Grand Final Mock Exam 8

A 20-year-old patient comes with complaints of white stains on upper anterior incisors teeth which she dislikes a lot.
These spots disappeared when the surface was wet.
She also had white spots on the cervical area which were visible both wet and dry seen after plaque removal.
Patient has a history of financial problems.
She lost her father and she has to look after her family.
The dental surgeon first thought it was molar incisor hypomineralization spots but later he came to a conclusion that it’s not MIH spots.

1. What should the initial question be when taking this patient’s history?

A. Did you undergo orthodontic treatment?

Correct Incorrect Correct answer

B. Do you have a history of middle ear infection?

Correct Incorrect Correct answer

C. Did you have any infectious disease during your childhood?

Correct Incorrect Correct answer

D. Did you have any teeth injury during childhood?

Correct Incorrect Correct answer

A 20-year-old patient comes with complaints of white stains on upper anterior incisors teeth which she dislikes a lot.
These spots disappeared when the surface was wet.
She also had white spots on the cervical area which were visible both wet and dry seen after plaque removal.
Patient has a history of financial problems.
She lost her father and she has to look after her family.
The dental surgeon first thought it was molar incisor hypomineralization spots but later he came to a conclusion that it’s not MIH spots.

2. How will you check the lesion?

A. Using a sharp probe

Correct Incorrect Correct answer

B. Cowhorn probes

Correct Incorrect Correct answer

C. WHO probe (ball-ended) probe

Correct Incorrect Correct answer

D. Assess it visually only

Correct Incorrect Correct answer

A 20-year-old patient comes with complaints of white stains on upper anterior incisors teeth which she dislikes a lot.
These spots disappeared when the surface was wet.
She also had white spots on the cervical area which were visible both wet and dry seen after plaque removal.
Patient has a history of financial problems.
She lost her father and she has to look after her family.
The dental surgeon first thought it was molar incisor hypomineralization spots but later he came to a conclusion that it’s not MIH spots.

3. You used the probe around the white spots at buccal surfaces of incisors and cervical areas of molars, and felt rough areas.
What does this indicate?

A. Cavitated lesion

Correct Incorrect Correct answer

B. Inactive lesion

Correct Incorrect Correct answer

C. Arrested lesion

Correct Incorrect Correct answer

D. Remineralized

Correct Incorrect Correct answer

E. Active lesion

Correct Incorrect Correct answer

A 20-year-old patient comes with complaints of white stains on upper anterior incisors teeth which she dislikes a lot.
These spots disappeared when the surface was wet.
She also had white spots on the cervical area which were visible both wet and dry seen after plaque removal.
Patient has a history of financial problems.
She lost her father and she has to look after her family.
The dental surgeon first thought it was molar incisor hypomineralization spots but later he came to a conclusion that it’s not MIH spots.

4. How will you treat her most conservatively?

A. Micro-abrasion with 18% HCL + pumice + resin infiltration

Correct Incorrect Correct answer

B. Intra oral sandblasting followed with unfilled resin infiltration and resin composite

Correct Incorrect Correct answer

C. Daily home bleaching carbamide 10% + CPP ACP

Correct Incorrect Correct answer

D. Prophylactic restoration removing defective enamel first

Correct Incorrect Correct answer

E. Covering complete buccal surface with resin composite

Correct Incorrect Correct answer

A 20-year-old patient comes with complaints of white stains on upper anterior incisors teeth which she dislikes a lot.
These spots disappeared when the surface was wet.
She also had white spots on the cervical area which were visible both wet and dry seen after plaque removal.
Patient has a history of financial problems.
She lost her father and she has to look after her family.
The dental surgeon first thought it was molar incisor hypomineralization spots but later he came to a conclusion that it’s not MIH spots.

5. Action of saliva to help reduce the risk of caries?

A. Neutralise the acid of the food

Correct Incorrect Correct answer

B. Re-mineralisation of enamel

Correct Incorrect Correct answer

C. Attacks bacteria acids

Correct Incorrect Correct answer

D. Lubricates mucosa and tongue

Correct Incorrect Correct answer

E. Enamel more resistant to acid dissolution

Correct Incorrect Correct answer

A 14-year-old indigenous boy with Rheumatic Heart Disease (RHD) and dental caries recently relocated from a non-fluoridated rural area to the city, where he now resides with his uncle and aunt.
He was previously living in a non-fluoridated area and is currently undergoing monthly penicillin treatment.
There were brownish-yellow stains in the cervical region of the maxillary and mandibular incisors, canines and premolars.
The patient reported a history of the daily ingestion of an adult toothpaste.

6. What is the feature of the black soft areas of the cavity on the right premolar?

A. Arrested inactive caries

Correct Incorrect Correct answer

B. In progression active caries

Correct Incorrect Correct answer

C. Demineralize

Correct Incorrect Correct answer

D. Remineralize

Correct Incorrect Correct answer

A 14-year-old indigenous boy with Rheumatic Heart Disease (RHD) and dental caries recently relocated from a non-fluoridated rural area to the city, where he now resides with his uncle and aunt.
He was previously living in a non-fluoridated area and is currently undergoing monthly penicillin treatment.
There were brownish-yellow stains in the cervical region of the maxillary and mandibular incisors, canines and premolars.
The patient reported a history of the daily ingestion of an adult toothpaste.

7. What could be the potential reason for the horizontal line affecting only his permanent teeth?

A. Trauma in his early life

Correct Incorrect Correct answer

B. Defect in amelogenesis during the development of the teeth

Correct Incorrect Correct answer

C. Extrinsic discoloration due to medication

Correct Incorrect Correct answer

D. Lots of sugary drink consumption

Correct Incorrect Correct answer

E. Fluorosis

Correct Incorrect Correct answer

A 14-year-old indigenous boy with Rheumatic Heart Disease (RHD) and dental caries recently relocated from a non-fluoridated rural area to the city, where he now resides with his uncle and aunt.
He was previously living in a non-fluoridated area and is currently undergoing monthly penicillin treatment.
There were brownish-yellow stains in the cervical region of the maxillary and mandibular incisors, canines and premolars.
The patient reported a history of the daily ingestion of an adult toothpaste.

8. He has Rheumatic Heart Disease (RHD).
What is the best option in case of surgical intervention in a patient with RHD?

A. Give antibiotic prophylaxis to the indigenous population

Correct Incorrect Correct answer

B. Give antibiotic prophylaxis for any patient with rheumatic heart disease

Correct Incorrect Correct answer

C. No need for antibiotic prophylaxis

Correct Incorrect Correct answer

D. Give antibiotic prophylaxis plus therapeutic antibiotics

Correct Incorrect Correct answer

A 14-year-old indigenous boy with Rheumatic Heart Disease (RHD) and dental caries recently relocated from a non-fluoridated rural area to the city, where he now resides with his uncle and aunt.
He was previously living in a non-fluoridated area and is currently undergoing monthly penicillin treatment.
There were brownish-yellow stains in the cervical region of the maxillary and mandibular incisors, canines and premolars.
The patient reported a history of the daily ingestion of an adult toothpaste.

9. You decide to do filling on tooth 36.
What is correct about antibiotic prophylaxis?

A. No antibiotic prophylaxis is needed

Correct Incorrect Correct answer

B. Amoxicillin 2 g orally 60 mins before

Correct Incorrect Correct answer

C. 50 mg/kg body weight of Amoxicillin 60 mins before

Correct Incorrect Correct answer

D. Ampicillin 2g IV 60 mins before

Correct Incorrect Correct answer

E. Ampicillin 2g IM 30 mins before

Correct Incorrect Correct answer

A 14-year-old indigenous boy with Rheumatic Heart Disease (RHD) and dental caries recently relocated from a non-fluoridated rural area to the city, where he now resides with his uncle and aunt.
He was previously living in a non-fluoridated area and is currently undergoing monthly penicillin treatment.
There were brownish-yellow stains in the cervical region of the maxillary and mandibular incisors, canines and premolars.
The patient reported a history of the daily ingestion of an adult toothpaste.

10. What is correct about aboriginal people?

A. Avoidance of eye contact is customarily a gesture of respect

Correct Incorrect Correct answer

B. Avoidance of eye contact is customarily a gesture of disrespect

Correct Incorrect Correct answer

C. Averting gaze can be viewed as being dishonest, rude

Correct Incorrect Correct answer

D. All of the above

Correct Incorrect Correct answer

A 40-year-old patient was complaining of discolored upper right central incisor.
He remembers having a trauma when he was 15 years old due to a sporting injury and had a lot of treatment done for that tooth.

11. What investigation will help for diagnosis and treatment planning?

A. Pulp sensibility

Correct Incorrect Correct answer

B. Periapical x-ray

Correct Incorrect Correct answer

C. Percussion

Correct Incorrect Correct answer

D. OPG

Correct Incorrect Correct answer

E. Probing

Correct Incorrect Correct answer

A 40-year-old patient was complaining of discolored upper right central incisor.
He remembers having a trauma when he was 15 years old due to a sporting injury and had a lot of treatment done for that tooth.

