Sim Exam Flashcards

1
Q

Restorative treatment is performed under nitrous oxide sedation. Each of the following is a sign of oversedation EXCEPT one. Which is the EXCEPTION?
-Circumoral numbness
-Drowsiness
-Laughing
-Nausea

A

Circumoral numbness

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2
Q

The lesion is biopsied, and the biopsy report diagnoses it as a brown tumor. This lesion is most similar to which of the following?

A

CGCG

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3
Q

An employed dental assistant is suspected of abusing opioid narcotics. Which of the following is the best course of action?
-Report if in line with state law
-Offer to pay for rehab
=Attempt to catch her in act
-Do a spontaneous drug test

A

Report if state law allows

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4
Q

The most common reason for partial denture rest seat fracture is _______

A

excessive occlusion during function.

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5
Q

Each of the following is a cytokine that aids in the stability and success of an implant EXCEPT one. Which is the EXCEPTION?
TGF B1
IL-1
TNF alpha
BMP-4

A

IL-1

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6
Q

Which of the following is a metal material that is LEAST susceptible to green discoloration?
-Gold
-PFM
-Zirconia
-Cast metal

A

Gold

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7
Q

Which of the following treatments used for Sjogren’s syndrome is also used for systemic lupus erythematosus?
-Pilocarpine
-Methotrexate
-Cevimeline
-Xylitol gum

A

Methotrexate

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8
Q

What department provides funding for most of the healthcare systems, including medical and dental, in the United States?
HHS
CDC
HRSA
NIH

A

HHS

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9
Q

A full mouth series is planned prior to scaling and root planing. What precautions need to be implemented when preparing the digital sensor (HIV + pt status)?
-SIngle wipe, single barrier
-Single wipe, double barrier
-Double wipe, single barrier
-Soak in disinfectant for 10 mins

A

Double wipe, single barrier

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10
Q

What do longitudinal studies measure?
-Cause and effect
-Disease prevalence
-Risk and association
-Exposure status

A

Risk and association

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11
Q

A biopsy report states histological findings of Tzanck cells. This virus lies dormant in which ganglia following infection?
-Geniculate
-Trigeminal
-Sacral
-Basal

A

Trigeminal

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12
Q

Pierre Robin sequence is associated with all of the following findings EXCEPT one. Which is the EXCEPTION?
-Hypoplasia
-Micrognathia
-Natal Teeth
-Cleft palate

A

Hypoplasia of maxilla

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13
Q

Orthodontic relapse occurs primarily due to which gingival fiber type?
-Apical fibers
-Alveolar crest fibers
-Oblique fibers
-Transseptal fibers

A

Transseptal fibers

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14
Q

As soon as the hygienist begins the cleaning, the patient experiences pruritus, dysphagia, and shortness of breath. Which of the following is the best initial management?
-Albuterol
-Epi
-Benadryl
-Dexamethasone

A

Epi

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15
Q

What bacteria is commonly seen in root caries?

A

Actinomycoses

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16
Q

What is the longest estimated half-life of bisphosphonates in bone?
-10 hours
-10 weeks
-10 months
-10 years

A

10 years

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17
Q

When taking an impression of the lower arch, which structure forms the distobuccal border?

A

Masseter

18
Q

Which of the following permanent teeth are most likely to have two canals with two foramina?
-Max central
-Max lateral
-Mand central
-Mand lateral

A

Mand lateral

19
Q

Salt and pepper trabeculation is a key radiographic feature of ______

A

Hyperparathyroidism

20
Q

Bleeding from the extraction socket of #8 originates primarily from which arterial branch?

A

ASA artery

21
Q

The patient is given a prescription for tramadol (Ultram®) to be taken as needed. According to the Drug Enforcement Agency (DEA), the prescribed drug is under which schedule classification?

