ADC Preliminary Examinations 7./8. September 2006 Paper 1 1.The term abrasion best describes: A.

Loss of substance by chemical agent B.Loss of substance by external agent C.Loss of substance by the movement of tooth against tooth D.The rapid loss of substance that is seen in the movement of porcelain crowns aganistnatural teeth 2.Some days after preparation and filling of a shallow class I amalgam cavity the patient complains of pain on biting. You would: A.Perform vitality test B.Replace filling with lining C.Check for premature contacts D.Remove all occlusal contacts from this fillingE.Tell the patient to wait 2-4 weeks, the pain will go away 3.In a composite filling, the matrix band is for A.Help shaping and contouring the filling B.Prevent material to be pushed under the gingival margin 4.The advantage of guttapercha over silver points is A. The possibility for lateral condensation 5.When do you make a fixed-moveable bridge? A. When the abutment teeth dont have the same path of insertion 6.In a class II.2 malocclusion, which bridge design would be contraindicated for a missinglateral upper incisor? A.Cantilever bridge B.Maryland bridge 7.Which is the best cantilever bridge design for missing maxillary canine? Abutment on A.Both premolars B.Lateral and central incisorC . Lateral incisor D.First premolar

8. A 9 years-old child who has sustained a fracture of a maxillary permanent central incisor in which 2 mm of the pulp is exposed, presents for treatment 30 minutesafterinjury. Which of the following should be considered? A.Remove 1-2 mm of the pulp tissue surface, place calcium hydroxide and fill with resin B.Remove 1-2 mm of the pulp tissue surface and cover with ledermix C.Place calcium hydroxide directly on the exposed pulp D.Pulpotomy using formocresolE.Pulpectomy and immediate root filling 9.In a flouridated toothpaste with 0.304% sodium fluoride the amount of flouride ions is A . 4 0 0 p p m B . 1 0 0 0 p p m C . 1 5 0 0 p p m D . 4 0 0 0 p p m 10.The most important diatary habit for caries development is A.Amount of sugar intake B.Frequency of sugar intake C.Form of sugar intake 11.The normal unstimulated salivary flow rate is A . 0 . 0 2 m l / m i n B . 0 . 2 m l / m i n C. 2 ml/min 12.Titanium is used in dentistry A.In a very pure form in implants B.In an alloy with aluminium in casting for crowns and bridges C.In an allo y with nickel in orthodontic wires D . A a n d B E . A , B a n d C 13.What is the reason for a tooth to develop pulpitis several years after setting of a fullveneer gold crown? A. Bacterial microleakage 14.How is the regeneration process after damage by injury to odontoblasts working? A.Proliferation of the remaining odontoblasts B.Differentiation from fibroblasts C.Regeneration from undifferentiated mesenchymel cells D.Histodifferentiation from ectodermal cells E.Differentiation from the inflammation cells 15.In construction of full dentures, what does the term too low vertical dimension refer to?

A.A situation in which there is too much interocclusal space between upper and lowerartificial teeth when the mandible is in rest position. 16.Reversible pulpitis is characterized by A.Pain lasts longer on hot or cold stimulus than normallyB . P a t i e n t c a n t l o c a l i z e p a i n C.Will have periapical involvement in radiograph 17.Irreversible pulpitis is characterized by A.There is often a history of spontanous painB . S u d d e n t h r o b b i n g p a i n C.Pain cant be localised when it reaches the periapical areaD.There is pain which lingers for a short duration after romoval of stimulus 18.What are the symptoms of internal resorption? A . V e r y p a i n f u l B.Symptom-free or only mild pain 19.What kind of root fracture in a tooth has the best prognosis? A fracture at the A.Apical thirdB.Coronal third C . M i d d l e t h i r d D.Vertical fracture 20.What will develop after prophylaxis? A.Acellular pellicle is formed immediately afterB . C e l l u l a r p e l l i c l e i s f o r m e d immediately afterC.Acellelar pellicle is formed after 48 hoursD.Cellular pellicle is formed after 48 hours 21.What is the purpose of making a record of protrusive relation and whatfunction does it serve after it is made? A. To register the condylar path and to adjust the inclination of the incisal guidance.B. To aid in determining the freeway space and to adjust the inclination of the incisalguidance.C. To register the condylar path and to adjust the condylar guides of the articulator so thatthey are equivalent to the condylar paths of the patient.D. To aid in establishing the occlusal vertical dimension and to adjust the condylar guides of the articulator so that they are equivalent to the condylar paths of the patient. 22.A 50 years-old patient presents with pain from time to time on light cervical abrasions.What is your first management to help patient in preventing pain in the future? A.Change diatary habitsB.Change brushing habitsC . G I C f i l l i n gs 23.In planning and construction of a cast metal partial denture the study cast A . f a c i l i t a t e s t h e c o n s t r u c t i o n o f c u s t o m t r a ys B . m i n i m i z e s t h e n e e d f o r a r t i c u l a t i n g C.provides only limited information about inter ridge distance, which is best assessedclinicallyD.can be used as a working cast when duplicating facilities are not available 24.What are the artificial teeth in removable dentures made of? A . P o r c e l a i n B . C r o s s - l i n k e d m e t h yl - m e t h a c r yl a t e C . E t h y l methacrylateD . A c r y l i c 25.Following extraction of the molar teeth A.The ridge height is lost more from the maxilla than from the mandibleB.The maxillary ridge will get more bone lost from the palatal aspect than the buccalC.The mandibular arch is relatively narrower than the maxillary archD.Compared with the pre-resorption state, the mandibular ridge will lose more bone from the lingual aspect than the buccal one.

