NBDE2004PartII

:26.04.200811:30:00

Dr.Smile
NBDEPart22004Exam

1.Additionalcuredsilicones(polyvinylSiloxane)areoftenthematerialsofchoiceforimpressionsfor
fixedrestorations.Eachofthefollowingistrueaboutthesematerialsexceptone.Whichoneisthis
exception?
a.giveoffethylalcoholduringtheirsettingreaction
b.canbepouredmorethanonceandstillremainaccurate
c.canbepouredafter24hoursandstillremainaccurate
d.reboundfromundercutswithoutpermanentdeformation
e.mayreleasedhydrogengasduringsetting
2.whyisitadvisabletodispensetheliquidcomponentofcementofcementimmediatelybeforemixing?
a.toavoidabsorptionofmoisturefromtheair
b.toavoidspreadingoveralargeareaoftheslab
c.toallowtemperingofthepowderbythemixingslab
d.toreducethetemperatureinfluenceofthemixingslab
e.topreventevaporationofthevolatilecomponents.
3Whichofthefollowingisthetypicalinterocclusaldistancebetweenopposingdentureteethatthe
physiologicalrestposition?
a.0.00.15mm
b.2.04.0mm
c.4.55.5mm
d6.08.0mm
4AsanXraytubeoperates,electronscarryenergyfromthecathodetotheanodeintowhichofthe
followingisMOSTofthisenergyconvertedinthetarget?
a.heat
b.Xray
c.Magnetism
d.electricity
e.visiblelight
5ClassIIamalgamrestorationhasaoverhangatgingivalmargin.Thismighthavebeencausedbywhich
ofthefollowing?
a.pooradaptationofthematrixband
b.poorcarving
c.didnotwedgethematrixband
6Atwhatageareallprimaryteethnormallyinocclusion?
a.1.52.0years

b.2.53.0years
c.3.54years
d.>4years
7Largercondensersandlaterallyappliedcondensationforcesarerecommendedtoensurecomplete
condensationofwhichofthefollowingamalgamtypes?
a.admixed
b.spherical
c.lathecut
d.highcopper
e.conventional
8Theusualmetabolicpathwayofingestedfluorideprimarilyinvolvesurinaryexcretionwiththeremaining
portionfoundlargelyinthe
a.teeth
b.muscletissue
c.skeletaltissue
d.epidermaltissue
9occlusalsealantssucceedbyalteringwhichofthefollowing
a.thesubstrate
b.thebacterialtypes
c.thebacterialnumber
d.thebacterialvirulence
e.thehost'ssusceptibility
10probingdepthcanvarybasedonthedegreeofinflammation
frequently,thereductioninprobingdepthobtainedafterinitialtherapyreflectsthischanges,ratherthana
truegaininclinicalattachment.
a.bothstatementsaretrue
b.bothstatementsarefalse
c.thefirststatementistrue,thesecondstatementisfalse
d.thefirststatementisfalse,thesecondistrue
11amajoradvantagetopatienttreatmentwithosseointegrateddentalimplantsisachangeinthepatternof
edentulousridgeresorption,whichofthefollowingisbelievedtobethereasonforamorephysiologic
loadingofthebone
a.delayedloading
b.endostealloading
c.sequentialloading
d.progressiveloading
e.mucoperiostealloading
12an18yearoldmancomplainsoftinglinginhislowerlip.anexaminationdisclosesapainless,hard
swellingofhismandibularpremolarregion.thepatientfirstnoticedthisswellingthreeweeksago.
radiographindicatealossofcortexandadiffuseradiatingpatternoftrabeculaeinthemass.whichofthe
followingistheMOSTlikelydiagnosis
a.leukemia
b.dentigerouscyst
c.ossifyingfibroma
d.osteoma
e.hyperparathyroidism

13increasingtheamountofwaterinthemixofanimprovedgypsumdiestonewillMOSTlikelyresultin
whichofthefollowing
a.moreexpansionandmorestrength
b.moreexpansionandlessstrength
c.lessexpansionandmorestrength
d.lessexpansionandlessstrength
14whichofthefollowingisrecommendedfortreatingthepainofticdouloureux(trigeminalneuralgia)?
a.oxycodone
b.ibuprofen
c.carbamazepine
d.hydrocortisone
e.acetylsalicylicacid
15whichofthefollowingisseenMOSTfrequentlyamongtemporomandibularjointdysfunctionpatient
a.depression
b.psychosis
c.sociopathy
d.schizotypicalbehavior
e.passiveaggressivebehavior
16whichofthefollowingdiagnosticcriteriaistheLEASTreliableintheassessmentofthepulpstatusin
theprimarydentition
a.swelling
b.pulptesting
c.spontaneouspain
d.internalresorption
17whichofthefollowingexplainswhytheZplastytechniqueusedinmodifyingalabialfrenumis
consideredtobesuperiortothediamondtechnique
a.itislesstraumatic
b.itistechnicallyeasier
c.itrequiresfewersutures
d.itdecreasestheeffectsofscarcontracture.
e.itallowsforclosurebysecondaryintention
18whichofthefollowingMOSTaccuratelyexplainshowbiofeedbackworks
a.itreducedcognitivedissonance
b.itstimulatesthesympatheticnervoussystem
c.itrelazandtosomeextenthypnotizesthepatient
d.itdistractsandengagesthepatientinanactivecopingtask.
e.itenablesthepatienttogaincontrolofcertainphysiologicalfunction
19whichofthefollowingdescribesclindamycin
a.inhibitscellwallsynthesis
b.doesnotpenetratewellintobonytissue
c.itusuallygivenincombinationwitherythromycin
d.iseffectiveagainstgramnegativebacteriaonly
e.iseffectiveagainstmostanaerobes
20dentistsusuallysendtheircementometalrestorationcasestodentallabforfabrication.uponreceiving
thecases,thesetechniciansMOSTfrequentlycomplainthatthe
a.margineshavebeenilldefined

b.teethhavebeeninsufficientlyreduced
c.shadesfortherestorationshavebeeninadequatelydescribed
d.impressionsormodelsareinaccurate
21whichofthefollowingcharacteristicsofautismpresentsamajorobstacletosuccessfuldental
managementofanambulatorypatient
a.impairedcommunication
b.apparentinsensitivitytopain
c.lackofintellectualdevelopment
d.inabilitytoperformfinemotoractivities
e.automation,suchashairtwirlingandbodyrocking
22theprognosisforbleachingisfavorablewhenthediscolorationiscausedby
a.necroticpulptissue
b.amalgamrestoration
c.precipitationofmetallicsalts
d.silvercontainingrootcanalsealers
23thedentistisperformingablockofthemaxillarydivisionofthetrigeminalnerveintowhichanatomical
areamustthelocalanestheticsolutionbedepositedordiffused
a.pterygomandibularspace
b.pterygopalatinespace
c.retropharyngealspace
d.retrobulbarspace
e.caninespace
24theanteriormaxillaryincisorsofamiddleagedpatientcanbegivenayoungerappearancebyselective
grindingoftheenamel.thedentistperformsthisprocedureby
a.flatteningtheincisaledges
b.shorteningtheincisaledges
c.roundingtheincisalpointangles
d.movingthefaciallineanglesproximally
e.movingthefacialheightofcurvaturegingivally
25occlusaldisharmonyinnewlyinsertedcompletedenturesMOSTfrequentlyresultsfromwhichofthe
following
a.improperwaxing
b.overextensionofborders
c.errorsinregisteringjawrelations
d.changesinsupportingstructuresfollowinginsertionofdentures
26inflammationfromperiodontaldiseaseusuallyextendstothebonemarrowfollowing
a.traumafromocclusion
b.thenutrientcanals
c.theperiodontalligament
d.thecourseofthevascularchannels
27howmanyhoursperdayshouldacervicalpullheadgearbeworntoachievetheMOSTaffectiveresults
a.6
b.8
c.10
d.12
e.14

