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National board questions pediatric dentistry

1. How many whole carpules of lidocaine 2% with 1:100,000 epinephrine can


safely be administered to a child that weighs 46 pounds?\n 1\n 2\n 3\n 4
2\n\n(46 lb) x (2 mg/lb) = 92 mg \n92 mg x (1 carpule/34 mg) = 2.7
carpules
2. In order to adequately anesthetize tooth #T, you would provide:\n long
buccal and lingual nerve infiltrations\n long buccal and lingual nerve
infiltrations, plus inferior alveolar nerve block\n inferior alveolar nerve
block only long buccal and lingual nerve infiltration, plus inferior alveolar
nerve block
3. Topical anesthetic minimizes the sensation of needle penetration. Its
effectiveness may be increased by:\n using two preloaded Benzocaine 20%
swabs\n moistening the mucosa prior to placement of the swab\n drying
the mucosa with gauze before application drying the mucosa with gauze
before application
4. As a child grows, the position of the mandibular forament in relation to the
mandibular occlusal plane will become ________ than the occlusal plane.\n
higher\n lower higher
5. You have successfully obtained good positioning of the forceps on a tooth
for extraction, and begin your expansion of the bone. Your first motion
should be:\n rotation clockwise and hold\n movement to the facial and old
movement to the facial and hold
6. During the final stages of luxation, a portion of the mesial root of tooth #T
fractures off. The fragment is visible and looks like it can be easily removed
with a root tip pick or tissue forceps. Should you attempt to retrieve it?\n
Yes\n No, any attempt at removing the fragment endangers the erupting
succedaneous tooth, and it is best left to resorb by the erupting permanent
tooth Yes
7. Compression and suturing of the socket after an extraction is always
necessary if gross expansion of the bone has occured when removing a
primary molar.\n True\n False False
8. Because of an abscess associated with tooth #T, a child ________ need
antibiotic coverage.\n will\n will not will not
9. What is the most common postextraction complication seen with
children?\n a dry socket\n space abscess\n foreign body aspiration\n
self inflicted soft tissue wound\n subluxation of adjacent teeth caused by
poor elevator placement self inflicted soft tissue wound
10.What space maintainer is appropriate for a 56 yearold child after
extraction of tooth #T?\n none\n lingual holding arch\n Nance
appliance\n distal shoe\n band and loop distal shoe
11.At age 67, what space maintained would be appropriate for a child that has
had tooth #T extracted?\n none\n lingual holding arch\n Nance
appliance\n distal shoe\n band and loop band and loop
12.Which teeth would you use as abutments for a space maintainer for tooth #T
on a 67 yearold child?\n #19 and #30\n #30 and #S #30 and #S
13.At age 89, what space maintainer would be appropriate for a child who had
tooth #T extracted 3 years ago?\n none\n lingual holding arch\n Nance
appliance\n distal shoe\n band and loop lingual holding arch
14.What space maintainer would you use to save space for tooth #5?\n Lingual
holding arch\n Nance appliance\n Distal shoe\n Simple band and loop\n
Either a Nance appliance or a simple band and loop Either a Nance
appliance or a simple band and loop
15.IF you were concerned about losing too much space during the later mesial
shift, what space maintainer would you use to save space for tooth #5?\n
Lingual holding arch\n Nance appliance\n Distal shoe\n Simple band and
loop\n Either a Nance appliance or a simple band and loop Nance
appliance
16.While removing caries from tooth #F, you have a very small exposure of the
distoincisal pulp horn. It is approximately 0.5 mm in crosssection and is
surrounded by healthy, cariesfree dentin. The tooth has been asymptomatic.
There was slight bleeding, but hemostatis was immediately achieved by light
pressure. You proceed with a ________ of the exposed pulp.\n ZOE
pulpectomy\n ferric sulfate pulpotomy\n calcium hydroxide direct pulp
cap\n MTA indirect pulp cap calcium hydroxide direct pulp cap
17.When fitting the anterior strip crown for a composite strip crown restoration,
the celluloid crown form should extend ________.\n to the base of the
sulcus to ensure the composite will flow to the finish line\n slightly
beyond/below the finish line\n to the preparation's finish line slightly
beyond/below the finish line
18.You are performing a composite strip crown restoration. After filling the
anterior strip crown form with composite and curing the material,
________.\n the crown is checked for blanching and if acceptable, the
crown form is left in place, providing added strength with superior finish and
esthetics\n the gingival excess is removed, the crown form is left in place,
the excursive movements are checked and the patient can be dismissed\n
the crown form is removed and the composite finished as needed the
crown form is removed and the composite finished as needed
19.A child's tooth #J had required endodontic procedure and was temporarily
restored with an intermediate restorative material, however, there is still
active caries at the mesial contact area. The distal surface is cariesfree. The
treatment of choice is a(n) ________.\n mesioocclusal composite\n
mesioocclusal amalgam\n stainless steel crown\n extraction stainless
steel crown
20.While removing caries from tooth #L, you have an exposure of the pulp. It is
approximately 3 mm in crosssection and is surrounded by carious dentin.
The tooth has been asymptomatic. The bone in the fircation and apical areas
appear to be normal radiographically. There was slight bleeding, but
hemostasis was immediately achieved by light pressure. You proceed with a
________ procedure.\n ZOE pulpectomy\n ferric sulfate pulpotomy\n
calcium hydroxide direct pulp cap\n MTA indirect pulp cap ferric sulfate
pulpotomy
21.A child had previous history of sore throat followed by scarlet fever of
rheumatic fever, her mother was not sure. Her mother states that the child
had unusual circumoral pallor, a bright red "sandpaperlike" rash on her
torso and a coated tongue. The child weighs 55 pounds. She most likely
had:\n scarlet fever\n rheumatic fever scarlet fever
22.Because of a mother's concern of scarlet fever causing bacterial endocarditis
in her child, you ________.\n prescribe 500 mg of amoxicillin, one hour
prior to her next restorative appointment\n prescribe 1,000 mg of
amoxicillin, one hour prior to her next restorative appointment\n reassure
the mother that antibiotic coverage is unnecessary reassure the mother that
antibiotic coverage is unnecessary
23.After removal of tooth #K in a 6yearold girl, the space maintainer of
choice is ________.\n a band and loop\n a lingual holding arch\n a
unilateral followed by a bilateral (LHA) after the eruption of the permanent
anteriors\n a Nance\n none of the above a unilateral followed by a
bilateral (LHA) after the eruption of the permanent anteriors
24.A 6yearold girl has small draining abscesses on teeth #B and #I, and the
teeth are mobile. Neither tooth cause the patient pain. Radiographically, the
caries is through the furcation on both teeth. Treatment of choice for both
teeth is ________.\n apexogenesis\n removal\n pulpectomy\n MTA
pulpotomy\n apexification removal
25.The local anesthetic infiltration that will assure complete comfort during
removal of #b include the ________.\n1. greater palatine\n2. middle superior
alveolar\n3. posterior superior alveolar\n 1 & 3\n 1 & 2\n 2 & 3\n 1, 2
& 3\n 3 only 1 & 2\n(greater palatine and middle superior alveolar)
26.How many 1.7 ml carpules of 2% lidocaine with 1:100,000 epinephrine can
be safely administered to a girl that weighs 55 pounds?\n 1\n 2\n 3\n
4\n 5 3\n\n(55 lb) x (2 mg/lb) = 110 mg\n(110 mg) x (1 carpule/34 mg) =
3.2 carpules
27.What medicament should you plan on using for a pulpotomy on tooth
#A?\n An astringent like ferric sulfate\n A hard setting calcium hydroxide
product like Dycal\n A hard setting steroid/antibiotic comination like
Ledermix\n A soft setting paste like Vitapex\n Some weird stuff from
Switzerland called Pulpotec An astringent like ferric sulfate
28.A mother cannot bring her daughter in for her pulpotomy appointment and
would like the maternal grandmother to accompany her.\n You suggest
reappointing the girl since the legal guardian must be present for an invasive
procedure such as a pulpotomy.\n You allow the grandmother to keep the
appointment after reviewing the treatment plan with the mother, assuring
informed consent, and having the mother sign the treatment plan. You
allow the grandmother to keep the appointment after reviewing the treatment
plan with the mother, assuring informed consent, and having the mother sign
the treatment plan.
29.A child presents with a discolred tooth #E that is slightly more mobile when
compared to adjacent teeth. There is radiographic evidence of periapical
bone loss and pathological root resorption of greater than 33%. Clinically,
all soft tissues are within normal limits. The child is asymptomatic and
caries free. Her parents are unclear as to why the tooth has darkened over the
last few weeks. You suggest that ________.\n it is an example of
exfoliative hematoma\n the child has been chewing on a blue crayon\n
there is a subclinical carious lesion which has caused pulpal necrosis\n it
appears the child has bumped the tooth, crushing the neurovascular bundle
it appears the child has bumped the tooth, crushing the neurovascular
bundle
30.A child bumped tooth #E, crushing the neurovascular bundle. Treatment
should be ________.\n complete pulpectomy and filled with an absorbable
paste\n tooth removal and space management\n apexogenesis\n
apexification\n tooth removal tooth removal
31.The local anesthetic infiltration injections that will assure complete comfort
during removal of tooth #E include anesthesizing branches of the ________
nerve(s).\n1. nasopalatine\n2. right anterior superior alveolar\n3. left anterior
superior alveolar\n 1 & 2\n 1 & 3\n 2 only\n 3 only\n 1, 2 & 3 1, 2 &
3\n(nasopalatine, right and left anterior superior alveolar)
32.Limitations of a simple band and loop space maintainer include:\n the
abutment teeth may exfoliate before the need for space management has
been eliminated\n there is no provision for supraeruption of the opposing
tooth (teeth)\n both of the above both of the above
33.If the sum of the widths of the permanent mandibular incisors is 23, what
would be the predicted value for the summed width of the maxillary
permanent canines and premolars in a quadrant?\n 21.9\n 22.1\n 23.0\n
23.6\n 23.7 22.1
34.The sum of the widths of the permanent mandibular incisors is 23 mm. The
measured arch length from the distal of #26 to the mesial of #30 is 22.5 mm.
You would predict ________ for the eruption of the permanent
successors.\n adequate space with a surplus of 0.4 mm\n adequate space
with a surplus of 0.6 mm\n inadequate space with a deficit of 0.4 mm\n
inadequate space with a deficit of 0.6 mm\n none of the above adequate
space with a surplus of 0.6 mm
35.The sum of the widths of the permanent mandibular incisors is 23 mm. The
measured arch length from the ideal distal point of #23 to the mesial of #19
would be 18.5 mm. You would predict ________ for the eruption of the
permanent successors.\n inadequate space with a deficit of 3.4 mm\n
inadequate space with a deficit of 3.6 mm\n inadequate space with a deficit
of 5.5 mm\n none of the above inadequate space with a deficit of 3.4 mm
36.Distal step occlusions most frequently develop into ________
(mal)occlusions in the permanent dentition unless there is a compensatory
larger late mesial shift in the mandible versus the maxilla.\n class I\n class
II\n class III class II
37.Arch length reduction may occur due to space loss from ________.\n the
closure of primate space\n large interproximal decay\n the premature
tooth loss\n large interproximal decay and premature tooth loss\n all of the
above all of the above
38.An ________ procedure on an immature permanent tooth assumes there is
vital tissue present that is capable of continued root development.\n
apexogenesis\n apexification apexogenesis
39.8yearold patient presents to your office complaining of pain in his lower
central incisor. A draining tract is present on the facial and is associated with
a traumatized central. Radiographs confirm a periapical radiolucency, an
open apex and incomplete root formation. You proceed by:\n removing the
coronal 3 mm of the pulp tissue, controlling the bleeding with ferric sulfate
and placing an IRM temporary and monitoring the root's closure\n
removing the pulp tissue down to within approximately 2 to 3 mm of the
radiographic apex, and fill with mineral trioxide aggregate and monitoring
the root's closure\n performing a calcium hydroxide pulpotomy and
monitoring the root's closure\n removing the tooth removing pulp
tissue down to withing approximately 2 to 3 mm of the radiographic apex,
and fill with mineral trioxide aggregate and monitoring the root's closure
40.8yearold patient fractures #25 down to the gum line during a soccer match
that day. There is no root fracture nor is there any abnormal mobility just
the loss of coronal tooth structure. Radiographically, the tooth appears to
have incomplete root development and has an open apex. You proceed
by:\n removing the coronal 3 mm of the pulp tissue, controlling the
bleeding with formocresol and placing an IRM temporary and monitoring
the root's development\n removing the pulp tissue down to within
approximate 2 to 3 mm of the radiographic apex, and fill with mineral
trioxide aggregate and monitoring the root's development\n performing a
calcium hydroxide pulpotomy and monitoring the root's development\n
removing the tooth performing a calcium hydroxide pulpotomy
andmonitoring the root's development
41.Little Jim and his buddy Roscoe are roller blading home from school when
they get sidetracked and decide to cut through an alley. Both catch the
wheels of their blades, spin around and fall on their faces. Roscoe fractures
#8 down to the gum line. You see him about an hour later and confirm the
pulpal exposure also confirming that no root fracture exists. You notice on
the radiograph that the tooth is immature and has an open apex. You proceed
by ________, and monitoring the root's development.\n removing the
coronal 3 mm of the pulp tissue, controlling the bleeding with formocresol
and placing an IRM temporary\n removing the pulp tissue down to within
approximately 2 to 3 mm of the radiographic apex, mix barium with calcium
hydroxide powder and cMCP and pack it into the canal\n performing a
calcium hydroxide pulpotomy performing a calcium hydroxide pulpotomy
42.Jim falls on his face and suffers no fracture, but does traumatize his centrals,
causing some mobility that disappears after a week. But, as luck would have
it, a year later, he's in your office complaining of pain in #8. A draining tract
is present on the facial and is associated with the traumatized central.
