(Therapeutic Guidelines Mocks) Mock Exam 2

A 50 year old female patient presents to your practice complaining of dry mouth.
She is suffering from hypertension and using diuretics medications for it.
She takes NSAIDs frequently due to pain in her joints.
She also mentions she likes to go to the beach and enjoy the sunlight.

1. The most frequent cause of dry mouth is-

A. Aplasia of salivary glands

Correct Incorrect Correct answer

B. Sjogren’s syndrome

Correct Incorrect Correct answer

C. Drugs

Correct Incorrect Correct answer

D. Therapeutic irradiation

Correct Incorrect Correct answer

A 50 year old female patient presents to your practice complaining of dry mouth.
She is suffering from hypertension and using diuretics medications for it.
She takes NSAIDs frequently due to pain in her joints.
She also mentions she likes to go to the beach and enjoy the sunlight.

2. What do you think has contributed the MOST in her complain of dry mouth-

A. Diuretics

Correct Incorrect Correct answer

B. NSAIDs

Correct Incorrect Correct answer

C. Age

Correct Incorrect Correct answer

D. Hypertension

Correct Incorrect Correct answer

A 50 year old female patient presents to your practice complaining of dry mouth.
She is suffering from hypertension and using diuretics medications for it.
She takes NSAIDs frequently due to pain in her joints.
She also mentions she likes to go to the beach and enjoy the sunlight.

3. Dry mouth can have a profound effect on the oral environment and can contribute to all EXCEPT-

A. Tooth decay

Correct Incorrect Correct answer

B. Periodontal disease

Correct Incorrect Correct answer

C. Oral candidiasis

Correct Incorrect Correct answer

D. Enhanced retention of dentures

Correct Incorrect Correct answer

A 50 year old female patient presents to your practice complaining of dry mouth.
She is suffering from hypertension and using diuretics medications for it.
She takes NSAIDs frequently due to pain in her joints.
She also mentions she likes to go to the beach and enjoy the sunlight.

4. Practical advice for patients with dry mouth include ALL EXCEPT-

A. Chew sugarless gum or suck sugarless sweets

Correct Incorrect Correct answer

B. Chew food thoroughly before swallowing

Correct Incorrect Correct answer

C. Use of alcohol containing mouthwash

Correct Incorrect Correct answer

D. Use of bicarbonate containing mouthwash

Correct Incorrect Correct answer

A few weeks later the same patient presents with the lesion
below,she says she had this a few times before as well during the
last few years.

5. Based on the appearance and location, what do you think it might be-

A. Pemphigus

Correct Incorrect Correct answer

B. Secondary Herpes Simplex

Correct Incorrect Correct answer

C. Erythema Multiforme

Correct Incorrect Correct answer

D. Recurrent Aphthous Ulcer

Correct Incorrect Correct answer

A few weeks later the same patient presents with the lesion
below,she says she had this a few times before as well during the
last few years.

6. What might have contributed towards this lesion for her-

A. NSAIDs

Correct Incorrect Correct answer

B. Dry Mouth

Correct Incorrect Correct answer

C. Sunlight

Correct Incorrect Correct answer

D. Hypertension

Correct Incorrect Correct answer

A few weeks later the same patient presents with the lesion
below,she says she had this a few times before as well during the
last few years.

7. What is required for the Diagnosis of the lesion-

A. Microbiological testing

Correct Incorrect Correct answer

B. History and clinical examination

Correct Incorrect Correct answer

C. Immunofluorescence

Correct Incorrect Correct answer

D. Biopsy

Correct Incorrect Correct answer

A few weeks later the same patient presents with the lesion
below,she says she had this a few times before as well during the
last few years.

8. You advise the patient to use a topical medication next time if it happens again, which topical medication will you advise-

A. Miconazole

Correct Incorrect Correct answer

B. Acyclovir

Correct Incorrect Correct answer

C. Hydrocortisone

Correct Incorrect Correct answer

D. Benzydamine

Correct Incorrect Correct answer

A month later her 4-year-old son presents with fever, gingival bleeding and extensive oral ulceration in his mouth. His medical history is unremarkable.

9. What would be your most likely diagnosis-

A. Candidal infection

Correct Incorrect Correct answer

B. Herpes simplex infection

Correct Incorrect Correct answer

C. Recurrent aphthous ulceration

Correct Incorrect Correct answer

D. Herpes zoster infection

Correct Incorrect Correct answer

A month later her 4-year-old son presents with fever, gingival bleeding and extensive oral ulceration in his mouth. His medical history is unremarkable.

10. How would you manage the child-

A. Oral fluids & antipyretic drugs

Correct Incorrect Correct answer

B. Oral fluids & benzydamine 1% gel

Correct Incorrect Correct answer

C. Oral fluids & nystatin 100 000 units/mL suspension

Correct Incorrect Correct answer

D. Oral fluids & hydrocortisone 1% cream topically

Correct Incorrect Correct answer

An elderly individual about 65 years of age with poorly controlled
diabetes & a smoker presents with a diffuse red erythematous
area below the denture.
The histopathology showed slender,eosinophilic, hyphae-like
structures which are PAS positive. The underlying CT shows
severe chronic inflammatory cell infiltrate.

11. It is most likely to be-

A. Denture irritation hyperplasia

Correct Incorrect Correct answer

B. Denture stomatitis

Correct Incorrect Correct answer

C. Erythroplakia

Correct Incorrect Correct answer

D. Angular Cheilitis

Correct Incorrect Correct answer

An elderly individual about 65 years of age with poorly controlled
diabetes & a smoker presents with a diffuse red erythematous
area below the denture.
The histopathology showed slender,eosinophilic, hyphae-like
structures which are PAS positive. The underlying CT shows
severe chronic inflammatory cell infiltrate.

