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Bananas Case & Testlet File (70+ Cases)(Case Study): Old lady stroke wheelchair. Smokes. Fracture of left zygoma affecting motor expression. Also has Osteoporosis + bisphosphonates. Has had clicking for many years (Sept 2016)Broke femur 1 month ago what type of bone? WovenAlternate: 5 years ago? RemodelingCan’t feel under her right eye what injury Right parietalWarning sign of another stroke? Right arm numbnessWhat nerve damaged? Facial nerveDiscolored teeth due to? BisphosphonatesWhat will affect healing of tooth extraction? Hypertension, NOT SMOKINGWhat’s a possible cause of this patient’s osteonecrosis (no osteoporosis)? Osteoarthritis(Case Study): Girl gets all 3rd molars (#1, 16, 17, 32) extracted. Pain in lower left after extraction. Swollen in lower left by #19. Pus drainage (Sept 2016).What’s cause of pain in lower left extraction? Osteomyelitis (indicating infection)Osteomalacia, OsteopeniaLymph node drainage? SubmandibularWants to numb lower lip? Mental Nerve(Case Study): Boy has bumps on right side of face face, right cheek, mouth, vestibule, palate. Ulcer on palate. Crown on #2What disease? Herpes Zoster (Shingles, unilateral)INCORRECT crown directions on #2? Facial HoC= cervical 1/3rd (should be middle 1/3rd)Epithelium next to ulcer? Parakeratinized(Case Study): 70 yo male farmer with dark lesion on upper lip. Bx showed crusty lesion next to nose. White leukoplakia on floor of mouth. Has Hepatitis C. Allergic to Penicillin (Sept 2016)What is the crusty lesion? Actinic keratosisWhat is it most likely caused by? Chronic Sun ExposureWhat characterizes the nose growth? Basal cell CarcinomaLeukoplakia surrounded by what tissue (floor of mouth)? Non-Keratinized Simple SquamousTrue about Hepatitis C EXCEPT? Doesn’t have a carrier state (it does!)Give him penicillin, reaction? Anaphylactic, IgGEthics if you give him penicillin? Non-Maleficence(Case Study): 55 yo male. Has hyperlipidemia, hypertension. On Antidiuretic med, anti-lipid med, hypertension meds. Wants Viagra. Complains of weird bitter taste in back of throat plus the sore spot on buccal of #3. Has parulis by #3 on buccal gingiva.Characteristic of Viagra EXCEPT? ______Increase blood pressure, Vasodilation,Bone you can feel through upper buccal vestibule in back of mouth? ZygomaticWhat nerve affected in lower vestibule? Buccal? V2?Which of the 5 tastes can you taste at low concentration? BitterMechanism of bitter taste in back of throat? G Protein-coupled receptorsNOT TTX-sensitive Na+(Case Study) 16 yo Girl with from Cambodia has Tuberculosis (TB); Medication + dental problems, parents don’t speak English. Ends up getting 2 TEs. (Aug 2016)Antibiotic most frequently used in treatment of TB? Rifampin (antibiotic)How does drug work? Inhibits RNA Synthesis (transcript), 6-9 monthsDo you treat this patient? Delay tx until pt is not infectious.If emergency? Urgent dental care in OSHA approved facility.Parents don’t speak, what is the ethical thing to do (non-emergency)? Get a translator and do txDo a RCT and still radiolucent, biopsy finds epithelium? CystAll of these bacteria will give a positive PPD test EXCEPT for? Leprosy, Pertussis?(Case Study) Man with 2 RPD’s, mandibular has bad posterior abutment. Pain by #3. It get worst at night, sharp pain and comes suddenly and leaves suddenly. On exam everything is NORMAL except palpation of the buccal gingiva hurts. On 2nd exam, put on Nitrous Oxide. (September 2016)Pain fibers? A deltaPain unit? Substance PNerve affected? V2What is the diagnosis for the case? Trigeminal neuralgia.Patient can’t take the pain, wants all teeth out + make him a removable.Which two principles conflict? Autonomy & non-maleficence.Nitrous oxide question(Case Study): Guy with bad breath and ulcers. Hygienist cuts patient distal to MN 2nd molar, 1 cm from midline.Which muscle is not damaged from scaling? Musculus UvulaAfter cuts patient, what do you do? Stop tx and tell patient + tell optionsPatient is bleeding profusely from what artery? Greater palatine artery(Case Study): Hurts to eat and chew purulent swelling under tongue. Alcoholic (Sept 2016)Where does submandibular duct empty in mouth? Sublingual caruncleWhat innervates gland? VIIAlcoholic? Affects cerebellumShows up drunk? Have emergency contact pick her