12. What information does a color change in the clinical crown provide?

A. There has been a pulp exposure

Correct Incorrect Correct answer

B. Persistent dark gray discoloration with one or more other signs of root canal infection indicates pulpal necrosis

Correct Incorrect Correct answer

C. Initial pink discoloration may not be reversed without treatment

Correct Incorrect Correct answer

D. Calcific metamorphosis discoloration tends to be yellow to brown and always indicates pulp necrosis

Correct Incorrect Correct answer

A 40-year-old patient was complaining of discolored upper right central incisor.
He remembers having a trauma when he was 15 years old due to a sporting injury and had a lot of treatment done for that tooth.

13. If the tooth was endodontically treated, what would be the most likely cause?

A. Incomplete debridement of pulp chamber

Correct Incorrect Correct answer

B. Coronal leakage

Correct Incorrect Correct answer

C. Sealer remnants inside pulp chamber

Correct Incorrect Correct answer

D. Amalgam discoloration

Correct Incorrect Correct answer

A 40-year-old patient was complaining of discolored upper right central incisor.
He remembers having a trauma when he was 15 years old due to a sporting injury and had a lot of treatment done for that tooth.

14. What is the best initial treatment for this patient if you find out that this tooth is endodontically treated?

A. External bleaching

Correct Incorrect Correct answer

B. Internal bleaching

Correct Incorrect Correct answer

C. Change restoration

Correct Incorrect Correct answer

D. PFM crown

Correct Incorrect Correct answer

E. Ceramic veneer

Correct Incorrect Correct answer

A 40-year-old patient was complaining of discolored upper right central incisor.
He remembers having a trauma when he was 15 years old due to a sporting injury and had a lot of treatment done for that tooth.

15. What is the significant risk associated with internal bleaching?

A. Internal resorption

Correct Incorrect Correct answer

B. External resorption

Correct Incorrect Correct answer

C. Gingival Irritation

Correct Incorrect Correct answer

D. Color Rebound

Correct Incorrect Correct answer

E. Need for Repeat Treatment

Correct Incorrect Correct answer

A 45-year-old lady presented to your clinic.
She complains about the dislodged crowns which had been in place for the past 10 years.
Upon examination the entire crowns were dislodged.
There is a fistula above tooth 11.
On radiograph it can be seen that tooth 11 has poorly fitted post with thick cement lute, no orthograde filling, there is root end filling; periapical radiolucency.
Tooth 21 the post deviates from the original line of the canal, there is gutta percha apical to the post, there is periapical radiolucency.

16. What should be done to help in the diagnosis of tooth 21?

A. Periodontal probing

Correct Incorrect Correct answer

B. Check the fit of the crown

Correct Incorrect Correct answer

C. Another X-ray

Correct Incorrect Correct answer

D. Check the vitality

Correct Incorrect Correct answer

A 45-year-old lady presented to your clinic.
She complains about the dislodged crowns which had been in place for the past 10 years.
Upon examination the entire crowns were dislodged.
There is a fistula above tooth 11.
On radiograph it can be seen that tooth 11 has poorly fitted post with thick cement lute, no orthograde filling, there is root end filling; periapical radiolucency.
Tooth 21 the post deviates from the original line of the canal, there is gutta percha apical to the post, there is periapical radiolucency.

17. What is the most probable diagnosis of tooth 21?

A. Vertical root fracture

Correct Incorrect Correct answer

B. Internal resorption

Correct Incorrect Correct answer

C. Cement leakage

Correct Incorrect Correct answer

D. Wrong type of post used

Correct Incorrect Correct answer

A 45-year-old lady presented to your clinic.
She complains about the dislodged crowns which had been in place for the past 10 years.
Upon examination the entire crowns were dislodged.
There is a fistula above tooth 11.
On radiograph it can be seen that tooth 11 has poorly fitted post with thick cement lute, no orthograde filling, there is root end filling; periapical radiolucency.
Tooth 21 the post deviates from the original line of the canal, there is gutta percha apical to the post, there is periapical radiolucency.

18. What would be a valuable investigation to get the full information to proceed with treatment of tooth 11?

A. Vitality testing

Correct Incorrect Correct answer

B. Percussion

Correct Incorrect Correct answer

C. Putting gutta percha cone in the fistula and take a periapical x ray

Correct Incorrect Correct answer

D. Removing post and core and check for missed canal

Correct Incorrect Correct answer

A 45-year-old lady presented to your clinic.
She complains about the dislodged crowns which had been in place for the past 10 years.
Upon examination the entire crowns were dislodged.
There is a fistula above tooth 11.
On radiograph it can be seen that tooth 11 has poorly fitted post with thick cement lute, no orthograde filling, there is root end filling; periapical radiolucency.
Tooth 21 the post deviates from the original line of the canal, there is gutta percha apical to the post, there is periapical radiolucency.

19. You decide to re-treat tooth 11.
What is the significant problem in replacing the post and core in this tooth?

A. Insufficient ferrule

Correct Incorrect Correct answer

B. Retention

Correct Incorrect Correct answer

C. No attached gingiva

Correct Incorrect Correct answer

D. Wide canal diameter

Correct Incorrect Correct answer

A 45-year-old lady presented to your clinic.
She complains about the dislodged crowns which had been in place for the past 10 years.
Upon examination the entire crowns were dislodged.
There is a fistula above tooth 11.
On radiograph it can be seen that tooth 11 has poorly fitted post with thick cement lute, no orthograde filling, there is root end filling; periapical radiolucency.
Tooth 21 the post deviates from the original line of the canal, there is gutta percha apical to the post, there is periapical radiolucency.

20. Regarding re-treatment of tooth 11, you decided that you can not manage this case , where will you refer the patient?

A. Orthodontist

Correct Incorrect Correct answer

B. Periodontist

Correct Incorrect Correct answer

C. No need for referral

Correct Incorrect Correct answer

D. Endodontist

Correct Incorrect Correct answer

The patient presented with a partial edentulous space and is seeking to restore the spaces with a partial denture.
However, he has concerns about the aesthetics of the prosthesis and is also seeking treatment for tooth sensitivity.

21. Which clasp would be more cosmetic?

A. Suprabulge with wrought wire clasp

Correct Incorrect Correct answer

B. Infrabulge with wrought wire clasp

Correct Incorrect Correct answer

C. Suprabulge with a cast metal clasp

Correct Incorrect Correct answer

D. Infrabulge with cast metal clasp

Correct Incorrect Correct answer

The patient presented with a partial edentulous space and is seeking to restore the spaces with a partial denture.
However, he has concerns about the aesthetics of the prosthesis and is also seeking treatment for tooth sensitivity.

22. How to increase the working time of the alginate impression without altering the physical properties?

A. Reduce temperature of water

Correct Incorrect Correct answer

B. Increase water

Correct Incorrect Correct answer

C. Increase powder

Correct Incorrect Correct answer

D. Increase temperature of water

Correct Incorrect Correct answer

The patient presented with a partial edentulous space and is seeking to restore the spaces with a partial denture.
However, he has concerns about the aesthetics of the prosthesis and is also seeking treatment for tooth sensitivity.

23. Prosthesis was given.
The patient was asked to bite and the lateral mandibular excursions movements are shown below.
What could be the possible occlusion for him?

A. Canine guided occlusion

Correct Incorrect Correct answer

B. Group function occlusion

Correct Incorrect Correct answer

C. Bilaterally balanced occlusion

Correct Incorrect Correct answer

D. All of the above

Correct Incorrect Correct answer

The patient presented with a partial edentulous space and is seeking to restore the spaces with a partial denture.
However, he has concerns about the aesthetics of the prosthesis and is also seeking treatment for tooth sensitivity.

24. He is complaining about sensitivity in relation to his remaining teeth and spacing between his teeth.
What would you prescribe him in conjunction with interdental brushes?

A. Fluoride varnish monthly

Correct Incorrect Correct answer

B. Toothpaste with potassium nitrate

Correct Incorrect Correct answer

C. Fluoride mouthwash

Correct Incorrect Correct answer

D. CPP-ACP

Correct Incorrect Correct answer

The patient presented with a partial edentulous space and is seeking to restore the spaces with a partial denture.
However, he has concerns about the aesthetics of the prosthesis and is also seeking treatment for tooth sensitivity.

25. The Patient with gagging.
You need to take a radiograph for posterior and anterior teeth.

A. Use extraoral radiograph

Correct Incorrect Correct answer

B. Take posterior first then anterior

Correct Incorrect Correct answer

C. Slide the sensor along the palate

Correct Incorrect Correct answer

D. Take canine first and molars later

Correct Incorrect Correct answer

A 65-year-old male patient presented with the complaint of painless swelling in the upper arch in the left labial vestibule.
The patient had been wearing his previous set of upper and lower complete dentures for the last five years but did not notice any swelling till the last six months.
On examination of denture, it was noticed that the border of the left 1abial flange of the upper complete denture was sharp and overextended.
Denture hygiene was average with signs of tooth wear on the occlusal surfaces of acrylic teeth.
Medical history was non-significant.
Patient was suffering from controlled type 2 Diabetes Mellitus and on oral hypoglycemic. Non-smoker.

