1ADentistdi

dpul
pot
omyofpri
marymolarandt
henaf
terf
ewmot
hshedi
dst
ainl
ess
st
eelcr
own.Whatbandheget
stocl
aim.
Band1
Band2
Band3
Band4
NoClai
m

2Afterdoingmesio-angulari
mpact
ionofl
owert
hir
dmol
ar,
whi
chsut
uremat
eri
ali
s
bestusedt oclosemucoper i
ost
eal
flap
3-0Silkcutti
ngneedle
3-0Vicrylcutt
ingneedle
Catgut

3PatienthasTIA(Transientischemicatt
ackthreemont hsago, youhavepl
anned
extr
acti
onandpat i
entisonaspi rin.Whati
sthebestwayt opr oceed?
Delaytheextr
acti
onf orthreemont hs
Goaheadwi thextr
action,fol
lowingappropr
iat
el ocalmeasures
RefertoOralsur
gery
Stopaspiri
n

4Pati
enthasanoverj
etofabove9mm whi
chUDAbandi
twi
llbe
Band1
Band2
Band3
Band4
Band5

5Overj
etof4.
5mm cr
it
eri
awhi
chUDAbandi
twi
llbe
Band1
Band2
Band3
Band4
Band5

6Autocl
avetemperatur
es(atwhattemper
atur
ethest
eri
li
zat
ioni
sachi
eved)
121degreescent
igr
adefor15minut es
121degreescent
igr
adefor3minutes
131degreescent
igr
adefor15minut es

7Apatientwithir
ri
tabl
ebowelsyndr
omewhatdoyousee.
Mucosalbli
steri
ng
Mucosaltags
Her
pit
if
or m ul
cers

8Pati
enthadpai
nint
hechestaf
terpr
olongeddent
alsessi
on,
wit
hanext
ract
ionpr
ocedur
e,whati
sthebestmedi
cinet
ogi
ve
GTN
ASPI
RIN

9Patientisi
nsuli
ndependentdi
abet
ic,
compl
ainsoff
aintaf
terpr
olongeddent
al
sessi
on, whati
sbesttogive
OralGlucose
IVGlucagon
Insul
in
1M Glucagon

10Pat i
entiswait
ingi
nwai
ti
ngr
oom andcol
lapseandf
aint
s.Pat
ienti
scol
d,cl
ammy,
butpul
sei
sgood.Whatdoyougi
ve?
IM Glucagon
OralGlucose
GTN
Hydrocorti
sone
Diazepam
c
d
e
.
f
.

11Patienti
ssuf f
eri
ngmyocardi
ali
nfar
cti
oni
ndent
alchai
r,whi
chposi
ti
oni
sbestf
orpat
ient
Upri
ghtsitt
ingposit
ion
Layi
ngf l
at
Recoverypositi
on
Laytheptflatandraisi
ngl
egs

12A90- yearol
dgentl
emanpr esent
edt
ocli
nicwhoisedent
ulousandhasdentur
esupperandl
owerful
lis-
year
sold.Dentur
ebi
t
uncomf ortabl
e,t
oothst
ruct
ureslit
tl
ebi
twor
nout,f
reewayspace2-4mm,poli
shedsur
facessat
isf
act
oryandocclusalwear
minimal.Howwoul dyouproceed?
Copydent ures
Hardr el
ine
Softreli
ne
Constructionofnewdentur
es

13Whendoyou, donotext
racti
mpacted8' s
Extr
act
ionof8'
srecommendedbyor t
hodont i
st
Extr
act
ionof8'
srecommendedi npat
ientundergoi
ngr enalt
ranspl
ant-
immunosuppr
esent
47year
soldwit
hmoderateperi
odonti
ti
s
Secondpermanentmol
arundergoi
nginternalr
esorpt
ionduet othi
rdmolar

14Nondentalorigi
n,Nocl
ini
calorr
adi
ologi
calf
indi
ngs.Pat
ientcompl
ainsofpai
nmaxi
ll
arysi
nusandeardeaf
ness,
uni
lat
eralul
cer
onfaceandforehead
HerpesSi
mplex
HerpesZost
er
Par
amyxovirus
Ort
homyxovirus
Ep-
stei
nbarvirus

15Howdoyoucheckmaxi ll
arypl
ane
Fox-
bit
e-pl
ane
OCcl
udingtheupperandl
owerdentur
e

16Whatsortofmat
ri
xisbestf
orr
est
ori
ngdi
sto-
occl
usal
rest
orat
ionof7?
Secti
onal
matri
x
Automatri
x
Toff
lomei
rmatri
x

17Howdoyougeti nci
salguidanceforset
ti
ngi
nci
salt
eet
h?
St
udycasts
Unsuppor
ted/
support
edlabialful
l
ness

18Burni
ngmouthsyndromewhichpartoft
heor
alcavi
tyi
smor
epai
nful
Tongue
Li
chenoi
dreact
ionseenassoci
atedwi
th
At
enol
ol
Rami
pri
l

19GTNi nAngina
Relaxesheartmuscl e
Decr easesbl
ood
Pressur e
Increaseposi
t i
veionotr
opi
ccharge
Dilati
onofarteri
olesandvenul
es

20hadtrauma-Nasal
-mi
dfacear
eaandhaswat
erydi
schar
geandbl
ooddi
schar
gef
rom nose
Orbi
talf
ract
ure
Zygomaticf
ract
ure
Lef
ort
-l
Lef
ort
-l
l

21Pat
ientwi
thonl
ymi
d-r
ootf
ract
ureoff
rontt
oot
h,whati
sapr
opr
iat
espl
int
ingt
ime?

1week

2week

4week

3mont
hs
g
h
i
j
..
22Pat ientwi
thlowerf
ourcent
rali
nci
sor
swi
thal
veol
arf
ract
ure,
youspl
int
edandi
mmobi
li
zedsuccessf
ull
y,andt
henwhati
sthe
nextthingtodo.
Softdietandreview

23Patienthadtr
aumawi
thmi
nimalmobi
li
tyoff
rontt
eet
h,nosympt
omsorpai
noranyt
hing,
whati
sthebestappr
oach
Spl
int
ingoneweek
Spl
int
ingtwoweeks
Spl
int
ing4weeks
Spl
int
ing6-8weeks
Sof
tdietandrevi
ew~

24Patienthadtrauma8daysago,uppercent
rali
nci
sorpal
atall
uxat
ionmi
ld,
noti
nter
fer
ingwi
thoccl
usi
onbutt
oot
hnonvi
tal
.
Whatdoyoudo?
Pul
pext i
rpat
ion+CaoH2dressi
ng
Reposit
ion
Repositi
on+Splint
ing~

25Bestmat
eri
alf
orusi
ngvi
talpul
pot
omy
..
,
Ferr
icsulphat
e
Formocresol

26Pat i
enthadt
raumaon14(vi
talpul
p),
onl
ythi
nbuccalcuspr
emai
ning,
bestt
reat
mentopt
ion
MOD- Onlay
i
nlay
Di r
ectcomposit
eMODL
Ext r
actandopti
onsforr
epl
acement

2718mont
hsofage,
whati
sfl
uor
idesuppl
ementf
orchi
ldl
ivi
ngi
n0.
25ppm f
luor
idat
edwat
er?
0.
25mg
0.
5mg
1mg

28Si
x-year
-ol
d-Nonf
luor
idat
edwat
er,
whati
sthef
luor
idesuppl
ementdose
0.
25mg
0.
5mg
1mg

29Si
x-year
-ol
dchi
ldwi
thf
luor
idat
edwat
erof0.
6ppm,
whati
sthef
luor
idesuppl
ementdosegi
ven
0.
25mg
0.
5mg
1mg

303-
yearol
dwi
thf
luor
ideconcent
rat
ionof0.
3ppm f
luor
idat
edwat
er,
whati
sthef
luor
idesuppl
ementdosegi
ven
0.
25mg
0.
5mg

31Duraphati
nhi
ghcar
iesr
iskgr
oupchi
ldr
eni
sappl
iedever
y
2months
4montt
ls~
6months
8months
One-
yearl
y

32Reasonf orfai
lur
eofer upti
onoflowerper
manentmol
ar
Caninepalat
all
yplace
Crowdinginpremolararea
Fail
ureoferupti
onofcent r
alinci
sor
k
l
.
m
n
oA
.
. bsenceofshowinglat
e r
alinci
sor

32Reasonf orfai
lur
eofer upti
onoflowerper
manentmol
ar
Caninepalat
all
yplace
Crowdinginpremolararea.
Fail
ureoferupti
onofcentralinci
sor
Absenceofshowi nglat
eralinci
sor
 33Failur
eofnor mal pat
hoferupt
ion
Abnormal posi
tionofcrypt
Earl
ylossofdeci duousteet
h
Supernumer ar
yt oot
h

34Cervicalli
neanddar
kli
nesonCent
rali
nci
sor
s,mol
arsandi
nci
saledges,
mostpossi
bler
easoncoul
dbe
Ameologensi s
Denti
nogenesi s
Chi
ldhoodi l
lness
Hypoplasia

35Anedent ulouspati
entpr
esent
swi
thul
ceri
nret
romol
arpadar
eaf
ir
stl
ineofmanagementwoul
dbe
Adjusti
ngt hedentur
e
Inci
sionalbiopsy
Peri
apicalxray

36Howshouldbet
hef
loorofdent
al
sur
gery?
i
mpervious
Absorbabl
e

37Possibl
einf
ect
iont
hatwoul
doccurf
rom needl
est
icki
njur
yinaper
sonwhoi
sappr
opr
iat
elyorpr
oper
lyi
mmuni
zed
Hepat
it
isB
Hepat
it
isC
Hepat
it
isA
HIV

39Gotacal
lfr
om mot
herofa3-
yearol
dchi
ld,
whohadt
raumaandavul
sedt
hef
rontt
oot
h.Whati
nst
ruct
ionyouwi
llgi
vet
o

Surgeryassoonaspossi blewithtooth
Placetoot hinmi lkandat tendsurgeryassoonaspossi bl
e
,
Placeint hesaltwat erandat tendsurgeryassoonaspossi ble
Placethet oothini t
sposi ti
onbackandat tendsurgeryassoonaspossibl
e
40A3- year-
oldboyavul sed61, andmot herre-
implantedi
tini
tssocketandcl
oti
shol
dingt
hepr
imar
ytoot
h.I
OPAshows
permanentt oot hpresent ,
whatwoul dyoudo
Leavei tandr eview
Splint
ingf oroneweek
Removeandspacemai ntenance

42Pati
enthaspainf
ulsympt
omsatthet
imeofeat
ingandal
sohasearpai
n,whatx-
raywoul
dyouconsi
der
.(Theopt
ionofoccl
usal
x-
rayswasnotgivenint
hechoi
ces)
OPG
Obli
queLateral -
Lat
eralchepalograph
Poster
o-ant
eriorview

43Adent alpracti
tionercanbe
1-Radiologyadviser+physicst
+operat
or
2-Supervisor+advi ser
+physicst
3-practi
oner+refer+operatOL
41Achi l
dhasgr osslybrokendownupperandl owermol
ars,
car
ioust
oot
h,whi
chx-
raywoul
dyouconsi
der
IOPA
Bit
ewings_
Vert
icalBi
tewings
DPT
4-
Pract
ioner+physi
cst+super
visor
5-
Physi
cst+supervi
sor+0perator
44Ri
skofcancerindent
alRadi
ogr
aphy(
IOPA)
1- 1:20,000
2- 1:200,000
3- 1:2,
000,000
4- 1:20,
000,000

p.

45Whi chcellsareaff
ect
edbyBi
sphosphonat
es?
Mesencymalcel l
s
Undi
fferenti
atedcel
ls
Oest
eocl ast
s

49Whenpr epari
ngtheApi
calZone,
theuseofthefi
lessequent
ial
lyf
rom apext
obackwar
ds(
lowert
hesi
zeofi
nst
rument
)-what
isthebestdi
stancet
oachi
evegoodapicalar
eapreparat
ion
0.
5mm
1.
0mm
l.
5mm
47Adi
abet
icpat
ientcompl
ainsofpai
nonar
ootcanalt
reat
edt
oot
h.Rootcanali
sdone2year
sago.Onexami
nat
iont
he
r
est
orat
ionont
het
oot
hseemsl
eaki
ng.Reasonsf
orpai
nandf
ail
ure
Nopr operobtur
ation
Medicalconditi
on
Lackofcor onalseal
Inadequatebiomechani
calpr
epar
ati
on

48Bestsuccessofr
ootcanali
sachi
evedby
St
rai
ghtcanal
s
St
rai
ghtl
ineaccess
Wideni
ngofapert
ureofrootcanal
s
Pr
operi
rri
gat
ional
ltheti
mesunderpresenceofr
ubberdam
2.
5mm
3.
5mm

50Pr olongeduseofcor
ti
cost
eroi
dsi
nadul
tsmayr
esul
tinorcancause
51Bestmater
ialt
ousei
nther
oot Alopecia car
iesandbuccalcar
iesi
n
el
der
lypat
ient
. Insul
in-di abet
es
q. Libi
dos
Thinningof
skin
Hybr
idComposi
te Lessar ousal
Amalgam
Si
li
catecement
Zi
ncphosphate
 52Achildpati
enti
sbroughttothedent
alcli
nic,
parent
scompl
ainofchi
ldhavi
ngtraumaandhasfal
lendown,
hur
ti
nghi
steet
h.
YoususpectNAI'
s.Whichisthemostappropri
atef
indi
ngwhi
chwouldgivesuspensi
onofNAI
'S?
Redeye
Neckbrui
se
Chil
dagit
atedanddist
ressed
Inj
uri
estoshinandkneeareas

53Whati
sthebpescor
eifgi
ngi
valr
ecessi
onof2mm andbandcompl
etel
ydi
sappear
s
1
2
3
4

54Whati
sthebpescor
eifGi
ngi
valr
ecessi
on2mm +5.
5mm
1234

r
.
55Onexami
nat
ionoff
ourt
eet
hinasexantexceptf
orL4hasnobl
eedi
ngonpr
obi
ng.Whati
stheBPESCORE?
O
1
2
3
4

56Pat
ienthasdamagedi
nfr
a-or
bit
alner
ve-or
bit
alf
loorf
ract
ure,
pat
ientpr
esent
stoyouaf
tert
wohour
slat
er.Whatsympt
oms
youwouldf i
nd,choosemostappr
opriat
eone
Peri
-or
bit
aledema
Lossofvisualacui
ty
Lossofsensationorpar
est
hesiaovercheek

57whatyouwoul
ddo
1-Di
smissal
2-
Gri
evanceprocedure
3-
Inf
ormaldi
scussion
4-
Suspensi
onandi nvest
igat
in
5-
Writ
tenwarni
ng

59RCTt reat
edt
oot
h,postpl
aced,whi
chist
hebestopt
iont
orest
oret
het
oot
h.Nayyar
techni
queused,
goodtoot
hstruct
ure50%
Goldcrown
Goldinl
ay
PJC
GoldOnlay

Opti
onsar e
a-Dentalassist
antwantt oexplorefuturecarri
eropport
unit
ie
b-Belowopt i
onsthatneedst obemat ched
c-Dentalassist
antsuspectedoft hetheft
d-Repeatedcompl aint
sofletter
sf r
om patientsregardi
ngdentalassist
ant
e-Dentalst
afforpersonf ai
lur
et orespondr epeat
edlyevenaft
ergivingmany
f-
Ast affmemberr epeatedl
yre-heardmanyt i
mescomment sfrom coli
eagues

58Forret
enti
onofpostwhi
chi
snoti
mpor
tant
Diamet
er
Size
Luti
ngcement
Typeofpost
60Themovementoft ongueonpr
otr
usi
oni
saf
fect
edt
olat
eralsi
de-
whi
chner
vei
sinvol
ved.Pat
ientr
ecent
lyhadsur
ger
yand
radiat
ioncloset osubmandi
bul
argl
and
Lingual
Glossophar yngeal
Hypogl ossal
Chor
dat
ympani
63Chosethecor rectopti
on
1-
Generalanesthet i
csanddaysur gery
2-
Generalanesthet i
csandonedayi npati
ent
3-
Localanestheticsandoralsedation
4-
Localanestheticsandinhal
ationsedat i
on
5-
LocaIanest hetics
61Whenpat ientcompl ai
ntsaboutat reatmentandunhappyaboutt
hepr
ocedur
eandgi
vesacompl
aint
,inhowmanydaysyou
havetoacknowl edgethecompl ai
nt
1day
2days
3days
10days
20days

62Pat
ienthascar
diacar
rhyt
hmi
asonwar
ffar
inandyest
erdayhadI
NRof3,
todayneedsext
ract
ion.Whatdoyoudo?
Dif
fertheextr
acti
ons
Consultphvsi
cian
Al
terthedoseofwarfar
in
Dotheextract
ionandcontr
olpostoper
ati
vebl
eedi
ng

Opt
ions

a-
Chil
d3-year
s-ol
d,removalofalldeciduous
pr
imarymolar
s
b-
12-year
s-ol
dveryanxiouspati
ent ,r
emovalofall5's
c-
Ext
racti
onofful
lyeruptedmolarin4- mont
h-ol
dpr egnantl
ady
d-
Chil
dforextr
act
ionswhoi smedi cal
lycompromi sed

64Secondar yimpressi
onsf
oredent
ulouspat
ientcl
osef
itt
raywi
thhypergapr
efl
ex.Whi
chmat
eri
alyouusef
ort
aki
ngan
i
mpr ession
Al
ginate
Si
li
coner ubberbasedmater
ial
Pl
asterofPar i
s
Zi
ncoxi deeugenol

65Palatall
yimpacteduppermaxil
lar
ycani
nes.Howwoul
dyouknow?Whet
hert
heyar
eimpact
edpal
atal
lyorbuccal
lyandwhi
chof
thefol
lowingx-r
aysarebestopt
ion
Parall
eli
ngtechni
que
Bi
sectingt
echnique
Bit
ewings
OPG
Takingtwox-
rays,wit
hpar
all
eli
ngt
echni
que

66Defect
ivehor
izont
alangul
ati
onswhi
let
aki
ngbi
tewi
ngsr
esul
tsi
n?
Over
lappi
ngofcontactpoi
nts
Dar
kradi
ogr
aph
Li
ghtr
adi
ograph

67Whi chofthef
oll
owi
ngant
if
ungalmedi
cat
ioni
nter
actwi
thwar
far
inandenhancesi
tsef
fect
?
Ketacanazole
Micanazole_
Fl
ucanazol e
Amphot
roci
nB

68Apatientcameaf t
ertwodaysofext ract
ion,
complainshehadpainf
ort
wodays,
exami
nat
ionshowedl
ocal
izedswel
li
ng,
no
l
ymphadenopathy.Whati sthefi
rstli
neoftreat
ment?
Possi
bledrysocket-i
rri
gati
onandpl acementofsedati
vemedicament
Ir
ri
gat
ion-curet
tageofsocket ,
antibi
oti
csandanalgesi
cs
Ir
ri
gat
ionandant i
biot
ics
Possi
bler
ootpi
eceorbonepi
ecet
akeI
OPAx-
rayandanal
gesi
cs
69Pat i
entget
ti
ngt
reat
mentdoneunderI
VSedat
ion-suddenl
ynotr
espondi
nghasdecr
easedbl
oodpr
essur
eanddecr
eased
br
eathing
Oversedati
on
Asthma

70Pat i
entishavi
ngepil
epti
cseizur
escont
inuousl
yfor10mi
nut
esi
ndent
alsur
ger
y-f
ir
stl
ineofmanagementi
s
Pl
acei nrecover
yposit
ion
Gi
vedi azepam
Oxygen
I
ntranasalorbuccalmi
dolazam

71Suddenuni later
alonsetoff
aci
alswel
li
ngandpai
noverpar
oti
dar
ea,
whi
chi
snotyetf
luct
uant
Bacter
ialsali
adenit
is
Sali
var
yducti nfect
ion
Sali
orr
hea
Vir
alsi
liadeni
tis

72Whatdoyouseei ni
rri
tabl
ebowelsyndr
ome?
Mucosalbli
stering
Her
pit
if
orm ul cers
Mucosaltags
Macul
arpat chesonbuccalmucosa

73Afif
teenyearol
dpat i
entasksforbl
eachingoft
eeth.Whati
sthefi
rstl
ineofmanagement?
Di
scussopti
onswi t
hbot hpat
ientandparent
Di
scussopti
onwi t
hbot hpati
entandparent,
onceyouhaveobtai
nedconsentfr
om pat
ient
Di
scussonlywithpati
ent
Di
scussonlywithparent
-

74Achildavul
sedpermanenttoothcamewi thheraunt,whatwillyoudo?
Donotdoanything
Donotdot r
eatmentasaunti
snotl egalguar
dianofthechild
Donotdot r
eatmentaschi
ld'
smot herisnotther
etogiveconsent
Re-
implantandspli
nti
twit
haunt'sconsent(Ihavegonef orthi
soption,
becauset
reat
mentcanbesomet
imesdone,
ifi
tisi
n
chi
ld'
sbestint
erest
)

75Bestwayst oreducer
adi
ati
onf
orpat
ientwhoi
sgoi
ngt
ohaveI
OPAX-
rays
Leadapr on
Parall
eli
ngtechnique
Rectangularcoll
i
mat i
on
D-Fi
lm

76Mat cht heopt ion

Apical periodont i
tis
Lateralapi calabscess
Crackt oot hsyndr ome
Dentinehyper sensitivi
ty
Hyper emi cpul p
Rever siblepulpiti
s
Options
Int
ermi ttentpai nfrom mol arwhichishavi
nghugerest
orat
ionl
eaki
ng
Prolongedi nt
ensepai nforseveraldays
Acutepai nwhi chdecr eases10-15mi nut
esaf
tert
hestimulusi
sremoved
I
ntermi ttentpainonbi t
ing
Int
ermi ttentpai nwi t
hhott hings

77Matchtheopt i
ons
Si
mplecanti
leverconvent
ional
Si
mplecanti
leverminimal
Spr
ingcanti
leverconvent
ional
Spr
ingcanti
leverminimal
Fi
xed-
fi
xedconvent i
onal
Fi
xed-
fi
xedmi nimal
Fi
xedmovabl e
Opt
ionst
omat ch
Missingupperr i
ghtcentral11andr estor
ed21
Laterali
nci
sorhasr estorat
ions,poi
nt edcanines
Caninespointed,l
aterali
ncisorsspaces,diastema
46and44pr esent45mi ssing,44mi nimal
lytil
ted,
46heavi
lyf
il
ledbot
har
eti
pped46mesi
aland44di
stal

78Whatisthebestcementusedt
ocementmi
nimal
lydonei
nlayr
est
orat
ion(
MOD)
GIC
ZNO
Zi
ncphosphate
Zi
ncpol
ycar boxyl
ate
Resi
ncement

79Whatsortofmat
ri
xisbestf
orr
est
ori
ngdi
sto-
occl
usal
rest
orat
ionof7?
Sect
ionalmat
ri
x
Automatri
x

80Patienthadt
raumawi
thmi
nimalmobi
li
tyoff
rontt
eet
h,nosympt
omsorpai
noranyt
hing,
whati
sthebestappr
oach
Spl
int
ingoneweek -v
Spl
int
ingt woweeks
Spl
int
ing4weeks

81Pat
ienthadtrauma8daysago,
uppercent
ral
inci
sorpal
atall
uxat
ionmi
ld,
noti
nter
fer
ingwi
thoccl
usi
onbutt
oot
hnonvi
tal
.
Whatdoyoudo?
~ Pul
pextirpat
ion+CaoH2dr
essi
ng
Reposit
ion
Reposit
ionandspli
nti
ng

82Pat i
enthadtr
aumaon14( vi
talpul
p),
onl
ythi
nbuccalcuspr
emaini
ng,bestt
reatmentopt
ion
MOD- Onl ay
Inl
ay
Composi te
83-Deciduoust
oothhadi
ntr
usion61,whati
smostl
ikel
ytooccurf
orpermanenttooth
Impacti
on
Uneruption
Hypoplasia
Dil
aceration

