caries lesion cross the DEJ on mesial and distal surface of tooth #3 = Separate MO and DO composite 96- Function of filter = Aluminum discs are used to “filter” out these USELESS long wave rays 97- Combination clasp = Similar to the cast circumferential clasp with the exception that the retentive arm is fabricated from a round wrought wire (platinum-gold-palladium alloy or chrome- cobalt alloy). 98- Most likely cause pulp necrosis after trauma to the tooth = Pulp hyperemia 99- A 7-year-old patient fractured the right central incisor 3 hours ago. A clinical examination reveals a 2-mm exposure of a "bleeding pulp." The treatment-of-choice is = Pulpectomy and Apexification 100- Difference between gingival margin trimmer and hatchet = HATCHET: cutting edge in the plane of the handle. Designed to most effectively plane enamel of the facial and lingual walls of a Class II amalgam preparation. GMT: has a curved blade and angled cutting edge. Primarily used for beveling gingival margins, and for rounding or beveling the axiopulpal line angle of Class II preparation 101- If the 4 maxillary incisors were to be replaced by partial removable denture prosthesis, which of the following would be desirable = Contact on Canines on lateral excursions 102- Percentage of 3rd canal in maxillary first premolar = 6% 103- Into which space is local anesthesia solution deposited during an inferior alveolar nerve block = Pterygomandibular space 104- The procedure of apical closure in permanent immature non vital tooth is = Apexification 105- Modeling for fearful child: A. Show him the procedure in non-fearful child (usually sibling) 106- Brushing technique during ortho treatment or after periodontal surgery = Charter’s technique 107- Indication for dual cure cement = Large posterior cavities or crowns 108- Most commonly associated with dysplastic cells / dysplsia = Erythroplakia May GOD make it easy for you (Amen) 6 109- Dentist ignoring unacceptable behavior is = Extinction 110- Dentist duties to practice truthfully, which type of ADA ethics = Veracity 111- Hardest to anesthetize = Irreversible pulpitis and Mandibular teeth 112- Diagnosis for lingering pain to cold and sensitivity to percussion = Irreversible pulpitis & acute periapical abscess 113- A tooth is not responsive to cold, not to percussion, and palpation is tender = Necrotic pulp and chronic apical periodontitis 114- Informed consent is type of = Autonomy 115- Unethical to fee the patient solely bcoz he is benefiting from insurance blah blah blah A. Veracity B. Justice and 2 more options 116- Which medicine to avoid with gensing = Aspirin 117- Chronic periodontitis is more common in A. Hispanic male B. Hispanic female C. Black female D. Black male 118- Modified widman flap is = Full thickness flap coronal to mucogingival junction 119- Systemic antibiotic and scaling are combined as main treatment for: A. Chronic periodontitis B. Aggressive periodontitis C ANUG D. Desquamative gingivitis 120- Which is true about alveolar bone = It is in a state of constant flux 121- Gingiva is attached to the tooth by = gingival fibers 122- Lamina densa of the basal lamina beneath the epithelium is composed of: Type IV collagen 123- DMF index for: A. Caries B. Plaque C. OHI - S D- PI 124- Percentage of fluoridated community water in US :�A. 60 %�B. 74 �C. 80 125- Children between 7-10 years are mostly benefitted from = Pits and fissures sealants 126- Band and loop space maintainer is all Except--Prevents vertical eruption of opposing tooth CORRECT! 127- Medications for: a. grand mal seizure = Phenytoin b. petit mal seizure = Ethosuximide and Valproic acid c. Status epilepticus = Diazepam Nance appliance 128- Tooth and tissue support appliance: A. Lingual arch B. Nance C. Transpalatal arch D. One more option May GOD make it easy for you (Amen) 7 NANCE APPLIANCE is used to prevent upper molars from rotating or moving forward after extraction of primary teeth or during orthodontic treatment. Some patients wear the Nance Appliance while they are awaiting their permanent bicuspids or premolars to erupt into place. 129- Pt has skin nodules, Supernumerary teeth and one more description, investigator should investigate for: intestinal polyps (Gardner’s syndrome) 130- Hallmark of peri-radicular abscess = sinus track drainage 131- Endocarditis prophylaxis is recommended in one of the following conditions before extractions = TETRALOGY OF FALLOT 132- False neurotransmitter = Methyldopa 133- Dicumerol (Vit.K antagonist) = Coronary infarcts 134- An opiate type MAA with both agonist and antagonist properties = Pentazocin 135- All of the following cause craniofacial deformity Except = Tetralogy of fallot 136- Erythromycin and tetracyclines are prescribed carefully in patients with peptic ulcers because = interacts with antacids if any 137- Macrolides avoided in asthma = interacts the theophylline 138- Antidote of warfarin = Vit K 139- Antidote of heparin = Protamine sulphate 140- 76 yrs is on warfarin therapy and needs emergency extractions of a decayed tooth. Select the appropriate protocol: Do not stop warfarin and perform surgery using local anesthetic and administer Vit. K 141- Dental lamina is formed at = 6 weeks IU 142- Automated external defibrillator best described as? not used under 12 years of age 143- 5- x ray, there are unerupted teeth, retained deciduous, impacted permanent teeth and l saw osteoma also, Wt the diagnosis :A. Ectodermal dysplasia B. Odontogenic keratocyst C. Gardener's syndrome 144- Sloughing of necrotic epithelium = Aspirin burn 145- Treacher choline syndrome (mandibulofacial dysostosis) has a relation to zygoma in same manner of cleidocranial dysplasia relation to : A. Ribs B. Clavicle C. Iliac 146- Pigmentation of the face, lips and oral cavity and intestinal polyps = Peutz Jeghers syndrome May GOD make it easy for you (Amen) 8 147- Children = Rhabdomyosarcoma 148- Macroglossia doesn't occur in A. Amylodosis B. Down syndrome C. Hypothyroidism , D. Hyperthyroidism 149- Brown tumor (Central giant cell granuloma) is associated with HYPERPARATHYROIDISM 150- Description of a lucent lesion starting from lower second molar extending to incisor area (no xray).What’s the least possible diagnosis? Nasopalatine duct cyst 151- Pregnant first trimester, picture of pyogenic granuloma, what to do: Wait till 2nd trimester 152- Cross bites are treated with maxillary expansion. Tongue thrusting causes cross bite = First true, second false. 153- Best time for treatment of pt under dialysis : A. The day after dialysis B. Day before C. Hours before 154- Periodontitis in AIDS pt will be treated by all of following except A. Scaling B. Systemic antibiotics C. Antifungal to prevent candidasis D. Multiple free gingival graft to correct the gingival defect or contour 155- Dementia : A. Short term memory loss B. Long term memory loss Two more options 156- Wt is true about elderly pt :A. Become less intelligent and difficult to change their behavior or something like this B. Senility comes by age 2 more weird options 157- Evaluation of 2 groups A and B with 2 drugs for same period, what type of study A. Cross sectional 3- clinical trials 3- cohort 158- Most common mid-face fracture = Zygomaticomaxillary 159- One month ago, a dentist studied the prevalence of dental caries among school students, Wt study :A. Cross sectional B. Cohort C. Others • A cross-sectional study involves looking at people who differ on one key characteristic at one specific point in time. The data is collected at the same time from people who are similar in other characteristics but different in a key factor of interest such as age, income levels, or geographic location. Participants are usually separated into groups known as cohorts. For example, researchers might create cohorts of participants who are in their 20s, 30s, and 40s. • Cohort studies observe large groups of individuals, recording their exposure to certain risk factors to find clues as to the possible causes of disease. They can be prospective studies May GOD make it easy for you (Amen) 9 and gather data going forward, or retrospective cohort studies, which look at data already collected. 