CDCA (Actual) Exam 2023 Graded A+

***Nifedepine causes: - ANSWER-gingival hyperplasia ***What type of drug is Nifedepine? - ANSWER-Ca-Channel Blocker ***Large space b/w 11 & 12: what to do? - ANSWER-LEAVE IT ALONE Papilloma - ANSWER-Identify this lesion how to treat mucocele? - ANSWER-excise with salivary gland remnants ***Problem with resin bonded bridges most commonly? - ANSWER-debonding ***Hep A - after how long is it fine to treat dental again? - ANSWER-1 week ***What to give allergic rxn to barbiturate on lip? - ANSWER-benadryl ***facial erosion on teeth - ANSWER-acidic bevs dentinogenesis Imperfecta Xray looks like? - ANSWER-obliterated pulp chambers, constricted crowns, short roots ***picture of blue sclera eyes, asked what dental finding? - ANSWER-DI ***Hyperthyroid symptoms do NOT include: - ANSWER-FATIGUE (other choices = exophthalmous, tachycardia, tremor of extremities) ***minimum axial reduction for crown: - ANSWER-1.5mm Maximum amount of unsupported porcelain allowed? - ANSWER-2mm Cyclosporine causes? - ANSWER-gingival hyperplasia ***ANUG tx that is most important: - ANSWER-DEBRIDEMENT gingival hyperplasia tx? - ANSWER-Gingivectomy ***Pt presents with liver clot - tx? - ANSWER-Irrigate, apply pressure, reasses ***Want to undercontour the temp to do what? - ANSWER-improve gingival health Pic of pt with all crowns on upper & lower and asked - what is wrong? - ANSWER-Impingement on gums/gum health. (incorrect choices = incorect oj/ob, improper contour of cwns) ***t has pain on swallowing when wearing denture - why? - ANSWER-Overextension of LINGUAL flange/lingual impingement ***Pt present with space bw 3M with class 2 mobility and premolar What to do to fix? - ANSWER-Implant Pt missing #2 and #3. #1 has class 3 mobility and furcation involvement. What optimal tx? - ANSWER-EXT #1 and either implant for #3 or 2 +3 ***If cannot pick a color for a crown, what do you choose? - ANSWER-Something with LOWER shade saturation and LESS GRAY ***Worst place for implant? - ANSWER-Max Post ***Best place for implant? - ANSWER-Mand Ant ***Zn Phosopate is the worst cement for what type of resto? - ANSWER-DEEP resto ***what type of cement is the worst for a Deep Restoration - ANSWER-Zinc Phosphate ***BWX of tooth with amalgam: pt complains of pain when provoked by hot or cold - why? - ANSWER-Deep amalgam filling ***Leave perio pack on for how long? - ANSWER-1 week picture of epulis fissuratum and how do you treat before making a new denture? - ANSWER-EXCISION ***Reason for perio flap? - ANSWER-ACCESS for instrumentation Max Tori in denture pt - what do you do before making new dentrue? - ANSWER-REMOVE ***Essential property for major connector? - ANSWER-RIGIDITY ***OSHA makes you check autoclave how often? - ANSWER-weekly ***HIV ELISA test was NEG for person who had needle stick. What does it mean? - ANSWER-Pt has NO antibodies present for HIV (also choice is "pt does not have HIV - this is WRONG - antibodies just may have not shown up yet - so read carefully!) ***ortho case - what was most important thing they did in max arch? - ANSWER-Align teeth for future restorative procedures (NOT close U&L diastemas) ***Pain reliever for pt who has kidney disease? - ANSWER-ACETAMINOPHEN Pic of surveyor: What are we looking at? - ANSWER-SPACE FOR GUIDE PLANE ***Phlebitis major complication? - ANSWER-Pulmonary Emboli ***Pt complains of space b/w teeth after SRP why? - ANSWER-Reduction of edematous gingiva ***1-2mm reduction of probing depth after performing SRP - why? - ANSWER-LJE ***Shunt on left arm? - ANSWER-take BP on right arm duh ***Pic of #10 & 11 linguals - what is wrong with gingiva? - ANSWER-EDEMA ***Space in b/w #29 & 30 in very old pt with no 31 or 32 and barely occluding with #3 is due to what? - ANSWER-No occlusion or mesial drifting premolars (one of these is correct - I think it's occlusion) ***surgical stent fits the gums but immediate denture doesn't fit - what do you do? - ANSWER-Relieve until it seats ***Pic of bottom of tongue with multiple white lesions - stated that pt had complaint of sore gums and tongue, has fever of 101. 