26. What is possibly the diagnosis?

A. Epulis Fissuratum

Correct Incorrect Correct answer

B. Peripheral giant cell granuloma

Correct Incorrect Correct answer

C. Pyogenic granuloma

Correct Incorrect Correct answer

D. Peripheral ossifying fibroma

Correct Incorrect Correct answer

A 65-year-old male patient presented with the complaint of painless swelling in the upper arch in the left labial vestibule.
The patient had been wearing his previous set of upper and lower complete dentures for the last five years but did not notice any swelling till the last six months.
On examination of denture, it was noticed that the border of the left 1abial flange of the upper complete denture was sharp and overextended.
Denture hygiene was average with signs of tooth wear on the occlusal surfaces of acrylic teeth.
Medical history was non-significant.
Patient was suffering from controlled type 2 Diabetes Mellitus and on oral hypoglycemic. Non-smoker.

27. What is the cause?

A. Chronic trauma

Correct Incorrect Correct answer

B. Diabetic mellitus

Correct Incorrect Correct answer

C. Poor oral hygiene

Correct Incorrect Correct answer

D. Tobacco chewing

Correct Incorrect Correct answer

A 65-year-old male patient presented with the complaint of painless swelling in the upper arch in the left labial vestibule.
The patient had been wearing his previous set of upper and lower complete dentures for the last five years but did not notice any swelling till the last six months.
On examination of denture, it was noticed that the border of the left 1abial flange of the upper complete denture was sharp and overextended.
Denture hygiene was average with signs of tooth wear on the occlusal surfaces of acrylic teeth.
Medical history was non-significant.
Patient was suffering from controlled type 2 Diabetes Mellitus and on oral hypoglycemic. Non-smoker.

28. What is the sequence of the treatment you will give to this patient in order to achieve a well fitted and functional denture?

A. Send to oral surgeon for excision with laser and prepare for new denture construction

Correct Incorrect Correct answer

B. Surgical excision of lesion, shorten the edges of the denture, tissue conditioner and reline the denture

Correct Incorrect Correct answer

C. Surgical excision, shorten the edges of the denture, tissue conditioner and recall then make new denture

Correct Incorrect Correct answer

D. Surgical excision, biopsy ,denture flange adjustment and review in a month

Correct Incorrect Correct answer

A 65-year-old male patient presented with the complaint of painless swelling in the upper arch in the left labial vestibule.
The patient had been wearing his previous set of upper and lower complete dentures for the last five years but did not notice any swelling till the last six months.
On examination of denture, it was noticed that the border of the left 1abial flange of the upper complete denture was sharp and overextended.
Denture hygiene was average with signs of tooth wear on the occlusal surfaces of acrylic teeth.
Medical history was non-significant.
Patient was suffering from controlled type 2 Diabetes Mellitus and on oral hypoglycemic. Non-smoker.

29. If a biopsy is performed, what would be the likely tissue type for the substantial growth?

A. Granulation tissue

Correct Incorrect Correct answer

B. Osseous tissue

Correct Incorrect Correct answer

C. Hyperplastic tissue

Correct Incorrect Correct answer

D. Neoplastic tissue

Correct Incorrect Correct answer

A 65-year-old male patient presented with the complaint of painless swelling in the upper arch in the left labial vestibule.
The patient had been wearing his previous set of upper and lower complete dentures for the last five years but did not notice any swelling till the last six months.
On examination of denture, it was noticed that the border of the left labial flange of the upper complete denture was sharp and overextended.
Denture hygiene was average with signs of tooth wear on the occlusal surfaces of acrylic teeth.
Medical history was non-significant.
Patient was suffering from controlled type 2 Diabetes Mellitus and on oral hypoglycemic. Non-smoker.

30. You plan to remove the growth.
Patient says that he is taking aspirin, how would you manage?

A. Consult with the patient doctor

Correct Incorrect Correct answer

B. Remove the tissue by laser treatment and there will be chances of slight bleeding

Correct Incorrect Correct answer

C. Cease aspirin for 48 hours and then do the surgery

Correct Incorrect Correct answer

D. Cease aspirin for 2 days as there is risk of hemorrhage

Correct Incorrect Correct answer

A 70 year old patient says she has been using a complete upper denture for the past 17 years and her lower arch retains only two remaining natural teeth.
Recently, she has encountered issues with the upper denture becoming nonretentive, indicating a need for further assessment and potential adjustments.

31. Upon reviewing the photo, what do you believe is the source of the esthetic issue?

A. Tight lower Lip

Correct Incorrect Correct answer

B. Reverse smile line

Correct Incorrect Correct answer

C. Prominent mentalis

Correct Incorrect Correct answer

D. Decreased VDO

Correct Incorrect Correct answer

A 70 year old patient says she has been using a complete upper denture for the past 17 years and her lower arch retains only two remaining natural teeth.
Recently, she has encountered issues with the upper denture becoming nonretentive, indicating a need for further assessment and potential adjustments.

32. You decided to make a new denture.
What additional information is needed?

A. Photo and OPG provide adequate information

Correct Incorrect Correct answer

B. Ask the lab technician to do a occlusal analysis of the master cast

Correct Incorrect Correct answer

C. Facial dimensions and articulated study cast for occlusal analysis

Correct Incorrect Correct answer

D. Clinical assessment only

Correct Incorrect Correct answer

A 70 year old patient says she has been using a complete upper denture for the past 17 years and her lower arch retains only two remaining natural teeth.
Recently, she has encountered issues with the upper denture becoming nonretentive, indicating a need for further assessment and potential adjustments.

33. Which muscle has an effect on the anterior labial border of lower denture?

A. Orbicularis muscle

Correct Incorrect Correct answer

B. Mentalis muscle

Correct Incorrect Correct answer

C. Geniohyoid

Correct Incorrect Correct answer

D. Genioglossus

Correct Incorrect Correct answer

A 70 year old patient says she has been using a complete upper denture for the past 17 years and her lower arch retains only two remaining natural teeth.
Recently, she has encountered issues with the upper denture becoming nonretentive, indicating a need for further assessment and potential adjustments.

34. What can be excluded from informing the technician without compromising ethical compliance to the treatment?

A. Change the framework

Correct Incorrect Correct answer

B. Change the shade

Correct Incorrect Correct answer

C. Change treatment plan

Correct Incorrect Correct answer

D. Polishing of the final product

Correct Incorrect Correct answer

A 70 year old patient says she has been using a complete upper denture for the past 17 years and her lower arch retains only two remaining natural teeth.
Recently, she has encountered issues with the upper denture becoming nonretentive, indicating a need for further assessment and potential adjustments.

35. How will you ensure the stability of a new upper denture?

A. Using a stronger denture adhesive to increase retention

Correct Incorrect Correct answer

B. Rinsing the mouth with mouthwash regularly

Correct Incorrect Correct answer

C. Achieving proper denture fit without interference on lateral excursion

Correct Incorrect Correct answer

D. Choosing a softer denture material

Correct Incorrect Correct answer

A 58-year-old African American male presents with maxillary complete edentulism with complete denture and mandibular partial edentulism with remaining mandibular anterior teeth and partial denture.
His chief complaint is: “I need teeth to look better and to be able to chew my food.”
The patient has existing crowns on mandibular right and left canines and right first premolar (22, 27, 28), which were placed simultaneously with the removable partial denture approximately 6 years ago. The abutment teeth are now failing due to recurrent decay.
He now presents with bone loss accompanied with excessive and hyperplastic tissues in the maxillary anterior region. These tissues are especially sore as his mandibular teeth occlude and traumatize the area.
The patient requires soft tissue treatment in the maxilla as well as a new complete denture. He also requires new prosthetic reconstruction in the mandible, which includes survey crowns and a new removable partial denture, to restore form, function, and aesthetics.

36. What is the reason for losing inter occlusal distance?

A. Attrition of anterior teeth

Correct Incorrect Correct answer

B. Extrusion of the upper posterior teeth

Correct Incorrect Correct answer

C. Dentoalveolar movement of upper ridge

Correct Incorrect Correct answer

D. Hypertrophy of the mandible

Correct Incorrect Correct answer

E. Discrepancy in the occlusal plane between the upper and lower dentures

Correct Incorrect Correct answer

A 58-year-old African American male presents with maxillary complete edentulism with complete denture and mandibular partial edentulism with remaining mandibular anterior teeth and partial denture.
His chief complaint is: “I need teeth to look better and to be able to chew my food.”
The patient has existing crowns on mandibular right and left canines and right first premolar (22, 27, 28), which were placed simultaneously with the removable partial denture approximately 6 years ago. The abutment teeth are now failing due to recurrent decay.
He now presents with bone loss accompanied with excessive and hyperplastic tissues in the maxillary anterior region. These tissues are especially sore as his mandibular teeth occlude and traumatize the area.
The patient requires soft tissue treatment in the maxilla as well as a new complete denture. He also requires new prosthetic reconstruction in the mandible, which includes survey crowns and a new removable partial denture, to restore form, function, and aesthetics.

