1. How many whole carpules of lidocaine 2% with 1:100,000 epinephrine can
safely be administered to a child that weighs 46 pounds?\n 1\n 2\n 3\n 4 2\n\n(46 lb) x (2 mg/lb) = 92 mg \n92 mg x (1 carpule/34 mg) = 2.7 carpules 2. In order to adequately anesthetize tooth #T, you would provide:\n long buccal and lingual nerve infiltrations\n long buccal and lingual nerve infiltrations, plus inferior alveolar nerve block\n inferior alveolar nerve block only long buccal and lingual nerve infiltration, plus inferior alveolar nerve block 3. Topical anesthetic minimizes the sensation of needle penetration. Its effectiveness may be increased by:\n using two preloaded Benzocaine 20% swabs\n moistening the mucosa prior to placement of the swab\n drying the mucosa with gauze before application drying the mucosa with gauze before application 4. As a child grows, the position of the mandibular forament in relation to the mandibular occlusal plane will become ________ than the occlusal plane.\n higher\n lower higher 5. You have successfully obtained good positioning of the forceps on a tooth for extraction, and begin your expansion of the bone. Your first motion should be:\n rotation clockwise and hold\n movement to the facial and old movement to the facial and hold 6. During the final stages of luxation, a portion of the mesial root of tooth #T fractures off. The fragment is visible and looks like it can be easily removed with a root tip pick or tissue forceps. Should you attempt to retrieve it?\n Yes\n No, any attempt at removing the fragment endangers the erupting succedaneous tooth, and it is best left to resorb by the erupting permanent tooth Yes 7. Compression and suturing of the socket after an extraction is always necessary if gross expansion of the bone has occured when removing a primary molar.\n True\n False False 8. Because of an abscess associated with tooth #T, a child ________ need antibiotic coverage.\n will\n will not will not 9. What is the most common postextraction complication seen with children?\n a dry socket\n space abscess\n foreign body aspiration\n self inflicted soft tissue wound\n subluxation of adjacent teeth caused by poor elevator placement self inflicted soft tissue wound 10.What space maintainer is appropriate for a 56 yearold child after extraction of tooth #T?\n none\n lingual holding arch\n Nance appliance\n distal shoe\n band and loop distal shoe 11.At age 67, what space maintained would be appropriate for a child that has had tooth #T extracted?\n none\n lingual holding arch\n Nance appliance\n distal shoe\n band and loop band and loop 12.Which teeth would you use as abutments for a space maintainer for tooth #T on a 67 yearold child?\n #19 and #30\n #30 and #S #30 and #S 13.At age 89, what space maintainer would be appropriate for a child who had tooth #T extracted 3 years ago?\n none\n lingual holding arch\n Nance appliance\n distal shoe\n band and loop lingual holding arch 14.What space maintainer would you use to save space for tooth #5?\n Lingual holding arch\n Nance appliance\n Distal shoe\n Simple band and loop\n Either a Nance appliance or a simple band and loop Either a Nance appliance or a simple band and loop 15.IF you were concerned about losing too much space during the later mesial shift, what space maintainer would you use to save space for tooth #5?\n Lingual holding arch\n Nance appliance\n Distal shoe\n Simple band and loop\n Either a Nance appliance or a simple band and loop Nance appliance 16.While removing caries from tooth #F, you have a very small exposure of the distoincisal pulp horn. It is approximately 0.5 mm in crosssection and is surrounded by healthy, cariesfree dentin. The tooth has been asymptomatic. There was slight bleeding, but hemostatis was immediately achieved by light pressure. You proceed with a ________ of the exposed pulp.\n ZOE pulpectomy\n ferric sulfate pulpotomy\n calcium hydroxide direct pulp cap\n MTA indirect pulp cap calcium hydroxide direct pulp cap 17.When fitting the anterior strip crown for a composite strip crown restoration, the celluloid crown form should extend ________.\n to the base of the sulcus to ensure the composite will flow to the finish line\n slightly beyond/below the finish line\n to the preparation's finish line slightly beyond/below the finish line 18.You are performing a composite strip crown restoration. After filling the anterior strip crown form with composite and curing the material, ________.\n the crown is checked for blanching and if acceptable, the crown form is left in place, providing added strength with superior finish and esthetics\n the gingival excess is removed, the crown form is left in place, the excursive movements are checked and the patient can be dismissed\n the crown form is removed and the composite finished as needed the crown form is removed and the composite finished as needed 19.A child's tooth #J had required endodontic procedure and was temporarily restored with an intermediate restorative material, however, there is still active caries at the mesial contact area. The distal surface is cariesfree. The treatment of choice is a(n) ________.\n mesioocclusal composite\n mesioocclusal amalgam\n stainless steel crown\n extraction stainless steel crown 20.While removing caries from tooth #L, you have an exposure of the pulp. It is approximately 3 mm in crosssection and is surrounded by carious dentin. The tooth has been asymptomatic. The bone in the fircation and apical areas appear to be normal radiographically. There was slight bleeding, but hemostasis was immediately achieved by light pressure. You proceed with a ________ procedure.\n ZOE pulpectomy\n ferric sulfate pulpotomy\n calcium hydroxide direct pulp cap\n MTA indirect pulp cap ferric sulfate pulpotomy 21.A child had previous history of sore throat followed by scarlet fever of rheumatic fever, her mother was not sure. Her mother states that the child had unusual circumoral pallor, a bright red "sandpaperlike" rash on her torso and a coated tongue. The child weighs 55 pounds. She most likely had:\n scarlet fever\n rheumatic fever scarlet fever 22.Because of a mother's concern of scarlet fever causing bacterial endocarditis in her child, you ________.\n prescribe 500 mg of amoxicillin, one hour prior to her next restorative appointment\n prescribe 1,000 mg of amoxicillin, one hour prior to her next restorative appointment\n reassure the mother that antibiotic coverage is unnecessary reassure the mother that antibiotic coverage is unnecessary 23.After removal of tooth #K in a 6yearold girl, the space maintainer of choice is ________.\n a band and loop\n a lingual holding arch\n a unilateral followed by a bilateral (LHA) after the eruption of the permanent anteriors\n a Nance\n none of the above a unilateral followed by a bilateral (LHA) after the eruption of the permanent anteriors 24.A 6yearold girl has small draining abscesses on teeth #B and #I, and the teeth are mobile. Neither tooth cause the patient pain. Radiographically, the caries is through the furcation on both teeth. Treatment of choice for both teeth is ________.\n apexogenesis\n removal\n pulpectomy\n MTA pulpotomy\n apexification removal 25.The local anesthetic infiltration that will assure complete comfort during removal of #b include the ________.\n1. greater palatine\n2. middle superior alveolar\n3. posterior superior alveolar\n 1 & 3\n 1 & 2\n 2 & 3\n 1, 2 & 3\n 3 only 1 & 2\n(greater palatine and middle superior alveolar) 26.How many 1.7 ml carpules of 2% lidocaine with 1:100,000 epinephrine can be safely administered to a girl that weighs 55 pounds?\n 1\n 2\n 3\n 4\n 5 3\n\n(55 lb) x (2 mg/lb) = 110 mg\n(110 mg) x (1 carpule/34 mg) = 3.2 carpules 27.What medicament should you plan on using for a pulpotomy on tooth #A?\n An astringent like ferric sulfate\n A hard setting calcium hydroxide product like Dycal\n A hard setting steroid/antibiotic comination like Ledermix\n A soft setting paste like Vitapex\n Some weird stuff from Switzerland called Pulpotec An astringent like ferric sulfate 28.A mother cannot bring her daughter in for her pulpotomy appointment and would like the maternal grandmother to accompany her.\n You suggest reappointing the girl since the legal guardian must be present for an invasive procedure such as a pulpotomy.\n You allow the grandmother to keep the appointment after reviewing the treatment plan with the mother, assuring informed consent, and having the mother sign the treatment plan. You allow the grandmother to keep the appointment after reviewing the treatment plan with the mother, assuring informed consent, and having the mother sign the treatment plan. 29.A child presents with a discolred tooth #E that is slightly more mobile when compared to adjacent teeth. There is radiographic evidence of periapical bone loss and pathological root resorption of greater than 33%. Clinically, all soft tissues are within normal limits. The child is asymptomatic and caries free. Her parents are unclear as to why the tooth has darkened over the last few weeks. You suggest that ________.\n it is an example of exfoliative hematoma\n the child has been chewing on a blue crayon\n there is a subclinical carious lesion which has caused pulpal necrosis\n it appears the child has bumped the tooth, crushing the neurovascular bundle it appears the child has bumped the tooth, crushing the neurovascular bundle 30.A child bumped tooth #E, crushing the neurovascular bundle. Treatment should be ________.\n complete pulpectomy and filled with an absorbable paste\n tooth removal and space management\n apexogenesis\n apexification\n tooth removal tooth removal 31.The local anesthetic infiltration injections that will assure complete comfort during removal of tooth #E include anesthesizing branches of the ________ nerve(s).\n1. nasopalatine\n2. right anterior superior alveolar\n3. left anterior superior alveolar\n 1 & 2\n 1 & 3\n 2 only\n 3 only\n 1, 2 & 3 1, 2 & 3\n(nasopalatine, right and left anterior superior alveolar) 32.Limitations of a simple band and loop space maintainer include:\n the abutment teeth may exfoliate before the need for space management has been eliminated\n there is no provision for supraeruption of the opposing tooth (teeth)\n both of the above both of the above 33.If the sum of the widths of the permanent mandibular incisors is 23, what would be the predicted value for the summed width of the maxillary permanent canines and premolars in a quadrant?\n 21.9\n 22.1\n 23.0\n 23.6\n 23.7 22.1 34.The sum of the widths of the permanent mandibular incisors is 23 mm. The measured arch length from the distal of #26 to the mesial of #30 is 22.5 mm. You would predict ________ for the eruption of the permanent successors.\n adequate space with a surplus of 0.4 mm\n adequate space with a surplus of 0.6 mm\n inadequate space with a deficit of 0.4 mm\n inadequate space with a deficit of 0.6 mm\n none of the above adequate space with a surplus of 0.6 mm 35.The sum of the widths of the permanent mandibular incisors is 23 mm. The measured arch length from the ideal distal point of #23 to the mesial of #19 would be 18.5 mm. You would predict ________ for the eruption of the permanent successors.\n inadequate space with a deficit of 3.4 mm\n inadequate space with a deficit of 3.6 mm\n inadequate space with a deficit of 5.5 mm\n none of the above inadequate space with a deficit of 3.4 mm 36.Distal step occlusions most frequently develop into ________ (mal)occlusions in the permanent dentition unless there is a compensatory larger late mesial shift in the mandible versus the maxilla.\n class I\n class II\n class III class II 37.Arch length reduction may occur due to space loss from ________.\n the closure of primate space\n large interproximal decay\n the premature tooth loss\n large interproximal decay and premature tooth loss\n all of the above all of the above 38.An ________ procedure on an immature permanent tooth assumes there is vital tissue present that is capable of continued root development.\n apexogenesis\n apexification apexogenesis 39.8yearold patient presents to your office complaining of pain in his lower central incisor. A draining tract is present on the facial and is associated with a traumatized central. Radiographs confirm a periapical radiolucency, an open apex and incomplete root formation. You proceed by:\n removing the coronal 3 mm of the pulp tissue, controlling the bleeding with ferric sulfate and placing an IRM temporary and monitoring the root's closure\n removing the pulp tissue down to within approximately 2 to 3 mm of the radiographic apex, and fill with mineral trioxide aggregate and monitoring the root's closure\n performing a calcium hydroxide pulpotomy and monitoring the root's closure\n removing the tooth removing pulp tissue down to withing approximately 2 to 3 mm of the radiographic apex, and fill with mineral trioxide aggregate and monitoring the root's closure 40.8yearold patient fractures #25 down to the gum line during a soccer match that day. There is no root fracture nor is there any abnormal mobility just the loss of coronal tooth structure. Radiographically, the tooth appears to have incomplete root development and has an open apex. You proceed by:\n removing the coronal 3 mm of the pulp tissue, controlling the bleeding with formocresol and placing an IRM temporary and monitoring the root's development\n removing the pulp tissue down to within approximate 2 to 3 mm of the radiographic apex, and fill with mineral trioxide aggregate and monitoring the root's development\n performing a calcium hydroxide pulpotomy and monitoring the root's development\n removing the tooth performing a calcium hydroxide pulpotomy andmonitoring the root's development 41.Little Jim and his buddy Roscoe are roller blading home from school when they get sidetracked and decide to cut through an alley. Both catch the wheels of their blades, spin around and fall on their faces. Roscoe fractures #8 down to the gum line. You see him about an hour later and confirm the pulpal exposure also confirming that no root fracture exists. You notice on the radiograph that the tooth is immature and has an open apex. You proceed by ________, and monitoring the root's development.\n removing the coronal 3 mm of the pulp tissue, controlling the bleeding with formocresol and placing an IRM temporary\n removing the pulp tissue down to within approximately 2 to 3 mm of the radiographic apex, mix barium with calcium hydroxide powder and cMCP and pack it into the canal\n performing a calcium hydroxide pulpotomy performing a calcium hydroxide pulpotomy 42.Jim falls on his face and suffers no fracture, but does traumatize his centrals, causing some mobility that disappears after a week. But, as luck would have it, a year later, he's in your office complaining of pain in #8. A draining tract is present on the facial and is associated with the traumatized central. Radiographs confirm a periapical radiolucency, an open apex and incomplete root formation. You proceed by ________, and monitoring the root's closure.