Clinical Integration Mock2

A 27 year old female patient came to your clinic with a chief complaint of decreased mouth opening.
History of painful clicks on the right TMJ, recent increase in pain.
She was eating meat for dinner and suddenly she had pain in the front of right ear and couldn’t open her mouth normally.
She has hypermobility of joints of the body.
No facial swelling, no discoloration, tenderness to palpation on the right side of the face but not on the left side.
Mouth opening readings-> 23 mm, lateral excursions to right- 8 mm and to left-1 mm.

1. All of the following are the causes of trismus except?-

A. Osteochondroma

Correct Incorrect Correct answer

B. Ankylosis

Correct Incorrect Correct answer

C. Radiation of head

Correct Incorrect Correct answer

D. Down syndrome

Correct Incorrect Correct answer

E. Impacted wisdom tooth

Correct Incorrect Correct answer

A 27 year old female patient came to your clinic with a chief complaint of decreased mouth opening.
History of painful clicks on the right TMJ, recent increase in pain.
She was eating meat for dinner and suddenly she had pain in the front of right ear and couldn’t open her mouth normally.
She has hypermobility of joints of the body.
No facial swelling, no discoloration, tenderness to palpation on the right side of the face but not on the left side.
Mouth opening readings-> 23 mm, lateral excursions to right- 8 mm and to left-1 mm.

2. What are the features of myofascial pain dysfunction syndrome?-

A. Facial nerve is the source of pain

Correct Incorrect Correct answer

B. Jaw movements are always painful

Correct Incorrect Correct answer

C. Clinical features are identical to osteoarthrosis

Correct Incorrect Correct answer

D. None of the above

Correct Incorrect Correct answer

E. All of the above

Correct Incorrect Correct answer

A 27 year old female patient came to your clinic with a chief complaint of decreased mouth opening.
History of painful clicks on the right TMJ, recent increase in pain.
She was eating meat for dinner and suddenly she had pain in the front of right ear and couldn’t open her mouth normally.
She has hypermobility of joints of the body.
No facial swelling, no discoloration, tenderness to palpation on the right side of the face but not on the left side.
Mouth opening readings-> 23 mm, lateral excursions to right- 8 mm and to left-1 mm.

3. In internal derangement of TMJ, which movement will be lost first of all?-

A. Retrusion

Correct Incorrect Correct answer

B. Protrusion

Correct Incorrect Correct answer

C. Lateral excursion

Correct Incorrect Correct answer

D. All of them

Correct Incorrect Correct answer

E. None of them

Correct Incorrect Correct answer

A 27 year old female patient came to your clinic with a chief complaint of decreased mouth opening.
History of painful clicks on the right TMJ, recent increase in pain.
She was eating meat for dinner and suddenly she had pain in the front of right ear and couldn’t open her mouth normally.
She has hypermobility of joints of the body.
No facial swelling, no discoloration, tenderness to palpation on the right side of the face but not on the left side.
Mouth opening readings-> 23 mm, lateral excursions to right- 8 mm and to left-1 mm.

4. You have provided the treatment to the patient but she came back after 7
months with little improvement, what will you do next?-

A. Refer for Arthrocentesis

Correct Incorrect Correct answer

B. Disc replacement

Correct Incorrect Correct answer

C. Surgical meniscectomy

Correct Incorrect Correct answer

D. Gentle mobilization

Correct Incorrect Correct answer

E. All of the above

Correct Incorrect Correct answer

A 27 year old female patient came to your clinic with a chief complaint of decreased mouth opening.
History of painful clicks on the right TMJ, recent increase in pain.
She was eating meat for dinner and suddenly she had pain in the front of right ear and couldn’t open her mouth normally.
She has hypermobility of joints of the body.
No facial swelling, no discoloration, tenderness to palpation on the right side of the face but not on the left side.
Mouth opening readings-> 23 mm, lateral excursions to right- 8 mm and to left-1 mm.

5- True trismus is defined as reduced mouth opening caused by spasm of the muscles supplied by the trigeminal nerve.
It can be caused by an extra-articular factor like?

A. Inflammatory arthritis such as rheumatoid or psoriatic arthritis

Correct Incorrect Correct answer

B. Septic arthritis

Correct Incorrect Correct answer

C. Traumatic synovitis

Correct Incorrect Correct answer

D. Fracture of the mandibular condyle

Correct Incorrect Correct answer

E. Acute infections of the oral tissues especially involving the muscles of mastication

Correct Incorrect Correct answer

You are called upon to educate some junior dentists who recently started working at your practice.
The aim of the discussion is to help them with professional issues they might encounter during their professional practicing life.

6. A patient who has had new dentures provided at your clinic 3 weeks ago, complained to you that he is unhappy with the denture quality.
What should you do?-

A. Say I am sorry for our poor service and investigate the reason

Correct Incorrect Correct answer

B. Say I am sorry that you are feeling this way and investigate the reason

Correct Incorrect Correct answer

C. Offer a reasonable compensation

Correct Incorrect Correct answer

D. Offer a new half price dentures

Correct Incorrect Correct answer

You are called upon to educate some junior dentists who recently started working at your practice.
The aim of the discussion is to help them with professional issues they might encounter during their professional practicing life.

7. You are about to restore a tooth with class II composite filling. You write in your notes “Informed Consent given”.
What does this mean?-

A. Patient has signed a new patient form and consent form once he arrived at the clinic

Correct Incorrect Correct answer

B. You discussed his condition with treatment benefits and risks and he agrees

Correct Incorrect Correct answer

C. You discussed treatment benefits and risks, he agreed and you record that in the clinical record

Correct Incorrect Correct answer

D. You discussed treatment benefits and risks, he agreed and signed the consent with or without recording that in the patient's records

Correct Incorrect Correct answer

You are called upon to educate some junior dentists who recently started working at your practice.
The aim of the discussion is to help them with professional issues they might encounter during their professional practicing life.

8. One of your patients who had visited you a year ago and both of you agreed on partial denture construction, now he is back.
What should you do?-

A. Get new written assessment, treatment, financial consents and commence the treatment

Correct Incorrect Correct answer

B. Depend on the old assessment, treatment, financial consents and commence the treatment

Correct Incorrect Correct answer

C. Revise assessment, treatment, financial consents with the patient and commence the treatment

Correct Incorrect Correct answer

D. Revise assessment, treatment, financial consents with the patient and make required changes in your notes then commence the treatment

Correct Incorrect Correct answer

You are called upon to educate some junior dentists who recently started working at your practice.
The aim of the discussion is to help them with professional issues they might encounter during their professional practicing life.

9. A patient returns to the dentist who originally fabricated the denture after another practitioner advised the patient that the dentures were improperly constructed.
How should the original dentist proceed?-

A. Inform the patient that as dentists we are denture specialists and that's the best that can be done

Correct Incorrect Correct answer

B. Contact the practitioner and advise them that a complaint may be filed with APHRA

Correct Incorrect Correct answer

C. Give the patient a full refund with no further action

Correct Incorrect Correct answer

D. Contact the practitioner and attempt to discuss the comments made to the patient

Correct Incorrect Correct answer

You are called upon to educate some junior dentists who recently started working at your practice.
The aim of the discussion is to help them with professional issues they might encounter during their professional practicing life.

10. While entering the surgery, an elderly patient slips on a wet floor of your practice and suffers a broken hip.
This incident will be covered by?-

A. Professional liability protection

Correct Incorrect Correct answer

B. Public liability protection

Correct Incorrect Correct answer

C. Products liability protection

Correct Incorrect Correct answer

D. Legal fee cover

Correct Incorrect Correct answer

You are called upon to educate some junior dentists who recently started working at your practice.
The aim of the discussion is to help them with professional issues they might encounter during their professional practicing life.

11. You refer a medically compromised patient to her general practitioner for further advicе.
The patient is not happy to be referred to the general practitioner and insists that the doctor told her she can have any dental treatment. What to do?-

A. Listen to the patient desire and commence the treatment

Correct Incorrect Correct answer

B. Trust your patient words and commence the treatment

Correct Incorrect Correct answer

C. Perform the treatment and then contact the general practitioner

Correct Incorrect Correct answer

D. Contact her general practitioner before commencing the treatment

Correct Incorrect Correct answer

A 30 years-old lady presents with a severe burning sensation complaint on the tip and lateral part of the tongue for the last 3 months.
A metallic taste and pain is intense and present the entire day and sometimes does not allow her to sleep at night.
Patient is not taking any medications and there is no other relevant medical or dental history.
Clinical examination revealed normal and healthy oral tissues.

