A 30 years-old male complains of painless swelling in the buccal mucosa. It has been present for about six months. He admits “playing with it”. He is concerned because this might represent cancer. The base is narrow; the most likely diagnosis is:

A 30 years-old male complains of painless swelling in the buccal mucosa. It has been present for  about six months. He admits “playing with it”. He is concerned because this might represent  cancer. The base is narrow; the most likely diagnosis is: 

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1 Answer

Answer :

Irritation fibroma 

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Last Answer : b- Raising a lingual flap will increases the incidence of neurapraxia but will reduce the incidence of neurotmesis with respect to the lingual nerve.

As far as surgical removal of wisdom teeth is concerned, which of the following is true?**CHECK A. Prophylactic prescription of antibiotic reduces dramatically the chances of infection B. Raising a lingual flap will increases the incidence of neurapraxia but will reduce the incidence of neurotmesis with respect to the lingual nerve ADC M07 C. Prophylactic prescription of dexamethasone will dramatically reduces post operative swelling D. Inferior dental nerve injury is unlikely since the nerve passes medial to the wisdom tooth root E. The use of vasoconstrictors in local anaesthetics will increase the chances of infection.

Description : As far as surgical removal of wisdom teeth is concerned, which of the following is true?**CHECK A. Prophylactic prescription of antibiotic reduces dramatically the chances of infection B. Raising ... root E. The use of vasoconstrictors in local anaesthetics will increase the chances of infection.

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Last Answer : ANSWER: A

the pulp horn most likely to be exposed in the preparation of large cavity in permanent molar tooth is,CHECK ITS VERY CONTROVERSIAL QUESTION A. Mesio–Lingual in upper first molars B. Mesio–Buccal in upper first molars C. Disto–buccal in lower first molars D. Mesio–Lingual in lower first molars E. Mesio- Buccal in lower first molar

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Last Answer : B. Mesio–Buccal in upper first molars

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Last Answer : E. All of the above

A 37 years-old patient presents with paroxysmal pain on the left eye that he thinks is related to his maxillary posterior teeth. The pain comes in recurrent bursts and is aggravated by stress and alcohol. Oral exam is negative. The probable diagnosis is: A. Migraine B. Cluster headache C. Trigeminal neuralgia D. Temporal neuritis

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Last Answer : B. Cluster headache

A physician refers a nine years-old boy to you to confirm diagnosis. The boy has a fever of 40°C and coughing. When you focus your light into his eyes he turns away. Intra-orally there are white spots surrounded by red margins. The disease and lesions are: A. Measles and Koplik’s spots B. AHGS vesicles

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Last Answer : A. Measles and Koplik’s spots

A 10 years-old boy presents with small greyish white lesion surrounded by a red halos on the soft palate and tonsillar pillars, small vesicles are found. He has fever and pain in the ear. The MOST probable diagnosis is?********** M07 A. Herpangina

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Last Answer : A. Herpangina

An incision biopsy of an ulcerated and intruded clinically suspicious lesion in a 50 years-old female reveals chronic inflammation; you would:** A. Inform the patient and her physician of your findings and instruct the patient to return in six months B. Surgically excise the entire lesion since you know it is not malignant C. Dismiss the patient with instructions for warm saline rinses and re-examination D. Repeat the biopsy

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Last Answer : D. Repeat the biopsy

A male patient 30 years old with visual acuity of 6/6 in both eyes. Twelve hours ago he presented with drop of vision of the left eye. On examination, visual acuity was 6/6 in the right eye and 6/60 in the left eye. Fundus examination showed blurred edges of the left optic disc. The most probable diagnosis is: a. Raised intra cranial pressure b. Raised ocular tension c. Central retinal artery occlusion d. Optic neuritis

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Last Answer : ANSWER: D

A patient presents with long time history of knee pain suggestive of osteoarthritis. Now he complains of unilateral lower limb swelling and on examination there is +ve pedal & tibial pitting edema. What is the next appropriate investigation? a. CXR b. ECG c. Echocardiography d. Duplex ultrasound of lower limb

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A 8 years-old patient has 3 first premolars erupted and a swelling on the ridge of the un-erupted premolar. X ray shows a fully developed crown and ¾ roots development with no other pathology. What is your management: A. Remove the dentigerous cyst B. Soft tissues recision to allow eruption C. Soft tissues recision accompanied with orthodontic appliance to help with eruption

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Last Answer : C. Soft tissues recision accompanied with orthodontic appliance to help with eruption

years old male diagnosis as case of gastric ulcer , culture -ve h.pylori pathology –ve of cancer ttt: proton pumb inhibitor antihistamine after 6-8 wk do endoscope after therapy referral to surgery

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.In an X ray the mesio buccal root of upper first molars is elongated because of: A. Mesio angular horizontal B. Too big vertical angulation C. Too small vertical angulation D. High angulation

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Last Answer : C. Too small vertical angulation

When primary molars are prepared for stainless steel crowns, should the depth for reduction of the proximal surface be similar to the depth of the buccal and lingual surfaces? A. Yes; reduction of all wall is similar for best retention B. No, proximal reduction is greater to allow the crown to pass the contact area C. No, the buccal surfaces has the greatest reduction to remove the cervical bulge D. Yes, all undercuts are uniformly removed so that the steel crown can be seated E. No, because of lateral constriction, the lingual surface needs greatest reduction

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Last Answer : B. No, proximal reduction is greater to allow the crown to pass the contact area

