‫مالحظات مهمة جداً‬

‫هذا الملف يتضمن تقريبا ً كل األسئلة الواردة في الموقع من بدايته حتى الصفحة ‪.142‬‬ ‫‪-‬‬
‫يمكن للزمالء المناقشة والتعديل ويفضل مع مرجع‪.‬‬ ‫‪-‬‬
‫اعتمدت أوالً على اإلجابات والمناقشات والمراجع التي استعان بها الزمالء والزميالت (مشكورين فردا ً فرداً)‬ ‫‪-‬‬
‫اعتمدت ثانيا ً على المراجع المطلوبة من الهيئة وأمهات كتب طب األسنان باإلضافة لمنشورات الجامعات السورية‪.‬‬ ‫‪-‬‬
‫من هذه المراجع‪:‬‬ ‫‪-‬‬
‫‪-‬‬ ‫األهم ‪Dental decks2 – Dental Secrets - Oxford Handbook of Clinical Dentistry, 4th Edition :‬‬
‫‪-‬‬ ‫‪- Art and science of operative dentistry 2000 - Atlas Of Oral Medicine - Caranza‬‬
‫‪periodontology - PDQ Oral Disease Dx Tx 2002 - Pathway of the pulp 9ed 1st – Contemporary‬‬
‫‪Fixed Prosthodontics - Wikipedia‬‬
‫كتب‪ :‬التعويضات المتحركة الكاملة ‪ - 2006‬طب أسنان األطفال ‪ -‬أمراض الفم‪ ،‬وغيرها‪..‬‬

‫ال ضير من استخدام اللغة العربية في ترجمة بعض الكلمات وأنا أفضل ذلك على كتابة جملة بأكملها بلفظها األجنبي‬ ‫‪-‬‬
‫وبحروف عربية!‬
‫ترقيم األسئلة غير منتظم ألنها من مصادر وصفحات متعددة من الموقع ‪ ،‬وكذلك تعمدت ‪-‬ما أمكنني‪ -‬وضع األسئلة‬ ‫‪-‬‬
‫والمواضيع المتشابهة بجانب بعضها‪.‬‬
‫الجواب األكيد باللون األخضر وبجانبه ‪ 3‬نجمات ***‪.‬‬ ‫‪-‬‬
‫الجواب الذي عليه إجماع دون مرجع باللون األخضر فقط‪ ،‬وإن أمكن يفضل تقديم مرجع أو نص‪.‬‬ ‫‪-‬‬
‫الجواب الذي عليه خالف ولم يتم اإلجماع عليه‪ ،‬محاط باللون األصفر وهو متروك لمشاركة الزمالء المعتادة‪ ،‬وإن أمكن‬ ‫‪-‬‬
‫يفضل تقديم مرجع أو نص‪.‬‬
‫الجواب باللون األخضر والمحاط بلون أصفر يعني أنه جواب ممكن من وجهة نظري رغم وجود جواب آخر ويفضل أن‬ ‫‪-‬‬
‫يناقش أو يفند‪.‬‬
‫ً‬
‫اإلجابات تتناسب مع األسئلة المطروحة والتي تعتمد على ذاكرة الزمالء بعد االمتحان حيث يمكن أن يكتبوه ناقصا أو‬ ‫‪-‬‬
‫مختلفا ً عن األصل مما قد يسبب اإلرباك‪ ،‬ولذلك تم وضع نصوص من المراجع الختيار األجوبة على أساسها‪.‬‬
‫حاولت ما أمكن تصحيح الكلمات المكتوبة بشكل خاطئ لغويا ً وعلميا ً ولذلك سيكون هناك اختالف مع صيغته المكتوبة في‬ ‫‪-‬‬
‫الموقع‪.‬‬
‫ً‬
‫النقاط أو الترقيمات التي بعدها فراغ تعني وجود خيار ولكن ال يمكن تذكره وغالبا ليس هو الخيار الصحيح‪.‬‬ ‫‪-‬‬
‫أ عتذر عن عدم الترتيب أو أي أخطاء في اإلجابات فملف ضخم كهذا يحتاج جهد كبير لكل من التنسيق والتأكد من‬ ‫‪-‬‬
‫المعلومات‪ ،‬ويحتاج جهد جميع الزمالء‪.‬‬

‫واألهم‪ :‬الفضل في هذا العمل يعود للزمالء الذين ساعدونا بأنهم وضعوا على هذا الموقع األسئلة التي امتحنوا بها‪،‬‬
‫وللزمالء الذين جمعوا األسئلة في ملفات كانوا يضعونها تباعا‪ ،‬ولوالهم جميعاً لما كان هذا العمل المتواضع‪.‬‬

‫آسف لإلطالة ولهذه المقدمة‪ ،‬وأتمنى الرد والمشاركة الفاعلة من الجميع‪.‬‬

‫تحياتي وتمنياتي للجميع بالتوفيق‬

‫في اختبار الهيئة والحياة العملية‬
‫زميلكم د‪.‬صمود العمر ‪ -‬الرياض‬
‫واسمي على الموقع‬
‫‪Dr.maestro‬‬
1. The periodontal tissues comprise which of the following tissues:
a. Gingiva and the PDL.
b. Gingival, PDL, and alveolar bone.
c. Gingival, PDL, alveolar bone, and cementum. ***
d. Gingival, PDL, alveolar bone, cementum, and enamel.

2. The following chemically bond to the tooth:

a. Composite resin.
b. Dental sealants.
c. Glass ionomer cement. ***
d. All of the above.

3. In countries with higher annual population growth rates, the need for community – based
preventive programs would be greater for:
a. Dental caries. ***
b. Periodontal disease
c. Dentofacial anomalies
d. Dental floozies.

4. The following medical conditions may precipitate a syncope: ‫إغماء‬

a. Hypoglycemia. *** ‫نقص سكر الدم‬
b. Mild hyperglycemia. ‫فرط سكر الدم الخفيف‬
c. Anti hypertensive drugs with ganglionic blocking agent. ‫حاصر للعقد‬
d. Antidepressant therapy. ‫مضادات الكآبة‬
e. All of the above.

5. Orthognathic ridge relationship (class II) presents several problems which should be taken
into consideration when constructing complete denture prosthesis. These include all EXCEPT:
a. Require minimum interocclusal distance. ***
b. Have a great range of jaw movement.
c. Require careful occlusion, usually cuspless teeth are indicated. ‫عديمة الحدبات‬

Complete Denture 17th Ed – page 16

RESIDUAL RIDGE RELATIONSHIP: Class II or retrognathic is usually difficult as the patient looks
toothy, often holds the mandible forward to improve appearance with subsequent TMJ
problems, usually have a great range of jaw movements in function, require careful occlusion,
and usually needs a large interocclusal distance. Class Ill or prognathic is usually easier if not
extreme. The patient usually functions on a hinge (little or no protrusive component) and
requires a minimum of interocclusal distance. In any case, do not set the teeth for a retrognathic
or prognathic patient in a normal relationship, unless there is only a moderate deviation from
Class I.

6. After insertion of complete denture, Pt came complaining from pain in TMJ and tenderness of
muscle with difficulty in swallowing, this could be due to:
‫‪a.‬‬ ‫*** ‪High vertical dimension.‬‬
‫‪b.‬‬ ‫‪Low vertical dimension.‬‬
‫‪c.‬‬ ‫‪Thick denture base.‬‬
‫‪d.‬‬ ‫‪Over extended denture base.‬‬

‫‪7. Pt. Presented after insertion of complete denture complaining of dysphagia and ulcers what‬‬
‫?‪is the cause of dysphagia‬‬
‫*** ‪-over extended.‬‬
‫‪-over post dammed.‬‬
‫‪-under extended‬‬
‫‪-under post dammed‬‬
‫المرجع‪ :‬التعويضات المتحركة الكاملة‬
‫االمتداد الزائد للحواف الخلفية للجهاز الفكي العلوي‪:‬‬
‫في محا ولة طبيب األسنان الممارس لزيادة الخواص التثبيتية للجهاز فإنه قد يتجاوز فيزيولوجية الجهاز العضلي للحنك‬
‫الرخو ويضع الحدود الخلفية للجهاز السني بعيدا ً جدا ً نحو الخلف‪ ،‬عندما يحصل ذلك فإن الجزء النشط من الحنك الرخو‬
‫ينثني مقابل قاعدة الجهاز السني الصلبة وغير اللينة ‪.‬‬
‫والشكوى التي تتكرر أكثر عند المرضى هو أن البلع يكون صعبا ً ومؤلماً‪ ،‬وفي تلك الحالة يمكن مشاهدة مناطق صغيرة‬
‫متقرحة في الحنك الرخو‪ ،‬يتم تعليم اآلفة بقلم غير قابل للمحي وينقل إلى قاعدة الجهاز السني حيث تتم إزالة مكان االمتداد‬
‫الزائد عن طريق السحل وبعد ذلك إعادة صقله بحذر‪.‬‬
‫إذا كانت الشاخصات الكالبية مغطاة من قبل قاعدة الجهاز السني فإن المريض سوف يعاني من ألم حاد وخاصة أثناء‬
‫الوظيفة‪ ,‬يجب أن ال تغطى قاعدة الجهاز الشاخصات الكالبية‪.‬‬

‫‪8.‬‬ ‫حلق ملتهب ‪Pt with denture has swallowing problem and sore throat. The problem is:‬‬
‫‪e.‬‬ ‫*** ‪Posterior over extension at distal palatal end.‬‬
‫‪f.‬‬ ‫‪Over extension of lingual.‬‬
‫‪g.‬‬ ‫الثلمة الشصية ‪Over extension of hamular notch.‬‬

‫الغثيان ‪9. Nausea is a complaint that a new denture wearer might encounter. It may result from:‬‬
‫حافة خلفية سميكة ‪a. Thick posterior border.‬‬
‫امتداد خلفي ناقص ‪b. Denture under extended.‬‬
‫امتداد قليل للخلف ‪c. Denture slightly over extended.‬‬
‫*** ‪d. A & b are correct.‬‬
‫المرجع ‪" :‬التعويضات المتحركة الكاملة"‬
‫" ومن المعلوم أننا إذا قمنا بإطالة الحواف أكثر من الطبيعي فإن ذلك سيؤدي إلى نتيجة سيئة ألنه يخرش المخاطية‬
‫المتحركة‪ ,‬ويحرض منعكس اإلقياء"‪.‬‬
‫الخيار الثالث ال يسبب منعكس إقياء (ألنه امتداد قليل للخلف)‬
‫مالحظة‪ :‬يضاف لما سبق التلميع الزائد للجهاز وقلقلة الجهاز ‪ Protusive imbalance‬التي تسبب حركة اللعاب تحت‬
‫حافته الخلفية‬

‫‪10. Planning centric occlusion for complete denture, it is advisable to have:‬‬

‫‪a. 1-2 mm of vertical and horizontal overlap of upper and lower anterior teeth with no contact.‬‬
‫تغطية ***‬
‫‪b. Definite tooth contact of upper and lower anterior teeth in order to facilitate the use of‬‬
‫تماس صميمي ‪anterior teeth for incision.‬‬
‫‪11. Compomer restorative materials are:‬‬
‫‪a. Glass ionomer with polymer components‬‬
‫‪b. Resin systems with fluoride containing glasses.‬‬
‫‪c. Composite resin for cervical restorations only.‬‬

‫‪12. The posterior extension of max complete denture can be detected by the followings EXCEPT:‬‬
‫الثلمة الجناحية الفكية ‪a. Hamular notch.‬‬
‫النقرتان الحنكيتان *** ‪b. Fovea palatine.‬‬
‫‪c. Vibrating line.‬‬
‫"التعويضات المتحركة الكاملة"‬
‫"تتوضع الثلمة الجناحية الفكية بين الحدبة الفكية والشص الجناحي للصفيحة األنسية للعظم الوتدي‪ ،‬وهي نقطة عالم هامة‬
‫إلنهاء حواف الجهاز عندها‪ ،‬وتعتبر أكثر مناطق التثبيت أهمية في الجهاز العلوي"‬
‫"أغلبية العينات كانت لها نقرات تقع على أو خلف خط االهتزاز األمامي (على جانبي الخط األوسط)‪ .‬لذلك فإن موقع‬
‫النقرات ال يمثل الملتقى بين الحنكين الرخو والصلب ‪ .‬وال يجب استعمال النقرات الحنكية كدليل على توضع السد الخلفي ‪.‬‬
‫إن الطبيب الذي يالحظ هذه النقرات ويستخدم هذه المعالم التشريحية على أساس أنها حد خلفي لقاعدة الجهاز السني يمكن‬
‫أن يحرم مريضه من عدة مليمترات بل حتى سنتيمتر وأكثر من مدى تغطية النسيج وذلك اعتمادا ً على الشكل الحنكي ‪.‬‬
‫وهذا بدوره سيكون له تأثير سلبي على ثبات قاعدة الجهاز السني الكامل للفك العلوي"‬

‫‪13. The distal palatal termination of the maxillary complete denture base is dictated by the:‬‬
‫الحدبة الفكية ‪a. Tuberosity.‬‬
‫نقرة الحنك ‪b. Fovea palatine.‬‬
‫‪c. Maxillary tori.‬‬
‫*** ‪d. Vibrating line.‬‬
‫السد الخلفي ‪e. Posterior palatal seal.‬‬
‫يحدد االمتداد الخلفي للجهاز كل من منطقة خط االهتزاز والثلمة الجناحية الفكية ‪Hamular‬‬

‫‪14. All are participating in the determination of the posterior extension of the maxillary denture‬‬
‫‪(posterior palatal extension) EXCEPT:‬‬
‫‪hamular notch‬‬
‫‪fovae palatine‬‬
‫‪vibrating line‬‬
‫*** ‪retromolar (pads) areas.‬‬

‫يوجد تناقض في السؤالين األخيرين بما يخص ‪ fovae palatine‬و ‪Posterior palatal seal‬‬

‫‪15. Most common complete denture post insertion complaint after 24 hrs:‬‬
‫األصح *** ‪a. Rough.‬‬
‫‪b. Overextension causing laceration‬‬
‫‪c. Pt not used to new vertical dimension‬‬
‫حسب أكسفورد ص‪404‬‬
‫مشاكل األجهزة الكاملة‪:‬‬
‫األلم‪ :‬خشونة السطوح الداخلية – خطأ في اإلطباق – نقص المسافة االسترخائية – الصرير – جذر متبقي – تماس مبكر‬
‫– االمتصاص حتى الثقبة الذقنية‪.‬‬
‫وفي ص‪389‬‬
‫ً‬
‫المشاكل األكثر شيوعا‪ :‬نقص المسافة االسترخائية – أخطاء إطباقية – امتداد وانطباق غير صحيحين – الفشل في تحقيق‬
‫ما يميز الجهاز السابق الناجح‪.‬‬
‫‪Dental decks 392‬‬
 ‫تتم المراجعة بعد ‪ 24‬ساعة لفحص النسج وإزالة المنطقة الراضة من باطن الجهاز‪.‬‬
‫والمشاكل الشائعة باأليام األولى هي صعوبة المضغ وغزارة اللعاب‪.‬‬

‫‪16. Which palatal form is more retentive and offers better stability to complete denture:‬‬
‫‪a. V shaped‬‬
‫‪b. Wide palate‬‬
‫*** ‪c. U shaped‬‬
‫‪d. Flat palate‬‬

‫‪17. Vibrating line is:‬‬

‫‪a. Joint between h. And s. Palate‬‬
‫*** ‪b. Joint btw movable and immovable parts of s. Palate‬‬

‫"‪"Complete Prosthodontics (problems,diagnosis&managment) page 13‬‬

‫اول اجابة ‪If Anetrior‬‬
‫التانية ‪If Posterior = ah line‬‬

‫‪18. Vibrating line:‬‬

‫‪a. Between hard & soft palate.‬‬
‫*** ‪b. Between mobile and non mobile soft tissue.‬‬

‫‪19. All relate to retention of maxillary complete denture EXCEPT:‬‬

‫‪a. Tongue movement.‬‬
‫‪b. Type of saliva.‬‬

‫مرجع‪ :1‬يتحرك الجهاز مع حركة اللسان وتأثير اللعاب أقل أهمية‬

‫مرجع ‪2‬أكسفورد ص‪405‬‬
‫عوامل الثبات الشخصية‪ :‬حجم وكمية اللعاب – شكل الحواف السنخية – التكيف‪.‬‬
‫أخطاء في الجهاز‪ :‬امتداد محيطي غير صحيح – أسنان في منطقة غير محايدة – إطباق غير موازن – نقص التلميع‬
‫ً‬

‫‪ً www.studentals.com/uploaded/2_11205876676.doc‬‬
‫منًحيثًالنوعية‪:‬‬
‫§ لعابًرقيقً(غيرًلزج)‪ً:‬ينقصًثباتًواستقرارًالجهازً‪ً/‬لعابًقليل‪ً:‬الجهازًسيسببًتخريشًاللثةًوالتهابها‪.‬‬
‫ُشكلًطبقةًيلتصقًبالجهازًويزعجًالمريض ً‬ ‫§لعابًكثيفًولزجً(مخاطي)‪ً:‬ي ِّ‬

‫التعويضاتًالمتحركةًالكاملة‪:‬‬
‫"وأماًالغددًالحنكيةًفكثيرةًجدا‪ً،‬وتتجمعًخاصةًعندًاتصالًقبةًالحنكًالصلبةًبالشراعًالرخو‪ً،‬وهيًذاتًتأثيرًيعينًعلىً‬
‫ثباتًالجهازًوذلكًألنِّهاًتفرزًطبقةًلعابيةًتحولًدونًاحتكاكًالجهازًبالغشاءًالمخاطي‪ً،‬وهيًأشبهًبوسادةًمائيةًتوزعً‬
‫الضغطًتوزيعاًمتساوياًفيًالمنطقةًالخلفيةً(ًالسدًالخلفيً)‪ً،‬وتؤمنًمرونةًكافيةًللنسجًالتيًتقعًبتماسًالجهازًالمتحرك‪ً،‬‬
‫فتساهمًهذهًالمفرزاتًاللزجةًبثباتًالجهاز‪.‬‬

‫‪20. Best instrument to locate vibrating line with it is‬‬

‫مصقلة ‪T burnisher.‬‬
‫أو نهاية قبضة المرآة‬
21. We can use to palatal posterior seal:
1. Le jao carver.
2. Kingsley scraper. ***

22. To a great extent, the forces occurring through a removable partial denture can be widely
distributed and minimized by the following methods: ‫ألفضل مدى توزيع وتقليل القوى اإلطباقية‬
a. Proper location of the occlusal rests.
b. Selection of lingual bar major connector
c. Developing balanced occlusion.
d. All of the above.***

23. The most frequent cause of failure of a cast crown restoration is:
a. Failure to extend the crown preparation adequately into the gingival sulcus. ‫حافة اللثة‬
b. Lack of attention in carving occlusal anatomy of the tooth.
c. Lack of attention to tooth shape, position, and contacts ***.
d. Lack of prominent cusps, deep sulcus, and marginal ridges. ‫ حواف عميقة‬،‫نقص في حدة الحدبات‬
‫وهامشية‬

24. An examination of the edentulous mouth of an aged Pt who has wore maxillary complete
dentures for many years against six mandibular teeth would probably show:
a. Cystic degeneration of the foramina of the anterior palatine nerve. ‫استحالة كيسية لثقبة العصب‬
‫الحنكي األمامي‬
b. Loss of osseous structure in the anterior maxillary arch. ***
c. Flabby ridge tissue in the posterior maxillary arch. ‫سنخ خلفي ممتص‬
d. Insufficient inter occlusal distance.

Dental decks - page 390

When a patient wears complet maxillary denture agansit the six mandibular anterior teeth its
very common to have to do a reline so often de to loss of bone strucutrein anterior maxillary
arch.evidence by flappy maxillay anterior ridg

25. Dental carries is an endemic disease "means that the disease is: ‫مرض مستوطن‬
a. Occurs clearly in excess of normal expectancy. ‫أكثر بكثير من المتوقع‬
b. Is habitually present in human population. *** ‫بشكل اعتيادي عند السكان‬
c. Affect large number of countries simultaneously. ‫يغزو دول عديدة بوقت واحد‬
d. Exhibit a seasonal pattern. ‫موسمي‬

26. Clinical failure of the amalgam restoration usually occurs from:

a. Improper cavity preparation ***
b. Faulty manipulation.
c. Both of the above
d. None of the above
27. Pt on treatment with steroids are placed on antibiotic after oral surgical procedure because:
a. The Pt is more susceptible to infection. ***
b. Antibiotics are synergistic to steroids.
c. Antibiotic inhibits kerksheimer reaction. ‫تثبط تفاعل كيركشماير‬
d. Antibiotic protect the Pt from steroid depletion. ‫تمنع استهالكها‬

28. Which of the following may cause gingival enlargement

a. Phenyntoin (Dilantin). ***
b. Cyclosporine
c. Nifedipine ( a calcium channel blocker)
d. Aspirin
e. None of the above
‫تم اتفاق الزمالء على األول‬
.‫ أدوية بالتأكيد‬3 ‫ ومراجع أخرى فأول‬Dental Secrets ‫رغم أنه حسب‬
‫يضاف لها حاصرات الكالسيوم و مضادات الذهان والكآبة واإلنترفيرون‬

29. Reliability of the measurements reflects that property of the measurements which: ‫موثوقية‬
‫القياسات تعكس صفات القياسات التي‬:
a. Measures what is intended to be measured. ‫قياس ما يراد قياسه‬
b. Produces repeatedly the same results under a variety of conditions. ‫استخالص نتائج واحدة بشكل‬
‫متكرر في ظروف مختلفة‬
c. Detects reasonably small shifts, I either direction, in group condition. ‫اكتشاف تغيرات طفيفة في‬
‫مجموعة القياس‬
d. All of the above. ***

30. The post operative complication after the removal of impacted third molar is:
a. Secondary hemorrhage.
b. Swelling.
c. Pain.
d. Alveolar osteitis.
e. All of the above. ***

31. The posterior seal in the upper complete denture serves the following functions:
a. It reduces Pt discomfort when contact occurs between the dorsum of the tongue and the
posterior end of the denture base. ‫ظهر اللسان‬
b. Retention of the maxillary denture.
c. It compensate for dimensional changes which occur in the acrylic denture base during
processing.
d. A& b are correct. ***
2006 ‫ التعويضات المتحركة الكاملة – جامعة دمشق‬:‫المرجع‬
‫ والسد الحنكي الخلفي الذي تم تشخيصه وتصميمه‬،‫المهمة الرئيسية للختم الحنكي الخلفي هي تثبيت جهاز الفك العلوي‬
‫ ويحافظ على‬،‫بشكل صحيح في الجهاز السني سوف يحد من إدراك المريض بهذه المنطقة مع اختفاء الحق لمنعكس اإلقياء‬
‫ مما سيؤدي إلى عدم اندخال‬،‫التماس المستمر بين قاعدة الجهاز السني والحنك الرخو أثناء الحركات الوظيفية العادية‬
‫ إضافة إلى تأمين ختم جيد للحواف يؤدي إلى تشكيل صمامة هوائية تمنع‬،‫الطعام تحت الناحية الخلفية من الجهاز السني‬
‫ وبالتالي زيادة الثبات وكذلك التخفيف من حدة عدم راحة المريض عند ظهور‬،‫تسرب الهواء إلى ما تحت قاعدة الجهاز‬
 ‫التالمس بين ظهر اللسان ونهاية القسم الخلفي من قاعدة الجهاز السني ألن الحد الخلفي من الجهاز السني سوف يمس‬
.‫األنسجة الحنكية ويصبح غير محسوس من قبل اللسان مما يؤدي إلى عدم انزعاج المريض وغياب منعكس اإلقياء لديه‬

32. If the oral tissues are inflamed and traumatized, impression for making a new denture:
a. Should be started immediately in order to prevent further deterioration. ‫تدهور‬
b. The occlusion of the existing denture is adjusted, and tissue condition material is applied, and
periodically replaced until the tissue are recovered, then making impression take place. ***
‫تستخدم مكيفات النسج لمعالجة اللثة‬
c. The Pt is cautioned to remove the denture out at night.
d. A & B are correct.
e. All of the above are correct.

33. Balanced occlusion refers to:

a. The type of occlusion which allows simultaneous contact of the teeth in centric occlusion
only.
b. The type of occlusion which allows simultaneous contact of the teeth in centric and eccentric
jaw positions. ‫في العالقة المركزية واألوضاع الالمركزية‬
c. A type of occlusion which is similar to the occlusion of the natural teeth.

34. Polyether impression materials:

a. Are less stable dimensionally than poly sulfide rubber.
b. Are less stiff than poly sulfide rubber.
c. Can absorb water and swell if stored in water. ***
.‫البولي ايثر أكثر ثب ات باألبعاد وصالبة من البولي سلفايد ولكن إذا وضع بالماء يمتصه ويتمدد‬

35. The indication for the use of lingual plate major connector include:
a. For the purpose of retention.
b. When the lingual frenum is high or when there is a shallow lingual sulcus.
c. To prevent the movement of mandibular anterior teeth.
d. All of the above. ***
Dental decks 671
‫الصفيحة اللسانية الرئيسية تستخدم عند الحاجة للتثبيت وفي حال وجود لجام لساني مرتفع أو ضحالة بالميزاب اللساني أو‬
.‫لمنع حركة األسنان األمامية المتقلقلة‬
.ً ‫كما تستخدم عند وجود عرن عظمي ال يمكن إزالته وعند ميالن القواطع السفلية لسانيا‬
- ‫ اردحام األسنان األمامية السفلية‬:‫مضادات استطبابها‬

36. An anterior fixed partial denture is contraindicated when:

a. Abutment teeth are not carious.
b. An abutment tooth is inclined 15 degrees but otherwise sound.
c. There is considerable resorption of the residual ridges. ***
d. Crown of the abutment teeth are extremely long owing to gingival recession.

.‫ درجة أو طولها الناتج عن تراجع اللثة أو عدم تنخرها فليس مضاد استطباب للجسر األمامي‬15 ‫ميالن األسنان‬
Dental decks 670 ‫حسب‬
- ‫ إصابات رعلية شديدة‬- ‫ مسافة درد طويلة‬- ‫ فقد األسنان‬- ‫ امتصاص شديد باالرتفاع السنخي‬:‫استطبابات الجهاز المتحرك‬
.‫ إمكانية مادية محدودة‬- ‫قلع حديث‬
37. In registering the vertical dimension of occlusion for the edentulous patient. The physiological
rest dimension: ‫البعد الراحي‬
a. Equals the vertical dimension of occlusion. ‫يعادل البعد العمودي اإلطباقي‬
b. May be exceeded if the appearance of the patient is enhanced. ً‫نتجاهله إذا كان مظهر المريض مقبوال‬
c. Is of little importance as it is subject to variations. ‫ال أهمية له ألنه عرضة للتغيرات‬
d. Must always be together than vertical dimension of occlusion. *** ‫يقاس مع البعد اإلطباقي‬

38. Three weeks after delivery of a unilateral distal extension mandibular removable partial
denture, a Pt complained of a sensitive abutment tooth, clinical examination reveals
sensitivity to percussion of the tooth, the most likely cause is:
a. Defective occlusion. *** ‫رض إطباقي‬
b. Exposed dentine at the bottom of the occlusal rest seats.
c. Galvanic action between the framework and an amalgam restoration in the abutment tooth.

39. Recent years, there has been an evidence that the prevalence and intensity of the caries
attack has been diminishing in the more economically developed countries, mainly because
of the wide spread use of: ‫تقلص شيوع وقوة النخور‬
a. Artificial water fluoridation. ***
b. Fluoride toothpaste
c. Dental health education programs
d. A & c.
%60-50 ‫أصبح من المعروف تماما ً أ ن استخدام الفلورايد في مياه الشرب بالدول المتقدمة أدى إلنقاص نخر األسنان بنسبة‬

40. Cost effective method to prevent dental caries ‫أكثر طريقة فعالة ضد النخر‬
water fluoridation. ***
flouridated tooth paste

41. 25. In recent years caries reduced in developed countries mainly due to:
a. Water fluoridation. ***
b. Fluoride toothpaste
c. Dental health education programs.
D. Individualized oral hygiene care.

42. The effects of natural fluoride versus added fluoride in reducing dental caries as it relates to
the concentration are:
a. Greater
b. Less ***
c. The same
.‫الفلور المضاف للماء هو األكثر أهمية وتأثير في الوقاية مقارنةً بالفلور الموجود في الطعام‬

43. Actual destruction of micro-organisms in the root canal is attributed mainly to: ‫التدمير الفعال‬
‫لجراثيم القناة‬
a. Proper antibiotic thereby.
b. Effective use of medicament.
c. Mechanical preparation and irrigation of the canal. ***
d. None of the above.

44. A tooth very painful to percussion, doesn’t respond to heat, cold or the electric pulp tester.
The most probable diagnosis is:
a. Reversible pulpitis.
b. Irreversible pulpitis.
c. Acute apical periodontitis. ***

45. During post insertion examination of a 3 unit ceramometal fixed partial denture. One of the
retainers showed chipping of porcelain at the ceramometal junction. In order to avoid the
problem the dentist must:
a. Reduce the metal to 0.3 mm.
b. Have uniform porcelain thickness. ‫ثخانة منتظمة‬
c. Have occlusion on metal.
d. Keep porcelain metal junction away from centric contacts. ***
‫لمنع انفصال (تشظي) الخزف عن المعدن في الجسور يجب تأمين زيادة في سماكة الخزف في أماكن التماس الصميمي‬
.‫ ملم من الخزف‬1.5 ‫بمقدار‬

46. What is a Pier abutment?

a. Single tooth holding one pontic.
b. A tooth that supports a removable partial denture.
c. All of the above.
d. None of the above. ***
.‫دعامة بيير هي الدعامة المتوسطة أي الدعامة التي على جانبيها دمى‬
‫للتغلب على الجهود الكبيرة على هذه الد عامة من الجهتين يتم تحضيرها الستقبال تاج كامل كجزء من الجسر من جهة وهذا‬
.‫التاج الكامل يحوي مكان لوصلة غير صلبة أي مثل وصلة إحكام من الجسر بالجهة األخرى‬
.‫تستخدم وصلة اإلحكام هذه في حالة أخرى هي الميالن شديد لدعامة في جسر‬

:‫هذا السؤال مر في الصفحات األولى بالموقع مع هذه الخيارات وفي أحد المراجع التي نسيت اسمها وجدت أن الجواب‬
47. Which are the ways in which the proximal contacts can be checked?
a. Use a pencil.
b. Use a shim stock. ‫ورق عض‬
c. Use a silicone checker.
d. Use a dental floss.
e. Only b & d. ***
‫ بينما نستخدم القلم لتلوين السطوح المالصقة قبل وضع‬،‫لفحص المناطق المالصقة للتاج نمرر ورق عض أو خيط سني‬
.‫ أما المطاط فلفحص باطن التاج‬،‫التاج في مكانه ثم سحل المناطق التي زال عنها اللون ألنها زائدة‬
Journal of Oral Rehabilitation
Volume 14 Issue 1, Pages 91 - 94
A total of 969 proximal contacts in forty volunteer subjects was examined for proximal contact
integrity with shim stock. It passed uninhibited through 88% of the contacts. Neither sex nor age
affected the evaluation; however, shim stock was more likely to pass through contacts with
enamel surfaces than those which were restored
48. The incisal reduction for a metal ceramic restoration should be:
a. 1.5 mm.
b. 2 mm. ***
c. 3 mm.
d. 4 mm.

"Contemporary Fixed Prosthodontics" ‫المرجع‬

49. The occlusal reduction for an all metal veneer crown should:
a. Be as flat as possible to enable an easy fabrication of occlusion anatomy. ‫مستوي‬
b. Follow the occlusal morphology with a clearance rating from 1 to 1.5 mm with the opposing
dentition. ***
c. Follow the occlusal morphology with a clearance of no more than 0.5 mm with the opposing
dentition.
d. Be the last step in the tooth preparation.

.‫ ملم‬1.5-1 ‫شكل السطح الطاحن المحضر الستقبال تاج معدن صب يشبه السطح الطاحن األصلي وبسماكة‬
.‫ ملم‬1.5-1 ‫ ملم والخزف‬0.5 ‫أما القبعة المعدنية المبطنة لتاج الخزف فسماكتها‬

50. Gingival retraction is done:

a. To temporarily expose the finish margin of a preparation.
b. To accurately record the finish margin of a portion of uncut tooth surface apical to the margin
in the final impression.
c. Even in the presence of a gingival inflammation.
d. By various methods but the most common one is the use of retraction cord. ‫خيط أدرينالين‬
e. A and b.
f. A, b and c.
g. A, b and d. ***

51. Regarding tissue retraction around tooth:

a. Short duration of retraction of gingival margin during preparation of finishing line.
b. Retraction of gingival margin during taking final impression to take all details of unprepared
finish line.
c. Usually retracted severely inflamed gingival margin.
d. Retraction of gingival margin can be done by many ways one of them is retraction cord.
e. A, b and c.
f. B, c and d.
g. A and d. ***

52. Loose enamel rods at the gingival floor of a class II amalgam cavity should be removed using
a: ‫ رصيف مينائي‬- ‫شريط‬
a. Straight chisel. ‫إزميل‬
b. Hatchet. ‫فأس‬
c. Gingival curetla. ‫كاشطة‬
d. Gingival marginal trimmer. *** ‫مشذب‬
53. Removal of Undermined Enamel in Class II cavity is done by :
A) Chisel. ***
B) Angle former
C) Excavator

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 145

PROXIMAL (CLASS II):
A chisel can be used to plane away unsupported enamel from the margins of the completed
preparation to produce a 90° butt joint.

54. To plan the line-angles in the proximal cavity in a class II you use:
A. Straight chisel
B. Biangled chisel. ***
C. Enamel hatchet

:‫ يكون هو المفضل‬diameter round bur ‫في حالة وجود خيار‬

"All internal line angles should be rounded to reduce internal stresses. Removing caries with a
large
Diameter round bur automatically produces the desired shape."

55. Hand instrument which we used to make internal angles retentive grooves and preparation of
cavity walls in the cavity is:
a. Angle former. ***
b. Chisel ‫إزميل‬
c. File
d. Enamel hatched

Art and science of operative dentistry 2000 – page 314

A special type of excavator is the angle former. It is used primarily for sharpening line
angles and creating retentive features in dentin in preparation for gold restorations.
FUNDAMENTALS OF OPEERITIVE DENTISTRY – page 318
Retention grooves are placed with a No 1/2 or 1/4 bur.
)‫(كأداة آلية وغير يدوية‬

56. What is the cavo-surface angle of prep for amalgam restoration:

a. 30 degree
b. 60 degree
c. 90 degree ***
d. 130 degree.

:‫المرجع‬
Principles of OPERATIVE DENTISTRY
‫ درجة‬90-70 ‫يجب أن تكون الزاوية بين الجدار المحوري المحضر والجدار المحوري الموازي للمحور الطولي للسن بين‬
.‫حتى ال ينكسر األملغم في المالصق‬
.‫ويختلف األمر عند استخدام الحشوات التجميلية المعتمدة على اإللصاق‬
57. To provide maximum strength of amalgam restoration the cavo-surface angles should:
1. Approach 75 ° with outer surface.
2. Approach 90 with outer surface.
3. Be supported by sound dentine.
4. Be located in area free of occlusal stress.
a) 1+3 and 4.
b) 1+3.
c) 2+3+4. ***
d) 3+4.

58. Which of the following burs would you prefer to use preparing a slot for the relation of an
extensive amalgam restoration on maxillary molar:
a. Number 5 round bur.
b. Number 56 fissure bur.
c. Number 556 fissure bur.
d. Number 35 cone bur.
Operative Dentistry A Practical Guide to Recent Innovations – page 43
Circumferential grooving is an extension of the amalgapin preparation that involves placing a
groove with a No. 33 1/2 inverted cone bur in dentin.

59. Which of the following materials has been shown to simulate reparative dentine formation
most effectively when applied to the pulpal wall of a very deep cavity:
a. Copalite varnish.
b. Calcium hydroxide preparation. ***
c. Zinc phosphate cement.
d. Anhydrous class inomer cement.

60. Calcium hydroxide is best pulp capping material because:

1. It has best seal over pulp.
2. It is alkaline + less irritating to pulp.
3. It induces reparation dentine formation. ***

61. A glossy finish is best retained on a:

a. Microfilled composite resin restoration. ***
b. Macrofilled resin restoration.
c. Hybrid composite resin restoration.
d. Fiber reinforced composite resin restoration

.‫يتميز الكومبوزت فائق النعومة بمالسته الشديدة ولكن بضعف صفاته الفيزيائية مقارنة بصغير الجزيئات والهجين‬
62. The most accurate impression material for making the impression of an onlay cavity:
a. Impression compound.
b. Condensation type silicone.
c. Polyvinyl siloxane ***
d. Polysulfide.

63. One of the main features of acute herpetic gingivostomatitis is the ulcers are confined to the
attached gingival and hard palate:
a. True.
b. False. ***
.‫التهاب اللثة والفم يظهر على شكل قرحات باللثة الملتصقة‬

64. The functions of cement bases are:

a. To act alike a barrier against acids or thermal shocks. ‫ سد‬- ‫حاجز‬
b. The minimal thickness, which is required, is 0.5 mm of base.
c. A and b.
d. None of the above. ***
e. 1 only.
f. 2 only

"Sturdevant's art and science of operative dentistry, 4th edition - page 171"
‫ أما العزل‬،‫ ملم ودوره األساسي العزل الحراري والميكانيكي‬2-1 ‫يتضح من النص التالي أن سماكة اإلسمنت المثالية‬
.)‫الكيميائي فمهمة مادة التبطين (ماءات الكالسيوم‬
Bases (cement bases, typically 1 to 2 mm) are used to provide thermal protection for the pulp
and to supplement mechanical support for the restoration by distributing local stresses from
the restoration across the underlying dentin surface. This mechanical support provides
resistance against disruption of thin dentin over the pulp during amalgam condensation
procedures or cementation procedures of indirect restorations.
Liners are relatively thin layers of material used primarily to provide a barrier to protect the
dentin from residual reactants diffusing out of a restoration and/or oral fluids that may
penetrate leaky tooth-restoration interfaces. They also contribute initial electrical insulation;
generate some thermal protection.

65. It has been proven that amalgam restoration has the following characteristics:
a. Micro leakage decrease with aging of the amalgam restoration.
b. It is the least techniques sensitive of all current direct restorations.
c. High dimensional changes.
d. A, b and c.
e. A and c.
f. A and b. ***
g. B only.
Art and science of operative dentistry 2000 – page 156 - Page 169
- During electrochemical corrosion of low-copper amalgams, The Sn-Hg phase is oxidized into
Sn-O and/or Sn-O-Cl.145,146 The oxychloride species is soluble. The oxide Precipitates as
 crystals and tends to fill up the spaces Occupied by the original Sn-Hg phase. Along the
margins Of the amalgam, Sn-O helps seal the space against Microleakage.
- During setting, most amalgams undergo very little Dimensional change.

Http://www.dentaldiamond.ee/dental-materials/amalgam-dental-amalgam/4/
- The dimensional change during the setting of amalgam is one of its most characteristic
properties. Modern amalgams mixed with mechanical amalgamators usually have negative
dimensional changes.
- The only EXCEPTion to this statement is the excessive delayed dimensional change resulting
from contamination of a zinc-containing alloy with water during tritura-tion or condensation.

66. When polishing the amalgam restoration:

a. Avoid heat generation by using wet polishing paste.
b. Wait 24 hours.
c. A and b. ***
d. B only.
e. A only.

67. Silicate cement:

a. First tooth colored restoration.
b. It can be used as permanent filling.
c. It contains 15 % fluoride.
d. A, b and c.
e. 1 and 2.
f. A and c. ***
g. A only.

" Sturdevant's art and science of operative dentistry" :‫المرجع‬

.)‫أول حشوة شفافة (من لون السن‬
"dental material & thier selection2002" :‫المرجع‬
‫ فلور‬25-12 ‫يحتوي إسمنت السيلكات‬

68. Treatment of gingival trauma from faulty oral hygiene is mainly:

a. To advice the patient to change their faulty habits immediately ***
b. Reassure the patient that it will disappear by it self.
c. To buy a new brush.

69. Which of the following statement is true regarding dental calculus:

a. It is composed entirely of inorganic material. ‫بأكمله من مواد معدنية‬
b. It is dens in nature and has a rough surface.
c. It is mineralized dental plaque.
d. All of the above.
e. B & C only. ***
f. None of the above.

.‫للقلح تركيب يشبه السن (الكالسيوم) وينتج عن تمعدن اللويحة‬

70. Overhanging restoration margins should be removed because:

a. It provides ideal location for plaque accumulation. ‫مكان مثالي لتراكم اللويحة‬
b. It tears the gingival fibers leading to attachment loss.
c. Stimulate inflammatory reaction directly.
d. Its removal permits more effective plaque control. ‫إزالتها تمكن من ضبط فعال أكثر للويحة‬
e. A & d. ***

71. Main use of dental floss

a. Remove calculus.
b. Remove over hang.
c. Remove bacterial plaque. ***
d. Remove food debris.

72. What is the benefit of rinsing the mouth with water:

A) Plaque removal
B) calculus removal
C) washing the food debris. ***

73. One of these is less exposed to extensive dental caries:

a- Obes, malnourished
b- Pt has xerostomia
c- Less plaque score. ***

74. Calculus induce further periodontal lesion due to:

a) Directly stimulates inflammation
b)more plaque adhere to it. ***
d)…….

75. Floss used to:

a. Remove interproximal plaque. ***
b. Remove overhangs
c. Stimulate gingival
d. ….

76. Plaque consists of:

a. Bacteria
b. Inorganic material
c. Food
 ‫تتألف اللويحة بشكل أساسي من الجراثيم‬

77. To prevent perio problem MOST effective method is:

a. Community program.
b. Removal of plaque. ***
c. Patient education.

78. Maximum time elapsed before condensation of amalgam after titration:

a. 1minute.
b. 3minutes. ***
c. 9minutes.
:‫وفي مكان آخر‬
79. After amalgam titrations, the mix should be placed within:
a. 1 min. ***
b. 3 min. ***
c. 5 min.
d. 10 min.

80. Depth of amalgam restoration should be:

1. 1 – 1.5 mm.
2. 1.5 – 2 mm. ***
3. 2 – 3 mm.
4. 3 – 5 mm.

81. Length of pins must be equals in both tooth and restoration by a depth of:
a. 1 mm.
b. 2 mm. ***
c. 3 mm.
d. 4 mm.

.‫ ملم‬2 ‫حسب جميع المراجع يجب أن يكون انغماس الدبوس العاجي متعادالً في كل من العاج والحشوة وبمقدار‬

82. Stainless steel pin is used in amalgam for:

a. Increase retention. ***
b. Increase resistance.
c. Increase streangth.
d. A and b.
.‫ يزيد الوتد ثبات الحشوة ولكن يضعف األملغم وينقص المقاومة‬Dental decks 2210 ‫حسب‬

83. Calcium channel blockers cause increase saliva secretion.

a. True.
b. False. ***
84. RCT contraindicated in:
a. Vertical fracture of root. ***
b. Diabetic Pt.
c. Unrestored teeth.
d. Periodontally involved teeth.

85. What can we use under composite restoration:

a. Ca (oh). ***
b. ZOE.
c. ZINC phosphate cement.

86. Gutta percha contain mainly:

a. Gutta percha 20%.
b. ZINC oxide %. ***
c. ZINC phosphate.
.transpolyisoprene, barium sulfate, zinc oxide :‫تتألف الكوتا بركا من التالي‬

87. Single rooted anterior teeth has endodontic treatment is best treated by:
a. Casted post and core. ***
b. Performed post and composite.
c. Performed post and amalgam.
d. Composite post and core

88. Post fracture decrease with

prefabricated post
ready made post
casted post. ***
metal post

89. Teeth with RCT and you want to use post, which post is the least cause to fracture:
1. Ready made post.
2. Casted post.
3. Fiber post. ***
4. Prefabricated post.

90. One of anatomical land mark is:

a. Ala tragus line. ***
b. Ala orbital.
c. Frank fort plane.
.‫مستوى كامبر هو المستوى الواصل بين أسفل األنف وحلمة األذن‬

91. The PH of the calcium hydroxide is:

a. 7.2
b. 12 ***
c. 19
d. 5.5

92. Hyperemia result in: ‫االحتقان‬

a. Trauma of occlusion.
b. Pain of short duration. ***
c. Radiographic changes.
d. All of short duration.
.‫ "يسبب" والخيار األول هو سبب وليس نتيجة فوضعه أصالً خطأ‬result in ‫معنى‬

93. The x- ray of choice to detect the proximal caries of the anterior teeth is:
a. Periapical x-ray. ***
b. Bitewing x-ray.
c. Occlusal x-ray.
d. None of the above.
‫المجنحة للخلفية فقط‬

94. Mandibular foramen in young children is:

a. At level of occlusal plane.
b. Above the level of occlusal plane.
c. Anterior the level of occlusal plane.
d. Below the level of occlusal plane. ***

‫ثقبة الفك السفلي تحت مستوى اإلطباق وكذلك التخدير عند األطفال‬

95. In primary teeth, pathologic changes in radiographs are always seen in:
a. Periapical area.
b. Furcation area. *** ‫مفترق الجذور‬
c. Alveolar crest.
d. At base of developing teeth.