Radiographs confirm a periapical radiolucency, an open apex and
incomplete root formation. You proceed by ________, and monitoring the
root's closure.\n removing the coronal 3 mm of the pulp tissue, controlling
the bleeding with ferric sulfate and placing an IRM temporary\n removing
the pulp tissue down to within approximately 2 to 3 mm of the radioigraphic
apex, mix barium with calcium hydroxide powder and cMCP and pack it
into the canal\n performing a calcium hydroxide pulpotomy removing
the pulp tissue down to within approximately 2 to 3 mm of the radiographic
apex, mix barium with calcium hydroxide powder and cMCP and pack it
into the canal
43.Tooth #B has been removed from an 8yearold child. You perform a
classic Moyer's mixed dentition analysis for that quadrant; the predicted
space needs are equal to the actual measured space available. In order to
prevent a loss of space during the patient's late mesial shift that will occur,
what is the space maintainer of choice?\n Band and loop from #!
cantilevered to #C\n Nance applicance from #A to #J\n Nance applicance
from #3 to #14\n Any of the above will work Nance applicance from
#3 to #14
44.Children presenting with a(n) ________ require surgical intervention.\n
Riga Fede\n Bohn's nodule\n eruption hematoma\n congenital epulis
congenital epulis
45.Maxillary labial frenectomies should be delayed until the eruption of the
permanent incisors and cuspids have erupted.\n True: the space should have
an opportunity to close naturally\n False: early intervention removes tissues
that prevent the diastema from closing True: the space should have an
opportunity to close naturally
46.When fabricating a lingual holding arch appliance, the canine offsets should
be ________ anterior portion.\n in the same plane as the\n bent at a 45
degree angle to the\n beng gingival to the in the same plane as the
47.The local anesthetic infiltration injections that would assure complete
comfort during tooth #J's removal include branches of the:\n1.
nasopalatine\n2. greater palatine\n3. middle superior alveolar\n4. posterior
superior alveolar\n 1, 2, 3\n 2, 3, 4\n 1, 3, 4\n 2 & 3 only 2, 3,
4\n(greater palatine, middle & superior alveolar)
48.If a child weighs 46 poinds, how many 1.7 ml carpules of 2% lidocaine with
1:100,000 epinephrine can be safely administered?\n 1\n 2\n 3\n 4\n 5
2\n\n(46 lb) x (2 mg/lb) = 92 mg\n(92 mg) x (1 carpule/34 mg) = 2.7
49.The space maintainer of choice after removal of #J in a 67 yearold is
________.\n a unilateral (band and loop)\n a bilateral (Nance)\n a
unilateral followed by a bilateral after the eruption of the permanent
anteriors\n none of the above a bilateral (Nance)
50.Child presents with fever, very runny nose and a reported sensitivity to light.
Intraorally, you notice small, irregular spots on the buccal mucosa. No
extraoral findings at this time. The child is manifesting signs of what
systemic disease?\n Rubeola\n Candida (oral thrush)\n Herpangina\n
Recurrent aphthous stomatitis\n Primary herpetic gingivostomatitis
Rubeola
51.Treatment of Rubeola includes ________.\n bed rest\n nystatine rinse\n
antibiotic therapy to prevent the progression to theumatic fever\n hydration
and the generous use of antipyretics, especially aspirin\n two of the above
treatments bed rest
52.Rubeola is contagious and, therefore, you should postpone routine care.\n
True\n False\n Even complex procedures can proceed if all universal
precautions are followed True
53.A darkened blue #E will definitely require endodontic therapy.\n True\n
False False
54.Internal resorption in the mesial root of tooth #K suggests that during pulp
therapy, the operator may have:\n over instrumented\n used calcium
hydroxide\n misdiagnosed the furcal radiolucency\n failed to fill the
accessory canal\n used formocresol used calcium hydroxide
55.A large carious lesion approximating the pulp on tooth #K should be initially
treatment planned for a:\n ferric sulfate pulpotomy\n direct pulp cap\n
apexification\n two step pulpotomy ferric sulfate pulpotomy
56.With regards to facial swelling of odontogenic origin:\n the patient may
require antibiotic coverage prior to removal of the tooth\n the patient may
require antibiotic coverage after the removal of the tooth, especially if he is
febrile\n both of the above both of the above
57.Accidental exposure of a primary tooth's distobuccal pulp horn should be
treated with (note there is no apparent bleeding and the surrounding dentin
is sound):\n Cvek pulpotomy\n direct pulp cap\n apexification\n two
step pulpotomy\n removal direct pulp cap
58.At what age will you see the tooth succedaneous to tooth #S erupt?\n 6 to
7\n 8 to 9\n 10 to 11\n 12 to 13 10 to 11
59.Why would you see abscessrelated bone loss in the furcation of tooth
#S?\n Apical periodontitis spreads easily through the soft bone to the
furcation\n The tooth could be cracked\n There could be a widening of the
periodontal ligament space due to traumatic occlusion\n There are
accessory canals in the fircation area\n The previous dentist may have
perforated the furcation area There are accessory canals in the furcation
area
60.A 4yearold has intermittent pain in the lower right quadrant of his mouth
that seems to occur without cause. He is in good health, but upon oral
examination you note a swelling between the mesial and distal roots of the
tooth #S. You note a radiolucency between the mesial and distal roots of the
tooth, extending down the distal root. Root structure appears normal. There
is no interna;/external resorption. Your treatment recommendation is:\n
apexification\n pulpotomy\n complete pulpectomy\n indirect pulp cap
complete pulpectomy
61.The medicament of choice for a complete pulpectomy is:\n mineral trioxide
aggregate (MTA)\n calcium hydroxide powder mixed with barium\n ferric
sulfate\n zinc oxide and eugenol zinc oxide and eugenol
62.After a complete pulpectomy on #S where there are no interproximal caries,
the restoration of choice is:\n IRM base and class I amalgam\n composite
core build up\n a stainless steel crown\n glass ionomer a stainless steel
crown
63.To assure you have profound anesthesia for removal of tooth #S, what
injection(s) of 2% lidocaine with 1:100,000 epinephrine are required?\n1.
Long buccal infiltration\n2. Lingual nerve infiltration\n3. Mandibular nerve
block\n 1, 2 & 3\n 1 & 3\n 2 & 3\n 3 only 1, 2 & 3
64.What is the number of 1.7 ml carpules of 2% lidocaine with 1:100,000
epinephrine you can safely use on a 19 kg patient?\n 1\n 2\n 3\n 4\n 5
2\n\n(19 kg) x (4.4 mg/kg) = 83.6 mg\n(83.6 mg) x (1 carpule/34 mg)
= 2.45
65.After completing treatment on a patient, you notice Forschheimer's spots on
the hard palate. Looks like the patient has:\n cooties\n Midlothian swamp
fever\n an allergic reaction to the topical anesthetic\n rubella\n rubeola
rubella
66.The natural spacing distal to the mandibular canines is known as
________.\n leeway space\n intercanine width\n interdental space\n
primate space primate space
67.Your patient's molar relationship can be described as having the lower
second primary molar's distal surface forward (anterior) to that of the
maxillary second primary molar's distal surface when biting in centric
occlusion. This occlusal relationship is known as a:\n mesial step\n distal
step\n flush terminal plane mesial step
68.Early and late mesial shifts that occur during growth cause the dental arch
length to:\n increase\n stay the same\n decrease decrease
69.Early mesial shifts are due to the ________.\n eruptive forces of the first
permanent molars\n downward and forward growth of the mandible\n
widening of the palatal vault eruptive forces of the first permanent molars
70.Late mesial shift is due to summed difference in size between ________ and
the teeth that replace them in a quadrant.\n primary centrals, laterals and
canines\n primary canines and molars\n primary molars primary
canines and molars
71.Six months after performing a complete pulpectomy on tooth #S of a 4
yearold, you notice that it's failing and decide to remove the tooth. You
place a ________ space maintainer to hold space for the succedaneous
tooth.\n band and loop\n lingual holding arch\n either a band and loop or
a lingual holding arch\n a band and loop followed by a lingual holding arch
a band and loop followed by a lingual holding arch
72.A 5year old patient has a draining abscess above tooth #G. The periodontal
ligament space is widened at the apex, but there is no evidence of pathologic
root resorption. Your treatment recommendation is:\n apexification\n
apexogenesis\n pulpotomy\n pulpectomy pulpectomy
73.To assure you have profound anesthesia when performing a pulpectomy on
tooth #g, what infiltration injection(s) of 2% lidocaine with 1:100,000
epinephrine are required?\n1. nasopalatine\n2. greater palatine\n3. anterior
superior alveolar\n4. middle superior alveolar\n 3 only\n 1 & 3\n 2 &
3\n 2, 3 & 4\n 1, 3 & 4 1 & 3\n(nasopalatine and anterior superior
alveolar)
74.What space maintainer would you place in the lower right quadrant of a 5
yearold missing tooth #S?\n band and loop\n lingual holding arch\n
distal shoe\n Nance holding arch\n None of the above band and loop
75.What space maintainer would you place in the lower left quadrant of a 5
yearold missing tooth #K?\n band and loop\n lingual holding arch\n
distal shoe\n Nance holding arch\n None of the above distal shoe
76.When removing tooth #I from a 5yearold, you confirm anesthesia is
profound and begin to obtain good access for forceps placement on the
tooth. As suggested in the lecture, you utilize the ________ to break the
epithelial attachment which also begins detaching the tooth from the
bone.\n straight elevator\n Denovo forceps\n spoon curette\n rongeurs
spoon curette
77.When removing tooth #I, you have successfully obtained good positioning
of the forceps on the tooth, and begin your expansion of the bone. Your first
motion should be:\n rotation clockwise and hold\n movement to the facial
and hold movement to the facial and hold
78.During the final stages of luxation when removing tooth #I, a portion of the
palatal root fracutres off. The fragment is visible and looks like it can be
easily removed with a root tip pick or tissue forceps. Should you attempt to
retrieve it?\n Yes\n No, any attempt at removing the fragment endangers
the erupting succedaneous tooth, and it is best left to resorb by the erupting
permanent tooth Yes
79.What space maintainer would you place in the upper left quadrant of a 5
yearold missing tooth #I?\n band and loop\n lingual holding arch\n
distal shoe\n Nance holding arch\n None of the above band and loop
80.An orthodrontic band fits well there are no gaps or spaces between band
and tooth and the band's occlusal edges are:\n easily burnished over the
marginal ridge of the tooth\n just below the marginal ridge of the tooth\n
at the level of the contact area just below the marginal ridge of the tooth
81.A soldering joint that is heavily pitted is most likely due to:\n incomplete
coating of the area with flux prior to soldering\n over coating of the area
with flux prior to soldering\n removing the flame prematurely suring the
soldering procedure, then reheating the joint removing the flame
prematurely during the soldering procedure, then reheating the joint
82.When polishing a solder joint to a high shine, gross reduction and shapring
with the heatless Mizzy should be followed by the green stone, then the
white stone, then the ________ rubber abrasive disc and finally the
________ abrasive disc.\n green, white\n green, brown\n brown,
white\n brown, green\n white, green brown, green
83.In order to adequately anesthetize the tooth #K, you would provide:\n long
buccal and lingual nerve infiltrations\n long buccal and lingual nerve
infiltrations, plus inferior alveolar nerve block\n inferior alveolar nerve
block\n inferior alveolar nerve block and lingual nerve infiltration\n
inferior alveolar nerve block and long buccal infiltration long buccal and
lingual nerve infiltrations, plus inferior alveolar nerve block
84.How many carpules of 2% lidocaine with 1:100,000 epinephrine local
anesthetic can a 44 pound girl receive?\n 5\n 3\n 2\n 4 2\n\n(2.0
mg/lb) x (44 lb) = 88 mg\n(88 mg) x (1 carpule/34 mg) = 2.58
85.While removing the caries on a child's tooth #K, you expose the pulp. The
size of the expsoure is approximately 1 mm round and is surrounded by
carious dentin. You elect to:\n cover the exposure with a dentin stimulating
medication such as calcium hydroxide\n remove the tooth\n perform a
calcium hydroxide pulpotomy\n perform an MTA pulpotomy perform an
MTA pulpotomy
86.After performing an MTA pulpotomy on tooth #K, the tooth should be
restored with:\n amalgam\n glass ionomer\n a stainless steel crown\n
IRM a stainless steel crown
87.Tooth #K will exfoliate when a child is ________ years old.\n 10 to 12\n
7 to 8\n 12 to 13\n 9 to 10 10 to 12
88.What is the most commonly missed first step in removing a tooth?\n
Saying a little prayer to the Tooth Fairy\n Breaking the gingival attachment
by sliding the forceps breaks apically down the root\n Breaking the
gingival attachment with the spoon curette\n Breaking the gingival
attachment with the sraight elevator Breaking the gingival attachment with
the spoon curetter
89.What type of space maintainer should you fabricate for a 5yearold child
that has had tooth #S removed?\n None is necessary at this time\n
Unilateral space maintainer\n Bilateral space maintainer, banding both #K
and #T\n Initially a band and loop, followed by a lingual holding atch after
about age 7 Initially a band and loop, followed by a lingual holding arch
after about age 7
90.You begin removing caries on the left central of a 3yearold with your
round bur and have an exposure of the pulp. The exposure is small, about the
size of the end of a halfround bur. After controlling the hemorrhage, you
confirm that all the surrounding dentin is healthy. Does the tooth require
treatment?\n No, since the teeth will exfoliate within the next 68 months,
you should remove the tooth, replacing it with a kiddy partial for
esthetics\n Yes, cover the exposure with a reparative dentin stimulating
medication such as calcium hydroxide\n Yes, a calcium hydroxide
pulpotomy\n Yes, a classic apexification process is recommended Yes,
cover the exposure with a reparative dentin stimulating medication such as
calcium hydroxide
91.What buccal local anesthesia infiltration(s) is(are) required to assure a child
is comfortable during a procedure on the left central incisor?\n Anterior
superior and middle superior\n Middle superior only\n Anterior superior
only Anterior superior only
92.What palatal anesthesia infiltration(s) is(are) required to assure a child is
comfortable during a procedure on the maxillay left central incisor?\n
Nasopalatine only\n Nasopalatine and greater palatine\n Greater palatine
only Nasopalatine only
93.A celluloid crown form used to restore the maxillary left central incisor is
trimmed to:\n sit on the shoulder preparation\n be positioned 1 to 2 mm
beyond the reverse bevel\n rest tightly against the cingulum\n extend 0.5
to 1.0 mm beyond the feather edges extend 0.5 to 1.0 mm beyond the
feather edges
94.Tooth #K in a 5yearold has recurrent caries, furcal radiolucency, internal
& external root resorption, and a mesioocclusal temporary restoration. What
is the best treatment for this tooth?\n Removal\n Complete pulpectomy\n
Formocresol pulpotomy\n Allow to exfoliate Removal
95.You decide that tooth #I is unrestorable and elect to remove it. What buccal
local anesthesia infiltration(s) is(are) required to assure the patient is
comfortable during the procedure?\n Anterior superior and middle
superior\n Middle superior only\n Middle superior and posterior
superior\n Posterior superior only Middle superior only
96.You decide that tooth #I is unrestorable and elect to remove it. What palatal
anesthesia infiltration(s) is(are) required to assure the patient is comfortable
during the procedure?\n Nasopalatine only\n Nasopalatine and greater
palatine\n Greater palatine only Greater palatine only
97.What space maintainer is recommended for the premature loss of tooth
#I?\n Band and loop\n Nance type holding arch\n Distal shoe\n
Bilateral space maintainer Band and loop
98.After removing amalgam from tooth #L, the resultant distoocclusal
preparation has extended beyond the distofacial and distolingual line angles.
