CDCA OSCE QUESTIONS AND ANSWERS

CDCA OSCE QUESTIONS AND ANSWERS bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____ - ANSWER-hyperthyroidism signs/symtoms of skinny, weight loss - ANSWER-Graves disease weight gain, dry hair, lower voice, feels cold - ANSWER-hypothyroidism Acute adrenal insufficnecy is also known as ____disease. A patient on steroids might have an attack if not supplmeneted by ___ the steroid dose before dental treatment due to thier inability to produce extra ___ in response to stress - ANSWER-addisons disease doubling the dose of steroids cortisol in response to stress patient with reduced or missing teeth on a pan - ANSWER-ectodermal dysplasia patient has supernumerary teeth (extra teeth) ... likely diagnosis? - ANSWERcleiodcranial dysplasia : can cause hypercementosis of the roots, generalized skull and jaw enlragment with COTTON WOOL appearance of bone - ANSWER-Pagets disease hypercementosis will follow the ____ on a PAX - ANSWER-PDL Cleft lip is defection fusion of the ____ and _____ - ANSWER-medial nasal process maxillary process failure of the palatal shelves to fuse result in ____ BIFID UVULA - ANSWER-cleft palate, bifid uvula patient with cleft palate, mandibular micrognathia, glosspotopis (airway obstruction) - ANSWER-Pierre robin syndrome looks like white and brown spots on the teeth - ANSWER-hypocalcified teeth ___ cannot be reversed but microabrainsion and aching can improve aesthetics, but cannot reverse the condition - ANSWER-fluorosis flurosis can be caued by a patient living in a region wher the fluoride content in the water is ____ppm. Normal is ____ppm - ANSWER-4ppm normal is 0.7ppm patient has no enamel on the teeth on bitewing or panx - ANSWER-amelognesis imperfecta can see OBLITERATED pulp chambers on radiogrpahs and teeth have a TRANSLUCENT or opalescent hue (greyish or blue) also known as osteogenisis imperfect associated with collagenn maturation problem, non systemic - ANSWER-dentogenisis imperfecta mulberry molars, screwdriver shaped incisors , maxillary anteriors with central depression - ANSWER-syphillis ___ also known as twinning is due to incomplete formation of two teeth, common on incisors, seen in maxillary laterals - ANSWER-gemination bull shaped crowns with shortened roots on PAN or fms What can be a 2 contributing factors? - ANSWER-taurodontism overweight, hypertension Tzanck test is to diagnose ________ (small painful ulcers that recure every 5-6 months with fever) Treatment is ___ with ____ and analgesics - ANSWER-acute herpactic gingivostomatitis pallative care with lidocaine rinses and analgesics long standing and heal with a scar, can see on the lip and palate, pemphoid can also heal with a scar - ANSWER-major apthous ulcers mucocele on the lower lip can be due to an ____ salivary gland, treat with _____. Inside the mucocel is ____ (mucus) - ANSWER-injured salivary gland treat with excision saliva,mucous A standard cartridge as ___ml of 2% lidcaine at ___mg. the active ingredient , and 1:100,000 (____) of EPI vasoconstrictor - ANSWER-1.8ml 36mg A man with an epulis fissuratum under the enture is treated with _____ and____. This is most likely tissue reaction due to ___term wearing of an ill fitting denture - ANSWERexcision and reline long term wear of ill fiting denture After you take final impressions and give th lab hard and soft tissue record, you obtain those records from the poured ____ - ANSWER-models When adjusting the complete deuntures , use the ___ rull - ANSWER-Buccal upper lower lingual The minimum undercut for a clasp is ____inch - ANSWER-0.01 inch Purpose of ____ on the tooths proiximal surface is to ain in denture insertion - ANSWER-guideplanes The modified ridge lap pontic is the best pontic design for ___ teeth - ANSWER-anterior teeth the hygenic pontic is best pontic design for ____ teeth - ANSWER-posterior The most likely cause of procelain fractuing on a bridge 6-x-x-x-x-11 (long span) is _____ of the metal due to the long span - ANSWER-bending of the metal Temporary flipper placed three months ago when patient lost tooth in an accident. The next step in treament of this paitnet is to do _______ to find the best treatment sequnce - ANSWER-full treatment planning Panorex shows an edentulous patient with marked pneumatizaiton of both maxillary sinuses. This is a new patient who wants a complet new set of dentures. To treat this patient you would? - ANSWER-make the dentures Patient is taking aspirin, penicillin, naproxen, and estrogen. Which of these contributes to increased perio disease ? - ANSWER-Estrogen Best cement for improving retention for a short crown is ___ cement. - ANSWER-resin cement Before trimming on a stone cast for immediate denture, mark a line ___mm above the free gingival margin - ANSWER-3mm above the free ginginival margin Patient has slow growing mandible. Can be due to ____. Patients jaw just starting growing larger all of a suddent in the past few months. Can be due to ? - ANSWER-hyperpituitarism hypertiuitarism Dark reddish tooth dx? - ANSWER-hyperemia of tooth Reds spots on arm. Give the patient ____ - ANSWER-penicillin focal sclerosing osteomyelitis - ANSWER-also called condensing osteitis a change in bone near the apexes of teeth that is thought to be a reaction to low-grade infection most commonly associated with mandibular first molar radiopaque area extending below the roots of the tooth often associated with a carious or restored tooth **If the root is 16 mm long, what's the max amount of post length? - ANSWER-11mm Hereditary telangiestasia. should ___ when tested becuase it is a vascular leison - ANSWER-blanch pagets swollen maxilla - ANSWER-Pic ID of swollen maxilla fibroma - ANSWER-cluster of balls on buccal mucosa on line of maxillary dentition. Xrays 1. Waters is to view ___ 2. submentovertex is to view ___ _fractures 3. Reverse towne is to view fracture sof the ___ and ___ - ANSWER-1. waters : sinuses 2. submentovertex: zygomatic arch fractures 3. reverse town: condylar neck and ramus fractures retained primary roots - ANSWER-ID? t/f: staining of teeth affects perio prognosis? - ANSWER-false , does not first diagnostic proceudre at recall is to ? - ANSWER-update med hx INH tx is for ? - ANSWER-TB, stains for isoniazid which is for tuberculosis chelititis happens in patients diagnosed with increased or decreased interocclusal space? what is the treatment ? - ANSWER- Sturge-Weber syndrome affects what nerve ? - ANSWER-Skin and meningeal angiomatous lesions. Port-wine nevus: skin angioma in ophthalmic division of trigeminal nerve. Pial angiomas may result in chronic ischemia, gliosis, and gyral cortical calcifications. Enlargement of deep and subependymal veins may mimic arteriovenous malformations. Bechet's syndrome - ANSWER-Behcet's syndrome is classically characterized as a triad of symptoms that include recurring crops of mouth ulcers (aphthous ulcers), genital ulcers, uveitis. Also EN cutaneous lesions. Behcet's syndrome is also sometimes referred to as Behcet's disease. Idiopathic. Peutz-Jeghers syndrome tx; is genetic counseling and monitor patient - ANSWER-Hamartomatous (benign) polyps throughout GI tract and mucocutaneous hyperpigmentation (freckle-like spots) on lips, oral mucosa, and genital skin; autosomal dominant disorder Plummer-Vinson syndrome - ANSWER-Iron deficiency anemia, cheilosis, esophageal webbing and glossitis pin and dowel system - ANSWER- Continues...