12. Which of the below might NOT have contributed towards causing such a lesion-

A. Poorly controlled diabetes

Correct Incorrect Correct answer

B. Smoking

Correct Incorrect Correct answer

C. Age

Correct Incorrect Correct answer

D. Dentures

Correct Incorrect Correct answer

An elderly individual about 65 years of age with poorly controlled
diabetes & a smoker presents with a diffuse red erythematous
area below the denture.
The histopathology showed slender,eosinophilic, hyphae-like
structures which are PAS positive. The underlying CT shows
severe chronic inflammatory cell infiltrate.

13. Regarding the management of such a lesion, what is not TRUE-

A. Optimize denture hygiene

Correct Incorrect Correct answer

B. Store denture in wet environment overnight

Correct Incorrect Correct answer

C. Assess fit of denture

Correct Incorrect Correct answer

D. Use topical antifungal therapy

Correct Incorrect Correct answer

An elderly individual about 65 years of age with poorly controlled
diabetes & a smoker presents with a diffuse red erythematous
area below the denture.
The histopathology showed slender,eosinophilic, hyphae-like
structures which are PAS positive. The underlying CT shows
severe chronic inflammatory cell infiltrate.

14. The patient asks you how she should clean the denture, What should you advise-

A. Remove denture from the mouth and clean it with warm water, mild soap and a toothbrush

Correct Incorrect Correct answer

B. Remove denture from the mouth and clean it with hot water, mild soap and a toothbrush

Correct Incorrect Correct answer

C. Remove denture from the mouth and clean it with warm water, toothpaste and a toothbrush

Correct Incorrect Correct answer

D. Remove denture from the mouth and clean it with hot water, toothpaste and a toothbrush

Correct Incorrect Correct answer

A 50 year old male patient presents to you with the below clinical
finding.
He is a complete denture wearer for 20 years now.
He suffers from vitamin B12 deficiency.
Patient is not a smoker and consumes 3 glasses of wine daily.
Patient likes to enjoy the sunlight and spends a lot of time on his
farm daily.

15. Based on the findings, what do you think the condition is-

A. Actinic cheilitis

Correct Incorrect Correct answer

B. Angular cheilitis

Correct Incorrect Correct answer

C. Squamous Cell Carcinoma

Correct Incorrect Correct answer

D. Erythroplakia

Correct Incorrect Correct answer

A 50 year old male patient presents to you with the below clinical
finding.
He is a complete denture wearer for 20 years now.
He suffers from vitamin B12 deficiency.
Patient is not a smoker and consumes 3 glasses of wine daily.
Patient likes to enjoy the sunlight and spends a lot of time on his
farm daily.

16. What has NOT contributed towards this condition-

A. Vitamin B deficiency

Correct Incorrect Correct answer

B. Sunlight

Correct Incorrect Correct answer

C. Dentures

Correct Incorrect Correct answer

D. Alcohol

Correct Incorrect Correct answer

A 50 year old male patient presents to you with the below clinical
finding.
He is a complete denture wearer for 20 years now.
He suffers from vitamin B12 deficiency.
Patient is not a smoker and consumes 3 glasses of wine daily.
Patient likes to enjoy the sunlight and spends a lot of time on his
farm daily.

17. What will help most in the management of this patients condition-

A. Clotrimazole 1% cream

Correct Incorrect Correct answer

B. Nystatin 100 000 units/mL suspension

Correct Incorrect Correct answer

C. Chlorhexidine 0.5% gel

Correct Incorrect Correct answer

D. Benzydamine hydrochloride 0.15% solution

Correct Incorrect Correct answer

A 50 year old male patient presents to you with the below clinical
finding.
He is a complete denture wearer for 20 years now.
He suffers from vitamin B12 deficiency.
Patient is not a smoker and consumes 3 glasses of wine daily.
Patient likes to enjoy the sunlight and spends a lot of time on his
farm daily.

18. The patient asks you about harm from alcohol-related disease or injury, How much alcohol is safe according to Australian Guidelines to Reduce Health Risks from Drinking Alcohol-

A. No more than 6 standard drinks a week and no more than 4 standard drinks on any one day.

Correct Incorrect Correct answer

B. No more than 8 standard drinks a week and no more than 4 standard drinks on any one day.

Correct Incorrect Correct answer

C. No more than 10 standard drinks a week and no more than 4 standard drinks on any one day.

Correct Incorrect Correct answer

D. No more than 14 standard drinks a week and no more than 6 standard drinks on any one day.

Correct Incorrect Correct answer

A 50 year old male patient presents to you with the below clinical
finding.
He is a complete denture wearer for 20 years now.
He suffers from vitamin B12 deficiency.
Patient is not a smoker and consumes 3 glasses of wine daily.
Patient likes to enjoy the sunlight and spends a lot of time on his
farm daily.

19. One standard drink in Australia is defined as containing-

A. 6 grams of alcohol

Correct Incorrect Correct answer

B. 8 grams of alcohol

Correct Incorrect Correct answer

C. 10 grams of alcohol

Correct Incorrect Correct answer

D. 12 grams of alcohol

Correct Incorrect Correct answer

A teenage female reports to the dental clinic with complaint of
multiple shallow ulcers on labial mucosa and alveolar mucosa with
no similar cutaneous lesions. On questioning, she gives the
history of similar lesions last month. Incisional biopsy, gave a
picture of nonspecific inflammatory lesion.