26.Which anatomical landmark is important to include in impressions for lower fulldentures? A . M y l o h y o i d r i d g e B.Lower incisive papilla 27.Wrought metal is to be, A . M a r b l e B . Q u e n c h e d C.Has undergone cold treatment during processing 28.Which of the following is ONE indication for indirect pulp capping? A.When further excavation would lead to pulp exposureB . E x c a v a t i o n o f a very deep caries 29.How does fluoridation work in theory? A. Fluoride ions are integrated by changing Hydoxylapatite to Fluorapatite 30.A major difference between light cured and chemical cured composite is thatduring setting or in function the light cured materials tend to: A.Seal the margins better and completelyB . E x h i b i t l e s s w e a r o n t i m e C.Undergo greater colour changeD . S h r i n k m o r e r a p i d l y E.Posses greater fracture toughness 31.What consideration is important in deciding if a bridge for upper missing incisors should be made in pontic design or with gingiva imitation? A . W i s h e s o f p a t i e n t B.Bone resorption in edentoulos span 32.The most common cause of porosity in porcelain jacket crowns is, A . M o i s t u r e c o n t a m i n a t i o n B . E x c e s s i v e f i r i n g t e m p e r a t u r e C.Failure to anneal the platinum matrixD.Excessive condensation of the porcelainE.Inadequate condensation of the porcelain 33.How should the occlusion in partial removable dentures be designed? A . A r t i f i c i a l t e e t h s h o u l d b e o u t o f o c c l u s i o n B.Artificial teeth should not interfere with the incisal guidance established by the remainig natural teeth. 34.The minimal labial tooth reduction for satisfactory aesthetics withporcelain fused to metal crown is, A . 1 m m B.The full thickness of enamelC . 1 . 5 m m \ D . 2 . 5 m m E.One third of the dentine thickness 35.In removable partial denture, the principle of an indirect retainer is to: A.Stabilise against lateral movementB.Prevent settling of major c o n n e c t o r s C.Restrict tissue movement at the dist al extension base of the partial dentureD.Minimise movement of the base away from the supporting tissue 36.When a removable partial denture is terminally seated the retentiveclasps tips should: A.Apply retentive force into the body of the teethB . E x e r t n o f o r c e C . B e i n v i s i b l e D.Resist torque through the long axis of the teeth 37.Glass Ionomer Cement sets because of, A . A c i d - B a s e r e a c t i o n B . A d d i t i o n p o l ym e r i s a t i o n reactionC . G r o w t h o f g l a s s c r y s t a l s D . S l i p p l a n e lockingE.Solvent evaporation 38.The reflex in gagging patients is caused by:

A . T r i g e m i n a l n e r v e B . G l o s s o p h a r yn g e a l C . F a c i a l n e r v e D.Re current laryngeal 39.The use of nickel chromium in base plate should be judiciously consideredbecause: A.A significant number of females are allergic to nickelB.A significant number of females are allergic to chromiumC.A significant number of males are allergic to nickel 40.Which of the following liquids is not suitable for prolonged immersion ofcobalt chrome partial dentures: A.Alkaline peroxidaseB.Sodium hypochloriteC . S o a p s o l u t i o n s D . W a t e r 41.In complete dentures, cheek biting is most likely a result of: A.Reduced Overjet of posterior teethB . T o h i g h v e r t i c a l d i m e n s i o n C . T e e t h h a v e l a r g e c u s p i n c l i n e s 42.The most common cause of fracture at the isthmus of a class II dentalamalgam restoration is: A . I n s u f f i c i e n t c o n d e s a t i o n B.Fracture line developing from pulpal-axial angle of the cavityC . U n d e r c o n t u r i n g o f t h e i s t h m u s a r e a D.Moisture contamination of the amalgam during placementE.Inadequate bulk of amalgam at pulpo-axial line angle 43.Why do you overpack amalgam fillings? A.To remove excess mercury 44.What is CORRECT in regard to the periodontal surface area in maxillaryteeth: A.central incisor > first premolar> second premolarB . C a n i n e > f i r s t p r e m o l a r > c e n t r a l i n c i s o r C. Canine> lateral incisor> second premolarD. Canine> central incisor> first premolar 45.When restoring with composite resins, why do we do the cavo surfacebevelling: A . A e s t h e t i c B.To open enamel rods for acid attack C . T o s m o o t h preparationD . A a n d B E.All of the above 46.A well constructed complete denture: A . N e e d s l i t t l e m a i n t e n a n c e B.Needs less than a week for adjustment and total successC.Has adverse effects and decreases taste sensations 47.On examination of a composite restoration you find a dark attain: A.Replace the compositeB.Repair with unfilled r e s i n C.Apply topical fluoride at the margin 48.A patient complains of sensitivity, on examination you find a composite filling restoring a good cavity preparation without any secondary caries; what is yournext

step: A.Extirpate the pulp that is obviousl y inflamedB.Place ZOE dressing to sedate the pulpC.Ask patient to come back in six monthsD . R e p e a t restoration 49.What is the best way to cement a Maryland bridge, A . G I C B . R e s i n c e m e n t C . C o m p o s i t e r e s i n D.Zinc Ph osphate cementE . O x i d e Z i n c a n d e u g e n o l 50.The ideal length of a post in the fabrication of crown and core of endodontically treated tooth is: A . 2 / 3 o f t o o t h B . t h e t o o t h l e n g t h C.1.5 times that of the crownD . r o o t l e n g t h E . T h e l e n gt h o f t h e c r o w n 51.While you finish a class I cavity, the enamel is sound but you notice a thin brown linein thedentine and on the dentino-enamel junction, what is your response, A.You leave it and complete the final restorationB . Y o u e x t e n d y o u r p r e p a r a t i o n and clean itC . Y o u a p p l y a c o v e r o f v a r n i s h 52.Dental caries of the proximal surfaces usually starts at, A.Somewhere between the ridge and the contact areaB . J u s t g i n g i v a l t o c o n t a c t a r e a s C . J u s t a b o v e t h e g i n g i v a l m a r g i n D. At the contact point 53.The Frankfort plane is defined by which anatomocal landmarks, A.Porion, orbitaleB.Sell a, orbital eC.Nasio n, Tragus 54.The biting load of a denture base to the gingival tissues compared to teeth are, A.Ten times more B.Ten times lessC . E q u a l 55.The difference between normal stone and the dye stone is, A.In the size and shape of the particles B . T h e m i x i n g 56.The advantage of the silicone in soft relining material over hard plastic acrylic materials is, A . C a p a b i l i t y t o f l o w B.Prevents the colonization of Candida albicansC . R e s i l i e n t i n l o n g r u n D . B e t t e r b o n d s t r e n g t h 57.A female patient comes to you complaining of persistent pain in a heavilyrestored central incisor; you suspect irreversible pulpitis and you have been told that she isin transit leaving by plane next day. Your treatment will be, A.Remove filling and place a sedative dressingB.Pulpectomy and L e d e r m i x d r e s s i n g C. Pulpectomy and calcium hydroxide dressingD.Prescribe analgesics and systemic antibiotic 58.The flexibility of the retentive clasp arm does not depend on: A . L e n g t h o f t h e a r m B.The cross section shapeC . T h e m a t e r i a l u s e d D . D e g r e e o f t a p e r E . T h e e x e r t e d force 59.Following calcium hydroxide pulpotomy, the dentist would expect dentinebridge to form at,

