Hi Guys these are some of Questions I remember from march 2014.

Feel free to add or correct any

mistakes
Clinical scenario
1 Lost amalgam filling (upper 6 Photo)
A. what is the cause ?
Retention
Caries
Occlusal forces
B. How would you restore ?
Amalgam 3 pins
Composite
GIC
Crown
Onlay
2. Shallow amalgam restoration with no lining. Information given: tenderness next day, Cold
sensitivity one week after restored.
A what would the probable cause ?
Bite
Pulp injury
No Lining
3. 11, 21 margins failure (photo given)
poor quality endodontic treatment.
Postcore- retraction cord- gingival health- financial issues- aesthetics- consider restorabilityextraction .
4. information given (photo): high caries developed in less than three years.
A. patient moved to no fluoridate area
saliva change
B. canine restoration (photo), what would be the difficulties?
Canine guidance
Marginal seal between teeth13 and 12.
Recreate contact point
C. implant premolar area.
Not enough DVO
Poorer bone quality
Space to place two implants
D. when to do teeth whitening ?
After caries control
After finishing restorations
At anytime
Before aesthetic restorations.
5. incisive fracture ( young patient, photo included) came into the practice three days after fracture.
A. Treatment of choice?

Pulpectomy
Pulp cap (hydroxyl calcium or corticosteroid)
Pulpotomy+ MTA
6. premolar amalgam margins failure (photo given)
micro leakage
corrosion
Creep.
7. Post core inserted not long ago, it presents mobility, what to check ?
A.
Occlusion
B. What situation presents poor prognosis.
VRF, vertical root fracture.
C. what treatment is recommended.
Perio surgery to lengthen the tooth
Ortho extrusion+gum surgery
Subgingival extension/preparation
D. patient elected extraction, what would best replacement option
Implant/crown.
8. Bridge (chipped porcelain/ photo given )
A. probable cause ?
Hyper occlusion
Wrong framework
B. what is the most common cause of failure for PFM crowns/bridges ? and also resin bridge ?
9. very worn anterior teeth, however posterior teeth are looking ok ( photo given )
. causes ?
attrition
erosion
abrasion
How to establish that the disease is active? Smooth and shine surfaces.
. What would be the first management?
Cover dentine to avoid pulp injury
Nightguard
10. gingivitis, 33/44 heavily filled no lower posterior support.
. First treatment ?
Scale and clean
Crown preps
Extraction
Patient decides to go with crowns.
11. full upper and lower denture ( information given) GP reported that it is pressing mental nerve.
. what are the symptoms?
Numbness lower lip and chin
Numbness of floor of the mouth but it doesnt go across medial line

12. old patient whom wear a full upper denture/ no lower denture, wear the denture 24 hours was
referred by a GP.
Patient presents with angular cheilits and mucosa stomatitis
. acute hypertrophic
chronic hypertrophic
acute hypotrophy
chronic hypotrophy
. first management
oral and denture hygiene
above procedure has not improved the scenario?
Antifungal treatment
New denture
Antifungal 10mg lozenge
Important points about stomatitis.
It can affect the tissue to the stage that denture will not fit anymore.
Potential to Malignancy
Recontamination
13. year old upper denture/ only inferior anterior teeth/ ( photo given).
. red lump looking on upper anterior region, what would it be ?
incisive papilla
labial frenum
root stump
. if a lower denture would be fabricated, what are the visible difficulties?
A large tongue
14. patient present with a painful swelling on the left side of his jaw, was drunk and does not
remember what happened on the night before.
A.
Max daily alcohol intake for a man ????? 3-47
B.
How many ml of alcohol in each standard drink 10
C.
Diagnosis (OPG photo given) deviates to the right when pt opens his mouth.
D.
Long term problems maloclusion
15. male patient presents with 10 weeks no healed socket, pt takes alendronate .
A.
What is alendronate is prescribed for ?
Osteoporosis
B.
Diagnosis?
OAC/fistula
Dry socket
Osteoradionecrosis

Bisphosphonate (osteonecrosis of the jaw)

C.
Treatment ?
Leave it alone
Primary close of the socket
Bone graft
Curette the socket
D.
What to discuss with pt GP ?
stop treatment (alendronate )
Give antibiotic
Change medication
Nothing
E.
How long is going to take to close?
3 months
year
10 years
never
15. patient presents with numbness on lower lip, had a block injection one week previously (4%
articaine ) patient takes Lithium
A.
What is the risk level of using articaine in comparison to lidocaine when applying a block
injection??? 20% both
B.
What is the lithium prescription ?
Minor depression
Lack of lithium
Minor anxiety severe
C.
How to proceed ?
Do a sensation test and come back in one month
Do a sensation test and come back in three months
Do nothing/ wait
D.
Which is not commonly used to check the sensation
2 points
blunt
sharp
thermal
16. patient with atrial fibrillation takes warfarin.
A.
What can happen if pt stops taking warfarin stroke due to trombosis
B.
What is the IRN with a patient with this dysfunction