12. What will you ask during history taking to help you to diagnose her condition?-

A. Any recent stressful event

Correct Incorrect Correct answer

B. Changes to toothpaste

Correct Incorrect Correct answer

C. Recent changes in spices

Correct Incorrect Correct answer

D. Recent dental restorations placed

Correct Incorrect Correct answer

E. Any parafunctional habits

Correct Incorrect Correct answer

A 30 years-old lady presents with a severe burning sensation complaint on the tip and lateral part of the tongue for the last 3 months.
A metallic taste and pain is intense and present the entire day and sometimes does not allow her to sleep at night.
Patient is not taking any medications and there is no other relevant medical or dental history.
Clinical examination revealed normal and healthy oral tissues.

13. What will be the best test to diagnose?-

A. Smear of oral mucosa

Correct Incorrect Correct answer

B. Biopsy

Correct Incorrect Correct answer

C. Salivary flow test

Correct Incorrect Correct answer

D. Blood profile

Correct Incorrect Correct answer

A 30 years-old lady presents with a severe burning sensation complaint on the tip and lateral part of the tongue for the last 3 months.
A metallic taste and pain is intense and present the entire day and sometimes does not allow her to sleep at night.
Patient is not taking any medications and there is no other relevant medical or dental history.
Clinical examination revealed normal and healthy oral tissues.

14. Based on history and clinical findings, what will your differential diagnosis be?-

A. Erythema migrans

Correct Incorrect Correct answer

B. Sjogren syndrome

Correct Incorrect Correct answer

C. Candidiasis

Correct Incorrect Correct answer

D. Glossodynia

Correct Incorrect Correct answer

E. Lichenoid reaction

Correct Incorrect Correct answer

A 30 years-old lady presents with a severe burning sensation complaint on the tip and lateral part of the tongue for the last 3 months.
A metallic taste and pain is intense and present the entire day and sometimes does not allow her to sleep at night.
Patient is not taking any medications and there is no other relevant medical or dental history.
Clinical examination revealed normal and healthy oral tissues.

15. What will you tell the patient regarding the condition?-

A. It will improve after 3-6 months by itself

Correct Incorrect Correct answer

B. Systemic steroids for long time can prove quite helpful

Correct Incorrect Correct answer

C. You need to get a biopsy done if it doesn't improve in 1 month

Correct Incorrect Correct answer

D. Treatment with complete resolution of symptoms is possible but you may have to go through a lot of topical and systemic medications for it

Correct Incorrect Correct answer

E. The symptoms may improve after a few weeks or months or maybe even years but may also not resolve

Correct Incorrect Correct answer

A 30 years-old lady presents with a severe burning sensation complaint on the tip and lateral part of the tongue for the last 3 months.
A metallic taste and pain is intense and present the entire day and sometimes does not allow her to sleep at night.
Patient is not taking any medications and there is no other relevant medical or dental history.
Clinical examination revealed normal and healthy oral tissues.

16. The patient returns in 6 months and told you that symptoms have improved but now complains that she has a severe shock like pain on yawning and swallowing.
She has been to an ENT specialist and has been cleared of any issues with the throat.
What is the possible cause?-

A. Trigeminal neuralgia

Correct Incorrect Correct answer

B. Glossopharyngeal neuralgia

Correct Incorrect Correct answer

C. Oral dysesthesia

Correct Incorrect Correct answer

D. Atypical facial pain

Correct Incorrect Correct answer

E. Atypical migraine

Correct Incorrect Correct answer

Male patient presented at your clinic with unilateral facial swelling lateral to the nose with associated redness and the typical loss of the nasolabial fold.
The area is painful to touch.
No systemic signs of infection were revealed and no fever.
The patient is fit with no systemic disease.

17. Which tooth is likely to cause this infection?-

A. Canine

Correct Incorrect Correct answer

B. Lateral incisor

Correct Incorrect Correct answer

C. Central incisor

Correct Incorrect Correct answer

D. First premolar

Correct Incorrect Correct answer

E. Second molar

Correct Incorrect Correct answer

Male patient presented at your clinic with unilateral facial swelling lateral to the nose with associated redness and the typical loss of the nasolabial fold.
The area is painful to touch.
No systemic signs of infection were revealed and no fever.
The patient is fit with no systemic disease.

18. First investigation to do?-

A. Probing

Correct Incorrect Correct answer

B. Cold test

Correct Incorrect Correct answer

C. Heat test

Correct Incorrect Correct answer

D. Percussion

Correct Incorrect Correct answer

Male patient presented at your clinic with unilateral facial swelling lateral to the nose with associated redness and the typical loss of the nasolabial fold.
The area is painful to touch.
No systemic signs of infection were revealed and no fever.
The patient is fit with no systemic disease.

19. How to diagnose?-

A. EPT

Correct Incorrect Correct answer

B. Cold test

Correct Incorrect Correct answer

C. Heat test

Correct Incorrect Correct answer

D. Percussion

Correct Incorrect Correct answer

Male patient presented at your clinic with unilateral facial swelling lateral to the nose with associated redness and the typical loss of the nasolabial fold.
The area is painful to touch.
No systemic signs of infection were revealed and no fever.
The patient is fit with no systemic disease.

20. The infection has spread to which fascial space?-

A. Canine space

Correct Incorrect Correct answer

B. Maxillary space

Correct Incorrect Correct answer

C. Buccal space

Correct Incorrect Correct answer

D. Labial space

Correct Incorrect Correct answer

E. Palatal space

Correct Incorrect Correct answer

Male patient presented at your clinic with unilateral facial swelling lateral to the nose with associated redness and the typical loss of the nasolabial fold.
The area is painful to touch.
No systemic signs of infection were revealed and no fever.
The patient is fit with no systemic disease.

21. What treatment can be done initially?-

A. Refer to the hospital for IV antibiotic

Correct Incorrect Correct answer

B. Extraction and drainage

Correct Incorrect Correct answer

C. Extraction and antibiotics

Correct Incorrect Correct answer

D. RCT and antibiotics

Correct Incorrect Correct answer

E. Drainage through intraoral incision

Correct Incorrect Correct answer

Male patient presented at your clinic with unilateral facial swelling lateral to the nose with associated redness and the typical loss of the nasolabial fold.
The area is painful to touch.
No systemic signs of infection were revealed and no fever.
The patient is fit with no systemic disease.

22. If the patient has a headache and he can’t open his eyes, nausea and drooping of eyes.
What could be happening?-

A. Maxillary sinusitis

Correct Incorrect Correct answer

B. Cavernous sinus thrombosis

Correct Incorrect Correct answer

C. Migraine

Correct Incorrect Correct answer

D. Cluster headache

Correct Incorrect Correct answer

You bought an old clinic from a senior dentist who retired from the practice.
You had to change one room completely.
Staff is very experienced but you need to update them with infection control protocols.
Your newly appointed dental assistant (DA) is trained and says she is aware of all the infection control protocols.

23. Your DA says, it is easier for her to keep the contaminated instruments in the hand wash basin in your surgery so that she can collect all the instruments when she is free.
What is the basic thing your DA is unaware of?-

A. You should keep the instruments covered in wet tissue

Correct Incorrect Correct answer

B. You cannot wash your hands and instruments in the same basin

Correct Incorrect Correct answer

C. Instrument should be collected in cassettes before washing

Correct Incorrect Correct answer

D. Agree with the experienced DA as this is stated in infection control guidelines

Correct Incorrect Correct answer

You bought an old clinic from a senior dentist who retired from the practice.
You had to change one room completely.
Staff is very experienced but you need to update them with infection control protocols.
Your newly appointed dental assistant (DA) is trained and says she is aware of all the infection control protocols.

24. Semi critical instruments normally need?-

A. Chemical disinfection

Correct Incorrect Correct answer

B. Thermal disinfection

Correct Incorrect Correct answer

C. Chemical and thermal

Correct Incorrect Correct answer

D. Sterilization but does not require BCI

Correct Incorrect Correct answer

E. Sterilization but requires BCI

Correct Incorrect Correct answer

You bought an old clinic from a senior dentist who retired from the practice.
You had to change one room completely.
Staff is very experienced but you need to update them with infection control protocols.
Your newly appointed dental assistant (DA) is trained and says she is aware of all the infection control protocols.

25. Your DA was asking you if she can skip the ultra sonic step and just do the manual cleaning.
What is the best sentence to explain it to her?-

A. Washing instruments by hands will cause injury

Correct Incorrect Correct answer

B. Ultrasonic will eliminate the organic masses which would otherwise prevent the steam penetration

Correct Incorrect Correct answer

C. Manual cleaning is prohibited

Correct Incorrect Correct answer

D. You have to do both of them simultaneously

Correct Incorrect Correct answer

You bought an old clinic from a senior dentist who retired from the practice.
You had to change one room completely.
Staff is very experienced but you need to update them with infection control protocols.
Your newly appointed dental assistant (DA) is trained and says she is aware of all the infection control protocols.

26. Washer disinfector can be used for thermal disinfection of all of the following except?-

A. Pollshing puff

Correct Incorrect Correct answer

B. Non critical items

Correct Incorrect Correct answer

C. Semi-critical items

Correct Incorrect Correct answer

D. Surgical Burs

Correct Incorrect Correct answer

You bought an old clinic from a senior dentist who retired from the practice.
You had to change one room completely.
Staff is very experienced but you need to update them with infection control protocols.
Your newly appointed dental assistant (DA) is trained and says she is aware of all the infection control protocols.

