You are on page 1of 20

THE MEGA APRIL FILE UPDATED

1.the spinal track action

2.the salt taste transmitted: ionic receptor


3.podocyte found in? a.visceral of glomerulurs. B.p.c.t. C.d.c.t.
4.the taste of umami: L glutamate
5.which anterior tooth have mesial margin parrllel to the long axis of tooth: Mand C
6. Tenae pedae cause: Athletes foot, tricohyton
7. The cuase of gastrointestinal diseases in child under 2???a echo viruses. B. Rhino.
C.reo viruses or ROTA virus
8.the innervation of buccal mucosa: Long buccal N of v3, trigeminal, v3(depends on opt)
-Maxillary buccal mucosa: by maxillary nerve (psa, msa)
-Mand buccal mucosa : long buccal n of v3
9.innervation of upper lip: Infraorbital (v2)
10.the cleft lip cause by: failure of maxillary and medial NASAL PROCESSES to fuse
12. The fusions of ectoderm with foregut form: Primitive mouth (stomodium)
13.the origin of face formation: Frontonasal Process and Pharyngeal arch 1 & 2
14.the carcinoma of brain called: Glioma (astrocytoma)
15. The tooth have m-d larger than I-g: Primary Max CI
15. The first not succedous tooth erupt: Mand 1M
16.the most absent tooth: Max 3M> Mand 3M>
17.the dryness of mouth: Sjogren, Xerostomia
18.the cause of parkinson diseases: Substantia Nigra, Dopamine
19. The couger diease cause
19. The granulomaous can seen in: Syphillis, TB (Histoplasmosis)
21. Cholestrol regulate enzyme: HMC Coa Reductase
22. The 25.diphyneylcholestol convert to 1,2 diph In: Kidney (vit D)
23.fumerate link urea cycle to: Krebs, TCA, Crebs
24.The hydroxy proline form by: vitamin C
25.The frank Starling law on heart: initial length of cardiac muscle fibers affects the
strength of contraction

26.The heart force of contract is increase by??a the length of muscle fible B.the
increase in venticlar contraction. C. Decrease in platua phase
27. Cause of addison diseases: Low cortisol/ Aldosterone
28. The effect of adh in which part of kidney: Collecting Tubule
29.the action of rifpacin: Inhibit DNA dependent RNA polymerase
30. The action of streptomycin: Inhibit protein synthesis in prokaryotes, inhibits
translation 30s
31.The action of polyene: Bind to ergosterol in fungal membrane
32.the toxin of Q fever: Pyrogenic Toxing
33. The antigencity of influenza: Glycoprotein spikes,Hemoglutanine, neuraminidase
34. Mouth sticky odor caused by: DM, bad oral hygiene
35.The tip of tongue drainage: Submental
36.The innervation of sub lingual area: Trigeminal
37.The vonebner gland related to which papillae: Circumvallate
38.The sensor innervation of TMJ: Auriculotemporal, Deep masseteric
39.The sensory part of motor part of v3: Buccal N (?)
40.The posterior innervation of palate posterior part: Greater Palatine N
41-The most bigger fluid in body-csp, interstial fluid, plasma:
42-Which bone is fracture in the floor of orbit: Palatine, zygoma and palate
43-What the Bennett curve mean: lateroexcursive movement of mand
44-The steeper of emminence cause short or tall cusp: Taller cusps
45-The x and lx innervated all except: palatoglossus,
salpingophayngeous,stylopharyngeus
46-The patient have pain in shoulder and neck couse by: Axillary n from Branchial plex
47-All are branch of aortic except (renal, mesentric ,internal iliac
48.Muscle btw palatoglossal and palatopharngeal: Stylopharyngeus
49.Tonsillar platine which nerve: Tonsilar branch CN9
50.Facial N derived from which branch: 2 branchial arch
51.Patient have swelling on right side of mandible near tmj: Parotidis, mumps
52.Embriology also i get few questions
53.Diahorea in children which bacteria: E.coli
54.More abutment need in which tooth option 25 26 27 (mand C)
55.What no found in carveous sinus: Optic Nerve
56.the v3 pass lower to which ganglia: Otic gang (rem. ovale contain otic ganglia!)
57.which part of v3have the buccal nerve (sensory,motor)
58.which nerve give preganglionic to parotid: Lesser Petrosal
59.the cranial never which supply the head arise from: Superior cervical ggl (?)
60.Which predisposed the thyroid to cancer: graves, goiter, Hushtimo (?)
61.The motor never pass through foramen ovale: V3 Mandibular
62.The ligaments attached to lingual: Sphenomandibular
63.The ligaments connected the condyle to articulated disk: collateral/discal
64.The ligaments stabllize the mandibular during yawing: Temporobandibular lgg
(accessor: sphenomandibular /stylomandibular)
65.The nerve pass lateral to the head of lateral ptergoid m: Buccal N
66.Deep facial vein connect to which sinus: Cavernous
67.The union of superfacial temporal vein with maxillary vein form: Retromand V
68.The infection of second upper molar go to which sinus: Maxillary sinus
69.The common carotid artery give internal and external where: Thyroid cartilage
(above)
70.The dermis of skin don’t have: Melanin, Meissners
71.The type of cartilage cover the condyle: Fibrocartilage
72.Type of catilage in respiratory alv: Hyaline
73.The decrease of surfactant will effect: Decrease surface area (dec o2 exchange)
74.The innervation of ring finger: Ulnar+Median, C8
75.The circumduction do by which muscle: Deltoid ( axillary N)
76.Infection from maxillary sinus goes to: Ethmoid
77.Action of DNA gyrase enzyme: DNA gyrase, or simply gyrase, is an enzyme within the
class of topoisomerase (Type II topoisomerase) that relieves strain while double-stranded
DNA is being unwound by helicase. The enzyme causes negative supercoiling of the DNA or
relaxes positive supercoils.
78.What we found in granulmotous layer of skin: Keratohyaline granules
79.What nerve supply 2/3of tongue: Lingual N, chorda tympani
80.What nerve we can found it with the ligaments arteriosum: L Recurrent laryngeal
81. Dentist read about cancer many question come about it’s l didn’t see it sj or tang:
breast cancer, thyroid cancer, pituitary cancer
82.The action of sercetin: Secrete Bicarbonate(
83.the large intestine differ from small intestin in: Large doesn’t have Villi

