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Oral Histology MCQs collection, done by Rasha Eloshar

1. The most mineralised part of dentine is

A. Peritubular dentine

B. intratubular dentine

C. enamel rods

D reparative dentine

2. The junction between primary and secondary dentine is

A. A reversal line

B. Sharp curvature

C. A resting line

D. A reduction in the number of tubules

3. What is the correct sequence of events

A. Differentiation of odontoblast, elongation of enamel epithelium, dentine formation then


enamel formation.

B. Differentiation of odontoblast, dentine formation then enamel formation, elongation of enamel


epithelium.

C. Elongation of enamel epithelium, differentiation of odontoblast, dentine formation then


enamel formation.

4. What is the sequence from superficial to the deepest in dentine caries

A. Zone of bacterial penetration, demineralisation, sclerosis, reparative dentine

B. Zone of bacterial penetration, reparative dentine, demineralisation, sclerosis.

C. Zone of bacterial penetration, sclerosis, reparative dentine, demineralisation.

5. The nerve supply of the pulp is composed of which type of nerve fibres
A. Afferent & sympathetic

B. efferent neuron

C. sympathetic nerve fibre

6. In which direction does the palatal root of the upper first molar usually curve towards

A. Facial / buccal/

B. Lingual

C. Mesial

D. Distal

7. Which of the following anomalies occurs during the initiation and proliferation stages
of tooth development?

A. Amelogenesis imperfecta

B. Dentinogenesis imperfecta

C. Enamel hypoplasia

D. Oligodontia

E. Ankylosis

8. The lamina dura seen on periapical radiograph as

A. Usual radiolucency between tooth root and surrounding bone as a thin white line.

B. Cribriform plate of bone making the tooth socket

C. Dense crestal bone consistent with a healthy periodontal status

D. Pattern of radiopaque lines in supporting alveolar bone

9. Which is the right sequence of the histological stages of tooth development

A. Initiation, proliferation, histodifferentiation, morphodifferentiation, mineralization

B. Proliferation, initiation, histodifferentiation, morphodifferentiation, mineralization


C. Proliferation, morphodifferentiation, histodifferentiation, mineralization

D. Initiation, proliferation, morphodifferentiation, histodifferentiation, mineralization

10. At birth, some calcified dental tissues are presented

A. All deciduous teeth and all permanent incisors

B. All deciduous teeth and permanent central incisors

C. All deciduous teeth and the first permanent molars

D. Deciduous teeth only

11. Which one of the following statement is correct

A. The remnants of Ameloblast contribute to the primary enamel cuticle

B. the last secretion of the odontoblast is cementum X

C. The last secretion of the ameloblast is the acquired of enamel cuticle

D. The remnants of odontoblast form the primary enamel cuticle

12. The commonest elements which are found in periodontal membrane are

A. Fibroblast

B. Epithelial cells

C. Erythrocytes

D. Vest cells of malaise

E. Inflammatory plasma cells and lymphocytes

https://adcprep.wordpress.com/2014/09/24/more-1000/

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13. Which type of dentin is not formed due to pulp pathology?


A. Reparative dentin
B. Secondary dentin
C. Primary dentin
D. Reaction dentin
E. Tertiary dentin

14. Which of the following describes best a 9 years-old child permanent dentition?
A. 16 12 11 | 21 22 26
------------------------
46 42 41 | 31 32 36

B. 12 11 | 21 22
----------------
42 41 | 31 32

15. Parotid gland develops at

A. 3-7 weeks IUL


B. 4-6 weeks IUL
C. 6-8 weeks IUL

16. Tongue develop from


A. 1st and 2nd brachial arch
B. 2nd and 3rd brachial arch
C. 1st and 3rd brachial arch

17. Disturbance during initiation stage of tooth formation leads to


A. Hypodontia
B. Dens in dente
C. Dilacertion
D. Microdontia

18. Embryo become fetus in


A. 1 week
B. 2 weeks
C. 3 months

19.

Answer: C
20

A. ROOT SHEAT OF HERTWINGS


B. necrosis layer
C. CaOH2
D GIC
E composite
21

22

0 -12 yrs ?
23

24

C ??
25

4 years or 6 years

26

27. What structure is formed in the crown first?


a- Enamel.
b-Cementum.
c- Pulp.
d- Dentine.

