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MDs Test 1 - Removed
MDs Test 1 - Removed
JULY,2020)
Welcome to the Mock Test for PG-entrance exam in dentistry organized by the authors of
MCQs for Dental Science" in association with instagram
1. The glucose content of CSF is markedly reduced in which of the following (1 point)
types of meningitis EXCEPT?
◯ Acute pyogenic ( Bacterial ) Meningitis
⚫ Acute lymphocytic ( Viral ) Meningitis
◯ Chronic ( Tubercular ) Meningitis
◯ All of the above
Explanation:
Ans B
The normal glucose content of CSF is 50 – 80 mg/dl and it is markedly raised in case of bacterial
and tubercular meningitis. The normal protein content of CSF is 15 – 45 mg/dl and it is markedly
raised in all types of meningitis.
2. Which of the following is the most common site of peptic ulcer ? (1 point)
◯ Gastroesophageal junction
◯ Antrum of stomach
⚫ Proximal duodenum
◯ Distal segment of stomach
Explanation:
Ans C
Peptic ulcer is most common in first part of duodenum and is four type more common in first
part of duodenum than in stomach. Antrum of stomach is the second common site followed by
gastroesophageal junction.
Explanation:
Ans D
Explanation:
Ans D
MEN II
Pheochromocytoma
Medullary Ca of thyroid
Parathyroid hyperplasia
MEN II B
Medullary Ca of thyroid
Pheochromocytoma
Neuromas
5. All of the following are the features of Nephrotic syndrome Except ? (1 point)
⚫ Presence of hematuria
◯ Heavy proteinuria
◯ Generalized odema
◯ Absence of oliguria
Explanation:
Ans A
Explanation:
Ans C
Explanation:
Ans D
Methotrexate is DMARD of first choice and the standard treatment for most patients including
the cases of juvenile RA.
Explanation:
Ans A
Diuretics
ACE inhibitors
AT1 antagonists.
Nonselective blockers
Sodium nitroprusside
Hydralazine
Methyldopa
Cardioselective Beta blockers and those with intrinsic sympathomimetic activity (ISA)
example: atenolol, metoprolol etc.
Dihydropyridine CCBs
Prazosin and clonidine
9. Antitubercular drug contraindicated in renal failure is (1 point)
◯ Pyrazinamide
◯ Rifampicin
◯ Isoniazid
⚫ Streptomycin
Explanation:
Ans D
It is the first clinically effective drug against tuberculosis and acts only on extracellular bacilli.
10. Which of the following drug follows first order kinetics? (1 point)
◯ Alcohol
◯ Tolbutamide
⚫ Paracetamol
◯ Phenytoin
Explanation:
Most of the drugs follow first order elimination kinetics except Alcohol, methanol, Theophylline,
Tolbutamide, Phenytion.
For example, if 800 mg of a drug is administered and its half-life is 1 hr, then the amount of drug
remaining in the blood after each hour will be as follows:
11. Titanium based implants have the favor in the implant dentistry in (1 point)
comparison to the other metals because
◯ Titanium is more susceptible to corrosion
◯ Titanium is 5.6 times stronger than bone
⚫ Titanium forms oxide layer when exposed to air
◯ Titanium does not react to room temperature air and normal tissue fluids.
Explanation:
Ans C Ref. Contemporary Implant Dentistry Carl E. Misch 3rd ed Page no 262
Titanium oxidizes ( Passivates ) upon contact with room temperature air and normal tissue fluids
as titanium is very reactive to oxygen to form titanium oxide ( TiO2). This reactivity is very
favorable to the dental implant devices. In the absence of interfacial motions or adverse tissue
conditions, this passivated surface condition minimizes biocorrosion phenomena.
12. Which type of bone plays a stabilization role in initial healing of endosseous (1 point)
implants?
⚫ Woven bone
◯ Lamellar bone
◯ Bundle bone
◯ Composite bone
Explanation:
Ans B Ref. Contemporary Implant Dentistry Carl E. Misch 3rd ed Page no 267
Because woven bone is more piable than the mature lamellar bone, it is more forgiving to the
relative micromotion associated with interface healing
Lamellar bone is the principle load bearing bone of an adult skeleton. It is the predominant
component of cortical and trabecular bone. In adults it forms relatively slowly and have a highly
organized matrix and are densely mineralized.
Bundle bone is a characteristic of ligament and tendon attachment along bone forming surfaces.
Composite bone is the lamellar bone deposited in woven bone matrix. It is formed during the
rapid growth and wound healing.
13. Best method for the sterilization of ceramic based implant system is (1 point)
◯ Autoclave
⚫ Dry heat
◯ Ethylene oxide gas
◯ Glutareldehyde
Explanation:
Ans B Ref. Contemporary Implant Dentistry Carl E. Misch 3rd ed Page no 267
14. About ……………… of the compacta adjacent to the implant interface dies (1 point)
postoperatively despite optimal surgical technique.
◯ 0.25 mm
◯ 0.50 mm
◯ 0.75 mm
⚫ 1.00 mm
Explanation:
Ans D Ref. Contemporary Implant Dentistry Carl E. Misch 3rd ed Page no 348
This is probably due to the inflammation and relatively poor collateral circulation within the
cortical bone. But dead bone is not the useless tissue. It provides initial structural support during
initial healing phase. However it is replaced by the vital bone to strengthen the interface on the
later stage of healing.
15. According to the Implant prosthodontic classification, Misch 1988 FP – 2 (1 point)
represents
◯ Fixed prosthesis which replaces only crown
◯ Fixed prosthesis which replaces both crown and root
⚫ Fixed prosthesis which replaces crown and portion of root
◯ Fixed prosthesis which replaces missing crown, gingival color and portion of the
edentulous site
Explanation:
Explanation:
Micrognathia
Cleft palate
Glossoptosis
Explanation:
These rods measure about 5 µm in breadth and 9 µm in length. Rods of this shape can be packed
tightly together. The ‘bodies’ of the rods are nearer occlusal and incisal surfaces, whereas the
‘tails’ point cervically. They are approximately parallel to the long axes of the rods in their
‘bodies’ or ‘heads’ and deviate about 65 degrees from this axis as they fan out into the ‘tails’ of
the prisms.
18. All of the following are age changes of dentin EXCEPT ? (1 point)
◯ Increase in peritubular dentin and dentin sclerosis.
◯ Increase in number of dead tracts
⚫ Increase in dentinal permeability
◯ Increase in hardness of dentin
Explanation:
Explanation:
Explanation:
Melanin produced by the melanocytes are transferred through their dendritic process to the
adjacent basal cell keratinocytes which store the pigment in the form of melanosomes.
Explanation:
The fracture of a metal during cold working is called ductile fracture. When a ductile alloy
fractures under tension there is a reduction in the diameter of the metal (necking down) of the
fracture site prior to fracture. Ductile fracture sites are characterized by a dimpled morphology.
Explanation:
Ethyl alcohol is a by-product of the condensation setting reaction. Its subsequent evaporation
accounts for much of the contraction that takes place in the setting impression so casts are poured
immediately after making impression in the mouth.
23. If the calcination process occurs under pressure in a 30% calcium chloride (1 point)
solution or in the presence of more than 1% of sodium succinate, the
resulting hemihydrate crystals will be shorter and thicker than those
produced in a closed container. This type of gypsum producing product is
called
◯ Dental Stone
⚫ Dental stone with high strength
◯ Dental stone with high strength and expansion
◯ Dental plaster
Explanation:
Ans B Ref. Phillip's Dental Materials 5th ed Page no 154
Type IV stone or Dental stone with high strength is also known as modified α-hemihydrate or
die stone.
