٦ ‫اﻟﻤﻠﻒ اﻟﺬﻫﺒﻲ‬

Corrected by yes we can

2021

2- During dental treatment, a patient complained that the water spray from the
hand piece made her feel like gagging and she asked the dentist to turn it off.
The dentist adjusted the spray to the bare minimum to prevent the smell of
burning that comes from cutting a dray tooth. Which of the following is the main
purpose of the water spray in a high speed rotary instrument?

✅✅
A. Reduce operator fatigue
B. Reducing pulpal damage
C. Performing oral prophylaxis
D. Minimizing patient discomfort

3- After preparing the proximal box of a class ii amalgam restoration in tooth #

45, the margin gingival floor of the box needs to be refined to remove all
unsupported enamel pods Which of the following is used for this procedure?

✅✅
A. Spoon Excavator
B. Gingival Marginal trimmer
C Inverted cone on a high speed hand - pece
D. Small round bur on low speed hand piece

4 - A 73 - year - old woman is brought to the clinic by her daughter for the
replacement of lost dentures. The patient has senile hearing loss but is
otherwise healthy. Extra - oral examination was within normal. On intra - oral
examination, the patient had fairly well shaped maxillary and mandibular alveolar
ridges, and her oral mucosal tissues were healthy. The teeth remaining were: #
14, 13, 24, 37, 35, 44, 46. The teeth had gingival recession but no mobility or
signs of caries. Which of the following is the classification of this patient's

✅✅
edentulous ridge according to Kennedy- Applegate?
A Maxilla: Class i modification 1
B. Maxilla: Class i modification 2
C. Mandible: Class Il modification II
D Mandible: Class Ill modification 1

Mandible class 2 mod 3 ✅✅

5 - A4 - year - old girl is brought for the extraction of first permanent premolars.
Examination shows teeth are never restored and are designated for use in pre -
clinical educational training Which of the following is the recommended treatment
of teeth before use in pre - clinical setting?

✅✅
A. Clean and store in saline
B. Autoclave for 40 minutes
C. clean and store in a liquid germicide
D. Clean with an intermediate level disinfectant and store in saline

7- Which of the following methods improves the resistance to displacement of a

✅✅
short - walled preparation on a large vital tooth?
A. Utilizing pins
B. Placing axial grooves
C. Creating slight undercuts
D. Post and core after root canal treatment

8. After completing crown preparation on tooth # 16, the dentist ready to pack
cord around the tooth to make the final impression. Patient medical history
shows that he is taking Lisinopril. Which one of the hemostatic agent may have

✅✅
an adverse effect on the patient?
A. Epinephrine
B. Fernic sulfate
C. Aluminum chloride
D. Do not use any hemostatic agent with this patient

9- A patient presents to the dentist complaining of severe unlocalized pain on

lower right side. On clinical examination, he had multiple questionable teeth. An
attempt was made to localize the offending tooth using thermal testing. Tooth #
45 had severe pain that lasted 1-2 seconds after removal of the stimulus. Which
of the following is the most likely diagnosis?
A. Normal

✅✅
B. Necrotic pulp
C. Reversi pulpitis
D. Irreversible pulpitis
✳✳11. What is the single most critical final step to take at the definitive / final
cementation stage of a fixed restoration using resin cement?
A. Perfecting the occlusal contacts
B. Maintaining an accurate marginal fit
C. Periapical X - ray to see residual cement
D. Keeping dry field ensuring no cement contamination

12-A patient is present at the clinical for dental restorative treatment. The patient
was diagnosed previously with active tuberculosis and started treatment. The
results of sputum culture test are not back yet. Which of the following is the best
protection method?
A. Using a face mask

✅✅
B. Using a face shield
C. Using respiratory masks
D. Adequate clinic ventilation with face mask is enough

13- Which of the following consequences may occur when an amalgam

restoration is not polished?
A. Greater risk of fracture

✅✅
B. Decreased plaque retention
C. Greater risk of tarnish and corrosion
D. Decreased susceptibility to recurrent caries

14. Which of the following is an acceptable act regarding professional behavior?

✅✅
A. Have wild haircuts or weird clothes
B Ask for help from other disciplines when needed
C. Helping friends and families to achieve faster and better services
D. Call patient numbers taken from their medical records for social activities

15- A 35 - year - old woman presented to a clinic seeking replacement of her

missing upper first premolar. The patient asked the dentist about success rates
of different available options to replace her tooth. What are the expected
success rates% of fixed partial prosthesis after 10 and 15 years respectively?

✅✅
A. 95 and 50
B. 92 and 74
C 75 and 60
D. 99 and 95

16- Which of the following clasps will cause aesthetic concerns when used on a
premolar abutment for maxillary removable partial denture?

