SSTTUUDDYY, DSE Remembered Questions, DSE, ADEX Review, CDCA Questions and Answers 2023

SSTTUUDDYY, DSE Remembered Questions, DSE, ADEX Review, CDCA Questions and Answers 2023 The radiograph I thought was ghost teeth - Correct answer-Amelogenesis Imperfecta Purpose of dialysis - Correct answer-Remove potential toxicities from blood IL-1 - Correct answer-Inflammatory cytokine Cyclosporine - Correct answer-Immunosuppressant used in transplant patients. Causes gingival hyperplasia Periodontal disease and diabetes - Correct answer-Glucose level increased Cause for cement failure - Correct answer-Increased solubility Before trimming teeth on stone cast for immediate denture, you must - Correct answerMark a line 3 mm above the free gingival margin What analgesic can be safely given to someone w/kidney disease - Correct answerTylenol (acetaminophen) ONLY. NOT NSAIDS nor aspirin Patients on dialysis. Where do you take their blood pressure? - Correct answer-Not on the side where the shunt was placed for dialysis How do you prevent syncope - Correct answer-Trendelenburg position How do you treat syncope - Correct answer-Trendelenburg position. If breathing present, crush ammonia ampule under nose and admin oxygen. If no breathing, start BLS Best position of a finish line on a short clinical crown - Correct answer-Subgingival? Or At gingival margin? Child with fibrous dysplasia, what do you do next - Correct answer-Some lesions stabilize. Some lesions grow. Surgical removal when its an esthetic concern. For children, surgical intervention should be delayed for as long as possible The radiograph I thought was ghost teeth - Correct answer-Amelogenesis Imperfecta Purpose of dialysis - Correct answer-Remove potential toxicities from blood IL-1 - Correct answer-Inflammatory cytokine Cyclosporine - Correct answer-Immunosuppressant used in transplant patients. Causes gingival hyperplasia Periodontal disease and diabetes - Correct answer-Glucose level increased Cause for cement failure - Correct answer-Increased solubility Before trimming teeth on stone cast for immediate denture, you must - Correct answerMark a line 3 mm above the free gingival margin What analgesic can be safely given to someone w/kidney disease - Correct answerTylenol (acetaminophen) ONLY. NOT NSAIDS nor aspirin Patients on dialysis. Where do you take their blood pressure? - Correct answer-Not on the side where the shunt was placed for dialysis How do you prevent syncope - Correct answer-Trendelenburg position How do you treat syncope - Correct answer-Trendelenburg position. If breathing present, crush ammonia ampule under nose and admin oxygen. If no breathing, start BLS Best position of a finish line on a short clinical crown - Correct answer-Subgingival? Or At gingival margin? Child with fibrous dysplasia, what do you do next - Correct answer-Some lesions stabilize. Some lesions grow. Surgical removal when its an esthetic concern. For children, surgical intervention should be delayed for as long as possible Contraindication for patient w/hyperthyroid - Correct answer-Epinephrine Facial reduction for PFM crown - Correct answer-1.5 mm Can transillumination be used to identify cracks? - Correct answer-yes Can pocket depth be determined from xray? - Correct answer-No Patient with tenderness anterior to earlobe - Correct answer-Inflammation of Stensons duct A patient has diabetes. He forgot to take insulin but ate a good breakfast. If you gave him sugar, what would happen - Correct answer-Patient would get worse After sc/rp, patient notices more spaces between teeth. Why? - Correct answerDecreased swelling of gingival x-ray with herring bone effect. Whats wrong? - Correct answer-Film placed backwards (I had the static electricity example) What film requires least amount of radiation - Correct answer-E speed How much epi can you give a patient with BP 160/110 - Correct answer-None! Don't give tx. Refer to physician Type of pontic to replace a premolar - Correct answer-Modified ridge lap pontic (I had the "primarily esthetic requirement") Patient with history of slow growing mandible for 10 years - Correct answerHyperpituitarism Patient w/history of weight gain, deepening voice, dry skin - Correct answerHypothyroidism Exopthalmos - Correct answer-Hyperthyroidism Treatment of addisons - Correct answer-Corticosteroid replacement therapy Recurrent ulcers that heal with scarring - Correct answer-Major apthous ulcers Treatment of major apthae - Correct answer-Corticosteroids Supernumerary teeth - Correct answer-Gardners (clavicles present) or cleidocranial dysplasia Tx of mucocele - Correct answer-Surgical removal Patient with terrible perio, when should immediate denture be constructed - Correct answer-After perio intervention Why porcelain teeth should never appose natural dentition - Correct answer-Attrition Best teeth to oppose natural dentition - Correct answer-Acrylic Clinical picture of 14 