Grand Final mock exam 7

A Patient, 54 years old presented to your practice concerned about his oral health.
He is a past methamphetamine user, 6 months since last use.
You plan to do scale and clean for this patient as his teeth are sensitive.

1. Anesthesia for scale and clean?-

A Patient, 54 years old presented to your practice concerned about his oral health.
He is a past methamphetamine user, 6 months since last use.
You plan to do scale and clean for this patient as his teeth are sensitive.

2. Which caries are common in these patients?-

A Patient, 54 years old presented to your practice concerned about his oral health.
He is a past methamphetamine user, 6 months since last use.
You plan to do scale and clean for this patient as his teeth are sensitive.

3. What is the cause of the caries lesions?-

A Patient, 54 years old presented to your practice concerned about his oral health.
He is a past methamphetamine user, 6 months since last use.
You plan to do scale and clean for this patient as his teeth are sensitive.

4. 6 months after methamphetamine use, what ongoing effect can still be seen?-

A Patient, 54 years old presented to your practice concerned about his oral health.
He is a past methamphetamine user, 6 months since last use.
You plan to do scale and clean for this patient as his teeth are sensitive.

5. What condition will make gingivitis progress to periodontitis?-

Patient came with a fractured 5 unit anterior bridge which was 5 years old.
Tooth 13,11 and 22 are abutments.
Pontics are 12 and 21.

6. Why might the bridge have failed?-

Patient came with a fractured 5 unit anterior bridge which was 5 years old.
Tooth 13,11 and 22 are abutments.
Pontics are 12 and 21.

7. Which material will give the best balance of aesthetics and strength?-

Patient came with a fractured 5 unit anterior bridge which was 5 years old.
Tooth 13,11 and 22 are abutments.
Pontics are 12 and 21.

8. Type of failure?-

Patient came with a fractured 5 unit anterior bridge which was 5 years old.
Tooth 13,11 and 22 are abutments.
Pontics are 12 and 21.

9. If clear signs of bruxism are present, what would be most appropriate to reduce chances of problems to reoccur?-

Patient came with a fractured 5 unit anterior bridge which was 5 years old.
Tooth 13,11 and 22 are abutments.
Pontics are 12 and 21.

10. If you want to repair the fractured porcelain chairside, what will you do?-

11. Which factor from today’s appointment shows that he has poor oral hygiene?-

12. Poor saliva quality, what does that mean?-

13. You were going to give hygiene treatment to the patient and he has mentioned he would like to be given local anesthesia because he has experienced lots of sensitivity before.
Which local anesthesia?-

14. After you have given local anesthesia, you are about to start the hygiene treatment and the patient starts getting pale, slow breathing. What is happening?-

15. When to start CPR?-

16. You decide to divide the treatment into 2 visits. Next appointment, patient given anesthesia lignocaine with 1:80,000 adrenaline and they feel heart palpitations, what’s the reason?-

17. While doing a prophylaxis the rubber cup dislodged from the handpiece and was lost behind his middle third of tongue. What is the first thing to do?-

18. How to make a needle safe after using it in a dental setting?-

19. After use, you will dispose of the needle in a sharps container.
Where should it be located?-

20. Numbers you can connect directly to emergencies?-

21. Best combination to give for chronic periodontitis along with metronidazole?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

22. Diagnose the condition?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

23. Best treatment option at this time for his anteriors as kids make fun of his teeth at school?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

24. For posteriors?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

25. Based on average dental development, location and number of teeth affected, what would be the cause?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

26. There is a retained tooth 55 which you plan on extracting.
Which forces will you use?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

27. Patient allergic to milk, what adjunct can’t you use?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

28. The boy is also allergic to gum from the sticking plaster.
What else do you need to make sure to avoid?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

29. Tooth 16 seems to need a root canal treatment.
Safest and most effective method to irrigate a canal?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

30. The mum has some cavities, calculus and gum bleeding.
She is asking about bleaching of her teeth. When will you perform it?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

31. The mum is trying to quit using e-cigarettes, what do you tell her?-

Mom brings her child Marcus, 13 years old.
All anterior teeth from canine to canine affected.
Pitting and staining are also seen.
First molars are also severely affected.
Other teeth are not affected.