27. The instrument disinfectant product requires?-

A. Potency test strips

Correct Incorrect Correct answer

B. Pencil test

Correct Incorrect Correct answer

C. Soil test

Correct Incorrect Correct answer

D. Foil test

Correct Incorrect Correct answer

You are advocating a healthy nutrition for effective oral health for young families including pregnant ladies and new mums within your community.

28. One of the parents asked about Kombucha tea. What is this tea used for?-

A. Skin health

Correct Incorrect Correct answer

B. Gut health

Correct Incorrect Correct answer

C. Sport drink

Correct Incorrect Correct answer

D. Normal cultural tea

Correct Incorrect Correct answer

You are advocating a healthy nutrition for effective oral health for young families including pregnant ladies and new mums within your community.

29. You start talking a bit more about this drink to your audience.
What kind of concern does it have for you?-

A. High sugar level

Correct Incorrect Correct answer

B. Very acidic drink

Correct Incorrect Correct answer

C. Bitter drink

Correct Incorrect Correct answer

D. Contaminated drink

Correct Incorrect Correct answer

You are advocating a healthy nutrition for effective oral health for young families including pregnant ladies and new mums within your community.

30. How much sugar is too much?-

A. Preferably choose products with less than 10 g per 100 g of sugar

Correct Incorrect Correct answer

B. Preferably choose products with less than 20 g per 100 g of sugar

Correct Incorrect Correct answer

C. Preferably choose products with less than 30 g per 100 g of sugar

Correct Incorrect Correct answer

D. Preferably choose products with less than 40 g per 100 g of sugar

Correct Incorrect Correct answer

You are advocating a healthy nutrition for effective oral health for young families including pregnant ladies and new mums within your community.

31. To decrease risk of tooth decay, consume less than?-

A. 2 teaspoons or 10 grams per day

Correct Incorrect Correct answer

B. 8 teaspoons or 20 grams per day

Correct Incorrect Correct answer

C. 6 teaspoons or 24 grams per day

Correct Incorrect Correct answer

D. 10 teaspoons or 24 grams per day

Correct Incorrect Correct answer

You are advocating a healthy nutrition for effective oral health for young families including pregnant ladies and new mums within your community.

32. Which statement is incorrect?-

A. Lactose, maltodextrin, dextrose all are alternate words for sugar

Correct Incorrect Correct answer

B. Food labels do not disclose percentages of total sugar that is natural compared to added sugars

Correct Incorrect Correct answer

C. Natural sugars include those in fruits and vegetables

Correct Incorrect Correct answer

D. In the nutritional label check to see where sugar is in this list, the lower in the list, the more sugar present

Correct Incorrect Correct answer

A 12 year old boy had an avulsion accident of tooth 21.
Mother washed it with water for 15 minutes and then placed it in milk and was treated in the emergency department.
They did the replantation with a rigid splint on teeth 11 and 21.
His mum after 24 hours brought him to your clinic to check it.
She noticed that tooth 21 was placed a little bit longer than tooth 11.
Periapical view showed tooth 21 is still a little bit extruded.

33. What will you do?-

A. Surgically position the 21 and change the splint to flexible

Correct Incorrect Correct answer

B. Digitally pressure to repositioned the 21 and replace to flexible splint

Correct Incorrect Correct answer

C. Wait until it reposition by itself

Correct Incorrect Correct answer

D. Reposition 21 and maintain the rigid splint

Correct Incorrect Correct answer

A 12 year old boy had an avulsion accident of tooth 21.
Mother washed it with water for 15 minutes and then placed it in milk and was treated in the emergency department.
They did the replantation with a rigid splint on teeth 11 and 21.
His mum after 24 hours brought him to your clinic to check it.
She noticed that tooth 21 was placed a little bit longer than tooth 11.
Periapical view showed tooth 21 is still a little bit extruded.

34. What will you tell the mother regarding the home care of this child?-

A. Chlorhexidine 0.2% mouthwash for 2 weeks

Correct Incorrect Correct answer

B. Hypochlorite mouthwash

Correct Incorrect Correct answer

C. Sodium bicarbonate mouthwash

Correct Incorrect Correct answer

D. Hydrogen peroxide mouthwash

Correct Incorrect Correct answer

A 12 year old boy had an avulsion accident of tooth 21.
Mother washed it with water for 15 minutes and then placed it in milk and was treated in the emergency department.
They did the replantation with a rigid splint on teeth 11 and 21.
His mum after 24 hours brought him to your clinic to check it.
She noticed that tooth 21 was placed a little bit longer than tooth 11.
Periapical view showed tooth 21 is still a little bit extruded.

35. What will you advise the mother on the type of treatment to do after a few days?-

A. Commence RCT after 7-10 days

Correct Incorrect Correct answer

B. Wait until there is a sign of necrosis of the pulp

Correct Incorrect Correct answer

C. Observe until the child complains of any symptoms

Correct Incorrect Correct answer

D. No further treatment is required

Correct Incorrect Correct answer

A 12 year old boy had an avulsion accident of tooth 21.
Mother washed it with water for 15 minutes and then placed it in milk and was treated in the emergency department.
They did the replantation with a rigid splint on teeth 11 and 21.
His mum after 24 hours brought him to your clinic to check it.
She noticed that tooth 21 was placed a little bit longer than tooth 11.
Periapical view showed tooth 21 is still a little bit extruded.

36. If the tooth has been out of the mouth for an extended period of time, It is best to?-

A. Throw it away and make a space maintainer

Correct Incorrect Correct answer

B. Still better to replant the tooth

Correct Incorrect Correct answer

C. Make immediate dental implant instead

Correct Incorrect Correct answer

D. Close the gap with orthodontics

Correct Incorrect Correct answer

A 12 year old boy had an avulsion accident of tooth 21.
Mother washed it with water for 15 minutes and then placed it in milk and was treated in the emergency department.
They did the replantation with a rigid splint on teeth 11 and 21.
His mum after 24 hours brought him to your clinic to check it.
She noticed that tooth 21 was placed a little bit longer than tooth 11.
Periapical view showed tooth 21 is still a little bit extruded.

37. What would be the factor which would interfere with the prognosis of the tooth?-

A. As the tooth was washed in the water for 15 minutes before placing it in milk

Correct Incorrect Correct answer

B. As it was placed in the milk

Correct Incorrect Correct answer

C. Type of Injury

Correct Incorrect Correct answer

D. Time lapse between the accident and the tooth placement in the socket

Correct Incorrect Correct answer

A 12 year old boy had an avulsion accident of tooth 21.
Mother washed it with water for 15 minutes and then placed it in milk and was treated in the emergency department.
They did the replantation with a rigid splint on teeth 11 and 21.
His mum after 24 hours brought him to your clinic to check it.
She noticed that tooth 21 was placed a little bit longer than tooth 11.
Periapical view showed tooth 21 is still a little bit extruded.

38. In descending order of preference, which is the best storage medium?-

A. Water, saliva, Hank's balanced salt solution (HBSS), Milk

Correct Incorrect Correct answer

B. Milk, Hank's balanced salt solution (HBSS), saliva, water

Correct Incorrect Correct answer

C. Air, water, saliva, milk

Correct Incorrect Correct answer

D. Milk, water, saliva, Hank's balanced salt solution (HBSS)

Correct Incorrect Correct answer

A 12 year old boy had an avulsion accident of tooth 21.
Mother washed it with water for 15 minutes and then placed it in milk and was treated in the emergency department.
They did the replantation with a rigid splint on teeth 11 and 21.
His mum after 24 hours brought him to your clinic to check it.
She noticed that tooth 21 was placed a little bit longer than tooth 11.
Periapical view showed tooth 21 is still a little bit extruded.

39. The doctor had prescribed him doxycycline.
What was the reason for him to choose this antibiotic?-

A. It can be given to children of all ages and has no side effects

Correct Incorrect Correct answer

B. It has anti inflammatory, antibacterial & antiresorptive properties

Correct Incorrect Correct answer

C. It is usually well tolerated with all the children

Correct Incorrect Correct answer

D. Because of its potent antibacterial properties

Correct Incorrect Correct answer

E. Because it is good for prevention of Tetanus

Correct Incorrect Correct answer

A 12 year old boy had an avulsion accident of tooth 21.
Mother washed it with water for 15 minutes and then placed it in milk and was treated in the emergency department.
They did the replantation with a rigid splint on teeth 11 and 21.
His mum after 24 hours brought him to your clinic to check it.
She noticed that tooth 21 was placed a little bit longer than tooth 11.
Periapical view showed tooth 21 is still a little bit extruded.

