Dental Exam Questions & Answers PDF

 Case contour Primary chance Secondary mucous patch Tertiary gumma Congenital m...

 Case contour Primary chance Secondary mucous patch Tertiary gumma Congenital mulberry Conduct a needs assessment LN,IAA,IAN 3-4 or i Radiogrpahically not visitble Histo visible Decreased and asymptomatic Better wear resistance Phemigoid hemi Phemigious des  Beta her 1h ptosens Iver  10-04-2023 and 15-04-2023 Hello everyone, these are some questions I remember from my test. Study the principles of ethics and types of studies in statistics, because I couldn't remember these questions precisely, and the questions had no math to solve, but in each set of my test I had around six questions on these subjects. If I help at least one person with these RQs, it will be enough for me! Enjoy!!! 1) Newly hired dental assistant, all should be done except? A) Hepatite B B) Tuberculosis C) Pertussis D) Tetanus 2 ) Gorlin syndrome associated with? A. Odontogenic keratocysts B. Squamous cell carcinoma C. Ameloblastoma D. Odontoma 3) Patient had no teeth but the radiograph exam showed supernumerary teeth. Syndrome associated with? A. Ectodermal dysplasia b. Cleidocranial dysplasia c. Mandibular-dysostosis 4) Patient with trismus, which muscle is most affected? A. Lateral pterygoid b. Medial pterygoid c. Digastric d. Temporalis 5) Crouzon syndrome related to A. Premature fusion of mid face b. Defect in organs in midline c. Wide set eyes d. Small ears 6) Nitroglycerin works by causing a. Increase in vasodilation dilation of coronary artery b. Increase in vasoconstriction of coronary artery c. Increase in heartbeat d. Increase in workload 6) Pt brought by mother. Had to travel 1.5 hrs to reach the clinic. Marginalized background. Pt had poor oral hygiene, multiple caries and moderately uncooperative. What to give on the first visit? a) SDF b) Fluoride varnish c) Topical fluoride gel d) Do restoration 7) Child pt brought by mother complaining of fever and vesicular rash on hand, foot and Mouth.A ¡Error! Marcador no definido. b............................................................................................................................................................. 5 c............................................................................................................................................................. 5 d............................................................................................................................................................ 5 What's the cause? a) Coxsackie 8) Patient had lesions on the left palate extending from tooth 9 to 14 , left lip region. Which virus causes it? A. Varicela zoster b. Herpes Simplex Virus c. Human papillomavirus d. Epstein barr Virus 9) Which nerve supply movement of tongue?XII 10) Pt was recently given complete denture in both jaws. Within a few days she complained of a cheek bite. Reason? A. Increased vdo B. Poor habituation C. Pointed anterior nasal spine D. Palatal seal extension 11) Ibuprofen is a. Leukotriene receptor inhibitor b. Inhibition of prostaglandins c. Phospholipase inhibitor d. Blocks arachidonic acid 12) Patient on oral bisphosphonates for 2 yrs. Pt wants full mouth extraction for complete denture. A. Consult with primary care physician about treatment option B. Extract all teeth C. Stop drug for two months and extract all teeth D. Don't extract teeth 13) A case of Down syndrome pt OPG was given slightly blurred A. What is the cause of OPG finding? A. Patient tilted head back b. Patient moved c. Chin is up d. Chin is down 14) Mumps caused by? a) Air borne 15) Butterfly rash b) SLE 16) Asthma pt. Taking a steroid inhaler. Wipeable white plaque like lesion on palate a) candidiasis 17) What to give? a) Nystatin 18) What advice to give? a) Rinse with water after taking inhaler 19) Fissured tongue commonly associated with A. Geographic tongue b. Hairy tongue c. Enlarged tongue d. Bald tongue 20) For hepatit c pt what to use? a. Wear face shield without mask b. Wear double gloves c. Take precautions during invasive procedure d. Use high level disinfectant 21) Latent TB patient, what to use? a. N95 mask  b. Suction pressure c. Universal precautions 22) Temporal relationship between disease and cause established by a. Case control b. Prospective cohort c. Rct d. Cross sectional 23) Which is highest in evidence based study? A. Case control B. RCT C. Cohort D. Meta Análise 24) There were pt notes and a journal was made A. Case report b. Systematic Review c. Cohort d. Case series 24) Which has the worst prognosis? a. Intrusion b. Extrusion c. Luxation d. Subluxation 25) Avulsed tooth. What should not be done? a. Clean root in chlorhexidine b. Irrigate the socket with saline c. Keep tooth in socket 26) Patient with sleep apnea what test to do?  a. Overnight sleep study 27) Patient is moving to another state and wants her dental records sent to a new dentist though she hasn't covered her bills. What should be done? a. Ask the new dentist to call him and sign to get the records b. Deny the patient of the records c. Send the bills to her home and then ask her to come to get the records d. You ask patient to sign and give her records 28) Methadone is Prescribed in patients with morphine addiction. What is the reason? a) It has lesser side effects b) It causes less physical dependence c) It doesn't cause physical dependence 28) Opioids cause all except a) Constipation b) Nausea and vomiting c) Diuresis 29) What is most important for a post ? a) Diameter of canal b. Diameter of post c. Remaining portion 30) Cells responsible for root resorption? a) Osteoclasts b) Osteoblasts c) Odontoblasts d) Fibroblast  What 31) cell is the precursor after tooth extraction? a) Osteoclasts b) Osteoblasts c) Odontoblasts d) Fibroblast 32) Patient missing teeth 17, 18, 19, and 30, 31, 32. Where the Rest seat is going to be placed? a) On cingulum of two canines b) On mesial of 20 and 29 c) On distal of 20 and 29 33) Hard nodule-like lesions in the anterior region. What can be seen in a biopsy? a) Abscess b. b) Normal mucosa and bone c) Salivary acini 34) On stretching the lesion disappears. What is the diagnosis ? a) Leukoedema b) White sponge nevus c) Leukoplakia d) Lichen planus 35) What may be the Diagnostic differential caused by irritation except? b) Leukoedema c) Lichen planus d) Fibroma 35) Case of multiple myeloma. What should you ask the treating oncologist about the pt? a) Chemotherapy medication b) Dose of x-ray given in mandible c) Type of multiple myeloma  What 36) happens due to smoking except? a) Increase in bleeding b) Bone loss c) Decreased healing d) Collagen formation is defective 37) What can cause Crossbite Except? a) Airway obstruction b) Pacifier c) Migroglosia d) Thumb sucking deduced that it was SCC. and asked what would be involved in the street layer? A- st spinosum B- st basal C- st corneum 39) Aspirin Moa a) Inhibit platelets aggregation 49) What is the main component of amalgam? a) Mercury b) silver 50) Image type scheme, they place something like this: Patient 1: information of patient Patient 2: information of patient Patient 3: information of patient. What type of study will be made? A) Case series B) Experimental study  What C) Descriptive study D) Systematic Review 51) is the percentage of caries that can be visible on a radiograph: A) 5-15 B) 20-30 C) 40-50 D) 70-80 52) Cupping on occlusal: a) Erosion b) attrition c) abfraction 53) Dentists remove old amalgam to remove toxins from the mouth. What broken principle? a) Non-maleficence b) Justice c) Veracity 54) All are demographic data of patients related with caries EXCEPT? a) gender b) socioeconomic c) nutrition d) age 55) Case of a patient with angina pectoris who was given Nitroglycerin and did not improve. What is your next step? (they don't specify how many times it was given, they only say that it did not improve). A) Activate EMS B) Give oxygen C) Give Aspirin 56) Wound healing phase that is going to maintain the clot and achieve hemostasis :  What A) Inflammatory B) Proliferation C) Migration D) Remodeling 58) Fibroma clinical picture to identify 59) patient with albuterol and white plaque on palate what is that? A) candida 60)-What molar has 3 cusps? A. Third superior molar B. Second superior mol C. Second Inf molar 61)In the previous case, what to do next after medical consultation? A) informed consent B) take INR 62) Patient has enlargement in knees, has submandibular and ant. And post. Cervical enlargement (tender)? a) Behçet's 63) Case patients have hypertension, diabetes, The dentist is going to do a tooth extraction, the patient's blood pressure is normal, and he is using a hypertensive medication. After anesthesia, his blood pressure rises to 145x95. What is the blood pressure category ? A) Hypertension stage 1 b) Hypertension stage 2 64) A patient presents lingering pain with cold and percussion. The pulpal and periapical diagnosis that best describe this patient are? a) normal pulp, chronic abscess b) normal pulp, symptomatic apical periodontitis c) irreversible symptomatic pulpitis, symptomatic apical periodontitis d)irreversible symptomatic pulpitis, chronic abscess 65) Female taking estradiol is getting extraction , all of these is true regarding giving antibiotics EXCEPT: a) Antibiotic Prophylaxis will hinder contraception b) Anti. Prophylaxis can cause gastrointestinal disturbances c) Can hinder will analgesics d) Can result in allergic reactions 66) The better tapper a) 6 - 10 b) 10 - 20 c) 20 - 30 67) Tetralogy of fallot that was repaired a) Consult with the pediatric cardiologist b) Consult with the pediatric dentist c) Consult with general dentist d) Give antibiotic 68) They are all ectomesenchymal except? a. Buccal mucosa b. smooth muscle c. cartilage d. bone 79) The fistula of a chronic abscess produces exudates that are mainly made up of? a. Lymphocytes b. Neutrophils c. Monocytes d. Eosinophils 80) A person insists on having his teeth whitened, if the dentist follows with his request, the dentist will be following which ethical principle? a) Autonomy b) Beneficencia c) Non-Maleficence d) Veracity 81) Muscles most involved in trismus A. Lateral pterygoid b. Medial pterygoid c. Digastric d. Temporalis 82) 17 yrs male. Came to the clinic after 2 yrs. Patient had full mouth bitewing and only one interproximal carious lesions. Which cambra classification? a. High b. Low c. moderate d. Very high 83) What mechanism of action of Ibuprofen? a. Leukotriene receptor inhibitor b. Inhibition of prostaglandins c. Phospholipase inhibitor d. Blocks arachidonic acid 84) Pt on oral bisphosphonates for 2 yrs.Pt wants full mouth extraction for complete denture. A. Consult with primary care physician about TT option B. Extract all teeth C. Stop drug for 2 months and extract D. Don't extract teeth 85) How many teeth are present in an 8 yrs child? a) 12 permanent 12 deciduous b) 20 permanent 4 deciduous c) 18 permanent 6 deciduous d) 18 primary 6 permanent 86) What is the risk due to abscess in the maxilla? a) Infection to eye b) Ludwig's angina c) Sinusitis d) Draining into facial vein 87) Fracture of crown with exposure of pulp. What type of fracture? a) Complicated b) Compound c) Uncomplicated 88) Pt had one remaining lower incisor root rest of the teeth not present and is visiting dental for the first time. What radiograph should be taken? a) Only OPG b) OPG + periapical c) OPG + bitewing d) OPG + occlusal 89) What is done in hyperventilation? a) Increase in paCO2 b) Decrease in paCO2 c) Increase in paO2 d) Decrease in paO2 90) Bruxism patient what will happen? a) Cracked lines b) Troughing c) Smooth surfaces d) Contact points 91) Patient has a fracture at the ramus, what muscle will pull the mandible? a) Masseter b) Buccinator c) Temporalis d) Medial pterygoid 92) What is the reason for enlargement of the tongue? a) Amyloidosis