Explanation:
Ans B Ref. Basic Dental Materials J.J Manappallil 3rd edition Page no 230
25. ADA specification number 12 suggests that the dough forming time should be (1 point)
not more than
◯ 20 minutes
◯ 30 minutes
⚫ 40 minutes
◯ 50 minutes
Explanation:
The time required for the resin mixture to reach a doughlike stage is termed the dough-forming
time.
Explanation:
Passive impression technique was first proposed by Richardson and later popularized by Henry
page. Passive impression means mucostatic or pressureless impression technique.
Mucompressive impression technique was given by Carole Jones and Selective pressure
impression technique was given by Boucher.
27. In Burning mouth syndrome, which is the most affected site ? (1 point)
◯ Buccal mucosa
◯ Soft Palate
◯ Floor of mouth
⚫ Tongue
Explanation:
Although tongue is most frequently affected site, BMS can occur in lips, buccal mucosa and
floor of the mouth.
28. A patient with complete denture presents with angular chelitis. The review of (1 point)
medical examination revealed Vitamin B12 deficiency is not a factor. The
possible predisposing factor is
◯ Excessive vertical dimension of occlusion
⚫ A closed or insufficient vertical dimension of occlusion
◯ Improper balance of the occlusion
◯ Poor contour of the denture base
Explanation:
Ans B Ref. Mosbys Review of NBDE Part II Sample questions
29. The most important reason for retaining healthy roots and prescribing an (1 point)
over denture rather than extractions and conventional complete denture is;
⚫ To preserve the alveolar bone
◯ An over denture is easier to construct rather than a complete denture
◯ An apparent ease with which the patient adapts to an over denture
◯ To retain some degree of proprioception from the healthy periodontal ligament of the
roots
Explanation:
Explanation:
Depapillation usually begins at the apex and lateral borders. Fissuring of tongue is also common.
There is also reduction in number of taste buds resulting in diminished sensation of tongue.
31. For a maxillary premolar that requires an esthetic crown due to cuspal (1 point)
fracture when endodontic treatment is performed, the better prognosis would
be for
⚫ Buccal cusp fracture
◯ Palatal cusp fracture
◯ The prognosis is already compromised when either cusp are fractured
◯ Prognosis is same for fracture of either cusp
Explanation:
Patient presenting with buccal cusp fracture has a better prognosis than palatal cusp because
esthetic crown (either all ceramic- or metal ceramic) requires a wide buccal shoulder preparation,
which will significantly weaken the remaining buccal cusp whereas remaining palatal cusp can
be prepared conservatively.
32. Copper band impression procedure is especially useful for situation in which (1 point)
◯ Impression of single tooth is to be made
⚫ Impression of several prepared tooth is to be made
◯ When the finish line is sub gingival
◯ When the finish line is supragingival
Explanation:
If several teeth have been prepared, the likelihood of capturing all the finish lines in one
impression decreases as the number of prepared teeth increases so copper band impression gives
a good solution. Copper band impression also can be used for making the impression of single
teeth.
33. The margin during try in of crown for cementation is considered to be open if (1 point)
the gap is greater than
◯ 30 µm
◯ 40 µm
⚫ 50 µm
◯ 60 µm
Explanation:
This means the tip of sharp explorer can be inserted between the restoration and tooth.
34. The following feature of preparation provides maximum retention and (1 point)
resistance
◯ Short walls with narrow diameter
⚫ Long walls with narrow diameter
◯ Short walls with large diameter
◯ Long walls with larger diameter
Explanation:
Long walls with narrow diameter of tooth preparation provides maximum retention and
resistance of tooth preparation, such preparation will have short rotational radius for the arc of
displacement and the incisal portion of axial walls that resist displacement of crown.
35. For resistance form and better stress distribution which of the following post (1 point)
is best indicated
◯ Metal
◯ Ceramic
⚫ Glass Fiber
◯ Amalgam
Explanation:
Glass fiber post have an elastic modulus similar to that of dentin, also has lower stress
concentration than other post because glass fiber when cemented with resin cement acts as a
single unit termed as monoblock.
36. All of the following are considered to be basic rules for occlusal rest design (1 point)
when fabricating a removable partial denture except:
◯ The rest should minimise the tilting action of the appliance
◯ The rest must be placed so that it will prevent movement of the appliance in a cervical
direction
◯ The rest should transmit stress down the long axis of the abutment
⚫ The rest must have sharp angles to permit maximum retention
Explanation:
Occlusal Rests
-Should be as long as it is wide and base of triangle should be 2.5mm wide for both premolars
and molars
-Reduction of 1.5mm in marginal ridge usually necessary to provide adequate rigidity and
strength
-Floor should be apical to the marginal ridge and should be concave or spoon shaped
-Angle between occlusal rest and the vertical minor connector should be less than 90 degrees in
order to direct the occlusal forces along the long axis of the tooth and also to prevent slippage of
the prosthesis away from the abutment teeth.
Explanation:
McCracken's Removable Partial Prosthodontics, 13th edition, Page no 130, Fig 11-5
38. In the mesial rest, guide plane and I-bar design(RPI), reciprocation is (1 point)
achieved by:
◯ flexible plating
⚫ Minor connector
◯ Major conector
◯ Guide planes not extended around the vertical lines of abutments
Explanation:
The proximal plates in conjunction with the minor connector supporting the rests provides the
stabilizing and reciprocal elements of the clasp assembly.
39. All of the following are advantages of the gingivally approaching clasps as (1 point)
compared to occlusally approaching clasp, except :
◯ Less distortion of coronal contours
◯ Less tooth contact
⚫ Less bothersome to vestibular tissues
◯ Esthetically superior in most cases
Explanation:
-The approach arm of infrabulge clasp must not impinge on the soft tissues adjacent to
the abutment. It is not desirable to provide relief under the approach arm ,however,the
tissue surface must be smooth and polished.
-Circumferential clasp is preferred to bar clasp because of its stabilizing ability but has
some disadvantages.
-Only when retentive undercut can be approached better or esthetics is required, bar clasp
can be used
-More tooth surface is covered because of its occlusal origin
-On some tooth like buccal surface of mandibular tooth and lingual surface of maxillary
tooth, occlusal approach may increase the width of occlusal table
40. A device that relieves the abutment teeth, to which a fixed or removable (1 point)
partial denture is attached, of all or part of the forces generated by occlusal
function is called as:
◯ Pontic
⚫ Stress breaker
◯ Minor connector
◯ Retainer
Explanation:
41. Health Records survey data is an example of which type of source of data? (1 point)
◯ Primordial
◯ Primary
⚫ Secondary
◯ Tertiary
Explanation:
Essentials of Public Health dentistry by Soben Peter,5th Edition ,Page no 384,Page no 595
-Health records survey data is the most economical method of collecting the data.
Explanation:
43. Which of the following is not an index for Oral Hygiene assessment? (1 point)
⚫ Moller's Index
◯ Glass Index
◯ Volpe-Manhold Index
◯ Calculus Surface Index
Explanation:
44. Dentists participating in the delta plan are paid 90th percentile whereas non- (1 point)
participating dentists are paid:
◯ 30th
⚫ 50th
◯ 100th
◯ 15th
Explanation:
Explanation:
46. In Colorimetric Snyder test, colour of the indicator dye Bromocresol green, (1 point)
changes from green to yellow within 24 hours. The caries activity can be
interpreted as
⚫ Marked activity
◯ Definite activity
◯ Limited activity
◯ No activity
Explanation:
47. Chemotherapy in oral cancer falls under which of the following (1 point)
◯ Health promotion
◯ Early diagnosis and prompt treatment
⚫ Disability limitation
◯ rehabilitation
Explanation:
A. Disability Limitation
-Chemotherapy
-Radiotherapy
-Surgery
B. Rehabilitation
-Plastic Surgery
-Speech Therapy
48. A study was conducted to assess the nickel level in the saliva of the patients (1 point)
undergoing fixed orthodontic treatment before and after the placement of
appliance.Test of significance for the study would be
◯ Unpaired test
⚫ Paired test
◯ Chi-Square Test
◯ ANOVA
Explanation:
Paired 't' test is applied to the paired data of independent observations from one sample only
when each individual gives a pair of observations.
