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MD ORAL SURGERY Flashcards

1
Q

T or F:

questionable teeth should be extracted before radiation therapy

A

TRUE

to avoid ORN

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2
Q

when getting head and neck radiation, what should be done before and after an extraction?

A

HYPERBARIC OXYGEN

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3
Q

for pericoronitis treatment, what should be done first?

A

TREAT INFECTION

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4
Q

MOST COMMON 3 TYPES OF IMPACTED TEETH?

A
  1. MAND THIRD
  2. MAX THIRD
  3. MAX CANINES
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5
Q

primary reason for impacted teeth?

A

inadequate arch length

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6
Q

3 MOST COMMON CONGENITALLY MISSING TEETH?

A
  1. THIRD MOLARS
  2. MAX LAT INCISORS
  3. MAND 2ND PM
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7
Q

easiest and hardest extraction?

soft tissue impaction

full bony impaction

partial bony impaction

A

easiest: soft tissue
hardest: full bony

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8
Q

WINTERS CLASSIFICATION:

for what teeth?

how do we categorize the teeth?

A

IMPACTED THIRD MOLARS

LONG AXIS and ANGULATION

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9
Q

winters classfication, which is EASIEST which is HARDEST

vertical

mesioangular

horizontal

distoangular

buccolingual

others

A

easiest: MESIOANGULAR
hardest: DISTOANGULAR

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10
Q

PELL AND GREGORY CLASSIFICATION:

for what teeth?

how do we put into category?

A

LOWER third molar

A,B,C; I, II, III

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11
Q

PELL AND GREGORY CLASSIFICATION:

WHAT IS MOST DIFFICULT?

A

Level C Class III

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12
Q

how to avoid subperiosteal abscess?

A

IRRIGATE !!

( remove tooth fragment below soft tissue)

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13
Q

WHAT IS ORO-ANTRAL COMMUNICATION?

MOST COMMON IN WHAT TEETH?

TMNT?

A

puncture from oral cavity to sinus

MAX FIRST MOLAR

>2 mm: do nothing

2-6 mm: 4 A’s (AB, antihistamine, Afrin nasal spray, analgesics)

> 6mm: flap surgery

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14
Q

WHEN BLOOD CLOT DISLODGED BEFORE WOUND HEALING THIS IS CALLED WHAT?

tmnt?

A

ALVEOLAR OSTEITIS ( inflammation of bone)

TX: irrigation and pain control

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15
Q

most common nerve injury to lower nerve caused by what?

A

LOWER THIRD MOLARS

IAN

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16
Q

TOOTH DISPLACEMENT:

MOST COMMON ONE?

A

MAX 3RD MOLAR: INFRATEMPORAL FOSSA

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17
Q

MOST COMMON TOOTH DISPLACEMENT FOR MAX FIRST/ 2ND MOLAR?

A

MAX SINUS

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18
Q

MOST OCMMON DISPALCEMENT FOR MAND THIRD MOLAR?

A

SUBMANDIBULAR SPACE

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19
Q

WHICH SITE OF TOOTH GETS LOST IN THAT YOU HAVE TO SEND TO ER FOR CHEST XRAY?

A

OROPHARYNX

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20
Q

PURPOSE OF BITE BLOCK?

A

BETTER VISUALIZATION

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21
Q

MOST COMMONLY USED ELEVATOR?

A

STRAIGHT ELEVATOR (301)

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22
Q

PICK ELEVATOR USED FOR?

LEVER

WEDGE

WHEEL AND AXLE

A

WEDGE

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23
Q

STRAIGHT ELEVATOR USED FOR ?

LEVER

WEDGE

WHEEL AND AXLE

A

LEVER

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24
Q

TRIANGULAR ELEVATOR (CRYER) USED FOR ?

LEVER

WEDGE

WHEEL AND AXLE

A

WHEEL AND AXLE

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25
Q

WHIH ELEVATOR USED FOR REMOVING BROKEN ROOT LEFT IN SOCKET

CRYER

STRAIGHT

ROOT PICK

A

CRYER

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26
Q

WHICH EXTRACTION FORCEPS ARE THE WORK HORSES?

A

150: UPPERS
151: LOWERS

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27
Q

how to avoid subperiosteal abscess?

A

IRRIGATION!

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28
Q

what is oro-antral communication?

what teeth most common in?

