ADEX DSE Remembered Questions with Verified Answers
Clinical picture of 14 y.o. with inflamed gingival -Ans>>Leukemia
How should an allergic reaction to barbiturates on lip be treated? -Ans>>Benadryl
Patient does not like look on canine (pictured), asked what it was -Ans>>Hypoplasia
Facial erosion due to acidic beverages -Ans>>
Amelogenesis Imperfecta (xray) -Ans>>
Blue sclera (eye picture), what dental findings should you see? -Ans>>Dentinogenesis imperfecta
All of the following are Hyperthyroid symptoms except?
a. fatigue
b. exopthalamus
c. tachycardia
d. tremor of extremities -Ans>>a. fatigue
The minimal axial reduction for crowns are -Ans>>1.5mm
Crown on #9 needs to be replaced. What measurement is correct? -Ans>>2mm occlusal reduction
What is the maximum amount of unsupported porcelain allowed? -Ans>>2mm
The most important treatment for ANUG is -Ans>>debridement
What is Gingivectomy used for -Ans>>gingival hyperplasia
What is the treatment for a patient with a liver clot? -Ans>>Irrigate, apply pressure, reassess
(liver clot-unstable and often large, friable clot commonly forming in mucous membranes. Usually
lead to excessive bleeding and abnormal wound healing.)
In order to improve gingival health, what must you do to temporary crown? -Ans>>Under contour
Picture of Upper and lower complete arch crowns. What is wrong? -Ans>>Impingement on
gums/gums health
Patient presents with pain on swallowing when wearing their denture. What is wrong? -
Ans>>Overextension of lingual flange
Patient presents with space in between 3rd molar and premolar, with class II mobility. How should
you treat? -Ans>>Implant
Patient missing #2 and #3. #1 has Class III mobility and furcation involvement. What would be the
optimal treatment plan? -Ans>>Extract #1 and implant for #3 or #2and #3
If you cannot pick a color for crown, what should you choose? -Ans>>something with LOWER shade
saturation and less gray
What is the worst location for an implant? -Ans>>maxillary posterior
What is the best location for an implant? -Ans>>Either mandibular posterior or mandibular anterior
,What is the best long term prognosis for an implant? -Ans>>Either mandibular posterior or
mandibular anterior
Zinc phosphate is the worst cement for what type of restoration -Ans>>deep restoration (pulpal
irritation)
BW xray of amalgam restoration. Patient complained of pain when provoked by hot or cold. What is
wrong? -Ans>>Deep amalgam restoration
How long should periodontal packs be left for ? -Ans>>1 week
How should an epulis be treated before making a new denture? -Ans>>Excision
What is the major reason for periodontal flaps? -Ans>>access of instrumentation
Patient presents with maxillary tori. What needs to be done before making new denture -
Ans>>Remove tori
What is a characteristic of a major connector of a denture? -Ans>>Rigidity
How often does OSHA make you check the autoclave -Ans>>Weekly
HIV ELISA test was negative for a person who had a needle stick. What does that mean? -
Ans>>Patient has no Abs present
Ortho case - what was the most important thing they did in maxillary arch? -Ans>>Align the teeth for
future restorative procedures ( not close upper or lower diastemas)
What pain reliever do you give to a patient who has kidney disease? -Ans>>Acetaminophen
Picture of surveyor. Asked what we were looking at? -Ans>>space for guide plane
What is the major complications of Phelobitis -Ans>>pulmonary emboli
Patient complaining of space in between teeth after SRP, why? -Ans>>because of
reduction in edema
1-2mm of reduction of probing depth after preforming SRP, what is the cause? -Ans>>LJE
If there is a shunt on left arm, what should you consider -Ans>>take BP on right arm
Picture of #10 and #11 lingual surface, what is wrong with the gingiva? -Ans>>Edema
Space in between #29 and #30 in a very old patient with no #31 or #32 and barely
occluding with #3. This is due to what? -Ans>>No occlusion or mesial drifting premolars
Surgical stent fits the gums but the immediate denture doesn't fit, what do you do? -Ans>>Relieve
until it seats
Picture of the bottom of the tongue with multiple white lesions. Stated that the patient had complaint
of sore gums and tongue, he had a fever of 101 degrees.
