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The x ray show scattered radiopaque line in the mandibule jaw, the
?diagnosis
a. Paget"s bone disease
b. Garre"s syndrome
c. Fibrous dysplasia
d. Osteosarcoma
?Patient has cirrhosis of liver { should amide LA} what is the best treatment
A. lidocaine
b. mepivacaine
***c. bupivacaine
***d. articaine
OSHA{..} - based on blood borne pathosis
T/F
?Which of the following endodontic failure may be retreated only with surgery .
.a. Missed major canal
.b. Persistent interappointment pain
c. Post and core
d. Short canal filling
hyperparathyrodism
gardner"s syndrome
Tetracycline discoloration
w
hen PT is 2-2.5INR on the same day
excisional biopsy
? Smoking is
contraindication for placement of implant .
not contraindication for implant therapy.
An oxide layer on the implant is important for the healing process of an
implant inside the bone?
T/F
?If a patient is absolutely allergic to LA, the specific drug used in place of it is
A. Chlorpheniramine maleate
B. Bcnzalkoniumchloride
.C. Diphenhydramine hydrochloride {antihistamine drug}
D. Ketamine hydrochloride {conscious sedation in children}
?Dermal and oral manifestations are usually seen in which type of leukemia
monocytic ,
myelocytic .
lymphocytic .
.aleukemic
Implants being placed in young individuals may prevent normal development
of the jaws ?
T/F
?Infection from mandibular premolars drains to which nodes
sublingual lymph node .
submandibularlymph node .
Submental lymph node.
?Most common cause of swelling in the submandibular triangle region is
cyst
Sialoliths{ stone in submandibular salivary gland}
lymphadenopathy
i
increased motility of the small bowel
peripheral BV dilation, coronary artery dilation, decrease in blood pressure
increase heart rate compensatory mechanism
? The epitelial attachment to titamium consists of
hemidesmosomes basal lamina -
orbans knife
Dentigerous cyst
Endochondral ossification, Intramembranous ossification
Intermaxillary traction
?Patient has cirrhosis of liver{ avoid amide LA } what is the best treatment
A. lidocaine
b. mepivacaine
***c. bupivacaine
***d. articaine
years old received a trauma to central. which caused root fracture between 0
middle and apical thirds?30
Extract coronal part Do RCT for entire tooth Do RCT for coronal part Splint both parts of fractured root -
Alveolar bone
Oligodontia
Silography
Chronic suppurative osteomyelitis / Acute osteomyelitis
When planning for implant preparation, the preparation should end mm away
?from any vital structure
mm 0.5
mm 2
Intrusion
Erosion
Degeneration
?The majority of primary herpetic infections are
.a. Symptomatic
..b. Asymptomatic
.c. Proceeded by fever
.d. Accompanied by gingival erythema
e. a, c and d
Palate
.metabutethamine LA
A. Anemia
B. Leukaemia
C. Thrombocytopenia*** decrease number of platelets {normal platelets 150,000
450,000}
D. Mononucleosis
?D? / C
?A? / C
Lingual nerve part of inferior alveolar nerve, mandibular nerve V3, trigeminal nerve V
Submandibular salivary gland supply via .facial nerve, chordi tympania branch of facial
nerve, lingual nerve
Edentulous patient
mandible 6 implant
removable denture maxilla 4-6 implant, mandible 4 implant
Patient came to dentist after previous stressful procedure complaining of
burning & discomfort of his lip on examination found lesions on the palate,
?diagnosis is
A. Contact dermatitis allergy
B. Aphthous ulcer { occur on the mucous membrane e.g. Buccal mucosa may occur
extra-oral e.g. skin of flexor, conjunctiva, genitial
C. Herpes simplex ( herpetic gingivostomatitis )*** occur on { lining mucosa keratinized
mucosa e.g. Gingiva, Palate}
MRI
Arthrography
Diabetic patient came to clinic with pain, swelling & enlarged mandible, on
?radiograph it showed moth eaten appearance, your diagnosis is
.***a) Acute osteomyelitis
.***b) Chronic suppurative osteomyelitis
.c) Focal sclerosing osteomyelitis
?D? / E
E. inhibit the
postsynaptic
action of
norepinephrine
{ vasoconstric
tor action} on
vascular smooth muscle
{ BV}
hyperpolarize neurons -
Strickler syndrome
All of them {strickler syndrome, apertz syndrome, down syndrome}
Closed reduction
Class I malocclusion
Class II malocclusion
?Submandibular gland empty at
In the floor of mouth at sublingual cruncle .***
At 2 side of lingual frenum .
