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‫بسم الله الرحمن الرحيم‬

‫الحمد هلل رب العالمين وأفضل الصالة وأتم التسليم على سيدنا محمد وعلى آله و صحبه أجمعين وبعد‬

‫تم بعون هللا إتمام اإلصدار الخامس من أسئلة طبيب األسنان العام الختبار البرومتريك‬

‫هذا الملف يتضمن األسئلة الواردة في ملف د‪ .‬مايسترو مع إضافة األسئلة الواردة في المنتدى حتى صفحة‬
‫‪344‬‬

‫‪http://www.cksu.com/vb/showthread.php?t=100804&page=344‬‬

‫و تعديالت في بعض األجوبة حسب وجهة نظري أحيانا و حسب بعض األطباء كل باختصاصه وقد‬
‫اعتمدت على التنسيق التالي للحل‬

‫جواب صحيح مؤكد من خالل مرجع ***‬

‫جواب متفق عليه دون مرجع‬

‫و قد قمت بتقسيم األسئلة إلى قسمين ‪:‬‬

‫القسم األول‪ :‬يتألف من ‪ 1412‬سؤاال صحيحة بنسبة ‪ %99‬ألنها معتمدة في أغلبها على المراجع أو أنها‬
‫متفق عليها غالبا و قد قمت بتغيير بعض اإلجابات الموجودة مسبقا في الملف القديم بناء على وجهة نظر‬
‫كتبتها في نهاية كل سؤال و كتبت بعدها (عبيدة) لمعرفة أنها وجهة نظري‬

‫القسم الثاني‪ :‬يتألف من ‪ 275‬سؤال وقد كان مختلف عليها لكن تم تصحيحها‪.‬‬

‫القسم الثالث‪ :‬يتألف من ‪ 134‬سؤال وهي تم إضافتها حديثاً‪.‬‬

‫و ال بد لي أن أذكر كيف تطور هذا الملف حيث مر بعدة مراحل‬

‫ملف مايسترو الذي احتوى األسئلة الموجودة على المنتدى حتى صفحة ‪ 170‬و كان يضم حوالي‬ ‫أ‪.‬‬
‫‪ 1200‬سؤال‬
‫قمت مع د‪ .‬روبو و د‪ .‬هال بتطوير الملف السابق من حيث تنسيقه و تصحيح بعض األسئلة فيه و‬ ‫ب‪.‬‬
‫إضافة األسئلة حتى الصفحة ‪ 200‬من المنتدى‬
‫في المرحلة الثالثة قمت بإعادة ترتيبه حيث فصلت األسئلة الصحيحة عن المختلف عليها لتسهيل‬ ‫ت‪.‬‬
‫الدراسة و عدم تشتيت الذهن تمهيدا للمرحلة التالية‬
‫المرحلة الرابعة قمت فيها بمساعدة قيمة من د‪ .‬سالف بإضافة األسئلة الموجودة بالمنتدى حتى‬ ‫ث‪.‬‬
‫صفحة ‪ 322‬و تصحيح جزء كبير من األسئلة من خالل المراجع المعتمدة و الذي قامت به د‪.‬‬
‫سالف‬
‫المرحلة الخامسة تم خاللها تصحيح بعض األسئلة من خالل المراجع و إضافة صور‬ ‫ج‪.‬‬
‫توضيحية و إضافة أسئلة جديدة حتى الصفحة ‪ 344‬من المنتدى و األهم أنه تم وضع تعليق‬
‫بجانب األسئلة التي تكررت مع الزمالء من خالل دراسة جميع نماذج االختبارات للزمالء‬
‫الذين تقدموا لالختبار و وضعوا أسئلتهم على صفحات المنتدى و قد أشرت بجانب السؤال‬
‫بتعليق يحوي إشارة (&) تدل على عدد مرات التكرار لكي يتم التركيز على هذه األسئلة مع‬
‫األخذ بعين االعتبار عدم إهمال الباقي و قد تمت هذه المرحلة بمساعدة قيمة من د ‪ .‬تمام‬
‫( الطير الحر)‬
‫أرجو من كل من يقرأ هذا الملف و يستفد منه أن يقوم بنشره ما استطاع و إن استطاع حل بعض‬
‫األسئلة فيه فال يبخل علينا بالفائدة من خالل وضع الحل الصحيح في المنتدى مع ذكر رقم‬
‫السؤال المصحح في الملف‬

‫و أخيرا أرجو أن تجدوا فيه كل الفائدة و أن يقوم شخص آخر بتحديثه بعد فترة‬

‫إن اسم عبيدة هو البني أما أنا فاسمي عامر من مدينة دوما في سوريا‬

‫ما وجدتم فيه من خير فبتوفيق و فضل من اهلل وحده و ما كان فيه من نقص فمن نفسي فاعذروني‬

‫‪amerobida@yahoo.com‬‬

‫االحد ‪ 8‬جماد ثاني ‪ 1433‬هـ الموافق ‪ 29‬نيسان ‪ 2012‬م‬

‫فيما يلي المقدمة التي كتبها د‪ .‬مايسترو للملف األول الذي قام بجمعه أضعها عرفانًا منّا بفضله ألنه‬
‫صاحب المبادرة أرجو أن يجعلها اهلل صدقة جارية له‬

‫هذا الملف يتضمن تقريبا ً كل األسئلة الواردة في الموقع من بدايته حتى الصفحة ‪170‬على الرابط التالي‬

‫‪http://www.cksu.com/vb/showthread.php?t=100804&page=170‬‬

‫يمكن للزمالء المناقشة والتعديل ويفضل مع مرجع‪.‬‬


‫اعتمدت أوالً على اإلجابات والمناقشات والمراجع التي استعان بها الزمالء والزميالت (مشكورين فرداً‬
‫فرداً)‬

‫اعتمدت ثانيا ً على المراجع المطلوبة من الهيئة وأمهات كتب طب األسنان باإلضافة لمنشورات‬
‫الجامعات السورية‪.‬‬

‫من هذه المراجع‪:‬‬

‫‪Dental decks2 – Dental Secrets - Oxford Handbook of Clinical Dentistry, 4th‬‬


‫‪ Edition‬األهم ‪:‬‬

‫‪Art and science of operative dentistry 2000 - Atlas Of Oral Medicine - -‬‬
‫‪Caranza periodontology - PDQ Oral Disease Dx Tx 2002 - Pathway of the pulp‬‬
‫‪9ed 1st – Contemporary Fixed Prosthodontics - Wikipedia‬‬

‫كتب‪ :‬التعويضات المتحركة الكاملة ‪ - 2006‬طب أسنان األطفال ‪ -‬أمراض الفم‪ ،‬وغيرها‪..‬‬
‫ال ضير من استخدام اللغة العربية في ترجمة بعض الكلمات وأنا أفضل ذلك على كتابة جملة بأكملها‬
‫بلفظها األجنبي وبحروف عربية!‬

‫ترقيم األسئلة غير منتظم ألنها من مصادر وصفحات متعددة من الموقع ‪ ،‬وكذلك تعمدت ‪-‬ما أمكنني‪-‬‬
‫وضع األسئلة والمواضيع المتشابهة بجانب بعضها‪.‬‬

‫الجواب األكيد باللون األخضر وبجانبه ‪ 3‬نجمات ***‪.‬‬

‫الجواب الذي عليه إجماع دون مرجع باللون األخضر فقط‪ ،‬وإن أمكن يفضل تقديم مرجع أو نص‪.‬‬

‫الجواب الذي عليه خالف ولم يتم اإلجماع عليه‪ ،‬محاط باللون األصفر وهو متروك لمشاركة الزمالء‬
‫المعتادة‪ ،‬وإن أمكن يفضل تقديم مرجع أو نص‪.‬‬

‫الجواب باللون األخضر والمحاط بلون أصفر يعني أنه جواب ممكن من وجهة نظري رغم وجود‬
‫جواب آخر ويفضل أن يناقش أو يف ّند‪.‬‬

‫اإلجابات تتناسب مع األسئلة المطروحة والتي تعتمد على ذاكرة الزمالء بعد االمتحان حيث يمكن أن‬
‫يكتبوه ناقصا ً أو مختلفا ً عن األصل مما قد يسبب اإلرباك‪ ،‬ولذلك تم وضع نصوص من المراجع‬
‫الختيار األجوبة على أساسها‪.‬‬

‫حاولت ما أمكن تصحيح الكلمات المكتوبة بشكل خاطئ لغويا ً وعلميا ً ولذلك سيكون هناك اختالف مع‬
‫صيغته المكتوبة في الموقع‪.‬‬

‫النقاط أو الترقيمات التي بعدها فراغ تعني وجود خيار ولكن ال يمكن تذكره وغالبا ً ليس هو الخيار‬
‫الصحيح‪.‬‬

‫أعتذر عن عدم الترتيب أو أي أخطاء في اإلجابات فملف ضخم كهذا يحتاج جهد كبير لكل من التنسيق‬
‫والتأكد من المعلومات‪ ،‬ويحتاج جهد جميع الزمالء‪.‬‬

‫واألهم‪ :‬الفضل في هذا العمل يعود للزمالء الذين ساعدونا بأنهم وضعوا على هذا الموقع األسئلة التي‬
‫امتحنوا بها‪ ،‬وللزمالء الذين جمعوا األسئلة في ملفات كانوا يضعونها تباعاً‪ ،‬ولوالهم جميعا ً لما كان هذا‬
‫العمل المتواضع‪.‬‬