49. Mode is that value in a series of observations that occurs with greatest (1 point)
frequency.It can be calculated using the formula(where M.D-Mean
Deviation,S.D -Standard Deviation)
◯ 3M.D-2S.D
◯ 3S.D-2M.D
⚫ 3Median -2Mean
◯ 3Mean-2Median
Explanation:
Explanation:
-Amount of fluoride in cementum is 4500 ppm,fluoride content in cementum increases with age
Explanation:
Page no 163, McDonald and Avery’s Dentistry for the Child and Adolescent 10th edition
In a cariogram,
Red-for bacteria
Dark blue -for diet
Light blue-for susceptibility related factors
Yellow -for circumstances
green-for chance of avoiding caries
Explanation:
Page no 355, McDonald and Avery’s Dentistry for the Child and Adolescent 10th edition
-Eruption sequestrum is tiny spicule of non-viable bone overlying the crown of an erupting
permanent molar just before or immediately after the emergence of the tips of the cusps through
the oral mucosa. It can also be composed of dentin, cementum, odontogenic and osteogenic
tissue.
53. Among the primary teeth, the problem of ankylosis is most commonly seen (1 point)
with
⚫ Mandibular molars
◯ Mandibular incisors
◯ Maxillary incisors
◯ Maxillary molars
Explanation:
Page no 357, McDonald and Avery’s Dentistry for the Child and Adolescent 10th edition
-Ankylosis of an anterior primary teeth does not occur unless there has been trauma
There might be interrelationship between congenital absence of permanent tooth and the
ankylosed primary tooth
Occurrence in siblings following familial pattern
Normal resorption process is interrupted by periods of inactivity or rest. A reparative
process follows periods of resorption. In the course of this reparative phase, solid union
occurs between the bone and the primary tooth
Page no 362, McDonald and Avery’s Dentistry for the Child and Adolescent 10th edition
-All are features of child with Down’s syndrome except that eyes slope upwards.
-Orbits are small,the eyes slope upwards and the bridge of the nose is more depressed
than normal
-''Lap''ear with absent or flat helix
-Mental retardation
-Smaller jaws that contribute to tendency of protrusion of tongue and dental crowding
both of which compromise the development of good occlusion
-Tongue tends to be larger than normal
55. Contraindication to the use of Eruption guidance appliance is all except (1 point)
◯ Poor oral hygiene status of the child
◯ There is no proper patient and parent cooperation
⚫ To prevent the space loss during the eruption of first permanent molar
◯ Medical conditions like blood dyscrasias, immunosuppression, congenital heart defects
Explanation:
Page no 430, , McDonald and Avery’s Dentistry for the Child and Adolescent 10th edition
56. While preparing tooth for stainless steel crowns, should the depth of (1 point)
reduction of proximal surface be similar to the reduction of buccal and
lingual surface
◯ Yes, reduction of all walls is similar
⚫ No proximal reduction is greater to allow the crown to pass the contact area
◯ No, because of lateral constriction, lingual surface greatest reduction
◯ All undercuts uniformly removed so that the crown can be seated
Explanation:
Page no198, McDonald and Avery’s Dentistry for the Child and Adolescent 10th edition
-Near vertical reductions on the proximal surfaces and carried out gingivally until the contact
with the adjacent tooth is broken and the explorer can be passed freely in the space between
prepared and the adjacent tooth.
-It is usually not necessary to reduce the buccal and lingual surfaces, in fact undercuts
are necessary in these for retention of contoured crowns.
57. A 8 years old child who has sustained a fracture of maxillary permanent (1 point)
central incisor in which 2mm of the pulp is exposed; presents for treatment 3
hours later following traumatic injury. Which of the following should be
considered?
⚫ Remove the surface 1-2mm of pulp tissue and place calcium hydroxide
◯ Place calcium hydroxide directly in the exposed pulp
◯ Pulpotomy using Formocresol
◯ Pulpectomy and immediate root filling
Explanation:
CVEK partial pulpotomy using calcium hydroxide or MTA for apexogenesis. Indicated when the
exposure is less than 3 mm and time is less than 48 hours.
58. The gingiva of a child is diagnosed on the basis of all except (1 point)
◯ Contour of gingival papilla
◯ Sulcus depth
⚫ Contourof Nasmyth membrane
◯ Tight filling of gingival collar
Explanation:
Page no 243, McDonald and Avery’s Dentistry for the Child and Adolescent 10th edition
-Gingival colour in children is more reddish due to increased vascularity and thinner
epithelium.
-Less stippled or smoother than that of adult.
-Probing depths around primary teeth approximately 2 mm in adults 2 -3 mm
-Periodontal ligament in children wider than in adults
-Alveolar bone surrounding the primary dentition has lesser trabeculae, less calcification
and large marrow spaces
-Primary enamel cuticle(aka Nasmyth's membrane)
o It is a thin membrane of tissue also known as reduced enamel epithelium
produced by the ameloblasts,that covers the tooth once it has erupted.It is usually
worn away by mastication and cleaning.
Explanation:
Ca in milk and magnesium can chelate the F minimizing the absorption so reducing the side
effects
60. The extraction of maxillary deciduous molars in 5 years old child. You should (1 point)
use
◯ Mostly towards the apex pressure and some movement
◯ Rotation
◯ Distalpressure and movement
⚫ Labio lingual movement
Explanation:
More buccal movement to avoid fracturing the buccally curved palatal root
Explanation:
-In the early stages of conceptual intelligence, the child’s world is ego-centered and has limited
ability to share another person’s viewpoint (egocentricism)
62. Which one of the following actions are to be performed in Early Mixed (1 point)
Dentition Stage (Stage 3) of management of clefts?
◯ Fabrication of obturator
◯ Surgical lip and palate closure
⚫ Secondary alveolar bone grafts
◯ Orthognathic surgical procedures
Explanation:
McDonald and Avery's Dentistry for Child and Adolescents,10th Edition,Page no 490
-Fabrication of obturator
-Presurgical orthopaedics
-Cheiloplasty
-Maxillary orthopaedics
-Palatoplasty
-Adjustment of obturator
III. Stage III(Late Primary or early Mixed Dentition Stage)-6 to 10 or 11 years of age
-Cosmetic Surgery
63. ’’You’’ messages (e.g. If you do not stand still, we would have to hold your (1 point)
hands) are considered as ‘roadblocks to communication’ as they undermine
the rapport between dentist and the patient. Instead, a paediatric dentist uses
‘I won’t be able to fix your teeth, if you don’t stand still’. Which type of
approach is the dentist practising?
◯ Aversive conditioning
◯ Voice control
◯ Negative reinforcement
⚫ Problem ownership
Explanation:
Page no 299, McDonald and Avery’s Dentistry for the Child and Adolescent 10th edition
64. According to the caries risk assessment chat for children 6 years of age and (1 point)
younger, A child patient with low salivary flow rate and more than 1
interproximal lesions may be considered as
◯ Low risk
◯ Moderate risk
◯ Moderately high
⚫ High risk
Explanation:
Page no 164, McDonald and Avery’s Dentistry for the Child and Adolescent 10th edition
Biological factors
-Patient has more than 3 between meal sugar containing snacks or beverages per day
Clinical findings
B.Moderate Risk
Biological factors
Clinical Findings
C.Low Risk
Protective Factors
65. The presence of distal step occlusion most often leads to development of (1 point)
which type of molar relation in the permanent dentition?
