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iNBDE Diagnostic Test This test is comprised of 10 items, which must be completed within 10 minutes. |
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Based on your performance on this “NBDE” Practice Test, you’re not yet ready for the NBDE.
Keep your head up! Also, don’t focus on your estimated score, they mean essentially nothing at the start. Rarely does anyone start these exams and score well immediately, if that was the case then they wouldn’t even need to practice! These are ‘practice’ tests, meaning you’re practicing to improve your skills. If you continue to work hard and study, read and understand the solutions, practice with “Crack the NBDE” daily and give it your best effort, we promise your score will improve. Review and learn for now, and the scores will come.
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Based on your performance on this “NBDE” Practice Test, you barely missed the “passing” mark.
Keep your head up! Also, don’t focus on your estimated score, they mean essentially nothing at the start. Rarely does anyone start these exams and score well immediately, if that was the case then they wouldn’t even need to practice! These are ‘practice’ tests, meaning you’re practicing to improve your skills. If you continue to work hard and study, read and understand the solutions, practice with “Crack the NBDE” daily and give it your best effort, we promise your score will improve. Review and learn for now, and the scores will come.
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Which local anesthesia is associated with causing methemoglobinemia?
FK3, 8
CC: 26, 27
The correct answer is C. Prilocaine is metabolized in the liver to O-toluidine, capable of oxidizing hemoglobin to methemoglobin. They will clinically appear cyanotic. It is reversed by the administration of methylene blue IV.
Patient: |
---|
Male, 40 years old | Chief complaint: |
'I feel there is a swelling on the left side of my face' | Background and/or Patient History: |
Patient has recurring chlamydia infection
Anxiety and depression Medications: | Clinical findings: |
Swelling of left side of face BP: 148/95 #18: mobile |
Identify the pathology located in the le: angle of the mandible:
FK6
CC: 1, 2, 3
The correct answer is C. Ameloblastoma:
•Most common epithelial odontogenic tumor
•Most common clinically significant odontogenic tumor
•Three types: (Test question!)
1. Conventional solid (multicystic) – Most common, 85%
2. Unicystic – 15%
3. Peripheral – 1%
All arise from enamel organ
Most commonly seen in the molar-ascending ramus area as a painless swelling causing expansion (spreads buccal-lingually, unlike the OKC which spreads anterior-posteriorly)
VIA XRAY: Can be multilocular; soap bubble or honeycomb
Answer A is incorrect. OKC grows anterior-posteriorly, therefore, would most likely not cause bony expansion or swelling.
Answer B is incorrect. Dentigerous cyst usually envelops an impacted 3rd molar and is mainly unilocular.
Answer D is incorrect. Wisps of bony trabeculae are found at right angles to each other in odontogenic myoma.
FK6
CC: 1, 2, 3
The correct answer is C. Ameloblastoma:
•Most common epithelial odontogenic tumor
•Most common clinically significant odontogenic tumor
•Three types: (Test question!)
1. Conventional solid (multicystic) – Most common, 85%
2. Unicystic – 15%
3. Peripheral – 1%
All arise from enamel organ
Most commonly seen in the molar-ascending ramus area as a painless swelling causing expansion (spreads buccal-lingually, unlike the OKC which spreads anterior-posteriorly)
VIA XRAY: Can be multilocular; soap bubble or honeycomb
Answer A is incorrect. OKC grows anterior-posteriorly, therefore, would most likely not cause bony expansion or swelling.
Answer B is incorrect. Dentigerous cyst usually envelops an impacted 3rd molar and is mainly unilocular.
Answer D is incorrect. Wisps of bony trabeculae are found at right angles to each other in odontogenic myoma.
Patient: |
---|
Male, 40 years old | Chief complaint: |
'I feel there is a swelling on the left side of my face' | Background and/or Patient History: |
Patient has recurring chlamydia infection
Anxiety and depression Medications: | Clinical findings: |
Swelling of left side of face BP: 148/95 #18: mobile |
What is the distinctive radiographic feature of this lesion?