‫آسف لإلطالة ولهذه المقدمة‪ ،‬وأتمنى الرد والمشاركة الفاعلة من الجميع‪.‬‬

‫تحياتي وتمنياتي للجميع بالتوفيق‬

‫في اختبار الهيئة والحياة العملية‬

‫زميلكم د‪.‬صمود العمر ‪ -‬الرياض‬

‫واسمي على الموقع‬

‫‪Dr.maestro‬‬

‫‪d.somod@hotmail.com‬‬
‫‪PDL‬‬ ‫الرباط حول السن‬
‫‪TMJ‬‬ ‫المفصل الفكي السفلي الصدغي‬
‫‪PT‬‬ ‫مريض‬
‫‪TPD‬‬ ‫جهاز متحرك‬
‫‪FPD‬‬ ‫جهاز ثابت‬
‫‪RPD‬‬ ‫جهاز جزئي متحرك‬
‫‪TX‬‬ ‫خطة عالج‬
‫‪DX‬‬ ‫التشخيص‬
‫‪RCT‬‬ ‫عالج قناة الجذر‬
‫‪ZINC‬‬ ‫اسمنت فوسفات الزنك‬
‫‪GP‬‬ ‫كوتا بيركا‬
‫‪GI‬‬ ‫غالس أنومير‪:‬‬
‫‪SAC‬‬ ‫كيس‬
‫‪LA‬‬ ‫مخدر موضعي‪:‬‬
‫‪DPC‬‬ ‫تغطية مباشرة‬
‫‪PEDO‬‬ ‫معالجة لبية‬
‫‪MRI‬‬ ‫رنين مغناطيسي‬
‫‪DEF‬‬ ‫دليل نخر قلع حشو‬
‫‪RESTO‬‬ ‫ترميم‪:‬‬
‫‪RBC‬‬ ‫كريات الدم الحمراء‬
‫‪DEJ‬‬ ‫االتصال العاجي المينائي‬
‫‪PD‬‬ ‫جهاز جزئي‬
‫‪MAX‬‬ ‫الفك العلوي‬
‫‪MAN‬‬ ‫الفك السفلي‬
‫‪PFM crown‬‬ ‫تاج خزف معدن‬
‫ األسئلة الصحيحة‬: ‫القسم األول‬
1. The periodontal tissues comprise which of the following tissues:
a. Gingiva and the PDL.
b. Gingival, PDL, and alveolar bone.
c. Gingival, PDL, alveolar bone, and cementum.***
d. Gingival, PDL, alveolar bone, cementum, and enamel.
The periodontal tissues = the periodontium
‫راجع الصفحة التالية على النت للتأكد‬

2. The periodontium comprise which of the following tissues:


e. Gingiva and the PDL.
f. Gingival, PDL, and alveolar bone.
g. Gingival, PDL, alveolar bone, and cementum. ***
h. Gingival, PDL, alveolar bone, cementum, and enamel.

--- The following four tissues make up the periodontium:


Alveolar bone
Cementum
Gingiva or gums
Periodontal ligament

3. The following chemically bond to the tooth:


a. Composite resin.
b. Dental sealants.
c. Glass ionomer cement. ***
d. All of the above.

4. In countries with higher annual population growth rates, the need for
community – based preventive programs would be greater for:
a. Dental caries.
b. Periodontal disease
c. Dentofacial anomalies
d. Dental floozies.

5. The following medical conditions may precipitate a syncope: ‫إغماء‬


a. Hypoglycemia. *** ‫نقص سكر الدم‬
b. Mild hyperglycemia. ‫فرط سكر الدم الخفيف‬
c. Anti hypertensive drugs with ganglionic blocking agent. ‫حاصر للعقد‬
d. Anti depressant therapy. ‫مضادات الكآبة‬
e. All of the above.
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 303

A faint may mimic far more serious conditions, most of which can be excluded
by a familiarity with the patient's PMH. These include strokes, corticosteroid
insufficiency, drug reactions and interactions, epileptic fit, heart block,
hypoglycaemia, and MI.

6. what’s the first sign of Syncope


a) Paleness
b) nose bleeding (epistaxis(
c) Miosis

7. Most frequent cause of fainting in dental office: ‫اإلغماء‬


a. Vaso-vagal shock. *** ‫صدمة وعائية مبهمية‬
b. Diabetes.
c. Fear.
‫ كما أن من يسبب اإلغماء نقص السكر وليس‬،‫تنتج عن التخدير صدمة وعائية مبهمة تسبب اإلغماء‬
"vaso-vagal syncope "dental decks 1909 - ‫زيادته‬

8. Loss of consciousness most frequent cause:


a. Syncope. ‫إغماء‬
b. CO2 ...
"The most common cause of loss of consciousness in the dental office is
syncope"

9. Orthognathic ridge relationship (class II) presents several problems which


should be taken into consideration when constructing complete denture
prosthesis. These include all EXCEPT:
a. Require minimum interocclusal distance. ***
b. Have a great range of jaw movement.
c. Require careful occlusion, usually cuspless teeth are indicated. ‫عديمة الحدبات‬
Complete Denture 17th Ed – page 16
RESIDUAL RIDGE RELATIONSHIP: Class II or retrognathic is usually difficult as
the patient looks toothy, often holds the mandible forward to improve
appearance with subsequent TMJ problems, usually have a great range of jaw
movements in function, require careful occlusion, and usually needs a large
interocclusal distance. Class Ill or prognathic is usually easier if not extreme.
The patient usually functions on a hinge (little or no protrusive component)
and requires a minimum of interocclusal distance. In any case, do not set the
teeth for a retrognathic or prognathic patient in a normal relationship, unless
there is only a moderate deviation from Class I.
10. Class III jaw relation in edentulous PT:
a. It will affect size of maxillary teeth.
b. Affect retention of lower denture.
c. Affect esthetic and arrangement of maxillary denture.
d. All of the above. ‫األصح‬
Abstract

Further to some reminders concerning terminology and resorption, this article


presents the full denture prosthetic treatment for two patients with total edentation and
a prognathic malocclusion. The first case presents a tridimensional symptomatology,
described by: a progeny; a voluminous mandibular terrain; a concave profile; a rather
closed mandibular angle; a mandible ridge which circumscribes the upper jaw; The
particularities of the prosthetic treatment in this case are: a lowering of the posterior
occlusal plane; a mounting of the teeth in a limited external position, that is to say, the
maxillary lingual cuspids and the mandibular mesio-distal groove on the inter-crest
line; the mandibular incisors and cuspids placed with a lingual inclination to obtain an
edge-to-edge occlusal contact. The second case is of vertical symptomatology type,
described by: a macrogeny; a moderate concavity of the profile; a very marked
increase of the vertical dimension; an open mandibular angle; a short ramus; a long
mandibule; a very marked overjet between the anterior crests. The particularities of the
prosthetic treatment for this case are: a posterior teeth placement, avoiding cross-bite
position, taken into account the strong convergence of the intercrest lines; a strong
lingual inclination of the mandibular incisors and cuspids, in order to obtain an edge-
to-edge occlusal contact. In the light of these two specific cases, emphasis is placed
on the particularities of the treatment and on the teeth placement proposed in order to
avoid any cross-bite teeth mounting.

11. Planning centric occlusion for complete denture, it is advisable to have:


a. 1-2 mm of vertical and horizontal overlap of upper and lower anterior teeth
with no contact. *** ‫تغطية‬
b. Definite tooth contact of upper and lower anterior teeth in order to facilitate
the use of anterior teeth for incision. ‫تماس صميمي‬
12. The posterior extension of max complete denture can be detected by the
followings EXCEPT:
a. Hamular notch. ‫الثلمة الجناحية الفكية‬
b. Fovea palatine. *** ‫النقرتان الحنكيتان‬
c. Vibrating line.
"‫"التعويضات المتحركة الكاملة‬

‫ وهي‬،‫"تتوضع الثلمة الجناحية الفكية بين الحدبة الفكية والشص الجناحي للصفيحة األنسية للعظم الوتدي‬
"‫ وتعتبر أكثر مناطق التثبيت أهمية في الجهاز العلوي‬،‫نقطة عالم هامة إلنهاء حواف الجهاز عندها‬

.)‫"أغلبية العينات كانت لها نقرات تقع على أو خلف خط االهتزاز األمامي (على جانبي الخط األوسط‬
‫ وال يجب استعمال النقرات الحنكية‬. ‫لذلك فإن موقع النقرات ال يمثل الملتقى بين الحنكين الرخو والصلب‬
‫ إن الطبيب الذي يالحظ هذه النقرات ويستخدم هذه المعالم التشريحية على‬. ‫كدليل على توضع السد الخلفي‬
‫أساس أنها حد خلفي لقاعدة الجهاز السني يمكن أن يحرم مريضه من عدة مليمترات بل حتى سنتيمتر‬
‫ وهذا بدوره سيكون له تأثير سلبي على‬. ‫وأكثر من مدى تغطية النسيج وذلك اعتماداً على الشكل الحنكي‬
"‫ثبات قاعدة الجهاز السني الكامل للفك العلوي‬

13. The distal palatal termination of the maxillary complete denture base is
dictated by the:
a. Tuberosity. ‫الحدبة الفكية‬
b. Fovea palatine. ‫نقرة الحنك‬
c. Maxillary tori.
d. Vibrating line. ***
e. Posterior palatal seal. ‫السد الخلفي‬
heartwell 5th ed - page 224

Vibrating line is determined the posterior extension of the posterior palatal


seal

14. Vibrating line:


a. Between hard & soft palate.
b. Between mobile and non mobile soft tissue. ***
15. oral surgeon put his finger on the nose of the patient and the patient
asked to blow.
This done to check:
a. anterior extention of posterior palatal seal. ***
b. lateral extension of posterior palatal seal
c. posterior extension of posterior palatal seal.
d. glandular opening
Dental Decks - page 440
Land marks for posterior palatal seal:
The posterior outline: is formed by the "Ah" line or vibrating line and passes
through the two pterygomaxillary (hamular) notchs and is close to the fovea
palatine.
The anterior outline: is formed by the "blow" line and is located at the distal
extent of the hard palate.

