Escolar Documentos
Profissional Documentos
Cultura Documentos
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QUESTIONS RKME:MBERED 2003
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do with the fact that mucous wold be inside and that it has to do with an injured salivary gland
3. Acute herpetic gingivostomatitis - a few questions on this one is ill (small herpes lesions with fever),
:f; the other is treatment (palliative with lidocaine rinses and analgesics, etc)
'~4. Major apthous ulcers - two questions on this, one was on lip the other was on palate... the key is that it
S 5. Lichen planus- Whickham's Striae on buccal mucosa (left) - treat with steroids
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6.PAN . . MAX left sinus has a raised area on the floor - answer is cyst
~_:.~ 7.PA - extension of MAX sinus between premolar and molar
~ 8.Picture of tongue - has a "flap" area on right closer to the lateral border - pt had past trauma to tongue
~ and this is how it healed
~:. 9. Ling~al varicos!ties (~ooked like b~ue~rown bum.ps) . .. \icxlCiiiiiJl,U i-!cmc(C,Cil C Teiti.V1I.jecfc::-w!~~tL~t"
<::. 10. MultlpletelangIectasIas-looked like lIttle telangiectasias on the tongue Yf .' . : J . . d,. > • '. '.
t II. HypothYroidisDi"- key was patient was gaining weight, lower voice, feels cold ,-1""">C';·~:·.-J·· '>:. ";'-/': - f- C {;li, .:,.: .'<'
~ 12. Sickle Cell Anemia - shows PA with radiolucent area (less striations in bone) .";\tC1l( G(l eVtd. t. 'OtYi£
~- , ~ -:, 13. Median Rhomboid Glossitis - 2 questions, one was ill the other was Tx - use nystatin
"~~~:/ 14. Midline Fracture of Mandible (obvious step between 24 and 25) .
16. Kid with a neck swelling - asked two questions about the pic - not sure what the answers were - don't
give enough information (check to see if related to 3rd molar, I&D, etc were answer choices)
17. Dowel should be 113m the length of the canal width - seemed to be the reasonable answer since the
others were so wide that it would fracture the tooth -~ "". . . \"7o-t
B) one has the primary molar there but there is no premolar coming in - maintain molar
C) one has the premolar coming in funky and the primary molar with caries - answer choice was to
either restore the molar (would probably need pulp treatment) or pull the molar and guide the
premolar in with ortho (not sure of the answer)
1. Patient with LINGUAL TONSIL - it enlarges when she gets sick (not path)
2. PAN - mistake, the collar got in the way (looks like a white bell curve on the pan)
3. PAN - mistake, earrings left in (See two ghost images)
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4. PAN - interruption in the x-ray (white columns and teeth are different sizes)
5. PA - film is b a c k w a r d s , '.,~ , ; - \ ' < C ,
6. PA - SLOB rule - the cone was placed mesially and they want you to ill one of the carials in an endo ,;.'--- ..:.- '.: .•.
7. Pic of person taking a BW - underangulated (this one is stupid)
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8. Nasty pic of hairy tongue - asks how to get rid of it - take patient off of medsfmouthrinses and improve
12. MAN has soap bubble radiolucencies - answer is ameloblastoma-. pC'S!. n1Ci7d· m
c~r ttrflrt1cn Il:ra.htn .
13. Patient with diabetes
14. Overweight woman = her hypertension is most likely related to that
15. Patient had Hep A over a year ago - she is okay to treat l' . . . .
16. Patient has OHL and AIDS - how do you treat (may need antibiotics ifhis immune system is 10w)."*Ca~lt tl.J fpSn..'.~ \