\n removing the coronal 3 mm of the pulp tissue, controlling the bleeding with ferric sulfate and placing an IRM temporary\n removing the pulp tissue down to within approximately 2 to 3 mm of the radioigraphic apex, mix barium with calcium hydroxide powder and cMCP and pack it into the canal\n performing a calcium hydroxide pulpotomy removing the pulp tissue down to within approximately 2 to 3 mm of the radiographic apex, mix barium with calcium hydroxide powder and cMCP and pack it into the canal 43.Tooth #B has been removed from an 8yearold child. You perform a classic Moyer's mixed dentition analysis for that quadrant; the predicted space needs are equal to the actual measured space available. In order to prevent a loss of space during the patient's late mesial shift that will occur, what is the space maintainer of choice?\n Band and loop from #! cantilevered to #C\n Nance applicance from #A to #J\n Nance applicance from #3 to #14\n Any of the above will work Nance applicance from #3 to #14 44.Children presenting with a(n) ________ require surgical intervention.\n Riga Fede\n Bohn's nodule\n eruption hematoma\n congenital epulis congenital epulis 45.Maxillary labial frenectomies should be delayed until the eruption of the permanent incisors and cuspids have erupted.\n True: the space should have an opportunity to close naturally\n False: early intervention removes tissues that prevent the diastema from closing True: the space should have an opportunity to close naturally 46.When fabricating a lingual holding arch appliance, the canine offsets should be ________ anterior portion.\n in the same plane as the\n bent at a 45 degree angle to the\n beng gingival to the in the same plane as the 47.The local anesthetic infiltration injections that would assure complete comfort during tooth #J's removal include branches of the:\n1. nasopalatine\n2. greater palatine\n3. middle superior alveolar\n4. posterior superior alveolar\n 1, 2, 3\n 2, 3, 4\n 1, 3, 4\n 2 & 3 only 2, 3, 4\n(greater palatine, middle & superior alveolar) 48.If a child weighs 46 poinds, how many 1.7 ml carpules of 2% lidocaine with 1:100,000 epinephrine can be safely administered?\n 1\n 2\n 3\n 4\n 5 2\n\n(46 lb) x (2 mg/lb) = 92 mg\n(92 mg) x (1 carpule/34 mg) = 2.7 49.The space maintainer of choice after removal of #J in a 67 yearold is ________.\n a unilateral (band and loop)\n a bilateral (Nance)\n a unilateral followed by a bilateral after the eruption of the permanent anteriors\n none of the above a bilateral (Nance) 50.Child presents with fever, very runny nose and a reported sensitivity to light. Intraorally, you notice small, irregular spots on the buccal mucosa. No extraoral findings at this time. The child is manifesting signs of what systemic disease?\n Rubeola\n Candida (oral thrush)\n Herpangina\n Recurrent aphthous stomatitis\n Primary herpetic gingivostomatitis Rubeola 51.Treatment of Rubeola includes ________.\n bed rest\n nystatine rinse\n antibiotic therapy to prevent the progression to theumatic fever\n hydration and the generous use of antipyretics, especially aspirin\n two of the above treatments bed rest 52.Rubeola is contagious and, therefore, you should postpone routine care.\n True\n False\n Even complex procedures can proceed if all universal precautions are followed True 53.A darkened blue #E will definitely require endodontic therapy.\n True\n False False 54.Internal resorption in the mesial root of tooth #K suggests that during pulp therapy, the operator may have:\n over instrumented\n used calcium hydroxide\n misdiagnosed the furcal radiolucency\n failed to fill the accessory canal\n used formocresol used calcium hydroxide 55.A large carious lesion approximating the pulp on tooth #K should be initially treatment planned for a:\n ferric sulfate pulpotomy\n direct pulp cap\n apexification\n two step pulpotomy ferric sulfate pulpotomy 56.With regards to facial swelling of odontogenic origin:\n the patient may require antibiotic coverage prior to removal of the tooth\n the patient may require antibiotic coverage after the removal of the tooth, especially if he is febrile\n both of the above both of the above 57.Accidental exposure of a primary tooth's distobuccal pulp horn should be treated with (note there is no apparent bleeding and the surrounding dentin is sound):\n Cvek pulpotomy\n direct pulp cap\n apexification\n two step pulpotomy\n removal direct pulp cap 58.At what age will you see the tooth succedaneous to tooth #S erupt?\n 6 to 7\n 8 to 9\n 10 to 11\n 12 to 13 10 to 11 59.Why would you see abscessrelated bone loss in the furcation of tooth #S?\n Apical periodontitis spreads easily through the soft bone to the furcation\n The tooth could be cracked\n There could be a widening of the periodontal ligament space due to traumatic occlusion\n There are accessory canals in the fircation area\n The previous dentist may have perforated the furcation area There are accessory canals in the furcation area 60.A 4yearold has intermittent pain in the lower right quadrant of his mouth that seems to occur without cause. He is in good health, but upon oral examination you note a swelling between the mesial and distal roots of the tooth #S. You note a radiolucency between the mesial and distal roots of the tooth, extending down the distal root. Root structure appears normal. There is no interna;/external resorption. Your treatment recommendation is:\n apexification\n pulpotomy\n complete pulpectomy\n indirect pulp cap complete pulpectomy 61.The medicament of choice for a complete pulpectomy is:\n mineral trioxide aggregate (MTA)\n calcium hydroxide powder mixed with barium\n ferric sulfate\n zinc oxide and eugenol zinc oxide and eugenol 62.After a complete pulpectomy on #S where there are no interproximal caries, the restoration of choice is:\n IRM base and class I amalgam\n composite core build up\n a stainless steel crown\n glass ionomer a stainless steel crown 63.To assure you have profound anesthesia for removal of tooth #S, what injection(s) of 2% lidocaine with 1:100,000 epinephrine are required?\n1. Long buccal infiltration\n2. Lingual nerve infiltration\n3. Mandibular nerve block\n 1, 2 & 3\n 1 & 3\n 2 & 3\n 3 only 1, 2 & 3 64.What is the number of 1.7 ml carpules of 2% lidocaine with 1:100,000 epinephrine you can safely use on a 19 kg patient?\n 1\n 2\n 3\n 4\n 5 2\n\n(19 kg) x (4.4 mg/kg) = 83.6 mg\n(83.6 mg) x (1 carpule/34 mg) = 2.45 65.After completing treatment on a patient, you notice Forschheimer's spots on the hard palate. Looks like the patient has:\n cooties\n Midlothian swamp fever\n an allergic reaction to the topical anesthetic\n rubella\n rubeola rubella 66.The natural spacing distal to the mandibular canines is known as ________.\n leeway space\n intercanine width\n interdental space\n primate space primate space 67.Your patient's molar relationship can be described as having the lower second primary molar's distal surface forward (anterior) to that of the maxillary second primary molar's distal surface when biting in centric occlusion. This occlusal relationship is known as a:\n mesial step\n distal step\n flush terminal plane mesial step 68.Early and late mesial shifts that occur during growth cause the dental arch length to:\n increase\n stay the same\n decrease decrease 69.Early mesial shifts are due to the ________.\n eruptive forces of the first permanent molars\n downward and forward growth of the mandible\n widening of the palatal vault eruptive forces of the first permanent molars 70.Late mesial shift is due to summed difference in size between ________ and the teeth that replace them in a quadrant.\n primary centrals, laterals and canines\n primary canines and molars\n primary molars primary canines and molars 71.Six months after performing a complete pulpectomy on tooth #S of a 4 yearold, you notice that it's failing and decide to remove the tooth. You place a ________ space maintainer to hold space for the succedaneous tooth.\n band and loop\n lingual holding arch\n either a band and loop or a lingual holding arch\n a band and loop followed by a lingual holding arch a band and loop followed by a lingual holding arch 72.A 5year old patient has a draining abscess above tooth #G. The periodontal ligament space is widened at the apex, but there is no evidence of pathologic root resorption. Your treatment recommendation is:\n apexification\n apexogenesis\n pulpotomy\n pulpectomy pulpectomy 73.To assure you have profound anesthesia when performing a pulpectomy on tooth #g, what infiltration injection(s) of 2% lidocaine with 1:100,000 epinephrine are required?\n1. nasopalatine\n2. greater palatine\n3. anterior superior alveolar\n4. middle superior alveolar\n 3 only\n 1 & 3\n 2 & 3\n 2, 3 & 4\n 1, 3 & 4 1 & 3\n(nasopalatine and anterior superior alveolar) 74.What space maintainer would you place in the lower right quadrant of a 5 yearold missing tooth #S?\n band and loop\n lingual holding arch\n distal shoe\n Nance holding arch\n None of the above band and loop 75.What space maintainer would you place in the lower left quadrant of a 5 yearold missing tooth #K?\n band and loop\n lingual holding arch\n distal shoe\n Nance holding arch\n None of the above distal shoe 76.When removing tooth #I from a 5yearold, you confirm anesthesia is profound and begin to obtain good access for forceps placement on the tooth. As suggested in the lecture, you utilize the ________ to break the epithelial attachment which also begins detaching the tooth from the bone.\n straight elevator\n Denovo forceps\n spoon curette\n rongeurs spoon curette 77.When removing tooth #I, you have successfully obtained good positioning of the forceps on the tooth, and begin your expansion of the bone. Your first motion should be:\n rotation clockwise and hold\n movement to the facial and hold movement to the facial and hold 78.During the final stages of luxation when removing tooth #I, a portion of the palatal root fracutres off. The fragment is visible and looks like it can be easily removed with a root tip pick or tissue forceps. Should you attempt to retrieve it?\n Yes\n No, any attempt at removing the fragment endangers the erupting succedaneous tooth, and it is best left to resorb by the erupting permanent tooth Yes 79.What space maintainer would you place in the upper left quadrant of a 5 yearold missing tooth #I?\n band and loop\n lingual holding arch\n distal shoe\n Nance holding arch\n None of the above band and loop 80.An orthodrontic band fits well there are no gaps or spaces between band and tooth and the band's occlusal edges are:\n easily burnished over the marginal ridge of the tooth\n just below the marginal ridge of the tooth\n at the level of the contact area just below the marginal ridge of the tooth 81.A soldering joint that is heavily pitted is most likely due to:\n incomplete coating of the area with flux prior to soldering\n over coating of the area with flux prior to soldering\n removing the flame prematurely suring the soldering procedure, then reheating the joint removing the flame prematurely during the soldering procedure, then reheating the joint 82.When polishing a solder joint to a high shine, gross reduction and shapring with the heatless Mizzy should be followed by the green stone, then the white stone, then the ________ rubber abrasive disc and finally the ________ abrasive disc.\n green, white\n green, brown\n brown, white\n brown, green\n white, green brown, green 83.In order to adequately anesthetize the tooth #K, you would provide:\n long buccal and lingual nerve infiltrations\n long buccal and lingual nerve infiltrations, plus inferior alveolar nerve block\n inferior alveolar nerve block\n inferior alveolar nerve block and lingual nerve infiltration\n inferior alveolar nerve block and long buccal infiltration long buccal and lingual nerve infiltrations, plus inferior alveolar nerve block 84.How many carpules of 2% lidocaine with 1:100,000 epinephrine local anesthetic can a 44 pound girl receive?\n 5\n 3\n 2\n 4 2\n\n(2.0 mg/lb) x (44 lb) = 88 mg\n(88 mg) x (1 carpule/34 mg) = 2.58 85.While removing the caries on a child's tooth #K, you expose the pulp. The size of the expsoure is approximately 1 mm round and is surrounded by carious dentin. You elect to:\n cover the exposure with a dentin stimulating medication such as calcium hydroxide\n remove the tooth\n perform a calcium hydroxide pulpotomy\n perform an MTA pulpotomy perform an MTA pulpotomy 86.After performing an MTA pulpotomy on tooth #K, the tooth should be restored with:\n amalgam\n glass ionomer\n a stainless steel crown\n IRM a stainless steel crown 87.Tooth #K will exfoliate when a child is ________ years old.\n 10 to 12\n 7 to 8\n 12 to 13\n 9 to 10 10 to 12 88.What is the most commonly missed first step in removing a tooth?\n Saying a little prayer to the Tooth Fairy\n Breaking the gingival attachment by sliding the forceps breaks apically down the root\n Breaking the gingival attachment with the spoon curette\n Breaking the gingival attachment with the sraight elevator Breaking the gingival attachment with the spoon curetter 89.What type of space maintainer should you fabricate for a 5yearold child that has had tooth #S removed?\n None is necessary at this time\n Unilateral space maintainer\n Bilateral space maintainer, banding both #K and #T\n Initially a band and loop, followed by a lingual holding atch after about age 7 Initially a band and loop, followed by a lingual holding arch after about age 7 90.You begin removing caries on the left central of a 3yearold with your round bur and have an exposure of the pulp. The exposure is small, about the size of the end of a halfround bur. After controlling the hemorrhage, you confirm that all the surrounding dentin is healthy. Does the tooth require treatment?\n No, since the teeth will exfoliate within the next 68 months, you should remove the tooth, replacing it with a kiddy partial for esthetics\n Yes, cover the exposure with a reparative dentin stimulating medication such as calcium hydroxide\n Yes, a calcium hydroxide pulpotomy\n Yes, a classic apexification process is recommended Yes, cover the exposure with a reparative dentin stimulating medication such as calcium hydroxide 91.What buccal local anesthesia infiltration(s) is(are) required to assure a child is comfortable during a procedure on the left central incisor?\n Anterior superior and middle superior\n Middle superior only\n Anterior superior only Anterior superior only 92.What palatal anesthesia infiltration(s) is(are) required to assure a child is comfortable during a procedure on the maxillay left central incisor?