96. Pulpities in decidous teeth in radiograph see related to

furcation. ***
apex of root
lateral to root

97. In deciduous tooth the first radiographic changes will be seen in:
1. Bifurcation area.
2. Apical area.
3. External root resoption. ***

98. Eruption cyst "eruption hematoma" can be treated by:

a. No treatment. ***
b. Immediate incision.
c. Complete uncoverage
d. Observe for one week then incise
‫المرجع‬
Oral pathology clinical pathologic correlation,3rd edition, Page 296

99. After trauma a tooth become yellowish in color, this is due to:
a. Necrotic pulp.
b. Irreversible pulpitis.
c. Pulp is partially or completely obliterated. *** ‫تكلس‬
d. Hemorrhage in the pulp.
Endo Principles and Practice of Endodontics WALTON – page 45
A yellowish discoloration of the crown is often a
Manifestation of calcific metamorphosis

100. Step deformity of the Mandibular body fracture may due to: ‫تشوه مسار‬
a. Forward pull of lateral pterygoid muscle. ‫تقدم الجناحية الوحشية‬
b. Upward pull of masseter and temporalis. *** ‫شد الماضغة والصدغية‬
c. Toward pull of medial pterygoid muscle. ‫الجناحية األنسية‬
d. Downward pull of geniohyoid and myalohyoid. ‫استرخاء الذقنية الالمية والضرسية الالمية‬

101. What is the copper ratio that eliminates gamma phase 2:

a. 2% copper
b. 4% copper
c. 10 % copper
d. 13 % copper ***

102. Inorganic material in bone compromise:

a. 65%. ***
b. 25%
c. 10%
d. 95%

103. Polishing bur have:

a. Less than 6 blades.
b. 6-7 blades.
c. 10-12 blades.
d. More than 12 blades.
.20-12 ‫سنابل إنهاء الكومبزت يجب أن تكون ناعمة ولذلك عدد شفراتها‬

104. Pain during injection of local anesthesia in children could be minimized by:
a. Slowly injection.
b. Talking to the child during injection.
c. Using long needle.
d. A and b. ***
105. Rubber dam is contraindicated in:
a. Pt with obstructive nose. ***
b. Mentally retarded Pt.
c. Un comparative child.
d. A and b.

106. With children rubber dam not use with:

- Hyperactive patient
- obstructive nose. ***
- patient with fixed orthoappliance
- mildly handicapped and uncooperative.

107. The most common type of biopsy used in oral cavity is: ‫أهم نوع للخزعة‬
a. Excisional biopsy. *** ‫استئصالية شاملة‬
b. Incisional biopsy. ‫اقتطاعية‬
c. Aspiration through needle. ‫بذلية (شفطية) باإلبرة‬
d. Punch biopsy. ‫خزعة بالمقراض‬

108. In maxillary 1st molar 4th canal is found in:

a. MB canal. ***
b. DB canal.
c. Palatal root.

109. Formicrisol when used should be:

a. Full Saturated.
b. Half saturated.
c. Fifth saturated. ***
d. None of the above.

Pediatric dentistry ,infancy through adolescence,pinkham, 3rd edition, page348 :‫المرجع‬

110. 10 years old child present with bilateral swelling of submandibular area, what could be
the disease:
a. Fibrous dysphasia. ‫اضطراب كالم ليفي‬
b. Cherubism *** ‫ورم زوايا الفك‬
c. Polymorphic adenoma. ‫ورم غدي متعدد األشكال‬

‫احتمال أن السؤال غير كامل‬

111. Pt complain from pain in 45 witch had gold onlay. The pain could be due to:
a. Chemicals from cement.
b. High thermal conductivity of gold.
c. Related to periodontal ligament.
d. Cracked tooth or fractured surface.
 .‫يصنف الذهب على أنه "جيد جداً" بالعزل الحراري والكهربائي لذلك ال يمكن أن يكون هذا هو سبب األلم‬

112. The irrigation solution is good because:

a. Lubricate the canals.
b. Flushes the debris.
c. None of the above.
d. All of the above. ***

113. Which is most common:

a. Cleft lip.
b. Cleft palate.
c. Bifid tongue.
d. Cleft lip and palate. ***
‫ كتاب أمراض الفم‬:‫المرجع‬
.‫ للشفة‬17‫ و‬- ‫ لقبة الحنك‬14‫ شق شفة وقبة حنك و‬50 ‫ حالة إصابة توجد‬81 ‫في‬
(most common & most complicated) (Source: Peterson’s page 841)
Clefts of the upper lip and palate are the most common major congenital craniofacial
abnormality.
Atlas of Oral Diseases in Children
Cleft lip and palate ar more common together than is cleft lip alone.

114. Which cranial nerve that petrous part of temporal bone houses:
a. Trigeminal n V. ‫ثالثي التوائم‬
b. Facial n VII. *** ‫الوجهي‬
c. Vagus n IX. )‫المبهم (العاشر‬
d. Vestibalcochealer n VII.
‫أما العصب الذي يدخل من الثقبة البيضية للعظم الوتدي فهو مثلث التوائم‬

115. 8 years old Pt with pulp exposure in 11. Management:

a. Apixofication.
b. Pulptomy.***
c. RCT.

116. 21 years old Pt with pathological exposure in 35. Management:

a. Direct pulp capping.
b. Indirect pulp capping.
c. Root canal treatment. ***

117. Hyper cementum:

a. Occur in Pajet disease.
b. Difficult to extract.
c. Bulbous root. ‫جذر بصلي‬
d. Easy to manage by elevator.
e. A and b.
f. A and d. ***
g. All the above.

Dental secrets – page 256

Hypercementosis increases the difficulty of tooth removal.
Dental secrets – page 113
If hypercementosis is present, t he periodontal ligament space is visible around the
added cementum; that is, the cementum is contained within and is surrounded by the
periodontal ligament space. Condensing osteitis, by contrast, is situated outside the
periodontal ligament space.

Enlarged root of tooth no. 29, particularly in the apical area. The root of tooth no. 28 also shows
some widening. The periodontal ligament
space surrounds the tissue that has been laid down, and the lamina aura is visible outside the
Extraction sockets. The appearance of a healing or
ket may present a problem. The
ssistance in
distinguishing between the two include the density of
e or absence of a canal, and
Worth HM: Principles and Practice of Oral Radiologic Interpretation. Chicago, Year-Book, 1963, pp
H
periodontal ligament space. B, An opacity situated outside the periodontal ligament

118. For onlay preparation, reduction of functioning cusp should be:

a. 1.5 mm. ***
b. 2 mm.
c. 1 mm.
"Contemporary Fixed Prosthodontics ROSENSTIEL" :‫المرجع‬
‫ ملم للحدبات غير العاملة‬1 ‫ ملم للحدبات العاملة و‬1.5 ‫التحضير هو‬

119. Thickness of porcelain should be:

a. 03-05 mm.
b. 0.05-0.15 mm.
c. 0.5-1.5.mm. ***
‫ ملم‬1.5 - 1 ‫ الجواب‬441 ‫ صفحة‬dental deck ‫حسب‬
The necessary thickness of the metal substucture is 0.5 mm
the minimal porcelain thickness is 1.0 - 1.5 mm

120. Class II composite resin is lined by:

a. G.I. ***
b. Reinforced ZOE.
c. ZOE with epoxy cement.
d. Cavity varnish.

121. Occlusal plane is:

a. Above the level of the tongue.
b. Below the level of the tongue. ***
" mcqs in Dentistry" :‫المرجع‬
" the tongue rests on the occlusal surface"

122. Lateral pterygoid muscle has how many origin:

a. 1.
b. 2. ***
c. 5.
d. 7.

.‫تتألف العضلة الجناحية الوحشية من رأس علوي ورأس سفلي‬

123. Embryo become fetus in: ‫تتحول المضغة إلى جنين‬

st
a. 1 week
b. 1st month.
c. 2nd month.
d. 3rd month. *** ‫في بداية الشهر الثالث‬

124. All are single bone in the skull EXCEPT:

a. Lacrimal. *** ‫الدمعي‬
b. Occipital. ‫القذالي‬
c. Sphenoid. ‫الوتدي‬
d. Parietal. ‫الجداري‬

125. In hairy tongue, which taste buds increase in Length: ‫براعم الذوق‬
a. Fili form. *** ‫الخيطية‬
b. Fungi form. ‫الكمئية‬
c. Foliate. ‫الورقية‬
d. Circumvallates. ‫الكأسية‬

126. Coronal suture is between: ‫الدرز اإلكليلي‬

a. Occipital and temporal bone.
b. Frontal and parietal bone. ***
c. Occipital and tympanic bone.

127. During instrumentation, sudden disappear of root canal due to:

a. Bifurcation of main canal. ***
b. Apical perforation.
c. Calcification.
‫ إذا غابت قناة الضاحك األول السفلي في الصورة الشعاعية بدءا ً من منتصف السن فإن له‬Dental decks 154 ‫حسب‬
.‫قناتين‬

128. When does child should be first exposed for using tooth brush:
a. As eruption of first tooth. ***
b. One year old.
c. Two years old.
d. Primary school year.

129. When a child must first exposed to the use of the tooth brush:
1. Of age of 2 years.
2. Of age of 4 years.
3. Immediately after eruption of first tooth. ***

Fluoridated toothpaste for 3 years child is recommended but under supervision in small pea-
sized amount
National Fluoride Information Centre - Guide to Fluoride
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) - page 25
Brushing using a fluoride toothpaste should start as soon as the first teeth erupt (about 6
months of age). Parents should supervise brushing up to at least 7 yrs of age to avoid over-
ingestion of toothpaste and ensure adequate plaque removal.

130. Space loose occur in:

a. Proximal caries.
b. Early extraction.
c. Ankylosis.
d. All of the above. ***

131. Early loss of anterior tooth:

a. Affect phonetic.
b. Affect esthetics.
c. Cause space loss.
d. A and b. ***
e. All the above.
‫الفقد المبكر يخص األسنان المؤقتة وبالتالي تأثر النطق والناحية التجميلية أما ضياع المسافة عند الفقد األمامي المبكر‬
)‫فيكون في األسنان الدائمة (انزياح القواطع الدائمة لمكان الفقد‬

132. Amount of G.P should after post preparation: ‫المتبقى من كوتا حشوة القناة‬
a. 1 mm.
b. 4-5 mm.
c. 10 mm.
d. None of the above.

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 154

As a general guide the post should be at least equal to the anticipated crown height, but a
minimum of 4 mm of well-condensed GP should be left. A periodontal probe is helpful to
check prepared canal length.

133. What is the number of pharyngeal "brancheal" arches:

a. 4.
b. 5.
c. 6. ***
d. 7.

" Anatomy of the Human Body" :‫المرجع‬

134. What is the name of pharyngeal "brancheal" arches:

a. Maxillary.
b. Mandibular. ***
.Hyoid ‫األقواس البلعومية ستة أولها الفكي السفلي وثانيها الالمي‬

135. Stomodeum and fugi separated by:

1/frangeal arch
2/ectodermal cleft

136. In cavity preparation, the width of the cavity is:

a. 1/2 inter cuspal distance.
b. 1/3 inter cuspal distance. ***
c. 2/3 inter cuspal distance.

137. Polyvinyl siloxanes compared with polysulfide:

a. Can be poured more than once.
b. Can be poured after 7 days.
c. Less dimensional stability.
d. A and b. ***

138. Polysulfide impression material:

a. Should be poured within 1 hour. ***
b. Can be poured after 24 hours.
c. Can be poured 6-8 hours.

139. Hand over mouth technique is used in management of which child:

a. Mentally retarded.
b. Positive resistance.
c. Uncooperative.
d. Hysterical. ***

140. Pits and fissure sealants are indicated in:

a. Deep Pits and fissure.
b. Newly erupted teeth.
c. A and b. ***
.‫ والبازغة حديثا ً قليلة التمعدن‬،‫العميقة شكلها يساعد على النخر‬

141. Pit and fissure sealants are indicated to prevent dental caries in pits and fissure:
a. In primary teeth
b. In permanent teeth
c. A & b. ***

142. The rationale for pit-and-fissure sealants in caries prevention is that they:
a. Increase the tooth resistance to dental caries.
b. Act as a barrier between the sealed sites and the oral environment. ***
c. Have anti-microbial effect on the bacteria.
d. None of the above answers is correct.

143. Teeth that have lost pits and fissure sealant show…
a. The same susceptibility to caries as teeth that have not been sealed
b. Higher susceptibility than non sealed teeth
c. Lower susceptibility than non sealed teeth. ***
d. The same susceptibility as teeth with full retained sealant

144. Pit and fissure sealant:

a. New erupted teeth
b. Deep fissure and pits in molars
c. Proximal caries
d. A &b. ***

145. Year old patient all first molars carious and suspected pit and fissure areas of the
second molars. Treatment plan:
a. Restore all first molars and observe second molars.
B. Restore all first molars and topical fluoride on second molars.
C. Restore all first molars and seal pits and fissures of second molars. ***
d. Restore first and second molars with composite.
E. Restore first and second molars with amalgam.

146. Most tooth surface affected by caries:

a) Pit and fissure. ***
b) Root surface.
C) Proximal surface.
 D) …..x

147. Pit &fissure least effective with:

1/tweny-four month year
2/primary molar
3/2nd molar

148. Procedure done before applying pit & fissure sealant:

a- Acid etch by phosphoric acid

149. Success of pit & fissure sealants is affected mainly by:

1)increased time of etching
2) contamination of oral saliva***
3) salivary flow rate
4) proper fissure sealant

150. Aphthous ulcer, compared with herbes ulcer is:

a. More characteristic in histology.
b. Leaves scar. ‫تندبات‬
c. Less response to stress.
d. Occur in lining mucosa. ***

151. Syphilis first appearance:

a. Multiple vesicle. ‫حويصالت‬
b. Erythematous reaction. ‫حمامى‬
c. Ulcer. ***
d. Bullae. ‫فقاعات‬

152. Management knifedge ridge in complete denture:

a. Reline with resilient material. *** ‫مواد مرنة‬
b. Maximum coverage.
c. Wide occlusal label.
d. All of the above.

153. Fluoride which we use in the clinic doesn’t cause fluorosis because: ‫الفلور المطبق بالعيادة ال‬
‫يسبب انسمام فلوري‬
a. It's not the same fluoride that cause fluorosis.
b. Teeth already calcified. ***
c. Calcium in the mouth counter.
d. Saliva wasn’t out.

154. The antibiotic of choice in pregnant:

a. Metronidazole.
b. Penicillin. ***
c. Tetracycline.

155. Verrucous carcinoma: ‫السرطانة الثؤلولية‬

a. Malignant. ***
b. Benign.

156. Suture commonly used in oral cavity:

a. Black silk. ***
b. Catgut.
c. Chromic.

" Questions and Answers " ‫المرجع‬

Http: //www.bethesda.med.navy.mil/careers%5Cpostgraduate_dental_school%

157. In combined endo-perio problem:

a. Start with endodontic IX. ***
b. Start with periodontic IX.

158. Tooth fracture during extraction may be occur due to:

a. None vital tooth.
b. Diabetic PT.
c. Improper holding by forceps.
d. A and c. ***

159. Caries consist of:

a. Bacteria. ***
b. Fluid.
c. Epithelial cells.

160. Post retention depends on:

a. Post length.
b. Post diameter.
c. Post texture. ‫مادة الوتد‬
d. Core shape.
e. Design of the preparation.
f. A and b
g. A, b and c. ***
h. All of the above.
i. A.
 ‫مواصفات الوتد‪ :‬طوله يعادل ثلثي القناة أو طول التاج كحد أدنى بحيث يبقى ‪ 4‬ملم من حشوة القناة ‪ -‬أسطواني ال متناقص‬
‫القطر وعرضه يترك ‪ 1‬ملم من عاج الجدران وال يزيد عن ثلث قطر الجذر – مادته خشنة نسبيا ً – مسنن محزز – المثبت‬
‫كبرغي في جدران القناة أكثر ثباتا ً وأشد خطورة فيفضل الوتد المنطبق بشكل صميمي – المقطع البيضوي‪.‬‬

‫‪161.‬‬ ‫‪Amount of reduction in PFM crown:‬‬

‫*** ‪a. 1.5-2.‬‬
‫‪b. 1.7-2.‬‬
‫‪c. 2-5.‬‬

‫تحضير الدعامات في التعويضات الثابتة ‪ 1.5‬للمعدن و‪ 2‬ملم للخزف‬

‫‪162.‬‬ ‫‪AH26 is root canal sealer consist of:‬‬

‫‪a. ZOE.‬‬
‫*** ‪b. Epoxy resin.‬‬

‫‪163.‬‬ ‫‪Patient comes to your clinic complaining that the denture become tight, during‬‬
‫‪examination you notice nothing, but when the patient stand you notice that his legs bowing‬‬
‫‪(curved). What you suspect:‬‬
‫*** ‪A) Paget’s disease..‬‬

‫‪164.‬‬ ‫‪The most prevalent primary molar relationship‬‬

‫*** ‪a-flush terminal plane.‬‬
‫‪b-mesial step terminal plane‬‬
‫‪= = = c-end‬‬
‫‪= = = d-distal‬‬

‫‪165.‬‬ ‫ترتيب إطباقي ‪In primary teeth. The ideal occlusal scheme is:‬‬
‫‪a. Flush terminal.‬‬
‫*** ‪b. Mesial step.‬‬
‫‪c. Distal step.‬‬
‫حسب كتاب تقويم األسنان والفكين ‪ -‬جامعة البعث‪:‬‬
‫فقرة ‪:1‬‬
‫"في األقواس السنية المؤقتة يكون في معظم الحاالت المستوى النهائي مستقيما ً"‬

‫فقرة ‪:2‬‬
‫تطور العالقات بين الفكين‪ :‬تبزغ األرحاء الدائمة بإرشاد من السطح الوحشي لألرحاء الثانية المؤقتة أي اعتمادا ً على طبيعة‬
‫المستوى النهائي‪.‬‬
‫فإذا كانت هناك درجة أنسية تبزغ األرحاء األولى بعالقة طبيعية في الصنف األول‪ ،‬أما إذا كان المستوى النهائي مستقيما ً‬
‫فإن األرحاء األولى سوف تبزغ في البداية بوضع حدبة لحدبة ومن ثم يمكن أن تتأسس عالقة إطباقية اعتمادا ً على االنسالل‬
‫األنسي المبكر أو المتأخر لألرحاء األولى الدائمة وعلى استمرارية نمو الفك السفلي ‪ 3-2‬سنوات بعد توقف الفك العلوي‪،‬‬
‫ولكن اختالل تسلسل بزوغ األسنان يغير هذه المعادلة‪...‬‬
‫إذاً المثالي هو الدرجة األنسية‪ ،‬والشائع هو المستوى المستقيم‪.‬‬

‫‪166.‬‬ ‫‪When you give a child a gift for good behavior this is called:‬‬
‫تعزيز *** ‪a. Positive reinforcement.‬‬
b. Negative reinforcement.

167. Hairy trichoglossia may be caused by:

a. Broad spectrum antibiotic.
b. H2o2 mouth wash.
c. Systemic steroid.
d. Heavy smokers.
e. All of the above. ***
" DENTAL SECRETS Second Edition" :‫المرجع‬
.‫يضاف لها نقص اللعاب وتناول مركبات البزموت والصحة الفموية السيئة‬

168. In distal extension p.d during relining occlusal Rest was not seated:
a. Remove impression and repeat it. ***
b. Continue and seat in after relining.
c. Use impression compound.

169. After taking alginate impression:

a. Wash with water and spray with sodium hydrochloride for 10 sec.
b. Same but wait 5-10 min and then put in sealed plastic bag.***

170. Many parts of bones are originally cartilaginous that replaced by bone:
a. True. ***
b. False.

171. Buccal object role in dental treatment of maxillary teeth:

a. MB root appear distal to P if cone is directed M to D. ***
b. DB root appear mesial to P if cone is directed M to D.

172. Check biting in lower denture can occur if:

a. Occlusal plane above tongue. ***
b. Occlusal plane below tongue.
c. Occlusal plane at lower lip.
d. None of the above.

173. Occlusal plane should be:

a. Parallel to interpupillary line.
b. Parallel to ala tragus line.
c. At least tongue is just above occlusal plane.
d. All of the above. ***
 174. Pt come for check up, no complaining, after radiograph u see well circumscribe
radiolucent area in related to mandibular molar & the periphery was radiopaque which
not well defined border the diagnosis is:
simple bone cyst

175. Scallopped border above inferior alveolar canal between roots of mandibular molars,
this lesion is:
a) solitary cyst.
b) aneurysmal bone cyst.
c) traumatic bone cyst(simple bone cyst. ***
‫ ال‬.‫ سم وحتى يشمل األرحاء‬1 ‫ شعاعيا ً حدوده شافة رقيقة ويتراوح بين‬،‫كيس صدفي الحواف فوق القناة السنخية السفلية‬
‫يسبب امتصاصها أو ضياع الصفيحة القاسية‬
This is the radiographic finding for the the trumatic bone cyst Radiographically, these lesions
tend to appear as smoothly outlined radiolucencies that scallop around the roots of the
teeth. They do not displace teeth or resorb roots, and the lamina dura is left intact. They may
range from very small (<1 cm) to very large (involving most of the mandible). They tend to
occur above the inferior alveolar canal

176. Radiographic radioulucency in the interradicular area:

a. Invasion of furcation. ‫إنتان منطقة مفترق الجذور‬
b. Periodontal abcess. ‫خراج حول سني‬
c. Periodontal cyst. )‫كيسة حول سنية (نسج داعمة‬
ORAL RADIOLOGY 5th ed – page 321
Clinical Outline of Oral Pathology

177. Mental foramen appear in radiograph as radiolucent round area to the area of:
a. Mandibular premolars. ***
b. Mandibular incisors.
c. Maxillary canine.

178. Radiographic diagnosis of a well-defined, unilocular radiolucent, area between vital

mandibular bicuspias is more likely to be:
a. Residual cyst. ‫كيس متبقي‬
b. The mental foramen. *** ‫الثقبة الذقنية‬
c. A radicular cyst.
d. Osteoporosis. ‫تخلخل العظم‬
e. None of the above.

179. Which cyst is not radiolucent?

a. Globulomaxillary cyst. ‫كيس فكي علوي كروي‬
b. Follicular cyst. ‫جريبي‬
c. Dentigerous cyst. *** ‫حاوي على سن‬
d. Nasopalatine cyst. ‫القناة الحنكية األنفية‬
.‫ألنه يحوي سن فهو ظليل‬
 180. Female . Swelling in left of mandible, slowly increasing , radio opaque surrounded by
radiolucent band
a. Osteoma
b. Ossifying fibro
c. Cementoblastoma

181. Radiolucent are cover the pericornal part of the 3rd molar is:
a- Dentigerous cyst
b- Central

182. Cyst in x- ray:

1. Radiolucent with bone expansion.
2. Radiolucent with bone resorption ***

"MASTER DENTISTRY- Oral and Maxillofacial, Surgery, Radilolgy, Pathology and Oral Medicine
– page 149"
Cyst growth
Several mechanisms are described for cyst growth, including:
• epithelial proliferation
• internal hydraulic pressure
• bone resorption.

183. Which of the following lesions has more tendency to show well defined multilocular
radiolucency:
a. Lateral periodontal cyst
b. Squamous cell carcinoma of jaw bones
c. Primordial cyst. ‫بدئي‬
d. Ameloblastoma. ***
e. Osteomylitis of the mandible. ‫التهاب العظم والنقي‬

184. Intraosseous cyst in radiograph appears:

1/multiradiolucent may or not expand to cortical bone.
2/radiopaque may or not expand to cortical bone.
3/multiradiolucent may with resoption of cortical bone.
4/radiopaque may with resoption of cortical bone.

Central intraosseous ameloblastomas may perforate bone and present a similar pattern.

185. Child 12 years old with swelling in the mandibular premolars area, first premolar
clinically missing, in X ray examination we found Radiolucent is cover the percoronal part
of the 3rd molar is:
1. Dentigerous cyst. ***
 186. Pt come for check up, no complaining, after radiograph u see well circumscribe
radiolucent area in related to mandibular molar & the periphery was radiopaque which
not well defined border the diagnosis is:
simple bone cyst

187. Radiographic diagnosis of bone destructive in the mandible without evidence of bone
formation is:
a. Osteomyelitis.
b. Malignancy. ***
c. Fibro-osseous lesion.
d. Fracture.
e. osteoradionecrosis.

Dental secrets – page 115

Malignant lesions destroy bone uniformly. In ost eomyelitis, areas of radiographically normal-
appearing bone are frequently seen between the areas of destruction. Sequestra are not
present in malignant lesions.

188. A 60-year-old man has been treated for a t2nom osquamous cell carcinoma by radical
radiotherapy. He has a history of chronic alcoholism and was a heavy smoker. Six years
after treatment, he develops a painful ulcer in the alveolar mucosa in the treated area
following minor trauma. His pain worsens and the bone became progressively exposed.
He is treated by a partial mandibular resection with graft. The diagnosis is
a. Acute osteomylitis
b. Gerre,s osteomylitis
c. Osteoradionecrosis ***
d. Chronic osteomylitis

Osteoradionecrosis is more in
a: maxilla
b: mandible. ***
c: no difference

189. Radiographic diagnosis of bilateral expansible radio opaque areas in the caninpremolar
region of the mandible is:
a. Hematoma.
b. Remaining roots.
c. Tours mandibularis. ***
d. Internal oplique ridge.
e. Genial tubercle.

190. -In radiographs, which disease cause multiple radiolucencies:

a. Hypothyroidism.
b. Hyperparathyroidism. ***
c. Ricket disease.

191. The following are multilocular radiolucencies in x-ray EXCEPT:

a. Ameloblastoma.
b. Odontogenic keratocyst. ‫كيسة متقرنة سنية المنشأ‬
c. Adenomatoid Odontogenic cyst. *** ‫كيس سني المنشأ شبيه بالورم الغدي‬
d. Myxoma. ‫ورم مخاطي‬

brown - aneurismal bone cyst - central giant cell reparative granuloma :ً‫متعددة الحجرات أيضا‬
- Cherubism – Odontogenic Myxoma/Myxofibroma - tumor of hyperparathyroidism
- Hypopharynx Abscess
hemorrhagic Simple Bone Cyst: Solitary bone cyst, traumatic bone cyst, ‫نادرا ً متعددة الحجرات‬
bone cavity, unicameral bone cyst bone cyst, hemorrhagic cyst, idiopathic
– Mucoepidermoid Carcinoma - Fibrous Dysplasia :‫متعددة أو مفردة‬

192. 33 years old female PT come with slow growing swelling in the angle of the mandible.
Radiograph show radio-opaque with radio-lucent border diagnosis:
a. Osteoma.
b. Osteosarcoma.
c. Cementoblatoma. ***

193. Patient came to your clinic with severe pain, on x-ray the right side of the mandible has
a radiolucency with a radiopaque border that resembles the sunshine rays. Your diagnosis
is :
A) ossifying fibroma
B) osteosarcoma. ***
C) acute osteomyelitis

194. The x ray show scattered radiopaque line in the mandible jaw, the diagnosis will be:
A- Paget disease
B- Garres syndrome
C- Fibrous dysplasia
D- Osteosarcoma

195. The most common type of malignant bone tumor of the jaws is:
a. Osteochondrosarcoma. ‫ساركوما عظمية غضروفية‬
b. Osteosarcoma. ***
c. Leiomyosarcoma. ‫ساركوما عضلية ملساء‬
d. Chondrosarcoma.
" Oral pathology clinical pathologic correlation" :‫المرجع‬
.‫بينما الساركوما الغضروفية هي الثانية‬
196. 20 years old male PT came with severe pain on chewing related to lower molars.
Intraoral examination reveals no caries, good oral hygiene, no change in radiograph. PT
give history of bridge cementation 3 days ago. Diagnosis:
a. Pulp necrosis.
b. Acute apical periodontitis. ***
c. Chronic apical abscess.
d. None of the above.

197. Mobility in midface with step deformity in front zygomatic suture. Diagnosis:
a. Lefort II.
b. Lefort III.
c. Bilateral zygomatic complex fracture.

‫ أما حركة منتصف الوجه‬،‫ هو حركة كامل الوجه وانفصال الدرز الوجني‬Lefort III ‫المقطع التالي يوضح أن ما يميز‬
step deformity in ‫ ولكن ليس‬step deformity in the orbital rim ‫ وكذلك استخدام التعبير‬Lefort II ‫فتميز‬
‫ فما هو الصحيح؟؟‬front zygomatic suture
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 270
Diagnosis Le Fort I may occur singly or associated with other facial fracture. The tooth-bearing
portion of the upper jaw is mobile, unless impacted superiorly. There is bruising in the buccal
sulcus bilaterally, disturbed occlusion, and posterior 'gagging' of the bite. Grasp the upper jaw
between the thumb and forefinger anteriorly, place thumb and forefinger of other hand over
the supraorbital ridges, and attempt to mobilize the upper jaw to assess mobility. Spring the
maxillary teeth to detect a palatal split. Percussion of the upper teeth may produce a 'cracked
cup' sound. Le Fort II and III fracture produce similar clinical appearances; namely, gross
oedema of soft tissues, bilateral black eyes (panda facies), subconjunctival haemorrhage,
mobile mid-face, dish-face appearance, and extensive bruising of the soft palate. Look for a
CSF leak and assess visual acuity. Le Fort II fracture may also show infra-orbital nerve
paraesthesia and step deformity in the orbital rim. Peculiar to Le Fort III fracture are
tenderness and separation of the frontozygomatic suture, deformity of zygomatic arches
bilaterally, and mobility of entire facial skeleton.
And
MASTER DENTISTRY- Oral and Maxillofacial, Surgery, Radilolgy, Pathology and Oral Medicine
Le Fort I is the lowest level of fracture, in which the tooth-bearing part of the maxilla is
detached.
Le Fort II or a pyramidal fracture of the maxilla involves the nasal bones and infraorbital rims.
Le Fort III involves the nasal bones and zygomatic-frontal sutures and the whole of the maxilla
is detached from the base of the skull.

198. Pt came with fracture because of blow in the right side of his face. he has ecchymosis
around the orbit in the right side only .and subjunctional bleeding in the maxillary buccal
vestible .with limited mouth open what is ur diagnosis?
A- le fort 1
b- lofort 2
c- lefort 3
c-zygomatic fracture. ***
Zygoma fracture: clinical flattening of the cheekbone prominence — paraesthesia in
distribution area of infraorbital nerve — diplopia, restricted eye movements - subconjunctival
haemorrhage - limited lateral excursions of mandibular movements - palpable step in
infraorbital bony margin

199. Open bite is seen in

a: lefort 2
b: unilateral condyle fracture
c: bilateral condyle fracture ***

60 – what is the first sign if there is fracture in the face in x-ray?

1. Fluid paranasal.
2………. Suture.
3. Overlap of bone.
4. All the above.

:‫السؤال غير واضح ولذلك يمكن اختيار ما يأتي من خيارات من الفقرات السابقة والفقرة التالية‬
MASTER DENTISTRY- Oral and Maxillofacial, Surgery, Radilolgy, Pathology and Oral Medicine
The eyes are examined for double vision (diplopia), any restriction of movement and
subconjunctival haemorrhage. The condyles of the mandible are palpated and movements of
the mandible checked. Swelling, bruising and lacerations are noted together with any areas of
altered sensation that may have resulted because of damage to branches of the trigeminal
nerve. Any evidence of cerebrospinal fluid leaking from the nose or ears is noted, as this is an
important feature of a fracture of the base of the skull. An intra-oral examination is then
carried out, looking particularly for alterations to the occlusion, a step in the occlusion,
fractured or displaced teeth, lacerations and bruises. The stability of the maxilla is checked by
bimanual palpation, one hand attempting to mobilise the maxilla by grasping it from an intra-
oral approach, and the other noting any movement at extra-oral sites such as nasal,
zygomatic-frontal and infraorbital.

200. PT with lower complete denture, intraoral examination show with slightly elevated
lesion with confirmed border, PT history of ill fitting denture. It is by:
d. Immediate surgical removal.
e. Instruct PT not to use denture for 3 weeks then follow up. ***
f. Reassure PT and no need for treatment.

201. Examination of residual ridge for edentulous PT before construction of denture

determine stability, support and retention related to the ridge:
g. True. ***
h. False.

202. Upon examination of alveolar ridge of elderly PT for construction of lower denture
easily displaceable tissue is seen in the crest of ridge. Management:
 i. Minor surgery is needed.
j. Inform the PT that retention of denture will decrease.
k. Special impression technique is required. ***
"Questions and Answers " :‫المرجع‬
.‫استخدام طريقة الضغط االنتقائي‬
‫تسميك الشمع وتثقيب الطايع‬

203. Class III jaw relation in edentulous PT:

l. It will affect size of maxillary teeth.
m. Affect retention of lower denture.
n. Affect esthetic and arrangement of maxillary denture.
o. All of the above. ‫األصح‬

204. In recording man-max relation,the best material used without producing pressure is:
p. Wax.
q. Compound.
r. Bite registration paste (zinc oxide & eugenol paste). ***

205. In recording jaw relation, best to use:

s. Occlusal rim with record base. *** ‫االرتفاع الشمعي‬
t. Occlusal rim with base wax.
u. Occlusal rim with nacial frame.

32-The goal of construction of occlusion rims is:

1. To obtain the occlusal plane, vertical dimension, tentative centric relation, face low transfer,
placement of the teeth. ***
2. To obtain the protrusive condylar guidance.
3. To obtain the lateral condylar posts and incisal guide.
4. None.

206. A temporary form representing the base of a denture which is used for making
maxillo-manibular (jaw) relative record for arranging teeth or for trail insertion in the
mouth is:
1. Bite rims.
2. Custom tray.
3. Set up.
4. Base plate. ***

207. To recheck centric relation in complete denture:

v. Ask PT to swallow and close.
w. Ask PT to place tip of tongue in posterior area and close. ***
x. To wet his lip and tongue.
y. All of the above.
 208. By aging, pulp tissue will:
z. Decrease in collagen fibers.
aa. Increase cellularity and vascularity.
bb. Decrease in size. ***
.‫يتراكم العاج الثانوي على جدران القناة اللبية‬

209. Complete blood count "CBC" is a laboratory test important in dentistry:

cc. True. *** ‫األصح‬
dd. False.
.‫" ذكر ضرورته قبل الجراحة عند مرضى اإليدز والمعالجين كيماويا ً والتهاب الكبد الكحولي‬Dental secrets"

210. In class I partially edentulous lower arch, selection of major connector depend on:
a. Height of lingual attachment.
b. Mandibular tori.
c. Periodontal condition of remaining teeth.
d. All of the above. ***

211. Diagnosis prior to RCT should always be based on:

a. Good medical and dental history.
b. Proper clinical examination.
c. Result of pulp vitality test.
d. A periapical radiographs.
e. All of the above. ***

212. Which of the following may be used to disinfect gutta percha points
a. Boiling.
b. Autoclave.
c. Chemical solutions. ***
d. Dry heat sterilization.
52. Most convenient and effective form of sterilization of dental instruments:
a. Boiling
b. Autoclave. ***

213. The role of good sterilization:

1. Washing, inspection, autoclave, drying, storage. ***
2. Inspection, autoclave, drying, storage.
3. Autoclave, drying, storage.
4. Autoclave is enough.

214. Protocol of sterilization

Initial cleaning, inspection , cleaning, sterilization, storage. ***

215. Autoclave relative to 100f dry oven

a)the same time
 b)slightly higher time
c)considerable higher time
d)less time. ***

216. What is the type of sterizliation applied on ligation/fixation wires

A) Autoclave. ***

53. Why the moisture heat sterilization is better than dry heat sterilization
A) makes the instruments less rusty and blunt
B) needs more time and affects the proteins of the cell membrane
C) needs less time and affects the proteins of the cell membrane. ***

217. AUTOCLAVE PRINCIPLE:

causes dullness.
Breaks the protein cell membrane at moderately low temp. ***
breaks the protein cell membrane at very high temp
‫ يعني في حرارة أقل أم في وقت أقصر؟؟؟‬،‫هناك اختالف بين آخر سؤالين‬

218. Type of autoclave used

a-hot oven outoclave
b-class b autuclave
c-class s autoclave
d-class d autoclave

219. The radiographic criteria used for evaluating the successes of endodontic therapy
a. Reduction of the size of the periapical lesion. ***
b. No response to percussion and palpation test.
c. Extension of the sealer cement through lateral canals.
d. None of the above.

220. If the maxillary first molar is found to have four, the fourth canal is likely found:
a. In the disto-buccal root.
b. In the mesio-buccal root. ***
c. In the palatal root.
d. None of the above.

221. The accesses opening for a maxillary premolar is most frequently:

a. Oval. ***
b. Square.
c. Triangular.
d. None of the above.
 222. What is the basis for current endodontic therapy of a periapical lesion:
a. Due to rich collateral circulation system, the perpical area usually heals despite the condition
of the root canal. ‫التروية الغنية تكفي‬
b. If the source of periapical irritation is removed, the ppotential for periapical healing is good.
***
c. Strong intracanal medications are required to sterilized the canal and periapical area to
promote healing.
d. Periapical lesions, especially apical cyst, must be treated by surgical intervention.

223. To enhance strength properties of ceramo metal restoration, it is important to:

a. Avoid sharp or acute angles in the metal structure.
b. Build up thick layer of porcelain.
c. Porcelain should be of uniform thickness and any defect of the preparation should be
compensated by the metal substructure.
d. Compensate any defect in the preparation equally by porcelain and metal substructure.
e. A and b are correct.
f. A and c are correct. ***
g. B and d are correct.
.‫مقاومة الخزف للكسر تتأمن بسماكة كافية له على حساب المعدن وبعدم وجود زوايا حادة‬

224. Endodontically treated 2nd maxillary premolar with moderate M & D caries is best
restored by:
a. Amalgam.
b. 3/4 crown.
c. Full crown. ***
d. Onlay.

225. MOD amalgam restoration with deep mesial box, PT come with pain related to it after
1 month due to:
a. Pulp involvement. ***
b. Supraocclusion.
c. Upon contact.
d. Gingival recession.

226. Reduction in amalgam restoration should be:

a. 1-1.5 mm.
b. 1.5-2 mm. ***
c. 2-3 mm.
d. 3-5 mm.
Art and science of operative dentistry 2000 – page 659
"it must have a minimum thickness of 0.75 to 2 mm (because of its lack of compressive
strength)"
 227. When esthetic is important, posterior class I composite is done in:
a. Subgingival box.
b. Bad oral hygiene.
c. Contact free area.
d. Class I without central contact.

228. HBV can be transmitted by transplacental: ‫المشيمة‬

a. True. ***
b. False.

229. Bleeding of the socket following tooth extraction:

1. Is always a capillary bleeding in nature.
2. Takes not less than half – day in normal individual.
3. Is always favorable if it is primary type.
4. Can be due to the presence of a nutrient vessel.
a. 1 and 2 are correct.
b. 1, 2 and 3 are correct.
c. 1, 3 and 4 are correct. ***
d. All are correct.

230. In sickle cell anemia, O2 is decreased in oral mucosa: ‫فقر الدم المنجلي‬
a. True. ***
b. False.

231. Destruction of RBC may cause anemia and it is due to defect in cell membrane: ‫تخرب‬
‫كريات الدم الحمراء‬
a. True. ***
b. False.

232. Immunofluorecent test and biopsy are used to diagnosis pemphigus: ‫اختبار التألق المناعي‬
‫والخزع يستخدم لتشخيص الفقاع‬
a. True. ***
b. False.

233. After RCT, for insertion of post dowel:

a. Post applied pressure.
b. Post should be lose.
c. Insert it without pressure but with retention. ***

234. Selection of shade for composite is done:

 a. Under light.
b. After drying tooth and isolation with rubber dam.
c. None of the above. ***
‫ توضع قطنة وتالحظ التغيرات في لون السن عندما يكون المريض‬.‫اختيار اللون يكون بالضوء الطبيعي وبوجود اللعاب‬
.‫في وسط معتم أو مضيء‬

235. Measuring blood pressure is one of vital signs important in medical compromised:
a. True. ***
b. False.

236. Most commonly, after placement of amalgam restoration PT. Complain from pain
with:
a. Hot.
b. Cold. ***
c. Occlusal pressure.
d. Galvanic shock.
e. Sweet.

237. Management of tuberosity fracture during extraction of maxillary molar is:

a. Replace and suture. *** ‫ردها إلى مكانها وخياطتها‬
b. Remove and suture with primary heal.
c. Replace and suture intra alveolar by wire.
d. Remove and leave to heal.
-If the tuberosity is fractured but intact, it should be manually repositioned and stabilized by
sutures
Dental decks 1954

238. Microbial virulent produced by root bacteria is collagenase from spirochete: ‫الذيفان‬
‫الجرثومي في القناة هو كوالجيناز من الملتويات‬
a. True. ***
b. False.

239. Bacteria in endodontic pathois mostly is:

a. Porphyromonas endodontalis obligate anacrobe: *** ‫الهوائية مجبرة‬
b. Streptococcus mutans.
c. Streptococcus anaerobius.

240. Bacteria in root canal

a) mixed****
b) anaerobes obligatory
c) aerobes only

241. Bacteria in root canal pathosis:

a. Mixed anaerobe and aerobe. ***
 b. Single obligate anaerobe.
c. Aerobic.
d. None of the above.

Dental pulp 2002 – page 294

When intact teeth with necrotic pulps were cultured, over 90% of the bacteria were strict
anaerobes. Because bacteria isolated from root canals are usually a subgroup of the bacteria
found in the sulcus or periodontal pockets, it is believed that the sulcus is the source of
bacteria in root canal infections.

242. Calcium hydroxide is used in deep cavity because it is:

a. Simulate formation of 2nd dentine. ***
b. Not irritant to the pulp.
c. For thermal isolation.
‫ أما‬،‫ كما أن العزل الحراري هو مهمة االسمنت‬،‫بالواقع تحدث ماءات الكالسيوم تموت صغير في الجهة المقابلة من اللب‬
.‫ماءات الكالسيوم فتحرض على انتاج العاج الثانوي وتؤمن العزل الكيميائي‬

243. 38-irrigation solution for RCT cause protein coagulation is:

1- Sodium hypochlorite.
2- Iodine potassium.
3- Formocresol. ***
4- None of the above.

244. Use of miswak and toothbrush:

a. Toothbrush after meals and miswak at prayer time and when out of home. ***
b. Miswak and toothbrush must be used together.
c. Use the miswak only when they can not afford to buy the toothbrush and
toothpaste.
d. Not use the miswak and use the toothbrush instead.

245. Oral diaphragm consist mainly of: )‫الحجاب الفموي (قاع الفم‬
a. Tongue.
b. Geniohyoid muscle. ‫الذقنية الالمية‬
c. Digastric muscle. ‫العضلة ذات البطنين‬
d. Mylohyoid muscle. *** ‫الضرسية الالمية‬

246. Occlusal rest function:

a. To resist lateral chewing movement.
b. To resist vertical forces. ***
c. Stability.
d. Retention.
.‫وظيفة الضمات مقاومة القوى العمودية‬
247. In post and core preparation must:
a. Extend to contrabevel. ‫ممكن كتف معكوس أو شطب معكوس‬
b. Extend to full length tooth preparation.
 c. Take same shape of natural tooth.
d. Take shape of preparation abutment.
e. A & d. ***
f. A & b.
g. D & c.
h. B & c.
.‫القلب المعدني يمتد لنهاية حواف السن المحضر ويأخذ شكل الدعامة‬

248. In placement of R.D: ‫الحاجز المطاطي‬

a. 4 jaw contact in teeth.
b. Only 4 contacts 2 lingual surface and 2 buccal surface. ***
c. Only 4 contacts 2 mesial and 2 distal.

249. Chronic suppurative periodontitis: ‫التهاب النسج حول السنية القيحي المزمن‬
a. PT complains from moderate pain.
b. Fistula with drain. ***
c. Pulp polyp in open coronal carious lesion.
.‫الخراج المزمن يترافق مع ناسور وتصريف للقيح ويبدي ألم خفيف بالقرع وال يترافق مع بوليب أو مرجل بالحجرة اللبية‬

250. Acute periodontal abscess:

a. Fistula present.
b. Swelling enlargement in tooth site. ***
c. None of the above.

251. Masseter muscle extends from lower of border zygomatic arch to lateral border of
ramus and angel mandible. ‫العضلة الماضغة تمتد من القوس الوجني إلى جسم الرأد وزاويته‬
a. True. ***
b. False.

252. Extend of temporalis behind infratemporal fossa of temporal bone insert in coronoid
process: ‫االمتداد الصدغي خلف الحفرة تحت الصدغ للعظم الصدغي يدخل في الناتئ اإلكليالني‬
a. True. ***
b. False.

253. Main arterial supply in face is facial artery and superficial temporal artery:
a. True. ***
b. False.

254. Mandible is the 1st bone calcified in skull but clavicle start first but in same
embryological time: ‫الترقوة‬
a. True. ***
b. False.
 255. Maxilla is formed
a. before mandible
b. same with mandible
c. slightly after mandible. ***
d. none of the above

2. Mandible formed before frontal bone:

a. True.
b. False. ***
‫تتشكل الترقوة قبل الفك السفلي‬
‫أما العظم الجبهي‬

256. Some bone are formed by endochondral ossification like long bone, flat bone by
intramembranous ossification and some bone by endochondral and intramembranous
ossification: ‫داخل الغضروف وداخل الغشاء‬
a. True. ***
b. False.

257. Facial nerve supply:

a. Masseter muscle.
b. Temoralis muscle.
c. Buccinator muscle. ***
d. Mylohyoid muscle.

258. Upon giving a lower mandible anaesthesia, you notice the patient’s eye, cheek corner
of the lip are uncontrolled , what’s the reason :
A) paresthesia of the Facial Nerve. ***

259. Muscle of facial expression are all innervated by facial nerve:

a. True. ***
b. False.

260. While performing cranial nerve examination you notice that the patient is unable to
raise his eyebrows, hold eyelids closed, symmetrically smile or evert his lower lip..this may
indicate:
a. Trigeminal nerve problem.
B. Facial nerve problem.
C. Oculomotor nerve problem.
D. Trochlear nerve problem.
E. All of the above.

3. Permeability of dentine: ‫نفوذية‬

a. Bacterial product go through it.
b. Decrease by smear layer. ***
c. Allow bacteria to go in.