b) Medication c) Candidiasis 93) having redness under the denture, what is it? a) Denture Stomatitis 94) In the same patient, what is the treatment? a) Nystatin 95) Patient taking an inhaler for asthma, has white patch on the palate, can be wiped off, what to tell the patient? A- Eat before using inhaler B- Rinse water after inhaler use C- Biopsy 96) Which study is most effective A- Case report B- Case control C-Randomized Controlled Trial D-Cohort 96) What does Tuberculosis agent kill? A- Pneumococcal B- Mycobacterium 97) What Is NOT TRUE about spore tests? A- Perform one every month 98) Alveolar osteitis, what is not true? A- Contraceptives can cause it B- Due to increased fibrinolytic activity C- Easily identified cause 99) How is impetigo spread? A- Direct contact B- Blood C- Fomite D- Airborne 100) Cupping on occlusal. What is the cause? A- Erosion B- Abrasion 101) Report Child abuse A-Beneficence 102) Poorly controlled Diabetes A. 5.0-5.5 B. 6.0-6.5 C. 7.0-7.5 D. 8.0-8.5 103) Patient complains of sensitivity to cold in gingival margin, most likely diagnosis? A) reversible pulpitis B) periodontal disease C) irreversible pulpitis D) Necrotic pulp 104) Patient with asthma has 5 night time attacks per month, what is his classification? A) Intermittent mild B) persistent mild C) persistent moderate D) severe 105) Precursor cell for bone formation in extraction socket? A) osteoblast B) osteoclast C) Fibroblast 106) When treating this patient suddenly he has slurred speech, blurry eyes and blood pressure is 200/90, what is the diagnosis? A) Anaphylaxis B) cerebrovascular accident C) vasovagal reaction D) ictal seizure 107) Memory lapses and difficulty in organization, what is the classification of alzheimers? A) mild B) moderate C) severe 108) Which of the following is contraindicated in patients using calcium channel blockers? A) amoxicillin B) azithromycin C) clarithromycin 109) Patient has cardiac arrest, what is the most effective approach? A) Cardiopulmonary Resuscitation B) automated external defibrillator (AED) c) Oxygen 109) Patient complains of slow mental state and depressed and has white frosts in face, trunk, and extremities: A) End-stage renal disease B) SLE C) Hep B d) Addison disease 110) Dentist explains the risk and disadvantages of removing sound, carious free restoration, but the patient elects to proceed. What ethical principle is followed? A) autonomy B) nonmaleficence C) veracity 111) Which of the following is an advantage of straight line access A) conserve dentin B) ease of placement of instruments C) Instruments can reach the apical third of curved canal 112) You refer a down syndrome patient to a cardiologist for what? A) atrial septal defect B) atrioventricular node block C) pulmonary valve stenosis 113) Mask in dental setting A) at least 95% filtration B) at least 75% filtration B) has elastic band 114) T helper cells recruit cytotoxic cells by? A) IL 1 B) IL 2 C) IL 3 D) IL 4 114) Patient has pain and TMD, what is the most each of the following is important except? A) Pain quality B) Pain history C) Record mandibular movements D) Type of pain 115) Patient on zometa since 5 years. Pt came for normal check up. Treatment is to extract teeth and put on maxillary denture. What would you do? a) Extract most compromised teeth b) Extract all teeth c) Give antibiotic d) Refer to dental specialist 116) What anatomical structure is used to locate the apex of the mesiobuccal root? A) central groove B) buccal developmental groove C) mesiobuccal cusp tip D) mesiolingual cusp tip 116) All of the following affect social determinants of health except? a) Food availability b) Housing c) Medical disability 117) Dentists suspect the dental assistant abuses substances. U confront them and they confirm it. What's the appropriate next step EXCEPT? A) Dismiss the assistant immediately if the law allows it B) pay for the assistants treatment C) refer to therapist D) Continue to observe her behavior 118) Which of the following requires the most aggressive treatment? A) Dentigerous cyst B) lateral periodontal cysts C) calcifying odontogenic cyst D) glandular odontogenic cyst 119) All are physiological processes to control blood pressure except: A) vascular resistance B) Release Renin C) increase in portal vein pressure D) stroke volume and heart rate 120) Each should be included in the protection stabilization documentation form, EXCEPT: A. Reason for using B. Number of teeth being treated C. What stabilization used D. What to do in future stabilization 121) Each of the following is true of taurodontism EXCEPT one. Which is the EXCEPTION? A. Larger pulp chamber due to occlusally displaced furcation B. Occurs in patients with amelogenesis imperfecta and Down syndrome C. Permanent and primary teeth may be affected D. Unusual root shape due to late invagination of Hertwig epithelial root sheath 122) Most resistant part of bacteria: a) Biofilm 123) Koplik's spots can be seen at: A- Measles B- HIV C- Rotavirus 123) Dentate dentition: Canine guidance 124) Pt that had a single permanent tooth missing. They asked me what was happening with the mandibular dentition. a) Hypodontia 125) Clinical case, mother takes her son to see the chief complaint that he has bilateral jaw swelling: a) Cherubism b) Fibrous dysplasia c) Paget 's disease d) Ectodermal dysplasia 126) Cases of 1,00,000 from 2010 to 2019: a) Incidence b) Prevalence c) Sensitivity d) Specificity 127) Father came with his son, 12 months old, for evaluation. Father says they were on vacation and his son is having a fever and dry cough. What is the first appropriate management to do: A. Refer to specialist B. Give a mask to the father C. Isolation 128) Major component in % in dental amalgam: a) Mercury 129) Red dots on palate: Nicotinic stomatitis 130) Marihuana active component: 9 DELTATetrahidrocannabinol 131) When do you choose the color of the crown? b) At the beginning of the appointment 132) Clinical case: They showed a cephalometry that had an ANB of 6 degrees, and asked What class? a) Class I b) Class III c) Class 2 133) Which one has the best prognosis? a) apical fracture 134) Pt with HIV, you are going to take a radiograph: a) single barrier and disinfectant wipes 135) Least likely complication of injection: a) Infection 136) Gutta-percha is made up mostly from which material? a) Metal sulfates b) Dyes c) Zinc Oxide d) Resin 137) Hiv affects which cells: T cell 138) Which study gives temporal relation of exposure and disease a) case control b) cohort c) Randomized control trial 139) Patient who had scarlet fever EXCEPT a. pharyngeal lesions b.White coating over the tongue with loss of porridge c. bleeding gums d. fever 140) Patient has an ulcer on the lip after 1 week of medication. What kind of cell is present? A) Cytotoxic B) Immediate C) Cell mediated 141) Best fine detail, elastic recovery, dimensional stability impression material? a) vinyl polysiloxane 142) White to white-pink usually but can be reddened, rough surface (cauliflower), elevated lesion (No picture)? a) Papilloma 143) Case: the patient has periodontitis, if he does the periodontal treatment (SRP), what could happen? a) The periodontal disease will become gingivitis b) The periodontal disease will paralyze c) He will recover the bone loss 144) A non English speaking patient comes with her daughter who speaks English. She says my mother has tooth pain and she feels an evil spirit is causing it. What do you do? A. Use trained interpreter 146) What is the hemophilia test? a) Partial P. Time b) Prothrombin time 147) SPORE TEST: a) Monthly b) Weekly 148) Clinical case: Pt was taking phenytoin and had gingival hyperplasia. What was causing this gingival hyperplasia? a) Phenytoin 150) White or white/gray swollen fluid lesion of buccal or labial oral mucosa the lesion dissipates when tissue is stretched, as a result of the edematous quality of the lesion - a) Leukoedema b) White sponge nevus c) Leukoplakia d) Lichen planus 151) Hard Palate, inflamed, minor salivary gland ducts with background of leukoplakic change, tobacco use? a) Nicotine Stomatiti 151) GERD is caused by? - Lower esophageal sphincter 152) Asthmatic patient that they put the rubber dam on him after the dentist heard a wheezing sound and his lip began to swell, what is the first step? a. Albuterol b. Diphenhydramine c. epinephrine d. Call 911 152) How do we measure HbA1c? a) Blood b) Plasma c) Red blood cells d) White cells 153) Alveolar osteitis, what is not true? A - Contraceptives can cause it B - Due to increased fibrinolytic activity C - Easily identified cause 154) Pontic is hard to clean? a) Ovate b) Modified Ridge lap c) Ridge Lap 155) Most common neoplasm in oral cavity: Squamous cell carcinoma 156) Foreshortening on periapical rx: a) excessive vertical angulation 157) SLOB rule meaning: a) same lingual opposite buccal 158) 2 teeth sharing the same root (gemination), what phase? a) morphodifferentiation / histodifferentiation b) maturation c) apposition d) proliferation 159) Patient box: CD4 count 400, HbA1c: 10% and platelets count 150.000. What should you be more concerned about? a) CD4 b) HbA1c C) platelets 160) The patient has swelling and pain in the anterior superior teeth, what is the most concern about it? a) eye infection b) affect the facial nerve c) 161) What does OSHA not regulate? A- HIV B- Hepatitis B C- Malaria D- Measles 162) Which of the following terms describes the loss of tooth structure due bruxism? a) abrasion b) attrition c) abfraction d) erosion 163)Case: Patient has tested positive for tuberculosis two weeks ago, and still has a cough. He came to the clinic to have his teeth cleaned. What is the next step? a) Do the cleaning with N95 in a separated room b) Refer 163) Patient who had scarlet fever EXCEPT a. pharyngeal lesions b. White coating over the tongue with loss of porridge, strawberry tongue c. bleeding gums d. Fever 164) I got the forcep thing and it was the EXCEPT: a.what to put the beak to grab the crown b. the beak was placed first on the lingual c. that the beak was placed towards the apical 165) Most bacteria in primary endodontic infections are: A)Obligate anaerobes B) Strict aerobes C) Facultative anaerobes D)Facultative aerobes 166) Type of occlusion in dentate patient: A) Bilateral balanced occlusion B) Canine guidance 167) Most resistant bacteria? A) Biofilm B) Streptococcus C) Bacilli D) flagella. 168) What is most important when determining working length? A) Apical constriction B) Radiographic apex C) Apical foramen 169) You placed an IANB, the patient is not anesthetized. What to do? A) Place the same anesthetic technique B)Perform the anesthetic technique more Superior and more posterior C) Perform the anesthetic technique below. 