Escolar Documentos
Profissional Documentos
Cultura Documentos
DADH
1..Alternative light and dark bands seen in tooth cross section are known as?
c.Neonatal line
d.Reversal line
Hunter-Schreger bands: Changes in the direction of enamel rods that minimize cleavage in
the axial direction produce an optical appearance called HunterSchreger bands. They have
alternate light and dark zones, which have slightly different permeability and organic content.
a.Apposition
b.Initiation
c.Calcification
d.Dental lamina
Ans: b.Initiation
Supernumerary teeth in the deciduous dentition are usually normal or conical shaped,
whereas supernumerary teeth in the permanent dentition can exhibit various shapes. They
may have normal morphology or may be rudimentary and miniature with little or no
resemblance to the other teeth . Based on their morphology, supernumerary teeth are
classified into four types, including conical type, tuberculate type, supplemental teeth, and
odontomas . The most common supernumerary teeth are small conical peg-shaped with root
development at the similar stage or ahead of that of adjacent teeth. They usually develop in
the anterior maxilla as mesiodens. Tuberculate supernumerary teeth are large barrel-shaped
with multiple cusps or tubercles. Their root development is delayed compared to that of
adjacent teeth. They are mostly found unerupted in the palatal aspect of the maxillary central
incisors, and this can cause the impaction of permanent maxillary incisors.
a.Nervous Tissue
b.Blood Tissue
d.Granulomatous tissue
Dental pulp is a loose connective tissue with an appearance similar to mucoid CT. It contains
the components common to all connective tissues:
Cells: fibroblasts and undifferentiated mesenchymal cells as well as other cell types
(macrophages, lymphocytes, etc.) required for the maintenance and defense of the
tissue .
Fibrous matrix: collagen fibers, type I and II, are present in an unbundled and
randomly dispersed fashion, higher in density around blood vessels and nerves. Type
I collagen is thought to be produced by the odontoblasts as dentin, secreted by these
cells, is composed of type I collagen. Type II is probably produced by the pulp
fibroblasts as this type increases in frequency with the age of the tooth. Older pulp
contains more collagen of both the bundled and diffuse types.
Ground substance: the environment that surrounds both cells and fibers of the pulp
is rich in proteoglycans, glycoproteins and large amounts of water.
a.By lowering PH
Bacterial invasion of dentinal tubules commonly occurs when dentin is exposed following a
breach in the integrity of the overlying enamel or cementum. Bacterial products diffuse
through the dentinal tubule toward the pulp and evoke inflammatory changes in the pulpo-
dentin complex. These may eliminate the bacterial insult and block the route of infection.
Unchecked, invasion results in pulpitis and pulp necrosis, infection of the root canal system,
and periapical disease. While several hundred bacterial species are known to inhabit the oral
cavity, a relatively small and select group of bacteria is involved in the invasion of dentinal
tubules and subsequent infection of the root canal space. Gram-positive organisms
dominate the tubule microflora in both carious and non-carious dentin. The relatively high
numbers of obligate anaerobes present-such as Eubacterium spp., Propionibacterium spp.,
Bifidobacterium spp., Peptostreptococcus micros, and Veillonella spp.-suggest that the
environment favors growth of these bacteria. Gram-negative obligate anaerobic rods, e.g.,
Porphyromonas spp., are less frequently recovered. Streptococci are among the most
commonly identified bacteria that invade dentin.
PHARMACOLOGY
5.A patient has nephropathy ,which of the following drug is avoided in this patient?
a.Acetaminophen
c.NSAIDS
d.Opioids
Ans: c.NSAIDS
Nephrotoxic drugs
Care should be taken when an ACE inhibitor and NSAID are prescribed together, as
this combination may precipitate an acute deterioration in renal function.
There are a number of drugs that cause direct toxicity to the renal tubules (acute
tubular necrosis) - eg, aminoglycosides, amphotericin and ciclosporin.
o NSAIDs may cause acute kidney injury due to hypoperfusion and interstitial
nephritis, as well as analgesic nephropathy (chronic interstitial nephritis and
papillary necrosis).
Lithium: serum levels of lithium consistently above the therapeutic range have been
associated with development of a nephrogenic diabetes insipidus.
a.Thiopentone
b.Sevoflurane
c.Isoflurane
d.Propofol
Ans:d
Refer: Textbook of Oral and Maxillofacial Surgery - Page 202, Neelima Anil Malik,3rd e
Best Intravenous agent for recovery in day care anesthesia is Propofol. Although propofol is
the gold standard drug in day-care procedures, it has its own side effects like apnea,
cardiovascular instability, pain on injection, as well as its cost. The ideal drug combination to
achieve this end remains elusive. Therefore, a combination of propofol, thiopentone, and
ketamine may be a better alternative.
7.A 4 year old child with restricted mouth opening inhalation anesthetic of choice?
a.Isoflurane
b.Sevoflurane
c.Desflurane
d.Halothane
Ans: c.Desflurane
Refer: Clinical Anesthesia - Page 438, Paul G. Barash,6th e
In small children, gaseous induction using sevoflurane (with parental presence) is often
easiest. Since its introduction, sevoflurane has largely replaced halothane as agent of choice
because inhalation is quick and smooth and there are limited cardiovascular and respiratory
effects.Sevoflurane supplementation of 66% nitrous oxide in oxygen is used. Sevoflurane
may either be introduced in 2% increments every 2 to 3 breaths to a maximum of 8%, with
maintenance of anaesthesia at or around 4%, or it may be introduced at the maximum
concentration of 8%, with maintenance at 4%. Induction using 8% sevoflurane does not
appear to cause any adverse effects.However, if sevoflurane is not available halothane is
preferred over isoflurane that is irritant and can lead on to coughing and laryngospasm.
a.Halothane
b.Isoflurane
c.Sevoflurane
d.Desflurane
Ans: d.Desflurane
Refer: Textbook of Oral and Maxillofacial Surgery - Page 177, Rajiv M Borle,1st e
Best inhalational anesthesia for day care surgery Desflurane.Both sevoflurane and
isoflurane are suitable for day care anaesthesia. Sevoflurane has advantages of quicker
emergence, early discharge from PACU I and less airway hypersensitivity. Isoflurane has
more incidence of airway hyper reactivity though milder level, when compared to
sevoflurane. Incidence of nausea and vomiting and requirement of postoperative analgesia
are comparable in both the groups. Isoflurane is less costly in comparison to sevoflurane.
9.Which of the following inducing anesthetic agent also have antiemetic property?
a.Propofol
b.Thiopentone
c.Etomidate
d.Fentanyl
Ans: a.Propofol
Refer: Goodman & Gillman ,12th e /503/Peterson's Principles of Oral and Maxillofacial
Surgery,3rd e ,page no 60.
Propofol is the most widely used i.v. anesthetic agent for induction. It is highly lipophilic and
distributes rapidly into the CNS and other tissues, which accounts for its rapid onset of
action.Propofol produces unconsciousness within the time it takes for the drug to travel from
the injection site to the brain, which is referred to as one "arm-brain circulation time" and
requires less than one minute. The onset of anesthesia is smooth, although the drug can
cause pain at the injection site. Propofol is rapidly and extensively metabolized in the liver
and at extrahepatic sites, which means it has a high rate of total body clearance. The drug
has a direct antiemetic effect through an unknown mechanism.It also is euphorigenic, but
does not have residual psychotic effects as does ketamine.
PEDODONTICS
10..According to latest theory duration of, enamel etching in primary teeth when compared to
permanent teeth is ?
Refer: Textbook of Operative Dentistry - Page 246, Lloyd Baum, Ralph W. Phillips,
Melvin R. Lund,3rd e
According to latest theory duration of, enamel etching in primary teeth when compared to
permanent teeth is, same as permanent teeth (15 sec).20 sec etching time is
recommended .
11.Most acceptable property of pit and fissure sealant while selecting it is?
c.Low volatility
Most acceptable property of pit and fissure sealant while selecting is Adequate working time.
The properties required of an ideal fissure sealant include biocompatibility, anticariogenicity,
adequate bond strength, good marginal integrity, resistance to abrasion and wear, and cost
effectiveness. The clinical efficiency of fissure sealants is directly related to their
retention.Retention depends on morphology of pits and fissures, adequate isolation,
conditioning of enamel, application techniques, particular material characteristics like
viscosity, surface tension, and adequate adhesion.
c.More accessory canals are present on buccal surface with porous floor & thin bony
surface.
Ans: c.More accessory canals are present on buccal surface with porous floor & thin bony
surface.
Gingival Abscess is usually common in primary teeth because More accessory canals are
present on buccal surface with porous floor & thin bony surface.Primary teeth have more
accessory canals in the inter-radicular area,which lead to formation of inter-radicular pus
drawing through gingival,preferably from buccal side due to thin bone.
13.In salivary reductase test of a child patient,slightly conductive caries gives what colour?
a.Red
b.Pink
c.Orchid
d.Green
Ans: c.Orchid
Principle involved: Measures the activity of the reductase enzyme present in salivary
bacteria, using a dye Diazoresorcinol.
Saliva is collected in a plastic container. The sample is then mixed with the dye.The caries
conduciveness is measured by color change, seen after 15 minutes. (A kit is availably under
the trade name Treatex.)
Interpretation: The evaluation is based on the color change
Disadvantage: Test results vary with time after food intake and after brushing.
a.Removable appliance
b.Fixed treatment
c.Consult orthodontist
Refer: Modern Pediatric Dentistry ,1st e - Page 209, Vinay Kumar Srivastava
Flaring in the primary teeth treatment is wait and watch.
15.In case of nursing bottle caries lower anteriors are usually unaffected with caries.This
effect occurs due to :
c.These teeth are usually covered by tongue during drinking sweet liquid or milk.
Ans: d.These teeth has very smooth covering compare to other ones.
In case of nursing bottle caries lower anteriors are usually unaffected with caries.This effect
occurs due to these teeth has very smooth covering compare to other ones.
16.In deciduous teeth calcium hydroxide pulpotomy is contraindicated due to ?
Supernumerary teeth are considered as one of the most significant dental anomalies during
the primary and early mixed dentition stages. They are of great concern to the dentists and
parents because of the eruption, occlusal, and esthetic problems they can cause.
Supernumerary teeth occur more frequently in the permanent dentition but rarely in primary
dentition. Mesiodens is the most common type of supernumerary teeth but rarely seen in
lower arch. Early recognition and diagnosis of supernumerary teeth is important to prevent
further complications in permanent dentition. Extract them immediately without injury to
permanent tooth.
a.Handover mouth
c.Voice control/video
d.Modelling
Aversive conditioning
Aversive conditioning consist of the HOME (Hand over mouth exercise) method and physical
restraints.
HOME, the purpose of HOME is to gain attention of the child so that communication can be
achieved. HOME is usually indicated for a healthy child who can understand but exhibit
defiant or hysterical behavior during treatment. Usually applied for 3 to 6 year old children,
which usually by than can understand simple verbal commands.
HOME should not be used for children under 3 years of age, handicapped, immature and
frightened children.
Before using this method, the dentist should definitely obtain the consent of the parent
before carrying out the HOME exercise. Some parents get a shock when they suddenly see
the dentist placing his or her hand over their childs mouth. Their first thought is that the
dentist has lost his or her mind and that the dentist is not professional. So bear in mind this
is a legitimate and effective method used by dentist to control children.
pedi wrap
papoose board
sheets
head positioner
mouth blocks
mouth props
a.OSA
b.Hypoventilation
c.Hypocarbia
d.Hyperventilation
Ans: a.OSA
Refer: Principles and Practice of Pediatric Sleep Medicine,1st e - Page 273, Stephen H.
Sheldon, Meir H. Kryger, Richard Ferber
Infants with severe anatomical abnormalities such as micrognathia or nasal obstruction have
increased upper airway resistance accompanied by marked increases in respiratory effort,
and therefore negative luminal pressure. These infants typically manifest loud snoring with
marked labored breathing and complete obstructions often terminating with an arousal.
Despite a brisk genioglossal EMG response to upper airway occlusion or increased
resistance during sleep infants have an immediate and sustained decline in minute
ventilation . Infants with OSA have a decreased activation of the major upper airway dilator
muscle compared with nonapneic control subjects in response to airway occlusion,
potentially impairing the ability to respond to airway closure . During spontaneous
obstructions in term infants, decreased respiratory effort has been measured at the start of
an obstructive event, followed by a gradual increase in effort above baseline by the third
breath . By contrast, preterm infants have decreased respiratory effort throughout a
spontaneous obstructive event . Thus, term infants frequently demonstrate a robust
neuromuscular reflex activation of the upper airway during obstruction, which may be absent
in preterm infants. Mild dysmorphia predisposing toward OSA may be observed in infants
presenting with ALTEs including micrognathia/retrognathia and elongated uvula .
