Dr. S J's Final File Part 2 PDF

Dr.
$atyam joshi’s Final File Part 2 – 2017-18

Disclaimer: Kindly do not misunderstand these as remembered or leaked
question. If any question or topic happens to appears in exam, it is purely co-
incidental. Any kind of resembelence is completely a coincidence. I have taken
the questions from books and discussions of various forums and tried to find
correct answer with explanation. The sources are mentioned as well. I have also
shortlisted and noted the topics from which I was looking questions. I take no
responsibility of any kind of resembelence, or copyrights issues. This is just a
help done to clear doubts and provide the right answers for all confused
questions and save time.
I have followed all the textbooks, decks, mosby, notes, ASDA, and facebook groups. I have
noted down questions that I found important from many sources. I have added the source with
page number in many repeated or doubtful questions. I will still suggest you to double check
things and study the topic of question because questions are randomly picked as and when
encountered while reading depending on the topics. Once again many questions are
intentionally repeated because I found them important or may be I wanted to add more
information on it. You guys can discuss the files or questions or may be update it like you did for
first file, up to you, but I can say that this is all you need for 2018 prep. All questions from most
of the important topics according to me are covered.
File is in 2 parts: Day 1 and Day 2
Hope this helps.
I believe that Knowledge is priceless, so one more time I will prefer to publish it free rather than
selling it or making money out of it.
NBDE Crash Course:
I would recommend crash courses with Dr. Joshi. Read about it here:
https://www.facebook.com/NBDE-Crash-Course-by-Dr-Satyam-joshi-146130856211047/
I have personally initiated crash courses for NBDE, NO institution or coaching classes or third
party are involved. Its my personal approach towards education. Course is open for 2 months
and space available is 40.
Dr. $ J Final File, Part 2 2017-18

@ Copyrights reserved 1
This course is designed in order to help more people get everything they need to prepare for
the exam in affordable rate so that they do not have to spend money on expensive money
making coaching classes or test taking portals. Over it, Major amount of money from this will be
given in charity to provide education to underprivileged children. If anyone is facing financial
crisis, this coaching is totally free for you.
To ace the exam follow these steps:
1. Before you start, you can see the weight of marks or questions on each subject from
NBDE guide or table I summarized to know your weak and strong areas in order to
schedule your studies.
2. Dental decks as main source (refer text books and videos for tough topics)
Subject Weight of marks (average) Number of cards in decks

acc to nbde guide 2017
endo 31 72
operative 44 124
patient management 51 99
prostho 51 171
orthodontics and 52 63
pedo 94
perio 48 159
oral surgery & pain 47 170
control
pharma 31 234
oral path and 45 183
radio and oral Diagnosis 73
45
Case based 100 16 in booklet
Total number of cards 1442 (approx)
So if you complete 25 cards a day, within 58 or 60 days, you can finish the entire dental decks
for the first time. Try to understand the concepts and try solving as many questions as you can as
and when you read.
3. Mosby for patient management (make sure you understand all the studies etc very well, if
time permits, read it from decks too)
4. Tufts for pharma
5. Kaplan cases
6. Dentin for revision – fantastic book. I strongly recommend. Dentin remains my favourite
till now for part 2.
7. Asda papers

8. Files for revision (my file has almost everything you need, but if you want you can also
go for mango, master files, golden etc. (I have covered them already))
9. Files for pictures called “exam pic” and one in “Master day 2”
10. Work on as many pictures and radiographs as you can
11. Spend an hour at least every day on fb groups or any good discussion forum to solve
questions.
Super important topics
1. Endo or perio diagnosis, pulpitis, periodontitis, abscess, necrosis, granulomas, their tests
etc (I have mentioned a very nice table in the end)
2. Treatment plans
3. Interferences – working non working everything
4. Ortho and pedo cases, malocclusions and treatment plan
5. Flaps, incisions, gingivectomy, grafts, GTR, wall defects, hemisections, root
amputations, etc
6. Studies in pt. management, Cross sectional, observational, case control, clinical trials,
value statistics, errors descriptive studies, etc
7. Implants everything
8. Hue value chroma
9. Pulpectomoy, pulpotomy, apexification, apexogenesis
10. Medical compromised pt management
11. Amalgam class 1, 2, 5
12. Space maintainers and regainers
13. Composites
14. Impression material
15. RPD, designs, RPI, clasps, etc
16. FPD – crowns, preps, bridges
17. CD
18. Sounds
19. Extraction complications, LA complications
20. burs
21. New medicine names
22. treatment plans
23. immunodeficiency cases
24. how to replace cases, by crown or partial or amalgam or what
25. asthma, hypertension, diabetes, thyroid, gardner
26. developmental anomaly, germination, fusion, supernumery etc
27. instruments, files, forceps
28. child behaviour
29. antidotes
30. case study, Which case study tells what.
31. Fluroides: Amount of fluoride in public drink water
32. reinforcement.
33. Bacteria in peridontitis
34. Tooth developement

35. Incisal guidance
36. recent studies
37. LA mechanism
38. erosion, abfraction and attrition cause and treatment
39. antagonist physiologic and competative
40. qns back from pm section in mosby
41. Syndroms
42. Tufts pharma (everything)
43. Cross allergy for anesthetics, know esters and amides
44. Plaque, calculus, pellicle etc
45. kVp, grey scale etc
46. antibiotic prophylaxis new
47. epidemiology/Prevalence of all diseases between different races
48. Pfm and all ceramic preparation
49. cases and tt plan like: decay – tret, don’t tret, observe
50. MOA of drugs
51. patient management about ADHD children
52. drug interactions with epi Bisphosphonates anti hypertensive drugs.
53. Extracting the supernumerary tooth, when, how etc
54. ortho treatment for anterior cross bite, when how etc
55. how to correct patients molar relationship, which were in dental class 2 malocclusion,
class 3
56. ortho – pano, xray, cephalo
57. RCT, bleaching, and crowns
58. Acute chronic periodontitis, anug
59. pulpitis
60. Articulators
61. Cases from board review and kaplan
62. Analgesics, Nsaids
63. H1 blockers
64. la ga, nitrous, everything
65. Sedatives and hypnotics
66. Antibiotics everything
67. Narcotics everything
68. Emergency medications
69. Anti fungal
70. Gerd medications, tb medications,
71. asthma, hypertentions, epi, syncope, shock, pregnant, alcoholic, etc
72. Anti depressants
73. Schedule 2,3, 5 etc
74. Anti diabetic, anti coagulants
75. PT, INR
76. CHF, Angina, arythema, emphysems, laryngeal spasm, syncope, shock, Addison
77. Linea alba, apthous ulcer, candidiasis, Kaposi, Hutchison triad, syphilis, lupus eryth, cav
sinus thrombosis, tracher Collin syndrome, gardner, scarlet fever, ford granule,
pemphigus pemphogoid, scc, bcc, nicotine stomatitis, candidiasis, papilloma, Pyogenic

granuloma, smokers palate, leukoplakia, leukemia, erythroplakia, pulmer Vinson
syndrome, verrucous ca, granuloma, salivary gland tumors, ameloblastic fibroma,
maeloblastoma, AOT, cysts, dentigerous, okc, eruption, nasolabial, nevoid, ecto and
Dentinal dysplasis, Dent. Imperfects, cement osseous, amelo imperfect, osteo imperfects,
neurofibromatosis, neurilemoma peutz jeger, nikolksy sign, steven Johnson,sjrogen,
fissured, geographic tongue, weber syndrome, white lesions etc
78. Le fort fractures,
79. TMJ disorders, MPDS
80. Trigeminal neuralgia, bells palsy
Index (List of sources used to make this file)

Here is the list of books and files that I have referred in order to make this file and important
questions.
1. Textbooks
2. Dental Decks
3. Dentin / Board Busters
4. Mosby
5. Tufts Pharma
6. Kaplan cases
7. ASDA Papers
8. 1000 Q bank
9. Some part of textbooks
10. Files from FB and other sources
11. Golden, mega golden
12. Master files (day 1 and 2)
13. May 2017
14. More recently 04/9/17
15. Recentyrqs 4-11-17
16. More rqs 4/14/16
17. May 11 2017 RQ File covered
18. Reb Ques file
19. questions 072017 | July 2017
20. My… File file | July 2017 | June 9 2017
21. My… File | August 2017
22. August 2017
23. Questions File | September 2017
24. RQ November 2017 File
25. Re… file | November 2017
26. NBDE Pass 2017 RQs November 2017 File
27. nbde pass 2017
28. rqs ( day 1 )
29. Aa’s RQ | December 2017
30. A’s RQ oct 12-13’ 17
31. My Rqs A.. T.. file | November 2017
32. Juz Wish, 8th November 2017
33. N C…’s part 2 File | November 2017

34. 7th December 2017
35. J.. H.. | December 5 at 3:06pm
36. Nb De, RQ's from friend | 8th December 2017 and | Z A. I.. December 4
37. 2016 Continued (imp)
38. 10th December 2017 | Nbde Dental Rq | Rq Dec-2017 file
39. 10th august 2017
40. H… W N…s Rq's. sept 2017
41. U.. S.. rqs
42. 11th August 2017
43. Nbde Aim
44. H… 29 september 2017 | Sept Word
45. RQs 14th Sep 2017.
46. D… s…12th august 2017
47. My rqs
48. T.. RQ – 20 September 2017
49. Z..L.. Rq 19th Sept 2017
50. J.. Nbde October 11 2017
51. NBDE Peri | New RQ |I.. B.. | Doctor RQ | November 18 2017
52. DOCTOR_K RQS | Paris NBDE 10 September
53. 19th October 2017 AJ Mentor | My Qs | AJ questions
54. My RQ's R.. D.. | July 20, 2017
55. Discussion of rq by A G A
56. J.. K.. 20 July 2017
57. R.. H… 20 november 2017
58. R.. C…
59. March 27
60. M.. b.. 14th august 2017 | Marne NBDE July 18 2017
61. S.. V.. Rq 29th August | 25th 26th august RQ
62. Recently-rqs-abril-2017
63. Recently rqs04 /11/17
64. D. H.. – 12th Jan 2018
65. S... December 28 2017
66. R.. G.., 27/28th December 2017
67. S S, 29th December 2017 | Post Xmas file
68. NBDE Goal, 29th December 2017
69. P S Rq (December 22, 2017)
70. P P, December 30, 2017 | My few rem qs
71. J H, December 22, 2017
72. K G 12th January 2018
73. P M 4th Feb 2018,
74. J K, December 23, 2017
75. Y A, 9th February 2018
76. D S 28th December
77. pass nbde 10 feb 2018
78. K F C, 26 Jan 2018
79. H S, 14th February 2018.

80. AT Feb 13th 2018
81. Day 2 cases M 25th August 2017
82. A_s Rq.doc
83. Day two notes.doc
84. Doctor RQ.pdf
85. Mark Goal Qs.pdf
86. May 11 2017 Rq.pdf
87. My file.doc
88. My Qs.doc
89. My s.doc
90. My Rqs A P.doc
91. My questions 072017.doc
92. NBDE 2 Exam Sept WORD.doc
93. Nbde part 2.txt
94. NBDE PASS 2017 RQs NOVEMBER 2017.doc
95. WAY FOR PART 2.doc
96. Questions.doc
97. Recently-rqs-abril-2017.doc
98. Read Ques (1).rtf
99. Read questions ca (1).doc
100. RQ November 2017.doc
101. RQ-Dec 2017.pdf
102. T ques.docx
103. ARROZ CON MANGO.pdf (it’s a really good file, if time permits do go through it)
104. My few rem qs.docx
105. NBDEx2_s RQ.pdf
106. 007.pdf
107. Post Xmas.pdf
108. Money Rqs-Feb.2018.docx
109. S Rq
110. Te Rq
Day 1
1. Stages of AIDS and no. of Leukocyte count. Stage 1: Acute primary infection, Stage 2:
The asymptomatic stage, Stage 3: Symptomatic HIV infection | >150,000
-according to this website CDC classification is below, WHO classification 1) Primary HIV
infection, 2) Clinical Stage 1, 3) Clinical Stage 2, 4) Clinical Stage 3, 5) Clinical Stage 4
According to CDC: Stage 1: Acute HIV infection , Stage 2: Clinical latency (HIV inactivity
or dormancy), Stage 3: Acquired immunodeficiency syndrome (AIDS)
2. Treacher Collin Syndrome ? Deficiency of growth of facial bone and tissues, Small jaw
and chin, Downward slanting eyes, delay development, Malformed ear,mandibular
hypoplasia, hypoplasia zygomatic bone, Defect in all 1st pharyngeal pouch derivatives
Treacher Collins syndrome, autosomal dominant syndrome caused by mutation of
TCOF1. Coloboma is part of a set of characteristic facies that features craniofacial

malformations, such as downslanting eyes, ear anomalies, or hypoplasia of zigomatic
bone and jaw (micrognathia).
3. Ectodermal dysplasia. Cause supernumerary teeth, Anodontia or oligodontia,conical
teeth, slow hair gland growth, Lack of sweat glands, concave nasal bridge, pt. looks older
in age.
4. What is the key factor for a denture to be successful? Stability
5. 4 yrs old child – fluoride supplement? 0.25 to 0.28 ppm
(Very nice chart given about it in master file 1)
6. Infection stage of syphilis? Second stage

7. Optimum treatment for palatal papillary hyperplasia? Electrosurgery
8. What happens when you change from 8’’ to 16’’? ¼
9. 3 canals- which premolar? Maxillary 1st PM
10. Triangular canal central incisor- why? For striaght line access
according to DD 42( 2016-2017) (if not in option then to expose pulp horn)
11. Angles Class II- chances of trauma the most (Class 2 div 1)
12. Most broad spectrum antibiotic? Tetracycline and chloremphenicol
13. Angioedema not caused by which drug? ACE inhibitor (and is Caused by penicilline)
14. Dens in dente? Mostly in maxillary lateral (looks like cingulum on x-ray)
15. One question on SLOB rule? Same lingual opposite buccal
16. Most difficult to floss where? Mesial aspect of max PM1
17. Dental clicking? increased VDO
18. Function of rest? Provide vertical support
19. function of axial guidance? Equals retention on all abutments. Provides reinforcement
and creates a cross-stabilization of the dental arch. Minimize partial denture torsion
forces Allow partial denture to be removed without interference Distributes forces
along the longitudinal axes of teeth. Provides retention by Contact friction between
parallel surfaces on the teeth.
20. Question on horizontal axis of condyle? rotation movement of mandible / Opening and
closing movement
21. As teeth ages, what increases? Hue/chroma? Hue unchanged, chroma increases and
value decreases.
Hue is the individual color of the object, chroma is the intensity of the hue, and valueis
the lightness or darkness of an object. Translucency is the fourth dimension of color
in dentistry
22. Patient wakes up in the morning with sore pain in muscles? Bruxism/Sinusitis? Bruxism

23. Difference between 245 and 330 bur? Length (245-3mm | 330 – 1.5mm, 245 has
sharper angle)
24. Prostaglandin analogue? Misoprostol. (given in open angle glaucoma i.e latanoprost,
and reduce the Intraocular pressure, Bimatoprost)
25. Aspirin and Ginseng? What happens if given together? Bleeding induces
26. Filtration used in X-ray machines? Aluminum. (2.5 mm using 70 Kvp federal norm.
Reduce wavelengths and dose to the patient) (Lead is used for collimination)
27. Compton effect? compton effect increase in wavelength of x rays or gamma rays.
28. Flouride water level? 0.7 to 1.2 ppm (if not in option, 1 ppm)
29. Angioedema? Rapid swelling of dermis,subcutaneous, mucosa and submucosa tissues
Emergency treatment is Intubation and cricothyrodotomy
30. Diphenhydramine- anti motion sickness (Benadryl, also given when pt. is allergic to both
esters and amides. Antihistamin, anti cholinergic, sedation)
31. Difference between snuff dipper and nicotina stomatitis? nicotinic stomatitis lesion
seen on palate due to smoking.....snuf dipper lesion seen on buccal side and it is
mainly due to smokeless tobacco. Snuff--- dysplastic, premalignant, Nicotinic --- non
malignant
32. Pt. sitting with folded arms and legs shaking. What do you say to him? What brought
you here
33. Most commom reason for pt. to have a negative attitude for dental treatment. a) Own
dental experience b) Heard from peer/friends? Own dental experience
34. Clinical test for Rheumatoid arthritis? CCP ( anticyclic citrullinated peptide)
Clinical test - watch toes and fingers - they become crooked, skeletal deformity, The
hallmark feature of rheumatoid arthritis (RA) is persistent symmetric polyarthritis
(synovitis) that affects the hands and feet, although any joint lined by a synovial
membrane may be involved. (wikipedia)
35. Sjogrens syndrome is associated with? Lymphoma
36. Reasons for eruption failure? Ankylosis, primary eruption failure, impaction, down
syndrome, agenisis etc
37. Critical pH for demineralization of dentin? 6.0 - 6.7 for Dentin, 4.5-5.5 for Enamel (6.2-
dentin, 5.5 enamel)
38. Reciprocal anchorage? Stabilization, Reciprocation, Indirect retention, Elastics to close
diastema
39. Diabetes in children can lead to? Blindness
40. B.P. 160/140. Pulse 90. What do you do? Repeat after 15 mins/ call the physician
immediately? Repeat after 15 mins
41. what happens when you increase water in gypsum? Decrease expansion and decrease
setting time.
42. LAP t/t ? Tetracycline 250 mg thrice for 14 days | severe cases- metronidazole and
penicillin (Sc/Rp and antibiotics)
43. Area of least attached gingival? Which tooth? Maxillary canine, mandibular 2nd pm
44. How to check clinically for the prognosis of PDL attachment? Probing
45. Pt. with alcohol abuse? What to check in lab report before extraction? Blood alcohol
level? INR

46. Pain on eating sweet? reversible pulpitis
47. ossifying fibroma? ossifying fibroma encountered in young children often <10
48. Pt receive blow to eye orbital floor less common t/f? True
49. In Facebow transfers relation of arches? In centric/ In occlusion? In centric
50. epinephrine action on which receptor in epinephrine reversal? Epinephrine has effect
on both alpha and beta.. but epinephrine reversal is due to alpha receptor
stimulation. Epinephrine reversal is best demonstrated when it is given after alpha
blocker....which lead to beta mediated vasodilation in peripheral vessels against
vasoconstriction by alpha receptor, so total peripheral resistance is decreased and mean
blood pressure falls.....so epinephrine action on Beta receptor in presence of alpha
blocker causes Epinephrine reversal.
51. initiator in heat cured resin? Benzoyl peroxide
52. cause of brown discoloration of gingival margin of resin restoration? microleakage (still
depends on exact question and options)
53. skewed distribution? Negative and positive.. bimodal distribution. (Positive right peak
and negative left peak)
54. cimentidine function? Cimetidine is a drug that blocks the production of acid by acid-
producing cells in the stomach. Decrease clearance of LA
55. topical antibiotic in perio? Doxycycline
56. child with multiple caries? give GA
57. least congenital missing tooth? Maxillary Canine
58. Gingseng contra with? Aspirin (induced bleeding)
59. Major connector function? Rigidity and stability
60. incisal position during record? Midline of incisal part of upper incisors
61. first pass metabolism? Enterohepatic circulation | Liver - oral drugs
62. Polymerization shrinkage In composite depends upon? Filler content
63. Pulpitis 5 days after class ll composite is due to? Increase occlusal contact, microleakage,
Undercured composite? Increase occlusal contact | Microleakage (if the condition is
after 2-3 weeks, this one goes true)
64. which sound during wax try in? Sibilant | S and Z
65. Least occurrence cyst? Lateral periodontal cyst
66. young female pt with vital tooth canine features with? AOT
67. ortho tipping before of veneering? Before
68. most imp feature of single implant? Anti-rotational (go with osteointigration if in
option)
69. drug biotransformation? Excretion of drug.. by passing through
70. white rough peduncalted lesion on palate? papilloma or fibroma? Papilloma
71. primary and secondary stress bearing areas in maxilla? Primary - Residual alveolar
ridge, Secondary – Rugae
72. primary and secondary stress bearing areas in mandible? Primary- buccal shelf area,
Secondary- residual Alveolar ridge
73. best area for successful implant? ant mandible
74. reason for image distortion? Pt. moved during exposure (Incorrect horizontal and
vertical angulation, technique error)

75. reason for light radiograph? Low Kvp, Ma and exhausted developer and overfixing
76. pedicle graft? When there is recession of single tooth, excellent esthetic, less chance of
failure, good vascularization
77. epi of free gingival graft? Recipient epithelium
78. gingivectomy indication? Gingival hyperplasia, abnormal growth, pseudopockets
present, suprabony pockets
79. gingivectomy contraindication? Infrabony pockets
80. clotrimazole which form torche? Candidiasis
81. topical antifungal? Nystatin and ketoconazole
82. dentist did wrong treatment and didnt tell pt . whats that term? Veracity
83. disc movement first it moves 25 mm click is hear than 5 mm. so what side it goes in 5
mm ? Anterior to normal
84. tooth size and morphology in which stage of tooth development? Bell Stage
85. mandibular denture position in relation to tongue? Below
86. unbunding? dentist seperating treatment charges which actually can be counted as
single procedure whose cumulative is more than actual charge
87. lateral surface of tongue asymptomatic blue lesion in old pt since 5 yrs hemangioma or
varicosities? Varicosities (hemangioma if less than 10 year age)
88. lactating mother sedation drug? Promethazin
89. fever in children drug of choice? Tylenol (acetaminophen)
90. nephrotoxicity by which drug? Aminoglycoside
91. reduced insulin dose in what? IV sedation
92. wheel chair transfer? Sliding
93. desquamative gingivitis? In pemphigus and pemphigoid, lichen planus
94. antibiotic and surgery is treatment for what lap or anug? Antibiotic-lap, Surgery-anug
95. Herpes peak age? 2-5 years
96. difference between affected and infected dentin? affected has discoloration but no
active caries...infected has active progressive caries. Infected always need to be
removed
97. movement for recording buccal frenal area of mandible? Upward and outward

98. opioid allergy? Itching, flushing, hives and dec bp. In Overdose give Naloxone. For
allergic Replace for synthetic opioids. E.g. Tramadol, meperidine. oevrdose causes
resp. depression
99. Pain killer in renal disease? Oxycodone
100. Cocaine? Mydriasis (opioid cause miosis pin point pupil)
101. BDZ antagonist? Flumazenil
102. Neurofibromatosis? Cafe au lauts spots, axillary freckling and lisch nodules
103. Direct retainer uses? Retention/Stability? Retention
104. Which immunoglobulin is concentrated in gingival clevicular fluid? IgG
105. Mandibular canal is on lingual of mandibular 3rd molar, by moving the x-ray sensor
inferiorly and x-ray direction superiorly which way will the canal appear to move: A)
Apical, B) Mesial, C) Distal, D) Coronal? A) Apical
106. Informed consent can have all of the following EXCEPT: A) Informed consent must be
presented in advance of the treatment. B) Informed consent must contain treatment
options. C) Informed consent must be in written form. D) Informed consent must
contain risks and benefits of the treatment? B) Informed consent must contain
treatment options.
107. Which of the following shows the best way of active listening? A) Rephrasing the
listener’s understanding of speaker’s communication. B) Active eye contact. C) By
sounding listener’s concern? B) Active eye contact.
108. Patient complains, “Why do I have to stay here for so long for you to do this, why can’t
you finish it already?” A) Because that’s how treatment works you idiot. B) That’s how
long it takes to provide quality care. C) It seems like you’re upset, may be we can
reschedule you for another day for longer appointment. D) It seems you are upset,
what are your concerns about the procedure we’re doing today?
109. Question on Type – I error, gave the test result value of 0.01 and the researchers
rejected the null hypothesis, what kind of error? Type – I
110. Adolescent have trouble following OHI at home after getting braces. What is the most
effective way to make sure they follow the cleaning regimen? A) Ask the parents to
supervise them. B) Educate them about oral hygiene. C) Give them limited praise with
good progress at each appointment? C) Give them limited praise with good progress at
each appointment
111. Porcelain porosity: Inadequate condensation
112. What do we write the consult for: A) To gain certain information B) To gain clearance C)
To have a better relationship with patient’s physician? B) To gain clearance
113. Child starts throwing fits? Voice control
114. Disabled kid, best measure? Consistency
115. Implant to implant distance? 3mm BL :1.5mm right MD: 1mm
116. Middle-aged male has a fluctuant mass in the midline of neck? A) Thyroglossal duct cyst
B) Brachial cleft cyst? A) Thyroglossal duct cyst
117. What else do S. mutans produce along with dextran after breaking down sucrose:
A) mucopolysaccharides B) macros C) levans D) proteins? C) levans
118. Nerve involved in Bell’s palsy? VII
119. 4mm implant, how much do you need buccolingually? 6 mm

120. Mandibular 3rd molar root lost: which space? Submandibular
121. IAN block needle infection where: Pharyngeal, Pterygoid, medial pterygoid muscle?
medial pterygoid muscle
122. Veneer facial reduction? 0.5mm
123. PFM buccal margin depth? 1.5 mm
124. Patient comes back after 1 year of composite restoration with pain and sensitivity?
Microleakage
125. Radiograph to check integrity of Zygomatic arch? Submentovertex
126. TMJ radiograph? MRI for articular disc
127. Behcet’s syndrome associated with: Herpes simplex, Aphthous ulcers, Leukemia?
Aphthous
128. Bradycardia treatment? Atropine, scoplamine
129. Which is NOT used to inhibit salivary secretion? Pilocarpine or Cevimeline
130. Which is contraindicated in nitrous? nasal congestion (if not in option go with copd)
131. Which of the following confirms the diagnosis of xerostomia: A) location of probing
depths of >4mm. B) location of anterior restorations. (because chemotherapy causes
xerostomia which leads to class V lesions) C) location of partial denture flange.? B)
location of anterior restorations. (because chemotherapy causes xerostomia which
leads to class V lesions)
132. Over titration of Amalgam leads to? fast setting so decreased working time, High
contractility, Increase corosion
133. Cavernous thrombosis infection via? lymphatic vessels. as are on the upper lip is
valveless
134. Patient does not have tooth #11 and has all the premolars, which one has the Worst
Prognosis: A) fixed bridge from #10-12. B) RPD with pontic for #11 C) Implants? A) fixed
bridge from #10-12. (in dd it is mentioned that when replacing max or mand canine ,
the central and lateral should be splinted to prevent lateral drifting of fixed bridge)
135. Metalloceramic crown which type of bevel? Chamfer 1mm (in dd for pfm labial
shoulder is 1.5mm Chamfer is 0.5mm)
136. predominant cells in gcf? PMN
137. cleft palate, mand hypoplasia and tonue obstruction? pieree Robin syndrome
138. Neurofibromatosis type 1 features? Cauflet,Lisch nodules,Crowe sign
139. Radiograph with multiple periapical radiolucencies.( cementosseous dysplasia)? Florid
cementoosseous dysplasia
140. Radiograph of cementoblastoma, stafne cyst? stafne cyst is by lingual, angle of mand,
and it is radioluc, and cementobl is radioopaque, at apical of molars, you can see it at
the mandible angle, but it is tilted to lingual of the angle
141. Sequence of using retraction cords? larger first,000 followed by smaller ones 00
142. Gracey curette 13/14 used for- Distal surface of posteriors (11/12 Mesial ,13/14 distal)
143. girl with gingival bleeding and recurrent infection- leukemia
144. 5 mm intrusion of primary tooth? Extract (final answer according to textbooks. Note
that you can check with radiograph if pressure on permanent bud then extract, if not
leave and monitor, then extract)

145. sodium hypochlorite properties? Root canal irrigant, dissolve s organic substance, not a
chelating agent, so irritant to the oral tisues
146. Reason for amalgam fracture at isthmus? Inadequate depth, sharp angles, irregular
surfaces, too shallow
147. they give child’s age and asked for max dosage of lidocaine? 4.4 mg /kg child
148. ledge what to do? bypass it and continue
149. most common area for caries? pit and fissure or apical to contact? pits and fissures
150. pt came back after a month with discolored margins wat could be the reason? Marginal
leakage
151. Function of reciprocal arm? Resists displacement of tooth due to retentive arm,
Stabilization, prevents abutment tooth displacement during removal and insertion
152. function of anti-retraction valve? One way flow check, it prevents the flow of water
back into dental units
153. What dentist cannot increase? value
154. How to manage hearing disable patients? Talk to them slowly and for them to interpret
155. Dentist performing treatment without patients consent? BATTERY
156. Impending doom? panic attack / anxiety
157. majority of fees paid for dental treatment? SELF PAY
158. Antifungal in troche form? CLOTRIMAZOLE
159. Ludwig angina? Ludwig's angina is a fascial space infection with bilateral involvement
of the submandibular, sublingual and submental spaces. The external signs may
include bilateral lower facial edema around the mandible and upper neck. Intraoral
signs may include a raised floor of mouth due to sublingual space involvement and
posterior displacement of the tongue. Symptoms may include dysphagia, pain with
swallowing, difficulty breathing, and pain.
Ludwig's angina should be treated urgently due to the airway being compromised. The
infection may rapidly spread to other fascial spaces of the head and neck, further
compromising the airway.The route of infection in most cases is from infected lower
molars or from pericoronitis.
160. antagonist for benzodiazepines? FLUMAZENIL
161. Closest speaking space sound? S sound
162. Palatal root of max 1st molar appear mesial to MB root, from where does the beam
projected? Mesial side
163. Efficacy of a drug? max ceiling effect
164. Frankfurt horizonal plane? Porion- Orbitale
165. Two questions on fusion and germination? Fusion two tooth bud fused, giving a
apparently a missing tooth. It has independent pulp chambers and canals.
Germination just one tooth bud trying to split in two. Tooth count is normal. One pulp
chamber but two pulp canals
166. Dry socket mainly in which tooth? Mandibular molar
167. Reason for porcelain greening at cervical margin? Silver. (whole crown - silver, at
margins –copper)
168. Antibiotic for Clostridium difficile? Metro, clinda for G+ve( with few G-ve) coci and
staph but it is static not cidal as Penicillin

169. Penumbra? Causes of penumbra - large focal spot size, movement of receptor or
object, To decrease penumbra reduce focal spot size
170. most common emergency in dental setting? SYNCOPE
171. Deviation of mandible on the opposite side of lesion? Condylar hyperplasia, same side
hypoplasia
172. Patient has cold sensitivity and pain on biting? HYPEROCCLUSION
173. Most common impacted tooth? Mandibular 3rd Molar (least common maxillary lateral)
174. most common congenitally missing tooth? 3rd molars - mn 2nd pm- Mx li. (Maxi 3rd
molar, upper jaw have more tendency)
175. Early loss of primary canines, due to? Severe tooth-arch length discrepancy
176. most common type of seizure in young children? absence of seizure / ferbile, then
grand mal
177. Treatment for grand mal seizure? PHENYTOIN
178. For maxillary protrusion? Maxi protrusion is class 2 so we use cervical/ straight pull.
Reverse head gear is for class 3, i.e madibular retrustion.
179. saturation of color? Chroma
180. Patient was standing along a wall, looking at floor in waiting area, what should dentist
say? What brings you here today
181. question on desensitization? slowly increasing anxiety stimuli while using relaxation
skill
182. primary etiological factor of periodontitis? Plaque
183. most common osseous defect? CRATER (3 wall)
184. One wall defect? Hemiseptum
185. effective way for cleaning large proximal areas? Interdental brushes
186. Denture patient difficulty in swallowing? Increased VDO
187. Blue lines seen on ventral tongue and floor of mouth? Varicose veins
188. At what age child develops manual dexterity to brush without any assistance? 6-9 years
189. Galvanic shock? Amalgam opposed gold
190. Galvanic shock? sharp pain electric sensation when two similar surface come in
contact in mouth. occur immediately after new restoration.
191. Chronic periodontitis, frequently seen in? Black male
192. Diabetes mellitus type 2, mostly in? Black male
193. Recent increase in incidence of which type of caries? Root caries
194. Denture becomes tight? Paget disease
195. Treatment for class 2 furcation? GTR

196. What decides formation of new epithelium at receptor site? Connective tissue of donor
site

197. Success rate of non-surgical endodontic therapy? 81-90%
198. High torque handpiece for implant placemen? Low speed high torque
199. Physiologic antagonism? Epinephrine acts as physiologic antagonist to histamine
200. Transient ischemic attack features? Numbness or weakness of one side of the body,
difficult speak, walk and keeping balance. Dizziness
201. Displacement of mand 3rd molar root tip in? submandibular space
202. A young person can give consent for treatment of an old person if he has? Power of
Attorney of Health care
203. What represent the variability about the mean-value of a group of observations?
Standard Deviation
204. Unbundling? dentist charges separate cost for each procedure rather than charging as
a whole
205. Closed panel? Limited providers, HMO
206. Combination syndrome feature? Flabby premaxilla
Combination syndrome commonly occurs in patients with a completely edentulous
maxilla opposed by a bilateral distal-extension removable partial denture. Symptoms of
the syndrome consist of anterior maxillary bone loss, mandibular bone loss, tuberosity
overgrowth, and alveolar ridge canting. It occurs when a total maxillary denture
opposed to anterior natural mandibular teeth. Features: loss of bone on maxillary
anterior alveolar ridge, extrusion of anterior mandibular teeth, development of fibrous
hyperplasia of maxillary tuberosity, When there is a bone loss of anterior maxilla it's
become flabby with most of the tissue is fibrous and no underneath bone support
207. Sulfur in Latex gloves retards setting time of which impression material? Additional
Silicone
208. Function of plaster index? Preserve face bow transfer
209. Indication of lingual plate? Depth of lingual vestibule is less than 7mm
210. Green and orange stain on maxillary incisor, due to? Poor oral hygiene

211. Treatment of ANUG and Alveolar osteitis? ANUG OH instructions, SRP, ab if general
symptoms, gingivectomy. Alveolar osteitis, dressing. No ab needed and do not
curettage
212. Use of lithium? Bipolar Disorder
213. Least reliable test on primary teeth? Electric pulp test
214. In hairy leukoplakia, there is hypertrophy of which papillae? Filiform
215. Case 1- Patient with prosthetic knee replacement 6 month ago, H/O bypass surgery and
radiotherapy for prostate adenocarcinoma. Taking many medications.
Q 1 Reason for dry mouth? Xerostomia due to medication
Q 2 He need antibiotic prophylaxis for what reason? Recent knee replacement
Q 3 Has a white lesion on floor of mouth..It could be anything except SCC. Verrucous
carcinoma, Nicotinic stomatitis
216. Case 2- Girl 8 years..multiple extracted teeth due to caries, anterior cross bite,
supernumerary tooth
Q 1 When should be treated for cross bite? During erupting
Q 2 Preventive approach for caries? Pit and fissure sealants
Q 3 Maxillary 1st molar tilted (due to early loss of E)..what should be the treatment?
Space regaining appliance / Band and loop
217. Which of these not side effect of methotroxate? thrombosis formation
218. which of these will cause the gypsum to set faster? A:borax B:Na citrate C: k sulfide D:
two of them
219. Missing more than two teeth but not all them? Oligodontia
220. enamel loss is not a symptom for dentin dysplasia? True
221. most common supernumerary tooth? Between Maxillary central
222. most common variable tooth is? Maxillary Lateral
223. most common tooth affected by dens in dente? Maxillary Lateral
224. regional odntodysphagia? Ghost teeth
225. most common type of tooth loss in bulimic pt? Lingual Surface
226. tooth loss due to tooth influx? Abfraction
227. bald tongue and dysphagia is in a risk of developing which cancer? SCC (Pulmmer
Vinson syndrome)
228. problem in CL channel which disease? Cystic Fibrosis
229. crowe sign? Neurofibrometosis type 1 (presence of axillary (armpit) freckling in people
with neurofibromatosis type I, Von ricklengston/ Laryngeal spasm)
230. uniform widen in pdl and bilateral resorb of angel what is the disease? Scleroderma
231. condensing ostetits? Chronic pulp inflammation, Non-vital tooth
232. oral sign with achondroplasia? Normal tooth, crowding and class 3
233. dental problem with decrease Alk pho? hypocalcification with enlarged pulp chambers,
hypophsphatasia, Enlarge pulp and incomplete root
234. x linked associated with thin hait and hypodontia? Ectodermal dysplasia
235. supernumerary teeth with cranial bossing which syndrome? CLidocranial
236. warm bone sign of which disease? Pagets
237. early shedding of primary teeth and delay of perm teeth? Cherubism,
Hypophosphatasia, Hyperthyroidism, Papillon-Lefevre Syndrome, EDS

238. dry and rough hair and enlarge tongue and max over grow associated with?
Hypothyrodism
239. bells palsy which nerve? Facial
240. delay healing associated with all except ( Cushing /Addison/-DM/vit c increase )?
Increased Vit C
241. Ig m hetro diagnosis for? infectious mononucleosis by epv
242. simple question about ledwig angina? Submental, submand and sublingial no retro
pharyngeal
243. most common cause of xerostomia? Medication
244. punch out appearance and m spike? Multiple Myeloma
245. wide pdl and paresthesia and tooth loss with? Osteosarcoma
246. sharp pain increase with chewing? Glossopharangyal neuralgia
247. most common non odonto cyst is? Nasopalatine
248. pear shape cyst is? Lateral Periodontal Cyst
249. calcified flax cerbi with which syndrome? Golrin Syndrome
250. most common cyst? Radicular
251. only way to differentiate bw granuloma and radicular cyst? Histology
252. tennis rackets and honeycomb appearance which cancer? Odontogenic myxoma
253. complex odntoma more in? Post. Mandible
254. most common burn in mouth due to? Aspirin
255. geographic necrosis with kidney problem what is the diagnosis? Wegner
256. most common gland affected by salivary gland tumor is? Parotid (depends on what kind
of tumor, also look for minor salivary)
257. question about necrotizing silometaplasia? Hard palate, no treatment needed
258. question about mucocele easy one? On lower lip, change in size
259. warthin tumor effect which gland more? Parotid
260. periapical cemental dysp more in? (Black middle age female in ant mandible.)
261. location for periapical osseus dysplasia (periapical cemento-osseus dysplasia) is? Lower
anteriors. (it is more common in female and more common than cementoblastoma)
Also note
Florid= all quadrants
Focal= in posterior
Periapical= anterior
Bening cementoblastoma= true cementoma
Periapical cementoosseous dysplasia
Focal cementoosseous dysplasia
Florid cemento osseous dysplasia=Gigantiform cementoma
These are all described as Cementoma
Cementomas comprise Periapical cemental dysplasia , Cementifying fibroma,
Cementoblastoma and Gigantiform cementome. They are poorly demarcated non-
specific opacities are sometimes referred to as florid osseous dysplasia by WHO.
Cementoma: RO lesion with a RL RING. associated with tooth. Root outline of tooth can
not be distinguised. Posterior Mandible Area

Focal Cemento Osseous Dysplasia is a COTTON BALL like lesion (RL with RO focal
deposits) in the posterior mandible and NOT associated with a tooth
262. histology of phemphigus and mmp? Pemphigus Suprabasilar split, Infra

263. lumpy jaw and sulfur granule which disease? Actinomycosis
264. most common infectious stage in syphilis? Secondary
265. hand and foot lesion which virus? Coxsaki
266. which of these has pain same to tooth pain (hsv/vzv/max sinusitis)? Shingles (vzv) can
mimic tooth ache
267. how to differentiate ANUG from primary herpetic gingivostomatits? Anug include
inproximal ginigiva, not in primary herpetic
268. lesion in eye has a name subnour? mmp (mucous membrane pemphogoid) - in dd both
penphigus and mmp will have conjunctiva involvment, but with mmp it may lead to
blindness
269. cobblestone appearance - Cobblestone appearance has been reported in:
Crohn's disease: small and large bowel, candida oesophagitis, Hirschsprung disease,
eosinophilic gastritis, duodenitis, Brunner gland hyperplasia of the duodenum, nodular
lymphoid hyperplasia in duodenal cap, Other disease processes can present with a
cobblestone-like imaging characteristics.
intraluminal adhesions of the fallopian tubes on hysterosalpingography, cobblestone
lissencephaly (in the brain)
270. which taste bud affected in geographic tongue ? Filliform
271. not associated with macroglossia? Hyperparathyroidism / Pierre robin syndrome if
below mentioned info does not help
Macroglossia seen in vascular malformations (e.g. lymphangioma or hemangioma) and
muscular hypertrophy (e.g. Beckwith–Wiedemann syndrome or hemihyperplasia).
Enlargement due to lymphangioma gives the tongue a pebbly appearance with multiple
superficial dilated lymphatic channels. Enlargement due to hemihyperplasia is unilateral.
In edentulous persons, a lack of teeth leaves more room for the tongue to expand into

laterally, which can create problems with wearing dentures and may cause
pseudomacroglossia.
Amyloidosis is an accumulation of insoluble proteins in tissues that impedes normal
function. This can be a cause of macroglossia if amyloid is deposited in the tissues of the
tongue, which gives it a nodular appearance.
Beckwith–Wiedemann syndrome is a rare hereditary condition, which may include other
defects such as omphalocele, visceromegaly, gigantism or neonatal hypoglycemia.
Apparent macroglossia can also occur in Down syndrome. hypothyroid disorders.
mucopolysaccharidosis, neurofibromatosis, multiple endocrine neoplasia type 2B,
myxedema, acromegaly, angioedema, tumors (e.g. carcinoma), Glycogen storage
disease type 2, Simpson-Golabi-Behmel syndrome, Triploid Syndrome, trisomy 4p,
fucosidosis, alpha-mannosidosis, Klippel-Trenaunay-Weber syndrome,
cardiofaciocutaneous syndrome, Ras pathway disorders, transient neonatal diabetes,
lingual thyroid.
272. patient allergic to morphine with sever liver problem and he has asthma the best pain
killer for him? a:ibuprofen b:Tylenol c:mepridine d:codine e:non of above? c:mepridine
273. which of these not side effect of cortisone? a:cataracts b:osteoporosis c:increase gastric
mucousal secretion d: Addison disease? d: Addison disease
274. mechanism of action of sulfouria? block k channel
275. mechanism of action of disulfrim ? inhabit aldehyde dehydrogenase enzyme
276. asprin cause? a:metabolic acidosis b:respiratory acidosis c:metabolic
alkalosis d:respiratory alkalosis e:two of them? E: two of them (resp alkalosis and
metabolic acidosis)
277. Which of these not side effect of methotroxate? thrombosis formation
278. which of these will cause the gypsum to set faster? k sulfide
279. light pass through to through (craze line/crack)? Craze line
280. not in the first line of tx of periodontists (antibiotic/surgery)? Surgery
281. not feature of modify Widman flap (displace/no reduce of osseous defect)? no reduce
of osseous defect
282. most common respiratory problem in dental clinic( hyperventilation / no asthma in the
choices )? Hyperventillation
283. most common cause of amalgam failure is? improper/problem with cavity prep
(contamination for fracture. Reference textbooks and decks. 100% confirm about it)
284. doing FMX and u charged the patient for each one is? Unbundling
285. if u reject null hypothesis and p =0.08? type one error
286. wheelchair? sliding
287. child with furcation involve in tooth number E best treatment is? Extraction
288. best test to test tooth with crown? cold test
289. worst media to save avulsion tooth? Water
290. unuion between tow teeth by the mean of cementum is? concrescnase
291. stumilated salivary flow? 1
292. unstimulated ? 0.1 (if 0.2 or 0.3 are not in choice)
293. clediocranial dysplasia? Supernumerary
294. trapezoidal mouth and shovel incisor? Apert

295. baby bottle decay effect mostly? max anterior
296. most common cause of sealant failure? contamination with saliva
297. Naf for how many minutes should be applied? 4 minutes
298. most common congenital missing primary tooth? Maxillary Lateral
299. the smallest primary tooth is? smallest permanant tooth is mandi central incisor but
smallest primary tooth is mandi lat incisor
300. mesial cusp ridge is longer than distal one in? maxi 1st Pm and primary maxi canine
301. which stage abnormality may cause peg shape lateral? Bell stage
302. two canals mostly in which pm? Maxillary 1st Pm
303. edeta? can remove Thin layer of calcification
304. pulp diagnosis (pain on percussion ) not respond to thermal? A: abscess with irreversible
pulpitis B:reverible pulpitis C:periodontitis D: non of above (cant be A bcoz u will not
see abscess with irreversible just with necrotic pulp effect on vitality)
305. no generation after endo for ? dentin
306. remenrlizer enamel is? harder and darker
307. class 2 caries? triangle and the apex to the pulp
308. 245 bur? longer than 330
309. change amalgam to composite? veracity
(FROM ADA WEBSITE ON VERACITY: 5.A.1. Dental Amalgam and Other Restorative
Materials. Based on current scientific data the ADA has determined that the removal of
amalgam restorations from the non-allergic patient for the alleged purpose of removing
toxic substances from the body, when such treatment is performed solely at the
recommendation of the dentist, is improper and unethical. The same principle of
veracity applies to the dentist's recommendation concerning the removal of any dental
restorative material)
310. cusp reduction? resistance form
311. most lab complain from? under prepare
312. about ¾ crown? Less retentive than complete crown
313. wavelength associated with? Hue
314. Facet found on? working side (Buccal of lower cusp)
315. most strain wall? gingival / proximal

316. composite and bleaching? wait 1 week before composite
317. steroid dose need medical consultant? 20 mg for 2 weeks 2 year
318. Repair veneer? miroetch-etch-saline

319. water and temp effect on gypsum you should know it? increase water reduce setting
expansion and incr setting time, Cold water prolong setting time
320. incisal pen? pin lifted up with records
321. baby with streak on palate? Episten nodule , pearl
322. ameloblasoma from okc? light microscope
323. effect on anemia? cold not no2 (No2 will cause anemia crisis – sickle cell anemia)
324. stridor? Larangyospasm
325. sizuer due to? hypo ( Na)
326. Max dose of Tylenol? 4 gm
327. Tylenol which schedule? Schedule 3 (if with codine)
328. First pass metabolism? Liver
329. Advantage of Iv? Allows for titration of drug, Rapid onset
330. Reverse epinephrine by? Alpha blocker
331. Epi works on which receptor? All Alpha 1,2 and Beta 1,2 blockers (source mosby)
332. Not an alpha blocker? Metaprolol
333. First side effect of beta blocker? Tachycardia or Shortness of breath, weakness or
drowsiness (whichever in choice go according to the order mentioned)
334. Which Anesthesia without epi? Mepivicaine
335. Which Anesthesia not with anemia? Nitrous oxide
336. Allergic to both ester and amide what to give? Diphenydrimine (benadryl)
337. EMLA composed of which two type of anesthesia? Lido 2.5 % and 2.5% prilocaine (
mosby)
338. anesthesia not vasodilator? Cocain
339. Why anesthesia not work in inflame area? Decrease in free ion. (Inflamation will reduce
the availability of free bases which is requred to cross the neural membrane , and
become ionized and charged)
340. First nerve affect by LA? Small unmyelinated, (c fibers)
341. Which trimester contraindicate the No2? First
342. Overdose of LA what to give? Diazepam (alpha blocker if diazepam not in choice)
343. Antagonist of dizpam? Flumszenil
344. Problem in liver which benzo to give? lorazepam oxyzepam Trizolam (LOT)
345. Buspiron which receptor works in? Serotonin
346. Best anti epileptic for absence seizure? Ethosuxemide / valporoc
347. LA contra with which drug (MOA)? LA with epi contra with MAO inhibitors, also with
TCA
348. Omprzoel used for ( GERD or zollinger)? GERD
349. Most common side effect of clindmycine is? pseudomem colitis
350. Mech of action of nystatin? Inhibit ergrstrol, Bind ergosterol form pores
351. Which drug increase the effect of amoxicillin? Clavulonic acid (increase with
probenecid ,Peniciline clearance is slow with Probenecid .Peniciline stay more time in
the body .More effect)
352. Drug not with cimtidine? Seldane
353. Drug not with milk? Tetracycline
354. All of these are antipsychotic exept? lorazpam

355. Eps with which drug except? clozapine
356. Aspirin cuz all except ( hyperpnea /tacypenia/hyperkalemia/hyperthermia )?
hyperkalemia
357. Long time pain killer? naproxen
358. Side effect of cholinergic drug? Excessive secretions, meiosis
359. Tx of motion sickness? Atropin, scopolamine
360. Tx of myasthenia gravis? Neostigmine, pyridostigmine, Pencillin, azithromycin.
(endopronium for diagnosis)
361. Tx of xerostomia due to radiation? Pilocarpin. (Ceviemiline use to treat xerostomia
with sjogren syndrome)
362. Edrophonuim all true except? cause dry mouth
363. Overdose of organophosphate cholinesterase inhibitor? Same effect as cholinergic /
Pralidoxime
364. Dont use cortisone in? Peptic ulcer, tb, fungal infection, HIV
365. Mech of action of diltazim? Calcium channel blocker (Diltiazem produces relaxation of
coronary vascular smooth muscle and dilation of both large and small coronary
arteries at drug levels which cause little or no negative inotropic effect.)
366. Contra for use digoxin? Diuretic , will inc digitalis toxicity
367. Mech of action of heparin? Potentiates antithrombin 3 prevents formation of fibrin
368. Aldosterone antagonist? Spironolactone is a nonselective aldosterone antagonist, and
eplerenone is selective
369. Cyp 34A? Inhibitors are antifungals increases triazolam serum conc/ increases serum
level of trizolam (u should know how drug effect on it from dd only, pg 160
miscellaneous)
370. Tx of glucoma by? Pilocarpine (betaxolol,Latanoprost, Bimatoprost)
371. Aledronate use in treat which disease? Osteoporosis
372. ADHA drug? Amphetamine, methymesilate
373. Overdose of lead tx by? EDTA by chelation ( mosby)
374. Modafinil decrease gaba to improve what? Decrease sleep
375. Side effect of opioid ? Misosis, Sedation
376. Overdose of morphine tx by? Naloxone / Methadone
377. Only opioid can be transmucosal is? Febtanyl, available as lollipop type ( brand name
actiq) for transmucosal absorption, and transdermal patch ( duragesic)( dd)
378. Bluish lesion on lateral surface of tongue 5yr painless what is it varicosities or
hemangioma? Varicosities
379. Dry socket irrigation with antibiotics solx or sedative dressing? sedative dressing
380. Warty lesion? papilloma
381. Maxillary 4 teeth rpd? Mac anterior teeth contacting on protrusion only, at CR, balanced
occlusion, canine guided? Mac anterior teeth contacting on protrusion only,
382. benzoyl peroxide decomposition by tertiary amine in chemically activated resin? True
383. Abx in celluitis with draining fistula yes or no? Yes
384. Antibiotic for sinusitis? Augmentin
385. treatment of ANUG? Debridment and antimircobial rins chx or h2o2, Penc v h2o2
debridement

386. Complication of temporal arthritis? Blindness
387. Where do we use 10% chx varnish? P&f caries prevention, white smooth surface caries
prevention, secondary caries prevention? white smooth surface caries prevention
388. Parkinson's disease, all except? is progressive, always require medication, associated
with intentional tremor, associated with dementia? associated with intentional tremor
389. Tx of parkinsons? Levadopa with carbidopa
390. Amount of epithelial regene. Everyday is 0.5-1 mm? True
391. Chronic periodontitis, class 2 diabetes mellitus-- black males? True
392. Gtr best for horizontal augmentation, class 2 furcatin, one wall defect, class 3 furcation?
class 2 furcatin
393. Gtr-- involves coronal movement of pdl? True
394. Reattachment concept? Reunion of tissue to root
395. Radiographic appearance of precornitis? Flames
396. Cracked tooth? Pain on releasing of biting pressure
397. Epinephrine reversal? Pentolamine
398. Achondroplasia dentition feature? Class three, Max small cz cross bite, severe
crowding. normal trunk, short limbs
399. Ameloblastoma? Benign, Localy aggressive, Reverse polarization, Rl post mn, Extreme
facial deformity, teeth vital, painless, honey comb or soap bubble appearnce
400. basal cell carcinoma? Uper face or Lat side of nose
401. Pain medication for alcoholic pt? Oxycodon
402. Fetal alcohol syndrome? Mid facial dyscripancy
403. antibioticis of maythenia g? Penicillin
404. If no enough space what tooth pop out of arch maxi and mand? maxillary arch- canine
and mandibular arch- 2 pm
405. Xyltol? gum
406. FDA. determines which drugs are to be sold by prescription only? Schedule 2
407. Contraindication of RCT? Uncontroll DM , Recent MI, Luekmia
408. Resistance for short crown? Proximal groove
409. Lazer in periodontal disease? gingivectomy
410. Mepridine? Agonist, narcotic Trt mederate to severe pain, Less potent thn morphine,
more thn codiene, shorter duration of action, sintetic opiod
411. fusion germination? Fusion by all enamel, dentin,cementum, Dec no of teeth in arch,
Gemination spliting of crown, Inc no of teeth in arch
412. Erosion.. attrition? Erosion by acid, Attrition teeth to teeth contact
413. Which study can show incidence? Descriptive
414. Objective fear? Due to previous experience
415. theory of stress and how affect immunity? Induce cortisol and reduce immunity
416. Autonomy. Non mal.? autonomy- patients right, non maleficience- know ur ability and
refer to specialist if necessary
417. thyroid crisis symptoms? Exophthalmos , tachycardia, high BP
418. hypoxia sign? Cyanosis
419. what is the most common psych disorder? Depression
420. Occlusal rest clearance? 1.5 mm at marginal ridge

