Boards part 2 Flashcards
1
Q
what is bennett angle
A
angle between non working condyle and sagittal plane during lateral movements
2
Q
symptoms of TMD disorder
A
1) popping during jaw movements
2) localized joint pain
3
Q
articular disc is displaced ____ during abnormal jaw movments.
- -w/o reduction disc will ____
- with reduction disc will _____
A
anterior
w/o reduction will stay in place
w/ reduction will return
4
Q
med for trigeminal neuralgia
A
carbamezapine but for chronic fascial pain its NSAIDs
5
Q
med for maxillary sinusitis
A
Amoxicillin with clavulanic acid
6
Q
max sinusitis bacteria?
A
streptococcus pneumonia
7
Q
difference bt focal cemento ossesous dysplasia
and
periapical cemento-osseous dysplasia
A
focal cem oss dysplsia - white women, posterior mand, assymp
peri apical cem oss dysplasia - black female, 30 -50, anterior mand VITAL Teeth, assymptomatic, mixed radiolucency, no tx
8
Q
another name for cementoma
A
cementoma
cemento-osseous dysplasia
periapical cemental dysplasia
periapical osseous dysplasia
9
Q
gingival nodule that reveals bone formation microscopically
A
peripheral ossifying fibroma
10
Q
lisch nodules
cafe au lait spots
supernumerary teeth
A
von recklinhausen’s neurofibromatosis
11
Q
cafe au lait spots mccune albright syndrome glass ground orange peel appearance vital tooth assymptomatic
A
fibrous dysplasia
fibrous bone replaces normal bone
12
Q
autosomal dominant 7
A
1 peutz jeghers syndrome 2 gardners syndrome 3 amelogeneisis imperfecta 4 dentinogenesis imperfecta 5 cherubism 6 white sponge nevus 7 neurofibromatosis von recklinhausens syndrome
13
Q
multiple soft nodules with macular pigmentation of the skin, adult patient
A
neurofibromatosis von recklinhausens syndrome
14
Q
diagnosis that retains primary teeth
A
ectodermal dysplasia
15
Q
frey syndrome aka
A
auriculotemporary syndrome
sweating near cheek when eating - gustatory sweating
16
Q
after parotid surgery waht happens
A
gustatory sweating
frey’s syndrome aka auriculotemporary syndrome
17
Q
oral granulomas, apthous ulcer, rectal bleeding
A
crohns disease
chronic inflammatory bowel disease
18
Q
incisional treatment 4
A
1 parulis
2 leukoplakia
3 SCC
4 Actinomycosis abscess
19
Q
sausage link appearance
A
sialodochitis - parotid gland
20
Q
sialathiasis [ca2+ stone] , sialadenitis [actinic enlargement]
A
submandibular gland - whartons duct
tx: cannulation and dilation
21
Q
lumpy jaw
yellow sulfur granules
abscesses, and draining fistulas
likely cause suppuration
A
actinomycosis
22
Q
unilateral crossbite malocclusion facial assymetry slow progressive elongation of face shifting midpoint of the chin TOWARD UNAFFECTED side
A
condylar hyperplasia
slow uni growth of head and neck of condyle
23
Q
unilateral stuff 4
A
1 herpes zoster
2 bell’s palsy
3 trigeminal neuralgia
4 condylar hyperplasia
24
Q
dens E vangenatus
A
talon cusp
25
looks like SCC, 16 weeks then disappears, on sun exposed skin
keratoacanthoma
26
laboratory test for sjogren syndrome
sjogren syndrome - 2nd most common autoimmune disorder affects glands
SS -A , SS B, Rheumatoid factor, ANA
27
tx with corticosterioids [3]
| c/i =
1 lichen planus
2 sarcodosis
3 asthma
c/i = diabetes
28
meds: corticosteroids, antibotics, and hydrogen perioxide can cause
hairy tongue
29
widening symmetrical of pdl is early sign of
osteosarcoma
30
osteosarcoma most commonly affects?