16. Pt. Presented after insertion of complete denture complaining of


dysphagia and ulcers what is the cause of dysphagia?
-over extended. ***
-over post dammed.
-under extended
-under post dammed
‫ التعويضات المتحركة الكاملة‬:‫المرجع‬
:‫االمتداد الزائد للحواف الخلفية للجهاز الفكي العلوي‬
‫في محاولة طبيب األسنان الممارس لزيادة الخواص التثبيتية للجهاز فإنه قد يتجاوز فيزيولوجية الجهاز‬
‫ عندما يحصل ذلك فإن‬،‫العضلي للحنك الرخو ويضع الحدود الخلفية للجهاز السني بعيداً جداً نحو الخلف‬
.‫الجزء النشط من الحنك الرخو ينثني مقابل قاعدة الجهاز السني الصلبة وغير اللينة‬
‫ وفي تلك الحالة يمكن مشاهدة‬،ً‫والشكوى التي تتكرر أكثر عند المرضى هو أن البلع يكون صعبا ً ومؤلما‬
‫ يتم تعليم اآلفة بقلم غير قابل للمحي وينقل إلى قاعدة الجهاز‬،‫مناطق صغيرة متقرحة في الحنك الرخو‬
.‫السني حيث تتم إزالة مكان االمتداد الزائد عن طريق السحل وبعد ذلك إعادة صقله بحذر‬

‫إذا كانت الشاخصات الكالبية مغطاة من قبل قاعدة الجهاز السني فإن المريض سوف يعاني من ألم حاد‬
.‫ يجب أن ال تغطى قاعدة الجهاز الشاخصات الكالبية‬,‫وخاصة أثناء الوظيفة‬

17. Pt with denture has swallowing problem and sore throat. The problem is:
‫حلق ملتهب‬
a. Posterior over extension at distal palatal end. ***
b. Over extension of lingual.
c. Over extension of hamular notch. ‫الثلمة الشصية‬
18. Nausea is a complaint that a new denture wearer might encounter. It may
result from: ‫الغثيان‬
a. Thick posterior border. ‫حافة خلفية سميكة‬
b. Denture under extended. ‫امتداد خلفي ناقص‬
c. Denture slightly over extended. ‫امتداد زائد قليالً للخلف‬
d. A & b are correct. ***
Complete Prosthodontics (problems,diagnosis&managment) – page 78
Gagging (nausea): loose denture – thick distal termination of upper denture –
lingual placement of upper denture – occlusal plane low.
Complete Denture 17th Ed – page 128
3. Gagging:
a. Psychogenic -starts in mind, very difficult to treat
b. Stomatogenic -starts in body (usually dentures), treatable
c. Dental causes:
1. Lack of retention
2. Poor occlusion
3. Insufficient or excessive palatal seal. ‫أي سد خلفي ناقص أو مفرط بالزيادة‬
4. Crowded tongue due to a thick palate or poor tooth placement
5. Excessive salivation
6. Excessive vertical dimension (often seen in new dentures)
And

http://web.wits.ac.za/NR/rdonlyres/F...esManualV6.pdf

Denture over-extension onto the soft palate may stimulate a gag reflex
directly by continuous contact or indirectly by intermittent contact brought
about by the activity of the soft palate or posterior third of the tongue.
An under-extended denture (or an unstable denture from occlusal
interferences) will lack a posterior seal, will dislodge intermittently, irritate the
posterior third of the tongue and thus cause nausea.
A palpable and thickened posterior border will also irritate the tongue.
Interference with tongue space, as in an excessively large vertical dimension
which causes compensatory protrusion of the tongue, or in a narrow arch
which forces the tongue to occupy an unnatural position, may also manifest as
nausea.

)‫الخيار الثالث ال يسبب منعكس إقياء (ألنه امتداد زائد قليالً للخلف‬

‫ التي تسبب‬Protusive imbalance ‫ يضاف لما سبق التلميع الزائد للجهاز وقلقلة الجهاز‬:‫مالحظة‬
.‫حركة اللعاب تحت حافته الخلفية‬

19. After insertion of complete denture, Pt came complaining from pain in TMJ
and tenderness of muscle with difficulty in swallowing, this could be due
to:
a. High vertical dimension. ***
b. Low vertical dimension.
c. Thick denture base.
d. Over extended denture base.
Dental Decks - page 398

20. Most common complete denture post insertion complaint after 24 hrs:
a. Rough.
b. Overextension causing laceration.
c. Pt not used to new vertical dimension.
21. Which palatal form is more retentive and offers better stability to complete
denture:
a. V shaped
b. Wide palate
c. U shaped ***
d. Flat palate
22. All relate to retention of maxillary complete denture EXCEPT:
a. Tongue movement. ***
b. Type of saliva.

405‫أكسفورد ص‬
.‫ حجم وكمية اللعاب – شكل الحواف السنخية – التكيف‬:‫عوامل الثبات الشخصية‬
– ‫ امتداد محيطي غير صحيح – أسنان في منطقة غير محايدة – إطباق غير موازن‬:‫أخطاء في الجهاز‬
‫نقص التلميع‬
www.studentals.com/uploaded/2_11205876676.doc
:‫من حيث النوعية‬
‫ الجهاز سيسبب تخريش اللثة‬:‫ لعاب قليل‬/ ‫ ينقص ثبات واستقرار الجهاز‬:)‫لعاب رقيق (غير لزج‬
.‫والتهابها‬
‫ يُش ِّكل طبقة يلتصق بالجهاز ويزعج المريض‬:)‫لعاب كثيف ولزج (مخاطي‬
:‫التعويضات المتحركة الكاملة‬ 
‫ وهي ذات‬،‫ وتتجمع خاصة عند اتصال قبة الحنك الصلبة بالشراع الرخو‬،ً‫"وأما الغدد الحنكية فكثيرة جدا‬
،‫تأثير يعين على ثبات الجهاز وذلك أل ّنها تفرز طبقة لعابية تحول دون احتكاك الجهاز بالغشاء المخاطي‬
‫ وتؤمن مرونة‬،) ‫وهي أشبه بوسادة مائية توزع الضغط توزيعا ً متساويا ً في المنطقة الخلفية ( السد الخلفي‬
. ‫ فتساهم هذه المفرزات اللزجة بثبات الجهاز‬،‫كافية للنسج التي تقع بتماس الجهاز المتحرك‬
23. Best instrument to locate vibrating line with it is
T burnisher. ‫مصقلة‬
‫أو نهاية قبضة المرآة‬

24. We can use to palatal posterior seal:


1. Le jao carver.
2. Kingsley scraper. ***
25. Compomer restorative materials are:
a. Glass ionomer with polymer components
b. Resin systems with fluoride containing glasses. ***
c. Composite resin for cervical restorations only.
http://en.wikipedia.org/wiki/Dental_compomer

The composition of compomers is similar to that of a dental


composite however it has been modified, making it a polyacid-modified
composite. This results in compomers still requiring a bonding system to bond
to tooth tissue.
And

Sturdevant's art and science of operative dentistry, 4th edition, page 209

Although the name compomer implies that the material possesses a


combination of characteristics of both composite and glass ionomers, these
materials are essentially polymer-based composites that have been slightly
modified to take advantages of the potential fluoride-releasing behavior of
glass ionomers.

26. The most frequent cause of failure of a cast crown restoration is:
a. Failure to extend the crown preparation adequately into the gingival sulcus.
‫حافة اللثة‬
b. Lack of attention in carving occlusal anatomy of the tooth.
c. Lack of attention to tooth shape, position, and contacts ***.
d. Lack of prominent cusps, deep sulcus, and marginal ridges. ،‫نقص في حدة الحدبات‬
‫حواف عميقة وهامشية‬
Dental Decks - page 466

27. An examination of the edentulous mouth of an aged Pt who has wore


maxillary complete dentures for many years against six mandibular teeth
would probably show:
a. Cystic degeneration of the foramina of the anterior palatine nerve. ‫استحالة كيسية‬
‫لثقبة العصب الحنكي األمامي‬
b. Loss of osseous structure in the anterior maxillary arch. ***
c. Flabby ridge tissue in the posterior maxillary arch. ‫سنخ خلفي ممتص‬
d. Insufficient inter occlusal distance.
Dental decks - page 390

When a patient wears complet maxillary denture agansit the six mandibular
anterior teeth its very common to have to do a reline so often de to loss of
bone strucutrein anterior maxillary arch.

28. Dental carries is an endemic disease "means that the disease is: ‫مرض مستوطن‬
a. Occurs clearly in excess of normal expectancy. ‫أكثر بكثير من المتوقع‬
b. Is habitually present in human population. ‫بشكل اعتيادي عند السكان‬
c. Affect large number of countries simultaneously. ‫يغزو دول عديدة بوقت واحد‬
d. Exhibit a seasonal pattern. ‫موسمي‬
29. Pt on treatment with steroids are placed on antibiotic after oral surgical
procedure because:
a. The Pt is more susceptible to infection.
b. Antibiotics are synergistic to steroids.
c. Antibiotic inhibits kerksheimer reaction. ‫تثبط تفاعل كيركشماير‬
d. Antibiotic protect the Pt from steroid depletion. ‫تمنع استهالكها‬
30. The post operative complication after the removal of impacted third molar is:
a. Secondary hemorrhage.
b. Swelling.
c. Pain.
d. Alveolar osteitis.
e. All of the above.
31. If the oral tissues are inflamed and traumatized, impression for making a new
denture:
a. Should be started immediately in order to prevent further deterioration. ‫تدهور‬
b. The occlusion of the existing denture is adjusted, and tissue condition material
is applied, and periodically replaced until the tissue are recovered, then
making impression take place. *** ‫تستخدم مكيفات النسج لمعالجة اللثة‬
c. The Pt is cautioned to remove the denture out at night.
d. A & B are correct.
e. All of the above are correct.
32. Balanced occlusion refers to:
a. The type of occlusion which allows simultaneous contact of the teeth in
centric occlusion only.
b. The type of occlusion which allows simultaneous contact of the teeth in
centric and eccentric jaw positions.*** ‫في العالقة المركزية واألوضاع الالمركزية‬
c. A type of occlusion which is similar to the occlusion of the natural teeth.
Dental Decks - page 548

33. Polyether impression materials:


a. Are less stable dimensionally than poly sulfide rubber.
b. Are less stiff than poly sulfide rubber.
c. Can absorb water and swell if stored in water. ***
.‫البولي ايثر أكثر ثبات باألبعاد وصالبة من البولي سلفايد ولكن إذا وضع بالماء يمتصه ويتمدد‬