421. How base metal prevent corrosion? Chromium
422. Antibiotic in gingival? Azithromycin, Doxycyclin, Tetracyclin
423. Consent? Autonomy
424. Leakage in amalgam decrease with age? True
425. systemic desensitization? Grafual exposure to fearful stimuli, exposure can be
combined with relaxation exercises
426. 16 kg anasthesia calculation – (16 x 4.4)? 70.4 mg or 1.9 carpules
427. Most common emergency in dental clinic? Syncope
428. Most common respiratory emergency? Asthma...(if hyperventilation is not in the
options)
429. best filling for class 5? RMGIC
430. insluin shock? If conc oral juce,If not iv glucagon when return conc give oral glucose
source
431. Functions of major connector? Rigidity, support, stability
432. Three dentist hired a hygienist - patient injured by hygienist, whose liability? Hygienist
and attending dentist
433. 3 mm crowding in Mandibular ant permanent teeth? No treatment (No treatment if
less than 4 mm, if greater than 4mm then extraction happen or starts with discing and
then extractions up to serial extractions)
434. Class 2 dea prescription? Oxycodeine+ acetaminophen
(CLASS II is Hydrocodeine + acetaminophen / Oxycodeine+ acetaminophen, -
Hydrocodone + ibuprofen = CLASS III, Hydrocodone + acetaminophen = CLASS II,
Codeine+ acetaminophen = CLASS III, Oxycodone + acetaminophen = CLASS II, although
new guide line said hydrocodone and its combinations is class 2 recently,,,, but still in dd
its class 3 , so follow dd which is written for our exam)
435. Tooth extraction ? 1 day after dialysis
436. Which requires elective root canal? Severely tilted (If severely tilted, preparation of the
tooth for a crown is likely to involve hitting the pulp horn, with the possible need for
endodontics on that tooth.)
(Instances in which Elective Endodontic Therapy of an Apparently Vital Tooth may be
Justified: Many of the radiographic signs are subtle and radiographs must be observed
carefully for: Pulpal exposure. Very deep caries or very deep existing restorations (Fig
23-1a), particularly if associated with any of the factors below. Overprepared tooth
stump (Fig 23-1b). Sclerosing pulp canals, if the sclerosis were to continue non-surgical
endodontic treatment might be impossible (Fig 23-1c). Hypercementosis (although this
can be idiopathic) plus: (i) very deep caries; (ii) very deep restoration; (iii) overprepared
tooth stump (Fig 23-1a). Blushing during tooth preparation (Fig 23-1d) which fails to
disappear within one week when dressed immediately with a steroid paste, for
example, Ledermix (Lederle), for 10 minutes and then with zinc oxide eugenol cement.
This recommendation is based upon the clinical records of 35 such teeth observed, on
average, for nine years, with a range of four to 16 years. Only one of the teeth has
developed endodontic problems. This recommendation requires verification by
controlled animal study. Apical root resorption or indistinct root outline and: (i) deep
caries, (ii) deep restoration, or (iii) overpreparation (Fig 23-1e). Radiographic loss of

cortical plate continuity, including any of the indications listed above (Fig 23-1f).
Periapical sclerosis including any of the indications listed above (Figs 23-1c, e).
Internal/external root resorption (Fig 23-1g and Fig 4-27e). Tooth stump with
insufficient retention or resistance form (Fig 23-1b). A post and core may be required for
a mutilated tooth stump. Parallelism problems that cannot be overcome without the
fabrication of a post and core. Furcation problems requiring root resection or division.
Continued pain following tooth preparation.)
437. Clamp no.212 is used for? class 5 restoration
438. Where to punch the hole? facially , lingually? Facially
439. Class 5 - restoration of choice? Rmgi
440. Most common in man? Diabetes
(Hemophilia can be the answer.. because it's genetic and A and B is more common in
males.. but diabetes more common in man with high cholestrol.. depends on exact
question)
441. Caoh success depends on? Providing 2mm of gic base
442. Which material most stable in moisture? Polyvinyl
443. Wat does not aid in restriction and resistance of crown? Less convergence
444. Tooth crown ration fracture most common with? max CI in trauma horizontal fracture,
mand molars - vertical fracture
445. patient allergic to? Nickel
446. Patient I dun have time to quit smoking? Precontemplation
447. Which is trademark name? Registered
448. Patient disoriention? Epinephrine (Atropine can be too, depends on exact question)
449. Dementia? Short term memory loss
450. Most common disease in old age? depression
451. Lingual flange recorded by? genioglossus it effect the length of flange(dd)
(mylohyoid,geniohyoid,genioglossus,superior pharyngeal constricto all records it.
distolingual extension by superior constrictor and distobuccal extension by masseter)
452. Distobuccal by? Masseter
453. Mandibular buccal frenum which muscle? Triangularis
454. Which sinus involved in fracture Le fort 1? Maxillary
455. Which movement of eye restricted in fracture of floor of orbit? Superior
456. wat is leeway space? max--b/w lateral and canine ,mand -canine and mand 1 st molar
457. Scrap amalgam? Sealed
458. Where is the retentive arm placed? Gingival 1/3rd / undercut / below height of contour
(During placement of clasps in the RPD, there are two arms one placed on the facial side
and placed on gingival 1/3 and other reciprocal one goes on palatal side and placed on
junction of occlusal and middle 1/3 . Reciprocal arm counteract retentive arm each and
helps to prevent the rotation of tooth . reciprocal is made of base metal alloy and
retentive is wrought wire)
459. Metal can be used in denture base for the reasons except? Esthetic
460. The retentive arm of clasp features? retentive arm is rigid ant 1/3rd,semirigid--middle
third,flexible treminal 1/3rd

461. Wat does opaquer porcelain help in all except? Translucent (Opaque porcelain mask
the dark oxide color and will provide porcelain metal bond)
462. Why is gold preferred over amalgam? gold thermal expansion near to tooth and gives
ideal contours,better marginal integrity, more biocompatible
463. Which property is imp for burnishing the restoration? Work hardening
464. The inflamed red spots in smokers palate? Nicotine Stomatitis
465. Most common site of caries? pit n fissure
466. Red complex which bacteria? Ptt (prevotella,taneria,treponema)
467. 0mA 1sec and .5secs same effect of the film. What is the ma? 20 (time is reduced by
half so it will double)
468. 1 film- underdeveloped? Reduced time
469. 16kg girl max dosage of lidocaine? 16 x 4.4? 70.4 (36. 4.4 mg/kg for lidocaine without
vasoconstrictor and 7 mg/kg with vasoconstrictor)
470. Buccal root distal to palatal root. Where was d cone placed? Mesial (SLOB Rule)
471. The bur used to polish porcelain? Diamond (Final answer according to textbooks. Do
not confuse with carbide)
472. The bur with more flutes? Does not cut efficiently and polish efficiently (more flutes
better at polishing and less flutes better at cutting)
473. The type of speed for implant site? High torque low speed
474. The margin on cementum. Which material to be placed in gingival third? GIC
475. Repair of porcelain process? micro etch, etch, silane bonding
476. Melanoma location? Hard palate and Gingiva
477. Cause of mucocele? Rupture of minor salivary duct / Mucocele caused by ruptured
salivary duct, usually due to trauma, seen on the lower lip
478. Treatment of ranula? Excision - Sublingual gland removal ( Because marsupialization
results in recurrence and DD says the treatment is surgical and the entire ranula with
the surrounding salivary gland must be removed or it will recur, I think I would go with
ENUCLEATION or gland excision.)
479. Pierre robin was? cleft palate, retrogbathia, and glossoptosis
480. gardener , 3 symptoms wat is 4th that u wud check? Intestinal polyposis,
supernumerary teeth, odontomas, Desmoid tumor, epidermoid cyst or lipoma. (GI

polyps, multiple osteomas, and skin and soft tissue tumors. Cutaneous findings of
Gardner syndrome include epidermoid cysts, desmoid tumors, and other benign
tumor)
481. Ration of cleft lip in Caucasian? 1:700
482. Chronic periodontitis common? Male black
483. Prevelance can be related with which case study? Descriptive
484. Cause and effect which case study? Analytical
485. Osteomas, glossptossis wat wud u check for? Gardner / Pierre robin syndrome
486. Duct of submandibular gland? Whartons
487. Plastic heat sensitive materials sterilisation? Cold/Chemical like gluteraldehyde 2%
488. Does not reoccur? Aot
489. 12 month rct increase in size of radiolucency all the reason except? Apical scar
490. Moa of suphauryl anti diabetic drug? increase insulin production by stimulating b cells
of pancreas
491. Which can be diagnosed only histologically? Radicular cyst from granuloma
492. After 12 months increase in size of lesion in rct treatment teeth? Healing by apical scar
493. Pulp necrosis type of wat resorption? Inflammatory
494. Cellulitis? Lymphocytosis (In cellulitis the number of lymhocytes increase thereby
causing lymphocytosis.)
495. OSHA blood borne pathogens? msds sheet
496. Placement of pfm crown margin ant? At crest of gingival or (not In between crest n epi
coz it will will interrupt with Oral hygiene making it harder to clean)
497. N d wat makes penicillin allergic? Beta lactams ( Penicilin has beta lactam ring and
some people produce IGE n IGG against them causing allergic reaction, However, the
allergy is ang-anb reaction /beta lactamas is pnc resistive not allergic. So depends on
the question)
498. patient has bcc how wud u tell d patient? Good prognosis
499. Wat is best X-ray for detecting bone loss? Bitewing
500. Most common finding of cherubism? Soap bubble appearance
501. potassium sparing drug? spironolactone (if not in option, then Furosemide which is
HIgh ceiling Loop diuretics)
502. Gingivectomy indications contraindications? inadequate attached gingiva,base of
pocket apical to mucogingival junction (Indication - supragingival pocket,
enlargement, Contraindication - infrabony pocket, inadequate width of attached
gingiva.)
503. facial vertical axis divided? 3 parts (according to mosby)
504. cleidocranial wat is absent? Clavicle
505. most common salivary gland Tumor? Pleomorphic Adenoma
506. consent not taken? Which ethic? Autonomy
507. treatment with out consent? Battery
508. liquid in gic? polyacrylic acid
509. statements true reg zinc poly carboxylate? Chelation reaction with Ca ions (adhesion),
chemical adhesion,high film thickness
510. Reason for incisal guide table? Anterior guidance

511. least strength of ceramic crowns - options - pressed leucite ceramic. zirconia, pfm?
Pressed leucite ceramic
512. most important cause of ceramic crown fracture is due to - all lab procedures like firing,
condensation, insufficient temperature or insufficient time? insufficient temperature
or insufficient time (Yes low tempreture in degassing , will affect the bond and more
prone to fracture card 141 pros )
513. Man has problem with dexterity, what will pt have problem with? floss and brushing?
Floss
514. perforation of root canal which is difficult? 3mm apical to gingival sulcus, 3mm coronal
to gingival sulcus, apical 3rd,middle 3rd? 3 mm apical to gingival sulcus
515. behaviour studies by which author? Freud
516. Pt try to hide fear and anxiety,what we look for to understand it? Micro expression
(micro means expressions under skin). (Macroexpression (means crying))
517. More difficult to handle? Anxiety
518. elderly person physically abused whom should u report? Human health Services
519. kid abuse whom should u report? Social Service (In the pt management of dental
decks, it says it depends by the state - "Once abuse is suspected against a child,
elderly, or disabled pt, it must be reported to the appropriate agency (of the state))
520. what is the primary indicator of accuracy of a border molding on a custom impression
tray?stability ,retention? Retention
521. polyether imp comp? sticks to teeth.
522. Ability of impression compound to be adjusted due to which property? Thermoplastic
523. which of the following imp material will distore the least when it store for 24 hrs? silicon
imp material
524. cheek biting in complete denture caused by? Horizontal
525. The most common cause of cheek biting with dentures is? absence of buccal horizontal
overlap
526. null hypothesis in chi test? True
527. p value in null hypothesis above 0.5 means is? statistical insignificant
528. Purpose of statistical tests in clinical trials is? to reject null hypothesis
529. Which if the following has problem in recall bias? Randomised control study
530. WHich case study used in rare disease investigation? Case control
531. The most predictable for treatment of perio disease? Scaling & root planing
(if SRP not in option, Apically positioned flap is predictable in surgeries)
532. whats the problem if you wanna perform apically positioned flap surgery in th mand
second and third molar? external obligue bridge
533. If correct angulation is present when working with a universal curette then? the lower
shank is parallel to the tooth surface
534. ANUG mouth rinse? Hydrogen peroxide
535. Antibiotic for ANUG? Pencillin v (according to DD) Metronidazole (According to
masters and golden, so depends on the options )
536. Anug is usually accompanied by metallic taste...t or F? True
537. patients with pierre-robin syndrome will have? mandibular retrogranthia, Cleft palate,
and glossoptosis, respiratory problem

538. Which disease does not cause cancer: HIV, HPV? HIV
539. Which pair of anesthetics is most likely to cause cross allergy? Lidocaine and
mepivocaine
540. With age, what increases? Chroma increases, value dec and hue unchanged
541. Orange stain? Changes hue, increases chroma (Mosby pg 361)
542. Yellow stain? Changes hue (DD)
543. What should be selected first when picking a shade? hue
(First pick HUE and VALUE is considered THE MOST IMPORT in shade selection. - DD)
544. Which one can human see? Value, chroma , hue? Value with half eye
545. What does staining do for ceramics? Decreases value.
546. erosion due to acidic foods and drinks is usually found on the cervical? facial
(lingual/palatal goes right if erosion is from inside)
547. Free way space? 2-3 mm
548. open bite or increased free way space = decreased bitting force T/F? True
549. When do you check phonetics for a CD? Wax try in
550. During try-in of CD, which phonetics is used? Linguo-alveolar
551. The most radioresistant cells in the body to of radiation are ? Muscle
552. most Radiosensitive cells? Bone marrow lymphocytes/ small lymphocytes
553. What cells are radiosensitive? Bone marrow cells
554. Which are the most radiosensitive cells in the human body? Basal epithelial cell
(In DBM erythroblast followed by lymphocyte, granulocyte, epthelial cell,
spermatozoid )
555. Most important characteristic for choosing major connector? Stability & rigidity
556. Histogram shows? Variance
557. Hazard communication standard was prepared by? OSHA
558. Pedal edema, dyspnea, orthopnea are signs of? CHF
559. A dentist cannot do what to correct the small discrepancies? manipulate the cement-
water ratio.
560. Dexterity comes by what age? 5-6 years
561. Most common complication of N2O? bronchospasm (if following not in option nausea,
vomiting and peripheral neuropathy)
562. Best bone for implant- d1, d2, d3, d4? D1 and type 2

563. A diagnostic test that correctly identifies 20% of screened patients as being dx?
Specificity
564. What does identify persons with the disease? Sensitivity
565. What causes varices on the tongue? Hypertention
(An association between sublingual varices and smoking, age and hypertension was
found. The prevalence of sublingual varices increased with stage of hypertension,
further confirming the connection to increased blood pressure.)
566. Lady presents with blue swelling under tongue? ranula
567. Picture said: “erythematous, bleeding swelling” mandibular swelling right next to
premolars on R side? pyogenic granuloma
568. Patient with diabetes which finding is not consistent? increase gram negative in
crevicular fluid
569. Most common reason for failure of dental amalgam?Improper cavity prep acc to text
books, (improper prep design- not enough depth, improper titrutration, improper
condensation) (In card 7 opretive said most coz failure is moisture,,, and inproper pre
and not enouh depth is reason o fracture, card 120 oprative)
570. Pt has cranial dysostosis, midface deficiency, hypertelorism and beaten metal
appearnce? Crouzons
571. Automatic defibrillator used in? Cardiac arrest/Arrythimia
572. 8 years old pa ent with nega ve behavior, you use for immobilize? Papoose Board
573. Most convergence in which primary tooth? Mandibular 1st Molar
574. Least antiplatelet NSAID? Colecoxib
575. implants you should know all implant distance
Dist between 2 implants 3 mm, From IAN 2 mm, From mental 5 mm, Tooth and
implants 1.5, buccolingual- 1.5 each side
576. Plaque ph? 5.5
577. Distolingual what is the best filling material? Amalgam
578. The conical shape of pits and fissures caries shows? Two triangles with their bases on
the DEJ

579. Which will show up on transillumination best? Fractured cusp Vertical root fracture
Craze line
580. Patient comes back few months after RCT & Crown with pain upon biting, what
happened? cracked tooth or hypersensitivity? Cracked tooth
581. Neuropraxia: involves both perineurium and epineurium, only perineurium, only
epineurium, none of the above? None of above
Neuropraxia is a disorder of the peripheral nervous system in which there is a
temporary loss of motor and sensory function due to blockage of nerve conduction,
usually lasting an average of six to eight weeks before full recovery.
Neuropraxia is a type of peripheral nerve injury, and is known as the mildest form of
nerve injury. It is classified as a transient conduction block of motor or sensory function
without nerve degeneration, although loss of motor function is the most common
finding. Axonotmesis is a disruption of nerve cell axon, with Wallerian degeneration
occurring below and slightly proximal to the site of injury. If axons and their myelin
sheath are damaged, but Schwann cells, the endoneurium, perineurium and epineurium
remain intact, it is called axonotmesis. Neurotmesis is the most serious nerve injury in
which both the nerve and the nerve sheath are disrupted.
582. Neuropraxia reversible or irreversible? Reversible
583. neuropraxia is permanant nerve loss, in neuropraxia the nerve sheath is damages t/f?
False
584. which salivary gland tumors is associated with neuropraxia (nerve damage): adenoid
cystic carcinoma(ACC)
585. Which of the following glucocorticoids is the strongest? Dexa, Corticoid,
Hydrocortisone? Dexa
586. Disinfectant for dental chair (min)? 10 minutes
587. Le fort 1 fracture? Maxillary sinus (fractures most in le fort 1)
588. Collimation does everything except –reduce pt exposure, reduce operator exposure,
film fog? reduce average energy of x-rays
589. The Dentist completes exam and advises x-rays but the pt refuses. What should the
dentist immediately do? Can decide if treatment can be done without recommended
radiograph but no paper signed by patient can release dentist from liability.
590. Which of the following best explains why the dentist should provide a postpalatal seal
in a complete maxillary denture? The seal will compensate for? polymerization and
cooling shrinkage.
591. damage to the blood vessels as oppose to( nerve , muscles) predisposes a patient to
develop osteoradionecrosis. true or false? True
592. Osteoradionecrosis can be differentiated from osteomyelitis as? Osteoradionecrosis
does not show periosteal reaction
593. The severity of response increases with the amount of X-ray exposure.This effect is
called. Deterministic, Stochastic, Genetic? Deterministic
594. most common recurrent cyst? okc
595. xray for annuerysm cyst? CT Scan (check Picture too)
596. secondary herpes site? Lips (HSV 1 – Lips, HSV 2 - Genital)
597. concentration of apf flouride gel? 1.37

598. Orange stain is important to change chroma or hue? Hue (Value by Violet)
599. Most prevelance? Cleft lip, palate, both? Both
600. Cleft palate prevalence? Palate 1::2000 (lip 1:1000, Both together 1:700)
601. Cleidocranial dysplasia? supernumeraries
602. Retained primary teeth is characteristic for both cleidocranial dysplasia and ectodermal
dysplasia - T/F? True
603. Multiple supernumerary teeth are most commonly found in? cleidocranial dysplasia
604. Hypothyroidism clinical signs? Cold to touch , Thinning of hair, Delayed perm eruption
605. Acromegaly clinical signs? Mandibular Prognathism
606. what is called when u do not take patient consent ?? assault, nonmaleffi, disclosing?
Battery
607. which bur is used for the crown cutting? 245,169,23,7041? 245
608. which forceps is used for mandibular premolar extraction?? 151,150,28? 151
609. Behcets syndrome is associated with ? aphthous ulcers ,herpes zoster, primary herpes?
aphthous ulcers
610. Altered cast technique? Support
611. gracey’s curette no. 13 and 14 used for? Distal Surface
612. After a gingivectomy how does the site heal? endothelium of the blood vessels
613. The gingivectomy approach to pocket elimination results in? retention of all or most of
the attached gingiva.
614. Gingivectomy is used to remove suprabony perio abscess T/F? True
615. Gingivectomy is used to remove suprabony pocket T/F? True
616. Pt. have denture, after 5 years he complains of ulcer and inflammation in lower buccal
vestibule. What is the diagnosis: Hypertrophic frenum or Epulis fissuratum? Epulis
fissuratum
617. Epulis fissuratum should not be removed before the fabrication of new denture T/F?
False
618. what is the cause of epulis fissuratum? over extention (unstable denture correct if c not
in option, DD card 93 prostho)
619. Eosinophillic bone lesion look similar to? Langerhans cell, myeloma? Langerhans cell
620. Two implants difference? 3mm, 5mm, 7mm? 3 mm
621. Angular chelitis caused by vit b deficiency, candidiasis? vit b deficiency,
622. Pregnant sedation – n2o, cholral hydrate, promethazin (N2o contraindicated in 1st
trimester)? promethazin (N2o contraindicated in 1st trimester)
623. Excess interocclusal space – decrease vdo, inc vdo, same vdo? inc vdo
624. Bone morphogeny protein – osteoinductive, osteoconductive? osteoinductive
625. Best graft, autograft + alloplastic graft, allograft, alloplastic? autograft + alloplastic graft
626. Dr says amalgam replace it with diff restoration – beneficience, nommalificience,
veracity, autonomy? veracity
627. Sarcoidiosis similar to – actinic chelitis, fibromatoes gingiva, granulomatous?
granulomatous
628. Multiple procedures cut down to inc reimbursement – unbundling, bundling,
downcoding, upcoding? unbundling

629. r/o diagnosis radioopaque – condensing osteitis, periapical cyst, granuloma, abscess?
condensing osteitis
630. necrotising sialometaplasia ? max hard palate inflammatory lesion
631. table point in child ceph - mand canal, ant ramus, post ramus, inferior border of
mandible? inferior border of mandible (if sella turica in option, select that one)
632. most cardiac collapse in child due to – respiratory collapse, cardiovascular disease?
respiratory collapse
633. crown root fracture most in – mand molar, max incisor, max molar, mand incisor? max
incisor
634. critical ph – 5.5, 7.5 6.0? 5.5
635. ugly duckly space close? distance close by erupting canine
636. platal glands? necrotising ulcer
637. home internal bleach causes mostly – tooth sensitivity, external resorption, internal
resorption? external resorption,
638. Lidweg angina not involv? retropharngeal space, submand, sublingual, submax space?
retropharngeal space,
639. port wine sign? sturge weber syndrome
640. traumatic cyst t/t? aspiration biopsy, excisional biopsy, incisional biopsy? aspiration
biopsy
641. impacted molar which view? PA, waters, lateral skull, ceph? PA
642. find out ACE inhibitor – dicumoral, nsaids, acetaminophen, brufen? dicumoral
643. radiolucent? intermaxillary fissure
644. penetration of electrons depends on? kvp, ma, exposure time, sorce of distance? kvp
645. quality determine by- collimation, ma, half layer curve? collimation
646. carbide bur – less efficient rough, less efficient smooth, more efficient rough, more
efficient smooth? less efficient smooth
647. hypothyroid pt what u seen – cold to touch, seizure, hypotension? cold to touch
648. biotransformation of drug causes – Water soluble, lipid soluble, protein binding,? Water
soluble, threaupetic active (if a not in option)
649. epi in LA causes? inc potency
650. epi nt use in? hyperthyoid, hypothyroid, hypoglycemi? hyperthyoid
651. tmj pain & click 1 week ago and now ok – myofacial pain, subluxation with reduction,
subluxaation without reduction? subluxation with reduction
652. distobuccal muscle? masseter
653. buccal space infection in max with muscle – buccinator, masseter, lateral ptery, medial
ptery? medial ptery
654. condyle side movement with muscle – lateral pterygoid, medial, masseter? lateral
pterygoid
655. cracked tooth – pain on chewing and release, pain on cold, R/D diagnosis? pain on
chewing and release
656. oral wound best treatred with – h2o2, chlx, iodine, alcohol? h2o2
657. new and old cases of smoking is called – incidence, prevelance, relative risk, pupulation
at risk? prevelance
658. dowel is used in restoration used for – retain core, strenghten tooth? retain core

659. max pm1 difficult with mesial concavity best to use- custom wedge, normal wedge,
amaldam recountour? custom wedge
660. implant temp damage for 1-5 min - 55, 47, 30, 50? 47
661. durable amalgam – high copper spherical, high copper spherical admix, conventional
spherical? high copper spherical
662. most hyperplastic alvelor rigde remove for fabricating denture coz – might cause
malignant cancer, good fit of border moulding, disturb denture base nt stable? disturb
denture base nt stable
663. zolvidin? pancreatic
664. thyrotoxic crisis? hyperventilation
665. hyperventilation? tachcardia and tachypnea
666. incisal fracture 3 times veener – inadequate assesement of incisal ridge, lab procedure
wrong? inadequate assesement of incisal ridge
667. fear causes – inc pain tolerance, intensify pain? inc pain tolerance
668. currete mesial of distal root? 11& 12
669. reduce stress hyperglycemia? schedule morning appointment
670. pregnant turn in which position? right hip up, left hip first, supine semirecline? right hip
up
671. crown fell inside the mouth? trendlenberg, supine, recline, semisupine? trendlenberg
672. sealent – deep fissure, cavity, grey discoluration seen inside the enamel, dej? deep
fissure
673. rapid progressive decay- intertubular, dej, enamel? dej
674. no fluoride in water 10 yrs? 1mg per day
675. sterlization resistant – heptatitis B, mycobacterium, streptococcus, staphylococcus?
mycobacterium
676. troch – clotrimazole, fluco, keto, mino? clotrimazole
677. chemical record – mdsh, osha, cde, fda? mdsh
678. penicillin resistant bugs – dicloxacin, ampicillin, cephalosporin? dicloxacin
679. apical abscess & perio abscess difference – percussion, palpation, pulptest? pulptest
680. enamel pearls difficult in perio t/t & it is caused mostly on incisors – both true, both
false, 1st true second false, 1st false second true? 1st true second false
681. which is most rigid – silver palladium, gold platinium palladium, type 3, type 4? type 4
682. difference between primary & secondary trauma – pdl involve, bone support, mobility,
all? all
Secondary trauma from occlusion occurs when the tooth is already periodontally
damaged and mobility was present prior to the supraocclusion.
683. edema in conjuctiva – hypemia, hemmorhage, chemostaxsis? chemostaxsis
684. nt same receptory- physiologic antagonism, competitive antagonist? physiologic
antagonism
685. warfarin potentiate by – saw palmeto, strugwebner? saw palmeto
686. hypodontia affects – alveolar bone, midface, max, mand? alveolar bone
687. petit mall- prevent frm injury, no t/t, phenatoin, diazepam? prevent frm injury
688. perio pblm mostly associated with – cvs, cns? cvs

689. erythromycin mostly sideaffects – g.i disturbance, renal toxicity, hepatotoxicity? g.i
disturbance
690. t/t procedure – definitive evaluation maintainance, definitive maintainance evaluation?
definitive evaluation maintainance
691. cl- 3 restoration? drill large first fill small first
692. Primary untreated? hispanic
693. Oral cancer – white male, black male, Mexicans? white male
694. Apicectomy indication – if convential rct is inadequate, if filling rerct failure inadequate,
almost all rct, if radiolucency exist after rerct failure? if convential rct is inadequate
695. Composite stain t/t –replace, polish, remove upper layer and fill, bleach? remove upper
layer and fill
696. Topical apply? Doxycycline
697. Increase capillary permeability – histamine, dipheamine, histadine? histamine
698. Apexiogenesis success – apex is formed, no pain, no radiolucency? True
699. Chronic abscess t/t 16yrs – endo, pulpotomy, apexification, apexiogenesis? endo
700. Newely erupted teeth? cold
701. Child primary mo do caries t/t – mod amalgam, MO DOL amalgam, mo do composite?
mod amalgam (if Stainless steel crown in option, go with it)
702. Composite compare to gic has better – good translucency, better wear? better wear
703. Composite indirect casting has advantage on direct composite – less polymerization,
more polymers? more polymers
704. Porosity mostly caused by – inadequate condensation, underfiring? inadequate
condensation
705. Cl – 3 bevel – occlusal bevel & gingival butt joint, both occlusal & gingival bevel, gingival
bevel & occlusal 90 degree butt joint, no bevel? both occlusal & gingival bevel
706. Modeling – peer person+positive reinforcement? peer person+giving information
(reinforcement is not modeling, it is operant conditioning )
707. Pt says himself he can cope with dental treatment - Cognitive dissonance, congnitive
restructuring, operant, sensitization? congnitive restructuring
708. Showing Child t/t on other sibling – modeling, sensitization, positive reinforcement,
operant? modeling
709. 10 yrs pt primary mand molar missing which space maintainer – no space maintainer
required, band & loop, distal shoe, removable acrylic? no space maintainer required
710. 5yrs missing second molar missing? Distal shoe
711. Band & loop has nt feature? vertical stop for opposite teeth, causes decalcify after
bands looses cemented, plaque accumulation? vertical stop for opposite teeth
712. Primary incisor 5mm intrude – observation, splint, reposition, splint & reposition?
observation
713. Caries most on primary teeth – distal of first molar, distal of second molar? distal of first
molar
714. Good sugar replace in high caries – xylitol, sorbitol? xylitol
715. Vertical height of face divided into? 3rd
716. Bisphosphanate since 6 months t/t – coronectomy & seal the roots, extn? coronectomy
& seal the roots

717. Bleaching – external resorption, internal, alveolar bone formation, hypercementosis?
external resorption
718. Distance from xray? 6 feet
719. Angle cl – 1 – mesiobuccal cusp of first molar of max in buccal groove of mand? True
720. 4mm exposure – gold foil suture, flap, leave it, antibiotics? gold foil suture
721. Rotation? articular disc & condyle
722. Isolated Expose root surface covered by soft tissuse – fenestration, dehiscence?
dehiscence
723. Immunoglobin in myeloma? m spike
724. Mature plaque? 4-7 days
725. Denture stomatitis nt caused by – allergic denture, medication aminophyline,
candidiasis, inflammatory papillary hyperplasiah? medication aminophyline
726. Papule – small elevation, colour change? True
727. Pain incisor to molar denture flange – traumatic neuroma, neurolemma, neurofibroma?
traumatic neuroma
728. Periapical cemental dysplasia – mand ant, max ant, molars? mand ant
729. Periapical cemental dysplasia? blacks female
730. Lesion om stretch disappear – leukoedema, white neves? leukoedema
731. Most Malignant condition - erythroplakia, leukoplakia? erythroplakia
732. Mucus retention cyst – lower lip, upper lip, gingiva, buccal mucosa? lower lip
733. Chronic inflammation – neutrophilia, neutropenia, lymphopenia, lymphocytosis?
lymphocytosis
734. Chronic inflammation – plasma cell, t-lymphocytes, mast cell, neutrophill? t-
lymphocytes
735. Fda launch drug? random clinical trail
736. Perio related damage? smoking
737. Double blind study nt present –both control group present, minimal bias, pt don’t
known which group he belongs, investigator don’t know which group, All of the above?
All of the above
738. Prophylactic antibiotics with endocarditis – mitral valve prolapse, artrial septa? mitral
valve prolapse
739. Penicillin prescribe causes chills with fever – give erythromycin, add tetracycline? give
erythromycin (if clinda in option, go with it)
740. Least bacteremia – non surgical endo, extraction, srp, implant? non surgical endo
741. Osteoradionecrosis? give pt hyperbaric oxygen before extraction
742. Most stable – pvs, polyether? pvs
743. Periapical radiograph – perio visibility, bone loss, proximal caries? perio visibility
744. Cerebral palsy caused by which nerve – 7, 5, 3, 4? 7
745. Nt used for cast restoration – irreversible hydrocolloid, reversible, pvs, elastomers?
irreversible hydrocolloid
746. Pic like multiple pyogenic granuloma interdental ? ewing sarcoma
747. Lymph node pic in floor of mouth? lymphoepithelial cyst
748. Pic history of new ceramic crown 7 days back two red spots adjacent caused by – herpes
virus, apthus ulcer, chemical burn? apthus ulcer

749. Pic of lesion near lip- recurrent herpes 1, recurrent herpes 2, recurrent apthus,
candidiasis? recurrent apthus
750. Pic of Lesion under denture - irritation fibroma, papilloma, periapical granuloma?
irritation fibroma
751. Target lesion caused by? erythema
752. file number 35 with 21mm length,how much it will be at D16?!! 0.35, 0.67, 0.98? 0.67
753. Centrally muscle faciculation caused by : dantrolene , succynil choline, other unrelated
drugs.? succynil choline
754. Bulemia causes by: erosion, abfraction? erosion
755. sign of "W" on clamp of rubber dam means ? wing clamp, wingless clamp? wingless
clamp
756. laser signature sign? Laser Surgery
757. sliding movmnt of old pat with wheelchair? True
758. which tooth mostly Dense in dent or which tooth mostly has invagination? Maxillary
Lateral
759. least keratinized epithelium seen on ? upper incisor, lower inc,upper pre mplar,lower
premolar? lower premolar
760. pat put aspirin on his teeth and effect on bucal site is? edema, necrotic,
hyperkeratinised? necrotic
761. more than 1/3 of cusp to cusp distance? onlay,inlay,full cr.? onlay
762. pat is very old,need extraction. what pain killer you NOT give for moderate pain relief?
tynelol, ibuprofen,meperidine, aspirin? meperidine
763. midazolam side eff? dry mouth
764. woman came back to do rest of tx. this time you see bruise around her eye.what do you
do? you call policed, you ask ur assistant to ask pat what happened to her, you start
interview pat and document all she says, you ignore and continue the tx? you start
interview pat and document all she says
765. Alkylating agents anticancer drugs? Methotrexate
766. phenytoin for ? grandma
767. ginseng aspirin intraction? Increase the anticoagulant effect
768. emphysema sympt? symptoms of emphysema include shortness of breath, wheezing,
coughing and chest tightness or pain. Other less common symptoms are loss of
appetite, weight loss, depression, poor sleep
769. Blue Sclera Que seen in what? Osteogenisimperfecta
(Blue sclera is seen in OI, marfans syndrome, ehler danlon syndrome, alkaptonuria and
fetal rickets)
770. fluride amount in drinking water ? 0.7 to 1 ppm
771. MUBL? for retrusion
772. DUML? for protrusion
773. nitrous oxide prohibited in : nasal congestion or sickle cell anemia? nasal congestion
774. dry socket tx: curratage, sedative pad inside? sedative pad inside
775. dental lamina formation in uterus at which month? 4, 6 weeks, 8? 6 weeks
776. dental gypsum more water to powder ,what happens? increases setting time, less
expansion

(check DD card 61 opretive of new version , its mentions the same info again in right
way, inc water ratio, will dec setting expansion and retard setting time( long time) also
increase in temp accelerates setting time)
777. unbundling? Separate payment
778. upcoding? Charge more than dentist works
779. difference btw bur 245 vs 330? 245 longer
780. case 1: little girl 9 1/2 yrs old (w/ unerupted canine and pm) .this child has allergy and
taking cetirisine.
wat side effect this drug has: internal staining,ext staining,dry mouth? dry mouth
teeth age of this girl which still is with have not erupted canine? which is older than
8,younger than 8... Below 9 years? Below 9 years
this girl had lots of caries too on occlusal and Mes and distal of posterior teeth.
which tx: amalgam,composite ,ss crown? ss crown (if caries involves more than 1
surface, go with SSC acc to DD)
781. Case 2: woman pat 48 yrs old w bells palsy which happened a month ago: effect of
bells palsy how it recovered. wat do you say to pat? it will healed , self limited,
healed by partially problem, permanent problem..? self limited
782. Case 3: 68yrs old man w/ lots of meds and condition, angina, bis phosphonate.. he
needs extraction. prophylaxis?
time of extraction?(relating to bisphospho)? hyperbaric oxygen Therapy 3 months to
extration
783. Epithelium comes from? the donor site. (blood supply from recipient)
784. Dexterity- to do with flossing? 5 years for brush and 8 years for floss.
785. If lack of dexterity can’t do? interproximal floss
786. Perio v/s endo abscess- pulp testing,lat percussion? Endo abscess - most probably pulp
necrosis EPT. Perio abscess lateral percussion tooth might be vital or non vita
787. Opaque porcelain function? mask dark oxidized color
788. Methotrexate? anti cancer drug folic acid inhibitor
789. What is battery? Treatment without informed consent is battery Autonomy
790. Ectodermal dysplasia? Oligodontia, spairse hair
791. Diabetes commonly found in which ethnicity? Black males
792. What causes cervical discoloration of PFM? copper, ag.plaque.? copper (margin copper,
rest silver according to dd)
793. Flame shaped radiolucency above an unerupted third molar? pericoronaritis
794. Safe drug in pregnancy? acetaminophen
795. Safe drug in breastfeeding? acetaminophen
796. Prolong use of Aspirin can cause? acidosis
797. Pathology? Leuckema, compound odontoma, leucoplakia? leucoplakia
798. Failure of which stage of tooth development affect Number of teeth? initiation (size
and shape in-morphodif)
799. which disease lead to MI? trombosis
800. acute adrenal insufficiency? Hypotention (Because low cortisol)
801. Low contrast? kvp
802. Which doesn’t recur? AOT

803. Antibiotic treatment? LAP
804. Seizures grand mal? Phenytoin
805. petit mal? enthosuximide
806. Overdose cocaine? mydriasis
807. Overdose opioids? miosis
808. Class 5? GIC
809. Short clinical crown, what to do? proxy grooves if lack F-L resistance (prostho decks –
Buccal - retention. Proximal – resistance)
810. Most common emergency? temporal arteritits
811. Pedunucleated leision? SCC
812. Dry socket? sedative dressing
813. benzoyl peroxide decomposition by tertiary amine in chemically activated resin
self cured? True (camparoquinone in light cure)
814. Complication of temporal arteritis? blindness
815. Gtr best for? one wall defect (Class 2 furcation)
816. Gtr? involves coronal movement of pdl
817. Pain medication for alchoholic? Acetaminophen
818. Fetal alcohol syndrome? Cleft lip
819. Contraindication of RCT? vertical root fracture
820. Resistance for short crown? proximal grooves
821. Lazer in periodontal diseases use for? sulcular debridment
822. Erosion? acids
823. Attrition? tooth to tooth
824. Objective fear? after previous painful stimulus
825. thyroid crisis symptoms? hyperT – HR - hypoxia sign - cyanosis
826. value? negative calculation
827. Antibiotic in gingival? tetracyclines
828. Consent? Autonomy
829. Wheelchair? sliding
830. How base metal prevent corrosion? chromium
831. what is the most common psych disorder? Depression
832. Leakage in amalgam? decrease with age
833. systemic desensitization model? hierarchy of slowly increasing anxiety stimulus
834. 16 kg anasthesia calculation? 70.4
835. Most common emergency in dental clinic? syncope
836. Most common respiratory emergency? Asthma
837. function of major connector? stability
838. primary stress bearing areas in mandi dentures? Buccal shelf, residual alveolar ridge
839. In USA most dental pay is? out of pocket
840. Which is more important? Chroma, value? value.(Value is VIP and choosing process is
HUE first then VALUE then CHROMA)
841. Which show saturation of color? chroma
842. Radiation? water lysis
843. Facebow transfer? Centric

844. Acron vs non-acron? One of it performs all the jaw movement the other one is
restricted n limited. It's advantage is that it simulates anatomy over the nonarcon.
AR-CON= AR(ticulator) CON(dyle)
NON AR-CON = you guessed it. (- simple hinge -semi-adjustable (hanau, artex,
panadent etc) (arcon and non-arcon lie here) - fully adjustable)
845. Dental lamina appears at which week? 6th week
846. Distolingual extension of mandi denture which muscle? sup constrictor
847. Incisal edge of anterior teeth touch where? vermilion border
848. Bur for burnishing porcelain? diamond
849. Sodium hypochloride does all except? Chelation
850. Impresion material moisture tolerant? PVS
851. Behcet's syndrome associated with? Aphthous ulcers
852. High school children have? marginal gingivitis
853. Ginseng contraindicated with? salicyclic acid
854. Erosion? gerd
855. Contraindication for nitrous oxide? nasal congestion
856. Best place for implant? ant mand
857. Solution to keep an avulsed tooth? hanks (worst water)
858. Aplastic anemia? chloramphenicol
859. Pseudomembranous colitis? clindamycin
860. Therapeutic effect? safety
861. Not to do w asthma? Give Oxygen
862. No contraindictation w asthma? Nitrious oxide
863. Gingival graft contraindications? pocket below alveolar crest, thin attached gingiva
864. Which LA is good without vasoconstrictor? Mepi
865. Bipolar disorder? lithium
866. On which receptors Epi works? a1 a2 b1 b2. (reverse epi on a1)
867. Morphine overdose? naloxone
868. Porcelain porosity? Inadequate condensation
869. Unbundling? Separate prices
870. most commonly used TCA? Amitryptyline
871. cocaine produces vomiting by ? activating CTZ in brain
872. H1 and H2 receptor? H1 - competitive antagonist, H2- blocks receptors
873. H1 blocker (Antihistamine) will increase acid secretion T/F ? False, it decreases
secretion
H1blocker( Antihistamine)--decrease allergic reaction.H2 blockers decrease stomach
acid secrection(Famotidine,Ranitidine) used in peptic ulcer disease or GERD
(gastroesophageal reflex disease
874. Down Syndrome? macroglossia
875. Ectodermal dysplasia? scarce hair
876. Patient smokes pipe and has red bumps on palate? Nicotine stomatitis
877. Arch discrepancy after loss of which tooth? Mandibular canine
878. Space discrepancy after loss of which tooth? Mand 2nd molar
879. Which is NOT used to inhibit salivary secretion? Pilocarpine

880. Osteogenesis imperfecta with? DI
881. Rapport? active listening
882. Caries not depend on? qnty of carbs
883. Radiograph id? tip of the nose,external auditory meatus
884. Cavernous thrombosis infection via? anterior triangle
885. Tooth mostly involved in perio relapse? Max 1st molar
886. Warfarin test? PTT
887. Why you do not use fovea as indicator? it blocks minor salivary glands
888. Craze lines? Translucent
889. Sausage like appearance on radiograph? sialolithiasis or sialodenitis or
Sialodichitis? sialolithiasis
890. Attached gingival? Enough for gingivectomy
891. Antiretraction valves? prevent crosscontamination
892. composite and bleaching? wait 1 week before composite
893. Ortho treatment? before veener placement
895. Osteosarcoma? PDL widening
896. Most common Impacted tooth? Third molars then maxi canines then lower 2nd pm
897. Ludwig angina spaces? Submandi, sub lingual, sub mental
898. Xerostomia? due to medications
899. Most common cyst? periapical
900. Warthin tumor which gland affects? Parotid
901. Sulfur granules? actinomycosis
902. Multiple myeloma starts? bone pain
903. Not vasodilaltor? cocaine
904. Not a blocker? metoprolol
905. No nitrious oxide? in 1st trimester
906. Liver problem what can you give? Lorazepam (LOT – lora, oxa tema)
907. Cooling? while implant placement
908. Cervicular fluid cells? PMNs (Gingivitis: initial – pmn, middle- lympho, later- plasma)
909. Perio success? establish epithelial attachment
910. Opioid? mu receptors
911. Full dentures clicking? increased VDO
912. Carcinoma vs carcinoma in situ? no invasion
913. Fungal infection? nystatin
914. systemic fungal? fluconazole
915. erythroplakia? carcinoma in situ
916. open bite? le Fort 1
917. Most allergic metal? nickel
918. Frankfort line? Horizontal line Prion to orbitale (occlusal rim – should be parallel to alla
tragus or campers line)
919. labiodental sounds? labioden--f,v,ph --determine position of maxi inci edge,
linguodent--this,that--determine ;labio-lingual posi of anteri,
linguoalv--vertical dimen, vertical length of anter

Labiodental sound(fricative)-f,v,ph
R formed by maxillary incisor contacting the wet/dry line of mandibular lip.
This sounds help determineing the position of incisal edge of maxillary anterior teeth.
Lingudental sounds-this, that,those
Help determineing the labiolingual position of anterior teeth.
Lingualveolar sound (sibilants )-s,z,sh,ch,j
Help determineing the vertical length and overlap of anterior teeth.
920. Open apex tx? Pulpectomy for permanent and caoh / apexification for primary
921. Mouthguard? MPDS
922. Polyether? sticks to teeth
923. RPD connector fracture? do soldering
924. Traumatic neuroma? mental nerve region
925. Secondary herpes? Heals with scar.. vesicles precede, Non keratinized mucosa
926. Primary mand 2nd resembles? Permanent mandi 1st molar
927. Access opening for mand molar? Trapezoid
928. MWF? reduce pocket lining
929. No gingivoectomy? with thin gingiva
930. Drug testing? clinical trials
931. Cohort study,cross -sectional study? Cohort fatal, Prospective follow group of people
over time and see who develops the disease, Retrospective study a population or
community that have ,had exposure
932. where you give GA? When 2 year old kid needs lot of restoration
933. Fearful patient how you respond? tell show do
934. Introduce instruments and tools Desensitization gradually? true
935. Desensitization Smokeless tobacco? verrucous carcinoma
936. Fracture w paresthesia? angle of mandible
937. Space between implants? 3 mm
938. Space loss after loss of which primary tooth? Mand 2nd molar for space loss
(Canine for midline shift)
939. disadvantage of widman flap and know the procedure of widman flap? Does not
eliminate pocket, and does not increase attached gingiva
940. bacteras in red complex? Denticola, p.gingvals, T. Posynyhes

941. predominant cells in gingival cervical fluid? Leukocyte(neutrophils)/ PMN
942. composite is intact but discolored what will u do? Redo (coz Polish and repair will cause
microleakage)
943. cementoosseous dysplasia ? more in ant mand, middle age African females, non
neoplastic radiopaque (Know if You have to choose exception)
944. cleft palate , mand hypoplasia and tonue obstruction? pieree Robin syndrome
945. Gardner syndrome and puetz jeghers both are pigmented lesions? True (and both cause
polyp at different location)
Gardner syndrome consists of adenomatous polyps of the gastrointestinal tract,
desmoid tumours, osteomas, epidermoid cysts, lipomas, dental abnormalities and
periampullary carcinomas. The incidence of the syndrome is 1:14,025 with an equal sex
distribution. It is determined by the autosomal dominant familial polyposis coli gene
(APC) on chromosome 5.
Gardner syndrome can be identified based on oral findings, including multiple impacted
and supernumerary teeth, multiple jaw osteomas which give a "cotton-wool"
appearance to the jaws, as well as multiple odontomas, congenital hypertrophy of the
retinal pigment epithelium (CHRPE), in addition to multiple adenomatous polyps of the
colon. Gardner syndrome is also associated with FAP (Familial Adenomatous Polyposis)
and may manifest as aggressive fibromatosis (desmoid tumors) of the retroperitoneum)
946. neurofibromatosus? Presence of axillary armpit freckling in people with
neurofibrometosis type 1, café on late
947. gardener syndrome? pigmented lesions, cause pulp polyp, delayed eruption
948. multiple periapical radiolucencies? cemebtoosseous dysplasia
949. what make penicillin allergic? Hypersensitivity reaction (not B lactamase coz it is added
in 3rd generation but allergic reaction is present since first generation)
950. montelukast drug moa? blocks the action of luekotrines, Mast cell stabilizer
951. antidepressants ? serotonin
952. girl with gingival bleeding and recurrent infection? leukemia
953. least recurrence? aot,odontogenic myxoma,ameloblastoma,okc? AOT
954. dentist and placebo? A sugar pill often taken by participants in a medical study.
Patients taking a placebo are compared to patients taking actual medications.
955. dentures major connector function? Stability and rigidity (rest is placed on mesial)
956. In what position we measure physiological rest position? upright
957. when you put occlusal rest set of direct reatiner mesial or distal to edentulous area?
Mesial (mesial side if distal to edentulous and distal side if mesial to edentulous)
958. what happen if temp of developing solution is too high? Dark X Ray as it is over
developed
959. 8yr old boy ..crowding in insicors ...canines r yet to erupt ..what to do ??extraction of
primary canines ..stripping ..? place lingual Arch and observe. ( if they ask to select
one, go with just observe, and Lingual arch and observe if crowding is above 4mm, If
crowding less than 4mm we do stripping of ant teeth (only ) we don't strip post teeth)
960. best way to gain max info about pain? tell me about ur past dental experience
961. spontaneous pain at night pt wake up, had lingering pain from cold from a week?
irreversible pulpits or pulp necrosia? Irreversible Pulpitis

962. patient was having diastema, what is that radiolucencies between upper incisors?
intermax suture inciaive canal and follicle of mesiodense? follicle of mesiodense
963. impression material their hydrophobic and phallic properties? (Polyethers are
hydrophilic according to decks, polysulfide pvs condesation siloxanes r hydrophobic,
best material pvs)
964. inc water powder ratio in gypsum does what? Increase setting time, decrease
expansion
965. Patient came in to the office with fingers pressed on his tooth saying it’s painful all
night, you plan to do emergency pulpectomy but right when you start giving anesthesia
patient says i had miocardial infarction 3 months ago and i am taking medicine for that,
what would be your plan then? Give painkillers only
966. which bur is not good for polishing porcelain? Carbide
967. distance between implants? 3 mm
968. adv of implant over fpd? Implant conservative single tooth replace no need for
abutment, conservation of tooth structure and ridge
969. 5 mm intrusion of primary tooth? extraction (because if we do no tt, it will cause
necrosis. If it is less than 3mm intrusion in primary then leave it)
970. sodium hypochlorite properties. Which of the following properties of sodium
hypochlorite is the most undesirable? Toxicity to vital tissue
971. after crown on mand molar mandible gets deflected to working side .. mention cusp and
inclines of mandible involved? Facial cusp, lingual incline
(working side interferences on the lingual incline of buccal cusp of maxillary molar and
on the buccal incilne of lingual cusp of mandibular molar. for working side its bull rule
but remember in non working its its lingual incline of buccal mandibular and rarely
maxillary used)
972. wear facets on lingual incline of maxillary lingual cusp and facial incline of mandibular
facial cusp on left side? right non working side interference best way to dec fear of
child ? sit down to child's level
973. dentist ask a child u want me to help you to sit on the chair, how to define this situation
? perceived, helplessness? Perceived
974. 35 -tooth most involved in vrf (vertical root fracture)? Mandibular 1nd Molar
975. Most probability of vertical root fracture? excessive obturation forces
976. Treatment of VRF(vertical root fracture)? extraction , endo contraindicated
977. What allows tooth to light up under transilluminatuon? Craze
978. Treatment of HRF? 100% oxygen
979. most imp in prognosis of tooth? clinical attachment
980. The base of the incision in the gingivectomy technique is located? apical to the
periodontal pocket
981. pain on biting? cracked tooth
982. adv of stainless steel over ni titanium? Fracture resistance
983. mod amalgam, fracture on occlusal surface but not at isthmus wat to do? polished out
of occlusio..n observe .. take mo do piece separate? Redo

984. differentiate between irreversible pulpits and pulp necrosis? (Necrosis pup is dead pulp
and not respons to pulp test, While irreversable pulpitis is vital inflamed pulp and
response to pulp testing)
Pocket is always associated with Periodontal Abscess, whereas Cavity is always

associated with Periapical Abscess, Periodontal abscess is related to vital tooth, unless
it's an Endo perio lesion. Whereas Periapical Abscess is related to non vital tooth..
985. shape of mand access prep? Trapezoid (max molars- triangular, max premolar - oval)
986. if pt injects la intravs wat will happen? tachycardia
987. childs age - max dosage of lidocaine? multiply it with 4.4
988. drugs that Dec salivation? Atropine
989. ledge wat to do - bypass it and continue with ...use larger file to get rid of it...use bur to
get rid of it? Bypass it and continue
990. what band and loop does provide? vertical stop
991. collagenase and elastase by which bacteria? Porphyromonas gingivalis
992. cervical burnout? vertical boneloss+ furcation involvement, osseous craters
993. Cervical burnout? is a radiographic entity giving cervicalarea a radiolucent appearence
mimicking caries
994. pt had less caries risk ..having stains and catch ..wat to do? observe or gic? gic
995. most common area for caries? pit and fissure or apical to contact? pit and fissure
996. bacteria in 2 day of plaque? Gram positive Cocci (streptococcus mutants and sanguis)

997. angle of instruments in srp? 45-90
998. most common reason for amalgam failure? preparation
999. common reason for failure of composite in posterior? Occlusal wear
1000. venner break down, How to fix back? microetch etch silane bonding
1001. treatment plans on anterior teeth like pfm crown? All ceramic
1002. how water contamination affects amalgam? Delayed/ Hygroscopic expansion
1003. proximal retention of amalgam? Dovetail
1004. probing depth increases in gingival inflammation? true
1005. axial walls on only? Divergent
1006. what can't be used as retainers in fpd inlay only partial crown full crown? Inlay
1007. potassium sparing diuretic? Spirolactone and amiloride | toxic effect it hyperalkemia
1008. Primary tooth with shortest occlusal table? max or mand molar? Maxillary first molar
1009. pt came back after a month with discolored margins wat could be the reason?
Microleakage (if comes in 3 days, reason is amines)
1010. wat opaque porcelain doesn't do? Mask oxide layer or meta bond
1011. cusp involved in non working interference? for working side its bull rule but remember
in non working its its lingual incline of buccal mandibular and rarely maxillary used)
1012. function of post? Retain core

1013. in case history pt is receiving floridated water ...but having plaque ....treatment options
- add more floride ...floride gels ...oral hygiene reinforcement? Sealent
1014. football player use mouth guards ..now he is having pain ..and he is not able to open
jaw in the morning ? myofacial pain syndrome
1015. rubber dam holes, highest chance of leakage? Holes too far
1016. abscess? penicillin vk
1017. composite with stains and pits ..but other wise intact ...wat to do? Redo
1018. liquid in gic? Polyacrylic Acid
1019. color stability? tegdma
1020. irm Zoe with? pmm
1021. what is not used for cast? Irreversible or reversible impression material? Irreversible
1022. safety valve of no? allow 70 percent of nitrous oxide and 30 oxygen
1023. characterstics of autistic child? Unable to focus and follow commands, repetitive,
1024. why v record protusive relationship? to adjust condylar guidance, compensatory curve,
incisal guidance
1025. after dpc (direct pulp capping)? place gic liner over caoh
1026. where to place retentive arm? Retentive terminal alone below ht of contour at
junction of middle and gingival third
1027. hyperactive, sensitive to light
1028. Cardiac arrest in children? Respiratory depression/ fluoride poisoning
1029. minimum anc count for surgery? 15,000
1030. topocal antifungal options fluconazole clotrumazole miconazole griseofulvin?
clotrumazole
1031. does premedications required in cardiac stent murmurs pt had knee replacement within
2 years ? NO
1032. distance for lateral cephalometric? 15 feet
1033. tooth removed socket tissue is examined, they found lymphocyte neutophills and
hemophiillc precursors? leukemia
1034. tooth removed, tissue is examined, they found inflammatory cells granulocyte etc? scar
cyst granuloma? granuloma
1035. pt had fracture and numbness on side on nose cheeks...fracture site? floor of maxillary
sinus roof of orvit ..medial wall of maxillary sinus ...? Medial wall of maxillary sinus
(because its le fort 2)
1036. half radiolucencies line on ramis ..identify ..fracture , air space..? Fracture
1037. quality of x-ray is good or poor? poor
1038. bacteria present in gingiva in anug when tissue is not necrosed ..? rods cocci
spirochetes? Cocci
1039. how to differentiate between Apical and perio abscess? EPT
Pocket is always associated with Periodontal Abscess, whereas Cavity is always
associated with Periapical Abscess, Periodontal abscess is related to vital tooth, unless
it's an Endo perio lesion. Whereas Periapical Abscess is related to non vital tooth.. For

treatment plan of endo perio lesion, here is a very nice image that says everything:
1040. pt is having asymptomatic brwoun macules on buccal mucosa, Melanocyte

proliferation? inc melanin deposition
1041. heat sensitive instruments sterlised by wat? glutaraldehyde
1042. if prostaglandin is not there what will not happen? antipyresis dec blood flow to kidney ,
platelet inhibition? Platelet Inhibition

