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Boards part 2 Flashcards

1
Q

what is bennett angle

A

angle between non working condyle and sagittal plane during lateral movements

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2
Q

symptoms of TMD disorder

A

1) popping during jaw movements

2) localized joint pain

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3
Q

articular disc is displaced ____ during abnormal jaw movments.

  • -w/o reduction disc will ____
    • with reduction disc will _____
A

anterior
w/o reduction will stay in place
w/ reduction will return

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4
Q

med for trigeminal neuralgia

A

carbamezapine but for chronic fascial pain its NSAIDs

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5
Q

med for maxillary sinusitis

A

Amoxicillin with clavulanic acid

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6
Q

max sinusitis bacteria?

A

streptococcus pneumonia

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7
Q

difference bt focal cemento ossesous dysplasia
and
periapical cemento-osseous dysplasia

A

focal cem oss dysplsia - white women, posterior mand, assymp
peri apical cem oss dysplasia - black female, 30 -50, anterior mand VITAL Teeth, assymptomatic, mixed radiolucency, no tx

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8
Q

another name for cementoma

A

cementoma
cemento-osseous dysplasia
periapical cemental dysplasia
periapical osseous dysplasia

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9
Q

gingival nodule that reveals bone formation microscopically

A

peripheral ossifying fibroma

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10
Q

lisch nodules
cafe au lait spots
supernumerary teeth

A

von recklinhausen’s neurofibromatosis

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11
Q 
cafe au lait spots 
mccune albright syndrome 
glass ground 
orange peel appearance
vital tooth 
assymptomatic
A

fibrous dysplasia

fibrous bone replaces normal bone

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12
Q

autosomal dominant 7

A 
1 peutz jeghers syndrome 
2 gardners syndrome 
3 amelogeneisis imperfecta
4 dentinogenesis imperfecta
5 cherubism 
6 white sponge nevus 
7 neurofibromatosis von recklinhausens syndrome
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13
Q

multiple soft nodules with macular pigmentation of the skin, adult patient

A

neurofibromatosis von recklinhausens syndrome

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14
Q

diagnosis that retains primary teeth

A

ectodermal dysplasia

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15
Q

frey syndrome aka

A

auriculotemporary syndrome

sweating near cheek when eating - gustatory sweating

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16
Q

after parotid surgery waht happens

A

gustatory sweating

frey’s syndrome aka auriculotemporary syndrome

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17
Q

oral granulomas, apthous ulcer, rectal bleeding

A

crohns disease

chronic inflammatory bowel disease

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18
Q

incisional treatment 4

A

1 parulis
2 leukoplakia
3 SCC
4 Actinomycosis abscess

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19
Q

sausage link appearance

A

sialodochitis - parotid gland

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20
Q

sialathiasis [ca2+ stone] , sialadenitis [actinic enlargement]

A

submandibular gland - whartons duct

tx: cannulation and dilation

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21
Q

lumpy jaw
yellow sulfur granules
abscesses, and draining fistulas
likely cause suppuration

A

actinomycosis

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22
Q 
unilateral
crossbite malocclusion 
facial assymetry 
slow progressive elongation of face
shifting midpoint of the chin TOWARD UNAFFECTED side
A

condylar hyperplasia

slow uni growth of head and neck of condyle

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23
Q

unilateral stuff 4

A

1 herpes zoster
2 bell’s palsy
3 trigeminal neuralgia
4 condylar hyperplasia

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24
Q

dens E vangenatus

A

talon cusp

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25
Q

looks like SCC, 16 weeks then disappears, on sun exposed skin

A

keratoacanthoma

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26
Q

laboratory test for sjogren syndrome

A

sjogren syndrome - 2nd most common autoimmune disorder affects glands
SS -A , SS B, Rheumatoid factor, ANA

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27
Q

tx with corticosterioids [3]

c/i =

A

1 lichen planus
2 sarcodosis
3 asthma
c/i = diabetes

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28
Q

meds: corticosteroids, antibotics, and hydrogen perioxide can cause

A

hairy tongue

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29
Q

widening symmetrical of pdl is early sign of

A

osteosarcoma

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30
Q

osteosarcoma most commonly affects?

