ConservativeDentistryandEndodontics

Multiplechoicequestions

1.Accordingtooxfordscalethehighestlevelofevidenceisgivenby

1. SystematicreviewwithhomogenecityofrandomizedclinicaltrialsAns
2. Individualrandomizedclinicaltrial
3. Systematicreviewwithhomogenecityofcohortstudy
4. Individualcohortstudy

2.Afterinferioralveolarnerveblock,pulpalanesthesiadevelops

1. 35minutesaftertheblock
2. 57minutesaftertheblock
3. 710minutesaftertheblock
4. 1015minutesaftertheblock

3.Thediagnostictestwithleastsensitivityis

1. Coldtest
2. Heattest
3. ElectricpulptestAns
4. Testcavity

4.Thecriticalapicaldiametertoobtainregenerationofthepulptissueaftertoothtransplantation,
replantation,orregenerativeendodontictreatmentis

1. 1mmAns
2. 0.32mm
3. 0.53mm
4. Apicaldiameterdoesnotmatter
5.Aneffectivepulpalandsofttissuelocalanestheticreversalagentis

1. Diphenhydramine
2. Hyaluronidase
3. Phentolaminemesylate
4. Tranylcpromine

6.Occlusalreductioninteethwithirreversiblepulpitisandmildtendernesstopercussion

1. Increasespostoperativepain
2. Decreasespostoperativepain
3. Hasnoeffectonpostoperativepain
4. Inmales,itdecreasesbuthasnoeffectinfemales

7.ThebestprotocolfordetectionofVerticalRootFracturesbyUsingConeBeamComputed
Tomographyisachievedat

1. 0.125mmvoxelsize
2. 0.2mmvoxelsize
3. 0.3mmvoxelsize
4. 0.4mmvoxelsize

8.CompressivestrengthofMTAcanbeimprovedby

1. Ultrasonicagitation
2. Applicationofacondensationpressureof3.22MPafor1minute
3. Condensingwithawetcotton
4. Byaddingsuitableadditives

9.Higherincidenceofverticalrootfracturesareseenin

1. Maxillaryfirstmolars
2. Maxillarypremolars
3. Mandibularsecondmolars
4. Mandibularpremolars
10.InCshapedconfiguration,categoryIIIis

1. UninterruptedCwithnoseparation
2. Onlyoneroundorovalcanal
3. Twoorthreeseparatecanalsandbothangles,alphaandbetaarelessthan60degree
4. Semicoloncanalshapebuteitheranglesalphaandbetashouldbenolessthan60degree

11.Allarefeaturesofreferredpainexcept

1. Itisinacephaladdirection.
2. Itoccursinalaminatedfashion
3. It is pain felt in an area innervated by a nerve similar to one that mediates the primary
pain
4. Itcanonlybeprovokedbymanipulationoftheprimarysourceofpain

12. Success rates of inferior alveolar nerve block anesthesia for teeth with irreversible pulpitis
canbe

1. Increasedbypremedicationwithibuprofenandindomethacin
2. Increasedbydoublingthequantityofthelocalanestheticsolution
3. Increasedbyusingcarbonatedsolutions
4. Successcannotbeimproved,supplementaltechniquesshouldbeemployed

13.PrecipitateformedoninteractionbetweenSodiumhypochloriteandchlorhexidine
canbepreventedbyintermediateflushesof

1. Absolutealcohol
2. Saline
3. Distilledwater
4. 10%EDTA

14.PhotonInducedPhotoacousticStreaming(PIPS)utilizes

1. Ho:YAGlaser
2. HeNelaser
3. Er:YAGlaser
4. Nd:YAGlaser
15. The rationale for a perpendicular root end resection is based on the following parameters
except

1. Ismorelikelytoincludealltheapicalramifications
2. Simplifiesrootendpreparation
3. Stressesgeneratedduringrootendpreparationareuniformlydistributed
4. Isnecessarytogainadequatevisualizationandaccess

16.Topreventsmearingandshreddingofguttaperchaacrosstherootfaceduringrootresection