1043. antiepileptic is used in which condition? Trigeminal neuralgia
1044. from where v can get large piece of graft ilium , ribs? Anterior iliac crest graft
1045. least resistant to fracture? high leucite
1046. how the position of mand foramrn shift relative to occlusal plane in kids? Below
occlusal plain in kids
1047. antiviral for hsv cmv vzv? Acyclovir
1048. bisphosphonates is not used in? Osteomyelitis
Bisphosphonates are currently used in the treatment of osteoporosis
(postmenopausal and steroid-induced), hypercalcemia of malignancy, Paget's disease
of bone, multiple myeloma, and skeletally related events associated with metastatic
bone disease in breast, prostate, lung, and other cancers.
1049. kidney transplant, How to check it's failure initially? Dec renin creatnin uric acid
1050. drug conjugation.? More ionic, polar water soluble
1051. Pt wth lower denture trauma at mental foramen region what disese? Neurofibroma
1052. Pt recive blow to eye, orbital floor less common t/f? False
1053. Tongue blade appliance use for?? Ant cross bite? True
1054. Mouth brether class 2 or 3? Class 2
1055. face bow transfers relation of arches? In centric
1056. Bleeding after tooth extraction? May be from nutrient vessels
1057. Most common site(s) for contact stomatitis? All Side of tongue, Hard palate, and
Gingiva
1058. Is side of tongue involvd??? Yes
1059. Light ortho force can cause?? All Undermining resorption, Root resorption, and PDL
changes
1060. Reduce setting time of amalgam by? Use spherical alloy
1061. Polymerization shrinkage In composite depends upon? Filler content
1062. Which resorption in avulsed tooth? Inflammatory resorption
1063. If superior. post.alv.n block,which procedure can be done? extraction of 2nd Mx molar
1064. complete full moth extraction done,black blue color seen on neck,what is it?
Haematoma
1065. which resorption is due to Implant? NO resorption
1066. Aging pulps show a relative increase in? fibrous elements.
1067. An old patient came with a slowly growing swelling in the angle of the mandible, On
radiograph there is radiopaque lesion with radiolucent border. Whats your diagnosis?
Ossifying fibroma
1068. a patient comes with severe throbbing pain. The tooth is elevated with mobility. The
tooth is compressable in the socket. Diagnosis? Acute exacerbation of chronic
periodontitis
1069. tongue blade appliance is used in? tongue thrusting
1070. carbide bur with more cutting blades produces? smooth at low speed
1071. Burs causes rough surface??? Carbide bur
1072. Pulpitis 5 days after class ll composite is due to? Increase occlusal contact
1073. Marginal linkage of gingival wall of class ll restoration is due to? Buccal nl lingual
1074. Main function of enamel bevel? Increase strength of restroration

1075. Whats the normal response of a inflamed pulp? Hypersensitive painful response
1076. Best radiograph for implant? CT scan.
1077. Malignant tumor invasion by? Lymph node
1078. Early appearance of SqCC? Red plaque.
1079. Early appearnce of herpes / syphilis???? Ulcers
1080. How to dec width of artifical tooth? Facially Line angles
1081. Direct retainer uses? Retention.
1082. Long cone technique? Reduce patient exposure.
1083. Discoloration of loss of translucency of tooth? Pulp death.
1084. Which is not true about amalgam material? Fracture occurs in bulk.
1085. Percussion test is done to? Determine the pain of periodontal origin.
1086. Patient having trauma in incisal 1/3rd of crown, patient complain of cold sensitivity and
roughness of the tooth structure with dentine exposure. What is the 1st
management.??? Smooth the tooth structure, apply CaOH.
1087. on radiograph periapical radiolucency is evident? Focal sclerosis osteomyelitis.
1088. In rct treated tooth which post is used??? Threaded
1089. Over drying after acid etching causes or results in? Marginal shrinkage.
1090. Polymerization shrinkage in composite results of? Due to evaporation of end reaction
product.
1091. An 11yrs old boy had a trauma; the dentin was chipped of minimally. Patient complains
of rough surface sensitivity to cold. What is your emergency treatment? Smoothen the
enamel and apply Ca(OH)2
1092. After seating a crown, the patient come back to the office after 1 week with pain on
mastication on that tooth and bleeding from gingiva. What is the first thing you will
see???? Occlusion.
1093. Failure of RCT is most common in? Mandibular 2nd molar
1094. Glass fiber post compared to custom made post? Less chances of fracture.
1095. Pt comes to you with complete denture that is loose, she wants a new one, and there is
redness under the upper denture with papillary hyperplasia? What is your immediate
management? Excision of lesion
1096. Plaque control ? Initial phase.
1097. K sparing drug? Thiazide, Spironolactone
1098. Virax in oral cavity? Acyclovir
1099. Varicose vein is caused by? hypertension
1100. What procedures you cant do in AIDS? Prophylaxis
1101. Opiods effects? Miosis, constipation, CNS Depression, Respiratory depression (Only
Meperidine causes Mydriasis)
1102. Papoose contraindication? Cooperative child (Long term restraining, Cooperative non
sedated child, Child with a bad previous experience with it, Mentally or physical
abnormal)
1103. Battery? Treatment without concent
1104. Which study doesn’t show cause and effect? Cross Sectional
1105. Drugs those blocks prostaglandins has increased effect on gastric mucosa? Cox inhibitor

1106. Bimaxiallry protrusion? Convex profile, Lip prominence and strain. Both arch procline .
When u see facial profile lip incompetence lips strain n prominence lip profile
1107. Combination syndrome? AKA kelly syndrome, maxilarry CD opposing mand anterior
natural teeth, Cc:- flaby max ant bone resorption, extrusion of mand teeth, posterior
mandibular resorption, maxillary tuberosity enlargement
1108. Chs of band and loop? Doesnt prevent eruption of opposing tooth. Its non functional.
Placed in case of loss of primary 1st molar, perm 1st molar or primary 2nd molar can
be banded
1109. Least fracture resitant ; lithium, feldpathic, zirconia? feldpathic
1110. Pka has effect on what? Onset of action of LA
1111. 16 kg of 3 year old how many mgs LA to give? 70.4
1112. What meds you give in osteomyelitis? Clindamycin
1113. Pt with bizarre behavior and disorientation you give what? ; insulin, glucose, thyroid?
glucose
1114. Initial stages of sedation what pt feels? Tingling of hands
1115. Condensing ostetis? Mild irritation, vital tooth, Abnormal reaction if bone to low grade
infection or in case of high resistant tissue. Radioopacity. Outline of tooth is visible.
1116. Periapical Cemental ossifying? Ant. Mandible, middle age, black womenn
1117. What cyst in roots of mandibular premolar? Traumatic bone cyst
1118. What lesions are not radiopaque? ; AOT, Ameloblastic fibro odontoma? AOT
1119. Least likely to occur, AOT, odontogenic myxoma? AOT
1120. Which anticancer drugs effect on folic acid? Methotrexate
1121. Rg ameloblastic fibro odontoma ? Mixture epithelium and mesenquima, encapsulate.
Mandible area common. Radiolucency with opacity
1122. 9 year old kid swollen gingiva,recureent skin infections? Staph infection, impetigo,
Pemphigus
1123. what is complication of maxillary molar extractions? Sinus perforation (if not in option,
go with fracture of tuberosity)
1124. what is easily curable, macule, hematoma? Hematoma
1125. RPD I bar fractured what you do? Construct new one
1126. What does conjugation do to a drug? Makes it more water soluble to enhance
excretion
1127. Patient with flared maxillary incisors and diasteams, to improve esthetics what you
evaluate first? ; RG, DX wax up, probing depth? Radiographs
1128. Downcoding and upcoding? Down- when insurance company bills your treatment to
the cheaper procedure. Up- when you type your treatment to be more expensive than
actual value to the insurance company
1129. Brown tumors? Hyperparathyroidism
1130. Conditions have macroglossia? Acromegaly, down, hypothyroidism
1131. You don’t do RCT with PA radiolucency in which patients? Diabetes
1132. Systemic antifungal drugs? Amphoteric B, Fluconazole, Ketoconazole
1133. Why you clean tongue? ; esthetic or to prevent odor? to prevent odor
1134. What bacteria in chronic periodontitis? P gingivalis, intermediate, treponema
denticolla, forsythia

1135. Nasal obstruction what sedation you cant give? Inhalational
1136. Sulfonamide MOA? COMPETE with PABA to inhibit PABAs actions, which prevents
bacterial folic acid synthesis to inhibit cellular growth.
1137. Traumatic neuroma? Denture irritation, firm nodule, on mental foreman area
1138. Patient wore denture for 10 years and there is 6*3 white lesion on buccal of mandible?
Biopsy, or observe? observe
1139. Treatment of concussion? Relief occlusion
1140. Primary maxillary incisors intruded 5mm what you do? Extract
1141. Radiolucency in primary molar furcation area? Irrecersible pulptis
1142. Most common caries location? Pit and fissure
1143. Features of arrested caires? Hard and shiny
1144. Composite characteristics? Rough, glass filler
1145. Opaque porcelain features? Mask the metal and provide chemical bonding
1146. Phelobith location? ; nerve, vein? Vein
1147. Lefort 3 fracture what side gaze is limited to? Laterally, medial or downward?
downward
1148. Lefort 1? Trans maxillary fissure
1149. Axillary freckling seen in? Neurofibrometosis type 1
1150. Too light Rg? Why? Overefixed, underxposed or developer too old
1151. If you take Rg 10 ma with 1 sec exposure and you take another x ray with .5 sec what
MA will you give you want same density rg? 5, 10 or 20? 20 (mAs = mA X time (sec)
10=x. 0.5 x=10/0.5 x=20)
1152. Serpentile lesion on the tongue- feature of? migratory glositis
1153. HIV infection feature? Usually asymptomatic in initial stages | Lymphcytes reduction
1154. Normal skeletal and class 3 dental what could be the reason? Loss of primary
mandibular 1st molar or incisor crowding or thumb sucking? Loss of primary
mandibular 1st molar
1155. 3 mm lack of mandibular arch how you treat? Disk distal of molar, lingual arch and
observe? lingual arch and observe
1156. max 2nd molar less keratinized tissue, which graft you will give? Lateral of pedicle flap
1157. Most common crown root fracture tooth? Maxillary Incisor
1158. Primary mandibular 2nd resembles to? perm 1st molar
1159. If you have ledge while doing RCT what you do? Bypass with smaller instrument
1160. Access opening of Mndibular molar? Trapezoidal
1161. Modified widman flap? Full thickness 3 incisions used to expose bone defects
1162. When we don’t do gingivectomy? Attached gingival less than 3 mm
1163. Mouth breather features? Class 2 occlusion, adenoid face, dry mouth, halitosis
1164. which study FDA do to check drugs? Randomized clinical trials.
1165. behavior shaping question, patient say I don’t wanna quit smoking? Precontemplation
stage
1166. eg of secondary prevention? Treatment before complications, restorations
1167. where you give GA? 2 year old kid needs lot of restoration
1168. most common failure of periodontal failure? Max PM, Max molar, MAnd PM mand
Molars? Max molar

1169. Twisted questions on Mepiridine and MOA read it carefully? Can cause lethal
interaction of malignant hypernemia
1170. What pain killer drug safe in pregnant patien? Tylenol, Acetaminophen
1171. When does dental lamina starts, 2 weeks of uero, 6, 12, 10? 6
1172. What stage supernumery occurs? initiation, histo, apposition? Initiation
1173. What % of community water fluoridation is recieved by US population? 74%
1174. Mechanism of fluoride? chelate calcium, fluoropatite wich is more acid resistance,
Antimicribial at some level, causes stop in glycolysis process of bacteria
1175. Multiple myeloma feature? bone pain, Punch out lesion, M spike
1176. best bone for implant? D1 (for density classification) Type 2 (for quality classification
acc to misch) (According to decks)
1177. what is implant abutment? Connecting element

1178. You making FPD and you see 1 prosthesis in RG is completely seating on implant what
you do? Screw the implant, take anither RG? Section the FPD
1179. Disadvantages of cemented Implant restoration? Need more occlusal and vertical
space
1180. Fearful patient how you respond? Gradual desensitization
1181. Leading question, open ended and reassurance? leading question: you are not affraid,
do you? (not recomendable to use) - open ended: how are you feeling? (let the pt to
communicate and its the best choice -reassurance: what advantages or disadvantages
do you see in tx plan? (making sure pt understood)
1182. After successive trials, child goes thru instruments and hands an instrument to dentist.
What does it show? Desensitization, modeling...? Modeling
1183. Buccal limitation of mandibular denture? Masseter
1184. Lingual limitation of Mandibular denture? Mylohyoid, superior pharingeal constrictor,
buccinator
1185. ANUG resembles to what? herpetic stomatitis
1186. Lefort 1 include what structure? Maxilla, Bilateral Hematoma on hard palate
1187. Smokeless tobacco causes what? SCC, Hyperkeratosis
1188. Max anterior teeth placed too superior and too anterior what sound will affect? F and V
1189. When you make rest on molar you make rest deep enough in marginal ridge, buccal
incline, lingual? Marginal Ridge 1.5mm

1190. What not included in the consent? Cost
1191. Epinephrine contraindicate in thyroid? Hyperthyroidism
1192. Dental hygienist and 3 doctors in practice, dental hygienist screwed the case who will be
legally blamed? Dental hyginest and supervising dentist
1193. Abcess include marginal and interproximal gingiva called? Gingival abscess, pericornal,
periapical? Gingival abscess
1194. Whats the indication of half erupted third molar in 18 years old? Pericoronitis and
extraction
1195. Another question on complication of maxillary molar extraction? 1st molar root in sinus
2nd molar related with maxillary tuberosity fracture
1196. You can avoid legde if canal is Small, large, short or curved? Short
1197. External bevel incision? For gingivectomy (For flap- internal bevel)
1198. Ear pain refer to? Mandibular molars
1199. An athlete havin pain and soreness on tmj when he wake up? MPDS
1200. Sublingual varicosities? Elderly (Also Htn, depends on options)
1201. Rg of dentigerous cyst? Around unerupted tooth, symetrycal round RL with RP border,
starting at the CEJ, associated with the crown of an unerupted teeth
1202. Distance bw two implants? 3 mm
1203. # of granulocyte for sugery? 15,000
1204. Periodontitis common in? African American
1205. Nursing bottle caries? Maxillary centrals and molars
1206. Oral infections in what leukemia? CML
1207. TT of ranula? Recurrent removal of gland, enucleation
1208. What is mucocele? extravasaion of fluid, common in lower lip, due to trauma to ducts
of minor salivary glands
1209. Too deep PPS? Gag
1210. Beta 1 selctive actions? Decreaase heart rate, metaprolol if its agonist then inchrease
HR but if antagonist then dec
1211. medicine given in lung patients for better functions and improve asthmatic effects.
Mechanishm of it? B2 agonist (theophilline, albutamol, salbuterol, Montelukast)
(Montelukast - Block the action of leukotrienes) (Lipoygenase path inhibitir act as
bronchodilator) (anti depressents - inhibit Gaba receptore..barbiturates have more
resp. Depression than benzodiazepam)
1212. Exhale wheezing sign of what? Cops, asthma.? COPD
1213. Primary Central incisor eruption date? 7 months
1214. Why pregnant women kept on left lateral? relives pressure of inferior vena cava.
1215. Adverse effect of codiene are all except- somnosolant, constipation, reap. Depression?
constipation
1216. MAO of sulfonamides, macrolides, nystatin? preventing addition PABA into the folic
acid, macrolides: 50s, inhibition of bacterial protein biosynthesis . Nystatin:binds to
ergosterol
1217. Common among aspirin and acetaminophen? Analgesic and antippyretic
1218. Proprietary name of drug is? Brand name

1219. Correct statement on clostridium diff.? Clostridium dificile is treated with
metronidazole. Unless pt is pregnant or breastfeeding, then use vancomycin.
Clindamycin causes clos diff
1220. Red complex bacteria? p.gin, t,forsytia , t.denticola
1221. INR is measure of? Extrinsic, intrinsic or common pathway? Extrinsic
1222. Montelukast MAO? Block the action of leukotrienes
1223. Death of a child having cardiac arrest is due to? Resp. arrest (Acc to dd)
1224. Sensitivity to penicillin is due to? Beta lactamase (if hypersensitivity not in option)
1225. Culture sensitivity test is done for? Antibiotic
1226. HIV, 1st disease or symptom occurring is- no symptom, opportunistic infection?
opportunistic infection
1227. Penicillins are bactericide like or static? Cidal
1228. Cyst occurring inferior to the mandibular canal level? staffer bone cyst.
1229. Ludwigs angina? Sub mental, sub mandi, Sub lingual
1230. can we give chlorhexdine to ADHD child ? NO
1231. Pigeion Chest? Rickets
1232. Bond Strength of Resin more in? Dentin
1233. Rifampin contraindicatedin pregnant? True
1234. Reverse LA? Beta-antagonist (Alpha-Agonist)
1235. Xerostomia treatment? Cevimeline
1236. Russell Body? MM
1237. Ectodermal dysplasia features? Anadontia , conical ant teeth , thin hair , mostly in
male , x link
1238. cleidocranial dysplasia what is missing? clavicle
1239. Identify periapical cemental dysplasia? Cemento-osseous dysplasia (COD) is a benign
condition of the jaws that may arise from the fibroblasts of the periodontal ligaments.
It is most common in African-American females. The three types are periapical
cemental dysplasia(common in those of African descent), focal cemento-osseous
dysplasia (Caucasians), and florid cemento-osseous dysplasia (African descent).
Periapical occurs most commonly in the mandibular anterior teeth while focal appears
predominantly in the mandibular posterior teeth and florid in both maxilla and
mandible in multiple quadrants.
1240. Regional odontodysplasia identify? Ghost teeth
1241. which week does dental lamina appear? 6 week
1242. Piree Robinson syndrome? Cleft palate, retrognathia and glossoptosis
1243. Ranula treatment? Marsupilization or excision with remove sub lingual gland
1244. convergence of buccal and lingual wall which tooth? Primary 1st max molar,2nd molar
all primary? Primary 1st max molar
1245. Distolingual extension of mandibular denture which muscle? Masseter
1246. Which sounds will you look for placing anterior teeth? F and V
1247. Incisal edge of max anterior touch were? On the vermilion border
1248. Major connector function? Stability
1249. In distal extension where do you put rest? Mesial

1250. Most esthetic pontic design? Ovate (decks says modified ridge lap but mosby says
ovate, textbooks say ovate too. it resembles emergency profile of natural teeth)
1251. Where to place margin of anterior crown? Subgingival
1252. Necrotic pulp with open apex what is treatment of choice? Apexification
1253. 1mm exposure what do you do? DPC, pulpotomy, PUlpectomy? DPC
1254. Patient comes after 1 week of composite says he does not like the color what will you
do? Repeat restoration, add composite? Repeat restoration
1255. Which bur do you use for porcelain polishing? Steel,carbide ,diamond? Diamond
1256. Action of beta blocker on smooth muscle? Broncho constrictor
1257. Action of beta blocker on cardiac muscle? Decrease cardiac output, decrease Hr
1258. Which patient requires antibiotic prophylaxis? Prosthetic valve
Cyanotic, Previous endocarditis, Valves problems from recently inplanted heart
1259. MOA of sufonylurea? Inc insuline by stimulation of beta cell in pancreas
1260. immunosuppressive? Methotrexate, Mecaptopurine, Cyclosporine, All are immune
suppression
1261. Antimetabolite for cancer which affects folic acid? METHOTREXATE
1262. Premolar forcep all except? 23 (150-151 are PM forceps)
1263. Bacteria in chronic periodontitis? Echenella and provetella
1264. Bacteria in NUG? Fuso, Spirochete, Provetella
1265. Gingivectomy where to put incision? Base of pocket
1266. What does biologic width comprise of? JE + CT = 2.4
1267. What makes up the periodontium? GIngiva, Alveolar bone, Cementum, PDL
1268. Most common complication of extn of max molar? Sinus perforation, (if not in option,
then go with Alveolar fracture)
1269. Lefort 1 which sinus affected? Maxillary, ethmoid, frontal, mastoid? Maxillary
1270. A boxer wearing mouthgused comes with complain of jaw opening in the morning.
What is your diagnosis? MPDS Unilateral
1271. Light radigraph cause? Underdeveloped, cold developer, insufficient time of exposure
1272. Cold sterilization which chemical used? Gluteraldehyde
1274. Common cause of failure of amalgam restoration? Moisture contamination, improper
design,improper trituration? Improper Design (Although decks say,Failure- water
contamination, Fracture- inadequate design, textbook says improper design)
1275. There is a fracture line on amalgam restoration what is the treatment of choice? Redo
restoration to check the fracture of tooth, Just remove mesial side and check? Redo
restoration to check the fracture of tooth
1276. lot of class 5 what is the material of choice? GIC
1277. Which impression material is moisture tolerant? PVS,polyviny,polyether? PVS
1278. Which material has inherent property of binding with water? PVS,Polyvinyl, polyether?
PVS (if hydrocolloid not in option)
1279. modulus of elasticity which property? Stiffness
1280. Finger spring applied to move the tooth where will be the most force applied? Tooth
dstal, mesial? mesial
1281. Nitrous oxide most common side effect? Nausea and vomiting, orthostatic hpotension

1282. 16kg boy what is the maximum dose of LA? 70.4
1283. A defiant child does not want to cooperate which method to use? GA, voice contol,
HIM? voice contol
1284. Gold standard for behaviour modification? Systemic desensitization, modeling, voice
control? Systemic desensitization (in anxiety and pain control), modeling (less used
according to dd and mosby),
1285. Which one appears on tooth first? Pellicle
1286. Montelukast for asthma. MOA? Leukotrine receptor antagonist (LTRAs) are preventer
tablets
1287. which one in wax try in for complete denture? Esthetic
1288. Deepest part of occlusal rest for RPD? Central fossa
1289. what is Hazard communication? to protect patients and staffs from chemical material
1290. which one related to hazard communication ..? OSHO
1291. FDA is conducting a clinical trial about a new drug on animals and human. What is the
phase 3 of this study? to find the effective dose of the drug
1292. which one not effective in early childhood caries? Bottle of water
1293. 9 years old baby, fever for 3 days, vesicle in oral mucosa, lymphadenopathy? Infectious
mononucleosis
1294. macroglossia not seen? Hyperparathyroidism
1295. early primary teeth lost? papillon-lefevresyndrome
1296. first sign of multiple melanoma? bone pain
1297. the relationship between Treacher Collin and zygoma is the same as cliedocranial
dysplasia and? clavicle
1298. phleboliths in? vein
1299. main feature of cherubism? bilateral jaw expansion
1300. most common in mandibule premolar region? lateral periodontal cyst
1301. submandibular space drainage through which muscle? masseter
1302. which oral pigmented lesion resolve spontaneously? melanotic macule
1303. how many percent have access to fl community water? 80
1304. MOA of sulfanamid ? paba; interfere with folic acid synthesis
1305. MAO of sulfonylurea? stimulate insuline synthesis by pancreatic b- cells
1306. which one is class 2? Percocet
1307. INR? extrinsic pathway
1308. which is correct about conjugation? adding a molecule to the drug
1309. which of these cognitive behavior decrease in a normal process of aging? learning
1310. side effect of nitroglycerine? nausea, headache
1311. which one does not show the dispersing of date? median
1312. DMF shows? caries
1313. fail-safe mechanism part of NO machine does not let the increase of NO flew by what
percent? 70
1314. Pappoos board isn’t used in which situation? Treatment of a 14 years old cooperative
patient
1315. most frequent post extraction complication in maxillary tooth? alveolar ridge fracture
1316. most frequent post extraction complication in mandible tooth? dry socket

1317. where do progenitor cells for new attachment come from? pdl
1318. maximum dose of lidocaine allowed in 4 years old child 16kg? 74
1319. which one is correct about pseudomonas colitis? bcs of clostridium difficile
1320. cleft lip/palatal in Caucasian? 700
1321. primary principle of behavior modification? behavior has consequences
1322. patient manifests sudden bizarre behavior. What will make her feel better? epinephrine
1323. most common salivary gland benign tumor? Pleomorphic adenoma
1324. less reoccurrence? AOT
1325. pt has a chipped veneer, does’t want to remove it. How to fix it? Micro-etch, acid-etch,
silane, resin bond
1326. what does bimaxillary protrusion mean? A Protrusive dentoalveolar position of
maxillary and mandibular arches that produces a convex facial profile.
1327. If the maxillary incisors are placed too far superior and anterior, what is affected? F
sound
1328. pt doesn’t have upper 3rd molars. How many furcation do we have in upper jaw? 8 (
select 6 if in option)
1329. retentive clasp fracture? Work hardening
1330. mild wear facet in primary dentition? No treatment needed
1331. most amount of bone graft from? Iliac
1332. which one has least effect on DURATION of local anesthesia? Systemic absorption of
drug
1333. PKa of local anesthesia has effect on? rate of onset (Pka is onset and protein binding
is duration....lipid solubility is potency)
1334. premedication? (not based on latest AB prophylaxis) Cardiac stent. (Knee replacement,
can be but Not always only first 2 years and if there a hematologic complication after
treatment)
1335. which one is correct about automated external defibrillator (AED)? charges whenever
there is need for that
1336. which one has the least desirable physical properties for a complete denture?
chemically activated resinis
1337. in an appointment for discussing and revealing the result of a BCC lesion biopsy, patient
says ‘’ doctor, tell me straight, do I have a cancer, or not?” what dr should tell him?
Actually this lesion has a better prognosis in comparison to the other lesions
1338. most common crown root fractured tooth? Maxillary anterior
1339. the level of a normal alveolar bone crest in a X-ray can be an indication of? Level of CEJ
1340. what do you see in pathology of osteoporosis? Thin trabecula
1341. which one is the disadvantage of composite? Low thermal coefficient
1342. when a patient who is frighten by endo surgery says by herself “I am strong and I can
handle this situation” what does happen? She manages her stress level because she
activates her Self-reliance.
1343. analog in open tray? For taking same impression
1344. what oil do in X-ray machine? cooling
1345. retention form in cl 5 composite? Groove where? Gingivoaxial and incisoaxial
1346. class 6 composite restoration, too light, what to do? Add composite tint

1347. high caries risk pt, has anterior composite restoration with marginal discoloration. What
to do? Change the whole restoration
1348. what is not the advantage of LED light cure in comparison to halogen? Weight
1349. distance btw film and midsagittal plan in cephalometry? 6 feet
1350. how much bone around implant? 10 mm height, 6mm width
1351. how much granulocyte in blood to do elective surgery? 15,000
1352. first manifestation in HIV? Multiple opportunistic
1353. to be able to burnish a margin of a gold restoration which one should be exceed?
Modulus of elasticity
1354. what impression material has a natural affinity to water? Polyether
1355. Most stable in moisture environment.? Addition Silicone (aka putty or PVS=polyvinyl
siloxane
1356. which one is correct about self-threaded pin? Should be placed on flat surface
1357. which one has the most possibility of getting ORN? Receiving radiation therapy 42.5 GY
(if not in option, go with Bisphosphonates)
1358. patient has history of Bisphosphonates medication. Now need an extraction. What
should we do? no hyperbaric o2 (if not in option, Refer to oral surgeon)
1359. what is seen in cellulite? Lymphocytosis
1360. which one is correct about down syndrome? Affectionate
1361. which one correct about autism? Has repeated questions
1362. which one has more learning problem? Boys
1363. rubber dam placement in a class 5 which extends to the root surface. Hole should be?
More buccally
1364. suprenumary teeth which stage? Initiation
1365. 4 years old kid, trauma to primary incisor, 5 mm intruded. What to do? Extract to not to
interfere with the eruption of permanent tooth
1366. treatment for concussion in primary teeth? no treatment
1367. moisture contamination in amalgam? Increases delayed expansion
1368. What teeth most likely to have crown /root fracture? max anterior
1369. Which tooth is least like to fracture? mand 2 premolar
1370. Where you can find the supernumerary tooth? max anterior
1371. What age is proliferation? 8 weeks
1372. Primary central incisor erupt? 5- 6 month
1373. Bur for porcelain occlusal adjustment? diamond
1374. Which primary tooth is most like any other tooth in the dentition? primary mand 1
molar
1375. Which of the following clinical sign is not characteristic of opioid? dilated pulpitis
1376. Which is not an advantage of ni-ti over stainless steel file? resistance of fracture
1377. What is the shape of access of mandibular 1 molar? Trapezoid
1378. Differential diagnosis of periodontal abscess and periradicular abscess? vitality test
1379. Lateral periodontal abscess is best differentiated from the acute apical abscess by ? pulp
test
1380. What will not regenerate after rct? dentin formation

1381. partner dentist and hygienist hurts patient who involved in a low suit? only dentist
supervising dentist and hygienist
1382. How long after extraction you insert the complete denture? 8 weeks
1383. Which one is more affect in male? hemophilia
1384. Where does the epithelial for a graft come from? donor connective tissue
1385. Kidney dialysis when is appropriate to put the dental appointment? day after dialysis
1386. Tooth extraction, 3 days later starts to hemorrhage what is the cause? fibrinolysis
1387. Periodontal regeneracion involves? shapeysfiber ,cementum and alveolar bone
1388. Which is a periodontal bacteria? staphylococcus
1389. Mot commun cause to cause mobility is? trauma
1390. Why the clasp break in dental appointment while you are adjusting the denture? too
much pression
1391. What cause less allergy? chrome
1392. The space difference between primary canine,second molar and the succedaneous
teeth is called? leeway sace
1393. Lefort 1? maxillary sinus
1394. Where does the epithelial for graft come from after you place it and it is healing?
recipient epithelium of donor
1395. What is the treatment for dry socket? sedative and dressing
1396. What cause pregnant women to sycope? pressure on inferior vena cava
1397. Vicodin schedule? acetaminophen and hydrocone
1398. Best area to place implant? anterior mandibule
1399. Best angle to place curette roots? 45-90
1400. Triad of cheft palate,glossopteris and absent gag reflex is? pierre robin syndrome
1401. What cant the patient not say if upper anterior are too superior and forward for
denture? f and v sound
1402. pt has won denture for 19 years,now he has a sore on buccal with swelling what do u
do? relieve denture in area and re-eveluate in 2 weeks
1403. would relieve a mand denture in the area of the buccal frenun to allow which muscle to
function property? orbicularis oris
1404. what prevent corrosion on a noble metal? chromium
1405. central giant cell granuloma is seen with pts with condicion of ? Hyperparathyroidism
1406. see caries on? x ray .
1407. Café-Au-Lait? Neurofibromatosis
1408. burning sensation on tongue, moves around? geographic tongue
1409. Football player with mouthguard, crepitation of left TMJ, trigger zone tenderness L
temporalis, stiffness upon wakening? Myofacial pain syndrome
1410. What has the highest recurrence rate? Odontogenic keratosis(okc)
1411. If you have lesion of maxillary sinus, what kind of radiograph do you take? Waters
1412. sialilitithiasis is found whew? warton duct (Select submandibular duct if in option)
1413. 3 factor that affect caries initiation ? substrate ,bacteria, hot susceptibility
1414. most common area for caries intiacion ? pit and fissure
1415. dmf index? measure how permanent dentition is affect by caries
1416. 245 carbide burd and 330 carbide what is the different? length distance

1417. more blades on carbide bur is? less efficient and smother surface
1418. Proximal resistance form of amalgam restauration comes from what? retention grooves
in axiobuccal/axiolingual walls.
1419. most commun complication of extraction is? root fracture
1420. the base of the incision in the gingivectomy technique is located? above the
mucogingival junction
1421. which one is true about implant? high torque and slow speed
1422. where perio tx is more difficult? maxillary molar
1423. what is most accurate pulpal test to determine vitally of a tooth with a full gold crown?
thermal test
1424. most common salivary glan being major and minor is? pleomorphic granuloma
1425. ectodermal dysplasia is hereditary. it is not not x linked? true
1426. what percentage of us population on public water supplies lives in fluoridated
community? 74 %
1427. All of the following are hereditary except? regional odontodysplasia
1428. What does hypodontia affect the most? growth of the alveolar bone
1429. blue mass under tongue is? Ranula
1430. Trauma to floor of mouth is? Ranula
1431. which reabsorption is seen is primary teeth? External root reabsorption
1432. why is more color stability in light cure? tegma
1433. X-Ray: Black women, middle aged, anterior radioluceny (can be radio opaque): cemento
osseous dysplasia
1434. Most common place for periapical cemental dysplasia? Lower anteriors
1435. very well defined round radiolucency in panoramic, posterior mandible below inferior
alveolar canal? static bone cyst (stafne defect) see xary in google
1436. first sign of multiple myeloma? bone pain
1437. what is the oil in the x ray tube for? dissipate the heat
1438. Max radiation dose? 50 msv or 5 rem per year
1439. Collimation does everything except? reduce average energy of x rays (energy is
unchanged)
1440. amalgan failure main reason? Improper prep (is fracture – cavity prep would be the
answer)
1441. chronic periodontal is most common in ? black people
1442. what is the correct method of excavation of deep caries? long bur from periphery to
the center
1443. Nitrous oxide is contraindicated in asthma patients. You can put nitrous oxide in anxiety
patient? First is false and second is true
1444. Acute perio abscesses that require drainage are usually? fluctuant localized lesion
1445. Patient who has medical history but is not debilitating but will require medical
management and dental modifications? ASA-2
1446. Failure in morphodifferentiation results in? size and shape abnormality, peg lateral,
macrodontia
1447. 7- yr old boy has vital exposure of tooth 1st perm max molar. What do you do for
treatment.? Pulpotomy

1448. what should be done for quitting??? acupuncture, counseling, smoking cessation drugs?
counseling
1449. What is it called when a patient charges several procedures instead of one? unbundling
1450. Pt. says, “I do not have time to quit smoking.” What stage is s/he in? Precontemplation
1451. What test coumadin? INR
1452. The most prominent psychiatric issue for old people? Depression (Can be Demnitia if
depression not in option coz it is talking about old people)
1453. What happens with horizontal angulation? contact overlap
1454. Class 5 lesion glass isomer; bevel both gingival and occlusal lines? Occlusal - No bevel
(Gingival - Bevel if on enamel/ No bevel if on cementum (root))
1455. What does the hypobaric chamber help? angiogenesis? New formation of collagen as
well as capillary angiogenesis in areas that were resistant to neovascularization - in
both acute and chronic injuries. Regenerating skin cells also function more effectively
in a high-oxygen environment.(hyperbaric oxygen procedure)
1456. Erosion on lingual it's due to bulimiais? true
1457. Which drug gives tardive dyskansia? isphenothiazines
1458. What condition of the tongue involves the foliate papillais? medianremboid glossitis
1459. Diabetic patient before procedure what to do check HbA1C lvl is? true
1460. Vertical root fracture? do not do endo
1461. What isn't in tooth paste like type of fluoride? apf
1462. cheft lip in usa? 1:700
1463. reverse town xray for? condyle
1464. time for surgical hand washing is? 3 min
1465. a patient has a firmnodule underneath the denture what is it? traumatic neuroma
1466. During maintenance therapy pt has recurrent 6mm pocket on M of #4 and D of #20
what is 1st tx option? flap surgery
1467. which of the following has a higher chance of amelogenesis imperfect? dentin dysplasia
1468. Treatment sequence? emergency, disease control, reevaluation, definitive care,
maintenance
1469. Company offers dental insurance to its employees that can go to selected dentist, what
is this example of? Closed planel
1470. Order of bleaching and veneering process? bleach, wait 2 weeks, prep tooth, cement
1471. What is most common periodontitis in school-aged children? marginal gingivitis
1472. Best for interproximal plaque removal in teeth without contacts? interproximal brush
1473. Location apical position flap contraindicated? max palatal
1474. what type of bone with best quality and most suitable for retencion of implant? D1 type
2 (Acc to DD)
1475. which primary tooth is not like any other tooth in the denticion? mand I molar
1476. which is false about na oil? it is a chelating agent
1477. pt comes back few months after rct and crown with pain upon bitting what happened?
crack tooth
1478. crown cement two weeks ago is sensitive to pressure and cold why? occlusal trauma
1479. how long before should you stop baby aspirin before surgery? not necessary to stop it

1480. What is not true regarding patient with diabetes and perio? increase gran negative in
crevicular fluid
1481. The face-bow is used to record? relation of the maxilla to the temporomandibular
joint.
1482. black male with erosive lips, erythematous and blisters on his lips, the description says
that he also have palmar and planta erosion and blisters, what is this syndrome?
erythema multiform
1483. A major difference between light cured and chemical cured composite is that during
setting or in function the light cure material tends to? shrinks rapidly.
1484. When there is no barrier, protection of dentist? 6 feet; 90-135 degrees
1485. Shape of access opening for mand.molar with 4 canals? Trapezoidal
1486. Pt shows reaction to the LA vasoconstrictor so to recover the reactions u will
administer? Alpha 1 antagonist
1487. Which of the following is not good for use in taking impression of a cast restoration?
irreversible hydrocolloid
1488. Which of the following drugs is most effective as an antidepressant? Diazepam
1489. Tricyclic antidepressants have a prominent side effect that most nearly resembles the
usual pharmacological action of? Atropine
1490. According to the theory that agonists and antagonists occupy the same receptor site, an
effective antagonist should exhibit? No intrinsic activity and high affinity
1491. Which of the following drugs has its primary use in the treatment of the manic phase of
depressive psychosis? Lithium
1492. Gastric acid secretion has been shown to be most effectively reduced with the use of?
H2-histamine receptor antagonists
1493. Which of the following drugs is often used to treat trigeminal neuralgia? carbamazepine
1494. The highest risk associated with use of oral contraceptives is? thromboembolic disorder
1495. the various insulin preparations useful in the treatment of diabetes mellitus differ
primarily in? onset and duration of action
1496. Referred pain to EAR IS? MANDIBULAR MOLAR
1497. The maximum amount of nitrous on the machine safety hinge is? 70%
1498. Anterior permanent tooth most commonly erupts in cross-bite? Max laterals
1499. what kind of appliance for posterior cross bite and when? Quad HELIX
1500. Most common cause of anteriocrossbite? lack of interdental arch
1501. What occlusion when MB cusp of max 1st molar is distal to buccal groove of mand 1st
molar? Class ii
1502. Diatalized occlusion w/ upright cental anterior and deep bite? class II div II
1503. Most common type of occlusion in primary teeth? flush terminal plane
1504. face is vertically divide in? 3 planes
1505. forcep of mand premolar? 151
1506. A patient has pain in her mandibular right 3rd molar and cannot take intra oral x-ray.
Which of the following would you recommend? Lateral oblique
1507. If a patient has crown restoration and you need to type a fluoride for her to use it a
home what kind of fluoride you will type? sodium fluoride
1508. Non-maleficence means? don’t harm

1509. Day 2 case she has 8 years and cross bite , he asked why she had the cross bite due to
early missing of? primary canine
1510. When you let the patient to sign the informed consent that’s called? autonomy
1511. numbers for True positive =81 true negative = X and false Negative = X and false positive
equal number X what is the number for the people that will have a disease or
wherever? TP/ TP+FN.
1512. When you punch the rubber dam in molar teeth there was a leakage or above the high
of contour that’s due to? to close
1513. If you have two distribution that are asymmetrical that’s means? skewed
1514. Dentist treat patient without consent form. What it is called? Battery
1515. When we take a pano for a patient his lower teeth appear elongated and wide what is
the error? chin too far back
1516. What make the reaction on the one that has monomer and activator that was using it
for prepaing the secondary impression on the study cast on the lap . its activated by?
exosermic reaction
1517. Community periodontal index use for some researcher they should contact? CPITN
1518. If the patient has maxillary protrusion and we need to bull the maxillary backward
which we will? reverse pull gear
1519. During xray you find a tooth with RCT it was asymptomatic and the obturation material
beyond the apex what you will do? leave it and watch
1520. If you during extraction of the lower third molar the root tip displaced where will be the
common place to displace on? submandibular space
1521. When the patient open his mouth to the maximum intercauspal position 5-7 you will
here a clicking noise and before he will full closure of the condyle you will hear a second
voice what do you think the cause of the second notice? the disc displaced anteriorly
1522. Gingsing you can use it with all of the following except one which is the exception?
aspirin
1523. Numbeness on the right lower molar area what do you think trauma was? condyle
1524. What is not practical to be done by dentist regarding increasing the fee when? increase
the fee six month without notice to the patient
1525. patient when he open his mouth its deviate away it could be due to? condylar
hyperplasia
1526. for the FDA to approve a new drug to be in the market they have to do some test to
make sure from its effectiveness thats by? randomized clinical trials
1527. Most prevalence number of wall defect? 2 wall
1528. asymptomatic pigmented lesion on the palate 4 mm x 3mm what you will do for it ?
Cone beam and excisional biopsy
1529. what’s the heart rate for a child 3 years I believe ?110
1530. the most prevalence type 2 diabetes will be in? native American
1531. Case in day 2 ANB angle is 5.8 and he in the clinical picture have cross bite anterior what
will be skeletal class ? Class II
1532. If the above patient have SNB 81 what will he have? mandibuilar prognathism
1533. PA of between the trabecula of the bone close to the apex of the teeth? nutrient canal

1534. Patient 3 years old came to your office and his central incisor had a trauma make it
intruded and all the associated tissue was firm what will be the best treatment? no
treatment just watch it
1535. What is Contraindicated for RCT? vertical fracture
1536. Patient stand on the corner looking at the floor and his hand is folded together after you
give his and introducation what you ask him or do next? whats bring you here today
1537. Patient who are having hearing problem what you will do? you will try to talk to the
patient as he can understand your mouth movement easily
1538. Which of these is carcinoma in citu? erthyroplakisis
1539. Whats the most common in the new year increase in? root surface caries
1540. ANUG will be spread to all of these spaces except one? larygois
1541. If patient is taking atenolol do you think it will be least effect on Epinephrine than non
slelective beta blocker? true
1542. Hepatitis A positive can checked by? HBSg
1543. Each of the following devices are effective in removing surface plaque EXCEPT one.
Which is the EXCEPTION? Home water-irrigating device (Water Pik®)
1544. whch tooth is least likely to be missing? canine
1545. trigeninal neuralgia which side? right side
1546. the most permanent psychiatric probelm for people is? depression
1547. Which is a characteristic of a gold inlay? Axial walls converge toward the pulpal floor
1548. Best way to look at alveolar bone loss? bitewing
1549. Most commonly accepted theory of dentinal sensitivity? Hydrodynamic theory
1550. 2 yo kid has 12 cavities on primary teeth, what you going to do? general anesthesia
1551. By having excess amount of monomer in acrylic can create excessive amounts of what?
shrinkage
1552. What is the acid in glass ionomer? Polyacrylic acid
1553. Posterior composite failure mostly due to? shrinkage
1554. Patient has an all veneer on incisal edge, small pice of porcelain came off and wants you
to fix the chip only, what is the sequence of events? microethc, etch, silanate, and
bonding agent
1555. Class III, what kind of surgery? BSSO
1556. For a surgical extraction, what does not contribute to developing post-operative pain?
High-speed drill with water spray
1557. Vasoconstion acts directly on what? duration
1558. WHICH is not ethical to charge more? Without notice every 1 year
1559. what material do you used when you are going to restoring a class V lesion it extends to
the root ? RMGI
1560. After brushing how long until forming mature plaque reappears? 24-36 hrs
1561. survival of a graft depends? on the CT of the recipient
1562. Generalized max denture soreness on the ridge? when pt came for adjustment?
increased occlusion
1563. which one has the worst polymerization shrinkage? class 1
1564. Most neoplasms in what glands? Parotid
1565. chronic perio, found what cells? T cell

1566. Aspirin will inhibit the palate aggregation by inhibit? phospholipase A2
1567. all is true about Periapical Cemental Dysplasia except? anterior max
1568. dementia pt, which one the most challenging? denture
1569. If you have 2 proximal cavities? you will fill smaller, prepare larger first
1570. pin retained - Which statement is not correct? increasing in number of pin strengthen
amalgam
1571. Best biopsy for small bean sized white lesion? excisional
1572. how many canals does 1st max molar has? MB1 MB2 ML P
1573. Anug without systemic manifestation pt, what do u do? Debridement and 12%
clorohexidine
1574. traumatic bone cyst most ass w paget? fibrous dysplasia
1575. Most common crown to root fracture is on what tooth? max ant
1576. Prevalence of caries higher based on? Socioeconomic status
1577. Gingivectomy is performed when? Pockets (if suprabony pocket, yes)

1578. 4 year old loss bilateral primary maxillary 1st molar, what kind of space maintainer?
nance (if it is maxillary)
1579. if you want to do osseous correction? full thickness flap
1580. defect with mesial, distal and lingual missing is called? hemiseptal
1581. morphin binds with? enkalphin
1582. how do u increase retention in short clinical crown? add facial groove
1583. pt with MOD done 1 month ago, complained it hurt when he bits? cracked tooth
1584. the retentive arm in resting position should? passive and does not engage the tooth
1585. Most important about root canal material (guttapercha) EXCEPT? Wall adaptation
1586. which one has the best prognosis? internal root resorption with perforation
1587. irreversible hydrocolloid can lose its dimensional shape even during 100% humidity due
to? syneresis
1588. Lingual flange during impression affected by which muscle? Mylohyoid
1589. Metforim (glucophage) is used to treat diabetics? type II
1590. Most important dimension that ensures the metal connector between abutment and
pontic is sufficient (in 3-unit fpd bridge)? cross section/ occlusal-gingival
1591. Patient presents with blow to face and horizontal fracture of a previously
endodontically treated molar. The fracture is 2mm from the anatomical crown. What
should the dentist do? Ext
1592. cause of allergic gingivitis? flavoring in toothpaste
1593. the most effective way to reduce pulp injury during tooth preparation is to minimize
dehydration of dentin.? True

1594. Rapid palatal expander is used for which of the following? Crossbite
1595. What do you do to camouflage class 2? Ext max first premolar
1596. Lesion with chronic inflammatory cells with epithelial lining and fibrous wall in an endo
treated tooth? Cyst
1597. Which burr is used to smoother the prep? Plain cut fissure bur
1598. Which of the following cements should not be used with all ceramic restorations due to
reports of ceramic fractures? Resin modified GIC (ideal is resin luting)
1599. You did a prep with high speed and diamond bur, tooth is sensitive, what is it about bur
and handpiece that it caused sensitivity? Heat
1600. What is the correct method of excavation of deep caries? large bur from periphery to
center
1601. What age does the mandibular symphisis close? 6-9 months
1602. Zinc eugenol good temp filling? good biological seal
1603. Downssyndrome: trisomy 21, which is a description? Mid Facial discrepancy
1604. Pregnant gingivitis? progesterone
1605. survival of a graft depends? on the CT of the recipient
1606. Indirect sympathomimetic drug? Amphetamine
1607. Side effect of having TCA and epi HTN? Hypotension
1608. side effect of drug that cause altered taste sensation? Cyclobenzaprine
1609. Why is inorganic pyrophosphate in tooth paste? prevent calcium
1610. Diuresis(excessive urine production) after tx of angina w/ a glycoside? b/c of increased
blood flow caused increased blood flow to kidney
1611. Acromegaly not taken care of leads to? Over growth of mandible
1612. Community fluoride: 0.2% / week in underprivileged areas? true
1613. T/F Best way to close 1.5 mm diastmea, which way do you not do it? FULL crown? true
1614. Why don’t put posterior tooth on inclination of ramus? Denture ends before the incline
1615. Diatalized occlusion w/ uprghtcental anterior and deep bite? class II div II
1616. Least associated w/ perio disease? Hypophosphatism, acrodynia true or false? true
1617. Which one would you premedicate? recent MI
1618. Rct, getting post and core and crwonlenghteningin, why do crown lengthing? feral
effect
1619. Best way to find out if the crown is going to seat? die space
1620. Setting condylar inclination on articular using protrusive , what do with the pin?
Remove the pin
1621. The percent of ppl in the US with fluorinated water? 70%
1622. The longest acting analgesic for a pt that got a impacted third molar extracted? Apirin,
Ibuprofin, Naproxen, Acetaminophen ? naproxen
1623. How long you stabilize or splint a mandibular fracture without reduction? 4-6 weeks
1624. Best success for implant location- posterior? anterior mandible
1625. Space between implants? 3mm
1626. Methemoglobinemia is caused by? Prolicaine
1627. palatal root appeared mesial to the MB root of a max first molar – where was the x-ray
beam directed? MOVED MESIAL
1628. virgin premolar with short crown is part of FPD abutment, what do you do? crown

1629. Which is associated w/ burning mouth? candida / Melkerson Rosenthal
1630. What is the best indicator for success of intra-pulpal anesthesia? backward pressure
1631. What trimester is nitrous use contraindicated in? First trimestor
1632. What is stridor characteristic of? Laryngospasm
1633. Patient shows up with kid always bleeds, discomfort? leukemia
1634. T/F, Supragingival alone can eliminate 5mm subgin calc. Supragingival alone is sufficient
for treatment? both false
1635. Pt. allergic to penicillin and has prosthetic heart valve. What pre-med to give? 600 mg
Clindamycin 1hr prior to dental tx
1636. What type of attachment trying to exclude when place barrier after perio surgery? Long
junctional epithelium
1637. Which of the following is FALSE in regards to abuse of the elderly? It is grossly over-
reported and exaggerated
1638. Premolar infection most common in which space? Sublingual
1639. Ear pain which infection? mandibular molar
1640. difference between primary & secondary trauma? pdl involve, bone support, mobility
1641. when rpd continues to break? Occlusal trauma, poor design
1642. least material used in fixed impressions? irreversible hydrocolloid
1643. A patient comes in and you do a MOD composite. He comes in later complaining of
pain, you remove occusal composite replace and pain goes away. What was causing the
pain? Polymerization shrinkage
1644. Dementia is long term memory or short term memory loss? Short term
1645. Trigeminal neuralgia is NOT associated with a spontaneous dull ache? True
1646. Trismus is usual caused by infection in what space? Masseteric
1647. if a patient is taking chantix what else need to be included in his smoking quitting
regimen? Behavioural counseling
1648. how do you identify root caries? Softness
1649. autism patient characerstic? repetitive behavior
1650. Well controlled diabetics, what will you see? Same amount of periodontal disease than
non diabetic
1651. in tooth borne rpd major support for the prosthesis is provided by? occlusal rests
1652. altered caste technique? support
1653. Large filler particles in composite increase the strength of hardness? true
1654. Large filler particles in composite increase polishibility& finishing? False
1655. Light ortho force cause? direct resorption
1656. what type of cells seen in established gingvitis? Plasma cell
1657. Pt is evaluated after periotherapy,what would u check? pocket depth
1658. Loosening and premature loss of deciduous teeth seen in early stage of?
hypophosphatasia
1659. Patient complains of pain due to oral mucositis after radiotherapy, the pain is best
treated with? Benzyl hydrochloride
1660. In constructing upper complete denture against lower natural dentition .when we do
the occlusal adjustment? after constructing study cast and treatment plan

1661. Three weeks after insertion of FPD marked discomfort to heat and cold occurs there are
no other symptoms the most likely cause is? deflective occlusal contact
1662. which study does not tell association between cause and effect? clinical trial
(Descriptive study if in option)
1663. RPD - Clasp functions, what affects flexibility? elongation
1664. S sound Clicking sound of teeth the cause is? insuffieceint freeway space
1665. indirect retainer function? movement of Denture away from tissue.
1666. Major connector? stability and rigidity
1667. FPD - Margins of crown not fitting properly? look for proximal contacts
1668. Patient complaining of pain after a day and cold sensitivity? Occlusal contacts high
1669. In class V amalgam preparation for an incipient lesion, the ideal internal form of the
preparation has which of the following features? Axial wall is uniformly deep into
dentin
1670. in preparing a class I cavity for dental amalgam, the dentist will diverge the mesial and
distal walls toward the occlusal surface. This divergence serve to? Prevent undermining
of marginal ridges
1671. Which of the following has the best prognosis for t/t? Tooth with a small area of
internal resorption
1672. Which is the best way to treat furcation type 2 involvement? GTR
1673. which bur is used to converge axial wall of the crown? No. 169
1674. cause and effect is not seen in? cosssectional
1675. thyiazides is associated with which ion suppliment? potassium
1676. What kind of cement to use to cement a ceramic onlay? resin cement
1677. While viewing a working length radiograph of #5, you discover another root on the
mesial shot (x-ray cone mesial). The second root seems to be distal on the mesial shot.
Which anatomic root is it? Buccal
1678. For a resin-retained FPD (Maryland Bridge) everything is necessary EXCEPT? Bevel
1679. Diabetes pt what is preferred -FPD or RPD? RPD
1680. Palate with swelling and histological feature like peudostatifiedcolumner epithelium
and no effect on underlining cortical bone what is that pleomorphic or exostosis?
pleomorphic
1681. Case of HTN take medication lisinopril what happen? orthostatic hypotension
1682. Aspirin 81mg - needs to stop during extraction if root tip and its easy to extract? No
need to stop
1683. Pt taking HTn drug, aspiring, amytriplin for what u need to consult physician? For
asprine , consult with physician, Avoid NSAIDS with ACE, Beta
1684. Good canine, restored lateral and need rpd for pm and molars on canine one side and
molars on leteral side What u not need? no need to correct canine bcz its not carious
1685. Case of 5 lower incisors and all have PFM and not good perio health. Ask what you have
to prescribe? Mouthwash without alcohol , flossing daily ? Or another mothwash that
prevent hypo-salivation? Mouthwash without alcohol
1686. Amytryplin cause? hyposalivation
1687. vermillion border, damage on lower lip. And lesion >10cm require? incisional biopsy

1688. post and core looking like what? its thick, thin, long, short , normal size? Require 2-3mm
guttapurcha under that.
1689. Amalgam rest fail why? Moisture
1690. RPD qs were about clasps, retention, stabilizing, balance they used different terms for
each...in RPD what is contraindicated with the clasp? Big amalgam, PFM or Composite
rest? Composite rest
1691. initial treatment for the patient? final treatment? most of the time the initial treatment
is SRP or medical history or prophylaxis it depends on exact question
1692. corticosteroids can cause? osteoporosis
1693. TMJ nerve affected by arthritis? Temporal branch of facial nerve
1694. Benzodizapines? GABA Decreases
1695. What is the perfect ratio of KVP and Ma for dental radiography- 65 kvp and 10 Ma, 70
KVP and 20 Ma? 70 KVP and 20 Ma
1696. hair loss? Mercury toxicity, blindness Chelation therapy
1697. What first? bleaching, 1-2week
1698. retention resistance form for Gold? Resistanceform: capping& shoeing.retention :
parallel axial walls,taper of walls
1699. Pain like pulpalgia and its after extraction? traigeminal neuralgia, pulpal pain. Pulpal
neuralgia? trigeminal neuralgia
1700. Which resorption seen in primary tooth? external, internal, replacement, inflammatory?
external
1701. Fluoride chart of which age need how much F? how much NaF need in 3 yrs of age so F?
add .5 for Sodium F (until 3 years:0.25/ 3-6yrs:0.50/above 10)
1702. GIC bond? chemical
1703. Amalgam fracture? Mositure contamination (it says fracture not failure)
1704. Systemic desensitization? exposure
1705. When microleakage in amalgam? 2 to 3 week after
1706. New restoration? apthus ulcer
1707. Which one is not reason of post operative sensitivity- cusp deformation, gap from
microbes, gap leakage and mov of fluid? gap from microbes (Because its treated tooth
so bacteria wont cause). (cusp deformation can cause in hyperocclusin)
1708. Which one is not topical delivery technique in perio- CHz, doxy gel, metro gel,
minocycline powder? minocycline powder
1709. Zoe? good seal
1710. Linear radiopaqur or lucent? Radiopaque
1711. 45 yrs female only stain on pit nd fissure? observe
1712. Damage apically and not respond to EPT? Blood supply intrupted, nerve transmission
stop? nerve transmission stop
1713. Suppuration present and tooth asymptomatic, nacrotic pulp or verticle root fracture?
necrotic pulp
1714. +ve rack angle in files or reamers? Files ( acc to cohen, negative rake in both files and
reamer, positive rake in h files so better cutting)
1715. Child tooth best reliable test- purcussion, cold, heat ,ept? Cold
1716. Necessary for a test to be accurate? validity

1717. Transperent dentin - reminralize or not? Remineralized
1718. Critical yrs for fluorosis? 6-12 (Period of tooth calcification)
1719. Highest F- tooth paste, varnish, water? Varnish (5%)
1720. Which is not cause xerostomia? opioid
1721. Shrinkage due to creep or c factor high? C factor (DD card 45 operative)
1722. Conical caries? smooth surface
1723. Middle reduction for porcelain veneer? 0.5
1724. Ideal biological width after crown lengthening - 2mm interproximal, 3mm, 1mm all
aspect, 3mm all? 3 mm all
1725. Overhange due to improper mateix or improper wedge? Improper Wedge
1726. Why more color stability in light cure? Tegma, PmMA, more nitrite? Tegma
1727. Cone wax technique? putting in sequence (1st functional cusp later nonfunctional)
1728. Apical biopsy? granuloma
1729. Depends on pt posture? VdR
1730. Class 3 Kennedy? no require indirect retainer
1731. For flexibility which clasp use? cast alloy, wroght wire, basemetal? wroght wire
1732. Amentadin for? parkinsons
1733. Palatel tori when should remove - between hard and soft palate, middle of palate,
interfere with pps? interfere with pps
1734. Cross section of mandi incisors? oval
1735. Require tray adhesion? c-sillicon
1736. Phosphate bonded temperature? above 1100c
1737. Upper part of capsule which fibers? capsular or discal? capsular
1738. If pt had difficulty in s, ch what is the problem? linguoalveolar , sibilant sounds effected
by labiolingual placement of teeth or more or less acylic on palatal side of upper
inncisors. increased overjet ot decreased overbite or improperly contoured palate,
teeth forward placed and touvhed, VDO Problem
1739. Major conmector - rigidity, support, stability, retention? Rigidity, stability
1740. Vasoconstrictor? cocaine
1741. relation between MAO and epinephrine? May cause hypertensive crisis not given
together
1742. Gout? probencide
1743. Less plaque in which dz? LAP
1744. Must read implant distances? 3mm
1745. Salio in submandi and warthons duct? True
1746. Establish stage? plasma
1747. Erythromycin and theophyline not given together? cause toxicity in COPD
1748. Which one is schedule 2? Pentobarbital
1749. Apperarances ?
ML- aeur rods
schwannoma- verocay bodies
garre osteomyelitis- onion skin
chronic osteomyelitis- moth eaten
scleroderma- purse string mouth + extrusing teeth

von recklinghausen- Cafe au lait spots; lisch spots on iris; crowe sign= axillary freckles
fibrous dysplasia- ground glass
pagets dis- cotton wool
cherubism- bilateral; soap bubble ; perivascular cuffing
multiple myeloma- punched out
burkitts lymphoma- starry sky; moth eaten
ewings sarcoma- moth eaten; onion skin
histiocytosis x- floating teeth; birbeck granule
odoyogenic myxoma- soap bubble; honeycomb
adenoid cystic ca- swiss cheese; perineural invasion
indborg tumor- leisgang rings
hsv 1 apthae- lipschutz bodies in tzank smear
lichen planus- civette bodies
plummer vinson- iron deficiency anemia; atropic
oral mucus membrane; koilonychia; easophageal web
Basal cell nevus syndr/ gorlin gotz- multiple basal cell nevi; palmar pitting;
hyperkeatosis; bifid ribs; okc in jaws
peuts jeghers- melanin pigments on lips; jejunal
1750. Thiazides if it works for or with K, Cl, Ca, Na? K
1751. After making the crown the lab didn't reduce the lingual cusp the mandible start to
deviate to the left side!! What interferences or cusps caused this movement!? Working
side interference
1752. lower pm which forceps is used? 151
1753. convergence? bur#245
1754. smoke cessation drugs? Chantix, bupropion
1755. Bacteria in healthy mouth? Strep.gorandi
1756. Which type of interleukin in most common after perio disease? IL-1
1757. Interaction of propanolol (B-blocker) with epinephrine is best described by? synergism
1758. Antipsychotic with irreversible side effect? Tradvik
1759. 72 year old women who has Alzheimer's is having a gingivitis and the husband and the
husband is the one who is taken care of her, she needs an instruction about her oral
hygiene? Doctor should go with oral hygiene instructions with her husband
1760. patient swallowed a crown which position? Trendblerg
1761. medications used for all types of epileptic? Phyontin
1762. Ferrule effect? Important for crown lengthening
1763. Classical symptom of asthma is? Wheezing on expiration
1764. Alveolar osteitis, what do you do? Dressing with sedative
1765. when should the child start to speak clearly? 5 years (if speaking problem, 8 years)
1766. overlapping? fix the horizontal angulation
1767. complications of child after taken more then 2g fluouroide? Nausea and vomiting first ,
2 gm lethal dose , lead to cardiac failure , respiratory paralysis ( in acute fl poisining )(
dd pedo )
1768. Side effect of corticosteroids? osteoporosis

1769. Main cause of Alveolar osteitis (another name of Dry Socket)? dislodged clot or
fibrinolysis
1770. how morphine cause nausea ? 1.5-2.5-year child is more prone to injuries because. a.
Due to accidental prone. b. Overprotective parent. c. Abuse. d. No fully coordinated
development? No fully co-ordinated development
1771. Minimum distance between 2 implants? 3mm
1772. Most important when selecting shade? value, translucency, chroma, hue? Value
1773. Well controlled diabetic patient has the same periodontal status as non diabetic? True
1774. Aspirin is contraindicated? asthma patient
1775. Patient is taking propranolol and you give epi and BP rises -why , and which receptor
responsible for that--A1,A2,B1,B2 ? A1
1776. Best test for patient with warfarin. INR, PT time? INR
The clotting test used to measure the effect of warfarin is the prothrombin time (called
pro time, or PT), and INR is a way of expressing the PT in a standardized way by
comparing it to a reference value. INR means PT
BUT
Here is the key to proper understanding:[ A prothrombin time (PT) is a test used to
help detect and diagnose a bleeding disorder or excessive clotting disorder; the
international normalized ratio (INR) is calculated from a PT result and is used to
monitor how well the blood-thinning medication (anticoagulant) warfarin (Coumadin®)
is working to prevent blood clots.] So INR is calculated from PT so ultimately of final
result would be INR. Hence,
For Warfarin...INR is the first choice, Next better option is PT
For Heparin...first better option is PTT ( partial thromboplastin time), Second is INR
Hemophilia, Vwb disease Heparin...PTT
Warfarin/Coumadin, alcohol...INR
Bleeding time...Aspirin
Do not confuse with this picture: Go with PT only if INR is not in option.