34. The indication for the use of lingual plate major connector include:
a. For the purpose of retention.
b. When the lingual frenum is high or when there is a shallow lingual sulcus.
c. To prevent the movement of mandibular anterior teeth.
d. All of the above. ***
Dental decks 641
‫الصفيحة اللسانية الرئيسية تستخدم عند الحاجة للتثبيت وفي حال وجود لجام لساني مرتفع أو ضحالة‬
.‫بالميزاب اللساني أو لمنع حركة األسنان األمامية المتقلقلة‬

.ً ‫كما تستخدم عند وجود عرن عظمي ال يمكن إزالته وعند ميالن القواطع السفلية لسانيا‬

- ‫ ازدحام األسنان األمامية السفلية‬: ‫مضادات استطبابها‬

35. Lingual plate:


a. Shallow sulcus***
b. Mobile anterior teeth***
c. Deep sulcus
d. A+b ***
e. All of above
Dental decks 641

36. . Lingual bar contraindication except :


a- shallow lingual sulcus
b- long lingual frenum
c- too crowded lower anterior teeth***
d-Mobile anterior teeth

37. . Lingual bar indication:


a- short lingual frenum
b- deep lingual sulcus
c- too crowded lower anterior teeth
d-all of the above ***

‫القوس اللساني يستخدم في حال وجود لجام لساني منخفض أو عمق بالميزاب اللساني أو ازدحام القواطع‬
‫السفلية‬.
.ً ‫ عند وجود عرن عظمي ال يمكن إزالته وعند ميالن القواطع السفلية لسانيا‬:‫مضادات استطبابه‬
38. In class I partially edentulous lower arch, selection of major connector
depend on:
a. Height of lingual attachment.
b. Mandibular tori.
c. Periodontal condition of remaining teeth.
d. All of the above. ***
39. An anterior fixed partial denture is contraindicated when:
a. Abutment teeth are not carious.
b. An abutment tooth is inclined 15 degrees but otherwise sound.
c. There is considerable resorption of the residual ridges. ***
d. Crown of the abutment teeth are extremely long owing to gingival recession.
Dental Decks - page 452

‫ درجة أو طولها الناتج عن تراجع اللثة أو عدم تنخرها فليس مضاد استطباب للجسر‬15 ‫ميالن األسنان‬
.‫األمامي‬

Dental decks 640 ‫حسب‬


- ‫ مسافة درد طويلة‬- ‫ فقد األسنان‬- ‫ امتصاص شديد باالرتفاع السنخي‬:‫استطبابات الجهاز المتحرك‬
.‫ إمكانية مادية محدودة‬- ‫ قلع حديث‬- ‫إصابات رعلية شديدة‬

40. In registering the vertical dimension of occlusion for the edentulous patient.
The physiological rest dimension: ‫البعد الراحي‬
a. Equals the vertical dimension of occlusion. ‫يعادل البعد العمودي اإلطباقي‬
b. May be exceeded if the appearance of the patient is enhanced. ‫نتجاهله إذا كان‬
ً‫مظهر المريض مقبوال‬
c. Is of little importance as it is subject to variations. ‫ال أهمية له ألنه عرضة للتغيرات‬
d. Must always be greater than vertical dimension of occlusion. *** ‫أكبر من البعد‬
‫اإلطباقي‬
Dental Decks - page 496

41. Three weeks after delivery of a unilateral distal extension mandibular


removable partial denture, a Pt complained of a sensitive abutment tooth,
clinical examination reveals sensitivity to percussion of the tooth, the most
likely cause is:
a. Defective occlusion. *** ‫رض إطباقي‬
b. Exposed dentine at the bottom of the occlusal rest seats.
c. Galvanic action between the framework and an amalgam restoration in the
abutment tooth.
Dental Decks - page 618

42. PT with lower complete denture, intraoral examination show with slightly
elevated lesion with confirmed border, PT history of ill fitting denture. It is
by:
a. Immediate surgical removal.
b. Instruct PT not to use denture for 3 weeks then follow up. ***
c. Reassure PT and no need for treatment.
43. Examination of residual ridge for edentulous PT before construction of
denture determine stability, support and retention related to the ridge:
a. True. ***
b. False.
44. Upon examination of alveolar ridge of elderly PT for construction of lower
denture easily displaceable tissue is seen in the crest of ridge.
Management:
a. Minor surgery is needed.
b. Inform the PT that retention of denture will decrease.
c. Special impression technique is required. ***
" Questions and Answers" :‫المرجع‬
.‫استخدام طريقة الضغط االنتقائي‬
‫تسميك الشمع وتثقيب الطايع‬
45. In recording man-max relation,the best material used without producing
pressure is:
a. Wax.
b. Compound.
c. Bite registration paste (zinc oxide & eugenol paste). ***
46. The posterior seal in the upper complete denture serves the following
functions:
a. It reduces Pt discomfort when contact occurs between the dorsum of the
tongue and the posterior end of the denture base. ‫ظهر اللسان‬
b. Retention of the maxillary denture.***
c. It compensate for dimensional changes which occur in the acrylic denture
base during processing.
d. B & C are correct.
‫صيغة أخرى للسؤال‬
47. function of post dam:
a. Prevent tongue from palate touch increase comfort
b. increase retention***
c. to compensate acrylic dimension
d. all

2006 ‫ التعويضات المتحركة الكاملة – جامعة دمشق‬:‫المرجع‬


‫ذي تم‬ggg‫ والسد الحنكي الخلفي ال‬،‫وي‬ggg‫از الفك العل‬ggg‫بيت جه‬ggg‫ية للختم الحنكي الخلفي هي تث‬ggg‫المهمة الرئيس‬
‫ذه المنطقة مع‬gg‫ريض به‬gg‫وف يحد من إدراك الم‬gg‫ني س‬gg‫از الس‬gg‫حيح في الجه‬gg‫كل ص‬gg‫ميمه بش‬gg‫تشخيصه وتص‬
‫اء‬gg‫ني والحنك الرخو أثن‬gg‫ ويحافظ على التماس المستمر بين قاعدة الجهاز الس‬،‫اختفاء الحق لمنعكس اإلقياء‬
،‫ني‬gg‫از الس‬gg‫ام تحت الناحية الخلفية من الجه‬gg‫دخال الطع‬gg‫دم ان‬gg‫ مما سيؤدي إلى ع‬،‫الحركات الوظيفية العادية‬
‫دة‬gg‫إضافة إلى تأمين ختم جيد للحواف يؤدي إلى تشكيل صمامة هوائية تمنع تسرب الهواء إلى ما تحت قاع‬
‫ور التالمس بين ظهر‬gg‫ريض عند ظه‬gg‫ وبالتالي زيادة الثبات وكذلك التخفيف من حدة عدم راحة الم‬،‫الجهاز‬
‫وف يمس‬gg‫ني س‬gg‫از الس‬gg‫ني ألن الحد الخلفي من الجه‬gg‫از الس‬gg‫دة الجه‬gg‫ان ونهاية القسم الخلفي من قاع‬gg‫اللس‬
‫اب‬gg‫ريض وغي‬gg‫اج الم‬gg‫دم انزع‬gg‫ؤدي إلى ع‬gg‫ان مما ي‬gg‫وس من قبل اللس‬gg‫ير محس‬gg‫بح غ‬gg‫جة الحنكية ويص‬gg‫األنس‬
.‫منعكس اإلقياء لديه‬

48. In recording jaw relation, best to use:


a. Occlusal rim with record base. *** ‫االرتفاع الشمعي‬
b. Occlusal rim with base wax.
c. Occlusal rim with nacial frame.
Dental Decks - page 428
Occlusal rims: make maxilla-mandibular jaw records.
49. during 3/4 crown preparation on premolar, bur used to add retentive
grooves is:
a. radial fissure
b. Tapered fissure

50. The goal of construction of occlusion rims is:


1. To obtain the occlusal plane, vertical dimension, tentative centric relation,
face low transfer, placement of the teeth.
2. To obtain the protrusive condylar guidance.
3. To obtain the lateral condylar posts and incisal guide.
4. None.
51. A temporary form representing the base of a denture which is used for
making maxillo-manibular (jaw) relative record for arranging teeth or for
trail insertion in the mouth is:
1. Bite rims.
2. Custom tray.
3. Set up.
4. Base plate. ***
52. To recheck centric relation in complete denture:
a. Ask PT to w and close.
b. Ask PT to place tip of tongue in posterior area and close. ***
c. To wet his lip and tongue.
d. All of the above.
53. Recent years, there has been an evidence that the prevalence and intensity of
the caries attack has been diminishing in the more economically developed
countries, mainly because of the wide spread use of: ‫تقلص شيوع وقوة النخور‬
a. Artificial water fluoridation. ***
b. Fluoride toothpaste
c. Dental health education programs
d. A & c.
‫أصبح من المعروف تماما ً أن استخدام الفلورايد في مياه الشرب بالدول المتقدمة أدى إلنقاص نخر‬
%60-50 ‫األسنان بنسبة‬

dental deck pedo 2004 148 ‫صفحه‬

54. Cost effective method to prevent dental caries ‫أكثر طريقة فعالة ضد النخر‬
water fluoridation. ***
flouridated tooth paste
Dental Decks - page 1664
55. In recent years caries reduced in developed countries mainly due to:
a. Water fluoridation. ***
b. Fluoride toothpaste
c. Dental health education programs.
D. Individualized oral hygiene care.

56. In terms of caries prevention, the most effective and most cost effective
method is: ‫بما يخص الوقاية من النخور فإن أكثر طريقة فعالة ومجدية مقارنة بقلة تكاليفها‬
a. Community based programs.
b. Individually based programs.
‫ أما فيما يخص التوعية بالصحة‬،‫بخصوص تخفيض نسبة النخور فإن فلورة المياه هي أكثر عامل فعال‬
60‫ أكسفورد ص‬.‫الفموية فتوعية الطبيب للمريض مباشرة هي األهم‬

One-to-one in the clinical environment. This is usually the most successful


approach, because the message can be tailored to the individual and
reinforcement is facilitated. However, it is expensive in terms of manpower.