A

Scheudle IV

22
Q

The patient had difficulty achieving profound anesthesia, and four carpules of 4% articaine with 1:100,000 epinephrine were administered. What is most likely to occur following the administration of local anesthetic?
-Increased Heart rate
-Decreased Bp
-Increased bp
-Increased bronchodilation

A

Increased bp

23
Q

Each of the following is a clinical presentation of Addison’s disease EXCEPT one. Which is the EXCEPTION?
-Increased appetite
-Darkening of skin
-Abdominal pain
-Hair loss

A

Increased appetite

24
Q

The patient elects to crown teeth 2, 4, and 6. The final crown impression is satisfactory except for poor margin detail. Which of the following is the most likely reason for this error?
-Insufficient soft tissue retraction
-Impression tray was too small
-Adjusting the tray after the patient initially bit down
-Surface contamination

A

Insufficient soft tissue retraction

25
Q

Which of the following is contraindicated for use for a pt with Down syndrome?
-Rubber dam
-Mouth Prop
-Protective stabilization
-Nitrous oxide

A

Protective stabilization

26
Q

Each of the following is true regarding rheumatoid arthritis EXCEPT one. Which is the EXCEPTION?
-Females are at higher risk
-Smoking and obesity are common risk factors
-Genetic predisposition for the condition
-Initially affects weight-bearing joints

A

Initially affects weight bearing joints

27
Q

What characteristic of bacteria aids in its resistance to irrigation techniques during root canal therapy?
-Bacterial conjugation
-Bacterial motility
-Biofilm formation
-High reproduction rate

A

Biofilm formation

28
Q

After extraction, how much vertical bone loss is expected along both the buccal and lingual ridges?
-0-5%
-10-20%
-30-40%
-50-60%

A

10-20%

29
Q

Which of the following is implant failure most attributed to?
-Osteopetrosis
-Osteopenia
-Osteoarthritis
-Osteomyelitis

A

Osteomyelitis

30
Q

Which force is most concerning in regards to implant failure?
-Horizontal
-Vertical
-Oblique

A

Horizontal

31
Q

Due to the patient’s financial status, only extractions were offered as a viable treatment option. This violates what ethical principle?
-Autonomy
-Justice
-Veracity
-Benefecience

A

Autonomy

32
Q

When preparing tooth 19 for a post and core, what is the minimum amount of gutta-percha that should remain for an adequate apical seal?
-3mm
5mm
7mm
9mm

A

5 mm

33
Q

Each of the following is a mechanism of action of aspirin EXCEPT one. Which is the EXCEPTION?
-Inhibits TA2 synthesis
-Acetylates the active site of COX
-Inhibits COX 2 synthesis
-Inhbits prostaglandin synthesis

A

Inhibits COX 2 synthesis

34
Q

Where is the mandibular foramen located in pediatric patients relative to that of adults?
-Anteiror and inferior
-Anterior and superior
-Posteior and inferior
-Posterior and superior

A

Posterior and inferior

35
Q

Each of the following is an oral manifestation of hyperglycemia EXCEPT one. Which is the EXCEPTION?
-Xerostomia
-Increased probing depths
-White mucosal ulcerations
-Dysguesia

A

White mucosal striations

36
Q

Each of the following describes the mechanism of action of metformin (Glucophage®) EXCEPT one. Which is the EXCEPTION?
-Increases insulin sensitivity of tissues
-Decreases gluconeogenesis
-Decreases glucose uptake from intestine
-Increases glucagon production

A

Increases glucagon

37
Q

Each of the following may be included in the prescribed medication (magic mouthwash) EXCEPT one. Which is the EXCEPTION?
-Antacid
-Antiviral
-Steroid
-Antifungal

A

Antiviral

38
Q

Which vital structure is at risk of damage during periosteal elevation of #17?
-Lingual nerve
-IA
-Buccal nerve
-Nerve to the mylohyoid

A

LIngual nerve

39
Q

Clindamycin (Cleocin®) is active against each of the following bacteria EXCEPT one. Which is the EXCEPTION?
-Staph aureus
-Strep pneumonia
-Prevotella intermiedius
-Pseudomonas aeruginosa

A

Pseudomonas aeruginosa

40
Q

The patient’s lungs likely contain which of the following (10 year smoker)?
-Increased elastin
-Smaller alveoli
-Collapsed air sacs
-Decreased mucous

A

collapsed air sacs

41
Q

Which smoking cessation therapy has the most significant neurological side effects?
-Nicotine patch
-Nicotine lozenges
-Buproprion
-Varenicline

A

Buproprion

42
Q

Which of the following is an absolute contraindication to administering nitroglycerin?
-Chronic renal failure
-History of stroke
-Presence of a pacemaker
-Use of sildenafil

A

Use of sildenafil