1777. Which is the antibiotic prophylaxis for patients with allergic to penicillin? Clindamycin
600mg
1778. What has decreased over time in adults? edentualism
1779. Referred pain to ears? mandibular molars
1780. Heart rate of 4 year old child? 110
1781. If tooth is not responsive to cold next step that u should do? extraction , root canal,
nothing, pulp test ? pulp test
1782. Drug to treat dry mouth? pilocarpine
1783. Patient is asthmatic and has ADHA and takes B2 agonist and amphetamine which drug
causes his insomnia and bad apetite? Amphetamine
1784. Which drug dose not cause gingival hyperplasia? digoxin
1785. Which structure is damaged during free gingival flap surgery taken from palate? Greater
Palatine Artery and nerve
1786. The mesiobuccal incline on the mesiobuccal cusp of mandibular molar (with stainless
steel crown) has wear this is because of movement in which direction(s) 1. working
2.non-working 3.protrusive 4. Retrusive? Working and protrusive
1787. Calcified structure xray behind mand ramus? parotid
1788. If doctor treats without cancen? Battery
1789. To increase the patient's VDO by 4mm? the dentist should make new records of CR
1790. established stage of gin? plasma cell
1791. What causes plasma cell gingivitis? Cinnamon gingivitis
1792. Class 3 on central incisor composite extends to facial. Pt concerned about esthetics.
Heavy marginal discoloration? Veneer (Because if you redo filing, it can cause stains
again)
1793. What do you do when you use calcium hydroxide for pulp capping? add glass ionomer
liner after CaOH2
1794. The reason of high pressure in pregnant women? Preeclampsia (Increase in blood flow)
1795. Premolar has apical infection and it will spread into? sublingual
1796. Most hematoma after what injection? posterior superior
1797. After IAN block patient gets infection of which space? Medial pterygoid
1798. What may lead to osteonecrosis of bone after radiation therapy? X ray mucocel in max
sinus .
1799. Pt has ulcer with inflamed gingiva, histologic exam shows detached epithelial from
basement membrane? BMMP (benign mucous membrane pemphigus)
1800. What is the most common primary occlusion, and what primary occlusion will be class ii
in permanent occlusion? distal step
1801. What may lead to osteonecrosis of bone after radiation therapy? damaged blood
supply
1802. Very short clinical crown, you prep for a metal crown and it is lacking facio-lingual
resistance. You would do? proximal and buccal groove
1803. Which of the following statements is true regarding the radiographic appearance of
furcation Involvements? Bone loss is greater than it appears on a radiograph.
1804. Hep.b surface antibody? not carrier

1805. A lot of translucency on pontic"s gingival 3rd what is the reason- wrong shade selection
or wrong metal thickness Modified pontic ? Wrong metal thickness
1806. Pt wit gag needs to take x ray ? management ? Graded exposure
1807. Fetid odor ? hyperglycemia
1808. Bone drilling tem for implant ; 29, 36, 57 , 70? 36 (Maximum temp is 47)
1809. most common congenital disease in USA? cleft lip and palate
1810. plasma cell gingivitis occur due to? cinnamon flavoring
1811. arrange periodontal treatment phases in order? emegency , initial, evaluation ,
maintainence
1812. prevalence of HSV1 in united states? 20-30% (HSV 2 is more common in USA)
1813. if there is myolohyoid ridge reduction, what changes will be seen? reduction in denture
retention
1814. radiation caries affect? cervical
1815. pit and fissure caries? cone base towards DEJ
1816. a kid bite his lower lip and next day mother noted a blue elevated lesion in lower lip?
mucocele
1817. aspirin affects? irreversably inhibit platelet
1818. asthma? expiratory wheeze
1819. warfarin affects? Inhibits factor 2, 7, 9 10
1820. most appropriate test if patient is on warfarin therapy? INR (For people
taking warfarin, most laboratories report PT results that have been adjusted to the
INR. These people should have an INR of 2.0 to 3.0 for basic "blood-thinning" needs.
For some who have a high risk of a blood clot, the INR needs to be higher - about 2.5
to 3.5)
1821. in tooth borne rpd major support for the prosthesis is provided? occlusal rests
1822. altered caste technique? support
1823. impression material that tear on taking out? polyether
1824. infant has a neonatal teeth got a ulcer in tongue? riga fede disease
1825. a survey was conducted on school children one month ago on dental caries which
study? cross sectional study (Because there was no relation between exposed and non
exposed)
1826. a diagnostic test results are not accurate but 100% consistent? reliability
1827. a 12 year old kid has a deep carious lesion on tooth no. 3, while treating there is pin
point exposure,heamorrhage can be controlled, what serves best long term results?
pulpectomy coz it was deep carious exposure
1828. epiphyseal plate is similar to? synchondrosis
1829. there is a fearful and anxious child how do you proceed the treatment initially? tell
show do
1830. xerostomia patient what is not seen? oral cancer
1831. adding water in gypsum? more expansion less strength
1832. a patient is taking iv bisphosphonates from two years, has non restorable carious tooth ,
what should be the treatment planning? stop the medication three months before
treatment then extract the tooth
1833. a test result is 95% positive, what term we use for this? Sensitivity

1834. color stabilisers for composite? Tegma
1835. funcional cusp bevel? for structural durability
1836. cavernous sinus thrombosis may result from? injury in the upper lip
1837. with age what occur? periodontitis increases
1838. LJP OCCURS? due to bacterial toxin
1839. if an implant placed at a wrong position, what should be the treatment approach? keep
the implant at same place and cover it with soft tissue (coz taking out an implant will
result in lot of bone loss)
1840. adding a complimentary color all of the following increases except? value coz value
never increses
1841. if a child (age not specified) got injury in tooth no. 8 at 2 mm apical to crown cej ( that
means coronal root) what treatment modality u will choose? splint both the parts with
non rigid splints and observe (coz age is not specified and by seeing its coronal root
fracture so may be extraction but again do we extract front tooth)
1842. elimination of drug after its glomerular filtration depends upon? its ionic state
1843. healing after flap procedures is by? long junctional epithelium
1844. how do you identify root caries? softness
1845. best restorative material for posterior tooth root caries? GIC (DD says gic is a best
restorative material for root caries)
1846. a patient is getting recurrent ulcers in mouth that heal spontaneouly , it is aphthous
ulcer? BECHETS SYNDROME
1847. property of a material withstand stress before fracture point? ultimate tensile strength
1848. A patient is taking beta 2 agonist for asthma and his symptoms are not relieving, what is
second choice of drug? corticosteroid
1849. what should be the main concern in placing an implant in maxillary first premolar
region? space available
1850. major source of scattered radiation for dentist is from? patient
1851. trisomy 21 patient have? mid face deficiency
1852. a deaf patient , how do you manage the child? speak and ask everything from care
giver
1853. autism patient characerstic? repetitive behaviour
1854. if a patient is taking chantix what else need to be included in his smoking quitting
regimen? behavioural counselling
1855. medication in GERD? cemitidine
1856. if patient has ketone breath and fainting this is due to? hypoglycemea, (coz patient
might have taken insulin)
1857. EPA regulation of fluoride? 4 ppm
1858. A patient is unable to swallow this is due to paralysis of which nerve? Glossophayngeal
1859. most important aspect in mandibular denture? stability
1860. Which immunoglobulin is concentrated in gingival clevicular fluid? IgG
1861. Which of the following does NOT present itself in the form of Macroglossia?
Hypoparathyroidism
1862. Working interference? which cusps occlude where in working interference? BULL rule

1863. Mandibular canal is on lingual of mandibular 3rd molar, by moving the x-ray sensor
inferiorly and x-ray direction superiorly which way will the canal appear to move? Apical
1864. Informed consent can have all of the following EXCEPT? Informed consent must contain
treatment options
1865. Which of the following shows the best way of active listening? Active eye contact
1866. Patient complains, “Why do I have to stay here for so long for you to do this, why can’t
you finish it already?” It seems you are upset, what are your concerns about the
procedure we’re doing today
1867. Type – I error, gave the test result value of 0.01 and the researchers rejected the null
hypothesis, what kind of error? Type – I
1868. Patient says, “My teeth hurt when I brush them”, what is an appropriate response?
along the lines of oral hygiene instructions
1869. Adolescent have trouble following OHI at home after getting braces. What is the most
effective way to make sure they follow the cleaning regimen? Give them limited praise
with good progress at each appointment.
1871. Amalgam failure? Cavity prep problem
1872. What do we write the consult for? To gain clearance
1873. Child starts throwing fits? Voice control
1874. Disabled kid, best measure? Consistency
1875. Unstimulated Salivary flow rate in an adult? 0.1ml/ min
1876. Stimulated Salivary flow rate in an adult? 1L/day
1877. Fluoride ppm in community water, average value? 1.0
1878. Fluoride next to tooth? 4 minutes
1879. Implant to implant? 3mm
1880. Best Amalgam? High copper admix & spherical
1881. Most common gland involved in salivary gland tumors? Parotid
1882. Middle-aged male has a fluctuant mass in the midline of neck? Thyroglossal duct cyst
1883. what do you need for caries? Bacteria, supporting carbs and a susceptible tooth
1884. What else do S. mutans produce along with dextran after breaking down sucrose?
levans
1885. Most common TMJ ankyloses caused by? Trauma
1886. Histo differentiation involves which of the following? Amelogenesis and dentinogenesis
1887. Blue sclera? Osteogenesisimperfecta
1888. Cleidocranial dysplasia characteristic? supernumerary teeth
1889. Ectodermal dysplasia? oligodontia
1890. Ectodermal dysplasia? scarce hair
1891. Patient smokes pipe and has red bumps on palate? Nicotine stomatitis
1892. Pseudoepithilomatous hyperplasia a characteristic of? SCC

1893. 85 yr old elderly patient’s son brings the consent form that has name of the legal
guardian, what needs to be done before treatment? Contact the legal guardian who
has the power of attorney to get consent of treatment
1894. Nerve involved in Bell’s palsy? VII
1895. 4 mm implant, how much do you need buccolingually? 6mm (1mm on each side)
1896. Mandibular 3rd molar root lost? submandibular space
1897. IAN block needle infection where? Pterygoid
1898. Arch discrepancy after loss of which tooth? Mand Canine (if not in option, go with
Mandi 2nd molar)
1899. Always requires extractions if Arch space discrepancy is more than? 10 mm (if they ask
quadrant, it would be 5 mm)
1900. Which of the following is clinical sign of Leukemia? Bleeding from gums
1901. The research concludes that patients who use chlorhexidine have better oral health
than those who do not, however, other researchers say there is not much difference in
oral environment of those who use chlorhexidine or not? Double Blind
1902. High school kids have? Marginal gingivitis
1903. Cardiac arrest in children? Respiratory depression
1904. Veneer facial reduction? 0.5mm
1905. PFM buccal margin depth? 1.3-1.5mm
1906. Patient comes back after 1 year of composite restoration with pain and sensitivity?
Microleakage
1907. Kid has occlusal caries on posterior molar which material will you use to restore?
Amalgam
1908. Endo and Perio diff? Pulp vitality test
1909. Endo and Periotx? Endo first followed by Perio
1910. Acromegaly causes? Excessive growth of mandible
1911. Radiograph to check integrity of Zygomatic arch? CT
1912. TMJ radiograph? MRI
1913. MRI is used to view? disc of TMJ
1914. Behcet’s syndrome associated with? Aphthous ulcers
1915. Mechanical damage to teeth? Abfraction
1916. Chemical damage to teeth? Erosion
1917. Bradycardia treatment? Atropine
1918. Which is NOT used to inhibit salivary secretion? Pilocarpine
1919. Which is contraindicated in nitrous? nasal congestion
1920. Target lesions? Erythema multiform
1921. Which of the following confirms the diagnosis of xerostomia? location of anterior
restorations. (A because chemotherapy causes xerostomia which leads to class V
lesions)
1922. Over titration of Amalgam leads to? reduced working time
1923. Buccal limit of mandibular denture? Masseter

1924. Lingual limit of mandibular denture? mylohyoid, genioglossus, palatoglossal and
superiorconstrictor.
1925. mandibular denture case, the efficient way of increasing retention of the denture? this
patient had partial denture with only molars, denture flanges looked pretty short of the
vestibule on both sides and she was tight on money? extending the buccal shelves into
the vestibules a bit more (because the denture flanges looked pretty short of the
vestibule on both sides. There can be option for implant too but patient’s financial
concern.)
1926. Cavernous thrombosis infection? anterior triangle
1927. To anesthetize anterior teeth, which other injection would you have to administer on
top of nasopalatine nerve block? ASA nerve block
1928. Tooth mostly involved in perio relapse? Max 1st molar (due to trifurcation)
1929. Premolar with 3 roots? Max 1st
1930. Which of the following is NOT true about vertical root fracture? Extraction of the tooth
is usually the only treatment for it
1931. What’s the status of pulp when the pain goes away quickly following the removal of
stimulus? normal
1932. Fluoride form for kids under 3yrs of age? drops
1933. Best place for implant? lower anterior
1934. Warfarin and Coumadin test? international normalized ratio
1935. Oral hairy leukoplakia? filiform
1936. Best solution to keep avulsed tooth in? hank’s
1937. Treatment for flared out front teeth of 7yr old? No treatment because of ugly duckling
phase
1938. flared out anteriors. what Class? Class II division I
1939. Opioids affect? Chemotactic center
1940. Alkylating anticancer drug’s side effect? bone marrow suppression
1941. Ginseng contraindicated for? salicyclic acid
1942. Side effect of Zoloft? salivary hypofunction
1943. Pseudomembranous colitis? Clindamycin usage
1944. Therapeutic effect? Safety
1945. Which is False about medications taken parenterally? They are very reliable
1946. Lack of indirect retainer? will result in denture being lifted away from tissue when
pressed on one side
1947. Tuberosity hitting retromolar pad? surgery on tuberosity
1948. Why not use fovea as indicator for posterior limit? because you don’t want to block the
minor salivary glands since fovea represents openings to those minor glands
1949. When to remove the palatal torus? when it covers posterior palatal seal
1950. Patient has a palatal torus that extends beyond posterior palatal seal into the soft
palatal area. What will be the best course of action? Use horseshoe design to avoid the
torus

1951. Most common gland for sialolith? Submandibular
1952. Most common salivary gland tumor? Pleomorphic
1953. Gingival graft contraindicated when? pocket is below the alveolar crest
1954. Patient swallowed a crown where is it most likely for it to end up? right bronchus
1955. Graft between same species but genetically different individual? Allograft
1956. Anesthetic that is vasoconstrictor? Cocaine
1957. Cross allergy for anesthetics? esters and amides
1958. Which anesthetic is good without vasoconstrictor? Mepvicaine
1959. Patient does not have tooth #11 and has all the premolars, which one has the Worst
Prognosis? RPD with pontic for #11
1960. Rifampin used for? tuberculosis
1961. Penicillin moa? transpeptidase
1962. Manic depression? lithium
1963. Parkinson’s? lack of dopamine
1964. Lidocaine? Ventricular arrhythmia
1965. Oral contraceptives failure? Rifampin
1966. Aplastic Anemia? Chloramphenicol
1967. Bone penetration, which drug? Clindamycin
1968. Grand mal seizure? Phenytoin
1969. ADA recognizes as dental specialty? dental public health
1970. Informed consent? Autonomy
1971. Improvement after Endo treatment is most likey after? 1 year
1972. Telling patient about risks and benefits of a treatment is a part of? Autonomy
1973. which antibiotic work on gingiva? azithromycin
1974. automated defibrilator, how does it work? discharge when needed
1975. which bacteria causes elastenase, collagenase? P Gingivalis (select Pseudomonas
aeruginosa if in option)
1976. 15 year old has fever, malaise, vesicles,lymphadenopathy? acute herpetic
gingivostomatis
1977. necrotisizing sialometaplasia? No treatment after biopsy, heals in 6-10 weeks, occurs in
palate
1978. porosity in pfm? Less Condensation
1979. cancer of salivary glands and which one has perineurial invasion? Adenoid cystic
carcinoma
1980. fracture also with paresthesia? angle of mandible
1981. xesrostomia and normal flow rate? 0.5 ml/min
1982. osteoradionecorosis? hyperbaric oxygen
1983. Lateral periodontal abscess is best differentiated from the acute apical abscess by? pulp
test
1984. What will not regenerate after rct? dentin formation
1985. 3 partner dentist and hygienist hurts patient who involved in a low suit? only dentist
supervising dentist and hygienist

1986. How long after extraction you insert the complete denture? 8 weeks
1987. Which one is more affect in male? hemophilia
1988. Where does the epithelial for a graft come from? donor connective tissue
1989. Macroglossia not found in? hyperparathiroidism
1990. painless lesion, bone expansion, ground glass appearance? fibrous displasia
1991. most supernumerary located in the? ant max
1992. Cleidocraniodysplasia? supernumerary
1993. plasma cell disorders? multiple myeloma
1994. Which situation least require insulin? Trauma
1995. Herpangina is caused by? enterovirus
1996. Material least resistant? high leucite
1997. Which anethetic without vasoconstrictor is best to use? mepivacaine
1998. Do not use in myasthenia gravis? imipinem
1999. Broadest spectrum antibiotics? pen g procaine
2000. most common found? odontoma
2001. Smoothest cutting but not efficient? carbide bur
2002. Nitrous oxide side effect? nausea
2003. Pt with many sinus fistula? actinomycosis
2004. Wheezing during expiration? asthma
2005. Where do u prefer GA? Ext of 2 yrs old
2006. Pt came with abscess. What u will do first? Incision and drainage
2007. Anterior guidance? both horizontal and vertical
2008. Wear facet in primary dentition why? Nail Biting
2009. garre osteomyelitis? onion skin
2010. chronic osteomyelitis? moth eaten
2011. scleroderma? purse string mouth + extrusing teeth
2012. von Recklinghausen? Cafe au lait spots; lisch spots on iris; crowe sign= axillary freckles
2013. fibrous dysplasia? ground glass
2014. pagets dis? cotton wool
2015. cherubism? bilateral; soap bubble ; perivascular cuffing
2016. multiple myeloma? punched out
2017. how many percent have access to fl community water? 70
2018. MOA of sulfanamid? Inhibite PABA
2019. MAO of sulfonylurea? Stimulate beta celss and increase insulin sensitivity
2020. which one is class 2? Percocet
2022. which is correct about conjugation? adding a molecule to the drug
2023. which of these cognitive behavior decrease in a normal process of aging? learning
2024. Analog (definition)? Replica of implant for lab purpose
2025. Distance between implants? 3mm
2026. Taurodentism? Bullous tooth, large pulp horn (its also a type of hipomature and
hypoplastic autosomal dominant amelogenesis imperfect as per first aid)
2027. Clinical trial? Experimental study done after etiology is found to test possible
treatment

2028. Hazard communication paper identify which institutions created it? (OSHA)
2029. identify what materials are named hazardous? EPA for outside hazards and OSHA for
inside
2030. Chemical sterilization? Gluteraldehyde
2031. Informedconsent? autonomy
2032. Veracity? To be truthful
2033. Radio resistant cells? Muscle and nerve cell | Post mitotic cell
2034. Cherubism? Moon face bilateral jaw expansion
2035. Ectodermal dysplasia, anhidrosis (no sweat glands) and Hypothricosis (decrease in hair)?
X linked male more affected, oligodontia or hypodontia, conical shaped teeth
2036. Most common side effect of nitrous oxide? Nausea
2038. A child 16 kg how much LA? 72
2039. Ludwing angina? Sub mandi, sub lingual, sub menal, Penicillin, metronidazole,
clindamycin, and ciprofloxacin are often the antibiotics of choice. Streph and staph
causes it
2040. Patient in dialysis do dental treatment? ( day after, day before, day of dialysis)? Day
after
2041. Suppression of cortisol (20mg, 200 mg, 10mg, 1mg for 2 weeks in 2 years)? 20mg for 2
weeks in 2 years
2042. The more common site of caries? Pit and fissure
2043. Arthroscopy? steroid injections, disc manipulations
2044. Gardner syndrome? Intestinal polyp, supernumery
2045. Indirect rest instead amalgam to get better? For ideal contour
2046. More common PSICHIATRIC pathology in older? depression
2047. Vertically face divided? 3
2048. Penumbra? Penumbra is lack of sharpness of the film. It is a fuzzy, unclear area that
surrounds a radiographic image and is affected by focal spot size(smaller the better),
film composition(larger the size of crystals less sharp the image), and movement
during the exposure.
2049. Osteomyelitis? Staph -- infection from in to out -- radiolucent--- pain after ext -- pen v
I. V
2050. Patient said “I don’t have time to quick smoking? precontempation
2051. Most crucial in replantation after avulsion? time
2052. Harder area to floss? mesial of first pm
2053. Pka has effect on? Onset
2054. Which is not radiopaque? AOT
2055. Least likely to recur? AOT (Most-okc)
2056. Anticancer drug with effect in acid folic? Methotrexate
2057. RPI I bar fracture what do you do? Splint
2058. Brown tumors? Hyperparathyroidism
2059. Macroglosia is not common in? Hyperparathyroidism
2060. Clean tongue to prevent? Odor

2061. neurofromatosis What do you not see? Café au lait, lisch nodules of the iris, super
numerary are SEEN
2062. Retentive claps? Infrabulge
2063. Initial treatment of LAP? antibiotics+ SRP
2064. Lefort 1? maxillary sinus
2065. Apexogenesis? Vital tooth
2066. Apexification? Nonvital tooth
2067. Treatment of ranula? Excise
2068. Liquid in Glass ionomer? Polyacrylic acid
2069. Source of epithelium for grafts? iliac
2070. Half erupted third molar in a 18 years old patient, WHY do you extract that molar? to
avoid chronic pericoronaritis, because thirds molars can produce crowding in anterior
2071. Tooth with crown best pulpal test? Cold
2072. Nsaid who does not affect palettes? Celecoxib/acetaminophen
2073. Multiple Myeloma first sign? Bone pain
2074. Melanoma common localization? Palate and gingiva
2075. Reciprocal anchorage? Cross elastic, used for closure of midline diastema
2076. PM with 3 canals? Maxillary 1st PM
2077. Disadvantage of partial thickness flap? Thin flap so can be teared easily
2078. Most stable in moisture? PVS
2079. More common reason of amalgam fracture? Water contamination
2080. Antibiotic seen in GCF? Azithromycine
2081. Gingivectomywhere to do incision? Base of the pocket, external bevel
2082. Perio maintenance interval? 3 months
2083. True about Niti over stainless steel? Flexible, cannot stand in canal , memory , less
breakage, curved canals , shows wear signs before breaking Intrapulpal anesthesia
2084. Supernumerary teeth seen in? Gardner, down, cledocranial dysplasia
2085. Treatment without consent? Battary
2086. Least probable canal ledges ( short, small, large, curved)? Short
2087. Med who increase cardiac output (beta blockers, alpha, ace)? Beta blocker
2088. Wheezing seen in ( asthma, COPD)? Asthma
2089. Common between Aspirin and acetaminophen? Antipyretic, analgesic
2090. Montelukast Moa? Bronchodilator
2091. Culture of sensitivity used to? Describe antibiotic, bact resistant
2092. 3 years old with 5 mm intrusion? Let it erupt (here age and exact question has to be
focused. Because extraction can also go right with it)
2093. Ignoring a patient bad behavior? Extinction
2094. #8 with radiolucency increase in size for all of the following except? apical scar
2095. More common cells in cellulitis? Leukocytosis
2096. Most common tooth lost due to periodontitis? Max 1st molar
2097. Pathology with early teeth lost? Papillion-Lefevre syndrome, Chediak-Higashi
syndrome, hypophosphatasia, neutropenia, leukemia and in some cases Langerhans
cell histiocytosis
2098. Epinephrine avoid in? multiple sclerosis, hypertension

2099. Side effect of albuterol? Xerostomia
2100. Dental lamina (2, 6, 8, 12 weeks)? 6th week
2101. Best bone to implant located in? D1, type 1
2102. Repair of veneer? Micro etch etch salinate bond
2103. Cause of mucocele? Trauma
2104. Pulp necrosis what type of resorption? inflammatory
2105. K sparing drugs? Eplerenone (Inspra), Spironolactone (Aldactone), Triamterene
(Dyrenium)
2106. Patient with SCC and he said something like “Are you saying that I have cancer? How do
you respond? This has better prognosis than others cancers.
2107. Common salivary gland tumor? pleomorphic adenoma or mixed
2108. Properties of Zinzpolycarboxilate, and other with GIC? Polyacrylic acid with GIC
2109. Staffne cyst? Deperssion of mandible on lingual side, Static, pseudo
2110. Nystatin Moa? Bind to ergosterol
2111. Primary teeth who resemble mandibular first molar? Perm Mandi molar 2
2112. What to use with disable kid? consistency
2113. Patient with bradycardia what to give him? atropine
2114. more cost effective fluoride treatment? Community fluoridation
2115. Incisal guidance? Vertical and horizontal overlap
2116. Nsaid preferred for kids? Acetaminophen
2117. Nsaid who does not affect platelets? Difluzole
2118. Index of caries? DMFT
2119. Allograft concept? Freezed, dried, osteoconductive. from cadaver of same species in
form of DFBDA (osteogenic because of Bone Morphogenic Proteins) or FDBA
(osteoconductive) Mosby pg 277
2120. Which is not used in cast restauration? Irreversible impression material
2121. Anug? punched out papilla, Tx: antibiotic (metro), ohi, sc
2122. Belladone alkaloids ( contraindications)? Anticholinergic MI
2123. Stridor seen in? Laryngeospasm
2124. Efficacy concept? Intrinsic effect
2125. More common in men? hemophilia
2126. What is not a benefit of ¾ crown one a Full crown? Placement time
2127. Alveolar osteitis treatment? Anelgesic, sedative dressing, no antibiotic
2128. Treatment contraindicated in trough trough furcation? GTR
2129. Least effective reducing interproximal plaque? Water pick
2130. Morphine side effects? respiratory depression, constipation, dysphoria, miosis, coma
2131. Most common reason of cardiac arrests in children? Respiratory failure
2132. Bur used to polish porcelain? Diamond (Carbide for cutting)
2133. After scaling and root planning, pockets still persist? go ahead with perio surgery
2134. Low contrast? exposure time
2135. Disadvantages of split thickness flap- know the advantages and disadv of all flaps? Split
thickness flap- comprises of C.T. and epithelium without the periosteum
2136. Epithelium comes from? the donor site
2137. Vertical Releasing Incisions use? Displaced flap

2138. Retentive clasps? junction of the cervical and middle third
2139. Allergic to penicillin, antibiotic of choice? Tetracycline 500mg (Pay attention to the
drug and the dosage. Clindamycin is usually the drug of choice in penicillin allergy
cases but the dosage for clinda is 600 mg not 500.)
2140. Dexterity? flossing problem
2141. Lower incisor eruption time? 5 to 7 months
2142. Everything is true about Cross-sectional studies except? ‘no cause and effect’
2143. External oblique ridge- Mandibular molars? interferes with FGG
2144. Which causes GI bleeding/ all cause GI bleeding except? celecoxib, naproxen, ketorolac
2145. Distraction osteogenesis v/s BSSO? Injury to IAN is the disadvantage of BSSA
2146. FDA phase 3? to find the effective dose of the drug
2147. Perio v/s endo abscess? pulp testing
2148. Night pain is characteristic of- pulp necrosis, symp? symp.irr. pulpitis
2149. Fluconazole? mucocutaneous and systemic
2150. Drugs causing xeristomia causes? Parasympathetic cholinergic
2151. Opaque porcelain function? to decrease contamination of additional porcelain with
metal in ensuing firing and baking procedures
2152. Methotrexate? anti cancer drug
2153. 3mm crowding- what would you do? Nothing
2154. Human subjects research? always take permission and signature
2155. Gunshot wounds? Bone grafts/ Secondary healing
2156. Crouzon syndrome? Class 3 (Underdevelpped maxilla)
2157. Ectodermal dysplasia? Conical tooth, anodontia or hypodontia, nail and sweat gland
affected
2158. Treacher Collins syndrome? Hearing loss. (It is an autosomal dominant congenital
disorder characterized by craniofacial deformities, involving ears, eyes and
cheekbones and goes along with normal intelligence.The typical physical features
include downward-slanting eyes, micrognathia (a small lower jaw), conductive hearing
loss, underdeveloped zygoma, drooping part of the lateral lower eyelids, and
malformed or absent ears)
2159. If hit below the eye? inability to look upward
2160. Lefort 1? Maxillary sinus
2161. Common complication of maxillary extractions? sinus opening
2162. Interproximal caries seen on? PA, pano, bitewing, occlusal? bitewing
2163. The spacer in wax pattern should be placed at? Right angle
2164. CD and RPD in same patient for wax rim why would u bevel anterior part of wax rim?
not enough interocclusal space but enough for esthetic
2165. Verrucous CA? smokeless tobacco
2166. Melasma most commonly seen in? pregnancy
2167. Most commonly associated with trisomy 21? down
2168. Flame shaped radiolucency above an unerupted third molar? chronic pericoronitis
2169. Bradycardia seen in? hypothyroidism
2170. Thomas and chess- classification of kids? easy, difficult and slow to warm up kids
2171. Nitroglycerin adverse effects? Tachycardia

2172. Leukemia? bleeding gums
2173. Low contrast? kvp
2174. Which doesn’t recur? AOT
2175. Radiolucency? Ameloblastic fibroma
2176. HIV? not to give antifungal therpy
2177. Composite? radiopaque
2178. Class 5? GIC
2179. Pain on buccal cusp not palatal? vertical root fracture
2180. Vertical root fracture most commonly seen on which teeth? mandibular molars
2181. Trephination? pus is trapped within bone
drainage through bone as emergency when theres acute pain of abscess and couldn’t
do drainage thru canal or soft tissue ( not soft tissue swelling) And there is also
apical trephination when u insert a file beyond working length to attempt draining an
abscess thru the canal Usually if apical trephination fails and no soft tissue swelling the
next option would be trephination thru bone.
2182. Purpose of Hex in implants? antirotation
2183. Most common type of caries seen in kids? Anterior facial and posterior interproximal
2184. non working side interference? LUBL
2185. Beclomethasone uses? is inhalational steriod used as inhaler in asthma prevention
2186. Doxycyline read its uses? Doxycycline: in Dentistry: prevent further breakdown of
periodontal tissues by blocking collagenase Other uses: sinusitis, acne, anti malaria, its
broad spectrum so i guess there are a lot of infections to treat
2187. reverse smile? pt chin upward
2188. Antidot for benzo is? flumazinel
2189. Cocaine? vasoconstrictor
2190. Most common type of caries in primary first molar is? Proximal surface below the
contact point
2191. beclomethasone: popular inhaled corticosteroid used for the treatment of asthma can
cause? candidiasis.
2192. Opiod side effect? Miosis
2193. Ch perio most common in? African American
2194. Mepivacaine indication? any condition where epi is contraindicated and if pt is allergic
to metabisulfate
2195. percussion used for? sypmptomatic apical periodontitis
2196. Benzoyl peroxide initiator? self cure
2197. Caoh indications? Primary, direct pulp caping
2198. patient had electric pain after restoration? galvanic shock
2199. Recession? apical positioning flap

2200. Interaction between nitroglycerin and epinephrine is what type of antagonism?
Physiologic
2201. Color stability in light cure? tegdma
2202. Composite class 2 restoration maintained by? extent till caries
2203. Rubber dam leakage? holes placed too close
2204. Rest thickness at margin-0.5/1.5 or 1mm? 1.5 mm
2205. What distunguish myocardial infarction from angina? thrombosis
2206. Occlusal adjustments after composite restoration or amalgam green stone, diamond
bur, steel bur or carbide bur? Diamond
2207. Sodium hypochlorite doesn't? chelates
2208. Sodium hypo? dissolves necrotic tissues
2209. Pt. wd radiation therapy effects? carcinogenisis
2210. Pt. has white spot on cervical area of tooth, what is the treatment? no treatment
2211. reverse smile? pt chin upward
2212. Lithium? bipolar
2213. Elongation of which papillae? hairy tongue
2214. Pt only visit dental office for emergency treatment, all will help him to change his
behaviour into routine check ups instead of emergency visits only by dentist Except?

positive reinforcement, operant conditioning, educate the patient, give him knowledge
regarding oral hygiene maintaince? positive reinforcement
2215. Lithium? physicotic stage of Bipolar (maniac phase)
2216. 8 years old, cross bite. Lateral incisors did not erupt. When tx? Immediatle (springs)
2217. Flumazenil ? Benzo
2218. Most ankylosis? Primary mand SECOND molar
2219. Most dry socket (alveolar osteitis)? Not associated with infection. 3-4 days after exo.
MOST COMMOM is on Mand molar (usually third). DO NOT curate to induce bleeding.
PVS and latex interaction – The SULFUR in latex glove will RETARD the setting time
(THE FERRIC and ALLIMINIUM SULFATE retraction solution cord) . Also temperature
sensitivy (increased temp, shorten working time).
2220. Scavengers? hydrogen gas release
2221. Major connector function? RIDIDITY and support (distribute vertical forces)
2222. Reciprocal arm? direct retainer, located suprabulge(STABILIZATION, resistance to
horizontal forces)
2223. Primary areas for support MAXILLA? Horizontal portion of hard palate; Max tuberosity.
Second would be residual alveolar ridge.
2224. MANDIBLE? Buccal shelf and residual ridge
2225. Width of palatal strap? should not be less than 8mm
2226. Anterior table of articulator? ‘’incisal guide table’’, maintain incisal guide angle (fixed
and not customized). Upper surface is concave.
2227. Pointer in facabow? orient the facebow assembly to a anatomical reference point
(lowest margimofORBITAL rim and Nasion). Facebow records the SPATIAL relationship
of Max arch to some anatomic reference point and then transfer it to the articulator.
2228. How to compensate PROTUSION in articulator? slide forward 5-8 mm. Record the
interocclusal relationship in protrusive (slide 6mm from CR), On the articulator set it at
0 inclination and place the record on MAND post teeth and after that seat the max
cast into record and adjust the condylar guidance.
2229. Lesion on tongue? ECTOPIC THYROID (from thyroid dysgenesis). Base of the tongue
(posterior to foramen Cecum)
2230. Albuterol? tx of asthma. b2 agonist.
2231. cross sectional? observational, non experimental.evatualte 2 groups at the same time.
different from longitudinal study that evaluate one group over a extended period of
time
2232. not give in asthma? nsaid (ibuprofen, aspirn); beta blockers
2233. how to treat asthma? the emergency drug is salbutamol, oxygen (in acute asthma
attack). if the patient is unresponsive (and tried 3x salbutamol – epinephrine) we can
assess the stage by history: mild, use beta agonist inhalors / moderate, beta inhalors
and corticosteroid inhalors / severe-oral cortico, or has been hospitalized.
2234. heart rate in child? 110
0 to 3 months: 143 beats/min (ranging from 107 to 181 beats/min)
3 to 6 months: 140 beats/min (104 to 175 beats/min)

18 months to 24 months: 116 beats/min (82 to 149 beats/min)
2 to 3 years: 110 beats/min (76 to 142 beats/min)
15 to 18 years: 73 beats/min (43 to 104 beats/min
2235. pain med in patient with apnea? cannot give opiod. may be nsaid
2236. disadvantage of no2? nitrous oxide is expensive to buy and to transport. it must be
used in conjunction with more potent anaesthetics and muscle relaxants to produce a
state of full surgical anaesthesia.
2237. unilateral class 2? early exo of a
2238. 0.1% chlorexidine, what for? prevent interproximal caries
2239. Gtr? rgenerate the periodontum, used in 3 wall infrabony defect, ckass 2 furcation.
promotes growth of endthelial cells, osteoblast, cementoblast. not epithelial cells.
coronal movement of pdl.
2240. anxyolitic for pregnant/ breast feeding? promethazine (first generation anti histaminic)
2241. don’t give benzo but? serotonin agonist (buspirone)
2242. chronic perio prevalence? african american
2243. most commom anomaly ? black
2244. dmft for what study? community trials
2245. pain med for liver toxicity? oxycodone / bleeding problems - acetaminophen
2246. ginseng not with aspirin? bleeding
2247. alcoholic patient med? naproxen / hydrcodone
2248. mode? most frequent measurement in a set of data
2249. prevalence? cross sectional
2250. when use laser in perio? sulculardebridment
2251. internal part of implant? the extention is part of abutment that fits in the implant.
cointain the antirotatioanal element
2252. short molar, how to get extra retention? grooves on b and l
2253. to increase retention in short crown? ¾ crown with grooves on proximal
2254. x ray for max sinus? waters
2255. filters for? absorb not useful xray (long length), reducing the patient dosage
2256. ian accessory nerve, causing pain? mylohyoid nerve
2257. target? tungstain
2258. green stain on gingival margin pfm? cooper turn the cervical 1/3 greeen. silver would
be the entire crown.
2259. fluoride to use to prevent veneer staining? naf
2260. tx for localized aggressive periodontitis ? non-surgical therapy with systemic antibiotics
2261. tx for perion with calculus in smoker patient? debridment, oral hygiene, tabacco
cessation

2262. mand 32, irreversible pulpitis, what is the least important? canal calcification, curved
roots, difficulty with anesthesia, inclination of tooth? Canal Calcification
2263. white lesion floor of the mouth, could be all except? scc, verrucous carcinoma,
leukoplakia, nicotitis stomatitis? nicotitis stomatitis
2264. how to treat? the diagnosis is normally made based upon the clinical appearance and
history. tissue biopsy is not usually indicated unless there are areas of ulceration or
localized erythroplakia (red patches)
2265. rpd clasp breakage due to what? Work hardnening
2266. which is more hydrophillic pvs or poly ether? Polyether
2267. face division (vertical2/3rd)? 3
2268. disease more common in men ? haemophilia
2269. relation between incisal guidace and condylar guidance? incisal guidace is equal and
condylar guidance
2270. which has poorest prognosis? adenoid cystic or plga salivary gland or mucoepi? plga
salivary gland tumor
2271. what comes before plaque or pellicle or biofilm? Pellicle
2272. deepest part of occlusal rest for rpd? Central fossa (its asking for deepest point which
is central foss acc to decks)
2273. which one in wax try in for complete denture? Esthetic
2274. cleidocranial as to what it affects? clavicles
2275. questions on modellling technique in pt mngmt? pt made to observe his cousins or
friends behaviour to improve his own
2276. slob ( if the buccal root of the maxi first pm is distal to its palatal root what direction has
the tube head moved to )? Mesial
2277. distal extension of mandi cd lateral limit influenced by? masseter
2278. key feature of the custo tray during final impression is? its under extension
2279. class two drug? percocet
2280. cognitive behaviour that decreases with aging? learning
2281. absolute contra of papoose straps? a co-operative patient
2282. common complication of maxi extractions and with mandi extractions? infection
2283. what sound is affected if incisors are placed too far superiorly and ant? F and v
2284. best ( conservative ) method to close a 1 MM non patho diastema in a young adult is?
composite
2285. if a patient doesn’t have 3rd molars how many furcations will he have in mxi arch? to
make the calculation simple there are three furcations for maxi teeth mesial distal and
buccal rest is simple calculation
2286. most common site for mandi fracture? Condyle (Lease common - Coronoid Process)
2287. complication with distraction osteogenesis nerve damage? Damage to IAN
2288. implant anologue used to replicate the position of implant on the implant platform? if
its used for impressions? nope that’s impression copings
2289. distance from the ant loop and the implant which is? 5mm
2290. during ianb bleeding is caused due to puncture into which artery? IAN
2291. the incision for int bevel in which directio is it directed? Reverse bevel (internal) – axial
towards bone. (Cl – 3 bevel – occlusal bevel & gingival butt joint)

2292. for gingivectomy where is the incision directed? In gingivectomy, you do not do
internal bevel incision
2293. why do we remove bone during modified widman flap? Used to expose root (It Doesn’t
remove perio pocket it just removes pocket lining)
2294. which type of comp are used for posterior comp and for repairing small occlusal defects
(micro, mid, macro, etc )? Macro filled - Posterior composite, Midi -small occlusal
deffects
2295. why don’t we do posterior comp? Coz it is technique sensitive. Other reasons include,
Contamination and Shrinkage
2296. dentist does a comp but shade is too light what is the most conservative mngmt? tint
and not redo the entire restoration because they have used the wor conservative and
margins are sealed
2297. chisel cuts what? Enamel
2298. mucormycosis is seen with? uncontrolled diabetes
2299. what drug for mild cases, what drug for sever cases or htn emergency? Chlorothiazide
as a diuretics for mild cases and Guanethidine for severe cases. (Mild- b blockers and
thiazides, Moderate ace inhibitors and alpha blockers, Severe- neuronal depletion
agents)
2300. what not to give in copd emergency mnmgt? Oxygen or a potent bronchodilator along
whith o2? oxygen
2301. montelukast and zakirlucast what type of drugs? Blocks the effect of leukotriene. It’s a
mast cell stabilizer
2302. effect of age on biotransformation of the drug. during drug Biotransformation, what is
drug mostly fate? become more ionized and less lipid soluble
2303. what property of a cement is not affected by water to powder ratio options were
solubility, consistency, thickness, etc? Solubility
Solubility unaffected as it is wetting of powder particles which initiates chemical
polymerization
2304. what would one prefer distal rest or mesial rest? always go for mesial rest
2305. sulcular depth req for lingual bar? 7mm is the depth of sulcus u need. (4mm is vertical
height as per DD 147)
2306. most rigid type of maxi major connector? Anterior post palatal bar and least rigid is
horshoe type design
2307. migrane with how the triptans work? it is the most commonly used migraine
medications, It called as seotonin 1 receptor agonists. 5HT1B and 5HT1D receptors
located on extracerebral and in cranial blood vessels. tiptans will cause cranial vessels
constriction and reduced transmission in trigeminal nerve
2308. Prevention of migraine the following drugs are used except? Succinyl choline
2309. To control the migraine attack which of the following drugs will be given? Ergotamine
2310. pt with symptoms of headache fatigue, fever and vison loss? temporal arteritis
2311. supernumerary teeth with intestinal polps and osteomas? gardners syndrome
2312. unstimulated flow from? submandibular salivary gland
If its stimulated, answer would be Paritod. In the clinic, the saliva secreted at rest is
often called ‘‘unstimulated secretion,’’despite the involvement of nervous activity. With

respect to stimulated secretion, the parotid contribution becomes more dominant: in
response to strong stimuli, such as citric acid, the flow rate is about equal to that from
the submandibular gland, whereas in response to chewing, the flow rate is twice as high
as that from the submandibular gland.
2313. ant flabby tissue under maxi cd and mandi ant natural teeth? combination syndrome
2314. sign of kidney failure which will levels will shoot the earliest blood uric acid, creatinine,
creatinine phosphokinase, urea, etc? Creatinine
2315. commonly used nsaid in kids is? Ibuprofen (best is acetaminophen)
2316. acetaminophen acts on temp centre in hypothalamus thus causing its? anti pyretic
effect (Do not confuse with prostaglandins)
2317. advantage of led light cure with respect to halogen? Curing depth
2318. what is the first stage of hiv infection? asymptomatic phase
2319. denture considerations in patients with diabetes? Arch shape
use porcelain teeth, arch shape should be narrow, imp with non pressure tech rest of
the points are given in deck
2320. opg with a radio lucency extending from post mand to ant? okc (confusing option can
be ameloblastoma , but ameloblastoma spreads labiolingually rather than ant post)
2321. pano with radiolucency seen with unerrupted tooth? dentigerous cyst
2322. cause of orn (osteoradionecrosis)? bisphos and 42 gy? bisphos (as 42 gy is susceptible
and more than 60 gy means he has high chances but bisphos is like the principal cause
that’s y it was called bronj but now they have changed it to mronj which is medically
induced orn)
2323. base value for good patient relation is? communication should be good
2324. judge or never judge a patient? judge
2325. dist between casette/grid and the collimator for a lateral ceph? 15cm, 60 cm, 5 inch, 6
inch? 5 feet = 60 inch. (and is distance between casette /film and midsagital plane is
15cm)
2326. supernumerary teeth occurs due to problem in what stage of tooth development?
Initiation (table in mosby)
2327. space maintainers - loss of uni first primary molar what does one give? Nance for
maxilla and lingual arch for mandible
2328. class v cavity punch the hole on rubber dam? more bucally
2329. gold restoration use? 212 ivory clmap
2330. teeth who bear clamps? the hole should be bigger than the rest
2331. bur to polish porcelain is? diamond
2332. what type of dentin shouldn’t be removed during prep? eburnated dentin
2333. never do pulpo on closed apex? True
2334. one thing we cant see clearly on 2d image is? missed canal or extra canal which
requires cbct
2335. porcelain has tooth matching color by? Glaze firing (tegma)
2336. Dentist choice by metamerism? Different colors under different light sources
2337. Lab add stains inside the porceline to? Decrease the value
2338. Lab glazes and polishes the porcelain in the end of the design? More compatible to
gingiva

2339. Medicines contraindicated in a cystic fibrosis pt? B2 antagonist, Nitrous Oxide
anticholinergic is indicated with cystic fibrosis since it reduce the mucous secretion
which blocks the airway... b2 antagonist is contraindicated since it cause
bronchospasm
General anesthesia is avoided too in dd, they will have Copd , like chronic bronchitis ,
sinusitis , so beta 2 agonist will help
2340. least likely periapical pathology in children? Odentogenic
2341. BBB (blood-brain barrier) know the meds that pass through? Levadopa/Carbidopa
2342. Meds in multiple myeloma? Biphosphonate, Corticosteroid
(alkylating agents,immunomodulators,monoclonal antibodies protease inhibitors,
Cyclophosphamide ( alkylating agent) is uesd in dd,,bisphosphonate)
2343. Conscious sedation? Nitrous oxide
2344. Pt on sulfonamides, what will be the most likely side effect that being a dentist you can
say? presence of mucositis or RAS due to Def of folic acid
2345. Meds not given to peptic ulcer pts? Corticosteriod (NSAID and Steroids
contraindicated)
2346. Meds not given to pt on anti cholinergic tx? Opioids
2347. Meds not given to a pt who has epinephrine? Moa, Tricyclic, antidepressents, Non
selective Beta blocler
2348. Meds not given to one on BDZ? Antifungal, barbiturates
2349. Meds contraindicated in pt on barbiturates? MAO Inhibitors
2350. Except sweat changes, pt will also show what changes in cystic fibrosis: lung, saliva,
urine and some other options? Saliva
2351. COPD pt, what is contraindicated? Oxygen
2352. Asthma pt, what is not contraindicated? N2O
2353. Max amount of N2O that can you flow into the tube at a time? 70% for adult and 50%
for kids
2354. Epinephrine given with LA, vasodilation with which receptors, all alpha and beta in
option? Vasoconstriction with alpha 1, vasodialation with beta 2
2355. Tetraycline works by: no 30s or protein synthesis ,interference with collagenase, 50s
unit, plasma proteins and dna gyrase? 30’s protein synthesis
Terta will affect protein synthesis at 30 subunit, while doxycycline in 20 mg will be
subantibacterial that inhibit collagenase and Mmp 13, 8 ,, there is diffrence betweem
them
2356. Pt on sulfonamides, what will be the most likely side effect that being a dentist you can
say? Steven Johnson Syndrome, can also cause Skin rash, dizziness, diarrhea.
Trombocitopenia maybe careful with medication like NSAID. Side effect:
Hypersensitivity, Stevens-Johnson Syndrome,Photosensitvity, aplastic anemia,
thrombocytopenia, hyperkalemia, kerniterus, nephrotoxicity (crystalluria, allergy,
psychosis)
2357. Pt on seldane what can u not give? Erythromycin, any macrolide
The interactions were first identified in 1990 and involve many drugs. Among the
drugs known to interact with SELDANE are ketoconazole (NIZORAL), erythromycin (E-