84-Spli
nti
ngtimeforAvulsion
2weeks
1week
7-10days
85Gotacal lfr
om mot herofa3-yearoldchil
d,whohadtr
aumaandavulsedt
hef
rontt
oot
h.Whati
nst
ruct
ionyouwi
llgi
vet
o
mot her
Placetoothinmilkandattendsurgeryassoonaspossibl
e
Placeinthesaltwaterandattendsurgeryassoonaspossibl
e
Placethetoothinit
spositi
onbackandat t
endsurger
yassoonaspossi
ble

86A3- year-
oldboyavul sed61, andmotherr
e-i
mpl
ant
edi
tini
tssocketandcl
oti
shol
dingt
hepr
imar
ytoot
h.I
OPAshows
permanenttoot hpresent,
whatwoul dyoudo
Leaveitandr eview:
Spli
nti
ngf oroneweek
Removeandspacemai nt
ainence

87Achi l
dhasgr osslybrokendownupperandl
owermolars,
cari
oustoot
h,whichx-r
aywoul
dyouconsi
der
IOPA
Bit
ewings
Vert
icalBi
tewings
88Whenpat ientcompl ai
ntsaboutatr
eat
mentandunhappyaboutt
heprocedureandgi
vesacompl
aint
,inhowmanydaysyou
havetoacknowl edgethecomplaint
1day
3days
10days
20days

89Patienthascardi
acarr
hythmiasonwar f
ari
nandyest
erdayhadI
NRof3,
todayneedsext
ract
ion.Whatdoyoudo?
Di
ffertheextr
acti
ons
Al
terthedoseofwar f
ari
n
Dotheext r
acti
onandcontrolpostoper
ati
vebleedi
ng

90Matchthequest i
onstotheoptions
l
)Gener
alanestheti
csanddaysur ger y
2)
Generalanestheti
csandonedayi npat
ient
3)
Localanestheti
csandoralsedation
4)
Localanestheti
csandinhal
ati
onsedat ion
5)
Localanestheti
cs

OPTI
ONS
a)
Chil
d3-year
s-ol
d,removalofalldeciduouspri
marymol ars
b)
12-year
s-ol
dveryanxiouspati
ent ,r
emovalofall5's:
c)
Ext
racti
onofful
lyeruptedmolarin4- month-
oldpregnantl
ady
d)
Chil
dforext
ract
ionswhoi smedi cal
lycompromised

91Secondar
yimpr
essi
onsf
oredent
ulouspat
ientcl
osef
itt
raywi
thhypergapr
efl
ex.Whi
chmat
eri
alyouusef
ort
aki
ngan
i
mpression
Al
ginate
Pl
asterofPar
is
Zi
ncoxideeugenol

92Palatal
lyimpact eduppermaxil
lar
ycanines.Howwoul
dyouknow?Whet
hert
heyar
eimpact
edpal
atal
lyorbuccal
lyandwhi
chof
t
hef ol
lowi
ngx- raysarebestopti
on _
Take2Par all
eli
ngtechniqueradi
ographs
Bisect
ingtechnique
Bitewi
ngs
OPG

94Whi chofthef
oll
owi
ngant
if
ungalmedi
cat
ioni
nter
actwi
thwar
far
inandenhancesi
tsef
fect
?
Ketacanazol
e
Micanazole
Amphot r
ocinB

95Apat i
entcameaf t
ertwodaysofext ract
ion,complai
nshehadpai
nfort
wodays,
exami
nat
ionshowedl
ocal
izedswel
li
ng,
no
l
ymphadenopathy.Whati st
hef i
rstli
neoftreat
ment ?
Ir
ri
gat
ion-curet
tageofsocket,antibi
oti
csandanal gesi
cs
Ir
ri
gat
ionandantibiot
ics
Possi
blerootpi
eceorbonepi ecetakeIOPAx- r
ayandanalgesi
cs
I
rri
gat
ionanddebridement

97Patientishavi
ngepi
lept
icsei
zur
escont
inuousl
yfor10mi
nut
esi
ndent
alsur
ger
y-f
ir
stl
ineofmanagementi
s
Pl
aceinr ecover
yposi
ti
on
Midazolam
Gi
vedi azepam
Oxygen

98Suddenuni
later
alonsetoff
aci
alswel
li
ngandpai
noverpar
oti
dar
ea,
whi
chi
snotyetf
luct
uant
Sali
var
yducti
nfecti
on
Sial
adeni
ti
s
Sali
orr
hea

99Whatdoyouseei ni
rr
it
abl
ebowel
syndr
ome?
Mucosalbli
steri
ng
Mucosaltags
Macul
arpat ches

100Af if
teenyearoldpat
ientasksforbl
eachingoft
eet
h.Whati
sthef
ir
stl
ineofmanagement
?
Discussopti
onswi t
hbothpatientandparent
Discussonl
ywi
th
pati
ent
Discussonl
ywi
thpar
ent

101Achil
davulsedper
manenttoothcamewi t
hheraunt,whatwi
llyoudo?
Rei
mplantwi
thauntsconsent
Donotdoanyt
hing
Donotdotr
eatmentasauntisnotlegalguar
dianofthechil
d
Donotdotr
eatmentaschil
d'smotherisnottheret
ogiveconsent

102Bestwayst or educer
adi
ati
onf
orpat
ientwhoi
sgoi
ngt
ohaveI
OPAX-
rays
Leadapr on
Parall
eli
ngtechnique
D-Fi
lm
Rectangulrcol
li
mat i
on

103EMQbasedquest i
ontomat
cht
heopt
ions
Apicalperiodontit
is
Lateralapicalabscess
Crackt oothsyndrome
Dentinehyper sensit
ivi
ty
Hyper emicpul p
Rever si
blepulpit
is

Opti
ons
Int
ermit
tentpainfr
om mol arwhi
chi shavi
nghugerest
orat
ionl
eaki
ng?
Prol
ongedintensepainforseveraldays?
Acutepainwhichdecreases10-15mi nut
esaf
tert
hestimul
usisremoved?
I
ntermit
tentpai
nonbi t
ing?
I
ntermit
tentpai
nwi t
hhott hi
ngs?

104Mat chtheopt i
ons
a.t
etracycli
nest ai
n
b.mil
df l
our osis
s.hypopl asti
cpi t
t.Foodst ainingextr
insi
cst
ain

Tr
eatmentopti
ons
Cr
own
Micr
oabrati
onfol
lowedbyveneer
Bl
eeching(
chai
rside}
Whit
ingtoot
hpaste

106Whicht estisthemostr
eli
abl
etestt
oindi
cat
ethepr
esenceofact
ivehepat
it
is
Hbs(sur f
ace} ant
igen
Hbc(cor
e)antigen
Hbeantigen
Anti
bodyt oHBsant igen

107Fi
rstli
net reat
menttoneedlesti
cki
njur
y
Washthear eaunderrunni
ngwat er
Ser
apet hear ea
Ref
ert
oi nfecti
ousdiseasespeci
ali
st

108whati
slegal
amount(
uni
t}
ofal
coholi
ntakef
ormen
18
21
24

109Medicalcondi
ti
onofptwhor
eser
vedaseati
nadi
nnermeat
ingf
orhi
sdeadwi
fe
Mania
Anxi
ety
Depr
ession
Schi
zphreni
a
110Ladyin40sgotTMJpai
nforaboutf
ewmont
hs,
shegotdi
vor
cedr
ecent
lywhati
sthef
ir
stl
inet
reat
ment
a.
amitr
ptyl
ine
b.
physi
otherapy
c.
occl
usalspli
nt

111whi chepi t
heli
alcel
lthatr
esponsi
blefortheatt
achments?
9-whattypeofcel l
sthatprol
if
erat
einlat
erstagerofherl
if
e?
a.Odontoblast
b.cemtoblast
c.restofmal azess
e.undif
fer
ent i
atedmesynchymalcells

112BLSnoof
compressi
ons
40:
1
30:
1
30:
2

113Pat i
entf
itandheal
thyt
henhegotcol
dandcl
ammyt
henhel
osthi
sconsci
ousness
Syncope
Epi
lepsy
Hypoglycaemia

114Dr ugofchoi
cet
oacut
east
hma
Salbut
amol
Steroi
ds

11SThet erm abr

asionbestdescribes:
A.Lossofsubstancebychemi calagent(er
osi
on)
B.
Lossofsubst ancebyexternalagent(abr
asi
on)
C.
Lossofsubst ancebythemovementoft oot
hagai
nstt
ooth(at
tr
iti
on)
D.Therapidl
ossofsubstancet hatisseenint
hemovementofporcel
aincr
ownsagani
stnat
uralt
eet
h(at
tr
it
ion)

116Somedaysaf terpreparat
ionandfil
li
ngofashall
owclassIamal
gam cavi
tyt
hepat
ientcompl
ainsofpai
nonbi
ti
ng.Youwoul
d:
A.Per
for
m vi
t ali
tytest
B.
Replacefi
ll
ing
C.
Checkforpr emat ur
econtacts
D.Removeallocclusalcontactsfr
om thi
sfil
li
ng
E.
Tellt
hepatienttowai t2-
4weeks, t
hepainwi l
lgoaway

117Inacomposit
efil
li
ng,thematr
ixbandi
sfor
A.Hel
pshapi
ngandcont ouri
ngt
hefil
li
ng
B.Pr
eventmat
eri
altobepushedunderthegi
ngi
valmar
gin

120Inacl ass11.
2mal
occl
usi
on,
whi
chbr
idgedesi
gnwoul
dbecont
rai
ndi
cat
edf
orami
ssi
ngl
ater
alupperi
nci
sor
?
A.
Canti
leverbri
dge
B.Mar
ylandbr i
dge

121Whi chisthebestcant
il
everbr
idgedesi
gnf
ormi
ssi
ngmaxi
ll
arycani
ne?Abut
menton
A.Bothpremolars
B.Later
alandcentral
inci
sor
C.Later
alinci
sor
D.Fir
stpremolar

122A9year s-
oldchi
ldwhohassust ainedaf r
actureofamaxi ll
arypermanentcent
ralincisori
nwhi
ch2mm oft
hepul
pisexposed,
presentsfortr
eatment30mi nutesafterinj
ury.Whichoft hefol
lowingshoul
dbeconsi dered?
A.Remove1- 2mm oft hepulptissuesurface,pl
acecalcium hydroxideandfi
llwi
thresin
B.Remove1- 2mm oft hepulptissuesurfaceandcoverwi t
hledermix
C.Placecalci
um hydroxi
dedirectlyontheexposedpul p
D.Pulpotomyusingformocresol
E.Pulpectomyandimmedi at
er ootfil
li
ng

123Inafl
our
idat
edt
oot
hpast
ewi
th0.
304%sodi
um f
luor
idet
heamountoff
lour
idei
onsi
s
A.400ppm
B.l
000ppm
C.1500ppm
D.4000
ppm

124Themosti mportantdiat
aryhabi
tforcar
iesdevel
opmenti
s
A.Amountofsugari ntake
B.Frequencyofsugari nt
ake
C.Form ofsugari
ntake

125Thenormalunst
imul
atedsal
ivar
yfl
owr
atei
s
A.0.
02ml/min
B.0.
2ml/min
C.2ml/min

126Titani
um i
susedindent
ist
ry
A.l
naver ypur
efor
mi nimpl
ants
B.l
nanal l
oywit
halumini
um i
ncasti
ngforcr
ownsandbr
idges
C.l
nanal l
oywit
hnickeli
nor
thodont
icwir
es
D.AandB
E.A,BandC

127Whatisthereasonforat
oot
htodevel
oppul
pit
issever
alyear
saf
terset
ti
ngofaf
ullveneergol
dcr
own?
A.Bact
eri
almicr
oleakage

128Howi sther egenerati

onpr ocessafterdamagebyi
njur
ytoodont
obl
ast
swor
king?
A.Proli
ferationoft heremai ni
ngodont oblasts
B.Diff
erentiationfrom fibr
oblasts
C.Regener ationfrom undiffer
entiat
edmesenchymeI
cell
s
D.Histodi
ffer enti
ati
onf rom ect
odermalcel ls
E.Di
fferentiationfrom theinfl
ammat ioncells

129Inconst
ruct
ionoff
ulldent
ures,
whatdoestheterm"toolowvert
ical
dimensi
on"r
efert
o?
A.Asi
tuat
ioninwhicht
hereist
oomuchinteroccl
usalspacebetweenupperandl
owerart
if
ici
alt
eet
hwhent
hemandi
blei
sinr
est
posi
ti
on.

130Reversiblepul
piti
sischaract
eri
zedby
A.Pai
nlastslongeronhotorcoldsti
mul usthannor
mal
ly
B.Pat
ientcan'tl
ocal
izepain
C.Wil
ihaveper i
api
calinvol
vementinradiogr
aph

131Irrever
siblepulpiti
sischaracteri
zedby
A.Thereisoftenahi storyofspontanouspai
n
B.Suddenthrobbingpai n
C.Paincan'tbelocalisedwheni tr
eachestheperi
api
calar
ea
D.Thereispainwhi chl i
ngersforashortdur
ati
onaft
erromovalofst
imul
us

132Whatarethesymptomsofi
nter
nalr
esor
pti
on?
A.ver
ypai
nful
B.Sympt
om-fr
eeoronlymil
dpai
n

133Whatki ndofr ootf

ract
urei
nat
oot
hhast
hebestpr
ognosi
s?Af
ract
ureatt
he
A.Apicalt
hird
B.Coronalthird
C.Middlethird
D.Verti
calfractur
e

135whi choft
hesedi
seaset
hatcausedbyposi
ti
vel
act
o
baci
ll
us
Syphi
lis,
TB
Angularchei
li
ti
s

136Chi
ldwit
hsoret
hroat
andf
eel
ingunwel
l,
hegotmacul
arr
ashonhi
scheek?
a.
measles
b.
chi
ckenpox
c.
her
pessimplex
137Diabeti
cptwi t
habscesscompl
ainoff
ail
ureofr
ootcanalt
her
apyanddur
ingt
heexami
nat
iont
hef
il
li
ngwasl
eaki
ng?Whatt
he
reason
a.l
ackofcoronal
seal
b.l
ackofapicalseal
c.Ptmedicalcondit
ion

138whati
sthemostcommonsi
tet
hataf
fect
edbybur
ningmout
hsyndr
ome?
Tongue
Palat
e
Cheek

139Ptwor ri
edofget
ti
ngcancerwhatt
headvi
cet
hatshoul
dugi
ve?
Regularcheckup
5frui
t/vegaday

140Ptgotr ecentl
ymetal
li
ctast
esensat
ionaf
tert
aki
ngor
almedi
cat
ion?
a.
burningmout hsyndr
ome
b.
oraldysthesia
c.
oraldysgeusia

141Reasonsf orcr
owding
Aearlylossofdeci
duousteeth
b.
del
ayeder upti
onoflowerfi
rstmol
ar
cpri
mar yfai
lur
eoferupti
on
143Reasonf ordel
ayederupti
onofl
owerf
ir
stmol
ar
aear l
ylossofdeci
duoust eeth
b.
delayederupti
onoflowerfi
rstmol
ar
cpri
mar yfai
lur
eoferupti
on

142Reasonforpalatalpositi
onofuppercani
ne
aearl
ylossofdeciduoust eet
h
b.
del
ayederupti
onofl owerf i
rstmol
ar
cpri
maryfai
lureoferuption
dabnormalposit
ionofcrypt

143Apat i
entinyourdent alchai
rshowschestpai
n,weakpulseanddysponea,
whati
syouri
nit
ialmanagement
,
A.Administ
erni t
ro-gl
yceri
neandkeepthepati
entupseated
B.Putthepatientinsupineposit
ion
C.Waitunti
lthesympt omsgoaway

144Developerwascont
ami
nat
edwi
thot
herchemi
calandwasnotmi
xedpr
oper
ly.Whati
stheef
fectont
heX-
rayf
il
m?
A.Toodarkfil
m
B.Li
ghtfi
lm
C.Foggy

145Branchi
alCleftcysti
slocat
ed
A.I
nfrontoftheneck
B.Onanteri
orborderoftheSter
nocl
eidomast
oidmuscl
e
C.Showswhenswal l
owing

146Whati stheappr
oxi
mat
eunst
imul
atedsal
ivar
yfl
owr
ate,
A.2ml/min
B. 0.2
ml/min
c.0.
02ml /
mi n
D.20ml /
mi n

147Somehour saft
ertheextr
acti
onofal owermol arthepati
entcomplainsofpr
olongedpostoperat
ionbl
eedi
ngandpai
n,how
wouldmanaget his,
A.Prescri
beanalgesi
csandaskt hepati
enttofollowast r
ictor
alhygi
ene
B.Admi ni
ster5%Mar cai
neLocalAnaestheti
c,prescri
beanalgesi
csandpackt hesocketwit
halvogyl
C.Admi ni
ster5%Mar cai
neLocalAnaestheti
c,suturethesocketandprescri
beanalgesi
cs
D.Sutureandgivepressurepacks
148AGr aceycurett
eischaracteri
zedby
2
A.Thebladeandt heshankform a90angl e
B.Canbeusedonbot hsides
C.Canbeusedonanyt oothsurface
D.I
tisspecif
icforeachsurfaceofthet oot
h

149Apat i
entwi t
hnoposi t
ivehistorycameal ongf orscali
ng.Themomentyoupi ckupyourant er
iorscal
eryoupunchyourf
inger
,
whatshouldyoudo?
A.Completethepr ocedureasi fnothinghashappened
B.Checkdent i
st'
sbl oodforHepat it
isBant i
bodyHBsAb
C.Checkdent i
st'
sbl oodforHepat it
isBant i
genHBsAg
D.Checkpatient'
sbl oodforHepat it
isBant i
bodyHBsAbandHI Vant i
genHI VAg
E.Checkpatient'
sbl oodforHepat it
isBant i
genHBsAgandHI Vant i
bodyHI VAb
F.Denti
stshouldgoandt akeaHBsAbvacci ne
~
150Apat i
entont hedentalchai rhascar di
acarrest.Whati sINCORRECT,
A.Observi
ngt hevitalsi
gnsandcheckt hattheairwayi sclearisathighimpor tance
B.Expi
redairhas15%02onl y,andcar diaccompr essionsachi eve30-40%ofcar diacoutput
C.I
ntermit
tentposi t
ivepressureatt herateof40/ minwi l
lreducet hechancesof~er ebr
alhypoxia
D.I
ntermit
tentposi t
ivepressureisbet t
erthanmout htomout hwheni thasbeengi venatthesamer ate.
E.Youcheckt hepul seandr espir
ationofthepatientbef or
est arti
nganyr esuscit
ation

151Treat
mentf
orsmal
lcar
iouscavi
tyi
ncooper
ati
vechi
ld
Pul
pcapping
Pul
potomy
Pul
pectomy

152Treat
mentf
orpi
npoi
ntexposur
einsympt
oml
esst
oot
h
Pul
pcapping
Pul
potomy
Pul
pectomy

154Ptwi
thl
abi
all
yimpact eduppercani
ne,
howdoesuknowcl
ini
cal
ly?
Swel
li
ngont
helabialarea
Swel
li
ngont
hepalatalside

155Fir
stli
nemanagementofdrysocket
a.
ir
ri
gati
on.xr
ay.
metrondi
azol
e200
b.
ir
ri
gati
onxraymetr
odiazol
e400
c.
ir
ri
gati
onandxrayonly

156Fir
stli
nemanagementofptwi
thpal
ataldi
etar
yer
osi
on
a.
crown.,
b.
palat
alveener
c.
dir
ectcomposite

157Pr eferredbr idgesformissi

ng
UR2
AMi nmal prepar t
ionadhesivebri
dge
BConvent ionaladhesivebridge
CFixed-fixedbr i
dge
DMi ni
malpr eparati
onfixedfi
xed
ESimpl ecant i
lever
FSpr i
ngcant i
lever

158Pr eferredbr idgesformissi

ngULl
AMi nmal prepar t
ionadhesivebri
dge
BConvent ionaladhesivebridge
CFixed-fixedbr i
dge
DMi ni
malpr eparati
onfixedfi
xed
ESimpl ecant i
lever
FSpr i
ngcant i
lever

158Pr
efer
redbri
dgesformissi
ng
UR3
AMinmalprepar
ti
onadhesi
vebridge
BConvent i
onaladhesivebr
idge
CFixed-f
ixedbridge
DMi nimalpreparat
ionfi
xedfi
xed
ESi
mpl ecantil
ever
FSpr i
ngcantil
ever

159Pr ef
erredbr idgeformissing1stmol
ar
AMi nmal prepartionadhesivebri
dge
BConvent ionaladhesivebridge
CFixed-fi
xedbr idge
DMi nimalpr eparati
onfixedfi
xed
ESi
mpl ecant il
ever
FSpr i
ngcant il
ever

160Pr ef
erredbr idgeformissing1stpr
emol
ar
AMi nmal prepartionadhesivebri
dge
BConvent ionaladhesivebridge
CFixed-fi
xedbr idge
DMi nimalpr eparati
onfixedfi
xed
ESi
mpl ecant il
ever
FSpr i
ngcant il
ever

161Preferredlocalanest
hesi
aopt
ionf
oranor
malf
itpt
?
ALidocaine+adr enali
ne
BPril
ocaine+felypr
essine
CBupivcaine
DBenzocai ne
EArt
icai
ne

162LAwi thprol
ongeddurat
ionofact
ion?
ALidocai
ne+adr enal
ine
BPril
ocaine+fel
ypr
essine
CBupivcaine
DBenzocai ne
EArt
icai
ne

163Preferr
edopt i
onofl aforptwi
thhear
tdi
sease?
ALidocaine+adrenaline
BPril
ocaine+fel
ypressine
CBupivcaine
DBenzocai ne
EArti
cai
ne

164Flavouredtopicalanest
hesi
a?
ALidocaine+adr enal
ine
BPril
ocaine+fel
ypressine
CBupivcaine
DBenzocaine
EArt
icai
ne

165whi chofthesejobsdenti
stcandoit?
Aradiot
ionprotecti
onsupervi
sor+phsi
ces
b.r
adiat
ionprotect
ionsupervi
sor
+practi
oner
c.pract
ioner+r ef
erer+0per at
or

166Ptonwar
far
in,
whati
stheaccept
edi
nrt
odosi
mpl
eext
ract
ion
A2
B3
C4
D5

167whi
chofthi
spthasr
iskofdr
ysocket
a.
smoker
b.
ptonwarf
ari
n
c.
elder
ypt

168whatisthemostreasonabl
eindi
cat
ionf
ort
hir
dmol
arr
emoval
AFir
stepisodeofperi
cor
ini
ti
s
BSecondepisode
CPeri
apicali
nfect
ionwit
herupt
edwisdom t
oot
h

169whatt
hef
eat
ureoft
hecar
petofsur
ger
y?