17. Hypocalcified teeth - pic (white and brown spots) &1~I1/ I IL,
18. Patient with fluorosis - can't do anything to reverse (well, you could do microabrasion and bleach - but
19. Picture of amelogenesis impetfecta (BW or PA - no enamel on teeth) C~]. qD· (/?)
20. Picture of dentinogenesis impetfecta (obliterated pulp c h a m b e r s ) . ). ,_. .
21. Another picture of dentinogenesis impetfecta (teeth are lucent) - see oral path text .! :"J '1'--1 -<.tf.-F
22. PA - teeth have pulp stones - this will make endo harder
23. Hypercementosis· follow the PDL (was an upper PA)
24. PAN - points to the pharyngeal space - was normal (one of the answer choices was man fracture)
25. Oroantral communication - answer was fix with flap surgery (didn't give any info on size ofthe
communication)
26. What is the common goal offlap surgery (vague question) either access the roots for debridement or
pocket elimination
46) Picture of aStillman's cleft (the v-shaped one) - treatment is scale, plane and place a givgival graft
lesion
61. Yellow material painted on dies for crown was die spacer to make room for cement
62. Picture of an infection of Stensen's duct - what is the first thing you would do - see)f.you can get saliva
perpendicular)
81. Does trauma from occlusion contribute to perio disease? '1E;S -;-,)'; ,:,,'
82. If a stent was placed for dialysis, does the' patient need premed? ":::' S
83. If the patient had a kidney transplant the patient might need antibiotics due to anti-rejection meds
84. If the patient is on steroids, will need supplemen~ti~n . _, . r'
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85. What makes the best bond (best cement)for placmg III a PFM? A) glass lOnomer ~ zmc phosphate }. ,,' }'"
86. Picture of#9 margin - why is it inflamed? A) margin is plaque trap b) porcelain is rough
87. If you had a 2mm pocket, where would you place the finish line? (1 mm under the gumline to maintain
health~ Atg\(l~i\faf Uilli \f ~'lOtUV1~("C~'. i'UC;.'r. ' ,\),v.\".:/ f),~(;'::, '
88. What I~ the roam r~on that thingsdebond (t?e mechaniCS of,cement) - dIdn't wrdelstarrd ? :'''';~;:::;:i''' >,~. " !
89. Whatkindofretentrondoyougetwhen.bondmgtoenamel~'(·":'r' : ,,-"-,
90. What do you use to etch .'35% phosphoricacid L,' \ . , } , ) . , , '
91. Patient has malaise, lethargy, itching - what do you do? A) benedryl b) refer for kidney eval c) treat, ",);' ';"
then refer d) do nothing
92. Occlusal film - sialolith
93. Picture of epulis fissuratum (MAN) coming from underneath denture - treat by excision
98. Patient had supernumerary teeth • cl~docranial dysp~ _. '£.)U\.Q LiNe "lq;ntrvlf peer. pt, CaVt {{~f?VV>i1 V1'1tUCS1tu..tl.((ikS ~
92:.~Slide of patient with swelling on face for 24 hrs duration - send to oral surgeon \'10 1."';12- -\f'\;lCiJfuf\'l'li:'.cl C/t{;,JI( UZ'J
·1 OO:'Question dealing with "liver clot" • answer - pressure and reassess <
102. Patient had needlestick and tested by Elisa for lllV - what are they looking for - Ab to lllV
103. Test function ofsterilization - once per week (according to dental secrets book)
104. A 6mm pocket displaying continued bleeding on probing in spite of good oral hygiene and root planing
would result from - retained subgingival bacteria (calculus)
105. After scaling and root planing, you are most likely to find - reduction in inflammation and 1-2 rom
probing depth
106.PA ofmesioangular 3'd MAN molar impinging on 2nd molar - tx is EXT ~nJ mOla..(
107.P~c showing fu~ky m~lar development - syphilli,s ";f..;llA.lbll'fT~1 \--iela.I'!I'
lO8.Plc oftetracyclrne starn -leave alone ",::"ve~l ~e(.· 'b" t""'~A "..heS'" o~\OlaY1"
GOOD LUCK '(. ~ L.;,)\V\.\C.\.I I'" , '
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Fev \Y1L~~'l e~'Jt t(~cti!. ' . .?h-~ ·<)l..i.re(()L,.nk(~~.S tt'ju::r (.1:-'.2.
