2015 Flashcards
1
Q
Lennox-Gastaut syndrome (LGS)
a) Epilepsy
b) Angeltectasis
c) Supraventricular tachycardia
A
a) Epilepsy
complex, rare, and severe type of epilepsy
2
Q
Antibiotics for 13yo after re-implant
A
doxycycline not tetracycline?
3
Q
Function of NaF soaking before reimplant
A
inhibit osteoclasts
Decrease chance of ankylosis (replacement resorption)
4
Q
Best type of mouth guard
a) Type 1
b) Type 2
c) Type 3
A
a) type 1 is custom
5
Q
Elevated urine in hypophosphatasia
A
phosphoethanolamine
6
Q
Effects in blood for anorexia
A
low blood pressure
7
Q
amt of time after bleaching for restoration
A
2wks
8
Q
amt of time before pulp testing
A
1 week
9
Q
Amt of time before re-implant w best prognosis–15min? 30min?
A
15 min
10
Q
For best success with reimplantation, out of socket time should be no more
than what for best outcome?
A
15 min
11
Q
max lateral mineralizatio
A
10-12 months
12
Q
Cells found in normal non-inflamed pulp tissue:
a. Neutrophils
b. B-lymphocytes
c. T-lymphocytes
d. Macrophages
A
a. Neutrophils
13
Q
what in saliva assists in remineralization
A
alkaline proteins?
14
Q
pacifier use–
A
SIDs
15
Q
increased PTT
A
Hemophilia
16
Q
ortho line separating cranium from face–
A
sella to nasion
17
Q
FHP points
A
porion to orbitale
18
Q
presentation of febrile seizure:
A
gen tonic-clonic
19
Q
ortho line separating cranium from face
A
sella to nasion
20
Q
FHP points
A
porion to orbitale
21
Q
Class III has
A
negative ANB
22
Q
1st line analgesic for min-mod pain post restorative in a 5 yo
A
NSAIDs? tylenol?
23
Q
presentation of febrile seizure
A
gen tonic-clonic
24
Q
age of calcification begins for primary teeth-
A
14-18 wks
25
primary tooth most space loss before 1st perm molar erupts
Maxillary 2nd primary molar
26
collagen synthesis issue
epidermous bullosa
27
Mandibular fracture at 5yo that would most affect growth in adolescent spurt
condyle
28
caries causing bacteria other than MS--
s. sobrinus, lactobacilli
29
more filler causes what
more strength, hardness, less shrinkage, less wear, less fracture
30
MOA of CHX
disrupts membranes
31
GIC contributes to remineralization how
-
32
time of onset for LA affected by
pKa
33
ppl can understand them but have issues w l/z/ch/th
4yo
34
VPI has issues w word
car
35
canine relationship best predictor
of diastema
36
what is active surveillance
close monitoring and prevention
37
passive immobilization
- use of of device
| - active is by a person
38
caries causing bacteria other than MS
s. sobrinus, lactobacilli
39
critical instrument
scaler
40
4 wk splinting for root fracture, what type of healing is expected at 1 yr?
Hard-tissue
41
class 2 prep difference from perm
no need to bevel due to enamel rods slope
| up
42
Decrease radiation exposure w/
rectangular collimation
43
diff btw total etch and self etch
total is more acidic, better etching
44
formocresol
bactericidal and stops bleeding
45
Mode of action of CHX
disrupts membranes
46
incidence
new cases( chance of getting it)
47
sensitivity
true positive: positives correctly identified as positives
48
Fluoride supplementation for 2yo w <0.3ppm in water
0.25
49
max amt Fluoride supplement to r
120mg
50
Fluoride supplementation for 2yo w <0.3ppm in water
0.25
51
no spacing in primary dentition what % will have crowding
66%
52
don't give Ml paste to allergy to milk proteins
doesn't matter for lactose
| intolerant!