37. When establishing occlusion in dentures?

A. Occlusal plane can be established without the patient

Correct Incorrect Correct answer

B. Record bases and occlusal rims should be used to determine the vertical dimension of occlusion

Correct Incorrect Correct answer

C. Vertical dimension of occlusion equals vertical dimension at rest

Correct Incorrect Correct answer

D. In older patients, the vertical dimension of occlusion is greater than the vertical dimension at rest

Correct Incorrect Correct answer

A 58-year-old African American male presents with maxillary complete edentulism with complete denture and mandibular partial edentulism with remaining mandibular anterior teeth and partial denture.
His chief complaint is: “I need teeth to look better and to be able to chew my food.”
The patient has existing crowns on mandibular right and left canines and right first premolar (22, 27, 28), which were placed simultaneously with the removable partial denture approximately 6 years ago. The abutment teeth are now failing due to recurrent decay.
He now presents with bone loss accompanied with excessive and hyperplastic tissues in the maxillary anterior region. These tissues are especially sore as his mandibular teeth occlude and traumatize the area.
The patient requires soft tissue treatment in the maxilla as well as a new complete denture. He also requires new prosthetic reconstruction in the mandible, which includes survey crowns and a new removable partial denture, to restore form, function, and aesthetics.

38. When considering the reestablishment of the proper vertical dimension of occlusion (VDO), which statement is true?

A. VDO is the vertical length of the face as measured between 2 arbitrary points selected above and below the mouth when natural teeth or wax rims are in contact in centric.

Correct Incorrect Correct answer

B. The VDO is always greater than vertical dimension of rest VDR

Correct Incorrect Correct answer

C. The combination of VDO and the interocclusal distance are not equal to VDR.

Correct Incorrect Correct answer

D. VDO is also known as freeway space.

Correct Incorrect Correct answer

A 58-year-old African American male presents with maxillary complete edentulism with complete denture and mandibular partial edentulism with remaining mandibular anterior teeth and partial denture.
His chief complaint is: “I need teeth to look better and to be able to chew my food.”
The patient has existing crowns on mandibular right and left canines and right first premolar (22, 27, 28), which were placed simultaneously with the removable partial denture approximately 6 years ago. The abutment teeth are now failing due to recurrent decay.
He now presents with bone loss accompanied with excessive and hyperplastic tissues in the maxillary anterior region. These tissues are especially sore as his mandibular teeth occlude and traumatize the area.
The patient requires soft tissue treatment in the maxilla as well as a new complete denture. He also requires new prosthetic reconstruction in the mandible, which includes survey crowns and a new removable partial denture, to restore form, function, and aesthetics.

39. The amount of space required for restoration of the vertical dimension of occlusion should be calculated during the diagnostic phase.
Which of the following method(s) should be utilized?

A. Waxed-up diagnostic casts

Correct Incorrect Correct answer

B. Radiographic measurements

Correct Incorrect Correct answer

C. Clinical examination only

Correct Incorrect Correct answer

D. Digital intraoral scanning

Correct Incorrect Correct answer

A 58-year-old African American male presents with maxillary complete edentulism with complete denture and mandibular partial edentulism with remaining mandibular anterior teeth and partial denture.
His chief complaint is: “I need teeth to look better and to be able to chew my food.”
The patient has existing crowns on mandibular right and left canines and right first premolar (22, 27, 28), which were placed simultaneously with the removable partial denture approximately 6 years ago. The abutment teeth are now failing due to recurrent decay.
He now presents with bone loss accompanied with excessive and hyperplastic tissues in the maxillary anterior region. These tissues are especially sore as his mandibular teeth occlude and traumatize the area.
The patient requires soft tissue treatment in the maxilla as well as a new complete denture. He also requires new prosthetic reconstruction in the mandible, which includes survey crowns and a new removable partial denture, to restore form, function, and aesthetics.

40. The patient experienced a burning sensation after taking impressions.
Which material is most likely to cause this sensation?

A. Polyether

Correct Incorrect Correct answer

B. Polysulfide

Correct Incorrect Correct answer

C. Vinyl Polysiloxane (VPS)

Correct Incorrect Correct answer

D. Alginate

Correct Incorrect Correct answer

E. Zinc oxide eugenol

Correct Incorrect Correct answer

A 35-year-old female, Sarah sought help due to impaired aesthetics as a result of worn out tooth surfaces and symptoms of the right TМJ.
Patient had several crowns placed on her upper front/back and lower back teeth during the last 10 years.
In the lower jaw, wear of the front teeth was seen.
The occlusal plane was incorrect – the lower front teeth were higher. There was a rotated position of the lower jaw, deep and distal bite.
Upper front teeth covered completely the lower front teeth in central occlusion.
During palpation of the TMJ, the patient responded with pain on the right side.

41. What radiograph image is this?

A. MRI

Correct Incorrect Correct answer

B. CBCT

Correct Incorrect Correct answer

C. Anterior-posterior view

Correct Incorrect Correct answer

D. OPG

Correct Incorrect Correct answer

A 35-year-old female, Sarah sought help due to impaired aesthetics as a result of worn out tooth surfaces and symptoms of the right TМJ.
Patient had several crowns placed on her upper front/back and lower back teeth during the last 10 years.
In the lower jaw, wear of the front teeth was seen.
The occlusal plane was incorrect – the lower front teeth were higher. There was a rotated position of the lower jaw, deep and distal bite.
Upper front teeth covered completely the lower front teeth in central occlusion.
During palpation of the TMJ, the patient responded with pain on the right side.

42. The condyle is positioned more distally than the normal physiological position.
What can be the treatment modality in her case?

A. Michigan splint

Correct Incorrect Correct answer

B. Anterior/Morning reposition splint

Correct Incorrect Correct answer

C. Night guard

Correct Incorrect Correct answer

D. Muscle relaxation injection

Correct Incorrect Correct answer

E. Injection corticosteroids

Correct Incorrect Correct answer

A 35-year-old female, Sarah sought help due to impaired aesthetics as a result of worn out tooth surfaces and symptoms of the right TМJ.
Patient had several crowns placed on her upper front/back and lower back teeth during the last 10 years.
In the lower jaw, wear of the front teeth was seen.
The occlusal plane was incorrect – the lower front teeth were higher. There was a rotated position of the lower jaw, deep and distal bite.
Upper front teeth covered completely the lower front teeth in central occlusion.
During palpation of the TMJ, the patient responded with pain on the right side.

43. Acute disc displacement without reduction in the right TMJ is seen as?

A. Deflection of the mandible to the left at maximal mouth opening

Correct Incorrect Correct answer

B. Deflection of the mandible to the right during protrusion

Correct Incorrect Correct answer

C. Maximal opening of 55 mm

Correct Incorrect Correct answer

D. Reciprocal click in the right TMJ

Correct Incorrect Correct answer

E. All of the above

Correct Incorrect Correct answer

A 35-year-old female, Sarah sought help due to impaired aesthetics as a result of worn out tooth surfaces and symptoms of the right TМJ.
Patient had several crowns placed on her upper front/back and lower back teeth during the last 10 years.
In the lower jaw, wear of the front teeth was seen.
The occlusal plane was incorrect – the lower front teeth were higher. There was a rotated position of the lower jaw, deep and distal bite.
Upper front teeth covered completely the lower front teeth in central occlusion.
During palpation of the TMJ, the patient responded with pain on the right side.

44. A patient with bruxism is likely to demonstrate?
1. Radiographic evidence of the widening of the periodontal ligament
2. Increased mobility of teeth
3. Premature wear of occlusal surfaces
4. TMJ discomfort

A. (1) (2) (3)

Correct Incorrect Correct answer

B. (1) and (3)

Correct Incorrect Correct answer

C. (2) and (4)

Correct Incorrect Correct answer

D. (4) only

Correct Incorrect Correct answer

E. All of the above

Correct Incorrect Correct answer

A 35-year-old female, Sarah sought help due to impaired aesthetics as a result of worn out tooth surfaces and symptoms of the right TМJ.
Patient had several crowns placed on her upper front/back and lower back teeth during the last 10 years.
In the lower jaw, wear of the front teeth was seen.
The occlusal plane was incorrect – the lower front teeth were higher. There was a rotated position of the lower jaw, deep and distal bite.
Upper front teeth covered completely the lower front teeth in central occlusion.
During palpation of the TMJ, the patient responded with pain on the right side.

45. What is the BEST management of his changed occlusal plane?

A. Refer to prosthodontist

Correct Incorrect Correct answer

B. Add composites build up on anterior and oral rehabilitation

Correct Incorrect Correct answer

C. Give him ceramic crowns

Correct Incorrect Correct answer

D. Give him ceramic veneer

Correct Incorrect Correct answer

72 years old retired lady, Jessica presents with an ill-fitting denture.
Upon removing the denture, you noticed an asymptomatic, erythematous cobble-stone-like lesion on the mucosal tissue of the hard palate.
She says “My denture doesn’t fit right.”
Medical history of infective endocarditis.
Allergic to Penicillin.

46. The lesion found on the patient’s hard palate is MOST likely a?

A. Papillary hyperplasia

Correct Incorrect Correct answer

B. Tori

Correct Incorrect Correct answer

C. Fibroma

Correct Incorrect Correct answer

D. Adenoma

Correct Incorrect Correct answer

E. Sarcoma

Correct Incorrect Correct answer

72 years old retired lady, Jessica presents with an ill-fitting denture.
Upon removing the denture, you noticed an asymptomatic, erythematous cobble-stone-like lesion on the mucosal tissue of the hard palate.
She says “My denture doesn’t fit right.”
Medical history of infective endocarditis.
Allergic to Penicillin.

