7/7/08 NBDE Pt 1 1. 2. 3. 4. 5. 6. 7. Which vitamin is not required for the formation/calcification of a tooth?

A, C, D, K, B1 Which tooth is wider mesiodistally than cervicoincisally? 8, 9, C, D, E What is required for the synthesis of Vit D? exposure to UVB Exposure to UVB causes what type of damage to DNA? Dimerization of thymine Which structure crosses superiorly over the right lung? Vagus, azygos vein Keratohyalin granules seen in what layer of epidermis? Stratum granulosum Dermis is what type of connective tissue? Loose connective tissue (areolar) and has a reticular section too 8. CSF is where? Subdural, epidural, subarachnoid 9. Which cell is multinucleated? Osteoblast, osteocyte, osteoclast 10. Which cusp on mand 2nd molar is larger than corresponding cusp on mand 1st molar? DB? 11. Which of the following will not cause jaundice? Hep A, biliary obstruction, hemolytic anemia, lack of Vit K 12. Esophageal varices will cause what? Hemoptysis, hematemesis 13. Metabolism of pure glucose will yield what respiratory quotient? 1.0 14. Where is lung cancer most common? Parietal pleura, bronchal epithelium, bronchiole epithelium 15. What is surface of articulating condyle of TMJ covered with? Fibrocartilage 16. What is surface of non-articulating portion of TMJ covered with? Synovial fluid, fibrocartilage, calcified cartilage (Periosteum was not an answer choice) 17. Serous demilunes secrete into what? intercalated ducts, striated ducts, 18. Sphenoid bone forms sutures with all of the following except: maxilla, temporal, palatine, mandibule 19. The complete upper lip is formed by what? Frontonasal and maxillary process, maxillary process and median nasal, and some answer choices with lateral nasal processes. 20. Salivary, sweat, sebaceous, and mammary glands all have what in common? Exocrine, endocrine, apocrine, holocrine???forbes and tests had different answers 21. What vein empties the stomach? Portal, SMV, IMV, and two others 22. When a baby takes his first breath, the pressure increases where? Ductus arteriosis, ductus venosus, right auricle, right atrium, left atrium 23. Fibrosis of the lungs is caused by what? Silicosis, antracosis, repeat Q 24. FL longitudinal section of canine is taken, where is the widest portion of the pulp chamber? Medial 1/3 or cervical 1/3 25. Where is pain consciously processed? Somatosensory cortex? 26. Where is pain from the orofacial region sent to? Nucleus ambiguous, nucleus dorsal, some other choices, inferior olive 27. What is the Hering Breur reflex? Its a stretch reflex which prevents overinflation of lungs 28. Posture is a result of what reflex? Stretch, flexion, extension, golgi tendon? 29. Women get squamous cell carcinoma most commonly where? Cervix, breast, 30. Which structure comes between the superior constrictor and middle constrictor? Stylopharyngeus? 31. Which nerve runs with the external jugular vein? Phrenic, vagus

32. What is contained in the axillary sheath along with the axillary artery? Brachial artery, axillary vein with cords of brachial plexus, axillary artery with trunks of brachial plexus, brachial artery with pharyngeal plexus. 33. Which nerve is most likely to be damaged in a mid-humeral shaft fracture? Radial nerve 34. What hormone causes secretion of bicarb from the pancreas? Secretin 35. The enterogastric reflex causes: increase or decrease gastric motility, increase or decrease in intestinal motility 36. ADH: increases permeability to H20 in the collecting duct and DCT 37. Two questions on cor pulmonale: one on what causes it, I believe its increased resistance in the lungs 38. A question on TH1 vs TH2 helper cells 39. Which of the following is intracellular pathogen? Histomycosis, actinomycosis, two other fungals, and candida 40. Which of the following has human carriers, I went with gonorrhea, Chlamydia and diphtheria? 41. Fleas are carriers for Yersinia pestis 42. What causes rash in scarlet fever? Pyrogenic exotoxins, or human response to it 43. SLE and rheumatoid arthritis are what classification of disease? Autoimmune 44. SLE damages the viscera by: immune/antibody complexes which mess things up 45. Danger of chloramphenicol? Aplastic anemia 46. Which is a benign tumor of nerve cells? Neurofibroma, meningioma, astrocytoma 47. Where is the lamina propria and the periosteum practically a single membrane? Buccal mucosa, soft palate, floor of mouth, attached gingiva 48. What is true of all anterior teeth? Wedge shaped from proximal 49. What causes athletes foot? Some Trichophytosis something, not aspergillus niger, or histo capsulatum 50. Where does the trachea bifurcate? Sternal angle, not the sternal notch 51. If you do IO block at the infraorbital foramen, what happens? Canine is anesthetized 52. Fossa ovale and rotundum are in what bone? Sphenoid 53. How does mandible ossify? Intramembranous ossification 54. Thyroid gland in adults remnant is? Foramen cecum 55. mRNA coding for collagen goes to the ER why? Bc the mRNA codes to go to the ER, or bc there is a protein on it which sends it to the ER 56. Facial nerve is cut off after it exits stylomastoid foramenwhat wont work: ocularis orbicularis, not mylohyoid or anterior belly of digastric 57. What muscle makes the floor of the submental triangle? Mylohyoid or anterior belly of the digastric this is stupid question, see pg 60 First Aid 58. Which other bone besides the zygomatic bone makes up the zygomatic arch? Temporal bone 59. A dentist loses a tooth, where should he not look for it? Vallecula, piriform recess, pharyngeal recess, and something else by the larynx 60. What foramen connects the nasal with the oral? Incisive foramen 61. Which muscle connects to articular disk and head of condyle? Lat Pterygoid 62. Where does the maxillary paranasal sinuses drain? Middle meatus? 63. Where do you feel cold sensation of tooth pain? Meissners, Ruffini, Pascini, Merkel, and it think the correct answr is the one I forgot

