ADEX DSE Remembered Questions

Clinical picture of 14 y.o. with inflamed gingival

Leukemia

How should an allergic reaction to barbiturates on lip be treated?

Benadryl

Patient does not like look on canine (pictured), asked what it was

Hypoplasia

Facial erosion due to acidic beverages

Amelogenesis Imperfecta (xray)

Blue sclera (eye picture), what dental findings should you see?

Dentinogenesis imperfecta

All of the following are Hyperthyroid symptoms except?

a. fatigue

b. exopthalamus

c. tachycardia

d. tremor of extremities

a. fatigue

The minimal axial reduction for crowns are

1.5mm

Crown on #9 needs to be replaced. What measurement is correct?

2mm occlusal reduction

What is the maximum amount of unsupported porcelain allowed?

2mm

The most important treatment for ANUG is

debridement

What is Gingivectomy used for

gingival hyperplasia

What is the treatment for a patient with a liver clot?

Irrigate, apply pressure, reassess

(liver clot-unstable and often large, friable clot commonly forming in mucous membranes. Usually lead to excessive bleeding and abnormal wound healing.)

In order to improve gingival health, what must you do to temporary crown?

Under contour

Picture of Upper and lower complete arch crowns. What is wrong?

Impingement on gums/gums health

Patient presents with pain on swallowing when wearing their denture. What is wrong?

Overextension of lingual flange

Patient presents with space in between 3rd molar and premolar, with class II mobility. How should you treat?

Implant

Patient missing #2 and #3. #1 has Class III mobility and furcation involvement. What would be the optimal treatment plan?

Extract #1 and implant for #3 or #2and #3

If you cannot pick a color for crown, what should you choose?

something with LOWER shade saturation and less gray

What is the worst location for an implant?

maxillary posterior

What is the best location for an implant?

Either mandibular posterior or mandibular anterior

What is the best long term prognosis for an implant?

Either mandibular posterior or mandibular anterior

Zinc phosphate is the worst cement for what type of restoration

deep restoration (pulpal irritation)

BW xray of amalgam restoration. Patient complained of pain when provoked by hot or cold. What is wrong?

Deep amalgam restoration

How long should periodontal packs be left for ?

1 week

How should an epulis be treated before making a new denture?

Excision

What is the major reason for periodontal flaps?

access of instrumentation

Patient presents with maxillary tori. What needs to be done before making new denture

Remove tori

What is a characteristic of a major connector of a denture?

Rigidity

How often does OSHA make you check the autoclave

Weekly

HIV ELISA test was negative for a person who had a needle stick. What does that mean?

Patient has no Abs present

Ortho case - what was the most important thing they did in maxillary arch?

Align the teeth for future restorative procedures ( not close upper or lower diastemas)

What pain reliever do you give to a patient who has kidney disease?

Acetaminophen

Picture of surveyor. Asked what we were looking at?

space for guide plane

What is the major complications of Phelobitis

pulmonary emboli

Patient complaining of space in between teeth after SRP, why?

because of

reduction in edema

1-2mm of reduction of probing depth after preforming SRP, what is the cause?

LJE

If there is a shunt on left arm, what should you consider

take BP on right arm

Picture of #10 and #11 lingual surface, what is wrong with the gingiva?

Edema

Space in between #29 and #30 in a very old patient with no #31 or #32 and barely

occluding with #3. This is due to what?

No occlusion or mesial drifting premolars

Surgical stent fits the gums but the immediate denture doesn't fit, what do you do?

Relieve until it seats

Picture of the bottom of the tongue with multiple white lesions. Stated that the patient had complaint of sore gums and tongue, he had a fever of 101 degrees.

Most likely diagnosis?

Primary Herpetic Stomatitis . (herpes on attached gingiva)

Treatment of Primary Herpetic Stomatitis

palliative

Patient with purple lesions on palate and said they had similar lesions on their

body too? What is the most probable cause?

HIV (Kaposi Sarcoma)

Other choices

were Sturge Weber and Erthyema Multiforme

What disease will effect wearing complete dentures the most?

Sjorgens syndrome

(xerostomia)

Lesion in the mouth that heals with a scar?

Major apthous ulcer -(minor heal w/out scar)

Picture with an arrow pointing to a Soft tissue mass on FOM?

Opening of wharton's duct

Lichen planus present on the tongue that was asymptomatic, what is the treatment?