1. Usehandpiecewithoutwatersprayacrosstherootfaceinreversedirectioninrelationto
thebursdirectionofrotation
2. Usehandpiecewithwatersprayacrosstherootfaceinsamedirectioninrelationtothe
bursdirectionofrotation
3. Usehandpiecewithwatersprayacrosstherootfaceinreversedirectioninrelationtothe
bursdirectionofrotation
4. Usehandpiecewithoutwatersprayacrosstherootfaceinsamedirectioninrelationto
thebursdirectionofrotation

17.AccordingtothemanufacturersofProrootMTA,ifthismaterialhastobeusedasrootend
fillingmaterialwhichrootconditioningagentshouldbeavoided?
1. Citricacid
2. TetracyclineHCL
3. EDTA
4. Phosphoricacid

18. All are advantages of ultrasonic root end preparation over the micro handpiece method
except

1. Moreconservativepreparation
2. Significantlylesssmearlayerproduction
3. Decreasedincidenceofrootendfractures
4. Decreaseincidenceofrootendperforation
19.Theunaidedhumaneyecandistinguish

1. About10to14lp/mm
2. About15to21lp/mm
3. Greaterthan21lp/mm
4. Dependsuponindividualseyeresolution

20.Allaretrueregardingdigitalradiographyexcept

1. Ithasreducedradiationdosage
2. Ithasissuesrelatedtoinfectioncontrol.
3. Ithassuperiordiagnosticabilityincomparisontofilmbasedradiography
4. Itgivesdynamicimagewithreadyoptionforpostimagingenhancement

21. The most important predisposing factor for development of vertical root fracture in
endodontictherapyis
1. Lossofmoistureinthedentin
2. Amountofremainingdentinthickness
3. Canalcurvature
4. Amountofbonysupport

22.Allareindicationsforsystematicantibiotictherapyduringendodontictherapyexcept

1. Fevergreaterthan100*F
2. Osteomyelitis
3. Localizedfluctuantswelling
4. Trismus

23.Endodonticflareups

1. Aremorecommoninfemales
2. Aremorecommoninpatientswithdecreasedimmunity
3. Aremorecommoninretreatmentcases
4. Aremorecommoninmandibularposteriorteeth
24.Theefficacyofintrapulpalinjectiondepends
1. Ontheamountoflocalanestheticsolutiondeposited
2. Onthetypeofthelocalanestheticsolutiondeposited
3. Ontheamountofbackpressuredeveloped
4. Onthetypeofneedleandsyringeused

25.Toimprovethewearresistanceofnickeltitaniuminstrumentsitisrecommendedto

1. Electropolishthesurface
2. CreateaTiNsurfacecoating
3. Employnitrogenionimplantation
4. Useheattreatment

26.AllareadvantagesofNiTiinstrumentsovertheirstainlesssteelcounterpartsexcept

1. Improvedcanalcenteringability
2. Improvedcuttingefficacy
3. Improvedfractureresistance
4. Improvedclinicalandradiographicoutcome

27.TheprimaryfactorresponsibleforNiTiinstrumentsfractureis

1. Revolutionperminute
2. Angleofcanalcurvature
3. Operatorexperience
4. Torque

28.Topreventtaperlockforrotaryinstrumentsitisrecommended

1. Touseappropriatetorque
2. Touseinstrumentsincrowndowntechnique
3. Touseinstrumentsatlowrpm
4. Touseinstrumentsinreciprocatingmotion
29.Doubleantibioticpasteconsistsof

1. Metrogylandciprofloxacin
2. Ciprofloxacinandminocycline
3. Minocyclineandmetrogyl
4. Metrogylandclindamycin

30. Maximum percentage of Gutta percha filled area in the apical third of the root canal is
achievedby

1. Lateralcondensationtechnique
2. SystemBtechnique
3. Thermafiltechnique
4. Microsealsystem

31.RotaryinstrumentationforremovalofGuttaperchashouldbeoperatedatspeedbetween

1. 300500rpm
2. 500700rpm
3. 700900rpm
4. 9001200rpm

32.Whenmanagingblockedorledgedcanals

1. Theshortestlengthfiletoreachtheworkinglengthshouldbechosen
2. Alongerlengthfiletoreachtheworkinglengthshouldbechosen
3. Alongerlengthfileshouldbemodifiedtomatchtheworkinglength
4. Alongerlengthfilewithcuttingtipshouldbeused