170) CASE: Patient with full mouth series, they ask about #18. What would happen if you upright the molar with a spring coil? a) Root moves mesially and tooth intrusion b) Root moves mesially and tooth extrusion c) Crown tipped distally and tooth extrusion d) Crown tipped distally and tooth intrusion 171) I don't remember very well, but not stated, they said that the dentist put the hand sanitizer on for people A) Administrative control B) Engineering control C) Control of infection 173) What can cause Erosion? a) Milk b) Iogurte c) Tafu 174) What material to cement Ceramic crown? a) Glass ionomer b) Resin cement asthmatic and takes albuterol. a. Convex profile b. Straight nasolabial angle c. Deviated nose d. Incompetent lip 176) Uncooperative patient, he and his mother traveled a distance to get to the office and he has a cavity. How to treat: a) Silver diamine fluoride b) Composite c) Amalgam 177) A patient with opioid abuse goes to the clinic, saying he is in pain for no apparent reason and that he will not leave until he gets the prescription. What to do? a) give him the prescription b) call 911 c) refer 178) Facebow does not help with? A) horizontal plane B) position of joint c) Vertical plane D) Midline 179) The most common cause of gag in dentures? a) Extension of the prosthesis for palatal posterior seal b) Distal extension of mandibular denture b) Increased VDO 180) They asked which principle would be truthfulness: a) veracity b) Non-maleficence c) Beneficence d) Justice 181) A study of articaine vs lidocaine , showing articaine is rr 3.1, ci 95% 3.4- 4.7 , p value encewi d-Oral surgery and Periodontist Surgern 11- Radiograph of same patient was given. What is the diagnosis? [Radiograph showed multiple regions of multilocular radiolucency in OPG] a-Dentigerous cyst b-odontogenic keratocyst & 12- Female patient with chief complaint was when she opens the mouth her mandible deviates to the left. There is no pain in the TMJ and she can open the mouth up to 32mm. Which muscle is responsible? Non working left - a. Temporalis Derecho b. Masseter c. Buccinator ⑧ d. Lateral Pterygoid Right 12- when the patient passively stretches 5mm she starts feeling pain, what is the reason? A. degenerative joint B. right articular disc C. left articular disc ⑧ D. muscle pain 13-What is the best medication to give to this patient? ⑧a- Cyclobenzaprine ⑳ b- Ibuprofen c- Codeine 14. What is the first mode of treatment you can do in such patients. a- Trigger point injection ⑧b- Occlusal splint therapy c- Arthrocentesis d- Orthognathic surgery 15-Patient taken albuterol for asthma. They asked about MOA a-beta 1 agonist ba agonista ⑧ b-beta 2 agonist Albutendb2 agonist c-beta 1 blocker d-beta 2 blocker 16.patient using salmeterol inhaler, missing teeth 5 and 30, posterior open bite was seen on clinical photos, radiographs were provided and the bone level was good. 1- What is the rst thing to do before placing implants? A. sinus lift surgery oclusal B. bone grafting 10 Rehabilitar el plano ⑧ C. occlusal plane rehabilitation ⑧ D. soft tissue conditioning 17- The ques was asked again but the name of medication was Salmeterol. Mechanism of action was asked. a-beta 1 agonist b-beta 2 agonist ⑧ c-beta 1 blocker d-beta 2 blocker 18- what is the main risk the medications pose? A. high HBA1C ⑧ B. oropharyngeal candidiasis ~ C. metaplastic transformation 19- First line treatment in patient with hairy tongue? [Picture was given] ⑧ A- Essential oils B- Antiviral C- Antifungal D- Antibiotics 20- what is the treatment? A. excision B. essential oil C. antifungals D. antivirals 21- after you did the incision to diagnose, the patient reported the loss of taste, which - nerve is damaged? A. CN IV B. CN V C. CN VI & D. CN VII stylomastoideo 22- Very anxious patient. Patient chart has medicine: Thiazide, aspirin 81mg, clonazepam. Patient needs extraction of teeth. What treatment modification is required? ⑧ a- Continue with the aspirin b- Increase the dose of clonazepam. I 23- which drug is a GABA agonist a-Carbamazepine ⑧ b-clonazepam ⑧ sindrome 24- Patient with type 2 Diabetes. Which is the correct statement? metabolic a-most obese people suffer from this ⑧ b- This is caused due to destruction of Beta cells in pancreas 25-A case with remaining root piece of mandibular premolar in OPG. How do you approach to remove this? A. buccal flap and remove some bone to make it easier to retrieve with a root pick ⑧ B. trough on the mesial and the distal and try to remove with root pick - - - ⑳ C. trough on the buccal and the lingual and try to remove with root pick X D. lingual flap and remove some bone to retrieve with a root pick make it easier to X 26- Picture given of patient with both erosion and attrition. You can do all these, except: a- Crowns b- Resin fillings c- Veneer d- RCT ⑧ 27- There was a case with radiopacity in the pulp chamber of 8 and 9 in Full mouth series. What is the reason for this? There was no caries, no discoloration. Restoration chart was provided and it said that no restoration (even though it did look like a bad restoration) was done on 8 and 9. a-Restoration b-Hypercalcification ⑧ c-pulp stone Istatins( d- hypocalcification 28- Presence of white spot in the canine in buccal aspect in middle region. What is this lesion? ⑧ a-Hypocalcification ⑧  b-Hypercalcification c-Amelogenesis imperfecta 29- Same canine case: All of the following can be treatment except: - e a-Fluoride varnish b-Micro abrasion · c-Systemic fluoride ⑧ 30- Question about a chronic fistula it has a photograph and a radiograph, what is the lesion in the photograph ⑧A-Parulis B- Pyogenic granuloma 31. What is the pulpal condition of this case: A- Symptomatic irreversible B- Asymptomatic irreversible C- Reversible D-Necrotic 32.Presence of radiolucency in the cervical root region was seen in the root in periapical xray. The patient has GERD and is college appearing college under stress. The question asked what is the reason for the radiolucency? a-Root caries 0 b- External root resorption c- Internal resorption 33.Patient with multiple pigmentation, lethargic, low blood pressure. What is thesystemic condition? a- Cushing ⑧ b-Addisons c- Crohn 34.What type of medication to give 0a-Corticostiroids b-Antihistaminics 35. What buspirone used for: A- Bipolar depression ⑧B-Anxiety C- Schizophrenia Bupioprion is an antidepressant (NDRI) also used in smoking cessation. If cannot be used together with Fluoxetine (SSRI)  antagonista - A2 36. MOA of Ranitidine: OA- H2 antagonist B- H1 antagonist C- H2 agonist D- H1 agonist 37.A case with several dental problem including dry mouth. Doctor talk about options - regarding the xerostomia what ethic is followed 0 A- Autonomy B- Beneficence C- Justice D- Veracity 38- Picture and description of a lesion in the cheek at the level of the teeth. It was given with a probe beside it. what is the lesion? (no measurement was given and the probe was placed wrongly) a-Nodule 1cm + (b- Papule 1cm - c- Macule Macule: non raised area altered in color Patch: non raised larger than 1cm Papule: elevated lesion less than 1cm Plaque: raised area greater than 1cm Nodule: Deep and raised mass 39- which type of lesion is this? a- Neoplastic b- Reactive ④ c- Developmental d- Traumatic ⑳ 40-A 22 years old patient had caries. She was scheduled for treatment but did not come - for treatment. She has pain in the tooth. Calls at 11PM because her daughter has pain. What medicine do we prescribe? ⑧ a- Ibuprofen 800mg ⑧ b-Acetaminophen 350mg+Ibuprofen 400mg 41- She calls and says her daughter is screaming with pain in the tooth. What is the next step? [Ques did not mention midnight] a-Tell her to go to emergency & b- Call her to come to the clinic for a pulpotomy d-Prescribe opoid 42- case patient has facial drooping on right side but can close eyes in the right side. He - also has swelling in the mandible in the posterior portion of ramus of mandible. what is the cause? a. bacterial b. viral c. inflammation d. Neoplasm ⑳ 43- what nerve is involved in facial drooping? CN VII - - a. V b. IX c. VIII 44- what foramen does that nerve pass through? a) external meatus b) oval 0 c) Stylomastoid 45- Which muscle can be affected by the facial drooping a-masseter b-temporalis ⑧ c-buccinator d-lateral pterygoid 46- case of erythematous gingiva. Multiple areas of erosion are seen in the gums. What - is the method to diagnose this case? ⑧ A) Direct immunofluorescence (penzigo) B) serum lab test C) Exfoliative cytology D)Brush biopsy 47- what you should not do with that patient? ⑧ a-Air abrasion prophy 48- Patient with a BMI of 32. What is he most susceptible of? ⑧ a-Kidney and colon cancer b-liver and prostate cancer  49- There was case of fracture of 8 and 9. 8 was fractured involving enamel, dentine and pulp. 9 was fractured enamel and dentine. What type of fracture is seen in 8? ⑧a-Complicated fracture b-Uncomplicated fracture c-Root fracture [Radio was provided. In one IOPA it looked like he had fracture but in another IOPA no fracture was seen] 50- Patient with trauma case. 8 was intruded around 3mm. It has to be orthodontically extruded. What should be taken into consideration during the extrusion of anterior teeth: a-Overjet, b-overbite ⑧ c-crown root ratio 51-25years old female has exam. She has white wipeable lesion in her buccal mucosa - - with 12,13,14. The lesion is wipeable but resolve upon administration of nystatin. Also stated that the lesion affected deeper layers or something like that. What is the most appropriate next step? ⑧ a-incisional biopsy b-Excisional biopsy c-Exfoliative cytology d-Brush biopsy 52- There was a case with 3unit FPD with 13,14 and 15. It has loss of retention. The question asked what is the reason for failure of FPD EXCEPT? - - A. Excessive axial convergence B. Inadequate occlusal gingival reduction C. Inadequate axial reduction 0 D.- Excessive span of the bridge 53- what could be done to address the cc? A. extract the teeth and implants ⑧ B. restoring the teeth with restoration material and prepare them adequately for the new bridge C. redo the post core on the abutments (radiographically it was good) depends on the radiograph 54- Patient had denture stomatitis. He had been wearing denture for 15 years and has e loss of retention and removed it only after eating to clean it. What is the reason for this appearance? a-Bacterial infection b- Viral infection c- Fingal infection 0 55- What is the series of action that can be performed in management of this patient except? - a-Initial impression b-final impression ⑳c-Refer to oral surgeon d-Refer to prosthodontist 56- Picture shows round lesion, skin colored in the maxillary buccal mucosa. The clinical description is soft, round lesion that is not tender. All of these can be differential diagnosis except: a-Pleomorphic adenoma b-Lipoma ⑨ c-verruca vulgaris 57. Lesion with supra-epithelial split. Whom do we refer this case? a- Ophthalmologist b-Endocrinologist c. Dermatologist (supra epitedial) 90 58. What can be the possible diagnosis of this lesion a-Mucous membrane pemphigoid b-reticular lichen planus Penfigo Vulgaris c-Leukoplakia -Antagonista 59-MOA of naloxone Antonished r ⑧ a-Mu receptor antagonist b-NMDA antagonist 60.years old patient, chief complaint is teeth sensitivity, patient has been depressed for a year since his wife died, no antidepressants medications, medical history shows GERD, clinical photographs show generalized erosions and cupping on the occlusal surface of the teeth. 1- all of these are acceptable treatment options for the cc, except: A. composite fillings B. flouride varnish C. Full crowns ⑧ D. RCT all teeth  61- During clinical assessment tooth 3 had mobility grade III, and it will be extracted, what is the best option to manage post operative pain? ⑧ - A. Acetaminophen + ibuprofen B. Acetaminophen + ketorolac C. Acetaminophen + oxycodone D. Acetaminophen + hydrocodone 62- what is the reason of the cupping on the posterior teeth? A. abrasion B. attrition C. erosion ⑰ D. bruxism 63. Female patient, recently diagnosed with leukemia, going through active - chemotherapy treatment and medications, the patient is missing teeth 28, 29, 30. 1- what it the best treatment for the edentulous area? A. fixed bridge from 27 to 31 & B. implants X ⑧ C. removable partial denture 64- the most concern while treating the patient due to her medications? A. adrenal crisis ⑧ B. infection due to lower WBCs ⑧ C. hypothyroid crisis D. higher blood sugar concentration 65.Pediatric patient came to the office, radiographs and clinical photographs were available. 1- tooth L had large caries on occlusal and lingual, the treatment? A. SDF B. amalgam C. composite D. SSC Crown stain ⑧ 66- tooth K had interproximal caries on the radiograph, the treatment? ⑧ A. SDF ⑧ B. amalgam C. SSC 67- tooth S had occlusal caries in the clinical photos, what is the treatment? 0 A. SDF B. amalgam ⑧C. SSC · Depend on the clinical picture 68-patient cc broken buccal cusp of tooth 4, patient BP 105/65. 