IMPORTANT QUESTIONS 1. Resuits are not necessarily accurate but consistent, The test has high: Generalizabiity Specificity Reliability Valiity 2. most common sign of autism & eyes on ground b overactive €- repetitive questions 3. Diotransformation ofa drag Lipid soluble Protein binding ‘Therapeutic active Make it water soluble 1 ive extra dose of cortisol to avoid adeenal crisis ifpt was taking? 2g for wks in yrs 2mg fir 2eks in yes omg for Ik in Lye 10mg for 2wks in lye 5. Retentive arm fractured: Workhardening dow modols of Ulkimate tensile strength 6. Aspirin doesnot increase what? a)bleeding time, byprothrombin time, c)acidosis, renal prostaglandins Classical symptom of asthma is Wheezing on inspiration Wheezing on expiration Ronchi on inspiration Ronchi on expiration 8, Vertical division af face 9. est impression fr stability ta moisture? sity dition stcon 10. Study to know the afect of gastiic bypass surgery on nutritional status 1-Observatonal 2 clinical tial 5 descriptive 4 cohort TI: Disease more common in mene Hemophilia 12, Deepest pat of occlusal rst for rp - marginal ridge 13.the relation between treacher collins & zygoma same as letdocranial dysplasia and {clavicle 2eranial 11. Disto buccal extension of mandi cd lateral limit induenced by masseter or remus 15. In complete denture constuction, a custom tray shouldbe fabricated to ensure that [the Hanges ate act overextended, 2. the distal extension is adequate. 5. there i rae for muscle attachments 4. the tray has adequate space for the impression material 16, Percocet. Schedule I 17-Most common complication of extraction of maxillary teeth? Acdry socket B sinus perforation C hemorrhage D-Infetion 18.The disadvantage of thise fourth crown: 2, Compromised esthetics More tooth reduction c.Idequate retention dl Biomechanical compatibility 19, In complete denture patients, placement of maxillary anterior teeth too far superiorly and anterosly might result in ivulty in pronouncing a. fand vsound b.S sound c. Thsound 4 PandBsound20, Informed consent reflects which of the following ethical principles? A. Justice B- Autonomy: ©: Benefience D. Nonmaleficense 21.Implant analog is used to? a) to takea impression with it >) to pour impression with it ¢) pic up inthe final impression 22, Most amount of bone grat fiom? Ramus bib cline 21, Distance between 2 implants 221 Distance between Implant and anterior loop 3. Which of the following cements should not be used with all eramie restorations due to reports of ceramic fractures? 1Gie 2, Resin luting cement 3. Zinc phosphate cement 4. Resin modified GIC 2A.Gingivectomy inckion 1 apical to janepi 2apical to gingival fners 5-apical to mucoging fold 25,Class large composite done afew weeks ago Filling i acceptable bat too light. a) Redo by Tint <) Observe 26,The incision is from the designated area on the gingiva and is directed apical o-the crest of bones | External bevel incision B. internal Bevel incision C. Horizontal inision 27. COPD emergency, what is contraindicated? 28. A patient with uncontrolled asthma may be taking multiple medications to attempt to contre the disease. Which ofthe following best describes the mechantsm of action of montelukast? A Beta-? adrenergic agonist B. Leukotriene receptor antagonist C. Lipenygenase pathway inhibitor D, Muscarinic receptor antagonist E, Corticosteroid used to reduce inflammation F Suppresses the cough reflex 29,]ncrease waterposeder ratio to casting investment material will ead to: Increase setting expansion, Increase thermal expansion Decrease setting expansion Decrease thermal expansion. 30.Pt has mand premolar and edentulous posterior to it What you won't place on it restoring the space 1. distal rest with a buccal retentive clasp 2.mesal rest with bar placed on facial mesally umesal rest with bar placed on center of tooth BILA patient diagaceed with multiple mucosal neufomas should be further evaluated forthe possibility of | premalignant adenomatous polyposis coh. B, hamartomatous polyps ofthe small intestine C. congenitally missing frst premolars, D, multiple palmar or facial basal cel carcinomas, E,neoplasms of endocrine organs 32.4 normal unstimulated ealivary dow rs A001 ml per minute B- ml per minute C10 mL per minute D- 16.0 ml per minute 38,Combination syndrome which is true? 1 Maxillary class iv spd 2 be more stable with implants in post mandibalar region Sis alveolar bone in post maxillary region ‘cans increased angle of occlusion 3h effect of pKaof drug? 35, Patient who has undergone kidney transplantation is at an increased sk of developing brown tumors B, Plasma cll gingivitis C eresiveichen planus Se asian iat eat ieale foran adult dentate patient should be‘36 Sign of kidney failure which levels will shoot the earliest blood: trie acid creatinine «reatinine phosphokinase 37 Patient on dialysis, do dental treatment: A Sane day of dialysis B. Oneday before C. One day ater D. Two days after £36, Common effects of acetaminophen and aspirin 29. Commonly used NSAID for children {40Patient is diagnosed with BCC. He say “ust throw it to me doctor, do have the cancer or NOT?" What will be your fits response? ‘Athis cancer has better prognosis than others don't worry chemotherapy wil take core of C-Do you have someone here to be with you? AL, Not an advantage of LED over halogen bulb 42.A[DS pt in first stage. Which ofthe following will you notice? He is highly infectious he is moderately infectious, be is symptomless inthis stage, hae will show up with opportunistic infections |43Sign of dementia? Confusion Shor term loss Long term loss “44,.What lesions are not radiopaque? AOT “Ameloblasti bre odontoma ameloblastc fibroma {45.Which is only radiolucent lesion: Ameloblastora AoT Pindborg tumor Amloblasticfbro-odontoma 46, eas Tikely to occur aaoT. b) odontogenic myxoma 47.By encltcling an abutment tooth 180 degrees. a removable partal denture clasp assembly serves to A- Prevent tooth movement sway fromthe clasp - Increase the retention provided by the clasp CC Increase the support derived fom the abutment tooth D- Decrease the applied occlusal toring forces «48 Diazeparn- mediated eflects include A-Peripherally-acting muscle relaxation, D- Lowering seizure Threshold - Anterograde amnesia D- Analgesia 482 Which of the following represents the major cause of pulpal damage associated with cavity prepacation? A Vibration B- Heat generation C Dentin desiccation D- Adverse effects oflocal anesthesia ‘SU,primary drug for The treating otal candidiasis i patient with HIV is A. Nystatin (Mycostatin) B. Acyclovir (Zovires) C Pensiclovir (Denavir) 1D. Chlothexidine (Peridex) 51:The highest incidence of cates around Class II composite resin restorations occurs on which ofthe following margins? A Occlusal B. Facial proximal (© Lingual proximal D. Gingival proximal 452: Which ofthe following isthe best trestment fora traumaticlly intruded primary tocth which in not impinging onthe permanent tooth bud? A. Extraction - Allow tooth to spontansously re-erapt C Reposition tooth oxthodontcally 1D: Reposition tooth surgically 58.Which ofthe following is NOT correct concersing informed consent? ‘Ac Ie must be obtained in advance of treatment B- Teamust be in writing CT must include iss, benels, and complications Sede ie ea ata tei‘54. When performing a pulpal evaluation, the dentist should ideally use which of the following as controls? A. Adjacent teeth only B- Adjacent teeth and opposing tooth, (C- Adjacent teeth and contralateral tooth - Opposing tooth and contralateral tooth 55.The means by which dental patients are treated to eliminate the carles process called A: Antibiotic prophylaxis B- Primary prevention C- Secondary prevention D- Tertiary prevention 56.4 fail-safe meshnism on an analgesia machine for nitrous oxke and oxygen prevents the delivery of nitrous oxide greater than, A: 20percent B. 50 percent C-70percent D-90 percent 57.A wear lace is seen on the mesio-buceal incline ofthe mesio- buccal cusp of a mandibular ist molar complete metal crown. This fact clould have been formed, luting which jave movements? A- Working only B. Protmusive or working G- Protrusive or non working D. Noa working or etrusve 58,Which ofthe following drugs are categorized a triyclic antidepressants? A. Tranyleypromine (Parnato) and parglyline Eutonyl) B. Gabapentin (Neurontin) and tramadol (Ultram) (C- Imipramine and amitriptyline . Promethazine and hydroxy2ine 594 What isthe most likely palpal diagnosis fora primary molar with deep caries and a history of transient cold sensitivity with an intact petiodontal ligament space on radiographic examigation? A; Reversible palpitis. B- Irreversible pulpitis (C-Palpal necrosis 1. Caletfication metamorphosis {60 Damage to biological systems from ionizing radiation i due primarily to which ofthe following? A. Trasimutation of key atom, B.A direct hit ona key atom or molecule (C- Radiolysis of water molecules D- Excitation of macromolecules ‘61. Which of the following clinical entities i most likely to be masdiagnosed as an endodontic lesion? A. Lateral periodontal cyst B- Periodontal abscess C-Torlor exostoses D- Gingival cyst {62.Low dose aspirin therapy prevents the formation of thromboembell by preferentially inhibiting which ofthe fllowing?A- Phospholipase A? inthe Blood vessels walls B- Prsotacycn synthetase in the blood vessels walls C- Tromborane synthetase i the platelets D- Vitamin K inthelliver (63.Whicl of the following isthe most likely cause of ankylosis ofthe temporomandibular joint? A- Neoplasm B- Rhoumatoid arthritis C- Traumatic injury D- Developmental abnormality ‘4.Which differential diagnostic method is best for determining whether pathosis is endodontic or periodontic in nature? A: Palp vitality testing B- Nature of symptoms C- History of periodontal disease D. Location of swelling if present {652 Beicet disease has oral lesions which are most similar to which ofthe following A- Aphthous ulcers B. Candidiasis (C- Herpangina D- Hempes zoster {66 Cervical caries can be secondary tothe effet of radiation on AA Enamel B. Dentin C-Cementum D- Salivary gland E- Alvedlarctestal bone {67-Which ofthe following conditions is associated with hypodontiat |A- Estodermal dysplas B. Cleidocranial dysplasia C- Apert Syndrome D. Gardner syndromeSe noe a pee a ne ee ee eee A- Esophagus B- Right bronchus ©: Left bronchus D- Infandibutara 69, Methods to prevent overheating ofthe bone implant site preparation include the use of which ofthe following? A- High speed handpiece B- Chlothexidine irrigation C- High torque, lowe speed haradpiece D- Air cooling 70.When the isthmus ofa MOD cavity preparation is extended beyond 1/3 ofthe eusp-tip to cusp-distance, the restoration of choice isa A-MODamalgam B MOD inlay. - MOD onlay D-Fullerown 71,What final process in coronary arteries causes myocardial infarction rather than angina? |A- Atherosclerotic lesions B- Arterial spasia ©. Thrombosis D- Fatty deposits 72: The maxilary and mandibular definitive casts have been articulated, The maxillary cast was mounted without a face bow transfer. Ifthe dentist were to increase the occlusal vertical dimension by 4 mm, it would be necessary to A Open the articulator by 4 mm B. Change the condylar guile settings C- Obtain e