12 years old child presents with symptoms of widespread gingivitis with bleeding and general malaise for several weeks. How would you manage this patient? M07 ********* A. Prescribe Metronidazole 100mg B. Locally debride, give oral hygiene instruction and prescribe H2O2 mouth wash. C. Give a prophylaxis with ultra sonic scaling D. Refer for haematological screening

12 years old child presents with symptoms of widespread gingivitis with bleeding and general malaise for  several weeks. How would you manage this patient? M07 *********
A. Prescribe Metronidazole 100mg  
B. Locally debride, give oral hygiene instruction and prescribe H2O2 mouth wash.
C. Give a prophylaxis with ultra sonic scaling
D. Refer for haematological screening
by

1 Answer

Answer :

D. Refer for haematological screening
by

Related questions

What is the affect of office dental prophylaxis of regular six month intervals on children’s oral health? A. Reduce caries incidence by approximately 30% B. Provide a long term improvement in oral hygiene C. Provide a short term improvement in oral hygiene D. Prevent gingivitis E. Reduce the need for patient cooperation

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Last Answer : C. Provide a short term improvement in oral hygiene

A 13 years-old has enlarged gingivae; gives a history of Dilantin sodium what is you treatment: a. Oral prophylaxis and gingivoplastic. b. Oral prophylaxis, scaling, root planning. c. Stop medication.

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Last Answer : b. Oral prophylaxis, scaling, root planning.

A 13 years-old boy has enlarged gingivae; gives a history of Dilantin sodium what is you treatment:** A. Oral prophylaxis and gingivoplasty B. Oral prophylaxis, scaling, root planning C. Stop medication

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Signs and symptoms that commonly suggest cardiac failure in a patient being assessed for oral surgery are, A. Elevated temperature and nausea B. Palpitations and malaise C. Ankle oedema and dyspnoea D. Erythema and pain E. Pallor and tremor

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Last Answer : C. Ankle oedema and dyspnoea

A patient with long standing rheumatoid arthritis and a history of steroid therapy presents for multiple extractions. The dentist should consult the patient’s physician because: A. Patient is more susceptible to infection B. Patient may have a suppressed adrenal cortex C. Patient will need haematological evaluation

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An old male presents complaining of having numerous white lesions in the oral cavity within past few days. Prior to this the family physician prescribed chlorite tetracycline for an upper respiratory infection, the patient is taking this antibiotic for the past two weeks; lesions are relatively non-painful, slightly elevated, adhered plaques on the lip mucosa, buccal mucosa and the tongue. MOST LIKELY to be:

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Last Answer : Moniliasis (Which is candidiasis) 

8 years old child who has sustained a fracture of maxillary permanent central incisor in which 2mm of the pulp is exposed; presents for treatment three hours after injury. Which of the following should be considered? M07*********** A. Remove the surface 1-2 mm of pulp tissue and place calcium hydroxide (Cvek pulpotomy, apexogenesis) B. Place calcium hydroxide directly on the exposed pulp C. Pulpotomy using formocresol D. Pulpectomy and immediate root filling E. Pulpectomy and apexification

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The patient whom you are about to treat states that he has Von Willebrand’s disease. Which one of the following preoperative haematological analyses may reflect this disease: A. Bleeding time and factor VIII level ptt also prolonged decreased platelet count. B. Bleeding time and factor IX level C. Bleeding time and factor X level D. Platelet count E. Thromboplastin generation time

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A 50 years old man presents after a full mouth extraction complaining that he “bled all night”. Which of the following pre existing conditions could be responsible for the post operative bleeding: A. Blood pressure reading of 180/110 B. Gastric ulcer C. Elevated prothrombin time D. A & C are correct E. None of the above

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A 10 years-old child presents with crowding of the dentition and desires correction. What would your next step be: a. Perform mixed dentition analysis. b. Extract the deciduous teeth. c. Ask the patient to come after the deciduous teeth fall off and complete permanent dentition erupts. d. Apply a fixed appliance. e. Review in yearly intervals.