A

SINUS OPENING

MAX 1ST MOLARS

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29
Q

TREATMENT FOR ORO-ANTRAL COMMUNICATION

A

ORO= MOUTH

ANTRAL= SINUS

<2mm do nothing

2-6 mm: 4 A’s ( AB, Antihistamines, Afrin Spray, Analgesia)

>6mm = flap sirgery

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30
Q

WHEN A BLOOD CLOT DISLODGES THIS CAN HAPPEN? TX?

board ?

A

ALVEOLAR OSTEITITS ( bone inflammation)

TX: irrigation and local pain control

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31
Q

nerve injust most common with what 2 things in the mandible?

A

lower third molars

IAN

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32
Q

MOST COMMON SITE AND TOOTH FRO TOOTH DISPLACEMENT?? ***

A

MAX THIRD MOLARS: INFRATEMPORAL FOSSA

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33
Q

WHERE DO MAX 1ST AND 2ND TEETH DISPLACE?

A

MAX SINUS

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34
Q

WHERE DO MAND THIRD MOLARS DISPLACE?

A

SUBMANDIBULAR FOSSA

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35
Q

THIS AREA IS WHERE A TOOTH GETS LOST AND YOU HAVE TO SEND TO ER FOR CHEST XRAY ***

A

ABDOMINAL XRAY

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36
Q

bite block used to keep the patients mouth open which provides what?

A

VISUALIZATION

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37
Q

MOST COMMONLY USED ELEVATOR

A

STRAIGHT ELEVATOR (301)

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38
Q

TRAIANGULAR ELEVATOR (CRYER) USED FOR?

LEVEL

WHEEL AND AXLE

WEDGE

A

WHEEL AND AXLE

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39
Q

straight elevator used for?

LEVEL

WHEEL AND AXLE

WEDGE

A

lever

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40
Q

pick elevator?

LEVEL

WHEEL AND AXLE

WEDGE

A

wedge

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41
Q

for removing broken root tip left in socket:

Cryer

pick elevator

straight elevator

A
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42
Q

WHAT ARE 2 UNIVERSAL FORCEPS?

A

150: UPPER
151: LOWER

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43
Q

MOST COMMON BLAD FOR ITNRAORAL SURGERY

A

15

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44
Q

WHAT IS THE PURPOSE OF IRRIGATION during surgery?

A

PREVENTS HEAT GENRATION

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45
Q

after remove tooth what is next step?

A

CURETTE!!

ALWAYS CURETTE SOCKET

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46
Q

which bone removal what handpiece should you never use and why?

A

air-driven BECAUSE DRIVES AIR INTO SOCKET

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47
Q

type of motion with bone file?

A

pull stroke

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48
Q

what is the purpose of hemostat?

A

HEMOSTASIS:

clamp blood vessesls before suturing

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49
Q

face of beak of needle holder is what shape?

A

crosshatched

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50
Q

Primary purpose of of suture is to ___

A

immobolize flap

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51
Q

suturs should be placed from ___ tissue to __ tissue

A

moveavle to non-moveable

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52
Q

easiest and most common suture technique?

A

simple interrupted

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53
Q

silk has what property that allows bacteria to invade?

A

WICKENING

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54
Q

THESE FORCEPS HSOULD BE USED TO HANDLE SOFT TISSUE AND THESE SHOULDNT

A

Asdson tissue

utility forceps ( picking up tray items)

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55
Q

whenver you luxate tooth what should fulcrum be ?

what does luxating tooth do to bone?

A

ALVEOLAR BONE

expansion

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56
Q

teeth with multi rooted teeth should be extracted with forceps how?

A

hold buccaly for 10 seconds then hold palatally

NO ROTATION !!

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57
Q

AFTER TOOTH REMOVED FROM SOCKET 3 STEPS

A

CURETTAGE

SMOOTH BONE WITH FILE

IRRIGATE

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58
Q

T OR F

FLAP DESIGN ALWAYS WANTS FULL THICKNESS FLAP

A

TRUE

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59
Q

T OR F

incisions should be made over intact bone

A

T!!!

dont want over defects or eminences !

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60
Q

where should vertical releases of flap be??

A

LINE ANGLES !

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61
Q

THIS TYPE OF INCISION USED FOR APICOECTOMY?

A

SEMILUNAR INCISION

apical!!