Dentin permeability
1- decreases with the increase of cavity preparation.
2- Increase when sclerotic dentin develops under a carious lesion.
3- Increase with smear layer.
4- Bacterial toxins can pass through before the actual penetration of bacteria. ***

Art & Science

Dentin permeability:
increase with the increase of cavity preparation
decrease when sclerotic dentin develops under a carious lesion
decrease with smear layer

4. Tooth brushing and dental floss help in community prevention of periodontal disease:
a. True. ***
b. False.

5. Crown with open margin can be due to:

a. Putting die space on finishing line. ***
b. Waxing not covering all crown prep. ‫تشميع ال يتناول كل تحضير التاج‬
c. Over contouring of crown prevent seating during insertion.
d. All of the above. ***

6. Cell of chronic inflammation:

a. Lymphocytics. *** ‫اللمفاويات‬
b. PMN. ‫متعددات النوى‬
c. Neutrophils. ‫العدالت‬

7. Dentist must:
a. Treat PT medically.
b. Prescribe medication to Pt with medical problem.
c. Do clinical examination, take medical history and evaluate the medical state. ***

After patient came to your clinic and gave an extended history and complain, what’s your
next step in treatment :
A) Clinical examination. ***
B) Start the treatment
C) Radiographic examination

8. Reparative dentine:
a. Same like secondary dentine.
b. Happen as site if irritation. ***

9. Reparative dentine: ‫الترميمي‬

a. 2nd dentine.
b. Formed as dentine Bridge above the pulp. ***
c. Highly tubular dentine and it is detective from 1st dentine. ‫أنبوبي‬
d. Sclerosing dentine with less permeability. ‫متصلب بنفوذية أقل‬
‫ أما الثانوي فهو العاج المتراكم في حجرة‬،‫العاج الترميمي يتشكل عند انكشاف اللب ولمادة التغطية دور مهم في تشكيله‬
.‫اللب مع الزمن ومع وجود النخر وفي حالة التغطية غير المباشرة‬

10. Physiological reaction of edema on vital pulp: ‫وذمة أو احتقان‬

a. Decrease tissue fluid by decompression of blood vessel.
b. Increase blood preasure. ***
c. Necrosis of pulp due to hyperoxia and anaryxia. ‫نقص أكسجة و؟‬

11. Microabscess on vital pulp: start necrosis of small part and sequela of destruction cycle and
full repair: ‫الخراجات المجهرية باللب الحي تبدأ بتموت أجزاء صغيرة ثم دورات من عقابيل التخرب والشفاء التام‬
a. True.
b. False. ***
" Dental pulp 2002" :‫المرجع‬
‫ وفيما يخص التغطية بماءات الكالسيوم فالتموتات محدودة باللب القريب من االنكشاف ثم يتشكل جسر‬،‫التموت غير ردود‬
.‫عاجي‬

12. Amalgam tattoo is an oral pigmentation lesion: ‫تصبغ‬

a. True. ***
b. False.

13. Oral and perioral cyst formed from epithelial rest of serres:
a. True.
b. False. ***

14. Development of maxillary process and medial frontal process in medial elongation of central
portion:
a. True.
b. False. ***

15. Cementum contain cell like bone. It is yellow in color in vital, extracted or avulsed tooth. But
in non vital tooth, its color is dark:
a. True. ***
b. False.

16. Dentine composition:

a. 60-65 inorganic by wgt . (70% inorganic by volume). ***
b. 25% water by wgt. (13% water by volume).
c. 43% organic by wgt. (20% organic by volume).
.%10‫ وماء ومواد أخرى‬%20 ‫ ومواد عضوية‬%70 ‫بالحجم يتكون العاج من هيدروكسي أباتايت‬

17. The primary direction for spread of infection in the mandible is to submental lymph node: ‫إلى‬
‫تحت الذقن‬
a. True.
b. False. ***

18. 7 days after amalgam restoration Pt came complaining of pain during putting spoon on the
restored tooth because:
a. Irreversible pulpitis.
b. Reversible pulpitis.
c. Broken amalgam.
d. Galvanic action. ***

21-Filling amalgam in the first madibular molar when touch the spoon there is a pain the
reason is:
1. Galvanic action. ***

19. DNA only infect human but RNA doesn't infect human:
a. True.
b. False. ***
.‫الفيروسات عبارة عن خمج يطال نوعي المادة الوراثية‬

20. Artificial teeth best to be selected by:

a. Preextraction cord. ***
b. Postextraction cord.
.‫عموما تختار أسنان األجهزة الكاملة بشكل يتناسب مع األصلية قبل قلعها‬

21. In full gold crown, to prevent future gingival recession:

a. Make the tooth form good at gingival one third.
b. Make the tooth form good at gingival one fifth. ***
c. Make the tooth form good at gingival one half.

22. Subgingival scaling and root planning is done by:

a. Gracey Curette. *** ‫أداة تقليح أو تجريف‬
b. Hoe. ‫مجرفة‬
c. Chisel. ‫إزميل‬
‫لها أكثر من معنى تجريف أو تقليح‬

23. Paraesthesia of lower lip after surgical removal of lower 8 is due to the irritation of inferior
alveolar nerve:
a. True. ***
b. False.
24. Fluoride decrease dental caries by remineralization of enamel:
a. True. ***
b. False.
.‫يعيد الفلور تمعدن السن كما يتحد باألباتايت كما يعدل حموضة اللويحة الجرثومية‬

25. The aim of conditioning agent on dentine before GI cement is to remove smear layer:
a. True. ***
b. False.
.‫المكيف جزء من البوند وهو يستخدم قبل الكومبوزت‬

26. Compomer release fluoride as GI:

a. True.
b. False. ***
.‫يحرر الكمبومير الفلور بكمية أقل ولفترة أقصر كما ال يمتص فلور معجون األسنان ليعيد تحريره‬

27. Barbed broach in endodontic is used for pulp examination in straight canals: ‫اإلبر الشائكة لسبر‬
ً ‫األقنية المستقيمة نسبيا‬
a. True. ***
b. False.

28. Fixed partial prosthesis is more successful in:

a. Single tooth missing. ***
b. Multiple missing teeth.

29. Best pontic is:

a. Ridge lap. ‫محيطة بالسنخ‬
b. Hygiene. *** ‫صحية‬
c. Saddle. ‫سرجية‬

30. PT feel pain of short duration after class II restoration. Diagnosis is:
a. Reversible pulpitis (hyperemia). ***
b. Irreversible pulpitis.
c. Periodontitis.

31. Radiotherapy increase caries by decreasing salivary secration:

a. True. ***
b. False.

32. Dental plaque composed mainly of:

a. Bacteria. ***
b. Inorganic materials.
c. Food.

33. Composite for posterior teeth:

a. Microfilled + fine filler.
b. Macroflled + rough filler.
c. Hybrid + rough filler. ***
Clinical Aspects of Dental Materials Theory, Practice, and Cases (3rd Ed 2009)
The strength and other physical properties, EXCEPT wear resistance and surface
roughness, of macrofilled composites are adequate for Class III, IV, and V restorations.
Excessive wear when used for Class I and II restorations limited their posterior use. Macrofills
were used before dentinal bonding systems were developed; placing them in posterior teeth
resulted in postoperative sensitivity, leakage, and recurrent decay.
The problem with microfilled composites is the low percentage filler (40–50%). The
surface area of the very small filler particles requires much more resin to wet the surface of
the filler particles. This high resin content results in an increased coefficient of thermal
expansion and lower strength.
Microfilled composites were used when esthetics are the dominant concern. Large
composite restorations, such as an extensive Class IV restoration, are built in layers of several
different shades and translucencies. The first layers to be placed are a hybrid composite
selected for strength. The final layer, a veneer of sorts, is a microfilled composite selected for
surface luster.
Microfilled composites are also used in Class V restorations at the cemento–enamel junction.
Microfills have a lower modulus of elasticity and flex with the tooth better than the strongest
composite materials. Clinical research has shown Class V microfill composite restorations are
more likely to be retained than other composite materials.
Hybrid composites are very popular; their strength and abrasion resistance are acceptable
for small to medium Class I and II restorations. Their surface finish is nearly as good as that of
microfills; thus, they are also used for Class III and IV restorations.

34. Check bite of retainer by:

a. Paste. ***
b. Impression.

35. Mastoid process is a part of: ‫الناتئ الخشائي‬

a. Temporal bone. *** ‫الصدغي‬
b. Parietal bone. ‫الجداري‬
c. Occipital bone. ‫القذالي‬

36. Parotid duct opens opposite in 2nd Mandibular molars: ‫القناة النكفية‬
a. True.
b. False. ***
.‫تفتح قناة الغدة النكفية للدهليزي من الرحى الثانية العلوية‬

37. Palate consists of:

a. Palatine and sphenoid bone. ‫الوتدي‬
b. Palatine and maxillary bone. ***
c. Palatine and zygomatic bone. ‫الوجني‬

38. Hard palate consists of the following:

A. Palatal maxillray process & Ethmoid bone
B. Palatal maxillary process & Sphenoid bone
C. Palatal maxillary process & Palatine bone. ***
D. Palatal maxillary process & Temporal bone

39. The most important microorganism in dental caries is:

a. Streptococcus mutant. *** ‫العقدية الطافرة‬
b. Streptococcus salivarius. ‫اللعابية‬
c. Spirochaeta. ‫الملتويات‬

40. Emergency endodontic should not be started before:

a. Establishing the pain.
b. Check restorability of the tooth.
c. Establishing the diagnosis. ***
.‫المعيار األساسي في قرار بدء المعالجة اللبية هو التشخيص المناسب‬

41. Selection of type of major connector in partial denture is determined:

a. During examination.
b. During diagnosis and planning. ***
c. During bite registration.

42. White polycarbonate are temporary crowns used for anterior teeth:
a. True. ***
b. False.

‫من كتاب األطفال‬

43. For etching 15 sec, for composite restoration use:

a. 37% phosphoric acid. ***
b. 15% fluoric acid.
c. 3% sulfuric acid.

44. Nerve impulse stops when injection local anesthesia:

a. True. ***
b. False.

45. The most common benign tumor in oral cavity is: ‫الحميد‬
a. Fibroma. ***‫ورم ليفي‬
b. Papilloma.
c. Lipoma. ‫ورم شحمي‬
.‫للتأكد‬
‫وهل تورم الحليمة اللثوية من ضمن المقصود؟؟‬

46. The most prominent cell in acute inflammation is: ‫أبرز خلية‬
a. Lymphocyst.
b. Plasma cell.
c. PMN. *** ‫المفصصات‬

47. Flat bone grow by endochondral ossification:

a. True.
b. False. ***
.‫من العظام المسطحة الجداري وهي تنمو بالتعظم الغشائي ال الغضروفي‬

48. Pulp chamber in lower 1st molar is mesially located:

a. True. ***
b. False.
" Endodontics Problem solving in clinical practice 2002" :‫المرجع‬

49. Radiopacity at the apex of a tooth with chronic pulpitis: ‫الظاللية‬

a. Condensing osteitis (a focal sclerosing osteomyelitis). *** ‫التهاب العظم الكثيف أو التهاب العظم والنقي‬
‫البؤري المتصلب‬
b. Cemental dysplasia. ‫سوء التنسج‬
c. Perapical granuloma. ‫ورم حبيبي‬

50. Extra canal if present in mandibular incisor will be:

a. Lingual. ***
b. Distal.
" Endodontics Problem solving in clinical practice 2002" :‫المرجع‬
‫ وتحتاج تأمين مدخل لساني قريب من‬%45 ‫من أهم أسباب فشل المعالجة اللبية للقواطع السفلية وجود القناة اللسانية بنسبة‬
.%60 ‫ نفس القناة توجد بالقواطع العلوية بنسبة‬.‫الحافة القاطعة للوصول إليها‬

51. The access opening in lower incisor:

a. Round.
b. Oval.
c. Triangular. ***

52. Acute periapical cyst and acute periodontal cyst are differentiated by:
a. Vitality test. ***
b. Radiograph.
c. Clinical examination.
53. Acute periapical abscess associated with
a. Swelling. ***
b. Widening of PDL.
c. Pus discharge.

54. The most common cause of endodontic pathosis is bacteria:

a. True. ***
b. False.
.‫األسباب األخرى هي الرض – التآكل – التسرب الحفافي – مشاكل الحشوات واإللصاق‬

55. Palatal canal in upper molars is curved:

a. Buccally. ***
b. Palatally.
c. Distally.

56. If tooth or root is pushed during surgical extraction into max sinus:
a. Leave it and inform the Pt.
b. Remove it as soon as possible. ***
c. Follow the Pt for 3 months.
d. None of the above.

57. Difference between Gracey and universal curette:

a. Section of gracey is hemicircular and in universal triangular.
b. Gracey has one cutting edge while universal has two.
c. Gracey Used for cutting in specific area while universal is in any area.
d. Universal 90 not offset, gracey 60 offset.
e. A and d
f. A, b and c.
g. B, c and d.

19. Gracey 13/14

a. Mesial posterior
b. Distal posterior
c. …

58. Person drinking fluoridated water, using toothbrush with fluoride, rinsing with fluoride
mouthwash, then no need to put pit and fissure in his permanent teeth:
a. True.
b. False. ***

59. Radiopacity attached to root of mandibular molar:

a. Ossifying fibroma.
b. Hypercementosis. ***
c. Periapical cemental dysplasia.
60. Cause of fracture of occlusal rest:
a. Shallow preparation in marginal ridge. *** ‫تحضير ضحل بالحفرة المالصقة‬
b. Extension of rest to central fossa.
c. Improper centric relation.

61. Bridge return to dentist from lab with different degree of color although the shade is the
same, the cause:
a. Thin metal framework.
b. Different thickness of porcelain. ***
c. Thick opaque.

261. Complete denture poorly fit and inadequate interocclusal relation:

d. Relining.
e. Rebasing.
f. New denture. ***
g. None of the above.

62. Small caries confined to enamel:

a. Preventive measure. ***
b. Amalgam feeling.
c. Keep under observation.

63. Rampant caries in adult in anterior teeth restored by: ‫المعممة أو الهائجة‬
a. Glass ionomer. ***
b. ZOE.
c. Amalgam.

64. The 1st cervical vertebrae is: ‫فقرة رقبية‬

a. Atlas. *** ‫الفقهة‬
b. Axis.
prominens. -7 -6 -5 -4 Longus colli -3 Axis or Epistropheus,-2 Atlas-1 :‫فقرات الرقبة‬

65. Most of dentine bonding material need conditioning time:

a. 15 sec. ***
b. 30 sec.
c. 45 sec.
d. 60 sec.

66. Time of curing of dentine:

a. 10 sec.
b. 15 sec.
c. 30 sec. ***
d. 60 sec.

67. Light curing time for simple shallow class III composite:
a. 10 sec.
b. 15 sec.
c. 20 sec. ***

68. Cartilaginous joints in the body affect bone growth:

a. True. ***
b. False.

69. The nerve which supply the tongue and may be anesthetized during nerve block injection:
a. V. ***
b. VII
c. IX.
d. XII.

70. Cavity varnish should be applied at least in:

a. One layer.
b. Two layer. ***
c. Three layer.
d. Four layer.

71. Geographic tongue is seen in Pt with:

a. Diabetes.
b. Iron deficiency anemia. ***
c. Pemphigus. ‫الفقاع‬

10-Geographic tongue is always accompanied in patient with:

a. Diabetes.
b. Erythema multiform.
c. Iron deficiency.
d. Psoriasis. ***
Cawson Essintials of Oral Pathology and Oral Medicine 7th ed
Geographical tongue
‫ السبب غير معروف لكن في‬. ‫يتكرر دوريَّاً و يختفي عبارة عن مناطقًحمراء اللون على اللسان‬ ًُ ً‫في هذه الحالة هناك مظهر‬
‫ يمكن لذلك مشاهدة هذا الشذوذ في بعض‬. ‫بعض األحيان هناك قصة إصابة عائلية واضحة عن وجودها في أجيال متعددة‬
‫شوهدت لدى المرضى في منتصف‬ ُ ‫ معظم الحاالت‬. ً‫ لكن من المحتمل أن ال تتم مالحظتها غالبا‬، ‫األحيان في مرحلة الطفولة‬
‫ عند العديد من‬. ‫ إنه يبدو من غير المحتمل لكنه ليس من المستحيل أن تبقى هذه الحالة غير ُمالحظة لفترة طويلة‬. ‫العمر‬
‫صداف‬ ُّ ‫ًال‬psoriasis ‫تطوري لكنه يظهر أيضاً مترافقاً مع‬
ُّ ً‫شذوذ‬ُ ‫المرضى يبدو اللسان الجغرافي على أنه‬
72. A 21 years old patient who has iron deficiency anemia, difficulty in swallowing, with
examination of barium sulphate, you found:
A. Geographical tongue. ***
B. Burning mouth syndrome
C. ………….. Syndrome
D. Diabetic patient

73. Pt came to the clinic complaining from soreness in the tongue sore throat the diagnosis is:
a) burning mouth syndrome
b) geographical tongue
c) fissure tongue

74. Diabetic Pt with ill fit denture, examination of residential ridge help to:
a. Determine the need for tissue conditioning and surgery. ***
b. Determine occlusal height.
c. Determine vertical dimension of occlusion.

75. Handicapped Pt with lesion in central nervous system appears to have different type of
disorder in movement and procedure:
a. Seizure. ‫نوبة‬
b. Cerebral palsy. *** ‫شلل دماغي‬
c. Learning disability.

76. To obturate the canal the most important step is:

a. Cleaning and shaping of the canal. ***
b. Irrigation of the canal.

77. During placement of amalgam pins, the number of pins per cusp is:
a. 1 pin. ***
b. 2 pins.
c. 3 pins.
d. 4 pins.

78. The amount of L.A in 2% lidocaine with 1/100000 adrenaline is:

a. 0.01
b. 0.02
c. 3.6

79. The most common endodontic cyst is:

a. Radicular cyst. ***
b. Keratocyst.
c. Acute apical periodontitis.

80. Pt complains from severe spontaneous pain related to upper 6. It respond to vitality test no
pain on percussion, diagnosis is: ‫عفوي‬
a. Irreversible pulpitis. ***
b. Reversible pulpitis.
c. Acute apical periodotitis.

81. The most important in RCT is seal: ‫األهم للختم‬

a. Apical 1/3. ***
b. Middle 1/3.
c. Cervical 1/3.

82. The cause of fracture in amalgam class II restoration is:

a. Thin thickness at the marginal ridge. ***
b. Wide flared cavity
c. Deep cavity.

83. The most common complication after extraction for diabetic Pt is:
a. Infection. ***
b. Severe bleeding.
c. Oedema. ‫وذمة‬
d. All of the above.

84. Lateral canal is detected by:

a. Radiograph. ***
b. Tactile sensation. ‫إحساس اللمس‬
c. By clinical examination.

85. Contact area is in incisal/occlusal 1/3 in which tooth:

a. Mandibular incisors. ***
b. Mandibular molars.
c. Maxillary molars.

86. Incipient caries is diagnosed by:

a. Fiber optic light. ***
b. Tactile examination.
c. X-ray film.
(And dye)
87. Disinfection of GP is done by:
a. Autoclave.
b. Dry heat.
c. Sodium hypochlorite. ***

88. Periodontal ligament fibers in the middle third or the root is:
a. Oblique. *** ‫مائل‬
b. Horizontal.
c. Transeptal. ‫عبر الحاجز‬

89. To detect interproximal caries in primary teeth, the best film is:
a. Periapical.
b. Bitewing. ***
c. Occlusal.

90. Pt with missing lower right 1st molar for long time you'll find:
a. Mesial drifting of lower right 2nd molar. ***
b. Intrusion of upper right 1st molar. ‫انغراس‬
c. Over eruption of lower right 2nd molar.

91. Over erupted upper right 1st molar will be managed by: EXCEPT:
a. Intruded easily orthodontically. *** ً ‫تغريس تقويميا‬
b. Crowing.
c. Adjustment of occlusion.

92. Over erupting tooth can be treated by:

1. Crowning after endo. ***
2. Ortho intrusion.
3. Extraction.
4. A and B.
5. All the above.

93. Broken instrument during RCT, best prognosis if broken at: ‫أفضل إنذار‬
a. Apical 1/3. ***
b. Middle 2/3.
c. Cervical 3/3.

94. Pulp stone: ‫الحصاة‬

a. Cause discomfort and pain.
b. Free in pulp chamber.
c. None of the above. ***
‫يجب التأكد من األصلية ألنها تتعارض مع‬

Q- Pulp stone can be the following EXCEPT:

a) present freely in the pulp ‫صحيح‬
b)cause discomfort & pain to the patient ‫صحيح‬
c)In radiographs,Small spheroidal radioopaque ‫صحيح‬
d)False stone occurs due to dystrophic dentin ‫مش فاكر بالظبط نصها‬

95. The amount of facial redaction in PFM crown:

a. 1.3. ***
b. 1.7.
c. 0.8.
d. 2.2.

96. A tooth with 25 degree inclination could be used as abutment: ‫ميالن‬

a. True. ***
b. False.

97. Intercellular movement of PMN leukocytes is called migration: ‫الحركة بين الخلوية للكريات البيض‬
‫تدعى الهجرة‬
a. True. ***
b. False.

98. In onlay, stopping of cusp is 1.5-2 m.m:

a. True. ***
b. False.

99. Causes of failure of cast crown.

100. Causes of parasthesia. ‫عدم التخدير‬
101. Normal values of Pt PTT healing time.

102. Among the reasons that molar teeth are more difficult to treat endodontically than
anterior teeth:
a. Molar have more complex canal configuration.
b. Molar tend to have greater canal curvature.
c. A and b. ***
d. None of the above.

103. How many canals can be present in mandibular second molars:

a. 1, 2, 3 or 4.
b. 2, 3 or 4.
c. 3 or 4. ***
d. 3.

104. The correct access cavity preparation for the mandibular second molar is:
a. Oval.
b. Quadrilateral.
c. Round.
d. Triangular. ***

105. Gingival hyperplasia related to phenytoin therapy is: ‫مضاد الصرع‬

a. Most common on lingual surface.
b. Most common in older Pt.
c. Strongly related to phenytoin dosage.
d. Strongly related to poor oral hygiene. ***

106. The most common immediate treatment reported for fractured teeth was:
a. 25%.
b. 50%.
c. 82%.
d. 95%.

107. Burning mouth syndrome is a chronic disorder typically characterized by each of the
following EXCEPT:
a. Mucosal lesion. *** ‫آفة بالغشاء المخاطي‬
b. Burning pain in multiple oral sites. ‫ألم حرقة‬
c. Pain similar in intensity to toothache pain. ‫يشبه ألم األسنان بالشدة‬
d. Persistent altered taste perception. ‫تغير مستمر بحاسة الذوق‬

108. Which of the following is the most likely potential cause of BMS (Burning mouth
syndrome): ً‫السبب األكثر احتماال‬
a. Denture allergy.
b. Salivary dysfunction.
c. Neural dysfunction.
d. Menopausal changes. ‫انقطاع الطمث‬
‫كلها أسباب‬

109. Which of the following represents the best pharmacologic therapy for BMS:
a. Antidepressant agents. ‫مضادات الكآبة‬
b. Corticosteroids.
c. Anxiolytic agents.
d. There is no therapy of proven general efficacy. *** ‫فعالية‬
110. Dental fluorosis:
a. Is indicative of systemic fluorosis. *** ‫يدل على االنسمام الفلوري الجهازي‬
b. Can be contracted at any age.
c. Becomes less noticeable with age.
d. Is reversible.
e. Is largely preventable.

111. Fluorides are most anticaries effective when:

a. Incorporated in the tooth enamel. ***
b. Present in the blood stream.
c. Present in the plaque and tissue fluids bathing the newly erupted tooth. ‫النسج الرخوة‬
d. Present in the ingested foods.
e. Present on the intraoral mucous membranes. ‫األغشية المخاطية‬

112. Fluoride is not taken up systemically from which of the following sources:
a. Water.
b. Food.
c. Dentifrices. ‫المعاجين‬
d. Topical applications of fluoride. *** ‫تطبيق موضعي‬

113. Type I diabetes mellitus can be characterized as:

a. Non-insulin-dependent.
b. Adult- onset. ‫بدءا ً بالبلوغ‬
c. Ketosis-prone. *** ‫معتمد على األنسولين‬
d. Accompanied by normal cell activity.

114. Which of the following statement is true for the reported relationship of periodontal
disease and diabetes mellitus:
a. The reported incidence of periodontal disease in the diabetes is less than that for
nondiabetic.
b. Pts with history of diabetes of less than 10 years have more periodontal disease destruction
than those with history of longer than 10 years.
c. The prevalence of periodontal disease increase with the advancing age of the diabetic. ***
d. The prevalence of periodontal disease increase with the better metabolic coronal of the
diabetic state.
.‫الخيار الثالث يتضمن الخيار الثاني‬

262. The spontaneous production of an electric current resulting from two dissimilar metal
in the oral cavity is called:
e. Nuclear reaction.
f. Galvanic action. ***
g. Precipitation reaction. ‫تفاعل ترسيب‬
h. Thermodynamics.
i. Fission. ‫انشطار‬

263. The first step in diagnostic work, up is obtaining the:

j. Medical history.
k. Present complaint. ***
l. Biographical data.
m. Restorative history.
n. Traumatic history.

115. The basic difference between K files and reamers is:

a. The number of spirals or flutes per unit length.
b. The geometric cross section. ***
c. The depth of flutes.
d. The direction of the spirals.

116. In case of traumatic intrusion of young permanent incisor, the treatment of choice is:
a. Surgical repositioning of intruded tooth and splinting.
b. To wait for re eruption of the intruded tooth. ***
c. Slow orthodontic extrusion using light force.
d. Only antibiotic prescription and wait for eruption.
"Dental Secrets" ‫المرجع‬
‫ أيام ومع معالجة لبية وحشو‬10 ‫ وفي حال كانت الذروة مكتملة يتم القلع وإعادة الزرع مع جبيرة‬،‫يتم البزوغ خالل شهرين‬
.‫ أما السن اللبني فيقلع إذا انغرس حتى جراب الدائم‬،‫بماءات الكالسيوم خالل أسبوعين‬

117. Best treatment of choice for carious exposure of a primary molar in a 3 year old child
who complain of toothache during and after food taking:
a. Direct pulp capping with caoh.
b. Direct pulp capping with zao paste.
c. Formocresol pulpotomy. ***
d. Caoh pulpotomy.

118. Which of the following statement about the mechanism of action for denture adhesive
is not correct:
a. It depends in part on physical force and viscosity. *** ‫لزوجة‬
b. Carboxyl group provide bio adhesion.
c. Greater water solubility increase duration of adhesion.
d. Zinc salts have been associated with stronger longer adhesion.
.‫يزيد الثبات مع زيادة االرتباط الميكانيكي ولكن ينقص مع زيادة لزوجة اللعاب‬
.‫كما يزيد الثبات كل من مركبات الكربوكسيل وأمالح الزنك وزيادة سيولة الماء‬

119. What is the proper cavity preparation for V-shaped cervical erosion lesion to be
restored with glass ionomer cement:
a. Cervical groove, incisal groove.
b. Cervical groove, incisal bevel. ‫ثلم عنقي وحافة قاطعة‬
c. 4 retention points, 90ْ margin. ‫حافة‬
d. No Monday, January 24, 2000 Monday, January 24. 2000 mechanical preparation is
necessary.

120. One week after filling of class II restoration, the Pt present with a complain of
tenderness on mastication and bleeding from the gingival. The dentist should initially:
a. Check the occlusion.
b. Check the contract area. ***
c. Consider the probability of hyperemia.
d. Explain to the Pt that the retainer irritated the surrounding soft tissue and prescribe an
analgesic and warm oral rinse.

121. Actual destruction of the micro organism in root canal attributed mainly to:
a. Proper antibiotic therapy.
b. Effective use of medicaments.
c. Natural defenses in healthy person.
d. Mechanical preparation and irrigation of the canal. ***

122. It is recommended to avoid an intraligamental injection when the planned dental

treatment is:
a. Pulp extirpation.
b. Pulpotomy. ***
c. Full crown preparation.
d. A and b.
.‫لمنع انقطاع تروية اللب المتبقي‬

123. Which one of the following is a disadvantage of autoclaving endodontics instruments:

a. It can dull the sharp edges of instruments. *** ‫تقلل الحدة‬
b. All forms of bacteria are not destroyed by it.
c. Compared to other technique it takes too long to sterilize.
d. None of the above.
"Dental Secrets" ‫المرجع‬
.‫أشار إلى إمكانية كلل السطوح القاطعة والسنابل وصدأ أدوات الكاربايد وضرورة تنظيف األدوات وتغليفها قبل التعقيم‬

124. The root canal treated teeth has the best prognosis when the root canal is
instrumented and obturated:
a. To the radiograph apex.
b. 1 mm beyond the radiograph apex. ‫ما بعد‬
c. 1-2 mm short of the radiograph apex. ***
d. 3-4 mm short of the radiograph apex.
" Clinical Endodontics TRONSTAD" :‫المرجع‬
125. Which of the following would be clinically un acceptable as a primary of isolating a
tooth for sealant placement:
a. Cotton roll.
b. Rubber dam.
c. Vac-ejector moisture control system. ‫نظام شفط كماصة اللعاب‬
d. None of the above. ***

126. Which one of the following is least likely to contribute to oral bad breath: ‫أقل عامل يسهم‬
‫في رائحة الفم‬
a. Periodontal disease.
b. Denture. ***
c. Faulty restoration.
d. Carious lesions.

127. Each of the following is correct EXCEPT which one:

a. Bad breath appears to be largely bacteria in origin.
b. Bad breath originating from the gastrointestinal tract is quite common.
c. Self-perceptions of bad breath appear to be unreliable. *** ‫ال يمكن التعويل على حس الشخص برائحة‬
‫فمه‬
d. Fear of having bad breath may be a severe problem for some people.
.‫ألن شعور اإلنسان بنفسه الكريه هو معيار أكيد للمشكلة يمكن التعويل عليه‬

128. Which one of the following is not a characteristic of dentinal hypersensitivity:

a. It is one of the most successfully treated chronic dental problems. ***
b. Its prevalence range from 8 to 30%.
c. The majority of the Pts who experience it are from 20 to 40 years of age.
d. One source of the irritation that leads to hypersensitivity is improper tooth brushing.
:1‫مرجع‬
‫تزداد فرط الحساسية العاجية في العقدين الثالث والرابع – وفي أعناق القواطع والضواحك – ومع البرودة مقارنة بالتفريش‬
.‫أو السكاكر‬
.‫معظم الدراسات أشارت لنقص الحساسية عند تقليل نفوذية األقنية العاجية‬
Art and science of operative dentistry 2000 :2‫مرجع‬
Dentin hypersensitivity is a common clinical condition that is difficult to treat because the
treatment outcome is not consistently successful.

129. Hypersensitivity is due to:

A- Exposed dentine with opened dentinal tubules. ***
B- Obliterated dentinal tubule

130. The most common form of oral ulcerative disease is:

a. HSV.
b. Major aphthous ulcer. ‫القالعية الكبرى‬
c. Bahjet disease.
d. Minor aphthous ulcer. ***
 264. The majority of primary herpetic infections are: ‫غالبية بدايات اإلصابات الحلئية‬
a. Symptomatic.
b. Asymptomatic. ***
c. Proceeded by fever.
d. Accompanied by gingival erythema. ‫حمامى‬
e. A, c and d.

265. The function of the anterior teeth is:

a. Disarticulate the posterior teeth. ‫انفكاك تشابك‬
b. Incise food. ***
c. Prevent attrition. ‫منع التآكل باالحتكاك‬
d. Prevent food impaction.

266. When using the buccal object rule in horizontal angulation, the lingual object in
relation to the buccal object: ‫تزوي‬
a. Move away from the x-ray tube head.
b. Move with the x-ray tube head. ***
c. Move in an inferior direction from the x-ray tube head.
d. Move in a superior direction from the x-ray tube head.
e. None of the above.

‫غير مفهوم‬

267. If the initial working length film shows the tip of a file to be greater than 1 mm from
the ideal location, the clinician should:
a. Correct the length and begin instrumentation. ***
b. Move the file to 1 mm short of the ideal length and expose a film.
c. Interpolate the variance, correct the position of the stop to this distance, and
expose the film.
d. Confirm the working length with an apex locator.
e. Position the file at the root apex and expose a film.
)3 ‫ أو‬2 ‫ أو‬1 ‫ ملم بكثير (يجب توضيح المسافة هل هي أكثر من‬1 ‫يبدو أن الفرق ال يتعدى‬

268. In geriatrle Pt, Cementum on the root end will: ‫الشيوخ‬

a. Become thinned and almost nonexistent.
b. Become thicker and irregular. ***
c. Render apex to locater useless.
d. Often not be seen on the radiograph.
e. Indicate pathosis.

269. Which of the following endodontic failure may be retreated only with surgery:
a. Missed major canal.
b. Persistent interappointment pain. ‫المعند‬
c. Past and core. ***
 d. Short canal filling.

270. Which of the following failure may be treated nonsurgically:

a. Post filling that has removed. ***
b. Severe apical perforation. ‫انثقاب شديد‬
c. Very narrow canal with a periapical lesion and the apex can not be reached.
d. None of the above.

271. Tobacco should be considered a risk factor when planning treatment for Pt who
require:
a. Implants.
b. Periodontal surgery.
c. Oral surgery.
d. Esthetic treatment.
e. All of the above. ***

272. Pulpal pain may not be referred from:

a. The right maxilla to the left maxilla. ***
b. The third molar to the ear.
c. A max molar to the sinus.
d. An incompletely fractured tooth.
e. A max cuspid to ear.

273. Spontaneous pulpal pain is indicative of:

a. Reversible pulpitis.
b. Irreversible pulpitis. ***
c. Neurotic pulp.
d. Hyperplastic pulp. ‫فرط تنسج‬
e. Atrophic pulp. ‫ضامر‬

274. Internal Resorption:

a. Painful.
b. Seldom differentiated external resorption.
c. Can occur in primary teeth. ***
.‫يحصل االمتصاص الداخلي في األسنان المؤقتة عند إجراء التغطية المباشرة‬

275. Teeth that are discolored as a result of internal resorption of the pulp may turn:
a. Yellow.
b. Dark brown.
c. Pink. ***
d. Green.
 276. After completion of orthodontic treatment he came complaining of pain in 11 tooth
radiograph show absorption in the middle third of the root of 11 wt is the proper
management:
a. Apply caoh at the site of resorption. ***
b. Do RCT in a single visit
c. Extract the tooth & reimplant it
d. Extract the tooth & do implantation

Dental decks part 2 page236

Bowl -shaped area of resorpation in volving cementument dentin characterize external
inflamatory root resorption, this type of external resorption is rapidly progressive and will
continue if treatement is not instituted. the process can be arrested by immeditae root canal
treatment with calcium hydroxide paste. remembre the etiology of external resorption :
excessive orthodontie forces, periradicular inflammation, dental trauma, impacted teeth.

277. Treatment of internal resorption involves:

a. Complete extirpation of the pulp to arrest the resorption process. ***
b. Enlarging the canal apical to the resorbed area for better access.
c. Utilizing a silver cone and sealer to fill the irregularities in the resorbed area.
d. Filling the canal and defect with amalgam.
e. Sealing sodium hypochlorite in the canal to remove the inflammatory tissue necrotic in the
area of the resorption.

Clinical Endodontics textbook TRONSTAD – page 150

Irrigation with copious amounts of 5 % sodium hypochlorite may have some effect, but the
treatment of choice is to pack the canal and the resorption lacuna with calcium hydroxide
paste. By the next visit, the calcium hydroxide will have necrotized any remaining tissue in the
lacuna, and the necrotic remnants are readily removed by irrigation with sodium
hypochlorite.

278. Sensitivity to palpation and percussion indicates: ‫الجس والقرع‬

a. Reversible pulpitis.
b. Irreversible pulpitis.
c. Neurotic pulp.
d. Hyperplastic pulpitis.
e. Inflammation of the periradicular tissues. ***

279. Transverse fracture of developing teeth in the mixed dentition can be managed by:
‫الكسور العرضية‬
a. Forced eruption. *** ‫تبزيغ‬
b. Extraction and placement of a removable partial denture.
c. Placement of single tooth.
d. All of the above.

280. Apexification is procedure that:

 a. Finds the most apical stop of the guttpercha in RCT.
b. Induce the formation of a mineral barrier in the apical region of incompletely root.
***
c. Is new in the endodontic field.
d. Involves the surgical removal of the apical region of the root and placement of a
retrograde filling material:

281. The preferred material used in apexification is:

a. Zinc phosphate cement.
b. Zinc polycarboxylate cement.
c. Calcium hydroxide. ***
d. Dycal.

282. What is the estimated incubation period of HIV infection: ‫فترة الحضانة التقريبية‬
a. 4 weeks.
b. 6 months.
c. 3 years.
d. 6 years.
e. 10 years.

283. Hydrogen peroxide is the ideal bleaching agent because:

a. It bleaches effectively at natural ph.
b. It bleaches faster than carbamide peroxide.
c. Protection for sensitive tissues can be incorporated into the hydrogen gel. ‫يمكن‬
‫ضمانها‬
d. All of the above. ***

284. The most common cause of the angina is: ‫الذبحة‬

a. Stress.
b. Renal disease.
c. Arteriosclerotic plaques of the coronary vessels. *** ‫انسداد الشريان التاجي التصلبي‬
d. Hypoglycemia. ‫نقص السكر‬
e. Hypertension. ‫ارتفاع الضغط‬

285. Which of the following drugs is completely effective in eliminating angina episode: ‫نوبة‬
‫الذبحة‬
a. Propranolol. ‫حاصر بيتا‬
b. Nifedipine. ‫حاصر قنوات الكالسيوم‬
c. Diltiazem. ‫مضاد ذبحة وخافض ضغط‬
d. Transdermal nitroglycerin. *** ‫موسع تاجي تحت األدمة‬
e. None of the above.
286. CPR
a. Is best performed in the dental chair.
b. Should be performed on all patients experiencing chest pain.
c. Is more efficient when using a full mask, delivering 100% oxygen, than with the
mouth to mouth technique. ***
d. Is beyond the medico legal responsibility of the practicing dentist.

287. Which statement concerning sensitive teeth is false:

a. Small dentin exposure can result in sensitivity.
b. The extent of dental hard tissue loss always correlates with sensitivity.
c. A wide variety of clinical condition can cause teeth to become sensitive.
d. Oral hygiene habits and diet can contribute to clinical sensitivity problems.
.‫ال يسبب ضياع نسج السن دوما ً الحساسية فهو يترافق أحيانا ً مع تشكل عاج ثانوي ومع التقدم بالعمر‬

288. Droplet nuclei containing mycobacterium tuberculosis: ‫نوى القطيرات الحاوية على المتفطرة‬
‫السلية‬
a. Do not cause infection.
b. Settle out of room air quickly. ‫تستعمر‬
c. Do not spread widely in the building.
d. Remain airborn for prolonged period. *** ‫تنتقل بالهواء لفترة طويلة‬

289. The most common activity associated with percutaneous injury of the dentist is: ‫أكثر‬
‫فعل يترافق بأذى جلد الطبيب‬
a. Suturing.
b. Anesthesia injection. ***
c. Handpiece dig. ‫الحفر بالقبضة‬
d. Trimming impressions. ‫تشذيب الطبعة‬

290. The most common location of percutaneous injury among dentist is:
a. Hand. ***
b. Face.
c. Elbow. ‫مرفق‬
d. Arm.

291. The normal response of a vital pulp to the thermal testing is:
a. No response.
b. Lingering painful response. ‫تدوم لفترة‬
c. Hypersensitive painful response.
d. Painful response that disappears soon after stimulus is removed. *** ‫المسبب‬

292. The normal response of a inflamed pulp to the thermal testing is:
a. No response.
b. Lingering painful response. ‫متأخرة‬
 c. Hypersensitive painful response.
d. Painful response that disappears soon after stimulus is removed. ‫المسبب‬

293. The normal response of a vital pulp to the electric pulp testing is:
a. No response.
b. Higher than that of the control teeth.
c. Lower than that of the control teeth.
d. In a range similar to that of the control teeth. *** ‫سن شاهد‬

294. Asymptomatic tooth has a necrotic pulp, a broken lamina dura, and circumscribed
radiolucency of long duration. The periradicular diagnosis: ‫شفافية محددة‬-‫صفيحة صلبة مفتتة‬
‫الحواف‬
a. Acute apical periodontitis.
b. Chronic apical periodontitis. ***
c. Acute exacerbation of chronic apical periodontitis. ‫هجمة حادة لخراج مزمن‬
d. Abscess.

295. A Pt with severe periradicular pain has a necrotic pulp, a broken lamina dura, and
circumscribed radiolucency of long duration. The periradicular diagnosis:
a. Acute apical periodontitis.
b. Chronic apical periodontitis.
c. Acute exacerbation of chronic apical periodontitis. *** ‫هجمة حادة لخراج مزمن‬
d. Abscess.

296. A Pt present in severe pain. The periapical area over the involved tooth is inflamed and
swollen. The tooth is mobile and depressible in its socket with a diffused radiolucency.
The diagnosis is:
a. Acute apical periodontitis.
b. Chronic apical periodontitis.
c. Acute exacerbation of chronic apical periodontitis.
d. Abscess. ***

297. Reduction of mandibular fracture is defined as: ‫رد الفك السفلي المكسور‬
a. Nonalignment and separation of the fracture segment. ‫عدم انحياز وانفصال القطعة‬
‫المكسورة‬
b. Realignment of fracture segments. ‫إعادة التصاق القطعة المكسورة‬
c. Holding of the fracture segments in place. *** ‫مسك القطعة المكسورة في مكانها‬
d. Screw and bone places. ‫التثبيت ببرغي‬
e. Internal fixation.

298. Wiring the upper and lower teeth together is called:

a. Internal fixation.
 b. An open reduction.
c. Intermaxillary fixation. ***
d. Displacement.
e. External fixation.

299. The incidence of nerve damage after third molar surgery is estimated to be:
a. 5% or less. ***
b. 10% to 15%.
c. 15% to 20%
d. 20% to 25%.

300. The least likely mechanism for the nerve damage is: ‫اآللية األقل احتماالً ألذية العصب‬
a. Direct needle trauma. ‫الرض بوخز اإلبرة‬
b. Intraneural haematoma formation. ‫تشكل دموي داخل العصب‬
c. Local anesthetic toxicity. ***
d. Stretching and binding of the nerve. ‫شد وربط العصب‬

301. Which of the following is the cause of immediat type allergic reaction to latex
products:
a. Accelerator.
b. Antioxidants.
c. Latex protein. ***
d. Nickel.

302. The best transport medium for evulsed tooth is:

a. Tap water. ‫ماء الحنفية‬
b. HBSS (Hank's balanced salt solution). ***
c. Saliva.
d. Milk.

303. Which of the following is the longest in the dental arch:

a. Maxiliary central incisor.
b. Maxiliary second premolar.
c. Mandibular canine.
d. Maxiliary canine. ***

304. Chlorhexidine is used as mouth wash in the concentration of:

a. 0.1-0.2% ***
b. 1-2% ‫في إرواء األقنية‬
c. 5-10%
d. 20%
 305. Traumatically fractured crown of central incisor in an 8-years-old child with pulp
exposure (more than 1 mm) half hour ago, medical history is non- contributory and the
tooth is not displaced. What is your management:
a. Endodontics-pulpectomy and obturation.
b. Direct pulpcap with caoh and composite.
c. Caoh pulpotomy. ***
d. Total extirpation of pulp and caoh. ‫استئصال‬
.‫يتم البتر ألن مجيء المريض متأخر وبنفس الوقت يترك للذروة المفتوحة فرصة إعادة التحام الحزمة الوعائية العصبية‬

306. The oral lesions of the lichen planus: ‫الحزاز المنبسط‬

a. Are usually painful.
b. Rarely appear before lesion elsewhere on the body.
c. May be part of a syndrome in which lesions also appear on the skin, conjunctiva and genitalia.
*** ‫الملتحمة واألعضاء التناسلية‬
d. Often appear in nervous, high-strung individuals.
e. Heals with scarring. ‫يترك ندبة‬

307. All of the following are oral features of acquired immunodeficiency syndrome AIDS
EXCEPT:
a. Candidiasis. ‫ال ُمب َيضَّات‬
b. Erythema multiform. *** ‫حمامى متعددة األشكال‬
c. Hairy leukoplakia. ‫طلوان مشعر‬
d. Rapidly progressing periodontitis.
e. Kaposi's sarcoma.
‫تنتج الحما مى متعددة األشكال عن فيروس الحأل وعن اإلكثار من األغذية الحاوية على البنزوات وينتج عنها داء ستيفن‬
‫جونسون‬

308. The use of the rubber dam in endodontics is:

a. Frequently required. ً ‫الزم عموما‬
b. An established rule. *** ‫قانون معروف‬
c. Not required.
d. Time consuming. ‫مستهلك للوقت‬
e. Dictated by Pt comfort. ‫يملي براحة المريض‬

309. The best restoration for max central incisor that has received RCT through
conservatively prepared access opening would be:
a. Post-retained metal-ceramic crown.
b. Post-retained porcelain jacket crown.
c. Composite resin. ***
d. None of the above.

310. Dentine hypersensitivity is best relieved or controlled by:

a. Using efficient cooling system. ‫فعال‬
b. Blacking exposed tubules on the dentin surface. ***
c. Opening tubules to permit release of intrapulpal pressure.
d. Applying anti inflammatory agent to exposed dentin.