Thoracoabdominal asynchrony, suggestive of increased respiratory effort, has also been
reported in infants with ALTE . Infants that develop OSA are more likely to have a family
history of OSA and nasal allergies, indicating that immune function and craniofacial traits
may be risk factors for OSA early in life .
20.At what age ,is a child expected to have 12 permanent and 12 primary teeth?
a.6.5 years
b.7.5 years
c.9 year
d.11 year
A child expected to have 12 permanent and 12 primary teeth at the age of 9 years .
The oldest toothbrushing method was described in 1913 by Fones and is recommended
mainly for children.The Bass technique places emphasis on the removal of plaque from the
area above and just below the gingival margin. It was changed to the Modified Bass where
the bristle position and predominantly horizontal brush movements in the Bass method are
retained, but vertical and sweeping motions to create circles are added.The Stillman
technique is similar to the Bass technique. The vertical motions of the Stillman technique
may be combined with the Bass, as prescribed for the Modified Bass. Charters suggested
angling the brush head at 45 coronaly to the margin rather than apically. A 'vibratory' and
'slight rotary' movement is then applied before moving to the next group of teeth. On the
other hand, the Scrub and Fones techniques were more frequently recommended for
children. The more technically simple Scrub and Fones techniques are advocated for
children, with the more complex Bass and Modified Bass advocated for adults.
22.A fracture involving enamel, dentine and pulp in 52, is included in which Ellis fracture
classification?
a.Class III
b.Class-IV
c. Class-VI
d. Class-IX
Ans: d. Class-IX
a.Promote revascularisation
c.Prevent sensitivity
To slow down osseous replacement of root surface ,treatment with 2 % NAF of the root
surface for 20 min is recommended.
a.8 weeks
b.4 weeks
c.6 weeks
d.18 weeks
Ans: 4 weeks
d.Distal shift of the permanent canines when primary 1st molars are exfoliated.
d.Tongue touch anterior part of palate behind the maxillary anterior teeth
Ans: d.Tongue touch anterior part of palate behind the maxillary anterior teeth
Tongue tip held against the palate, above and behind maxillary incisors
27. Latest Terminology for following type of caries gaining almost acceptance?
a.Rapidly progressive
b.Severe early childhood caries
d.Juvenile caries
Refer: Pediatric Dentistry: A Clinical Approach - Page 65, Goran Koch, Sven
Poulsen,2nd e
Early Childhood Caries is defined as the presence of one or more decayed (non-cavitated or
cavitated lesions), missing (due to caries) or filled tooth surfaces in any primary tooth in a
preschool-age child between birth and 71 months of age. The term "Severe Early Childhood
Caries" refers to "atypical" or "progressive" or "acute" or "rampant" patterns of dental caries.
28.What should be the minimum age of a child at which root of mandibular central incisor are
completed?
a.7.5 years
b.9 years
c.11 years
d.13 years
Ans:9 years
Refer: Pediatric Dentistry: A Clinical Approach - Page 2, Goran Koch, Sven Poulsen ,
2nd e
29.A 2 year old patient reported maxillary with his 2 central incisors intruded, having
maxillary fallen from bed 12 hours ago.What should the management plan in this patient?
Lateral luxation is defined as displacement of a tooth in a direction other than axially. The
tooth may be displaced in a labial, lingual, or lateral direction. Damage to the periodontal
ligament and contusion or fracture of the supporting alveolar bone may accompany this
injury. Clinical examination reveals a tooth that is displaced in a lateral, palatal or lingual
direction and may be locked into its new position thus not mobile. The tooth usually is not
tender to touch. Pulp sensibility testing will likely give negative results. In immature teeth,
pulpal revascularization usually occurs. Radiographic findings reveal an increase in the
periodontal ligament space and displacement of the apex toward or through the labial bone
plate. Treatment consists of:
Lateral luxations always have a dento-alveolar fracture component and the alveolar bone is
repositioned into its correct position to maintain alveolar integrity. The bone may be
stabilized with a flexible splint or suture material for four weeks.
In the primary dentition follow up treatment is clinical observation at two to three weeks and
clinical observation and radiographs at six to eight weeks and one year. In the permanent
dentition follow up is clinical and radiographic examination every two weeks while the splint
is in place and then six to eight weeks, six months and annually up to five years. There is
considerable risk for pulp necrosis and root resorption.
Intrusion is defined as apical displacement of the tooth into the alveolar bone. It is
accompanied by compression of the periodontal ligament, disruption of the neurovascular
supply to the pulp, contusion of the cementum and crushing fracture of the alveolar socket.
In severe injuries the tooth may be locked into the bone. Clinical findings reveals a tooth
that may appear shortened or even missing. In primary teeth the tooth apex is usually
displaced labially toward or through the labial bone plate. In permanent teeth the
displacement is into the alveolar bone. There is no tooth mobility nor tenderness to touch.
Radiographic findings reveal that the tooth is displaced apically and the periodontal ligament
space is not continuous. Determination of the position of the primary tooth in relationship to
the developing permanent may be determined by a lateral radiograph. Alternatively, if the
apex is displaced labially, the apical tip can be seen radiographically with the tooth
appearing shorter than its contralateral. If the apex is displaced palatally towards the
developing permanent tooth, the apical tip cannot be seen radiographically and the tooth
appears elongated. Treatment consists of:
Primary teeth: Allow the intruded tooth to spontaneously erupt unless radiographs
indicate intrusion into the developing tooth. The authors experience has been to
measure the amount of tooth exposed beyond the gingival margin. The tooth is
measured four weeks later. If any re-eruption has occurred another measurement is
taken four weeks later. This is repeated until the tooth is fully re-erupted (is even with
the contralateral tooth). If the tooth exhibits no evidence of re-eruption after a four
week period, extraction of the tooth is recommended to avoid ankylosis and possible
injury to the developing permanent tooth.
30.In a 5 year old patient 2nd molar is grossly carious and has to be extracted what is most
appropriate for this patient?
Early loss of lower 2nd primary molars in conjunction with the first molar eruption results in
loss of spce.In such case , to avoid space loss distal shoe appliance is most appropriate.
31.What is the most appropriate restoratiove treatment for 5 year old child having multiple
carious lesions on multiple surfaces of molar teeth?
a.GIC
b.Composite
c.Amalgam
d.SS crown
Stainless steel crown are indicated in primary teeth having multiple carious lesions.
a.Superior
b.Average
c.Mentally retarted
d.Intelligent
An intelligence test score that is obtained by dividing mental age, which reflects the age-
graded level of performance as derived from population norms, by chronological age and
multiplying by 100: a score of 100 thus indicates a performance at exactly the normal level
for that age group.
a.Milk
b.Saliva/ice
c.Cold water
d.Handker chief
Ans: a.Milk
Best medium for avulsed permanent tooth in a peripheral village school milk. Milk remains
the most convenient, cheapest and readily available solution in most situations while also
being capable of keeping PDL cells alive. Hence, milk remains the storage medium of choice
for avulsed teeth that cannot be replanted immediately or very soon after the avulsion.
a.Extension of thumb of leg when tap/touch just below the end of fingers.
b.Flexion of one side off hand and leg when head turn another side
c.Upward extension of toes when sole of foot is touch firmly outer side
d.Flexion of toe and hyperextension of digits when clinician runs his finger on the outer side
planter surface of the foot from sole towards the thumb.
Ans: c.Upward extension of toes when sole of foot is touch firmly outer side
The Babinski reflex occurs after the sole of the foot has been firmly stroked. The big toe then
moves upward or toward the top surface of the foot. The other toes fan out.
This reflex is normal in children up to 2 years old. It disappears as the child gets older. It may
disappear as early as 12 months.
When the Babinski reflex is present in a child older than 2 years or in an adult, it is often a
sign of a brain or nervous system disorder. Disorders may include:
Meningitis
Multiple sclerosis
Stroke
35.A Child with carious deciduous mandibular teeth has sensitivity to cold and sweet food
which subsides on removing on removing the stimulus .The diagram and most appropriate
treatment in this condition is?
This treatment is only recommended when a small traumatic exposure occurs, during cavity
preparation of a vital non-infected pulp. A calcium hydroxide dressing is placed directly over
the pulp, followed by a lining and restoration, and the whole technique is carried out using
local anaesthesia and with adequate isolation from salivary contamination. It has been
suggested that the high cellular content of primary pulp tissue may be responsible for the
failure of direct pulp capping in primary teeth. Undifferentiated mesenchymal cells may
differentiate into osteoclastic cells in response to either the caries or direct pulp capping
which leads to internal resorption. It is also suggested that exposures on axial walls have a
poor prognosis as the pulp coronal to the exposure may be deprived of its blood supply and
undergo necrosis.
37.During transition from primary to permanent dentition the additional space to align
incisors,after the period of mild normal crowding , is derived from 3 sources:
c.A distal shift of permanent canines when primary molars are exfoliated.
In following mixed dentition analysis dista surface of both 2nd molar of primary teeth shows?
a.Edge to edge
b.Mesial step
c.Distal step
d.Class I malocclusion
Occlusal relationships in the mixed dentition parallel those in the permanent dentition, but the
descriptive terms are somewhat different. A normal relationship of the primary molar teeth is
the flush terminal plane relationship illustrated in Fig. 3-45. The primary dentition equivalent
of Angle's Class II is the distal step. A mesial step relationship correspond's to Angle's Class I.
An equivalent of Class III is almost never seen in the primary dentition because of the normal
pattern of craniofacial growth in which the mandible lags behind the maxilla.
At the time the primary second molars are lost, both the maxillary and mandibular molars
tend to shift mesially into the leeway space, but the mandibular molar normally moves
mesially more than its maxillary counterpart. This differential movement contributes to the
normal transition from a flush terminal plane relationship in the mixed dentition to a Class I
relationship in the permanent dentition.
Differential growth of the mandible relative to the maxilla is also an important contributor to
the molar transition. As we have discussed, a characteristic of the growth pattern at this age is
more growth of the mandible than the maxilla, so that a relatively deficient mandible
gradually catches up. Conceptually, one can imagine that the upper and lower teeth are
mounted on moving platforms, and that the platform on which the lower teeth are mounted
moves a bit faster than the upper platform. This differential growth of the jaws carries the
mandible slightly forward relative to the maxilla during the mixed dentition.
If a child has a flush terminal plane molar relationship early in the mixed dentition, about 3.5
mm of movement of the lower molar forward relative to the upper molar is required for a
smooth transition to a Class I molar relationship in the permanent dentition. About half of this
distance must be supplied by differential growth of the lower jaw, carrying the lower molar
with it. The other half can be obtained from the leeway space, which allows greater mesial
movement of the mandibular than the maxillary molar.
The possibilities for the transition in molar relationship from the mixed to the early
permanent dentition are summarized in Fig. 3-45. Note that the transition is usually
accompanied by a one-half cusp (3 to 4 mm) relative forward movement of the lower molar,
accomplished by a combination of differential growth and tooth movement. A child's initial
distal step relationship may change during the transition to an end-to-end (one-half cusp
Class II) relationship in the permanent dentition, but is not likely to be corrected all the way
to a Class I. It is also possible that the pattern of growth will not lead to greater prominence
of the mandible, in which case the molar relationship in the permanent dentition probably
will remain a full cusp Class II.
Finally, a child who has experienced early mandibular growth may have a mesial step
relationship in the primary molars, producing a Class I molar relationship at an early age. It is
quite possible for this mesial step relationship to progress to a half-cusp Class III during the
molar transition with continued mandibular growth. On the other hand, if differential
mandibular growth no longer occurs, the mesial step relationship at an early age may simply
become a Class I relationship later.
For any given child, the odds are that the normal growth pattern will prevail, and that there
will be a one-half cusp transition in the molar relationship at the time the second primary
molars are lost. It must be understood that although this is the most likely outcome, it is by no
means the only one. The possibility that a distal step will become Class II malocclusion or
that a flush terminal plane will become end-to-end is very real. Class III malocclusion is
much less common than Class II, but a child who has a mesial step relationship at an early
age is also at some risk of developing Class III malocclusion as time passes.
ORAL SURGERY
38.In 1st picture is shown and in 2nd picture post-operative radiograph is shown what is
procedure known as?
1st
2nd
a.Genioplasty
c.BSSO
d.Chin Reduction
Ans: a.Genioplasty
Refer: Vinod Kapoor 2nd ed 542
The specific medical terms mentoplasty and genioplasty are used to refer to the reduction
and addition of material to a patient's chin. This can take the form of chin height reduction or
chin rounding by osteotomy, or chin augmentation using implants.
c.Maxillary canine
Refer: Contemporary Oral and Maxillofacial Surgery - Page 147, Larry J. Peterson,4th e
During tooth extraction rotation movement used for Maxillary central incisor.Rotation is used
for extraction of tooth with conical roots.Technique of using a luxator, then apical pressure,
and then rotation can be used on all maxillary teeth from the central incisor to the second
bicuspid.