A

young patients

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31
Q

loss of cortex [resorption of the bone]

diffusing radiating pattern of trabeculae [sun burst of bone]

A

osteosarcoma

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32
Q

bence jones protein in the urine

A

multiple myeloma

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33
Q

most common primary malignant tumor of young people

A

osteosarcoma

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34
Q

multiple punched out radiolucency

plasma cell cancer, these are wbc that make ABs

A

multiple myeloma

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35
Q

painless ulcer on hard palate
resembles SCC
goes away on its own
no scarring

A

necrotizing sialometaplasia

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36
Q

lesions that commonly on hard palate [2]

A

1 necrotizing sialometaplasia

2 adenoid cyst carcinoma

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37
Q 
posterior mand 
no symptoms
moves teeth 
cortical expansion 
root displacement 
radiolucent, honeycomb, soap bubble
A

odontogenic myxoma
looks like
ameloblastoma

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38
Q

onion skin appearance

A

ewing sarcoma
osteomyleitis
Garre’s proliferative periostitis

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39
Q

why do we splint

A

pt comfort

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40
Q

causes for failure of avulsed tooth [2]

A

1 main: time extra orally

2 external resorption

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41
Q

3 weaknesses of Niti fies compared to stainless steel

A

1 NOT resistant to fracture
2 no direction of flutes
3 NOT stronger

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42
Q

pink mummery tooth -
grey tooth -
green porcelain -
grey- blue tooth -

A

pink - internal resorption
grey - blood products in dentinal tubules
green porcelain - silver, but cervical region - copper
grey blue tooth - hyperbiluribinemia

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43
Q

Tx of root surface caries, what kind of Dentin should not be restored?

A

Edurnated dentin (sclerotic Dentin)

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44
Q

Burs for smoothing out preps

_____ flutes and _______

A 
Smoother 
More flutes (more # blades) is smoother bc decreased cutting Efficiency
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45
Q

How do you bevel occlusal floor

46
Q

Most likely reason for failure and fracture of amalgam

A

Inadequate improper cavity design prep

47
Q

For amalgam, how much should the axial pulp be ?

A

0.2 - 0.5 into Dentin

48
Q

Most difficult tooth to place a Matrix band?

A

Max 1st pm bc of mesiofevelopmental groove

49
Q

More corrosion of amalgam in which phase?

A

Tin -mercury phase (gamma 2 phase)

50
Q

bilateral stuff [6]

A 
1 Ludwig's angina...cellulitis 
2 Lichen planus... buccal mucosa 
3 bilateral actinic cheilitis - low vdo 
4 leukoedema...buccal mucosa 
5 cherubism... enlargement of jaw 
6 white sponge nevus... buccal mucosa
51
Q

behcet’s syndrome produces this oral lesion?

A

aphthous ulcer

52
Q 
old people 
subepithelial vesicle 
hemidesmosomes and BM 
linear BM 
autosomal dominant disorder
A

mucous membrane pemphigoid

53
Q 
young people 
acantholysis - disrupt CT [desmosomes DSG3]
Tzank cells 
Positive Nikolsky sign 
suprabasilar vesicle 
AB to desmoglein 
Type II Autoimmune hypersensitivity
54
Q

immuno fishnet appearance

55
Q

immuno linear appearance

A

pemphigoid

56
Q

subepithelial separation means

A

separation of BM = pemphigoid
pemphigoiD = DEEPER [sub epithelial]
pemiguS = surface

57
Q

loss of rete pegs

saw tooth appearance

A

lichen planus

58
Q

tx with topical corticosteroids and antihistamines

A

lichen planus

59
Q

HIV oral candidiasis

vaginal candidiasis

A

flucaonazole - diflucan

60
Q

systemic medication for candida

A

amphotericin B

61
Q

burning sensation of mouth ______

burning sensation of tongue _____

A 
mouth = candida 
tongue = erythema migrans
62
Q

lower lip shows epithelial atrophy and focal keratosis

A

actinic cheilitis

63
Q

tx for actinic cheilitis

A

5 - flouracil

64
Q

smooth area of the tongue that loss lingual papillae

A

median rhomboid glossitis

65
Q

young person with FEVER and oral lesions

A

primary herpetic gingivostomatitis

66
Q

what is the most common site for intra oral herpes

A

hard palate = keratinized tissue overlying the bone

67
Q

fastest growing lesion

BLEEDING SWELLING

A

pyogenic granuloma

68
Q

histology most like congenital epulis

A

granular cell tumor

69
Q

bence jones protein can ddx which 2

A

multiple myeloma

peripheral giant cell granuloma

70
Q

most common benign lesion of EPITHELIAL TISSUE ORIGIN

A

squamous papilloma

71
Q

epidermal manifestation attributes to epidermotrophic HPV

A

condyloma acuminatum

72
Q

lesion commonly with DSYPLASIA and carcinoma in situ

A

erythroplakia

73
Q

30,000

A

1 rpm for slow sleep bur

2 people get SCC

74
Q

bleeding gums
gingival enlargement
young person
bruises easily

75
Q

most common tumor of parotid gland

A

pleomorphic adenoma

76
Q

most common epithelial odontogenic tumor

A

ameloblastoma

77
Q

no tx required [8]

A 
1 sinus tract 
2 cherubism 
3 leukoedema
4 necrotizing sialometaplasia 
5 recurrent apthous ulcers 
6 traumatic bone cyst 
7 Antral pseudocyst [mucous retention cyst] 
8 cementoma
78
Q

bilateral enlargement of jaw with bone growth replaced with _____

A

painless cyst in cherubism

79
Q

dentures doesnt fit anymore can be from _____

A

paget’s disease [osteitis deformans]

80
Q

tx with enucleation [2]

A

1 nasoplalatine duct cyst

2 OKC

81
Q

bifid ribs
plantar keratosis
plamar pitting
multiple OKC [multiple cysts in the jaws]

A

nevoid basal cell carcinoma
aka
Gorlin Syndrome

82
Q

another name for Gorlin syndrome

A

nevoid basal cell carcinoma

83
Q

idiopathic conditions [3]

A

1 erythema multiform…skin
2 Bell’s palsy…nerve
3 geographic tongue

84
Q

difference bt median rhomboid glossitis and migratory glossitis

A

both: smooth red area, loss of lingual papilla
but: geographic tongue:
1 migrates
2 burning tongue
3 white lesion with red boarders

85
Q

tx with excision [2]

A

1 ameloblastoma

2 ranula

86
Q

pain on biting and feeling FULLNESS in max posterior teeth

A

trigeminal neuralgia

87
Q

1 most interpreted as toothache by patient _____

2 mimics dental pain _____

A

1 maxillary sinusitis

2 herpes zoster

88
Q 
multiple punched out radiolucencies 
max anter
mand anterior 
displaces teeth 
expansion 
root resorption
A

peripheral giant cell granuloma

89
Q

TB is similar to _____
abnormal collection of inflammatory cells [granulomas]
affects mostly lungs

A

sarcoidosis

tx: corticosteroids

90
Q

1st sign of multiple myeloma

91
Q

uncommon benign odontogenic tumor arising from embryonic CT associated with tooth formation.

A

odontogenic myxoma

92
Q

collimator does NOT DO THESE 3

A

1 prevent fogging
2 increase penetration
3 reduce average energy

93
Q

tx of morphine overdose _____

detoxification of morphine addicts _____

A

1 naloxone

2 methadone

94
Q

sedative and anxiolytic for pregnant woman

A

promethazine

95
Q

bradykinin
nitroglycerin
anti histamine

A

vasodiatlor, bronchoconstrictor, tachycardia, decrease in BP

96
Q

epi casues

A

vasoconstriction, bronchodilation, increase BP, increase HR

97
Q

meperidine (opioid analgesic) mixed with MAO inhibitors causes life threatening waht

A

hyperpyrexia [fever]

98
Q

mixed agonist and antagonist of opioids [2] that are narcotics

A

pentazocine and nalbuphrine

99
Q

hydralazine is a _____

A

MAO Inhibitor and is contraindicated with opioids

monoamine oxidase inhibitors

100
Q

opioids contrainidcations

A

severe head injury

101
Q

flumazenil is

A

reverse effects of benzodiazepam like

midazolam

102
Q

buprenorphine is

A

heroin group two semi synthetic

103
Q

1 miosis is seen in opioid abuse except

2 also not used in kids

A

meperidine

104
Q

secobarbitol

pentobarbitol

A

good for pre op and anxious kids

sedation in children

105
Q

ketamine

A

emergency situation for anxiolytic and analgesic for kids

106
Q

osteoradionecrosis and osteonecrosis is most common in

107
Q

how long do you stop coumadin for extraction

A

5 days, and resume day after surgery

108
Q

side effect of nitroglycerin

A

headache and orthostatic hypotension

109
Q

Asthma is ____

A

smooth muscle constriction
constriction of bronchioles
inflammation of bronchioles

110
Q

hyperventilation seen with nsaids to asthma pt causes

A

1 tachycardia

2 tachypenea [fast breathing]

111
Q

hyperventilation seen with nsaids to asthma pt causes

A

1 tachycardia

2 tachypenea [fast breathing]

112
Q

c/i for asthma [2]

A

1 asprin [nsaids]

2 100% O2

Boards part 2 (1 decks)

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