You should consider:\n using an amalgam bonding agent prior to
condensation of the new amalgam restoration\n restoring the tooth with a
bonded posterior composite such as Herculite\n a stainless steel crown\n
any of the above is acceptable a stainless steel crown
99.A 33 pound girl who had a congenital heart defect repaired 3 months ago
should receive a dose of ________ mg of amoxicillin 30 to 60 minutes prior
to an extraction procedure.\n 0\n 250\n 500\n 750\n 1,000 750\n\n33 lb
= 15 kg\n(15 kg) x (50 mg/kg) = 750 mg
100. Your patient's molar relationship can be described as having the lower
second primary molar's distal surface more posteriorly than the maxillary
second primary molar that it occludes against. This relationship is known as
a:\n class III\n distal step\n mesial step\n flush terminal plane distal
step
101. A 5yearold girl exhibits an anterior open bite with labial flaring of
the maxillary anteriors, slight lingual inclincation of the mandibular
anteriors which adds to a 5 mm overjet. At rest, her midlines line up but
when she closed into maximum intercuspation, she must shift her jaw to one
side, resulting in a posterior crossbite. Assuming this is not a congenital
condition, what would be the cause of her malocclusion?\n Digit
sucking\n Lip sucking\n Pacifier (dummy) sucking\n Either digit sucking
or pacifier (dummy) sucking\n Any of the above Any of the above
102. A 5yearold girl exhibits an anterior open bite with labial flaring of
the maxillary anteriors, slight lingual inclincation of the mandibular
anteriors which adds to a 5 mm overjet. At rest, her midlines line up but
when she closed into maximum intercuspation, she must shift her jaw to one
side, resulting in a posterior crossbite. Why is there a posterior crossbite?\n
Most likely this particular condition is congenital\n There is remodeling of
the maxillary arch by the muscle of mastication/facial expression\n Due to
the direct action of an external force, such as digit, lip, or pacifier sucking\n
Anterior positioning of the tongue during swallowing There is
remodeling of the maxillary arch by the muscles of mastication/facial
expression
103. A 5yearold girl exhibits an anterior open bite with labial flaring of
the maxillary anteriors, slight lingual inclincation of the mandibular
anteriors which adds to a 5 mm overjet. At rest, her midlines line up but
when she closed into maximum intercuspation, she must shift her jaw to one
side, resulting in a posterior crossbite. The girl's mother has some concerns
that the malocclusion will manifest itself in the permanent dentition as well.
You suggest:\n beginning treatment with an intraoral appliance such as an
active Hawley retainer to extinguish the habit and close the open bite\n first
correcting the posterior crossbite, then begin treatment with an intraoral
appliance such as an active Hawley retainer to extinguish the habit and close
the open bite\n no treatment is necessary at this time: it would be best to
begin trying to extinguish the habit using psychological approach, such as
positive reinforcement and contingency management\n no treatment is
necessary at this time: it would be best to begin extinguishing the habit using
a passive intraoral reminder no treatment is necessary at this time: it
would be best to begin tying to extinguish the habit using psychological
approach, such as positive reinforcement and contingency management
104. A 15yearold comes in for a dental exam and would like as much
work done as possible. What radiographs would be appropriate?\n Four
bitewings\n Panoramic\n Two bitewings and a panoramic\n Four
bitewings and a panoramic Four bitewings and a panoramic
105. A 15yearold is required to weat a mouth guard when playing
lacrosse. You recomment the ________ variety.\n custom made/fitted\n
thermoplastic mouth formed\n MORA\n any of the above custom
made/fitted
106. A 15yearold asks you if you would piece his tongue . You advise
against the piercing because, among other things, it can be a mode of disease
transmission for all except:\n hepatitis\n Midlothian swamp fever\n
tetanus\n tuberculosis Midlothian swamp fever
107. You advist a 15yearold to use some sort of barrier protection during
oral sex not only to protect his partners, but because exposure to ________
during oral sex is strongly associated with oropharyngeal cancer.\n
syphilis\n human papillomavirus\n chlamydia\n HIV\n Midlothian
swamp feverhuman papillomavirus
108. A 4yearold was hit in the mouth with an elbow and injured his right
maxillary central incisor. Radiographs show no root fracture and the tooth
appears to be displaced about 3 mm to the lingual. You will note the gingival
tissue appears to be in correct position relative to the coronal portion of the
tooth. What is this condition called?\n Subluxated tooth\n Luxated
tooth\n Intruded tooth\n Extruded tooth\n Avulsed tooth Luxated
tooth
109. A 4yearold was hit in the mouth with an elbow and injured his right
maxillary central incisor. Radiograph shows not root fracture and the tooth
appears to be displaced about 3 mm to the lingual. You will note the gingival
tissue appears to be in correct position relative to the coronal portion of the
tooth. What treatment is indicated?\n Extraction\n Reposition with finger
pressure and hold for a short time\n Reposition with finger pressure and
splint\n Reposition with finger pressure, splint, and do a pulpectomy\n No
treatment Reposition with finger pressure and hold for a short time
110. A 8yearold girl fell off her bike about an hour ago injuring the
maxillary anterior teeth, fracturing off the mesioincisal angle of #9, just
short of, but not including the pulp tissue. She complains of pain when
drinking cold water but notices no mobility. You check your records and
there is no change in the overbite and overjet. What is your diagnosis of the
injured teeth?\n Class I fracture\n Class I fracture and Intrusion\n Class
II fracture\n Class II fracture and Subluxation\n Concussion injury Class
II fracture
111. An 8yearold girl fell form her bike about an hour ago injuring the
maxillary anterior teeth, fracturing off the mesioincisal angle of #9, just
short of, but not including the pulp tissue. She complains of pain when
drinking cold water but notices no mobility. You check your records and
there is no change in the overbite or overjet. What is the best course of
treatment?\n Cover fractured area with composite and place light wire
splint\n Cover fractured area with composite and place monofilament
splint\n Cement a band over the teeth and place rigid splint\n Cover
fractured area with composite and follow\n Smooth sharp edges and
reappoint Cover fractured area with composite and follow
112. A 10yearold boy fell and bumped his tooth on a coffee table. There
is slight bleeding at the sulcus of #9 but no pain. The child cannot bite
comfortably into centric occlusion now since there is interference between
#9 and the two lower incisors. What is the best course of treatment?\n
Extraction\n Reposition tooth and splint\n Pulpectomy, then reposition
tooth and splint\n Reposition with finger pressure only\n Relief of
occlusal interference and soft diet for 2 weeks Reposition tooth and
splint
113. A 2yearold girl falls face first on the kitchen floor. When her
mother bursts into your office she exclaims, "my precious daughter fell and
knocked two front teeth out!" You expertly obtain a radiograph which, in
fact, reveals the presence of the two primary central incisors. What treatment
do you recommend?\n Remove both teeth\n Remove tooth #E and leave #
alone\n Remove tooth #F and leave #E alone\n Surgically reposition both
teeth and splint for 7 to 10 days\n Leave alone and hope for eruption Leave
alone and hope for eruption
114. A hysterical parent calls from her cell phone saying her 9yearold
son was hit in the face with a hard ball and knocked out two upper front
teeth. She has the teeth. This just happened and she wants to know what to
do. The child is very upset. What are your immediate instructions?\n Go to
the emergency room\n Place tooth in cup of tap water\n Place tooth in cup
of milk\n Replant teeth immediately Replant teeth immediately
115. A hysterical parent calls from her cell phone saying her 9yearold
son was hit in the face with a hard ball and knocked out two upper front
teeth. She has the teeth. This just happened and she wants to know what to
do. The child is very upset. A light wire splint is placed to hold the replanted
teeth in normal position. How long does the splint remain on the teeth?\n 7
to 10 days\n 3 to 5 days\n 7 to 10 weeks\n 3 to 5 weeks\n Until root
ends mature 7 to 10 days
116. A hysterical parent calls from her cell phone saying her 9yearold
son was hit in the face with a hard ball and knocked out two upper front
teeth. She has the teeth. This just happened and she wants to know what to
do. The child is very upset. You replant the teeth in normal position and use
a light wire splint. If the root ends are mature, when is the best time to
extirpate the pulp and place calcium hydroxide?\n 3 weeks after
replantation\n 7 to 14 days after replantation\n Wait until signs of pulp
degeneration appear\n 3 to 5 days after replantation\n None of the above
7 to 14 days after replantation
117. A 5year old trips on his shoelace and tumbles flat on his face to the
ground. Radiograph shows no root fracture and tooth appears to be displaced
about 2 mm to the lingual. No other shifts or alteration in position are noted.
What classification of injury is this?\n Subluxated tooth\n Luxated
tooth\n Intruded tooth\n Extruded tooth\n Avulsed tooth Luxated
tooth
118. A 5yearold trips on his shoelace and tumbles flat on his face to the
ground. Radiograph shows no root fractures and the tooth appears to be
displaced about 2 mm to the lingual. No other shifts or alterations in position
are noted. What treatment is indicated?\n Remove the tooth\n Reposition
with finger pressure and hold for a short time\n Reposition with finger
pressure and splint\n Resposition with finger pressure, splint, and do a
pulpectomy\n Monitor, no treatment Reposition with finger pressure and
hold for a short time
119. An 8yearold girl chips her two front teeth. Both teeth sustained
fractures involving the enamel and dentin, but only the right central has
experienced a noticeable exposure approximately 2 mm across. It is painful
and bleeding. Neither tooth show signs of abnormal mobility. If this patient
was seen 12 days after her initial injury, what would be the best course of
treatment for her right central incisor?\n Formocresol pulpotomy\n
Pulpectomy\n Direct pulp cap\n Calcium hydroxide pulpotomy\n
Remove the tooth Calcium hydroxide pulpotomy
120. An 8yearold girl chips her two front teeth. Both teeth sustained
fractures involving the enamel and dentin, but only the right central has
experienced a noticeable exposure approximately 2 mm across. It is painful
and bleeding. Neither tooth show signs of abnormal mobility. What is the
best course of treatment for her left central incisor?\n Cover fractured area
with composite and place light wire splint\n Cover fractured area with
composite and place monofilament splint\n Cement a band over the teeth
and place rigid splint\n Cement a band over the teeth and place rigid
splint\n Cover fractured area with composite and follow\n Smooth sharp
edges and reappoint Cover fractured area with composite and follow
121. You notice a radiolucency at the apex of the left central incisor of
your patient. The root apex is still open and is underdeveloped when
compared to the adjacent central. What would be the best course of
treatment for the tooth?\n Removal of the pulp followed by the placement
of calcium hydroxide paste\n Calcium hydroxide pulpotomy\n Traditional
root canal obturation Removal of the pulp followed by the placement of
calcium hydroxide paste
122. If a tooth had more than an hour extraoral dry time before
replantation, which step should not be included in the procedure?\n
Mechanically removing the necrotic tissue from the root surface\n Soaking
the tooth in a sodium fluoride solution\n Removing any collapsed alveolar
bone\n Rinsing the socker with sterile saline\n Chemically removing the
necrotic tissue with a citric acid solution Removing any collapsed
alveolar bone
123. A child's mother wished to remain in the cubicle with her son during
all treatments. She feels the need to be involved in every aspect of his life
and lacks the trust in the dentist to be alone with the child. She is an example
of a ________ parent.\n prefigurative\n postfigurative\n configurative
prefigurative
124. When placing a Nancetype bilateral appliance, you notice blanching
of the gingival tissue.\n Some blanching can be expected and should not be
of great concern\n There should be no blanching at all, so the gingival
portion of the band should be shortened to just at the gingival crest\n There
should be no blanching at all, so the solder joint should be recontoured to
correct this problem Some blanching can be expected and should not be
of great concern
125. At what age would you epect it to be practical to remove a space
maintainer for an extracted tooth #A?\n 9 to 10\n 11 to 12\n 13 to 14
11 to 12
126. A girl wakes up with a slight fever and is complaining of a headache.
When you look in her mouth you notice small vesicular lesions on her
gingiva and dorsal surface of her tongue. Her oropharynx is clear of lesions.