young patients
31
loss of cortex [resorption of the bone]
| diffusing radiating pattern of trabeculae [sun burst of bone]
osteosarcoma
32
bence jones protein in the urine
multiple myeloma
33
most common primary malignant tumor of young people
osteosarcoma
34
multiple punched out radiolucency
| plasma cell cancer, these are wbc that make ABs
multiple myeloma
35
painless ulcer on hard palate
resembles SCC
goes away on its own
no scarring
necrotizing sialometaplasia
36
lesions that commonly on hard palate [2]
1 necrotizing sialometaplasia
| 2 adenoid cyst carcinoma
37
```
posterior mand
no symptoms
moves teeth
cortical expansion
root displacement
radiolucent, honeycomb, soap bubble
```
odontogenic myxoma
looks like
ameloblastoma
38
onion skin appearance
ewing sarcoma
osteomyleitis
Garre's proliferative periostitis
39
why do we splint
pt comfort
40
causes for failure of avulsed tooth [2]
1 main: time extra orally
| 2 external resorption
41
3 weaknesses of Niti fies compared to stainless steel
1 NOT resistant to fracture
2 no direction of flutes
3 NOT stronger
42
pink mummery tooth -
grey tooth -
green porcelain -
grey- blue tooth -
pink - internal resorption
grey - blood products in dentinal tubules
green porcelain - silver, but cervical region - copper
grey blue tooth - hyperbiluribinemia
43
Tx of root surface caries, what kind of Dentin should not be restored?
Edurnated dentin (sclerotic Dentin)
44
Burs for smoothing out preps
| _____ flutes and _______
```
Smoother
More flutes (more # blades) is smoother bc decreased cutting Efficiency
```
45
How do you bevel occlusal floor
15 80 GMT
46
Most likely reason for failure and fracture of amalgam
Inadequate improper cavity design prep
47
For amalgam, how much should the axial pulp be ?
0.2 - 0.5 into Dentin
48
Most difficult tooth to place a Matrix band?
Max 1st pm bc of mesiofevelopmental groove
49
More corrosion of amalgam in which phase?
Tin -mercury phase (gamma 2 phase)
50
bilateral stuff [6]
```
1 Ludwig's angina...cellulitis
2 Lichen planus... buccal mucosa
3 bilateral actinic cheilitis - low vdo
4 leukoedema...buccal mucosa
5 cherubism... enlargement of jaw
6 white sponge nevus... buccal mucosa
```
51
behcet's syndrome produces this oral lesion?
aphthous ulcer
52
```
old people
subepithelial vesicle
hemidesmosomes and BM
linear BM
autosomal dominant disorder
```
mucous membrane pemphigoid
53
```
young people
acantholysis - disrupt CT [desmosomes DSG3]
Tzank cells
Positive Nikolsky sign
suprabasilar vesicle
AB to desmoglein
Type II Autoimmune hypersensitivity
```
pemphigus
54
immuno fishnet appearance
pemphigus
55
immuno linear appearance
pemphigoid
56
subepithelial separation means
separation of BM = pemphigoid
pemphigoiD = DEEPER [sub epithelial]
pemiguS = surface
57
loss of rete pegs
| saw tooth appearance
lichen planus
58
tx with topical corticosteroids and antihistamines
lichen planus
59
HIV oral candidiasis
| vaginal candidiasis
flucaonazole - diflucan
60
systemic medication for candida
amphotericin B
61
burning sensation of mouth ______
| burning sensation of tongue _____
```
mouth = candida
tongue = erythema migrans
```
62
lower lip shows epithelial atrophy and focal keratosis
actinic cheilitis
63
tx for actinic cheilitis
5 - flouracil
64
smooth area of the tongue that loss lingual papillae
median rhomboid glossitis
65
young person with FEVER and oral lesions
primary herpetic gingivostomatitis
66
what is the most common site for intra oral herpes
hard palate = keratinized tissue overlying the bone
67
fastest growing lesion
| BLEEDING SWELLING
pyogenic granuloma
68
histology most like congenital epulis
granular cell tumor
69
bence jones protein can ddx which 2
multiple myeloma
| peripheral giant cell granuloma
70
most common benign lesion of EPITHELIAL TISSUE ORIGIN
