Beruflich Dokumente
Kultur Dokumente
Using the information provided answer questions on the answer score sheet
Patient A
Patient Information:
Age: 25 Blood pressure: 120/79 mmHg
Gender: Male Pulse Rate: 60bpm
Height: 180 cm Respiration Rate: 16 /min
Weight: 160 lb Temperature: 37.5 C
Chief Complaint:
My teeth are yellow
Dental History:
Visits the dentist regularly
Medical History:
Allergies: Penicillin
Social/Family History:
Smoker (2 pack year)
Clinical Examination:
Significant Findings:
Intra-oral: Poor oral hygiene, heavy plaque buildup, teeth have generalized yellowish
hue
STATION S1 – MORNING SESSION
Patient A
Which of the following is the most likely diagnosis for the radiographic entity above?
A. Normal tooth.
B. Calcifying tooth crown.
C. Developing root apex.
D. Hypercementosis.
E. Attrition.
F. Tooth fracture.
G. Rarefying osteitis/periradicular periodontitis.
H. Periapical cemento-osseous dysplasia.
I. Odontoma.
J. Dens invaginatus/dens-in-dente.
K. Dentin dysplasia.
L. Dentinogenesis imperfecta.
M. Amelogenesis imperfecta.
N. Enamel hypoplasia/Turner’s tooth.
O. Regional odontodysplasia.
STATION S1 – MORNING SESSION
Patient B
Patient Information:
Age: 45 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 18 /min
Weight: 90 kg (198 lb) Temperature: 38 C
Chief Complaint:
General Checkup
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Allergies: Sulfa Drugs
Social/Family History:
NSF
Clinical Examination:
Significant Findings:
Intra-oral: Missing teeth in first, second and third quadrant. Teeth condition WNL.
STATION S1 – MORNING SESSION
Patient B
Which of the following is the most likely diagnosis for the radiographic entity shown in the above
radiograph?
A. Hyoid bone.
B. Antral septum.
C. Soft palate.
D. Cervical spine.
E. Inferior concha.
F. Tongue.
G. Enostosis/dense bone island/osteosclerosis.
H. Supernumerary tooth.
I. Calcified lymph nodes.
J. Calcified stylohyoid ligament.
K. Maxillary retention cyst/antral pseudocyst.
L. Foreign body.
M. Fibro-osseous lesion.
N. Sclerosing osteitis.
O. Malignancy.
STATION S2 – MORNING SESSION
Patient C
Patient Information:
Age: 29 Blood pressure: 125/81 mmHg
Gender: Female Pulse Rate: 62bpm
Height: 165 cm Respiration Rate: 15 /min
Weight: 90 kg (198 lb) Temperature: 37 C
Chief Complaint:
My wisdom teeth are not out yet
Dental History:
Visits the dentist regularly
Medical History:
NSF
Social/Family History:
Smoker (1 pack year)
Clinical Examination:
Significant Findings:
Extra-oral: Slight swelling right submd area
Intra-oral: Heavily restored dentition, edematous gingiva, generalized bleeding upon
probing
STATION S2 – MORNING SESSION
Patient C
Using the information provided answer questions on the answer score sheet
Patient D
Patient Information:
Age: 45 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 20 /min
Weight: 90 kg (198 lb) Temperature: 37 C
Chief Complaint:
I want to discuss options for replacement of lower right molar.
Dental History:
Irregular dental visits
Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Allergies: codeine
Social/Family History:
Smoker (2 pack year)
Boxer
Clinical Examination:
Significant Findings:
Extra-oral: Tender muscles of mastication, clicking in right TMJ
Intra-oral: Moderately restored dentition
STATION S2 – MORNING SESSION
Patient D
Which of the following is the most likely anatomical structure/diagnosis for the radiographic
entity in the above panoramic radiograph?
A. Mental foramen.
B. Mandibular foramen.
C. Mandibular canal.
D. Submandibular salivary gland fossa.
E. Nutrient canal.
F. Stafne bone defect/static bone cavity.
G. Postsurgical defect/scar.
H. Rarefying osteitis/periradicular periodontitis.
I. Nasopalatine/incisive canal cyst.
J. Simple/traumatic bone cyst.
K. Dentigerous/follicular cyst.
L. Residual cyst.
M. Lateral periodontal cyst.
N. Periapical cemento-osseous dysplasia.
O. Malignancy.
STATION S3 – MORNING SESSION
Using the information provided answer questions on the answer score sheet
Patient E
Patient Information:
Age: 40 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 182 cm Respiration Rate: 15 /min
Weight: 82 kg Temperature: 37 C
Chief Complaint:
Pain in upper left side
Dental History:
Irregular dental visits
Medical History:
Significant Findings: Hypertension
Current Medication: hydrochlorothiazide
Allergies: Penicillin
Clinical Examination:
Significant Findings:
Extra-oral:NSF
Intra-oral: Deep mesial caries on 25, retained roots 26
STATION S3 – MORNING SESSION
Patient E
Which of the following is the most likely anatomical structure/diagnosis for the radiographic
entity indicated by the arrow(s)?
