AAPD QE FINAL FINISH EXAM
QUESTIONS WITH CORRECT ANSWERS
Fluoride cRinse c(NaF? cF cion? cand cPPM?) c- cCORRECT cANS✔✔0.05% cNaF c
0.022% cF cion c
220 cppm
Prevident c(NaF? cPPM? cF-) c- cCORRECT cANS✔✔1.1.%NaF
5000ppm
0.5%F-
5% cNaF c- cCORRECT cANS✔✔22,500ppm
1.23% cAPF cgel/foam c- cCORRECT cANS✔✔12,300 cppm
F- c: c
- cProbability ctoxicity:
- cCertainly ctoxicity:
- cTreatment c(<8mg/kg, c>8mg) c- cCORRECT cANS✔✔-5mg cF/kg
-15 cmg cF/kg
Treatment:
c<8mg/kg c- cmilk cand cobserve c6 chouts
c>8mg cF/kg: cinduce cvomiting, cmilk, cER
Bacteria cfor cANUG c- cCORRECT cANS✔✔Spirochetes, cPrevotella cIntermedia,
cFusiform
In ca ctooth cwith can copen capex cthat chas cbeen cavulsed c(<60 cminutes) cwhat
cantibiotic cdo cyou cwant cto csoak cthe ctooth cin? cmg? cfor chow clong? cand cwhy? c-
cCORRECT cANS✔✔Doxycycline cor cArestin c(Minocycline) csolution
50mg cof cDoxy cin c5cc csaline c- cfor c5 cminutes c
GOAL: cRevascularization
If cthere cwas ca chemoglobin clevel cof c30g/100 cmL, cwhat ctype cof cpatient cmight cyou
chave? c- cCORRECT cANS✔✔Polycythemia cVera
,RX cand cIndication cfor cDoxycycline cin ca cpatient cwho chad can cAvulsed cpermanent
ctooth? c- cCORRECT cANS✔✔RX: cDoxycycline c100mg cBID cfor c7 cdays c(4.4mg/kg cq
c12 chours cfor c7 cdays)
Indication: cavulsed ctooth cin csomeone cover cthe cage cof c12
RX cand cIndication cfor cPen cVK cin ca cpatient cwho chad can cAvulsed cpermanent ctooth?
c- cCORRECT cANS✔✔RX: c1000mg cthen c500mg cq c6hours cfor c7 cdays
> c60min cavulsion cwhat cdo cyou cneed cto cplace cthe ctooth cin cfor c20 cminutes? c-
cCORRECT cANS✔✔1.23% cNaF
TO cDELAY cresportion
Disorders cof cOssification: c(what cdisorders capply cto ceach cof cthese)
Intramembranous cBone?
Endochondral cBone?
Both? c- cCORRECT cANS✔✔IB: cCleidocranial cDysplasia c
EB: cAchondroplasia c
Both: cOI
Center cof cResistance cof ca cTooth?
(What cand cWhere) c- cCORRECT cANS✔✔a cpoint con cthe ctooth caround cwhich cthe
ctooth cshall cmove. c2/5 cway cbetween cthe capex cand cthe ccrest cof cthe calveolar cbone
Ankylosis: cmost ccommon c(_______>________>___________>__________) c-
cCORRECT cANS✔✔mand c1st c-> cmand c2nd c-> cmax c1st c-> cmax c2nd
o cPrimary cmandibular cfirst cmolar: coften cexfoliate con cits cown!!
o cPrimary cmandibular csecond cmolar: cmore csevere cinfraocclusion cthan c1st cmolars;
cusually cmust cbe cextracted
o cPrimary cmaxillary cfirst cand csecond cmolars: cusually cmust cbe cextracted
Piaget's cTheory
1. cSensorimotor: cAge? cKnown cFor?
2. cPreoperational: cAge? cKnown cFor?
3. cConcrete cOperations: cAge? cKnown cFor?
