MULTIPLE CHOICE QUESTIONS- ENDODONTICS

1. Exaggerated response to cold test is an indication of

a) Reversible pulpitis

b) Irreversible pulpitis

c) Hyperplastic pulpitis

d) Chronic apical periodontitis

Answer: a) Reversible pulpitis

Explanation: Irreversible pulpitis- Acute pain to hot stimuli, Hyperplastic pulpitis- No

response to cold or hot stimuli, Chronic apical periodontitis- No response to cold or hot
stimuli.
2. What causes “mouse hole effect” in an access cavity?
a) Over extension of access cavity

b) Extension of orifices to the axial wall

c) Extension of access cavity into furcation area

d) Incomplete deroofing of the pulp chamber

Answer: b) Extension of orifices to the axial wall

Explanation: Extension of orifices to the axial wall results in “mouse hole effect”. It is
caused by under extension of access cavity.

3. Which of the following irrigant removes the organic portion of the smear layer in root
canal?
a) EDTA

b) Chlorhexidine

c) Sodium hypochlorite

d) Saline

Answer: c) Sodium hypochlorite

 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

Explanation: Sodium hypochlorite through the process of saponification, amino acid

neutralization and chloramination leads to organic tissue dissolution.

4. Which of the following is the major component of commercially available Gutta

percha cones?

a) Gutta percha

b) Zinc oxide

c) Heavy metal

d) Waxes or resins

Answer: b) Zinc oxide

Explanation: Composition of Gutta percha cones:

Matrix: Gutta percha- 20%

Filler : Zinc oxide – 66%

Radiopacifiers: Heavy metal- 11%

Plasticizers: Waxes or resins – 3%

5. Which of the following instrumentation technique reduces the amount of debris

extrusion during chemomechanical preparation?

a) Step-back

b) Crown-down

c) Balanced force

d) None of the above

Answer: b) Crown-down
 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

Explanation: In this technique coronal and middle third of root canal are cleaned and shaped
first followed by apical third. This leads to rapid removal of debris, thus reducing debris
extrusion.

6. Mineral trioxide aggregate (MTA) is used for

a) Apexification

b) Perforation repair

c) Root end filling material

d) All of the above

Answer: d) All of the above

Explanation: MTA forms hard calcific barrier to seal the root end and perforation site.

7. What is Phoenix abscess?

a) Periapical granuloma

b) Acute apical periodontitis

c) Irreversible pulpitis

d) Acute exacerbation of chronic periapical lesion.

Answer: d) Acute exacerbation of chronic periapical lesion.

8. Based on the color coding for endodontic files, the color ‘Red’ corresponds to which
of the following instrument size:

a) 15

b) 20

c) 25

d) 30

Answer: c) 25
 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

Explanation: 15- white

20- Yellow

30- Blue

9. A ‘Bay cyst’ is

a) a cavity which is completely enclosed in epithelium lining and is independent of root canal
of offending tooth

b) a proliferation within the body of granuloma which plugs the apical foramen of offending
tooth

c) a hollow cavity, not lined by epithelium but by fibrous tissue

d) associated with vital teeth or in region of extraction

Answer: b) a proliferation within the body of granuloma which plugs the apical
foramen of offending tooth

Explanation: It is also called periapical pocket cyst and is continuous with the root canal of
the offending tooth.

10. Q-mix is a combination of

a) 17% EDTA and 3% NaOCl

b) 17% EDTA and 2% Chlorhexidine

c) 17% EDTA and 5% NaOCl

d) 17% EDTA and 0.2% Chlorhexidine

Answer: b) 17% EDTA and 2% Chlorhexidine

Explanation: Q- Mix 2 in 1 is a colorless and odorless solution which consists of 17%

EDTA and 2% Chlorhexidine. It is used as final irrigant, continuous irrigation of root canal is
done for 60-90 s.
 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

11. Which is the inner most zone in the ‘zones of reaction’ described by Fish in the
pathogenesis of apical periodontitis?

a) Zone of irritation

b) Zone of contamination

c) Zone of infection

d) Zone of stimulation

Answer: c) Zone of infection

Explanation: It consists of polymorphonuclear leukocytes and microorganisms

12. Which of the following is the least desirable transport media for avulsed tooth?

a) HBSS

b) Milk

c) Water

d) Green tea

Answer: c) water

Explanation: Water results in hypotonic rapid cell lysis

13. What is the shape of access cavity of maxillary premolar?

a) Oval in buccopalatal direction

b) Oval in mesiodistal direction

c) Triangular

d) Round
 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

14. Which of the following microorganism is the most resistant to root canal treatment?

a) Streptococcus mutans

b) Peptostreptococcus micros

c) Enterococcus faecalis

d) Actinomyces

15. What is the maximum duration within which an avulsed tooth has to be replanted?

a) <30min

b) >30 min

c) <60 min

d) >60 min

16. Indication for Cvek pulpotomy

a) Vital, traumatically exposed young permanent teeth with complete root formation

b) Vital, traumatically exposed young permanent teeth with incomplete root formation

c) Non- vital, traumatically exposed young permanent teeth with complete root formation

d) Non- vital, traumatically exposed young permanent teeth with incomplete root formation