‫سؤال مشابه‬

57. In terms of caries prevention, the most effective and most cost effective
method is:
a- Community based programs.
b- Private based programs

58. The effects of natural fluoride versus added fluoride in reducing dental caries
as it relates to the concentration are:
a. Greater
b. Less ***
c. The same
ً
.‫مقارنة بالفلور الموجود في الطعام‬ ‫الفلور المضاف للماء هو أكثر أهمية وتأثير في الوقاية‬

59. When does child should be first exposed for using tooth brush:
a. As eruption of first tooth. ***
b. One year old.
c. Two years old.
d. Primary school year.
60. When a child must first exposed to the use of the tooth brush:
a-Of age of 2 years.
b-Of age of 4 years.
c-Immediately after eruption of first tooth. ***
‫سؤال مشابه أوضح‬
61. When a child must first exposed to the use of the tooth brush:
a-Of age of 2 years.
b-Of age of 4 years.
c-after eruption of primary teeth. ***

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) - page 25


Brushing using a fluoride toothpaste should start as soon as the first teeth
erupt (about 6 months of age). Parents should supervise brushing up to at
least 7 yrs of age to avoid over-ingestion of toothpaste and ensure adequate
plaque removal.
62. When tooth paste is used the child is advised
a-  not swallow. ***
b- swallow a small amount.
c- do not rinse
d- none
‫معجون األسنان المخصص لألطفال يكون مخصصا بحيث لو أن الطفل بلع كمية بسيطة منه ال‬
‫تضره و هذا يتفق مع المرجع في السؤال السابق و الذي يعني تجنب البلع الزائد لمعجون األسنان‬
( ‫)عبيدة‬

63. Fluoridated toothpaste for 3 years child is


a. recommended ***
b. Not recommended
c. Common
d. Non of above

Fluoridated toothpaste for 3 years child is recommended but under


supervision in small pea-sized amount
National Fluoride Information Centre - Guide to Fluoride
64. Fluoride which we use in the clinic doesn’t cause fluorosis because: ‫الفلور المطبق‬
‫بالعيادة ال يسبب انسمام فلوري‬
a. It's not the same fluoride that cause fluorosis.
b. Teeth already calcified. ***
c. Calcium in the mouth counter.
d. Saliva wasn’t out.
Dental Decks - page 2229

65. Mentally ill Child The best way to apply fluoride


a. acidulated phosphate fluoride
b. Natural Sodium Fluoride
c. Fluoride varnish***
d. Stannous fluoride.

66. Fluoride decrease dental caries by remineralization of enamel:


a. True. ***
b. False.
‫ ويتحد باألباتايت كما يعدل حموضة‬،‫أهم ما يميز الفلور هو أنه يعيد تمعدن السن كما يقلل إزالة ال تمعدنه‬
.‫اللويحة الجرثومية‬

67. Person drinking fluoridated water, using toothbrush with fluoride, rinsing
with fluoride mouthwash, then no need to put pit and fissure in his
permanent teeth:
a. True.
b. False. ***
68. Dental fluorosis:
a. Is indicative of systemic fluorosis. *** ‫يدل على االنسمام الفلوري الجهازي‬
b. Can be contracted at any age.
c. Becomes less noticeable with age.
d. Is reversible.
e. Is largely preventable.
69. Fluorides are most anticaries effective when:
a. Incorporated in the tooth enamel. ***
b. Present in the blood stream.
c. Present in the plaque and tissue fluids bathing the newly erupted tooth.
‫النسج الرخوة‬
d. Present in the ingested foods.
e. Present on the intraoral mucous membranes. ‫األغشية المخاطية‬
70. Fluoride is not taken up systemically from which of the following sources:
a. Water.
b. Food.
c. Dentifrices. ‫المعاجين‬
d. Topical applications of fluoride. *** ‫تطبيق موضعي‬
71. Fluoride reduces caries activity by:
a. Reduces bacterial adhesion and carbohydrate storage (antimicrobial
activity). ‫تقليل التصاق الجراثيم والمحتوى السكري‬
b. Enhances the precipitation of insoluble fluoroapitite into the tooth
structure. ‫تشكيل فلور أباتيت‬
c. Fluoride enhances remineralization of the noncavitated carious lesions. ‫إعادة‬
‫تمعدن الميناء غير المنخور‬
d. All of the above.
E. B & C. ***
Dental decks 2228 ‫المرجع‬
Dental decks 2232
.‫ال رابط بين الفلور وبين منع التصاق الجراثيم على السن‬

72. Communities with high annual population growth need education about:
a. Caries
b. Perio disease
c. Dentofacial anomalies
d. Dental fluorosis

73. Optimawater fluoridation:


a) 1-1.5 mg\liter. ***
b) 0.2-0.5 mg\liter.
C) 2-3 mg\liter

74. Optimawater fluoridation:


a) 1 mg\liter. ***
b) 0.2-0.5 mg\liter.
C) 2-3 mg\liter
d) 0.5 mg\liter
75. Optimawater fluoridation:
a) 0.5 – 0.8 mg\liter. ***
b) 0.2-0.5 mg\liter.
C) 2-3 mg\liter
d) 1-5 mg\liter
459‫ كتاب طب أسنان األطفال ص‬:‫المرجع‬
.‫وفي المناطق الحارة حيث يكثر شرب الماء يجب أن يكون تركيز الفلورايد أقل‬
.‫ جزء بالمليون‬1,2-0,7 ‫ التركيز‬Dental Decks - page 2230 ‫وحسب‬
76. Acidulated phosphat flouride
a-1% fluoride ions
b-1.23% ***
c-2%
d-2.23%
f-3%
Dental Decks - page 2230
77. Actual destruction of micro-organisms in the root canal is attributed mainly to:
‫التدمير الفعال لجراثيم القناة‬
a. Proper antibiotic thereby.
b. Effective use of medicament.
c. Mechanical preparation and irrigation of the canal. ***
d. None of the above.
78. A tooth very painful to percussion, doesn’t respond to heat, cold or the
electric pulp tester. The most probable diagnosis is:
a. Reversible pulpitis.
b. Irreversible pulpitis.
c. Acute apical periodontitis. ***
79. During post insertion examination of a 3 unit ceramometal fixed partial
denture. One of the retainers showed chipping of porcelain at the
ceramometal junction. In order to avoid the problem the dentist must:
a. Reduce the metal to 0.3 mm.
b. Have uniform porcelain thickness. ‫ثخانة منتظمة‬
c. Have occlusion on metal.
d. Keep porcelain metal junction away from centric contacts. ***
‫لمنع انفصال (تشظي) الخزف عن المعدن في الجسور يجب تأمين زيادة في سماكة الخزف في أماكن‬
.‫ ملم من الخزف‬1.5 ‫التماس الصميمي بمقدار‬

80. What is a Pier abutment?


a. Single tooth holding one pontic.
b. A tooth that supports a removable partial denture.
c. All of the above.
d. None of the above. ***
.‫دعامة بيير هي الدعامة المتوسطة أي الدعامة التي على جانبيها دمى‬

‫للتغلب على الجهود الكبيرة على هذه الدعامة من الجهتين يتم تحضيرها الستقبال تاج كامل كجزء من‬
‫الجسر من جهة وهذا التاج الكامل يحوي مكان لوصلة غير صلبة أي مثل وصلة إحكام من الجسر بالجهة‬
.‫األخرى‬

.‫تستخدم وصلة اإلحكام هذه في حالة أخرى هي الميالن شديد لدعامة في جسر‬

81. Which are the ways in which the proximal contacts can be checked?
a. Use a pencil.
b. Use a shim stock. ‫ورق عض‬
c. Use a silicone checker.
d. Use a dental floss.
e. Only b & d. ***
‫ بينما نستخدم القلم لتلوين السطوح‬،‫لفحص المناطق المالصقة للتاج نمرر ورق عض أو خيط سني‬
‫ أما المطاط‬،‫المالصقة قبل وضع التاج في مكانه ثم سحل المناطق التي زال عنها اللون ألنها زائدة‬
.‫فلفحص باطن التاج‬

Journal of Oral Rehabilitation


Volume 14 Issue 1, Pages 91 - 94

A total of 969 proximal contacts in forty volunteer subjects was examined for
proximal contact integrity with shim stock. It passed uninhibited through 88% of
the contacts. Neither sex nor age affected the evaluation; however, shim stock
was more likely to pass through contacts with enamel surfaces than those which
were restored

82. The incisal reduction for a metal ceramic restoration should be:
a. 1.5 mm.
b. 2 mm. ***
c. 3 mm.
d. 4 mm.
"Contemporary Fixed Prosthodontics" ‫المرجع‬

83. The occlusal reduction for an all metal veneer crown should:
a. Be as flat as possible to enable an easy fabrication of occlusion anatomy.
‫مستوي‬
b. Follow the occlusal morphology with a clearance rating from 1 to 1.5 mm with
the opposing dentition. ***
c. Follow the occlusal morphology with a clearance of no more than 0.5 mm with
the opposing dentition.
d. Be the last step in the tooth preparation.
1.5-1 ‫شكل السطح الطاحن المحضر الستقبال تاج معدن صب يشبه السطح الطاحن األصلي وبسماكة‬
.‫ملم‬
.‫ ملم‬1.5-1 ‫ ملم والخزف‬0.5 ‫أما القبعة المعدنية المبطنة لتاج الخزف فسماكتها‬
84. Gingival retraction is done:
a. To temporarily expose the finish margin of a preparation.
b. To accurately record the finish margin of a portion of uncut tooth surface
apical to the margin in the final impression.
c. Even in the presence of a gingival inflammation.
d. By various methods but the most common one is the use of retraction cord.
‫خيط أدرينالين‬
e. A and b.
f. A, b and c.
g. A, b and d. ***
85. Regarding tissue retraction around tooth:
a. Short duration of retraction of gingival margin during preparation of finishing
line.
b. Retraction of gingival margin during taking final impression to take all details
of unprepared finish line.
c. Usually retracted severely inflamed gingival margin.
d. Retraction of gingival margin can be done by many ways one of them is
retraction cord.
e. A, b and c.
f. B, c and d.
g. A and d. ***
86. Loose enamel rods at the gingival floor of a class II amalgam cavity should be
removed using :
a. Straight chisel. ‫إزميل‬
b. Hatchet. ‫فأس‬
c. Gingival curetla. ‫كاشطة‬
d. Gingival marginal trimmer. *** ‫مشذب‬
Dental Decks - page 2180
Gingival marginal trimmers are primarily used for beveling gingival margins,
and rounding or beveling of the axiopulpal line angle of Class II preparations.
.‫الجملة األولى تعني الشطب أي إزالة الميناء الضعيفة حيث أن الشطب يوازي المواشير المينائية‬
Art and science of operative dentistry 2000 – page 315

The gingival margin trimmer is designed to produce a proper bevel on gingival


enamel margins of proximoocclusal preparations.

