Patient cases
Perio/Endo
Medically complex
Anatomy
Miscellaneous
100
Which tooth is least likely to spontaneously erupt?
What is 6?
100
Cells responsible for root resorption
osteoclast
100
Which of the following is correct about the association between uncontrolled diabetes and cardiovascular disease?
Hyperglycemia does not have an impact on microvascular and atherosclerotic complications
LDL Cholesterol is considered a strong predictor of coronary heart disease (CHF) in diabetic patients.
Microangiopathy is a complication for all patients with diabetes despite the level of control
Accelerated atherosclerosis is not expected in patients with uncontrolled diabetes
LDL Cholesterol is considered a strong predictor of coronary heart disease in diabetic patients.
100
When compared to the maxillary central incisor, the maxillary canine normally exhibits which of the following?
Wider crown mesiodistally
Thicker crown labiolingually
Shorter crown and shorter root length
Longer crown incisogingivally
Shorter root
Thicker crown labiolingually
100
What is the greatest threat to pulp vitality during crown preparation?
Heat
200
Chief Complaint: My lower left molar and bicuspid teeth are numb.
Background / Patient History: Has tingling sensation in his lower left jaw. Some of the teeth are numb.
Current Findings: Panoramic X-ray reveals a large bony defect of about 1.5 inch wide. It is tentatively diagnosed as an ameloblast.
What is these lesion made out of ?
-epithelial rests of mallasez
-A mutation in the FGF gene
-A mutation in BMP
-Leftover dental lamina
Leftover dental lamina
200
A patient comes in for a check up with no pain and presents with this soft tissue growth. What is this called and what is the pulpal diagnosis?
Pulp polyp and asymptomatic irreversible pulpitis
200
A patient has a hopeless #24 that needs to be extracted. RMH: Prosthetic heart valve placed 3 years go with no complications. NKDA
Which medication should be prescribed prior to tooth #24 exo, if any?
Amoxicillin , 2g to be taken in 500mg tablets 60 minutes before the procedure
200
When making decisions about patient treatment , which type of study provides the strongest evidence?
Systematic review
200
A patient has a history of several restorations being placed: Gold crown #2, several implants, MOD amalgam #3, zirconia crown #4, PFM RPD #29-31. The patient complains of a metallic taste in her mouth for several days. What is the reason for her CC?
Interaction between gold and amalgam
300
What is valacyclovir tablets?
-Recurrent intraoral herepes = antiviral
300
Which are the medications that cause gingival enlargements?
calcium channel blockers, immunosuppressives (cyclosporine), anticonvulsants (phenytoin)
300
To compensate for a 20% shrinkage of porcelain during firing we have to:
over contouring of porcelain
300
The significant pathological changes seen in patients with COPD and those who may diagnosed with chronic bronchitis include:
mucous gland hyperplasia
300
Which image would most helpful in diagnosing a mandibular fracture?
Panoramic radiograph
400
Nysatin and triamcinolone cream
400
What acts as a carrier for coagulation factorVIII.
Von willebrand factor
400
Patient12- years- old femaleChief Complaint" My tooth is broken, my schoolmates said my breath stinks"Background/ Patient History
Recently diagnosed with diabetes.
Injectable insulin use. No other medications
Current Findings
#30 see picture. Tooth responds normally to cold test. No pain on percussion.
Fruity odor on her breath. Moderate plaque.
Which of the following pathophysiology changes applies to the patient's diabetes?
Autoimmune pancreatic destruction
Diminished beta-cell function
Deterioration of beta-cell function
Increased insulin production
Autoimmune pancreatic destruction
400
What is this dental anomaly called?
Dens invagaintus
400
A patient has a maximum opening of 25mm. Each of the following could be a contributing factor except one. Which is the exception?
- condylar ankylosis , fatigue of masseter muscle, hypertrophy of coronoid process, pericoronitis
Fatigue of the masseter muscle
500
Where is the infection most likely located and which antimicrobial agent is most appropriate to prescribe?
What is the canine space?
What is clindamycin?
500
What greatly influences bone regeneration?
Number of bony walls and size of alveolus
500
Immediately after the accident, your patient’s blood needed to clot at the side of injured blood vessels. The sequence of chemicals that are involved in the process of clot formation is:
A. Prothrombin, Tissue factor, Fibrin, Thrombin, Fibrinogen
B. Tissue factor, Prothrombin, Thrombin, Fibrinogen, Fibrin
C. Fibrinogen, Prothrombin, Thrombin, Tissue factor, Fibrin
D. Thrombin, Prothrombin, Fibrinogen, Tissue factor, Fibrin
E. Fibrin, Prothrombin, Thrombin, Fibrinogen, Tissue factor
Tissue factor , prothrombin, thrombin, fibrinogen, fibrin
500
Patient:Female, 25 years old
Chief complaint: She describes a cotton-like feeling in her mouth and lack of taste. She has tried brushing her tongue but this just caused slight bleeding.
Background/or patient history: HR is a 25 yo F with HIV that is well controlled on combination antiretroviral therapy. She recently was prescribed antibiotics for a urinary tract infection. HR also has liver disease. She presented one week ago with creamy white lesions on her tongue, and you prescribed Nystatin.
Current Findings: HR's HIV infection is out of control and the creamy white lesions are spreading to the esophageal area.
Which nerves would be involved in the patient's symptoms?
Facial nerve, trigeminal nerve , lingual nerve , chorda tympani and glossopharyngeal nerve
500
Which base or liner may interfere with the polymerization of composite resin restoration?
Zinc oxide eugenol