311. Pt with a history of subacute bacterial endocarditis is a medical problem in a surgery

because of the possibility of: ‫التهاب شغاف القلب‬
a. Bacteremia. ‫تجرثم الدم‬
b. Septicemia. ‫إنتان الدم‬
c. Hypertension.
d. Mitral stenosis. ‫تضيق أبهري‬
e. Auricular fibrillation. ‫رجفان أذيني‬
f. A, b and c.
g. A, b and d. ***
h. A, d and e.
i. B, c and e.
j. C, d and e.
‫ ملغ‬500 ‫ أو‬،‫ ملغ سيفالكسين‬2 ‫ أو‬،‫ ملغ كليندامايسين‬600 ‫ أو‬،‫ ملغ أموكسيسلين قبل المعالجة بساعة‬2 ‫يجب تناول‬
.‫أزيترومايسين‬

312. Which of the following is a benign epithelial neoplasm: ‫ورم ظهاري سليم‬
a. Rhabdomyoma. ‫الورم العضلي المخطط‬
b. Fibroma. ‫ورم ليفي‬
c. Lipoma. ‫ورم شحمي‬
d. Granular cell tumor. ‫ورم الخاليا الحبيبية‬
e. Keratoacanthoma. *** ‫ورم شائكي متقرن‬
‫المرجع‬
Journal of Applied Oral Science

313. Oral lesions of lichen planus usually appear as:

a. White streaks. *** ‫بقع بيضاء‬
b. Red plaque.
c. Shallow ulcers. ‫قرحات مسطحة‬
d. Papillary projections. ‫ناتئ حليمي‬
e. Builae. ‫فقاعات‬

1. The function of the periodontal ligament include

a. Mechanical function
b. Formative function
c. Nutritive function
d. Sensory function
e. All of the above. ***

2. Ankylosis:
a. No PDL
b. Caused by trauma
c. Extracted surgically
d. All of the above. ***

3. An 18 years old Pt present complaining of pain, bad breath and bleeding gingival. This began
over the weakened while studying for the final exam. The Pt may have which of the following
conditions:
a. Acute necrotizing ulcerative gingivitis ***
b. Rapidly progressive periodontitis
c. Desquamative gingivitis. ‫توسفي‬
d. Acute periodontal cyst.
‫التهاب اللثة التقرحي التموتي الحاد التهاب نازف مؤلم يحدث عند البالغين في حاالت التعب واإلرهاق والتوتر رغم العناية‬
.‫الفموية الجيدة‬

4. The following are types of hamartoma EXCEPT: )‫ورم عابي (خلقي‬

a. Cementoblastoma ***. ‫ورم مصورات المالط‬
b. Compound odontoma. ‫ورم سني‬
c. Complex odontoma.
‫وهو ورم سليم‬

5. A child came to the clinic with continuous involuntary movement of his head and extremities
and difficulty in vocal communication; The condition is described as:
a. Epilepsy. ‫صرع‬
b. Cerebral palsy ***. ‫شلل دماغي‬

6. The movement of water across a selectively permeable membrane is called:

a. Osmosis. *** ‫التناضح‬
b. Active transport. ‫النقل الفعال‬
c. Filtration. ‫االرتشاح‬
d. Diffusion. ‫االنتشار‬

7. Cell that can give more than one type:

a. Fibroblast. ‫مصورات الليف‬
b. Odontoblast
c. Mesenchymal cell. ***

8. High rate of fractures at canine area in the mandible due to:

a. Change direction of forces occruing here
b. Long canine root ***
c. Lower border is thin in this area
d. Alveolus is thin in this area

9. Lesion similar to Endo Lesion:

a. Hyperparathyroidism
b. Initial stage of cemental dysplasia *** ‫درجة أولية من خلل تنسج المالط‬
c. Ossifying Fibroma
d. Dentigerous cyst. ‫كيسة سنية‬
e. Ameloblastoma.
f. Lateral periodontal cyst.
g. Myxoma & hemangioma. ‫ورم مخاطي ووعائي‬

10. Which virus is present in the patient's mouth all his Life?
a. Herpes Simplex
b. Herpes zoster
c. Varecilla Virus
d. None of the above ***

HSV1 ‫ هو الهربس‬:‫ سؤال عن الفيروس الذي يسكن الجسم مدى الحياة‬

11. Infection is more dangerous in children than adult because:

a. Marrow spaces are wide *** ‫النقي‬
b. Affect growth centre.
c. Hypo calcification in enamel.

12. The Common disease affecting the submandibular salivary gland is:
a. Salivary calculi ***
b. Pleomorphic adenomas. ‫متعدد األشكال‬
c. Viral sialoadenitis. ‫التهاب الغدة اللعابية الفيروسي‬
d. Infected sialoadenitis.

13. Ranula Can be treated by:

a. Excision. ‫ القطع‬- ‫االستئصال‬
b. Cauterization. ‫الكي‬
c. Incision. ‫البضع‬
d. Marsupialization. *** ‫التوخيف‬
Oral pathology clinical pathologic correlation,3rd edition, Page 222
"Marsupialization can be performed before a definitive excision"
And
Contemporary oral and maxillofacial surgery, peterson, 4th edition, Page 447
The usual treatment of ranula is marsupialization….
The preferred tx for recurrent or persistent ranula is excision of the ranula and sublingual
gland.

14. For the ceramometal restorations,the type of finish line is:

a. Chamfer ***
b. Beveled shoulder
15. Benefits of opaque porcelain layer:
a. Bonding the metal structure.
b. Initiating the color.
c. A & b. ***

16. In terms of caries prevention, the most effective and most cost effective method is:
a. Community based programs.
b. Private based programs
c. Individually based programs. *** )‫(كل بمفرده‬
60‫أكسفورد ص‬
One-to-one in the clinical environment. This is usually the most successful approach, because
the message can be tailored to the individual and reinforcement is facilitated. However, it is
expensive in terms of manpower.
.‫ ولكن الفقرة السابقة توصلنا لالختيار الثالث‬،‫الزمالء أجابوا سابقا ً على هذا السؤال باالختيار األول‬

17. Radiographic examination in impacted teeth is useful to demonstrate:

a. Proximity of the roots to the adjacent anatomical structures.
b. Associated pathology.
c. All of the above. ***

18. Epidemiology can be defined as: ‫الوبائيات‬

a. A study of special areas of the skin.
b. The study of the distribution and determinant of disease in man. ***
c. Study of biological animals.
d. Study of disease in research laboratory.

19. Most common Benign Tumer in oral cavity is:

a. Fibroma (Ameloblastic fibroma). ***

20. Which of the following spaces are bilaterally involved in Ludwig's angina?
a. Submandibular + masticatory spaces
b. Sublingual+Lat.Pha.space
c. Submandibular+sublingual+submental. ***

21. When you do amalgam finishing.....

a. Immediately.
b. 24 hours later. ***

22. When polishing amalgam rest .....

a. Avoid heat generation by using wet polishing paste
b. Wait for 24 hours
c. A & b. ***
d. A only
e. B only

23. The roof of mandibular fossa consist of:

a. Thin compact bone. *** ‫كثيف‬
b. Spongy bone. ‫إسفنجي‬
c. Cancellous bone. ‫إسفنجي‬

24. Neoplasm that spread by Lymphatic from the angle of the mouth reach the:
a. Preauricular Lymph nodes. ‫أمام صيوان األذن‬
b. Mental Lymph nodes.
c. Submandibular Lymph nodes. ***
d. Pterygoid plexus. ‫الضفيرة الجناحية‬
e. Jugulo-digastric nodes. ‫ذات البطنين‬-‫الوداجية‬

25. Aplastic anemia is caused by: ‫فقر الدم الال تنسجي‬

a. Tetracycline.
b. Penicillin.
c. Erythromycin.
d. Sulfonamide. *** ‫مثل السيبتريم‬
Also: chloramphenicol, phenylbutazone [Butazolidin], and such anticonvulsant agents as
mephenytoin.

26. What is the amount in mg in 1.8 ml of xylocain

a. 20 mg/ml
b. 1.8 mg/ml
c. 3.6 mg. ***
Dental decks ‫حسب‬
‫ سم مكعب‬1.8 ‫ ملغ ألن حجم األمبولة‬3.6 ‫ تكون كميته‬%2 ‫إذا كان تركيز الليدوكائين‬
‫ ملغ‬0.018 ‫ تكون كميته‬100000 ‫إذا كان تركيز األدرينالين جزء من‬
‫وليس هناك عالقة بين تركيز الليدوكائين وتركيز األدرينالين‬

27. The scientific evidence in dictating that oral Lichen planus is a "premalignant Lesion" is: ‫محتمل‬
‫الخباثة‬
a. Very strong
b. Non-existent
c. Moderately strong
d. Weak. ***

28. Odontogenic infection can cause least complication: ‫أقل االختالطات ألسباب سنية‬
a. Pulmonary abscess. ‫خراج رئوي‬
b. Peritonitis. ‫التهاب الصفاق‬
c. Prosthetic valve infection. ‫إنتان صمام بديل‬
d. Cavernous sinus thrombosis. ‫خثرة الجيب الكهفي‬
 Dental Secrets – page 260
What are the significant complications of untreated Odontogenic infection?
• Tooth loss • Spread to the cavernous sinus and brain • Spread to the neck with large vein
complications • Spread to potential fascial spaces with compromise of the airway
• Septic shock

Cavernous sinus thrombosis not manifested as:

infra orbital syndrome.
Syncope due to atrial obliteration.
eye exophthalmos.

Dental Secrets – page 263

Cavernous sinus thrombosis:
Patients present with proptosis, orbital swelling, neurologic signs, and fever.

29. In class 3 jaw relation in edentulous Pt:

a. It will effect size of maxillary teeth.
b. Affect retention of lower denture.
c. ====== esthetic and arrangement of maxillary denture.
d. All of the above. ***

30. Endomethasone is a root canal sealer that:

a. Dissolve in fluid so it weaken the root canal filling.
b. Very toxic contain formaldehyde.
c. Contain corticosteroids.
d. All the above. ***

31. Cause that master G.P not reach working length although it is the same size of last file:
a. Dentin debris. ‫برادة‬
b. Ledge formation. ‫درجة‬
c. A & b. ***
d. None of the above

32. Small access opening in upper centeral incisor lead to:

a. Complete removal of the pulp.
b. Incomplete removal of the pulp. ***
c. Conservative restoration.

33. In sickle cell anemia O2 decreased in oral mucosa: ‫فقر الدم المنجلي‬
a. True. ***
b. False
34. Selection of shade for composite is done:
a. Under light.
b. After drying tooth & isolation with rubber dam.
c. None of the above. ***

35. Blood supply of the palate is from:

a. Greater palatine artery. ***
b. Lesser palatine artery. ***
c. Facial artery. ***
d. Long sphenopalatine artery. *** ‫الوتدي الحنكي‬
e. Anatomising braches from all of the above EXCEPT c ‫فروع تشريحية‬

36. We distinguish between periapical and periodontal abscess:

a. X-ray examination
b. Clinical examination
c. Vitality of the pulp. ***

37. How can you prevent dental hyper sensitivity:

a. Restoration by adhesion. ***
b. Controlled by alcohol
c. Put sedative medication

38. A U- shaped radiopaque structure in the upper 1st molar x-ray is: ‫ظليل‬
a. The zygomatic process. ***
b. Maxillary sinus wall

"Dental Radiographic Diagnosis by Dr. Thunthy - page 44"

And
Dental Decks – page 150

39. Loss of sensation in the anterior 2/3 of the tongue is related to paralysis of: ‫شلل‬
a. Lingual nerve. ***
b. Hypoglossal nerve. ‫تحت اللساني‬
c. Chorda tympani nerve. ‫حبل الطبل‬
)‫ وعصب حبل الطبل (فرع الوجهي‬،‫العصب اللساني (فرع مثلث التوائم) مسؤول عن اإلحساس في أول ثلثين من اللسان‬
‫ أما العصب تحت‬،‫ والعصب اللساني البلعومي مسؤول عن اإلحساس والتذوق للثلث الخلفي‬،‫مسؤول عن التذوق فيهما‬
.‫اللساني فمسؤول عن حركة اللسان‬

40. The choice of local anesthesia depend on:

a. Diameter of the nerve
b. Structure of the bone
c. Number of branches
d. Type of L.A agent chemistry. ***
 .‫اختيار المادة المخدرة بحد ذاتها هو أمر يتعلق باستعداد المريض لها‬

Choice of local anesthesia technique influenced by:

a) Chemical composition of anesthesia.
B) The location of the nerve.
C) Bone structure. ***
compact ‫ أو كثيف‬cancellous ‫اختيار تقنية التخدير تتعلق بكون العظم إسفنجي‬

41. When you give inferior dental block for pedo Pt the angulations for the needle
a. 7 mm below the occlusal plane.
b. 5 mm below the occlusal plane. ***
c. 7 mm above the occlusal plane.
d. At the occlusal plane.
:‫حسب دراسة صينية‬
9 ‫ إلى مستوى اإلطباق في عمر‬،‫ سنوات‬3 ‫ ملم تحت مستوى اإلطباق في عمر‬4.12 ‫يتراوح موقع ثقبة الفك السفلي من‬
.‫ ملم فوق مستوى اإلطباق عند البالغين‬4.16 ‫ إلى‬،‫سنوات‬
.‫سنوات إلى الثلث المتوسط عن البالغين‬3 ‫وترتفع الثقبة من الثلث السفلي للشعبة الصاعدة في عمر‬

42. The cell primary site of ATP production is:

a. Mitochondria. *** ‫متقدرات‬
b. Lysosomes. ‫جسيمات حالة‬
c. Nucleus. ‫النوى‬
d. Nucleolus. ‫النويات‬
e. Vacuoles. ‫فجوات‬

43. The organelle most closely associated with the manufacture of proteins within the cell:
‫العضيات‬
a. Ribosome. *** ‫ريباس‬
b. Lysosome.
c. Nucleolus.
d. Cell wall.
e. Cell membrane.

44. The packing and sorting of protein is the function of:

a. Endoplasmic reticulum. ‫الشبكة الهيولية‬
b. Golgi apparatus ***
c. Mitochondria
d. Nucleus

45. The process of attraction of neutrophils to a site of Local tissue injury is called:
a. Phagocytosis. ‫بلعمة‬
b. Diapedesis. ‫انسالل‬
c. Chemotaxis. *** ‫انجذاب كيميائي‬
d. Epistaxis. ‫رعاف‬
46. Action of Histamine:
a. Vasodilatation. ‫توسع األوعية‬
b. Permeability. ‫نفوذية‬
c. Chemokinesis. ‫تحفيز كيميائي‬
d. Broncho. ‫قصبي‬
ALL OF THE ABOVE ‫خيار ناقص‬

47. Cholesterol crystals are found in:

a. Keratocyst. *** ‫كيسة متقرنة‬
b. Periodontal cyst

http://ses.library.usyd.edu.au/bitst...z%20Iqubal.pdf
Cholesterol crystals are found in many odontogenic cysts including radicular
cysts, dentigerous cysts, and odontogenic keratocysts.

48. The process of cell engulfing particle is called: ‫عملية ابتالع الخاليا للجزيئات‬
a. Endocytosis. ‫التقام‬
b. Exocytosis. ‫قذف‬
c. Phagocytosis. *** ‫بلعمة‬
d. Pinocytosis. ‫احتساء‬

49. The Most common odontogenic cysts in the jaws are:

a. Radicular cyst. *** ‫جذري‬
b. Keratocyst.

50. Most commonly dentigerous cysts are associated with:

a. Unerupted permanent maxillary canines
b. Unerupted mandibular third molars. ***

51. Histopathologically, dentigerous cyst Lining epithelium may be: ‫الكيسة السنية المبطنة بظهارة‬
a. Cuboidal in type. ‫مكعبي الشكل‬
b. Stratified squamous in type. *** ‫حرشفي مطبق‬
c. Reduced enamel epithelium. ‫ظهارة مينائية ضامرة‬
d. All of the above.
‫ ويكيبيديا‬:‫المرجع‬
Oral pathology clinical pathologic correlation,3rd edition, Page 294

52. Thyroglossal duct cysts: ‫القناة الدرقية اللسانية‬

a. Are only found in the posterior tongue.
b. Clinically present in the Lateral neck tissue.
c. May be found anywhere along the pathway of the embryonic thyroglossal duct. ***
d. Are sometimes called Lympho-epithelial cysts.
 ‫المرجع‬
Oral pathology clinical pathologic correlation,3rd edition, Page 316

53. Unilateral swelling + slowly progressing Lesion on the Left side of the mandible. This could be:
a. Osteoma. ‫ورم عظمي‬
b. Cementoblastoma.
c. Ossifying Fibroma. ***
d. Osteo-sarcom.
‫المرجع‬
Oral pathology clinical pathologic correlation,3rd edition, Page 357

54. Toothgerm of primary teeth arise from:

a. Dental lamina. ***
b. Dental follicle.
c. Enamel organ.
d. Epithelial cell of malassez.

http://en.wikipedia.org/wiki/Dental_lamina
The dental lamina is a band of epithelial tissue seen in histologic sections of a developing
tooth. The dental lamina is first evidence of tooth development and begins at the sixth week
in utero or three weeks after the rupture of the buccopharyngeal membrane.

55. Apical periodontal cyst arise from:

a. Hertwig sheath. ‫غمد هيرتفغ‬
b. Epithelial cell rest of malassez. ***
Ref: Apical periodontal cyst= periapical cyst = radicular cyst: these inflammatory cysts derive
their epithelial lining from the proliferation of small odontogenic epithelial residues (rests of
Malassez) within the PDL
.‫األكياس الذروية والجذرية تحصل على بطانتها الظهارية من تكاثر بقايا ظهارة سنية المنشأ‬
.‫أما األكياس حول السنية فمن الغدد اللثوية‬

56. Formation of periodontal cyst due to:

a. Nasolacrimal cyst. ‫أنفي دمعي‬
b. Hertiwigs.
c. Epithelial rest of malassaz. ***
d. Peals of serres.

Oral Pathology - 4th Ed. (2005) J. V. Soames Professor of Oral Pathology University of
Newcastle upon Tyne UK
And
J. C. Southam Emeritus Professor of Oral Medicine and Oral Pathology University of
Edinburgh UK

http://obm.quintessenz.de/index.php?doc=html&abstractID=9558

http://en.wikipedia.org/wiki/Epithelial_cell_rests_of_Malassez
In dentistry, the epithelial cell rests of Malassez or epithelial rests of Malassez (frequently
abbreviated as ERM) are part of the periodontal ligament cells around a tooth. They are
 discrete clusters of residual cells from Hertwig's epithelial root sheath (HERS) that didn't
completely disappear. It is considered that these cell rests proliferate to form epithelial lining
of variousodontogenic cysts such as radicular cyst under the influence of various stimuli. They
are named after Louis-Charles Malassez (1842–1909) who described them. Some rests
become calcified in the periodontal ligament(cementicles)
‫ وهي التي تتكاثر لتشكل‬،‫بقايا مالسية جزء من الرباط حول السني وهي تتمايز عن ما تبقى من خاليا من غمد هرتفغ‬
.‫ وبعض البقايا تتكلس في الرباط فتكون الخاليا المالطية‬،‫البشرة المبطنة لألكياس سنية المنشأ كالكيس الجذري‬

57. Which is the most Likely cause of periodontal cyst?

a. Cell Rest of Malassez. ***
b. Cell rest of serss.
c. Cell of Hertwig sheath.
:‫كالم مختلف‬
Dental secrets – page 66
19. What is the difference between a lateral radicular cyst and a lateral
periodontal cyst?
A lateral radicular cyst is an inflammatory cyst in which the epithelium is
derived from rests of Malassez (like a periapical or apical radicular cyst). It is-in a
lateral rather than an apical location because the inflammatory stimulus is
emanating from a lateral canal. The associated tooth is always nonvital. The
lateral periondontal cyst is a developmental cyst in which the epithelium
probably is derived from rests of dental lamina. It is usually located between the
mandibular premolars, which are vital.

58. The roof of mandibular fossa consist of:

a. Thin compact bone. *** ‫عظم قاسي‬
b. Spongy bone.
c. Cancellous. ‫نسيج اسفنجي‬

59. Primary malignant melanoma of the oral mucosa: ‫القيتاميني الخبيث‬

a. Always originates within the surface epithelium.
b. Mostly originates within the surface epithelium.
c. Always originates from nevus cells in the connective tissue. ***
d. Always originates from Langerhans cells within epithelium.

60. Histopathologically adenoid cystic carcinoma in characterized by islands of:

a. Basophilic islands of tumor cells that are intermingled with areas of pseudocartilage. ‫جزر‬
‫قاعدية التلون من الخاليا الورمية المتداخلة مع غضاريف كاذبة‬
b. Basophilic islands of tumor cells having a "Swiss cheese" appearance. ***
c. Basophilic islands of tumor cells having a "Swiss cheese" appearance and evidence of serous
acini. ‫عنيبات مصلية‬
d. Basophilic islands of tumor cells that contain mucin and normal acini. ‫موسين‬

61. The risk of malignant change being present in epithelium is greatest in:
a. Homogenous Leukoplakia
b. Erythroplakia. ***
c. Chronic hyperplasic candidiasis
d. Speckled Leukoplakia

62. The term acanthosis refers to:

a. A decreased production of keratin
b. An increased production of keratin
c. An increased thickness of the prickle cell zone (stratum spinosum). ***
d. None of the above

63. The most common malignant tumors of the minor salivary glands are:
a. Adenoid cystic carcinoma and adenocarcinoma
b. Adenoid cystic carcinoma and acinic cell carcinoma
c. Mucoepidermoid carcinoma and adenoid cystic carcinoma. ***
d. Mucoepidermoid carcinoma and polymorphous Low grade adenocarcinoma

64. Currently the only effective preventive measure for periodontal disesse (apart from limited
use of antiseptic solutions) is:
a. Regular and rough removal of dental plaque. ***
b. Salt flouridation
c. Dental health education. ***

65. Dental caries:

a. Is a transmissible disease
b. Is world wide in distribution but uneven in intensity.
c. Can be prevented
d. All of the above. ***
e. None of the above.

66. At which location in enamel is the density of enamel crystals is lowest:

a. Prismless enamel. ‫الميناء الال موشوري‬
b. DEJ. *** ‫الملتقى العاجي المينائي‬
c. Center of enamel Prisms. ‫الميناء الموشوري‬
d. Edge of enamel Prisms.
e. Facial enamel.

67. Mandibular branch of trigeminal nerve leaves the skull through:

a. Foramen rotundum. )‫الثقبة المدورة (للعظم الوتدي‬
b. Foramen ovale. *** )‫الثقبة البيضاوية (للعظم الوتدي‬
c. Superior orbital fissure.
d. Inferior orbital fissure.
e. Jugular foramen. ‫وداجية‬

68. Foramen oval is in the following bone: ‫النافذة البيضية‬

e. ??????
f. Temporal.
g. Occipital.
h. Sphenoid. ***

69. The following structures open into the middle meatus: ‫الصماخ‬
a. Nasolacrimal duct.
b. Posterior ethmoidal sinus. ‫الجيب الغربالي الخلفي‬
c. Maxillary sinus.
d. Sphenoid sinus. ‫الجيب الوتدي‬
e. Anterior ethmoidal sinus.
f. A, b & d.
g. A & b.
h. C & e. ***
i. All of the above
.‫ القناة األنفية الدمعية‬:‫ينفتح على الصماخ السفلي‬
.‫ الجيب الغربالي األمامي واألوسط‬:‫ينفتح على الصماخ األوسط‬
.‫ الجيب الغربالي الخلفي‬:‫ينفتح على الصماخ العلوي‬
.‫ الجيب الوتدي‬:‫ينفتح على الجوف الوتدي الغربالي‬

70. Ligaments associated with TMJ:

a. Tempromandibular. ‫فكي سفلي صدغي‬
b. Sphenomandibular. ‫فكي سفلي وتدي‬
c. Stylomandibular. ‫فكي سفلي إبري‬
d. All of the above. ***
Ref *:
The lateral temporamandibular ligament: limits the movement of the mandible in a posterior
direction.
The sphenomandibular ligament lies on the medial side of the joint.
The stylomandibular ligament lies behind and medial to the joint.
‫ الوتدي يتوضع‬،)‫الرباط الفكي السفلي الصدغي يحدد حركات الفك الخلفية وله قسمان (الخارجي المائل والداخلي األفقي‬
.‫وسط المفصل واإلبري من خلف المفصل إلى زاوية الفك‬

71. Location to give inferior alveolar nerve block the landmarks are:
1/ pterygomandibular raphe
2/ cronoid notch
3/ all of the above. ***

72. The optic foramen canal is a part of:

A)Frontal bone
B)Sphenoid bone. ***
C)Esthmoid bone
73. Optic nerve coming from which bone:
- sphenoid bone
- zygomatic
- palatal

74. Which most common salivary gland neoplasm: ‫ورم‬

Pleomorphic adenoma. ‫ورم غدي متعدد األشكال‬

75. The following cavity bases are moisture sensitive:

a. Polycarboxylate
b. Zinc phosphate ‫حسب كتاب المواد السنية‬
c. GI cem. ***
d. ZOE
e. A, c.

76. Which of the following types of base materials can be placed in contact with polymethyl
methaacrylate & not inhibit the polymerization of the resin:
a. ZOE
b. GI cement
c. Zn phosphate cement
d. Varnish
e. B, c. ***

77. Cement which contains fluoride:

a. GI. ***
b. ZOE.
c. Reinforced ZOE.
d. Polycarboxylate cement.

78. the type of cement wich give retention to crown

a-zn phosphate
b-zn polycarpoxylate
c-resin
d-resin modified glass ionomer

79. In the preparation of cavity class II, for restoration with composite resin all cavosurface angles
should be
a. Well rounded. ***
b. Right angles.
c. Acute angles.
d. Obtuse angles. ‫منفرجة‬
80. The most desirable finished surface composite resin can be provided by:
a. White stones.
b. Hand instrument.
c. Carbid finishing burs.
d. Diamond finish burs.
e. Celluloid matrix band. ***

7-The best finished composite surface is achieved by:

1. 12 fluted bur. ***
2. Diamond bur.
3. Matrix band with no additional finish.

81. A class IV composite resin restoration should be finished with a:

a. No. 330 Tungsten carbide bur.
b. Mounted stone.
c. 12- fluted carbide bur. ***
d. Coarse diamond point (stone).

Best finishing of composite done by:

1. Carbide bur.
2. Diamond bur.
3. Mounted stone.
4. Best retained under matrix band.

8- In class 5 composite restorations a layer of bonding agent is applied:

1. Following removal of cement then cured. ***
2. Following removal of cement and not cured.
3. Cured then remove cement.

82. After class V GI restoration removal of a thin flush of GI is done by:

a. Scaller or knife immediately.
b. Finishing stone immediately.
c. Scale or knife later.
d. Finishing stone later.
e. A+B.
f. A+D. ***

83. After finish class v glass ionomer cement we do finishing with:

1. Pumice slurry.
2. Aluminum-oxide disc.

"Art & Science of Operative Dentistry"

 Micron finishing diamonds used with a petroleum lubricant to prevent desiccation are ideal
for contouring and finishing conventional glass ionomers.
Also, flexible abrasive discs used with a lubricant can be very effective. A fine grit aluminum
oxide polishing paste applied with a prophy cup is used to impart a smooth surface.

84. Indirect composite inlay has the following advantages over the direct composite EXCEPT:
a. Efficient polymerization.
b. Good contact proximally.
c. Gingival seal. ‫ختم‬
d. Good retention. ‫*** ثبات‬
OR:
Indirect composite inlay over come the direct composite by
1/ insusffition polymerization
2/good contact proximaly
3/ gingival seal
4/ good retention
1/ 1-2-4
2/ 1-2-3. ***
3/ 4-3

85. Marginal deterioration of amalgam restoration should be due to: ‫تخرب أملغم الحواف‬
a. No enough bulk of dentine. ‫كمية عاج قليلة‬
b. Corrosion. ‫تآكل‬
c. Over carving. ‫نحت زائد‬
d. Improper manipulation of amalgam. ‫تعامل غير مناسب‬
e. A and b.
f. C and d.
g. All the above. ***
h. B, c and d.

Art and science of operative dentistry 2000 – page 157

Amalgams that are corroded or have inadequate bulk to distribute stresses may fracture.
At margins, where amalgams are thinner, extrusion may have occurred, and corrosion
may have compromised the integrity of the amalgam, fracture is even more likely.

86. Marginal deterioration of Ag restoration may be due to: ‫التخرب عند الحواف‬
a. No enough bulk.
b. No dentin ( undermined enamel).
c. Corrosion over carving.
d. Improper manipulation of Ag.
e. B, c, d.
f. All of above. ***
‫ (ما يسمح بكتلة كافية) ومع التبطين بالفرنيش والعزل‬90 ‫يقل التخرب مع زيادة النحاس وصغر الحفرة وكون الزوايا‬
.‫الفعال والنحت المتمادي الذي ال يترك زيادات قابلة للكسر والتكثيف الكافي إلزالة الزئبق‬
 ‫لم تظهر عالقة بين نوعية المزج (آلي أو يدوي) أو كون اإلنهاء في نفس اليوم أو اليوم التالي مقارنة بجودة النوعية‬
.‫التجارية‬
These objectives help to conserve the dentinal support and strength of the tooth, and they
aid in establishing an enamel cavosurface angle as close as possible to 90 degrees . They also
help to minimize marginal deterioration of the restoration by locating the margins away from
enamel eminencies where occlusal forces may be concentrated.

87. A restoration of anterior teeth with RCT, abraded incisal edge & small M&D caries is by:
a. Ceramometal crown. ***
b. Composite laminated.
c. Veneer.
d. None of the above.

88. The powder for GI cement contain:

a. Sio2, Al2o3, caf. ***
b. Sio2,zno, barium sulphate
c. None of the above.
GIC Powder: Silica 41.9% - Alumina 28.6% - Calcium Fluoride 15.7% - Sodium Fluoride 9.3% -
Aluminium Phosphate 3.8% - Aluminium Fluoride 1.6%

89. The body secret antibody against antigen using which cells:
a. T lymphocyte
b. B lymphocyte

90. In diabetic patient, periodontium affected by which cells:

a. Neutrophil. *** ‫ وهي تدعى‬pmns
b. Macrophages

91. When take an x-ray to pregnant lady, we use all of this method EXCEPT:
a. Digital x-ray.
b. High sensitive film.
c. Paralleling tech (Long cone) 16 inch.
d. Bisecting algle (short cone) 8 inch. ***
e. Lead apron with thyroid collar.

Dental decks – page 4

the 8 inch technique exposes more tissue by producing divergent beam.

‫ القمع القصير يعرض المريضة ألشعة أكثر أما األشعة في تقنية القمع البعيد فتتناثر خارج جسم‬:‫حسب هذا المصدر‬
‫ وإذا قال قائل إن طريقة القمع الطويل تحتاج زمن أطول للتعريض لألشعة لزيادة وضوح الصورة يكون الجواب‬،‫المريضة‬
‫ وبالمقابل ومن أجل مراعاة وضع الحامل ليس من الضروري إطالة زمن‬،‫ خطر قرب القمع ال يمكن تالفيه‬:‫ببساطة‬
.‫التشعيع‬
 92. When take x-ray we should stand:
a. 6 feet away in 90-135 angle.

93. Proximal caries should be opened when:

a. Confined within enamel….
b. Pass DE junction. ***
c. Dentin laterally
d. All of the above
"Sturdevant's Art & Science of Operative Dentistry"
‫تزداد سرعة النخر عند وصوله للملتقى المينائي العاجي‬

94. In a study, it should??? ‫في األبحاث‬

a. Protect you against role of the statistician
b. Protect you against legal risks
c. Protect against physical risks

95. Ethics of the study include all of the following EXCEPT: ‫أخالق الدراسة والبحث العلمي‬
a. Privacy of all subjects. ‫السرية‬
b. Informed consent may be required or not. ‫قبول المريض من عدمه‬
c. Object if the subject refuse to take part of the study. ‫الرفض إذا كانت المادة التعليمية ترفض أن تأخذ‬
‫شيء من الدراسة‬

96. Clinical research:

a. No different between blind & double blind. ‫عمياء أو مزدوجة التعمية‬
b. If there's need of intervention. ‫إذا كان هناك حاجة لمداخلة‬

97. Cause of angular cheilitis:

a. Loss vertical dimension Pt have complete denture. ***
b. Autoimmune factors.

"Dental secrets"
‫يحدث التهاب الشفة الصواري عند نقص البعد العمودي اإلطباقي وعند تنضيد األسنان الخلفية العلوية للدهليزي وعند رفع‬
.‫األسنان السفلية فتمنع الخدود من إزالة اللعاب فيتجمع في زوايا الفم ويسيل‬
"Atlas Of Oral Medicine"
‫كما يحدث عند اإلصابة بالمبيضات البيض والعقديات والعنقوديات ونقص الحديد والفيتامينات وداء كرون واإليدز‬
.‫واألمراض المناعية‬
"‫كتاب "أمراض الفم‬
)‫ ويحدث عند األطفال (عادة ترطيب الشفة‬،‫كما يحدث عند المسنين فاقدي األسنان أو البعد العمودي لألسنان الطبيعية‬

98. Ugly duckling stage:

a. 9-11 years old.
b. 13-15 years old.
c. 7-9 years old.
.‫يستمر تباعد الرباعيات حتى تبزغ األنياب‬

25-Eruption of primary dentition starts from:

1. 6-7 months.***
2. 1 year.
3. 9 months.

99. Component of Gutta percha:

a. 50% Gp & 50% ZOE
b. 20% Gp & 70% ZOE. ***
Elsevier: Article Locator + Endodontics :‫المرجع‬
:‫تتألف أقماع الكوتا بركا من التالي‬
inorganic )Gutta percha & barium sulfate( %75
organic (gutta percha) %23
transpolyisoprene ‫البقية‬

100. All are irrigation for canals EXCEPT:

a. Saline.
b. Hydrogen beroxide.
c. Naocl
d. RC prep
EDTA ‫مادة خالبة مثل‬

101. For post preparation we should leave ……mm of GP:

a. ????
b. 10mm
c. 5mm. ***
:‫المرجع‬
Http: //www.experts123.com/q/how-much...placement.html
Post and core - Wikipedia, the free encyclopedia

102. Most common bacteria causing caries:

Streptococcal mutans. ***

103. Proximal caries confined to enamel:

a. Prevention. ***
b. Observation
c. Restore with G I

104. In community diagnosis and treatment program:

a. Water flouridation
b. ?? Diagnose, prevent, treat. ‫األصح‬
c. ??????
 105. Pass throw parotid gland: ‫عبر الغدة النكفية‬
a. Facial nerve. *** ‫العصب الوجهي‬
b. Facial arteries. ‫الشرايين الوجهية‬
c. External carotid veins. ‫األوردة السباتية الظاهرة‬

106. Porcelain shrinkage after firing: ‫التقلص بعد اإلحماء للخزف‬

a. 1-5%
b. 5-10%
c. 10-20% ‫األصح‬
At a firing temperature of 1400° C, they shrink by 16 percent
%40 ‫ حتى‬30 ‫ من‬783‫وفي أكسفورد ص‬

107. The cement under MOD amalgam have this character:

a. High modulus of elasticity(stiff)*** ‫معامل مرونة عالي‬
b. Low modulus of elasticity ( stiffness) ‫منخفض‬
c. The high modulus of elasticity prevent of bonding and decrease tensile strength. ‫عامل المرونة‬
‫العالي تمنع االلتصاق وينقص جهود الشد‬
d. Both a &c
753‫أكسفورد ص‬
Flexibility ‫ ومقاومتها للثني واللي‬Stiffness ‫زيادة عامل المرونة تدل على زيادة صالبة المادة‬
"Sturdevant's Art & Science of Operative Dentistry" Page 479

108. Examination of Pt health by the dentist:

a. To know the patients health.
b. To know what medications to give.
c. To know general health data.
d. All of the above. ***

109. 2 statement true or false:

a. RCT abutment of FPD has higher risk for fracture.
b. Abutment which has RCT in cantilever FPD have higher susceptibility to fracture. ‫الدعامة المعالجة‬
‫لبيا ً في جسر مجنح‬
c. 1st is true,2nd is false
d. 1st is false,2nd is true.
e. Both are false
f. Both are true. ***

110. Both glass ionomer & polycarpoxylate cement contain:

a. Polyacrylic acid. ***
b. ZOE powder.

111. Most frequent cause of fainting in dental office: ‫اإلغماء‬

‫صدمة وعائية مبهمية *** ‪a. Vaso-vagal shock.‬‬
‫‪b. Diabetes.‬‬
‫‪c. Fear.‬‬
‫تنتج عن التخدير صدمة وعائية مبهمة تسبب اإلغماء‪ ،‬كما أن من يسبب اإلغماء نقص السكر وليس زيادته ‪vaso-vagal -‬‬
‫‪"dental decks 1909" syncope‬‬

‫‪112. Loss of consciousness most frequent cause:‬‬

‫إغماء ‪a. Syncope.‬‬
‫‪b. CO2 ...‬‬
‫"‪"The most common cause of loss of consciousness in the dental office is syncope‬‬ ‫مرجع‬

‫‪113. Most common cyst oral cavity:‬‬

‫كيسة جذرية ‪a. Radicular cyst.‬‬
‫كيسة حول سنية ‪b. Peridontal cyst.‬‬

‫الكيسة الجذرية الجانبية مصدرها قناة ثانوية لسن متموت وهي كيسة التهابية ظهارتها مشتقة من بقايا مالسية كالكيسة‬
‫الذروية وحول الذروية‪( .‬التهاب سني)‬
‫الكيسة حول السنية الجانبية ظهارتها من بقايا الصفيحة السنية وغالبا ً بين األرحاء السفلية الحية‪( .‬التهاب لثوي)‬
‫مرجع‪http: //www.lsusd.lsuhsc.edu/faculty/...the%20Jaws.pdf :2‬‬

‫التهاب العظم والنقي ‪114. Osteomyelitis most in:‬‬

‫‪a. Maxilla‬‬
‫*** ‪b. Mandible.‬‬
‫بالعلوي نادر جدا ً جدا ً بسبب التروية الغزيرة‬

‫العوامل المؤخرة لشفاء الجروح ‪115. Factors delay healing of wound:‬‬

‫‪a.‬‬ ‫اإلنتان ‪Infection.‬‬
‫‪b.‬‬ ‫الحواف المتشققة ‪Torn wound edges.‬‬
‫‪c.‬‬ ‫اإلجهاد ‪Strain.‬‬
‫‪d.‬‬ ‫*** ‪All of the above.‬‬

‫تتعارض ‪116. Factor interfere with healing:‬‬

‫‪a. Poor suturing‬‬
‫‪b. Infection‬‬
‫اإلنتان أكيد ويجب أن يكون نقص الخياطة كذلك‬

‫التهاب السنخ الجاف ‪117. Dry socket happen after:‬‬

‫‪a.‬‬ ‫‪24 h‬‬
‫‪b.‬‬ ‫*** ‪3-5days.‬‬
‫‪c.‬‬ ‫‪1week‬‬
‫‪d.‬‬ ‫‪2weeks‬‬
‫يعالج بورنيش الوايت هيد ‪( Whitehead Varnish‬مركب من صبغة اليودوفورم ‪Pigmentum Iodoform‬‬
‫‪ )Compositum) (B.P.C‬الموضوع على شاشة أو قطنة ألسبوعين‪ ،‬أو ضماد ألفوجيل‪.‬‬
 118. Compared to herpetic ulcers...aphthous ulcers are:
a. Small size.
b. In mucosa lining. ***
c. Leave scars.
‫ أما القالعية فهي في‬، ً ‫ والنوعان ال يتركان أثرا‬،‫للمقارنة بين القرحة الحلئية والقالعية فإن كبر القرحة ليس معيار للتفريق‬
.‫النسج المخاطية ال المتقرنة‬

119. Avulsion more important factor that affect reimplantation: ‫أهم عامل يحدد إنذار إعادة الزرع‬
a. Contaminated roots. ‫تلوث الجذر‬
b. Time since the avulsion. ‫الوقت المنقضي‬
Dental secrets ‫المرجع‬

120. Nicotine stomatitis: ‫التهاب الفم النيكوتيني‬

a. Palate…….hyper??
b. Hyperplasia - ‫فرط تنسج‬
c. Prickle cell like shape prominent …base…*** ‫طبقة خاليا شائكة فوق سماكة من النسج‬
Dental decks 2004 ‫المرجع‬

121. Dentinogenisis imperfecta have all EXCEPT: ‫سوء تصنع العاج‬

a. Broken enamel.
b. Blue sclera.
c. Broken bone.
d. Supernumerary teeth. ***

Symptoms of Dentinogenesis imperfecta, type I

The list of signs and symptoms mentioned in various sources for Dentinogenesis imperfecta,
type I includes the 14 symptoms listed below:
• Bluish-gray teeth - Amber-colored teeth - Bulbous teeth crowns
• Absent tooth roots – canals - pulp chambers
• Too small tooth roots - canals - pulp chambers
• Enamel separation from the ivory (dentin)
• Misaligned teeth - Recurring dental abscess - Brittle bones - Blue sclera

122. Generalized gray discoloration in a 28 years old patient’s teeth, with blue sclera and an
enlarged pulp chambers and short roots, and multiple fractures in Enamel… the diagnosis
is :
A) Dentinogenesis Imperfecta. ***
B) Amelogenesis Imperfecta

123. X- ray show large pulp chamber, thin dentine layer and enamel:
a- Dentogerous imperfect. ***
b- Dentine dysplasia.

124. 30years old pt came to the clinic with brownish discoloration of all his teeth (intrinsic
discoloration) & yellowish in U/V light the most likely cause is:
1/ flourosis
 ‫*** ‪2/ tetracycline.‬‬
‫‪3/ amelogensis imperfecta‬‬
‫‪4/ dentogensis imperfectea‬‬

‫‪125. Most sign of fracture of mandible:‬‬

‫‪a. Nose bleeding.‬‬
‫*** ‪b. Malocclusion.‬‬
‫‪c. Parasthesia.‬‬
‫يترافق كسر الفك السفلي مع سوء إطباق ونزف لساني وتحت لساني وضزز وخدر تحت الذقن في الجهة الموافقة‪.‬‬
‫المرجع ‪mcqs In Dentistry‬‬

‫تطاول ‪126. Hairy tongue is elongation of:‬‬

‫حليمات كمئية ‪a. Fungiform papillae.‬‬
‫حليمات خيطية *** ‪b. Filiform papillae.‬‬

‫المرجع ‪Dental secrets‬‬

‫‪127. What supply the gingival buccal tissue of premolars, canines and incisors:‬‬
‫‪a. Long buccal.‬‬
‫*** ‪b. Inferior alveolar nerve.‬‬
‫‪c. Superior alveolar nerve.‬‬
‫بالفك السفلي‪:‬‬
‫تعصيب اللثة دهليزيا ً من الثنية حتى الضاحك األول يكون من خالل العصب السنخي السفلي عبر فرعه الذقني‪.‬‬
‫وتعصيب اللثة دهليزيا ً من الضاحك الثاني حتى الرحى الثالثة يكون من خالل العصب الخدي الطويل‬
‫ويتم تعصيب اللب لجميع هذه األسنان بالعصب السنخي السفلي عبر قناة الفك السفلي ثم عبر فرعه القاطعي‪.‬‬
‫بالفك العلوي‪:‬‬
‫تعصيب اللب واللثة دهليزيا ً‪ :‬للقواطع بالعصب الفكي العلوي األمامي‪ ،‬وللضواحك والجذر األنسي للرحى األولى بالعلوي‬
‫األوسط‪ ،‬ولبقية األرحاء بالعلوي الخلفي‪.‬‬
‫تعصيب المخاطية الحنكية للقواطع والضاحك األول بالعصب الحنكي األنفي والحنكي األمامي ومن وحشي الناب إلى‬
‫الرحى الثالثة بالعصب الحنكي الكبير‬

‫‪128. Drainage of tip of the tongue:‬‬

‫‪a. Submandibular lymph nodes-‬‬
‫‪b. Submental‬‬

‫‪129. Cementum in cervical 2/3 have:‬‬

‫‪a.‬‬ ‫ليف ال خلوي داخلي ‪Acellular intrinsic fiber.‬‬
‫‪b.‬‬ ‫ليف ال خلوي خارجي *** ‪Acellular extrinsic fiber.‬‬
‫‪c.‬‬ ‫ليف خلوي مختلط ‪Cellular mixed fibers.‬‬
‫‪d.‬‬ ‫‪Intermediate cementum-‬‬

‫‪Periodontology PAGE 15‬‬ ‫المرجع‬

‫‪130. Pins are insert into:‬‬

‫‪a. Enamel.‬‬
b. Dentin. ***
c. DEJ.
d. All.
Dental secrets :‫المرجع‬
‫ ملم عن الملتقى المينائي العاجي‬1 ‫ ملم في العاج والحشوة ويبعد‬2 ‫ويجب أن يكون طوله‬

131. After etch enamel and bond it with 5th generation the strength of?
a. 5-10Mp.
b. 25Mp.
c. 30Mp.
d. 100Mp.
35 ‫والعاج حتى‬

132. LA in mg if epinephrine 1: 100 000 in 2% xylocaine:

a. Mg
b. 1.8 mg
c. 3.6mg
‫ ملغ‬36 ‫ هو‬Dental decks page 1870 ‫األصح حسب‬

133. Composite restoration that was matching in shade, after one week it became much
light... The reason could be:
a. ………light started photoinitation.
b. Absorption water.
c. Shade selected after rubber dam. ***

134. Disadvantage of digital x-ray EXCEPT:

a. Large disk space Storage
b. Clarity and resolution. ***
c. Expensive
.‫من مميزات التصوير الرقمي إمكانية التحكم بالصورة‬

135. Treatment of fungal infections:

a. Penicillin
b. Tetracyclin
c. Nystatin. ***
Oral thrush (fungal infection in the mouth) ‫ و‬Dental decks2004 :‫المرجع‬

136. Properties of ideal endo obturation material are all EXCEPT:

a. Biocompatible.
b. Radiolucent. ***

137. Most difficult of extract:

a. Mand. 3rd molar with mesioangular fused roots
b. Mand 3rd molar with distoangular angulation with divergent curve roots ***
.‫األصعب للقلع هو الرحى الثالثة العلوية المتزوية لألنسي والسفلي المتزوية للوحشي‬
 138. Pt have hyperventilation in clinic. Most cause:
a. Reduced of CO2
b. Increase CO2
c. Anxiety. ***

139. Very important part in endo treatment:

a. Complete debridement of the canal

140. Perio endo lesion the primary treatment:

a. Endo treatment. ***
b. Deep scaling and root planning.
Dental decks - page 216

141. Provisional luting cement: ‫اإلسمنت اإللصاق المؤقت‬

a. Prevent restoration from dislodgement. *** ‫يمنع التعويض من الخروج‬
b. Sealing ‫يؤمن السد‬
‫في حالة عدم وجود خيارات فاألول هو الصحيح‬
‫ ركز على عالقة اإلسمنت المختار بنوعية‬Planning and Making Crown and Bridges – page 134 ‫مرجع‬
.‫التثبيت المطلوبة‬

142. Contraindication to extraction:

a. Cardiac pt.
b. Previous recent radio therapy. ***

Dental secrets ‫حسب‬

– ‫ اعتالل التخثر – أمراض القلب والسكري غير المضبوطة – أورام الدم – تناول بعد األدوية‬:‫مضادات استطباب القلع‬
.‫ وغير مفضل بالحمل‬- ‫معالجة شعاعية – اإلنتانات الحادة والعامة‬

143. Base of the flap should be wide for: ‫قاعدة الشريحة‬

a. Healing
b. Better blood supply to the wound.
"flap design should ensure adequate blood supply; the base of the flap should be larger than
the apex"
Dental decks 1754

144. Supra calculus all true EXCEPT:

a. Hard and rough ***
b. Easy to detach
c. Has component of saliva

.‫القلح فوق اللثوي سهل اإلزالة ومكوناته من اللعاب‬

145. Thickness of luting cement: ??

a. 100 micrometer
b. 40micro meter
c. 1mm
"http:/tdc.thailis.or.th/tdc/browse.php?Option=show&browse_type=title&titleid=160951&di
splay=list_subject&q=Adhesives" http:
//tdc.thailis.or.th/tdc/browse.php?Option=show&browse_type=title&titleid=160951&display
=list_subject&q=Adhesives
.‫ ميكرون ألن الفراغات وضعف اسمنت اإللصاق يتزايد مع زيادة سماكته‬40 ‫أقل سماكة ممكنة يعني‬
.‫ ملم‬2-1 ‫ وكدرجة‬،‫ ميكرون‬5 ‫ وللتبطين‬،‫ ميكرون‬25-15 ‫المفضل لإللصاق‬
.‫إسمنت فوسفات الزنك هو األفضل‬
-Cements for luting have desired film thickness of 15: 25 microns.
-Cavity Liners(either solution or suspension liners) have a desired film thickness of 5 microns
-Bases have a final application thickness of 1-2mm(they may be thicker depending on the
amount of dentin that may be destroyed)
:Source
Dental Decks Part 2,2007-2008 page2072
• The maximum allowable thickness is 25 µm (ADA specification No. 96)
Dental Cements
The low 12-micron film thickness is ideally suited for luting applications

146. Formacresol used in:

a. Full concentration
b. 5th concentration
c. One fifth concentration. ***

147. Zinc phosphate cement:

a. Mechanical attachment ***
b. Chemical

148. Traditional Glass ionomer:

a. Mechanical bonding.
b. Acid-base reaction ***
c. -Mechanical chemical bonding.

