‘American Student Dental Association ASDA National Board Dental Examinations TEST PACKET I-N Compiled, released items from approximately 2000-2008 7 American Student Dental Association 2LI East Chicago Avenue + Suite 700 + Chicago, Wlnois 6061] + 312-440-2795 Mall: ASDA@ASDAnctorg » Website: www ASDAnetong (©2008 American Dontal Assocltlon. Allsghisresorved, ‘These released examination matras are dsibuted by the American Student Dental Associaton wih permission tom the Armerican Denlal Associaton Joint Commission en Nefons| Oanal xaminalos, You may no copy for any purpose iis bloat, of ary pat of pn else or athe loa whut por exess writen permission Vom (ne Amaican Deni ascocaion,2 3 ‘The branches of the maxitary artery supply each 6. of the folowing EXCEPT one, Which one is this, EXCEPTION? AL Nasal septum 3. Mandibular incisors ©. Hard and soft palate D. Skin of the forehead =, Musclos of mastication 1 Wich of the folowing actions is at least parity dependent on an intact long thracie ner A. Depression ofthe scapula 8. Revaction of he seapula ©. Proiracton ofthe scapula D. Medial rotation ofthe humerus Lateral relation ofthe humerus Which ofthe folowing represents a well- " vascularized structure in the temporomandibular joie? A, Retodiscal pad 3. Fibrous covering of he condyle ©. Genta poron ofthe articular cise D. Fibrous covering ofthe atcular eminence Fibrous covering of te condylar surtace 8. Which of the folowing procecures depencs primariy on eletastaic net charge? A, Dialysis B Electrophoresis C.Xerayditracton D. Uracentifugation E._ Molecular sieve chromatography Wich of the folowing best descives collagen? 40, ‘A. Assoluble fiber of ground substance B. The most abundant protein in the body ©. Afibrous protein with a high content of ‘tryptophan D. Agtabular protein with a high content of hydroxyproline 5 ‘The cervical ridge would stand oul most prominently as a distinct entity on which of the following primary maxilary molars? Mesiofacial ofthe first Distofaciat of the first Mesiofacial of the second Distofacial of the socond pomp Which of the following muscles position the ‘condyles in the most superior anterior position? Masseters and cigestics Masseters and medial plerygolds Temporalis and sternecleidomastoids TTemporalis and superior lateral plerygoids ‘Medial plerygoids and sternocleidorastoids moop> When a parent nalices an erupting tooth in a chila's mouth at 6 months of age, ils most likely a primary A. maxillary lateral incisor. B. mandibular central incisor, mandibular canine, D, mandibular first molar, Which of the following explains penicilin resistance In Neisseria gonorrhoeae? ‘A. Aspontaneous chromosomal mutation of gonorthea orgerisms The production ofa plasmid-encoded B- factamase ©. Achange in the permeability of the cell wall D. Efflux mechanism to export drug from the cell E, Mutational alteration of the drug target ‘An acute arthritis of the great toe is 2 classic sign of which of the following diseases? Rheumatoid arthritis Osteoarthritis Osteomyelitis, Osteoporosis Gout moopp (© 2009, American Dental Association, Join! Commission on National Dental Examination, All ights reserved:11. Special visceral afferent fibers for taste are 16. The lingual cusp(s) on which ofthe following ‘conveyed in which of the following cranial nerves? ‘mandibulat posterior teeth is (are) approximately 218 the height ofthe respective facial cusp(s)? A VMI and 1X B. Vil, IX, and X ‘A. Fitsl premolar ©. Vil IX, and XI B. Second premolar DB. Xilonly C. First molar D. Second molar Third molar 412, The gastroduodenal artery is usually a direct branch of which of the following arteties? 17. The spacing normally seen between the primary A. Celiac anterior teeth of a five-year-old child Is most likely B. Hepatic caused by ©. Splenic D. Superior mesenteric ‘A. the presence of an excessive maxillary labial frenum. 8. thumb sucking 13. The cells ofthe stratum granulosum in the G.tongue thrusting, ‘keratinized portions of the oral mucosa are D. growth of the dental arches. characterized by which ofthe following? ‘A. The presence of numerous keratohyalin 18. Which of the following incisors are usually the last granules to erupt? B. Being the only cells with membrane coat vesicles A. Maxilary central ©. The ability to aivide and give rise to new B. Mandibular central cells in the epithelium €. Maxillary tateral D. Exhibiting the highest metabolic acuity ofall D. Mandibutar lateral calls in the oral epithet E. The prasonce ofthe greatest numberof Seamnsoares eroeluler xidges) 19. virus associated withthe induction of cervical compared othe oer sa carcinoma is which ofthe folowing? A Adenovirus 14. Chambers X and ¥ ate separated by a biologic 8. Ctype virus ‘membrane, Initially, both chambers contain water. ©. Varicella zoster virus Addition of which ofthe following solutions will D. Epstein-Barr virus ‘cause a net movernent of water from X to Y? & Human papillomavirus ‘A. Nompermealing solute to X B. _Non-permeating solute to ¥ 20, Which of the following infections is often seen as a C. _Permeating solute to X ‘white, patchy lesion on the oral mucosa in D. Permeating solute to Y debited patients? ‘A. Covcidiomycosis 15. Which of the following membrane components B. Histoplasmosis consists of glyceral, phosphate, fatty acids, and ©. Aspergillosis choline? B. Blastomycosis Candidiasis A Cephalin 8. Lecithin ©. Ganglioside D. Cerebroside E. — Sphingomyetin 6 ‘© 2009, American Dental Association, Joinl Commission on National Dental Examinations. All ight reserved.at. 22, 23. 26. Each of the following muscles is a primary elevator 27. of he mandible EXCEPT one. Which ane is this EXCEPTION? A Masseter 8. Temporalis C. Medial ptorygotd D. Lateral pterygoid ‘The inferior vena cava passes through the iapiragm at the level of which ofthe following? 28. A 8 B T10 c. 112 BD ‘The trigeminal nerve distributes special visceral efferent nerve fibers to 29. ‘A temporal an¢ frontalis. B. — temporalis and buccinator. C. tensor vei palatini and tensor tympani D. posterior belly of the digastric and stylohyoid, ‘Which amino acid possesses a hydrophobic side chain? 