\n Nasopalatine only\n Nasopalatine and greater palatine\n Greater palatine only Nasopalatine only 93.A celluloid crown form used to restore the maxillary left central incisor is trimmed to:\n sit on the shoulder preparation\n be positioned 1 to 2 mm beyond the reverse bevel\n rest tightly against the cingulum\n extend 0.5 to 1.0 mm beyond the feather edges extend 0.5 to 1.0 mm beyond the feather edges 94.Tooth #K in a 5yearold has recurrent caries, furcal radiolucency, internal & external root resorption, and a mesioocclusal temporary restoration. What is the best treatment for this tooth?\n Removal\n Complete pulpectomy\n Formocresol pulpotomy\n Allow to exfoliate Removal 95.You decide that tooth #I is unrestorable and elect to remove it. What buccal local anesthesia infiltration(s) is(are) required to assure the patient is comfortable during the procedure?\n Anterior superior and middle superior\n Middle superior only\n Middle superior and posterior superior\n Posterior superior only Middle superior only 96.You decide that tooth #I is unrestorable and elect to remove it. What palatal anesthesia infiltration(s) is(are) required to assure the patient is comfortable during the procedure?\n Nasopalatine only\n Nasopalatine and greater palatine\n Greater palatine only Greater palatine only 97.What space maintainer is recommended for the premature loss of tooth #I?\n Band and loop\n Nance type holding arch\n Distal shoe\n Bilateral space maintainer Band and loop 98.After removing amalgam from tooth #L, the resultant distoocclusal preparation has extended beyond the distofacial and distolingual line angles. You should consider:\n using an amalgam bonding agent prior to condensation of the new amalgam restoration\n restoring the tooth with a bonded posterior composite such as Herculite\n a stainless steel crown\n any of the above is acceptable a stainless steel crown 99.A 33 pound girl who had a congenital heart defect repaired 3 months ago should receive a dose of ________ mg of amoxicillin 30 to 60 minutes prior to an extraction procedure.\n 0\n 250\n 500\n 750\n 1,000 750\n\n33 lb = 15 kg\n(15 kg) x (50 mg/kg) = 750 mg 100. Your patient's molar relationship can be described as having the lower second primary molar's distal surface more posteriorly than the maxillary second primary molar that it occludes against. This relationship is known as a:\n class III\n distal step\n mesial step\n flush terminal plane distal step 101. A 5yearold girl exhibits an anterior open bite with labial flaring of the maxillary anteriors, slight lingual inclincation of the mandibular anteriors which adds to a 5 mm overjet. At rest, her midlines line up but when she closed into maximum intercuspation, she must shift her jaw to one side, resulting in a posterior crossbite. Assuming this is not a congenital condition, what would be the cause of her malocclusion?\n Digit sucking\n Lip sucking\n Pacifier (dummy) sucking\n Either digit sucking or pacifier (dummy) sucking\n Any of the above Any of the above 102. A 5yearold girl exhibits an anterior open bite with labial flaring of the maxillary anteriors, slight lingual inclincation of the mandibular anteriors which adds to a 5 mm overjet. At rest, her midlines line up but when she closed into maximum intercuspation, she must shift her jaw to one side, resulting in a posterior crossbite. Why is there a posterior crossbite?\n Most likely this particular condition is congenital\n There is remodeling of the maxillary arch by the muscle of mastication/facial expression\n Due to the direct action of an external force, such as digit, lip, or pacifier sucking\n Anterior positioning of the tongue during swallowing There is remodeling of the maxillary arch by the muscles of mastication/facial expression 103. A 5yearold girl exhibits an anterior open bite with labial flaring of the maxillary anteriors, slight lingual inclincation of the mandibular anteriors which adds to a 5 mm overjet. At rest, her midlines line up but when she closed into maximum intercuspation, she must shift her jaw to one side, resulting in a posterior crossbite. The girl's mother has some concerns that the malocclusion will manifest itself in the permanent dentition as well. You suggest:\n beginning treatment with an intraoral appliance such as an active Hawley retainer to extinguish the habit and close the open bite\n first correcting the posterior crossbite, then begin treatment with an intraoral appliance such as an active Hawley retainer to extinguish the habit and close the open bite\n no treatment is necessary at this time: it would be best to begin trying to extinguish the habit using psychological approach, such as positive reinforcement and contingency management\n no treatment is necessary at this time: it would be best to begin extinguishing the habit using a passive intraoral reminder no treatment is necessary at this time: it would be best to begin tying to extinguish the habit using psychological approach, such as positive reinforcement and contingency management 104. A 15yearold comes in for a dental exam and would like as much work done as possible. What radiographs would be appropriate?\n Four bitewings\n Panoramic\n Two bitewings and a panoramic\n Four bitewings and a panoramic Four bitewings and a panoramic 105. A 15yearold is required to weat a mouth guard when playing lacrosse. You recomment the ________ variety.\n custom made/fitted\n thermoplastic mouth formed\n MORA\n any of the above custom made/fitted 106. A 15yearold asks you if you would piece his tongue . You advise against the piercing because, among other things, it can be a mode of disease transmission for all except:\n hepatitis\n Midlothian swamp fever\n tetanus\n tuberculosis Midlothian swamp fever 107. You advist a 15yearold to use some sort of barrier protection during oral sex not only to protect his partners, but because exposure to ________ during oral sex is strongly associated with oropharyngeal cancer.\n syphilis\n human papillomavirus\n chlamydia\n HIV\n Midlothian swamp feverhuman papillomavirus 108. A 4yearold was hit in the mouth with an elbow and injured his right maxillary central incisor. Radiographs show no root fracture and the tooth appears to be displaced about 3 mm to the lingual. You will note the gingival tissue appears to be in correct position relative to the coronal portion of the tooth. What is this condition called?\n Subluxated tooth\n Luxated tooth\n Intruded tooth\n Extruded tooth\n Avulsed tooth Luxated tooth 109. A 4yearold was hit in the mouth with an elbow and injured his right maxillary central incisor. Radiograph shows not root fracture and the tooth appears to be displaced about 3 mm to the lingual. You will note the gingival tissue appears to be in correct position relative to the coronal portion of the tooth. What treatment is indicated?\n Extraction\n Reposition with finger pressure and hold for a short time\n Reposition with finger pressure and splint\n Reposition with finger pressure, splint, and do a pulpectomy\n No treatment Reposition with finger pressure and hold for a short time 110. A 8yearold girl fell off her bike about an hour ago injuring the maxillary anterior teeth, fracturing off the mesioincisal angle of #9, just short of, but not including the pulp tissue. She complains of pain when drinking cold water but notices no mobility. You check your records and there is no change in the overbite and overjet. What is your diagnosis of the injured teeth?\n Class I fracture\n Class I fracture and Intrusion\n Class II fracture\n Class II fracture and Subluxation\n Concussion injury Class II fracture 111. An 8yearold girl fell form her bike about an hour ago injuring the maxillary anterior teeth, fracturing off the mesioincisal angle of #9, just short of, but not including the pulp tissue. She complains of pain when drinking cold water but notices no mobility. You check your records and there is no change in the overbite or overjet. What is the best course of treatment?\n Cover fractured area with composite and place light wire splint\n Cover fractured area with composite and place monofilament splint\n Cement a band over the teeth and place rigid splint\n Cover fractured area with composite and follow\n Smooth sharp edges and reappoint Cover fractured area with composite and follow 112. A 10yearold boy fell and bumped his tooth on a coffee table. There is slight bleeding at the sulcus of #9 but no pain. The child cannot bite comfortably into centric occlusion now since there is interference between #9 and the two lower incisors. What is the best course of treatment?\n Extraction\n Reposition tooth and splint\n Pulpectomy, then reposition tooth and splint\n Reposition with finger pressure only\n Relief of occlusal interference and soft diet for 2 weeks Reposition tooth and splint 113. A 2yearold girl falls face first on the kitchen floor. When her mother bursts into your office she exclaims, "my precious daughter fell and knocked two front teeth out!" You expertly obtain a radiograph which, in fact, reveals the presence of the two primary central incisors. What treatment do you recommend?\n Remove both teeth\n Remove tooth #E and leave # alone\n Remove tooth #F and leave #E alone\n Surgically reposition both teeth and splint for 7 to 10 days\n Leave alone and hope for eruption Leave alone and hope for eruption 114. A hysterical parent calls from her cell phone saying her 9yearold son was hit in the face with a hard ball and knocked out two upper front teeth. She has the teeth. This just happened and she wants to know what to do. The child is very upset. What are your immediate instructions?\n Go to the emergency room\n Place tooth in cup of tap water\n Place tooth in cup of milk\n Replant teeth immediately Replant teeth immediately 115. A hysterical parent calls from her cell phone saying her 9yearold son was hit in the face with a hard ball and knocked out two upper front teeth. She has the teeth. This just happened and she wants to know what to do. The child is very upset. A light wire splint is placed to hold the replanted teeth in normal position. How long does the splint remain on the teeth?\n 7 to 10 days\n 3 to 5 days\n 7 to 10 weeks\n 3 to 5 weeks\n Until root ends mature 7 to 10 days 116. A hysterical parent calls from her cell phone saying her 9yearold son was hit in the face with a hard ball and knocked out two upper front teeth. She has the teeth. This just happened and she wants to know what to do. The child is very upset. You replant the teeth in normal position and use a light wire splint. If the root ends are mature, when is the best time to extirpate the pulp and place calcium hydroxide?\n 3 weeks after replantation\n 7 to 14 days after replantation\n Wait until signs of pulp degeneration appear\n 3 to 5 days after replantation\n None of the above 7 to 14 days after replantation 117. A 5year old trips on his shoelace and tumbles flat on his face to the ground. Radiograph shows no root fracture and tooth appears to be displaced about 2 mm to the lingual. No other shifts or alteration in position are noted. What classification of injury is this?\n Subluxated tooth\n Luxated tooth\n Intruded tooth\n Extruded tooth\n Avulsed tooth Luxated tooth 118. A 5yearold trips on his shoelace and tumbles flat on his face to the ground. Radiograph shows no root fractures and the tooth appears to be displaced about 2 mm to the lingual. No other shifts or alterations in position are noted. What treatment is indicated?\n Remove the tooth\n Reposition with finger pressure and hold for a short time\n Reposition with finger pressure and splint\n Resposition with finger pressure, splint, and do a pulpectomy\n Monitor, no treatment Reposition with finger pressure and hold for a short time 119. An 8yearold girl chips her two front teeth. Both teeth sustained fractures involving the enamel and dentin, but only the right central has experienced a noticeable exposure approximately 2 mm across. It is painful and bleeding. Neither tooth show signs of abnormal mobility. If this patient was seen 12 days after her initial injury, what would be the best course of treatment for her right central incisor?\n Formocresol pulpotomy\n Pulpectomy\n Direct pulp cap\n Calcium hydroxide pulpotomy\n Remove the tooth Calcium hydroxide pulpotomy 120. An 8yearold girl chips her two front teeth. Both teeth sustained fractures involving the enamel and dentin, but only the right central has experienced a noticeable exposure approximately 2 mm across. It is painful and bleeding. Neither tooth show signs of abnormal mobility. What is the best course of treatment for her left central incisor?\n Cover fractured area with composite and place light wire splint\n Cover fractured area with composite and place monofilament splint\n Cement a band over the teeth and place rigid splint\n Cement a band over the teeth and place rigid splint\n Cover fractured area with composite and follow\n Smooth sharp edges and reappoint Cover fractured area with composite and follow 121. You notice a radiolucency at the apex of the left central incisor of your patient. The root apex is still open and is underdeveloped when compared to the adjacent central. What would be the best course of treatment for the tooth?\n Removal of the pulp followed by the placement of calcium hydroxide paste\n Calcium hydroxide pulpotomy\n Traditional root canal obturation Removal of the pulp followed by the placement of calcium hydroxide paste 122. If a tooth had more than an hour extraoral dry time before replantation, which step should not be included in the procedure?\n Mechanically removing the necrotic tissue from the root surface\n Soaking the tooth in a sodium fluoride solution\n Removing any collapsed alveolar bone\n Rinsing the socker with sterile saline\n Chemically removing the necrotic tissue with a citric acid solution Removing any collapsed alveolar bone 123. A child's mother wished to remain in the cubicle with her son during all treatments. She feels the need to be involved in every aspect of his life and lacks the trust in the dentist to be alone with the child. She is an example of a ________ parent.\n prefigurative\n postfigurative\n configurative prefigurative 124. When placing a Nancetype bilateral appliance, you notice blanching of the gingival tissue.\n Some blanching can be expected and should not be of great concern\n There should be no blanching at all, so the gingival portion of the band should be shortened to just at the gingival crest\n There should be no blanching at all, so the solder joint should be recontoured to correct this problem Some blanching can be expected and should not be of great concern 125. At what age would you epect it to be practical to remove a space maintainer for an extracted tooth #A?