٢ ‫اﻟﻤﻠﻒ اﻟﺬﻫﺒﻲ‬

Corrected by yes we can

2021

(1)A 14-year-old boy has recently started orthodon.c treatment using xed
appliances. He was referred to the periodontal Clinic for improper oral hygiene
and generalized gingival inamma.on. Which of the following is the most effec.ve
brushing technique for this pa.ent?
A. Bass technique

✅✅
B. S.llman technique
C.charter's technique
D. Modied bass technique

(2) 26year-old man presents to the Dental Clinic with acute necrotizing ulcerative
gingivitis.The patient had poor oral hygiene, multiple caries and par.ally erupted
lower 3rd molars. Which of the following are referred to as primary incubation
zone this case?
A. Dental cavitie
B. Pericoronai aps
C. Periodontal pockets
D. Pre-existing chronic gingival disease✳✳
(3) A patient presented to the clinic complaining from clicking sound when the
dentures contact during speech and eating. The dentures are new and were
recently inserted.
What type of denture teeth would cause this clicking sound?

✅✅
A. Gold
C.Porcelain
D. Acrylic with gold occlusal surfaces

(4) A 38-year-old man came to the dental clinic saying "l am feeling pain during
opening and closing my mouth, and my jaw catches when I open wide". Clinical
examina.on conrmed a limited range of mouth opening with a slight devia.on to
the right side. However, a clicking sound is present during opening and once
again during closing the mouth. Which of the following is the most likely
diagnosis?
A. Closed lock

✅✅
B. Internal derangement
C. Functional disc dislocation with reduction
D. Functional disc dislocation without reduction

5. Which of the following is the function of the instrument -bands for space
maintainers ?
A. Initially to push the band by the dentist the end for nal positioning of th nd by
dentist✳✳

B. Initially to push the band by asking the pa.ent to bite it

C .At the end for nal positioning of the band by asking the patient to bite on it

6- Which of the following systemic condi.ons can result in gagging in old denture

✅✅
wearers?
A. adenoids
B. diabetes mellitus
C.vitamin D deciency
D.hormonal replacement
(7) An edentulous pa.ent presented to the clinic requesting the replacement of
his upper and lower dentures. The dentures were worn for 25 years and during
this period they fractured and were repaired several times. On examination, the
dentures had worn down teeth, the mandibular teeth hada at occlusal plane and
dentures were unstable. The soft tissue Covering the residual ridge was mobile
and abby the plan was to replace the exis.ng prosthesis .

Which of the following dena.ve impression techinques would be preferred in this

case ?

✅✅
A. Admix
B. Mucosta.c
C. Plasrter stent
D. Applegate controlled displacement

(8) A 9-year-old boy abended for dental check-up. History and clinical
examina.on revealed deni.ve posi.ve behavior, mul.ple restora.ons on primary
teeth and fully erupted sound rst permanent molars.
Which of the following would be the preven.on provided in this case?
A .prophylaxis and topical uoride gel applica.on
B .prophylaxis and topical uoride varnish applica.on
C .prophylaxis, topical uoride applica.on and unlled resin ssure sealants for
permanent molars ✳✳
D . Prophylaxis topical uoride applica.on and glass ionomer cement ssure
sealants for permanent molars

(9) After attempting a pulpotomy procedure in a primary molar the bleeding

continued. Which of the following is the probable cause?
A.necrotic pulp

✅✅✅
B.coronal pulpal inammation
C.radicular pulpal inammation
D. intra-canal abscess forma.on
(10) Which of the following is a clinical characteris.c feature of Class I
,malocclusion?
A .calculus deposits

✅✅✅
B .interproximal caries
C . dental malalignment
D .perfectly aligned teeth

11. A 27-year-old man presented to the dental clinic complaining of severe pain
related to lower left area. upon examination, an inamed uctuant swelling
covering partially mandibular left third molar was noticed with no regional lymph
node involvement (see image) Which of the following would be the initial
management?
A. drainage

✅✅
B systemic antibiotic
C.debridement and irrigation
D .extraction of the 3rd molar

12. A periodon.st is performing a scaling procedure.

Which of the following instruments is the operator using (see image)?
A . scaler
B .chisel
C.curette
D .bone le
‫✳✳ ﻻزم ﻧﺸﻮف اﻟﺼﻮرة‬

14. 24 – year old man came with a brotic thickening in the gingiva that needed
to be surgically reshaped and contoured The patient had no gingival pockets
(see image) Which of the following is the name of the needed procedure for this

✅✅
patient?
A. gingvoplasty
B. gingivectomy
C. gingival curettage
D. gingival augmentation
15. A-52year-old man came to the dental clinic for periodontal treatment. Upon
examina.on, he has severe inamma.on of the gingiva. The pa.ent gave history
of smoking cigarebes for the last 30 years.

