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

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2
Q

Antibiotics for 13yo after re-implant

A

doxycycline not tetracycline?

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3
Q

Function of NaF soaking before reimplant

A

inhibit osteoclasts

Decrease chance of ankylosis (replacement resorption)

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4
Q

Best type of mouth guard

a) Type 1
b) Type 2
c) Type 3

A

a) type 1 is custom

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5
Q

Elevated urine in hypophosphatasia

A

phosphoethanolamine

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6
Q

Effects in blood for anorexia

A

low blood pressure

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7
Q

amt of time after bleaching for restoration

A

2wks

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8
Q

amt of time before pulp testing

A

1 week

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9
Q

Amt of time before re-implant w best prognosis–15min? 30min?

A

15 min

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10
Q

For best success with reimplantation, out of socket time should be no more
than what for best outcome?

A

15 min

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11
Q

max lateral mineralizatio

A

10-12 months

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12
Q

Cells found in normal non-inflamed pulp tissue:

a. Neutrophils
b. B-lymphocytes
c. T-lymphocytes
d. Macrophages

A

a. Neutrophils

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13
Q

what in saliva assists in remineralization

A

alkaline proteins?

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14
Q

pacifier use–

A

SIDs

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15
Q

increased PTT

A

Hemophilia

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16
Q

ortho line separating cranium from face–

A

sella to nasion

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17
Q

FHP points

A

porion to orbitale

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18
Q

presentation of febrile seizure:

A

gen tonic-clonic

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19
Q

ortho line separating cranium from face

A

sella to nasion

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20
Q

FHP points

A

porion to orbitale

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21
Q

Class III has

A

negative ANB

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22
Q

1st line analgesic for min-mod pain post restorative in a 5 yo

A

NSAIDs? tylenol?

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23
Q

presentation of febrile seizure

A

gen tonic-clonic

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24
Q

age of calcification begins for primary teeth-

A

14-18 wks

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25
Q

primary tooth most space loss before 1st perm molar erupts

A

Maxillary 2nd primary molar

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26
Q

collagen synthesis issue

A

epidermous bullosa

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27
Q

Mandibular fracture at 5yo that would most affect growth in adolescent spurt

A

condyle

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28
Q

caries causing bacteria other than MS–

A

s. sobrinus, lactobacilli

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29
Q

more filler causes what

A

more strength, hardness, less shrinkage, less wear, less fracture

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30
Q

MOA of CHX

A

disrupts membranes

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31
Q

GIC contributes to remineralization how

A

-

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32
Q

time of onset for LA affected by

A

pKa

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33
Q

ppl can understand them but have issues w l/z/ch/th

A

4yo

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34
Q

VPI has issues w word

A

car

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35
Q

canine relationship best predictor

A

of diastema

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36
Q

what is active surveillance

A

close monitoring and prevention

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37
Q

passive immobilization

A
  • use of of device

- active is by a person

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38
Q

caries causing bacteria other than MS

A

s. sobrinus, lactobacilli

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39
Q

critical instrument

A

scaler

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40
Q

4 wk splinting for root fracture, what type of healing is expected at 1 yr?

A

Hard-tissue

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41
Q

class 2 prep difference from perm

A

no need to bevel due to enamel rods slope

up

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42
Q

Decrease radiation exposure w/

A

rectangular collimation

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43
Q

diff btw total etch and self etch

A

total is more acidic, better etching

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44
Q

formocresol

A

bactericidal and stops bleeding

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45
Q

Mode of action of CHX

A

disrupts membranes

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46
Q

incidence

A

new cases( chance of getting it)

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47
Q

sensitivity

A

true positive: positives correctly identified as positives

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48
Q

Fluoride supplementation for 2yo w <0.3ppm in water

A

0.25

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49
Q

max amt Fluoride supplement to r

A

120mg

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50
Q

Fluoride supplementation for 2yo w <0.3ppm in water

A

0.25

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51
Q

no spacing in primary dentition what % will have crowding

A

66%

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52
Q

don’t give Ml paste to allergy to milk proteins

A

doesn’t matter for lactose

intolerant!