170Dent
istdi
drootcanalt
reat
mentpr
evi
ousl
ytochi
ldptandnowhedoacr
ownf
ort
hesameptwhatbandt
hedent
istshoul
d
cl
aim?
Band1
Band2
Band3
Nocal
im

171whaturadvicetochi
ldsmum whosherchi
ldsteet
hknockedout
?
a.
Reimplantit
b.
keepitinthemil
kandcomeassoonaspossiblecorr
ect
c.
keepitinthewater

172Chil
daccidental
lyconsumed5mg/
kgf
lour
idewhatt
hef
ir
stl
inet
reat
ment
?
Givechi
ldsal
tydri
nk
Givechi
ldsugarydri
nk

173Whati sthemostcorr
ectf
lapdesi
gni
napeci
ctomy?
Apicalr
epositi
on
Apexisbroaderthanthe
base
Baseisbroaderthant
heapex
Apexandbasear eequal

174Commoni r
ri
gati
onsol
uti
onf
orendodont
ices?
Asodium hypochl
ori
te
BSali
ne
CChlorhexi
dine

175Whatwi l
ldevel opafterprophylaxis?
A.Aceli
ularpelli
cleisformedi mmedi atelyaft
er
B.Cel
iularpel
li
clei sformedi mmedi atelyaft
er
C.Acell
elarpel
licleisformedaf ter48hour s
D.Cel
lularpell
icleisformedaf ter48hour s

176Whati sthepur poseofmaki ngar ecordofprot r

usiverel
ati
onandwhatf uncti
ondoesi tserveafteriti
smade?
A.Tor egi
sterthecondylarpathandt oadjustthei ncl
inat
ionoftheincisalgui
dance.
B.Toai di
ndet ermini
ngt hefr
eewayspaceandt oadjusttheincli
nati
onoft heinci
salguidance.
C. Tor egist
erthecondylarpathandt oadj ustthecondylargui
desoft hearti
culat
orsot hattheyar eequi
val
enttothe
condylar
pathsofthepat i
ent.
D.Toai di
nest abli
shingtheocclusalverti
caldimensionandt oadjustthecondylarguidesoft hearti
culatorsot
hattheyare
equival
enttothecondyl arpat
hsoft hepatient.

177A50year s-
oldpat
ientpr
esent
swi t
hpai
nfr
om t
imet
oti
meonl
ightcer
vicalabr
asi
ons.Whati
syourf
ir
stmanagementt
ohel
p
pati
entinpreventi
ngpainint
hefutur
e?
A.Changediataryhabi
ts
B.Changebrushinghabit
s
C.GICfi
ll
ings

178Inplanningandconst ructi
onofacastmet alpart
ialdentur
ethestudycast
A.faci
li
tatestheconst
ruct i
onofcust om t
rays
B.minimizestheneedforar ti
culati
ng
C.provi
desonl yl
imit
edi nformationaboutinterr
idgedistance,
whichisbestassessedcl
ini
cal
ly
D.canbeusedasawor kingcastwhendupl i
cati
ngfacili
ti
esarenotavail
abl
e

179Whataret
hear
ti
fi
cialt
eet
hinr
emovabl
edent
uresmadeof
?
A.Por
cel
ain
B.
Cross-
li
nkedmet hyl-
met
hacr
ylat
e
C.
Ethyl
-methacr
ylate
D.
Acryl
ic

180Fol
lowingextracti
onoft hemol arteeth
A.Ther
idgeheightislostmor efrom themaxi l
lat
hanfrom themandible
B.Themaxill
aryri
dgewi llgetmor ebonel ostf
rom t
hepalat
alaspectthant
hebuccal
C.Themandibulararchisr el
ati
velynarrowerthanthemaxil
laryar
ch
D.Comparedwi t
hthepr e-r
esorpti
onst ate,t
hemandibularr
idgewil
llosemorebonef
rom t
hel
ingual
aspectt
hant
hebuccalone.

181Whi chanatomicallandmar
kisi
mpor
tantt
oincl
udei
nimpr
essi
onsf
orl
owerf
ulldent
ures?
A.Mylohyoidri
dge
B.Lowerincisi
vepapil
la

182Wroughtmetali
stobe,
A.Marbl
e
B.Quenched
C.Hasundergonecol
dtr
eat
mentdur
ingpr
ocessi
ng

183Whi chofthefol
lowingi
sONEi ndicat
ionfori
ndir
ectpul
pcappi
ng?
A.Whenf urt
herexcavati
onwouldleadtopulpexposure
B.Excavati
onofaver ydeepcar
ies

184Howdoesfl
uori
dati
onworkintheor
y?
A.Fl
uor
idei
onsar
eintegr
atedbychangi
ngHydoxyl
apat
it
etoFl
uor
apat
it
e

185Amaj ordi f
ferencebetweenlightcuredandchemi
calcur
edcomposi
tei
sthatdur
ingset
ti
ngori
nfunct
iont
hel
ightcur
ed
materi
alstendt o:
A.Sealthemar ginsbet t
erandcompl et
ely
B.Exhi
bitlesswearont ime
C.Undergogr eatercolourchange
D.Shri
nkmor erapidly
E.Possesgr eaterfract
uretoughness

186Whatconsi derationisimpor t
antindeci di
ngifabri
dgeforuppermi
ssi
ngi
nci
sor
sshoul
dbemadei
npont
icdesi
gnorwi
th
gi
ngivaimitati
on?
A.Wishesofpat i
ent
B.Boneresorpti
oninedent oulosspan
187Themostcommoncauseofpor osityinporcel
ainj
acketcr
ownsis,
'
A.Moi st
urecontaminat i
on
B.Excessivefi
ringtemper at
ure
C.Fail
uretoannealt heplati
num mat rix
D.Excessivecondensat i
onoft hepor celain
E.Inadequatecondensat i
onof thepor celai
n

188Howshouldtheoccl
usi
oninpart
ialremovabledent
uresbedesi
gned?
A.Ar
ti
fi
cialt
eet
hshoul
dbeoutofocclusion
B.Ar
ti
fi
cialt
eet
hshoul
dnotint
erf
erewiththei
ncisalgui
danceest
abl
ishedbyt
her
emai
nignat
uralt
eet
h.

189Theminimallabi
alt
oothreduct
ionf
orsat
isf
act
oryaest
het
icswi
thpor
cel
ainf
usedt
omet
alcr
owni
s,
A.1mm
B.Theful
lthi
cknessofenamel
C. 1.
5mm
D.2.
5mm
E.Onethi
rdofthedenti
nethi
ckness

190Inremovabl epart
ialdentur
e,thepri
ncipleofanindi
rectret
aineri
sto:
A.Stabil
iseagainstlat
eralmovement
B.Preventset t
li
ngofmaj orconnectors
C.Restri
ctt i
ssuemovementatt hedist
alextensionbaseoftheparti
aldent
ure
D.Minimi semovementoft hebaseawayf r
om t hesupport
ingti
ssue

191Whenar emovablepart
ialdent
urei
ster
minall
yseat
edt
her
etent
ivecl
aspst
ipsshoul
d:
A.Appl
yret
enti
veforceint
ot hebodyoft
heteet
h
 B.Exertnof orce
C.Beinvisible
D.Resi
stt orquethr
ought
hel
ongaxi
soft
het
eet
h

192Glassl onomerCementsetsbecauseof
,
A.Acid-Basereacti
on
B.Additionpolymeri
sati
onreact
ion
C.Growt hofglasscryst
als
D.Sl
ippl anelocki
ng
E.Solventevaporati
on

193Ther efl
exingaggingpat
ient
siscausedby:
A.Tri
gemi nalner
ve
B.Glossopharyngeal
C.Facialnerve
D.Recur r
entlaryngeaI

194Theuseofnickelchr
omium inbasepl ateshouldbej
udici
ousl
yconsi
der
edbecause:
A. Asigni
fi
cantnumberoffemalesareal
lergictonickel .,
B.Asigni
fi
cantnumberoffemalesareallergict
ochr omi
um
C.Asigni
fi
cantnumberofmal esar
eallergictonickel

195Whi choft hefol

lowingl
iqui
dsi
snotsui
tabl
eforpr
olongedi
mmer
sionofcobal
tchr
omepar
ti
aldent
ures:
A.Alkali
neperoxidase
r
>. B.Sodium hypochlori
te
C.Soapsolutions
D.Wat er

196Incomplet
edent ures,cheekbit
ingi
smostl
ikel
yar
esul
tof
:
A.ReducedOverjetofposteri
orteet
h
B.Tohighvert
icaldimension
C.Teet
hhavelargecuspi ncli
nes

197Themostcommoncauseoff ractureattheist
hmusofacl assI
Ident
alamal
gam r
est
orat
ioni
s:
A.l
nsuff
icientcondesation
B.Fr
acturelinedevelopi
ngf rom pulpal
-axialangl
eofthecavi
ty
C.Underconturi
ngoft heisthmusar ea
D.Moist
urecont aminati
onoft heamal gam dur i
ngplacement
E.l
nadequatebul kofamal gam atpulpo-axial
li
neangle

198Whydoyouoverpackamalgam f
il
li
ngs?
A.Tor
emoveexcessmer cur
y
BTopreventmi
crol
eakage

199WhatisCORRECTi nregardt otheperiodont

alsur
facear
eai
nmaxi
ll
aryt
eet
h:
A.cent
ral
inci
sor>f ir
stpremol ar>secondpr emolar
B.Cani
ne>fir
stpremol ar>cent r
alincisor
C.Cani
ne>later
alincisor>secondpr emolar
D.Cani
ne>centralincisor
>f i
rstpremol ar

200Whenr est
ori
ngwithcomposi
teresi
ns,
whydowedot
hecavo-
sur
facebevel
li
ng:
A.Aestheti
c
B.Toopenenamelr odsforaci
dat
tack
C.Tosmoot hprepar
ati
on
D.AandB
E.AIIoftheabove

201Awellconstructedcomplet
edenture:
A.Needsl
itt
lemai nt
enance
B.Needsl
esst hanaweekf oradjust
mentandt ot
alsuccess
C.Hasadverseeffectsanddecr
easestastesensati
ons

202Onexaminat
ionofacomposi
ter
est
orat
ionyouf
indadar
kat
tai
n:
A.Repl
acet
hecomposite
B.Repairwit
hunfil
ledresi
n
C.Applytopi
calf
luori
deatthemar
gin

203Apat i
entcompl ainsofsensit
ivi
ty,onexaminat
ionyouf
indacomposi
tef
il
li
ngr
est
ori
ngagoodcavi
typr
epar
ati
onwi
thoutany
secondarycari
es;whati syournextstep:
A.Exti
rpatethepulpthatisobviousl
yinf l
amed
B.PlaceZOEdr essingtosedatethepul p
C.Askpat i
enttocomebacki nsixmont hs
D.Repeatrestorat
ion

204Whatist hebestwayt
ocementaMar
ylandbr
idge,
A.GI
C
B.Resincement
C.Composi t
eresi
n
D.Zi
ncPhosphat ecement
E.OxideZincandeugenol

205Thei deallengthofaposti
nthef
abr
icat
ionofcr
ownandcor
eofendodont
ica!
lyt
reat
edt
oot
his:
A.2/3oftooth
B.thet
oot hl
engt h
C.1.5t
imest hatofthecrown
D.
Yzrootlength
E.
Thel engthofthecrown

206Whileyoufini
shaclassIcavit
y,theenamelissoundbutyounot
iceat
hinbr
ownl
inel
nthedent
ineandont
hedent
ino-
enamel
j
uncti
on,whatisyourresponse,
A.Youleavei
tandcompl etethefi
nalrest
orat
ion
B.Youextendyourpreparati
onandcleanit
C.Youapplyacoverofvar ni
sh

207Dental cari
esofthepr oxi
malsur
facesusuall
ystar
tsat
,
A.Somewher ebetweent heri
dgeandthecontactar
ea
B.Justgingivaltocontactareas
C.Justabovet hegingi
valmar gi
n
D.Atthecont actpoi
nt

208TheFrankfortpl
anei
sdef
inedbywhi
chanat
omocal
landmar
ks,
A.Pori
on,orbit
ale
B.Sel
la,or
bital
e
C.Nasion,
Tragus

209Thebit
ingl
oadofadent
urebaset
othegi
ngi
valt
issuescompar
edt
oteet
har
e,
A.Tenti
mesmore
B.Tenti
mesless
C.Equal

210Thediffer
encebet
weennormalstoneandt
hedyest
onei
s,
A.I
nthesizeandshapeofthepar
ti
cles
B.Themixing

211Theadvant ageofthesil
iconei
nsoftr
elini
ngmat
eri
aloverhar
dpl
ast
icacr
yli
cmat
eri
alsi
s,
A.Capabili
tytof l
ow
B.Preventsthecol oni
zat
ionofCandidaal
bicans
C.Resili
entinlongr un
D.Betterbondst rengt
h

212Af emalepati
entcomestoyoucompl ainingofpersistentpai
ninaheavil
yrestor
edcent
rali
nci
sor
;yoususpecti
rr
ever
sibl
e
pul
piti
sandyouhavebeent oldthatsheisint ransi
tleavingbyplanenextday.Yourt
reat
mentwil
lbe,
A.Removef i
ll
ingandplaceasedativedressing
B.Pulpect
omyandLeder mixdressing
C.Pulpect
omyandcal ci
um hydroxi
dedr essing
D.Prescri
beanalgesi
csandsystemi canti
biotic

213Thef
lexi
bil
it
yoft
her
etent
ivecl
aspar
m doesnotdependon:
 A.Lengthofthearm
B.Thecrosssectionshape
C.Themat eri
alused
D.Degreeoftaper
E.Theexertedforce

214Followi
ngcal ci
um hydr
oxidepul
potomy,
thedent
istwoul
dexpectdent
inebr
idget
ofor
m at
,
A.Theexactlevelofamputati
on
B.Levelsomewher ebel
owt heamputat
ion
C.Halfwaybetweenamput ati
onandapex
D.Attheapicalregi
onofthetooth

215Int heconst
ruct
ionofafullveneergol
dcr own, futurerecessionofgi
ngivalt
issuecanbepr
event
edoratl
eastmi
nimi
sedby,
A.Extensionoft
hecrown1mm undert hegingivalcr evi
ce
B.Reproducti
onofnormaltoothincli
neinthegi ngivalonet hi
rdofthecrown
C.Sli
ghtovercontouri
ngofthetoothinthegingivalonef if
thoft hecrown
D.Sli
ghtundercontouri
ngofthet oot
hinthegi ngivalonefifthofthecrown

216Whatiscor
rectinregardtohighcopperamalgam,
A.React
sandstrengthenstheamalgam byit
sdispersi
onproper
ti
es
B.React
stofor
m copper -
ti
nphaset her
ebyeli
minati
ngtheti
n-mercur
yphase
C.React
stofor
m copper -
sil
verphasether
ebyeli
minati
ngthesil
vermercur
yphase
D.React
sandstrengt
henst heamalgam byit
sgraindif
fusi
on

/
">. 217Theremovablepart
ialdent
urerequiresr
eli
ning,whatwouldbethemostappr
opri
ateact
ion,
A.takeani
mpr essi
onbyaskingthepatientt
ooccludeoni t
B.Provi
deequalspacebetweendentureandgingivalti
ssues.
C.Makesurethef r
ameworkandr et
ainersar
eseat edinplacebef
oretaki
ngi
mpressi
on
.
.:
'

218Sti
ffnessofmat eriali
smeasur
edby
A.Pr
opor t
ionalunit
B.Modulusofel asti
cit
y
C.St
ress/strain
D.Ul
ti
mat etensilestr
ength

219Twocent r
alinci
sorsonar adiographareshowingwit
hwhatl
ookslikeeyedropradi
olucency.Youdeci
dedtost
artendodont
ic
tr
eatmentont heseteethbutwhenyout ri
edtoopenaccesst
otherootcanalyoufi
ndclearl
yclosedori
fi
ceswit
hwhatlookli
ke
secondarydentine.Whatisyourinit
ialmanagement ?
A.Leaveasi ti
sandst artapermanentr est
orat
ion.
B.Startsyst
emi canti
bioti
c
C.Trytoream andf i
lecanals

220Aftert
heinit
ialdevelopmentstageandi
ntheabsenceofpat
hol
ogy,
thesi
zeoft
hepul
pchamberhasbeenr
educedby,
A.Deposit
ionofprimarydentine
B.Deposit
ionofsecondar ydent
ine
C.Reparat
ivedenti
ne
D.Pulpfi
brosi
s
E.Deposit
ionofreparat
ivedentine

223Dentur
estomatit
isiscommonl yassoci
atedwith,
A.Theconti
nuouswearingofremovableort
hodonticappl
iancesinot
her
wiseheal
thypat
ient
B.Theprol
if
erat
ionofhypert
rophicti
ssueatthedentur
eperiphery
C.Theover
growthofsomeconst it
uentsoforalnor
malmicroflor
a
D.All
ergyt
odenturebasemat er
ial

224Theli
ghtemit
tedbyt
hepol
ymer
izat
ionl
amphast
obecheckedf
rom t
imet
oti
me.Themet
erusedf
ort
hisonl
ymeasur
esl
ight
i
ntherangeof:
A.100-
199nm
B.200-
299nm
C.300-
399nm
D.400-
499nm

225Whichiscor
rectinr
egardt
oshadeselect
ionofcr
owns:
A.I
tshoul
dbeselectedbef
orestar
ti
ngpr
eparati
on
B.
Chr
omaist hel
ight
ness/dar
knessofcol
our
s
C.
Val
ueisthecol
ouritsel
f
D.
Hueist
heconcentrati
onofcol
ours

226Wherewouldyouexpecttof i
ndthemyl
ohyoi
dmuscl
einr
elat
iont
otheper
ipher
yofaf
ulll
owerdent
ure:
A.Mandi
bul
arbuccali
nthemi dli
ne
B.Mandi
bul
arl
inguali
nthefi
r stpremol
arar
ea
C.Mandi
bul
arl
inguali
nthemi dli
ne
D.Mandi
bul
ardist
obuccalarea

227Af terreimplantat
ionofanavul
sedt
oot
hthepr
ognosi
smaybepoorbecauseof
A.Externalresorpt
ion
B.l
nternalresorpti
on

2282.
2mgofNaFcont
ainshowmanymgoff
luor
idei
ons?
A.O.
5mg
B.1.
0mg
C. 1.
5mg
D.
10mg

229Howwoul dyoutr
eatdent
urestomat
it
is?
A.Nystat
in
B.Tel
lthepat
ienttol
eavethedent
ureoutf
orsomedays

230Whatistrueaboutt
hir
dmolarsur
gery?
A.Swel
li
ngismaximum aft
er24-48hours
B.Ment
alparaest
hesi
aindi
cat
escarel
esstechni
que

2311nanaesthizi
nga70kghealthymanwi thLignocai
ne2%with1:
100,
000vasoconst
nct
or.
whati
scor
rect
?
A.Thetoxi
cthreshol
dis22ml
B.2.
2mli sthemaximum youcangiveinonesession
C.Li
gnocainehasthesameanaesthi
zingcapacityas
Benzocain
D.Li
gnoscainis5timesl
esspotentt
hanBupi vacai
n
E.Li
gnocainismoredangerousi
nHypothyreodism t
hanBupi
vacai
n

232Asuddenl yswol
lenupperl
ipt
hatl
ast
sfor48hour
sormor
eismostl
ikel
y
A.Haemangioma
B.Agioneur
oti
coedema
C.Mucocele
D.Cyst

233Whati sthemostimpor
tantf
act
ort
oreducer
adi
ati
oni
ndent
alr
adi
ogr
aphs?
A.Speedoffilm
B.Coll
imati
on
C.Fi
lt
rati
on
D.Coneshapeandl engt
h
E.Useofleadapron

234Whati sthebestwayf oraper

manentdecl
inei
ncar
iesofapopul
ati
on?
A.Changediatar
yhabi ts
B.Topi
candwat erfluoridati
on
C.Awarenessofdent alhealt
hmatter
s
D.Bett
ertoothbrushing

235Lossofsensation/par
aest
hesi
aint
hel
owerl
ipmaybepr
oducedby,
A.Bell
'spal
sy
B.Traumati
cbonecyst
C.Tri
geminalneur
algia
D.Osteomyeli
ti
s
E.Ludwig'
sangina

236Inanxoiusandpsychologi
call
ystressedpati
ent
sgingi
vit
isi
sof
tenmor
esever
ebecauseof
A.St
resscauseshistamineandserot
oninerel
ease
B.5t
resscausescatecholami
neandcor ti
cost
eroi
drel
ease
 c.
Str
essedpeopl
enegl
ectt
hei
ror
alhygi
ene

237Ar et
ainedlowerpr
imar
yinci
sorcausest
heper
manenti
nci
sort
o
A.eruptbuccall
y
B.eruptli
nguall
y
C.ankylose

238Whati st
heleastprobableconsequenceint
humb-
sucki
ng?
A.Recli
ningoflowerinci
sor s
B.Prot
rusionofupperincisors
C.Formationofdeeppalatewi t
hbigoverbi
te

239Ankyl osi
softeet hi
sof t
enfoundafterchangesi
nthecont
inui
tyoft
heoccl
usalpl
ane.Thesechangesar
ecausedby
A.Overerupti
onofopposingt eet
h
B.Locali
sedgr owt
hi nhi
bit
ionofthealveol
arbone
C.Sinki
ngofankylisedtoothintothebone

240Whati snoti mpor

tanti
nobdur
ati
onmat
eri
alsf
orpr
imar
yteet
h?
A.Goodapi calseal
B.Radi
oopaci ty
C.Anti
bacterial
D.Resorbable

241Whatisyourfi
rstconsi
derat
ioni
nthet
reat
mentofdr
ysocket
?
r
>; A.
Prevent
ionofost
eomyelit
is
B.Pai
nrel
ief

242Apat i
entpr
esent
swi
thpai
nint
heupperl
eftsegment
.Oni
nspect
ionyouf
~ndal
ocal
izedal
veol
arabcessdi
stal27.Whatwi
llbe
youmanagement ? -
A.Drai
nage
B.Extr
act
ionoft
ooth

243Whatdoesnothel pi
nest
abl
ishi
ngthecari
esri
skinchi
ldr
en?
A.Historyofcar ies
B.Lactobaci l
iuscount
C.Dietaryhabi t
s
D.Brushi nghabi t
s
E.Geneticpr edisposi
ti
on
244Opi oi ddrugsar esi
mil
art
owhichendogenoussubst
ances?
A.Br adykinins
B.Pept i
des
C.Pr ostaglandins
D.Ser otonins
E.Enkephal i
ns

245Whi chofthefol
lowi
nghaveat
endencyt
orecuri
fnott
reat
edcor
rect
ly?
A.Giantcellgr
anul
oma
B.Li
poma
C.Fi
brousepul i
s
D.Haemat oma
E.Pulppolyps

246Whennor adi
ati
onshi
eldi
savai
labl
e,t
heoper
atorshoul
dst
andoutoft
hepr
imar
yx-
raybeam atadi
stancef
rom t
hepat
ient
's
headofatLEAST:
A.0.
5met res
B.1met r
e
C. 1.5
metres
D.2metres
E.3met r
es

247Whichoft hefol
lowi
ngisat ypi
calconsequenceofdentalcr
owding,
assumi
ngnopr
imar
ytoot
hhasbeenl
ostpr
emat
urel
y?
A.Over
lappingofloweri
ncisors
B.Pal
ataldispl
acementofuppercanines
C.I
mpact i
onof15and25bet weenfir
stpremolarsandfi
rstmolars
 D.Mesi
alt
ippi
ngof16and26
E.
Rotat
ionof16and26

248Whatist hedominantmicrofl
orainacutenecr
oti
culcer
ati
vegi
ngi
vit
is(
ANUG)
?
A.Spi
rochaetesandfusobacteri
um SP
B.Spi
rochaetesandeikenel
lacorrodes
C.Pol
ymor phsandlymphocytes
D.Act
inobacill
usact
inomycetescomi t
ansoralcapnocyt
ophaga
E.Por
phyromonasgi ngi
vali
sandpr evotel
lai
nter
media

249Whi chofthefoll
owingistrueregardi
nggi
ngi
vosi
s(Desquamat
ivegi
ngi
vit
is)
A.I
tiscausedbyhor mononali mbalance
B.I
sseenonl yatoraftermenopause
C.I
sfrequentlycausedbyli
chenpl anus
D.I
savar iantpr
egnancygingivit
is
E.I
srelatedtonutri
ti
onaldi
sturbance

250Whatar ethepointsthatdet
ermi
net
hef
aci
all
inei
ncephal
omet
ri
cpoi
nts
A.Nasion,pr
onasale,pogonion.
B.Sel
la,nasi
on,pogonion