✅✅✅
Which of the following does smoking cause?
A.affect periodontal vasculature
B.decrease surgical wound infrc.on
C.reduces prolifera.on of periodontal pathogens
D.promotes immune response to the invading periodontal bacteria

✅✅
16. Which of the following signs is a strong indicator for implant failure?
A .implant mobility
B.ver.cal bone loss
C.soft tissue swelling
D. bleeding on probing

17. A 14-year-old girl went to the dental clinic. On examination, the dentist found
potruded maxillary central incisors incomplete lips nd maxillary molars are in
anterior relationship with mandibular molars.
Which of the following is the angle classication of this malocclusion?

✅✅
A .class I
B class ll. Division1
C. class Il, division 2
D.class Ill

✅✅
(18) Which of the following periodontal probes has a 0.5 ball at the tip?
A.WHO probes
B.nabers probes
C. William probes
D .marquis probes

(19 A 19-year-old man is complaining of bleeding while brushing his teeth.

Clinical examination reveals normal probing depths and no attachment loss (see
report) Radiographs: show normal bone levels Which of the following is the main
e.ologic factor of the complaint?
A.malocclusion
B.dental calculus

✅✅
C.occlusal trauma
D .bacterial plaque

20. A complete denture patient came back for post Upon examination, there was
soreness on the crest f the mandibular ridge on the left side.
Which of the following is the most likely the cause?

✅✅
A.hypersensitivty contact
B.pre mature occlusal contact
C.poor nal impression record
D.incomplete polymerization of the denture base

(21)How can xylitol-containing chewing gums reduce caries in children if used

routinely?
A.altering the formation of enamel crystal

✅✅
B.enhancing the process of reminalization
C.decreasing sreptococcus mutans levels in saliva and plaque
D .increasing the resistance of tooth structure to demineralization

22. A 45-year-old healthy woman presented to the clinic complaining of bleeding

on brushing. Clinical examina.on revealed generalized probin depth that ranged
from 5-7 mm, generalized bleeding on probing horizontal 40 bone loss, hin
tissue. Which of the following is the most likely treatment of choice?
A.polish the revaluate after 4-6 weeks

✅✅
B.graft site connec.ve tissue graft
C.scaling and root planing then revaluate after 4_6 weeks
D .do not do any treatment as it wilt induce gingival rescission
24. A 44-year-old woman presented to the dental clinic, she is a known case of
hypertension and she is takin nifedipine .Clinical examina.on revealed that she
has generalized drug gingival enlargement.
Which of the following is the best subs.tute medica.on that has no inuence on
gingival enlargement in this case?
A .cardizem
B .feladipine

✅✅
C .verapamil
D .isradipine

25. A patient wearing a denture with extremely resorbed mandibular ridge

complains of pain and paraesthesia of the lower lip. Which of the following is the
most probable case?
A.denture stomatitis

✅✅
B.vitamin B-complex deciency
C.pressure on the mental nerve by denture base
D. irritation of the lower lip from denture anges

(27) A dentist plans to provide implant-supported xed complete denture

following 2-stage surgical protocol. To start with 4 implant were surgically placed
in the inter-foramina region of the edentulous mandibular arch. Before suturing
the ap, the implant openings were closed with small metallic components
supplied as part of the implant packet. The implants and the components were
allowed to remain buried under the gum until their exposure at the second
surgical stage.
Which of the following could be these metal components?