87. Removal of Undermined Enamel in Class II cavity is done by :


A) Chisel. ***
B) Angle former
C) Excavator
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 145
PROXIMAL (CLASS II):
A chisel can be used to plane away unsupported enamel from the margins of
the completed preparation to produce a 90° butt joint.

88. Hand instrument which we used to make internal angles retentive grooves
and preparation of cavity walls in the cavity is:
a. Angle former. ***
b. Chisel ‫إزميل‬
c. File
d. Enamel hatched
Art and science of operative dentistry 2000 – page 314
A special type of excavator is the angle former. It is used primarily for
sharpening line angles and creating retentive features in dentin in preparation
for gold restorations.

FUNDAMENTALS OF OPEERITIVE DENTISTRY – page 318


Retention grooves are placed with a No 1/2 or 1/4 bur.
(‫)كأداة آلية وغير يدوية‬
Dental Decks - page 2180 – 82 - 84 ‫األدوات‬
89. What is the cavo-surface angle of prep for amalgam restoration:
a. 30 degree
b. 60 degree
c. 90 degree ***
d. 130 degree.
:‫المرجع‬

Principles of OPERATIVE DENTISTRY

‫يجب أن تكون الزاوية بين الجدار المحوري المحضر والجدار المحوري الموازي للمحور الطولي للسن‬
.‫ درجة حتى ال ينكسر األملغم في المالصق‬90-70 ‫بين‬
.‫ويختلف األمر عند استخدام الحشوات التجميلية المعتمدة على اإللصاق‬
Dental Decks - page 2310
90. To provide maximum strength of amalgam restoration the cavo-surface angles
should:
1. Approach 75° with outer surface.
2. Approach 90 with outer surface.
3. Be supported by sound dentine.
4. Be located in area free of occlusal stress.
a) 1+3 and 4.
b) 1+3.
c) 2+3+4. ***
d) 3+4.
91. Which of the following materials has been shown to simulate reparative
dentine formation most effectively when applied to the pulpal wall of a very
deep cavity:
a. Copalite varnish.
b. Calcium hydroxide preparation. ***
c. Zinc phosphate cement.
d. Anhydrous class inomer cement.
92. Calcium hydroxide is best pulp capping material because:
1. It has best seal over pulp.
2. It is alkaline + less irritating to pulp.
3. It induces reparation dentine formation. ***
93. The most accurate impression material for making the impression of an onlay
cavity:
a. Impression compound.
b. Condensation type silicone.
c. Polyvinyl siloxane ***
d. Polysulfide.
94. patient came to dentist after previous stressful procedure complaining of
burning & discomfort of his lip on examination u found lesions on the
palate, diagnosis is:
- contact dermatitis
- allergy
- aphthous ulcer
- herpes simplex (herpetic gingivostomatitis) ***
95. ‫سؤال آخر مشابه مع ذكر أن األعراض نفسها تكررت العام الماضي‬
a. aphthous ulcer
b. recurrent herpes ulcer***
c. allergic stomatitis

96. Aphthous ulcer, compared with herbes ulcer is:


a. More characteristic in histology.
b. Leaves scar. ‫تندبات‬
c. Less response to stress.
d. Occur in lining mucosa. ***
Dental Decks - page 1552

The following picture for Aphthous ulcer(canker sores)


97. Syphilis first appearance:
a. Multiple vesicle. ‫حويصالت‬
b. Erythematous reaction. ‫حمامى‬
c. Ulcer. ***
d. Bullae. ‫فقاعات‬
98. child with vesicle on the hard palate with history of malaise for 3 days
what is the possible diagnosis:
1/ herpes simplex. ***
2/ erythema multiform
140‫أكسفورد ص‬

‫الحويصالت والتوعك من عالمات الحأل البسيط‬

99. Which virus is present in the patient's mouth all his Life?
a. Herpes Simplex
b. Herpes zoster
c. Varecilla Virus
d. None of the above ***
Herpes Simplex - Symptoms, Treatment and Prevention
Cold sores are caused by the Herpes Simplex Virus. Once infected, they plague
the patient for life.

Herpes can be treated but not cured. Symptoms appear briefly and then
disappear; the disease lies dormant in nerve cells, but it may be reactivated by
stress or illness.

Shingles

Shingles is caused by the varicella zoster virus, which also causes chickenpox.
If you have had chickenpox, the varicella virus remains in a group of nerves in
your central nervous system, but doesn't cause any symptoms. This is called a
dormant virus. The central nervous system consists of the brain and spinal
cord, which are connected to the nerves in the body. When the virus becomes
active again, it causes the symptoms of shingles.

eMedicine - Varicella-Zoster Virus : Article by Wayne E Anderson

Varicella-zoster virus (VZV) is the cause of chickenpox and herpes zoster (also
called shingles).

Herpes Simplex (HSV1) ‫ هو‬:)‫الفيروس الذي يسكن الجسم مدى الحياة (ال يسكن الفم‬

100. Clinical failure of the amalgam restoration usually occurs from:


a. Improper cavity preparation.
b. Faulty manipulation.
c. Both of the above. ***
d. None of the above
101. It has been proven that amalgam restoration has the following
characteristics:
a. Micro leakage decrease with aging of the amalgam restoration.
b. It is the least techniques sensitive of all current direct restorations.
c. High dimensional changes.
d. A, b and c.
e. A and c.
f. A and b. ***
g. B only.
Art and science of operative dentistry 2000 – page 156 - Page 169

- During electrochemical corrosion of low-copper amalgams, The Sn-Hg phase


is oxidized into Sn-O and/or Sn-O-Cl. The oxychloride species is soluble. The
oxide Precipitates as crystals and tends to fill up the spaces Occupied by the
original Sn-Hg phase. Along the margins Of the amalgam, Sn-O helps seal the
space against Microleakage.
- During setting, most amalgams undergo very little Dimensional change.
Http://www.dentaldiamond.ee/dental-materials/amalgam-dental-
amalgam/4/

- The dimensional change during the setting of amalgam is one of its most
characteristic properties. Modern amalgams mixed with mechanical
amalgamators usually have negative dimensional changes.

- The only exception to this statement is the excessive delayed dimensional


change resulting from contamination of a zinc-containing alloy with water
during tritura-tion or condensation.

Dental Decks - page 2308

102. When polishing the amalgam restoration:


a. Avoid heat generation by using wet polishing paste.
b. Wait 24 hours.
c. A and b. ***
d. B only.
e. A only.
Dental Decks - page 2304

103. Maximum time elapsed before condensation of amalgam after


titration:
a. 1minute.
b. 3minutes. ***
c. 9minutes.
:‫وفي مكان آخر‬

104. After amalgam titrations, the mix should be placed within:


a. 1 min. ***
b. 3 min. ***
c. 5 min.
d. 10 min.
105. MOD amalgam restoration with deep mesial box, PT come with pain
related to it after 1 month due to:
a. Pulp involvement. ***
b. Supraocclusion.
c. Upon contact.
d. Gingival recession.
106. Reduction in amalgam restoration should be:
a. 1-1.5 mm.
b. 1.5-2 mm. ***
c. 2-3 mm.
d. 3-5 mm.
Art and science of operative dentistry 2000 – page 659

"it must have a minimum thickness of 0.75 to 2 mm (because of its lack of


compressive strength)"

107. Depth of amalgam restoration should be:


1. 1 – 1.5 mm.
2. 1.5 – 2 mm. ***
3. 2 – 3 mm.
4. 3 – 5 mm.
108. Silicate cement:
a. First tooth colored restoration.
b. It can be used as permanent filling.
c. It contains 15 % fluoride.
d. A, b and c.
e. 1 and 2.
f. A and c. ***
g. A only.
‫في أحد االختبارات ورد السؤال و لم يكن الخيار الثاني موجودا ما يؤكد صحة اإلجابة السابقة‬
Sturdevant's art and science of operative dentistry – page 475
Silicate cement , the first translucent filling material, was introduced in 1878
by Fletcher in England
dental material & thier selection2002
‫ فلورايد‬25-12 ‫يحتوي إسمنت السيلكات‬
Dental Decks part2 2007-2008 - page2066

ZOE,reinforced ZOE, ZOE-EBA, Silicate and zinc phosphate cements are no


longer routinely used to permanently cement restorations

109. Treatment of gingival trauma from faulty oral hygiene is mainly:


a. To advice the patient to change their faulty habits immediately ***
b. Reassure the patient that it will disappear by it self.
c. To buy a new brush.
110. Which of the following statement is true regarding dental calculus:
a. It is composed entirely of inorganic material. ‫بأكمله من مواد معدنية‬
b. It is dens in nature and has a rough surface.
c. It is mineralized dental plaque.
d. All of the above.
e. B & C only. ***
f. None of the above.
.‫للقلح تركيب يشبه السن (الكالسيوم) وينتج عن تمعدن اللويحة‬

111. Overhanging restoration margins should be removed because:


a. It provides ideal location for plaque accumulation. ‫مكان مثالي لتراكم اللويحة‬
b. It tears the gingival fibers leading to attachment loss.
c. Stimulate inflammatory reaction directly.
d. Its removal permits more effective plaque control. ‫إزالتها تمكن من ضبط فعال أكثر‬
‫للويحة‬
e. A & d. ***
112. Main use of dental floss
a. Remove calculus.
b. Remove over hang.
c. Remove bacterial plaque.
d. Remove food debris. ***
the goal of flossing your teeth is to scrub dental plaque
it can be done in primary and permanent

113. What is the benefit of rinsing the mouth with water:


A) Plaque removal
B) calculus removal
C) washing the food debris. ***
‫صيغ ثانية للسؤال ال تحتوي على الخيار السابق‬
114. What is the benefit of rinsing the mouth with water
a. Plaque removal
b. Prevent the formation of plaque
c. Dilute the concentration of bacteria
115. The water reins devices for periodontal therapy has a main goal which
is
a-remove plaque
b-prevent plaque attachment
c-dilute bacterial toxin
d-remove dental pocket

116. One of these is less exposed to extensive dental caries:


a- Obes, malnourished
b- Pt has xerostomia
c- Less plaque score. ***
117. Calculus induce further periodontal lesion due to:
a) Directly stimulates inflammation
b)more plaque adhere to it. ***
c) irritate the gingiva
118. Missing lower six and tilted 7
a- Uprighting of molar by orthodontics.
b- Proximal half crown.
c- Telescope crown.
d- Non rigid connector. ***
Dental Decks - page 492

None rigid connector: it is indicated when retainers cannot be prepared


without excessive tooth reduction.

‫حسب المرجع التالي يجب وجود خيار كل ما سبق‬

Oxford handbook, 3rd edition, page 303

‫ اما اذا‬. ‫اال ثنين كتابين معتمدين لدى الهيئة لكن مع عدم وجود خيار "كل ما سبق" فالجواب المختار صح‬
‫وجد خيار "كل ما سبق" فال مانع ان نستخدم اي واحد منهم‬

119. Floss used to:


a. Remove interproximal plaque. ***
b. Remove overhangs
c. Stimulate gingival
d. ….

120. Plaque consists of:


a. Bacteria
b. Inorganic material
c. Food
‫تتألف اللويحة بشكل أساسي من الجراثيم‬

121. To prevent perio problem MOST effective method is:


a. Community program.
b. Removal of plaque. ***
c. Patient education.
d. Water floridation

122. Length of pins must be equals in both tooth and restoration by a depth
of:
a. 1 mm.
b. 2 mm. ***
c. 3 mm.
d. 4 mm.
‫حسب جميع المراجع يجب أن يكون انغماس الدبوس العاجي متعادالً في كل من العاج والحشوة وبمقدار‬
.‫ ملم‬2

123. Stainless steel pin is used in amalgam for:


a. Increase retention.
b. Increase resistance.
c. Increase streangth.
d. A and b. ***
.‫ يزيد الوتد ثبات الحشوة ولكن يضعف األملغم وينقص المقاومة‬Dental decks 2210 ‫حسب‬

124. Calcium channel blockers cause increase saliva secretion.


a. True.
b. False. ***

125. RCT contraindicated in:


a. Vertical fracture of root. ***
b. Diabetic Pt.
c. Periodontally involved teeth.

126. What can we use under composite restoration:


a. Ca (oh).
b. ZOE.
c. ZINC phosphate cement.
d. A and C ***

127. Gutta percha contain mainly:


a. Gutta percha 20%.
b. ZINC oxide %. ***
c. ZINC phosphate.
.transpolyisoprene, barium sulfate, zinc oxide :‫تتألف الكوتا بركا من التالي‬

128. Single rooted anterior teeth has endodontic treatment is best treated
by:
a. Casted post and core. ***
b. Performed post and composite.
c. Performed post and amalgam.
d. Composite post and core

129. Post fracture decrease with


prefabricated post
ready made post
casted post. ***
metal post

130. Teeth with RCT and you want to use post, which post is the least cause
to tooth fracture :
1. Ready made post.
2. Casted post.
3. Fiber post. ***
4. Prefabricated post.

131. During post removal the first thing to do is:


A) remove the G.P
B) remove all the old restoration & undermined enamel & caries. ***
C) insertion of post immediately
132. For root canal treated tooth u choose to put post & amalgam this
depend on
remaining coronal structure ***
root divergence-
presence of wide root-
others

133. Post length increasing will


.increase retention. ***
.increase resistant
.increase strength of restoration

134. For post preparation we should leave ……mm of GP:


a. ????
b. 10mm
c. 5mm. ***
:‫المرجع‬

Http: //www.experts123.com/q/how-much...placement.html

Post and core - Wikipedia, the free encyclopedia

135. Which of the following endodontic failure may be retreated only with
surgery:
a. Missed major canal.
b. Persistent interappointment pain. ‫المعند‬
c. Past and core. ***
d. Short canal filling.
136. Which of the following failure may be treated nonsurgically:
a. Post filling that has removed. ***
b. Severe apical perforation. ‫انثقاب شديد‬
c. Very narrow canal with a periapical lesion and the apex can not be
reached.
d. None of the above.

137. In post and core preparation must:


a. Extend to contrabevel.
b. Extend to full length tooth preparation.
c. Take same shape of natural tooth.
d. Take shape of preparation abutment.
e. A & d. ***
f. A & b.
g. D & c.
h. B & c.
.‫القلب المعدني يمتد لنهاية حواف السن المحضر ويأخذ شكل الدعامة‬

138. After RCT, for insertion of post dowel:


a. Post applied pressure.
b. Post should be lose.
c. Insert it without pressure but with retention. ***

139. Amount of G.P should after post preparation: ‫المتبقى من كوتا حشوة القناة‬
a. 1 mm.
b. 4-5 mm.
c. 10 mm.
d. None of the above.
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 154

As a general guide the post should be at least equal to the anticipated crown
height, but a minimum of 4 mm of well-condensed GP should be left. A
periodontal probe is helpful to check prepared canal length.

140. Post retention depends on:


a. Post length.
b. Post diameter.
c. Post texture. ‫مادة الوتد‬
d. Core shape.
e. Design of the preparation.
f. A and b
g. A, b and c.
h. All of the above.

- ‫ ملم من حشوة القناة‬4 ‫ طوله يعادل ثلثي القناة أو طول التاج كحد أدنى بحيث يبقى‬:‫مواصفات الوتد‬
‫ ملم من عاج الجدران وال يزيد عن ثلث قطر الجذر – مادته‬1 ‫أسطواني ال متناقص القطر وعرضه يترك‬
‫خشنة نسبيا ً – مسنن محزز – المثبت كبرغي في جدران القناة أكثر ثباتا ً وأشد خطورة فيفضل الوتد‬
.‫المنطبق بشكل صميمي – المقطع البيضوي‬

141. The best restoration for max central incisor that has received RCT
through conservatively prepared access opening would be:
a. Post-retained metal-ceramic crown.
b. Post-retained porcelain jacket crown.
c. Composite resin. ***
d. None of the above.

142. One of anatomical land mark is:


a. Ala tragus line. ***
b. Ala orbital.
c. Frank fort plane.
.‫مستوى كامبر هو المستوى الواصل بين أسفل األنف وحلمة األذن‬

143. The PH of the calcium hydroxide is:


a. 7.2
b. 12 ***
c. 19
d. 5.5
hydroxide was first introduced as a pulp capping agent in 1930 by Hermann
and since then its use in endodontic therapy has increased.
the calcium hydroxide dressing may both prevent root canal re-infection and
interrupt the nutrient supply to the remaining bacteria. Its alkalizing pH
(around 12.5) promotes a destructive effect on cell membranes and protein
structure
Brazilian Dental Journal - In vitro antimicrobial activity of calcium hydroxide
pastes and their vehicles against selected microorganisms

Dycal (pH of 11) and Pulpdent (pH 12)

144. Hyperemia result in: ‫االحتقان‬


a. Trauma of occlusion.
b. Pain of short duration.
c. Radiographic changes.
d. All of above.
145. Tooth had trauma resulted in hyperemia?
a) pain increased with cold
b) reverible condition
c)pain of short duration
d) B and c
e) all

146. The x- ray of choice to detect the proximal caries of the anterior teeth
is:
a. Periapical x-ray. ***
b. Bitewing x-ray.
c. Occlusal x-ray.
d. None of the above.
‫المجنحة للخلفية فقط‬

)‫النخور المالصقةاألمامية ال تحتاج ألشعة لكشفها و إنما بالفحص المباشر (عبيدة‬

147. In primary teeth, pathologic changes in radiographs are always seen in:
a. Periapical area.
b. Furcation area. *** ‫مفترق الجذور‬
c. Alveolar crest.
d. At base of developing teeth.
Dental Decks - page 1534

148. Pulpities in decidous teeth in radiograph see related to


furcation. ***
apex of root
lateral to root

149. In deciduous tooth the first radiographic changes will be seen in:
1. Bifurcation area.
2. Apical area.
3. External root resoption. ***
‫إذا كانت هذه هي صيغة السؤال فعالً فهذا يعني أن المقصود بالسؤال هو االمتصاص الفيزيولوجي لجذور‬
‫ أما إذا كانت الصيغة الحقيقية "أول العالمات‬،‫األسنان المؤقتة الذي يحصل مع بزوغ الدائمة تحتها‬
.‫المرضية" فيكون التغير الشعاعي الحاصل على مستوى مفترق الجذور‬

150. Eruption cyst "eruption hematoma" can be treated by:


a. No treatment. ***
b. Immediate incision.
c. Complete uncoverage
d. Observe for one week then incise
Oral pathology clinical pathologic correlation,3rd edition, Page 296

No treatment is needed because the tooth erupt through the lesion.