new centric tsation resord D. Increase the rst vertical dimension. "3 What isthe EXCEPTION to the 5 principles of the ADA Principles of Ethics and Code of Professional Conduct? A. Nonmaletcence B- Competency ©. Justice D- Veracity 74 Nitrous oxide/oxygen is contraindicated for patients A. With amity B. With special health care needs C- With profound local anesthesia D- Inthe fist trimester of pregnancy 75. Administration of nitious oxide oxygen is conteaindicated in which ofthe following conditions? A. Asthma B- Hemophilia C- Nasal congestion D- Sickle cell anemia 76. A dentist administered a survey to patients to determine theirstisfaction with practice characteristics and services provided, The survey was administered to pallens seen ducing 1 month, Which type of study design was used by the dentist? A Cross-sectional B. Cohort €- Case control D- Clinical tial 77. Which ofthe following conditions is most often characterized bya painfl response that subsides quickly with stimulus ‘A. Normal pulp B. Nonwital pulp C- Reversible pulpitis D. Symptomatic ireversible pulpits 78, Clicking ofthe dentures during speech mos often indicates which ofthe following? AA Inadequate dentute retention, B- Decreases occlusal vertical dimension C- Insufficient interocclusl space D- Improper buscolingual postion ofthe teeth A person beet exemplifies active listening by doing which ofthe following’? |A- Rephrasing the listener's understanding ofthe speaker's communication B. Using direc eye contact, C- Gathering pertinent information from the speaker quickly and svecinctly D- verifying thatthe speaker has heard what he listener as said 80,WWhich ofthe fllowing isthe drug of choice fora 5-year child with pain following routine extraction A Aspirin B. Clindamyein C- Acetaminophen D- Codeine S1,Which ofthe fllowing represents the mort frequent cause of flare of dental amalgam restorations? A: Moisture contamination B- Improper cavity desiga C- Improper condensation D- Inadequste trituration82: Which primary tooth, iflost prematurely, will most frequently result in space losst A- Maxillary canine B. Maxillary first molar ©- Mandibular second molar D- Mandibular first molae 83.Hyperplstic palatal issue (papllomatosis) is best treated by A- Chemical cuterization. B- Radical excision C- Temporary cessation of denture use D- Supraperiosteal dissection or electrosursery 844 Stridor is diagnostic for A Laringospasm B- Bronchospasm C- Hypotension D- Hypothermia 85. Which ofthe following represents the function of occlusal (night) guards? A Reduce mobility B. Prevent braxiama Increase attachment level D: Redistribute forces on the teeth 864: Which ofthe following refers to a decreased occlusal vertical dimension? AA Vertical dimension that leaves the teeth in a clenched, closed relation in normal position B- Occluding vertical dimension that results in a excessive interocclusal clearance when the mandible isn rest position - Insuficient amount of imterarch distance because ofthe bony ridges D. Condition in which the patient cannot open mandible because of temporomandibular joint pathology 87, Which ofthe fllowing is NOT an indication for removal ofa thied molar? A. The presence ofbony pathology B. History of repeated pericoronal infections C- Prevent crowding and displacement ofthe incisor teeth D- Advanced, generalized periodontal disease that endangers the second molar 88, A patient ray, “have been avokding coming to see you because there isan ugly, red sore pot on the roof of my mouth”. Which ofthe following responses by the dentist best exemplifies a reflective response? A-*Has you diet changed lately” B."You really shouldn't worry about i” C-"Don't be afiaid, take a careful lock” .-*You should have had something lke that looked a sight away" lt sounds as f you're quite concerned about this condition 89. In examining a maintenance patient, the dentst observes residual calculus, bleeding on probing, and probing depths less than 5 mm, The dentist should do which of the following? A Scaling and root planing B- Osseous surgery C- Continued maintenance D- Open flap debridement 90. A year old presents with acute gingival pain of four days duration, There are small, round ulcers on the interproximal gingival and buccal macost, Which ofthe following isthe most likely diagnosis? A. Primary herpetic gingivostomatitis B+ Necrotizing ulcerative gingivitis C- Apthous stomatitis D- Gingival abscess 91: Ia treating a tooth with both endodontic and periosontic involment, which ofthe fllowing would the dentist perform frst? A Antibiotic regimen B- Endodontic therapy ©. Periodontic therapy D. Endodontic and periodontic therapics should be performed simultancously 92,Pseuidomembranous colitis can occur most really alter prolonged oral administration of which ofthe following drugs? A Enythromysin B. Penicillin V ©. Clindamysin D. Sulfisoxazole E- Aaithromycin 93.4 patient complains of pain, trismus, fever and dysphagia associated with and impacted third molar, The bes course of action for thispatient is A Curettage wilizing local anesthesia B. Prescription ofa nonsteroidal anti inflamatory agent C- Referral to an oral an maxillofacial sargeon D. Immediate extraction ofthe offending tooth 94, Sensitivity to cold and pressure 2 weeks after cementation ofa posterior crown is mot likely related to A Occlusal trauma B- Luting agent C. Vertical root facture D- Pood impaction95. Which form external root resorption is associated with pulpal necrosis? A. Inflamatory B- Replacement ©: Surfice D- Idiopathic 96: When designing a clinical study, one uses the power ofthe statistical test to