Académique Documents
Professionnel Documents
Culture Documents
September 2006
Paper 1
1. The term abrasion best describes:
2. Some days after preparation and filling of a shallow class I amalgam cavity the patient
complains of pain on biting. You would:
A. When the abutment teeth don’t have the same path of insertion
6. In a class II.2 malocclusion, which bridge design would be contraindicated for a missing
lateral upper incisor?
A. Cantilever bridge
B. Maryland bridge
7. Which is the best cantilever bridge design for missing maxillary canine? Abutment on
A. Both premolars
B. Lateral and central incisor
C. Lateral incisor
D. First premolar
A. Remove 1-2 mm of the pulp tissue surface, place calcium hydroxide and fill with resin
B. Remove 1-2 mm of the pulp tissue surface and cover with ledermix
C. Place calcium hydroxide directly on the exposed pulp
D. Pulpotomy using formocresol
E. Pulpectomy and immediate root filling
9. In a flouridated toothpaste with 0.304% sodium fluoride the amount of flouride ions is
A. 400 ppm
B. 1000 ppm
C. 1500 ppm
D. 4000 ppm
A. 0.02 ml/min
B. 0.2 ml/min
C. 2 ml/min
13. What is the reason for a tooth to develop pulpitis several years after setting of a full
veneer gold crown?
A. Bacterial microleakage
14. How is the regeneration process after damage by injury to odontoblasts working?
15. In construction of full dentures, what does the term “too low vertical dimension” refer
to?
A. A situation in which there is too much interocclusal space between upper and lower
artificial teeth when the mandible is in rest position.
A. Very painful
B. Symptom-free or only mild pain
19. What kind of root fracture in a tooth has the best prognosis? A fracture at the
A. Apical third
B. Coronal third
C. Middle third
D. Vertical fracture
21. What is the purpose of making a record of protrusive relation and what function does it
serve after it is made?
A. To register the condylar path and to adjust the inclination of the incisal guidance.
B. To aid in determining the freeway space and to adjust the inclination of the incisal
guidance.
C. To register the condylar path and to adjust the condylar guides of the articulator so that
they are equivalent to the condylar paths of the patient.
D. To aid in establishing the occlusal vertical dimension and to adjust the condylar guides of
the articulator so that they are equivalent to the condylar paths of the patient.
22. A 50 years-old patient presents with pain from time to time on light cervical abrasions.
What is your first management to help patient in preventing pain in the future?
23. In planning and construction of a cast metal partial denture the study cast
24. What are the artificial teeth in removable dentures made of?
A. Porcelain
B. Cross-linked methyl-methacrylate
C. Ethyl-methacrylate
D. Acrylic
A. The ridge height is lost more from the maxilla than from the mandible
B. The maxillary ridge will get more bone lost from the palatal aspect than the buccal
C. The mandibular arch is relatively narrower than the maxillary arch
D. Compared with the pre-resorption state, the mandibular ridge will lose more bone from
the lingual aspect than the buccal one.
26. Which anatomical landmark is important to include in impressions for lower full
dentures?
A. Mylohyoid ridge
B. Lower incisive papilla
A. Marble
B. Quenched
C. Has undergone cold treatment during processing
28. Which of the following is ONE indication for indirect pulp capping?
30. A major difference between light cured and chemical cured composite is that during
setting or in function the light cured materials tend to:
31. What consideration is important in deciding if a bridge for upper missing incisors should
be made in pontic design or with gingiva imitation?