47. Continued abrasion of dentures on underlying mucosa will most likely result in?

A. Lining mucosa becoming gingival mucosa

Correct Incorrect Correct answer

B. Lining mucosa becoming masticatory mucosa

Correct Incorrect Correct answer

C. Gingival mucosa becoming orthokeratinized

Correct Incorrect Correct answer

D. Masticatory mucosa becoming parakeratinized

Correct Incorrect Correct answer

72 years old retired lady, Jessica presents with an ill-fitting denture.
Upon removing the denture, you noticed an asymptomatic, erythematous cobble-stone-like lesion on the mucosal tissue of the hard palate.
She says “My denture doesn’t fit right.”
Medical history of infective endocarditis.
Allergic to Penicillin.

48. The patient elects to have her ill-fitting denture remade.
The teeth in the new denture have been set up so the MB cusp of the maxillary first molar occludes distally to the MB groove of the mandibular first molar.
Which of the following BEST describes this occlusal classification?

A. Class I

Correct Incorrect Correct answer

B. Class II division I

Correct Incorrect Correct answer

C. Class II division II

Correct Incorrect Correct answer

D. Class III

Correct Incorrect Correct answer

72 years old retired lady, Jessica presents with an ill-fitting denture.
Upon removing the denture, you noticed an asymptomatic, erythematous cobble-stone-like lesion on the mucosal tissue of the hard palate.
She says “My denture doesn’t fit right.”
Medical history of infective endocarditis.
Allergic to Penicillin.

49. The hallmark symptom of infective endocarditis is?

A. Fever

Correct Incorrect Correct answer

B. Fatigue

Correct Incorrect Correct answer

C. Malaise

Correct Incorrect Correct answer

D. Headache

Correct Incorrect Correct answer

E. Night sweats

Correct Incorrect Correct answer

72 years old retired lady, Jessica presents with an ill-fitting denture.
Upon removing the denture, you noticed an asymptomatic, erythematous cobble-stone-like lesion on the mucosal tissue of the hard palate.
She says “My denture doesn’t fit right.”
Medical history of infective endocarditis.
Allergic to Penicillin.

50. Which of the following is an appropriate prescription for antibiotic prophylaxis for this patient if required?

A. 2 g Amoxicillin IM or IV 1 hour before procedure

Correct Incorrect Correct answer

B. 2 g Amoxicillin PO 1 hour before procedure

Correct Incorrect Correct answer

C. 2 g Ampicillin PO 30 minutes before procedure

Correct Incorrect Correct answer

D. 350 mg Cephalexin PO 1 hour before procedure

Correct Incorrect Correct answer

E. Doxycycline 100mg 1 hour before the procedure

Correct Incorrect Correct answer

A patient presented with upper teeth present from tooth 17-> 27.
Lower teeth present from 34 -> 44.
Tooth 34 & 44 were heavily restored.
Patient has generalized marginal gingivitis.
He needs a partial denture restoration for lower arch.

51. What is the advantage of acrylic RPD when compared to Co-Cr RPD?

A. Better adaptability

Correct Incorrect Correct answer

B. Adding teeth

Correct Incorrect Correct answer

C. More stability

Correct Incorrect Correct answer

D. More retention

Correct Incorrect Correct answer

A patient presented with upper teeth present from tooth 17-> 27.
Lower teeth present from 34 -> 44.
Tooth 34 & 44 were heavily restored.
Patient has generalized marginal gingivitis.
He needs a partial denture restoration for lower arch.

52. What is your next step if you want to make the RPD for this patient?

A. Occlusal rest on 34,44

Correct Incorrect Correct answer

B. Crowns on 34,44 as heavily restored

Correct Incorrect Correct answer

C. Extract 34,44 as too weak for abutments

Correct Incorrect Correct answer

D. Scaling and OH instructions

Correct Incorrect Correct answer

A patient presented with upper teeth present from tooth 17-> 27.
Lower teeth present from 34 -> 44.
Tooth 34 & 44 were heavily restored.
Patient has generalized marginal gingivitis.
He needs a partial denture restoration for lower arch.

53. The patient agreed on Co-Cr RPD and crown preparation was done on tooth 34,44.
What is the difficulty you will face while making RPD for this free end saddle case?

A. Difficulty in achieving esthetics

Correct Incorrect Correct answer

B. Challenge in obtaining vertical dimension

Correct Incorrect Correct answer

C. Challenge to distribute occlusal load between saddle and teeth

Correct Incorrect Correct answer

D. Speech and phonetics concerns

Correct Incorrect Correct answer

A patient presented with upper teeth present from tooth 17-> 27.
Lower teeth present from 34 -> 44.
Tooth 34 & 44 were heavily restored.
Patient has generalized marginal gingivitis.
He needs a partial denture restoration for lower arch.

54. How will you get maximum support for the denture?

A. Maximum extension

Correct Incorrect Correct answer

B. Crowns on abutment

Correct Incorrect Correct answer

C. Mesial occlusal rest

Correct Incorrect Correct answer

D. Multiple indirect retention

Correct Incorrect Correct answer

A patient presented with upper teeth present from tooth 17-> 27.
Lower teeth present from 34 -> 44.
Tooth 34 & 44 were heavily restored.
Patient has generalized marginal gingivitis.
He needs a partial denture restoration for lower arch.

55. You decide to give a lingual plate as a major connector.
What is the main advantage in this case?

A. Indirect retention

Correct Incorrect Correct answer

B. Stabilize the anterior teeth

Correct Incorrect Correct answer

C. Good oral hygiene

Correct Incorrect Correct answer

D. Eliminates the need to have reciprocal arm

Correct Incorrect Correct answer

A 37 year old patient had temporary individual crowns from a previous dentist 6 months ago.
However, after moving to a new state, these restorations have dislodged twice in the last 6 months.
Clinical examination reveals inflammation of the gingivae.
He is taking Nifedipine for high blood pressure.

56. What could be the cause for dislodgement of these crowns?

A. Impingement on biologic width

Correct Incorrect Correct answer

B. Enlargement of gingiva

Correct Incorrect Correct answer

C. Unretentive crown preparation

Correct Incorrect Correct answer

D. Heavy mastication

Correct Incorrect Correct answer

A 37 year old patient had temporary individual crowns from a previous dentist 6 months ago.
However, after moving to a new state, these restorations have dislodged twice in the last 6 months.
Clinical examination reveals inflammation of the gingivae.
He is taking Nifedipine for high blood pressure.

57. What is the initial procedure to treat this condition?
How do you manage the inflamed gingival tissue?

A. Debridement and oral prophylaxis

Correct Incorrect Correct answer

B. Refer to a periodontist

Correct Incorrect Correct answer

C. Removal of overgrowth

Correct Incorrect Correct answer

D. Surgical gingivoplasty

Correct Incorrect Correct answer

A 37 year old patient had temporary individual crowns from a previous dentist 6 months ago.
However, after moving to a new state, these restorations have dislodged twice in the last 6 months.
Clinical examination reveals inflammation of the gingivae.
He is taking Nifedipine for high blood pressure.

58. Why were the gingiva inflamed?

A. Impingement of biologic width

Correct Incorrect Correct answer

B. Nifedipine

Correct Incorrect Correct answer

C. Plaque induced enlargement

Correct Incorrect Correct answer

D. Smoking

Correct Incorrect Correct answer

A 37 year old patient had temporary individual crowns from a previous dentist 6 months ago.
However, after moving to a new state, these restorations have dislodged twice in the last 6 months.
Clinical examination reveals inflammation of the gingivae.
He is taking Nifedipine for high blood pressure.

59. The patient wants temporary crowns for the time being before deciding upon the final restoration.
How would you make sure the crowns don’t get dislodged again?

A. Give individual crowns on 6 abutments

Correct Incorrect Correct answer

B. Give 2 pairs of 3 unit combined together

Correct Incorrect Correct answer

C. A single unit bridge connecting 6 abutments

Correct Incorrect Correct answer

D. Modify crown preparation and give 6 individual crowns

Correct Incorrect Correct answer

A 37 year old patient had temporary individual crowns from a previous dentist 6 months ago.
However, after moving to a new state, these restorations have dislodged twice in the last 6 months.
Clinical examination reveals inflammation of the gingivae.
He is taking Nifedipine for high blood pressure.

60. Patient comes back and now needs a final prosthesis.
How would you proceed before final crowns fabrication?

A. Scaling and root planing

Correct Incorrect Correct answer

B. Apically displaced flap without bone removal

Correct Incorrect Correct answer

C. Apically displaced flap with bone removal

Correct Incorrect Correct answer

D. Surgical Gingivectomy

Correct Incorrect Correct answer

Amari, a 12-year-old boy, experienced injury resulting in trauma during a rugby game.
The patient appeared agitated and confused after falling down.
The tooth was loose, painful, and there was bleeding in the sulcus.

61. You inquired “When did you sustain the injury?”
What is the clinical significance of asking when did the injury happen?

A. Indicate the prognosis of the treatment

Correct Incorrect Correct answer

B. Requirement for emergency referral

Correct Incorrect Correct answer

C. Time suggests what treatment to provide

Correct Incorrect Correct answer

D. To check if tetanus is up to date

Correct Incorrect Correct answer

E. What environment it happened

Correct Incorrect Correct answer

Amari, a 12-year-old boy, experienced injury resulting in trauma during a rugby game.
The patient appeared agitated and confused after falling down.
The tooth was loose, painful, and there was bleeding in the sulcus.