33.Themostcriticalfactoreffectingthesuccessofperforationrepairis

1. Sizeoftheperforation
2. Typeofrepairmaterial
3. Locationofperforation
4. Timeelapsed
34.ManagementoftypeIIItransportationinvolves

1. CreateMTAbarrierandproceedwithobturation
2. Correctivesurgery
3. Renegotiatecanalcurvature,debrideandobturate
4. Revascularization

35.Thepreferredhemostatforperforationrepairis

1. Ferricsulphate
2. Calciumhydroxidepowder
3. Calciumsulphategranules
4. Laserapplication

36.Thebarrierofchoiceforperforationrepairwhenutilizingtechniquesofadhesivebondingis

1. Collagen
2. Freezedriedbone
3. Calciumsulphate
4. Collacote

37.Thesuccessofnonsurgicalprimaryendodontictherapyforteethwithapicalperiodontitisis

1. 5670%
2. 7386%
3. 100%
4. 9496%
38.Whichtypeofcanalismostpronetoledgeformation?

1. Long,narrowandcurved
2. Long,ovalcanal
3. Long,wideandcurved
4. Long,roundcanal

39.Withtheconemovedtothedistalandfacingtowardthemesial,themesiobucalrootofthe
firstmolar

1. Willbeprojectedmesiallyonthefilm
2. Willbeprojecteddistallyonthefilm
3. Willnotmove
4. Appeartomovelingually

40. Which of the following scenarios yields the most favorable prognosis in cases with a
separatedinstrument?

1. Asmallinstrumentshortoftheworkinglength
2. Asmallinstrumentbeyondtheapicalforamen
3. Alargeinstrumentatanearlystageofinstrumentation
4. Alargeinstrumentclosetotheworkinglength

41.Therecommendedtreatmentforteethwithintrusiveluxationinjuriesgreaterthan7mmand
closedapexis

1. Spontaneousrepositioning
2. Orthodonticrepositioning
3. Surgicalrepositioning
4. Extractionfollowedbyimmediateimplant

42.Theidealdonortoothforautotransplantationinthelateralmaxillaryregionis

1. Maxillaryfirstpremolar
2. Mandibularfirstpremolars
 3. Mandibularsecondpremolar
4. Maxillarysecondpremolar

43.Theleastdesirablestoragemediaforavulsedteethis

1. Milk
2. Saliva
3. Saline
4. Tapwater

44.Thehighestincidenceofpulpcanalobliterationisobservedin

1. Extrusiveluxationinjuriesandcompleterootformation
2. Intrusiveluxationinjurieswithincompleterootformation
3. Concussioninjurywithincompleterootformation
4. Subluxationwithcompleterootformation

45. Elevated levels of IgE have been identified in a periapical granuloma after canal
instrumentation.Thismaypresentwhichtypeofhypersensitivereaction

1. Immediatehypersensitivity
2. Immediatecytotoxichypersensitivity
3. Immunecomplexhypersensitivity
4. Delayedhypersensitivity

46. The cytokine, interleukin1 (IL1) has been identified in the inflamed pulp and periapical
tissue.Itisresponsiblefor

1. Boneresorption
2. Neutralizationofbacterialtoxins
3. Inhibitionofinflammation
4. Phagocytosisbymacrophages
47.AccordingtoADAspecification63,thetaperforbarbedbroachesshouldbe

1. .0007mm/mm
2. .02mm/mm
3. .015mm/mm
4. .010mm/mm

48.AdisadvantageofCavitascomparedtoIRMisthatit

1. Ismoresusupectibletothermalchanges
2. Shrinksonsetting
3. Haslowercompressivestrength
4. Ismoreexpensive

49.Etchingtheenamelpriortobleaching

1. Enhancesthepenetrabilityofthebleachingsolution
2. Reducespostoperativesensitivity
3. Reducesthenumberofsessions
4. Enablestoperformbondedrestorations,ifneededimmediately