28whichofthefollowingoutlinesBESTdescribestheaccesscavitypreparationonamandibularmolar
withfourcanals
a.oval
b.trapezoidal
c.triangular
d.round
29whichofthefollowingisprimarilycommunicatednonverbally
a.ideas
b.beliefs
c.thoughts
d.emotions
e.concepts
30whichofthefollowingrepresentsintheclassicsignorsymptomofananteriordisplaceddiscwith
reduction
a.pain
b.closedlock
c.reciprocalclick
d.temporalheadache
e.decreasedrangeofmotion
31whenevaluatinganextensionbaseremovablepartialdentureseveralyearsafterdelivery,thedentist
shouldapplyloadingforcestothebasearea.ifanindirectretainerelevatesfromitsrestseatunderthese
forces,thenthisindicatedtheneedto
a.tightentheclasps
b.adjusttheocclusion
c.relinethebasearea
d.remakethepartialdenture
e.advisethepatienttouseadentureadhesive
32.currentaccepttechniqueforreducedpocketdepthexceptone,whichoneisexception?
a.gingivectomy
b.gingivalcurettage
c.S&R
d.debridementsurgery
e.osseoussurgery
33.Whendeterminingtheappropriatedoseofsystemicfluoridesupplementforachild,itisMOST
importantforthedentisttoconsiderwhichofthefollowing
a.Thefluoridecontentofthedrinkingwater
b.thechildsdietandcariesactivity
c.thechildagoandthefluoridecontentofthedrinkingwater
d.thechildsweightandthefluoridecontentofthedrinkingwater.
34.whichofthefollowingstatementsaboutthebacterialetiologyofenamelsurfacedentalcariesis
INCORRECT
a.cariesisatransmissiblebacterialinfection
b.thepresenceofS.mutansindentalplaguemeansthepatienthascaries
c.pitsandfissuresfromwhichS.mutanscanbeculturedmaynotbecomecarious
35.apatientwhotakesdicumarolisprobablybeingtreatedfor

a.hypertension
b.anginapectoris
c.coronaryinfarct
d.paroxysmaltachycardia
e.congestiveheartfailure
36.theretentivetipofaclaspsarmisplacedinanundercutBECAUSEaflexiblearmisBESTsuitedfor
reciprocation
a.boththestatementandthereasonarecorrectandrelated
b.boththestatementandthereasonarecorrectbutNOTrelated
c.thestatementiscorrect,butthereasonisNOT
d.thestatementisNOTcorrect,butthereasoniscorrect
e.NEITHERthestatementNOORthereasoniscorrect
37.whichofthefollowingbacteriaresponsibleforodontogenicinfectionsarecapableofadaptingtoeither
ahighorlowoxygencontainingenvironment
a.entericorganism
b.obligateanaerobes
c.facultativeorganism
d.synergisticorganism
e.microaerophilicorganism
38.whichofthefollowinginjuriestotheteethMOSToftenresultsinpulpalnecrosis
a.avulsion
b.concussion
c.lateralluxation
d.intrusiveluxation
e.extrusiveluxation
39.whichofthefollowingphysicalsignsindicatessevereCNSoxygendeprivation
a.dilatedpupilswithincreasedlightreflex
b.pinpointpupilswithincreasedlightreflex
c.dilatedpupilswithanabsenceoflightreflex
d.pinpointpupilswithanabsenceoflightreflex
a.porphyria
b.progeria
c.acrodynia
d.cysticfibrosis
e.congenitalheartdisease
41.toenhanceapatientscomfortlevelinadentalsetting,whichofthefollowingrepresentstheMOST
importantactionforadentist
a.informthepatientofwhattoexpectduringtheappointment
b.haveanaxillarystaffmemberpresentintheoperatory
c.assertcontrolusingadirectiveinterviewingstyle
d.provideanimmediateevaluationofthepatientsoralhealth
e.maintaineyecontacttoincreasethelevelofintimacy
42.whichofthefollowinggroupsofmuscleinfluencesthemoldingofthelingualborderofthefinal
mandibularimpressionforanedentulouspatient
a.hypoglossus,mylohyoid,medialpterygoid,digastric
b.mylohyoid,styloglossus,medialpterygoid,depressorangulioris
c.palatoglossus,superiorpharyngealconstrictor,mylohyoid,genioglossus

d.genioglossus,mylohyoid,middlepharyngealconstrictor,posteriorbellyofthedigastric.
43.aftertheinitialvisit,apatientsdecisiontoreturnisMOSTlikelytobeinfluencebythedentist
a.interpersonalskills
b.officedesign
c.officelocation
d.technicalcompetence
e.educationalcredentials
44.whichofthefollowingcanbeaclinicalfeatureofacuteherpeticgingivostomatitis
a.discrete,sphericalvesical
b.temperaturesensitiveteeth
c.solitarylocalizededematousgingivallesion
d.necroticdestructionofinterdentalgingivaltissues
45.increasingmAsettingofanxrayunitraiseswhichofthefollowing
a.photonspeed
b.photonwavelength
c.numberofphotonsgenerated
d.voltagebetweenanodeandcathode
e.effectiveenergyoftheresultantbeam
46.whichofthefollowingshouldbedonewhenapatientpresentswithalow,attachedmaxillaryfrenum,
accompaniedbya3mmdiastemaintheearlytransitionaldentition
a.performafrenectomywhenitisfirstobserved.
b.observeuntilaftertheeruptionofthepermanentcanines
c.rendertreatmentbeforethecompleteeruptionofthemaxillaryincisors
d.instructthepatienttowearanelasticaroundtheteethtoclosethediastema
47.anexaminationofacompletedenturepatientrevealsthattheretromolarpadcontactsthemaxillary
tuberosityattheocclusalverticaldimension.Toremedythissituation,whichofthefollowingshouldbe
performed
a.reducedthemaxillarytuberositybysurgery
b.coverthetuberositywithametalbase
c.increasetheocclusalverticaldimension
d.reducetheretromolarpadbysurgery
e.omitcoverageoftheretromolarpadbythemandibulardenture.
48.theabilityofapatienttomakechoicesamongtreatmentoptionsrepresentstheconcept
a.autonomy
b.competence
c.beneficial
d.paternalism
49.atissueconditioningmaterialsisMOSTfrequentlyusedtotreatwhichofthefollowingconditions
a.epulisfissuratum
b.papillaryhyperplasiaofthecandidaalbicans
c.traumatizedmucosacausedbyillfittingdenture
d.sharp,residual,mandibularridgesoccurringinmolarareas
50.maxillaryfirstpremolarswithmesiodistalfurcationinvolvementsareoftenmanagedsuccessfullyby
surgery.
Therefore,theyhaveagoodprognosisandcanbeincludedaskeyabutmentsinafixedprognosis.

