نم) corrected 4 march

`YES WE CAN – SDLE 21/12/2017 KSA
1) Reed–Sternberg cells are different giant cells found

with light microscopy in biopsies from individuals with:
• Hodgkin's lymphoma
Note :Reed strenberg cells »»hodgkin lympoma .
Waldayrs rings»»non
hodgkin lymphoma.
2) Patient with intraepithelial lesion, which test you

should run to prove your diagnosis:
• Immunofluorescence.
3) Defect in prickle layer:

• pemphigus vulgaris.
4) cases about pt with intraepithelial lesion, desmosome

defect:
‫ عشان ما تنسوها‬acantholysis ‫ ميزه الل‬pemphigius valgaris ‫وهي معناها خلل في‬
prickle layer
1
5) Average mesiodistal width of

maxillary molars:
• 8 in neck
10 in crown
6) Average mesiodistal width of mandibular molars:

• lower9-11 .
7) what is the main drawback of Diagnodent:

• High false positive
• High false negative
8) In Kennedy class 2 RPD lever type is:

• lever type 1
2
9) Common in DM pt:
• Periodontal abscess
• Gingival recession
10) Pulp pressure:

• 10 Or 14cm h20
11) How the lungs react to compensate for metabolic

acidosis:
• Hyperventilation to increase CO2 elimination9shift
curve to right)

alkalosis:
• Hypoventilation to decrease elimination of CO2(shift
curve to left)
note
*metabolic acidosis compensate
by hyperventiltion to decrees
co2.
*metabolic alkolisis
compensate by hypoventilition
to increase co2 retention.
3
13) Child with bilateral mandibular swelling, Histo: Giant

cells are present:
• Cherubism
14) 5ys child, fluoridated

water 0.3-0.6, taking 0.5 fluoride what type of fluorosis:
• mild
• moderate
• Severe
• Questionable
15) Regarding action potential, repolarization phase:

• Ka efflux
*yesterday 28th they had Q about the plateau phase

4
in action potential, this link will help:
https://www.youtube.com/watch?v=v7Q9BrNfIpQ
16) 2 cases about hypophosphatasia:
5
17) Percentage of copper to eliminate gamma2 phase in

amalgam:
• 13%
18) Chlorohexidine rinse:

• 0.12%
19) (Picture of dirty fractured denture), pt had this denture

for 3 yrs; what is the
first step to be done in the clinic before taking it to the
lab: it did not mention
calculus:
• use diluted disinfectant
• use ultrasonic cleaner
20) Another case about fractured denture (without picture)

before taking it to the
lab:
• put in bag and then in ultrasonic scaler
21) Zirconia post has:

• High compressive strength and low tensile
strength
6
• Low compressive strength and low tensile

strength
• High compressive strength and high tensile
strength
• Low compressive strength and high tensile
strength
22) Pt has normal liver function, has positive Anti-HBs and

positive Anti-HBe
antigen:
• Carrier with low infectivity
• No problem, treat the pt
• Highly infectious
‫هنا عندنا ال‬
E antigen
‫هو أخطر نوع بيكون خارج ال‬surface ‫اصال‬
‫طيب لو عملنا تحليل‬
‫ولقينا‬
Surface antigen ( sAg)
‫ده معناه شديد العدوي‬
‫طيب لو ظهرله‬
antibody
Anti ( sAg)
‫ده معناه ان المريض خف تماما‬
‫طيب لو عندنا‬
‫ظهر‬e
‫ده خطير جدا جدا جدا‬
(E Ag)
‫وجوده معناه شديد الخطورة وشديد العدوي‬
‫طيب‬
‫ لو ظهرله‬antibody
Anti ( E Ag)
‫ده معناه انه هيتوقف‬
‫تضاعف الفيروس وهيخف المريض بس معاملوش كمريض‬
‫طبيعي‬
‫ألنه بيكون حامل للمرض‬
‫لكن انتقال العدوي صارت ضعيفة‬
23) Mother was told her baby might have problems in

teeth calcification, in which stage this happens:
• Histo differentiation: I chose this one*
7
• Morpho differentiation
• Proliferation
24) Child with notched incisors and history of congenial

syphilis, in which stage his teeth got affected:
• Histo differentiation
• Morpho differentiation: I chose this one
• Proliferation
25) What color is the carpool of prilocaine 4% with
epinephrine:
• yellow
26) Pt has asthmatic attack:

• give 0.5 mg adrenaline intramuscular*
• prednisolone
• another dose of prednisolone
• 4 micro of albuterol / salbutamol inhaler
27) pt received multiple IANBs, returns the next day for
treatment but has trismus, which tech should you use:
• Vazirani-Akinosi tech
28) For pt with trismus you decide to use Vazirani-