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53
Q

product in enamel/subenamel lesions as a result of application of varnish

A

fluoroapatite

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54
Q

randomization of participants

A

cohort

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55
Q

skeletal growth timing

A

width changes the least amt, A/P depth changes the most/longest

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56
Q

acyanotic heart defect

A

ASD, VSD, AVSD, Stenosis, Coarctation

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57
Q

Critical instrument

A

Periodontal scaler

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58
Q

SE of steam autoclave

A

corrosion, dulling

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59
Q

class 2 prep difference from permanent

A

no need to bevel due to enamel rods slope

up

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60
Q

difference in morphology primary vs. perm teeth

A

primary constricted occlusal table and

cervical, inc M/D width

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61
Q

diff btw total etch and self etch

A

total is more acidic, better etching

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62
Q

formocresol

A

bactericidal and stops bleeding

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63
Q

dolichofacial: clockwise rotation MN. Brachiofacial: counterclockwise

A

-

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64
Q

type II statistical error

A
  • acceptance of a false null hypothesis.

- type I is a rejected TRUE null hypothesis

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65
Q

incidence

A

new cases (chance of getting it)

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66
Q

sensitivity

A

positives correctly identified as positives

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67
Q

least indicative of caries risk?

a. bmi
b. plaque
c. snacks

A

bmi

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68
Q

high caries risk associated w/

A

enamel defects
(other choices were mod risk–SHCN,
recent immigrant, plaque)

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69
Q

nasal DDAVP

A

to raise factor 8

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70
Q

radiograph interval for 10 yo with no caries:

A

12-24 months

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71
Q

don’t give Ml paste to allergy to milk proteins

A

doesn’t matter for lactose

intolerant!

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72
Q

product in enamel/sub enamel lesions as result of application of varnish

A

fluoroapatite

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73
Q

randomization of participants

A

cohort

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74
Q

metabolic syndrome associated with

A

Hyperthyroidism?

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75
Q

most common impacted tooth after 3rd molars

A

MX canines

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76
Q

% of supernumerary that erupt

A

25%

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77
Q

% ectopic molars that correct spontaneously

A

66%

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78
Q

sleep apnea causes what

A

behavioral disorders

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79
Q

reversal for meperidine (opioid)

A

Naloxone 0.1 mg/kg***

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80
Q

most common ankylosed tooth

A

Mandibular 1st primary molar

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81
Q

sedation med w/ analgesia

A

meperidine (opioid)

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82
Q

best predictor of future caries is

A

past caries

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83
Q

hep B vaccine given at birth

A

-

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84
Q

dose for ibuprofen

A

4-10 mg/kg every 6-8 hrs as needed

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85
Q

sign of vaso-occlusive crisis

A

pain

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86
Q

deepest layer of dens invaginatus

A

pulp?

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87
Q

herpangina is caused by

A

coxsackie

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88
Q

bacteria in LAP

A

A.A.

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89
Q

smokeless tobacc

A

inc root caries in teenagers

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90
Q

least indicative of caries risk?

a. bmi
b. plaque
c. snacks

A

a. bmi

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91
Q

effect of oral burn

A

microstomia

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92
Q

suturing face to oral laceration

A

skin first? muscle?

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93
Q

type of suture causes most immune response

A

silk

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94
Q

tx for periodontitis

A

tetracycline/penicillin/amox + *metronidazole

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95
Q

apert syndrome has

A

class 3 occlusion w anterior open bite

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96
Q

fluoride gel tray, how long?

A

Book says 1-4 min, I put 2min, 4min?

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97
Q

primary host defense mech for perio

A

neutrophils*

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98
Q

most common impacted tooth after 3rd molars

A

Maxillary canines

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99
Q

primary tooth indication for nonvital pulp therapy

A

percussion sensitive

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100
Q

increase retention of class 3 restorations on primary teeth

A

place dovetail

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101
Q

how does resin infiltration work?

A

Capillary action

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102
Q

after 3-5 min what does N2O do

A

dissolve in serum

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103
Q

disinfection of alginate

A

iodophors

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104
Q

Breast milk

A

NPO 4 hrs before sedation

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105
Q

xylocaine compared to lidocaine

A

better bone penetration

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106
Q

mitochondrial disorders

A

high risk of malignant hyperthermia

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107
Q

best allergy test for latex?