A.The exact level of amputationB.Level somewhere below the amputationC.Half way between amputation and apexD.At the apical region of the tooth 60.In the construction of a full veneer gold crown, future recession of gingivaltissue can be prevented or at least minimised by, A.Extension of the crown 1 mm under the gingival creviceB.Reproduction of normal tooth incline in the gingival one third of the crownC.Slight over contouring of the tooth in the gingival one fifth of the crown D.Slight under contouring of the tooth in the gingival one fifth of the crown 61.What is correct in regard to high copper amalgam, A.Reacts and strengthens the amalgam by its dispersion propertiesB.Reacts to form copper-tin phase thereby eliminating the tin-mercury phaseC.Reacts to form coppersilver phase thereby eliminating the si lver mercury phaseD.Reacts and strengthens the amalgam by its grain diffusion 62.The removable partial denture requires relining,what would be the mostappropriate action, A.take an impression by asking the patient to occlude on itB.Provide equal space between denture and gingival tissues.C.Make sure the framework and retainers are seated in place before taking impression 63.Stiffness of material is measured by A.Proportional unitB.Modulus of e l a s t i c i t y C . S t r e s s / s t r a i n D. Ultimate tensile strength 64.Two central incisors on a radiograph are showing with what looks like eye drop radiolucency. You decided to start endodontic treatment on these teeth but when you tried toopen access to the root canal you find clearly closed orifices with what look like secondary dentine. What is yourinitial management? A.Leave as it is and start a permanent restoration.B . S t a r t systemic antibioticC.Try to ream and file canals 65.After the initial development stage and in the absence of pathology, thesize of the pulp chamber has been reduced by, A.Deposition of primary dentineB.Deposition of secondary dentineC . R e p a r a t i v e d e n t i n e D . P u l p f i b r o s i s E.Deposit ion of reparative dentine 66.Denture stomatitis is commonly associated with, A.The continuous wearing of removable orthodontic appliances in otherwise healthy patientB.The proliferation of hypertrophic tissue at the denture peripheryC.The overgrowth of some constituents of oral normal microfloraD . A l l e r g y t o denture base material 67.The light emitted by the polymerization lamp has to be checked from time to time. The meter used for this only measures light in the range of: A . 1 0 0 - 1 9 9 n m B . 2 0 0 - 2 9 9 n m C . 3 0 0 - 3 9 9 n m D . 4 0 0 4 9 9 n m 68.Which is correct in regard to shade selection of crowns:

A.It should be selected before starting preparationB . C h r o m a i s t h e lightness/darkness of colours C . V a l u e i s t h e c o l o u r i t s e l f D.Hue is the concentration of colours 69.Where would you expect to find the mylohyoid muscle in relation to the periphery of a full lower denture: A.Mandibular buccal in the midlineB.Mandibular lingual in the first premolar areaC.Mandibular lingual in the midlineD.Mandibular disto buccal area 70.After reimplantation of an avulsed tooth the prognosis may be poor because of A.External resorptionB . I n t e r n a l r e s o r p t i o n 71.2.2 mg of NaF contains how many mg of fluoride ions? A . 0 . 5 m g B. 1.0 mgC. 1.5mgD. 10mg 72.How would you treat denture stomatitis? A . N y s t a t i n B.Tell the patient to leave the denture out for some days 73.What is true about third molar surgery? A.Swelling is maximum after 24 - 48 hoursB.Mental paraesthesia indicates careless technique 7 4 . ? A.Extension of denture beyond mylohyoid ridge leads to pain in swallowing 7 5 . ? A.Plaque removal in case of exposed roots is important as plaque opens the dentinal tubulesand causes spread of caries. Paper 2 1.During swallowing, a) suprahyoid muscles relax b) masseter muscle contracts c) tongue touches the palate d) teeth have contact A . a a n d b B . a , c a n d d C . a , b a n d c D.None of the aboveE . A l l o f t h e a b o v e 2.In anaesthizing a 70 kg healthy man with Lignocaine 2% with 1:100,000vasoconstrictor,what is correct? A . T h e t o x i c t h r e s h o l d i s 2 2 m l B . 2 . 2 m l i s t h e m a x i m u m yo u c a n g i v e i n o n e s e s s i o n C.Lignocaine has the same anaesthizing capacity as Benzocain and A...D.Lignoscain is 5 times less potent than BupivacainE.Lignocain is more dangerous in Hypothyreodism than Bupivacain 3.A suddenly swollen upper lip that lasts for 48 hours or more is most likely A . H a e m a n g i o m a B.Agioneurotic oedemaC . M u c o c e l e D . C y s t 4.What is the most important factor to reduce radiation in dental radiographs? A.Speed of f i l m B . C o l l i m a t i o n C . F i l t r a t i o n D. Cone shape and lengthE. Use of lead a pron 5.What is the best way for a permanent decline in caries of a population?