A. Wishes of patient
B. Bone resorption in edentoulos span
32. The most common cause of porosity in porcelain jacket crowns is,
A. Moisture contamination
B. Excessive firing temperature
C. Failure to anneal the platinum matrix
D. Excessive condensation of the porcelain
E. Inadequate condensation of the porcelain
34. The minimal labial tooth reduction for satisfactory aesthetics with porcelain fused to
metal crown is,
A. 1mm
B. The full thickness of enamel
C. 1.5 mm
D. 2.5mm
E. One third of the dentine thickness
36. When a removable partial denture is terminally seated the retentive clasps tips should:
A. Acid-Base reaction
B. Addition polymerisation reaction
C. Growth of glass crystals
D. Slip plane locking
E. Solvent evaporation
A. Trigeminal nerve
B. Glossopharyngeal
C. Facial nerve
D. Recurrent laryngeal
39. The use of nickel chromium in base plate should be judiciously considered because:
40. Which of the following liquids is not suitable for prolonged immersion of cobalt
chrome partial dentures:
A. Alkaline peroxidase
B. Sodium hypochlorite
C. Soap solutions
D. Water
42. The most common cause of fracture at the isthmus of a class II dental amalgam
restoration is:
A. Insufficient condesation
B. Fracture line developing from pulpal-axial angle of the cavity
C. Underconturing of the isthmus area
D. Moisture contamination of the amalgam during placement
E. Inadequate bulk of amalgam at pulpo-axial line angle
44. What is CORRECT in regard to the periodontal surface area in maxillary teeth:
45. When restoring with composite resins, why do we do the cavo-surface bevelling:
A. Aesthetic
B. To open enamel rods for acid attack
C. To smooth preparation
D. A and B
E. All of the above
A. GIC
B. Resin cement
C. Composite resin
D. Zinc Phosphate cement
E. Oxide Zinc and eugenol
50. The ideal length of a post in the fabrication of crown and core of endodontically
treated tooth is:
A. 2/3 of tooth
B. the tooth length
C. 1.5 times that of the crown
D. ½ root length
E. The length of the crown
51. While you finish a class I cavity, the enamel is sound but you notice a thin brown line
in the dentine and on the dentino-enamel junction, what is your response,
A. Porion, orbitale
B. Sella, orbitale
C. Nasion, Tragus
54. The biting load of a denture base to the gingival tissues compared to teeth are,
55. The difference between normal stone and the dye stone is,
56. The advantage of the silicone in soft relining material over hard plastic acrylic
materials is,
A. Capability to flow
B. Prevents the colonization of Candida albicans
C. Resilient in long run
D. Better bond strength
57. A female patient comes to you complaining of persistent pain in a heavily restored
central incisor; you suspect irreversible pulpitis and you have been told that she is in
transit leaving by plane next day. Your treatment will be,
58. The flexibility of the retentive clasp arm does not depend on:
59. Following calcium hydroxide pulpotomy, the dentist would expect dentine bridge to
form at,
60. In the construction of a full veneer gold crown, future recession of gingival tissue can
be prevented or at least minimised by,
62. The removable partial denture requires relining,what would be the most appropriate
action,
A. Proportional unit
B. Modulus of elasticity
C. Stress/ strain
D. Ultimate tensile strength
64. Two central incisors on a radiograph are showing with what looks like eye drop
radiolucency. You decided to start endodontic treatment on these teeth but when you
tried to open access to the root canal you find clearly closed orifices with what look like
secondary dentine. What is your initial management?
65. After the initial development stage and in the absence of pathology, the size of the pulp
chamber has been reduced by,
A. 100-199 nm
B. 200-299 nm
C. 300-399 nm
D. 400-499 nm
69. Where would you expect to find the mylohyoid muscle in relation to the periphery of a
full lower denture:
70. After reimplantation of an avulsed tooth the prognosis may be poor because of
A. External resorption
B. Internal resorption
A. 0.5mg
B. 1.0 mg
C. 1.5mg
D. 10mg
72. How would you treat denture stomatitis?
A. Nystatin
B. Tell the patient to leave the denture out for some days
74. ?
A. Extension of denture beyond mylohyoid ridge leads to pain in swallowing
75. ?
A. Plaque removal in case of exposed roots is important as plaque opens the dentinal tubules
and causes spread of caries.
Paper 2
A. a and b
B. a, c and d
C. a, b and c
D. None of the above
E. All of the above
3. A suddenly swollen upper lip that lasts for 48 hours or more is most likely
A. Haemangioma
B. Agioneurotic oedema
C. Mucocele
D. Cyst
A. Speed of film
B. Collimation
C. Filtration
D. Cone shape and length
E. Use of lead apron
6. A patient in your dental chair shows chest pain, weak pulse and dysponea, what is your
initial management,
A. Administer nitro-glycerine and keep the patient up seated
B. Put the patient in supine position
C. Wait until the symptoms go away
7. Developer was contaminated with other chemical and was not mixed properly. What is
the effect on the X-ray film?
A. 2 ml/min
B. 0.2 ml/min
C. 0.02 ml/min
D. 20 ml/min
10. Some hours after the extraction of a lower molar the patient complains of prolonged
post operation bleeding and pain, how would manage this,
A. Prescribe analgesics and ask the patient to follow a strict oral hygiene
B. Administer 5% Marcaine Local Anaesthetic, prescribe analgesics and pack the socket
with alvogyl
C. Administer 5% Marcaine Local Anaesthetic, suture the socket and prescribe analgesics
D. Suture and give pressure packs
12. A patient with no positive history came along for scaling. The moment you pick up
your anterior scaler you punch your finger, what should you do?