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11.lfljPOtfiYiQ[dism: key was patient was I{aining weieht, lower voice, feels mid
12. Siclde cell anemia: shows PA with radiolucent area t!~i$triatio!!1in bo~J ,
13. Median Rhomboid Glossitis: 2 questions-I. 10 2. Tx (use nystatin) c.~tAjO<r_s t, ,~
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14. Midlinefraeture of mandible (Obvious step between 24 and 25)
-15. Pleomorphic Adenoma (lesion o~- !!lost common salivary neoplasm I
16. ICed with neck swelling- asked 2 questions about the pic- not usre what the answers were- don't 1
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give enough infonnation (check to see if related to 3mmolar,l&D, etc were answer choices) ,i
@Oowel should be Y3 the lensQ1 of the canal width ',~' i
18. Picture of pt with obvious crass Ilf
19. PA dealing with space maintenance- 3 different questions relating to this:
a. One has the premolar almost in-so EXT the primary molar
b. One has the primary molar there but there is no premolar coming in- maintain molar
c. One has the premolar coming in funky and the primary molar with caries- answer choice
was to either restore the molar (would probably need pulp treatment) or pull the molar
and guide the premolar in with ortho (not sure ofthe answer)
20. Pt with lingual tonsil- it enlarges when she gets sick (not path)
21. PAN- mistake: the coUar got in the way (looks like a white bell curve on pan)
22. PAN- mistake: earrings left in (see two ghost images)
23. PAN-mistake: interruptions in the x-ray (white columns and teeth are different sizes)
24. PA- film is backwards
25. PA- SLOB rule: the cone was placed mesially and they want you to 10 one of the canals in an
endo
26. Pic of person taking BW- underangulated (this one is stupid)
27. Nasty pic of Hairy tongue- asks how to get rid of it- take pt offof meds/rnouthrinses and
~.::;':~;7~;~~~~~~UScle {it's the one that is the first pillar, in front of the tonsils}
rl
- - 35. Pt has OHl and AIDS- how do you treat (may need antibiotics if his immune sys is low)
.
36. Hypocalcified teeth- Pic (white and brown spots)
37. Another picture of Dentinogenesis Imperfecta (teeth are lucent) - see oral path text
. -
38. PA- Complications of pulp stones - this will make endo harder
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39. Hypercementosis-
40. PAN- points to th
e POL (was an upper PA)
aryngeal spa was nonnal ( one of the choices was mand fracture)
41. O~_~r1~1 co'!l~L!nicationOanswer was fix witht~Ps.~rg~·iV){didn'tgive any info on size ofthe
.communication) 1 _.. ._..
;f
42. What is the common goal of flap surgery (vague question) either access the roots for
debridem~~n
43. PA with ~fracture and PA radio'uce~.c@ ~ '/
@>A with horizontal root ~0Btin the ~~~fU3·ofth~_~t.h:what do you do~
45. 3 questions related to gingival hyperplasia: 1. Cct++ channel blocker caused it 2. Reduce or
~ShOWS you a radiograph and leI/you that aI/the other third moJarscame ®
area) • ~Jerr' _ ". z Kif"uJLs/"''''' ~
49. How do you testthatthe a lave is working-biologic indicators r.6~= '//'''r(J~.r /1. &(iY/II"'.l ,
~O. WB was' aboVe norm pt has leukemia (also bleeding gingival) VIr,..... ~ 0 J Cf. 'f'J7"I ,,€
~ f l - 1 )~l. ~i>". "7 I
- 51. Pt has low pIt coun: rombocytopenia J
52. Adrenal insufficiency- pt on steroids might have attack Ishock if not supplemented
53. PAN- shows generalized root blunting- was ble ofortho
54. Picture of palate with nicotine stomatitis-obvious
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55. Picture of tobacco pouch keratosis-obvious .... w~ ..",... ("·It·,·.•,,.·,... V'~ .... (,Jc..u J ~
5. eukoplakia n left JouccaJ mucosa~
1'Ji7. s test for Coumad1n \f/J.~~ ..: 1
---sa. Pic ofgeographic tongue- do nothing _ . ,.. i ·:y:..
