ADC Preliminary Examinations 7./8.

September 2006 Paper 1

1. The term abrasion best describes: A. B. C. D. Loss of substance by chemical agent Loss of substance by external agent Loss of substance by the movement of tooth against tooth The rapid loss of substance that is seen in the movement of porcelain crowns aganist natural teeth

2. Some days after preparation and filling of a shallow class I amalgam cavity the patient complains of pain on biting. You would: A. Perform vitality test B. eplace filling with lining C. Chec! for premature contacts D. emove all occlusal contacts from this filling ". Tell the patient to wait #$% wee!s& the pain will go away 3. In a composite filling the matri! band is for A. 'elp shaping and contouring the filling B. Prevent material to be pushed under the gingival margin ". The advantage of guttapercha over silver points is A. The possibility for lateral condensation #. $hen do you ma%e a fi!ed&moveable bridge' A. (hen the abutment teeth don)t have the same path of insertion (. In a class II.2 malocclusion which bridge design would be contraindicated for a missing lateral upper incisor' A. Cantilever bridge B. *aryland bridge

). $hich is the best cantilever bridge design for missing ma!illary canine' *butment on A. Both premolars B. Lateral and central incisor

C. Lateral incisor D. +irst premolar ,. A 9 years-ol !"il #"o "as s$staine a %ra!t$re o% a maxillary permanent !entral in!isor in #"i!" 2 mm o% t"e p$lp is expose & presents %or treatment '0 min$tes a%ter in($ry. )"i!" o% t"e %ollo#in* s"o$l be !onsi ere +

A. emove -$# mm of the pulp tissue surface& place calcium hydroxide and fill with resin B. emove -$# mm of the pulp tissue surface and cover with ledermix C. Place calcium hydroxide directly on the exposed pulp D. Pulpotomy using formocresol ". Pulpectomy and immediate root filling +. In a flouridated toothpaste with ,.3,"- sodium fluoride the amount of flouride ions is A. B. C. D. %.. ppm -... ppm -/.. ppm %... ppm

1,. The most important diatary habit for caries development is A. Amount of sugar inta!e B. +re0uency of sugar inta!e C. +orm of sugar inta!e 11. The normal unstimulated salivary flow rate is A. ...# ml1min B. ..# ml1min C. # ml1min 12. Titanium is used in dentistry A. B. C. D. ". 2n a very pure form in implants 2n an alloy with aluminium in casting for crowns and bridges 2n an alloy with nic!el in orthodontic wires A and B A& B and C

13. $hat is the reason for a tooth to develop pulpitis several years after setting of a full veneer gold crown' A. Bacterial microlea!age 1". .ow is the regeneration process after damage by in/ury to odontoblasts wor%ing'

A. B. C. D. ".

Proliferation of the remaining odontoblasts Differentiation from fibroblasts egeneration from undifferentiated mesenchymel cells 'istodifferentiation from ectodermal cells Differentiation from the inflammation cells

1#. In construction of full dentures what does the term 0too low vertical dimension1 refer to' A. A situation in which there is too much interocclusal space between upper and lower artificial teeth when the mandible is in rest position. 1(. 2eversible pulpitis is characteri3ed by A. Pain lasts longer on hot or cold stimulus than normally B. Patient can)t locali3e pain C. (ill have periapical involvement in radiograph 1). Irreversible pulpitis is characteri3ed by A. B. C. D. There is often a history of spontanous pain 4udden throbbing pain Pain can)t be localised when it reaches the periapical area There is pain which lingers for a short duration after romoval of stimulus

14. $hat are the symptoms of internal resorption' A. 5ery painful B. 4ymptom$free or only mild pain 1+. $hat %ind of root fracture in a tooth has the best prognosis' * fracture at the A. B. C. D. Apical third Coronal third *iddle third 5ertical fracture

2,. $hat will develop after prophyla!is' A. B. C. D. Acellular pellicle is formed immediately after Cellular pellicle is formed immediately after Acellelar pellicle is formed after %, hours Cellular pellicle is formed after %, hours

#-. )"at is t"e p$rpose o% ma,in* a re!or o% protr$si-e relation an #"at %$n!tion oes it ser-e a%ter it is ma e+ A. To register the condylar path and to ad6ust the inclination of the incisal guidance. B. To aid in determining the freeway space and to ad6ust the inclination of the incisal guidance. C. To register the condylar path and to ad6ust the condylar guides of the articulator so that they are e0uivalent to the condylar paths of the patient. D. To aid in establishing the occlusal vertical dimension and to ad6ust the condylar guides of the articulator so that they are e0uivalent to the condylar paths of the patient. 22. * #, years&old patient presents with pain from time to time on light cervical abrasions. $hat is your first management to help patient in preventing pain in the future' A. Change diatary habits B. Change brushing habits C. 72C fillings 2'. .n plannin* an !onstr$!tion o% a !ast metal partial ent$re t"e st$ y !ast A. facilitates the construction of custom trays B. minimi3es the need for articulating C. provides only limited information about inter ridge distance& which is best assessed clinically D. can be used as a wor!ing cast when duplicating facilities are not available 2". $hat are the artificial teeth in removable dentures made of' A. B. C. D. Porcelain Cross$lin!ed methyl$methacrylate "thyl$methacrylate Acrylic

2/. 0ollo#in* extra!tion o% t"e molar teet" A. B. C. D. The ridge height is lost more from the maxilla than from the mandible The maxillary ridge will get more bone lost from the palatal aspect than the buccal The mandibular arch is relatively narrower than the maxillary arch Compared with the pre$resorption state& the mandibular ridge will lose more bone from the lingual aspect than the buccal one.