32. What mouthwash will you provide for her gingivitis and bleeding?-

33. What are the tests for glycemic control or screening?-

34. She comes with pain requiring an RCT. What from her history should you evaluate further on?-

35. Patient refuses rubber dam, what is the immediate/emergency management for her pain?-

36. She refuses to use fluoride. How will you manage?-

37. She has sensitivity with her teeth.
Desensitization agent?-

38. One of her other teeth is carious with sensitivity.
How do you diagnose it?-

39. No lingering pain & while carrying excavation you realize if you remove anymore it will expose pulp. What do you do?-

40. You had Hepatitis C and got treatment for it.
What is the defining factor to treat this patient?-

41. You get a needle stick injury as you realize your hand is bleeding post extraction while you are organizing contaminated forceps/instruments in your bracket table.
Timeframe to get yourself tested?-

42. Your status is 98 mIU/mL.
What measures will you take?-

43. If HBV prophylaxis is not undertaken if required, the risk of transmission of HBV if the source is hepatitis B ‘e’ antigen positive is?-

44. Semi critical instrument?-

Tuah, a 48-year-old man from Malaysia, relocated to Australia 35 years ago to live with his same-sex partner.
He is currently unemployed and resides in concession.
Tuah has a daily habit of smoking half a pack of cigarettes and consumes alcohol on a daily basis.
Furthermore, he has had a broken filling for the past 18 months.
During a check-up, a white lesion was detected on his tongue.

45. What could be the risk factor?-

Tuah, a 48-year-old man from Malaysia, relocated to Australia 35 years ago to live with his same-sex partner.
He is currently unemployed and resides in concession.
Tuah has a daily habit of smoking half a pack of cigarettes and consumes alcohol on a daily basis.
Furthermore, he has had a broken filling for the past 18 months.
During a check-up, a white lesion was detected on his tongue.

46. What would make you suspect the lesion to be serious?-

Tuah, a 48-year-old man from Malaysia, relocated to Australia 35 years ago to live with his same-sex partner.
He is currently unemployed and resides in concession.
Tuah has a daily habit of smoking half a pack of cigarettes and consumes alcohol on a daily basis.
Furthermore, he has had a broken filling for the past 18 months.
During a check-up, a white lesion was detected on his tongue.

47. Lesion was present a little below the right lateral border of the tongue.
Which biopsy would you perform?-

Tuah, a 48-year-old man from Malaysia, relocated to Australia 35 years ago to live with his same-sex partner.
He is currently unemployed and resides in concession.
Tuah has a daily habit of smoking half a pack of cigarettes and consumes alcohol on a daily basis.
Furthermore, he has had a broken filling for the past 18 months.
During a check-up, a white lesion was detected on his tongue.

48. This lesion has been diagnosed as squamous cell carcinoma at an early stage.
What is the treatment?-

49. After you irrigated the socket with normal saline and placed Alveogyl as part of the treatment, he suddenly started sweating profusely, exhibiting palpitations and cold extremities.
What could be the most probable cause of this reaction?-

50. What will be your next course of action?-

51. The first drug used for the management of anaphylaxis is?-

52. The patient is not responding to two injections of the management medication, the next step would be?-

53. Emergency attended the patient and took him to hospital.
Your dental assistant asks why he wasn’t treated with oxygen and angina protocol?-

You are called in for conducting oral health checkups for inmates at a prison.
A new inmate, who has been put in prison for just a week, has a history of methamphetamine use and is currently using nicotine replacement therapy (NRT) patches as smoking cigarettes is not allowed in the prison. He has a 10-year history of smoking cigarettes.

54. The patient experienced palpitations for a while after local anesthetic administration, but the palpitation eventually subsided.
What could be the reason for this?-

You are called in for conducting oral health checkups for inmates at a prison.
A new inmate, who has been put in prison for just a week, has a history of methamphetamine use and is currently using nicotine replacement therapy (NRT) patches as smoking cigarettes is not allowed in the prison. He has a 10-year history of smoking cigarettes.

