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This paper consists of approximately 200 multiple choice questions: 100 single best answer questions as well as 20 extended matching themes consisting of a maximum of 100 questions. There are equal marks for each question. The duration of the examination is shown in the relevant version of the Regulations (regulation 3.2). The candidate guidance and information on the multiple choice questions given below should be read in conjunction with the Guidance to Candidates for Part 1 and Part 2 available on College Websites. Guidance to candidates There are equal marks for each question. It is strongly advised that you attempt all questions as no negative marks are applied. You will not gain a mark if you make an entry in more than one box for the same question. The answer sheets are scanned by machine. If you do not enter your answer clearly in accordance with the guidelines given below, the machine may reject it. Faint entries in the boxes on the answer sheet may be misread, resulting in no mark being given for that question. You may wish to enter your answers on the question paper first and then transfer them to the answer sheet later. However, you must allow sufficient time to transfer your answers before the end of the examination, as extra time will not be given to do this. You should check that each page of your question paper has been correctly printed.

Instructions to Candidates Do not make any marks on your answer sheet other than inserting your candidate number and indicating your answers with a bold horizontal line in the boxes provided. Use only the pencil provided. Do not use pen or ballpoint. If you need to change an answer, make sure that you rub it out completely so that the machine can accept your final answer. Do not fold or crease the sheet.

Single best answer (SBA) format There will normally be 100 single best answer questions. Each question contains five possible answers, only one of which is the single best answer. After reading a statement, you should decide which option from the list is the single best answer. When you are satisfied with your decision, you should record your answer on the answer sheet.

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In the example below, the answer is A. You would record your answer by making a heavy black mark in pencil in the box labelled A on line 76, as shown.

Example single best answer question 76 A 58-year-old man is attending your surgery for extraction of his upper right canine and lateral incisor and his upper left second premolar and first molar, with insertion of an immediate partial denture. After extracting the teeth, you attempt to insert the denture but are unable to seat it. What is the most likely cause of this problem? A B C D E Bony undercut not blocked out Distortion of tissues by local anaesthetic Failure to use a soft lining material Porosity introduced during processing of acrylic Post-extraction swelling

Extended matching question (EMQ) format

These test problem solving and the application of knowledge. There will be a maximum of 100 extended matching questions. Each theme contains a variable number of options and clinical scenarios. You are required to
match each scenario to one option from the list provided.

You should choose the most appropriate option. It is possible for one option to be the answer to
more than one of the clinical scenarios.

Once you have decided on the most appropriate option, mark it on your answer sheet by
making a heavy black mark in pencil in the box containing the letter of the option you have chosen, following the example given below. You should mark only the option that you believe to be correct. In the example below, if you decide that the answer to the first scenario is option B, you would record this by making a heavy black mark in the box labelled B on line 101, as shown. If you decide that the answer to the second scenario is option J, you would record this by making a heavy black mark in the box labelled J on line 102, and so on. Example extended matching question Theme: Options: A B C D E F G H I J Clinical microbiology Actinomyces israelii Actinobacillus actinomycetemcomitans Candida albicans Herpes simplex virus type 1 Herpes simplex virus type 2 Human cytomegalovirus Human Immunodeficiency virus Porphyromonas gingivalis Staphylococcus aureus Streptococcus sanguis

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For each of the situations given below, select the single most likely micro-organism from the list of options above. Each option may be used once, more than once or not at all. 101 A 17-year-old, otherwise healthy girl presents with 8-10 mm deep periodontal pockets affecting one lower incisor and both lower first molars. Microbiological samples of the pocket contents suggest infection with a gram-negative capnophilic organism. A 25-year-old caries-free man with gingivitis, but shallow pockets, develops infective endocarditis 10 days after a scaling procedure. The same common inhabitant of the oral cavity is isolated from culture of his venous blood on two consecutive occasions A 10-year-old boy with an elevated temperature has widespread confluent ulcerative lesions on his marginal and attached gingivae. The adjacent gingivae are erythematous. An area of speckled leukoplakia affects the cheek mucosa adjacent to the left angle of the lips. Histopathological examination of a biopsy specimen of the affected tissue reveals superficial infiltration by a micro-organism. A patient, known to be suffering from anaemia, presents with angular cheilitis. Microbiological sampling of the patients nostrils and the angles of his lips yield heavy growths of the same organism A 55-year-old haemophiliac patient presents with a painless white plaque along both lateral borders of his tongue. Accentuation of vertical folds with white irregularly thickened mucosa is evident. Haematological investigation reveals a reduced CD4 cell count Two months after the extraction of his mandibular left molars, a 40-year-old man complains of a relatively painless nodular left submandibular swelling from which multiple sinuses have appeared, draining pus, which contains sulphur-like granules. Microbiological examination of these granules reveals a mixed infection but with one organism predominating


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