64. Preganglionic symphathetic nucleus are where? 65. Perikaryo are found where? 66. Bipolar, multipolar, purkinje, pyramidal??? 67. Where is testosterone madenot which cell, but where in the system, seminiferous epithelium? 68. Tomes granular layer is found where? Dentin next to CDJ. 69. Crypts of lieberkuhn are in what layer of the SI? Muscularis externa, adventitia, submucosal? 70. The appendix is located where? Ascending colon or at the cecum 71. Where do you not find goblet cells? Ileum or appendix vermiform 72. The spleen touches what? Diaphragm, right kidney, ascending colon, duodenum 73. Deep facial vein connects to what? Pterygoid plexus 74. Hematoma of an IAN can result by injecting into what? Pterygoid plexus 75. Which primary site of cancer is least likely to metastasize to bone? Tongue, prostate, breast, thyroid? 76. Tip of tongue lymph goes to where first? Submental 77. If pt has abscess of mandibular teeth, what lymph node would get swollen first? Submental 78. What is deep to hyoglossus? Lingual artery 79. Anterior superior most position of condylar head is known as: centric relation 80. To get to submandibular duct you need to cut through: mucosa only 81. Bunch of questions on muscles of mastication 82. Mandible on opening deviates to left, which muscle is damaged 83. Tongue on protrusion deviates to left, which nerve is damaged 84. Narrow or wide intercondylar distance creates more narrow angles between laterotrusive/mediotrusive movements (tooth groove escapes) 85. Maxillary lingual cusp moves straight back through central groove, which mmt? Protrusion 86. Which ones are guiding cusps? Mand ling, max bucc 87. On max first molar, what groove connects mesial and central pit? Central groove 88. Lots of max first molar root questions 89. Lots of premolar questions 90. Two questions on which groove is bigger max 2nd pm or max 1st pm, and which has more supplemental grooves 91. Which tooth has mesial marginal ridge more cervical than distal? Mand 1st molar 92. What is key charac about mand 1st molar? Mesiolingual developmental groove 93. What ligament hitches up so rotation of condyle turns into translation? TM or stylomand 94. When suprahyoids go up to swallow, what keeps mandibule from going down? Infrahyoids 95. Which of the following is not an infrahyoid? Stylohyoid 96. The external carotid ends as which two branches? External carotid and maxillary artery 97. What is sensory to the TMJ? Auricotemporal 98. Which is a polypeptide? Glucagon, epineph, insulin, cortisol, thyroxine 99. Epineph is most similar to which AA? Tyrosine 100. Thymus is in which mediastinum? 101. Which is both exocrine and endocrine? Pancreas 102. What stimulates the ectoderm to turn into neural crest? 103. What is skeletal muscle of the thorax made from embryologically? mesoderm 104. Where else besides gonads are sex hormones made? Adrenal cortex