55. What effect does methamphetamine have in this particular presentation?-

You are called in for conducting oral health checkups for inmates at a prison.
A new inmate, who has been put in prison for just a week, has a history of methamphetamine use and is currently using nicotine replacement therapy (NRT) patches as smoking cigarettes is not allowed in the prison. He has a 10-year history of smoking cigarettes.

56. Along with methamphetamine’s corrosive effect, what is the most likely reason for his dental condition?-

You are called in for conducting oral health checkups for inmates at a prison.
A new inmate, who has been put in prison for just a week, has a history of methamphetamine use and is currently using nicotine replacement therapy (NRT) patches as smoking cigarettes is not allowed in the prison. He has a 10-year history of smoking cigarettes.

57. The patient exhibits minimal bleeding on probing (BOP) but has deep pockets.
What could be the reason for this?-

You are called in for conducting oral health checkups for inmates at a prison.
A new inmate, who has been put in prison for just a week, has a history of methamphetamine use and is currently using nicotine replacement therapy (NRT) patches as smoking cigarettes is not allowed in the prison. He has a 10-year history of smoking cigarettes.

58. What are the most common side effects of nicotine replacement therapy?-

A 35-year-old patient visits your clinic, complaining of pain in the lower left quadrant.
He points to the area around the lower left second and third molars, mentioning a persistent bad taste coming from the affected tooth.
The pain has been intermittent for the past month but has intensified over the last few days.
The tooth is sensitive to hot and cold, and it has started to ache spontaneously. Occasionally, it’s tender when biting down.
There is a periodontal probing depth of 5 mm in the area distal to the lower left second molar. The tooth does not respond to thermal or electric sensitivity tests.

59. Which of the following is true in regards to the periapical radiograph?-

A 35-year-old patient visits your clinic, complaining of pain in the lower left quadrant.
He points to the area around the lower left second and third molars, mentioning a persistent bad taste coming from the affected tooth.
The pain has been intermittent for the past month but has intensified over the last few days.
The tooth is sensitive to hot and cold, and it has started to ache spontaneously. Occasionally, it’s tender when biting down.
There is a periodontal probing depth of 5 mm in the area distal to the lower left second molar. The tooth does not respond to thermal or electric sensitivity tests.

60. What is your diagnosis?-

A 35-year-old patient visits your clinic, complaining of pain in the lower left quadrant.
He points to the area around the lower left second and third molars, mentioning a persistent bad taste coming from the affected tooth.
The pain has been intermittent for the past month but has intensified over the last few days.
The tooth is sensitive to hot and cold, and it has started to ache spontaneously. Occasionally, it’s tender when biting down.
There is a periodontal probing depth of 5 mm in the area distal to the lower left second molar. The tooth does not respond to thermal or electric sensitivity tests.

61. Treatment options will depend on?-

A 35-year-old patient visits your clinic, complaining of pain in the lower left quadrant.
He points to the area around the lower left second and third molars, mentioning a persistent bad taste coming from the affected tooth.
The pain has been intermittent for the past month but has intensified over the last few days.
The tooth is sensitive to hot and cold, and it has started to ache spontaneously. Occasionally, it’s tender when biting down.
There is a periodontal probing depth of 5 mm in the area distal to the lower left second molar. The tooth does not respond to thermal or electric sensitivity tests.

62. The patient is in pain.
What will you do?-

A 35-year-old patient visits your clinic, complaining of pain in the lower left quadrant.
He points to the area around the lower left second and third molars, mentioning a persistent bad taste coming from the affected tooth.
The pain has been intermittent for the past month but has intensified over the last few days.
The tooth is sensitive to hot and cold, and it has started to ache spontaneously. Occasionally, it’s tender when biting down.
There is a periodontal probing depth of 5 mm in the area distal to the lower left second molar. The tooth does not respond to thermal or electric sensitivity tests.