✅✅
A . healing - cuff
B.cover screws
C. abutment screws
D .healing abutment

(28) An 8-y -old boy is brought to the dental clinic with a traumatized left maxillary
central inciso months after a •c injury. Upon clinical and radiographical
examina.on, the pulp was found to non-vital with no periapical lesion. Which of
the following will be the best management?
A . root canal apexica.on treatment ✅✅
B .conven.onal root canal treatment
C.calcium hydroxide direct pulp treatment
D.calcium hydroxide indirect pulp treatment

(30) A 54-year-old woman is complaining of enlarged gingiva involving most of

her teeth. The medical history revealed that she end stage renal disease since 4
years ago. The pa.ent is taking mul.ple medica.ons for her medical condi.on. She
reports no.cing the gingival enlargement a few months aLer her transplant
surgery. Which of the following medica.ons is most likely associated with her
gingival enlargement?
A .phenytoin
B.nifedipine
C.amlodipine

✅✅
D.cyclospoine ( taken with renal transplanta.on as immunosuppressant
medica.on )

(31) A periodontist is performing resective osseous surgery for his pa.ent. during
the procedure, interproximal bone level varied horizontally, with areas of
one-walled interproximal defects (hemiseptal defects being observed.
Consequently, the had to correct these areas during the procedure.
Which of the following is best describes the correc.on step?
A .vertical grooving
B .radicular blending
C .gradualizing marginal bone at
D. .gradualizing marginal bone

(32) Which of the olowing would be the most common extraction pattern for a
camouage treatment for an adult lass Ill patient with no crowding?

✅✅
A .extrac.on of upper 4s
B.extrac.on of lower 4s
C.expansion in both arches
D.extrac.on of upper 4 s and expansion in lower arch

(33) Which of the following is the basic type of curette?

A.langer and gracey
 ✅✅
B.gracey and Columbia C.mini ves and after ves
D. universal and area specic(gracey)

(34) There are clinical instances in which simultaneous bone resorption is

increased along the mesial surfaces of the teeth, and new bone is formed along
the distal surfaces of the same teeth.
Which of the following is an example for such instances?

✅✅
A .orthodontic tooth extrusion
B .physiological mesial migration
C.orthodontic widening of distema
D.tooth in infra occlusion due to root ankylosis

35. Which of the following periodontal phenotypes is associated with thinner

mean of buccal bone thickness?
A .thin at phenotype

✅✅
B.thick ate phenotype
C.thin scalloped phnotype
D .thick scalloped phenotype

(36) Which of the following landmarks will best guide esthe.c arrangment of

✅✅
maxillary anterior teeth in comptete denture?
A. incisive papilla
B.midline of the nose
C.median pala.ne suture
D.anterior maxillary ridge

(37) A 64-year-old pa.ent presented with severe occlusal wear of his maxillary
single complete denture, which is opposing a mandibular, class I metallic par.al
denture. The lower denture rests on the mandibular canines only. The pa.ent did
not see his dentist for the last 5 years and reported that he was using the
prosthesis for 8 years. Clinical examina.on revealed epulis ssuratum and bone
loss around the anterior mandibular teeth. Which of the following will be the
clinical presenta.on of the anterior maxillary ridge?
 ✅✅
A .at
B.abby
C .knife edge
D .hyperplastic

38. A dentist is performing periodontal charting. He is trying to calculate the

clinical abachment loss in the distobuccal site for tooth #11. In the concerned
area, the gingival margin is 2 mm coronal to the cementoenamel junction and th
probing depth is 2 Which of the following is the clinical attachment loss is that

✅✅
site?
A. 0mm
B. 2mm
C. 4mm
D. 6mm

**Pseudo pocket / 2-2=0

(39) Which of the following areas is gracey curebe no. 11-12 indicated for?
A anterior teeth labial
B .posterior teeth distal

✅✅
C .premolar teeth lingual
D.posterior teeth mesial

40) Which of the following is the rate of slow palatal expansion?

A . 0.5 mm in two weeks
B.1mm every other day

✅✅
C. 0.5 mm every other day
D. 0.25mm every other day
41)
A 32-year-old pregnant woman walks in the clinic complaining of a large swelling
in the gingiva. Clinical examina.on revealed poor oral hygiene and a large
pedunculated purplish red nodular lesion between teeth #12 and #13.
Which of the following is the best course of ac.on? A .extrac.on of #13 and #14

✅✅
B.oral hygine instruc.ons
C.scaling and excisional biopsy
D.root canal treatment of #13 and #14

٤٢)
An 11-year-old presented with a Class II It skeletal malocclusion due to a
retruded mandible.
Which of the following appliance can be useful for enhancing mandibular growth
in this pa.ent?

