ORE Part 1 August 2017

Dear all, these are some questions from ORE Part 1 August 2017, contributed by a few
people.
Don’t depend on answers in feedbacks - always double check!
Finally, happy studying and all the best :)

Paper A Group 1 (contributed by Radiqa)

 Cells present in lichen planus & Bacterial infections
 penicillins, tetracycline, benzodiazepines mode of action
 Functions of cells in enamel, Dentin and pulp formation
 Remnants of epitheliums
 Tongue innervation
 Parotid gland parasympathetic innervation
 X ray showing palate, cervical vertebra, Floor of max sinus
 Bell's palsy upper of which motor neuron lesion -Loss of wrinkling on the opposite
side which neuron lesion
 Autoantibodies in myasthenia gravis
 There were two questions on amalgam hypersensitivity one was due to drugs
 Amalgam reaction, which hypersensitivity
 blood transfusion, which hypersensitivity
 Epithelium present on hands but not on face
 Location pyknotic nuclei in which epithelium
 Caseating granules in which disease (TB)
 Streptococcal pneumonia
 A few questions on hyperventilation
 Hand signs for infective endocarditis
 Rheumatoid arthritis
 Anaesthesia 2 questions
 the diaphragm and position in relation to inspiration and expiration of air and the
effect on the thorax
 Loss of gag reflex and dysphagia in which nerve
 A question on occulomotor and one on trochlear
 Types of nerves in muscle spindles Alpha B 1 B2 Gamma and delta
 Scenario for Crohns (swelling of lips with ulcerations)
 RAS on tongue by celiac
 Increased ESR in what disease, options were trigeminal neuralgia, temporal arteritis
 There were two questions on Which increases during exercise and which decreases
and options were stroke volume, systolic pressure, End diastolic volume -mitral
valve location
 Left lower quadrant abdominal pain what is it? Can't recall the rest of the statement,
options Diverticula, gastric carcinoma.
 Pdl is narrowest in
 Platelets are formed by
 Which nerve passes the stylomastoid foramen (Facial nerve)
 There was a picture of skull showing foramen ovale : 1) which structure passes
through 2) is it motor, sensory or mixed. Tongue is deviated to the right side on
which side is the lesion on the nerve?
 Function of glycogen in an unconscious hypoglycaemic patient.
 A lot of questions on Na/k channel pumps, absolute refractory, relative refractory
factor 4
 Which reacts with tissue to form a clot with thrombin (this one is doubtful) fev/fev1
 How much is the Normal tidal volume (500ml)
  A lot of questions on the statistics. Mean, median, mode, standard deviation, case
control study, cohort study,

 Paper B Group 1 (contributed by Rana)

 fever cells that rise and oral findings
 patient with rubbery mass on the side of his face that has slightly increased in size
and isn’t attached to underlying structures
 patient with poorly defined lesion in parotid gland which is not soft
 patient who can't swallow and doesn’t have gag reflex
 patient with constipation and sudden urgency to use toilet with mucous and blood
in stool
 patient who feels pain in lower left abdomen and feels better after lying down
(appendicitis?)
 patient who deviates jaw to left when opening the mouth with clicking but can close
normally
 patient who feels pain in joints and it gets worse with day
 patient who feels pain in joints and can’t brush
 sjogren syndrome with what’s rest flow rate of saliva
 child who broke her upper central a complicated fracture in cervical area how do
you treat
 patient who has upper lateral cross bite how to treat
 many cases of dental pain pulpitis, abscess and acute and chronic periodontitis
 patient with swelling in face with no pain with a rct treated tooth
 patient injured himself and lose sensation in right cheek and upper lip, which nerve
is damaged
 cells seen in TB, multiple myloma,SLE, Mysthenia gravis, HSV1
 cancers of GIT, layers of skin, lining of lungs and anatomical dead space
 patient with hyperventilation which gasses rise and which is responsible for apneic
period after it
 patient feels pain on side of head with increased ESR
 secondary sjogren what rises
 10 year old gum appears higher than surrounding tooth why
 what does amalgam creep and corrosion do
 luting cement for all ceramic, pjc, gold crown
 missing upper five and decayed 6 patient needs bridge
 Down’s syndrome what do they have and how does it complicate dental surgery
 many patients with systemic disease what to expect after extraction
 what happens in IV bisphosphonates patients who get mandible angle fracture
 enzymes that elevate in MI but options were so unfamiliar
 who has heart fibrillation there were option like addison disease, angina, etc,
 pressure of lungs when increase and decrease
 function of diaphragm
 drugs mode of actions and post op complications: cyclosporin, amoxicillin, ampicillin,
tetracycline, sulphonamides, ciproflox, bisphosphonates, benzodiazepines
 what does midazolam cause
 fractures in angle, tmj and zygoma how to detect them
 amount of LA in ml given in infiltration
 patient gets pain on bending - treatment
 drug causes abdominal pain in high dose
 questions on different Hepatitis viruses types, envelope or not and spread mode
 BPE score
 mixed dentition patients with pain age 8, 9, 10
  evidence based dentistry 2 questions
 lots of dental pain questions 8-10, scenarios to choose diagnosis
 trauma management
 Instruments
 Calculation for lower facial height
 Patient who didn’t see dentist for two years, what probe to use? Williams, WHO,
Nabers
 15 year old girl in boarding school for consent
 Drug that causes pseudomembranous collitis? Clindamycin
 Luting cements in different cases like porcelain crown, ceramic crown, Nayyar core
length and materials  
 pain with 3 months peptic ulcer (means B12 anemia) Ans: kelonychia
 pain in multiple sites with bruises and recurrent facial rash (means SLE)
 patient with pain in joints and can’t use brush (rheumatoid arthritis) Ans: ulnar
deviation