149. Pontic design of an FPD:

a. Same size buccolingually of the missing tooth
b. Smaller than missing buccolingually. ***
c. Wider buccolingually
d. None of the above ‫اقتراح‬
.‫مبدئيا ً يجب أن تقل السطوح المعرضة لإلطباق ألن الدعم يعتمد على أسنان أقل‬

150. Maryland bridge:

a. Use with young.
b. To replace single missing tooth. ***

151. False negative response of an electric pulp test given:

‫‪a.‬‬ ‫‪After trauma‬‬
‫‪b.‬‬ ‫‪Periodontal disease‬‬
‫‪c.‬‬ ‫‪In teenager.‬‬
‫‪d.‬‬ ‫?????????‬

‫تحصل االستجابة السلبية الكاذبة في الحاالت التالية‪ :‬نقص التماس مع المنبه (ترميمات معيقة) – تكلس اللب أو زيادة العاج‬
‫الثانوي– عدم اكتمال الذروة – التعصيب متأذي والتروية سليمة ‪ -‬الرضوض – وعند المسنين المتراجعين بالوظائف‬
‫العصبية وعند تناول المسكنات‪.‬‬
‫بينما تحصل االستجابة اإليجابية الكاذبة عند اختبار سن متالصقة مع أسنان أخرى أو ‪ Attachment apparatus‬أو عند‬
‫سن تملك أكثر من قناة أحدها حية أو بسبب اشتباه المريض بأن األلم لبي بينما هو رباطي ألن التعصيب مشترك – القناة‬
‫غير جافة – خوف المريض وقلقه‪.‬‬

‫‪152. Young with open apex examination test:‬‬

‫‪a. Reliable.‬‬
‫‪b. Non reliable.‬‬
‫‪c. None of the above.‬‬
‫تحصل هنا استجابة سلبية كاذبة‬

‫‪153. Primary teeth had trauma, tooth change in color become white yellowish ,what should‬‬
‫‪you tell the parents:‬‬
‫‪a.‬‬ ‫‪Pulp is dead‬‬
‫‪b.‬‬ ‫‪Inflammation of pulp.‬‬
‫‪c.‬‬ ‫‪Calcification of dentin.‬‬
‫‪d.‬‬ ‫*** ‪B& c.‬‬

‫المرجع‪ "Principles and Practice of Endodontics WALTON" :‬ص‪ – 36‬ص‪407‬‬

‫يحدث اصفرار السن بحصول رض يليه تراكم العاج الثانوي ونشاط التهابي ضمن اللب دون تموت‪.‬‬

‫‪154. Best media for the avulsed tooth:‬‬

‫ماء الحنفية ‪i. Tap water.‬‬
‫*** ‪j. HBSS (Hank's balanced salt solution).‬‬
‫‪k. Saliva.‬‬
‫‪l. Milk.‬‬
‫حسب ‪Dental secrets‬‬
‫أفضل األوساط لحفظ السن المنخلع قبل إعادة زرعه هي بالترتيب محلول هانك الملحي المتعادل و فياسبان ‪ Viaspan‬ثم‬
‫الحليب ومحلول السالين ثم اللعاب ثم ماء الحنفية‪.‬‬

‫‪155. In enamel caries passing half of enamel:‬‬

‫‪a. Leave it.‬‬
‫*** ‪m. Restoration.‬‬
‫األفضل هو "المعايير الوقائية"‬

‫‪156. Biological depth:‬‬

‫‪n. Crestal bone to gingival sulcus‬‬

‫‪Rigid palatal strap major connector. The material of construction is‬‬

.co-cr
Gold ti
.gold ……..
.wrought wire

the use of low speed hand piece in removal of soft caries in children is better than high speed
because
.less vibration
.less pulp exposure
.better than high speed

)‫السرعة البطيئة تنقص احتمال انكشاف اللب في الوقت الذي تزيد فيه االهتزاز (مرجع‬

Progression of initial caries to cavitations takes 18 month this based on

.strepto.mutans initiate caries
.lactobacillia progress caries
.‫ شهر وهذا يعتمد على بدء نشاط العقدية الطافرة‬18 ‫تحول التسوس إلى حفرة نخرية يستغرق‬

Post length increasing will

.increase retention. ***
.increase resistant
.increase strength of restoration

The vertical fracture of the tooth detected by

.periodontal pocket. ***
.radiographically
.vertical percussion

Dental secrets – page 161

1. Transillumination with fiberoptic light
2. Persistent periodontal defects in otherwise healthy teeth
3. Wedging and staining of defects
4. Radiographs rarely show vertical fractures but do show a radiolucent
Defect laterally from sulcus to apex (which can be probed).
And:
"Clinical Endodontics textbook TRONSTAD – page 57"
Vertical Fracture
A vertical fracture of a tooth may result in communication between the gingival sulcus (oral
cavity) and the apical periodontium. The fracture line will be a portal of entry for bacteria
from the mouth into the tissues, causing inflammation and bone destruction. A periapical
lesion often forms which may have the appearance radiographically of a pulpally related
lesion. Since a vertical fracture may be incomplete, its diagnosis in many instances is
extremely difficult. Sometimes it is recognized clinically because a periodontal pocket forms
along the fracture line and in other instances a simple exploratory surgical procedure may aid
in establishing the correct diagnosis.
And:
http://www.doctorspiller.com/Cracked_Teeth.htm

Principle of elevator use of all the following EXCEPT

1) wheel and axle.***
2) widening the socket wall
3) wedging
4)lever
Dental decks 257
‫ من مهامها تقييم درجة التخدير وقطع الرباط – دك الرافعة بين السن وسنخه ال السن المجاور – تفيد‬:‫فيما يتعلق بالرافعة‬
.‫ تفيد في القلع المتعدد‬- Wedge ‫في قلع الجذور بتقنية‬

To kill HIV use all of the following EXCEPT

.naocl
.ultraviolet chamber. ***
.autoclave
.chimoclave

Patient with amalgam usually complain of pain with

.cold. ***
.galvanic
. Hot

Q- Radiographic diagnosis of bilateral expansile radioopaque areas in the canine premolar

area region of the mandible is
a) Hematoma
b) Remaining roots
c) Torus mandibularis ***
d) Internal oblique ridge
e) Genial tubercle

Bronchial asthma epinepherane concentration sub cautiously

.1/1000***

Pain of short duration with hot and cold

.dentin sensitivity. ***
.irriversible pulpitis.
.chronic pulpitis
.apical periodontitis

-shade guide:
Under light
Dry tooth
None of above. ***

When do we do incision and drainage?

A. Indurated diffuse swelling. ‫تورم منتشر قاسي‬
b. Sinus tract
c. Chronic apical periodontitis

2. Pregnant lady needs oral surgery:

a. Needs prophylactic antibiotic.
B. Needs under GA
c. Needs steroid cover
d. None of the above. ***

3. When do we give antibiotic:

a. Widespread, rapid infection
b. Compromised host defence ‫دفاع منقوص‬
c. ….
D. A&b

4. Communities with high annual population growth need education about:

a. Caries
b. Perio disease
c. Dentofacial anomalies
d. Dental fluorosis

6. Hairy tongue elongation of:

a. Filliform
b. Fungiform
c. Circumvalate
d. Foliate

7. Syphilis first appear as:

a. Multiple vesicles
b. Eryhthematous reaction
c. Ulcer
d. Bulla

12. Odontogenic tumors:

a. Arise from dental tissue
b. Can turn malignant but rarely
c. Have specific radiographic features
d. …
 .‫يجب وجود خيار كل ما سبق‬

13. Radiographic evaluation in extraction EXCEPT:

a. Relationship of associated vital structures.
B. Root configuration and surrounding bone condition.
C. Access to the tooth, crown condition and tooth mobility.
D. All of the above
e. A & B

14. Tooth requires RCT with bone resorption. Terminate RCT at:
a. Radiographic apex
b. 0.5-1 mm short of radiographic apex. ‫األصح‬
c. 0.5-1 mm beyond radiographic apex
d. …
"ENDODONTICS Fifth Edition – page 515"
Weine’s recommendations for determining working length based on radiographic evidence of
root/bone resorption. A, If no root or bone resorption is evident, preparation should terminate
1.0 mm from the apical foramen. B, If bone resorption is apparent but there is no root
resorption, shorten the length by 1.5 mm. C, If both root and bone resorption are apparent,
shorten the length by 2.0 mm.

15. Composite resto followup after 2 years showed stained margin:

a. Stress from polymerization shrinkage
b. Hydrolic destruction on bond
c. …
‫الحل الصحيح هو‬....‫ممكن االحتماالت ناقصة‬
Marginal Leakage or micro leakage
‫ المصدر‬Art & Science

16. Muscle that form floor of the mouth:

a. Mylohyoid. ***
b. …

18. Organism that initiates caries:

a. S. Mutants. ***
b. …
c. …

20. Incipient caries

a. Surface zone is relatively unaffected. ***
b. The surface zone is the largest portion with the highest pore volume
c. Tooth preparation and composite is the best treatment.
D. Pulpal reaction is not possible.
E. Caries progress in enamel faster than dentin.
Dental decks 2080
Surface zone relatively unaffected by the carious attack

21. Important factor in long term success of perio treatment:

a. Skill of the operator
b. Perio maintenance
c. …

22. Which causes gingival enlargement:

a. …
b. Cyclosporines
c. …
d. …

23. Pedo use rubber dam for

a. Improve visibility and access
b. Lowers risk of swallowing
c. Sterile field
d. A & b. ***
.‫الحاجز المطاطي يؤمن نظافة ساحة العمل ال العقامة‬

24. Digital radiography is a technique that shows transition from white to black. Its main
advantage is the ability to manipulate the image by computer
a. 1st T, 2nd F
b. 1st F, 2nd T
c. Both T
d. Both F
.‫ تقليل زمن التعرض لألشعة والتعامل مع الصورة بالكمبيوتر‬:‫المطلوب هو مرجع يقيم ترتيب أهم فائدتين بالفعل وهما‬

26. Root most commonly pushed in max sinus

a. Buccal of 7
b. Palatal of 6 ***
c. Palatal of 7
d. Buccal of 6
e. Distal of 6 & 7
Dental decks 1816 ‫المرجع‬
The palatal root of the maxillary first molar is most often dislodged into the maxillary sinus
during an extraction procedure

27. Cementum is formed from

a. Cementoblasts ***
b. Fibroblasts
c. Cementicles
d. ..
28. Teeth have convexity in buccal and lingual
a. Upper premolars. ***
b. ..

29. Body defends itself by antibodies from

a. B lymphocytes ***
b. T lymphocytes

30. Hyperventilation in dental office:

a. Anxiety ***
b. Low CO2
c. High CO2

31. Osteomyelitis more common

a. Maxilla
b. Mandible ***
c. Zygoma
d. Nasal septum
e. Condyle

32. Avulsed teeth stored in

a. Milk ***
b. Water
c. …

33. The depth of cavity prep for composite in posterior:

a. Limited to enamel
b. 0.5 mm in dentin
c. Depends on caries extension ***
d. Depends on tooth discoloration
e. 0.2 mm in dentin

34. Fluoride reduces caries activity by:

a. Reduces bacterial adhesion and carbohydrate storage (antimicrobial activity). ‫تقليل التصاق‬
‫الجراثيم والمحتوى السكري‬
b. Enhances the precipitation of insoluble fluoroapitite into the tooth structure. ‫تشكيل فلور‬
‫أباتيت‬
c. Fluoride enhances remineralization of the noncavitated carious lesions. ‫إعادة تمعدن الميناء غير‬
‫المنخور‬
d. All of the above.
E. B & C. ***
Dental decks 2228 ‫المرجع‬
Dental decks 2232
.‫ال رابط بين الفلور وبين منع التصاق الجراثيم على السن‬

36. Factors that make impaction surgery more difficult:

a. Mesioangular position, large follicle, wide periodontal ligament and fused conical roots.
B. Mesioangular position, large follicle, wide periodontal ligament and curved roots.
C. Distoangular position, large follicle, wide periodontal ligament and fused conical rooths
d. Distoangular position, thin follicle, narrow periodontal ligament and divergent curved
roots.
E. Soft tissue impaction, separated from second molar and inferior alveolar nerve.

38. Which scalpel below is universally used for oral surgical procedures?
A. Number 2 blade.
B. Number 6 blade.
C. Number 10 blade.
D. Number 12 blade.
E. Number 15 blade. ***

39. Moon face appearance is not present in:

a. Le fort I.
B. Le fort II.
C. Le fort III
d. Zygomatic complex. ***
e. Le fort II and Le fort III.
Bhatia's Dentogist: mcqs in Dentistry (Clinical Sciences) with Explanatory Answers

40. Main disadvantage of chlorhexidine:

a. Staining
b. Burning sensation
c. Altered taste
‫أكبر سلبية لكلور الهكسيدين هي تأثيره الملون لألسنان واللسان باإلضافة إلى أن التركيز المنخفض المستخدم ال يكفي‬
.‫للتخلص من إيجابيات الغرام فتطلق الكبريت الطيار وتسبب رائحة كريهة‬

41. The radiograph shows condylar head orientation and facial symmetry
a. Submentovertex
b. Reverse town ***
c. Opg
d. Transorbital.

"US Army medical course - Dental Radiography – page 376"

42. The imaging showing disk position and morphology and TMJ bone:
a. MRI. *** ‫الرنين المغناطيسي‬
b. CT
c. ARTHROGRAPHY
d. Plain radiograph
e. Plain tomography
Dental secrets - 107
MRI is better at imaging the soft tissue of the disk, but CT is better for almost all other
investiagions of the TMJ.

1-what kinds of radiographs which we do not use for TMJ movements?

A- transcranial
b-computerized t
c-conventional t
d-arthrography

200) To check TMJ range of movement:

a) cranial imagery
B) arthrography ***
c) traditional tomography
d) computerized tomography

" oxford handbook of clinical dentistry 4ed 2005 oxford up - mitchell david Mitchell"
‫ من أجل عمل تسلسل للحركة الخاصة‬،‫ ثم عمل سلسلة أشعات عادية أو مقطعية‬، ‫يتم في البداية حقن مادة ذات تباين عالي‬
...‫بالمفصل‬

617. To check a perforation in the desk of the tmj we need:

A) cranial imagery
B) arthrography. *** (CT after injection of a high contrast fluid)
C) traditional tomography
D) computerized tomography. ***

44. Zinc phosphate cement and polycarboxylic cement both have

a. Zinc oxide particles. ***
b. Silica quartz particles
c. Polyarcyilic acid
d. Phosphoric acid
‫ مغنزيوم‬%10 ‫ أكسيد زنك وحوالي‬%90 ‫يحتوي كل فوسفات الزنك والبولي كربوكسيالت على‬

46. Epithelial cells

a. Rest of malassez decrease with age. ***
b. Rest of malassez increase with age
c. Hertwig sheath entirely disappear after dentinogenesis
d. Epithelial remnants could proliferate to periapical granuloma

47. Enamel
a. Repair by ameloblasts
b. Permeability reduce with age
c. Permeability increase with age
d. Permeable to some ions

49. Pedo, has trauma in 11 , half an hour ago , with slight apical exposure , open apex,
treatment is
a. Pulpotomy with formacresol
b. Apexification
c. DPC (direct pulp capping)
d. Extraction

50. Which intracanal medicament causes protein coagulation:

a. Formocresol. ***
b. Naocl
c. Wad....
D. Hydrogen peroxide
‫يستفاد من خاصية تخثير الفورموكريزول للبروتين في تثبيت لب األسنان المؤقتة‬

52. GIC compared to composite:

a. Increase linear coefficient of Thermal Expansion
B. More wear resistant
c. Less soluble
d. Stiff
e. Polymerization shrinkage ***
‫ األينومير أقل في عامل التمدد الحراري (مماثل للميناء والعاج) وأقل مقاومة لالهتراء وأكثر‬:‫بالمقارنة مع الكومبوزت‬
.‫امتصاص للماء ولكن أقل تسرب حفافي ألنه يرتبط كيميائيا ً لجدران السن‬

54. Pt came with pain awaken her from sleep 20 a.m. And could'nt sleep later: reversible
pulpitis
a. Irreversible pulpitis
b. Periodontal pain

55. Pt with severe pain in lower left mandibular molar, examination positive pulp test ,
percussion test, no radiographic abnormality, rt side have recent fpd upper:
a. Chronic apical periodontits
b. Actue apical periodontitis ***
c. Apical abcess
d. None of the above.

56. Hypercementosis
a. Assoc. With paget disease
b. Difficult extraction
c. Bulbous roots
d. Easily extracted with elevator
e. A & B ***
 57. Most common cyst
a. Apical radicular cyst ***
b. Keratocyst
c. ....

6 years old child have 74 and 84 extracted best space maintainer is:
a. Lingual arch.
b. Bilateral band and loop. ***
c. Bilateral distal shoe.
d. No need for space maintainer.

157. 6 years old child lost his upper right 1st molar, arrangement:
o. Lingual bar.
p. Crown and loop.
q. Band and loop. ***

158. Band and loop space maintainers is most suitable for the maintenance of space after
premature loss of: ‫حافظة المسافة طوق وعروة تستخدم بالفقد المبكر لـ‬
a. A single primary molar *** ‫رحى مؤقتة وحيدة‬
b. Two primary molars
c. A canine and a lateral incisor
d. All of the above

58. Pedo ( forgot the age ) , lost 75 , sm

a. Band and loop ***
b. Nance appliance
c. Crown and loop
‫ وإذا كان عمره قبل بزوغ الرحى األولى‬،‫إذا كان عمر الطفل ست سنوات أو أكثر تكون حافظة المسافة طوق وعروة‬
.‫الدائمة تكون حافظة المسافة طوق وضابط وحشي‬

36-5 years old patient lost his primary first maxillary molar the best retainer is:
1. Band and loop. ***
2. Crown and loop.
3. Lingual arch.
4. Nance appliance.
.‫إذا كانت الرحى الثانية المؤقتة بحاجة لتاج فيكون الخيار الثاني‬

8-(6 years) child with bilateral loss of deciduous molars &the anterior teeth not erupted yet
,the space maintainer for choice is:
a-lingual arch
B-bilateral band and loop
c-bilateral band and loop with distal shoe
d-removable partial denture
‫ ممكن جهاز‬. ‫السؤال بهذه الصيغة (فقد جميع األرحاء المؤقتة مع بزوغ الدائمة وعدم بزوغ األمامية) الحل هو كابح شفة‬
.‫متحرك‬
 .‫ طوق وعروة ثنائي الجانب‬:‫فقد األرحاء األولى‬
.‫فقد األرحاء الثانية طوق وعروة وضابط وحشي ثنائي الجانب‬
.‫أما لو فقدت جميع األرحاء المؤقتة وكانت األسنان األمامية بازغة فالحل هو القوس اللساني‬

59. Lower anterior teeth labial mucosa supplied by:

a. Mental nerve. ***
b. Inferior dental nerve.
C. Buccal nerve.
‫ أما‬،‫ وهو يعصب مخاطية القواطع‬،‫العصب الذقني هو أحد فرعي العصب السنخي السفلي وفرعه الثاني هو القاطعي‬
.‫القاطعي فيعصب األسنان‬

60. Upper teeth palatal mucosa supplied by:

a. Nasopalatine
b. Anterior palatine
c. Both ***
d. Post superior alveolar nerve

61. Buccal branch of trigeminal is:

a. Sensory ***
b. Motor
c. Psychomotor
d. Sensory and motor

Buccal branch of facial is:

a. Sensory
b. Motor ***
c. Mixed
Buccal nerve - Wikipedia, the free encyclopedia

‫الفرع الخدي لمثلث التوائم هو العصب الخدي الطويل وهو عصب حسي يعصب الخد والمخاطية الدهليزية السفلية من‬
.3‫ حتى ر‬2‫ض‬
.‫أما الفرع الخدي للعصب الوجهي فهو حركي مسؤول عن العضلة المبوقة إحدى عضالت التعبير الوجهي‬

62. Dentine permeability increases

a. Coronal less than root dentine. ***
b. Permeability increase toward DEJ.
C. Permeability increase toward bcj.
‫ ومن الملتقى‬،‫ ومن التاج إلى الجذر‬، ‫يزداد عدد القنيات العاجية باالنتقال من منطقة اإلطباق إلى السطوح المحورية‬
.‫المينائي العاجي باتجاه اللب‬

67. Which material has best biocompatibility Intraorally:

a. Cobalt chromium
b. Titanium
c. Nickle chromium
d. Gold .... Palladium
68. Lingual plate:
a. Shallow sulcus
b. Mobile anterior teeth
c. Deep sulcus
d. A+b ***
e. All of above

69. Indirect retainers mostly needed:

a. Class VI
b. Class I ***
c. Class III
d. Class III with modification
‫بسبب الحاجة األكبر للتثبيت‬

70. Porcelain teeth in complete denture opposing natural teeth are not preferred due to:
a. Increase occ load on natural teeth
b. Wear of natural teeth ***
c. Clicking during mastication

71. Which of following resto more likely to cause wear to opposing:

a. Composite
b. Gold
c. Porcelain ***
d. Amalgam

73. In restoring lost tooth, which is least important:

a. Esthetic
b. Pt demand ***
c. Function
d. Arch integrity and occlusal stability

74. Enamel tufts are

a. Extensions of odontoblasts in the DEJ
b. Enamel rods change their direction.
C. Enamel rods get crowded ***
‫تتشكل في المنطقة التي تزدحم فيها المواشير المينائية‬
" Enamel tufts - Wikipedia, the free encyclopedia"

75. In clinical research:

a. Blind or double blind
b. Needs control
c. Includes intervention
d. Offers no benefits to subject at risk
 ‫‪76. One of the main cause of malocclusion:‬‬
‫‪a. Premature loss of primary teeth‬‬

‫‪77. To disinfect gutta percha:‬‬

‫‪a. Chemical agents‬‬
‫‪b. ..‬‬

‫األسئلة التالية حول ‪ Squamous cell carcinoma‬وقد وجدت ضرورة العودة ألكثر من مرجع لإلجابة عن هذه األسئلة‪:‬‬

‫بالبداية‪ ..‬فقرة مترجمة من كتاب ‪ Cawson Essintials of Oral Pathology and Oral Medicine 7th ed‬عن‬
‫سرطان الفم والشفة‪:‬‬
‫العوامل المسببة‪ :‬التبغ والكحول – أشعة الشمس – اإلنتانات – أمراض بالغشاء المخاطي – اضطرابات وراثية‪.‬‬
‫السرطانات المبكرة البدئية تظهر بشكل لويحات حمراء أو بيضاء أو قرحات ضحلة وهي غير مؤلمة‪.‬‬
‫فيما بعد تبدو وبتقدم السرطانات تظهر بشكل قرحات ذات حواف مستديرة متبارزة وقاسية وتصبح مؤلمة‪.‬‬
‫الحواف الجانبية الخلفية من اللسان هي الموقع األكثر شيوعا ً ضمن الفم (أكثر من ‪ %70‬من سرطانات الفم تتشكل على‬
‫الحواف الجانبية للسان والحافة السنخية المجاورة وقاع الفم)‬
‫أكثر من ‪ %95‬من سرطانات الفم هي سرطانات شائكة الخاليا متمايزة بشكل جيد أو معتدلة التمايز‪.‬‬

‫‪159. Squamous cell carcinoma is derived from:‬‬

‫*** ‪a. Epithelial tissue.‬‬
‫‪b. Connective tissue.‬‬

‫‪160.‬‬ ‫‪Stage Ib disease of squamous cell carcinoma:‬‬

‫‪A-T1 NO MO‬‬
‫‪b-T3 NO MO‬‬
‫*** ‪c- T2 NO MO.‬‬
‫‪d-T4 NO MO‬‬

‫‪http://en.wikipedia.org/wiki/Non-small_cell_lung_carcinoma‬‬
‫‪Grouping‬‬ ‫‪TNM staging‬‬
‫‪Occult carcinoma TX N0 M0‬‬
‫‪Stage 0‬‬ ‫‪Tis N0 M0‬‬
‫‪Stage IA‬‬ ‫‪T1 N0 M0‬‬
‫‪Stage IB‬‬ ‫‪T2 N0 M0‬‬
‫‪Stage IIA‬‬ ‫‪T1 N1 M0‬‬
‫‪Stage IIB‬‬ ‫‪T2 N1 M0‬‬
‫‪T3 N0 M0‬‬
‫‪Stage IIIA‬‬ ‫‪T1 N2 M0‬‬
‫‪T2 N2 M0‬‬
‫‪T3 N1 M0‬‬
‫‪T3 N2 M0‬‬
‫‪Stage IIIB‬‬ ‫‪Any T N3 M0‬‬
‫‪T4 Any N M0‬‬
‫‪Stage IV‬‬ ‫‪Any T Any N M1‬‬

‫‪Grouping‬‬ ‫)‪Survival rate (percents‬‬

 One year Two years Three years Four years Five years
IA 82% 79% 71% 67% 61%
IB 72% 54% 46% 41% 38%
IIA 79% 49% 38% 34% 34%
IIB 59% 41% 33% 26% 24%
IIIA 50% 25% 18% 14% 13%
IIIB 34% 13% 7% 6% 5%
IV 19% 6% 2% 2% 1%

161. Most common site of squamous cell carcinoma:

a. Postero-lateral border of tongue.
b. Floor of the mouth.
c. Buccal mucosa.
d. Lip. ***
e. Skin.

162. Most common site of oral squamous cell carcinoma:

a. Postero-lateral border of tongue. ***
b. Floor of the mouth.
c. Buccal mucosa.
d. Lip.
e. Skin.

Oral pathology clinical pathologic correlation,3rd edition, Page 71-72

Dental Secrets - page 35 :
The posterior lateral and ventral surfaces of the tongue are the most common sites of
intraoral cancer.

163. The majority of introral squamous cell carcinomas are histologically:

a. Poorly differentiated.
b. Well moderately differentiated. *** ‫متمايزة لحد ما‬
c. Spindle cell in type. ‫مغزلية الشكل‬
d. Carcinoma in situation.

164. Squamous cell carcinoma is multifactorial: ‫متعددة العوامل‬

a. True. ***
b. False.

78. Early squamous cell carcinoma of oral cavity present as:

a. Vesicle. ‫حويصلي‬
b. Sessile mass. ‫كتل دون عنق‬
c. A red plaque.
d. An ulcer. ***
e. Red plaque. ***
f. A white cauliflower like lesion

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 247

SCC:
Clinical appearance Most often seen as a painless ulcer, although may present as a swelling,
an area of leukoplakia, erythroleukoplakia or erythroplakia (A reddened patch), or as
malignant change of long-standing benign tumours or rarely in cyst linings. Pain is usually a
late feature when the lesion becomes superinfected or during eating of spicy foods. Referred
otalgia is a common manifestation of pain from oral cancer. The ulcer is described as firm
with raised edges, with an indurated, inflamed, granular base and is fixed to surrounding
tissues.
.‫ هي كل من قرحة غير مؤلمة وبقع حمراء‬SCC ‫من النص السابق يتضح أن صفات السرطانة حرشفية الخاليا‬
.‫إذا جواب هذا السؤال هو ما يرد من هذين الخيارين لكن األسبق هو البقع الحمراء‬
Burket- Oral medicine – ‫ وحسب‬،‫ يتميز بحواف مرتفعة ثابتة بقاعدة صلبة حبيبية‬SCC ‫أما بقية الصفات فخاطئة ألن‬
: " A white cauliflower like lesion" ‫ فالصفة‬SCP ‫ عن الورم الحليمي شائك الخاليا‬page 553
Squamous cell papillomas may present as exophytic pedunculated papules with a cauliflower-
like appearance.

54. Firm, fixed neck nodes are most to be detected in association with:
a. An ameloblastoma
b. A basal cell carcinoma
c. An odontogenic fibroma
d. A squamous cell carcinoma. ***

79. File #40 means:

a. 0.40 is the diameter at d1 ***
b. 0.40 is from d1 to d16

80. The difference between cellulitis and abscess:

a. Cellulitis acute stage with diffuse selling no pus
b. ..

81. Cause of radicular cyst

a. Non vital tooth ***
b. Vital tooth
54. Most difficult of extract:
mand. 3rd molar with mesioangular fused roots
mand 3rd molar with distoangular angulation with divergent curve roots
For imapacted mandibular molars, order from the least difficult to most difficult to remove
Mesio angular
Horizontal
Vertical
Distoangular
The opposite in maxilla
Dental decks 1846
Typically distoangular impactions are the easiest to extract in the maxilla and most difficult to
extract in the mandible, while mesioangular impactions are the most difficult to extract in the
maxilla and easiest to extract in the mandible>
Wisdom tooth - Wikipedia, the free encyclopedia

55.very important part in endo treatment:

-complete debridement of the canal

Minimum thickness of noble metal crown

a-.1 mm
b-.5 mm ***
c-1 mm
d- 2 mm
‫ ملم‬1.5 -0.5 ‫وسماكة الخزف‬
441 ‫ صفحة‬Dental deck
The necessary thickness of the metal substucture is 0.5 mm
the minimal porcelain thickness is 1.0 - 1.5 mm

To locate the canal orifice use

a-barite probe
b-endo spreader
c-endo file with curved tip
d-round bur

healing by secondary intention cause

a-
b-there is space between the edges filled by fibrous tissue
c-leading to scar formation
d- b and c

5.Contraindication for endo treatment EXCEPT:

-non strategic tooth
-non restorable teeth
-vertical fracture teeth
-tooth with large periapical lesion ***

1. Arrange the steps [ca(oh)2 placing –varnish-base –amalgam

"Art & Science - page 171"

5.x-ray periapical for immature tooth is

.generally conclusive ‫اقتراح‬
.simply inconculosive*
.should be compered with antermere

9.prophylactic antibiotic needed in

.anesthesia not interaligamentary
.suture removal
.routine tooth brushing
.orthodontic band ***
"Dental secrets"

10. Soft palate falls abruptly facilitate recording post dam, falls gradually make recording post
dam difficult
.two statement true
.two false ***
.first true, second false
.first false, second true
2006 ‫ "التعويضات المتحركة الكاملة" دمشق‬:‫المرجع‬
‫ فتكون بهذه الصفة غير مالئمة‬،‫شراع حنك كأنه ستارة ُأسدلت فجأةً بدء ًا من الحافة الخلفية لصفيحة العظم الحنكي األفقية‬
‫سد خلفي مناسب‬ ِّ ‫إلحداث‬

12.caries progress in children more than adult due to

.difference in ph
.generalized dentin sclerosing by age ***
.increasing in organic content of tubular dentin by age

15.osteogensis during endodontic surgery aimed to prevent

.fibrous in growth ***
.growth factor
.formation of blood

16.60 YEARS old patient need to make complete denture with thick labial frenum with wide
base. The operation
.vestibuloplasty. *** ‫رأب دهليز الفم‬
.z-plasty
.subperiostum incision ‫قطع تحت السمحاق‬
.deepmucoperiosteum incision ‫تحت السمحاق المخاطي‬
‫"‪"Peterson's Principles of Oral and Maxillofacial Surgery 2nd Ed 2004 page 173‬‬
‫‪Z-plasty are effective for narrow frenum attachments. Vestibuloplasty is often indicated for‬‬
‫‪frenum attachments with a wide base.‬‬

‫‪17.child patient take sedation before appointment and present with physical volt. What‬‬
‫‪should dentist do‬‬
‫‪.conscious sedation‬‬
‫‪.redo sedation‬‬
‫‪.tie with baboose board‬‬
‫‪.tie in unite with bandage‬‬
‫بسبب وجود ردود الفعل الجسدية الخيار األول غير ممكن‪ ،‬أما الخيار الثاني فيعني زيادة جرعة المادة المركنة وهذا غير‬
‫مفضل عند األطفال‪ ،‬أما الخيار الثالث (تثبيت الطفل) فهو لهذه الحاالت‪.‬‬

‫‪18.class III crown fracture in child patient the type of pontic‬‬

‫*** ‪.ovate.‬‬
‫‪.egg shaped‬‬
‫‪.hygienic‬‬
‫‪.ridge lap‬‬
‫الغريب بالسؤال أنه يدل على كسر بالتاج فكيف يطلب شكل الدمية (أي سن مقلوع)‬

‫‪_1‬ماهي الماده المستخدمه في اخد طبعة ال سيراميك ميتل كراون ؟؟‬

‫‪_2‬ماهي الماده المستخدمه في لصق ال بوست اند كور ؟؟؟‬
‫‪_3‬في البورسلين ميتل كراون ليه يحصل عندنا شورتج في المعدن؟؟؟؟‬
‫‪_4‬كيف يطون االطباق في ‪ cl1‬يعني الكاسبات في االضراس كيف مواقعها بالنسبه لل‪6‬؟؟‬
‫‪_5‬مريض بعد اسبوع من حشو العصب مع الباركشن في الم ماهو الحل؟؟‬
‫‪_6‬مريض عمل حشوة املجم بعد اسبوع جا في الم ايش السبب؟‬
‫‪_7‬كيف نقضي على البكتيريا في القنوات الضيقع؟؟‬
‫‪_8‬ماهو نوع الودج المستخدم في االملجم؟‬
‫‪_9‬لما نشيل سست في الماندبل ايش نوع الدرين الي ينحط؟؟‬
‫‪_10‬ماهو سبب التأم الثاني للجرح؟؟‬
‫‪_11‬جا مريض عندو كسر في الفك ومارجع لماكنه ايش سبب الكسر ؟‬
‫‪_12‬ماهي وظيفة الكالسيوم هيدروكسايد؟؟؟‬
‫‪_13‬لما نعطي انستيزيا في الفك السفلي االسنان من رقم ‪ 6_1‬اي نيرف بنعطي؟؟؟‬
‫‪_14‬اي نوع من االشعه مو المفروض الحامل تتعرض له ؟؟؟‬
‫‪_15‬ماهي الصفه المميزه لالسنان األماميه العليا؟؟‬
‫‪_16‬عند عمل زرعة سن ماهو الشيء الغير ضروري يعني اليأخذ في الحسبان عند الزراعه ؟؟؟‬
‫‪_17‬االندايركت رتينر يستخدم مع اي نوع من االطباق؟؟‬

‫‪In 6 week intra uterine life the development start. The oral epithelium is stratified squamous‬‬
‫‪epithelium will thickened and give dental lamina‬‬
‫*** ‪a: true‬‬
‫‪b: false‬‬
‫‪Http: //www.emro.who.int/publications/emhj/0503/08.htm‬‬
Retention of amalgam depends on
a-amalgam bond
b-convergency of walls oclusally ***
c-divergency of walls oclusally
d retentive pins

Bhatia's Dentogist: mcqs in Dentistry

Energy absorbed by the point of fracture called

a-ultimate strength
b-elastic limit
c-toughness. ***
d-brittleness

Toughness
It is defined as the amount of energy per volume that a material can absorb before rupturing.
Toughness - Wikipedia, the free encyclopedia
The ability of a metal to deform plastically and to absorb energy in the process before
fracture is termed toughness.
Toughness

Mix in walking non vital bleatching

a-H2O2 with phosph...........
B-superexol with sod parporate
c-superexol with ca hydroxide
d- H2o2 with Sodium perborate: ***

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005)

Local contraindication of extraction

a-
b-
c-pt recent recive radiotheraby
d-tooth in the malignant tumar
e-both c and d ***

Since in composite tooth prep should be conservative so the design

a-amalgam in moderate and large cavities
b_beveled amalgam margines......
C-conservative restorations. ***
preparation of all incipient cavity within enamel
‫ بما أن حشوات الكمبوزيت هي حشوات محافظة فإن التحضير يجب أن يكون محافظا ً بقدر امتداد النخر وفي‬:‫معنى السؤال‬
.‫الميازيب‬

Acquired pellicle
a-structures layer protect tooth. ***
b-aid in remineralization
‫المرجع‬

The most affect tooth in nurse bottle feeding

a-lower molars
b-upper molars
c-max incisor ***
d-mand incisor

Most impacted tooth is

a-mand 8 ***
b-max 2

Q- Most common tooth which needs surgical extraction

a)mandibualr third molar. ***

587. Patient is diagnosed for ceramometal full veneer. You plan to use epoxy
Resin >>>>>>missing text>>>>>>>, what's the best impression material to be used :
A. Poly ether.
B. Poly sulfide.
C. Agar agar.
D. Irreversible hydrocolloid.

Q27) the impression material of choice when we want to take impression for epoxy resin pin
is:
a) Polysulfide. ***
B) Polyether.
C. Agar agar.
D. Irreversible hydrocolloid.

Impression material cause bad taste to patient

a-poly sulfide *** ‫اقتراح‬
b-polyether
c-additional silicon
d alginate
 27-The impression used for preliminary impressions or study casts is:
1. Agar agar.
2. Silicon.
3. Alginate. ***
4. None.

165. Irrigant that kills e-foecalis

1-naoh
2-mtad. ***
2-saline
3-chlorohexidine

Pathway to the pulp

New irrigants are being developed in an attempt to address some of the shortcomings of past
and current materials. MTAD is a mixture of a tetracycline isomer (i.e., doxycycline), an acid,
and a detergent. In an in vitro study, MTAD was found to be an effective solution for killing E.
Faecalis.

166. During the orthodontist removes orthodontic braces he noticed white hypocalcific
lesion around the bracket what to do:
1-microabration and application of pumice then fluoride application. ***
2-composite resin
4-leave and observe

9-pt presented to u with trauma of the central incisor with open apex tooth clinical
examination revealed cut of blood supply to the tooth what is the next step:
1-extraction
2-endo
3- observe over time++

10-child came to u with grey discolouration of the deciduous incisor also on radiographic
exam. There is dilation of follicle of the permenant successor what will u do:
1-extract the decidous tooth. ***
2-start endo
3-observe over time

12-dail wear of amalgam:

1-3 microgram /DAY ***
 14-weeping canal we use
1-g.p
2-caoh ***
3-….
4-…
Clinical Endodontics textbook TRONSTAD – page 224
This situation is often referred to as a “weeping canal” and is annoying in that the apical part
of the canal cannot be dried properly. The right therapy is a discontinuation of the use of the
tissue-irritating antiseptics followed by 2–3 weeks of calcium hydroxide in the root canal. The
chemically-induced exudation will then have stopped and the root canal can be dried and
obturated.

34- The easiest endo retreatment in:

a- Over obturation w GP
b- Under obturation w GP.
c- Weeping canals
d- Obturated w silver cone

7-Tug back refers to:

1. Retention of GP inside the canal. ***
2. Fluibilty of GP.

15-dental student using thermoplastized g.p. What is the main problem he may face;
1-extrusion of g.p. From the canal *** ‫دراسات عليا‬
2-inability to fill the proper length
3- failure to use maser cone at proper length
4- ledge
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005)- page 177
It is difficult to control the apical extent of the root filling and in addition some contraction of
the GP occurs on cooling.
Useful for irregular canal defects

12) cracked enamel best Dx by

Dye***

12)how can test crack tooth???

Xray
elictric test
ethyle dye test

34-caries detection dye composed main of:

1-acid fuschin
2-basic fuchsin***
 3-propylene glycol. ***

‫ صح‬3‫ و‬2
"Paediatric Dentistry 3rd Ed (2005)" page 165: 0.5% basic fuchsin
And:
"Dental pulp 2002" + "Operative Dentistry" propylene glycol

1. Atropine :
A- bries secretion such saliva
B- depresses the pulse rate ***
c -cause central nervous system depression
‫ – تنقص إفراز اللعاب‬Mydriasis ‫ مادة كولينية تبطئ النبض – توسع الحدقة‬:‫األتروبين‬

2. Drug used to increase saliva during impression taking is:

1- anticholinergic ***
2- cholinergic
3- antidiabetic
4- anticorticosteroid
‫الكولين ينقص اللعاب ويوسع الحدقة ويبطئ النبض ويزيد اإلفراز المعدي‬
‫مثبطات الكولين تزيد اللعاب وتضيق الحدقة وتزيد النبض وتنقص اإلفراز المعدي‬
‫مفعول األتروبين مضاد لمفعول مضادات الكولين‬

3. Pt with complete denture come to your clinic, complaint from his dry mouth ,the proper
medicine is?
A) anti diabetic medicine
b)anti cholinergic ***
c)steroid

4. In order to decrease the gastric secretion:

histamine A antigen equivalent
histamine B antigen equivalent
anticholenergic. ***
adrenal steroids

5. Pt with complete denture come to your clinic, complaint from his dry mouth, the proper
medicine is:
1. Anti diabetic medicine.
2. Anticordial. = Anticholinergic. *** ‫ال ودي‬
3. Steroid.

6. Drug used to (decrease not increase) saliva during impression taking is:
1. Anticholinergic.
2. Cholinergic. ***
3. Antidiabetic.
4. Anticorticosteroid.
52-probe used to detect furcation:
1-nabers probe. *** ‫بالبعدين العمودي واألفقي‬

Least effective to kill aids is: ultra voilet

source: dentogist
naocl is very effective
Also cetrimide and dry heat at 100 degree are inffective in kill aids

17-during endo pt is complaining of pain with percussion what u suspect?

1-apical periodontitis
2-secondery apical periodontitis.
3-over instrumentation. ***
4-over medication

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 178

Pain following instrumentation: This is usually due to instruments or irrigants, or to debris
being forced into the apical tissues.
"Pathway of the pulp 9ed 1st part – page 217"
Postoperative discomfort generally is greater when this area (apical constriction) is violated
by instruments or filling materials, and the healing process may be compromised.

:‫سؤال آخرمشابه فيه خياران صحيحان‬

15- During doing Rct, pt complains from pain during percussion due to:
A- Apical infection.
B- Impact debris fragment
c- Over instrumentation

"Pathway of the pulp 9ed 1st part – page 406"

Shaping to the radiographic apex is likely to produce overinstrumentation past the apical
foramen, with possible clinical sequelae of postoperative pain and inoculation of
microorganisms into periapical spaces.
.Over instrumentation ‫الجواب األنسب وهو ما يحدث في الحياة العملية هو‬

-pt on long term antibiotic came with systemic Candida:

1-amphotrecin
2-fluconazol ***
3-nystatin

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 240

 Fluconazole 50 mg od is the systemic drug of choice. C. Glabrata, C. Tropicalis, and C. Knusel
are fluconazole resistant, therefore, candida subtyping should be performed for resistant
cases.
‫ وموضعيا ً النستاتين معلق‬،‫العالج المفضل للمبيضات جهازيا ً هو الفلوكونازول حب أو حقن وريدي ويفيد بالحاالت المعندة‬
.ً‫ واألمفوتريسن والميكونازول األغلى ثمنا‬، ‫أو حب مص وممكن استخدام الكلورهكسيدين‬

Candida infection is a frequent cause of:

Burning mouth

289. Which one of the following was the most frequently reason for replacement of a molar
restoration with larger restoration:
a. New caries.
b. Recurrent caries.
c. Faulty restoration.
d. All of the above. ***
.‫ أكثر سبب إلعادة الحشو‬:‫صيغة السؤال‬

3. Clinical failure of the amalgam restoration usually occurs from

a) Improper cavity preparation ***
b) Faulty manipulation
c) Both of the above
d) None of the above
" Clinical Aspects of Dental Materials: Theory, Practice, and Cases, 3rd Edition"
.‫السبب الرئيسي لفشل األملغم هو تحضير الحفرة غير الكافي وهو أهم من رخص المادة أو قلة تكييفها أو قلة إنهائها‬
"Art and science of operative dentistry 2000"- page 168
Clinical failure is the point at which the restoration is No longer serviceable or at which time
the restoration Poses other severe risks if it is not replaced. Amalgam Restoration-related
failures include: (1) bulk fracture of The restoration, (2) corrosion and excessive marginal
Fracture, (3) sensitivity or pain, (4) secondary caries, And (5) fracture of tooth structure
forming the restorative Tooth preparation wall(s).

Lesion at junction between hard and soft palate and surrounded with psudoepithelium
hyperplasia in salivary gland:
A) hyperplasia in salivary gland
B) necrotizing sialometaplasia. ***

‫يتكرر كثير سؤال به رسمة سن ومطلوب‬50-

‫شوفو ياشباب‬
DIVERGENT‫ تكون أصال‬CLASS II ‫المفروض ان جدران السن في‬
MARGINAL RIDGE 1.6 for premolar‫وان تكون‬
and 2mm for molar
art and science operative dentistry ‫أرجو من الجميع مذاكرة هذا الموضوع والموجود بالتفصيل في كتاب‬
To know wall angulation
16- a child at dentation age is suffering from:
a) diarrhea
b) sleep disorders
c) increased salivation ***
‫ يصاحب بزوغ األسنان كل من زيادة اللعاب وقلة الشهية باإلضافة لألعراض‬: 49‫في كتاب طب أسنان األطفال ص‬
.‫األخرى الناتجة عن االلتهابات بسبب وضع اليد بالفم والعض على أجسام أجنبية‬

3) when restoring asymptomatic healthy tooth with amalgam, the normal physiologic
symptom after that is:
a. Pain on hot
b. Pain on cold ***
c. Pain on biting
d. Pain on sweet

5) sharp pain is due to which type of fibers?