✅✅
A. head gear
B. func.onal appliance .
C. protac.on face mask
D .fixed orthodon.c appliance

(٤٣)
A 32-year-old man is complaining of changes in his gum line. The clinical
examina.on revealed gingival recession around tooth #44, with obvious cleftibg in
the gingival margin around this tooth (see image)
Which of the following is the most likely the reason of the change in the gingival
margin around too(K #44?
A. allergy
B.gene.cs

✅✅
C.gingival inflamma.on
D.improper use of dental floss

(٤٤)
Which of the following is the most important .local etiological factor in periodontal
diseases ?
A.local anatomic factors
B .subgingival restora.ons
 ✅✅
C .excessive tooth mobility
D.Dental plaque biofilm and calculus

(٤٧)
Which of the following instruments is used to detect inflammatory gingival
bleeding?
A. nabers probe

✅✅
B.periodontal file
C.dental explorer D.pèriodontal probe

(48)
A 56-year-old healthy man is presented to the clinic seeking implant treatment for
missing lower right teeth. Clinical examina.on revealed missing 451 and 46
probing depth range from 3-5 mm, generalized bleeding on probing (see report)
Radiograph: revealed generalized horizontal bone loss 20%. Which of the
following is the most likely treatment of choice?
A .request cone beam CT then proceed with implant treatment
B .requestperiapical radiographs then proceed with implant treatment
C .request orthopanotomogram(panorama) then proceed with implant

✅✅
D. scalling root panning oral hygine instruc.ons then wait 4 weeks for the
revalua.on visit

(49)
Which of the following is a characteris.c of chronic forms of plaque induced
gingivi.s? A .vesicle forma.on

✅
B.gingival sloughing
C.firm and leathery gingival consistenc
D.diffuse puffiness(edematous) and soLening of the gingiva

(50)
A 10-year-old pa.ent came to the dentist following dental trauma. On history
taking step, the father did not give enough details to the dentist
In which of the following situa.ons the dentist should expect a child buse?

✅✅
A .if the father is above 50 years old and not medically fit
B .if the story is consistent with the severity of the trauma
C .if the loca.on of the trauma was at the pa.ent's school
D.if they came to the den.st at the same day truma happend

(٥١)
A 34-year-old healthy man presented to the clinic for scaling and root surface
debridement. He was diagnosed with generalized stage Il periodon..s.
Which of the following should the den.st tell the pa.ent to expect following the
treatment visits?
A .he will get root caries

✅✅
B .he will no.ce tooth discolora.on
C. he will experience root sensi.vty
D .he will feel his teeth becoming loose

(52)

✅✅
Which of the following happens to the supracestal planning in deep pockets?
A. increases
B. decreases
C.remains constant
D.retracts then extend

(54)
Which of the following is the consequence of placing asmall diameter implant in a

✅✅
molar area from a restora.ve point of view?
A. The ceramic will be undermined and may fracture
B.the emergence profile of the crown will be compromised
C.the prosthesis will be easier to clean then with awider diameter
D. The soft tissue healing will be more favorable leading to beber esthe.cs
(55)
Which of the following periodontal phenotypes is associated with anarrow
average of keratinized tissue width?
A .thin flat phenotype

✅✅
B .thick flat phenotype
C.thin scalloped phenotype
D .thick scalloped phenotype
(٥٦)
When do neonatal teeth erupt?

✅✅
A .before birth
B .between 0-30 days
C . 3 months of age
D . 6 months of age

(57) pa.ent with prognathic mandible presented to the clinic. On examina.on

pa.ent shows 6 mm CL Ill malocclusion and anterior crossbite. The pa.ent main
concern was his facial aesthe.cs. Which of the following would be the best
treatment?

✅✅
A .growth modifica.on
B.orthognathic surgery
C . dental arch expan.on
D .orthodon.c camouflage
(58)
A 42-year-old woman came to chq dental clinic for dental check-up. Clinical
examina.on shows that the pa.ent hase mul.ple restora.v treatments done in the
past, -which include mul.ple full crowns and mul.ple class Il restora.ons.
Whish of-the following is considered a an iatrogenic facto rthat predispose to
periodontal inflamma.on?
A. supra-gingival crowns
B .well-contoured dental restora.ons
C .subgingival residue of ental cerneR
D .a highly polished subgingival fixed par.al denture

(٥٩)
which of the following is an indica.on of alveoloplasty?
A .increase the ridge height
B .eliminate soL .ssue undercuts

✅✅
C increase the depth of the ves.bule
D .elminate sharp residual ridges and remove bony undercuts

٦٠)
A 20-year-old woman visited the clinic to enquire about her gum health. Her
gingiva is shown in the abached photo (see image)
Which of the following is the gingival status? A.healthy
B.gingiv.s
C .lost s.ppling
C. deficient abached mucosa