160- dentist studies 4 unrelated pts with myofacial pain and myalgia. Wt type of study :A. Case series 161- mechanism of fetal alcohol syndrome A. Failure of cells distribution B. Neural crest apoptosis 162- purpose of percussion :A. To assess inflammation of PDL 163- Flap heals by - primary Gingivectomy- secondary Graft- tertiary 164- Most potent and most toxic LA = Dibucaine 165- Long acting LA with less toxicity = Bupivacaine 166- Lozenges for candidiasis = Clotrimazole 167- Pain medication for liver toxicity and renal toxicity = OXYCODONE 168- painful response that subsides quickly after removal of stimulus is. Reversible pulpitis 169- polycrystalline ceramic :A. Zirconia B. Feldsparic porcelain C. Aluminosilicate ( not sure) D. One more l think leutice something 170- Which type of suture is indicated in an immediate denture case to promote the best wound healing for the alveolar ridge? = Interrupted 171- What is more frequent? DI, AI, Cleft lip 172- Adrenalin crisis = hypotension and cv collapse 173- Thyroid crisis = hypertension and Inc heart rate 174- Patient with Hepatitis B. All organs will be affected except? = Thyroid (not sure) 175- greatest fracture force A. Zircon B. Lettice something 3- aluminium or lithium blah blah bla 176- least fracture force: Leutice and also feldspathic porcelain 177- 15 years old pt with 107 f, lymphadynopathy, sore gums, diagnosis A. Primary herpetic gingivostomatitis 178- Parkinson's disease, EXCEPT --- Associated with intentional tremor, D. associated with dementia (Note: TT of Parkinsons: carbidopa+Levodopa) 179- All will be included in the ortho informed consent except A. Ortho treatment can bend roots of the teeth B. Caries and gums dieses can happen during ortho treatment C. Injury to the May GOD make it easy for you (Amen) 10 nerve due to any previous accident can be increased during ortho D. During ortho Pt will have to wear mouthguard during sports 180- All of the following reasons to restore erosion lesion except one, which one? a. prevents future erosion b. reduced sensitivity c. esthetic 181- Which of the following dental conditions is often found in Down's syndrome patients? A. Mulberry molars B. Supernumeraries C. Short, conical roots D. Hutchinson's incisors 182- Which tissue show most growth in first 6 years and then plateau? A. lymph B. neural 183- In PFM, to prevent porcelain fractures, the junction should be: 1. Right angle 2. Not round 3. Round NOTE:Junction: Right angled, Internal line angles: Rounded 184- HPV vaccine : before 18, after 18, after 26, before first sex 185- Cavity prep amalgam class 5 retention form ? A. prox grooves mesial / distal B. prox grooves oclusal C. parallel walls mesio-distal D. parallel walls occluso-gingival 186- Maxillary premolar extraction forcep = 150 187- Mandibular premolar extraction forcep = 151 188- To prevent demineralization of enamel from orthodontic treatment, which method is expensive? = Fluoride varnish every 6 months 189- The most predictable for treatment of perio disease? 1. Scaling & root planning 2. The modified Widman flap 3. Free gingival flap 4. Apically positioned flap (1 or 4…Not sure. SRP is gold standard. I prefer 1.) 190- What is not an advantage of LED cure in comparison to halogen: A. lifetime bulb, B. energy efficient, C. weight, D. curing depth 191- what determines implant height in an overdenture? 1. implant length 2. impl diameter 3. gingiva height 4. number of implants 192- Pregnant 36 weeks we don’t give ibuprofen why ? A. premature ducts arterious closure B. cleft lip and palate C. spina bifida D. tachycardia 193- A dentist has the legal obligation to report all situations except: A. working under substance abuse B. Advertising on electronic media C. abusing patients 194- MOA Doxycycline = If 30s ribosomal is not an option, then select “inhibit collagenase” 195- What are the important differences that we should know about Pemphigus and pemphigoid? Pemphigus: suprabasilar vesicle and acanthylosis Pemphigoid: subepidermal and NO acanthylosis May GOD make it easy for you (Amen) 11 196- Had that Glass ionomer cement question it does fluoride and what else --- pick this “ionic bond to dentin and enamel” 197- which property porcelain has? = High compressive strength and poor tensile strength 198- Amalgam sealing quality question. You did amalgam but if at times leakage how to define in reality = Improves over time 199- How to reduce penumbra = decrease object/film distance 200- When there is no barrier, protection of dentist = 6 feet; 90-135 degrees 201- Increase the voltage of radiation = Short wavelength and high energy 202- Source/object distance for lateral ceph = 5 feet 203- Mandibular fracture = Panoramic 204- what happens when a patient moves during panoramic = Irregular border and vertical line 205- View sinus = Waters 206- Condylar fracture = Reverse towne 207- View Zygomatic arch/zygomatic fracture = SMV 208- Best revealing issue for prediction about ossification = Hand wrist radiograph 209- Workers of nuclear plant, how much radiation permitted yearly = 5 rem / 5000 mrem yearly 210- On average, a nuclear worker receives approximately 150 mrem of occupational exposure a year 211- To confirm horizontal fracture = Multiple vertical angulated radiographs 212- Hyperkeratosis of the palms and soles of feet = Papillon Lefvre syndrome 213- Something about fixing x ray image = Remove unexposed silver halide crystals (not sure) 214- Amalgam waste is regulated by = ADA or OSHA??? 215- Amalgam restoration should be changed when it displays = Recurrent caries 216- Huge MOD amalgam, U notice that its got a line in a middle. But when u explore there is not an actual crack. What is the next step? = Observe 217- The characteristic of an impression material to change its viscosity when applied tension ? Thixotropic 218- Patient has discolored composite in #8. She doesn't like it. What will you do? 1. Replace the whole filling 2. Remove 1mm and add new composite 3. Veneer 4. PFM 219- Which of the following is False concerning the indirect technique in custom cast post and core fabrication: a. The technique involves reduced clinical time but May GOD make it easy for you (Amen) 12 increased laboratory Costs. b. It is more suitable for multi rooted teeth, and producing multi directional post systems. c. Posts produced by this technique are considered to be with the most accurate fit. d. It includes the use of a putty and wash impression technique. e. The lentulo spiral is used in one of its steps. MAY BE “B” but not sure 220- If pt has infected maxillary sinusitis you can know it from all methods except: A. when pt. bends forward it bothers him B. it irradiates to the ear C. pain irradiates somewhere else D. palpation and percussion of upper molars and premolars Not sure 221- New ceramic crown 7 days back two red spots adjacent caused by Chemical burn 222- Scarring from electrical burn = lingual inclination of teeth or decreased VDO (both correct hopefully!!!) 