Patient Management
Which is the best question to ask a slightly nervous child?
"Can you tell me what is bothering you?" Are you worried about the needle?"
Correlation analysis shows that as the income of population increases, the number of decayed teeth decreases. The expected value for this correlation coefficient (r) would be
(-1)
7-8 yr old
-retained deciduous lower incisors -premolar is in eruption stage
OSHA standard for mercury is
0.05 mg cubic meter for 4 hr work shifts
1 L of 1 ppm of NaF contains how many G fluoride?
0.5
Prevalence of subgingival calculus in US ADULTS as suggested by surveys is
0.5-0.75
10- glenoid fossa 11- articular eminence 12-condyle 13-vertebra
10- glenoid fossa 11- articular eminence 12-condyle 13-vertebra
Most epidemiologic studies indicate that gingivitis in children is relatively common. A strong positive association between specific nutritional deficiencies and the presence of periodontal disease in children and adults has been demonstrated. (t/f)
1st true, 2nd false
Dental waterline should be flushed at beginning of day for
2 min if not, 30 sec
2-orbit 3- zygomatic arch 4- hard palate 6- max tuberosity
2-orbit 3- zygomatic arch 4- hard palate 6- max tuberosity
Case 4: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek, asthmatic taking albuterol If extract, what forcepts NOT to use
23
5-year survival rate of oropharyngeal cancer is
50%
The following were the scores for six dental students in their restorative dentistry exam: 56, 64, 68,46, 82,86. Therefore the median is_____________
66
Percentage of USA with Community water fluoridation
75%
8 - angle of mandible, 9 - hyoid bone
8 - angle of mandible, 9 - hyoid bone
Which is the acceptable CDC water quality in a dental office
<500 CFU/mL
Test result which erroneously assigns an individual to a specific diagnostic or reference group, due particularly to insufficiently exact methods of testing is known as:
A false positive test
Case #6: pt only had 3 teeth left in mouth. Came for a total denture. All of the following is true except:
A partial denture will have same retention as implant
Which of the following is a component of the OARS model?
Affirmation
If a dentist is stuck with a needle while treating an HIV-infected patient, which should he perform?
Antiretroviral therapy
Ryan is a young child who consistently presents as an anxious, hypervigilant, and upset during dental visits. Ryan is often accompanied by his parents, who appears to very concerned about the child and wants to be involved at all times in her evaluation and treatment. During this visit, Ryan's treatment requires an injection and rubber dam application, which strategy would be least effective in completing the rubber dam application?
Ask child to be helper
CASE 2: A child with missing lower right 2nd primary molar What kind of occlusion
CLASS 3 (Right) (class 1 -Left)
Percentage of DFS (disease free survival) is more in
Caucasians
Which of the following may be used to disinfect gutta percha points?
Chemical solutions
On a prepayment basis, dental patients receive care at specified facilities from a limited number of dentists. This practice plan is classified as which of the following?
Closed panel
Case 3: male 45 years patient has lots of missing teeth and not happy with smile, and what to replace all his teeth he's just not happy with his teeth what would u advise him for treatment plan EXCEPT.
Complete denture
Which will aid in the cognitive appraisal of a threat?
Controllability, familiarity, predictability, and imminence CFP Imminence
network model is often used in
D-IPA
Which federal agency protects the health of Americans and provides essential human services?
DHHS
What is an example of a conditioned stimulus for a dental patient that had a previous bad experience?
Dental chair
Obese man with hypertension - 190/110 Didn't treat it. Haven't been in doctor 10 years. No medicaments. He is going to the restroom 2 per night. What condition do you expect
Diabetes type 2
Mandibular right first molar had been hypersensitive to cold and sweets over the past few months but the symptoms have subsided. Now there is no response to thermal testing and there is tenderness to biting and pain to percussion. Radiographically, there are diffuse radiopacities around the root apices.
Diagnosis: Pulp necrosis; symptomatic apical periodontitis with condensing osteitis. Non-surgical endodontic treatment is indicated followed by a build-up and crown
the patient complained of sensitivity to both hot and cold liquids; now the discomfort is spontaneous. Upon application of ice on this tooth, the patient experienced pain and upon removal of the stimulus, the discomfort lingered for 12 seconds. Responses to both percussion and palpation were normal; radiographically, there was no evidence of osseous changes.
