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Endodontic MCQ 1 PDF
Endodontic MCQ 1 PDF
1-‐ The
sympathetic
nerve
fiber
originates
from
which
of
the
following
structures:
a) Ragh
magnus.
b) Stallet
ganglion.
c) Subcaudalis
nucleus.
d) Trigeminal
ganglion.
2-‐ The
normal
interstial
pulpal
pressure
is
approximately:
a) 1-‐5
mm
Hg.
b) 6-‐10
mm
Hg.
c) 13-‐15
mm
Hg.
d) 15-‐35
mm
Hg.
3-‐ Which
of
the
following
mediators
released
by
central
end
of
nociceptors:
a) Glutamate.
b) Serotonin.
c) Interleukin
1.
d) Norepinephrin.
4-‐ In
wihch
of
the
following
structure,
the
Modulation
of
dental
pain
occurs:
a) Thalamus.
b) Ragh
magnus.
c) Trigeminal
ganglion.
d) Dental
pulp
and
periapical
tissue.
5-‐ Which
of
the
following
nerve
fibers
are
responsible
for
pulpal
pain
transmission:
a) A
beta
and
C
nerve
fibers.
b) A
delta
and
C
nerve
fibers.
c) A
beta
and
A
delta
nerve
fibers.
d) A
alpha
and
A
delta
nerve
fibers.
6-‐ Which
of
the
following
is
the
percentage
of
beta
nerve
fibers
present
in
the
dental
pulp:
a) 1/2
%.
b) 5
%.
c) 10
%.
d) 13
%.
7-‐ Which
of
the
following
is
the
percentage
of
sympathetic
nerve
fibers
present
in
the
dental
pulp:
a) 5-‐6
%.
b) 9-‐10
%.
c) 20-‐30
%.
d) 35-‐40
%.
8-‐ Which
of
the
following
structure
is
rich
with
propreoceptors:
a) Dentin
layer.
b) Periapical
area.
c) Dental
pulp
stroma.
d) Odontoblastic
layer.
2
9-‐ Which
of
the
following
structure
is
rich
with
C
nerve
fibers:
a) Dentin
layer.
b) Cell
free
zone.
c) Dental
pulp
stroma.
d) Odontoblstic
layer.
10-‐ Which
of
the
following
terms
is
defined,
as
"Pain
is
perceived
due
to
a
non-‐noxious
stimulus
which
does
not
normally
provoke
pain":
a) Allodynia.
b) Perception.
c) Modulation.
d) Hyperalgesia.
11-‐ Which
of
the
following
nerve
fibers
has
the
low
threshold
nociceptors:
a) A
alpha
nerve
fiber.
b) A
beta
nerve
fiber.
c) A
delta
nerve
fiber.
d) C
nerve
fiber.
12-‐ Which
of
the
following
nerve
fibers
transmit
the
dental
pain
without
modulation:
a) A
beta
nerve
fiber.
b) A
delta
nerve
fiber.
c) A
beta
and
A
delta
nerve
fibers.
d) C
nerve
fibers.
13-‐ Which
of
the
following
nerve
fibers
is/are
not
activated
with
external
dental
stimuli:
a. A
beta
nerve
fiber.
b. A
delta
nerve
fiber.
c. A
beta
and
A
delta
nerve
fibers.
d. C
nerve
fibers.
14-‐ The
stressed
pulp
is
defined
as
the
pulp
that
is
subjected
over
the
years
to:
a) Several
dental
treatments.
b) Caries
and/or
dental
trauma.
c) Diseases
and
dental
procedures.
d) Endodontic
&
re-‐endodontic
treatment.
15-‐ Sensory
fibers
of
the
inferior
alveolar
nerve
synapse
with
secondary
order
neuron
in
which
of
the
following
structure:
a) Hypothalamus.
b) Stellate
ganglia.
c) Gasserian
ganglion.
d) Subnucleucs
caudalis.
16-‐
Which
of
the
following
nerve
fibers
has
a
rule
in
pain
modulation:
a) A
delta
nerve
fiber.
b) C
nerve
fiber.
c) Sympathetic
nerve
fibers.
d) Parasympathetic
nerve
fibers.
Mid
year
Exam
2011
.3
17-‐ Which
of
the
following
terms
is
referred
to
mechanisms
by
which
the
transmission
of
noxious
information
to
the
brain
is
reduced:
a) Allodynia.
b) Modulation.
c) Hyperalgesia.
d) Sensitization.
