CSCE REMEMBERED QUESTIONS

ASA IIControlled epilepsy- what ASA?

Controlled epilepsy- what ASA

Solar chelitis

Its not in the corners so its not angular chelitisis

Image of lips with slight loss of vermillion border, a scar, and normal looking otherwise

what was wrong with the patient:

normal irregularities,

angular chelititis,

solar something

Meth mouth

Pic with rampant caries

Head lower than legs (trendelemburg)

Syncope- what do you do?

I put size/shape of crown

What helps determine susceptibility to furcation involvement:

size of crown

root length

root trunk length

Apical foramen

Amoxicillin

4 tabs of 500mg = 2g

Patient with no allergy NO contraindication

What would you prescribe?

Pre-med Dosage- Amoxicillin

Clindamycin 600 mg

Patient is allergic to penicillin

what type of premed:

Infective Endocarditis, artificial joint, artificial valve, shunt, congenital heart condition, cardiac transplant

what 6 things do patients need pre-med for

Premed: Shunt (Should), History of IE, artificial Heart valve

No premed: Dialysis port, stent, angioplasty,heart murmur, pace maker

A few questions of what does/doesn't require premed: dialysis port, stent vs shunt, history of IE, angioplasty, artificial heart valve, functioning heart murmur, pace maker

age of the patient,

3rd molars aren't in yet.

Radiographic pic with unerupted 3rd molar patient age 15

What is the problem ?

7-8

They have their first molars (6-7y)

maxillary centrals are coming in (6-7y)

Laterals are in (8y)

Whats the age

5-6

7-8

9-10

11-12

5-6

only first molars are in

whats the age

5-6

7-8

9-10

11-12

10-11

first molars are in

all centrals and laterals are in (7-8)

first premolars are in (10)

whats the age

5-6

7-8

9-10

11-12

Cementoma

Cementoma is an odontogenic tumor of cementum. It is usually observed as a benign spherical mass of hard tissue fused to the root of a tooth. I

What is this

Condensing osteitis

Condensing osteitis consists of abnormal bone growth and lesions that may result from tooth inflammation or infections.

what is this

• Radiograph of thickened lamina dura

what is going on

thickened, normal, thin, etc.

Gracy 13/15

Instrument for scaling distal of mesial root of max molar:

Furcation

Probe angled pointing toward tooth almost 90 degrees, what is being checked?

zygomatic process

patient has thyroid collar on

what is the error

articular eminence

Elongation

What is the error and what causes it

Taurodontism

What is this

Maxillary sinus

dens in dente (dens invaginatus)

what is this

what does it mean

fractured tooth

what is this

Sublingual folds

white hairy leukoplakia

Leukoplakia can not be wiped off.

Leukoedmea disappears when stretched

candidiasis CAN be wipped off

Is this

leukoplakia leukoedema

or candidiasis?

Whats the difference?

Leukoedmea

OPAQUE white slate gray of mucosa

Tufted floss

Image of braces and what should not be recommended: toothbrush

floss threader

dental stimudent

Tufted floss

interproximal brush

Patient with braces can use all of these oral aid except

Administer glucose; Hypoglycemic attack

or

Immediately put patient upright position

Diabetic patient is confused, nervous, and faint:

administer glucose tablets

administers nitroglycerin

crush ammonia capsule

CVA (stroke)

Patient loses consciousness and has one sided weakness once consciousness regained what can the hygienist assumed happened:

stroke (CVA)

MI

hyperglycemic attack

How long has it been there?

Picture of a flat blue lesion on the dorsal of the tongue. What is the most important question to ask the patient for diagnosis?

Smoking

where cigarette is held

21 year old patient with painful gingival condition asking what is reason for RAPID periodontal destruction of 24 and 25:

HIV

herpes

smoking, vitamin deficiency

16-21 minutes; 20 mins

How long is Oraqix effective?

60% alcohol

Alcohol sanitizing spray in dental office should be at least:

Vancomycin

UV antibiotic tx for MRSA in hospital?

15 sec

How long to wash hands between changing gloves:

5 secs

15 sec

25 sec

30 sec

8 hours;

10 hours is ideal but wasn't a choice

How long for cold sterilization?

Activate EMS

Unconscious patient in waiting room, what to do:

check pulse

call EMS

initiate compressions,

Trendelemberg position;

NO nitrous

• All would be contraindicated for COPD except:

Eyelids do not close.

Give them protective eyewear.

They have unilateral facial paralysis; iris closing, drooling

I was confused on this one

Bells Palsy patient- what would concern you?

It was place above the contact

I would miss calculus under the contact

PIC- A gracey 1/2 shown on mandibular centrals. What are they doing wrong? (What would you miss)

neoplasm on tongue

Image of large mass on tongue: carcinoma

ranula

Neoplasm

Mucocele

Mucocele

Painless cyst that is in the inner surface of the lips.

What is this?

Ranula

type of mucocele that is often found on the floor of mouth

what is it?

C. Gracey 1/2 because anterior

PIC- mandibular teeth with gingival hyperplasia. What is the best instrument to clean it?