(61)
Which of the following are the predominant immune cells in stage I of gingivi.s

✅✅
"initial lesion?
A.nutrophils / ( THEY are PMNS)
B.plasma cells
C .lymphocytes
D .macrophapes
(٦٢)
-12year- old boy presented to the dental clinic with high grade fever generalized
malaise. Oral examina.on showed diffuse erythematous involvement of the
gingiva and spherical gray vesicle in the lip and tongue, which appeared 2 days
ago (see image)
Which of the following will be the most appropriate management?
A .systemic an.bio.cs
B .periodontal therapy
C.antiviral therapy and supportive care✳✳
D .chlorhexidine mouthwash prescrip.on

(63)
Which of the folloing applinced can be used to treat a deep im bite in teenager?
A. Protrac.on face mask
B. fixed func.onal appliance

✅✅
C.a removable func.onal appliance
D. aremovable applaince with anterior bite plate

(٦٥) A 45-year-ì)old man is seeking periodontal treatment. Upon examina.on, the

den.st no.ced mobilty of the mandibular *** .periapical radiograph was taken (see
image) Which of the following best describes the bone level ******* from the
radiograph? A.slight bone loss B .sever bone loss C .normal bone loss D
.moderate bone loss
✳✳‫ﻧﺤﻔﻆ اﻟﺠﺪول‬
Which of the following is the implant component shown (see image)? A.abutment
B.cover screw
C. implant fixture
D .impression coping

(67)
A 45-year-old smoker pa.ent presented to the dental clinic seeking replacement
of missing teeth with dental implants. The pa.ent is healthy and had no
underlying ac.ve dental or periodontal diseases. His oral hygiene is acceptable,
the plaque index is 12% and the bleeding on probing was very minimal; less than
6%. The patient is smoking 1 to 2 packs daily for the last 8 years.
Which of the following should be considered prior to the placement of dental
implants?
A .regenerative procedure is very predictable in smokers

✅✅
B smoking has no negative impact on the long-term outcomes
C. cassation of smoking should be recomended befor implants
D .healing of dental implants in smoker pa.ent is faster than non-smokers

(٦٨)
Which of the following areas of the jaw exhibits the thinnest cortical plate walls ?
A.buccal aspect of maxillary molars

✅✅
B.labial aspect of maxillary incisor ?
C.buccal aspect of mandibular molars
D.labial aspect of mandibular incisor

(69)
Which of the following defects in impression for a complete denture, when
present necessitates the re-taking of the impression?
A .avoids that could be corrected on the model

✅✅
B .small areas of the impression tray show through
C.distor.on of the impresion due to movement during segng
D incorrect posi.oning of the impression tray with capturing all anatomic
landmarks
70)
A 35-year-old man presented to the dental clinic with an acute periodontal
abscess related to tooth #33d. he previously had deep pockets and heavy
calculus deposits and just completed scaling 2 days ago.
Temperature 37 C.
Which of the following is the appropriate line of treatment?

✅✅
A .extrac.on
B. rescaling of affected site
C.reinforcement of oral hygiene instruc.ons
D . systemic an.bio.c for 1 week and reevaluate

(71) A 23-year-old pa.ent presented with CL I malocclusion and decreases varjet.

Pa.ent started
V shaped orthodon.c treatment usin Il ceramic appliances and coated wires.
Couple of months later, the dentist no.ce atrition on her upper incisors.
Which of th following is the most likely cause?
A steel .es
 ✅✅
B .coated wire
C. Ceramic brackets
D .chewing on incisors

72) Which of the following solu.on might be used to measure the width of
kera.nized .ssue?
A .silver nitrate
B .melzers solu.on

✅✅
C .methylene blue
D.schiller's potassium iodide

(73) The orthodontist decided to move 2 teeth apart as listed of his treatment
plan.
Which of the following happens to the gingiva in between the 2 teeth?
A .the interdental tissues become brotic
B .the adjacent marginal gingivae form the interdental papilla
C .the two adjacent marginal gingivae invert and form gingival pockets

✅✅
D. the gingiva becomes rmly bound to the inter dental bone with absence of
interdental papilla

74) Which of the following are the predominant immune cells in stage Ill of
gingivi.s established lesion?

