NURS 20 - MasterRQs. Fluoride supplement for 7-year-old with no fluoridation in water. Questions & Answers

MasterRQs 1. Fluoride supplement for 7-year-old with no fluoridation in water- 1mg/day 2. 9-year-old lost Primary 2nd molars -With space maintainer- As permanent 1st is present Band and loop 3. Antibiotics and their side effect. Penicillin - penicillin, amoxicillin, amoxicillin-clavulanate, ampicillin, piperacillin-tazobactam, nausea, vomiting, stomach pain; vaginal itching or discharge; headache; swollen, black, or "hairy" tongue; or thrush (white patches or inside your mouth or throat). if bloody stools, anaphylaxis, severe skin reaction, fever occur contact health care provider immediately; ampicillin may cause pseudomembranous colitis Cephalosporins cephalexin, cefaclor, cefuroxime, ceftibuten, cefdinir, cefixime, ceftriaxone Stomach Discomfort Nausea or vomiting. Diarrhea. Thrush (white fungus in the mouth), yeast infection, or other fungal infection. Blood abnormalities. Rash or itching. cross-hypersensitivity may occur in patients with documented penicillin allergy Tetracyclines tetracycline, doxycycline, minocycline nausea/vomiting, diarrhoea, anorexia, abdominal pain, tooth discoloration in children 8 years, liver toxicity Avoid prolonged sunlight exposure; use sunscreen, wear protective clothing Aspirin- include rash, gastrointestinal ulcerations, abdominal pain, upset stomach, heartburn, drowsiness, headache, cramping, nausea, gastritis, and bleeding. (Renal problems as well) Aminoglycosides gentamicin, tobramycin, amikacin renal (kidney) toxicity, ototoxicity (hearing loss), dizziness, nausea/vomiting, nystagmus. longer or multiple treatment periods may lead to greater risk for ototoxicity, renal (kidney) toxicityMay God be with us and help us nail NBDE PART 2  Antituberculosis Agents- rifampicin, rifabutin, isoniazid, pyrazinamide, ethambutol, dapsone diarrhea, nausea/vomiting, anorexia, hemolytic anemia, liver toxicity, headache, peripheral neuropathy, dizziness, reddish-orange body fluids (rifampin, rifabutin only). sides effects vary among agents, check individually; vitamin B6 (pyridoxine) may be taken to help prevent peripheral neuropathy with isoniazid Macrolides erythromycin, azithromycin, clarithromycin abdominal pain, diarrhoea, anorexia, nausea/vomiting, taste alterations (clarithromycin) high rate of gastrointestinal side effects; do not crush, chew, break, open enteric-coated or delayed-release pill Miscellaneous metronidazole nausea/vomiting, dizziness, headache, vaginal candidiasis, metallic taste avoid alcohol use during treatment and for up to 3 days after, combined use may lead to cramps, nausea/vomiting, flushing, headache; may discolour urine red-brown 4. Which was not matched correctly - Amelogenesis and dentinogenesis Imperfecta 5. Patient allergic to both Esters and amides- which Local Anesthetic would you use? - Diphenhydramine (Benadryl) 6. How much Epinephrine in 1.8ml cartridge of 2% LA with 1100 000? - 0.018 7. Non-working and working incline interference -what is the important factor when reducing a cusp. - BULLs Rule 8. Medazolam overdose, which drug u give – Flumazenil 9. Contraindication of nitrous oxide sedation – COPD (Safe for asthma), Sickle cell anemia, nasal congestion, upper respiratory tract infection, intestinal obstruction, deformity of nasal structure and drug dependency. Pregnancy is NOT absolute contraindication... Surprisingly ... Mental retardation is also a contraindication 10. The accepted current treatment for bisphosphonate related osteonecrosis (BRONJ)of jaws is 1. disinfection of oral cavity 2. excision of the gangrenous area 3. local and/or systemic steroid therapy 4. hyperbaric oxygen – Hyperbaric Oxygen 11. Best test to determine an irreversible pulpitis- Thermal Test – (Heat test) Reversible has no sensitivity from heat test. Irreversible has. Both reversible and irreversible show sensitivity to cold test. Even perfectly May God be with us and help us nail NBDE PART 2  healthy people show some sensitivity from cold, for example, while eating ice or ice-cream. Pain is prolonged – more than 5 secs – could last minutes 12. How would you differentiate between a reversible pulpitis and periodontal lesion? Lateral Percussion 13. How would you treat necrotizing