Sim Exam Flashcards
Restorative treatment is performed under nitrous oxide sedation. Each of the following is a sign of oversedation EXCEPT one. Which is the EXCEPTION?
-Circumoral numbness
-Drowsiness
-Laughing
-Nausea
Circumoral numbness
The lesion is biopsied, and the biopsy report diagnoses it as a brown tumor. This lesion is most similar to which of the following?
CGCG
An employed dental assistant is suspected of abusing opioid narcotics. Which of the following is the best course of action?
-Report if in line with state law
-Offer to pay for rehab
=Attempt to catch her in act
-Do a spontaneous drug test
Report if state law allows
The most common reason for partial denture rest seat fracture is _______
excessive occlusion during function.
Each of the following is a cytokine that aids in the stability and success of an implant EXCEPT one. Which is the EXCEPTION?
TGF B1
IL-1
TNF alpha
BMP-4
IL-1
Which of the following is a metal material that is LEAST susceptible to green discoloration?
-Gold
-PFM
-Zirconia
-Cast metal
Gold
Which of the following treatments used for Sjogren’s syndrome is also used for systemic lupus erythematosus?
-Pilocarpine
-Methotrexate
-Cevimeline
-Xylitol gum
Methotrexate
What department provides funding for most of the healthcare systems, including medical and dental, in the United States?
HHS
CDC
HRSA
NIH
HHS
A full mouth series is planned prior to scaling and root planing. What precautions need to be implemented when preparing the digital sensor (HIV + pt status)?
-SIngle wipe, single barrier
-Single wipe, double barrier
-Double wipe, single barrier
-Soak in disinfectant for 10 mins
Double wipe, single barrier
What do longitudinal studies measure?
-Cause and effect
-Disease prevalence
-Risk and association
-Exposure status
Risk and association
A biopsy report states histological findings of Tzanck cells. This virus lies dormant in which ganglia following infection?
-Geniculate
-Trigeminal
-Sacral
-Basal
Trigeminal
Pierre Robin sequence is associated with all of the following findings EXCEPT one. Which is the EXCEPTION?
-Hypoplasia
-Micrognathia
-Natal Teeth
-Cleft palate
Hypoplasia of maxilla
Orthodontic relapse occurs primarily due to which gingival fiber type?
-Apical fibers
-Alveolar crest fibers
-Oblique fibers
-Transseptal fibers
Transseptal fibers
As soon as the hygienist begins the cleaning, the patient experiences pruritus, dysphagia, and shortness of breath. Which of the following is the best initial management?
-Albuterol
-Epi
-Benadryl
-Dexamethasone
Epi
What bacteria is commonly seen in root caries?
Actinomycoses
What is the longest estimated half-life of bisphosphonates in bone?
-10 hours
-10 weeks
-10 months
-10 years
10 years
When taking an impression of the lower arch, which structure forms the distobuccal border?
Masseter
Which of the following permanent teeth are most likely to have two canals with two foramina?
-Max central
-Max lateral
-Mand central
-Mand lateral
Mand lateral
Salt and pepper trabeculation is a key radiographic feature of ______
Hyperparathyroidism
Bleeding from the extraction socket of #8 originates primarily from which arterial branch?
ASA artery
The patient is given a prescription for tramadol (Ultram®) to be taken as needed. According to the Drug Enforcement Agency (DEA), the prescribed drug is under which schedule classification?
Scheudle IV
The patient had difficulty achieving profound anesthesia, and four carpules of 4% articaine with 1:100,000 epinephrine were administered. What is most likely to occur following the administration of local anesthetic?
-Increased Heart rate
-Decreased Bp
-Increased bp
-Increased bronchodilation
Increased bp
Each of the following is a clinical presentation of Addison’s disease EXCEPT one. Which is the EXCEPTION?