MYCIN), nefazodone (SERZONE), itraconazole (SPORANOX), clarithromycin (BIAXIN),
mibefradil (POSICOR) as well as grapefruit juice.
2358. Pt on your chair, presents with insulin shock, what will you do next? Orange juice,
glucose, epinephrine, O2, etc? Orange juice if conscious and 50% IV Dextrose if
unconscious
2359. Pt on hep B meds, what will you do? Call physician, order regular CBC etc. blood reports,
were some fancy names of tests later? Blood reports
2360. Mandi tori removal, most frequent complication? loss of cortical border bone, injury to
mental n, lingual n, or IAN injury? Lingual nerve
2361. During maxillary tori removal, you accidentally perforate a part of the palate with the
tori, what structure will you see? Nasal cavity, inferior concha, pharynx? Nasal Cavity
2362. During 3M removal, which mand part is most likely to get fractured? Lingual cortical
bone in mandible and buccal in maxilla
2363. Which nerve damaged while distally inclined mand 3M disimpaction? Lingual nerve
2364. Closed mandi fracture, which is most likely to interfere with the closed reduction? Pull
of muscle, 3 different combinations of muscles, or improper access? 3 combination of
muscle
2365. Best radiograph to view zygoma? waters, PA, CT, MRI? CT (if submentovertex in option,
go with it)
2366. Pregnant pt, When is the best time to treat her? 2nd trimester
2367. What meds can u give her or not? Acetaminophen
2368. What is most likely to lead her present with a syncope? Pressure on IVC
2369. Old pt, 84 yo, what is your primary concern? Talk to him as politely and simple language
as u can, involve him in his decisions for tx plan, involve a guardian in his tx plans?
involve a guardian in his tx plans
2370. Stubborn pt, comes in coz of dissatisfaction of his previous several dentists. Despite of
so many changes he still seeks for better prosthesis, what makes u determine if he will
be satisfied by your tx or not? Several verbal communications in options, the most
affirmative and agreeing to what the pt was saying, to build rapport and form of trust is
most imp? to build rapport and form of trust
2371. Pt with a nodule on the middle of the neck, what is most likely dx? Thyroglossal duct
cyst
2372. Pt on anti hypertensive drugs, anti diabetic drugs, numerical readings, looked normal?
proceed with the tx
2373. Pt on no significant med history, past history of some surgeries, blood pressure comes
out to be a little high, what will you do next? Call his physician, ask him if he is okay,
schedule him for a recall, measure BP after 15 mins and see what comes up? measure
BP after 15 mins and see what comes up
2374. Pt has AIDS, his viral load is 100,000, t cell count is 30, what will be your inference? His
viral load is too high and he is on no condition to get tx, he has no problems taking any
tx, his t cell count is too low and that might put him at a risk of infection? t cell count is
too low and that might put him at a risk of infection

2375. AIDS pt in first stage. Which of the following will you notice? He is highly infectious, he is
moderately infectious, he is symptomless in this stage, he will show up with
opportunistic infections? he will show up with opportunistic infections
2376. Which lesion resolves by itself? Hematoma or hamartoma? Hematoma
2377. Bone marrow depression by what drug? Chloromphenicol
2378. Tx of osteromyelitis? surgical, no meds? Sequestrectomy, sauceraisation, curettage
2379. Pt on coumarin, what lab test will you look for? PT
2380. Malignancies to the oral cavity from the rest of the body are most likey to end up in
which region? floor of the mouth, bony landmarks and side of tongue and corner of lip?
Floor of the mouth
2381. Pt has no caries on abutment of FPd, but opposing tooth is in poor occlusion, what will
be your abutment prep selection? FCC
2382. occlusal caries premolar for FPD abutment, good OH, good occlusion. what will be your
abutment plan? Onlay
2383. tooth prep on anterior teeth? reduction on middle and incisal third for PFM
2384. Which equipments in the dental health clinic will need a signed something? UV light,
halogen light, lasers, high speed hand pieces? lasers
2385. Pt comes in with signs of physical assault, whom shall u contact first? Police or
concerned local committees or, talk to pts guardian or do nothing? Child Protective
Services
2386. Metal most likely to show allergies in the pts from the alloys we use? Chromium, nickel,
cobalt, indium, some other metals? Nickel
2387. When can you not place a temporary restoration in the pt? he came in as an emergency
appt, your time to close the office and he comes in, he needs a RCT in that tooth, he has
several large lesions that need to be treated ASAP? your time to close the office and he
comes in
2388. Pt came in for a 3 month recall, initial therapy doesn’t show any changes, pocket depths
not exceeding 3-4 mm, what tx step will u do? srp and wait for 3 more months ,surgery
only if pockets greater than 4 mm
2389. Pt comes in for a 6 month maintenance appt, little improvement in pdl status and
plaque control is efficient, though u can see infra gingival calculus, what was the
reason? You didn’t do SRP properly, pt has no good access to the deep pockets, pt only
concerns about looks, etc? You didn’t do SRP properly
2390. Calculating the specificity for disease containing and non containing pts in a study was
asked, options in %, simple math? Specificity means those who dont have so, TN/TN +
FP *100
2391. Angry child, shows this behavior on the second but was cooperative on the first appt,
what is the best method to control this behavior? N2O tx, GA, papoose board, voice
control? Voice control
2392. Denture wearing pt has pink raised lesions on the palate, what can it be? Epulis,
fibroma, papillary hyperplasia, etc? Papillary Hyperplasia
2393. Tori on upper palate, extending to the post palatal seal, what decides whether you
remove it or not? Tori extension affecting the stability of the denture, undercuts

affecting the retention of the denture, size of tori? undercuts affecting the retention of
the denture
2394. Pano to identify FD? FD Fracture
2395. Ortho forces applied, what is least likely to happen? Differentiation of cells due to
chemical influences in the pdl, zones of oxygen tension and oxygen deficit are created,
changes in pdl blood supply, changes in pulpal response? changes in pulpal response
2396. Pt comes to you with a catheter, which of the following will facilitate your tx? Ask the pt
to remove the cath, you remove the cath, leave it as it is and take detailed history
again? leave it as it is and take detailed history again
2397. LA without epinephrine? Mepivacaine, bupivacaine, articaine, lidocaine, benzocaine?
Mepivacaine
2398. Macroglossia is not seen in which of the following conditions? hyperparathyroidism
2399. Pt with mid face ill developed, no ear pinna, which syndrome? Eagle’s, tracher Collin’s,
apert, crouzon? Tracher Collin’s
2400. cause of angular chelitis: immune, speech therapy, poor home care? Immune
2401. Epinephrine is not given in patient with which drug in med history? Diphenhydramine
2402. AED is not used in? children, old patients, etc? Children
automated external defibrillator (AED) is a portable device that checks the heart rhythm
and can send an electric shock to the heart to try to restore a normal rhythm. AEDs are
used to treat sudden cardiac arrest (SCA).
2403. Aspirin patch is histologically? Necrosis, hyperkeratosis? Necrosis
2404. Phlebolith seen in? nerves veins, etc? Veins
2405. Folic acid inhibited in? methotrexate, fluorouracil
2406. Bisphosphanates are not given in? metastasis of breast ca to bone, metastasis of
prostate to bone, osteolyelitis, multiple myeloma? Osteomylitis
2407. Early loss of teeth associated with which syndrome? Down syndrome, Cleidocranial,
Ectodermal, Cherubism
2408. traumatic neuroma? Trauma from denture to metal and most
2409. bone Grafting, which one shows worst prognosis? Max ant, mand ant, max post, mand
post? Maxillary posterior
2410. On left side max 1 M MB cusp touch man 1 M DB cusp, on right side no max 1M, there is
max PM2 touch central fossa on man 1M, and max 2M MB cusp behind man 1M DB
cusp. Which class Angle on each side? Class 2
2411. If overjet 14 mm, which kind of surgery you do? BSSO
2413. Osteoradionecrosis what true? More in mandible/ more in maxilla/ more of 42 gray?
More in mandible
2414. Which micro organism in rhomboid glossitis? Candidiasis
2415. Dental lamina. Week utero? 6 week
2416. Age of calcification ant max teeth? all the anterior permanent teeth begin calcification
during first 6 months, except for maxillary lateral incisors. The maxillary lateral incisor
may be used as a key to timing; if this tooth is affected, the causative event is likely to
have occured at 1 year of age or older.
2417. Least reduced? intraproximal plaque

2418. Bleeding few days after extraction. Why? Fibrinolysis
2419. Pain in tmj area? Osteoarthritis
2420. Bone marrow suppression, effect from which drug? Mustagen
2421. Gingival graft contra? Thin attached gingival or wide defects
(Maxillary canine is contraindicated coz for palatal graft as there is no
unattached gingival)
2422. Contra N2O2? nasal disease, in 1st trimestr
2423. Drug that increases salivation ? Pilocarpine, methacholine, neostigmine
2424. Decr. Salivation? propranolol, atropine, scopolamine
2425. Antiviral drug works on all of them? herpes simplex, zoster and CMV
2426. which xray you do for tmj? MRI
2427. panoramic? auditory meatus
2428. PA xray of ant max teeth? soft tissue of nose
2429. What is the 02 taper on hand K-files? 0.02-mm increase in diameter per 1-mm increase
in length
2430. Alcoholic pt. which test to do? INR
2431. Test for diabetic pt? HbA1c
2432. Which tooth LEAST common missing? Caniane
2433. In which perio disease you give systemic AB? Can be indicated in anug but initial is OHI
and peroxide mouthwash) (if there is No option of generally aggressive perio)
2434. Status epilepticus – treatment? Diazepam (Dilatin, Valium)
2435. Grand mal seizure – treatment? Phenytoin
(PE tit mal .... Ethosuximide .. PE.. Grand mal ..Phenytoin.. GP ....last
one Status epileptics so –Diazepam)
2436. Tobacco chewing not associated with? Abrasion
2437. H2O2 for wound? True
2438. Diazepam for peripheral realxant or lower seizure threads hold? Peripheral muscle
relaxant
2439. No IV Dizepam for old patient? Shorter half life
(with IV diazepam risk of thrombophlebits and CI narrow angle glaucoma and
physchoses)
2440. First pass? Liver
2441. Alv Ostetis? Sedative dressing
2442. Pulp Necrosis for? Heat (doesn’t respond to ept or cold)
2443. Replace restoration? Ankylosis
2444. Inflammatory response? Pulp necrosis (external inflammatory resorption)
2445. Normal Salivary flow? 0.5 ml/min (closest 1 ml/min) (unstimulated is 0.3 ml/min )
2446. Pilocarpine? 400 mg excess methyl globunuria (5 mg – 3 to 4 times daily) (for
xerostomia and also cevimeline..recommended dosage for pilocarpine is 5 mg 4 times
per day . cevimeline 300 mg 3 times per day)
2447. Antipsychotic drug? Tardicasive (phenothiazines: block dopaimnergic site of brain,
depress CTZ, sedation, antiemetic, alpha adrenergic receptor blockage, potentiate
action of narcotics. CAUSES extrapyrimidal syndrome and tardive dyskinesia. caution
with patients taking sedative drugs and with liver diseases

2448. Vancyclovir? HSV and CMV
valaciclovir tx : HSV1&2, genital herpes, cold sores &VZV(shingles) .. Ganciclovir tx: CMV
retinitis and CMV prophylaxis in transplant patients
2449. Bechet Syndrome? Apthous Ulcer
2450. Epi and Levo act on? Alpha 1
2451. Disabled child? Clorhexidine
2452. If acromegaly untreated? Mandi growth will be more for class 3
2453. Which one has Least strength? Leituce
2454. Dentist plan to Bleaching and veneer ? bleach 2 week prep and bond
2455. Mg can give? Penicilline (no erythromycin)
2456. N2o2 CI in? nasal congestion (also in psychosis)
2457. Nystatin for? Candidiassis
2458. Clindamycine SE? Pseudo colitis
2459. PA not seen in? Mental foreman
2460. HIV 100000 virus T cells 30 ? low T cells
2461. TMJ Disc? MRI
2462. Dentist mount max cast no facebow . Wanna increase VDO? record new CR (Coz it is
not possible to change in articulator)
2463. Record protrusion for? horizontal condylor inclination in articulator
2464. X-ray? Tip of the nose
2465. Oral pigmentation can be done? Hematoma
2466. Pano X-ray 14 yr old pano 30 is rct. Pt complained just enlarge and hyper occlusion?
fibrous dysphasia
2467. Primary tooth bud can intrude permenant tooth bud? Extraction
2468. Which one is least post op complaint after tm? pulp death with asymp periodontitis
2469. Pulpitis and Periodontitis? Pulp vitality
2470. 4-6 years? Fear of unknown
2471. Primary tooth bud? 4 month inutero
2472. For max perm incisor? 1-6 moths for calcification (3-4 closest one)
2473. Max dose of acetaminophen within 24 hours? 4 m
2474. NSAID CI in? Asthma
2475. Oxycodone itch and hypotension ? allergy (release histamine)
2476. Abfraction? flextural
2477. MI and angina? depend on artheroscelerosis lesion (can also be thrombosis)
2478. Thyrotoxicosis? Tachycardia
2479. Cross allergy lido? Mepi
2480. Extodermal dysplasia? Oligo, sparse hair
2481. Hemophilia A? Prolonged or increased PTT and normal PT, platelet count , and normal
bleeding time
2482. Alcohol? INR
2483. Coumarin? INR
2484. Marginal break after amalgam restoration? Edge strength (High mercury content,
result from time of trituration, condensation , copper and mercury ratio)
2485. 2 weeks after restoration feel cold and bite on hard? Hyperocclusion

2486. Xerostomia, But no medicine, pocket depth >4mm, ant caries? Ant. Caries
2487. Osteonecrosis can be found in except smoking, Bisphonate, Active perio, Lumpectomy?
smoking
2488. Cetricine SE, Options are, Xero, Ext staining, Int staining, Ging hyperplasia? Xero (it has
anticholinergic effect)
2489. Syphilic infectius stage? Most infectious is 2nd stage
2490. Type 2 error for pt. management? Accept null hypothesis
2491. GTR to prevent? CT (GTR blocks junctional epithelium and gingival ct with use of
membranes, it prevents the long junct epithelium by preventing the coronal
movement of cells ad allow the pdl cells to proliferate. To make a new attachment)
2492. Rubella embryopathy? In 1 trimester eye ear heart blood problem
2493. Pt is 82. Her son sign as a guardian . What will dentist do with consent ? Consult pt too
and guardian, Pt can sign consent? Consult pt too and guardian
2494. What’s for palpation, To know something happen in cortical bone, To know what’s
going on the pdl? To know what’s going on the pdl (inflammation detection)
2495. Isthmus more than one third? MOD Onlay
2496. Older patient? Cervical darker (GIC given)
2497. How do you decide incisor edge? Lower lip during smile (macillary 2 mm from upper
lip)
2498. 20 mm crepitus and 5 mm tooat tmj? Internal dearrangement (can be trismus too,
depends on exact quesiton)
2499. Dentist studied 3 mths ago for disease. What study. Case control or cross sectional?
Case control
2500. NaoCl except? Chelation
2501. NaoCl removes? Necrotic debries
2502. digital X-ray is? Spatical
2503. Most resistant? Nerve
2504. Pt is hand fold and shaking his leg waiting area? Anxiety
2505. Gingivectomy CI? Below Free gingival groove
2506. Nasopalatine injection? not enough ant sup alv inj
2507. During prep pulp can damage because of? Heat
2508. Cleft palate hard to talk cuz can’t close air soft palate? true
2509. Buccal-lingual bone width necessary for 4 mm implant? 7mm.
2510. If open bite 8 mm, which kind of treatment do you do? Surgical procedure
2511. Pigmentation, Neurofibromatosis and Preuz-Jeghers? cafe-au-late spots
2512. Osteoradionecrosis? More in mandible
2513. How treat root caries? Rmgic
2514. Mucocele where most common? lower lip
2515. Ginco Biloba contraindication? Blood-thinning medications -- Ginkgo has blood-
thinning properties and therefore should not be used if you are taking anticoagulant
(blood-thinning) medications, such as aspirin, clopidogrel (Plavix), dipyridamole
(Persantine), heparin, ticlopidine (Ticlid), or warfarin (Coumadin).
2516. Bleeding few days after extraction? fibrinolysis.

2517. When gingiva inflammation is least expected? Xerostomia or Lack of keratinized
gingival? Lack of keratinized gingiva
2518. What is not true about Xerostomia? it is extremely difficult to treat it with Saliva
substitutes and inducers. Because, it can be improved with the right medication.
2519. V-form caries? tip towards the DEJ.
2520. Burn mouth syndrome due to? Xerostomia
Melkerson has fissured tongue- fissured tongue associated with burning sensation
2521. Best topical Antibiotic agent? Chlorhexidine
2522. Most secure indicator for future caries? Bacteria, something else, salivary flow? Salivary
flow
2523. Most common congenitally missing primary tooth? Maxillary lateral
2524. Drug after conjugation? Becomes more ionic
2525. The conjugation of glucuronic acid to a drug by the liver is an example of a? Phase II
inactivation reaction
2526. Wrought wire, around 0.2 mm to the abutment tooth if minimal wire length is 4,6 or 8
mm? 6 mm
2527. Most common to see in a teenage girl with buccal errupted canine? Anterior deep bite,
recession, 2 others? Recession
2528. Abutment height in implant restorations selected according to? At the height of
alveolar crest
2529. Cocain effect? contraction of dilator pupillae, contraction of sphincter papillae?
contraction of dilator papillae (Mydriasis)
2530. Used as topical LA? Cocain, Benzo, Lido, Bupivacaine? Benzocaine (If in option, select
Both Lido and Bezo are used)
2531. Face rash, defect on heart, kidney and blood vessels? Systemic lupus erythematosus
2532. Most difficult to maintain space? 6 y.o missing primary MD M2, (Since first perm molar
may try to close the space left in between, in that case we will
have to use space regaining appliance
2533. After RCT on a tooth with sinus tract, what is the tx for the sinus tract itself? NO therapy
is needed
2534. Disease with excessive bone production, but less bone resorption? Osteopetrosis
2535. Mouth breather have? Open bite, long face, deep bite etc.? Open bite
2536. Typical face feature for muscle weakness? Long upper face
2537. Kid with ADHD what tx? Continue treatment (note that N20 can be given in child with
ADHD and chlorhexidene cannot be given as it may cause discoloration)
2538. You want to give anesthesia. Kid is taking Adderall, what should you do? Continue med
(adderall is combi of amphetamine and dextroamphetamine.. used for ADHD usually)
(in decks it is said that you don't any special treatment considerations for these kids
and in the following para, they mention about the stimulants which they may need to
use !)
2539. Incision for palate tori? for palatal tori the incision is over it as a shape of
Y...for mandible tori, incision is similar to rainsing a flap, at the gingival crevice and if
required vertical incision given but never on tori.
2540. Pain drug for the night? Naproxene

2541. Side effect of opioids, all except question? Mydriasis (side effects are Constipation,
nasea, vomiting, Respiratory depression)
2542. Lateral positioned flap? Indication- for single tooth gingival recession,
contraindications:adjacent tooth have fenestrations or dehiscense
2543. What is the strongest point of statistics? Selectivity / Sensitivity in clinical trials
2544. In a dental research report, the term "statistically significant" means? Results are not
likely to occur, purely by chance
2545. Which of the following statements regarding the association of coronary artery disease
and periodontal disease can NOT be supported by scientific evidence? There is a strong
statistical association.
2546. In USA most dental payment? Cash for service
2547. Restoration in anterior teeth done weeks ago, filling too light. What is the most
conservative tx.? Apply composite tint (Keyword here is conservative)
2548. Which shows saturation of color? Chroma
2549. In English the s/ch/sh sounds, how is anterior teeth position?
Labiodental sound(fricative)-f,v,ph are formed by maxillary incisor contacting the
wet/dry line of mandibular lip. This sounds help determineing the position of incisal
edge of maxillary anterior teeth.
Lingudental sounds-“this, that,those”: Help determineing the labiolingual position of
anterior teeth. Lingualveolar sound (sibilants )-“s,z,sh,ch,j”:Help determineing the
vertical length and overlap of anterior teeth. S sound help to determine vertical
dimension and known as closet speaking space around 1 mm. TH sound helps to
determine if anterior teeth was set too far labially , lingually, or in right position
2550. Why do we do apexification? Open apices (If vital-- apexogenesis, necrosed--
apexification) (CaOH for multiple visits and MTA for single visit apexifications)
2551. Tx. for atypicaly errupting permanent tooth, with gingival margin above CEJ.
Gingivectomy, Apical positioned flap? Apical positioned flap
2552. All can be Dif. Diagnosis of Leukoplakia except.
Differential diagnosis are Candidiasis, Condyloma Acuminatum, Morsicatio buccarum,
labiorum, and linguarum Cheek, lip, and tongue biting Oral Frictional Hyperkeratosis,
Oral Leukoplakia, Proliferative Verrucous Leukoplakia, White sponge nevus
2553. Collimation purpose.? Reduce diameter of primary beam and increase the average
energy of x rays
2554. Calculation of incidence index. The incidence of caries in your office this year is 300 out
of 1000 teeth and last year it was 200; so what is it for this year? 0.1 ( Incidence is
occurrence of new cases only so it's 300-200/1000= 0.1 or 10%)
2555. Kid with bad OH what ortho tx? Fixed, removable, no tx? Removable
2556. Veneer facial reduction? 1.5 mm ( 0.3 gingival middle 0.5 n incisal 0.7-1)
2557. If a Porcelain to metal fused anterior crown too opaque, what”s the reason? The tooth
was prepare in single facial plane
2558. A patient is unhappy with the esthetics of an anterior metal-ceramic crown, complaining
that it looks too opaque in the incisal third. The reason for this is most likely? The tooth
was prepared in a single facial plane

(When you prepare the tooth in a single plane there will be insufficient reduction at
incisal edge. So in the lab the technician can not add enough layers to mask the
opaque layer or the crown would look very bulky)
2559. Perio-Endo lesion tx? First Endo then perio
2560. MRI how does that work? radiowave
2561. MRI works via what scale of electromagnetic spectrum? radiowave
2562. Drug against kidney failure, what's the best to analyze and prove its action?
Acetaminophen
2563. If lower complete denture overextended buccodistaly what structure impaired?
Masseter
2564. If upper complete denture overextended? Gagging
2565. Patient has a palatal torus that extends beyond posterior palatal seal into the soft
palatal area, and in need of complete denture. What to do? Remove torus
2566. Ignoring the pt bad behavior? extinsion
2567. High kV? Long wave lenght low energy; Short wave length high energy;? Short scale
contrast due to lower KV, long scale contrast due to higher KV
(Kvp 70 and higher) (higher Kv, lower the patient dose)
2568. ACE-blockers? All that ends with -PRIL And they inhibit bradykinine metabolism
2569. Actinomycosis? Draining sulfur granules, side of the neck
2570. Perforation of anterior maxillary incisors during RCT accessnin general most common on
which surface? Mesial (Dental Board Busters: Maxillary Incisors &Canines: ALL have 1
root, 1 canal, &a distal axial inclination. Thus, when penetrating along the long axis of
the tooth, the bur must be slightly angled toward the distal surface to avoid
perforation of the mesial portion of the root.)
2571. Cast impression least acurate? Reversible Hydrocolloids, Irreversible Hydrocolloids,
Polyether? Irreversible Hydrocolloids
2572. Q on Chronic Heart Failure? Bupivicane should be avoided
2573. Neuropraxia? Heals in 4 weeks. Perioneum is intact
Neurapraxia is a disorder of the peripheral nervous system in which there is a
temporary loss of motor and sensory function due to blockage of nerve conduction.
Neurometsis is permenant
2574. Pat. With xerostomia. All is true for the indications to manufacture a complete denture
with METAL basis except? More acuracity, More wetability, Low cost, More durability?
More wetability
2575. Pat. comes back after two weeks with discolored margins. Cause? Marginal
leakage/cooper (depends on type of discoloration and crown)
2576. Antifungal that can be topical and systemic? clotrimazole
2577. preparation before grafting? remove all granular tissue completely.
2578. Carbamacepin used in? nerve pain.
2579. Which postion is patient related? VDO, CR, VRP, ICP? CR
2580. What will most likely cause the odontoblastic processe to retract in the dentinal
tubules? Trauma

2581. All is correct about sclerotic dentin except? extremely low permeability or better bond
with restorative materials compared to normal dentin? better bond with restorative
materials compared to normal dentin
2582. Which study doesn’t show cause and effect? Clinical trial
2583. What is true about remineralized enamel? Remineralized enamel is darker than
surrounding enamel
2584. Sialolithiasis? Surgical extirpation (submandibular gland and duct)
2585. Elective RCT contraindication.? Myocardial Infraction pt. if contraindicated
2586. Gagging patient, what's the tx in a long term? Desensitization
2587. Exhaling wheezing? Asthma
2588. Adverse effect of codeine? somneloscent
drowsiness, lightheadedness, dizziness, sedation, shortness ofbreath, nausea,
vomiting, sweating, and constipation. Other adverse reactions include allergic
reactions, euphoria, dysphoria, abdominal pain, and pruritis
2589. Culture sensitivity test.? determine the antibiotic tt
2590. pontic design.? Acc to DD, Most esthetic is – modified ridge but go with ovate if both
in option, most common – ovate (reference from DD however, final answer from
textbooks which says ovate)
2591. Action of beta blocker on smooth muscle? Bronchodilator
(decreases cardiac output in cardiac muscle)
2592. What is true about if a general dentist decides to perform a treatment which is normally
done by specialist? non-malficence violation
2593. orthostatic hypotension? orthostatic hypotenssion caused by antihypertensives,
phenothiazines TCA, narcotics and antiparkinson's drugs
2594. Middle aged guy with kindney failure due to Lithium overdose. What pain drug is less
expected to be nephrotoxic? Aspirin, Ibuprophen, Oxycodone? Acetaminophen (if not
in option, ibuprofen) (also in kidney failure we can give tramadol, if not in option,
oxycodon)
2595. Why do we need ruler in lateral cephalogram? For magnification (if not in option, go
with measurement, reference carranza)
2596. In removal of palatine tori which structure can be damaged? Greater palatine nerve
and artery
2597. 10 y.o girl, with good OH, no caries but a child of divorced parents. How would you rate
her caries risk? Low, Middle, High? Low (child knows to take care of her OH)
2598. Hispanic guy, no insurance, needs tx. If you extract tooth 14, what is the most expected
complication? The tooth had RCT and a very big amalgam fllg. Sinus perforation, Ridge
fracture, Tooth fracture, Bleeding? Tooth fracture
2599. 10 y.o child case, where upper canines were closely to errupt, but primary canines were
still there. the radiolucency that surrounded the errupting teeth? cysts or tumors?
Dentigerous cyst (if not in option, go for eruption cyst)
2600. Pat. Allergic to sulfa, which meds. Are contraindicated? Sulfonamides, bactrim
2601. Middle aged Pat. With one-tooth gap. If you want to close it orthodontically, what will
you expect? No bodily movement of the teeth, Rotation mesio-facially, Rotation mesio-
lingually? Mesiofacially

2602. two small radioopacities in the bone where MD M1 was missing? Odontogenic tumors,
Root rests, Focal idiopathic osteosclerosis? Focal idiopathic osteosclerosis
2603. Test for kidney failure? Creatinin
2604. RCT of a central maxillary incisor. What is true? it will be difficult compared to a normal
case, because canal was really obliterated.
2605. Pat. Bites down on his maxillary M1, which already had a super big amalgam fllg, and
breaks off one of the cusps supragingivally. What tx? PFM Crown (not onlay in this
case)
2606. On xray, opacity apical of a RC treated tooth. What could it be? sealer.
2607. Pat. Has very strange bite, posterior crossbite, Class 2 relationship on the molars, but
almost perfect overbite. What is the most likely cause? Canine
2608. How to treat his posterior cross bite? Quad helix expander
2609. Female pat. Wants all her teeth extracted, although they don't look as bad, what tx. Is
appropriate? Patient education
2610. That 10 y.o girl had a very strange bite, with a skeletal midline deviation to the left what
can be the cause? Can be TMJ, condylar hyperplasia or bone tumor
2611. On a lateral cephalogramm of the 10 y.o girl what is the radiolopacity that crosses her
posterior teeth? Maxillary sinus, Orbita, Zygomatic arch, Palatine process of maxilla?
Zygomatic arch
2612. Hispanic Pat, without insurance. Missing teeth, needs tx. What is the least tx indicated?
sinus lift
2613. 10 y.o girl who was asmathic. Meds.? Albetrol
2614. Old pat, heavy smoker with white patch on lip? Hyperkeratosis due to smoking. (Can be
leukoplakia too coz patient is smoker. Depends on exact case)
2615. How to biopsy that hyperkeratosis? Incisional
2616. Pat. With leukoplakia on lower side of the tongue. How to biopsy that? Exfoliative
cytology
2617. What structure can be damaged while biopsying the lower side of the tongue? Lingual
nerve, mylohyoid muscle
2618. Pat. With HTN. Taking various meds. Lisinopril, Beta-bloker among those. Which ones
lowers his BP? Lisinopril
2619. Elderly pat. With a super old bridge on lower back teeth. Has sensitivity when drinking
cold drinks. Which tooth most likely to be the reason? The bridge had 3 abutment teeth.
On the x-ray one tooth had a post, another one had a big radiolucency. Both teeth are
non vital, Only tooth with calculus is vital (coz considering x-ray, it was the only molar,
which looked normal with a little subgingival calculus)
2620. Pat. Taking antidepresants. Having heavy bruxism. What is least likely to do to treat him,
except? lower his medication
2621. Pat. With pigmentation above maxillary lateral incisor. What could that be and how
would you biopsy that? Incisional biopsy (is small lesion)
2622. elderly pt. taking various med. Including Aspirin 81mg. Would you stop Aspirin before
SRP? No, doesn’t need too stop baby aspirin
2623. Middle aged woman who wanted all her teeth pulled out, had a radiolucency in the
canal of an endo treated upper canine. What could that be? Can be fracture gp

condensation or inflammation from coronal pulp (not internal resorption because
tooth is endodontically treated)
2624. She had multiple fractured teeth, which were all previously endo treated. Why does her
oral situation looks like that. All except? external tooth trauma
2625. depressed guy? Amitriptyline med
2626. Cleft lip which embryo week? 4-6 week
2627. When do you use Laser or Electrocoagulation surgery intraorally? Laser for
gingivectomy
2628. Forceps for upper PM? 150
2629. Burn mouth syndrome due to? Multifactorial etiology and cause taste disorder
2630. Best topical Antibiotic agent? Bacitracin
2631. TAD (=Temporary Anchorage Device). Where it gets its stability from? TAD gets stabilty
from cortical bone as well as from its perpendicular placement.
2632. Tx for Status Epilepticus. ? midazolam or oxazolam (if NO Diazepam in option) (coz its
same or rather better than diazepam or valium)
2633. 2 y.o. uncooperative child. What to do to examine? GA, Papoose board, Restrict by
dental assistant, Restrict by the parent? restricted by parent.
2634. Fluoride function on Enamel? displacement of calcium ion to fluoride ion during the
mineralization of the enamel.
2635. Most secure indicator for future caries? Bacteria, salivary flow? salivary flow
2636. How to avoid cheek bites? by reducing the buccal surfaces of the lowers molars
2637. Xerostomia causing drugs work on which receptor? chlolinergic muscarinic receptor
blockers.
2638. Most common to see in a teenage girl with buccal erupted canine? Anterior deep
bite, recession? recession
2639. Cocaine effect? contraction of dilator pupillae, contraction of sphincter pupillae?
contraction of dilator papillae
2640. Cause for Hairy Leukoplakia? HIV, EBV, HSV, Candida? EBV
2641. Disease with excessive bone production, but less bone resorption? pagets disease
2642. Mouth breather have? Open bite, long face, deep bite? long face and open bite also
caused by muscle dystrophy
2643. Typical face feature for muscle weakness? Long face and open bite
2644. Incision for palate tori? Y shaped incision
2645. Pain drug for the night? Naproxen
2646. Side effect of opioids, all except? can be diarrhea and dieresis
2647. Lateral positioned flap? Denudated roots with adecuated depth tissue, dehisecence
,fenestration and single tooth recession
2648. Most common seizure in children? febrile seizure and treatment is ethosuximide
2649. Drug against kidney failure, what's the best to analyze and prove its action?
Acetaminophen
2650. If lower complete denture overextended buccodistaly what structure impaired?
Masseter (can also be coronoid process)
2651. Pseudomembranous colitis? Clindamycine (caused by clostridium dificlie and
treatment is carbenicillin)

2652. Which tooth more prone to caries? Manndibular 1st molar
2653. ACE-blockers? All that ends with -PRIL And they inhibit bradykinine metabolism
2654. Actinomycosis? Draining sulfur granules, side of the neck
2655. Vertical root fracture most commonly seen? Mandibular molar
2656. Crown to root fracture most commonly seen? Max central
2657. Perforation of anterior maxillary incisors during RCT access in general most common on
which surface? Mesial
2658. Cast impression least accurate? Reversible Hydrocolloids, Irreversible Hydrocolloids,
Polyether? Irreversible hydrocolloid
2659. Chroma, Hue, Value.? Chroma is the saturation, increase with orange.Value is the
single most imp factor, u can’t increase it, it has 1-100 numbers. Hue is the actual
color.
2660. Chronic Heart Failure? Digitalis
2661. Neuropraxia? Gradient/transient nerve damage
2662. If a patient has had a car accident and an assumption of a broken cervical spine, which
xray is contraindicated? Waters, SMV, Pano, CT? Waters
2663. Carbamacepin used in? nerve pain. Trigeminal neuralgia (anticonvulsant also goes
true)
2664. Which study doesn’t show cause and effect? Clinical trial
2665. What is true about remineralized enamel? Rough and dark, Remineralized enamel is
harder and more resistant to demineralization
2666. Sialolithiasis.? in children transillumination, blockage in the salivary
2667. Elective RCT contraindication? Leukemia .
2668. Gagging patient, what's the tx in a long term? Gradual Desensitization
2669. Adverse effect of codiene.? CNS Depression
2670. pontic design.? Pontic MD Convex and BL CONCAVE should not touch the ridge
2671. Action of beta blocker on smooth muscle? Vasodilation
2672. What is true about if a general dentist decides to perform a treatment which is normally
done by specialist.? Veracity if dentist thinks it is beyond control
2673. orthostatic hypotension? orthostatic hypotenssion caused by antihypertensives,
phenothiazines TCA, narcotics and antiparkinson's drugs
2674. Least affected by inhalation of NO2? Dentist or patient or Hyginest? Patient (Because
Dentist have to do same in more than one patient)
2675. % of auto accident in USA? 90-95
2676. Patient with transient ischemic attack , what is contraindicated.? Anticholinergic
2677. Epinephrine and nitroglycerin what kind of reaction together.? Physiological
2678. Study that does not deoend on sample? Longitudinal (can be case report too, depends
on options)
2679. Management of Van willbrande? Factor 8
Local haemostatic agents before surgery, rubber dam is recommended to minimize soft
tissue injury, same bleeding control protocol as in oral surgery should be applied.
Aspirin and NSAIDSs should be avoided. 1- Avoid Asprin and NSAIDS. 2-use Tylenol with
or without codeine or COX-2 inhibitor( Celeccoxibe, Rofecoxib.3- screen prolong
bleeding time, PFA-100, or prolong partial prothrombine time.)

2680. Step to take impression to record masseter? tongue movements as it has to record
disto lingual border, During border molding the masseter muscle can be activated by
pushing downward on the patient’s chin while the patient attempts to close the
mouth against this pressure.
2681. Side effect of adrenal insufficiency? Hyperpigmentation, orthostatic hypotension,
weakness, weight loss
2682. Two non collinear and equal opposite forces are called? Reciprocal force (couple)
2683. Treatment of GAP? Surgical intervention and antibiotics (Mosby) (debridement and
abs)
2684. Treatment of LAP? SRP and Antibiotics
2685. Transillumination in kids for? Kaposi and sialolith
2686. Contrindication of gingivectomy? infra bony pocket, not enough width of attached
gingiva
2687. Success rate of nonsurgical endo? Good
2688. Kennedy class 3 support? Tooth
2689. Space between occusal rest and opposite teeth? 2-4 mm (we make rest seat about 1.5
mm deep at marginal ridge)
2690. Reason for frequent urination in 3 trimester? Pressure on bladder
2691. Medicine locally used nowdays for periodontitis? Minocycline / doxycycline
2692. Ludwig’s Angina Tx? Succycolin (open airway) (I and D, if systemic antibiotics should be
given, if breathing problem, opening of airway in emergency (tracheostomy))
2693. Intrapulpal injection? Back pressure (30 sec)
2694. Impacted canine tumor? AOT
2695. Forceps slips and causes the puncture wound. How it closes? Secondary intention
2696. Which stage of tooth results in form and shape of teeth? Morphodifferentiation (Bell
stage)
2697. Pagets disease of bone? Cotton woll, bilateral expansion
2698. Cementoblastoma? Sunray
2699. Odontoma? Most common
2700. 1st Molor calcification? Calcification begins at birth and completes after 2-3 yrs after
eruption
2701. Which bone of facial skeleton formed by intramembranous? Maxilla, Mandible and
cranial vault. (symphysis menti if in option)
2702. Patient complains the dentures are becoming too tight and not fitting anymore. What
is the diagnosis? pagets
2703. not feature of modify Widman flap (displace/no reduce of osseous defect)? no reduce
of osseous defect
2704. Advantage of osteogenesis distraction is? Large movements, less relapse
2705. An investigation that is not accurate but consistent is? Reliability
2706. Remineralized enamel is rough and cavitation? Darker than surrounding
2707. endplate potential is terminated by? Acetylecholine
2708. S,z,che sounds : Teeth barely touching ? true
2709. Herpes population in USA? 80%
2710. Steps of plaque formation? pellicle,biofilm,materia alba,plaque

2711. Beclamethazone? Topical corticosteroid for treatment of asthma
2712. Why use antiretraction valve? To prevent infection between dentist and patient
2713. Dose of hydrocortisone taken per year that will indicate have adrenal insufficiency and
need supplement dose for surgery? 20 mg 2 weeks 2 years
2714. impending doom? anxiety, panic attack? panic attack
2715. Most impacted tooth? Maxillary canine (if 3rd molar not in option.)
its maxillary canine which is impacted after 3rd molars... DD are wrong in some many
places. Manibilar 2nd premolar is the most common missing tooth as it can start
calcification as late as 8 years of age . So this this the only exception where 8-9 yearsof
age and tooth bud its determined missing.
2716. Least common survival of lip cancer? White females
2717. How to distinguish dx for ANUG? Involves interdental papilla
2718. Which type of periodontitis need antibiotics? Acute and agreesive (LAP) (antibiotic for
periodontitis is metronidazole)
2719. Ranitidine? decreases gastric acid secreation,h2 antihistamine
2720. Which is prevelant? 2 wall defects (if in option, choose craters first)
2721. Zygomatic process on X Ray? U shaped
2722. Opiod addict? Methadone (overdose-naloxone)
2723. NUG etiology and treatment? Spirochet and SRP (Debriment rinse and ab if systemic
involved) (Pevotela intermedia , spirochete , fusibactetuim)
2724. PMN present in healthy sulcus? True
2725. Difference between chronic and agreesive periodontitis? Presence of plaque (chronic
develop slowly and aggressive develop fast) (low level or no plaque with agreesive)
2726. Free gingival graft aggressive around 2nd and 3rd molar because ridge T/F? If oblique
ridge lower, its true
2727. you have a 8 months old pregnant that you extracted 2 teeth, which required flap and
sectioning of tooth, what medication would be MOST appropriate to prescribe - aspirin,
ibuprofen, acetaminophen, tylenol 3? Acetaminophen
2728. guidelines for antibiotic prophylaxis? given in recent MI, prosthetic valves, shunts (not
given in joint replacement, also not given during impressions, restorations and RCT(
which I doubt) source TUFTS)
2729. there was a lady who had widened PDL and bilateral resorption of angles of mandible,
wat is the cause?- osteosarcoma, Marfan syndrome? Osteosarcoma
2730. congenital abnormalities are associated with which stage of development of the tooth?
Histodifferentiation
2731. Mechanism of action for drugs in diabetes and asthma? Diabetes meds action - either
to produce insulin from beta cells of islets or reduce glucose production from liver
Asthma meds beta agonist- bronchodilation (Diabetes meds action - either to produce
insulin from beta cells of islets or reduce glucose production from liver, Asthma meds
beta agonist- bronchodilation)
2732. how much you have to reduce for veneer, in a 1/3 incisal, and anterior PFM crown?
veneer incisal 1/3 = 0.7 to 1mm, anterior Pfm crown - Gingival and middle third =
1.5mm
and incisal third= 2mm

2733. Diagnosis of ANUG is based on punctuate interdental papillae (not biopsy) t/f? True
2734. ANB (-) angle means class III? true
2735. Pregnant lady – notice HTN – why? Preeclampsia
2736. given : HCt – 25 , BUN- 20 glucose 80, what should be your concern? bleeding
(The definition of normal red-blood cell percentage also varies from one medical
practice to another. Generally, a normal range is considered to be: For men, 38.8 to 50
percent. For women, 34.9 to 44.5 percent.May 26, 2016)
2737. why some people have secondary herpes virus without primary?subclinical T/F? True
2738. the arch length in mandible decreases most from - loss of primary 1st or second molar?
Primary 2nd molar (source DD)
2739. Down syndrome? Macroglossia
2740. 2mm opening to sinus after extraction - what to do? Nothing
2741. Pemphigoid? deep layer, pacantholysis absent, Intraepidermal ..no acantolysis,
Interepithelial split not INTRA
2742. Von Recklinghausen’s neurofibromatosis? Pigmentation, Single or multiple nodules,
Crowes sign and Lisch sign
2743. in asthmatic patient albuterol doesn't work, whats next? Theophylline 0.3 mg 1:1000
2744. Angioedema? Due to deficiency of c1 estrase inhibitor
2745. If filling has marginal ditching of <.5mm do you redo restoration? Do nothing (In mosby
it is given if amalgam ditch less than 0.5 not an indication for replacement)
2746. what makes nuclei of dentinal tubules displace? Mechanical irritation, chemical
irritation, etching, DRY? Mechanical irritation
2747. how are root surface caries detected? Softness, (With tactile sensitivity – explorer is
used)
2748. Treatment planning sequence? emergency, control, reeval, definitive, maintenance
2749. If expoased pulp, calcium hydroxide (how thick? 0.5mm) and then liner on top? rmgic
2750. If put amalgam in triturater too long, It hardens quicker? True
2751. Orange and green stains on teeth is from what? Poor oral hygiene
2752. Cavernous sinus thrombosis? one involving infection (upper lip, headache first sign,
blurred vision)
2753. first sign of cavernous sinus thrombosis. vision changes? Periorbital edema, headache,
blurring
2754. Methemoglobinemia? Prilocaine
2755. What anesthetizes posterior soft palate? Lesser palatine
2756. Gorlin – OKC? nevoid basal cell carcinoma
2757. Ulcer on a tongue- what is it associated with, it happens every so often and goes away?
Cancer sores or apthous ulcer
2758. Which disease gets arthritis associated? Sjorgran
2759. Mucocele formed by? Salivary duct trauma
2760. Most common salivary gland tumor? Pleomorphic adenoma
2761. Ameloblastoma x ray? Soap bubble apprearance
2762. Downsyndrome kid does not hav which? CARIES (they don’t get multiple caries but
they have pdl widening)
2763. Biggest fear of 4-6 years old? Unknown (Treated by TSD)

2764. Degrees to hold instrument? 45-90
2765. Point of hex in implant? Anti rotational
2766. Collection of mucin surrounded by epithelium? Mucocele retention cyst
2767. Implant should be placed more apical or more coronal to surrounding teeth gingival
margin? More apical
2768. Best tooth brush method? Sulcular
2769. What causes tardive dyskinesia? Anti-psychotic (long term use of neuroleptic
medication)
2770. better retention/resistance for short crown crown? Retention - facial groove,
Resistance - boxes and grooves (proximal)
2771. prep= grooves, boxes, decrease convergence angle? True
2772. S sound question? Excess vertical dimension
2773. Clasp on RPD should be passive and not put pressure on tooth? True for retentive clasp
2774. Hardest impression material to take off? Polyether
2775. incisal edge has opaque look to it? What caused this? Reduction of tooth in single plane
(Biplanar reduction of crown not done properly)
2776. Resin modified glass ionomer cement advantage? Better strength than GIC, stronger
and less soluble (according to DD)
2777. Guy from Ethiopia had Hep B positive surface antibody? What does this mean?, he is
fine, he has it and needs vaccine, he has it and needs some medication? He is fine
(previous exposure with hep B / must be vaccinated and he is not a carrier)
2778. a scenario with a young girl who had a trauma tooth with a “bubble on the gums”, she
also drank a ton of soda? Bubble on gum is related to absess
2779. some man who was very fat, had HT, - what else can he have? Diabetes (can also be
Thyroid coz Htn never affects Thyroid whereas a thyroid disorder causes Htn)
2780. which organ would be least effected knowing his condition? kidney, pancreas, thyroid
or colon? Colon
2781. what was least likely to cause his high caries rate? dry mouth(could be cariogenic food)
2782. Anxiety def by frued and ericsson? Silver Lining (According to Freud, a feeling of
impending danger that can be based on objective, neurotic, or moral threat)
2783. Varience? In varience greater the range of data wider the distribution
2784. Preloading of implant whats the major concern? Torque
2785. 4mm sinus opening to sinus after extraction no option of suture? Flap from buccal
if <2mm leave it alone, if 2-6mm a figure 8 suture should be placed over tooth socket ,
if larger than 7mm the opening should be closed with flap procedure
2786. What will do some tooth mobility prior to periodontal surgery? We will splint some
mobile tooth (depends on exact question)

2787. Folic acid intake in pat for? methotreate inhibit folic acid
but if pt is taking folic acid - then its for vit b deficiency
2788. Concussion in child what to do? Observe
2789. Pat, asks abot sterilization what did you say? Show him sterilization room
2790. Altered cast technique is for? Support
2791. An altered cast impression technique for free-end extension mandibular partial denture
cases is done primarily to? capture soft tissue in a supporting form and prevent
displacement of the retromolar pad.
2792. Class 3 occlusion seen in which ethnicity? Native americans
Highest prevalence of caries = Hispanics
Highest DMFT = White (cuacasion) (highest amount of restored teeth)
Highest untreated primary teeth = Hispanic
Highest untreated perm teeth = Black (African American)
Moderate periodontitis = Black males ( African American)
Class II caries = Whites (cuacasion)
Class III caries = Blacks (African American)
Cleft lip/palate w/ Class III occlusion = Native American
Cleft lip alone = Asian
Cleft lip and palate in USA = 1:700 to 1:800
US population - Class 1 - 70%, class 2 - 25%, Class 3 - 5%
2793. Highest unfilled caries seen in? Black
caries in children Hispanics, most restored cavity in adult is white, most decayed teeth
in adults is blacks
2794. Hazard communication standards? Protection against chemical ...it’s written by MSDS
but regulated by OSHA

2795. Which model is currently in use? Specific plaque theory or NON-specific plaque theory?
Specific plaque theory
2796. Most prevelant type two diabetes? Black male (DD reference)
2797. Best test to test tooth with crown? Cold
2798. Trapezoid mouth and shovel incisor? Apert Syndrome
2799. Baby bottle decay affects mostly? Maxillary central incisors
2800. Common cause of sealent failure? Contamination
2801. NaF applied for how many minutes? 4 minutes
2802. Mesial cusp ridge longer than distal in? Primary canine and max 1st pm
2803. Stage forming peg lateral? Morpho (Bell)
2804. Smallest primary tooth? Mandi lateral
2805. EDTA can remove thin calcification not any calcification? True
2806. pulp diagnosis (pain on percussion ) not respond to thermal? abcess, necrotic pulp
2807. No regeneration after endo? Dentin
2808. Change amalgam to composite? Veracity
2809. class 2 caries triangle and the apex to the pulp? Base at DEJ, apex at pulp
2810. cusp reduction? Resistance form
2811. Most lab complain from? Under prepared (insufficient reduction)
2812. Facet found on? Working side
2813. Most strain wall? Gingival, proximal
2814. Way to Differentiate between Ameloblastoma from OKC? Histologically
2815. Way to Differentiate between Granuloma and radicular cyst? Histologically
2816. Effect on anemia? Cold (not No2 – 100% confirmed)
2817. Seizures due to? Hypoantremia
2818. Crowe Sign? Neurofibromatosis Type 1 aka Von Recklinghausen
2819. Warm born disease? Pagets
2820. Early shedding of Primary teeth and delay of permanent teeth? Cherubism
2821. IgM hetro diagnosis? Infectious Mononucleosis by EPV
2822. Clacified Flax Ceribri w/ which syndrome? Gorlin Syndrome
2823. Most common cyst? Periapical
2824. Most commo burn in mouth? Aspirin burn
2825. Edrophonium all true except? cause dry mouth
2826. True cyst (aneurysmal, traumatic, etc)? Aneurysmal bone cyst (traumatic bone is true
cyst according to DD)
2827. Trauma in young kids? Lack of motor coordination
2828. Percent of kids with trauma? around 24%
2829. Plaque index used to? Patient motivation
2830. Measure arch length? mesial surfaces of the first permanent molars
2831. For dentist to avoid a lawsuit he needs? Competence
2832. Dermatologist refer a pt to you suspecting intra-oral cyst, which disease? One of the
pigmented lesions (Gorlin Syndrome - nbcc)
2833. Acron and non-acron articluator? Acron for tmj disease diagnosis, Non acron is semi
adjustable for fdp rpd. Arcon is true condyle in lowermember and fossae in upper

member exactly like us were as non arcon is reverse e.g. Ofnon arcon is 3 point
articulator e.g. Of arcon is hanau semiadjustable articulator.
According to dental decks.. Both( acron and non acron) are semiadjustable which
allow orientation of casts in relative to tmj.. Acron used for fabricatingfixed
restoration while nonacron for complete and partial denture
2834. Infra-orbital pointer of articulator? Three point reference
2835. Protrusive movement on articulator how to set it? Remove the incisive pin
2836. Frequent urination in pregnant women? Pressure on bladder
2837. Antifungal torche? clotrimazole
2838. Ttt without consent? Battery
2839. Charging full mouth xray as separate? Unbundling
2840. 3 mm subging composite? Need crown lengthening. 0.3 mm composie sub gingivally
cavity and it was bleed what is the reason of pot operative senstivity
2841. circumferential opposite force? Couple or anchorage? Couple
2842. pt with pulp capping failed? Do RCT
2843. demarcation line in ismuths? Redo the filling
2844. <0.5 marginal defect in amalgam? Observe
2845. Epinephrine and histamine? physiologic
2846. Fluoride in 1.1 or 5%? 0.5 mg 1.1 NaF
2847. Unethical of dentist to increase fees? Pt had difficult procedures
2848. Not included in the consent? payment
2849. Pic of generalized inflamed gingiva in upper teeth of child pt was treated for skin disease
for 2 month? multiple pyogenic in child
2850. Pt with controlled systemic? ASA 3
2851. how the partial agonist works in relation to full agonist? Partial opioid agonist = Mixed
agonist-antagonist
Buspirone (BuSpar) is a partial agonist at a specific. Its dopamine agonist and
serotonin partial agonist
Agonists have intrinsic activity (maximal effect of a drug); efficacy of 1
- Pure antagonists have no intrinsic activity; efficacy of 0
- Partial agonist has an intrinsic value between 0-1
2852. According to the theory that agonists and antagonists occupy the same receptor site, an
effective antagonist should exhibit? No intrinsic activity and high affinity
2853. Thyroid crisis? hypertension
2854. Cocaine doesn’t do? Doesnt do Vasoconstriction (does mydriasis)
2855. Intra canal anesthesia? 30 sec onset? Intra pulpal back pressure takes 30 min
2856. Accurately filled root canal but over extended gutta percha? observe
2857. Xray of Paget? Cotton woll
2858. epidemiology/Prevalence of all diseases between different races? Most Periodontal + 5
yr survival cancer
2859. Handicap on wheel chair? Ask him
2860. 2 proximal cavities? clean bigger restore smaller
2861. rubber dam leak? too close
2862. doom? panic attack

2863. dementia? Short term memory loss
2864. most common dental emergency? Hyperventilation or syncope? Syncope
2865. most common elderly disease? depression
2866. most common molar relation in ped? Flush terminal plane
2867. most common resp emergency? hyperventilation
2868. perio disease is recently connected to? Cardiovascular
2869. oral cancer is connected to Alcohol, OH, smoking? Smoking
2870. gingival disease in kids? Marginal
2871. HIV +ve pt needs extraction, what test? Cd4 or viral or platelet or hematocrit? Cd4
2872. how to arrange the lower teeth of denture? it should be in relation to the ascending
ridge of the mand
2873. missing upper incisor? lateral
2874. record distobuccal extension or denture by? press on mandible (masseter)
2875. pregnant pt, Nitrous Oxide which trimester or avoid? 1st Trimester
2876. Pregnant and breastfeeding must give sedation? chloral hydrate
2877. Alcohol fetal syndrome? Mid face deficiency (mid face discrepancy)
2878. Most common Congenital anomaly? Cleft lip
2879. Mucous retention etiology? Trauma to salivary gland
2880. When to remove tourus palatines? When it removes with torus palatines
2881. finding as Sausage-like in radiograph of salivary gland? Sailolithiasis (sialodentitis if
sailolithiasis not in option) (Sialodichitis)
2882. Transillumination in kids? Sialolithis (koplik spots too of in option)
2883. Factors contributing to perimplantities? Bacteria and poor health
2884. Wide embrasure after perio surgery, how to clean? Interdental brush
2885. Factors considered in tt planning for implant all except? age or region of mandible?
Region of mandible
2886. Success of flap depends on? after the surgery or before surgery or location or type of
incision? location or type of incision (select oral hygiene if location and type of incision
not in choice)
2887. Surface characterization of porcelain? Value/Chroma? Value
2888. Orange stains? Poor oral hygiene
2889. Heart rate 4 years? 110
2890. Chroma? Saturation of hue
2891. proximal cavities? Clean bigger, restore smaller
2892. Painful in premolar area? Traumatic neuroma (trauma to mental nerve)
2893. Caries in radiation pt where? Cervical, pit and fissure, proximal, all? All
2894. Spread of caries? Dej
2895. Sensitivity most? dej
2896. ¾ and full crown? Benefit of ¾ crown over full crown is retention
2897. Small mandibular first premolar needed as an abutment, what will you do? Full crown
2898. short clinical crown, how to increase retention? Buccal groove for resistance (Proximal
groove for retention)
2899. Not shown in xray? Nasolabial cyst
2900. Most common emergency in children? Febrile