4. cFormal cOperations: cAge? cKnown cFor? c- cCORRECT cANS✔✔Sensorimotor: c0-2
cy/o; cvision cand chearing; cgasping, csucking
Pre-operational: c2-6 cy/o; cEGOCENTRIC, cmagical cthinking; cstops cthumb-sucking
Concrete coperations: c7-11 cy/o; cuses clogics; celimination cof cegocentrism
,Formal coperations: c>12 c; cabstract cthoughts
CI cto cN2O c- cCORRECT cANS✔✔-First ctrimester cpregnancy
-COPD
-Acute cotitis cmedia: cNO2 cincreases cpressure cin cair cfilled cbody ccavities c
-Severe casthma
-Sickle ccell cdisease c(O2 cconcentration cmust cbe cat cleast c50% cto cavoid chypoxemia)
-Bleomycin csulfate ctherapy
Chloral cHydrate cmetabolizes cto.... c- cCORRECT cANS✔✔to ctrichloroethanol
Meperidine c(Demerol): cNarcotic
Sedation cDose? c- cCORRECT cANS✔✔1-2 cmg/kg
Meperidine c(Demerol): cNarcotic
Reversed cby? c(Dose ctoo) c- cCORRECT cANS✔✔Naloxone c(Narcan)
0.1 cmg/kg cmax cof c2mg cevery c2-3 cmin
Midazolam c(Versed): cBenzo c
Sedation cDose? c- cCORRECT cANS✔✔0.25 c-1.0mg c/kg cwith c15 cmg cmaximum
Midazolam c(Versed): cBenzo c
Reversed cby? c(Dose ctoo) c- cCORRECT cANS✔✔Flumazenil c(0.01 cmg/kg, cup cto
c1mg ctotal/ crepeat cas cneeded)
Valium c(Diazepam): cBenzo
Sedation cDose? c- cCORRECT cANS✔✔0.25-0.5mg/kg
Aceteminophen cPain cDose c- cCORRECT cANS✔✔Oral c10-15 cmg/kg cevery c4-6 chrs
Ibuprofen cPain cDose c- cCORRECT cANS✔✔Oral c5-10 cmg/kg cevery c6-8 chrs
Difficult cAirways cand cWHY c- cCORRECT cANS✔✔-Down cSyndrome: cTrisomy c21:
clarge ctongue, chypotonia, catlanto-axial cinstability, cover-retained cteeth, cdelayed
ceruption
, -Pierre cRobin: cglossoptosis
-Crouzon
-Treacher cCollins: chypoplastic cmandible, cslanted cpalpebral cfissures, csunken ccheek
cbones, cmalformed cears, cHistory cof crepaired ccleft cpalate
-Osteogenesis cimperfecta c(due cto cdecreased cneck cmobility, catlanto-axial cinstability,
cfractures cdue cto coverextension cof cthe ccervical cspine)
-Juvenile cRheumatoid cArthritis c(due cto climited cmandibular cmotion cand cmouth
copening, cnarrowed cglottis, cand ccervical cinstability)
Malignant cHyperthermia cIS cTRIGGERED cBY: c(3 cthings) c- cCORRECT cANS✔✔1.
cHalothane
2. cSevoflurane
3. cSuccinylcholine c(causes crelease cof cstored ccalcium cions cwithin cmuscle ccells c->
cIncrease cin ccalcium c-> cskeletal cmuscle ccontraction c-> cgenerates cexcessive cheat c=
cmetabolic cacidosis)
Signs cof cMH: c- cCORRECT cANS✔✔-Tachycardia, cincrease cin cCO2, chypertension,
cmuscle crigidity, chyperthermia,
hyperkalemia c(increase cK) cinduced carrhythmias
Tx. cMH c- cCORRECT cANS✔✔Dantrolene c(Ca+ cchannel cblocker) c+ ccool cblanket
PTT: c(intrinsic cpathway) cwhat cis cit? cand cis cincreased cin cwhat c3 cheme cdisorders? c-
cCORRECT cANS✔✔time cit ctakes cfor cyour cblood cto cclot
1. cHemophilia cA
2. cHemophilia cB
3. cVW
NOT caffected cin cHemophilia cC