53
product in enamel/subenamel lesions as a result of application of varnish
fluoroapatite
54
randomization of participants
cohort
55
skeletal growth timing
width changes the least amt, A/P depth changes the most/longest
56
acyanotic heart defect
ASD, VSD, AVSD, Stenosis, Coarctation
57
Critical instrument
Periodontal scaler
58
SE of steam autoclave
corrosion, dulling
59
class 2 prep difference from permanent
no need to bevel due to enamel rods slope
| up
60
difference in morphology primary vs. perm teeth
primary constricted occlusal table and
| cervical, inc M/D width
61
diff btw total etch and self etch
total is more acidic, better etching
62
formocresol
bactericidal and stops bleeding
63
dolichofacial: clockwise rotation MN. Brachiofacial: counterclockwise
-
64
type II statistical error
- acceptance of a false null hypothesis.
| - type I is a rejected TRUE null hypothesis
65
incidence
new cases (chance of getting it)
66
sensitivity
positives correctly identified as positives
67
least indicative of caries risk?
a. bmi
b. plaque
c. snacks
bmi
68
high caries risk associated w/
enamel defects
(other choices were mod risk--SHCN,
recent immigrant, plaque)
69
nasal DDAVP
to raise factor 8
70
radiograph interval for 10 yo with no caries:
12-24 months
71
don't give Ml paste to allergy to milk proteins
doesn't matter for lactose
| intolerant!
72
product in enamel/sub enamel lesions as result of application of varnish
fluoroapatite
73
randomization of participants
cohort
74
metabolic syndrome associated with
Hyperthyroidism?
75
most common impacted tooth after 3rd molars
MX canines
76
% of supernumerary that erupt
25%
77
% ectopic molars that correct spontaneously
66%
78
sleep apnea causes what
behavioral disorders
79
reversal for meperidine (opioid)
Naloxone 0.1 mg/kg***
80
most common ankylosed tooth
Mandibular 1st primary molar
81
sedation med w/ analgesia
meperidine (opioid)
82
best predictor of future caries is
past caries
83
hep B vaccine given at birth
-
84
dose for ibuprofen
4-10 mg/kg every 6-8 hrs as needed
85
sign of vaso-occlusive crisis
pain
86
deepest layer of dens invaginatus
pulp?
87
herpangina is caused by
coxsackie
88
bacteria in LAP
A.A.
89
smokeless tobacc
inc root caries in teenagers
90
least indicative of caries risk?
a. bmi
b. plaque
c. snacks
a. bmi
91
effect of oral burn
microstomia
92
suturing face to oral laceration
skin first? muscle?
93
type of suture causes most immune response
silk
94
tx for periodontitis
tetracycline/penicillin/amox + *metronidazole
95
apert syndrome has
class 3 occlusion w anterior open bite
96
fluoride gel tray, how long?
Book says 1-4 min, I put 2min, 4min?
97
primary host defense mech for perio
neutrophils*
98
most common impacted tooth after 3rd molars
Maxillary canines
99
primary tooth indication for nonvital pulp therapy
percussion sensitive
100
increase retention of class 3 restorations on primary teeth
place dovetail
101
how does resin infiltration work?
Capillary action
102
after 3-5 min what does N2O do
dissolve in serum
103
disinfection of alginate
iodophors
104
Breast milk
NPO 4 hrs before sedation
105
xylocaine compared to lidocaine
better bone penetration
106
mitochondrial disorders
high risk of malignant hyperthermia
107
best allergy test for latex?
assay
108
crepitus of TMJ
osteoarthritis
109
thickness of mouthguards
3-4mm
110
Cells found in immature dental pulp
Mesenchymal stem cells
111
Impression materials can be disinfected in less than 10 minutes with:
a) Hypochlorite
b) Glutalderhyde
a) Hypochlorite
112
Smokeless tobacco use in teens causes:
a. Root caries
b. incisal erosion
c. enamel hypoplasia
a. inc root caries in teenagers
113
congenital epulis
-
114
timing of appliance placement after oral burn
10-14 days
115
Neutropenia and oral mucositis are oral symptoms of what bacteria?