84.the microvilli form from modification of which cell: Microvilli, brushborder


85.The proximal gingiva bounded by what: COL
86.The nasal septum form by: Vomer, Ethmoid, septal cartilage
87.The palate form by: Fusion of Maxillary and Intermaxillary segments
88.What parasympathetic pass to lacrimal gland through foramen: Greater Petrosal
through pterygoid canal
89.Maxillary sinuses drain in which meatus: Middle meatus
90. Sex hormones secreted by which part of cortex: Zona Reticularis
91. What is the cause for Microangiopathia in diabetics: Hyperglycemia
92. What is the effect on LH in women menstruation: Increase
93. Spinosum foramen counter with which foramen: A. Magnum B. Jugular C.
Rotundum D. Acoustic Meatus

The contact between the anterior teeth many question about it


And the height of contour mor than 5 question
Testles hypertension wd chloestrol… combine
Child 10ys come wd mother
Anterior rpd testles but no dental questions

CHARLOTTE: 4/8/18
1. Function of face bow transfer: Hinge movements. record the exact craneo-
mandibular relationship in order to be transferred to articulator
2. Which cusp in mand 2 molar is larger than in mand 1 molar: DB
3. Cardiac implant not affect
A. Hypertension<<<<<<<,
B. Intaventricular
C. Hart rate
4. Cause of warts: HPV
5. Pituicytes are found in: Non-endocrine cells of posterior pituitary
6. Stereocilia a. Epidydimys b. Leydig. C. Sertoli
7. Parathyroid release controlled by? Blood CA level
8. Scurvy. Deficiency of what vit: C
9. Gravida 2 para 1: 2 pregnancies 1 live birth successful
10. Gravida 3 para 2: 3 pregnancies 2 live birth successful
(Gravida means the number of pregnancy and para the numbers of successful
births)
11. Chloasma 10 question ( everything about it): Chloasma also called melasma
Melasma can be due to hormonal changes during pregnancy or from sun exposure.
Women are much more likely than men to develop this condition.The brown or
gray-brown patches of melasma appear most often on the cheeks, forehead, nose,
and chin.In women, melasma often fades on its own after pregnancy or after an
affected woman goes off birth control pills. Skin lightening creams can help lasting
melasma.
12. What is unique feature about lymph node: AFFERENT & EFFERENT
13. Which fossa of mandibular 1 st molar is the dopest and roughly oval
appearance? CENTRAL
14. Facets on max canine which surface affected
Mesial during lateroteusive
Distal during laterotrusive
Mesial during mediotrusiv
Distal during laterotrusive
15. Destruction of parietal cells will cause? pernicious anemia
16. Contact of max lateral incisor is in medial or junction of medial and incisal
third?mesial is Junction of incisal 1/3and middle third and distal is middle 1/3
17. Olympic marathon champion has what kind of muscles cells a. Lots of
mitochondria; b. Myosin ATPase...
18. woman pregnant 17 weeks. Takes tetracycline which teeth mostly affected? (
very wired option): ALL PRIMARY
19. Buccal cusp of premolars are all located messily in relation to mesial axial line
except?
5, 12, 21,28
20. Difference btw juxtaglomerular and cortical: Juxtaglomerular has longer loop of
henle than cortical
21. Hypoplasia
Underdeveloped organ
Organ decreased in size
Increased cellular growth
Part of organ absent
22. What are the boundaries of sarcomere?
2 Z, A, H , I, A
23. 6 year kid had difficulty to breath had upper tonsils removed where the palatine
where located ? Auditory tube,Inferior choancha, Oropharynx
24. C5 main chemotactor which cells
Eosinophils
Basophils
Mast cells
Neutrofils
25. Soap forming with calcification which necrosis: enzymatic Fatty Necrosis
26. Which Heptitis is chronic: C
27. S secretes bicarbonate: Epithelial cells in pancreas
28. Similar collagen elastin
Both elastic
Both have prolin