a.bothstatementsaretrue
b.bothstatementsarefalse
c.thefirststatementistrue,thesecondisfalse
d.thefirststatementisfalse,thesecondistrue
51.accordingtoADApublicationentitledprinciplesofethicsandcodeofprofessionalconduct,adentist
canannouncespecializationinwhichofthefollowing
a.implantology
b.hospitaldentistry
c.aestheticdentistry
d.dentalpublichealth
e.geriatricdentistry
52.apatientpresentswitharestrictedfloorofthemouth,only6mandibularanteriorteeth,anddiastema
betweenseveralteeth.Whichofthefollowingmajorconnectorsisappropriateforthispatient
a.alingualbar
b.alingualplate
c.alingualbarwithaKennedybar
d.alingualplatewithinterruptionsintheplateatthediastemas.
53.symptomsofpainandtendernessuponpalpationoftheTMJareusuallyassociatedwithwhichofthe
following
a.impactedmandibularthirdmolars
b.flaccidparalysisofthepainfulsideoftheface
c.flaccidparalysisofthenonpainfulsideoftheface
d.excitabilityoftheseconddivisionofthefifthnerve
d.deviationofthejawtothepainfulsideuponopeningthemonth.
54.whichofthefollowingrepresentstheMOSTlikelycauseofplasticdentureteethbeingdislodgedfrom
theacrylicresinofthedenturebase
a.excessiveocclusalforceswereapplied
b.theocclusalsurfaceswerenotplacedintheteeth
c.retentiveundercutswerenotplacedintheteeth
d.themoldwascontaminatedwithwaxbeforeprocessing
55.beforebeginningtoothpreparation,thedentistshouldvisualizetheoutlineformto
a.establishtheconvenienceform
b.establishtheresistanceandretentionform
c.preventovercuttingandoverextension
d.aidinthefinishofenamelwallsandmargins.
56.whichofthefollowingBESTdescribesadjunctiveorthodonticstreatment
a.orthodontictherapyperformedonlywithremovableappliance
b.limitedorthodonticstreatmenttoalignthefrontteethformaximumesthetics
c.orthodontictreatmenttoenhancerestorativeandperiodontalrehabilitation
d.earlytreatmentoforthodonticproblemstopreventmoreseriousmalocclusion
57.achildhasasoreulcerationofthelowerlip.Thereisnohistoryofobvioustrauma.Theulceration
appearedseveralhoursafterthepatientreceiveddentaltreatment.Whichofthefollowingrepresentsthe
MOSTlikelydiagnosis
a.herpeslabialis
b.postanestheticlipbite
c.chemicalburnfromaspirin

d.aphthousulcerssecondarytostress
e.allergicstomatitistotherubberdam.
58toproveitsclinicaleffectiveness,anantimicrobialagentmustdemonstratethatit
a.reducesplaquemass
b.helpstoreducedisease
c.specificallykillsaerobicbacteria
d.specificallykillsanaerobicbacteria
59.a40yearsoldfemalepatientcomplainsofapainfulrapidlydevelopingulcerontheleftsideofher
palate.Thislesionappearscraterlikeandmeasure1.5cm.WhichofthefollowingrepresentstheMOST
likelydiagnosis
a.actinomycosis
b.pleomorphicadenoma
c.squamouscellcarcinoma
d.necrotizingsialometaplasia
60.examinationrevealsasoft,fluctuant,tenderswellinginthemiddleofthehardpalate.Theteethtest
vital.Radiographsrevealsaradiolucentareaprojectedbetweentherootsofthemaxillarycentralincisors.
WhichofthefollowingcystsrepresentstheMOSTlikelydiagnosis
a.nasolabial
b.medianpalatal
c.periapical
d.nasopalatineduct
e.incisivepapilla
61.incompleteremovalofbacteria,pulpdebris,anddentinalshavingiscommonlycausedbyfailureto
irrigatethoroughly.Anotherreasonisfailureto
a.usebroaches
b.useachelatingagent
c.obtainastraightlineaccess
d.usegatesGliddenburs
62.thepulpalfloorisperforatedduringaccesspreparation.WhichofthefollowingistheBESTcourseof
action
a.repairtheperforationimmediatelyandcontinuetherootcanaltreatment
b.continuetherootcanaltreatment;repairtheperforationatasubsequentappointment,onlyifassociated
pathosisdevelops
c.continuetherootcanaltreatment;repairtheperforationatasubsequentappointment
e.performnofurthertreatmentatthistime;repairtheperforationandcontinuetherootcanaltreatmentata
subsequentappointment
63.a22yearsoldmalepatientcomplaintofdullpainintheposteriorleftmandibularregion.Aradiograph
madeofthisarearevealsnotonlyaradiolucencyaroundthefirstmolarroots,butalsoaradiopacityofbone
peripheraltothisradiolucency.WhichofthefollowingBESTexplainsthisconditions?Itis
a.normalforthispatient
b.adevelopmentalabnormal
c.anerrorinradiographtechnique
d.amanifestationofsystemicbonedisease
e.areactiontoanapicalinflammatorydisease
64.a34yearsoldpatientpresentforaroutineoralexamination.Shehassixmandibularanteriorteeth
remaininginthemouth.Sheisasymptomaticandthereisnoevidenceofdecayortoothdestruction.

Althoughslightperiodontaldiseaseispresent.Radiographically,thereareperiapicalradiolucencypresent
ontwomandibularcentralincisor.Electricpulptestingindicatesallteethareresponsiveinasmallfashion.
Whichofthefollowingisthetreatmentofchoice
a.initiaterootcanaltreatmentonthetwoteeth
b.testcavitiesonmandibularcentralincisors
c.identifythedark,potentiallynecroticpulpchambersbytranslumination
d.extractandreplaceteethwithamandibularpartialdenture.
e.notreatmentisnecessaryatthistime
65.whichofthefollowingrepresentsaneffectivetreatmentformottledenamel(chalkywhitecolormixed
withbrownspots)
a.microabrasionwithHCL/pumice
b.vitaltoothbleachingafterrootcanaltreatment
d.inofficebleachingwith35%hydrogenperoxide
66.patientwhohavenaturaldentitionsgeneratetheGREATESTamountofocclusalforceduring
a.swallowing
b.mastication
c.centricrelation
d.parafunctionalmovement
67.inwhichofthefollowingteethdoesthepulpalanatomydictateatriangularaccesscavitypreparation
a.maxillarycentralincisor
b.maxillaryfirstpremolar
c.mandibularsecondpremolar
d.mandibularcanine
68.whichofthefollowingtissueisMOSTsensitivetoradiation
a.hemopoietictissue
b.endothelium
c.skeletalmuscle
d.adultbrain
e.collagen
69.incommunicatingwithchildren,whichofthefollowingshouldthedentalteamdo
a.allowthepatienttoanswerquestionsaskedbytheclinicatchairside
b.allowboththeparentandthedentisttocommunicatesimultaneouslywiththechild
c.transmitwordsubstitutesfordentalproceduresandequipmentduringtheappointment
d.attainvoicecontroltobuildthegroundworkforfutureinstructions
70.whichofthefollowingrepresentsthepurposeofanopenendedquestions
a.toelicitspecificinformation
b.totestapatientstruthfulness
c.togathermedical/legalinformation
d.toproducemaximalfreedominresponse
e.toprobethedetailsaboutaspecifictopic
71.whereyoucanfinddentalliteratureonline?
a.MEDLINE
b.lexus
c.dentalliteratureonline
72.whatiscommontoallformofshock

a.neurogenic
b.unconsciousness
c.inadequateperfusion
d.hypovolemia
73.thenumberofpatientswithdiseasedividedbythenumberofpatientsdefines
a.specificity
b.sensitivity
c.prevalence
d.incidence
74.3.6mlofprilocainehashowmuchanesthetic
a.72mg
b.80mg
c.144mg
d.36mg
75.whichtoothhasthemostcervicalenamelprojections
a.mandibularpremolar
b.mandibularmolars
c.maxillarymolars
d.maxillaryincisors
76.whichcanbeusedasatopicalanesthetic
a.etidocaine
b.bupivacaine
c.lidocaine
d.procaine
77.apatientconstantlyquestionsandcriticizedthedentist.Whatshouldthedentistdo
a.besilent
b.shoutatthepatient
c.statethecriticism
d.clearthepatientsmisconceptions
78.ratioofLD50toED50gives
a.efficacy
b.potency
c.safety
d.toxicity
79.therateoforalcancerintheUSinthepast5yearsis
a.increase
b.decrease
c.thesame
80.whichisthemostsensitivetoradiation
a.muscle
b.nerve
c.hematopoieticmarrow
d.skin
81.afterthefirstvisitwhichofthefollowingwillcausethepatienttoreturntheMOST