1- after giving LA patients BP got higher, what to do next? A. Give a dose of lisinopril B. Cancel the appointment C. continue the treatment ⑧ D. activate EMS 69- how many roots and pulp horns in the fractured tooth? A. 1 root 1 pulp horn ⑧ B. 1 root 2 pulp horns tooth X ↑ ↳ZOM C. 2 roots 1 pulp horn D. 2 roots 2 pulp horns 70-patient cc muscle spasm. 1- Which is the most affected muscle? ⑧ A. masseter B. lateral pterygoid C. buccinator D. temporal 71- what to prescribe for the patient? A. ibuprofen B. carabamazepine O C. cyclobenzaprine ⑧ D. gabapentin 72. a case, Extracted tooth 30 molar, In the retromolar region a very small (like very small) radiopaque spots on panoramic. What is the lesion? ⑧ a-Foreign Body 73.All can be the diagnosis, except? What is you next step? ⑧a-Excisional biopsy b-Incisional biopsy c-Velscope 74. Anesthesia? ⑧ a- IANB and long buccal b- IANB and Mental c-Posterior superior alveolar nerve block 75-A case with liver crisis, what antibiotic to give ⑧ Penicillin PV 76. Same patient with liver cirrhosis do to previous alcoholism. What not to give Acetaminophen ⑧ Ibuprofen  77. Patient with mitral valve prolapse and atrial fibrillation, had penicillin allergy. What antibiotic prophylaxis to give? a-Clindamycin 600mg b-Amoxicillin I c-Cephalexin d-No antibiotic ⑧ 78. A patient with a blood pressure of 145/92 falls under what hypertension category? - A- Elevated B- Hypertension stage 1 ⑧ C- Hypertension stage 2 D- Hypertensive crisis 79. Patient with lingering pain and positive percussion. Which is the pulpal and periodontal diagnosis ⑧ Symptomatic irreversible pulpitis and symptomatic apical periodontitis a- b- Asymptomatic irreversible pulpitis and symptomatic apical periodontitis 1 80. Pt has crown on mand first molar with the metal showing, the pt CC that it doesn't look good and want a better esthetical one, which is the best tx for the pt's CC ⑧ A. Zirconia B. PFM with subgingivally margin C. Feldspathic porcelain 81. What is the type of defect on the crown (prosthetic crown) according the radiographic image (Radiographically the crown was kind of flat on the x-ray) it give any other details. ⑧ A. Attrition B. Erosion C. Bruxism D. Unrestorable tooth surface  Latakia File “Part 1’’ This file is dedicated to the TRIBES group.. the best group ever! I wanna thank the KING and the rest of the WARRIORS for their amazing job, who made the exam doable! My day 1 was on june 1st/23. I tried to put all the new questions first then the older rqs. My first day was 70% rqs from DENTAL TRIBES files. M.S. 1 *** Who is responsible for approving respirators? A. OSHA B. FDA C. NIOSH D. EPA 2 *** Saying “so what I am hearing is…” which type is this: A. summarizing B. reflective hearing C. affirming 3 *** patient said “I really hate the sound of the drill” what to do: A. tell the patient to look at a poster at the ceiling B. work in low speed handpiece C. dismiss the patient D. offer headphones for the patient 4 *** 8 year old patient with a diastema between the maxillary two centrals what is most likely to happen: A. the diastema will increase in size after the eruption of other teeth B. the diastema will close if it was less than 2mm when the rest of the teeth erupt C. the diastema will close even if it was more than 2mm when the rest of the teeth erupt D. the diastema wont change 5 *** what is the main bacteria in a healthy sulcus: A. aerobic, non motile , gram positive bacili B. aerobic, non motile, gram negative bacili C. anaerobic, motile, gram postive strep D. anaerobic, motile, gram negative strep 6 *** patient has deintigenrous imperfecta what could be seen: A. chevron pulps B. pitted enamel C. blue translucent enamel D. white spots 7 *** when does tetracycline affect maxillary permenant central incisors: A. before birth B. upon eruption of the tooth C. 3 years D. 6 years 8 *** the results of 5 dental students in an exam 64, 56, 48, 66 and 66. what is the median and the mean: A. 60, 64 B. 64, 60 C. 64, 68 M.S. D. 68, 60 9 *** what is true about hpv vaccine: A. it can be taken routinely anytime in life B. 2 doses should be taken before 15 C. it protects from oropharyngeal cancer 10 *** which of these can’t be give to a patient that has a hyperthroidism: A. nor epinephren B. epinepheren C. levonordefrin 11 *** what is the most common oral fungi: A. aspergillosis B. candidiasis C. blastomycosis D. histoplasmosis 12 *** which one is type 3 hypersensitivity: A. graves disease B. contact dermatitis C. SLE D. erythroblastosis fetalis 13 *** patient that has diabetes says that he doesn’t feel well in the clinic, you take a glucometer and check the blood sugar, what is the most likely reading: A. 40 mg/dl B. 83 mg/dl C. 118 mg/dl D. 200 mg/dl 14 *** All are reasons for implants to fail after insertion except: A. smoking B. did not reach occlusion C. unctrolled diabetes D. periapical pathology 15 *** all of these tests are used in percussion test except A. bite on tooth slooth B. bite on wood end with cotton C. palpate near the palatal side of teeth D. end of the mirror 16 *** patient is 22 years old, did not visit the dentist since she was 18 and got out of her parents insurance, she said I think I have a cavity, what is an open question that the dentist should ask: M.S. A. which tooth? B. when did it happen? C. what made you think you have a cavity? D. is the tooth bothering you? 17 *** Which vitamin is affected when the gums are eythmatous, tongue allodynia, papillary atrophy? A. E B. B C. C D. D 18 *** what is not a part of motivational interview? A. motivating the patient to change the habit B. decrease self efficacy of the patient C. asking what is the motive of the patient 19 *** patient had apthous ulcers on buccal mucosa, what is the cause? A. virus B. bacteria C. fungi D. unkown 20 *** what’s the use of the facebow: A. record the relationship between the mandible and maxillary B. record the reltionship between the maxilla and the hinge axis of the mandible C. record the relationship between the maxilla and the occlusal plane 21 *** which one is not seen in leukoplakia: A. dysplasia B. neoplasia C. akanthosis D. hyperkeratosis 22 *** which one best describes the area from the free gingival margin to the mucogingival attachment: A. CAL B. non keratinized gingiva C. keratinized gingiva D. recession 23 *** patient 40 years old has pain on tooth 18 and nearly 30% bone loss around the tooth, they mention that tooth prognosis is questionable, the patient is going to start chemotherapy next week, what is the best treatment option that will cause the least amount of of complication to the case: A. exrtraction B. root canal M.S. C. composite restoration D. srp 24 *** patient comes to your clinic, she mentions that she has OSA and wears a device to treat it, how does the device work: A. decrease the palatal vault hight B. retrude the tongue C. moves the mandible forward while sleeping 25 *** which one determines perio grade: A. clinical attachment loss B. bleeding on probing C. bone loss to age ratio D. probing depth 26 *** patient’s blood pressure is 127/78, this value indicates: A. Normal BP B. elevated BP C. stage I BP D. stage II BP 27 *** what is the type of finish line on the incisal edge of a veneer prep: A. shoulder B. chamfer C. beveled chamfer 28 *** which is true about p value: A. the higher value indicates more significance B. resmbles the likelihood that the result are due to chance C. if it’s less than 0.05 the null hypothesis can’t be rejected 29 *** new covid test performed on 3000 patients, the results were as the following: Positive test result Negative test result Sick patient 850 10 Helathy patient 40 2100 What is the sensitivity of the covid test: A. 80% B. 90% C. 95% D. 99% 30 *** what is the oral manifestation of measles? A. positive nikolsky sign B. koplik spots M.S. C. white pseudo membrane 31 *** patient has BMS, takes medications to treat it, which medication works by depleting the substance P: A. Viscous lidocaine B. capsaicin C. chlorhexidine 32 *** cephalometric rediograph with numbers on points: A: 9, ANS: 10, B:11, N:12, which points give the relationship between the maxillary and mandibular jaws: A. 9 and 10 B. 10 and 11 C. 11 and 12 D. 9 and 11 33 *** patient was given 25% NO, what is the level of sedation: A. no sedation B. minimal C. moderate D. high 34 *** picture of injection in incisive foramen, all of these are anestheisized except: A. nasal cavity B. greater palatine nerve C. sphenopalatal D. pterygopalatine 35 *** patient comes to the office, says he is in so much pain, and the pain does not relief when using nsaids or tylenol 3, only feels better when use percocet, what should the dentist do? A. write percocet prescription B. suspect drug seeking behavior C. write tylenol 4 prescription D. call 911 36 *** patient recently got a new rpd, now complaining about pain on top of the alveolar crest, what is be the reason? A. high occlusal point B. allergy C. overextension of the broders 37 *** patient with rpd complains about a burning sesnsation under the bridge in the mandibular buccal area close to the premolars, what is the reason A. allergy B. overextension of the borders C. high pressure on a point from the internal surface D. unpolished internal surface M.S. 38 *** which one of the hazard control ways is the hardest to implement in the practice? A. PPE B. administrative controls C. engineering controls D. substitution and elimination 39 *** patient has mutiple OKCs, supernumerary teeth, is in risk of developing which of the following? A. Basal cell carcinoma B. hyperthyroidism C. scleroderma 40 *** which of these could mimic a pulpitis ? A. herpes simplex virus B. herpes zoster virus C. human papilloma virus D. coxaki virus 41 *** shigles are caused by? A. HSV B. MMP C. EBV D. VZV 42 *** best thing to do to prevent the spread of disease: A. wear gloves B. wash hands regularly C. wear face shield 43 *** how to clean hands if they are not soiled? A. use of alcohol B. use of antibacterial soap C. use of regular soap 44 *** best LA for a patient who is breastfeeding: A. mepivicaine B. lidocaine C. articaine D. tetracaine 45 *** college student comlains about bleeding gums in some areas while brushing, caclculus build up is seen on the lingual area of the lower incisors and upper molars, what would be the best treatment plan: A. prescribe mouthwash B. full mouth scaling and root planning C. scaling and root planning only where the calculus is D. prescribe antibiotics M.S. 46 ***dentist decided not treat the next patient, you did not notify the patient, no obvious reason to do that, and you left the office, this is considered: A. dismissal B. abandonment 47 *** most reason for musculoskeletal pain in dentists: A. using loops B. working in wrong positions 48 *** taurodontism is seen in which syndrome? A. Peutz jeghers B. crouzon C. edwards D. kleinfilter 49 *** patient 8 years old, broke the central incisor with pulp involvement, what is the best treatment? A. indirect pup capping B. direct pulp cap with MTA C. pulpectomy D. extraction 50 *** the same previous patient, how many permanent and primary teeth? A. 14-10 B. 12-12 C. 8-16 D. 10-14 51 *** keeping the patient’s information private and not available for everyone, under which of the following principle? A. veracity B. autonomy C. justice D. non mal 52 *** reporting child abuse under which of the following principle? A. veracity B. beneficence C. justice D. non mal 53 *** non english speaking woman came to the office with her 8 years old daughter who speaks english, the assisstant says she noticed signs of abuse on the woman while taking the pano, the woman’s cc is pain in tooth 14, what to do next? A. start the treatment B. report immediately M.S. C. ask the daughter to translate and ask the woman what happened D. use a certified translator and ask the woman what happend 54 *** patient with down syndrome came to the office with his caregiver, most of the teeth have deep decays and many broken teeth, patient’s last visit to a dentist was 5 years ago, how to proceed? A. make a treatment plan B. refer to another dentist C. report neglect to authorities 55 *** “really weird question about hippa with really long answers, these are not the exact word by word options” which one is not true about HIPPA: A. the office should comply with hippa rules B. employees should be trained to latest rules C. Hippa teams should check the office D. patients should be notified about any breach on social media 56 *** patient has a sinus tract on tooth 3, now exudate are coming out of it, what types of cells are in the exudate? A. macrophages B. neutrophils C. lymphocytes D. plasma cells 57 *** what is the dose of 4% articaine? A. 7 mg/kg B. 4.4 mg/kg C. 7.4 mg/kg D. 6 mg/kg 58 *** what is the main reason of tissue necrosis after LA injection? A. PH of LA B. tissue ischemia C. type of the anesthetic used 59 *** a successful LA injection in a site of infalmation but did not work, what is most likely the reason? A. High PH of the tissue B. low PH of the tissue C. insufficient amount of LA D. wrong technique 60 *** what is the gold standard that is used in clinical trials and studies by researches to study dentinal bridge formation? A. euginol B. MTA C. CAOH D. RMGI M.S. medial And i bio compba anti shoe  VIRGENCITA FILE 9/5/23 y Segundo dia 9/8/23 Un file de agradecimiento porque fue un PASS para mi, apenas este es el inicio. 