◯ Class I
⚫ Class II
◯ ClassIII
◯ None of the above
Explanation:
Page no 384, McDonald and Avery’s Dentistry for the Child and Adolescent 10th edition
Explanation:
67. On a clostridium stained slide, clostridium tetani has the appearance of a (1 point)
◯ Bunch of grapes
◯ Chain of beads
⚫ Drumstick
◯ Safety pin
Explanation:
-Bacillus of Clostridium has straight axis, parallel sides and rounded ends. It occurs singly and
occasionally in chains.
-Clostridium spores are spherical,terminal and bulging giving the characteristic 'Drumstick'
appearance
Explanation:
-SSSS is an exfoliative skin disease in which the outer layer of epidermis is separated from the
underlying tissues.
Explanation:
Granules located at the poles of the bacilli when stained with Loeffler's methylene blue,the
granules take up a bluish purple colour and are hence called metachromatic granules.
Explanation:
-A loopful of the growth is mixed with a drop of 0.5% sodium deoxycholate in saline on a
slide.If the test is positive ,the suspension loses its turbidity,becomes mucoid and forms the
string when the loop is drawn away slowly from the suspension.
71. ’Pulsus Tardus ‘ is seen in cases of (1 point)
◯ Left Ventricula failure
◯ Aortic Regurgitation
◯ Paroxymal Tachycardia
⚫ Aortic Stenosis
Explanation:
-The carotid arterial pressure rises slowly to a delayed peak -pulsus parvus et tardus
-Paroxysmal tachycardia
-Toxic myocarditis
Explanation:
Autosomal disease with deficiency of Spectrin, a red cell membrane protein.Erythrocytes are
spherical(Spherocytes) which are more susceptible to osmotic lysis.
Clinical Features:
Explanation:
Addison's Disease
Common causes
-Autoimmune
-Tuberculosis
-HIV/AIDS
-Metastatic carcinoma
-Bilateral adrenalectomy
Rare causes
-Lymphoma
-Intraadrenal hemorrhage
-Amyloidosis
-Haemochromatosis
B. Secondary causes (Decrease in ACTH)
74. Syndrome involving triad of sinusitis, bronchiectasis and situs inversus is (1 point)
◯ Youngs Syndrome
⚫ Kartagener's Syndrome
◯ Apert Syndrome
◯ Charcot Triad
Explanation:
Kartagener's Syndrome
A rare autosomal recessive genetic ciliary disorder comprising the triad of situs inversus,chronic
sinusitis and bronchiectasis. The basic problem lies in the movement of cilia,leading to recurrent
chest infections,ear/nose/throat symptoms and infertility
Explanation:
Nephritic Syndrome
-Hypertension
-Oliguria
Nephrotic Syndrome
-Hypoalbuminemia
76. All of the following are methods for age estimation in adults except (1 point)
◯ Dentin Translucency by Bang andRamn
⚫ Demirjian's method
◯ Gustafson's method
◯ Krager and Grupe method
Explanation:
For children
-Demirjian's method
For adults
-Gustafson's method
77. Bite mark generated due to getting bitten by incisor teeth would have (1 point)
⚫ Rectangular shape
◯ Point shape
◯ Triangular shape
◯ Rhomboidal shape
Explanation:
Canines-Triangular or rectangular
78. How many grades have been assigned to assess each of 6 variables in age (1 point)
estimation method given by Gustafson?
◯3
⚫ 4
◯5
◯6
Explanation:
e.g A tooth can have any one of the four grades for attrition(A0, A1, A2, A3) and similar for all
other variables.
79. Male mandible differs from female mandible in all of the following except (1 point)
⚫ Presence of more obtuse gonial angle
◯ Square shaped chin
◯ Large and broad ascending ramus
◯ Increased mandibular body height
Explanation:
80. Bilateral labial rotation of the distal margins of the distal margins of the (1 point)
maxillary central incisors is considered as which of these non-metric dental
traits?
◯ Shovellingof incisors
⚫ Winging of incisors
◯ Carabelli's trait
◯ Impaction trait
Explanation:
Winging of incisors
Winging is an indirect crown trait characterized by the bilateral labial rotation of the distal
margins of maxillary central incisors.The incisal edges of the central incisors taken together
appears 'V' shaped from the occlusal aspect
81. Neurotransmitter in Frey's syndrome is: (1 point)
⚫ Acetylcholine
◯ Serotonin
◯ Epinephrine
◯ Nor-epinephrine
Explanation:
The facial sympathetic system is unique in that its neurotransmitter is acetylcholine, which
allows the cholinergic parasympathetic fibers to functionally excite these normally sympathetic
receptors to produce sweating and flushing.
Explanation:
White sponge nevus (Cannon disease) is a rare genodermatosis that is inherited as Autosomal
dominant trait displaying high degree of penetrance and variable expressivity.
83. Abluminal cells can form which cell in pleomorphic adenoma: (1 point)
◯ Mucinous cells
⚫ Plasmacytoid
◯ Salivary mucin
◯ Oncocytes
Explanation:
[Nevile 1st edition 447]
Histologically, salivary gland basically comprise ducts and acini, which consist of four types of
cells; ductal, acinar, myoepithelial and basal.
Myoepithelial and basal cells are located on basement membrane side surrounding the
luminal cells, and are thus called abluminal cells.
Plasmacytoid cells represent the most distinctive form of modified myoepithelial cells, they are
oval-shaped with homogenous eosinophilic hyaline cytoplasm.
Explanation:
85. The ability to enlarge a blister in the direction of the periphery by applying (1 point)
mechanical pressure on the roof of the intact blister spreading of a blister
into a clinically normal skin when lateral pressure is applied on the edge of a
blister is:
◯ Nikolsky sign
◯ Hoagland sign
⚫ Asboe-Hansen sign
◯ Jellinek sign
Explanation:
H. M. Worth has described two types of dens in dente: first is a root dilation resembling an open
umbrella and other one is Fleur-de-lys which resembles the French emblem.
Explanation:
89. A 36 year old woman reported with history of exposed bone in the posterior (1 point)
alveolus with history of multiple myeloma probably has:
◯ Osteomyelitis
◯ Osteoradionecrosis
⚫ Bisphosphonate related necrosis
◯ Recurrence of multiple myeloma
Explanation:
There have been several case reports of bisphosphonate related osteoradionecrosis in patients of
multiple myeloma, therefore one is inclined to give it a probable diagnosis of the same.
90. A 50 year old man was admitted for myocardial infarction. Ten days later, he (1 point)
developed paralysis of the right side of the body. The most common cause is:
◯ Thrombus of right ventricle
⚫ Thrombus of mitral valve
◯ Thrombus of pulmonary valve
◯ Embolus of portal vein
Explanation:
Paralysis of the right side of the body requires blockade (thrombus) in the brain/brain vessels.
Thromnus of the mitral valve is the only location where embolus formation and its subsequent
lodgement in the brain vessels can be a cause of brain tissue infarction and paralysis.
Explanation:
The Hurter and Driffield curve is a plot that shows the relationship between film exposure and
its resultant density.
92. The facial root of premolar appears to be distal to the lingual root in X-ray. (1 point)
What will be the direction of projection ?