a.officedcor
b.frontdesk
c.interpersonalskillsofthedentist
d.sterilizationprocedure
82.younoticearedareaonthepalatalofthetoothwhichwasextractedonthepreviousday.Theareais
coveredwithwhitesloughandisatsiteoftheneedleinjection.Whichisitmostlikely
a.aspirinburn
b.herpes
c.necrosisduetovasoconstriction
d.normal
83wheredoyouinjecttoachieveablockofthemaxillarynerve
a.infratemporalfossa
b.pterygomandibularfossa
c.sphenopalatinefossa
d.pterygotympanicfissure
84.inanedentulouspatientthetuberositytouchestheretromolarpad.Whatshouldyoudo
a.reducethepad
b.reduceboth
c.reducethetuberosity
d.donotputthebordersoftheCDonthepad
85.digitaliscanleadto
a.hypokalcemia
b.hyponatremis
c.hypocalcemia
86.whatisthenameforthephenomenaofporcelainappearingdifferentunderdifferentlights
a.fluorescene
b.incandescence
c.metamerism
d.isomerism
87.apatienthasahighcariesindex,shortcrownsandminimumhorizontaloverlap.Whatrestorationwill
youplce
a.3/4frown
b.jacketcrown
c.PFM
d.resinbondedretainer
88.ablackfemalehasmultipleperiapicallucencyinthemandibularincisorarea.Whatisthetreatment
a.extract
b.RCT
c.notreatment
d.periapicalsurgery
89.tetracyclinestainisincorporatedduring
a.apposition
b.mineralization
c.calcification

90.CantileverbridgesarenotgoodinthelongtermBECAUSEperiodontalforcesarebestalongthelong
axesoftooth
a.statementiscorrectreasonisnot
b.statementandreasonarecorrectNOTrelated
c.statementandreasonarecorrectandrelated
d.statementiswrongbutreasoniscorrect
e.botharewrong
91.howwouldyoutreatanunconsciousdiabetic
a.IVinsulin
b.5%dextroseinwater
c.50%dextroseinwater
d.orangejuice
92.whatdrugisusedtotreatHIVpatient
a.acyclovir
b.amantadine
c.zidovudine
d.carbamazepine
93.howstressandillnessrelated?
Stresscanleadtoillnessandillnessisstressful
94.whichisthemostpersonalrelationshipofdentisttopatient
a.sitdirectlyinfrontofthepatient
b.touchthepatientsshoulder
c.leanslightlytowardsthepatient
d.sitatleast2feetaway
95.afterthedentistexplainsthetreatmentplanthepatientissad.Howwillhe/sheexpressthis
a.gesture
b.ideas
c.eyesignandfacialexpression
d.byshoutingatthedentist
96.whichisthemostimportantsignofankylosisoftooth
a.dullsounding
b.resonant
c.cessationoferuption
d.crossbite
97.intheabsentofthepermanenttooth,thedeciduoustoothwill
a.notresorb
b.resorblikeusually
c.resorbslowly
d.resorbatthefasterrate
98.whichofthefollowingisleastusefulinendodiagnosisofchildren
a.percussion
b.palpation
c.electrictest
d.thermaltest

99.whichofthefollowingismostlikelytocausepulpnecrosis
a.intrusion
b.extrusion
c.lateraldisplacement
d.concussion
100.theinitialinstrumentationinendotreatmentisdoneuntil
a.radiographicapex
b.DEJjunction
c.CDJjunction
d.cementalpulpaljunction
101.drainageofanacuteabscess.Alsoimportantis
a.antibiotic
b.analgesic
c.relievetheocclusion
throughdebridementofthetooth
102.recurrentlesionsononokeratinizedtissuein20yearoldfemalearemostlikely
a.herpeslabialis
b.herpeticgingivostomatitis
c.aphthous
d.shingles
103.whyaskpatientopenendedquestions
a.obtainspecificinformation
b.allowsfreedomofresponse
c.obtainyes/noanswer
104.apatientgetsablowtothechin.Hecomplainsofpainontherightsideandthejwdeviatestothe
right.Whatisthecause
a.fractureofsymptoms
b.fractureofleftsubcondylar
c.fractureofrightsubcondylar
105.whiledoingtheaccesspreparationinamandibularmolaryouperforate.Whatwillyoudonext
a.dotheendonowandrepairlater
b.donothingnow,repairbothatalatervisit
c.repairtheperforationanddotheendo
d.extractthetooth
106.youwillusealargercondenserandlateralcondensationinwhichalloy
a.lathecut
b.admixed
c.spherical
d.highcopper
e.lowcopper
107.amandibularmolarhas4canals.Howshouldtheaccessopeningbe
a.round
b.oval
c.trapezoidal
d.triangular

108.anatomyofwhichtoothdictatesatriangularaccessopeningintotherootcanal
a.maxillarypremolar
b.maxillarymolar
c.maxillarycentralincisor
d.mandibularlateralincisor
109.repeatedaskingofquestionsbyachildindicates
a.curiosityofthechild
b.interestintheprocedure
c.tryingtodelaytheprocedure
d.childisabnormal
110.aftersedatingachild
a.askchildtoplayalone
b.askmomtoplaywiththechild
c.alwayskeepeyeonthestatusofthechild
d.letthechildfallasleep
111.autismpresentsasaproblemdueto
a.metalretardationofchild
b.childplayingwithhairconstantly
c.inabilitytocommunication
d.involuntaryjerkymovementsofthechild
112.whichmusclesthataffectthelingualborderofamandibularCD
a.mylohyoid,genioglossus,omohyoid,middleconstrictor
b.mylohyoid,genioglossus,superiorconstrictor
c.mylohyoid,genioglossus,superiorconstrictor,palatoglossus
113.whichcomputerdatabasestoreddentalliterature
a.LEXUS
b.Medline
c.onlineofdentalliterature
114.pharmacokineticsandbiotransformationofdrugsisaffectedintheelderlydueto
a.rapidbiotransformation
b.increasedhalflife
c.decreasedrenalexcretion
115.afterinjectionoflocalanesthesiafortheposteriorsuperioralveolarnerveblockasuddenswelling
seenontheipsilateralsideextendinginthecanineregion.Whatisthecause
a.buccalpadoffat
b.looseareolartissue
c.ruptureofposteriorsuperioralveolarvessel
d.leakageofsaliva
116.whichprincipleofethicsallowsthepatienttherighttochoosehistreatment
a.paternalism
b.justice
c.autonomy
d.Malefecience

117.whichisthemostcommoncomplaintoflabtechniciansregardingaPFMprosthesis
a.improperbuccalreduction
b.improperocclusalreduction
c.impropershadeselection
d.impropermarginsintheimpression
118.whichsurfaceofmandibularfirstprimarymolarrequiresleastreductionforastainlesssteelcrown
a.occlusal
b.buccal
c.lingual
d.proximal
119.whichisthemostcommonreasonforthefailureofacastingtoseat
a.deficientmargins
b.overextendedmargins
c.proximalcontacts
d.buccalovercontouring
120.apatientcomplainsofdullpainandhasacarioustoothwithaperiapicallucencysurroundedbyan
opacity.Whatisit
a.abnormal
b.cementoblastoma
c.reactiontoinflammation
d.normal
121.TylenolandASAaresameinallofthefollowingexcept
a.modesofaction
b.onsetofaction
c.durationofaction
d.toxicity
122.whichofthefollowingcombinationsisleastaddictive
a.Tylenol+ASA
b.tetracycline+penicillin
c.caffeine+amphetamine
123.whatwillyouseeifapatientreceivesadoseof4Gyonthearmallatonetime
a.ulcers
b.vesicles
c.erythema
d.osteosarcoma
124.whichofthefollowingcnweseeontheradiograph
a.buccalcurvatureofroots
b.gingivalfibers
c.calcification
d.periodontalligament
125.thereisarootfractureintheapicalthirdoftherootofamandibulartooth.Whatwillbethemost
likelyresult
a.rootresorption
b.ankylosis
c.vitalitywillbepreserved