-Increased appetite
-Darkening of skin
-Abdominal pain
-Hair loss
Increased appetite
The patient elects to crown teeth 2, 4, and 6. The final crown impression is satisfactory except for poor margin detail. Which of the following is the most likely reason for this error?
-Insufficient soft tissue retraction
-Impression tray was too small
-Adjusting the tray after the patient initially bit down
-Surface contamination
Insufficient soft tissue retraction
Which of the following is contraindicated for use for a pt with Down syndrome?
-Rubber dam
-Mouth Prop
-Protective stabilization
-Nitrous oxide
Protective stabilization
Each of the following is true regarding rheumatoid arthritis EXCEPT one. Which is the EXCEPTION?
-Females are at higher risk
-Smoking and obesity are common risk factors
-Genetic predisposition for the condition
-Initially affects weight-bearing joints
Initially affects weight bearing joints
What characteristic of bacteria aids in its resistance to irrigation techniques during root canal therapy?
-Bacterial conjugation
-Bacterial motility
-Biofilm formation
-High reproduction rate
Biofilm formation
After extraction, how much vertical bone loss is expected along both the buccal and lingual ridges?
-0-5%
-10-20%
-30-40%
-50-60%
10-20%
Which of the following is implant failure most attributed to?
-Osteopetrosis
-Osteopenia
-Osteoarthritis
-Osteomyelitis
Osteomyelitis
Which force is most concerning in regards to implant failure?
-Horizontal
-Vertical
-Oblique
Horizontal
Due to the patient’s financial status, only extractions were offered as a viable treatment option. This violates what ethical principle?
-Autonomy
-Justice
-Veracity
-Benefecience
Autonomy
When preparing tooth 19 for a post and core, what is the minimum amount of gutta-percha that should remain for an adequate apical seal?
-3mm
5mm
7mm
9mm
5 mm
Each of the following is a mechanism of action of aspirin EXCEPT one. Which is the EXCEPTION?
-Inhibits TA2 synthesis
-Acetylates the active site of COX
-Inhibits COX 2 synthesis
-Inhbits prostaglandin synthesis
Inhibits COX 2 synthesis
Where is the mandibular foramen located in pediatric patients relative to that of adults?
-Anteiror and inferior
-Anterior and superior
-Posteior and inferior
-Posterior and superior
Posterior and inferior
Each of the following is an oral manifestation of hyperglycemia EXCEPT one. Which is the EXCEPTION?
-Xerostomia
-Increased probing depths
-White mucosal ulcerations
-Dysguesia
White mucosal striations
Each of the following describes the mechanism of action of metformin (Glucophage®) EXCEPT one. Which is the EXCEPTION?
-Increases insulin sensitivity of tissues
-Decreases gluconeogenesis
-Decreases glucose uptake from intestine
-Increases glucagon production
Increases glucagon
Each of the following may be included in the prescribed medication (magic mouthwash) EXCEPT one. Which is the EXCEPTION?
-Antacid
-Antiviral
-Steroid
-Antifungal
Antiviral
Which vital structure is at risk of damage during periosteal elevation of #17?
-Lingual nerve
-IA
-Buccal nerve
-Nerve to the mylohyoid
LIngual nerve
Clindamycin (Cleocin®) is active against each of the following bacteria EXCEPT one. Which is the EXCEPTION?
-Staph aureus
-Strep pneumonia
-Prevotella intermiedius
-Pseudomonas aeruginosa
Pseudomonas aeruginosa
The patient’s lungs likely contain which of the following (10 year smoker)?
-Increased elastin
-Smaller alveoli
-Collapsed air sacs
-Decreased mucous
collapsed air sacs
Which smoking cessation therapy has the most significant neurological side effects?
-Nicotine patch
-Nicotine lozenges
-Buproprion
-Varenicline
Buproprion
Which of the following is an absolute contraindication to administering nitroglycerin?
-Chronic renal failure
-History of stroke
-Presence of a pacemaker
-Use of sildenafil
Use of sildenafil