✅✅
A. RPI
B. Ring
C. Aker
D. T - bar

17- Which of the following is least important in the informed consent?

✅✅
A. The foreseeable risks
B. The costs of the proposed treatment
C. Description of the proposed treatment
D. The benefits and prognosis of the proposed treatment
18. A 30 - year - old man came complaining from a chipped Porcelain laminate
veneer # 21 (see image). Which of the following is the type of Porcelain
fracture?
A. Static
B. Cohesive
C. Adhesive
D. Combined

According to pic✅✅

19- An alginate impression was taken on a patient. Since the dentist was busy
and did not have time to pour it he placed the impression in a bowel of water so it
will not dry until he has time to pour it. Which of the following may happen by
leaving the impression in water?
A. Gelation
B. Syneresis

✅✅
C. Hysteresis
D. Imbibition
20- A 35 - year - old woman visits the Dental Clinic for restorations. Patient
accidentally spits the rinse of mouth on the unprotected side of the chair instead
of spittoon. Which of the following disinfectant is likely used to clean the chair?
A. Low level
B. High level
C. General household
D. Recommended by the equipment manufacturer

21- Which of the following materials is the most economic, when it comes to use
for an overall impression to repair a broken cast clasp arm of a removable partial

✅✅
denture?
A. Alginate
B. Zinc oxide
C. Polyether
D. Additional silicone

22- A patient came to the clinic complaining of pain and soreness in his jaw early
in the morning. Upon history taking, the patient's spouse informed the dentist
that he grinds his teeth while sleeping. Which of the following is the name of this

✅✅
par functional habit?
A. Bruxism
B. Clenching
C. Thumb Sucking
D. Tongue Thrusting

23- Which of the following is the proper sequence of order for evaluation of a

✅✅
metal ceramic crown during try - in?
A. Proximal contacts - margin - occlusion - contour - esthetic
B. Proximal contacts - contour - margin - occlusion - esthetic
C. Margin - proximal contacts - occlusion - contour - esthetic
D. Margin - contour - proximal contacts - occlusion - esthetic
24 - During dental treatment, the dentist touched the dental chair his hand Which
of the following is the most appropriate immediate action?
A. Surface disinfection is inadequate

✅✅
B. Cleaning and sterilization for reuse
C. Require cleaning and disinfection of chair
D. Must be removed for cleaning and sterilization

25. When is the appropriate time for shade selection for a composite restoration
in a molar?
 ✅✅
A. Soon after the preparation
B. Before rubber dam application
C. Just before the matrix band placement
D. Before the application of the bonding agent

26- A patient presented to the clinic with a broken restoration on a lower posterior
tooth that was root canal treated. On examination, tooth # 46 had a broken
restoration and should be restored with a crown. To assess if the remaining
tooth structure was sufficient to retain a core, the dentist removed the old
restoration and started crown preparation. Which of the following is the minimal
dentin wall thickness (in mm) that would be sufficient to support a core build -
up?

✅✅
A 0.5
B. 1.0
C. 2.0
D. 2.5
27- Which of the following are the 3 essential components of dental ethics?

✅✅
A. Competence, autonomy, profitability
B Compassion, competence, autonomy
C Compassion, profitability, competence
D. Competence, profitability, accessibility

28- During the cementation of a complete cast crown, it is recommended to

"rock" the cast crown on the preparation from a facial to lingual direction. Which
of the following explains this recommendation?
A. Take advantage of the resistance features of the preparation
B. Fully seat the cast crown overcoming any undercuts in the preparation
C. Accomplish static loading to ensure binding of restoration to preparation

✅✅
D. Accomplish dynamic seating force to ensure expression of excess cement
and full seating

29- With time, provisional restorations would be susceptible to color changes and

✅✅
deterioration. Which of the following explains this color deterioration?
A. The presence of unreacted benzoyl peroxide
B. The used polymer was methyl methacrylate
C. The restoration was cured in water at 100 ° C
D. The presence of urethane dimethacrylate monomer
30- Patient attends to clinic dental complaining of discomfort when he drinks hot
or cold drink, especially in cervical area of ​teeth. Which of the following is the
most likely diagnosis?
A. Sclerotic dentin

✅✅
B. Irreversible pulpits
C. dentin hyper sensitivity
D. Acute apical periodontitis

31 - A patient presented to the clinic with a Kennedy class II modification 1

partially edentulous mandibular arch where she has lost # 43, 45 and 46. All her
other teeth are present. What is the terminology used describe # 44 abutment