20. The provisional diagnosis is-

A. Traumatic Ulcer

Correct Incorrect Correct answer

B. Secondary Herpes Simplex Ulcer

Correct Incorrect Correct answer

C. Erythema Multiforme Ulcer

Correct Incorrect Correct answer

D. Minor Recurrent Aphthous Ulcer

Correct Incorrect Correct answer

A teenage female reports to the dental clinic with complaint of
multiple shallow ulcers on labial mucosa and alveolar mucosa with
no similar cutaneous lesions. On questioning, she gives the
history of similar lesions last month. Incisional biopsy, gave a
picture of nonspecific inflammatory lesion.

21. The precise cause of the ulcers is-

A. Smoking cessation

Correct Incorrect Correct answer

B. Iron deficiency

Correct Incorrect Correct answer

C. Coeliac disease

Correct Incorrect Correct answer

D. None of the above

Correct Incorrect Correct answer

A teenage female reports to the dental clinic with complaint of
multiple shallow ulcers on labial mucosa and alveolar mucosa with
no similar cutaneous lesions. On questioning, she gives the
history of similar lesions last month. Incisional biopsy, gave a
picture of nonspecific inflammatory lesion.

22. Which topical medication can help in the management of such ulcers-

A. Chlorhexidine 0.5% gel

Correct Incorrect Correct answer

B. Hydrocortisone 1% cream

Correct Incorrect Correct answer

C. Aciclovir 5% cream

Correct Incorrect Correct answer

D. Miconazole 2% gel

Correct Incorrect Correct answer

A teenage female reports to the dental clinic with complaint of
multiple shallow ulcers on labial mucosa and alveolar mucosa with
no similar cutaneous lesions. On questioning, she gives the
history of similar lesions last month. Incisional biopsy, gave a
picture of nonspecific inflammatory lesion.

23. What is the best time to apply this medication-

A. Prodromal stage

Correct Incorrect Correct answer

B. Post ulcerative stage

Correct Incorrect Correct answer

C. Prior to meals

Correct Incorrect Correct answer

D. Anytime as wanted

Correct Incorrect Correct answer

A teenage female reports to the dental clinic with complaint of
multiple shallow ulcers on labial mucosa and alveolar mucosa with
no similar cutaneous lesions. On questioning, she gives the
history of similar lesions last month. Incisional biopsy, gave a
picture of nonspecific inflammatory lesion.

24. The patient presents to you after 3 weeks and the ulcer is still there, she says it has been there all this time-
What should you do now-

A. Prescribe Systemic steroids

Correct Incorrect Correct answer

B. Referral to an oral medicine specialist

Correct Incorrect Correct answer

C. Referral to a medical practitioner

Correct Incorrect Correct answer

D. Follow up after 1 week

Correct Incorrect Correct answer

A 27-year-old female reported to the dental clinic with a complaint of recurring and subsiding sensitivity in the mouth and sensitivity to hot and spicy food for the last 8 months. She also complains of red areas on the tongue concomitant to the sensitive sensation and disappearance of the red areas when sensitivity subsides. Oral examination reveals multiple demarcated zones of erythema on the tongue. These zones are surrounded by slightly elevated serpentine,white borders.
Medically the patient is fit and healthy.
She is a smoker.

25. What do you think would be the most appropriate diagnosis-

A. Erythematous candidiasis

Correct Incorrect Correct answer

B. Erythematous oral lichen planus

Correct Incorrect Correct answer

C. Erythroplakia

Correct Incorrect Correct answer

D. Geographic tongue

Correct Incorrect Correct answer

A 27-year-old female reported to the dental clinic with a complaint of recurring and subsiding sensitivity in the mouth and sensitivity to hot and spicy food for the last 8 months. She also complains of red areas on the tongue concomitant to the sensitive sensation and disappearance of the red areas when sensitivity subsides. Oral examination reveals multiple demarcated zones of erythema on the tongue. These zones are surrounded by slightly elevated serpentine,white borders.
Medically the patient is fit and healthy.
She is a smoker.

26. What might be the potential cause of such a condition-

A. Family history

Correct Incorrect Correct answer

B. Hormonal Imbalance

Correct Incorrect Correct answer

C. Smoking

Correct Incorrect Correct answer

D. None of the above

Correct Incorrect Correct answer

A 27-year-old female reported to the dental clinic with a complaint of recurring and subsiding sensitivity in the mouth and sensitivity to hot and spicy food for the last 8 months. She also complains of red areas on the tongue concomitant to the sensitive sensation and disappearance of the red areas when sensitivity subsides. Oral examination reveals multiple demarcated zones of erythema on the tongue. These zones are surrounded by slightly elevated serpentine,white borders.
Medically the patient is fit and healthy.
She is a smoker.