30. A. lysine B. Cysteine ¢. Leucine D. Hydroxyproline E Glycine ‘An axon is stimulated by a threshold stimulus and then by a stimulus three times as strong as the a4 first. The resulting impulse in the later instance will have the same amplitude and velocity. the same amplitude but lass velocity. less amplitude but the same velocity. ‘one-third the amplitude and velocity. three limes the amplitude and velocity. moom> ‘The erupted dentition of a normally developed 7- year-old child usually consists of ‘A Bprimary and 8 permanent teeth B10 primary and 10 permanent teeth. ©. 12 primary and 8 permanent teeth, D. 18 primary and 6 permanent octh. E20 primary teeth T Primary teeth differ from permanent teeth in that primary teeth ‘A. have longer crowns compared with their mesiodistal diameters. B. are smaller mesiodistally than their ‘replacement toeth, have comparatively larger pulp cavities, have less pronounced cervical ridges. have wider crowns faciolinguelly. moo Mandibular canines normally erupt al age A 56. B78 C80. D. 11-12, E1344 Frotective antibodies produced as a result of recovery from hepatis B infection include which of the folowing? A HBeAg B HBeAg © HBsAg D. HDVAg ‘Which of the folowing neoplasms is associated with the Epstein-Barr virus? A. Oral carcinoma B. — tymphangioma C. Nasopharyngeal carcinoma D. —Choriocarcinoma ‘The foramen magnum serves as a port of entry to the cranial cavity for the basilar artery the vertebral artery. the vagus and accessory nerves. the spinal portion of accessory nerve and the posterior meningeal artery. the anterior spinal artery and the bulber portion of the eleventh cranial nerve, pope m (© 2009. American Dental Association, Joint Commission on Nalional Dental Examinations. llrightsreserved.32. 33. 34. 35. The facial artery is usuolly a branch of which of the followirg arteries? A. Extemal carotid 8. Internal carotid ©. Superior thyroid D. Occipitat Maxillary After an automobile accident, a patient's chin deviates to the left on opening his mouth widely, His mandible is probably fractured at which of the following points? A. Genial tubercle B. Left condylar neck G. Right condylar neck D. Left mental foramen E. Right mental foramen Which of the following amina acids contains one or more atoms of sulfur per molecule? Valine Lysine Alanine Methionine Phenyialanine moom> Celfulose is not cigested by humans because it ‘A. _ is 2 relatively insoluble protein-carbohydrate complex inaccessible to our digestive enzymes. B. is: muoopolysaccharide, for which there are no hydrolytic enzymes. is highly sulfated, making it inaccessible to most glycosidases, is a polymer of Blinked glucose molecules for which we have no digestive enzymes. resists enzyme action because of its highly branched structure. moo 36, a7. 38. 39. 40. From 2 proximal view, which of the following describes the crown outline on a mandibular posterior tooth? ‘A. tis designed to protect against root fracture by having the crown structure serve as root support. B. is designed to allow for @ minimum amount of chewing efficiency on the coronal surface of the tooth. ©. itis usually momboidal and has a design flaw that encourages cusp fraclure. D. tis usually trapezoidal and has a design flaw that encourages cusp fracture. ‘When compared to the permanent dentition, the primary dentition normally exhibits A fewer molars. B fewer incisors. C. ewer canines. D. more incisors. E. more totat teeth. Which of the following primary eeth show the earliest evidence of caleitication in utero? A. nalsors B Canines ©. First molars D. Second motars Most cases of encephalis are caused by which of the following? A Fungi B. Viruses ©. Protazoa D. Bacteria E, Rickettsia ‘To which of the following does carcinoma of the prostate most often metastasize? Lung Liver Brain Spleen Skeleton moom> (© 2009, american Dental Association, Joint Commission on Natonal Dental Examinations. Al righls reserved,a. 43. 45. The splenic artery is found in which ofthe following ligaments? AL Leno-renal 8. Hepatogastic . Gastrosienal D. Hepatoduodenal £. Ligamentum venosum Each of the following is found in the epidermis EXCEPT one, Which one is this EXCEPTION? A. Keratohyaline B. Desmosomes ©. Copillaries D. Mitotic cells E. Free nerve endings ‘Which of the following passes through the foramen ovale of the cranium? A Optic nerve 8. Mandibular nerve E. Middle meningeal artery Each of the following substances is a gtycosaminoglycan EXCEPT one. Which one is the EXCEPTION? Heparin Ceramide Hyaluronate Dermatan sulfate Chondroitin sulfate moomp Tetradotoxin blocks which of the following channels in nerve-axon membranes? A. Sodium B Calcium €. Hydrogen D. Chloride E. Polessium 46. a. 48. 49. 50, ‘When a fourth root canal exists in a maxilary first rola, itis most ikely focated in which of the following roots? Lingual Distotacial Distolingual Mesiotacial Mesiolingual moom> ‘Which of the following represents the number of ‘molars that is normally found inthe entre primary dentition? A 2 B 4 c 6 D8 BE 2 Which ofthe following anatomic structures of a ‘maxilary first molar moves through the distofacial groove of a mandibular fist motar? Mesial marginal ridge Distal marginal ridge mon@> Pathologic changes found in heart valves in theumatic fever are the result of which of the following? ‘A. Inborn error of metabolism B, Generalized inhibifon of the inflammatory mechanism C. Liberation of nonspecific toxins from a disiant site D. _Cirect invasion of microorganisms from the bloodsteeam E. Autoimmune ceaction triggered by hemokytic streplococc! Which of the following is @ component of bacterial cell wall peptidoglycan? A Chitin B. Necetykmuramic acid C. Cellulose D. Lipopotysaccharide E, Glucans © 2009. American Dental Assocation, Joint Commission on National Dental Examinations. Al rights reserved51. 52. 