A

assay

108
Q

crepitus of TMJ

A

osteoarthritis

109
Q

thickness of mouthguards

A

3-4mm

110
Q

Cells found in immature dental pulp

A

Mesenchymal stem cells

111
Q

Impression materials can be disinfected in less than 10 minutes with:

a) Hypochlorite
b) Glutalderhyde

A

a) Hypochlorite

112
Q

Smokeless tobacco use in teens causes:

a. Root caries
b. incisal erosion
c. enamel hypoplasia

A

a. inc root caries in teenagers

113
Q

congenital epulis

A

-

114
Q

timing of appliance placement after oral burn

A

10-14 days

115
Q

Neutropenia and oral mucositis are oral symptoms of what bacteria?

a. H. Influenzae
b. Pseudomonas
c. Staph aureus
d. Strep viridans

A

d. Strep viridans

116
Q

3,4 - methylenedioxyamphetamine causes:

a. hypotension
b. bradycardia
c. constricted pupils
d. hyperthermia

A

d. hyperthermia

117
Q

C. difficile caused by?

A

Clindamycin

118
Q

ALL causes gingivitis

A

-

119
Q

Neuroblastoma most common in first yr of life

A

-

120
Q

aperts syndrome has

A

class 3 occlusion w/ anterior open bite

121
Q

Age child can walk alone:

a. 10 mo
b. 14 mo
c. 19 mo

A

b. 14 mo

122
Q

primary host defense mech for periodontitis

A

neutrophils

123
Q

commonly seen in teeth traumatized w open apex

A

pulp canal obliteration

124
Q

primary tooth indication for nonvital pulp therapy

A

percussion sensitive

125
Q

vegetarians have lower B12

A

-

126
Q

increase retention of class 3 restorations on primary teeth

A

place dovetail

127
Q

how does resin infiltration work

A

Capillary action

128
Q

Serial extractions start with

A

primary mand canine

129
Q

disinfection of alginate

A

iodophors

130
Q

Breast milk NPO?

A

NPO 4 hrs before sedation

131
Q

xylocaine compared to lidocaine

A

better bone penetration

132
Q

wheezing lower airway blockage on

A

expiration

133
Q

bacteria associated with mucositis and neutropenia?

A

Strep viridans

134
Q

Incidence

A

number of new cases in a population

135
Q

% with generalized spacing?

A

2/3 (Baume type 1)

136
Q

Crepitus in TMJ associated with

A

osteoarthritis

137
Q

TSD is a main stay

A

-

138
Q

Acute asthma attack?

A

give albuterol

139
Q

Latex allergy most reliable test?

A

skin test.. assay?

140
Q

No spacing in primary dentition, what % of lower incisor crowding??

A

66%

was NOT a choice? 50%, 75%, 100%

141
Q

Acyanotic heart defect?

A

ASD, TOF, transposition of arteries

142
Q

Mass of maxillary anterior area in infancy?

A

Congenital epulis

143
Q

Ellis von Crevold also has?

A

Ectodermal dysplasia

144
Q

Nasal DDAVP can treat?

A

Hemophilia

145
Q

Medication for ADHD?

A

Methylphenidate

146
Q

Fragile X syndrome?

A

Developmental delay

147
Q

Calcification for primary teeth start what time in utero?

A

14-19wks

148
Q

Sucking habit for how long/ day causes changes?

a. 1-3hrs
b. 4-6hrs
c. 7-9hrs

A

b. 4-6hrs

149
Q

Negative ANB indicates?

A

Class III

150
Q

Cranial base and separates face and cranium?

A

F-H, S-N, B-N??

151
Q

VPI difficulty saying what word?

a. button
b. car
c. lamb
d. mouse

A

b. car

152
Q

Children with localized aggressive perio may have hx with what?

a. Otitis media
b. pharyngitis
c. candidiasis
d. herpes labialis

A

-

153
Q

Chronic OSA associated with?

a. behavioral problems
b. sinus infections

A

a. behavioral problems

154
Q

Treacher Collins

A

A.D.

155
Q

Chondrectodermal dysplasia associated with?

A

Ectodermal dysplasia

156
Q

Breast fed children have decreased what for first 4 mo?

A

Respiratory infections

157
Q

Oral commissure injury can cause microstomia

A

appliance delivered after 10-

14 days

158
Q

Success of crown fracture associated with?

A

concomitant luxation injury

159
Q

Immature teeth luxation injuries associated with?

A

Pulp Canal Obliteration

160
Q

Pedo partial can be given for what reason?

a. esthetics
b. speech
c. function

A

a. esthetics

161
Q

Crown-root fracture after 1 year with splint for 4 mos … expect what type of
healing?
a. hard-tissue
b. connective tissue

A

a. hard-tissue

162
Q

Small carious exposure on primary tooth

A

do pulpotomy

163
Q

Xylitol, CHX, fluoride mech, CPP ACP

A

-

164
Q

Stimulus response?