Most likely diagnosis? -Ans>>Primary Herpetic Stomatitis . (herpes on attached gingiva)
Treatment of Primary Herpetic Stomatitis -Ans>>palliative
Patient with purple lesions on palate and said they had similar lesions on their
,body too? What is the most probable cause? -Ans>>HIV (Kaposi Sarcoma)
Other choices
were Sturge Weber and Erthyema Multiforme
What disease will effect wearing complete dentures the most? -Ans>>Sjorgens syndrome
(xerostomia)
Lesion in the mouth that heals with a scar? -Ans>>Major apthous ulcer -(minor heal w/out scar)
Picture with an arrow pointing to a Soft tissue mass on FOM? -Ans>>Opening of wharton's duct
Lichen planus present on the tongue that was asymptomatic, what is the treatment? -
Ans>>Corticosteroids (nothing was not an option)
Picture of white things on the buccal mucosa and asked what it was? -Ans>>lichen planus
(but it also looked like luekoedema, cheek biting, etc. and all were answer choices)
Panoramic xray with radiopacity underneath the mandibular incisors, asked what
was it? -Ans>>supernumerary tooth
(other choices- odontoma, impacted insicor)
Gingival edema is caused by? -Ans>>anaerobes
Post crown cementation sensitivity is due to -Ans>>Microleakage
Before you reline a complete denture you must first do what? -Ans>>establish posterior occlusion
Precision attachments not good for what type of patient? -Ans>>patient with low dexterity
What information do you need from patient on steroids? -Ans>>you want to know the duration and
the dosage before dental treatment
Patients _____ is the most important thing for calculating medication dosage for a child -Ans>>weight
Patient just had a stroke. What do you need to worry about? -Ans>>if they are on anticoagulants
Contraindication for apically positioned flap is? -Ans>>esthetics
Purpose of a wedge during a restoration is ? -Ans>>adaptation of the matrix band
What medication is a contraindication for a patient with hyperthyroidism ? -Ans>>giving them an
analgesic with vasoconstrictors
Symptoms: No hair and missing teeth. What is the diagnosis? -Ans>>Ectodermal dysplasia
Pernicious anemia is caused by what? -Ans>>a lack of intrinsic factor, which is required to absorb
vitamin B12 from food
What is hemolytic anemia -Ans>>a condition in which red blood cells are destroyed and removed
from the bloodstream before their normal lifespan is over.
Hereditary Telegnastia is associated with what? -Ans>>Fe deficiency problems
Gave normal ranges and the patient's numbers for RBC, WBC, and platelets.
, What is wrong? -Ans>>Leukemia because high WBC, sore lymph nodes, and painful gums (they give
example of 14 y.o pt. w/ inflamed gingiva)
Arm rash - what drug caused it -Ans>>Penicillin allergy
Patient was on penicillin for 2 weeks, their tongue is sore, what test do you do? -Ans>>Fungal test
Picture of a red painful tongue in an uncontrolled diabetic, what is it due to? -Ans>>Malnutrition
Biopsy the red and white portions of a mixed lesion -Ans>>
Most likely reason that sealants fail? -Ans>>contamination
There is an unconscious patient in your waiting room what is the first thing you
do? -Ans>>check breathing
ID of mental ridge on radiograph -Ans>>
RO on pano - mucous retention cyst that was in the maxillary sinus -Ans>>
What is the difference in anaphylaxis vs syncope? -Ans>>anaphylaxis has wheezing and
bronchoconstriction
Patient returns with pain 72 hours after extraction, what should you do? -Ans>>give irrigation and use
eugenol soaked gauze
Extraction of tooth and patient comes back with a big infection? What is it? -Ans>>Subperiostial
abscess
Picture of a patient with down syndrome and question asked what you need to be
worried about as a dentist? -Ans>>CHD (congenital heart defect?)
When can you use tissue conditioner and soft reline on a complete denture ? -Ans>>at anytime
How long should you wait to do lab relines? -Ans>>6 months for lab reline
What is a reason for a try in for an immediate denture? -Ans>>to check the vertical dimension
Picture of a patient with a very Large diastema, what do you do? -Ans>>Leave it alone
RL next to PM- what should you do? -Ans>>refer to oral surgery
Panoramic of RL at ramus- what should you do? -Ans>>retake for diagnostic reasons or refer to oral
surgery?