A. A fibers. ***
B.B fibers
C. C fibers
‫المصدر ملف من النت‬
A-delta fibers – small, myelinated fibers that transmit sharp pain
C-fibers – small unmyelinated nerve fibers that transmit dull or aching pain.

6) minimal facial reduction when preparing for veneers:

a. 0.3 mm
b.03-0.5 mm ***
c. 1-1.5 mm
‫ وال يقل عن‬،‫ ملم‬0.7 ‫ ملم ويصل عند اللثة إلى‬0.5 ‫ التحضير للدهليزي ال يقل عن‬،‫ و أكسفورد‬Dental secrets ‫حسب‬
.ً‫ذلك سوى في حالة التوضع اللساني للسن حتى نعيد إبرازها دهليزيا‬
"Operative Dentistry A Practical Guide to Recent Innovations - page 83" ‫وحسب‬
The facial enamel is usually reduced by 0.3–0.5mm, but where the underlying tooth is
severely discolored, reduction should be 0.7mm.

7) after u did RCT to your pt he came back to the clinic after few days with sever pain on
biting, you did x-ray and it revealed that the RCT filling is very good, but u saw radiopaque,
thin (film like) spot on the lateral border of the root what is the most probable diagnosis?
A- Accessory canal
b) vertical root canal fracture. ***

403) method of Detection of Cracked teeth :

A) Horizontal percussion
B) Vertical percussion
C) Electric pulp test
D) Transillumination / visible light test.. ***

404) Patient suffering from a cracked enamel, his chief complain is pain on :
A) Hot stimuli
B) Cold stimuli
C) A & B. ***
D) Electric test.

11) patient came complaining of severe pain on biting, related to a certain tooth. Upon
examination no pulpal or periodontal findings, and pulpal vitality is positive, your Dx:
1) cracked tooth syndrome***

10) cracked tooth syndrome is best diagnosed by?

A. Radiograph
b. Subjective symptoms and horizontal percussion
c. Palpation and vertical percussion
d. Pulp testing

Pickard's Manual of Operative Dentistry Eighth edition OXFORD - PAGE 213

The diagnosis of cusp fracture is easy when the cusp has fallen off. Before this actually
happens, however, the patient may experience pain but often finds it remarkably difficult to
locate this to a particular tooth. The patient will frequently complain of sensitivity to hot and
cold and discomfort on biting. Even on clinical examination it is often difficult to pinpoint
which tooth is causing the pain, but a fiber-optic light or disclosing solution may assist the
diagnosis by making the crack easier to see. Lateral pressure on the suspect cusp may also
help by producing a sensitivity that mirrors the patient’s symptoms. Often the pain occurs
when the pressure is released.

A crack usually does not show up on an x-ray, a physical examination of the tooth will have to
be performed. A sharp instrument will be used to allow us to explore the tooth for cracks. We
will also place pressure on the tooth to see if we can expand the crack until it is seen.
You may have X-rays taken but X-rays often do not reveal the crack.
Your dentist may use a special tool to test the tooth. There are different kinds of tools. One
looks like a toothbrush without bristles. It fits over one part of the tooth at a time as you bite
down. If you feel pain, the part of the tooth being tested most likely has a crack in it.

Diagnostic tests of cracked tooth

visual examination of cracks: aided by staining with dye such as methylene blue.
Tactile examination crutch the tooth surface with a sharp explorer widening a gap of the crack
may elicit extremely painful response. ‫أي بمثابة ضغط أفقي‬
Tooth sloth ‫وتد‬: bite tests each cusp tip must be tested individually pain on release often
indicates crack tooth.
Transillumination: fiberoptic light source held perpendicular to the suspected crack
that mean the prober exam for crack in the tooth(b) subjective symptoms and horizontal
 percussion

the book is NBDE II

The best method for tooth brush is Bass method because:

a. It enter to interproximal area
b. Can be used by patient with gingival recession and it rotainary advice to all types of patients.
1. The both sentences are correct. ***
2. The first sentence is correct and the second is wrong.

Bass brushing has the advantage of the bristles enters in the cervical area , and it is
recommended for all patients:
a)both statements are true. ***
b)both statements are false
c)first is true ,second is wrong
d)first is wrong , second is true

Caranza – periodontology – page 658

Bass method advantages:
- It concentrates the cleaning action on the cervical and interproximal portions of the teeth.
- The Bass technique is efficient and can be recommended for any patient with or without
periodontal involvement.

11) patient comes to you with edematous gingiva, inflamed, loss of gingival contour and
recession, what's the best tooth brushing technique?
A. Modified bass
b. Modified stillman. ***
c. Charter
d. Scrub
Caranza – clinical periodontology page 659 :‫المرجع‬
‫طريقة ستيلمان المعدلة تقوم على مبدأ تطبيق الضغط بجوانب أشعار الفرشاة وليس بذراها لتقليل رض األنسجة الملتهبة‬
.‫واللثة المتراجعة‬
.‫ فتعني تعديل وضع الفرشاة بحيث توازي القواطع السفلية لسهولة تفريشها من اللساني‬Modified bass ‫أما‬
‫ درجة مع تمسيد لطيف دائري لألسنان واللثة للسماح بشفائها بعد الجراحة‬135 ‫ فهي وضع الفرشاة بزاوية‬Charter ‫أما‬
.‫اللثوية‬

12) the best method to protect teeth that underwent bicuspidization procedure from
fracture?
A. Full crown. ***
b. Splint with composite
c. Orthodontic splint

Dental decks – page 273

363) What’s the name of the Device used to measure Vertical Dimension
caliper. ***
Willis Gauge
Face bow

348) pt have unilateral fracture of left the condyle, the mandible will
a)deviate to the left side
b)deviate to the right side ***
c)no deviate

295) Pt came after 24 month of tooth replantation which had ankylosis with no root
resorption. It most likely to develop root resorption in:
1/ reduce greatly ***
2/ increase
3/ after 2 years
4/ after 4 years
136 ‫حسب أكسفورد ص‬
% 80 ‫ وإذا ترافقت إعادة الزرع بالتصاق فيكون احتمال النجاح‬،‫ من حاالت االنخالع الكامل‬% 35-6 ‫يحدث التكلس في‬
.% 16-13 ‫ونسبة تموت اللب‬

260) oral surgeon put his finger on the nose of the patient and the patient asked to blow
this done to check
.anterior extention of posterior palatal seal ‫الجواااااااااب الصحييح‬
.lateral extension of posterior palatal seal
.posterior extension of posterior palatal seal. ***
.glandular opening

229) when increase vertical dimension you have to:

1/ increase minimal need
2/construct anterior teeth first then posterior teeth
4/ use provisional crown for 2 months
5/all

226) tracing of GP used for :

1/source of periapical pathosis ***
2/acute periapical periodontitis
3/ periodental abscess
4/ none
)‫اقتفاء مسار قمع الكوتا يهدف إلى معرفة مصدر اآلفة حول السنية (عن طريق الناسور‬
222) isolated pocket in:
-vertical root fracture
-palato gingival groove
-endo origine lesion
-all. ***

207) after bleaching a tooth, we wanna restore the tooth with composite resin, we don’t
want to compromise the bonding, we wait for:
a)24 hours
b)a week *** ‫األصح‬
c) choose a different material

" Clinical Aspects of Dental Materials Theory, Practice, and Cases (3rd Ed 2009)"
Esthetic restoration of teeth should be delayed for 2 weeks after the completion of tooth
whitening.
.‫يجب تأخير عمل الحشوات التجميلية لما بعد التبييض بأسبوعين لتأمين ربط كافي مع الميناء‬

204) Three year old pt, has anodontia (no teeth at all), what would you do:
a) full denture ***
b) implant
c) space maitainer
d)no intervention

"PAEDIATRIC DENTISTRY - 3rd Ed. (2005)" page 294

In cases of anodontia, full dentures are required. These can be provided, albeit with likely
limited success, from about 3 years of age, with the possibility of implant support for
prostheses provided in adulthood.

B)-autoimmune factors++ (one of the signs of Autoimm dis’s)

‫ المرجع‬desck page 1334

Treacher collins syndrome characterized by

PROGNTHESIA OF MANDIBLE. ‫تقدم فك سفلي‬
-NO EAR LOSS
-UPWARD SLUTING OF EYE
-MALAR BONE NOT WELL FORMED OR ABSENCE. ***

:‫متالزمة تريشلر كولينز‬

‫ تراجع‬- ‫ ميالن العينين لألسفل‬- underdeveloped cheek bone ‫شكل السمكة للوجه بسبب ضمور العظم الوجني‬
.‫ حنك مشقوق‬- ‫ تشوه صيوان االذن‬- ‫الفك السفلي للخلف‬

‫ ويكيبيديا‬:‫المصدر‬
Treacher Collins syndrome - Wikipedia, the free encyclopedia ، Treacher-Collins Syndrome-A
Challenge For Aaesthesiologists Goel L, Bennur SK, Jambhale S - Indian J Anaesth

97) Treacher – Collins syndrome is mainly:

1/ mandibular retrognathia. ***
2/ loss of hearing (50% of cases)

Patient present with deffieciency at the malar bone+open bite+normal mental abilities;
1-treacher cholins. ***
2-cleidocrenial dyspasia
3-eagle syndrome
4-……

6) when removing lower second molar:

a- occlusal plane perpendicular To the floor
b- buccolingual direction to dilate socket. ***+
c- mesial then lingual

10) Trauma lead to fracture in the root between middle cervical and apical third
a) poor prognosis
b) good prognosis ***

.‫المفهوم من السؤال هو كسر فصل الثلث الذروي عن بقية السن‬

‫ أما كسر الثلث الذروي فيترك‬،‫في كسور الجذر أسوأ إنذار هو لكسر يحصل في الثلث المتوسط ويتبعه غالبا ً تموت باللب‬
.ً ‫ وفي كسر الثلث التاجي يزال الجزء التاجي ويتم تبزيغ التاج تقويميا ً أو كشفه جراحيا‬،ً‫ليشفى غالبا‬

409) Trauma caused fracture of the root at junction between middle and cervical third:
A) do endo for coronal part only
B) RCT for both
C) leave
D) extraction. ***
C) Splint the two parts together.

11) The best material for taking impression for full veneer crowns:
a) poly vinyl sialoxane (additional Silicone)***

582. Stock trays compared to Custom trays for a removable partial denture impression
A. Custom trays less effective than stock trays
B. Custom trays can record an alginate impression as well as elastomeric impression
C. Custom trays provide even thickness of impression material. ***
D. All of the above
14) Which type of burs is the least in heat generation:
a) diamond
b) carbide ***
c) titanium

more heat generated in diamond burs

dental secrets: page 200

15) Pt. Wears complete denture for 10 years & now he has cancer in the floor of the mouth.
What is the firs question that the dentist should ask:
a- does your denture is ill fitted
b- smoking. ***+ (80% of the cancer of the floor of the mouth is caused by smoking)
c- Alcohol
d- does your denture impinge the o.mucosa. *** (traumatic cause)

Screening Oral Cancer - Prepared by Bruce F. Barker, D.D.S. and Gerry J. Barker, R.D.H., M.A.
University of Missouri-Kansas City School of Dentistry

Ulceration on floor of mouth in edentulous patient,

initially misinterpreted as denture irritation.

22) Secondary dentine occur due to

a- occlusal trauma
b- recurrent caries
c- attrition dentine
d- all of the above***

23) All of these are ways to give L.A with less pain EXCEPT:
a- give it slowly
b- stretch the muscle
c- Topical anesthesia
d- the needle size over than 25 gauge***
‫مرجع‬
32) Lesion at junction between hard and soft palate and surrounded with psudoepithelium
hyperplasia in salivary gland
a) Necrotizing sialometaplasia***
‫ شائك الخاليا‬:‫التشخيص التفريقي مع‬

38) Missing lower six and tilted 7

a- Uprighting of molar by orthodontics++
b- Proximal half crown. ***
c- Telescope crown++
d- Non rigid connector++

40) Acyclovir dose for treatments of herps:

a) 200 mg / 5 times a day ***
b) 200 mg / 4 times a day
c) 400 mg / 4 times a day
d) 800 mg / 4 times a day
in case of immunodeficiency double the dose to 400 mg

"Cawson Essintials of Oral Pathology and Oral Medicine 7th ed"

‫ ملغ خمس مرات لمدة سبعة أيام‬200 ‫يعطى األسيكلوفير‬

446) How much subgingivally do you go with the band in class II restorations:
A) 0.5 – 1 mm. ***
B) 1 – 2 mm
C) 2 – 3 mm

41) A female patient came to your clinic with dry lips and mouth and bilateral submandibular
oedema and ocular dryness. Diagnosis is:
a)Polymorphecadenoma
b) sialotitis***
or: Sjögren's syndrome if present
‫للتأكد‬

43) The compression / relaxation cycle of external cardiac compression should be repeated
a- 2 times / second
b- 60 times / minute
c- 76 times / second
d- 100 times / minute. ***

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) - page 304

Circulation Feel for a carotid pulse. If it is present, provide 10 breaths per minute, checking
the pulse for 10 sec every 10 breaths. If no pulse commence chest compression, at the middle
of the lower half of the sternum, depressing 4¾5 cm 100 times per minute.

44) One of the primary considerations in the treatment of fractures of the jaw is
a- to obtain and maintain proper occlusion***
b- test teeth mobility
c- vitality
d- embedded foreign bodies

45) A child patient undergone pulpotomy in your clinic in1st primary molar. Next day the
patient returned with ulcer on the right side of the lip… your diagnosis is:
a) Apthosis
b) Zonal herpes
c) traumatic ulcer*** ‫العض على الشفة‬

46) Bitewing exam is used to diagnose EXCEPT:

1. Proximal caries.
2. Secondary caries.
3. Gingival status.
4. Periapical abscess***

.‫ألن الصورة المجنحة ال تظهر ذرى األسنان‬

58) Which of the following types of base materials can be placed in contact with polymethyl
methaacrylate & not inhibit the polymerization of the resin
a) zoe
b) GI cement
c) Zn phosphat cement
d) varnish
e) b&c***

47) We can use under the composite restoration:

1. Varnish.
2. Zinc oxide and eugenol.
3. Ca (OH)2.
4. Zinc phosphate cement.
• 1+2.
• 2+3.
• 3+4***
• 2+4.

‫ أما أكسيد الزنك واألوجينول‬، ‫يمكن وضع كل من ماءات الكالسيوم والغالس إينومير وفوسفات الزنك تحت الكومبوزت‬
.‫والفرنيش فهما يعيقان التماثر‬
48) Autoclaving technique is depending on:
a. Dry heat.
B. Steam heat*** ‫حرارة البخار‬
c. Chemicals.

49) The inferior alveolar nerve is branch of:

1. Mandibular nerve – not divided***
2. Posterior mandibular alveolar nerve.
3. Anterior mandibular alveolar nerve.
‫العصب السنخي السفلي هو فرع من الفكي السفلي وهو يدخل ثقبة الفك السفلي ويسير عبر القناة الفكية معصبا ً األرحاء ثم‬
)‫يخرج من الثقبة الذقنية لينقسم إلى القاطعي (للقواطع) والذقني (للشفة‬

51) A child (2 years) with caries in the incisors we call this caries:
1. Rampant caries.
2. Nursing caries***
3. Children caries.

52) Persons who are working in glass factories they have the disease:
1. Silicosis.. ***
2. Asepsis.

http://www.silicosisclaims.com/about.html
Silicosis, or silica disease, is especially common among the workers whose occupations
expose them to extremely high levels of crystalline silica dust for long durations. Some of the
common occupations or types of workers at risk of silica disease due to crystalline silica dust
exposure include: Glass Workers

628. Laser core can be used in curing of composite:

A) ND (YAG).
B) hene.
C) Argon / Hallogen led.. ***

53) Laser used in endodontic is:

1. Co2.
2. Nd (YAG). ***
3. Led.
‫ للمعالجة اللبية‬ADA ‫الليزر الوحيد الحاصل على موافقة‬
Http: //http//www.biolase.com/clinicalarticles/Chen_DT_reprint1.pdf
Http: //http//www.healthmantra.com/REVIEWS/lasers&Endo.htm

54) A patient 14 years with avulses incisors 10 and 21 we can use a splint for:
a) 1 – 2 week. ***
b) 2 – 3 week.
C) 3 – 4 week.
D) 4 – 5 week.

55) The most frequent cause of porosity in a prcelain restoration is

a- moisture of contamination
b- excessive firing temperature
c- excessive condensation of the porcelain
d - inadequate condensation of porcelain***

Dental decks 441

56) A compound fracture is characterized by

a-many small fragments
b -a star shaped appearance
c- an incomplete break in the bone
d- commuication with oral cavity***
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005)- page498
in common with all fracture they can be grouped into simple (closed linear fracture)
compound (open to mouth or skin
And:
" Peterson's Principles of Oral and Maxillofacial Surgery 2nd Ed 2004 page409"

:76) Verrucous carcinoma is

a) malignant. ***
b) non-malignant
c) hayperplastic
d) none of the above

86) Electric pulp tester on the adults is not accurate because:

a) Late appearance of Fibers A***
b) Late appearance of Fibers C
c) Early appearance of fibers A
d) Early appearance of fibers C

" Pathway Of Pulp 6th edition page 314"

The relatively late appearance of A fibers in the pulp helps to explain why the electric pulp test
tends to be unreliable in young teeth.

87) A patient complaining from a severe oedema in the lower jaw that increases in size upon
eating, Diagnosis is:
a) salivary gland. *** (submandibular sal. Gl.)
88) A patient that had a class II amalgam restoration, next day he returns complaining of
discomfort at the site of the restoration, radiographically an Overhanging amalgam is present.
This is due to:
a) lack of matrix usage.
B) no burnishing for amalgam ‫صقل‬
‫ اي النحت غير الكافي‬insufficient carving :‫حسب مرجع‬

89) Contents of the Anaesthia carpule:

a)Lidocaine + epinephrine + Ringer’s liquid.
B)Lidocaine + epinephrine + distilled water.
C) Lidocaine + epinephrine only.

"Hand Book of Local Anesthesia"page 92 :‫حسب‬

‫ ليدوكائين وأدرينالين وسائل رنجر (كلور الصوديوم) وماء مقطر‬:‫تحتوي أمبولة المخدر‬
‫ مذكور أول مادتين فقط‬:‫وحسب أكسفورد‬
‫وحسب كتاب التخدير الموضعي للدكتور عبد الكريم خليل‬
Local anesthetic drug – vasopressor - Ringer’s liquid (nacl)
distilled water - preservative substance (methylparaben) ‫مضاد فطور‬
preservative for vasopressor ‫مادة حافظة لألدرينالين‬

90) a patient that wasn’t anaesthetized well in his 1st visit, next day he returns with a limited
mouth opening (trismus). He must be anaesthized, what’s the technique to be used:
a) William’s technique
b) Bercher’s technique.***
‫عبد الكريم خليل‬.‫ د‬- ‫التخدير الموضعي لجراحة الفم والوجه والفكين الجزء الثاني‬
‫ وتستخدم‬Bercher ‫ هي طريقة‬Trismus ‫طريقة التخدير المستطبة في حال لم يستطيع المريض فتح فمه بسبب الضزز‬
.‫لتخدير العصب الماضغ(الفرع الحركي من السني السفلي) للوصول الى ارتخاء الفك السفلي‬

At which of the following locations on a mandibular molar do you complete the excavation of
caries first
a- axial walls .
B- pulpal floor over the mesial pulp horns
c-peripheral caries
d- all of the above are correct.
301 ‫حسب أكسفورد ص‬
.‫في النخور العميقة نزيل نخر الملتقى المينائي العاجي ثم قعر الحفرة‬

CMCP contains phenol in concentration

a-0.5 %
b- 35 %
c-65 %
d- 5 %
Dentist provided bleaching which also knowr as )home bleaching) contain
a- 35-50% hydrogen peroxide
b- 5-22% carbamide peroxide ***

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) - page 316

a solution of 10% carbamide peroxide in a soft splint has been advocated for home bleaching

What is the disadvantages of Mcspadden technique in obturation ‫االتكثيف الحراري الميكانيكي‬

‫الجانبي – حركة فتل للخارج بمبرد خاص‬
requires much practice to perfect. ***
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) - page 177

And:
Disadv's of mcspadden Tech:
1. Use of speed higher than recommended>> poor seal.
2. Extrusion of the filling material.
3. Fracture of thermocompactor.
4. Gouging of the canal wall.
5. Inability to use the technique in curved canals.
6. Heat generation may lead to PDL damage, resorption and ankylosis..
7. Voids in final filling

And:
If the file is turning in reverse, it can screw itself into the canal and periapical tissues
Endodontic Obturation

493) thermo mech. Tech of obturation is :

A) thermafil
B) obtura
C) ultrafil
D) mcspadden. *** (source : Endodontic obturation materials)

Fractured tooth to alveolar crest, what's the best way to produce ferrule effect?
A) restore with amalgam core sub-gingivaly. ***+++
b) crown lengthening
c) extrusion with orthodontics

:‫عدة حلول متناقضة‬

1- Dental secrets 269 – " If the fracture is subgingival, remove the coronal segment and
perform appropriate pulp therapy, then reposition the remaining tooth structure coronally
either orthodontically or surgically"
And Oxford handbook.

2- http: //www.dental-update.co.uk/articles/35/3504222.pdf
In the absence of a ferrule, Aykent et al19 found that in vitro use of a dentine bonding agent
with an amalgam core and a direct stainless steel post provided a significant increase in
fracture resistance in extracted premolars. Whilst dentine bonding of the amalgam core did
not offer any significant improvement when a 1 mm ferrule was present, this study suggests
that there may be a role for dentine bonding of amalgam cores when a ferrule cannot be
achieved.
Both crown lengthening and orthodontic extrusion may allow for an increased ferrule, but
they add additional cost, discomfort and length of treatment times for the patient. Crown
lengthening increases the crown to root ratio. Whilst Ichim et al16 used finite element
analysis to predict that crown lengthening did not alter the levels or pattern of stress within
the palatal dentine, Gegauff20 concluded that crown lengthening could be problematic.
Gegauff20 investigated whether crown lengthening to achieve a ferrule would affect the
static load failure. By placing the finish line further apically, Gegauff postulated that the tooth
may be weakened as a result of the resultant decrease in cross-sectional area of the
preparation and the increased crown to root ratio. Orthodontic extrusion may avoid this
problem as it results in a smaller change in the crown to root ratio.

2- 65 years old black man wants to have very white teeth in his new denture what should the
dentist do:
a- Put the white teeth
b- Show the patient the suitable color first then show him the white one
c- Convince him by showing him other patients photos. ***
d- Tell him firmly that his teeth color are good.

Or
- Do not show white teeth ‫خيار في نموذج أسئلة آخر‬

:‫حسب أكسفورد‬
‫رأي المريض هو األهم في اختيار لون األسنان الصناعية مع تدوين رأي الطبيب‬
"‫وحسب كتاب "التعويضات المتحركة الكاملة‬
‫وعندددما نبدددأ بانتقدداء اللددون يجددب علددى الطبيددب اسددتبعاد األلددوان شددديدة البيدداض ألن بعددض المرضددى يسددتهويهم اللددون‬
‫ ويكتفي الطبيدب باختبدار طيدف غيدر واسدع مدن األلدوان بحيدث‬. ‫األبيض الناصع فنحصل على نتائج مخزية في نهاية العالج‬
‫ نصددر علددى‬،‫ وإذا مددا رفددض المسدداهمة باالختيددار‬،‫تكددون كلهددا مقبولددة ويعرضددها بعددد ذلددك علددى المددريض ليسدداهم باالختيددار‬
‫مشاركته حتى ولو اختار بين لونين أو ثالثة ليشعر فدي النهايدة أنده مسداهم ومسدؤول مثلده مثدل الطبيدب عدن النتدائج الجماليدة‬
. ‫للعالج‬
‫إن رضى المريض والطبيب معا ً وتسوية األمور بشكل وسطي غالبا ً يعتبر أفضل الحلول ويجب عند ذلك أن يكون الطبيب‬
‫والمريض في حالة ارتياح ورضى تجاه القرار النهائي وإال فإن النتائج النهائية للمعالجة ستكون في خطر وإذا ما كان‬
‫المريض متصلبا ً في آرائه ولم يستطع الطبيب إقناعه أو إيصاله إلى االختيار الصحيح فسيكون اللجوء إلى طبيب آخر أو‬
. ً ‫عدم متابعة المعالجة أمرا ً متوقعا‬

3- At which temperature that gutta percha reach the alpha temp:

a- 42-48 c ***
b- 50-60
c- 70-80
d- 100c

5- During clinical examination the patient had pain when the exposed root dentine is touched
due to:
a- Reversiple pulpitis
b- Dentine hypersensitivity ***
c- Irreversible pulpitis

6- The patient have dull pain and swelling and the PA shows apical radiolucency your
diagnosis will be:
a- Acute periodontal abscess
b- Chronic periodontal abscess with swelling

8- All these shows honey combed bone radiographically EXCEPT:

a- Ameloblastoma
b- Odontogenic myxoma cyst
c- Odontogenic keratocyst
d- Adenomenated tumor. ***

Source : http://www.head-face-med.com/content/1/1/3

10- Flouride amount in water should be:

a- 0.2-0.5 mg/liter
b- 1-5 mg/liter
c- 1-2 mg/liter
d- 0.1- 0.2 mg/liter

11- Distal fissure of premolar contact oppose:

a- Middle of the middle third & buccal fissure is wider than lingual
b- Cervical line & lingual fissure is wider than buccal
c- Middle of the middle third & vice versa
d- Cervical of the middle third & vice versa

18- the powered toothbrush invented in: ‫الكهربائية‬

a- 1929
b- 1939***
c- 1959
d- 1969

22- The most superior way to test the vitality of the tooth with:
a- Ice pack++
B- Chloro ethyl
C- Endo special ice. ***
D- Cold water spray
 22 ‫حسب أكسفورد ص‬
‫كلور اإليتيل أكثر طريقة مستخدمة لفحص حيوية اللب بالبرودة‬
‫ولكن مشكلتها هي أن عدة أسنان تستجيب للتنبيه‬

24- The way to remove mucocel is

a- Radiation
b- Excision ***
c- Chemotherapy
d- Caterization

Mucocele
Infrequently, a mucocele goes away without treatment. But if some mucoceles remain
untreated, they can scar over. Your dentist should examine any swelling in your mouth.
A mucocele usually is removed by surgery. The dentist may use a scalpel or a laser to remove
the mucocele. Afterward, the tissue will be sent to a laboratory for evaluation. There is a
chance that after the mucocele is removed another one may develop.
Some doctors use corticosteroid injections before trying surgery. These sometimes bring down
the swelling. If these work, you may not need surgery

25- 8 years old come with fractured max incisor tooth with incipient exposed pulp after 30
min of the trauma, what’s the suitable rx: ‫انكشاف وشيك‬
a- Pulpatomy
b- Direct pulp capping
c- Pulpectomy
d- Apexification

27- pt came to dental clinic having a heamological problem after lab test they found that
factor viiiis less 10% what’s the diagnosis:
a- Heamophilia A
b- Heamophilia b

27- pt came to dental clinic having a heamological problem after lab test they found that
factor VIII is less 10% what’s the diagnosis:
a- Heamophilia A. ***
b- Hemophilia b
(defect factor 9 : hemophilia B)

29- all these are contraindicated to RCT EXCEPT:

a- Non restorable tooth
b- Vertical root fracture
c- Tooth with insufficient tooth support
d- Pt who has diabetes or hypertension

30- sharpening the curette and sickle, the cutting edge should be at angle:
a- 50-60
b- 70-80
c- 80-90
d- 60-70

33- avulsed tooth is washed with tap water , it should be replaced again:
a- Immediately
b- After 2 hours
c- 24 hr’s
d-

34- 10 yr’s old child, who is an able to differentiate the colors, and cant tell his name, or
address
He is acting like:
1- 3 years old
2- 4 years old
3- 10 years old

39- pt have a complete denture came to the clinic ,tell you no complaint in the talking ,or
in the chewing ,but when you exam him ,you see the upper lip like too long ,deficient in the
margins of the lip, reason is?
A)deficiency in the vertical dimensional
b)anterior upper teeth are short
c)deficient in vit B
.‫نقص فيتامين ب يؤدي إلى التهاب صوار الشفة وهو ما يسببه نقص البعد العمودي‬

41- child has a habit of finger sucking and starts to show orodental changes, the child needs:
a- Early appliance
b- Psychological therapy
c-
d-

Knife ridge should be tx with:

1/relining soft material
2/ maximum coverage of flange. ***
3/ wide occ. Table
4/all

76) Child 3 years old came to clinic after falling on his chin, you found that the primary incisor
entered the follicle for the permanent incisor what you will do
A) Surgical removal of the follicle
B) Leave it
C) Surgicall removal of the primary incisor. ***

77) Tongue develope from:

1/mandibular arch & tuberculum impar. ***
2/1st branchial arch

Anatomy of the Human Body - Henry Gray – page 27

- The mandibular arch lies between the first branchial groove and the stomodeum; from it are
developed the lower lip, the mandible, the muscles of mastication, and the anterior part of
the tongue.
- The ventral ends of the second and third arches unite with those of the opposite side, and
form a transverse band, from which the body of the hyoid bone and the posterior part of the
tongue are developed.
Anatomy of the Human Body - Henry Gray – page 693
During the third week there appears, immediately behind the ventral ends of the two halves
of the mandibular arch, a rounded swelling named the tuberculum impar, which was
described by His as undergoing enlargement to form the buccal part of the tongue. More
recent researches, however, show that this part of the tongue is mainly, if not entirely,
developed from a pair of lateral swellings which rise from the inner surface of the mandibular
arch and meet in the middle line.

1. Perforation during endo space preparation what is the most surface of distal root of lower
molar will have tendency of perforation:
1/ M SURFACE. ***
2/ Distal surface.
3/ Buccal surface.
4/ Lingual surface.
Dental decks 144 ‫لو كانت صيغة السؤال تخص الحجرة اللبية فالسطح األكثر تعرضا ً لالنثقاب هو اللساني‬

Crown and root perforation:

1/ respond to MTA
2/ use matrix with hydroxyapatite and seal with G I
3/1&2. ***
4/root canal filling

82) acceptable theory for dental pain:

1/hydrodynamic*** ‫األنسب‬
2/fluid movement***
3/ direct transduction

"Art and science of operative dentistry 2000" PAGE 257

Most authorities agree that the hydrodynamic theory "best explains dentin hypersensitivity.
The equivalency of various hydrodynamic stimuli has been evaluated from measurements of
the fluid movement induced in vitro and relating this to the hydraulic conductance of the
same dentin specimen."'
While u were preparing a canal u did a ledge, then u used EDTA with the file, this may lead to
perforation of the strip
290. You make ledge in the canal you want correct this what is the most complication occur
in this step:
Creation false canal
apical zip
stripping
perforation

291. Removing of dentine in dangerous zone to cementum is:

1/ perforation
2/ledge
3/stripping. ***
4/zipping

292. Occlusal splint device:

1/ used during increase vertical dimension
2/allative muscle of mastication. ***
3/ occlusal plane CR/CO
4/ALL

293. What kind of suture used under the immediate denture:

1/ horizontal matter suture
2/ vertical matter suture
3/ interrupted suture
4/ continous locked suture

294. Provisional restoration for metal ceramic abutment is

a) aluminum sheet
b) stainless steel crown
c) zno
d) tooth colored polycarbonate crown***

295. Dr.black (GV black) periodontal instrument classification:

study what the number represent in the instrument formula

"For g.v black classification study what the number represent in the instrument formula one
for width one fo length one for angulation
1st: Width of blade -2nd: Length of the blade in millimeter-3rd: Angle of blade -4th: when
cutting edge at ab angle other then right"

296. An adult had an accident, maxillary central incisors intruded, lip is painful with
superficial wound what is the trauma’s classification:
a) luxation. ***
b) subluxation
c) laceration ‫تمزق‬
 d) abrasion ‫سحج‬
e) contusion ‫كدمة‬

Handbook of dental trauma 2001- page 73

Intrusive luxations, or intrusions, result from an axial force applied to the incisal edge of the
tooth that results in the tooth being driven into the socket

297. Schick test an intradermal test for determination of susceptibility to diphtheria.

Schick test - definition of Schick test in the Medical dictionary - by the Free Online Medical
Dictionary, Thesaurus and Encyclopedia.

In a curved root u bent a file by.

A. Put gauze on the file & bend it by hand *** ‫شاش‬
b. Bend the file by pliers ‫ملقط‬
c by bare finger ‫إصبع مجرد‬
d. By twist ‫حبل‬
.‫وحسب أوكسفورد يتم الثني بقبضة المرآة‬

Father for child 12 year pt <asked you about ,the age for the amalgam restoration of his
child ,you tell him:
a)2 years
b)9 years
c)2 decades. ***
d)all life

Art and science of operative dentistry 2000 – page 766

Complex amalgam restoration with pins: Smales reported that 72% of amalgam restorations
survived for 15 years, including those with cusp coverage.
‫ سنة‬20 ‫هذا يعني أن الحشوات العادية تستمر حتى‬

:168 ‫ونفس المصدر ص‬

298. To prevent gingival injury place the margin of the retainer:

A. At the level of gingival crest. ***
b. Above gingival crest.
 C. Apical to g . Crest 1 mm
d. Apical to g. Crest 0.5 mm.

Dental secrets – page 219

It is better for gingival health to place a crown margin supragingivally, 1—2 mm above the
gingival crest, or equigingivally at the gingival crest. Such positioning is quite often not
possible because of esthetic or caries considerations. Subsequently, the margin must be
placed subgingivally. Margin ends slightly below the gingival crest, in the middle of the
sulcular depth, or at the base of the sulcus. In preparing a subgingival margin, the major
concern is not to extend the preparation into the attachment apparatus. If the margin gf the
subsequent crown is extended into the attachment apparatus, a constant gingival irritant has
been constructed. Therefore, for clinical simplicity, when a margin is to be placed
subgingivally. It is desirable to end the tooth preparation slightly below the gingival crest.
‫مع األخذ بعين االعتبار الفقرة السابقة (ومن الناحية العملية) يجب أن يكون التحضير مباشرة تحت حافة اللثة أي بنصف‬
.‫ميليمتر‬
‫ولكن من مع األخذ بعين االعتبار السؤال المطروح باعتبار أن األولوية لحماية اللثة فيجب أن يكون التحضير على مستوى‬
.‫حافة اللثة‬

33 - Cleft lip is resulted from incomplete union of:

1. Tow maxillary arches.
2. Maxillary arches and nasal arch.

Arrange the steps of cleft palate management:

1. Measures to adjust speech. 4
2. Establish way for nursing and feeding. 1
3. Cosmetic closure. 3
4. Prevent collapse of two halves. 2
2 – 4 – 1 – 3.

Type of professionally applied fluoride for mentally retarded pt:

1. Neutral sodium fluoride.
2. Stannous fluoride.
3. Acidulated fluoride solutions.
)‫ يكون هو الجواب (يحرر الفلور‬fluoride varnish ‫إذا وجد‬

2. Child with late primary dentition has calculus and gingival recession related to upper molar
what is the diagnosis:
1. Periodontitis.
2. Local aggressive Periodontitis. ***
3. Viral infection.

3.
8 years old pt. Had trauma to 8 presented after 30 minute of injury He had crown fracture
with incipient pulp exposure what u do:
 1. Direct pulp capping. ***
2. Pulpotomy.
3. Pulpctomy.
4. Observe.

4. Time of PT, PTT:

a)11-15 seconds , 25-40 seconds. ***
PTT=30-40sec ---- PT=12-14 sec ‫زمن تخثر الدم‬
bleeding time within < 8 min ‫زمن توقف النزف‬

5. Young pt came without any complain. During routine X ray appear between the two lower
molar lesion diameter about 2mm & extend laterally with irregular Shape. What’s the type of
cyst
a) dentigerous cyst
b) apical cyst
c) radicular cyst

6. A completely edentulous patient, the dentist delivers a denture in the 1st day normally, 2nd
day the patient returns unable to wear the denture again, the cause is:
a) Lack of Skill of the patient
b) Lack of Frenum areas of the Complete denture.

7. When extracting all max teeth the correct order is:

a) 87654321
b) 87542163. ***
c) 12345678
.‫ القلع من الخلف لألمام مع األخذ باالعتبار صعوبة قلع بعض األسنان‬:‫القاعدة‬

8. How can you alter the sitting time for alginate

a)alter ratio powder water ***
b)alter water ratio
c)we can’t alter it
d)by accelerated addition

"Dental decks 672"

The best method to control the gelation time (setting time) is altering the temperature of the
water used in the mix.
Changing the water/powder ratio also alter the gelation time but these method also impair
certain properities of the material. Too little or too much water will weaken the
gel.Undermixing may prevent the chemical action from occuring evenly;overmixing may break
up the gel

What’s the reason of the wax shrinkage upon fabrication of the bridge/crown
9. For a patient that is on a corticosteroid therapy, upon oral surgery, the patient is given :
A) 100 - 200 mg hydrocortisone. ***
B) 400 - 600 mg prednisolone

10. Patient with lupus erythematous and under cortisone, he needs to surgical extraction of a
tooth. What should the surgeon instruct the patient:
a) Take half of the cortisone dose at the day of operation.
B) Double the cortisone dose at the day of operation.***
c) Take half of the cortisone dose day before and at the day of operation and day after.
D) Double the cortisone dose day before and at the day of operation and day after.

Instruct patient to double dose of steroids the morning of surgery up to 200mg. If taking
greater than 100mg, then give only an additional 100mg.
• If on alternate day steroids, do surgery on day steroids are taken
• If patient has had 20 mg of steroid for more than two weeks in the past 2 weeks, but is not
currently taking steroids, then give 40mg hydrocortisone prior to surgery
And
Dental secrets – page 49
For multiple extractions or extensive mucogingival surgery, the dose of corticosteroids should
be doubled on the day of surgery. If the patient is treated in the operating room under
general anesthesia, stress level doses of cortisone, 100 mg intravenously or intramuscularly,
should be given preoperatively.

Doing CANTILEVERS, we consider all of the following EXCEPT:

a) small in all diameters
b) high yield strength
c) minimal contact
d) small occlosogingival length. ***

The following are indication of outpatient general anesthesia EXCEPT

a) ASA categories 1 & 2
b) the very young child**
c) cost increase
d) Patient admitted and discharge the same day

http://web.squ.edu.om/med-Lib/MED_CD/E_CDs/anesthesia/site/content/v04/040516r00.HTM
Contraindications to Outpatient Surgery
Ex-premature infants less than 60 weeks‘ postconceptual age

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2149014/pdf/anesthprog00222-0007.pdf
‫ كغ‬15 ‫وزن أطفال الدراسة ال يقل عن‬
http://webcache.googleusercontent.com/search?q=cache:ATrgYSTl2pIJ:faculty.ksu.edu
.sa/saadsheta/CPR%2520and%2520Emergency/CPR.ppt+"contraindication+OUTPATI
ENT+general+anesthesia"&cd=26&hl=ar&ct=clnk&gl=sa&lr=lang_en|lang_ar
Out-Patient Dental Anesthesia: Dental Chair Anesthesia - Out-Patient dental extraction
Children (4-10 years): high incidence of URTI - Steadily decreased

http://pt.wkhealth.com/pt/re/lww/fulltext.00001503-200212000-
00004.htm;jsessionid=LzmbkxFdzyZ1TnJlh0YFQZy1T9nDcNVTdhgkRnJdbSpQNhyn89ZR!-
643969902!181195628!8091!-1
Although age can no longer be considered a contraindication to outpatientanesthesia and
surgery, anesthetic-related morbidity and mortality remain higher…….

http://www.bcm.edu/oto/grand/121996.html
They examined 292 tonsillectomies and their was no documentation on the indications for
tonsillectomy in the results. They found that the risks were significantly increased in children
< 3 years of age, neuromuscular disorders, chromosomal abnormalities, difficulty breathing
during sleep, restless sleep, snoring and an upper respiratory tract infection

The primary source of retention of porcelain veneer

1_mechanical retention from under cut
2_mechanical retention from secondary retentive features
3_chemical bond by saline coupling agent
4_micromechanical bond from itching of enamel and porcelain

49) patient who has un-modified class II kennedy classification, with good periodontal
condition and no carious lesion the best clasp to use on the other side <teeth side>
a) reciprocal clasp (aker's clasp). ***
b) ring clasp
c) embrasure clasp
d) ...

Edentulous pt cl II kenndy classification 2nd premolar used as abutment when we surving we

found mesial under cut wt is the proper clasp used:
1/wrought wire with round cross section
2/ wrought wire with half round cross section
3/cast clasp with round cross section
4/ cast clasp with half cross section

A removable partial denture patient, Class II Kennedy classification. The last tooth on the left
side is the 2nd premolar which has a distal caries. What’s the type of the clasp you will use for
this premolar:
a) gingivally approaching clasp. ***
b) ring clasp
Q1) What are the disadvantages of mcspadden technique in obturation:
a) Increase time.
B) Increase steps.
C) Difficult in curved canals.
D) All the above.

Q4) Patient come to your clinic complaining that the denture become tight, during
examination you notice nothing, but when the patient stand you notice that his legs bowing
(curved). What you suspect:
a) Paget’s disease. ***
b) …….x
c) …….x

Q6) A 55 year old patient with multi-extraction teeth, after extraction what will you do first:
a) Suturing.
B) Primary closure should be obtained if there is no luntant tissue.
C) Alveoplasty should be done in all cases. ‫رأب السنخ‬

Q7) Child with traumatized lip, no tooth mobility, what will you do first:
a) Radiograph to check if there is foreign body. ***
b) Refer to the physician for sensitivity test.
C) ….?
‫كتاب األطفال‬

Q8) 2nd maxillary premolar contact area:

a) Middle of the middle third with buccal embrasure wider than lingual embrasure.
B) Middle of the middle third with lingual embrasure wider than buccal embrasure.*** ‫الفرجة‬
‫الحنكية أكبر من الدهليزية‬
c) Cervical to the incisal third …….x
d) …….x

Q9) Patient come to the clinic with ill-fitting denture, during examination you notice white
small elevation on the crest of the lower ridge, what will you tell the patient:
a) This lesion needs no concern and he should not worry.
B) The patient should not wear the denture for 2 weeks then follow up. ***
c) ……x

Q10) How do you know if there are 2 canals in the same root:
a) Radiographically with 2 files inside the root. ***
b) The orifices are close to each other.
C) ……x

Q13) Hunter Schreger bands are white and dark lines that appear in:
a) Enamel when view in horizontal ground.
B) Enamel when view in longitudinal ground. ***
c) Dentin when view in horizontal ground.
D) Dentin when view in longitudinal ground.

‫المرجع‬
Hunter-Schreger band formation as it exists in enamel structure. When examined by reflected
light, these bands appear as alternating light and dark areas in the enamel portion of a
longitudinal ground tooth section

Q19) Patient complains from pain in TMJ. During examination you noticed that during
opening of the mouth mandible is deviate the right side with left extruded. Diagnosis is:
a) Condylar displacement with reduction.
B) Condylar displacement without reduction.
C) …….x
d) ……x
‫أال يجب أن يوجد خيار كسر لقمة الفك‬

Pt. Presented to u complain of click during open and close. Thers is no facial asymmetry
EXCEPT when opening What is the diagnosis:
1-internal derangement with reduction. ***
2-internal derangement without reduction
3-reumatoid arthritis
4-,,,,,,,
1‫الجواب هو‬
‫ هو عبارة عن انزالق القرص المفصلي من مكانه لياخذ وضع غير وضعه‬Disc dislocation with reduction ‫الن‬
‫الطبيعي فاثناء اغالق الفم يكون امام اللقمة ثم يتراجع لياخذ مكانه على راس اللقمة اثناء االغالق وهذا يؤدي الى سماع‬
‫) اثناء الفتح واالغالق‬click(‫صوت‬
‫ يبدا القرص المفصلي بعدم العودة للخلف ويبقى امام الناتى‬Disc dislocation without reduction‫اما في حالة‬
‫ عند الفتح‬click ‫المفصلي ويصبح فتح الفم صعبا ومؤلما وقد يصبح المضغ شبه مستحيل وعندها اليصدر المفصل الفكي‬
‫واالغالق‬

Q20) Unilateral fracture of left condyle the mandible will:

a) Deviate to the left side.
B) Deviate to the right side.
C) …..x
d) …..x

Q21) The aim of treatment maintenance is:

a) Prevent secondary infection. ***
b) Check tissue response.
C) ……x

Q23) During maxillary 3rd molar extraction the tuberosity fractured. It was firmly attached to
the tooth and cannot be separated. What is the management:
a) Remove it with the tooth.
B) Splint the tooth to the 2nd molar then re-extracted after 6 weeks.
C) Suture ……x
Q28) After patient with Hepatitis-B left the dental chair the assistant ask you how to disinfect
the dental unit. What will you suggest:
1. Iodole.
2. 100%dittole.
3. Hypo chloride.
4. …… gas
a) 1 and 2
b) 1, 2 and 4.
C) ……x
d) ……x

Pc with hepatitis B the best sterilization is

a)formaldahid****
*****b)detol+100%alkohol
c)….
D)…..
1)a+b
2)a+b+c
3)…
4)….

192) HBV disinfection: (enough with intermediate disinfection)

A) iodophors. ***
B) dettol / 100% ethyl alcohol (all alcohols are not recommended)
C) hypocloride, ethyl
D) a+b

Q29) Streptococcus activity detected by:

a) Fermentation. ***
B) Catalase.
C) …..x
d) ……x

Q30) cleidocranial dysostosis characteristic:

a) supernumerary of teeth.

Q32) To hasten Zinc Oxide cement, you add:

a) Zinc sulfide.
B) Barium sulfide.
C) Zinc acetate. ***
D) Barium chloride.
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) - page 770
"Journal of Dental Research"

Q33) In which tooth the contact is at the incisal edge:

a) Lower anterior teeth. ***
b) ……x

Q39) Child came to the clinic with amalgam restoration fracture at isthmus portion, this
fracture due to:
a) Wide preparation at isthmus. ***
b) High occlusal.
C) shallow preparation
D) constricted isthmus

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 58

Isthmus joins the occlusal key with the interproximal box. It is the part of the filling most
prone to fracture.