Diagnosis: Symptomatic irreversible pulpitis; normal apical tissues
Mandibular right lateral incisor has an apical radiolucency There was a history of trauma more than 10 years ago and the tooth was slightly discolored. The tooth did not respond to ice or EPT; the adjacent teeth responded normally to pulp testing. There was no tenderness to percussion or palpation in the region.
Diagnosis: pulp necrosis; asymptomatic apical periodontitis. Treatment is nonsurgical endodontic treatment followed by bleaching and permanent restoration.
Mandibular left first molar demonstrates a relatively large apical radiolucency encompassing both the mesial and distal roots along with furcation involvement. Periodontal probing depths were all within normal limits. The tooth did not respond to thermal (cold) testing and both percussion and palpation elicited normal responses. There was a draining sinus tract on the mid-facial of the attached gingiva which was traced with a gutta-percha cone. There was recurrent caries around the distal margin of the crown
Diagnosis: pulp necrosis; chronic apical abscess. Treatment is crown removal, non-surgical endodontic treatment and placement of a new crown
Maxillary left first molar has occlusal-mesial caries and the patient has been complaining of sensitivity to sweets and to cold liquids. There is no discomfort to biting or percussion. The tooth is hyper-responsive to Endo-Ice® with no lingering pain.
Diagnosis: reversible pulpitis; normal apical tissues. Treatment would be excavation of the caries followed by placement of a permanent restoration.
A moderately mentally challenged 5-year-old child becomes physically combative. The parents are unable to calm the child. Which action should the dentist take?
Discuss the situation with the parents.
Eagle's Syndrome
Elongated Styloid and calcification of stylohyoid ligaments.
Which is not a part of classical conditioning
Equilibration
Which is the most important feature of systematic desensitization?
Exposure
Fluoride supplementation for a 2-year-old child who lives in a nonfluorinated community can best be accomplished by initially prescribing
Fluoride drops
A patient has difficulty inhibiting the gag reflex during x-ray procedures. The patient is asked to take an x-ray packets home and practice holding the packet in his mouth for increasingly longer periods. Which technique is being used?
Graded exposure
capitation by which insurance?
HMO
Case 7, A 32 years old lady with cervical neoplasia comes to your clinic for ulcers on one side of her palate. Drug history of taking oral contraceptives. Cause of ulcer
HPV
Ryan white care act provides dental care to HIV + / AIDS individual. They get their funds via
HRSA
A student performs a complicated symphony, and he becomes less anxious each time he performs. Which phenomenon is this?
Habituation
Chronic alcoholic pt comes for extraction of 22 teeth, which test you suggest
INR
if there is an article and if you want to understand the definition of Dependent and independent, which part of the article you look:
Introduction
A patient after extraction says, "Thank you", that wasn't as bad as I expected, but my sister told me that the first night after having a tooth pulled is very painful. What if the medication u gave me isn't strong enough!?Choose the most appropriate answer
It sounds like you are worried that you might not have enough pain relief when you are at home
(Case 1) A lady of 50s..black pigment on palate. Pt has some non-painful lesion in 2nd molar region.
Lateral periodontal cyst
Which of the following is not included in the ADA Code of Conduct?
Licensure by credentials
(Case 1) A lady of 50s..black pigment on palate. Patient has non-painful swelling on floor of mouth
Lymphoepithelial cyst
Which of the following computer databases contain references to dental literature electronically?
Medline
Proposed modes of action for the oral antidiabetic agents include each of the following EXCEPT one. Which one is the EXCEPTION?
NSAID
Least incidence of oral cancer in which demographic?
Native americans
Restoring a carious tooth relieved the toothache in a patient which further motivated him to perform better oral health care. This is a type of
Negative reinforcement
Case 8, man with allergy to penicillin and clindamyasin, had joint replacement Prophy required? If he did, what drug to give?
No, Azithromyasin
One of your patient is having a dental problem that is not under your capability and you are referring that patient to a specialist, this type of behavior comes under which of the following codes?
Non maleficence
Garre's Osteomyelitis
Onion Skin
Case 4: Ortho case a girl 10 years old. Her canines were impacted. All will be included in the ortho informed consent except
Ortho treatment can bend roots of the teeth
Which of the following is an arrangement between a plan and a group of dentists whereby the providers agree to accept certain payments (Usually less than their usual fees) in anticipation of a higher volume of patients?
