Questions from Old Diagnostics Exams

1. Disadvantage of a Maryland Bridge debonding

2. Advantage of a Maryland Bridge less tooth reduction
3. Gutta Percha is made out of  Zinc oxide
4. Drug that increase the concentration of lidocaine in the blood propanalol
5. Best initial treatment for Maxillary oroantro fistula  abx and irrigation
6. Minimum occlusal reduction for PFM  1.5 mm
7. X-rays show many well demarcated PA lucencies  pulp test them
8. Purpose of SRP  to reduce inflammation and pockets
9. You ext a tooth, day later pt has a big blood clot remove the clot, apply pressure with gauze,
evaluate
10. Drug taken for arthritis Naproxene
11. Advantage of under contoured temps  improves health of gingival tissues
12. Porcelain fractures b/c it was a long span resulting in flexing of metal, unsupported porcelain,
or not enough occlusal reduction
13. Minimum thickness for porcelain  2 mm
14. Pt has difficulty swallowing with c/c b/c there is insufficient interocclusal space
15. You insert c/c. 1 side contacts in CR, the other doesn’t b/c  dimensional changes during
processing
16. Purpose of the reciprocal clasp to counterbalance force of retentive arm
17. Blunted roots of anterior teeth are due to  XS forces during ortho
18. When doing an implant, what’s the best choice  endosseous
19. Best TPL to replace one toothimplant
20. Advantage of implantavoid the need to cut healthy teeth
21. RPD better than FPD for what reasonmore hygienic
22. X-rays cannot determine F/L width of the alveolar bone
23. V notch is cut into plaster cast to be able to  remove and replace model more accurately
24. Patient takes one than another Nitroglycerin tabletpatient is having an MI
25. What isn’t an indication of an MI pounding heart beat
26. If patient has hx of angina have him take nitroglycerin
27. Ideal occlusal reduction for porcelain on functional cusp  2mm
28. Best way to close an oroantral fistula  flap surgery
29. When it’s hard to match colors of adjacent teeth select shade lower in color saturation and less
gray
30. Zinc Phosphate cement  is most harmful when placed close to the pulp
31. The last 1/3 of the retentive arm of the clasp is  apical to the Ht Of Contour
32. Immediate c/c should be removed for 24hr check  by DMD
33. Purpose of the die spacer  to allow room for the cement
34. If you are pulp testing and apply cold, tooth responds and goes in 3s  reversible pulpitis.
35. If you are pulp testing and apply cold, tooth responds and goes immediately  healthy tooth.
36. In an emergency, the accepted dose of injectable epi is  .2cc of 1:1000
37. Hydrochlorothiazide is  a diuretic
38. Perio Packs should be removed  in one week
39. Generally, prognosis for a diabetic patient having a lot of dental treatment is  poor
40. Calcium channel blockers may  cause gingival hyperplasia
41. Ideal undercut for cast clasp retentive arm is  0.01”
42. Ideal undercut for wrought wire retentive arm is 0.02”
43. Vertical cleft in bone is  dehiscence
44. Best method to clean FPD  proxy brush
45. Cause of epulis  wearing ill-fitting c/c over a pd of time
46. Indexing base of the cast  allows accurate reattachment of the cast in proper articulator
mounting
47. Patient with a joint replacement doesn’t have to pre-med if  it’s been > 1yr
48. c/c patient that smokes  DMD should look for Stomatitis nicotina
49. Bacteria associated with ANUG  Actinobaccillus Spirochaetes
50. Most difficult 3rd molar impaction  distoangular (mandibular) / mesioangular (maxillary)
51. If a nervous patient hyperventilateshave them breathe into paper bag
52. Ideal implant for #10  endosseous
53. Wax up for RPD framework is made on  refractory investment cast
54. The least # of Mandibular implants that could provide retention, stability for over denture is 2
55. Advantage of A/P strap vs full palatal coverage less interference with taste and speech
56. Horseshoe RPD is contraindicated b/cit lacks strength, and rigidity
57. Indication for altered cast technique  when saddles rock under occlusal loading
58. Medical condition aggravated by overweight people HTN
59. Porcelain jacket crown margin should have  a shoulder or butt joint
60. Linear blue structure on ventral surface of the tongue on 70 yo patient lingual varicosity
61. Aspirin causes  increased bleeding
62. Phlebitis is  inflammation on the wall of a vein
63. How many mg of Nitro do you give to pt. with angina0.4mg
64. Normal width of keratinized gingiva tissue on the buccal surface of the mandible is  3-4 mm
65. Surgical flap for perio is done for  access for instrumentation
66. Type of healing for surgical flap  long junctional epithelium
67. Most important feature in design of P/ as far as major connector is  to maintain rigidity
68. Check sterilizer with  biological indicators
69. When HIV elisa test is (-),  no exposure to HIV & no antibodies are present
