Feb 2017 compilation

1._What should be the immediate treatment of a tooth that has a fracture in the middle third of the root
a) splinting
b) no treatment
c) Pulpectomy to both the portions of the tooth
d) Pulpectomy to the coronal portion and apicoectomy to the root portion.

2._ Patient with Alzheimer’s disease has class V multiple lesions

You came to elderly people station for 4 month check-up, you investigate about 70 year old patient with
Alzheimer’s disease. His wife cares about his teeth and would like his teeth would be restored.

Q 1. Keeping in mind his condition and his inability to sit for a long time what is the treatment
A. Clean with high rotary instrument and place resin B. Clean with high rotary instrument and place GIC C. Remove
soft caries with hand instrument and place GIC D. Clean with pumice and water and place GIC
Dental formula was given with missing posteriors in quadrant 2 and 3
Q 2. Patient’s wife was worried about his nutrition, may absence of teeth influence his nutritional balance A. Advise to
wife that teeth can be restored with RPD B. Patient has enough teeth to maintain his nutrition C. Advise implants
Q 3. Photo of teeth formula (26, 27, 28, 36, 27, 38 are absent). What do you advice to patient?
A. No treatment
Q 4. His wife worries that she cannot take care about teeth and his nurses are very often exchanged. How to keep his
teeth as long as possible? A. Regular debridement. B. Educate staff
Q5. If you discuss implants with patient’s wife A. Possible with good OH maintenance B. OH is poor. It is
contraindication for implants
Q 6. Patient’s wife said that patient is looked after in nursing home and the nurses always changing. What advice would
you give (or what is your tactic) A. Educate nurses in nursing home how to look after those patient’s OH B. Give one off
OH educational appointment to patient so he can maintain his OH C. Continue regular SC appointments

3._ What is approximate angle for closed gingival curettage?

a)45
b)70
c)90
d)110

4._You find the pouches on the autoclave are still wet after the cycle. What is the cause?
a) Improper seal of pouch
b) Overloaded cycle
c) Paper of pouches facing downward
d) Too much water in the reservoir

5._Dental assistant get higher level training. She should be concerning infection control of
A. Universal measures and additional measures
B. Universal measures and transmition measures
C. Local measures and additional measures
D. Local measures and transmition measures

6._The infectivity of hepatitis, the question about what would you find in the blood of people vaccinated against
hepatitis (antibody -antigen)
7._ Your employer in an attempt to update office sterilization procedures; what would you recommend as the
BEST method to verify that sterilization has occurred:

A. Use spore test daily

B. Use indicator strips in each load and color change tape on each package
C. Use indicator strips daily and spore test weekly
D. Use color change tape daily and spore test monthly
E. Use color change tape in each load and spore tests weekly

8._ 42 years old female patient demands full veneers. For the last 20 years she never visited a dentist. She is
pregnant and has gestational diabetes and hypertension but is not taking any medicines for it. She shows you a
picture from Magazine of a 20 year old model and asks you to make her look like her.

Q1) Chances of her having a pre-term labor?

a. Very Low
b. Low
c. Moderate
d. High
e. Unknown
f. No risk

Q2) What condition would you diagnose according to her behavior?

a. Rational behavior
b. Body Dysmorphogenesis Disorder
c. Obsessive compulsive disorder
d. Anxiety
e. Depression
f. Normal behavior

Q3) When will you give veneers?

a. Now
b. Before delivery
c. Soon after delivery
d. Six months after delivery
e. Never

Q4) She asked for advice when to bring her baby for first dental visit?
a. When the first primary tooth is about to erupt
b. When the first primary molar erupts
c. When all primary teeth erupt
d. When first permanent molar erupt
e. When child has a problem

Q5) What condition is most likely to develop in Pregnancy?

a. Xerostomia
b. Caries
c. Gingival inflammation
d. Periodontitis

9._Definite treatment for submandibular gland stone:

A. Widening of the gland duct orifice
B. Excision of the whole gland
C. Removal of the stone from inside the gland
D. Something about laser treatment
10._ All of the following are properties of fluoride except:
A. Crosses the placental barrier
B. It deposits rapidly in bone
C. It is excreted rapidly by kidneys
D. It is bacteriostatic
E. It produces extrinsic tooth stain

11._ What was the technical or head positioning error in the panoramic radiograph?
a. chin tipped too far upward
b. chin tipped too far downward
c. head tipped to one side
d. chin placed too far anteriorly

12._ Pdl fibres that help in maintaining the integrity of the arch
a. Transeptal fibres
b. Oblique fibres
c. Apical fibres
d. Circumferential fibres

13._ Which of the following condition presents as complete vesicles

A. Pemphigus
B. Aphthous ulcer
C. ANUG
D. Mucous pemphigoid
E. Erythema multiforme

14._Where is the point of insertion of the needle when an inferior alveolar nerve block injection is given to a child
as compared with an adult?
a. Lower than for an adult
b. Higher than for an adult
c. At the same level as the adult
d. More anterior than for the adult
e. More posterior than for the adult

15._ Which is NOT an advantage for paralleling technique in X-Ray in comparison with bisecting tech?
A. Increased cone length lead to increase Kv.
B. More distortion.
C. Open leaded.
D. Accurate.
E. significant enlargement of images
F. Increase patient film distance leads to requires increase in Kvp and decreased skin radiation dose for exposure.
G. The paralleling technique needs greater surface area for film placement.