Both triplex
Both need crosslinking
Both have glycine
29. 2 q on benign tumors, easy: A benign tumor is not a malignant tumor, which
is cancer. It does not invade nearby tissue or spread to other parts of the body
the way cancer can. In most cases, the outlook with benign tumors is very good
30. What obscure disc on Panorama? Zygomatic
31. Hypoglycemia is the result of excessive secretion of what?
Insulin
Glucagon
Glucose
32. Question about cause of rash in scarlet fever but there was no option
erythrogenic exotoxin: MAYBE PYROGENIC??

33.Diabetic patient have microangiopathy bacause of what? Hyperglycemia


34.Sensory innervation to mylohyoid? Trigeminal
35.Two questions about C fibers
36.Innervation of lung? Vagus
37.atelectasis where? Lung (Achalasia in esophagus)
38.Ateromatoz plaques in which tunica of arteries?
Intima
Media
Adventitia
39.Which muscle depress the mandible? Suprahyoid groups
40.When K+ reaches 0?
Extracellular K moves out
Intracellular K moves out
Prolong heperpolarization
41.Boy 6 days old has fever, spinal tap test is good, rash, which bacteria?
42.Space between teeth?
Gets larger mesially
Gets larger distally
43. 17 years old has periodontitis which bacteria? Actonomyces
44. Tonsilar bed in which Fascia: Pharyngobasilar fascia
45. What type of collagen is in mantle dentin: Type 3 (Korff fiber)
46. Inferior thyroid artery is a branch of which artery?
Thyrocervical
Subclavian
Trigeminal
Facial

PETER: April something 2018


Least sensitive taste bud: Sweet
What is common bet 1st mx primary and perm molar: Triangular Fossa
Diff bt mx 1st and 2nd and 3rd m:
Gnarled enamel location: Under CUSPS
Tumor in endometrium and go to the pelvis: Endometrosis
Each of the following describes hyaluronate except?
1. Polyanion
2. Highly polar
3. Glycosaminoglycans
4. Compact folded structure
5. Extracellular matrix component: GAGs
6.Tempromandibular LGG attached to coronoid , zygomatic , tuberosity
7.What connect the disc with post border of capsule: RETRODISCAL pad
5 q about laryngeal realtions
20Q SLE

CHARLOTTE SJ QUESTIONS:
1. Which one is mot an autoimmune? ERYTHROBLASTOSIS
2. What muscle retrude mandibular? POST (horizontal fibers) Temporalis
3. Pituitary deficiency cause what: Hypogonadism, Addison's disease or Myxedema
4. Striated duct of the salivary glsnds contain mitochondria question wasnt direct)
5. Carcinoma of the larynx: Patient had dysphonia, dysphagia, weight loss, long
term heavy smoker
6. Chronic Viral hepatitis: C
7. Where is synthesis of DNA? S phase
8. Made of mesenchyme. Melanocytes. Dermal papilla (Rete pegs are epithelial
invaginations)
9. Systemic fungal infection: coccidiomycosis, histoplasmosis, blastomycosis
10. Demilunes in submandibular gland (SUBLINGUAL)
11. Contact area stabilize dental arch
12. Intracellular fungus: HISTOPLASMOSIS
13. all cause brain abcess eccept: TENIA PEDIS
14. Q fever. Aerosol
15. Livers function all except: STORE DIGESTIVE ENZYMES
16. Innervation of upper lip: INFRAORBITAL
17. Initiation codon is translated to which amino acid: METHIONINE
18. Hunger: Hypothalamus
19. Melanin pigmentation: BASALE
20. Crouding of of odontoblasts: S shape DENTIN
21. Maxillary sinus drains into: ETHMOID/ PTERYGOPALATINE ??
22. Nerve from stylomastoid cut, which muscle affected: orbicularis oris (facial
expression muscles)
23. Sabourague agar: FUNGUS
24. Thumb nerve supply: MEDIAN, sensory C6
25. Advantage of dry heat: No corrosion
26. Prostate carcinoma: increase in serum phosphate and alkaline level
27. Which connective tissue is accurate in gingiva? High connective tissue papilla
28. Contour lines of owen: (found in dentin) - can be analogous to Striae of
Retzius (found in enamel)
29. Epidural hematoma: MIDDLE MENINGEAL
30. Last product of urea: Ornithine & Urea ??