Broken coronal portion of a canine, what do you do? -Ans>>conservative endo and
prepare post and core
T/F: Acid etching creates a chemical bond -Ans>>FALSE
- does not create chemical bond
Multiple odontomas are linked to what disorder -Ans>>Gardner's syndrome (colorectal polyposis)
After cleaning, there is still BOP. What does this mean? -Ans>>Retained subgingival plaque
Swollen lesion on the tongue, what do you do next? -Ans>>Palpate lesion and see if firm
Clinical picture of 14 y.o. with inflamed gingival -Ans>>Leukemia
How should an allergic reaction to barbiturates on lip be treated? -Ans>>Benadryl
Patient does not like look on canine (pictured), asked what it was -Ans>>Hypoplasia
Facial erosion due to acidic beverages -Ans>>
Amelogenesis Imperfecta (xray) -Ans>>
Blue sclera (eye picture), what dental findings should you see? -Ans>>Dentinogenesis imperfecta
All of the following are Hyperthyroid symptoms except?
a. fatigue
b. exopthalamus
c. tachycardia
d. tremor of extremities -Ans>>a. fatigue
The minimal axial reduction for crowns are -Ans>>1.5mm
Crown on #9 needs to be replaced. What measurement is correct? -Ans>>2mm occlusal reduction
What is the maximum amount of unsupported porcelain allowed? -Ans>>2mm
The most important treatment for ANUG is -Ans>>debridement
What is Gingivectomy used for -Ans>>gingival hyperplasia
What is the treatment for a patient with a liver clot? -Ans>>Irrigate, apply pressure, reassess
(liver clot-unstable and often large, friable clot commonly forming in mucous membranes. Usually
lead to excessive bleeding and abnormal wound healing.)
In order to improve gingival health, what must you do to temporary crown? -Ans>>Under contour
Picture of Upper and lower complete arch crowns. What is wrong? -Ans>>Impingement on
gums/gums health
Patient presents with pain on swallowing when wearing their denture. What is wrong? -
Ans>>Overextension of lingual flange
Patient presents with space in between 3rd molar and premolar, with class II mobility. How should
you treat? -Ans>>Implant
Patient missing #2 and #3. #1 has Class III mobility and furcation involvement. What would be the
optimal treatment plan? -Ans>>Extract #1 and implant for #3 or #2and #3
If you cannot pick a color for crown, what should you choose? -Ans>>something with LOWER shade
saturation and less gray
What is the worst location for an implant? -Ans>>maxillary posterior
What is the best location for an implant? -Ans>>Either mandibular posterior or mandibular anterior
,What is the best long term prognosis for an implant? -Ans>>Either mandibular posterior or
mandibular anterior
Zinc phosphate is the worst cement for what type of restoration -Ans>>deep restoration (pulpal
irritation)
BW xray of amalgam restoration. Patient complained of pain when provoked by hot or cold. What is
wrong? -Ans>>Deep amalgam restoration
How long should periodontal packs be left for ? -Ans>>1 week
How should an epulis be treated before making a new denture? -Ans>>Excision
What is the major reason for periodontal flaps? -Ans>>access of instrumentation
Patient presents with maxillary tori. What needs to be done before making new denture -
Ans>>Remove tori
What is a characteristic of a major connector of a denture? -Ans>>Rigidity
How often does OSHA make you check the autoclave -Ans>>Weekly
HIV ELISA test was negative for a person who had a needle stick. What does that mean? -
Ans>>Patient has no Abs present
Ortho case - what was the most important thing they did in maxillary arch? -Ans>>Align the teeth for
future restorative procedures ( not close upper or lower diastemas)
What pain reliever do you give to a patient who has kidney disease? -Ans>>Acetaminophen
Picture of surveyor. Asked what we were looking at? -Ans>>space for guide plane
What is the major complications of Phelobitis -Ans>>pulmonary emboli
Patient complaining of space in between teeth after SRP, why? -Ans>>because of
reduction in edema
1-2mm of reduction of probing depth after preforming SRP, what is the cause? -Ans>>LJE
If there is a shunt on left arm, what should you consider -Ans>>take BP on right arm
Picture of #10 and #11 lingual surface, what is wrong with the gingiva? -Ans>>Edema
Space in between #29 and #30 in a very old patient with no #31 or #32 and barely
occluding with #3. This is due to what? -Ans>>No occlusion or mesial drifting premolars
Surgical stent fits the gums but the immediate denture doesn't fit, what do you do? -Ans>>Relieve
until it seats
Picture of the bottom of the tongue with multiple white lesions. Stated that the patient had complaint
of sore gums and tongue, he had a fever of 101 degrees.
