Periodontics - COMS, Teaching Hospital, Bharatpur IV year BDS Send Up Exam 2019

COLLEGE OF MEDICAL SCIENCES. TEACHING HOSPITAL BHARATPUR

          Dec-Jan 2019-2020

Level: IV BDS                                                                                                                            Exam: Send up
Subject: Periodontics                                                                                                             Time: 2 hr. 30 mins.
Date: 6/11/2019                                                                                                                          Full marks: 50

INSTRUCTIONS TO THE CANDIDATE

• Write brief, relevant and legible answers
• Illustrate your answer with well labeled diagrams wherever required. 
• All questions are compulsory. 

SECTION 'B' [25Marks]
1. Define gingiva. Describe different parts of the gingiva. Mention the name of various gingival fibers and blood supply of gingiva.    [1+3+2=6]

2. Write down the composition of calculus. Mention the important differences between supragingival and subgingival calculus. Highlight on the modes of attachment of calculus and its role in periodontal disease. [1+2+2=5]

3. A patient came with the chief complaint of progressive mobility of upper right lateral incisor since last six months. On clinical examination, there was grade II mobility of the tooth with three-degree positive fremitus test. [1+3+1=5]
a. What is your diagnosis & classify the condition?
b. What are the tissue responses seen in this case?
c.Write about possible radiographic changes in this case?

4. Write short notes on: [3*3=9]
a Local drug delivery
b. Halitosis
c. Resective osseous surgery

SECTION "C" [25 Marks]

5. A 28-year-old patient came with the chief complain of a progressive downward shift of gum exposing mandibular right central incisors. What is your differential diagnosis, investigations and
treatment plan for the case? [1+2+3=6]

6. Define Aggressive Periodontitis. Write down the causes of area-specific distribution of Localized Aggressive Periodontitis (LAP). Highlight on the clinical features of LAP. [1+2+2=5]

7. Define Furcation Involvement (FI). What are the predisposing factors for Furcation involvement?
Write about different therapeutic modalities in the management of FI.  [1+1+3=5]

8. Write short notes on:  [3*3=9]

a. Host modulation therapy (HMT)
b. Chemical plaque control
c. Modified Widmann flap

Pedodontics COMS, Teaching Hospital, Bharatpur IV year BDS Send Up Exam 2019

COLLEGE OF MEDICAL SCIENCES. TEACHING HOSPITAL BHARATPUR

          Dec-Jan 2019-2020

Level: IV BDS                                                                                                                            Exam: Send up
Subject: Pedodontics                                                                                                             Time: 2 hr. 30 mins.
Date: 8/11/2019                                                                                                                          Full marks: 50

INSTRUCTIONS TO THE CANDIDATE

• Write brief, relevant and legible answers
• Illustrate your answer with well labeled diagrams wherever required. 
• All questions are compulsory. 

SECTION 'B' [25Marks]
1. A 2 year old girl comes to the dental office with a chief complaint of discoloration of teeth in front tooth region. The child is Frankel's definitely negative. On examination, teeth 51, 52, 61 and 62
caries do not extend to the pulp.
a. Write the diagnosis and mention the stage of the problem.   [1]
b. What should be the preventive treatment plan for this dental problem? [2]
c. Write in detail how will you proceed with the decided treatment plan.  [3]

2. Write in detail about the clinical findings in Cleidoeranial dysplasia. Give the details of dental
management of patients.       [5]

3.Classify cleft lip and palate. Describe in detail the multidisciplinary approach to treatment planning of cleft lip and palate.   [5]

4. Write short notes on:  [3x3=9]
a. Air abrasion
b Tunnel preparation
C Compomer.

SECTION "C" [25 Marks]

5. Write in details about the concepts of operant conditioning child psychology theory and its dental
implications in a pediatric office.  [6]

6. Define preventive orthodontics. Write in details about the indications, contraindications, and construction of distal shoe space maintainer.      [5]

7. Write in detail about the planning of a pediatric dental clinic.      [5]
8. Write short notes on: [3*3=9]

• Dental Home
• Anticipatory guidance
• Recent advances in pit and fissure sealants

Oral Medicine and Radiology COMS, Teaching Hospital, Bharatpur IV year BDS Send Up Exam 2019

COLLEGE OF MEDICAL SCIENCES. TEACHING HOSPITAL BHARATPUR

          Dec-Jan 2019-2020

Level: IV BDS                                                                                                                            Exam: Send up

Subject: Oral Medicine                                                                                                              Time: 2 hr. 30 mins.
Date 4/11/2019                                                                                                                          Full marks: 50

INSTRUCTIONS TO THE CANDIDATE

• Write brief, relevant and legible answers
• Illustrate your answer with a well labeled diagrams wherever required. 
• All questions are compulsory. 