16._ Which organism is the first coloniser in the PLAQUE.

A. Strep. Sanguis
B. Strep. Salivarius
C. Actinomycosis

17._ Recommended treatment for cementoma

A. Extraction of tooth
B. RCT of tooth
C. No treatment
D. Incision and drainage

18._ In cementing Maryland or Roche bridges, the effect is generally to,

a. Lighten the colour of the teeth by the opacity of the cement
b. Darken the colour of the abutment by the presence of metal
on the lingual
c. Have no detrimental colour effect.
d. Darken the abutment teeth by incisal metal coverage

19._ Patient has been treated with post crown 5 years back on maxillary right central incisor. Now it has
become loose
Q1. What investigation will help
A. Vitality
B. Probing
C. Percussion
D. OPG
Q2. What could be the cause of dislodgement of the post core that has least favourable prognosis
A. Vertical root fracture
B. Internal resorption
C. Luting cement issue
Q3. How will you treat this patient
A. Crown lengthening
B. Crown lengthening and orthodontic extrusion
C. Better post fabrication
D. Extraction
E. Gingivoplasty
Q4. What is the significant problem in replacing the post core
A. Insufficient ferrule
B. Retention
c. Absence of seal
Q5. If this tooth is extracted, what is best method of restoration which is long lasting
A. Implant
B. Fixed bridge
C. Cantilever bridge
D. RPD

20._ 70 year old lady, wearing dentures since last 20 years, never had any problem with them. Her new denture
(12 months old) is giving her problem. It is fine when talking but the lower denture becomes loose when eating.
She got her teeth extracted early in age, on her second baby, and she is wearing dentures since then. She recently
had a hip replacement procedure done, and is in early stage of Parkinson. On examination, you found that the
denture fits well and is made to a high standard. She says her lower incisors are becoming long and she should get
them all extracted now, when she is fit and healthy.
Picture given - lower anteriors present (from Canine to Canine), upper completely edentulous)
(Maxilla- maxillary ridge has undercuts, a red elevated spot in the incisor area, flabby ridges, and buccal
fraenum slightly more prominent, bulbous maxillary tuberosity.
Mandible- marked resorption of mandibular posterior region, with supra-erupted anterior and triangular
embrasure gap between them)

Case of combination Syndrome ---- advanced bone loss in premaxilla + hyperplastic tissue

1. What is the red spot on the upper ridge?

A. incisive papilla
B. insertion of labial fraenum
C. root fragment
D. abscess

2. By looking at the picture, how would you describe Maxilla?

A. undesirable labial undercut
B. excessive resorption of anterior ridge
C. exostosis of anterior maxilla
D. unmanageable buccal fraena
E. overhanging/enlarged maxillary tuberosity
3. In making Lower denture (of high quality), what is the most significant difficulty that you will face?
A. Lingual plate showing through the lower incisors embrasure
B. Hypertrophy of tongue/ inadequate area for the tongue- to manage it in the lower denture
C. High occlusal plane- due to over erupted incisors
D. To get retentive area on Canine, as undercut lies in the gingival third
E. Problematic buccal fraenum

4. What cause this problem (denture become loose during function???)

A. Canine interference on lateral excursion
B. Unfavourable palatal anatomy
C. Increase OVD
D. Decrease saliva (xerostomia) / changes in saliva quality
E. Involuntary muscle action on denture, due to Parkinson disease
F. Managing dentures for a lot of years

5. Before the procedure? (Patient had undergone hip replacement, what will you do before performing the
procedure/extraction)
A. No prophylaxis required
B. Refer to Orthopaedic to consult regarding prophylaxis
C. (antibiotic dosage given).

21._ Asian women, non –English speaker. came with her daughter to your clinic for a check-up. She has diabetes
type 2 which was managed with exercise and about 3 months back had been started on medicines for her
diabetes . Her daughter tells you that her diabetes is maintained for the last 3 months at HBA1C 7.
1). Type of local anaesthesia for debridement in diabetic type II with random glucose 6.5 mmol/mol(it means well
controlled)
A. Lidocaine 2% with 1:80000
B. Sitanest
C. Articaine 4%
D. Prilocaine
E. None - for this patient local anaesthesia is contraindicated.

2). How to determined prognosis for this patient

A. Secure glucose level

22._ The best way of getting good retention in full veneer crown is by
A. Tapering
B. Long path of insertion

23._ Lab tests for Addison's disease

a) Biopsy of the discoloration
b) Measure urine steroids and chlorides
c) Blood test

24._ what is true about validation process

A) spore test indicator of microbial test
B) qualitative and penetration test
C) validation process done every 2 year unless used very less
D) helix test

25._ What is mechanism of influence of diabex.

A. Biagutidine reduce production of hepatic glucose in liver and increase peripheral
increase peripheral uptake.
B Reduce production of hepatic glucose, increase peripheral uptake.