1. A patient requests that his records be sent to a new provider, but he has an owing balance on his account. What should the dentist do? A. Deny the patient’s request B. Request 50% of previous treatment be paid prior to records being released C. Inform law enforcement D release the patient records 2. CAD-CAM advantages when you compare with convencional technique a. Esthetitc b. Processing 3. Treatment to a lesion with civatte bodies in liquen planus Clobetasol 4. X ray device hygiene: A. Double wipe, single barrier B. Single wipe , single barriers 5. Pulp comes from: A. Dental Papilla B. foliculo dental 6. Patient taking amitriptyline and hydrochlorothiazide. Which one is responsable for dry mouth: a. Amitriptyline b. hydrochlorothiazide 7. Systematic Review A.Less Cost b.Less relevant 8. A patient is meth addict METHAMPHETAMINES and rampant caries first time in the office which type of x rays he needs? A. FULL MOUTH SERIES B. B BITEWING C. C. PANORAMIC 9. Pontic with worst hygiene (worse to clean): A. Saddle or Ridge Lap B. OVATE C. RIDGE LAP D. SANITARY 10. Pontic for first maxillary premolar A. RIDGE LAP B. MODIFIED RIDGE LAP C. SANITARY 11.Tetrallogy of Fallot Succesfully repair GIRL 32 YEARS: A. NO PROFILAXIS NEED B. AMOXICILIN 2g C. AzitromiciN 12. Boy 5 years whith tretalogy of fallop surgicalle treat A. CONSULT WHITH CARDIOLOGY PEDIATRIC B. CONSULT WITH PEDIATRIC C. AZITROMICIN 15 mg 16. 13 Contact dermatitis A. hypersensitivity type IV B. Hypersensitivity Type I C. Hypersensitivity type II 14. Inmunoglobulina in liquid crevicular A. IgG B. IgA C. IgM 15. Flap in third mandibular molar: A. it has to finish in solid bone B. full trickness 16. Primary tooth intruded 8 years old kid: A. wait the reeruption  B Extraction C MONITOR 17. Picture like this without the matrix 8 has enamel and dent In fracture and 9 has a little piece off in enamel. Ask for ellis classification: SAME PICTURE A. 8 class 3 only B. class 3 and 9 class 2 C. 8 class 1 9 class 2 D. 9 class 1 18. You are doing endo 17 tooth is cleaned and shaped, you irrigate and from mb conduct it starts bleeding and pain. What happened? HYPOCLORITE ACCIDENT 19 Most common cracked tooth – second mandibular molar. 20. What is the best prognosis of fracture a) cracked tooth and broken cusp b) broken cusp, vertical fracture 21. Which one is the exception? SPORE TEST MONTHLY, (THE CORRECT IS WEEKLY) 22 What type is spore test A. HEAT AUTOCLAVE B. COLD AUTOCLAVE 23.The ability of individuals to obtain, process, and understand oral health-related information and services in order to make well-informed decisions for themselves and others. A. Oral health literacy 24. Increased mucous secretions in acute asthma cause by a)acetylcholine release b)norepinephrine release c)5HT release 25. Which of the following properly sequences embryologic tooth development? A. Apposition → Calcification → Bud → Cap → Bell B. Calcification → Apposition → Bell → Cap → Bell C. Bell → Cap → Bud → Apposition → Calcification D. Bud → Cap → Bell → Apposition → Calcification 26. What is the mechanism of action of ibuprofen? A. Irreversible cyclooxygenase inhibitor B. Non-selective cyclooxygenase inhibitor C. 5-Lipoxygenase inhibitor 27. A research is doing a study about fluoride absorption, which could affect the accuracy of the study A. Altitude and its influence on fluoride absorption B. Difference in absorption between men and women C. Difference in the concentration of fluoride in the different natural sources D. Failures in the sensitivity of the tests in providing results (esta opcion la D es diferente en el examen no esta la palabra FAILURE) ESTA PREGUNTA NO SE CUAL ES LA RESPUESTA YO COLOQUE LA D PERO LA VERDAD NO SE CUAL ES 28. Denying drug abuse hydrocodone- which principle violated A. no autonomy B. Non maleficence C. Veracity 29. Bias in choosing and retaining participants in study – a)sampling bias b) confounding bias C )selección bias ESTA PREGUNTA Y LAS OPCIONES SON ASI, NO LE HACE FALTA MAS OPCIONES NO ESTA ATTRITION BIAS. 30. Severe bone loss, bleeding on probing what systemic disease will you base the findings on a)diabetes b)Crohns disease c)Rheumatoid arthritis 31. Which factor determines root canal anatomy a)caries b)occlusion c)age 32. Law of concentricity, which area of pulp chamber has concentric walls at which level a)height of contour b)root apex c)middle of pulp d)CEJ 33. Where will you check furcation defect in a maxillary molar – a)mesial distal palatal b)palatal and distal, c)buccal, mesial, distal 34. Atrophied mandible low retention what treatment plan a)conventional CD b)implant retained fixed denture c) 2 implant retained overdenture d) 2 mini implant overdenture 35. Which design has indirect retainer a )class 1mod1 b)class 1 mod 2 c)class3 d)class4 36. What planes can you see extra oral laterally a)Anteroposterior and vertical b)AP, transverse and vertica 37. Migraine pain is carried by which nerve fiber a)C b)A-delta c)A-beta 38..Angina pain, dull pain is carried by which nerve fiber a)C-fibers b) A-delta 39. Collagen fibers starts forming in A 48hrs B 2 weeks C 2 days 40. Cross sectional and longitudinal studies measure a)risk b)association c)cause 41 Asking sick employee to stay home is which control a)administrative b)elimination C engineering 42 HCV pt what to use a)N95 b)PPE c)double latex gloves d)double vinyl gloves 43.Mandibular anterior gingiva stood out- asked what could be reason— a)free gingival graft b)lichenoid reaction 44. History of relapse AML treated with allograft stem cells what could be reason for lichenoid reaction a)graft vs host disease b)leukoplakia 45. Cartilage growth except A. Length by appositional growth B. Length by interstitial growth C. Cartilage resist more direct compression than bone D. Cartilage is intramembranous ossification (SON ASI LAS OPCIONES) 46. What can be adjunct to scaling and root planing in pt who had very deep pockets in molars and incisors – a)chlorhexidine b)metronidazole c)Minocycline d)tetracycline 47.Preauricular crepitus, not painful what will you do except a)refer to oral surgeon b)palliative meds and monitor c)occlusal guard d)arthrocentesis 48. Community water fluoridation what ethical concepts are at conflict – A. beneficence and autonomy B. Autonomy and justice 49. Endo access tooth, why do you use dual cure composite a)depth of increment b)better quality 50. Tooth 13 is negative for cold testing. Positive to percussion and palpation. No sinus tract or swelling in the buccal vestibule. What is the pulpal and periapical diagnosis? A. Irreversible pulpitis; acute apical abscess B. Irreversible pulpitis; symptomatic apical periodontitis C. Pulpal necrosis; acute apical abscess D. Pulpal necrosis; symptomatic apical periodontitis 51. What is most useful in differentiating between an acute apical abscess and an acute periodontal abscess? A. Palpation test B. Periapical image C. Anesthetic test D. Percussion test E. Electric pulp tester 52. Drooling in Bell’s palsy is caused by muscle supplied by which branch of facial N a)Zygomatic b)buccal branch 53. Osteoinduction from allograft all involved except a)BMP b)TGF c)IL-1B d)PGDF 54.. Which has better prognosis A. cracked tooth, B. crown infarction, C. vertical fracture 55. Pt has 25mm jaw opening, and deviates to left on further opening what could be cause- a)left condyle doesn’t rotate b)Left condyle doesn’t translate c)right condyle doesn’t rotated D)right condyle doesn’t translate 56. New type of Zirconia crown has statistically better flexural strength than old types. What can be inferred ? a)New zirconia crown performs better short term clinically b)new crown would perform better in long term c)clinical significance cannot be inferred based on flexural strength alone AVERIGUEN DE ESTA PREGUNTA PORQUE ASI LO PREGUNTAN Y NO RECUERDO QUE OPCION COLOQUE PERO FUE FRUSTANTE PORQUE NO ESTABA SEGURA DE ESTA PREGUNTA 57..Odontogenic infections mainly contain a)aerobes b)facultative anaerobes c)obligate anaerobes 58. Topical anesthetic applied intra canal what does it cause a)apical bleeding b)causes unwanted apical seal c)coats the canal and interferes with obturation 59..Description of necrotizing gingival disease a)loss of interdental papilla b)negative nikolskysign C vescicular lesions 60. Patients on dialysis on Monday and Thursday, when to treat? A. Tuesday B. Wednesday C. Saturday D. Sunday 61 Which of the following option allow the dentist get directly reimbursed from the insurance? my choice was PPO ESTA OPCION NO TE PONEN PPO TE PONEN EL SIGNIFICADO DE CADA INICIAL P.P.O. 62. which of these medications can contribute to xerostomia, the box said that the patient had bipolar disorder, depression, hypertension a.Amitriptyline b.Hydrochlorothiazide c.Omeprazole 63. Lisinopril MOA a. Flushes out water and sodium b.block calcium channel c.Inhibit the narrowing from the blood vessels and decrease workload of the heart. 64.. Omeprazole MOA A)Proton pump inhibitor B) inhibit 5 TH 65.What type of investigation was conducted in the Colorado Brown Stain case: a. Assessment b. Assurance (ASI ES LA OPCIONES) 66. Warfarin MOA , in the patient's box it said cc: "my gums bleed a lot when I brush", bleeding on probing. Took Warfarine and the question was: wich is the medications that poduce the condition referent to the chief complain: Inhibit Vitamin K 67. Old women Gad lesions on the left cheek inside the mouth on the mucose and out side on the face, that didn’t cross the midline a. Shingles b. Measles C) herpetic smatomatitis d) ulcer aftas 68. Complete denture on upper. type of tissue where it ends (like seal posterior) a. keratinized and minor salivary glands b. Keratinazed major salivary glands c. Keratinazed and cancellous bone d. no keratinized gingival 69 Pierre Roubin is related to what other syndrome? a. Sticklers b. B. Gorlin c. C down 70. year old girl with bilateral swelling and all caracteristics of hypotireoid. Elevated TSH, T3 and T4 low. Stature lower than the ratio Had half of the normal stature for her age. a. Cretinism b. Cherubism c. ectodermal displasia d.pierre robin 71.Pierre Roubin caracteristics except: a. Bifid tongue b. Micrognatia c. Cleft palate d. Glossoptose 72.. Lots of Ellis II trauma questions fracture on tooth that expose enamel and dentin and subgingival no pulp exposed. a) I b) II c)III d) IV 73..One trauma with pulp involvement a. Complicated fracture (my choice) b. uncomplicated c.simple 74. Cracked tooth syndrome a. Mandibular 1st molar b. Mandibular 2nd molar c. Maxillar 1st molar d. mandibular 1st premolar 75. X ray to see maxillary sinus a. Waters B panoramic C periapical D lateral cefalometric. 