... 59. Profile of pt- pt is takin~nswer is that pt has TB
l"6O:)icture of osteoradionecrosis on right posterior area of mandible
"1;L'PeriOdontal abscess- upper molar, tooth is vital and there is an infection
.~1:)2.·Picture o~the v-shapedone)- treatment is scale, plane.and pfacea gtngMlif graft
63. PA- showing Periapical Cemental Dysplasia - obvious -- ;\'( ld..tLk cu<.nl /oliJe,'c i.L IMM dAII ....... ~J
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68. Slide showing Class V caries- check to see if generalized to entire mouth before restoring that
one lesion
69. PA with swelling due to wisdom teeth- refer to OMS
70. Your pt is having seizure- protect from injury
71. Pt is not responding- A activate to EMS B. Check airway C. Check breathing D. Check drculation/tr:.e
72. Pic ofvery large diastema- too big to do anything about
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- 73. Another tooth in occlusion - restore with bybIjd composite
,~4. PAN- lo~k at $'Ioid process.- has ~~ (pt has pain when he turns his neck) ~ \) )
~uccal cusp of o~ccludes'" the ce~ral fossa of another '"'" ~ 'I"';"'~ ~
76. Why are sealants mo~o come off (shows a picture) had to do with 'not-rmr'pertv isolating
not placing right or wear?
_____ n. Yellow material painted on dies for crown was die spacer to make room for cement
(!j) Picture of an infection ofStensa'n's duet- what is the first thing you would do- see if you can get
saliva o~) or-take a sialegFaRU
87. Case with patient with Kidney Disease (98-110)- note: the rest ofthe cases were the same is in
1996-97 packet iLg ~ , i
88. What drug is okay to use?C/1 (Aspirin, Tylenol, Naproxen, Advil)-Tylenol- use regularstrength
only
-90. Does trauma from occlusion contribute to peria disease? Yes. secondary cause of periodontal i
j
& destruction
If a stent was placed for dialysis, does the patient need premed? Yes (Peritoneal dialysis- no
premed required)
92. If the patient had a kidney transplant the patient might need antibiotics due to anti-rejection
meds
is
'!JS: Picture of#9 margin- why it inflamed? A). margin is plaque trap B). porcelain is rough - }
~
. . ,.•. ~.y~U ~ad a 2mm,P?cket, ~he~e ~o.u,'d vo~ ~!ar the finish line? (lmm under the gumline to
'-./rnamtalO health) .J--\jJ(Ul£, bv\.ur ',. u).\\'i'\. ,
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What kind of retention do you get when bonding to enamel? ."
./l 1: .• e tient has malaise, letha rgy, itching- what do you do? AJ:jJenedrylB} Refer to kidneyevalQ.-
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Treat then refer D) Do nothing
101. Occlusal film- Sialolith
102. Picture ~~ (MAN) coming from underneath denture- treat by xasion .
103. Advantage of using Maryland bridge- conservative tooth structure
104. Disadvantage,of usin aryland bri-- ebon 109
108. Slide of patient with swellin on face for 24 hours durationO send to oral sUlLeon
~on dealing wit liver c - nswet: Pressure and ,~ • ~ 7
few a\A.t. • ~ 4, ~ . .l h.~
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nable to match the co r r porcelain use low color and less grey
Patient ha.d needle s.r~ck ~nd, te~~ ~~ ~I~ for H'~O what are they looking for- Ab to HIV
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est function ofster.dl?Cition-l g~a,~~~Kaccordmg to dental secrets book)