18-‐ Which
of
the
following
ions
is
essential
for
exocytosis
process:
a) Calcium
ions.
b) Sodium
ions.
c) Chloride
ions.
d) Potassium
ions.
19-‐ Exocytosis
is
defined
as:
a) Formation
of
synaptic
vesicles.
b) Exaggerated
response
of
nerve
fibers.
c) Reduction
in
the
threshold
level
of
nerve
fibers.
d) Action
potential
generated
of
nerve
membrane.
20-‐ Which
of
the
following
structures
is
responsible
for
pain
modulation
before
it
is
Transmitted
to
the
cortex?
a) Interneuron,
Galia
and
descending
neuron.
b) Galia,
interneuron
and
projecting
neuron.
c) Central
terminal
of
primary
neuron,
interneuron
and
Galia.
d) Central
terminal
primary
neuron,
interneuron
and
projecting
neuron.
21.
The
hot
tooth
is
referred
to
that
tooth:
26. The pain exerted from exposed dentine is due to:
38.
In
which
of
the
following
endodontic
periodontal
lesions,
pulp
testing
is
positive:
a.
Primary
periodontal
lesion.
b.
Primary
endodontic
lesion
with
secondary
periodontal
involvement.
c.
Primary
periodontal
lesion
with
secondary
endodontic
involvement.
d.
True
combined
lesion.
39.
In
primary
endodontic
with
secondary
periodontal
lesions,
the
treatment
plan
is:
a.
Periodontal
treatment
only.
b.
Proper
root
canal
treatment.
c.
Endodontic
treatment
first
followed
by
periodontal
treatment.
d.
Periodontal
treatment
followed
by
proper
root
canal
treatment.
Mid
year
Exam
2011
.7
43-‐
A
33
year
old
female
patient
is
suffering
from
repeated
swelling
related
to
her
right
central
and
lateral
incisors.
Clinically,
deep
palatal
pocket
with
extensive
attachment
loss
was
detected
related
to
the
lingual
aspect
of
the
lateral
incisor.
The
pulp
test
was
+ve
and
radio
graphically
massive
bone
loss
was
evident
along
the
whole
root
of
that
lateral
incisor.
The
diagnosis
of
such
condition
could
be:
a) Percussion.
b) Pulp
testing.
c) Periodontal
probing.
d) A
periapical
radiograph.
46-‐
Proper
application
of
shifting
technique
allows
the
dentist
to:
a) 2
x
to
8
x.
b) 10
x
to
16
x.
c) 25
x
to
30
x.
d) 40
x
&
more.
50-‐
The
precision
&
triad
of
microsurgery
includes:
a) Access
cavity
preparation
by
splitting
off
the
coronal
part
of
the
tooth.
b) Access
cavity
preparation
by
gaining
access
prior
to
rubber
dam
application.
c) Pre-‐endodontic
build
up
broken
down
coronal
&
radicular
structure
while
neglecting
individualized
access
to
the
canal.
d) Pre-‐endodontic
build
up
broken
down
coronal
&
radicular
structure
while
preserving
individualized
access
to
the
canal
by
using
Bonded
injectable
polymerizing
composites.
Mid
year
Exam
2011
.9
53-‐
In
taking
a
periapical
radiograph
of
a
two-‐rooted
mandibular
premolar
from
distal
to
mesial
horizontal
angle,
which
of
the
following
is
TRUE?
a) The
lingual
root
will
move
distally
with
respect
to
the
buccal
root.
b) The
buccal
root
will
move
lingually
with
respect
to
the
lingual
root.
c) The
lingual
root
will
move
mesially
with
respect
to
the
buccal
root.
d) Both
roots
will
move
away
from
the
film.
54-‐
One
of
the
benefits
of
using
magnifications
in
Endodontics
is
to:(B,C&D
are
all
correct
answers
but
if
we
should
only
choose
one,
I’ll
choose
B
which
will
lead
to
C
&D)
a) Eliminate
pain.
b) Reduce
scar
formation.
c) Decrease
traumatization
of
tissue.
d) Increase
the
postoperative
healing
process.