d.toothwillshowinternalresorption
126.thereisarootfractureinthemiddlethirdoftherootinan11yearoldpatient.Thetoothismobileand
vital.Whatwillyoudo
a.extract
b.pulpectomy
c.splintandobserve
d.donothing
127.whatisthemedianof1111223379?
a.1
b.3
c.2
d.7
128.whichofthefollowingisadefinitesignoftraumaticocclusion
a.boneloss
b.gingivalrecession
c.wearfacets
d.foodimpaction
129.greatestamountofocclusalforcesisseenin
a.mastication
b.swallowing
c.parafunctionalhabit
d.centricrelation
130.spreadofinfectionfromthegingivatotheboneisvia
a.traumaticocclusion
b.vasculatureoftheperiosteum
c.periodontalligament
d.vasculatureofthegingiva
131.whichofthefollowingcausetheboneloss
a.C3a,C5a
b.endotoxin
c.interleukin
d.Bglucuronidase
132.aspirinburniswhat
a.atrophy
b.hyperkeratosis
c.necrosis
d.hyperplasia
133.howdoyousurgicallytreataskeletalonebite
a.osteotomy
b.anteriormaxillarysurgery
c.LeFort1
d.LeFort2
134.a6yearsoldpatienthasacutelymphaticleukemia.Herdeciduousmolarhasalargecariouslesionand
furcationlucency.Howwillyoutreatthisperson

a.pulpotomy
b.pulpectomy
c.extraction
d.nothing
135.bleachingisbestwhendoneinwhichofthefollowingsituations
a.necroticpulp
b.amalgamleachedthroughthetubules
c.precipitation
136.themaximumpercentageofN2Orecommendedinpediatricpatient
a.20%
b.30%
c.50%
d.40%
e.70%
137.patientpresentstendernessonpalpationoftherightjoint,thejawdeviatestotherightonopeningand
thereisanopenbite.Whatisthecause
a.fractureoftheleftside
b.bilateralfracture
c.fractureoftherightside
d.symphysisfracture
138.whichofthefollowingismostradiopaque
a.quartz
b.silica
c.barium
139.anextraoralincisionforasubmandibularspaceabscesspassesthrough
a.skin,superficialfascia,platysma,masseter
b.skin,superficialfascia,buccinator
c.skin,superficialfascia,platysma,deepcervicalfascia
140.inrestoringacanineprotectedocclusion,withanterioroverbiteofabout2mm.Thebuccalcuspsf
posteriorteethshouldbeflat,BECAUSEtheywillguidetheprotrusion
a.botharetrue
b.onlythesecondstatementistrue
c.botharefalse
d.onlythefirststatementistrue
141.anonworkinginterferenceoccursinwhichofthefollowing
innerinclineofthebuccalcuspofthemandibularteethandinnerinclineoflingualcuspofmaxillaryteeth
142.aFPDwasplacedonteeth#1820withbothretainersbeinggoldcrowns.Aftercementationthe
patientreturnscomplainingofsensitivity.Whatisthenextsteptodo
a.checkvitality
b.refertoendodontics
c.checkocclusal
d.doacavitytest.
143.whichofthefollowingisthecompositionofwaterglassionomer
a.zincoxidepowderandpolyacrylicacid

b.aluminosilicateglassandpolycitricacid
c.aluminosilicateglassandpolyacrylicacid
d.zincoxidepowderandpolyacrylicacid.
144.antibioticshelptoreducepocketsby
a.resection
b.shrinkage
c.reattachment
d.regeneration
145.scalingistheremovalofsurfacedepositsonteeth.Scalingcanbedoneoncrownandrootsurfaces
a.botharefalse
b.onlythesecondstatementistrue
c.botharetrue
d.onlythefirststatementistrue
146.allofthefollowingareendogenousopioidsexcept
a.endorphin
b.enkephalin
c.bradykinin
d.dynorphin
147.whyisapostplacedinanendodonticallytreatedtooth
a.increasethestrengthoftheteeth
b.increaseretentionofthecrown
c.increaseretentionofthecore
148.afteragingivectomyhowdoesthesiteheal
a.fromtheepitheliumofthepockets
b.epitheliumoftheadjacentalveolarmucosa
c.endotheliumofthebloodvessels
d.primaryintention
149.whatdoesaninterruptedsutureaccomplished
a.bringstheflapcloser
b.coversallexposedbone
c.immobilizedtheflap
150.howissuturingbestdone
a.overtheincisionline
b.inafigureofeighttoevertthemargines
c.frommovabletofixed

151. optimal incisal reduction for a metal ceramic crown

a. 1mm
b. 1.5mm
c. 2mm
d. 2.5mm

152. you are considering the placement of an upper and lower

important retained complete denture. How
many implants will you place in the anterior region
a. maxillary one and mandibular one
b. maxillary two and mandibular two
c. maxillary four and mandibular two
d. maxillary four and mandibular six
153. what best describes porcelain
a. low compressive strength
b. high tensile strength
c. biocompatible
d. high impact strength
154. a routine class V composite restoration was placed and patient
returned the following day complaining
of pain. Which best explains why
a. preparation too deep
b. no liner or base used
c. cervical dentin was exposed during polishing
155. which is the most common intraoral site for a melanoma
a. gingiva
b. buccal mucosa
c. hard palate
d. floor of the mouth
156. patient complains of pain in the lower left posterior region 2 days
after extraction. What is the most
common reason
a. normal
b. tumor
c. alveolar osteitis
d. paresthesia
157. patient has front bossing bifid ribs multiple missing teeth. What is
the diagnosis
a. cleidocranial dysplasia
b. ectodermal dysplasia
c. Peutz Jeghers syndrome
d. basal cell nevus syndrome
158. which of the following methods is likely to increase the chance of
successful dental visits with young
children
a. rewarding appropriate behavior verbally

b. using cooperative patients as model

c. tell/show/do
d. using voice control in negative situations
e. all of above
159. each of the following have increased blood levels due to an active
metabolite except
a. diazepam
b. flurazepam
c. taxozin
d. oxazepam
e. chloral hydrate
160. all of the following are mechanism of action of N2O
a. increased onset of action
b. rapidly reversible
c. rapid biotransformation in the liver
161. a 5 years old patient comes for first dental visit
there are no problems. All contacts can be visualized and oral hygiene
is good. According to the FDA
guidelines how many radiographs will you take
a. BWS and occlusal
b. BWS
c. none
d. pano
162 what is the common reason for a toxic reaction to local anesthesia
a. hypersensitivity to the anesthesia
b. hypersensitivity to the epi
c. increase vascular concentration of anesthesia
d. extra vascular deposition of anesthesia
163. what is most difficult orthodontic movement to achieve
a. distal mvt of maxillary teeth
b. tilting
c. intrusion
164. A 6 years old child is initially frightened on sitting in the dental
chair for the first time. The best
approach for ensuring a productive dental visit for this child is for the
dentist to
a. tell child not to move
b. tell child not to be frightened
c. ask the child about his /her fears
d. ask the parent to control the child

e. reschedule the appointment

165. what is radiograph sign of successful pulpotomy in permanent
tooth
a. open apex
b. that the apex has found
c. loss of periapical lucency
d. no internal resorption
166. the patient complains that the lower denture keeps popping up
what is the most likely reason
a. underextended
b. lack of the tongue space
c. overextended
167. which is the most important factor for the retention of a complete
denture
a. periapical seal and atmosphere pressure
b. capillary action
c. peripheral seal and maximum contact of basal tissue
168. all of the following are congenital except
a. dentinal dysplasia
b. amelogenesis imperfecta
c. regional odontodysplasia
d. ectodermal dysplasia
169. osteoma are seen in
a. Gorlin Goltz syndrome
b. Peutz Jeghers
c. gardener syndrome
d. cleidocranial dysplasia
170. what is the problem if you want to perform apically repositioned
flap surgery in the mandibular
second and third molar areas
a. mandibular ramus
b. external oblique ridge
c. mylohyoid ridge
d. poor blood supply to the area
171. mucous gland are seen every where except
a. palate
b. tongue
c. gingiva

d. buccal mucosa

172. stimulation of beta2 receptor will cause

a. vasodilator
b. sweating
c. broncho constriction
d. broncho dilation
173. what would you use to reverse the effect of a narcotic
naloxone
174. cholinomimetic drugs produce
a. mydriasis
b. vasodilation
c increase salivation
d. decrease salivation
175. if the distance is double, the intensity will be
a. same
b. half
c. quarter
d. double
176. how will you increase the number of photon in the x-ray machine
a. increase kVp
b. use a shorter cone
c. increase mA
d. use a film with faster thin speed
177. all forms of the hepatitis are transmitted through blood or bodily
fluid except
a. non A non B
b. B
c. A
d. C
e. D
178. a young child aged 4 loses the second primary molar. How will
you maintain the space
a. no need to maintain the space
b. lingual bar
c. distal shoes
d. cantilever bridge