13. A patient on the dental chair has cardiac arrest. What is INCORRECT,
A. Observing the vital signs and check that the air way is clear is at high importance
B. Expired air has 15% O2 only, and cardiac compressions achieve 30-40% of cardiac output
C. Intermittent positive pressure at the rate of 40/min will reduce the chances of cerebral
hypoxia
D. Intermittent positive pressure is better than mouth to mouth when it has been given at the
same rate.
E. You check the pulse and respiration of the patient before starting any resuscitation
14. The best radiograph for investigating the maxillary sinus is,
A. Periapical radiograph
B. Panoramic view
C. Lateral cephaloghraph
D. Occipitomental view
E. Reverse Towne’s view
A. Bell’s palsy
B. Traumatic bone cyst
C. Trigeminal neuralgia
D. Osteomyelitis
E. Ludwig’s angina
17. In anxoius and psychologically stressed patients gingivitis is often more severe because
of
A. erupt buccally
B. erupt lingually
C. ankylise
20. Ankylosis of teeth is often found after changes in the continuity of the occlusal plane.
These changes are caused by
A. Prevention of osteomyelitis
B. Pain relief
23. A patient presents with pain in the upper left segment. On inspection you find a localized
alveolar abcess distal 27. What will be you management?
A. Drainage
B. Extraction of tooth
24. What does not help in establishing the caries risk in children?
A. History of caries
B. Lactobacillus count
C. Dietary habits
D. Brushing habits
E. Genetic predisposition
26. Which of the following have a tendency to recur if not treated correctly?
27. A 22 year old woman has acute gingival hypertrophy, spontaneous bleeding from the
gingiva and complains of weakness and anorexia. Her blood analysis was as follows:
HB=12gm, Neutrophils=90%, Monocytes=1%, Platelets=250000, WBC=100000,
Lymphocytes=9%, Eosinophils=0%. The most likely diagnosis is:
A. Myelogenous leukaemia
B. Infectious mononucleosis /glandular fever/
C. Thrombocytopenic purpura
D. Gingivitis of local aetiological origin
E. Pernicious anaemia /Vitamin B12 deficiency/
28. When no radiation shield is available, the operator should stand out of the primary x-
ray beam at a distance from the patient’s head of at LEAST:
A. 0.5 metres
B. 1 metre
C. 1.5 metres
D. 2 metres
E. 3 metres
30. What is the dominant microflora in acute necrotic ulcerative gingivitis (ANUG)?
32. What are the points that determine the facial line in cephalometric points (The angle of
the convex facial line)?
33. A 10 year old boy presents with small greyish white lesion surrounded by a red halos
on the soft palate and tonsillar pillars, small vesicles are found. He has fever and pain
in the ear and won’t eat. The MOST probable diagnosis is?
A. Herpangina
B. Measles
C. Primary herpetic stomatitis
34. A 12 years-old child presents with symptoms of widespread gingivitis with bleeding and
general malaise for several weeks. How would you manage this patient?
35. What is the effect of office dental prophylaxis of regular six month intervals on
children’s oral health?
36. What is the most frequent cause of pain which occurs several days after obturation?
A. Entrapped Bacteria in the periapical region
B. Underfilling the root canal system
C. Overfilled root canal
37. A diabetic patient with moist skin, moist mouth and weak pulse; what would you do:
39. A patient has developed a sever chest pain and difficulties in breathing while in the
dental chair. Your initial response is:
40. In the case of malignant melanoma occurring intraorally, which of the following is
true:
41. What is NOT TRUE in relation to the use of diazepam for sedation?
42. Topical fluoridation in a 14 years-old boy will not lead to mottling because
A. Teeth are already calcified
44. A physician refers a nine year old boy to you to confirm diagnosis. The boy has a fever
of 40°C and coughing. When you focus your light into his eyes he turns away. Intra-
orally there are white spots surrounded by red margins. The disease and lesions are:
48. A middle aged woman gives a history of intermittent unilateral pain in the sub
mandibular region, most probable cause is,
50. What is the danger of using air as a cooler during cavity cutting:
A. Hypersensitivity
B. Odontoblasts are drawn into the tubules
C. Dehydrates the tooth
D. A+B
E. A+B+C
52. A patient is resistant to caries but has a periodontal disease. In this case, sucrose in diet
is important because:
54. A patient comes with a firm, painless swelling of lower lobe of parotid which has grown
progressively for the past year. He complains of paresthesia for the past 2 weeks. This
is most likely to be:
A. Pleomorphic adenoma
B. Carcinoma of the parotid
C. Lymphoma of parotid
56. During extraction of a maxillary third molar the tuberosity is fractured; however, it
remains in place attached to the mucoperiosteum. Which of the following procedures
should be employed:
57. An incision biopsy of an ulcerated and intruded clinically suspicious lesion in a 50 year
old female reveals chronic inflammation; you would:
A. Inform the patient and her physician of your findings and instruct the patient to return in
six months
B. Surgically excise the entire lesion since you know it is not malignant
C. Dismiss the patient with instructions for warm saline rinses and re-examination
D. Repeat the biopsy
A. increase sharpness
B. increase density
A. Preservation of pulp
B. Immobilisation
C. Root canal treatment
D. Calcium hydroxide treatment
60. Which of the following has proven to be the MOST important in community preventive
program:
61. What effect has placing a sealant over pits and fissures on the progression of caries?
A. 1 and 3
B. 1 and 4
C. 1 and 5
A. Branchial cyst
B. Thyroglossal duct cyst
C. Ranula
D. Retention cyst
F. Glossothyroid cyst
67. A 58 year old male has been treated with radiation for carcinoma of tongue. The
patient complains of pain associated with poor dentition. The dental management
would be:
A. Immediate extraction of any poor teeth under local anaesthetic with antibiotic coverage
B. Segmental dental clearance and closure to eliminate problems
C. No dental treatment may be due to neuronic of neoplasms
D. Clearance of poor dentition followed by hyperbaric oxygen treatment plus a primary
closure of wounds under antibiotic coverage
E. No extraction as radionecrosis is an important sequelae
69. In a radiograph the roots of the upper teeth are too short because of:
A. Reparative dentin
B. Secondary dentin
C. Primary dentin
D. Reaction dentin
E. Tertiary dentin
A. hypophosphatasia
B. Cyclic neutropenia
C. Juvenile periodontits
76. A patient reports to you with an exophytic lesion on the tongue and a raised white
blood cell count of 2 x 109 per ml. You would
A. Do a biopsy
B. Refer for serologic testing
C. Give acyclovir
77. Normal prothrombin time and elevated partial thromboblastin time is seen in
78. Which of the following describes best a 9 years-old child permanent dentition?
A. 16 12 11 | 21 22 26
------------------------
46 42 41 | 31 32 36
B. 12 11 | 21 22
----------------
42 41 | 31 32
79. What is the best reason to promote tooth brushing to the public?
A. The total number of carious areas affected and any present caries
B. The individual risk for a patient to acquire caries
1. Irritability
2. Fever
3. Occurs in teenagers
4. Vesicles occur only on buccal mucosa and tongue
A. 1+2+3
B. 1+2+4
C. 1+4
D. All of the above
87. A patient in your dental chair suddenly becomes agitated with shallow breathing, full
pulse and a blood pressure of 150/80. You would
A. Give oxygen
B. Give insulin
C. Give glucose
D. Place patient in supine position
88. After periodontal surgery, the regeneration of the periodontal ligaments takes place by
___________________________________________________________________________
Actually, there were 80 MCQs in each of the two papers. I probably put some questions in the
wrong paper.
SAQ in September 2006 in Sydney
1) Patient gives history of Warfarin treatment in the assessment. What will be the
considerations in the dental management of such patient? ( compulsory )
2) Patient has missing upper lateral incisor. What are the different treatment options?
3) 55 years-old Patient has mobile upper anterior teeth and a diastema is starting to develop.
What will be the differential diagnosis and its management?
4) Patient has apical abscess in 46 and needs extraction. Already 4.4 ml. of 2% lignocaine
with adrenaline 1: 80.000 is injected, but when you try to extract tooth it is still painful.
Discuss the possible management options.
5) How do you manage a 2 ½ year old child patient who is visiting a dental clinic for the
first time, and what will you discuss with the parents?
1. while taking a medical history u get to know that the patient is 10 weeks
pregnant.what precautions will u take while treating and how will u manage the
patient?
{this was the compulsory question}
2. what are the effects of smoking on oral health.how will you help the patient stop
smoking?
3. a patient says that he heard of tooth whitening and wants his teeth whitened.
a>how will you explain the different types(something like this)
b>how will you manage the patient?
4. A mother rings u up at office and says that her 9 yr old has fallen down and his front
tooth has come out?what are the instructions u will give over phone and how will u
manage this patient?
5. A 40 yr old female patient says that she has been taking bisphosphonates for the
past 5 years and now has come for check up.some teeth have to be removed,What
prosthetic considerations will u make and how will u manage?