2901. Traumatic bone cyst? scalloping
2902. X ray teeth white, which Error? Poor developed or old developed or over fixed
2903. Contraindicated endo? Vertical root fracture
2904. At what age is complete Calcification of first molar? 2-3 yr
2905. Tooth/arch discrepancy in size in upper arch, which tooth blocked out? canine
2906. Non-working interference which incline in which cusp upper and lower? Upper buccal
incline of lingual cusp, Lower lingual incline of buccal cusp. (Maxillary Lingual Cusp?
Lingual incline)
2907. Intensifying screen function? Reduce exposure
2908. Radiographs for impacted tooth? Occlusal+periapical or occ + panorama or periapicals
at different angulations? Occlusal + panorama
2909. which of the following will appear in bitewing radiograph of 1st PM? Mesial of lateral,
distal of canine
2910. Wall not present in class v? distal wall? Facial
2911. Most common bone defect? 1 or 2 or 3 wall? 2 wall
2912. Multiple exposure of low dose? Skin erythema
2913. other name for Dry socket? common where + ttt? alveolar OSTITIS, TT:sedation inside
socket
2914. Reciprocal arm function? Stabilization (alter the force of retentive arm, alter horizontal
force)
2915. Clearance from occ rest 0.5, 1, 2? 0.5
2916. Rate of formation of dentin? 1mm/6 moth
2917. Rate of epithelium formation? /6 month? 5-21 days
2918. High risk pt:? emergency, control, re-evaluation
2919. Maintenance phase in perio tt? Prevents the recurrence of disease
Phase 1 is Scaling and RP phase 2 PDL suger, Phase 3 restorative, phase 4 maintenance
2920. Caries bacteria, which initiate? strpt mutans (and which has role? Lacto)
2921. Ludwig angina? Which space not involved? Submental, submandi, sublingual involved
2922. Lost root in man molar extraction? Which space? Submandibular
2923. Space related to lingual cortex of lower? Submandibular (In acute cellulitis, infection
from lower teeth perforates the lingual cortical plate of bone and moves into
superficial lingual spaces and from there track backward. Infection from lower molar
teeth, after penetrating lingual cortical plate reaches the junction of facial spaces of
posterior border of mylohyoid muscle. From there the infection may spread forward
to reach the sublingual and submandibular spaces and backward into parapharyngeal
spaces )
2924. IAN anesthesia failed? Accessory innervation from which nerve? Auricoltemporal,
mylohyoid? Auriculotemporal
2925. Hepatitis A mode of transmission? Oral and rectal
2926. Irreversible pulpitis diagnosis? Thermal hot
2927. Differentiate between perio and endo cases? Ept
2928. Down has? relative macroglossia
2929. OI associated with? DI

2930. Body in Herpes? Lipschultz bodies or Tzank?? Lipschultz bodies (Tzank is for
pemphigus)
2931. Most common dental payment type in USA, self-pay? self-pay
2932. Side effect of an anticancerous medication? Methomoglobiniemia
2933. Long acting LA: 2% lidocaine 1:100,000 or Bupivcaine 1:100,000? Bupivcaine 1:100,000
2934. strongest LA, same options but this time? 0.5% Bupivacaine
2935. Max anesthetic dose in 16 Kg child? 70.4
2936. Child with bad OH just finished orth? Fixed retainer, removable retainer or no retainer?
Removable
2937. Major connector? Rigidity and support
2938. Stress bearing areas in lower? buccal shelf
2939. Detrimental forces on implant? Oblique or horizontal? Horizontal
2940. CT around implant? Implant failure (Connective tissue fibers present parallel
to implant. But they don't insert in implant. Ref DD on one card it says and on other
card # 59 perio dd it says that no CT around implant)
2941. Bench mark of sterilization? For autoclave its bacillus
N for disinfectiob its myobacterium tuberculosis
2942. Gracey curette? 90 degree, pointed tip or triangular cross section? Gracy- 70 (universal
– 90)
2943. Xylitol gum? Bacteriocidal, Prevents caries
2944. Temporal arteritis? jaw claudication
2945. Ant triangle of the face? cavernous sinus
2946. Dexterity? problem with flossing and brush
2947. How do you differentiate between acute peri apical abscess & acute apical periodontitis
? Lat percussion. (Vertical percussion in AA n later percussion in PA)
2948. test to differentiate chronic apical abscess and chronic apical periodontitis? Lat
percussion (vitality)

2949. Diagnosis of Chronic apical abscess vs Chronic periodontal abscess? EPT (Some may
debate here saying answer can be thermal coz ept might show false results and is not
reliable but still it remains first choice of test)
-Acute apical periodontitis: pain to percussion
-Chronic apical periodontitis: Radiolucency
-Acute apical abscess :pain to palpation
Chronic apical abscess drainage and sinus tract
All apical periodontitis and abscess have radiographic RL except acute apical
periodontitis- it doesn’t.
2950. Methotrexate? anti cancer drug folic acid inhibitor
2951. What causes cervical discoloration of PFM? copper
2952. Flame shaped radiolucency above an unerupted third molar? pericoronaritis
2953. adrenal crisis? hypotention
2954. Overdose cocaine? Mydriasis
2955. Class 5? GIC
2956. Pedunucleated leision? Fibroma
2957. Fetal alcohol syndrome? Mid face discripency

2958. Contraindication of elective RCT? Myocardial Infraction, Leukemia
2959. Lazer in periodontal diseases? Sulcular debriment
2960. thyroid crisis symptoms? Exophthalmos , tachycardia, high BP Thyroid crisis treatment:
Inorganic iodide (which may be administered in the form of potassium iodide or
Lugol's iodine and antithyroid drugs (propylthiouracil or methimazole) are used to
reduce the release of thyroid hormone from the gland. Beta-1-selective Beta blockers
are also used to reduce the effect of circulating thyroid hormone on end organs.(e.g.,
propranolol) Corticosteroids (e.g., dexamethasone) are used to prevent peripheral
conversion of T4 to T3. In high fever, temperature control is achieved with
paracetamol/acetaminophen, frequent fluid replacement, mechanical ventilation and
corticosteroids.
2961. value negative calculation? true negative correction then --TN/TN+FP * 100
TP/TP+FP is a formula to calculate positive predict value
2962. How base metal prevent corrosion? Metal oxide layer
2963. Low Sag in FPD cause? Less deformation of bridge spans when fired
2964. Leakage in amalgam? decrease with age
2965. systemic desensitization? Gold standard in behavior modification (for anxiety)
(Gradual exposure to fearful stimuli, exposure can be combined with relaxation
exercises)
2966. Radiation? water lysis
2968. Irrevrsible hydrocolloid? imbibition
2969. Ginseng contraindicated with? salicyclic acid
2970. Best place for implant? ant mand
2971. Pseudomembranous colitis? clindamycin
2972. Nitrous has no contraindictation? with asthma
2973. Which LA is good without vasoconstrictor? Mepi
2974. Bipolar disorder? Lithium
2975. H1 and H2 receptor? h1 benadryl ,h2 cimetidine, H1 - competitive antagonist, H2-
blocks receptors
2976. H1 blocker (Antihistamine) will increase acid secretion ... T/F ? False, it decreases
secretion. (H1blocker( Antihistamine)--decrease allergic reaction.H2 blockers decrease
stomach acid secrection(Famotidine,Ranitidine) used in peptic ulcer disease or GERD
(gastroesophageal reflex disease)
1st-Generation (Classic) Hl Blockers: Diphenhydramine (Benadryl), Chlorpheniramine
(Chlor-Trimeton), & Tripelennamine (Pelamine
2nd Generation Hl Blockers: Cetirizine (Zyrtec), Fexofenadine (Allegra), Loratidine
(Claratin), & Desloratidine (Clarinex).
2977. Down Syndrome? Relative macroglossia
2978. Osteogenesis imperfecta with? DI type 1
2979. Rapport? active listening
2980. Caries not depend on? quantity of carbs
2981. Antiretraction valves? prevent cross contamination

2983. Liver problem what can you give? (LOT – lora, oxa tema) (Mepi if asking about LA)
2984. Cooling while implant placement? High Torque low speed
2985. Carcinoma vs carcinoma in situ? No invasion (does not cross basement membrane)
2986. Headgear? Straight Headgear we use for extruded molar, Cervical we use for intruded
molar. Wear for – 14 hours, Growth hormone released in the early evening so ideal to
placeheadgear after dinner not before bedtime - Ref. DD. (also Combination headgear
is a combination of Cervical and high pull headgear) (for mandible is chin cup..for mx
is high pull,cervical, straight HG) (for class 2 correction u use-cervical ,high pull or
combinatn and for class 3 correction - reverse pull headgear and chin cup.)
2987. Erythroplakia? carcinoma in situ
2988. 8mm open bit? le Fort 1
2989. Frankfort line? orbital portion
2990. Impression material setting interference with? Latex
2991. 2 year old kid needs lot of restoration? GA
2992. progressive paresthesia in mandible? Tumor
2993. fracture with parasthesia? Angle of mandible
2994. Smokeless tobacco? Verrucous carcinoma
2995. Drug testing? Clinical trials
2996. MWF reduce pocket lining? True
2997. RPD connector fracture? Do soldering
2998. Traumatic neuroma? Mandibular premolar region
2999. Most allergic metal? Nickel
3000. Frankfort linelabiodental sounds? Fricative sounds (line – p to o)
3001. Open bite? Le fort 1 osteotomy
3002. Full denture clicking? Increased VDO
3003. cocaine produces vomiting by? activating CTZ in brain
3004. No to do w asthma? Give Oxygen
3005. Therapeutic effect (safety)? LD50/ED50
3006. Aplastic anemia? chloramphenicol
3007. Pseudomembranous colitis? Clindamycin
3008. Erosion? Gerd
3009. what is the LEAST factor that would make you refer a tooth that needs endo to a
specialist? Mesial angualtion
3010. Radiograph of a remaining root with an apical radiolucency. Remaining root was
extracted and the lesion was taken biopsy, results came back with many neutropils.
What is the lesion? Cyst? Abscess
3011. When u do an endo for lower molar with bad perio condition and a cusp breaks, what
do? Place a ceramo-metallic crown
3012. Which condition has osteomas? Gardners
3013. 40 year old pt with Class 2 mobility and furnation of 7 in posterior molars. which has the
worst prognosis? Furcation
3014. Which causes pseudomonas colitis? Clostridium difficile (also Clinda)
3015. Battle injury is caused on? fracture of mastoid

3016. Which motor nerve injury causes paralysis of lateral rectus muscle of eye? Occulomotor
(CN6)
For superior oblique, answer will be trochlear
3017. Patient is considering partial denture of acrylic or base metal which will cause excess
salivation? Base metal
3018. Which bur is good for finishing axial walls in crown prep? Straight fissure
3019. Best finish line for porcelain crown? Shoulder
3020. Pt has shared an personnel tragedy with you what do you do 1) reflection 2) restating 3)
ignore him? Reflecting
3021. Pt. with down syndrome has abusive and dominating mom, what do you do? Consult
social service dept. (for adult, it should be human service dept.)
3022. CHIP insurance? For Kids who parents r not eligible for medicaid whose income is
above their Medicaid brackets
3023. Osteoclast has increase in which chemical mediator during its half life? IL 1
3024. During opaque bone condition, which interleukin is high? IL 1
3025. buccal mucosa whith yellow tiny eruptions a) fordyce granules 2) SCC 3) papilloma?
Fordyce granule (buccal mucosa - fat)
3026. Which is the differential dx for DI 1) AI 2) ectodermal dysplasia 3) dentinal dysplasia?
dentinal dysplasia
3027. Pt is walking who is suffering from angina takes nitroglycerine and suffers from
breathlessness,chest pain and sweating which of these conditions he is having 1)
Myocardial infarction 2) syncope 3) hypglecemia? Myocardial infarction
3028. what anatomical condition in Max lateral incisors is present in 5% that makes the tooth
loose its attachment? Palatogingival groove
3029. Which condition of existing amalgam filling should make you take immediate action 1)
tarnish and corrosion 2) fracture 3) marginal ditching? Fracture
3030. One distinguish feature of patient with down syndrome? Class 2, macroglosia or
pigmentations? Macroglossia
3031. The prepared tooth for PFM crown has one of the following occlusal features 1) flat
occlusal surface and rounded sises 2) Sharp and angular 3) conical? Flat occlusal surface
and rounded sises.
3032. aspirin causes all except one 1) prolonged bleeding time 2) delayed platelet aggregation
3) alkalosis 4) hypothermia? Hypothermia
3033. 4 year old has her max central intruded 5 mm. which of the following do u do 1) Ortho
repositioning to use as space maintainer 2) extract 3) leave it? Leave it (need not to
extract coz of age)
3034. Pt develops an psychotic episode in your office which of the following do you do 1) Give
IV lithium 2) call his physician and make sure nobody is hurt 3) ask him to leave? Call his
physician and make sure nobody is hurt
3035. Drug used in diazepam overdose? Flumazenil
3036. Patient had lower anteriors retained but max a denture and was a diabetic?
Combination or Kellys syndrome
3037. child 9 year old whose mandibular teeth have moved left from the midline.water with
fluoridation of 2 which has caused fluorosis? Functional shift in occlusion

3038. Another bipolar patient with multiple fractured amalgam fillings and gingivitis? Lithium
for bipolar (never nitrous for such patients as they have psychoses)
3039. 40 year old pt with Class 2 mobility and furnation of 7 in posterior molars, which has the
worst prognosis? Furcation
3040. What causes pseudomonas colitis? Clostridium difficile (also Clinda)
3041. Battle injury is caused on? fracture of mastoid
3042. Which motor nerve injury causes paralysis of lateral rectus muscle of eye? Occulomotor
(CN6)
For superior oblique, answer will be trochlear
3043. 8 yrs girl, 3mm anterior crowding what is the Rx? A. canine extraction b. disc distal of
the canine c. lingual wire d. extraction of canine with lingual space maintainer? Lingual
wire.
Space regaining (localized space loss)—indicated when space loss is minor (< 3 mm).
a. Removable appliance with nger springs to tip
teeth distally.
b. Headgear (for the maxillary arch).
c. Activated lingual arch (for the mandibular arch).
d. Lip bumper (for the mandibular arch).
e. Limited xed appliances.
(1) Followed by placement of a space maintainer a er space is regained.
3. Moderate crowding (<4 mm).
a. Arch expansion (this is a controversial topic).
B.
excess space. Anterior spacing.
4. Severe crowding (>4 mm).
a. Arch expansion (this is a controversial topic).
b.Serial extraction.)
3044. 3 unit fix prosthesis including canine as pontic which type and why? simple, complex?
Complex
(Lateral is not a good abutment. Mosbys pg 317when replacing the canine, the central
and lateral should be splinted to prevent lateral drifting if fixed bridge"
Mosbys pg 334 Pontic is ovate- very high esthetics! or modified ridge lap? These are
mucosal Pontiac that should be concave and passively contact the ridge)
3045. Working interference? for interference remember LUBL( lingual upper buccal lower)
and for grinding means to remove those interferences remember BULL(buccal upper
and lingual lower)
3046. Schedule 2? Schedule 2 drugs have high potential for abuse! Eg: hydromorphone,
methadone, cocaine, codeine, amphetamine, oxycodone, percocet, methadone,
phenobarbitol, morphine
3047. Membrabe separation? Pemphigoid
(Pemphigoid: autoimmune disease of mucous membranes. Antibodies directed against
basement membrane antigens v/s Pemphigus autoimmune of mucocutaneous disease
(more superficial) )

3048. Oral lesion caused by sexually transmited disease? HPV Condyloma
(Squamous papilloma-hpv 6 or 11 Verruca Bulgaria- HPV 2 or 4. Oral condyloma HPV 2,
6, or 11 Focal epithelial hyperplasia HPV 14 and 32. Herpes, syphillis, and gonorrhea can
also cause oral lesions.)
3049. Stability of mandibular denture? Buccal shelf
3050. Disposal of amalgam? High vacume suction (for storage, amalgam scrap should be
stored in a tightly-sealed container and covered with Sulfide solution)
3051. Voice control? Aversive conditioning
3052. Aspirin? Used as Blood thinner: reduces clumping action of platelets most common
dose to prevent heart attack or stoke: 81 mg (Can range to 325mg)
Used as NSAIDs 300-650 every 4-6 hrs
Max daily dose 4 g analgesic, anti inflammatory, anti pyretic and anti rhuematiod. Cause
G.I.t disturbances and should be avoided in feverish children, can cause reyes syndrome
in kids, It is a irreversible cox 1 and 2 inhibitor Side effects- Chronic: salicylism (ringing of
ears, nausea, and vomitting, bleeding, cns effects, gi disturbences. Acute: Acid base
problems, dehydration, hypokalemia. Can also cause respiratory alkylosis or metabolic
acidosis
3053. Oil function in X-ray tube? Dissipiate heat
3054. Difference between idopathic osteonecrosis and condensing osteitis? condensing
osteitis first of all is non vital and it's radiooapque no radioluscent rim. idiopathic
osteosclerosis is vital. IO is not associated with any type of inflammation! CO is
associated with chronic inflammation! CO is invariably associated with a tooth with
deep caries or large restorations!
3055. Cellulitis? Lymphocytosis (lingual and sublingual spaces involved and can cause
laryngeal edema, elevation of tongue, trismus, rx is drainage and antibiotic)
3056. Rx for child pain? Tylenol
3057. Crown cementation? Contraindicated with mrgic, check for proximal contacts first
3058. Moisture effect of amalgam? Delayed expansion
3059. Best type of bone for implabt? D1 (according to DD)
3060. 15 year old patient has narrow maxilla due to cleft palate, why? late in Rx of palate
during childhood ( can also be by not using obturatior).
3061. Leeway space? Difference in M-D between primary canine and molars and permanent
canines and premolars. (max 2-2.5 mand 3-4 mm)
3062. Primate space? Between lateral and canine in mx and between canine and 1st molar in
mandible. Seen in primary dentition (1.7 mm in Mx and 1.5 mm in mm)
3063. If mandibular canine erupt facially what may happen? Recession
3064. Child not Co-operative . dentist ignore him and stay calm and finish the work. what
method he is following? Extiction
3065. apart syndrome? Micrognathia, bulging eye (genetic disorder characterized by the
premature fusion of certain skull bones (craniosynostosis). This early fusion prevents
the skull from growing normally and affects the shape of the head and face. In
addition, a varied number of fingers and toes are fused together (syndactyly))
3066. which side of blade of cureete touch tooth first? Lower edge
3067. maximum dose of acetaminophene in 24 hrs? 6 tab 500 mg (4 gm)

3068. sensitivity and specificity calculation? sensitivity = tp/tp+ fn* 100, specificity Tn/ TN+
fp*100
3069. drugs for osteoporosis.. choose exception? Antichoolinergic
biophosphonate, etidronate, reclast+ fosmax
3070. dentinogenesis imperfecta in radiograph? Obliteration of pulp chamber, constricted
cervical portion of enamel, conical crown
3071. osteoredionecrosis, which is most associated? a) bisphosphonate b)maxilla c) mandible
d) 40 gy? Mandible (radiation above 65 gy)
3072. in u.s which is most commonly asso with osteoporosis..1.estrogen level2 steroid
use3.bisphosphonate. and other? Estrogen level (biophosphonate is used for the
treatment of osteoporosis)
3073. ortho single tooth crossbite.. which spring will you use for correction? z spring for
crossbite and finger spring for diastema
3074. cleidocranial dysplasia? Multiple supernumery tooth, hypohydrosis, hypotrichosis and
hypodontia
3075. Veneer reduction in the middle third of crown? 0.5 mm
3076. Glass post advantage? Opacity
3077. bur no 245 and 330 difference? 245 – longer – 3 mm, 330 - shorter – 1.5 mm
3078. #30 h file which has 0.16 mm diametere at taper so its diameter at 5 mm? file is
tappered in decreased at 1 mm 0.1 mm.. added 0.5 mm..in 0.16 mm
3079. Perimplantitis causative bacteria? Gm negative rods and anaerobic
3080. Macroglossia not seen in? Hyperparathyroidism
3081. Battle sign? it's fracture of middle cranial fossa
3082. Type 1 error, P value is 0.05 and result is 0.01? False
3083. Epi reversal? Phentolamine
3084. Avulsed tooth? 7-14 days
3085. Elective ends CI? A) leukemia B) Recent Cardiac procedure or something C)
Chemo/radio therapy ? Recent MI of <6 months and angina
3086. What is not covered in ethics? Fees
3087. Which line angle is missing in DO Cavity? Mesioicclusal
3088. Cusp reduction? Resistance form
3089. Common respiratory condition in dental office? Hyperventillation
3090. Muscle paralysis, lower face? Long face
3091. Crown reduction how? Just as the natural shape of tooth
3092. Asthma? Leukotrines
3093. DD of DI, exclude? Ectodermal dysplasia
3094. Smooth surface? Straight cut fissure
3095. Fluoride limit? 0.7-1.2
3096. Motion sickness? Scopolamine
3097. BDZ? Flumazelin
3098. Bells plays also asso with? Herpes
3099. Oral finding of TB? ulcer on tonsils and enlarged
3100. One old person lots of class 5, may be in 6-7 teeth, which one to use? Composite or
GIC? GIC

3101. 40 yrs old, excellent oral condition but has. Deep groove? Observe
3102. What you will not use for sterilization? Cloth
3103. Sialolithiasis ? Warthins duct (no gland name)
3104. Immature tooth what is best? Cold
3105. Cleft palate? Multifactorial
3106. After wearing denture, saliva increase.. what is it? Parasympathetic of saliva
3107. Common lymphoma of jaw? Burkitts
3108. Increase keratinization which flap? Lateral pedicle
3109. LA dose on child based on what? Weight
3110. Status epileptics? if diazepam not in option, picke midazolam
3111. Which is not tooth related? Nasolabial
3112. Fluoride which ion replace? Hydroxyl
3113. SJogrens syndrome effects? xerostomia, keratoconjunctivitis sicca, rheumatoid
arthritis
3114. Xerostomia drug? Antipsycotic
3115. Working side interference and protrusive interfernce1 question? Working BULL,
Protrusive- DUML
3116. Prostho case which clasp to use? Ibar clasp
3117. denturebase :Support or stability or retention? Stability and support
3118. damage to nerve during Inf alveolar injection? Lingual nerve
3119. Radiograph of fibrous dysplasia of jaw? Ground glass appearance
3120. Antibiotic prophylaxis do we need or not? antibiotic prophylaxis for prosthetic heart
valves, bacterial endocarditis, congenital heart disease, pulmonary shunts! other than
these not required
Patient Selection: The current infective endocarditis/valvular heart disease guidelines
state that use of preventive antibiotics before certain dental procedures is reasonable
for patients with:prosthetic cardiac valves, including transcatheter-implanted
prostheses and homografts; prosthetic material used for cardiac valve repair, such as
annuloplasty rings and chords; a history of infective endocarditis;
a cardiac transplanta with valve regurgitation due to a structurally abnormal valve;
the following congenital (present from birth) heart disease:b unrepaired cyanotic
congenital heart disease, including palliative shunts and conduits any repaired
congenital heart defect with residual shunts or valvular regurgitation at the site of or
adjacent to the site of a prosthetic patch or a prosthetic device
3121. Pain to ears, which teeth? Mandibular molars
3122. Longer bur 245 or 169? 245
3123. Girl with many caries teeth?Amlgam,Rmgic,Gic,composite? GIC
3124. Cervical caries which filling?? GIC
3125. Most radiosensitive ??Muscle,bone marrow,nerve cells? Bone marrow
3126. Which drug is antianginal? Nitrates
3127. Trendelberg position? For hypovolemic shock
3128. Ectodermal dysplasia feautres? hypo/anodontia, hypotrichosis, hypohidrosis
3129. Creidocranial dysplasia features?? absence of clavicle, supernumerary teeth
3130. Which tooth loss causes arch length deficency?? Primary Canine

3131. Elderly people ?? Medicaire
3132. Asked about Dry heat process what happens?? Protein Coagulation
3133. Which drugs are not used with gingiko? Aspirin
3134. Alcoholic patient which test?? INR
3135. Which antibiotics is not cellwall?? pencillin,cephalosporin
3136. Tetracyclines?? protein synthesis
3137. Where to put rest ?? towards or away from edentulous? away from edentulous
3138. Antifungal drug systematic?? Fluc
3139. What causes osteoradionecrosi? radiotaion therapy
3140. Drug for gingival hyperplasia? dilantin, phenytoin, calcium channel block
3141. Drugs for xerostemia? atropin, scopalamine, propantheline
3142. Crepitus while opening and closing which disorder? Osteoarthritis or rheumatoid
arthritis? Osteoarthritis
3143. Venner middle reduction how much? 0.5 mm
3144. Cocain side effect? Mydriasis
3145. Diazepam side effect? Teratogenic, cleftlip/palate
3146. Negative value calculation? Tn/tn + fn
3147. If vdo increases what you will do? Redo bite rim registration
3148. Patients has caries at gumline and have to make rpd what will you do with that tooth?
Inlay, Onlay, Full ceramic crown, 3/4 crown? Full ceramic crown
3149. Joint and margin for all ceramic crown and metal crowns? Shoulder with butt joint 90
degree, Reduction at margin 1mm
3150. more mercury in amalgam what will happen? Marginal fracture and increased
corrosion, increase in setting expansion and decrease in strength
3151. Which wall is not present in class 5? Pulpal
3152. Retention groove class 2 amalgam? Axiobuccal and Axiolingual
3153. Making rpd wat you consider first? Frame design
3154. Xray tube changed to 8 to 16 how time will change? it decreases to 1/4 so its 0.25
second
3155. Md dimension for implant? The minimum mesiodistal dimension for two standard 4
mm implant is 1.5 mm (space between implant and tooth) + 4 mm (diameter of
implant 1) + 3 mm (space between 2 implants) + 4 mm (diameter of implant 2) + 1.5
mm (space between implant and tooth) = 14 mm
Note= if thay ask for 1 implant, answer will be 7mm or 6 mm if 7 is not in the options.
3156. Space between 2 implants? 3 mm
3157. long junctional epithelium? lanina dura and hemidesmosom
3158. Aspirin effect on what? thromboxane a2
3159. Dentist doing treatment without conset? Battery
3160. NO2 contraindication? copd,sinusinf, 1st trim of pregncy, ear infection
3161. Steriod drug when to test? 20 mg more than 2 yrs
3162. Bells palsy, which nerve? Facial nerve
3163. What to first check in crown? Proximal contacts

3164. Surface suseptible to carries? Pit and fissures
3165. What you check first in reevaluation first? BOP
3166. Dizapem mild effect, do what? thrombophlebitis
3167. Pt is 4 year , 0.25 taking fluoride how much additional fl will you give? 0.5 mg/dl
3168. To see mandible condyle which x-ray? CT (if there is no reverse tome or mri in option)
3169. Intraepithelium and nikolsky’s sign in which? Pemphigus vulgaris
3170. which tooth has low copper amalgam filling? One with discoloration near margin
3171. How to differentate between endo and perio lesion? Tooth Vitality test
3172. Fissured tongue syndrome? Merkelson roestheal syndrome
3173. Naloxone poisoning? To treat opioid poisoning
3174. Comparison between inlay and onlay? Cusp involvement
3175. Onlay and direct comp? just one appointment for composite About which grooves to
prevent buccolingual? Small crown. Faciointerproximal groove for 3/4, facial grooves
for retention and proximal grooves for stability
3176. Pregnant pt? left side, right hip up
3177. Hemorrhage in mn after extraction due to /fragidity, fibrinolysis? fibrinolysis
3178. Function of mid palatine suture in set of denture? give support, retention,both? give
support
3179. child when cry become blue ? inc in heart rate or dec? inc in heart rate
3180. Correction of an inadequate zone of attached gingiva on several adjacent teeth is best
accomplished with a/an? a) apically repositioned flap, b) laterally positioned sliding
flap. c) double? apically repositioned flap (We use apf to correct attached gingiva. It’s
distal wedge that is ci with inadequate gingiva)
3181. Smoker patient what don’t u see: a) Increased BOP b) decreased gingival inflammation?
Increased BOP
3182. Pt takes too much opioid, what do you see? a) Insomnia b) Irritability c) Headache d)
cold? Irritability
3183. child come to u bec her upper teeth set behinf the lower but in the radiograph the child
look like cl 2? What type of profile ? convex or concave? concave
3184. An uncooperative 5 year old child has a carious lesion in her primary mandibular second
molar. There is no tooth mobility, but the practitioner notes a small, draining sinus tract
adjacent to the tooth. Which of the following is t/t of choice? a) Extraction b)
Pulpectomy c) Indirect pulp therapy d) Calcium hydroxide pulpotomy e) Formocresol
pulpotomy? Pulpectomy
3185. pt positive ept ,sensitive to cold and linger pain,pain to specific tooth?irreversible
pulpitis, symptomatic irrive with periodontal, symptomatic irr with apical absucss?
irreversible pulpitis
3186. what do you see when your max is constricted by 3mm? a) bilateral cross bite b) shift
midline towards the effected side c) shift midline towards the unaffected side? bilateral
cross bite

3187. moth eaten appearance seen in? Acute osteomyelitis, Ameloblastoma, Ewing sarcoma,
Burkitt lympona
3188. which of following is not radicular cyst? apical ,lateral, residual and paradental?
paradental cyst
3189. sialo odontogenic cyst other name? Glandular Odontogenic Cyst
3190. Stafne Bone cyst? Near mylohyoid ridge, Shows submandibular gland lesion in
hystopatho, pseudo cyst, Below inferior alveolar canal
3191. reactive arthritis: tmj inflammation conjunctivitis? The three most common symptoms
of reactive arthritis are arthritis, conjunctivitis, and urethritis. The onset of symptoms
typically occurs one to four weeks following the initial infection and may present
acutely or develop slowly over time. It can occasionally occur years after the initial
infection.
Type of reiter s syndrome. Urination conjunctivitis joint pain, Discomfort pain occurs
in area away from the source . Usually due bacterial infection in genitals. Pain or
disconfort during urination. localized area of inflammation with erosion of condyle
and fossa
3192. Blue sclera? Di type 1 and hypophophatasia include osteogenesis imperfecta hence
they can be the answers too
3193. mandibular retrognathia? teacher Collin
3194. fluoridation dose required for 6 months old? No
3195. complete epithilzation occur after how many days after surgery? and when complete
maturation? 7-10 days and maturation 21-28 days
(epitheliazation = 10 to 14 days
maturation = 40 to 45 days
maturation of scar = 12-15 months)
3196. correct sequence of plaque.. signaling, biofilm, plaque acc, one is maturation n
colonization? Pellicle biofilm materia alba plaue (association- adhesion- proliferation-
micocolonies- biofilm formation- Growth or maturation)
3197. Bacteria seen in pericoronitis? Streptococci and Anaerobic like prevotella and
bacteroids
3198. drug need folic acid to taken with? sulfonamides
3199. phenobarbiturate? Long acting, Anticonvulsant in epilepsy (Moderate acting is - Seco
and Amobarbital)
3200. if its less than 0.3 no bw 0.3-06 still no and above? 0.25
3201. Sequence of shade selection? Hue Chroma Value (source- Mosby)
3202. organism in rct? e fecalis killed by mta
3203. Okc? Most recurrent and present in Gorlin synd
3204. 1:50000? 0.036 mg adrenalin
3205. cartige vol in north America? 1.8 ml
3206. Flame shaped bur? To reduce lingual tooth preparation in veneer (however in
textbook sturdvent it says flame shaped burs can be any carbide or diamond and it is
used for removing excess composite mainly on facial surface)
3207. Inverse square law? If radius increases twice then intensity decrease to 1/4th

3208. Nsaid, antipyretic? effect on hypothalamus ( by inhibition of PG synthesis in
hypothalamic temperature center)
3209. Coumodulin? Anticoagulant, PT/INR
3210. Demerol? Meperidine or synthetic opiod, narcotic treat moderate to severe pain
3211. Naproxen? Agonist antagonist of receptor Opioid, 8hrs effect strong analgesic, Long
acting Nsaid (non selective COX)
3212. Cholinergic? increase salivation- miosis- bronchoconstriction- vasodilation-
bradycardia, also Increase laceimationa and sweating
3213. Potassium sparing? A milo ride, Trimmers, Spironolactone, Eplorenon (1- aldosterone
antagonists - spirinlactone,eplerenone 2)Na channel blocker - amiloride , Triamterene)
3214. Ortho fix appliances? Bracket and arch wire, quad helix
3215. Referral not given to oral surgeon/endodontist: a) Proximity to Inferior alveolar, B)
Mesial angulation, C) Inability to produce profound anesthesia? inability to produce
profound anesthesia
3216. Removal of bone for improvising the bony contour: a) Ostectomy, B) Osteoplasty?
Ostectomy
3217. Plaque removal for large embrasures: a) water pik, b) inter proximal brush, c) wooden
stimulator, d) tooth pik? inter proximal brush
3218. Root tips that were associated with a radiolucent lesion. Upon biopsy, there was a sheet
of neutrophils seen. What is the diagnosis? A) Periapical cyst, b) Abscess, c) cemento
osseous? Abscess
3219. Discoloration of veneer after two weeks. Cause? Amines
3220. lateral ceph given, f the profile was concave or not. SNA=87, SNB=81? Convex
3221. SNA=87, SNB=82. Diagnosis? Maxillary Protrusion, Mandibular retrusion, Maxillary
retrusion? Maxillary Protrusion
3222. Study that is used for incidence. A) cross sectional, b) RCT, c) longitudinal, d) case
control? Longitudinal (cohort shows incidence)
3223. Ginseng contraindicated with? Aspirin
3224. While making alginate impression, there was a swelling associated with the upper and
lower lips? Angioedema
3225. Gracey curettes: a) have one edge on the lateral surface, b) blade angulated at 90
degree, c) triangular cross section? have one edge on the lateral surface. (Gracey-one
cutting edge, Blade angleg 60 degree to shank, Semicircular crosection)
3226. Black triangle disease? Gum recession
3227. Quorum sensing? it is an interaction b/w bacterial cells in plaque matrix
3228. Cause of diuresis in pregnancy? Pressure on bladder
3229. Measloma seen with? SLE
3230. Malignant tumor cause? Parenthesis
3231. Acron record the centric? True
3232. Cervical lymphadenopathy multiple myeloma? not shown on pano only on Lateral
oblique

3233. 14 mm crowding- ortho and surgery, ortho only, surgery only? Ortho and surgery
3234. how to treat a patient. give an order ex: perio, endo, operative? Perio then endo then
operative then ortho last
3235. Currete for mesial and distal? 11 and 12 for Mesial and 13 and 14 for distal
3236. most common organism in implant failure; same as regular dentition? Gram negative
anaerobics
3237. how to treat a patient with implant supoorted dentures: fluouride? Neutral sodium
fluoride
3238. Battle sign? Mastoid fracture
3239. Rate limiting step in tooth movement? Enamel, Cementom, Dentin, Bone? Bone
3240. X-ray sensor resolution? Special resolution, Chemical resolution, Detector resolution?
Spatial resolution (Phosphorus crystals)
3241. Salivary gland tumor with perineurial invasion? Adenoid cystic carcinoma
3242. Women with enlarged periodontal ligament and involvement of ramus or condyle?
Osteosarcoma (because condyle is involved, if just angle was involved, it would be
syctemic sclerosis)
3243. What is the reason of salivation of patient wearing new denture? Parasympathetic
reflex activated
3244. Reason of pt with cleft palate can’t swallow? soft palate can close the pharynx (acc to
DD)
3245. Click sounds when you closing the mouth? Condyle lies posteriorly to the disk (
Reduction upon closing)
3246. Subgingival caries? Crown lengthing according to DD
3247. Short crown what to use? Full crown, PFM according to DD
3248. Aspirin what is not true? 1) Increase gastric acid or 2) low blood flow to kidneys? low
blood flow to kidneys
3249. Pinkham precooporative child notion? Pre-cooperative child is less than 3 yrs...
potentially cooperative is 3-8 yrs.. and cooperative is above 8 yrs..
3250. Gardner syndrome? Intestinal polyps, multiple osteoma and skin and soft tissue
tumor, supernumery tooth
3251. Underdeveloped zygoma and ears? Treacher choline
3252. Best type of amalgam? admixed high copper
3253. Why one condyle is small one is normal? Pano error or Previous fracture or Facial
deformities? Pano error
3254. First stage of BRONJ? CHx rinses to be ensued
3255. retention and resistance form of short crown , very long options.? Proximal boxes and
vertical grooves
3256. If junctional epi is formed after periosurgery or flap , how to confirm it ? A) clinically b)
histology c ) substraction d ) ct? Clinically
3257. what muscle will impinge and cause sore throat in complete denture: options was
masseter , buccinator , superior constrictor? Superior constrictor
3258. how to protect root under overdenture, fluoride or metal coping? metal coping.

3259. pt come , had a cardiac arrest and you did cpr , pt is not responding , what dentist will
do in dental office, 1) leave the pt , 2) give epi intravenously ,3) increase the rate ? Give
epinephrine
3260. For optimum esthetic while settting maxillary denture, the incisal edge of maxillary
teeth should follow? Lower lip while smiling
3261. if we cover mid palatal suture by denture , what its consider? Resitance form only,
Retention only, Both retention and resitance? Retention form only
3262. Laser wavelength? Infrared
3263. cancer spread form other body part to mouth by? tongue, or floor of mouth or posterior
manbible? Posterior mandible
3264. What is the best outcome obtained when giving intrapulpal anesthesia? Back pressure
or Fast onset in 30 sec? Back pressure (the way to have best result is back pressure and
the result is fast onset in 30 seconds)
3265. which bacteria causes elastenase, collagenase? (Choose Pseudomonas aeruginosa if in
option)
3266. Lateral periodontal abscess is best differentiated from the acute apical abscess by? pulp
test
3267. plasma cell disorders? A) multiple myeloma B)lymphoma hodguin? multiple myeloma
3268. Which situation least require insulin? A) trauma B)stress C)corticoid reposition? Trauma
3269. Herpangina is caused by? A) epsteinbar virus B) enterovirus? Enterovirus
3270. Material least resistant? A)lithium dissilicate B)high leucite? high leucite
3271. Which anethetic without vasoconstrictor is best to use? A)lidocaine B)articaine C)
mepivacaine? Mepivacaine
3272. Do not use in myasthenia gravis? A)erythromicine B)peniciline C) imipinem? imipinem
3273. Broadest spectrum antibiotics? A)ampicilim B)pen v potassic C)pen g procaine D)pen g
potassica? pen g procaine
3274. most common found? A) odontoma B)ameloblastoma C)ameloblastic fibroma?
Odontoma
3275. Smoothest cutting but not efficient? carbide bur
3276. Nitrous oxide side effect? nausea
3277. Pt with many sinus fistula? actinomycosis
3278. Where do u prefer GA? Ext of 2 yrs old
3279. Pt came with abscess. What u will do first? Incision and drainage
3280. Anterior guidance? both horizontal and vertical
3281. garre osteomyelitis? onion skin
3282. chronic osteomyelitis? moth eaten
3283. scleroderma? purse string mouth + extrusing teeth
3284. von Recklinghausen? Cafe au lait spots; lisch spots on iris; crowe sign= axillary freckles
3285. fibrous dysplasia? ground glass
3286. pagets dis? cotton wool
3287. cherubism? bilateral; soap bubble ; perivascular cuffing
3288. multiple myeloma? punched out
3289. how many percent have access to fl community water? a.90 b.20 c.40 d.80? 80
3290. which one is class 2? a.Vicodin b.Percocet? Percocet

3291. INR? a.intrinsic pathway b.extrinsic pathway c.prothrombin? extrinsic pathway
3292. which is correct about conjugation? a.adding a molecule to the drug b.making the drug
more lipid soluble c.increase in the effect of drug? adding a molecule to the drug
3293. which of these cognitive behavior decrease in a normal process of aging? a.learning b.
attention c.reaction time? Learning
3294. Deepest part of the occulsal rest for RPD? marginal ridge
3295. Disease most common in men? hemophilia
3296. Absolute contra of papoose strap? a cooperative child
3297. Most common complication of maxilla extraction? Hemorrhage (go with infection if
hemorrhage not in option)
3298. what sound is affected if incisors too far superiorly n anteriorly? F and V (Fricative)
3299. Best (conservative) method to close a 1 mm non patho diastema in a young adult is?
composite
3300. If a patient doesn’t have 3rd molars how many furcations will he have in mxi arch? 16
(to make the calculation simple there are three furcations for maxi teeth mesial distal
and Buccal so (4 molars * 3 furcations = 12), 1st pm is bifurcated, that means it has 2
furcations (2*2=4). We have 16 furcations.
3301. Most common site for mandi fracture? Condyle
3302. Implant analogue used to? replicate the position of implant on the implant
platform
An implant analogue is an implant replica and is inserted into the set impression
material before the cast is poured. Impression coping is attached directly to the
implant fixture head. Impression copings facilitate transfer of the intraoral location
of the implant to the same position on the laboratory cast. Impression copings can
be either screwed into the implant body or screwed or snapped onto an implant
abutment.
3303. distance from adjacent tooth and the implant? 1.5mm
3304. most common site for graft? Iliac
3305. Complication with distraction osteogenesis? Nerve damage

3306. During IANB bleeding is caused due to puncture into which artery? inferior alveolar
artery

3307. the incision for int bevel in which direction is it directed? the internal bevel incision
(reverse bevel) starts at a distance from the gingival margin and is aimed at the
bone crest.
3308. For gingivectomy where is the incision directed? above mucogingival junction
3309. Why do we remove bone during modified widman flap? to achieve a good tissue
adaptation to the neck of the teeth.
3310. Montelukast and zakirlucast what type of drugs in relation to their effect on
leukotriene? Block leukotriene (cys-LT1) receptors
3311. What would one prefer distal rest or mesial rest? always go for mesial rest (mesial to
edentulous area)
3312. Gardner’s syndrome u will also expect to see? Intestinal polys
3313. Where to punch the hole for a class 5? Facially
3314. Which movement of the eye is restricted in fracture of the floor of the orbit? Sup
(remember SO4 LR6)
3315. which category does chronic periodontics primary bacterias has? Red complex bacteria
(also learn about orange complex)
3316. where to store scrap amalgam? Plastic sealed container
3317. Primary tooth intrudes 5mm on a 3 year old? Observe
3318. Analog (definition)? Is a replica of the actual implant, for lab purpose
3319. Distance between implants? 3mm (between mental nerve 5mm - between vital tissue
2mm - buccal, lingual, maxillary sinus, nasal cavity and inferior border all are 1mm -
between adjacent natural teeth 1.5 - 2-3mm below cej of the adjacent tooth)
3320. Taurodentism (definition)? apical enlargement of pulp
3321. Cross sectional study? descriptive study, used for prevalence and incidence, there is no
correlation in these studies, no cause and effect relation.
Cross-sectional study—study in which the health conditions in a group of people who
are, or are assumed to be, a sample of a particular population (a cross section) is
assessed at one time. Consider the hypothesis that drinking alcohol increases the risk of
developing oral cancer. If researchers chose to conduct a cross-sectional study to
explore this hypothesis, they might examine a group of men who drink alcohol and
compare the occurrence of oral cancer among men who are not alcohol drinkers. The
researchers could then determine whether there is an association between the
presence of oral cancer and alcohol. Although this study is relatively quick and
inexpensive, its potential to contribute to a judgment of causation is limited because it
cannot determine whether the outcome (in this case, oral cancer) occurred before the
men started drinking or if it developed as a result of some other cause (e.g., metastasis).
3322. Hazard communication? (OSHA) and one to identify what materials are named
hazardous) – chemical hazard MSDS, For general hazard OSHA. MSDS regulated by
OSHA through Hazard Communication Standard.
Hazardous chemicals—the OSHA hazard communication standard requires employees
to receive training about the risks of using hazardous chemicals and the safety
precautions required when handling them. Employees must be trained in identification
of hazardous chemicals and PPE to be used for each chemical. This training must occur
within 30 days of employment or before the employee uses any chemicals and annually

thereafter. Just as with the blood-borne pathogen standard, a written plan identifying
employee training and detailing specific control measures used in the work- place must
be compiled for hazardous chemicals. Penalties can be imposed on the employer if the
office is not in compliance
3323. Clinical trials? Clinical trials attempt to evaluate the effects of a treatment. A clinical
trial aims to isolate one factor (e.g., a new drug) and examine its contribution to a
patient’s health by holding all other factors as constant as possible. Well-designed
clinical trials use a double-blind design in which neither the subject nor the
investigator knows to which group a subject belongs. is design helps prevent the
potential for a biased interpretation of treatment effect (better or worse) that might
occur if either the investigator or the subject knew to which treatment group (i.e.,
placebo or experimental agent) a subject belonged. Clinical trials compare the
incidence of disease and side effects between the groups in the study to draw
inferences about the safety and efficacy of the treatment or treatments under
investigation.
3324. Community trials? in a community trial, the group as a whole is studied rather than the
individuals in it. The more similar the communities, the more valid the results. A known
example of a community trial was the 1945 Newburgh-Kingston water fluoridation trial.
In this study, NaF was added to the water of Newburgh, New York, and DMFT was
compared with Kingston, New York, which was non uoridated.
3325. Radio resistant cells? Nerve
3326. Ectodermal dysplasia? anhidrosis (no sweat glands) and Hypothricosis (decrease in
hair) Hereditary ectodermal dysplasia.(1. X-linked recessive condition that results in
partial or complete anodontia. 2. Patients also have hypoplasia of other ectodermal
structures,including hair, sweat glands, and nails. Microdontia.)
3327. INR, What it measure? extrinsic pathway, intrinsic pathway? 0.8 -1.3 normal – for
surgery on patients taking anticoagulants 2-2.5
3328. Patient in dialysis? do dental treatment day after dialysis
3329. The more common site of caries? pit and fissures
3330. Arthroscopy? Steroid injections, disc manipulations, have a look in joint space. Surgical
treatments for temporomandibular disorder . 1. Overview—surgical treatments of the
TMJ include arthrocentesis, arthroscopy, disc repositioning, disc repair or removal,
condylotomy, and total joint replacement. Arthroscopy involves the placement of two
cannulas to allow access for intracapsular instrumentation of the superior joint space.
Disc manipulation, disc release, posterior band cautery, and disc repositioning and
stabilization techniques all have been described. Arthroscopy appears to be an effective
modality in a select group of surgical patients and offers a potentially less morbid access
to the joint.
3331. More common psichiatric pathology in older? Depression (Mania as secondary choice)
3332. Patient said “I don’t have time to quick smoking? Precontempation
Precontemplation — an individual is not considering a behavior change. Contemplation
— an individual begins to consider a behavior change. Preparation — preparing to take
steps to change (o en expresses a desire to change a behavior). Action — an individual is

engaged in taking action toward behavior change (o en requires support for his or her e
orts). Maintenance — an individual attempts to maintain a changed behavior.
3333. Least likely to recur? AOT
3334. RPI I bar fracture what do you do? Soldering
3335. Macroglosia is not common in? Hyperthyroidism
3336. Clean tongue to prevent? odor
3337. Geographic tongue? benign migratory glossitis, erythema migrans, Common (2% of
population) benign condition of the tongue of unknown cause. Appears as white
annular lesions surrounding atrophic red central zones that migrate with time.
Occasionally symptomatic (mild pain or burning). No treatment necessary
3338. Nsaid who does not affect palettes? Celecoxib, selective cox 2 inhibitors
3339. Multiple Myeloma first sign? bone pain
3340. Cause of mucocele? trauma
3341. Incisal guidance? Vertical and horizontal overlap
3342. Nsaid preferred for kids? preferred nsaid for kids is Ibuprofen, if not NSAID then
acetaminophen.
3343. Bur used to polish porcelain? diamond
3344. Downcoding? insurance only paid for 1 out of 2 procedure.
3345. K sparing drug? Spironolactone, amiloride, triamterene - K+-sparing diuretics qreduce
the driving force for K+ movement into the lumen.
3346. Virax in oral cavity? Virax (acyclovir) - Acyclovir is an antiviral agent with activity
against Herpes simplex virus types 1 and 2, (HSV-1 and HSV-2) and varicella zoster
virus (VZV).
3347. What procedures you cant do in AIDS patient? No prophylaxsis, because candida
3348. Opiods effects? Miosis, constipation, cns depression, also respiratory depression, and
ONLY MEPERIDINE mydriasis
3349. Characteristics of band and loop? Doesnt prevent sobre-eruption of opposing tooth. Its
non functional
3350. Least fracture resistant? lithium, feldpathic, zirconia - The order of chipping resistance
(from least to greatest) was: feldspathic porcelain and a leucite glass ceramic (which
were similar), followed by the lithium disilicate glass ceramic and the two resin
composites (which were similar), and finally the zirconia which had the greatest
resistance to chipping.
3351. What meds you give in osteomyelitis? Clindamicin
3352. Patient with bizarre behavior and disorientation you give what? glucose
3353. Condensing osteitis? Excessive bone mineralization around the apex of an
asymptomatic VITAL TOOTH. Radiopacity may be caused by low-grade pulp irritation.
This process is asymptomatic and benign. It does not require endodontic therapy.
3354. 9 year old kid swollen gingiva, recurrent skin infections? Pemphigus (can be impetigo
too)
3355. What is easily curable? Hematoma
3356. What bacteria in chronic periodontitis? P gingivalis, intermediate, treponema
denticolla, forsythia.

3357. Sulfonamide MOA? COMPETE with PABA to inhibit PABAs actions, which prevents
bacterial folic acid synthesis to inhibit cellular growth.
3358. Patient wore denture for 10 years and there is 6*3 white lesion on buccal of mandible?
Observe (Any lesion red or white doesn't go away for 2 weeks we should do biopsy)
3359. Radiolucency in primary molar furcation area? Pulpectomy - If 1st molar extraction
3360. Opaque porcelain features? Mask the metal and provide chemical bonding with metal
3361. If you take radiograph 10 Ma with 1 sec exposure and you take another x ray with 0.5
sec what mA will you give to get same density radiograph? 20 (qmAs = mA X time (sec)
10= x. 0.5 x=10/0.5 x = 20)
3362. 3mm lack of mandibular arch how you treat? lingual arch and observe
3363. Primary mandibular 2nd resembles to? Permanent first
3364. If you have ledge while doing RCT what you do? Bypass with smaller instrument
3365. Mouth breather features? class 2 occlusion, adenoid facies, open bite, dry perioral
tissues.
3366. Where you give General A.? 2 year old kid needs lot of restoration
3367. When does dental lamina starts? 6 weeks
3368. What stage supernumerary occurs? Initiation
3369. What % of community water fluoridation? 74% - Mosby
3370. Multiple myeloma feature? bone pain? Yes, first sign, Punch out lesion, Bence jhon
proteins
3371. Lefort 1 includes what structure? Maxilla, hard palate, there is a sign of bilateral
hematoma on palate = guerin sign
3372. Smokeless tobacco causes what? Leukoplakia - verrucus carcinoma
3373. When you make rest on molar you make rest deep enough in? marginal ridge 1.5mm
3374. Abcess include marginal and interproximal gingiva called? Gingival abscess
3375. External bevel incision? Gingivectomy
3376. Pulpal anesthesia? Back pressure
3377. Primary teeth with occlusal convergence? Max first molar
3378. Short crown resistance and retention? Buccal groove
3379. White lesion on 75 yr old pt, from 19 years, what to do? Biopsy or cytology? Relining
and Observe
3380. Bur for porcelin cutting? Carbide burs
3381. Occlusal rest? On marginal ridge for support
3382. Systemic desensitization? teaches the person to replace the feelings of anxiety with
feelings of relaxation when the object or behavior is present
3383. What procedures cant be done on patients with AIDS? Many extractions together
cannot be done
3384. Characteristic of band and loop, does all EXCEPT? Prevent sobre eruption
3385. #9 about the 9y/o kid with swollen gingiva, taking meds for? recurrent skin infection
3386. Pic of a Xray, What is wrong with it? It was SUPER light
3387. what will be the reason for extraction, on an 18 y/o? to prevent pericoronitis
3388. A guy that had a bike accident, what can be the diagnosis? Myofacial Pain
3389. Epinephrine interferes with? hyperthyroidism
3390. Main cause of alveolar osteitis (dry socket)? fibrinolysis clot

3391. Frequent of cleft lip in Caucasian? 1:700
3392. Facial height divided into? vertical 3rds
3393. Most common impact tooth? upper canine (If 3rd molars are not in option)
3394. Schedule 2? Percocet
3395. Coil spring for uprighting? open coil spring to upright a molar. Coil spring tends to
"spin" premolars unless precautions are taken.
3396. A coil spring used over an arch wire segment to regain space should deliver a force of?
90 to 120gms
3397. A buccal coil spring is used to regain space between 1st premolar & 1st molar. The most
common post treatment complication is? Tendency for the 1st premolar to rotate
3398. Automated defibrilator, how does it work? discharge when needed
3399. Which bacteria causes collangenase? “Clostridium perfringens” secretes collagenase, a
proteinase of “Bacteroides gingivalis” has been reported to induce secretion of tissue
collagenase, this is suggested to be involved in the etiology of periodontal disease.
“Porphyromonas gingivalis” belongs to the phylum Bacteroidetes and is a nonmotile,
Gram-negative, rod-shaped, anaerobic, pathogenic bacterium.
3400. 15 year old has fever, malaise vesicle and lymphadenopathy? Primary herpetic
gingivostomatitis: Initial infections of HSVI, in some patients, the initial infection with
these viruses produces no noticeable clinical signs and can go undetected clinically. In
other patients, however, the symptoms resulting from this initial infection can be quite
severe, and it is these severe symptoms that are know as primary herpetic
Gingivostomatitis. Primary herpetic gingivostomatitis is contagious and requires careful
attention to prevent its spread. The initial infection with HSVI usually occurs in childen
or in young adults, but it can occur at any age. Primary herpetic gingivostomatitis signs:
Oral pain, difficulty in eating and drinking, swollen, red, bleeding gingiva, painful oral
ulcers, in the more severe clinical manifestation, this infection is associated with
symptoms such as pain, elevated temperature, a vague feeling of discomfort (malaise),
headache, and swollen lymph nodes (lymphadenopathy).
3401. Gingival cord disadvantages? Technique sensitive as the instrument offers poor tactile
sensation. It can potentially damage the periodontium.
3402. Somnolence? OPIOIDS
3403. Sequestrum seen in? A sequestrum is usually a complication of osteomyelitis and
represents devascularisation of a portion of bone with necrosis and resorption of
surrounding bone leaving a 'floating' piece. The sequestrum acts as a reservoir for
infection and as it is avascular is not penetrated by antibiotics. It usually requires
excision if cure is to be achieved. This is not seen only in osteomyelits, but also in
eosinophilic granuloma, fibrosarcoma and lymphoma.
3404. 3mm crowding in year old? observe
3405. Anterior teeth finish line? Subgingival
3406. Arch discrepancy? after the loss of mand 2nd molar
3407. Battery? no consent
3408. Autism in kid? repetition and consistency
3409. Which position is patient relations? Centric relation

3410. MOD amalgam fracture on occlusal surface but not at isthmus what to do? take mo
redo piece separate
Fracture of a Class II amalgam restoration at the junction between the occlusal and
proximal portions is the result of inadequate resistance form. When placing a Class II
amalgam in a primary tooth, with isthmus width should be 1/3 of the inter- cuspal
width. If an amalgam fracture occurs, it is most likely to occur here. An amalgam
restoration needs a minimum 1-mm thickness in nonstress areas and 1.5- to 2-mm
thickness in areas that may be under load. Except for class V amalgams, the prepared
walls generally converge to the exterior.
3411. Shape of mand access prep? Mandibular central incisors and canines – OVAL,
mandibular PMs – OVAL, mandibular molars – TRAPEZOIDAL.
3412. If pt injects LA intravs wat will happen? tachycardia
(LIDOCAINE is the local anesthetic that may manifest its toxicity clinically by initial
depression and drowsiness (rather than stimulation and convulsion). The initia effect on
the brain for local anesthetics is usually stimulation, then depression. However, it is
possible that the excitatory phase of the reaction may be extremely brief, or may not
occur (this is true especially with lidocaine and mepivacaine) causing patients to feel
drowsiness. *lidocaine & Mepivacaine can also show crossallergenicity. Usually, the
FIRST clinical sign of mild lidocaine toxicity is NERVOUSNESS. Mild toxicity can be caused
by an intravascular injection, unusually rapid absorption, or too large a total dose of the
local anesthetic. Clinical manifestations of a mild lidocaine toxicity related to CNS
excitation. Nervousness (increased anxiety), talkativeness, muscular twitching, perioral
numbness, increased HR, BP, RR. Lidocaine can skip the excitatory phase and go straight
to the depression phase drowsiness). If the clinical manifestations do not progress
beyond these signs with retention of consciousness, no definitive therapy is needed. The
lidocaine will undergo redistribution and biotransformation, and the blood level will fall
below the toxic level in a short time. Treatment of a sustained convulsive reaction to a
local anesthetic includes oxygen and Diazepam IV. If proper equipment and adequately
trained staff are unavailable, do not attempt injections. Possible side effects of lidocaine
systemic absorption (not necessarily toxic levels) are tonic-clonic convulsions,
respiratory depression, and decreased CO. EPI treats bronchospasm associated with
hypotension (i.e. anaphylaxis). EPI is the agent of choice to treat/reverse anaphylactic
reactions (given sublingually or subcutaneously) because it has desirable vasopressor
activity, bronchodilator properties, and has a rapid onset of action. EPI has stimulatory
effects on a & b adrenergic receptors. EPI treats hypersensitivity reactions. Common EPI
side effects: headaches, agitation (anxiety), and tachycardia. EPI is used with caution in
patients with high BP and hyperthyroidism. These patients may have an increased
sensitivity to EPI.
3413. Collagenase and elastase by which bacteria? Porphyromonas gingivalis – Plaque
bacteria produces ENZYMES (hyaluronidase, collagenase, chondroitin sulfatase elastase,
andproteases) that may initiate periodontal disease. • Collagenaseenzyme produced by
Bacteroides species that catalyzes collagen degradation (hydrolysis). • Hyaluronidase-
enzyme produced by Streptococcus mitans & salivarius that destroys the amorphous

ground substance. • Chondroitin Sulfatase-enzyme produced by Diptheroids that also
destroys amorphous ground substance.
3414. Bacteria in 2 day of plaque? Bacterial Colonization: Gram + rods and cocci - DD: Cocci
still dominate but there are increasing numbers of filamentous forms and slender rods.
Gradually the filamentous forms replace many of cocci. Within a short time after
cleaning a tooth, the pellicle coated tooth surface is colonized by gram (+) bacteria (i.e.
Streptococcus sanguis, Streptococcus mutans, & Actinomyces viscosus - rods). These are
the primary colonizers. 1. Primary Plaque Colonizers: DAY 1- GRAM (+) facultative
bacteria that are the constituents of EARLY (YOUNG) plaque, appearing within a short
time after cleaning a tooth. Streptococcus sanquis, Streptococcus mutans, &
Actinomyces viscosus. 2. Secondary Plaque Colonizers: are GRAM (-) bacteria
(Fusobacterium nucleatum, Prevotella intermedia,& Capnocytophaga species). Tertiary
Plaque Colonizers: consists of GRAM (-), ANAEROBIC RODS that appear 1 week after
plaque accumulation (Porphyromonas gingivalis, Campylobacter rectus, Eikenella
corrodens, Actinobacillus actinomycetemcomitans/AA, and oral spirochetes (Treponema
species).
3415. cervical burnout? CERVICAL BURNOUT (due to decreased X-ray absorption) - a
phenomenon caused by relatively low x-ray absorption on the mesial or distal surfaces
of teeth, between the edges of the enamel and adjacent crest of the alveolar ridge.
Because of this diminished x-ray absorption, these areas appear relatively radiolucent
will ill-defined margins. It is caused by the normal configuration of the affected teeth
(CEJ) which results in decreased x-ray absorption in those areas. These radiolucencies
should be anticipated when viewing x-rays of almost any tooth, and must not be
mistaken for a carious lesion.
3416. When sharpening instruments, the ________ of the blade should be placed at a ______
angle to the sharpening? Bevel, 45° (OPERATORY When sharpening an instrument, the
bevel of the blade is placed at an angle of 45 degrees to the sharpening stone. This
ensures maximum efficiency of the blade to sharpen the instrument.)
3417. The two MOST critical parameters for the prognosis of a periodontally involved tooth
are? ATTACHMENT LOSS (most critical) and tooth mobility
3418. Axial walls on onlay? For a cast onlay or inlay, ALL axial walls must be convergent or
there will be an undercut (DD). For an MOD onlay preparation, axial walls must
slightly converge from the gingival walls to the pulpal wall (for the same reason the
onlay would not seat if the axial walls diverged).
3419. The function of the direct retainer? is to retain the removable partial denture by means
of the abutments. Stabilization is provided by the minor connector. Support is
provided by the rest. The indirect retainers improve the efficiency of the direct
retainers. Direct retainers do not add strength to the major connector.
3420. Potassium sparing diuretic? Spironolactone, a potassium-sparing diuretic useful in
treating edema and heart failure, is a competitive antagonist at the aldosterone
receptor.
3421. Primary tooth with shortest occlusal table? Greater convergence of the buccal and
lingual walls results in a proportionately narrower occlusal table. This is more
pronounced in the MAXILLARY FIRST PRIMARY MOLAR than second primary molar.