\n 9 to 10\n 11 to 12\n 13 to 14 11 to 12 126. A girl wakes up with a slight fever and is complaining of a headache. When you look in her mouth you notice small vesicular lesions on her gingiva and dorsal surface of her tongue. Her oropharynx is clear of lesions. She has palpable cercival lymph nodes that are a bit tender. What is causing her oral lesions and swollen lymph nodes?\n Herpetic gingivostomatitis\n Minor aphthous stomatitis\n Mononucleosis\n Bullous impetigo Herpetic gingivostomatitis 127. A girl has an appointment for extraction of four bicuspids. She woke up with a slight fever and is complaining of a headache. When you look in her mouth you notice small vesicular lesions on her gingiva and dorsal surface of her tongue. Her oropharynx is clear of lesions. She has palpable cercival lymph nodes that are a bit tender. Should you proceed with the removal of the teeth?\n Yes, there are no contraindications\n No, the lesions should be eliminated prior to tooth removal No, the lesions should be eliminated prior to tooth removal 128. A girl wakes up with a slight fever and is complaining of a headache. When you look in her mouth you notice small vesicular lesions on her gingiva and dorsal surface of her tongue. Her oropharynx is clear of lesions. She has palpable cercival lymph nodes that are a bit tender. What drug regimen should be started to treat the lesions?\n Antibiotic coverage with something from the penicillin family\n Antiviral coverage with acyclovir\n Steroid mouth rinses such as dexamethazone\n Nothing, although palliative treatment can be offered to make her more comfortable Nothing, although palliative treatment can be offered to make her more comfortable 129. You intentionally allowed a 7yearold boy to observe his well behaved brother have a tooth removed and he seemed more curious than afraid. This is an example of:\n modeling\n distraction\n desensitization\n tell, show, do modeling 130. Prior to removing a child's tooth, you explain to him that he will feel a bit of pressure and wiggling. You demonstrate by holding his finger, gently pressing it and twisting it backandforth, then proceed to remove the tooth. This is an example of:\n modeling\n distraction\n desensitization\n tell, show, do tell, show, do 131. A 7yearold boy comes to your office for orthodontic band fitting and an impression for a space maintainer after tooth #T was removed. What space maintainer is appropriate?\n Unilateral space maintainer banding #30 and cantilevered to #S\n Bilateral space maintainer banding both #19 to #30\n None if necessary Bilateral maintainer banding both #19 to #30 132. What type of space maintainer will a 5yearold require after having tooth #L removed?\n Unilateral space maintainer banding #K and cantilevered to #M\n Bilateral space maintainer banding both #19 and #30\n Bilateral space maintainer banding both #K and #T\n None is necessary at this time Unilateral space maintainer banding #K cantilevered to #M 133. You complete a pulpotomy on tooth #S and are ready to restore the tooth. You ________ leave a nonmedicated cotten pellet in the chamber near the orifices prior to placing the ZOE base.\n should\n should not should not 134. When removing tooth #B, the cowhorn forceps are the forceps of choice?\n True\n False False 135. Which of the following diagnostic criteria has the least reliability in the assessment of the pulp status in the primary dentition?\n Internal resorption\n Spontaneous pain\n Soft tissue swelling\n Electronic pulp testing\n Precussion Electronic pulp testing 136. Direct pulp capping is recommended for primary teeth with:\n carious exposures of the pulp tissue\n mechanical exposures of the pulp tissue\n both of the above mechanical exposure of the pulp tissue 137. A 9yearold boy has a history of pain from tooth #A that occurs while eating ice cream. Soft tissue findings are negative. Clinically, a large carious lesion is present. Radiographs show the decay is nearing the pulp. The tooth is nonmobile and is otherwise without obvious pathology. Therapy suggested is a(n):\n direct pulp capping with a material such as a calcium hydroxide or glass ionomer basing agent\n indirect pulp capping with a material such as a calcium hydroxide or glass ionomer basing agent\n calcium hydroxide pulpotomy\n pulpectomy with zOE or Vitapex fill\n ripping the tooth out of his head indirect pulp capping with a material such as a calcium hydroxide or glass ionomer basing agent 138. When using an elevator to loosen a tooth prior to its removal, avoid using ________ for stabilization.\n exfoliating teeth\n erupting teeth\n restorations\n All of the above All of the above 139. The most common postoperative analgesic used with the child patient:\n contains codeine combined with acetaminophen or ibuprofen\n is an over the counter product like acetaminophen or ibuprofen is an over the counter product like acetaminophen or ibuprofen 140. What is the most appropriate space management appliance for a 7 yearold who prematurely lost teeth #A and #B?\n Unilateral band and loop\n Bilateral band and loops\n Lingual holding arch\n Nance appliance\n Distal shoe without soft tissue blade Nance appliance 141. What is the most appropriate space management appliance for a 9 yearold who prematurely lost tooth #K?\n Unilateral band and loop\n Bilateral band and loops\n Lingual holding arch\n Nance appliance\n Distal shoe without soft tissue blade Lingual holding arch 142. What is the most appropriate space management appliance for a 5 yearold who prematurely lost tooth #K?\n Unilateral band and loop\n Bilateral band and loops\n Lingual holding arch\n Nance appliance\n Distal shoe without soft tissue blade Distal shoe without soft tissue blade 143. What is the most appropriate space management appliance for an 8 yearold who prematurely lost teeth #L and #S?\n Unilateral band and loop\n Bilateral band and loops\n Lingual holding arch\n Nance appliance\n Distal shoe without soft tissue blade Lingual holding arch 144. What is the most appropriate space management appliance for a 4 yearold who prematurely lost teeth #L and #S?\n Unilateral band and loop\n Bilateral band and loops\n Lingual holding arch\n Nance appliance\n Distal shoe without soft tissue blade Bilateral band and loops 145. Primate spacing is found:\n mesial to the maxillary canines, distal to the mandibular canines\n mesial to the mandibular canines, and distal to the maxillary canines\n mesial to both maxillary and mandibular canines\n distal to both maxillary and mandibular canines mesial to the maxillary canines, distal to the mandibular canines 146. According to the American Academy of Pediatric Dentistry, any 23 30 gause needle may be used for delivering local anesthesia to a child.\n True\n False True 147. With a high degree of porosity of children's bone, mandibular local infiltration is adequate for most restorative and pulpal procedures.\n True\n False False 148. A classic mandibular block is performed by depositing the anesthetic solution at the point where the nerve enters the mandible, i.e., at the mandibular foramen. This not only provides adequate pulpal anesthesia, but also provides anesthesia to the facial and lingual soft tissue.\n True\n False False 149. A mandibular block is most successful if you remember the position of the mandibular canal in relation to the occlusal plane. In a 5yearold patient, the foramen is ________ the occlusal plane.\n at\n above\n below below 150. According to Meade, the Prefigurative Parents are the type of parents who:\n believe that children will go through the dental appointment behaving well and do so without the parent accompaniment\n try to solve problems before they arrive at the dental office but not involve themselves with every aspect of the child's treatment\n feel the need to be involved in every aspect of their child's life and lack of trust in the dentist to be alone with the child feel the need to be involved in every aspect of their child's life and lack of trust in the dentist to be alone with the child 151. Based on Piaget's observations, the intellectual attainments of the child from birth to age 2 result from:\n keener eyesight\n the actions of the child with objects in the environment\n a child's ability to recognize shapes and colors the actions of the child with objects in the environment 152. A group of rare disorders affecting the connective tissue and characterized by extremely fragile bones that break or fracture easily, often without apparent cause, is associated with defects of:\n enamel\n dentin\n cementum\n enamel and dentin\n enamel, dentin, and cementum dentin 153. Name the anomaly: the junction between the enamel and dentin is altered, and enamel has a tendency to flake away.\n Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Dentin dysplasia\n Cementogenesis imperfecta Dentinogenesis imperfecta 154. Teeth demonstrating thistle tube shaped pulp chambers are attributed to:\n dens in dente\n taurodontism\n gemination\n dentin dysplasia dentin dysplasia 155. According to Meade, the type of parents most likelt to be comfortable with leaving their children alone with the dentist is:\n The Prefigurative Parent\n The Configurative Parent\n The Postfigurative Parent The Postfigurative Parent 156. According to Piaget's developmental theory, "Children actively construct knowledge as they manipulate and explore their world." This statement describes what theory?\n Behaviorist\n Cognitive development\n Structuralist\n Gestalt\n Oy gevalt Cognitive development 157. Regarding separation anxiety, which of the following statements is false?\n More frequently seen in first born children\n Usually starts at 6 months\n Plateaus at 18 months, then declines\n Most children are fairly well controlled by 3640 months More frequently seen in first born children 158. Behavior modification is best accomplished by rewarding the desired behavior and ignoring the undesirable behavior. A good example of extinction of aversive would be to slap the child's hand every time he tries to interfere with treatment.\n Both statements are true.\n Both statements are false.\n The first statement is true, but the second statement is false.\n The first statement is false, but the second statement is true. The first statement it true, but the second statement is false. 159. Approximately how many children have some sort of anxiety associated with dental appointments?\n 10 to 15%\n 75 to 90% 75 to 90% 160. As a child grows into adolscence, their blood pressure ________ and their heart rate ________.\n increase, increases\n decreases, decreases\n increases, decreases\n decreases, increases increases, decreases 161. If you perform a pulpotomy, what is (are) the function(s) of the cotton pellet?\n Control hemorrhaging via positive pressure (water moistened pellet)\n Hold certain fixative agents against the pulp stumps for a prescribed period of time\n Act as a barrier between the treated pulp tissue and the permanent basing agent prior to the placement of the permanent restoration\n All of the above\n Both of the first two choices Both of the first two choice 162. As part of the first steps of tooth removal, the use of a large spoon curette inserted in the gingival sulcus breaks the gingival attachment and:\n begins luxating the tooth from the bone\n increases access to gingival portion of crown\n both of the above increases access to gingival portion of crown 163. The height of coutour on a primary mandibular canine is ________ when compared to permanent teeth.\n proportinately, at the same position\n closer to the occlusal surface\n closer to the cementoenamel junction closer to the cementoenamel junction 164. Cow horn forceps should rarely be used to remove a mandibular primary molar because:\n it frequently splits the tooth in half, especially when caries have weakened the tooth\n they are not proportionately manufactured to allow proper placement in the furcation area\n there is a higher incidence of damage to the developing premolar when employing these forceps versus other types of molar forceps there is a higher incidence of damage to the developing premolar when employing these forceps versus other types of molar forceps 165. Which of the following conclusions would be correct if, after six weeks, a direct pulp capped tooth were asymptomatic?\n The pulp capping was a success\n Lack of adverse symptoms might be temporary\n Reparative dentin formation at the exposure sigt was complete\n Adjacent odontoblasts had proliferated to cover the side of exposure Lack of adverse symptoms might be temporary 166. From the list of pulpotomy medications below, which is condiered to have the least negative effect on the remaining pulp tissue and the supporting tissue surrounding a primary tooth requiring treatment?\n Calcium hydroxide\n Ferric sulfate\n Formocresol\n Glutaraldehyde Ferric sulfate 167. Calcium hydroxide is generally the materialofchoice in vital pulp capping because it:\n is less irritating to the pulp\n encourages dentin bridge formation\n seals the cavity better that most other material encourages dentin bridge formation 168. An example of an early mesial shift in the occlusion would be:\n closure of the primate space associated with the eruption of the mandibular permanent first molars\n closure of the leeway space after the exfoliation of the primary molars\n reduction of a maxillary diastema with the eruption of the permanent laterals closure of the primate space associated with the eruption of the mandibular permanent first molars 169. An increase in the intercanine width in the mandibular arch may be observed because of the eruption of the permanent incisors and the resultant tipping of the primary canines.\n True\n False True 170. The design of a unilateral space maintainer should take into consideration:\n the abutment teeth available\n the timing of eruption of the permanent tooth in question\n the width of the edentulous area\n all of the above all of the above 171. Gingival submergence of the free end of a cantilevered unilateral space maintainer may be prevented by:\n redesigning the appliance into a double abutted device\n adding an occlusal or cingulum rest to the loop\n strengthening the crib with cross bars\n a & b\n all of the above a&b 172. Oral manifestations of leukemia include all of the following except:\n gingival oozing of blood\n gingival pallor\n petechiae\n migratory glossitis\n oral ulcerations migratory glossitis 173. Regarding recurrent aphthous ulcers, all statements are true except:\n usually occur on keratinized oral mucosa\n appear as shallow, painful ulcers with a red halo and gray pseudomembrane\n mimic herpes simplex virus infections in appearance\n may scar usually occur on keratinized oral mucosa 174. Which disease freuqently requires full coverage of posterior teeth with crowns?