129 SAQs

For ADC Preliminary Exam

1. Design a brief list of medical history questions to be used a part of a patient's overall history taking procedure?
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3 / 117

2. 3.

Write short notes on the diagnosis and management of dry socket? Using appropriate headings design a short patient history and examination form that could be used as an aid to your patient management? 1 / 117 Write short notes on the clinical assessment phase of the insert visit for a removable partial denture? Write short notes on the management alternatives for an unerupted maxillary canine? 7 / 45 / 62 Write short notes on alternatives to RPD for single max anterior tooth replacement? Write short notes on localization and management of impacted canine? Class V root caries adv. and dis. Adv. of materials of choice? Factors affecting long term prognosis of an avulsed tooth? Mgt. Of pt. Under tri cyclic anti depressants?

4.

5.

6.

7. 8. 9. 10. 11.

5 / 45 / 62

26 / 40

68

Outline your mgt. For child in the mixed dentition with absent permanent upper lateral incisor and lower 2 nd premolars?
77 65

12.

Describe the procedures that would ensure the correct sterilization of dental burs and hand pieces. Discuss types of sterilization methods and verification procedures to ensure correct sterilization?
92

13. 14. 15.

Discuss the principles of infection control in dental practice? Discuss the procedures involved in surgery preparation between patients? Discuss the management of blood surgical procedures? contaminated instruments following dental

16.

Discuss the procedure for managing an operation needle stick injury following infiltration anesthesia? 43 Discuss those aspects of full denture construction that you would check at the try in stage?
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17.

18.

Discuss the role of the dental surveyor in removable partial denture may have on dental oral tissues?
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19. 20.

Discuss the adverse effects of RPDs on dental oral tissues? Describe and discuss common post insertion problem that a patient may complain of at the 7-day check visit following full upper and lower denture insertion? Early diagnosis of dental caries?

21. 22.

44

Population of Newzeland is increasingly surviving to extreme old age so u are asked to prepare article how this change may effect future oral health planning and cure for this community? A pt. who requires removal of molar tooth states that he has experienced excess bleeding after tooth extraction last time. So what steps would u take to clarify this information? 27 What would b your recommendations to the parents on fluoride therapy for a 3year old boy? 60 A controlled non insulin diabetic (niddm) pt requires extraction of tooth 47. What are the treatment precautions if any? 42 / 74 / 89
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23.

24.

25.

26.

A 12 yr old pt has avulsed an upper central incisor just 20-min ago. The parent calls your surgery for advice. What would be your instructions over the phone and out line your management of the case? 9 / 40 A pt who requires extraction of an impacted 3 rd molar has h/o bleeding after extn. What would be your management of the case? 23

27.

OR pt come to you 2 days after extraction with continuous bleeding from the socket a. what would be the underlying cause b. how u will manage prior, during, and after tx pt with history of bleeding.
28. A pt with a lower molar extracted a week ago presents with pain associated with both tmj's. What is the possible diagnosis and management? 87 What advise would u give pt who has a darkened upper central incisor? Discuss the effects of cigarette smoking on general health and its impact on oral health. What would you tell your patients to encourage them to stop smoking?
47 / 81

29. 30.

31.

A 15 yr old pt presents at your surgery complaining of malocclusion problems. On oral examination u notice that both permanent upper canines are missing. What additional examination techniques would u undertake and what treatment options would u suggest? When placing a proximal occlusal (class - II) amalgam restoration how do u ensure that the proximal surface of the restoration is properly contoured? 50 / 71
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32.

33.

Discuss what precautions u might take and what post op instructions u might give a pt for whom u had removed a tooth at 5 pm on a Friday afternoon if u were leaving immediately for the weekend away your self?
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34. 35.

Outline the different factors that may affect the stabilization and retention of full upper and lower dentures? Discuss the possible squeal of preparing and placing full veneer crowns with sub gingival margins? 93 Current recommendations for fluoride supplementation in Newzeland? children in non fluoridated areas children in risk categories c. adults in risk categories
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36. a. b. c.

37.

Prescription writing?

105

9yr old patient with dentoalveolar abscess. Write a full prescription. Short term and long term management.
38. 39. 40. Dental treatment in pregnant women? Halitosis Factors affecting the long-term prognosis of an avulsed tooth.
A parent called in to your office concerning an avulsed tooth of her 11yr old sons maxillary central incisor 20 minutes ago. What is your immediate guidance to the parent? Also the the short term and long term management at your office? 9 / 26 83

41.

Factors affecting selection of a suture material for a direct MOD restoration on a lower molar? 45 year old male diabetic on insulin is scheduled for upper and lower denture in preparation for full u/l denture how would you manage? 25 / 74 / 89 Your nurse sustains an LA needle stick injury how would you proceed? 16 Diagnosis of early occlusal caries?

42.

43. 44. 45. 46. 47. 48.

21

Localization of impacted max. Canine?