0
1
2
3
4
17. OPG showing giant multilocular cyst on the RHS.. of the lower jaw/ patient has diabetes type1
A.
What another image exam would be appropriate ( CT scan )
B.
Diagnosis ?
Dentigerous cyst
Malignant cancer
Ameloblastoma
Ahemangioma
C.
Treatment ?
Marsupialisation
Enucleating plus tooth removal
D.
What would be the complications ?
Healing
C.
what is not encountered on a dentigerous cyst epithelium ?
18. infraorbital swelling.
. what tooth is related to it?
. What injection is given anaesthetize the area?
19. Child with unusual eruption sequence. ( there was chart showing which teeth have erupted/
unerupted ). And also, photo was given.
A.
23 erupted before 12 in this particular case
B.
Deep bite
C.
Management ???
Removable appliance to correct anterior teeth position..
Bite plane for anterior intrusion and posterior eruption
Wait until permanent teeth erupt
20. ANUG case: work/ stress, systemic, smoke and alcohol.
A.
Diagnosis ?
Periodontitis
ANUG
Acute herpetic stomatitis
Chronic periodontitis

B.
Treatment ?
Gentle debriment + chlorohexidine 0.12%
Gentle debriment + peroxide mouth rinse
Oral hygiene instructions
Scalling and clean
C.
Management systemic?
Metronidazole 400mg 4x 5 days
D.
What to change to avoid recurrence?
Smoking, diet, alcohol
21. patient complain about bad taste (two sets of bite wings were given with 2 years difference
between them, can see a pocket on mesial of 37, poor oral hygiene, overhang on mesial of tooth 16,
recurrent caries on D of 35 ).
Additional xrays findings, secondary caries on tooth 14, caries on 43, bone loss between 25/26.
Patient wants extraction, and says that he will do by himself if clinician do not proceed
Best management?
Raise a flap to clean area
Scaling and clean+ caries removal
Extract the tooth
22. Infraorbital swelling ( photo and xray given )
A.
Diagnosis ?
Dentis invaginatus
B.
Treatment ?
Give antibiotics and come back
Local anesthesia + exo
LA + endo
Hospitalize+drain+exo
C.
If extracted how to manage the space?
Implant
Refer t ortho
Refer to prosthodontist
RPD
Fixed bridge
D.
If RCT could be done, refer to endo
Impossible to do RCT due to root canal anatomy
E.
Tooth 22 has the same appearance on xray no symptoms

Review 6 months
Review 12 months
Extract
Endo
Seal any visible fissure with a fissure sealant.
23. 10 years old girl moving to US 75/84.
A.
OPG s a better radiograph, why ?
Less radiation than 2 btw and 1 pa xray
B.
Diagnostic of teeth 75/84 ?
Periapical abcess
Dentigerous cyst
Periapical granuloma
C.
Treatment ?
Extract plus space maintainer
Refer to oral surgeon
Ortho+exo+ bond
D.
BW 75, what treatment could be done when she was 7yrs ?
Pulpotomy +ssc
E.
BW 84 what treatment could be done when she was 7yrs, pain on biting and eating?
Pulpotomy+ssc
24. Clas III bite (ortho case)
A.
Diagnosis?
Ortho class III
B.
Next diagnosis test ?
Study models with cephalometric xray
Ortho bite
C.
How to do a treatment plan?
Explain in all details and if it bothers them
Explain cons and pros
D.
How to treat upper molar caries? (Photo of upper molar, with small/medium decay given )
GIC to control
Composite
RCT
Extract
crown

E.
How to prevent and to start treatment?
Before 8yrs rapid maxilla expansion
Prior adolescence spur growth
After growth
25. diagnosed with diabetes 10 yrs ago, GP keeps changing her medication/ 5yrs taking
bisphosphonate/ has stopped smoking year ago
periodontal disease previously diagnosed, no treatment taken ahead.
Glycosinated collateral hemoglobin. Hb1AC 12% (108 mollmmol)
A.
Diagnosis ?
Aggressive perio
Chronic perio
B.
Tooth 36 perio situation ? (xray given)
Furcation involvement
Distal angular defect
Amalgam restoration ??
C.
Hb1AC gives you what info???
Amount of glucoses concentration in 2/3 months 6 weeks
D.
PX is happy to extract the lower anterior teeth and wants a RPD.
Non axial forces to support
Would trap more plaque
Hard to adapt because it would be her first denture
Lingual bar
Aesthetics
Random MCQ !!!!
Salivary flow ( name of parotids duct ???) Unstimulated saliva normally flows at a rate of 0.3 ml
per minute and a flow rate of less than 0.1 ml per minute is considered dry; stimulated saliva
normally flows at a rate of 12 ml per minute and a flow rate of less than 0.7 ml per minute is
considered reduced.
What is Tug back?
Apexicification ???
White spots on the teeth, hypoplasia / hyper maturation ???
Final shape of access cavity
Root curvature
Pulp chamber roof
Orifices location