53, 55. The bifurcation ofthe trachea lies al the level of Which of the following structures? A. Sternal angle B. —_Xiphistemal junction ©. Thitd thoracic vertebra D. Second thoracic vertebra £, Attachment of the fourth costal cartilage to the stermum Which of the following can be used, on a histologic level, lo distinguish between a section of the arch of the aorta and a section of the brachial artery? ‘Type of endothelium ‘Width of tuniea intima ‘Type of tissue in the tunica adventitia ‘Composition of tissue in the tunica media ‘Type of tissue directly underlying the endothelium moop> ‘The hypophysis (pituitary gland) is located in the A sella turcica, B. fourth ventricle. C. anterior cranial fossa. D. posterior cranial fossa, E. superior orbital fissure, \Which of the following isa pyrimidine base that is prasenl in RNA, bul is NOT present in DNA? Uracil Guanine Thymine Adenine Cytosine noog> ‘The maintenance of a polarized state in a re nerve requires which of the following? A. Passage of nerve impulses B, _ Release of acatyicholine ©, Continuous expenditure of energy D. Continuous presence of stimuli 56. 57. 59, ‘A mother ingested tetracycline antibiotics during the second trimester of pregnancy. This medication can affect the calcification of the crowns of which of the following teath of the infant? A. All primary teeth B. Primary teeth and permanent mandibular ‘central incisors ©. Primary teeth and permanent mandibular first molars D, Primary teeth and permanent incisors E. Primary teeth, permanent incisors, and ‘mandibular frst molars, Which of the following is a cistinguishing characteristic of a mandibular lateral incisor? ‘A, The incisal edge follows the arch curvature in relation to the faciolingual axis. B. The incisal edge is perpendicular to the faciotingual axis ino curvature is greater distally D. The incisal edge is lingual to the rool bisector. E. The mesiodistal dimension of the factal surface is narrower than thal of a mandibular central incisor. ‘Which of the following teeth more tkely have only ‘ane or no pulp hams? A Maxillary incisors B. Mandibular incisors ©. Maxillary premolars 0, Mandibular premofars E Maxillary molars. Each af the following is associated with Tetralogy of Fallot EXCEPT one. Which one is the EXCEPTION? ‘A. Dextroposed aorta B. Pulmonic stenosis ©. Ventricular septal defect D. Left ventricular hypertrophy E. Right ventricular hypertrophy ‘© 2008. American Dental Association, Jeinl Commission on National Dertel Examinations. All ighis reserved.61. 63, Production of exotoxins by Gorynebacterium diphtherige requires which ofthe following genetic processes? Mutation Conjugation Transformation Lysogenie conversion peep The vertebral artery is typically a branch of the A porta B. axillary artery. ©. subdlavian artery. D. brachiocephalic artery E. common carotid artery. Each of the following statements is correct regarding the levator vel palatini EXCEPT one. Which one is the EXCEPTION? A. itis an extrinsic muscle of the soft palate. B. — Itelevates the soft palate. €. tis innervated by the vagus nerve. D. _Iinserts in a palatine aponeurosis. E. Ithooks under the hamulus. ‘The inferior band of the cruciate ligament of the alias attaches al the A. body of the axis. B. margin of the foramen magnum. ©. apex of the adantoid process. D. posterior tubercle ofthe atlas, ‘Which of the following is a nucleotide? A Urate B Uracil . Ribose D. Adenosine E. Thymidylate Which of the following characterizes the generator potential of a receptor? A. Anallorsnone response 2. Propagated in a non-decrermental manner C. Universally present in alf nerve lissues D. Graded according to the strength of the stimulus 66. From an occlusal view, which of the following ‘anatomical features are frequently found on both the primary maxillary first and second molars? moo@> Four major cusps are evident. ‘Oblique ridges are weil developed. Marginal ridges are well developed. The oulline forms are rectangular in shape, ‘The crowns converge to the distal and lingual aspects. 67. Which of the following statements best characterizes the maxillary canines? 68. popPr Have only 3-point angles Erupt belween the ages of 9 and 10 years, Possess a root system that suggests bifuceation Have roots that, allhough under bone, dictate alveolar wall morphology ‘Ave narrower through the crowns and root ‘on the facial than on the lingual surface ‘The longest cusp in the mouth is present an the maxillary central incisor. ‘mandibular lateral incisor. ‘maxillary canine. ‘mandibular canine. 69, Which of the following mechanisms would most likely be involved in the development of acute pulmonary edema in a patient with congestive heart failure? A B. © D. E Increased vascular permeability Increased piasma osmotic pressure Decreased plasma osmotic pressure Increased intravascular hydrostatic pressure Decreased intravascular hydrostatic pressure 70. Which of the following represents an endotoxic cellular component of many gram-negative bacteria that accumulates in the gingival crevice in the absence of good oral hygiene? moom> "1 ‘Cytoplasmic RNA Flagellar protein Capsular polysaccharides ipapolysaccharide-protein complex Bacterial metabolites including enzymes (© 2009. American Dental Associaton, Jnt Commission on Nalione! Dental Examinations. At rights reserved.m1. 72. 73. 74, 7. 76. Which of the following nerves is located directly on 77. Which of the following teeth would more requenlly tho laleral surface of the medial pterygoid muscle? have a mesial concavity on its crown? A Facial ‘A. Maxillary central incisor BL Lingual B. Mandibular lateral incisor C. Masseteric C. Mandibular canine D. (Long) buccal D. Mandibular second premolar E. Auriculotemporal E, Mandibular frst molar The uina articulates with which of the following 78. Contraction of the posterior fibers of the temporal, patts of the humerus? muscle results in the mandible A Head A. closing. B. Lateral epicondyle 8. retruding. © Capitutum C. protruding, D. Greater tubercle D. opening with translation. E Trochlea E. opening without transtation. Each of the following foramina transmits nerves 79. Local injury to arteries or veins and turbulence of containing SVE fibers EXCEPT one. Which one is blood flow might lead directly to the EXCEPTION? A. atrophy. ‘A Foramen ovate 8. embolism. B. Juguler foramen ©. ischemia. ©. Hypoglossal canal D, hemorrhage. D, —Stomasteid foramen E. thrombosis \Which of the following