One more secret that I think they do , whatever you see in SJ answer like lingual
nerve or maxillary, or chorda tympani, or any other nerve know well which branch,
that nerves belong to, if that nerve is sensory or motor. Sometimes I think that they
take that SJ file and make another questions around all ones, go beyond those
answers and transform the answer and question.
Two questions on Carotid body and carotid sinus not strait forward from SJ but
understandable
Testlet was about SLE
Myastenia Gravis
Cloasma
HIBA 4/9/2018
1. Hamulus from which bone: Medial pterygoid of SPHENOID bone
2. Heterophil test in: INFECTIOUS MONONUCLEUS due to EBV
3. Fracture of mid humerus which nerve get damaged: RADIAL N
4. Cells in advanced chronic periodontitis: PLASMA CELLS, pmn, macrophages
5. Eruption confusing they ask like this tooth will erupt before this tooth or root
6. Tympanic membrane is derivative of: 1st PHARYNGEAL POUCH
7. Contact area of incisors where.. lingual or buccal = Located at center between
labial and lingual surface
8. Questions about cervical lines they didn’t ask about contact area
9. Endemic in west US Coccidioides immitisc (southwest usa and latin America)
10. Cause of pneumonia in Aids patient: Pneumocystis Carinii
11. TMJ which type of joint gingioarthroidal was not in option hinge was
Bilateral synovial joint (diarthrodial) HINGE
12. Question related to otic ganglia
1. Otic Just distal to Foramen ovale (on trunk of V3)
2. Supply parotid gland
3. Plexus associated with middle meningeal artery.
13. Preganglionic parasympathetic to sub mandibular gland .. Chorda
tympani n lingual both were in options: CHORDA TYMPANI by LINGUAL N
14. Articular surface of mandibular fossa: FIBROCARTILAGE
15. DNA divides where in mitosis: M phase
16. Systemic fungi: Blastomyces, Coccidioides immitis, Histoplasma Capsulatum
17. Something related to taste
18. Features of 1st n 2nd molar
19. Herpes labialis.. giant cells :Tzanck Test HSV2
20. Inf border of inf compartment of TMJ : The inferior compartment has the
articular disc as a superior border and thecondyle of the mandible as an
inferior border
21. ARRECTOR pilli derivation : MESODERM (mesenchyme)- goosebumps
22. Sweat glands, secretory lobule and duct derived from:ECTODERM (Exocrine
glands) Ecto-mesodermal in orgin??
23. Secretory duct of salivary glands derived from
24. Enolase inhibit :Fluoride
25. Mandibular canine vs max canine
26. Bullimea testlet
27. Injury on left .. pain in left testlet 13 years old
28. In asthma which nerve u will stimulate: VAGUS
29. UMN lesion .. precentral gyrus, acoustic meatus , stylomastoid,
30. Next to precentral gyrus which nerve will get affected: A ALPHA motor
neuron. NOT Ia or Ib
31. Stab at L1 which organ involved :Kidney
32. Rickettsia transfered by:TICKS
33. Least divided roots: MAX CI
34. More on curvature of teeth
35. Addison disease because of what.. ant. Pituitary, post pituitary, adrenal
cortex
36. Not granulomatus .. options not as in sj
37. Mand canine occludes :Maxi canine
38. Ammonia comes from: GLUTAMATE (by deamination)
39. More questions on ant roots
40. Roots of primary n tooth bud under
41. Sinus below sella turcica: Sphenoid Sinus
42. Diff between max 1,2,3 molar
43. Addison’s diseases
44. In Lateral movement where midline of mandible will move: VERTICAL
45. Patient serum has anti A n anti B, which blood group: O
46. Periodontal diseases a lot
47. Epithelium of buccal mucosa: NON KERATINIZED STRATIFIED SQUAMOUS
48. Typhus caused by: Rickettsia Prowazexkii
49. If rete pegs present in Non keratinized epithelium it indicates inflammation
50. Transfusion of blood where will be the reaction: TYPE 2
51. Graves: Autoimmune disease
52. Glycoproteins which hormones: LH, FSH, TSH
53. Cholinergic .. heart rate :Parasympathetic postganglionic neurons
54. Disease related to saliva: MUMPS, INFECTIOUS MONONUCLEOSIS- EBV
55. Secretion method of glands
56. Ca used in clotting where:
57. Circular fibers of gingiva
58. Hypertension causes which renal diseases
59. Distal to terminal bronchioles: ALVEOLI/ respiratory bronchiole
60. Crista terminalis: Right atrium. Junction bt SINUS VENOSUS and HEART
61. Infarct of brain: Coagulative necr, MUCORMYCOSIS
62. Coronal suture
63. Scarlet fever: Erythrotoxin (strep pyogens). Group A BETA hemolytic
64. Radio lucency bt max ci: Nasopalatine/Incisive foramen. (Radiopaque:mesiodens)
65. Threshold of taste: Lowest: BITTER. Highest: Sweet
66. Sjogren
67. Collateral ligaments: arise from periphery of the disc, attach to medial lnd lateral
poles of condyle. STABILIZE the disc. Allows DISC to move with condyle
68. Philadelphia chromosome: 22
69. Stretch reflex: MONOSYNAPTIC REFLEX. mitotic reflex=knee jerk
reflex=patellar. Stimulus: Muscle stretched. Response: muscle contraction
70. Which AA in normal diet
71. Epithelium of nasopharyngeal tonsils: Pseudostratified ciliated columnar
72. Transformation of cells
73. Adduct scapula: Trapezius, Rhomboid major/minor
74. Which muscle depress n elevate the mandible:
75. Diff between FA syn n oxidation
76. Vit c in collegen
77. Estrogen increases osteoblasts n decrease osteoclasts
78. Biochemical serum markers help in diagnosis of what: Alk phosphate, Aspartate
aminotransferase(AST), alanine aminotransferase(ALT),lactase dehydrogenase,
gamma glutamyl transferase (GGT)
79. Surfactant of lung
80. Renal cancer
81. Which nerve crosses from pterygopalantine to maxillary tuberosity: nasopalatine
82. Integrin
83. Anemia PO2 increases or decrease PCO2 increases or decrease
84. SLE testlet
a. Advanced stage of SLE :Renal Failure
b. ESR in SLE: ELEVATED
c. Significance of Positive RA factor
d. Affect on every organ like kidney etc:
(liver,kidney,lungs,heart,skin,joints,nervous system)