223- Diazepam-mediated effects include A- Peripherally-acting muscle relaxation B- Lowering seizure Threshold C- Anterograde amnesia D- Analgesia 224- Least effective in treatment of Class-2 furcation defects: Floss 225- Levodopa therapy for Parkinson disease may result in each of the following effects EXCEPT: a. Development of abnormal involuntary movements, especially in the face b. Extreme sensitivity to sympathomimetic drugs c. Exacerbation of an acute psychosis d. Nausea and vomiting e. Extreme sedation 226- Pregnant woman 5 months , cavity which LA? Lidocaine 227- Pregnant woman faints = Turn to LEFT SIDE and raise hip 150 228- Which NSAID does not block cox pathway = Acetaminophen 229- Ganglion blocking agent = Mecamylamine (Used for Hypertension) 230- Most appropriate time for surgical treatment of a patient with mandibular prognathism is = Following completion of growth 231- Oral Hairy leukoplakia = Epstein Barr Virus 232- Condyloma acuminata is caused by = Human Papilloma Virus 233- Cleft lip happens in which week?= 6-9 weeks 234- Cleft lip more common in MALES and Cleft palate more common in FEMALES 235- All associated with periodontal disease EXCEPT= Stevens-Johnson syndrome 236- Acrodynia = primarily affects young children. The symptoms of irritability, photophobia, pink discoloration of the hands and feet, and polyneuritis can be attributed to chronic exposure to mercury. May GOD make it easy for you (Amen) 13 237- Arcon vs non arcon articulator = Arcon- where the condyles are attached to the lower member of the articulator and the fossae are attached to the upper member. More accurate for fabricating fixed restorations, especially when an interocclusal record is used to mount mandibular cast. Nonarcon has upper and lower members rigidly attached. Provide easier control in setting teeth for complete and partial dentures. Both are semi-adjustable and use a facebow. 238- When u put crown on for cementation. What u check: A. Proximal contacts, occlusion there is one more which I never heard about was in every option . Its something like iglu long word. Don’t remember You check first Internal then proximal and then marginal 239- Study to know the effect of gastric bypass surgery on nutritional status: - Observational Clinical trial Descriptitve Cohort 240- Home internal bleach causes mostly = External root resorption 241- Most common tooth to get plaque: A mandibular incisors B maxillary molars C mandibular molars 242- Prevalence is measured by which study design: Cross-sectional 243- Incidence can be directly calculated from: a cohort study 244- One of the disadvantages of cohort studies is that: they are more prone to selection bias. 245- When fail and safe mechanism start in nitrous at what percentage . Doesn’t mention if for kids or adults: 70% 246- How much oxygen give when u patient feel nausea in nitrous oxide. A stop nitrous B give 60% oxygen C give 100 % oxygen 247- Healing after gingivectomy = Secondary intention 248- Mitral valve relapse patient. Do u do premedicate? NO 249- You can check all drugs in complete blood count except A. Clopidogrel B. Plavix C. Apexaben D. Warfarin 250- When u put crown on for cementation. What u check: A. Proximal contacts, B. occlusion there is one more which I never heard about was in every option . Its something like iglu long word. You check Internal, then proximal and then gingival 251- Patient on initial stage in leaving smoking all can be done except: A Chantix B hypnosis C Nicotinic patches D Bupropion May GOD make it easy for you (Amen) 14 252- Emancipated minor: Under 18 person who has been married, has been pregnant, or responsible for his or her own welfare and is living independently of parental control and support can give consent 253- Patient came to you and he only speaks limited English . You do all except: A Tell him pros and cons. B Get consent in his own language C You talk to spouse about his plan 254- A person comes to you after SRP. He doesn’t have any calculus but his pocket depth is around 5 or 6 mm generalised pocket . What u do? A Put him on maintenance phase B. Do another SRP C. Do surgery 255- A mandibular 1st molar has a Grade-3 through to through furcation involvement. What do u do? A. Hemisection it and make it like premolar B. Bridge from premolar to molar C. Extract and implant 256- CUSTOM INDIRECT TECHNIQUE (outside the mouth in the LAB) FOR MAKING TEMPORARY CROWNS IS PREFFERED BECAUSE IT IS MORE ACCURATE, BETTER FIT, & PROTECTS THE PULP 257- For external crevicular incision where it will end: A apical to alveolar crest B Sulcular epithelium C. Bone 258- Ectodermal dysplasia seen most in A maxilla B mandible 259- X rays 1 stafne but they mention lingualized salivary gland. C Alveolar bone 2. Ear lobe. 4. Nasal process of maxilla 260- File Diameter Calculation May GOD make it easy for you (Amen) 3. Hyoid bone 15 261- Who controls dental office materials. Ans ADA and if not in options, then FDA 262- Sample-size is irrelevant in: Case-report or Case-Series 263- Epithelium growth per day= 0.5-1mm 264- Low fusing porcelain used for? Crown and bridge 265- Porcelain occlusal adjustment, which bur? Diamond 266- Margin discoloration of veneer: day-amine Week-microleakage Month-microcrack 267- Treatment without consent=Battery 268- Tort law = If you treat without consent then technical assault oand battery 269- Green discoloration of porcelain=Silver 270- House classification. Which is best? Class-1 (Physiologic) 271- All are side effects of opioids EXCEPT: Diuresis (too much peeing) 272- Which of the following is NOT a clinical presentation of oral Candidiasis? A- Erythematous patch B- White, hyperplastic patch C- White, curd-like patch D- Ulcerative 273- Gustatory sweating while eating and crocodile tears = Frey’s syndrome 274- Which is the best approach for a patient who becomes very uncomfortable when a planned surgical procedure is discussed = Explain post-operative instructions, obtain informed consent, and help the patient to resolve anxiety before the procedure. 275- Lingual incline of buccal mandibular cusp which interference = Non-working May GOD make it easy for you (Amen) 16 276- What tooth has developmental groove, which influences to development of primary periodontitis? = Max. 1st PM 277- Template for implant control except = Size of implant 278- Porcelain is strongest in which stage = Cooling 279- A child comes to your office with a neighbor, he states that he was playing in the yard and injured himself, they gave the class of injury, I think it was Ellis III but it wasn’t relevant for the Qs. The adult states they couldn’t contact his mother, the kid says he has a dentist but doesn’t remember his name. What do you do: contact parents 280- Differentiate between periodontal and peri-radicular abscess = vitality test 281- What NOT to do in COPD patient? = 100% oxygen 282- Intrinsic activity, efficacy, affinity, potency = TI = LD50/ED50 283- LD50/ED50= therapeutic index or drug safety 284- A drug with a high LD50 and low ED50 has a HIGH therapeutic index, thus is relatively SAFE. 285- How to see soft tissue injury radiographically = Dec 25% 286- 3 mm crowding. What to do: A. observe. B. Disking 287- Moderate crowding = Leeway 288- When you receive a PFM crown from the laboratory, what is the FIRST thing you check = Internal surface May GOD make it easy for you (Amen) 17 289- Penicillin is cross allergenic with CEPHALOSPORINS because of the beta lactamse 290- Broadest antimicrobial spectrum = Tetracyclines May GOD make it easy for you (Amen) 18 291- Which can be safely administered to a patient with chronic renal failure without any change in dosages = Doxycycline 292- Which does not cause scarring of oral mucosa = Erythema multiforme 293- Prilocaine is not used in = G6PD deficiency 294- Drug with good first pass effect? Low bioavailability 295- If a 5-year old child receives tetracycline therapy, the affected teeth will be = Canines, premolars and 2nd molars 296- Morphine (schedule 2 opioid) relieves pain by = acting on opioid mu receptors on neuronal cell membranes 297- Bupivacaine has all the following properties relative to lidocaine EXCEPT bupivacaine: A. is more toxic B is an ester type local anesthetic C has slower onset of action D has longer duration action 298- Mona-Lisa face = Sclerderma 299- Addison’s disease = diffused pigmentation 300- Treatment of myasthenia gravis: Physiostigmine and Piridostigmine 301- Diagnosis of myasthenia gravis = Edrophonium (Cholinesterase inhibitor) 302- Tricyclic antidepressants = Imipramine and amitriptyline 303- Both diazepam n narcotics antagonist Diazepam - flumazenil Narcotics or opioids- naloxone 304- Treatment of status epilepticus = Benzodiazepines such as diazepam, lorazepam or midazolam (prefer midazolam) 305- Benzodiazepines mode of action = gamma-aminobutyric acid (GABA) at the GABAA receptor 306- Anticholinergics mode of action = inhibit binding of acetylcholine to muscarinic and nicotinic receptors. These receptors are found in eye, secretory glands and nerve endings to smooth muscle cells. 