26._ What gland produces ACTH?

a. Adrenal Gland
b. Anterior Pituitary Gland
c. Posterior PituitaryGland

27._ 72 years old patient (Doctor, GP) came for extraction of his lower left molar. He experiences pain of
short duration, and bad odor (other symptoms can't remember). Previously he has a similar pain and one
of his molars (46) and eventually was extracted. Bitwing x-rays show: • 35 - caries on distal. • 36 – missing.
• 37 - tipped, angular bone loss mesially contact between 35 and 37 is not fully closed, bone loss. Bitwing
x-rays several years before (for comparison) • 35- no caries
I. What is the cause of the patient complain (diagnosis)?
A. open contact and food impaction.
B. caries on 35.
C. perio-endo lesion on 37.
D. periodontitis on 37.
II. The patient insisted on extraction of 37. He tells you, that if you don't do it, he will do it himself as he had
an experience from the army. What will you do?
A. extract 37 as he insists, and he will do it anyway, make him sign a consent form.
B. give him instruments to do extraction.
C. refer to the maxillo-facial surgeon for second opinion and extraction if decided.
D. refuse to extract and make sure that the patient understand the diagnosis well.
III. Periodontal state prognosis is based on assessment of:
A. periodontal pockets.
B. attachment loss.
IV. what is the most significant difference between two BWs:
A. carious 15
V. How would you treat this patient?
A. scaling and root planning
B. raise a flap to scale and root planning.
C. extraction 37.

28._ In regards to the glass of quartz particles of filling restorative resin; the microfill resins tend to have
A. A higher coefficient of thermal expansion and a higher crashing
strength
B. A higher coefficient of thermal expansion and a lower crashing
strength
C. A lower coefficient of thermal expansion and a higher crashing
strength
D. A lower coefficient of thermal expansion and a lower crashing strength
29._ Most reliable methods for occlusal caries determination in water fluoridated community:
a. Explorer
b.Bitwing radiograph
c. Transillumination
d. IOPA

30._ Dental caries of the proximal surfaces usually starts at:

A. Somewhere between the ridge and the contact area
B. Just gingival to the contact areas
C. Just above the gingival margin
D. At the contact point
E. Occlusal to the contact point

31._ The most common cause of immediate post-operative pain after root canal obturation?
A. Over instrumentation during treatment.
B. Over extended root canal filling.
C. Remnants of vital pulp tissues at the apex.
D. apical infection

32._ The objective of pulp capping is to

A. Preserve vitality of coronal pulp
B. Preserve vitality of entire pulp
C. Preserve vitality of radicular pulp
D. Regenerate a degenerated and necrotic pulp
E. None of the above

33._ Frankfort plane extends from:

a. Horizontally from sella to nasion
b. Ala of the nose to tragus
c. Horizontally from point on superior aspect of
external auditory meatus to orbitale

34._ Which is the first colonizer of supragingival dental plaque?

a. Streptococcus sanguis
b. Streptococcus salivarus
c. Prevotella intermedia
d. Prevotella gingivalis
e. Capnocitophaga

35._ A crown casting with a chamfer margin fits the die; but in the
mouth the casting is open approximately 0.3mm. A satisfactory
fit and accurate physiological close of the gingival area of the
crown can BEST be achieved by
A. Hand burnishing
B. Mechanical burnishing
C. Using finishing burs and points to remove the enamel margins on the tooth
D. Making a new impression and remaking the crown
E. Relieving the inside of the occlusal surface of the casting to allow for further seating

36._ Patient 60-70 year old. Photo of total upper prosthesis with hyperplasia of tissie about buccal
flaunges of prosthesis. He had previously RPD and had no problem, after the immediate prosthesis done
after extraction and was corrected many times.
Q1. What is possibly diagnosis?
A. Chronic tissue hyperplasia
B. Connective tissue fibromatosis
Q2. What is cause?
A. Chronic trauma of buccal flanges of prosthesis
Q3. What to do?
A. Excision and biopsy, correct buccal part of prosthesis
B. Send to specialist for laser surgery
C. Immediate surgery
D. Adjust denture
Q4. If you do biopsy, what would be diagnosis?
A. Hyperplastic
B. Fibrous hyperplasia
Q5. What treatment would you suggest for this case?
A. Reducing the height of buccal flanges

37._ A patient has type I diabetes. Multilocular radiolucency in the angle of the mandible (multilocular was given
in the text of the question). OPG shows large radiolucent lesion in the right mandibular angle. 47(or 48 can't
remember) is positioned in close proximity to the lesion. Only crown can be seen (horizontally impacted) well
beyond the occlusal plain, near the roots of 46(47?).

I. What is the diagnosis?

A. dentigorous cyst.
B. Ameloblastoma.
C. odontogenic keratocyst
II. Additional and most helpful diagnostic method:
A. lateral oblique.
B. CT
C. MRI
III. What is the treatment?
A. enaculation + extraction + Carnoy's solution.
B. Resection.
C. Excision.
D. Marsupilization.
E. Curettage.
IV. If the patient with Ameloblastoma had diapetes type 1, What will be the difficulty in
the management
A. Poor healing
B. Infection
C. To control his glucose level before the surgery.
D. Intraoperative fracture
V.Long term prognosis?
A. Left tmj dysfunction
B. Right tmj dysfunction

The main question also included the diabetic status of patient.. it said that patient diabetes is being controlled for some
years.. n the option in question 4 were poor healing, infection, preoperative glycemic control(due to fasting), post
operative glycemic control.