40.Ideal method of intubation in a patient with bilateral TMJ ankylosis and retruted mandible
is?
a.Direct larygoscopy
b.Conventional laryngoscopy
c.Tracheostomy
d.Video laryngoscopy
Ideal method of intubation in a patient with bilateral TMJ ankylosis and retruted mandible is
Video laryngoscopy.
a.Bacteria
b.Virus
c.Spore Former
d.Fungus
Ans: a.Bacteria
Refer: Contemporary Oral and Maxillofacial Surgery Page 67, Larry J. Peterson,4th e
Transmissible agents (such as spores, bacteria and viruses) can be eliminated through
sterilisation. This is different from disinfection, where only organisms that can cause disease
are removed. The efficacy of sterilization was evaluated by comparison of bacterial growth
obtained in monitoring by biological indicators and swab test method
a.CT Scan
b.Bone scan
c.COGS
d.Grummons analysis
a.Osteoma
b.Odontoma
c.Ameloblastoma/Dentigerous cyst
d.Fibrous Dysplasia
Ans: a.Osteoma
Refer: Textbook of Oral and Maxillofacial Surgery - Page 559, By Neelima Anil Malik,3rd
e
Osteomas of the facial bones are a rare entity and very few cases have been reported in the
literature. Osteomas are benign neoplasms, often asymptomatic and consist of well-
differentiated matured bone. There are three varieties of osteomas- the central type arising
from the endosteum, the peripheral type arising from the periosteum, and the extra-skeletal
soft tissue osteomas which usually develops within the muscle.
a.Production of factor 2
b.Production of factor 7
a.Lefort I
b.Lefort II
c. Lefort III
d.Zygomatic fractures
Ans: a.Lefort I
Refer: Contemporary Oral and Maxillofacial Surgery Page 480, Larry J. Peterson,4th e
Circumzygomatic suspension is done for Lefort I. Midfacial ( Le Fort) fractures are types of
facial fractures involving the maxillary bone and surrounding structures in a usually bilateral
and pyramidal. Disimpaction of the midface segments was performed manually with Rowe
disimpaction forceps and circumzygomatic wire suspension technique was used as method
of treatment.
b.Coronal approach
c.Seagull incision
d.H incision
Refer: Contemporary Oral and Maxillofacial Surgery Page 838, Larry J. Peterson,4th e
Coronal approach is the best approach to Nao-orbital-ethmoidal fracture. The bony naso-
orbital-ethmoid (NOE) complex is a 3-dimensional delicate anatomic structure. Damages to
this region may result in severe facial dysfunction and malformation. The management and
optimal surgical treatment strategies of NOE fractures remain controversial. For a patient
with NOE trauma, doctors should perform comprehensive clinical examination and
radiographic analysis to assess the type and extent of fracture.
a.Mandibular molar
Refer: Oral and Maxillofacial Surgery - Page 511, Lars Andersson, Karl-Erik Kahnberg,
M. Anthony Pogrel,1st e
Submasseteric abscesses are relatively rare, and may be confused with a parotid abscess
or parotitis. They tend to be chronic. The submasseteric space may be involved by infections
that spread from the buccal space. Sometimes mandibular fractures in the region of the
angle of the mandible may cause an infection of the submasseteric space. The signs and
symptoms of a submasseteric abscess may include marked trismus (i.e. difficulty opening
the mouth, since the masseter elevates the mandible and it becomes restricted) and swelling
in the region of the masseter muscle. The treatment of a submasseteric space infection is
usually by surgical incision and drainage, and the incision is placed intra-orally (inside the
mouth) or both intra and extra-orally if other parts of the masticator space are involved.The
submasseteric space is sometimes involved by the spread of odontogenic infections, such
as a pericoronal abscess associated with an impacted mandibular third molar (lower wisdom
tooth) when the apices of the tooth lie very close to or within the space
48.Which type of endotracheal tube (ETT) is preferred for submental approach in complex
NOE and zygomatic fracture?
a.Metallic ETT
c.PVC ETT
Refer: Oral and Maxillofacial Surgery - Page 871, Lars Andersson, Karl-Erik Kahnberg,
M. Anthony Pogrel,1st e
Flexible silicone ETT is preferred for submental approach in complex NOE and zygomatic
fracture. The submental approach for intubation allows an unhindered reduction and fixation
of the complex maxillofacial fractures in which simultaneous access to nasal pyramid
fractures is required and thereby avoiding the need for tracheostomy. Flexometallic ETT is
preferred since it is reinforced with a metallic spring material which has a shape memory and
thus the tube is flexible, kink-resistant and retains patency despite the acute angle of the
airway, particularly at the submental route. Initially standard orotracheal intubation was
carried out and ETT is connected to the breathing circuit. The orotracheal intubation is then
transformed into the submental intubation using the following surgical technique. A standard
extubation procedure was carried out after completion of the anticipated procedure.
a.Nasal intubation
b.Oral intubation
c.Submental intubation
d.Retromolar intubation
Refer: Atlas of Oral and Maxillofacial Surgery - Page 1453, Deepak Kademani, Paul
Tiwana,1st e
Submental intubation technique consists of passing the tube through the anterior floor of
mouth, allowing free intraoperative access to oral cavity and nasal pyramid without
endangering patients with skull base trauma. Oral intubation,Submental intubation and
Retromolar intubation are all used for basal skull fracture.
b.Fossa of tonsil
Refer: Stell & Maran's Textbook of Head and Neck Surgery and Oncology, Fifth
Edition,page no 222
The branchial fistula arising from each arch can be identified from the position of the internal
and external openings. Branchial fistulae are formed due to the abnormal persistence of the
embryonic second branchial cleft. Branchial fistulae arising from second and third arches are
common than from first and fourth arches. The tract in second arch fistula extends deep to
the platysma, along the carotid sheath, passing between the bifurcation of the carotid
arteries after crossing over the hypoglossal and glossopharyngeal nerves and passes below
the stylohyoid ligament. It opens internally in the lateral wall of the pharynx region of the
tonsillar fossa.
51.A young girl came to the hospital with severe swelling and redness on affected areas .On
intra oral examination ,24 was severely infected with signs of acute alveolar abscess
.Cellulitis occurs in this patient most probably due to which space infection?
a.Canine space
b.Buccal space
Refer: Oral and Maxillofacial Surgery - Page 506, Lars Andersson, Karl-Erik Kahnberg,
M. Anthony Pogrel
The buccal space (also termed the buccinator space) is a fascial space of the head and
neck (sometimes also termed fascial spaces or tissue spaces). It is a potential space in the
cheek, and is paired on each side. The buccal space is superficial to the buccinator muscle
and deep to the platysma muscle and the skin. The buccal space is part of the subcutaneous
space, which is continuous from head to toe.
the zygomatic process of the maxilla and the zygomaticus muscles superiorly,
the depressor anguli oris muscle and the attachment of the deep fascia to the
mandible inferiorly,
the buccinator muscle medially (the buccal space is superficial to the buccinator),[1]
the platysma muscle, subcutaneous tissue and skin laterally (the space is deep to
platysma),[1]
Communications
to the pterygomandibular space, infratemporal space, submasseteric space or even
to the lateral pharyngeal space posteriorly,
to the infraorbital (canine) space superiorly,
52.Quantitative radiographic bone density is achieved in socket after how many months of
tooth extraction?
a.1 month
b.2 month
c.6 month
d.12 month
Refer: Contemporary Oral and Maxillofacial Surgery Page 198, Larry J. Peterson,4th e
c.Removed in 10 days
d.Removed in 3 days
Refer: Contemporary Oral and Maxillofacial Surgery Page 425, Larry J. Peterson,4th e
Sutures taken for closing oral-antral fistula should be removed after 10 days. At 10 days from
surgery the suture was removed and the mucosa appeared healthy.
54.A patient having painless hard swelling over the left ramus area (CT given)is most
probably ?
b.Osteoma
c.Odontoma
d.Osteochondroma
Ans: b.Osteoma
a.Lefort1,2,3
b.Guerin fracture
c.Suprazygomatic fracture
d.Pyramidal fracture
Lefort I - Slight swelling of the upper lip, ecchymosis is present in the buccal sulcus
beneath each zygomatic arch, malocclusion, mobility of teeth. Impacted type of
fractures may be almost immobile and it is only by grasping the maxillary teeth and
applying a little firm pressure that a characteristic grate can be felt which is diagnostic
of the fracture. Percussion of upper teeth results in cracked pot sound. Gurin's sign
is present characterised by ecchymosis in the region of greater palatine vessels.
56.Evaluate the following OPG carefully.waht is the treatment should be given in this case?
a.At CEJ
b.Coronal to CEJ
Refer: Contemporary Oral and Maxillofacial Surgery Page 126, Larry J. Peterson,4th e
c.Ramus fracture
Refer: Contemporary Oral and Maxillofacial Surgery Page 410, Larry J. Peterson,4th e
Non displaced condylar fracture:a linear fracture with the proximal fragment retaining its
usual anatomic relationship with the distal fragment.
59.What is the treatment of choice for a communited symphyseal fracture with undisplaced
left condylar fracture?
Refer: Atlas of Operative Maxillofacial Trauma Surgery: Primary Repair of Facial and
orofacial complex,1st e
edited by Michael Perry, Simon Holmes,page no 124,1st e
Communited Fracture if not managed by closed reduction , needed a strong load bearing
fixation .Miniplate usually cannot hold the segments together.Dynamic compression plate is
too bulky for the symphyseal region.A recon plate can fix.
60.A patient who undergone TMJ surgery,all of the following can be administered to control
bradycardia except?
a.Atropine
b.Adrenaline
c.Glycopyyrolate
d.Phenylephrine
Ans: d.Phenylephrine
a.Atropine
b.Adrenaline
c.Glycopyyrolate
c.Extrinsic only
d.Intrinsic only
In PN/INR test , we assess the defect in Extrinsic pathway only. The prothrombin time
(PT) along with its derived measures of prothrombin ratio (PR) and international
normalized ratio (INR) are assays evaluating the extrinsic pathway of coagulation. This
test is also called "ProTime INR" and "PT/INR". They are used to determine the clotting
tendency of blood, in the measure of warfarin dosage, liver damage, and vitamin K status.
PT measures factors I (fibrinogen), II (prothrombin), V, VII, and X. It is used in conjunction
with the activated partial thromboplastin time (aPTT) which measures the intrinsic pathway
and common pathway.
c.Essing wiring
d.IMF
Refer: Textbook of Oral and Maxillofacial Surgery - Page 331, Neelima Anil Malik,
Malik,3rd e
GILMERS WIRING It is used for IMF.Most common and simple method.Few firm teeth
in the mandible as well as in maxilla are chosen.At least one firm teeth must be
chosen anterior and posterior to thefracture line.A pre stretched 20 cm long 26
guage wire is taken and passed aroundthe neck of the chosen tooth.Both the ends
of the wire are brought out on the buccal side andtwisted.
b.Marfans syndrome
c.Tardive dyskinesia
d.Phenothiazine therapy
Refer: Oral and Maxillofacial Surgery - Page 1236, edited by Lars Andersson, Karl-Erik
Kahnberg, M. Anthony Pogrel/1st e
Tardive dyskinesia
Phenothiazine therapy
Anterior dislocation of the disk would reduce mobility of the condyle within TMJ joint.
Refer: Clinical Review of Oral and Maxillofacial Surgery - Page 315, Shahrokh C.
Bagheri, Chris Jo,2nd e
This picture show bilateral mandibular distractors placed in the mandible .In child ,distraction
is done to correct obstructive sleep apnoea.
d.Malpositioned plates
Refer: Oral and Maxillofacial Surgery - Page 1247 , edited by Lars Andersson, Karl-
Erik Kahnberg, M. Anthony Pogrel/1st e
66.A 10 year old child came to your clinic with a complain of constricted maxilla and absent
left maxillary canine.Patient gives a history of repair of cleft lip when he was 3 months old
and cleft palate repair when he was 1 year old.Presently cleft of alveolus is present at left
maxillary canine area preventing eruption of canine,What will be the most appropriate
treatment for this condition?
b.Extraction of canine
c.Expansion of arch first, then bone grafting with surgical exposing the canine
Ans: c.Expansion of arch first, then bone grafting with surgical exposing the canine
Refer: Contemporary Oral and Maxillofacial Surgery Page 638, Larry J. Peterson,4 th
e
Alveolar bone grafting is an important part of the reconstructive journey for many cleft lip and
palate patients. The reconstruction of the alveolar cleft can provide both aesthetic and
functional benefits to the patient. To be able to effectively treat alveolar clefts, it is essential
to possess an understanding of several aspects of the problem. The initial operation is
performed at the age of three to four weeks without special prior treatment. The nasal floor
of the hard palate, in one layer, is closed with a vomerine mucosal flap and anterior to the
alveolar process by direct adaptation of the labial soft tissues in two layers. The vomerine
flap, which on the oral side is first covered with granulation tissue, has after some few weeks
a stable covering of secondary epithelium. At this junction, the orthopaedic correction of the
jaw is started and continued up to the age of six months. Special expansion plates are used,
fixed to a head cap by means of extra-oral shafts. At the second operation, the components
of the upper jaw should be ideally positioned in relation to each other and in correct
occlusion. Careful repair of the lip is now combined with transplantation of autografts, chips
and marrow, in the cleft in the hard palate and alveolar process. The donor site is tibia..A
continuous orthodontic control is subsequently kept until the permanent bite is fully
developed. At the third operation, which is usually performed at one year, the posterior
palate is closed.