A

-

165
Q

Incidence

A

number of new cases in a population

166
Q

Morbidity/mortality with moderate sedation from?

a. Larygospasm
b. LA overdose
c. opioid overdose
d. vomiting

A

a. Larygospasm

167
Q

Contraindication with Sickle Cell Anemia?

a. acetaminophen
b. aspirin
c. N2O
d. LA with vasoconstrictor

A

b. aspirin

168
Q

Latex allergy most reliable test?

A

skin test ? assay?

169
Q

No spacing in primary dentition, what % of lower incisor crowding??

A

66%

was NOT a choice? 50%, 75%, 100%

170
Q

What works with platelets to form initial platelet aggregation?

a) tissue factor
b) coagulation factor
c) fibrin
d) plasminogen (?)

A

-

171
Q

Medication for ADHD?

A

Methylphenidate

172
Q

NNSH most important

A

age of cessation (duration)

173
Q

Oral commissure injury can cause microstomia

A

appliance delivered after 10-14 days

174
Q

Cleft lip is failure of what fusion?

A

Maxillary & medial nasal prominences

careful b/c prominence, NOT frontonasal & maxillary processes

175
Q

Pedo partial can be given for what reason?

A

Esthetics , (not function, speech)

176
Q

Crown-root fracture after 1 year with split for 4 mo … expect what type of
healing?

A

Hard-tissue*, connective tissue

177
Q

MTA in pulpotomy teeth vs other medicaments?

A

See early exfoliation, PCO, hard tissue bridging*

178
Q

Yellow color change to trauma tooth, do what?

A

Observe

179
Q

Reduce radiation by?

A

D-speed, rectangular collimator*, low kvp, short cone

180
Q

Most effective dose radiation from?

A

BW, pan, lateral ceph, CBCT*

181
Q

GI helps remin by?

A

Release of Ca+(?)

182
Q

Total etch vs self-etch?

A

Total is M\more acidic and better enamel etching

183
Q

Primary vs permanent differences?

A

Primary wider M-D vs occlusal cervical?

184
Q

What dictates external form of class 2 prep?

A

Larger pulp, thinner enamel, buccal bulge

185
Q

Higher filler % does what to composite?

A

Increase fracture hardness

186
Q

Composite in primary teeth fail due to?

A

recurrent caries*, wear

187
Q

Diode laser vs electrosurgery for frenectomy ?

A

Lack of heat

188
Q

Radiographs for 10 yr old recall with no visible surfaces and low caries?

A

12-24mos

189
Q

Passive immobilization?

A

Papoose board*, hand guarding, head holding

190
Q

What behavior technique continues to be used?

A

Tell-show-do

191
Q

Articaine advantage in children?

A

Lower paresthesia, more diffuse in bone*

192
Q

Sound of lower airway obstruction/ (infection ?)

A

Wheezing*, stridor, crackling

193
Q

Light curing does what (mechanism)

A

initiates polymerization?

194
Q

Reason for failure of sealants?

A

Isolation

195
Q

What to use for IRT?

A

GI

196
Q

What placed for added retention on primary teeth?

A

Dovetail

197
Q

Sign of non-vital pulp therapy?

A

Percussion ( + )*, intrapulpal calcification,

external root resorption

198
Q

Resin infiltration works by what action?

A

Capillary

199
Q

Most common tumor in age 1?

A

Neuroblastoma

200
Q

Oral sign of ALL?

A

Linear gingival erythema, mucosal petechiae, mobility of teeth

201
Q

Herpangina caused by?

A

Coxsackie

202
Q

Koplik’s spots associated with?

A

Rubeola*, rubella

203
Q

Interferes with bacterial protein synthesis?

A

Cephalosporin, macrolides,

sulfonamides

204
Q

Age on onset of HSV - 1 infection?

A

2-4 yrs

205
Q

Interferes with bacterial protein synthesis?

A

Cephalosporin, macrolides*, sulfonamides

206
Q

Age on onset of HSV-1 infection?

A

2-4 yrs

207
Q

Most reliable reporter of patient’s pain?

A

Mom*, patient, peer, sibling

208
Q

Sugared drink is what % of daily diet for children?

A

30%? 40%???

209
Q

Febrile NUG patient?

A

Metronidozole

210
Q

Know true+, true -

A

true positivite = sensitivity

211
Q

Most common drug given for mild to moderate pain?

A

NSAID (Acetaminophen?)

212
Q

Which sedative drug has analgesic properties, too?

A

Mepiridine

213
Q

Nitrous within 3-5 min?

A

Diffusion in serum ·

214
Q

Component of saliva that helps in remin?

A

Basic alkaline proteins, carbonic

anhydrase, igA, glycoprotein something??