A. Developing root apex.
B. Canine fossa.
C. Nutrient canal.
D. Maxillary sinus.
E. Mental foramen.
F. Focal osteoporotic bone marrow defect.
G. Nasopalatine foramen.
H. Nasopalatine cyst.
I. Rarefying osteitis/periradicular periodontitis.
J. Periapical cemento-osseous dysplasia.
K. Residual cyst.
L. Lateral periodontal cyst.
M. Simple/traumatic bone cyst.
N. Ameloblastoma.
O. Malignancy.
STATION S3 – MORNING SESSION
Using the information provided answer questions on the answer score sheet
Patient F
Patient Information:
Age: 22 Blood pressure: 115/75 mmHg
Gender: Female Pulse Rate: 63bpm
Height: 180 cm Respiration Rate: 15 /min
Weight: 135 lb Temperature: 37 C
Chief Complaint:
New Patient Exam
Dental History:
Visits the dentist regularly
Medical History:
NSF
Clinical Examination:
Significant Findings:
Extra-oral: Slight asymmetry between left and right side
Intra-oral: NSF
STATION S3 – MORNING SESSION
Patient F
Which of the following is the most likely anatomical structure/diagnosis for the radiographic
entity presented in the above periapical radiograph?
A. Submandibular gland fossa
B. Mental Foramen
C. Inferior Alveolar canal.
D. Coronoid process.
E. Zygomatic arch.
F. Mylohyoid ridge.
G. External oblique ridge.
H. Torus.
I. Retained root.
J. Sclerosing osteitis.
K. Enostosis/dense bone island/osteosclerosis.
L. Periapical cemento-osseous dysplasia.
M. Fibrous dysplasia.
N. Maxillary sinus retention cyst/antral pseudocyst.
O. Malignancy.
STATION S4 – MORNING SESSION
Using the information provided answer questions on the answer score sheet
Patient G
Patient Information:
Age: 46 Blood pressure: 130/89 mmHg
Gender: Male Pulse Rate: 69bpm
Height: 184 cm Respiration Rate: 16 /min
Weight: 184 lb Temperature: 37.5 C
Chief Complaint:
Burning sensation in the left side
Dental History:
Only emergency visits
Medical History:
Social/Family History:
Smoker (2 pack year)
Clinical Examination:
Significant Findings:
Extra-oral: NSF
Intra-oral: Bilateral white lesion on buccal cheek
STATION S4 – MORNING SESSION
Patient G
Which of the following is the most likely diagnosis for the entity shown in the photograph?
A. Linea alba.
B. Fordyce’s granules.
C. Leukoedema.
D. Leukoplakia/hyperkeratosis with or without dysplasia.
E. Frictional/traumatic keratosis.
F. Mucosal burn.
G. Lichen planus.
H. Candidiasis.
I. Hairy leukoplakia.
J. Lupus erythematosus.
K. White sponge nevus.
L. Erythema migrans/geographic tongue.
M. Mucous patches of secondary syphilis.
N. Hairy tongue.
O. Verrucous carcinoma.
STATION S4 – MORNING SESSION
Using the information provided answer questions on the answer score sheet
Patient H
Patient Information:
Age: 52 Blood pressure: 150/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 18 /min
Weight: 90 kg (198 lb) Temperature: 37 C
Chief Complaint:
The roof of my mouth burns and this is the second or third time it has happened.
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: Hypertension
Current Medication: Azar
Allergies: peanuts
Clinical Examination:
Significant Findings:
Extra-oral: tender lymph nodes
Intra-oral: multiple ulcerations in the hard and soft palate.
STATION S4 – MORNING SESSION
Patient H
Which of the following is the most likely diagnosis for the entity shown in photograph(s)?
A. Aphthous ulcer(s).
B. Herpes zoster.
C. Traumatic ulcer(s).
D. Recurrent herpes simplex.
E. Primary herpetic gingivostomatitis.
F. Necrotizing ulcerative gingivitis.
G. Erythema migrans/geographic tongue.
H. Herpangina.
I. Mucosal burn.
J. Lichen planus.
K. Squamous cell carcinoma.
L. Cicatricial pemphigoid/benign mucous membrane pemphigoid.
M. Pemphigus vulgaris.
N. Erythema multiforme.
O. Lupus erythematosus.
STATION S5 – MORNING SESSION
Using the information provided answer questions on the answer score sheet
Patient I
Patient Information:
Age: 48 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 16 /min
Weight: 90 kg (198 lb) Temperature: 37 C
Chief Complaint:
I keep biting my cheek
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Allergies: Penicillin
Social/Family History:
Smoker (2 pack year)
Clinical Examination:
Significant Findings:
Extra-oral: NSF
Intra-oral: Evidence of cheek biting on the right side
STATION S5 – MORNING SESSION
Patient I
Patient J
Patient Information:
Age: 54 Blood pressure: 120/75 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 16 /min
Weight: 90 kg (198 lb) Temperature: 39 C
Chief Complaint:
I have a lump on the roof of my mouth that bothers me
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: had needle stick injury while withdrawing blood from high risk patient 3
years ago
Social/Family History:
Smoker (2 pack year)
Clinical Examination:
Significant Findings:
Extra-oral: NSF
Intra-oral: Red lesion on the palate
STATION S5 – MORNING SESSION
Patient J
Which of the following is the most likely diagnosis for the entity shown in the photograph?