FK6
CC: 1, 2, 3
The correct answer is B. Ameloblastoma:
•Most common epithelial odontogenic tumor
•Most common clinically significant odontogenic tumor
•Three types: (Test question!)
1. Conventional solid (multicystic) – Most common, 85%
2. Unicystic – 15%
3. Peripheral – 1%
All arise from enamel organ
Most commonly seen in the molar-ascending ramus area as a painless swelling causing expansion (spreads buccal-lingually, unlike the OKC which spreads anterior-posteriorly)
VIA XRAY: Can be multilocular; soap bubble or honeycomb
Answer A is incorrect. OKC grows anterior-posteriorly, therefore, would most likely not cause bony expansion or swelling.
Answer B is incorrect. Dentigerous cyst usually envelops an impacted 3rd molar and is mainly unilocular.
Answer D is incorrect. Wisps of bony trabeculae are found at right angles to each other in odontogenic myoma.
FK6
CC: 1, 2, 3
The correct answer is B. Ameloblastoma:
•Most common epithelial odontogenic tumor
•Most common clinically significant odontogenic tumor
•Three types: (Test question!)
1. Conventional solid (multicystic) – Most common, 85%
2. Unicystic – 15%
3. Peripheral – 1%
All arise from enamel organ
Most commonly seen in the molar-ascending ramus area as a painless swelling causing expansion (spreads buccal-lingually, unlike the OKC which spreads anterior-posteriorly)
VIA XRAY: Can be multilocular; soap bubble or honeycomb
Answer A is incorrect. OKC grows anterior-posteriorly, therefore, would most likely not cause bony expansion or swelling.
Answer B is incorrect. Dentigerous cyst usually envelops an impacted 3rd molar and is mainly unilocular.
Answer D is incorrect. Wisps of bony trabeculae are found at right angles to each other in odontogenic myoma.
Patient: |
---|
Male, 40 years old | Chief complaint: |
'I feel there is a swelling on the left side of my face' | Background and/or Patient History: |
Patient has recurring chlamydia infection
Anxiety and depression Medications: | Clinical findings: |
Swelling of left side of face BP: 148/95 #18: mobile |
Azithromycin is an antibiotic whose mechanism of action is on the bacterial:
Patient: |
---|
Male, 40 years old | Chief complaint: |
'I feel there is a swelling on the left side of my face' | Background and/or Patient History: |
Patient has recurring chlamydia infection
Anxiety and depression Medications: | Clinical findings: |
Swelling of left side of face BP: 148/95 #18: mobile |
Chlamydia is what kind of bacteria?
FK7
CC: 7
The correct answer is B. Chlamydia trachomatis is a gram-negative, aerobic bacterium that can replicate only within a host cell. Over the course of the C. trachomatis life cycle, the bacteria take on two distinct forms. Elementary bodies are 200 to 400 nanometers across, and are surrounded by a rigid cell wall that allows them to survive outside of a host cell. This form can initiate a new infection if it comes into contact with a susceptible host cell. Reticulate bodies are 600 to 1500 nanometers across, and are found only within host cells. Neither form is motile.
FK7
CC: 7
The correct answer is B. Chlamydia trachomatis is a gram-negative, aerobic bacterium that can replicate only within a host cell. Over the course of the C. trachomatis life cycle, the bacteria take on two distinct forms. Elementary bodies are 200 to 400 nanometers across, and are surrounded by a rigid cell wall that allows them to survive outside of a host cell. This form can initiate a new infection if it comes into contact with a susceptible host cell. Reticulate bodies are 600 to 1500 nanometers across, and are found only within host cells. Neither form is motile.
Patient: |
---|
Male, 40 years old | Chief complaint: |
'I feel there is a swelling on the left side of my face' | Background and/or Patient History: |
Patient has recurring chlamydia infection
Anxiety and depression Medications: | Clinical findings: |
Swelling of left side of face BP: 148/95 #18: mobile |
What is the stage of hypertension seen in this patient?