Bleeding ctime cis cprolonged cin... c- cCORRECT cANS✔✔thrombocytopenia c& cVW
BT c= ctests cPlatelet cfunction
VW: cwill chave ca cgood cplatelet c#, cbut cthey cdon't cfunction cwell
Macroglossia cis cseen cin c... c(7) c- cCORRECT cANS✔✔1. cBeckwith-Wiedemann
cSyndrome
2. cDown cSyndrome
3. cMen c2B
QUESTIONS WITH CORRECT ANSWERS
Fluoride cRinse c(NaF? cF cion? cand cPPM?) c- cCORRECT cANS✔✔0.05% cNaF c
0.022% cF cion c
220 cppm
Prevident c(NaF? cPPM? cF-) c- cCORRECT cANS✔✔1.1.%NaF
5000ppm
0.5%F-
5% cNaF c- cCORRECT cANS✔✔22,500ppm
1.23% cAPF cgel/foam c- cCORRECT cANS✔✔12,300 cppm
F- c: c
- cProbability ctoxicity:
- cCertainly ctoxicity:
- cTreatment c(<8mg/kg, c>8mg) c- cCORRECT cANS✔✔-5mg cF/kg
-15 cmg cF/kg
Treatment:
c<8mg/kg c- cmilk cand cobserve c6 chouts
c>8mg cF/kg: cinduce cvomiting, cmilk, cER
Bacteria cfor cANUG c- cCORRECT cANS✔✔Spirochetes, cPrevotella cIntermedia,
cFusiform
In ca ctooth cwith can copen capex cthat chas cbeen cavulsed c(<60 cminutes) cwhat
cantibiotic cdo cyou cwant cto csoak cthe ctooth cin? cmg? cfor chow clong? cand cwhy? c-
cCORRECT cANS✔✔Doxycycline cor cArestin c(Minocycline) csolution
50mg cof cDoxy cin c5cc csaline c- cfor c5 cminutes c
GOAL: cRevascularization
If cthere cwas ca chemoglobin clevel cof c30g/100 cmL, cwhat ctype cof cpatient cmight cyou
chave? c- cCORRECT cANS✔✔Polycythemia cVera
,RX cand cIndication cfor cDoxycycline cin ca cpatient cwho chad can cAvulsed cpermanent
ctooth? c- cCORRECT cANS✔✔RX: cDoxycycline c100mg cBID cfor c7 cdays c(4.4mg/kg cq
c12 chours cfor c7 cdays)
Indication: cavulsed ctooth cin csomeone cover cthe cage cof c12
RX cand cIndication cfor cPen cVK cin ca cpatient cwho chad can cAvulsed cpermanent ctooth?
c- cCORRECT cANS✔✔RX: c1000mg cthen c500mg cq c6hours cfor c7 cdays
> c60min cavulsion cwhat cdo cyou cneed cto cplace cthe ctooth cin cfor c20 cminutes? c-
cCORRECT cANS✔✔1.23% cNaF
TO cDELAY cresportion
Disorders cof cOssification: c(what cdisorders capply cto ceach cof cthese)
Intramembranous cBone?
Endochondral cBone?
Both? c- cCORRECT cANS✔✔IB: cCleidocranial cDysplasia c
EB: cAchondroplasia c
Both: cOI
Center cof cResistance cof ca cTooth?
(What cand cWhere) c- cCORRECT cANS✔✔a cpoint con cthe ctooth caround cwhich cthe
ctooth cshall cmove. c2/5 cway cbetween cthe capex cand cthe ccrest cof cthe calveolar cbone
Ankylosis: cmost ccommon c(_______>________>___________>__________) c-
cCORRECT cANS✔✔mand c1st c-> cmand c2nd c-> cmax c1st c-> cmax c2nd
o cPrimary cmandibular cfirst cmolar: coften cexfoliate con cits cown!!
o cPrimary cmandibular csecond cmolar: cmore csevere cinfraocclusion cthan c1st cmolars;
cusually cmust cbe cextracted
o cPrimary cmaxillary cfirst cand csecond cmolars: cusually cmust cbe cextracted
Piaget's cTheory
1. cSensorimotor: cAge? cKnown cFor?
2. cPreoperational: cAge? cKnown cFor?
3. cConcrete cOperations: cAge? cKnown cFor?