50.AllaremethodtoimprovetheantimicrobialefficacyofNaOclexcept

1. Heating
2. Increasingthevolume
3. Increasingtheconcentration
4. AlternatingitwithEDTA

51.TherecommendedtimeforremovalofsmearlayerbyEDTAis

1. 10minute
2. 5minute
3. 3minute
4. 1minute

52.Bacteriamostcommonlydetectedinprimaryinfectionsofteethwithacuteapicalabscessis

1. BacteroidetescloneX083
2. Treponemadenticola
3. Enterococcusfaecalis
4. Fusobacteriumnucleatum

53.Mechanicalallodyniais

1. Noxiousstimuluscausingpain
2. Noxiousstimuluscausingexaggeratedpain
3. Nonnoxiousstimuluscausingnopain
4. Nonnoxiousstimuluscausingpain

54.Themostconsistentfactorthatpredictsoccurrenceofpostendodonticpainis

1. Presenceofpreoperativepain
2. Immunestatusofthepatient
3. Gender:femalesarepronetopain
4. Age:agegroupbetween5060aremorepronetopain

55.AccordingtoOxfordleaguetableofanalgesicefficacy,themosteffectiveanalgesictotreat
endodonticpainis

1. Tramadol50mg
2. Diclofenac100mg
3. Ibuprofen800mg
4. Codeine60mg

56.ChemicalthatcanbeeffectivelyusedasanadjuncttodissolvesetWhiteMTAis

1. Citricacid
2. Carbonicacid
3. Absolutealcohol
4. SetMTAcannotbedissolved
57.Inevaluatingtreatmentresults,theconsensusontheminimumperiodofobservationis

1. Atleastsixmonths
2. Sixmonthstoayear
3. Atleastoneyear
4. Atleasttwoyear

58.Thepreferredamalgamforrestorationofendodonticallytreatedteethis

1. Admixed
2. Spherical
3. Lathecut
4. Highcopperlathecut

59.Thepreferredmaterialforrestoringaccesscavitymadethroughporcelainfusedmetalcrown
is

1. Bulkfillwithbondedamalgam
2. Bulkfillwithglassionomerfollowedbycomposite
3. Bulkfillwithcomposite
4. Ceramicinlay

60.Enamelspindlesare

1. Hypo mineralized structures of enamel rods that project between adjacent groups of
enamelrodsfromDEJ
2. Thin, leaf like faults between enamel rod groups that extend from the enamel surface
towardstheDEJ
3. OdontoblasticprocessesthatcrosstheDEJintotheenamel
4. Enamelrodsformedlinearlybysuccessiveappositionofenamelindiscreteincrements
61.Duringtoothpreparation,dentincanbedistinguishedfromenamelbyallparametersexcept

1. Color
2. Hardness
3. Reflectance
4. Wetness

62. Post restoration, flabby, red colored, chronically inflamed gingiva and increased plaque
retentionisdueto

1. Patientnotmaintainingoralhygiene
2. Overcontouringtherestoration
3. Undercontouringtherestoration
4. Allergicreactiontothematerials

63.Supportingcuspcanbeidentifiedbyfollowingcharacteristicfeaturesexcept

1. Theyarenearerthefaciolingualcenterofthetooth
2. Theirouterinclinehasthepotentialforcontact
3. Theyhavesharpcuspridges
4. TheycontacttheopposingtoothinMI

64.DemineralizationofenameloccursatpHrangeof

1. 5.05.5
2. 3.04.0
3. 2.53.5
4. 4.04.5

65.Amongthefollowing,thelutingcementwithleastfilmthicknessis

1. Polycarboxylatecement
2. Zincphosphate
3. Conventionalglassionomer
4. Resinreinforcedzincoxideeugenol
66.Allareacceptableinstrumentgraspexcept

1. Invertedpengrasp
2. Modifiedpengrasp
3. Pengrasp
4. Modifiedpalmandthumbgrasp

67.Cynodontis
1. Moderateenlargementofthepulpchamberattheexpenseoftheroots
2. Largepulpchamberwithshortbutstillseparateroots
3. Normalpulpchamberwithproportionaterootlengths
4. Cylindricalformwherethepulpchambernearlyreachestheapexandthenbreaksupinto
2or4channels