A. Scaler

B. Ultrasonic

C. Gracey 1/2

D. Columbia

Amelogenesis imperfecta

the crowns will look the same color are roots and often have a snow-capped appearance at the incisal edge

Pic- Child with a lot of decay, thin enamel. What is wrong?

Bleeding

prevents heart a

clopidogrel (Plavix)

can increase what?

what is it?

dentinogenesis imperfecta

Teeth will look gray, translucent

What is wrong with this?

Increased bleeding

Patient is on Prozac, Tylenol, and prednisone asking what she may experience from one of the meds:

A. decreased salivation

B. increased bleeding

C. Tired

D. Increased salivation

i put Claritin (I don't know the correct answer)

PIC of patient mouth shot and asked patient is bleeding what medication is causing this bleeding ?

??

Medrol dose pack, amoxicillin, xanax

class 1 occlusion

Whats the occlusion

Retrognathic

whats the profile?

Proganthic profile

what's the profile?

Leukoedema

Pic- Mucosa stretched out with white patch that disappears?

Calculus on distal of #3

Xray- recurrent cavity on mesial of #2 and calculus on distal #3- what causes the cavity?

Frequency of intake of carbohydrates

The most important correlation between consumption of carbs and cavities is?

Apex hasn't finished developing

Xray- Showing radiolucency around apex of erupted 2nd perm molar- why?

Delayed healing or impaired healing

A guy is taking steroids. What are you going to be concerned about?

Canadia Albicans

Patient showing cheilitis on corners of mouth? caused by

I put appliance

A. If the patient is wearing an appliance, it is chronic atrophic candidiasis.

C. If not, then candidiasis.

Red inflammation on palate of 15 year old. What is the cause?

A. Appliance

B. Smoking

C. Candidiasis

Pack them up using regular gloves.

MUST use utility gloves.

After using sharp instruments, what would you NOT do?

mask , lab coat , safety glasses and UTILITY GLOVES or IMPERVIOUS gloves

in sterilization area what would you wear

4 minutes

How long is fluoride tray applied?

Erosion- acidic foods?

Perimyolisis

teeth with the loss of shiny enamel. What caused it?

Amelogenesis imperfecta

Refer to doc

Patient with BP 156/120. What do you do?

refer immediately to doctor

Patient has bp of 140/120 what to do:

consult/talk to his ortho predic

Patient with hip replaced HOw would you premed him

TB

A patient is taking medications Isoniazid and Rifampin. What do they have?

Should take TB medication or Treatment

patient has positive skin test about TB or in contact with TB patient

Low speed

On a patient with an implant, would you use a plastic insert for cavitron on what speed?

use : POWER brush, floss .....

NOT USE: interdental brush and ETC

What would you/ not use on an implant?

Floss

power toothbrush

interdental brush

Matching for

CCB

BB

ACE

and another one...

Matching question on medication with its condition

such as depression, allergy.........

Know

Medrol dose pack

amoxicillin

xanax

Aphthous Ulcer

White purulent lesion on attached mucosa inferior to mandibular anterior, exuding pus for 2 days, good vitality on pulp test: periodontal abscess

apth ulcer

Aphthous ulcer

Retainer

The patient had all their teeth so what removable appliance would they wear?

Give them an extra 300 and wait one hour

Patient took 300mg of Clindamycin. What do you do?

Artificial Valve

If a patient is taking a pre-med of Amoxicillin, what might they have?

C- Lateral side + face

Sharpening- where would you sharpen?

Patient has Fluorosis

Fluoride- had a hint "very few caries"

Describes 40 something year old patient with history of NO CARIES and shows a picture of teeth that are snowcapped with some brown pitting, what does he have:

sebaceous gland

Fordyce granules

no treatment

What is this?

whats the treatment?

Cleft palate

• Image asking what most significant thing in picture is?

cleft palate

missing uvula

cleft palate

Candida albicans

What causes angular cheilitis?

Hereditary/ genetics

What causes a diastema?

Antidepressant also cause xerostomia

What is Prozac?

what is a side effect?

Antifungal

Median rhomboid glossitis- what would you use?

15/16 because its posterior

11/12 is anterior

What would you use to scale the mesial of #15? or the mesial of distal roots?

11/12

What other gracy can be used to scale the mesial of roots?

13/14 becuase its for posterior

also 17/18 is for distal posterior but 13/14 is better

What would you use to scale the distal surface of the mesial root of #30

toxins in biofilm

What contributes to caries in plaque and calculus?

inorganic something

organic something

acids within the plaque

toxins within the plaque

Clindamycin 600mg

What to use for penicillin allergy?

Tongue thrust/ thumb sucker

Cause of open bite

Anticoagulants

Do tranquilizers or anticoagulant cause dry mouth?

Aspirin burn

Patient complains of tooth pain and has wrinkled white buccal mucosa that can be easily peeled off

Hutchinson incisors from congenital syphilis

What could this be from?

Reduction of acid in mouth

Sodium bicarbinate

sodium bicarbonate rinse