PGCEE MDS 2022: In winter's WAR line, Amber line represents the:

 # In winter's WAR line, Amber line represents the:

a) Relative depth of the III molar

b) Point of application of the elevator

c) Bone level covering the impacted tooth

d) Axial inclination of the impacted tooth relative to Second molar

The correct answer is C. Bone level covering the impacted tooth.

Winter's lines include 3 imaginary lines that are drawn on the radiographs.

• White line

• Amber line

• Red line

White Line: It is drawn touching the occlusal surfaces of 1st and 2nd molars and is extended posteriorly over the 3rd molar region. It indicates the difference in occlusal level of 2nd and 3rd molars.

Amber Line: It is drawn from the crest of interdental bone between 1st and 2nd molars and extends posteriorly distal to 3rd molar or to the ascending ramus. It indicates the amount of alveolar bone covering the impacted tooth and the portion of tooth that is not covered by the bone.

Red line: It is drawn perpendicular from the amber line to an imaginary point of application of elevator.

It indicates the depth of the tooth in the bone and the difficulty encountered in removing of the tooth.

PGCEE MDS 2022: Gracey’s curette no 15/16 is used for:

 # Gracey’s curette no 15/16 is used for:

A. Anterior teeth

B. Premolars

C. Mesial surface of posterior teeth

D. Distal surface of posterior teeth

The correct answer is C. Mesial surface of posterior teeth. 

Double-ended Gracey curettes are paired in the following manner:

Gracey #1-2 and 3-4: Anterior teeth

Gracey #5-6: Anterior teeth and premolars

Gracey #7-8 and 9-10: Posterior teeth: facial and lingual

Gracey #11-12: Posterior teeth: mesial

Gracey #13-14: Posterior teeth: distal 

Recent additions to the Gracey curette set have been the Gracey #15-16 and 17-18. The Gracey #15-16 is a modification of the standard #11-12 and is designed for the mesial surfaces of posterior teeth. It consists of a Gracey #11-12 blade combined with the more acutely angled #13-14 shank. When the clinician is using an intraoral finger rest, it is often difficult to position the lower shank of the Gracey #11-12 so that it is parallel with the mesial surfaces of the posterior teeth, especially on the mandibular molars. The new shank angulation of the Gracey #15-16 allows better adaptation to posterior mesial surfaces from a front position with intraoral rests. If alternative fulcrums, such as extraoral or opposite-arch rests, are used, the Gracey #11-12 works well and the new #15-16 is not essential.

PGCEE MDS 2022: Jug handle view is another name for:

 # Jug handle view is another name for:

a. occipitomental view 

b. submentovertex view 

c. lateral cephalogram 

d. lateral oblique view

The correct answer is B. Submentovertex view.

Submentovertex projection or jug handle view: 

 The image receptor is positioned parallel to the patient’s transverse plane and perpendicular to the midsagittal and coronal planes. To achieve this position, the patient’s neck is extended as far backward as possible, with the canthomeatal line forming a 10-degree angle with the image receptor.

PGCEE MDS 2022: Treatment of mushroom poisoning :

 # Treatment of mushroom poisoning :

A. Atropine

B. Pilocarpine

C. Adrenaline

D. Quinidine

The correct answer is A. Atropine.

A mixture of signs and symptoms can occur with muscarinic poisoning from medications or mushrooms. Manifestations may vary even among persons who ingested mushrooms grown in the same patch and gathered at the same time. Confusion can occur if mushroom poisoning is attributed to a suspected species rather than to the toxin suggested by signs and symptoms. Accurate diagnosis depends on clinical suspicion and recognition of muscarinic manifestations, notably diaphoresis, salivation, bladder cramping, diarrhea, and difficulty with visual accommodation. Muscarinic toxicity due to medications necessitates an adjustment in drug dosage. In mushroom poisoning that produces primarily muscarinic effects, atropine is the treatment of choice.