307- Which medication for anticancer works on folate synthesis/ prevents folic acid production: Methotrexate 308- Montelukast = Inhibits Leukotriene 309- Montelukast = For treatment of Asthma and seasonal allergies May GOD make it easy for you (Amen) 19 310- Amantadine = Antiviral 311- Amphetamine = Psychostimulant, increases the release of dopamine and NE in brain. Used for the treatment of ADHD. 312- ADHD: More common in boys. If a kid is taking amphetamine, tell him not to take the medicine before dental appointment. 313- Penicillin = Low toxicity 314- Administration of succinylcholine to patient deficient in serum cholinesterase would cause = prolonged apnea 315- Patient has a deficiency in acetylcholinesterase = d-tubocurarine 316- Best initial treatment of TMJ muscle spasm = NSAIDS+muscle relaxants 317- Never give penicillin with tetracycline. They ANTAGONIZE eachother 318- Which of the following glucocorticoids is the strongest? Dexamethasone 319- Acetaminophen MOA = antipyretic effect by acting on centers in hypothalamus 320- Adalimumab and infliximab = bind to TNF-alpha receptors and used to treat rheumatoid arthritis 321- Benzodiazepine antagonist = Flumazenil 322- Articaine is the only amide metabolized in the BLOOD STREAM and NOT in liver! 323- Percocet (Oxycodone+acetaminophen) is Class-II 324- Antihistamine contraindicated with erythromycin = Terfenadine 325- Which medication does not cause hyposalivation = Pilocarpine 326- Antagonism to motion sickness = diphenylhydramine (indirect sympathomimetic drug) 327- Motion sickness = Scopolamine 328- Diphenylhydramine has the MOST sedative effect 329- Chlorpheniramine has the LEAST sedative effect 330- The drug which causes withdrawal symptoms in pts taking oxycodiene = codeine 331- The drug contraindicated in pt taking gingko biloba = Heparin 332- The drug of choice in patient with bradycardia = Atropine, Epinephrine. 333- Which of the following does not have anti-inflammatory action = Acetaminophen 334- Prilocaine above 500mg causes = Apnoea, cardiogenic shock, methemoglobinemia. 335- Histamines are produced by = Mast cells 336- Propranolol = Non-selective beta blocker May GOD make it easy for you (Amen) 20 337- Common between Gardner’s syndrome and Neurofibromatosis = Autosomal dominant 338- Dentist wants to evaluate the effect on by pass surgery and nutrition = Clinical trial or Cohort??? 339- Most anaphylactic reactions to penicillin occur (3 correct answers): A when the drug is administered orally. B in patient who have already experience an allergic reaction to the drug. C in patient with a negative skin test to penicillin allergy. D when the drug is administered parentally E within minutes after drug administration. 340- 10 y.o girl, with good OH, no caries but a child of divorced parents. How would you rate her caries risk? Middle 341- On a lateral cephalogramm of the 10 y.o girl what is the radiolopacity that crosses her posterior teeth? = Palatine process of maxilla 342- Compression rate in CPR = 120/minute 343- Gingival index = Ordinal like 1,2,3 344- Manipulative kid = Positive reinforcement 345- Red Complex bacteria = P. gingivalis, T. denticola, & Tannerella forsythia (formerly Bacteroides forsythus) 346- Which test does not check for bacteria and their metabolites = IL-1 347- Cool glass slab? = to incorporate more powder into the liquid and increase working time 348- Pink growth on palatal between canine and 1st pre? Pyogenic granuloma 349- Pregnant gingivitis = progesterone, plaque, estrogen 350- Which of the following causes speech problems in a patient with cleft palate? Inability of the soft palate to close the nasopharyngeal air flow 351- The most stable elastic material in a moisture environment? PVS or polyether 352- Trismus most common in which space? Submassteric, Submandibular, Sublingual 353- Bone resorption after 1 year in implant? 0.2 or 0.02 (DD says 0.02) 354- Least bucco-lingual resistance to lateral forces = One 4 mm diameter implant 355- Critical pH for dentin demineralization = 6.2 356- Critical pH for enamel demineralization = 5.5 357- Rubber dam = dry teeth May GOD make it easy for you (Amen) 21 358- Incision for palatal tori = Y-Shaped (Some people say double Y) 359- Medication for Asthma control = albuterol (short acting) and theophylline (long-term) 360- Muscle in maxillary frenum = orbicularis oris, elevator angular oris 361- Muscle in mandibular frenum = traingularis\depressor anguli oris, buccinator 362- To prevent eye damage, the protective eyewear that u wear should effectively filter which light rays below: 500 or 509 (both correct) 363- After how long of wearing does a face mask become useless = 1 hour 364- Which muscle is pierced during IAN block = buccinator 365- When draining purulent exudate from an abscess of the pterygomandibular space using an intraoral approach = buccinator muscle 366- Kennedy’s class-III, Tooth supported RPD rest towards the ridge 367- Main function of indirect retainer? Prevent dislodgement of RPD vertically 368- A dentist is doing research on 5 unrelated patients with different background. Dentist is doing what kind of research? Case-Series 369- Under which principles of informed consent of treatment, a dentist is NOT required to inform a patient about which of the following? a) Alternative treatments available by a specialist b) The risk associated with non-treatment c) Potential risks of treatment D) insurance co-payment for treatment 370- Combination clasp = The combination clasp is similar to the cast circumferential clasp with the exception that the retentive arm is fabricated from a round wrought wire (platinum-goldpalladium alloy or chrome-cobalt alloy) May GOD make it easy for you (Amen) 22 371- Nutrient canals seen radiographically most common where? Mandibular incisors Nutrient Canal 372- Advantage of distraction osteogenesis = Less relapse 373- After IAN block, patient has facial paralysis. Which ligament = Sphenomandibular ligament 374- Cheek biting occurs due to = insufficient HORIZONTAL overlap in molars 375- Cheek biting corrected by = increasing the HORIZONTAL overlap in molars 376- Kennedy’s Class-III gets support from = Occlusal rest (tooth supported) 377- Kennedy’s class-4 is also tooth supported May GOD make it easy for you (Amen) 23 378- The most stable elastic impression in moisture environment? a. polyether b. additional silicone c. condensation silicone d. polysulfide 379- Patient is given oral habit reducing appliance to prevent an oral habit, what is this considered? – Negative reinforcement POSITIVE PUNISHMENT 380- Axial walls on an MOD cavity for a cast gold onlay should = Converge from the gingival walls to pulpal walls 381- Best allograft = FDBA Cadaver 382- Breathing rate in a kid = 22 to 30 383- With age, CHROMA increases 384- While doing external bevel incision the curette is touching which structure apically: JE 385- Reversal occlusal plane can be seen in a given pano. why? Chin tilted too much upwards 386- What is an allograft – transplant from one human to another 387- Crowing sounds are seen with. Acute asthmatic attack, COPD. 388- Blood transfusion before surgery should be done when the platelet concentration falls below. 