Cusps
Amalgam depth of cavity preparation ???
Enamel
Beyond enamel and dentin
2mm into dentin
amalgam.
Inlay mesio occlusal, what would avoid mesio distal displacement ?
Pulpa depth
Parallel wall
Occlusal dovetail
Tight contact point
px reports that hot exacerbates and cold relief ??? irreversible pulpitis
radiolucency right on the middle of restoration, what are the symptoms?? Imagen sobreposta
to check occlusal clearance???
Visual
Articulating paper
Biting wax
Study model
Investments / mold expansion
Ideal length of a intra canal post core ? 2/3 of root, leaving at least 4mm of GP
Resin bonded bridge , cause of failures ???
What is the most common failure for PFM ?
Framework
Porcelain thickness
How a lingual plate should be placed ???
Anterior floor
Full veneer crown retention enhancement ?
Knife edge instead of shoulder
Lengthen the preparation
Tapered
Path of insertion similar to adjacent teeth
Why PFM is better than full ceramic crowns ???
Less lingual or palatine reduction
PFM prep features ?
10 to 20 degrees of taper
visually taper
5 to 10 degrees of taper
the shorter the more parallel
before relining a partial denture- tissue/mucosa must be healthy
instruct px to do not wear denture
tissue conditioner
antinflamatory can be prescribed

cheek bitting ( full denture )

overjet
steep cuspids
how to measure freeway space ?
only when pt has teeth
cocclusal rest minus gap
final impression for a complete denture ???
Polyvinyl
siloxane
agar
Polyether
hydrocolloid
special trays features ?
5mm thickness
3mm thickness
ask pt to bite when taking impression
flexible
most stable material (dimensional stability) ??? adittional silicone(polyvinyl)
polyether
lesion on border of the tongue( photos given ) ( hairy leukoplakia )????
pApilloma
hairy wart
best way to disinfect impression ??? Only EPA-registered hospital-level disinfectants may be used
for the disinfection of impressions. These include iodophors, sodium hypochlorite (5.25%, diluted
1:10), 7.5% hydrogen peroxide, chlorine dioxide, and dual or synergized quaternaries.
hypoclorite
clorohexidine
muscles involved in centric occlusion \???
Lateral pyterigoid
Medial pyterigoid
Masseter
Temporal
Porcelain is stronger when ???
Fired multiple times
Fired only once
Fired slowly
RPD lingual bars !!!!!
What is the best anesthesia for lower incisive ???
Block injection for a child/ adult ???
What is on the floor of an ulcer ???
Pericoronitis ?
First measure, hot saline mouth rinse
When extracting a lower 8 lingual angulated, what to do to avoid lingual nerve damage, and what

are the benefits of this technique ???

Osteoradionecrosis,study it !!!!
Melanoma on the palate ( photo given )
Uncommon on the palate, however it is raising.
Life expectation for melanoma
Pemphigus vulgaris oral manifestations ????
What is the first HIVs oral manifestations ???
&&&&
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Rand Ahmad sorry explain that?
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Divya Mohan Rand Ahmad sorry explain what?
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Divya Mohan John Darby I spend my time to remember all those things and posted it for you
guys if you can't appreciate it no problem I can delete the post
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Hosam Osama El Boraie Thank you
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Divya Mohan Hi Mohamed Fawzy Soliman, can you please upload the post as a file so it
will helpful for everyone
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Harmeet Singh Dhillon very good Divya Mohan
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Tiba Ali Alsadi R All of these qs where MCQs????
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Harmeet Singh Dhillon dont worry Divya Mohan

topics r always impt
appreciate ur effort
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Mohamed Saad Alwazeer Thxxx
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Rand Ahmad thank you so much but i thought it is mcq
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Rand Ahmad please can you put it in file?
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Mohammed Noor Divya Mohan Thanks a million ! Good enough for me.
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Arnie Melegrito Thank you Divya..
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Alaa Shiya Thanks
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