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62
Q

APICALLY DISPLACED FLAP IS IMPOSSIBLE IN WHAT AREA ?

BOARD ?

A

MAXILLARY PALATAL

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63
Q

INCISION FOR PALATAL TORI REMOVAL?

A

DOUBLE Y INCISION

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64
Q

T or F age is not a contraindication to implants?

A

true

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65
Q

best type of implant?

transosteal

endosteal

subperiosteal

A

ENDOSTEAL

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66
Q

PURPOSE OF IMPLANT BODY?

A

SEQUENTIALLY ENLARGE OSTEOTOMY

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67
Q

ONE-PIECE VS 2-PIECE ABUTMENT:

which one has antirotation component?

A

TWO PIECE

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68
Q

which is better for restricted restorative space?

screw-retained implant

cement-retained implant

A

screw

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69
Q

WHICH CAUSES PERI-IMPLANTITIS?

screw implant

cement implant

A

CEMENT:

cement trapped subgingivally

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70
Q

which can correct angle between 2 components?

one-piece implant

two-piece implant

A

two-piece

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71
Q

which is abutment antirotation component ?

A

2 piece

internal hex (lock and Key) and external hec

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72
Q

when looking at an implant we see that there is no fibrous tissue layer between implant and bone. what does this mean?

A

success of osteointegration !!!

we want direct contact between bone and implant

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73
Q

PRESENCE OF FIBROUS TISSUE LAYER BETWEEN IMPLANT AND BONE. WHAT DOES THIS MEAN FOR IMPLANT? WHAT IS THIS CALLED?

A

fibrousintegration

FAILURE of implent to osteointegrate

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74
Q

primary vs secondary stability for implants?

A

PRIMARY: how well screw stays in bone

SECONDARY: osseintegration

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75
Q

what type of bone and area of bone has highest success rate?

A

TYPE 1 DENSE

ANT. MANDIBULAR

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76
Q

BONE QUALITY THAT HAS THE LOWEST SUCCESS RATE AND TYPE OF BONE AND LOCATION?***

A

TYPE IV SOFT

POST MAX

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77
Q

WHAT ARE THE MEASUREMENTS OF IMPLANT PLACEMENT DISTANCE FROM:

ADJACENT NATURAL TEETH:

IAN:

ADJACENT IMPLANT

MENTAL NERVE:

BUCCAL PLATE, LINGUAL PLATE, MAX SINUS, NASAL CAVITY:

MOST IMPORTANT IMPLANT SLIDE

A

Plates and sinuses: 1 mm

teeth: 1.5 mm

IAN: 2 mm

implant: 3mm

mental nere: 5 mm

78
Q

A 5MM IN DIAMTER IMPLANT IS BEING PLACED HOW MUCH BL SPACE is needed ?

A

5MM IMPLANT + 1 MM LINGUAL + 1 MM BUCCAL +

= 7 mm total

79
Q

implant #30 is being placed. and has 20 and 30 next to it and implant 3 mm in diamater. how much MD spacen eed.

A

6 mm total

1.5 from adjacent teeth = 3

3+3 = 6 total

80
Q

ONE STAGE IMPLANT SURGERY VS TWO STAGE

A

ONE STAGE:

  1. place impant AND healing abutment in 1 visit

TWO STAGE:

  1. place implant with cover screw and cover it up with gums
  2. open gums place healing abutment next visit
81
Q

when to do two stage implant surgery?

A

poor stability

graft needed

medically compomised ptnts

82
Q

what type of extraction needed in order to have good soclet preservation

A

ATRAUMATIC extraction

(routine ext not surgical)

83
Q

difference in gingival fiber orientation next to implant vs normal tooth

board ?

A

IMPLANT: fibers PARALLELL with implant cuff

next to tooth: fibers HORIZONTAL w implant cuff

84
Q

IMPLANT SUCCESS bone loss per year after first year

A

if implant has < .2mm loss per year after first year then it is good

85
Q

IMPLANT FAILSURE DUE TO WHAT BACTERIA?

A

G(-) ANAEROBIC RODS and FILAMENTS

86
Q

WHAT TIME AND TEMPERATURE CAUSES IMPLANTS TO COMPROMISE OSSEOINTEGRATION AND CAUSE IMPLANT FAILURE

board ?