63. There is a fundamental error in this root canal treatment process?
Identify it?-

A 17-year-old boy ‘s mother noticed persistent white stain spots.
The patient’s medical history reveals that he had an ear infection at 1 year of age and pneumonia at 12 years old.
There is no history of positive trauma to the primary teeth.
The primary teeth did not show any abnormalities, but the permanent teeth have exhibited these issues since eruption.
Good oral hygiene with limited consumption of refined carbohydrates and carbonated beverages.

64. What is your differential diagnosis?-

A 17-year-old boy ‘s mother noticed persistent white stain spots.
The patient’s medical history reveals that he had an ear infection at 1 year of age and pneumonia at 12 years old.
There is no history of positive trauma to the primary teeth.
The primary teeth did not show any abnormalities, but the permanent teeth have exhibited these issues since eruption.
Good oral hygiene with limited consumption of refined carbohydrates and carbonated beverages.

65. He had an ear infection at 1 year of age and he had pneumonia at 12 years.
Which one can be the cause for this appearance?-

A 17-year-old boy ‘s mother noticed persistent white stain spots.
The patient’s medical history reveals that he had an ear infection at 1 year of age and pneumonia at 12 years old.
There is no history of positive trauma to the primary teeth.
The primary teeth did not show any abnormalities, but the permanent teeth have exhibited these issues since eruption.
Good oral hygiene with limited consumption of refined carbohydrates and carbonated beverages.

66. What treatment would you do as he is concerned about his aesthetics?-

A 17-year-old boy ‘s mother noticed persistent white stain spots.
The patient’s medical history reveals that he had an ear infection at 1 year of age and pneumonia at 12 years old.
There is no history of positive trauma to the primary teeth.
The primary teeth did not show any abnormalities, but the permanent teeth have exhibited these issues since eruption.
Good oral hygiene with limited consumption of refined carbohydrates and carbonated beverages.

67. Definitive full coverage restorations are usually recommended at the age of?-

A 17-year-old boy ‘s mother noticed persistent white stain spots.
The patient’s medical history reveals that he had an ear infection at 1 year of age and pneumonia at 12 years old.
There is no history of positive trauma to the primary teeth.
The primary teeth did not show any abnormalities, but the permanent teeth have exhibited these issues since eruption.
Good oral hygiene with limited consumption of refined carbohydrates and carbonated beverages.

68. What advice would you give to him regarding fluoride use at his age?-

James, an 18-year-old cyclist who consumes a significant amount of sports drinks, visits for a routine check-up.
An X-ray was taken, revealing caries on tooth 47 (occlusal).
The caries extend into the dentin, with just a 1-2 mm distance from the pulp.
Examination shows a stained pit measuring 1mm on the occlusal surface of tooth 47.
Currently, the patient does not report any symptoms.

69. What should be the management?-

James, an 18-year-old cyclist who consumes a significant amount of sports drinks, visits for a routine check-up.
An X-ray was taken, revealing caries on tooth 47 (occlusal).
The caries extend into the dentin, with just a 1-2 mm distance from the pulp.
Examination shows a stained pit measuring 1mm on the occlusal surface of tooth 47.
Currently, the patient does not report any symptoms.

70. The patient said he will come back but missed the appointment and presented a few weeks later with spontaneous pain from the tooth. You make a provisional diagnosis of irreversible pulpitis.
What will you do now?-

James, an 18-year-old cyclist who consumes a significant amount of sports drinks, visits for a routine check-up.
An X-ray was taken, revealing caries on tooth 47 (occlusal).
The caries extend into the dentin, with just a 1-2 mm distance from the pulp.
Examination shows a stained pit measuring 1mm on the occlusal surface of tooth 47.
Currently, the patient does not report any symptoms.

71. The patient drinks sports drinks often and takes dry fruits to keep him energetic so that he can perform well.
The patient is at risk for caries, generalized sensitivity.
What will you advise the patient?-

James, an 18-year-old cyclist who consumes a significant amount of sports drinks, visits for a routine check-up.
An X-ray was taken, revealing caries on tooth 47 (occlusal).
The caries extend into the dentin, with just a 1-2 mm distance from the pulp.
Examination shows a stained pit measuring 1mm on the occlusal surface of tooth 47.
Currently, the patient does not report any symptoms.