accomplish which ofthe following? A: Measure validity B- Set the alpha level C- Reject the null hypothesis D- Determine sample size 97. Which type of r00t resorption results in ankylosis? A Inflamatory B- Replacement ©: Internal D. External 98; Diagnostic radiology is based on which ofthe fllowing iteractions of X-radiation with matter? A. Thompson effect, B- Pair production C- Photoclectic effect D- Photonuclear disintegration 99,The drug of choice for marked bradycardia is which of the following? A Atropine B- Epinephrine ©: Propanolat D. Calcium chloride 100.Rubella embryopathy san example of which ofthe fllowing causes of mental retardation? A. Genetic B. Cultural © Acquired D- Chromosomal 101. Which par ofthe cutting edge ofthe curet should be adapted tothe line angle ofthe tooth? A. Lower third B- Middle third C- Upper third D- Entire cutting edge 102.Aiier a patent places an asprin directly on his oral tissue for an extended peric time, the tissue become white, Which of the following accowats for this change in color? A. Edema B. Necrosis C- Acauthosis D- Hyperkeratonis E- Vasoconstriction 108: Which is the best approach for aa patient who becomes very uncomfortable when a planned surgical procedure ls discussed? A Explain post-operative instruction only after the procedure B- Explain post-operative instructions obtain Informed consent, and help the patient to resolve anxiety before the procedure C- Explain and obtain only informed consent before the procedure, and apologize for making the patient uncomfortable - Explain and obtain informed consent before the procedure and explain post-operative instructions afer the procedure 104A paticnts with alarge composite resin restoration placed | year ago reports sensitivity inthe tooth, Which of the following isthe most likely cause? A. Trauma B. Fracture ofthe restoration C- Microleakage of he restoration D. Pulpal reaction to the phosphoric acid 105.Which pigmented lesion ofthe oral cavity will resolve spontaneously? A Vari B- Hematoma C- Epblis D- Oral melanocie macale 106.What isthe optimal average amount of fuori, in ppm, for public drinking water of most communities? A05. B07 © 10 D2 107. Alter eveiving an inferior alveolar nerve block the patient develops a needie track infection. Which of the following anatomic spaces might have been involved? A. Temporal B. Submandibular ©. Pharyageal D. Prerygoid 108; Which ofthe following agents is active against hespes simplex virus, varicella-zoster virus, and cytomegalovins? A. Amantadine (Symimetzel) B. Zidovudine (Retrovie) C- Ribavisin (Virazole) D. Valacyclovir (Valtrex)‘109. Some metal elements used in ceramic restorations have been known to cause reactions in patients. The most common causative element is A. Cobalt D-Beryium 110: Three months ago, on epidemiologist conducted clinical examinations to assess the dental cares experience of elementary school children. Te study could best described as A. Retrospective B. Case- control C- Croee-sectional D. Prospective 11s Which ofthe following is used primarily as filter material ina dental X-ray machine? AO B- Lead Aluminum D- Tungsten E- Molybdenum 112: In arranging the patient's maxillary anterior teeth, the dentist should create a pleasant, natural looking sill ine. This can be done by contouring the incisal edge to follow the AA- Lower lip when smiling B- Upperlip when smiling ©: Lower lip without sill D- Upper lip without smile 113\[n conducting a patient interview, the dentist should begin by asking questions that ate general, because it provides the patient with a greater opportunity to express his orher concerns and emotions {A Both statement and the reason are cortect and related B- Both the statement and the reason are correct but NOT related ©: The statement is correct, but the reson is NOT. D. The Statement in NOT correct, but the reasom is correct E- NEITHER the statement NOR the reason is corzect 114.Wha pathogenic microbiota is mos likely associated with a Faing implant? A. Gram-positive facaltative cocck B. Gram-negative facultative cocch C- Gram-negative anaerobic rods D. Gram postive anaerobic rods 115.What is true regarding wheelchair transfer? A A wheelchair bound patient is often the best source of how to do the transfer B. The patient should be asked to remove hissher catheter and collection bag before attempting the transfer C. The patient’ belt should not be used during transfer process D. Sliding board transfers continue to be the best approach 116.Which of the folowing is NOT true regarding orthodontic tooth movement? A. Blood flow within the PDL i altered after force application B- Pulpal tissue activates a neural response - Chemical changes inthe compressed PDL stimulate cellular differentiation, .- Oxygen tension is incressed in some areas ofthe PDI. and decreased in other areas. 117.- When used for intravenous conscious (moderate sedation, midazolam (Versed) produces A Amnesia B- Analgesia ©. Antitussive activity D.- Cardiovascular depression 11 Awsiliary resistance from features in fixed dental prostheses such as boxes and grooves should ideally he located? A. Fachally B- Lingually €- Oeclusily D-Proximally 119.- Ifa focal anesthetic without a vasoconstrictor is require, then which ofthe fllowing local anesthetics should be used? A Procaine B- Benzocaine ©- Lidocaine D- Articaine E-Mepivacaine 120.