5 / 7 / 62

Difficulties in extraction max 1 st molar? complications of surgical extraction of upper 6 Changes in oral mucosa caused by smoking? 30 / 81 A 28 yr old female patient came to with peripheral abscess in right upper central incisor had a blow to it 10 days ago and has since been a bit loose. Patient now complains if pain and tenderness to touch for the past 2 days. What is your management of this patient? Patient with chronic periodontal disease, what are the factors that will influence the management and outcome of the treatment? 70 / 108 A class II amalgam restoration in a molar what factors do you consider when preparing a good proximal contact area? 32 / 71
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49.

50.

51. 52. 53. 54. 55.

Radiation hazards? Osseo integration?

55 90 / 118

Oroantral communication fistula diagnosis, management??

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Anaphylactic shock?? What are the factors which will reduce the exposure of the patient to radiation in a dental surgery list factors and describe how each effects the reduction of patient exposure? 51 A 11 yr old child has a class II div. I mat occlusion he is a thumb sucker, discuss the causes and how u will manage the malocclusion with mother of the patient?
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56.

57.

A woman has been wearing an excellent upper denture for sometime she has been missing her lower molars and sound anterior teeth remaining in the lower arch. What important considerations will you discuss with patient to make her believe in order to accept a lower partial denture? Moisture control? Pit and fissure sealants? Recommendations to a 3 yr old boy on fluoride management?

58. 59. 60. 61.

24

Hepatitis, 10yrs ago, what additional information you get from pt. And how it influences his treatment? 91

62.

A 15 year boy has deciduous canine. a. how you investigate the permanent canine is present or not? b. If it is present how would you manage the case?

5 / 7 / 45

63.. emergency on the dental chair. Patient is unconscious with no pulse, no breath. Whats your management? 73 64.. the role of saliva in oral tissue health, protective role in caries control and erosion?

65.. Submerged ankylotic E when the permanent 5 is missing. What is short and long term management? / Congenital absence of second premolar, management
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66. How can we achieve optimum enamel and dentin bond strength/tooth preparation for restoration with aesthetic restorative material?
What would you do to improve the bonding in composite tooth filling

67. on OPG you see a radiolucency in mandibular angle of about 2 cm, differential diagnosis, and management

68. From the medical history you find the patient is on Tricyclic Anti-depression medication. How would you manage this patient? 10 69.A 13 year old patient has rampant caries and gingival swelling. What are the causes? How to prevent them? What is your management?
109

A 9 year old girl came to you with rampant caries and gingival swelling. What advice will you give to the child and her parents to effectively manage the patient.

70.Patient with chronic periodontic disease. What are the factors that will influence the management and outcome of this patient?
49 / 108

71.Class two amalgam restoration on a molar. What factors do you consider when preparing a good proximal contact area?
32 / 50

72: what factors will you discuss with a patient for whom an impacted lower third molar is to be removed under local anaesthetic before the surgery?

73.Emergency Treatments Cardiac Arrest 74. Diabetic coma

63

25 / 42 / 89

75. Acute Adrenal Insufficiency

104

76.Patient gives history of Warfarin treatment in the assessment. What will be the considerations in the dental management of such patient? ( compulsory )

77. Patient has missing upper lateral incisor. What are the different treatment options?
11

78.55 years-old Patient has mobile upper anterior teeth and a diastema is starting to develop. What will be the differential diagnosis and its management?

79.Patient has apical abscess in 46 and needs extraction. Already 4.4 ml. of 2% lignocaine with adrenaline 1: 80.000 is injected, but when you try to extract tooth it is still painful. Discuss the possible management options.
94 114

80. How do you manage a 2 1/2 year old child patient who is visiting a dental clinic for the first time, and what will you discuss with the parents?

81. smoking and its effects and how to motivate patient to leave the habit. 30 / 47

82.your patient has read about tooth whitening. tell her about bleaching
Patient is interested in bleaching. How would you brief the patient concerning bleaching procedure? How would you go about bleaching? Patient has read about tooth whitening in a magazine. Discuss briefing and advice to patient. Also various methods of BLEACHING. A 22 year old woman presents at your general dental surgery complaining of the poor appearance of her teeth. What is the cause and what treatment is appropriate?

83.A patient comes to you for a recall visit and informs you she is 3 months pregnant. What is your line of management?
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84. HIV positive patient with caries. How to manage during your treatment. 85. 8 year old child with small carious lesion in tooth 46, how to manage?

86. 65 year old female patient on oral bisphosphonates . She has several grossly carious posterior teeth. how to manage?

87. after 3rd molar surgery pt presents with pain in both TMJs. how to diagnose it and manage?
28

88. patient presents with gingival enlargement. he is on nifedipine(or something) for blood pressure. how to manage?

89.A controlled, non-insulin dependant diabetic patient requires extraction of tooth 47. What are the treatment precautions, if any? 25 / 42 / 74 90. Osseointegrated implants. Explain to the patient advantages and disadvantages so he can make a decision.
52 / 188

91. Patient had hepatitis 10 years ago. What would be your additional information that you have to get from patient and how can that effect your dental management of that patient?
61

92. Describe the procedures that would ensure the correct sterilization of dental burs and handpieces. Discuss types of sterilization methods and verification procedures to ensure correct sterilization.
12

93. Describe relationship between crown and biological width.

35

94.Apical abscess. After inferior block anaesthetic, numbness of lip, tongue and buccal site; however patient still feels pain. Describe the reason and how to manage it.
79 114

95. Management of patient with diabetes and allergy to penicillin.

96. Discuss the effects of cigarette smoking on general health and its impact on oral health. What would you tell your patients to encourage them to stop smoking? Repeated with 81, 30 97.A 25 year-old patient presents with abscess on tooth 36. how would you manage? 98. RPD treatment plan 99. Management of patient with heart disease. 100.Space maintainers. 101.Tongue thrusting.