A. Physiologic/racial pigmentation.
B. Erythroplakia.
C. Candidiasis.
D. Smoker’s melanosis.
E. Lichen planus.
F. Erythema migrans/geographic tongue.
G. Kaposi’s sarcoma.
H. Hemangioma.
I. Lupus erythematosus.
J. Radiation mucositis.
K. Amalgam tattoo.
L. Melanoma.
M. Melanotic macule/nevus.
N. Mucocele.
O. Varicosity/Varicosities.
STATION S6 – MORNING SESSION
Using the information provided answer questions on the answer score sheet
Patient K
Patient Information:
Age: 36 Blood pressure: 119/75 mmHg
Gender: Male Pulse Rate: 65bpm
Height: 182 cm Respiration Rate: 15 /min
Weight: 160 lb Temperature: 37 C
Chief Complaint:
Burning sensation in the tongue
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: Chronic bronchitis
Current Medication: Erythromycin
Allergies: Penicillin
Clinical Examination:
Significant Findings:
Extra-oral: NSF
STATION S6 – MORNING SESSION
Patient K
Which of the following is/are appropriate in a differential diagnosis for the entity shown in the
photograph?
A. Normal tongue.
B. Lingual tonsil/foliate papillae.
C. Fissured tongue.
D. Frictional/traumatic keratosis.
E. Traumatic ulcer.
F. Leukoplakia/hyperkeratosis with or without dysplasia.
G. Hairy leukoplakia.
H. Hairy tongue.
I. Erythema migrans/geographic tongue.
J. Median rhomboid glossitis.
K.Candidiasis.
L. Lichen planus.
M. Papilloma/verruca vulgaris.
N. Granular cell tumour.
O. Squamous cell carcinoma.
STATION S6 – MORNING SESSION
Using the information provided answer questions on the answer score sheet
Patient L
Patient Information:
Age: 45 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 20 /min
Weight: 90 kg (198 lb) Temperature: 39 C
Chief Complaint:
Pain and burning sensation in the right side
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Allergies: Penicillin
Social/Family History:
Smoker (2 pack year)
Clinical Examination:
Significant Findings:
Extra-oral: tender left submandibular lymph nodes
Intra-oral: Unilateral white patch on the right cheek and the tongue present for 3 months.
Deep mesial decay on 46. Heavy plaque and calculus deposits.
STATION S6 – MORNING SESSION
Patient L
Which of the following is/are appropriate in a differential diagnosis for the entity shown in the
photograph?
Patient M
Patient Information:
Age: 6
Gender: Male
Weight: 30 kg
Temperature: 39 C
Chief Complaint:
Pain and burning sensation, can\t sleep at night
Dental History:
Visits the dentist regularly
Medical History:
NSF
Clinical Examination:
Significant Findings:
Extra-oral: tender lymph nodes
Intra-oral: inflamed, ulcerated gums
STATION S7 – MORNING SESSION
Patient M
Which of the following is/are indicated for the initial management of this patient?
A. No treatment.
B. Topical antimicrobial.
C. Systemic antimicrobial.
D. Topical corticosteroid.
E. Systemic corticosteroid.
F. Topical anesthetic.
G. Systemic analgesic.
H. Protective dressing.
I. Eliminate etiologic factor(s).
J. Debridement.
K. Incisional biopsy.
L. Excisional biopsy.
STATION S7 – MORNING SESSION
CASE SYNOPSIS:
Patient N
Patient Information:
Age: 56 Blood pressure: 160/100 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 175 cm Respiration Rate: 20 /min
Weight: 90 kg (198 lb) Temperature: 37 C
Chief Complaint:
General checkup
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: Hypertension, MI two years ago
Current Medication: hydrochlorothiazide, warfarin
Social/Family History:
Ex-Smoker
Synopsis:
During dental treatment, patient started to feel crushing pain in chest and lost consciousness.
Which of the following photographs depicts the most appropriate head position for this patient at
this point in time?
A.
B.
C.
D.
E.
F.
STATION S7 – MORNING SESSION
Patient N
Question 14:
A B
C D
E F
STATION S7 – MORNING SESSION
Using the information provided answer questions on the answer score sheet
Patient O
Patient Information:
Age: 60 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 19 /min
Weight: 90 kg (198 lb) Temperature: 37 C
Chief Complaint:
Recall Appointment
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: 2 MIs 4 and 5 years ago
Current Medication: Plavix, aspirin, Azar
Case Synopsis:
During dental treatment, patients becomes short of breath and loses consciousness.
STATION S8 – MORNING SESSION
Patient O
Which of the following locations represent the most appropriate site to check the pulse and the
most appropriate site for chest compression in the management of a patient in cardiac arrest?
A
B
C
F
D
G
I
E
J
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
TATION S8 – MORNING SESSION
On the photograph, which component(s) must be opened in order to permit the delivery of
oxygen to a patient?
D A
G B
F C
E
A.
B.
C.
D.
E.
F.
G.