Opposite to upper 2nd molar .{duct of parotid gland..stenson"s duct }
Posterior near to tonsil .
?Implant which is more destructive
mm wide two implant4
mm wide one implant4
mm wide one implant3
mm wide two implant3
?Which of the following is NOT a sign of occlusal trauma
A. Fremitus
***B. Gingival recession
C. Widened periodontal ligament
D. Tooth migration
?The most common initial sign of occlusal trauma is .
.A. tooth mobility ***{mobility..sign}
.B. tooth sensitivity {sensitivity..symptom}
.C. radiographic evidence of increased periodontal space
.D. loss of pulp vitality
The most uncommon least desirable side effect of occlusal traumatism is .
.A. tooth mobility
.***B. pocket formation
.C. temporomandibular joint pain dysfunction syndrome
E. pulp calcifications
Patient Suffering from submandibular gland abscess, a stab incision is made
?and fixed rubber drain to evacuate pus. Drain sutured to
A. Intraoral between myeloid muscles
***B. Extra orally from most fluctuant point
C. Extra orally under the chin
D. From angle of mandible
An infected root is accidentally displaced into the maxillary sinus. Examination
of the socket reveals perforation of the sinus lining with an oro-antral
?communication. Therapy should consist of
.antrostomy for retrieval of root .
.closure of oro-antral communication and antibiotic coverage .
.antibiotic coverage and observation .
.acrylic template to cover socket opening and saline rinses .
***A/ (1) and (2)
B/ (1) only
C/ (3) only
D/ (4) only
E/ (1) and (3)
Which is the LEAST common type of adverse reaction associated with the use
?of latex gloves
.***A. Immediate type I allergic reaction
tachycardia { increase heart rate} is sign of thyroid crisis { increase thyroid secretion}
pregnant position on dental chair upright position
The angle which we evaluate the prognethia or retrognathia of the mandible ..SNB
palatal torus should be removed in case of interference with denture construction or
ulceration palatal mucosa
Speech problems in cleft palate caused by, the soft palate cannot close the pharyngeal
Mouth breath guide to high and narrow palatal vault
Intruded tooth treated at first by, repositioning
Codiene {opioid drug} poisoning cause
myiosis {eye pupil construction} mydriasis {diluated in eyepupil}
The appliance which pull the maxillary tooth forward, face mask
Deficiency maxilla growth corrected by lefort 1
?Maximum Dose of Lidocaine 1:80 000 LA in Child 20KG
a) 20 mg
b) 60 mg
c) 80 mg*** child 4.4 X 20 kg =88 mg MRD
d) 140 mg
In needle stick injury, what is the most common transmitted viral infection in
?Fully Immunized dental Team
a) HCV*** no immunization for HCV
b) HBV
c) HIV
a. periodontal disease***
b. caries
c. malocclusion
d. dysphagia
?Drugs, which should not be given by I.V. route
.A) paracetamol
.B) diclofenac***{make irritation vein }
.***C) choloroquine
D) adrenaline
??D.penicillin G
??C.methicillin
Elevated serum parathyroid hormone levels resul in Ca2+ being released from
?bone through receptor mediated actions on
.A. osteoclasts
.B. osteoblasts
.C. osteocytes
D. chondroblasts
Sinus tract
recurrent herpes .{keratinized mucosa, lining mucosa, attached mucosa e.g. Gingiva }
***gingivostomatitis
allergic stomatitis.