40. What is your responsibility as a dental promoter regarding the emergency of tooth avulsion?-

A. We have to educate kids when they visit us

Correct Incorrect Correct answer

B. We have to teach parents when they visit us for a routine check up

Correct Incorrect Correct answer

C. Mass media campaigns to educate the community, parents, teachers

Correct Incorrect Correct answer

D. Our responsibility is diagnose and treat the patient only

Correct Incorrect Correct answer

A 10 weeks pregnant patient presents to you.
During the Basic Periodontal Examination (BPE), she says that she is drinking a lot of sugary drinks, she tried to quit but she could not quit at this point of time.
There was inflammation of marginal gingiva and rolled margin for the last 8 weeks.
BPE scores shown below-

41. What will be her diagnosis?-

A. Chronic marginal Gingivitis

Correct Incorrect Correct answer

B. Necrotizing periodontitis

Correct Incorrect Correct answer

C. Periodontitis

Correct Incorrect Correct answer

D. Pregnancy Gingivitis

Correct Incorrect Correct answer

A 10 weeks pregnant patient presents to you.
During the Basic Periodontal Examination (BPE), she says that she is drinking a lot of sugary drinks, she tried to quit but she could not quit at this point of time.
There was inflammation of marginal gingiva and rolled margin for the last 8 weeks.
BPE scores shown below-

42. Based on the readings above, what will be the treatment for her?-

A. Do not do any periodontal assessment and just give oral hygiene instructions

Correct Incorrect Correct answer

B. Do not do any periodontal assessment and just give scaling and oral hygiene instructions

Correct Incorrect Correct answer

C. Complete periodontal assessment and give oral hygiene instructions

Correct Incorrect Correct answer

D. Do a complete periodontal assessment and do scaling for her and give oral hygiene instructions

Correct Incorrect Correct answer

E. Do a complete periodontal assessment and do scaling and root planing and oral hygiene instructions

Correct Incorrect Correct answer

A 10 weeks pregnant patient presents to you.
During the Basic Periodontal Examination (BPE), she says that she is drinking a lot of sugary drinks, she tried to quit but she could not quit at this point of time.
There was inflammation of marginal gingiva and rolled margin for the last 8 weeks.
BPE scores shown below-

43. How will you protect her teeth from sugary drinks?-

A. Ask her to drink the sugar free drink with a straw, immediately Gargle with tap water and ask her to use fluoride toothpaste 5000 ppm twice a day

Correct Incorrect Correct answer

B. Ask her to drink with the straw and immediately brush with fluoride 1250 ppm toothpaste

Correct Incorrect Correct answer

C. Drink sugar free cola with straw during meal time only, gargle with water after the meal, brush 1 hour after meals with 1450 ppm fluoride toothpaste

Correct Incorrect Correct answer

D. Drink cola with straw during meal, gargle with water after the meal, brush 1 hour after with 1450 ppm fluoride toothpaste

Correct Incorrect Correct answer

A 10 weeks pregnant patient presents to you.
During the Basic Periodontal Examination (BPE), she says that she is drinking a lot of sugary drinks, she tried to quit but she could not quit at this point of time.
There was inflammation of marginal gingiva and rolled margin for the last 8 weeks.
BPE scores shown below-

44. Clinical signs of gingivitis?-

A. Inflammation of interdental papilla

Correct Incorrect Correct answer

B. Rolled margins

Correct Incorrect Correct answer

C. Attached gingiva inflammation

Correct Incorrect Correct answer

D. Calculus

Correct Incorrect Correct answer

A 10 weeks pregnant patient presents to you.
During the Basic Periodontal Examination (BPE), she says that she is drinking a lot of sugary drinks, she tried to quit but she could not quit at this point of time.
There was inflammation of marginal gingiva and rolled margin for the last 8 weeks.
BPE scores shown below-

45. She asked about the future child and how to clean the child’s teeth?-

A. Brush with 500-550 ppm fluoride toothpaste pea sized at 18 months

Correct Incorrect Correct answer

B. Clean with 500-550 ppm fluoride toothpaste at 6 months

Correct Incorrect Correct answer

C. At 24 months brush with 1000 ppm fluoride smear of it

Correct Incorrect Correct answer

D. Child till age of 24 months brush his teeth without toothpaste

Correct Incorrect Correct answer

You are leading an induction session for some junior dentists and trying to put emphasis on the professional and ethical behavior inside the practice through examples.

46. One of your colleague’s clinics services websites on social media offers daily deals for customers.
What do you think about it?-

A. It is a good idea to do the same for our clinic

Correct Incorrect Correct answer

B. It is complying with the DBA's advertising guidelines

Correct Incorrect Correct answer

C. This would not comply with the DBA's advertising guidelines

Correct Incorrect Correct answer

D. You can instead hand out flyers in shopping centers, offering time limited discounts or special deals

Correct Incorrect Correct answer

You are leading an induction session for some junior dentists and trying to put emphasis on the professional and ethical behavior inside the practice through examples.

47. Your colleague has a small tremor, which is being treated. This practitioner has restricted their practice to consultations, and they no longer perform procedural work.
Which statement is true?-

A. This is unlikely to trigger a mandatory notification

Correct Incorrect Correct answer

B. This is likely to trigger a mandatory notification

Correct Incorrect Correct answer

C. This is unprofessional behavior

Correct Incorrect Correct answer

D. This is not in the best interest of the patient

Correct Incorrect Correct answer

You are leading an induction session for some junior dentists and trying to put emphasis on the professional and ethical behavior inside the practice through examples.

48. While at a party over the weekend, you see a colleague with a group of people smoking marijuana.
What should you do?-

A. There is need to make a mandatory notification as this will affect his performance at work

Correct Incorrect Correct answer

B. There is no need to make a mandatory notification as you have not formed a reasonable belief that your colleague is affected at work

Correct Incorrect Correct answer

C. This is unprofessional behavior

Correct Incorrect Correct answer

D. This is not in the best interest of the patient

Correct Incorrect Correct answer

You are leading an induction session for some junior dentists and trying to put emphasis on the professional and ethical behavior inside the practice through examples.

49. You see your colleague coming back from a long lunch. They smell of alcohol and are a bit unsteady on their feet. Their speech is slurred.
Which statement is true?-

A. There is need to make a mandatory notification as this will affect his performance at work

Correct Incorrect Correct answer

B. There is no need to make a mandatory notification as you have not formed a reasonable belief that your colleague is intoxicated at work

Correct Incorrect Correct answer

C. This is not your business, health supervisors can notice it

Correct Incorrect Correct answer

D. Only make a notification if the practitioner makes a mistake

Correct Incorrect Correct answer

You are leading an induction session for some junior dentists and trying to put emphasis on the professional and ethical behavior inside the practice through examples.

50. Another practitioner refers a patient to you, and you disagree with their treatment plan.
The plan is significantly different from what you believe is best practice.
What should you do?-

A. You do not need to notify APHRA and do treatment as you believe is the best

Correct Incorrect Correct answer

B. You do need to notify APHRA and do treatment as you believe is the best

Correct Incorrect Correct answer

C. You do have to accept treating the patient according to your colleague's plan

Correct Incorrect Correct answer

D. Send the patient back without treatment

Correct Incorrect Correct answer

A teenage girl presents to you with her father.
Painless pedunculated mass on palatal surface adjacent to Tooth 11 & 21.
The parent is concerned about it interfering with the occlusion of their child.
No history of trauma or no pulpal abnormalities.
Periodontal evaluation did not reveal periodontal pockets, nevertheless, presence of plaque was observed.
Lower central incisor is indented into the growth.

51. You want to take an IOPA to check the status inside, but the child is having a hard time biting the film.
What will you do?-

A. Postponed the x-ray till you have the biopsy result

Correct Incorrect Correct answer

B. Ask the parent to put a lead apron on & hold the film

Correct Incorrect Correct answer

C. Ask the DA to hold the film with the lead apron wearing

Correct Incorrect Correct answer

D. You hold the film with lead apron wearing

Correct Incorrect Correct answer

A teenage girl presents to you with her father.
Painless pedunculated mass on palatal surface adjacent to Tooth 11 & 21.
The parent is concerned about it interfering with the occlusion of their child.
No history of trauma or no pulpal abnormalities.
Periodontal evaluation did not reveal periodontal pockets, nevertheless, presence of plaque was observed.
Lower central incisor is indented into the growth.

52. You managed to take the IOРА.
What is significant about it?-

A. Root of 21 is dilacerated

Correct Incorrect Correct answer

B. Radiolucent areas near the apices of the permanent incisors

Correct Incorrect Correct answer

C. Roots do not correspond to the patient's age

Correct Incorrect Correct answer

D. Open apices compatible with the age

Correct Incorrect Correct answer

E. Bone crest alteration between teeth 11 and 21

Correct Incorrect Correct answer

A teenage girl presents to you with her father.
Painless pedunculated mass on palatal surface adjacent to Tooth 11 & 21.
The parent is concerned about it interfering with the occlusion of their child.
No history of trauma or no pulpal abnormalities.
Periodontal evaluation did not reveal periodontal pockets, nevertheless, presence of plaque was observed.
Lower central incisor is indented into the growth.