28. Which of the following induces the dental papilla cells to be differentiated into
odontoblasts?
a- Stratum intermedium.
b- Reduced enamel epithelium.
c- Inner enamel epithelium.
d- Outer enamel epithelium.
29. No basal lamina is found between the cells of the:
a- Stratum intermedium and inner enamel epithelium.
b- Outer enamel epithelium and the dental sac.
c- Inner layer of Hertwig's sheath and the dental papilla.
d- Inner enamel epithelium and the dental papilla.

30. Which of the following is not a functional activity of the enamel organ:
a- Inducing the differentiation of Odontoblasts.
b- Secretion of enamel matrix.
c- Maturation of enamel.
d- Formation of cementum.

31. Which of the following is not derived from the dental organ:
a- Stellate reticulum.
b- Hertwig's epithelial root sheath.
c- Odontoblasts.
d- Ameloblasts.

32. The stratum intermedium:


a- Induces dentin formation.
b- Is separated from the stellate reticulum by a basal lamina.
c- Develops in cap stage.
d- Is important for enamel maturation.

33. The dental organ


a- Develops from cells in the dental follicle.
b- Is a completely connective tissue structure.
c- Is a completely epithelial structure.
d- Is highly vascular, as ameloblasts require an enriched environment.

34. Traumatic pulp exposure of a child, comes for treatment 5 days later?
a. Pulpotomy
b. monitor
c. Pulpectomy/extraciton
d. all the above

35. Fluoride tablets for 8 years old with high caries incident living in 1ppm water
fluoridated area?
a. .25
b. .5
c. 1
d. None

36. First layer of dentine layer is called?


a. Refractory dentin
b. Mantle dentin
c. tertiary dentin
d. None of the above

37. IOTN score for cleft lip and palate?


a. 4
b. 3
c. 5
d. 1

38. Which method of behaviour control is used in child with minimal occlusal cavity?
a. Positive reinforcement
b. Tell, show, do
c. NO2 sedation
d. None of the above

39. Pseudostratified columnar is found where?


A. bronchi and small intestine
B. ears and epiglottis
C. nasal cavity and larynx
D. trachea and bronchi
40. Which of the following is not a function of epithelium?
A.absorption
B.diffusion
C.protection
D.secretion
E.transportation

41. Blood vessels, pleural and peritoneal cavities, pulmonary alveoli and glomerular
capsules all have what kind of epithelium?
A. simple columnar
B. simple cuboidal
C. simple squamous
D. stratified columnar

42. What type of epithelium is found in glands and ducts? (Specifically, the thyroid gland
and collecting ducts of the kidney)
A. simple columnar
B. simple cuboidal
C. stratified squamous
D. transitional epithelium

43. What is the order of tissues of the basement membrane from top to bottom?
A. lamina densa, reticular lamina, lamina lucida
B. lamina lucida, lamina densa, reticular densa
C. lamina lucida, lamina densa, reticular lamina
D. reticular lamina, lamina densa, lamina lucida

https://synap.ac/mcq/twickett-histology-epitheliumManage

Histology: Epithelium | MCQ Quiz | Synap

44. Which of the following is not a correct pairing of embryonic structure and adult
derivative?
a- Maxillary processes: secondary palate.
b- Primary palate: upper incisor teeth.
c- Second pharyngeal arch: mandible.
d- Lateral lingual swellings: anterior 2/3 of tongue.

45. An oblique facial cleft is formed:


a- Due to the rupture of the buccopharyngeal membrane.
b- When the maxillary process fails to fuse with the mandibular processes.
c- When the maxillary process fails to fuse with the lateral & medial
nasal process.
d- When the medial nasal process fails to fuse with the maxillary process.

46. Neonatal lines are present in:


a- All permanent teeth.
b- Permanent canines.
c- All deciduous & first permanent molar.
d- Premolars.

47. The extensions from secretory ameloblast cells that give structure
to enamel rods are called:
a) Enamel tuft.
b) Tomes processes.
c) Enamel spindles.
d) Enamel lamellae

48. Maxillary sinus open in the:


a- Medial nasal conche.
b- Superior nasal meatus.
c- Inferior nasal meatus.
d- Medial nasal meatus.