179. alcohol abuse is someone who

a. unknown symptom after stop drinking
b. drink more than legal limit
c. intoxicate regularly
d. drink enough to compromise relationship, job, and health.
180. lost apical seating by overinstrument
a. prescribe analgesic and antibiotic
b. increase file size and reduced filling length
c. filled with warm GP
181. degeneration of the myelin sheath of the peripheral nerves in a
diabetes may be manifested intraorally
a. causalgia and neuralgia
b. acanthosis and acantholysis
c. vesical and ulcer formation
d. glossopyrosis and glossodynia
182. in cobalt-chromium alloys, the constituent responsible for
corrosion resistance is
a. silver
b. nickel
c. cobalt
d. chromium
e. tungsten
183. an examination of the edentulous mouth of an aged patient who
has worn maxillary complete dentures
for many years against six mandibular anterior teeth would probably
show
a. cystic degeneration of the foramina of the anterior palatine
b. loss of osseous structure in the anterior maxillary arch
c. flabby ridge tissue in the posterior maxillary arch
d. insufficient interocclusal distance
184. overextension of a mandibular denture base in the distofacial area
will cause dislodgement of the
denture during function as the result of the action of the
a. masseter muscle
b. buccinator
c. pterygomandibular raphe
d. superior pharyngeal constrictor muscle
e. lateral tendon of the temporal muscle
185. corticosteroid may be used to treat
a. asthma
b arthritis

c. allergy
d. addisons disease
e. any of the above
186. excretion of acidic drugs will be accelerated if
a. Na Bicar
b. NaCl
c. HCl
187. all of the dental procedure will damage soft tissue except one,
which one
a. topical treatment of fluoride
b. matrix retainer
c. rubber dam clamp
d. bleaching
188. the most sensitive tissue to radiation
a. thyroid
b. nerve tissue of the pulp
c. salivary tissue
d. prostate gland
189. dentist is doing research on 5 unrelated patient with different
background. He record data etc.
dentist is doing what kind of research?
a. clinical trial
b. cohort
c. sectional
190. relationship of sugar and cavity except one, which one
a. type
b. time
c. amount
d. consistency
e. concentration
191. difference between acetaminophen and aspirin
a. asthma patient
192. which sedative medication cause dissociation from the world
a. ketamine
193 to be clinical effective, antimicrobial agents needs to show
a. reduced plaque
b. reduced disease
c. specially kill aerobic bacteria

d. specially kill anaerobic bacteria

195. what precaution you need to take for patient who has cardiac
pacemaker
a. antibiotic prophylaxis
b. avoid electrocautery
196. dentist present his treatment to patient and think this is BEST for
him/her is called
a. paternalism
c. autonomy
c. mal
197. best antibiotic for children with dental infection
a. penicillin
b. amoxicillin
c. tetracycline
d. streptomycin
198. dental phobia is hard to eliminate because it is
a. self reinforcing
b. become habit
c. patient can not seen
199. 2 factors contribute to protrusive of CD
200. best scale for gingival index
a. ratio
b. nominal
c. interval
201. most of dental fear are from
a. patients experiences
b. family and friends
202. moon face is seen in
a. hyperthyroidism
b. Addisons disease
c. corticosteroid
203 Studer-Weber syndrome
a. mandibular retro
b. midface ecto
c. maxillary prog

204. patients #8 and #9 PFM is little darker than adjacent teeth but is
clinically acceptable, what is
treatment you would propose except one
a. redo PFM
b. indirect resin bond to
c. porcelain bond to
205. in DMFS, what does the S stand for?
206. which is the acronym for a patient management system
a. recruit
b. success
c. optimum
207. where/how would you administer dextrose to a diabetes patient
a. IM injection
b. oral
c. IV
d. sublingual
208. #29,30,31 all need DO amalgam, which one do first
209. who pay for most of dental care
a. government
b. insurance
c. cash
210. which test is reliable on primary teeth
a. hot
b. cold
c. electric pulp test
d. percussion
211. for beveling gingival margin, what not to use
a. hatches
b. gingival margin trimmer
c. thin taper bur
212. hatches and gingival trimmer different in what
213. all of the following are affected in removed plaque except one
a. toothpick
b. H2O irrigation
c. toothbrush
d. floss

214. preload of implant is comparable t what force

a. torque
b. compressive
215. top of the implant is what mm from adjacent CEJ
a. 2-3mm
b. 4-5mm
c. 7-8mm
d. 5-6mm
216. keratosis happen where in the mouth
a. palate
b. buccal mucosa
c. floor of mouth
d. upper lip
217. what is longitudinal test
218. what is vestibuloplasty
a. adding the bone to the chin
b. adding the soft tissue inter occlusal for better denture fitting
219. all of the following are good reasons for dentist to retire early
except
a. back pain
b. tunnel syndrome
c. HBP
d. mercury toxicity
220. what metal help chemical bond to porcelain
221. which following symptom represent fluoride overdose
222. If dentist accidentally leave caries when seal occlusal pit and
fissure
a.
223. all of the following reasons to restore erosion lesion except one,
which one
a. prevent future erosion
b. reduced sensitivity
c. esthetic
224. systemic fluoride are least effective on
a. proximal surface
b. smooth surface
c. root surface
d. pits and fissure
225 When finishing the occlusal portion of a posterior composite
restoration, the dentist should carefully
a. eliminate contacts in the fossa
b. avoid altering the centric contact on enamel
c. develop centric contacts on cavosurface margins

226 The long term prognosis of a single-abutment cantilever fixed

partial denture is compromise
BECAUSE forces are best tolerated by the periodontal supporting
structure when directed in the long axes
of the teeth.
a. both statement and the reason are correct and related
b. both the statement and the reason are correct but NOT related
c. the statement is correct, but the reason is NOT
d. the statement is NOT correct, but the reason is correct
e. NEITHER the statement NOR the reason is correct.
227 A practitioner has stabilized a permanent anterior tooth that had a
fracture in the apical-one-third of the
root. The tooth will MOST likely
a. require extractions
b. remain functional and vital
c. become ankylosed
d. resorb internally and externally
228 Which of the following is the LEAST effective in removing
crevicular plaque
a. toothpick
b. dental floss
c. a soft, nylon toothbrush
d. a water-irrigating device
229 A two day-old developing plaque consists primarily of
a. filamentous organism
b. spirochetal organism
c. gram + cocci and rods
d. gram motile organism
e. a structureless, non-mineralized pellicle.
230 A patient who has Parkinsons disease is being treated with
levodopa. Which of the following
characterizes this drugs central mechanism of action
a. it replenishes a deficiency of dopamine
b. it increases concentrations of norepinephrine
c. it stimulates specific L-dopa receptors
d. it acts through a direct serotonergic action
231 Establishing drainage is an important aspect of emergency
treatment for an acute apical abscess. An
equally important aspect is
a. adjusting the occlusion
b. prescribing systemic antibiotic
c. prescribing appropriate analgesics
d. introducing antimicrobial medicaments into the pulp space
232 daily cleaning of the root surface by the patient has been shown to
a. cause root sensitivity
b. cause root resorption