◯ Changed vertical direction of projection
◯ X-ray projected from distal side
⚫ X-ray projected from mesial side
◯ Changing the tube film distance
Explanation:
It is based on the SLOB rule according to which buccal objects move in opposite direction while
lingual objects move in same direction.
93. Vertical radiolucent line between central incisor and lateral incisor is: (1 point)
◯ Artifact
◯ Fracture line
⚫ Nutrient canal
◯ Sinus
Explanation:
Nutrient canals carry a neurovascular bundle and appear as radiolucent lines of fairly uniform
width. They are most often seen on mandibular periapical radiographs running vertically from
the inferior dental canal directly to the apex of a tooth or into the interdental space between the
mandibular incisors.
Explanation:
Explanation:
Sickle cell disease is most common cause of osteoradionecrosis of femoral head in children in
later life seen radiographically as epiphyseal-metaphyseal overlap, mushroom head deformity.
Explanation:
Weber-Fechner law:
The encoding of intensity of stimulus is related to the rate of impulse discharge in the sensory
nerve fibres. Weber Fechner law states that- intensity of response of a receptor is directly
proportional to logarithmic increase in the intesity of stimulus. During the stimulation of a
receptor, if the response given by the receptor is to be doubled, the strength of stimulus must be
increased 100 times.
97. The processing of short term memory to long term memory is done in: (1 point)
◯ Prefrontal cortex
⚫ Hippocampus
◯ Neocortex
◯ Amygdala
Explanation:
Hippocampus is the site in brain where short term memory is converted into long term memory.
Explanation:
Valve of Hasner is a fold of mucous membrane at the lower end of nasolacrimal duct. It prevents
air from being blown back from the nose into the lacrimal sac.
Explanation:
The inflatable bladder inside the cuff should have an ideal width of at least 40% of the mid arm
circumference and a cuff length that is 80-100% of the arm circumference.
100. The most significant immediate result of lowered serum calcium is: (1 point)
◯ Weakened heart action
◯ Decalcification of bones
◯ Decalcification of teeth
⚫ Hyperirritability of nerves and muscles
Explanation:
When the concentration of the ionized calcium is lowered, the more immediate effect is
hyperirritability of the neuro-muscular system results.
101. Wh ich of the following bone does not articulate with maxilla ? (1 point)
◯ Vomer
⚫ Sphenoid
◯ Ethmmoid
◯ Zygoma
Explanation:
Each maxilla articulates with nine bones: two of the cranium, seven facial bones.
Explanation:
Medial squint means there is paralysis of lateral rectus muscle which carries out lateral
movement of eye. Lateral rectus is supplied by abducens nerve.
104. The growth and development in the craniofacial region occurs in the (1 point)
following order:
⚫ The head first, then width of face and length (or) depth of face afterwwards
◯ The width of face, then head and length (or) depth of face afterwards
◯ The length (or) depth of face then width of face and the head
◯ The head first, length (or) depth of face and then width of face
105. Th e anterior triangle occupy the side of the neck in front of sternomastoid (1 point)
muscle. Each triangle presents boundaries in front:
◯ Anterior median line of the neck extending from symphysis menti to suprasternal notch
◯ The midline of the neck
⚫ Midline of the neck upto the sternoclavicular joint
◯ Posterior border of thyroid gland
Explanation:
106. Leukemia inhibiting factor, which is responsible for bone resorption and (1 point)
then releasing calcium ions from hydroxyapatite into the blood, is secreted
by
⚫ Osteoblast
◯ Osteoclast
◯ Fibroblast
◯ Monocytes
Explanation:
Explanation:
The following have been reported as turnover times for different areas of the oral epithelium in
experimental animals: palate, tongue, and cheek, 5 to 6 days; gingiva, 10 to 12 days, with the
same or more time required with age; and junctional epithelium, 1 to 6 days
108. The periodontal pathogen involved in the etiology of tonsillitis is (1 point)
◯ P. gingivalis
◯ A. Acomitans
◯ T denticola
⚫ P intermedia
Explanation:
Streptococcus salivarius and Streptococcus mitis are the first and most dominant oral
microbes to colonize the oral cavity of newborn infants.
More than 500 different species are capable of colonizing the adult mouth.
Periodontal pathogens that are involved in the etiology of tonsillitis are Fusobacterium
nucleatum and Prevotella intermedia.
One gram of plaque (wet weight) contains approximately 1011 bacteria.
Explanation:
Primary trauma from occlusion occurs if trauma from occlusion is considered the primary
etiologic factor in periodontal destruction.
In primary TFO, supracrestal gingival fibers are not affected and therefore prevent apical
migration of the junctional epithelium.
Explanation:
The virus targets the epithelial cells, which show “ballooning degeneration” that consists
of acantholysis, nuclear clearing, and nuclear enlargement. These cells are called Tzanck
cells.
Infected cells fuse, forming multinucleated cells, and intercellular edema leads to
formation of an intraepithelial vesicles
Explanation:
112. The use of antibiotics to treat plaque induced gingival diseases is (1 point)
◯ Done after scaling and root planing
◯ Done before scaling and root planing
◯ Done before and after scaling and root planing
⚫ Contraindicated
Explanation:
The use of antibiotics to treat gingival diseases is contraindicated since it is a local infection
that can be easily treated with scaling and appropriate home care by the patient
113. Th e most accurate way of evaluating the effectiveness of root planning is by (1 point)
◯ Inspect the root surface with an instrument for root smoothness
⚫ Evaluate the soft tissues 10-14 days later
◯ Use air for visual inspection
◯ Activate a curette against root surface and listen for a high pitched sound which indicates
smooth, hard surface
Explanation:
Ans: B
Explanation:
Swelling is not unusual, particularly in areas that required extensive surgical procedures.
The swelling generally begins 1 to 2 days after the operation and subsides gradually in 3
or 4 days.
If this occurs, apply moist heat over the operated area.
115. Wh ich of the tooth is most frequently involved hypercementosis? (1 point)
◯ Maxillary bicuspid
◯ Mandibular bicuspid
⚫ Mandibular molars
◯ Maxillary molars
Explanation:
116. Electrosurgery or radiosurgery uses electrical (radio) currents in the range (1 point)
of
◯ 1.0-1.5 million cycles per second, or megahertz
◯ 10.5-17.5 million cycles per second, or megahertz
◯ 8.5-9.5 million cycles per second, or megahertz
⚫ 1.5 to 7.5 million cycles per second, or megahertz
Explanation:
Explanation:
Ans: b [Shaffer’s OP 7th ed 841]
118. Wh ich of the following flap increases the width of the attached gingiva? (1 point)
◯ Modified Widman flap
◯ Undisplaced flap
⚫ Apically displaced flap
◯ Both A and C
Explanation:
It preserves or increases the width of the attached gingiva by transforming the previously
unattached keratinized pocket wall into attached tissue.
This increase in the width of the attached gingiva is based on the apical shift of the
mucogingival junction, which may include the apical displacement of the muscle
attachments.
119. A 18 years old boy presents with dislodged amalgam restoration wrt 36. (1 point)
The IOPA demonstrates the well-circumscribed radiopaque mass of
sclerotic bone surrounding and extending below the apex of mesial root.
Along with this, an intact lamina dura and widened PDL are other
additional radiographic features. What is your diagnosis?
◯ Cementoblastoma
◯ Hypercementosis
◯ Periapical cemental dysplasia
⚫ Condensing osteitis
Explanation:
Condensing osteitis arises most commonly in children and young adults and rarely in older
individuals. The tooth most commonly involved is the mandibular first molar, which presents a
large carious lesion.
