Which of the following drugs is likely to damage the eighth cranial nerve when administered for a long period of time ?

 # Which of the following drugs is likely to damage the eighth cranial nerve when administered for a long period of time ?
 A. Ethambutol
 B. Isoniazide
 C. Rifampicin
 D. Streptomycin


The correct answer is D. Streptomycin.

Nephrotoxicity, ototoxicity, and contact sensitization (due to this, topical application is not indicated) are common side effects of Streptomycin. 8th nerve is usually affected. Vestibular involvement is more common and cochlear involvement is less common. 

Which of the following structures is not of ectodermal origin?

 # Which of the following structures is not of ectodermal origin?
A. Hunter Schreger bands
B. Enamel spindles
C. Enamel tufts
D. Enamel lamellae


The correct answer is B. Enamel spindles.

Enamel spindles are odontoblastic processes, which extend into enamel. Enamel spindles are mesenchymal in origin.


Malocclusion representing a transverse deficiency is often referred to as:

 # Malocclusion representing a transverse deficiency is often referred to as:
A. Open bite
B. Closed bite
C. Cross bite
D. Deep bite


The correct answer is C. Cross bite.

Patients with maxillary transverse deficiency usually have a narrow palate and a posterior crossbite. If the maxilla is narrow relative to the rest of the face, a diagnosis of transverse maxillary deficiency is justified. Occlusal relationships must be considered in all three planes of space. Lingual posterior crossbite (i.e., upper teeth lingual to lower teeth) is the major deviation from the normal transverse dental relationship and reflects deviations from ideal occlusion in the transverse plane of space.

Ref: Contemporary Orthodontics, William R. Proffit, 6th Edition.

Y shaped occlusal pattern is found in which teeth?

 # Y shaped occlusal pattern is found in which teeth?
A. Mandibular first premolar
B. Mandibular second premolar
C. Maxillary first premolar
D. Maxillary second premolar


The correct answer is B. Mandibular second premolar. 

The three cusp type mandibular second premolar manifests as a Y shaped occlusal pattern. The three-cusp type appears square lingual to the buccal cusp ridges when highly developed. Each cusp has well-formed triangular ridges separated by deep developmental grooves. These grooves converge in a central pit and form a Y shape on the occlusal surface. 

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