✅✅
position?
A.) Pier abutment
B. Long abutment
C. Single abutment
D. Anchored abutment
32- A 50 - year - old man presented to the clinic for the fabrication of a
mandibular removable partial dental prosthesis to replace all her posterior
missing teeth # 34-37 and # 44-47. The dentist has collected all the data
required for the process of framework design. The following are a list of the
relevant findings: - Kennedy class I partially edentulous arch. - The alveolar
lingual sulcus is 5 mm away from lingual gingival crevices - No tissue undercut
found labially in the areas of # 33 and 43. Which mandibular major connector
would be the appropriate?
A. Labial bar

✅✅
B. Lingual bar
C. Lingual plate
D. Cingulum bar
33 - A4 - year - old man presents with a lump in the left buccal mucosa, buccal to
# 28 wisdom tooth, for 3 months. History revealed, painless but bites cheek at
times. Intraoral examination shows an irritation fibroma. Dentist performs an
excisional biopsy. Which of the following is the likely treatment of specimen for
transportation to the laboratory?
A Placed in a sturdy leak proof container in saline and labelled biohazard

✅✅
B. Placed in a sturdy leak proof container in intermediate level disinfectant leak
C Placed in a sturdy proof container in formalin and labelled biohazard
D. Placed in a sturdy container containing heparin sulphate and labelled
biohazard

✳✳34 - A 16 - year - old girl attends the clinic complaining that she is unhappy
with her appearance. She feels that her maxillary anterior teeth are splayed and
there is a space between her upper and lower front teeth. The posterior teeth
are in normal occlusion Which of the following can be the possible cause?
A. Tongue thrust
B. Thumb sucking
C. Previous trauma
D. Relapsed orthodontic treatment

35- What should a clinician / prothodontist do for the clinical management when a
crown cannot be cemented over an abutment and there is a large discrepancy?

✅✅
A. Remake the impression and send it to the laboratory for fabrication of a new
crown
B. Prepare the abutment tooth further and cement the crown using a suitable
cement
C. Trim / adjust the fitting surface of the crown and cement the crown using a
suitable cement
D. Cement the crown over abutment using a suitable cement and do occlusal
adjustment if required

36- A patient presents with sensitivity in the mandibular left posterior tooth
region. Clinical examination reveals a large carious lesion in # 36. The cavity
will be restored with amalgam. Which of the following is the most suitable

✅✅
material to use as a varnish beneath the amalgam restoration?
A. Copalite
B. Calcium hydroxide
C. Zinc polycarboxylate
D. Resin modified glass ionomer
37- A man attended complaining of a fractured distoincisal angle of a maxillary
lateral incisor. The mesiofacial has been restored with glass ionomer cement.
There is little remaining tooth structure left and he requests a long lasting
restoration. Which of the following is the material and restoration of choice for
this patient?

✅✅
A. A3 / 4 cast crown
B. Full crown restoration
C Cast pin ledge restoration
D. Etched composite resin with pins

38- A 57 - year - old man was referred to a Prosthodontics Clinic to completely

rehabilitate the occlusal surface of all his posterior teeth including premolars lost
due to severe wear. Which of the following types of interocclusal relation should

✅✅
the teeth be restored in?
A. Long centric relation
B. Anterior jaw position
C. Retruded cups position
D. Maximum intercuspal position

39- A woman presented to the Dental Clinic for a follow - up visit, 24 hours after
insertion of a mandibular Kennedy class 1 cast removable partial denture. She
complained from sore throat that is exacerbated on swallowing and during eating.
Mucosal irritation was confirmed clinically with no irritation over the ridge
mucosa. Which of the following is most likely causing the problem?
A. Occlusal interferences
B. Fit surface imperfections

✅✅
C. Unpolished lingual flanges
D. Over - extended lingual flanges

40- What should a Class IV composite resin restoration be initially finished with?

✅✅
A. Mounted stone
B. 12 - fluted carbide bur
C. Coarse diamond point (stone)
D. Number 330 tungsten carbide bur
41- Which of the following is necessary for informed consent?

✅✅
A. Can be verbal
B. Must be written
C. Can be implied by patient actions
D. Does not include benefits of treatment

42. Which of the following relations should the mandibular cast be mounted to

✅✅
the maxillary cast if vertical dimension of occlusion is to be altered?
A. Centric relation
B. Rest jaw position
C. Anterior jaw position

D. Maximum interception

43- Which of the following is the standard prophylactic antibiotic regimen

recommended for a patient with a cardiac condition who is scheduled for a crown

✅✅
lengthening procedure on a molar tooth?
A. 2 gm of amoxicillin one hour before
B. 2 gm metronidazole one hour before the procedure
C. 2 gm of tetracycline one hour before and 1 gm six hours after
D. 2 gm of erythromycin one hour before and 1 gm six hours After
44- A 40-year-old man visits the Dental Clinic for treatment. History revealed,
active Tuberculosis and is on medication. Which of the following is the minimum
duration of medication required before start of dental treatment?