67.What is best indicated to treat 1.5 x3x 3cm size ameloblastic lesion in a body of mandible
in otherwise healthy young male adult patient?
Ans: b.Surgical resection of lesion with including 2mm normal bony margin
Refer : Contemporary Oral and Maxillofacial Surgery Page 585, Larry J. Peterson,4 th
e
Surgical resection of lesion with including 2mm normal bony margin is indicated to treat 1.5
x3x 3cm size ameloblastic lesion in a body of mandible in otherwise healthy young male
adult patient.
a.Right side
b.left side
c.Both
d.None
Most prominent feature is unilateral TMJ ankylosis is flattening of face on the opposite side
and fullness of the face on the affected side.
PROSTHODONTICS
69.If an inlay wax is stored in a fridge,before investment procedure the wax pattern should
be?
Expansion and shrinkage of inlay casting wax is very sensitive to temperature normally ,soft
wax shrinks more than hard wax .High shrinking wax cause significant pattern distortion
when it solidifies .
70. Which of the following treatment approaches should be considered for a severely
extruded abutment tooth the loss of which would create a distal extension area?
a.Occlusal recontouring
c.Cast restoration
71.Inherent bone remodelling around implant surface with in 1 year of implant placement ?
a.1-1.5mm
b.1.5-2mm
c. 2-3mm
d. 3-3.65mm
Ans: a.1-1.5mm
Inherent bone remodelling around implant surface with in 1 year of implant placement 1-
1.5mm.The dimension of the peri-implant mucosa has been demonstrated to resemble that
of the gingiva at teeth and included a 2-mm-long epithelial portion and a connective tissue
portion about 11.5 mm long. The entire contact length between the implant and the
epithelial and the connective tissue portions is defined as the biological width.
72.While delivering a maxillary and mandibular partial denture a dentist noticed a gap
between teeth.What will be the most valid justification of this error?
While delivering a maxillary and mandibular partial denture a dentist noticed a gap between
teeth is due to defective bite registration.
73.If more than one pattern has to be invested in a single casting ring then what should be
the minimum distance between two pattern?
a.3mm
b.4mm
c.2mm
d.5mm
Ans: a.3mm
If more than one pattern has to be invested in a single casting ring then the minimum
distance between two pattern is 3mm.If a several patterns are invested in the same ,they
should not be place too close together.
This can be used when single or multiple teeth are prepared. It involves 2 cards, one placed
above the other. A thin 00 retraction cord is first packed to control the gingival seepage and
hemorrhage. The second large cord is impregnated with a hemostatic agent and placed
above the first cord for a minimum of 4 minutes and removed before the impression is made.
The advantage of this technique is that the first cord remains in place within the sulcus and
thus reduces the tendency of the gingival cuff to recoil and displace the impression material.
This approach not only helps control gingival hemorrhage and exudates but also prevents
the tearing of the sulcus impression because of inadequate bulk. Another advantage is that
the first cord protects the tearing of the gingival epithelium.
a.3-3.5mm
b. 3-3.65mm
c. 4-4.5mm
d. 4-5mm
Ans: b. 3-3.65mm
76.Biggest disadvantage of using two step impression technique in final impression is:
a.In ability to correctly reposition and seating the tray in the same position
Ans: a.In ability to correctly reposition and seating the tray in the same position
a.Contact of the tongue with hard palate and lingual surface of incisors
Ans: a.Contact of the tongue with hard palate and lingual surface of incisors
Refer: Removable Partial Dentures: A Clinician's Guide - Page 115, John D. Jones, Lily
T. Garcia,1st e
LINGUOALVEOLAR SOUNDS Formed with the valve formed by contact of the tip of the
tongue with the most anterior part of the palate (the alveolus) or the lingual sides of the
anterior teeth. T, D, S, Z, V & 1 are representative of the linguoalveolar group of sounds .
Normal t and d sound is created by Contact of the tongue with hard palate and lingual
surface of incisors
LINGUOALVEOLAR SOUNDS Sibilants (sharp sounds) s, z, sh, ch & j (with ch & j being
affricatives) are alveolar sounds, because the tongue and alveolus forms the controlling
valve. Important observations when these sounds are produced are the relationship of the
anterior teeth to each other.
78.A patient who recently got a complete denture complains falling of upper denture
.Specially during smiling & chatting with his friends and family.What will be the most common
problem associated with complete denture?
c.Overextended PPS
Too thick buccal flange posterior to buccal notch area causes falling of denture.
79.In the following picture two metallic objects in the mandibular anterior ridge represent?
a.Implant abutment
80.Inflammation around overdenture abutments may be due to all of the following reasons
except?
Ans: a.Space around the gingival margin of abutment and denture restoration
Refer: Textbook of Complete Dentures - Page 270, Arthur O. Rahn, John R. Ivanhoe,
Kevin D. Plummer,6th e
81.A patient of partially edentulous in posterior mandibular area but maxillary teeth in
opposing arch are so severly extruded that barely 2mm space available for mandibular
teeth.What is your choice of restoration ?
Cast partial denture is partially edentulous in posterior mandibular area but maxillary teeth
in opposing arch are so severly extruded that barely 2mm space available for mandibular
teeth.if the no space is available or minimum space is present as in above case ,selected
abutment teeth can be modified to accommodate appropriate clasp assemblies,or
intracoronal retainers can be used.
82.Which of the following is not an advantage of acrylic denture base in cast partial denture?
The acrylic denture base prostheses have their own advantages and disadvantages. Some
problems with these prostheses are difficult to address, such as insertion in undercut areas,
brittleness of methyl methacrylate which leads to fracture, and allergy to methyl methacrylate
monomer.
83.Which type of teeth are used in cast partial denture in severly reduced posterior inter arch
space?
a.Tube teeth
b.Metal pontic
c.Acrylic/plastic teeth
d.Poreclain teeth
Refer: Planning and Making Crowns and Bridges - Page 215, Bernard G. N. Smith,
Leslie C. Howe,1st e
Metal pontic are used in cast partial denture in severly reduced posterior inter arch space.
The pontic may be fabricated from casting metal or combination of metal and porcelain or
acrylic facing. Usually the full metal pontic is used for the posterior region while the
combination of metal and facing (porcelain or acrylic) is used in anterior region for esthetic
reason. The glazed porcelain is more preferable than acrylic in pontic fabrication because
acrylic is porous in nature and difficult in obtaining highly polished surface which leads to
plaque accumulation and cause gingival Inflammation
Class VI is an edentulous situation in which the teeth adjacent to the space are capable of
total support of the required prosthesis; it would occur most frequently in a young adult for
whom a fixed partial denture is indicated but possible damage to the dental pulp might occur
if crown preparation were attempted. Most of other RPD are tooth tissue supported
including Kennedy class IV if having long edentulous area crossing midline and need a
stress breaker to equalize the force created on it.
85.In case of xerostomia which of the final impression material is not used?
a) Alginate
b) Zinc oxide eugenol
c) Agar
d) Polyether
In case of xerostomia final impression material is not used is Zinc oxide eugenol. Zinc
oxide eugenol is also used as an impression material during construction of complete
dentures and is used in the mucostatic technique of taking impressions, usually in a special
tray, (acrylic) produced after primary alginate impressions. However, ZOE is not usually used
if the patient has large undercuts or tuberosities, whereby silicone impression materials
would be better suited.
86. A patient with complete denture complaints that when he move tongue or lift the tongue,it
leads to lifting of denture.This is most probably due to action on which muscle ?
a.Mylohyoid
b.Superior constrictor
c.Palatoglossus
d.Buccinator
Ans: c.Palatoglossus
Refer:Fenn 2nd e/pg 112
A patient with complete denture complaints that when he move tongue or lift the tongue,it
leads to lifting of denture.This is most probably due to action on which Palatoglossus
muscle.
87. Immediate displacement of lower denture when patient is asked to protrude his tongue
due to?
a.Overextended anterior lingual flange
b.Cramping of tongue
c.Overextended distolingual flange
d.Poor peripheral in retromolar area
Ans: b.Cramping of tongue
88.A patient was diagnosed with hypocalcifiacation type of amelogenesis imperfect comes to
your dental clinic for esthetic correction of her teeth your treatment of choice is?
d.All ceramic crowns in all anterior teeth only and posterior soft splint to protect the tooth.
The best treatment of present condition can be corrected with fixed treatment only additional
calcium supplement or occlusal splint cannot help in patient condition.Best approach must
be anterior all ceramic crowns and posterior metal crowns with ceramic facing.
The superior pharyngeal constrictor muscle is a muscle in the pharynx. It is the highest
located muscle of the three pharyngeal constrictors. The muscle is a quadrilateral muscle,
thinner and paler than the inferior pharyngeal constrictor muscle and middle pharyngeal
constrictor muscle. It is a part of primary muscle of pharynx which help in swallowing.
The superior pharyngeal constrictor muscle is one of the pharyngeal constrictor muscles.
Its primary action is constriction of the pharynx (in coordination with the middle pharyngeal
constrictor and the inferior pharyngeal constrictor muscles) to deliver a bolus of food into the
oesophagus.
d..Flexible resin
Poly methy (soft liner) cannot be used as denture base material among all options.
a.Medial pterygoid
b.superior constrictor
c.palatoglossal
d.Mylohyoid
Ans: d.Mylohyoid
1) Labial flange is molded by lifting the lower lip outward, upward and inward.
2) The region of the buccal frenum, the cheek is lifted outward, upward, inward, backward
and forward to stimulate movement of frenum.
3) Posteriorly the cheeks are pulled buccaly to ensure that the cheek is not trapped under
the tray and then the cheek is moved upward and inwards.
4) Anterior lingual flange is molded by asking the patient to protrude the tongue and to push
the front part of the palate.
5) Protruding the tongue determines the length of the lingual flange of the tray in this region.
6) Protruding the tongue activates the mylohyoid muscle, which raises the floor of the mouth.
This helps the dentist to determine the length and scope of lingual flange in molar region.
7) If the border molding builds up on the inside of the tray, it must be removed otherwise it
may interfere with the action of mylohyoid muscle.
8) Distal end of lingual flange is molded by asking the patient to protrude the tongue. This
action activated superior constictor muscle which supports the retromylohyoid curtain.
9) The patient is then asked to close as dentist applies downward force on the impression
tray. This records the contraction of medial pterygoid muscle on retromolar curtain.
10) Finally the patient is asked to open wide. If the tray is too long a notch is formed at the
posteromedial border of retromolar pad, indicating encroachment of tray on
pterygomandibular raphe and is adjusted accordingly.
11) Final border molded tray should be so formed that it supports the cheeks and lip in the
same manner as the finished denture will do.
12) The lingual surface of the tray should be shaped so that it guided the tongue in the same
position it will occupy in the final denture.
a.Prevent movement of denture base away from basal seat when imaginary fulcrum line
established by occlusal rests.
b.Prevent movement away from basal seat when imaginary fulcrum line passes through last
distal abutment
c. Prevent movement away from basal seat by rotation around the vertical axis.
d. Prevent movement away from basal seat by rotation around the horizontal plane axis.
Ans: a.Prevent movement of denture base away from basal seat when imaginary fulcrum
line established by occlusal rests.
When the distal extension denture base is dislodged from its basal seat, it tends to rotate
around the fulcrum lines. Theoretically, this movement away from the tissues can be resisted
by activation of the direct retainer, the stabilizing components of the clasp assembly, and the
rigid components of the partial denture framework, which are located on definite rests on the
opposite side of the fulcrum line away from the distal extension base. These components are
referred to as indirect retainers (Indirect retainer components should be placed as far as
possible from the distal extension base, which provides the best leverage advantage against
dislodgment
93.A patient with recent complete denture,has clicking sound whenever teeth come together
as well as pain in TMJ area .What will be the most common error?
