Final Year BDS Pre-Prof Exam-2020 (Online)

Operative Dentistry (27-10-2020)

Name--------------SIOHS-------------------------------- Roll no---- YOURS
TRUELY---------------------------

1. While placing composite restoration the dentist has to be extremely careful as the procedure is technique
sensitive, how can a dentist avoid the problem of polymerization shrinkage?
a. the distance between light and cavity is minimum
b. the light used is of high intensity
c. the composite is placed in increments
d. the composite is placed in 2 mm increments
Answer: ________

2. The early lesion is a white spot which appears on the surface of the enamel. the extension of caries is cone
shaped with the base towards the outer enamel surface and the apex towards the amelodentinal
junction.The zone which contains appetite crystals larger than the normal enamel, the zone of maximum
demineralization is:
a. Translucent zone
b. Dark zone
c. Body of the lesion
d. Surface zone
Answer: ________

3. The instrument based on infrared laser fluorescence:

a. scanning acoustic microscope
b. diagnodent
c. vanguard electronic caries detector
d. electronic caries monitor
Answer: ________

4. The dye used for detection dentinal caries is

a. Brilliant blue
b. acid red system
c. procion
d. calcein
Answer: ________
5. Dens in dente is more common in
a. maxillary central incisor
b. maxillary lateral incisor
c. maxillary canines
d. mandibular lateral incisor
e. Answer: ________

6. Patient gives a history of trauma over one year back on tooth #22 and now reports a pink spot on the it.
Which one of the following is most likely diagnosis?
a. External resobtion
 b. Internal resorption
c. Pulp polyp
d. Chronic hyperplastic pulpitis
Answer: ________

7. A 25 yrs old female patient came in opd with limited mouth opening and severe pain and swelling in upper
right side since last night. Obliteration of nasolabial fold of upper right side is noted.On clinical exam upper
right canine is carious.Patient is febrile and Lymph nodes are palpable. What will be the periapical
diagnosis?
a. Acute apical abcess
b. Chronic apical abcess
c. Necrosis
d. Asymptomatic apical periodontitis
Answer: ________

8. A 8 years old boy presented to the dental OPD with trauma to upper anterior teeth due to a root traffic
accident.Special care should be taken in restroration of a tooth with mesial and distal carious lesion.
Regading treatment of his anterior teeth, Vital pulp therapy will be indicated in case of which one of the
following?
a. Uncomplicated crown fracture
b. Complicated crown fracture
c. Root fracture
d. Laxative injuries
Answer: ________

9. Which of the following is true as related to pulp tissue involvement in acracked tooth?
a. The fracture always includes the pulp tissue.
b. The fracture never includes the pulp tissue.
c. The more centered the fracture, the greater chance for pulp exposure.
d. The more facial or lingual oriented the crack, the greater the chance for pulp exposure.
Answer: ________

10. What is the common direction that fractures extend in cracked teeth?
a. mesiodistal
b. faciolingual
c. apical to coronal
d. horizontal
Answer: ________

11. After access preparation of a suspected cracked tooth, the crack line is seento extend through the
chamber floor. In this case, what is the prognosis andrecommended treatment?
a. Prognosis is favorable and continue with root canal treatment.
b. Prognosis is questionable, inform patient and continue with treatment.
c. Prognosis is hopeless, and extraction is recommended.
d. It does not change the original prognosis, and the treatment plan is not altered.
Answer: ________

12. Class III amalgam restorations are usually prepared on:

 a. Distal surfaces of anterior teeth.
b. Mesial surfaces of canine.
c. Distal surfaces of canine.
d. Distal surfaces of incisors and mesial surfaces of canine.
Answer: ________

13. Pits and fissure sealants are usually derived from:

a. BIS-GMA resin.
b. Polyurethanes.
c. Zinc phosphate.
d. Both A and B.
Answer: ________

14. Primary reason for beveling the labial surface

a. Provide a better marginal seal
b. Provide more surface area for bonding
c. Remove fluoride rich enamel surface
d. Remove unsupported enamel margin
e. Answer: ________

15. Patient came to an OPD for routine checkup. On clinical examination patient has an end point of
mandibular closure withmaximum intercuspation of teeth. This phenomenon is known as
a. Centric relation
b. Centric occlusion
c. Centric closure
d. Eccentric relation
Answer: ________

16. A 21 years old patient came to opd with the complaint of swelling beneath left eye since two days. Loss of
definition of the nasolabial fold on left side of the nose can be seen. which one of the following space
infection is most likely involved?
a. submental space infection
b. Cervical space infection
c. Canine space infection
d. Buccal space infection
Answer: ________

17. A 45-year-old female patient is suffering from hypersensitivity to hot and cold stimulus in her maxillary
anterior teeth. She is a patient of Gastroesophageal reflux disease. On clinical examination the lingual
surfaces ofher maxillary anterior teeth have tooth surface loss with a characteristic glassy smooth
surfaceWhich of the following best describes this clinical condition?
a. Abrasion
b. Erosion
c. Attrition
d. Abfraction
Answer: ________
18. During clinical examination, a lesion with a whitish appearance and porous surface is found on the labial
surface of maxillary first premolar in a 15-year-old male patient. It feels rough when the tip of a CPITN
probe or blunt explorer is moved gently across the surface. Which of the following best describes this
clinical condition?
a. Dental caries
b. White spot lesion
c. Incipient caries
d. Hypomineralization
Answer: ________

