Recall October 2016

*For free end saddle we use i bar and mesial rest

*For distal extended saddle? Ibar

*two questions about Burning sensation spectially at meal time

*stenosis and dialation of parotid duct caused by what (Obstructive parotitis-stone-

*pAIn after chemotherapy (oral mucositis-Anug

*Grade 2 mobility(horizontal > than 1mm

*Risk of cancer in smoker patient compared to non smoker20 cigartte in 30 years (1-2 \4-5\14-17)

*Why we use nickel titanium i root canal treatment(shape memory-corrosive resistant

*Alcohol unit per daily n weekly(14 weekly2unit daily

*Fra ctured zygoma with nausea n vomitingPatient was confused(head ct

* what about the drug cz osteonecrosis(Denosumab

* Lower teeth cut on xray what was the error#ques.come with xrayand

it is(It was diagnostically acceptablenot mor than20\

* Radiopacity 9mm at root of lower mandible with radiolucency surrounding it

(cementoblastoma- Calcifying epithelial odontogenic tumor

*Permeant lingual nerve damage

*marfans syndrome was high arched palate

* Tmj crepitus

* What describe best of direct retention(Extra coronal retainer

* apical radiolucent with histology stratified sqmous cell with ..,cholestrol?

(C..granuloma
D. residual inflammatory cyst

* Dose fluconazole

*for Fluorosis veneers or bleaching or composite

* Low After rct or filling, patient feels pain n come to you..what will you do? Choice was
reassurance. er centeral incisor too faint in panorama why(Chin tipped down- Head too far

* 1/3rd incisal fracture primary toothpulp not involved?composite

* Tmj pain with crepitus...bony specule at the Tmj surface, what are the most likely causes?
Osteoartirits, , psorasis arthiris.. rhumatoid artirites

* Pt have vesicle at forehead, cheek on unilateral, what you can see intra orally? Choices were
ulcer on tongue, small multiple macule on buccal cheek, desquamative gingivitis

* Questions about S,f,v pronouncation problem(Incisors placed too palatally

* Perioral crusted lesion, with intra oral ulcer, spared gingiva(erythema multiforme

* Pt complaint of rubbing denture, found out painless ulcer on the tongue...what are your
management? Choices were adjust & come back 6 month, adjust & urgent referral to os, adjust &
normal referral to os

* During extraction LL8..massive bleeding occur..a day later pt came n cmplaint of numbness
tongue n lip..cant remember qstion
A:dexamethasone and rv 1 mth..
D refer omfs directly

*
Pt underage, request for bleaching. How to manage?
- discuss with pt
- Discussed with both pt n parents
- Others

*Practitioner rules in rg

*Dosimeter record-

A. Absorbed dose
B. Collective dose
C. Efficacy dose

*Clinical governence

*Lingual nerve percentage injury

*Where to complaint for patient having crown in private dentist and no resolution?

*Injury causing labial displacement of anterior tooth, mobility grade 2, disturb occlusion, no root
or bone fracture.
- Reposition
-Splint
-Antibiotic & analgesic
- Others can't remember

*Iotn of impacted canine(5i

*Nice guideline removal of 8(recuurent pericoronities

*Patient involve in injury, cannot give consent, need oralmaxilofacial surgery..who can give
consent?

*Altered taste antibiotic(metronidazole

*Leakage of occlusion filling of rct tooth, patient is diabetic came with radiolucency at the root.
What are the possible Cause

*Pt come with poor prognosis all 6s, when is the most suitable time for extraction of 6s?

*Drugs causing scc likeulcer( nicorandil

*Pt 5 years old, spontaneous bleeding, look pale..

- ALL (acute in children)
-Aml
-leukemia

*Traumatic fracture of a tooth, involve pulp

-Cvek
-pulpetomy
-pulp extripation withcaoh

*Multiple intestinal polyps, x-ray show?

