Past exam of MFD second part (May 2011 Dublin):

OSCE Stations (5 mins each):

1. CPR station; keep in your mind you need to know when/why/ and how to put the victim in
the recovery position.
2. Stitching; simple interrupted, vertical & horizontal mattress sutures.
3. Rubber dam placement for lower left second premolar tooth to do class II; you need to
punch three holes to isolate lower left first & second premolars + first molar; also you need
to know how to place the Tofflemire matrix retainer+ wedge and why you need it in this
case.
4. Cranial nerves examination; usually they asked about the motor function of occulomotor,
trochlear, abducent, trigeminal and facial nerves. You need to know the names of the
muscles supplied by the occulomotor, trochlear and abducent nerves & in which direction
each muscle moves the eyeball (important). Also, when examining the facial nerve, you
should examine the 5 branches (temporal, zygomatic, buccal, marginal mandibular &
cervical).
5. 3 orthodontic stations with different questions; like:
 Chronological age of this child; they gave you different intra oral views.
 Types of malocclusion seen.
 What is the aim of your treatment?
 What are the objectives of your treatment?
 List 4 complications of orthodontic treatment.
 Draw a removable appliance to treat this case.
6. Picture of Sturge-Weber Syndrome:
 What is this clinical condition; select one from the given options.
 The patient may have what? Epilepsy.
 Name the drug that he may take to treat this condition? Phenytoin.
 What is the common side effect of this drug? Gingival enlargement.
7. Epulis + quick MCQs of permanent and temporary diffuse soft tissue swellings.
8. Lower edentulous cast with three dots: Give the name of these 3 muscles that may interfere
with lower complete denture (Buccinator, Orbicularis Oris, and Geniohyoid).
9. RPD:
 Classify this lower edentulous area according to the Kennedy classification?
 What type of major connector will you use?
 Give 5 options to increase the retention in the distal extension area.
 Another 2 Ques but I didn’t remember them.
10. Picture of deviated tongue:
 Describe what you see.
 Name the extrinsic muscles of the tongue and there innervations.
11. Radiographic view of the maxilla:
 What is this view? Axial CT-scan.
 What do you see? Reduced alveolar bone height.
 This patient needs to do an implant, what she need before implant insertion? Bone
graft.
12. Picture of premature upper central incisor with open apex + one gutta percha inside the
canal: (Apexification)
 Describe what you see?
 What is your aim of treatment?
 What are your objectives?
 What is the advantage of this treatment?
13. What are the differences between vacuum and non vacuum autoclaves? Advantages,
Disadvantages, Temperature and time used.
14. What do these signs mean which are commonly seen in your dental practice:

Means Single use; usually seen in the cartons of gloves, masks ...etc

Means Latex free; usually seen in the cartons of the non latex gloves.

Means Caution Radiation Area, Authorized Personnel Only.

Oral Questions:

There were 2 tables with 2 examiners in each table.

 What is the haemostasis? What is the platelet? Talk about the mechanism of haemostasis.
 What is the warfarin, define the INR and give its normal ratio? Patient taking warfarin and
need extraction, How to deal with him?
 What is the physiological mechanism of hypoglycaemia? What are the signs and symptoms
of hypoglycaemia? How would you treat the patient with hypoglycaemia?

 Picture of child face:

 What do you see in this picture? A child with cellulitis.
 What are the complications of this condition? Airway obstruction.
 How would treat this child? Hospitalization + Endotracheal tube + IV Antibiotics.
 Oral Cancer: risk factors and common intra oral sites.
 Smoking increases the risk by 5 folds.
 Alcohol increases the risk by 3 folds.
 Synergistic action of smoking + alcohol increases the risk by 20 folds.

 Picture of Minor Aphthus Ulcer (RAS):

 Describe what you see?
 Talk about the 3 different types of RAS.
 What are the predisposing factors?
 What is your treatment? Topical steroid (Hydrocortisone Hemisuccinate pellet allowed
to be dissolved in the mouth 3 times/day).
 Picture of ulcer:
 Describe what you see? An erythematous ulcer with areas of white patches in the
commissural area, triangular in shape with its apex pointed posteriorly. There is no
covering membrane.
 What are the types of leukoplakia? Name that has the tendency to become malignant?
 What are the features of epithelial dysplasia?
 What is your differential diagnosis? Chronic Hyperplastic Candidiasis, Erythroplakia,
Speckled leukplakia
 How can you reach the definite diagnosis?

 Picture of post and core: What do you see? Why we may need them? .......
 Skull:
 What are the important anatomical structures in this area (maxillary sinus, muscles,
nerves, arteries, veins)?
 Talk about the TMJ in details; attachment, intra-articular disc, membranes, synovial
fluid, ligaments ...).
 Give the definition of the 4 types of the tooth surface loos?
 Picture of 2 implants:
 Describe what you see? The bone was deficient around one implant.
 How can treat this defect? By bone graft.
 What are the types of the bone graft and give an example of each type?
1. Autograft: from the patient itself and could be:
 Intra-oral: retromolar area, chin area anterior to the premolar teeth to
avoid any damage to the mental nerve.
 Extra-oral: iliac crest of hip bone, calvarium, sternum, ribs.
2. Allograft: from the cadaver bones.
3. Xenograft: Bovine bone.

Good Luck,,

Hieba Elkomy