✅✅
A.PMN
B.plasma cell
C.lymphocyte
D .macrophages

75. A 47-year-old man required non-surgical periodontal treatment as part of his

ini.al plan. His probing depths ranged between 3-6 mm. his radiographs showed
subgingival calculus.
lowing is the instrument of choice for ini.al therapy on the mesial surfaces of his
premolar ?
A.sicklescaler
B.ultasonicscaler
C .gracey curebe #13-14
D .gracey curebe #11-12 ✅✅
76) What does lack of space between deciduous teeth predict in the future?
A. increase in the over bite

✅✅
B .decrease in the over bite
C .crowding in permanent denition
D.spacing in the permanent denition

77) A 14-year-old pa.ent came to the dental clinic for the extrac.on of lower
retained primary mola Which of the following is the most appropriate pa.ent
posi.on during extrac.on?

✅✅
A .maxillary occlusal plane is parallel to the oor
B . Mandbilar occlusal plane is parallel to the oor
C.maxillary occlusal plane at 45 degrees to the oor
D.mandibular occlusal plane at 45 degrees to the oor

** if the upper molar extraction▶ we choose C ✅

(78) How can a periodontal abscess be denitely differentiated from an
endodontic abscess?
A .location

✅✅
B .pain source
C.pulp vitality
D .radiographic appearance

79) 43 A healthy 48-year-old woman presents to the dental clinic complaining of

generalized gum bleeding associated with brushing, despite her current oral
hygiene prac. es that include brushing twice daily and ossing at least once daily.
She received full crowns on most of her teeth 1 month ago. Upon clinical
examina.on, minimal plaque accumula.on was observed, bleeding on probing
was about 65%, probing depth was 2-3 mm, and no clinical evidence of clinical
abachment loss (see image) Which of the following is the most likely cause of
this pa.ent's problem?
A self-inected trauma
B .compromised immunity
C.non-plaque induced gingivi.s

✅✅
D. Crown preparation extend to the supracrestal attachement (biological width)

(80) Which of the following is the best treatment for moderate to severe
hypermobile ridge?
A .use of sclerosing agents

✅✅
B .fabrica.on of dentures with balanced occlusion
C.surgical improvement of the dentuer bearing area
D. fabrication of dentures that are retained with denture adhesive

81) Which of the following is the histological term used to describe the result o a
vital pulp procedure allowing the continued physiologic development and
formation of the roots' apices?
A .pulpectomy

✅✅
B .apexica.on
C.apexogenesis
D . Cvek pulpectomy

82) During the fabrica.on of a maxillary complete denture, the dental surgeon
examines the palate for recording the posterior palatal seal. Howeve he is unable
o iden.fy the exact loca.on of the pterygomaxillary notch.

✅
Which of the following instruments is the best to locate the posterior palatal seal?

✅
A . T-burnisher▶ on the patient
B. inedibepencil ▶in the cast
C.pkt instrument
D. william's probe

83) Which following is the most important factor when planning treatment with a
functional appliance for a patient?

✅✅
A .gender
B.skeletal age
C.body weight stage
D.dental developmental stage

84) Which of the following is the recommended amount (ounces/day) of fruit for a
preschool child according to the American Academy of pediatrics?
A.0

✅✅
B. 1-3
C.4_6
D .up to 10

(85) A -29year-old pa.ent came to the dental clinic with a chief complaint of
impacted tooth #38. Which of the following is a consequence of surgical

✅✅
extrac.on of impacted third molar?
A. creation of ver.cal defect B.creation of periapical lesion
C.creation of horizontal defect
D . creation of furca.on involvement
86) Which of the following cephalometric measurements helps to determine the
anteropsterior posi.on of the mandible rela.ve to the cranial base?

✅✅
A .SNA
B. SNB
C. ANB
D. MMP

87. Which of the following is the most appropriate posi.on for the
radiographer(doctor) without a shield, in case of obtaining an intraoral radiograph
for a dental pa.ent?
A . 1 meter away and behind the x-ray source
B. 2meter away and behind the x ray source ✳✳
C. 1 meter away and in front of the x-ray source
D. 2 meter away and in front of the x-ray source

88) Which of the following types of malocclusion foundin Downs syndrome

pa.entsis the result of a large tongue?