A

47°C FOR 1 MINUTES

40 C FOR 7 MINUTES

87
Q

mandibular fractures best evaluated with what radiograph?

88
Q

FROM MOST LIKELY TO LEAST LIKELY, WHICH PART OF MANDIBLE MORE SUSCEPTIBLE TO FRACTURE

CONDYLAR

ANGLE

SYMPHYSIS

A

CONDYLAR > ANGLE > SYMPHYSIS

89
Q

MATCH THE MANDIBULAR FRACTURES:

green stick, comminuted , simple, compound

closed to oral cavity

opent to oral cavity, bone exposed through mucosa,

not all the way though

crushed into muiltiple fragments

A

greenstick: not all the way
comminuted: crushed into frags
simple: closed to oral cavity
compound: open to oral caviy

90
Q

MIDFACE FRACTURE BEST EVALUATED WITH WHAT RADIOGRAPH?

91
Q

LE FORT FRACTURE THAT IS PYRAMIDAL?

LF 1

LF 2

LF3

92
Q

LE FORT FRACTURE THAT IS HORIZONTAL ACROSS MAXILLA ?

LF 1

LF 2

LF3

93
Q

LE FORT FRACTURE THAT IS COMPLETE CRANIOFACIAL DISJUNCTION?

LF 1

LF 2

LF3

94
Q

THIS TYPE OF FRACTURE ALSO KNOWN AS TRIPOD FRACTURE INVOLVES BLEEDING UNDER CONJUCTIVA

BOARD ?

A

ZYGOMATICOMAXILLARY COMPLEX FRACTURE ( tripod fracture because of 3 spots its in)

bleeding in CONJUCTIVA

95
Q

MANDIBULAR FRACTURES IDEALLY TREATWED WITH THESE 2 PROCESSES

reduction

open reduction

internal fixation

intermaxillary fixation

A

OPEN REDUCTION and INTERNAL FIXATION (ORIF)

OR: frags exposed surgically by dissiecting tissues

IF: titanium bone plates to hold bone together

96
Q

fracture fragments exposed surgically by dissecting tissue:

reduction

open reduction

closed reduction

internal fixation

intermaxillary fixation

A

open reduction

97
Q

fracture fragments reutrend to their normal position

reduction

open reduction

closed reduction

internal fixation

intermaxillary fixation

98
Q

fracture fragments maniupulated w/out surgical exposure:

reduction

open reduction

closed reduction

internal fixation

intermaxillary fixation

A

CLOSED REDUCTION

99
Q

fracture fragments manipulated without surgical exposure

reduction

open reduction

closed reduction

internal fixation

intermaxillary fixation

A

closed reduction

100
Q

wiring jaws closed archbards and elastics

reduction

open reduction

closed reduction

internal fixation

intermaxillary fixation

A

IMF (intermaxillary fixation)

101
Q

RETROGNATHIC MANDIBLE:

CLASS 1

CLASS 2

CLASS 3 OCCLUSION

A

CLASS 2 OCCLUSOON

102
Q

PROGNATHIC MANDIBLE:

CLASS 1

CLASS 2

CLASS 3

103
Q

VERTICAL MAXILLARY EXCESSS IS SHOW WHAT PHYSICAL ISSUES?

A

MAXILLA TOO LONG

GUMMY SMILE

104
Q

SKELETAL DISCREPENCY WITH HORIZONTAL TRANSVERE DISCREPENCY WHATS WRONG?

A

POSTERIOR CROSSBITE

105
Q

MACROGENIA?

A

CHIN TOO BIG

106
Q

MICROGENIA?

A

CHIN TOO SMALL

107
Q

APERTOGNATHIC?

A

AMTERIOR OPEN BITE

108
Q

WHAT ARE MAIN IMAGES USED IN TREATMENT PLANNING FOR ORTHOGNATHIC SURGERY?

BOARD**

A

LATERAL CEPHS

109
Q

SURGERY TO MOVE MAXILLA?

board ***

A

LE FORT 1 OSTEOTOMY

110
Q

SURGERY TO MOVE MANDIBLE?

A

BSSO (bilateral saggital split osteotoy)

111
Q

SURGERY TO MOVE CHIN>

A

GENIOPLASTY

112
Q

A PATIENT HAS CLASS 3 JAW. IT IS DUE TO MAXILLARY DEFICIENCY. WHAT SURGERY DO YOU USE?