Group 1 questions (contributed by Norah):

o Cells found in TB, infectious mononucleosis, multiple myeloma, Myasthenia gravis,
mumps, HIV.
o Patient with intermittent pain on biting, when taking xray theres widening of PDL
apically and loss of lamina dura
o Patient with pain that wakes him in the middle of night
o Best post used for anterior canine in a relatively healthy patient
o Bridge for a patient with missing upper six, the upper 7 has full crown and upper five
is sound, the patient is on oral bisphosphonates.
o Patient with osteosarcoma what is the postoperative complication following
extraction of lower 8
o Xrays of various respiratory conditions like asthma, hemophilus influenza,
pneumonia, TB.
o Mode of action of different drugs like penicillin, metronidazole, doxycycline,
sulphonamides, vancomycin.
o Picture of skull base with 4 canals and an arrow on one of them, identify and name
the function of nerve that passes through it (I think it was ovale)
o Hand signs weren't direct but I remember these
o Patient with chronic hepatitis (leukonychia)
o Patient with bruising, pain in multiple joints, organs involvement and
recurrent facial rash ( SLE and sign is oslers node and same)
o Patient with valve replacement who was on antibiotics for 3 weeks due to
infection (Rheumatic fever and sign is splinter haemorrhage)
o Patient with skin disease that may involve the oral cavity (psoriasis and nail
pitting)
o Patient with normal MCV and pain with swelling in his small fingers ( Sickle
cell anaemia and sign is dactylitis )
o Many questions on GIT diseases can't remember all cases but they included colon
cancer, UC, peptic ulcer, diverticular disease, acute pancreatitis.
o Patient who can't smile on the right side with ipsilateral inability to wrinkle the
forehead (motor lesions)
o Patient who deviates his tongue upon protruding towards the right side ( right
hypoglossal damage)
o Lining of lungs
o Skin layers (there were like 8 options and 4 layers)
o Hepatitis A virus what type is it, is it enveloped, does it cause cirrhosis
o Which patient is most likely to have atrial fibrillation and options were DM, Addison
disease, angina and thyrotoxicosis << the answer
o Pictures of oral lesions they included lichenoid reaction, sub epithelial fibroma, TB
ulcer
o Patient with a rubbery mass on the sides of his face which slightly increased in size
within three months, it's painless and unattached to underlying structures.
o Patient with a firm mass on one side of the face, poorly defined on xray and hasn't
changed in size.
o Patient experiences clicking on opening his mouth which deviates to the left and
there's no clicking on closing it and there's no pain.
o Patient with joints pain that gets worse throughout the day and can't open mouth.
o Patient with joints pain that's is worse in the morning and can't brush teeth.
o Postoperative complications in patient with down syndrome.
o Patient was involved in a fight and received a blow on the face after which he lost
sensation in his upper lip, right cheek which nerve was injured ( options involved
buccal, infraorbital nerve, nasopalatine).
o Hepatitis surface findings like HbsAb, HbeAb, HbcAg and what each of them meant.
o During hyperventilation breathing CO2 from a bag changes the levels of what gas,
which lung volume changes and which remains the same, what gas has the highest
concentration, and change in what gas results in the apneic  period after
hyperventilation
o What is the most common byproduct options were (bicarbonate, urea, co2 and
glucose)
o Patient with increased level of ESR who feels severe pain when brushing the side of
his face (temporal arteritis).
o A 10 year old amalgam appears higher than the surrounding tooth structure what's
the cause, options were ( tooth wear from brushing, creep in amalgam ) .
o Enzymes that elevate after MI attack and many options but answer was myoglobin .
o Function of diaphragm and how it affects breathing ( contraction and relaxation ) .
o What's the most common postoperative effect of midazolam ( it was amnesiac ) .
o Amount of LA given in buccal and palatal infiltrations, options were 0.25, 0.50, 0.75,
1, 1.25 ml ) .
o Intraligmentary injection is is painful, does it require a special syringe, does it require
pressure, does it provide long duration, etc .
