PRTTEST5 Flashcards
- Fordyce granules are:
a. Epithelial inclusion cysts
b. Found on the buccal and lingual aspects of the alveolus
c. Ectopic sebaceous glands
d. Remnants of the dental lamina
c. Ectopic sebaceous glands
- If a dried radiography were processed a second time, its
appearance would show.
a. Increased contrast and density
b. Increased contrast only
c. No change in contrast or density
d. Decreased contrast and density
e. Increased density only
c. No change in contrast or density
- You are performing full-mouth extractions for a patient when he starts to
complain of tinnitus, circumoral numbness, and appear drowsy. What do you
do next?
a. You continue with the procedure because the patient is likely anxious.
b. Discontinue the procedure and send the patient home
c. The patient is probably feeling some pain and is anxious. The patient needs more local anesthetic
d. Discontinue the procedure; monitor the patient for local anesthetic toxicity
d. Discontinue the procedure; monitor the patient for local anesthetic toxicity
- In decreasing order of frequency, what is the correct sequence for
mandible fractures?
a. Symphyseal/parasymphyseal>body>angle>ramus>coronoid>alveolar
b. Symphyseal/parasymphyseal>condyle> alveolar>coronoid
c. Symphyseal/parasymphyseal>angle> body>condyle
d. Symphyseal/parasymphyseal>ramus> angle>coronoid
b. Symphyseal/parasymphyseal>condyle> alveolar>coronoid
- Elongation (the most common error) can be caused by:
a. Too little vertical angulation
b. The film is not parallel to the long axis
c. The occlusal plane is not parallel to the floor
d. All of the above
d. All of the above
- What is the recommended distance (in feet) that the operator
should stand from the patient while taking radiographs?
a. 2 feet
b. 4 feet
c. 6 feet
d. 8 feet
c. 6 feet
- The image of the coronoid process of the mandible often appears in
periapical x-rays of:
a. The incisor region of the mandible
b. The molar region of the mandible
c. The incisor region of the maxilla
d. The molar region of the maxilla
d. The molar region of the maxilla
- After your film has been processed, you notice it appears too dark
in color. The least likely cause is:
a. The film is overdeveloped
b. The temperature of the solutions was too hot
c. The temperature of the solutions was too cold
d. None of the above
c. The temperature of the solutions was too cold
- A dentist removes a maxillary premolar and notices that she has created an
oroantral communication, which is 4mm in diameter. Which of the following is an
appropriate treatment?
a. No surgical treatment
b. Figure-of-eight sutures to maintain integrity of the blood clot within the
socket
c. Requires a buccal fat pad flap advancement
d. Tongue flap advancement
b. Figure-of-eight sutures to maintain integrity of the blood clot within the
socket
- What is the initial force direction with forceps placed on a
tooth for a successful extraction?
a. Apical
b. Buccal
c. Palatal
d. Occlusally
a. Apical
- 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 cementoenamel junction
d. To engage the tooth coronal to the cementoenamel junction
c. To engage the tooth apical to the cementoenamel junction
- Which of the following diseases would contraindicate the placement of
dental implants in an elderly patient?
a. None
b. Dementia
c. Hypertension
d. Hypercholesterolemia
e. Atrial fibrillation
b. Dementia
- How much bone is recommended at a minimum on the facial and
palatal surfaces of the implant to support the ideal orofacial implant
position?
a. 0.25 mm
b. 0.5 mm
c. 1.0 mm
d. 2.0 mm
c. 1.0 mm
- What is the maximum torque that should not be exceeded when
inserting the implant fixture?
a. 25 Ncm
b. 35 Ncm
c. 45 Ncm
d. 50 Ncm
b. 35 Ncm
- A well-circumscribed, white patch in the mandibular facial sulcus
appears secondary to placing aspirin in the area. The most probable
diagnosis is:
a. Hyperkeratosis of the oral mucosa
b. Hyperplasia of the oral mucosa
c. Hypertrophy of the oral mucosa
d. Necrosis of the oral mucosa
d. Necrosis of the oral mucosa
- A patient receives a tentative diagnosis of central giant cell granuloma. For
definitive diagnosis, serum calcium level should be determined to distinguish
between granuloma and:
a. Osteopetrosis
b. Fibrous dysplasia
c. Paget disease of bone
d. Hyperparathyroidism
e. Osteogenesis imperfecta
d. Hyperparathyroidism
- Examination of a 3 –year old boy reveals a fracture of his right leg, blue
sclera, deafness and a peculiarly shaped head.