c. stimulates the epithelial attachment

d. allow remineralization of the root surface.
233 What is Bennett angle
a. it is the angle that is formed by the non-working condyle and the
sagittal plane during lateral
movement
b. it is the angle that is formed by the condyle and the horizontal plane
during protrusive movements.
c. It is an difference in condylar inclination between protrusive and
lateral movements
d. It is the difference between in the condylar and incisal inclinations.
234 A cast gold restoration might be indicated for the replacement of a
faulty amalgam to obtain
a. better margin
b. more ideal contours
c. less trauma to the pulp
d. less removal of tooth structure
235 an adult patient presents with multiple, soft nodules and with
macular pigmentation of the skkin.
Which of the following BEST represents this condition
a. lipomatosis
b. neurofibromatosis
c. metastatic malignant melanoma
d. polyostotic fibrous dysplasia
e. bifid rib-basal cell carcinoma syndrome
236 radiographs of an asymptomatic, 20 years old patient reveal a
sharply outline radiolucent lesion in the
mandibular first molar area. This 2 cm lesion scallops between the
roots of vital teeth. The MOST probable
diagnosis is
a. radicular cyst
b. dentigerous cyst
c. traumatic bone cyst
d. odontoma
237 which of the following abnormal findings is diagnostic of a
trochlear nerve dysfunction
a. proptosis
b. dilated pupil
c. eyes fail to move laterally
d. eyes fail to move down and out
238 a 5 years old child has a posterior unilateral crossbite that is
accompanied by a functional shift of the
mandible. When should this crossbite be corrected
a. immediately without waiting for the eruption of permanents first
molar
b. when all the primary teeth have exfoliated

c. after the permanent first molars have fully erupted

d. when the child is approximately 9 years old
239 stress and illness are often related. The BEST description of their
relationship is which of the following
a. stress is a primary cause of illness
b. illness is an adaptation to stress
c. stress is psychological
d. stress is contributory to illness and illness is usually stressful
240 after a dentist explained his diagnosis and treatment plan, a
patient became saddened. By which of the
following did this patient MOST likely communicate his feeling to the
dentist
a. words
b. gestures
c. respiration rate
d. facial expression
241 persistent and repetitions questions asked by an 8 years old
patient during treatment are a
a. attempted to delay treatment
b. medication of hyperactivity
c. sign that child may be autistic
d. expression of the childs curiosity about the dental treatment
242 what does the moyers probability chart predict when a transitional
dentition analysis is performed?
a. the widths of mandibular anterior teeth
b. the space available for permanent canine and premolar
c. the width of permanent canines and premolars
d. the space needed for alignment of permanent mandibular central
and lateral incisors
243 which of the following agents is used for HIV infection
a. amantadine
b. acyclovir
c. zidovudine
d. ribavirin
e. isoniazid
244 for oral sedation in the dental setting, the MOST ideal group of
agents is
a. narcotics
b. barbiturates
c. antihistamines
d. benzodiazepines
e. anticholinergics
245 which of the following is the MOST common postoperative problem
associated with mandibular
sagittal-split osteotomies
a. infection

b. TMJ pain
c. Periodontal defects
d. Devitalization of teeth
e. Neurosensory disturbances
246 Which of the following exhibits the MOST personal behavior by the
dentist
A. leaning toward the patient
B. facing directly toward the patient
C. being seated 2 feet from the patient
D. touching the patient gently on the arm
247 the facial surface of the posterior mandible often presents limiting
factors to proper treatment of
periodontal defects. Primary among these factors is/are the
a. genital tubercles
b. mentalis muscle
c. external oblique ridge
d. internal pterygoid muscle
248 a radiographic exanimation reveals a radiolucent area in the
region of the mandibular left third molar.
The third molar is not present. The clinical differential diagnoses
included all of the following EXCEPT
one which one is this EXCEPTION
a. ameloblastoma
b. residual cyst
c. odontogenic keratocyst
d. dentigerous cyst
e. odontogenic myxoma
250 which of the following should be included to ensure the BEST
prognosis in the management of
localized juvenile periodontitis
a. systemic antibiotic
b. chlorhexidine
c. high dose of vitamin C
d. free gingival grafts
e. peroxide rinses
251a patient presents for multiple extractions. For the last 10 years, he
has been taking 10 mg of prednisone
daily for colitis. after consulting with patients physician, the
practitioner should
a. discontinues the patients steroid therapy preoperatively
b. halve the patients dose of prednisone to 5 mg on the day of surgery
c. switch the patient to another steroid for the preoperative period
d. ask the patient to continue taking the prednisone and consider
temporarily increase the dose.
252 Initial instrumentation for the biomechanical preparation of a vital
tooth should begin at the canal

orifice and should end at the

a. radiographic apex
b. cementodentinal junction
c. cementoenamel junction
d. cement pulpal junction
253 in the absence of a second premolar, the roots of the primary
second molar will MOST likely
a. not resorb
b. resorb slowly
c. resorb rapidly
d. resorb normally
254 a patient complains that a tooth with a recently placed large MOD
restoration is tender to mastercation
and exhibits occasional thermal sensitivity. Which of the following is
the MOST likely cause
a. microleakage
b. recurrent caries
c. gingival recession
d. premature occlusion
255 an x-radiation dose of 4Gy administered locally to a patients arm
is MOST likely to cause
a. erythema
b. bone marrow death
c. carcinoma of the skin
d. acute radiation syndrome
256 biologic changes in the aging patient affect both pharmacokinetics
and pharmacodynamics of drugs,
which in turn, are manifested as each of the following EXCEPT one,
which one is this EXCEPTION
a. decreased renal excretion
b. increased plasma protein binding
c. increased half lives of some drugs
d. decreased volume of distribution and sequestration of drug in body
fat
257 which of the following precautions should the dentist observe
when providing dental care for a child
with insulin-dependent diabetes
a. no specific precautions are necessary
b. the patient should be seen after a meal and insulin injection
c. the patient should have an empty stomach and should take the
insulin before the procedure
d. the patient should have an empty stomach and postpone the insulin
injection until after the procedure
e. the patient should be seen after a meal and postpone the insulin
injection until after the procedure
258 a patient repeatedly criticizes a dentists actions. Which of the

following techniques is MOST likely to

open a positive dialogue with the patient
a. maintain simple silence
b. state the patients concern
c. ignore the patients complaints
d. recognize that the patient has a problem
e. correct the patients misconception
259 following flap surgery, new junctional epithelium can form on
either cementum or dentin
junctional epithelium is reestablished as early as one week
a. both statements are true
b. both statements are false
c. the first statement is true, the second is false
d. the first statement is false, the second is true
260 each of the following types of viral hepatitis is usually transmitted
through blood or bodily fluid
EXCEPT one, which one is this EXCEPTION
a. hepatitis A
b. hepatitis B
c. hepatitis C
d. hepatitis D
e. non A-non B hepatitis
261 a patients early recovery from an ultrashort acting barbiturate is
related primarily to
a. redistribution
b. breakdown in the liver
c. excretion in the urine
d. breakdown in the blood
e. binding to plasma protein
262 A patient has pain over the left pre-auricular area, this patient can
open approximately 45 mm and has
a pop-and-click in the joint area. The MOST likely diagnosis is
a. myofacials pain dysfunction syndrome
b. internal derangement with reduction
c. auriculotemporal syndrome
d. coronoid hyperplasia
263 to expose a mandibular lingual torus of a patient who has a full
complement of teeth, the incision
should to
a. semilunar
b. paragingival
c. in the gingival sulcus and embrasure area
d. directly over the most prominent part of the torus
e. inferior to the lesion, reflecting the tissue superior
264 in which stage of tooth development does tetracycline
discoloration occur