27. You diagnose the condition, what should you do next-

A. Reassurance

Correct Incorrect Correct answer

B. Smoking cessation

Correct Incorrect Correct answer

C. Incisional Biopsy

Correct Incorrect Correct answer

D. Referral to a specialist

Correct Incorrect Correct answer

A few weeks later, the patient’s sister presents to you with the
below clinical finding. She has completed a course of antibiotics
after her gastric surgery and is worried about what is happening
to her tongue-

28. What do you think it is-

A. Oral hairy leukoplakia

Correct Incorrect Correct answer

B. Oral hairy tongue

Correct Incorrect Correct answer

C. Oral lichen planus

Correct Incorrect Correct answer

D. Median rhomboid glossitis

Correct Incorrect Correct answer

A few weeks later, the patient’s sister presents to you with the
below clinical finding. She has completed a course of antibiotics
after her gastric surgery and is worried about what is happening
to her tongue-

29. What is TRUE regarding the management of such lesion-

A. Topical antifungal therapy

Correct Incorrect Correct answer

B. Topical steroids therapy

Correct Incorrect Correct answer

C. Sodium bicarbonate mouthwash

Correct Incorrect Correct answer

D. Chlorhexidine mouthwash

Correct Incorrect Correct answer

A 50-year-old female presents with bilateral white patches on the
buccal mucosa showing striae radiating from the patches.
The histopathology shows hyperkeratosis, saw-tooth shaped rete
ridges of the epithelium with basal cell degeneration. The
epithelium-CT interface shows dense chronic inflammatory cells
infiltrate.

30. The above mentioned features indicate the lesion to be-

A. White sponge nevus

Correct Incorrect Correct answer

B. Lichen planus

Correct Incorrect Correct answer

C. Leukoplakia

Correct Incorrect Correct answer

D. Frictional keratosis

Correct Incorrect Correct answer

A 50-year-old female presents with bilateral white patches on the
buccal mucosa showing striae radiating from the patches.
The histopathology shows hyperkeratosis, saw-tooth shaped rete
ridges of the epithelium with basal cell degeneration. The
epithelium-CT interface shows dense chronic inflammatory cells
infiltrate.

31. What is NOT true about such a lesion-

A. Can affect the skin, hair, nails

Correct Incorrect Correct answer

B. Immune mediated condition

Correct Incorrect Correct answer

C. No potential for malignancy

Correct Incorrect Correct answer

D. Has a chronic nature

Correct Incorrect Correct answer

A 50-year-old female presents with bilateral white patches on the
buccal mucosa showing striae radiating from the patches.
The histopathology shows hyperkeratosis, saw-tooth shaped rete
ridges of the epithelium with basal cell degeneration. The
epithelium-CT interface shows dense chronic inflammatory cells
infiltrate.

32. The most appropriate management for such lesion is-

A. Improving oral hygiene and periodontal health

Correct Incorrect Correct answer

B. Refer to a specialist

Correct Incorrect Correct answer

C. Betamethasone dipropionate 0.05% cream

Correct Incorrect Correct answer

D. No treatment needed

Correct Incorrect Correct answer

A 50-year-old female presents with bilateral white patches on the
buccal mucosa showing striae radiating from the patches.
The histopathology shows hyperkeratosis, saw-tooth shaped rete
ridges of the epithelium with basal cell degeneration. The
epithelium-CT interface shows dense chronic inflammatory cells
infiltrate.

33. The next patient complained of white patch and burning sensation in the right cheek. On examination, reticular white radiating lesion was noted and 47 and 48 were decayed and filled with amalgam.
The possible diagnosis is-

A. Leukoplakia

Correct Incorrect Correct answer

B. Lichen planus

Correct Incorrect Correct answer

C. Lichenoid reaction

Correct Incorrect Correct answer

D. Leukoedema

Correct Incorrect Correct answer

A 50-year-old female presents with bilateral white patches on the
buccal mucosa showing striae radiating from the patches.
The histopathology shows hyperkeratosis, saw-tooth shaped rete
ridges of the epithelium with basal cell degeneration. The
epithelium-CT interface shows dense chronic inflammatory cells
infiltrate.

34. The patient inquires about Human papilloma viruses (HPV) and oral mucosa lesions, what statement regarding it is true-

A. Virus is usually transmitted by direct contact with a lesion

Correct Incorrect Correct answer

B. Squamous papilloma is the most common oral HPV lesion

Correct Incorrect Correct answer

C. Oncogenic types of HPV are now recognised as a cause of some squamous cell carcinoma

Correct Incorrect Correct answer

D. All of the above

Correct Incorrect Correct answer

A 45-year-old male with the habit of chewing tobacco since 20 years presents with an unilateral white patch in the buccal vestibule that cannot be scrapped. The incisional biopsy reveals a dysplastic, hyperorthokeratosis, hyperplastic epithelium with an inflamed CT stroma.

35. Most probable diagnosis of the lesion is-

A. Leukoplakia

Correct Incorrect Correct answer

B. Chronic Hyperplastic Candidiasis

Correct Incorrect Correct answer

C. Erythroplakia

Correct Incorrect Correct answer

D. Frictional Keratosis

Correct Incorrect Correct answer

A 45-year-old male with the habit of chewing tobacco since 20 years presents with an unilateral white patch in the buccal vestibule that cannot be scrapped. The incisional biopsy reveals a dysplastic, hyperorthokeratosis, hyperplastic epithelium with an inflamed CT stroma.

36. What should you do next-

A. Excise the lesion

Correct Incorrect Correct answer

B. Referral to a specialist

Correct Incorrect Correct answer

C. Start anti fungal treatment

Correct Incorrect Correct answer

D. Observe and follow up

Correct Incorrect Correct answer

A 45-year-old male with the habit of chewing tobacco since 20 years presents with an unilateral white patch in the buccal vestibule that cannot be scrapped. The incisional biopsy reveals a dysplastic, hyperorthokeratosis, hyperplastic epithelium with an inflamed CT stroma.

37. The risk for malignant transformation is greater in-

A. Speckled leukoplakia

Correct Incorrect Correct answer

B. Chronic hyperplastic candidiasis

Correct Incorrect Correct answer

C. Erythroplakia

Correct Incorrect Correct answer

D. Homogenous lichen planus

Correct Incorrect Correct answer

A 45-year-old male with the habit of chewing tobacco since 20 years presents with an unilateral white patch in the buccal vestibule that cannot be scrapped. The incisional biopsy reveals a dysplastic, hyperorthokeratosis, hyperplastic epithelium with an inflamed CT stroma.

38. Your next patient, a 65-year-old male presents to you for dental treatment for a rapidly growing ulcerated and indurated lesion. He is a chronic chain smoker. On examination, a hard, fixed, non-tender submandibular lymph node is palpable. Which lesion would you suspect to run further investigations-

A. Oral squamous cell carcinoma

Correct Incorrect Correct answer

B. Spread of dental infection to larynx

Correct Incorrect Correct answer

C. Severe tonsillitis

Correct Incorrect Correct answer

D. Submandibular Sialolithiasis

Correct Incorrect Correct answer

A 45-year-old male with the habit of chewing tobacco since 20 years presents with an unilateral white patch in the buccal vestibule that cannot be scrapped. The incisional biopsy reveals a dysplastic, hyperorthokeratosis, hyperplastic epithelium with an inflamed CT stroma.

39. Oral potentially malignant disorders include all EXCEPT-

A. Leukoplakia

Correct Incorrect Correct answer

B. Leukoedema

Correct Incorrect Correct answer

C. Erythroplakia

Correct Incorrect Correct answer

D. Chronic hyperplastic candidiasis

Correct Incorrect Correct answer

A 45-year-old male with the habit of chewing tobacco since 20 years presents with an unilateral white patch in the buccal vestibule that cannot be scrapped. The incisional biopsy reveals a dysplastic, hyperorthokeratosis, hyperplastic epithelium with an inflamed CT stroma.

40. Risk factors for oral squamous cell carcinoma include all EXCEPT-

A. Advanced age

Correct Incorrect Correct answer

B. Male gender

Correct Incorrect Correct answer

C. Smoking or tobacco use

Correct Incorrect Correct answer

D. Prolonged use of Chlorhexidine Mouthwash

Correct Incorrect Correct answer

A 45-year-old male with the habit of chewing tobacco since 20 years presents with an unilateral white patch in the buccal vestibule that cannot be scrapped. The incisional biopsy reveals a dysplastic, hyperorthokeratosis, hyperplastic epithelium with an inflamed CT stroma.

41. Your next patient of the day, a 40-year-old male presents to you with paroxysmal, sharp, lancinating pain affecting one side of the throat and base of the tongue that is precipitated by swallowing, chewing and coughing. The most probable diagnosis in this case is-

A. Trigeminal neuralgia

Correct Incorrect Correct answer

B. Glossopharyngeal neuralgia

Correct Incorrect Correct answer

C. Post herpetic neuralgia

Correct Incorrect Correct answer

D. Frey’s syndrome

Correct Incorrect Correct answer

A 45-year-old male with the habit of chewing tobacco since 20 years presents with an unilateral white patch in the buccal vestibule that cannot be scrapped. The incisional biopsy reveals a dysplastic, hyperorthokeratosis, hyperplastic epithelium with an inflamed CT stroma.

42. Your last patient of the day came with a history of sharp, lancinating pain on the right side of face, not relieved by analgesics. On progressive symptoms carbamazepine was found to be effective in this patient. You don’t notice any dental abnormalities.
What is the most probable diagnosis-

A. Acute pulpitis

Correct Incorrect Correct answer

B. Trigeminal neuralgia

Correct Incorrect Correct answer

C. Acute dental abscess

Correct Incorrect Correct answer

D. Dry socket

Correct Incorrect Correct answer

A 21 weeks pregnant lady presented to your practice complaining about pain coming from the upper left side which kept her awake last night.
On examination,tooth 26 was decayed and a clear pulp exposure is seen,though the tooth is restorable.

43. What is the best diagnostic test-

A. Probing

Correct Incorrect Correct answer

B. Sensibility testing

Correct Incorrect Correct answer

C. IOPA

Correct Incorrect Correct answer

D. Percussion

Correct Incorrect Correct answer

E. Vitality testing

Correct Incorrect Correct answer

A 21 weeks pregnant lady presented to your practice complaining about pain coming from the upper left side which kept her awake last night.
On examination,tooth 26 was decayed and a clear pulp exposure is seen,though the tooth is restorable.

44. Based on her symptoms, what is the most probable diagnosis-

A. Acute pulpitis

Correct Incorrect Correct answer

B. Reversible pulpitis

Correct Incorrect Correct answer

C. Periapical abscess

Correct Incorrect Correct answer

D. Acute periapical periodontitis

Correct Incorrect Correct answer

A 21 weeks pregnant lady presented to your practice complaining about pain coming from the upper left side which kept her awake
last night.
On examination,tooth 26 was decayed and a clear pulp exposure is seen,though the tooth is restorable.

45. What is the best management for her-

A. Pulpotomy and complete RCT after delivery

Correct Incorrect Correct answer

B. Complete RCT

Correct Incorrect Correct answer

C. Painkillers,follow up and antibiotics if swelling takes place

Correct Incorrect Correct answer

D. Extraction

Correct Incorrect Correct answer

A 21 weeks pregnant lady presented to your practice complaining about pain coming from the upper left side which kept her awake
last night.
On examination,tooth 26 was decayed and a clear pulp exposure is seen,though the tooth is restorable.

46. After examination, the lady lost consciousness, what is the most likely reason-

A. Syncope

Correct Incorrect Correct answer

B. Orthostatic hypotension

Correct Incorrect Correct answer

C. Hypoglycemia

Correct Incorrect Correct answer

D. Inferior vena cava syndrome

Correct Incorrect Correct answer

A 21 weeks pregnant lady presented to your practice complaining about pain coming from the upper left side which kept her awake
last night.
On examination,tooth 26 was decayed and a clear pulp exposure is seen,though the tooth is restorable.

47. Most probably the above condition affects pregnant women in around-

A. 10%

Correct Incorrect Correct answer

B. 30%

Correct Incorrect Correct answer

C. 50%

Correct Incorrect Correct answer

D. 70%

Correct Incorrect Correct answer

A 21 weeks pregnant lady presented to your practice complaining about pain coming from the upper left side which kept her awake
last night.
On examination,tooth 26 was decayed and a clear pulp exposure is seen,though the tooth is restorable.

48. The above condition usually occurs in-

A. First trimester

Correct Incorrect Correct answer

B. Second trimester

Correct Incorrect Correct answer

C. Third trimester

Correct Incorrect Correct answer

D. At any stage of pregnancy

Correct Incorrect Correct answer

A 21 weeks pregnant lady presented to your practice complaining about pain coming from the upper left side which kept her awake
last night.
On examination,tooth 26 was decayed and a clear pulp exposure is seen,though the tooth is restorable.

49. What’s the best management you should implement-

A. Position the patient in supine position immediately

Correct Incorrect Correct answer

B. Position the patient on her right side

Correct Incorrect Correct answer

C. Position the patient on her left side

Correct Incorrect Correct answer

D. Give her IM glucagon

Correct Incorrect Correct answer

A 21 weeks pregnant lady presented to your practice complaining about pain coming from the upper left side which kept her awake
last night.
On examination,tooth 26 was decayed and a clear pulp exposure is seen,though the tooth is restorable.

50. In general, elective treatment is best performed in the-

A. First trimester

Correct Incorrect Correct answer

B. Second trimester

Correct Incorrect Correct answer

C. Third trimester

Correct Incorrect Correct answer

D. At any stage of pregnancy

Correct Incorrect Correct answer

A 21 weeks pregnant lady presented to your practice complaining about pain coming from the upper left side which kept her awake
last night.
On examination,tooth 26 was decayed and a clear pulp exposure is seen,though the tooth is restorable.

51. What is NOT true regarding Intraoral radiographs during pregnancy-

A. Intraoral radiographs are not contraindicated during pregnancy

Correct Incorrect Correct answer

B. Defer treatments where Intraoral radiographs are required

Correct Incorrect Correct answer

C. Leaded drape is recommended when taking Occlusal view

Correct Incorrect Correct answer

D. The Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) guidelines are followed

Correct Incorrect Correct answer

A 32 year old male patient presented to you with grossly broken
down lower right 1st molar with pain & facial swelling.
Investigations revealed a negative response to cold testing and
severe tenderness to percussion. Probing values were within
normal range.
Medical history is clear.

52. What do you think the diagnosis is-

A. Irreversible Pulpitis

Correct Incorrect Correct answer

B. Acute apical abscess

Correct Incorrect Correct answer

C. Chronic apical abscess

Correct Incorrect Correct answer

D. Acute periodontal abscess

Correct Incorrect Correct answer

A 32 year old male patient presented to you with grossly broken
down lower right 1st molar with pain & facial swelling.
Investigations revealed a negative response to cold testing and
severe tenderness to percussion. Probing values were within
normal range.
Medical history is clear.

53. What other diagnosis can hold true-

A. Acute Apical Periodontitis

Correct Incorrect Correct answer

B. Chronic Apical Periodontitis

Correct Incorrect Correct answer

C. Chronic Periodontitis

Correct Incorrect Correct answer

D. Cracked tooth syndrome

Correct Incorrect Correct answer

A 32 year old male patient presented to you with grossly broken
down lower right 1st molar with pain & facial swelling.
Investigations revealed a negative response to cold testing and
severe tenderness to percussion. Probing values were within
normal range.
Medical history is clear.

54. What will be your primary management plan for this patient-

A. Urgent transfer to a hospital

Correct Incorrect Correct answer

B. Outpatient dental treatment

Correct Incorrect Correct answer

C. Antibiotics prescription

Correct Incorrect Correct answer

D. Extraction

Correct Incorrect Correct answer

A 32 year old male patient presented to you with grossly broken
down lower right 1st molar with pain & facial swelling.
Investigations revealed a negative response to cold testing and
severe tenderness to percussion. Probing values were within
normal range.
Medical history is clear.

55. Which Antibiotics will you prescribe if you are not doing treatment today-

A. Metronidazole 200 mg + Phenoxymethylpenicillin 500 mg

Correct Incorrect Correct answer

B. Metronidazole 400 mg + Phenoxymethylpenicillin 500 mg

Correct Incorrect Correct answer

C. Phenoxymethylpenicillin 500 mg + Amoxicillin 500 mg

Correct Incorrect Correct answer

D. Metronidazole 400 mg + Clindamycin 300 mg

Correct Incorrect Correct answer

E. Antibiotics are not required

Correct Incorrect Correct answer

A 32 year old male patient presented to you with grossly broken
down lower right 1st molar with pain & facial swelling.
Investigations revealed a negative response to cold testing and
severe tenderness to percussion. Probing values were within
normal range.
Medical history is clear.

56. Your next patient ,38 years old, has Tooth 28 with deep decay causing Pain & Swelling since the last 3 days.
You have liaised with the local oral surgeon & referred the patient. The reason for referral is because the tooth has complex root anatomy and the roots are close to sinus.
It will be 3 days until he will see the specialist for extraction.
Medical History – Allergic to Penicillin and Asthmatic.
What symptomatic treatment you will give him until he sees the specialist-

A. Metronidazole 400 mg orally,12-hourly for 5 days

Correct Incorrect Correct answer

B. Clindamycin 300 mg orally, 8-hourly for 5 days

Correct Incorrect Correct answer

C. Amoxicillin 875+Clavulanate 125 orally, 12-hourly for 5 days

Correct Incorrect Correct answer

D. Amoxicillin 500 mg orally, 8-hourly for 5 days

Correct Incorrect Correct answer

A 32 year old male patient presented to you with grossly broken
down lower right 1st molar with pain & facial swelling.
Investigations revealed a negative response to cold testing and
severe tenderness to percussion. Probing values were within
normal range.
Medical history is clear.

57. What is a safe painkiller for symptomatic treatment in this patient-

A. Ibuprofen

Correct Incorrect Correct answer

B. Paracetamol

Correct Incorrect Correct answer

C. Aspirin

Correct Incorrect Correct answer

D. Naproxen

Correct Incorrect Correct answer

Mr. Paul is your patient for whom you pulled out the upper right molar tooth 4 days back which was grossly decayed without any
pain and swelling involved.
Today he is presented with pain,swelling & purulent discharge from the surgical site and is not feeling well.
The patient is allergic to penicillin and is not a smoker.
His medical history is otherwise clear.

58. What should you have done to avoid this problem-

A. Antibiotic prophylaxis before pulling the tooth out

Correct Incorrect Correct answer

B. Antibiotic prophylaxis + Therapeutic antibiotics

Correct Incorrect Correct answer

C. Therapeutic antibiotics followed by extraction

Correct Incorrect Correct answer

D. None of the above

Correct Incorrect Correct answer

Mr. Paul is your patient for whom you pulled out the upper right molar tooth 4 days back which was grossly decayed without any pain and swelling involved.
Today he is presented with pain,swelling & purulent discharge from the surgical site and is not feeling well.
The patient is allergic to penicillin and is not a smoker.
His medical history is otherwise clear.

59. What do you think is happening-

A. Postsurgical inflammation

Correct Incorrect Correct answer

B. Alveolar osteitis

Correct Incorrect Correct answer

C. Postoperative dental infection

Correct Incorrect Correct answer

D. Osteomyelitis

Correct Incorrect Correct answer

Mr. Paul is your patient for whom you pulled out the upper right molar tooth 4 days back which was grossly decayed without any
pain and swelling involved.
Today he is presented with pain,swelling & purulent discharge from the surgical site and is not feeling well.
The patient is allergic to penicillin and is not a smoker.
His medical history is otherwise clear.

60. Your management might involve all of the following EXCEPT-

A. Draining pus

Correct Incorrect Correct answer

B. Addressing the source of infection, including removing residual root or tooth fragments

Correct Incorrect Correct answer

C. An obtundent dressing

Correct Incorrect Correct answer

D. Analgesia and rehydration therapy

Correct Incorrect Correct answer

Mr. Paul is your patient for whom you pulled out the upper right molar tooth 4 days back which was grossly decayed without any
pain and swelling involved.
Today he is presented with pain,swelling & purulent discharge from the surgical site and is not feeling well.
The patient is allergic to penicillin and is not a smoker.
His medical history is otherwise clear.

61. Which antibiotic will you consider in your management plan-

A. Metronidazole 400 mg orally,12-hourly for 5 days

Correct Incorrect Correct answer

B. Clindamycin 300 mg orally, 8-hourly for 5 days

Correct Incorrect Correct answer

C. Amoxicillin 875+Clavulanate 125 orally, 12-hourly for 5 days

Correct Incorrect Correct answer

D. Amoxicillin 500 mg orally, 8-hourly for 5 days

Correct Incorrect Correct answer

34 year old Natasha presented to you today with a 1 week history
of swollen, bleeding and painful gums.
She has difficulty eating and chewing along with aches and
general malaise.
The patient is an everyday smoker and medically fit.

62. What do you think is happening-

A. Chronic gingivitis

Correct Incorrect Correct answer

B. Necrotising gingivitis

Correct Incorrect Correct answer

C. Necrotising periodontitis

Correct Incorrect Correct answer

D. Necrotising stomatitis

Correct Incorrect Correct answer

34 year old Natasha presented to you today with a 1 week history
of swollen, bleeding and painful gums.
She has difficulty eating and chewing along with aches and
general malaise.
The patient is an everyday smoker and medically fit.

63. Management will include all EXCEPT-

A. Debridement of plaque and necrotic debris

Correct Incorrect Correct answer

B. Hydrocortisone 1% cream

Correct Incorrect Correct answer

C. Local irrigation with chlorhexidine 0.2% mouthwash or hydrogen peroxide 3% solution

Correct Incorrect Correct answer

D. Analgesics

Correct Incorrect Correct answer

34 year old Natasha presented to you today with a 1 week history
of swollen, bleeding and painful gums.
She has difficulty eating and chewing along with aches and
general malaise.
The patient is an everyday smoker and medically fit.

64. What antibiotic will you include in your management plan-

A. Clindamycin 300 mg orally, 8-hourly for 5 days.

Correct Incorrect Correct answer

B. Metronidazole 400 mg orally, 12-hourly for 5 days

Correct Incorrect Correct answer

C. Amoxicillin 500 mg orally, 8-hourly for 5 days

Correct Incorrect Correct answer

D. Antibiotics are not required

Correct Incorrect Correct answer

A 38 year old male patient, Mr Jack presented to you with pain and swelling on his front tooth and feels the tooth is slightly elevated. He reports pain especially on biting. He is also concerned about bleeding and a foul smell from his mouth. Medically he is fit and healthy. He smokes 8 cigarettes/day. Examination revealed moderate plaque and calculus deposits. Tooth 11 was tender to percussion, had a pocket of 7mm & responded positively to vitality testing.
There was a generalized pocket depth of 4-5mm.

65. What do you think is the problem with Tooth #11-

A. Periapical abscess

Correct Incorrect Correct answer

B. Periodontal abscess

Correct Incorrect Correct answer

C. Pyogenic granuloma

Correct Incorrect Correct answer

D. Chronic apical abscess

Correct Incorrect Correct answer

A 38 year old male patient, Mr Jack presented to you with pain and swelling on his front tooth and feels the tooth is slightly elevated. He reports pain especially on biting. He is also concerned about bleeding and a foul smell from his mouth. Medically he is fit and healthy. He smokes 8 cigarettes/day. Examination revealed moderate plaque and calculus deposits. Tooth 11 was tender to percussion, had a pocket of 7mm & responded positively to vitality testing.
There was a generalized pocket depth of 4-5mm.

66. What should include in initial management of Tooth #11-

A. Root canal treatment

Correct Incorrect Correct answer

B. Antibiotic therapy

Correct Incorrect Correct answer

C. Draining the abscess

Correct Incorrect Correct answer

D. Extraction

Correct Incorrect Correct answer

A 38 year old male patient, Mr Jack presented to you with pain and swelling on his front tooth and feels the tooth is slightly elevated. He reports pain especially on biting. He is also concerned about bleeding and a foul smell from his mouth. Medically he is fit and healthy. He smokes 8 cigarettes/day. Examination revealed moderate plaque and calculus deposits. Tooth 11 was tender to percussion, had a pocket of 7mm & responded positively to vitality testing.
There was a generalized pocket depth of 4-5mm.

67. What other problem is the patient suffering from-

A. Gingivitis: Dental Biofilm-Induced

Correct Incorrect Correct answer

B. Periodontitis Stage II Grade A

Correct Incorrect Correct answer

C. Periodontitis Stage II Grade B

Correct Incorrect Correct answer

D. Periodontitis Stage III Grade B

Correct Incorrect Correct answer

E. Periodontitis Stage IV Grade C

Correct Incorrect Correct answer

A 38 year old male patient, Mr Jack presented to you with pain and swelling on his front tooth and feels the tooth is slightly elevated. He reports pain especially on biting. He is also concerned about bleeding and a foul smell from his mouth. Medically he is fit and healthy. He smokes 8 cigarettes/day. Examination revealed moderate plaque and calculus deposits. Tooth 11 was tender to percussion, had a pocket of 7mm & responded positively to vitality testing.
There was a generalized pocket depth of 4-5mm.

68. Risk factor for periodontitis includes all except-

A. Smoking

Correct Incorrect Correct answer

B. Diabetes

Correct Incorrect Correct answer

C. Stress

Correct Incorrect Correct answer

D. Alcohol

Correct Incorrect Correct answer

E. Family history

Correct Incorrect Correct answer

A 38 year old male patient, Mr Jack presented to you with pain and swelling on his front tooth and feels the tooth is slightly elevated. He reports pain especially on biting. He is also concerned about bleeding and a foul smell from his mouth. Medically he is fit and healthy. He smokes 8 cigarettes/day. Examination revealed moderate plaque and calculus deposits. Tooth 11 was tender to percussion, had a pocket of 7mm & responded positively to vitality testing.
There was a generalized pocket depth of 4-5mm.

69. What could be a potential management of this patient-

A. Oral hygiene instructions

Correct Incorrect Correct answer

B. Oral hygiene instructions + Scaling

Correct Incorrect Correct answer

C. Oral hygiene instructions + Scaling + Root surface debridement

Correct Incorrect Correct answer

D. Oral hygiene instructions + Scaling + Root surface debridement + referral to specialist

Correct Incorrect Correct answer

A 38 year old male patient, Mr Jack presented to you with pain and swelling on his front tooth and feels the tooth is slightly elevated. He reports pain especially on biting. He is also concerned about bleeding and a foul smell from his mouth. Medically he is fit and healthy. He smokes 8 cigarettes/day. Examination revealed moderate plaque and calculus deposits. Tooth 11 was tender to percussion, had a pocket of 7mm & responded positively to vitality testing.
There was a generalized pocket depth of 4-5mm.

70. All are true regarding role of smoking in Gum Disease EXCEPT-

A. Reduces blood flow to the gums

Correct Incorrect Correct answer

B. Reduces saliva flow & cause dry mouth symptoms

Correct Incorrect Correct answer

C. Expose the signs of gum disease

Correct Incorrect Correct answer

D. Affects the way the immune system fights infections

Correct Incorrect Correct answer

Average score
Your score

(Therapeutic Guidelines Mocks) Mock Exam 2

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