53. You did a biopsy, while waiting for the results, you have a provisional diagnosis of pyogenic granuloma.
On what basis do you diagnose it as pyogenic granuloma?-

A. Familial and hereditary condition

Correct Incorrect Correct answer

B. As it is pedunculated and painless growth

Correct Incorrect Correct answer

C. Form of actinomyces infection

Correct Incorrect Correct answer

D. Pus coming out of the lesion

Correct Incorrect Correct answer

A teenage girl presents to you with her father.
Painless pedunculated mass on palatal surface adjacent to Tooth 11 & 21.
The parent is concerned about it interfering with the occlusion of their child.
No history of trauma or no pulpal abnormalities.
Periodontal evaluation did not reveal periodontal pockets, nevertheless, presence of plaque was observed.
Lower central incisor is indented into the growth.

54. Your diagnosis of pyogenic granuloma is confirmed with the biopsy results.
What is the cause of it?-

A. Trauma

Correct Incorrect Correct answer

B. Local irritation

Correct Incorrect Correct answer

C. Viral infection

Correct Incorrect Correct answer

D. Genetic or hereditary

Correct Incorrect Correct answer

A teenage girl presents to you with her father.
Painless pedunculated mass on palatal surface adjacent to Tooth 11 & 21.
The parent is concerned about it interfering with the occlusion of their child.
No history of trauma or no pulpal abnormalities.
Periodontal evaluation did not reveal periodontal pockets, nevertheless, presence of plaque was observed.
Lower central incisor is indented into the growth.

55. What is the treatment of pyogenic granuloma?-

A. Surgical excision with removal of any local factors

Correct Incorrect Correct answer

B. Surgical excision with removal of Tooth 11 21

Correct Incorrect Correct answer

C. Marsupialization

Correct Incorrect Correct answer

D. No treatment, let is regress itself

Correct Incorrect Correct answer

A 11 year old patient fell off his kickboard and hit his upper anterior teeth against a fence.
He felt bits of his tooth #11 in his mouth but didn’t save them.
He presented at the clinic 25 minutes after the trauma.
The initial examination revealed->
– Complicated fracture of the crown of tooth #11 with grade 1 mobility and sensitivity to percussion.
– Tooth #21 has no fracture but has grade 2 mobility, sensitivity to percussion.

56. Considering the time elapsed since trauma,
What is tooth #11 condition?-

A. Should be extracted immediately

Correct Incorrect Correct answer

B. The pulp is likely to have become necrotic and should be extirpated

Correct Incorrect Correct answer

C. The pulp tissue in this case is superficially contaminated

Correct Incorrect Correct answer

D. The pulp tissue is unaltered and no treatment is necessary

Correct Incorrect Correct answer

E. Treatment can be delayed without consequences

Correct Incorrect Correct answer

A 11 year old patient fell off his kickboard and hit his upper anterior teeth against a fence.
He felt bits of his tooth #11 in his mouth but didn’t save them.
He presented at the clinic 25 minutes after the trauma.
The initial examination revealed->
– Complicated fracture of the crown of tooth #11 with grade 1 mobility and sensitivity to percussion.
– Tooth #21 has no fracture but has grade 2 mobility, sensitivity to percussion.

57. Unaltered tooth #21 position and grade 2 mobility combined with percussion sensitivity will most likely be diagnosed as?-

A. Lateral luxation

Correct Incorrect Correct answer

B. Concussion

Correct Incorrect Correct answer

C. Subluxation

Correct Incorrect Correct answer

D. Alveolar fracture limited to facial cortical plate

Correct Incorrect Correct answer

E. Chronic apical periodontitis

Correct Incorrect Correct answer

A 11 year old patient fell off his kickboard and hit his upper anterior teeth against a fence.
He felt bits of his tooth #11 in his mouth but didn’t save them.
He presented at the clinic 25 minutes after the trauma.
The initial examination revealed->
– Complicated fracture of the crown of tooth #11 with grade 1 mobility and sensitivity to percussion.
– Tooth #21 has no fracture but has grade 2 mobility, sensitivity to percussion.

58. The most adequate treatment for tooth #11 in this case is?-

A. Build-up and crown placement as soon as possible

Correct Incorrect Correct answer

B. Pulpectomy and immediate root canal filling to avoid contamination

Correct Incorrect Correct answer

C. Partial pulpotomy and composite build up

Correct Incorrect Correct answer

D. Pulpotomy followed by a minimum of 90 days of СаОН

Correct Incorrect Correct answer

E. Pulpectomy followed by a minimum of 90 days of CaOH

Correct Incorrect Correct answer

A 11 year old patient fell off his kickboard and hit his upper anterior teeth against a fence.
He felt bits of his tooth #11 in his mouth but didn’t save them.
He presented at the clinic 25 minutes after the trauma.
The initial examination revealed->
– Complicated fracture of the crown of tooth #11 with grade 1 mobility and sensitivity to percussion.
– Tooth #21 has no fracture but has grade 2 mobility, sensitivity to percussion.

59. You have to discuss the condition and treatment plan to get a consent that must be signed by?-

A. The kid

Correct Incorrect Correct answer

B. The parent

Correct Incorrect Correct answer

C. Any adult who brings the kid to the clinic

Correct Incorrect Correct answer

D. No need for a consent in emergency like this

Correct Incorrect Correct answer

A 11 year old patient fell off his kickboard and hit his upper anterior teeth against a fence.
He felt bits of his tooth #11 in his mouth but didn’t save them.
He presented at the clinic 25 minutes after the trauma.
The initial examination revealed->
– Complicated fracture of the crown of tooth #11 with grade 1 mobility and sensitivity to percussion.
– Tooth #21 has no fracture but has grade 2 mobility, sensitivity to percussion.

60. You are finding it hard to take a periapical radiograph.
What to do?-

A. Refer for an OPG

Correct Incorrect Correct answer

B. You must take periapical radiograph

Correct Incorrect Correct answer

C. Take occlusal view

Correct Incorrect Correct answer

D. Leave it with no radiograph

Correct Incorrect Correct answer

A 30-year-old woman complains of her gum recession.
She has a normal tooth brushing habit.
You find that all probing depths are 1-2 mm with no bleeding.
No teeth have increased mobility and no possible occlusal factors are present.
All teeth respond to vitality testing.
She remembers noticing the recession for at least the previous 5 years.
She thinks it has worsened over the last 12 months.
There has recently been some sensitivity to hot and cold and gingival soreness, most noticeably on tooth brushing or eating ice cream.

61. When might a radiograph be very helpful?-

A. Swollen interdental papillae with minimal probing depth

Correct Incorrect Correct answer

B. Dehiscence

Correct Incorrect Correct answer

C. Interdental bone loss is suspected

Correct Incorrect Correct answer

D. Fenestrations

Correct Incorrect Correct answer

A 30-year-old woman complains of her gum recession.
She has a normal tooth brushing habit.
You find that all probing depths are 1-2 mm with no bleeding.
No teeth have increased mobility and no possible occlusal factors are present.
All teeth respond to vitality testing.
She remembers noticing the recession for at least the previous 5 years.
She thinks it has worsened over the last 12 months.
There has recently been some sensitivity to hot and cold and gingival soreness, most noticeably on tooth brushing or eating ice cream.

62. With normal toothbrushing habits and no previous orthodontic treatment.
What is your diagnosis and its likely etiology?-

A. Localized aggressive periodontitis

Correct Incorrect Correct answer

B. Gingival hyperplasia

Correct Incorrect Correct answer

C. Gingival recession due to thin labial gingiva

Correct Incorrect Correct answer

D. Tooth abrasion and gingival trauma

Correct Incorrect Correct answer

E. Trauma

Correct Incorrect Correct answer

A 30-year-old woman complains of her gum recession.
She has a normal tooth brushing habit.
You find that all probing depths are 1-2 mm with no bleeding.
No teeth have increased mobility and no possible occlusal factors are present.
All teeth respond to vitality testing.
She remembers noticing the recession for at least the previous 5 years.
She thinks it has worsened over the last 12 months.
There has recently been some sensitivity to hot and cold and gingival soreness, most noticeably on tooth brushing or eating ice cream.

63. How is gingival recession measured?-

A. From CEJ to free marginal gingiva

Correct Incorrect Correct answer

B. From gingival margin to junctional epithelium

Correct Incorrect Correct answer

C. From gingival margin to depth of sulcus

Correct Incorrect Correct answer

D. From CEJ to mucogingival junction

Correct Incorrect Correct answer

E. From clinical crown to mucogingival junction

Correct Incorrect Correct answer

A 30-year-old woman complains of her gum recession.
She has a normal tooth brushing habit.
You find that all probing depths are 1-2 mm with no bleeding.
No teeth have increased mobility and no possible occlusal factors are present.
All teeth respond to vitality testing.
She remembers noticing the recession for at least the previous 5 years.
She thinks it has worsened over the last 12 months.
There has recently been some sensitivity to hot and cold and gingival soreness, most noticeably on tooth brushing or eating ice cream.