55-‐
The
quality
of
the
magnified
field
is
significantly
influenced
by
the:
a) Lenses
material.
b) Image
sharpness
of
lenses.
c) Manufacture
trade
of
the
lenses.
d) Manufacture
trade
and
the
image
sharpness.
a) X
2.5
and
X
6
b) X
6
and
X
8
c) X
10
and
X
16
d) X
30
and
X
40
61-‐
Systemic
Radiographic
interpretation
starts
with:
Mid
year
Exam
2011
.11
64-‐
A
22-‐yaer-‐old
female
presents
with
intermittent
severe
pain
in
tooth
#
36
that
began
2
days
ago.
The
pain
comes
and
goes
and
lasts
more
than
7
minutes.
The
tooth
hurts
on
biting.
During
clinical
examination,
tooth
#
36
responded
to
cold
test
using
Endo
ice
with
severe
pain
that
subside
after
10
seconds.
A
radiograph
shows
a
large
deep
amalgam
restoration
and
normal
PDL
space.
Percussion
test
reveals
tenderness
of
tooth
#
36.
Your
complete
endodontic
diagnosis
is:
a) Symptomatic
pulpitis.
b) Asymptomatic
pulpitis.
c) Symptomatic
apical
periodontitis.
d) Asymptomatic
apical
periodontitis.
66-‐
Asymptomatic
apical
periodontitis
can
be
probably
diagnosed
by:
a) Cold
test.
b) Radiograph.
c) Electric
pulp
test
(EPT).
d) Laser
Doppler
flowmetry.
67-‐ One of the following diagnostic tests is considered to be a true vitality test:
a) CO2
snow.
b) Cavity
test.
c) Pulse
oximetry.
d) A
refrigerant
spry
(Endo-‐ice).
68-‐
During
pulp
sensitivity
testing,
one
of
the
following
can
cause
false-‐negative
response
(i.e.
vital
teeth
respond
negative):
a) Anxious
patient.
b) Liquefaction
necrosis.
c) Recent
traumatized
tooth.
d) Contact
with
metal
restoration.
12
69-‐
A
15-‐year-‐old
male
presents
with
severe
diffuse
pain
in
the
maxillary
left
premolar
region.
Upon
visual
examination,
the
tissue
in
the
mucobuccal
vestibule
appears
inflamed.
Palpation
reveals
tenderness
over
the
apex
of
the
teeth
#24
and
#25.
Both
teeth
are
slightly
tender
to
percussion.
Radiographically
no
changes
are
notes.
Further
evaluation
and/or
treatment
should
consist
of:
70-‐
A
10-‐year-‐old
child
presents
with
mild
discomfort
in
teeth
#21
and
#22.
The
teeth
were
traumatized
the
day
before
in
a
fall
from
a
motorcycle.
Clinical
examination
reveals
both
teeth
are
tender
to
percussion
and
the
crowns
are
intact.
Cold
test
using
Endoice
indicated
that
the
teeth
#21
and
#22
are
not
responsive.
Treatment
plan
for
such
case
is:
71-‐
Regardless
of
stimulus,
all
afferent
impulses
from
the
human
dental
pulp
result
in
sensation
of:
a) Pain.
b) Cold.
c) Heat.
d) Touch.
72-‐
According
to
a
new
diagnostic
terminology,
Asymptomatic
irreversible
pulpitis
is
defined
as
a
clinical
diagnostic
category:
a) Indicating
that
the
pulp
is
partially
necrotic
and
non-‐responsive
to
vitality
testing.
b) In
which
the
pulp
is
free
from
inflammation
and
abnormally
responsive
to
vitality
testing.
c) Indicating
that
the
vital
inflamed
pulp
is
incapable
of
healing
and
no
clinical
symptoms.
d) Based
on
subjective
and
objective
findings
indicating
that
the
inflammation
should
resolve
and
pulp
return
to
normal.
Mid
year
Exam
2011
.13
73-‐
A
35-‐year-‐old
patient
was
presented
to
your
clinic
complaining
of
dull
pain
related
to
tooth
#36.
Clinically,
the
tooth
had
proximal
caries
with
pulp
exposure.
The
tooth
didn’t
respond
to
sensitivity
tests.
The
radiograph
revealed
periapical
radiolucency
related
to
distal
root.
The
root
canal
was
initiated
&
temporization
was
performed
in
the
first
visit.
After24
hours
the
patient
came
to
the
clinic
complaining
from
diffuse
swelling
and
severe
pain
related
to
the
treated
tooth.