20,000, 50,000 , 100,000 etc 389- Normal bleeding time = 1-9 min 390- Normal prothrombin time = 11-16 seconds 391- Normal platelet count = 150,000 to 450,000 392- Normal Partial Thromboplastin Time = 32-46 seconds 393- The most effective method of caries reduction = Systemic water fluoridation 394- 5 A’s of cancer prevention: Ask, assess, advise, assist, arrange 395- Ectodermal dysplasia = sparse hair 396- Max. nitrous oxide in kids = 30% 397- Long-term nitrous = Symptoms similar to multiple sclerosis 398- For thiazide diuretics = Give K-supplements 399- In multiple sclerosis = LA with epinephrine is CONTRAINDICATED 400- A patient suddenly becomes pale and sweaty after an injection of 4ml of lidocaine 2% with epinephrine l:l00,000. The radial pulse is slow and May GOD make it easy for you (Amen) 24 steady. The respiration is slow. The blood pressure is 80/60. What is the most probable diagnosis? Incipient syncope 401- Most common respiratory emergency = Hyperventilation 402- Most common CNS emergency = Syncope 403- Patient has a petit mal seizure in your office, what do you do? Protect patient from hurting themselves. 404- Strep mutans: lives in a non-shedding surface 405- Short story about a patient with candida, what medicine can we give that can be given orally (systemically) and locally with efficiency: Miconazole (in can be used as cream and tablets) 406- Maximum allowable dose of EPI that can be administered to a cardiac-risk patient is 0.04mg. 407- Lidocaine may show cross-allergy with = Mepivacaine (Dentin) 408- Which drugs when administered intravenously, is LEAST likely to produce respiratory depression? Diazepam 409- Side effect of nitroglycerin = Orthostatic hypotension and headache 410- First sign of lidocaine toxicity = CNS stimulation/Nervousness 411- Trismus is most commonly caused by = Tetanus 412- High-flow 100% 02 is indicated for treating each of the following types of syncope EXCEPT = Hyperventilation syndrome 413- What antiviral drug is used for influenza A and Parkinson’s = Amantadine 414- Ganglionic blocking agents cause = orthostatic hypotension 415- Atropine poisoning = burning dry mouth and orthostatic hypotension (as it is anticholinergic) 416- Cause of death by irreversible cholinesterase = Respiratory paralysis 417- Cholinergic crisis = lacrimation, bradycardia, extreme salivation, weakness voluntary muscle 418- Levodopa crosses brain barrier to treat Parkinson’s disease 419- Hallmark of anticholinergic drug = Mydriasis (pupil dilation) 420- Cocaine overdose = mydriasis (dilated pupil) 421- Opioid overdose = miosis (constricted pupil) 422- MOA of levodopa = replenish deficiency of dopamine in patients with parkinson’s May GOD make it easy for you (Amen) 25 423- Alpha1 stimulate – vasoconstriction, mydriasis 424- Alpha1 block – vasodilation 425- Stimulate beta – increase HR, bronchodilation, vasodilation 426- Block beta – decrease HR, brocho constriction 427- Epi - to reverse give – prazosin or chlorpromazine 428- MOA of reserpine – stabilize the axon terminal membrane preventing release norepiephine, Used for treatment of hypertension 429- Amphetamine – indirect acting drug 430- MOA of Naloxone: non-selective and competitive opioid receptor antagonist in case of opioid overdose 431- MOA of Clonidine: centrally acting sympatholytic (α2 adrenoceptor agonists) 432- MOA of Zoloft: Sertraline - Selective Serotonin Reuptake Inhibitors 433- Serotonin syndrome = Tramadol (narcotic pain killer like morphine) + SSRI 434- Immediately following a posterior superior alveolar block injection, the patient's face becomes quickly and visibly swollen. the immediate treatment should be to = Use pressure followed by cold packs over swelling 435- For codeine allergy = use meperidine, tramadol or pentazocine 436- Each of the following is an advantage of midazolam over diazepam EXCEPT one. Which one is this EXCEPTION? Less potential for respiratory depression 437- Nitrous oxide sedation should be postponed in pt. with: Sinusitis, GI obstructions, Middle ear disturbances and Nausea (all of them) 438- Occlusal reduction for fixed crowns: flat and round for porcelain….similar to natural contours for metal 439- Color is usually described according to the Munsell color space in terms of hue, value, and chroma. Hue is the attribute of a color that enables the clinician to distinguish between different families of color, whereas value indicates the lightness of a color. Chroma is the degree of color saturation. When color is determined using the Munsell system, value is determined first followed by chroma. Hue is determined last by matching with shade tabs of the value and chroma already determined. 440- Wavelength of color = Hue 441- Who regulate temperature of the autoclave? FDA (DD) May GOD make it easy for you (Amen) 26 442- The most frequent respiratory complications following oral and maxillofacial surgery are: 1-pulmonary atelectasis (in smokers). 2-aspiration pneumonia (manifest in pt right lung). 3-pulmonary embolus (originate in deep venous system of lower extremities especially in non-ambulatory patient). 443- 50% NO/50% O2 and pt feels nausea. what should dentist do? Stop NO and start 100% O2 444- Least incidence of oral cancer = Native Americans 445- Best prognosis of cancer = SCC (that’s what the group people said) 446- Most common location of SCC = Posterior lateral borders of tongue 447- A 40 years old patient bilateral posterior crossbite. How to correct the problem? Maxillary ostectomy 448- Prevalence of cleft lip and palate in US is 1 to : A. 600 B. 700 C.1000 D. 1200 449- Stridor: laryngospasm 450- Which one does not affect the tactile sensitivity of dentist? = Material composition 451- Male extracted his lower left third molar, on the second day he feels feverish, with sublingual swelling that elevate his tongue, affects the swallowing and breathing, diagnosis: Ludwig angina 452- Cellulitis A. Neutrophilia B. Neutropenia C. Lymphocytosis D. leukocytosis (Both C and D) 453- Immunoglobulin IgG: A. Decreases phagocytosis B. Antigens receptor C. Produces macrophages and neutrophils 454- Flabby tissues in anterior maxilla for a complete denture impression = Passive 455- Recurrence is least in: A. Ameloblastoma B. OKC C. Odontogenic myxoma D. Adenomatoid odontogenic cyst 456- MOST COMMON complication associated with the use of LA = Vasaovagal syncope 457- LA with epinephrine is contra-indicated with = TCA, propranolol, amphetamine, MAO inhibitors such as Isocarboxazid and Phenelzine (All of them) 458- Failure of tubercular impar to retract prior to fusion of lateral halves of tongue result in A median rhomboid glossitis B cleft bifid tongue C geographic tongue 459- X-ray with radiolucent /radiopaque lesion in the left posterior molar ramus area, diagnosis: A. Ameloblastic fibrodontoma B. Ameloblastic fibroma May GOD make it easy for you (Amen) 27 460- x ray of Dentigerous cyst (impacted tooth with radiolucency around the CEJ) 461- Which of the following lesion is strictly diagnosed from microscopic features A. Ameloblastoma B. OKC C. Fibroma 462- Pic of prescription: name of pt...., date....., Rx : Motrin 800 mg/ 2 TABLETS, every 8 HOURS, for dental pain, name of Dr......, Bill...... Q: what is the wrong of this prescription : A. Frequency of dose B. Number of tables per dose 463- Diazepam uses in all Except : A. Emesis B. Anxiety C. Muscle spasm D. Seizures 464- Epinephrine is NOT used in = Hyperthyroidism as it causes hypertension 465- What is NOT important for biohazard container = made up of metal 466- Cells most frequently found in granuloma = lymphocytes 467- Most common benign tumor occurring in the oral cavity = Fibroma 468- Uncontrolled diabetes = inhibits osteoblastic activity 469- Pear-shaped radiolucency causing displacement of the roots of vital maxillary lateral incisor and canine = Globulomaxillary cyst 470- Horizontal and vertical angulation causes what type of distortion of image? - Horizontal-overlap - Vertical -elongation or shortening 471- In Emphysema, the anteroposterior of the lung is = Lengthened. 