represents the two 80, Which of the following is an intracellstar parasite? pyrimidine bases in DNA? A Aspergius flavus A. Uracil and thymine B. Nocardia asteroides B. Adenosine and uracil © Coccicfoides immitis ©. Cytosine and thymine D. Histoplasma cepsulatum ©. Guanine and cytosine E. Cypplococcus neoformans E. Guanine and adenosine 81. Inthe developing spinal cord, the marginal layer of ‘Which of the following is a natural opiale the alar plate develops into which of the following synthesized by the central nervous system? adult structures? A. Dopamine ‘A. Motor axons B. Serotonin B. Sensory axons ©. Erkeghalin Molar neurons D. Substance P D. Sensory neurons E. Acelylchofine 82. Cutaneous innervation of the chin and lower lip Is, Which ofthe following anatomic characteristics mediated by which of the following? distinguishes a maxillary canine fom a mandibular first premolar? ‘A. Mentat nerve B. Facial nerve ‘A. Presence of a facial cusp C. Inferior alveoiar nerve Presence of an occlusal table D. Buccal nerve of V Presence of a bifurcated root E, Branches of the maxillary division of V Mesiodislal width of the crown Steepness of the mesial cusp angles meee 12 (© 2009, American Dental Association, Joint Commission on National Dental Examinations. Allrights reserved.83, a4, 88, a7. Each of the following siructures of the posterior liiangle are deep to its fascial for EXCEPT the A. phrenic nerve. B. brachial plexus. CC. _ Wwansverse cervical nerve. ©. transverse cervical artery. Which of the following can decrease the Concentration of creatine phosphate in a skeletal muscle flber? Glycolysi Cori cycle ‘Muscle contraction ‘Oxidative decarboxylation Oxidative phosphorylation moom> Each ofthe folowing increases when the sympathelic nervous system is activated EXCEPT ‘one. Which one is the EXCEPTION? ‘A. Blood flow to the skin 8. Aderal prossure ©. Mental activity D. Blood glucose concentration E. Blood flow lo skeletal muscle ‘Which of the fotiowing is a major function of the ‘masticatory system? A. Tongue biting B. Tongue thrustin ©. Cheek biting D. Lip sucking E, Speaking ‘The mesiolingual groove extending between the ‘mesial marginal ridge and the lingual cusp may be found ona ‘A. mandibular frst premolar, B. mandibular second premolar. G. maxillary frst premolar. D. ‘maxillary second promotar. 88. 89, 90. m1. 92, Each ofthe fallowing Is considered a supporting ‘cusp EXCEPT one. Which one is the EXCEPTION? A.” Buccal cusp of mandibular first premotar B. Lingual cusp of maxilary first premolar €. Distobucsal cusp of mandibular first molar D. _Distolingual cusp of maxillary first molar E. — Mesiolingual cusp of a mandibular second ‘molar Passive congestion occurs when increased ‘amounts of blood in the tissues collect secondary to hyperplasia, hypertension. iammation, arterial dilatation, venous obstruction. moom> ‘Which of the following has a persistent antimicrobial effect? ‘A Alcohol B. Anionic detergent ©. Cationic detergent D. Chiorhexidine gluconate E, Quaternary ammonium compound Which of the following muscles inserts on the lateral surface of the angle of the mandible? A. Masseter 8. Temporalis C. Buccinator D. Medial pterygoid E. Lateral pterygoid Each of the following structures is located at the boundary between the body and the root of the tongue EXCEPT one. Which one is the EXCEPTION? ‘A. Lingual rephe B. Foramen cecum C. Sulcus teminals D. Cireumvallate papillae (© 2009. American Dental Associalion, Joint Commission on National Dental Examinations. All ights reserved.93. 94, 95. 96. 97. ‘Allymph node with groups of highly active germinal centers is most often indicative of which of the following? A. Adolescence 8. Nodular involution Presence of an infection D. Germinal center degeneration E.- Imminent degeneration of the lymph node ‘An enzyme catalyzes a reaction by ‘raising the energy of the products. raising the energy of the reactants. lowering the energy of the reactants. raising the energy of activation, lowering the energy of activation. mopp> Each of the following mechanisms is activated in response to heal EXCEPT one. Which is the EXCEPTION? Panting ‘Sweating Loss of appetite Peripheral vasoconstriction Decrease In voluntary activity myop> In the intercuspal position, the cusp of Carabeli on ‘a maxillary first molar opposes the ‘A. distal triangular fossa of the mandibular fist ‘molar. ‘mesial triangular fossa of the mangiibular ‘second motar, C. lingual embrasure between the mandibular first and second molars, . facial portion of the central fossa of the ‘mandibular first molar, lingual portion of the central fossa of the mandibular first motar. A distinguishing characteristic of a maxitary ‘second promolar is the presence of two distinet roots. ‘2 mesiolingual groove. longer ingual cusp than facial cusp. 2 concavity of the mesial crown surface. a short central groove mesiodistally. moom> 4 98. 99, 100. 401. 102, Mammelong ate normaliy found in adult patients onty. 8. on the incisal ridge of anterior teeth, Con the lingual surface of anterior teath, D. in the depth of an occlusal fossa on posterior teeth. E. on the cervical portion of the marginal idges of posterior teeth ‘Which of the following is an endogenous bacterial infection? A. Trachoma B. Candidiasis ©. Shigllosis D. Brucellosis E. Actinomycosis ‘A48-yearold male patient presents with muliple bone radiolucencies. Laboratory results reveal elevated serum calcium, decreased serum phosphorus, and normal alkaline phosphatase levels. Which ofthe following is the most likely diagnosis? A Osteomalacia B. Paget disease ©. Fibrous dysplasia D. —Hyperparathyroidism E. Metastatic prostate carcinoma In the developing spinal cord, the mantle layer of the basal plate develops into which of the following adult structures? A. Motor axons 8. Sensory axons C, Motor neurons. D. Sensory neurons The oral part of the pharynx communicates directly with the oral cavity and which of the following areas? ‘A. Trachea and esophagus B. Trachea and maxillary sinus ©. Larynx and tympanic cavity D. —Laryngopharynx and nasopharyox . —_Leryngopharynx and nasal cavity ‘© 2009. American Denial Association, Joint Commission on National Dental Examinations. AN rights reserved.103. A drug (0) has @ pk of 64. Ata pH of 7.4, which of the following approximates the ratio of the Uunprotonated form to the protonated farm (.0., DvD)? A 0 B O41 Gt DB 10 104, Sympathetic stimulation affects carbohydrate metabolism because ‘A. epinephrine increases liver glycogenolysis.. 