STATION S9 – MORNING SESSION
Case Synopsis:
A diabetic type II patient with high blood pressure presents to your office for emergency dental
treatment. Patient is very anxious from any surgical procedure. After obtaining consent, and
during the extraction procedure, patient stated that he is feeling pain in his chest that radiates to
his left arm. Patient feels out of breath and states that he is going to faint.
D. E. F.
G. H. I.
A.
B.
C.
D.
E.
F.
G.
H.
I.
STATION S9 – MORNING SESSION
CASE SYNOPSIS
Mr. X is a friendly patient who is type II diabetic patient and comes regularly for dental
cleanings. His oral hygiene is good and his dental condition is well controlled. Mr. X presents
to your office for a regular recall appointment. After doing review of systems was done and
patient indicated that he ate his breakfast and took full dose of insulin. In the middle of
treatment, Mr. X started to become pale, sweat started to form on his forehead, and he
indicated that he is getting lightheaded.
CASE SYNOPSIS
Mrs. Y comes to your office as an emergency patient. Mrs. Y indicates that she has allergy to
latex gloves and peanuts. To treat Mrs. Y, nitrile gloves were used. As you were injecting LA
2% lidocaine, 1:100000 epi, patient started to gasp for air and her face started to swell.
Which of the following is/are appropriate in the immediate management of this patient?
A. No intervention necessary.
B. Administer acetylsalicylic acid.
C. Administer diphenhydramine.
D. Administer epinephrine.
E. Administer glucagon.
F. Administer glucose orally.
G. Administer nitroglycerin.
H. Administer oxygen.
I. Administer salbutamol.
J. Head-tilt/chin-lift.
K. Ventilate the patient and begin cardiac compressions.
L. Abdominal thrusts.
M. Finger sweep.
N. Use automated external defibrillator.
O. Call emergency medical services (911).
STATION S10 – MORNING SESSION
Using the probe provided cast answer the following question on the answer score sheet.
Using the probe and cast framework provided, answer the following question on the answer
score sheet.
Using the probe and cast framework provided, answer the following question on the answer
score sheet.
Using the probe and model, answer the following question on the answer score sheet.
A. is acceptable.
B. is undercut.
C. has insufficient reduction labially/buccally.
D. has excessive reduction labially/buccally.
E. has insufficient reduction lingually.
F. has excessive reduction lingually.
G. has insufficient reduction mesially.
H. has excessive reduction mesially.
I. has insufficient reduction distally.
J. has excessive reduction distally.
K. has insufficient reduction incisally/occlusally.
L. has excessive reduction incisally/occlusally.
M. has unacceptably sharp angles.
N. has unacceptable roughness on the margin/unsupported enamel
STATION S13 – MORNING SESSION
Using the probe and model, answer the following question on the answer score sheet.
The preparation for a metal-ceramic (porcelain fused to metal) crown with metal occlusal and a
buccal porcelain margin (90° butt joint) on tooth 33 has
A. acceptable margins.
B. an unacceptably irregular/discontinuous margin.
C. unsupported enamel (lipping) of the margin.
D. excessive occlusal convergence (taper) mesiodistally.
E. excessive occlusal convergence (taper) buccolingually.
FOR PURPOSES OF THIS EXAMINATION ALL MARGINS HAVE BEEN PLACED
SUPRAGINGIVALLY.
Using the probe and model, answer the following question on the answer score sheet.
A. is acceptable.
B. is undercut.
C. has insufficient reduction buccally.
D. has excessive reduction buccally.
E. has insufficient reduction lingually.
F. has excessive reduction lingually.
G. has insufficient reduction mesially.
H. has excessive reduction mesially.
I. has insufficient reduction distally.
J. has excessive reduction distally.
STATION S14 – MORNING SESSION
Using photographs answer the following question on the answer score sheet.
A. is acceptable.
B. is overcontoured on the labial/buccal.
C. is overcontoured on the lingual.
D. has (an) unacceptable interproximal contact(s).
E. is too long incisally/occlusally.
F. is too short incisally/occlusally.
STATION S14 – MORNING SESSION
Using photographs answer the following question on the answer score sheet.
The margin on the metal ceramic (porcelain fused to metal) restoration on tooth 11 is
A. acceptable
B. open on the mesial.
C. open on the distal.
D. open on the labial/buccal.
E. open on the lingual.
F. overextended on the mesial.
G. overextended on the distal.
H. overextended on the labial/buccal.
I. overextended on the lingual.
STATION S15 – MORNING SESSION
Using the probe and cast, answer the following question on the answer score sheet.
Using photograph, answer the following question on the answer score sheet.
Using the probe and model, answer the following question on the answer score sheet.
Which of the following modifications is/are required to make the MOD preparation on tooth 36
acceptable for an amalgam restoration?
A. No modifications required.
B. Deepen the pulpal floor.
C. Deepen the mesial axial wall.
D. Deepen the distal axial wall.
E. Increase the occlusal retention and resistance form.
F. Correct the mesiobuccal wall.
G. Correct the mesiolingual wall.
H. Correct the distobuccal wall.
I. Correct the distolingual wall.
J. Extend the mesiogingival floor gingivally.
K. Extend the distogingival floor gingivally.
L. Finish the cavosurface margin(s).
Using the probe and model, answer the following question on the answer score sheet.