1. Know which one is for Norepinephrine?


A. Preganglionic sympathetic
B. Postganglionic sympathetic
C. Preganglaionic parasympa
D. Postganglionic para… (THIS is in FA)
2. Preganglionic parasympathetic nerves that dilate pupil have their cell bodies
in which nucleus.... Ciliospinal center (pregang) post gang (scg)
3. Where is nucleus(cell bodie) of the nerve that constrict pupil Edinger Westfal
4. The secondary Cementum has all Except?
a. Blood vessels
b. Cellular
5. What you going to see in a patient if he doesn’t have anterior pituitary
a. Cushing syndrome
b. …
c. ….

6. Stricktly ketogenic amino acids


a. Leucine (I picked this one, there was no Lysine)
7. Question about what process/limiting enzyme/allosteric activator pairing is
correct
Glycolisis/pfk/amp
8. You have to know all pyruvate fates, all the processes that it goes
through(phosphorylation, oxidation, deamination), limiting enzymes very well
because they way they ask you have to know how it works not just the
names, because it’s going to be impossible to answer if you don’t understand
the process
9. Superior part of Curve of Spee?(I guess maxillary part of the curve)
a. Convex
b. Concave
c. Etc

10. Healing woven bone? 1-3 weeks (this question was separate and in the
testlet)
11. Which one does NOT contribute to the posterior wall of axilla
a. Serratus anterior
b. Subscapularis
c. Teres major
12. You can see everything in derma except:
a. Meissners
b. Sebaceous gland
c. Etc
13. What nerve in circumvilate pupilae: CN 9
14. Something about causes of Esophageal Varices ?(If I remember correctly
they asked everything except this causes it) there was no portal hypertension
15. What happens during pregnancy: increase hcg,decrease fsh and LH
16. What produce hcg? PLACENTA
17. What is not in Seminefrous tubules? Leydig cell
18. Inferior parathyroid is from the? 3 pouch
19. Arteries supplying parathyroid hormone? Inf thyroid Artery
20. Patient had clenching which muscle? posterior fibers of temporalis( there
was no Masseter)
21. N-glycosylation? Endoplasmic reticulum
22. Bowmans capsule is lined by: podocytes
23. There was a question about Patient with Congestion, not about cor
pulmonale.
24. 2,3-bpg is up curve to the right why?
a. Increased affinity for O2
b. Dec affin for CO2
c. Etc.
25. Rheumatoid arthritis will affect? Synovia
26. Know all the differences between cardiac, smooth and skeletal muscles
Smooth muscle one nuclei, Skeletal is multi nuclie. skeletal regeneration very rapid but smooth is slow.
skeletal m---striated , smooth m --non-striated

27. hemophilia A caused by: A and von willbrand - factor 8


28. Which cells touch the basement memb of seminiferous tubules?
Spermatogonium
29. tuberculum carabelli on primary molar? What tooth and where exactly on that
tooth: PRIMARY MAX 2M- ML CUSP
30. increased overbite effect on cusp height of posterior teeth?
It MAY make them high?
They MUST be higher? That’s exactly how the asked, there were other
choices but I don’t remember
31. primary molar in mesiodistal compare to premolars
1 mm more
2-4 mm more
1 mm less
2-4 mm less
32. Tip of the tongue? Deep lingual
