OS-OD-Roent Flashcards
A 24-year-old male with history of 1-ppd smoking and occasional alcohol use presents to your office 4 days after a routine extraction of #30 with complaints of severe throbbing pain and a foul taste, but on examination, there is no drainage or erythema of the area. What is the most likely diagnosis?
A. Inferior alveolar nerve injury
B. Alveolar osteitis
C. Infection
D. Osteomyelitis
B. Alveolar osteitis
A 25-year-old female presents with past history of biting her lower lip for several weeks and now presents with a lesion that increases and decreases in size (Photo 30). PMH: asthma, Meds: Albuterol, All: NKDA. On the basis of the symptoms and clinical presentation, what is the treatment of choice?
A. NS rinses four times daily
B. Pen VK 500 mg every 6 hours for 7 days
C. Excisional biopsy
D. Incisional biopsy
C. Excisional biopsy
A dentist removes a maxillary premolar and notices that she has created an oroantral communication, which is 4 mm in diameter. Which of the following is an appropriate treatment?
A. Figure-of-eight sutures to maintain integrity of the blood clot within the socket
B. Requires a buccal fat pad flap advancement
C. Tongue flap advancement
D. No surgical treatment
A. Figure-of-eight sutures to maintain integrity of the blood clot within the socket
A first-year dental student helping out in the clinic for the first time repeatedly obtains x-rays of tooth #16 with a
zigzagged pattern. What could have prevented the zigzagged pattern on the radiographic image?
A. Telling the patient not to move during the exposure
B. Placing the film incorrectly with the lead portion facing the cone
C. Bending the film less when placing in position
D. Using the film only once instead of exposing it multiple times
B. Placing the film incorrectly with the lead portion facing the cone
A medical history reveals that the patient has the following signs and symptoms: polyuria, polydipsia, and weight loss. What is the possible diagnosis?
A. Addison’s disease
B. Diabetes mellitus
C. Polynephritis
D. Hyperthyroidism
B. Diabetes mellitus
A method of obtaining a digital image where the sensor captures the image and immediately transfers it to a
computer is termed
A. Indirect digital imaging
B. Direct digital imaging
C. Storage phosphor imaging
D. None of the above
B. Direct digital imaging
A patient presents to your clinic with a diagnosis of an abscess. Which characteristics support your diagnosis?
I. History of pain and swelling for 3 days
II. History of pain and swelling for 1 week
III. Predominance of anaerobic bacteria with a well-circumscribed border
IV. Predominance of aerobic bacteria with a diffuse border
A. II and IV
B. I, II, and III
C. IV only
D. All the above
B. I, II, and III
A patient presents with tooth pain after being punched in the mouth. Upon examination, the tooth causing the pain is fractured at the coronal portion of the root. There is no mobility or displacement. What is the proper treatment for this patient?
A. Removal of coronal segment and pulpectomy
B. Rigid splint
C. Occlusal adjustment
D. Extraction
A. Removal of coronal segment and pulpectomy
A patient with large squamous cell carcinoma of the lateral border of the tongue is scheduled for a radical neck dissection. Prophylactic extractions of hopeless teeth must be done to prevent which of the following?
A. Rampant caries
B. Periodontal disease
C. Osteoradionecrosis
D. None of the above
C. Osteoradionecrosis
A right unilateral cleft lip is most likely to result from incomplete union between which of the following prominences?
A. The frontonasal prominence to the medial nasal prominence
B. The lateral nasal prominence to the maxillary prominence
C. The lateral nasal prominence to the medial nasal prominence
D. The medial nasal prominence to the maxillary nasal prominence
D. The medial nasal prominence to the maxillary nasal prominence
A surgical procedure used to recontour the supporting bone structures in preparation of a complete or partial
denture is called a/an:
A. Closed reduction
B. Operculectomy
C. Alveoloplasty
D. Gingivoplasty
C. Alveoloplasty
A type of lichen planus which has network of white lines called wickham striae
A. Erosive
B. Atrophic
C. Reticular
D. Plaque
C. Reticular
A white cauliflower-like growth on the cheek mucosa is most probably a
A. Fibroma
B. Lymphangioma
C. Lipoma
D. Papilloma
D. Papilloma
After your film has been processed, you notice it appears too light in color. The least likely cause is:
A. The temperature of the solutions was too cold
B. The solution was too weak
C. The solution was too old
D. None of the above
D. None of the above
All of the following are advantages of a panoramic radiograph except:
A. It shows areas that may not be visible on a bitewing or periapical
B. It shows both arches on the same film
C. It gives better detail and definition than PAs
D. It is more comfortable for the patient because it eliminates the gagging reflex
C. It gives better detail and definition than PAs❌
All of the following may have similar radiographic appearance except:
A. Ameloblastoma
B. Complex odontoma
C. Radicular cyst
D. Eosinophilic granuloma
B. Complex odontoma
An endocrine disorders which is characterized by upper body obesity, round face (moon face), and fat around the
neck
A. Cushing’s syndrome
B. Hypothyroidism
C. Hyperthyroidism
D. Addison’s disease
A. Cushing’s syndrome
An increased serum alkaline phosphatase is observed in which of the following conditions?