squamous papilloma
71
epidermal manifestation attributes to epidermotrophic HPV
condyloma acuminatum
72
lesion commonly with DSYPLASIA and carcinoma in situ
erythroplakia
73
30,000
1 rpm for slow sleep bur
| 2 people get SCC
74
bleeding gums
gingival enlargement
young person
bruises easily
leukemia
75
most common tumor of parotid gland
pleomorphic adenoma
76
most common epithelial odontogenic tumor
ameloblastoma
77
no tx required [8]
```
1 sinus tract
2 cherubism
3 leukoedema
4 necrotizing sialometaplasia
5 recurrent apthous ulcers
6 traumatic bone cyst
7 Antral pseudocyst [mucous retention cyst]
8 cementoma
```
78
bilateral enlargement of jaw with bone growth replaced with _____
painless cyst in cherubism
79
dentures doesnt fit anymore can be from _____
paget's disease [osteitis deformans]
80
tx with enucleation [2]
1 nasoplalatine duct cyst
| 2 OKC
81
bifid ribs
plantar keratosis
plamar pitting
multiple OKC [multiple cysts in the jaws]
nevoid basal cell carcinoma
aka
Gorlin Syndrome
82
another name for Gorlin syndrome
nevoid basal cell carcinoma
83
idiopathic conditions [3]
1 erythema multiform...skin
2 Bell's palsy...nerve
3 geographic tongue
84
difference bt median rhomboid glossitis and migratory glossitis
both: smooth red area, loss of lingual papilla
but: geographic tongue:
1 migrates
2 burning tongue
3 white lesion with red boarders
85
tx with excision [2]
1 ameloblastoma
| 2 ranula
86
pain on biting and feeling FULLNESS in max posterior teeth
trigeminal neuralgia
87
1 most interpreted as toothache by patient _____
| 2 mimics dental pain _____
1 maxillary sinusitis
| 2 herpes zoster
88
```
multiple punched out radiolucencies
max anter
mand anterior
displaces teeth
expansion
root resorption
```
peripheral giant cell granuloma
89
TB is similar to _____
abnormal collection of inflammatory cells [granulomas]
affects mostly lungs
sarcoidosis
| tx: corticosteroids
90
1st sign of multiple myeloma
bone pain
91
uncommon benign odontogenic tumor arising from embryonic CT associated with tooth formation.
odontogenic myxoma
92
collimator does NOT DO THESE 3
1 prevent fogging
2 increase penetration
3 reduce average energy
93
tx of morphine overdose _____
| detoxification of morphine addicts _____
1 naloxone
| 2 methadone
94
sedative and anxiolytic for pregnant woman
promethazine
95
bradykinin
nitroglycerin
anti histamine
vasodiatlor, bronchoconstrictor, tachycardia, decrease in BP
96
epi casues
vasoconstriction, bronchodilation, increase BP, increase HR
97
meperidine (opioid analgesic) mixed with MAO inhibitors causes life threatening waht
hyperpyrexia [fever]
98
mixed agonist and antagonist of opioids [2] that are narcotics
pentazocine and nalbuphrine
99
hydralazine is a _____
MAO Inhibitor and is contraindicated with opioids
| monoamine oxidase inhibitors
100
opioids contrainidcations
severe head injury
101
flumazenil is
reverse effects of benzodiazepam like
| midazolam
102
buprenorphine is
heroin group two semi synthetic
103
1 miosis is seen in opioid abuse except
| 2 also not used in kids
meperidine
104
secobarbitol
| pentobarbitol
good for pre op and anxious kids
| sedation in children
105
ketamine
emergency situation for anxiolytic and analgesic for kids
106
osteoradionecrosis and osteonecrosis is most common in
mandible
107
how long do you stop coumadin for extraction
5 days, and resume day after surgery
108
side effect of nitroglycerin
headache and orthostatic hypotension
109
Asthma is ____
smooth muscle constriction
constriction of bronchioles
inflammation of bronchioles
110
hyperventilation seen with nsaids to asthma pt causes
1 tachycardia
| 2 tachypenea [fast breathing]
111
hyperventilation seen with nsaids to asthma pt causes
1 tachycardia
| 2 tachypenea [fast breathing]
112
c/i for asthma [2]
1 asprin [nsaids]
| 2 100% O2