A.Change diatary habitsB.Topic and water f l u o r i d a t i o n C.Awareness of dental health matters D . B e t t e r t o o t h brushing 6.A patient in your dental chair shows chest pain, weak pulse and dysponea, whatis yourinitial management, A.Administer nitro-glycerine and keep the patient up seatedB . P u t t h e p a t i e n t i n supine positionC . W a i t u n t i l t h e s y m p t o m s g o a w a y 7.Developer was contaminated with other chemical and was not mixed properly.What is the effect on the X-ray film? A.Too dark filmB . L i g h t f i l m C . F o g g y 8.Branchial Cleft cyst is located A . I n f r o n t o f t h e n e c k B.On anterior border of the Sternocleidomastoid muscleC . S h o w s w h e n s w a l l o w i n g 9.What is the approximate unstimulated salivary flow rate, A . 2 m l / m i n B . 0 . 2 m l / m i n C . 0 . 0 2 m l / m i n D . 2 0 m l / m i n 10.Some hours after the extraction of a lower molar the patient complains of prolonged postoperation bleeding and pain, how would manage this, A.Prescribe analgesics and ask the patient to follow a strict oral hygieneB.Administer 5% Marcaine Local Anaesthetic, prescribe analgesics and pack the socketwith alvogylC.Administer 5% Marcaine Local Anaesthetic, suture the socket and prescribe analgesicsD . S u t u r e a n d g i v e p r e s s u r e p a c k s 11.A Gracey curette is characterized by A.The blade and the shank form a 90 angleB . C a n b e u s e d o n b o t h s i d e s C.Can be used on any tooth surfaceD.It is specific for each surface of the tooth 12.A patient with no positive history came along for scaling. The moment youpick up your anterior scaler you punch your finger, what should you do? A.Complete the procedure as if nothing has happenedB.Check dentists blood for Hepatitis B antibody HBsAbC.Check dentists blood for Hepatitis B antigen HBsAgD.Check patients blood for Hepatitis B antibody HBsAb and HIV antigen HIVAg E.Check patients blood for Hepatitis B antigen HBsAg and HIV antibody HIVAbF . D e n t i s t s h o u l d g o a n d t a k e a H B s A b v a c c i n e 13.A patient on the dental chair has cardiac arrest. What is INCORRECT, A.Observing the vital signs and check that the air way is clear is at high importanceB . E x p i r e d a i r h a s 1 5 % O 2 only, and cardiac compressions achieve 30-40% of cardiac outputC.Intermittent positive pressure at the rate of 40/min will reduce the chances of cerebralhypoxiaD.Intermittent positive pressure is better than mouth to mouth when it has been given at thesame rate.E. You check the pulse and respiration of the patient before starting any resuscitation

14.The best radiograph for investigating the maxillary sinus is, A.Periapical radiographB . P a n o r a m i c v i e w C.Lateral cephaloghr aphD . O c c i p i t o m e n t a l v i e w E . R e v e r s e T o w n e s v i e w 15.Which is true in regard to osseointegration of implants indentistry? A.The osseointegration is directly between titanium and boneB.Following insertion, implants can be immediately loaded without problemC.The success of the implants is directly proportional to its area of contact with bone and the bond is mechanical in natureD.The success of the implants depends mostly on low torque preparation and insertion of the fixtureE.The success of integration is accurately investigated by immediate radiographicexamination 16.Loss of sensation/paraesthesia in the lower lip may be produced by, A . B e l l s p a l s y B.Traumatic bone cystC.Trigeminal neuralgiaD.Ost eom ye l i t i sE . Ludwi gs an gi n a 17.In anxoius and psychologically stressed patients gingivitis is often more severe becauseof A.Stress causes histamine and serotonine releaseB.Stress causes catecholamine and corticosteroid releaseC . S t r e s s e d p e o p l e n e g l e c t t h e i r oral hygiene 18.A retained lower primary incisor causes the permanent incisor to A.erupt buccallyB.erupt linguallyC . a n k y l i s e 19.What is the least probable consequence in thumb -sucking? A.Reclining of lower incisorsB.Protrusion of upper i n c i s o r s C.Formation of deep palate with big overbite 20.Ankylosis of teeth is often found after changes in the continuity of the occlusal plane.These changes are caused by A . O v e r e r u p t i o n o f o p p o s i n g t e e t h B.Localised growth inhibition of the alveolar boneC . S i n k i n g o f a n k yl i s e d t o o t h i n t o t h e b o n e 21.What is not important in obduration materials for primary teeth? A.Good apical sealB . R a d i o o p a c i t y C. Antib acteri al D . R e s orbable 22.What is your first consideration in the treatment of dry socket? A.Prevention of osteomyelitis B . P a i n r e l i e f 23.A patient presents with pain in the upper left segment. On inspection you find a localized alveolar abcess distal 27. What will be you management? A . D r a i n a g e B.Extraction of tooth 24.What does not help in establishing the caries risk in children? A.History of cariesB.Lactobacillus countC.Di etar y habit sD. Brus hin g h abits E.Genetic predisposition 25.Opioid drugs are similar to which endogenous substances? A.Bradykinins B . P e p t i d e s C.ProstaglandinsD.Seroto ninsE . E n k e p h a l i n s 26.Which of the following have a tendency to recur if not treated correctly?