8. peripheral tissues require epinephrine to take up glucose. C. sympathetic nerves to the pancreas increase insulin release. ©, insulin cannot act on the iver in the absence of epinephrine, 4105. Aperson is playing tennis in a dry climate in which the temperature is 10°F. Most ofthis person's heat loss occurs by alteration In hypothalamic setpoint, ‘enhanced baroreceptor activity. enhanced sympathotic activity. enhanced parasympathetic activity. poem 106. Which of the following represents the usual color of ‘the crowns of primary teeth? A Grayish-white B. Yellowish-white ©. Darker than the crowns of permanent teeth D. Same color as the crowns of permanent, eth E, Whiter than the crowns of permanent teeth 107. On the maxillary first molar crown, the distolingual groove normally ‘A. originates in the central pt. 8. originates and terminates in pits. ©. parallels the transverse ridge. 108. Most bacterial endotoxins are composed of which of the following? Proteins Carbohydrates Heteropolysaccherides Mucoprotein complexes Lipoprotein-polysaccharide complexes moomE 109. Which of the following isk factors is ellologically associated with transitional call carcinoma of the vrinary bladder? A Syphilis B. Gonorrhea ©. Cigarette smoking D. Human papitomavirus E. Benign prostatic hypertrophy 110, Which of the following represents the histologic lype of Hodgkin's disease that offers the most favorable prognosis? ‘A. Mixad cottularty B. Nodular sclerosis ©. Lymphocytic depletion D. —Lymphoeytic predominance 411. Which of the following comprise the arterial branches of the common hepatic artery? A. Splenic and the left gastroepiploic Short gestries and the gastroduodenal B ©. Gastroduodenal, the right gastropiplol, and D. the proper hepatic Gastroduodenal, the right gastric, and the proper hepatic, E. Gastroduodensl, the lett gastic, and the cystic 112. Which of the following transmits pain from the temporomandibular joint? ‘A. Aurigulotmporal nerve in the articular surfaces of the mandible and temporal bones 8. Auriculotemporal nerve in the capsute and periphery of the dise ©. Maxillary branch of the trigeminal nerve in tho retrodiseal pad and capsule D. — Maxilary branch ef the trigeminal nerve in the articular disc and the relrodiscal pad E, — Zygomalic branches ofthe facial nerve ©2009, American Dental Associaton, Joint Commission on Natinal Dental Examinations. Al rights reserved.113, 14, 115. 116. 47. Gel electrophoresis is used to separate molecules by A shape. B. charge. C. viscosity, D. mass and shape. E, charge and size. Which of the following processes occurs after Prolonged muscular exorcise when oxygen debt is being paid? ‘A. Lactic acid in muscles continues to increase. B. Most lactic acid undergoes gluconeogenesis in muscles. C. Most lactic acid undergoes gluconeogenesis in the tver. D. Most lactic acid undergoes gtuconeogenesis in the brain and heart. The distal-most region of the cachlea relative to the oval window is believed to be the point of localization for ‘A. high amplitude. B. tow amplitude. G. high frequency. D. intermediate frequency. low frequency. Which of the following represents the most powerful muscle of mastication? A Masseter B. Temporalis ©. Geniohyoid D. Lateral pterygoid E, _Stemecleidomastoic Lingual convergence is important for each of the following reasons EXCEPT one. Which one is the EXCEPTION? ‘A. Reduces the size of the occlusal table on Posterior teeth B. Creates proper light deflection to produce good esthetios C. Influences the size ofthe contact areas between teeth D. Allows the teeth to be put into arch forms E. Allows proper embrasure formation 118. The Reed-Stemberg cell is pathognomonic for ‘hich of the following conditions? ‘A. Thalassemia 8B. Hodgkin disease C.Burktt lymphoma D. Sickle cell anemia E. _Non-Hodgkin lymphoma ). Which ofthe following represents the etiologic agent of travelers’ diarrhea? ‘A. Clostisium difcite 8. Shigella sonnel ©. Campylobacter jejuni D. Escherichia cof E. Vibrio chotera Which of the following typifies the nephrotic syndrome? A Proteinuria B. Glycosuria C. Hyperalbuminemia ©. Elevated serum uric acid E, _Nirogan retention |. Which of the following iracts in the spinal cord contains both ascending and descending collaterals of pain and thermal aferent axons {presumably for the purpose of facilitating spinal roflex activity)? A. Traotof Cuneatus B, Lateral corticospinal tract C. Lateral spinothalamic tract D. Anterior spinathatamic tract E. Dorsofateral tract (fasciculus) of Lissauer ‘The principal (chief) sensory nucleus of V is primarily involved in which of the following? Pain Touch Temperature Kingsthesia Proprioception mooe> © 2009. Amorican Dental Association, Joint Commission on National Dental Examinations. All rights resefved.123. Which of the following contains the largest hydroxyapatite crystals? A. Enamel 8. Dense bone ©. Coteutus D. Cementum E. Spongy bone 124, Which ofthe folowing helps to regulate the overall ‘ale of glycolysis by dtecty influencing the activity ‘of phosphofructokinase? A. Melate B. Lactate C. Citrate D. Succinate E. Oxaloacetate 125. Asiight detachment of the retina results in @ ‘decrease of length from the optical center, and the subject therefore exhibits ‘A. nearsightedness. B. _ fersightedness, strabismus. D. nystagmus. 126, Which ofthe following diferentiates mandibuiar premolars from maxillary premolars? Mandibular premolars A. have pulp hors of equal size. 8. have tingual cusps less developed. C. have crowns tilted to the facial. D. have roots much less round and bifurcated E, have trapezoidal-shaped facial surlaces. 