\n Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Both amelogenesis imperfecta and dentinogenesis imperfecta\n Neither amelogenesis imperfecta nor dentinogenesis imperfecta Both amelogenesis imperfecta and dentinogenesis imperfecta 175. The facial and lingual portions of the stainless steel crown preparation for posterior teeth should:\n integrate the occlusal two thirds\n finish in a feather edge at or just below the free gingival margin\n none of the above none of the above 176. The goal of contouring and crimping the stainless steel crown is to:\n strengthen the crown by cold working/stress hardening the surface\n closely adapt the crown to the tooth surface\n smooth off the sharp edges formed by cutting the crown's margin with shears closely adapt the crown to the tooth surface 177. The finished crown should seat with its marginal ridges even with the adjacent teeth and the gingival margin:\n at the level of the free gingival margin\n at the base of the healthy gingival sulcus\n halfway in between the level of the free gingival margin and the base of the healthy gingival sulcus halfway in between the level of the free gingival margin and the base of the healthy gingival sulcus 178. In which disease does enamel flake off teeth due to poor enamel/dentin interface?\n Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Both amelogenesis imperfecta and dentinogenesis imperfecta\n Neither amelogenesis imperfecta nor dentinogenesis imperfecta Dentinogenesis imperfecta 179. In which disease do dentin, root and pulp always appear normal?\n Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Both amelogenesis imperfecta and dentinogenesis imperfecta\n Neither amelogenesis imperfecta nor dentinogenesis imperfecta Amelogenesis imperfecta 180. Currently, the best radiograph to see details of root structure is the:\n periapical\n panorex\n lateral cephalometric\n bitewing periapical 181. Unlike analog films, storage phosphor plates (SPP) are not sensitive to the visible light spectrum and will not lose image quality if exposed to ambient (room) light.\n True\n False False 182. Which disease affects both the primary and permanent teeth?\n Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Both amelogenesis imperfecta and dentinogenesis imperfecta\n Neither amelogenesis imperfecta nor dentinogenesis imperfecta Both amelogenesis imperfecta and dentinogenesis imperfecta 183. Which disease is caused by systemic factors such as rubella, nutritional deficiencies and trauma?\n Enamel hypoplasia\n Dilaceration\n Fusion\n Regional odontodysplasia Enamel hypoplasia 184. Which disease is associated with brittle bones and blue sclera?\n Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Both amelogenesis imperfecta and dentinogenesis imperfecta\n Neither amelogenesis imperfecta nor dentinogenesis imperfecta Dentinogenesis imperfecta 185. Radiographically, in which disease are pulp chambers obliterated and teeth have short or missing roots?\n Dentin dysplasia\n Dentinogenesis imperfecta\n Both dentin dysplasia and dentinogenesis imperfecta\n Neither dentin dysplasia nor dentinogenesis imperfecta Dentin dysplasia 186. Rubber dam usage should be considered a behavior management adjunct because it:\n prevents the child from screaming\n acts as a psychological as well as a physical separating barrier between the child and the dentist\n prevents noxious restorative material odors from reaching the patient's nose acts as a physchological as well as a physical separating barrier between the child and the dentist 187. Your nephew is now 8 and his first molars are in full occlusion. They also have deep occlusal grooving. He has active occlusal caries on three of his primary molars. You recommend ________ the first permanent molars.\n sealing\n not sealing sealing 188. If you inadvertently seal over an incipient occlusal cavity:\n the acid etch material will sterilize the lesion\n the light used to cure the sealant material will sterilize the caries\n the BISGMA material is bacteriostatic and will inactivate the caries\n the caries beneath sealants will sclerose and become inactive the caries beneath sealants will sclerose and become inactive 189. When preparing a preventive resin restoration (PRR or CAR), it is necessary to perform a fissurotomy in all noncarious grooves.\n True\n False False 190. Regarding the image of a class II amalgam preparation, dotted lines around the preparation when view from the occlusal represent:\n the extent of the cavosurface bevel, suggesting a light bevel\n the position of the internal line angle formed by the proximal walls and the pulpal floor, suggesting a convergence of the preparation towards the occlusal\n the pencil line left over from sketching out the outline of the prep in lab the position of the internal line angle formed by the proximal walls and the pulpal floor, suggesting a convergence of the preparation towards the occlusal 191. Retentive grooves within the proximal box of an MO amalgam prep on tooth #S:\n should be placed at the facioaxial and linguoaxial line angles, with the maximum depth at the gingival\n should be placed at the facioaxial and linguoaxial line angles, with the maximum depth at the occlusal\n should be placed at the gingivoaxial line angle only and parallel to the pulpoaxial line angle\n are easily placed with a half round bur\n should never be used should never be used 192. The proximal box of a class II preparation for amalgam on a primary molar is ________ at the occlusal portion when compared to the gingival portion.\n wider\n narrower\n the same narrower 193. Which common design characteristic of a class II amalgam for permanent teeth are also included for primary teeth?\n pulpoaxial line angle bevel\n gingival margin bevel\n gingival margin bevel and pulpoaxial line angle bevel pulpoaxial line angle bevel 194. After removing the mesial interproximal caries on tooth #T, the facial portion of the proximal box is positioned beyond the line angle of the tooth.\n An amalgam is still an acceptable restoration with a predictable success rate\n An adhesive material such as a reinforced glass ionomer is recommended\n You should consider full coverage with a stainless steel grown, even though the distal surface is still intact You should consider full coverage with a stainless steel crown, even though the distal surface is still intact 195. A wavy line is frequently incorporated into the enamel bevel when restoring a fractured anterior tooth. The primary reason for this wave is:\n to prove that even when you have a tequila hangover and a shaky hand that you can still practice dentistry\n a visual trick to help mask the tooth/restorative material junction\n to add greater strength to the bonding agent\n to remove loose enamel rods a visual trick to help mask the tooth/restorative material junction 196. For a composite strip crown on a primary central, an incisal reduction in the range of 11.5 millimeters is recommended, and how far subgingivally does the celluloid crown form extend?\n to the finish line\n slightly beyond/below the finish line\n to the base of the sulcus to ensure the composite will flow to the finish line slightly beyond/below the finish line 197. After filling a celluloid crown form with composite and curing the material to the tooth:\n the crown form is removed and the composite finished\n only the gingival excess is removed, the crown form is left in place, the excursive movements are checked and the patient can be dismissed\n the crown is checked for blanching and if acceptable, the crown form is left in place providing added strength with superior finish and esthetics the crown form is removed and the composite finished 198. What is the alphanumeric name for the primary left maxillary second molar?\n K\n 14\n B\n J\n 3 J 199. A child presents with fever, very runny nose and a reported sensitivity to light. Intraorally, you notice small, irregular spots on the buccal mucosa. No extraoral findings are noted at this time. The child is manifesting (exhibiting) signs of what systemic disease?\n Rubeola\n Candida (oral thrush)\n Herpangina\n Recurrent aphthous stomatitis\n Primary herpetic gingivostomatitis Rubeola 200. Treatment of Rubeola includes:\n bed rest\n nystatin rinses\n antibiotic therapy to prevent the progression to rheymatic fever\n hydration and the generous use of antipyretics, especially aspirin\n two of the above treatments bed rest 201. Rubeola is contagious and, therefore, is a reason to postpone routine care.\n True\n False\n Even complex procedures can proceed if all universal precautions are followed True 202. A child presents with history of fever and chills of several days duration. Extraoral lesions crust and heal. Both intraoral and extraoral lesions appear to be unilateral, that is they seem to be limited to one side. The most likely diagnosis for this systemic disease is:\n impetigo, non bullous variety\n impetigo, bullous variety\n rubeola\n varicella\n midlothian swamp fever varicella 203. Treatment of varicella disease is:\n aggressive antibiotic therapy, based on a culture and sensitivity\n warm weather compresses placed on extraoral lesions\n none of the above, the disease is self limiting and will self resolve within 7 to 10 days none of the above, the disease is self limiting and will self resolved within 7 to 10 days 204. A patient has a painful irregular ulcer that began as vesicles, which subsequently ruptured. Now they appear craterlike with a red halo and greywhite pesudomembrane. The disease(s) exhibiting these findings is(are):\n herpes simplex type I\n herpangina\n coxsackie virus\n hand, foot and mouth disease\n all of the above all of the above 205. Findings include circumoral pallor, prominent erythematous papillae and peritonsillar redness with exudate. This disease:\n is bacterial in origin\n is a recurrent form of a viral infection\n may be reduced in its course with the use of steroid rinses that are swallowed\n will require future antibiotic coverage to prevent bacterial endocarditis\n both the first and fourth options is bacterial in origin 206. In addition to unusual pigmented lesions of the lips (and gingiva and mucous membrane), a patient suffers from intestinal polyps. The patient has:\n Midlothian Westerberg syndrome\n chronic adrenal insufficiency\n McCune Albrights syndrome\n Peutz Jeghers syndrome\n really bad technique when she puts on her Goth lipstick Peutz Jeghers syndrome 207. In addition to unusual pigmented lesions of the lips (and gingiva and mucous membrane), a patient suffers from intestinal polyps. This suggests:\n the child was bitten by a bat\n the child is a bat\n there are several teeth that have not calcified and are not visible on radiograph\n the child may not have a full complement of sweat glands the child may not have a full complement of sweat glands 208. Radiolucencies in the border of the skull would be representative of a patient who has:\n sickle cell anemia\n histiocytosis X histiocytosis X 209. A radiograph with a haironend pattern is representative of a patient who has:\n sickle cell anemia\n histiocytosis X sickle cell anemia 210. A child's right maxillary permanent central incisor is delayed in its normal eruption, but tooth #10 is present. How old is the child?\n between 4 and 5 years old\n between 6 and 7 years old\n between 8 and 9 years old between 8 and 9 years old 211. What is the single most likely cause of delayed eruption of the right maxillary permanent central incisor?\n presence of a bezoar\n presence of a dentigerous cyst\n incomplete root formation\n presence of a rudimentary dysmorphic supernumerary\n presence of a compound odontoma presence of rudimentary dysmorphic supernumerary 212. What radiograph would best aid in diagnosis of the presence of a rudimentary dysmorphic supernumerary?\n panorex (orthopantomograph)\n select periapicals select periapicals 213. An acceptable substitute for select periapicals in diagnosis of the presence of a rudimentary dysmorphic supernumerary would be a(n):\n Occlusal film\n Single vertical bitewing Occlusal film 214. A radiograph shows several loose and missing teeth. Based solely on the radiograph, this anomaly is most likely:\n dentin dysplasia\n dentin hypoplasia\n dentin imperceptiva\n taurodontism dentin dysplasia 215. You receive a frantic phone call from the parents of one of your patients. Their son woke up in pain associated with an abscessed primary tooth. They are driving home from a weekend of camping, can't find a dentist but there is a WalMart pharmact nearby. The child's physician has recommended prophylactic antibiotic coverage (AHA regimen) prior to every dental appointment due to the child's medical history. Your prescription should read "Take ____ milligrams amoxicillin by mouth 30 to 60 minutes before appointment." The patient weighs 44 pounds.\n 250\n 500\n 750\n 1000\n 2200 1000\n\n44 lbs/(2.2mg/kg) = 20kg\n50mg/kg x 20 kg = 1000 mg 216. Several interproximal caries are noted in a 56 year old child after completing a radiographic survey, which should have included a set of ____ bitewings.\n 2\n 4\n 6 2 217. A child is 56 years old, weighs 44 pounds, and has several interproximal caries noted after completing a radiographic survey. Your current recommendation for bitewing radiographs would be every ____ months.\n 12 to 24\n 6 to 12 6 to 12 218. Cesar Augusto Rodriguez presents to the clinic because of sensitive teeth. Your clinical examination reveals teeth that are covered by a thin, rough layer of abnormally formed enamel through which the underlying yellow dentin is seen. Suprisingly, Cesar has few caries. His mother blames his father's side of the family for his ugly teeth, and states that Cesar's older brother and sister also have teeth similar to Cesar. There is a buccal abscess associated with tooth #T. You have a strong suspicion that Cesar's anomaly is congenital and tell his mother that he has:\n Dentin dysplasia (Type I or II)\n Dentinogenesis imperfecta\n Hutchinson's enamelitis\n Amelogenesis imperfecta\n Idiopathic enamel hypoplasia Amelogenesis imperfecta 219. Cesar Augusto Rodriguez presents to the clinic because of sensitive teeth. Your clinical examination reveals teeth that are covered by a thin, rough layer of abnormally formed enamel through which the underlying yellow dentin is seen. Suprisingly, Cesar has few caries. His mother blames his father's side of the family for his ugly teeth, and states that Cesar's older brother and sister also have teeth similar to Cesar. There is a buccal abscess associated with tooth #T. Your choice of treatment for tooth #T is:\n natural exfoliation\n pulpotomy, restored with a stainless steel crown\n removal\n indirect pulp cap\n partial pulpectomy, restored with a stainless steel crown removal 220. Cesar Augusto Rodriguez presents to the clinic because of sensitive teeth. Your clinical examination reveals teeth that are covered by a thin, rough layer of abnormally formed enamel through which the underlying yellow dentin is seen. Suprisingly, Cesar has few caries. His mother blames his father's side of the family for his ugly teeth, and states that Cesar's older brother and sister also have teeth similar to Cesar. There is a buccal abscess associated with tooth #T. If you elect to perform a partial pulpectomy, which of the following would you not recommend as a filling material?