64. Presence of functional attached gingiva can be assessed through?-

A. Subtract the probing depth recording from the width of keratinized gingiva

Correct Incorrect Correct answer

B. Pull gently on the lip or depress the labial sulcus mucosa, placing tension on the attached gingiva or gingival margin

Correct Incorrect Correct answer

C. Try to displace teeth in a bucco-lingual direction using two instrument handles

Correct Incorrect Correct answer

D. Perform routine recording of bleeding on probing; immediate or delayed

Correct Incorrect Correct answer

A 30-year-old woman complains of her gum recession.
She has a normal tooth brushing habit.
You find that all probing depths are 1-2 mm with no bleeding.
No teeth have increased mobility and no possible occlusal factors are present.
All teeth respond to vitality testing.
She remembers noticing the recession for at least the previous 5 years.
She thinks it has worsened over the last 12 months.
There has recently been some sensitivity to hot and cold and gingival soreness, most noticeably on tooth brushing or eating ice cream.

65. What definitive treatment option would be most helpful in resolving the patient’s chief complaint?-

A. Proper oral hygiene instructions

Correct Incorrect Correct answer

B. Complete scaling and root debridement

Correct Incorrect Correct answer

C. A graft placement in the area of recession

Correct Incorrect Correct answer

D. Extracting the teeth followed by implants placement

Correct Incorrect Correct answer

A girl came with her mother from a rural area using public transport.
The mother is worried about her smile and they cannot wait too long as they want to go back home on the last available public transportation.
She is fit and healthy.
You are the only dentist in the area.
The clinical appearance is seen in the below picture.
The radiograph is an old one.

66. You found this radiograph in her old records.
According to the given radiographic view, how old was she (years) when this radiograph was taken?-

A. 4-5

Correct Incorrect Correct answer

B. 6-8

Correct Incorrect Correct answer

C. 8-9

Correct Incorrect Correct answer

D. 13

Correct Incorrect Correct answer

E. 10

Correct Incorrect Correct answer

A girl came with her mother from a rural area using public transport.
The mother is worried about her smile and they cannot wait too long as they want to go back home on the last available public transportation.
She is fit and healthy.
You are the only dentist in the area.
The clinical appearance is seen in the below picture.
The radiograph is an old one.

67. What is the issue that caused her appearance?-

A. Improper path of eruption for permanent canine

Correct Incorrect Correct answer

B. Ugly duckling stage

Correct Incorrect Correct answer

C. Impacted upper canine

Correct Incorrect Correct answer

D. Crowding due to arch size

Correct Incorrect Correct answer

E. Developmental syndrome

Correct Incorrect Correct answer

A girl came with her mother from a rural area using public transport.
The mother is worried about her smile and they cannot wait too long as they want to go back home on the last available public transportation.
She is fit and healthy.
You are the only dentist in the area.
The clinical appearance is seen in the below picture.
The radiograph is an old one.

68. If you decide that it is an ectopic eruption.
What is the direct cause for it?-

A. Retained upper primary canine

Correct Incorrect Correct answer

B. Normal teeth eruption

Correct Incorrect Correct answer

C. Retained upper primary first molar

Correct Incorrect Correct answer

D. Developmental syndrome

Correct Incorrect Correct answer

E. Small upper arch

Correct Incorrect Correct answer

A girl came with her mother from a rural area using public transport.
The mother is worried about her smile and they cannot wait too long as they want to go back home on the last available public transportation.
She is fit and healthy.
You are the only dentist in the area.
The clinical appearance is seen in the below picture.
The radiograph is an old one.

69. The patient has midline diastema, what should you tell her about the cause?-

A. Normal at an older age

Correct Incorrect Correct answer

B. Mesiodens

Correct Incorrect Correct answer

C. Missing primary tooth

Correct Incorrect Correct answer

D. Ugly duckling stage

Correct Incorrect Correct answer

E. Abnormal condition requires more radiographic investigation

Correct Incorrect Correct answer

A girl came with her mother from a rural area using public transport.
The mother is worried about her smile and they cannot wait too long as they want to go back home on the last available public transportation.
She is fit and healthy.
You are the only dentist in the area.
The clinical appearance is seen in the below picture.
The radiograph is an old one.

70. What is the ideal treatment for her?-

A. Extraction of primary canine with space maintainer

Correct Incorrect Correct answer

B. Extraction of primary canine without space maintainer

Correct Incorrect Correct answer

C. Extract of the primary canine and refer to an orthodontist

Correct Incorrect Correct answer

D. Leave as it is and follow up in 6 months

Correct Incorrect Correct answer

You are taking care of a lady with a vomiting disorder habit.
She is under treatment with her doctor although the treatment is not helping her much.
She is really obsessive about brushing her teeth.
Medically she is fit and healthy and is lactose intolerant.

71. You are working with her nutritionist to help make sure she has stopped the habit.
How would you check if the lesions on her teeth are still active?-

A. Exposed dentine is not stained

Correct Incorrect Correct answer

B. Stage 2 wear index

Correct Incorrect Correct answer

C. Margins of restoration raise on tooth

Correct Incorrect Correct answer

D. Smooth, shiny, define round margins of the teeth

Correct Incorrect Correct answer

You are taking care of a lady with a vomiting disorder habit.
She is under treatment with her doctor although the treatment is not helping her much.
She is really obsessive about brushing her teeth.
Medically she is fit and healthy and is lactose intolerant.

72. You determine she needs to increase her calcium intake to help with restoring dentition.
How is this best managed?-

A. Tell her to eat more dairy food

Correct Incorrect Correct answer

B. Advise her to eat food high in calcium

Correct Incorrect Correct answer

C. Refer to dietitian for adjustment of calcium in her diet

Correct Incorrect Correct answer

D. Refer to GP for a bone densitometry to determine the need of calcium

Correct Incorrect Correct answer

E. Tell her to buy over the counter calcium supplements

Correct Incorrect Correct answer

You are taking care of a lady with a vomiting disorder habit.
She is under treatment with her doctor although the treatment is not helping her much.
She is really obsessive about brushing her teeth.
Medically she is fit and healthy and is lactose intolerant.

73. What simple measure will you advise her about to avoid further damage to her teeth due to vomiting habit?-

A. Brush 60 minutes after vomiting

Correct Incorrect Correct answer

B. Use mouthwash 900 ppm after vomiting

Correct Incorrect Correct answer

C. After vomiting brush immediately

Correct Incorrect Correct answer

D. Rinse with water after vomiting

Correct Incorrect Correct answer

E. Apply small brush circulation with soft toothbrush after vomiting

Correct Incorrect Correct answer

You are taking care of a lady with a vomiting disorder habit.
She is under treatment with her doctor although the treatment is not helping her much.
She is really obsessive about brushing her teeth.
Medically she is fit and healthy and is lactose intolerant.

74. Which tooth surfaces are most affected by vomiting?-

A. Anterior buccal of maxillary teeth

Correct Incorrect Correct answer

B. Occlusal areas of mandibular posterior

Correct Incorrect Correct answer

C. Palatal of maxillary posterior

Correct Incorrect Correct answer

D. Incisal edge of mandibular anterior

Correct Incorrect Correct answer

You are taking care of a lady with a vomiting disorder habit.
She is under treatment with her doctor although the treatment is not helping her much.
She is really obsessive about brushing her teeth.
Medically she is fit and healthy and is lactose intolerant.

75. How to protect her teeth chemically against acid challenge?-

A. Using antacid to neutralize acids before vomiting is better than rinsing with water after vomiting

Correct Incorrect Correct answer

B. As a practical solution add calcium, magnesium, phosphates or fluoride to beverages to reduce their erosive potential

Correct Incorrect Correct answer

C. Self application of fluoride gels in the evenings for nocturnal vomiting

Correct Incorrect Correct answer

D. Decrease the frequency of carbohydrates intake

Correct Incorrect Correct answer

This patient is a 6-year-old boy with an erupting 1st permanent molar.

76. Classify the caries in 1st primary molar?-

A. C2

Correct Incorrect Correct answer

B. C3

Correct Incorrect Correct answer

C. C4

Correct Incorrect Correct answer

D. C5

Correct Incorrect Correct answer

This patient is a 6-year-old boy with an erupting 1st permanent molar.

77. What caries sequelae must we avoid in this situation?-

A. Primary tooth mobility

Correct Incorrect Correct answer

B. Turner's enamel hypoplasia of primary tooth

Correct Incorrect Correct answer

C. Primary tooth abscess at bifurcation area

Correct Incorrect Correct answer

D. Caries entering the dentine

Correct Incorrect Correct answer

This patient is a 6-year-old boy with an erupting 1st permanent molar.