38._ Case young man can't remember after a night drinking, suffered
a blow or a trauma. Frontal Xray given.
Q.1 According to some Australian Medical Guidelines how many drinks
per day is the maximum recommended dose for a male?
A. 1
B. 2
C. 3
D. 4
Q.2 ml in a Standard Drink?
A. 10ml
B. 15ml
C. 20ml
D. 25ml
Q.3 type of fracture in Xray?
A. Fracture body
B. Fracture ramus
C. Fracture subcondylar with displacement
D. Fracture condylar
Q.4 type of treatment?
A. Close reduction
B. Open reduction...
Q.5. Problem long term?
A. Malocclusion
B. Right TMJ problem
C. Left TMJ problem...
Q.6 he wants to know CDP for dentist in Australia?
A. 60hours (80% scientifically demonstrated)
B. 60hours (40% scientifically demonstrated)
C. 80hours (60% scientifically demonstrated)
D. 80hours...
Question 3 was condylar fracture with displacement, condyle neck fracture
For 4 there was no option of closed reduction.. it was intermaxillary fixation , open reduction.. one more option with intermaxillary
fixation for some weeks

39._ The patient with fracture porcelain

A male patient presented with a chipped porcelain 3 unit PFM bridge. It was made by another dentist
who moved interstate. Edge to edge bite is clearly seen. 3 unit bridge, porcelain chipped off in the
region of 11, 12. He has a meeting today and needs it to be fixed urgently.
Q1. What is the most probable main cause for this defect in bridge
A. Improper framework
B. Hyperocclusion- Unfavourable bite (resulting in chipping)
C. Bridge design
D. Hard biting
E. Thin porcelain
Q2. What is the name of this defect
A. Adhesion cohesion defect
B. Adhesion
C. Cohesion
D. Wrote adhesion
Q3. If you want to repair the fractured porcelain in the chair,
what you will do
A. CAD/CAM or similar option
B. Etching with 4% hydrofluoric acid for 20 sec and restore with composite
C. Etching with 4% hydrofluoric acid for 5 min and restore with composite
Q4. How would you prevent similar fracture in future?
A. Occlusion
B. Use splint at night
C. Make group function occlusion
Q5. For a new bridge if you wanted to construct high strength metal free bridge, what material would
you use?
A. Feldspathic
B. Procera
C. Zirconia
D. Scinteredaluminia
E. Porcelain
Q6. Resin bonded bridges loose retention between
A. Resin-enamel
B. Resin-metal
C. Within resin
Q7. At a later date when you want to replace 3 unit bridge, what do u want to alter
A. Change the labial contour
B. Alter the bridge design

40._ 10 year old boy/girl has no symptoms. Mother brings him in for a dental check. They are going overseas in 6
month.
*OPG given
75, 84 - large fillings, radiolucency in furcation and apical area in both sides
35 - horizontally impacted
44 -vertically impacted
1) What is the diagnosis?
a. dental abscess
b. periapical granuloma
c. dentigerous cyst
When the boy was 7y.o he experienced pain and attended another dentist. Those fillings on 75, 84 were made at that
time. There were given 2 BW's taken before treatment 3 years ago.
*BW's
75, 84 - grossly carious (can't remember clearly, but I think almost to the pulp)
75 with interradicular RL (furcation involvement)
and 84 with deep caries near the pulp

Q2) What the ttt that should be done for 75 by the previous dentist:
a. direct pulp capping
b. indirect pulp capping
c. pulpotomy and filling
d. pulpotomy and SSC stainless steel crown
e. pulpectomy and SSC

Q3) What the ttt that should be done for 84 by the previous dentist:
a. direct pulp capping
b. indirect pulp capping
c. pulpotomy and filling
d. pulpotomy and SSC
e. pulpectomy and SSC

Q4. What treatment do u suggest for 84 and75 now?

A. No ttt for 84 as it was fine and pulpectomy and SCC for 75

Q5. Considering that the patient is going overseas, what ttt do u suggest?
A. Refer to orthodontist for extraction of 84 75 35 44

41._ Adrenal suppression

Women has business with flowers or something like that and got treatment with systemic
corticosteroids. Her tooth 37 was restored with amalgam but now is fractured.
Q1. When should be proposed risk for adrenal crisis
A. 10 mg prednisolone over last 5 weeks
Q2. If tooth to be extracted, is the need for antibiotic prophylaxis.
A. No
Q3. What is the least reason for antibiotic prophylaxis? Or
Deep bone impacted molar teeth in a fit person
A. Clearance in diabetic type 2
B. Periodontally affected teeth in fit person
C.EXO of periodontally affected tooth in diabetic type 1
D.EXO of periodontally affected teeth in a fit person
E. Tooth with reccurent episodes of infection
F. LA injection
Q4. If tooth to be extracted, what needs to be done
A. Double dose before surgery
B. Double dose on the day of the surgery
C. Double dose the day before and on the day of the surgery
D. No prophylaxis