o Which Xray is used to detect fracture in condyle, fracture in zygoma, abnormality in
condylar disc.
o Many BPE examinations like patient with pocket depth of 5 mm in the upper seven
which is the only tooth in that quadrant what's the score ( it's X because each
quadrant must have two teeth at least to count as a quadrant) .
o Patient with calculus, bleeding on probing and pocket depth of 3 mm what score is
it.
o Patient with pocket depth of 7 with gum recession what score is it.
o Overdose of codeine, paracetamol, aspirin, gentamycin.
o Opg with 5 marks which were floor of maxillary antrum, soft palate, hyoid bone,
condyle and hard palate.
o Cells that disappear before tooth eruption.
o Too many questions on cells and structures origin I can't really remember the
names.
o Microorganisms in 2 cases of periodontitis, Hepatitis A virus type and if there’s
envelope and can it be acute or chronic, mode of spread
Group 1 questions  (contributed by Aya)
1.Raised after myocardial infarction:myotropin
2.Percentage of hazardous drinker 23%
3.Patient with a toothache on hot and cold pain on biting on a cotton: cracked tooth
4.BPE of a sextant having only one tooth with pocket 7 and bleeding is (X)
5.BPE of a sextant having pocket 4 to 7 score is 4
0. Combines with tissues factor in extrinsic pathway to form thrombin burst
0. Picture of a red post from a tooth questions were  type of post? impression
post, type of crown needed and length of post : 5 mm minus working length
0. X-ray opg need to label hard palate, floor of sinus , hyoid bone
0. X ray showing rotated central asking for the abnormality : supernumerary
0. X ray occlusal showing post crown on left central and lateral and PMF on
right central and lateral asking type of crown
0. How many unit in pint of alcohol
0. How many ml of LA needed for buccal infiltration
0. % of oral sub mucous fibrosis malignant
0. Primary impression for edentulous with large undercut
0. Probe in BPE
0. Picture of a primary tooth with abscess treatment of choice pulpectomy
0. Best irrigant apart from NaOCl
0. Patient lost central the abutments have PFM with black line visible cervically
the saddle is concave and narrow restoration of choice : options were : fixed fixed , implant,
cr co denture, acrylic denture
0. Patient 8 years old taking tetracycline discolouration in which teeth options
were : lower 5 , central, second molar
0. Channel takes longest time to return to normal potential
0. Ion as second messenger
0. Potential at which rapid depolarisation occur
0. Antibiotics cause rigor and abdominal cramp at high dose
0. Gas remain same at hyperventilation: nitrogen
0. Reduced at hyperventilation co2
0. Vol remain same at hyperventilation: residual volume
0. Vol after full inspiration
0. Hypersensitivity after amalgam
0. Cell of hertwig sheath: epithelial
0. Induce inner enamel epi to ameloblast : predentin
0. Induce differentiation of odontoblast : inner enamel
0. Responsible for nutrition during odontogenesis
0. Cell in acute inflammation
0. Cell in granuloma: epitheloid
0. Cell in TB : langhans not sure
0. Ig as a dimer and monomer: IgA
0. Bacterial in aggressive periodontitis
0. Picture of instrument to measure facial height Willis gauge
0. Patient with avulsed tooth on  7 day follow up do? RCT
0. Lowest Level of evidence
0. Highest level of evidence
0. Patient with root caries professional fluoride application ( varnish)
0. Trauma on central tooth in a 7 years old child with cervical root fracture
treatment options pulpotomy pulpectomy ,cvek , rct
0. % edentulous in England
 0. Neurotransmitter for increased salivation
0. Fight or flight : sympathetic
0. Mechanism of penicillin: on peptidoglycan
0. Mechanism of tetracycline
0. Antibiotics causing pseudomembranous colitis
0. Antibiotics causing rash in infectious mononucleosis options: ampicillin
amoxicillin pencillin g
0. EBV test : Paul bunnell
0. Questions on studies: mean median cross sectional study , p value , t
student test
0. How many times smoker and drinker get periodontitis
0. Kennedy classification in pt lost lower left 345
0. Not increased in exercise options cardiac output, systolic pressure , end
systolic vol
0. Not reduced in exercise
0. Concentration of topical anaesthetic
0. What is true about diaphragm: contract done raised pressure and expel air
not sure
0. Most compliant fixed Ortho , removable Ortho

