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NEET MDS Shorts

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Anatomy

Tip of tongue + incisors + lower lip + chin -> submental nodes. Rest of tongue (anterior 2/3 lateral border, floor mouth) -> submandibular (Ib). Tip + submental then to submandibular then to jugulo-omohyoid.

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Oral Pathology

Root canal treatment is the treatment of choice for a patient with a painful carious exposed mandibular first molar with periapical abscess.

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Periodontics

The success of a laterally positioned flap procedure, which is a type of periodontal plastic surgery used to cover exposed root surfaces, relies on several factors related to the donor site. 

Sufficient bone support: Adequate bone at the donor site is crucial to ensure the stability and blood supply of the flap after it is moved to the recipient site. 

Thickness of attached gingiva: A thicker flap generally has a better blood supply and is more resistant to tearing and recession, leading to a more predictable outcome.
 
Width of attached gingiva: Sufficient width allows for proper mobilization and positioning of the flap without tension, which is essential for successful integration and healing. 

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Anatomy

The buccal mucosa of mandibular molars is supplied by the long buccal nerve and requires a separate buccal nerve block. The inferior alveolar nerve supplies mandibular teeth, chin skin, and lower lip through its branches.

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Oral Pathology

Lichenoid reactions are mainly due to the intake of certain drugs.

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Oral Pathology

All of the mentioned syndromes can exhibit high arched palate. Marfans syndrome shows high arched palate due to connective tissue abnormalities. Down syndrome may have high arched palate. Pierre-Robin syndrome has micrognathia with high arched/cleft palate. Treacher Collins syndrome shows palatal defects. Craniofacial dysostosis (Crouzons) and cleidocranial dysplasia both can present with high arched palate due to developmental abnormalities affecting craniofacial growth.

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Pathology

Lungs in LVF: brown induration due to hemosiderin-laden macrophages (heart failure cells) from pulmonary edema and hemorrhage. Liver = nutmeg, Spleen = congestive splenomegaly with Gamna-Gandy bodies.

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Oral Pathology

Explanation:

  1. It is caused by a gram-negative fungus: This statement is not true. Thrush is caused by Candida albicans, which is a yeast (fungus) but not a gram-negative organism. In fact, fungi are not classified as gram-positive or gram-negative in the same way that bacteria are. Candida is a eukaryotic organism and does not fit into the gram classification system.

  2. It is characterized by a plaque of proliferating epithelial and other cells: This statement is true. Thrush presents as white patches or plaques in the oral cavity, which consist of fungal elements, dead epithelial cells, and inflammatory cells.

  3. It is a complication of immunosuppression or systemic disease: This statement is true. Thrush is commonly seen in individuals who are immunocompromised, such as those with HIV/AIDS, cancer patients undergoing chemotherapy, or individuals on long-term corticosteroid therapy.

  4. It can affect neonates in an epidemic fashion: This statement is true. Thrush can indeed affect neonates, particularly those born to mothers with vaginal candidiasis, and outbreaks can occur in neonatal intensive care units.

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Dental Materials

Retarders in gypsum-based materials slow down the setting reaction by forming an adsorbed layer on hemihydrates, allowing more time for manipulation and placement before the material sets.

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Endodontics

Trephination is the surgical procedure of cutting a window in bone to drain an abscess. This provides external drainage when intraoral drainage through the root canal is insufficient.

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