upWhy does she have esophageal varicies- Liver congestionWhat do u expect to see in her liver- Fatty metaplasia(Case Study): Dry mouth burning lymphocytes in gland (Sept 2016)What fibers? A-deltaWhat is CC? Burning mouth syndromeWhat is causing dry mouth-? SjorgensWhat type of disease- AutoimmuneCrusty lips related EXCEPT? (vit b def, candidiasis) Decreased VDOShe sucks on candy what do u do- Fluoride mouthrinseBiopsy includes lower lip mucosa? Mental nerve(Case Study) Dead girl has swollen right cheek with hematoma on the lateral rim of the right orbit. Erupted lower canines but not upper canines. Rattlesnake bites her lateral of the right forearm (Aug 2016)What’s the age of this girl? 9-10 yrs (max canine = 11-12 yrs)Which bone of the orbit is probably broken? ZygomaticOn the x-ray, there is a line of radiolucency on the left orbital lateral margin? Normal sutureIn a scar tissue we have what type of bone formation? Metaplasia / metaplastic boneformed within dense collagenous scar tissue.)What would the coup contrecoup injury be (opposite side of impact) Right sphenoidWhat nerve is most prone to injury in the forearm? Radial nerve (elbow)What bone is subjacent? RadiusAlternate: Medial wall fracturedWhich bone has probability of breaking? Ethmoid bone.Contain? Lamina PapyraceaAlternate: Superior wall of orbit fracturedWhat arteries are injured? Lacrimal arteryWhat nerves are injured? III, IV, V1 (Frontal+Lacrimal+Nasociliary branch), VI(Case Study): Ulcer in Mid / Hard Palate (Aug 2016)What causes it? Viral infection, Fever/Heat blister?Smoking, pizza burn,tobacco,viral/bacterial infection)If biopsy epithelium around gingival ulcer what type of epithelium? Keratinized or Para?Not: Para, Ortho, Non-What type of epithelium IN the ulcer? Dermis?Based on med hx, what should dentist be concerned with in the chair? Syncope, orthostatic hypotensionCASE: Either 6 or 9 yo male presents with extreme carious teeth. Diet includes fast food and soda. Pt presents wearing long sleeves on a hot summer day. When he rolls up the sleeves, you observe contusions on his arms. Pt flinches throughout the pt interview. Highly worn enamel on all surfaces. Mental retardation, with facial deformity (Aug 2016)Facial deformity caused by? Down SyndromeWhite patches in mouth that could be scraped off? CandidaWhy all anterior, F/L teeth had no enamel? DietHe wore big sweater on really hot day, raised arms had lesions, flinched a lot—why? Possible child abuseWhat teeth do you expect to see? Ex: 6 primary teeth + 4 perm 1st molars + 6 ant teeth(Case Study) 6 weeks pregnant lady (Aug 2016).How long do you wait to treat her? 6 weeks (completion of organogenesis)Tell her to take care of oral health why? Gingival bleeding(Case Study) 6 weeks pregnant women taking tetracycline for rosacea. (Aug 2016)What does not occur during 6 weeks of fetus? Palatal shelves fusion (7 weeks)Bone formationfusion of medial and maxillary processes (tricky to avoid)neural tube formationSeen in fetus but not mother? Ductus venosousWhat is the problem with using tetracycline for the fetus? Discoloration (dentin)At what time is best for elective dental tx as it would affect organogenesis of the fetus? After 10 weeks (or is it 24?)(Case Study): You do an ejection into the MX molar and the patient comes in the next day with a hematomaWhat could you have hit? Pterygoid Plexus (needle violated)(Case Study) Patient with Grave’s disease (Aug 2016)Grave’s disease is a form of (hint: ism)? HyperthyroidismWhat happens to thymus? HypertrophyMechanism against Graves’ Disease: Binding of Ig antibodies to TSH receptor in the thyroid(mimics TSH) ?stimulate production of thryroxinGraves’s disease causes/lab test show? High T3/T4, low TSH (on a graph)What are the symptoms of Graves’ disease? Exophthalmos (bulging eyes) (Goiter wasn’t asked)Postoperative, she has tetany and low Ca2+, what caused it? ExcisionRandom note? Is the problem in the anterior pituitary or is the problem on the thyroid(Case Study): Dude with Myasthena Gravis (Aug 2016)Select 3 muscles that would be affected? Muscles for eye and eyelid movement, facial expression, swallowingWhat’s the effect on the neurotransmitter? Decreased Acetylcholine Receptors (Targeted by auto-antibodies)What is the tx? Acetylcholinesterase inhibitor (Incr neurotransmitter in