105. Calcitonin is made where? Parafollicular cells of thyroid 106. Cortical plate histologically has: I dont remember, one answer was Whorling bone 107. question about red infarct in which organ answer is lungs. 108. alpha delta fibers are myelinated or not? 109. what artery supplies the condyle 110. what cartilage in nucleosus pulposus of vertebrae? Fibrocart 111. nuclear membrane: connected to golgi, two membranes, nuclear pores, outer membrane like rEr 112. LPS heat stabile endotoxin T/F or is outer membrane techoic acids 113. proteoglycans are amino sugars? 114. in what phase of cell cycle is DNA replicated 115. what anchors cells to ECM? Integrin? Keratin? 116. which hormone of adenohypophysis is not secreted by basophils? Answer is prolactin 117. which cells make surfactant? Type II pneumocytes 118. question about inulin not secreted or absorbed 119. if neither measuring secretion or absorption then this is a measure of GFR 120. sharpeys will be in al lthe following except: gingiva, cellular/acellular cementum, alveolar bone 121. question about cDNA 122. question about reverse transcriptase going from mRNA to cDNA 123. 5% CO2 will lead to what 124. which shifts the o2 hemoglobin curve to right, metabolic acidosis, respiratory acidosis, carbon monoxide, increased temperature, and increased 2,3, BPG 125. carbon monox has what feature cherry red blood 126. pustular dermatomes shingles/varicella zoster 127. a question about free radicals not involved in damaging what, infarct or oxygen toxicity 128. lots of questions on necrosis 129. which necrosis causes soap formation 130. which necrosis after a clot in middle cerebral artery 131. which necrosis and what cell type in an acute myocardial infarction 132. fumarate is in what two pathways 133. which of the following when metabolized is largest drop in free energy? Creatine phosphate, glucose 6 phosphate 134. which can be alternate energy source in muscle? Creatine phosphate or GTP 135. which neurotransmitter is blocked in local anesthesia to stop feeling to muscle 136. what do you palpate one inch superior and one inch anterior to ear? Temporalis anterior fibers 137. nerves 7 and 8 go through what to exit cranium internal acoustic meatus 138. what activates myosin light chain kinase in smooth muscle 139. what sequesters calcium in the masseter muscle sarco retic 140. orthostatic hypertension is caused by triggering carotid body or by decreased venous return

Cases/Scenarios: Why is bone brittle after someone dies? Loss of collagen Two questions on patients who had hypertension BPs of 160/90 and diabetes or high cholesterol question was which medical consultation is the most relevant? Hypertension What is Hb1Ac? Hemoglobin with sugar CSI crime scene zygomatic facial damage which muscle of mastication will be damaged? Masseter Bullet hole through posterior of head (.38) and exit wound superior to the eyebrows, what bones are most likely not involved? Temporal and zygomatic, other choices included, occipital, frontal, sphenoid Jugular foramen is also crushedwhich nerve is likely damaged? V, VII, IX, and Xshouldnt answer be both IX and X Old nursing home lady who hit her head and broke her clavicle 5 years ago and is mentally challenged comes in with a ulcerated sore on her hard palate with epithelial necrosis and the surrounding tissue is erythematous. How is her broken clavicle now? Woven bone, lamellar bone, bony callus, or remodeled bone What is the likely diagnosis for the ulcerated lesion? Trauma, herpetic stomatitis, Little kid with nephrectomy and kidney transplant had hypercalcemia and hyperphosphatemia and is taking cyclosporins to suppress immune system. Has lots of plaque and calculus. Also has loss of lamina dura Why are his gums enlarged? medication What is likely causing the hypercalc/hyperphos? Hyperparathyroidism What is his bone like? Decreased turnover, increased osteoid, two other answers Lady taking dilantin for something, and has peripheral neuropathies and diabetes, generalized shooting pain from mouth, has excellent oral care, find small cavity of buccal of 15, and when probing 13 she gets shooting pain for 2 minutes which goes to her earwhat is cause of pain? Trigem neuralgia, or periapical abscess, or that small cavity of facial of 15 Why are her gums enlarged? medication Multiple myeloma patient

Doing an extraction on 14, 15, on HTN pt, what do you not need to consider? Need to consider local anesthesia to use, maxillary sinus location, but do not need to consider density of mylohyoid line. Patient who eats only fast food and soda pop with a mom who got CD/CD at age 22. all his teeth are bad too, what is causing this? Diet What is nodule on the buccal of tooth 18? Fistulous tract, sinus tract, toruswhat is diff bw fistulus tract and sinus tract? When doing an IAN which muscle is anesthetized which will cause a pt to bite his cheeks when he eatsbuccinators or masseterdoes buccinators or masseter get anesthetized When doing an injection on 3which muscle do you inject into if you do an intramuscular injection? Lateral pterygoid? There is a hole on the mandible near the apex of the fifth tooth from midlinewhat is it? Mental foramen Pt complains of parasthesia to soft tissue of chin and lipwhich nerve is involved? Mental Mandibular radiolucencies include all of the following except: incisive foramen, mental foramen, sella turcica, mandibular foramen, pulp canals Patient on bisphosphanates What is tan piece of bone sticking out? Sequestra If on mandibular lingual posterior, what is causing it? Medication What ligament is probably damaged? Sphenomandib?