PPO
Patient gets recurrent herpetic lesions very often with gingivostomatitis. What should be done? (herpetic gingivostomatitis)
Palliative treatment
Lesion in lip with cauliflower shape
Papilloma
Which of the following ADA principles of Ethics states that a dentist has a duty to respect the patient's right to self-determination and confidentiality?
Patient Autonomy
Which of the following is a social enforcer for a child?
Patient on the back of the child's shoulder
HOME is an example of
Positive punishment
Which is not correct about stress?
Positive situations are less stressful than negative situations.
During an informal session of motivational interviewing, your patient says, "I don't have time to quit smoking." What stage of behavior change is he or she in?
Precontemplation
The measure of the quality of care provided in a particular setting is called:
Quality assessment
diabetes patient. Which is preferred (rpd,fpd)
RPD
Case 6) middle age female, smokes daily and she is fed up from falling restorations every time and she wants to extract her all teeth, psoriasis in hands and feet what clasp will you give in max RPD if you class II kennedy
RPI
Which technique is typically not useful in treating an anxious patient?
Reassuring the patient by telling the patient not to worry
Which of the following is an effective community prevention program?
School sealant program
An amalgam restoration is considered
Secondary prevention
Which statement is incorrect about behavior change?
Shaping is a behavior change strategy in which the patient learns though demonstration
Pt has fever, unilateral facial swelling, yellow discharge from parotid on the swollen side, diagnosis
Sialolithiasis
Case #6: pt only had 3 teeth left in mouth. Came for a total denture. You will place implants on anterior for more retention all are indication except
Sinus lift in ant
Stress and illness are often related. The best description of their relationship is which of the following?
Stress is contributory to illness and illness is usually stressful
A 38-year-old man is fearful of injections. First, you show him the syringe. You talk about the characteristics of the needle. You then place the needle in his mouth with the cap on and simulate the procedure with the cap on. You then simulate the procedure with the cap off. Eventually, you proceed with the injection. What method is being used to reduce fever?
Systematic desensitization
The substitution of a relaxation response for an anxiety response using a relaxation strategy such as diaphragmatic breathing when one is exposed to a feared stimulus is called?
Systematic desensitization
The variance for data set A is 21 and for data set B is 7. We can conclude that
The items in data set A are more widely spread about the mean value than the items in data set B
The most important concept of C.E.A. Winslow's definition of public health is
The science and art of preventing disease
Research showed to remove plaque from the resident's teeth more effectively with mechanical toothbrushes than with manual ones. What is the independent variable in this study?
The type of toothbrush used
dentinogenesis imperfecta
Total obliteration of the pulp chamber and root canals due to deposition of dentine -Reduced root-length with rounded apices
Through the bloodborne pathogen standard, the occupational safety and health administration directs activity for each of the following except one. Which one is the exception?
Using material safety data sheets
CASE 2: A child with missing lower right 2nd primary molar How to maintain the space for the missing 2nd primary molar with drifting of two adjacent teeth
We cannot as space is lost, we need space regainer
When a patient expresses anger about a physician's colleague, which of the following statements would be the most appropriate response?
What concerns do you have about how you were treated?
In an experiment comparing the effectiveness of new fluoride gel verses an older fluoride gel, a null hypothesis is rejected when
a chi square is high
Case 3: male 45 years patient has lots of missing teeth and not happy with smile, and what to replace all his teeth he's just not happy with his teeth What is included in treatment option for upper arch EXCEPT
alveoloplasty
amelogenesis imperfecta
amelogenesis imperfecta have thin enamel which looks less opaque
persistent and repetitions questions asked by an 8-year-old patient during treatment are?
attempted to delay treatment
Man smoking. He had also rheumatoid disease. He has hypertension. Takes Propranolol. Is taking Chantix. Give LA, what happens to bp
bp elevates
Case 4: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek, asthmatic taking albuterol small white lesions on palate
candidiasis
incidence of coronal caries is higher in
caucasian
Attrition
caused by tooth to tooth contact -Lingual of Maxillary anterior -Labial of mandibular anterior
Man smoking. He had also rheumatoid disease. He has hypertension. Takes Propranolol. Is taking Chantix. Which drug causes dry mouth
chantix
Case 1:GIRL having halitosis and caries in mouth, her class mate make fun of her due to bad breath.. what the cause of bad breath
chronic tonsilitis
Case 4: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek, asthmatic taking albuterol Anb 6, class?