19. While making a class 1 cavity for amalgamrestoration in lower molar, regarding outline form, which
statement is most appropriate
a. It is the shape of the boundaries of the completed cavity
b. Is the last step of cavity preparation?
c. Gives retention to restoration
d. Does not requires complete excavation of cavities
Answer: ________

20. A 25 years old female presents to the opd with the complaint of a big hole in her otherwise asymptomatic
upper right 2nd molar. After clinical and radiographic examination, she was informed that her pulp
chamber has been involved by the carious lesion and she requires endodontic therapy. Reason for no pain
in asymptomatic irreversible pulpitis is:
a. Activation of opioid receptors in pulp
b. Microabcess in coronal pulp
c. Nerve degradation before obliteration of blood supply
d. Referred pain
Answer: ________
21. A patient came to dental OPD for a carious lesion on tooth no 46. A house officer prepared class 2 cavity,
in a cavity preparation cavo-surface margin will be junction of
a. Cavity wall/floor and adjacent tooth surface
b. Cavity wall and floor
c. Floor of occlusal box and approximal box
d. Axial wall and occlusal
Answer: ________

22. ICDAS is a two-stage, two-digit coding system comprised of a code for the restoration and sealant status of
the tooth surface, followed by a code for the caries severity. Code # 2 for caries severity codes refers to:
a. Distinct visual change (opacity or discoloration) in enamel
b. Visual change (opacity or discoloration) in enamel hardly visible on the wet surface but distinctly
visible after air drying
c. Extensive distinct cavity with visible dentin
d. Distinct visual change (opacity or discoloration) in enamel, visible without air drying
Answer: ________

23. Which of the following is the most effective method of sterilizing cloth surgical packs and towel packs?
a. Chemical vapor pressure sterilization (chemiclave)
b. Dry heat sterilization (dryclave)
c. Ethylene oxide (ETOX) sterilization
 d. Steam pressure sterilization (autoclave)
Answer: ________

24. Dietary carbohydrates are necessary for the bacteria to produce the acids that initiate demineralization.
Dietary advice for caries prevention is based on the principles which is:
a. The frequency of intake is more important than the quantity
b. fluoride administration was far more effective in reducing caries than lowering sugar supplies
c. the stickiness of foods is an important factor in their cariogenicity.
d. the frequency and quantity of intake are equally important
Answer: ________
25. Which one of the following is the major disadvantages of anInlay?
a. Technique sensitive.
b. Expensive.
c. Laboratories are not specialized to fabricate it properly.
d. Debond and expensive as compared to amalgam and composite

Answer: ________

26. Which of the following steps are imperative for the dentist to follow to accurately match the shade of the
restoration with the underlying tooth substance?
a. shade selection after rubber dam application
b. shade selection after significant wetting
c. shade matching should start at beginning of the appointment
d. the trial should continue for at least 10 minutes
Answer: ________

27. For placing composite restorations in class 3 cavities the facial access to the carious lesion is avoided. In
which one of the following condition is the facial access desirable for class 3 cavities?
a. for beveling of the line angles
b. when the lesion is big enough to involve facial enamel
c. for removal of unsupported enamel
d. to enhance bonding
Answer: ________

28. There are many ways to isolate an area of the mouth or a tooth so that restorative services can be
performed without interference from soft tissues, the tongue, saliva, or other fluids. The advantage of
plastic frame holder of rubber dam is:
a. Radiolucent
b. less bulk
c. last for years
d. have shorter life span

Answer: ________

29. What is the consequence of non-vital bleaching in an endodontically treated tooth when GIC lining is not
used?
a. Leakage of by products
 b. External root resorption happens
c. Efficacy of procedure is reduced
d. Chances of tissue toxicity
Answer: ________

30. The causes of staining need to be assessed carefully to better predict the rate and degree to which
bleaching will improve tooth color. Which of the following is most likely to produce yellowish discoloration
of teeth?
a. Pulp necrosis
b. Calcific metamorphosis
c. Endemic fluorosis
d. Systemic drugs
Answer: ________

31. Direct pulp capping is an attempt to maintain pulpal vitality by placing a material directly over the exposed
pulp Difference between calcium hydroxide and MTA is: 
a. MTA weakens tooth structure
b. MTA has high pH
c. MTA is radiopaque
d. MTA provide seal to tooth structure
Answer: ________

32. There are few contraindications for bleaching, whether in-office or at home dentist-prescribed techniques
are being considered. In-office bleaching is not recommended in following condition
a. High caries risk
b. Poor oral hygiene
c. Malocclusion
d. Large pulps
Answer: ________