42._ About "Tripod in Surveyor" Why do you need to put mark on the diagnostic/study model after surveying?
a. Orient cast to surveyor
b. Orientcast on articulator
c. to make surveying reproducible not random

43._ Splinting in periodontally weakened teeth is done in order to

1. to stabilize loose teeth in a favorable occlusal relationship
2. to distribute occlusal forces so periodontally weakened teeth do not loosen
3. to prevent a natural unopposed tooth from migrating
4. to prevent maxillary central incisors from separating after closure of diastema

44._ In a fluoridated toothpaste with 0.304%monofluorophosphate the amount of flouride ions:

a. 400ppm
b. 1000ppm
c. 1500ppm
d. 4000ppm

45._ Boy 17 years old, with epilepsy, taking dilantin. Photo of teeth (hypertrophy of gingiva and generalized
plaque) came to your clinic for check-up.
Q1. What is the medical condition if patient is taking Dilantin
A. Epilepsy
Q2. What is treatment?
A. Resection and debridement
B. Professional debridement and oral prophylaxis with plaque
control instructions can help resolve a Problem
C. Surgical resection and professional debridement and drug stop
Q3. He refused his teeth brushing. He said that he doesn’t want to
bothered, he doesn’t like appearance of his teeth and gums. What
phase of trans-theoretical model his behavior belongs to?
A. Pre-contemplation
B. Contemplation
C. Preparation
D. Action
E. Maintenance
Q4. He asked about Continued Professional Education of dentists.
A. 60 hours with 80% of clinically and scientifically based.

46._ Women, photo of generalized swelling on teeth. She did not visit dentist 3-5 years, 2 years ago marked
mobility of her 2 lower teeth, now she is taking dilantin. Patient was complaining of a sudden generalized pain and
bleeding, waking up with bleeding spots on a pillow.
What is her disease?
A. Acute periodontal infection
B. ANUG
C. Herpetic gingivostomatitis
D. Leukemia

47._ A patient who has been referred to you an oral surgeon, who has fever 39.5, oedema of the lower eyelid and
pain in the infraorbital area .an Infraorbital abscess has been diagnosed, the tooth has been treated with RCT
before.
How to remove the submandibular calculus.
1. Which tooth is most likely to cause the infection?
A. maxillary central I
B. Maxillary lateral I
C. maxillary canine.
D. maxillary premolars
E. maxillary molars
2. What is the treatment?
A. Antibiotics
B. Exo + drainage
C. drainage through the skin.
D. drainage through intraoral incision.
E. RCT of the tooth involved.
F. extraction of the tooth involved.
3. Which is a major complication of this event
A. Cavernous sinus thrombosis

48._ Tongue tends to deviate on one side on protrusion is caused due to trauma to which nerve ?
a. Facial nerve
b. Glossopharyngial nerve
c. Hypoglosal nerve
d. Lingual nerve
49._A 64-year-old patient who is receiving warfarin as part of the management of his atrial fibrillation tells you
that one of his lower right back teeth was restored three years ago by a dentist who has since retired from your
practice. The tooth is now occasionally sensitive to hot and cold. The clinical notes confirm the history and
indicate that the tooth was restored using a resin composite material. (from ADC written hand book)
A. Orthopantomogram.
B. Bite-wing radiograph.
C. Percussion.
D. Crack testing.
E. INR.
2. In case like this Class II composite restorations of posterior teeth are more likely to fail due to recurrent caries if:
A. the material is placed in increments because of the risk of leakage between the increments.
B. a glass-ionomer lining is used because of the risk that the lining will leach out over time.
C. occlusal loads are applied to the marginal ridge due to flexure of the material.
D. the curing time is extended due to greater shrinkage of the material.
E. the gingival margin is on dentine because bonding under these conditions is unpredictable.
3. Given the history and the radiographic evidence, would you expect the “sensitivity” to hot and cold that the patient
reports to be?
A. sharp, occurring once or twice per week and only with ice-cream and hot coffee.
B. sharp and relieved on removal of the hot or cold stimulus.
C. dull and lingering for 1-2 minutes.
D. always present but worse after a hot or cold stimulus.
E. worse in the morning.
4. If you decided to extract the tooth and in planning for the procedure you find that that the patient’s INR is 2.4, would
you:
A. Proceed with the extraction and provide appropriate post-operative instructions.
B. Proceed with the extraction and suggest that the patient stop their warfarin for 3 days.
C. Suggest that the patient stop their warfarin and commence taking 125mg aspirin before returning in 3 days to have the
tooth removed.
D. Consult the patient’s cardiologist to discuss stopping their warfarin treatment.
E. Refer to patient to a consultant Oral and Maxillofacial Surgeon who is best placed to manage complex surgical
problems such as this.
5. Which drug is used to control bleeding in warfarin taking patient having atrial fibrillation?
A. epsilon caproic acid.
B. Heparin.
C. ZOE pack.
D. Vitamin K.
6. After removal of the 46, which of the following prosthodontic options would be most appropriate?
A. Immediate placement and immediate restoration with a dental implant.
B. Replacement with an immediate removable partial denture.
C. Replacement with a removable partial denture after the extraction site has healed.
D. Replacement with a fixed bridge.
E. No replacement until the patient has had an opportunity to assess their functional and aesthetic concerns.
7. With atrial fibrillation on warfarin, what is the minimum INR required?
A. 3.
B. 2.
C. 4.
D. 5.
8. What is the complication if this patients stops warfarin?
A. Myocardial infarction.
B. Cerebro-vascular Stroke.
C. Deep Venous thrombosis.