An amalgam restoration will be placed in tooth 16. Which of the following modifications to the
amalgam preparation is/are required?
A. No modifications required.
B. Reduce the mesiobuccal cusp for cusp capping (shoeing the cusp).
C. Reduce the distobuccal cusp for cusp capping (shoeing the cusp).
D. Reduce the mesiolingual cusp for cusp capping (shoeing the cusp).
E. Reduce the distolingual cusp for cusp capping (shoeing the cusp).
F. Place auxiliary retention.
STATION S17 – MORNING SESSION
Using radiograph A, answer the following question on the answer score sheet.
Using radiograph B, answer the following question on the answer score sheet.
Using the probe and model, to answer the following question on the answer score sheet.
A. is acceptable.
B. is overcontoured/has excess material.
C. is undercontoured.
D. has (an) open interproximal contact(s).
E. has (a) void(s).
STATION S18 – MORNING SESSION
Using the probe and cast to answer the following question on the answer score sheet.
Using the probe and cast to answer the following question on the answer score sheet.
A. is acceptable.
B. is overcontoured/has excess material.
C. is undercontoured.
D. has (an) open interproximal contact(s).
E. has (a) void(s).
STATION S19 – MORNING SESSION
Using the probe and cast, answer the following question on the answer score sheet.
A. is acceptable.
B. is overcontoured/has excess material.
C. is undercontoured.
D. has (an) open interproximal contact(s).
E. has (a) void(s).
F. excess.
STATION S20 – MORNING SESSION
Using attached photographs and ceph measurements provided, answer the following question
on the answer score sheet. The age appropriate mean and the patient-specific SNA and SNB
measurements are provided.
A. Angle Class I.
B. Angle Class II with maxillary prognathism.
C. Angle Class II with maxillary retrognathism.
D. Angle Class II with mandibular prognathism.
E. Angle Class II with mandibular retrognathism.
F. Angle Class III with maxillary prognathism.
G. Angle Class III with maxillary retrognathism.
H. Angle Class III with mandibular prognathism.
I. Angle Class III with mandibular retrognathism.
STATION S20 – MORNING SESSION
Using the facial photograph, answer the following question on the answer score sheet. The age
appropriate
mean as well as the patient-specific mandibular plane angle measurements are provided.
The mixed dentition space analysis predicts that the patient will have
Using the probe and casts, perform a mixed dentition space analysis using a method of your
choice (a Boley Gauge, a ruler and an appropriate Moyer’s Probability Table are provided for
your use at your discretion) and answer the following question on the answer score sheet.
STATION S21 – MORNING SESSION
Using photograph(s), answer the following question on the answer score sheet.
Using photograph(s) answer the following question on the answer score sheet.
Using photograph(s) answer the following question on the answer score sheet.
Which of the following is/are appropriate interceptive orthodontic treatment(s) for this patient?
Using photograph(s), answer the following question on the answer score sheet.
Which of the following is/are appropriate interceptive orthodontic treatment(s) for this patient?
Using the information provided answer questions on the answer score sheet
Patient P
Patient Information:
Age: 16 Blood pressure: 120/80 mmHg
Gender: Female Pulse Rate: 70bpm
Height: 163 cm Respiration Rate: 17 /min
Weight: 130 lb Temperature: 37 C
Chief Complaint:
Pain in lower left side
Dental History:
Visits the dentist regularly
Medical History:
NSF
Clinical Examination:
Significant Findings:
Extra-oral: WNL
Intra-oral: Exaggerated cold response at 36
Percussion negative at 36
Normal cold response at 37
Percussion slightly positive at 37
STATION S23 – MORNING SESSION
Patient P
Which of the following is/are the most likely diagnosis/diagnoses for tooth 36?
A. Normal pulp.
B. Reversible pulpitis.
C. Irreversible pulpitis.
D. Necrotic pulp.
E. Normal periradicular periodontium
F. Acute periradicular periodontitis.
G. Acute periradicular abscess.
H. Chronic periradicular periodontitis.
I. Chronic periradicular abscess/suppurative periradicular periodontitis.
J. Root fracture.
K. Internal resorption.
L. External resorption.
M. Hyperplastic pulpitis.
N. Combined endodontic-periodontic lesion.
STATION S24 – MORNING SESSION
Using photograph answer the following question on the answer score sheet.
What is/are the appropriate treatment(s) for the spacing in the maxillary arch at this time?
Using the information provided answer questions on the answer score sheet
Patient Q
Patient Information:
Age: 28 Blood pressure: 120/80 mmHg
Gender: Male Pulse Rate: 70bpm
Height: 185 cm Respiration Rate: 17 /min
Weight: 160 lb Temperature: 37 C
Chief Complaint:
Random pain in upper left side
Dental History:
Visits the dentist regularly
Medical History:
NSF
Clinical Examination:
Significant Findings:
Extra-oral: WNL
Intra-oral: 26 cold test WNL
26 percussion negative
27 cold test WNL
27 percussion negative
STATION S24 – MORNING SESSION
Patient Q
Which of the following is/are the most likely diagnosis/diagnoses for tooth 26?