113. A6mm pocket displaying continued bleeding on probing in spite ofgood oral hygiene and root
114. AfterSC/Rp, you are most likely to find- reduction in inflammation and 1-2 mm probing depth
115. PA ofmesioangular 3 nl MaIl4m-9J~rJf!lP-il]g!lJg~lJtldm olar: Tx>i!i~EXT·.
~ Picture showing funky 11l0lar development:';typ,ftffliS,(~,';!~~: sqe~dver~ped
IIJ,Q$OrsJ
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! pjlJl9Jex with supernumerary teeth- aeido~,Q~~ll>yslJla.sia I
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9. Tx of Yf:hen ~~~nuS~.!~iteroias '. o.·.-·~===~·· J
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10. Treatment of penidTfiYfXUE(tiYtCOrticosteroids)
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11. Slide showing;Germination-T
12. Slide showing·tfrc::umviillarepapi~I~s-:
1.3.'Srlde of Me'iJianflhomboid<5fosSitj~"
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14. Slide of Geographic tongue; , j I
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\ 34. Slide of fractured #8 below crest of bone- ext not a choice given- Tx;~~,~ri!IBc~~~-o
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" and ~!!.R.p_stand~"
35. slide ofW~::;--~'---'~_-" e"
36. Slide of hypercementosisW'
@Slide of_~m~.,,~;~~b(_erS·QiWSew'
uestion on Hypopituitary
4 Slide of Fibroma
@ X-ray of Ameloblastoma
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-ray of Dentigerous cyst
BO. Slide showing mesially indinded molar- tx: ortho to upright and the fixed appliance
81. X-ray showing asymptomatic endodontics long standing with short fill- be: Observe
82. X-ray of Cementoma- be: Observe (PA cemeto-osseous dysplasia)
83. X-ray of patient with si~k~~~U an~mia (skull- altered trabecular pattern, ;rh~ir~~~")
84. Toddler with rampant decay- baby bottle syndrome
85. Rampant decay due to- Xerostomia
86. Patient with missing lateral- tx: regain space orthodonticallyand fIXed appliance
87. Minimal reduction labially for PFM-1.5 mm (Fadal); 2mm (OCcfusal)
88. How would you treat an AIDS patient- No Tx, Try to avoid invasive procedures, etc..
89. a. 1 Occlusion with spadng- tx: Ortho consult
90. Impression material that can be poured after 24 hours- PVS I
91. Periapical bone scar- Tx: Observe
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92. Slide showing fractured incisal angle tooth #8: question- What type of composite should be used
to repair? HYBRiD
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93. Slide of patient with Class 3 OCclusion: question- This is a cfass 1, 2, 3 or class 2 div 2
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mafocdusion
94_;SIide of use of an orthodontic tipping device: question-- What is this device used for? Rotation,
Bodily movement, Intrusion, TIpping J
is
95. How rna ny months or how much time do you allow to expire before a lab reline is done on an
immediate denture? Anytime, 24 hours, 3 month~ihsJ
96. Slide of Uchen Planus on buccal mucosa: question- Wh~iS the pathology noticing the rectilinear
pattern? Herpes, lichen planus, apthous ulceration
97. Which blood test is used to assess Coumadin? PIT, BT, fL TCT
98. What is the painless swelling on posterior palate? Trauma, Pleomorphic adenoma.
99. Slide ofgeographic tongue and question of treatment: Excise, Incise, Refer to Pathologist,
Reassure pt and leave it alone
a. Rourosis
b. Fractures of porcela in
c. Observation time after delivery of Immediate dentures (6 mo)
d. Antibiotic prophV'axis for hip replacement (consult surgeon)
e. Treatment for lateral periodontal cyst (removal IIsurgery", enucleation)
f. Case ofguided tissue re~eneration
g. Taurodont
h. The drug Albuterol
i. Birth control medication in combo with tetracycline
j. Promethazine (Rhenergen)- Pediatric sedation uAntianxiety" .
k. Propoxephine- 1l00rvon"- weak analgesic
I. Administration of nitrous to an asthmatic- II'Bad"
101. Use and concentration of Sodium Hypochlorite Sol in endo- Diluted soln: " cup bleach to 1
sallon oftap water
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102. Supplemental use ofSteroids in stressful situations
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at13chment gained? 2mm i
110. Tx of anaphylaxis with epi an steroids f
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koPlakia ofthe tongue and buccal mucosa ?