The periapical radiograph demonstrates the pathognomonic, well-circumscribed radiopaque mass
of sclerotic bone surrounding and extending below the apex of one or both roots. The entire root
outline is nearly always visible, with an intact lamina dura. Periodontal ligament space is
widened and this is an important feature in distinguishing it from the benign cementoblastoma
that may closely resemble it radiographically.
120. Hand instruments are preferred over the rotary instruments in (1 point)
◯ Vertical grooving
◯ Radicular blending
◯ Flattening interproximal bone
⚫ Gradualizing marginal bone
Explanation:
121. A 34 years female presents with pale brown to deep chocolate (1 point)
colour pigmentation over buccal mucosa along with gingiva, tongue and ips.
lBiopsy shows acanthosis with silver-positive granules. Other findings are
low diurnal plasma cortisol and ACTH levels, and elevated level of BUN.
What is your diagnosis?
⚫ Addison’s disease
◯ Cushing’s syndrome
◯ Cushing’s disease
◯ MEN
Explanation:
Explanation:
123. All of the following diseases are pathologically granulomatous, except: (1 point)
◯ Tuberculosis
⚫ Behcet’s syndrome
◯ Cat scratch disease
◯ Hodgkin’s disease
Explanation:
124. Th e technique of attaining expansion of the free gingival graft by alternate (1 point)
i ncisions in opposite sides of the graft is called
◯ Classical technique
⚫ Accordion technique
◯ Strip technique
◯ combination epithelial-connective tissue strip technique
Explanation:
developed by Han et al , consists of obtaining two or three strips of gingival donor tissue
about 3 to 5 mm wide and long enough to cover the entire length of the recipient site
These strips are placed side by side to form one donor tissue and sutured on the recipient
site.
125. Wh ich of the ulcerative disease once considered as a separate disease- (1 point)
Sutton’s disease?
◯ Recurrent aphthous minor
⚫ Recurrent aphthous major
◯ Recurrent herpetiform ulceration
◯ Recurrent ulcer ass. with Behcet’s syndrome
Explanation:
Recurrent aphthous major, which is now believed to be simply a more severe form of recurrent
aphthous minor but which was thought at one time to represent a separate disease entity known
as periadenitis mucosa necrotica r ecurrens (Mikulicz’s scarring aphthae or Sutton’s disease).
Explanation:
Another potential target for host modulation could entail the use of pharmacologic agents, which
either mimic or result in elevations of endogenous anti-inflammatory or protective mediators.
Explanation:
SIRS
Two of:
Severe sepsis or sepsis syndrome is sepsis with evidence of one or more organ failures
[respiratory (acute respiratory distress syndrome), cardiovascular (septic shock follows
compromise of cardiac function and fall in peripheral vascular resistance), renal (usually acute
tubular necrosis), hepatic, blood coagulation systems or central nervous system]
Septic manifestations and multiple organ dysfunction syndrome (MODS) are mediated by the
release of cytokines such as the interleukins (IL-6), tumour necrosis factor alpha (TNFα) and
other substances released from polymorphonuclear and phagocytic cells.
128. Which of the following is not a component of Carnoy’s fixative? (1 point)
⚫ Ascorbic acid
◯ Acetic acid
◯ Ethyl alcohol
◯ Chloroform
Explanation:
129. IV fluid resuscitation is appropriate for any adult with a burn greater than: (1 point)
◯ 10% TBSA
⚫ 15% TBSA
◯ 20% TBSA
◯ 25% TBSA
Explanation:
■In children with burns over 10% TBSA and adults with burns over 15% TBSA, consider the
need for intravenous fluid resuscitation
130. Th e most common location of the squamous cell carcinoma in oral cavity is: (1 point)
◯ Dorsal surface of tongue
⚫ Ventral surface of tongue
◯ Hard palate
◯ None of the above
Explanation:
The most common sites are ventral surface of tongue, floor of mouth, lower lip, soft palate, and
gingiva.
Explanation:
132. On histologic examination of biopsy from parotid gland demonstrates cords, (1 point)
sheets, and cysts lined by squamous cells, mucous cells, and
intermediate cells. What is your diagnosis?
◯ Adenocarcinoma
◯ Cystadenoma
⚫ Mucoepidermoid carcinoma
◯ Warthin’s tumor
Explanation:
133. The most common causative microorganism/s of maxillary sinusitis is/are: (1 point)
⚫ Streptococcus pneumoniae and Hemophilus influenza
◯ Streptococcus pyogens and Hemophilus influenza
◯ Streptococcus pyogens and Hemophilus ducreyi
◯ Streptococcus pnemoniae and Hemophilus ducreyi
Explanation:
Explanation:
135. Wh ich of the viral infection is most common after organ transplantation? (1 point)
◯ HSV
⚫ CMV
◯ EBV
◯ HIV
Explanation:
The risk of viral infection is highest during the first 6 months after transplantation and the most
common problem is CMV infection. Herpes simplex virus (HSV) infection is another common
after transplantation.
PTLD (post-transplant lymphoproliferative disorder) is an abnormal proliferation of B
lymphocytes, usually in response to Epstein–Barr virus infection.
136. Maximum recommended adult dose of epinephrine in any 30 minute period (1 point)
i n a patient with history of myocardial infarction is-
◯ 0.02 mg
◯ 0.2 mg
⚫ 0.04 mg
◯ 0.4 mg
Explanation:
Maximum recommended adult dose in healthy patient is 0.2 mg, i.e. 5 fold of 0.04
Explanation:
The curved needle is held approximately two thirds the distance between the tip and base of the
needle. This allows enough of the needle to pass through the tissue while allowing the needle
holder to grasp the needle in its STRONG portion to prevent bending of the needle or dulling the
tip.
Explanation:
139. Th e minimum height of bone required for implant in anterior mandible: (1 point)
◯ 4 mm
⚫ 6 mm
◯ 8 mm
◯ 10 mm
Explanation:
Indication for bone augmentation of the anterior mandible in a patient with less than 6 mm of
bone height. Patients with greater than 6 mm of bone height can do well with implants without
bone augmentation.
140. All of the following are indication for removal of impacted mandibular 3rd (1 point)
molar, except:
◯ Preventition of jaw fracture in contact sports
◯ Management of unexplained pain
◯ Prevention of root resorption of adjacent teeth
⚫ None of the above
Explanation:
Occasionally patients complain of jaw pain in the area of an impacted third molar that has neither
clinical nor radiographic signs of pathology. In these situations removal of the impacted third
molar frequently results in resolution of this pain.
141. Wh ich of the following space infection has the highest risk to airway and (1 point)
other vital structures?
◯ Submasseteric
◯ Submandibular
⚫ Lateral pharyngeal
◯ Pterigomandibular
Explanation:
Anatomic Space
Vestibular
Subperiosteal
Space of the body of the mandible
Infraorbital Buccal
Submandibular
Submental
Sublingual
Pterygomandibular
Submasseteric
Superficial temporal
Deep temporal (or infratemporal)
Severity score = 3 (high risk to airway or vital structures)
Lateral pharyngeal
Retropharyngeal
Pretracheal
The severity score for a given patient is the sum of the severity scores for all of the spaces
involved by cellulitis or abscess, based on clinical and radiographic examination.
142. The most common complication after endoscopic sinus surgery is: (1 point)
◯ Recurrent epistaxis
◯ Reccurent sinusitis
◯ Olfactory dysfunction
⚫ Synechia formation
Explanation:
The most common complication after endoscopic sinus surgery is the formation of synechiae,
observed in approximately 8%.Although these may be asympto
matic, they may also contribute to ostial stenosis and obstruction and, ultimately, the need for
revision surgery.
Explanation:
Ans: c (Neelima Malik 4th 533) Fracture of zygomatic complex is also known as tripod fracture
144. If you are planning for presurgical orthodontics prior to orthognathic (1 point)
surgery, which of the following statement is incorrect?