427. The distobuecal root of # maxillary frst molar usually has how many root canals? A 0 Bf G2 D3 128. Which form of actinomycosis occurs most frequently? A. Abdominat 8. Pulmonary ©. Lepromatous D. Tuberculoid . Cervicofacial a 129. Which of the following conditions is associated with the peripheral neuropathy? ‘A. Lead poisoning B. _ SiNver poisoning ©. Mercury poisaning D. Bismuth poisoning E, Tetracycline intoxication 130. Which of the following characterize(s) sickle cell anemia? ‘A. Hypoplastic bone marrow 8. Capillary stasis anc thrombosis ©. Decreased formation of bilirubin D. Increased F hemoglobin that does not sickle 131, The XIl nerve nucleus thal innervates the tongue is located in the A. pons. 8. meduta C. midbrai D. —diencephiaton, E, _telencephaton. 132. In hypersecretion of growth hormone, wich of the following conditions will determine whether gigantism or acromegaly will result? A. Fusion of the spheno-occipital and basioccipital-sphenoid synchondroses B, Fusion of epiphyses of the long bones C. Nutritional state ofthe individual D. Genetic make-up of the individual E. Concomitant excess of thyroxine 133, The extracellular edema in patients with cihosis of the iver is caused by which ofthe following? A. Decreased capillary permeability B. Decreased plasma proteins €. Decreased capillary pressure D. Inereased iymphatc return E. _Inereased plasma proteins 134, In humans, the site for production of ketone bodies isthe A. iver, B. kidney. c.adronal. D. pancreas. E. adipose tissue. © 2009. American Dental Association, Joint Commission on National Dental Examinations. Al rights reserved,135. 136, 437. 138, 139. Which of the following represents the sensory ‘organs concerned with maintenance of skeletal muscle tonus? Sarcomeres Muscle spindles ‘Gamma etferents Pecinian corpuscles Golgi tendon organs moom> Ina maxilary first motar, two root canals are most ‘commonly found in which of he following roots? Distal Distofacial Mesiofacial Mesiolingual Palatal moOmP ‘On molar depressions immediately distal to the ‘mesial marginal ridge and immediately mesial to the distal marginal ddge are ‘A. triangular fossae. B. central fossae, ©. _interdental spaces. D. proximal concavilies, E. spitivays, Each ofthe folowing is useful in identitying viruses EXCEPT one, Which one is the EXCEPTION? A. Nature of the viral nucleic acid 5. Morphology of the viral protein capsid ©. Ability of the virus to grow on complex media D. Neutralization of the vicus with specific antisera Abily of the virus to be inactivated by ether (oF chlaroform gE Falty change is most commonly seen in watich of the following organs? A Brain B Liver C Heart D. Kidney & Spleen 18 140. Ten days after being hospitalized for a large, incapacitating myocardial infarc, a 50-year-old ‘man suddenly develops a paralysis ofthe right side of hs body. Which of the folowing best explains the damage to his brain? ‘A Ruplure of a congenital aneurysm of the circle of Wills, Brain abscess from necrosis of myocardium Formation of a bacterial embolus from the pulmonic valve Embolization of a mural thrombus from the Fight ventricle Detachment of a murat thrombus from the Jaft ventricle 8. c D. 141, Which of the following muscles is totaly denervated as a result of a section of spinal nerve cs? A. Trapezius 8. Teres major ©. Subscaputaris D. — Rhomboid major E, Letissimus dorsi 142. Each ofthe following hormones is produced by the ‘adenohypophysis of the hypophysis EXCEPT one. Which one js the EXCEPTION? A. Prolactin 8. Luteinizing hormone ©. Anticiuretic hormone D. Folic stimulating hormane E. Acrenocorticatrapic hormone 143. a person stands rigidly at attention fora sufficient length of time, then he will probably fose consciousness because of ‘A. increased peripheral pooling B. decreased tidal volume. ©, Increased baroreceptor input. D, decreased ventricular rate. E. increased carbon dioxide accumulation, 144, Which of the folowing amino acids is required for enzymatic conversion of alpha-amino nitrogen to urea? A lysine B. Glycine C. Cystine ©. Omithine Methionine (©2009, American Dental Association, Joini Commission on National Dental Examinations. All ights reserved.145, During increased muscle activily, adenosine {tiphosphate is resynthesized from which of the following? ‘A. Phosphocreatine B. _Ribose-3-phosphate C. Galactose-6-phosphate D. — Guanosine triphosphate E. Nicotinamide adenosine phosphate 146. Amandibuiar first motar usually has how many roots and canals? Roots Canals A Two Two B Two Three Cc. Three Two D. Three Three 147. Which of the following represents the rough outline of the mandibular first premolar from the buccal aspect? ‘A. Hexagonal B. Pentagonal .— Rhomboidal D. Triangular E. Diamond-shaped 148. Which of the following is @ genetic condition that involves sweat and mucous glands and results in impaired transport oftheir secretions? A. Cystic fibrosis 8. Marfan syndrome ©, Newrofibromatosis 1 1D. Mucopolysaccheridosis | E. _Cytomegalic inclusion disease 149, Cancer ofthe colon has bean linked etiological to which of the following? A Laxative use B. Diverticulosis C. High fiber diet D. Asbestos exposure E. Intestinal polyps 150. Which of the following most often causes esophageal varices? ‘A. Thrombosis B. Coaretation ©. Cor pulmonale ©. Portal hypertension E. Aging chenges in the vessels 151. Blastocyst usually occurs in which of the following’? A. Uterine tube 8 Peritoneal cavity © Cervix ofthe uterus D. Upper portion of the uterine cavity 182. In humans, which of the follawing cells produce gastric intrinsic factor? Chief Parictal ‘Mucous neck Enteroendocrine Surface mucous moop> 153. In the presence of a constant heart rate, blaod pressure changes may be chietly attributed to alterations in resistance. Which of the following offer this resistance? A Veins B. Venues C. Areries D. Anerioies E, Capillaries 154, Which ofthe following is the major end-product of protein nitrogen metabolism in humans? A Urea B. Creatine C.Allantoin D. Unie acid E. Amino acie 155, Failure of cardiac muscle to exhibit tetany results from its A. Iong refractory period. B. intercalated disks. ©. automaticity. D. protoplasmic bridges between fibers. ‘© 2008. American Dental Association, Joint Commission on National Dental Examinations. all igh reserved.156. As a genoral rule, maxillary teeth precede ‘mandibular teeth in the process of eruption. 