62. After the incident, the patient felt nauseous, and there was dry blood crusting on the nose. What is the initial question you would ask the parents?

A. Was there any loss of consciousness

Correct Incorrect Correct answer

B. Is the tooth mobile

Correct Incorrect Correct answer

C. How did he fall down

Correct Incorrect Correct answer

D. Was the accident area dirty

Correct Incorrect Correct answer

Amari, a 12-year-old boy, experienced injury resulting in trauma during a rugby game.
The patient appeared agitated and confused after falling down.
The tooth was loose, painful, and there was bleeding in the sulcus.

63. Mouthguards to prevent sports injury are based on the nature of the sport.
Child plays rugby.
Which mouth guard is recommended?

A. Stock

Correct Incorrect Correct answer

B. Custom with bilaminar

Correct Incorrect Correct answer

C. Custom with trilaminar

Correct Incorrect Correct answer

D. Boil and bite

Correct Incorrect Correct answer

Amari, a 12-year-old boy, experienced injury resulting in trauma during a rugby game.
The patient appeared agitated and confused after falling down.
The tooth was loose, painful, and there was bleeding in the sulcus.

64. Mouth guard replacement should be done (for 14 and 15 year old boys)?

A. When discolored

Correct Incorrect Correct answer

B. Every year

Correct Incorrect Correct answer

C. When they start another contact sport

Correct Incorrect Correct answer

D. Only when dental treatment is done

Correct Incorrect Correct answer

Amari, a 12-year-old boy, experienced injury resulting in trauma during a rugby game.
The patient appeared agitated and confused after falling down.
The tooth was loose, painful, and there was bleeding in the sulcus.

65. He says he only wears mouthguards in competition and not during practice matches and that is normal with all the players.
So what do you decide?

A. Provide mouth guards free of cost to players

Correct Incorrect Correct answer

B. Provide mouth guards at cheaper price

Correct Incorrect Correct answer

C. Advise coach regarding the benefit of using mouthguards

Correct Incorrect Correct answer

D. Explain the cost-benefit analysis of using mouth guards to players

Correct Incorrect Correct answer

A patient who had lost lower anterior teeth and had two implants placed to restore them.
Implants were placed for tooth 43 and 32 three years ago and a bridge connecting them.
The bridge is from tooth 43 to tooth 33( tooth 33 is a cantilever) The whole bridge is mobile.
On x-ray you could see the bone loss up to at least 1/3rd of both implants. Clinically there is redness and swollen gums around implant 32.
Three threads of the implant 32 are exposed.
The patient has poor oral health and neglected to clean under the bridge.
Subsequently, the patient sought the care ofa different dentist, who, upon examination, found that the implants had become both mobile with deep pockets.

66. What was the reason for mobility?

A. Peri implantitis

Correct Incorrect Correct answer

B. Excessive occlusal load

Correct Incorrect Correct answer

C. Loose abutment screw

Correct Incorrect Correct answer

D. Loss of osseointegration

Correct Incorrect Correct answer

A patient who had lost lower anterior teeth and had two implants placed to restore them.
Implants were placed for tooth 43 and 32 three years ago and a bridge connecting them.
The bridge is from tooth 43 to tooth 33( tooth 33 is a cantilever) The whole bridge is mobile.
On x-ray you could see the bone loss up to at least 1/3rd of both implants. Clinically there is redness and swollen gums around implant 32.
Three threads of the implant 32 are exposed.
The patient has poor oral health and neglected to clean under the bridge.
Subsequently, the patient sought the care ofa different dentist, who, upon examination, found that the implants had become both mobile with deep pockets.

67. The diagnosis of the periodontal condition for implants?

A. Peri implantitis

Correct Incorrect Correct answer

B. Peri implant mucositis

Correct Incorrect Correct answer

C. Chronic periodontitis

Correct Incorrect Correct answer

D. Acute periodontitis

Correct Incorrect Correct answer

A patient who had lost lower anterior teeth and had two implants placed to restore them.
Implants were placed for tooth 43 and 32 three years ago and a bridge connecting them.
The bridge is from tooth 43 to tooth 33( tooth 33 is a cantilever) The whole bridge is mobile.
On x-ray you could see the bone loss up to at least 1/3rd of both implants. Clinically there is redness and swollen gums around implant 32.
Three threads of the implant 32 are exposed.
The patient has poor oral health and neglected to clean under the bridge.
Subsequently, the patient sought the care ofa different dentist, who, upon examination, found that the implants had become both mobile with deep pockets.

68. On x-ray, you can see a horizontal bone loss associated with the implant 32.
What could be a contributory factor for the condition?

A. Peri-implant mucositis

Correct Incorrect Correct answer

B. Type of implant metal

Correct Incorrect Correct answer

C. Type of toothbrush

Correct Incorrect Correct answer

D. Lack of osseointegration

Correct Incorrect Correct answer

E. Overload

Correct Incorrect Correct answer

A patient who had lost lower anterior teeth and had two implants placed to restore them.
Implants were placed for tooth 43 and 32 three years ago and a bridge connecting them.
The bridge is from tooth 43 to tooth 33( tooth 33 is a cantilever) The whole bridge is mobile.
On x-ray you could see the bone loss up to at least 1/3rd of both implants. Clinically there is redness and swollen gums around implant 32.
Three threads of the implant 32 are exposed.
The patient has poor oral health and neglected to clean under the bridge.
Subsequently, the patient sought the care ofa different dentist, who, upon examination, found that the implants had become both mobile with deep pockets.

69. The patient said he is doing his best in brushing.
What is the most significant challenge while trying to maintain implant?

A. Open contact between 33 and 34

Correct Incorrect Correct answer

B. Food impaction

Correct Incorrect Correct answer

C. Localized periodontitis

Correct Incorrect Correct answer

D. Cantilever pontic 33

Correct Incorrect Correct answer

E. Mobility of the whole unit

Correct Incorrect Correct answer

A patient who had lost lower anterior teeth and had two implants placed to restore them.
Implants were placed for tooth 43 and 32 three years ago and a bridge connecting them.
The bridge is from tooth 43 to tooth 33( tooth 33 is a cantilever) The whole bridge is mobile.
On x-ray you could see the bone loss up to at least 1/3rd of both implants. Clinically there is redness and swollen gums around implant 32.
Three threads of the implant 32 are exposed.
The patient has poor oral health and neglected to clean under the bridge.
Subsequently, the patient sought the care ofa different dentist, who, upon examination, found that the implants had become both mobile with deep pockets.

70. How should the patient maintain the hygiene under the prosthesis based on new evidence?

A. Super-floss with thick tip

Correct Incorrect Correct answer

B. Unwaxed floss

Correct Incorrect Correct answer

C. Circumferential flossing method

Correct Incorrect Correct answer

D. Water jet floss

Correct Incorrect Correct answer

E. There's no current conclusive evidence about this matter

Correct Incorrect Correct answer

A patient who had lost lower anterior teeth and had two implants placed to restore them.
Implants were placed for tooth 43 and 32 three years ago and a bridge connecting them.
The bridge is from tooth 43 to tooth 33( tooth 33 is a cantilever) The whole bridge is mobile.
On x-ray you could see the bone loss up to at least 1/3rd of both implants. Clinically there is redness and swollen gums around implant 32.
Three threads of the implant 32 are exposed.
The patient has poor oral health and neglected to clean under the bridge.
Subsequently, the patient sought the care ofa different dentist, who, upon examination, found that the implants had become both mobile with deep pockets.

71. You decide to debride the implant.
What is the best thing to use?

A. Debride with plastic tips

Correct Incorrect Correct answer

B. Do ultrasonic cleaning with metal tips

Correct Incorrect Correct answer

C. Do ultrasonic cleaning with ceramic tips

Correct Incorrect Correct answer

D. Debride with metal brush

Correct Incorrect Correct answer

You are reviewing the type of pulp treatment to be considered in different situations.

72. A 7 year old child came to your clinic with a pinpoint pulp exposure after 5 days of the traumatic injury on tooth 11.
Which is the most recommended treatment for him?

A. Cvek pulpotomy

Correct Incorrect Correct answer

B. Cervical pulpotomy

Correct Incorrect Correct answer

C. Pulpectomy

Correct Incorrect Correct answer

D. Delay until symptoms arise

Correct Incorrect Correct answer

You are reviewing the type of pulp treatment to be considered in different situations.

73. What material will be most useful for the treatment?

A. Calcium Hydroxide

Correct Incorrect Correct answer

B. Triamcinolone with clindamycin

Correct Incorrect Correct answer

C. Zinc Oxide Eugenol

Correct Incorrect Correct answer

D. Glass lonomer Cement

Correct Incorrect Correct answer

You are reviewing the type of pulp treatment to be considered in different situations.

74. An inadvertent mechanical pulp exposure occurs when a cavity on a mandibular first primary molar is prepared. The exposure is small (less than 1mm) & the treatment was being performed with rubber dam isolation. What treatment should be performed?