INCREASE IN VDO / DECREASE IN IOD The chin-nose distance will increase, and
thenpatients will have an appearance of openmouth. Constant pressure to the basal seat
area whichwill lead to bone resorption. Soreness of the tissues of the basal seat. Clicking,
of dentures during speech. Improper phonetics
DECREASE IN VDO / INCREASE IN IOD Potentially damaging to the TMJ. The normal
tongue space is limited. Facialdistortion appears more noticeable with overclosure that with
the slightly opened closurebecause with over closure the chin appears to becloser to the
nose, the commissure of the lips turnsdown and the lips lose their fullness. The muscles of
facial expression lose their tonicityand the face appears flabby instead of firm and full. Over
closure of jaws may lead to angular chelitis
94.All are the advantages of using addition silicon as permanent soft liner material except?
Long-term soft denture lining (LTSDL) materials are used to alleviate the trauma associated
with wearing complete dentures. Despite their established clinical efficacy, the use of
LTSDLs has been limited due to the unfavorable effects of the oral environment on some of
their mechanical and performance characteristics. The unresolved issue of LTSDL
colonization by Candida albicans is particularly problematic. Silicone-based LTSDL
(SLTSDL) materials, which are characterized by more stable hardness, sorption and
solubility than acrylic-based LTSDLs (ALTSDLs), are currently the most commonly used
LTSDLs. However, SLTSDLs are more prone to debonding from the denture base. Moreover,
due to their limitations, the available methods for determining bond strength do not fully
reflect the actual stability of these materials under clinical conditions. SLTSDL materials
exhibit favorable viscoelastic properties compared with ALTSDLs. Furthermore, all of the
lining materials exhibit an aging solution-specific tendency toward discoloration, and the
available cleansers are not fully effective and can alter the mechanical properties of LTSDLs.
Long-term soft denture lining (LTSDL) materials constitute a group of polymer materials that
can remain in the oral cavity for at least four weeks; in practice, however, their use can
extend to several months or even years. The use of LTSDLs is mostly recommended in
edentulous patients with sharp or atrophied alveolar ridges, in patients with thin atrophic
mucosa, in patients in whom the mucosa presents insufficient tolerance to the load
transmitted by the dentures or who experience pain at nerve ending locations, in cases of
the formation of recurrent sore spots under the dentures, in cases in which the denture
exhibits poor retention, as well as for relining in implantology and to perform postoperative
obturation . The application of a soft material is intended to increase the comfort of denture
wearers and to support prosthetic treatment. LTSDLs can help to evenly distribute the biting
loads transferred onto the soft tissues during chewing and to relieve the mucosa from high
mechanical stress. Note that LTSDLs cannot, as has sometimes been suggested, reduce the
forces transmitted by the denture-bearing area, as clearly explained by Braden et al.].
Commercially available dental materials include silicone-based long-term soft denture linings
(SLTSDLs), acrylic-based long-term soft denture linings (ALTSDLs) and, sporadically,
materials based on other polymers. Currently, polymethacrylate materials are used less
frequently and are available as two-component powder-liquid systems. SLTSDLs are
available as one-component materials that cross-link at high temperatures and as two-paste
A-type silicone systems that cross-link at room temperature . Light-cured urethane acrylate
and a polyphosphazene elastomer compounded with methacrylate monomers are other
examples of materials used as LTSDLs
95.If apical 3mm root is resected, then it leads to loss of how many percentage of accessory
canals?
a.86%
b.93%
c.96%
d.98%
Ans: b.93%
Resection of the apical 3mm of the root apex will eliminate 98% of the apical ramifications
and 93% of the lateral canals which could contain that would contribute to the perradicular
disease.
97.A traumatized tooth which is currently sensitive to electric pulp test mostly become
insensitive to these tests how much time in ?
a.2 weeks
b.3 months
c.6 months
d.2 months
3 months is needed for a traumatized tooth to become insensitive to electric pulp test.These
test should be repeated at 3 weeks, at 3,6 and 12 months and at yearly intervals following
the trauma.
The assessment of pulp health based on its qualitative sensory response is commonly done:
(ii)as a follow-up and for monitoring the pulp after trauma to the teeth,
The most accurate way of evaluating the pulp status is by examination of histological
sections of the tissue specimen involved to assess the extent of inflammation or the
presence of necrosis as a means of gauging pulp health. Unfortunately in the clinical
scenario, these are both impractical and not feasible; hence clinicians must use
investigations such as pulp tests to provide additional diagnostic information.
98.In a tooth fracture at mid root level the coronal segment become necrosed and
apical,segment remains intact.What should be most appropriate treatment in this patient?
a.Endodontric treatment of both segment and splint with intra apical root
c.Endo treatment of coronal sement orthograde MTA filling and removal of apical segment
Endo treatment of coronal segment and retrograde MTA filling should be done in a tooth
fracture at mid root level the coronal segment become necrosed and apical,segment
remains intact.
If MTA is used, the root filling will be placed before healing is seen ,making follow up visits
essential in these cases.In rare cases, when both the coronal and apical pulp areas are
necrotic ,treatment is more complicated.
a.8x4
b.8x14
c.14x26
d.26x30
Ans: b.8x14
Apicoectomy in endodontics when done with microscopic surgery has magnification of 8x14
Refer: Cohen's Pathways of the Pulp Expert Consult - Page 232,cohen 10th e
Reciprocating rotating technique is used for Triangular blank with non end cutting tip
a.10 mm Hg
b.15 mm Hg
c.30 mm Hg
d.40 mm Hg
Ans: c.30 mm Hg
Pulpal pressure more than 30 mm Hg for more than 8 hours can cause irreversible pulpitis.
102.A traumatic tooth which is currently sensitive to electric pulp test mostly become
insensitive to these test how much time in?
a.3 months
b.6 months
c.2 months
d.4 months
Ans:a.3 months
A traumatic tooth which is currently sensitive to electric pulp test mostly become insensitive
to these test in 3 months.
A non-vital post-traumatized incisor has a better long-term prognosis if root canal therapy is
completed before the necrotic pulp gets infected.
The best outcome for the post-traumatizedimmature incisor is for it to revascularize and
continue normal root development, including increased root wall thickness, which is not
possible to assess with conventional electrical and thermal testing20.
Watching and hoping for revascularization using sensitivity testing may lead to infection in
the post-trauma observation period.
PERIODONTICS
a.1-3month
b.3-6month
c.6-12month
d.1-2year
Ans: c.6-12month
Merlin classification :
Class A :Excellent result with well maintained for 1 year
104.Etiology of gingival response due to increased progesterone and estrogen are all
except?
d.Decreased keratinisation
The main sex hormones exerting influence on the periodontium are estrogen and
progesterone. Estrogen and progesterone can significantly influence different organ systems
. For example, estrogens can influence the cytodifferentiation of statified squamous
epithelium, and the synthesis and maintenance of fibrous collagen . Additionally, estrogen
receptors in osteoblast-like cells provide a mechanism for direct action on bone while
estrogen receptors in periosteal fibroblasts and periodontal ligament fibroblasts provide a
mechanism for direct action on different periodontal tissues. Estrogen, progesterone and
chorionic gonadotropin, during pregnancy, affect the microcircularity system by producing
the following changes: swelling of endothelial cells and periocytes of the venules, adherence
of granulocytes and platelets to vessel walls, formation of microthrombi, disruption of the
perivascular mast cells, increased vascular permeability and vascular proliferation .
Consequently, systemic endocrine imbalances may have an important impact on periodontal
pathogenesis, and, vise versa, changes in periodontal conditions might be associated with
variations in sex hormone levels. This association is evident in the recent periodontal
disease classification which includes the following hormone related disease categories:
puberty-associated gingivitis, menstrual cycle-associated gingivitis and pregnancy-
associated gingivitis. Puberty gingivitis is characterized clinically by the onset of exuberant
inflammation of the marginal and, by direct extension, adjacent attached gingiva, especially
in the interdental papillae , with increased gingival bleeding during puberty . This gingival
enlargement, is found primarily on the facial surfaces, with the lingual surfaces remaining
relatively unaltered
a.Columbia #1R-2L
b.Young wood #7-8
Universal Curettes:
Universal curettes have cutting edges that may be inserted in most areas of the dentition by
altering and adapting the finger rest, fulcrum, and hand position of the operator. The blade
size and the angle and length of the shank may vary, but the face of the blade of every
universal curette is at a 90-degree angle (perpendicular) to the lower shank when seen in
cross-section from the tip. The blade of the universal curette is curved in one direction from
the head of the blade to the toe. The Barnhart curettes #1-2 and 5-6 and the Columbia
curettes #13-14, 2R-2L, and 4R-4L are examples of universal curettes. Other popular
universal curettes are the Younger-Good #7-8, McCalls #17-18, and the Indiana University
#17-18
a.IL1-f4
b.IL1-f6
c.IL-f8
d.IL-f10
Ans: a.IL1-f4
a.3 4 0.5mm
b. 4 5 0.25mm
c. 3 4 1mm
d. 5 4 0.35mm
Ans: d. 5 4 0.35mm
Refer: Periodontics: Medicine, Surgery, and Implants - Page 282,1st e , Louis F. Rose
a.Neutrophils
b.Plasma cells
c.Eosinophils
d.Lymphocytes
Plasma cells inflammatory cells are predominantly involved in chronic periodontitis. The
inflammatory cell infiltrate, which is predominantly plasma cells, extends deeper into the
connective tissue. This results in widespread manifestations of inflammation and
immunopathological tissue damage.
b.Bleeding on probing
c.HIV
d.Osteoporosis
Risk indicators :Tobacco smoking, Genetic factors HIV/AIDS, Previous history of periodontal
disease ,Diabetes, Age, Osteoporosis ,Bleeding on probing Pathogenic bacteria, Gender
Infrequent dental visits Microbial tooth deposit ,Socioeconomic status, Stress.
Tooth loss due to periodontal disease is associated with the risk indicators of age, male
gender, smoking, lack of professional maintenance, inadequate oral hygiene, diabetes
mellitus, hypertension, rheumatoid arthritis and anterior tooth type.
Dental plaque contains Bacteria and bacterial products. Dental plaque is the material that
adheres to the teeth and consists of bacterial cells (mainly S. mutans and S. sanguis),
salivary polymers and bacterial extracellular products. Plaque is a biofilm on the surfaces of
the teeth. This accumulation of microorganisms subject the teeth and gingival tissues to high
concentrations of bacterial metabolites which results in dental disease. If not taken care of,
via brushing or flossing, the plaque can turn into tartar (its hardened form) and lead to
gingivitis or periodontal disease.
The remarkable side-effect of minocycline on the oral cavity is the singular occurrence of
"black bones", "black or green roots" and blue-gray to gray hue darkening of the crowns of
permanent teeth. The prevalence of tetracycline and minocycline staining is 3-6%. The
mechanism of minocycline staining is still unknown.
112.All of the following can be included for active tissue engineering purpose in periodontal
procedure except?
a.BMP
b.Autologus fibroblast
All of the following can be included for active tissue engineering purpose in periodontal
procedure:
a.BMP
b.Autologus fibroblast
a.Strep mitis
b.strep intermedius
c.strep Gordonii
d.Strep. conestellatus
115.Bacterial level is reduced from blood ,after how much time of periodontal/dental
intervention?
a.10min
b.20min
c.30min
d.60min
Ans: c.30min
117. Gene responsible for negative regulation of BMP1 during demineralisation by:
A. Noggins
B. Amelogenin
C. EMD
D. Cbfa 1
Ans: A. Noggins
Refer:Lindhe 5th e /page no. 558
BMP4 is a member of the bone morphogenetic protein family which is part of the
transforming growth factor-beta superfamily. The superfamily includes large families of
growth and differentiation factors. BMP4 is highly conserved evolutionarily. BMP4 is found in
early embryonic development in the ventral marginal zone and in the eye, heart blood and
otic vesicle
BMP4 is a member of the bone morphogenetic protein family which is part of the
transforming growth factor-beta superfamily. The superfamily includes large families of
growth and differentiation factors. BMP4 is highly conserved evolutionarily. BMP4 is found in
early embryonic development in the ventral marginal zone and in the eye, heart blood and
otic vesicle. BMPs acting through an autocrine mechanism reduce the expression of
collagenase-3 and noggin, thereby inhibiting BMP binding and function and, result in
increased production of collagenase-3 . Although BMPs exert their action on both
osteoblasts and chondroblasts, they do not change the fate of the respective progenitors .
Early exposure of undifferentiated mesenchymal cells to BMPs induces the chondroblastic
pathway, whereas later exposure accelerates osteoblastic differentiation . BMPs can
stimulate osteoblast differentiation independently of cartilage formation.