cleft)Side effect of medication? Increased heart rateTumor associated with myasthenia gravis? Thymoma(Case Study) Patient has Myasthenia GravisCauses Decreased acetylcholine receptorsMechanism: Antibodies against post-synaptic NMJ Ach receptorMedication MoA: Acetylcholinesterase inhibitorPatient refuse treatment & can only afford to do a proph? Present all options & refer him to specialty as needed.Case/Testlet: Guy that needs root planning (Aug 2016)Ethics question, his insurance only covers prophy, he only wants that? Explain all of his optionsone of the other choices was dismiss him as a patient, another one was do a prophy anyway, due to self govern?)What areas would give you trouble during root planning? Mesial of 5 + 12, Distals of 1st molarsCase/Testlet: - Girl, #22 needed a root canal (Aug 2016)She’s giving speech, doesn’t want tongue to be numb. How do you numb tooth but not tongue? mental, incisiveWhat do you have to worry about for the morphology of the restored crown of this tooth? ______(Case Study): Growth on palate next to #15 (Aug 2016)What type of tissue would you see next to it? Parakeratinized or orthokeratinizedWhat needs to be ordered before doing a biopsy? Complete blood countWhat nerve would need to numbed? Greater palatine nerve(Case Study) Patient has Alzheimer’s with cervical caries (Aug 2016)All are true except? Most people experience dementia before age 50You fracture the adjacent tooth during a prep, you should? Tell the wife who is the legal guardianWhat would you LEAST recommend to an Alzheimer’s patient? Bleaching TraysNOT Motor toothbrush , Fluoride treatmentT/F: Depression is risk factor and Alzheimer is a form of dementia. TRUE & TRUEAlzheimer’s = leading form of dementia in US. Mainly occurs in people <50 years of age. TRUE & FALSE(Testlet): 24py smoker with infection/inflammation of submandibular duct/gland, hurts when he eats (during salivation). Palpated pus came out (Aug 2016)What kind of infection did patient have? Bacterial Infection (because of pus)What was the most likely cause? Smoking (unless radiopacity?)What kind of cells when you biopsy the duct? Neutrophils(Case Study) Woman comes into your office complaining that every time she eats, she gets a swelling that is painful and large. X-Ray shows radioopacity, 1 cm x 1 cm. Inflammation of the submandibular duct/gland, tenderness.What is the reason for swelling? Bacterial infectionWhat's the diagnosis? Sialolith (the radiopacity)= Calcified mass in salivary gland, usually submandibular.Symptoms: pain/swelling when salivary gland is stimulatedWhat kind of cells you find when biopsy the salivary duct? Neutrophils(Case Study): Erythematous lupus. Pt had ulcer all over her body. Pt had wear on the facial* surfaces of maxillary incisors and linguals of mandibular incisors (Aug 2016).She began developing ulcers in her mouth, what is the cause? Lupus (or meds)What is the cause of the location of wear on her incisors? Class III Occlusion (tricky)(Case Study) Dental assistant w hand’s shakes due to Parkinson’s (Aug 2016)Which part of brain affected? Substantia nigraNeurotransmitter affected how? Lack of dopamineThis dental assistant is still performing work so what moral value? Non-MaleficenceMuscles are involved in swallowing for pt’s dysphagia? Picked 3 of 5Palatoglossus, palatopharyngeus, stylopharyngeus, levator veli palatine, suprahyoid musclesIf ignored, what is going to happen? Foot Drop (part of shuffling gait)(Case Study) Patient with Parkinson’sWhich part of brain affected? Substantia nigraNeurotransmitter affected how? Lack of dopamineSymptom? Lewy bodiesWhat do you NOT have to worry about when treating? __________Drooling yesLack of blinking yesTwitches yes(Case Study) Patient has gestational diabetes & is 10 weeks pregnant. Multiple sexual partners in past (Aug 2016).What has not formed? TMJ formation (12 weeks)Palate closes @ 10 weeks, tooth bud forms @ 8 weeksWhat happens to her hormones? ↑ in HcG, ↓ in FSH & LHii. All increase , iii. All decreaseWhat happens to her hormones? ↑ in HcG, ↑ Progesterone, ↓ in LHGlucose level was 210, what is this caused by? Gestational diabetesHad a lot of sex and can get cervical cancer, cause? Papilloma virusWhere are melanocytes? Basale(Case Study) Obese man with Type II diabetes mellitus & drinks alcohol comes in