72. You received a call from James after some days – he had an accident and broke his tooth. You agreed to see him during the lunch break and TWO of your patients were waiting.
On examination, there was swelling of the upper lip and gingiva and bleeding from the sulcus of tooth 11.
Pulp visible but not exposed- fracture of mesio-incisal edge extending to palatal gingiva but he can bite correctly.
What will you do for him at that appointment?-

James, an 18-year-old cyclist who consumes a significant amount of sports drinks, visits for a routine check-up.
An X-ray was taken, revealing caries on tooth 47 (occlusal).
The caries extend into the dentin, with just a 1-2 mm distance from the pulp.
Examination shows a stained pit measuring 1mm on the occlusal surface of tooth 47.
Currently, the patient does not report any symptoms.

73. He has habits that cause erosion.
You will conduct part of the treatment but delegate to oral therapist the diet and habits management.
What is correct?-

74. What is the reason for dental negligence?-

75. She has several amalgam fillings, and one of them is broken.
What is the least invasive treatment if the pulp is intact?-

76. The most prevalent reason for restoration replacements, regardless of the restorative material used?-

77. A restoration that requires repair?-

78. Tooth 14 has broken filling as well, IOPA shows distal radiolucency on tooth 14, there is tenderness to percussion.
What will you do next?-

The patient presents with a lesion in the buccal and occlusal surfaces of his upper and lower teeth.
He is a smoker, consuming approximately 5 cigarettes per day, and indulging in occasional alcohol consumption.
Additionally, the patient is currently taking selective H2-receptor antagonists for heartburn.
He doesn’t have any parafunctional habits.

79. It is possible the condition can be misdiagnosed as?-

The patient presents with a lesion in the buccal and occlusal surfaces of his upper and lower teeth.
He is a smoker, consuming approximately 5 cigarettes per day, and indulging in occasional alcohol consumption.
Additionally, the patient is currently taking selective H2-receptor antagonists for heartburn.
He doesn’t have any parafunctional habits.

80. When considering various factors, the diagnosis appears to be erosion.
Most likely due to?-

The patient presents with a lesion in the buccal and occlusal surfaces of his upper and lower teeth.
He is a smoker, consuming approximately 5 cigarettes per day, and indulging in occasional alcohol consumption.
Additionally, the patient is currently taking selective H2-receptor antagonists for heartburn.
He doesn’t have any parafunctional habits.

81. In order to have a baseline record, you should use?-

The patient presents with a lesion in the buccal and occlusal surfaces of his upper and lower teeth.
He is a smoker, consuming approximately 5 cigarettes per day, and indulging in occasional alcohol consumption.
Additionally, the patient is currently taking selective H2-receptor antagonists for heartburn.
He doesn’t have any parafunctional habits.

82. Increases with age, more severe in men, associated with high fiber, bruxers, tobacco chewers?-

The patient presents with a lesion in the buccal and occlusal surfaces of his upper and lower teeth.
He is a smoker, consuming approximately 5 cigarettes per day, and indulging in occasional alcohol consumption.
Additionally, the patient is currently taking selective H2-receptor antagonists for heartburn.
He doesn’t have any parafunctional habits.

83. Treatment for the occlusal lesions can be done conservatively with?-

84. What is the most appropriate treatment at this time?-

85. When will you ask the patient to book an appointment?-

86. The mum brought the kid for an emergency visit.
What type of precautions should you follow with this patient?-

87. His mum says she did not vaccinate him as she believes the Measles vaccine can cause autism.
How can you discuss this matter with her?-

88. The Australian Immunization Handbook lists the immunisations recommended for health care workers.
Which one is not included in it?-

A sporty 16-year-old child presented at your clinic with a complaint of his upper front teeth feeling sharp.
Upon examination, mild wear of the labial surfaces of the incisors is evident.
There is no evidence of caries or gingival inflammation.
The child uses a salbutamol inhaler and a steroid preventer for asthma.
He reports experiencing a sensation of his upper front teeth becoming sharp.
During the examination, minimal or no plaque, no inflammation, or caries is observed.
The child actively participates in soccer and cycling, adheres to a vegetarian diet, and notably mentions that he doesn’t consume much water due to forgetfulness.
He has a normal occlusal relationship and exhibits no concerning habits.

89. What is the probable etiology of his concern?-

A sporty 16-year-old child presented at your clinic with a complaint of his upper front teeth feeling sharp.
Upon examination, mild wear of the labial surfaces of the incisors is evident.
There is no evidence of caries or gingival inflammation.
The child uses a salbutamol inhaler and a steroid preventer for asthma.
He reports experiencing a sensation of his upper front teeth becoming sharp.
During the examination, minimal or no plaque, no inflammation, or caries is observed.
The child actively participates in soccer and cycling, adheres to a vegetarian diet, and notably mentions that he doesn’t consume much water due to forgetfulness.
He has a normal occlusal relationship and exhibits no concerning habits.

90. Enamel erosion can be recognized clinically as?-

A sporty 16-year-old child presented at your clinic with a complaint of his upper front teeth feeling sharp.
Upon examination, mild wear of the labial surfaces of the incisors is evident.
There is no evidence of caries or gingival inflammation.
The child uses a salbutamol inhaler and a steroid preventer for asthma.
He reports experiencing a sensation of his upper front teeth becoming sharp.
During the examination, minimal or no plaque, no inflammation, or caries is observed.
The child actively participates in soccer and cycling, adheres to a vegetarian diet, and notably mentions that he doesn’t consume much water due to forgetfulness.
He has a normal occlusal relationship and exhibits no concerning habits.

91. As he is asthmatic, what is true for nitrous oxide in asthmatic patients?-

A sporty 16-year-old child presented at your clinic with a complaint of his upper front teeth feeling sharp.
Upon examination, mild wear of the labial surfaces of the incisors is evident.
There is no evidence of caries or gingival inflammation.
The child uses a salbutamol inhaler and a steroid preventer for asthma.
He reports experiencing a sensation of his upper front teeth becoming sharp.
During the examination, minimal or no plaque, no inflammation, or caries is observed.
The child actively participates in soccer and cycling, adheres to a vegetarian diet, and notably mentions that he doesn’t consume much water due to forgetfulness.
He has a normal occlusal relationship and exhibits no concerning habits.

92. Based on the examination and history, you suspect erosion.
What is the likely cause of erosion?-

A sporty 16-year-old child presented at your clinic with a complaint of his upper front teeth feeling sharp.
Upon examination, mild wear of the labial surfaces of the incisors is evident.
There is no evidence of caries or gingival inflammation.
The child uses a salbutamol inhaler and a steroid preventer for asthma.
He reports experiencing a sensation of his upper front teeth becoming sharp.
During the examination, minimal or no plaque, no inflammation, or caries is observed.
The child actively participates in soccer and cycling, adheres to a vegetarian diet, and notably mentions that he doesn’t consume much water due to forgetfulness.
He has a normal occlusal relationship and exhibits no concerning habits.

93. How will you manage the case as a whole after treating his teeth?-

94. The carious lesion is close to the pulp on the bitewing radiograph.
A provisional diagnosis of reversible or irreversible pulpitis can be made based on?-

95. You diagnosed the tooth with mild pulpitis.
What sedative should be applied after caries removal?-

96. Caries excavation done till DEJ.
Further removal of soft pulpal caries will result in pulp exposure.
What is your next step?-

97. After a few weeks, the case developed into severe throbbing tooth pain which increases when the patient lies down.
What is it?-

98. Your colleague, who explained to the patient about the root canal treatment cost, forgot to inform the patient about crown charges, but the patient thought crown charges also included in the RCT charge and he is arguing with you.
What should you do?-

99. From the list below, which is an unlikely characteristic of reversible pulpitis?-

100. Which symptom is most indicative of irreversible pulpitis?-