A. Direct pulp capping

Correct Incorrect Correct answer

B. Indirect pulp capping

Correct Incorrect Correct answer

C. Pulpotomy with formocresol

Correct Incorrect Correct answer

D. Pulpotomy with calcium hydroxide

Correct Incorrect Correct answer

You are reviewing the type of pulp treatment to be considered in different situations.

75. A 7 year old patient presents with a fracture of the crown of a permanent maxillary central incisor that occurred 2 hours ago. The incisal half of the crown is missing, resulting in a 3mm exposure of pulp.
What is the most appropriate management for this tooth?

A. Apexification

Correct Incorrect Correct answer

B. Apexogenesis

Correct Incorrect Correct answer

C. Root Canal Treatment

Correct Incorrect Correct answer

D. Extraction

Correct Incorrect Correct answer

You are reviewing the type of pulp treatment to be considered in different situations.

76. The crown of a root canal treated premolar tooth is fractured near the gingival margin. The coronal end of the silver cone used for obturation is visible at that level.
This tooth is managed best by?

A. Preparing post space alongside the silver cone

Correct Incorrect Correct answer

B. Removing the silver cone, make notches in it and then replace it in the canal with freshly mixed sealer

Correct Incorrect Correct answer

C. Grinding away the coronal part of the silver cone using round burs or end cutting burs

Correct Incorrect Correct answer

D. Removing the silver cone, retreating the canal using GP points and then preparing the post space

Correct Incorrect Correct answer

The patient is scheduled to begin IV Bisphosphonate therapy for cancer on Friday, he came to see you today on Monday.
He has visited his medical practitioner and has brought his medical records.
The OPG (Orthopantomogram) indicates dentate status with mild bone loss, multiple root canal-treated teeth without crowns, and multiple small dental caries.

77. What is your immediate concern?

A. Oral hygiene measures

Correct Incorrect Correct answer

B. Restoring root canal treated teeth

Correct Incorrect Correct answer

C. Extract non-restorable teeth

Correct Incorrect Correct answer

D. Crown Restorations

Correct Incorrect Correct answer

The patient is scheduled to begin IV Bisphosphonate therapy for cancer on Friday, he came to see you today on Monday.
He has visited his medical practitioner and has brought his medical records.
The OPG (Orthopantomogram) indicates dentate status with mild bone loss, multiple root canal-treated teeth without crowns, and multiple small dental caries.

78. After thorough clinical examination, you find a tooth non restorable and plan to extract it.
When is the best time to extract?

A. Anytime because anyway risk is the same

Correct Incorrect Correct answer

B. Immediately, as therapy is going to start soon

Correct Incorrect Correct answer

C. In between TWO injections of bisphosphonates

Correct Incorrect Correct answer

D. Temporary cease IV bisphosphonates for 2 weeks and then extract

Correct Incorrect Correct answer

The patient is scheduled to begin IV Bisphosphonate therapy for cancer on Friday, he came to see you today on Monday.
He has visited his medical practitioner and has brought his medical records.
The OPG (Orthopantomogram) indicates dentate status with mild bone loss, multiple root canal-treated teeth without crowns, and multiple small dental caries.

79. What advice would you send to the medical practitioner?

A. Defer bisphosphonate therapру

Correct Incorrect Correct answer

B. Change IV to oral Bisphosphonates

Correct Incorrect Correct answer

C. I am doing only palliative treatment, so proceed with your plan

Correct Incorrect Correct answer

D. Postpone her dental treatment

Correct Incorrect Correct answer

The patient is scheduled to begin IV Bisphosphonate therapy for cancer on Friday, he came to see you today on Monday.
He has visited his medical practitioner and has brought his medical records.
The OPG (Orthopantomogram) indicates dentate status with mild bone loss, multiple root canal-treated teeth without crowns, and multiple small dental caries.

80. What would make extraction difficult?

A. Its close proximity to adjacent root

Correct Incorrect Correct answer

B. Brittleness as its root canal treated

Correct Incorrect Correct answer

C. Hypercementosis of root

Correct Incorrect Correct answer

D. Ankylosis

Correct Incorrect Correct answer

The patient is scheduled to begin IV Bisphosphonate therapy for cancer on Friday, he came to see you today on Monday.
He has visited his medical practitioner and has brought his medical records.
The OPG (Orthopantomogram) indicates dentate status with mild bone loss, multiple root canal-treated teeth without crowns, and multiple small dental caries.

81. You send the patient to the oral hygienist for oral disinfection.
Whose responsibility is the oral hygiene treatment?

A. Fully oral hygienist

Correct Incorrect Correct answer

B. Fully yours

Correct Incorrect Correct answer

C. Oral hygienist are responsible for the procedures they do

Correct Incorrect Correct answer

D. Oral hygienist should do under your supervision

Correct Incorrect Correct answer

You had extracted tooth 48 for a patient who presented to you 2 days after extraction with pain and a foul taste/smell.
Local anesthesia was administered – the patient settled down and felt relieved.
After 5 minutes, saline irrigation was done, some small necrotic bone fragments were removed, and Alvogyl was placed.
Suddenly, the patient became agitated, showing signs of flushing on the face, cheeks, and forearms.
An ambulance has already been called.

82. Apart from anaphylaxis, which of the below could have a similar clinical presentation?

A. Panic attack

Correct Incorrect Correct answer

B. Shingles

Correct Incorrect Correct answer

C. Impetigo

Correct Incorrect Correct answer

D. Increase of core body temperature

Correct Incorrect Correct answer

E. Cellulitis

Correct Incorrect Correct answer

You had extracted tooth 48 for a patient who presented to you 2 days after extraction with pain and a foul taste/smell.
Local anesthesia was administered – the patient settled down and felt relieved.
After 5 minutes, saline irrigation was done, some small necrotic bone fragments were removed, and Alvogyl was placed.
Suddenly, the patient became agitated, showing signs of flushing on the face, cheeks, and forearms.
An ambulance has already been called.

83. Oral mucosa starts to get swollen suddenly.
What’s your first management?

A. Tell nurse to call 000 ambulance

Correct Incorrect Correct answer

B. Remove alvogyl

Correct Incorrect Correct answer

C. Place patient in supine position

Correct Incorrect Correct answer

D. Assist to make him stand

Correct Incorrect Correct answer

E. Put pressure and ice packs

Correct Incorrect Correct answer

You had extracted tooth 48 for a patient who presented to you 2 days after extraction with pain and a foul taste/smell.
Local anesthesia was administered – the patient settled down and felt relieved.
After 5 minutes, saline irrigation was done, some small necrotic bone fragments were removed, and Alvogyl was placed.
Suddenly, the patient became agitated, showing signs of flushing on the face, cheeks, and forearms.
An ambulance has already been called.

84. You administer adrenaline from an auto-injector in his antero lateral thigh.
Why was the antero lateral thigh chosen?

A. Rapid plasma concentration increases

Correct Incorrect Correct answer

B. Not invading privacy

Correct Incorrect Correct answer

C. Less painful site

Correct Incorrect Correct answer

D. Not any major blood vessels in that area

Correct Incorrect Correct answer

E. Best site for subcutaneous injections

Correct Incorrect Correct answer

You had extracted tooth 48 for a patient who presented to you 2 days after extraction with pain and a foul taste/smell.
Local anesthesia was administered – the patient settled down and felt relieved.
After 5 minutes, saline irrigation was done, some small necrotic bone fragments were removed, and Alvogyl was placed.
Suddenly, the patient became agitated, showing signs of flushing on the face, cheeks, and forearms.
An ambulance has already been called.

85. Now the patient develops a stridor.
What is your management?

A. Administer another adrenaline injection

Correct Incorrect Correct answer

B. Administer steroids

Correct Incorrect Correct answer

C. Administer oxygen

Correct Incorrect Correct answer

D. Administer oral antihistamines

Correct Incorrect Correct answer

You had extracted tooth 48 for a patient who presented to you 2 days after extraction with pain and a foul taste/smell.
Local anesthesia was administered – the patient settled down and felt relieved.
After 5 minutes, saline irrigation was done, some small necrotic bone fragments were removed, and Alvogyl was placed.
Suddenly, the patient became agitated, showing signs of flushing on the face, cheeks, and forearms.
An ambulance has already been called.

86. Finally it is confirmed to you that it is anaphylaxis.
Probably due to?

A. Lidocaine

Correct Incorrect Correct answer

B. Adrenaline

Correct Incorrect Correct answer

C. lodoform

Correct Incorrect Correct answer

D. Saline

Correct Incorrect Correct answer

E. Nitrile gloves

Correct Incorrect Correct answer

You are reviewing effective infection control practices with the infection control coordinator of your clinic to ensure facility-wide compliance with infection control measures.

87. What is the minimum requirement for checking wrapped load in new steam sterilization and which indicator should be used?

A. Class 1

Correct Incorrect Correct answer

B. Class 2

Correct Incorrect Correct answer

C. Class 3

Correct Incorrect Correct answer

D. Class 4

Correct Incorrect Correct answer

E. Class 5 and 6

Correct Incorrect Correct answer

You are reviewing effective infection control practices with the infection control coordinator of your clinic to ensure facility-wide compliance with infection control measures.