251A10yearol dboypresentswi
thsmallgr
eyishwhi
tel
esionsur
roundedbyar
edhalosonthesoftpal
ateandt
onsi
ll
arpi
ll
ars,
smallvesicl
esarefound.Hehasfeverandpainint
heearandwon'teat
.TheMOSTprobabl
ediagnosi
sis?
A.Herpangina
f
\ B.
Measles
C.Pr
imaryher pet
icst
omat i
ti
s

252A12year s-
oldchi l
dpr esentswithsymptomsofwi despr
eadgi
ngi
vit
iswi
th!l
leedi
ngandgener
almal
aisef
orsever
alweeks.How
wouldyoumanaget hispatient?
A.Prescri
beMet ronidazole100mg
B.Locall
ydebr i
de,giveor alhygieneinst
ructi
onandpr escri
beH202mouthwash.
C.Giveapr ophyl
axiswi thul t
rasonicscali
ng
D.Referforhaemat ologicalscreeni
ng
E.Adviseforbedr estwit hsupporti
veandpal l
iat
ivet
reatment

253Whati stheeffectofoffi
cedentalprophylaxisofregul
arsi
xmont
hint
erval
sonchi
ldr
en'
sor
alheal
th?
A.Reducedcar i
esincidencebyapproximat ely30%
B.Providealongtermi mprovementinor alhygiene
C.Provideashorttermi mprovementinor alhygiene
D.Preventgingi
vit
is
E.Reducet heneedf orpati
entcooperat
ion

254Whati sthemostf r
equentcauseofpai
nwhi
choccur
ssever
aldaysaf
terobt
urat
ion?
A.Ent
rappedBact eri
aintheperiapi
calr
egi
on
B.Underf
ill
ingtherootcanalsystem
C.Overf
il
ledrootcanal

255Adi abeti
cpati
entwit
hmoi
stski
n,moi
stmout
handweakpul
se;whatwoul
dyoudo:
A.Gi
vegl ucoseoral
ly
B.Administer02
C.Administeradr
enali
ne
D.I
njectinsuli
n

256Apat i
enthasdevelopedaseverchestpainanddiffi
cult
iesinbr
eathi
ngwhi
lei
nthedent
alchai
r.Youri
nit
ialr
esponsei
s:
A.Administ
erglyceri
netri
nit
rat
eandmoni torpat
ienti
nupr i
ghtposi
ti
on
B.Pat
ienthasanacut eepisodeofanginaasdemonstratedbycurveinECG
C.Notreatmentisrequi
reduntilconf
ir
medasMIbyECG
D.Pat
ienthasmyocar di
alinfar
ctionasconfi
rmedbyECG

257Inthecaseofmal ignantmelanomaoccur r
ingi
ntr
aor
all
y,whi
choft
hef
oll
owi
ngi
str
ue:
A.Uncommonont hepal at
e
B.Shouldnotbebiopsied,asthi
swi l
li
ncreasemetasi
s
C.The5yearssurvivalratei
s20%
D.Theinci
denceofor almelanomaist hesameasthoseontheski
n
E.Commonl
yoccur
sint
raor
all
y

258WhatisNOTTRUEi nrelationtotheuseofdiazepam forsedati

on?
A.Pati
entcommonl ycomplainofpostoper at
iveheadache
B.Anacceptablelevelofanxiolyt
icacti
onisobtainedwhent hedrugisgi
venonehourpr
eoper
ati
vel
y
C.Therei
sapr ofoundamnesi cacti
onandnosi deeffect
s
D.Acti
vemetabolitescangiveal evelofsedati
onupt o8hour spostoper
ati
vel
y
E.Canbeusedsaf el
yforchil
dr en

259Patientonanti
-coagulanttherapyrequiresanextr
acti
ont obeperfor
med.Whi
choft
hef
oll
owi
ngi
sNOTt
rue:
A.Minorleedi
ngsbleedingcanber educedsomehowbyusi ngtranexamicaci
d
B.Prot
hrombinvalueabove2. 5i srequi
r edtoper
form ext
racti
on
C.I
ttakesupt o12hoursf orVitaminKr everseeff
ectsofwarfari
n
D.Heparincanbeadmi nister
edsub- cutaneousandact sr
apidly

260Aphysicianr ef
ersanineyearoldboytoyout oconfi
rm di
agnosi
s.Theboyhasafeverof40°Candcoughing.Whenyoufocus
yourl
ighti
ntohiseyeshet urnsaway.Intr
a-oral
lyt
herear
ewhi t
espotssur
roundedbyredmargins.Thedi
seaseandlesi
onsare:
A.Measlesandt hespotsareKopli
k'sspots
B.AHGSvesicles
C.Rubell
aandt hespotsareFordyce'sspots

261Whati str
ueinTMJdysf unctiont
herapy?
A.Shouldbetr
eatedsurgical
ly
B.Appli
ancesthatr
aisethebiteusual
lyr
eli
efthesympt
omsandar
eusedpr
iort
oanysur
ger
y

262Whati str
uer egar
dingpregnancygingi
vit
is?
A.l
tisduetoincreasedgingi
valmicroci
rcul
ati
on
B.El
evatedoestr
ogenandgest agenlevel
saredirect
lyresponsi
ble .
;
C.Hormonalchangescauset hegrowthofanaerobicbacter
ia(Pr
evot
ell
aint
err
nedi
a)

2635mm pr obi
ngdepthmeans:
A.Pati
enthasperi
odont
it
is
B.Probei
s5mm beyondgi ngi
valmargi
n
C.Probei
s5mm beyonddent i
no-enamelj
unct
ion

264Ami ddl
eagedwomangivesahistor
yofi
nter
mit
tentuni
lat
eralpai
nint
hesubmandi
bul
arr
egi
on,
mostprobabl
ecausei
s,
A. Cal
culusi
nthe
sal
ivar
yductresul
ti
ngi
nsi
alol
it
hiasi
s. .
B.Ranula
C.Cyst
D.Mucocele

265Bywhi choft hefol

lowingmechanism r
educesAspi
ri
npai
n:
A.I
tisantiinfl
ammat orybytherel
easeofhist
amine
B.I
tblockst hecycl
o-oxygenasepat
hway.

266Inmi nororalsur ger

y, whati
sTRUEi nr egardtoantibi
oti
cs:
A.Amoxilsatisfactori
lycoversthedentalspectrum
B.MetronidazoleandAmoxi lhavethesamepenet r
atingpower
C.Iti
sevidentt hatitwil
lreducepostoperativeswelli
ng
D.Thereisconvi ncingevi
dencet hatPr
ophyl act
icprescri
pti
onofant
ibi
oti
cswi
llr
educepost
oper
ati
vei
nfect
ions
E.Mostoralinfectionsgetanaerobicaf
ter2t o3days

267Apat ientcomeswithafir
m,pai
nlessswel
li
ngoflowerl
obeofpar
oti
dwhi
chhasgr
ownpr
ogr
essi
vel
yfort
hepastyear
.He
complainsofparest
hesiafort
hepast2weeks.Thi
sismostli
kel
ytobe:
A.Pleomor phi
cadenoma
B.Carci
nomaoft heparoti
d
C.Lymphomaofpar ot
id

268Whati str
ueintr
eatingapatientwit
hsecondar yher pessimplex:
A.Acycl
oviri
nhibi
tsvir
al t
ranscr
ipt
ionwhenappliedi nthepr odromalphase
B.I
doxuridi
neisbett
erthanacyclovirwhenappl
iedt opicall
y
C.Anti
vir
alsarecont
raindicat
edinimmuno-compr omi sedpat i
ent
269Dur i
ngext ract
ionofamaxi l
larythir
dmol arthet
uberosit
yisf
ractur
ed;however
,itr
emai
nsi
npl
aceat
tachedt
othe
mucoperiosteum.Whi chofthefollowingpr oceduresshouldbeemployed:
A.Removet het uberosit
yandsuture
B.Leavethet uberosit
yandstabil
izeifrequired
C.Removet het uberosit
yandfil
lthedef ectwithGelfoam t
hensutur
e.
D.Iff
ractur
edt uberosit
yisgreat
ert han2er n, l
eaveinpl
aceandsuture

270Ani ncisionbiopsyofanulceratedandintrudedcli
nicall
ysuspiciouslesioninaSOyearoldf
emaler
eveal
schr
oni
cinf
lammat
ion;
youwoul d:
A.I
nf ormthepat i
entandherphysi cianofyourfi
ndingsandi nst
ructthepatienttoret
urni
nsixmont
hs
B.Sur gi
cal
lyexciset heent
ir
elesi
onsi nceyouknowi tisnotmal i
gnant
C.Dismisst hepatientwit
hinst
ructionsforwarm sali
nerinsesandr e-examinati
on
D.Repeatthebi opsy

271Reduci
ngthesizeoft
hef
ocalspotwi
ll
:
A.i
ncr
easesharpness
B.i
ncr
easedensit
y

272Thei ni
tialpriori
tyintr
eat
mentofhor
izont
alf
ract
uresi
s:
A.Preser
vat i
onofpul p
B.I
mmobi l
isati
on
C.Rootcanal treatment
D.Calci
um hydr oxidetreat
ment

273Whi chofthefoll
owinghaspr
oventobet
heMOSTi
mpor
tanti
ncommuni
typr
event
ivepr
ogr
am:
A.Dentalawarenessofthecommunit
y
B.I
nsti
tuti
onofor alhygi
enemeasur
es
C.Waterfluor
idat
ion

274Whatef f
ecthasplacingaseal
antoverpi
tsandf
issur
esont
hepr
ogr
essi
onofcar
ies?
l.
Decreasednewcar ies
2.l
ncreasednewcar ies
3.Pr
ogressionofexisti
sti
ngcari
es
4Noef fectonexist
ingcar i
es

275Inadvancedperi
odont
it
iswi
thmarkedmobi
li
ty,t
eethmaybespl
int
ed:
A.Toimprovecomfor
tfort
hepat
ient
B.spl
int
inghel
psintr
ansmit
ti
ngt
heforcetot
headjucentt
eet
htor
educethel
oadont
hei
nvol
vedt
eet
h

276Swal l
owi ngwil
laidinthedi
agnosi
sof
:
A.Branchialcyst
B.Thyrogl
ossal ductcyst
C.Ranula
D.Retenti
oncyst
F.Gl
ossothyr oi
dcyst

277Whi chofthef ol
lowingwilli
ncreaseshar
pness:
A.Largerf ocalspot
B.Smal lerfocalspot
C.Increaseobj ect
-fi
lm di
stance
D.Decr easepat i
ent-
sourcedistance

278Insever eper i
odontit
istheprobewillevent
ual
lybe:
A.preventedtogodeeperbycal culus
B.beyondconnect i
vetissuesinthejuncti
onalepi
thel
ium
C.attheendoft hejuncti
onalepit
heli
um
D.Touchingt hemi ddleofjunct
ionalepit
heli
um
E.Touchingsul culuarepit
heli
um

279A58yearol dmalehasbeent r
eatedwit
hr adi
ati
onf orcarci
nomaoftongue.Thepati
entcompl
ainsofpai
nassoci
atedwi
th
poordent
iti
on.Thedentalmanagementwouldbe:
A.Immediateext
racti
onofanypoorteethunderlocalanaesthet
icwi
thanti
biot
iccover
age
B.Segmentaldental
clear
anceandclosuretoeli
minateproblems
C.Nodentaltr
eatmentmaybeduet oneuronicofneoplasms
D.Clearanceofpoordenti
ti
onf oll
owedbyhyperbari
coxygent
reat
mentpl
usapr
imar
ycl
osur
eofwoundsunderant
ibi
oti
c
coverage
E.Noext ract
ionasr
adionecrosisisani
mportantsequel
ae

280Whichofthefol
lowi
ngisNOTt rueaboutant icoagul
ati
onther
apy?
A.I
NRof3i senoughtostartanyextract
ion
B.Aff
ectsext
ri
nsicsyst
em andincreasesprothrombintime
C.Hepari
ncanbegivensubcutaneouslyandact srapidl
y
D.I
ttakesatl
east12hoursforVit
ami nKt oreversetheeff
ect
sofcoumar
in

2811nar adiographt herootsoft

heuppert
eet
har
etooshor
tbecauseof
:
A.Inadequat ehorizontalangul
ati
on
B.Toohi ghver t
icalangulati
on
C.Toosmal lvert
icalangulati
on

282Character
ist
icofSquamousCellCar
cinomaoft
het
ongue
A.moreinwhiteskinnedpeopl
e
B.moreinalcoholdri
nki
ngsmokingmales
C.associ
atedwithPlummer-Wil
son-
Syndrome

283Characteri
sti
cofSquamousCellCar
cinomaoft
hel
ips
A.I
treactsfarsimpl
ytoradiot
her
apy
B.metasti
zesmai nl
ybyblood
C.rel
ati
velyrar
einAustr
ali
a

284Whi chtypeofdent
ini
snotf
ormedduet
opul
ppat
hol
ogy?
A.Reparati
vedenti
n
B.
Secondar ydenti
n
C.
Pr i
marydentin
D.Reacti
ondentin
E.
Tertiar
ydentin

285Whi chisnottrueinsicklecellanaemia?
A.Deformedcell
swi t
hlessoxygent ranspor
tcapaci
ty
B.Higheri
nfarct
ionri
sk
C.Havewi debonemar r
owspaceswi thnarr
owtrabecul
aei
ntheal
veol
arboneofor
alcavi
ty
D.Resist
anttomalariaparasites
E.
Mor ecommoni nmediterraneanpeopl e

286Nor malpr ot
hrombinti
meandelevat
edpar
ti
alt
hrombobl
ast
int
imei
sseeni
n
A.FactorVII
Idefici
ancy(Haemophi
li
a)
B.Thrombocyt i
cpupura
C.Leukemia
D.VonWi l
lebranddisease

287Whichofthefol
lowi
ngdescr
ibesbesta9year
s-ol
dchi
ldper
manentdent
it
ion?
A.161211I212226

464241I313236

B.1211I2122

4241I3132

288Whati sthebestr
easont
opr
omot
etoot
hbr
ushi
ngt
othepubl
ic?
A.Lessfi
ssurecari
es
B.Lessgingi
vit
is
C.Gingi
valmassage

289Whati suntrueaboutdi
abet
es?
A.Hypoglycaemiaismorecommonthanhypergl
ycaemia
B.l
nsulin-
dependendpati
entsar
eofmoreconcer
nt hannoni
nsul
in-
dependend
C.Adrenali
ncausesadecreasei
nthebl
oodglucoselevel

290Whichofthef oll
owingisaf eat
ureofStrept
ococcusmut ans?
A.l
tdoesnotrequireaspecialenvir
onmenttogr ow
B.l
tcanbeeasilytransport
edfrom onepartoftheoralcavi
tytoanot
her
C.l
thastheabil
itytorestr
uctur
ecar bohydr
ates

291Whatdoest heter
m" cari
espreval
ence"mean?
A.Thet
otalnumberofcariousareasaf
fectedandanypr
esentcar
ies
B.Thei
ndivi
dualri
skforapatientt
oacquir
ecaries

292Whi chofthefoll
owingar
efeat
uresofher
peti
cgingi
vost
omat
it
is?
1.I
rri
tabil
it
y
2.Fever
3.Occursinteenagers
4.Vesicl
esoccuronlyonbuccalmucosaandtongue

293Apat i
entinyourdent
alchai
rsuddenl
ybecomesagi
tat
edwi
thshal
lowbr
eat
hing,
ful
lpul
seandabl
oodpr
essur
eof150/
80.
Youwould
A.Gi
veoxygen
B.Gi
veinsul
in
C.Gi
veglucose
D.Pl
acepatienti
nsupineposi
ti
on
294Thepr inci
plecl
inicalsi
gnofacti
vebr
uxi
sm i
s:
A.Headand/orneckpai n
B.Excessivetoothwear
C.Tempor omandibularjoi
ntcl
icki
ng
D.Sensit
iveteeth

295Anadul tpati
entatt
endsyourpr act i
cecompl ai
ningofpai
n-andswel
li
ngaSsOCiat
edwit
haprevi
ousl
yrest
oredupperf
ir
st
premol art
ooth.Thepainhasbeenpr esentforanumberofdaysandi snolongerr
espondi
ngtoanal
gesi
cs.Hi
sdenti
ti
onis
otherwisewellmaintai
nedandhi sper iodontalheal
thisgood.
Whati sthemostappr opri
ateapproacht ot
reatment?
A.Antibiot
icsandanalgesics.
B.Extractthetooth
C. Carryoutapulpotomyandt empor ary
dressing.
DDr ainage

296Apat i
entreport
st hathispostcrownhasf all
enout.Thi
scrownhadbeenpr esentformanyyear
s.Younot
ethatt
her
eappear
s
tobeahairl
ineverti
calfractur
eofther oot.Thet oot
hissymptomless.
Whatisthemostsensi bleapproachtot r
eat ment?
A.Replacethepostcrownusi ngar esin-
reinfor
cedglassionomermateri
al
B.Replacethepostcrownusi ngapol ycarboxylatecement
C. Replacethepostcr ownusingadent i
nebondingagentandar esi
n-r
einf
orcedglassi
onomer
materi
al
DReplacethepostcr ownusi ngaresincomposi tel
uti
ngagent
E.Arr
anget oextr
actthet ooth

297Apat ientsaysthathedoesnotl i
ketheappearanceofhisprevi
ousl
yrootf
il
leduppercent
rali
nci
sort
ooth.Hisdent
it
ioni
s
otherwisewel lmaintai
nedandhi speri
odontalheal
thisgood.Thetoot
happearstobedarkert
hantheadj
acentteet
h.
Whati sthemostappr opriat
eapproachtotr
eatment?
A. Pr
ovisionofapostcr own
B.Provisionofanal lceramiccrown
C. Pr ovi
sionofamet albondedtoceramic
crown
DNonvi t
albl eachi
ng
E.Provisi
onofapor celainveneer

298A25yearol dmaleat tendsforthefi

rstt
imecomplai
ningofsensi
ti
vit
yofanumberoft
eeth.Onexaminat
ion,t
heocclusal
surfacesofal ltheteethar ewor nwithobvi
ouswearf
acetsonthecaninesandpr
emolar
s.Poster
ioramal
gam rest
orat
ionsare
proudoft hesur roundingt ooth.
Whatwoul dbet hef i
rststagemanagement ?
A.Takei mpr essionsf orstudymodel s
B.Pr escri
bef l
uor i
demout hrinse
C.Repl acetheamal gam restorati
ons
D.Di et
aryanal ysis

299A35yearol dmal epatientwhoadmi t

stogr i
ndinghisteet
hatni
ghthasanumberofwedge-
shapedcer
vical(
ClassV)
l
esionson
hi
supperpremol arteet
h.Thesear ecausingsensi t
ivi
tyandareappr
oxi
matel
y3mm deep.
Whatisthecor
r ectmanagementopt ion?
A.Provi
detoot
hbr ushinginstruct
ionandf l
uoride
B.Restor
ethelesionswithcompomer
C.Restor
ethelesionswithmi cro-
fil
ledcomposi t
e
D.Restor
ethelesionswithahybr i
dcomposi t
e
E.Restor
ethelesionswithconvent i
onalglass-
ionomer

300Apat ientattendswi thpai

noff ourdaysdur
ationinacari
ousuppermolartoot
h.Thepai
nisconst
antandisnot
rel
ievedby
paracetemol .Sleephasbeendi sturbedbythepain.Thetoot
histendert
opercussi
onandgivesaposi
ti
veresponse
toEthyl
Chlori
de.
Whati sthemostl ikel
ydiagnosis?
A.Pericoroniti
s
B.Apicalper i
odont it
is
C.Mar ginalperi
odont i
ti
s
D.Rever si
blepul piti
s

301A14yearol dpat i
entat
tendswit
hadecayedandhypoplast
icLL7.Aradi
ogr
aphshowst
hepr
esenceofan
uneruptedLL8and
theLL6i ssound.
Whatwoul dbet hemostappr opr
iat
elong-
ter
mtreat
mentforthi
stooth?
A.Amal gam restorat
ion
B.Antibiot
ics
D.Rootcanalt herapy
E.Sedativedressing

302A30yr -oldpatientattendscomplai
ningofpai nfr
om thelowerleftquadr
ant.Cli
nicalexaminat
ionrevealsa
dentit
ionwith
generall
ygoodor alhygiene.Thereisnosignifi
cantperi
odontalpocketi
ngother:
.t
hanani solat
eddefectintheregi
on
ofthe
furcat
ionofl owerleftfi
rstmol arwhi
chisnon- mobil
e.Thegingivalt
issueinthi
Sareaappear seryt
hemat ousand
sli
ghtly
hyperplast
icwi t
hapur ulentexudat
eonpr obing.
From theli
stbel ow, whichisthemostappr opri
atenextstep?
A.Obtainar adiograph
 B.Bi
opsyt hegingi
valti
ssue
C.Removet herestor
ati
on
D.Vi
tali
tytest
ing
E.Prescr
ibeantibi
oti
cs

303A40yrol dpat ienthadr oot

-canaltreat
menttohisupperf
irstmol ar.Thi
swasperformed6mont hsagousing
cont empor ary
techni quesunderr ubberdam andwascr ownedaft
ercomplet
ionoft reatment.Heat
tendscomplai
ningofconti
nued
discomf or t
from thi st ooth.Radi ographicexaminationshowseachofthethreer ootstobeobtur
atedwit
hawel l
-condensedfi
ll
ing
tot hef ull
wor kingl engtht houghtherei snoevidenceofin-
fi
lloft
heperi
api callesi
onwhencompar edtot
hepre-opview.Whatis
themost
l
ikel ycauseoft hecont i
nuedpr oblem?
A. Extra-r adicularinfect
ion
B. Cont ami nati
onofcanal (
s)withE.faecali
s
C. Uninst rument edcanal
D. Ver ticaIr ootf racture
E.Per io- endopr oblem

304A21yearol dfemalepr esentsforthefir

stti
met oyourpr act
ice.Sheisveryupsetwiththeappearanceofherupper
l
ef tcent ral
i
nci sor.Onexami nati
onyouf indhealthyoralhardandsoftt i
ssuesandexcel l
entoralhygi
ene.Oncloseexami nat
ionyou
cansee
thatt heupperl eftcentr
ali
nci sori
sslightl
ygreyerthantheupperr ightcent
rali
nci
sorandhasacomposi terestor
ati
on
placed
palatally.
Whati st hemostappr opri
atef or
m oftreatmentgiventheinformationyouhave?
A. Bleachi ngwi t
hcarbamideper oxi
dei ncustom formedtraysofupperandl owerarches
B. Abondedcr own
C. Acomposi t
eveneer
D. Apor celai
nveneer

305EDTA( ethylenediami
net et
ra-
acet
ate)hasusef
ulr
olesi
ncer
tai
nsi
tuat
ionsi
n
cl
inicaldent i
stry.
Whenwoul dyouuseEDTA?
A.Asar ootendf i
ll
ingmater
ial
B. Asa
pulpcappi ng
agent
CAsr oot
canalirri
gant
D.Asamout hwash
E.Asadent i
nebondi ngagent

306Apat i
entpr esentswi t
hahi st
oryofcl i
cki
ngf r
om thei
rtemporomandibularjoi
nt.Thi
scli
ckoccursmidwayt hr
ought heopening
cycl
eandi sconsi st
ent.Thereissomepr e-
auri
cularpainandthelat
eralpter
ygoidmuscleont heaff
ect
edsideistendertoresi
sted
movementt est.Thereisnot ri
smusandt hecli
ckisnotpresentwhent hepatientopensfr
om aninci
soredgetoedgerelati
onshi
p,
i
nsteadofhernor mal ClassIocclusion.Thepatientwouldli
ketr
eatment .
Themostappr opr i
ateocclusalspli
ntforthispat
ientwouldbe:
A.Stabi
li
sationspl i
nt
B.Locali
sedOccl usalInterf
erenceSplint
C.Bit
eRai ser
D.SoftBit
eGuar d
E.Anteri
orReposi ti
onerSpl i
nt

307Apatientpresentswi t
hahi storyofapost-crownhavi ngfall
enout.Thepost-
crownwasor i
ginall
yplacedf
ift
eenyear
sagoand
hadbeensuccessf ulupuntilfourmont hsagosi ncewheni thascomeoutandbeenr ecement
edf ourti
mes.Atrecement
ati
ont
here
wasnoevidenceofanycar ies.Thepatienthadbeenar egularat
tenderandnotneededanyrestorat
ivetr
eatmentfort
hel
astei
ght
year
s.
Whichofthefoll
owi ngisthemostl i
kel
ycausef orthefail
ureofthiscrown?
A.Thepostwast onar row
B.Thepostwast oshor t.
C.Therootcanaltreatmentwasf ail
i
ng.
D.Averti
calrootfr
actur ewaspr esent.
E.Ther
ewer eexcessi veocclusalloadsonthet ooth.