76 Crepitus on preauricular region TMJ, no pain. On the pt box in a corner and little said “ NEGATIVE or –RAF “ (FACTOR REUMATOID ARTRITIS NEGATIVE): a. Gout Arthritis b. Osteoarthritis c. Reumatoid Arthritis 77. What we can found on the Panoramic: a) Article eminence erosioned b) erosion of the condyles C erosión zygomatic 78. Treatment for this patient all except: a) artrocentesis b) Nightguard 79. -Also wich RX is used to see the condyles and dx this pt a) Panoramic b) CT c) Lateral cephalic d) Cbct 80. Class III definition a. Mesiobuccal cusp of the maxillary first molar occludes distal to the mesiobuccal groove of the mandibular first molar 81 Distal step can lead to a. Class II 82.Water optiomal fluoridation a. 0.7ppm 83.What medication patient was taking could affect in patient stress management during dental procedures : a. Corticoid b. Mycophentolate c. Omeprazole 84 Patient taking XARELTO for atrial fibrillation. What complication he was most prompt to have in dental chair: a. Angina b. Stroke c. Heart Attac d. syncope 85. What muscle depresses soft palate? a)palatogloso b)geniohioide c)buccinator d)digastric 86 Pt Box about healthy patient femenine, like 30 years old. Look well at the patient box because I did;nt see the information at the first time. The question was something like what is the affected fibers on the blood vessels of the condition in this pt. Know about the fibers not only in toothache situations, but systemica: a) A Delta fibers b) A gamma Fibers C) C fibers 87.. Mucus production in asthma What is the effect of acetylcholine in asthma? Acetylcholine binds to muscarinic receptors to play a key role in the pathophysiology of asthma, leading to bronchoconstriction, increased mucus secretion, inflammation and airway remodelling. a. Aceltylcholine b. Norepinephrine 88. 6.PT box SAID “ Patient allergic to Lidocaine and they give you all optins of amide. All of the options are potential local anestesic that can cause allergic to this patient excep one: a.Tetracaine b. Lidocaine C mepivacaine 89. Peri-implantitis case to identify with one picture 6mm on probing, with bleeding. (pt was taken Biphosfonates). On the periapical image I saw 2 rings of the implant with radiolucency in one side (maybe mesial) and the other side with mild radiopaque image (Distal) wich option is correct: a)mucositis b)implant faillure c)Periimplantitis  por esta pregunta pude localizar mi file en las primeras 100 pregunta al iniciar el examen, las imagines son iguales 90. How to treat peri-implantitis a) CLorhexidine rinse b) SRP c) SRP whit sytemic antibiotics d) surgery debridment 91. Know how to identify a Localized and Generalized periodontitis. This was a pt box femenine 24 years old. (also they gave me full mouth, periochart, and intraoral images) (on the intraoral images we can see a mild inflamation but no too much really, and just the number 30 with reccesion maybe of 2 mm aproximatly). she has 28 teeth (all without the wisdoms) on the periochart I saw 14 teeth affects, with probing between 4, 5 and 6 mm. Also in # 15 a probing of 9 mm and # 30 with a probing of 8mm (the bone loss was vertical in mesial #15 and distal#30). Wiht bleeding on probing. the choices were: a)Generalizade stage II b) Generalizade Stage III c) Localizate Stage I d) Localizate Stage II 92. Know how to treat it – A)minocicyclin (Arestin) B) Metronidazol C)Clorehexidine 93. Tetracyclin affect teeth at what age mostly a. 14 weeks intra utero b. 4y c.10 d.2 months 94. One of them with a Periapical the boy was 8 y old, I don;t remeber well but was a hit on the tooth #8 with pulp expose. But they said like the tooth was vital (the hit happened about 60min.) What is the treatm of choice. a) Apexogenesis b) Apecficiation c) Direct Pulp cap d) Indirect pulp cap PREGUNTA NUEVA 95. cemento indicado para una restauracion indirecta O directa para formar un Puente dentinario? A. AMALGAMA B. COMPOSITE C. CEMENT SILACATE D. CEMENT BIOCERAMIC 96. How long after eruption root will finish it’s growth? a. 2-3y b. 3-4y c. 8 years d.2 months 97. other cases with a periapical and two temporals molars.. With completly roots 4 years. In the pt box said deep caries with pulp envolved. Wich is the treatment: a) pulpotomy and SSC (Stanley steel crowns) b)pulpectomy c) direct pulp cap d)Ext. 98. What should be included in an informed consent for implant placement? a. Surgery side effects (exactly these words) b. Occupational hazards 99.. They gave me a Full mouth how many teeth are? Count very well presents, and also then no present because on the periapical to the incisives #9 and #10 we can’t no see the lateral we just see a little radiopacity (like a light line on the border the RX) and on the periapical of the canine the same (I just saw the canine and the premolars, in mesial to the canine I saw a light radiopacity that indicate that there was a tooth present)… similar picture a) 4 missing teeth b)6 misiing c)5 missing d)7 miissing 100. Metaplasia of tissue in COPD: a. Stratified squamous non keratinized epithelial. b. Pseudostratified squamous epithelial c. Stratified squamous keratinized epithelial d. Stratified columnar epithelium 101. Identify anomaly with Xray periapical. muy similar la imagen a. Dens in dente B. pulp stone c.concrecence d.gemination 102. Pt over sedation and Pressure machine starts drup up/erratic with numbers. What to do first? a. Check with pressure cuff and tube b. Call emergency c. administrated oxygen 103. What type of hypertension on a case person is 165/95 on pt box a. Type II b.type I c.Type III 104. Pt box femenine 24 years old. Healthy no disease. Weight:186 lb Height: 5.5” wich is ASA Physical Status Classification System: a) ASA I b) ASA II c) ASA III d) ASAIV 105. Macula definition a. Well-circumscribed and flat b. Well-circumscribed and stood out c. Irregular boarders and flat d. Irregular boarders and stood out 106.. Interproximal decay Last Two years on someone according to CAMBRA a. High risk B moderate 107 Muscles attached to lower incisors area a. Geniohyoid and genioglossu b.palatogloso and digastric 108. Whic muscle form the floor os the mouth? a)milohioid b) digastric C)Lateral ptrigoid d) buccinators 109. where we have to place the occlusal plane on the retromolar pad when making a lower denture (these exactly options): a. 1/4 b. 2/3 c. 4mm above d.5. 5mm below 110. Know that Go and Me points will lead to Mandibular plane on the Lateral Cephalic RX a. occlusal plane b. lateral plane c. mandibular plane 111. Phemfigus Vulgaris is a type of desease of origin: a) Viral b) Inmunologic c)Bacterian d)inheritance 112. An infection on premolar maxillary at wich space we can see it: A) bucal b) lingual c)canine d)pharyngeal 113. Case about sialolithiasis on the parotide wich Rx aim with the diagnostic: A. Lateral cephalic B. Lateral oblique C. Bitewing D. Periapical 114. You have to select the most correct treatment sequence.- in wich phase os the treatment you have to do the reassement of the oral hygienic of the patient, when yo are over the treament. once the treatment. (something like that was confuse because they said somethin that make thing that is not maintenance because the treatment was no finish yet. a)acute b)disease control C)definitve d) maintenance 115. Best shade between the others that will take longer to light cure: a. D3 B C3 C D2 116. Maximum dose of epinephrine to an ASA I patient a. 0.2mg B 0.04 mg 117. anti-HbS positive – what does that means? a. Vaccinated B acure C negative 118 which cells are involved in exudade? a. Neutrophiles b.macrofagos c. lumphocytes d.monocytes 119. What happens if you use topical anesthesia like benzocaine into the canals? a. Canal coating and difficult to obturation seal 120. Chest compression on adult: a. 2 inches B 2 Cm C 4 inches 121. A patient is addicted to iv drug which is CONTRAINDICATED: a. Fentanyl B midazolam 122 Bluish under tongue comes and go (no photo provided): PALABRA CLAVE ES BLUISH a. Ranula 123. Lateral swelling, pain when patient swallows a. Infection of submandibular gland 124. Which Bacteria is resistant to clindamycin: a. Pseudomonas Aeruginosa 125. Most common bacteria in root canal: a. gram negative, obligate anaerobe 126. Which Bacteria is resistant to clindamycin: a. Pseudomonas Aeruginosa 127. Most common chromosomal defect: a) 21 128. High transmission In dental office, from least to most: b. Hiv, hep c, hep b (0,3% / 1,8% / 30%) 129. Which material is better for class V restorations a. Ionomer b. Composite c. Sealant d. Amalgam 130. Identify coronoid process on x-ray. Something like this 131. Implant. Except: a. Fibers of PDL attached around implant. b.fibers enveved along the implant c.fibers circulars around the implant (something like that) b. sulcus and epitelium 132. Down Syndrome features present: a. Atlanto axial instability b.premature sutures c.britle hair 133.A female came for filling restoration, for the next appointment she has bruises in her eye and lip. What do you do? a. Nothing b. Tell the assistant to ask what happened c. Report d. Ask the patient what happened in her face and write on the her register. NO ES TAL CUAL LAS OPCIONES PERO SI LEES BIEN ENCONTRARAS LA OPCION INDICADA MUY SIMILAR A LA OPCION D 134 Patient is taking 81mg of aspirin on pt box. Why are the gums bleeding a lot? a. Antiplatelets action of aspirin 135 Female taking estradiol is getting extraction, all of these is true regarding giving Antibiotics, EXCEPT? a. Antibiotic will hinder contraception b. Antibiotic can cause gastrointestinal disturbances c. Can hinder with analgesics d. Can result in allergic reaction 136. Pic with a maxillary premolar very Dark on buccal: LA FOTO Q MUESTRAN ES TAL CUAL A UNA AMLAGAMA TATU a. Amalgam b. Vascular c. varix 137. Pt Box A patient has partial metal framework, was delivered last week pt came back with redness soreness, erythema and pain under the mayor conector of the partial. a. allergic reaction Metal frame b. Candida c. stomatitis herpetica d.nicotinic stomatitis 138. Next step: a. Ask the lab which metal was used and make another RPD with different material. 