She has palpable cercival lymph nodes that are a bit tender. What is causing
her oral lesions and swollen lymph nodes?\n Herpetic gingivostomatitis\n
Minor aphthous stomatitis\n Mononucleosis\n Bullous impetigo
Herpetic gingivostomatitis
127. A girl has an appointment for extraction of four bicuspids. She woke
up with a slight fever and is complaining of a headache. When you look in
her mouth you notice small vesicular lesions on her gingiva and dorsal
surface of her tongue. Her oropharynx is clear of lesions. She has palpable
cercival lymph nodes that are a bit tender. Should you proceed with the
removal of the teeth?\n Yes, there are no contraindications\n No, the
lesions should be eliminated prior to tooth removal No, the lesions should be
eliminated prior to tooth removal
128. A girl wakes up with a slight fever and is complaining of a headache.
When you look in her mouth you notice small vesicular lesions on her
gingiva and dorsal surface of her tongue. Her oropharynx is clear of lesions.
She has palpable cercival lymph nodes that are a bit tender. What drug
regimen should be started to treat the lesions?\n Antibiotic coverage with
something from the penicillin family\n Antiviral coverage with
acyclovir\n Steroid mouth rinses such as dexamethazone\n Nothing,
although palliative treatment can be offered to make her more comfortable
Nothing, although palliative treatment can be offered to make her
more comfortable
129. You intentionally allowed a 7yearold boy to observe his well
behaved brother have a tooth removed and he seemed more curious than
afraid. This is an example of:\n modeling\n distraction\n
desensitization\n tell, show, do modeling
130. Prior to removing a child's tooth, you explain to him that he will feel a
bit of pressure and wiggling. You demonstrate by holding his finger, gently
pressing it and twisting it backandforth, then proceed to remove the tooth.
This is an example of:\n modeling\n distraction\n desensitization\n tell,
show, do tell, show, do
131. A 7yearold boy comes to your office for orthodontic band fitting
and an impression for a space maintainer after tooth #T was removed. What
space maintainer is appropriate?\n Unilateral space maintainer banding #30
and cantilevered to #S\n Bilateral space maintainer banding both #19 to
#30\n None if necessary Bilateral maintainer banding both #19 to #30
132. What type of space maintainer will a 5yearold require after having
tooth #L removed?\n Unilateral space maintainer banding #K and
cantilevered to #M\n Bilateral space maintainer banding both #19 and
#30\n Bilateral space maintainer banding both #K and #T\n None is
necessary at this time Unilateral space maintainer banding #K
cantilevered to #M
133. You complete a pulpotomy on tooth #S and are ready to restore the
tooth. You ________ leave a nonmedicated cotten pellet in the chamber
near the orifices prior to placing the ZOE base.\n should\n should not
should not
134. When removing tooth #B, the cowhorn forceps are the forceps of
choice?\n True\n False False
135. Which of the following diagnostic criteria has the least reliability in
the assessment of the pulp status in the primary dentition?\n Internal
resorption\n Spontaneous pain\n Soft tissue swelling\n Electronic pulp
testing\n Precussion Electronic pulp testing
136. Direct pulp capping is recommended for primary teeth with:\n
carious exposures of the pulp tissue\n mechanical exposures of the pulp
tissue\n both of the above mechanical exposure of the pulp tissue
137. A 9yearold boy has a history of pain from tooth #A that occurs while
eating ice cream. Soft tissue findings are negative. Clinically, a large carious
lesion is present. Radiographs show the decay is nearing the pulp. The tooth
is nonmobile and is otherwise without obvious pathology. Therapy
suggested is a(n):\n direct pulp capping with a material such as a calcium
hydroxide or glass ionomer basing agent\n indirect pulp capping with a
material such as a calcium hydroxide or glass ionomer basing agent\n
calcium hydroxide pulpotomy\n pulpectomy with zOE or Vitapex fill\n
ripping the tooth out of his head indirect pulp capping with a material such as
a calcium hydroxide or glass ionomer basing agent
138. When using an elevator to loosen a tooth prior to its removal, avoid
using ________ for stabilization.\n exfoliating teeth\n erupting teeth\n
restorations\n All of the above All of the above
139. The most common postoperative analgesic used with the child
patient:\n contains codeine combined with acetaminophen or ibuprofen\n
is an over the counter product like acetaminophen or ibuprofen is an over
the counter product like acetaminophen or ibuprofen
140. What is the most appropriate space management appliance for a 7
yearold who prematurely lost teeth #A and #B?\n Unilateral band and
loop\n Bilateral band and loops\n Lingual holding arch\n Nance
appliance\n Distal shoe without soft tissue blade Nance appliance
141. What is the most appropriate space management appliance for a 9
yearold who prematurely lost tooth #K?\n Unilateral band and loop\n
Bilateral band and loops\n Lingual holding arch\n Nance appliance\n
Distal shoe without soft tissue blade Lingual holding arch
142. What is the most appropriate space management appliance for a 5
yearold who prematurely lost tooth #K?\n Unilateral band and loop\n
Bilateral band and loops\n Lingual holding arch\n Nance appliance\n
Distal shoe without soft tissue blade Distal shoe without soft tissue blade
143. What is the most appropriate space management appliance for an 8
yearold who prematurely lost teeth #L and #S?\n Unilateral band and
loop\n Bilateral band and loops\n Lingual holding arch\n Nance
appliance\n Distal shoe without soft tissue blade Lingual holding arch
144. What is the most appropriate space management appliance for a 4
yearold who prematurely lost teeth #L and #S?\n Unilateral band and
loop\n Bilateral band and loops\n Lingual holding arch\n Nance
appliance\n Distal shoe without soft tissue blade Bilateral band and loops
145. Primate spacing is found:\n mesial to the maxillary canines, distal to
the mandibular canines\n mesial to the mandibular canines, and distal to the
maxillary canines\n mesial to both maxillary and mandibular canines\n
distal to both maxillary and mandibular canines mesial to the maxillary
canines, distal to the mandibular canines
146. According to the American Academy of Pediatric Dentistry, any 23
30 gause needle may be used for delivering local anesthesia to a child.\n
True\n False True
147. With a high degree of porosity of children's bone, mandibular local
infiltration is adequate for most restorative and pulpal procedures.\n
True\n False False
148. A classic mandibular block is performed by depositing the anesthetic
solution at the point where the nerve enters the mandible, i.e., at the
mandibular foramen. This not only provides adequate pulpal anesthesia, but
also provides anesthesia to the facial and lingual soft tissue.\n True\n
False False
149. A mandibular block is most successful if you remember the position
of the mandibular canal in relation to the occlusal plane. In a 5yearold
patient, the foramen is ________ the occlusal plane.\n at\n above\n
below below
150. According to Meade, the Prefigurative Parents are the type of parents
who:\n believe that children will go through the dental appointment
behaving well and do so without the parent accompaniment\n try to solve
problems before they arrive at the dental office but not involve themselves
with every aspect of the child's treatment\n feel the need to be involved in
every aspect of their child's life and lack of trust in the dentist to be alone
with the child feel the need to be involved in every aspect of their
child's life and lack of trust in the dentist to be alone with the child
151. Based on Piaget's observations, the intellectual attainments of the
child from birth to age 2 result from:\n keener eyesight\n the actions of the
child with objects in the environment\n a child's ability to recognize shapes
and colors the actions of the child with objects in the environment
152. A group of rare disorders affecting the connective tissue and
characterized by extremely fragile bones that break or fracture easily, often
without apparent cause, is associated with defects of:\n enamel\n
dentin\n cementum\n enamel and dentin\n enamel, dentin, and cementum
dentin
153. Name the anomaly: the junction between the enamel and dentin is
altered, and enamel has a tendency to flake away.\n Amelogenesis
imperfecta\n Dentinogenesis imperfecta\n Dentin dysplasia\n
Cementogenesis imperfecta Dentinogenesis imperfecta
154. Teeth demonstrating thistle tube shaped pulp chambers are attributed
to:\n dens in dente\n taurodontism\n gemination\n dentin dysplasia
dentin dysplasia
155. According to Meade, the type of parents most likelt to be comfortable
with leaving their children alone with the dentist is:\n The Prefigurative
Parent\n The Configurative Parent\n The Postfigurative Parent The
Postfigurative Parent
156. According to Piaget's developmental theory, "Children actively
construct knowledge as they manipulate and explore their world." This
statement describes what theory?\n Behaviorist\n Cognitive
development\n Structuralist\n Gestalt\n Oy gevalt Cognitive
development
157. Regarding separation anxiety, which of the following statements is
false?\n More frequently seen in first born children\n Usually starts at 6
months\n Plateaus at 18 months, then declines\n Most children are fairly
well controlled by 3640 months More frequently seen in first born
children
158. Behavior modification is best accomplished by rewarding the desired
behavior and ignoring the undesirable behavior. A good example of
extinction of aversive would be to slap the child's hand every time he tries to
interfere with treatment.\n Both statements are true.\n Both statements are
false.\n The first statement is true, but the second statement is false.\n The
first statement is false, but the second statement is true. The first statement
it true, but the second statement is false.