78. When will the 1st primary molar exfoliate?-

A. Age of 10

Correct Incorrect Correct answer

B. Age of 12

Correct Incorrect Correct answer

C. Age of 14

Correct Incorrect Correct answer

D. Age of 6

Correct Incorrect Correct answer

This patient is a 6-year-old boy with an erupting 1st permanent molar.

79. Best management at this stage?-

A. Leave and observe

Correct Incorrect Correct answer

B. Extract

Correct Incorrect Correct answer

C. Filling if there no pulp exposure

Correct Incorrect Correct answer

D. Pulpectomy

Correct Incorrect Correct answer

This patient is a 6-year-old boy with an erupting 1st permanent molar.

80. Another patient who is under consideration for preventive treatment.
Which one surface would you not seal as the only treatment?-

A. Lower 1st molar

Correct Incorrect Correct answer

B. Lower 2nd molar

Correct Incorrect Correct answer

C. Upper 1st molar

Correct Incorrect Correct answer

D. Upper 2nd molar

Correct Incorrect Correct answer

A 67-year-old lady with a complaint that her denture has never ‘seemed right’ from the day it was fitted.
She is dissatisfied primarily with her upper complete overdenture. She can wear the denture in the morning, but by about 3 o’clock in the afternoon, it becomes too uncomfortable, she likes to take it out.
The patient is happy with the retention and fit of the denture. It does not move while eating.
She reports no problems with her lower teeth.
The TMJ is free of clicks, and no muscle tenderness.
You notice that the patient has a slightly open lip posture when she is seated in the dental chair. There is slight redness of the palate under the denture-bearing area, but the ridge is not tender, no bleeding on probing around the canine roots and no detectable sinus.
The occlusal plane is relatively even.
The denture appears clean and without obvious defects, and there is a definite post dam along its posterior margin.

81. From the patient’s history, what do you think could be the reason for the chief complaint?-

A. Traumatic ulcers

Correct Incorrect Correct answer

B. Over extended

Correct Incorrect Correct answer

C. Teeth outside occlusion zone

Correct Incorrect Correct answer

D. Decrease in freeway space

Correct Incorrect Correct answer

E. Pressure on supporting structures

Correct Incorrect Correct answer

A 67-year-old lady with a complaint that her denture has never ‘seemed right’ from the day it was fitted.
She is dissatisfied primarily with her upper complete overdenture. She can wear the denture in the morning, but by about 3 o’clock in the afternoon, it becomes too uncomfortable, she likes to take it out.
The patient is happy with the retention and fit of the denture. It does not move while eating.
She reports no problems with her lower teeth.
The TMJ is free of clicks, and no muscle tenderness.
You notice that the patient has a slightly open lip posture when she is seated in the dental chair. There is slight redness of the palate under the denture-bearing area, but the ridge is not tender, no bleeding on probing around the canine roots and no detectable sinus.
The occlusal plane is relatively even.
The denture appears clean and without obvious defects, and there is a definite post dam along its posterior margin.

82. How large should the free way space be?-

A. 1-2 mm in incisor region

Correct Incorrect Correct answer

B. 2-4 mm in premolar region

Correct Incorrect Correct answer

C. 3-4 mm in incisor region

Correct Incorrect Correct answer

D. 3-4 mm in premolar region

Correct Incorrect Correct answer

A 67-year-old lady with a complaint that her denture has never ‘seemed right’ from the day it was fitted.
She is dissatisfied primarily with her upper complete overdenture. She can wear the denture in the morning, but by about 3 o’clock in the afternoon, it becomes too uncomfortable, she likes to take it out.
The patient is happy with the retention and fit of the denture. It does not move while eating.
She reports no problems with her lower teeth.
The TMJ is free of clicks, and no muscle tenderness.
You notice that the patient has a slightly open lip posture when she is seated in the dental chair. There is slight redness of the palate under the denture-bearing area, but the ridge is not tender, no bleeding on probing around the canine roots and no detectable sinus.
The occlusal plane is relatively even.
The denture appears clean and without obvious defects, and there is a definite post dam along its posterior margin.

83. If the patient was complaining of pain on eating or pain on the whole ridge this will suggest?-

A. Error in occlusal vertical dimension

Correct Incorrect Correct answer

B. Error in centric occlusion

Correct Incorrect Correct answer

C. Difficulty in adaptation

Correct Incorrect Correct answer

D. Denture stomatitis

Correct Incorrect Correct answer

A 67-year-old lady with a complaint that her denture has never ‘seemed right’ from the day it was fitted.
She is dissatisfied primarily with her upper complete overdenture. She can wear the denture in the morning, but by about 3 o’clock in the afternoon, it becomes too uncomfortable, she likes to take it out.
The patient is happy with the retention and fit of the denture. It does not move while eating.
She reports no problems with her lower teeth.
The TMJ is free of clicks, and no muscle tenderness.
You notice that the patient has a slightly open lip posture when she is seated in the dental chair. There is slight redness of the palate under the denture-bearing area, but the ridge is not tender, no bleeding on probing around the canine roots and no detectable sinus.
The occlusal plane is relatively even.
The denture appears clean and without obvious defects, and there is a definite post dam along its posterior margin.

84. Difficulty in becoming accustomed to a new denture design can be experienced within the first?-

A. 1 month

Correct Incorrect Correct answer

B. 2 weeks

Correct Incorrect Correct answer

C. 3 months

Correct Incorrect Correct answer

D. 1 week

Correct Incorrect Correct answer

E. 6 months

Correct Incorrect Correct answer

A 67-year-old lady with a complaint that her denture has never ‘seemed right’ from the day it was fitted.
She is dissatisfied primarily with her upper complete overdenture. She can wear the denture in the morning, but by about 3 o’clock in the afternoon, it becomes too uncomfortable, she likes to take it out.
The patient is happy with the retention and fit of the denture. It does not move while eating.
She reports no problems with her lower teeth.
The TMJ is free of clicks, and no muscle tenderness.
You notice that the patient has a slightly open lip posture when she is seated in the dental chair. There is slight redness of the palate under the denture-bearing area, but the ridge is not tender, no bleeding on probing around the canine roots and no detectable sinus.
The occlusal plane is relatively even.
The denture appears clean and without obvious defects, and there is a definite post dam along its posterior margin.

85. Patients with increased vertical dimension of occlusion.
Your management will be?-

A. Give patient more time to be accustomed to it

Correct Incorrect Correct answer

B. Remake the dentures

Correct Incorrect Correct answer

C. Grind the occlusal surface to even it out

Correct Incorrect Correct answer

D. Use tissue conditioners to help the patient

Correct Incorrect Correct answer

A 50 years old gentleman requested an implant to replace tooth #14 which was extracted a few months ago.
He gives a history of profuse bleeding during his surgical extraction. He was on anticoagulant and calcium channel blocker for hypertension and consumed alcohol on weekends and is a smoker.

86. Which criteria will help with stability of the implant with further help in treatment planning for this patient?-

A. Plaque index

Correct Incorrect Correct answer

B. Take study model cast

Correct Incorrect Correct answer

С. СВСТ

Correct Incorrect Correct answer

D. OPG

Correct Incorrect Correct answer

A 50 years old gentleman requested an implant to replace tooth #14 which was extracted a few months ago.
He gives a history of profuse bleeding during his surgical extraction. He was on anticoagulant and calcium channel blocker for hypertension and consumed alcohol on weekends and is a smoker.

87. You palpate the alveolar ridge area wrt Tooth 14 and buccal cortical plate was collapsed, so what will you do?

A. Bone graft before placing implant

Correct Incorrect Correct answer

B. Bone graft not required before placing implant

Correct Incorrect Correct answer

C. We can't place implant because the poor bone quality

Correct Incorrect Correct answer

D. Place implant with lingual tilt with angulated abutment

Correct Incorrect Correct answer

E. Place an implant with angled abutment

Correct Incorrect Correct answer

F. Bone graft after implant placement

Correct Incorrect Correct answer

A 50 years old gentleman requested an implant to replace tooth #14 which was extracted a few months ago.
He gives a history of profuse bleeding during his surgical extraction. He was on anticoagulant and calcium channel blocker for hypertension and consumed alcohol on weekends and is a smoker.

88. What have you told the patient about the maxillary 14 region to place an implant?-

A. Large intertrabecular space

Correct Incorrect Correct answer

B. Improper bone quality

Correct Incorrect Correct answer

C. Maxillary sinus nearby

Correct Incorrect Correct answer

D. Pneumatization of sinus

Correct Incorrect Correct answer

E. Porous bone

Correct Incorrect Correct answer

A 50 years old gentleman requested an implant to replace tooth #14 which was extracted a few months ago.
He gives a history of profuse bleeding during his surgical extraction. He was on anticoagulant and calcium channel blocker for hypertension and consumed alcohol on weekends and is a smoker.