308A23yearol dpat i
entatt
endscompl ainingofpaininanupperr i
ghtmolarandiskeentokeept
hetoot
h.Thepai nistypi
cal
ly
sharpinnat ur
e,i
st r
iggeredbycol dandper sistsaft
erremovaloft hecoldstimul
us.Thetoot
hisnott
endertopercussion;a
radi
ographoft heupperr i
ghtfir
stmol arshowsal argeradi
olucencyextendingtothepul
phornbutnoperi
-r
adicul
archanges.
Whatt r
eatmentismostl ikel
yneededi nt hiscase?
A.Oralpygieneinstr
uctionandf luor
ideappl icati
on
B.Excavationofcariesandpl acementofaper manentrest
orati
on
C.Root- canaItreatment?
D.Indir
ectpulpcapandr est
oration?
E.Directpulpcapandr estor
at i
on

309Apat i
entattendsyoursur gerycomplai
ningofseverepai
n,swell
ingandmobi l
it
yassoci
atedwithalowerfi
rstmol
artoothin
whichthereisabr okenf ill
ing.Aper i
api
calradi
ographindi
cat
esthatthetoothhasnotbeenrootf
il
ledandthereisl
ossofapical
l
ami naduraassoci atedwi ththedistalr
ootandatt hebi
fur
cat
ion.Theperiodont
albonesupporti
sgood.Thereisnosigni
fi
cant
pocketi
ng.
Whatist heli
kelydiagnosi s?
A.Chronicperiapicalperiodontiti
s
B.Anacut eperiodont al-
endodont i
cperi
odontit
is
C.Achr onicperiodont al
-endodonticperi
odonti
ti
s
D.
Anacuteperi
apicalper
iodont
it
is
E.
Par
aradi
cularperi
odonti
ti
s

310Anupperi ncisorina16yearol dpati

enthassuf
fer
edtraumaandthecor
onalt
issuehasbeenl
ost
.Thet
oot
hhasbeen
endodonti
call
yt reated.
Howi st
het oothbestr est ored?
A.Withafibrepost ,directcoreandcrown.
B.Withadirectcor eandcr own.
C.Withcomposi te
D.Withanindirectpost -
coref r
om apre-
fabr
icat
edpatt
ernandacrown
E.Withacust om indirectpost -cor
eandcrown

311A50yearol dmal epati

enthasaCl assIIIjawrelat
ionshipwit
hanant er
ioropenbite.I
tisplannedt
orestor
ehi
slowerr
ight
secondmol ar,whichhassuf feredtoot
hwearandf r
acture,
withanindi
rectrest
orat
ion.Thistoothhasappr
oximat
ely2mm of
coronalheight
.
Whatwoul dbet hemostsui tableapproachtor est
orethistooth?
A.Provideanadhesi velyretainedgoldonl ay
B.Provideaconvent ionalfullcrown
C.Increasetheverti
caldimensi onandpr ovi
deaf ullcr
own
D.Surgical
lycrownl engthenandpr ovi
deagol dcrown
E.Provideanadhesi velyretainedceramiconl ay

312Apat ientcomplai
nsofal owerinci
sorwhichhasbeenmobileforseveralmont
hs.Theradi
ogr
aphindi
catesanor
mallevelof
bonysuppor talt
houghtheperiodont
alspacehaswidened.Theapicalboneappear
snormal.Thet
oot
hi st
endertopr
essur
e.
Whichoft hefoll
owingtestsandorexaminati
onswouldbemostlikelytoprovi
deadiagnosi
s?
A.Mast i
cator ymusclepalpati
on
B.El
ectricpul ptest
C.Occlusal examinati
on
D.Ethylchloridetest
E.Hotgut t
aper chaapplicati
on

313A23yearol dmal epr esentstoyoursur gery.Helosthi supperl ater

alinci
sorssome10year sagoi
naswi mmi ngpoolacci
dent.
Sincet henhehasbeenwear i
nga' spoon'denturewhichhenowf eelsinaesthet
ical
lyunacceptabl
e.Hehassoughtanopi ni
onon
dent ali
mpl antsbuthasbeent oldthathewoul dneedbonegr af
tingf orthi
stobesuccessf ulandheisnotprepar
edtoundergothis.
Hisdent iti
oni sexcellentwithnor estorat
ionsandaCl assIoccl usion.Hewant ssomeadvi ceonwhatt hebesttr
eatmentmightbe.
Whi chopt ionwoul dyouputf ir
stonyourl istofpossi
bi l
it
ies?
A. Twof ixed-f i
xedr esinbondedbr i
dgesusi ngthecent r
alandcani neteeth
B. Twocant il
everresinbondedbr i
dgesf r
om t hecentralincisor
sandcani nes.
C. Twoconvent ionalfixed-fixedbr i
dgesfrom thecani ne
D. Convent ionalcantil
everbr i
dgesf rom t
hecani nes
E.Cobal tchr omepar t
ialdenture

314Ast abili
sati
onspl
int[Micheganspl int]i
scommonl yindi
catedinpat
ientsneedi
ngadvancedrestor
ativedenti
stryandpat
ient
s
suff
eringfrom someTempor omandi bularDisorder
s
Otherthanupperandloweri mpressi ons,whichoft hefol
lowingrecor
dswillbeneededt
oconstructthi
sspl i
nt?
A.Facebowandapr ot
rusivewaxr ecord
B.Facebowandan" OclusalSketch"
C.Cent r
icRelat
ion[
RetrudedCont actPosi ti
on]record
D.FacebowandaCent ricOcclusion[ I
ncuspat i
onPositi
on]record
E. FacebowandCent r
icRelati
on[RetrudedCont
act
Posit
ion]record _

315A55yearol dfemal epatientismi ssingherupperr i

ghtsecondpr emolarandupperrightfirstmol arandalsoismissingthe
upperl eftsecondmol ar.Theupperr ightsecondmol ari
sf uncti
onalandhasanamal gam r estorati
on( MODandbuccalwal l
)that
requiresr eplacing.Thepat i
enthasnof unct ionaloraest heti
cconcer ns.
Whatwoul dbet hetreatmentofchoi cei nt hissituati
on?
A. Provideanupperr emovabl epar t
ialdent ure
B. Replacet heamal gam i ntheupperr ight7onl y
C. Provideaf ullcoveragecr owni ntheupperr i
ght7
D. Provideaf i
xedbr idgei ntheupperr ightquadr ant
E.Pr ovideaf ullcoveragecr owni ntheupperr i
ght7wi t
hgui deplanesandoccl usalr
ests
316Endodont ict r
eatmenthasf ail
edonanupperf i
rstmol ar
;thepat i
entiskeentoretai
nt hetoot h.Therearepersi
stentsymptoms
from thet ooth.Radi ographicallythereisevi denceofper iapi
calradiolucencyalt
houghthet hreecanal sareobturat
edwi t
hgood
l
engt handcompact i
on.
Whati st hebestcour seofact i
on?
A. Extractthet ooth
B. Re-treatmentwi t
hani odi
nesol uti
onasi r
rigant
C. Re-treatmentwi t
hhypochl ori
tesolutionasi rr
igant
D. Re-treatthet ooth,lookingpar t
icularl
yf oraddi ti
onalcanal s
E.Sur gicalapi cectomy

317Yoususpectt hatthereisocclusalcari
esinthel
owerri
ghtfi
rstper
manentmol
arofa10yearol
dchi
ld.Youwi
sht
oconf
ir
m
yoursuspicions.
Whichdiagnost i
ctestismostcommonl yusedinthi
ssi
tuat
ion?
A.Bitewingradiography
B.Electr
o-conductivecariesmonitors
C.Fibro-
optictransil
luminati
on
D.Panorami cradiography
E.Visualexami nati
onofadr iedtooth.

318Younot i
cethata20yearoldpatienthasmarkedt
oothsur
facel
ossassoci
atedwit
hthelabi
alandpal
atalaspectsandi
nci
sal
edgesoftheupperanter
iorteet
h.Theyaresensi
ti
vetohotandcol
d.Theremai
nderofthedenti
ti
onismai
nlyunaffected
Whatistheli
kelydi
agnosis?
A.Att
ri
ti
on
B.Acti
veerosion
C.Passi
veerosion
D.
Abf
ract
ions
E. Abr
asi
on

319Thebestr adiographfori
nvest
igat
ingt
hemaxi
ll
arysi
nusi
s,
A.Peri
api calr
adiograph
B.Panor amicview
C.Lat
er alcephaloghraph
D.Occipitomentalview
E.Rever seTowne' sview

320Whichist r
ueinr egardtoosseoi nt
egrati
onofi mpl ant
si ndentist
ry?
A.Theosseointegr
ationi sdir
ectl
ybetweent i
tanium andbone
B.Fol
lowi
nginser t
ion,implantscanbei mmedi at
el yloadedwi t
houtpr obl
em
C.Thesuccessoft heimpl antsi
sdirect
lyproportionaltoitsareaofcont actwithboneandthebondismechani
cal
i
nnature
D.Thesuccessoft heimpl antsdependsmost lyonl owt or
quepr eparati
onandi nser
ti
onofthefi
xtur
e
E.Thesuccessofi nt
egr ati
onisaccuratel
yinvestigatedbyi mmedi ateradiogr
aphicexami
nati
on

321Inthepreparat
ionofPremol arcl
assIcavit
ywhatisthebestwayofget
ti
ngr
etent
ion,
A.Sl
ightl
ydoneunder cutofthemesialanddist
alwall
s
B.Sl
ightl
ydoneunder cutoft
hebuccalandlingualwal
ls
C.Theconvergenceofthecavitywall
s

322.Inrespectt
oClassV
A.itoccursonthebuccalgroove(
fi
ssur
e)
B.itoccursontheli
ngualgroove(
fi
ssur
e)
r
>; C.i
tisar esul
tofbadoralhygi
ene

323.Aftert
hepl acementofacl
assIamal
gam t
hepat
ientcomesbackt
oyoucompl
aini
ngofpai
nonmast
icat
ingandbi
ti
ng;
whatis
thefi
rstthi
ngyouwoul dlookat
,
A.Occlusalheight
B.Contactsareas

324.Chi l
dcomest oyourcli
nicwi
thaf
ract
uredi
nci
sor3mm super
-gi
ngi
val
,howwoul
dyout
reat
thecase,
A~For mocr et
asolpul
potomy
B.Calcium hydroxi
depulpot
omy
C.Pulpectomy
D.Directcapping
E.Indir
ectcapping

325.WhatisAnt
e'sLawabout ,
A.Therel
ati
onbetweenthespanoft hebri
dgeandthepoet
ics
B.Theperi
odont
alareaoftheabutmentteeth
C.Therel
ati
onbetweenthelengthoftherootandt
heabutment.

326.Whatisthebestwayt ocement
Marylandbri
dge,
A.GI
C
B.Resin
C.Highcompr essi
onrest
orati
ver
esi
n
D.ZincPhosphatecement
E.OxideZincandeugenol

327.Thei deall
engthofcorei
nthef
abr
icat
ionofcr
ownandcor
eofendodont
ical
lyt
reat
edt
oot
his,
A.1.5ofcr ownlength
B.Thelengt hofthecrown
C. 2/ 3
toot
h/root
l
ength
D.1/2,root
l
ength

328.I
faest
het
icisnotaconcer
nwhati
sthef
ir
stt
hingt
odot
otr
eatsor
enessunderdent
ures,
A.Taket
hedentureof
fforaweek
 B.
Rinset
hedenturei
nnystat
in
C.
Applyt
issuecondi
ti
oner

329.Whi l
eyoufinishi
ngacl assIcavity,t
heenameli
ssoundbutyounot
icedi
nthedent
ineandont
heDent
o-enamel
junct
iona
brownline,whatisyourresponse,
A.Youleaveitandcompl etethefinalrestor
ati
on
B.Youextendyoupr epar
ationandcl eanit
C.Youapplyacoverofvar nish

330.Dentalcari
esofthepr oximalsur
facesar
eusuall
yst
artat
,
A.Somewher ebetweent heridgeandthecont
actar
ea
B.Justgi
ngivaltocontactareas
C.Justaboutthegingi
valmar gi
n

331.Whatisthepropert
yofhi
ghcopperamal
gam
A.Reducedphysicalcr
eep
B.Higherr
etent
ion

332.I
nr egar
dstocolour
swhati
sChr
omast
andsf
or,
A.Degreeofsatur
ati
onofhue
B.Bri
ghtness
C.Val
ue
D. Contr
ast

333.Frankfortpl
aneextendsfr
om,
A.hori
zontallyfr
om Sell
atonasion
B.Sagitt
alfrom
C.Hori
zontallyfrom poi
ntonsuperi
oraspectofext
ernal
audi
tor
ymeat
ust
oor
bit
ale

334.Whi chofthef
ollowi
nglocalanaest
het
ici
sindi
cat
edi
ncaseoft
heneedt
olongact
ingoneaf
terasur
gical
operat
ion,
/
~ A.Li
docai ne
B.Mepi vacai
ne
C.Bupivacaine(Marcai
ne)

335.Inr
especttoLidocai
ne2%wit
h1:100000vasoconst
ri
ctor
,
A.Thetoxi
ct hr
esholdi
s22ml
B.8.8mlisthemaximum youcangi
veinonesession

336.Whichoneoft
hisr
est
orat
ivemet
hodwi
llbeLEASTcompr
omi
sedbyacor
e,
A.Amalgam
B.Composit
e
C.GIC
D.Castgol
d

337.I
nprepar
ingaverysmal lproxi
malamalgam cavi
tyonamol
art
oot
hwhatwoul
d
consi
der
,
A.Ext
endthecavit
ytothegingivalmargi
n
B.Ext
endthecavit
ybeyondthecont act
sareas
C.Achi
eveatl
east2mm i ndentine
D.Ext
endcavi
tyjustbeyonddent oenamelj
uncti
on

338.Whatistr
ueaboutpar t
ialdentures,
A.Theycauseanimmedi atechangesi ntheoralpl
aquebehavi
our
B.Nightwear
ingofdenturesreducespl aqueaccumulat
ion
C.Reli
evi
ngthegingi
valarear educesthegingi
valenl
argement
.

339.Thebi
ti
ngloadofdent
urebaset
oti
ssuescompar
edt
oteet
har
e,
A.Tenti
mesmor e
B.Tenti
mesless
C.Equal

340.Compoundi s,
A.Veryaccurat
ecompressionmat
eri
al
B.Thermoplast
icmater
ial

341.Thedi
ff
erentbet
weennor
malst
oneandt
hedyest
onei
s,
 A.
Int
hepart
icl
essi
ze
B.
Theamountofwater

342.Apati
entcomest oyouwi
thmedi
um pai
noft
oot
hfi
ll
edwi
thComposi
ter
esi
nasar
esul
tofcol
dorhotdr
inks,
what
youri
nit
ial
managementwillbe,

A.Removet
herestorat
ivemat
eri
alandstartanEndonti
ct r
eat
ment
B.Removetherest
orat
ivemat
erialandplaceasedat
ivetemporar
ymat
eri
al
C.Pl
aceacoatofbondingmater
ialontheoldcomposit
e

343.Throbbi
ngpainincr
easeswi
thheatandcol
dst
imul
i,
theMOSTpr
obabl
edi
agnosi
sis,
A.Cyst
B.Occlusalt
rauma
C.Advancedpulpi
ti
s

344.Inmakingyourcust om t
rayswhichoft
hef
oll
owi
ngi
str
ue,
A.Auniformthicknessisrequi
red
B.Perf
orat
ionisbetter
C.Onlyadhesi
vei sbet
terthanperf
orati
on

345.Themostcommoncauseofcar
iesi
nchi
ldr
eni
s,
A.Softdiet
B.Highintakeofcar
bohydr
ate
C.Poororalhygi
ene

346.Thebestst
oragemedi
aforavul
sedt
oot
his,
A.Sali
ne
B.Milk
C.Water
D.Sali
va

347.Anocclusalappr
oachingcl
aspTIP,
A.Shouldoccupyapredetermi
nedundercut
B.Contactt
het oot
hunderthesurveyl
ine
C.Rigi
d

348.Int
heconstr
uctionofparti
aldenturethesur
veyori
snotusedt
o,
A.Contourthewaxaspar toft
hef abri
cati
onoftheworki
ngcast
B.Locatethegui
depl anes
C.Deter
minethelocationofi
ndir
ectretai
ners
D.Ident
if
yanyundesi rabl
eundercuts

349.Themainpurposeoffi
nishingt
heenamelwal
lsis,
A.Removelooseenamelrods
B.Provi
deabettersur
facefortheadopt
ionofr
est
orati
vemat
eri
al

350.Afemalepatientcomestoyoucompl ainingofpersist
entpai
ninheavi
lyr
estor
edcent
rali
nci
sor
;yoususpectpul
pit
isandyou
havebeentoldthatsheisi
ntransi
tleavi
ngbypl anenextday.Yourt
reat
mentwil
lbe,
A.Removef i
ll
ingandplaceasedati
vedressi ngs
B.Pulpexti
rpati
onandobturatewi
thLeder mi xdressi
ngs
C.Prescr
ibeanalgesi
csandsystemicantibi
ot i
c

351.whichofthefoll
owingistruer
egardi
ngTMJdysf uncti
on,
A.Itisalwaysduet oarthr
it
is,
shoul
dbet r
eatedwit
hNSAI DSbeforeattemptingsur ger
y
B.Raisingbit
eincreasesthespaceinthejoi
ntandshouldbeattemptedbefor esurgery
C.Itismostlyduetot hemedialmovementofthecondylarheadovertheglenoidfossa

352.
ThelocationofClassVisi
n,
A.ThebuccaIpi t/
fissure
B.Theocclusalsurf
ace
C.Thecervicalt
hir
d

353.Occl
usalcavi
tywi
thext
ensi
onoft
hebuccalf
issur
eiscl
assi
fi
edas,
A.ClassI
I
B.ClassI
II
C.ClassI
354.Whi
chofthefoll
owingdoesnotaf
fectt
heel
ast
ici
tyofr
etent
ivecl
asp?
A.Lengt
hofthearm
B.Thecrosssect
ionshape

C.
Themater
ialused
D.
Theunder
cutarea

355.Foll
owingcal ci
um hydroxi
depul
potomy,
thedent
istwoul
dexpectdent
inebr
idget
ofor
m at
,
A.Theexactlevelofamput ati
on
B.Levelsomewher ebel
owt heamputat
ion
C.Halfwaybet weenamput ati
onandapex
D.Attheapicalregionofthetoot
h

356.Intheconstr
ucti
onofaf ul
lveneergoldcrown, fut
urerecessi
onofgingi
valt
issuecanbepr
event
edoratl
east
mini
mi sedby,
A.Extensi
onofthecrown1mm undert hegingi
valcrevice
B.Reproducti
onofnormaltoothincl
ineinthegingivalonethir
dofthecrown
C.Sli
ghtovercontouri
ngofthetoothinthegingi
valonef if
thofthecr
own
D.Sli
ghtundercontouri
ngofthetoothinthegingivalonefif
thofthecr
own

357.Apar tialdent
urethatseatsonthemastercastbutf
ail
stoseatcor
rect
lyi
nthemout
hisar
esul
tof
,
A.Cont r
actionofthemet alf
ramewor kdur
ingcast
ing
B.Insuffi
cientexpansionoftheinvest
mentmateri
al
C.Distort
ionofi mpressi
on
D.Fail
uret oblockoutunwant edundercut
s

358.Whichofthefol
lowi
ngmuscl
esmayaf
fectt
hebor
der
sofmandi
bul
arcompl
etedent
ure?
A.Mentali
s
B.Lat
eralpter
ygoi
d

r
>. C.Orbi
culari
sori
s
D.Levat
oror i
s
E.Tempor al
is

359.Whati
scorrecti
nregar
dstohighcopperamalgam,
A.React
sandstrengt
henstheamalgam byit
sdispersi
onproper
ti
es
B.React
stofor
m copper-
ti
nphaset her
ebyel
imi
nat i
ngtheti
n-mercur
yphase
C.React
stofor
m copper-
sil
verphasether
ebyel
iminati
ngthesil
vermercur
yphase
D.React
sandstrengt
henstheamalgam byit
sgraindif
fusi
on

360.Whatisthemai npurposeofusingcor
ti
cost
eroi
dsi
npul
palobt
urat
ionmat
eri
al?
A.Forthei
ranti
bioti
cacti
on
B.Forthei
ranti
infl
ammat oryact
ion
C.Toreli
efpulppressur
e

361.Whichofthef ol
lowingstatementsi
sincor
rectr
egar
dingSmoker
'sKer
atosi
s?
A.Typi
callyaf
fectsthehar dpalat
e
B.Minormucousgl andsar eswollenwit
hredori
fi
ces
C.Thereisali
ttl
eregressionifsmokingisst
opped

362.13year
sol dboycomest oyouwithexcessi
vehyperplasi
aofthegingivaasar
esul
tofPhenyt
oinwhati
syour
management,
A.Stopthemedicati
on
B.Forceastr
ictoralhygi
eneandsurgi
calremovalofexcessgingi
valt
issues
C.Debri
dementandconser vat
iveappr
oach

363.Whi t
eman56year sol
dcomestoyouwit
habrownspotonhisgingi
vaandanot heroneonhisor
almucosa,when
takingthe
histor
yhement i
onedawei
ghtandmemor
ylost
.Heaswell
complainsofheadaches.Whatisyourmostpr
obabledi
agnosi
s,
A. Addi
son'sdisease
B. Hypert
hyroi
dism

364.Whil
eremovi ngthesecondprimarymol arof9year
sol
dchi
ld,
theapi
calY.oft
her
ootf
ract
ureandst
ayi
nthesocket
,
A.Youwill
justl eaveitandobserveit
B.Youtakesur gical
lybyalingualfl
ap
C.Youtryt
ot akeoutbyusi ngar ootapexelevator
D.Youuseaf ineendf or
cepstotakeitout
 365Whati sthemostimpor
tantf
act
ort
oreducesdent
ali
rr
adi
ati
on,
A.Speedoffilm
B.Coll
imati
on
C.Fi
lt
rati
on
D.Coneshapeandl engt
h

366.Wi
thviewtoNitr
ousOxidewhatist
hemaj
orphar
macol
ogi
calpr
obl
em?
A.Cont
rai
ndicat
edinpregnancy
B.Cont
rai
ndicatedi
ncardiacdysr
hyt
hmias

367.Whi chofthefol
lowi
ngi
sanexpansi
lel
esi
onoft
heor
almucosa,
A.Keratocyte
B.Radicularcyst
C.Cement oma

368.Theconcent
rat
ionofFl
uor
idei
nthe
topi
calNaF
A.2%
B.5%
C.8%
D.10%

369.pati
enti
nyourdent alchairshowschestpain,weakpulseanddysponea,
whati
syouri
nit
ial
management ,
A.Giveanitr
o-gl
ycer
inet abletandkeepthepat
ientupseated'
B.Putthepati
entinsupineposi ti
on
C.Donothingandwai tuntilthesymptomsgo

370.Whatar etwot
eet
hconnect
edatt
hecement
um
cal
led,
A.Concrescence
B.
Dil
acer
ati
on
C.
Gemi n
ati
on
D.
Fusion

371.Developercont
ami
nat
edwi
thot
herchemi
calandwasnotmi
xedpr
oper
lv.Whati
stheef
fectont
heX-
ray
fi
lm?
A. Toodar kfi
lm -
B.Lightfi
lm
C.Foggy

372.Whichpar tofthecrani
um i
sconsi
der
edast
hemostst
abl
ear
ea,
A.Frankfor
tplane
B.Occlusalpl
ane
C.Anteri
orcranialplane
D.Anteri
ornasaltognat hi
on.