- Which ofthe following sa disadvantage of using an elastomeric material for making an interocclusal registration? AA The material offers too much resistance to the jaw closure B. The fragility of clastomeric records roqutes handing with xtreme care C- There isa potential for imaccurate mounting of casts due to rebound ofthe material D. The material lacks adequate long term stability 12LWhich of the fellowing represent the inital consideration inthe treatment planning progres? A. Medical/systemic evaluation B. Periodontal evaluation C- Radiographic evaluation D- Elimination of pain and discomfort122.- Which of the following statements most describes the purpose of using sodium hypochlorite during biomechanical preparation? A Dissolves necrotic tse B. Reduces hemorrhage ©. Produces cavitation D.-Chelates inorganic tissue 123.- Which ofthe following best describes the outcome of and intrapulpal anesthetic injection? A Provides anesthesia by back: pressure B- Control inteapulpal hemorshage C- Docs not crete any period of discomfort during injection D- Usually provides anesthesia afer 30 seconds of depositing anesthetic 124 Smokeless tobacco has NOT been associated with which ofthe following? A Tooth abrasion B. Gingival recession, ©: Verrucous carcinoma D. Nicotine stomatitis E-Squamous ell carcinoma 125.A 6-year old patient exhibits defiant behavior ata recall examination. Which ofthe following techniques is indicated forthe examination? A. Conscious sedation B. General anesthesia - Physical restraint D. Voice control 126: Which ofthe following is the most frequent cause of porosity ina porcelain restoration? A Moisture contamination B. Excessive firing temperature ©. Rapid cooling D. Inadequate porcelain condensation 127.A 21-year-old male has painless, compressible and fuctuant, slowy growing enlargement ofthe anterior midline ofthe neck. Which ofthe fllowing isthe most likely diagnosis? A Squamous cel carcinoma B- Branchil cleft cyst, ©. Thyroglossal duct cyst D- Epidermoid eyst, 128Dens invaginatus is most commonly associated with which tooth? A. Maxillary central incisor B- Mandibular central incisor C- Maxillary lateral incisor D- Mandibular lateral incisor 1294 A child watches her older brother receive dental treatment. The dentist notices that the next time the child i in the dena chair her behavior greatly improved. This i an example of AA. Classical conditioning B- Primary reinforcement C. Modeling D- Cognitive coping strategy 1304 Each ofthe following isa property of sodium hypochlorite EXCEPT one. Which one isthe EXCEPTION? |A- Chelating agent B- Lubricating agent ©. Salvent of necrotic tissue D. Antimicrobial agent 131. The strength ofa soldered connector is best increased by A. Using a higher caret solder B- Electroplating the jolt with gold prevent corrosion C- Increasing its dimension in a direction paralll tothe applied force D- Increasing is dimension ina direction perpendicular tothe line applied force E> Increasing the with ofthe joint by having a space ofa least 0.5 inch between the pars tobe soldered 132,Which of the following the best inital treatment for a patient wit localiaed aggressive periodontitis? A Dental prophylaxis plus subgingival itigotion B- Dental prophylaxis C. Scaling and roct planing D- Scaling and root planing pls systemic antibiotics 1154 Microscopic saprobasal intreepithelial bullae and acantholyss characterize which ofthe following diseases? A Pemphigus vulgaris B. Erythema multiforme C- Lupus erythematoras D- Mucous membrane pemphigoid 134.A patient with syphilis is highly infectious during which of the following sages? A. Secondary stage only B. Tertiary stage only C- Primary anc secondary stages Primary secondary, and tertiary stages 135. Which ofthe fellowing gents is available inthe form of troches forthe topical treatment of oral candidiasst A. Ketoconazole (Nizoral) B-Iatravonagole Sporanox) ©. Clotrimazole (Mycelex) D- Fluconazole (Diflucan)122: Infections arising from the periapical region of mandibular third molars perforate through the lingual cortex to the A. Pterygomanillary space B. Submental space ©: Sublingual space D-Submnanadbular space 123,What isthe best Indicator of periodontal stability overtime forthe patent on perlodontal maintersnce therapy? A Plaque control B- Bleeding on probing C- Probing depths D- Attachment levels, 124A 45-year-old patient has undergone scaling and soot planing inal 4 quadrants. The oral hygiene ofthe patient is excellent but generalized 5 mm and 6 mm pockets remain that bleed upon probing, What isthe next step and the best treatment forthe patient? A. Periodontal surgery B- Matatenance therapy C- local drug delivery D- adaltional round of scaling and root planning 125: A dentist considers using nitrous-oxide conscious sedation fora patient. This type of sedation will be contraindicated, however, ifthe patient has ahistory of which of the following? A. Paychosie| B. Chronic pain C- Hypertension D: Dental anxiety E- Depression 126.A patients measured stimulated calvary low volume 05 mal/minute, The term that best describes this condition is A. Nerostomia B. Normal salivary how C- Hyporalivation D- Hypersalvation 127. Which of the following is NOT true regarding topical Huoride? A. Promotes remineraliztion of surface enamel B. Inhibits bacteria plaque glycolysis. C- Has a direct antibacterial effect on plague D- Enhances enamel pt and Bssure coalescence 128A diabetic child is experiencing insulin shock in a dental ofice, [a managing this emergency, the dentist should immediatly A- Administer oxygen B. Have the chi drink a glss of orange juice C- Administer ayital by mouth D- Administer insulin 129.An extended course of cortisone therapy can produce A. Osteoporosis B- Osteopetrosis C- Osteoderosis D-Osteochondritis 130,Which ofthe following symptoms or clinical ndings would indicate that tooth has an ireversble pulpitis? {Spontaneous toothaches B- Sensitivity to sets C- Radiographic evidence of pulpitis D. Sensitivity to palpation of the mucoperiosteum, 131. A patent with hypertension arrive for a scheduled crown preparation appointment with a ood pressure of 160/100 mm Hg and a pubs rate of 90 bpm, The inital response bythe dentist should be to A Call the patient's physician B- Reschedale the patient Have the pata ntrgyern it 15 minutes to e-take vital signs {bzaeerdog © ADA secommendtons ofall aid opie etal edn Muse pletion shoal oman contst with teh or AI minute B-2minute ©. 