0. Patient with rheumatoid arthritis complain most : difficulty in tooth brush

according to options provided
0. Hand sign in rheumatoid arthritis
0. Patient says he had an infection of childhood required antibiotics: rheumatic
fever  according to options provided
0. Hand sign in pt having Raynaud phenomenon and telengectasia : syndactyly
not sure
0. Patient having fever unwell after extraction ( I.E.) hand sign splinter
hemorrhage
0. Patient pain in weight bearing joint hand sign: heberden node
0. Patient complain with mucous bloody diarrhoea : ulcerative colitis
0. Patient having pain in left quadrant relieved by passing flatus options Coeliac
, diverticular , colonic cancer, crohn
0. Patient complain of multiple ulcer on ventral of tongue the coalesce to form
large ulcer same option as above
0. Patient with ulcer and full width gingivitis: orofacial granulomatosis

Paper A Group 2 questions (Contributed by Amy, Dalia, Waraf and Harjinder)

- Which muscle does accessory nerve supply in the tongue?
Ans: Palatoglossus

- Pt is taking Rivaroxiban (anticoagulant), what will happen after extraction?

Ans: Prolonged bleeding

- Amount (ml) of local anesthetic needed for buccal injection?

- What nerve causes dysarthria and gag reflex?

Ans: CN 9 or 10?

- Hypersensitivity
-Blood transfusion rejection? Type 2
 -Patient had reaction to latex gloves or rubber dam, symptoms were rashes, couldn’t breathe?
Type 1
-Transplant rejection? Type 4
-Mantoux test (TB)? Type 4

- A 40 year old female patient taking Dabigatran will most likely suffer from this condition
after dental extraction?
Ans: prolonged bleeding, drug-induced osteonecrosis.
New anticoagulants alternative to warfarin and have less drug interaction:
Apixaban (Eliquis)
Dabigatran (Pradaxa) Asked in Group 2
Edoxaban (Savaysa)
Rivaroxaban (Xarelto) Asked in Group 1

-  Penicillin mode of action  

Ans: inhibit peptidoglycan synthesis, inhibit DNA synthesis, inhibit RNA synthesis
(in the answers there was no “destroy cell wall synthesis”)

-  What material to use for secondary impression of flabby ridge with window technique?
Ans: light body addition silicone, alginate, impression compound, impression plaster,

-  How much root filling to leave for post? (I think Pink book said 5mm but it wasn’t in the
option)
Ans: 4mm, 6mm.
-  What is (?)% mineralised, and is more resilient than bone?
Ans: Cementum
- Photo of child with red swollen gingiva, fever and ulceration
Ans: Herpes Simplex infection, pemphigoid, angioedema

- Patient with folate deficiency… Schillings test

- Complication for Sjogren’s syndrome?

Ans: Non-Hodgkin Lymphoma

-  Erythema multiforme which cells?

- Patient requires extraction for upper right lateral incisor, how much LA to give for effective
palatal infiltration?
Ans: 0.25ml, 0.5ml, 0.75ml, 1ml

-  Pleomorphic adenoma – choose the correct statement. Forgot all the options, but there was
something like C) soft and fluctuant swelling

-  EMQ questions:
1) It was if the patient has weakness in one side of his face and his ability to wrinkle the forehead
is abolished-Answer is lower motor neuron facial nerve palsy.
2) After a surgery to remove a pleomorphic adenoma from the parotid gland which might
happen?
Lower motor neuron facial nerve palsy
3) If the patient protrudes his tongue and it deviates to the right then he would have a RIGHT
hypoglossal nerve lesion.

- Metformin
- Retraction cord, pH 1.2.
Ans: Aluminium chloride

-  Patient position. Why do we position patient (forgot the details)?

Ans: Arm rest/support of dentist

-  EMQ on child (gigantism), 60+ lady (acromegaly)

-  Free light chains is found in?

Ans: Myeloma

-  Sickle cell trait, choose the correct statement?

Ans: sickle cell trait is more common and less severe than disease, oxygen issues… something
haemoglobin.. (sorry can’t remember in more detail)

-  2 EMQ on blood coagulation/clotting. What forms the basis of clot???, what dissolves/destroys
fibrin (plasmin???)
Ans: Plasmin, Fibrin, Fibrinogen, Collagen and some other clotting factors maybe VIII

-  What cells rise in infectious mononucleosis?

Ans: Lymphocytes

- What group of cells do neutrophils belong to?

Ans: Granulocytes

-  EMQ that mentioned what is missing in Parkinson? Dopamine, What is found the most in
parasympathetic/sympathetic/free sensory endings

- Saliva, substance P
- Creatin C protein produced in? Liver

-  Which muscle has 2 innervations?

Ans: Digastric muscle (anterior by trigeminal, posterior by facial)

-  Intracellular signalling, pick the right statement. Passive transport, ca, excitable non-excitable

-  Membrane potential, cardio question about bundle of his, purkinje

-  Baroreceptors location?
Ans: Carotid arch and aortic valve

-  Which trait would most affect patient compliance?

Ans: Reticent, enthusiastic, energetic

-  What receptor transmit pain?

Ans: Nociceptor

-  Pain receptors, nociceptors, thermal proprioceptors, chemotactic, biting (sorry don’t

remember the details)

- Regulation of hormones

Paper B Group 2 questions (contributed by Amy, Dalia, Waraf and Harjinder)

-  Patient who didn’t see dentist for two years and has multiple small occlusal caries lesions,
what radiograph to take?
Ans: Horizontal bitewing, vertical bitewing, panoramic, periapicals

-  Patient has pericoronitis, what medication do you prescribe?

Ans: Metronidazole

-  Picture of an X ray labelling..

Ans: I remember External oblique ridge (mylohyoid ridge was also an option), maxillary
tuberosity, cone cut from square collimation, cone cut from round collimation

- 10-year old child with a mobile and a cervical root fracture, treatment options?
RCT/CAOH2/EXTRACT.

-Percentage of edentulous people in UK and Wales or Scotland??