\n Mineral Trioxide Aggregate (MTA)\n Zinc oxide with eugenol paste\n Vitapex Mineral Trioxide Aggregate (MTA) 221. Cesar Augusto Rodriguez presents to the clinic because of sensitive teeth. Your clinical examination reveals teeth that are covered by a thin, rough layer of abnormally formed enamel through which the underlying yellow dentin is seen. Suprisingly, Cesar has few caries. His mother blames his father's side of the family for his ugly teeth, and states that Cesar's older brother and sister also have teeth similar to Cesar. There is a buccal abscess associated with tooth #T. Would you expect there to be other abnormalities associated with this disorder?\n Yes, he may exhibit brittle bone disorder\n Yes, he may exhibit brittle bone disorder and have blue sclera\n Yes, he may have blue sclera\n No No 222. Kim Chee is a shy little girl, who has a school exam at her church picnic. Her mother is brining her in to see you because she was reported having several teeth with cavities. Her mother mentioned that occasionally Kim complains of some tooth pain in the lower quadrants after eating sweet rice cakes, but the pain quickly goes away. She is a bit apprehensive and does allow you to perform an extra and intraoral examination, but only after several minutes of positive behavior management. Radiographs are needed to complete your data gathering so you may formulate an appropriate treatment plan. While removing caries on tooth #T, you expose the pulp. The size of the exposure is approximately 1 millimeter round and is surrounded by carious dentin. You elect to:\n cover the exposure with a dentin stimulating medication such as calcium hydroxide\n remove the tooth\n perform a calcium hydroxide pulpotomy\n perform an MTA pulpotomy perform an MTA pulpotomy 223. You successfully numb up tooth #T and place a rubber dam. The clamp used is most likely a:\n #3\n #212\n #14\n #13A #14 224. Kim Chee is a shy little girl, who has a school exam at her church picnic. Her mother is brining her in to see you because she was reported having several teeth with cavities. Her mother mentioned that occasionally Kim complains of some tooth pain in the lower quadrants after eating sweet rice cakes, but the pain quickly goes away. She is a bit apprehensive and does allow you to perform an extra and intraoral examination, but only after several minutes of positive behavior management. Radiographs are needed to complete your data gathering so you may formulate an appropriate treatment plan. While removing caries on tooth #T, you expose the pulp. The size of the exposure is approximately 1 millimeter round and is surrounded by dentin. The tooth should be restored with:\n amalgam\n glass ionomer\n a stainless steel crown\n IRM a stainless steel crown 225. Tooth #T exfoliates when a child is ____ years old.\n 10 to 12\n 7 to 8\n 12 to 13\n 9 to 10 10 to 12 226. Threeyearold Bradley Jones has been referred to your office by the pediatrician because not all of his teeth have erupted, leaving large spaces between his teeth. His mother says he had some blisters on the inside of his lip about two days ago that popped and left raw areas. They are whitish with a red border. Clinically, he exhibits some palpable lymph nodes along the cervical chain and is running a lowgrade fever. He is not comfortable for you to evaluate today so you reappoint for two weeks from now. Bradley mosy likely has:\n Bullous impetigo\n Aphthous stomatitis\n Papilloma virus\n Herpes simplex infection\n Rubella Herpes simplex infection 227. What are the chances that a herpes simplex infection in a threeyear old boy will return?\n High, due to selfreinoculation\n Unknown, since the etiology is not clear\n Likely, but in the form of "shingles"\n Possibly, reoccurs as herpes labialis\n Unlikely, since the body develops immunity Possibly, reoccurs as herpes labialis 228. Threeyearold Bradley Jones has been referred to your office by the pediatrician because not all of his teeth have erupted, leaving large spaces between his teeth. His mother says he had some blisters on the inside of his lip about two days ago that popped and left raw areas. They are whitish with a red border. Clinically, he exhibits some palpable lymph nodes along the cervical chain and is running a lowgrade fever. He is not comfortable for you to evaluate today so you reappoint for two weeks from now. Bradley returns after the lesions disappear and is very cooperative during the examination. You are able to see visually that he is either congenitally missing his maxillary primary laterals or they are unerupted. What radiograph(s) would assist you in confriming they are congenitally missing or unerupted?\n Periapicals\n Bitewings\n Occlusal view\n All of the above\n Either periapicals or an occlusal view Either periapicals or an occlusal view 229. Threeyearold Bradley Jones has been referred to your office by the pediatrician because not all of his teeth have erupted, leaving large spaces between his teeth. His mother says he had some blisters on the inside of his lip about two days ago that popped and left raw areas. They are whitish with a red border. Clinically, he exhibits some palpable lymph nodes along the cervical chain and is running a lowgrade fever. He is not comfortable for you to evaluate today so you reappoint for two weeks from now. Bradley has a questionable "stick" in a primary molar which requires replacing with a dental restorative material. Radiographically, there is no evidence of the lesion. You proceed with an enameloplasty, only to find out that the central pit is carious and requires excavation beyond the dentoenamel junction. At this point, you should consider:\n extending the preparation into all pits and grooves in preparation for a composite restoration\n removing the caries without extension and placing a bonded composite, covered with a sealant\n sealing over the entire occlusal surface removing the caries without extension and placing a bonded composite, covered with a sealant 230. William Lee Wallaby has been complaining about a dull, throbbing pain in the lower right quadrant of his mouth for the last two weeks. His singleparent mother has a hard time taking off from work to bring William Lee for treatment, but wants what's best for her son. The pain is intermittent and seems to occur without cause, i.e., chewing, hot foods, etcetera. The patient had a recent medical check up and was found to be in good health. Upon oral examination you note a swelling on the facial of tooth #S. You note a radiolucency between the mesial and distal roots of the tooth, extending down the distal root. Root structure appears normal. There is no internal/external resorption. Why would you see bone loss in the furcation?\n Defect in the periodontal ligament\n Tooth is fractured\n Accessory canals in the furcation area\n Physiologic root resorption process Accessory canals in the fircation area 231. When does the tooth succedaneous to #S erupt?\n 7 to 8\n 5 to 6\n 12 to 13\n 9 to 11 9 to 11 232. William Lee Wallaby has been complaining about a dull, throbbing pain in the lower right quadrant of his mouth for the last two weeks. His singleparent mother has a hard time taking off from work to bring William Lee for treatment, but wants what's best for her son. The pain is intermittent and seems to occur without cause, i.e., chewing, hot foods, etcetera. The patient had a recent medical check up and was found to be in good health. Upon oral examination you note a swelling on the facial of tooth #S. You note a radiolucency between the mesial and distal roots of the tooth, extending down the distal root. Root structure appears normal. There is no internal/external resorption. Your treatment recommendation is:\n Pulpectomy with zinc oxide/eugenol fill\n Stimulation of tertiary dentin formation with glass ionomer\n Root amputation with calcium hydroxide retrofill\n Pulpotomy with either MTA or ferric sulfate\n None of the above Pulpectomy with zinc oxide/eugenol fill 233. William Lee Wallaby has been complaining about a dull, throbbing pain in the lower right quadrant of his mouth for the last two weeks. His singleparent mother has a hard time taking off from work to bring William Lee for treatment, but wants what's best for her son. The pain is intermittent and seems to occur without cause, i.e., chewing, hot foods, etcetera. The patient had a recent medical check up and was found to be in good health. Upon oral examination you note a swelling on the facial of tooth #S. You note a radiolucency between the mesial and distal roots of the tooth, extending down the distal root. Root structure appears normal. There is no internal/external resorption. Because there is no interproximal caries, the restoration of choice is:\n stainless steel crown\n glass ionomer core with composite occlusal veneer\n amalgam core stainless steel crown 234. William Lee Wallaby has been complaining about a dull, throbbing pain in the lower right quadrant of his mouth for the last two weeks. His singleparent mother has a hard time taking off from work to bring William Lee for treatment, but wants what's best for her son. The pain is intermittent and seems to occur without cause, i.e., chewing, hot foods, etcetera. The patient had a recent medical check up and was found to be in good health. Upon oral examination you note a swelling on the facial of tooth #S. You note a radiolucency between the mesial and distal roots of the tooth, extending down the distal root. Root structure appears normal. There is no internal/external resorption. Had you noticed internal resorption within the distal root, what would your treatment recommendation have been?\n Pulpectomy with zince oxide/eugenol fill\n Pulpectomy with calcium hydroxide and barium fill\n Complete distal root amputation with MTA retrofill\n None of the above None of the above 235. Threeyearold Beverly Tallfeather spends most of her days at her grandmother's house while her mother would be at work. Granny has a constant supply of candy, and as we can guess, Beverly ends up in your office with a mouthful of cavities. Granny Tallfeather has signed her up for a beauty contest and wants Beverly's teeth to be "pretty." You recommend composite strip crowns. You isolate the anteriors, begin removing the caries on the left central with your round bur and have an exposure of the pulp. The exposure is small, about the size of the end of a 330 bur. After controlling the hemorrhage, you confrim that all the surrounding dentin is healthy. Does the exposure require treatment?\n No, since the teeth will exfoliate within the next 68 months, you should remove the tooth, replacing it with a kiddy partial for esthetics\n Yes, cover the exposure with a reparative dentin stimulating medication such as calcium hydroxide\n Yes, a calcium hydroxide pulpotomy\n Yes, a classic apexification process is recommended Yes, cover the exposure with a reparative dentin stimulating medication such as calcium hydroxide 236. Threeyearold Beverly Tallfeather spends most of her days at her grandmother's house while her mother would be at work. Granny has a constant supply of candy, and as we can guess, Beverly ends up in your office with a mouthful of cavities. Granny Tallfeather has signed her up for a beauty contest and wants Beverly's teeth to be "pretty." You recommend composite strip crowns. You isolate the anteriors, begin removing the caries on the left central with your round bur and have an exposure of the pulp. The exposure is small, about the size of the end of a 330 bur. After controlling the hemorrhage, you confrim that all the surrounding dentin is healthy. You better have luck with the adjacent central and remove all the caries without incident. Your preparation for the strip crown includes:\n a 0.5 millimeter shoulder preparation approximately 1 millimeter below the gingival margin\n a reverse bevel which returns the incisal edge to its original position above the pulp chamber\n leaving the cingulum bulge to aid in crown retention\n a feather edge finish line on all surfaces a feather edge finish line on all surfaces 237. In a preparation for a strip crown, the celluloid crown form is trimmed to:\n sit on the shoulder preparation\n be positioned 12 millimeters beyond the reverse bevel\n rest tightly against the cingulum (cingulum rest)\n extend 0.51.0 millimeters beyond the feather edges extend 0.5 1.0 millimeters beyond the feather edges 238. It is not necessary to etch and bond a composte strip crown to the prepared tooth because it relies primarily on the undercuts for its retention.\n True\n False False 239. A celluloid crown form should be left in place after curing the composite underneath.\n True\n False False 240. At what age would you expect root completion to occur for tooth #9?