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Questions and Answers

What type of medication is fluoxetine?

SSRI

Inhibition of COX enzymes decreases which hormone?

thromboxane

Which is the most common adverse effect of NSAID use?

GI toxicity

What is the mechanism of action of bupropion (Wellbutrin)?

<p>reuptake of norepi and dopamine</p> Signup and view all the answers

What is the ASA classification for a patient who had an MI 3 months ago?

<p>ASA III</p> Signup and view all the answers

What type of biopsy is performed for a mucocele?

<p>excisional</p> Signup and view all the answers

How is a ranula treated?

<p>marsupialization</p> Signup and view all the answers

What medication reverses benzodiazepines?

<p>Flumazenil (Romazicon)</p> Signup and view all the answers

What medication is used to treat a patient with opioid/narcotic addiction?

<p>methadone</p> Signup and view all the answers

What is given first to a patient who is undergoing an MI, nitroglycerine or aspirin?

<p>aspirin, then nitroglycerine</p> Signup and view all the answers

What kind of drug is meperidine?

<p>opioid</p> Signup and view all the answers

Cotton wool radiopaque lesions indicate what condition?

<p>Paget's disease</p> Signup and view all the answers

What does a step ladder pattern on X-ray indicate?

<p>sickle cell anemia</p> Signup and view all the answers

What component in composite can cause an allergic reaction if not properly polymerized?

<p>bisphenol A</p> Signup and view all the answers

Which bacteria is confirmed by partial agglutination assay and what disease does it cause?

<p>Treponema pallidum - syphilis</p> Signup and view all the answers

Civatte bodies on biopsy indicate what condition?

<p>lichen planus</p> Signup and view all the answers

What is the most common oral fungal species after candida?

<p>aspergillus</p> Signup and view all the answers

When does myxedema coma occur? Common symptom?

<p>hypothyroidism; lethargy</p> Signup and view all the answers

What is the process of resorption of vicryl sutures?

<p>acid hydrolysis</p> Signup and view all the answers

At what age should cleft lip surgery be performed?

<p>10 mo</p> Signup and view all the answers

What appliance guides a Class II jaw forward?

<p>Herbst appliance</p> Signup and view all the answers

Which crown material can undergo transformation toughening? What is this?

<p>zirconia; if cracks, can seal crack from yttrium to monolithic phase</p> Signup and view all the answers

Which of the following is not a form of zirconia?

<p>Trapezoidal</p> Signup and view all the answers

What decreases polymerization shrinkage in resin matrix composites?

<p>fillers</p> Signup and view all the answers

Which metal is added to base metal alloys to enhance corrosion resistance?

<p>chromium</p> Signup and view all the answers

Which dental restorative material is known to release toxic vanadium?

<p>titanium alloy</p> Signup and view all the answers

When in utero does the hard palate complete fusion?

<p>9 weeks in utero</p> Signup and view all the answers

Pediatric patients with celiac disease have premature eruption of teeth.

<p>False</p> Signup and view all the answers

Early childhood caries are reversible.

<p>True</p> Signup and view all the answers

Order of PPE (4 items):

<ol> <li>gown; 2. mask; 3. goggles; 4. gloves</li> </ol> Signup and view all the answers

Order of PPE doffing (5 items):

<p>1.gloves; 2.goggles; 3.gown; 4.mask; 5.wash hands</p> Signup and view all the answers

What is the peak absorption range for the most commonly used photoinitiator in dental resins?

<p>468nm</p> Signup and view all the answers

-osin medications (e.g., alfuzosin) are classified as what?

<p>alpha 1 blockers</p> Signup and view all the answers

-olol medications (e.g., metoprolol) are classified as what?

<p>beta 1 blockers</p> Signup and view all the answers

-ol medications (e.g., carvedilol) are classified as what?

<p>alpha and beta blockers</p> Signup and view all the answers

Which antibiotic causes Fanconi syndrome?

<p>tetracycline</p> Signup and view all the answers

Study Notes

Pharmacology and Medications

  • Fluoxetine is classified as a selective serotonin reuptake inhibitor (SSRI).
  • Inhibition of cyclooxygenase (Cox) enzymes leads to a decrease in thromboxane, a hormone involved in platelet aggregation.
  • Gastrointestinal (GI) toxicity is the most common adverse effect associated with NSAIDs.
  • Bupropion (Wellbutrin) acts by inhibiting the reuptake of norepinephrine and dopamine.
  • Aspirin is the first medication administered to a patient experiencing a myocardial infarction (MI), followed by nitroglycerine.
  • Meperidine is classified as an opioid analgesic.
  • Methadone is used as a treatment for patients with opioid or narcotic addiction.
  • Flumazenil (Romazicon) is the medication that reverses benzodiazepine effects.

Oral and Maxillofacial Considerations

  • An excisional biopsy is the preferred method for treating a mucocele.
  • Marsupialization is a common treatment technique for a ranula.
  • Cotton wool radiopaque lesions on imaging are indicative of Paget's disease of bone.
  • A step ladder pattern observed on an X-ray is characteristic of sickle cell anemia.
  • Bisphenol A in composites can cause allergic reactions if not properly polymerized.

Microbiology and Infectious Diseases

  • Treponema pallidum can be confirmed via partial agglutination assay and causes syphilis.
  • Civatte bodies are a histological feature associated with lichen planus.
  • After Candida, Aspergillus spp. is the most prevalent oral fungal species.
  • Myxedema coma is associated with hypothyroidism, commonly presenting with lethargy.

Surgical Considerations

  • Vicryl sutures undergo resorption through a process of acid hydrolysis.
  • Cleft lip surgery is typically performed around 10 months of age.

Dental Materials and Techniques

  • The Herbst appliance is utilized to guide a Class II occlusion anteriorly.
  • Zirconia crowns can undergo transformation toughening, sealing cracks from the yttrium to a monolithic phase.
  • Trapezoidal is not a recognized form of zirconia; other forms include cubic, monoclinic, and tetragonal.
  • Fillers are used in resin matrix composites to reduce polymerization shrinkage.
  • Chromium is added to base metal alloys to enhance corrosion resistance.
  • Titanium alloys are known for releasing toxic vanadium as a restorative material.

Developmental and Pediatric Considerations

  • The hard palate completes fusion at approximately 9 weeks gestation.
  • Pediatric patients with celiac disease do not have premature eruption of teeth.
  • Early childhood caries can be reversible.

Personal Protective Equipment (PPE)

  • The order of donning personal protective equipment (PPE) is gown, mask, goggles, and gloves.
  • The correct order for doffing (removing) PPE is gloves, goggles, gown, mask, followed by hand washing.

Photoinitiators and Absorption

  • The peak absorption range of the most commonly used photoinitiator in dental resins is at 468 nm.

Pharmacological Classes

  • Medications ending in -osin, like alfuzosin, are alpha-1 blockers.
  • Medications ending in -olol, such as metoprolol, are beta-1 blockers.
  • Medications ending in -ol, like carvedilol, are classified as alpha and beta blockers.
  • Tetracycline is known to cause Fanconi syndrome as a side effect.

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Test your knowledge with these flashcards designed for the INBDE exam. Each card covers essential pharmacology topics important for dental board exams. Perfect for quick reviews and memorization of key terms and concepts.

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