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Which of the following organisms are pathognomonic of acute necrotic ulcerative gingivitis? A. Spirochaetes and fusobacterium SP B. Spirochaetes and eikenella corrodes C. Polymorphs and lymphocytes D. Actinobacillus actinomycetes comitans oral capnocytophaga E. Porphyromonas gingivalis and prevotella intermedia

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Which one of the following is true about oral hairy leukoplakia?** ADC M07 A. Associated with HIV virus infection and is commonly seen on the dorsal of the tongue B. Associated with HIV virus infection and is commonly seen on the lateral side of the tongue C. Usually caused by Candida species D. Always associated with trauma to the lateral side of the tongue E. Always associated with pernicious anaemia

Description : Which one of the following is true about oral hairy leukoplakia?** ADC M07 A. Associated with HIV virus infection and is commonly seen on the dorsal of the tongue B. Associated with HIV ... Always associated with trauma to the lateral side of the tongue E. Always associated with pernicious anaemia

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In minor oral surgery, what is TRUE in regard to antibiotics: A. Amoxil is satisfactory against most oral infections B. Metronidazole and Amoxil have the same penetrating power C. It is evident that it will reduce post operative swelling

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What is the characteristic feature of gingivitis in AIDS patient:** A. Red band on the free gingiva associated with platelet. B. Correlating with other pathogenesic lesions of AIDS and does not resolve to periodontal conventional treatment. C. Sever pain

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Which of the following statements concerning the use of radiography for children is incorrect? A. techniques are the same as those used in adults B. easier because of the smallness of the child’s mouth C. made difficult by the child’s nervousness and his tendency to gag D. helpful in overcoming some of these difficulties are consideratehandling of the child, the use of small size film and the use of ultra speed

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A 50 years-old patient presents with pain from time to time on light cervical abrasions. What is your first management to help patient in preventing pain in the future? A. Change diatary habits B. Change brushing habits C. GIC fillings

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A patient who recently had a calculus removed from the kidney presented with radiolucent area in the left maxilla with clinical evidence of swelling. The disease that you would immediately suggest is,** M07 A. Diabetes B. Thyrotoxicosis C. Hyperparathyroidism D. Osteoporosis E. Adrenal insufficiency

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Last Answer : C. Hyperparathyroidism

A 50 years-old man presented after a full mouth extraction complaining that he ”bled all night”. Which of the following pre. existing conditions could be responsible for the post operative bleeding: a. Blood pressure reading of 140/80 b. Gastric ulcer. c. Elevated prothrombin time. d. None of the above.

Description : A 50 years-old man presented after a full mouth extraction complaining that he bled all night . Which of the following pre. existing conditions could be responsible for the post operative bleeding: a. Blood ... 140/80 b. Gastric ulcer. c. Elevated prothrombin time. d. None of the above.

Last Answer : c. Elevated prothrombin time.

The most common cause of caries in children is, A. Soft diet B. High intake of carbohydrate C. Poor oral hygiene

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In respect to Class V A. it occurs on the buccal groove (fissure) B. it occurs on the lingual groove (fissure) C. it is a result of bad oral hygiene

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Good oral hygiene and fluoridation is LEAST useful in preventing caries of: A. Pit and fissure B. Smooth surface C. Inaccessible areas

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Last Answer : A. Pit and fissure

Which of the following has proven to be the MOST important in community preventive program: A. Dental awareness of the community B. Institution of oral hygiene measures C. Water fluoridation

Description : Which of the following has proven to be the MOST important in community preventive program: A. Dental awareness of the community B. Institution of oral hygiene measures C. Water fluoridation

Last Answer : C. Water fluoridation

Denture hyperplasia is generally attributed to: A. Poor oral hygiene B. Denture movement

Description : Denture hyperplasia is generally attributed to: A. Poor oral hygiene B. Denture movement

Last Answer : B. Denture movement

Class V lesions may originate: A. In lingual pits B. In buccal fissures C. Poor oral hygiene

Description : Class V lesions may originate: A. In lingual pits B. In buccal fissures C. Poor oral hygiene

Last Answer : C. Poor oral hygiene

A 55-year-old renal transplant patient has been hospitalized in a Surgical Intensive Care Unit, receiving a prolonged course of antibiotics following an attack of acute cholecystitis. The following statement(s) is/are true concerning his management. a. Due to the potential risk of Candida infection, prophylaxis with oral nystatin should be instituted early in the patient’s course b. A Candida urinary tract infection should be treated with systemic amphotericin B c. Changes of Candida retinitis are of little significance d. The presence of a virulent Candida bacteremia should suggest a dosage reduction in immunosuppressive agents until the infection can be adequately controlled