\n 10\n 14\n 12 10 241. Eightyearold Imran Khan gets hit in the mouth with a cricket bat and fractures off half of tooth #9, exposing a generous portion of the pulp. Radiographically, it appears that the apex is still open and the pulp tests vital. His past medical history indicates a congenital heart defect that was repaired at age seven. He weighs 44 pounds. Priot to his appointment you prescribe amoxicillin as per the guidelines of the American Heart Association in the amount of:\n 500 mg 3060 minutes before the appointment\n 250 mg 3060 minutes before the appointment\n 0 mg 30 60 minutes before the appointment\n 1,000 mg 3060 minutes before the appointment 0 mg 3060 minutes before the appointment 242. Eightyearold Imran Khan gets hit in the mouth with a cricket bat and fractures off half of tooth #9, exposing a generous portion of the pulp. Radiographically, it appears that the apex is still open and the pulp tests vital. His past medical history indicates a congenital heart defect that was repaired at age seven. He weighs 44 pounds. Immediate endodontic therapy should be:\n endodontic therapy is contraindicated; the tooth should be removed and prosthetically replaced\n pulp extirpation and placing calcium hydroxide paste into the canal close to the radiographic apex\n pulp extirpation and placing mineral trioxide aggregate (MTA) to the radiographic apex\n a calcium hydroxide pulpotomy a calcium hydroxide pulpotomy 243. Eightyearold Imran Khan gets hit in the mouth with a cricket bat and fractures off half of tooth #9, exposing a generous portion of the pulp. Radiographically, it appears that the apex is still open and the pulp tests vital. His past medical history indicates a congenital heart defect that was repaired at age seven. He weighs 44 pounds. A year later there is an abscess associated with the permanent centraol. Your treatment option(s) is(are):\n endodontic therapy is contraindicated; the tooth should be removed and prosthetically replaced\n pulp extirpation and placing calcium hydroxide paste into the canal close to the radiographic apex\n pulp extirpation and placing mineral trioxide aggregate (MTA) to the radiographic apex\n a calcium hydroxide pulpotomy\n pulp extirpation and placing either calcium hydroxide or MTA close to the radiographic apex pulp extirpation and placing either calcium hydroxide or MTA close to the radiographic apex 244. Retentive grooves are not recommended for class II amalgam preparations in primary teeth because:\n you can easily pulp out\n they really are not very retentive, especially towards the occlusal you can easily pulp out 245. Typically, when accessing interproximal caries on an anterior tooth, the approach is:\n dependent upon the restorative material being used\n from the lingual to minimize any compromises with esthetics\n from the facial for convenience\n through the surface more compromised from the caries through the sirface more compromised from the caries 246. Alex Munoz is a fiveyear old Hispanic male who was seen in urgent care for the removal of tooth #S. A medical history review of systems confirms that he is an otherwise healthy kid, but does have allergies to penicillin. He is complaining of pain in the lower left quadrant, which keeps him up at night. Tooth #K has a mesioocclusal temporary restoration, recurrent caries, furcal radiolucency, and internal & external root resorption. What is the best treatment for this tooth?\n Removal\n Complete pulpectomy\n Formocresol pulpotomy\n Allow to exfoliate Removal 247. Alex Munoz is a fiveyear old Hispanic male who was seen in urgent care for the removal of tooth #S. A medical history review of systems confirms that he is an otherwise healthy kid, but does have allergies to penicillin. He is complaining of pain in the lower left quadrant, which keeps him up at night. Which tooth should be prioritized for treatment?\n L: mesioocclusal amalgam, broken down margin\n I: distal caries with pulp exposure\n K: mesioocclusal temporary restoration, recurrent caries, furcal radiolucency, internal & external root resorption\n G: mesial & lingual caries, buccal abscess, apical radiolucency, external resorption on lateral border of root G: mesial & lingual caries, buccal abscess, apical radiolucency, external resorption on lateral border of root 248. Alex Munoz is a fiveyear old Hispanic male who was seen in urgent care for the removal of tooth #S. A medical history review of systems confirms that he is an otherwise healthy kid, but does have allergies to penicillin. He is complaining of pain in the lower left quadrant, which keeps him up at night. Tooth #G has mesial & lingual caries, buccal abscess, apical radiolucency, and external resorption on lateral border of root. What is the best treatment for this tooth?\n Formocresol pulpotomy\n Allow to exfoliate\n Removal\n Complete pulpectomy Removal 249. Alex Munoz is a fiveyear old Hispanic male who was seen in urgent care for the removal of tooth #S. A medical history review of systems confirms that he is an otherwise healthy kid, but does have allergies to penicillin. He is complaining of pain in the lower left quadrant, which keeps him up at night. Tooth #L has a mesioocclusal amalgam with a broken down margin. After removing the amalgam, the resultant distoocclusal preparation has extended beyond the distofacial and distolingual line angles. You should consider:\n using an amalgam bonding agent prior to condensation of the new amalgam restoration\n restoring the tooth with a bonded posterior composite such as Herculite\n a stainless steel crown\n any of the above are acceptable a stainless steel crown 250. A tooth has distal caries and restoring it will require using a lingual dovetail to improve retention. Its position on the tooth should be in the gingival twothirds because:\n this is where the enamel is the thickest\n it reduces the chances of pulpal exposure\n there is the less of exposure of the restorative material from natural abrasion prior to exfoliation\n all of the above all of the above 251. Tooth #I has distal caries with pulp exposure and will be difficult to restore, but you elect not to remove it. It will require pulp therapy. It is asymptomatic and shows no radiographic evidence of bone or root structure loss. You remove the coronal pulp tissue, but cannot control the bleeding with pressure hemostasis. Your next step would be:\n seal in a formocresol pellet for 57 days\n complete a partial pulpectomy\n check for tissue tags\n either seal in a formocresol pellet for 57 days or complete a partial pulpectomy check for tissue tags 252. What permanent tooth replaces tooth #S?\n 27\n 29\n 28\n 22\n 20 28 253. It's checkup time for LaVitra Maldonado. Her mother said she was looking forward to the appointment so she could show you her toothless grin (her maxillary centrals recently exfoliated) but LaVitra woke up with a sore throat and a fever. Intraorally, you notice a nonvesicular red rash on the soft palate. Her tonsils are enlarged and red no exudate is apparent at this time. She has difficulty swallowing. A differential for this common childhood illness would include all but the following:\n Herpangina\n Mononucleosis\n Streptococcal pharyngitis\n Midlothian swamp fever Midlothian swamp fever 254. It's checkup time for LaVitra Maldonado. Her mother said she was looking forward to the appointment so she could show you her toothless grin (her maxillary centrals recently exfoliated) but LaVitra woke up with a sore throat and a fever. Intraorally, you notice a nonvesicular red rash on the soft palate. Her tonsils are enlarged and red no exudate is apparent at this time. She has difficulty swallowing. Several days later, her mother reports that she has developed a body rash especially around the skin folds and that the skin on the soles of her feet is peeling. She wonders if she was having an allergic reaction to the IRM temporary filling you placed. LaVitra most likely was displaying symptoms of ________ at the last appointment.\n Herpangina\n Mononucleosis\n Streptococcal pharyngitis\n Midlothian swamp feverStreptococcal pharyngitis 255. A child's tongue appears to have lost its coating and has an erythematous smooth glistening surface. She has "raspberry tongue" which is associated with:\n Midlothian swamp fever\n rheumatic fever\n scarlet fever\n herpetic fever scarlet fever 256. An IRM temporary comes out of tooth #T, and the tooth is infected and unrestorable. In the process of removing the tooth, you fracture off a small portion of the mesial root.\n The root should be removed if the fragment is clearly visible and can be easily removed with an elevator or root tip pick\n It is best left to resorb by the erupting permanent tooth if after several attempts to retrieve it fail\n If the fragment is very small or situated very deep within the alveolus, it is best left to resorb\n All of the above All of the above 257. The number of primary teeth in a normal child is:\n 10\n 20\n 24\n 32 20 258. At approximately what age does tooth #P erupt?\n 2 to 3 months\n 4 to 5 months\n 6 to 7 months\n 8 to 9 months\n 11 to 12 months 6 to 7 months 259. The normal exfoliation order of the maxillary primary teeth begins with the centrals and is folled by:\n laterals, canines, molars\n canines, laterals, molars\n laterals, molars, canines\n molars, canines, laterals\n molars, laterals, canines laterals, molars, canines 260. At what age does tooth #L exfoliate?\n Between 7 and 8 years\n Between 10 and 12 years\n Between 12 and 14 years Between 10 and 12 years 261. At what age would you most likely see 12 primary and 12 permanent teeth in a child's mouth?\n 6\n 8\n 10\n 12 8 262. Permanent tooth #13 replaces what primary tooth?\n B\n I\n J\n K J 263. The inital placement of orthodontic bands generally causes minimal sulcular bleeding. According to the recently updated American Heart Association (AHA) Guidelines, this procedure ________ require endocarditis prophylaxis with an appropriate antibiotic regimen.\n does\n does not does 264. Calculate the proper AHA dosage of amoxicillin for a child weighing 44 pounds, who requires premedication.\n 250 mg 3060 minutes before procedure\n 500 mg 3060 minutes before procedure\n 1,000 mg 3060 minutes before procedure\n 2,000 mg 3060 minutes before procedure 1,000 mg 3060 minutes before procedure 265. Your nephew is now 8 and his first molars are in full occlusion. They also have deep occlusal groovings. The only restoration he has is a buccal bit amalgam. Radiographs reveal one incipient interproximal lesion on tooth #K. According to the guidelines (Simonsen) presented in lecture and your handout you would classify him as category II and you recommend ________ the first permanent molars.\n sealing\n not sealing sealing 266. When removing the decay for restoation of a molar with a preventive resin restoration (PRR or CAR), it is necessary to extend completely past the dentinoenamel junction.\n True\n False False 267. When preparing the occlusal surface for restoration of a molar with a preventive resin restoration (PRR or CAR), it is necessary to perform a fissurotomy in all susceptible grooves.\n True\n False False 268. Regarding the preparation for a molar stainless steel crown, the facial and lingual surfaces:\n should not be prepped, only the occlusal and interproximal areas\n should be beveled in such a way to return the resultant cusp tips to a more central location\n should be prepared with a 2 mm reduction at the occlusal, tapering down to a feather edge finish line should be beveled in such a way as to return the resultant cusp tips to a more central location 269. When preparing a primary central incisor for an openfaced stainless steel crown, the cingulum's reduction range should be in the range of:\n 0.5 to 1 millimeter\n 1.5 to 2 millimeters\n 2.5 to 3 millimeters\n 3.5 to 4 millimeters 0.5 to 1 millimeter 270. For a composite strip crown form seated on a primary central, an incisal reduction in the range of 11.5 mm is suggested. How far subgingivally does the celluloid form extend?\n To the finish line\n From 0.5 to 1 mm beyond the finish line\n To the base of the sulcus to ensure the composite will flow to the finish line From 0.5 to 1 mm beyond the finish line 271. Which of the following systemic diseases does not start out as vesicles that rupture?\n Primary herpetic gingivostomatitis\n Hand, food and mouth disease\n Bullous impetigo\n Rubeola Rubeola 272. A very concerned grandmother brings in her 8 year old granddaughter for evaluation of a bad tooth. The child is running a fever and has had great pain that has kept her up for the past two nights. It is obvious that she has facial swelling. She is very cooperative, but before you proceed you learn that the grandmother is not her legal guardian the woman's son has legal custody. Can you proceed with a problemfocuses examination including radiographs?\n Yes, you are protected by implied consent for emergency treatment to a minor\n No, you still must have permission to proceed from the child's legal guardian Yes, you are protected by implied consent for emergency treatment to a minor 273. During a head and neck examination, turning the head will allow for better palpation of the ________ muscle, permitting better evaluation of the cervical lymph nodes.\n sternocleidomastoid\n platysma\n scalenus anterior\n anterior belly of the digastric sternocleidomastoid 274. Koplic's spots are associated with:\n Measles\n Mumps\n Scarlet fever\n Chicken pox Measles 275. When treating a hemophilia (type A) patient, block anesthesia is considered a ________ risk.\n low\n moderate\n high high 276. Very young patients suffering from primary herpetic gingivostomatitis should be monitored to prevent ________.\n dehydration\n their lips from crusting together\n scarring\n recurrence in the form of herpes zoster dehydration 277. The bitewing radiograph is the radiograph primarily designed to ________.\n visualize rooths\n detect periapical or furcal pathology\n monitor eruption of the permanent teeth\n detect carious lesions detect carious lesions 278. If a child is having difficulty with gagging while taking bitewing radiographs, it is often helpful ________.\n to use a #3 film instead of the #0 or #2 sizes\n after proper placement of the film in the patient's mouth, use a Velcro strap around the head and mandible to keep the child biting on the tab\n to rationalize the need for the radiographic survey\n to tell them they have to clean up the chair and floor if they puke\n to distract the child's attention away from the procedure to distract the child's attention away from the procedure 279. On recall appointment, a five year old patient with a plaque score of 50% plaquefree, poor flossing technique and a recent dental history of one class II amalgam should have the following radiographs taken:\n two bitewings\n four bitewings\n two bitewings and a periapical of the restored tooth\n four bitewings and a periapical of the restored tooth two bitewings 280. On initial examination, you recommend to a father that a radiographic survey be taken on his child, based on your clinical findings. He refuses, saying that the child's mother just died from breast cancer and she was in great agony during her radiation treatment. You respond by:\n denying the link between dental x rays and any kind of somatic damage\n reassure the father that the amount of radiation used is within safe and effective limits, then proceed to take the radiographs\n explain to the father that your diagnosis, as thorough as you were, is incomplete without the radiographs, then proceed to take them\n respect the father's wishes, while pointing out the limiations of deriving a thorough and accurate treatment plan without the survey\n turn him into the Department of Children and Family Services (DCFS) for not providing the child with appropriate health care respect the father's wishes, while pointing out the limitations of deriving a thorough and accurate treatment plan without the survey 281. A group of rare disorders affecting the connective tissue and characterized by extremely fragile bones that break or fracture easily, often without apparent cause, is associated with defects of the:\n enamel\n dentin\n cementum\n enamel and dentin\n enamel, dentin and cementum dentin 282. Name the anomoly: the junction between the enamel and dentin is altered; enamel has a tendency to flake away.