33. Medial to hyoglosus muscle? Submundibular duct, lingual artery, lingual
nerve etc

1. (Case Study) Exam of cadaver: Female. LEFT backstab at L1-L2, adjacent to


vertebrae, 12 cm deep. Has Malory-Weiss tear on her esophagus and
multiple mass on her uterus.
a. What is the cause of the Malory-Weiss tear? Alcoholism (Mallory-
Weiss tear = bleeding from tears at esophagus/stomach jxn)
b. What is the multiple mass on her uterus? Leiomyoma (benign
neoplasm of uterus)
c. Which organ is most likely damaged/hit  Kidney
2. (Case Study) Patient has Myasthenia Gravis
- Mechanism: autoimmune disease, antibodies against post-synaptic NMJ
Ach receptor
a. Causes decreased acetylcholine receptors
b. How to medicates treat/help overcome symptoms:
acetylcholinesterase inhibitor helps increase amount of available
acetylcholine receptors
c. Patient refuse treatment & can only afford to do a prophy, what do
you do? Present him with all options & refer him to specialty as
needed.
3. (Case Study) Patient with Grave’s disease
- Mechanism against Graves’ Disease: binding Ig antibodies to TSH receptor
in the thyroid (mimic TSH)  stimulate production of thryroxin
a. Graves’s disease causes/lab test show? High T3/T4, low TSH (on a
graph)
b. What are the symptoms of Graves’ disease? Exophthalmos (bulging
eyes)
4. (Case Study) HIV patient had an ulcer near tooth #15 that is very sore.
a. Biopsy was done on ulcer & it was undifferentiated something,
what is it most likely? Kaposi Sarcoma (?)
b. Which injection would u give?  PSA
c. Opportunistic infections associated & not associated with AIDS
d. How to treat patient ideally? Limit/control infection (?)

1. In a testlet girl needed RCT done, I think she had some problem with
tonsillitis
When you put a rubber dam and in the middle of procedure you hear a quite
whistling noise on inhale what is it?
Problem with upper respiratory tract
Hole in rubber dam(I chose this but I don't know if it's correct)

What nerve to block if pt needs to give speech after procedure on mand anterior:
INCISIVE OR MENTAL

What's unique about rabies vaccine: I chose that people get it after they got exposed to a
disease ( long incubation period)

1.testlets were easy about HIV , what are the precautions to be taken? the only
question of ethics was here, also which cells were effected and main cause of death
in AIDS. CELLS: CD4 DEATH: pneumonia carinii

2.other testlet was about pain in maxillary molar region in young girl, what was the
overlapping image seen in opg- zygoma, what was bacteria involved in the caries
formation. Strep MUTANS, LACTOBACILL

3. other testlet was third molar pain given in the notes.


testlet of thalessemia, cause and seen predominantly in which gender. complication
in extraction. CAUSE: chromosome 11 inherited defect (genetic disorder).
Complication:?? In WOMEN (young) more than men

4.testlet of patient having high blood pressure taking calcium channel blockers and
complain of gingival bleeding. ( question was diverted to the affected tooth #8 and
nasopalatine space). It’s anti hypertensive drug n cause gingival hyperplasia.. that’s
y gingival bleeding. RADIOLUCENCY: NASOPALATINE.