3minte D-4 minute 154 Repeated facture of a mtal ceramic partial ned dentl prosthesis s primarily caused by Insufficient retention form B-Ampyoper fring schedule C-Failre to use2 metal conditioner D-Inadequate framework desig, 134.Which of the following mesial root surfaces is unlikely to be thoroughly cleaned with the use offloss? A-Maxilary cental incisor B. Mandibala fist premolar C- Maxillary fist premolar D- Mandibular first mole 135. posterior tooth hae large carious lesion extending subgingivally. Which ofthe following is the best initial trestment@A-Endodontic therapy B- Crown lengthening surgery C- Caries excavation D. Crown fabrication136. Which characteristic is most frequently associated with osteoradionecrosis? A-Maxilary location B. History f radiation therapy with 42.50 Gy (4,250 rads) C- History of bisphosphonate usage D- Mandibular location 137,What isthe most likely cause for hemonthage 3 day after removal ofa mandibular third molar? A Vascular fragility B- Platelet deficiency C- Prothrombin deficiency D- Fibrinolysis 138 The primary etiologic factor associated with periodontal attachment loss ia furcathon is the presence of A- Occlusal trauma B- Accessony root canals ©: Oralbiotil. D. Cervical enamel projections 139.An 82-year old presents as new dental patient. The son provides paperwork that names the patient's guardinn, How will tha impact the dents approach to care? AA. Docs nt impact care ifa frst degree relative has brought the patient tothe office B. The guardian must be consulted for consent to treat the patient C- The patient may provide consent to care D. The guardianship applies to consent involving only irreversible procedures 140.The access opening for a maxilary central incisor ofa 11-year old patient i triangular in shape: A. Toestablish straight line access B. Due to the shape of the crown, C- To include any remnants of pulp horns within the access opening D. To facilitate the fina restoration ofthe access opening 14.201mg doxycycline hyclate’s primary mechanism of aston is A-Breackiown of the phospholipid bayer B- Inhibition of DNA gyrase C- Inhibition ofthe 50s ribosomal subunit D- Inhibition of collagenase 142.A patient as a7-yeare-ld chipped porcelain veneer on tooth 9 and desires to have the veneer repaired instead of replaced. Which ofthe following should be done to the porcelain before repairing with composite? A. Pumice, etch, bonding resi, slanate B. Sondblast, etch, bonding resi. C- Silanate, pumice, bonding resin D- Micro-etch, etc, silanate, bonding resin 1143. What would be found i a patient with untreated acromegaly? A. Excessive mandibular growth, B- Excessive manillary growth C- Anantertor deep bite D- A posterior open bite HH.Phenytoin is most often recommended for controlling which ofthe following sshuces? AA Status epleptious B. Tonic-clonie (grand mal) ©- Absence epilepsy (petit mal) D- Myoclonicseizare in childhood 145,What isthe easiest method for examining a 12-month-old child? A Child ia the dental chair and parent at chabrsde B- Parent in the dental chait and the child sitting on parent’ lap C- Dentist and parent in a ine-to-knce position whit the childs head on dentists lap D- Dentist and parent ina knee-to-knee position withthe child’ head on parent’ lap 146. Which ofthe following represent the best way o increase a patents pa tolerance? A Stress that pain does not signily damage B- Tell the patient that the procedure will be completed soon C- Tell the patient that heshe should be able o tolerate the pain D. Increase the patients sense of control over the denture ofthe pai 147. The decison to replace aa existing amalgam restoration should be made as soon asthe restoration exhibits A Creep B. Recurrent caries ©. Corrosion and tarnish D. Ditching around ceclusal margings |14&.Drug-induced hypnosis can be produced by depressing which ofthe following? A. Cerebellum B- Hypothalamus - limbic system D- Reticular activating system 149.A developmeatally-disabled patient shouldbe teated with A. Flatery B. Deierence © Comsitency D- Permissiveness 150,Which ofthe following most closely resembles normal parotid gland histologcally2A- Pleomorphic adenoma B- Monomoephc adenoma C- Acinic cell cateinoma D- Adenoid cystic carcinoma151. Which of the following premolars is most likely to have three canalst A: Manly fist B. Maxillary second © Mandibular fst D- Mandibular second 152,Which of the following s the most reliable method for determining the pulp responsiveness ofa tooth with fll coverage crowi A. Radiographic examination B+ Blectrc pulp test €- Theranal test D- Palpation 152, dentist has planned in-office bleaching and porcelain laminate veneers fora patient's maxillary anterior teth. What would be the best sequence of treatment? A Bleaching, 2 week delay, tooth preparation, bonding procedures B. Bleaching and tooth preparation, 2-5 day delay, bonding procedures C- Tooth preparation, 2 week delay, bleaching, and bonding procedures D. Tooth preparation, 2 week delay, bonding, and then bleaching procedures 154, Ifa