class 2
Children with cleft palate type of malocclusion?
class 3 malocclusion
Obese man. Which organ least affected?
colon
Case 4: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek, asthmatic taking albuterol What is treatment of choice for tooth #19, catching perio probe
composite filling
A dentist is doing research on 5 unrelated patients with different background. He records data etc. dentist is doing what kind of research?
cross sectional
Case 3: 11 years old, kidney dialysis for 10 years and got transplant 1 year ago. He had Hodgkin lymphoma 5 years ago, mitral valve and regurgitation. He is taking lot of complex medicines Why gingival enlargment
cuz taking cyclosporine
Case 7 A 32 years old lady with cervical neoplasia comes to your clinic for ulcers on one side of her palate. Drug history of taking oral contraceptives. Action of oral contraceptives
decrease LH / FSH
When patient have to pay from his out of pocket?
deductible
According to ADA publication entitled principles of ethics and code of professional conduct, a dentist can announce specialization in which of the following?
dental public health
Case 3: 11 years old, kidney dialysis for 10 years and got transplant 1 year ago. He had Hodgkin lymphoma 5 years ago, mitral valve and regurgitation. He is taking lot of complex medicines Canine short, why
dentin dysplasia
In the section of a scientific article, the researcher interprets and explains the results obtained in?
discussion
Obese man. which least likely cause of his high caries rate?
dry mouth
HIPAA was designed to
ensure the security and privacy of health information
Extrinsic staining
ex. acids
Intrinsic staining
ex. hyperbilirubinemia
Case 4: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek, asthmatic taking albuterol all canines erupted ectopic, but the rest of occlusion looks fine, what should be done:
extract premolars and with fixed ortho move canines on their place
Which one resembles Epilus Fissuratum
fibroma
CASE 2: A child with missing lower right 2nd primary molar Where does the chronic abscess seen in primary teeth
furcation
Ethiopian has hep B. Thoughts?
he's fine
Case 5, 45 years male, 2 pack smoke a day, dry mouth, lot of carious teeth, went successful rehab for bad alcohol habits, seems he doesn't drink now Radiopacity on lateral incisor w/ rct, what is it, what to do
hypercementosis, biopsy
Amytryplin causes?
hyposalivation
case: 90 yr old man has radiopacity between 2 teeth. diagnosis?
idiopathic osteosclerosis
Obtaining informed consent hold true in each of the following cases except
in emergency cases
Case 4: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek, asthmatic taking albuterol albuterol can cause all except?
increased salivary secretion
Case: Patient with tooth that has sensitivity that lingers with thermal test, sinus tract, and positive to percussion, diagnosis?
irreversible puplitis with acute periapical abscess
slurred speech because
ischemic attack
which of the following MOST accurately explains how biofeedback works?
it enables the patient to gain control of certain physiological function
(Case 1) A lady of 50s..black pigment on palate. which black pigment is not present in oral cavity
lentigo
Obese man with hypertension - 190/110 Didn't treat it. Haven't been in doctor 10 years. No medicaments. He is going to the restroom 2 per night. All can contribute to future caries risk except
many sweets and bad diet
Picture of this child 11 years old, Maxillary central ok but lateral in crossbite why crossbite
maxilla too small and lateral shift to the right side.
Case with 5 years old girl She had all first molars and erupting max central. Second central incisors - had accident and was avulsed. She has lateral crossbite, how to treat
maxillary expansion
CASE 2: A child with missing lower right 2nd primary molar Space loss is due to
mesial & distal drifting of both ant & post teeth
Man with hyperlipidemia. Triglyceride is high. What do you suspect:
metabolic syndrome
The following component of a scientific article provides the reader with detailed information regarding the study design:
methods
Case 8, man with allergy to penicillin and clindamyasin, had joint replacement. He has terrible pain in the face. During the night too. It lasts 5 sec. It comes and go away. What is it?
neuralgia
Case 4: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek, asthmatic taking albuterol Is nitrous oxide contraindicated?
no
Case 3: 11 years old, kidney dialysis for 10 years and got transplant 1 year ago. He had Hodgkin lymphoma 5 years ago, mitral valve and regurgitation. He is taking lot of complex medicines Does he need antibiotic before procedures
no need for antibiotic
Aspirin 81mg - needs to stop during extraction if root tip and its easy to extract ?
no need to stop
information about subjects in a study included their ethnicity. what level of measurement is ethnicity?
nominal
patient had Hep A 20 years ago what lab test you need?
nothing!
Case with 5 years old girl She had all first molars and erupting max central. Second central incisors - had accident and was avulsed. What to do with concusion
observe and control max central
which is the acronym for a patient management system?
optimum
Case 7, A 32 years old lady with cervical neoplasia comes to your clinic for ulcers on one side of her palate. Drug history of taking oral contraceptives. What can be done for diagnosis of viral disease, EXCEPT
oral examination
Gi index is nominal or ordinal?
ordinal
Case of HTN take medication lisinopril what happen?
orthostatic hypertension
In pursuit of what the dentist believes is best for the patient, the dentist attempts to control patient behavior. This is known as
paternalism
In assessing patient's dental fears, the dentist should use each of the following factors except one. Which one is the exception?
personality
Palate with swelling and histological feature like peudostatified columner epithelium and no effect on underlining cortical bone what is that pleomorphic or exostosis?
pleomorphic
Maxillary left lateral incisor exhibits an apical radiolucency. There is no history of pain and the tooth is asymptomatic. There is no response to ice or EPT, whereas the adjacent teeth respond normally to both tests. There is no tenderness to percussion or palpation.
pulp necrosis; asymptomatic apical periodontitis. Treatment is nonsurgical endodontic treatment and placement of a permanent restoration.
What does the Weight and height stand for in recordings?
ratio
Obese man with hypertension - 190/110 Didn't treat it. Haven't been in doctor 10 years. No medicaments. He is going to the restroom 2 per night. first thing to do
refer to physicians
Case 6) middle age female, smokes daily and she is fed up from falling restorations every time and she wants to extract her all teeth, psoriasis in hands and feet What you can see condyles in panoramic xray
rheumatoid arthritis
external resorption
roots cut short
Outliers control
standard deviation
CASE 2 - asthma patient with inhaler presented in clinic patient had diff in breathing as he enters the clinic, what will you do for treatment management,
stop treatment til recover
what is the difference between flooding and systemic desensitization?
systemic desensitization is step by step increase stimulus flooding, it is everything at a single step
Case 3: 11 years old, kidney dialysis for 10 years and got transplant 1 year ago. He had Hodgkin lymphoma 5 years ago, mitral valve and regurgitation. He is taking lot of complex medicines What drug can cause amelogenesis imperfecta?
tetracycline
Case with 5 years old girl She had all first molars and erupting max central. Second central incisors - had accident and was avulsed. Her dental age is
the same as the bone age
Man with hyperlipidemia. Triglyceride is high. Metabolic syndrome can cause cancer in all except
thyroid
Which of the following exhibits the MOST personal behavior by the dentist?
touching the patient gently on the arm
70 percent dentists become anxious with anxious dental patients (t/f)
true
Women have a lower survival rate of cancer of the lip. (t/f)
true
Which of the following are necessary for a test to be accurate?
validity
While extracting a maxillary molar, you lose a root down the maxillary sinus which cannot be retracted at the moment. You do not inform the patient of the incident. Which code of ethical principle did you break?
veracity
You separate an endo file 3mm from the apex and obturate above it... which case will show the best prognosis?
vital pulp w/ no periapical lesion
Osteosarcoma tooth
widened pdl
Man smoking. He had also rheumatoid disease. He has hypertension. Takes Propranolol. Is taking Chantix. What he can have
xerostomia
Case 4: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek, asthmatic taking albuterol Will ectopically canine resorb #7 roots?
yes
Case 4: 14 years old, all 4 canines erupted buccally and has pigmented macules on her cheek, asthmatic taking albuterol Will you explain whole ortho tx to parents and that she may need gingival grafts?
yes
Case 5, 45 years male, 2 pack smoke a day, dry mouth, lot of carious teeth, went successful rehab for bad alcohol habits, seems he doesn't drink now missing canine, will Max RPD be compromised?
yes