- Multiple osteomata
- Others
-multiple myeloma
*Cleidocranial dysotosis. How to confirm xray head n neck?
- multiple supernumerary tooth
- early calcification of cranial sutures
- Other

*Commonest intra oral lesion of pt with hiv

- Karposi sarcoma
-Candida
-Others

*Recall interval of adult pt with good oral hygiene(24month

*Midazolam sedation. When to give bolus, how to titrate, why iv sedation is the best

*Auriculotemporal nerve injury

*During clinic audit, what can caused dismission before warning? Cannot remember properly.
Sorry
- Not enough consent
- Not enough staff
- Uncorrect hiring of staff
-nogood audit ithink
*Pernicious anemia cause, lack of what

* Equipment not working. Where to complaint? MHRA – HSE

1)Burning mouth syndrome:

A acute
B common bilateral
C common unilateral
D pain during eating

2)Ameloblastoma
A common in anterior mandible
B most metastasis
C common around unerupted
D Third most common odontogenic
E more in maxilla

3) percentage salivary calculi can appear radiopaque from radiograph?

4)ANB angle in class 111?

A)ANB 2-4
B)ANB < 2
C)ANB> 4

5)Scaling around implant?

A) unfilled resin plastic scaler
B)Carbon steel scaler

6)Permanent lingual nerve?

7)maximum dose of 2% lidocaine 1:80 000 in 20kg child?

A)4.4 ml
B)6.6 ml

8)for retention of post which is not important ?

luting cement
Diameter and post length
Material
Taper
Post length

9)Ulcer look like scc?

10)Steroid side effect?type2 diabetic

11)Risk of cancer in OBG

12) u want to begin chemicomechanical preperation Best irrigant?

13)Maximum water temperature during decontamination ?45

14)pt recieve ttt in private where to complain?

15)operation that cut patients' spinal cervical of accesory nerve which muscle is affected?
tapezius

16) vicryl rapide loss 50% of tensile strength in how many days?

17) pt with aortic something and high arch palate which syndrome?
A) Marfan syndrome
B) Peutz–Jeghers syndrome
C) Treacher Collins syndrome

18)Dosage of fluconazole?50-100-200

19) 27 y good oral hygiene low caries risk don't need any ttt recall ?

20)autoclave checking? 12month

21)risk of cancer In OPG?

22) pt recieve chemotherapy coming complain of burning sensation?

23)pain on changing posture?maxillary sinsites

24) survival of periodontal cell after trauma depend on?

A)open apex
B)close apex
C)extralveolar time

25)material use to treat buccal root caries in adult?comomer-gi cement

26) want to study using vicryl suture instead of silk suture for postoperative infection study type)
A)RCT
B)cohort
C)case control

27) Mobility grade 2 ?

A) horizontal > 1 mm
B) horizontal > 2mm

28)radiolucency below inferior alveolar canal?

29) Pt has abscess & develop stridor. Which space did the pus drain to ?

Retropharyngeal

Submassetric

30)membrane needed during bone graft?xenograft

31) How many hours of minimum verifiable cpd for dental nurses in 5 yrs?

50 hours

25 hours

100 hours

150 hours

32)Practitioner role according to IRMER?justification of exposure

33)Absolute contraindication in implant?smoking _preio proplem

34)Dosiemeter used to calculate?

35) Most common to see in or with untreated HIV

37) pt complain from burning in tongue u see macrocytic anemia cause?

38)deficient in Pernicious anemia?intrinsic factor

39) clopidegrel act on?

40)Basal cell carcinoma Spread

Local

Lymph

Blood

41)20y old patient with down syndrome wants to extract a tooth

If he understand treatment & complications he can give consent

42) Which of the following is Developmental Odontogenic Cyst ?

Nasopalatine cyst

Residual cyst

Paradental Cyst

Radicular cyst

Lateral Periodontal Cyst

43)most common salivary malignant tumor?

Pleomorphic Adenoma

Warthin tumor

Mucoepidermoid carcinoma

Adinocarcinomas

Adenoid cystic Carcinoma

44) Metal framework in resin bonded bridge?gold

45) best criteria of NITI endodontic file shape memory

46) fine root fracture during extraction not mobile best action?

