[

j
6 0 0 Z
N - l : ; : D L J V d l S t l l
I I l ( J V d
/ .
,1
..
,j!:"JnarIy(If
'l' are
on<!
A-

B.
C.
').
mycfasdai ...CfySb'dons,nctrome.
E.
htemalderangementwfth reducSon.

.-

au_ornporaIoyndnlmo.
c=noIdhyptfOl_.
7. EachoI1he following 10
radlcltion E'(CEPTme.
EXCEP'lO
t:ythrornymisresponsible.." numerousdIUQ
someofwhid1 arefatal."""hIs tiS
A. Roda,
because erythromyan
8. Xrays
C Alpharays
A. increasestriaabsorpbonofmanydrugs.
D. Gemmarays
B. decreasestha absorptionofmanydrugs
E. Visibleligh'
C decreasescytochrome P-450metaboilmof
otherdrugs.
D. increases renal reabsorptionofmany(lrugs.
Which ofthe foUowing IsNOTacomplic;atlon of
E. decreasesdistributionofmanydrugs.
8.
radiation thelllPY?
A. Mucositis
3.
Thepenetratingqualityofx-raybeamsis
B. Xarostomia
influencedbywhichofthe foUov.ing?
C. Osteoradioneaosis
D. Granuloma
A. Kilovoltage
8. Mitliamperage
C. Exposuretime
9
Each ofthe following is knOwn tocontnbuteto
D. Focal-filmdistance
Ofofacial clefting EXCEPTone, Whichoneisthe
E. Filamenttemperature
EXCEPTION?
A. Yalium
4
Contractionofthelatentlpterygoid musclemoves
B Poordiet
f1earticulardiskinwhichofthefollOWIng
C. Acetaminophen
irections?
D. Vitamindeficiencyorexcess
A. Anteriorlyandmedially
8 Posteriorlyandmedially
C. Anlenorlyandlaterally 10, Whichofthe fortoWlng phYSIcal signsindicates
D. Posteriorlyandlaterally severeeNS.,xygendeprivation?
E. Anteriorly.laterally. andInteriorly
A. Dilated pupils withincreasedlightreflex
B. PInpointpupilswith increasedlightreflex
C. Dilatedpupdswith anabsenceoflightrenax
Adecreaseinwhichofthefollowingcausesan
5.
D. Pinpointpupilswilhan absenceoflight
increase inradiographicdensity?
reflex
A
Milliamperage(mA)
B
Kilovottage peak(kVp)
C
Object-filmdistance 11. Subconjunctivalhemonhageismostcommonly
O. Source-film distance fO\.Uld in'Nhtchofthefo/JoINing fractures?
E
Exposuretime
A. Nasal
B. LeFortI
C.. Frontalsinus
D. Zygomaticardl
E. Zygomalioomaxitarycomplex
3
,a! Th 18\ El
o201'l9.Amen;-an Assodatlon.JointCc!,'Tlmlsslon OI'! N
d
"
the
M_
17. - ) .')W-anyrna
""'""'-
A. 71>
A. Catechotamln8s B.
'S
B Belladonnaancato js
r
C. _ ........
D.
D. O<ganopho""",'"
18. Acul.
13. Whichofthefolowing de: VNtibu-
A.
Ioptasty?
....."""
B.
A. BoneisaddedtoIhe..."an1ib!etoaugment
t. neutr.:")8r.a
D. Ieuk,
its heighl
8. denlBllmplantsareplaced
F tymphoc...'!?Sis
to supportprosthesis.
C. SofttissueisrepositionedInorder to
increasetheareaOfl whichthedenturemay 19 AJS-year-o j woman 18San c utedentoaf\teolar
besupported.
abscess.'NhichofthefolowtngcondilJOOS will be
D. ThechinIS augmentedto"""00esthetiCS
themostlikefy10 oompIic:1tel"Iemanagementof
E. Periodontaltissueisremoved fromarounda
thispatient?
toothto establish8biologicwidth.
A. Asthma
B. Epilepsy
14. On8newpatient'sInitial appointment.the dentist C. Chemotherapy
should dowhich ofthe following first? D. Hypertension
A. Establishrapport
B Inform
20. Whit;hof!he foltowlng is toCOITect a
C. Gatherinformation
cood"joo )fatropinepoisoningev;deocedbyrapid
DEvaluate
heartrate,drymouthandgastrointesbnat
inactMty:
15 An elderlypatienthasworn amBl(illary complete
A. Nicotine
dentureagainst6 mandibularentenorfaeth foran
B Homafropine
extendedperiodoftime In eltsminingthe C Epinephrine
edentulousmouthofthispaUent, "'8dentistwould D. Piloc:arpwl8
probablysee whichofthefollowfng1
E. Pt1ysostigmine
A. Intrusionofthe mandibularanteriorteeth
B. Flabbyridge (issue intheposteriormaxillary
21. tfapatientsuddenlybecomes unconsd...)Usduring
.,," treatment. thepractitionershouldimmediately
c. lossofosseousstructureIn theanterior
assessthe patient's
maxillaryarch
o Cysticdegenerationofthe foramina ofthe
A. airwayandpulse.
anterior palatinenerve
B. airwayandbloodpressure
C. pulseand bloodpr8'Ssure
o colorand pupils.
16 Theuseofstudycasbin orthognathicsurgery
doeseachofthe followingEXCEPTone. Which
oneisthe EXCEPTION?
A. Constructssplints
8. PerfOlTl"ls modelsurgery
C. Determinesthepostoperativeocctusion
D. Identifiesthe typeofskeletal deformity
E. Aidsin expainingthe surgicalprocedureto
thepatienl
4
0 2009.Anw1cMDental JoInI COfM'\IIak)nont.ladonal DentafE.un:;In-ions .
) . - ]
23. Nh' -h d .. following ".ouIcIbeperformed firstfor
8 coftapsed.".u.'consciousvIdJm ofillness or
8CC jer.1
A. Open theairway
B Establishunresponsiveness
C. Establishpulselessness
D. Examinethevictim forbleedingand
fractures
24. Apatientpresentswitl1 faaall&cerations thaihave
Irregularordevitalizedwound edges. In eXCising
Ihewoundelliptically, apractitionertakesinto
accounteachofthefollowingEXCEPTOM.Which
isthe EXCEPTION?
A.. exciSionIsperpendiculartothenaturalskin
tenSion lines
B. lengthto widthratiO oftheexCisklr! isat
least3to 1
C ExcisionisdoneasconsetVatively as
possrble.
D. Thewound isunderminedpriortodosure.
25. Which ofthe foftowing represent!! the majOrroute
ofexcretionofpenicillin V?
A. Secretioninthe bile end Into thefeess
B. Excretionin the urineasinactivemetabolites
C. Totalmetabonsmbythe fiverandexcretion
in the feces
O. SeCllltIonnotmetabolizedin theurine
26. Whichofthe folowlngsysterruccondibOnslowers
reSistance, impairshealing, and IrlClicateseartyuse
ofantibioticsforinfections?
A. Vitamin Cdenciency
B. Diabetesmellitus
C. PolycythemialIera
D. SystemiClupusetythematosus
5
G 2009.AlTlOI"tIn De.1aI Jo' c
ik.ene'"

(7"1orN"l'1n'
"
27
28.
29.
30
31
'" r.,j,....
A.
B.
C.
"
D.
E.
Eachofthefoftowjng
insutin&hock EXCEP'
e
EXCEPTION?
A Weakness
8. Convulsions
C. Mental
O. Cold perspiration
An unconsciouspatientis .u.pectedofhavin;an
obstructedairway. How shouldthis patientbe
managed?
A.
Protrude the tonoue. clearthe pharynx,
extend the nade,andprolrtJde the mandible
B. Extend the neck,dearthepharynx, protrude
thatongue,andprolrudethemandible
c.

Extendtheneck.protrudethempndiblt;j,
protrudethetongue,endclearthepharym;
D Clearthepharynx, extendtheneck, protrude
themandibfe,and protrudethetongue
Atenderswelling in the soft tissueofttl.
submandibularmangleIsmostI*.ety\:Qu$8d by
A. lipoma.
B. lymphadenopathy.
C. an obstructionofStansen'sduct
D. an infectedthyroglossalductcyst
WhiCh ofthefollowing isthe leasthelpfulin
determiningtheanatomicalintegrity01 tha
temporomandibularjoint?
A. Arthrography
B. Arthroscopy
C. PanOfamiCfilms
D. Computerizedtomography
E. Magneticresonanceimaging
tal E I," Alii
32 A(rashlycondensedClassII rest:: tion n
hal. defiQentmarginattheproxtmo;.;"7:'.":-
cal/OSUrfaceangle This might
A. AnonvitJW
bywhichofthefollowing?
B. Feverofunknownorigin
C. Ahlstcty01 btoedJng<!',."..,'"
A. o..nlghtenlngthematrixband
D. An undiagnosedulcerInIhaoralcavfty
8 Neglectlngtowedge thematrix band
E. PelegingivawUh confirmedNstory01
C'. Neg$ectfng tocont<M'thematrixband
D Using 100 argaaninitial lCf'8mentof
anemia
amalgam
37. Whleh thefoIowI.ng.npertiesIncreaseswhen
33 Each offlefollowing :3flm""1imlze
theInterrnedlalechaincl localanestheIIcdrug
fractures01 themaxillaryatvao!arproceSS
lengt':lenec:f'
EXCEPTone. WhidloneIstheEXCEPTlON1
A. Potency
8. A/lergenldty
A. UseofcontroOed forcewhen usingforceps
C. Sor.Jbility inwater
endelevator.;
ORate01biotransforma'
B. Removal ofbuccalb)neami/ojHCtioningof
teelh
C. Athorough presurgicalanalysisandplanning
alterationsin!hesurgicalapproach 38. Whichofthe following IS NOTenadvantageof
D. Useofthe maKiliarypmchgrasptodetect
chemical vaporsterilizatiOn?
expansionofthe alveolarbone
E. Useofforcepswithbeaksthat graspthe A. CydeI.Ims isshort ..
roots morefinnly 8. IIwill notcharfabrics
C. Itwill notcausecorrosion.
D. Thereisnoneedforspecialventlialion.
E. Instruments aredryalthe endofthe cycle
34. Ethyl alcohol isagoodantidotefor methanol
poisoning because
A. itInhibitsmethanol metabolism 39. The mostcommoncauseoffracture attheIsthmu$
B. itcompetessuccessfullywith methanolfOf
ofa Class11 'es!:walionIS
alcoholdehydrogenase.
C. itpreventsfonnation offOtl'T'8ldehyde. A. delayedamalgamexpanskn
O. itpreventsd8mitQ8to!heoptic;: n8fVe, B asharp8xiO-puipailioeangls.
E. All oftheabove. C. isthmuswidth too narrow
D. mctslurecontaminationofIheamatgam
duringplacement
35 Eachofthe followingnonsedalingantihistamines
E. lade:: ofInterpro.:omalcontact.
wouldbecontraindicaledinanindividualtaking
cimetidinefor heRrtburn EXCEPTone. Whichone
40 A1veoplastyfollowingclosedextraction isusually
isthe EXCEPTION?
performed WIth
A. Aslemizole (HiSmanar)
A. a bur.
B. Diphenhydramine(Benadryr)
8. fingers.
C. Fexofenadine C. a rongeur.
D. abonefile.
D. Hydroxyzine(Vlstarirl
E. Terfenadine (Seldane)
41. Theperiosteal elevatorIsusedto doeachofthe
following EXCEPTone,WhichoneIsthe
EXCEPTION?
A Luxate the teeth
8. Retractthe softtissue flap
C. ElevatetheInterdentalpapIllae
D. Provideprotectionto thesoft tiSsue flap
6
-
.oj
0 2009,ArnIM'bn AAodaUon.JoIntCommla&IanonN .. D ..... AltIgMs......
,e taI...'" llquet (man1ibJ,;.1rY8$Ubu- 48. HowC"""eS the (11 "1, generaty
I:>pIasty Is b'3:!'ed )nthe t"'IlIl '.h.,'llJC)Sa1 ebtl,
tt:ac'lmenIwill
A F<>Iow>
A. notere-;s thesk:,graft. 9. p,..,."..
e. '101 en ..Jthe gril l\. C Unrelated
c. notcross8 fibrousscarbarad. D.
[" \;3 mint<.. - 'l(!In '-.Iowared bythe E. Initia!1y II
"ewden
49 Aplasticanemia;e 8 8ario.1.lf
43. WhIch ofthf:l fc""Wi"lg--epresenlS. constitutional mostfrequentlywithwh' ." aha 1')110':.::.10
symptom? entiblotics'J
A Tinnitus A Streptomyc'n
B. ChiDs B. Tetracycline
c. Xerostomi a c. ChlorampneniCol
D. Oyspt'1agta D. Chlortetracyr;line
44. Which 01 the fo.lowmg ::themostc:o.:nmonly 50. Thetherapeutic indexofagivendrugindicatesthe
surgicalproceduretocorrect maxillary relative
relrognathia?
A safety.
A C-osteolomy
B. potency.
B. Le Fort Iosteotomy C. efficacy
C. InvertedL-osteotomy D. duration
D. Anteriormaxillaryost90tomy E. solubility.
45. In thepreauricularapproactllotheTMJ. whichor 51 Which01 thefOllowing flap designsallowsthebest
thefollowinganatomicstructures.Ifdtlmaged. surgical accesstotheapicalaspectofa toothroot
presents the potentialfO( greatestmotbId!ty? wIttI the leastreflectionofsofttissue?
A Facialnerve A. Envelope
B. Parotidgland
B. Semilunar
c. Auriculotemporal lerve C. Vertical reSease
D. Superficialtemporalvein D. Rotationpedicle
E Facialartery
52. Eachofthe followingisadisadvantageoforal
46 WhfchofthefollowingismoslclearlyISsodated sedation EXCEPTone. WhICh oneIsthe
with the appearanceof"moon facies" EXCEPTI ON?
47,
A. Hyperthyroidism
B, Regularcorticosteroid use
C. Diabetesmellitus
D, Pancreaticinsufficiency
Osteomyelitis ofthemandibleismostlikelyto
develop becauseof
A failureofpus10 localize.
8. a resi stantstrainofbacteria
C lowresistanceofthe patient
D. lackof drainagefrom theinfectedarea.
A<
B
c
D.
Theadmi nistnJlorhaslittlecontroloverthe
ultimateclinical actionsofthe drug(s).
Therecan besignificant in the
bioavailabllilyofO(sl drugs.
With mostoraldrugs. there isa relatively
onsetofcliniCAl activityand e
prolongeddUnJlion ofaction.
Oralanxiolyticdrugsareelfedivein relieving
anxietyin thehours preceding
thedentalappointment
7
. 2009.AmericanOtn\llk : Jo: Do :amtn.cIona.. AG rIghIa
53.
Wt.'chone
A. F..JItW1g outdebriswfthnotTr.'iI sat'ine
-
B. Curettingtheboneywal10 promotebIefIding
50.
A.
B
"""".

aupert;t,;.;. "face then stlearingtheIONs011
c. Placingasedativedressing -n thelS<l!O;et '"
protect8:q)Osed bone
wtIh amono-beveledchisel "heareaIs
D. Administering mildanaIgeslcdrugsasen thensmoothedwlihabonetilo.
adjunctto klcal treabnenl c Thatori shouldberemovedbygroovingthe
superiora...mceofthetoruswfth abur, then
lhearthetorusoffwith blbeveledChiseL
o 'TheIonahouldberemovedbyWlserbng
54. When IS themostappropriatefne10permanently
roogeursveftiCaJ!y Jf1deralinguaflap and
modifyfattertheocclusionofanaCJteTMD
,nippmgorr'thetori
patient?
A. Dunngthefirst visit. 'N'hllethepatienthasthe
57 Whichofthe foGowfng statementsabouttheflapfor
acutesymptoms
B. Priorto initiatingsplinttherapy.oneweek theremovalofa palataltorus"COfTect?
after!hefirstvisit
A Themostoptimalflap usesa midlineinc::bion
C. OnlyafterthepatientIs sympton-freeand
which COUrs9S from the papdlabetween
hasshown Improvementduringsplint
teeth18end9 posteriorlyto theJunction of
therapy
O. Never. untildefinitiveorthodontictreatment
thehardend softpalates.
B. Themostoptimalflap isareflection ofthe
hasbeenstarted
entirehardpalatemucoperiosteumback. to a
Jine betweenthe2 first molarteeth
C. Themostoptimalflap uses8 midpalatal
55. Whichofthe following besldel\nestheterm
inCision thatcoursesfrom thepalatalaspect
'1"emporomandibularDisordel"J(
oftoothtI3 acrossto ttlapalatalaspectof
tooth'14.
A... Aclinical condibonrelatedtodysfunctionof
D. Themostoptimalflap is shaped likea
thetemporomandibularjointanddisk
-doubl.Y-. with amidlineinQiionand
8. Acollectivetsrmforahehtrogenousgroup
IITlteriorandposteriorSKie armsextending
ofmusculoskeietaldisordersofvarying
bilaterallyfromtheendsofthemidline
et)ologies. thaipresentwtlhsimilarsignsand
incision.
symptoms
C. AClinical conditioncausedbydisharmony
betw88ntheocclusal propriOCep!ors and
58. WhichQf thefonowing statements about
mastiCatorymuscles
O. A groupofclinical conditions thatarisefrom maxillofacialbonegraftsis INCORRECT?
excessIVe toadsbeingplacedontheTM
A. Xenograftsarefrequentlyusedinmandibular
Jointsbymusclespasms,resultingindisk
displacementon oneorboth sides
reconstruction.
B. Themostcommonsourceofautologous
boneistheiliaccrest.
C. Allogeneicbankedboneis often usedasa
carTier, supplementedwithen autogenous
9",ft
D. AllexampleoflsogeneicbonegraflingIs
transptantingbonemarrowinthelreatment
ofsuch diseasesesleukemia
8
02009.Amerk:anDentalAssodlllon- JotnICommlulOnonNat\on9l Ex8rnInnoos Allltphllruarved
........ -, -, - .- - -.. =-
J
Yourpalie'ltWltl referred toan )raj.,
maxf!Jofaciafsurg>n'oran .xsyouwere
advlMdthatshewa'igoingto aInuI
Procedurewithplacement01.. autogenousbone
graft.. \"J'hat b the1e1InfDonofthaigraI
"
ThegraftwruseanwUflcIaI. bone-!iU
material,
B Thegrar'uses )008from ardhertunan
beir.g.
C. ThegrarUS8!I "lepetien''Jowr. b"f'Ie, l1kan
from anothersite.
D The usesbovI'9bone, orbene&an
anotherrnlma:G)8(:es.
Acompo denturepatientrelIJmsfor a
post-opappointmentafterinsertiOn e; new'
dentufll;s. The paliantpoints10 SQf8.98onlop
ofthemandibularridgecrestonthe right
side butnosorespotIs Visuallyevident. Whichof
thefollowing isthefirst procedure the dentIst
shouldperform?
A Reduce the cantlie contactsonallposterior
teeth ontheright SIde 01 themandibular
denture.
B. Using alargeacrylicbur, grosslyreduce the
internalsurfaceof"'edenture.
C. Reduceall eccentriccontacts on theright
sideofthemaxillaryand mandibular
dentures.
D ApplypressureIndICatorpaste10 the internal
surfaceofthemandibulardentureandd"Ieck
forpressurespots.
E. TeU thepaUantthisisnormalfO( thefirst day
ofwearingnewdentumsand 10 return inone
weekfOf anotherpost-opcheck.
61 When apatientbitesonahardobjectonthe left
mandibularmolar, the Interarticularpressureofthe
right temporomandibular;oint
A. increased.
B. decreased.
C, remainsunchanged.
O. variedbutitisunpredictable.
12. Ee:,"1 of!he
at!:.! dstIatIQ-IleclTt"":;;-".f
correct EXCEPT
EXCEPTION?
A a: ttepatient
Ihouldberei
!hesedation
B. ThepatientlhotIdt-
(85-90degroe)_
C. Theinttlalflow rateofoxygen
least6 Uminvta1MM!"ll
O. Asthe nowofnitrousOXide IhrcugtIa
dialstyfe unJt..h::reased, thelow '8ts
oxygen isreduced,.so th"1 :orrec
percentageofecel'1lsdetivered at I I II't:'
flow rate,
63. Ead'l ofthe follovAng ..aeom"'l'lOr'l causad
postsurgicalatelectasis(daaeased c;1
thealveoli)EXCEPTone. Which oneisthe
EXCEPTION?
A. ShallOw inspirations
B. Pain.-lirniting movement
C. InactiVityaftersurgery
O. PreoperativerespiratoryInf&dlon
E. Narcoticanalgesicthaidepressthe
respiratorydnve
64. Cavitylinersshouldhavsaminr-nallhidcness01
A. 1mm.
B. 1.5mm.
C. 15mm
D. 125nun,
65 Eachofthefollowing statementsis correct
regarding phenytOinEXCEPTone. Whichoneis
the EXCEPTION?
A CausesgIngIvalhyperpIesia
B CorrectscertaincardIacdysmythmias
C. Isineffectivewhenadministeredorally
O. Causestoxiceffectsrelated to the
cerebellumand vestibularsystem
E. ExertsanUseizureactivityatdoseswhichdo
notcausegeneralCNS depression
9
02009 A.!.-.rk:.iIn DencuIAModetion ui onN;, )1'1' Examindans. A!J11ghts resavad.
66 AproperlyuecutedpoAtrIor.Il'">Moretveotar 71
..,8fV8 blockwII.neslhetlzeeach of :he'")now\ng <II
UructuresEXCEPTone. Wti.-:hone , the
EXCEp..... ON?
A. Brad"i'
8. Renal
IL Maxftttryainu,membraneIntheIt1'JIar
C. Atrial&&dlyca
"",;on
D. AtrialfibriIlatiOI.
B.. SecondandthlrdmOlarteethand ponton
VenlrlcularfibtlliatJon
ofthe first molartooth
".. Buccalafveo!ar bone,lOfttissueand
periodontiumIntheposlenorrnadla
72. Each0;-.he 'dI7Nt-g '81'fi -lib.,
O. Softpalate mucosaonthesid,01 !he
oraisedationI;XC PT wn
injedion
EXCEPTION
A. Need fof' spe' i ~ e d training ~ equipment
67. 'Which areasshoc-jbe avoidedt)len iM Irj;tion 8 . HIghInddenceandI8V8rilyofad'8I'M
beforea child canwalk?
reactions
c. Erraticandincompleteab3orpdonofdrugs
A Glutealmuscles from the GI tract
8. Ventrogluteal o ShoodUl'illtonofaction
C. Vastus lateralis
D. Deltoidarea
73. Thedepthoflightpenetrationlnto the tooth or
restoration beforeitis reflocledoutwardIsthe
68. AdrenalinsuffiCiencyduringmajorstressresultsin
A. metamerism
A. gingivalhyperplasia B degreeoftranslucency.
8. cardiovascularcollapse. C. colorperception
C hypotenston. D. value.
D. ketoacidosis.
74, Inyoung patient!. stainsarauSiJCIUy "TIOI'8
69. Apatientthatishavinggeneralanesthesiausing
prominentinwhichareasoftheteeth
anrvbarbituraterapkflypassesthrough
A. inCisal
A. StageI. B. O<:du",'
B. StageII C Cervic::l1
C. Stage111. o Facial
D. StageIV.
75 Thecharacterand individualityofteethBre largely
70 Whichofthefollowing antibioticshasbeen
detenninedby
implicatedin thevastmajontyofcasesoforel
contraceptivefailureduringenlibioUc use?
A. translucency.
B. surface lexture.
A. Penicillin C. color.
B. Rifampin o shape.
C. Keflex
D. Erythromycin
E. Tetracycline
'antage.,1
!he
10
02009.ArnIdcanDel'\" !!Ion. JoIntCommIssIon onNatIoMID.-t.:JlEnmJnationl. Allotgh's1'eSefWd.
J
16.
has
whIChd "'leI:){Iowfng?
A
WhenIhe ententhecpentlOJ'y. thepatlen
who -,;,f"''':e, standsdoseb 1"18 Me
to _ SldiliookingatINftoor. The
denIlstshouklinlDc:ornmunIcatiOnbyuytI
larsgetgoing,I'vegotatit10do_
B. Whatateyou angryabout?
C. Didn't my assIitantgetyou.ated?
D_ You seem uncomfortable;didyouI'\avea
baddental experience?
S. '''.I'm WI \If."'_'""It brhg:""you here
'ad
77 Whkhofthe Is'helubstiMe
ofd10iceV panic':!1 , pen:cillln.-sensibve
patient?
A. Cephalexln
B Erythromycin
C. Tetracydine
D Clindamycin
78 The phenomenonwherebyvarious sources
producedifferentpercepdonsofcoloriscalled
A. fluorescence.
B. incandescence_
C. opalescence.
D. translucency.
E metamerism.
79 A4-year-oldchikl has ahistoryoffrequent
spontaneouspain In a pnmarymandibularI8COOd
molar. Thismolarhas8 necroticpulp. 'Whichofthe
lowingrepresents thetreatmentofChOICe?
A Pulpectomy
B. Pulpotomy
C. Extraction
D. Pulpcap
80. Whichoftha following isanoutstanding advantage
ofphenytOinoverphenobarbitalinthe treatmentof
grandmal epilepsy?
A. Exertslesssedationforagivendegreeof
motorcortexdepression
B. Is effectiveIn a greaterpercentageofcases
C. Needsto begtvenmuchless frequently
D. Doesnotcausegastricdistress
E. HasalongerduratiOnofection
., The JC.....

;t>'lIT
A d(..esn:tt'll
B. has k:lnger
C. Iseflec1vearalns!
O. prod.Jces....sedalWnror
mota.. 1eprt"
82. Themainlundionofthe .1. useQinacasting
ringIsto
A. provideventi.-.g ofIhemoId_
B helppreventstvtnkageporo:iity.
C. pro..'ldeeasydivestingoIlhecasting.
D. prOVide addilionalwater10 invutment
m"'-
E. allOwuniformandUninhibited setting
expansion ofthe Investment.
83, Theuseoferubberdam is conSidered an
componentofendodonbc
armamentartu.
Exception to itsusain a givensituationis
acx:eptableIfthepatientisinfom1ed andconsents.
A Bothstatementsaretrue.
B. Bothstatementsare false_
C. ThetimlstatementIstrue, the secondis
false.
0, Thefirststatementisfalse, the secondi'S
true
84 TheOccupationalSafetyandHealth
Administrabon's(OSHA)-SloodbomePathogens
Standard" dealswitheachofthefollowing
EXCEPTone. Whichoneis the EXCEPnON1
A, Disposalofmedicalwaste
8_ Exposure Control Plan
C_ HepatitisBvaccination
D. Instrumentsterilizationand Morage
E. Material SafelyDataSheets(MSDS)
11
02009.Amencan Aaoc;ia: JoInlComInIsaian on NIIoneI0entIII All rtiEIrVIId
I
8S. A2O-year-ddpatientpresentswt1h enupper
maxtllary centtallncfsotprevtcuslytraatedtot
endodonticIractuteeatthefeo.IeI 01 thealveolar
crest.. WhIchaftheIof\owtng"'PfHenlsthe IIrst
necessaryltep.",I'fltore INtooth"
_.
A.
0_
extruderemainingIDOth
structn
8. Extract rernall'*l01:JOth r.u:-iur.
C. FabricateFPCOVettheremaining root
O. FabN'-Bte RPOovertheremalrVng rool
86 ShrinkageporOSityIn agold
'9 isassocfated
..ttl
A theuse01 excessivenux,
e. the useofnonux
C. spruediameter.
D. alloyoxidation
E. excessiveburnouttime.
87. WhICh ofthe folloWIng isanacronymfOf a
nlaOl.eting slratsgyto useforreluctantpaDents7
A. SUCCESS
8. RECRUIT
C. OPTIMEM
D_ EIEIO
88. SpontaneousQlngivaJ hemorrhage0'acute
stomatitis.observedIn apedi8bicpatientund8f
treatmentforabsenceseizures, indicates
withdrawalofwhichofthefol.lowi"lg 8flllCQl'l'4'uisant
drugs?
A Phenytoin
B. Ethosuximide
e GarbalTlllZepine
D. Phenobarbital
E. Valproicacid
89. Which ofthefoUowing drugsismostlikelytocause
convulsions...men a phYSIcally dependent is
withdrawn?
A. Pentobarbital
B Diazepam(Velium
S
)
C, Hydroxyzine(Vistanfll
D. ChlOl'8I hydrate(Noctece,
E. Chlorzoxazone(ParafonForte)
80. Bad<
A. ':""; ;ame gaspcroIity.
.-
.waxpatternII
theopen
>g
D. evldenced by roundednwgInsan
Oftt-e
the
<osting.
E. ::heaam8asw---..k-backporosity.
91 WhktI01the following explainswhy.property
designedrestonthelingualsurfaceofa c:anbtis
preferredto propertydesigned!'VIIonthe incisal
surface?
A The enamelIS thickerontheIngualturfaca.
B. Less",wrageIsexertedagainstthetoothby
the lingualrest.
C. Thevisibilityof,85welll!!!!1 accessto.. the
lingualsurfaceisbetter
D. TheCingulum ofthe canine provides8
naturalsulfacefortherecess
92. Themostpotent antitubercularClrugIs
A. IsoniaZid.
B. vancomyCIn.
C. trimethopnm.
O. sutfamethoxazole.
93. Themainmetaboliteof r"lgast9d Isopropytaloohol
os
A. urea.
B. acetorle.
C. methanol..
O. acetaldehyde.
E. formaldehyde
94. Atthe try-in appointmentfora3-unitposterior90td
FPO, theproximalcontacts. fil, ocdusion,contour.
andsurface finish havebeen determinedto be
acceptable.Whichofthe folloWing representswhat
stepis accomplishednextwith thisFPO?
A. SolderingIndex
B. Copalitepreparations
C. Temporarycementation
O. MIX ZinCphosphatecement
o2009. DentalAnodIilbn.Jc*d oro NationalDental EQwl lloClS. AI.tIgt1Df8IIItYId.
f - - -
02009. ...,.,.can .MltaIAsSQdatJon. JdnlCc:JrM"IIsIkIn on NfI'lOf"'11 M:::::a:ii e:=A,_"- .......
12
_________ .::-- __ - = - -
.
:-
-
.,
L:arger""i;)ndan
'raffy.p'lIe;j
conde;
'e8$erereccmmenjedto c
comfi_"3tl
'ensati)nat .-tl;h tietclloW'"";lg
BlMlgam
.p.. Admixed
B. Sphencal
C. lathe-ct
o HiglH:oppe:o
E Conventio
96. Proposedmodes;:, ac"")(1''Irthe o..Jantidiabetic
agentsinclude oftt,ej.;:'lwfngEXCEPTone.
Whictloneisthe EXCEPTION',
A-
Blockadeofglucagon frompancreas
B
BlOCkade ofcateeholam",erelease from
adrenalmedulla
c
Stimulat'''nofInsulinreieasefrompancreatic
betacEMls
o Action as directreceptor890n;'1$for the
insulin receptor
E. Increaseaffinityofti$Suesforutilizationof
availableplasmaglUcose
97 Compressingthe acrylicresin in a rubberyst8ge
WIll probablyresultin
A.
anopen biteoropen pin.
B. porosityofthe finished acrylic
C
incompletefilling ofthemold
D.
largeamountsofexcessthaiisdifficunto
trim.
98.
Whichofthe follOwing statementsconcemingethyl
akxlpolistrue?
A Itproducesa true stimulationofthecentral
nervoussystem.
B. Itprotects individualsagainstexposureto
cold bypreventingheatloss.
C. It is metabolized primarilyby the lungs.
D. Itispartiallyabsorbedin thestomach.
E. ItpossessesanticholinergicpropertIes
99. Themostlikelycauseoffailure In thepre-ceramic
solderingtechnjque is
A underhealingthepartstobejOined.
8. overheating thepartstobejojned.
C. usinganjncompatiblesolder.
O. usingphosphate8S the sOldering
investment.
E. preheatingthesolderingassembly.
13
o2009.Amitfr;ano.ntaIAMoc::IaIbl,JoIntComm
,
100.
t.t"tmP"'!f"9t.ure, l"ierlC"Js
cydo
A.
S' preventboilingofthe monom::-.
C. preventbreakdowr1 ...
D. volatilizetheI:tydl
101 Ak:choIceup.'lor1aresults from
A. inaeasedactivit',ofthe
8. increasedactivityof BrBes
C. increasedactivityoflimbicsynaJ)H&.
D. decreasedactivityofmedullarycenters.
E, removalof tieinhibJtoryeffect )t thecortex,
102. Theportionof8nartificialtoothU\atisfoundonly
inporcelainanteriorteethi5
A thepin.
B. the collar.
c. the finish line.
D. the diatonc.
E.
Noneofabove
103. The tastingshrinkageofCObalt-chromium alloys is
approximately
A. 1.25%.
B. 1.75%.
C. 2.2%.
D. 3.2%.
104 Whjchofthe Is adi$advantageofglass
iooomercement?
A. DifficultyinmiXing
B.
Irritationofthepulp
c.
lowbondstrengthto denbn
D.
Moisturesensitivitydutinginitial set
105. Which ofthe followingwilt resultwhen USlOg a
thinnermixofa gypsum-bondedcasting
investment?
A. Produce asmoothercasting
8. Increasesettingexpansion
C. Decreasesetting expansion
D. Increasethermalexpansion
E. Decreaserequiredbum-Qut tempel1lture
c::.NaCIonaIDenial E:tamil"lallons. All %lhts rnerved.
ebee"
... Porphyromona.g\ngMIIs, .
andCampylobaeterrecta
B. Sroptococ:<:us_"'.snp;"'_"<CUS
mutBns. andOemel1asp
C. L8dobacmuscnetendVeIUoneftaap.
D Strept.ococcusmitior. StreptococC1J3gordonD.
andBacteroidesgraOlis
107 Thebase01 theInctsloninthegingivectomy
tedmiqueiskJc.;Iled
A. theallfeotarmucosa
S, althemueogingivalJunction.
C abovethe
0, ooronalto!heperiodontal poc:kel
E. atthe!eve{oll\ecementoenamef)undion
108 WhIc:h ofthe foIowingIsthemosllmportanlladDf
affectingpulpalresponse?
A. Heat
B. Depth to whichdendnalllJbu&esarecut
C. Desiccation
D. Invasionofbacteria
109 PrimaryherpebegingIVostomatitisis most'ke'Yto
occurirI whICh of the follOwingagegroups?
A. 1-5years
B. 6-10years
C. 11-15years
D 16-20years
E. 2'-25years
110. Whichofthe foMowing filling materialSisJeast
desirablefOf useas Prevenbve Restoration?
A. MtcroliUedresin
B, Amalgam
C, Hybrid resin
O. Glassionomer
111. Eachofthefollowing osseousdefectswouldbe
classifiedas InfrabonyEXCEPTone Which oneis
the EXCEPTION?
A Atrough
B. Adehiscence
C. Ahemlseplum
D. All interdentalcrater
112
113.
8. PT'
...
B.
C.
D.
rem.Inonthe
'""- rnottrnportantantic.Jagillanlenectofheparin
..tok'4erfer'9with theconversionof
A. PTAIoPT
C. fibrinogen10 fi
0 , prothrombinto Ihrunbin
E. proaccelerintow:ceIer1
11. DentalphobJa,eraveryhard10 c:! "';,atebecause
they
A. areego-syntonic.
B cannot beseen.
C. becQme habitual
D. araself..rainfotdng
115 Whichofthe following a matenalwith
highcompressivestrengthbutlowtensile
strength?
A. Resilient
B. Brittle
C. Ductile
D. MaDeabte
116. TheOccupationalSafetyandfiealthAdministration
(OSHA)isconcernedwtthregulatedwastewithin
theoffice.
OSHAregulates thetransportationofwastefrom
the omee.
A. Bothstatementsaretrue.
8, Bothstatementsarefalse.
C, ThefiT'J1 statementistrue. thesecondIs
false
D. The first statementIs false, thesecondIs
""e.
117, OnecanaC(elerate the setting time ofzincoxide-
eugenolimpressionpastesbyaddinga small
amountof
A water
B. glycerin.
C. petrolatum.
0, plasterofparis.
14
e2009, AIrIerlC.nDentalAuociaBn,Joint::mrrisslonDn NallQnat o.tItiJIExamlnalkina. AIftghbreHf'IId.
..
...
t18. What.
hr4 .n
A.
8.
o
&4,
4!>-50
119. Apatientworks8t.anudearpowerpAInt He,.
i'eQuentlyexposed10 II smallamounlefndiation,
arttDJghthedoseher9CeiYesisbelow!he
occupetionallimits. Whichofttt.foIJowfng beat
explasnswt1y ItuapatHyltMed'lOtwearhis
,.n'Iployeefilmbadgewhile hets 'laVingdental
radiographsmade?
A Hisbadgerecordsonlygamma.radfatJon,
notx ray9.
e Hisfilm badgemustbeused onlyto
measureoccupatonaldoses
t. Itisunlikelythatthecurrenldose..... in rise
above hisoccupatiooallirnil
o Thedosefrom thedentalradiographsistoo
lowto bemeasured8COJraielybyIhe
badge
120. A5-year--01d childhas aposteriorunilateral
crossbilethatis accompaniedby a functional shift
ofthemandible. When should thiscrossbi!ebe
t':Orrected?
A. Immediately, without wailing fO( theeruption
ofpermanentfirstmolars
S, VVhen alltheprimaryteethhaveexfoliated
C. Afterthepermanentfirst molarshavefully
erupted
D. When thechi.1d isapproximately9years01
age
121. Whendetermining the appropnatedoseof
systemicnuorlde supplementforad'lild,itIs most
importantfor the dentistto consider whichofthe
following?
A. Thefluoride contantof thedrinkingwater
B. Thechild'sdietandcariesactivity
C. Thechild'sageandthe fluorideconlentof
thedri nkingwater
D. Thechild's weightandthefluoridecontentof
thedrinkingwatsr
122. The";frug of
,ts
A.
B.
C"
123. CI1iortc""<y
A. catlwalsynlhesIs.
B. IWJdeicacid
C, proteinsyn"e-sison butn:1
mammaHan nes.
D. proteinsynthesisonmam !,In but
bacterialribosome.
124. Thetoxic impuritythat can tt'leore'
''1 befoundin
nitrousoxidegasIs
A ozone.
B. helIum.
C. methane.
D. nitricoxide,
E cyclopropane,
125 Howmanyhoursperdayshoulda cervicalpull
headgearbe womtoachievethe mostetf&etive
results?
A. 6
B. 8
C 10
D. 12
E. 14
126. DrugintaractionresultingInaeriou5adverse
cardiovascularevents. indudingdeath, mightCICeU(
between erythromycin and wh.ch ofthe following
antihistamine drugs?
A. Tertenadine(Seldane)
B. Promethazine{Phenergan'1
C, HydroXyzine(Atarax)
D. Diphenhydramine{Benadrylj
E, Chlorpheniramine
15
o -. ....aIAuooation.Joint
0en1a1 Allrlgt!br __ wed.
"
- - ----
127
"'"
A. removing.... ....
area withBAL
8. scrubbingU,eSpillareaWIth hotwaterand
detergent
C. sweeping upttn nerr.wyendCSiapoaingofiI
InaplaStic bag.
D. aspirating the mercuryinto.washbottIa
trap. thendustingthe!pi!1areawithsulfW'
powder
128
TheconcentrationofwhichofthefOUowtng kml
determinesthe bindingatrinityofagon'SIS end
antagoniststo theopioid facepto."'1
A. Sodium
B. Calcium
C. Chlonde
O. Potassium
E. Phosphate
129.
In communicatingWIth children, .....hichofthe
followingshould thedentalteamdo?
A.. Allowtheparenttoans.....erQIJ8Sbons asked
bythe childatchairside
B. Al low boththeparentand the dentistto
communicateSimultaneouslywUh thechild
C. Transmitwordsubstitutestor dental
proceduresandequipmentduring the
appointment
D. Attain voicecontrol tobuidthe groundwork
forfutureInstructions
130. Aprescription includeseachofthefolloWIng parts
EXCEPTone. Whk.ttoneis !heEXCEPTION?
A SUper3aiption
B. Inscription
c. Subscription
D. Transcription
E.
Conscription
131
Inhalationofamylnitrilecanresultin eachofthe
followtng EXCEPTooe. Whichis theEXCEPTION?
A. Tachycardia
B. Coronaryarterydilation
C. Peripheral artenolardilation
D. Adecreasein arterialblOod pressure
E. InaeasedrnoWityofthesmallbowel
132. Whichofthefoftowtng ...,
....do$ogo01.dNg1
A Clar1(.rule
8. Vltatsigns
C. BOdysurfacearea
D. Bodyweight(malkol
133
WhIchof!he1-::.-,'ympromsII!hemost
disl inaI:haractensb:of n poisonlna
A. Comatosesieep
B. Pin-point s
C. Depr8$sed respiration
D. Deep. raPidrespiration
E. Widefy-'1i/ated, non-re9pOflSiv.eJXlpIa
134.
Inadditiontothe treatment..,tepilepsy,phenytoin
maybe Indicated10' !helre.$lment0.1
A. arrhythmfa.
B. narcolepsy.
C. hypertension
D. SChiZophrenia
E. panicatt<x:ks.
135. Whichofthefonowing drugsiscommonlyusedin
thetreatmentofcongestiveheartfwlure7
A. PhenytOin
B. Digitalis
C. Quinidine
O. ProcainarnJde
E. Nitrogtycerin
136. ThemechanismofactionofthemtlSderelaxation
induced bydiazepam mostclearlyresemblesthat
producedby
A. d.tubocuranne.
B. meprobamate.
C. Succinylcholine.
D. decamethonium.
E. gallamine.
137
Whatpercentofthebloodalcoholleve'isthemost
likely10 producea lethaleffect'"50percentofthe
population?
A. 0.05%
B. 0.10%
C. 0.20%
D. 0.30%
E. 0.50%
16
o 2OIJ9. AmericanDellllllAasociation, JointCornmIaaIon onNallonal Deoal AJ rIghts-........ed.
_.__--.....-.........--- ---_ .. , 4 _ _ .._
...;:;:;....:::::;..-..-.;,-:=".;:;:;.... .. ::-=:::.. ::----:::::.....::::::
-
...

Prolongeduse ,yl
feU[WI
A eptastic..snemia.
S. It'Irombocytopenia
C. graoolocytcP"'.
o melhemoglobtnemla
E. hypoprothromblllefTlla
139 Theth;nnestP')I'tiorIe!I"'1e wax patternsho-JId be
Placed
A against thernq' or3Upport.
B. intiledeepestpan01 d'le ring
C. oppositethedirectiorlofrt ation ofthe
castingarm.
D. in the samedire<: astherotationofthe
castingarm.
140. Which ofthefollowing statementsis V9
concerninganticholinesterase?
A. Agentssuch 35 DEP Inhibitonlyplasma
cholinesterase.
B. Organophosphatesarsreadily absorbed
through the skin.
C. Agents maycauseparoxysmal supraven-
triculartachycardia.
O. Reactivatorssuchas 2-PAMreactivate
ACHEwIlich hasundergone-aging",
E. Alkaloidphysostigminehasthe grealesi
numberofsideeffectsunrelatedtoACHE
inhibition.
141 indevelopinga canine-protectedarticulationwhere
theanteriorverticaloverlapIS determinedto be
lessthan2mm, thepestanarcuspheightshould
be keptshallowbecausethebuccalcusps ofthe
postenorteeth will haveto assistinprotrusive
discluslon.
A. Boththe statementandthereason are
correctand related.
B. Boththe statementandthereasonare
correctbutNOTrelated.
C. Thestatementis correctbutthereasonis
NOT.
D. Thestatementis NOTcorrect. butthe
reason iscorrect .
E. NEITHERthestatementNORthe reasonis
oorrect
14.
bestdesc::ribOe
A.
1
removeble.
'"
e Limitedorthodon_J tre: I)
tontteeth formaxm.::...-n .Sth6:....:J
c
OrU"lodontic treatment lID enhancereiterattve
andperiodontalrehabiUtation
o Earlytreatmentofonhodondcprobfems
preventmoresertous malocdusion
143 WhichofthefollOWi.19 drug9fOl')SIs 'OO'8fltJy Ihe
mainstayoftreatmentindepressive
psychoneuroticdisease?
A. Amphetamines
B. Phenothiazines
C. Benzodiazepines
D. Monoamineoxidaseinhibitors
E. Tricyclic(imipramine-like)antidepressants
144 Eachofthe followingis asymptom ofpoisoning by
anorganophosphateinsecticide EXCEPTone.
Whichoneis theEXCEPTION?
A. Diarrhea
B. Hot, dryskin
C. Excessivesalivation
D. Inaeasedlacrimation
E. Skeletalmusclefasciculation
145. shouldbegivento patientswith atrial
fibnJlationwhorequireqUinidineto avoid
A. hypokalemia.
B. thromboembolism
C. sino-atrialbradycardia.
D. ventriculartachyantlythmlas.
E. prolongationofP-R intervaloftheECG.
146. The presenceofAg in metalceramicaHoys
contributes to whichofthe following?
A. Increasesmeltingtemperature
B. IncreasesaHoystrength
C. IncreasesaUoycorrosion resistance
O. Maycause green discolorationofthe
porcelain
17
e2009.American DenialAstoditlo!1- JoInIComtn! on 'AIGe.1lBl Elo I.,.; lion lipl
J
--
-
147 Hovt1ghad._'......radlcg<aphlc
151 "':le
following
monlhsago, Inasymp1Oii1atlc edtlIlpatient
p
r
esent3forIIrecaHappointment . ThereIt. III A.
;linlcalevidenceofcarles0/' periodontaldisease B
TheUnited StatesF(lodandDrugAdmlnlstnt!lon C
would recommendwi"; :h .". -.g for this D
adult?
E.
A. Nooadiognophs
B. 8ite-wingradiograptwCriy
152.
..._-
C. Panoramicradiographonly
produeedbyettaDE:X(,"-"",
_ ....is
D. Panoramicandbit&-'Mng
theEXCEPTlO
E FuI-mou1hsurveyInducting
A. ow-I.
noofiogrnp'"
B. eNSdepression
c. Enzyme.na-d on
148
Whenhighgoldcontent aOoys areeomp,:mkf to
D. CutaneousVBSOConstnction
basemetalalloyS, thebasem"1tal nlloysexhibit
E. .ncreasedgastricacid MCretion
A.
a highermelting point.increasedapeciflc
gravity, andgenerallytHgher YIeld strength
153 The cardiacglycosldes wil lreduce the
endhardness
ooncentralion ofwhld1 Ion IfIenactiveheart
B
ahighermelling point,decreasedspecific musclecell?
gravity, andgenerallyhigheryield str8"'lgth
and hardness
A Sodium
c
II highermelting point.generallyhigheryield
8. Calcium
strengthandhardness. andmoreconsistent
c. ChlOlide
bondingtoporcelain.
o. Potassium
E. o.
increasedspecificgraVIty. genemllylower
Magnesium
yield strength. andmorecoosistenlbonding
toporcelain.
154. Whichofthe following anllhypertensiveagentsacts
E.
decreasedSpecific gravity, generallyhigher
directlyon arterialsmooth muse8 to cause
yield strength andhardness, andmore
vasodilation?
conSIstentbondingtoporcelain.
A Methyldopa {Atdorl18A
149.. Thecentral skeletalmusderelaxationproducedby
8. Cionidine
depnlssingthepotysynapticreflex arcsisbrought
C. Guanethidine(1sl1"\el)1e,
aboutbyalofthefolowlngirvgsEXCEP"
D Metoprolol
A. diazepam E. Hydralazine(Apresolnee,
B. klrazepam(Alivan).
C. meprobamate 155.
Thecombinationofa Schedule II narootiCW1th an
D. d-tubocuraJine anlipsydloticdrugproduceswhichofthe
follOwing?
150. Whichof the following statementsbestdescribes
A.
Neurol epticanalgesia
why l-dopaeventually becomes ineffectiveinthe
B. Conscioussedation
treatment ofParkinson'sdisease? C DissociativeanestheSia
o
Psychotomimeticanalgesia
A.
L-dopaab5Orption slowswithaging.
S.
Dopa decarboxylaseactivityIncreaseswith
age. 156. Which ofthefollowing drugsisexcretedprimarily
c.
Dietaryintakeot pyridoxinespeedsL-dopa byrenal tubularsecretion?
metabolism.
A. Benzylpenicillin
o.
Patientsgraduanydeveloptolerance
B. Streptomycin
becauseL-dopa Inducssiverenzyme
C. Tetracydine
"""'Iy.
D. Bacitradn
E.
Neuronalcellk)ssIn the substantianigrais
E. Polymyxin
progressiveandcontinuoosoverthe course
of the disease.
18
0 2009.Americano.na.IAuoda'
..ICintCommIssk:In onNatlonill OWBIEuminellotts ..AJI r1lhtI.........

j

... 1


,..,
"62. ofwtml
retention
Ina-easedInteroeCluaalifi.tahce
DroopingfJllhec:ornenofthe
Crea$8Sand wrlnkltsaround the)ips
'rauma10tJndertyfngsupportingtissues
.".
patient,theClanlistattempts
_ ThIs.'
A- eut>no-'y.
B I;Onlpele:
C malef'Jc:wlCl.
o paterna:
158 'IItIichat JlefoIowtngre;ftSentsthecauseof
163. When 50mg.of (Thora...-'":".:'!"")..
deathin poisoningfroman
admtnisletad10.patlant,(Xl thepatient
an!Ic:hofl1lesterase, such8Scfisopropytftuoo.
mightexperiencea talfp bloodpreSlUl8dueto
roph"lSphate"
whid101 thefollowing?
A Cardiacfailure, resultingfrom excessfve
A. Anticholinergicaction
vagal stimulation
B. Decreasein heartrate
B, Dehydration, resulting from hypermOllhty of
C. Alpha-adrenergicblockade
thegastrointestinaltract
D. NegativeInotropicadlon
C. Asphyxia.resulting from increasedairway
E. StimulationofautoncmlC gangl .s
resistance
D. Respiratoryfailure. resulting from paralysis
oftheintercostalsand the diaphragm 164 Whichofthe foiiow1ng repr$$8fl tsan
E, Centralnervous systemdepression, amphetamine-likedrugthatiswidelyusedinthe
following prolongedexcitation treatmentofhyperkinet1ccl1':[jren?
A. Doxaprnm(Dopmm)
159. TreatmentWith sulfonamidesIs lesslikelyto be
B. HydrOXYZine
eccompaniedbycrystalluriaif
C. Theophylline(Theobi<J)
A. a mixtureofsUlfonamidesIs used.
O. Methylphenidate
B. cortisoneisadministeredconcurrently.
C. probenecidIs adminiSteredconcurrendy,
D. theurineis acidified......thammonium
165. Metabolismofadrugwill !f!
chloride.
conversiontoeachofthefollowingEXCEPTone.
E. para-aminosalicylic&cid is administered
Which oneis theEXCEPTION?
concurrently
A. lnacttvefonn
B. MOfeactivecompound
160 VVhich ofthe fOllowing isthe mostcommonreason
C, Lessactivecompound
for acastcrown notto seatonapatienrstooth? D. Morawater-solublecompound
E. Lessionizedcompound
A. Overextendedmargms
B Excessl\leproximalcontact
C. Undercutareasonthepreparation
166. Thedisk sensitivity assayforanllbJovc activityIs
D. Castingtoo wideb\.lCCO-linguany
usedbecause
E. Porositywithin the Innersurface ofthe
crown A. the resultsareobtainablein a few minutes.
B. itdistinguishesbetweenbacteriostaticend
bactericidaldrugs.
161. Lossofa primaryrightmolarina3-year-oldchild
C. it indicateswhether01' notan antibiotichas
rsquiresplacementofa
goodora!absorption.
D. itallowsforroutineIestll'1gofsensitivitytoa
A bandandloop
rangeofanbbiobcs.
B. distalshoe
C. removableacrylicappliance
D. Noneofthe above
19
o2009,AmerbnDentalAstodallOn, JoInICOIf' .,
"', "rntI DIr,'Exam:
167 Whtchof.1he agents 1M dectiYe
173
ptOduCing toptcat
... Totra_ol-'e. A. IPP.
B Badaroidesspp
B
CandidaaIbica
C ProcaineINovocalnef:)
n Streptococcusmutans,
o Udoealne(Xytocalne4P) E. p-oeNgIno<a
E Bonzocalno
174. WhichofthefonowinganalgeSICscanbegiven
163 Whfthofthefollowing routescIedmi :st"1tion
eiiher0f8fIy orbyIntramUSClMarir4edJon?
el4l\bitstheslowestrateofabsorp
,1
A. Aspirin
A. Oral
B. Acetaminophen
8. Sublingual
C. Ibuprofen{Motrin
l
\ MY:"
C Subcutaneous
O. Intramusculer
O. Ketorolac(ToradofP>l
E. Naproxen(Naprosyne,
169. WhichofthefollowingsedativesIs mostlikelyto
causeadrymouth? 175. Acastgold restorabon mightbemdlcated forthe
replacement ofafaulty amalgam to obtain
A. BuSpirone(8uSpa,)
A.. bettermargins
B. Hydroxyzine (VistanfS')
B. more idealcontours.
C. Chloral hydrate
C. lesstraumatothepulp
D. Phenobarbital (LuminaJ) O. lessremovaloftooth structure.
170.Barbiturates taken incombination withveryhigh 176. Duringa soldering procedure.nuxservesto
dosesofethanolexhibitan interaclionbest
describedaswhicho.thefollowing?
A. provideenoxiji2ingenvirorvnentinthearea
to besoldered.
A. Potentiatk>n B. displacegasesanddlssotvecon'OSion
B. Protain bumping products
c. NegatJvesynergism C. remove any debrtsthatmayremaininthe
D. CompetitiveInhibition areatobesoldered.
E. Enterohepaticorcutation O. holdthesolderInptaceduringheaong.
171.Which ofthefolowingerythromyctnais both 177 Excessiveheating01 the8Ct)'IIcresinduMg
entenccoatedandlongacting? processingshOUld beS'lokdtoprevent
A. ERYC A. exothermicheatblAldup.
B. E.E.S B acrylicresin shrinkage
c. Erythroan c. evaporationofthemonomer.
D. llosone O. excessiveacrylicresin expansK)n
E discolorationoftheacryflcresin.
172.Eachofthefollowing is 8characteristicof!ramada!
178.Followingcompressionofacrylicintothe denture
EXCEPTone. Whichoneis the
flasks, placingthe flasks intothe processing tanks
EXCEPTION?
atcuring temperatureIsdelayed to
A. Centrallyacting analgesic
A. assurecompletenowofacrylicintothe mold.
B Structurallysimilarto morphine
C Bindsto the mu-opioid receptor
B allowthemonomertopermeateallpolymer
crystals.
D. Biouansformed intoamoreactive metabolite
c. establishanequalizedandunifonnpressure
E. Inhibitsuptakeofnorepinephrineand
inthe molds.
serotonin
D. allowtheflasks and theaayticto reach a
stabletemperature.
20
02009.Amertc8iiDentldANodat.ioo, Conll'daionOf" I,., .r"\8J [)oil I.0Il ExamlnalJona. Aldgt1t3
=

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ICaseA#'s 179-1871
84.
.>
A.
...,1I
TheplaquesonthisPillient'slower 3b1al mucosa 9.
mostlil<elyrepresentwhichofthefoBowtng1 C.
O.
A leukoplakia restorerootca;
B Nicotinicstomatitis E. No Ireat""nent I'!
C Chromc lipchewing
O. Psoriasis
E. SmokelesstobaccohyperkeratOlis
185. Eachofthe fO/lawlng 5tatementsis I(l :em 19
impactedteeth #17and#32EXCI Wl1
oneisthe EXCEPTION?
180.Whichofthe followingrepresents thestructure
A. Alveolarosteitis .,theremovalofbony
indicatedbythe arrowson the radiOgraph?
Impactionsmightoccur(5-20%).
A. Innominateline B. The alveclarOer\'e is notlikelyto be litmtd
8. Lateralborderoftheomit duringthisextraction.
C. Pterygoidplateofthesphenoid C. Horizontallyimpactedteethareconsidered
D. Zygomaticprocessofthemaxina themostdiffICUltmandibularimpections.
E. Postariorborderofthe maxillarysinus O. AsymptomabcbonyImpacoonsprenot
recommended forextracbon10 patientsover
35years-of-age
181.PriO( 10 undergoingscalingandroolplaning, how
shouldthispatientbe treated?
186.Thepositionoftooth #26 complicate'!hedesign
A. Amoxia!!in 2gm. 1hourprior \0 ofamaxillaryprosthesis.
procedure
Maxillarytuberosityreduction onthepatient's left
B. Cephalexin (KefleX), 3 gm, 1hourpriorto
side wouldfacilitate prosthesiS fabrication
procedure
c. Clarithromycin 600mg, 1hour A. Bothstatementsaretrue.
priortoprocedure B Both statementsarefalse.
C. Thefirststatementis true, thesecondIS
o. Clindamycin 2gm, 1hourprior
false.
toprocedure
O. The first statementIsfalse. thesecondis
E. Noantibiotictreatmentisnecessary.
true.
182. Whichofthefollowing risk factors ismostlikelyto
187 POor todentallreatmentusinglocal Bnesthesia
contribute to future attachmentlossin thispatient?
withoutsedationthepatientshouldbeinstructed10
A Probing depthsgreaterthan 3mm takehisusualdoseofinsulinandeatanormal
B. Insulinadministration diet.
C. Occlusion
Ifthepatientistohavelocalanesthesiawith
O. Nutrition
sedation,thepatientshould beinstructedtoreduce
E. Smoking
theusual doseofinsulinandnoteat
A. Bothstatementsaretrue.
183.Thereisaverticaldefect00 themesialoftooth #2.
B. Bothstatementsare false.
Thereis acraterdefectbetweentooth#'1. and C, The first statementis true. the secondis
tooth#3. false.
D. ThefirststatementIs false, the secondis
A. Bothstatementsaretrue.
true.
B. Both statementsel"9 false.
C. Thefirststatementistrue, the second Is
false.
D. Thefirst statementis false, thesecondis
true.
21
20\)9.AfTlaI can Assodatlon,JoIntComrro 1'I1on N
11 Dental EA rni ri ..., All
ICase B#'5188-200I
118. 'IttkhofthetoIIoYIIng"r-.most',Q\ypertodontaI
diagnosislotttl:spatient?
A PtaqU4Hnduced ging/vl:l5
B. ChronicperiodontitiS
c.. Aggressiveperiodontibs
O. Nacrotil:anguk:;eratIYeperiodontI5a
189. Whichofthefollowing Is thestrongestradIograpNc
evidencetha1looth,torequire$endodonUc
treatment;?
A Pulpchamber cak:fficalkln
B Periodontal bonelosscomnaIty
C. Extent ofcoronal restoration
D. Widened apicalperiodontalligamefltspace
190. Which ofthefollowing Isthebest.most
conservativerestorative treatmentlortEMJ1h 116 and
#11?
A,., All-(;9ramic crowns
B. Porcelain fused to metalcrowns
C. RestoreproximalllU/facesasneededWith
compositeresin
O. Applyfluoride
191. VVhidl ofthe following treatmentswin achievethe
bestestheticresults forteelh #7. #8, #9 and *,01
A.. PlaceaU-ceramlccrownsonallfourteeth
B P1ace ceramiccrownontooth#7. andpliIOil
compo!Uteresinrestorabonsonleelh#8
.,0
C. PlaceaJI-ceramic(townsonteeth117 and
#9. IlIp18C8 ,..,1 compositeresin restoration
ontooth#8, removefacialcariesontooth
#10andrestore WIth composite
D. Restore carieson thefacial surface oftooth
#7, polishcompos!!eresin restOfBtions on
teeth #8and#9, andplacecrown00tooth
"0
E. Placeporcelain fused 10 metalcrownson
teeth##7, #9, and#10, and restore the
mesialsurfaceoftooth #8withcomposile
192. Whichofthefollowing Isthe beslmeans10
evaluatethepulpalvitalityoftooth #137
A. Applicationofcold10 teeth #12 and #13
B. Percussion testing onteeth#5arld#13
C, Electricpulptesting ofteeth#12 and#13
D. Palpationinthe buccal vestibulefrom teeth
#12 #14
22
183.
b .....radio,...ency Jtl!"I
rootof' )Oth113'
Metastaticcard,nma
8, Letarafpertodontal4yU
C. ChronicparlradlCUlarperiodonlilis
o Extenslon.:!themax:-'3tyaim...
19<4 WNch(lIthetoIIcwIng..lhamostappropriate'
restorativetherapylot thepaUentstowerincIaors?
A. Splinl'__com.......-.
B. RemoveIaihng marginsandroughSUl'faces,
end P'acenewcomposue restorationswhere
indicated
C. Placeporcetainfused tometalf70wns
O. Nolreatmer. tsIn1lcated.
195. wtuchofthe followingapproacheswouid bebest
indeterminingwhythe patienthashad infrequent
dental careinthepast?
A. -whyhaven'tyougonetothedel1!ist more
often?Themoreyou avoid the dentisllhe
worse yourdentalfearwf!'! become.-
B. '"It iscosttytohavetwodaughtersin college.
youshouktgo10 the d60bstmoreoften or
youwill needexpensIvedental treatment.-
C. youtellme whysomeoneWitha
medicalhistoryas badasyourshasstayed
awayfrom the dentistforsoIong?-
D, '"You havehadmanydental problemsinthe
past. Ifyou hadseen thedentistregularlyas
you shouldh ...... eyouwouldn'thavehadas
many. What(;QUId poSSl>lyhavekeptyou
away?-
E. -Couldyoutellmemoreaboutyourpast
dental experiencesandpresentdental
concems?
196 FollOWing rootcanallherapy00tooth #10, whichor
thefollowingfoundationoptions, priorto crown
prepa,-atloo, Is mostappropriate?
A. Bondedcompositeresin
B. Pin retainedcompoSite resin
C. Prefabricatedpostao<l compositeresin core
O. Compositeresinintocanalcontinuouswith
co..
o 200- J:::::" Cc.-;-:':':!::!::: en
-
187 _ ...... ...,.-
..-p.acethe M:singrrwndil:Iuf8I''eeth1
A.. MandibUl8Jr-1:",.IucwatH par1iaI dentuf'8
8. HXedpartialdentureteethm 10122and
removablepartialdentIJfII
C. F"lXed partial dentlnteethm to#31 and
removablepartial denture
o. Flxed partial denturemath'18k:IfI22and
fixedpartialdenture#28to131
198. Which of111_ foUowll19 :.thebestdiagnOsisforthe
raoolucencyapical to teeth123-#267
A... Mentalfossa
8. coalescedpenapiCal granulomas
C. PeriaPIcalcementaldYSPlasIa
o Centralgiantcell granuloma
E Traumaticbonecyst
199 FollowingLoitlal therapy, oral hygieneisgoodend
thereis a1mmreductiorl in probingdepths.
PeriOdontal treatmentofthe mandibularanterior
teethwould include
A anotherroundofscaling androotplanning
8. Hap sLWgEIry
C. softtissuegrafting.
D. regenerative therapy.
E. periodofltalmaintenancetherapy only.
200. In additionto0(81 hygieneinstructionsandsealing
endrootplanillg. which ofthe followingcourseof
actionsIS mostappropriateduringinitial
periOdontaltherapy?
A. SysterTllctetracyclineadministrationfor10
days
B. Subgingivel Irrigationwith 0.12%
chlOrtlexidine
C. ConsultatiOnwithphysicianconcerning
diabetesmellitus
D. Tooth grinding lorocclusaladjUstmentand
equilibratiOn ofthedentitiOn
23
,JOIn\ anNIIlIOneI Dental[Jo:arninatiOftI AIriQIltl"""':!
-9 "'rr--"-m
1
10
20
30
40
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PART2 KEY
beloW In". be liNd ..:J deiterlr*1e Ct(Z'Kt and Incorr.ct w.wira.: "__Wet":' , _
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'art leWGeCtenumberGOtI'Kt10 sbnctatdICOIeor as:cdah.d
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2 C
52 0
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53 B 3 A
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105 C
155 A
6 66 8 a 106 A
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e 109 A
'59 A
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60 a
110
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61 8
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16"' a
12 8
62 8
112 A
162 a
13 C
63 a
113 C
163 C
14 A
64 e
114 a
164 a
15 C
65 C
115 B
165 E
16 a
66 a
116 e
166 a
87 17 e A
117 A
18 a
66 B ' 67
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118 a
19 e
69 8
119
168 A
8
70 8
169 8
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121
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170 A
22 0
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171 A
23
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24 A
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31 81 a
180 a
c 131 E
32 a
82 E
132
181 A
33 E
83 C
133 8
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34 E
84 E
183 a
134 A
184 C
35 C
85 A
135 8
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185 C
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186
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87
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44 94 e
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24
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ental
ICASE A I
HI$ior".
Age
Sex
Height
eight
7
~ Chicf
Complaint
Medical
History
Diabeles
::::qJOfAdk -i5lb IU f'fller Jf:Hl
xlrrH.;tt O, '
~ t YRS
~ Male:J Female
5' 1')
154 LBS
125/76
I don't like the spaces In my
upper teeth:
Social
Pallent had a hang-gliding accident 3 years ago
with resultant knee replacement
He smokes 1 pack of cigarettes per day and USfs
chewing tobacco
Hislory
Bartender
Current
Medications
Insulir (Humulin R' )
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Pallent IS " bUilding contractor with two daughters In college
Sex
Age
Male [, F
Social
History
Height
eight
210 LBS
SIP
Chief
Complaint
130/80
, "" , not happy with my frant teeth
They feel rough
Medical
History
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rype
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