✅✅
A. 1 week
B. 2 weeks
C. 3 weeks
D. 8 weeks

45- An 8 - year - old boy was brought to the clinic by his 14 - year old brother
complaining of lower incisors crowding. Which of the following is the first step in
the dentist orthodontic evaluation?
A. Take photographs

✅✅
B. Order panoramic radiograph
C. ask for a parent or legal guardian
D. Take impression for orthodontic models

46. ​Which of the following is a disadvantage of polyvinyl siloxane impression

materials?
A. High tear strength
B. Very rigid when set

✅✅
C. Polymerization reaction releases water as a by product
D. Inhibition of setting caused by some brands of latex gloves
47 - A CAD - CAM ceramic onlay was place on a mandibular molar for a patient.
A few days later, the patient returns complaining of hypersensitivity on chewing
on the tooth. Which of the following might be the reason?
A. Thermal conductivity

✅✅
B. Hyperehia of the pulp
C. Tooth in hyper occlusion
D. Chemical irritation from cement
48- A dentist decided to carry out treatment with isolation under a rubber dam.
On placement of the rubber dam which isolated the 6 maxillary anterior teeth, the
dentist observed an unusual amount of wrinkling of the dam between the teeth.

✅✅
Which of the following is the reason for the wrinkling?
A. The holes were too far apart
B. Punching the holes too small
C. The holes were too close together
D. Crowding and overlapping of the anterior teeth

50- A patient enters the clinic for scheduled appointment and vomits over the
clinic floor. Housekeeping removes all visible organic material with disposable
paper towels. Which of the following types of disinfectant is used to wipe the
floor?
A. Low level

✅✅
B. High level
C. Intermediate level
D. Water and household cleaner

✳✳51- A patient presented to the clinic requesting replacing a missing lower

right posterior tooth with a fixed prosthesis. On examination, tooth # 46 was
missing, tooth # 47 was mesially tilted (30 degrees to the occlusal plane). The
plan was to replace this missing tooth with a 3 - unit fixed dental prosthesis.
Which of the following complications would most likely affect the long term
prognosis of this prosthesis?
A. Sensitivity
B. Pulp exposure
C. Irreversible pulpits
D. Short distal axial wall

52 - A 41 - year - old man came for restoration of a destructed tooth # 36 with a

full coverage crown. Pulp response was normal. Direct chair side temporization
was the selected technique for fabrication of provisional crown. Which of the
following materials should be avoided?
A. Bis - acryl composite

✅✅
B. Polyethyl methacrylate
C. Polymethyl methacrylate
D. Polyvinyl ethyl methacrylate
53. Which of the following is the most effective way of reduction the risk of

✅✅
inhalation of a foreign object in the dental patient?
A. ​Use of rubber dam
B. Use of throat packs
C. Use of high speed suction
D. Sitting patient in the upright position

54. Which of the following should be the first choice beverage for hydration

✅✅
purposes?
A. Water
B. Fresh juice
C. Sport drink
D. Energy drink
✳✳55- A woman, experiences speech disturbance, wishes to replace maxillary
incisor teeth that were lost as a result of tooth - avulsion injury in a road - side
accident. The edentulous site is also exhibiting bony ridge defect. Which of the
following prosthetic replacements is most suitable in this case?
A. Sectional removable partial denture
B. Every design removable partial denture
C. Fixed - fixed design tooth - supported bridge
D. Crown - retained removable partial denture

56- A 30 - year - old woman complains of throbbing pain in the maxillary right
quadrant. The pain is spontaneous and lasts for hours. All tests are normal
expect radiographs (see report). Radiographic examination: showed large
carious lesion in the maxillary first premolar. Pulpal exposure of 2 mm is
encountered after excavating all caries. Which of the following is the most likely
diagnosis?
A. Necrosis

✅✅
B. Reversible pulpitis
C. Irreversible pulpitis
D. Hyperplastic pulpitis

57- How can pontics in fixed partial dentures be designed to maintain the health
of the tissues beneath them?

✅✅
A. Have maximal tissue coverage
B. Have passive contacts with the ridge tissue with no blanching
C. Scrape the ridge area on the cast and use gold for the ridge contact
D. Scrape the ridge area on the cast and use porcelain for the ridge contact
58. What is the desired design of finish line on prepared teeth for all - metal
crowns?
A. Chamfer✅✅
B. Bevelled
C. Feathered
D. Deep shoulder