Corticosteroids (nothing was not an option)

Picture of white things on the buccal mucosa and asked what it was?

lichen planus

(but it also looked like luekoedema, cheek biting, etc. and all were answer choices)

Panoramic xray with radiopacity underneath the mandibular incisors, asked what

was it?

supernumerary tooth

(other choices- odontoma, impacted insicor)

Gingival edema is caused by?

anaerobes

Post crown cementation sensitivity is due to

Microleakage

Before you reline a complete denture you must first do what?

establish posterior occlusion

Precision attachments not good for what type of patient?

patient with low dexterity

What information do you need from patient on steroids?

you want to know the duration and the dosage before dental treatment

Patients _____ is the most important thing for calculating medication dosage for a child

weight

Patient just had a stroke. What do you need to worry about?

if they are on anticoagulants

Contraindication for apically positioned flap is?

esthetics

Purpose of a wedge during a restoration is ?

adaptation of the matrix band

What medication is a contraindication for a patient with hyperthyroidism ?

giving them an analgesic with vasoconstrictors

Symptoms: No hair and missing teeth. What is the diagnosis?

Ectodermal dysplasia

Pernicious anemia is caused by what?

a lack of intrinsic factor, which is required to absorb vitamin B12 from food

What is hemolytic anemia

a condition in which red blood cells are destroyed and removed from the bloodstream before their normal lifespan is over.

Hereditary Telegnastia is associated with what?

Fe deficiency problems

Gave normal ranges and the patient's numbers for RBC, WBC, and platelets.

What is wrong?

Leukemia because high WBC, sore lymph nodes, and painful gums (they give example of 14 y.o pt. w/ inflamed gingiva)

Arm rash - what drug caused it

Penicillin allergy

Patient was on penicillin for 2 weeks, their tongue is sore, what test do you do?

Fungal test

Picture of a red painful tongue in an uncontrolled diabetic, what is it due to?

Malnutrition

Biopsy the red and white portions of a mixed lesion

Most likely reason that sealants fail?

contamination

There is an unconscious patient in your waiting room what is the first thing you

do?

check breathing

ID of mental ridge on radiograph

RO on pano - mucous retention cyst that was in the maxillary sinus

What is the difference in anaphylaxis vs syncope?

anaphylaxis has wheezing and

bronchoconstriction

Patient returns with pain 72 hours after extraction, what should you do?

give irrigation and use eugenol soaked gauze

Extraction of tooth and patient comes back with a big infection? What is it?

Subperiostial

abscess

Picture of a patient with down syndrome and question asked what you need to be

worried about as a dentist?

CHD (congenital heart defect?)

When can you use tissue conditioner and soft reline on a complete denture ?

at anytime

How long should you wait to do lab relines?

6 months for lab reline

What is a reason for a try in for an immediate denture?

to check the vertical dimension

Picture of a patient with a very Large diastema, what do you do?

Leave it alone

RL next to PM- what should you do?

refer to oral surgery

Panoramic of RL at ramus- what should you do?

retake for diagnostic reasons or refer to oral surgery?

Broken coronal portion of a canine, what do you do?

conservative endo and

prepare post and core

T/F: Acid etching creates a chemical bond

FALSE

- does not create chemical bond

Multiple odontomas are linked to what disorder

Gardner's syndrome (colorectal polyposis)

After cleaning, there is still BOP. What does this mean?

Retained subgingival plaque

Swollen lesion on the tongue, what do you do next?

Palpate lesion and see if firm

Picture of lip with something on the corner of it?

it was either SCC or Syphilis

*other choices- angular chelitis or herpes labialis

bone loss on #4

crater defect

Guided Tissue Regeneration is best for what type of furction?

class 2 furcations

Reduction of Probing Depths after SRP but still had mobility in anterior mandibular teeth, what do you do?

Either GTR or periodic evaluation

SLOB rule

Same Lingual

Opposite Buccal

What medication can be prescribed for candida

Fluconazole

Identify the picture which was a pleomorphic adenoma

because firm and they

said it was benign

Asymptomatic crowned lateral with a PA radioluceny, what do you do?

RCT

Mandibular incisor with large pulp chamber and PA RL. What is the large pulp chamber from?

Trauma right after eruption

2 months after RCT tooth still had RL. What should you do?

Monitor

2 years after RCT, and still had RL. What should you do?

Retreat

#14 with RCT and patient is symptomatic with RL at one of the canals. How do you treat?

Retreat all canals