8
Akinosi tech, what is the suitable needle gauge:

• 25
29) Pt had treatment yesterday, came today with trismus,

what is the cause:
• Muscle trauma
• Multiple penetrations
30) Pregnant mother wants to check the growth of her
baby,
what is the safe choice:
• Ultrasound
31) Pregnant mother wants to take fluoride to prevent her

baby’s teeth from caries:
• Tell her there is no evidence that prenatal fluoride
has any prophylactic effect
• Fluoride does not cross placenta
32) Pt wants to remove amalgam because he heard in TV

it causes cancer:
• Change the restoration after consenting the pt*
• Tell him there is no evidence
33) Pt came with paralyzed eyelids, lips and lost taste

sensation, Most likely the nerve got injured:
• In the parotid gland
• Higher part in facial canal
9
34) Dentist disinfected his clinic, took off his gloves and
he wants to transfer
instruments to sterilization, what is the first step to do:
• Wear thick utility gloves
35) Pt has reversed overjet, cephalometric finding is ANB

-2:
• class III malocclusion with skeletal class III
36) Pt is taking 15 mg corticosteroids for certain condition,
at the day of extraction
you should:
• double the dose So give him 30 mg
37) Dentist delayed pouring alginate impression 15 min, it

appeared soft and chalky, why:
• Dehydration
38) Pt has INR of 2.8:

• Extract surgically with no problem
‫ ) اختصر‬INR
Inter national normalization ratio- ‫ مافي مشكله‬3.5 ‫(ولغاية‬
• Stop warfarin for 3 days
• Give Vit K and extract
39) What is the antidote of heparin:

• Protamine sulfate
10
40) Pt with yellow dots on his lips, test say it is Fordyce’s

granules, what type of glands:
• sebaceous glands
41) 2 cases about white dots on baby’s palatine mid raphe:
• Epstein’s
Bohns nodule
Away from mid line on the alveolar ridge for child
also
42) Smoker, wears the complete denture all the time, came
with generalized
soreness and redness:
• denture stomatitis.
43) RPD pt came with white spots on the ridge

complaining of pain, after reliving
the fitting side pt had immediate relief. The second day
came again with white
sore spots, what is the reason:
11
• Not enough relief

• Flexible stress breaker
44) You were treating a pt and had needle stick injury, he

was hepatitis pt:
• vaccines + immunoglobulins
45) Best against E faecalis is:

• 2% CHX
Probe for furcation:

• Nabers
46) Numbers of canals of

46:
• Three
47) Numbers of canals of 14:

• Two
48) Components of GP:

• 20%GP 70% ZOE
12
49) Best restoration for root caries:

• RMGI
50) Aspirin is:
• Anti platelate
51)
Pt has problem with his plasma

enzymes, which type of L.A we can give him
to avoid complications:
• Amide
52) Surgeon is planning to mucoperiostial flap, what type

of retractor can retract
the pt’s cheecks and the flap at the same time:
• Minnesota
13
53) Picture with baby sucking his thumb. What is the factor:
• duration
54) A child in need of prophylactic antibiotic:

• Amoxicillin 50 mg/kg
Adult : amoxicillin 1 gm .if allergic ,
clindamycin 600 mg . Child : amoxicillin
50 mg/kg . If allergic, clindamycine 20
mg/kg
Antibiotic affecting the cell wall:

• Penicillin
55) Child with high caries risk what to do with partially

erupted molars:
• Put fissure sealants
• Wait until they fully erupt then seal them
• Put GIC
‫ لو مافيش خيار‬fl varnish ‫ يبقي‬wait
14
56) The explorer gets wedged in stained fissure:

• Use conservative composite|
• Ask the pt to come after six months and monitor
57) Advantage of fiber optic light over traditional caries

detection methods:
• It can detect fractures
• It is better for proximal caries
58) Fentanyl antidote:

• Naloxone
‫ و هو نفسه‬morfine antagonist
59) Acquired pedicle consist of:

• Protein
• Bacterial
polysaccharides
15
60) 2 cases about caries risk,

• one high, one low
(More caries more restoration high caries index)
61) Pt had amalgam restoration done, came complaining

about food impaction:
• improper wedging
62) The prober way to restore MO caries with composite:

• Circumferential band
• Wedge
• Sectional band + wedge
63) Differential diagnosis of firm mass on upper lip:

• Mucocele, pleomorphic adenoma, adenoid
carcinoma,.4 choices and Each choice had 3 lesions I can’t
remember them all
16
64) Disadvantage of Mcspadden tech in endo:

• difficult in curved canals
note: (difficult in extrusion from apical. Foramen)
65) When you have ledge, what is the most imp factor in
success of tx:
• The diameter of root apical to the ledge
• The location of the ledge
66) A case: pt has posterior PFM crowns and rpd, a picture
of lower anteriors
which had:
• AbressiON
67) So basically, the scenario had nothing to do with the

pic or the question Type of bacteria in dental abscess:
• Facultative aerobic
• Mixed
68) A case about pt came after 3 days of extraction with

pain, he could not sleep:
17
• dry socket
69)
Aspirin can be safely

used with:
• Warfarin
• Paracetamol
• Ibuprofen
70) Pt has missing 8s, will have 4 units FPD (24-x-x-27),

all other teeth are present and sound, what type of
mounting:
• mount bywax rim in centric relationhe
71) Pt came for RPD, he has missing 8s, they mentioned
missing multiple teeth scattered in 2 quadrants, what
type of mounting:
in complete Q
72) What type of dark shiny dentin that forms under

restorations:
• Reparative
• Tertiary
18
• Sclerotic
73) Pulp layer rich in nerves and vessels:

• Pulp core
• Cell rich zone
• Cell free zone
74) What is the most abundant immune cell in the dental

pulp:
• Lymphocytes
note:(‫ نختارة‬lymphocytes ‫ نختاره ايضا ان ذكر‬dentiritic ‫ان ذكر‬
)‫ولن يذكر النوعين مع بعض او بقية االنواع الموجوده بالساليد المرافق وانما نوع واحد فقط‬
75) What type of reproductive reparative cells in the pulp:

• Ectomesenchymal cells(undifferniated mesenchymal
cells)
19
• Fibroblasts
76) When we drink something cold, this stimulate the fluid

in the dentinal tubules to move:
• Inward towards the pulp
• Outward way from the pulp
77) You made a nice amalgam restoration for a pt, the next
day he comes with electric pain, you have a look a see
another metallic restoration and subsect “galvanic
shock” :
• Change the restoration
• Use varnish
• Use separating medium
• Wait and monitor
note:( Galvanic current First option to choose is to wait because it disappear through
a week
‫ احنا بنختار‬change restoration ‫بس فى حالة لو مافيش فى الخيارات أننا ننتظر‬
( ‫ أيام لو مازال األلم نغير الحشوه‬10 ‫بالترتيب كده نستنى من أسبوع ل‬
78) The instrument used to form the facioproximal wall:
20
• Enamel hatchet
• Straight chisel
• Binangel chisel
• Beveled chisel
79) Pt came with incompetent lip, narrow maxilla where the

buccal side of the mandibular teeth bite with the
palatal of upper:
• Bilateral buccal crossbite
• Bilateral lingual crossbite
80) Low grade single mass of 2 cm size, ipsilateral lymph

node involved, no metastatic:
• T1N1M0
81) When are we allowed to breach pt’s confidentiality:

• When the pt cannot pay the cost of procedure
• When the legal authorities ask for info
• When the spouse ask
21
• When you need consultation from a colleague

about treatment
82) When can you release info about the pt:

• Friend wants to make sure he is ok
• Pt has blood prone disease
• Wife asks
• The pt instructs you to do so
83) Pt came for treatment of #36, IANB was given, pt

feels slight pain, you will give infiltration to:
• long buccal
• mental
• incisive
• lingual
84) (picture)what is the nerve that pass through incisive

foramen:
• nasopalatine nerve
• incisive nerve
• anterior palatine nerve
85) apex locater cannot give reliable results in:

• open apex
86) #16 has large amalgam with dull pain and no

response to vitality test, how to check vitality:
22
• preparation test/cavity test
87) which blade you will use to drain dental abscess:

• blade 11
88) anatomical structure at pterygopalatine ganglion:

• maxillary nerve
89) Maxillary nerve leaves the skull through foramen:

• rotundum
90) Low grade carcinoma:

• Will not metastasize
• Will probably metastasize to the lungs
91) After the full

crown preparation, the finishing of
shoulder finish line is done by:
• flat end diamond bur
23
92) In deep carious tooth you can use:

• High speed round carbide
• High speed fissure carbide
• Low speed round carbide
• High speed diamond bur
93) What can we use for GI restoration finishing:

• ALUMINUIM OXIDE PASTE
• Prophy paste
94) Avascular part of TMJ:

• Disc
95) Child had trauma, primary tooth was intruded, the

follicle of the permanent tooth is enlarged:
• extract the primary
96) Pt grinding his teeth while sleeping:
• Bruxism
24
97) Doing a restoration for rich pt and taking more

money than you usually take is:
• unethical
100) Markings of WHO probe:

• 3.5, 8.5, 11.5, and color coding between 3.5-5.5
98) Beta blocker:

• Atenolol
99) RCT done 2 days ago, pt came with pain:

• Retreat
• Adjust occlusion
25
• Extract
100) 8 yr old child with diastema and blanching median

papilla:
• supernumerary tooth in the midline
• physiological diastema
101) 10 yr old child:

• wait until canines erupt before ortho treatment
102) Tachyphylaxis:
• depletion of neurotransmitters
103) Requires AB
prophylaxis:
• ortho band placement
104) Down regulation:

• a decrease in receptors
26
105) Advantage of conventional GI over modified one:

• High flourid concentration
note:( More fl release Less shrinkage bec it has only acid base reaction while
modified one has both acid base + polymerization Better biological properties
Advantage of modified over conventional...better mechanical properties Better
wear resistance Low moisture sensitivity)
106) Fracture between middle and apical parts of the

root:
• RCT for the coronal part
• Extract the coronal part and RCT for the
apical part
• RCT for the whole tooth
107) Instrument for scaling supragingival calculus:

• 15/30
108) Instrument for scaling subgingival calculus:

• 3/4
Note:( Gracy scaler numbers 1/2 ...2/3...3/4...5/6....7/8...9/10...11/12...13/14 All these for sub
gingival scalling
‫أي رقم يجي بخالف الذي فوق تعتبر‬supra gingival ‫ مثال‬212r/2r….41 ‫ او‬15/30)
27
109) Eruption of the tooth:

• Crown and root move in opposite directions
• Crown and root move together in the same
• direction simultaneously
• Crown moves but root stays in place
110) While searching for a canal, you made a

perforation:
• Put MTA on the defect then look for the missing
canal
• Locate the missing canal then put MTA on the
defect
• Locate the missing canal, finish RCT and obturate then
put MTA
111) While extracting

the palatal root of
maxillary molar
you had a 4 mm
oroantral communication:
• Use gelfoam 8 figure
suture
112) while extracting molar bleeding did not stop:

• use gelfoam
28
• use surgical
113) Pt came for clearance, after all extractions:

• Interrupted suture
• Alveloplasty
• Leave sockets as they are
114) A girl undergoing ortho treatment came with pink

incisors:
• internal resorption
115) Mandible has fractured angle, what is the

radiograph
that shows vertical mandibular fractures:
• Posterioanterior
• Revers town
• Oblique 30 degree
29
116) Tooth with fistula, what would you use for

radiographic tracing:
• Size 10 file
• Size 15 paper point
• Size 20 GP
117) Pt with diplopia:

• Ophthalmic nerve
• Trochlear nerve
• Abducense nerve
118) Hepatitis pt:

• yellow skin and white eyes
note:( Yello skin yellow eyes، Dark urine، Pale stool ، loos of appetite)
119) Pt moves lateral, upper and lower canines touch

each
other, pt has canine guidance, the only touching
contact is palatal of maxillary:
• Non-working interference
30
• Working interference
note:( working ‫ بيقول المريض عندة‬sanina guide ‫ وهذا يكون موجود في‬working side
‫ولقو الكانين عامل كنتكت مع كمان‬ platal MX molar)
120) After using articulating paper an iris mark left on

mesiobuccal cusp of lower molar:
121) Supervisor turned the pt head to the right and

placed
his hand on the pt’s right cheek:
• checking theright sternocleidomastoid muscle
122) Mandible moving to the right which muscle is

contracting:
• left lateral pterygoid
123) Tooth not responding to vitality test, pain on

percussion:
• symptomatic apical periodontitis
124) I can’t remember the case, answers were:

• Osteoma
• Osteoblastic carcinoma
• Osteoblastoma
• Cementoblasoma
31
• Read about them
125) Reed–Sternberg cells are different giant cells found

with light microscopy in biopsies from individuals with:
• Hodgkin's lymphoma
Note :Reed strenberg cells »»hodgkin lympoma .
Waldayrs rings»»non
hodgkin lymphoma.
126) Patient with intraepithelial lesion, which test you

should run to prove your diagnosis:
• Immunofluorescence.
127) Defect in prickle layer:

128) cases about pt with intraepithelial lesion,

desmosome defect:
32
‫ عشان ما تنسوها‬acantholysis ‫ ميزه الل‬pemphigius valgaris ‫وهي معناها خلل في‬

prickle layer
129) Average mesiodistal

width of maxillary molars:
• 8 in neck
10 in crown
130) Average mesiodistal width of mandibular molars:

• lower9-11 .
131) what is the main drawback of Diagnodent:

• High false positive
• High false negative
132) In Kennedy class 2 RPD lever type is:

33
• I chose lever type 1
133) Common in DM pt:

• Periodontal abscess
• Gingival recession
134) Pulp pressure:

• 10 Or 14cm h20

acidosis:
• Hyperventilation to increase CO2 elimination

alkalosis:
• Hypoventilation to decrease elimination of CO2
note
*metabolic acidosis compensate
by hyperventiltion to decrees
co2.
*metabolic alkolisis
compensate by hypoventilition
34
to increase co2 retention.
137) Child with bilateral mandibular swelling, Histo:

Giant cells are present:
• Cherubism
138) 5ys child, fluoridated water 0.3-0.6, taking 0.5

fluoride what type of fluorosis:
• mild
• moderate
• Severe
• Questionable
139) Regarding action potential, repolarization phase:

• Ka efflux
35
*yesterday 28th they had Q about the plateau phase

in action potential, this link will help:
https://www.youtube.com/watch?v=v7Q9BrNfIpQ
140) 2 cases about hypophosphatasia:
141) Percentage of
copper to eliminate
36
gamma2 phase in amalgam:

• 13%
142) Chlorohexidine rinse:

• 0.12%
143) (Picture of dirty fractured denture), pt had this

denture for 3 yrs; what is the
first step to be done in the clinic before taking it to the
lab: it did not mention
calculus:
• use ultrasonic cleaner
37
144) Another case about fractured denture (without

picture) before taking it to the
lab:
• put in bag and then in ultrasonic scaler
145) Zirconia post has:

• High compressive strength and low tensile
strength
• Low compressive strength and low tensile
strength
• High compressive strength and high tensile
strength
• Low compressive strength and high tensile
strength
146) Pt has normal liver function, has positive Anti-HBs

and positive Anti-HBe
antigen:
• Carrier with low infectivity
• No problem, treat the pt
• Highly infectious
38
‫هنا عندنا ال‬

E antigen
‫هو أخطر نوع بيكون خارج ال‬surface ‫اصال‬
‫طيب لو عملنا تحليل‬
‫ولقينا‬
Surface antigen ( sAg)
‫ده معناه شديد العدوي‬
‫طيب لو ظهرله‬
antibody
Anti ( sAg)
‫ده معناه ان المريض خف تماما‬
‫طيب لو عندنا‬
‫ظهر‬e
‫ده خطير جدا جدا جدا‬
(E Ag)
‫وجوده معناه شديد الخطورة وشديد العدوي‬
‫طيب‬
‫ لو ظهرله‬antibody
Anti ( E Ag)
‫ده معناه انه هيتوقف‬
‫تضاعف الفيروس وهيخف المريض بس معاملوش كمريض‬
‫طبيعي‬
‫ألنه بيكون حامل للمرض‬
‫لكن انتقال العدوي صارت ضعيفة‬
147) Mother was told her baby might have problems in

teeth calcification, in which stage this happens:
• Histo differentiation: I chose this one*
• Morpho differentiation
• Proliferation
148) Child with notched incisors and history of congenial

syphilis, in which stage his teeth got affected:
• Histo differentiation
• Morpho differentiation: I chose this one
• Proliferation
149) What color is the carpool of prilocaine 4% with
epinephrine:
• yellow
150) Pt has asthmatic attack:

39
• give 0.5 mg adrenaline intramuscular*

• prednisolone
• another dose of prednisolone
• 4 micro of albuterol / salbutamol inhaler
151) pt received multiple IANBs, returns the next day for
treatment but has trismus, which tech should you use:
• Vazirani-Akinosi tech
152) For pt with trismus you decide to use Vazirani-

Akinosi tech, what is the suitable needle gauge:
• 25
153) Pt had treatment yesterday, came today with

trismus,
what is the cause:
• Muscle trauma
• Multiple penetrations
154) Pregnant mother wants to check the growth of her

baby,
what is the safe choice:
40
• Ultrasound
155) Pregnant mother wants to take fluoride to prevent

her
baby’s teeth from caries:
• Tell her there is no evidence that prenatal fluoride
has any prophylactic effect
• Fluoride does not cross placenta
156) Pt wants to remove amalgam because he heard in

TV it causes cancer:
• Change the restoration after consenting the pt*
• Tell him there is no evidence
157) Pt came with paralyzed eyelids, lips and lost taste

sensation, Most likely the nerve got injured:
• In the parotid gland
• At the branching to chorda tympani
158) Dentist disinfected his clinic, took off his gloves

and he wants to transfer
instruments to sterilization, what is the first step to do:
• Wear thick utility gloves
159) Pt has reversed overjet, cephalometric finding is

ANB -2:
• class III malocclusion with skeletal class III
41
160) Pt is taking 15 mg corticosteroids for certain

condition, at the day of extraction
you should:
• double the dose So give him 30 mg
161) Dentist delayed pouring alginate impression 15 min,

it appeared soft and chalky, why:
• Dehydration
162) Pt has INR of 2.8:

• Extract surgically with no problem
‫ ) اختصر‬INR
Inter national normalization ratio- ‫ مافي مشكله‬3.5 ‫(ولغاية‬
• Stop warfarin for 3 days
• Give Vit K and extract
163) What is the antidote of heparin:

• Protamine sulfate
164) Pt with yellow dots on his lips, test say it is

Fordyce’s granules, what type of glands:
• sebaceous glands
165) 2 cases about white dots on baby’s palatine mid
raphe:
• Epstein’s
42
Bohns nodule
Away from mid line on the alveolar ridge for child
also
166) Smoker, wears the complete denture all the time,

came with generalized
soreness and redness:
• I chose denture stomatitis.
167) RPD pt came with white spots on the ridge

complaining of pain, after reliving
the fitting side pt had immediate relief. The second day
came again with white
sore spots, what is the reason:
• Not enough relief
• Flexible stress breaker
168) You were treating a pt and had needle stick injury,

he was hepatitis pt:
43
• vaccines + immunoglobulins
169) Best against E faecalis is:

• MTAD
170) Probe for furcation:

• Nabers

• Three

• Two
44
173) Components of GP:

• 20%GP 70% ZOE
174) Best restoration for root caries:

• RMGI
175) Aspirin is:

• Anti platelate
176) Pt has problem with

his plasma enzymes, which type of L.A we can give him
to avoid complications:
• Amide
45
177) Surgeon is planning to mucoperiostial flap, what

type of retractor can retract
the pt’s cheecks and the flap at the same time:
• I chose Minnesota
178) Picture with baby sucking his thumb. What is the

factor:
• duration
179) A child in need of prophylactic antibiotic:

• Amoxicillin 50 mg/kg
Adult : amoxicillin 1 gm .if allergic ,
clindamycin 600 mg . Child : amoxicillin
50 mg/kg . If allergic, clindamycine 20
mg/kg
46
180) Antibiotic affecting the cell wall:

• Penicillin
181) Child with high caries risk what to do with partially

erupted molars:
• Put fissure sealants
• Wait until they fully erupt then seal them
• Put GIC
‫ لو مافيش خيار‬fl varnish ‫ يبقي‬wait
182) The explorer gets wedged in stained fissure:

• Use conservative composite|
• Ask the pt to come after six months and monitor
183) Advantage of fiber optic light over traditional

caries
detection methods:
• It can detect fractures
• It is better for proximal caries
184) Fentanyl antidote:

• Naloxone
‫ و هو نفسه‬morfine antagonist
47
185) Acquired pedicle consist of:

• Protein
• Bacterial polysaccharides
186) 2 cases about caries risk,

• one high, one low
(More caries more restoration high caries index)
48
187) Pt had amalgam restoration done, came

complaining
about food impaction:
• improper wedging
188) The prober way to restore MO caries with

composite:
• Circumferential band
• Wedge
• Sectional band + wedge
189) Differential diagnosis of firm mass on upper lip:

• Mucocele, pleomorphic adenoma, adenoid
carcinoma,.4 choices and Each choice had 3 lesions I can’t
remember them all
190) Disadvantage of Mcspadden tech in endo:

49
• difficult in curved canals

note: (difficult in extrusion from apical. Foramen)
191) When you have ledge, what is the most imp factor
in success of tx:
• The diameter of root apical to the ledge
• The location of the ledge
192) A case: pt has posterior PFM crowns and rpd, a

picture of lower anteriors
which had:
• Abression
193) So basically, the scenario had nothing to do with

the
pic or the question Type of bacteria in dental abscess:
• Facultative aerobic
• Mixed
50
194) A case about pt came after 3 days of extraction

with pain, he could not sleep:
• dry socket
195) Aspirin can be

safely used with:
• Warfarin
• Paracetamol
• Ibuprofen
196) Pt has missing 8s, will have 4 units FPD (24-x-x-27),

all other teeth are present and sound, what type of
mounting:
• mount the casts by hand articulation because the
vertical dimension is not changed.
197) Pt came for RPD, he has missing 8s, they

mentioned
51
missing multiple teeth scattered in 2 quadrants, what

type of mounting:
• mount the casts by hand articulation because the
vertical dimension is not changed
note: (scattered By hand is enough ‫دي معناها في عضه كويسه‬
‫)وعالقه كويسه بين االسنان‬
198) What type of dark shiny dentin that forms under

restorations:
• Reparative
• Tertiary
• Sclerotic
199) Pulp layer rich in nerves and vessels:

• Pulp core
• Cell rich zone
• Cell free zone
52
200) What is the most abundant immune cell in the

dental pulp:
• Lymphocytes
note:(‫ نختارة‬lymphocytes ‫ نختاره ايضا ان ذكر‬dentiritic ‫ان ذكر‬
)‫ولن يذكر النوعين مع بعض او بقية االنواع الموجوده بالساليد المرافق وانما نوع واحد فقط‬
201) What type of reproductive reparative cells in the

pulp:
• Ectomesenchymal cells(undifferniated mesenchymal
cells)
• Fibroblasts
202) When we drink something cold, this stimulate the

fluid
in the dentinal tubules to move:
• Inward towards
the pulp
• Outward way
from the pulp
53
203) You made a nice amalgam restoration for a pt, the

next
day he comes with electric pain, you have a look a see
another metallic restoration and subsect “galvanic
shock” :
• Change the restoration
• Use varnish
• Use separating medium
• Wait and monitor
note:( Galvanic current First option to choose is to wait because it disappear through
a week
‫ احنا بنختار‬change restoration ‫بس فى حالة لو مافيش فى الخيارات أننا ننتظر‬
( ‫ أيام لو مازال األلم نغير الحشوه‬10 ‫بالترتيب كده نستنى من أسبوع ل‬
204) The instrument used to form the facioproximal wall:

• Enamel hatchet
• Straight chisel
• Binangel chisel
• Beveled chisel
54
205) Pt came with incompetent lip, narrow maxilla where

the
buccal side of the mandibular teeth bite with the
palatal of upper:
• Bilateral buccal crossbite
• Bilateral lingual crossbite
206) Low grade single mass of 2 cm size, ipsilateral

lymph
node involved, no metastatic:
• T1N1M0
207) When are we allowed to breach pt’s confidentiality:

• When the pt cannot pay the cost of procedure
• When the legal authorities ask for info
• When the spouse ask
• When you need consultation from a colleague
about treatment
208) When can you release info about the pt:

55
• Friend wants to make sure he is ok

• Pt has blood prone disease
• Wife asks
• The pt instructs you to do so
209) Pt came for treatment of #36, IANB was given, pt

feels slight pain, you will give infiltration to:
• long buccal
• mental
• incisive
• lingual
210) (picture)what is the nerve that pass through

incisive
foramen:
• nasopalatine nerve
• incisive nerve
• anterior palatine nerve
211) apex locater cannot give reliable results in:

• open apex
212) #16 has large amalgam with dull pain and no

response to vitality test, how to check vitality:
• preparation test/cavity test
56
213) which blade you will use to drain dental abscess:

• blade 11
214) anatomical structure at pterygopalatine ganglion:

• maxillary nerve
215) Maxillary nerve leaves the skull through foramen:

• rotundum
216) Low grade carcinoma:

• Will not metastasize
• Will probably metastasize to the lungs
217) After the full crown preparation, the finishing of

shoulder finish line is done by:
• flat end diamond bur
57
218) In deep carious tooth you can use:

• High speed round carbide
• High speed fissure carbide
• Low speed round carbide
• High speed diamond bur
219) What can we use for GI restoration finishing:

• Pumice
• Prophy paste
220) Avascular part of TMJ:

• Disc
221) Child had trauma, primary tooth was intruded, the

follicle of the permanent tooth is enlarged:
• extract the primary
58
222) Pt grinding his teeth while sleeping:

• Bruxism
223) Doing a restoration for rich pt and taking more

money than you usually take is:
• unethical
100) Markings of WHO probe:

• 3.5, 8.5, 11.5, and color coding between 3.5-5.5
224) Beta blocker:

59
• Atenolol
225) RCT done 2 days ago, pt came with pain:

• Retreat
• Adjust occlusion
• Extract
226) 8 yr old child with diastema and blanching median

papilla:
• supernumerary tooth in the midline
• physiological diastema
227) 10 yr old child:

• wait until canines erupt before ortho treatment
228) Tachyphylaxis:
• depletion of
neurotransmitters
60
229) Requires AB prophylaxis:

• ortho band placement
230) Down regulation:

• a decrease in receptors
231) Advantage of conventional GI over modified one:

• less contraction
61
note:( More fl release Less shrinkage bec it has only acid base reaction while
modified one has both acid base + polymerization Better biological properties
Advantage of modified over conventional...better mechanical properties Better
wear resistance Low moisture sensitivity)
232) Fracture between middle and apical parts of the

root:
• RCT for the coronal part
• Extract the coronal part and RCT for the
apical part
• RCT for the whole tooth
233) Instrument for scaling supragingival calculus:

• 15/30
234) Instrument for scaling subgingival calculus:

• 3/4
Note:( Gracy scaler numbers 1/2 ...2/3...3/4...5/6....7/8...9/10...11/12...13/14 All these for sub
gingival scalling
‫أي رقم يجي بخالف الذي فوق تعتبر‬supra gingival ‫ مثال‬212r/2r….41 ‫ او‬15/30)
235) Eruption of the tooth:

• Crown and root move in opposite directions
• Crown and root move together in the same
62
• direction simultaneously
• Crown moves but root stays in place
236) While searching for a canal, you made a

perforation:
• Put MTA on the defect then look for the missing
canal
• Locate the missing canal then put MTA on the defect
• Locate the missing canal, finish RCT and obturate then
put MTA
237) While extracting the palatal root of maxillary molar

you had a 4 mm oroantral communication:
• Use gelfoam 8 figure suture
• Low tension suture
63
238) while extracting molar bleeding did not stop:

• use gelfoam
• use surgical
239) Pt came for clearance, after all extractions:

• Interrupted suture
• Alveloplasty
• Leave sockets as they are
240) A girl undergoing ortho treatment came with pink

incisors:
• internal resorption
64
241) Mandible has fractured angle, what is the

radiograph
that shows vertical mandibular fractures:
• Posterioanterior
• Revers town
• Oblique 30 degree
242) Tooth with fistula, what would you use for

radiographic tracing:
• Size 10 file
• Size 15 paper point
• Size 20 GP I chose this one
243) Pt with diplopia:

• Ophthalmic nerve
65
• Trochlear nerve
• Abducense nerve
244) Hepatitis pt:

• yellow skin and white eyes
note:( Yello skin yellow eyes، Dark urine، Pale stool ، loos of appetite)
245) Pt moves lateral, upper and lower canines touch

each
other, pt has canine guidance, the only touching
contact is palatal of maxillary:
note:( working ‫ بيقول المريض عندة‬sanina guide ‫ وهذا يكون موجود في‬working side
‫ولقو الكانين عامل كنتكت مع كمان‬ platal MX molar)
246) After using articulating paper an iris mark left on

mesiobuccal cusp of lower molar:
66
247) Supervisor turned the pt head to the right and

placed
his hand on the pt’s right cheek:
• checking the left sternocleidomastoid muscle
248) Mandible moving to the right which muscle is

contracting:
• left lateral pterygoid
249) Tooth not responding to vitality test, pain on

percussion:
• symptomatic apical periodontitis
250) I can’t remember the case, answers were:

• Osteoma
• Osteoblastic carcinoma
• Osteoblastoma
• Cementoblasoma
• Read about them
67

نم) corrected 4 march

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`YES WE CAN – SDLE 21/12/2017 KSA

1) Reed–Sternberg cells are different giant cells found

2) Patient with intraepithelial lesion, which test you

3) Defect in prickle layer:

4) cases about pt with intraepithelial lesion, desmosome

5) Average mesiodistal width of

6) Average mesiodistal width of mandibular molars:

7) what is the main drawback of Diagnodent:

8) In Kennedy class 2 RPD lever type is:

10) Pulp pressure:

11) How the lungs react to compensate for metabolic

12) How the lungs react to compensate for metabolic

13) Child with bilateral mandibular swelling, Histo: Giant

14) 5ys child, fluoridated

15) Regarding action potential, repolarization phase:

*yesterday 28th they had Q about the plateau phase

in action potential, this link will help:

16) 2 cases about hypophosphatasia:

17) Percentage of copper to eliminate gamma2 phase in

18) Chlorohexidine rinse:

19) (Picture of dirty fractured denture), pt had this denture

20) Another case about fractured denture (without picture)

21) Zirconia post has:

• Low compressive strength and low tensile

22) Pt has normal liver function, has positive Anti-HBs and

23) Mother was told her baby might have problems in

24) Child with notched incisors and history of congenial

26) Pt has asthmatic attack:

28) For pt with trismus you decide to use Vazirani-

Akinosi tech, what is the suitable needle gauge:

29) Pt had treatment yesterday, came today with trismus,

31) Pregnant mother wants to take fluoride to prevent her

32) Pt wants to remove amalgam because he heard in TV

33) Pt came with paralyzed eyelids, lips and lost taste

35) Pt has reversed overjet, cephalometric finding is ANB

37) Dentist delayed pouring alginate impression 15 min, it

38) Pt has INR of 2.8:

39) What is the antidote of heparin:

40) Pt with yellow dots on his lips, test say it is Fordyce’s

43) RPD pt came with white spots on the ridge

• Not enough relief

44) You were treating a pt and had needle stick injury, he

45) Best against E faecalis is:

Probe for furcation:

46) Numbers of canals of

47) Numbers of canals of 14:

48) Components of GP:

49) Best restoration for root caries:

Pt has problem with his plasma

52) Surgeon is planning to mucoperiostial flap, what type

54) A child in need of prophylactic antibiotic:

Antibiotic affecting the cell wall:

55) Child with high caries risk what to do with partially

56) The explorer gets wedged in stained fissure:

57) Advantage of fiber optic light over traditional caries

58) Fentanyl antidote:

59) Acquired pedicle consist of:

60) 2 cases about caries risk,

61) Pt had amalgam restoration done, came complaining

62) The prober way to restore MO caries with composite:

63) Differential diagnosis of firm mass on upper lip:

64) Disadvantage of Mcspadden tech in endo: