Practice Questions 1 Flashcards
A decrease of ___ causes an increase in radiographic density?
Source-film distance
Each of the following is an electromagnetic radiation except one.. which one?
Radar X-rays Alpha rays Gamma rays Visible light
Alpha rays
What are the physical symptoms in the eyes in a severe CNS oxygen deprived patient?
Dilated pupils with an absence of light reflex
What is the major route of excretion of penicillin V? F
Secretion not metabolized in the urine
What space management treatment should be planned for a child age 4, missing both primary mandibular first molars with no primate space present? Why?
Bilateral band and loops
The mandibular permanent incisors are not present
Each of the following characterizes an IMPENDING insulin shock except one. Which one?
Weakness
Convulsions
Mental confusion
Cold perspiration
Convulsions
Why is ethyl alcohol a good antidote for methanol poisoning?
It inhibits methanol metabolism
It competes successfully with methanol for alcohol dehydrogenase
It prevents formation of formaldehyde
It prevents damage to the optic nerve
Each of the following nonsedating antihistamines would be contraindicated in an individual taking cimetidine for heartburn except one. Which one?
Astemizole (hismanal) Diphenhydramine (Benadryl) Fexofenadine (Allegra) Hydroxyzine (vistaril) Terfenadine (seldane)
Fexofenadine (Allegra)
Which of the following is a LOCAL contraindication for the surgical removal of an impacted tooth?
A nonvital tooth Fever of unknown origin A history of bleeding disorder An undiagnosed ulcer in the oral cavity Pale gingiva with hx of anemia
An undiagnosed ulcer in the oral cavity
What property increases when the intermediate chain of a local anesthetic drug is lengthened?
Potency
Alveoplasty following closed extraction is usually performed with ___
Fingers
True or false… periosteal elevators can be used to luxate teeth
False
The fenestration technique for mandibular vestibuloplasty is based on the premise that the mucosal attachment will…
Not cross a fibrous scar band
What is a constitutional symptom?
Constitutional symptoms refers to a group of symptoms that can affect many different systems of the body. Examples include weight loss, fevers, chills, headache, fevers of unknown origin,
What is the most commonly used surgical procedure to correct maxillary retrognathia?
Le Fort 1 osteotomy
In the preauricular approach to the TMJ, which anatomic structure, if damaged, presents the potential for the greatest morbidity?
Facial nerve
How does the growth of the cranial base generally relate in time to the growth of the jaws?
It precedes it
Which flap design allows the best surgical access to the apical aspect of a tooth root with the least reflection of soft tissue?
Semilunar
Principles for managing a localized alveolar osteitis after extraction of a mandibular first molar include each of the following besides one. Which one?
Flushing out debris with normal saline solution
Curetting the honey wall to promote bleeding
Placing a sedative dressing in the socket to protect exposed bone
Administring mild analgesic drugs as an adjunct to local treatment
Curetting the bony wall to promote bleeding
Define “temporomandibular Disorders”
A collective term for a hetorgenous group of musculoskeletal disorders varying etiologies that present with similar signs and symptoms
Describe the proper preprosthetic surgical procedure of moderate-sized mandibular lingual tori removal.
The tori should be removed by grooving teh superior surface then shearing the torus off with a mono-beveled chisel. The area is then smoothed with a bone file
True or false… xenografts are frequently used n mandibular reconstruction
False
When a patient bites on a hard object on the left mandibular molar, the inter articular pressure of the right TMJ is ___
Decreased
True or false.. when administering inhalation sedation, the patient should remove contact lenses. The initial flow rate of oxygen should be at least 6L/min. As the flow of nitrous oxide through the mixing dial style unit is increased, the flow rate of oxygen is reduced so the correct percentage of each is delivered at a constant flow rate.
True
Each of the following is a common cause of postsurgical atelectasis (decreased expansion of the alveoli) except one. Which is the exception?
Shallow inspirations
Pain-limiting movement
Inactivity after surgery
Preoperative respiratory infection
Narcotic analgesic that depresses the respiratory drive
Inactivity after surgery
Which of the following antibiotics has been implicated in the vast majority of cases of oral contraceptive failure during antibiotic use?
Penicillin Rifampin Keflex Erythromycin Tetracycline
Rifampin
What is the main function of the liner used in a casting ring?
Allow uniform and uninhibited setting expansion of the investment
True or false… rubber dams in endodontic treatment can not be used if the patient is informed and consents.
False. A rubber dam is always an essential component of endodontics
What is an acronym for a marketing strategy to use for reluctant patients?
OPTIMEM
Objectives Patients Tools Incurred Costs Message Everyone Monitoring
Spontaneous gingival hemorrhage or acute stomatitis, observedin a pediatric patient under treatment for absence seizures, indicates withdrawal of the anticonvulsant ___.
Valproic acid
Back pressure porosity is evidenced by…
Often evidenced by rounded margins on the casting
What is the main metabolite of ingested isopropyl alcohol?
Acetone
Larger condensers and laterally applied condensation forces are recommended to ensure complete condensation of which type of amalgam? F
Spherical
Compressing the acrylic resin in a rubbery stage will probably result in…
Incomplete filling of the model details
Why are properly designed rests on the lingual surface of a canine preferred to a properly designed rest on the incisal surface?