215
Q

Dose of Naloxone and know that naloxone is for opioids

A

for meperidine 0.1mg/kg

216
Q

High risk factor?

A

Enamel.white spot (all others moderate)

217
Q

Active surveillance

A

caries monitoring & prevention

218
Q

Component of saliva that helps in remin?

A

Basic alkaline proteins, carbonic anhydrase, igA, glycoprotein something??

219
Q

What is not correlated with increased caries?

A

Increase carbs, increase carbonated soda, obesity*

220
Q

High risk factor?

A

Enamel white spot (all others moderate)

221
Q

Odontogenic infection associated with gram + cocci

A

(groups A, B, G? - all

choices gram +)

222
Q

Kawasaki disease has?

A
Oropharynx erythema (something like that?),
strawberry tongue w~s not an answer
223
Q

What does baby get before leaving hospital?

A

Hep B

224
Q

What is >85% but <95%?

A

Overweight

225
Q

Suture from laceratrion on face, start .. ?

A

Muscle

226
Q

Kawasaki disease has?

A

Oropharynx erythema.

strawberry tongue was not an option

227
Q

Logical reasoning at what stage?

A

Concrete

228
Q

Anaphylaxis associated with?

A

Mast cells and basophils

229
Q

Suture from laceration on face, start .. ?

A

Muscle?

230
Q

Fluorosis occurs at what stage?

A

Calcification

231
Q

What is caused by Hertwig’s epithelial root sheath to invaginate to proper
horizontal position?

A

Taurondontism*, dens evaginatus, talon cusp

232
Q

Dens in dente can have what material lined by?

A

Enamel

233
Q

Premature exfoliation caused by?

A

Acrodynia

234
Q

Pacifier use?

A

Decrease otitis media, deceases SIDS*

235
Q

Whatcan have randomization?

A

Case cohort, case studies, cross-sectional

236
Q

What can have randomization?

A

Case cohort, case studies, cross-sectional

237
Q

Low protein diet for?

A

PKU

238
Q

Metabolic syndrome correlated with?

A

Diabetes Type II

239
Q

What can have randomization?

A

Case cohort*, case studies, cross-sectional

240
Q

Anaphylaxis is what type of reaction?

A

Acute Type 1

241
Q

What is most like N2O?

A

Hydroxyzine (anti-hystamine)

242
Q

Mitochondrial disorder can be correlated with

A

malignant hyperthermia

243
Q

What suture has the highest risk for infection?

A

silk

244
Q

Complication of obese kids with GA?

A

Aspiration during intubation*,

mainstem bronchus intubation, post-op laryngeal edema

245
Q

Max fluoride Rx

A

120 mg

246
Q

ADHD med

A

methylphenidate

247
Q

Strict vegetarian, you are missing out on?

A

Vit B12

248
Q

NPO guidelines for breastmilk?

A

4hrs

249
Q

What bacteria is also associated with caries (not MS)?

A

S. sobrinus

250
Q

Where could you place an implant in a 10 yr old child?

A

Mandibular anterior

251
Q

What condition could you place an implant in a child?

A

Ectodermal dysplasia

252
Q

Radiation to H & N can cause spontaneous what with no known dose levels?

A

Genetic modification

253
Q

What % of injuries in child abuse can dentist identify?

A

50%

254
Q

Premature loss of mand 2nd primary molar causes what to perm 1st?

A

Mesial lingual tipping

255
Q

What primary tooth has worst space loss?

A

Max 2nd

256
Q

Aggressive perio) with not as much bone loss expected due to presence of?

A

IgG

257
Q

What changes the least in adolescence?

A

Intermolar width*, intercanine width

258
Q

Fear of separation peaks at?

A

13-18 mo

259
Q

Aggressive perio with not as much bone loss expected due to presence of?

A

IgG

260
Q

Onset of LA determined by?

A

pKa

261
Q

Waterlines in dental units per infection control guidelines need?

A

500 CFU/ml

262
Q

How long after bleaching should you wait to place a composite?

A

24 hr, 72 hrs,

1 week, 1 month

263
Q

Time to wait after pulp therapy that you could get false negative pulp response?

A

1 mo, 2 mo, 3 mo

264
Q

Tetracycline does what?

A

Decreases osteoclastic activity

265
Q

How long after bleaching should you wait to place a composite?

A

24 hr, 72 hrs, 1 week, 1 month

previous answer 2wks?

266
Q

Some question about how to tell if active TB infection?

A

Bacilli+ test(?), lungs only symptom…