Ans: 6%, 13%, 17%

- Most common cause for impacted teeth?

Ans: Supernumerary

-  X ray of a radiopacity in between two teeth, identify.

Ans: Supernumerary
 -  Photo of teeth with gingival recession on 31 only. What is the cause?
It was localised to 31, other teeth and gingiva appeared normal, also not much plaque, nor was it
very erythematous in other regions
Ans: Self-induced (factitious injury)

- Picture of a crown on 21 with marginal inflammation, what is the most probable cause?
Ans: Crown margin was extended subgingivally

-  What is the main constituent/immune cell present in GCF?

Ans: B-lymphocyte

-  Patient came and you were assessing her plaque, you found a continuous band of plaque of
1mm around the cervical margin of the tooth, what is the score of that according to Turesky
index?
Ans: 3

Quigley–Hain (Turesky) plaque index:

0: No plaque
1: Isolated flecks of plaque at the gingival margin
2: A continuous band of plaque up to 1mm at the gingival margin
3: Plaque greater than 1mm in width and covering up to ⅓ of the tooth surface
4: Plaque covering from ½ to ⅔ of the tooth surface
5: Plaque covering more than ⅔ of the tooth surface

-  Tooth mobile 2mm vertically, what is the mobility index?

Ans: Grade 3

-  Picture of buccal mucosa with a huge ulcerated lesion with hyperkeratotic margins and looked
neoplastic.
Ans: Burn, Ulcer, Neoplasm

- What material to repair root perforation?

Ans: MTA, GIC

- What is the likely cause?

Ans: Caries, hypoplasia, osteogenesis imperfecta, dentinogenesis imperfecta
- 70 year old with a photo showing expansion of maxilla, and x rays one lateral and one
periapical
Ans: Fibrous dyplasia, Paget’s disease, hypothyroidism, calcifying tumour, osteosarcoma

- Brown’s tumour, sarcoidosis (EMQ)

- Dentist use fine polishing bur to polish palatal aspect of lower tooth, does not use finger rest,
patient sneezes and head jerks backward, what will happen?
Ans: Mucosal burn, soft tissue injury, gingival trauma, mucosal trauma, trauma to adjacent tooth

-  Dentist was doing electrocautery while doing soft tissue design?, there is a hairline  crack /
broken laser cord you didn’t notice and you rest it on patient’s lip. What will happen?
Ans: Mucosal burn, soft tissue injury, gingival trauma, mucosal trauma, trauma to adjacent tooth

-  What would indicate that a patient with Ludwig’s Angina requires urgent hospital
admission?
Ans: Periorbital oedema, stidor

-  What fracture has the highest tendency for meningitis?

Ans: LeFort 3, LeFort 1, LeFort 2, orbital

- EMQ about pulpotomy, pulpectomy for deciduous teeth

- EMQ diagnosing pulpal and periodontal conditions

- Iron deficiency sign.

Ans: Depapillated tongue?

-  Least important for consent taking?

Ans: Dentist has done the procedure before
 -  Highest amount of tooth decay found in?
Ans: Professional / skilled workers, semi-skilled, non-skilled / manual or whatever

-  Omeprazole side effect?

Ans: Xerostomia?

-  Best way to give oral health education?

Ans: one to one in dental chair, parent to child, leaflet, mass media, oral health day at school
-  EMQ on LA:
- Longest? Ans: Bupivacaine
- Shortest? Ans: Mepivacaine
- Penetrates bone? Ans: Articaine
- Causes methaemoglobinemia: Prilocaine
- Commonly used as a topical: Lidocaine

- Cranial nerve EMQ:

- various symptoms with pain behind the ears, loss of balance? CN 8
      - lost taste in anterior ⅔ of tongue? CN 7
- diploplia of eye upon looking downwards and outwards? CN 4
- various symptoms and voice affected? CN10?

54.  Behcet ..
-  EMQ with 3 scenarios, 1 lady with some parotid swelling since 1-6 months and dry mouth and
eyes for 30 years or something. Second one also dry mouth and eyes. 3 one is a 5 year old
rd

child with dry mouth lips eyes and rampant caries.

Ans: Primary Sjogren, Secondary Sjogren, salivary gland aplasia, mouth breathing, dehydration

-  SLE patient, what is the oral manifestation?

Ans: Angular cheilitis, desquamative cheilitis

-  Side effect of xerostomia due to radiotherapy?

Ans: Rampant caries

-  EMQ about fluoride, concentration of toothpaste/fluoride varnish given for:

   - 15 year old child with high caries risk (2800ppm)
   - 27 year old with high caries risk (5000ppm)
   - 72 years with high caries risk (5000ppm)
   - sensitivity lesion / fluoride varnish (2.26%)  
Ans: 1000ppm, 2800ppm, 5000ppm, 2.26%, 5%

- EMQ about fluoride, how much fluoride supplement should be given for:
   - child with heart problem when the water fluoridation=1 ppm 0ppm
   - how much for a child with high caries risk and water fluoridation=0.3
   - Optimum water fluoridation concentration? 1ppm
   - 7 year old child in area with water fluoridation of 0.3pppm, but low caries risk *
Ans: 0ppm, 0.25ppm, 1ppm

- EMQ on labelling parts of denture

Ans:
7:Fully circulating clasp
4-Occlusal Rest
There was an I-bar from the edentulous area to the premolar on the other side and a cingulum
rest on the canine, and lingual bar

-  Alcohol calculation. What is equivalent to 3 units of alcohol? 10ml / 8 mg.

