HARAMAYA UNIVERSTY COLLEGE OF MEDICAL

SCEINCES
FINAL EXAM FOR THIRD YEAR HEALTH OFFICER
STUDENTS

TIME ALOWED 1 HOUR AND 30 MINUTES

I. Choose the best answer

1. Which one is a low level fracture of the mid face?
 A. Lefort 2
B. Lefort 1
C. Lefort 3
D. Pyramidal fracture of the mid face
2. One of the following is local contra indication for extraction of tooth
A. Acute pericoronitis
B. Uncontrolled diabetic mellitus
C. Hypertensive patient
D. Severe anemia
3. Which one of the following wrong about luwding angina?
A. It is ischemic heart disease
B. It is a space infection of the oral cavity
C. It is a heart disease caused by dental infection
D. A and C
4. One of the following is not indication for tooth extraction?
A. Root fracture
B. Retained milk tooth
C. Irreversible pulpitis
D. Reversible pulpits
5. Which of the following is/are wrong about nomenclature of primary dentation of FDI system?
A. The lower left quadrant is indexed as 7
B. The upper right quadrant is indexed as 5
C. The upper left quadrant is indexed as 3
D. The lower right quadrant is indexed as 8
6. One is wrong designation of tooth surface
A. Tooth surface towards the palate is palatal surface
B. Surface towards the mid line is called distal surface
C. Surface of mastication is called occulusal surface
D. Surface towards tongue is lingual surface
7. Dental caries is
A. A wearing away of a tooth surface by mechanical process
B. Is wearing away due to function
C. Is hypo calcification of the enamel
D. Decalcification of the tooth surface by bacterial product
8. Florosis is the result of
A. Hypo flouridation of the drinking water
B. Excess fluoride in the drinking water
C. Erosion of the tooth surface due to acid
D. Hypo calcemia of the tooth surface
9. The defence mechanism of saliva is by
A. Interfere with bacterial growth
B. Interfere with bacterial adhesion
C. Flushing action
D. All of the above

10. A 19 years old patient comes to you with complain of pain during exposure to hot, cold and sweet stimuli with
immediate onset and difficult to localized the pain. Pain is disappear after removal of the stimuli.
 What is your proper diagnosis and treatment
A. ( reversible pulpitis , extraction )
B. ( Irreversible pulpitis , extraction )
C. ( Irreversible pulpitis , restoration )
D. ( reversible pulpitis , restoration )
11. Among the following one is not non dental origin pain.
A. Pain from sinusitis
B. Pain from temporo mandibular joint
C. Pain from trigeminal neuralgia
D. Pain from osteomylitisof the jaws
12. One is not symptoms of the Irreversible pulpitis
A. Pain lost for several hours
B. Difficult to localized the pain
C. Pain is not subsided after removal of the stimuli
D. Tenderness during mastication
13. The permanent first molars erupt at the age of
A. 8 – 9 years
B. 17 – 24 years
C. 6 – 7 years
D. 10 -12 years
14. The nerve supply of the tooth and jaws comes from
A. Facial nerve
B. Cranial nerve five
C. Ophthalmic nerve
D. Buccal nerve
15. Acute peri apical abscess is characterized by
A. Localized or diffused swelling of the offending tooth area
B. Nocturnal pain
C. Tenderness for purcusion and chewing
D. Filling tooth elongation
E. All the above
16. All are the defence mechanisim of the oral cavity. Except
A. Polymorpho nuclear leucocytes
B. Gingival fluid
C. Saliva
D. Certain micro organism
E. none
17. if patients comes to you with bleeding during brushing and noy other medical problem; your first impression is
A. plaque induced gingivitis
B. gingival hyperplasia
C. periodontits
D. oral manifestation of systemic disease
18. one of the following is not techniques for infiltration of anaesthesia
A. intra ligamentary injection
B. intra osseous injection
C. submuccosal injection
D. infra orbital injection

19. one is a contra indication of systemic factor for extraction of tooth.

 A. Extraction of tooth from irradiated jaws
B. Tooth imbedded in malignant growth
C. Uncontrolled diabetic mellitus
D. Pregnancy of second triminester
20. One of the following is post operative complication of extraction
A. Osteomylitis of the jaws
B. Swelling
C. Dry socket
D. Post operative hemorrge
E. All
21. Which one is a source for acute osteomylitisof the jaws
A. Acute peri apical infection
B. Infected cyct of the jaws
C. Acute gingivitis
D. Dental caries
E. All of them
22. One of the following is the complication of untreated osteomylitis
A. Paresthesia of the jaws
B. Cellulities
C. Pathological fracture
D. All
E. None
23. Source of infection for sublingual cellulitis is/are
A. Infection from mandibular molars
B. Infection from mandibular anterior tooth
C. Infection from sublingual gland
D. All are the source
24. Which nerve should be blocked to have anesthesia on the anterior upper tooth.
A. Mental nerve
B. Zygomatic nerve
C. Greater palatine nerve
D. Infra orbital nerve
25. All tooth of the lower jaw till midline is anaesthesiesed by blocking of ----------.
A. Buccal nerve
B. Mandibular nerve
C. Mental nerve
D. Lingual nerve
26. Write TRUE or FALSE for the following extraction procedure on the answer sheet.
1. mandibular second molar ; Buccal and lingual pressure with slight rotation.
2. Maxillary central and lateral incisor; palatal and labial pressure with mesial rotation.
3. Maxillary second premolar; buccal and palatal with rotation.
4. Mandibular incisors ; Labial and lingual with mesial rotation and labial traction.
5. Maxillary molars; Buccal and palatal rocking and buccal traction.
27. Write mechanism of dental caries formation on answer sheet.
28. Write main difference between periodontits and gingivitis (not types) on answer sheet.
29. Write all you know about luwding angina till management on answer sheet. ( BONUS )
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