The emergency treatment for painless necrotic pulp is: A. Drainage through canals B. None

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Last Answer : A. Drainage through canals

18 years old female weighting 52Kg and 163cm tall. On dental examination erosion of teeth on the most of her lingual surfaces is clearly showing. Dietary history revealed a daily rate of 5000 to 7000 Kcal/day. What is the most probable diagnosis? A. Alcoholism B. Drug abuse C. Bulimia D. Excessive smoking E. Diabetic mellitus type I

Description : 18 years old female weighting 52Kg and 163cm tall. On dental examination erosion of teeth on the most of her lingual surfaces is clearly showing. Dietary history revealed a daily rate of 5000 to 7000 ... . Alcoholism B. Drug abuse C. Bulimia D. Excessive smoking E. Diabetic mellitus type I

Last Answer : C. Bulimia

After replantation of an avulsed tooth 2 ½ hours after incident; the most likely diagnosis is, A. External resorption B. Internal resorption C. Pulp stones

Description : After replantation of an avulsed tooth 2 ½ hours after incident; the most likely diagnosis is, A. External resorption B. Internal resorption C. Pulp stones

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During which stage of pressure ulcer development does the ulcer extend into the underlying structures, including the muscle and possibly the bone? a) Stage IV A stage IV pressure ulcer extends into the underlying structure, including the muscle and possibly the bone. b) Stage III A stage III ulcer extends into the subcutaneous tissue. c) Stage II A stage II ulcer exhibits a break in the skin through the epidermis or dermis. d) Stage I A stage I pressure ulcer is an area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

Description : During which stage of pressure ulcer development does the ulcer extend into the underlying structures, including the muscle and possibly the bone? a) Stage IV A stage IV pressure ulcer ... area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

Last Answer : a) Stage IV A stage IV pressure ulcer extends into the underlying structure, including the muscle and possibly the bone.

During which stage of pressure ulcer development does the ulcer extend into the subcutaneous tissue? a) Stage III Clinically, a deep crater with or without undermining of adjacent tissues is noted. b) Stage IV A stage IV pressure ulcer extends into the underlying structure, including the muscle and possibly the bone. c) Stage II A stage II ulcer exhibits a break in the skin through the epidermis or dermis. d) Stage I A stage I pressure ulcer is an area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

Description : During which stage of pressure ulcer development does the ulcer extend into the subcutaneous tissue? a) Stage III Clinically, a deep crater with or without undermining of adjacent tissues is ... area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

Last Answer : a) Stage III Clinically, a deep crater with or without undermining of adjacent tissues is noted.

Irritation of the lips associated with scaling, crust formation, and fissures is termed a) leukoplakia. Leukoplakia is characterized by white patches, usually on the buccal mucosa.

Description : Irritation of the lips associated with scaling, crust formation, and fissures is termed a) leukoplakia. Leukoplakia is characterized by white patches, usually on the buccal mucosa. b) lichen ... a reddened circumscribed lesion that ulcerates and becomes crusted and is a primary lesion of syphilis.

Last Answer : a) leukoplakia. Leukoplakia is characterized by white patches, usually on the buccal mucosa.

A 16 year old male with a day history of malaise, weakness and vomiting. He was diagnosed with Insulin dependent diabetes mellitus 3 years prviously. Which ONE of the following supports a diagnosis of diabetic ketoacidosis: 1) Abdominal pain at onset 2) A serum bicarbonate of 10 mmol/l 3) A serum glucose 14 mmol/l 4) Decreased appetite in the past few days 5) Shallow respirations

Description : A 16 year old male with a day history of malaise, weakness and vomiting. He was diagnosed with Insulin dependent diabetes mellitus 3 years prviously. Which ONE of the following supports a diagnosis of ... serum glucose 14 mmol/l 4) Decreased appetite in the past few days 5) Shallow respirations

Last Answer : Answers-2 a-An unusual but recognised feature particularly in children. However does not support a diagnosis of DKA. b-Suggests metabolic acidosis. c-'Normoglycaemic DKA' can occur and a glucose ... anorexia. e-Respiratory compensation leads to rapid deep (Kussmaul's) breathing. (Dr Mike Mulcahy)

A 75 year old man presents with a long history of shortness of breath and ankle oedema. His serum biochemistry shows sodium 122 mmols/l and potassium of 2.9 mmols/l. He now complains of weakness.Which of the following is likely to explain the above biochemical picture? 1) Addison's Disease 2) Nephrotic syndrome 3) Primary hyperaldosteronism 4) SIADH 5) Diuretic therapy

Description : A 75 year old man presents with a long history of shortness of breath and ankle oedema. His serum biochemistry shows sodium 122 mmols/l and potassium of 2.9 mmols/l. He now complains of ... ? 1) Addison's Disease 2) Nephrotic syndrome 3) Primary hyperaldosteronism 4) SIADH 5) Diuretic therapy

Last Answer : Answers-5 The long history of his symptoms and serum biochemistry suggests that his condition is due to treatment with frusemide for CCF.

On X-ray, the buccal roots of 16 is considerably elongated; this is a result of, A. Too great vertical angulation B. Inadequate vertical angulation C. Excessive object film distance

Description : On X-ray, the buccal roots of 16 is considerably elongated; this is a result of, A. Too great vertical angulation B. Inadequate vertical angulation C. Excessive object film distance

Last Answer : B. Inadequate vertical angulation