17. Which of the following bleaching agent is used in ‘Home bleaching technique’?

a) 15% Carbamide peroxide

b) 1-10% Hydrogen peroxide

c) 10% Carbamide peroxide

d) All of the above

 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

18. Which of the following is a consequence of nonvital bleaching?

a) Tooth hypersensitivity
b) Cervical resorption
c) Apical periodontitis
d) Ankylosis

19. Etiology of ‘Pink tooth of mummery’ is

a) Traumatic injury

b) Long standing chronic inflammation of pulp

c) Deep restorative procedure

d) All of the above

20. Apexification is procedure that:

A. Induce root formation in vital tooth with incompletely formed root

B. Induce the formation of a mineral barrier in the apical region of nonvital tooth with
incompletely formed root

C. Involves the surgical removal of the apical region of the root and placement of a
retrograde filling material

D. None of the above

21. The classic sign of ‘Cracked tooth syndrome’ is

a) Night pain

b) Sharp, fleeting pain when biting force is released from the tooth

c) Pain on lying down

 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

d) Sharp pain on eating or drinking cold or sugary substance

22. The orange - brown precipitate, Parachloroaniline (PCA) is formed due to the
interaction of which of the following irrigants?

a) EDTA and NaOCl

b) Chlorhexidine and EDTA

c) Chlorhexidine and NaOCl

d) EDTA and saline

23. Vertical root fracture is seen radiographically as

a) Ground glass appearance

b) Elliptical radiolucency

c) J shaped radiolucency

d) Moth eaten appearance

24. Which of the following is not an indication for direct pulp capping?

a) Traumatic injury (<24 h) with pinpoint exposure

b) Small mechanical exposure (<1 mm) of pulp surrounded by sound dentin during tooth
preparation

c) Spontaneous and nocturnal toothache

d) No or minimal bleeding at the exposure sight

25. Which of the following is the best light source for thermocatalytic bleaching?
 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

a) Xenon plasma arc light

b) Conventional bleaching light

c) Tungsten halogen curing light

d) Diode laser light

26. Which of the following is not a symptom of odontogenic tooth pain?

a) Nocturnal pain

b) Pain on having cold/ hot food

c) Increased pain sensation when head is placed lower than the heart

d) Pain at low atmospheric pressure

27. What is the duration of splinting recommended by International Association of

Dental Traumatology (IADT) for an avulsed tooth with extraoral time < 60mins?
a) 1 week

b) 2 weeks

c) 3 weeks

d) 4 weeks

28. Which of the following is not a useful diagnostic aid to detect ‘Cracked tooth
syndrome’?

a) Periodontal probe

b) Tooth slooth

c) Methylene blue dye

d) Electric pulp tester

 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

29. Non vital tooth with dull throbbing pain, which later becomes asymptomatic is a
feature of

a) Irreversible pulpitis

b) Acute apical abscess

c) Chronic apical periodontitis

d) Phoenix abscess

30. According to Spaulding classification, endodontic files are classified as

a) Critical instruments

b) Semicritical instruments

c) Non critical instruments

d) None of the above

31. What is the method used for sterilizing carbide and diamond burs?

a) Alcohol wipe

b) Autoclave

c) Ethylene oxide

d) Dry heat

32. Extending only that portion of the wall needed to free the instrument owing to a
severely curved root or an extra canal is called

a) Ninja preparation
 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

b) Shamrock preparation

c) Truss access cavity

d) Conservative endodontic cavity (CEC)

33. A resinous material applied on gingival aspect of teeth for isolation especially for
bleaching, microabrasion etc is called

a) Insta Dam

b) Optra Dam

c) Liquid Dam

d) Handi Dam

34. A patient reports with history of spontaneous pain with exaggerated response to hot
or cold food that lingers even after the stimulus is removed. What would be your
treatment of choice?

a) Indirect pulp capping

b) Direct pulp capping

c) Endodontic treatment

d) Incision and drainage

35. The retainer number used for mandibular molar is

a) W4

b) W56

c) W7

d) W8
 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

36. Barbed broach is used for

a) Extirpation of entire pulp tissue

b) Removal of cotton or paper points lodged in canal

c) Removal of foreign material and necrotic debris from canal

d) All of the above

37. Peeso reamers primarily used for post space preparation are available as set of how
many instruments?

a) 3

b) 4

c) 5

d) 6

38. ‘Champagne bubble test’ is done to

a) detect fracture line

b) detect missed canal

c) detect pulp stones

d) detect caries

39. Mineral trioxide aggregate (MTA) was introduced by

a) SC Barnum

b) GV Black

c) Mahmoud Torabinejad
 MULTIPLE CHOICE QUESTIONS- ENDODONTICS

d) Andersen

40. Which of the following is not true about warm vertical compaction technique?

a) It is called Schilder’s technique of obturation

b) It uses heated pluggers and vertical pressure to heat soften gutta- percha

c) It consists of an electric control unit with pistol grip syringe and specifically designed
gutta- percha pellets for obturation

d) It seals all portals of exit from the root canal system