472- Capitation is with = Health Maintenance Organization (HMO) 473- Lesions that occur in the alveolar ridge of infants = Bohn’s nodules 474- Multiple neurofibromas with café-au-liet spots on skin = Vonrecklinghausen disease of skin 475- Chemical disintegration of enamel = Erosion 476- Mottled enamel is produced by = Fluorine 477- Structure of enamel more resistant to acids = enamel cuticle 478- Most common route through which infection reaches pulp is = Dental caries 479- Cells responsible for root resorption = osteoclasts 480- Patient had a root canal 2 years ago and now you see an apical radiolucency. What to do pt asymptomatic = Retreatment if the tooth becomes symptomatic 481- Dry socket is a form of = periostitis 482- Pathophysiology of dry socket = Fibrinolysis 483- Which one is not for provider protection = Rubber dam May GOD make it easy for you (Amen) 28 484- Placement of rubber dam affects color selection by? Dehydration of tooth 485- Dentist is not behaving with staff. Which ethical is violated? = Beneficence 486- Intraoral dental sinus = parulis (made up of granulation tissue, also called “gum-boil”) 487- Inflammation of lips is called = Cheilitis 488- Delayed side effect of corticosteriod treatment of TMJ = Blurred vision 489- Most common oral cancer = SCC (mostly lower lip) 490- Which index is irreversible = DMFT 491- In cardiac pacemaker patient, what can be used safely = Radiographic equipment 492- Most common cause of mucocele = trauma 493- Best radiograph for mandibles symphysis fracture = Occlusal 494- Xylitol is best used as = chewing gum 495- Crystals are deposited in TMJ in gouty arthritis =Monosodium urate 496- Dens-in-Dente most commonly occurs in = Maxillary lateral incisors 497- Paralysis of tongue is called = Glossoplegia 498- What passes through foramen ovale = Trigeminal nerve 499- Pt had fracture and numbness on side on nose cheeks...fracture site? Floor of the orbit 500- Most common site of basal cell carcinoma = middle third of face 501- Cells of dental pulp most capable of transforming into other cells = undifferenced mesenchymal cells 502- Patient had trauma 2 year back now u see radio in anteriomand. What to do = Check vitality and start RCT for non-vital teeth 503- Most common site of osteofibrosis (cementoma) = Mandibular anteriors 504- Wharthin’s tumor (Cystadenomalymphomatosum) = only occurs in PAROTID 505- Cells found in chronic pulp inflammation = Lymphocytes, Macrophages and Plasma cells 506- Cells most often found in granuloma = Lymphocytes 507- Diagnosis of OKC = histology 508- Prominent forehead, dwarf, disproportionate arms and legs and retruded maxilla = Achondroplasia 509- Blood of a patient with acute infection shows = leukocytosis 510- Herpes causes = Chicken pox 511- Third order bend = Torque May GOD make it easy for you (Amen) 29 512- You must give a long buccal injection to extract all molars and 2nd premolars. 513- which properties increase the tendency of a drug to cross membranes=nonionized and high lipid solubility 514- Pseudocyst = Traumatic bone cyst. Common in 20s yrs. Scallops around teeth 515- Pierre Robin Syndrome = an inherited disorder that presents as micrognathia and retrognathia of the mandible, glossoptosis (posterior displacement of tongue), and cleft palate. Often seen with respiratory problems. 516- Papillon Lefvre Syndrome = periodontitis, Hyperkeratosis hand/feet, premature tooth loss (4 years old) 517- Pseudoepitheliomatous hyperplasia seen on = Granular cell tumor. More common on tongue and in females 518- Crouzon syndrome=beaten metal appearance of skull+Hypertelorism + midface deficiency. Cranial bones fuse too soon 519- Steven Johnson syndrome = Disease of skin and mucous membrane, begins like flu-like symptoms, top skin layer dies and sheds off, burning eyes 520- 'Coast of Maine' like border is seen in pigmented lesions of: McCune Albright syndrome 521- Atrophy of gastric and pharyngeal mucosa, spoon nails (koilonycias) and predisposal to oral carcinoma in postmenopausal females = Plummer Vinson syndrome 522- Papillary cystadenoma lymphomatosum, which occurs exclusively in the parotid gland is called = Wathin’s tumor 523- In Angina, DO NOT put patient in Trendelburg position 524- You raise a full mucoperiosteal flap to instrument in the pocket, after reposition of the flap where resorption occurs more = interdental crest 525- In early caries, the first structure to show destruction is = interprismatic substance 526- Bence Jones proteins, punched out lesions, plasma cell infiltrate and skeletal radiolucencies = multiple myeloma 527- Bisphosphonates are NOT used for = Osteomyelitis and multiple myeloma 528- First sign of multiple myeloma = bone pain 529- Hypercalcemia, hypophosphatemia and loss of lamina dura = Hyperparathyroidism 530- All developmental cysts are radiolucent except = Nasoalveolar 531- Koplik’s spots = Rubella May GOD make it easy for you (Amen) 30 532- Bullae or vesicles of mucous membrane and skin are seen in all except: Agranulocytosis 533- Peak incidence of gingivitis in children occurs at = 10-13 years 534- Irradiation to head region does not cause = Ramsay Hunt Syndrome 535- Ramsay Hunt syndrome= caused by Herpes zoster. Associated with shingles, facial nerve damage and loss of hearing in affected side 536- Most common benign tumor of the oral cavity = Fibroma 537- Most common cyst of the oral cavity = Peri-apical (radicular) cyst 538- Which cyst has the highest rate of recurrence = OKC 539- Most common malignancy of the oral cavity = SCC 540- Excessive formation of scar tissue = Keloid 541- Abnormally large pulp chambers = Regional odontodysplasia 542- Thinning of hair = Hypothyroidism 543- Rubella encephalopathy = Acquired 544- Strawberry tongue = Scarlet fever and fungiform papillae involved 545- Most common tumor of minor salivary glands = Adenoid cyctic carcinoma 546- Not a differential diagnosis in dentinogenesis imperfecta = Enamel hypoplasia (seen in Type 1 Amelogenesis imperfecta) 547- Ectopic eruption most common in = Max. 1st Molars 548- Triad of hand-schuler-christian disease includes lesions of bone, exophthalmos and = diabetes insipidus 549- For balancing side = 3 cusps should touch but not canine 550- Protrusive record is made for = horizontal condylar guidance 551- Christensen phenomenon = Space that forms in the posterior teeth during anterior movement of mandible 552- Oral cytology is not useful in the diagnosis of = Lipoma 553- Split papule on lower lip = mucous patch 554- Stigmata of congenital syphilis does NOT include = Cleft lip 555- What is disadvantage of autograft? Second surgery 556- For big osseous defects= autograft 557- Intra-oral carcinoma does not present as = Abscess May GOD make it easy for you (Amen) 31 558- Melkersson Rosenthal syndrome = facial paralysis, chelitis granulomatosa and SCROTAL TONGUE 559- Ghon complex = Primary of childhood tuberculosis 560- Striae of Wickham = Lichen planus 561- Which fluoride for porcelain something = Neutral Sodium fluoride 562- Green and orange stains on teeth = Poor oral hygiene 563- Primary canines have a longer MESIAL cusp ridge compared with permanent canines in which, DISTAL cusp ridge is longer. 