AAPD QE FINAL STUDY GUIDE
Fluoride Rinse (NaF? F ion? and PPM?) - Answer -0.05% NaF
0.022% F ion
220 ppm
Prevident (NaF? PPM? F-) - Answer -1.1.%NaF
5000ppm
0.5%F-
5% NaF - Answer -22,500ppm
1.23% APF gel/foam - Answer -12,300 ppm
F- :
- Probability toxicity:
- Certainly toxicity:
- Treatment (<8mg/kg, >8mg) - Answer --5mg F/kg
-15 mg F/kg
Treatment:
<8mg/kg - milk and observe 6 houts
>8mg F/kg: induce vomiting, milk, ER
Bacteria for ANUG - Answer -Spirochetes, Prevotella Intermedia, Fusiform
In a tooth with an open apex that has been avulsed (<60 minutes) what antibiotic do you
want to soak the tooth in? mg? for how long? and why? - Answer -Doxycycline or
Arestin (Minocycline) solution
50mg of Doxy in 5cc saline - for 5 minutes
GOAL: Revascularization
If there was a hemoglobin level of 30g/100 mL, what type of patient might you have? -
Answer -Polycythemia Vera
RX and Indication for Doxycycline in a patient who had an Avulsed permanent tooth? -
Answer -RX: Doxycycline 100mg BID for 7 days (4.4mg/kg q 12 hours for 7 days)
Indication: avulsed tooth in someone over the age of 12
RX and Indication for Pen VK in a patient who had an Avulsed permanent tooth? -
Answer -RX: 1000mg then 500mg q 6hours for 7 days
,> 60min avulsion what do you need to place the tooth in for 20 minutes? - Answer -
1.23% NaF
TO DELAY resportion
Disorders of Ossification: (what disorders apply to each of these)
Intramembranous Bone?
Endochondral Bone?
Both? - Answer -IB: Cleidocranial Dysplasia
EB: Achondroplasia
Both: OI
Center of Resistance of a Tooth?
(What and Where) - Answer -a point on the tooth around which the tooth shall move.
2/5 way between the apex and the crest of the alveolar bone
Ankylosis: most common (_______>________>___________>__________) - Answer -
mand 1st -> mand 2nd -> max 1st -> max 2nd
o Primary mandibular first molar: often exfoliate on its own!!
o Primary mandibular second molar: more severe infraocclusion than 1st molars;
usually must be extracted
o Primary maxillary first and second molars: usually must be extracted
Piaget's Theory
1. Sensorimotor: Age? Known For?
2. Preoperational: Age? Known For?
3. Concrete Operations: Age? Known For?
4. Formal Operations: Age? Known For? - Answer -Sensorimotor: 0-2 y/o; vision and
hearing; gasping, sucking
Pre-operational: 2-6 y/o; EGOCENTRIC, magical thinking; stops thumb-sucking
Concrete operations: 7-11 y/o; uses logics; elimination of egocentrism
Formal operations: >12 ; abstract thoughts
CI to N2O - Answer --First trimester pregnancy
-COPD
-Acute otitis media: NO2 increases pressure in air filled body cavities
-Severe asthma
, -Sickle cell disease (O2 concentration must be at least 50% to avoid hypoxemia)
-Bleomycin sulfate therapy
Chloral Hydrate metabolizes to.... - Answer -to trichloroethanol
Meperidine (Demerol): Narcotic
Sedation Dose? - Answer -1-2 mg/kg
Meperidine (Demerol): Narcotic
Reversed by? (Dose too) - Answer -Naloxone (Narcan)
0.1 mg/kg max of 2mg every 2-3 min
Midazolam (Versed): Benzo
Sedation Dose? - Answer -0.25 -1.0mg /kg with 15 mg maximum
Midazolam (Versed): Benzo
Reversed by? (Dose too) - Answer -Flumazenil (0.01 mg/kg, up to 1mg total/ repeat as
needed)
Valium (Diazepam): Benzo
Sedation Dose? - Answer -0.25-0.5mg/kg
Aceteminophen Pain Dose - Answer -Oral 10-15 mg/kg every 4-6 hrs
Ibuprofen Pain Dose - Answer -Oral 5-10 mg/kg every 6-8 hrs
Difficult Airways and WHY - Answer --Down Syndrome: Trisomy 21: large tongue,
hypotonia, atlanto-axial instability, over-retained teeth, delayed eruption
-Pierre Robin: glossoptosis
-Crouzon
-Treacher Collins: hypoplastic mandible, slanted palpebral fissures, sunken cheek
bones, malformed ears, History of repaired cleft palate
-Osteogenesis imperfecta (due to decreased neck mobility, atlanto-axial instability,
fractures due to overextension of the cervical spine)