Patient come to clinic with pain in the area of the mandible molars with
paresthesia in the lower lip since 15 days , on x-ray it showed moth eaten
?appearance your diagnosis
A. Acute osteomyelitis
.***B. Chronic suppurative osteomyelitis
C. focal sclerosing osteomyelitis
D. Diffuse sclerosing osteomyelitis
?Patient came to you suffer from palatal cleft in which age that will happens
.In 8 weeks 2 months
Dentist has to see position of unerupted premolar whose eruption is disrupted
?by odontome. Which x ray will be the best
***Occlusal radiograph
Periapical radiograph
Opg { panorama}
Computed tomograph
?Which of the following is the most associated with resorption at root apex
Cementoma
Fibrous Dysplasia
Pridormal cyst
Periapical granuloma
Periapical abscess
?During root planning, the optimal tooth-blade-relationship or angulation is
***Z-plasty technigue
***Supraperiosteal incision of vestibuloplasty
C-CNS excitation
First sign..excitation of CNS { increase heart rate, hypertension, increase respiratory
rate}
Second sign..depression of CNS { decrease heart rate, hypotension, decrease respiratory
rate}
Take care different between Allergy { hypersensitivity} : Toxicity {overdose }
Patient of HBV came to your clinic and during dental procedures have a severe
?Injury and bleeds alot, what is your management
.Squeeze the wound but dont scrub .
.Wash the wound with water and put water proofer plaster .
.Assess the virulent of the patient and refer him for infectous disease consltant .
.Ask him to apply pressure on the wound to stop bleeding .
.***a. 1+2+3
.b. 1+4
.c. 1+2+4
**d. 3+4
Patient with lupus erythematous under cortisone, needs surgical extraction of
?a tooth. What should surgeon instruct the patient
A. Take half of cortisone dose at day of operation
***B. Double the cortisone dose at day of operation
C. Take half of cortisone dose day before and at the day of and day after operation
D. Double cortisone dose day before n at the day of n day after operation
?Oxygen flow rate of (L/min) in children
Flow rates greater than 4 L/min are very irritating to the nares and are not tolerated by
most children. Flow rates greater than 2 L/min are not recommended for newborns and
infants
1-4
5-9
14- 10
18 -16
?Local anesthesia of choice in uncontrolled hyperthyroidism
A. Prilocaine
B. Mepivacaine
C. Bupivacaine
D. Lidocaine
? Most influential for designing of a flap
A. Probing depth
.B. presence of infrabony defects
***C. Quantity of attached gingiva
?Magnetostrictive ultrasonic units are
***Elliptical
Linear
?Which electrons have the most energy
a.K
.b.L
c.M
***d.N
The most common complication occurring in a child after inferior alveolar
?nerve block
A. Angular cheilitis
***B. Lip ulceration
C. Necrosis of the lip
D. Paresthesia
RCT comes under emergency or surgical phase?
E mergency
Prohphylaxis not required for block anesthesia & infiltration ( its required in
?intraligimentary only ) T/F
1+4
2+4
3+4
?The result of enlargement of the mesial root of lower third molar is
mesioangular impaction-1
***distoangular impaction-2
vertical impaction-3
***Periodontial pocket
All of the above
What is the cell in
diabetic patient
resposible for low
immunity
***Neutrophil
Macrophage
years old patient came to your office for routine check up without any 21
complains when u take x-ray you found a R.L area around upper central and
?lateral .. no swelling no pain the diagnosis is
radicular cyst { apical, lateral, residual}..discover incidental, asympatomatic, anterior
***area
osteofibroma
ameloblastoma
granuloma
?External carotid artery
..a-Begin or divide at hyoid bone
b-Sternomastoid muscle cover its course
***c-Medial to internal carotid artery
Albright syndrome
Patient have cross bite { anterior cross bite..lower incisor overlap on upper
incisor }/ { posterior cross bite..lower molar overlap on upper molar} when
?move his mandible laterally why
unilateral costriction of maxillary .
unilateral constriction of mandible .
Asymmetrical growth of mandible .
bilateral constriction of maxilla .***
?anesthesia
***a. 2 year old with many cavities
b. 8 year old autistic with 4 occlusal cavities
c. 10 year old with molar cavities
20mg=2%
1.7cc=0.017
X 0.017=0.034mg*** Answer C 20
A-Myelogenous leukaemia