particular testis to correctly idenily 95 out of 100 existing disease cases, then that test would havea. A. Specificity 0f95% B- Sensitivity of 95% C- Bositive predictive value of 95% D- Validity of 95% 155 Disadvantages of oral sedation include which ofthe following? |A- Multiple drugs needed for proper sedation B- High incidence and severity of adverse reactions C- Unpredictable absorption of drugs from the GI tract D- Short duration of action 156.Which ofthe following ditetly image the TM} disc? A. TM] tomography B. TMI arthrogeaphy C- Panoramic radiography D- Transcranial diography E- Magnetic resonance imaging 157.Lnfections arising from the periapical region of the mandibular fest premolars perforate through the lingual cortex to the A. Peerygomanillary space B- Submental space C- Sublingual space D. Submaradbular space 15& Mandibular hypoplasia, coloboma of the lower eyelid, and malformations ofthe prinna ofthe ear are facture of which ofthe following diseases? A. Apert Syndrome B- Cleidocranlal dysplasia C- Mandibuloticial dysostosis (Treacher Collin Syndrome) D-Crouzon syndrom (cranial dysoxtosis) 159,A 55-year-old male patient, who iscurrently prescribed warfarin (Coumadin) 5 mg daly, eequres surgical therapy: What i the most appropiate pre-surgkal laboratory test? A. Fibrinogen time B+ Partial thromboplastin time C- International normalized ratio D- Bleeding time 160,Causalty (cause andefieet) may NOT be inferred from which ofthe following studies? A Cross-sectional B- Cobort ©: Case-control D- Clinical trial 161.One advantage of using a fiber-reinforced post for restoring an endodontically treated tooth is that it A Has a modulus of elasticity similar to stainless stcl B- Has modulus of elasticity similar to dentin C-Ishighly radiopaque and easy to visualize on a radiograph D- Is stronger and more resistant to fracture than a cast metal post 162. Which of the following represents the 5 essential fators forthe initiation ofthe carious lesion? A Bacteria polysaccharides, and enamel B. Bactora, suitable carbohydrate, and susceptible tooth * C- Lactobacill easily fermentable carbohydrate, and cusceptible tooth D- Lactobacilli, suitable substrate, and enamel 163,Which permanent teeth are lest often congenitally missing? A Lateral incisors B. Canines C- Premolats D- Thied molars 164.The mort dominant emotional factor in management of 4-to-6-year-old children is fear of A. Pain, B. The unknown ©. The dentist, D- Being separated from parents165.A panoramic racliograph of a 55-year-old female reveals generalized widening of the periodontal ligament space and bilateral resorption of the mandibular angles. What isthe most likely diagooss? A. Fibrous dysplasia B- Progressive systemie sclerosis - Osteosarcoma D- Marfan syndrome 166. Anew patent presents with severe chronic periodontitis and has a history of twohheart attacks. The patient isnot sure when the heart attacks occurred or the severity. The dentis’s next step in treatment shouldbe to ‘A- Complete gross scaling to decrease the bacterial load B- Have the patient rinse with chlorhexidine gluconate (Peridex) (C- Request a coms from the patents physician prior to any treatment D-Confine the treatment to simple restorative procedures 167.Plaque microorganisms produce extra-cellular substances that separate one bacteria cll fom another and that form a matrix for farther plaque accumulation. This matrix” is made up of dextrans and AcLevans B- Mucoproteins C- Disaccharides D- Monosaccharides 1682 A farcation adiolucency ina 5-year old child's primary mola i most due to A Trauma B. Pulpal necrosis © Normal anatomy D. Eniption ofa premolar 169.Gingivectomy is NOT indicated when the bate ofthe pocket is located A. Apical tothe alveolar crest B. Below the fre gingival groove (C- Cotonal to the cementoenamel junction D.- Apkalto the cervical convexity ofthe tooth crown, 170.Compared with high noble alloys for metal-ceramic restorations base metal alloy are best used for which of the fellowing? A. Optimuan esthetics B. Single crowas C- Long-span bridges D- Patients with allergies to metale 171, Which ofthe following is NOT tre regarding paraphrssing? _A- Paraphrasing is restating the patients views in one’s ovum words B- Paraphrasing is agreeing with and accepting the other person's position (C- The secret to good paraphrasing is voicing patient values D- Paraphrasing i attempt to understand and acknowledge another's perspective 172, Which teeth are the most susceptible to recurrence of periodontal disease after active periodontal treatment is completed? A. Maxillary premolars because of lateral occlusal forces B- Mandibular premolars because of ron-working Interferences (C- Maxillary molars causes of anatomy of their furcaions D- Mandibular molars because of increased number of cervical enamel projections 173.Which ofthe following represents the most significant finding regarding ectodermal dysplasia? AC Maltiple osteomas B- Supertmumerary tech (C- Maltiple impacted teeth D-Sparsehaie 174.4 32-year-old male patient reports a history of having been hospitalized for psychiatric evaluation, and is currently taking taking lithium carbonate ona daily bass, Which ofthe following disease does this patient mos likely have? A. Parkiasonisn B- Schizophrenia - Bipolar disorder D. Psychotic depression. E- Paranoia with delusions 178.To achieve ideal overjct and overbite in an adult patient witha 16 mm pretzeatment overt orthodontic treatment would most likely require A. Orthodontic tooth movement only B. Orthognatic surgical treatment oaly ‘G- Combined orthodontic/surgical treatment D. Promolar extastion therapy only 176,During a routing examination, the dentist ses a large eadiotucency atthe apex ofthe maxillary right fst premolar The tooth isnot painful, does not respond to pulp testing, and has no evidence ofa sinus tact. Tae most probable diagnosis i= ‘A. Asymptomatic apical periodontitis B- Symptomatic apical periodontitis C- Symptomatic irreversible pulpitis D- Chronic apical abscess 177.To achieve ideal overjet and overbit in an adult patient with a 16 mm pretreatment overt, orthodontic treatment would most likely require ‘A. Orthodontic tooth movement only B. Orthognati surgical teatmeat ooly (C- Combined orthodontis/suagicl treatment D.