a. H. Influenzae
b. Pseudomonas
c. Staph aureus
d. Strep viridans
d. Strep viridans
116
3,4 - methylenedioxyamphetamine causes:
a. hypotension
b. bradycardia
c. constricted pupils
d. hyperthermia
d. hyperthermia
117
C. difficile caused by?
Clindamycin
118
ALL causes gingivitis
-
119
Neuroblastoma most common in first yr of life
-
120
aperts syndrome has
class 3 occlusion w/ anterior open bite
121
Age child can walk alone:
a. 10 mo
b. 14 mo
c. 19 mo
b. 14 mo
122
primary host defense mech for periodontitis
neutrophils
123
commonly seen in teeth traumatized w open apex
pulp canal obliteration
124
primary tooth indication for nonvital pulp therapy
percussion sensitive
125
vegetarians have lower B12
-
126
increase retention of class 3 restorations on primary teeth
place dovetail
127
how does resin infiltration work
Capillary action
128
Serial extractions start with
primary mand canine
129
disinfection of alginate
iodophors
130
Breast milk NPO?
NPO 4 hrs before sedation
131
xylocaine compared to lidocaine
better bone penetration
132
wheezing lower airway blockage on
expiration
133
bacteria associated with mucositis and neutropenia?
Strep viridans
134
Incidence
number of new cases in a population
135
% with generalized spacing?
2/3 (Baume type 1)
136
Crepitus in TMJ associated with
osteoarthritis
137
TSD is a main stay
-
138
Acute asthma attack?
give albuterol
139
Latex allergy most reliable test?
skin test.. assay?
140
No spacing in primary dentition, what % of lower incisor crowding??
66%
| was NOT a choice? 50%, 75%, 100%
141
Acyanotic heart defect?
ASD, TOF, transposition of arteries
142
Mass of maxillary anterior area in infancy?
Congenital epulis
143
Ellis von Crevold also has?
Ectodermal dysplasia
144
Nasal DDAVP can treat?
Hemophilia
145
Medication for ADHD?
Methylphenidate
146
Fragile X syndrome?
Developmental delay
147
Calcification for primary teeth start what time in utero?
14-19wks
148
Sucking habit for how long/ day causes changes?
a. 1-3hrs
b. 4-6hrs
c. 7-9hrs
b. 4-6hrs
149
Negative ANB indicates?
Class III
150
Cranial base and separates face and cranium?
F-H, S-N, B-N??
151
VPI difficulty saying what word?
a. button
b. car
c. lamb
d. mouse
b. car
152
Children with localized aggressive perio may have hx with what?
a. Otitis media
b. pharyngitis
c. candidiasis
d. herpes labialis
-
153
Chronic OSA associated with?
a. behavioral problems
b. sinus infections
a. behavioral problems
154
Treacher Collins
A.D.
155
Chondrectodermal dysplasia associated with?
Ectodermal dysplasia
156
Breast fed children have decreased what for first 4 mo?
Respiratory infections
157
Oral commissure injury can cause microstomia
appliance delivered after 10-
| 14 days
158
Success of crown fracture associated with?
concomitant luxation injury
159
Immature teeth luxation injuries associated with?
Pulp Canal Obliteration
160
Pedo partial can be given for what reason?
a. esthetics
b. speech
c. function
a. esthetics
161
Crown-root fracture after 1 year with splint for 4 mos ... expect what type of
healing?
a. hard-tissue
b. connective tissue
a. hard-tissue
162
Small carious exposure on primary tooth
do pulpotomy
163
Xylitol, CHX, fluoride mech, CPP ACP
-
164
Stimulus response?
