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AAPD QE Board Exam question with answers

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AAPD QE Board Exam question with answers

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Voorbeeld van de inhoud

aWhat layer do neural crest cells develop from? - -Ectoderm

-At what embryonic age does the dental lamina begin to develop? - -6 weeks

-What are the three components of the tooth bud? - -Enamel Organ
Dental papilla
Dental sac

-What are the three morphologic stages of a developing tooth bud? - -Bud stage
Cap stage
Bell stage

-During the bell stage invagination of the epithelium occurs, which layer is essential
for enamel production? - -Stratum intermedium

-Which cells does the stellate reticulum support and protect? - -Ameloblasts

-What do remnants of Hertwig's epithelial root sheath persist as? - -Rests of
Malassez

-What is the origin of the dental papilla? - -Neural crest cells

-What does the dental papilla differentiate in to? - -Dentin and primordium of pulp

-What are enamel pearls? - -Cells of epithelial root sheath that remain attached to
dentin. Differentiate into ameloblasts and produce enamel

-What are the 7 steps (in order) of histophyisological differentiation of a tooth bud?
- -Initiation
Proliferation
Histodifferentiation
Morphodifferentiation
Apposition
Mineralization
Maturation

-During which stage of tooth development may problems that lead to anomalies of
tooth number occur? - -Initiation

-Which three stages of tooth development encompasses the bud, cap, early bell
and late bell? - -Proliferation
Histodifferentiation
Morphodifferentiation

-Disruptions of proliferation may result in what type of tooth anomalies? (4) - -Size
Proportion
Numbers
Twinning

, -Which stage of tooth development may lead to anomalies of the enamel, dentin,
and cementum? - -Morphodifferentiation

-What is the incidence of hyperdontia? Males vs females? - -0.3 - 3%
Males 2:1 females

-Is hyperdontia more common in maxilla or mandible? More common in primary
teeth or permanent teeth? - -Maxilla 90%
Permanent dentition 5x more common that primary

-Which permanent teeth are most frequently missing? List in order from most to
least common - -Third molars
Mandibular second pre molars
Maxillary lateral incisors
Maxillary second pre molars

-Name 9 syndromes that may be associated with supernumerary teeth - -Apert
Cleidocranial dysplasia
Gardner syndrome
Crouzon syndrome
Sturge Weber syndrome
Orofacialdigital Syndrome I
Hallermann-Strieff Syndrome - A
Cleft lip and palate
Down syndrome

-Which syndrome is associated with shovel shaped incisors?

A. Sturge Weber Syndrome
B. Cleidocranial dysplasia
C. Apert syndrome
D. Hallermann Strieff Syndrome-A - -C. Apert Syndrome

Narrow high palate
Cleft of soft palate
Delayed or ectopic eruption
Shovel shaped incisors
Hypoplastic midface

-Which syndrome is associated with osteomas of the jaw?

A. Orofiaciodigital Syndrome I
B. Apert Syndrome
C. Crouzon Syndrome
D. Gardner Syndrome - -D. Gardner Syndrome

Delayed eruption
Supernum teeth
Osteomas of the jaw

, -Agensis of third molars is associated with agenesis of which permanent tooth? - -
Maxillary lateral - either one or both

-What is the inheritance pattern for non syndromic hypodontia? - -Autosomal
dominant

-Which teeth (from most to least) commonly present as microdontia? - -Lateral
incisors
Second pre molars
Third molars

-Which tooth anomaly is characterized by: abortive attempt by single tooth to
divide; bifid crown with single root and pulp chamber? - -Gemination

-Which tooth anomaly is characterized by: complete cleavage of single bud results
in supernum mirror image tooth? - -Twinning

-Which race is fusion of teeth most commonly seen? - -Japenese (5%)

-Which tooth anomaly is characterized by: dental union of 2 embryologically
developing teeth two separate pulp chambers; separate or fused canals appear as
large bifid crown with one chamber; dentin is always confluent? - -Fusion

-Which tooth anomaly is characterized by fusion after root formation is completed?
What is a common cause? - -Concresence

Etiology: trauma

-What class drug is chloral hydrate? - -Non-barbituate
Sedative hypnotic

-What is the dosing range for Chloral Hydrate? What is the max dose? - -25 - 50
mg/kg (typically with CCHMC triple, dose at 15 - 25 mg/kg)

Max 100 mg

-What is the other name for Meperidine? What dug class is Meperidine? - -Demerol

Opiod, narcotic

-What are the most common side effects of meperidine? - -Hypotension
Respiratory depression
Emesis
Dizziness
Neurotoxic metabolite

-What is the dosage (mg/kg) for meperidine? What is the max dose? - -0.5 - 2
mg/kg

Max: 50 mg

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