2(. $hich anatomical landmar% is important to include in impressions for lower full dentures' A. *ylohyoid ridge B. Lower incisive papilla

27. )ro$*"t metal is to be& A. *arble B. 8uenched C. 'as undergone cold treatment during processing 24. $hich of the following is 567 indication for indirect pulp capping' A. (hen further excavation would lead to pulp exposure B. "xcavation of a very deep caries 2+. .ow does fluoridation wor% in theory' A. +luoride ions are integrated by changing 'ydoxylapatite to +luorapatite 9.. A ma(or i%%eren!e bet#een li*"t !$re an !"emi!al !$re !omposite is t"at $rin* settin* or in %$n!tion t"e li*"t !$re materials ten to1 A. B. C. D. ". 4eal the margins better and completely "xhibit less wear on time :ndergo greater colour change 4hrin! more rapidly Posses greater fracture toughness

31. $hat consideration is important in deciding if a bridge for upper missing incisors should be made in pontic design or with gingiva imitation' A. (ishes of patient B. Bone resorption in edentoulos span '2. 2"e most !ommon !a$se o% porosity in por!elain (a!,et !ro#ns is& A. B. C. D. ". *oisture contamination "xcessive firing temperature +ailure to anneal the platinum matrix "xcessive condensation of the porcelain 2nade0uate condensation of the porcelain

33. .ow should the occlusion in partial removable dentures be designed' A. Artificial teeth should be out of occlusion B. Artificial teeth should not interfere with the incisal guidance established by the remainig natural teeth. 9%. 2"e minimal labial toot" re $!tion %or satis%a!tory aest"eti!s #it" por!elain %$se to

metal !ro#n is& A. B. C. D. ". -mm The full thic!ness of enamel -./ mm #./mm ;ne third of the dentine thic!ness

'/. .n remo-able partial ent$re& t"e prin!iple o% an in ire!t retainer is to1 A. 4tabilise against lateral movement B. Prevent settling of ma6or connectors C. estrict tissue movement at the distal extension base of the partial denture D. *inimise movement of the base away from the supporting tissue 9<. )"en a remo-able partial ent$re is terminally seate A. Apply retentive force into the body of the teeth B. "xert no force C. Be invisible D. esist tor0ue through the long axis of the teeth '7. 3lass .onomer Cement sets be!a$se o%& A. B. C. D. ". Acid$Base reaction Addition polymerisation reaction 7rowth of glass crystals 4lip plane loc!ing 4olvent evaporation t"e retenti-e !lasps tips s"o$l 1

'8. 2"e re%lex in *a**in* patients is !a$se by1 A. Trigeminal nerve B. 7lossopharyngeal C. +acial nerve D. ecurrent laryngeal 9=. 2"e $se o% ni!,el !"romi$m in base plate s"o$l be ($ i!io$sly !onsi ere be!a$se1 A. A significant number of females are allergic to nic!el B. A significant number of females are allergic to chromium C. A significant number of males are allergic to nic!el %.. )"i!" o% t"e %ollo#in* li4$i s is not s$itable %or prolon*e immersion o% !obalt !"rome partial ent$res1

A. B. C. D.

Al!aline peroxidase 4odium hypochlorite 4oap solutions (ater

51. .n !omplete ent$res& !"ee, bitin* is most li,ely a res$lt o%1 A. educed ;ver6et of posterior teeth B. To high vertical dimension C. Teeth have large cusp inclines %#. 2"e most !ommon !a$se o% %ra!t$re at t"e ist"m$s o% a !lass .. ental amal*am restoration is1 A. B. C. D. ". 2nsufficient condesation +racture line developing from pulpal$axial angle of the cavity :nderconturing of the isthmus area *oisture contamination of the amalgam during placement 2nade0uate bul! of amalgam at pulpo$axial line angle

5'. )"y o yo$ o-erpa!, amal*am %illin*s+ A. To remove excess mercury %%. )"at is C677EC2 in re*ar to t"e perio ontal s$r%a!e area in maxillary teet"1 A. B. C. D. central incisor > first premolar> second premolar Canine> first premolar> central incisor Canine> lateral incisor> second premolar Canine> central incisor> first premolar

%/. )"en restorin* #it" !omposite resins& #"y o #e o t"e !a-o-s$r%a!e be-ellin*1 A. B. C. D. ". Aesthetic To open enamel rods for acid attac! To smooth preparation A and B All of the above

56. A #ell !onstr$!te !omplete ent$re1 A. ?eeds little maintenance B. ?eeds less than a wee! for ad6ustment and total success C. 'as adverse effects and decreases taste sensations 57. 6n examination o% a !omposite restoration yo$ %in a ar, attain1

A. eplace the composite B. epair with unfilled resin C. Apply topical fluoride at the margin %,. A patient !omplains o% sensiti-ity& on examination yo$ %in a !omposite %illin* restorin* a *oo !a-ity preparation #it"o$t any se!on ary !aries8 #"at is yo$r next step1 A. "xtirpate the pulp that is obviously inflamed B. Place @;" dressing to sedate the pulp C. As! patient to come bac! in six months D. epeat restoration 59. )"at is t"e best #ay to !ement a 9arylan bri *e& A. B. C. D. ". 72C esin cement Composite resin @inc Phosphate cement ;xide @inc and eugenol

/.. 2"e i eal len*t" o% a post in t"e %abri!ation o% !ro#n an !ore o% en o onti!ally treate toot" is1 A. B. C. D. ". #19 of tooth the tooth length -./ times that of the crown A root length The length of the crown

/-. )"ile yo$ %inis" a !lass . !a-ity& t"e enamel is so$n b$t yo$ noti!e a t"in bro#n line in t"e entine an on t"e entino-enamel ($n!tion& #"at is yo$r response& A. Bou leave it and complete the final restoration B. Bou extend your preparation and clean it C. Bou apply a cover of varnish /2. Dental !aries o% t"e proximal s$r%a!es $s$ally starts at& A. B. C. D. 4omewhere between the ridge and the contact area Cust gingival to contact areas Cust above the gingival margin At the contact point

/'. 2"e 0ran,%ort plane is e%ine by #"i!" anatomo!al lan mar,s&

A. Porion& orbitale B. 4ella& orbitale C. ?asion& Tragus /5. 2"e bitin* loa o% a ent$re base to t"e *in*i-al tiss$es !ompare to teet" are& A. Ten times more B. Ten times less C. "0ual //. 2"e i%%eren!e bet#een normal stone an t"e ye stone is& A. 2n the si3e and shape of the particles B. The mixing /6. 2"e a -anta*e o% t"e sili!one in so%t relinin* material o-er "ar plasti! a!ryli! materials is& A. Capability to flow B. Prevents the coloni3ation of Candida albicans C. esilient in long run D. Better bond strength /D. A %emale patient !omes to yo$ !omplainin* o% persistent pain in a "ea-ily restore !entral in!isor8 yo$ s$spe!t irre-ersible p$lpitis an yo$ "a-e been tol t"at s"e is in transit lea-in* by plane next ay. :o$r treatment #ill be& A. emove filling and place a sedative dressing B. Pulpectomy and Ledermix dressing C. Pulpectomy and calcium hydroxide dressing D. Prescribe analgesics and systemic antibiotic /8. 2"e %lexibility o% t"e retenti-e !lasp arm oes not epen on1 A. B. C. D. ". Length of the arm The cross section shape The material used Degree of taper The exerted force

/=. 0ollo#in* !al!i$m "y roxi e p$lpotomy& t"e entist #o$l expe!t entine bri *e to %orm at& A. The exact level of amputation B. Level somewhere below the amputation C. 'alf way between amputation and apex

D. At the apical region of the tooth <.. .n t"e !onstr$!tion o% a %$ll -eneer *ol !ro#n& %$t$re re!ession o% *in*i-al tiss$e !an be pre-ente or at least minimise by& A. "xtension of the crown - mm under the gingival crevice B. eproduction of normal tooth incline in the gingival one third of the crown C. 4light over contouring of the tooth in the gingival one fifth of the crown D. 4light under contouring of the tooth in the gingival one fifth of the crown 61. )"at is !orre!t in re*ar to "i*" !opper amal*am& A. B. C. D. eacts and strengthens the amalgam by its dispersion properties eacts to form copper$tin phase thereby eliminating the tin$mercury phase eacts to form copper$silver phase thereby eliminating the silver mercury phase eacts and strengthens the amalgam by its grain diffusion

<#. 2"e remo-able partial ent$re re4$ires relinin*&#"at #o$l be t"e most appropriate a!tion& A. ta!e an impression by as!ing the patient to occlude on it B. Provide e0ual space between denture and gingival tissues. C. *a!e sure the framewor! and retainers are seated in place before ta!ing impression 6'. Sti%%ness o% material is meas$re by A. B. C. D. Proportional unit *odulus of elasticity 4tress1 strain :ltimate tensile strength

<%. 2#o !entral in!isors on a ra io*rap" are s"o#in* #it" #"at loo,s li,e eye rop ra iol$!en!y. :o$ e!i e to start en o onti! treatment on t"ese teet" b$t #"en yo$ trie to open a!!ess to t"e root !anal yo$ %in !learly !lose ori%i!es #it" #"at loo, li,e se!on ary entine. )"at is yo$r initial mana*ement+ A. Leave as it is and start a permanent restoration. B. 4tart systemic antibiotic C. Try to ream and file canals </. A%ter t"e initial e-elopment sta*e an in t"e absen!e o% pat"olo*y& t"e si;e o% t"e p$lp !"amber "as been re $!e by& A. Deposition of primary dentine B. Deposition of secondary dentine C. eparative dentine

D. Pulp fibrosis ". Deposition of reparative dentine 66. Dent$re stomatitis is !ommonly asso!iate #it"& A. B. C. D. The continuous wearing of removable orthodontic appliances in otherwise healthy patient The proliferation of hypertrophic tissue at the denture periphery The overgrowth of some constituents of oral normal microflora Allergy to denture base material

67. 2"e li*"t emitte by t"e polymeri;ation lamp "as to be !"e!,e %rom time to time. 2"e meter $se %or t"is only meas$res li*"t in t"e ran*e o%1 A. B. C. D. -..$-== nm #..$#== nm 9..$9== nm %..$%== nm

68. )"i!" is !orre!t in re*ar to s"a e sele!tion o% !ro#ns1 A. B. C. D. 2t should be selected before starting preparation Chroma is the lightness1dar!ness of colours 5alue is the colour itself 'ue is the concentration of colours

(+. )"ere #o$l yo$ expe!t to %in t"e mylo"yoi m$s!le in relation to t"e perip"ery o% a %$ll lo#er ent$re1 A. B. C. D. *andibular buccal in the midline *andibular lingual in the first premolar area *andibular lingual in the midline *andibular disto buccal area

),. *fter reimplantation of an avulsed tooth the prognosis may be poor because of A. "xternal resorption B. 2nternal resorption 71. 2.2 m* o% <a0 !ontains "o# many m* o% %l$ori e ions+ A. ../mg B. -.. mg C. -./mg D. -.mg )2. .ow would you treat denture stomatitis'

A. ?ystatin B. Tell the patient to leave the denture out for some days )3. $hat is true about third molar surgery' A. 4welling is maximum after #% $ %, hours B. *ental paraesthesia indicates careless techni0ue )". ' A. "xtension of denture beyond mylohyoid ridge leads to pain in swallowing )#. ' A. Pla0ue removal in case of exposed roots is important as pla0ue opens the dentinal tubules and causes spread of caries.

Paper 2
-. D$rin* s#allo#in*& a= s$pra"yoi m$s!les relax b= masseter m$s!le !ontra!ts != ton*$e to$!"es t"e palate = teet" "a-e !onta!t a and b a& c and d a& b and c ?one of the above All of the above .n anaest"i;in* a 70 ,* "ealt"y man #it" >i*no!aine 2? #it" 11100&000 -aso!onstri!tor&#"at is !orre!t+ The toxic threshold is ## ml #.# ml is the maximum you can give in one session Lignocaine has the same anaesthi3ing capacity as Ben3ocain and A... Lignoscain is / times less potent than Bupivacain Lignocain is more dangerous in 'ypothyreodism than Bupivacain * suddenly swollen upper lip that lasts for "4 hours or more is most li%ely 'aemangioma Agioneurotic oedema *ucocele Cyst )"at is t"e most important %a!tor to re $!e ra iation in ental ra io*rap"s+ 4peed of film Collimation +iltration Cone shape and length :se of lead apron $hat is the best way for a permanent decline in caries of a population' Change diatary habits Topic and water fluoridation Awareness of dental health matters Better tooth brushing A patient in yo$r ental !"air s"o#s !"est pain& #ea, p$lse an ysponea& #"at is yo$r

A. B. C. D. ". 2.

A. B. C. D. ". 3. A. B. C. D. 5. A. B. C. D. ". #. A. B. C. D. <.

initial mana*ement& A. Administer nitro$glycerine and !eep the patient up seated B. Put the patient in supine position C. (ait until the symptoms go away D. De-eloper #as !ontaminate #it" ot"er !"emi!al an #as not mixe properly. )"at is t"e e%%e!t on t"e @-ray %ilm+

A. Too dar! film B. Light film C. +oggy 8. Aran!"ial Cle%t !yst is lo!ate

A. 2n front of the nec! B. ;n anterior border of the 4ternocleidomastoid muscle C. 4hows when swallowing 9. A. B. C. D. )"at is t"e approximate $nstim$late sali-ary %lo# rate& # ml1min ..# ml1min ...# ml1min #. ml1min

-.. Some "o$rs a%ter t"e extra!tion o% a lo#er molar t"e patient !omplains o% prolon*e post operation blee in* an pain& "o# #o$l mana*e t"is& A. Prescribe analgesics and as! the patient to follow a strict oral hygiene B. Administer /E *arcaine Local Anaesthetic& prescribe analgesics and pac! the soc!et with alvogyl C. Administer /E *arcaine Local Anaesthetic& suture the soc!et and prescribe analgesics D. 4uture and give pressure pac!s 11. A 3ra!ey !$rette is !"ara!teri;e by A. B. C. D. The blade and the shan! form a =.F angle Can be used on both sides Can be used on any tooth surface 2t is specific for each surface of the tooth

-#. A patient #it" no positi-e "istory !ame alon* %or s!alin*. 2"e moment yo$ pi!, $p yo$r anterior s!aler yo$ p$n!" yo$r %in*er& #"at s"o$l yo$ o+ A. Complete the procedure as if nothing has happened

B. C. D. ". +.

Chec! dentist)s blood for 'epatitis B antibody 'BsAb Chec! dentist)s blood for 'epatitis B antigen 'BsAg Chec! patient)s blood for 'epatitis B antibody 'BsAb and '25 antigen '25Ag Chec! patient)s blood for 'epatitis B antigen 'BsAg and '25 antibody '25Ab Dentist should go and ta!e a 'BsAb vaccine

1'. A patient on t"e ental !"air "as !ar ia! arrest. )"at is .<C677EC2& A. ;bserving the vital signs and chec! that the air way is clear is at high importance B. "xpired air has -/E ;# only& and cardiac compressions achieve 9.$%.E of cardiac output C. 2ntermittent positive pressure at the rate of %.1min will reduce the chances of cerebral hypoxia D. 2ntermittent positive pressure is better than mouth to mouth when it has been given at the same rate. ". Bou chec! the pulse and respiration of the patient before starting any resuscitation 15. 2"e best ra io*rap" %or in-esti*atin* t"e maxillary sin$s is& A. B. C. D. ". Periapical radiograph Panoramic view Lateral cephaloghraph ;ccipitomental view everse Towne)s view

-/. )"i!" is tr$e in re*ar to osseointe*ration o% implants in entistry+ A. The osseointegration is directly between titanium and bone B. +ollowing insertion& implants can be immediately loaded without problem C. The success of the implants is directly proportional to its area of contact with bone and the bond is mechanical in nature D. The success of the implants depends mostly on low tor0ue preparation and insertion of the fixture ". The success of integration is accurately investigated by immediate radiographic examination 16. >oss o% sensation/paraest"esia in t"e lo#er lip may be pro $!e by& A. B. C. D. ". Bell)s palsy Traumatic bone cyst Trigeminal neuralgia ;steomyelitis Ludwig)s angina

1). In an!oius and psychologically stressed patients gingivitis is often more severe because of

A. 4tress causes histamine and serotonine release B. 4tress causes catecholamine and corticosteroid release C. 4tressed people neglect their oral hygiene 14. * retained lower primary incisor causes the permanent incisor to A. erupt buccally B. erupt lingually C. an!ylise 1+. $hat is the least probable conse8uence in thumb&suc%ing' A. eclining of lower incisors B. Protrusion of upper incisors C. +ormation of deep palate with big overbite 2,. *n%ylosis of teeth is often found after changes in the continuity of the occlusal plane. These changes are caused by A. ;vereruption of opposing teeth B. Localised growth inhibition of the alveolar bone C. 4in!ing of an!ylised tooth into the bone 21. $hat is not important in obduration materials for primary teeth' A. 7ood apical seal B. adioopacity C. Antibacterial D. esorbable 22. $hat is your first consideration in the treatment of dry soc%et' A. Prevention of osteomyelitis B. Pain relief 23. * patient presents with pain in the upper left segment. 5n inspection you find a locali3ed alveolar abcess distal 2). $hat will be you management' A. Drainage B. "xtraction of tooth 2". $hat does not help in establishing the caries ris% in children' A. 'istory of caries B. Lactobacillus count C. Dietary habits

D. Brushing habits ". 7enetic predisposition

2/. 6pioi A. B. C. D. ".

r$*s are similar to #"i!" en o*eno$s s$bstan!es+

Brady!inins Peptides Prostaglandins 4erotonins "n!ephalins

26. )"i!" o% t"e %ollo#in* "a-e a ten en!y to re!$r i% not treate !orre!tly+ A. B. C. D. ". 7iant cell granuloma Lipoma +ibrous epulis 'aematoma Pulp polyps

#D. A 22 year ol #oman "as a!$te *in*i-al "ypertrop"y& spontaneo$s blee in* %rom t"e *in*i-a an !omplains o% #ea,ness an anorexia. Ber bloo analysis #as as %ollo#s1 BAC12*m& <e$trop"ilsC90?& 9ono!ytesC1?& PlateletsC2/0000& )ACC100000& >ymp"o!ytesC9?& Eosinop"ilsC0?. 2"e most li,ely ia*nosis is1 A. B. C. D. ". *yelogenous leu!aemia 2nfectious mononucleosis 1glandular fever1 Thrombocytopenic purpura 7ingivitis of local aetiological origin Pernicious anaemia 15itamin B-# deficiency1

#,. )"en no ra iation s"iel is a-ailable& t"e operator s"o$l stan o$t o% t"e primary xray beam at a istan!e %rom t"e patientDs "ea o% at >EAS21 A. B. C. D. ". ../ metres - metre -./ metres # metres 9 metres

#=. )"i!" o% t"e %ollo#in* is a typi!al !onse4$en!e o% ental !ro# in*& ass$min* no primary toot" "as been lost premat$rely+ A. ;verlapping of lower incisors B. Palatal displacement of upper canines C. 2mpaction of -/ and #/ between first premolars and first molars

D. *esial tipping of -< and #< ". otation of -< and #< 9.. $hat is the dominant microflora in a!$te ne!roti! $l!erati-e *in*i-itis EA<F3=+ A. B. C. D. ". 4pirochaetes and fusobacterium 4P 4pirochaetes and ei!enella corrodes Polymorphs and lymphocytes Actinobacillus actinomycetes comitans oral capnocytophaga Porphyromonas gingivalis and prevotella intermedia

'1. )"i!" o% t"e %ollo#in* is tr$e re*ar in* *in*i-osis EDes4$amati-e *in*i-itis= A. B. C. D. ". 2t is caused by hormononal imbalance 2s seen only at or after menopause 2s fre0uently caused by lichen planus 2s a variant pregnancy gingivitis 2s related to nutritional disturbance

'2. )"at are t"e points t"at etermine t"e %a!ial line in !ep"alometri! points E2"e an*le o% t"e !on-ex %a!ial line=+ A. ?asion& pronasale& pogonion. B. 4ella& nasion& pogonion ''. A 10 year ol boy presents #it" small *reyis" #"ite lesion s$rro$n e by a re "alos on t"e so%t palate an tonsillar pillars& small -esi!les are %o$n . Be "as %e-er an pain in t"e ear an #onDt eat. 2"e 96S2 probable ia*nosis is+ A. 'erpangina B. *easles C. Primary herpetic stomatitis 34. A 12 years-ol !"il presents #it" symptoms o% #i esprea *in*i-itis #it" blee in* an *eneral malaise %or se-eral #ee,s. Bo# #o$l yo$ mana*e t"is patient+ A. B. C. D. ". Prescribe *etronida3ole -..mg Locally debride& give oral hygiene instruction and prescribe '#;# mouth wash. 7ive a prophylaxis with ultra sonic scaling efer for haematological screening Advise for bed rest with supportive and palliative treatment

35. )"at is t"e e%%e!t o% o%%i!e ental prop"ylaxis o% re*$lar six mont" inter-als on !"il renDs oral "ealt"+ A. educed caries incidence by approximately 9.E

B. Provide a long term improvement in oral hygiene C. Provide a short term improvement in oral hygiene D. Prevent gingivitis ". educe the need for patient cooperation '6. )"at is t"e most %re4$ent !a$se o% pain #"i!" o!!$rs se-eral ays a%ter obt$ration+ A. "ntrapped Bacteria in the periapical region B. :nderfilling the root canal system C. ;verfilled root canal

9D. A iabeti! patient #it" moist s,in& moist mo$t" an #ea, p$lse8 #"at #o$l yo$ o1 A. B. C. D. 7ive glucose orally Administer ;# Administer adrenaline 2n6ect insulin

'8. 2"e laboratory %in in*s in Pa*etDs isease s"o#1 A. B. C. D. ". "levated calcium& elevated phosphate& and elevated al!aline phosphate. ?ormal calcium& normal phosphate and elevated al!aline phosphate Decreased calcium& increased phosphate and elevated al!aline phosphate 2ncreased calcium& normal phosphate and decreased al!aline phosphate ?ormal calcium& increased phosphate and elevated al!aline phosphate i%%i!$lties in breat"in* #"ile in t"e

9=. A patient "as e-elope a se-er !"est pain an ental !"air. :o$r initial response is1 A. B. C. D.

Administer glycerine trinitrate and monitor patient in upright position Patient has an acute episode of angina as demonstrated by curve in "C7 ?o treatment is re0uired until confirmed as *2 by "C7 Patient has myocardial infarction as confirmed by "C7

%.. .n t"e !ase o% mali*nant melanoma o!!$rrin* intraorally& #"i!" o% t"e %ollo#in* is tr$e1 A. B. C. D. ". :ncommon on the palate 4hould not be biopsied& as this will increase metasis The / years survival rate is #.E The incidence of oral melanoma is the same as those on the s!in Commonly occurs intra orally

%-. )"at is <62 27FE in relation to t"e $se o% ia;epam %or se ation+

A. Patient commonly complain of post operative headache B. An acceptable level of anxiolytic action is obtained when the drug is given one hour preoperatively C. There is a profound amnesic action and no side effects D. Active metabolites can give a level of sedation up to , hours post operatively ". Can be used safely for children "2. Topical fluoridation in a 1" years&old boy will not lead to mottling because A. Teeth are already calcified %9. Patient on anti-!oa*$lant t"erapy re4$ires an extra!tion to be per%orme . )"i!" o% t"e %ollo#in* is <62 tr$e1 A. B. C. D. *inor leedings bleeding can be reduced somehow by using tranexamic acid Prothrombin value above #./ is re0uired to perform extraction 2t ta!es up to -# hours for 5itamin G reverse effects of warfarin 'eparin can be administered sub$cutaneous and acts rapidly

%%. A p"ysi!ian re%ers a nine year ol boy to yo$ to !on%irm ia*nosis. 2"e boy "as a %e-er o% 50GC an !o$*"in*. )"en yo$ %o!$s yo$r li*"t into "is eyes "e t$rns a#ay. .ntraorally t"ere are #"ite spots s$rro$n e by re mar*ins. 2"e isease an lesions are1 A. *easles and the spots are Gopli!)s spots B. A'74 vesicles C. ubella and the spots are +ordyce)s spots "#. $hat is true in T9: dysfunction therapy' A. 4hould be treated surgically B. Appliances that raise the bite usually relief the symptoms and are used prior to any surgery "(. $hat is true regarding pregnancy gingivitis' A. 2t is due to increased gingival microcirculation B. "levated oestrogen and gestagen levels are directly responsible C. 'ormonal changes cause the growth of anaerobic bacteria HPrevotella intermediaI

"). # mm probing depth means: A. Patient has periodontitis B. Probe is / mm beyond gingival margin C. Probe is / mm beyond dentino$enamel 6unction

%,. A mi le a*e #oman *i-es a "istory o% intermittent $nilateral pain in t"e s$b man ib$lar re*ion& most probable !a$se is& A. Calculus in the salivary duct resulting in sialolithiasis. B. anula C. Cyst D. *ucocele 59. Ay #"i!" o% t"e %ollo#in* me!"anism re $!es Aspirin pain1 A. 2t is anti inflammatory by the release of histamine B. 2t bloc!s the cyclo$oxygenase pathway. /0. )"at is t"e an*er o% $sin* air as a !ooler $rin* !a-ity !$ttin*1 A. B. C. D. ". 'ypersensitivity ;dontoblasts are drawn into the tubules Dehydrates the tooth AJB AJBJC

/1. 2"e %irst %ormin* mi!robial elements o% pla4$e are1 A. B. C. D. ". Aerobic gram positive 7J Aerobic gram negative 7$ Anaerobic gram negative 7$ 4pirochetes Anaerobic gram positive 7J

/#. A patient is resistant to !aries b$t "as a perio ontal isease. .n t"is !ase& s$!rose in iet is important be!a$se1 A. B. C. D. 4ucrose is greatly involved in pla0ue development 4. mutans produces Levans frictions which are used by periodontal pathogens The streptococcus mutans cannot survive with a continual supply of sucrose "xisting pla0ue must continue to get sucrose in order to grow

/'. .n minor oral s$r*ery& #"at is 27FE in re*ar to antibioti!s1 A. B. C. D. Amoxil satisfactorily covers the dental spectrum *etronida3ole and Amoxil have the same penetrating power 2t is evident that it will reduce post operative swelling There is convincing evidence that Prophylactic prescription of antibiotics will reduce postoperative infections ". *ost oral infections get anaerobic after # to 9 days

/%. A patient !omes #it" a %irm& painless s#ellin* o% lo#er lobe o% paroti #"i!" "as *ro#n pro*ressi-ely %or t"e past year. Be !omplains o% parest"esia %or t"e past 2 #ee,s. 2"is is most li,ely to be1 A. Pleomorphic adenoma B. Carcinoma of the parotid C. Lymphoma of parotid //. )"at is tr$e in treatin* a patient #it" se!on ary "erpes simplex1 A. Acyclovir inhibits viral transcription when applied in the prodromal phase B. 2doxuridine is better than acyclovir when applied topically C. Antivirals are contraindicated in immuno$compromised patient /<. D$rin* extra!tion o% a maxillary t"ir molar t"e t$berosity is %ra!t$re 8 "o#e-er& it remains in pla!e atta!"e to t"e m$!operioste$m. )"i!" o% t"e %ollo#in* pro!e $res s"o$l be employe 1 A. emove the tuberosity and suture B. Leave the tuberosity and stabili3e if re0uired C. emove the tuberosity and fill the defect with 7elfoam then suture. D. 2f fractured tuberosity is greater than # cm& leave in place and suture /D. An in!ision biopsy o% an $l!erate an intr$ e !lini!ally s$spi!io$s lesion in a /0 year ol %emale re-eals !"roni! in%lammation8 yo$ #o$l 1 A. 2nform the patient and her physician of your findings and instruct the patient to return in six months B. 4urgically excise the entire lesion since you !now it is not malignant C. Dismiss the patient with instructions for warm saline rinses and re$examination D. epeat the biopsy /8. 7e $!in* t"e si;e o% t"e %o!al spot #ill1 A. increase sharpness B. increase density /9. 2"e initial priority in treatment o% "ori;ontal %ra!t$res is1 A. Preservation of pulp B. 2mmobilisation C. oot canal treatment D. Calcium hydroxide treatment <.. )"i!" o% t"e %ollo#in* "as pro-en to be t"e 96S2 important in !omm$nity pre-enti-e pro*ram1

A. Dental awareness of the community B. 2nstitution of oral hygiene measures C. (ater fluoridation

61. )"at e%%e!t "as pla!in* a sealant o-er pits an %iss$res on t"e pro*ression o% !aries+ -. #. 9. %. /. Decreased new caries 2ncreased new caries Progression of exististing caries Decreased progression of existing caries ?o effect on existing caries

A. - and 9 B. - and % C. - and / 62. .n a -an!e perio ontitis #it" mar,e mobility& teet" may be splinte 1 A. To improve comfort for the patient B. 4plinting helps in transmitting the force to the ad6ucent teeth to reduce the load on the involved teeth 6'. Fse o% in"alation *eneral anaest"esia1 A. 'alothane should not be less than /E B. ;xygen must not be less than 9.E 65. S#allo#in* #ill ai in t"e ia*nosis o%1 A. Branchial cyst B. Thyroglossal duct cyst C. anula D. etention cyst +. 7lossothyroid cyst 6/. )"i!" o% t"e %ollo#in* #ill in!rease s"arpness1 A. B. C. D. Larger focal spot 4maller focal spot 2ncrease ob6ect$film distance Decrease patient$source distance

66. .n se-ere perio ontitis t"e probe #ill e-ent$ally be1

A. B. C. D. ".

prevented to go deeper by calculus beyond connective tissues in the 6unctional epithelium at the end of the 6unctional epithelium Touching the middle of 6unctional epithelium Touching sulculuar epithelium

<D. A /8 year ol male "as been treate #it" ra iation %or !ar!inoma o% ton*$e. 2"e patient !omplains o% pain asso!iate #it" poor entition. 2"e ental mana*ement #o$l be1 A. B. C. D. 2mmediate extraction of any poor teeth under local anaesthetic with antibiotic coverage 4egmental dental clearance and closure to eliminate problems ?o dental treatment may be due to neuronic of neoplasms Clearance of poor dentition followed by hyperbaric oxygen treatment plus a primary closure of wounds under antibiotic coverage ". ?o extraction as radionecrosis is an important se0uelae

68. )"i!" o% t"e %ollo#in* is <62 tr$e abo$t anti!oa*$lation t"erapy+ A. B. C. D. 2? of 9 is enough to start any extraction Affects extrinsic system and increases prothrombin time 'eparin can be given subcutaneously and acts rapidly 2t ta!es at least -# hours for 5itamin G to reverse the effects of coumarin

69. .n a ra io*rap" t"e roots o% t"e $pper teet" are too s"ort be!a$se o%1 A. 2nade0uate hori3ontal angulation B. Too high vertical angulation C. Too small vertical angulation 70. C"ara!teristi! o% S4$amo$s Cell Car!inoma o% t"e ton*$e A. more in white s!inned people B. more in alcohol drin!ing smo!ing males C. associated with Plummer$(ilson$4yndrome 71. C"ara!teristi! o% S4$amo$s Cell Car!inoma o% t"e lips A. 2t reacts far simply to radiotherapy B. metasti3es mainly by blood C. relatively rare in Australia )2. $hich type of dentin is not formed due to pulp pathology' A. eparative dentin

B. 4econdary dentin C. Primary dentin D. eaction dentin ". Tertiary dentin )3. In children a disease with en3yme deficiency is A. hypophosphatasia B. Cyclic neutropenia C. Cuvenile periodontits )". $hich is not true in sic%le cell anaemia' A. B. C. D. ". Deformed cells with less oxygen transport capacity 'igher infarction ris! 'ave wide bone marrow spaces with narrow trabeculae in the alveolar bone of oral cavity esistant to malaria parasites *ore common in mediterranean people

)#. $hat is correct regarding .ydrocortisol therapy' A. B. C. D. ". -. mg per day does not ma!e a significant adrenergic depression 'ydrocortisone can be given parenterally only 7lucocorticoids have antiinflammatory action 'ydrocortisone has only glucocorticoid action Corticosteroids cause a decrease in blood sugar

76. A patient reports to yo$ #it" an exop"yti! lesion on t"e ton*$e an a raise #"ite bloo !ell !o$nt o% 2 x 109 per ml. :o$ #o$l A. Do a biopsy B. efer for serologic testing C. 7ive acyclovir )). 6ormal prothrombin time and elevated partial thromboblastin time is seen in A. B. C. D. +actor 5222 deficiancy H'aemophiliaI Thrombocytic pupura Leu!emia 5on (illebrand disease

)4. $hich of the following describes best a + years&old child permanent dentition' A. -< -# -- K #- ## #< $$$$$$$$$$$$$$$$$$$$$$$$ %< %# %- K 9- 9# 9<

B.

-# -- K #- ## $$$$$$$$$$$$$$$$ %# %- K 9- 9#

)+. $hat is the best reason to promote tooth brushing to the public' A. Less fissure caries B. Less gingivitis C. 7ingival massage 4,. $hat is untrue about diabetes' A. 'ypoglycaemia is more common than hyperglycaemia B. 2nsulin$dependend patients are of more concern than non insulin$dependend C. Adrenalin causes a decrease in the blood glucose level 41. $hich of the following is a feature of Streptococcus mutans' A. 2t does not re0uire a special environment to grow B. 2t can be easily transported from one part of the oral cavity to another C. 2t has the ability to restructure carbohydrates 42. $hat does the term 0caries prevalence1 mean' A. The total number of carious areas affected and any present caries B. The individual ris! for a patient to ac0uire caries 43. $hich of the following are features of herpetic gingivostomatitis' -. 2rritability #. +ever 9. ;ccurs in teenagers %. 5esicles occur only on buccal mucosa and tongue A. -J#J9 B. -J#J% C. -J% D. All of the above 4". $hat is the most important aspect of root canal treatment' A. Complete debridement of the root canals

4#. $hat is true about halothane' A. 2t depresses the myocard B. eflex trigeminal stimulation is uncommon 4(. $hat is true about nitrous o!ide' A. 2t is rapidly absorbed and rapidly eliminated 4). * patient in your dental chair suddenly becomes agitated with shallow breathing full pulse and a blood pressure of 1#,;4,. You would A. 7ive oxygen B. 7ive insulin C. 7ive glucose D. Place patient in supine position 44. *fter periodontal surgery the regeneration of the periodontal ligaments ta%es place by A. +ormation of long 6unctional ligament

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Actually& there were ,. *C8s in each of the two papers. 2 probably put some 0uestions in the wrong paper.

SAH in September 2006 in Sy ney

-I Patient gives history of (arfarin treatment in the assessment. (hat will be the considerations in the dental management of such patientM H compulsory I #I Patient has missing upper lateral incisor. (hat are the different treatment optionsM 9I // years$old Patient has mobile upper anterior teeth and a diastema is starting to develop. (hat will be the differential diagnosis and its managementM %I Patient has apical abscess in %< and needs extraction. Already %.% ml. of #E lignocaine with adrenaline -N ,..... is in6ected& but when you try to extract tooth it is still painful. Discuss the possible management options. /I 'ow do you manage a # A year old child patient who is visiting a dental clinic for the first time& and what will you discuss with the parentsM Answers can be found in ;dellN OClinical Problem 4olving in dentistryP Hexcept %I

Alternative 4A8s in 4eptember .< Hother locationI -. HcompulsoryI management of pregnant lady #. smo!ing and its effects and how to motivate patient to leave the habit 9. management of tooth avulsion $ mother calls you from home and only #. mins have elapsed since in6ury. advice on phone on long term and short term management Hthis one is in ;dell)s boo!& tooI %. your patient has read about tooth whitening. tell her about bleaching /. management of female patient on bisphosphonates