SECTION 'B' [25Marks]

1.A 40 year old male patient visited the department with a chief complaint of pain and swelling in right side below the ear and behind the angle of the mandible. Patient gives a history of increased pain while eating food which subsides after meals. On clinical examination, there is pus discharge from a point in right buccal mucosa opposite to maxillary 2nd molar. 

Give the provisional diagnosis and discuss it in detail.               [2+4=6]

2. Define pain. Discuss in-detail about gate control theory.        [1+4=5]

3. Discuss in detail about radiotherapy. Mention the advantages and disadvantages of radiotherapy when compared with a surgical option.                                           [3+2=5]

4. Write short notes on: [3*3=9]

• Oral thrush
• Treatment of aphthous ulcers
• Corticosteroids in dentistry

SECTION "C" [25 Marks]

5. Discuss the image characteristics in detail.                              [6]
6. What is a bitewing radiograph? Give the advantages, disadvantages, indications, and uses of bitewing radiographs.      [1+4 =5]

7. Describe in detail the methods to reduce x-ray hazards.    [5]

8. Write short notes on :               [3x3=9]

• PA skull view
• Braking radiation
• Composition of fixing solution

Most common bone cancer:

# The most common bone cancer is (AlIMS 94, AIPG 99)
a) Osteosarcoma
b) Metastatic bone cancer
c) Multiple myeloma
d) Squamous cell carcinoma

The correct answer is: B. Metastatic bone cancer.

Metastatic cancers are most common cancers in bone. Multiple myeloma is the common primary bone tumor, whereas the common inherent bone cell tumor is osteogenic sarcoma or osteosarcoma.

Bifid ribs and Falx Cerebri Calcification

# Bifid ribs, multiple radiolucent lesions of the jaws, multiple basal cell nevi and falx ceribri calcification are found in (Man 98, 97)
a) Basal cell nevus syndrome
b) Sturge weber syndrome
c) Horner syndrome
d) Hereditary internal polyposis

The correct answer is A. Basal cell nevus syndrome.

Basal cell nevus syndrome is also called as Gorlin Goltz syndrome.

Horner's syndrome is characterized by miosis, ptosis and anhidrosis over face due to interruption of sudomotor and vasomotor control.

Hereditary intestinal polyposis is seen in Peutz-Jeghers syndrome.

Most aggresive odontogenic tumor

# Which of the following tumors is most aggressive? (AIPG 91, AIIMS2004)
a) Ameloblastoma
b) Odontoma
c) Odontogenic myxoma
d) Fibrocarcinoma

The answer is C. Odontogenic myxoma

ODONTOGENIC MYXOMAS

Aggressive, intraosseous neoplasms derived from embryonic odontogenic mesenchyme probably arise from the dental papilla or follicular mesenchyme. Nearly all lesions are found in the tooth bearing areas of maxillary and mandibular bone.

Mandibular lesions are commonly found in the premolar-molar area. The lesions often produce multilocular radiolucency with a "soap bubble' or "honey comb" appearance in the bone.

Thin and extremely delicate septa of bone are often seen to course through the radiolucent area and produce a "spider- web" like or "tennis racket" like appearance.

 (Ref: Shafer's Textbook of oral pathology 7h ed., p 299)

Type II Diabetes Causes

# Obesity, genetic profile, and aging all contribute to the development of Type II diabetes. Of the following, which is the most important additive factor for these three conditions in the development of Type II diabetes?

A. elevated hepatic ketogenesis
B. elevated pancreatic glucagon secretion
C. impaired renal clearance of glucose
D. muscle resistance to insulin

Answer: D - Muscle resistance to insulin is the most important additive factor for these three conditions in the development of Type II diabetes. The progressive loss of skeletal muscle sensitivity to insulin leads to increased rates of visceral cell lipolysis and pancreatic beta-cell compensation.