-
165
Incidence
number of new cases in a population
166
Morbidity/mortality with moderate sedation from?
a. Larygospasm
b. LA overdose
c. opioid overdose
d. vomiting
a. Larygospasm
167
Contraindication with Sickle Cell Anemia?
a. acetaminophen
b. aspirin
c. N2O
d. LA with vasoconstrictor
b. aspirin
168
Latex allergy most reliable test?
skin test ? assay?
169
No spacing in primary dentition, what % of lower incisor crowding??
66%
| was NOT a choice? 50%, 75%, 100%
170
What works with platelets to form initial platelet aggregation?
a) tissue factor
b) coagulation factor
c) fibrin
d) plasminogen (?)
-
171
Medication for ADHD?
Methylphenidate
172
NNSH most important
age of cessation (duration)
173
Oral commissure injury can cause microstomia
appliance delivered after 10-14 days
174
Cleft lip is failure of what fusion?
Maxillary & medial nasal prominences
| careful b/c prominence, NOT frontonasal & maxillary processes
175
Pedo partial can be given for what reason?
Esthetics , (not function, speech)
176
Crown-root fracture after 1 year with split for 4 mo ... expect what type of
healing?
Hard-tissue*, connective tissue
177
MTA in pulpotomy teeth vs other medicaments?
See early exfoliation, PCO, hard tissue bridging*
178
Yellow color change to trauma tooth, do what?
Observe
179
Reduce radiation by?
D-speed, rectangular collimator*, low kvp, short cone
180
Most effective dose radiation from?
BW, pan, lateral ceph, CBCT*
181
GI helps remin by?
Release of Ca+(?)
182
Total etch vs self-etch?
Total is M\more acidic and better enamel etching
183
Primary vs permanent differences?
Primary wider M-D vs occlusal cervical?
184
What dictates external form of class 2 prep?
Larger pulp, thinner enamel, buccal bulge
185
Higher filler % does what to composite?
Increase fracture hardness
186
Composite in primary teeth fail due to?
recurrent caries*, wear
187
Diode laser vs electrosurgery for frenectomy ?
Lack of heat
188
Radiographs for 10 yr old recall with no visible surfaces and low caries?
12-24mos
189
Passive immobilization?
Papoose board*, hand guarding, head holding
190
What behavior technique continues to be used?
Tell-show-do
191
Articaine advantage in children?
Lower paresthesia, more diffuse in bone*
192
Sound of lower airway obstruction/ (infection ?)
Wheezing*, stridor, crackling
193
Light curing does what (mechanism)
initiates polymerization?
194
Reason for failure of sealants?
Isolation
195
What to use for IRT?
GI
196
What placed for added retention on primary teeth?
Dovetail
197
Sign of non-vital pulp therapy?
Percussion ( + )*, intrapulpal calcification,
| external root resorption
198
Resin infiltration works by what action?
Capillary
199
Most common tumor in age 1?
Neuroblastoma
200
Oral sign of ALL?
Linear gingival erythema, mucosal petechiae, mobility of teeth
201
Herpangina caused by?
Coxsackie
202
Koplik's spots associated with?
Rubeola*, rubella
203
Interferes with bacterial protein synthesis?
Cephalosporin, macrolides,
| sulfonamides
204
Age on onset of HSV - 1 infection?
2-4 yrs
205
Interferes with bacterial protein synthesis?
Cephalosporin, macrolides*, sulfonamides
206
Age on onset of HSV-1 infection?
2-4 yrs
207
Most reliable reporter of patient's pain?
Mom*, patient, peer, sibling
208
Sugared drink is what % of daily diet for children?
30%? 40%???
209
Febrile NUG patient?
Metronidozole
210
Know true+, true -
true positivite = sensitivity
211
Most common drug given for mild to moderate pain?
NSAID (Acetaminophen?)
212
Which sedative drug has analgesic properties, too?
Mepiridine
213
Nitrous within 3-5 min?
Diffusion in serum ·
214
Component of saliva that helps in remin?
Basic alkaline proteins, carbonic
| anhydrase, igA, glycoprotein something??