for extraction of #14 (Aug 2016)Bad breath (halitosis) cause? Oral hygiene (Type ONE has ketoacidosis, tricky)What is it most related to? Overweight/dietRelated to Diabetes Type II except? Autoimmune (Type ONE is destruction of beta cells)Related to Diabetes Type II except? Destruction of Beta cellsInformed Consent doesn’t cover? Damage to #3 (while working on 14)Informed Consent FOR? Maxillary SinusTE w pseudostratified ciliated epithelium at root tip. Where from? Maxillary sinus(Case Study): Diabetic / Diabetes patient, hypertensivePt with HBA1C of 11%; this is a test for what condition? Type II diabetesAre likely to be associated with this person’s existing condition EXCEPT? Angioedema(choices: angioedema, MI, angina, and one other)(Testlet) - 75 yr old lady has type 1 diabetes mellitus & takes insulin. She also has medications for high BP and hypercholesterolemia. She comes in with her breath smelling “fruity”What is the cause of fruity breath? Hyperglycemia (ketoacidosis = type 1)(Case Study) Some girl got HPV vaccineLinked to? Cervical cancerType of epithelium in vagina that would be susceptible to metastasize? Stratified nonkeratinizedEpithelium affected in HPV Simple Cuboidal (in colorectoid)Squamous stratified in cervix(Case Study) Woman walks into dental office, complaining of TMJ pain. She is taking NSAIDs for TMJ and taking Prednisone. She has Polymyalgia rheumatica + Osteoarthritis.She has crepitus in the TMJ, what is the cause? Osteoarthritis of the condyleSymptom of osteoarthritis EXCEPT? FeverWhere would she have pain? Pectoral girdle (shoulder/neck) & hipsWhat type of disease is polymyalgia rheumatica? Autoimmune (Causes Inflammation)Patient w polymyalgia rheumatic, what problem does she NOT have? SplenomegalyPt taking NSAIDS and anemic, why hemorrhage /bleed during tx? NSAIDs, platelets don’t stickOsteo = wear and tear, rheumatic = autoimmuneInnervation to TMJ for motor? Masseteric NerveShe had fibroid tumors in uterus removed? Benign and smooth muscle(Case Study): Cadaver, bullets present at two spots on the skull, one on the posterior skull and one right above the eyebrow.Which two bones are LEAST likely to be affected? Maxillary, temporal)(Other answers had frontal or occipital in them, the MOST likely affected)Which of the following bones does not contact the sphenoid? Mandible(choices: maxilla, palatine, temporal, mandible)Which cranial nerve is affected when you crush the jugular foramen? IX, X, and XI would be affected(Case Study):Swelling patient Pt has an infection of #29Pt has a swelling at the mesial border of the mandible; what are the borders of this space Anterior DigastricAka asking for submandibular triangle(choices: stylohyoid, mandible, SCM, anterior digastric)Where could the infection from #29 spread? Sublingual spaceHow is the mandible formed? Intramembranous(Case Study): Progressive difficulty opening mouthWhich condition is primarily associated with his chief complaint? Scleroderma= hardening of skin = TrismusWhich of the following is related to bruxism? Wear Facets(choices: mobility, mandibular tori, wear facets, other choice related to wear)(Case Study): Pt with a radiolucency between 8 and 9What is it most likely? Incisive foramenMesiodens would be an opacity(Case Study): Pt w Xerostomia / Dry Mouth. Taking TCA’sWhat is the most likely cause of this patients dry mouth? Medication(Case Study): P has #3 messed up, buccal nodule or something like that:What nerve sense pain in that tooth? MSAAuriculotemporal, Greater palatineWhat neurotransmitter is in nerves that transfer pain? Substance P (Sub P = nociception)Ach +iii. Norepinephrine, GABABuccal of #3 across from what skin? Stratified Squamous Non-Keratinized(Case Study): Pt had tooth #3 infectedWhere would infection from #3 go? InfratemporalWhich nerves supply #3? PSA and MSA(Case Study) Patient with RCT #3 & the radiolucency did not resolve. The histological section showed non-keratinized epitheliumWhere would the infection from #3 go? InfratemporalWhat is the radiolucency? Cyst (Option: abscess, granuloma)Cyst is a fluid-filled sac = don’t resolved after RCT (abscesses tend to)non-keratinized stratified squamous epithelium w/ PMNsBoth abscess & cyst are non-keratinized epitheliumDuring extraction you break the adjacent marginal ridge of amalgam? Stop everything inform patient(Case Study) Patient bleeding a lotWhy? Because of taking Antiplatelet cortisone.