3422. What opaque porcelain doesn't do? Opaque porcelain must mask the dark oxide color
and provide the porcelain-metal bond. Bond strength depends on good wetting of the
metal surface. Masking must be accomplished with the minimum thickness of
opaque—about 0.1 mm— leaving maximum space to develop a natural appearance
with body and incisal porcelains. DD: The opaque is applied first to mask the metal
and to give the restoration its basic shade.
3423. What is function of opaque porcelain EXCEPT? to help come up with a base/stump
shade
3424. Function of post? the primary purpose of the post is to retain a core in a tooth with
extensive loss of coronal structure. Posts do not reinforce the tooth, but rather weaken
it further by additional removal of dentin and by creating stress that predisposes to root
fracture. Post preparation. The primary purpose of the post is to retain a core in a tooth
with extensive loss of coronal structure. The need for a post is dictated by the amount
of remaining coronal tooth structure. Posts do not reinforce the tooth but further
weaken it by additional removal of dentin and by creating stress that predisposes to
root fracture. At least 5 to 7 mm of remaining gutta-percha is Recommended
3425. Why v record protusive relationship? A protrusive record registers the anteriorinferior
condyle path at one particular point in the translatory movement of the condyles.
Some clinicians use this type of record to determine the amount of space between
maxillary and mandibular teeth or occlusal rims to maintain balanced occlusion
throughout the mandibular functional range of movement when articulating teeth.
Christensen’s phenomenon refers to the distal space created between the maxillary and
mandibular occlusal surfaces of the occlusion rims of dentures when the mandible is
protruded. It is caused by the downward and forward movement of the condyles. BB -
The purpose of making a record of protrusive relation is to register the condylar path
and to adjust the condylar guides of the articulator so they equal the patient's condylar
paths. The mandible can protrude -10 mm. The protrusive record is probably the LEAST
reproducible maxillomandibular record.
3426. What is the purpose of making a record of protrusive relation and what function does it
serve after it is made? To register the condylar path and to adjust the condylar guides
of the articulator so that they are equivalent to the condylar paths of the patient.
3427. Marginal stain on class 3 composite, how would u treat? REPAIR ?? or replace? Replace
because marginal stain caused by microleakage.
3428. Color stability tegdma: tegdma inc color stability and dec viscosity produced by? bisgma
(BisGma has questionable color stability)
3429. IRM (Zinc Oxide Eugenol Cement) with PMM? Type III ZOE (Reinforced ZOE): a
temporary filling material (lRM) and thermal insulating base. The powder is composed
of zinc oxide and finely divided polymer particles (polymethyl- methacrylate) in the
amount of 20-40% by weight. The zinc oxide powder is surface treated by an aliphatic
monocarboxylic acid like propionic. Eugenol is the liquid. This combination of surface
treatment + polymer reinforcement results in a material that has good strength and
toughness which markedly improves abrasion resistance. Good for basing large and
complex cavities as it withstands the pressure of amalgam condensation, with minimal
effect on the pulp.

3430. Chelation? a chemical phenomena common to zinc oxide-eugenol and polycarboxylate
cements.
3431. The cement which has antibacterial property is? Zinc oxide Eugenol cement.
3432. Not used for cast rest? irreversible impression material
3433. Safety valve of no allow? 70 percent of nitrous oxide and 30 oxygen
3434. Most common reason for cardiac arrest in children? respiratory depression
3435. Minimum granulocyte count? Generally accepted reference range for absolute
neutrophil count (ANC) in adults is 1500 to 8000 cells per microliter (μl) of blood.
3436. Topical antifungal? Clotrimazole and miconazole used topically to treat candidiasis.
3437. Does premedications required? pt had knee replacement within 2years (ALL patients
during the first 2 years after joint replacement require antibiotic premedication. If
more than 2 years after prosthetic joint replacement pass with no complications, then
premedication is NOT required.
3438. MI within 6 months? Antibiotic prophylaxis given or not? DD: YES
3439. Distance for lateral cephalometric? 60 inches - The distance b/n x ray source and the
mid-sagittal plane of patient is fixed at 5 feet(60 inches), 6 feet is the distance
between operator and patient.
3440. Tooth removed socket tissue is examined found lymphocyte neutophills, (granulocytes),
and hemophiillc precursors? leukemia
3441. Tooth removed ..tissue is examined found inflammatory cells granulocyte? granuloma
3442. Pt had fracture and numbness on side on nose cheeks...fracture site? roof of orbit
3443. A patient experiences numbness of the left upper lip, cheek, and the left side of the
nose following a fracture of his midface. This symptom follows a fracture through?
infraorbital rim.
3444. Lower lip numbness is seen in what kind of mandibular fracture, ANGLE T/F (angle and
body)? True
3445. If prostaglandin is not there what will not happen? reduced platelet aggregation.
3446. Bisphosphonates is not used in? Osteomyelitis
3447. Drug conjugation? more ionic - Conjugation of drugs results in polar, water-soluble
compounds that are rapidly excreted in urine. Thus, the parent drug is effectively
rendered inactive and transported out of the body by this process.
3448. Middle aged guy with kidney failure due to Lithium overdose. What pain drug is less
expected to be nephrotoxic? Oxycodone
3449. Why do we need ruler in lateral cephalogram? For magnification – scale Calibration
ruler for magnification correction. Ruler to standardize the magnification rate of
radiographs.
3450. In removal of palatine tori which structure can be damaged? Greater palatine artery
her caries risk? Middle
still there. the radiolucency that surrounded the erupting teeth? Eruption cyst.
complication? The tooth had RCT and a very big amalgam fllg? Tooth fracture

3454. Pat. Allergic to sulfa, which meds. Are contraindicated? Next antibiotics:
Sulfamethoxazole-trimethoprim (Septra, Bactrim), Erythromycin-sulfisoxazole,
Sulfasalazine (Azulfidine), used to treat Crohn's disease, ulcerative colitis and
rheumatoid arthritis. Dapsone, used to treat leprosy, dermatitis and certain types of
pneumonia
3455. Middle aged Pat. With an one-tooth gap. If you want to close it orthodontically, what
will you expect? No bodily movement of the teeth, Rotation mesio-facially? Rotation
mesio-facially
3456. two small radioopacities in the bone where MD M1 was missing? Focal idiopathic
osteosclerosis.
3457. diagnostics of teeth on x-ray, if it is a proximal caries or burnout? If it is on every tooth,
it is most likely to be burnout!
3458. Test for kidney failure? creatinine
3459. RCT of a central maxillary incisor. What is true? it will be difficult compared to a normal
case, because canal was really obliterated.
3460. Pat. Bites down on his maxillary M1, which already had a super big amalgam filling, and
breaks off one of the cusps supragingivally. What tx? PFM
3462. How to treat his posterior cross bite? Hyrax appliance (banded type)—for skeletal
expansion, this is the most commonly used type of rapid palatal expansion/rapid
maxillary expansion appliance. Haas appliance: However, difficulty in maintaining
hygiene and possible inflammation of the palate are considered disadvantages by some
clinicians. Hawley-type removable appliance with a jackscrew— for skeletal or dental
expansion, this appliance may be used to correct mild posterior crossbites in children
and young adolescents. Quadhelix and W-arch—generally for dental expansion, these
appliances consist of heavy stainless steel wire with four (quad-helix) or three (W-arch)
helices that are incorporated to increase the range and flexibility.
posterior teeth? Palatine process of maxilla.
sinus lift
3465. Old pat., heavy smoker with white patch on lip? Hyperkeratosis due to smoking.
3467. Pat. With leukoplakia on lower side of the tongue. How to biopsy that? - In all cases,
leukoplakia must be completely excised since diagnosis cannot be made clinically (DD)
3468. What structure can be damaged while biopsying the lower side of the tongue? lingual
artery
3469. Pat. With HTN. Taking various meds. Long list, Beta-bloker among those. Which ones
lowers his BP? Lisinopril Lisinopril: ACE inhibitors, "inhibit" the conversion of inactive
Angiotensin I Angiotensin II (a vasoconstrictor). This causes peripheral vasodilation
and secondarily increases urinary volume excretion. Both actions cause reduced BP.
3470. Pat. Taking antidepresants. Having heavy bruxism. What is least likely to do to treat
him? except the one saying to lower his medication

would you biopsy that? excisional, because it was small
3472. lderly apt. taking various med. Including Aspirin 81mg. Would you stop Aspirin before
SRP? NO
3473. Middle aged woman who wanted all her teeth pulled out, had a radiolucency in the
canal of an endo treated upper canine. What could that be? Radiolucency in the canal
oral situation looks like that. All except? external tooth trauma.
3475. depressed guy, and his Amitriptyline med.? Tricyclic antidepressants are very likely to
cause xerostomia. Amitriptyline is especially potent in this regard. (Mosby) The most
common CNS adverse reaction is DROWSINESS. Anti-cholinergic adverse effects are dry
mouth (xerostomia), constipation, blurred vision, and tachycardia. Drug-induced
xerostomia must be treated palliatively with artificial salivary substitutes. – BB EPI
(vasoconstrictor) in local anesthetic injections must be used cautiously in patients taking
tricyclic antidepressants (Le. Elavil), Serotonin & NE reuptake inhibitors (Le. Effexor) to
avoid transient and significant increases in blood pressure. These antidepressants
greatly increase NE levels in tissues. In the presence of a vasoconstrictor administered
via a local anesthetic injection, the patient can experience a significant elevation of
blood pressure due to the vasopressor actions of the combination. – BB
3476. on picture it is obvious Class I relationship of 1st molars (MB cusp of upper 1st molar
occludes mesial buccal groove of 1st mand molar) but later there was on cephalometrics
pt has ANB=6.? SKELETAL CLASS 2 with dental class 1 (teeth may compensate for
dental disharmony) - SKELETAL CLASS 2, DENTAL CLASS 1
3477. on picture there is a very deep overbite (upper incisors covered 2/3 of lower incisors),
but canines position look Class I (cusp of upper canine occludes in between lower canine
and premolar) , and looking at anterior teeth what Class this pt has? Class ll. if anterior
looks like cls 2 div 2 along with deep bite +class 1 molar or canine relation termed as
DECKBISS
3478. On x-ray, there is max lat incisor with RCT done and crown, periapical RL (looks like old
RL 4 mm) and within RL RO in the middle... what is that? Hypercementosis
3479. Same Pt had this max upper lat inc and 1 st molar only left on that side. Pt Decided to do
RPD. 1) Because of the absence of canine it affects this lat inc long prognosis? True 2)
Because this upper denture has no vertical stop with mandible on that side it affects this
upper lat inc long prognosis.True
3480. pt has mild crowding in lower ant teeth, narrow arch, no crowding in maxilla, but
narrow arch, very little overbite (like 1mm), long face. she expected to have all, except?
Obtuse nasolabial angle (it can’t be obtuse angle because of the flarring of teeth)
3481. Pt has mand premolar and edentulous posterior to it. What you won’t place on it
restoring the space? distal rest with a buccal retentive clasp
3482. You are doing a wheel chair transfer, which of the following will you not do? not to use
the belt of the pt.
3483. Pregnant pt, When is the best time to treat her? Best time 2 nd trimester during
pregnancy.
3484. What meds can u give her or not? acetaminophen you can.

3485. What is most likely to lead her present with a syncope? pressure on IVC
3486. Old pt, 84 yo, what is your primary concern? involve a guardian in his tx plans
3487. Stubborn pt, comes in coz of dissatisfaction of his previous several dentists. Despite of
so many changes he still seeks for better prosthesis, what makes u determine if he will
be satisfied by your tx or not? the most affirmative and agreeing to what the pt was
saying, to build rapport and form of trust is most imp
3488. Pt on anti hypertensive drugs, anti diabetic drugs, some numerical readings, looked
normal? proceed with the tx
3489. Pt on no significant med history, past history of some surgeries, blood pressure comes
out to be a little high, what will you do next? measure BP after 15 mins and see what
comes up
3490. Pt has AIDS, his viral load is 1,000, T-cell count is 30, what will be your inference? his T-
cell count is too low and that might put him at a risk of infection
3491. AIDS pt in first stage. Which of the following will you notice? he is symptomless in this
stage
3493. Malignancies to the oral cavity from the rest of the body are most likey to end up in
which region? floor of the mouth
3494. Which equipments in the dental health clinic will need a signed something? Lasers
3495. Pt comes in with signs of physical assault, whom shall u contact first? talk to pts
guardian
3496. Denture wearing pt has pink raised lesions on the palate, what can it be? papillary
hyperplasia
remove it or not? Undercuts affecting the retention of the denture
3498. Ortho forces applied, what is least likely to happen? Differentiation of cells due to
chemical influences in the pdl (Application of orthodontic forces will provoke a
haemodynamic response in the pulp).
3499. Pt comes to you with a catheter, which fo the following will facilitate your tx? leave it as
it is and take detailed history again
3500. Drugs not to give to a pregnant lady? NO
behaviour into routine check ups instead of emergency visits only by dentist? Except
positive reinforcement (Reinforcement means behavior increases, we don’t want
that.)
3502. Patient had lateral crossbite, why? maxilla to small and lateral shift to the right side
3503. What to do with teeth S – teeth was ok? don’t treat but observe
3504. Profile of this child in cephalo How many teeth are missing. Had also some
supranumerary? count them.
3505. Tooth is painful? mand first molar. What to do? Extract
3506. What do you suspect? diabetes type II
3507. What is the first think you will do to treat this patient? Refer to the physicans
3508. What contribute to the future risk of caries in this patient, exept one, which one? many
sweets and bad diet (AMOUNT)

3509. Child with ADHD, What is he taking? amphetamine.
3510. He can’t sleep and eat? because of the treatment.
3511. He had insomnia, why? amphetamine (indirect acting symphatomimetic) Not to many
things during one appointment.
3512. Don’t use tell show do? False, we use it.
3513. ADHD is most common with: males or female? males
3514. if you can give child with ampfo Or should you lower the dose of amphetamine? No
need to adjust dose
3515. 8yr 7 months child with supernumerary anterior teeth. Patient had class 2 skeletal and
class dental malocclusion due to? missing canine teeth.
3516. SNA was 87 and SNB 82- what will we call? Maxillary protrusion
3517. patient had Hep A 20 years ago what lab test you need? Nothing. We don't care about
his hep A 20 years ago
3518. Probing depth is 5 and prob pass 2 mm apical from CNJ how much is the attachment
loss? 7 (5 +2 – remember here it says apical loss over probing depth so we add
otherwise we substract)
3519. most common cause of amalgam failure is? improper/problem with cavity prep
(contamination for fracture. Reference textbooks and decks. 100% confirm about it)
3520. High water/powder ratio results in? decrease in thermal expansion, decrease in setting
expansion, Decrease strength, Increase setting time.
- Dr. $atyam Joshi
Day 2
Pictures
1. pic of amelogenesis imperfecta

2. Radiograph showing odontoma
3. Hemangioma of tongue
4. Silolith
5. Odntoma
6. max sinus after extraction get enlarge
7. picture of rpd I bar
8. melanocytic macule
9. pyogenic granuloma
10. epulis fissuratum pic
11. Pic of inferior border of maxillary sinus
12. Pic of Nicotine stomatitis
13. Pic of papule
14. amelogenesis imperfect
15. dentinogenesis imperfect

16. hyperthyroidism condition of teeth in patho
17. Fusion,Gemination
18. Pictures Ranula
19. Dentigerous cyst
20. Periapical cemental dysplasia
21. condyles on panoramic
22. Rg imageof lateral wall of nasal fossa
23. Dentigerous cyst radigraph
24. Amalgam Tatooo
25. Dentinogenesis imperfecta
26. Coronoid process
27. Ameloblastoma
28. AOT
29. nutrients canals pic
30. maxillary process
31. Pyogenic granuloma pic
32. Xray tip of the nose
33. Pic. Of hyperkeratosis
34. fissured tongue
35. hemangioma
36. epulis fissuratum
37. ranula
38. opg to count supernumerary teeth
39. opg and clinical picture, identify gemination or fusion
40. Picture of vermillion border damage on lower lip
41. Picture to identify Fluorosis
42. leukemia
43. amelobrastic fibroma
44. Overdevelopment film
45. Picture-Hyoid bone( both sides)
46. pano- inferior border of mandible
47. pano of a pedo patient and dental age
48. DD of Nevus on palate (pic)
49. Panoramic of 9 year old kid.
50. Pic of geographic tongue
51. X-ray identification: - Median Palatal Suture, Zygomatic process of maxilla, Dorsal
Surface of tongue, Odontoma
52. PA x ray with max molars. R-O line under the filling
53. X ray for zygomatic process
54. x ray about R-O lesion b/w 24,25
55. x ray about R-L lesion b/w 20,21
56. recognize plaque in radiographs
57. recognize class 123 relationship
58. Panoramic xray.# 30 after RCT 3 year ago. Now has pain and positive percussion. There
is RL in the area. What can be the disease?
59. Picture: Amalgam Tatooo

60. xray about intermaxillary suture
61. xray of jaw fracture
62. pano of zxygomatic process of the maxilla .same can be found xray found in dd
63. X-rays/pictures: Dentinogenesis imperfect, Coronoid process, Ameloblastoma, AOT
64. Pic of geographic tongue on lateral view of tongue
65. Pano of ear lob
66. radiograph on aot , zygomatic process of maxilla, soft tissue of nose, hyoid bone, tongue,
stafne bone cyst, fibrous dysplasia
67. Picture-Hyoid bone( both sides) pano- inferior border of mandible
68. Mesial, distal, flush terminal plane picture
69. Picture of epulis fisrratum
70. Smokers palate picture
71. Leukoplakia tongue pic
72. dentinogenesis imperfecta x ray
73. Chronic pericoronitis in x ray
74. Lateral ceph with an arrow point on Mastoid process, coronoid process, ear lobe
75. Pic of decay in the rvg or pic
76. Orthokeratinised, Parakeratinised, Nonkeratinised
77. Gingival tattoo
78. arrow in the pano of hyoid bone
79. hyoid bone on the cephalo
80. Radiograph with multiple periapical radiolucencies
81. cementosseous dysplasia
82. Florid cementoosseous dysplasia
83. Radiograph of cementoblastoma, stafne cyst
84. Panoramic molar with amalgam filling.
Cases
Case 1- Patient with prosthetic knee replacement 6 month ago, H/O bypass surgery and
radiotherapy for prostate adenocarcinoma. Taking many medications.
Q 1 Reason for dry mouth? Xerostomia due to medication
Q 2 He need antibiotic prophylaxis for what reason? Recent knee replacement
Q 3 Has a white lesion on floor of mouth..It could be anything except SCC. Verrucous
carcinoma, Nicotinic stomatitis? Nicotinic stomatitis
Case 2- Girl 8 years..multiple extracted teeth due to caries, anterior cross bite, supernumerary
tooth
Q 1 When should be treated for cross bite? During erupting
Q 2 Preventive approach for caries? Pit and fissure sealants
Q 3 Maxillary 1st molar tilted (due to early loss of E)..what should be the treatment? Space
regaining appliance / Band and loop

Case 3: little girl 9 1/2 yrs old (w/ unerupted canine and pm).this child has allergy and
taking cetirisine.,
Q1. wat side effect this drug has?: internal staining,ext staining, dry mouth? dry mouth
Q2. teeth age of this girl which still have not erupted canine? which is older than 8,younger than
8, Below 9 years...? Below 9 years
Q3. this girl had lots of caries too on occlusal and Mes and distal of posterior teeth.
which tx: amalgam,composite, ss crown? ss crown (if caries involves more than 1 surface, go
with SSC acc to DD)
Case 4: woman pat 48 yrs old w bells palsy which happened a month ago:
Q1. effect of bells palsy how it recovered?
Q2. wat do you say to pt.? options: it will healed , self limited, healed by partially problem,
permanent problem.? self limited
Case 5: 68yrs old man w/ lots of meds and condition,angina,bis phosphonate.. he needs
extraction.
Q1. about prophylaxis?
Q2. about time of extraction?(relating to bisphospho? hyperbaric oxygen Therapy 3 months to
extraction
Case 6: case on asthmatic pt, picture of condyles on panoramic and

Q1. pt have osteoarthritis or rheumatoid arthritis? Rheumatoid (its asthma related)
Case 7: ANB angle is 5.8 and he in the clinical picture have cross bite anterior what will be
skeletal class? Class II
Case 8: Pedo, one was routine examination but found caries and what is tx for each tooth, about
his behavior and patient management, space maintenance, number of permanent teeth seen on
pano. She had a shunt placed some years ago. His pano had a oval radiolucency near the condyle
on both the sides
Q1. for what it was? all anatomical landmarks like external meatus or transverse canal etc?
Case 9: Pedo, was a girl with class 3 in primary teeth, although intraoral pics didn’t show
primary 2Ms, but anterior were edge to edge. She lost a lot of space
Q1. the cause of space loss, and space management, not space maintenance (look for small
words in the questions to answer wisely)
Q2. her facial profile?
Q3. her oral hygiene practices were poor, how to motivate her? Voice control, negative or
positive reinforcement? positive reinforcement
Case 10: Adult, a man with mand tori identification on pano, with no significant med history but
takes bisphosphonates.
Q1. how would you modify your plans?

Case 11: Adult, lady, had ortho done when she was teenager, now has upper front teeth lost, she
is about 40’s now.
Q1. reason for spaces
Q2. she had chelitis angularis, reason to that? Fungal/ vit B def
Q3. she had facia palsy, what would you tell the pt about the prognosis of this long term disease?
Q3. prostho management, placement of clasps, materials to be used, some teeth look like their
restorations are old, what will you treat these teeth with? (don’t get if her radiographs and no. of
teeth seen on x rays don’t match her clinical teeth)
Case 12: Adult, 50 yr up pt, she had trauma some time ago and lower 3 teeth were discplored,
upper right CI was RCt, apicectomy treated and she also had tori, but almost all teeth present.
Q1. what will you do about the tori?
Q2. what about the fractured crown, redo or repair?
Q3. the upper CI periapical lesion did not heal in 2 years what can it be? And how to treat it?
Q4. RCT bleaching and crowns ?
Case 13: Adult, young lady with regular dental tx, on OCP
Q1. what meds not to prescribe? Carbamazepine (Carbatrol, Epitol, Equetro, Tegretol),
Felbamate (Felbatol), Oxcarbazepine (Trileptal), Phenobarbital (Luminal), Phenytoin
(Dilantin, Phenytek), Primidone (Mysoline), Topiramate (Topamax)
Q2. she had a palatal lesion, differentials?
Q3. she had unknown swellings in mand right post, vital teeth, differentials?
Q4. extracted the third molar but cant resolve the lesion? OKC (coz microscopy said they
found epithelial cells and inflammatory cells)
Q5. pdl management phases?
Q6. Hep a treated previously, what should u keep in mind? it is not a blood borne disease
Q7. if any special care or precautions needed?
Case 14: Adult, 90 year old man comes with his son as guardian, he has had tube ligation done,
some anti hypertensive tx, several teeth missing, mand psot ridge knife edge, he thinks his
dentures doesn’t fit any more.
Q1. his prostho tx?
Q2. had one radiopacity between two teeth, what can be dx? idiopathic osteosclerosis
Case 15: Adult, pt with very very poor OH, and retained root pieces, 3M present but no first or
second molars in some places, lower both 3M were semi-impacted and mesioangulated, he had
ameloblastoma, he had this drug for depression, for allergies, etc, and his treatment was based on
early, and late treatment plans, kinds of prostho tx, clasps, crowns, materials of choice, etc
Case 16: Restorations

Q1. height copper and low copper restoration? check X-ray and it has to be same, So look at
the photos and choose the different color. high copper content of amalgam are superior to
conventional amalgam because less likely to corrode and have less marginal breakdown, main
purpose of adding copper to amalgam is to decrease gamma 2 phase(tin mercury)

Case 17: ortho patient
Q1. has canine class 1 but ob and oj is minimal? mand crowding cuz tooth size are normal
Q2. Dental and chronical age
Q3. about RPI?
Case 18: Guy from Ethiopia had Hep B positive surface antibody-
Q1. what does this mean? he is fine, he has it and needs vaccine, he has it and needs some
medication? He is fine (previous exposure with hep B / must be vaccinated and he is not a
carrier)
Case 19: a scenario with a young girl

Q1. who had a trauma tooth with a “bubble on the gums”, she also drank a ton of soda? Bubble
on gum is related to absess
Case 20: some man who was very fat, had HT, -
Q1. what else can he have? Diabetes
Q2. which organ would be least effected knowing his condition… kidney, pancreas, thyroid or
colon-? Colon
Q3. what was least likely to cause his high caries rate? dry mouth (could be cariogenic food,
because in the case didn't say anything about what he is eating or if he drinks a lot of water)
Q4. Thyroid ? Htn never affects Thyroid whereas a thyroid disorder causes Htn
Case 21: A man who is smoker with knee replacement 6 month ago, White lesion under the
tongue. Brown pigment near midline of palate. Hypertensive, took many meds and he had weird
occlusion of post class II and anterior cross bite. Missing upper canine (premolar took place and
function as a canine, noticed it was missing when asked history) and the other side, he was
missing 1M.
Q1. The decision to give prophylactic antibiotic is based on: According to the patient AND
physician recommendation or preference?
Location of knee surgery
Extend of knee surgery
The years elapsed from the surgery
Q2. The cause for this pt occlusion is:
Class II molar and canine relationship
Class III molar and Canine relationship
Early loss of a maxillary tooth
Q3. What to do with the lesion, cytology or bio psy? Biopsy
Q4. if you would do emergency surgery to this pt, the MOST you would concern is Prolonged
bleeding or Cardiovascular issues? CVS (because of profound bleeding not prolonged, he was
not on aspirin)
Q5. Lesion could be any of these except: SSC, verrucous carcinoma, keratosis, actinic
stomatitis? Nicotine Stomatitis (reverse smoking to be exact cause smokers keratosis..
somekeless wont appear on palate.. they cause Verrucous Carcinoma. Nicotine melanosis
and stomatitis both by smoking)
Q6. The pigment is most likely caused by? smoking

Q7. The biopsy of the lesion came back with increase melanin in epithelial layer so the lesion is?
nicotine stomatitis-increased production of melanin by the normal number of
melanocytes(melanin 1q) A benign lesion on the hard palate typically associated with pipe
and cigar smoking.(smoke 2q)
Q8. RO body in upper 1PM socket? remaining root tip
Case 22: the case for young child, chephalometry, SNA and SNB no are given, and diagnosis of
skeletal class. Know them.
Case 23: A case about an 8 yr girl, early loss of upper M1 and M2, canine tilted distaly and perm
1M tipped mesial making the occlusion Class II posterior and cross bite anterior. Impacted
upper lateral with superneumary tooth blocking it.
Q1. effect of Orthodontic movement
Q2. When to correct ANT cross-bite: as soon as possible or wait till complete root formation of
upper incisors. As soon as possible
Q3. Will ant cross-bite cause movement of lower incisors? Yes
Q4. Gingival recession in lower incisors? True
Case 24: A case about a 22 yr old female with bad OH,

Q1. Pt needed to extract 2 lower impacted 3rd molars, do we do soft tissue biopsy BEFORE
extraction? No (done after extraciton)
Q2. Extraction of lower third molar has risk of? lingual nerve ingury
Q3. When you do an endo for lower molar with bad perio condition and a cusp breaks, what to
do?
Place a full ceramic crown
Place a ceramo-metallic crown
Place a temporary crown until the perio is ttted
Q4. How to motivate the pt for proper OH you do all except
Positive reinforcing
Pt something
Operanet conditioning
Motivational intervirwing
Carrot stick
Case 25: Diabetes case

Q1. Diabetes pt what is preferred -FPD or RPD? RPD
Q2. Palate with swelling and histological feature like peudostatifiedcolumner epithelium and no
effect on underlining cortical bone what is that pleomorphic or exostosis? pleomorphic
Q3. Case of HTN take medication lisinopril what happen? orthostatic hypotension
Q4. Aspirin 81mg - needs to stop during extraction if root tip and its easy to extract ? No need to
stop
Q5. Pt taking HTn drug, aspiring, amytriplin for what u need to consult physician? For asprine ,
consult with physician, Avoid NSAIDS with ACE, Beta
Q6. Good canine, restored lateral and need rpd for pm and molars on canine one side and molars
on lateral side, What do u not need? no need to correct canine bcz its not carious

Case 26: of 5 lower incisors and all have PFM and not good perio health. What you have to
prescribe? Mouthwash without alcohol , flossing daily ? Or another mothwasht?
Q1. hypo-salivation.? Mouthwash without alcohol
Q2. Amytryplin cause? hyposalivation
Case 27: 11 years old, kidney dialysis for 10 years and got transplant 1 year ago. He had
Hodgkin lymphoma 5 years ago, mitral valve and regurgitation. He is taking lot of complex
medicines
RG and clinical pictures shows that he has amelogenisis imperfecta
Q1. all are immunocompromised drugs except? know all immunocompromised names and
corticosteroids : Glucocorticoid , hydrocortisone, methylprednisolone, prednisone , (
triamcinolone , beclomethasone, budesonide, flunisolide) these are inhaled corticosetetiod
for astham treat. Other immunosuppresive, cyclosporin, azathioprine, methotrexate,
cyclophosamide
Q2. what drug can cause amelogenisis imperfecta? tetracycline cause amelogensis imperfecta
Q3. why his third molars are missing? Third molars do not erupt by 11 yrs age
Q4. bilateral radioopacity in mandible whats the dx? Cherubism
Q5. in a Rg canine was short in length whats the dx? AI, DI, Dentin dysplasia? DD
Q6. does he need Ab before procedures? No
According to new guide line mitral valve or without regurgrition dont need AB , check this
in dentin
Q7. why he has gingival enlargement? He was taking cyclosporine too
Case 28.: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek,
asthmatic taking albuterol
Q1. albuterol can cause all except? increased salivary secretion
Q2. small white lesions on palate? Cause of inhaler its candidiasis
Q3. is nitrous oxide is contraindicated? Not contraindicated for Asthma
Q4. Will you explain the whole ortho tx to her parents and post complications like she may need
gingival grafts? Yes
Q5. The reason of pigmentation on her cheek? Proliferation of melanocites, proli of basement
cells, deposition of melanin or foreign body? Deposition of Melanin (According to DD)
Q6. will ectopically canine resorb #7 roots? True
Q7. Anb 6, class 1, 2, 3? Class 2
Q8. Clinicall picture what class, it was? class 1
Q9. Features of her face has everything except? incompetent lips
Q10. If she decided to extract premolars what forceps not to used? 150 upper 151 lower
Q11. In this case there the best treatment can be? a) extract all canines b) expansion of upper and
lower arch? expansion of upper and lower arch

Q12. the profile? convex depending in the photograph
Q13. what is the preventive treatment for this patient? a) sealant for #3,14, 19, 30 b) encourage
the patient to use brushing and dental floss c) use mouth wash? sealant for #3,14, 19, 30
Q14. what is the treatment of choice for tooth #19 if it is already catch the prob during
examination? a) compsite filling b) sealant c) no treatment? Composite filling (sealent is best
for age 6-12 according to DD)
Q15. What is the most costly to do to prevent declassification around the braces? a) varnish
every 6 month b) scaling every 3 month c) daily systemic supplement d) using mouthwash?
Varnish every 6 months
Case 29:, 45 years male, 2 pack smoke a day, dry mouth, lot of carious teeth, went successful
rehab for bad alcohol habits, seems he doesn’t drink now
Q1. will you prescribe Acetaminophen/oxycodone in this patient? no
Q2. missing canine will make max rpd compromised? True
Q3. If you use #7 in rpd will it compromise the tooth? Yes cause no posterior teeth and no
canine
Q4. Rg picture shows tori in maxilla and mandible both
Q5. 2*3 radioopacity on LI which has RCT on it, what is it? It is hypercementosis and will you
biopsy it
Q6. photo showing the patient has preparation about 0.5 from facial and incisal, what type of
restoration the patient lost? a) crown b) Veneer c) composite? Veneer
Q7. why not prescribe acetaminophen/ oxycodone on this pt?? pt. is alcoholic and cause
hepatotoxicity
Case 30: middle age female, smokes daily and she is fed up from falling restorations every time
and she wants to extract her all teeth, psoriasis in hands and feet
Q1. by doing what patient want, is conflict bw what two, autonomy, justice, nonm, bene?
Autonomy and nonmal
Q2. treatment options for her? Crowns
Q3. what clasp will you give in max RPD if you class II kennedy? RPI
Q4. why you can see condyles in PAN, bilateral fracture, osteoarthritis, rheumatoid arthritis?
Rheumetoid arthritis
Q5. radiolunceny in bw 8 and 9 it was? incisive foramen
Q6. if you want her to quit smoking the day of extraction would be the quit date and you give
Chantix 1 week beore the quit date? True
Q7. consent
Case 31: An Old woman with Parkinson Disease came to the clinic with her hus-
band. She had distal caries on maxillary molar.
Q1. Out of all the symptoms of Parkinson's disease which symptom is not important to dental

treatment?
A. Rapid Eye blinking
B. Tremor
C. Muscle rigidity
D. Loss of Automatic Movements
Q2. While working, the patient moved, and the dentist injured her near the cheek. Which artery
was injured and caused bleeding?
A. Buccal artery of maxillary artery
B. Labial artery of ECA
C. Facial artery of ECA
Q3. What is the first important thing to do after the patient starts to bleed?
A. Stop bleeding
B. Call an oral surgeon
C. Call her husband.
D. Inform patient
Case 32: A 32 years old lady with cervical neoplasia comes to your clinic for ulcers
on one side of her palate. Drug history of taking oral contraceptives.
Q1. Action of Oral contraceptives?
A. Dec. Lh
B. Inc Lh
C. Inc Fsh
D. Dec. Fsh
Q2.What could be the cause of the ulcer
A. CMV
B. EBV
C. HPV
Q3. Patient is most likely to have which neoplasia
A. HIV
B. Cervical cancer (can also be true, depends on details)
C. Rubeola
Q4. What can be done for diagnosis of this viral disease except?
A. Saliva examination
B. Examination of fluid from vesicles
C. Oral examination (can also be true, depends on details)
Q5. Epithelium of this ulcer
A. Orthokeratinised
B. Parakeratinised
C. Nonkeratinised

Case 33: Pedo, routine examination but found caries and what can be tx for each tooth, his
behavior and patient management, space maintenance, number of permanent teeth seen on
pano.? She had a shunt placed some years ago His pano had a oval radiolucency near the condyle
on both the sides, what it was? external auditory meatus
Case 34: Pedo, a girl with class 3 in primary teeth, intraoral pics didn’t show primary 2Ms, but
anterior were edge to edge (look for stuff like that to answer such questions).
She lost a lot of space, the cause of space loss and space management? (not space maintenance,
so look for small words in the questions to answer wisely)
her facial profile, her oral hygiene practices were poor, how to motivate her? Voice control,
negative or positive reinforcement? Positive reinforcement
Case 35: Adult, a man with mand tori identification on pano, with no significant med history but
takes bisphosphonates, how would you modify your plans? Take a note that he takes
bisphosphonates, so answers will go accordingly
Case 36: Adult, lady, had ortho done when she was teenager, now has upper front teeth lost, she
is about 40’s now, reason for spaces, she had chelitis angularis, reason to that, and she had facia
palsy, what would you tell the pt about the prognosis of this long term disease?
Simple prostho management, placement of clasps, materials to be used, some teeth look like their
restorations are old, what will you treat these teeth with? don’t get confused if clinical and
radiographic count of teeth do not match. Sometimes questions from that quadrant having
doubtful count might not come.
Case 37: Adult, 50 up pt, she had trauma some time ago and lower 3 teeth were discolored,
upper right CI was RCT, apicectomy treated and she also had tori, but almost all teeth present,
what will you do about the tori?
Q1. what about the fractured crown? redo or repair
Q2. the upper CI periapical lesion did not heal in 2 years what can it be? And how to treat it?
Q3. simple RCT bleaching and crowns?
Case 38: Adult, young lady with regular dental tx, on OCP, what meds not to prescribe, and she
had a palatal lesion, differentials? she had unknown swellings in mand right post, vital teeth,
differentials?
Q1. extracted the third molar but cant resolve the lesion, was? OKC, coz microscopy said they
found epithelial cells and inflammatory cells
Q2. pdl management phases?
Q3. she had Hep A treated previously, what should u keep in mind? it is not a blood borne
disease

Case 39: Adult, 90 something year old man comes with his son as guardian, he has had tube
ligation done, some anti hypertensive tx, several teeth missing, mand psot ridge knife edge, he
thinks his dentures doesn’t fit any more, t his prostho tx?
Q1. he had this one radiopacity between two teeth, dx? idiopathic osteosclerosis
Case 40: Adult, pt with very very poot OH, and retained root pieces, 3M present but no first or
second molars in some places, lower both 3M were semi-impacted and mesioangulated, he had
ameloblastoma, he had this drug for depression, for allergies, etc, and his treatment was based on
early, and late treatment plans, kinds of prostho tx, clasps, crowns, materials of choice?
Case 41: A lady of 50s..black pigment on palate.

Q1. which black pigment is not present in oral cavity? Lentigo (LENTIGO MALIGNA à
usually occurs in the elderly. It is most common in sun damaged skin on the face, neck, and
arms (Hutchinson freckle).
Q2. Pt has some non- painful, hard, movable swelling in the floor of the mouth (pic shown) pt is
not aware about it? Lymphoepithelial cyst
Q3. Pt has some non-painful lesion in 2nd molar region. Pt is not aware of the lesion. which of
the following can be D/D but NOT? Lateral periodontal cyst
Q4.O Keratocyst - Multiple lesions found in children may be a component of the? nevoid basal
cell carcinoma syndrome (gorlin syndrome). the chief site of involvement is the mandible in
the posterior body and ascending ramus. often associated with impacted tooth. tendency to
grow in an anterior-posterior direction without bony expansion
Case 42: A child with missing lower right 2nd primary molar...
Q1. Space loss is due to? mesial & distal drifting of both ant & post teeth
Q2. what kind of occlusion? class 1 on left class 3 on right
Q3. Where does the chronic abscess seen in primary teeth? Furcation
Q4. How to maintain the space for the missing 2nd primary molar with drifting of two adjacent
teeth? we cannot as space is lost, we need space regainer its an ASDA ques
Case 43: child case

Q1. pt has multiple class 1 caries what filling? Amalgam as amalgam is preferred by the
boards other reason composite has C factor and GiC has less strength
Case 44: elderly male 40 pack year cigarette smoking history with multiple drugs, gastric
bypass, hypertension?
Q1. What can change this pt to stop the habbit? Self motivation through behavior education
Q2. Behaviour of the society can be modified by? a) Surveying b) Study conduction?
conduction

Case 45: pt with upper and lower few teeth. Pt has financial restriction
Q1. How to raise his occlusion? by fabrication of upper complete denture
Case 46: Case on Management of transient ischemic attack- read the drugs? – antiplatelet
agents are recommended over anticoagulants to reduce risk. Combining aspirin with
dipyridamole is suggested over aspirin alone. Clopidogrel is a reasonable substitute for people
allergic to aspirin. A transient ischemic attack (TIA) is a brief episode of neurologic dysfunction
caused by ischemia (loss of blood flow) – either focal brain, spinal cord, or retinal – without
infarction (tissue death). TIAs have the same underlying cause as strokes: a disruption of
cerebral blood flow (CBF). Symptoms caused by a TIA resolve in 24 hours or less. Antiplatelet
medications such as aspirin are generally recommended. They reduce the overall risk of
recurrence by 13% with greater benefit early on. The initial treatment is aspirin, second-line is
clopidogrel (Plavix), third-line is ticlopidine. If TIAs recur after aspirin treatment, the
combination of aspirin and dipyridamole may be recommended. Some people may also be given
modifiedrelease dipyridamole or clopidogrel. An electrocardiogram (ECG) may show atrial
fibrillation, a common cause of TIAs, or other abnormal heart rhythms that may cause
embolization to the brain. An echocardiogram is useful in detecting a blood clot within the heart
chambers. Such people may benefit from anticoagulation medications such as heparin and
warfarin.
Case 47: 11 years old, kidney dialysis for 10 years and got transplant 1 year ago. He had
Hodgkin lymphoma 5 years ago, mitral valve and regurgitation. He is taking lot of complex
medicines. RG and clinical pictures show he has? amelogenisis imperfect
Q1. All are immunocompromised drugs except? know all immunocompromised names and
corticosteroids: Glucocorticoid, hydrocortisone, methylprednisolone, prednisone,
(triamcinolone, beclomethasone, budesonide, flunisolide) these are inhaled corticosetetiod
for astham treat. Other immunosuppresive, cyclosporin, azathioprine, methotrexate,
cyclophosamide
Q2. What drug can cause amelogenisis imperfecta? Tetracycline
Q3. why his third molars are missing? he is 11 year still third molar not erupted
Q4. Bilateral radioopacity in mandible whats the dx?
Q5. in a Rg canine was short in length whats the dx? AI, DI, DD? Dentin dysplasia
Q6. does he need Ab before procedures? no need to antibiotic
Q7. why he has gingival enlargement? He was taking cyclosporine too, cyclisporine lead to
gingival enlargement
Case 48: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek,
asthmatic taking albuterol
Q1. albuterol can cause all except? increased salivary secretion
Q2. small white lesions on palate? Cause of inhaler it is? candidiasis
Q3. is nitrous oxide is contraindicated? NO

Q4. Will you explain the whole ortho tx to her parents and post complications like she may need
gingival grafts? YES
Q5. The reason of pigmentation on her cheek? Deposition of melanin
Q6. will ectopically canine resorb #7 roots? YES
Q7. Anb 6, class 1, 2, 3? 2
Q8. Clinical picture what class? class 1
Q9. Features of her face has everything except? incompetent lips, her lips looked fine
Case 49: 45 years male, 2 pack smoke a day, dry mouth, lot of carious teeth, went successful
rehab for bad alcohol habits, seems he doesn’t drink now
Q1. will you prescribe Acetaminophen/oxycodone in this patient? no
Q2. missing canine will make max rpd compromised? YES
Q3. If you use #7 in rpd will it compromise the tooth? Yes cause no posterior teeth and no
canine
Q4. Rg picture shows tori in maxilla and mandible both
Q5. 2*3 radioopacity on LI which has RCT on it, it is? hypercementosis and will you biopsy it
Case 50: middle age female, smokes daily and she is fed up from falling restorations every time
and she wants to extract her all teeth, psoriasis in hands and feet
Q1. by doing what patient want, is conflict bw what two, autonomy, justice, nonm, bene?
autonomy, nonmalficiency
Q2. treatment options for her?
Q3. what clasp will you give in max RPD if you class II kennedy? RPI
Q4. why you can see condyles in PAN? Rheumatoid arthritis
Q5. radiolunceny in bw 8 and 9 it is? incisive foramen
Q6. if you want her to quit smoking the day of extraction would be the quit date and you give
Chantix 1 week beore the quit date? True
Q7. consent
Case 51: An Old woman with Parkinson Disease came to the clinic with her hus-band. She had
distal caries on maxillary molar.
Q1. Out of all the symptoms of Parkinson's disease which symptom is not important to dental
treatment? Rapid Eye blinking
Q2. While working, the patient moved, and the dentist injured her near the cheek. Which artery
was injured and caused bleeding? Buccal artery of maxillary artery
Q3. What is the first important thing to do after the patient starts to bleed? Stop bleeding
Case 52: A 32 years old lady with cervical neoplasia comes to your clinic for ulcers on one side
of her palate. Drug history of taking oral contraceptives.
Q1. Action of Oral contraceptives? Oral Contraceptives: Ovulation is inhibited by suppression of
FSH and LH.? Dec. Lh and Dec. Fsh

Q2.What could be the cause of the ulcer? HPV
Q3. Patient is most likely to have which neoplasia? Cervical cancer
Q4. What can be done for diagnosis of this viral disease except? Oral examination
Case 53: Cases with asthma women. She takes albuterol.