373.
Thedif
ficul
tyofpl
acingmat
ricesondeci duousdenti
ti
onisaresultof
,
A.Thesmallmouthofkidswhi
chr esul
tinproblem keepi
ngthematri
cesinthei
rmout
hs
B.Theoccl
usalconver
genceofthedeciduoust eet
h

374.Br
anchialCl
eftcystisl
ocated,
A.Medialt
otheneck
B.Onanteri
orborderoftheSter
noclei
domast
oidmuscl
e
C.Showswhenswal lowing

375.themostcommonwayofor
alcar
cinomast
oot
hert
issuesi
s/ar
e
A.Lymphati
c
B.Invasi
onandblood
C.Lymphati
candi nvasi
on
D.Bloodandlymphatic

376.Themainpurposeofper i
odontaltr
eat
menti
s,
A.Eli
minat
ionofplaqueandcal culus
B.Eli
minat
ionofperiodontalpockets
C.Refor
mat i
onofalltheperiodontall
igament
s
D.Theeli
minati
onofal loccl
usaltrauma

377.Whatistheapproxi
mateunst
imul
atedsal
ivar
yfl
owr
ate,
A. 2ml/min
B. 0.2ml/mi
n
c.0.02ml/minD.20ml/min
378.Thether
malandel ect
ricpul
ptestswill
,
A.Giveanaccurat
eindicat
ionsofthepulpstat
us
B.Thepati
ent'
sresponsewi l
lbeei
therpainornopain
C.Thepati
entcandiff
erenti
atebet
weencol dorhotst
imul
i

379.Immedi at
elyaft
ertheext
racti
onoflowermolarthepatientcompl ai
nsofpostoper
ati
onbleedi
ngandpai
n,howwoul
d
managet hi
s,
A.Prescri
beanalgesicsandaskthepat
ienttofol
lowast r
ictoralhygiene
B.Admi ni
ster5%Mar cai
neLocalAnast
atic,
prescri
beanalgesicsandpackt hesocketwit
hal
vogyl
C.Admi ni
ster5%Mar cai
neLocalAnast
atic,
suturethesocketandpr escri
beanal
gesics
D.Sutureandgivepressurepacks

380.Graceycur
ett
eischaracter
izedby,
A.Thebladeandtheshankform 90Qangle
B.Canbeusedonbot hsides
C.Canbeusedonanyt oothsurface
D.Iti
sspecif
icf
oreachsurfaceofthetoot
h

381.Theremovablepart
ialdent
urerequi
resrel
ini
ngwhati swoul
dbethemostappropr
iat
eact
ion,
A.takeanewimpressionbyaskingthepati
enttooccludeoni t
B.Provi
deequalspacebetweendentureandgingivalt
issues.
C.Makesuretheframewor kandret
ainer
sareseatedinpl acebef
oret
aki
ngimpressi
on

382.I
nregardstodenti
nest
rengt
h,whi
chistheri
ghtsequence,
A.Aff
ecteddent
ine>Sounddenti
ne>I
nfect
eddenti
ne
B.Sounddenti
ne>Affect
eddenti
ne>I
nfect
eddenti
ne

383.Symptomsf reepati
entcomest oyouafterf
ourweeksofanendodonti
ctr
eat
mentandyouf indonr adi
ogr
aphthecanali
sover
fi
ll
edwithwhati tseemst obeaconeofGut taPer chalmm beyondt
heapexwi
tharadi
olucentsmallar
ea.Whatisyouri
nit
ial
management ?,
A.Star
tapiectomyt hroughaflapandsurgery
B.Obturat
ether ootcanal
C.Askforar ecallandobserveint
hreemont hsti
me
D.Sealthepulpchamberandkeepi tunderobservati
on

384.Afterobturat
ionandonX-rayyounoti
cet
heobt
urat
ionmat
eri
alsar
elmm beyondapex.Whati
syourf
ir
stmanagement
?
A.Refil
lthecanal
B.Pullt
heGPconeaboutl mm outandtakeanewX-
ray
C.Leavei tasit

385.2.
21mgNaFcont
ains,
A.lmgfl
uor
ide
B.2mg
C.0.
5mg

386.Stiff
nessofmat er
ialar
emeasur
edby,
A.Proporti
onalunit
B.Modul esofelast
ici
ty
C.Stress/str
ain

387.Fouryear
skidshowsatyourcl
ini
cwithopenbi
teasaresul
tofthumbsucki
ng,
younoticeadel
ayedspeechabi
li
tywhatwoul
d
beyourfi
rstmanagement,
A.Refert
oaspeechtherapi
st
B.Applyaremovabl
ehabiti
nhi
bit
ordentur
e
C.Applyaremovabl
ehabiti
nhi
bit
ordentur
eandeducatet
heparent
sabouti
tsothekidwi
llnotbet
akingi
toffsooft
en

388.Twocentralincisorsonaradi
ographareshowingwi
thwhatlooksli
keeyedr
opradi
olucency.Youdeci
dedtost
artendodont
ic
tr
eatmentontheset eethbutyoutri
edtoopenaccesstot
herootcanalyoufi
ndcl
ear
lycl
osedor i
fi
ceswithwhatl
ookli
ke
secondar
ydent i
ne.Whati syouri
niti
almanagement?
A.Leaveasitandst artapermanentrest
orat
ion.
B.Star
tsystemicant i
bioti
c
C.Trytoream andfilecanals
389.Apati
entwithnopositi
vehistorycamealongforscal
ing.Themomentyoupi
ckupt
hescal
eryoupunchyourf
inger
,what
shoul
dyoudo?
A.Complet
ethepr ocedur
easnot hinghashappened
B.Checkpati
ent'
sbloodforHepatiti
sBantibodyHBsAb
C.Checkpati
ent'
sbloodforHepatiti
sBantigenHBsAg
D.Checkdenti
st'
sbloodforHepatiti
sBantibodyHBsAbandHI Vanti
genHIVAg
E.Checkdenti
st'
sbloodforHepatiti
sBantigenHBsAgandHI Vanti
bodyHIVAb

390whenprobingforperi
odont aldi
seasethet
ipoft
hepr
obewi
llbe,
A.Att
hecoronalendofjunctionalepit
hel
ium
B.Att
hetopoft hegi
ngivalcalculus

391.Aft
ertheini
ti
aldevel
opmentst
ageandi
ntheabsenceofpat
hol
ogy,
athesi
zeoft
hepul
pchamberhasbeenr
educedby,
A.Deposit
ionofpri
marydenti
ne
B.Deposit
ionofsecondar
ydenti
ne
C.Reparat
ivedenti
ne
D.Pulpfi
brosi
s

392.Themostdesi r
ableoutcomeofendodontict
reat
menti
s,
A.Theheali
ngoft healveol
arbone
B.Thedeposit
ionofcement um attheapex
C.Format
ionoffibrouscapsulearoundtheapex

393.Whati sNOTr el
atedtot
henor malagi
ngpr
ocess?
A.Progressivebonel oss
B.Reducedel astici
tyofmuscles
C.Decreasedel asti
cit
yoftheskin
D.Lowerpai nthreshold

394.Themostaccuratefi
ndingofpulpalpat
hol
ogy
A.Radiol
ucencyontheapicalr
egion
B.Painonhotorcolddri
nks
C.Theabsenceofresponsetopulptesti
ng

395Fordentalcariestoprogressindenti
ne,
thedent
inemustcont
ainsol
ubl
ecol
lagen
A.enamelmustcont ai
nglycoprot
eins
B.dietmustcontainsimplecarbohydrat
e
C.dietmustcontainpolysacchari
des
D.pulpmustcont aincomplement

396Apat i
entonthedent
alchairhascardi
acarrestwhichisINCORRECT,
A.Observi
ngthevit
alsi
gnsandcheckt hatt
heai rwayisclearisathi
ghimportance
B.Expi
redairhas15%02onl y,
andcardiaccompr essi
onsachieve30-40%ofcardiacout
put
C.I
nter
mi t
tentposi
ti
vepressur
eattherateof40/ minwil
lreducethechancesofcerebr
alhypoxi
a
D.I
nter
mi t
tentposi
ti
vepressur
eisbett
erthanmout htomout hwheni thasbeengivenatt
hesamerat
e.

397.A9yearoldboyhasasmal lwhit
edi scolourat
iononhismaxill
arycent
rali
nci
sor
.Thel
esi
oni
smostpr
obabl
y,
A.Hypocalci
fi
cat
ionduetotr
aumaoft hepr imarypredecessor
B.Hypoplasi
aduetoacutesystemicinfectionwhen6- 12mont hsol
d
C.Defectdur
ingt
hehistodi
fferent
iat
ionst ageofdevelopment
D.Defectdur
ingt
hemor hodiff
erenti
ati
onst ageofdevelopment

398.Thebestmet hodtot akeX-

rayoft
hemaxi
ll
arysi
nusi
s,
A.Periapicalr
adiograph
B.Panor amicview
C.Lateralcephaloghraph
D. Occipi
toment a
lvi
ew
E.ReverseTowne' sview

399.Whichofthefoll
owingisnotapar
toft
hef
ull
yfor
medenamelor
gan,
A.Outerenamelepit
heli
um
B. I
nnerenamelepithel
ium
400.18yearsoldfemaleherwei
ghti
s52Kgandsheis163cm t
all
.Ondent
alexami
nati
onerosionofteet
honthemostofher
l
ingualsurfacesi
sclearl
yshowi
ng.Di
etar
yhi
stor
yreveal
edadail
yrat
eof5000to7000Kcal/day.Whatismostpr
obabl
ewouldbe
hercase?
A.Alcoholi
sm
B.Drugabuse
C.Buli
mia
D.Excessivesmoking
E.Diabeti
cmel l
it
ustypeI

401.Whichoneoft hefol
lowingist
rueinregar
dstosseoi ntegrati
onimpl ant
sindenti
str
y?
A.Fibr
oustissuesarefor
medandi ntegr
ateddir
ectlybetweent it
anium andbone
B.Foll
owinginsert
ion,
implantscanbeimmediatelyloadedwi t
houtpr obl
em
C.Thesuccessoft hei
mpl ant
sisdir
ectl
yproport
ionaltoitsareaofcont actwit
hbone
D.Thesuccessoft hei
mpl ant
sdependsmost l
yonl owt or
quepr eparati
onandi nser
ti
onofthef
ixt
ure

402.Generali
sedl
ostoft
oot
hst
ruct
urebychemi
calmeanscal
led,
A.Er osion
B.Att
rit
ion

403.OnX- ray,t
hebuccalroot sof16i
sconsi
der
abl
yel
ongat
ed;t
hisi
sar
esul
tof
,
A.Toogr eatvert
icalangul
ation
B.Inadequateverti
calangulati
on
C.Excessiveobjectfil
m di
stance

404.Thepr incipl
emuscleresponsi
blef
ort
heopeni
ngoft
hemout
his,
F.Mylohyoi d
G.Anteriortemporal
H.Posteriortemporal
I.Ant
eriorbellyofdigast
ri
c

405.Dentur
est omati
ti
siscommonl yassociatedwit
h,
A.Thecontinuouswearingofremovableort
hodonticappl
iancesinot
her
wiseheal
thypat
ient
B.Theproli
ferati
onofhypert
rophicti
ssueatthedentur
eperiphery
C.Theovergrowthofsomeconst it
uentsoforalnor
malmicroflor
a
D.All
ergytodenturebasemat er
ial

406.Whichoft hefol
lowingisNOTchar act
eristi
cofDown'
ssyndr
ome?
A.Decreasedneutrophilf
unction
B.Macroglossia
C.Macrodontia
D.Anincreasedsuscept i
bil
it
ytoper
iodontaldisease
E.Congenital
lymissingteeth

407.Whichoft hefoll
owingisthebestevidencethatapreviousper
iodont
altreat
mentissuccessf
ul?
A.Thepatientkeepsa3mont hr ecal
lappoint
ment
B.Ther
ei snoext ri
nsi
cstain
C.Thepatientdemonst r
atesgoodunder standi
ngofbrushingandfl
ossingtechniques
D.Ther
ei snobl eedi
ngonpr obing

408A65yearol dfemalepresentsatyoursurgerycomplainingofanextremelysharppainofaf
ewsecondsdur
ati
onwhichari
ses
whenevershet ouchesanareaofskinabovet herighthandsi deofherupperl
ipadjacenttot
heangl
eofhermout
h.Thepati
enti
s
fi
tandwel landisnottaki
nganymedi cation.Youmakeadi agnosi
softri
geminalneuralgi
a.
Whatisthedr ugofchoicefortr
eati
ngt r
igeminalneural
giainsuchapat i
ent?
A.Carbamazepi ne
B.Oxcarbamazepi ne
C.Gabapent i
n
D.Phenytoin
E.Ibupr
ofen

409Apat i
entonexami nati
onwasf oundt
ohaveswol
lengi
ngivaaroundacrownthathadbeenpr
esentf
orsever
alyear
s.The
papi
ll
aewer epart
icul
arlyenlarged.
Whatisthemostimpor tantfeatureofacr
ownthatmayberesponsibl
efort
his?
A.Mater
ialoftheCrown
B.Theocclusi
on

C.proximalContour
D.LabialCont
our
E.Surfacefi
nish

410A13yearol dgir
lpr esentswit
hanuner
uptedpermanentcani
neandar et
ainedprimar
ycanine.Youcannotpal
pat
ethe
uneruptedcani neinthebuccal sul
cusandyouareuncer
tai
nast owhetheri
tisdispl
acedpal
atal
lyorint
helineoft
hearch.
Whichsi ngl
er adiogr
aphi cviewwouldbemosthelpf
uli
nlocati
ngtheunerupt
edtooth?
A.Bitewing
B.
DPT
C.Lat er
alobli
que
D.Singleperiapical
E.Upperant eriorocclusal
411A30yearoldmanwi thunknownall
ergyt
olat
exgoesint
oanaphyl
acti
cshockwhi
lstbei
ngt
reat
edi
nthedent
alsur
ger
y.
Whichdrugandrouteofadminist
rati
oni
sofmostbenefi
tint
hissi
tuat
ion?
A.Hydrocor
ti
sone-orall
y
B.Chlor
phenamine-int
ramuscularl
y
C.Chlor
phenamine-oral
ly
D.Epi
nephri
ne-intr
avenously
E.Epi
nephri
ne-intr
amuscularl
y

412A62yearol df emal epresentsatyoursur gerycomplai

ningofapersi
stent
, dul
lacheaff
ecti
ngherupperleft4.Thepai nis
presental lt
het i
mebutvar i
esinitsseverit
yalthoughthepati
entcannott
hinkofanyexacerbati
ngfactor
s.Iti
snotr el
ievedby
analgesics.Overt hepast18mont hsthepat i
enthashadseveralteet
hextr
actedf r
om theupperl
eftquadrant
.Eachext r
action
bri
ngsaboutt empor aryrel
iefofhersympt omsonl yfort
hem torecuri
nanadj acentt
ooth.
Whati sthemostl ikelycauseoft hepatient'
spain?
A. Acute/reversi
blepul piti
s
B. Denti
nesensi ti
vi t
y
C. Chronic/i
rreversiblepulpit
is
D. Atypical
odont al
gia
E.Trigemi nal
neuralgia

413A25yearol dpat
ientat
tendsyoursurgerycomplai
ningofaswell
ingatt
heangl
eoft
hemandi
ble.Ar
adi
ogr
aphshowsauni
-
l
ocularradiolucencyassoci
atedwit
ht hecrownofanuner upt
edwisdom t
oot
h.
Whichoft hef ol
lowi
ngisthemostlikel
ydiagnosis?
A.Radicularcyst
B.Dentigerouscyst
C.Later
alper iodont
alcyst
D.Amel oblastoma
E.Odont ogenickerat
ocyst

414A70yearol df emal e,whosuffer

swi t
hpersist
entloosenessofherl
owercompl
etedent
ure,
isconsi
der
edf
ori
mpl
ant
s.Shewi
ll
requireradiological evaluati
onofthepotenti
ali
mpl antsit
es.
Whi chwoul dbet hemostappr opri
ateradi
ologi
calinvest
igati
onatthi
sstage?
A. MRIscanoft hemandi ble
B. CTscanoft hemandi ble
C. Periapicalradiogr aphsofthemandi bul
aranteri
orregion
D. Truelowerant eriorocclusalvi
ew
E. Panor amicr adiogr aph

415Si xmont hsagoyousawachi l

dpatient
,thenaged9year s.Hi
supperr i
ghtmaxil
larycani
newaspal pabl
einthelabi
alsul
cusbut
theupperleftwasnot .Thesi t
uati
onisnowunchanged, soyouhavet akent
woperiapical
softhenon-pal
pablet
ooth.Theyboth
showt hatthereissomer esorpti
onoftheCIr ootbutthepermanentcanineappear
ssomewhatmesi allyangl
edandismor emesial
ont hemoremesi all
yposi tionedfi
lm.
Whati syourthebestcour seofaction?
A. Keepacar efulwat choni tandtakeanotherx-rayi
n6mont hs.
B. Refert
oanor alsur geonf orearl
yexposureoft hepermanentcanine.
C. Refert
oanor alsur geonf orearl
yremovaloft hepermanentcaninebefor
eitdamagest hel
ater
alinci
sor.
D. Refert
oanor thodont i
stf oratr
eatmentplan.
E. Waitandwat ch' untilt
hechi ldi
s11.

416Anapicalradiol
ucency(2mm)isnoti
cedasaninci
dent
alradiogr
aphi
cfindi
ngassociatedwit
htheapexoft
hemesiobuccalr
oot
oft
helowerri
ghtf ir
stmolar
.Thetoothhasbeenr
ootfi
ll
edbutis2mm shortoftheradi
ographi
capex.Ther
earenoot
hercli
nical
orr
adi
ographicfindingsandthepat
ienti
sfi
tandwell
.Whati
st hemostappropr
iatecourseofact
ion?

A.
Extractthetooth.
b.
Redot herootfi
lli
ng
c.
Perform per
iapicalsur
gery.
d.
Advisethepat i
entofthesit
uati
onandmoni
torcl
ini
cal
lyandr
adi
ogr
aphi
cal
ly
e.
Prescri
beant i
bioti
csthenrevi
ew

417A43yearol dpat ientismi ssi

ngont heupperrightthefi
rstpremolarandmol ar.Hehasgoodor alhygieneandrequestsaf i
xed
replacementfort heset eeth.Theot herteet
hont hesamesi dear eallmoderat
elyrestor
edwi t
hMODamal gam r
est
orationsand
arevital
,exceptt hecani ne,whichhasaver ylar
ger est
orat
ionandi sroot-
fi
ll
ed.Hehasgr oupf unct
ion.Radiogr
aphsshowal ar
ge
sinuscavityandnoper i
-apicalpathology.Whatwoul dbether estor
ati
onofchoicef orr
eplacementoft hemissi
ngteeth?
A.Implantsuppor tedcr owns
B.Aconvent ional f
ixedbr idgeusingt he7and5asabut ments
C.Twoconvent ionalcant i
leveredbr i
dges,usi
ngt he7and3asabut ments
D. Aresin-
bondedbr idge,usingthe7and5asabut ments
E.Aconvent ionalfixed-moveabl ebridgeusingthe7and5asabut ments

418Epi demiologicalstudieshaveshownthatdent
aldecayisnormall
ygreat
eramongstnor
ther
ner
sandt hosei
nsoci
all
ydepr
ived
cir
cumst ances.Whi choft hefoll
owingwoul
dbemostef fect
ivei
nreduci
ngcari
esJnahighri
skpopul
ati
on?
A.Brushingwi thfl
uoridet oot
hpaste
B.Publici
tycampai gn
C.Fluoridat
ionoft hewat ersupply
D.Diet
ar yadviceviaschool s
E.Fissuresealantpr ovisi
on

419A58yearol dmal epresentsatyoursurgerycomplai

ningofashar ppainofnomor ethan30mi nutesdurati
onari
singfrom hi
s
upperleftmol arregion.Thepaini sbr
oughtonbycoldstimulibutper
sistsafter
-t
hesti
mulusisremoved.I tdoesnotseem tooccur
spontaneously.Hehast ri
edtakingparacet
emolandt hi
sdoest emporari
lystopthepainf
rom recur
ring.Theupperleft6'
react
ed
toalowercur rentonel ectr
onicpul pt
est
ingthantheupperri
ght6,upperleft~orthelowerlef
tmolar s.
Whatist hemostl i
kelycauseoft hepati
ent
'spain? -
A.Acute/reversi
blepul pi
ti
s
B.Denti
nesensi tivi
ty
C.Chronic/irr
eversiblepulpi
ti
s
D.Peri
apical peri
odont i
ti
s
E.Tri
gemi nalneur algi
a
420A60yearol dpatientattendsyoursurger
ycomplaini
ngofasor
emout
h.HehasTypeI
Idiabet
eswellcont
rol
ledbydi
etand
metf
ormi n.Onexami nati
onwhi t
epatcheswhichcannotber
emovedar
epr
esentonhi
sbuccalmucosa:
Whatisthemostl i
kel
ydi agnosis?
A.Fri
ctional kerat
osi
s
B.Leukopl akia
C.Li
chenPl anus
D.Whi t
espongenaevus
E.Candi dosis

421A60yearol dfemaleattendsyoursurgerycomplaini
ngofsorenessaffecti
nghergi
ngivae.Nootherareaofheror almucosais
aff
ect edbutshehasnot i
cedani t
chyrashont hefl
exorsurf
aceofherf or
earms.Sheisfi
tandwel landisnott
aki ngany
medicat ion.Scat
teredpurpl
e/redpapuleseachabout4mm i ngreat
estdimensionarepr
esentonthef l
exorsurfaceofherforear
ms
andoni ntraor
alexaminati
onadesquamat ivegingi
vit
isispr
esent.Basedont heabovef
indingswhatisyourdiagnosis?
A.Mucousmembr anepemphi goi
d
B.Li chenpl anus
C.Pemphi gusvulgari
s
D.Er ythemamul t
ifor
me
E.Lichenoi ddrugreacti
on

422An80yearol dpati
entpr
esent
swithanulcerinthefloorofthemouth.Thi
shasbeenpresentforseveralmonthsandhasnot
respondedt oconventi
onaltr
eatment
.Aninci
sionalbiopsyistaken.Whi
chofthefol
lowi
nghistol
ogicalchangesintheepi
thel
ium
confirm adiagnosisofsquamouscel
lcar
cinoma?
A. Hyperkeratosi
s
B.Acant hosis
C.Dyspl asia
D.I nvasion
E.Di scontinuousepit
heli
um

423A35yearol dpat i
entcompl
ainsofswol
lengums.Thi
shasbeenpr
esentf
orsever
alyear
s.Whati
sthecommonestcauseoft
his
complaint?
A.Cyclospori
ntherapy
B.Vit
ami nCdefici
ency
C.ChronicGingi
vit
is
D. Atenolol
ther
apy
E.Pregnancy

424A45yearol dpati
entat
tendsthedent alcl
ini
ccomplai
ningofacli
ckingj
aw.Exami nati
onrevealsarepr
oduci
blecl
ickofthe
ri
ghtTMJwhenopeni ngwide.Uponaski ngthepati
enttoopenwide,
closewit
hincisorsedge-t
o-edgeandthenopenandcloseto
thi
sposition,thecli
ckisabsent.From t
heopt i
onsbelow,whichonei
sthemostlikelydiagnosi
s?
A.Myofasci alpai
n
B.Discdisplacementwi t
hreducti
on
C.Discdisplacementwi t
houtreducti
on
D.TMJost eoart
hri
ti
s
E.Arthr
algia