⚫ Class II elastics are used in class II patients
◯ Class II elastics are used in class III patients
◯ Class III elastics are used in class II patients
◯ Class III elastics are used to upright the mandibular incisors
Explanation:
For presurgical orthodontics, class III elastics in class II patients to upright or retract the
mandibular incisors and help to procline the maxillary incisors or left in the original position.
Reverse is done in Class III cases with class II elastics.
145. Which of the following is/are the simplest form of alveoplasty? (1 point)
⚫ Compression of the lateral walls of the extraction socket
◯ Minor recontouring of alveolar bone
◯ Removal of sharp bones with rongeurs
◯ All of the above
Explanation:
Explanation:
147. Block anesthetic technique is preferred over infiltration during biopsy (1 point)
because
◯ Infiltration doesn’t provide adequate anesthesia for biopsy
◯ Block anesthetic techniques are easier than infiltration
⚫ Infiltrated anesthetic solution can cause distortion of the cellular architecture of the
specimen
◯ All of the above
Explanation:
148. Resection of tumour without disruption of the continuity of bone is known (1 point)
as
⚫ Marginal resection
◯ Partial resection
◯ Total resection
◯ Composite resection
Explanation:
149. Among the treatment guidelines proposed by Marx (1992 ), which one of the (1 point)
following is indicated to enhance microvascular reperfusion?
◯ Disrupt infectious foci
◯ Debride necrotic tissue or sequestra
◯ Drain and irrigate the region
⚫ Decortication of 1 to 2 cm beyond the area of involvement
Explanation:
Explanation:
Keen’s approach is an intraoral buccal vestibular approach used to gain access in zygomatic
complex fracture. Other options are the preauricular approach to gain access to TMJ.
151. First pass metabolism of nitrous oxide inhalational gas occurs in (1 point)
◯ Plasma
◯ Liver
◯ Kidney
⚫ None
Explanation:
152. All of the following are the cause of inadequate reversal of anesthesia, except (1 point)
◯ Shock
⚫ Hyperthyroidism
◯ Renal failure
◯ Hepatic failure
Explanation:
153. Which of the following nerve block is also called true mandibular nerve (1 point)
block?
⚫ Gow - Gates mandibular nerve block
◯ Vazorani – Akinosi nerve block
◯ Inferior alveolar nerve block
◯ Inferior alveolar + long buccal + lingual nerve block
Explanation:
Explanation:
Explanation:
Explanation:
Teeth free from bacterial infection, either in germfree animals or unerupted teeth in
humans, do not develop caries.
Oral bacteria do not occur as solitary colonies,but as members of a complex community
inbiofilm
Antibiotics are effective in reducing caries in animals and humans.
Oral bacteria can demineralize enamel in vitro and produce lesions similar to naturally
occurring caries.
Explanation:
Ans: B (ref: Sturdevants 5th edition page number 302, fig 6.27)
Rule for cusp capping: If extension from a primary groove toward the cusp tip is no more than
half the distance,no cusp capping;if this extension is one half to two thirds of the distance,
consider cusp capping; if the extension is more than two thirds of the distance, usually cap the
cusp.
158. Instrument formula of a Bin-angle spoon excavator is 13-7-14. The primary (1 point)
cutting edge angle is
◯ 25.2 degrees
◯ 14 degrees
◯ 50 degrees
⚫ 90 degrees
Explanation:
If the primary cutting edge is locally perpendicular to the blade, a three-number code
is used.
First number represents: width of the blade or primary cutting edge in tenths of a
millimeter (1.3 mm)
2nd digit: blade length in millimeters (7 mm)
3rd digit: blade angle, relative to the long axis of the handle in clockwise centigrade
(14/100*360=50 degrees). This number is always 50 or less.
Explanation:
Explanation:
when a preparation has extended onto the root surface (no enamel present),the root-surface
cavosurface angle should be either 90 degrees (for amalgam, composite, or porcelain
restorations) or beveled (for intracoronal cast metal restorations).
Explanation:
Explanation:
During the initial tooth preparation, the bur depth is usually no deeper than 0.8 to
1.25mm pulpally from the original (when unaffected) tooth surface.
The lesser axial wall depth (0.8mm) is at a gingival wall without an enamel portion (i.e.,
the margin is on the root surface).
The correct axial wall depth at the occlusal (incisal) wall is that which provides a 0.5 -mm
extension into dentin (the remainder being enamel)
164. Th e subgingival fracture line that extends below the level of alveolar crest (1 point)
belongs to
◯ Class I
◯ Class II
⚫ Class III
◯ Class IV
Explanation:
Class I: Fracture line does not extend below the level of attached gingiva
Class II: Fracture line extends below the level of attached gingival, but not below the
level of alveolar crest
Class III: Fracture line extends below the level of alveolar crest
Class IV: Fracture line is within the coronal third, but extends below the level of alveolar
crest
165. Wh ich one of the following is not true regarding principle motion of (1 point)
i nstrumentation?
◯ In step-back technique, Coronal instrumentation with reaming motion and apical
instrumentation with circumferential filing.
◯ In step- down technique, the principle motion of instrumentation is reaming motion.
⚫ In step- back technique, the principle motion of instrumentation is filing motion.
◯ In hybrid technique, Coronal instrumentation with reaming motion and apical
instrumentation with circumferential filing.
Explanation:
Explanation:
167. Te vdek sutures used for endodontic microsurgeries are usually removed (1 point)
after
◯ 24-36 hours
⚫ 48-72 hours
◯ 72-96 hours
◯ 7 days
Explanation:
Tevdek sutures are the first braided polyester suture. They are one-third stronger than silk and
are coated with impregnated Teflon, originally designated for cardiac surgery due to their
strength and low friction while moving through tissue and due to their nonstick surface that
causes less bacterial adhesion. Sufficient healing should have occurred after 48 hours for suture
removal, however, it should not be left longer than 96 hours due to ‘wicking’ effect that may
cause post-operative infection
168. Wh at is the approximate length of penetration into the dentin by the (1 point)
bacterial cells from the main root canal?
◯ 200 µm
⚫ 300 µm
◯ 400 µm
◯ 500 µm
Explanation:
Dentinal tubule infection can occur in about 70% to 80% of the teeth evincing apical
periodontitis lesions
Explanation:
Explanation:
172. Which of the following amino acid is not the constituent of collagen fibres? (1 point)
◯ Glycine
◯ Proline
◯ Hydroxyproline
⚫ Lysine
Explanation:
Collagen is rich in proline and glycine, both of which are important in the formation of the triple-
stranded helix. The glycine residues are part of a repeating sequence, –Gly–X–Y–, where X is
frequently proline and Y is often hydroxyproline (but can be hydroxylysine). Thus, most of the α
chain can be regarded as a polytripeptide whose sequence can be represented as (–Gly–Pro–
Hyp–).
173. Th e optimum temperature for most human enzymes is between 35 and (1 point)
40°C. What would happen to the reaction velocity if the temperature is
in creased above 40 degrees?
◯ Increase
⚫ Decrease
◯ No effect of temperature
◯ First decrease slightly and then increase
Explanation:
The reaction velocity increases with temperature until a peak velocity is reached. This increase is
the result of the increased number of molecules having sufficient energy to pass over the energy
barrier and form the products of the reaction.