68.Optimallocationforintraosseousanesthesiaformandibularsecondmolarsis

1) Distaltothemolar
2) Mesialtothemolar
3) Inthefurationarea
4) Apicalperforationandinjection

69.Theidealextensionofselfthreadingpinis
1. 2.0mminamalgamand3.0mmindentin
2. 2.0mminamalgamand2.0mmindentin
3. 3.0mminamalgamand2.0mmindentin
4. 3.0mminamalgamand3.0mmindentin

70.Thetriangulari.e.anatomicwedgeisrecommendedforpreparation
1. Withdeepgingivalmargins
2. Whereextraseparationisdesired
3. Whenbroadcontactsaredesired
4. Withconservativeproximalboxes

71.Itisrecommendedtodiscardaamalgammixifit
1. 5minutesposttrituration
2. 3minutesposttrituration
3. Losesitshine
4. Becomesflaky


72.Atoothcanbemadetoappearshorterby
1. Positioninggingivalheightofcontourgingivally
2. Positioninggingivalheightofcontourincisally
3. Positioningmesialanddistallineanglescloser
4. Positioningdevelopmentaldepressionsfurtherapart

73.Thecontactangleofwaterondentalwaxis105degrees.Whichofthefollowingterms
describethewetabilityofthewax
1. Hydrophilic
2. Hydroscopic
3. Hydrophobic
4. Hygroscopic

74.Thedentinalfluidflowrateisafunctionofallexcept
1. Tubulediameter
2. Tubulelength
3. Tubuleposition
4. Viscosityoffluid

75.Cementtrailisaradiographicfeatureobserved
1. Whenexcesssealeriscoatedinthecanal
2. Whencementextrudesfromaaccessorycanal
3. Whencementextrudesfromaverticalrootfracture
4. Whenthereisfurcalinvolvement

76.TheradiopacityofMTAisequivalenttoapprox:

1. 3.0mmofaluminum
2. 5.0mmofaluminum
3. 6.0mmofaluminum
4. 8.0mmofaluminum

77.WhichreactionsdescribesthesettingofMTAbetween7thand28thdays

1. 3CaO.Al2.+6H2O______3CaO.Al2O3+6H2O
2. 2CaO.SiO2+XH2O______2CaO.SiO2H2O
3. 3CaO.Al2o3+3(COSo4.2H2O)2H2O________3Cao.Al2O3.3(CoSo4.2H2o).6H2O
4. 3Cao.Al2o3+6H2O_________3Ca(OH)2+2Al(OH)3

78.TypeIIisthmusischaracterizedas

1. Faintcommunicationbetweentwocanals
2. Definiteconnectionbetweentwocanals
3. Veryshort,completeisthmusbetweentwocanals
4. Completeorincompleteisthmusbetweenthreeormorecanals

79. When cervical root fracture is suspected the X ray angulations which would be most
appropriateis

1. 90*angulations
2. 45*angulations
3. 110*angulations
4. Occlusalviewispreferred

80.Applicationofwhatconcentrationofphosphoricacidresultsinformationofdicalcium
phosphate monohydrate precipitate that cannot be removed easily and consequently may
interferewithadhesion

1. 37%
2. 25%
3. 50%
4. 60%

 Key

1. 1
2. 4
3. 3
4. 1
5. 3
6. 3
7. 2
8. 1
9. 3
10. 3
11. 3
12. 1
13. 1
14. 3
15. 4
16. 2
17. 3
18. 3
19. 1
20. 3
21. 3
22. 3
23. 3
24. 3
25. 2
26. 4
27. 1
28. 2
29. 1
30. 3
31. 4
32. 1
33. 4
34. 2
35. 2
36. 3
37. 2
38. 3
39. 1
40. 4
41. 3
42. 2
43. 4
44. 2
45. 1
46. 1
47. 1
48. 3
49. 1
50. 4
51. 4
52. 2
53. 4
54. 1
55. 3
56. 2
57. 3
58. 2
59. 2
60. 3
61. 4
62. 2
63. 3
64. 1
65. 2
66. 3
67. 3
68. 2
69. 2
70. 1
71. 2
72. 2
73. 3
74. 3
75. 3
76. 1
77. 2
78. 2
79. 1
80. 2