70. Minimum crn/root ratio for abutment  1:1
71. Most important reason for ortho on the patient  To move or reposition/distalize #11
72. The canine has a dish brown color it is  the chroma of the tooth
73. Complication of implant on #7  penetration of the nasal cavity
74. In centric occlusion, the DB cusp of #30 occludes  in central fossa of #3
75. In centric occlusion, the DB cusps of Man Molars occludes  in the central fossa of Max Molars
76. In centric occlusion, the ML cusps of Max Molars occludes  in the central fossa of Man Molars
77. Most important consideration regarding implants in #7 &10 is  spacing b/w roots
78. Erythematous gingival tissue is caused by anaerobes
79. Purpose of Max anterior denture teeth if not seen  speech and lip support
80. Patient says she faints at the sight of the needleplace in trendelenburg position
81. Before taking shade, polish teeth
82. Given for moderate pain  acetomenophen
83. If patient with big mandibular tori needs /c,  remove tori
84. For final impression for c/c use  rubber polysulfide
85. Replacing restoration in defective tooth with ¾ of it being amalgam, tx of choice  PFM
86. Looking at x-rays post-ortho, the tooth with the worst crn:rt ratio was#9
87. When is reline indicated  when the pt’s ridge is slightly resorbed
88. When would you say the patient is having severe perio problems  when the pockets continue to
grown in depth
89. #1 cause of cement failure is  improper mixing
90. The important feature of cement is  its resistance to solubility and strength against
disintegration
91. Concern with phlebitis  pulmonary emboli
92. Drugs that cause gingival hyperplasia  Nifedipine, adalat, diantin
93. Based on x-rays, what’s the pocket depth of a certain tooth  x-rays cant determine that
94. Patient complains of spacing after SRP; this is due to  reduction of gingival edema
95. Patient has a shunt in Lt arm for renal dialysis  don’t take BP on left arm
96. After crown is cemented, cause of thermal sensitivity residual thermal toxins
97. Best time for occlusal adjustment for patient needing RPD after dx and TPL have been
completed
98. Purpose of occlusal rest  resist forces and provide support
99. Polycarbox cement causes  little Pulpal inflammation
100. GI cement is  non irritating to the pulp
101. Type III gold is best suited for  full crowns
102. Advantage of all ceramic crns vs PFM  esthetics
103. The excepted minimal biological width is 2 mm
104. Hemostatic cord function  to displace tissues laterally
105. Purpose of the facebow  to transfer the spatial relationship of the Maxilla to articular hinge
axis
106. Ditching a die  exposes margins of the prep
107. Wax pattern should be sprued to  crown in area of the biggest bulk
108. White, black, and gray  have no hues
109. Hue  attribute of color by which it’s perceived
110. Value  is most significant dimension of ceramics
111. Value  denotes the amount of black or white
112. Chroma  is the amount or saturation of hue
113. Red  has a > chroma than pink
114. Red  is = to pink in hue
115. Anterior teeth in c/ should  passively touch the wet/dry line on the lower lip
116. Centric Relation is a reproducible position
117. Buccinator is associated with  retention and stability of c/c
118. Gross interferences in an immediate c/c should be adjusted  ASAP
119. Overhang of amalgam crown  causes plaque accumulation & it’s hard to remove
120. #9 PFM was recently placed and now it’s mobile and the gums are red  tooth may be in
hyper occlusion
121. If the root is 16 mm long, what’s the max amount of post length11 mm
122. What’s not part of perio dx  bacteria survey and make up
123. What should be done after a reline  chk & decrease the vertical dimension
124. Anti HTN drugs can effect retention of c/c  b/c it causes xerostomia
125. Don’t use porcelain teeth on c/natural  b/c of wear
126. Immediate c/c doesn’t fit  use pip until it seats
127. Immediate c/c  wait a min of 8 weeks after posterior teeth have been ext before impressions
are taken for immediate c/c
128. When selecting tooth shade  sit patient upright and don’t shine direct light in mouth
129. Precision/semiprecision attachment isn’t indicated  in pt with low dexterity
130. Blood test to access coumadin PT test
131. What’s true if pt is on steroids  must know duration and dosage before tx
132. If patient complains of lethargy  refer to MD and reappoint
133. Pt is taking Aspirin, Pen VK, Naproxene which with increase pocket depth  none
134. Contraindications to patient with Naproxene  making precision RPD
135. Propulsid is for GERD  look for acid, erosion, and wear
136. Contraindication to apically positioned flaps in anterior  esthetics
137. Best cement to increase retention of crown  resin
138. According to CDC sterilizers are  monitored weekly