y.o. with inflamed gingival - Correct answer-Leukemia Best way to communicate outcome with lab tech - Correct answer-Diagnostic wax up Ideal amount of undercut required for circumferential clasp - Correct answer-.01 inch Reason for gingivitis during pregnancy - Correct answer-Pregnancy exaggerates gingival response to plaque. Due to increase in estrogen and progesterone Treatment of extra oral abscess which is non-odontogenic in origin. - Correct answerHot compress Tx of ranula - Correct answer-Surgical removal Patient with no hair, no teeth - Correct answer-Ectodermal dysplasia Biopsy shows hyperkeratosis, dysplasia, no invasion - Correct answer-Precancer hyperkeratosis ??? Tx for geographic tongue - Correct answer-None Patient has a short crown. Which cement is best? - Correct answer-Resin cement When do you not use a thyroid collar - Correct answer-When taking a panorex How often is autoclave checked - Correct answer-Once a week 121 - Correct answer-degrees at 15-20 psi for 20 min Check for b. Stearothermophillus Reason sealants fail - Correct answer-Contamination Tx of candidiasis - Correct answer-Nyastatin Tx of lichen planus - Correct answer-corticosteroids If patient becomes unconscious, what do you check first - Correct answer-Breathing CPR—placement of palm and fingers - Correct answer-Palm on lower sternum, fingers on xiphoid process Are teeth vital in ameloblastomas? - Correct answer-yes Sickle cell anemia - Correct answer-Increase fatigue, increase in bone marrow space. Decreased trabeculation The following reduce radiation dose - Correct answer-Rectangular collimation, E speed, higher kV or constant beam, lead apron, quality assurance program Static before processing can result in - Correct answer-Dark spot or lines on x ray Identify thrombocytopenia - Correct answer-(lab values with low platelets was not ANEMIA) Identify mucus retention cyst - Correct answer-Radioopaque Normal blood values - Correct answer-Platelets: 150,000-400,000 RBC: 4.6 -6.2 million - Correct answerHg: 13 mg - Correct answerWBC: 9,700 - Correct answerPicture of max central and lateral. Why might bridge fracture? - Correct answer-Bending of bridge Amalgam needs to be replaced. Whats ideal restoration - Correct answer-Onlay (I put Crown) Treatment of mesiodens - Correct answer-Surgical removal and ortho consult Why might a patient be taking lovastatin an vasotec? - Correct answer-Lovastatin is cholesterol lowering Vasotec is antihypertensive - Correct answerPatient faints and is unconscious in chair. What do you do? - Correct answer-Ensure open airway What radiograph to visualize sinus - Correct answer-Waters view Purpose of try in for immediate dentures - Correct answer-Verify occlusal relationship. Esthetics, When is reline of immediate denture performed by laboratory - Correct answer-6 months and 10 months When is alternate cast technique done - Correct answer-After processing denture Advantage of immediate denture - Correct answer-esthetics Should treatment be delayed in uncontrolled diabetic - Correct answer-Of course! Identify retentive and bracing arm - Correct answerWhat causes loss of lamina dura - Correct answer-Hyperpituitarism, hyperparathyroidism, osteomalacia, pagets, fibrous dysplasia Hyperemia of tooth - Correct answer-Reddish dentin. Tooth appears dark Test for heparin vs warfarin - Correct answer-Heparin: PTT Warfarin: PT and INR - Correct answerWhat antibiotic can cause red spots on the arm - Correct answer-Penicillin Repeatedly adjusting clasps on RPD will cause clasp breakage due to - Correct answerIncreased metal fatigue OR increased modulus of elasticity Syncope vs anaphlylaxis - Correct answer-Syncope: loss of consciousness due to decreased oxygen flow Anaphylaxis: allergic reaction causing closure of airways - Correct answerThe lab tech surveys which cast - Correct answer-Master cast Distobuccal cusp of mand molar occludes with - Correct answer-Central fossa Correction of recession on canine - Correct answer-Lateral reposition flap/sliding flap Patient on long term tetracycline therapy. Returns complaining of burning tongue. Smear results are yeast and fungi. Whats treatment - Correct answer-Clotrimazole Identify anemia based on lab values - Correct answer-Hb less than 12.5 Symptoms of hyperpituitarism - Correct answer-Excess hormones (gigantism, acromegaly, etc) Symptoms of MI - Correct answer-Burning chest, numb arm, pain in jaw (NOT pounding heart) Treatment of bells palsy - Correct answer-Histamine and vasodilators may shorten duration. As well as systemic corticosteroids and hyperbaric oxygen therapy. Surgical decompression. Topical ocular antibiotics and artificial tears to prevent corneal ulceration. Recovery in 6 months usually Pregnant women is allergic to penicillin. What do you premedicate her with? - Correct answer-Erythromycin HIV patient with purple red lesion on ventral tongue - Correct answer-Kaposi Treatment of dry socket - Correct answer-Eugenol impregnanted pellet. Do NOT curette Tx of oroantral fistula - Correct answer-Buccal slide flap Which is not an etchant or conditioner - Correct answer-BIS GMA is NOT (yes to citric, maleic, phosphoric acid_ Stopped at page 14 of journal document - Correct answerhudental2008@eth08 Fusion vs germination - Correct answer-Fusion: two buds. Germination- one root Expired or aged film will appear - Correct answer-To light Histo of fibroma - Correct answer-Nodular mass of CT covered by squamous epi Full lower denture with over extended distobuccal flange causing denture to dislodge. What muscle is impinged? - Correct answer-Masseter Coumadin test - Correct answer-PT Tx of dentigerous cyst - Correct answer-Surgical removal of cyst and tooth Sialolith is visible on xray. What duct is this? - Correct answer-wartons You are having difficulty selecting shade for PFM. You should - Correct answerDecrease gray and decrease hue What are usual complications after insertion - Correct answer-Working or non-working interference If you notice occlusial interference after insertion, when should you make adjustments? - Correct answer-At insertion Best teeth to appose natural dentition - Correct answer-Acrylic Patient had slow growing jaw for 10 years - Correct answer-Hyperpituitarism 2nd molar below plane of occlusion - Correct answer-Ankylosis Outcome of direct pulp cap would be better in young or old teeth? - Correct answerYoung teeth After SC/RP, - Correct answer-Long junctional epi is formed Purpose of palatal expander - Correct answer-Corrects crossbite What is NOT an acceptable surface disinfectant? - Correct answer-Alcohol based (phenol, chlorine, and iodine is acceptable) Ideal amount of undercut for circumferential clasp - Correct answer-.010 What is effect of hydrocholorithiazide on - Correct answera) - Correct answer-periodontium b) - Correct answer-complete denture a) no effect on periodontium b) - Correct answer-decreased retention of complete denture bc of decreased salivation Composite to close diastema - Correct answer-hybrid Clinical picture of gutta percha introduced to sinus tract. It does not go to apex - Correct answer-Therefore it's a perio abscess Patient with tenderness anterior to earlobe. I/O exam reveals inflamm of stensons duct. What do you do - Correct answer-Stimulate paratid gland checking for exudate Clinical picture of PM with enamel hyperplasia. What could this be caused by - Correct answer-Trauma or infection of primary tooth Most stable impression material - Correct answer-PVS Most accurate impression material - Correct answer-Polyether then PVS Disadvantage of irreversible hydrocolloid - Correct answer-dehydration Tooth to receive PFM crown is sensitive to cold. What is cement of choice - Correct answer-Glass ionomer //polycarboxylate Size of post should not exceed - Correct answer-1/3 diameter of canal What type of fluoride should NOT be used by patient wearing PFM crowns - Correct answer-Acidulated phosphate fluoride xray of patient with RCT on both centrals. Left central looks incompletely filled. Look closer for the vertical fracture - Correct answerLab report of hyperkeratosis, dysplasia, no invasion - Correct answer-Precancer hyperkeratosis Panorex—gasting rings - Correct answer-?? You are going to restore crown and down. The crown is 11 mm. how long will the down be? - Correct answer-Not less than length of crown 11 mm Disadvantage of PFM over all ceramic - Correct answer-Esthetics Disadvantage of all ceramic over PFM - Correct answer-Tooth reduction Post op sensitivity due after crown placement - Correct answer-Leakage of microorganisms?/ Most injurious cement to pulp - Correct answer-Zinc phosphate ( I put GI for the C2 restoration) Reason for cement failure - Correct answer-Solubility Which cement does not form chemical bone with tooth - Correct answer-Zinc phosphate What cement should you use with a short crown - Correct answer-Resin cement Tx of lichen planus - Correct answer-corticosteroids X ray of 3 lower splinted teeth. Whats purpose - Correct answer-For perio stabilization for more comfort for patient You diagnose patient with bells palsy. What do you do next - Correct answer-Refer to neurologist Tx of medial palatal cyst - Correct answer-Surgical removal Rx of heart shape RL between 8 and 9. both teeth are vital - Correct answer-Incisive canal cyst Know SLOB when asked to identify canal - Correct answer-Mesiolingual canal (on repeats) What is inside ranula? - Correct answer-Mucous fluid Identify midline mandibular fracture - Correct answer-Notice step between 24 and 25 Rinn system - Correct answer-a film-positioning device with aiming capability made from a combination of plastic and stainless steel that is especially suited to the paralleling technique. Will acid etch allow for chemical bonding - Correct answer-No Do calcium channel blockers cause gingival enlargement - Correct answer-Yes