(Case Study): Hepatitis C ptType of Virus? FlavivirusNeedle biopsy liver of HepC pt, what do you see more of? Collagen (in fibrosis of liver)HepatocytesNeutrophillsHepatocellular carcinoma, chronic hepatitis(Case Study): Hysterectomy due to tumorWhat kind of tumor? Benign and smooth muscleHysterectomy = removal of uterus(Case Study): Laceration of mucosa 1 cm lingual to the 2nd MX molar?Which soft palate muscle not affected? Musculus Uvulaea. Tensor veli palatini b. Palato-glossal c. Palato pharyngeal d. Levator veli palatani(Case Study): Patient that had a stroke on the motor lesion on the left side below eye muscles (indicating facial nerve)Which muscle not affected? Masseter (muscle of mastication)Buccinator, Orbicularis Oris(Case Study): Patient with pain for 2 yearsWhat fiber? C Fiber (Chronic pain)A alpha (Proprioception, aka stretch)A beta (Touch)A delta (Pain + Temperature)(Case Study): Patient is given topicalRelieve what fibers? A Delta (Pain + Temp)(Testlet): Left maxillary canine experiences sharp shooting pain.What kind of fibers are responsible for the pain? A DeltaNo sign of decay. What is the most likely cause of the pain? Maxillary Sinus InfectionOr Broken root ?(Case Study): Patient w strokeIn another stroke, when pt has a motor lesion on the left…? Partial numbness on right* arm(motor is opposite, sensory same side)(Case Study): Patient had multiple ulcers in mouthWhat did she have? Herpetic stomatitis (often bc of herpes type 1 virus)Not erythema multiforme?Biopsy superficial ulcer cell what do you see? Neutrophils (We’d see “high PMN”s?)(Case Study) Patient with pain in the shoulder that extends down to the arms & hands.What nerve is damaged? T1-T2What innervates the middle finger? C7What innervates the Ring Finger? C8What nerve is involved when she has pain turning her head? Accessory Nerve(Case Study): clicking without symptoms, under stressWhere is the problem? Lateral pterygoid (spasm)Not: Post compartment of disc, lat ligament, abnormally shaped disc(Case Study): Exam of cadaver: Female, Left backstab at L1-L2, left adjacent to the vertebra 12 cm depth, has Mallory-Weiss tear on her esophagus, and multiple mass on her utrerusWhat is the cause of the Mallory-Weiss tear? Alcoholism (bulimia also would but not answer)(Mallory-Weiss = bleeding/tear at esophagus/stomach jxn)What is the multiple mass on her uterus? Leiomyoma(uterine fibroid/benign Leio = smooth)Which organ is most likely damaged from backstab? Kidney (Pancreas = T6-T9, Kidney = T10-L1)(Case Study) Exam of cadaver. Trauma victim with broken bone & evidence of “woven bone repair” (?)How long as it been since the trauma (woven bone…)? Woven bone = 2-3 weeksHematoma (first 5 days) -> Soft callus (day 3 – 2 weeks) -> Woven bone (2-3 weeks)What facial bone did she break if it was adjacent to the canthus? Zygomatic boneCanthus = corners of the eye. Medial and Lateral.“Adjacent” was retarded terminology.wtfPenetration at lower left (stab), which organ was most likely hurt? Kidney(Case Study) Female with hypothyroidism that suffers from dry mouth & is taking thyroid medication.What happens if medication overdose (treats thyroid…)? Tachycardia (tachy = rapid)Cause of her dry mouth (linked to hypothyroidism)? Sjogren's Syndrome (Not medications)Select 3 possible causes of dry mouth? Sjog, medications,(Case Study) Man has fair skin + mole rapidly growing lateral to nose (aka ala of nose). Lesion is growing fast.What is it? KeratoacanthomaKerato = Keratin (skin)Acanthoma = tumor of epidermal squamous cells (acanth = “thorn” Lol)(Case Study) Patient has asthma & is on Albuterol (beta-2 agonist) and high blood pressure meds.What is a dental complication? Orthostatic HypotensionTarget of Asthma drugs? Beta-2 receptors (causes bronchial relaxation)Asthma caused by bronchospasmBeta-2 agonists (Such as albuterol) causes bronchiolar relaxation(Case Study) Gunshot through lung on right side, exited L2Which organ most likely damaged? KidneyWhich lobe was damaged? Right Inferior LobeWhat would have caused a hemothorax in this case (gave list of arteries, veins)? _______(Case Study) Dentist is asked to help w/ an autopsy. There were 2 bullet wounds, evidence of TB. One bullet hit above the ear & the other was a bullet through the ribs that injured the lower lobe of the lung.The bullet that hit above the ear came out of where? Temporal boneBullet entering between 7th & 8th intercostal ribs & exits to the right of T7. What lobe? Right Inferior lobe Hemothorax (blood in pleural cavity)T/F How could he have gotten TB? Previous infection w actual vaccine itself(Testlet): 50yr old man comes in for ortho treatment. He has an FPD on #12-14. Need to remove #12 anterior abutmentNOT likely to be a complication in the extraction of this tooth? 