497. 158. 159. 160. ‘The teeth in both jaws erupt in pairs, one on the Fight and one om the fft, A. Both statements are true. B. Both statements aro false, ©. The firs( statement is true, the second is false. D. The first statement is fatse, the second is true, ‘The total number of premolars in one arch of the Of which of the following? A B. c. D. Ee Primary premolars in one arch Ganines in the primary dentition \Molars in the primary dentition Permanent molars in one quadrant Permanent anterior tealh in one quadrant ‘Which immunoglobin is associated with inflamed gingiva of patients with adult periodontiis? A 8B c. D. gE. Ig 'g0 igs IgE IgA ‘Which of the following is the most important ‘chemotactic factor resulling from the activation of {he pathway of complement? A C2a B C3a c. C3b Dd. Ca E. C5b Radiographs of a patient's skull show “punched- out" areas. Laboratory studies reveal hyperproteinemia and proteinuria. Which of the following represents the probable diagnosis of this ‘condilion? A. Osteosarcoma 8B. Chondrosarcoma . — Mulliple myeloma D. Metastatic carcinoma 161. 162. 163. 164, 165. Which of the following cepresents 2 medial rotator at the glenohumeral joint? Teres minor Teres major Infraspinatus Supraspinalus Long head of the triceps brachii moop> ‘While performing an inferior alveolar nerve injection, a dentist mistakenly places the needle {00 far posteriorly atthe level of the mandibular foramen. The needle is ‘ikely to contact which of the following structures? A. Parotid gland B. Lingual nerve ©. Auriculotemporal nerve D. — Plerygomandibular raphe: E Transverse facial artery ‘When a bist period of hysterical hyperventlalion causes respiratory alkalosis, tetany might be caused by a sudden decrease in which af the following kinds of calcium? A. Tolal serum B. Ionized serum G. Citrate bound D. Serum protein-bound Which of the following tissues is primarily responsible for formation of urea? Liver 8 Kidney Muscle Pancreas mpop> The atoms of purines are most directly derived ‘rom A glucose. B. steroids. ©. pyrimidines. D. _latly acids. E. amino acids. ©2009. American Dental Association, Joint Commission on Naional Dental Examinations. Al rights esarved.166. The primary deniifon normally consists of how many teeth? 6 teeth per quadrant 20 total teeth 8 total premolars 12 tolal posterior teeth 32 total teeth moom> 167. Which ofthe following represents the premolar ‘most likely to be congenitally missing? A. Maxillary first B. Maxillary second ©. Mandibular second D. Mandibular first 168, Which of the following represents the primary soutce of pathogenic microorganisms in the dental operatory? Dust paticies Dental instruments Mouths of patients Hands of clinicians Dental unit water lines moap> 169. Which ofthe following represents the major cell type thats infected by human immunodefciency virus? A. CD4* cell 8. CDBt cell C. Natural killer cell, D. Plasma cell EB lymphocyte 170. Which of the folowing diseases involves a deficiency of oxygen-dependent bactericidal activity by polymorphonuclear leukocytes? Chediak-Higashi syndrome Chronic granulomatcus disease Chronic mucocutaneous candidiasis Acquired immune deficiency syndrome pow 471. Which of the following structures lies directly anterior to the scalenus anterior muscle? ‘Subclavian vein Vertebral artery Subclavian artery Costocervical trunk Superior trunk of the brachial plexus moom> 172. Which ofthe fotlowing muscles form lateral boundaries of the isthmus ofthe fauces? ‘A. Palatoglossus and palatopharyngeus B. _Palatopharyngeus and medial pterygoid €. —Pafatoglossus and tensor vali palatini D. —Palatopharyngeus and levator veii palatni E. _Palatoglossus and styloglossus 173. Each ofthe following substances is correctly paired ‘with the type of covalent bond it contains EXCEPT ‘one, Which ona Is the EXCEPTION? Protein; amide ‘Triglyceride: ether Amylose; glycosidic RNA; phosphodiester Phospholipid; ester moog> 174, Which of the following is the rate-controling step in marumalian glycolysis? A. Glucose -> glucase-6-phosphate 8 2-P-enolpyruvate ~> pyruvate ©. Fruciose-6-P => fruclose-1,6-bisphosphale D. _Dihydroxyecetone-P -> alyoeraldehyde-3- phosphate 475, Which enzyme in glycolysis is inhibited by fluoride? A. Enolas 8. Pyruvate kinase , Phosphoglucomutase D, — Glyceraldehyde dehydrogenase E, Glycerol phosphate dehydrogenase ‘© 2008. American Dental Associalion, Join Commission on National Dental Examinations. All rghls reserved,176. 477. 178, 173, 180. ‘An adult patient exhibits no evidence, elther clinically or radiographically. of maxitary third ‘molars, and there is no history of extraction, Which of the following is the most likely diagnosis? A. Syphilis 8. impaction Mulberry molars D. — Supernumerary teoth E. — Congenitally missing teeth ‘Within a tooth crown, the space occupied by the dental pulp is properly referred to as the ‘A. pulp chamber. B. pulp cavity. root tiunk D. pulp cana\). E. _interdental space. Each of the following is characlerstic of plasmids EXCEPT one. Which one is the EXCEPTION? A. Exist as circular RNA molecules B. Exist as extrachromosomal elements in bacteria ©, Mediate antibiotic resistance D. Confer conjugal fertity E. Canty genetic information ‘Which of the following is most likely to be warning sign of an impending atherosclerotic brain infarction? A. Angina pectoris Pulmonary embolus Myocardial infarction Ruptured bery aneurysm Transient ischemic attacks mooe Which of the following represents the fist inflammatory cell to leave the vascular bed and remain at the site of injury through the acute phase? A Monocyte B. Lymphocyte C. Neutrophil D. Eosinophil Plasma cetl 181. 182, 183. 