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Last Answer : Answer: a, d Infections due to fungal pathogens have become increasingly common during the past decade, frequently occurring in patients undergoing prolonged hospitalization in the Surgical ... agents should be discontinued until evidence of infection is absolutely controlled or is eradicated

A female patient comes to you complaining of persistent pain in a heavily restored central incisor; you suspect pulpitis and you have been told that she is in transit leaving by plane next day. Your treatment will be, A. Remove filling and place a sedative dressings B. Pulp extirpation and obturate with Ledermix dressings C. Prescribe analgesics and systemic antibiotic

Description : A female patient comes to you complaining of persistent pain in a heavily restored central incisor; you suspect pulpitis and you have been told that she is in transit leaving by plane ... B. Pulp extirpation and obturate with Ledermix dressings C. Prescribe analgesics and systemic antibiotic

Last Answer : B. Pulp extirpation and obturate with Ledermix dressings

The MOST primary treatment of ANUG in HIV patient is: A. Prescribe antibiotics B. Debridement and antimicrobial rinses C. Gingivoplasty D. Flap surgery

Description : The MOST primary treatment of ANUG in HIV patient is: A. Prescribe antibiotics B. Debridement and antimicrobial rinses C. Gingivoplasty D. Flap surgery

Last Answer : B. Debridement and antimicrobial rinses

A patient shows a lesion on the tongue adjacent to sharp tooth. You “round off” the sharp area and recall patient after one month to see the lesion turning smaller in size. What would be your next step: A. Keep observing B. Perform an excision biopsy C. Prescribe Kenalog and Orabase

Description : A patient shows a lesion on the tongue adjacent to sharp tooth. You “round off” the sharp area and recall patient after one month to see the lesion turning smaller in size. What would be your next step: A. Keep observing B. Perform an excision biopsy C. Prescribe Kenalog and Orabase

Last Answer : A. Keep observing

An adult patient of acute diarrhoea presents with abdominal pain, fever, mucus and blood in stools and is suspected to be suffering from Shigella enteritis. What antimicrobial treatment would be most appropriate: A. No antimicrobial treatment B. Metronidazole C. Norfloxacin D. Chloramphenicol

Description : An adult patient of acute diarrhoea presents with abdominal pain, fever, mucus and blood in stools and is suspected to be suffering from Shigella enteritis. What antimicrobial treatment would be most appropriate: A. No antimicrobial treatment B. Metronidazole C. Norfloxacin D. Chloramphenicol

Last Answer : C. Norfloxacin

An 8 years-old child who has sustained a fracture of maxillary permanent central incisor in which 2mm of the pulp is exposed presents for treatment three hours after injury. Which of the following should be considered? a- Remove the surface 1. 2 mm of pulp tissue and place calcium hydroxide. b- Place calcium hydroxide directly on the exposed pulp. c- Pulpotomy using formocresol. d- Pulpectomy and immediate root filling. e- Pulpectomy and apexification.

Description : An 8 years-old child who has sustained a fracture of maxillary permanent central incisor in which 2mm of the pulp is exposed presents for treatment three hours after injury. Which of the ... - Pulpotomy using formocresol. d- Pulpectomy and immediate root filling. e- Pulpectomy and apexification.

Last Answer : a- Remove the surface 1. 2 mm of pulp tissue and place calcium hydroxide

A healthy 6 years-old child presents with carious maxillary second primary molar with a necrotic pulp. Which treatment would be preferred? A. Extraction B. Indirect pulp treatment C. Pulpotomy (it's done to preserve the vitality of the roots and allow normal exfoliation) D. Pulpectomy to preserve the tooth as a space manteiner. E. Antibiotic coverage

Description : A healthy 6 years-old child presents with carious maxillary second primary molar with a necrotic pulp. Which treatment would be preferred? A. Extraction B. Indirect pulp treatment C. ... normal exfoliation) D. Pulpectomy to preserve the tooth as a space manteiner. E. Antibiotic coverage

Last Answer : D. Pulpectomy to preserve the tooth as a space manteiner.

A persistent oroantral fistula for a 12 weeks period following the extraction of a maxillary first permanent molar is best treated by, a. Further review and reassurance since it will most probably heal spontaneously. b.Antibiotic therapy and nasal decongestants. c. Curettage and dressing of the defect. d. Excision of the fistula and surgical closure. e. Maxillary antral wash out and nasal antrostomy.

Description : A persistent oroantral fistula for a 12 weeks period following the extraction of a maxillary first permanent molar is best treated by, a. Further review and reassurance since it will most ... Excision of the fistula and surgical closure. e. Maxillary antral wash out and nasal antrostomy.

Last Answer : d. Excision of the fistula and surgical closure.

A persistent oroantral fistula for a 12 weeks period following the extraction of a maxillary first permanent molar is best treated by,** A. Further review and reassurance since it will most probably heal spontaneously B. Antibiotic therapy and nasal decongestants C. Curettage and dressing of the defect D. Excision of the fistula and surgical closure E. Maxillary antral wash out and nasal antrostomy.

Description : A persistent oroantral fistula for a 12 weeks period following the extraction of a maxillary first permanent molar is best treated by,** A. Further review and reassurance since it will most ... . Excision of the fistula and surgical closure E. Maxillary antral wash out and nasal antrostomy.

Last Answer : D. Excision of the fistula and surgical closure

A patient with no positive history came along for scaling. The moment you pick up the scaler you punch your finger, what should you do? A. Complete the procedure as nothing has happened B. Check patient’s blood for epatitis B antibody BsAb C. Check patient’s blood for epatitis B antigen BsAg D. Check dentist’s blood for epatitis B antibody BsAb and IV antigen IVAg E.

Description : A patient with no positive history came along for scaling. The moment you pick up the scaler you punch your finger, what should you do? A. Complete the procedure as nothing has happened B. Check ... B antigen BsAg D. Check dentist's blood for epatitis B antibody BsAb and IV antigen IVAg E.

Last Answer : A. Complete the procedure as nothing has happened

An Afro-Carribean male aged 48 years presents with gradual onset of exertional dyspnoea, non productive cough, malaise, weight loss and polyarthralgia. Schirmers test indicates a dry eye. X-ray of the hand shows punched out osteopenic lesions. Which of the following investigation is unlikely to be helpful in establishing the diagnosis of this condition: 1) Serum calcium 2) Serum phosphorus 3) Urea and electrolytes 4) Thallium Scan 5) Quantitative Immunoglobulins.

Description : An Afro-Carribean male aged 48 years presents with gradual onset of exertional dyspnoea, non productive cough, malaise, weight loss and polyarthralgia. Schirmers test indicates a dry eye. X-ray ... 2) Serum phosphorus 3) Urea and electrolytes 4) Thallium Scan 5) Quantitative Immunoglobulins.

Last Answer : Answers-4 This condition is sarcoidosis. Serum calcium, Serum phosphorus, Chem7 and Chem 20 and Quantitative Immunoglobulins are all used in establishing the diagnosis. Gallium scan is helpful in ... areas of poor perfusion. It is particularly used in cardiology to detect areas of ischaemia.

A 7 years-old child has class I malocclusion, slight version of maxillary class III, adequate arch length. What is your management: A. Oral screen B. Head cap therapy C. Inclined plane on mandibular anterior teeth D. Hawley plate E. Expansion screw plate

Description : A 7 years-old child has class I malocclusion, slight version of maxillary class III, adequate arch length. What is your management: A. Oral screen B. Head cap therapy C. Inclined plane on mandibular anterior teeth D. Hawley plate E. Expansion screw plate

Last Answer : C. Inclined plane on mandibular anterior teeth

What is your management with a chronic oral antral fistula for some time after the extraction of maxillary first molar: A. Surgical closure B. Anti-biotic and nasal decongestant C. Wash the antrum D. All of the above

Description : What is your management with a chronic oral antral fistula for some time after the extraction of maxillary first molar: A. Surgical closure B. Anti-biotic and nasal decongestant C. Wash the antrum D. All of the above

Last Answer : D. All of the above

Which of the following elements is not found in normal periodontal membrane: A. Fibroblast B. Epithelial cells C. Erythrocytes D. Vest cells of malaise E. Inflammatory plasma cells and lymphocytes

Description : Which of the following elements is not found in normal periodontal membrane: A. Fibroblast B. Epithelial cells C. Erythrocytes D. Vest cells of malaise E. Inflammatory plasma cells and lymphocytes

Last Answer : C. Erythrocytes

The commonest cells which are found in periodontal membrane are:** A. Fibroblast B. Epithelial cells C. Erythrocytes D. Vest cells of malaise

Description : The commonest cells which are found in periodontal membrane are:** A. Fibroblast B. Epithelial cells C. Erythrocytes D. Vest cells of malaise

Last Answer : A. Fibroblast