159. Approximately how many children have some sort of anxiety
associated with dental appointments?\n 10 to 15%\n 75 to 90% 75 to
90%
160. As a child grows into adolscence, their blood pressure ________ and
their heart rate ________.\n increase, increases\n decreases, decreases\n
increases, decreases\n decreases, increases increases, decreases
161. If you perform a pulpotomy, what is (are) the function(s) of the cotton
pellet?\n Control hemorrhaging via positive pressure (water moistened
pellet)\n Hold certain fixative agents against the pulp stumps for a
prescribed period of time\n Act as a barrier between the treated pulp tissue
and the permanent basing agent prior to the placement of the permanent
restoration\n All of the above\n Both of the first two choices Both of the
first two choice
162. As part of the first steps of tooth removal, the use of a large spoon
curette inserted in the gingival sulcus breaks the gingival attachment and:\n
begins luxating the tooth from the bone\n increases access to gingival
portion of crown\n both of the above increases access to gingival portion of
crown
163. The height of coutour on a primary mandibular canine is ________
when compared to permanent teeth.\n proportinately, at the same
position\n closer to the occlusal surface\n closer to the cementoenamel
junction closer to the cementoenamel junction
164. Cow horn forceps should rarely be used to remove a mandibular
primary molar because:\n it frequently splits the tooth in half, especially
when caries have weakened the tooth\n they are not proportionately
manufactured to allow proper placement in the furcation area\n there is a
higher incidence of damage to the developing premolar when employing
these forceps versus other types of molar forceps there is a higher
incidence of damage to the developing premolar when employing these
forceps versus other types of molar forceps
165. Which of the following conclusions would be correct if, after six
weeks, a direct pulp capped tooth were asymptomatic?\n The pulp capping
was a success\n Lack of adverse symptoms might be temporary\n
Reparative dentin formation at the exposure sigt was complete\n Adjacent
odontoblasts had proliferated to cover the side of exposure Lack of
adverse symptoms might be temporary
166. From the list of pulpotomy medications below, which is condiered to
have the least negative effect on the remaining pulp tissue and the
supporting tissue surrounding a primary tooth requiring treatment?\n
Calcium hydroxide\n Ferric sulfate\n Formocresol\n Glutaraldehyde
Ferric sulfate
167. Calcium hydroxide is generally the materialofchoice in vital pulp
capping because it:\n is less irritating to the pulp\n encourages dentin
bridge formation\n seals the cavity better that most other material
encourages dentin bridge formation
168. An example of an early mesial shift in the occlusion would be:\n
closure of the primate space associated with the eruption of the mandibular
permanent first molars\n closure of the leeway space after the exfoliation of
the primary molars\n reduction of a maxillary diastema with the eruption of
the permanent laterals closure of the primate space associated with the
eruption of the mandibular permanent first molars
169. An increase in the intercanine width in the mandibular arch may be
observed because of the eruption of the permanent incisors and the resultant
tipping of the primary canines.\n True\n False True
170. The design of a unilateral space maintainer should take into
consideration:\n the abutment teeth available\n the timing of eruption of
the permanent tooth in question\n the width of the edentulous area\n all of
the above all of the above
171. Gingival submergence of the free end of a cantilevered unilateral
space maintainer may be prevented by:\n redesigning the appliance into a
double abutted device\n adding an occlusal or cingulum rest to the loop\n
strengthening the crib with cross bars\n a & b\n all of the above a&b
172. Oral manifestations of leukemia include all of the following
except:\n gingival oozing of blood\n gingival pallor\n petechiae\n
migratory glossitis\n oral ulcerations migratory glossitis
173. Regarding recurrent aphthous ulcers, all statements are true except:\n
usually occur on keratinized oral mucosa\n appear as shallow, painful
ulcers with a red halo and gray pseudomembrane\n mimic herpes simplex
virus infections in appearance\n may scar usually occur on keratinized
oral mucosa
174. Which disease freuqently requires full coverage of posterior teeth with
crowns?\n Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Both
amelogenesis imperfecta and dentinogenesis imperfecta\n Neither
amelogenesis imperfecta nor dentinogenesis imperfecta Both amelogenesis
imperfecta and dentinogenesis imperfecta
175. The facial and lingual portions of the stainless steel crown preparation
for posterior teeth should:\n integrate the occlusal two thirds\n finish in a
feather edge at or just below the free gingival margin\n none of the above
none of the above
176. The goal of contouring and crimping the stainless steel crown is to:\n
strengthen the crown by cold working/stress hardening the surface\n
closely adapt the crown to the tooth surface\n smooth off the sharp edges
formed by cutting the crown's margin with shears closely adapt the crown
to the tooth surface
177. The finished crown should seat with its marginal ridges even with the
adjacent teeth and the gingival margin:\n at the level of the free gingival
margin\n at the base of the healthy gingival sulcus\n halfway in between
the level of the free gingival margin and the base of the healthy gingival
sulcus halfway in between the level of the free gingival margin and the base
of the healthy gingival sulcus
178. In which disease does enamel flake off teeth due to poor
enamel/dentin interface?\n Amelogenesis imperfecta\n Dentinogenesis
imperfecta\n Both amelogenesis imperfecta and dentinogenesis
imperfecta\n Neither amelogenesis imperfecta nor dentinogenesis
imperfecta Dentinogenesis imperfecta
179. In which disease do dentin, root and pulp always appear normal?\n
Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Both
amelogenesis imperfecta and dentinogenesis imperfecta\n Neither
amelogenesis imperfecta nor dentinogenesis imperfecta Amelogenesis
imperfecta
180. Currently, the best radiograph to see details of root structure is the:\n
periapical\n panorex\n lateral cephalometric\n bitewing periapical
181. Unlike analog films, storage phosphor plates (SPP) are not sensitive to
the visible light spectrum and will not lose image quality if exposed to
ambient (room) light.\n True\n False False
182. Which disease affects both the primary and permanent teeth?\n
Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Both
amelogenesis imperfecta and dentinogenesis imperfecta\n Neither
amelogenesis imperfecta nor dentinogenesis imperfecta Both amelogenesis
imperfecta and dentinogenesis imperfecta
183. Which disease is caused by systemic factors such as rubella,
nutritional deficiencies and trauma?\n Enamel hypoplasia\n
Dilaceration\n Fusion\n Regional odontodysplasia Enamel hypoplasia
184. Which disease is associated with brittle bones and blue sclera?\n
Amelogenesis imperfecta\n Dentinogenesis imperfecta\n Both
amelogenesis imperfecta and dentinogenesis imperfecta\n Neither
amelogenesis imperfecta nor dentinogenesis imperfecta Dentinogenesis
imperfecta
185. Radiographically, in which disease are pulp chambers obliterated and
teeth have short or missing roots?\n Dentin dysplasia\n Dentinogenesis
imperfecta\n Both dentin dysplasia and dentinogenesis imperfecta\n
Neither dentin dysplasia nor dentinogenesis imperfecta Dentin dysplasia
186. Rubber dam usage should be considered a behavior management
adjunct because it:\n prevents the child from screaming\n acts as a
psychological as well as a physical separating barrier between the child and
the dentist\n prevents noxious restorative material odors from reaching the
patient's nose acts as a physchological as well as a physical separating
barrier between the child and the dentist
187. Your nephew is now 8 and his first molars are in full occlusion. They
also have deep occlusal grooving. He has active occlusal caries on three of
his primary molars. You recommend ________ the first permanent
molars.\n sealing\n not sealing sealing
188. If you inadvertently seal over an incipient occlusal cavity:\n the acid
etch material will sterilize the lesion\n the light used to cure the sealant
material will sterilize the caries\n the BISGMA material is bacteriostatic
and will inactivate the caries\n the caries beneath sealants will sclerose and
become inactive the caries beneath sealants will sclerose and become
inactive
189. When preparing a preventive resin restoration (PRR or CAR), it is
necessary to perform a fissurotomy in all noncarious grooves.\n True\n
False False
190. Regarding the image of a class II amalgam preparation, dotted lines
around the preparation when view from the occlusal represent:\n the extent
of the cavosurface bevel, suggesting a light bevel\n the position of the
internal line angle formed by the proximal walls and the pulpal floor,
suggesting a convergence of the preparation towards the occlusal\n the
pencil line left over from sketching out the outline of the prep in lab the
position of the internal line angle formed by the proximal walls and the
pulpal floor, suggesting a convergence of the preparation towards the
occlusal
191. Retentive grooves within the proximal box of an MO amalgam prep
on tooth #S:\n should be placed at the facioaxial and linguoaxial line
angles, with the maximum depth at the gingival\n should be placed at the
facioaxial and linguoaxial line angles, with the maximum depth at the
occlusal\n should be placed at the gingivoaxial line angle only and parallel
to the pulpoaxial line angle\n are easily placed with a half round bur\n
should never be used should never be used
192. The proximal box of a class II preparation for amalgam on a primary
molar is ________ at the occlusal portion when compared to the gingival
portion.\n wider\n narrower\n the same narrower
193. Which common design characteristic of a class II amalgam for
permanent teeth are also included for primary teeth?\n pulpoaxial line angle
bevel\n gingival margin bevel\n gingival margin bevel and pulpoaxial line
angle bevel pulpoaxial line angle bevel
194. After removing the mesial interproximal caries on tooth #T, the facial
portion of the proximal box is positioned beyond the line angle of the
tooth.\n An amalgam is still an acceptable restoration with a predictable
success rate\n An adhesive material such as a reinforced glass ionomer is
recommended\n You should consider full coverage with a stainless steel
grown, even though the distal surface is still intact You should consider full
coverage with a stainless steel crown, even though the distal surface is still
intact
195. A wavy line is frequently incorporated into the enamel bevel when
restoring a fractured anterior tooth. The primary reason for this wave is:\n
to prove that even when you have a tequila hangover and a shaky hand that
you can still practice dentistry\n a visual trick to help mask the
tooth/restorative material junction\n to add greater strength to the bonding
agent\n to remove loose enamel rods a visual trick to help mask the
tooth/restorative material junction
196. For a composite strip crown on a primary central, an incisal reduction
in the range of 11.5 millimeters is recommended, and how far
subgingivally does the celluloid crown form extend?\n to the finish line\n
slightly beyond/below the finish line\n to the base of the sulcus to ensure
the composite will flow to the finish line slightly beyond/below the
finish line
197. After filling a celluloid crown form with composite and curing the
material to the tooth:\n the crown form is removed and the composite
finished\n only the gingival excess is removed, the crown form is left in
place, the excursive movements are checked and the patient can be
dismissed\n the crown is checked for blanching and if acceptable, the
crown form is left in place providing added strength with superior finish and
esthetics the crown form is removed and the composite finished
198. What is the alphanumeric name for the primary left maxillary second
molar?\n K\n 14\n B\n J\n 3 J
199. A child presents with fever, very runny nose and a reported sensitivity
to light. Intraorally, you notice small, irregular spots on the buccal mucosa.
No extraoral findings are noted at this time. The child is manifesting
(exhibiting) signs of what systemic disease?\n Rubeola\n Candida (oral
thrush)\n Herpangina\n Recurrent aphthous stomatitis\n Primary herpetic
gingivostomatitis Rubeola
200. Treatment of Rubeola includes:\n bed rest\n nystatin rinses\n
antibiotic therapy to prevent the progression to rheymatic fever\n hydration
and the generous use of antipyretics, especially aspirin\n two of the above
treatments bed rest
201. Rubeola is contagious and, therefore, is a reason to postpone routine
care.\n True\n False\n Even complex procedures can proceed if all
universal precautions are followed True
202. A child presents with history of fever and chills of several days
duration. Extraoral lesions crust and heal. Both intraoral and extraoral
lesions appear to be unilateral, that is they seem to be limited to one side.
The most likely diagnosis for this systemic disease is:\n impetigo, non
bullous variety\n impetigo, bullous variety\n rubeola\n varicella\n
midlothian swamp fever varicella
203. Treatment of varicella disease is:\n aggressive antibiotic therapy,
based on a culture and sensitivity\n warm weather compresses placed on
extraoral lesions\n none of the above, the disease is self limiting and will
self resolve within 7 to 10 days none of the above, the disease is self
limiting and will self resolved within 7 to 10 days
204. A patient has a painful irregular ulcer that began as vesicles, which
subsequently ruptured. Now they appear craterlike with a red halo and
greywhite pesudomembrane. The disease(s) exhibiting these findings
is(are):\n herpes simplex type I\n herpangina\n coxsackie virus\n hand,
foot and mouth disease\n all of the above all of the above
205. Findings include circumoral pallor, prominent erythematous papillae
and peritonsillar redness with exudate. This disease:\n is bacterial in
origin\n is a recurrent form of a viral infection\n may be reduced in its
course with the use of steroid rinses that are swallowed\n will require
future antibiotic coverage to prevent bacterial endocarditis\n both the first
and fourth options is bacterial in origin
206. In addition to unusual pigmented lesions of the lips (and gingiva and
mucous membrane), a patient suffers from intestinal polyps. The patient
has:\n Midlothian Westerberg syndrome\n chronic adrenal
insufficiency\n McCune Albrights syndrome\n Peutz Jeghers
syndrome\n really bad technique when she puts on her Goth lipstick Peutz
Jeghers syndrome
207. In addition to unusual pigmented lesions of the lips (and gingiva and
mucous membrane), a patient suffers from intestinal polyps. This
suggests:\n the child was bitten by a bat\n the child is a bat\n there are
several teeth that have not calcified and are not visible on radiograph\n the
child may not have a full complement of sweat glands the child may not
have a full complement of sweat glands
208. Radiolucencies in the border of the skull would be representative of a
patient who has:\n sickle cell anemia\n histiocytosis X histiocytosis X
209. A radiograph with a haironend pattern is representative of a patient
who has:\n sickle cell anemia\n histiocytosis X sickle cell anemia
210. A child's right maxillary permanent central incisor is delayed in its
normal eruption, but tooth #10 is present. How old is the child?\n between
4 and 5 years old\n between 6 and 7 years old\n between 8 and 9 years old
between 8 and 9 years old
211. What is the single most likely cause of delayed eruption of the right
maxillary permanent central incisor?\n presence of a bezoar\n presence of
a dentigerous cyst\n incomplete root formation\n presence of a
rudimentary dysmorphic supernumerary\n presence of a compound
odontoma presence of rudimentary dysmorphic supernumerary
212. What radiograph would best aid in diagnosis of the presence of a
rudimentary dysmorphic supernumerary?\n panorex
(orthopantomograph)\n select periapicals select periapicals
213. An acceptable substitute for select periapicals in diagnosis of the
presence of a rudimentary dysmorphic supernumerary would be a(n):\n
Occlusal film\n Single vertical bitewing Occlusal film
214. A radiograph shows several loose and missing teeth. Based solely on
the radiograph, this anomaly is most likely:\n dentin dysplasia\n dentin