184, 185. Abranch of which of the following motor nerves, ‘supplies the stemohyoig muscle? Phrenic Spinal accessory Ansa cervicalis Transverse cervical Gervical sympathetic trunk mooe> ‘The relromandibular vein is formed within the parotid giand by the union of which of the following veins? ‘A. Posterior auricular and deap facial 8. Posterior auricular and posterior deep temporal ‘Superficial temporal and maxillary ‘Superficial temporal and transverse facial External jugular and transverse facial moo ‘Which of the following represents the disease in which patients usually are averwaight, respond ‘well dist and exorcise, do NOT have high levels ‘of ketone bodies in their blood, and do NOT ‘require exogenous hormone injections to recover? Accomegaly Hypothyroidic dwarfism Diabetes metitus Type | Diabetes melitus Type il Familial hypercholesteroleria mp9pP> Fluorouracil produces an active site-directed inhibitor for the enzyme trypsin. chymotrypsin. thymiaylate synthase. adenosine deaminase. fuorocitrate synthase Poop Parathyroid hormone acs in the body by ‘A. stimulating gluconeogenesis in the liver. 8. diminishing excretion of sodium and chloride. ©. decreasing absorption of calcium in the intestinal tract, D. accelerating removal of calclum and phosphate fram the skeleton. ‘© 2009. American Dental Association, Joint Commission on National Dental Examinations. All sights reserved.186. A 50-year-old patient has a full mouth set of radiographs, from which the dentist discovers the ‘maxillary third molars are present in the alveolar process, but they are not visible clinically. Which of {he following conditions is associated with these ‘hird motars? A. impaction 8. Dilaceration ©. Superumerary D. Congenital absence E. Hutchinson's teeth 487. In a molar, root canats usually join the pulp chamber A. al the level ofthe furcation, 8. at varying levels, dependent upon age. C. within the cervical thd of the crown. D. apical to the cervical level of the erown. 188. Bacterial capsules usually consist of A. chitin. B. protein C. celluloses. D. polypeptides. E. polysaccharides, 189. Secretory igA functions primarily by ‘A. killing bacteria via a lytic mechanism. B. targeting microorganisms for phagocytosis. . preventing the pathogen from adhering to mucosal surfaces, D. facilitating the pathogen's adherence to inappropriate tissues. E. the induction of specific cytokines in gut ‘associated lymphoid lissue, 190. Which of the following is expecied to occur when ‘Tlymphocytes from a patient with chronic periodontitis are cultured in vito with dental plaque ‘antigen? A. Release of histamine 8. Synthesis of lymphokines . Production of specific lo D. Release of lysosomal enzymes ‘© 2008. American Dental Associalion, Joint Commi 191. Where is the thickest stratum comeum found in the: integument? : A Up 8. Anterior body wall c Scalp 0. Palm E. _Inlerscapular region of the back 492. The internal thoracic artery gives rise to the ‘costocervical trunk. posterior intercostal arteries. bronchial and esophageal arteries superior epigastric and musculophrenic arteries, PORE 193. Solution A has a pH of 7.0, and Solution B has a PH of 6.0. Both Solutions are of equal volume. Which of the following statements about Solutions ‘Aand B is most accurate? ‘A, Abas 1/10 as many hydrogen ions as B. B. Ahas 10 times more hydrogen ions than B. ©. Ahas 7/6 of the hydrogen ion concentration ofB, D. Aas 6/7 of the hydragen ion concentration of B. 194, A\pid bilayer membrane is least permeable to which of the folowing? A B. c. D. E Water Sodium ions Glycerol Cholesterol Palmitic acid 195, 19 circumstances will tend to ‘A. Increased tissue oncotic pressure B. Increased plasma oncotie pressure C. Increased lissue hydrostatic pressure D. Decreased plasma hydrostatic pressure E. Decreased venous pressure196. Anormal 10 1/2-year-old child has A B erupted both mandibular first and second ‘molars. ‘completed root formation for the mandibular first molar only. ‘completed enamel formation for all 3 mandibular molars. initiated calcification for the mandibular molars. 197. The free gingiva extends from the 198. 199, attached gingiva to the gingival crest. Gingival crest fo the intordental groove. alveolar mucosa (0 the free gingival groove. ‘mucogingival ncion to the free gingival groove. ela attachment fo the cementoenamel junction, In advanced gingivitis, plaque is mainly pop gram-positive and facultative, ‘gram-positive and anaerobic. ‘gram-negative and facultative. gram-negative and anaerobic. Which of the following statements best describes pallents who develop meningitis folowing mumps, ‘coxsackievirus, or echovirus infections? A B. c. D. E. Sensitive to viral oxins Experience mortality rate of 75% Rarely develop permanent neural damage ‘Subject to exacerbations ance the fatent vius is activated Most often initially infected by blood coniaining the virus necrotizing lesions of the palate in a patient with poorly controlled diabeles mellitus are ‘most likely 2 manifestation of candidiasis. ‘mucormycosis. blastomycosis. eryptacaccosis. histoplasmosis. 24 ©2009, American Dental Association, Joint Commission on NaVonal Dental Examinations. All ighls reserved,PART 1 KEY ‘The key below may be used to deteimmine correct and incorrect answers; however, for this item set, itis not possible to convert a raw score number correct to a standard score or associated pass/fail status. an) SA 1 oC 81D 2 ¢ 520 102 152 8B 300A 530A 103 ~D 153 4 8B B4 OA 104A 154A 5 B 55°C 105 Cc 155 A 6 A 56 OA 108 E 158 7 OB B7 OA 107 8B 187 B a 8B 58 OB 108 E 158 C 9B 69D 109 C 159 10 OE 6 oD 10D 160 1B 6 oc m1 161 B 2 8B 2 o£ 1208 162A 1B OA 6A 1300«€ 163 2B 4° 8B 44 €£ 4c 164A 18 OB 6 OD 115 165 OE 16 OA 66 oC 116A 166 8 7 oD 7 oD 17 B 17 1% oC 6 oC 1828 168 199 € 6 0 199° =D 169A 20 2«£ 7 0 12008 170 B 24D m 8B wm £ ww A 2 A Roe 12. 8B 172 48 BC 73 OC 123A 73 B 24 ¢ mC 124 C 7 oC 2 OA w= ¢ 125 B 175 A 2 6D 7B 128 C 176 OE z C 7 Ee 17 B WA 2 OC 7% OB 128 £ 178A 2 ¢ 7 E 129A 173 OE 30 66 a) 190 B 180 C 31 a OB 1B 181 C 32 OA a A 132 =B 182 C 3B 8 133«B 183 =D a) oC 134A 184 C 3 OD 8 A 135 =B 18D a 8 OE 1396 C 186A a7 OA a7 A 187A 187 C 3A eB OE 138 188 OE 398 a o£ 1398 189 a € 90D 10 190 8 aC a1 A 141 191 2 0 2 A 142 0c 192 3B 3 OC 143A 193A “4B 4 OE 144 194 B 45 OA 9 OD 145A 195A 46D 98 OE 146 B 196 B a7 7 OE 47 OB 197A a) 9% 8B 148A 98D 49 2€ 99 OE 19 OE 99 C 5B 100 D 150 ~D 200 =B 25 ‘© 2008. American Dental Association, Joint Commission on National Dental Examinations. Al ighs reserved.