What
is
your
diagnosis?
a)
Acute
apical
abscess.
b)
Chronic
apical
periodontitis.
c)
Secondary
apical
periodontitis.
d)
Symptomatic
apical
periodontitis.
74-‐
Symptomatic
apical
periodontitis
can
be
probably
diagnosed
by:
a)
Heat
test.
b)
Cold
test.
c)
Percussion
test.
d)
Electric
pulp
test
(EPT).
75-‐
Which
of
the
following
is
a
feature
of
irreversible
pulpitis
during
taking
the
history
of
the
present
illness?
76-‐
After
application
of
Endoice
for
evaluation
of
pulp
sensitivity
of
normal
tooth
with
completely
formed
apex,
the
patient
will
report
on
of
the
following
as
normal
response:
77-‐
Recent
innovation
in
rotary
Ni-‐Ti
instruments
manufacturing
process
allowed
the
manufacturing
of
files
that
is:
a) Casted.
b) Twisted.
c) Swaged.
d) Machined.
14
78-‐ Helical angle as a component of rotary file is defined as the angle:
a) Symmetrical
cross
section,
which
initiates
a
Snake-‐like
movement
of
the
instrument
in
the
root
canal.
b) Symmetrical
cross
section,
which
initiates
a
direct
straight
movement
of
the
instrument
in
the
root
canal.
c) Asymmetrical
cross
section,
which
initiates
a
Snake-‐like
movement
of
the
instrument
in
the
root
canal.
d) Asymmetrical
cross
section
which
initiates
a
direct
straight
movement
of
the
instrument
in
the
root
canal.
81-‐
Twisted
File
(TF)
rotary
Ni-‐Ti
files
system
is
manufactured
by:
a) Twisting
of
heated
and
cooled
wire
which
leaves
Ni-‐Ti
file
temporarily
in
R-‐phase.
b) Twisting
of
continuously
heated
wire
which
leaves
Ni-‐Ti
file
temporarily
in
R-‐phase.
c) Grinding
of
heated
and
cooled
wire
which
leaves
Ni-‐Ti
file
temporarily
in
R-‐phase.
d) Grinding
of
continuously
heated
wire
which
leaves
Ni-‐Ti
file
temporarily
in
R-‐phase.
82-‐
The
ProTaper
cross
section
is:
83-‐ In Revo-‐S Ni-‐Ti system the shaper and cleaner 1 (SC1) file preparation:
a) Whole
RC.
b) Apical
1/3
of
the
RC.
c) Cervical
1/3
of
the
RC.
d) Cervical
and
middle
1/3
of
the
RC.
Mid
year
Exam
2011
.15
84-‐
Electric
pulp
tester
(EPT)
can
be
used
reliably
for
differential
diagnosis
of
one
of
the
following
pulp
diseases:
85-‐Test cavity is used to assess pulp sensitivity in case of:
86-‐Which of the following local anesthetic injection types is a supplemental injection?
87-‐ Advanced stage of irreversible pulpitis, a dull pain sensation is attributed to the:
a) Hydrodynamic
theory.
b) Inflammatory
mediators
which
stimulate
C-‐nerves
fibers.
c) Increase
in
the
intrapulpal
pressure
stimulating
A
nerve
fibers.
d) Presence
of
mechanoreceptor
that
is
stimulated
by
injured
dentinal.
88-‐ It is easy for the patient to localize periodontal pain than pulpal pain because:
a) The
periodontal
tissue
contains
proprioceptors
but
pulp
stoma
does
not.
b) The
pulp
has
low
compliance
environment
while
periodontal
tissue
c) The
pulp
has
A
beta
nerve
fibers
but
periodontal
tissues
contain
more
A
delta
nerve
fibers.
d) The
pulp
has
A
delta
nerve
fibers
but
periodontal
tissues
contain
more
sympathetic
nerve
fibers.
16
89-‐
Elective
endodontic
treatment
is
contraindicated
in
patients
having
myocardial
infarction
within
the
past
6
months,
this
is
because:
Answered By:
Mutasem Khairo, Hassan Abed, Mustafa Tashkandi , Elham Sahafi ,
Arwa al-Ghamdi , Ayah alfarsi, Eman al-Sharafi, Sumeyah Halabi
Mid
year
Exam
2011
.17