MFD part 2 exam held in JUST, Jordan on 7-8/12/2013

OSCKE:
1- CPR station: remember you are alone, so don’t forget to make a telephone call and
ask for help if there is a telephone. They asked us to put the victim in recovery
position.

2- Clinical photograph of a patient with recent extraction of upper 3rd molar, there is a
large painful smooth swelling in the palate near the extraction socket. What can cause
extraction of an upper 3rd molar? What is the most probable diagnosis of the swelling?
(benign and malignant salivary gland tumors and investigations you may use in this
case).

3- Patient with cross bite: name the most important clinical diagnostic information you
need to know before treatment. Draw an appliance you can use in this case (maxillary
expansion screw and their types: quad helix and hyrax).

4- Place a rubber dam to treat a lower left 2nd premolar with class II distal cavity using
composite restoration. (note that you have to open 3 holes, place the clam on the 6 and
extend the hole to the 5 and 4).

5- Fordyce granules: prevalence, is it premalignant? What is the treatment?

6- Cast that has been surveyed: what is the Kennedy’s classification? (it was class I)
Draw a design, what is the system that you used on the right and left 4 called? (it was
RPI) What is the function of this system? Name 2 techniques to improve the retention
and stability.

7- Suturing station: interrupted, vertical mattress, horizontal mattress.

8- What is the name of this probe? (WHO probe) what are the marks represented by the
dark band? (3.5 and 5.5) then they asked us to use the CPITN and BPE.

9- Cranial nerve examination: III, IV, VI….the muscles they supply and the movement of
these muscles. A case about a patient can’t move his right eye to the right.

10- Lichen planus case: Choose 3 most likely differential diagnosis, investigations used,
what things that you should monitor in this case?

11- Cephalometric analysis: they asked us to determine and define certain points, give
a diagnosis, what do you expect the cephalometric changes will be after the
treatment? (Don’t forget to mention the normal angles).

12- Custom tray fitted on a cast: mention 4 faults in the tray, knowing the tray is not
spaced, which impression material can you use with this tray? Mention 3 faults with
impression that can result in pain with complete denture.

13- CT scan of the incisive canal: they asked about nerves and arteries pass and
anastomose through the canal, if you inject local anesthesia in the canal, what do you
expect to be anesthetize?

14- Radiograph of a traumatized upper lateral incisor: mention 3 things you can see on
the radiograph, what is the procedure performed in here? (apexification) what
materials can you use to complete the procedure? Name 3 aims of this procedure.

15- Trauma on upper ant central incisors with intrusion and complicated crown
fracture: what is the immediate treatment? What should you do later on? what does the
prognosis depend on?

Viva:
Ortho: Angle’s classification of incisors and molars, Meckle’s cartilage, type of
ossification in the mandible, areas of bone apposition and bone resorption, twin block:
its effect and muscles affected ( it’s effect is 75%, 50% dental and 25% skeletal, it
affects the masseter, medial and lateral pterygoid), photo of a patient with ortho
treatment of 1 year duration with multiple decalcification, what are you concerned
about? (the answer is oral hygiene).

Pedo: radiograph and clinical photo of carious D and E: what should you do for these
teeth and why? Type of caries risk and how do you determine that? Things you
prescribe for this patient (he was 6 years old, fluoride mouthwash and supplement,
CPPACP, and they asked about the concentration).

Surgery: Panorama of partially dentate patient and you want to extract the upper 7
(heavily restored with RCT and short post, very close to maxillary sinus). Would you
extract this tooth? No I’ll refer the patient to oral surgery. What complications you may
expect if you extract it? The tooth may break, oroantral communication, part of the root
may displaces within the sinus. If oroantaral communication happens, what should you
do? What type of antibiotic will you prescribe? If the root displaces in the sinus, what
should you do? (try to remove it with suction).

Prostho: clinical photograph of upper edentulous ridge. They asked about the arch form
and some anatomical landmarks. Vibrating line (definition, location). Define retention,
stability and support. If this patient is gagger and can’t tolerate the upper complete
denture, how can you solve this? (Consider implant retained overdenture or implant
retained fixed prosthesis). How can you make sure the patient is suitable for implant?
(panorama, cone beam CT). Clinical photo of lower edentulous ridge of the same
patient, do you think the denture will be retentive? No, atrophic ridge. How can you
solve this problem? Admix tech, decrease leeway space…etc, or use implant retained
overdenture (you need 2 implants in the lower arch).