20yo pt. Most likely DX? - ANSWER-Primary Herpetic Stomatitis ***Tx of Primary Herpetic Stomatitis? - ANSWER-Palliative ***Pt with purple lesions on palate said they had similar lesion on their body too. What is most probable cause? - ANSWER-HIV - (Kaposi's Sarcoma). Other INCORRECT options were SturgeWeber and Erythema Multiforme what disease will affect wearing CD themost? - ANSWER-Sjogrens (xerostomia) ***Lesion in mouth (case is on lip, young boy) that heals with scar? - ANSWER-Major Apth Ulcer ***Pic with arrow pointing to soft tissue mass on FOM? - ANSWER-Opening of Wharton's Duct ***Lichen Planus present on tongue that was asymptomatic - asked what treatment? - ANSWER-Corticosteroids (doing nothing was not an option) ***Pic of white things on BM and asked what it was. - ANSWER-Lichen Planus (but looked like leukoedema, cheek biting etc and all were choices) (wickham's striae means Lichen Planus) ***PAN with RO under mand incs - what was it? - ANSWER-Supernumerary tooth. (Other incorrect choices: odontoma, impacted incisior) ***gingival edema is caused by? - ANSWER-ANAEROBES ***Post-cementation of crown sensitivity is due to? - ANSWER-MICROLEAKAGE ***Before you reline a CD, you must first establish what? - ANSWER-Restore Posterior Occl Pic of pt's maxilla with FPD & RPD attached to it. Asked how they were attached - - ANSWER-Choices were Semi-precision attachment/bur preps/extracoronal attachment - (no idea) ***Precision attachments are not good for patient with? - ANSWER-Low Dexterity (case is: pt has severe arthritis in hands) ***Pt on steroids - you want to know the ____ & ____ before dental tx - ANSWER-Duration & Dosage (do not choose "does not apply to dentistry" or something like that) ***Pts weight is most critical thing for calculating? - ANSWER-Med dosage for child Pt just had stroke: What do you need to worry about? - ANSWER-Are they on anticoagulants ***CI for apically positioned flap? - ANSWER-ESTHETICS is the concern with it (mentions canine I think) Purpose of a wedge during restoration? - ANSWER-Adaptation of matrix band ***CI for patient with hyperthyroidism is? - ANSWER-Giving them an analgesic with vasoconstrictors No hair & missing teeth? - ANSWER-Ectodermal Dyspl KNOW THINGS ABOUT ANEMIAS: pernicious, hymolytic, b12 & folate deficiency - there are 2 questions - ANSWER-anemia, bitches ***Hereditary Telegnastia is associated with? - ANSWER-Iron deficiency problems (not b12 or folate) ***Normal ranges & patient's numbers for RBCs, WBCs and platelets were given. What is wrong? - ANSWER-LEUKEMIA - high WBC, sore lymph nodes, painful gums (very swollen gingiva is the pic) ***Penicillin causes allergic reaction and gives? - ANSWER-arm rash (theres a pic) ***Pt on penicillin for 2 wks, tongue is now sore. What test? - ANSWER-fungal test ***Pic of red painful tongue in uncontrolled diabetic - what is it due to? - ANSWER-malnutrition ***Gives pic of red/white lesion and asks how to go further. - ANSWER-Biopsy the red AND white portions of mixed lesion Multiple questions about ERUPTION & looking at BW to see if it's normal - ANSWER-KNOW ERUPTION SEQUENCES ***Most likely reason that sealants fail? - ANSWER-contamination ***Unconscious pt in waiting room - what is first thing you do? - ANSWER-Check breathing ***Identify the mental ridge on radiograph - ANSWER-look it up ***RO on PAN in sinus - dx? - ANSWER-- it's a mucous retention cyst in max sinus ***difference in anaphalaxis vs syncope - ANSWER-Ana has WHEEZING & BRONCHOCONTRICTION ***Pt returns in 72h with pain post-EXT. Therapy? - ANSWER-Give irrigation & use eugenol soaked gauze (dry socket) ***EXT of