Patient: |
---|
Male, 40 years old | Chief complaint: |
'I feel there is a swelling on the left side of my face' | Background and/or Patient History: |
Patient has recurring chlamydia infection
Anxiety and depression Medications: | Clinical findings: |
Swelling of left side of face BP: 148/95 #18: mobile |
Name this anatomical structure:
A sarcomere is defined as the area within a myofibril located between two
FK1
CC: 41
The correct answer is E. The Z line is a dark band that bisects each I band. The portion of a myofibril located between two Z lines is defined as a sarcomere.
Answer A is incorrect. The A band is a dark band consisting of myosin filaments (centrally) and actin filaments (laterally). It is bisected by the M line.
Answer B is incorrect. The H band is a lighter band that bisects the A band.
Answer C is incorrect. The I band is a light band that consists only of actin.
Answer D is incorrect. The M line bisects both the A band and the sarcomere.
FK1
CC: 41
The correct answer is E. The Z line is a dark band that bisects each I band. The portion of a myofibril located between two Z lines is defined as a sarcomere.
Answer A is incorrect. The A band is a dark band consisting of myosin filaments (centrally) and actin filaments (laterally). It is bisected by the M line.
Answer B is incorrect. The H band is a lighter band that bisects the A band.
Answer C is incorrect. The I band is a light band that consists only of actin.
Answer D is incorrect. The M line bisects both the A band and the sarcomere.
The intrinsic coagulation pathway is initiated by which of the following clotting factors?
The correct answer is E. The intrinsic pathway is initiated by the activation of factor XII (Hageman factor) from collagen, platelets, and fibrin. Recall that the extrinsic clotting pathway is initiated by tissue factor (tissue thromboplastin) as a response to contact with injured tissue.
Answers A, B, C, and D are incorrect.
The correct answer is E. The intrinsic pathway is initiated by the activation of factor XII (Hageman factor) from collagen, platelets, and fibrin. Recall that the extrinsic clotting pathway is initiated by tissue factor (tissue thromboplastin) as a response to contact with injured tissue.
Answers A, B, C, and D are incorrect.
Patient: |
---|
Female, 4 years old | Chief complaint: |
'My child fell down and there was bleeding from her mouth so I think her tooth broke' | Background and/or Patient History: |
N/A | Clinical findings: |
No abnormality detected on hard tissues Laceration on labial mucosa of upper lip Tooth #L deep caries |
The crowns of all primary teeth begin to calcify at what time?
FK1
CC: 5
The correct answer is B. The incisors begin to calcify around 4 1/2months, the canine and 1st molar around 5 months, and the 2nd molar around 6 months in utero.
Answer A is incorrect. Although tooth development starts at about 6 weeks in utero, calcification has not yet started by 16 weeks.
Answer C is incorrect. At 6-8 months in utero, all of the primary teeth are in a stage of calcification, but none of the permanent teeth have begun to calcify.
Answer D is incorrect. The 1st permanent teeth start to calcify at birth.
Answer E is incorrect. By 16 weeks postpartum, all of the primary central and lateral incisors have completed calcification, but none have erupted.
FK1
CC: 5
The correct answer is B. The incisors begin to calcify around 4 1/2months, the canine and 1st molar around 5 months, and the 2nd molar around 6 months in utero.
Answer A is incorrect. Although tooth development starts at about 6 weeks in utero, calcification has not yet started by 16 weeks.
Answer C is incorrect. At 6-8 months in utero, all of the primary teeth are in a stage of calcification, but none of the permanent teeth have begun to calcify.
Answer D is incorrect. The 1st permanent teeth start to calcify at birth.
Answer E is incorrect. By 16 weeks postpartum, all of the primary central and lateral incisors have completed calcification, but none have erupted.