The correct answer is the BEST answer from among those provided.

question has only one correct answer.

Answer A for True, B for False

Each

1. According to Proffit, when studying a growth chart, children outside

what percentiles may be considered to be
outside normal variability?
A. 3 and 97 %
B. 5 and 95%
C. 7 and 93%
D. 10 and 90%
2.
A.
B.
C.
D.

Which of the following is NOT appropriately described as growth:

Increase in size
Increase in complexity
Increase in number
Increase in specialization

3. The term cephalocaudal gradient of growth exhibits which of the

following trends?
A. Trunk and limbs grow faster then the head after birth
B. The head grows faster then the trunk and limbs after birth
C. Caudal structures the most important part of growth
D. Cephalic structures are the most important part of growth
4. I) The active lingual holding arch and lip bumper regain space by
tipping the mandibular molars distally and proclining the incisors and II)
both appliances apply active forces to the lower incisors.
A. Both statements are TRUE
B. Both statements are FALSE
C. First statement is FALSE, Second statement is TRUE
D. First statement is TRUE, Second statement is FALSE
5. In the mixed dentition, all of the following must be assessed prior to
the initiation of space maintenance EXCEPT,
A. Space analysis should be performed to show that adequate space is available
B. When the primary tooth was extracted/exfoliated
C. Estimation of when the permanent tooth should erupt
D. Evaluation of root development of the underlying permanent tooth
E. All of the following need to be evaluated
6. If multiple primary teeth are lost in the same arch and both the first
permanent molars and incisors have erupted, what would be the BEST
space maintainers to prevent posterior space loss?
A. Nance appliance
B. Lower lingual holding arch
C. Bilateral band and loops
D. A and B
E. B and C
7.
A.
B.
C.
D.

The best space maintainer is:

Band and loop appliance
A primary tooth
Removable acrylic plate
Lower lingual holding arch

8. In a patient who had a lower lingual holding arch placed to utilize the
leeway space to align the mandibular anterior teeth and now has an end
-on molar relationship , how might you obtain Class I molars?
A. Class I elastics
B. Maxillary headgear
C. Utilize the maxillary Leeway space
D. Leave it alone, it will surely correct on its own
9.
A.
B.
C.
D.
E.

Whats the rationale for correcting anterior crossbites in children?

Prevent abnormal incisal wear
Prevent possible periodontal involvement
Allow normal jaw junction by eliminating any occlusal interferences
Allow for correction of any localized space loss
All of the above are rationales for correcting crossbites

10. I) You may correct an anterior crossbite in a child with either a

removable Hawley appliance or a fixed 2x4 appliance and II) once the
crossbite is corrected retention is never required because the teeth are
now in their most stable position.
A. Both statements are TRUE
B. Both statements are FALSE
C. First statement is FALSE, Second statement is TRUE
D. First statement is TRUE, Second statement is FALSE
11. I) In Class III skeletal malocclusions the maxilla and mandible may
have normal transverse widths but II) a posterior crossbite may be
present due to the abnormal anterior/posterior relationship of the jaws
A. Both statements are TRUE
B. Both statements are FALSE
C. First statement is FALSE, Second statement is TRUE
D. First statement is TRUE, Second statement is FALSE
12. T / F When a patient presents for adjunctive orthodontic treatment,
all intraoral findings are listed on the problem list, not just those related
to their orthodontic problem.

13. The molar classification for the patients (above) is:

A. Class III Subdivision right
B. Class III Subdivision left
C. Super Class I
D. Class III

14. The molar classification for the patients (above) is:

A. Class I Subdivision right
B. Class I Subdivision left
C. Class II Subdivision right
D. Class II Subdivision left
15. T / F In orthodontics, as in all fields of dentistry, it is the doctors
role to present all possible solutions and discuss their pros and cons with
every patient so they may make an informed decision regarding
treatment.
16. In developing an orthodontic diagnostic database, which of the
following should be included:
1. Interview
2. Clinical exam
3. Analysis of records
4. Doctors opinion and experience concerning the patients desires
A.
B.
C.
D.

2, 3
1, 2, 3
1, 3, 4
1,2 ,3, 4

17. What are the primary reasons for extracting teeth in orthodontic
treatment:
1.
2.
3.
4.

Correction of crowding/protrusion
Simplify treatment and decrease treatment time
Camouflage of jaw discrepancy
To eliminate the need for headgear

A.
B.
C.
D.

1, 2, 3
1 ,3, 4
1, 3
1, 2, 3, 4

18. Which of the following state the correct sequence of eruption of the
permanent dentition?
1. Mandibular canines may erupt at about the same time as mandibular first
premolars
2. Mandibular canines usually erupt after maxillary canines

3. Mandibular lateral incisors may erupt at about the same time as maxillary
centrals
4. Mandibular first molars are always the first permanent tooth to erupt
A.
B.
C.
D.
E.

1 and 2
1 and 3
2 and 3
3 and 4
All of the above

19. When fabricating a Hawley retainer as in lab course, which of the

following is true:
A. 0.030 inch stainless steel is utilized for the labial bow
B. Ideally, the acrylic should be allowed to dry on the desktop
C. Adams clasps should always be used
D. The labial bow should lay passively across the incisors
20. When direct bonding natural teeth with orthodontic brackets, the
clinician should:
1.
2.
3.
4.

Pumice the bonding surfaces

Control moisture contamination
Prepare the teeth with acid etchant
Align the brackets so the arch wire fits passively in the arch

A.
B.
C.
D.
E.

1, 2, 4
2, 3 ,4
1, 2
2, 3
1, 2, 3

21. Which plier is used to place an elastic ligature around a bracket?

A. Bird Beak
B. Slim Weingart
C. Jarabek
D. Mathieu-Kocher
E. Universal distal end cutter
22. T / F Final restorations should be deferred until the final occlusion
has been established.
23. The auxiliary appliance below is called:
A. Class III triangle elastics
B. Class II elastics
C. Class I elastics
D. Class II trangle elastics
E. Class III elastics

24.
When utilizing a functional appliance for Class II
modification in a growing child, which of the following are true?

growth

1. Is most effective during the adolescent growth spurt

2. Your goal is to achieve differential forward growth of the mandible
3. Should be completed at the end of a childs growth spurt so any correction
made will not be lost to rebound growth
4. Should be started as early as possible as long as a sufficient number of teeth
have erupted so a fixed functional appliance may be utilized
A.
B.
C.
D.
E.

1, 2
1, 2 ,4
2, 3
3, 4
1, 2, 3

25. I) Tooth eruption does not correlate we ll with the skeletal growth
status and timing of the adolescent growth spurt so II) you should refer
a patient to your neighborhood orthodontist based on the dentition, not
their physical maturation level.
A.
B.
C.
D.

Both statements are TRUE

Both statements are FALS E
First statement is FALSE, Second statement is TRUE
First statement is TRUE, Second statement is FALSE

26. Whats a possible adverse affect of treating an adolescent who has a

Class I skeletal relationship, crowding, but no crossbite, with maxillary
expansion?
A. Only buccal tipping will result because the midpalatal suture is fused
B. A buccal crossbite may result
C. Crowding will be eliminated
D. A and B
E. B and C
27. In most Class II, division 1 malocclusions, the body of the mandible
and its superimposed dental arch are in a :
A. MESIAL relationship to the maxilla and the maxillary incisors are usually in a
LABIAL axial inclination

B. DISTAL relationship to the maxilla and the maxillary incisors are usually in a
LINGUAL axial inclination
C. MESIAL relationship to the maxilla and the maxillary incisors are usually in a
LINGUAL axial inclination
D. DISTAL relationship to the maxilla and the maxillary incisors are usually in a
LABIAL axial inclination
28. A steep mandibular plane angle is likely to be accompanied by:
A.
SHORT anterior facial vertical dimensions and an terior OPEN BITE
malocclusion
B. LONG anterior facial vertical dimensions and anterior OPEN BITE malocclusion
C.
SHORT anterior facial vertical dimensions and anterior DEEP BITE
malocclusion
D. LONG anterior facial vertical dimensions and anterior DEEP BITE malocclusion
29. Primate spaces in the primary dentition are found in which two
locations?
1) In the maxillary arch, the primate space is located between the central
incisors and lateral incisors
2) In the mandibular arch the pri mate space is located between the canines and
first molars
3) In the maxillary arch the primate space is located between the lateral incisors
and canines
4) In the mandibular arch the primate space is located between the lateral
incisors and canine
A.
B.
C.
D.

1, 2
3, 4
1, 4
2, 3

30. Which of the following is NOT TRUE concerning a posterior crossbite

in the mixed dentition?
A. It should be corrected as soon as possible
B. It should be thoroughly diagnosed as to whether it is of a dental, functional or
skeletal origin
C. It may be corrected with palatal expansion
D. It may be associated with a mandibular shift
E. It should be viewed as a developing class III malocclusion
31. Natural head position in cephalometric radiography is based upon
A. The eyes viewing the horizon or looking at a mirror at eye level.
B. The position of the ear rods in the external ear canals.
C. The relation of the maxilla and mandible when the teeth are tightly clenched.
D. The upper and lower lips being completely relaxed and slightly apart.
Scenario #1. You examine a new patient with very well-aligned arches, with no
maxillary crowding or spacing. All teeth are present except for the third molars
(#1, 16, 17, and 32) and the second premolars (#4 and 13). The patient states
that he has not had any permanent teeth extracted and the missing teeth, "Never
grew in his jaw." The maxillary first molars are in contact with the upper first
premolars.
32. Refer to scenario #1. You ask this patient to put his back teeth
together, and note that the first molars are in a Class I relationship.
What will the incisor relation look like?

A.
B.
C.
D.

Anterior open bite

Excessive overjet
Normal overjet
Reverse overjet

33. Refer to scenario #1. You ask this patient to put his teeth together,
and note that there is a normal overbite and overjet of the incisors. What
will the molar relation be?
NOTE: None of the conditions described in question #32 apply to this
question.
A. Class I
B. Class II
C. Class III
D. Class IV
34. Refer to scenario #1. What is the most likely explanation for the
missing upper second premolars (#4 and 13)?
A. Caries
B. Congenital absence
C. Ectopic eruption
D. Transposition
35. What is the usual underlying cause of a unilateral posterior crossbite
accompanied by a functional shift of the mandible?
A. Bilateral narrowing of the maxilla
B. Incisor interferences
C. Premature loss of primary molars
D. Unilateral narrowing of the maxilla
36. Increased overbite refers to a problem in which plane?
A. Antero -posterior
B. Vertical
C. Transverse
D. Frankfurt
E. Horizontal
37. Teeth tend to erupt earlier in the mandible than in the maxilla. Teeth
tend to erupt earlier in boys than in girls.
A. The first statement is true; the second is false.
B. The first statement is false; the second is true.
C. Both statements are true.
D. Both statements are false.
38. How does mandibular growth in boys ordinarily compare with that in
girls?
A. Is sustained over a longer period of time in girls
B. Is sustained over a longer period of time in boys
C. Occurs at the same chronologic age in both s exes
D. Occurs two years earlier in boys than in girls
39. What is the most stable and most often used plane for the general
superimposition of lateral cephalograms?
A. Frankfort Horizontal
B. S-N (anterior cranial base)
C. S-Ba (posterior cranial base)
D. Occlusal Plane

40. In a patient with a normal skeletal pattern and crowding/protrusion,

which of the following would be the best time to refer the patient to the
orthodontist?
A. At age 7
B. When the first molars erupt
C. When their full permanent dentition has erupted
D. When their last few mandibular primary teeth are loosening, more than likely
the second primary molars.