50._ Which instrument do we use in second sextant for subgingival calculus removal
A. Scaler
B. Gracey 13/14/
C. Gracey 1/2
D. Universal(or Columbia) 4R/4L
51._ Young woman aged 24 weighs 54 kg and she is 163cm tall. On dental examination erosion of teeth on the
most lingual surfaces is clearly showing. What is most probable would be her case?
A. Alcohol consumption
B. Smoking
C. Bulimia nervosa
D. Diabetis mellitus type I

52._ James 17 years old, who is a cyclist and drinks a lot of sports drink presents for routine check-up. X-ray was
given. There was caries on 47 (occlusal). It extending into dentin just 1-2mm away from pulp. Intraoral picture
was given, which had a stained pit 1mm on occlusal surface of 47. The patient did not have any symptoms now.
Q1. What is the management?
A. CPP-APP
B. Diagnose as dental caries and do an exploratory cavity preparation
C. Deep fissure sealing with fluoride releasing material
Q2. The patient missed your appointment and reports a few weeks later with pain on eating hot or cold food which
disappears after removal of stimulus. You make a provisional diagnosis of reversible pulpitis. What is your management
now?
A. Place an intermittent dressing now and a definite restoration later.
B. Refer to a endodontist
C. Pulp extirpation
Q3. The patient missed appointment again and presents a few weeks later with spontaneous pain from the tooth. You
make a provisional diagnosis of irreversible pulpits. What will you do now?
A. Refer to specialist endodontist B.
C. Extraction
D. OPG to find the erupting 3rd molar (question also says before giving definitive treatment. So we should make sure it’s
the pain not from 3rd molar???
Q4. The patient drinks sports juices often and takes dry fruits to keep him energetic so that he can perform well. The
patient is at risk for caries, generalised sensitivity. What will you advice the patient?
A. To carry water with the sport drink and alternate both and substitute dry fruits with banana and muesli bar/snack
B. Stop sports drinks
C. Drink plenty of fluids during training
D. Advise to use a fluoride mouthwash before and after the race/training

53._ Which is not symptom of cerebro-vasular accident ?

a. Generalised weakness
b. Transient unconsciousness
c. Slurred speech
d. Headache
e. Confusion

54._ What is not allowed for dental assistant

A) IOPA
B)fix/ put braces
C)take impressions
D)participate in treatment plan
E)give ohi

55._ Patient was complaining of discoloured upper right central incisor. He remembers having a trauma when he
was 15 years old due to sporting injury and had a lot of treatment done for that tooth. Picture was given.
Q1. What investigation will help for diagnosis and treatment planning?
A. Pulp sensibility
B. Periapical x-ray
C. Percussion
D. OPG
E. Probing
Q2. What is the cause of discoloration?
A. Tetracycline stains
B. Internal resorption
C. Discoloration of the restoration.
D. Pulp necrosis
Q3. If the tooth was endodontically treated, what would be the most likely cause?
A. Incomplete debridement of pulp chamber
B. Coronal leakage
Q4. What is the best treatment for this patient?
A. External bleaching
B. Internal bleaching
C. Change restoration
D. PFM crown
E. Ceramic
Q5. What risk from internal bleaching?
A. Internal resorption
B. External resorption

56._ Woman patient 40 years old lost an amalgam filling on upper right side. The tooth is vital.
Picture of Upper Right side teeth:
• 16: only disto-palatal and disto-buccal cusps left, dark area of dentin on mesial-occlusal-facialpalatal surfaces.
• 14: MOD.
• 15: MOD.
• 17: MO amalgam fillings.
• Margins of fillings on premolars looked ditched, and fillings have overextended the margins. Patient got 12 more
amalgams in good condition, recently consulted a naturopath, is allergic to nickel, wants to remove all the amalgam
restorations. Patient got a white patch with a spider web shape on the mucosa next to the premolars, it can’t be wiped
away, it is asymptomatic.
I. Why the patient was sensitive to cold (What is the probable diagnosis)?
A. Dentine exposure.
B. Reversible Pulpitis.
C. Irreversible Pulpitis.
D. Pulpal necrosis.
II. The cause of the filling on 16 to be lost:
A. secondary caries.
B. non-retentive cavity.
C. Occlusal forces.
D. Vertical fracture of the crown.
E. Corrosion
III What will you advise her?
A. Report to the mercury & dental amalgam at the NHMRC
B. Replace all the restorations
C. Explain that the level of mercury is not high enough to cause toxicity.
D. Change just the failing amalgams
IV Photo attached of the buccal mucosa along occlusal plane, diagnosis is:
A. Lichen planus
B .Lichenoid reaction
C. Frictional Keratosis (near the bite line)
V. A temporary restoration was given and the patient is asymptomatic now. What is the choice of restoration?
A. amalgam filling with 3 pins for better retention.
B. composite resin.
C. GIC.
D. post + core + crown.
E. core GIC + crown.
VI. Why amalgam fillings on premolars have such margins?
A. thermal expansion of amalgam.
B. Creep.
C. Corrosion.
D. Marginal breakdown/ leakage.
E. Enamel wear off.
VII. What is the major challenge in treatment if the tooth needs RCT?
A. Difficulty to place the rubber dam
B. Difficult to access the canals
C. root curvature
D. periapical infection