A. Normal pulp.
B. Reversible pulpitis.
C. Irreversible pulpitis.
D. Necrotic pulp.
E. Normal periradicular periodontium
F. Acute periradicular periodontitis.
G. Acute periradicular abscess.
H. Chronic periradicular periodontitis.
I. Chronic periradicular abscess/suppurative periradicular periodontitis.
J. Cusp fracture.
K. Internal resorption.
L. External resorption.
M. Hyperplastic pulpitis.
N. Combined endodontic-periodontic lesion.
STATION S25 – MORNING SESSION
Using the probe, cast to answer the following question on the answer score sheet.
Which of the following is the most likely anatomical structure/diagnosis for the radiographic
entity indicated by the arrow(s)?
A. Mental foramen.
B. Mandibular foramen.
C. Mandibular canal.
D. Submandibular salivary gland fossa.
E. Nutrient canal.
F. Stafne bone defect/static bone cavity.
G. Postsurgical defect/scar.
H. Rarefying osteitis/periradicular periodontitis.
I. Nasopalatine/incisive canal cyst.
J. Simple/traumatic bone cyst.
K. Dentigerous/follicular cyst.
L. Conchae.
M. Lateral periodontal cyst.
N. Periapical cemento-osseous dysplasia.
O. Malignancy.
STATION S1 – AFTERNOON SESSION
Using the print of radiograph, answer the following question on the answer score sheet.
Which of the following may complicate the root canal treatment on tooth 16?
A. No complicating factors present.
B. Presence of accessory canals/canal subdivision.
C. Curved/atypical root morphology.
D. Pulp stones/calcification of the pulp chamber.
E. Calcification of root canal(s).
F. Internal resorption.
G. External resorption.
H. Extensive restoration.
I. Caries.
J. Rotated or tipped tooth.
K. Tooth fracture.
L. Open apex.
STATION S1 – AFTERNOON SESSION
Using the print of radiograph, answer the following question on the answer score sheet.
Tooth 12 demonstrates
A. complete healing.
B. incomplete healing.
C. a chronic periradicular periodontitis.
D. a chronic periradicular abscess/suppurative periradicular periodontitis.
E. an acute periradicular periodontitis.
F. an acute periradicular abscess.
G. a root fracture.
H. an inadequate coronal restoration.
I. a furcation involvement.
J. an inappropriate post length/diameter/space preparation.
STATION S2 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet
Patient A
Patient Information:
Age: 45 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 18 /min
Weight: 90 kg (198 lb) Temperature: 37 C
Chief Complaint:
Pain lower right side
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Allergies: Penicillin
Social/Family History:
Smoker (2 pack year)
Clinical Examination:
Significant Findings:
Extra-oral: tender right submandibular lymph nodes
Intra-oral: 46 percussion positive
STATION S2 – AFTERNOON SESSION
Patient A
A. No treatment required.
B. Correct occlusal contacts.
C. Retreat endodontically.
D. Place extracoronal restoration.
E. Bleaching.
F. Apexogenesis.
G. Apexification.
H. Perform apical surgery and place a retrograde filling.
I. Perform a biopsy.
J. Hemisection.
K. Root amputation.
L. Pulpotomy.
M. Pulpectomy.
N. Extract the tooth.
STATION S3 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet
Patient B
Patient Information:
Age: 52 Blood pressure: 150/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 19 /min
Weight: 180 lb Temperature: 37 C
Chief Complaint:
Regular checkup
Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Clinical Examination:
NSF
STATION S3 – AFTERNOON SESSION
Patient B
Refer to Radiograph
Patient C
Patient Information:
Age: 53 Blood pressure: 113/75 mmHg
Gender: Male Pulse Rate: 65 bpm
Height: 181 cm Respiration Rate: 15 /min
Weight: 174 lb Temperature: 37 C
Chief Complaint:
Pain in lower right side
Dental History:
Visits the dentist regularly
Medical History:
NSF
Clinical Examination:
Significant Findings:
Extra-oral: tender right submandibular lymph nodes
Intra-oral: 46 M1, percussion positive
STATION S3 – AFTERNOON SESSION
Patient C
Which of the following emergency managements would be most appropriate for tooth 46?
A. Hypercementosis.
B. Root morphology.
C. Ankylosis.
D. Extensive caries.
E. Proximity to adjacent tooth/teeth.
F. Increased bone density.
G. Impacted tooth.
H. Isolated tooth.
I. Extensive restoration.
J. Endodontically treated tooth.
K. Atrophic mandible/maxilla.
L. Proximity to mandibular canal.
M. Proximity to maxillary sinus.
N. Associated pathological lesion.
STATION S4 – AFTERNOON SESSION
Using diagram, answer the following question on the answer score sheet.
A flap is required to cover oral-antral communication at 26. Which of the above flaps is most
appropriate?
A.
B.
C.
D.
E.