Opalescent dentin is found
in many of his primary teeth. The most probable clinical diagnosis is:
a. Osteopetrosis
b. Marfan syndrome
c. Osteogenesis imperfecta
d. Cleidocranial dysostosis
e. Infantile cortical hyperostosis
c. Osteogenesis imperfecta 3Bs - Brittle bone, Blue Sclera, Bingi
- A patient who has a white blood cell count of more than 100,000/cc most likely is suffering from
a. Leukemia - leukocytosis - abnormal
b. Polycythemia - inc, in RBC
c. Leucopenia - dec, in WBC
d. Pernicious anemia - B12 deficiency
a. Leukemia = leukocytosis - abnormal
- Hairy tongue is characterized by hypertrophy of which of the following papillae?
a. Foliate
b. Filiform - no taste buds-most abundant
c. Fungiform - w/ taste buds
d. Circumvallate - least numerous
b. Filiform
- What are the common rules to follow to have an accurate radiographic image formation when taking x-rays?
a. Using the correct focal spot size - [smaller, sharper]
b. Placing the film close enough to prevent distortion - [bisecting - lesser O-F, lesser
mag]
c. Cutting down the amount of divergent x-rays reaching the object by using the longest target-film distance - [16 inches]
d. 90-degree angle of the central ray of the x-ray in relation to the film [paralleling, more target-object, lesser mag]
e. All of the above
e. All of the above
- A periapical film of tooth #9 was obtained in preparation for a root canal and an
initial measurement for length of the canal was performed. After initial debridement
of the canal was performed, another x-ray was captured with the initial root length
measured and it appears that the file is approximately 4 mm from the apex. How
could we have obtained a more accurate initial length measurement?
a. Increasing the vertical angulation of the cone in relation to the film
b. Decreasing the vertical angulation of the cone in relation to the film
c. Decreasing the horizontal angulation of the cone in relation to the film
d. Increasing the horizontal angulation of the cone in relation to the film
b. Decreasing the vertical angulation of the cone in relation to the film
- 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. Aluminum disks
b. Tin disks
c. Thicker glass
d. Different color plastics
a. Aluminum disks
- All of the following cells in the body are relatively resistant to damage by radiation except:
a. Muscle cells - [most radiorestant(DECKS) - Fixed post mitotic cells]
b. Mucosal cells -
c. Nerve cells
d. Mature bone
b. Mucosal cells - [vegetative intermitotic cells =divides regularly]
- Extraction wounds heal by which method?
a. Primary intention - [close reapprox. w/ Suture]
b. Secondary intention
c. Tertiary intention - w/ graft
d. None of the above
b. Secondary intention
- Which peripheral nerve fibers are the thickest?
a. Motor fibers
b. Pain fibers
c. Autonomic fibers
d. Proprioception fibers
e. Touch fibers
- Pain
2.Temperature - touch
- pressure
- Skeletal muscle
- A process characterized by the fusion of the surface of a dental implant to the surrounding bone to be used readily as an anchor for tooth:
a. Transosseous - penetrates jaw bore
b. Subperiosteal - [below periosleum, above bone;”rides on”bone]
c. Endosseous - into the jaw bore
d. Osseointegration
e. None of these
d. Osseointegration
- A type of implant that are surgically inserted into the jaw bone:
a. Transosseous
b. Subperiosteal
c. Endosseous
d. Osteointegration
e. None of these
c. Endosseous
- A type of implant that are surgically inserted into the jaw bone penetrating the entire jaw emerging opposite the entry site usually at the bottom of the chin.
a. Transosseous.
b. Subperiosteal
c. Endosseous
d. Osteointegration
e. None of these.
a. Transosseous.