47) antibiotic cause altered taste?metronidazole

48) Evidence from expert committee reportsor opinions and/or clinical experience of respected
authorities.
Level of Evidence is :5

49) Evidence obtained from meta-analysis or randomized control trials , Level of Evidence is : 1a

50)according to NICE guidline for extraction of impacted rd molar which is indication?

A)anterior crowding
B)one episode of pericoronitis
C)two episode of pericoronitis

51) physician Change medication for pt taking warfarin ..replace by which drug?

52)drug associated with osteonecrosis?

53) what u see in inflammatory bowel disease?mucosal tag

* question regarding the technician,what can he do wi thout the dentists prescription? Complete
dentures

if patient requests for a copy of the dental record..the answer is 40 calendar days subject to the
patient having been advised and agreed to pay any appropriate fee

* question on infective endocarditis bacteria? streptococcus viridans- Strep sanguinis

* Question about capacity..can anyone recall?

Understand, remember, decide communicate

*years old come wiz fracture mandibular she admit that her partner hit her while he was drunk ??
keep the info confidential-Social services-Advice her to inform police-tell her gp

K54)Mental capacity to give consent depend on ability to :

Understand information provided ,,Retain the relevant information provided.,,weigh that

information as making the decision. ,,Communicate the decision..

55) percentage of smoker develop cancer more than non smoker?

56) best way to achieve retension in mandibular free end saddle is ?

57) pt unconsious inwaiting area ,,, After shouting for help what will u do?

58)additional skill dental therapist can acquire it?

59)qualified clinical dental technician can do without prescription?

•provide complete denture direct to pt..

60)dental nurse can do?

61) pt with chronic periodontitis ...

BPE 3 1 3 4* 1 3 what cause his condition to progress?
1)enamel pearl
2)root groove
3)over hang restoration
62) For a patient with ulcer, the most common area in which the ulcer may change to malignancy
is a-Upper eye lid b-Lower eye lid c-Lower lip

63)pt take amoxicillin develop rash type of hypersensitivity? Type1

64 ) about direct retention:

A)it is well provided by extracoronal retainer
B)it is divided into primary and secondary retention. .

65) Lateral Cephalometric RAdiograph :

A. Immediately proir to orthognathic surgery
B. Used in IOTN more than 2
C. Detect unerupted upper incisor
D. Routinely used in orthodontic assesment

66) pt with maxillary pain and ear pain what virus?varcillazoster virus

67)rest seat preperation occlusaly?

68) pt with trauma came with fracture enamel & dentine of the incisal 1/3 what ur primary
managment)
A)return the fragment use acid etch..
B)temporization with glass ionmer..

69) Haemophilic man , his wife is health what is the percentage of their son to be haemophilic?

0%

25%

50%

75%

100%
70) Bovine graft for bone augmentation is called

A allograft

B autograft

C xenograft

71 ) 9)Phonatic problem with F,V and S pronounced as th :

Incisors too far palataly

*5y.o child..spontaneous gum bleeding.appear pale n weak.

*Two heavy filled abutment type of restoration ?

*Two tilted abutment type of restoration

*Chance of cancer related to panorama ? 1:100000

*Sign of patient take over dose of LA lidocine(muscletwitching

*Cause of impacted unerptued maxillary central incisor ..( superneumerary tooth

*Depth of occlusal rest(0.5-1-1.5-2mm

*2lower icisor missed replace with(resin bonded bridge

*nitrous oxide sedation midazolam trituration

*72)pt came complain from pain in TMJ after day from doing RCT what u do?
A)reassurance , muscle relaxant ,review
B)reassurance , instruction ,review
C)refer

73)titurated dose midazolam given as:

A)bolus 1 mg midazolm
B)bolus 2 mg midazolam
C)no midazolam

74)what give best sedation?

75)choice of bridge for missing lateral incisor and pt class 11?

A)conventional cantilever
B)fixed fixed

76)choice of bridge if abutment tilted?

77)choice of bridge for missing premolar if 4 and 6 heavily filled?

78)missing maxillary central incisor pt has no history of dental ttt cause:

A)primary failure of eruption
B)supernumeray
C)dilaceration

79)unerupted canine cause:

A)ectopic eruption.
B)primary failure of eruption..

80)pt came with poor prognosis for all first molar what suitable time to extract to ensure space
close?

81)in OPG lower incisor are out of image ehat cause?

A)chin tip down

82)pt complain of swelling,crepitus,bony specule mostly ?

A)osteoarthritis
B)rehumatoid arthritis

83)after u give IAN block..pt feel numbness..but u not able to work b.c pt complain of pain what
u will do next?
A)intraligmentary injection

84)u want to check for IAN block?

A)probe b.w area of premolar
B)numbness in lip & tongue

85)pt came for orthodontic ttt ...after doing lateral cephalometric u note roduent something like
multiple radiolucency in skull?
A)multiple myeloma

86)i.v sedation beter b.c

A)able to titrate dose according to painful stimuli
B)able to titrate dose according to pt dose

87)complicated crown fracture expose 1 mm and bleeding:

A)cvek pulpotomy

88)cell affected by biphosphnate?

A)osteoclast

89)spare hair & missing teeth?

A)ectodermal dysplasia

90)pt with cleidocranial dysplasia manifestation in head and neck?

91) drug cause Dry mouth ?

92)pt csme with claudiation of jaw , hedache ?

A)giant cell arteritis

93)pt with mental cpacity not able to consent and has no individual a lasting power of attorney
(LPA) who can consent for him?

94)on sialography u note area of stenosis and diltation of parotid duct?

95)during preparation of deep cavity there is deep drntine caries how to remove it?
A)large excavator
B)small excavator

96)restoration in class v ...survival 5 year?

A)compomer
B)Hybrid composite

97)pt with zygomatic fracture.., vomiting ,confused , x ray ?

A)CT head
B)occipitomental

98)pt with lower incisor radiolucency..in x ray it is acceptable percentage it will be?
A)not more than 50%
B)not more than 20%
C)not than 10%

99)radiolucency with radiopawue surround ut in lower mandible adjacent to LL7... the LL8 is
missing..?
A)cementoma
B)residual
C)ameloblastoma
D)calcifying epithelial odontogenic cyst

100)during u doing surgical extraction of lower 8 there us massive bleeding ,, extraction was
difficult ,..pt came to u with numbness in lower lip & tongue nerve damge after surgical
extraction what u do?
A)reassurance and review 6 months later
B)refetr to OMFs
C)prescribe dexamethadone & review later
101)apical radiolucency,stratified epithelium, cholestrol cleft?
A)residual inflammatory cyst

102)pt with severly pointed canine and diastema what ur initial management?

103)pt with unilateral vesicle in cheek and forehead.. intraorally what u see?
A)multiple macule in cheek
B)desquamted gingivitis
C)ulcer in tongue

*104)pt request copy of dental record respond in?

A)respond in 10 days & pay fee
B)respond in 40 days & pay fee

105)pt with crusted lip.,,intraoral ulcer..gingiva spare?

A)erythema multiform

106)pt complain of rubbing denture, painless ulcer on tongue?

107)something about gase equipment problem..where to complain?

A)Medicines Healthcare products regulatory
B)HSE

108)que about splinting root fracture?

A)flexible splint for 2 week
B)flexible splint for 4 week
C)fixed 2 week
D)fixed 4 week

109)women came with fracture mandible ,,chang occlusion,, from her partner while was drunk?

110) which drug describe antidepressant ?diazepam

111)pt heavy drinker., 40 unit per week.. what the maximum unit daily n weekly?

112)que about median rohomboid glositis..pt take steroid and hve lesion in dorsum of tongue?

113)IOTN overjet 7 mm .,, impacted upper right csnine, reverse overjet 3.5?