Ans: 250ml of 12% wine, ½ pint of medium strength beer, ½ pint of premium beer,½ glass of
wine
Calculation is  250 x 12 divided by 1000 = 3 pints

- Blood test finding showing acantholysis and tzanck cells, what is the disease?
Ans: Pemphigus vulgaris,  pemphigoid, leukoplakia, lichen planus/lichenoid reaction

- Most common bilateral parotid swelling?

Ans: Warthin’s tumour, adenoid cystic carcinoma

-  EMQ on behavioural management.

   -pulling lip while giving LA
   -raise hand to stop (control)
   -repeated exposure to something (desensitisation)
  - tell show do

-  What probe to use for 6 point charting after BPE is done?

Ans: Nabers, Williams, WHO

- Draining sinus from mandible, what microorganism involved?

Ans: clostridium, actinomyces, fusobacterium, streptococcus, staphylococcus

- Functional appliance for child with anterior crossbite?  

Ans: Z spring with cribs on upper 6 and E with molar capping, palatal spring with cribs on upper
6 and E with molar capping

- Ortho: values given and asked to interpret whether max/man/incisors are

proclined/retroclined, facial height. SNA 81, SNB 74 (average value is 79), Upper 1 angle:
106, facial height/proportion 55%, SNA 74 is Class 2??
Ans: Mandible is retrognathic (SNB is 74 which is less than the average value of 79, SNB refers to
the relationship between the cranial base and the mandible), other options: maxilla is
prognathic, low facial height
-  What are cuspless teeth used for?
Ans: Horizontal movement, create balanced occlusion, increase masticatory efficiency  

-  15 year old boy with malocclusion on Class 3 skeletal base, what to advise?
Ans: Fixed appliance and surgery

- EMQ on prostho: group function, canine guidance, posterior discursion / all posterior teeth in
contact - Type of occlusion used for complete denture construction?
Ans: Retruded contact position, intercuspal, anterior
     - Type of occlusion used for restoration?
Ans: Retruded contact position, intercuspal, anterior

-  Ortho: 18 year old patient with Class II incisor relationship on Class I skeletal base, treatment?
Ans: Fixed appliance, fixed appliance with surgery, removable appilance, functional appliance

-  What does P stand for in RPI system?

Ans: Proximal plate

- Picture of a denture, unilateral free end saddle on the left, with some missing teeth and rests at
the
premolars on the right. What kind of support is this?
Ans: Tooth and mucosa borne, tooth borne, mucosa borne

- Manual sterilisation of instruments. What kind of solutions to put it in?

Ans: Chlorhexidine for hand washing, disinfection liquid, concentrated washing liquid

-  Single use instruments: guidelines about endodontic files, how should they be used?
Ans: use once, multiple use for single patient within a day, multiple use on same day

-  Court order you to disclose information about child but mother does not consent. What do
you do?
Ans: Give the specific requested information to the court, give all patient’s dental records to
the court

- Employer called the receptionist if his employee came for treatment, and asked about details
of treatment, what do you do?
Ans: Refuse the employers request, only tell him the appointment time but offer no details
about treatment, tell him everything

-  EMQ about root canal morphology. Upper first molar, lower first molar, 2 upper premolars,
lower first premolar
Ans: single root, mesiobuccal mesiolingual, distal, mesiobuccal distobuccal palatal

- Extraction of right lower lateral incisor, inferior alveolar nerve block was given. What is most
likely reason for the LA to fail?
Ans: Midline cross over? Other options were hypoglossal nerve, facial nerve not anesthesised?

-  A few questions on primary prevention (maybe 2), secondary prevention (removal or

restoration of severe caries or something), tertiary prevention (rehabilitation)

-  70 year old woman who recently lost lower lateral which had post and crown before, she is fit
and well, adjacent teeth are sound and unfilled, what’s the best option for replacement?
Ans: minimal preparation bridge, conventional bridge, implant etc
- 30 year old woman who lost upper central incisor, adjacent teeth crowned with stained
defective margins, ridge has good width but radiolucency 4mm or something crest. What is
the best option for replacement?
Ans: bridge, implant

-  Facial space infection going to mediastinum?

Ans: submasseteric, submandibular, lateral pharyngeal

-  Patient with rheumatoid arthritis, best choice of pontic for posterior bridge?
Ans: sanitary, modified ridge lap etc

- EMQ about xrays, best view for:

  - caries for 4 year old child (bimolar),
  - bilateral canine identification for 12 year old
  - visualising bilateral condyle fracture,
  - maxillary antrum/sinus
  - zygomatic bone fracture
  - vertical bone loss
Ans: Bimolar, PA skull, lateral skull, occipitomental, occlusal (panoramic was not an option)

-  Most commonly used drug for IV sedation?

