1. Following the extraction of a maxillary first molar you note a 2mm opening in the floor of the antrum. The depth of the alveolus is 10 mm. Which of the following is NOT an appropriate course of action?
a. Enlarge the opening and establish good drainage
b. Prescribe and antibiotic and analgesic
c. Suture the socket to protect the clot
d. Advise the patient not to blow his nose
2. Which of the following is not applicable during the extraction of teeth?
a. The forceps must be seated apically as far as possible and reseated periodically during the extraction
b. The forces applied in the buccal and lingual directions should be slow, deliberate pressures and not jerky wiggles
c. Following the application of the apically directed force, mesio-distal luxation aids with eventual root dislodgement
d. The force should be held for several seconds, to allow the bone time to expand
3. Reasons NOT to extract an asymptomatic deep full bony horizontally impacted mandibular third molar in a 70 year-old man with congestive heart failure and a recent myocardial infarction include all of the following EXCEPT:
a. no evidence of associated pathology
b. concern that pressure from the impacted third molars will cause crowding of the mandibular anterior teeth
c. concern about the proximity the tooth to the inferior alveolar nerve canal
d. concern about exacerbating the patients cardiac condition
4. Which of the following prescriptions is written CORRECTLY?
a. Rx: Tylenol # 3 Disp: 10 tabs Sig: 1 tab q4h
b. Rx: Amoxicillin Disp: 30 tabs Sig: 1 tab tid
c. Rx: Vicodin Disp: twelve tab Sig: 1 tab q 4 h prn pain
d. . Rx: Clindamycin 300mg Disp: 4 tabs Sig: 4 tabs 1 hour before dental appointment
5. Which of the following individuals would NOT be an appropriate candidate for nitrous oxide and oxygen inhalation sedation?
a. a 62 year-old male with a history of coronary artery disease and hypertension
b. a 6 year- old anxious male with epilepsy
c. a 47 year-old female alcoholic
d. a 21 year-old female who is ten weeks pregnant
6. All of the following describes a patient who is experiencing laryngospasm EXCEPT
a. Absence of respiratory sounds
b. High pitched crowing sound
c. Suprasternal retraction
d. Wheezing
7. A major contraindication to the surgical removal of a large lobulated palatal torus is a patient
a. with a full upper denture
b. with a systolic BP of 210
c. with a diastolic BP of 95
d. who is 65 years of age or older
8. The MOST appropriate position for a patient who tells you that he feels faint is:
a. Supine
b. Upright
c. Trendelenberg
d. Semi-fowlers
9. The MOST appropriate flap design for a maxillary molar apicoectomy is:
a. palatal rotation flap
b. buccal envelope with a vertical releasing incision
c. semilunar
d. Y- incision
10. The management of dry sockets includes all of the following except:
a. Socket curettage to bleeding bone
b. Warm irrigation
c. Placement of eugenol dressing
d. Frequent follow-up
a. Enlarge the opening and establish good drainage
b. Prescribe and antibiotic and analgesic
c. Suture the socket to protect the clot
d. Advise the patient not to blow his nose
2. Which of the following is not applicable during the extraction of teeth?
a. The forceps must be seated apically as far as possible and reseated periodically during the extraction
b. The forces applied in the buccal and lingual directions should be slow, deliberate pressures and not jerky wiggles
c. Following the application of the apically directed force, mesio-distal luxation aids with eventual root dislodgement
d. The force should be held for several seconds, to allow the bone time to expand
3. Reasons NOT to extract an asymptomatic deep full bony horizontally impacted mandibular third molar in a 70 year-old man with congestive heart failure and a recent myocardial infarction include all of the following EXCEPT:
a. no evidence of associated pathology
b. concern that pressure from the impacted third molars will cause crowding of the mandibular anterior teeth
c. concern about the proximity the tooth to the inferior alveolar nerve canal
d. concern about exacerbating the patients cardiac condition
4. Which of the following prescriptions is written CORRECTLY?
a. Rx: Tylenol # 3 Disp: 10 tabs Sig: 1 tab q4h
b. Rx: Amoxicillin Disp: 30 tabs Sig: 1 tab tid
c. Rx: Vicodin Disp: twelve tab Sig: 1 tab q 4 h prn pain
d. . Rx: Clindamycin 300mg Disp: 4 tabs Sig: 4 tabs 1 hour before dental appointment
5. Which of the following individuals would NOT be an appropriate candidate for nitrous oxide and oxygen inhalation sedation?
a. a 62 year-old male with a history of coronary artery disease and hypertension
b. a 6 year- old anxious male with epilepsy
c. a 47 year-old female alcoholic
d. a 21 year-old female who is ten weeks pregnant
6. All of the following describes a patient who is experiencing laryngospasm EXCEPT
a. Absence of respiratory sounds
b. High pitched crowing sound
c. Suprasternal retraction
d. Wheezing
7. A major contraindication to the surgical removal of a large lobulated palatal torus is a patient
a. with a full upper denture
b. with a systolic BP of 210
c. with a diastolic BP of 95
d. who is 65 years of age or older
8. The MOST appropriate position for a patient who tells you that he feels faint is:
a. Supine
b. Upright
c. Trendelenberg
d. Semi-fowlers
9. The MOST appropriate flap design for a maxillary molar apicoectomy is:
a. palatal rotation flap
b. buccal envelope with a vertical releasing incision
c. semilunar
d. Y- incision
10. The management of dry sockets includes all of the following except:
a. Socket curettage to bleeding bone
b. Warm irrigation
c. Placement of eugenol dressing
d. Frequent follow-up