Less leverage is exerted against the tooth by the lingual rest
What is the main metabolite of ingested isopropyl alcohol?
Acetone
What is the main disadvantage of glass ionomer cement?
Moisture sensitivity during initial set
The base of the incision in the gingivectomy technique is located [above/below] the mucogingival junction
Above
The most important anticoagulant effect of heparin is to interfere with the conversion of __ to ___
Fibrinogen to fibrin
When determine the appropriate does of systemic fluoride supplements for a child, it is most important for the density to consider what?
The child’s age and the fluoride content of the drinking water
What is the drug of choice to treat overdosage with tricyclic antidepressants?
Phystostigmine
Drug interaction resulting in serious adverse cardiovascular events, including death, might occur between erythromycin and what antihistamine drug?
Terfenadine
What is the proper way to clean up a mercury spill in the lab or office?
Aspirating the mercury into a wash bottle trap, then dusting the spill area with sulfur powder
Name the 4 parts of a prescription
Superscription
Inscription
Subscription
Transcription
(Note that conscription is not)
Inhalation of amyl nitrate can result in each of the following except one. Which one?
Tachycardia
Coronary artery dilation
Peripheral arterial dilation
A decrease in arterial blood pressure
Increased motility of the small bowel
Increased motility of the small bowel
Prolonged use of amyl nitrite may result in…
Methemoglobinemia
True or false… organophosphates are readily absorbed through the skin
True
When high gold content alloys are compared to base metal alloys, the base metal alloys exhibit [higher/lower] melting point, [increased/decreased] specific gravity, and generally [higher/lower] yield strength and hardness
Higher
Decreased
Higher
The central skeletal muscle relaxation produced by depressing the polysynatpic reflex arcs is brought about by all of the following drugs except…
Diazepam
Lorazepam
Meprobamate
D-tubocurarine
D-tubocurarine
The cardiac glycosides will reduce the concentration of which ion in an active heart muscle cells?
Potassium
Which of the following drugs is excreted primarily by renal tubular secretion?
Benzylpenicillin
Streptomycin
Tetracycline
Bacitracin
Benzylpenicillin
How many days before dental surgery do you need to stop aspirin?
7-10 days
Infection of the ___ space causes severe trismus WITHOUT any obvious clinical swelling
Pterygomandibular
What is the drug used to treat overdose of meperidine?
Naloxone
What is the function of a hex in an implant?
Anti rotational device
What is the mechanism of sulphonylureas?
Directly stimulate the pancreas to secrete insulin
What are the primary bacterial invaders that cause pulpal infections?
Facultative aerobes
Which bacterial type is found in causing severe spreading abscesses?
Bacteroides?
Which malocclusion is most difficult to take a centric relation record?
Class 3 malocclusion
Acidulated phosphate fluoride solutions must be stored in __ containers.
Polyethelene
True or false… Tachycardia is a side effect of nitrous oxide
True
What is the major reason for polishing amalgam?
Reduce potential for plaque accumulation
What is the max % of N2O for a child?
50%
Accepted technique or the reduced pocket depth includes osseous surgery. True or false.
False?
What does the W on the rubber dam clamp stand for?
Wingless
What is the LEAST common congenitally missing tooth?
Canine
Define dehisense
The loss of buccal or lingual bone overlying a tooth root
Define collimation
The accurate adjustment of the line of sight of a telescope
control of size and shape of X-ray beam
After periodontal surgery what type of healing occurs most of the time?
Repair
What is the biggest risk in performing a BSSO (bilateral split sagital osteotomy)
Paresthesia
What is the best treatment for a tooth with an existing RCT and a class 3 furcation?
Split in two as two premolars (hemisection)
True or false… GTR is a favorable treatment in class 3 furcations
False. It is not an option
True or false… diazepam is contraindicated in pregnancy
True
What tissue type is least sensitive to xrays?
Muscle
What syndrome is characterized by rapid loss of teeth and hyperkeratosis of hands and feet?
Papillon Lefevre Syndrome
What is an intrabony defect?
Same as infrabony, vertical bone loss
What are the purposes of bleeding spots in the gingivectomy procedure?
Outline the incision line
What tissues are involved in periodontal regeneration?
Cementum
PDL
Bone
True or false… with successful RCT,some dentin regeneration is expected.
False. Not dentin is regenerated. Bone may be regenerated though
Of the following, which is not considered as increased risk of oral cancer?
HPV
HIV
Alcohol
Tobacco
HIV
If bone is kept at ___ degrees for over 1 minute it can cause necrosis.
55C
True or false… demineralized, freeze dried bone has BMP in it
True (BMP = bone morphogenic proteins)
What syndrome is characterized by lysosome storage disease, abdominal hernias, ear infections, colds, prominent forehead, enlarged tongue, mental retardation?
Hunter Syndrome
True or false.. children with autism frequently display repetitive behavior
True
What odontogenic tumor/cyst has the largest incidence of recurrence?
OKC
What is the mechanism of most drugs that treat arrhythmias?
Decreases repolarization rate, prolongs refractory period
If a patient is taking saw palmetto, what drug should you avoid?
Aspirin
If a patient is taking ginseng what drug should you avoid?
Warfarin