Fluoride Rinse (NaF? F ion? and PPM?) - Answer -0.05% NaF
0.022% F ion
220 ppm
Prevident (NaF? PPM? F-) - Answer -1.1.%NaF
5000ppm
0.5%F-
5% NaF - Answer -22,500ppm
1.23% APF gel/foam - Answer -12,300 ppm
F- :
- Probability toxicity:
- Certainly toxicity:
- Treatment (<8mg/kg, >8mg) - Answer --5mg F/kg
-15 mg F/kg
Treatment:
<8mg/kg - milk and observe 6 houts
>8mg F/kg: induce vomiting, milk, ER
Bacteria for ANUG - Answer -Spirochetes, Prevotella Intermedia, Fusiform
In a tooth with an open apex that has been avulsed (<60 minutes) what antibiotic do you
want to soak the tooth in? mg? for how long? and why? - Answer -Doxycycline or
Arestin (Minocycline) solution
50mg of Doxy in 5cc saline - for 5 minutes
GOAL: Revascularization
If there was a hemoglobin level of 30g/100 mL, what type of patient might you have? -
Answer -Polycythemia Vera
RX and Indication for Doxycycline in a patient who had an Avulsed permanent tooth? -
Answer -RX: Doxycycline 100mg BID for 7 days (4.4mg/kg q 12 hours for 7 days)
Indication: avulsed tooth in someone over the age of 12
RX and Indication for Pen VK in a patient who had an Avulsed permanent tooth? -
Answer -RX: 1000mg then 500mg q 6hours for 7 days
,> 60min avulsion what do you need to place the tooth in for 20 minutes? - Answer -
1.23% NaF
TO DELAY resportion
Disorders of Ossification: (what disorders apply to each of these)
Intramembranous Bone?
Endochondral Bone?
Both? - Answer -IB: Cleidocranial Dysplasia
EB: Achondroplasia
Both: OI
Center of Resistance of a Tooth?
(What and Where) - Answer -a point on the tooth around which the tooth shall move.
2/5 way between the apex and the crest of the alveolar bone
Ankylosis: most common (_______>________>___________>__________) - Answer -
mand 1st -> mand 2nd -> max 1st -> max 2nd
o Primary mandibular first molar: often exfoliate on its own!!
o Primary mandibular second molar: more severe infraocclusion than 1st molars;
usually must be extracted
o Primary maxillary first and second molars: usually must be extracted
Piaget's Theory
1. Sensorimotor: Age? Known For?
2. Preoperational: Age? Known For?
3. Concrete Operations: Age? Known For?
4. Formal Operations: Age? Known For? - Answer -Sensorimotor: 0-2 y/o; vision and
hearing; gasping, sucking
Pre-operational: 2-6 y/o; EGOCENTRIC, magical thinking; stops thumb-sucking
Concrete operations: 7-11 y/o; uses logics; elimination of egocentrism
Formal operations: >12 ; abstract thoughts
CI to N2O - Answer --First trimester pregnancy
-COPD
-Acute otitis media: NO2 increases pressure in air filled body cavities
-Severe asthma
, -Sickle cell disease (O2 concentration must be at least 50% to avoid hypoxemia)
-Bleomycin sulfate therapy
Chloral Hydrate metabolizes to.... - Answer -to trichloroethanol
Meperidine (Demerol): Narcotic
Sedation Dose? - Answer -1-2 mg/kg
Meperidine (Demerol): Narcotic
Reversed by? (Dose too) - Answer -Naloxone (Narcan)
0.1 mg/kg max of 2mg every 2-3 min
Midazolam (Versed): Benzo
Sedation Dose? - Answer -0.25 -1.0mg /kg with 15 mg maximum
Midazolam (Versed): Benzo
Reversed by? (Dose too) - Answer -Flumazenil (0.01 mg/kg, up to 1mg total/ repeat as
needed)
Valium (Diazepam): Benzo
Sedation Dose? - Answer -0.25-0.5mg/kg
Aceteminophen Pain Dose - Answer -Oral 10-15 mg/kg every 4-6 hrs
Ibuprofen Pain Dose - Answer -Oral 5-10 mg/kg every 6-8 hrs
Difficult Airways and WHY - Answer --Down Syndrome: Trisomy 21: large tongue,
hypotonia, atlanto-axial instability, over-retained teeth, delayed eruption
-Pierre Robin: glossoptosis
-Crouzon
-Treacher Collins: hypoplastic mandible, slanted palpebral fissures, sunken cheek
bones, malformed ears, History of repaired cleft palate
-Osteogenesis imperfecta (due to decreased neck mobility, atlanto-axial instability,
fractures due to overextension of the cervical spine)