112 uming mouth syndrome etiology-AnemJi, VB def, OM, hypothyroidism, ~gertdef
13. Txfor H~mangiOma~Observe: ~~pend o~ Situ~tion ."...' to
114. Antibiotic prophylaxIs for Peme"'m allergiC patIent ~bli"flc. cl.~-'=U;~\" cMu:1... "Qx:J~ I'
~~,~lde of o»dtiesin max sirygs I h!' pi'i~.
1:16.·'UnJlOcu'ar and mu'tjlQ~ar @.diopacities I
44., ft-_£l_ -I~ _
95. How rnany months or how much time do you allow to expire before a lab reline is done on an
immediate denture? Anytime, 24 hours, 3 month~nihSJ
96. Slide of Uchen Planus on bucca I mucosa: question- ~tis the pathology noticing the rectilinear
pattern? Herpes, tichen planus, apthous ulceration
97. Which blood test is used to assess Coumadin? PIT, BT, fI, TCT
98. What is the painless swelling on posterior palate? Trauma, Pleomorphic adenoma.
Adenocarcinoma, SQuamous cell carcinoma
99. Slide ofgeographic tongue and question of treatment: Excise, Incise, Refer to Patholog~
Reassure pt and leave it alone
100. There were additional questions on:
a. Flourosis
b. Fractures of porcelain
c. Observation time after delivery of Immediate dentures (6 mol
d. Antibiotic prophylaxis for hip replacement (consult surgeon)
e. Treabnent for lateral periodontal cyst (removal IIsurge ry", enucleation)
f. case ofgUided tissue regeneration
g. Taurodont
h. The drug Albuterol M>~~
i. 8irth control medication in combo with tetracycline
j. Promethazine (Rhene~en)- Pediatric sedation IIAntianxiety" .
k. Propoxephine- ItDarvon"- weak analgesic
I. Administration of nitrous to an asthmatic- IlBadR
101. Use and concentration ofSodium Hypochlorite Sol in enda- Diluted soln: " cup bleach to 1
gallon oftap water
102. Supplemental use ofSteroids in stressful situations
103. Ca Channel blockers, T8 meds, Antifungal meds
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104.10 office eme~encv care
105. Horizontal fractures of roots in oral sUCBical procedures (best prognosis: apical 1/3) and the
subsequent treatment
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106. Trauma cases as related to formation of dentition (tetracycline)
W. Overhanging restorations as related to periodontal conditions
108. Bone grafts as related to Class 1, 2 and 3 furcations
109. Attachment type questions- ex: pocket was 5mm, after tx pocket was 3mm- how much
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attachment gained? 2mm I
110. Tx of anaphylaxis with epi an steroids f
Ill. leukoplakia ofthe tongue and buccal mucosa
W. Burning mouth syndrome etiology-Anemia, VB deft OM, hypothyroidism, ~ogerufef
.....
113. Tx for Hemangioma- Observe- depend on situation .
II
114. Antibiotic prophYlaxis for Penicillin allergic patient 1'e\,~;i~ cl~"J]r.~I.
US. c$,lil:l~ ofopacities in max sinus
l:l.fCUnllocufar and multilocular radiopacities
.... ...."----_._..J_ ..... _
118. Eagles syndrome- mineralized Stylohyoid ligament
119. Occlusion- ex: Distobuccal cusp of#3O occludes where?
120. Percent success ofsealants- ""90% ofSealants are least partially still present after 5 yrs
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-WBC Differential: t.I,.,,,~ f(~