ulcerative gingivitis with no obvious systemic symptoms - 1- instrumentation and debridement under LA, H202 mouthwash, Oral Hygiene Index, if systemic involvement-- Penicillin, if no systemic involvement--no antibiotic... - 14. Side effects of corticosteroids - -- Upset stomach Increased blood sugar, Increased hunger Behavior changes, trouble sleeping, irritability, Increased risk of pneumonia, thrush (white coating in the mouth), and other infections Weight gain, salt and water retention High blood pressure Increased fat on the face (rounded face), upper back, and belly Stretch marks on the skin, acne, poor wound healing, increased and unusual hair growth 15. Doing composite restoration, you have 1 mm of remaining dentin thickness- Minimum required is 2mm- RDT greater or equal to 4 mm is most desired. – Opt for other restorative options if RDT is 1mm 16. Best restorative of 13 yr old with posterior small occlusal caries not involving inter proximal area?? (a) GIC (b) Composite. – Composite – The word to note is occlusal – GIC does not have enough strength for it 17. Main cause of Alveolar osteitis (another name of Dry Socket) – Dislodged Clot 18. Main sign or symptom associated with dry socket and treatment – Primary Treatment is placement of sedative dressing in extracted tooth site. Analgesics is for supportive therapy. Pain will never go by just giving analgesics otherwise No antibiotics for dry socket, just pain medication 19. FACT - LA causes convulsion by acting on limbic and cerebral cortex. 20. Which one is difficult to handle Fear or Anxiety? - Anxiety 21. Pt with folded arms and looking down what do u say. – Hi , What brought u here ? 22. Child gets their dexterity by what age to brush unassisted. - 5 for dexterity and 8 for skills (Choose 7 years if not specified, otherwise Brushing by 5 years, Flossing by 8) 23. Systemic fluoride won't benefit which tissue- root, occlusal, inter-proximal, smooth surface. – Occlusal –May God be with us and help us nail NBDE PART 2  24. Main features of Achondroplasia – Class 3 malocclusion, severe crowding-speech difficulty, ear infection-- Normal trunk, short arms and legs. 25. Which is not important about designing tx plan for frail woman - age, dexterity, previous dental tx, ability to move. - Age 26. 1.5-2.5-year child is more prone to injuries because. a. Due to accidental prone. b. Overprotective parent. c. Abuse. d. No fully coordinated development – No fully co-ordinated development 27. Patient in for #8 crown Missing 1-4 and 12-16. How would u record occlusion? – From past dental records 28. In 5-year-old, during cavity preparation, accidentally mesiobuccal (of Mandibular second primary molar) is exposed. What is the best course tx? A) Pulpotomy with stainless steel crown, B) Pulp cap with calcium hydroxide followed by stainless steel crown C) root canal treatment – Pulpotomy with stainless steel crown – Still a lot of time for exfoliation 29. 12-year-old patient who had crown fracture with exposed pulp comes the following day For treatment, what is the best treatment? – RCT as Root formation is complete 30. Nine-year-old child suffering from some spontaneous pain on primary molar, it is determined and this is non-vital what is the best treatment for that tooth- Pulpectomy – non vital, still a little time for exfoliation 31. Two points of Frankford plane-Porion to orbitale (FROP) 32. Minimum distance between 2 implants – 3mm 33. Minimum distance between implant and tooth- 1.5mm 34. Minimum distance between implant and vital structures – 5mm 35. Which is the minimum distance between the major connector on a maxillary RPD and the gingival margins? - For lower 3mm, upper 6mm 36. Order of treatment for mild to moderate chronic periodontitis. - Mild oral hygiene instructions, Moderate scaling and root planing 37. Minimal interval for Perio therapy. 1 month. 3 months 6 month 12 month. – 3 months 38. Through Blood borne pathogen standard, OSHA directs activity for each of the following except? 1. Using Barrier Techniques 2.Using MSDS 3.Obtaining Hep B vaccines 4.Communicating hazards to employees 5.Performing Housekeeping- Using MSDS 39. Which of the following represents the main objective of the maintenance phase of periodontal therapy? 1. To maintain rapport with the patient