425Cigaret
tesmokingi sconsideredtobethemosti mport
antfactornexttomicrobi
alpl
aqueinper
iodont
aldi
seaseprogressi
on.
Whichofthefol
lowingi sthemosti mport
antfactori
nthediseaseprogressi
oninsmokers?
A. Smokershavedri
ermouthsthannon-smokers.,
B.Smokershavepoor eroralhygienethannon-smokers.
C.Nicot
inewil
limpairthechemot acti
candphagocyt i
cpropert
iesofPMNs.
D.Thegingi
valbloodflowi sr
educedi nsmokers.
E.Smokersalt
ertheor alenvi
ronmentencouragingthegrowthofanaer obi
cbacteri
a

426Anadul tpati
entatt
endsyourpracti
cecompl ai
ningofpai
nandswell
ingassociat
edwithaprevi
ouslyrest
oredupperf
ir
st
premol art
ooth.Thepainhasbeenpr esentf
oranumberofdaysandi snolongerrespondi
ngtoanalgesi
cs.Hisdent
it
ioni
s
otherwisewellmaintai
nedandhi speri
odontalheal
thisgood.
Whati sthemostappr opri
ateapproachtotr
eatment?
A.Ant i
biot
icsandanalgesics.
B.Extractthetooth
C.Car r
youtapul potomy.Temporarydressi
ng.
D. Carryoutapulpectomy.Temporary
dressi
ng
E.Establi
shopendr ai
nage

427Apat i
entreportst hathispostcr
ownhasf allenout.Thiscrownhadbeenpr esentf
ormanyyears.Younot
ethatt
her
eappear
s
tobeahai rl
ineverticalfractur
eofther oot.Thet oothissympt omless.
Whatist hemostsensi bleapproachtot r
eat ment ?
A.Replacethepostcr ownusi ngaresin-reinf
orcedgl assionomermat eri
al
B.Replacethepostcr ownusi ngapolycar boxylatecement
C.Replacethepostcr ownusi ngadent i
nebondi ngagentandar esi
n-rei
nfor
cedglassionomermat
erial
D.Replacethepostcr ownusi ngaresincomposi teluti
ngagent
E.Arr
anget oextractthet ooth

428Apat i
entsaysthathedoesnotl i
ketheappearanceofhisprevi
ousl
yrootf
il
leduppercent
rali
nci
sort
ooth.Hisdent
it
ioni
s
other
wisewel lmaintai
nedandhi speri
odontalheal
thisgood.Thetoot
happearstobedarkert
hantheadj
acentteet
h.
Whatist hemostappr opriateapproachtotr
eatment?
A.Provisi
onofapostcr own
B.Provisi
onofanal lcerami ccrown
C.Provisi
onofamet albondedt oceramiccrown
D.Carryoutanonvi talbleachingprocedur
e
E.Provisi
onofapor celainveneer

429A20yearol dpatientat
tendsyoursurger
yfort
hefir
stt
ime.Yoususpectthathemayhavepr
oxi
malcari
esashehasafrequent
sugari
ntake.Whi choft hef
oll
owingisthemostaccur
atemethodofdi
agnosingproxi
malcar
iesi
nalowermolart
oot
hint
hisyoung
adul
t?
A.Cli
nicalhistor
y
B.Peri
apicalradiogr
aph
C.
Bitewingradi
ographX
D.
Digit
al i
mage
E.
Electr
onicresi
stancemeasur
ement
s

430A25yearol dmaleat
tendsfort
hefi
rstt
imecomplai
ningofsensi
ti
vit
yofanumberoft
eeth.Onexaminat
ion,t
heocclusal
surfacesofal
ltheteet
harewornwithobvi
ouswearf
acetsonthecaninesandpr
emolar
s.Poster
ioramal
gam rest
orat
ionsare
proudofthesurroundi
ngtooth.
Whatwouldbet hefir
stst
agemanagement ?
A.Takeimpr essionsforstudymodel s
B.Prescri
bef l
uor i
demout hrinse
C.Replacetheamal gam r
estorat
ions
D.Dietar
yanal ysis
E.Placementofr esinsealanttosensi
tivet
eet
h

431A35yearol dmal epatientwhoadmi tstogr i

ndinghi
steet
hatnighthasanumberofwedge-shapedcer
vical(
ClassV)l
esi
ons
onhisupperpremol art
eeth.Thesear ecausingsomesensiti
vit
yandareapproxi
mat
ely3mm deep.Whatisthecorr
ect
managementopt ion?
A.Provi
detoothbr ushi
ngi nst
ruct
ionandf l
uori
de
B.Restor
et helesionswit
hcompomer
C.Restor
et helesionswit
hmi cro-
fil
ledcomposi te
D.Restor
et helesionswit
hahybr idcomposi te
E.Rest
orethelesionswithconventionalglass-
ionomer

432Apat i
entat tendswi t
hpainoff ourdaysdur
ationinacari
ousuppermolartoot
h.Thepai
nisconst
antandisnotr
eli
evedby
par
acetemol .Sleephasbeendi sturbedbythepain.Thetoot
histendert
opercussi
onandgivesaposi
ti
veresponset
oEthyl
Chl
ori
de.Whati st hemostli
kelydiagnosis? .,
A.Pericor oniti
s
B.Apical per i
odont i
tis
C.Mar ginalper iodontit
is
D.Rever siblepul pit
is
E.Ir
rever siblepul pi
ti
s

433Youar et r
yinginapar t
ialchromedent urefr
ameworkwhi
chf
ail
stoseatpr
oper
lv.I
tfi
tst
hemast
ercast
.
Whatisthemostl i
kelycauseoft hisprobl
em?
A.Insuffi
cientexpansionoft heinvest
mentmat eri
al
B.Distort
ionoft heimpressi on
C.Cont r
actionofthemet alframewor kduringcast
ing
D.Fail
uret oblockoutunwant edundercuts
E.Compl exdent uredesign

434Bitewingradiographyisthemai nspecialtextusedtohelpindiagnosi
sofproximalcari
es.Theperf
ormance(
accuracy)ofa
di
agnostictestli
kebitewingradiographycanbeexpr essedintermsofsensiti
vit
yandspecifi
cit
y.
Whichoft hefoll
owingisar easonablesummar yofthediagnost
icaccuracyofbit
ewingradi
ographyforpr
oxi
malcari
esdiagnosi
s?
A.Moder atesensiti
vit
yandl owspeci fi
cit
y
B.Moder atesensiti
vit
yandmoder atespecifi
cit
y
C. Moder atesensiti
vit
yandhi gh
specif
ici
ty
D.Highsensitivi
tyandmoder at
especi f
ici
ty
E.Highsensiti
vit
yandhi ghspeci f
icit
y

435Youar einterest
edinf
indi
ngoutwhatt
heriski
ndi
catorsar
eforararefor
m ofor
alcanceranddeci
det
ounder
takeast
udyt
o
examinethis.
Whattypeofst udywouldbethemostappr
opr
iatef
oraddressi
ngthi
sissue?
A.Cohort
B.Prevalencestudy
C.Cli
nicaltri
al
D.Case-controlstudy

436Youtakeapanor amicradi
ographofapati
entanddi
scoverawel
l
-def
ined,cor
ticat
edr
adi
olucentar
eabel
owt
hei
nfer
ior
dent
alcanaljustant eri
ortothemandibul
arangl
e.Whati
sthemostli
kel
ydiagnosis?
A.Radicularcyst
B.Stafnebonecavi ty
C.Metastaticcarcinomaoft hebreast
D.Adenomat oi
dodont ogenictumour
E.Compl exodont ome

437Yout akeapanoramicradi
ographoutofapat
ient
'sr
ecor
dsbutyoufindt
hatt
hef
il
m hasal
owdensi
tyandpoorcont
rast
.
Whichofthefoll
owingerr
orscouldleadt
olowdensit
yandpoorcont
rast
?
A.Toolongadevel opmentti
me
B.Developertemperat
uretoohigh
C.Developertemperat
uretoolow
D.Inadequatefi
xat
ionE.
438Youwantt oeval
uatetheef fect
ivenessofusi
ngtet
racycl
ineasanadj
unctt
oscali
ngandrootpl
aningfort
het
reat
mentof
chr
onicperi
odonti
ti
s.Whatt ypeofpr i
mar yst
udydesi
gnwouldbemostappropri
atef
oraddr
essingt
histopi
c?
A.Cohortst
udy
B.Non-r
andomisedcontrol
ledt ri
al
C.Randomisedcontr
oll
edtrial
D.Case-
control
studyE.Case- seri
es

439Radiati
onpr otecti
onofpat i
ent
sispart
lydependentuponequi
pmentfact
ors(x-raysetandf i
lm ordi
git
alsystem).The
di
ffer
entfactorsthatcanbechangedvar yi
nfinanci
alcosttot
hedenti
standintheireff
ecti
venessincutt
ingx-raydose.
Whichofthef ol
lowingpr ovi
desthemostcost-
eff
ecti
vemeansofmi ni
mizi
ngpatientradiat
iondoseindentali
ntraor
alradi
ogr
aphy?
A.Constantpotential(
'DC)x-r
ayset
B.Rareearthfil
trat
ion
C.Leadapron
D.Dspeedf i
lm
E.Fspeedf i
lm

440A42yearol dmanpr esentedwithafir

mf i
xedswell
ingi
nther
ightpr
eaur
icul
arr
egi
onwhi
chhadbeenenl
argi
ngovert
hel
ast
month.Hehadal sodevel
opedar ightsi
dedfaci
alpal
sy.
Whatisthemostl i
kel
ydiagnosis?
A.Adenoidcysti
ccarci
noma
B.Squamouscar ci
noma
C.Sebaceouscyst
D.Branchi
alcyst
E.Pleomophicadenoma

441A14yearol dpat i
entatt
endswithadecayedandext
ensivehypopl
ast
icLL7:Heisaveryi
rr
egul
arat
tenderwi
thpooror
al
heal
thhabits.Ar adiographshowsthepr
esenceofanuneruptedLL8andtheLL6issound.
Whatwouldbet hemostappr opri
atel
ong-
termtreat
mentforthi
stoot
h?
A.Amalgam r estorati
on
B.Anti
biot
ics
C.Ext
racti
on
D.Rootcanalt herapy
E.Sedati
vedr essing

442A7yearol dboyhaspr evi

ouslyhadal lpr
imarymolar
srestor
edandapul potomyonupperri
ghtE.Hehasanear
lymixed
dentit
ionwithl owerlater
alincisor
ser upti
ng.Therei
sami dl
inedi
astemaof2mm.Theupperr ightEhasbecomesympt
omat i
cand
requir
esextract i
on.Themostl ikel
ylongt er
m eff
ectoft
heext r
act
ionontheocclusi
onis:
A. Earl
yeruptionoft hesecondpr emol ar
.
B.Lossofuppercent r
alli
ne.
C.Nosi gnif
icanteffect.
D. Overer
uptionoft helowerr i
ghtteeth.
E.Potenti
alcr owdingintheupperr ightquadrant

443Whi chofthefoll
owi
ngisthei
dealt
reat
mentf
oradegr
eeI
Ifur
cat
ioni
nvol
vementofamandi
bul
armol
ar?
A.Tunnelpreparat
ion
B.Rootresecti
on
C.Furcati
onpiasty
D.Ext
raction
E.GuidedTissueRegenerat
ion

444Youexami neapa tl
e ntandfindBPEcode4inal
lsext
ant
s.Radi
ographsshowgeneral
isedhori
zont
albonel
osswi
tha
mini
mum
of50%ofbonesuppor tremainingonallt
eet
h.
Whichoft hefoll
owingisthemosti mport
antf
act
orwhenconsi
der
ingtheprognosi
sfort
heteeth?
A.Ageoft hepati
ent
B.TheOr alHygieneStatus
C.BleedingonPr obi
ngScor e
D.Mobi l
ityE.Gingi
valRecession

445A30yr -
oldpatientattendscomplainingofoccasionalpainfrom thelowerl
eftquadrant.Cl
inicalexaminat
ionr evealsan
extensivel
yr est
oreddent it
ionwithgenerall
ygoodor alhygiene.Ther
ei snosigni
ficantperi
odontalpocketi
ngot herthanan
i
solateddef ecti
nt her egi
onofthef ur
cationoflowerleftf
irstmolarwhichisnon-mobi l
e.Thegingivalti
ssueinthisar eaappear
s
erythematousandsl ightl
yhyperplast
icwithapurulentexudateonpr obing.
From thelistbelow, whichisthemostappr opri
ate'
nextst ep?
A.Obt ainar adi
ograph

B.Bi
opsyt hegingi
valti
ssue
C.Removet herestor
ati
on
D.Vital
it
ytest
ing
E.Prescri
beantibi
oti
cs
~.'

446A40yrol dpat ienthadr oot-

canalt r
eatmenttohisupperfirstmol ar.Thi
swasper formed6mont hsagousingcontemporary
techniquesunderr ubberdam andwascr ownedaftercomplet
ionoft reatment.Heattendscomplai
ningofconti
nueddiscomfort
from thist oot h.Radi ographicexami nationshowseachoft hethreer ootstobeobt ur
atedwithawell
-condensedfi
ll
ingtotheful
l
wor ki
ngl engt hthought hereisnoevi denceofin-f
il
loftheperi
api callesi
onwhencompar edtothepr
e-opview.Thereiscr
estal
bonel ossandnof urcalinvolvement.Whati sthemostl i
kel
ycauseoft hecontinuedproblem?
A. Extra-radi cularinfecti
on
B.Cont ami nat i
onofcanal (s)withE.faecali
s
C.Uni nstrument edcanal
D. Verticalr ootf ractureE.Per i
o-endopr obl
em

447Amot heri
sconcer
nedthatherchi
ld'
sadul
tupperf
rontteet
hhavenoterupt
edandasksyouradvi
ce.
Whatist
heusualageinyear
sfortheupperper
manentcentr
alinci
sor
stoerupt?
A.5year
s.
B.6year
s.
C.7year
s.
D.8year
s.
E.9year
s.

448Youdeci detoreferanei ghtyearoldchi l

dtotheoralsur
gerydepar
tmenti
nyourlocalhospi
talf
orext
ract
ionsunderagener
al
anaesthet
ic.Whatkeyr easonf oraskingforageneralanaesthet
icwoul
dyouRutintherefer
rall
ett
er?
A.ParentsrequestGA.
B.Fail
edtocompl etetreat
mentunderi nhalati
onsedat
ion.
C.Chil
dwoul dnotacceptl ocalanalgesia
D.Parentsthinkhospit
almor econvenient.
E.Notoneofmyr egularpatients.

449Anei ght-year -
oldboypr esent
swit
hpainofthr
eedaysdurat
ionthathaskepthi
m awake.Onexami
nat
ionyouseeagr
ossl
y
car
iouslowerl eft6andsomeassoci at
edbuccalswell
ing.
Whichoft hef oll
owi ngisthemostappropr
iat
etogivei
mmediaterel
iefofhi
spain?
A.ExtracttheLL6.
B.Gentlyexcavat ethe.
cartesandobt
aindrai
nage.
C.Giveant i
biot i
cs.
D.Inci
seanyswel li
ng
E.Referfor-gener alanaestheti
c

450A10yearol dgi r
ltri
ppedand- knockedoutherupperi
nci
sor10mi
nut
esago.Shei
shol
dingi
tinherhand.
Whatisyourmostef fectiveimmediatetreat
ment?
A.Acceptthet oothislostanddonot hi
ng.
B.Refertospeci al
ist.
C.Re-pl
antimmedi atel
y.
D.Rootfil
l,cleanandr e-plant
.
E.Steri
li
ser ootinalcoholandr e-
implant.

451Youar etr
eati
ngapat i
entwhohasalonghi
storyofrecurr
entepisodesoforalcandidosis.Hi
smouthhasrecentl
ybecomesore
onceagai nandyouwantt oprescr
ibesomeant
if
ungalsforhim.Youcheckhi smedi calhi
storyandf
indt
hathesuffersf
rom at
ri
al
fi
bri
ll
ationandi stakingwarfar
in.
Whichoft hefoll
owi ngdrugswouldbemostappropr
iat
et otr
eatthi
spat i
ent
'scandidosis?
A.Met roni
dazole
B.Nyst ati
n
C.Fluconazole
D.Mi conazole
E.Amoxyci ll
in

452Adent alcompanyhascl ai
medt hatozoneisbett
ert
hanconvent
ionalmethodsf
ort
reat
ingdecayi
npeopl
es'
mout
hs.
Whichofthef ol
lowingwoul
dpr ovi
dethebestevidencet
osupportt
heseclai
ms?
A.Syst
emat icrevi
ewofRandomi sedControll
edTri
als
B.Randomi sedcont r
oll
edt
ri
al
C.Cohortstudy
D.Case/controlst
udy

453AGDPi nManchesterr
andomlyselects5000pati
ents,agedbetween45and55years,whoaref
reef
rom per
iodonti
ti
s.He
determi nesthat300ofthem ar
esmoker s.Hefoll
owsall5000patient
sfor10years,
bywhichti
me150haddeveloped
periodont i
ti
s.Ofthepati
ent
swithperi
odont i
ti
s,60hadpreviousl
ybeenident
if
iedassmokersand90asnon-
smoker s.
Whatt ypeofstudyisthi
s?
A.Case- series
B.Pr evalencestudy
C.Clinicaltri
al
D.Case- control
study
E.Cohor t

454Randomi sedcont roll

edt r
ial
senableust oestabl
ishcauseandef
fect
.
Themainr easonf orusingthisstudydesignist o:
A.Ensurethatmaki ngaTypeI Ierr
orisminimised.
B.Ensurethattestandcont rolgroupsaresimilar.
C.Ensurethattestandcont rolgroupsareofequalsize.
D.Helprecrui
tmentofpat ientsintothetr
ial
.
E.Provi
desuf f
ici
entpowerf orthestudy.

455A53yearol dmal epat

ientpr
esentswithanasymptomat
icwhi
tepat
chontheventr
alsur
faceofhist
ongue.Hehassmoked35
ci
garett
esadaysi ncehewas17.Ani nci
sionalbi
opsyoft
hewhi
tepat
chisl
ikel
ytoshowwhichhist
ologi
calf
eatur
e:
A.Basalcel
lli
quefacti
on
B.Hyperker
atosi
s
C.Sawt oot
hreteridges
D.Acanthol
ysis
r
>. E.Basalcel
lhypoplasia

456A46yearol
dfemal
epr
esent
swi
thasl
owl
yenl
argi
ngpai
nlessf
ir
m swel
li
ngi
nthehar
dpal
atet
othel
eftoft
hemi
dli
ne.
 Themostl i
kelydiagnosi
sis:
A.Adentalabscess
B.Toruspalati
nus
C.Osteoma
D.Pleomorphicadenoma
E.Canali
cularadenoma

457A29yearol dmanhasapr osthet

ic(mechanical
)aorti
cvalve.Hehadbacter
ialendocar
dit
isf
iveyear
sago.Henowr equi
res
removalofhisupperandlowerrightt
hir
dmol ar
s.Whi chanti
bioti
cprophyl
axi
sisrecommendedpr i
ortot
heprocedur
e?
A.Amoxici
ll
inandclindamycin
B.Metroni
dazoleandcephalexi
n
C.Amoxici
ll
inandgent amyci
n
D.Amoxycil
li
nandvancomyci n
E.Er
ythromycinandvancomyci n

459A24yearol dmanpr esent

swi thalocul
atedcyst
icr
adi
olucencyinthelowerthi
rdmol
arareaapproxi
matel
y3cm i
ndiameter
.
Thereisnot oot
hassoci atedwiththecystandtherei
snobucco-l
ingualexpansi
onofthemandibl
e.Therei
snoresor
pti
onofthe
root
soft heoverlyi
ngsecondmol artoot
h.
Howwoul dthi
sbet reated?
A.Mar supi
ali
sati
on
B.Enucleati
onandet hylchlori
de
C.Blockresecti
on
D.Enucleati
onandCar noy'
ssoluti
on
E.Enucleati
onandf ormal i
nsoluti
on

460A21yearol df
emalepresent sforthefi
rstti
met oyourpr act
ice.Sheisveryupsetwi ththeappearanceofherupperl
eft
central
incisor.Onexaminati
onyouf i
ndheal t
hyor alhardandsof tt
issuesandexcellentoralhygi
ene.Oncloseexaminat
ionyou
canseet hattheupperlef
tcentralincisori
sslight
lygr eyerthantheupperr i
ghtcentralinci
sorandhasacomposi t
erest
orat
ion
placedpalatal
ly.Whatisthemostappr opr
iatefor
m of tr
eatmentgi ventheinfor
mationyouhave?
A. Bl
eachingwi t
hcarbamideper oxi
dei ncustom formedt raysofupperandl owerarches
B. Abondedcr own
C. Acomposi t
eveneer
D. Aporcelai
nveneer
E. Non-
vitalbl
eachingwit
hcar bami deperoxi
de

461EDTA(
ethyl
enedi
ami
netet
ra-
acet
ate)hasusef
ulr
olesi
ncer
tai
nsi
tuat
ionsi
ncl
ini
caldent
ist
ry.
Whenwoul
dyouuseEDTA?

A.Asarootendf i
ll
ingmateri
al
B.Asapul pcappingagent
e.Asarootcanalchelat
ingagent
D. Asamout hwash
E.Asadent i
nebondi ngagent

462Apat ientpresentswi t
hahi st
oryofcl i
cki
ngf rom thei
rtemporomandibularjoi
nt.Thi
scli
ckoccursmidwayt hr
ought heopening
cycleandi sconsist
ent.Thereissomepr e-
auricularpainandthelat
eralpter
ygoidmuscleont heaff
ect
edsideistendertoresi
sted
movementt est
.Thereisnot ri
smusandt hecli
cki snotpresentwhent hepatientopensfr
om aninci
soredgetoedgerelati
onshi
p,
insteadofhernor malClassIocclusion.Thepat i
entwoul dli
ketr
eatment .
Themostappr opri
ateocclusalspli
ntforthispatientwouldbe:
A. Stabil
isationspli
nt
B. Locali
sedOccl usalI
nterf
erenceSplint
e.BiteRaiser
D.Sof tBiteGuar d
E.Ant er
iorReposi ti
onerSplint

463Gl assionomercement sareusedinrest

ori
ngClassVcavit
ies.
Whichoft hef oll
owingconstit
uentsar
emostl i
kel
ytobepresentingl
assi
onomer
'cement
s?
AAl umino-sil
icateglassandphosphori
cacid
B.Phosphor icacidandzi ncoxide
e.Polyacr
ylicacidandzi ncoxide
D.Al uminosili
categlassandpolyacr
yli
cacid
E.I taconicacidandzi ncoxide

465Apat ientpresentswi t
hahi storyofapost-
crownhavingfallenout.Thepost-cr
ownwasor i
ginall
yplacedfi
ft
eenyearsago
andhadbeensuccessf ulupuntilfourmonthsagosincewheni thascomeoutandbeenr ecementedfourti
mes.Atrecementat
ion
therewasnoevi denceofanycar ies.Thepati
enthadbeenar egularatt
enderandnotneededanyr est
orati
vetr
eatmentfort
helast
eightyear
s.Whi choft hefoll
owingi sthemostli
kelycauseforthefail
ureofth"
fscrown?
A. Thepostwast onar row
B. Thepostwast oshor t
.
e.Therootcanal t
reatmentwasf ail
ing.
D. Averti
calrootfract
ur ewaspr esent.
E.Ther ewereexcessiveoccl usalloadsonthetooth.