a. apposition
b. proliferation
c. mineralization
d. histodifferentiation
265 a 4 years old child has a history of frequent spontaneous pain in a
primary mandibular second molar.
This molar has a necrotic pulp which of the following represents the
treatment of choice
a. pulpectomy
b. pulpotomy
c. extraction
d. pulp cap
266 administration of which of the following narcotics will result in lifethreatening complications for a
patient who is taking monoamine oxidase (MAO) inhibitors
a. fentanyl
b. morphine
c. nalbuphine
d. meperidine
e. pentazocine
267 for a population, the research divides the number of disease cases
by the number of people. By so
doing, this investigator will have calculated which of the following rates
a. incidence
b. odds ratio
c. prevalence
d. specificity
268 which of the following represents the BEST aid to diagnoses an
irreversible pulpitis
a. electric pulp test
b. thermal test
c. radiograph
d. percussion
e. test cavity
269 an apically displaced flap is generally impossible in which of the
following areas
a. mandibular facial
b. mandibular lingual
c. maxillary facial
d. maxillary palatal
270 a 26 years old female patient states that for several years, small,
red to white oral lesions have occurred
irregularly. They are painful but reveals these lesions are located on
alveolar non keratinized mucosa. The
MOST likely diagnosis is
a. recurrent aphthous stomatitis

b. acute necrotizing ulcerative gingivitis

c. recurrent herpes labialis
d. acute herpetic gingivostomatitis
271 a mandibular first molar crown is severely decayed due to caries.
Each of the following procedures can
be used to remove this tooth EXCEPT one. Which one is this EXCEPTION
a. using a cowhorn forceps
b. removing the thin lingual cortical plate of bone
c. elevating the root sections with an east-west elevator
d. reflecting a modest buccal flap and removing the buccal bone
272 superficial decalcification and staining are evident in the buccal
groove of a mandibular molar, which
of the following is the treatment of choice
a. oral prophylaxis at 3-month intervals
b. daily irrigation with pressurized water
c. complete elimination of the area by preparation and restoration
d. enamel plasty limited to the superficial depth of the decalcified
enamel
273 which of the following is the treatment of choice for lidocaineinduced seizures
a. diazepam
b. naloxone
c. epinephrine
d. flumazenil
e. succinylcholine
274 which of the following is the earliest clinical sign of a carious lesion
a. radiolucency
b. patient sensitivity
c. change in enamel opacity
d. rough surface texture
e. cavitation of enamel
275 what is apical position flap? When it is frequently performed
after the flap has been elevated and the necessary treatment has been
performed, the gingival is positioned
at the crest of bone. Most frequently performed after osseous surgery
(crown lengthening)
276 what percentage of the population sees a dentist regularly
60-65%
277 why is midazolam preferred to diazepam for IV injection
more water soluble
278 composite is shrinkage toward
core of the composite
279 toxic effect of lidocaine
stimulation and then depress the CNS
280 punch-out lesion on x-ray? Multiple myeloma
281 what is the method of HMO payment?

Capitation
282 what is the percentage of chlorhexidine (0.1-0.2%) remain after
rinse
30%
283 what kind amalgam wrks best to restore proximal contours
admixed
284 reverse architecture mean what in perio
interproximal bone .
285 preload of implant is comparable to what force
tongue
286 keratosis happen in where in mouth
palate
287 if a dentist does not his patient his treatment, what kind of
behavioral attitude has he taken
negligence
288 what are the advantages of direct bonding brackets over the
conventional ortho band or brackets
a. easier b better OH c. no separation d. all of the above
289 how does a light cured composite resin hold to the tooth after the
etching has been done
a. mechanically b. physically c. chemically d. adhesion
290 serial extraction should be used in a patient with which type of
malocclusion
a. class 1 b. class 2 c. class 3 d. abnormal overbite
291 what is the advantage of sagittal split osteotomy over the
transoral vertical subcondylar osteotomy
a. correct a mandibular protrusion
b. it is safer and in the operation room and less painful
c. correct mandibular retrognathia
d. correct mandibular prognathism and apertognathia
e. all of the above
f. a,c, and d only
292 each of the following is characteristic of ectodermal dysplasia
except
a. atrophic skin b. blue sclera c. defective hair d. anodontia
293 which of the following is used in restored a small portion of a
mandible
a. silastic b. tantalum c. homogenous bone d. autogenous bone
294 what is the side effect of phenothiazine
tardive dyskinesia
295 smooth muscle relaxation is caused by which of the following
drugs
a. prazosin b. atropine c. theophylline d. amphetamine
296 when should the lateral sliding flap procedure be done
a. shallow vestibule
b. prominent recipient root

c. normal vestibule
d. adequate amount of keratinized donor tissue
297 best prognosis with surgery for genioplasty
inferior border osteotomy
298 patient with thyroid problem, what drug must not be used
epinephrine
299 what is the organism associated with ANUG infection
a spirochete
300 for child with herpetic gingivostomatitis you will do all the
following except
a. antibiotic b. give oral rinses before eating c. plenty of bed rest and
keep away from other children
301 what is the most common psychiatric problem in elderly
a. dementia b. depression c. mania
302 why bead for RPD
to have space for acrylic processes
303 patient has faulty amalgam, the dentist proposed treatment to
replaced with grown, why?
a. protect pulp b. get better contour c. get better margin
304 why have guiding plane
to provide better retention
305 antidote for fluoride overdose
milk or calcium supplement
306 high ceiling drugs cause ototoxicity with deafness
307 barbiturates should not be taking with
cumadine
308 why does upper max complete denture break in midline
alveolar resorption
309 how long after eating is the PH in the mouth significantly lower
a. 10-30 min b. 1-2 hours c. 2-4 min d. 3-6 hours e. 10-15 min
310 all f the following cause vasoconstriction except
a. epinephrine b. norepinephrine c. phenylephrine d. levonor defrin
311 patient have history of complains of pain in the lower left posterior
region 2 days after extraction. What
is the most common reason
a. normal b. tumor c. alveolar osteitis d. paresthesia
312 patient have history of fracture in the mandibular premolar area
few years ago. Patient now complains
of a soft, nodular swelling in the region. What is most common reason
a. lipoma b. hemangioma c. traumatic neuroma d. neurofibroma
313 which of the following can cause bilateral angular cheilitis in a
patient with complete denture
a. increase VDO b. improper centric relation c. increased interocclusal
distance
314 opioid agonists act by
a. stimulating GABAergic neuron b. increase pain threshold c. acting as

Mu receptor agonists
315 critical instrument used in or near the oral cavity, which may
become contaminated
a. with blood and saliva must be b. disinfected between uses c.
sterilized between uses d. can be either
disinfected or sterilized between uses
316 a young child dental patient has had a previous negative
experience with a dental handpiece. This child
expresses fear when the dentist reaches for a prophy angle to begin a
cleaning. A term that best describes
this phenomenon is
a. negative reinforcement b. extinction c. stimulus generalization d.
modeling
317 which dental employee is least likely to be exposed according to
OSHA regulation
a. dentist b. dental assistant c. dental receptionist d. dental hygienist
318 how will you distinguish between periapical cemental dysplasia
and chronic apical periodontitis
a radiograph b percussion c. vitality test d. pain
319 you have given a patient o local anesthetic injection containing
epinephrine. The patient feels cold and
clammy and the BP goes down to 46. what has most likely occurred
a. MI b. stroke c. vasovagal attach d. heart attack
320 CHIP
a. use in perio diagnosis only
b. use in children
321 postural hypotension is a common complaint of patients who take
antihypertensive agents because
many of these agents interfere with the
a. sympathetic control of vascular reflexes
b. release of acetylcholine in the ganglia
c. epinephrine release from the adrenal medulla
d. parasympathetic control of vascular resistance
e. neuromuscular transmission in skeletal muscles