STATION S5 – AFTERNOON SESSION
Patient D
Patient Information:
Age: 30 Blood pressure: 114/78 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 17 /min
Weight: 155 lb Temperature: 38 C
Chief Complaint:
Pain in upper left side
Dental History:
Visits the dentist regularly
Medical History:
NSF
STATION S6 – AFTERNOON SESSION
Patient D
Patient E
Patient Information:
Age: 45 Blood pressure: 140/90 mmHg
Gender: Female Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 20 /min
Weight: 90 kg (198 lb) Temperature: 39 C
Chief Complaint:
Pain and burning sensation in the right side
Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Social/Family History:
Smoker (2 pack year)
Clinical Examination:
Significant Findings:
Extra-oral: swelling in right buccal cheek
Intra-oral: Generalized gross decay
STATION S6 – AFTERNOON SESSION
Patient E
Which of the following is the most likely diagnosis of the swelling(s) seen on this patient?
A. Hematoma.
B. Edema.
C. Subcutaneous emphysema.
D. Neoplasm.
E. Odontogenic infection.
F. Non-odontogenic infection.
G. Mucous retention phenomenon.
H. Sialadenitis.
I. Allergic reaction.
J. Cyst.
K. Muscle hypertrophy.
L. Exostosis.
M. Soft tissue hyperplasia.
STATION S7 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet
Patient F
Patient Information:
Age: 4
Gender: Female
Temperature: 37.5 C
Chief Complaint:
Pain in the left side
Medical History:
NSF
STATION S7 – AFTERNOON SESSION
Patient F
Which of the following is/are appropriate initial management(s) of the swelling for this patient?
A. No treatment.
B. Periodontal debridement.
C. Drainage through tooth/pulpectomy.
D. Intraoral incision and drainage.
E. Extraoral incision and drainage.
F. Excision.
G. Extraction.
H. Antibiotic therapy.
I. Administration of diphenhydramine.
J. Administration of epinephrine.
K. Appropriate referral.
STATION S7 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet
Patient G
Patient Information:
Age: 22 Blood pressure: 120/78 mmHg
Gender: Male Pulse Rate: 70bpm
Height: 180 cm Respiration Rate: 15 /min
Weight: 155 lb Temperature: 37 C
Chief Complaint:
Pain in lower left side
Dental History:
Visits the dentist regularly
Medical History:
NSF
Social/Family History:
Smoker (2 pack year)
Clinical Examination:
Significant Findings:
Extra-oral: Clicking on the right and left TMJ
Intra-oral: Cold test 36, 37 WNL
36, 37 percussion negative
36, 37 tooth sleuth test negative
STATION S7 – AFTERNOON SESSION
Patient G
Refer to Radiograph
A. Pericoronitis.
B. Alveolar osteitis.
C. Irreversible pulpitis.
D. Reversible pulpitis.
E. Periodontal abscess.
F. Periradicular abscess.
G. Tooth fracture.
H. TMJ referred pain
I. Trigeminal neuralgia.
J. Atypical facial pain.
K. Necrotizing ulcerative gingivitis/periodontitis.
L. Dentinal hypersensitivity.
M. Impacted tooth.
N. Occlusal trauma.
O. Maxillary sinusitis.
STATION S8 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet
Patient H
Patient Information:
Age: 62 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 20 /min
Weight: 90 kg (198 lb) Temperature: 37 C
Chief Complaint:
Pain in the right side
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: Hypertension, hypothyroidism
Current Medication: levothyroxine, hydrochlorothiazide
STATION S8 – AFTERNOON SESSION
Patient H
Which of the following is/are indicated to establish a diagnosis of this patient’s pain?
A. Radiographic examination.
B. Pulp vitality testing.
C. Periodontal probing.
D. Tooth percussion.
E. Application of pressure on individual cusps.
F. Assessment of tooth mobility.
G. Palpation.
H. Evaluation of occlusion.
I. Evaluation of restoration(s).
J. Selective local anesthesia.
K. Evaluation of lymph nodes.
L. Microbiological testing.
M. Cytological smear.
N. Biopsy.
O. Aspiration.
STATION S8 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet
Patient I
Patient Information:
Age: 6
Gender: Female
Weight: 20 kg (198 lb)
Temperature: 37 C
Chief Complaint:
Pain in the lower right side
Dental History:
Visits the dentist regularly
Medical History:
NSF
Clinical Examination:
Significant Findings:
Intra-oral: 84 is restored with SSC
STATION S8 – AFTERNOON SESSION
Patient I
Refer to Radiograph
Using the information provided answer questions on the answer score sheet
Patient J
Patient Information:
Age: 64 Blood pressure: 120/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 18 /min
Weight: 90 kg (198 lb) Temperature: 37 C
Chief Complaint:
Burning sensation in the palate
Dental History:
Visits the dentist regularly
Medical History:
Significant Findings: Cushing syndrome
Current Medication: hydrocortisone
Clinical Examination:
Significant Findings:
Extra-oral:NSF
Intra-oral: generalized rash on the palate
STATION S9 – AFTERNOON SESSION
Patient J
Photograph
Question: 17 (Select ONE OR MORE correct answers.)
Which of the following is/are appropriate to manage this patient?