49. Odontogenesis in latter stages is maintained by factors resident in the:


a) 1st arch ectomesenchyme
b) 1st arch epithelium
c) 2nd arch ectomesenchyme
d) 2nd arch epithelium

50. What is the protein present in the Enamel Matrix and its % ?
90% tyrosine rich amelogenin protein

51. Enamel pearls are formed due to disturbance in:


A) ameloblast formation
B) root formation
C)HER's formation
D)Cementum formation

52. What is the epithelial derived material that provides attachment of cementum on
dentin? and provide initial attachment of periodontal fibres?
A) sharpeys fibers
B) calcospherites
C) Enameloid
D) none of the above

53. During witch stage of tooth development can occur dysplasia


a) appositional stage
b) bud stage
c) initiation

54. HERS arise from the communication bet


a-IEE
b-OEE
c-stellate reticulum
d- 55. a&b
e- non of the above

55. From which branchial arches is the sensory component of the trigeminal nerve
derived?
a- 1st arch
b-2nd arch
c-3rd arch
d-all of the above

56. When a tooth first erupts into the oral cavity, the attachment epithelial cuff is
composed
of epithelium derived from...
a- Dental lamina.
b- Epithelial rests of Malassez.
c- Reduced dental epithelium.
d- Epithelial root sheath of Hertwig's.

57. Which of the following occurs during the pre-eruptive stage of eruption of a tooth?
a- Differentiation of the stratum intermedium.
b- Formation of the dental sac.
c- Formation of stellate reticulum.
d- Maturation of enamel.

58. Which of the following does not occur in the active phase of tooth eruption:
a-Organization of a periodontal ligament from the dental follicle.
b- Gradual separation of attachment epithelium from the enamel surface.
c- Root formation.
d- Occlusal wear

59. The epithelial root sheath of Hertwig disintegrates:


a- After odontoblastic differentiation & before dentin matrix formation.
b- After odontoblastic differentiation & dentin matrix deposition.
c- Before odontoblastic differentiation.
d- After cementum formation

60. Which of the following is not derived from the dental organ:
a- Stellate reticulum.
b- Hertwig's epithelial root sheath.
c- Odontoblasts
.d- Ameloblasts

61. In which layer of masticatory epithelium cells show first stages of maturation
a. basal layer
b. prickle cell layer
c. granular layer
d. keratinized layer

62. Which of the following does not increase normally with age?
a- Pulp stones.
b- Dentin sclerosis.
c- Interglobular dentin.
d- Cementum thickness.

63. Which of the following principal fibers groups constitutes the main attachment of the
tooth?
a- Oblique group.
b- Apical group.
c- Horizontal group.
d- Alveolar group

64. The location where ameloblast begins to secrete enamel is:


a- enamel-cement junction
b- enamel dentin junction
c- cervical loop
d- epithelial diaphragm

65. In a collagen proliferative disease such as Scleroderma, the width of the periodontal
ligament decreases with age.
True
False

66. These cells are the source for replacement of periodontal ligament cells that
undergoes physiologic cell death or apoptosis and provides extra cells when tissue
damage occurs.
a. fibroblasts
b. osteoblasts
c. cementoclasts
d. undifferentiated mesenchymal cells

67. Name the 3 cells that constantly remodel the PDL during normal tooth movements
which are also active during tooth eruption or orthodontic tooth movement.
Fibroblast, osteoblast, osteoclast

68. Fibers which run from the cementum surface towards the root apex and are thought
to provide support for intraligament blood vessels to maintain vascular flow following
compression of the PDL during tooth function.
a. alveolar crest fibers
b. alveogingival fibers
c. oxytalan fibers
d. transeptal fibers

69. Cells that can't be seen in the pulp:


A. Odontoclasts
B. odontoblasts
C. Fibroblast
D. Schwann cells

70. Type of collagen in PDL


- type1
-type 3
- both

71. The extensions from secretory ameloblast cells that give structure to enamel rods?
a- tomes' granule layer
b- tomes' process
c- enamel spindle
d- enamel lamellae
72. Developmental growth lines in enamel:
a- lines of von ebner
b- contour lines of owen
c- striae of retzius

73. Which component of alveolar bone helps in attachment of pdl??


A) bundle bone
B) cribriform plate
C) spongy bone

74. Concrescence is:


a- An extra root or accessory roots in a formed tooth.
b- Distorted root or roots in a formed tooth.
c- A union of root structure of two or more teeth through cementum only.
d- A spherical projection on the cemental root surface

75. Which of the following induces the dental papilla cells to be differentiated
Into odontoblasts?
a- Stratum intermedium.
b- Reduced enamel epithelium.
c- Inner enamel epithelium.
d- Outer enamel epithelium

76. Concrescence is:


a- An extra root or accessory roots in a formed tooth.
b- Distorted root or roots in a formed tooth.
c- A union of root structure of two or more teeth through cementum only.
d- A spherical projection on the cemental root surface.

77. What structure is formed in the crown first?


a- Enamel.
b-Cementum.
c- Pulp.
d- Dentine.

78. Which of the following induces the dental papilla cells to be differentiated into
odontoblasts?
a- Stratum intermedium.
b- Reduced enamel epithelium.
c- Inner enamel epithelium.
d- Outer enamel epithelium.

79. No basal lamina is found between the cells of the:


a- Stratum intermedium and inner enamel epithelium.
b- Outer enamel epithelium and the dental sac.
c- Inner layer of Hertwig's sheath and the dental papilla.
d- Inner enamel epithelium and the dental papilla.

80. Which of the following is not a functional activity of the enamel organ:
a- Inducing the differentiation of Odontoblasts.
b- Secretion of enamel matrix.
c- Maturation of enamel.
d- Formation of cementum.

81. Which of the following is not derived from the dental organ:
a- Stellate reticulum.
b- Hertwig's epithelial root sheath.
c- Odontoblasts.
d- Ameloblasts.

82. In which of the following regions of the temporomandibular joint would you most
expect to find phagocytes?
a. synovial membrane
b. central region of meniscus
c. joint capsule
d. articular tissue
e. synovial cavity

83. The periodontal ligament is composed chiefly of


a. reticular fibers
b. microfibrils
c. collagen(ic) fibers
d. oxytalan fibers
e. elastic fibers

84. Most of the nuclei seen in a cross section of a peripheral nerve belong to
a. microglia
b. neurons
c. Schwann cells
d. fibroblasts
e. satellite cells

85. Which one of the following is a part of the tooth germ (dental/enamel organ)?
a. inner dental epithelium
b. dental sac
c. dental papilla
d. stellate reticulum
e. dental lamina

86. Avitaminosis (scurvey) results in a loosening of the teeth in the sockets chiefly
because
ascorbic acid (vitamin C) is needed by
a. osteoblasts to form bone
b. cells to produce collagen
c. odontoblasts to form dentin
d. cells to fight viruses
e. cementoblasts to form cementum
87. Enamel undergoes a marked physical and chemical transition during the
a. desmolytic stage
b. morphogenic stage
c. maturation stage
d. secretory stage
e. protective stage

88. Gingival massage through tooth brushing increases the circulation of blood in
gingival vessels in the
a. submucosa
b. lamina propria
c. keratinized epithelium
d. dental pulp
e. nonkeratinized epithelium

89. In order for bleeding of the gingiva to occur blood must pass from the lumen of blood
vessels across which of the following sequences of layers?
a. endothelium, submucosa, lamina propria, epithelium
b. tunica intima, muscularis mucosae, adventitia, stratum germinativum
c. endothelium, lamina propria, basal lamina, stratum basale
d. simple squamous epithelium, dense connective tissue, basal lamina, stratified
squamous epithelium
e. endoderm, mesoderm, ectoderm

90.
C A

91

B C A

92. Maxillary process forms


a) chin, med nasal process, upper lips
b) cheeks & upper lips
c) med nasal process, lat nasal process , cheeks , upper lips
d) cheeks , upper lip & philtrum
93. Failure of the maxillary prominence to merge with its corresponding lateral nasal
prominence results in what type of facial cleft?
a. Oblique facial cleft
b. Median (midline) cleft lip
c. Isolated facial cleft
d. Isolated cleft palate

94. The most typical features in development of head and neck is formed by the
pharyngeal and branchial arches. At what period of embryonic development do these
arches appear?
a. Week 4 and 5
b. Week 5 and 6
c. Week 6 and 7
d. Week 7 and 8

95. Which cranial nerve innervate the muscles of the fourth arch?
a. Facial nerve
b. Trigeminal nerve
c. Vagus nerve
d. Glossopharyngeal nerve

96. The following organs are derived from mesoderm EXCEPT:


A. skeletal musculature
B. musculature of blood vessels
C. cardiac musculature
D. suprarenal cortex
E. suprarenal medulla

97. Neural crest cells differentiate into:


A. postganglionic sympathetic cell bodies
B. cells of the inferior mesenteric ganglion
C. adrenal medullary cells
D. cells of the enteric plexus
E. all of the above are correct
98. Many facial malformations are believed to be due to:
A. a failure of the oral membrane to rupture
B. a failure to neural crest cells to migrate into the facial processes
C. a failure in growth of the head fold
D. an abnormal persistence of the pharyngeal clefts
E. none of the above

99. The fact that general and special sensory information from the posterior part of the
tongue is carried by glossopharyngeal nerve indicates that this part of tongue is from
branchial arch _____.
A. I
B. II
C. III
D. IV
E. VI

100. The optic nerve is derived from what embryonic tissue?


A. neural crest
B. head mesenchyme
C. endoderm
D. mesoderm
E. ectoderm

101. Congenital absence of neural crest cells could result in:


A. absence of sympathetic chain ganglia
B. facial malformations
C. absence of adrenal medulla
D. absence of pigment cells
E. all of the above are correct

102. Intrinsic and extrinsic muscles of the tongue are derivatives of which of the
following?
A) 1st, 3rd, 4th Pharyngeal arch
B) Neural crest cells
C)2nd pharyngeal arch
D) Occipital Myotomes

103. All tissues of tooth are derived from neural crest cell except
A.DENTIN
B. PULP
C. ENAMEL
D. CEMENTUM

104. The nasolacrimal groove separates the:


A. mandibular and maxillary swellings
B. lateral nasal swelling and maxillary swelling
C. medial nasal swelling and maxillary swelling
D. first and second branchial arches
E. otic and optic vesicles

105. From which branchial arches is the sensory component of the trigeminal nerve
derived?
a- 1st arch
b- 2nd arch
c- 3rd arch
d- all of the above

106. Which of the following structures during development of primitive mouth initially
limits the growth of stomodaeum?
a- 1st branchial arch
b-2nd branchial arch
c-3rd branchial arch
d-1st pharyngeal cleft
A ??

107. Which of the following structures is NOT part of the first branchial arch?
A. malleus
B. mandibular process
C. sphenomandibular ligament
D. stylohyoid ligament
E. maxillary process

108. Origin of internal auditory meatus and middle ear:


a) 1st branchial arch
b) 2nd branchial arch
c) 3rd branchial arch
d)1st branchial pouch
e) 2nd branchial pouch
f) 3rd branchial pouch

109. Each pharyngeal arch includes:


A. derivatives of ectodermal neural crest cells
B. an aortic arch artery
C. a mesodermal core from paraxial mesoderm
D. a cranial nerve
E. all of the above

110. Cartilage of 3rd branchial arch give rise to :


a-body and greater horns of hyoid bone
b- greater wing of sphenoid
c- lesser wing of sphenoid
d- b & c

111. The auditory tube:


a) connects the inner ear and nasopharynx.
b) is derived from the second pharyngeal pouch.
c) is opened by the action of tensor veli palatini .
d) is closed by the action of levator veli palatini.

112. The number of roots that are formed is determined by the:


a- Number of root sheaths developed by the enamel organ.
b- Number of medial ingrowths at the epithelial diaphragm.
c- Number of root sheaths developed by the dental sac.
d- Thickness of the cervical loop.

113. Which of the following is the first process to occur in the sequence of tooth
development:
a- Deposition of the first layer of enamel.
b- Deposition of the first layer of dentin.
c- Elongation of the inner dental epithelial cells.
d- Differentiation of odontoblasts.

114. All of the following are involved in the formation of a tooth except:
a- Epithelial root sheath.
b- Successional lamina.
c- Dental lamina.
d- Vestibular lamina.

115. The dental lamina initiating the permanent molars develops:


a- As successional lamina.
b- As a distal extension of the dental lamina.
c- As lateral dental lamina.
d- As vestibular lamina.

116. The cell rests of Malassez are derivatives of:


a- Cervical ameloblasts.
b- Outer enamel epithelium.
c- Dental papilla.
d- Root sheath.

117. Odontogenesis of the primary dentition begins between:


a- The sixth & seventh week.
b- The fifth & sixth week.
c- The seventh& eighth week.
d- The fourth & fifth week.
118. The embryo's stomodeum is lined by:
a- Ectoderm.
b- Endoderm.
c- Mesoderm.
d- Ectomesenchyme