Most likely diagnosis? -Ans>>Primary Herpetic Stomatitis . (herpes on attached gingiva)
Treatment of Primary Herpetic Stomatitis -Ans>>palliative
Patient with purple lesions on palate and said they had similar lesions on their
,body too? What is the most probable cause? -Ans>>HIV (Kaposi Sarcoma)
Other choices
were Sturge Weber and Erthyema Multiforme
What disease will effect wearing complete dentures the most? -Ans>>Sjorgens syndrome
(xerostomia)
Lesion in the mouth that heals with a scar? -Ans>>Major apthous ulcer -(minor heal w/out scar)
Picture with an arrow pointing to a Soft tissue mass on FOM? -Ans>>Opening of wharton's duct
Lichen planus present on the tongue that was asymptomatic, what is the treatment? -
Ans>>Corticosteroids (nothing was not an option)
Picture of white things on the buccal mucosa and asked what it was? -Ans>>lichen planus
(but it also looked like luekoedema, cheek biting, etc. and all were answer choices)
Panoramic xray with radiopacity underneath the mandibular incisors, asked what
was it? -Ans>>supernumerary tooth
(other choices- odontoma, impacted insicor)
Gingival edema is caused by? -Ans>>anaerobes
Post crown cementation sensitivity is due to -Ans>>Microleakage
Before you reline a complete denture you must first do what? -Ans>>establish posterior occlusion
Precision attachments not good for what type of patient? -Ans>>patient with low dexterity
What information do you need from patient on steroids? -Ans>>you want to know the duration and
the dosage before dental treatment
Patients _____ is the most important thing for calculating medication dosage for a child -Ans>>weight
Patient just had a stroke. What do you need to worry about? -Ans>>if they are on anticoagulants
Contraindication for apically positioned flap is? -Ans>>esthetics
Purpose of a wedge during a restoration is ? -Ans>>adaptation of the matrix band
What medication is a contraindication for a patient with hyperthyroidism ? -Ans>>giving them an
analgesic with vasoconstrictors
Symptoms: No hair and missing teeth. What is the diagnosis? -Ans>>Ectodermal dysplasia
Pernicious anemia is caused by what? -Ans>>a lack of intrinsic factor, which is required to absorb
vitamin B12 from food
What is hemolytic anemia -Ans>>a condition in which red blood cells are destroyed and removed
from the bloodstream before their normal lifespan is over.
Hereditary Telegnastia is associated with what? -Ans>>Fe deficiency problems
Gave normal ranges and the patient's numbers for RBC, WBC, and platelets.
, What is wrong? -Ans>>Leukemia because high WBC, sore lymph nodes, and painful gums (they give
example of 14 y.o pt. w/ inflamed gingiva)
Arm rash - what drug caused it -Ans>>Penicillin allergy
Patient was on penicillin for 2 weeks, their tongue is sore, what test do you do? -Ans>>Fungal test
Picture of a red painful tongue in an uncontrolled diabetic, what is it due to? -Ans>>Malnutrition
Biopsy the red and white portions of a mixed lesion -Ans>>
Most likely reason that sealants fail? -Ans>>contamination
There is an unconscious patient in your waiting room what is the first thing you
do? -Ans>>check breathing
ID of mental ridge on radiograph -Ans>>
RO on pano - mucous retention cyst that was in the maxillary sinus -Ans>>
What is the difference in anaphylaxis vs syncope? -Ans>>anaphylaxis has wheezing and
bronchoconstriction
Patient returns with pain 72 hours after extraction, what should you do? -Ans>>give irrigation and use
eugenol soaked gauze
Extraction of tooth and patient comes back with a big infection? What is it? -Ans>>Subperiostial
abscess
Picture of a patient with down syndrome and question asked what you need to be
worried about as a dentist? -Ans>>CHD (congenital heart defect?)
When can you use tissue conditioner and soft reline on a complete denture ? -Ans>>at anytime
How long should you wait to do lab relines? -Ans>>6 months for lab reline
What is a reason for a try in for an immediate denture? -Ans>>to check the vertical dimension
Picture of a patient with a very Large diastema, what do you do? -Ans>>Leave it alone
RL next to PM- what should you do? -Ans>>refer to oral surgery
Panoramic of RL at ramus- what should you do? -Ans>>retake for diagnostic reasons or refer to oral
surgery?
Broken coronal portion of a canine, what do you do? -Ans>>conservative endo and
prepare post and core
T/F: Acid etching creates a chemical bond -Ans>>FALSE
- does not create chemical bond
Multiple odontomas are linked to what disorder -Ans>>Gardner's syndrome (colorectal polyposis)
After cleaning, there is still BOP. What does this mean? -Ans>>Retained subgingival plaque
Swollen lesion on the tongue, what do you do next? -Ans>>Palpate lesion and see if firm