A. Analgesics.
B. Antibiotic therapy.
C. Antiviral therapy.
D. Antifungal therapy.
E. Placement of sedative dressing.
F. Irrigation.
G. Topical corticosteroids.
STATION S9 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet
Patient K
Patient Information:
Weight: 92 kg Temperature: 37 C
Chief Complaint:
Dental History:
Medical History:
NSF
Social/Family History:
Clinical Examination:
Significant Findings:
Extra-oral: NSF
Patient L
Patient Information:
Weight: 70 kg Temperature: 37 C
Chief Complaint:
My gums hurt.
Dental History:
Medical History:
Social/Family History:
Clinical Examination:
Significant Findings:
Extra-oral: WNL
Intra-oral: generalized gross decay, inflamed gums, fetor odour, brown/purple lesion on
gums between central and lateral.
STATION S10 – AFTERNOON SESSION
Patient L
Vestibular
Tooth 13 12 11 21 22 23
Probing Depth 323 222 323 323 333 322
Recession 0 0 0 0 0 0
Bleeding on + + + + - +
Probing
Lingual
Tooth 13 12 11 21 22 23
Probing Depth 333 322 221 221 131 121
Recession 0 0 0 0 0 0
Bleeding on + - + + + +
Probing
Mobility M0 M0 M1 M0 M0 M0
Patient M
Patient Information:
Chief Complaint:
Dental History:
Medical History:
Allergies: Penicillin
Social/Family History:
Clinical Examination:
Significant Findings:
Intra-oral: Unilateral white patch on the right cheek and the tongue present for 3 months.
Deep mesial decay on 46. Heavy plaque and calculus deposits
STATION S10 – AFTERNOON SESSION
Patient M
This resembles the whole arch
Vestibular
Tooth 36 37 46 47
Probing Depth 323 444 945 435
Recession 1 0 0 0
Bleeding on + + + +
Probing
Lingual
Tooth 36 37 46 47
Probing Depth 434 342 755 555
Recession 0 0 0 0
Bleeding on + - + +
Probing
Mobility M0 M0 M1 M0
Furcation Class II
Patient N
Patient Information:
Weight: 56 kg Temperature: 37 C
Chief Complaint:
Dental History:
Medical History:
Social/Family History:
Vestibular
Tooth 24 25 26 27
Probing Depth 424 444 645 435
Recession 1 0 0 0
Bleeding on + + + +
Probing
Lingual
Tooth 24 25 26 27
Probing Depth 434 342 555 555
Recession 0 0 0 0
Bleeding on + - + +
Probing
Mobility M0 M0 M1 M0
Furcation NSF
Patient O
Patient Information:
Age: 8
Gender: Male
Weight: 40 kg
Temperature: 39 C
Chief Complaint:
Dental History:
Clinical Examination:
Significant Findings:
Patient P
Patient Information:
Age: 7
Gender: Male
Chief Complaint:
Dental History:
Medical History:
NSF
STATION S15 – AFTERNOON SESSION
Patient P
Diagram below is a cross-section through the mandible at the level of the lingula. The needle is
being inserted for an injection of a standard inferior aveolar nerve block. Answer the following
question on the answer score sheet.
Diagram below is a cross-section through the mandible at the level of the lingula. The needle is
being inserted for an injection of a standard inferior aveolar nerve block. Answer the following
question on the answer score sheet.
CASE SYNOPSIS
In order to perform root canal therapy on tooth 22
C. D.
E. F.
STATION S19 – AFTERNOON SESSION
Using the case synopsis and photographs, answer the following question on the answer score
sheet.
CASE SYNOPSIS
To perform root canal therapy on 22 where standard local infiltration failed.
A. B.
C. D.
E. F.
STATION S19 – AFTERNOON SESSION
Using the case synopsis and photographs, answer the following question on the answer score
sheet.
CASE SYNOPSIS
Extraction of 46
C. D.
E. F.
G. H.
STATION S20 – AFTERNOON SESSION
Using the case synopsis and photographs, answer the following question on the answer score
sheet.
CASE SYNOPSIS
Root canal therapy on tooth 44
C. D.
E F.
G. H.
STATION S20 – AFTERNOON SESSION
Using the probe and cast framework provided, answer the following question on the answer
score sheet.
Using the probe and cast, answer the following question on the answer score sheet.
Mississauga, ON L5B3U7
Patient Information:
Chief Complaint:
Dental History:
Medical History:
Allergies: Penicillin
Social/Family History:
Clinical Examination:
Significant Findings:
Write a prescription for the most appropriate ANTIBIOTIC for this patient. If a drug trade
name is used, the prescription must include the generic name.
STATION S22 – AFTERNOON SESSION
Patient Q
Question:43 (Value 4)
Oct. 20/2012
Patient Q
Mississauga, ON
L5B3U7
Clindamycin 300 mg
Disp: 28 capsules
Mississauga, ON
L5B3U7
Patient Information:
Chief Complaint:
Pain started few days ago, lingering, patient can’t sleep at night
Dental History:
Medical History:
Social/Family History:
NSF
Clinical Examination:
Significant Findings:
Extra-oral: NSF
Write a prescription for the most appropriate ANALGESIC for this patient. If a drug trade
name is used, the prescription must include the generic name.
STATION S23 – AFTERNOON SESSION
Patient R
Question:44 (Value 4)
Oct. 20/2012
Patient R (Health Card XXX)
Mississauga, ON
L5B3U7