5.not an important gland - adrenal

6.pitucyes found where: Non-endocrine cells of posterior pituitary

7.metabolism of vitamin D first happens where - skin

8.related to biochem - enzymes were asked enzymes found in pancreatic (the


question formation was tricky): amylase…

9.where do you find hair follicles, which layer: DERMIS

10.longest nerve: VAGUS (smallest:trochlear)

11.nerve supplying the visceral organs: VAGUS (parasym), celiac trunk, inf
mesenteric

ligaments of tmj had few questions regarding movements

12.formation of lip: SUPERIOR:frontonasal process and maxillary process


LOWER: MANDIBULAR
(1. Maxillary processes-merge to form most of the upper lip.
2. Frontal nasal processes (2 medial nasal processes)-merge to form
the philtrum of upper lip.
3. Mandibular processes-merge to form the lower lip.)
13.sensory supply to upper lip: INFRAORBITAL v2

14.dna synthesis which phase: S

15.q fever caused by: COXIELLA BURNETTI

16.intacellular organism: TB, HISTO, CHLMYDIA, RICKETTSIA

17.where can we do lumbar puncture: L3-L4

18.loss of appetite caused by? i remember i marked b12 deficiency (pernicious


anemia)

19.largest anterior permanent tooth: MAX CI (overall MAX C)


20.most impacted tooth - 3rd molar wasn’t there i marked maxillary canine

21.cause of elevated alanine plasma level: alanine transaminase

22.sugar used as a nutrient for cariogenic bacteria-SUCROSE!! (not fructose)

23.hypothalamus origin: NEUROECTODERM, DIENCEPHALON

24last primary tooth to erupt: MAX 2m

25.10 weeks of pregnancy which hormones elevated: HCG

26.longest phase of cell cycle: G1

27.artery for anterior of tongue: Deep Lingual A

28.parotid gland and intestine have what in common: SEROUS gland

29.two questions related to carotid sinus

30.nerve supplying the thumb: MEDIAN + C6

31.largest blood cell: MACROPHAGE

32.dental anatomy study about cusps and occlusion in class 2

33.primate space present in what age

34.largest permanent tooth with mediodistal dimension: MAND 1m

35.down syndrome features: Physical and mental development is delayed;


many physical abnormalities present (small head, broad, flat
face with slanting eyes and short nose). The tongue is large, and ear
small and low set. Heart defects are
common. Affected people live until 30-40 years.
36.essential proteins except: Glycine

38.what is glycan: Monosaccharide of glucose

39.not seen in brain, tangy file ( fungus): BLASTOMYCOSIS


Collateral ligaments (medial and lateral):
- "discal ligaments"
- arise from the periphery of the disc, attached to the medial and lateral poles of the
condyle respectively
- stabilize the disc on the top of the condyle
- allow the disc to move with the condyle
- restrict movement of the disc away from the condyle during function
- responsible for hinging movement of the TMJ
- composed of collagenous CT, thus they do not stretch - strain produces pain
- innervated, supplied with blood
Capsular ligament:
- surrounds the entire joint, retains the synovial fluid
- resist medial, lateral or inferior forces
- well innervated proprioceptive feedback of the joint (its' position and movement)
TM ligament (lateral):
- the main stabilizing ligament of the TMJ
- from lateral surface of the zygomatic arch and a tubercle on its lower border,
directed obliquely downward and backward to insert into the posterior border and
lateral surface of the neck of the mandible
- restricts downward and posterior movement and guides the forward motion of the
condyle during opening
- outer oblique portion excessive drooping of the condyle, limits mouth opening
- inner horizontal portion limits posterior movement
Sphenomandibular ligament:
- accessory ligament
- attached to the lingula of the mandible
- does not have any significant limiting effects
Stylomandibular ligament:
- accessory ligaments
- attached at the angle of the mandible
- limits excessive protrusive movements of the mandible
Vavi, 04/16/2018
1. Diabetis type 1 etiology, all except?
 Togavirus: Only congenital Rubella Syndrome can cause type I
 Enterovirus: Coxakie, is primarily its cause. Also, mumps, CMV, rotavirus.