88. Class 1 indicator has not changed color.
In which condition does the Class 1 indicator change color?

A. Pouch put in the heat of autoclave

Correct Incorrect Correct answer

B. Pouch put in 134 degrees

Correct Incorrect Correct answer

C. Pouch put in 137 degrees

Correct Incorrect Correct answer

D. Pouch steamed for 3 mins

Correct Incorrect Correct answer

E. Pouch put in dry heat sterilizer

Correct Incorrect Correct answer

You are reviewing effective infection control practices with the infection control coordinator of your clinic to ensure facility-wide compliance with infection control measures.

89. Chemical indicator only sensitive to changes in temperature?

A. Class 4

Correct Incorrect Correct answer

B. Class 1

Correct Incorrect Correct answer

C. Class 6

Correct Incorrect Correct answer

D. Class 5

Correct Incorrect Correct answer

You are reviewing effective infection control practices with the infection control coordinator of your clinic to ensure facility-wide compliance with infection control measures.

90. Dental assistant gave you instruments but they were not used.
What to do?

A. Autoclave it again

Correct Incorrect Correct answer

B. Must use it

Correct Incorrect Correct answer

C. Return it to the storage drawer

Correct Incorrect Correct answer

D. Hand it to another dental staff

Correct Incorrect Correct answer

You are reviewing effective infection control practices with the infection control coordinator of your clinic to ensure facility-wide compliance with infection control measures.

91. Best test for hollow loads?

A. Bowie-Dick test

Correct Incorrect Correct answer

B. Helix test

Correct Incorrect Correct answer

C. Class 5 indicator

Correct Incorrect Correct answer

D. A spore test

Correct Incorrect Correct answer

The dental assistant is assisting a dentist during a routine dental procedure when the patient discloses that he was infected with Hepatitis B 10 months ago and mentions his sexual orientation as a homosexual.
The DA, concerned about safety protocols, seeks guidance from the dentist on the preventive measures to be taken when handling this patient.

92. Patient infected with Hepatitis B.
The dental assistant levels of antibody to hepatitis B surface antigen is 98 IU/L.
How will she treat the patient?

A. No precaution she is already immunized

Correct Incorrect Correct answer

B. Get a booster dose

Correct Incorrect Correct answer

C. Do immunization again

Correct Incorrect Correct answer

D. Get a medical advice very soon

Correct Incorrect Correct answer

E. Within 48-72 hours administer single immunoglobulin dose

Correct Incorrect Correct answer

The dental assistant is assisting a dentist during a routine dental procedure when the patient discloses that he was infected with Hepatitis B 10 months ago and mentions his sexual orientation as a homosexual.
The DA, concerned about safety protocols, seeks guidance from the dentist on the preventive measures to be taken when handling this patient.

93. What is the best infection control measure to follow with this patient?

A. See him as first patient of the day

Correct Incorrect Correct answer

B. Use 2 cycles for sterilization

Correct Incorrect Correct answer

C. Use N95 mask

Correct Incorrect Correct answer

D. Don't treat the patient and delay the appointment

Correct Incorrect Correct answer

E. Treat patient with regular sterilization

Correct Incorrect Correct answer

The dental assistant is assisting a dentist during a routine dental procedure when the patient discloses that he was infected with Hepatitis B 10 months ago and mentions his sexual orientation as a homosexual.
The DA, concerned about safety protocols, seeks guidance from the dentist on the preventive measures to be taken when handling this patient.

94. Dental assistant gets pricked with the needle of the Hep B patient.
What to do?

A. Apply pressure

Correct Incorrect Correct answer

B. Allow it to bleed

Correct Incorrect Correct answer

C. Wash with antiseptic

Correct Incorrect Correct answer

D. Wash with CHX

Correct Incorrect Correct answer

The dental assistant is assisting a dentist during a routine dental procedure when the patient discloses that he was infected with Hepatitis B 10 months ago and mentions his sexual orientation as a homosexual.
The DA, concerned about safety protocols, seeks guidance from the dentist on the preventive measures to be taken when handling this patient.

95. How to check that the HBV is still an active infection in the patient?

A. HBsAg

Correct Incorrect Correct answer

B. HBs antibody (anti-HBs)

Correct Incorrect Correct answer

C. Core antigen

Correct Incorrect Correct answer

D. Core antibody (anti-HBc)

Correct Incorrect Correct answer

The dental assistant is assisting a dentist during a routine dental procedure when the patient discloses that he was infected with Hepatitis B 10 months ago and mentions his sexual orientation as a homosexual.
The DA, concerned about safety protocols, seeks guidance from the dentist on the preventive measures to be taken when handling this patient.

96. You are worried and feeling emotional while explaining the sharp injury to the patient, and you’re uncomfortable regarding blood-borne infections.
You are contemplating the recent incident.
What should you do?

A. Avoid infected Hep B patients in future

Correct Incorrect Correct answer

B. Refer infected patients to a colleague

Correct Incorrect Correct answer

C. Undergo a sharps injury refresher training before your next appointment

Correct Incorrect Correct answer

D. Do palliative care today and ask him to come back for the rest of the treatment later

Correct Incorrect Correct answer

John is a 29-year-old patient who presented at your dental office with a complaint of bleeding gums.
He is not a regular dental attendee and only brushes his teeth once a day.
He has no significant medical issues and is in good overall health.
Upon examination, gentle probing of the gums resulted in easy bleeding.
His gums appeared red and swollen.
The diagnosis for this condition is mild plaque-induced gingivitis.
He has a history of smoking for the past 5 years.

97. What is not true about gingivitis in general?

A. It is the mildest and most common form of periodontal disease

Correct Incorrect Correct answer

B. Approximately 50% of the population has periodontal disease

Correct Incorrect Correct answer

C. Gingivitis is associated with the accumulation of dental plaque and calculus

Correct Incorrect Correct answer

D. Gingivitis is always painful and destroys the periodontal ligaments

Correct Incorrect Correct answer

John is a 29-year-old patient who presented at your dental office with a complaint of bleeding gums.
He is not a regular dental attendee and only brushes his teeth once a day.
He has no significant medical issues and is in good overall health.
Upon examination, gentle probing of the gums resulted in easy bleeding.
His gums appeared red and swollen.
The diagnosis for this condition is mild plaque-induced gingivitis.
He has a history of smoking for the past 5 years.

98. What will be your initial management in this case?

A. Removing plaque and calculus with thorough debridement

Correct Incorrect Correct answer

B. Antibiotic therapy

Correct Incorrect Correct answer

C. Chlorhexidine 0.2% mouthwash 10 ml rinsed in the mouth for 1 minute every 8-12 hourly only

Correct Incorrect Correct answer

D. No treatment is required at this stage just follow up

Correct Incorrect Correct answer

John is a 29-year-old patient who presented at your dental office with a complaint of bleeding gums.
He is not a regular dental attendee and only brushes his teeth once a day.
He has no significant medical issues and is in good overall health.
Upon examination, gentle probing of the gums resulted in easy bleeding.
His gums appeared red and swollen.
The diagnosis for this condition is mild plaque-induced gingivitis.
He has a history of smoking for the past 5 years.

99. During a recent conversation about his smoking habits, you expressed your willingness to provide help if he wished to quit. He responded confidently, saying, “I’m not an addict; I can quit even now.”
However, based on your observation, you diagnosed that his attitude is a barrier preventing him from quitting smoking.
What evidence-based strategy will you follow?

A. Reassure him that health benefits of quitting smoking at early age

Correct Incorrect Correct answer

B. Acknowledge him and explain positives of quit smoking

Correct Incorrect Correct answer

C. Tell the fact that if he doesnt quit smoking, it can cause serious health problems

Correct Incorrect Correct answer

D. Give Quit smoking pamphlet and contact details

Correct Incorrect Correct answer

John is a 29-year-old patient who presented at your dental office with a complaint of bleeding gums.
He is not a regular dental attendee and only brushes his teeth once a day.
He has no significant medical issues and is in good overall health.
Upon examination, gentle probing of the gums resulted in easy bleeding.
His gums appeared red and swollen.
The diagnosis for this condition is mild plaque-induced gingivitis.
He has a history of smoking for the past 5 years.

100. What is true about antibiotic therapy for periodontitis?

A. Is always required

Correct Incorrect Correct answer

B. Is rarely required

Correct Incorrect Correct answer

C. We can not prescribe it to non responsive patient

Correct Incorrect Correct answer

D. Not required any more for case of rapidly progressing periodontitis

Correct Incorrect Correct answer

John is a 29-year-old patient who presented at your dental office with a complaint of bleeding gums.
He is not a regular dental attendee and only brushes his teeth once a day.
He has no significant medical issues and is in good overall health.
Upon examination, gentle probing of the gums resulted in easy bleeding.
His gums appeared red and swollen.
The diagnosis for this condition is mild plaque-induced gingivitis.
He has a history of smoking for the past 5 years.

101. Patient asks you how to use CPP-AСР?

A. Use pea size on finger, apply on teeth for 3 min

Correct Incorrect Correct answer

B. Use it with mouthwash

Correct Incorrect Correct answer

C. Use wet tooth brush to apply then use your tongue

Correct Incorrect Correct answer

D. Use tray to apply

Correct Incorrect Correct answer

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