A.Giant cell granulomaB . L i p o m a C .Fi brous ep ul i s D . H a e m a t o m a E . P u l p p o l y p s 27.A 22 year old woman has acute gingival hypertrophy, spontaneous bleeding fromthe gingiva and complains of weakness and anorexia. Her blood analysis was asfollows: HB=12gm, Neutrophils=90%, Monocytes=1%, Platelets=250000,WBC=100000, Lymphocytes=9%, Eosinophils=0%. The most likely diagnosis is: A . M y e l o g e n o u s l e u k a e m i a B. Infectious mononucleosis /glandular fever/ C . T h r o m b o c y t o p e n i c p u r p u r a D.Gingivitis of local aetiological o r i g i n E . P e r n i c i o u s a n a e m i a / V i t a m i n B 1 2 d e f i c i e n c y/ 28.When no radiation shield is available, the operator should stand out of the primaryx- ray beam at a distance from the patients head of at LEAST: A . 0 . 5 m e t r e s B . 1 m e t r e C . 1 . 5 m e t r e s D . 2 m e t r e s E . 3 m e t r e s 29.Which of the following is a typical consequence of dental crowding, assuming no primary tooth has been lost prematurely? A.Overlapping of lower incisorsB.Palatal displacement of upper c a n i n e s C.Impaction of 15 and 25 between first premolars and first molarsD . M e s i a l t i p p i n g o f 1 6 a n d 2 6 E . R o t a t i o n o f 1 6 a n d 2 6 30. What is the dominant microflora in acute necrotic ulcerativegingivitis (ANUG)? A.Spirochaetes and fusobacterium SP B.Spirochaetes and eikenella corrodesC . P o l y m o r p h s a n d l y m p h o c y t e s D.Actinobacillus actinomycetes comitans oral capnocytophagaE.Porphyromonas gingivalis and prevotella intermedia 31.Which of the following is true regarding gingivosis (Desquamative gingivitis) A.It is caused b y hormononal imbalanceB.Is seen onl y at or after menopauseC.Is frequently caused b y lichen planusD.Is a variant pregnancy gingivitisE.Is related to nutritional disturbance 32.What are the points that determine the facial line in cephalometric points (The angle of the convex facial line)? A. Nasion, pronasale, pogonion.B. Sella, nasion, pogonion 33.A 10 year old boy presents with small greyish white lesion surrounded by a red halos on the soft palate and tonsillar pillars, small vesicles are found. He has fever and painin the ear and wont eat. The MOST probable diagnosis is? A . H e r p a n g i n a B . M e a s l e s C.Primary herpetic stomatitis 34.A 12 years-old child presents with symptoms of widespread gingivitiswith bleeding and general malaise for several weeks. How would you managethis patient? A . P r e s c r i b e M e t r o n i d a z o l e 1 0 0 m g B. Locally debride, give oral hygiene instruction and prescribe H2O2 mouth wash.C . G i v e a p r o p h yl a x i s w i t h u l t r a s o n i c s c a l i n g D . R e f e r f o r h a e m a t o l o g i c a l s c r e e n i n g E.Advise for bed rest with supportive and palliative treatment 35.What is the effect of office dental prophylaxis of regular six monthintervals on childrens oral health?