hypoplasia\n dentin imperceptiva\n taurodontism dentin dysplasia
215. You receive a frantic phone call from the parents of one of your
patients. Their son woke up in pain associated with an abscessed primary
tooth. They are driving home from a weekend of camping, can't find a
dentist but there is a WalMart pharmact nearby. The child's physician has
recommended prophylactic antibiotic coverage (AHA regimen) prior to
every dental appointment due to the child's medical history. Your
prescription should read "Take ____ milligrams amoxicillin by mouth 30 to
60 minutes before appointment." The patient weighs 44 pounds.\n 250\n
500\n 750\n 1000\n 2200 1000\n\n44 lbs/(2.2mg/kg) =
20kg\n50mg/kg x 20 kg = 1000 mg
216. Several interproximal caries are noted in a 56 year old child after
completing a radiographic survey, which should have included a set of ____
bitewings.\n 2\n 4\n 6 2
217. A child is 56 years old, weighs 44 pounds, and has several
interproximal caries noted after completing a radiographic survey. Your
current recommendation for bitewing radiographs would be every ____
months.\n 12 to 24\n 6 to 12 6 to 12
218. Cesar Augusto Rodriguez presents to the clinic because of sensitive
teeth. Your clinical examination reveals teeth that are covered by a thin,
rough layer of abnormally formed enamel through which the underlying
yellow dentin is seen. Suprisingly, Cesar has few caries. His mother blames
his father's side of the family for his ugly teeth, and states that Cesar's older
brother and sister also have teeth similar to Cesar. There is a buccal abscess
associated with tooth #T. You have a strong suspicion that Cesar's anomaly
is congenital and tell his mother that he has:\n Dentin dysplasia (Type I or
II)\n Dentinogenesis imperfecta\n Hutchinson's enamelitis\n
Amelogenesis imperfecta\n Idiopathic enamel hypoplasia
Amelogenesis imperfecta
219. Cesar Augusto Rodriguez presents to the clinic because of sensitive
teeth. Your clinical examination reveals teeth that are covered by a thin,
rough layer of abnormally formed enamel through which the underlying
yellow dentin is seen. Suprisingly, Cesar has few caries. His mother blames
his father's side of the family for his ugly teeth, and states that Cesar's older
brother and sister also have teeth similar to Cesar. There is a buccal abscess
associated with tooth #T. Your choice of treatment for tooth #T is:\n
natural exfoliation\n pulpotomy, restored with a stainless steel crown\n
removal\n indirect pulp cap\n partial pulpectomy, restored with a stainless
steel crown removal
220. Cesar Augusto Rodriguez presents to the clinic because of sensitive
teeth. Your clinical examination reveals teeth that are covered by a thin,
rough layer of abnormally formed enamel through which the underlying
yellow dentin is seen. Suprisingly, Cesar has few caries. His mother blames
his father's side of the family for his ugly teeth, and states that Cesar's older
brother and sister also have teeth similar to Cesar. There is a buccal abscess
associated with tooth #T. If you elect to perform a partial pulpectomy, which
of the following would you not recommend as a filling material?\n Mineral
Trioxide Aggregate (MTA)\n Zinc oxide with eugenol paste\n Vitapex
Mineral Trioxide Aggregate (MTA)
221. Cesar Augusto Rodriguez presents to the clinic because of sensitive
teeth. Your clinical examination reveals teeth that are covered by a thin,
rough layer of abnormally formed enamel through which the underlying
yellow dentin is seen. Suprisingly, Cesar has few caries. His mother blames
his father's side of the family for his ugly teeth, and states that Cesar's older
brother and sister also have teeth similar to Cesar. There is a buccal abscess
associated with tooth #T. Would you expect there to be other abnormalities
associated with this disorder?\n Yes, he may exhibit brittle bone
disorder\n Yes, he may exhibit brittle bone disorder and have blue sclera\n
Yes, he may have blue sclera\n No No
222. Kim Chee is a shy little girl, who has a school exam at her church
picnic. Her mother is brining her in to see you because she was reported
having several teeth with cavities. Her mother mentioned that occasionally
Kim complains of some tooth pain in the lower quadrants after eating sweet
rice cakes, but the pain quickly goes away. She is a bit apprehensive and
does allow you to perform an extra and intraoral examination, but only
after several minutes of positive behavior management. Radiographs are
needed to complete your data gathering so you may formulate an appropriate
treatment plan. While removing caries on tooth #T, you expose the pulp. The
size of the exposure is approximately 1 millimeter round and is surrounded
by carious dentin. You elect to:\n cover the exposure with a dentin
stimulating medication such as calcium hydroxide\n remove the tooth\n
perform a calcium hydroxide pulpotomy\n perform an MTA pulpotomy
perform an MTA pulpotomy
223. You successfully numb up tooth #T and place a rubber dam. The
clamp used is most likely a:\n #3\n #212\n #14\n #13A #14
224. Kim Chee is a shy little girl, who has a school exam at her church
picnic. Her mother is brining her in to see you because she was reported
having several teeth with cavities. Her mother mentioned that occasionally
Kim complains of some tooth pain in the lower quadrants after eating sweet
rice cakes, but the pain quickly goes away. She is a bit apprehensive and
does allow you to perform an extra and intraoral examination, but only
after several minutes of positive behavior management. Radiographs are
needed to complete your data gathering so you may formulate an appropriate
treatment plan. While removing caries on tooth #T, you expose the pulp. The
size of the exposure is approximately 1 millimeter round and is surrounded
by dentin. The tooth should be restored with:\n amalgam\n glass
ionomer\n a stainless steel crown\n IRM a stainless steel crown
225. Tooth #T exfoliates when a child is ____ years old.\n 10 to 12\n 7
to 8\n 12 to 13\n 9 to 10 10 to 12
226. Threeyearold Bradley Jones has been referred to your office by the
pediatrician because not all of his teeth have erupted, leaving large spaces
between his teeth. His mother says he had some blisters on the inside of his
lip about two days ago that popped and left raw areas. They are whitish with
a red border. Clinically, he exhibits some palpable lymph nodes along the
cervical chain and is running a lowgrade fever. He is not comfortable for
you to evaluate today so you reappoint for two weeks from now. Bradley
mosy likely has:\n Bullous impetigo\n Aphthous stomatitis\n Papilloma
virus\n Herpes simplex infection\n Rubella Herpes simplex infection
227. What are the chances that a herpes simplex infection in a threeyear
old boy will return?\n High, due to selfreinoculation\n Unknown, since
the etiology is not clear\n Likely, but in the form of "shingles"\n Possibly,
reoccurs as herpes labialis\n Unlikely, since the body develops immunity
Possibly, reoccurs as herpes labialis
228. Threeyearold Bradley Jones has been referred to your office by the
pediatrician because not all of his teeth have erupted, leaving large spaces
between his teeth. His mother says he had some blisters on the inside of his
lip about two days ago that popped and left raw areas. They are whitish with
a red border. Clinically, he exhibits some palpable lymph nodes along the
cervical chain and is running a lowgrade fever. He is not comfortable for
you to evaluate today so you reappoint for two weeks from now. Bradley
returns after the lesions disappear and is very cooperative during the
examination. You are able to see visually that he is either congenitally
missing his maxillary primary laterals or they are unerupted. What
radiograph(s) would assist you in confriming they are congenitally missing
or unerupted?\n Periapicals\n Bitewings\n Occlusal view\n All of the
above\n Either periapicals or an occlusal view Either periapicals or an
occlusal view
229. Threeyearold Bradley Jones has been referred to your office by the
pediatrician because not all of his teeth have erupted, leaving large spaces
between his teeth. His mother says he had some blisters on the inside of his
lip about two days ago that popped and left raw areas. They are whitish with
a red border. Clinically, he exhibits some palpable lymph nodes along the
cervical chain and is running a lowgrade fever. He is not comfortable for
you to evaluate today so you reappoint for two weeks from now. Bradley has
a questionable "stick" in a primary molar which requires replacing with a
dental restorative material. Radiographically, there is no evidence of the
lesion. You proceed with an enameloplasty, only to find out that the central
pit is carious and requires excavation beyond the dentoenamel junction. At
this point, you should consider:\n extending the preparation into all pits and
grooves in preparation for a composite restoration\n removing the caries
without extension and placing a bonded composite, covered with a
sealant\n sealing over the entire occlusal surface removing the caries
without extension and placing a bonded composite, covered with a sealant
230. William Lee Wallaby has been complaining about a dull, throbbing
pain in the lower right quadrant of his mouth for the last two weeks. His
singleparent mother has a hard time taking off from work to bring William
Lee for treatment, but wants what's best for her son. The pain is intermittent
and seems to occur without cause, i.e., chewing, hot foods, etcetera. The
patient had a recent medical check up and was found to be in good health.
Upon oral examination you note a swelling on the facial of tooth #S. You
note a radiolucency between the mesial and distal roots of the tooth,
extending down the distal root. Root structure appears normal. There is no
internal/external resorption. Why would you see bone loss in the
furcation?\n Defect in the periodontal ligament\n Tooth is fractured\n
Accessory canals in the furcation area\n Physiologic root resorption process
Accessory canals in the fircation area
231. When does the tooth succedaneous to #S erupt?\n 7 to 8\n 5 to 6\n
12 to 13\n 9 to 11 9 to 11
232. William Lee Wallaby has been complaining about a dull, throbbing
pain in the lower right quadrant of his mouth for the last two weeks. His
singleparent mother has a hard time taking off from work to bring William
Lee for treatment, but wants what's best for her son. The pain is intermittent
and seems to occur without cause, i.e., chewing, hot foods, etcetera. The
patient had a recent medical check up and was found to be in good health.
Upon oral examination you note a swelling on the facial of tooth #S. You
note a radiolucency between the mesial and distal roots of the tooth,
extending down the distal root. Root structure appears normal. There is no
internal/external resorption. Your treatment recommendation is:\n
Pulpectomy with zinc oxide/eugenol fill\n Stimulation of tertiary dentin
formation with glass ionomer\n Root amputation with calcium hydroxide
retrofill\n Pulpotomy with either MTA or ferric sulfate\n None of the
above Pulpectomy with zinc oxide/eugenol fill
233. William Lee Wallaby has been complaining about a dull, throbbing
pain in the lower right quadrant of his mouth for the last two weeks. His
singleparent mother has a hard time taking off from work to bring William
Lee for treatment, but wants what's best for her son. The pain is intermittent
and seems to occur without cause, i.e., chewing, hot foods, etcetera. The
patient had a recent medical check up and was found to be in good health.
Upon oral examination you note a swelling on the facial of tooth #S. You
note a radiolucency between the mesial and distal roots of the tooth,
extending down the distal root. Root structure appears normal. There is no
internal/external resorption. Because there is no interproximal caries, the
restoration of choice is:\n stainless steel crown\n glass ionomer core with
composite occlusal veneer\n amalgam core stainless steel crown
234. William Lee Wallaby has been complaining about a dull, throbbing
pain in the lower right quadrant of his mouth for the last two weeks. His
singleparent mother has a hard time taking off from work to bring William
Lee for treatment, but wants what's best for her son. The pain is intermittent
and seems to occur without cause, i.e., chewing, hot foods, etcetera. The
patient had a recent medical check up and was found to be in good health.
Upon oral examination you note a swelling on the facial of tooth #S. You
note a radiolucency between the mesial and distal roots of the tooth,
extending down the distal root. Root structure appears normal. There is no
internal/external resorption. Had you noticed internal resorption within the
distal root, what would your treatment recommendation have been?\n
Pulpectomy with zince oxide/eugenol fill\n Pulpectomy with calcium
hydroxide and barium fill\n Complete distal root amputation with MTA
retrofill\n None of the above None of the above
235. Threeyearold Beverly Tallfeather spends most of her days at her
grandmother's house while her mother would be at work. Granny has a
constant supply of candy, and as we can guess, Beverly ends up in your
office with a mouthful of cavities. Granny Tallfeather has signed her up for a
beauty contest and wants Beverly's teeth to be "pretty." You recommend
composite strip crowns. You isolate the anteriors, begin removing the caries
on the left central with your round bur and have an exposure of the pulp. The
exposure is small, about the size of the end of a 330 bur. After controlling
the hemorrhage, you confrim that all the surrounding dentin is healthy. Does
the exposure require treatment?\n No, since the teeth will exfoliate within
the next 68 months, you should remove the tooth, replacing it with a kiddy
partial for esthetics\n Yes, cover the exposure with a reparative dentin
stimulating medication such as calcium hydroxide\n Yes, a calcium
hydroxide pulpotomy\n Yes, a classic apexification process is
recommended Yes, cover the exposure with a reparative dentin
stimulating medication such as calcium hydroxide
236. Threeyearold Beverly Tallfeather spends most of her days at her
grandmother's house while her mother would be at work. Granny has a
constant supply of candy, and as we can guess, Beverly ends up in your
office with a mouthful of cavities. Granny Tallfeather has signed her up for a
beauty contest and wants Beverly's teeth to be "pretty." You recommend
composite strip crowns. You isolate the anteriors, begin removing the caries
on the left central with your round bur and have an exposure of the pulp. The
exposure is small, about the size of the end of a 330 bur. After controlling
the hemorrhage, you confrim that all the surrounding dentin is healthy. You
better have luck with the adjacent central and remove all the caries without
incident. Your preparation for the strip crown includes:\n a 0.5 millimeter
shoulder preparation approximately 1 millimeter below the gingival
margin\n a reverse bevel which returns the incisal edge to its original
position above the pulp chamber\n leaving the cingulum bulge to aid in
crown retention\n a feather edge finish line on all surfaces a feather
edge finish line on all surfaces
237. In a preparation for a strip crown, the celluloid crown form is trimmed
to:\n sit on the shoulder preparation\n be positioned 12 millimeters
beyond the reverse bevel\n rest tightly against the cingulum (cingulum
rest)\n extend 0.51.0 millimeters beyond the feather edges extend 0.5
1.0 millimeters beyond the feather edges
238. It is not necessary to etch and bond a composte strip crown to the
prepared tooth because it relies primarily on the undercuts for its
retention.\n True\n False False
239. A celluloid crown form should be left in place after curing the
composite underneath.\n True\n False False
240. At what age would you expect root completion to occur for tooth
#9?\n 10\n 14\n 12 10
241. Eightyearold Imran Khan gets hit in the mouth with a cricket bat
and fractures off half of tooth #9, exposing a generous portion of the pulp.
Radiographically, it appears that the apex is still open and the pulp tests
vital. His past medical history indicates a congenital heart defect that was
repaired at age seven. He weighs 44 pounds. Priot to his appointment you
prescribe amoxicillin as per the guidelines of the American Heart
Association in the amount of:\n 500 mg 3060 minutes before the
appointment\n 250 mg 3060 minutes before the appointment\n 0 mg 30
60 minutes before the appointment\n 1,000 mg 3060 minutes before the
appointment 0 mg 3060 minutes before the appointment
242. Eightyearold Imran Khan gets hit in the mouth with a cricket bat
and fractures off half of tooth #9, exposing a generous portion of the pulp.
Radiographically, it appears that the apex is still open and the pulp tests
vital. His past medical history indicates a congenital heart defect that was
repaired at age seven. He weighs 44 pounds. Immediate endodontic therapy
should be:\n endodontic therapy is contraindicated; the tooth should be
removed and prosthetically replaced\n pulp extirpation and placing calcium
hydroxide paste into the canal close to the radiographic apex\n pulp
extirpation and placing mineral trioxide aggregate (MTA) to the
radiographic apex\n a calcium hydroxide pulpotomy a calcium
hydroxide pulpotomy
243. Eightyearold Imran Khan gets hit in the mouth with a cricket bat
and fractures off half of tooth #9, exposing a generous portion of the pulp.
Radiographically, it appears that the apex is still open and the pulp tests
vital. His past medical history indicates a congenital heart defect that was
repaired at age seven. He weighs 44 pounds. A year later there is an abscess
associated with the permanent centraol. Your treatment option(s) is(are):\n
endodontic therapy is contraindicated; the tooth should be removed and
prosthetically replaced\n pulp extirpation and placing calcium hydroxide
paste into the canal close to the radiographic apex\n pulp extirpation and
placing mineral trioxide aggregate (MTA) to the radiographic apex\n a
calcium hydroxide pulpotomy\n pulp extirpation and placing either calcium
hydroxide or MTA close to the radiographic apex pulp extirpation and
placing either calcium hydroxide or MTA close to the radiographic apex
244. Retentive grooves are not recommended for class II amalgam
preparations in primary teeth because:\n you can easily pulp out\n they
really are not very retentive, especially towards the occlusal you can
easily pulp out
245. Typically, when accessing interproximal caries on an anterior tooth,
the approach is:\n dependent upon the restorative material being used\n
from the lingual to minimize any compromises with esthetics\n from the
facial for convenience\n through the surface more compromised from the
caries through the sirface more compromised from the caries
246. Alex Munoz is a fiveyear old Hispanic male who was seen in urgent
care for the removal of tooth #S. A medical history review of systems
confirms that he is an otherwise healthy kid, but does have allergies to
penicillin. He is complaining of pain in the lower left quadrant, which keeps
him up at night. Tooth #K has a mesioocclusal temporary restoration,
recurrent caries, furcal radiolucency, and internal & external root resorption.
What is the best treatment for this tooth?\n Removal\n Complete
pulpectomy\n Formocresol pulpotomy\n Allow to exfoliate Removal
247. Alex Munoz is a fiveyear old Hispanic male who was seen in urgent
care for the removal of tooth #S. A medical history review of systems
confirms that he is an otherwise healthy kid, but does have allergies to
penicillin. He is complaining of pain in the lower left quadrant, which keeps
him up at night. Which tooth should be prioritized for treatment?\n L:
mesioocclusal amalgam, broken down margin\n I: distal caries with pulp
exposure\n K: mesioocclusal temporary restoration, recurrent caries, furcal
radiolucency, internal & external root resorption\n G: mesial & lingual
caries, buccal abscess, apical radiolucency, external resorption on lateral
border of root G: mesial & lingual caries, buccal abscess, apical
radiolucency, external resorption on lateral border of root
248. Alex Munoz is a fiveyear old Hispanic male who was seen in urgent
care for the removal of tooth #S. A medical history review of systems
confirms that he is an otherwise healthy kid, but does have allergies to
penicillin. He is complaining of pain in the lower left quadrant, which keeps
him up at night. Tooth #G has mesial & lingual caries, buccal abscess, apical
radiolucency, and external resorption on lateral border of root. What is the
best treatment for this tooth?\n Formocresol pulpotomy\n Allow to
exfoliate\n Removal\n Complete pulpectomy Removal
249. Alex Munoz is a fiveyear old Hispanic male who was seen in urgent
care for the removal of tooth #S. A medical history review of systems
confirms that he is an otherwise healthy kid, but does have allergies to
penicillin. He is complaining of pain in the lower left quadrant, which keeps
him up at night. Tooth #L has a mesioocclusal amalgam with a broken down
margin. After removing the amalgam, the resultant distoocclusal preparation
has extended beyond the distofacial and distolingual line angles. You should
consider:\n using an amalgam bonding agent prior to condensation of the
new amalgam restoration\n restoring the tooth with a bonded posterior
composite such as Herculite\n a stainless steel crown\n any of the above
are acceptable a stainless steel crown
250. A tooth has distal caries and restoring it will require using a lingual
dovetail to improve retention. Its position on the tooth should be in the
gingival twothirds because:\n this is where the enamel is the thickest\n it
reduces the chances of pulpal exposure\n there is the less of exposure of the
restorative material from natural abrasion prior to exfoliation\n all of the
above all of the above
251. Tooth #I has distal caries with pulp exposure and will be difficult to
restore, but you elect not to remove it. It will require pulp therapy. It is
asymptomatic and shows no radiographic evidence of bone or root structure
loss. You remove the coronal pulp tissue, but cannot control the bleeding
with pressure hemostasis. Your next step would be:\n seal in a formocresol
pellet for 57 days\n complete a partial pulpectomy\n check for tissue
tags\n either seal in a formocresol pellet for 57 days or complete a partial
pulpectomy check for tissue tags
252. What permanent tooth replaces tooth #S?\n 27\n 29\n 28\n 22\n
20 28
253. It's checkup time for LaVitra Maldonado. Her mother said she was
looking forward to the appointment so she could show you her toothless grin
(her maxillary centrals recently exfoliated) but LaVitra woke up with a sore
throat and a fever. Intraorally, you notice a nonvesicular red rash on the
soft palate. Her tonsils are enlarged and red no exudate is apparent at this
time. She has difficulty swallowing. A differential for this common
childhood illness would include all but the following:\n Herpangina\n
Mononucleosis\n Streptococcal pharyngitis\n Midlothian swamp fever
Midlothian swamp fever
254. It's checkup time for LaVitra Maldonado. Her mother said she was
looking forward to the appointment so she could show you her toothless grin
(her maxillary centrals recently exfoliated) but LaVitra woke up with a sore
throat and a fever. Intraorally, you notice a nonvesicular red rash on the
soft palate. Her tonsils are enlarged and red no exudate is apparent at this
time. She has difficulty swallowing. Several days later, her mother reports
that she has developed a body rash especially around the skin folds and that
the skin on the soles of her feet is peeling. She wonders if she was having an
allergic reaction to the IRM temporary filling you placed. LaVitra most
likely was displaying symptoms of ________ at the last appointment.\n
Herpangina\n Mononucleosis\n Streptococcal pharyngitis\n Midlothian
swamp feverStreptococcal pharyngitis
255. A child's tongue appears to have lost its coating and has an
erythematous smooth glistening surface. She has "raspberry tongue" which
is associated with:\n Midlothian swamp fever\n rheumatic fever\n scarlet
fever\n herpetic fever scarlet fever
256. An IRM temporary comes out of tooth #T, and the tooth is infected
and unrestorable. In the process of removing the tooth, you fracture off a
small portion of the mesial root.\n The root should be removed if the
fragment is clearly visible and can be easily removed with an elevator or
root tip pick\n It is best left to resorb by the erupting permanent tooth if
after several attempts to retrieve it fail\n If the fragment is very small or
situated very deep within the alveolus, it is best left to resorb\n All of the
above All of the above
257. The number of primary teeth in a normal child is:\n 10\n 20\n
24\n 32 20
258. At approximately what age does tooth #P erupt?\n 2 to 3 months\n
4 to 5 months\n 6 to 7 months\n 8 to 9 months\n 11 to 12 months 6 to 7
months
259. The normal exfoliation order of the maxillary primary teeth begins
with the centrals and is folled by:\n laterals, canines, molars\n canines,
laterals, molars\n laterals, molars, canines\n molars, canines, laterals\n
molars, laterals, canines laterals, molars, canines
260. At what age does tooth #L exfoliate?\n Between 7 and 8 years\n
Between 10 and 12 years\n Between 12 and 14 years Between 10 and 12
years
261. At what age would you most likely see 12 primary and 12 permanent
teeth in a child's mouth?\n 6\n 8\n 10\n 12 8
262. Permanent tooth #13 replaces what primary tooth?\n B\n I\n J\n
K J
263. The inital placement of orthodontic bands generally causes minimal
sulcular bleeding. According to the recently updated American Heart
Association (AHA) Guidelines, this procedure ________ require
endocarditis prophylaxis with an appropriate antibiotic regimen.\n does\n
does not does
264. Calculate the proper AHA dosage of amoxicillin for a child weighing
44 pounds, who requires premedication.\n 250 mg 3060 minutes before
procedure\n 500 mg 3060 minutes before procedure\n 1,000 mg 3060
minutes before procedure\n 2,000 mg 3060 minutes before procedure
1,000 mg 3060 minutes before procedure
265. Your nephew is now 8 and his first molars are in full occlusion. They
also have deep occlusal groovings. The only restoration he has is a buccal bit
amalgam. Radiographs reveal one incipient interproximal lesion on tooth
#K. According to the guidelines (Simonsen) presented in lecture and your
handout you would classify him as category II and you recommend
________ the first permanent molars.\n sealing\n not sealing sealing
266. When removing the decay for restoation of a molar with a preventive
resin restoration (PRR or CAR), it is necessary to extend completely past the
dentinoenamel junction.\n True\n False False
267. When preparing the occlusal surface for restoration of a molar with a
preventive resin restoration (PRR or CAR), it is necessary to perform a
fissurotomy in all susceptible grooves.\n True\n False False
268. Regarding the preparation for a molar stainless steel crown, the facial
and lingual surfaces:\n should not be prepped, only the occlusal and
interproximal areas\n should be beveled in such a way to return the
resultant cusp tips to a more central location\n should be prepared with a 2
mm reduction at the occlusal, tapering down to a feather edge finish line
should be beveled in such a way as to return the resultant cusp tips to
a more central location
269. When preparing a primary central incisor for an openfaced stainless
steel crown, the cingulum's reduction range should be in the range of:\n 0.5
to 1 millimeter\n 1.5 to 2 millimeters\n 2.5 to 3 millimeters\n 3.5 to 4
millimeters 0.5 to 1 millimeter
270. For a composite strip crown form seated on a primary central, an
incisal reduction in the range of 11.5 mm is suggested. How far
subgingivally does the celluloid form extend?\n To the finish line\n From
0.5 to 1 mm beyond the finish line\n To the base of the sulcus to ensure the
composite will flow to the finish line From 0.5 to 1 mm beyond the finish
line
271. Which of the following systemic diseases does not start out as vesicles
that rupture?\n Primary herpetic gingivostomatitis\n Hand, food and
mouth disease\n Bullous impetigo\n Rubeola Rubeola
272. A very concerned grandmother brings in her 8 year old granddaughter
for evaluation of a bad tooth. The child is running a fever and has had great
pain that has kept her up for the past two nights. It is obvious that she has
facial swelling. She is very cooperative, but before you proceed you learn
that the grandmother is not her legal guardian the woman's son has legal
custody. Can you proceed with a problemfocuses examination including
radiographs?\n Yes, you are protected by implied consent for emergency
treatment to a minor\n No, you still must have permission to proceed from
the child's legal guardian Yes, you are protected by implied consent for
emergency treatment to a minor
273. During a head and neck examination, turning the head will allow for
better palpation of the ________ muscle, permitting better evaluation of the
cervical lymph nodes.\n sternocleidomastoid\n platysma\n scalenus
anterior\n anterior belly of the digastric sternocleidomastoid
274. Koplic's spots are associated with:\n Measles\n Mumps\n Scarlet
fever\n Chicken pox Measles
275. When treating a hemophilia (type A) patient, block anesthesia is
considered a ________ risk.\n low\n moderate\n high high
276. Very young patients suffering from primary herpetic gingivostomatitis
should be monitored to prevent ________.\n dehydration\n their lips from
crusting together\n scarring\n recurrence in the form of herpes zoster
dehydration
277. The bitewing radiograph is the radiograph primarily designed to
________.\n visualize rooths\n detect periapical or furcal pathology\n
monitor eruption of the permanent teeth\n detect carious lesions detect
carious lesions
278. If a child is having difficulty with gagging while taking bitewing
radiographs, it is often helpful ________.\n to use a #3 film instead of the
#0 or #2 sizes\n after proper placement of the film in the patient's mouth,
use a Velcro strap around the head and mandible to keep the child biting on
the tab\n to rationalize the need for the radiographic survey\n to tell them
they have to clean up the chair and floor if they puke\n to distract the
child's attention away from the procedure to distract the child's attention
away from the procedure
279. On recall appointment, a five year old patient with a plaque score of
50% plaquefree, poor flossing technique and a recent dental history of one
class II amalgam should have the following radiographs taken:\n two
bitewings\n four bitewings\n two bitewings and a periapical of the
restored tooth\n four bitewings and a periapical of the restored tooth two
bitewings
280. On initial examination, you recommend to a father that a radiographic
survey be taken on his child, based on your clinical findings. He refuses,
saying that the child's mother just died from breast cancer and she was in
great agony during her radiation treatment. You respond by:\n denying the
link between dental x rays and any kind of somatic damage\n reassure the
father that the amount of radiation used is within safe and effective limits,
then proceed to take the radiographs\n explain to the father that your
diagnosis, as thorough as you were, is incomplete without the radiographs,
then proceed to take them\n respect the father's wishes, while pointing out
the limiations of deriving a thorough and accurate treatment plan without the
survey\n turn him into the Department of Children and Family Services
(DCFS) for not providing the child with appropriate health care respect the
father's wishes, while pointing out the limitations of deriving a thorough and
accurate treatment plan without the survey
281. A group of rare disorders affecting the connective tissue and
characterized by extremely fragile bones that break or fracture easily, often
without apparent cause, is associated with defects of the:\n enamel\n
dentin\n cementum\n enamel and dentin\n enamel, dentin and cementum
dentin
282. Name the anomoly: the junction between the enamel and dentin is
altered; enamel has a tendency to flake away.\n Amelogenesis
imperfecta\n Dentinogenesis imperfecta\n Dentin dysplasia\n
Cementogenesis imperfecta Dentinogenesis imperfecta
283. Dentin dysplasia and dentinogenesis imperfecta share many
characteristics in common. Of the following clinical traits which is a
characteristic unique to dentin dysplasia?\n Obliterated pulp chambers\n
Short rooted to rootless permanent teeth\n Exhibited in both primary and
permanent dentition\n May have opaescent brown/blue discoloration Short
rooted to rootless permanent teeth
284. The primary and permanent molars have significantly elongated pulp
chambers and short shunted roots. This condition is most likely:\n dens in
dente\n taurodontism\n gemination\n dentin dysplasia\n fungi
imperfecta taurodontism
285. Problems associated with supernumerary teeth include:\n Failure of
eruption\n Displacement of erupting teeth\n Diastema\n Retention of
primary teeth\n Any in the list Any in the list
286. Turner's hypoplasia (Turner's tooth) is an example of local enamel
hypoplasia due to ________ and frequently appear as an enamel defect,
characterized by a saucerlike lesion of variable size, generally located on
the buccal surface of the anterior maxillary and/or mandibular permanent
teeth.\n past histories of high fever\n congenital syphilis\n severe
infection\n trauma\n fluoride ingestion trauma
287. This condition is characterized by shallow to deep grooving of the
dorsal surface of the tongue. It may or may not be present at birth; the
severity may increase with age.\n Granulomatous cheilitis\n Hairy
tongue\n Benign migratory glossitis\n Fissured tongue\n Primary
herpetic gingivostomatitis Fissured tongue
288. This condition is characterized by prodrome of fever and
lympadenopathy followed by erythematous tissue with oral vesicles that
rupture leaving painful ulcers with a graywhite pseudomembrane.\n
Granulomatous chelitis\n Hairy tongue\n Benign migratory glossitis\n
Fissured tongue\n Primary herpetic gingivostomatitis Primary herpetic
gingivostomatitis
289. This condition is characterized by a creamywhite plaque that leaves a
red, ulcerated area underneath if scraped off. It may be associated with:\n
long term antiobiotic therapy\n an immature immune system\n HIV
disease\n Any in this list Any in this list
290. This condition is characterized by vesicular outcroppings that crust
and heal. In this particular patient, the lesions exhibit a distinct distribution
and do not cross the midline.\n impetigo (non bullous)\n rubella\n
rubeolla\n varicella\n herpangina varicella
291. The radiograph of a doublecrowned tooth reveals a single root
chamber. The condition is most likely:\n concrescence\n fusion\n
gemination gemination
292. Bifid uvula:\n results in one heck of a yodeler\n results in
dysphagia\n may indicate a submucus palatal clefting\n is indicative of
Marfan's syndromemay indicate a submucus palatal clefting
293. A patient returns to your office complaining of pain for the last four
days. She woke up one morning and lesions were on he labial mucosa no
vesicles or blisters preceded it, just a red halo around a grayish membrane.