174. The glucose transporter associated primarily with the transport of fructose (1 point)
is
◯ GLUT-2
◯ GLUT-2
◯ GLUT-4
⚫ GLUT-5
Explanation:
GLUT-1, GLUT -3, and GLUT-4 are primarily involved in glucose uptake from the blood. In
contrast, GLUT-2, which is found in the liver and kidney, can either transport glucose into these
cells when blood glucose levels are high, or transport glucose from these cells when blood
glucose levels are low (for example, during fasting). [Note: GLUT-2 is also found in pancreatic β
cells.] GLUT-5 is unusual in that it is the primary transporter for fructose (instead of glucose) in
the small intestine and the testes.
176. In which of the following analysis measurement of lower incisors is not (1 point)
done:
◯ Stanley Kerber
⚫ Huckaba
◯ Moyer's
◯ Tanaka & Johnson
Explanation:
Huckaba developed a method for overcoming the effect of radiographic distortions while
measuring the permanent canines and premolars MD width, using an equation relating the
measures of erupted teeth to their radiographic images in order to obtain the proportional
dimensions of unerupted teeth.
Explanation:
Where the patient has a complete upper denture and only anterior mandibular teeth remaining, so
called combination syndrome or Kelly's syndrome may be evident. Loss of vertical dimension of
occlusion and dramatically altererd facial esthetics, giving rise to a Witch's chin (Option C is
wrong).
Explanation:
Finishing provides a relatively blemish free, smooth surface. It is usually accomplished with 18-
30 fluted carbide burs or abrasives between 8-20 microns.
Explanation:
Explanation:
181. Bone resorption around a tooth apically will shift the centre of (1 point)
resistance_____ _ _ ?
◯ Coronally
◯ At CEJ
⚫ Apically
◯ Remain same
Explanation:
The centre of resistance of a tooth is a point on the tooth where a single force would produce
translation, i.e. all points on the tooth moving in parallel straight lines. The centre of resistance
(CRes) of a healthy tooth is about 2/5th the length of the root from the alveolar crest to the apex.
Root length
Alveolar bone height. Shift apically in case of alveolar bone loss
The root morphology- single or multirooted teeth
182. Parameter not used to measure degree of retrusion or protrusion of lower (1 point)
ja w:
◯ Facial angle
◯ ANB
⚫ Facial axis angle
◯ Na-Pog perpendicular
Explanation:
Facial axis angle: This angle is formed by the intersection of basion-nasion line and the facial
axis. The angle describes the direction of growth of mandible at chin. A larger angle indicates
horizontal direction of mandibular growth while a smaller angle is suggestive of more vertical
growth. Facial axis angle remains stable in a normally growing child or reduces a little.
Explanation:
184. All of the following are First order bends except: (1 point)
◯ Lateral Inset
◯ Toe-in bend
⚫ Tip Bend
◯ Molar offset
Explanation:
Explanation:
In both males and females, the maxillary intercanine dimension serves as a safety valve
mechanism to control mandibular growth during pubertal growth spurts, where there is a basal
horizontal mandibular growth partly unmatched by the growth of maxilla, as the mandibular
grows downward and forward. The maxillary intercanine dimension adjusts as the mandibular
dentition is brought forward, thus eliminating the flush terminal plane relation or residual class II
tendencies.
Explanation:
With the lip bumper, a labial appliance fitted to tubes on the molar teeth, the idea is that the
appliance presses against the lip, which creates a distal force to tip the molars posteriorly without
affecting the incisors.
187. A 21 year old male healthy patient reported with a prognathic mandible, (1 point)
intraorally he has anterior crossbite and class III molar relationship,
cephalometrically has an SNA of 78 degrees, SNB of 89 degrees: What
would be the treatment of choice for the adult class III skeletal malocclusion
with prominent chin?
◯ Functional appliance
◯ Fixed orthodontics
◯ Functional Jaw orthopedic correction
⚫ Surgical orthodontics
Explanation:
ANS: D
Normal SNA angle is 82 degrees and SNB is 80 degrees with ANB angle of 2 degrees. In this
case the ANB is -11 degrees, which means the patient is having severe class III. This
malocclusion can be corrected with surgical orthodontics keeping also the age (21) in mind
where growth is almost completed.
188. Niroj, a 13-year old child has a severe thumb-sucking habit. On examination (1 point)
he has a class-II malocclusion, anterior open bite with an over-jet of 12mm.
His cephalogram will show:
◯ Normal anterior and posterior facial heights
⚫ Increased anterior facial height and normal posterior facial height
◯ Increased posterior facial height and normal anterior facial height
◯ Increased posterior facial height and increased anterior facial height
Explanation:
ANS: B
189. Dr Bikram, Dr Saroj, Dr Kanchan and Dr Milan did model analysis by (1 point)
Johnson and Tanaka; Moyer's; Stanley and Kerber and Wits analysis.
Wh ich one will give the best results ?
◯ Johnson and Tanaka
◯ Moyer's
⚫ Stanley and Kerber
◯ Wits
Explanation:
ANS: C
Stanley-Kerber method will give the best prediction of tooth size followed by Tanaka Johnson
and Moyer's analysis.
190. Ideally, functional appliance to treat the mandibular deficiency of skeletal (1 point)
class II in case of girls should be given during:
◯ Deciduous dentition
◯ Early mixed dentition
⚫ Late mixed dentition
◯ Permanent dentition
Explanation:
Best period for myofunctional therapy is the late mixed dentition period.
Explanation:
Sublingual spray: 0.4 mg, Transdermal patch: 0.2-0.8 mg every 12h, IV: 5-200 mcg/min
193. Urgent CT scan is mandatory for a patient with mild head injury, if: (1 point)
◯ GCS <14 at any point
◯ One episode of vomiting
⚫ Age >65 years old
◯ All of the above
Explanation:
■ GCS 13 or 14 at 2 hours
■ Seizure
■ Age >65
Explanation:
Explanation:
Explanation:
197. The drug most likely to cause harmful interaction in patient taking warfarin (1 point)
is
⚫ Metronidazole
◯ Ampicillin
◯ NSAIDS
◯ Nystatin
Explanation:
Although a popular oral anticoagulant, warfarin has important drug interactions that could occur
in the dental practice setting, the most significant being with metronidazole. There have been
several reports of significant bleeding in patients taking warfarin with concomitant use of
metronidazole.
Warfarin consists of two stereoisomers, S(-) and R(+). It is hypothesised that metronidazole
inhibits the metabolism of one of the stereoisomers, leaving the more potent stereoisomer in
circulation, and therefore leading to a prolonged and dangerously enhanced anticoagulant effect.
Interestingly, if metronidazole is unavoidable then current research advises warfarin reduction
should be between one-third and one-half of the established patient dose.
Explanation:
Explanation:
Explanation:
It should be non-maleficence.
118) The method of repayment where patient pays a percent of total cost
a) Loan
b) Co – Incurance
c) Reasonable fee
d) Fee for Service
Wrong answer :
C Correct
answer : B
105) Among the first line drugs used for the treatment of Tuberculosis, least
hepatotoxic is
a. Isoniazid
b. Pyrizinamide
c. Rifampicin
d. Streptomycin
Wrong answer :
C Correct
answer: D
( Except streptomycin all of the above drugs are hepatotoxic, Isoniazid and
pyrizinamide are more potent but the most hepatotoxic is Pyrizinamide )
We are extremely sorry for the inconvenience caused due to these errors. We will
appreciate your feedback regarding the quality of the test. Please feel free to point our
mistakes if there are any.
THANK YOU!
We want to thank
Dr. Deepak Kumar Roy (consultant, endodontics, KMCTH)
Dr. Megha Pradhan Joshi (HOD, Dept. of Pedodontics, KMCTH)
Dr. Junu Lohani (consultant, Prosthodontics, KMCTH)
And all the faculties of KMCTH who are constantly helping us in making these tests possible.