A

LE FORTE 1

113
Q

A PATIENT HAS CLASS 3 STRUCTURE. IT IS DUE TO MANDIBULAR DEFICIENCY. WHAT SURGERY DO YOU USE?

BOARD**

114
Q

A PATIENT HAS CLASS 3 STRUCTURE. IT IS DUE TO MAXILLARY AND MANDIBULAR DEFICIENCY . WHAT SURGERY DO YOU USE?

A

LE FORT 1 AND BSSO

115
Q

BIOPSYCHOSOCIAL MODEL OF PAIN:

AXIS I

AXIS II

A

AXIS 1: bio nociceptive input from somatic tissue, acute ( we feel pain)

AXIS II: psychosocial influence of interaction between thalamus, cortex limbic structure, CHRONIC (longer 4-6 MONTHS)

116
Q

which axis is about the tooth?

axis 1

axis 2

117
Q

MATCH THE FOLLOWING:

TRANSDUCTION, TRANSMISSION, MODULATION,

PERCEPTION

pain from PNS to CNS; pain from CNS to thalmus; limitation of flow of pain information, human experience of pain sum total of physiological processes and psychological factors

A

1) TRASNDUCTION: PNS -> CNS
2) TRANSMISSION: CNS -> thalmus
3) MODULATION: limit flow of pain
4) perception: experiences

118
Q

normal tooth pain depends on magnitude of stimulus. increase in stimulus = increase of pain

A

SOMATIC PAIN

119
Q

Pain INDEPENDANT of stimulus intensity

A

NEUROPATHIC PAIN (damage to pain pathways trauma, stroke, etc)

120
Q

TRIGEMINAL NEURALGIA IS DUE TO WHAT CN ?

BOARD !

121
Q

TRIGEMINAL NEUALGIA AFFECTS WHAT TYPE OF GROUP OF PEOPLE?

A

POSTMENOPAUSAL WOMEN ( OLDER THAN 50)

122
Q

DESCRIBE TRIGIMINAL NEURALGIA PAIN

BILATERAL OR UNILATERAL

A

ELECTRICAL, SHARP, SHOOTING, EPISODIC

UNILATERAL

123
Q

TREATMENT FOR TRIGEMINAL NEURALGIA?

BOARD ?

A

ANTICONVULSANTS ( CARBAMAZEPINE) or surgery

124
Q

WHAT IS ATYPICAL ODONTALGIA and what is it caused by?

A

Not normal tooth pain

DEAFFERENTATION (destruction of afferent connection of nerve cells) result of ENDO or EXT

PHANTOM TOOTHACHE

125
Q

POSTHERPETIC NEURALGIA COMES AFTER WHAT DISEASE?

A

HERPES ZOSTER

not SIMPLEX!!!!

126
Q

BURNING MOUTH SYNDROM IN WHAT GROUP OF PEOPLE?

A

POSTMENOPAUSAL WOMEN ( older than 50)

127
Q

NEUROCULAR pain is also known as what type of headache?

A

CHRONIC headache

128
Q

photophobia and phonophobia are descriptiosn of what type of headache?

A

MIGRAINE !!!

(anything loud or bright)

129
Q

intense pain near one eye is what type of headache?

130
Q

differnce between migraine and tension headache?

A

migraine: unilareral, pulsating
tension: bilateral, non-pulsating

131
Q

TX FOR MIGRAINES?

A

TRIPTAN (selective seotonin receptor agonist)

132
Q

lower joint space vs upper joint space movement?

A

LOWER: ROTATION

Upper: TRANSLATION

133
Q

which muscles open mandible?

A

LATERAL PTERYGOID

134
Q

WHICH MUSCLES CLOSE MANDIBLE?

A

MASSETER

TEMPORALIS

MEDIAL PTERYGOID

135
Q

FUNCTION OF POSTERIOR TMJ LIGAMENT?

A

STOPS ANT DISC DISPLACEMENT

136
Q

FUNCTION OF LATERAL TMJ LIGAMENT

A

STOPS POST DISC DISPLACEMENT

137
Q

TMJ BLOOD SUPLY?

board ??

A

M: maxillary

A: Ascending pharyngeal

D: deep auricular

S Superficial temporal

MADS !!!

138
Q

CONDYLE WITH REDUCTION?