4. cFormal cOperations: cAge? cKnown cFor? c- cCORRECT cANS✔✔Sensorimotor: c0-2
cy/o; cvision cand chearing; cgasping, csucking
Pre-operational: c2-6 cy/o; cEGOCENTRIC, cmagical cthinking; cstops cthumb-sucking
Concrete coperations: c7-11 cy/o; cuses clogics; celimination cof cegocentrism
,Formal coperations: c>12 c; cabstract cthoughts
CI cto cN2O c- cCORRECT cANS✔✔-First ctrimester cpregnancy
-COPD
-Acute cotitis cmedia: cNO2 cincreases cpressure cin cair cfilled cbody ccavities c
-Severe casthma
-Sickle ccell cdisease c(O2 cconcentration cmust cbe cat cleast c50% cto cavoid chypoxemia)
-Bleomycin csulfate ctherapy
Chloral cHydrate cmetabolizes cto.... c- cCORRECT cANS✔✔to ctrichloroethanol
Meperidine c(Demerol): cNarcotic
Sedation cDose? c- cCORRECT cANS✔✔1-2 cmg/kg
Meperidine c(Demerol): cNarcotic
Reversed cby? c(Dose ctoo) c- cCORRECT cANS✔✔Naloxone c(Narcan)
0.1 cmg/kg cmax cof c2mg cevery c2-3 cmin
Midazolam c(Versed): cBenzo c
Sedation cDose? c- cCORRECT cANS✔✔0.25 c-1.0mg c/kg cwith c15 cmg cmaximum
Midazolam c(Versed): cBenzo c
Reversed cby? c(Dose ctoo) c- cCORRECT cANS✔✔Flumazenil c(0.01 cmg/kg, cup cto
c1mg ctotal/ crepeat cas cneeded)
Valium c(Diazepam): cBenzo
Sedation cDose? c- cCORRECT cANS✔✔0.25-0.5mg/kg
Aceteminophen cPain cDose c- cCORRECT cANS✔✔Oral c10-15 cmg/kg cevery c4-6 chrs
Ibuprofen cPain cDose c- cCORRECT cANS✔✔Oral c5-10 cmg/kg cevery c6-8 chrs
Difficult cAirways cand cWHY c- cCORRECT cANS✔✔-Down cSyndrome: cTrisomy c21:
clarge ctongue, chypotonia, catlanto-axial cinstability, cover-retained cteeth, cdelayed
ceruption
, -Pierre cRobin: cglossoptosis
-Crouzon
-Treacher cCollins: chypoplastic cmandible, cslanted cpalpebral cfissures, csunken ccheek
cbones, cmalformed cears, cHistory cof crepaired ccleft cpalate
-Osteogenesis cimperfecta c(due cto cdecreased cneck cmobility, catlanto-axial cinstability,
cfractures cdue cto coverextension cof cthe ccervical cspine)
-Juvenile cRheumatoid cArthritis c(due cto climited cmandibular cmotion cand cmouth
copening, cnarrowed cglottis, cand ccervical cinstability)
Malignant cHyperthermia cIS cTRIGGERED cBY: c(3 cthings) c- cCORRECT cANS✔✔1.
cHalothane
2. cSevoflurane
3. cSuccinylcholine c(causes crelease cof cstored ccalcium cions cwithin cmuscle ccells c->
cIncrease cin ccalcium c-> cskeletal cmuscle ccontraction c-> cgenerates cexcessive cheat c=
cmetabolic cacidosis)
Signs cof cMH: c- cCORRECT cANS✔✔-Tachycardia, cincrease cin cCO2, chypertension,
cmuscle crigidity, chyperthermia,
hyperkalemia c(increase cK) cinduced carrhythmias
Tx. cMH c- cCORRECT cANS✔✔Dantrolene c(Ca+ cchannel cblocker) c+ ccool cblanket
PTT: c(intrinsic cpathway) cwhat cis cit? cand cis cincreased cin cwhat c3 cheme cdisorders? c-
cCORRECT cANS✔✔time cit ctakes cfor cyour cblood cto cclot
1. cHemophilia cA
2. cHemophilia cB
3. cVW
NOT caffected cin cHemophilia cC
Bleeding ctime cis cprolonged cin... c- cCORRECT cANS✔✔thrombocytopenia c& cVW
BT c= ctests cPlatelet cfunction
VW: cwill chave ca cgood cplatelet c#, cbut cthey cdon't cfunction cwell
Macroglossia cis cseen cin c... c(7) c- cCORRECT cANS✔✔1. cBeckwith-Wiedemann
cSyndrome
2. cDown cSyndrome
3. cMen c2B