\n Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Dentin dysplasia\n Cementogenesis imperfecta Dentinogenesis imperfecta 283. Dentin dysplasia and dentinogenesis imperfecta share many characteristics in common. Of the following clinical traits which is a characteristic unique to dentin dysplasia?\n Obliterated pulp chambers\n Short rooted to rootless permanent teeth\n Exhibited in both primary and permanent dentition\n May have opaescent brown/blue discoloration Short rooted to rootless permanent teeth 284. The primary and permanent molars have significantly elongated pulp chambers and short shunted roots. This condition is most likely:\n dens in dente\n taurodontism\n gemination\n dentin dysplasia\n fungi imperfecta taurodontism 285. Problems associated with supernumerary teeth include:\n Failure of eruption\n Displacement of erupting teeth\n Diastema\n Retention of primary teeth\n Any in the list Any in the list 286. Turner's hypoplasia (Turner's tooth) is an example of local enamel hypoplasia due to ________ and frequently appear as an enamel defect, characterized by a saucerlike lesion of variable size, generally located on the buccal surface of the anterior maxillary and/or mandibular permanent teeth.\n past histories of high fever\n congenital syphilis\n severe infection\n trauma\n fluoride ingestion trauma 287. This condition is characterized by shallow to deep grooving of the dorsal surface of the tongue. It may or may not be present at birth; the severity may increase with age.\n Granulomatous cheilitis\n Hairy tongue\n Benign migratory glossitis\n Fissured tongue\n Primary herpetic gingivostomatitis Fissured tongue 288. This condition is characterized by prodrome of fever and lympadenopathy followed by erythematous tissue with oral vesicles that rupture leaving painful ulcers with a graywhite pseudomembrane.\n Granulomatous chelitis\n Hairy tongue\n Benign migratory glossitis\n Fissured tongue\n Primary herpetic gingivostomatitis Primary herpetic gingivostomatitis 289. This condition is characterized by a creamywhite plaque that leaves a red, ulcerated area underneath if scraped off. It may be associated with:\n long term antiobiotic therapy\n an immature immune system\n HIV disease\n Any in this list Any in this list 290. This condition is characterized by vesicular outcroppings that crust and heal. In this particular patient, the lesions exhibit a distinct distribution and do not cross the midline.\n impetigo (non bullous)\n rubella\n rubeolla\n varicella\n herpangina varicella 291. The radiograph of a doublecrowned tooth reveals a single root chamber. The condition is most likely:\n concrescence\n fusion\n gemination gemination 292. Bifid uvula:\n results in one heck of a yodeler\n results in dysphagia\n may indicate a submucus palatal clefting\n is indicative of Marfan's syndromemay indicate a submucus palatal clefting 293. A patient returns to your office complaining of pain for the last four days. She woke up one morning and lesions were on he labial mucosa no vesicles or blisters preceded it, just a red halo around a grayish membrane. This is the first time she has ever noticed this type of problem. She has no body rash, nor other oral lesions. Her temperature is within normal limits. She most likely has:\n impetigo\n self inflicted wound from a bite\n aphthous stomatitis (ulcer)\n bullous labialis aphthous stomatitis (ulcer) 294. If Bat Boy were a real entity and you observe that, as well has having pegshaped teeth, he does not have a full compliment of permanent teeth. He also has very little hair. You would diagnose him as:\n being from the South\n a dysmorphic odontate\n having inherited ectodermal dysplasia\n suffering from regional odontodysplasia\n having carried this Goth themed existance too far having inherited ectodermal dysplasia 295. The primary dention begins to erupt at age ________ which coincides with the recommended time for the child's first oral health risk assessment.\n 3 months\n 6 months\n 12 months\n 18 months 6 months 296. According to eruption charts, tooth #6 erupts:\n before tooth #27\n at the same time as tooth #27\n after tooth #27\n before tooth #27 after tooth #27 297. The standard general oral antibiotic prophylaxis regimen for children is:\n exactly that of an adult\n 1,000 mg one hour before the procedure\n 50 mg per kg body weight one hour before the procedure\n 50 mg per pound body weight one hour before the procedure\n 25 mg per kg body weight one hour before the procedure 50 mg per kg body weight one hour before the procedure 298. If a child is allergic to the penicillins, and you still wish to give an oral medication, you should consider either of the following except:\n cephamycin\n clindamycin\n azithromycin cephamycin 299. When considering sealant placement:\n the use of a bonding agent will increase the long term retention\n you should routinely perform an enameloplasty\n glass ionomer is the material of choice, since it releases fluoride\n etching beyond the area to be sealed will result in a weakened enamel surface the use of a bonding agent will increase the long term retention 300. Placing a sealant over minimal enamel caries has been shown to be effective at inhibiting lesion progression.\n True\n False True 301. According to the American Association of Pediatric Dentistry, the best evaluation of caries risk and the decision to implement sealant usage is made by an experienced clinician using indicators of tooth morphology, and:\n past caries history\n past fluoride history\n present oral hygiene\n All of the above All of the above 302. When evaluating an occlusal "stick" with a sharp dental explorer, you notice an opacity and loss of normal translucency adjacent to the tooth's central pit and softness at the base of this area. Your recommendation for treatment is:\n enameloplasty with a thin layer of flowable composite\n removal of the softened tooth structure and replacement with a composite material removal of the softened tooth structure and replacement with a composite material 303. When considering preparing a tooth for a class I amalgam restoration, the unaffected coalesced and accessory grooves ________ included in the outline design.\n are\n are not are not 304. Posterior teeth with centrally located contact areas will require a "reverse S" preparation in order to connect the occlusal portion of the class II preparation with the proximal portion of the preparation.\n True\n False False 305. The proper extension for a class III amalgam preparation in an incisal direction should attempt to preserve some contact with the adjacent tooth.\n True\n False True 306. The finish line with greater bonded strength for a class IV composite is the ________; the more esthetic is the ________.\n chamfer, bevel\n bevel, chamfer\n bevel, bevel\n chamfer, chamfer chamfer, bevel 307. Conditions or disease processes that are associated with joint involvement include all of the following except:\n Hand, foot and mouth disease\n rheumatic fever\n sickle cell anemia\n hemophilia Hand, foot and mouth disease 308. One of these disease is not like the others. Which one is different?\n impetigo non bullous\n rubella\n rubeola\n varicella\n herpangina impetigo (non bullous) 309. Eventual full coverage of teeth with crowns is generally associated with:\n amelogenesis imperfecta\n dentinogenesis imperfecta\n both amelogenesis imperfecta and dentinogenesis imperfecta both amelogenesis imperfecta and dentinogenesis imperfecta 310. Supernumerary teeth that duplicate typical anatomy, resembling an adjacent tooth are referred to as:\n supplemental\n geminations\n eumorphics\n twofers supplemental 311. Your radiograph indicates that a supernumerary tooth is in close proximity to the maxillary central. In order to define if it is buccally or palatally positioned in relation to the central you shoot another radiograph, placing the film in the exact same position but moving the x ray head to the right. On the film, the supernumerary appears to have moved in the same direction as the repositioned xray head. You conclude that the supernumerary tooth is ________ in relation to the central incisor.\n buccally positioned\n palatally positioned palatally positioned 312. Bitewing radiographs should be taken:\n at every initial examination\n at every recall examination\n as soon as the child can tolerate the film placement\n when needed to complete the diagnosis when needed to complete the diagnosis 313. Which patient(s) will require a series of four bitewings?\n A typical five year old\n A typical seven year old\n A typical thirteen year old\n Both a typical seven year old and a typical thirteen year old\n All of the above A typical thirteen year old 314. Of the following methods to minimize the amount of radiation a patient receives, which is the most important?\n Specific indication\n Beam restrictors\n Lead apron/thyroid collar\n Fast film speed Specific indication 315. Frankie is a healthy fiveyear old who you see in your office as a referral from another office. The dentist noticed some yellow spots bilaterally on Frankie's buccal mucosa. His oral hygiene is poor and his gingiva bleeds when you are polishing the teeth. His mother admits that he only brushes every other day and no one in the family flosses. Clinically, you can detect small occlusal and buccal caries on tooth #T. He is very cooperative and weighs in at 35 pounds. You pay particular attention to the yellow spots on Frankie's buccal mucosa. The referrer sheet indicated that the spots have been there at least two months. They are bilateral, appear as ricelike papules, are small and asymptomatic. You speculate, based on this information and your thorough oral examination that Frankie:\n has measles\n bites his cheeks\n has an allergic reaction to food products\n has an unusualt presentation of intraoral sebaceous glands has an unusual presentation of intraoral sebaceous glands 316. Although it is prudent to err on the side of saving/maintaining space whenever possible, there are times that placement of a space maintainer is not indicated. Those situations would include all except:\n No alveolar bone overlying the succedaneous tooth and three fourths of the root of the permanent tooth has developed\n The space left by the prematurely lost primary equals the mesiodistal width of the successor\n A gross discrepancy exists in the MDA requiring future extractions and orthodontic treatment\n The succedaneous tooth is congenitally missing and the space closure is desired The space left by the prematurely lost promary tooth equals the mesiodistal width of the successor 317. Limitations of a simple band and loop space maintainer include:\n the abutment teeth may exfoliate before the need for space management has been eliminated\n there is no provision for supraeruption of the opposing tooth (teeth)\n both of the above both of the above 318. The first primary tooth to erupt is the ________ at approximately ________ of age.\n maxillary central; 6 months\n maxillary central; 10 months\n mandibular central; 6 months\n mandibular central; 10 months mandibular central; 6 months 319. The last primary tooth to erupt is the ________ at approximately ________ of age.\n maxillary second molar; 24 months\n mandibular second molar; 24 months\n maxillary canine; 24 months\n maxillary second molar; 48 months\n mandibular second molar; 36 months maxillary second molar; 24 months 320. Cher Mootah is a 7 yearold female who returns to your office for the removal of tooth #B. She is a highrisk patient for bacterial endocarditis and requires prophylactic antibiotic coverage prior to any procedure that is associated with significan bleeding from hard or soft tissues. If little Cher weighs in at 77 pounds, how many teaspoonfuls of a 250mg/5ml elixir will she require one hour prior to the removal of the tooth? Hint: There are 5 ml of liquid per teaspoon.\n Three\n Five\n Seven\n Nine\n None, tooth removal has negligible risk of creating a bacteremia Seven 321. A bifid uvula suggests:\n the child should be evaluated for a submucous cleft\n a traumatic tear of the soft palate during general anesthesia intubation\n fellatio trauma\n the child is a natural born yodeler the child should be evaluated for a submucous cleft 322. A radiographic examination which shows all deep structures clearly and within normal limits, tooth contact areas welldefined and without radiolucencies is considered to be:\n unproductive because it failed to identify the presence of pathology\n negative because it identified no pathology present negative because it identified no pathology present 323. The bisecting angle technique can be implemented when a patient has difficulty tolerating a film holder such as the Rinn system or a SnapARay. In order to miimize distortion, the central ray should be aimed perpendicular:\n to the long axis of the tooth\n to the long axis of the film\n to the bisector of the angle formed by the long axes of the tooth and the film\n to the bisector of the angle formed by the long axes of the tooth and the finger holding the film to the bisector of the angle formed by the long axes of the tooth and the film 324. Which of the following important methods of minimizing a patient's radiation exposure is the least important?\n Having a specific indication for the radiograph\n Utilizing a leaded apron and thyroid collar\n Minimizing the need for retakes by using proper technique Utilizing a leaded apron and thyroid collar 325. Of the following disorders which one is not contagious?\n Varicella (herpes zoster)\n Herpes simplex (herpes labialis)\n Epstein Barr (mononucleosis)\n Coxsackie (herpangina)\n Paramyxovirus (rubeola) Varicella (herpes zoster) 326. Recurrent aphthous ulcerations are typically found on ________ tissues, while herpetic gingivostomatitis is more frequently found on ________ tissues, even though they both manifest as craterlike lesions with raised white borders and gray/white pseudomembrane.\n keratinized/non keratinized\n non keratinized/keratinized non keratinized/keratinized 327. Early clinical findings include grayishwhite covering over tonsils and faucial pillars, circumoral pallor, flushed cheeks, white coating on the tongue, and prominent erythematous papillae?\n Cat scratch disease\n Scarlet fever\n Rheumatic fever\n Meningeal fever\n Prodromal fever Scarlet fever