- Premolar extraction therapy onlya ee en A Assault BB Nonmaleticence © Disclosure D. Battery 179,Which area ofthe mouth has the LEAST amount of kertinized tissue onthe buccal aspect? ‘A. Maxillary incisors B. Manilary premolars (C- Mandibular incisors D- Mandibular premolars 180.Painrelerred to the car derives mest often from which teeth? ‘A Maxillary molars B Manilary premolars - Mandibalar molars D. Manaibular premolars 181: Metastatic disease tothe oral region is most likly to occur in Which ofthe following locations? A. Tongue B Posterior maxilla - Posteri mandible Floor of the mouth 182,Which ofthe following sth single most important factor affecting pulpal response to tooth preparation? A Heat 'B Remaining dentin thickness © Desiecation 1. Invasion ofbacteria 183.4 16-year-old patient has Fong history of mild pain inthe area ofthe mandibula let fist molar. Radiographs reveal deep caries inthe tooth with am iregular radiopaque lesion apical o the mesial root. ‘Which ofthe following represents the most likely diagnosis? A Periradiculargranuloms B-Condensing osteitis CC Asymptomatic apical periodontitis D. Periapical eyst 184.Distincly blue color ofthe sclera sa feture of Which ofthe following conditions? A. Gardner syndrome 'B- Osteogenesis imperfecta C- Hypohydrotic ectodermal dysplasia 1D. Stuge-weber angiomatosis 185.Giossits and angular chet are oral manifestations of what type of nutrient deficiency? A-Calelum B. Vitamin D Iron D.Zinc 186.4 patent has ony the mandibular anterior teeth remaining, The treatment plan calls fora maxillary complete denture and mandibular removable partial denture, ‘Which ofthe following is desirable inthe occlusal scheme? {A Bilateral simultaneous contact of anterior and posterior teeth in centric relation position 'B- Canine guidance with posterior dschusion during excusive movemenls ©. Pilateral balanced contact during excursive movements ‘D. Unilateral group function during excusive movements 187. Leukemia is suspected when a patient demonstrates which of the following sighs or symptoms? A-Red sclera B- Pale conjuntivea - Splinter hemorshage under the finger nails . Spontaneous gingival bleeding 188,Which characteristic is most Requently associated with osteoradionccrosi? A Maxilary location B. History of radiation therapy with 42.50 Gy (4250 rads) © History of bisphosphonate wage D. Mandibular location 189,Which ofthe followings NOT a characteristic of¢ modified Widman Flap procedure? ‘A: Submarginal incision B Replaced flap Inverse bevel insision 'D. Flap margin placement atthe osseous crest 190.4 displace fracture ofthe mandible courses fom the angle tothe third molar. This fracture is potency dificult to treat with closed reduction because of A Injury tothe newrovascular bandle BB. Malocelusion secondary to the injury - Compromise of the blood supply to the mandible . Distraction of the fracture segments by muscle pull 191.4 °W" infront of the rubber dam clamp number indicates thatthe mabber dam clamp ‘Acs made from work-hardened metal B. Hava non-reflective surface C-Hasa wing D- Iswingless192.4 patient's mandibular canal is positioned lingually to her mandibular third molar. In what direction would the canal appear to move on a radiograph, if the X-ray tube were moved inferiorly (Le, ifthe x-ray beam were pointing saperoely)? A. Apical B- Mesilly C: Distaly D-Occasally 193,What isthe most common side effet when administering nitrous oxide and oxygen? A. Allerg reaction B- Respiratory depression ©: Tachycardia D- Nausea 194.Treatment of Ranula? excision. 2-sublingual gland removal S-marsuphalization ‘enucleation S gland excision 195.east facture resistant? 1. feldspathic 2leucte 3. zirconia 196,Whieh of the following s communicative guidance A modeling extinction C distraction D postive reinforcement 197, Dentist lets the patient listen to music in the clinic L Distraction 2.Modelling 3 Positive reinforcement 198 Wha tocth most likely to have crown/root facture? A. Max ant B. Mand ant €.Maxpost D. Mand post 199,You made a zirconia crown on right mandibular molar. When patient bits it shifts tothe sight, What aea is affected? A (mandibular incline ~ cusp) B -baceal - buccal lingual ~ buccal D -buceal lingual E -Tingual~ lingual 200.The oestusal form ofthe AA) Prim Mand ist molar B) Prim Max Ist molar ©) Prim Mand 2nd molar D) Primm Max 2nd molar 201.Growth in buccal vestibule by flange of mandibular RPD? Most kel: 1. traumatic neuromoa 2 neurilemna 3 nearofibroma 202,What determines the epithelium of of gral? recipient epithelium dlonor epithelium recipient connective tissue donor connective tissue 208. Mechanism of Action of Benzodiazepine 1 Potentiate GABA 2lnhibit GABA, 3 Lahibit release of GABA 204. MOA of Salfonamice and Sulfomylurea 205, What forceps se for extraction mandibular premolar ___ varies from that of any tooth inthe permanent dentition 206,Chronic periodontitis most commonly found in 2) Blacks >) Whites «) Asians a) Native Americans