564- Curve of Spee = Anterior-posterior curvature of the mandibular occlusal plane 565- Curve of Wilson = Medio-lateral U-shaped curve of upper and lower posterior teeth 566- Compensating curve = is under dentists’ control. Helps provide a balanced occlusion 567- In centric position = bilateral balanced occlusion. All cusps interdigitate. Contacts in a Balanced Occlusion: ► Cusp-to-fossa contact in centric occlusion (MICP) in an ideal Class I occlusion. ► During lateral excursions, opposing cusps contact on the WORKING SIDE. BULL ► During lateral excursions, on the balancing side, maxillary lingual cusps (lingual inclines) contact mandibular facial cusps (lingual inclines). LUBL 568- PID length changed from 8 inch to 16 inch, so the resultant beam is ¼ as intense. 569- PID length changed from 16 inch to 8 inch, so the resultant beam is 4 times intense 570- Base of incision in gingivectomy = coronal to mucogingival junction 571- Serial extraction is done when arch length discrepancy is over 10 mm 572- Normal maxilla and retruded mandible = SNA 82o and SNB <80o 573- 8 yr old, both second primary molar missing. How to maintain space? Lingual arch 574- 40 years old patient bilateral posterior crossbite , what would be the way to correct the problem Quad Helix or surgery 575- In young patients (mixed dentition), what is used to correct cross-bite = Quadhelix (it causes expansion of jaw) 576- Tongue blade appliance used in = anterior crossbite 577- Causes of anterior crossbite = Skeletal (mandibular hyperplasia and maxillary hypoplasia) 578- Hypercementosis = Most common in premolars and in Paget’s disease May GOD make it easy for you (Amen) 32 579- Ground glass appearance = Fibrous dysplasia 580- In molar area, the lingual flange of mandibular denture is determined by = Mylohyoid 581- The mandibular flange (lateral to retromolar area) is determined by = Masseter 582- Occlusal morphology determinants, what is correct: Increased overjet, flatter posterior cusps 583- Pt had fracture and numbness on side on nose cheeks...fracture site? Floor of orbit 584- If kid complained and whined in the beginning but at the end were very good: you compliment 585- Aversive conditioning= punishment to deter unwanted behavior ex. Hand over mouth 586- The free gingival graft receives its nutrients from the viable connective tissue bed. 587- Free gingival graft is used for root coverage and increasing the zone of attached gingiva. 588- Main reason for failure of free gingival graft = failure of blood supply. The second reason is infection 589- Most common donor site for free gingival graft = Palate. 590- First Endo done and then Perio treatment 591- Porphyria (Diagnosis) = Child presents with red urine, purplish-brown teeth, sensitivity to sunlight, blisters and swelling on face and hands when exposed to sunlight 592- Discolored teeth are seen in all these = Porphyria (purplish-brown), cystic fibrosis (yellowish-brown) and erythroblastosis fetalis (blue-greenish) 593- RH hump = Green or blue hue seen in teeth of erythroblastosis fetalis 594- Emergency treat of a kid that has ingested large amount of fluoride: induce vomiting and call 911, have him drunk lots of milk or Ca containing liquid. DO NOT give sodium bicarbonate 595- For adults, the average LETHAL dose of fluoride is = 4-5 grams 596- Incisal and coronal parts to be matched in porcelain metal crowns done by = Firing under high temperature 597- Lethal dose of fluoride in infants is = 0.25 g (250 mg) 598- Most fluoride is absorbed from = Stomach 599- Fluoride is excreted via = Kidneys 600- Patient is very young and fearful first time you meet them – try to talk to them going down at their height May GOD make it easy for you (Amen) 33 601- Pits and fissure sealants are best retained on = Maxillary and mandibular bicuspids 602- A patient says that, “Even if there is some pain, it will be brief. I have effective methods of coping.” The patient reminds himself of this during dental procedures. This patient’s statement exemplifies which strategy? Rational response 603- Band and loop is most often use when the primary 1M is lost and the distal shoe is for unilateral primary 2M lost 604- Which of the following describes ciprofloxacin (Cipro®)? Effective against Pseudomonas aeruginosa. 605- A patient has a smooth! red! protruding lesion at the tip of the tongue. Microscopic examination reveals a stratified squamous epithelium covering loose! fibrous connective tissue with many thin-walled vascular spaces. What is it? Hemangioma 606- A 77 years old female 110 lbs. weight requires removal of mandibular teeth under local anesthesia. She is apprehensive. The appropriate dose of IV diazepam to sedate her? 5 mg 607- Most common tooth to get plaque: Mandibular incisors 608- Stippling of gingiva indicates = degree of keratinization 609- Stratification specific keratins present in gingival epithelium are: K5 and K14 610- The gingival fiber group which inserts in two adjacent teeth is the: Trans-septal 611- An isolated area in which root is denuded of bone is intact and covered only by periosteum and overlying gingiva is called: Fenestration 612- The type of bone present in the inter radicular area is: Cancellous 613- fibers in the lamina propria of the gingiva, help to bind the free gingiva to the tooth: Circular 614- Periodontium does NOT include = Dentin (DUHHH ! ! ! ! ) 615- Bioactive glass (Perio glass) bone graft material is a type of: It is an alloplast I think (silicate-based material) 616- Gingiva is attached to enamel by: hemidesmosomes (they connect JE to tooth) 617- Stippling occurs only on = attached gingiva May GOD make it easy for you (Amen) 34 618- The sulcular epithelium acts as a semi permeable membrane through which: Fluids from the gingiva seeps in to the sulcus 619- In gingival hyperplasia, you do = gingivectomy 620- Least likely to need a bone graft = 3-walled narrow 621- Which is prevalent = 2 wall defect 622- Least useful retention/resistance form in crown? Total area of 2 axial walls 623- Where does the epithelium for a graft come from? Recipient epithelium 624- Most common cause of tooth mobility = advanced periodontal disease 625- Histoplasmosis resembles = SCC 626- Collagen is a protein that has = a high fluid turnover rate 627- Osteoblast covering the periodontal surface of the alveolar bone constitute a: modified endosteum 628- If the drug's liver metabolism is very efficient how it will influence to it potency? Decrease potency Potency how much drug to produce effect while efficacy the effective of drug 629- Recently introduced LA claimed to be as potent as Procaine 0.05%, 30 mg 4 hour period = 33 cartridges (I will just memorize 33 for this shitty question) 630- A patient with non-healing lesion on the side of the nose. it has a rolled border and has been increasing in size. the most likely diagnosis is = basal cell carcinoma 631- Keratin specific to epidermal type differentiation are: 1 2 10 12 632- Patient has sleep apnea which pain medication we can give = Ibuprofen 633- Which of the following fiber groups are not attached to alveolar bone? Transseptal 634- Color of normal gingiva is = Coral pink 635- Which orthodontic movement doesn’t commonly relapse = Extrusion 636- Clindamycin is bacteriostatic 50S ribosome unit, is effective against most anaerobes 637- Clindamycin is associated with = pseudomembranous colitis due to overgrowth of Clostridium difficile 638- What to check in perio maintenance = Root caries 639- There are 3 categories of epidemiological studies . 1.Descriptive epidemiology: prevalence &incidence. 2. Analytic epidemiology: cohort study, cross sectional & case control . 3.Experimental epidemiology: clinical trials & community trials . May GOD make it easy for you (Amen) 35 640- Absolute contra-indication for the use of Nitrous Oxide? Nasal congestion 641- Calcification of permanent mandibular 2nd molar starts at? Approx. 