466Indent alepi demiology,indicesareusedtomeasur et

heoralheal
thofapopul
ati
on.TheDMFi
ndexi
scommonl
yusedt
o
measur ethepr evalenceandsever it
yofdentalcar
ies.
Whati sthemai nli
mitationoft hisapproach?
A.Itdoesnotal lowstatist
icalanalysis.
B. Itgi vesequalwei ghtt odecayed,missi
ngandf i
ll
edt
eeth.
e.I
tisdiffi
cul ttocalibrateexami ners.
C.Itisrever sible.
D.Ther eisnogol dstandard

467Thebiol
ogicalpr
ocessbywhichthear
chi
tect
ureandfunct
ionoft
hel
ostt
issuei
scompl
etel
yrest
ored"
.
InPer
iodont
ologythi
sisadefi
nit
ionofwhi
chofthefol
lowi
ng
A. NewAt tachment
B. Regenerat
ion
e.Repair
C. Pri
maryHeal i
ng
D. Reatt
achment

468Ther ehasbeenmuchdebat er egar

dingtheef
fecti
venessoff
luori
deinwat
erforpr
event
ingt
oot
hdecay.Asyst
emat
icr
evi
ew
oftheevidencedrewconclusi
onsast othereduct
ionsindecaywhichcanbeexpect
ed.
Fluori
dati
onofpublicwatersuppl
ies:
A.Reducest oothdecayby10%.
B. Reducestoot
hdecayby20%.
e.Reducestoothdecayby30%.
C.Reducest oothdecayby40%.
D.Reducest oothdecayby50%.

469Anobese40yearol dwhot akesmetformini

sseenattheendofamorni
ngcl i
nic.Af
teradminist
rat
ionofl
ocalanal
gesiaint
he
supi
neposit
ionthepat
ientcompl ai
nsoffeeli
ngunwel
l.Shei
spaleandsweat
ingandi sconfused.Nopulsewasdetect
able.She
wasgivenoxygenandmai nt
ainedinthesupinewit
hnoimprovementi
ncondi
tion.

Whatwoul dbethemostappr
opr
iat
edr
ugt
oadmi
nist
ernext
?
A.Glucagon
B.Glucose
C.Adrenali
ne
D.Hydrocorti
sone
E.Chlorphenamine

470A12yearol dboyi sbr oughtinbyhi smotherwhoisconcernedabouttheappear anceofhiscentr

alandlat
eralmaxil
lar
y
i
ncisors.Shesayst heylookl i
ketheymightbedecayed.Theyareanewf ami l
yt othepract
icehavi
ngrecent
lymovedt othearea
fr
om Bi r
mingham.Onexami nati
onyounot i
ceagenerali
sedwhiteni
ngofthei nci
sorswhichseemst oworseattheinci
saledges.
Aft
eryouhavedr i
edt heteet hyounoticethatt
hewhitenessappearstobelinearrunningfr
om mesialtodi
stal
.Thereisasimil
ar
patt
ernont hel oweri nci
sor s.
Whatist hemostl i
kelyexpl anati
onforthepresent
ati
onoftheboy'sinci
sors?
A.Tetracycl
inest aining
B.Earlycaries(whit espots)
C.Fluorosis
D.Demar catedEnamelOpaci t
ies
E.Previoust r
eatmentwi thcomposi t
es

471A23yearol dpati
entatt
endscompl ainingofpaininanupperr i
ghtmolarandiskeentokeept
hetoot
h.Thepai nistypi
cal
ly
sharpinnat ur
e, i
stri
ggeredbycol dandper si st
saft
erremovaloft hecoldstimul
us.Thetoot
hisnott
endertopercussion;a
radi
ographoft heupperr i
ghtfir
stmol arshowsal argeradi
olucencyextendingtothepul
phornbutnoperi
-r
adicul
archanges.
Whatt reatmenti smostl i
kel
yneededi nt hiscase?
A.Oralhygi enei nst
ruct
ionandf luor
ideappl icati
on
B.Excavat ionofcar i
esandpl acementofaper manentrest
orati
on
C.Root -canaltreatment
D.Indir
ectpul pcapandr est
oration
E.Directpul pcapandr estor
at i
on

472Achi l
dof5year sat
tendswi
thpainfrom agrossl
ydecayedlowerri
ghtDwhi
chhasadi
schar
gingsi
nus.Hei
sahemophi
li
ac.
Whichoft hef ol
lowingisthemostappropri
atet
reatmentt
oreli
evehispain?
A.Ant i
biotics
B.Extraction
C.Fluorideapplicati
on
D.Non- vit
alpulpotomy
E.Vitalpulpotomy

473Youar edesigni ngaparti

aldenturef orapatientwithsever
almissi
ngteet
hint
hemaxi
ll
a.
Thereasonf orsurveyingt
hemodelpr iortodesigningthedenturei
sto:
A.Measur eandmar kouthardandsof tt i
ssueunder cut
sont hecast
s
B.Relatetheint
endedposi ti
onoft heinter-papi
ll
aryplaneofthepati
enttot
hecast
s
C.Establi
shtheposi ti
onofthepostdam
D.Relatethemaxillaryandmandi bularcast s
E.Aidsetti
ngupt hepr ost
heti
cteet hpriortotri
alinsert
ion

474Thepar ot
idglandi soneofthemaj orsalivaryglandsthatsuppl
ytheor
alcavi
ty.
Whereistheorif
iceoft heductoft heparotidglandl ocat
ed?
A.Atthehamularnot ch
B.I
npr oxi
mitytot heinci
sivepapil
la
C.Onthebuccal mucosaneart hemaxi l
larysecondmol ar
D.Sl
ightl
yposteriortothemandi bularcentralincisors
E.Di
staltothemaxi ll
arythir
dmol arsont hepal atalsi
de

475Anypat i
entrecei
vingtr
eat
mentunderI
Vsedati
onmusthavethei
rbloodpr
essurer
ecor
dedaspartoft
heirassessment
.
Whatisthemaxi mum bloodpr
essur
ethati
sgener
all
yregar
dedasbeingcompati
blewi
thsaf
esedat
ioningeneraldent
alpr
act
ice?
A.160/
95
B.140/
95
C.160/90
D. 170/100
E.120/
80

476A13yearoldboywi
thDown'
ssyndromeatt
endsforthefi
rstt
ime.Heiscooper
ati
veandhasnorelevantmedicalhi
stor
y.He
i
scar i
esfr
ee,
apar
tfr
om t
wosmalloccl
usal
cavi
ti
esinhislowersecondpr
imarymolar
s.Hismotherr
equeststhattheset
eethar
e
rest
ored.
Whichofthefoll
owingi sthemostappr opr iatemanagement ?
A.Arr
angingtoextracttheseteethataf utur evi
sit
.
B.Arr
angingtoplacet wosimpler est
orat i
onsataf utur
evisit
.
C.Reassurancethattheseteethcanbel eftunti
ltheyexfol
iat
enat
ural
ly,
wit
hnot
reat
mentbei
ngnecessar
y.
D.Recommendi nguseoff l
uori
demout hwash.
E.TakeOPTt ocheckonuner uptedteeth.

477A3yearol dchil
datt
ends,showingevi
denceofbott
lecar
iesandalsodecayaffect
ingpri
mar
ymol
ars.Thechi
ld'
smot
herhas
hear
dt hatsomesugar saredamagingherchi
ld'
steet
h.Sheisnotsur
ewhi chfoodstoavoid.
From t
hef oll
owing,whi
chareyoumostl i
kel
ytosuggestsheavoi
ds?
A.Bread
B.Cheese
C.Groundal monds
D.Puref r
uitj
uices
E.Whol efrui
tsandvegetabl
es

478Anadul tpati
entcomplainsofherpr ominentupperf r
ontteethandr ecedingchin.Shesaysshedidnotget'
braces'whenshe
wasyoungerbecauset hefamilyhadt omovear eaalot.Heroralcar
eandheal thisgood,andshehasa9mm over jet
.
Wherei
sthemostsui t
ableplacet oreferher? "
A.AGDPf riendwhohasaspeci alinterestinorthodonti
csandhasbeent r
ainedtousef i
xedappl
iances.
B.Aspeciali
stpract
iti
onerwhousesal otoff unct
ionalappl
iances.
C.Apri
vatespeciali
stpracti
ti
oner ,becauseshe' stoooldtogetNHSt reatmentnow.
D.Ahospitalconsul
tant,asi
tislikelyshewi llneedsurgerynowt ocorrectherpr obl
em.
E.Thenearestdentalhospit
al,al
thoughi ti
s70mi l
esaway.

479Youar emeet i
ngat hreeyearol
dpatientforthefir
stti
me.Hismot herexplai
nsthathehadaunilat
eralcl
eftl
ipandpal
ate
thatwasr epair
edi ni
nfancy.Shehashear dthatorthodonti
cswil
lusuallyberequir
edwhenheisolder.Sheasksyouwhatisthe
commonestor thodonti
cpr obl
em t
hatoccurswi t
har epair
edclef
tpalate.What.:
.i
sthemostappr
opriateanswer?
A. Acontract
edmaxil
laryarch -
B. Ananteri
oropenbi te.
C. Anel
ongat edmaxi ll
aryarch.
D. Anexpandedmaxi l
laryarch.
E.Anincreasedover jet

480Chr onicper i
odonti
ti
sisadiseaseoftheperi
odont
ium i
nit
iat
edandsust
ainedbymi
crobi
alpl
aque.
Whichoft hef oll
owingisthemaindiagnost
icf
eatur
eofthedisease?
A.ToothMobi li
ty
B.Lossofat tachment
C.Pain
D.Gingivalrecession
E.Drif
ti
ng

481Gingiviti
sandper iodonti
t i
sareassociatedwiththelossofnormalti
ssue.
Whichoft hefollowingi sthepr i
ncipalcauseofthetissueloss?
A.Bacteri
alenzymessuchascol l
agenaseandhyal uronidase
B.Releaseofl ysosomalenzymesandoxygenf r
eeradicalsbyPMNsandmacr ophages
C.Cytotoxicmet abolicbypr oductssuchasammoni a,hydrogensul
phi
deandtoxi
camides
D.Compl ementact ivation
E.Releaseofbact erial endotoxinsandexotoxins.

482Locali
sedgingivalrecessi
onisrecessi
onofthegingivaconf
inedtoonesur
faceoft het
ooth.
Whichofthefoll
owingist hemostimportantf
actorl
eadingtothedevel
opmentoflocal
isedgingi
valr
ecessi
on?
A.Habitact
ivi
ty.
B.Class2divi
sion2mal occl
usi
onwi t
hcompleteoverbi
te
C.Excessi
vetoothbrushing
D.Bonydehiscence
E.Fenestr
ati
on

483A48yearoldwomancompl ai
nsofasoreareaonther i
ghtbuccalmucosaadjacentt
oar est
oredt
oot
h.Thel
esi
onhasa
l
ichenoi
dappearanceandt
hisi
sconfirmedhist
opat
hological
lyfol
lowingabi
opsy.
Whichofthefol
lowingr
est
orat
ivemateri
alsi
smostfrequentl
yassociatedwi
thl
ichenoidchanges.
?
A.Gold
B.Amalgam
C.Porcel
ain

D.composit
e
E.
Gl assi
onomercement

484Apat ientattendsyoursur gerycompl ai

ningofseverepai
n,swell
ingandmobi l
it
yassoci
atedwithalowerfi
rstmol
artoothin
whichthereisabr okenf i
ll
ing.Aper i
api
calr adi
ographindi
cat
esthatthetoothhasnotbeenrootf
il
ledandthereisl
ossofapical
l
ami naduraassoci atedwiththedistalrootandatt hebi
fur
cat
ion.Theperiodont
albonesupporti
sgood.Thereisnosigni
fi
cant
pocketi
ng.Whati st heli
kelydiagnosis?
A.Chronicperiapical peri
odontit
is
B.Anacut eper i
odont al-
endodont i
cperiodontit
is
C.Achroni cperiodont al
-endodonticperiodonti
ti
s
D.Anacut eper i
apicalper i
odontit
is
E.Pararadicularper iodonti
ti
s

485Anupperi ncisorina16yearoldpat
ienthassuf
feredt
raumaandt
hecor
onalt
issuehasbeenl
ost
.Thet
oot
hhasbeen
endodont
icallytreated.Howwi l
lthet
eet
hbestrest
ored?
A.Withafi
br epost ,di
rectcoreandcr
own.
B.Withadirectcor eandcr own.
C.Wi
thcomposite
D.Wi
thanindi
rectpost-cor
efr
om apre-
fabr
icat
edpat
ter
nandacr
own
E.Wi
thacustom i
ndirectpost
-cor
eandcrown

486A55yearol df emal epresent

satyoursur ger
ycompl aini
ngofashar ppainofnomor ethanafewminutesdurati
onari
sing
fr
om herloweri ncisors.Thepainonlyoccurswhensheeat sordrinkscol
dorsweetf oodsandonlyl
ast
sf oraslongasthesti
mul
us
i
spresent.Apr eviousdent i
stappliedavarnishtotheteethaffect
edwhichseemedt ohelp.Thet
eethi
ndicatedbythepati
ent
appearheal
thybutwhenyoubl owairontothem thepatientexper
iencesthepai
n.
Whatisthemostl i
kelycauseoft hepatient
'spain?
A.Acute/
reversiblepul pi
ti
s
B.Denti
nesensi ti
vity
C.Chroni
c/i
rreversiblepulpiti
s
D.Atypi
calodont algia
E.Tri
geminalneur algia

487Asanewl yqual
if
ieddenti
styouar eofferedacontracti
nwhichremuner
ati
oni
soncapi
tat
ionbasi
s.
Whatisthemostimport
antandwel l-
recognisedfeat
ureofthismet
hodofremuner
ati
on?
A.Tendstoencour
ageunder-prescr i
bing
B.Tendstoencour
agehightechni calquali
tyofwor k
C.Tendstoencour
agehighout putofpr ocedures
D.Tendstoencour
ageover-
pr escribi
ng
E.Tendstoencour
agelowtechni calqualit
yofwor k

488A50yearol dmal epati

enthasaCl assI
IIjawrelati
onshipwit
hanant eri
oropenbite.I
tisplannedt
orestor
ehi
slowerr
ight
secondmol ar,whi
chhassuf feredt
oothwearandf r
acture,
withanindir
ectrest
orat
ion.Thistoothhasappr
oximat
ely2mm of
coronalhei
ght.Whatwoul dbet hemostsuit
abl eapproachtorest
orethistoot
h?
A.Provideanadhesivelyretainedgoldonlay
B.Provideaconventionalfullcrown
C.Incr
easet hever
ti
caldimensi onandpr ovi
deaf ullcrown
D.Surgical
lycrownlengthenandpr ovideagol dcrown
E.Provideanadhesivelyretainedceramiconlay

489Gr aceycur et
tesarespeci
all
ydesi
gnedforsubgi
ngivaldebri
dementandaresi
tespeci
fi
c.
Whichcur et
teisr ecommendedforuseontheli
ngualsurfaceofalowersecondmolar
?
A.GraceyCur ettenumber1and2.
B.GraceyCur r
et t
enumber3and4
C.GraceyCur r
et t
enumber7and8.
D.GraceyCur rett
enumber11and12.
E.GraceyCur r
et t
enumber13and14.

490Li
gnocaine(2%)iswi del
yusedi ndent alpr
ocedur
es.I
tismostoft
enusedincombi nat
ionwithepinephri
ne(1in80,
000)
.
Inwhi
choneoft hefollowingpat i
entsistheuseofepi
nephri
necont
aini
nglocalanal
gesiapotent
ial
lyhazardous?
A.Pat
ientwit
hseverehyper tension
B.Pat
ientontri
cycli
cant i
depressants
C.Pat
ientwhoisanal coholi
c
D.Pat
ientonmonoami neoxidaseinhibit
ors(MAOls)
E.Pat
ientwit
hGr andMalepi lepsy

491An80yearol dmal epresentsatyoursur gerycomplainingofasharpstabbingpainofnomor ethan2-3minutesdurat

ion
ari
singf rom hi supperl eftpre-
mol arregion.Thepaincanbebr oughtonbycoldst i
mulibutalsooccursspont
aneouslyandhas
beensuf fi
cientlysever etowaket hepat ientfr
om sleep.Hehast ri
edtakingparacetemolbutthi
shasbeenofnobenef it
.On
exami nationt hepat ienthasaheavi lyrestoredupperleft4,whichisvit
altoel
ectri
calpulptesti
ngandshowsnor adiogr
aphic
evi
denceofcar i
es.Bl owingcoldairont ot het
oothproducest hepainbutthepainalsooccursspontaneousl
ywhenyouar e
exami ningt hepat ient.Thereisnoevi denceofacr ackorf ract
ureinthetoot
hitself
.
Whatist hemostl i
kelycauseoft hepat ient'spain?
A.Acute/ reversiblepul pit
is
B.Dentinesensi ti
vity
C.Chroni c/i
rreversiblepul pi
ti
s
D.Atypicalodont algi
a
E.Tri
gemi nalneur algia

492Apat ientcompl ai
nsofal owerinci
sorwhichhasbeenmobileforseveralmont
hs.Theradi
ogr
aphindi
catesanor
mallevelof
bonysuppor talt
hought heperiodont
alspacehaswidened.Theapicalboneappear
snormal.Thet
oot
hi st
endertopr
essur
e.
Whichoft hef oll
owingt estsandorexaminati
onswouldbemostlikelytoprovi
deadiagnosi
s?
A.Mast i
cator ymuscl epalpati
on
B.Elect
ricpul ptest
C.Occlusal exami nati
on
D.Ethylchlor i
detest
E.Hotgut taper chaappl i
cati
on

493Ani neyearol dboypr esentswithacl assIoccl

usi
onwithnocrowdingoroverjetwit
hagr ossl
ycari
ousupperl
eft6whi
chis
notsuit
ableforrestorati
on.Theupperl eft7isveryneart
oerupti
on.Upperright6,
lowerright6andl owerl
eft6ar
esoundand
fi
ssuresealed.Theor alhygieneisgood.Whati sthemostappropri
ateext
racti
onpatter
nf orthispati
ent
?
A.Extr
actallfour1stper manentmol ars
B.Extr
actupperl eft6andl owerleft6
C.Extr
actupperl eft6andl owerright6
D. Extractupperr i
ght6andupperl eft6
E.Extr
actupperl eft6only

494Anewpat i
entattendsyourpr act
ice.Att
hei
nit
ialexami
nat
ion,
youcar
ryoutaBasi
cPer
iodont
alExami
nat
ion(
BPE)
.
WhatdoesaBPEscor eof1si gnify?
A.Peri
odontalhealt
h
B.Probingdepthsgreaterthan3. 5mm
C.Presenceofoverhangingr estorati
ons
D.Presenceofsupragingivalcalculus
E.Presenceofbleedingonpr obing
495Apat ientpr esentswit
hahi storyofpai
nint her
ightpre-
auri
cularr
egion.Therei
sanintermit
tentcli
ckdur
ingopeni
ng;when
thecl i
ckisnotpr esentt
hepatientcanopent oanormalr ange.Onexaminati
ont hemast
icator
ymuscl es,i
ncl
udi
ngthelat
eral
pterygoid, ont heRHSsi dearet ender.Whatisthemostlikel
ydiagnosi
s?
A. Bruxism
B.Myof asci alpain(orPaindysfunctionsyndrome)
C.Di scDi spl acementwi t
hReduct ion
D. Osteoar throsis
E.Di scDi spl acementwi t
houtReduct ion

496A23yearol dmal epr esentstoyoursur gery.Helosthi supperl ater

alinci
sorssome10year sagoi
naswi mmi ngpoolacci
dent.
Sincet henhehasbeenwear i
nga' spoon'denturewhichhenowf eelsinaesthet
ical
lyunacceptabl
e.Hehassoughtanopi ni
onon
dent ali
mpl antsbuthasbeent oldthathewoul dneedbonegr af
tingf orthi
stobesuccessf ulandheisnotprepar
edtoundergothis.
Hisdent iti
oni sexcellentwithnor estorat
ionsandaCl assIoccl usion.Hewant ssomeadvi ceonwhatt hebesttr
eatmentmightbe.
Whi chopt ionwoul dyouputf ir
stonyourl istofpossi
bi l
it
ies?
A. Twof ixed-f i
xedr esinbondedbr i
dgesusi ngthecent r
alandcani neteeth
B.Twocant il
everresinbondedbr i
dgesf r
om t hecentralincisor
sandcani nes.
C.Twoconvent ionalfixed-fixedbr i
dgesfrom thecani ne
D. Convent ionalcantil
everbr i
dgesf rom t
hecani nes
E.Cobal tchr omepar t
ialdenture

497Al lt
hefil
mswhi chhavebeenmanual l
ypr ocessedbyanunsuper
visednewt
rai
needent
alnur
sei
nyourpr
act
icear
eext
remel
y
dark.Whichofthefoll
owingerr
orscoul dleadtoadar kfi
lm?
A. I
nsuff
ici
entexposure
B.Filmshavebeenl ef
tinthedeveloperfortoolongaperiodoft
ime
C.Filmshavebeeni nthefi
xerfortoolongaper i
odofti
me
D.Theconcentrat
ionofthedeveloperistoodilute
E.Theconcentrat
ionofthefi
xeristoodilute

Q498:yourcol
leaguei
shavi
ngprobl
em aseverypanoramicfi
lmthatheproduceshowsext
remelywideant
eri
orteet
hwhi
char
ebl
urr
ed.The
fi
lm al
soinvar
iabl
yhasthei
magesofthecondylescutof
ffrom t
hesidesofthefi
lm.Themostl
ikel
ycauseofthi
s?
4l
a98Y
sobo
l
uu
rr
rc
eo
dl
l
.ea
Thg
eue
f
il
mi
sah
la
svi
n
oigp
nvaro
i
ab
bl
e
lyms as
has t
heve
ei r
maypga
en
sor
oat
fmi
hecc
fi
ol
mdy
n th
la
eth
s et
cupor
o
fd
fu
f
rcm
oest
s
hh
eo
sw
is
de
ex
st
or
e
fme
thel
y
f
ilwi
m.de
Tha
ent
er
mo i
o
sr
tt
l
ie
k t
hw
el
y h
caui
c
sha
e r
ofe
t
his
A.Thepati
entisincorr
ectlyposit
ionedt oof arf orwardrelat
ivetotheimagelayer
B.Thepati
entisincorr
ectlyposit
ionedwi tht hechi ntool ow
C. Thepat i
entisincorr
ectl
yposi ti
onedt oof arbackrelati
vetotheimagelayer
D.Thepat i
entisinaslumpedposi ti
onint hemachi ne
E.Thepatientsisincor
rectl
ypositionedwi tht heheadt i
lt
edinthemachi ne

499Whenani ndividuali
sexposedt
oradi
ati
onacertai
namountofradi
ati
oni
sneededbeforecl
ini
calsi
gnsofdamaget
osomat
ic
cel
lsappear .Fort heseeff
ect
stooccuraminimum r
adiat
iondosehast
obeexceededandthisi
sknownas:
A.Backgroundr adiati
ondose
B.Thresholddose
C.Equivalentdose
D.Absorbeddose
E.Eff
ectivedose

500Dent i
stsareencour agedt ocarryoutathoroughsof tti
ssueexami nati
onandbevi gi
lantf
oranyl
esionsthatmightpossi
blybe
mal i
gnantorhavemal ignantpot ent
ial
.Current
lyitisnotrecommendedt hatdent
istsuseamucosalstai
ningmethodf orscr
eeni
ng
thegeneralpopulat
ionf ororalcancer.Whatisthemostl i
kelyreasonforthi
sadvice?
A. Unnecessar
yinterventionwher ethereisafalsepositi
vet estresul
t
B. Falser
eassurancewher ethereisafalsenegativetestresult
C. Lowuptakeofscr eeningbyt hosewithlowrisk
D. Lowuptakeofscr eeningbyt hosewithhighrisk
E.Negat i
veresultr
einforcingexisti
ngbadhabi t
s