102.Over dentures. 103.Immediate dentures. 104.How do you manage a patient on steroid therapy and long standing rheumatoid arthritis?
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105.Write a prescription for Penicillin and Analgesic for a 8 yearold child.

37

106. How to manage patient on Tranquiliser therapy? 107.6-8 weeks old rigid intrusive with alveolar fracture. 108.Chronic periodontitis. 109.Rampant caries.

49 / 70

69

110.Vertical dimension in RPD. 111. Management of Class V (size2) lesion in a 15 year-old 112 Discuss dental amalgams 113 discuss latex allergy 114 ca 115 e o ai re o LA it ma ageme t
79 94

Types of articulators

116 Discuss class 2 & 4composite fillings in relation to polimerization shrinkage,

resistance to wear, compress strenght, flexural strenght & polishability.

117. What is the importance of medical history.

1/3

118. assessment of a patient for implants. 119. .clinical aspects of alginate. 120. discuss GIC. 121. significance of diet in caries activity 122. management of handicapped children.

52 / 90

123. 50 year old woman come to your clinic complaining of pain on biting on her left side. On examination revealed that she has only 34 35 36 teeth left at her left lower arch with MOD amalgams a. Ascertain how will you diagnose the tooth causing the problem . b. What diagnostic methods would you employ to arrive at correct diagnosis. 124. management of an 8 yr child needing nitrous oxide 125. A patient comes to your clinic with an acute gingival condition,lymphadenopathy and fever...descuss your clinincal examination,differential diagnosis and quick account on treatment of the diseases u have mentioned in the differential diagnosis 126.a.How do you clean, package, sterilize and store instruments used in operative dentistry(OR surgical tooth extraction OR endodontics)? b.What are the methods available to monitor the sterilization process? 127. Discuss the advantages and disadvantages of prescribing antiseptic mouthrinses for daily use in the treatment of periodontal disease. 128.Discuss the management and treatment options for a patient who has lost his lower right first permanent molar tooth (46). (A lady comes to you who have 14 upper teeth and missing one lower molar,she ask if she need to replace that teeth and what are the options? ) 129. A mother calls you and asks about toothpastes and topical fluoride. She has a 7-year-old child and they do not live in a fluoridated area. What is your advice?

SAQs
(86 categories)
1 2 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 28 29 30 32 33 34 35 37 38 39 41 46 48 49 51 52 53 54 56 57 58 59 61 63 3 117 Patient history Dry socket Insertion stage of RPD Impacted / missing canine Missing single max. lateral Class V root caries Avulsion Anti depressant therapy missing 2 & 5 Bur & handpiece sterilization Infection control Between patients Blood contaminated instruments Needlestick injury Full denture try-in Surveyor in RPD -gative of RPD on oral tissue Full denture 7 day check Early diagnosis of caries Aging population Bleeding after ext. Fluoride Diabetic patient TMJ pain after ext. Darkened upper incisor Smoking Class II amalgam Post ext. advice Denture retention & stability Subgingival margin of crown / biological width Prescription writing Pregnant woman Halitosis Restoration material for molar MOD Complications of surgical extraction of upper 6 Traumatic abscess Periodontitis Radiation hazard Implant Oroantral fistula Anaphylactic shock Thumb sucking Upper full denture lower ant. Natural teeth Moisture control Pit & fissure sealant Hepatitis CPR / sudden collapse

7 45

62 31

26 68 65 92

40 68

43

44 27 36 42
87

47 50

81 71

93 105 83

70

90

118

91 73

64 65 66 67 69 72 75 76 78 79 80 82 84 85 86 88 95 97 98 99 100 101 102 103 106 107 110 111 112 113 115 116 119 120 121 122 123 124 125 126 127 128 129

11

109 104

Saliva Missing 5 Bonding Radiolucency in mandibular angle Rampant caries Surgical ext. impacted lower third molar Acute Adrenal Insufficiency Warfarin Mobile upper anterior teeth L.A failure Child management Bleaching HIV 8 year old child caries in 46 Bisphosphonates Gingival enlargement drug induced Allergy to penicillin Endo abscess on tooth 36 RPD Design Heart disease Space maintainers Tongue thrusting Over dentures Immediate dentures.
Tranquilizer therapy

Intrusive luxasion Vertical dimension in RPD Class V lesion Dental amalgams Latex allergy Types of articulators Class 2 & 4 composite fillings Alginate GIC Diet Handicapped children Pain on biting Nitrous oxide Acute gingival condition Infection Control Mouthwashes Prosthetic replacement Flouride