CLICK OR LOCK

A

CLICK

condyle pops over nateriorly displaced disc and pops on way back to fossa

139
Q

disc displacement without reduction?

clicking or lock?

A

lock

condyle stick resulting in limited range of motion

140
Q

tx for recurrent dislocation includes botox injection where?

A

lateral pterygoid

141
Q

most common cause of ankylosis?

A

trauma

anky: fusion of condyl and skull

142
Q

bruxism is usually caused by what? treatment?

A

stress

occlusal guard: distruvtes occlusal forces evenly and relaxeds muscle

143
Q

the nerve most damaged in tmj is what nerve?

A

FACIAL NERVE

144
Q

WHAT IS MYOFASCIAL PAIN SYNDROME?

WHERE IS IT DERIVED FROM?

A

CHRONIC MUSCLULAR PAIN MOST COMMON CAUSE OF MASTICATORY PAIN

REFERRED PAIN FROM TRIGGER POINT IN MUSCLES OF MASTICATION

145
Q

HOW LONG DOES A BIOPSY TAKE?

A

2 WEEKS !!!

KNOW THIS

146
Q

WHEN IS INCISIONAL BIOPSY DONE?

A

when suspected to be malignant and lesion larger >1 cm

147
Q

WHAT TYPE OF INCISIONAL BIOPSY TO TAKE?

A

desirable: Narrow and deep

undesirable: Broad and shallow

148
Q

when should excisional biopsy be used?

A

lesion is small <1 cm

BENIGN

149
Q

BIOPSY:

what type of anesthesia want to give?

A

BLOCK instead of infiltration

150
Q

A BIOPSY SAMPLE IS PLACED IN WHAT SOLUTION?

BOARD

A

10% FORMALIN or formaldehyde

151
Q

CYSTS VS TUMOR

WHICH ONE RESECTION? MARSUPUALIZATION?

A

Tumor: RESECTION ( cutting out tissue or part of tumor)

Cysts: MARSUPILIZATION (removes cysts in a way that makes them less likely to return)

152
Q

what is enucleation

A

surgicar removal if nass without cutting into or reputring it

153
Q

what is marsipualization

A

removes cysts in a way that makes them less likely to return edges sutured together to make pouch

154
Q

what is recetioning?

A

removal of cyst or tumor and normal tissue around it

155
Q

WHAT ARE THE STEPS TO TAKE IN MEIDCAL EMERGENCIES ?

A

Stop treatment

Position patient

Oxygen

Reassure

Take Vitals

SPORT

156
Q

MOST COMMON MEDICAL EMERGECNY IN DENTAL CHAIR?

A

SYNCOPE (fainting)

157
Q

what is the most common syncope??

A

VASOVAGAL SYNCOPE (needle anxiety)

158
Q

TREDELENBURG used for what?

A

patient with SYNCOPE lay them back with feet up

159
Q

IF PREGNANT, WHAT SHOULD YOU DO TO PATIENT WHO PASSES OUT

A

LEFT LATERAL DECUBBITUS

turn patient on L so doesnt compress IVC

160
Q

WHAT IS SECOND MOST COMMON CAUSE OF SNYCOPE

A

ORTHOSTATIC HYPOTENSION

first is needle

161
Q

STABLE VS UNSTABLE ANGINA

A

unstable: chest pain at rest

162
Q

TREATMENT FOR ANGINA?

A

ONA ( oxygen -> nitroglycerin -> Aspirin)

163
Q

MYOCARDIAL INFARCTION AFFECT WHAT PART OF HEART?

A

Suddent occlusion of LAD ( left anterior descending artery)

164
Q

TREATMENT OF ANGINA VS MI?

BOARD **

A

ANGINA: ONA (oxy nitro aspirin)

MI: MONA ( morphine)

165
Q

A DIABETIC PATIENT BG LEVELS FALL DRASTICALLY. THEY ARE STILL CONCIOUS. WHAT DO YOU GIVE THEM?

A

glucose tab or orange juice

166
Q

A DIABETIC PATIENT BG LEVELS FALL DRASTICALLY. THEY BECOME UNCONCIOUS. WHAT IS GIVEN TO THEM?

A

IV DEXTROSE or IM GLUCAGON

167
Q

A PERSON WHO IS HYPERVENTILATING SHOULD NEVER BE GIVEN WHAT?