139.. Which ethic Is involved in report a child abuse: a. Justice b. Beneficence c. Non maleficence d. Autonomy 140. Right after the administration of local anesthetic, the tornado warning sirens go off. The dental assistant reports that this happens all the time, and there is no danger of a tornado. What action should be performed by the dentist? A. Listen to the dental assistant and disregard the siren B. Get consent from the patient and stop treatment C. Ask the patient if they want to continue or stop D. Immediately seek shelter with patients and staff 141. Which of the following drugs has the highest potency? A. Drug A B. Drug B 142. Each of the following is a muscle of mastication EXCEPT one. Which is the EXCEPTION? A. Buccinator B. Lateral pterygoid C. Medial pterygoid D. Temporalis 143.. Lesion in tongue said all are differential diagnoses except? A. Schwannoma B. Granular cell tumor C. Fibroma D. Verruca vulgaris 144. What can cause anterior open bite, Except? A. Airway obstruction B. Prolong use of Pacifier C. Migroglosia D. Tongue thrust 145. What Keppra (Levetiracetam) is used for? A. Seizure B. Allergy C. Diabetes D. Asthma 146. The Occupational Safety and Health Act was passed to protect who? A. Immediate family members of employees B. Patients C. Employees D. Employers 145. The pulp of two teeth appears to be shared in which of the following dental abnormalities? A. Dens in dente B. Concrescence C. Fusion D. Gemination 146. The patient arrives at the appointment smelling of marijuana. Which of the following options is the best management approach? A. Proceed with treatment B. Decrease dosage of IV sedation medications C. Increase dosage of IV sedation medications D. Reschedule appointment 147. Female, 55 years old. CC:” I can’t stop drooling.” Left side facial weakness and drooling from the left side of the mouth. What cranial nerve is responsible for the patient's symptoms? A. I B. IV C. V D. VII 148. Male, 60 years old. CC: “My tooth is rotting, and it’s hurting when I chew and eat something cold.” Mitral valve prolapse, Heart murmur, history of endocarditis, history of knee total joint replacement. Tooth 30 positive to cold testing and positive tooth slooth testing. Which condition indicates the need for antibiotic prophylaxis? A. Total joint replacement B. Mitral valve prolapse C. History of infective endocarditis D. Heart murmur 149. Male, 58 years old. CC:”My tooth is killing me, and my face has swollen up.” Active secondary tuberculosis. Left-sided facial swelling intraoral exam reveals a heavily decayed tooth 18 with significant vestibular swelling. Which of the following options does the Center for Disease Control (CDC) and Occupational Safety and Health Administration (OSHA) recommend for treatment of this patient? A. Delay dental care until the patient has been declared noninfectious by a physician B. Delay dental care until symptoms have subsided C. Treat them while wearing an N95 respirator D. Treat them with universal precautions 150 Female, 44 years old, African American. Patient is not in any pain and there is no evidence of caries, mandibular incisors respond normally to cold test. Smoker (cigarettes), 10 pack-year history, Type 2 diabetes - Metformin (Fortamet®), Social drinker. What is the best treatment option for this condition? A. Perform nonsurgical root canal treatment on tooth number 26 B. Extraction of tooth number 26 C. Apicoectomy for tooth number 26 D. Monitor the lesion on tooth number 26 151. Which of the following is the most common cause of sleep apnea in children? A. Ankyloglossia B. Adenotonsillar hypertrophy C. Mucopolysaccharidosis D. Septal deviation 152. Each of the following is an ADA-recognized dental specialty EXCEPT one. Which is the EXCEPTION? A. Orofacial pain B. Dentofacial orthopedics C. Dental public health D. Dental implantology 153.. Mesial-occlusal caries noted on tooth 5. The procedure results in pulpal blushing. Which of the following materials is most likely to stimulate dentin bridge formation? A. Zinc oxide eugenol B. Calcium hydroxide C. Resin-modified glass ionomer D. Composite resin 154. Patient does not speak English accompanied by a spouse. Tooth 17 gross decay, non-restorable. Each of the following is a recommended method of obtaining consent EXCEPT one. Which is the EXCEPTION? A. Dentist speaks the same language B. Assistant that speaks the same language C. Patient’s spouse D. Certified interpreter 155. Same case. The patient is scheduled for treatment under general anesthesia. The morning of the surgery, the patient states that he had a bowl of cereal before arriving. Which of the following is the most appropriate treatment decision? A. Proceed with the appointment under general anesthesia B. Wait two hours, then proceed with treatment under general anesthesia C. Continue dental treatment under nitrous oxide instead of general anesthesia D. Reschedule the dental appointment 156 Male, 72 years old. CC: “ I have a weird lump in my mouth. It has been there for the past month and it is not painful.” Large 3x4 cm uncircumscribed mass on the lateral tongue. Lesion is erythematous, ulcerated, and indurated. Which of the following is the most likely diagnosis? A. Squamous cell carcinoma B. Lymphoepithelial cyst C. Mucocele D. Aphthous stomatitis 157 Same case. Which of the following features is the most concerning for this lesion? A. Ulceration B. Color C. Location D. Size 158. Same case. Which of the following is the most likely contributing factor to the development of the lesion? A. Repeated trauma B. Oral sex C. Excessive alcohol consumption D. Oral malignant m 159. When a patient asks if amalgam is a toxic material, the dentist discusses the biocompatible properties of dental amalgam. The dentist explains the indications of amalgam and composite materials for restorations. Which ethical principle was followed? A. Beneficence B. Justice C. Veracity D. Non-maleficence E. Patient Autonomy 200.. Which of the following complications following an inferior alveolar nerve block injection is LEAST LIKELY to occur? A. Infection B. Trismus C. Hematoma D. Ecchymosis 201. Which of the patient’s medications produces active metabolites? A. Lisinopril B. Diazepam C. Atorvastatin D. Valsartan 202.. Which represents the mechanism of fluoride? A. Decrease dissolution of calcium phosphate B. Increase dissolution of calcium phosphate C. Decrease availability of hydroxyapatite D. Increase hydroxyl content within ename 203. What crown material is best used for patients who have a fractured mandibular molar having less tooth structure with bruxism? A. PFM B. Porcelain C. Stainless steel D. Zirconia Esta me la preguntaron pero no recuerdo cual fue mi respuesta 204. Upon removal of the provisional, the crown falls to the back of the patient’s throat. The crown has not been able to be retrieved. The patient claims to have no difficulty breathing. What is the next step the clinician should take? A. Remake the provisional B. Deliver the final crown C. Send the patient for a chest x-ray D. Send the patient home with an antibiotic prescription 205. How long is the survival time on surfaces of the Hepatitis C virus? A. 24 hours B. 7 days C. 6 weeks D. 3 months 206..COPD patient management, except A. Short appointment B. Stress reduction protocol C. Supine position D. Avoid nitrous oxide 207. What does HbA1c measure? A. Glycated hemoglobin B. Blood sugar C. Hemoglobin count D. Hematocrit 208. What does “SLOB” in the SLOB rule stand for? A. Same Lingual, Occlusal and Buccal B. Same Lingual, Opposite Buccal C. Surface of Lingual, Occlusal, and Buccal D. Same Lateral, Opposing Buccal 209. Patient with severe caries. Which should be the most definitive way to diagnose pulp necrosis? A. Transillumination B. Cavity test C. Palpation D. Percussion 210.. When is it safe to obtain dental radiographs during pregnancy? A. Any time during pregnancy B. During the 1st trimester C. During the 2nd trimester D. During the 3rd trimester 211. Male, 51 years old. Osteoporosis Medications: Denosumab (Prolia) CC: “I’m experiencing pain on my lower tooth when I bite down.” Current findings: Deep caries on tooth 30 extending on the alveolar crest. Which of the following is the most appropriate treatment option? A. Crown lengthening followed by root canal therapy and placement of a crown B. Extraction of tooth 30 and tooth addition to denture C. Coronectomy and root canal therapy followed by fabrication of new removable denture D. Excavate caries and build-up with composite 212. A group of dental practitioners are interested in studying whether fluoride varnish is effective in caries prevention in the elderly. Which aspect of this study would represent the “I” in PICO? A. Elderly patients B. Caries prevention C. Fluoride varnish application D. Caries 213. 2.What is the mode of transmission of hepatitis C? A. Saliva exposure B. Blood exposure C. Fecal-oral D. Airborne 214. Which study most clearly provides a temporal relation of exposure and disease? A. Cohort B. Case-control C. Cross-sectional D. Randomized control 215. Which of the following occlusal schemes would be the most ideal for complete dentures? A. In centric relation with bilateral balanced occlusion B. In centric relation with mutually protected occlusion C. In centric occlusion with bilateral balanced occlusion D. In centric occlusion with mutually protected occlusion 216. Tooth 18-DO decay with vestibular edema and active purulent drainage. Well circumscribed radiolucency associated with distal root of tooth 18, biopsied as radicular cyst. From what tissue are the cells encapsulating this pathologic lesion derived from? A. Tomes processes B. Stratum intermedium C. Epithelial rests of Malassez D. Striae of Retzius 217. Why is a rubber dam necessary when performing non- surgical root canal treatment? A. Reduce aerosol formation B. Increase asepsis C. Protects the patient D. Prevents the patient from speaking excessively 218. What is the most important consideration while fabricating complete dentures? A. Esthetics B. Patient satisfaction C. Function D. Patient preferences 219. During debridement of the canal, the patient reports sudden severe pain in the area. Profuse bleeding from the canal and swelling of the gingiva is noted. Which of the following most likely explains the symptoms? A. Irrigant extravasation B. Root fracture C. Root perforation D. Broken file within the canal 220. Female, 24 years old. Hepatitis C was diagnosed 2 years ago. History of IV drug use. Lab results show a reactive HCV antibody (anti-HCV) test and a positive HepC NAT. Which of the following describes the current infection status? A. Resolved B. Chronic C. Acute D. End-stage 221. Female, 84 years old, accompanied by daughter and son-in- law. CC: “I fell down the stairs and chipped my front teeth.” Lives at home with her daughter and son-in-law. Bruised arm, swollen lips, fracture of teeth 8 and 9. What is the most appropriate next step? A. Speak to the patient in the absence of her family members B. Speak to the patient’s family members regarding the accident C. Report the suspected incident of elderly abuse to the relevant authorities D. Isolate the patient from the family members and call 911 Esta me salio pero las opciones eran mas elaboradas y recuerdo que mi opcion fue la D en el examen pero se debe leer bien porque no sale tan sencillo como esta en los file esta mas redactada en el examen. 222. Bacterial elimination occurs during which stage of wound healing? A. Migration B. Inflammation C. Remodeling D. Organization 223.. How is the vertical dimension of occlusion calculated? A. Subtract 3 mm from the vertical dimension of rest B. Add 3 mm to the vertical dimension of rest C. Increase vertical dimension of rest by 15% D. Decrease vertical dimension of rest by 15% Vertical Dimension of Occlusion (VDO) 224. Which type of study observes two groups of people with different health outcomes and compares the groups to find previous risk factors? A. Case control B. Cohort C. Randomized D. Experimental En mi prueba GRACIAS A DIOS no me salio nada que tenia que calcular solo fueron conceptos, me salio identificar concepto de p-value el mismo que esta en los files, concepto de intervalo de confianza que recuerdo que fue la opcion A en mi examen. Muy facil y manejable en mi dia 2 no me preguntaron nada de estudios ni bioestadistica. 