Q1. What can she has? xerostomia.
Q2. She had an attack what can you give her, choose three? b.oxygen c.steroids d. beta2
agonist
Q3. Reason of asthma? constriction of brionchole. And inflammation of brionchole. Read it
Q4. What happens in asthmatic bronchiole? constrict
Case 54: some man who was very fat, had HT, -
Q1. what else can he have? Diabetes (can also be Thyroid coz Htn never affects
Thyroid whereas a thyroid disorder causes Htn)
Q2. which organ would be least effected knowing his condition? kidney, pancreas, thyroid or
colon? Colon
Q3. what was least likely to cause his high caries rate? dry mouth(could be cariogenic food)
Case 55: F/28 years old/ healthy just taking antihistamines…everything else was fine.
Q1. Crown on #4 with recession…u can see a little metal on the gingival. She wants to cover it
what to do? A whole new crown
Q2. Amalgam on the buccal groove of tooth #19, she wants that “black dot” off because of
esthetics, what to do? Composite
Q3. Missing tooth #20, if she gets a coil spring on #19 how will the moment work…will it push
the molar distal only, push the PM mesial…make force on BOTH tooth?
Q4. A nevus on her cheeks on the external examination pics. Is it Melanin proliferation, melanin
deposition?
Case 56: case of the 10 y/o who had kidney transplant and hodkins. Taking Cellcept, prednisone,
cyclosporin
Q1. Which drug of the long list he had is immunosuppressive? mycophenolic acid- CellCept
Q2. Why does he have amelogenesis? genetic
Q3. Why does he have gingival enlargement? Cyclosporine
Q4. On his xray, he had a vertical radiolucent line, bilateral on his molars. In the middle of the
body of the mandible what was it?
Q5. why doesn't he have 3rd molars? genetics (if age is not in option)
Random case and pic questions
1. Picture: “erythematous, bleeding swelling” mandibular swelling right next to premolars

on R side? pyogenic granuloma

2. Picture of vermillion border damage on lower lip. And lesion >10cm require? incisional
biopsy
3. opg and clinical picture, identify gemination or fusion. gemination there is single pulp
canal
4. pano of zxygomatic process of the maxilla .same xray found in dd
5. Radiograph with multiple periapical radiolucencies.( cementosseous dysplasia)? Florid
cementoosseous dysplasia
6. Radiograph of cementoblastoma, stafne cyst? stafne cyst is by lingual, angle of mand,
and it is radioluc, and cementobl is radioopaque, at apical of molars, you can see it
at the mandible angle, but it is tilted to lingual if the angle
7. Panoramic. all mandibular molar with amalgam filling. Which one is low copper?? Deep
filling
8. photo showing the patient has preparation about 0.5 from facial and incisal, what type of
restoration the patient lost? Veneer
9. Picture said: “erythematous, bleeding swelling” mandibular swelling right next to
premolars on R side? pyogenic granuloma
10. Pic like multiple pyogenic granuloma interdental ? ewing sarcoma
11. Lymph node pic in floor of mouth? lymphoepithelial cyst
12. Pic history of new ceramic crown 7 days back two red spots adjacent caused by – herpes
virus, apthus ulcer, chemical burn? apthus ulcer
13. Pic of lesion near lip- recurrent herpes 1, recurrent herpes 2, recurrent apthus,
candidiasis? recurrent apthus
14. Pic of Lesion under denture - irritation fibroma, papilloma, periapical granuloma?
irritation fibroma
15. MUBL? for retrusion
16. DUML? for protrusion
17. dis advantage of widman flap and the procedure of widman flap? Does not eliminate
pocket, and does not increase attached gingiva
18. composite is intact but discolored what will u do? Polish and repair
19. picture with multiple periapical radiolucencies ? cemebtoosseous dysplasia
20. differentiate between irreversible pulpits and pulp necrosis? (Necrosis pup is dead pulp
and not respons to pulp test, While irreversable pulpitis is vital inflamed pulp and
response to pulp testing)
21. half radiolucencies line on ramis ..identify ..fracture , air space ,two options were more
...? Fracture
22. An old patient came with a slowly growing swelling in the angle of the mandible, On
radiograph there is radiopaque lesion with radiolucent border. Whats your diagnosis?
Ossifying fibroma
23. on radiograph periapical radiolucency is evident? Focal sclerosis osteomyelitis.
24. RG pictures Rg ameloblastic fibro odontoma ? Mixture epithelium and mesenquima,
encapsulate. Mandible area common. Radiolucency with opacity
25. Rg of dentigerous cyst? Around unerupted tooth, symetrycal round RL with RP
border, starting at the CEJ, associated with the crown of an unerupted teeth
26. very well defined round radiolucency in panoramic, posterior mandible below inferior
alveolar canal? static bone cyst (stafne defect) see xary in google

27. X-Ray: Black women, middle aged, anterior radioluceny (can be radio opaque)? cemento
osseous dysplasia
28. picture PA of between the trabecula of the bone close to the apex of the teeth? nutrient
canal
29. Picture of vermillion border damage on lower lip. And lesion >10cm require? incisional
biopsy
30. Probing depth is 5 and prob pass 2 mm apical from CNJ how much is the attachment
loss? 7 (5 +2 – remember here it says apical loss over probing depth so we add
otherwise we substract)
31. a patient is getting recurrent ulcers in mouth that heal spontaneouly accompanied by a
picture, so by seeing a pic one thing you can confirm is that it is aphthous ulcer? bechets
syndrome
32. Radiograph to identify the soft tissue? tip of nose along the root tips of centrals
33. Radiograph to identify? external auditory meatus
34. Picture of flared out anteriors asking Class? Class II division I
35. Cross allergy for anesthetics? Know esters and amides
36. radiographic image of (painless lesion, bone expansion)? fibrous displasia (ground
glass appearance to identify)
37. Cross sectional studies, Observational study which studies both exposure and disease
at the same point of time
38. Clinical trial, Experimental study done after etiology is found to test possible
treatment
39. Leukemia picture? bleeding gums
40. management of hypertension? Chlorothiazide as a diuretics for mild cases and
Guanethidine for severe cases. (Mild- b blockers and thiazides, Moderate ace
inhibitors and alpha blockers, Severe- neuronal depletion agents)
41. opg with a radio lucency extending from post mand to ant? okc (confusing option can
be ameloblastoma , but ameloblastoma spreads labiolingually rather than ant post)
42. pano with radiolucency seen with unerrupted tooth? dentigerous cyst
43. On left side max 1 M MB cusp touch man 1 M DB cusp, on right side no max 1M, there
is max PM2 touch central fossa on man 1M, and max 2M MB cusp behind man 1M DB
cusp (pic). Which class Angle on each side? Class 2
44. Which micro organism in rhomboid glossitis? Pic? Candidiasis
45. Tmj x rays, which xray you do for tmj? MRI
46. X ray - disc of TMJ.
47. Panoramic - auditory meatus
48. PA xray of ant max teeth - soft tissue of nose
49. Pano X-ray 14 yr old pano 30 is rct. Pt complained just enlarge and hyper occlusion?
fibrous dysphasia
51. Elderly pat. With a super old bridge on lower back teeth. Has sensitivity when drinking
cold drinks. Which tooth most likely to be the reason? The bridge had 3 abutment teeth.
On the x-ray one tooth had a post, another one had a big radiolucency, So, there is only
molar, which look normal with a little subgingival calculus? True, Both teeth are non
vital, Only tooth with calculus is vital

52. Middle aged woman who wanted all her teeth pulled out, had a radiolucency in the canal
of an endo treated upper canine. What could that be? Can be fracture gp condensation
or inflammation from coronal pulp (not internal resorption because tooth is
endodontically treated)
oral situation looks like that. All except? external tooth trauma
54. Ameloblastoma x ray? Soap bubble apprearance
55. Guy from Ethiopia had Hep B positive surface antibody- what does this mean? he is fine,
he has it and needs vaccine, he has it and needs some medication? He is fine (previous
exposure with hep B / must be vaccinated and he is not a carrier)
56. a scenario with a young girl who had a trauma tooth with a “bubble on the gums”, she
also drank a ton of soda? Bubble on gum is related to abscess
57. Pic of generalized inflamed gingiva in upper teeth (can be a child) pt was treated for skin
disease for 2 month? multiple pyogenic in child
58. Xray of Paget? Cotton woll
59. Radiograph of a remaining root with an apical radiolucency. Remaining root was
extracted and the lesion was taken biopsy, results came back with many neutropils. What
is the lesion? Cyst? Abscess
60. Lateral ceph with an arrow point on? Mastoid process, coronoid process, ear lobe
61. a pic of buccal mucosa with yellow tiny eruptions a) fordyce granules 2) SCC 3)
papilloma? Fordyce granule (buccal mucosa - fat)
62. Radiograph of fibrous dysplasia of jaw day2? Ground glass appearance
63. a pic of teeth, what does the patient has? dentegenous imperfect
64. photo of the teeth, which tooth has low copper amalgam filling? One with discoloration
near margin
65. Picture of mucosa in lower lip? Hyperthrofia
66. Picture of this child 11 years old, Maxilary central ok but lateral in crossbite. Sth like?
How to treat? maxillary expander
67. Middle aged guy with kidney failure due to Lithium overdose. What pain drug is less
expected to be nephrotoxic? Oxycodone
68. Why do we need ruler in lateral cephalogram? For magnification – scale Calibration
ruler for magnification correction. Ruler to standardize the magnification rate of
radiographs.
69. In removal of palatine tori which structure can be damaged? Greater palatine artery
her caries risk? Middle
still there. the radiolucency that surrounded the erupting teeth? Eruption cyst.
complication? The tooth had RCT and a very big amalgam fllg? Tooth fracture
73. Pat. Allergic to sulfa, which meds. Are contraindicated? Next antibiotics:
Sulfamethoxazole-trimethoprim (Septra, Bactrim), Erythromycin-sulfisoxazole,
Sulfasalazine (Azulfidine), used to treat Crohn's disease, ulcerative colitis and
rheumatoid arthritis. Dapsone, used to treat leprosy, dermatitis and certain types of
pneumonia

74. Middle aged Pat. With an one-tooth gap. If you want to close it orthodontically, what will
you expect? No bodily movement of the teeth, Rotation mesio-facially? Rotation mesio-
facially
75. two small radioopacities in the bone where MD M1 was missing? Focal idiopathic
osteosclerosis.
76. diagnostics of teeth on x-ray, if it is a proximal caries or burnout? If it is on every tooth,
it is most likely to be burnout!
77. Test for kidney failure? creatinine
78. RCT of a central maxillary incisor. What is true? it will be difficult compared to a
normal case, because canal was really obliterated.
79. Pat. Bites down on his maxillary M1, which already had a super big amalgam filling, and
breaks off one of the cusps supragingivally. What tx? PFM
81. How to treat his posterior cross bite? Hyrax appliance (banded type)—for skeletal
expansion, this is the most commonly used type of rapid palatal expansion/rapid
maxillary expansion appliance. Haas appliance: However, difficulty in maintaining
hygiene and possible inflammation of the palate are considered disadvantages by some
clinicians. Hawley-type removable appliance with a jackscrew— for skeletal or
dental expansion, this appliance may be used to correct mild posterior crossbites in
children and young adolescents. Quadhelix and W-arch—generally for dental
expansion, these appliances consist of heavy stainless steel wire with four (quad-helix) or
three (W-arch) helices that are incorporated to increase the range and flexibility.
posterior teeth? Palatine process of maxilla.
sinus lift
84. Old pat., heavy smoker with white patch on lip? Hyperkeratosis due to smoking.
86. Pat. With leukoplakia on lower side of the tongue. How to biopsy that? - In all cases,
leukoplakia must be completely excised since diagnosis cannot be made clinically
(DD)
87. What structure can be damaged while biopsying the lower side of the tongue? lingual
artery
88. Pat. With HTN. Taking various meds. Long list, Beta-bloker among those. Which ones
lowers his BP? Lisinopril Lisinopril: ACE inhibitors, "inhibit" the conversion of
inactive Angiotensin I Angiotensin II (a vasoconstrictor). This causes peripheral
vasodilation and secondarily increases urinary volume excretion. Both actions cause
reduced BP.
89. Pat. Taking antidepresants. Having heavy bruxism. What is least likely to do to treat him?
except the one saying to lower his medication
would you biopsy that? excisional, because it was small
91. lderly apt. taking various med. Including Aspirin 81mg. Would you stop Aspirin before
SRP? NO
92. Middle aged woman who wanted all her teeth pulled out, had a radiolucency in the canal
of an endo treated upper canine. What could that be? Radiolucency in the canal

oral situation looks like that. All except? external tooth trauma.
94. depressed guy, and his Amitriptyline med.? Tricyclic antidepressants are very likely to
cause xerostomia. Amitriptyline is especially potent in this regard. (Mosby) The most
common CNS adverse reaction is DROWSINESS. Anti-cholinergic adverse effects are
dry mouth (xerostomia), constipation, blurred vision, and tachycardia. Drug-induced
xerostomia must be treated palliatively with artificial salivary substitutes. – BB EPI
(vasoconstrictor) in local anesthetic injections must be used cautiously in patients taking
tricyclic antidepressants (Le. Elavil), Serotonin & NE reuptake inhibitors (Le. Effexor) to
avoid transient and significant increases in blood pressure. These antidepressants greatly
increase NE levels in tissues. In the presence of a vasoconstrictor administered via a local
anesthetic injection, the patient can experience a significant elevation of blood pressure
due to the vasopressor actions of the combination. – BB
95. on picture it is obvious Class I relationship of 1st molars (MB cusp of upper 1st molar
occludes mesial buccal groove of 1st mand molar) but later there was on cephalometrics
pt has ANB=6.? SKELETAL CLASS 2 with dental class 1 (teeth may compensate for
dental disharmony) - SKELETAL CLASS 2, DENTAL CLASS 1
96. on picture there is a very deep overbite (upper incisors covered 2/3 of lower incisors), but
canines position look Class I (cusp of upper canine occludes in between lower canine and
premolar) , and looking at anterior teeth what Class this pt has? Class ll. if anterior looks
like cls 2 div 2 along with deep bite +class 1 molar or canine relation termed as
DECKBISS
97. On x-ray, there is max lat incisor with RCT done and crown, periapical RL (looks like
old RL 4 mm) and within RL RO in the middle... what is that? Hypercementosis
98. Same Pt had this max upper lat inc and 1 st molar only left on that side. Pt Decided to do
RPD. 1) Because of the absence of canine it affects this lat inc long prognosis? True 2)
Because this upper denture has no vertical stop with mandible on that side it affects this
upper lat inc long prognosis.True
99. pt has mild crowding in lower ant teeth, narrow arch, no crowding in maxilla, but narrow
arch, very little overbite (like 1mm), long face. she expected to have all, except? Obtuse
nasolabial angle (it can’t be obtuse angle because of the flarring of teeth)
100. Pt has mand premolar and edentulous posterior to it. What you won’t place on it
restoring the space? distal rest with a buccal retentive clasp
101. You are doing a wheel chair transfer, which of the following will you not do? not
to use the belt of the pt.
102. Pregnant pt, When is the best time to treat her? Best time 2 nd trimester during
pregnancy.
103. What meds can u give her or not? acetaminophen you can.
104. What is most likely to lead her present with a syncope? pressure on IVC
105. Old pt, 84 yo, what is your primary concern? involve a guardian in his tx plans
106. Stubborn pt, comes in coz of dissatisfaction of his previous several dentists.
Despite of so many changes he still seeks for better prosthesis, what makes u determine if
he will be satisfied by your tx or not? the most affirmative and agreeing to what the pt
was saying, to build rapport and form of trust is most imp
107. Pt on anti hypertensive drugs, anti diabetic drugs, some numerical readings,
looked normal? proceed with the tx

108. Pt on no significant med history, past history of some surgeries, blood pressure
comes out to be a little high, what will you do next? measure BP after 15 mins and see
what comes up
109. Pt has AIDS, his viral load is 1,000, T-cell count is 30, what will be your
inference? his T-cell count is too low and that might put him at a risk of infection
110. AIDS pt in first stage. Which of the following will you notice? he is symptomless
in this stage
112. Malignancies to the oral cavity from the rest of the body are most likey to end up
in which region? floor of the mouth
113. Which equipments in the dental health clinic will need a signed something?
Lasers
114. Pt comes in with signs of physical assault, whom shall u contact first? talk to pts
guardian
115. Denture wearing pt has pink raised lesions on the palate, what can it be?
papillary hyperplasia
remove it or not? Undercuts affecting the retention of the denture
117. Ortho forces applied, what is least likely to happen? Differentiation of cells due
to chemical influences in the pdl (Application of orthodontic forces will provoke a
haemodynamic response in the pulp).
118. Pt comes to you with a catheter, which fo the following will facilitate your tx?
leave it as it is and take detailed history again
119. Drugs not to give to a pregnant lady? NO
behaviour into routine check ups instead of emergency visits only by dentist? Except
positive reinforcement (Reinforcement means behavior increases, we don’t want
that.)
121. Middle aged guy with kindney failure due to Lithium overdose. What pain drug is
less expected to be nephrotoxic? Aspirin, Ibuprophen, Oxycodone, one more?
Acetaminophen (if not in option, ibuprofen) (also in kidney failure we can give
tramadol, if not in option, oxycodon)
122. Why do we need ruler in lateral cephalogram? For magnification (if not in
option, go with measurement, reference carranza)
123. In removal of palatine tori which structure can be damaged? Greater palatine
nerve and artery
124. 10 y.o girl, with good OH, no caries but a child of divorced parents. How would
you rate her caries risk? Low, Middle, High? Low (child knows to take care of her OH)
(Debbatable with middle)
125. Hispanic guy, no insurance, needs tx. If you extract tooth 14, what is the most
expected complication? The tooth had RCT and a very big amalgam fllg. Sinus
perforation, Ridge fracture, Tooth fracture, Bleeding? Tooth fracture
126. Q. about that 10 y.o child case, where upper canines were closely to errupt, but
primary canines were still there. They asked about the radiolucency that surrounded the

errupting teeth. Options were different kinds of cysts and tumors.? Dentigerous cyst (if
not in option, go for eruption cyst)
127. Pat. Allergic to sulfa, which meds. Are contraindicated? Sulfonamides, bactrim
128. Middle aged Pat. With an one-tooth gap. If you want to close it orthodontically,
what will you expect? No bodily movement of the teeth, Rotation mesio-facially,
Rotation mesio-lingually, one more? Mesiofacially
129. A Q. about two small radioopacities in the bone where MD M1 was missing.
There were options about Odontogenic tumors, Root rests, Focal idiopathic
osteosclerosis.? Focal idiopathic osteosclerosis.
130. Q on that child case which bite relationship it has. Distal, Mesial, End-to-end
131. Test for kidney failure. Creatinin
132. Q on except for the 3rd molard, how many teeth was the child missing.
133. Q on RCT of a central maxillary incisor. What is true? it will be difficult
compared to a normal case, because canal was really obliterated.
134. Pat. Bites down on his maxillary M1, which already had a super big amalgam fllg,
and breaks off one of the cusps supragingivally. What tx. ? PFM Crown (not onlay in
this case)
135. On xray, opacity apical of a RC treated tooth. What could it be? Looked like
sealer.
136. Pat. Has very strange bite, posterior crossbite, Class 2 relationship on the molars,
but almost perfect overbite. What is the most likely cause? chose something with the
Canine
137. How to treat his posterior cross bite? Quad helix expander
138. Female pat. Wants all her teeth extracted, although they don't look as bad. Qs.
About what tx. Is appropriate.? Patient education
139. That 10 y.o girl had a very strange bite, with a skeletal midline deviation to the
left. They ask about the cause. Can be TMJ, condylar hyperplasia or bone tumor
140. On a lateral cephalogramm of the 10 y.o girl what is the radiolopacity that crosses
her posterior teeth? Maxillary sinus, Orbita, Zygomatic arch, Palatine process of maxilla?
Zygomatic arch
141. Hispanic Pat, without insurance. Missing teeth, needs tx. What is the least tx
indicated? sinus lift
142. Qs about that 10 y.o girl who was asmathic. Meds.? Albetrol
143. Old pat., heavy smoker with white patch on lip? Hyperkeratosis due to
smoking. (Can be leukoplakia too coz patient is smoker. Depends on exact case)
145. Pat. With leukoplakia on lower side of the tongue. How to biopsy that?
Exfoliative cytology
146. What structure can be damaged while biopsying the lower side of the tongue?
Lingual nerve, mylohyoid muscle
147. Pat. With HTN. Taking various meds. Long list. Lisinopril, Beta-bloker among
those. Which ones lowers his BP.? Lisinopril
148. Easy Q on tx. Of a RCT tooth with a big amalgam fllg.
149. Elderly pat. With a super old bridge on lower back teeth. Has sensitivity when
drinking cold drinks. Whisch tooth most likely to be the reason? The bridge had 3
abutment teeth. On the x-ray one toothe had a post, another one had a big radiolucency

and to me it looked dead! :-D So, it was the only molar, which looked normal to me with
a little subgingival calculus. So, I picked that!? True, Both teeth are non vital, Only
tooth with calcilus is vital
150. Pat. Taking antidepresants. Having heavy bruxism. What is least likely to do to
treat him. All options were correct, except the one saying to lower his medication!? lower
his medication
151. Pat. With pigmentation above maxillary lateral incisor. What could that be and
how would you biopsy that? Incisional biopsy (is small lesion)
152. A Q. about that elderly apt. taking various med. Including Aspirin 81mg. Would
you stop Aspirin before SRP? No, doesn’t need too stop baby aspirin
153. Middle aged woman who wanted all her teeth pulled out, had a radiolucency in
the canal of an endo treated upper canine. What could that be? Can be fracture gp
condensation or inflammation from coronal pulp (not internal resorption because
tooth is endodontically treated)
154. Another Q about her, showing a lateral upper incisor with post and crown, asking
how that post looks on the x-ray. Too narrow, too long, too wide, too short
155. Another Q about her. She had multiple fractured teeth, which were all previously
endo treated. Why does her oral situation looks like that. All except question. I took
external tooth trauma? external tooth trauma
156. Q. about that depressed guy? Amitriptyline med
157. Pt has all canines erupted ectopic, but the rest of occlusion looks fine, what should
be done? extract premolars and with fixed ortho move canines on their place
158. If she decided to extract premolars what forceps not to used? 23
159. q about the profile? It was convex depending in the photograph
160. what is the preventive treatment for this patient? encourage the patient to use
brushing and dental floss
161. What is the most costly to do to prevent declassification around the braces?
varnish every 6 month
162. what is the treatment of choice for tooth #19 if it is already catch the prob during
examination? compsite filling
163. a patient broke his tooth – max 1 pm. He had excellent hygiene. Tooth broke 2
mm under the gingiva. It has big amalgam filling. What you do? RCT and post and
crown.
164. Case with the man with allergy to penicyline and clindamycine..He had a joint
Replacement? He doesn’t need prophy for that
165. if he need prophy for treatment what you give him? Azitomycin
166. He has terrible pain in the face. During the night too. It lasts 5 sec. It comes and
go away. What is it? Neuralgia
167. Case with 5 years old girl She had all first molars and erupting max central.
Second central incisors – had accident and was avulsed. What you do with concussion?
observe and control max central
168. her age. Is her dental age? the same as bone age
169. She had dark changes in her gingival? racial changes sth like this
170. on her gingiva above her central incisor.? It was sinus tract Because of her
accident 3 mouth earlier.
171. She has lateral crossbite – how to treat it.? maxillary expansion

172. Can you give her for daily use CHX – T/F? True
173. You should show her and her parent how to brush T/F? True
174. Man with hyperlipidemia. Triglyceride is high. What do you suspect? Metabolic
syndrome.
175. Metabolic syndrome can cause cancer of all except one? Thyroid
176. Treatment of this patient? Initial therapy (OHIs – SRP – Caries control – crown
lengthening)
177. Man smoking. He had also rheumatoid disease. He has hypertension. Tekes
Propranolol. Is taking Chantix. What he can have? Xerostomia
178. Which drug causes dry mouth? Chantix
179. You give him LA with epi, what happened? blood pressure elevated
180. It doesn’t work – what else can you give him? a. bupropion Zyban b. nasal spray
c. nicotine gum? Nicotine gum
181. Which ASA classification he is? class II. RA (ASA classification)
182. Sequence of tx plan? (emergency – caries control – reevalute – definitive
treatment – maintenance ) ECRDM
183. Children with cleft palte? Pano and cephalo. Given SNB - 73 and ANB -2 what
angle class is it.? class III malocclusion.
184. Patient had lateral crossbite – why? maxilla to small and lateral shift to the
right side.
185. What to do with teeth S – teeth was ok? don’t treat but observe
186. Profile of this child in cephalo How many teeth is missing, Had also some
supranumerary? count them.
187. Can’t implant in? cleft palate
188. Tooth is painful, mand first molar. What to do? Extract
189. Obese man with hypertension - 190/110 Didn’t treat it. Haven’t been in doctor 10
years. No medicaments. He is going to the restroom 2 per night, What do you suspect?
diabetes type II
190. What is the first think you will do to treat this patient? Refer to the physicans
191. What contribute to the future risk of caries in this patient, exept one, which one?
many sweets and bad diet (AMOUNT)
192. Child with ADHD, What is he taking? amphetamine
193. He can’t sleep and eat? because of this treatment
194. He had insomnia, why? amphetamine (indirect acting symphatomimetic) Not
to many things during one appointment.
195. Don’t use tell show do? False, we use it.
196. ADHD is most common with? males
197. if you can give child with ampfo Or should you lower the dose of amphetamine?
No need to adjust dose
198. case about 8yr 7 months child with supernumerary anterior teeth. Patient had class
2 skeletal and class dental malocclusion due to? missing canine teeth.
199. SNA was 87 and SNB 82- what will we call? Maxillary protrusiom
200. patient had Hep A 20 years ago what lab test you need? Nothing. We don't care
about his hep A 20 years ago
- Dr. $atyam Joshi

Special thanks to the people who participated in all group discussions and gave the best share
of their knowledge.
EXTRA INFO REGARDING TIME AND BREAKS :

Day 1 exam has 2 session of 3:30 min..100 ques 15 min break 100 ques 30 min break...100
ques 15 min break ...100 ques and done
Day 2 exam has 57-67 ques 15 min break.....47 ques done...
You cannot go back to any of ques once you finish those ques...
Credit of the below mentioned information goes to anonymous author/s, it is

just copied and pasted:

Decidious forcep: 101 for all teeth

Most common impacted anterior tooth--- maxillary canine
Most common impacted tooth --- lower 3rd molar then upper 3rd molar and maxillary
canine then mnd 2nd pm
Most common supernumerary tooth — mesiodens
Most common ectopically erupted tooth — maxillary permanent first molar followed by
canines- Man: canine & 2 pm
Most common malignancy of oral cavity—squamous cell carcinoma
Most common benign tumour of oral cavity — fibroma

Most common retained tooth – primary mandibular second molar
Most common recurring cyst— odontogenic keratocyst
Most common cyst in oral cavity— periapical cyst
Most common lichen planus- reticular lichen planus
Most common dermatosis to affect oral cavity- lichen planus
Most common chemical burn in oral cavity –aspirin burn
Most common topical fluoride in adults – stannous fluoride
Most common topical fluoride in children—1.23 APF gel.
Most common burshing technique- scrub technique
Most common developments cyst- nasopalati ne cyst
Most common complication of GA (op)-nausea
Most common used drug for petitmal epilepsy- no treatment
Most common used drug for grand mal – phenytoil
Most common drug used for temporal epilepsy- carbomezepine
Most common treatment for cyst – enucleation
Most common used clasp-simple circlet clasp
Most common used face bow in fpd- kinematic
Most common complication of RA involves TMJ-fibrous ankylosis
Most common salivary malignancy in children – mucoepidermoid carcinoma.
Most common salivary malignancy in palate area- ACC
Most common type of haemophilia--- haemophilia A
Most common type of gingivitis in children--- eruption gingivitis
Most common type of cerebral palsy is – athetoid/ spastic
Most common nerve involved in C sinus thrombosis – abducent nerve
Most common type of impaction ---mesoangular
Most common benign epithelial tumour---- papilloma
Most common complication of surgical extraction of lower third molar — loss of blood clot
Most common used instrument grasp — pen grasp
Most common susceptible tooth for caries— mandibular first molar
Most common contrast media - iodine in oil
Most common cause of light radiographs — exhausted developer
Most common cause of failure of RCT— inadequate cleaning and shaping – debridement
Most common isolated yeast strain from RCT— Candida
Most common bacteria found in root canals --- gram positive
Most common part of oral cavity affected by L planus –buccal mucosa.
Management of Medically compromised patients
1) HYPERTENSION
i. Preoperative
1. Measure blood pressure and review health status to include all medications. 2.
Refer/encourage patient to see physician if BP is elevated.
3. Minimize stress; might consider oral sedative premedication.
4. For patients with BP less than 180/110, and no evidence of target organ involvement (i.e.
encephalopathy, MI, unstable angina) any dental treatment may be provided)

5. For patients with BP greater than 180/110, defer elective dental care, ONLY EMERGENCY T/T
ii. • During Treatment 1. Provide local anesthesia of excellent quality. 2. For patients on
nonselective beta blocker, limit epinephrine to no more than 2 cartridges of 1:100,000
epinephrine. 3. Avoid epinephrine-containing gingival retraction cord. 4. For patients with
upper level stage 2 hypertension (160/100), consider intraoperative monitoring of BP, and
terminate appointment if BP reaches 180/110.
iii. • Postoperative 1. Make slow changes in chair position to avoid orthostatic hypotension. 2.
Ensure patient’s vitals are stable prior to dismissal. 3. Record pre- and post-operative vitals in
Axium. 4. Use caution when prescribing post-operative antibiotics as some can interact with
antihypertensive medications and enhance hypotension.
2) OSTEOARTHIRITIS
DENTAL MANAGEMENT AND TREATMENT PLANNING MODIFICATIONS: • Ensure patient
comfort while in chair • Be aware of potential for increased bleeding in patients on aspirin
products or NSAIDs (not clinically significant) • Antibiotic prophylaxis may be indicated for
some patients with joint prostheses.
• Technical modifications determined by patient disabilities: • OH: may need special techniques
(electrical toothbrush, modified handles, elbow support) • Ability to insert/remove appliances •
TMJ involvement: monitor and treat appropriately
3) MYOCARDIAL INFARCTION
Use vasoconstrictors with caution, due to increased risk for adverse outcomes1.Increased risk
of cardiac arrhythmias in patients taking digitalis (e.g., digoxin).2.Increased risk of a
hypertensive episode followed by bradycardia in patients taking nonselective beta-blockers
(e.g., propranolol).3. Risk of complications increases with high doses of vasoconstrictors
Prescribe with caution
1. NSAIDs and ASA with Digoxin, Captopril, Propranolol: limit prescribing to 4 days or less.
2. Antibiotics (e.g., erythromycin, tetracycline) with Digoxin, Propranolol.
3. Barbiturates, benzodiazepines with Digoxin, Verapamil, Lovastatin.
Epinephrine-containing local anesthetic can be used with minimal risk if the dose is limited to
0.036 mg epinephrine (2 cartridges containing 1:100,000 epi) or 0.20 mg levonordefrin (2
cartridges containing 1:20,000 levo)2. AVOID the use of epinephrine-impregnated retraction
cord and epinephrine 1:50,000 concentrations.
Increased risk, monitor patient
Low-dose ASA (75–325 mg/day), antiplatelet agents (e.g. clopidogrel), and oral anticoagulants
(e.g., warfarin) can increase the risk of surgical and postoperative bleedin
Delay routine dental treatment for 6 weeks if patient has had a revascularization procedure
(i.e. coronary artery bypass graft or stent placement).
Short, morning appointments for stress and anxiety reduction.
1. Prior to dental treatment, ask the patient about unstable angina and exercise tolerance.2.
Prescribe adequate analgesia during the appointments to minimize pain, discomfort, and
anxiety. 1. Consider semisupine chair position for patients with cardiovascular
disease.2.Discharge patient slowly to avoid orthostatic hypotension.

4) STROKE
a. Morning appointments and short appts
b. Only do emergency t/t if stroke occurred 6 mths ago
c. anticoagulant drugs like heparin should be stopped at least 6-12 hours before treatment. Six
hours after bleeding, when blood clots are built up, heparin systemic treatment can be
resumed. If there is some other anticoagulant medication involved, it should be stopped
several hours or days before bleeding dental treatment, after determining the International
Clotting Rate (ICR) and decision depends on neurologist’s advice
d. blood pressure should be monitored and oxygen therapy device is needed in dental office.
e. The minimal amount of anaesthetic solutions should be injected, concentration of added
epinephrine should be very low (1:100.000 or 1:200.000). Use of gingival retraction cord soaked
with epinephrine should be avoided.
f. - Metronidazolum and tetracycline should be avoided, since they may affect blood clotting. -
If the patient shows symptoms of stroke, he should get oxygen therapy immediately and should
be referred to a hospital as soon as possible.
g. advise the use of electric toothbrushes, easier to handle, use of dental floss, oral irrigation
and prophylaxis using chlorhexydine and fluoride.
h. Advice FPDs as its more manageable for them
5) EMERGENCY TRAINING
1. Call 911 or ask someone else to do so. 2. Try to get the person to respond; if he doesn’t, roll
the person on his or her back. 3. Start chest compressions. Place the heel of your hand on the
center of the victim’s chest. Put your other hand on top of the first with your fingers interlaced.
4. Press down so you compress the chest at least 2 inches in adults and children and 1.5 inches
in infants. “One hundred times a minute or even a little faster is optimal,” Sayre says. (That’s
about the same rhythm as the beat of the Bee Gee’s song “Stayin’ Alive.”) 5. If you’ve been
trained in CPR, you can now open the airway with a head tilt and chin lift. 6. Pinch closed the
nose of the victim. Take a normal breath, cover the victim’s mouth with yours to create an
airtight seal, and then give two, one-second breaths as you watch for the chest to rise. 7.
Continue compressions and breaths – 30 compressions, two breaths – until help arrives
2. ORDER
a. Check airway b. check breathing c.extend neck and tilt chin 4. Protrude tongue and mandible
6. ASTHMA
1. Suspend the dental procedure and raise the patient to a comfortable position.
2. Establish and keep the airways free, and administer an inhalatory β2 agonist.
3. Administer oxygen with a mask. If no improvement is observed or the symptoms worsen,
administer subcutaneous epinephrine (1:1000 in solution, 0.01 mg/kg body weight, with a
maximum dose of 0.3 mg).
4. Notify the emergency medical service. 5. Maintain adequate oxygen levels until the patient
breathes regularly and/or medical help arrives (8)7. XEROSTOMIA
7) Medications causing xerostomia:

antihistamines : antidepressants, anticholinergics, anorexiants, antihypertensives,
antipsychotics, anti-Parkinson agents, diuretics and sedatives.antiemetics, antianxiety agents,

decongestants, analgesics, antidiarrheals, bronchodilators and skeletal muscle relaxants
1)TCA and SSRIs
2)diphynhydramine benadryl: sedative antihistaminic has anticholinergic effect
3)diazepam valium: benzodiazipine tranquilizer, anticholinergic effect
4)atropine: potent anticholinergic drug
5)hydroxyzine: anxiolytic, antihistamine, tranquilizer, has antimuscarinic effect
6) CCBs
7) Levodopa
8) Metformin
9) Hydrochlorthiazides
Anti sialologues (to obtain dry field)

1)atropine sulfate, glycopyrolate(robnul), belladona derviatives, propantheline bromide (pro-
banthine)
2)any anticholinergics as they block post ganglionic cholinergic fibers
*contraind. in pts w glucoma, CV prob, GI obstruction, asthma
*they block vagal impulses, constric sphincters in bronchi, bladder & intestine.
relax iris sphincter, dec. gastric, bronchial & slaivary secretions, and perspiration
Conditions causing xerostomia:

Sjögren's syndrome
Sarcoidosis and amyloidosis, rheumatoid arthritis, systemic lupus erythematosus, scleroderma,
diabetes mellitus, hypertension, cystic fibrosis, bone marrow transplantation, endocrine
disorders, nutritional deficiencies, nephritis, thyroid dysfunction and neurological diseases such
as Bell's palsy and cerebral palsy.
Hyposecretory conditions, such as primary biliary cirrhosis, atrophic gastritis and pancreatic
insufficiency, may also cause xerostomia. Dehydration resulting from impaired water intake,
emesis, diarrhea or polyuria can result in xerostomia.
Psychogenic causes, such as depression, anxiety, stress or fear, can also result in xerostomia.
Alzheimer's disease or stroke may alter the ability to perceive oral sensations.
Hyperventilation, breathing through the mouth, smoking or drinking alcohol. Trauma to the
head and neck area can damage the nerves supplying sensation to the mouth, impairing the
normal function of the salivary glands
Acute xerostomia from radiation is due to an inflammatory reaction, while late xerostomia,
which can occur up to one year after radiation therapy, results from fibrosis of the salivary
gland and is usually permanent. Radiation causes changes in the serous secretory cells,
resulting in a reduction in salivary output and increased viscosity of the saliva
8)DIABETES
Dental management
In patients with controlled diabetes, no special treatment is required for routine dentistry
including prophylaxis and dental restorative care. The patient should be told to continue with
their normal eating and injection regimen. Morning appointments are recommended because

cortisol levels are highest at this time and will provide the best blood glucose level. The
morning meal should not be skipped.[4]
Likewise, the type 1 patient should not be scheduled immediately after an insulin injection
because this may result in a hypoglycemic episode. No more than 2 carpules of lidocaine
1:100,000, prilocaine HCL (1:200,000), or bupivacaine with 1:200,000 epinephrine should be
delivered for anesthesia.
In the moderately-controlled diabetic patient, a maximum of 2 carpules of bupivacaine or
prilocaine should be used and, if a major procedure is planned (eg, multiple extractions,
periodontal surgery), an antibiotic should be prescribed following therapy. Following surgery
the patient’s food intake should include the proper caloric content and
protein/carbohydrate/fat ratio to maintain glucose balance.
In the uncontrolled or brittle diabetic patient, only acute dental infection should be treated on
an outpatient basis. Delivered anesthetic should not include epinephrine. Antibiotics should be
prescribed following treatment and monitored carefully for sensitivity and efficacy. In-patient
intervention is recommended for more complicated dental treatment because precise insulin
management and post treatment care with respect to infection and electrolyte balance may be
needed.[5]
Complications/management/prevention
If hypoglycemia appears to be developing, dental treatment should be terminated and glucose
administered. Loss of consciousness is the most serious complication of hypoglycemia. Medical
assistance should be quickly sought and, if the dentist is knowledgeable with IV procedure, an
IV should be placed with immediate delivery of 25-30 mL of a 50% dextrose solution or 1 mg of
glycogen. Glycogen can also be provided by intramuscular or subcutaneous delivery.
Post-treatment problems can include delayed healing and infection. In uncontrolled diabetics,
electrolyte imbalance can also present a problem following dental treatment.
9) ANGINA
• short morning appointments,
• premedication with anxiolytics or prophylactic nitroglycerin,
• nitrous oxide-oxygen sedation, and slow delivery of an anesthetic with epinephrine
(1:100,000) coupled with aspiration.
• The patient with mild or moderate angina should be reminded to have with them their
nitroglycerin tablets in case of an attack during treatment.
• Anxiolytic night before (triazolam, etc)
• oxygen deprivation in the patient with severe ischemic disease and angina can be avoided by
delivery of oxygen via nasal cannula at 3L/min during dental treatment. Administer .4 mg
Sublingually every 5 mins.
10) SYNCOPE
- lay patient in a supine position, elevate extremities (trendelbrg position)
- administer oxygen
- avoid rapid changes in posture

11) COPD
• No NITROUS
• No rubber dam usage
• Anxiety reduction protocol
• Afternoon appts so secretions can clear out a bit
List of Common Drugs & Their Antidotes
Agent/Drug Antidote
Acetaminophen/Tylenol/Paracetamol acetylcysteine (Mucomyst)

Antcholinesterase atrophine sulfate or pralidoxime
Anticholinergics physostigmine
Benzodiazepines flumazenil
Beta blockers glucagon
Calcium channel blockers glucagon
Coumadin/Warfarin phytonadione (Vitamin K.)
Cyanide amyl nitrate, sodium nitrate, sodium thiosulfate
Cyclophosphamide mesna
Digoxin digibind
digoxine immune fab
Dopamine phentolamie (Regitine)
Extrapyramidal symptoms (EPS) diphenhydramine (Benadryl)
Ethylene glycol fomepizole
Fluorouracil leucoverin calcium
Heparin protamine sulfate
Insulin reaction Glucose (Dextrose 50%)
Iron deferoxamine
Lead dimercapol, edetate calcium, disodium,
Methotrexate leucovorin calcium
Narcotics naloxone (Narcan)

Neuromuscular blockade (paralytics) anticholinesterase agents
Opioid analgesics nalmefene or naloxone
Potassium albuterol inhaler, insulin & glucose, NaHCO3,
kayexalate
Tricyclic antidepressants phyostigmine or NaHCO3
lefort1 -floating palate  guerin sign  cracked pot sound
 lefort 2-moon face ,paresthesia of check  bilateral ecchymosis  cracked pot and
CSF rhinnioria 
lefort 3-racoons eyes  panda facies  battles sign Sunken eyes (also seen in blow out
fractures - fractures of orbit)
GENERAL RESORPTION PATTERN the maxillary teeth generally flare downward and outward so
resorption takes place as upward and inward ,the outer cortical plate is thinner than the inner
cortical plate so resorption is rapid in outer ,as resorption takes place in maxilla it becomes
smaller
IN MANDIBLE the anterior teeth generally incline upward and forward to the occlusal plane so
resorptionin ,the outer cortex is thicker than the lingual cortex and width of the mand is
greatest in inferior border so it will resorb lingually (inward) and inferiorly (downward )ans as a
result the mand becomes wider posteriorly
The alpha particle is the heaviest. It is produced when the heaviest elements decay. Alpha and
beta rays are not waves. They are high-energy particles that are expelled from unstable nuclei.
In the case of alpha radiation, the energy The particles leave the nucleus .
The Stephan Curve is something we learnt about at dental school- it shows the effect of eating
and drinking in your mouth clearly in a graphical form and is crucial in helping you understand
dental decay.
red complex-last colonizers,associated with chronic periodontitis with deep pokects and
recession
purple,green,yellow-primary colonizers of sub gingival sulcus
orange-secondary colonizers -gingivitis n presence of bleeding

Fatal disease - cohort study Rare disease - case control study Cohort study measures incidence
and exposure Can find out history of the disease Cross-sectional for prevalence and rate can
study multiple exposures or multiple outcomes
By most common odontogenic cyst is radicular most common non odontogenic cyst is

nasopalatine cyst Most common epithelial odontogenictumour is ameloblastoma most
common odontogenic tumor is odontoma non odontogenic tumors is osteosarcoma and
metastatic carcinoma
1.Most common impacted anterior tooth--- maxillary canine 
2. Most common supernumerary tooth—mesiodens 
3. Most common ectopically erupted tooth—maxillary permanent first molar 
4. Most common malignancy of oral cavity—squamous cell carcinoma 
5. Most common benign tumour of oral cavity—fibroma 
6. Most common retained tooth – primary mandibular second molar 
7. Most common recurring cyst— odontogenickeratocyst 
8. Most common cyst in oral cavity— periapical cyst 9. Most common lichen planus- reticular
lichen planus. 
10. Most common dermatosis to affect oral cavity- lichen planus 
11. Most common chemical burn in oral cavity –aspirin burn 
12. Most common topical fluoride in adults – stannous fluoride 
13. Most common topical fluoride in children—1.23 APF gel. 
14. Most common burshing technique-scrub technique 
15. Most common developments cyst-nasopalati ne cyst 
16. Most common S/E of GA (op)-nausea 
17. Most common used drug for petitmal epilepsy-ethosuximide 

18. Most common used drug for grand mal-phenytoil 
19. Most common drug used for temporal epilepsy- carbomezepine 
20. Most common treatment for cyst – enucleation
 21. Most common used clasp-simple circlet clasp 
22. Most common used face bow in fpd- kinematic 
23. Most common complication of RA involves TMJ-fibrous ankylosis 
24. Most common salivary malignancy in children – mucoepidermoid carcinoma. 
25. Most common salivary malignancy in palate area-ACC 
26. Most common type of haemophilia--- haemophilia A 
27. Most common type of gingivitis in children--- eruption gingivitis 
28. Most common type of cerebral palsy is –athetoid/ spastic. 
29. Most common nerve involved in C sinus thrombosis – abducent nerve 
30. Most common type of impaction ---mesoangular
 31. Most common benign epithelial tumour---- papilloma 
32. Most common complication of surgical extraction of lower third molar—loss of blood clot  
33. Most common used instrument grasp—pen grasp 
34. Most common susceptible tooth for caries—mandibular first molar 
35. Most common contrast media - iodine in oil 
36. Most common cause of light radiographs — exhausted developer
 37. Most common cause of failure of RCT— incomplete debridement 
38. Most common isolated yeast strain from RCT— Candida 
40. Most common part of oral cavity affected by L planus –buccal mucosa.

Periapical and radicualr cyst r one and the same thing
1-Ground Glass appearance--> Fibrous dysplasia 2-Punched out radiolucencies-->Multiple

Myeloma 3-Cotton Wool Appearance-->Paget's Dz 4-Tooth Floating in Air-->Eiosinophilic
Granuloma 5-Snow Appearance--> Calcifying Epithelial OdontogenicTumor(CEOT) 6-Honey
Comb Appearance-->OdontogenticMyxoma 7-Soap Bubble Appearance--> Aneurysmal Bone
Cyst, Cherubism 8-Scooped out radiolucencies at mid root level-->Histiocytosis X 9-Scalloped
radiolucencies around the roots of teeth--> Simple bone cyst aka traumatic bone cyst 10-
Beaten Metal appearance on the skull-->Crouzon Syndrome 11-Enlarged marrow spaces-->
Sickle cell Anemia 13-Widened PDL with dissolving bone--> Non-Hodgkin lymphoma 14-Moth-
Eaten radiolucency--> external resorption salt and pepper appearance radio-graphically-COC
1. cemento-osseous dysplasia---lower anterior
2. traumatic bone cyst--- mandiular.. between canine and molar region
3.primordial cyst--- mandiular 3rd 4th molar region
4. dentigerous --- mostly mandibular 3rd molar and maxi canine region
5.stafne bone cyst--- below mandibular canal
6. latealperiodaontal cyst--- mandiular canine premolar area
7.bohn nodule---- newborn gingiva
8.epstein pearl--- midline of palate of newborn
9.cementoblastoma--- mandible molar area,grows on roots
10. OKC--- mandiular molar and ramus
11. nasopalatine duct cyst-- between roots of maxi central incisors
12. globulomaxi cyst--- between maxi lateral and canine
13.thyroglossal duct cyst-- midline of neck
14.demoid cyst--- FOM or upper neck
15.brachial cyst--- anterior to sternocleidomastoid

16.ossyfiying fibroma--- premolar area
Highest DMFT = White (caucasian) (highest amount of restored teeth) Highest untreated

primary teeth = Hispanic Highest untreated perm teeth = Black (African American) Moderate
periodontitis = Black males ( African American) Class II caries = Whites (caucasian) Class III
caries = Blacks (African American) Cleft lip/palate w/ Class III occlusion = Native American Cleft
lip alone = Asian Cleft lip in USA = 1:700 to 1:800 class 2 malocclusion : whites of northern
European descent class 3 malocclusion : Asian Caucasians have more lip cancer while African
american have more oropharyngeal carcinoma. Anterior open bite: African American(blacks) 
Deep bite: cuacasian( whites) , cemento osseous dysplasia - black middle aged women
* reverseoverjet.....>Cl III MO *reverse polarity....>ameloblastoma *reverse bevel.....>Cl II gold

inlay *reverse bevel incision.....> in undisplaced flap when the incision is done coronal to the
sulcus *reverse occlusal plane.....> in panoramic radiograph when pt chin is tipped upward
Waters view--->Maxillary sinus Bite wing------>Interproximally caries Periapical----->Periapical

tissue&Periodontal disease Submentovertex--->Zygomatic fracture Lateral Cephalometric---
>Face growth Posterior-Anterior of skull--->Skull vault Reveres Towns---->Condylar necks 
MRI------->TMJ CBCT----->Implant&Endo
Drug overdoses Diazepam treats Lidocaine overdose .Flumanzil treats Diazepam overdose 

.Neostigmine treats cholinestrase inhibitors overdose .Nalaxone treats opoid overdose .Milk &
Calcium for fluoride overdose .Antidotes for different drug overdose...1.Heparin- protamine
sulfate .TCA overdose- Physostigmine . Warfarin- Vit K .Opioids - Naloxane/Naltrexone .Beta
blocker- glucagon . Benzodiazepene- Flumazenil . Theophylline- beta blocker .organohosphate
poisoning- atropine, pralidoxime .Acetaminophen- N acetylcysteine  .aspirin- Potassium salt
and sodium bicarbonate calcium sodium ( EDTA) -lead poisng Dimercaprol,Penicillamine, edta-
mercury poising
Types of studies: 1)Case Series:study some clinical cases of jaw necrosis. 2)Cross

Sectional:Interview All patients at the school for jaw necrosis and use of biophosphate at one
time. 3)Case Control Study:Identify patients with and without jaw necrosis,follow them for use
of biophospate. 4)Cohort Study:Enroll all patients at the school and follow them for years to
see who develops jaw necrosis.
Important Diseases according to "Age":
*Fibrous Dysplasia---->Children *Paget's Disease------>Adults over 50 *Aneursmal Bone Cyst----

>Teenagers *Cherubism----->Children *Periapical Cemeno osseous Dsysplasia---->Middle aged
black women *Capillary Hemangioma---->1st week after Birth till 9 years old *Cavernous
Hemangioma---->Old Adults
Deterministic: dosage dependent, in deterministic there a limit only after it reaches that limit
effect will occur. It will increase with increase in dose.
Stochastic: it is not dose dependent any amount will cause effect
o UNBUNDLING: "the separating of a dental procedure into component parts with each part
having a charge so that the cumulative charge of the components is greater than the total
charge to patients who are not beneficiaries of a dental benefit plan for the same procedure."
o BUNDLING "the systematic combining of distinct dental procedures by third-party payers that
results in a reduced benefit for the patient/beneficiary."
o UPCODING or overcoding: "reporting a more complex and/or higher cost procedure than was
actually performed."
o DOWNCODING: "a practice of third-party payers in which the benefit code has been changed
to a less complex and/or lower cost procedure than was reported except where delineated in
contract agreements."
In Epidemiology a confounder is: not part of the real association between exposure and disease
 o predicts disease unequally distributed between exposure groups o A researcher can only
control a study or analysis for confounders that are: known, measurable Example: Grey hair
predicts heart disease if it is put into a multiple regression model because it is unequally
distributed between people who do have heart disease (the elderly) and those who don't (the
young). Grey hair confounds thinking about heart disease because it is not a cause of heart
disease. Strategies to reduce confounding are: o randomization (aim is random distribution of
confounders between study groups) o restriction (restrict entry to study of individuals with
confounding factors - risks bias in itself) o matching (of individuals or groups, aim for equal
distribution of confounders) o stratification (confounders are distributed evenly within each
stratum) o adjustment (usually distorted by choice of standard) o multivariate analysis (only
works if you can identify and measure the confounders)
Primary Teeth : Largest : Mandibular 2nd Molar Smallest: Mandibular Lateral incisor
Permanent tooth: Largest: Maxillary 2nd Molar Smallest: Mandibular Central Inc

Pulpal and Periradicular/Periapical Conditions Pulpal Conditions: Normal Pulp - A normal pulp
is symptom free and will normally be responsive to the electric pulp tester (EPT). When
evaluated by thermal testing, the normal pulp produces a positive response that is mild and
subsides immediately when the stimulus is removed. Reversible Pulpitis - Caries, cracks,
restorative procedures or trauma may cause a pulp to become inflamed. The patient’s chief
complaint is usually of an exaggerated response to thermal stimulus but once the stimulus is
removed, the discomfort does not linger. EPT results are responsive. Irreversible Pulpitis - If
the inflammatory process progresses, irreversible pulpitis can develop. Patients may have a
history of spontaneous pain and complain of an exaggerated response to hot or cold that
lingers after the stimulus is removed. EPT results are usually responsive. The involved tooth
will often present with a history of an extensive restoration and/or caries. In certain cases of
irreversible pulpitis, the patient may arrive at the dental clinic sipping a glass of ice water or
applying ice to the affected area. In these cases, cold actually alleviates the patient’s pain as
the dental pulp has developed allodynia and is hyperalgesic. Normal body temperature is now
causing the nociceptors in the pulp to discharge.10 Removal of the cold causes return of
symptoms and can be used as a diagnostic test. Irreversible pulpitis can also present as an
asymptomatic condition. Internal resorption and hyperplastic pulpitis (pulp polyp) are
examples of asymptomatic irreversible pulpitis. Pulpal Necrosis - Necrosis is a histologic term
that denotes death of the pulp. Teeth with total pulpal necrosis are usually asymptomatic
unless inflammation has progressed to the periradicular tissues. The pulp will not respond to
the EPT and if using a digital EPT, this result should be reported as no response (NR) over 80.
The pulp will not respond to thermal tests. The dental record entry for this pulpal diagnosis
should be pulpal necrosis. Pulpless Tooth - A tooth from which the pulp has been
removed. For example, a tooth with previous pulpotomy/pulpectomy/root canal debridement
or previous root canal therapy should be recorded as a pulpless tooth for the pulpal diagnosis. 
Previously Treated - A clinical diagnostic category indicating that the tooth has been
endodontically treated and the canals are obturated with various filling materials, other that
intracanal medicaments. Previously Initiated Therapy - A clinical diagnostic category indicating
that the tooth has been previously treated by partial endodontic therapy (e.g. pulpotomy,
pulpectomy). Periradicular/Periapical Conditions: Normal Periradicular Tissues - Normal
periradicular tissues will be non-sensitive to percussion and palpation testing. Radiographically,
periradicular tissues are normal with an intact lamina dura and a uniform periodontal ligament
(PDL) space. Acute Periradicular Periodontitis - Acute periradicular periodontitis occurs when
pulpal disease extends into the surrounding periradicular tissues and causes
inflammation. However, acute periradicular periodontitis may also occur as the result of
occlusal traumatism. The patient will generally complain of discomfort to biting or
chewing. Sensitivity to percussion is a hallmark diagnostic test result of acute periradicular

periodontitis. Palpation testing may or may not produce a sensitive response. The PDL space
may appear normal, widened, or there may be a distinct radiolucency. Acute Periradicular
Abscess - In this situation, bacteria have progressed into the periradicular tissues and the
patient’s immune response cannot defend against the invasion. It is characterized by rapid
onset, spontaneous pain, pus formation, and often swelling of the associated
tissues. Depending upon the location of the apices of the tooth and muscle attachments, a
swelling will usually develop in the buccal vestibule, on the lingual/palatal, or as a fascial space
infection. Percussion testing produces a response that is usually exquisitely sensitive. This
exaggerated response can help differentiate between acute periradicular periodontitis and the
early stages of acute periradicular abscess. Palpation testing produces a sensitive
response. Radiographically, the PDL space may be normal, slightly widened, or demonstrate a
distinct radiolucency. This periradicularpathosis can occur with a necrotic pulp or a pulpless
tooth that has been partially or definitely endodontically treated if continued bacterial
contamination and/or leakage occurs. Chronic Periradicular Periodontitis - When bacteria or
bacterial products from a necrotic pulp or pulpless tooth slowly ingress into the periradicular
tissues, the patient’s immune system may become involved in a chronic conflict. The resultant
inflammatory process causes periradicular bone resorption that manifests as a periradicular
radiolucency on the radiograph. Clinically, the patient is asymptomatic. Percussion and
palpation testing produce non-sensitive responses. SubacutePeriradicular Periodontitis - The
patient will present with mild to moderate symptoms that may include spontaneous pain or
discomfort on biting or chewing. The tooth may present with any pulpal diagnosis. Percussion
testing produces a mild sensitive response and palpation testing may or may not be
sensitive. Clinical symptoms are not as severe as acute periradicular
periodontitis. Radiographically, the tooth will present anywhere from a normal periradicular
appearance to a distinct radiolucency. These patients must receive endodontic treatment in a
timely manner because the condition can quickly progress into acute periradicular periodontitis
or an acute periradicular abscess. Chronic Periradicular Abscess - An inflammatory reaction to
pulpal infection and necrosis characterized by gradual onset, little or no discomfort and
intermittent discharge of pus through an associated sinus tract. Clinically, the patient is usually
asymptomatic because the sinus tract allows drainage of any exudate from the periradicular
tissues. EPT and thermal testing are non-responsive. Percussion and palpation testing usually
produce non-sensitive responses. Radiographically, a periradicular lesion is associated with the
involved tooth. This entity can also occur with a pulpless tooth that has been partially or
definitely endodontically treated if continued bacterial contamination and/or leakage occurs. 
Focal SclerosingOsteomeylitis (condensing osteitis) - This entity may be considered a true lesion
of endodontic origin (LEO). The involved tooth will have an etiologic factor for low-grade,
chronic inflammation such as a necrotic pulp, extensive restorative history or a crack. The
patient may be asymptomatic or demonstrate a wide range of pulpal symptoms. EPT and

thermal tests may or may not be responsive. Percussion and palpation testing may or may not
be sensitive. Radiographically, the involved tooth will present with increased radiodensity and
opacity around one or more of the roots. Evidence supporting consideration as a LEO is that
85% of these periradicularradiodensities resolve after endodontic therapy if they have a pulpal
diagnosis of irreversible pulpitis. Focal Osteopetrosis - This entity is not a LEO. The patient will
be asymptomatic. EPT and thermal testing are responsive and normal. Percussion and
palpation testing will typically be non-sensitive. The involved tooth is usually a virgin tooth or
has a normal pulp. Radiographically, the tooth will present with increased radiodensity and
opacity around one or more of the roots. No treatment is necessary and the tooth should
simply be monitored at periodic recall.
Classification of benign fibro-osseous lesions of the craniofacial complex
I. Bone dysplasias  a. Fibrous dysplasia  i. Monostotic  ii. Polyostotic  iii.

Polyostotic with endocrinopathy (McCune-Albright)  ivOsteofibrousdysplasiaa  b. Osteitis
deformans  c. Pagetoid heritable bone dysplasias of childhood  d. Segmental
odontomaxillary dysplasia II. Cemento-osseous dysplasias  a. Focal cemento-osseous
dysplasia  b. Florid cemento-osseous dysplasia III. Inflammatory/reactive processes  a.
Focal sclerosing osteomyelitis  b. Diffuse sclerosing osteomyelitis  c. Proliferative periostitis
 IV. Metabolic Disease: hyperparathyroidism V. Neoplastic lesions (Ossifying fibromas)  a.
Ossifying fibroma NOS  b. Hyperparathyroidism jaw lesion syndrome  c. Juvenile ossifying
fibroma  i. Trabecular type  ii. Psammomatoid type  c. Gigantiformcementomas
Immune granulomas can have a few different appearances, depending on their cause. Here’s a
summary: 1. Tuberculosis. Granulomas in TB are sometimes called tubercles. They are
caseating, meaning they are “cheesy” in gross appearance. Histologically, there is a bunch of
amorphous, granular, necrotic debris in the center of the granuloma. You should see some acid-
fast bacilli in there too.
2. Leprosy. These granulomas are non-caseating, and an acid-fast stain should reveal bacilli.
3. Syphilis. Granulomas in syphilis are called gummas; they have central necrosis (but not really
caseating, because you can still see cell outlines) and a plasma cell infiltrate.
4. Cat-scratch disease. These granulomas may be stellate in appearance. They contain

neutrophils and some granular debris, but giant cells are rare.
5. Sarcoidosis. Granulomas in sarcoidosis are non-caseating, with a lot of activated

macrophages.

6. Crohn disease. Sometimes you see non-caseating granulomas in the intestinal wall in patients
with Crohn disease.
Age at which children develop dexterity and speech.(5 yrs speech 8 yrs dexterity).
Skirt preparation in gold only - it is a surface extention feature for secondary retention. the
preparation is extended over to facial/lingual external wall of tooth in cases of short axial walls
or tilted teeth (there r few other indications as well). the finish line over the external
facial/lingual surafce extends at the mid third of surface n doesnt extend all the way down as in
crown preps.
iseally INR should be between 2 and 3.5 it should not be higher than 4 and lower than 3 before
extractions which mat indicate or fuse bleeding for simple extractions ptshoi=uld be lower
than 4 moderate bleeding, included and impacted third molar surgeries or multiple
extractions- it should be less than 3 if over 5 no surgical treatment
adult periodontitis-P.gingivalis ANUG-spirochetes juvinile periodontitis-A.A

More information can be found on
http://studylib.net/doc/5830907/formulation-of-pulpal-and-periradicular-diagnoses#


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File is in 2 parts: Day 1 and Day 2

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NBDE Crash Course:

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To ace the exam follow these steps:

Subject Weight of marks (average) Number of cards in decks

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Super important topics

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Index (List of sources used to make this file)

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6. Infection stage of syphilis? Second stage

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262. histology of phemphigus and mmp? Pemphigus Suprabasilar split, Infra

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315. most strain wall? gingival / proximal

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Pocket is always associated with Periodontal Abscess, whereas Cavity is always

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1040. pt is having asymptomatic brwoun macules on buccal mucosa, Melanocyte