A

OXYGEN

GIVE THEM PAPER BAG INSTEAD

168
Q

WHAT IS DEFINED AS WHEEZING?

A

HIGH PITCH ON EXHALATION

169
Q

WHAT 2 DRUGS TO AVOID WITH ASTHMA?

A

NSAIDS AND NARCOTICS (OXYCODONE)

170
Q

STATUS EPILEPTICUS VS GRAND MAL SEIZURE. WHICH ONE IS MORE THAN 5 MINUTES AND WHICH ONE IS CLASSIC SHORT DURATION?

A

GRAND MAL: CLASSIC

STATUS: MORE THAN 5 MINUTES

171
Q

MEDICATION FOR GRAND MALL VS STATUS EPILEPTICUS SEIZURE

A

GM: DILANTIN/PHENYTOIN

SE: VALIUM/ DIAZEPAM

172
Q

WHAT MINERAL IS STROKE CAUSED BY

A

HYPONATREMIA ( LOW NA+)

173
Q

TIA ( TRANSIENT ISCHEMIC ACCIDENT) STROKE VS CVA ( CEREBROVASCULAR ACCIDENT) STROKE

A

TIA: MINI STROKE

CVA: STROKE

174
Q

WHAT TO DO WHEN SOMEONE HAS A STROK?

A

OXYGEN AND CALL 911

175
Q

ANAPHYLACTIC SHOCK:

WHAT IS

A

AEIOU

albuterol

epinephrine

IM anstihistamine

U call 911

176
Q

WHAT IS THERAPEUTIC INR WINDOW?

A

NORMAL: 1 (dont take meds; above 1 = bleeder; below 1 = clogger)

THERAPEUTIC : 2-3 (take warfarin)

177
Q

WHAT DOES BLEEDING TIME TELL YOU? ***

A

PLATELET FUNCTION

aspirin affects it

178
Q

WHAT does ASPIRIN DO IN THE BLOOD ?

A

ANTIPLATELET NOT ANTICOAGULANT

179
Q

HERBAL ANTICOAGULANTS?

A

GARLIC

GIGNER

GINGKO

GINSENG

180
Q

FUNCTION OF WARFARIN?

A

BLOCK VITAMIN K

181
Q

THIS TEST DETERMINE THE TIME IT TAKES YOUR BLOOD TO CLOT !! **

HOW LONG IS NORMAL TIME AND WHAT DRUG AFFECTS THIS?

A

PTT (PARTIAL THROMBOPLASTIN TIME) : 30-40 seconds

HEPARIN: causes prolonged blood clots (anticoagulant) : 120-140 seconds

182
Q

NERVE MOST DAMAGED IN TMJ SURGERY?

trigeminal

facial

glossopharyngeal

auriculotemporal

183
Q

WHAT IS MOST IMPACTED TOOTH?

mandibular third

maxillary third

maxillary canine

mand second pm

A

mandibular 3rd

184
Q

LUXATOR OF CHOICE FOR EXT OF SINGE RETAINED ROOT OF MAND MOLAR?

cryer

crane

root tip pick

straight elevator

185
Q

LEAST LIKELY CONGENITALLY MISSING TOOTH?

MAX LAT INCISOR

MAX CANINE

MAND SECOND MOLAR

MAND THIRD MOLAR

A

MAX CANINE

186
Q

MYOFASCIAL PAIN DYSFUNCTION IS BEST DESCRIBED AS

clicking and popping

infectious prcoess msticatory pain

disc dislocation

A

MASTICATORY PAIN!!!

187
Q

most common cause of masticatory pain?

board***

A

myofascial pain dysfunction

188
Q

a patient is getting a 5 year post op on an implant. the implant is showingn early .2 mm bone loss since placed. what do you do next?

A

nothing that is a good sign

189
Q

VASOVAGAL SYNCOPE IS WHAT?

board ***

A

passing out b/c of fear of needles: #1 reason patients pass out

190
Q

PATIENT IS UNDERGOING SIMPLE EXT AND STATES HE HAS NEEDLE ANXIETY. PATIENT EXPERIENCES EPISODE OF VASOVAGAL SYNCOPE. WHAT DO YOU not DO?

administer oxygen

place in tendelenburg positon

resassure patient

administer epinephrine

maintain air flow

mental dental (18 decks)

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