33. In class III wide bevel is usually avoided, but in situations where maximum esthetics is required, the bevel
can be given on following surface
a. 2mm mesial surface
b. 3mm facial surface
c. 2mm lingual surface
d. 2mm facial surface
Answer: ________

34. A 15-year-old boy came with the history of fall 2 days back. On clinical and radiographic examination his
11 had crown fracture with pulpal exposure. The patient came with the piece of broken tooth. What
would be the best treatment of the above case?
a. Acid etch composite restoration
b. Vital pulp therapy followed by reattachment of crown fragment
c. Vital pulp therapy with composite restoration
d. Endodontic treatment zirconium crown
Answer: ________
35. Periapical radiographic films are available in different sizes for adults and child Size of intraoral
radiographic film for children is:
a. 20 X 30 mm
b. 22X 35 mm
c. 27 X 54mm
d. 31 X 41mm
Answer: ________
36. A house officer is performing endodontic therapy of lower right first molar. While taking working length
radiograph. Overlapping canals that is mesial root of mandibular molar can be visualized using which
radiographic technique?
a. Parallel technique
b. Bisecting angle technique
c. SLOB technique
d. Bitewing x rays
Answer: ________

37. A general dentist has to restore lower right first molar of a 16 years old girl. On periapical radiograph, the
carious lesion seems very close to the pulp horn. Patient complaints of sensitivity after having cold which
lasts for a minute. what is the single most important factor in protecting the pulp from insult?
a. Method of removal of carious lesion
b. Tooth isolation
c. Remaining dentine thickness
d. Line or base application
Answer: ________

38. What is the purpose of silane in resin? the given explanation best corresponds to which one of the
following.
a. Increases Setting time
b. Adhesion of filler particles with matrix
c. Improves physical properties
d. Increases polymerization shrinkage
Answer: ________

39. Sedative drugs are CNS and respiratory depressants. It is important that dental surgeons working with
children have a very clear idea of the clinical status of sedated patients so that unintended loss of
consciousness can be avoided. Child can be monitored with which one of the following other than clinical
status?
a. blood pressure
b. pulse oximetery
c. Laser Doppler Flowmetry
d. Thermometer
Answer: ________

40. Occasionally, teeth vary significantly in root or, more likely, in pulp anatomy. a small tubercle in
mandibular premolar which often contain an extension of the pulp
a. Dens in dente
b. Dens invaginatus
 c. dilaceration
d. dens evaginatus
Answer: ________

41. Permanent incisor teeth may have an additional cusp arising from the lingual cingulum, often referred to
as:
a. Cusp of carabelli
b. Talon cusp
c. Dens in dente
d. Extra cusp
Answer: ________

42. The pulp chamber and floor provide a guide to determine the morphology and location of canal orifices.
according to the “orifices location 1 law”:
a. Canal orifices are located at the line angles in the floor wall junction
b. Canal orifices are located at the junction of walls and the floor
c. Canal orifices are equidistant
d. Pulp chamber floor color is always darker than the walls
Answer: ________

43. You were performing endodontic therapy of tooth # 46. A 4mm #10 K file separated in mesiolingual canal.
What should be your first line of action in management of separated instrument.
a. File retrieval
b. File bypass
c. Clean and obturate over the separated file
d. Extraction
Answer: ________

44. Rubber Dam placement is mandatory before endodontic procedure. If inadequate tooth structure is
present for rubber dam placement, then coronal tooth structure is replaced.Which one of the following is
least appropriate option for coronal tooth structure replacement?
a. Temporary restoration
b. Band placement
c. Coronal buildups
d. Crown lengthening
Answer: ________

45. Mechanism of action of fluoride to prevent caries development is:

a. Enhancement of remineralization
b. Formation of fluoroapatite which is more acid stable than hydroxyapatite
c. Inhibition of microbial growth and metabolism
d. Ability to arrest primary caries

Answer: ________
46. Any debris calcific in nature produced by mechanical instrumentation of enamel, dentin and cementum is
known as:
a. Pellicle
b. Smear layer
 c. Biofilm
d. Macro tags
Answer: ________

47. Type 1 Enamel etching pattern is

a. Etching is less distinct
b. Dissolution of prism core
c. Dissolution of prism peripheries
d. Prism less area
Answer: ________
48. An acute exacerbation of a periradicular pathosis after the initiation or continuation of nonsurgical root
canal treatment.” Refers to
a. Anaphylactic reaction
b. Flare up
c. Irreversible pulpitis
d. Reversible pulpitis
Answer: ________

49. Nitrous oxide sedation is the most widely used technique for the pediatrics dental patient and can be
used in primary care settings. which one of the following is the absolute contraindication for nitrous oxide
sedation?
a. Mouth breathers
b. Nasal or facial deformity
c. Inability to cooperate or understand.
d. Mildly anxious children
Answer: ________

50. Matrices are placed for interproximal restorations for restoring normal contour and contact areas and to
prevent extrusion of restorative materials into gingival tissues. The most common matrix system used for
class 2 posterior restorations is:
a. Tofflemire retainer and universal band
b. Clear mylar strip
c. T-band matrix
d. Auto matrix system
Answer: ________