1 root (1st pre = 2 roots)Complication of Coxsackievirus Virus that can be manifested in oropharynx? HerpanginaAlso associated with Hand-Foot-Mouth disease(Case Study) Diabetic firefighter came into office, has a fractured upper left FPD, wants implant not replacement FPD.What is the problem with implant option? Too close to maxillary sinusToo close to the sinus, what ethics are involved? Non-maleficence & autonomyImplant: which cells = actively dividing? OsteoprogenitorWhen placing implant, what epithelium is encountered? Pseudostratified columnar ciliated epithelial cells(that line the maxillary sinus, similar to respiratory epi)(Case Study) HIV patient had an ulcer near tooth #15 that is very sore.Biopsy was done on ulcer & it was undifferentiated something, what is it most likely? Kaposi Sarcoma (?)Which injection would u give? PSA /MSA?How to treat patient ideally? Limit/control infectionrefer to specialist, Do nothing, Dismiss patient bc of HIVOpportunistic infections associated & not associated with AIDSPneumocystic carinii pneumonia, Cryptosporidium enterocolitis, candidiasis, oral hairy leukoplakia, & mycobacterial infections (M. Tuberculosis).(Case Study) Patient has RPDWhat would diagnosis be for slight red inflammation below RPD? Denture stomatitisWhat is this mainly caused by? Ill-fitting RPD deviceType of epithelium of hard palate under dentures? Parakeratinized stratified squamousStudies show dentures = a shift from ortho to para.Type of epithelium found on buccal mucosa? Nonkeratinized squamous(Case Study) 65 yr old patient is hypertensive, has high cholesterol, and is on diuretics. BP of 160/95. 40 pk years smoking. His dad died of a heart attack at 55 years old. He needs 3 extractions of the maxillary.Which of the following is the most immediate necessary referral? HypertensionExtraction = risk of bleeding.(Testlet): - lady had rheumatoid arthritis, osteoarthritis on hip and knees and couldn’t open her mouth affected her talking and eating. She took lots of meds for arthritis and antidepressant. 20 pack- year smoker.What is cause of her xerostomia? MedicationWhat is dysguesia (foul taste) associated with? Xerostomia from anti-depressant medsAll of these are correct about osteoarthritis, EXCEPT? FeverWhat is cause of her chief complaint? Her TMJ prob from OsteoarthritisPain on the posterior part of 2nd molar, what does this mean? TrismusPt complains of waking up stiff every morning, what is cause of this? Rheumatoid arthritis(Case Study) Ethics: Man comes in with herpes virus in corner of eyes, lips, intra-orally.Which two principles would demonstrate non-ethical complication with referring the patient? Justice & BeneficenceWhat principle is violated if you refer a patient because he has hepatitis? JusticePatient wants to put in composite even though not needed, what do you do? Inform,Put composite (autonomy)What ganglion is this virus located? V2(Case Study) Smoker with some kind of ventricular septum defect. CC: ulcer on his palate.You want to biopsy lesion, what nerve do you anesthesize? Greater palatineWhat do you need to do before doing treatment? Antibiotic prophylaxis(Case Study): Woman not wearing dentures and has dry mouth:Most common change in interarch relationship? Class 1 and 2Why dry mouth? Medications(Testlet): which is not a symptom of emphysema? Recall, emphysema type of COPD w damaged alveoli(Testlet): sign that SLE is getting worse? I put rash in middle third of face butterfly rash(Testlet): what does an elevated ESR show? Increased inflammation(Case Study): Patient with spinal surgery on T4 sits in your chairWhat are you most concerned about? Urine(Case Study) Curvature of spine: Scoliosis ................
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