tooth & pt comes back with big infxn - dx? - ANSWER-Subperiosteal abscess Pic of pt with Down syn & Q asks what need to be worried about as dentist - ANSWER-CHD ***You can use tissue conditioner and soft reline on a CD at anytime - T or F - ANSWER-True ***How long for lab reline? (i dont get what this is asking but ok) - ANSWER-6 months ***Reason for try-in for an immediate denture is to check the? - ANSWER-OVD ***Pic of pt with very lg diastema - what to do? - ANSWER-Leave it alone ***RL next to PM - what to do next? - ANSWER-REFER to OS PAN of RL at ramus - what to do next? - ANSWER-retake for diagnostic reasons or refer to OS? idk Broken coronal portion of a canine - what to do? - ANSWER-Conservative endo and prep post & core ***Acid etching does NOT create a chemical bond. t or f? - ANSWER-TRUE ***Xray with remnants of primary teeth roots reamining - ANSWER-cool man Multiple Odontoma questions - ANSWER-read about it dude ***After cleaning and there is still BOP - ANSWER-RETAINED SUB-G PLAQUE ***Swollen lesion on tongue, what do you do next - ? - ANSWER-Palpate lesion and see if it's firm ***Pic of lip with something on corner of it - dx? - ANSWER-It was either SCC or syphilis (other choices - angular chelitis or herpes labialis) ***Bone loss on #4 was a - ANSWER-crater defect - memorize this, it was in the part II case selection questions focusing on the perio chart ***Worst vert bone loss - - ANSWER-distal of #13 ***GTR best for what class of furcations - ANSWER-CLASS 2 (I had 2 class 2 furcations to choose from, i picked the one that had lesser pocket depths - it asked 'most ideal') ***Reduction of PDs after SRP but still had mobility in ant mand teeth - what to do? - ANSWER-either GTR or periodic eval (Trevor put periodic eval...) 2 questions for SLOB rule - ANSWER-radiography hello pt has candida - give WHAT - ANSWER-FLUCONAZOLE Identify the pic which has PLEOMORPHIC ADENOMA - ANSWER-probably in parotid Asymptomatic crowned lateral with PARL - tx? - ANSWER-RCT Mand Inc with lg pulp chamber and PARL - what is large pulp chamber from? - ANSWER-TRAUMA immediately post-eruption 2 months after RCT tooth still had RL? - ANSWER-MONITOR 2y and still had RL post-RCT? - ANSWER-RE-TREAT #14 with RCT and pt is symptomatic with RL at on of the canals. How do you treat? - ANSWER-RETREAT ALL CANALS #27 had RCT and bridge from #27 to 25. What is the RL? - ANSWER-nothing to do with #25, not a failed RCT on 27, re-evaluate in 3mos or chronic cyst in between 24-27 pregnant person afraid of needles? - ANSWER-place her in Trendelburg position (LOL) 6mos pregnant and had bleeding gums w mobile teeth - tx? - ANSWER-Conservative debridement pregnant lady with diastema #8 & 9. Deep probing depth and class 1 mobility on 8 & 9. Reason for diast? - ANSWER-Chronic perio DPC is better in (young/old) teeth? - ANSWER-YOUNG Bur for post should not be greater than _____ of diameter - ANSWER-1/3 Picture with lesion that was anterior to earlobe and it was swollen. Stated the stensons duct was also inflamed. What do you check first? - ANSWER-stimulate parotid to see if you get exudate tongue sticking out with normal mucosa? - ANSWER-previous laceration when whitening teeth - what do you do? - ANSWER-Wait for at least 5 days before you do restorative appliance for ortho - what is it doing? - ANSWER-TIPPING Permanent dentition with tetracycline stating - when did this happen? - ANSWER-Pt ingested ttclcn when they ere bw 0-5 uears p;d perio probe picture - - ANSWER-incorrect use picture of denture showing working side - ANSWER-lateral movements were GOOD you can increase working time of alginate by: - ANSWER-adding water that is colder than room temp picture that asked what was wrong with the teeth? - ANSWER-SEVERE CARIES Pt with lateral perio abscess - what is intiail tx? - ANSWER-Debridement? CI for sialogogue - - ANSWER-epilepsy?