✅✅
A .deep bite
B. teeth sapcing ( so that’s why he is low caries risk)
C .teeth crowding
D .posterior cross bite

(89)Minocyclin microspheres are locally-delivered into periodontal pockets to

treat certain condtion How many days do they maintain therapeutic drug
concentrations within the pocket?
A. 2

✅✅
B. 7
C.14
D. 30
90. A 55 years old man suffers from periodon..s in which the microbiological test
revealed the presnce of black pigmented bacteroids and spirochetes.
A.tetracycline
B.azithromycin

✅✅
C.ciprooxacin
D.metronidazole( treat anaerobic bacteria)

91) How deep (in mm) do tooth brush bristle penetrate below the gingival

✅✅
margin?
A. 0.5 to 1.0
B 1.5 to 2.0
C. 2.5 to 3.0
D.3.5 to 4.0
92) A 35-year-old woman visited the dental clinic complaining of mul.ple
episodes of discomfort and swellings at site of dental implants that are restored 8
months ago, a peri-apical radiograph was requested (see image) Which of the
following is the most appropriate diagnosis based on the clinical presenta.on?
A .cracked crown
B. Peri-implantitis
C.peri-implantmucositis
D implant overloading
✳✳ ‫ع ﺣﺴﺐ اﻟﺼﻮرة‬
**Peri implantitis, include soft tissue inflamation and bone resorption

Peri implant mucusitis, inflamation that confined only to soft tissue around
implant without bone resorption resorption

93. Lateral occlusal forces during mandibular eccentric movement, func.onal or

para-func.onal, exert forces that could lead to non-restorable fractures of root
canal treated posterior teeth.
Which occlusal parameter from the following would expose posterior teeth to

✅✅
more lateral occlusal forces?
A.grupe func.on
(group function because it distributes occlusal load leaving posterior teeth that’d
heavily restored more prone to fracture)
B. shallowcuspal inclines
C .canine-protected occlusions
D .edge to edge occlusal rela.on

94) In a mandibular kennedy clõil, th usable undercut is located at the middle of

the facial surface of the most posterior abutment.

✅✅
Which of the following is the clasp of choice?
A . RPI
(RPI since I bars are used for mid-buccal posterior and undercut area)
B. RPA
C . Ring
D . Back ac.on
95) A 55-year-old woman presented to the clinic complaining of hypersensi.vity
from her teeth after scaling and root planning visit done 2 days ago. Clinical
examina.on showed localized ulcers on the buccal mucosa of teeth #35 and 37,
with excellent oral hygiene.
Which of the following is the most likely treatment of choice?
A .prescribe systemic steroids
B apply topical an.bio.cs at inamed sites

✅✅
C. do another round of scaling and root planning
D.apply desnsitizing agent then and assure the patient

96. Which of the following is most accurate when comparing the crowns of the

✅✅
primary molars teeth to the crowns of permanent ones?
A. More bulbous
B. larger occlusally
C. wider mesio-dital
D. converging gingivally

** in anterior teeth we choose▶ c

(97) after making the impression for single implant interocclusal space was found

✅✅
to be 4 mm. Which of the ollowing prosthe.c option is the most ideal treatment ?
A.screw retained crown
B.cement retained crown
C. Submerging the implant and fabricate FDP
D.extract implant and place it at deeper level

98) A 7-year-old girl came to the clinic accompanied by her mother. The girl
complained about teeth sensitivity. Clinical examina.on showed that all rst
molars and central incisors are hypoplastic.
Which of the following is the probable diagnosis?
A uorosis
B.dentainal dyplasia

✅✅
C.den.nognesis imperfect
D.molar incisor hypominerliza.on
99. A 42-year-old healthy man is unhappy about dark areas near the gingiva
facial to his nterior prosthe.c crowns, which were done about 6 years ago.
However, he is pleased abou their shapes and color. The pa.ent said that the
dark areas were no.ced a few months a o. The pa.ent has a low smile line and
does not show those areas when smiling. Upon ex mina.on, recession and
recurrent caries related to the prosthe.c crowns were noted (see i age) Which of
the following is the most likely the reason for gingival recession?
A .excess cement
B. brushing with a hard toothbrush

✅✅
C .trauma from the retrac.on cord
D. Violation of the supracrestalabachment

100) Which of the following helps in reaching a denitive diagnosis of gingival

allergic reaction to red pepper?
A.analysis of complete blood count
B.immunological examina.on of gingival biopsy

✅✅
C.histopathological examina.on of gingival biopsy ??
D.resolution of gingival inamation removal after the allergen

Dr.Afnan 💕
‫اذﻛﺮوﻧﻲ ﺑﺪﻋﻮة‬