57._ In complete dentures, cheek biting is most likely a result of

A. Reduced overjet of posterior
B. Increased vertical dimension
C. Teeth have large cusp inclines

58._ What is the ideal length for a post in post-core in a RCT?

A. 2/3 of the tooth length
B. 1.5 times of the crown
C. 1/2 of the tooth length
D. The length of the crown

59._ The case for the child on Dilantin therapy with bad oral hygiene there was a question what is not a
contributing factor in his bad oral hygiene ? Options were ( I guess )
A. Tooth brushing
B. Hereditary factor
C. Gingival enlargement
D. Can't remember

60._The best way of getting good retention in full never crown is by:
A. Tapering
B. Long path of insertion

61._patient is resistant to caries but has periodontal disease. In this case, sucrose in diet is important because:
a. Sucrose is greatly involved in plaque development
b. S. mutans produces levans frictions which are used by periodontal pathogens
c. The streptococcus mutans cannot survive with a continual supply of sucrose
d. Existing plaque must continue to get sucrose in order to grow.

62._ Cariogenicity of streptococcus mutans is because of the production of:

a. glucans
b._ Levans
c._Fructans
d._Sucrose

63._A child consumes a toxic dose of fluoride. You will

A. induce vomiting
b. gives a lot of fluids
c. gives a lot of fluids and sodium bicarbonates
d. call the poison and toxic emergency number.

64._ A Complete Blood Count is least needed/ useful for:

A. infectious mononucleosis
B. lymphoma
C. Anemia
D. Neutropenia
E. Leukemia

65._ Where is the narrowest part of the pulp:

A. At the radiographic apex
B. At the dentino-enamel junction
C. At the orifices
D. At the dentino- cemental junction

66._ Patient with adrenal crises will complain of all except?

a. Hypotension
b. Muscle weakness
c. Abdominal pain
d. Headache
e. Nausea

67._ One of the questions was about the boy who was referred from the children's hospital because of the gingival
hyperplasia. Questions where:
Q1 Under what medication is probably the patient?

a.Diabetic type I
b.epilepsy
Q2What is the patient condition (picture of gingiva)

a.ANUG
b.Gingiva hyperplasia due to medication
Q3What would be the best treatment:

a.Debridement, flap, stop medication.

b.Debridement, flap, root planing.
c.Nothing

Q4 He refused his teeth brushing. He said that he doesn’t want to be bothered, He doesn’t like appearance of his teeth
and gums and says "my teeth are pretty bad and there is nothing I can do about them" in which stage of the trans-
theoretical model of behavior does he belong to?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
E. Maintaining

The patient doesn't know what to study at Uni and he asks you about the professional education hours in dentistry to
continue the profession
A. 60 hrs with 80% of clinical and scientific based -60 hours in 3 years (80% clinical and 20% theoretical)-

68._ Overdoze for morphine. How will you stop it.

A. Naloxane
B. Amphetamine
C. Epinephrine

69._ Which is incorrect about hepatitis b?

1-cure for hepatitis c
2-immunoglobulin and controlling for hepatitis b
3-people obliged to disclose their hepatitis
4-all staffs must vaccinate against hepatitis b

70._ The boy had a thumb sucking habit and increased overjet as a consequence. He has competant lips. What
would you expect if he gives up the habit
A .incisor imbrication
b. Retroclined lower incisors
c. Overjet will reduce
d. All the upper labial segment will back up
e. the upper buccal segment move forward
f. frankfort/mandibular plane will decrease

71._ 7 yo patient present crowding on the

upper front segment.

Q1 What can you see on the palat

surface of the teeth?

Q2 what tooth are present on the

picture?
 Q3 how would you describe the problem with the central incisor is?

72._ - A patient wearing denture complains of pain in lower premolar region spreading to lower lip which is
sharp. The most possible cause is:
A. Change in occlusion.
B. Altered vertical dimension.

- An old patient has pain under his full upper and lower dentures. The pain increases when he wears them
during the day and stops immediately after removing the dentures. His doctor thinks it is due to mental
nerve compression by lower denture and refers to you for the second opinion.
I. What investigations will you perform other than checking denture borders?
A. occlusal prematurity.
B. soft tissues under denture.
C. assess vertical dimension

73._ Which of these is not use as stimulus in assessing facial paralisis.