225. Which of the following is the correct equation to calculate clinical attachment loss (CAL) in cases of gingival recession? A. Probing depths + gingival recession B. Probing depths - gingival recession C. Attached gingiva + gingival recession D. Attached gingiva - gingival recession 226. What structure does the lingual vein drain into? A. Facial vein B. External jugular vein C. Cavernous sinus D. Internal jugular vein En mi examen la parte de anatomia fue muy manejable y muy poca, solo preguntas que puedes reconocer de los files nada profundo y dificil. Se debe hacer muchos files para que puedas dominar este examen esa es la clave, porque TODO esta en los file. 227.. Each of the following is considered to be a bloodborne pathogen by the Occupational Safety and Health Administration (OSHA) EXCEPT one. Which is the EXCEPTION? A. Hepatitis B B. Human immunodeficiency virus C. Malaria D. Mumps 228. Patient: Male, 41 years old. CC: “I’m here for a check up and I want a cleaning done today.” Background: Asthma, Medications: Beclomethasone dipropionate (Qvar®). White plaques on buccal mucosa and dorsal surface of tongue. Erythematous lesions underneath removable white plaque. Which is the most appropriate recommendation? A. Rinse with water after use of inhaler B. Stop use of inhaler C. Switch prescription to a different inhaler D. Obtain antifungal prescription from medical doctor 229. Female, 68 years old. Osteoporosis received its last dose of Zoledronic acid 3 weeks ago. Medications: Zoledronic acid (Zometa) 5 years. CC: “My tooth is loose and sore.” Grade 3 mobility on tooth 19 with furcation involvement. What is the most appropriate next step? A. Perform simple extraction B. Perform extraction and bone grafting C. Consult with the patient’s primary care physician D. Tell the patient to stop their medication and return in 3 mon Recuerdo otra pregunta que me salio el primer dia que el paciente NO estaba tomando Bisfofonato pero creo que habia pasado por Radiaciones ellos te dicen por cuanto tiempo y ademas habia perdido varios dientes porque tenian mucha movidilidad es decir tenia problema periodontal y el paciente tenia diabetes y habia pasado por terapia de radiacion y el venia ese dia a consulta para realizarce otra extraction de un diente porque tenia mucha perdida osea y tenia mucha movilidad, en el examen te muestran una rx PA del diente y te pregunta es porque se debe esa perdida osea y las opciones son por la Diabete, por la radiacion o por la enfermedad periodontal. La verdad no recuerdo si te dan el valor para saber si la diabetes esta controlada, solo recuerdo que te dan el tiempo de radiacion y te dicen que actualmente el no esta reciviendo terapia de radiacion, mi opcion fue la enfermedad periodontal, PERO la verdad fue un caso en la cual no recuerdo verlo en los files ni en bootcamp ni en booster, pueden analizarlo mejor antes de la prueba. 230. 12y panoramic and they asked which tooth erupts first.. Was this exactly Panoramic. a. 4 b.6 c. 15 d.17 231. What happens if a patient come for prophy but he has active TBC (Tuberculosis)? a. Defer treatment 232. When is the best time to see a patient with tb? a. When it's latent. 233. What do you do if the same patient has a dental emergency with ACTIVE TB? a. Mask n95 and treat in a isolated room 234. Side effect of isoniazid: a. Hepatotoxicity 235. What a dentist need to do if he has HIV : a. Standard precautions 236. A patient with hep b or c what do you need to do? a. Standard precautions 237. Clinical case: I'm in the town visiting a friend. He wants opioid but he doesn’t have anything: a. Give him ibuprofen b. refer to a physician. C call 911 174. 238. A patient has history of drug abuse and he wants to fill a. prescription over the phone. b.. Tell the patient to come to the clinic 239. Count one tooth less: a. Fusion 240. Mucositis post radiation or chemo what to give? a. Change rinse of clorhexidine for iodopovidone. 241. Autism pt management, except: a. Voice control Sedation Desensitization 242. Flap in surgery of mandibular tthir molar? a. It has to finish in solid bone Full thickness flap 243. J shaped radiolucency? a. Vertical fracture 244. Risk of mesial perforation during endodontic access? a. Maxillary first premolar esta pregunta no es asi como sale en los file o en bootcamp, realmente es un poco mas complicada la pregunta de entender pero a la final cuando la lees con mas calma la entiendes y sabras que la respuesta es el primer premolar maxilar 245. Civatte bodies seen in? a. Lichen Planus 250. Muscle of mastication. Which one opens the mouth? a. Lateral pterygoid b. Masseter c. Medial Pterygoid d. Temporal 251. Pregnant woman with an increase in volume in buccal papilla that bleeds easily? a. Pyogenic Granuloma b. Fibroma c. Mucocele d. Carcinoma 252. A patient with Hepatitis B and C, liver cirrhosis, what pain killer is contraindicated? a. Hydrocodone b. Acetominophen c. Ibuprofen 253. Patient with hemofilia, What exam to do? a. PTT no te ponen las iniciales se debe saber el significado completo b. PT c. BT d. INR 254. Reason to evaluate water lines a.More than 800 FCU. B 0-500 FCU 255..Musculoskeletal disease (Ergonomy) a. Inappropriate operator working distance b.inapropiate equipment esta pregunta mi opcion fue la A pero creo que en el file genesis o cachita esta mas opciones que recuerdo que me salio en el examen que te puede hacer dudar pero mi opcion fue la A 256..Father came with his son, 12 months old, for evaluation. Father says they were on vacation and his son is having a fever and dry cough. What is the first appropriate management to do: A. Refer to specialist B. Give a mask to the father C. Isolation both. Recuerdo que me Salio esta pregunta pero no recuerdo bien que decia pero la verdad me fui por la segura que es isolation both. 257. 1 Patient addicted to methamphetamine, very bad oral hygiene, many cavities, had not been to the clinic for a long time. He has a fracture class IV on the central incisor, no pulp exposure. What is the best treatment for this patient? A. Composite resin restoration B. Veneer C. Porcelain crown D. PFM. La pregunta indica que el Pt. queria algo inmediato y mi opcion fue la A composite 258. Dentist with HIV: A. Can keep their job as a dentist B. Has to stop working C. Has to report it 259.CDC guidelines for Hep B A. Can work but has to notify patients and employees B. Can work but doesn't have to tell C. Cannot work as a dentist 260. Patient, 18 years old, with no previous history or medications, blood pressure 180/100 with no symptoms, patient was in tooth pain. What do you do? A. Prescribes pain medication. B. Refers the patient to an emergency C. Wait 5 minutes and check the pressure again. 261.Fail to completely block IAN due to a.Ramification of Mylohyoid nerve (accesory) 262. Asthma pt. Taking a steroid inhaler. Wipeable white plaque like lesion on palate a.Candidiasis 263. Warfarin INR 2.5 A. Extract B. Delay Treatment C. Stop medication 240. 264 How do we measure HbA1c? A. Blood B. Plasma C. Red blood cell 265. Which of the followings need more anesthesia A. Ian B. Gow Gates C. Mental 266. Which technique is more effective.? A. Ian B. Gow Gates C. Mental 267. What is the best way to Know if the pulp anesthesia is addressed in the lowar molar A. Cold test B. Performing acces C. Ask the patient if the lip and tongue is numbing D. Canal opening 268. Which of the following statements is true about p-values? A. It is the probability of the sample data arising by chance B. It is calculated by taking the square root of the variance C. It is the chance of getting an observed effect that the null hypothesis was false D. It represents the probability of type 1 error 19 269. Patient comes with mom for extraction, mom want iv sedation for her child because child I allergic to dust and no allergist confirm the allergic to LA. What do you do? You talk to mom to find out more information 270. A female came for filling restoration, for the next appointment she has bruises in her eye and lip. What do you do? a. Nothing b. Tell the assistant to ask what happened c. Report d. Ask the patient what happened in her face and write on the her register 271. Type of resorption in ankylosis Replacement resorption 272. What is true about reporting abuse? Need physical evidence of abuse to report Good faith reporters are protected from being sued 273. Painless pre auricular crepitus Dx Gout Osteoarthritis Rheumatoid arthritis 274 Pano radiopaque mass near the angle of the mandible (radiopaque with well limited borders) Carotid artery calcification Lymph node calcification Sialolith 275 Kennedy classification which needs indirect retainer Class1 mod 1 Class 1 mod 2, Class 4, Class 3 mod1 276 7 Something like this photo but in front and the mandible with an x ray too. a. Exostosis b. Adenoma pleomorphic c. Ameloblastoma periférico (elegi esta) d. Granuloma piogeno TE PONEN UNA FOTO TAMBIEN Y ADEMAS DE UN RX OCLUSAL Y YO ELEGI EL AMELOBLASTOMA PERIFERICO, RECUERDO QUE DECIA QUE EL PT NO TENIA SINTOMAS ERAN UN HOMBRE, DUDE PORQUE RECORDABA QUE EN LOS FILE ESTA COMO EXOSTOSIS EN LOS FILE PERO LA VERDAD MI CORAZON SE FUE POR LA C PORQUE CUANDO TU OBSERVAS LA OCLUSAL TENIA SOAP BUBBLE RADIOLUCIDOS 277. They ask me something about of G6PD? (Check more about this guys). G6PD deficiency is an inherited condition. It is when the body doesn’t have enough of an enzyme called G6PD (glucose-6-phosphate dehydrogenase). This enzyme helps red blood cells work properly. A lack of this enzyme can cause hemolytic anemia. This is when the red blood cells break down faster than they are made Esta pregunta esta en angel de mi guardia, y realment en el examen recuerdo que no sabia de que me estaban hablando, pero saque la respuesta por descarte. 278.. que forcep se usa para realizar la ext de un premolar inferior left A. 151 B 150 C 88 R YO ELIGI 151, PERO CREO Q EL 88 ES PARA PREMOLAR INFERIOR PERO NO LO ELIGI PORQUE ERA LA EXT DE UN PREMOLAR INF LEFT Y LA OPCION DECIA 88 RIGHT, PERO PUEDEN AVERIGUAR 279. Max dose of 4% Articaine? 7mg/Kg 4.4 mg/Kg 6 mg/Kg 280. Patient wants to extract a good tooth and you listen to him and do what he wants, which principle is violated ? Non Maleficence 281. Half life methamphetamine: 10 to 12 hours 14 to 16 hours TENGA ESTA PREGUNTA PRESENTE PORQUE YO LA RESPONDI MAL YO HABIA PUESTO RECUERDO MUY BIEN LA OPCION D QUE ERA 14 A 16 HORA, Y LA OPCION BUENA ES LA C EN LA PRUEBA QUE ES DE 10 A 12 HORAS 282. Which structure we use while giving a IAN block : External l oblique ridge. Internal oblique ridge. Pterygomandibular raphe DIA 2 DEBEN SABER LOS MOA DE STATINAS, NITROGLYCERIN, IBUPROFENO, CARBAMAZEPINA, ZOMETA, DIURETICO, HUMIRA, PREDNISONE, DONEZEPIL DE ESTE MEDICAMENTO LA RESPUESTA ES Q MEJORA LA FUNCION COGNITIVA, SABER EL SIDE EFFECT DE PROPECIA PORQUE TE PREGUNTA EL SIDE EFFECT PERO COMO UN EXCEPTO Y YO COLOQUE LA OPCION B QUE ES HIPOGLICEMIA PORQUE ESTE MEDICAMENTO EL LONG TERM PRODUCE DIABETE TIPO 2 LOS MOA LAS OPCIONES SON SENCILLAS Y FACIL DE IDENTIFICAR, IGUALES EN LOS FILES O EN BOOTCAMP LEER INDICACIONES EN LONG TERM DEL CUIDADO DE UNA DENTADURA, YO LO LEI EN LA PAGINA DEL ADA QUE ESTA UN ARTICULO MUY UTIL ANESTECIA MENOS SAFE PARA UNA EMBARAZADA ES ARTICAINA MI SEGUNDO DIA ME BASE EN JERUSALEM 2, NAZARENO, MILAGROSA, LUZ, MAFALDA, RESILENCIA, CAFÉ CON LECHE, GODS WHISPERS, MOREL TODO DE ESTOS FILE ME SALIERON DEL SEGUNDO DIA  Enma file March, 1 and 4 No se puede renunciar a aquello en lo que no puedes dejar de pensar todos los días Paolo Coelho Este file lo he hecho con mucha dedicación, trate de recordar la mayoría de mis preguntas y esto fue todo lo que pude, nunca es suficiente, probablemente con los días me recuerde de otras pero tardaría en hacer mi file y sé que hay personas que presentan pronto. Aun no se mi nota pero de igual manera vivo agradecida de todas las personas que me ayudaron a llegar a este examen, agradezco a mi Dios, a mi abuela Enma que desde el cielo me cuida, a mi prima, a mi madre, a mi pareja, a mi amiga Ismaray, a mi amiguita Ines, a mis chicas del grupo PASS, por sus ánimos. A día de hoy no se mi resultado, pero sea cual fuese, nada hubiese sido posible para mi sin estas personitas. El examen: No es fácil, no es difícil, lo que mejor lo define es manejable. Van a reconocer muchas preguntas tanto del bootcamp, como de files, como de booster. Al igual van a tener preguntas donde dirán WHAT THE HELL, y otras donde dudaran entre dos opciones. El tiempo les va a dar incluso para revisar las que tengan duda. Recomendación: Vayan el día antes al lugar del examen para que sepan dónde está la sala donde se toma el test, me paso que no encontraba el lugar y casi cerca de las 8 di con él, casi al borde de infarto. Y lean bien los carteles que les ponen cuando finalicen el examen, o mejor léanlo todo.