Zone 1: The Soft Tissue Wall of the morphologic features, thickness, and topography of the
soft tissue pocket wall and persistence of inflammatory changes in it should be determined.
Zone 2: The Tooth Surface of the presence of deposits and alterations on the cemen-turn
surface and the accessibility of the root surface to instrumentation should be identified.
Phase I therapy should have solved many, il not all. of the problems on the tooth surface. I
valuation of the results of Phase I therapy should determine the need for further therapy and
the method to be used.
The shape and height of the alveolar bone next to the pocket wall should be established by
careful probing and clinicoradiographic examination, craters, horizontal or angular bone
losses, and other bone deformities are important criteria lor the selection of the treatment
technique.
A risk factor can be defined as an occurrence or characteristic that has been associated with
the increased rate of a subsequently occurring disease. It is important to make the distinction
that risk factors are associated with a disease but do not necessarily cause the disease. Risk
factors may be modifiable or non-modifiable. Modifiable risk factors are usually
environmental or behavioral in nature whereas non-modifiable risk factors are usually
intrinsic to the individual and therefore not easily changed. Non-modifiable risk factors are
also known as determinants. Smoking is the best established of the modifiable risk factors
for developing periodontal disease. In addition to smoking, evidence exists which suggests a
relationship between periodontal status and nutrition, alcohol consumption, socioeconomic
status and stress levels, although these relationships have not been clearly established.
Bleeding on probing,HIV and Osteoporosis are also included in risk factors for periodontitis.
ORAL PATHOLOGY
a.Plexiform
b.granulomatous
c.acanthomatous
d. follicular
Ans: d. Follicular
a.Follicular
b.Plexiform
c.Acanthomatous
d.Granular cell
Histological variant of ameloblastoma which has high recurrence rate Granular cell.
122. This cyst is now considered as the posterior extension of incisive canal cyst
a. Median palatal cyst
b. Nasolabial cyst
c. Globulomaxillary cyst
d. Median alveolar cyst
Ans: a. Median palatal cyst
Median palatine cysts are rare, nonodontogenic lesion of the hard palate that do not involve
the palatine papilla or incisive canal and that usually present as asymptomatic, fluctuant
swellings. They may involve the floor the nasal cavity but are treated by simple enucleation,
without recurrence. They are composed histologically of a fibrous collagenous tissue wall,
with infiltration of chronic inflammatory cells, and lined by stratified squamous and/or
respiratory epithelium. They are differentiated from the nasopalatine and other anterior
maxillary cysts by the following diagnostic criteria: Appears grossly to be symmetrical along
the midline of the hard palate. Located posterior to palatine papilla. Radiographically ovoid or
circular in appearance. Not intimately associated with a nonvital tooth or found to have any
communication with the incisive canal. Shows no histologic evidence of nerve trunks, large
vascular spaces, hyaline cartilage, or accessory salivary gland tissue in the cyst wall.
SCA is an autosomal recessive disease caused by a point mutation in the hemoglobin beta
gene (HBB) found on chromosome 11p15.5. Carrier frequency of HBB varies significantly
around the world, with high rates associated with zones of high malaria incidence, since
carriers are somewhat protected against malaria. About 8% of the African American
population are carriers. A mutation in HBB results in the production of a structurally abnormal
hemoglobin (Hb), called HbS. Hb is an oxygen carrying protein that gives red blood cells
(RBC) their characteristic color. Under certain conditions, like low oxygen levels or high
hemoglobin concentrations, in individuals who are homozygous for HbS, the abnormal HbS
clusters together, distorting the RBCs into sickled shapes. These deformed and rigid RBCs
become trapped within small blood vessels and block them, producing pain and eventually
damaging organs.
124. which of the following marker is present in parakeratined area but absent in
orthokeratinised area in oral mucosa
A K10
B K19
C K12
D K23
Ans: b.K19
K19 is an intermediate filament protein that has been investigated in oral squamous cell
carcinoma (OSCC), but that has not been correlated with the amount of keratin produced
within well-differentiated OSCC grade. When K19 is produced by suprabasal cells of the oral
mucosa, this indicates alteration in cell behavior and probable premalignant changes. K19 is
an intermediate protein normally present in glandular epithelium and in undifferentiated stem
cells as well as in the basal cell layer of oral mucosa.
126.A child has permanent anteriors small in size ,while all primary teeth were normal .This
is which type of hypodontia?
a.Generalized developmental hypoplasia
b.Hypocalcification
c.Focal developmental defects
d.Hypo maturation or hypoplasia
Ans: c.Cherubism
Refer: Oral Radiology: Principles and Interpretation - Page 419, Stuart C. White,
Michael J. Pharoah,6th e
Ans: b) Thyroglossal
Thyroglossal duct cysts (TGDC's) are the most common congenital neck cyst. They are
typically located in the midline and are the most common midline neck mass in young
patients. They can be diagnosed with multiple imaging modalities, including ultrasound, CT,
and MRI.
130.Giant cell tumor and giant cell granuloma can be diffferntiated by all except?
Common to all presence of few to many multinucleated giant cells in a background of ovoid
to spindle shaped shaped mesenchymal cells.The giant cells may be aggregated focally in
the lesional tissue or may be presently diffusely throughout the lesion.These cells vary
considerably in size and shape from case to case.
Some are small and irregular in shape and contain 20 or more nuclei.
131.In the given picture the horizontal linear destruction of enamel surface (DARK YELLOW
LINE )is mostly due to:
a.Hypophosphatemia
b.Fluorosis
c.Chicken pox
d.Pagets disease
Ans: b.Fluorosis
Refer: Textbook of Preventive and Community Dentistry - Page 216, S. S. Hiremath,2nd
e
Fluorosis is a cosmetic condition that affects the teeth. Its caused by overexposure to
fluoride during the first eight years of life. This is the time when most permanent teeth are
being formed.
After the teeth come in, the teeth of those affected by fluorosis may appear mildly discolored.
For instance, there may be lacy white markings that only dentists can detect. In more severe
cases, however, the teeth may have:
b.Sturge-weber syndrome
d.Chikwchik syndrome
a.Acetylcholine
b.Epinephrine
c.Nor epinephrine
d.Serotonin
Ans: a.Acetylcholine
a.Mucin cells
b.Plasmacytoid cells
c.Sebaceous cells
d.Glandular cells
The tumor cells that differentiate into myoepithelial cells (neoplastic myoepithelial cells) are
one of the unique pathological features of salivary gland tumors. Neoplastic myoepithelial
cells by themselves do not demonstrate glandular formation, but are located around the
ductal cells in the gland-forming tumors (Fig. 2CH). The cells show various morphologies,
such as epitheloid, spindle, plasmacytoid and clear cell features, and frequently produce a
mucinous or basement membrane-like extracellular matrix. Neoplastic myoepithelial cells
can sometimes be identified by HE staining, but an IHC analysis is often necessary for a
more accurate identification.
a.Chromosome 4
b.Chromosome 6
c. Chromosome 9
d. Chromosome 21
Ans: a.Chromosome 4
a.paget disease
b.Hyperparathyroidism
c.Hypoparathyroidism
Ans: b.Hyperparathyroidism
X-rays may also be used to diagnose the disease. Usually, these X-rays will show extremely
thin bones, which are often bowed or fractured. However, such symptoms are also
associated with other bone diseases, such as osteopenia or osteoporosis. Generally, the first
bones to show symptoms via X-ray are the fingers.Furthermore, brown tumors, especially
when manifested on facial bones, can be misdiagnosed as cancerous.Radiographs distinctly
show bone resorption and X-rays of the skull may depict an image often described as
"ground glass" or "salt and pepper"
a.Cretinism
b.Myxoedema
c.Acromegaly
d.Giagantism
Ans: a.Cretinism
a.A alpha
b.A Delta
c.C Fibres
d.A gamma
Group C nerve fibers are one of three classes of nerve fiber in the central nervous system
and peripheral nervous system. The C group fibers are unmyelinated and have a small
diameter and low conduction velocity. They include Postganglionic fibers in the autonomic
nervous system (ANS), and nerve fibers at the dorsal roots (IV fiber). These fibers carry
sensory information.
Damage or injury to nerve fibers causes neuropathic pain. Capsaicin activates C fibers
Vanilloid receptors, giving chili peppers a hot sensation.
139.An adolescent patient comes to clinic and complains of orange yellow discoloration of
permanent teeth ,having history of hospitalization for chronic disease when she was 4-5
years of age.it is due to which of the following condition?
a.Pellagra
b.Jaundice
c.Anemia
d.Leukemia
Ans: b.Jaundice
d.Fluorescence
The KOH Test for Candida albicans, also known as a potassium hydroxide preparation or
KOH prep, is a quick, inexpensive fungal test to differentiate dermatophytes and Candida
albicans symptoms from other skin disorders like psoriasis and eczema. 20%KOH mount
used for rapid evaluation of candida fungus causes Dissolution of underlying epithelial
tissue.
The KOH test procedure may be performed by a physician, nurse practitioner, physician
assistant, medical assistant, nurse, or medical laboratory technician. If fungal cultures are
required, the test is performed by a technologist who specializes in microbiology.
1. Collection: Skin, nail, or hair samples are collected from the infected area on the
patient. For skin samples, a scalpel or edge of a glass slide is used to gently scrape
skin scales from the infected area. For hair samples, a forceps is used to remove hair
shafts and follicles from the infected site. If the test is being sent to a laboratory, the
scrapings are placed in a sterile covered container.
2. The scrapings are placed directly onto a microscope slide and are covered with 10%
or 20% potassium hydroxide.
3. The slide is left to stand until clear, normally between five and fifteen minutes, in
order to dissolve skin cells, hair, and debris.
4. To enhance clearing dimethyl sulfoxide can be added to the slide. To make the fungi
easier to see lactophenol cotton blue stain can be added.
6. Adding calcofluor-white stain to the slide will cause the fungi to become fluorescent,
making them easier to identify under a fluorescent microscope.
7. Place the slide under a microscope to read
a.Glomus tumor
c.Melanoma
d.Adenocarcinoma/melanocarcinoma
Ans: c.Melanoma
Spindle cell melanoma, also known as desmoplastic melanoma, is a rare form of melanoma
that is locally aggressive and tends to have a high recurrence rate even with treatment.
This type of melanoma the name refers to the spindle-like shape of the cancer cells is
most commonly found on sun-exposed skin, in particular the head and neck. Because these
lesions can involve nerves, they tend to be more symptomatic than regular melanomas.
Spindle cell melanomas may arise from a preexisting lesion or without a precursor. These
lesions may be pigmented or flesh-colored. This subtype of melanoma is most common in
elderly, male patients, but women are at risk as well.
All melanoma lesions should be treated aggressively because of their risk of spreading to
other parts of the body. Spindle cell melanomas tend not to spread throughout the body as
readily as other types of melanomas; however, they often recur locally and can be fatal
depending on the location and if the local invasion is deep enough. Unfortunately, these
lesions are usually deep by the time the diagnosis is made.
142.A patient reported to hospital with very few teeth in mouth and inability to sweat. The
patient is affected with?
a.Down syndrome
b.Klinfilter syndrome
c.Ectodermal dyaplasia
Despite some of the syndromes having different genetic causes the symptoms are
sometimes very similar. Diagnosis is usually by clinical observation often with the assistance
of family medical histories so that it can be determined whether transmission is autosomal
dominant or recessive.
Presentation
Hair
Nails
Fingernails and toenails may be thick, abnormally shaped, discolored, ridged, slow-growing,
or brittle. The cuticles may be prone to infections.
Skin
The skin may be lightly pigmented. Skin sustaining injury may grow back permanently hypo-
pigmented. In some cases, red or brown pigmentation may be present. Skin can be prone to
rashes or infections and can be thick over the palms and soles. Care must be taken to
prevent cracking, bleeding, and infection.
Sweat glands
Individuals affected by certain ED syndromes cannot perspire. Their sweat glands may
function abnormally or may not have developed at all because of inactive proteins in the
sweat glands. Without normal sweat production, the body cannot regulate temperature
properly. Therefore, overheating is a common problem, especially during hot weather.
Access to cool environments is important.[4]
Dental abnormalities in a 5-year-old girl from north Sweden family who suffered from various
symptoms of autosomal dominant hypohidrotic ectodermal dysplasia (HED) a) Intraoral view.
Note that the upper incisors have been restored with composite material to disguise their
original conical shape. b) Orthopantomogram showing absence of ten primary and eleven
permanent teeth in the jaws of the same individual.