215
Dose of Naloxone and know that naloxone is for opioids
for meperidine 0.1mg/kg
216
High risk factor?
Enamel.white spot (all others moderate)
217
Active surveillance
caries monitoring & prevention
218
Component of saliva that helps in remin?
Basic alkaline proteins, carbonic anhydrase, igA, glycoprotein something??
219
What is not correlated with increased caries?
Increase carbs, increase carbonated soda, obesity*
220
High risk factor?
Enamel white spot (all others moderate)
221
Odontogenic infection associated with gram + cocci
(groups A, B, G? - all
| choices gram +)
222
Kawasaki disease has?
```
Oropharynx erythema (something like that?),
strawberry tongue w~s not an answer
```
223
What does baby get before leaving hospital?
Hep B
224
What is >85% but <95%?
Overweight
225
Suture from laceratrion on face, start .. ?
Muscle
226
Kawasaki disease has?
Oropharynx erythema.
| strawberry tongue was not an option
227
Logical reasoning at what stage?
Concrete
228
Anaphylaxis associated with?
Mast cells and basophils
229
Suture from laceration on face, start .. ?
Muscle?
230
Fluorosis occurs at what stage?
Calcification
231
What is caused by Hertwig's epithelial root sheath to invaginate to proper
horizontal position?
Taurondontism*, dens evaginatus, talon cusp
232
Dens in dente can have what material lined by?
Enamel
233
Premature exfoliation caused by?
Acrodynia
234
Pacifier use?
Decrease otitis media, deceases SIDS*
235
Whatcan have randomization?
Case cohort, case studies, cross-sectional
236
What can have randomization?
Case cohort, case studies, cross-sectional
237
Low protein diet for?
PKU
238
Metabolic syndrome correlated with?
Diabetes Type II
239
What can have randomization?
Case cohort*, case studies, cross-sectional
240
Anaphylaxis is what type of reaction?
Acute Type 1
241
What is most like N2O?
Hydroxyzine (anti-hystamine)
242
Mitochondrial disorder can be correlated with
malignant hyperthermia
243
What suture has the highest risk for infection?
silk
244
Complication of obese kids with GA?
Aspiration during intubation*,
| mainstem bronchus intubation, post-op laryngeal edema
245
Max fluoride Rx
120 mg
246
ADHD med
methylphenidate
247
Strict vegetarian, you are missing out on?
Vit B12
248
NPO guidelines for breastmilk?
4hrs
249
What bacteria is also associated with caries (not MS)?
S. sobrinus
250
Where could you place an implant in a 10 yr old child?
Mandibular anterior
251
What condition could you place an implant in a child?
Ectodermal dysplasia
252
Radiation to H & N can cause spontaneous what with no known dose levels?
Genetic modification
253
What % of injuries in child abuse can dentist identify?
50%
254
Premature loss of mand 2nd primary molar causes what to perm 1st?
Mesial lingual tipping
255
What primary tooth has worst space loss?
Max 2nd
256
Aggressive perio) with not as much bone loss expected due to presence of?
IgG
257
What changes the least in adolescence?
Intermolar width*, intercanine width
258
Fear of separation peaks at?
13-18 mo
259
Aggressive perio with not as much bone loss expected due to presence of?
IgG
260
Onset of LA determined by?
pKa
261
Waterlines in dental units per infection control guidelines need?
500 CFU/ml
262
How long after bleaching should you wait to place a composite?
24 hr, 72 hrs,
| 1 week, 1 month
263
Time to wait after pulp therapy that you could get false negative pulp response?
1 mo, 2 mo, 3 mo
264
Tetracycline does what?
Decreases osteoclastic activity
265
How long after bleaching should you wait to place a composite?
24 hr, 72 hrs, 1 week, 1 month
| previous answer 2wks?
266
Some question about how to tell if active TB infection?
Bacilli+ test(?), lungs only symptom...