Sharp test
Blunt test
Thermal test
Directional sense

74._ Most commonly congenitally missing permanent teeth

Mandibular laterals
Maxillary centrals
Maxillary laterals
Mandibular centrals

75._ Which condition is contra indicated for a child for General Anesthesia?
A.severe neurological disease
B. Facial trauma
C. shy patient
D.a apprehensive patient

76._ in a fluoridated toothpaste with 0.304%monofluorophosphate the amount of flouride ions:

400ppm
1000ppm
1500ppm
4000ppm\

(0.304% x 0.132 = 0.040128 x 10000 = 401.28)

77._ First MO colonizing supragingival bacterial plaque:

A. Salivarus
B. Sanguis
C. Mutans
D. Capnocytophaga
E. porphyromas gingivalis

78._ Normal mouth with no caries have

A. High buffering saliva
B. Low buffering saliva
C. High amylase
D. Glycoprotein
E. Low mucin level

79._Pulp nerves
A. Afferent and sympathetic
B. A fibres
C. C fibres
D. b+c

80. _ In order to use classification as class I, II, III in a patient with premature loss of molars what other feature
can be considered carefully
A. Profile
B. Canine relation
C. Incisor relation
D. Midline

81._ What makes the Frankfort horizontal plane?

Infra orbital point (orbitale) to external auditory meatus (porion)

82._ What does NOT contribute with orthodontic relapse?

a. length of treatment
b. occlusion
C. Pdl and alveolar bone
D. Facial growth
E. soft tissue force

83._ Most helpful in diagnosis of herpangina

Serology
Biopsy
Immunofluorescence

84._ Which of the sign is always seen in a child with immature vital molar with caries?
A. Pdl widening
B. hot and cold sensation
C. Pulp infammation
D. apical resorption
E.internal resorption

85._ Asian women, non –English speaker. came with her daughter to your clinic for a check-up. She has
diabetes type 2 which was managed with exercise and about 3 months back had been started on
medicines for her diabetes . Her daughter tells you that her diabetes is maintained for the last 3
months at HBA1C 7.
Q: type of local anaesthesia for debridement in diabetic type II with random glucose 6.5 mmol/mol(it
means well controlled)
A. Lidocaine 2% with 1:80000
B. Sitanest
C. Articaine 4%
D. Prilocaine
E. None - for this patient local anaesthesia is contraindicated
86._A picture of an occlusal X-ray to identify it.

90*

45* 55* 65*

90* 90*

87._ What is the main purpose of performing pulp test on a recently traumatised tooth?

A Obtain baseline response

B To have a point of comparison for the next appointment

88._ 10 years boy has a class 1 malocclusion , sucks his thumb , spacing in upper anterior, lip is
competence , if he stops habit what will happen? That s i remember

a. imbrication of upper incisor or incisors? (I cant remember)

b. decrease overjet
C. Retrusion of lower incisor
D. Decrease Frankfort and mandibular angle

89._ A patient presents with marked asymmetry to the right side of the face the nasolabial fold is
obliterated and the swelling extends to the inner canthus of the eye which tooth will be the most likely
cause of the swelling

A.right maxillary central

B.right maxillary lateral
C.right maxillary canine
D.right maxillary first premolar
90._Women , photo of generalized swelling on teeth. She did not visi dentist 3-5 years, 2 years ago marked
mobility of her 2 lower teeth, now she is taking dilantin. Patient was complaining, of a sudden generalized
pain and bleeding, waking up with bleeding spots on a pillow.

Q1 What is her disease?

A. Acute periodontal infection
B. ANUG
C. Herpetic gingovostomatitis
D. Leukoplakia

Q2 What is the treatment?

91._ Painless bluish lump filled with fluid on the lips; MOST likely is

A.Smoker’s keratosis
B. Squamous cell carcinoma
C. Mucocele
D. Fibroma
E. Fibro-Epithelial polyp.

92._Cementoma treatment

A. No treatment
B. RTC
C.Excision
D.Periodic observation and time to time vitality test of the involved teeth are to be done.

93._ Periapical of 13, 12, 11 – It shows extremely immature root of tooth #12 with dens invaginatus, retained #53 and
unerupted #13.

Q1 Diagnosis by PA
A.Dens in dente
B. Supernumerary tooth.
C. Vertical Fracture
Q2 Streatment
A.LA and start RCT
B.Give antibiotic and send home and further treatment afterswelling subside
C. LA amd extraction.
D. Hospitalization and IV antibiotics, extraction and drainage.

Q3 His mother concerned about if ext will be done what will replace the tooth ( If extraction, what would you do next)
A.Replace with removable partial denture
B.Resin bonded bridge on the central
C.Do nothing and tell mother that canine will erupt in place of lateral.
D Referral to orthodontist for consultarion
E. Immediate implant

Q4 His mother would like to save the tooth and doesn’t prefer the extraction option, what would you tell her?
A.Tell her that saving the tooth will take much time and repeated visits to put CA(oh) until apex closure.
B.RCT has very poor prognosis and ext will be better option.
C.Refer to endodontist.
D. RCT is impossible.