Teeth
In the development of tooth buds frequently result in congenitally absent teeth (in many
cases a lack of a permanent set) and/or in the growth of teeth that are peg-shaped or
pointed. The enamel may also be defective. Cosmetic dental treatment is almost always
necessary and children may need dentures as early as two years of age. Multiple denture
replacements are often needed as the child grows, and dental implants may be an option in
adolescence, once the jaw is fully grown. Nowadays the option of extracting the teeth and
substituting them with dental implants is quite common. In other cases, teeth can be
crowned. Orthodontic treatment also may be necessary. Because dental treatment is
complex, a multi-disciplinary approach is best.
143.A patient with ectodermal dysplasia shows one or two malformed teeth in his mouth.On
radiographic examination patient shows?
A patient with ectodermal dysplasia shows one or two malformed teeth in his mouth.On
radiographic examination patient shows No radiographic evidence of teeth germ of primary
or permanent teeth.
a.Leiomyoma
b.Ewing sarcoma
c.Lymphoma
d.PNET
Ans: a.Leiomyoma
Malignant small round cell tumors are characterised by small, round, relatively
undifferentiated cells. They generally include Ewing's sarcoma, peripheral neuroectodermal
tumor, rhabdomyosarcoma, synovial sarcoma, non-Hodgkin's lymphoma, retinoblastoma,
neuroblastoma, hepatoblastoma, and nephroblastoma or Wilms tumor. Other differential
diagnoses of small round cell tumors include small cell osteogenic sarcoma, undifferentiated
hepatoblastoma, granulocytic sarcoma, and intraabdominal desmoplastic small round cell
tumor. Differential diagnosis of small round cell tumors is particularly difficult due to their
undifferentiated or primitive character.
a.Dental caries
b.Dental radiograph
c.Ni-Ti wire
d.stainless steel
Refer: Principles of Dental Imaging - Page 55, Olaf E. Langland, Robert P. Langlais,
John W. Preece,2nd e
Hunters and Driffield curve :sensitometric curve of radiographic film, a plot of the film density
versus the logarithm of the relative exposure.
c.Behmel syndrome
d.Tollner syndrome
Behmel syndrome
Tollner syndrome
Macroglossia
Prenatally diagnosed
Beckwith-Wiedemann4,10,14,15
Observed in newborns
Beckwith-Wiedeann 1-4,11,12,15,24-30
ancyloglossia superior31
aspartylglucosaminuria23
Behmel syndrome23
trisomy 2134,35,38
microcephaly-hamartoma
Wiedemann23,36
mucopolysaccharidosis37
neoplasms13,18,20,34,42-45
Tollner syndrome23
Trisomy 2246
variation of normal35
Observed later in life
acromegaly19,41,47
hypothyroidism3,18
inflammatory disease41
Laband syndrome41
myxoedema41
mucolipidosis20
neurofibromatosis20
plasmacytoma41
postoperative complication49
primary amyloidosis18,21,50
c.Mandibular premolars
The incidence of cervical enamel projections varied between molars. The mandibular second
molars showed the highest incidence of enamel projections (51.0%), followed by the
maxillary second molars (45.6%). The lowest incidence was seen in the maxillary first molars
(13.6%).
a.sublingual gland
b.Parotid duct
c.Submandibular gland
d.Parotid gland
Sialolithiasis accounts for about 50% of all disease occurring in major salivary glands, and
for about 66% of all obstructive salivary gland diseases. About 85% of stones occur in the
submandibular gland, and between 5-10% occur in the parotid gland. In about 0-5% of
cases, the sublingual gland or a minor salivary gland is affected. When minor glands are
rarely involved, caliculi are more likely in the minor glands of the buccal mucosa and the
maxillary labial mucosa.
a.Bismuth
b.Arsenic
c.Mercury
d.Lead
Ans: b.Arsenic
Chronic arsenic exposure through drinking water leads to an increase in mortality which is
directly related to the dose of arsenic exposure.
Skin lesions:
o Skin lesions are the most common effect of chronic exposure.
GI:
o Anorexia, weight loss, abdominal pain, diarrhoea.
Cardiac/respiratory:
o Myocarditis, pericarditis.
o Hypertension.
Haematological:
o Pancytopenia,
o Aplastic anaemia.
Neurological:
o Ataxia.
o Lung.
b.Ectodermal dysplasia
c.Marphans syndrome
Type I
In type I the skin is hyperelastic. Bony prominences such as the forehead, chin, elbows,
knees and ankles are constantly lacerated. Given the limited healing power of the skin with
this condition, pigmented and atrophic scars (cigarette paper scar) are frequently found in
these areas and they are accompanied at times by fibrous nodules caused by the fibrous
transformation of subcutaneous hematomas.
The patient usually has a mesomorphic appearance with hands and feet being slightly larger
than average. Along with a generalized hypermobility of the joints there is usually an
abnormal bleeding tendency. Occasionally the syndrome is accompanied by mitral valve
prolapse.
Over half of pregnant women with the condition give birth prematurely, following rupture of
the fetal membranes.
Type II
Similar to type I, this form is less severe clinically. The scarring is less common, bleeding
tendency is less pronounced and nodules are much smaller or totally absent. However, joint
hypermobility is similar to that observed in type I and premature births are also a feature of
type II, even if they are less common.
Type III
The patient with type III is usually tall and thin, as in Marfans syndrome. The dominant
features of this variation are joint hypermobility and hyperelasticity of the skin, which often
feels velvety. Bruises and dystrophic scars are rarely observed.
Type IV
Rupture of arteries and hollow organs such as the uterus and the intestine explains the high
mortality rate (51% before age 40). Type IV is consequently, the most serious form of EDS.
Type V
Women are only carriers of this rare form, similar to types I and II, because transmission is
associated with the X chromosome.
Type VI
This form resembles type I except for an ocular involvement with detached retina being a
common feature. Severe scoliosis and vascular rupture are also features.
Type VII
This is a rare phenotype characterized by joint hypermobility, bilateral dislocation of the hips
and a small stature.
Type VIII
First described by Stewart and others in 1977,type VIII is characterized by generalized early-
onset periodontitis and by large patches of scar tissue on the shins, similar to diabetic ulcers
or varicose veins. The periodontal problems appear at puberty and usually lead to loss of the
teeth before age 30. Biesecker and others describe a case of a man who became
edentulous at age 16 as a result of severe periodontitis. Hoffman and other describe a case
of EDS type VIII where a girl required splinting to treat mobile teeth. Type I (Hoffman) and
type III (Lapire and Nusgens) anomalies of collagen have been linked to EDS type VIII.
Hyperelasticity of the skin and hypermobility of the joints are moderate in this phenotype.
The facies can resemble that described in type IV hypertelorism, widening of the root of
the nose, a narrow curved nose, narrow face and scarring on the forehead and chin.
Extraoral
The extraoral manifestations of EDS are the presence of scarring on the chin and forehead,
a history of repeated luxations of the TMJ, epicanthus, hypertelorism, a narrow curved nose,
sparse hair and hyperelasticity of the skin.
Intraoral
The classic intraoral signs of EDS can point to the eventual diagnosis of the condition.
Mucosa
As fragile as the skin, the mucosa tears easily when touched by instruments. Sutures do not
hold.
Periodontal Tissues
The fragility of the gingiva can be detected following treatments such as prophylaxis,
periodontal surgery or extraction. Hemorrhage may be difficult to control during surgical
procedures. Early-onset generalized periodontitis is one of the most significant oral
manifestations of the syndrome. This can lead to the premature loss of deciduous and
permanent teeth.
The Teeth
Hypoplasia of the enamel is commonly seen.Premolar and molar teeth can present with
deep fissures and long cusps. The teeth seem to be fragile and microdontia is sometimes
present. Radiographic examination often reveals pulp stones and roots that are short and
deformed. Microscopic-level anomalies of the various dental tissues are described in detail
by Barabas and Pope. One case of type III EDS with multiple supernumerary teeth has been
reported in the literature.
The Tongue
The tongue is very supple. Approximately 50% of those with the syndrome can touch the end
of their nose with their tongue (Gorlins sign), compared to 8-10% of the population.
The Palate
151.While taking a radiograph of upper 1st premolar its buccal root appear distal to lingual
root.What should be the angulation of cone for this positioning?
While taking a radiograph of upper 1st premolar its buccal root appear distal to lingual root ,
angulation of cone for this positioning is Cone head was more mesial.
a.Hard palate
b.gingiva
c.Buccal mucosa
d.Tongue
153.Least time required to radiographically diagnose a hard tissue union after tooth fracture?
a.1 months
b.2months
c.3 months
d.4 months
Least time required to radiographically diagnose a hard tissue union after tooth fracture 4
months .
a.Fluid level
c.clouding of antrum
Maxillary sinusitis is radiographically checked by Clouding and air fluid level. Peripheral
mucosal thickening, air/fluid level, air bubbles within the fluid and obstruction of the
ostiomeatal complexes are recognised findings.
155.In an IOPA ,mesial to mandibular 1st molar about 2mm of bone loss was invisible
.However on probing pocket depth is about 6mm .This difference is due to?
Ans: b.Thickness of buccal and lingual cortical plates in that region mask the bone loss.
Vertical defects are difficult to recognize on a radiograph because one or both of the cortical
plates remain superimposed over the defect.Clinical and surgical means are the best means
of detecting.
156.In a radiograph ,a thin radiolucent line seen between central and lateral incisor is most
probably?
a.An artefact
d.Lamina dura
ORTHODONTICS
157. Which fontanelle closes the last :
A.anterior
B.posterior
C.postrolateral
D.Anteriolateral
Ans: A.anterior
Refer: Paediatric Dentistry - Page 9, Richard Welbury, Monty S. Duggal, Marie
Thrse Hosey,1st e
The ossification of the bones of the skull causes the anterior fontanelle to close over by 9 to
18 months.The sphenoidal and posterior fontanelles close during the first few months of life.
The closures eventually form the sutures of the neurocranium. Other than the anterior and
posterior fontanelles, the mastoid fontanelle and the sphenoidal fontanelle are also
significant.
158.If the facial index of patient is 85.2 than his face will be?
a.Euproscopic
b.Mesoproscopic
c.Hyperprosic
d.Leptoproscopic
Ans: b.Mesoproscopic
Mesoprosopic : having a face of average width with a facial index of 84.0 to 87.9 as
measured on the living head or 85.0 to 89.9 on the skull
Sp1 Sp2
Ackerman et al.1 among others have defined two main types of smiles: social smiles and
enjoyment smiles. A social smile is the voluntary smile a person uses in social settings or
when posing for a photograph. The social smile is posed, which means that it is not
elicited or accompanied by emotion. This type of smile can be sustained as a static facial
expression and does not appear strained.2 On the other hand, enjoyment smiles are
involuntary and are elicited by laughter. The enjoyment smile is unposed and reflects the
emotion that one is experiencing at that moment. This smile appears strained because the
mouth bursts
d.On the name of place where conference of anthropologist held to discuss it in details.
Ans: d.On the name of place where conference of anthropologist held to discuss it in details
a.1:1.5
b.1:1
c.1:2
d.2:1
Ans: b.1:1
162.In given orthodontic model,a wire is shown adapted over the teeth .It shows which order
of bends?
First Order - bends that are in the occlusal plane. Step in, step out, rotation bends Hold
the pliers perpendicular to the occlusal plane
Other Types of First Order Bends Bayonet bends Toe in bends Other Types of Second
Order Bends Tie-back bends Reverse curves Closing loops Headgear adjustment
loops Retainer adjustment loops
Second Order - bends that are in the vertical dimension. Step up, step down, tip bends
Hold the pliers level with to the occlusal plane
a.0-7mm
b.5-7mm
c.12-13mm
d.12-17mm
Ans: c.12-13mm
a.60%
b.70%
c.80%
d.90%
Ans: c.80%
a.Dontrix Gauge
b.MBT/Will gauge
c.Dynometer
d.Boon gauge
Helps with precise bracket placement. Accurately measures height of bracket from edge.
3.5, 4, 4.5, 5mm. Made from surgical stainless steel. Autoclavable.
a.Towards incisal
b.More apically
c.At infinite
d.Out of teeth
In cases of adult patients with horizontal bone loss, since the applied force in the crown is
transferred to the apices with greater magnitude, since the center of resistance of teeth, in
such situations, are more apically located.
167.Which of the following is not used for anterior and posterior relationship of maxillary and
mandibular anterior teeth?
a.ANB
b.Facial axis
c.Facial angle
d.Na-Pog perpendicular
Facial axis not used for anterior and posterior relationship of maxillary and mandibular
anterior teeth.
168.In the following case of elastic ribbon is used to retract upper anterior teeth with cortical
device as anchorage .Which type of anchorage is it?
a.Stationary anchorage
b.Absolute anchorage
c.Reinforced anchorage
d.Cortical anchorage
Ans: b.Absolute anchorage
In Absolute anchorage elastic ribbon is used to retract upper anterior teeth with cortical
device as anchorage.
b.Shwartz clasp
c.Crozat clasp
d.Delta clasp
Crozat clasps are typically used on first permanent molars as part of a Crozat appliance.