A.Reduced caries incidence by approximately 30%B . P r o v i d e a l o n g t e r m i m p r o v e m e n t i n o r a l h yg i e n e C . P r o v i d e a s h o r t t e r m i m p r o v e m e n t i n o r a l hygieneD . P r e v e n t g i n g i v i t i s E.Reduce the need for patient cooperation 36.What is the most frequent cause of pain which occurs several days after obturation? A.Entrapped Bacteria in the periapical regionB.Underfilling the root canal s ys t e m C . O v e r f i l l e d r o o t c a n a l 37.A diabetic patient with moist skin, moist mouth and weak pulse; what wouldyou do: A.Give glucose orallyB . A d m i n i s t e r O 2 C.Administer adrenalineD . I n j e c t i n s u l i n 38.The laboratory findings in Pagets disease show: A.Elevated calcium, elevated phosphate, and elevated alkaline phosphate.B.Normal calcium, normal phosphate and elevated alkaline phosphateC.Decreased calcium, increased phosphate and elevated alkaline phosphateD.Increased calcium, normal phosphate and decreased alkaline phosphateE.Normal calcium , increased phosphate and elevated alkaline phosphate 39.A patient has developed a sever chest pain and difficulties in breathingwhile in the dental chair. Your initial response is: A.Administer glycerine trinitrate and monitor patient in upright positionB.Patient has an acute episode of angina as demonstrated by curve in ECGC.No treatment is required until confirmed as MI by ECGD.Patient has myocardial infarction as confirmed by ECG 40.In the case of malignant melanoma occurring intraorally, whic h of thefollowing is true: A . U n c o m m o n o n t h e p a l a t e B.Should not be biopsied, as this will increase metasisC . T h e 5 y e a r s s u r v i v a l r a t e i s 2 0 % D.The incidence of oral melanoma is the same as those on the skinE . C o m m o n l y o c c u r s i n t r a o r a l l y 41.What is NOT TRUE in relation to the use of diazepam forsedation? A.Patient commonly complain of post operative headacheB.An acceptable level of anxiolytic action is obtained when the drug is given one hour preoperativelyC.There is a profound amnesic action and no side effectsD.Active metabolites can give a level of sedation up to 8 hours post operativelyE . C a n b e u s e d s a f e l y f o r children 42.Topical fluoridation in a 14 years-old boy will not lead to mottling because A. Teeth are already calcified 43.Patient on anti-coagulant therapy requires an extraction to be performed.Which of the following is NOT true: A.Minor leedings bleeding can be reduced somehow by using tranexamic acidB.Prothrombin value above 2.5 is required to perform extractionC.It takes up to 12 hours for Vitamin K reverse effects of warfarinD.Heparin can be administered sub-cutaneous and acts rapidly

44.A physician refers a nine year old boy to you to confirm diagnosis. Theboy has a fever of 40C and coughing. When you focus your light into his eyes heturns away. Intraorally there are white spots surrounded by red margins. Thedisease and lesions are: A.Measles and the spots are Kopliks spots B . A H G S v e s i c l e s C. Rubella and the spots are Fordyces spots 45.What is true in TMJ dysfunction therapy? A . S h o u l d b e t r e a t e d s u r g i c a l l y B.Appliances that raise the bite usually relief the symptoms and are used prior to anysurgery 46. What is true regarding pregnancy gingivitis? A.It is due to increased gingival microcirculationB.Elevated oestrogen and gestagen levels are directly responsibleC.Hormonal changes cause the growth of anaerobic bacteria (Prevotella intermedia) 47.5 mm probing depth means: A . P a t i e n t h a s p e r i o d o n t i t i s B . P r o b e i s 5 m m b e yo n d g i n g i v a l m a r g i n C . P r o b e i s 5 m m b e yo n d d e n t i n o - e n a m e l j u n c t i o n 48.A middle aged woman gives a history of intermittent unilateral pain in the sub mandibular region,most probable cause is, A.Calculus in the salivary duct resulting in sialolithiasis.B . R a n u l a C . C y s t D . M u c o c e l e 49.By which of the following mechanism reduces Aspirin pain: A.It is anti inflammatory by the release of histamineB . I t b l o c k s t h e c yc l o o x yg e n a s e p a t h w a y . 50.What is the danger of using air as a cooler during cavity cutting: A . H y p e r s e n s i t i v i t y B.Odontoblasts are drawn i n t o t h e t u b u l e s C . D e h yd r a t e s t h e t o o t h D . A + B E . A + B + C 51.The first forming microbial elements of plaque are: A.Aerobic gram positive G+B.Aerobic gram negative G C.Anaerobic gram negative G-D . S p i r o c h e t e s E.Anaerobic gram positive G+ 52.A patient is resistant to caries but has a periodontal disease. In this case,sucrose in dietis important because: A.Sucrose is greatly involved in plaque developmentB.S. mutans produces Levans frictions which are used by periodontal pathogensC.The streptococcus mutans cannot survive with a continual supply of sucroseD.Existing plaque must continue to get sucrose in order to grow 53.In minor oral surgery, what is TRUE in regard to antibiotics: A.Amoxil satisfactorily covers the dental spectrumB.Metronidazole and Amoxil have the same penetrating powerC. It is evident that it will reduce post operative swellingD.There is convincing evidence that Prophylactic prescription of antibiotics will reduce postoperative infectionsE . M o s t o r a l i n f e c t i o n s g e t a n a e r o b i c a f t e r 2 t o 3 d a ys 54.A patient comes with a firm, painless swelling of lower lobe of parotidwhich has grown progressively for the past year. He complains of paresthesia forthe past 2 weeks. Thisis most likely to be:

A.Pleomorphic adenomaB.Carcinoma of the parotidC . L y m p h o m a o f p a r o t i d 55.What is true in treating a patient with secondary herpes simplex:

A.Hypoglycaemia is more common than hyperglycaemiaB.Insulin-dependend patients are of more concern than non insulin-dependendC.Adrenalin causes a decrease in the blood glucose level 81.Which of the following is a feature of Streptococcus mutans? A.It does not require a special environment to growB.It can be easily transported from one part of the oral cavity to anotherC.It has the ability to restructure carbohydrates 82.What does the term caries prevalence mean? A.The total number of carious areas affected and any present cariesB.The individual risk for a patient to acquire caries 83.Which of the following are features of herpetic gingivostomatitis? 1. Irritability2. Fever3. Occurs in teenagers4. Vesicles occur only on buccal mucosa and tongueA . 1 + 2 + 3 B . 1 + 2 + 4 C . 1 + 4 D.All of the above 84.What is the most important aspect of root canal treatment? A.Complete debridement of the root canals 85.What is true about halothane? A.It depresses the myocardB.Reflex trigeminal stimulation is uncommon 86.What is true about nitrous oxide? A.It is rapidly absorbed and rapidly eliminated 87.A patient in your dental chair suddenly becomes agitated with shallow breathing, full pulse and a blood pressure of 150/80. You would A.Give oxygenB . G i v e i n s u l i n C . G i v e g l u c o s e D.Place patient in supine position 88.After periodontal surgery, the regeneration of the periodontal ligaments takes place by A. Formation of long junctional ligament___________________________________________________________________________Actual ly, there were 80 MCQs in each of the two papers. I probably put some questions in thewrong paper. SAQ in September 2006 in Sydney 1)Patient gives history of Warfarin treatment in the assessment. What will be theconsiderations in the dental management of such patient? ( compulsory )2)Patient has missing upper lateral incisor. What are the different treatment options?3)55 years old Patient has mobile upper anterior teeth and a diastema is starting t o develop.What will be the differential diagnosis and its management?4)Patient has apical abscess in 46 and needs extraction. Already 4.4 ml. of 2% lignocaine with adrenaline 1: 80.000 is injected, but when you try to extract tooth it is still painful.Discuss the possible management options.5)How do you manage a 2 year old child patient who is visiting a dental clinic for thefirst time, and what will you discuss with the parents?Answers can be

found in Odell: Clinical Problem Solving in dentistry (except 4)Alternative SAQs in September 06 (Egypt&Iran)1 . ( c o m p u l s o r y) m a n a g e m e n t o f p r e g n a n t l a d y 2.smoking and its effects and how to motivate patient to leave the habit3.management of tooth avulsion -mother calls you from home and only 20 mins haveelapsed since injury. advice on phone on long term and short term management (this oneis in Odells book, too)4.your patient has read about tooth whitening. tell her about bleaching5 . m a n a g e m e n t o f f e m a l e p a t i e n t o n b i s p h o s p h o n a t e s 1. while taking a medical history u get to know that the patient is 10 weekspregnant.what precautions will u take while treating and how will u manage thepatient?{this was the compulsory question} 2. what are the effects of smoking on oral health.how will you help the patient stopsmoking? 3. a patient says that he heard of tooth whitening and wants his teeth whitened.a>how will you explain the different types(something like this)b>how will you manage the patient? 4. A mother rings u up at office and says that her 9 yr old has fallen down and his fronttooth has come out?what are the instructions u will give over phone and how will umanage this patient? 5. A 40 yr old female patient says that she has been taking bisphosphonates for thepast 5 years and now has come for check up.some teeth have to be removed,Whatprosthetic considerations will u make and how will u manage?