89. What is the most important history we have to consider in this patient if present?-

A. Previous history of bone graft rejection

Correct Incorrect Correct answer

B. History of bone disease

Correct Incorrect Correct answer

C. Smoking

Correct Incorrect Correct answer

D. History of metabolic disease

Correct Incorrect Correct answer

A 50 years old gentleman requested an implant to replace tooth #14 which was extracted a few months ago.
He gives a history of profuse bleeding during his surgical extraction. He was on anticoagulant and calcium channel blocker for hypertension and consumed alcohol on weekends and is a smoker.

90. What feature is most desirable in the investigation you would like to order further?-

A. Level of Sinus

Correct Incorrect Correct answer

B. High resolution

Correct Incorrect Correct answer

C. Superimposition of anatomical structures

Correct Incorrect Correct answer

D. Ability to measure linear measurements accurately

Correct Incorrect Correct answer

E. Two dimensional image

Correct Incorrect Correct answer

F. Breadth(Width) image

Correct Incorrect Correct answer

A 50 years old gentleman requested an implant to replace tooth #14 which was extracted a few months ago.
He gives a history of profuse bleeding during his surgical extraction. He was on anticoagulant and calcium channel blocker for hypertension and consumed alcohol on weekends and is a smoker.

91. Best examination modality for implant treatment planning?-

A. OPG

Correct Incorrect Correct answer

В. СВСТ

Correct Incorrect Correct answer

C. IOPA

Correct Incorrect Correct answer

D. Bitewing

Correct Incorrect Correct answer

Patient is on antidepressants – Zoloft (SSRI) class.
He is divorced and is now fighting for child’s custody.
He is also having financial constraints & is planning to switch his antidepressants to some holistic approach as the current medications give him bad reflux and his life is being affected and impaired by it.
He has bruxism and is looking for missing teeth replacement.

92. He asked you for advice about painkillers.
What would your answer be?-

A. All pharmacological prescriptions for pain is prescribed by GP

Correct Incorrect Correct answer

B. Just refer to GP and ask him to talk to him only

Correct Incorrect Correct answer

C. Tell him pain is a vast area, it might be caused by different reasons and send him to GP

Correct Incorrect Correct answer

D. Show him empathy, prescribe him only dental related solutions and send him for medical referral for further medications

Correct Incorrect Correct answer

Patient is on antidepressants – Zoloft (SSRI) class.
He is divorced and is now fighting for child’s custody.
He is also having financial constraints & is planning to switch his antidepressants to some holistic approach as the current medications give him bad reflux and his life is being affected and impaired by it.
He has bruxism and is looking for missing teeth replacement.

93. Which denture, if required, would you give him?-

A. Cobalt chromium framework & acrylic base

Correct Incorrect Correct answer

B. Acrylic denture with a metal clasp

Correct Incorrect Correct answer

C. Implant supported RPD

Correct Incorrect Correct answer

D. Acrylic resin RPD

Correct Incorrect Correct answer

Patient is on antidepressants – Zoloft (SSRI) class.
He is divorced and is now fighting for child’s custody.
He is also having financial constraints & is planning to switch his antidepressants to some holistic approach as the current medications give him bad reflux and his life is being affected and impaired by it.
He has bruxism and is looking for missing teeth replacement.

94. Occlusal devices are often used to protect restorations and the natural dentition.
Comparison of the effects of hard and soft occlusal devices on nocturnal bruxism showed?-

A. Hard occlusal devices significantly reduced muscle activity

Correct Incorrect Correct answer

B. Soft occlusal devices were effective in reducing muscle activity

Correct Incorrect Correct answer

C. There was no significant difference between the hard and soft occlusal devices therapy

Correct Incorrect Correct answer

D. Hard occlusal devices were not effective in reducing muscle activity

Correct Incorrect Correct answer

Patient is on antidepressants – Zoloft (SSRI) class.
He is divorced and is now fighting for child’s custody.
He is also having financial constraints & is planning to switch his antidepressants to some holistic approach as the current medications give him bad reflux and his life is being affected and impaired by it.
He has bruxism and is looking for missing teeth replacement.

95. Which material is contraindicated for cleaning cobalt chromium dentures?-

A. Hypochlorite

Correct Incorrect Correct answer

B. Vinegar

Correct Incorrect Correct answer

C. Chlorhexidine

Correct Incorrect Correct answer

D. Hydrogen peroxide

Correct Incorrect Correct answer

Patient is on antidepressants – Zoloft (SSRI) class.
He is divorced and is now fighting for child’s custody.
He is also having financial constraints & is planning to switch his antidepressants to some holistic approach as the current medications give him bad reflux and his life is being affected and impaired by it.
He has bruxism and is looking for missing teeth replacement.

96. If required, which analgesic is preferably avoided for the patient?-

A. Ibuprofen

Correct Incorrect Correct answer

B. Paracetamol

Correct Incorrect Correct answer

C. Tramadol

Correct Incorrect Correct answer

D. Oxycodone

Correct Incorrect Correct answer

Patient with well-fitting upper complete denture & lower posterior RPD.
You found after the initial assessment that lower anterior incisors teeth are grade 3 mobile while the rest of them like canine & premolars are periodontally sound & can be retained.
He is diabetic and the medical practitioner provides you with blood reports with HbA1C 6.9%.
The patient is on aspirin and recently changed his diabetic medications from metformin to SGLT2 inhibitor.

97. What other investigation will help in planning the lower arch and will be important before considering extraction of the mobile lower incisors?-

A. OPG

Correct Incorrect Correct answer

B. Percussion

Correct Incorrect Correct answer

C. Pulp sensibility

Correct Incorrect Correct answer

D. Measuring VDO

Correct Incorrect Correct answer

Patient with well-fitting upper complete denture & lower posterior RPD.
You found after the initial assessment that lower anterior incisors teeth are grade 3 mobile while the rest of them like canine & premolars are periodontally sound & can be retained.
He is diabetic and the medical practitioner provides you with blood reports with HbA1C 6.9%.
The patient is on aspirin and recently changed his diabetic medications from metformin to SGLT2 inhibitor.

98. After injecting IAN anesthesia with 1:8 ml using the right technique, the patient still feels pain.
You injected another 2 ml.
What’s wrong with the first injection?-

A. Anatomical variation

Correct Incorrect Correct answer

B. Muscular injection

Correct Incorrect Correct answer

C. Dosage of anesthesia is not enough

Correct Incorrect Correct answer

D. Wrong LA injected

Correct Incorrect Correct answer

Patient with well-fitting upper complete denture & lower posterior RPD.
You found after the initial assessment that lower anterior incisors teeth are grade 3 mobile while the rest of them like canine & premolars are periodontally sound & can be retained.
He is diabetic and the medical practitioner provides you with blood reports with HbA1C 6.9%.
The patient is on aspirin and recently changed his diabetic medications from metformin to SGLT2 inhibitor.

99. You plan to give immediate denture to the patient.
What will you inform the patient about the stability of denture post insertion?-

A. Keep denture out for first 7 days

Correct Incorrect Correct answer

B. Relining denture after 6 month

Correct Incorrect Correct answer

C. New denture after 1 year

Correct Incorrect Correct answer

D. Keep the immediate denture in and out of the mouth for 24 hrs

Correct Incorrect Correct answer

Patient with well-fitting upper complete denture & lower posterior RPD.
You found after the initial assessment that lower anterior incisors teeth are grade 3 mobile while the rest of them like canine & premolars are periodontally sound & can be retained.
He is diabetic and the medical practitioner provides you with blood reports with HbA1C 6.9%.
The patient is on aspirin and recently changed his diabetic medications from metformin to SGLT2 inhibitor.

100. What is the most important factor to achieve haemostasis after extraction?-

A. Pressure

Correct Incorrect Correct answer

B. Suture

Correct Incorrect Correct answer

C. 4.8% tranexamic acid mouthwash

Correct Incorrect Correct answer

D. Cellulose gel in socket

Correct Incorrect Correct answer

Patient with well-fitting upper complete denture & lower posterior RPD.
You found after the initial assessment that lower anterior incisors teeth are grade 3 mobile while the rest of them like canine & premolars are periodontally sound & can be retained.
He is diabetic and the medical practitioner provides you with blood reports with HbA1C 6.9%.
The patient is on aspirin and recently changed his diabetic medications from metformin to SGLT2 inhibitor.

101. What will you do about the SGLT2 inhibitor before extracting all the lower mobile incisors?-

A. Do nothing

Correct Incorrect Correct answer

B. SGLT2 inhibitors may need to be stopped before a dental procedure-consult the medical practitioner

Correct Incorrect Correct answer

C. Use anesthesia without adrenaline

Correct Incorrect Correct answer

D. Provide antibiotic prophylaxis before the procedure to eliminate risk of infections post-operatively

Correct Incorrect Correct answer

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