A. Paget’s disease
B. Cherubism
C. Garner’s disease
D. Periapical cemental dysplasia
A. Paget’s disease
Any bleeding in the area of the head and neck can be best controlled by:
A. Systemic medication
B. Infiltrate epinephrine
C. Pressure
D. Ice pack
C. Pressure
Bell’s palsy is caused by injury to what cranial nerve?
A. CN V
B. CN VII
C. CN XII
D. CN XI
B. CN VII
Black branching lines appear on a processed film. Which of the following is the most likely cause?
A. Fixer cut-off
B. Developer cut-off
C. Fingernail damage
D. Static electricity
D. Static electricity
Body temperature can be measured in several different ways, which one is the most accurate?
A. Orally
B. Axillary
C. Rectally
D. Aurally
C. Rectally
Cafe au lait spots on the skin are common findings in all of the following, except:
A. McCune-Albright’s syndrome
B. Hyperthyroidism
C. Addison’s disease
D. Neurofibromatosis
B. Hyperthyroidism❌
Dental elevators are used for which of the following purposes?
A. To retract the gingival crest tissue
B. To reflect a full mucoperiosteal flap
C. To engage the tooth apical to the cemento-enamel junction
D. To engage the tooth coronal to the cemento-enamel junction
C. To engage the tooth apical to the cemento-enamel junction
Each of the following is a muscle of mastication except the:
A. Lateral pterygoid
B. Buccinators
C. Masseter
D. Medial pterygoid
B. Buccinators
Extraction wounds heal by which method?
A. Primary intention
B. Secondary intention
C. Tertiary intention
D. None of the above
B. Secondary intention
Fordyce’s granules appear microscopically to be
A. Sweat glands
B. Sebaceous glands
C. Actinomycotic lesions
D. Mucous salivary glands
B. Sebaceous glands
Hairy tongue is a condition characterized by hypertrophy of the:
A. Filiform papillae
B. Fungiform papillae
C. Circumvallate papillae
D. Foliate papillae
A. Filiform papillae
Hepatitis A can be transmitted by
A. Changing diapers on an infected baby
B. Having sex with someone who is infected
C. Eating cooked meat
D. Needle stick injuries from infected patients
A. Changing diapers on an infected baby
Identify which of the following is not a property of x-rays?
A. No weight
B. Cannot be deflected or scattered
C. Have no charge
D. Are invisible
B. Cannot be deflected or scattered
If the highest portion of the 3rd molar crown is between the occlusal table and cervical line of the 2nd molar, it is in
A. Position A
B. Position B
C. Position C
D. Position D
B. Position B
In adults, the normal range of vertical mandibular opening is from
A. 20 to 30 mm
B. 30 to 40 mm
C. 40 to 50 mm
D. 50 to 60 mm
C. 40 to 50 mm
In the dental xray tube, the number of electrons flowing per second is measured by
A. Milliamperage (mA)
B. Kilovoltage peak (kVp)
C. Time (in seconds)
D. All of the above
A. Milliamperage (mA)
In trying to reduce the amount of low-quality, long-wavelength x-rays from exiting the cone, what is commonly added to the cone for added filtration?
A. Tin disks
B. Aluminum disks
C. Thicker glass
D. Different color plastics
B. Aluminum disks
Incision for drainage (l&D) in an area of acute infection should only be performed after:
A. Localization of the infection
B. A culture for antibiotic sensitivity has been performed
C. A sinus tract is formed
D. The patients fever has cleared up
A. Localization of the infection
Infection causes tissue to be more resistant to the anesthetic effect of local anesthetics because:
A. This results in a decrease in the ionized form of the local anesthetic; in turn, the local anesthetic has
difficulty penetrating the cell membrane of the neuron
B. This results in an increase in the ionized form of the local anesthetic at the expense of the unionized form of the local anesthetic
C. Infected tissue has many bacteria that create buffers that hinder the diffusion of local anesthetic toward the nerve cell
D. This results in an increase of the non-ionized form of the local anesthetic; in turn, the local anesthetic effect is diminished because of an increased refractory period because of the abundance of local anesthetic in the neuron
B. This results in an increase in the ionized form of the local anesthetic at the expense of the unionized form of the local anesthetic
It is a small hook-like projection of bone, appears radiopaque, extends from the medial Pterygoid plate
A. Maxillary tuberosity
B. Vomer
C. Hamulus
D. Anterior nasal spine
C. Hamulus
It is a type of flap used in endodontic surgery for performing apicoectomy
A. Oshenbein-Luebke
B. Y-flap
C. Semilunar flap
D. Trapezoidal flap
C. Semilunar flap
It is the biologic effect compared to other types of radiation
A. Exposure measurement
B. Dose equivalent
C. Dose measurement
D. Maximum Dosage
B. Dose equivalent
List the following cells from most radio resistant to most radiosensitive
A. Muscle-thyroid gland-skin-small lymphocyte
B. Thyroid gland-small lymphocyte-skin-muscle
C. Muscle-small lymphocyte-skin-thyroid gland
D. Small lymphocyte-skin-thyroid gland-muscle
A. Muscle-thyroid gland-skin-small lymphocyte