3 years 642- Calcification of permanent 1st molar starts at? Birth 643- All are clinical features of sinusitis except = Swelling 644- Systemic effects of obstructive sleep apnea syndrome (OSAS) include all of the following except = Aortic aneurysm 645- Pain med for patients with obstructive sleep apnea = Ibuprofen or acetaminophen (both can be used) 646- While giving IAN block, if it caused paralysis of facial nerve, where did u inject = Too far posteriorly 647- Most common = Health maintenance organization 648- Erythroblastosis fetalis = Ring like enamel hypoplasia 649- In implant preparation, which of the following can be used? A) hydroxyapatite irrigation b) High Speed Handpiece c) Low torque d) Air Coolant 650- Which kind of insulin is short acting = Insulin regular 651- Which gene is altered most in oral cancer ? p53 652- How carious detection dye acts? stains infected dentin 653- Eosinophilic granuloma seen in? Langerhan’s histiocytosis-X 654- Most commonly seen dental caries? Occlusal 655- Hypercalcification due to calcium intake 656- Hypomaturation 657- Trauma to tooth during development? Turner hypoplasia 658- Systemic Disease affected the primary tooth ? hypophosphatasia 659- Function of rest ? support 660- Indirect retainers most needed in ? Kennedy class 1,2 661- Which drugs cause gingival hyperplasia? phynetoin,nifipidine,cyclosporine 662- Partial agonist antagonists ? pentazocin 663- Opoids do not cause what ? solemence May GOD make it easy for you (Amen) 36 664- Side effect of chloramphenicol ? aplastic anemia 665- How to calculate incidence ? (new case \ all case ) * 100 666- Benzodiazepine antagonists? flumenizil 667- Opoid antagonists? naloxone 668- Atropine inc or dec saliva ? decrease saliva 669- You inject LA into parotid gland capsule. how long it take to recover from the parathesia = 24 hrs 670- How does the wheezing sound occur? During expiration 671- How are the bronchioles of an asthmatic pt be.. Congenitally narrowed Chronic inflammation 672- What is the function of tin and indium used in alloys for making pfm? Chemical bond to porcelain 673- Network model is used: IPA 674- What is the meaning of conscious sedation? Analgesia 675- Increase in interpupil distance is called? Hypertelorism (seen in Cruozon syndrome) 676- Lupus erythematosis affects which organd ? renal, heart 677- Betchets disease ulcers resemble? Apthous ulcer 678- Single white spot lesion on a permanent tooth due to Hypercalcification due to flouride intake 679- When u publish an article, which is the most important point that u consider ??? 680- Meaning of Lethal dose of a drug? LD 50 .. the dose is lethal to 50% of patient 681- To increase density in xray what has to be done ? increase kvp,Ma,time 682- Dosage of acetaminophen in kids = 15 mg/kg 683- Drug for trigeminal neuralgia ? carbazmpine 684- Which test to be used in full crown ? thermal test 685- Crown has less buccolingual resistance. how to increase resistance = Give proximal grooves 686- All post teeth disocclude while eccentric movement. Which cusp u wont grind Max lingual 687- Max molars have how many canals usually = 4 688- Domestic abuse is an act of = Power of control 689- Which teeth have less than of having 2 canals Max ant May GOD make it easy for you (Amen) 37 690- 23 yr old adult male..want to get wisdom teeth removed which are fully erupted..Heroin addiction withdrawal ..(some drug name starting with m..I forgot) also.history of smoking 20 pack in a year..which can affect healing Smoking 691- One pt having inr of 1.75. what u will do control bleeding after extraction Use gauze 692- If after scaling and root planing it reduced inflammation, did u remove Bacteria and bacterial byproducts 693- The apical base of sulcus is by which tissue Junctional epithelium 694- Most strong porcelain by = Firing under compression 695- When is it false positive? Root canal filled with pus 696- In a clinic, the dentist and colleague are talking ..u think they are talking about u,but actually they are not...Paranoid or is it Illusions = I will go with Paranoid 697- To prevent fovea fatigue,during color selection, what should u do. Select under natural light or is it Glance for only 15sec at a time 698- Who gets max eye damage in a setting = Dentist 699- C factor highest in = Occlusal cavity 700- Pt telling I won't quit smoking? precontemplation 701- 60. Oral cancer in u.s mostly in Lip 702- Pic of parulis? fistula 703- Immediately after flap surgery what happens = Clot formation 704- What is allograft ? from another human 705- Y perio maintenance is done every 3 to 4 months: It's the time taken for alveolar bone to remodel 706- The labial bow part of the removable prosthesis = It can be used for minor tipping 707- Which movement CANNOT relapse most Extrusion 708- Pt taking an anticoagulant. u want to extract 2 teeth. Ask his general doctor to give clearance 709- Primary role of epinephrine in LA is = To decrease systemic reabsorption 710- Which is most rigid = Type 4 gold 711- Along with mwf what can be done = Scaling and root planning 712- If 7th nerve affected, will taste sensation change ? yes May GOD make it easy for you (Amen) 38 713- 75. You do cpr,not the no.of times,they asked minimum depth to which u have to compress 1.5 inches 714- Sign of malignancy in radiographs Cortical bone rupture 715- Parathesia of lip sign of? Malignancy , angle fracture , nerve injury 716- Leukoedema-best described as = Normal finding 717- If the whole maxilla comes out detached from other bones, what kind of fracture..lefort 1 718- Incison for removal of lingual tori = Crevicular incision only 719- In normal dentrifice what kind of Floride is present ? NaF 720- The most effective topical anti microbial action by which commercial available mouthwash = Chlorhex 721- 5.What is the name of the anti plaque agent available in the current antitartar dentrifices ? pyrophosphate 722- One was about how to avoid legal complications ..all opiods had 3 combinatikns... like autonomy +(2nother names which I have never heard) or informed consent+2other names) 723- 10.You want impacted 3rd molar to be extracted because Cause distal caries to 2nd m 724- If u compare the radiation dose of person working in nuclear power plant and that of a dental assistant (or whoever takes xray in a dental setting),how much will the dosage of that person be = 1/5 times of the nuclear worker 725- Max permissible dose of radiation in a year ? occupational 0.05 sv 726- Non occupational and pregnant assistant 0.001 sv 727- What to do decrease value: Add a complementary color from the color wheel 728- Type 1 bone seen in which location ? anterior mandible 729- Neonatal teeth seen in which location ? anterior mandible 730- Blue sclera seen in : osteogenesis imperfecta & hypophostaphsia 731- Candida in cancer pt due to : Chemotherapy 732- This particular muscle because of the direction of its fibers can get covered by the denture base? buccinator 733- 24.During extraction of MAX 3rd molar, root can go into which space? Infratemporal 734- 25.Actinomyces oral manifestations..know how it is ? lumpy jaw , sulfur granule 735- 26.After giving l.a,which sensation is lost last..motor not in option..? proprioception May GOD make it easy for you (Amen) 39 736- What doesn't show that there is bad conflict happening within ur dental setting: Increased production bcos of competition 737- In ur dental practice, want to keep good harmony and relationship with all your staff,what is that u follow: Justice 738- Dentist had to remove the PERMANENT max 1st molar of a 9yr old kid due to caries.what to do: Allow max second molar to erupt May GOD make it easy for you (Amen)