- Salient radiographic finding showing perpendicular bone trabeculation radiating outwardly describe as “hair-on-end” effect and generalized osteoporosis.
a. Aplastic anemia. -[ ↓ RBS]
b. Sickle-cell anemia -[ HBS]
c. Polycythemia - [↑ RBC]
d. Pernicious anemia - [b12 deficiency]
e. None
b. Sickle-cell anemia
- A radiograph of the TMJ will not show.
a. Lipping of the condyle.
b. The articular eminence
c. The meniscus
d. Fracture of the neck of the condyle.
e. None
e. None
- Which electron has the greatest binding energy to the
nucleus?
a. J-shell electron
b. K-shell electron
c. The meniscus
d. Fracture of the neck of the condyle
e. None
b. K-shell electron
- If the mental foramen is superimposed over the apex of a root, it maybe mistaken as:
a. Odontoma - [radiopaque]
b. Rarefaction due to infection -[radiolucent]
c. Cementoma - [radiopaque]
d. Supernumerary teeth - [radiopaque]
b. Rarefaction due to infection
- A unilocular radiolucent lesion in the area of a missing tooth
to where should have development is termed.
a. Cementoma -[ radiopaque]
b. Fissural cyst -[non-odontogenic]
c. Immature central fibroma -[caused by trauma]
d. Primordial cyst
d. Primordial cyst
- Which of the following is a hardening agent in film
processing?
a. A. Acetic acid - [acidifier-neutralizers basic developer]
b. Potassium bromide -[ restrainer/anti-fog]
c. Potassium alum - [shrinks and hardens emulsion]
d. Potassium hydroxide
e. None
c. Potassium alum
- For five days, a 25-year old man has had painful oral ulceration. Several reddish macular lesion are present on his face and hands, most of which have a ring-like or bull’s eye appearance. He had “cold
sores” two weeks earlier. Tentative diagnosis is:
a. Lichen planus.
b. Aphthous ulcers.
c. Pityriasis rosea.
d. Verruca vulgaris
e. Erythema multiforme
e. Erythema multiforme
Lichen planus. - —whitelesion=Wickham Strine
Aphthous ulcers. —- reddish
Pityriasis rosea. —raised, sadly rashes
Verruca vulgaris —wark, camiplower-like
Erythema multiforme —prior recurrent herpetic episode
- Which palpation method is used to examine the floor of the
mouth?
a. Bimanual
b. Bidigital
c. Digital
d. Circular
a. Bimanual
- Physical examination of a 28-year-old man reveals an extensive, smooth enlargement of the body of the mandible in the molar region. The patient states that the enlargement has been present for two years and has slowly and steadily increase in size. The most probable clinical diagnosis is:
a. Osteosarcoma
b. Ameloblastoma.
c. Osteomyelitis
d. Osteitis deformans
b. Ameloblastoma.
Osteosarcoma ~pain-sunburst
Ameloblastoma. - soap bubble
Osteomyelitis - pain - motheaten
Osteitis deformans - pain-cotton wool
- A 56-year-old man has had a lesion on the floor of his mouth for six weeks without significant clinical change. Examination shows a 2-
cm lesion in the area of the submandibular duct. Which of the following should be performed to confirm the clinical diagnosis?
a. Punch biopsy
b. Incisional biopsy
c. Excisional biopsy
d. Exfoliative cytology
b. Incisional biopsy - >1cm
c. Excisional biopsy - <1cm
d. Exfoliative cytology - only an adjunct
- A patient on propylthiouracil therapy requires oral surgery. A routine preoperative laboratory report indicates a hematocrit value of 45%, serve neutroperia, reduce myeloblasts in the bone marrow and coagulation time of 8 minutes. The primary hazard to this patient:
a. Hypoxia
b. Infection
c. Hemorrhage
d. Thyroid crisis
e. Uremic poisoning
b. Infection
Hypoxia — decrese o2 and bleeding time: 2 - 4 mins
Thyroid crisis – epinephrine
Uremic poisoning - - end-stage renal ds.
**propylthiouracil therapy - tx For pxt w/ hyperthyroidism
- A patient gives a history of bruising easily, nocturia, excessive
thirst and a low resistance to infection. The patient is likely to be
suffering from:
a. Diabetes insipidus
b. Diabetes mellitus
c. Glomerulonephritis
d. Lupus erythematosus
e. Thrombocytopenic purpura
b. Diabetes mellitus
**
a. Diabetes insipidus — hyposecretion 0F ADH
b. Diabetes mellitus
c. Glomerulonephritis –↓ urination
d. Lupus erythematosus - - SLE
e. Thrombocytopenic purpura – - platelets