2. Pteryhopalatine fossa floor communicates with Oral cavity by? Greater palatine
canal

3. Nasal septum develops from? Frontonasal processes (which gives rise to


gives rise to Intermaxillary segment)

4. Tip of the tongue drains? Submental

5. Bacterial glycolysis pathway? Embden-Meyerhof pathway

6. Tinnitus, muscles associated? Tensor Tympani

7. Deep facial vein drains? Cavernous-Pterygoid

8. Branch of ECA all, except Inferior thyroid

9. Ring finger cutaneous innervation? Ulnar nerve, median N, radial N,


dermatome C8

10. Parkinson’s - a lot of questions

11. Lypoxiganase pathway- product? Leukotrienes

12. Which phase of cell cycle is the same duration in fetus and adult? M phase?

13. Not safe for skin?


 Ethanol
 Glutaraldehyde
 Chlorhexidine

14. Scarlet fever? Pyrogenic toxin

15. Should be isolated from infants mouth?


 Bacteroides
 Strep mutans
 Strep sanguis
 Actynomycete

16. In which triangle is maxillary artery? Carotid, muscular, posterior

17. Under age 2 – rotavirus

18. Menstrual menses phase?


 Ovulation
 Luteal
 Follicular

19. B cell produced?


 Lymph nod
 Fetal kidney
 bone marrow

20. Von ebner glands found at? Circumvallate papillae

21. Janeway lesions? Infective endocarditis

22. Graft versus host disease? T-cells of transplant origin become activated against
MHC of host. Type IV hypersensitivity. Cell mediated.
Note; Arthus reaction: antigen-antibody complexes cause the Arthus reaction; a
local subacute antibody-mediated hypersensitivity (type III) reaction intradermal
injection of antigen induces antibodies, which form antigen-antibody complexes
in the skin, characterized by edema, necrosis, and activation of complement

23. Turner syndrome? Cardiac problem associated with Turners syndrome?

45,X or 45,X0, is a condition in which a female is partly or completely


missing an X chromosome.[2] Signs and symptoms vary among those
affected.[1] Often, a short and webbed neck, low-set ears, low hairline at the
back of the neck, short stature, and swollen hands and feet are seen at
birth.[1] Typically, they develop menstrual periods and breasts only with
hormone treatment, and are unable to have children without reproductive
technology.[1] Heart defects, diabetes, and low thyroid hormone
 e.g. CVD: Coarctation of aorta (congenital condition whereby the aorta is
narrow, usually in the area where the ductus arteriosus (ligamentum arteriosum
after regression) inserts). Symptoms: difficulty breathing, poor appetite or trouble
feeding, failure to thrive. Later on, children may develop symptoms related to
problems with blood flow and an enlarged heart. They may experience dizziness
or shortness of breath, faint or near-fainting episodes, chest pain, abnormal
tiredness or fatigue, headaches, or nosebleeds

24. Small bronchioles, smooth muscle?


 Hyaline cartilage
 Elastic

25. Conjugated bilirubin elevated when?


 Hemolysis
 Anemia
 Billary cirrhosis, chose that one

26. Parietal cell destruction? Pernicious anemia

27. Bone canaliculi content?


 Blood vessel
 Lymph vessel
 Osteocyte
 Osteoclast

28. Neural tumor? Astrocytoma

29. Protein secondary structure? H bond

30. Fatty acid transported in blood by? Albumin

31. Testlets

-7 year old girl, with primary 1st carious molars, abused (questions were
about letters of teeth, ethics question, her nose was short(why?)

32- Alanine transaminated directly from?


Pyruvate
Alfa ketoglutarate
Aspartate
Arginine

33. Carotid body?


34. Carotid and aortic sinuses?

35. Fenestrated capillaries where?


-dental pulp
-periodontal ligament
-alveolar bone
-brain

36. Something about dextran, all true , except? polymer of fructans

37. Competitive inhibitor? inhibition can be reversed with substrate


concentration

38. Oxygen affinity decreases. Which one will also decrease?


-temperature
-co2
-ph
-dpg

39. More mitochondria? slow twitch/ red muscle


40. Where is white infarction?
 Lung
 Liver
 Kidney
 Brain

41. Histoplasma-intracellular??
42. Q fever- Coxiella
43. EBV- burkitts
44. Diencephalon-third ventricles
45. Ligamentum arteriosum-left recurrent laryngeal. Left recurrent wraps around
aortic arch and ligamentum arteriosum. Right recurrent around right
subclavian
46. negative nitrogen balance? Hyperthyroidism