Ans: Midazolam

-  Least likely to be contraindicated for IV sedation?

Ans:
- allergy to benzodiazepines
- patient attend without chaperone
- history of angina pectoris?
- clinically signicant / severe mysthenia gravis
- first trimester of pregnancy

- CPR
- position? heel of hand centre of chest, heel of hand left of chest
- compression rate? 30, 60, 100, 120

- What is used to eliminate gamma 2 phase?

Ans: Copper, silver, mercury, tin, zinc

-  What is the highest constituent in high copper amalgam?

Ans: Silver, copper, tin, zinc

-  Concentration of sodium hypochlorite used as an irrigant in endodontics?

Ans: 0.1–1, 2–6?
Comments: 2.5 is used for adults but 0.1 is used for pulpectomy??

- Best type of imaging to examine TMJ

Ans: MRI, OPG

- What luting agent is used for provisional bridge cementation?

Ans: ZOE

-  What is the most important for diagnosis/to confirm before RCT?

Ans: Peripical radiograph, pulp vitality test

-  Haemoglobin range in 6 year old child?

Ans: 8-10, 10-12, 14

- EMQ on periodontal definitions.

Ans: clinical attachment level, pocket depth, clinical crown, anatomical crown, true/false pocket

-  Who benefits the most from fissure sealants?

Ans: child with medical conditions, adult with medical conditions

- Patient who coincidentally has glandular fever, what drug is contraindicated?

Ans: Ampicillin, Amoxicillin, Penicillin V, Flucloxacillin

-  Most important/effective/main component of mouthwash?

Ans: bisguanide, quaternary ammonium compound
- Molar Class II DO restoration, matrix band is tightly placed at the bottom of the box, no wedge,
no adaptation of the matrix band :
Ans:
      Open contact with straight interproximal wall
Open contact with well contoured interproximal wall
Overhang ?

-  Fixed-movable bridge. Choose the correct statement

Ans: abutment can be prepared independently

- Fixed-fixed bridge. Choose the correct statement

Ans: connectors/components must be rigid, abutments can be prepared independently,
connector placed between x and x, abutments cannot be parallel, has flexion (sorry don’t
remember exactly)

- EMQ about post:

- what kind of post is this? Impression post, fibre post
- ideal length of post / how much GP should you leave? 5mm
- what is the most important factor to prevent post rotation? Remaining post, remaining coronal
crown, width??
- what material would be used for crown? PFM, ceramic, gold,

- Partially edentulous woman with missing upper right 5 to upper right 2, what Kennedy
classification is this?
Ans: Class 3

- Why is labial flange given for lower denture?

Ans: mucosal retention, restoring lost mucosa

- Most common site for intraoral malignant melanoma?

Ans: Hard palate, buccal mucosa, lateral tongue, labial gingiva, floor of mouth

- Abundant blood cell on PDL after 48 hours?

Ans: neutrophils, eosinophils, macrophages

- Haemoglobin structure?
Ans: 2 alpha chains 2 beta chains, 2 alpha chains 2 gamma chains
- Elderly woman on Salbutamol, with multiple mobile teeth and pockets 3-8mm upon BPE
examination with 60% bone loss. What is the diagnosis?
Ans: Generalised severe/chronic periodontitis, localised severe/chronic periodontitis,
generalised aggressive periodontitis, localised aggressive periodontitis

-Vital tooth TTP with pus.

Ans: Lateral periodontal abscess

- asymptomatic tooth requiring RCT and had a huge radiolucency, what should you warn patient
about?
Ans: Phoenix abscess
- Young female patient about to undergo orthodontic treatment, during consent taking what
must you mention, or what is likely to happen?
Ans: Root resorption, loss of vitality, gingival recession

- Which condition is caused by herpes virus?

Ans: Herpes labialis, herpetiform recurrent aphthous ulcer, herpangina, herpes zoster

- Salivary gland tumour that spreads along nerve sheaths?

Ans: Adenoid cystic carcinoma

- EMQ on management of dental trauma.

- Child falls off bike, fractured tooth, comes after 48 hours (Cvek)
- crown fracture up to cervical/coronal portion (cervical pulpotomy)
- something about trauma.. and then splinting was done 1 week ago and patient comes to you
(reassurance and review)
- 8 year old child fell and subluxate her upper lateral 2 weeks ago, the locum dentist did splinting
and now she came to you for check up, what do you do? (reassurance and review)

Ans: Direct pulp capping, Cvek pulpotomy, cervical pulpotomy, review and reassurance,
extirpate pulp, temporary dressing with IRM or Ledermix

-  EMQ about pulpal management of deciduous teeth

    - large non carious pulpal exposure
   - small carious pulpal exposure on vital tooth  
   - carious exposure with one necrotic pulp
   - carious (did they say asymptomatic?) with sinus
   - asymptomatic tooth with buccal sinus on deciduous molar
Ans: Ferric sulphate pulpotomy, formocresol pulpotomy, ledermix dressing, IRM dressing,
pulpectomy, extraction

- Epileptic man with hypertrophic gums, what drug is he most likely taking?
Ans: Phenytoin, nifedipine, metformin, cyclosporin

- What is present in gingiva 3-4 days after plaque??