This is the first time she has ever noticed this type of problem. She has no
body rash, nor other oral lesions. Her temperature is within normal limits.
She most likely has:\n impetigo\n self inflicted wound from a bite\n
aphthous stomatitis (ulcer)\n bullous labialis aphthous stomatitis
(ulcer)
294. If Bat Boy were a real entity and you observe that, as well has having
pegshaped teeth, he does not have a full compliment of permanent teeth.
He also has very little hair. You would diagnose him as:\n being from the
South\n a dysmorphic odontate\n having inherited ectodermal
dysplasia\n suffering from regional odontodysplasia\n having carried this
Goth themed existance too far having inherited ectodermal dysplasia
295. The primary dention begins to erupt at age ________ which coincides
with the recommended time for the child's first oral health risk
assessment.\n 3 months\n 6 months\n 12 months\n 18 months 6
months
296. According to eruption charts, tooth #6 erupts:\n before tooth #27\n
at the same time as tooth #27\n after tooth #27\n before tooth #27 after
tooth #27
297. The standard general oral antibiotic prophylaxis regimen for children
is:\n exactly that of an adult\n 1,000 mg one hour before the procedure\n
50 mg per kg body weight one hour before the procedure\n 50 mg per
pound body weight one hour before the procedure\n 25 mg per kg body
weight one hour before the procedure 50 mg per kg body weight one hour
before the procedure
298. If a child is allergic to the penicillins, and you still wish to give an oral
medication, you should consider either of the following except:\n
cephamycin\n clindamycin\n azithromycin cephamycin
299. When considering sealant placement:\n the use of a bonding agent
will increase the long term retention\n you should routinely perform an
enameloplasty\n glass ionomer is the material of choice, since it releases
fluoride\n etching beyond the area to be sealed will result in a weakened
enamel surface the use of a bonding agent will increase the long term
retention
300. Placing a sealant over minimal enamel caries has been shown to be
effective at inhibiting lesion progression.\n True\n False True
301. According to the American Association of Pediatric Dentistry, the
best evaluation of caries risk and the decision to implement sealant usage is
made by an experienced clinician using indicators of tooth morphology,
and:\n past caries history\n past fluoride history\n present oral
hygiene\n All of the above All of the above
302. When evaluating an occlusal "stick" with a sharp dental explorer, you
notice an opacity and loss of normal translucency adjacent to the tooth's
central pit and softness at the base of this area. Your recommendation for
treatment is:\n enameloplasty with a thin layer of flowable composite\n
removal of the softened tooth structure and replacement with a composite
material removal of the softened tooth structure and replacement with a
composite material
303. When considering preparing a tooth for a class I amalgam restoration,
the unaffected coalesced and accessory grooves ________ included in the
outline design.\n are\n are not are not
304. Posterior teeth with centrally located contact areas will require a
"reverse S" preparation in order to connect the occlusal portion of the class
II preparation with the proximal portion of the preparation.\n True\n False
False
305. The proper extension for a class III amalgam preparation in an incisal
direction should attempt to preserve some contact with the adjacent tooth.\n
True\n False True
306. The finish line with greater bonded strength for a class IV composite
is the ________; the more esthetic is the ________.\n chamfer, bevel\n
bevel, chamfer\n bevel, bevel\n chamfer, chamfer chamfer, bevel
307. Conditions or disease processes that are associated with joint
involvement include all of the following except:\n Hand, foot and mouth
disease\n rheumatic fever\n sickle cell anemia\n hemophilia Hand, foot
and mouth disease
308. One of these disease is not like the others. Which one is different?\n
impetigo non bullous\n rubella\n rubeola\n varicella\n herpangina
impetigo (non bullous)
309. Eventual full coverage of teeth with crowns is generally associated
with:\n amelogenesis imperfecta\n dentinogenesis imperfecta\n both
amelogenesis imperfecta and dentinogenesis imperfecta both amelogenesis
imperfecta and dentinogenesis imperfecta
310. Supernumerary teeth that duplicate typical anatomy, resembling an
adjacent tooth are referred to as:\n supplemental\n geminations\n
eumorphics\n twofers supplemental
311. Your radiograph indicates that a supernumerary tooth is in close
proximity to the maxillary central. In order to define if it is buccally or
palatally positioned in relation to the central you shoot another radiograph,
placing the film in the exact same position but moving the x ray head to the
right. On the film, the supernumerary appears to have moved in the same
direction as the repositioned xray head. You conclude that the
supernumerary tooth is ________ in relation to the central incisor.\n
buccally positioned\n palatally positioned palatally positioned
312. Bitewing radiographs should be taken:\n at every initial
examination\n at every recall examination\n as soon as the child can
tolerate the film placement\n when needed to complete the diagnosis when
needed to complete the diagnosis
313. Which patient(s) will require a series of four bitewings?\n A typical
five year old\n A typical seven year old\n A typical thirteen year old\n
Both a typical seven year old and a typical thirteen year old\n All of the
above A typical thirteen year old
314. Of the following methods to minimize the amount of radiation a
patient receives, which is the most important?\n Specific indication\n
Beam restrictors\n Lead apron/thyroid collar\n Fast film speed
Specific indication
315. Frankie is a healthy fiveyear old who you see in your office as a
referral from another office. The dentist noticed some yellow spots
bilaterally on Frankie's buccal mucosa. His oral hygiene is poor and his
gingiva bleeds when you are polishing the teeth. His mother admits that he
only brushes every other day and no one in the family flosses. Clinically,
you can detect small occlusal and buccal caries on tooth #T. He is very
cooperative and weighs in at 35 pounds. You pay particular attention to the
yellow spots on Frankie's buccal mucosa. The referrer sheet indicated that
the spots have been there at least two months. They are bilateral, appear as
ricelike papules, are small and asymptomatic. You speculate, based on this
information and your thorough oral examination that Frankie:\n has
measles\n bites his cheeks\n has an allergic reaction to food products\n
has an unusualt presentation of intraoral sebaceous glands has an
unusual presentation of intraoral sebaceous glands
316. Although it is prudent to err on the side of saving/maintaining space
whenever possible, there are times that placement of a space maintainer is
not indicated. Those situations would include all except:\n No alveolar
bone overlying the succedaneous tooth and three fourths of the root of the
permanent tooth has developed\n The space left by the prematurely lost
primary equals the mesiodistal width of the successor\n A gross
discrepancy exists in the MDA requiring future extractions and orthodontic
treatment\n The succedaneous tooth is congenitally missing and the space
closure is desired The space left by the prematurely lost promary tooth
equals the mesiodistal width of the successor
317. Limitations of a simple band and loop space maintainer include:\n
the abutment teeth may exfoliate before the need for space management has
been eliminated\n there is no provision for supraeruption of the opposing
tooth (teeth)\n both of the above both of the above
318. The first primary tooth to erupt is the ________ at approximately
________ of age.\n maxillary central; 6 months\n maxillary central; 10
months\n mandibular central; 6 months\n mandibular central; 10 months
mandibular central; 6 months
319. The last primary tooth to erupt is the ________ at approximately
________ of age.\n maxillary second molar; 24 months\n mandibular
second molar; 24 months\n maxillary canine; 24 months\n maxillary
second molar; 48 months\n mandibular second molar; 36 months
maxillary second molar; 24 months
320. Cher Mootah is a 7 yearold female who returns to your office for the
removal of tooth #B. She is a highrisk patient for bacterial endocarditis and
requires prophylactic antibiotic coverage prior to any procedure that is
associated with significan bleeding from hard or soft tissues. If little Cher
weighs in at 77 pounds, how many teaspoonfuls of a 250mg/5ml elixir will
she require one hour prior to the removal of the tooth? Hint: There are 5 ml
of liquid per teaspoon.\n Three\n Five\n Seven\n Nine\n None, tooth
removal has negligible risk of creating a bacteremia Seven
321. A bifid uvula suggests:\n the child should be evaluated for a
submucous cleft\n a traumatic tear of the soft palate during general
anesthesia intubation\n fellatio trauma\n the child is a natural born yodeler
the child should be evaluated for a submucous cleft
322. A radiographic examination which shows all deep structures clearly
and within normal limits, tooth contact areas welldefined and without
radiolucencies is considered to be:\n unproductive because it failed to
identify the presence of pathology\n negative because it identified no
pathology present negative because it identified no pathology present
323. The bisecting angle technique can be implemented when a patient has
difficulty tolerating a film holder such as the Rinn system or a SnapARay.
In order to miimize distortion, the central ray should be aimed
perpendicular:\n to the long axis of the tooth\n to the long axis of the
film\n to the bisector of the angle formed by the long axes of the tooth and
the film\n to the bisector of the angle formed by the long axes of the tooth
and the finger holding the film to the bisector of the angle formed by the
long axes of the tooth and the film
324. Which of the following important methods of minimizing a patient's
radiation exposure is the least important?\n Having a specific indication for
the radiograph\n Utilizing a leaded apron and thyroid collar\n Minimizing
the need for retakes by using proper technique Utilizing a leaded apron
and thyroid collar
325. Of the following disorders which one is not contagious?\n Varicella
(herpes zoster)\n Herpes simplex (herpes labialis)\n Epstein Barr
(mononucleosis)\n Coxsackie (herpangina)\n Paramyxovirus (rubeola)
Varicella (herpes zoster)
326. Recurrent aphthous ulcerations are typically found on ________
tissues, while herpetic gingivostomatitis is more frequently found on
________ tissues, even though they both manifest as craterlike lesions with
raised white borders and gray/white pseudomembrane.\n keratinized/non
keratinized\n non keratinized/keratinized non keratinized/keratinized
327. Early clinical findings include grayishwhite covering over tonsils
and faucial pillars, circumoral pallor, flushed cheeks, white coating on the
tongue, and prominent erythematous papillae?\n Cat scratch disease\n
Scarlet fever\n Rheumatic fever\n Meningeal fever\n Prodromal fever
Scarlet fever