They consist of three parts. The main body of the clasp, called the crib, is formed from one
piece of wire and is tightly adapted around the entire tooth. The second wire, called the
crescent, provides the retention by engaging the undercuts of the proximal surfaces. The
third part of the clasp is the occlusal rest. It passes through the lingual groove and rests
tightly on the occlusal surface.
The quad helix is more flexible version of the W-arch .The helices in the anterior plate are
bulky ,which can effectively serve as a reminder to aid in stopping a finger habit.This
combination of a posterior crossbite and a finger sucking habit is the best indication for this
appliance.
171.A 9 year old patient came to your dental clinic with facial asymmetry and with constricted
maxilla what will be your first step recommended?
b.Refer to orthodontist
9 year old patient came to your dental clinic with facial asymmetry and with constricted
maxilla first step recommended is refer to orthodontist.
d.McNamara Appliance
173.In the following diagram Scammons growth curves of various body tissues are
shown.Arrow marked line(dotted line at 100% postnatal growth here) shows growth of?
a.Lymphoid tissue
b.Brain tissue
c.Mandibular tissue
d.General tissue
Ans: b.Brain tissue
a.Incisor
b.Canine
c.Premolar
d.Molar
Ans: c.Premolar
PCD &PCM
175.All are true about RCT except?
randomized controlled trial (or randomized control trial;RCT) is a type of scientific (often
medical) experiment, where the people being studied are randomly allocated one or other of
the different treatments under study. The RCT is often considered the gold standard for a
clinical trial. RCTs are often used to test the efficacy or effectiveness of various types of
medical intervention and may provide information about adverse effects, such as drug
reactions. Random assignment of intervention is done after subjects have been assessed for
eligibility and recruited, but before the intervention to be studied begins. Random allocation
in real trials is complex, but conceptually, the process is like tossing a coin. After
randomization, the two (or more) groups of subjects are followed in exactly the same way,
and the only differences between the care they receive, for example, in terms of procedures,
tests, outpatient visits, and follow-up calls, should be those intrinsic to the treatments being
compared. The most important advantage of proper randomization is that it minimizes
allocation bias, balancing both known and unknown prognostic factors, in the assignment of
treatments. Dropout should be excluded from study.Sample size depends on type of study.
Reduce selection bias in allocation of treatment.
Minimize allocation bias (or confounding). This may occur when covariates that
affect the outcome are not equally distributed between treatment groups, and the
treatment effect is confounded with the effect of the covariates (i.e., an "accidental
bias"). If the randomization procedure causes an imbalance in covariates related to
the outcome across groups, estimates of effect may be biased if not adjusted for the
covariates (which may be unmeasured and therefore impossible to adjust for).
176.The recommended water fluoride level in a middle school water fluoridation plan should
be?
a.1ppm
b.2ppm
c.4ppm
d.12ppm
Ans: c.4ppm
The recommended water fluoride level in a middle school water fluoridation plan should be
4ppm.
a.0.007-0.015inch
b. 0.007-0.015inch
c. 0.007-0.015inch
d. 0.007-0.015inch
Ans: a.0.007-0.015inch
178.In a community trial if we select every 5 th house in a village ,the sampling is called as?
b.Cluster sampling
c.Stratified sampling
d.Systemic random sampling
With the systematic random sample, there is an equal chance (probability) of selecting
each unit from within the population when creating the sample. The systematic sample is
a variation on the simple random sample. Rather than referring to random number tables to
select the cases that will be included in your sample, you select units directly from the
sample frame. With systematic random sampling, there would an equal chance
(probability) that each of the 10,000 students could be selected for inclusion in our sample.
Each of the 10,000 students is known as a unit, a case or an object (these terms are
sometimes used interchangeably; we use the word unit).
c.Sharp
Cat. No. 1 Incineration /deep Human Anatomical Waste (human tissues, organs,
burial body parts)
Cat. No. 2 Incineration /deep Animal Waste Animal tissues, organs, Body parts
burial carcasses, bleeding parts, fluid, blood and
experimental animals used in research, waste
generated by veterinary hospitals /
colleges,discharge from hospitals, animal houses)
Cat. No. 3 Local autoclaving/ micro Microbiology & Biotechnology waste (wastes from
waving/ incineration laboratory cultures, stocks or specimens of micro-
organisms live or attenuated vaccines, human and
animal cell culture used in research and infectious
agents from research and industrial
laboratories,wastes from production of biological,
toxins, dishes and devices used fortransfer of
cultures)
Cat. No. 4 Disinfections (chemical Waste Sharps (needles, syringes, scalpels blades,
treatment glass etc. that may cause puncture and cuts. This
/autoclaving/micro includes both used & unused sharps)
waving and mutilation
shredding
Cat. No. 6 Incineration , Solid Waste (Items contaminated with blood and
autoclaving/micro body fluids including cotton, dressings, soiled plaster
waving casts, line beddings, othermaterialcontaminated
with blood)
Cat. No. 7 Disinfections by Solid Waste (waste generated from disposable items
chemical treatment other than the waste sharps such as tubing,
autoclaving/micro catheters, intravenous sets etc.)
waving& mutilation
shredding.
Cat. No. 8 Disinfections by Liquid Waste (waste generated from laboratory &
chemical treatment washing, cleaning , house-keeping and disinfecting
and discharge into drain activities)
Cat. No. 9 Disposal in municipal Incineration Ash (ash from incineration of any bio-
landfill medical waste)
Cat. No. 10 Chemical treatment &
discharge into drain for Chemical Waste (chemicals used in production of
liquid & secured landfill biological, chemicals, used in disinfect ion, as
for solids insecticides, etc)
Notes:
1. Color coding of waste categories with multiple treatment options as defined in
Schedule 1, shall be selected depending on treatment option chosen, which shall be
as specified in Schedule 1.
2. Waste collection bags for waste types needing incineration shall not be made
of chlorinated plastics.
3. Categories 8 and 10 (liquid) do not require containers/bags.
4. Category 3 if disinfected locally need not be put in Containers/bags.
Different labels for Bio-medical waste containers and bags shall be required for identification
and safe handling of this waste. These labels for storage/transportation of Biomedical waste
are as under,:
180.Study to check incidence of caries in 12 year old students in the state of Madhya
Pradesh ?
a.Prospective
b.Retrospective
c.observational study
d.Descriptive study
Ans: a.Prospective
Refer: Epidemiology for Public Health Practice - Page 403, Robert H. Friis, Thomas
Sellers,5th e
Prospective
A prospective study watches for outcomes, such as the development of a disease, during the
study period and relates this to other factors such as suspected risk or protection factor(s).
The study usually involves taking a cohort of subjects and watching them over a long period.
The outcome of interest should be common; otherwise, the number of outcomes observed
will be too small to be statistically meaningful (indistinguishable from those that may have
arisen by chance). All efforts should be made to avoid sources of bias such as the loss of
individuals to follow up during the study. Prospective studies usually have fewer potential
sources of bias and confounding than retrospective studies.
Retrospective
Case-Control studies
Case-Control studies are usually but not exclusively retrospective, the opposite is true for
cohort studies. The following notes relate case-control to cohort studies:
relatively inexpensive
quicker to complete
related methods are risk (retrospective), chi-square 2 by 2 test, Fisher's exact test,
exact confidence interval for odds ratio, odds ratio meta-analysis and conditional
logistic regression.
Cohort studies
Cohort studies are usually but not exclusively prospective, the opposite is true for case-
control studies. The following notes relate cohort to case-control studies:
expensive
related methods are risk (prospective), relative risk meta-analysis, risk difference
meta-analysis and proportions
181.Some investigators found association between obesity and dental caries. For this
study ,data was directly taken from some hospital records and food samples from some
specific private company. Now they wanted to train children for the same ,this study an
example of?
a.Experimental study
b.Ecological study
d.RCT
Refer:Essential Dental Public Health - Page 248, Blnaid Daly, Paul Batchelor,
Elizabeth Treasure,2nd e
Case-Control Study is an observational study where two groups are identified and divided
based on whether or not they have a specific disease or condition (cases vrs. control). The
researcher then explores retrospectively (i.e. back in time) for clues (i.e. exposure to certain
risk factors) as to the cause of that disease or condition. Ex. Case-Control study determined
that people with SCI who suffered from depression lacked a strong network of support.
Ecologic Study is a study that looks at the rates of exposure to risk factors and the incidence
of an illness or disease in different geographical areas or time frames. Ex. Incidence of
people with SCI receiving homecare by XXX agency in XXX city that contracted MRSA (a
bacterial infection).
Randomized Controlled Trial (RCT) is a study that is used to test the efficacy or
effectiveness of a specific, treatment, therapy, or medication. RCTs are considered to be the
Gold Standard in clinical trials. The design involves the creation of two distinct groups the
treatment and the no treatment groups. Participants in the study are randomly assigned
to one group or the other. Individuals in the treatment group receive a particular treatment
for example, a pill while the individuals in the no treatment (control) group receive nothing,
or in drug studies receive a placebo a fake pill which has no medicinal qualities. At the
end of the study, the outcomes of the two groups can be measured and the treatment
evaluated. Most studies are double-blinded, meaning that neither the individuals participating
in the study, nor the researchers know to which group the participants belong during the
evaluation period. RCT drug studies typically go through 4 levels of phases before getting
approved by the FDA:
Phase I trials usually involve a small number of participants on whom the therapy is tested in
a range of doses or treatments. The objective is to establish a dose range that is well-
tolerated, safe, and effective for therapeutic use.
Phase II trials usually involve a small number of participants and they establish whether the
therapy is effective at safe and optimal doses of the drug.
Phase III trials usually involve a large number of participants and compare the new therapy
to other therapies and/or to a placebo. These studies are used to provide specific evidence
of efficacy and common side effects, as well as a determiner for drug licensing.
Phase IV trials trials usually involve a very large number of participants and are performed
after a drug is approved and available to the general public. These studies are conducted to
detect the rate or existence of uncommon side effects.
Cross-Over Design studies are another form of RCT. These studies involve participants
being randomized into two groups, a treatment or no treatment group, and outcomes are
compared, followed by a washout period and then participants are switched to the other
group with outcomes being compared. Often, the participants and researcher are blinded as
to which group the participants are in. These studies can only be conducted in cases where
the treatment or therapy does not have a permanent effect on the participant.
a.8-12
b.14-28
c.10-14
d.8-14
Ans: b.14-28
Refer: Pediatric Dentistry: A Clinical Approach - Page 348, Goran Koch, Sven
Poulsen/1st e
a.1942
b.1946
c.1950
d.1956
Ans: c.1950
Refer: Textbook of Preventive and Community Dentistry - Page 288/3rd e , S. S.
Hiremath
184.A statistical measure of the degree to which two variables move together?
a.Certainity Equivalent
b.Variance
c.Covariance
d.Coefficient of variance
Ans: c.Covariance
Refer: Essential Statistical Methods for Medical Statistics - Page 233, J. Philip
Miller/1st e
A statistical measure of the degree to which two variables move together Covariance
a.SD
b.Mean
c.Median
d.Range
Ans: d.Range
b.2SD
c.3SD
d.4SD
Ans:c
Refer: Community Oral Health Practice for the Dental Hygienist, Kathy Voigt
Geurink,page no.215,3rd e
In statistics, the so-called 689599.7 rule is a shorthand used to remember the percentage
of values that lie within a band around the mean in a normal distribution with a width of one,
two and three standard deviations, respectively; more accurately, 68.27%, 95.45% and
99.73% of the values lie within one, two and three standard deviations of the mean,
respectively. In mathematical notation, these facts can be expressed as follows, where x is
an observation from a normally distributed random variable, is the mean of the distribution,
and is its standard deviation:
" if its confidence level is of the order of a two-sigma effect (95%), while in particle physics,
there is a convention of a five-sigma effect (99.99994% confidence) being required to qualify
as a "discovery".
187.If a distribution has excessive negative or positive skewness what measure of central
tendency is best for it?
a.Mode
b.Mean
c.Median
d.SD
Ans: c.Median
Refer: Principles of Dental Public Health - Page 107, James Morse Dunning,4th e
If a distribution has excessive negative or positive skewness Median is best used for central
tendency.
The three most commonly-used measures of central tendency are the following.
mean
The sum of the values divided by the number of values--often called the "average."
If you have an even number of values, the median is the arithmetic mean (see
above) of the two middle values.
Example: The median of the same five numbers (7, 12, 24, 20, 19) is 19.
mode
Example: For individuals having the following ages -- 18, 18, 19, 20, 20, 20, 21, and 23, the
mode is 20.