Ans: Neutrophils

-12 year old boy with red lesions/crusting lips

Ans: erythema multiforme, herpes labialis, pemphigoid

- Stephan curve represents?

Ans: pH change in plaque, pH change in saliva

- A few questions on effect of exercise on cardiac output, peripheral resistance

- Characteristic finding in erythema multiforme?

Ans: Target lesions

-2 EMQ on tooth development

Ans: IEE, REE, Hertwig, cerival loop

- EMQ about time of eruption/calcification:

   - Calcification of first permanent molar? At birth
  - Time of eruption of maxillary second premolar? 10-12 years old

-Which of the following has the best prognosis?

Ans:
- delayed presentation
-well differentiated/highly dysplastic epithelium
-tumour >4cm
-metastasis
-lymph node involvement

- A few EMQ and SBA about muscles of mastication. Origin attachment and action. Superficial
head deep head medial pterygoid, lateral pterygoid, temporalis fan shaped, masseter origin
zygomatic ramus or angle of mandible

- Pre eruptive effect of fluoride?

Ans: Rounded cusps/fissures

- Fusion of posterior fontanelle

Ans: Parietal and occipital, occipital and temporal
- Which bone fuses completely intramembranous?
Ans: Frontal, temporal, occipital, mandible, sphenoid

-2 questions about ingredients of toothpaste and their actions

Anticalculus? Sodium pyrophosphate
Desensitising agent? Potassium nitrate, sodium fluoride

- What is least likely to happen when you have a buried, impacted tooth?
Ans: Jaw fracture, neoplasm, cyst, infection

- Patient came, he didn't wear his removable ortho for a while and it became ill-fitted, what type
of plier would you use to adjust it?
Ans: Adam’s pliers

- Best way to make scaling least exhausting?

Ans: Sharp instruments

- Woman with malar rash, what is the oral feature?

Ans: Oral ulceration, desquamative gingivitis

- What fungal disease that is primary erythematous?

Ans: Erosive candidosis

- Dysplasia features, choose the incorrect one?

Ans: Hypochromatism, drop shaped rete pegs, loss of differentiation, polarity

- Where do you get support for finger rest?

Ans: Tooth, palate, lip, cheek

- Chlorhexidine gluconate concentration as gel?

Ans: 1%

- Chlorhexidine gluconate concentration as mouthwash?

Ans: 0.12%

- Patient came to your clinic, his 10 year old amalgam filling is higher than the rest of the teeth,
why?
Ans: Bruxism, creep, attrition

- What is composition of GIC?

Ans: Aluminosilicate glass & polyacrylic acid, Fluroaluminosilicate glass & polyacrylic acid,
Flouroaluminosilciate glass & polyalkenoate acid

- Which one of the following is a type of stochastic effect from radiation?

Ans: Carcinogenesis, cataract

- Highest level / best type of evidence / research?

Ans: meta analysis systematic review

- Patient with 8 mm overjet and proclined incisors, what's the incisor relationship?
Ans: Class I, Class ll div 1, Class II div 2, Class lll

- At jaw relation stage of denture, patient’s vertical dimension at rest was 75mm, vertical
dimension in occlusion was 77mm. What changes will you make?
 Ans: Reduce the occlusal rim to 72mm, no changes, add 2mm

- Best interdental cleaning method for a patient with gingival recession?

Ans: Interdental brush, single tufted brush, small head toothbrush.

- Survival rate for SCC OF T1N0M0?

Ans: 60%, 40%,20%

- Which is the least likely to have multilocular appearance on X-ray:

Ans: Osteopetrosis, keratocyst, ameloblastoma, aneurysmal cyst

- For extraction of lower molar, inferior alveolar and lingual nerve block already given. What
other nerve has to be anaesthetised?
Ans: Buccal branch of facial nerve

- How does erosion appear clinically?

Ans: Cup-shaped lesions, rough surface

- Type of bacteria for chronic infection (or abscess) in the sinus / sinus draining from
mandible?
Ans: S. Milleri

- Photo of white lesion next to large amalgam restoration, what is it?

Ans: Lichenoid reaction, frictional keratosis

- Woman came after 3 months for check up after perio treatment, you did 6-point charting,
what you would do next to know the disease is not active?
Ans: Bleeding on probing (I don’t think this was my answer but I can’t remember the other
options)

- Function of GDC
Ans: regulate dentists/investigate patient complaints towards dentist, advice about
indemnity, provide CPD courses

- Verified CPD for dentists every 5 years?

Ans: 100 hours (I heard it’s been updated to 100 instead of 75, please confirm)

- Cause of xerostomia: Woman  with liver  cirrhosis, dry mouth, positive shimmer  test?
Which syndrome?