Q40) Child with mental disorder suffer from orofacial trauma, brought to the hospital by his
parents, the child is panic and Irritable, the treatment should done under:
a) Local anesthesia.
B) General anesthesia.
C) Gas sedation.
D) Intravenous sedation.

Q41) Fracture before 1 year of upper central incisor reach the pulp in 8 year old child. How
will you manage this case
a) RCT.
B) Apexification. ***
c) Direct pulp capping
d) Indirect pulp capping.

Q45) To remove a broken periodontal instrument from the gingival sulcus:

a) Schwartz Periotriever. ***
B) ………x

Gingival condition occur in young adult has good oral hygiene was weakened
.ANUG
.desqumative gingivitis
.periodontitis
.gingivitis

"Tyldesley's oral medicine"

 The influence of poor oral hygiene in the initiation of ANUG has been often stressed, but
there is no doubt that there are some patients whose standard of hygiene must be
considered by normal criteria to be good.

1. Differences between ANUG and AHGS is:

a. ANUG occur in dental papilla while AHGS diffuse erythematous inflamed gingival.
b. ANUG occur during young adult and AHGS in children.
c. All of the above. ***

53. Student, came to clinic with severe pain, interdental papilla is inflamed, student has
exams, heavy smoker, poor nutrition.
A. Gingivitis
b. ANUG
c. Periodontitis

Q46) 1. You should treat ANUG until the disease completely removed. 2. Otherwise, it will
change to necrotic ulcerative gingivitis.
A) Both sentences are true.
B) Both sentences are false.
C) 1st true, 2nd false.
D) 1st false, 2nd true.
241‫حسب أكسفورد ص‬
ً
‫ المعالج بشكل غير كافي يمكن أن يتحول إلى الشكل األقل أعراضا والذي يعرف بالتهاب‬AUG ‫التهاب اللثة التقرحي الحاد‬
CUG ‫اللثة التقرحي المزمن‬
Chronic necrotic ulcerative gingivitis ‫ التهاب لثة تقرحي تموتي مزمن‬:‫إذاً الجواب‬
Burket- Oral medicine – page 63
The patient must be made aware that, unless the local etiologic factors of the disease are
removed, ANUG may return or become chronic and lead to periodontal disease.
‫؟؟‬NUG ‫ أي‬necrotic ulcerative gingivitis ‫أو هل يوجد شيء اسمه‬

1212 - mypicx.com
Q48) The rows show “truth”, the column show “test result”o
a) Cell A has true positive sample.
B) Cell A has true negative sample.
C) Cell A has false positive sample.
D) Cell A has false negative sample.

Distinguishing between right & left canines can be determined

because distal concavities are larger-
with a line bisecting the facial surface the tip lies distally ‫األصح‬
others

We can differentiate between the upper mesial & distal canine by the functional cusp tip is
inclined distally if bisectioning crown the cervical line on lingual surface is inclined mesially
root curved mesially
The best way to remove silver point
a) Steiglitz pliers. ***
c) Ultrasonic tips
d) H files
E) Hatchet

A grasping tool such as the Stieglitz pliers (Henry Schein) can generally get a strong purchase
on the coronal end of a silver point and then, utilizing the concept of fulcrum mechanics,
elevate the silver point out of the canal.
Indirect ultrasonics is another important method to remove silver points. It is not wise to place
any ultrasonic instrument directly on the silver point because it will rapidly erode away this
soft material.
And
Endodontics Problem solving in clinical practice 2002 – page 142
Cement can be removed carefully from around the point using a Piezon ultrasonic unit and
CT4 tip or sealer tip. Great care must be taken not to sever the point and damage the coronal
end. The point is withdrawn using Stieglitz forceps or small-ended artery forceps.

Mucoceles the best tx is:

a) Excision***
b) leave it
c) marsupialization
d) cauterization
470 ‫أكسفورد‬

Optimawater fluoridation:
a) 1-1.5 mg\liter. ***
b) 0.2-0.5 mg\liter.
C) 2-3 mg\liter
459‫ كتاب طب أسنان األطفال ص‬:‫المرجع‬
.‫وفي المناطق الحارة حيث يكثر شرب الماء يجب أن يكون تركيز الفلورايد أقل‬

Acute exacerbation of chronic pulpitis: ‫سورة حادة‬

a) Reversible pulpitis.
B) Irreversible pulpitis.
C) Acute periodontitis. *** ‫األصح‬
d) Acute exacerbation of chronic pulpitis
‫ ولكن التهاب اللب المزمن خفيف األعراض يتحول إلى خراج‬،‫السورة الحادة الشائعة تصيب الخراج المزمن وتحوله لحاد‬
.‫حاد عند حدوث سورة حادة‬

ISOLATION PERIOD OF CHICKENBOX SHOULD BE:

-AFTER APPEAR OF RACH BY WEEK
-UNTILL VESICLE BECOME CRUSTED. ***
-UNTIL CARTER STAGE IS LAST
.‫يتم عزل مريض الحأل النطاقي حتى تنقشر جميع الحويصالت‬
Dental decks - page1308
Its most contagious one day before the onset of rash and until all vesicle have crusted.
10 years pt come with necrotic pulp in upper central with root apex not close yet best
treatment
-calcium hydroxide. ***
-calcific barrier.
-apexfication with gutta percha filling
-gutta percha filling
‫ إذا ً الخيار األول ال‬،‫ ومن ثم الحشو بالكوتابركا‬CALCIFIC BARRIER ‫الهدف من ماءات الكاسيوم هو تشكيل السد الذروي‬
!!‫يتعارض مع الثاني‬

:‫طيب هذا السؤال أليس أوضح وإبن حالل‬

331) child 10 years came with trauma on the center incisor from year ago ,and have
discoloring on it , in the examination ,no vitality in this tooth ,and in the x ray there is fracture
from the edge of the incisal to the pulp ,and wide open apex the best treatment ?
A)calcification. ***
B)RCT with gutta percha
C)extraction
D)capping

We put the pin very close to line angle because this area
-less material of restoration need
-intiate dentin crises
-need less condensation of material
:‫لم أجد بالمراجع شيء يفيد بهذا الخصوص‬
Dental secrets – page 201
In general, they should be placed at the line angles where the root mass is the greatest.
And
Art and science of operative dentistry 2000 – page 774
Therefore it may be necessary to prepare first a recess in the vertical wall with the No.245
bur to permit proper pinhole preparation, as well as to provide a minimum of 0.5 mm
clearance around the circumference of the pin for adequate condensation of amalgam.

In fixed p.d u use gic for cemntation what best to do

-remove smear layer by acid to increase adhesion
-do not varnish because it affect adhesion. ***
-mixed slowly on small area untill become creamy
-remove excess when it in dough stage

"Contemporary Fixed Prosthodontics ROSENSTIEL – page 772" ‫وهو المرجع المطلوب من الهيئة‬
‫ أما فوسفات الزنك فيمزج‬،‫ ثوان لكل دفعة وعلى سطح واسع‬10 ‫يجب مزج الغالس إينومير على دفعتين وبسرعة خالل‬
.‫ببطء وبالتدريج‬
For glass ionomer cement, the measured powder is divided into two equal parts and mixed
with a plastic spatula. The first increment is rapidly incorporated in 10 seconds, and the
second increment is incorporated and mixed for an additional 10 seconds.
.‫يجب عدم تنظيف السن بالحمض خوفا ً من تعريض اللب لألذى‬
Avoid using cavity cleaners to aid in drying the preparation because they may adversely affect
pulpal health.
‫يجب إزالة الزوائد بعد تصلب اإلسمنت‬
Remove excess cement with an explorer. Early cement removal may lead to early moisture
exposure at the margins with increased solubility.

Child have tooth which have no moblity but have luxation best treatment:
-acrylic splint
-non rigid fixation = flexible
-rigid fixation

To drain submandibular abscess:

a) Intraorally through the mylohyoid muscles.
B) Extraorally under the chin.
C) Extraorally at the most purulent site.
D) Extraorally at the lower border of the mandible. ***

"Oral and maxillofacial surgery - Jonathan Pedlar – page96"

Scale to measure marginal deterioration:

1. Mahler scale.***
2. Color analogues scale.

"Art & Science - page 158"

Progression of the events to deeper or more extensive ditching has been used as visible
clinical evidence of conventional amalgam deterioration and was the basis of the mahler
scale

3/ ST.coccus mutans cause caries & this disease is?

1/ epidemic ‫وبائي‬
2/endemic. *** ‫مستوطن‬
3/isolated ‫معزول‬

Best Root Canal Material primary central incisor:

a-idoform ‫كحشوة‬
b-Guttapercha
c-Formacresol ‫كدواء‬

3-Studies show that Complete Remineralization of surface of an accidentally etched enamel:

a- never occur
b-after hours
c-after weeks
d- after months
:1 ‫مرجع‬
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 355
Remineralization of etched enamel occurs from the saliva, and after 24 h it is
indistinguishable from untreated enamel.
:2 ‫مرجع‬
‫يجب أن تغطي المادة الرابطة كل أجزاء السطح المكيف حيث يحتاج السطح المكيف الذي يبقى دون مادة رابطة ودون‬
‫ –أشهر حتى يستعيد تمعدنه الطبيعي وخالل ذلك سيكون هذا السطح عرضة للعوامل الخارجية‬3 2 ‫كومبوزيت إلى حوالي‬
.‫ولحدوث التصبغات‬

4-One of these has no effect on the Life span of handpiece:

a-Low Air in the compressor. ***
b-Trauma to the head of the hand piece
c-Pressure during operating

5-Most used Scalpel in oral surgery:

a-Bard Parker blade # 15. ***

6-Advantage of Wrought Wire in RPD over Cast Wire:

a-Less irritation to the abutment.

Why we use acrylic more than complete metal palate in complete denture:
- Cant do relining for the metal. ***

Relining of denture:
- remove all or part of fitting surface of the denture and add acrylic
- add acrylic to the base of the denture to increase vertical dimension. ***

Rebasing of Complete Denture mean:

a-Addition or change in the fitting surface
b-Increasing the vertical dimension
c-Change all the fitting surface. ***
401 ‫ أكسفورد ص‬:‫المرجع‬
Rebasing is replacement of most or all of the denture base.
.‫ أما التبطين فهو إضافة أو تعديل باطن الجهاز‬،‫وفيه يجب عدم تغيير البعد العمودي‬

8-When Do class I preparation of posterior tooth for Composite Restoration:

a-remove caries only. ***
b-extend 2mm in dentin
‫ويمكن تمديد الحشوة لتشمل الوهاد والميازيب الحرجة‬

9-Color Stability is better in:

a-Porcelain. ***
b-Composite
c-GIC

11-when all the teeth are missing EXCEPT the 2 canines , according to kennedy classification it
is:
a- Class I modification 1. ***
‫ألن الصنف الرابع (الفقد األمامي) ليس له تعديل‬

12-Pontics are classified according to their surface toward the ridge of the missing tooth ,
...............................
A-Both statment are true
b-both are false
c-1st is true ,2nd is false
d-1st false , 2nd true

13-Antibiotics are most used in cases of:

a-Acute Localized lesion
b-Diffuse , Highly progressing lesion. ***

14-Patient un-cooperation can result in fault of operation, Technical faults ONLY are related
to patient factor
TRUE.
FALSE. ***

Bone graft material from site to another site in the same person
a-allograft
b-auto graft ***
c-alloplast
d-xenograft

ester type of local anath secreted by

a-liver only
b-kidney
c-lung
Ester ---Blood plasma
But amide—liver
Dental decks 1860

380) where does the breakdown of Lidocaine occurs :

A) kidneys
B) Liver. ***
Energy absorbed by the point of fracture called
a-ultimate strengh
b-elastic limit
c-toughness ***
d-britlness

Toughness
It is defined as the amount of energy per volume that a material can absorb before rupturing.
Toughness - Wikipedia, the free encyclopedia
The ability of a metal to deform plastically and to absorb energy in the process before fracture
is termed toughness.
Toughness

patency filling
a-push the file apically to remove any block at the apex ***
b-rotate the file circumferentially at the walls to remove any block of lateral canals.
c-rotary files circumferentially at the walls to remove any block of lateral canals.
D-file with bleaching agent.

best stress transfer under amalgam

a-with thin base layer.
b-with thick base layer. ***
c-if put on sound dentin.

637. Tooth with full crown need RCT, you did the RCT through the crown, what is the best
Restoration to maintain the resistance of the crown:
A) Glass ionomer resin with definite restoration.

Acidulated phosphat flouride

a-1% fluoride ions
b-1.23% ***
c-2%
d-2.23%
f-3%

15/ child with vesicle on the hard palate with history of malaise for 3 days what is the
possible diagnosis:
1/ herpes simplex. ***
2/ erythema multiform
140‫أكسفورد ص‬
‫الحويصالت والتوعك من عالمات الحأل البسيط‬
16/ 5 years old pt had extraction of the lower primary molar & he had fracture of the apex of
the tooth what is the best ttt:
1/ aggressive remove
2/ visualization & remove
3/ visualization & leave. ***

17 / 7 y/o boy came to the clinic in the right maxillary central incisor with large pulp
exposure:
1/ pulpectomy with Ca(OH)2
2/ pulptomy with Ca(OH)2. ***
3/ Direct pulp capping
4/ leave it

23/ wax properties are:

1/ expansion
2/ internal stress
‫حسب كتاب المواد السنية‬
‫ التشكيل واالنسياب‬:ً ‫صفتا الشمع عموما‬
‫ درجة تذويبه أعلى بقليل من درجة حرارة الفم ليتحمله المريض – عامل‬: ‫من الصفات الواجب توافرها في شمع الصب‬
.‫تمدد وتقلص منخفض – ناقلية حرارية منخفضة‬

24/ old pt came to replase all old amalgam filling he had sever occlusal attriation the best
replacement is:
1/ composite
2/ amalgam
3/ cast metal restoration ‫حشوات مصبوبة‬
4/ full crowns. ***
‫ ملم‬5 ‫ تستطب التيجان الكاملة بحيث ال تتعدى زيادة البعد العمودي اإلطباقي‬340‫حسب أكسفورد ص‬

25/ Teenager boy with occlusal wear the best ttt is :

1/ remove the occlusal
2/ teeth capping
3/ restoration

Child has bruxism to be treated with

sedative
cusp capping
vinyl plastic bite guard. ***

"Dentistry for Child and Adolescent - Page 646"

A vinyl plastic bite guard that covers the occlusal surfaces of all teeth plus 2 mm of the buccal
and lingual surfaces can be worn at night to prevent continuing abrasion. The occlusal surface
of the bite guard should be flat to avoid occlusal interference
26/ avulsed tooth:
1/ splint (7-14) day. ***
2/ or (3- 14) weeks

33-proxy brush with which type of furcation:

Furcation Grade 1-1
Furcation Grade 2-2
Furcation Grade 3-3. ***
Furcation Grade 4-4

41.instrument which we use to make groove in the wax is

Curver

After u did upper& lower complete denture 4 old pt. He came back 2 the clinic next day
complaining of un comfort with the denture
After u re check ,no pain, good occlusion, good pronunciations , but u notice beginning of
inflammation in the gum and outer margins of the lips , u will think this is due to:
1- xerostomia. ***
2-vit-B deficiency

Patient with leukemia absolute neutrophilic count is 1700 what oral surgeon should do
go on the manager
postpone another day
work with prophylactic antibiotic. ***
platelets transfusion

Amalgam restoration and there is also gold restoration in the mouth what should dentist do?
Change rest.
Put separating medium.
Wait. ***
put varnish.
‫ المواد السنية‬:‫حسب كتاب‬
.‫تتشكل طبقة متلونة بفعل األكسدة تغطي الحشوة وتعزلها عن الوسط الفموي ويتالشى انزعاج المريض مع الوقت‬

51-colour of normal gingiva in interplay between:

Keratin- b.v. – melanin- epithelial thickness

An 8 years old child, suffered a trauma at the TMJ region as enfant. Complaining now from
limitation in movement of the mandible. Diagnosis is:
a) Sub luxation
b) Ankylosis. ***
1. Genralised lymphadenopathy seen in
a- infection
b- lymphocytic leukemia
c- HIV
d- perncious anemia
a+b
a+b+c. ***
only d
b+d

Causes of generalized lymphadenopathy

Infection :
Viral : Infectious mononucleosis, Infective hepatitis, AIDS
Bacterial : Tuberculosis, Brucellosis, 2ry syphilis
Protozoal : Toxoplasmosis
Fungal : Histoplasmosis
Malignant : Leukaemia – Lymphoma - Metastatic carcinoma
Immunological : Systemic lupus erythematosus - Felty's syndrome - Still's disease
Drug hypersensitivity as Hydantoin, Hydralazine, Allopurinol
Misc. : Sarcoidosis – Amyloidosis - Lipid storage disease - Hyperthyroidism

Pt has bad oral hygine and missing the right and left lateral insicor what ttt
1_implant
2_rpd
3_conventional fpd
4_Marylad bridge. ***

"Summery of Operative dentistry – page 44"

• Small occlusal forces (adhesive bridges in bruxist patients or when replacing maxillary
canine have poor results) • Intermediate restoration. • Missing lateral incisors. • ‘Virgin’
abutment teeth. • Favorable occlusal scheme (deep overbite unfavourable, Class III occlusion
favourable) • Splinting teeth.

Contraindication of gingivectomy
a-periodontal abscess

surgical interference with edentulous ridge for

a-good retention, stability and continuous uniform alveolar ridge. ***

3.The tip of size 20 endo file is:

- 0.02 m.m
- 0.2 m.m***
 4.In FPD in upper posterior teeth we should have gingival embrasure space to have healthy
gingival so the contact:
-in the middle
-depend in the opposing occlusion

8.Bonding agent for enamel we use:

-unfilled resin. ***
-primer & adhesive bonding agent.
-resin dissolve in acetone or alcohol.
-primer with resin modified glass ionomer.

Dental secrets – page 188

1- The etchant: phosphoric acid, nitric acid, or another agent that is used to etch enamel
and/or precondition the dentin.
2- The primer: a hydrophylic monomer in solvent, such as hydroxymethalmethacrylate. It
acts as a wetting agent and provides micromechanical and chemical bonding to dentin
3- The unfilled resin is then applied and light or dual-cured. This layer can now bond to
composite, pretreated porcelain luted with composite, or amalgam in some products.

10.We redo high copper amalgam restoration when we have:

-amalgam with proximal marginal defect. *** >food accumulation
-open margin less than 0.5 mm

11.Complex amalgam restoration when to do it:

-weak of the cusp with undermine enamel…….
-
-bevel and contra bevel
-week cusp should strengthen it by resin

2. For cavity class II amalgam restoration in a second maxillary premolar, the best matrix to be
Used:
A) Tofflemire matrix. ***
B) Mylar matrix
C) Gold matrix
D) Celluloid strips

Summery of Operative dentistry – page 220

Types of matrices
Metal Firm, used for amalgam restorations.
Mylar Easily mouldable and can light-cure through; used for resin composite.
Plastic Rigid, can light-cure through; used in Class V cavities.
Difficult cases In deep subgingival cavities use of special matrices such as tofflemire or
automatrix or copper bands often achieve better contact points and marginal adaptation.
Occasionally electrosurgery required to permit matrix adaptation.

13.Most important sealer criteria to be success:

-high viscosity
-high retention
-high strength
-can add colorant
-High resilience

14.Discoloration of endo treated teeth:

-hemorrhage after trauma
-incomplete remove GP from the pulp chamber
- Incomplete removal of pulp tissue

Pocket Atlas of Endodontics – page 178

In order to prevent discoloration of the tooth crown by components of the root canal filling
material, a heated instrument must be used to sever the filling material 2mm apical to the
cementoenamel junction.
Pocket Atlas of Endodontics – page 88
It must be sufficiently extended mesially and distally so that the pulp horns can be completely
accessed and all necrotic tissue removed. Tissues that are left behind can lead later on to
discoloration of the clinical crown.

Pathway of the pulp 9ed – page 231

The access cavity is positioned too far to the gingival with no incisal extension. This can lead
to bur and file breakage, coronal discoloration because the pulp horns remain.

15.Bacteria release from bacteria in endo canal…..:

-from dentin bacteriods ??
- ……..

16. Cast with (+ve) bubble b/c of:

- Mixing stone
- Voids in impression when taken by the dentist*.
-pouring
-using warm water when mixing ston.

17.Non absorbable suture:

-catgut
-vicryl
-silk. ***
18.most important criteria for full ceramic FPD:
-high compressive strength. ***
- High tensile strength.

Restorative dental materials 2002 – page 5

Because ceramics are stronger in compression than in tension, this property is used to
advantage to provide increased resistance to shattering.

19- Balance occlusion should be utilize in natural dentition . & may all or some of the teeth
contact in both side regardless where mandible move.
-.1st true & 2nd false
- 1st false & 2nd true
- both false
- both true

20. Balance occlusion in complete denture help in:

-retention
- stability &…..
-

21. Reciprocal arm in RPD help to resist the force applied by which parts:
-retentive arm*
- guide plane and …

23. Pt come with pain tooth #.. When drink hot tea . Pain continuous for 10 minutes
diagnosis:
- irreversible pulpitis ***
- necrotic

24.Thickness of amalgam in complex amalgam restoration in cusp tip area:

- 0.5 mm
- 1-1.5 mm
- 1.5-2 mm
-2-3 mm

25. Pulp with age:

- reduce collagen fiber
- Increase cellular in pulp
- decrease pulp chamber size.***

Pt need complete denture u take impression with irreversible hydrocolloid & poured it after
late more than 15 min the cast appear sort & chalky the reason is:
a. Dehydration of the impression. *** OX
b. Expansion of the impression
c. Immerse the impression in a chemical solution

27. Lingual bar contraindication:

- short lingual sulcus
- long lingual sulcus
- too crowded lower anterior teeth
Dental decks 671

.‫القوس اللساني يستخدم في حال وجود لجام لساني منخفض أو عمق بالميزاب اللساني أو ازدحام القواطع السفلية‬
.ً‫ عند وجود عرن عظمي ال يمكن إزالته وعند ميالن القواطع السفلية لسانيا‬:‫مضادات استطبابها‬

28. Over extended GP should remove using:

- ultrasonic vibrating.
- dissolving agent.
- rotary or round bur
- surgery

29. Sterilization mean killing:

- Bacteria and virus
-. Bacteria, virus, fungus and protozoa. ***
- Bacteria and fungus

30. Killing Bacteria is:

- Bacteriostatic
- Bactericidal. ***
-

34. The most technique use with children:

- TSD***
- hand over mouth
-punishment

38. Chronic pericoronitis:

- Difficult mouth opening
- Halitosis
-
-all of the above. ***

40. Safe months to treat pregnant ladies:

- 1-3
-4-6. ***
-7-9.

41. Mandibular 1st permanent molar look in morphology as:

- primary 1st mand molar.
- primary 2nd mand molar. ***
- primary 1st max molar.
- primary 2nd max molar.

44. Material which used for flasking complete denture:

- plaster
- stone
-refractory

Q- Ideal properties of RC filling material is the following EXCEPT:

a) Radiolucent in radiograph. ***
b)Not irritate the surrounding tissue
c) Easily removable when retreatment is necessary
d)Stable and less dimensional change after insertion

Q- Patient came to your clinic with dull pain in the #6 ,no response to the pulp tester, in
radiographs it shows 3mm of radiolucency at the apex of the root
Diagnosis is
a)chronic apical periodontitis
b) acute apical periodontitis
c)acute periodontitis with abscess
d)………

Q- best core material receiving a crown on molar:

a)amalgam. ***
b)reinforced glass ionomer
d)composite

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 158

Direct method Pre-formed posts are cemented into one or more canals. Amalgam may also
be Packed into the coronal aspect of the root canals (Nayyar core technique) and an amalgam
core Built up, which is the preferred technique. Resin modified GI or resin composite may
also be used.
These materials have the advantage that the preparation can be completed at the same visit.
A Dentine adhesive system should be used with resin composite to enhance retention.
Q- most comon site which drain pus is:
a) mandibular central incisors
b)mandibular canines
c) mandibular first molar
d)……..

Q-The nasopalatine bone forms a triangle will be parallel to an imaginary lines extended
between cemento-enamel junctions of adjacent teeth
True
False

Q- When removing moist carious dentin which exposes the pulp, dentist should:
1- do direct pulp cap
2- do indirect pulp cap
3- prepare for endo. ***

"Dental secrets – page 167"

There is general agreement that carious exposure of a mature permanent tooth generally
requires endodontic therapy. Carious exposure generally implies bacterial invasion of the
pulp, with toxic products involving much of the pulp.
However, partial pulpotomy and pulp capping of a carious exposure in a tooth with an
immature apex have a higher chance of working.

"Dental pulp 2002 – page 335"

Cavity Cleansing, Disinfection, and Hemorrage Control
A clinical review failed to support direct pulpcapping or pulpotomy procedures in teeth when
a mechanical exposure pushes infected carious operative debris into the subjacent pulp.
Because of the stigma of long-term failures, our profession generally selects traditional
endodontic treatment. Only in the treatment of pulp exposures in fractured young anterior
teeth with open apices does the literature discuss pulpotomy or direct pulp-capping with
Ca(OH)2.

Q- In prevention of dental caries, the promotion of a healthy diet is:

1- low effective measure
2- moderately effective measure
3- high effective measure
4- mandatory measure

Q- Treatment of cervical caries in old patients with a temporary restoration is best done by:
a)Glass ionomer. ***
b)composite resitn
c)………
d)……..

Q- Most used sugar substitute:

a) Sorbitol
b) Mannitol
c) Insulin
d) Xylitol ***

Q- Follow up of RCT after 3 years , RC failed best treatment is to:

a) Extraction of the tooth
b) Redo the RCT . ***
c) Apicectomy

Q- acute abscess is:

a) Cavity lined by epithelium.
B) Cavity containing blood cells.
C) Cavity containing pus cells. ***
d) Cavity containing fluid.

MASTER DENTISTRY- Oral and Maxillofacial, Surgery, Radilolgy, Pathology and Oral Medicine
An abscess is a pathological cavity filled with pus and lined by a pyogenic membrane.
epithelium ‫أما الناسور (يترافق مع الخراج المزمن) فهو مبطن بنسيج بشروي‬
.15‫ ص‬Pathway of the pulp 9ed 1st ‫المرجع‬
‫وكذلك الكيس بطانته بشروية‬

Q-The most close tooth to the maxillary sinus:

a)maxillary 1st molar. ***

Q17) The aim of biomechanical process during endo is to allow:

a) GP reach the apex. ***
b) Debridement materials reach the apical area.
C) ……..x

632. The aim of treatment maintenance is:

A) Prevent secondary infection.. ***
B) Check tissue response.

Q- the retainer of rubber dam

a)four points of contact two buccally and two lingually without rocking
b) four points of contact two buccally and two lingually above the height of contour
c) four points of contact two mesially and two distally
d) 2 points ………

Q- in registering the vertical dimension of occlusion for the edentulous pt, the physiological
rest position:
a) is equal to the vertical dimension of occlusion
b) may be exceeded if the appearance of the pt is enhanced
c) is of a little importance as it is subjected to variations
d) must always be greater than vertical dimension of occlusion

Mandibular fracture other complications:

1_nasal bleeding
2- exophthalmos ‫جحوظ‬
3-numbness in the infraorbital nerve distribution ‫نمل‬

Hypercementosis and ankylosis is seen in

a: paget disease
b: monocytic fibrous dysplasia
c: hyperparathirodism

7 years patient come with untreared truma to tooth that became yellow in colour what you
shoul tell the parents
a: pulp is dead
b: pulp become calcified
c: the tooth will absorb normally
1: a and b
2: a and c
3" all of the above

The infection will spread cervically in infection from

a: lower incisors
b lower premolars
c: lower 2nd and 3rd molars
d: upper incsisors

Infeerior orbital fissure located

In hypertension patient the history is important to detect severity

a: true
b: false

When take x ray in upper premolar to locate lingual root using mesial shift it will apear
a: distal
b: buccal
c: lingual
d: mesial. ***
in inflamed muocosa due to wearing denture to when do new denture
a: immediatly
b: after week
c: put tissue conditioning material and wait until the tissue heal and take impression after 2
weeks. ***

23.the needle holder used in suturing of lower third molar

curved haemostate. ***
allis forceps
Adson forceps
Regular tweezers.

1- Remove thick epulis figuratum: ‫ورم لثوي مشكل‬

a- Allis forceps ***
b- Adson forcep
c- Curved hemostat
d- Stilli forcep

2) forceps to hold flap when suturing

answer: adson's ***

Pulp oedema
1- has no effect on vascular system
2- fluid is compressed in the vessels limiting the intercellular pressure
3- interstitial pressure increased due to increased vascularity *** ‫زيادة الضغط الخاللي‬
4- cause necrosis of the pulp tissues

the favored relationship in case of fabrication of a lower class 1 RPD opposing a natural
dentition is
1- prognathism
2- working side
3- balancing side
4- none of the above

6) mechanochemical prep'n during RCT main aim: ‫الهدف الرئيسي‬

1) widening of the apex
2) master cone reaches the radiographic apex
3) proper debridement of the apical part of the canal***

7) master cone doesn't reach the apex

1)ledge
 2)residual remenants (debris)
3)......
4) 1&2 ***

13) pterygomandibular raph.

Insertion & origin
muscles
should be medial to the injection
all of the above. ***

16) child patient with oblitration in the centeral permenant incisor. What will you do:
RCT
pulpotomy
pulpectomy
careful monitoring***

a drawing ……
The divergence should be mesiodistally for an amalgam restoration
no it should be convergent
if the remaining proximal marginal ridge = 1.6 mm
only if > 1.6 ***
only if < 1.6

:‫صيغة اخرى‬
9- Picture of the tooth show divergence of the mesial and distal
a- Not correct, it should be convergence
b- Correct but it should be for occlusal with = 1.6mm
c- = = = >1.6mm ***
d- <1.6 mm

299. Patient that has a central incisor with severe resorption and who's going through an
ortho treatment that is going to make him extract the premolars, which of the following
won't be present in the treatment plan
rpd
implant
Maryland bridge
auto implant of the premolars.
‫مشكوك في صيغة السؤال كما هي ولكن األنسب هو الخيار األول فهل نضع جهاز متحرك من أجل سن واحد؟؟‬
:76 ‫ وجسر ماريالند مناسب لهذه الحالة وورد في أكسفورد ص‬، ً‫الزرع ممكن مستقبال‬
Transplantation of a lower premolar into the socket of an extracted incisor can be considered if
lower arch is crowded.
300. Patient with radiopacity in the periapical area of a 1st mandibular molar with a wide
carious lesion and a bad periodontal condition is:
condensing osteosis ***
hypercementosis

301. Patient had anaphylactic shock due to penicillin injection , what's the most important
in the emergency treatment to do:
200 mg hydrocortisone intravenous
0.5 mg epinephrine of 1/10000 intra venous
adrenaline of 1/1000 intra muscular. ***

Http: //http: //www.wrongdiagnosis.com...y/treatment...

Anaphylaxis is always an emergency. It requires an immediate injection of 0.1 to 0.5 ml of
epinephrine 1: 1,000 aqueous solution, repeated every 5 to 20 minutes as necessary.
• If the patient is in the early stages of anaphylaxis and hasn’t yet lost consciousness and is
still normotensive, give epinephrine I.M. or subcutaneously (S.C.), helping it move into the
circulation faster by massaging the injection site. For severe reactions, when the patient has
lost consciousness and is hypotensive, give epinephrine I.V.
:‫مالحظة‬
‫ بينما عند حدوث التحسس من البنسلين فإن األدرينالين المستخدم‬%2 ‫األدرينالين المستخدم للتخدير الموضعي الطبيعي‬
1/1000 ‫ أي‬%0.5-0.1 ‫للحقن العضلي‬

263) bronchial asthma epinephrine concentration subcutaneously

A) 1/1000. ***
B) 1/10000
C) 1/100000

Dental secrets – page 50

If the reaction is immediate (less than 1 hour) and limited to the skin, 50
mg of diphenhydramine should be given immediately either intravenously or intramuscularly.
The patient should be monitored and emergency services contacted to transport the patient
to the emergency department. If other symptoms of allergic reaction occur, such as
conjunctivitis, rhinitis, bronchial constriction, or angioedema, 0.3 cc of aqueous 1/1000
epinephrine should be given by subcutaneous or intramuscular injection. The patient should
be monitored until emergency services arrive. If the patient becomes hypotensive, an
intravenous line should be started with either Ringer’s lactate or 5% dextrose/water.

27) which is contraindicated to the general anaesthia:

patient with an advanced medical condition like cardiac ....***
down's syndrome patient
child with multiple carious lesion in most of his dentition
child who needs dental care, but who's uncooperative, fearful...etc

28) continuous condensation technique in gp filling is:

obtura I
obtura II
ultrafill
System B. ***
.‫جميع الخيارات الثالثة األولى من تقنيات حقن الكوتا الملينة بالحرارة‬

39 ) best material for major connector.

Gold wrought wire
chrome cobalt ***
gold palladium
titanium

41) during 3/4 crown preparation on premolar, bur used to add retentive grooves is:
radial fissure

42) on a central incisor receiving a full ceramic restoration, during finishing of the
shoulder finish line subgingivally
Diamond end cutting

44) in a class III composite with a liner underneath, what's the best to use
light cured GI. ***
zno Eug
Reinforced znoeug

45) outline of 2nd molar Access Opening

Triangular with the base mesially***

397) The outline form of upper maxillary molar access opening is Triangular, The base of this
triangle is directed toward :
A) Buccal. ***
B) Palatal
C) Mesial
D) Distal

48)after usage of sharp scalpels, needles, what's the best management

1) throw in a special container of sharp instrument. ***
2)sterilize and re use
3) through in ordinary plastic waste basket

259) sharping of hand instrument mounted air driven better than unmounted due to
A) fine grift. ***
B) sterilization
C) ability to curve instrument
The mounted-stone technique. The second technique for sharpening dental instruments is
the mounted-stone technique. This technique is especially useful in sharpening instruments
with curved or irregularly shaped nibs. Equipment consists of mandrel-mounted stones, a
straight handpiece, lubricant, two-inch by two-inch gauge, and again, the instrument to be
sharpened. Mounted stones are made of two materials, Arkansas stones and ruby stones
(sometimes called sandstones). Ruby stones are primarily composed of aluminum oxide. The
ruby stone is comparatively coarse, has a rapid cutting ability, and is used for sharpening
instruments that are dull. Mounted stones are cylindrical in shape and appear in several sizes.
They have a fine grit and are used with the straight handpiece. The stones permit rapid
sharpening, but without extreme care, will remove too much metal and may overheat the
instrument. Overheating the instrument will destroy the temper, thereby causing the
instrument to no longer hold a sharp edge.

22) Unmounted sharpening instruments are better than mounted because:

has finer grains
don't alter the bevel of the instrument
easier to sterilize
less particles of the instruments are removed = cut less of the plade.

Veterinary dentistry: principles and ... -

&ved=0CA0Q6AEwAQ&safe=active#v=onepage&q&f=fals e
Unmounted stones are customarly preferred as they are kinder on insturment by removing
less metal in the sharpening process
‫موضوع أفضلية التعقيم مذكور ولكن ليس بأهمية حفظ األدوات من التآكل أثناء التشذيب‬
"Clinical Aspects of Dental Materials: Theory, Practice, and Cases, 3rd Edition"

Came to the clinic complaining from pain related to swelling on maxillary central incisor area
with vital to under percussion?
1/ periapical cyst
2/incisive cyst( nasopalatin cyst)
3/ globulomaxillary cyst
4/ aneurysmalbone cyst

Y/o boy came to the clinic in the right maxillary central incisor with large pulp exposure:
1/ pulpectomy with Ca(OH)2
2/ pulptomy with Ca(OH)2. ***
3/ Direct pulp capping
4/ leave it

The percentage of simple caries located in the outer wall of the dentin (proximal sides of the
tooth) which left with out cavitations is around:
1-10%
2-30%
3-60% ***
4-90%

Irrigation solution for RCT ,when there is infection and draining from the canal is
a) Sodium hypochlorite
b) Iodine potassium
c) sodium hypochlorite and iodine potassium. ***

"Pocket Atlas of Endodontics – page 154"

Therefore, like citric-acid rinsing, EDTA solution is recommended before the placement of
calcium hydroxide. At a 15% concentration, citric acid has been shown to be very effective
against anaerobic bacteria.
Solvidont, a bisdequalium acetate, exhibits good antibacterial properties, but also an
unfavorable relationship between cytotoxicity and antibacterial efficiency.
Physiologic saline (nacl) is by far the most tissue-friendly rinsing solution, but its antibacterial
effect is quite low.
Iodine and also potassium iodine are good antiseptics with equally good tissue
biocompatibility.`
“Betadine” is the commercially available product.
With paraformaldehyde or phenol-containing solutions, on the other hand, the tissue
toxicityis higher than the antibacterial efficacy.

2- pt came with class IV he had tooth trauma & he brought the fracture segment & on
examination u found that the pulp is not exposed & only u can see dentine, how u manage:
- to get rid of the fragment & fill with composite
- to reattach the fragment with composite and latter cover with veneer
- others

12-patient came to dentist after previous stressful procedure complaining of burning &
discomfort of his lip on examination u found lesions on the palate, diagnosis is
contact dermatitis-
allergy-
aphthous ulser-
herpes simplex (herpetic gingivostomatitis) ***

1- adult 20 years male with soft tissue & dental trauma reveals severe pain in soft tissues with
loss of epithelial layers and anterior upper centrals are intruded the diagnosis is:
a-abrasion with luxation
b-errosion with sub luxation
c-ulceration with luxation
d-ulceration with subluxation
2-trigeminal neuralgia treated by carbomizapine, the max dose per day divided in doses is:
a-200 mg
B-500mg
C-1000mg
D-1200mg
104 ‫ كتاب األلم الفموي الوجهي ص‬:‫المرجع‬
‫ ملغ‬1200-600 ‫الجرعة اليومية‬
Usual Adult Dose for Trigeminal Neuralgia
Initial dose: 100 mg orally twice a day (immediate or extended release) or 50 mg orally 4
times a day (suspension).
May increase by up to 200 mg/day using increments of 100 mg every 12 hours (immediate or
extended release), or 50 mg four times a day. (suspension), only as needed to achieve
freedom from pain. Do not exceed 1200 mg/ day.
Maintenance dose: 400 to 800 mg/day.
Some patients may be maintained on as little as 200 mg/day while others may require as
much as 1200 mg/day. At least once every 3 months throughout the treatment period,
attempts should be made to reduce the dose to the minimum effective level or to discontinue
the drug

Read more: Carbamazepine Dosage - Drugs.com

3-10 years child with congenital heart disease came for extraction of his lower 1st molar, the
antibiotic for choice for prevention of infective endocarditis is;
a-ampicelline 30 mg /kg orally 1hour before procedure
b-cephalixine 50mg/kg orally 1hour before procedure
c-clindamicine 20mg/kg orally 1hour before procedure
d-amoxicilline 50mg/kg orally 1hour before procedure
Dental secrets
"Amoxicillin, 2.0 gm orally 1 hr before procedure"

4-the organism that not found in newborn mouth:

a-streptococcus mutant
b-streptococcus salivaris
c-e-coli
d-skin bacteria

‫المصدر التالي ينفي وجود العقدية اللعابية والطافرة‬

Http://jdr.sagepub.com/content/49/2/415.full.pdf
- Breast-fed babies, six months' old, studied by Belding and Belding,6 did not have S salivarius.
When diets were supplemented with cereals and sugar, S salivarius became the dominant
organism of saliva. When this supplement was excluded from the diet, S salivarius
disappeared entirely.
- The absence of S mutans and S sanguis from the mouth of the infants agrees with previous
findings that these streptococci require hard surfaces such as teeth and dentures for
successful colonization in the mouth.'0"14 Subsequent studies of the infants in the present
study will reveal if the occurrence of these streptococci in the mouth is strictly correlated to
the eruption of the teeth.

And
This infection, which generally affects only one breast, usually occurs two to three weeks
postpartum, but it might occur after only one week. It's caused by Staphylococcus aureus and
Escherichia coli bacteria.1 These bacteria often are carried on the mother's or (hospital)
staff's unwashed hands, or in the newborn's mouth.2 The bacteria enter the mother's body
through an open, injured area of the nipple, although in some cases there might be no
discernible wound.

288) baby born without which bacteria:

A) Streptococcus mutans. ***

390) for a newly erupted tooth, the most bacteria found around the tooth is
A) Streptococcus mutans. ***
B) Streptococcus salivaris

What is uses if microscop???

To see metaobolic.
To see live cells. ***
To see dead cells.

6-instrument used for scratching stone cast to make postdam:

a-le cron carver

In primary tooth for restoration before putting the filling u put

base-
calcium hydroxide ***
varnish-

-best way to detect presence of 2 canals

putting 2 files & take x-ray ***

-for root canal treated tooth u choose to put post & amalgam this depend on
remaining coronal structure ***
root divergence-
presence of wide root-
others

19-The best method for core build up is:

1. Amalgam.
2. Compomer. ***
3. Glass ionomer.

Patient has a palatal torus b/w hard & soft palate, the major connector of choice
anteroposterior palatal strap-
u shaped ***
posterior palatal strap-

White lesion bilaterally on cheek,& other member in the family has it

-leukoplakia
-white sponge nevus. ***
others
"Burket- Oral medicine"
White sponge nevus presents as bilateral symmetric white, soft, “spongy,” or velvety thick
plaques of the buccal mucosa. ‫وحسب هذا المرجع تصنف ضمن اآلفات الوراثية‬
And
White sponge nevus, also known as Cannon's disease, Hereditary leukokeratosis of mucosa,
and White sponge nevus of Cannon[1] appears to follow a hereditary pattern as an autosomal
dominant trait.[2]:807 Although it is congenital in most cases, it can occur in childhood or
adolescence.
It presents in the mouth, most frequently as a thick bilateral white plaque with a spongy
texture, usually on the buccal mucosa, but sometimes on the labial mucosa, alveolar ridge or
floor of the mouth

Patient has a denture & came with white plaques on the ridge, & u gave him tissue
conditioner, it was relieved, but again he return back with it after some days, cause:
uneven occlusion-
high occlusal dimension-
?????????????????????????????????
:‫السؤال في مكان آخر‬

Pt construct for him a complete denture after few days he came to u complaining from pain &
white spots on the residual ridge do relief in that area & give him ointment & after few days
he came again complaining the same but in another area the main cause is :
a. Uneven pressure on the crest of alveolar ridge. ***
b. Increase vertical dimension

After final inlay cementation and before complete setting of cement we should:
a-remove occlusal interferences
b-burnishing of peripheries of restoration for more adaptation. ***
c-lowering occlusal surface

"Pickard's Manual of Operative Dentistry Eighth edition OXFORD – page 186"

It is easier to remove excess cement before it finally sets. Once the cement is hard the rubber
dam is removed and the occlusion checked with articulating paper and adjusted with fine
diamond burs.

12-pt with renal dialysis the best time of dental tx is:

a-1 day before dialysis
b-1 day after dialysis. ***
c-1week after dialysis

Dental secrets – page 54

Patients typically receive dialysis 3 times/week. Dental treatment for a patient on dialysis
should be done on the day between dialysis appointments to avoid bleeding difficulties.
‫س اليوم‬0‫في الحاالت المعتدلة يتم تغيير الدم لمريض القصور الكلوي كل أسبوع وبعدها بيوم واحد يكون بأوج نشاطه عك‬
.‫ أما بنفس اليوم ال يمكن إجراء الجراحة الفموية بسبب وجود الهيبارين بالدم‬،‫السابق لتبديل الدم‬

13-pt with renal transplantation came with white elevated lesion on tongue no history of
smoking or tobacco chewing diagnosis is:
a-candidiasis
B-iatrogenic lesion. ***
c-hyperkeratosis
D-stomatitis

Patient have a complete denture come to your clinic he complain of gagging he wear the
denture for 5 years he feel the gagging in the first few days and it disappear what is the
cause:
1. Extend of the upper denture.
2. The patient has sensitivity to gagging.

17) patient with 5 years old denture has a severe gag reflex , upon history he says he had the
same symptoms in the first few days of the denture delievery and it went all alone
patient has severe gag reflex
patient has underlying systemic condition. ***
denture is overextended

17 – Pt presented with vehicle accident u suspect presence of bilateral condylar fracture what
is the best view to diagnose condylar Fracture:
1. Occiptomenatal.
2. Reverse towne. ***
3. Lat oblique 30 degree.

Reverse towne for fracture of condylar neck &ramus areas (dental decks)
Reverse Townes position, beam 30° up to horizontal. Used for condyles. (Oxford)
20 - Female come need to endodontic for central insical ,and have media composite
restorations in the mesial and distal walls ,and have attrition in the insicial, edge the best
restoration?
1. Jacket crown.
2. Full crown. ***
3. Metal crown.0

The nerve which supplies the tongue and may be anesthetized during nerve block injection:
1. V. ***
2. VII.
3. IX.
4. XII.

Electro surgery rate:

1. 1.5 – 7.5 million cycle per seconds. ***
2. 7.5 – 10 million cycle per seconds.
3. 10 – 25 million cycle per seconds.
4. 30 million cycle per seconds.
Caranza periodontology – page 582

41 - Immature tooth has less sensation of cold hot due to:

1. Short root.
2. Incomplete innervations.
3. Wide pulp chamber.

38 - Pt came to the clinic after he has an accident. X-ray revealed bilateral fracture of the
condoyle. Mandible movements are normal in all direction…. What is your treatment?
1. Inter maxillary mandibular fixation.
2. Fixed IMF for 6 weeks.
3. Inter mandibular fixation.
4. No treatment is performed only anti inflammatory drugs and observation.

37 - 6 years old patient received trauma in his maxillary primary incisor, the tooth is intruded.
The permanent incisors are expected to have:
1. Yellowish or whitish discoloration. ***
2. Displacement.
3. Malformation.
4. Cracks in enamel.
E. Yellowish or whitish discoloration with hypoplasia. ‫ممكن تأتي هذه الصيغة‬
Atlas Of Oral Medicine – page 151
Enamel hypoplasia : Trauma or infections of developing teeth.
35 - What is the best media for keep avulsion tooth:
1. In water same temperature of room.
2. In milk same temperature of room. ***
3. In cold water.
4. In cold milk.

3. Child with previous history of minor trauma with excessive bleeding we do test the
result is prolong PT & slightly increase clotting time & ……………. Test is +ve. the
diagnosis is:
a.hemophelia B.
b.thrombocytopenia. ***
c.vit.K deficiency.
dental decks

4. Head and neck nevi with multi lesion is:

1/Eagle syndrome.
2/Albert syndrome. *** (Albright syndrome)
Albright ‫ و‬Apert ‫ بل يوجد كل من‬Albert ‫ال يوجد متالزمة باسم‬
‫ تتألف من سوء تصنع عظمي ليفي متعدد وتصبغ جلد بقعي يشبه بقع القهوة‬:‫ متالزمة آلبرايت‬:795 ‫حسب أكسفورد ص‬
.‫ من الحاالت‬%25 ‫بحليب وتشوهات بالغدد الصماء وعدم تناظر وجه في‬

After u inject L.A for 2nd max molar pt become colorless with external sweeling its due to :
1/facial artrey
2/ plexus vein. ***
3/ Posterior alv. Nerve

Hand Book Local Anasthesia – page 168

Hematoma: This is commonly produced by inserting the needle too far posteriorly into the
pterygoid plexus of veins. Additionly, the maxillary artery me be perforated.

Avulsed teeth with replantation, dentist evaluate prognosis with :

1/flexible wire
2/ridge wire
3/in follow-up pd wire

Completed in centric occlusion is normal but in eccentric occlusion the lower ant teeth &
upper ant are interfere with contact wt should be do:
1/reduction of mand incisor
2/'' '' max ''
3/reduction of lingual inclination of max incisior
4/'' '' '' '' '' '' mand ''
 Food low cariogenic affect the following should be characteristic:
1/low buffring capacity
2/ph low than3
3/contain mineral

Pt need complete dt, when u did the examination u notice the max tubersity will be interfere
with dt
1/need 12 no blade to be extention
2/partial thickness flap extend buccal & palatal
3/suture under tension

Termal pulp test principle of:

1/blood supply of pulp
2/ nerve supply of pulp
3/AO fibers

Instrument used to remove dark color in dentin:

Round stone bur w low speed
Round diamond bur w low speed

167. Histopathologically, early verrucous carcinomas:

a. Have characteristic microscopic features
b. Can be confused with acute hypertrophic candidiasis
c. Can be confused with Lichen planus
d. Can be confused with chronic hypertrophic candidiasis

Oral pathology clinical pathologic correlation,3rd edition,Page 170-171,

Histopathologically ‫ وما قال انه‬distinct microscopic appearence ‫مو واضح بس في الكتاب كان قايل انه له‬
lichen planus ...‫ او‬acute or chronic candidiasis ‫يشبه‬

10- for recording of vertical dimention we use

Willis Gauge. ***

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 194

Resting face height is assessed using:
• A Willis gauge, to measure the distance between the base of nose and the underside of the
chin. Is only accurate to ±1 mm.
• Spring dividers, to measure the distance between a dot placed on both the chin and the tip
of the patient's nose. This method is less popular with patients and is C/I for bearded
gentlemen (or ladies!).
• The patient's appearance and speech.
Questionsًand Answers for Dental Nursesً
Willis gauge is used to record the occlusal face height of the the patient.

curing glass inomer

15)what name of bur used in proximal surface of laminate veneer???

Radial
dimound
fissure

http://www.brasselerusa.com/documents/Nixon_Porcelain%20Veneer%20II.pdf
The facial depth cuts are removed with the 850-014 diamond bur, and the long axis of the
diamond bur is “rolled” into the proximal chamfer area to eliminate any sharp line angles

16)what name of bur use in facial surface of veneer???

Dimond. ***
fissure

http://www.brasselerusa.com/products/display.cfm?zoom=diamonds&id=38
Round-end diamonds create chamfer margin and facial reduction for direct and indirect
veneer restorations

15)patient feel sever pain upper mouth pain is radiated to eay and ear ,after you chek no
caries when you pressure on maxilry premolar he feel pain. In xray no change what
dignosis???
Acute apical periodontits
maxilary sinusitis. ***
canine space infection
dentoalveolar infiction

4-pacifier habit what you see in his mouth??? ‫اللهاية‬

Open bite.
Cross bite

In the pulp
1 cell rich zone inner most pulp layer wich contain fibroblast
2 cell free zone rich with capilleres and nerve networks
3 odonotbalstic layer wich contain odontoblast

18- What type pontic design would you in a patient with a high esthetic
demand when preparing teeth number 9 – 11 for a F P D :
a- ridge lap or saddle pontic
b- An ovate pontic
c- modified ridge lap pontic

21-Skeletal Bone of skull develop from :

a- Neurocranium ossification
b- Intramembranous ossification
c- Endochondral ossification.

Dental decks 287

Endochondral ossification : Short bone and long bone. Ethmoid, sphenoid and temporal bone.
intramembranous ossification: Flat bone.

71) Glenoid fossa is found in:

1/ orbital cavity
2/nasal cavity
3/ middle cranial fossa
D) temporal bone. ***

The glenoid fossa = the mandibular fossa.

The mandibular fossa: a depression in the temporal Bone that articulates with the condyle of
the Mandible and is divided into two parts by a slit.
And
Anatomy of the Human Body - Henry Gray – page 82

72) The spread of odontogenic infection is based on:

1/ host defense
2/ virulent of microorganism
3/ No. Of bacteria
4/ all. ***

81) 3rd generation of apexo locator:

Use with all pt
Need more research
Ncrease chair time
Decrease radiographic film need. ***

86) silane coupling agent:

1/ used with porcelain to enhance wetability of bonding. ***
2/ used with tooth and porcaline

96) pt taken heparins he should do surgery after :

1/ 1 Hr
2/ 2 Hr
3/ 4 Hr
4/ 6 Hr. ***

183) twins came to your clinic during routine examination ,you found great change behavior
Between both of them this due to
A)hereditary
B)environment
C)maturation.
Dentistry for child and adolescent

Human twins are of two basic types: monozygotic (or identical) twins resulting from
a single ovum fertilized by a single sperm, and dizygotic (or fraternal) twins
resulting from fertilization of two ova by two sperm.
It also follows that difference between monozygotic twins result from environmental
differences whereas those between dizygotic twins result from differences in both
heredity and environment

193) Dylantin (phynotoin) don’t give with :

B)azoles
C)metronidazole. ***
D) all of the above

194) Pregnant 25 years, bleeding on probing, location on papilla of anterior area of the
maxilla, Isolated:
A)giant cell granuloma
B) pyogenic granuloma (pregnancy epulis). ***
C) giant cell granuloma

195) Porcelain, highly esthetic, anterior maxilla area, we choose:

A) Dicor
B) in ceram. ***
C)impress

Fundamentals of fixed prosthodontics – page 436

In-Ceram has been used to fabricate fixed partial dentures, but the manufacturer
recommends only short-span (three-unit) anterior restorations.
Alumina-reinforced ceramic systems (In-Ceram) significantly improve the light reflection
characteristics of crowns when compared to conventional metal-ceramic restorations.
However, opaque aluminum oxide diminishes translucency when compared to leucite-
reinforced systems (Optec, IPS-Empress). To improve light transmission and reflection in
single anterior crowns where maximum strength is not required, a magnesium aluminous
spinel may be utilized. The transilluminating qualities seem to be similar to those of natural
teeth.

196) the highest strength in porcelain:

A) ZR (zircon) reinforced in ceram. ***

Q- class II amalgam restoration with deep caries the patient comes with localized pain related
to it after 3 months due to:
a)undetected pulp horn exposure
b) over occlusion
c) moisture contamination during the restoration.
d)…………

‫ يوم‬30-3 ‫ األلم بعد حشوات االملغم بسبب تمدد الحشوة‬:‫كتاب المواد السنية‬

198) Amalgam pain after restoration due to:

A) phase 2 gamma
B) phase 1 gamma
C) zinc containing alloy. ***
D) Admix alloy

43. Zinc if added to amalgam

a. Increase moisture sensitivity and cause expansion
b. Increase marginal integrity and longevity than zinc free amalgam
c. ---
d. ---
e. A+ b. ***
.‫يتحد زنك بالماء مطلقا ً الهيدروجين الذي يسبب تمدد الحشوة كما يزيد التمادي بسبب اإلنسياب على الحواف‬

215) endocrine and exocrine gland is :

A) pancreas. ***
B) pituitary gland
C) thyroid g
D) salivary g
E) sweat g

Wikipedia:
The pancreas is a gland organ in the digestive and endocrine system of vertebrates. It is both
an endocrine gland producing several important hormones, including insulin, glucagon,
andsomatostatin, as well as an exocrine gland, secreting pancreatic
juice containing digestiveenzymes that pass to the small intestine. These enzymes help to
further breakdown thecarbohydrates, protein, and fat in the chyme.
224) silane coupling agent:
1/ used with porcelain to enhance wetability of bonding. ***
2/ used with tooth and porcaline

298) during post removal the first thing to do is:

A) remove the G.P
B) remove all the old restoration & undermined enamel & caries. ***
C) insertion of post immediately

317) for discharged sharp instrument (blades, needle tips, wedges, …etc) put in :
A) dicharged paper basket
B) designed sharp instrument special container. ***
C) disinfectant in auto glave then throw
D) put it in multifoil

337) Female patient came to your clinic with continous severe pain related to 1st maxillary
molar. After examination dentist diagnose the tooth is carious and has irreversible pulpitis.
He decides to do RCT. After enough time for anaesthisation, the patient won’t allow the
dentist to touch the tooth due to severe pain. Dentist should:
A) give another appointment to the patient with description of antibiotics..
B) Extraction.
C)Intra-pulpal anaesthia.

338) 32 years old patient came to your dental office, suffering from a bad odour and taste
from
His mouth. By examination patient has an anterior mandibular 3 unit bridge that bubbles
upon
Applying water spray and slight pressure. Cause:
A) broken abutment.
B) Food impaction underneath the pontic.
C) separation between the abutment and the retainer.. *** (dissolving of cement /
microleakage)

340) Patient complaining from pain in the floor of the mouth (beneath the lower jaw) your
diagnosis is related to the salivary glands, what’s the best x-ray to help you:
A)panoramic
B)occlusal
C)sialograph. *** (Specialized radiograph for the Salivary gland disorders)

Dental secrets – page 107

Because the salivary glands consist of soft tissue, they cannot be seen on radiographs unless
special steps are taken to make them visible. In a technique called sialography.
342) distal surface for first upper premolar ,contact with the neighbor teeth :
A)in the middle with buccal vastness wider than lingual one
B)in the middle with lingual vastness wider than bucccaly one. ***

344) the movement of polymorphic cells in the gaps of intracellular to the blood capillary
Outside it called:
A)porosity ‫مسامية‬
B)slinking ‫تسرب‬
C) diapedesis. *** ‫( انسالل‬source Wikipedia)

23-Child with cleft palate and cleft lip with anodontia due to
a- Von Willebrand syndrome
b- Treacher Collins syndrome
c- Paget disease

25-Which of the following canals in # 14 is most difficult to locat:

a- palatal
b- Distobuccal
c- Mesiobuccal. ***
d- All of above
‫ قنوات في الحنكي‬3 ‫ قنوات في الجذر الدهليزي األنسي و‬3 ‫ يمكن أن يصل عدد قنوات الرحى األولى العلوية إلى‬:‫معلومة‬
.‫ في الدهليزي الوحشي‬2‫و‬

26-Which condition is an apical lesion that develop acute exacerbation of chronic apical
abscess:
a- Granuloma
b- Phoenix abscess. ***
c- Cyst
d- Non of above

27-Which tooth require special attention when preparing the occlusal aspect for restoration:
a- lower 2ed molar
b- lower 1st premolar. ***
c- lower 2ed premolar
d- upper 1st molar

Pt came 2 u with coloration bluish (or green?? ) and black in the gingival margins .he said that
hi has gasteriointensinal problem.this is caused because of :
a-mercury
b-lead
c-bismuth. ***
d-arsen.

.‫تستخدم أمالح البزموت ضمن أدوية تخص مرضى القرحة والحموضة المعدية‬

How can u repair fractured rest(in the place where it passes over the marginal ridge of the
tooth ) in removable partial denture?
A-spot welding
b-electric soldering
c-industrial brazing
d-.......

What is the test name for detecting the virulent of (bacteria i do not remember the name
may be spirochete)
a-hemolysis.....
B-catalase

Diabetic patient came to clinic with pain & swelling & enlarged mandible, on radiograph it
showed mouth eaten appearance, your diagnosis is :
a) acute osteomyelitis. ***
b) focal sclerosing osteomyelitis.
c) diffuse sclerosing.

http://www.dent.ucla.edu/pic/visitors/teethloss/page1.html
OSTEOMYELITIS : Radiographically the "moth-eaten" appearance is quite characteristic

345) Patient suffering from pain in the area of the mandibular molars with paresthesia in the
lower lip. By clinical and radiographic examination your diagnosis:
A) Acute osteomyelitis. ***

Dental secrets – page 95

Oral paresthesia may be caused by manipulation or inflammation of a nerve or tissues around
a nerve, direct damage to a nerve or tissues around a nerve, tum or impinging on or invading
a nerve, pnmary neural tumor, and central nervous system tumor.

19 - Hunter Schreger bands are white and dark lines that appear in:
1. Enamel when view in horizontal ground.
2. Enamel when view in longitudinal ground. ***
3. Dentin when view in horizontal ground.
4. Dentin when view in longitudinal ground.

http://www.wrongdiagnosis.com/medical/hunter_schreger_bands.htm
Hunter-Schreger bands: alternating light and dark lines seen in enamel of the tooth that begin
at the dentoenamel junction and end before they reach the enamel surface; they may
represent areas of enamel rods cut in cross-sections dispersed between areas of rods cut
longitudinally.

40 - Sealer is used in RCT to:

1- Fill in voids. ***
2- Increase strength of RC filling.
3- Disinfect the canal.

48 - Child patient presented with swelling in the buccal and palatal maxillary anterior area
tow days ago, the pathology of the lesion there is a giant cell, what is the diagnosis:
1. Giant granuloma.
2. Hemangioma.
3. ….

http://www.turkishjournalpediatrics.org/?fullTextId=227&lang=eng
Central giant cell granuloma (CGCG) is a benign intraosseous lesion of the jaws that is found
predominantly in children and young adults. Although benign, it may be locally aggressive,
causing extensive bone destruction, tooth displacement and root resorption.

51 – Child with anodontia and loss of body hair, the diagnosis is:
1. Down's syndrome.
2. Ectodermal dysplasia. ***
3. Fructose …..
4. Diabetic ….

52 – Cavity etching before applying GIC is:

1. Polyacrylic acid 10 seconds. ***
2. Polyacrylic acid 60 seconds.
3. Phosphoric acid 10 seconds.
4. Phosphoric acid 60 seconds.

54 – surgery for ridges aim to:

1. Vertical dimension.
2. Speech.
3. Modify ridge for stability. ***

56 – Patient with warfarin treatment and you want to do surgery, when you can do:
1. When PTT is 1 – 1.5 INR on the same day.
2. When PTT is 2 – 2.5 INR on the same day.
3. When PT is 1 – 1.5 INR on the same day. ***
4. When PT is 2 – 2.5 INR on the same day.
Dental secrets – page 38
Warfarin affects clotting factors II, VII, IX, and X by impairing the conversion of vitamin K to its
active form. The normal PT for a healthy patient is 10.0—13.5 seconds with a control of 12
seconds. Oral procedures with a risk of bleeding should not be attempted if the PT is greater
than 1½ times the control or above 18 seconds with a control of 12 seconds.

57 – Patient with pain on the upper right area, and the patient can not tell the tooth causes
the pain, what is the least reliable way to do test pulp:
1. Cold test.
2. Hot test.
3. Electric test. ***
4. Stimulation the dentine.

59 – Skeletal face is from:

1. Neural.
2. Para….
3. ….
4. …

63 – Apicoectomy what is the right statement:

1. Incisor with an adequate RCT and 9mm lesion.
2. Lateral incisor with good condensing RCT but swelling and pain 14 day after the treatment,
the tooth asymptom before the obturation.
3. First upper premolar with lesion on the buccal root…..

65 – Patient presented to you after fitting the immediate denture 5 – 10 months, complaining
pain and over tissue in the mandibular, what is the diagnosis:
1. Epulis fissurment. ***
2. Hypertrophic frenum

9. Main reason for surgical pocket therapy:

a. Expose the roots for scaling and root planning
b. Remove supragingival calculus
c. …

‫يفترض وجود خيار التجريف‬

63. Biological width

a. 1 mm
b. 2mm ***
c. 3mm
d. 4mm
 ‫العمق الحيوي هو المسافة من بداية ارتباط اللثة الملتصقة بالسن والمقابلة لقمة السنخ حتى نهاية االرتباط البشروي بالسن‬
.)‫(بداية الثلم اللثوي‬
+ 0.97( ‫وكقيمة فهو مجموع مسافة االرتباط بين اللثة الملتصقة مع السن ومسافة االرتباط البشروي بين اللثة والسن‬
)ً ‫ ملم تقريبا‬2.04 = 1.07
‫ ثم الحافة الحرة‬،69.0 ‫والبنى اللثوية المتبقية في هذه المنطقة هي الثلم اللثوي (يبدأ من نهاية االرتباط البشروي) وطوله‬
.‫ ملم‬0.5 ‫للثة (تستقبل التعويض) وطولها‬

168. Periodontal attachment contain:

Epithilum, sulcus, connective tissue

169. Periodontally involved root surface must be root planed to:

a. Remove the attached plaque and calculus.
b. Remove the necrotic cementum.
c. Change the root surface to become biocompatible
d. All of the above.
e. A & b only. ***

http://www.asnanak.net/ar/article.php?sid=152 : Periodontal debridement

170. Best measurement of periodontitis by:

a. Pocket depth.
b. Bleeding. ***
c. Attachment level.

Oxford - 120
Probing to elicit bleeding (which is the single most useful indicator of disease activity),
measuring pocket depth attachment levels, and detecting subgingival calculus.
 2- The tissue response to oral hygiene instruction is detected by:
a- Probe pocket depth.
b- Less bleeding. ***

Oxford 120
Both the MBI and PlI can be expressed as bleeding or plaque-free scores in this way obtaining
ahigh score is a good thing, which may be both easier for the patient to understand and a
more positive motivational approach.

171. After scaling and root planning healing occur by:

a. Long junctional epithelium. ***
b. New attachment.
c. New bone and connective tissue formation.
d. New attached periodontal ligament fibers.

Dental decks – page 266

172. During examination 34 show gingival recession buccally, the least correct reason is:
a. Frenum attachment.
b. Pt is right hand brushee.
c. Occlusal force. ***
d. Inadequate gingival.
‫الرضوض اإلطباقية هي سبب غير أكيد لالنحسار اللثوي مقارنة بتأثير ارتكاز اللسان وفرشاة األسنان واللثة الملتصقة غير‬
.‫الكافية‬
.‫ أمراض النسج الداعمة‬:‫المرجع‬

Periodontal pocket differ most significantly from gingival pocket with respect to:
e. Depth.
f. Tendency to bleed on gentle probing.
g. The location of the bone of the pocket. ***
h. All of the above.

Oxford 118
Chronic gingivitis is, as the name suggests, inflammation of the gingival tissues. It is not
associated with alveolar bone resorption or apical migration of the junctional epithelium.
Pockets > 2 mm can occur in chronic gingivitis due to an increase in gingival size because of
oedema or hyperplasia (false pockets).

8- All of these are right ways to handle the instrument EXCEPT ……….
A- Modified pen handle
b- Inverted pen ‫القلم المعكوس‬
c- Pen handle. *** ‫مسكة القلم‬
d- Palm and thumb ‫الرا َحة‬
َّ ‫هام و‬ ِّ ُ‫ضة‬
ِّ ‫اإلب‬ َ ‫قَب‬
http://www.slideshare.net/confirm/MjY0NjU5OTE7ZC5zbW8=/3349629-
b1688b1e7e816bc6cf48bdb24824b43b6184735e-slideshow
There are four grasps used with the hand instruments: Modified pen. Inverted pen. Palm and
thumb. Modified palm and thumb.

9- The right corticosteroid daily dose for pemphigus vulgaris is:

a- 1-2 g/kg/daily
b- 1-2 mg
c- 10 mg
d- 50- 100 mg hydrocortisone. ***

Tyldesley's Oral Medicine, 5th Edition – page 132

Very high dosages are used initially to suppress bulla formation (of the order of 1 mg/kg
prednisolone daily), but this may often be slowly reduced to a maintenance dose of 15 mg
daily or thereabouts

17- Amalgam is used in extensive cavities :

a- When the cusp is supported by dentine and proper retentive preparation
b- When Cusps lost and thin supported wall. ***
c- When one cusp is lost and need to apply restoration to replace it

382) what is the most factor encouraging dental caries :

A) Xerostomia. ***
B) Hypocalcification.
C) Smoking.

Q- Incipient caries in the old patients is MOSTLY due to:

a)smoking
b)saliva
d)Xerostomia. ***

27- the best definition to odontoblast:

a- It ‘s subjacent to predentine, odontoblastic process…… ***
b- Odontoblast cell is more in the cellular pulp than radicular
c-

http://en.wikipedia.org/wiki/Pulp_(tooth)
Odontoblastic layer; outermost layer which contains odontoblasts and lies next to the
predentin and mature dentin

28- to design a lingual bar we should determine:

a- The inferior border of lingual sulcus
b- Superior border of lingual sulcus
c- …………………..
.‫ أي الخيارين‬،‫اختيار الوصلة الرئيسية يعتمد على ارتفاع الميزاب من حدوده السفلية إلى العلوية‬

50- during making filing by Ni/Ti it gets fractured due the property of:
a- Rigidity & …
b- Axial fatigue

‫آخر احساس يختفي عندما نعطي تخدير موضعي‬

A-pain
b-deep pressure. ***
c-temperature

http://www.scribd.com/doc/17106080/Local-Anesthetics
Both sensory & motor nerves are equally sensitive.
Order of pain blockade is pain, temperature, touch, deep pressure sense.
Applied to tongue bitter taste is lost first, followed by sweet & sour, and salty taste is lost last
of all.

16 – You extract tooth with large amalgam restoration, how to manage the extracted tooth:
1. Autoclave and deep buried.
2. Sharp container.
3. Ordinary waste container. ***
4. Office container.

The test for testing the bur all the blades of the burs path through 1 point called
ronted,1
2 constidty
2 routed and constedety
none of above

The kind of on lay wax used in cast

1 braffiene
2>>>>>
3>>>>>

Q 90 -non odontogenic Lesion similar to Endo Lesion: -

a-Hyperparathyroidism
b-initial stage of cemental dysplasia. ***
c-ossifying Fibroma
d-Dentigeaus cyst
e-ameLobLastoma
f-Lateral periodontal cyst
j-myxoma & Hemangieoma

Pt have denture, after 5 year he complain of ulcer and inflammation in lower buccal
vestibule. wt is the Dx:
1/hypertrophic frenum
2/ epulis .f

585. The following factors effect the health

1- heriditary
2- environement
3- social and economic factors
4- family welfare
A) 1+2
B) 1+2+4
C) 1+2+3
D) all of the above. ***

‫المعالجة‬....‫أثناء اللبية اخترقنا مفترق الجذور‬:

Mineral Trioxide Aggregate (MTA). ***
ca oh
formocresol

The fundamental rule in the endodontic emergencies is :

control pain by inflammatory non steroid.
diagnosis is certain. ***

Pt come with bristle even on mucous membrane, u asked for immune test:
pemphigus
bullos pemphigoid
lichen planus

Female pt come with endo treated upper central with m, d caries & have incisal abrasion.
Porcelain veneer is planned with modification to cover incisal edge. veneer should end:
fourth lingualy 0.5 mm before centric occlusal. ***
fourth 1.5 before centric occlusion
fifth 1.5 before centric occlusion

Pt come with siuns u make gp tracing & take radiograph the gp appear in lateral surface of
the root
periodontal abscess
periodontitis
lateral acessory canal. ***

Tech of endo fill where we use continuous condensation

vertical condensation

Principles and Practice of Endodontics WALTON – page 273

"Continuous wave of condensation" in the vertical condensation paragraph

Post graduated student use mta the prognosis depend on prevent

immediate suture
disturbance during closure of wound. ***
using a flab

The cause of black cast which prevent pickling due to

over heat
contaminate with gas
incomplete casting

In sharpness of instrument the angle between face & blade is

50-60
60-70
70-80. ***

612. Sharpening the curette and sickle, the cutting edge should be at angle:
A- 50-60
B- 70-80. ***
C- 80-90
D- 60-70

Immature tooth has less sensation of cold , hot due to

short root
incomplete innervation
wide pulp chamber

Pt take 40 cortisone in day of procedure

double the dose just day of procedure
double the dose day of procedure & day after
stop the medication
 346) What is the dominant type of fibers found in Cementum:
A) longitudinal
B) Circular
C) Sharpey's fiber.. ***

14-Fibers which completely embedded in cementation and pass from cementation of one
tooth to the cementation of adjacent tooth is: ‫األلياف التي تصل سنين متجاورين‬
1. Sharpey's fiber. ‫ألياف شاربي‬
2. Transceptal fibers. *** ‫عبر الحاجز‬
3. Longitudinal fibers. ‫الطوالنية‬

347) What is the main function of impression tray holes :

A)Fixing the Impression material. ***

348) A Tailor is presented to your dental office, what’s the most common feature to be found
in
His teeth upon examination :
A)Attrition
B) abrasion. ***
C) Erosion
D) Abfarcation

7 – Abrasion of enamel and root surfaces may result from the long term use of:
1. A hard toothbrush.
2. Tooth abrasive toothpaste or powder.
3. Vigorous use of the toothbrush.
4. A and B only.
5. A, B and C. ***

349) what’s the first sign of Syncope

A) Paleness. ***
B) nose bleeding (epistaxis)
C) Miosis

351) What’s the reason of the wax shrinkage upon fabrication of the bridge/crown :

353) Patient came to your clinic complaining of pain, upon examination you can’t find a clue.
What’s the next logical step to do in investigation
A) Panoramic x-ray. ***
B) CT Scan
C) MRI
D) Regular tomography

Q-contra indication of implant EXCEPT

1_many dental caries. ***
2_malignancy
3_radiation therapy

1- dental implant are successfully with min failure:

a-premaxilla area in the upper arch
b-posterior area of the maxillary arch
c-mandible between the mental foramen
d-buccal shelf of the mandible.

354) What’s the best implant type allowing Osseointegration:

A) Root-form Endosseous implant.. ***

The indications of implantation:

1. Diabetic patient.
2. Loss of one tooth only with the adjecent teeth. ***

379) what medical condition should prevent the dentist from practicing dentistry :
A) Diabetes
B) Hypertension
C) Influenza. ***
D) Headache.

381) patient complaining of Xerostomia & frequent going to the toilet at night
A) Diabetes Mellitus. ***

386) which of the following materials is NOT a hemostatic agent :

A) Oxidized cellulose
B) Gelvon
C) Zinc Oxide. ***

398) patient suffering from a submandibular gland abscess, dentist made a stab incision and
is fixing a rubber drain to evacuate the pus, the drain is sutured to :
A) Intra-oral
B) From angle of the mandible.
C) Between myloid muscle and…..
 399) The best material for taking full crown veneers impression is :
A) Poly-sulphide
B) Poly-ether
C) Irreversible hydrocolloid
D) Poly vinyl siloxane (Additional silicone). ***

401) what is the concept of Pro-taper system :

A) Step down tech.
B) Step back tech.
C) Crown down tech.. ***

406) Preparation of tooth for metal ceramic restoration should be done in:
A) two planes. ***
A) parallel to long axis

26-Labial reduction for porcelain metal restoration must be:

1. 1 plane for aesthetic.
2. 2 plane by follow the monophology. ***

343) preparation for labial surface in one plane in the preparation for metal crown is:
A)more retentive
B) less retentive. ***

410) when removing lower second molar :

A) occlusal plane perpendicular To the floor
B) buccolingual direction to dilate socket.
C) mesial then lingual

416) Upon opening an incision in a periapical abscess in a lower 1st molar, you open :
A) The most bottom of the abscess
B) The most necrotic part of the abscess. ***
C) Extra oral

417) What’s the test used for HIV:

Elisa. ***

554. Neonate 2 years old, has a lesion on the centrum of the tongue... With the eruption of
the 1st tooth:
A)Riga-Fede disease. *** <sublingual traumatic ulceration>

Mosby Medical Dictionary

Riga-Fede disease: a tumor of the tongue (lingual frenum) in some infants. It is caused by
early teeth rubbing on it. Also called *Fede's disease.

578. Which of the following conditions is highly indicated for the short therapy of DOTS and
Is directly observed once in the clinic:
A) Tuberculosis. ***
B) HIV
C) H1N1
D) Mental Illness

579. At the begining of the Operation day in the clinic, you should start the water/air spray
for Three minutes in order to get rid of which type of microorganisms :
A) streptococcus mutans.
B) streptococcus salivaris.
C) ....
D) ....

584. The main link between the pulp and the the periodontium is:
A. Apical foramen. ***
B. Dentinal tubules
C. Accessory canals
D. PDL

588. Patient came with severe pain related to right 1st mandibular molar, there's no swelling
Related, pulp test is negative, no evidence in radiograph. Diagnosis:
A. Irreversible pulpitis
B. Acute periodontal abscess. ***
C. Suppurative periodontal abscess

590. Which of the following teeth has a contact area between the incisal (occlusal) third and
middle third:
A. 1st maxillary premolar
B. 1st mandibular premolar
C. 1st maxillary molar
D. Central mandible Incisor. ***

594. Naocl is used in RCT:

A. Oxidative effect.
B. Ordinary irrigant solution.
C. Better used diluted.
D. Better result when used combined with alcohol.
Oxford Handbook of Clinical Dentistry, 4th Edition – page 172
Dilute sodium hypochlorite is generally considered to be the best irrigant as it is bacteriocidal
and dissolves organic debris.

638. A question about Cleidocranial dysostosis characteristic:

Partly or completely missing collarbones. If the collarbones are completely missing or
reduced to small vestiges, this allows hypermobility of the shoulders including ability to touch
the shoulders together in front of the chest.
A soft spot or larger soft area in the top of the head where the fontanelle failed to close.
Bones and joints are underdeveloped. People are shorter and their frames are smaller than
their siblings who do not have the condition.
The permanent teeth include supernumerary teeth. Unless these supernumeraries are
reabsorbed before adolescence, they will crowd the adult teeth in what already may be an
underdeveloped jaw. In that case, the supernumeraries will probably need to be removed to
provide space for the adult teeth.
Permanent teeth not erupting
Bossing (bulging) of the forehead.
Hypertelorism

656. Pt with complete denture complain from tightness of denture in morning then become
good this due to
A) relif of denture. *** (because there may be pressure points or areas that the tissues will
try to Adjust to it throughout the day)
B)lack of cheeck elastisty (pressure on the flanges <> displacement of denture)
C)poor post dam (no posterior seal <> displacement of denture)

659. A border line diabetic pt came with denture stomatitis you find abundant debris in the
tissue surface area of the denture>>the proper management is:
A. Systemic antibiotic
B. Topical antifungal. *** (topical + relining with a tissue conditioner + rest of tissues at night
+Good oral hygiene)
C. Systemic antifungal
D. Topical antibiotic

661. Pain in central incisors from

A. Central &lateral incisors. ***
B. Lateral & canine
C. Canine & premolar
D. Premolar & molar

662. To treat non vital tooth with open apex when doing access openning with gates glidden
bur take care to :
 A. Remove all dentin
B. Remove minimal dentine. ***
C. Follow conservative method

664. 20 years old pt have avulsed tooth for 60 min the management to return vascularity of
the tooth:
A. Scrap the surface of the root
B. Place the tooth in sodium sulfide of X%....
C. Place it in sodium chloride then sodium sulfide. ***

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 73:

Avoid handling root surface. If tooth contaminated, hold crown and agitate gently in saline.

28-Receiving the impression after removal from the mouth directly:

1. It must be disinfected immediately.
2. It must be poured immediately. ***
3. It must be mounted immediately.
4. It must be left for minutes.

29-The peripheries of the custom tray should be under extended to all border and clearance
from the frenum areas:
1. 2mm. ***
2. 4mm.
3. 6mm.
4. 8mm.

31-The goal of making the peripheries of the custom tray under extended to all bordered
clearance from the frenum areas:
1. To give enough space for the used impression materials to allow border molding the tray. ***
2. To give enough space for the die spacer.
3. To give enough space for the cementation materials.
4. None.

34-The base plate could bee made by:

1. Acrylic plate.
2. Ceramic plate.
3. Wax plate.
4. A and c. ***

35-The vertical height of the maxillary occlusion rim from the reflection of the cast is:
1. 12mm.
2. 22mm. ***
3. 32mm.
4. 42mm.

36-The anterior width of the maxillary occlusion rim is:

1. 5mm. ***
2. 10mm.
3. 15mm.
4. 20mm.

37-The posterior width of the maxillary occlusion:

1. 8-10mm. ***
2. 8-15mm.
3. 10-15mm.
4. 15-20mm.

38-The anterior height of the mandibular occlusion rim is:

1. 6mm.
2. 16mm. ***
3. 26mm.
4. 36mm.

39-The posterior height of mandibular occlusion rim is:

1. Equal to the point representing 1/2 of the height of retro molar pad. ***
2. Equal to the point representing 1/2 of the height of the frenum areas.
3. Equal to the point representing 1/2 of the height of the alveolar ridge.
4. None.

40-To record the occlusal plane in order to:

1. To determine the amount of space between the mandible and the maxilla which will be
occupied by an artificial teeth
2. To determine vertical and horizontal level of the teeth.
3. A and B. ***
4. None.

41-To record the vertical dimension in order to:

1. To determine the amount of space between the mandible and the maxilla which will be
occupied by an artificial teeth.
2. To determine vertical and horizontal level of the teeth. ***
3. A and B.
4. None.

1-The protrusive condylar guidance should be set on the articulator at:

1. 40 degree.
2. 50 degree.
3. 60 degree.
1. 70 degree. ***

2-The lateral condylar posts should be set on the articulator at:

2. Zero degree. ***
1. 20 degree.
2. 40 degree.
3. None.

3-The incisal guide should be set on the articulator at:

3. Zero degree. ***
1. 20 degree.
2. 40 degree.
3. None.

4-The primary goal of anterior tooth selection is:

1. To provide good functional requirements.
4. To satisfy aesthetic requirements. ***
2. To let the patient feel comfortable.
3. None.

5-The primary goal of posterior tooth selection is:

5. To provide good functional requirements. ***
1. To satisfy aesthetic requirements.
2. To satisfy sychological requirements.
3. None.

6-You need…….to get the teeth shade:

6. Shade guide. ***
1. Incisal guide.
2. Acrylic teeth.
3. Porcelain teeth.
 7-The teeth materials are:
1. Acrylic teeth.
2. Porcelain teeth.
7. A and B. ***
3. None.

8-The width of the lower teeth is:

1. 1/2 of the maxillary anterior teeth in normal jaw relationship.
2. 1/3 of the maxillary anterior teeth in normal jaw relationship.
3. 3/4 of the maxillary anterior teeth in normal jaw relationship. ***
4. None.

9-Generally posterior teeth are classified into:

1. Anatomy (cusp) teeth.
2. Non-anatomy (cuspless) teeth or flat.
3. A and B. ***
4. None.

10-The process of positioning or arranging teeth on the denture base is termed:

1. Casting.
2. Investing.
3. Setting up. ***
4. Flasking.

11-Important functions must be considered when arranging anterior teeth:

1. Aesthetics.
2. Incision.
3. Phonetics.
4. All.

12-Which surface of the central incisor that contacts the median line:
1. Distal.
2. Mesial. ***
3. Buccal.
4. Lingual.

13-The incisal edge of the maxillary lateral incisor is……..above and parallel to the occlusal
plane:
1. 1/2 mm. ***
2. 1 mm.
3. 2 mm.
4. 3 mm.

14-The long axis of the maxillary cuspid is inclined slightly to the:

1. Mesial.
2. Distal. ***
3. Buccal.
4. Lingual.

15-It is called ……….. When the occlusal surfaces of the right and left posterior teeth are on
the same level:
1. Vertical plane.
2. Horizontal plane. ***
3. Compensating curve.
4. All.

16-The ………. Of the maxillary first bicuspid is raised approximately 1/2mm of the ocllusal
plane:
1. Buccal cusp.
2. Lingual cusp. ***
3. Mesial surface.
4. All.

17-The long axis of the maxillary first molar is inclined to

1. Buccal.
2. Mesial.
3. Distal.
4. Lingual. ***

18-All maxillary posterior teeth touch the occlusal plane EXCEPT:

1. First bicuspid.
2. Second bicuspid.
3. First molar.
4. Second molar. ***
 19-The distance between the lingual surfaces of the maxillary anterior teeth and the labial
surfaces of the mandibular anterior teeth is:
1. Vertical overlap (overbite).
2. Horizontal overlap (overjet). ***
3. Occlusal plane.
4. All.

20-The distance between the incisal edges of the maxillary and mandibular anterior teeth is:
1. Horizontal overlap (overjet).
2. Vertical overlap (overbite). ***
3. Occlusal plane.
4. All.

21-The average distance between the lingual surface of the maxillary anterior teeth and the
buccal surface of the mandibular anterior teeth is:
1. 1/2mm.
2. 1mm. ***
3. 2mm.
4. 3mm.

22-Which tooth of the mandibular anterior teeth that touch the lingual surface of the
maxillary anterior teeth in normal centric relation?
1. Central incisor.
2. Lateral incisor.
3. Cuspid (Canine). ***
4. None.

23-The mesial surface of the mandibular lateral incisor contacts:

1. The mesial surface of the central incisor.
2. The distal surface of the central incisor. ***
3. The mesial surface of the cuspid.
4. The distal surface of the cuspid.

24-The tip of cusp of the mandibular cuspid is one above the occlusal plane to establish ……….
Of the maxillary anterior:
1. Horizontal overlap.
2. Occlusal plane. ***
3. Vertical overlap.
4. All.
 25-The relation involves the movement of the mandibular to the side either right or left in
which the act of mastication is to be accomplished. Therefore the side to which the mandible
moves is called:
1. Balancing side.
2. Working side. ***
3. Compensating side.
4. All.

26-When the mandible moves to the working side, the opposite side cusp to cusp contacts in
order to balance stresses of mastication. This relation is called:
1. Working relation.
2. Balancing relation. ***
3. Occlusal relation.
4. None.
27-In order to distribute the primary forces of mastication, to fall within the base of the
denture, the mandibular teeth are set:
1. On the bucal edge of the ridge.
2. On the lingual edge of the ridge.
3. On the crest of the ridge. ***
4. All.

28-The mandibular posterior tooth that has no contact with any maxillary teeth during the
balancing occlusion is:
1. First bicuspid. ***
2. Second bicuspid.
3. First molar.
4. Second molar.

29-The used device in flasking procedure is called:

1. Articulator.
2. Separating medium.
3. Flask. ***
4. None.

30-We Vaseline the inner surface of the flasks all rounds:

1. To help in the packing procedure.
2. To separate the models (casts) safety. ***
3. A and B.
4. None.

31-The procedure that follows the flasking procedure is called:

1. Polishing.
2. Deflasking.
3. Packing. ***
4. Curing the acrylic.

33-Teeth selection in setting up teeth gsf is based of these factors:

1. Shade of the teeth.
2. Size and shape of the teeth.
3. Angle of the teeth.
4. A and B. ***
5. All the above.

4-direct pulp capping is done in:

1. Primary molar.
2. Primary incisor.
3. Permanent molar. ***
4. None of the above.

16-Indirect pulp capping done in:

1. Primary molar.
2. Premolar and molar.
3. Incisors.
4. All the above. ***

17-What do we use as temporary filling material in anterior reign when aesthetic is

important:
1. Composite.
2. Glass ionemer cement. ***
3. Zinc oxide eugenol.

14 – The maximum dose of X-ray exposure dose for radiographic technique:

1. 100 mini roentgens per week.
2. 10 roentgens per week.
3. 100 roentgens per week.
4. 300 roentgens per week.
 15 – Acute periapical abscess characterized by:
1. Varying degree of pain.
2. Varying degree of swelling.
3. Some time not shown on the radiograph.
4. All the above. ***

16 – Smear layer composed of:

1. Dentine debris. *** ‫األصحًألنهًيحتويًموادًعضويةًوغيرًعضوية‬
2. Inorganic particles.
3. Bacteria.
4. All the above.

Dental secrets:
- The smear layer is a film of microcrystalline debris that remains on dentin after it is cut with
rotary instruments.
- After removing the organic and inorganic debris of the smear layer by etching ………………
Art and science of operative dentistry 2000
- The composition of the smear layer is basically hydroxyapatite and altered denatured
collagen.
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005)
The smear layer consists of an amorphous layer of organic and inorganic debris, produced by
cutting dentine.

25-It is preferable to be the length of the handle of the custom tray:

1. 10mm.
2. 20mm.
3. 15mm. ***
4. 25mm.

1-………… is the art and science of functional, anatomic and cosmetic reconstruction of missing
or defective parts in the maxilla, mandible or face by the use of non living substances:
1. Complete denture.
2. Maxillofacial prostheses. ***
3. Orthodontics.
4. Partial denture.
 2-…….. Is the one that provides application and device to restore aesthetic and functional
requirements to patients with maxillofacial defects:
1. Endodontist.
2. Pedodontist.
3. Maxillofacial prosthodontist. ***
4. Peridontist.

3-The objectives of maxillofacial prosthetics:

1. Aesthetic.
2. Functions.
3. Protect the tissues.
4. All. ***

4-The type of maxillofacial defects:

1. Congenital defects.
2. Acquired defects.
3. Developmental defects.
4. All. ***

5-Cleft palate, cleft lip, missing ear, prognathism are:

1. Acquired defects.
2. Congenital defects. ***
3. Developments defects.
4. None.

6-Accidents, surgery, pathology are:

1. Acquired defects. ***
2. Developments defects.
3. Congenital defects.
4. None.

8-Extra-oral restorations are:

1. Radium shield.
2. Ear plugs for hearing.
3. Missing eye, missing nose or ear. ***
4. All.
 9-Lost part of maxilla or mandible with the facial structures is classified by:
1. Intra-oral restorations.
2. Extra-oral restorations.
3. Combined intra-oral and extra-oral restorations. ***
4. All.

11-The lack of continuity of the roof of the mouth through the whole or part of its length in
the form of fissure extending anteroposteriorly is:
1. Obturator.
2. Splint.
3. Stent.
4. Congenital cleft palate. ***

12-The factors that influence the induction of cleft palate:

1. Hereditary.
2. Environmental.
3. A and B. ***
4. None.

14-A prosthesis used to close a congenital or acquired opening in the palate is:
1. Stent.
2. Splint.
3. Obturator. ***
4. None.

16-…….. Are appliances used for immobilization of fragments of broken parts of jaw bones in
their original position until repair takes bleeding?
1. Splints. ***
2. Stents.
3. Obturators.
4. Speech aids.

19-The prepared surface of an abutment to receive the rest is called:

1. Minor connecter.
2. Major connecter.
3. Rest seat. ***
4. None.
 20-The part of a removable partial denture that contacts a tooth it affords primarily vertical
support is called:
1. Minor connecter.
2. Major connecter.
3. Rest. ***
4. None.

21-The part of a removable partial denture is:

1. Rests.
2. Major connecters.
3. Retainers.
4. All. ***

22-A rigid part of the partial denture casting that unites the rests and another part of the
prosthesis to the opposite side of the arch is called:
1. Minor connecter.
2. Major connecter. ***
3. Retainer.
4. Rest.

24-The part of a removable denture that forms a structure of metal struts that engages and
unites the metal casting with the resin forming the denture base is called:
1. Minor connecter.
2. Major connecter.
3. Denture base connecter. ***
4. Retainer.

26-The rests are classified into:

1. Anterior rests.
2. Posterior rests.
3. A and B. ***
4. None.

30-The surveyor instrument consists of:

1. Vertical arm.
2. Cast platform or table.
3. Small analysis rod.
4. All. ***

31-The primary guiding surface that determines the insertion for the partial denture is:
1. The tooth surface opposite to the edentulous areas.
2. The tooth surface adjacent to the edentulous areas. ***
3. None.

32-The one who is supposed to give the correct design of the removable partial denture:
1. Prosthodontist. ***
2. Technician.
3. Assistant.
4. None.

33-To fabricate a removable partial casting requires making a second cast of high-heat
investment material this cast is called:
1. Study cast.
2. Master cast.
3. Refractory cast. ***
4. All.

34-Kennedy divided all partial edentulous arches:

1. Tow main types.
2. Three main types.
3. Four main types. ***
4. Five main types.

35-According to the Kennedy's classification, the bilateral edentulous areas located posterior
to the remaining natural teeth is:
1. Class one. ***
2. Class tow.
3. Class three.
4. Class four.

36-According to the Kennedy's classification, unilateral edentulous area with natural teeth
remaining both anterior and posterior is:
1. Class one.
2. Class tow.
3. Class three. ***
4. Class four.

1 - Outline of Pericoronitis treatment may include:

1. Mouth wash and irrigation.
2. Extraction of the opposing tooth.
3. Surgical removal of the causative tooth.
4. All the above. ***

2 - We should select the shade for a composite resin utilizing a:

1. Bright light.
2. Dry shade guide.
3. Dry tooth isolated by the rubber dam.
4. None of the above are corrects. ***

3 - Retentive grooves:
1. Always axiobuccal and axiolingual. ***
2. Prevent lateral displacement of restoration.
3. Is axiopulpal and axiogingival.

9 - 4th canal in upper first molar is found:

1. Lingual to MBC. ***
2. Buccal to MBC.
3. Distal to MBC.

10 - To get file size 24, the following length should be cut from file size 20:
1. 1mm.
2. 2mm. ***
3. 3mm.
4. 4mm.

11 - The narrowest canal found in a three root maxillary first molar is the:
1. Mesio-buccal canal.
2. Disto-buccal canal.
3. Palatal canal.
4. Disto-palatal canal.
5. Mesio-palatal canal. ***
 12 - The following canals may be found in an upper molar:
1. Mesio-buccal.
2. Disto-buccal.
3. Mesio-palatal.
4. Disto-lingual.
5. Palatal.
a) 1+2+4.
b) 1+2+4+5.
c) 2+3+4+5.
d) 1+2+3+5. ***