151. After trauma a tooth become yellowish in color, this is due to:
a. Necrotic pulp.
b. Irreversible pulpitis.
c. Pulp is partially or completely obliterated. ‫تكلس‬
d. Hemorrhage in the pulp. ***
Endo Principles and Practice of Endodontics WALTON – page 45

A yellowish discoloration of the crown is often a Manifestation of calcific


metamorphosis

152. Step deformity of the Mandibular body fracture may due to: ‫تشوه مسار‬
a. Forward pull of lateral pterygoid muscle. ‫تقدم الجناحية الوحشية‬
b. Upward pull of masseter and temporalis. *** ‫شد الماضغة والصدغية‬
c. Toward pull of medial pterygoid muscle. ‫الجناحية األنسية‬
d. Downward pull of geniohyoid and myalohyoid. ‫استرخاء الذقنية الالمية والضرسية‬
‫الالمية‬

153. What is the copper ratio that eliminates gamma phase 2:


a. 2% copper
b. 4% copper
c. 10 % copper
d. 13 % copper ***
154. to prevent discoloration under amalgam filling:
a- use Zn phosphate box
b- use cavity varnish
c- wash the cavity with NaOCL b4 filling
d- use the correct amalgam-alloy ratio

155. Inorganic material in bone compromise:


a. 65%. ***
b. 25%
c. 10%
d. 95%

156. Polishing bur have:


a. Less than 6 blades.
b. 6-7 blades.
c. 10-12 blades.
d. More than 12 blades.
.20-12 ‫سنابل إنهاء الكومبزت يجب أن تكون ناعمة ولذلك عدد شفراتها‬

157. Pain during injection of local anesthesia in children could be minimized


by:
a. Slowly injection.
b. Talking to the child during injection.
c. Using long needle.
d. A and b. ***

158. Rubber dam is contraindicated in:


a. Pt with obstructive nose. ***
b. Mentally retarded Pt.
c. Un comparative child.
d. A and b.
159. With children rubber dam not use with:
- Hyperactive patient
- obstructive nose. ***
- patient with fixed orthoappliance
- mildly handicapped and uncooperative.

160. The most common type of biopsy used in oral cavity is: ‫أهم نوع للخزعة‬
a. Excisional biopsy. ‫استئصالية شاملة‬
b. Incisional biopsy. *** ‫اقتطاعية‬
c. Aspiration through needle. ‫بذلية (شفطية) باإلبرة‬
d. Punch biopsy. ‫خزعة بالمقراض‬

161. In maxillary 1st molar 4th canal is found in:


a. MB canal. ***
b. DB canal.
c. Palatal root.

162. Formicrisol when used should be:


a. Full Saturated.
b. Half saturated.
c. Fifth saturated. ***
d. None of the above.
Pediatric dentistry ,infancy through adolescence,pinkham, 3rd edition, :‫المرجع‬
page348
163. 10 years old child present with bilateral swelling of submandibular
area, what could be the disease:
a. Fibrous dysphasia. ‫اضطراب كالم ليفي‬
b. Cherubism *** ‫ورم زوايا الفك‬
c. Polymorphic adenoma. ‫ورم غدي متعدد األشكال‬
White and pharaoh,oral radiology principles and interpretation,4th,462

Cherubis….the most common presenting sign is a painless,firm,bilateral


enlargement of the lower face.
It develops n early child hood

164. Pt complain from pain in 45 whitch had gold onlay. The pain could be
due to:
a. Chemicals from cement.
b. High thermal conductivity of gold. ***
c. Related to periodontal ligament.
d. Cracked tooth or fractured surface.
Dental Decks - page 2134

Disadvantages of gold restoration:

Esthetics – cost – time consuming – difficulty of technique – the need to use


cement (the weakest point in the cast gold restoration) – gold has high
thermal conductivity.

165. ‫نفس السؤال السابق و لكن األلم أثناء المضغ فقط يكون الجواب‬

a. Related to periodontal ligament.

166. The irrigation solution is good because:


a. Lubricate the canals.
b. Flushes the debris.
c. None of the above.
d. All of the above. ***
http://medind.nic.in/eaa/t03/i2/eaat03i2p19.pdf

Root canal irrigants are used during biomechanical preparation of the root
canal to remove the organic/inorganic debris, lubricate endodontic
instruments and minimize the number of
micro-organisms.

167. Which is most common:


a. Cleft lip.
b. Cleft palate.
c. Bifid tongue.
d. Cleft lip and palate. ***
‫ كتاب أمراض الفم‬:‫المرجع‬

.‫ للشفة‬17‫ و‬- ‫ لقبة الحنك‬14‫ شق شفة وقبة حنك و‬50 ‫ حالة إصابة توجد‬81 ‫في‬

(most common & most complicated) (Source: Peterson’s page 841)

Clefts of the upper lip and palate are the most common major congenital
craniofacial abnormality.

Atlas of Oral Diseases in Children

Cleft lip and palate ar more common together than is cleft lip alone.

168. Which cranial nerve that petrous part of temporal bone houses:
a. Trigeminal n V. ‫ثالثي التوائم‬
b. Facial n VII. *** ‫الوجهي‬
c. Vagus n IX. )‫المبهم (العاشر‬
d. Vestibalcochealer n VII.
‫أما العصب الذي يدخل من الثقبة البيضية للعظم الوتدي فهو مثلث التوائم‬

169. 21 years old Pt with pathological exposure in 35. Management:


a. Direct pulp capping.
b. Indirect pulp capping.
c. Root canal treatment. ***
170. Hypercementosis:
a. Occur in Pajet disease.
b. Difficult to extract.
c. Bulbous root. ‫جذر بصلي‬
d. Easy to manage by elevator.
e. A and b.
f. A and d.
g. All the above. ***
) ‫سؤال آخر مشابه مع اختالف يغير اإلجابة جاءني في اختباري الماضي (عبيدة‬
171. Hypercementosis:
a. Occur in Pajet disease.
b. Difficult to extract.
c. Bulbous root. ‫جذر بصلي‬
d. Easy to extract by elevator.
e. A and b.
f. A and d.
g. A + b + c ***
h. All the above.

Dental secrets – page 256

Hypercementosis increases the difficulty of tooth removal.

Dental secrets – page 113

If hypercementosis is present, t he periodontal ligament space is visible


around the added cementum; that is, the cementum is contained within and is
surrounded by the periodontal ligament space. Condensing osteitis, by
contrast, is situated outside the periodontal ligament space.

Enlarged root of tooth no. 29, particularly in the apical area. The root of tooth
no. 28 also shows some widening. The periodontal ligament

space surrounds the tissue that has been laid down, and the lamina aura is
visible outside the

Extraction sockets. The appearance of a healing or

ket may present a problem. The

ssistance in

distinguishing between the two include the density of

e or absence of a canal, and


Worth HM: Principles and Practice of Oral Radiologic Interpretation. Chicago,
Year-Book, 1963, pp

periodontal ligament space. B, An opacity situated outside the periodontal


ligament

172. For onlay preparation, reduction of functioning cusp should be:


a. 1.5 mm. ***
b. 2 mm.
c. 1 mm.
"Contemporary Fixed Prosthodontics ROSENSTIEL" + Dental Decks - page 2122

‫ ملم للحدبات غير العاملة‬1 ‫ ملم للحدبات العاملة و‬1.5 ‫التحضير هو‬

173. Thickness of porcelain should be:


a. 03-05 mm.
b. 0.05-0.15 mm.
c. 0.5-1.5.mm. ***
Dental Decks - page 442
The necessary thickness of the metal substucture is 0.5 mm
the minimal porcelain thickness is 1.0 - 1.5 mm
‫صيغة أخرى للسؤال يرجى االنتباه‬
174. Thickness of porcelain should be:
a. 0.3-0.5 mm.
b. 0.05-0.15 cm.***
c. 0.5-1.5 cm. ***

175. Class II composite resin is lined by:


a. G.I. ***
b. Reinforced ZOE.
c. ZOE with epoxy cement.
d. Cavity varnish.

176. Occlusal plane is:


a. Above the level of the tongue.
b. Below the level of the tongue. ***
"mcqs in Dentistry " :‫المرجع‬

"the tongue rests on the occlusal surface "

177. Lateral pterygoid muscle has how many origin:


a. 1.
b. 2. ***
c. 5.
d. 7.
.‫تتألف العضلة الجناحية الوحشية من رأس علوي ورأس سفلي‬

178. Embryo become fetus in: ‫تتحول المضغة إلى جنين‬


st
a. 1 week
b. 1st month.
c. 2nd month.
d. 3rd month. *** ‫في بداية الشهر الثالث‬

179. All are single bone in the skull EXCEPT:


a. Lacrimal. *** ‫الدمعي‬
b. Occipital. ‫القذالي‬
c. Sphenoid. ‫الوتدي‬
d. Parietal. ‫الجداري‬

180. The scientific evidence in dictating that oral Lichen planus is a


"premalignant Lesion" is: ‫محتمل الخباثة‬
a. Very strong
b. Non-existent
c. Moderately strong
d. Weak. ***
- The premalignant potential of oral lichen planus and the malignant
transformation rate is cited as 0.4-3.3 per cent. Whether or not patients with
atrophic or erosive forms of oral lichen planus are more susceptible to
malignant change has yet to be proved by long-term prospective studies.

And

- Good prognosis; rare malignant transformation (0.5–3%)

181. Oral lesions of lichen planus usually appear as:


a. White striae. *** ‫بقع بيضاء‬
b. Red plaque.
c. Shallow ulcers. ‫قرحات مسطحة‬
d. Papillary projections. ‫ناتئ حليمي‬
e. Builae. ‫فقاعات‬
Dental Decks - page 1340

Cawson Essintials of Oral Pathology and Oral Medicine 7th ed

‫ للحزاز المنبسط ھو نموذج اآلفات األكثر شیوعا ً على شكل شبكة‬Striate pattern ‫النموذج المخطط‬
.‫شریطیة من الخطوط البيضاء وفي الموقع األكثر شیوعا ً على مخاطیة باطن الخد‬

182. The oral lesions of the lichen planus: ‫الحزاز المنبسط‬


a. Are usually painful.
b. Rarely appear before lesion elsewhere on the body.
c. May be part of a syndrome in which lesions also appear on the skin,
conjunctiva and genitalia. *** ‫الملتحمة واألعضاء التناسلية‬
d. Often appear in nervous, high-strung individuals.
e. Heals with scarring. ‫يترك ندبة‬
PDQ Oral Disease Dx Tx 2002 – page 22

• Skin sites: forearm, shin, scalp, genitalia.

Etiology: • Unknown • Autoimmune T cell–mediated disease targeting basal


keratinocytes. Lichen Planus Variants: reticular (most common oral form) -
erosive (painful) - atrophic, papular, plaque types; bullous (rare)

Cawson Essintials of Oral Pathology and Oral Medicine 7th ed

‫الحزاز المنبسط مرض جلدي شائع ولكن اآلفات الجلدية غير شائعة عند أولئك الذين يعانون من‬
.‫األعراض الفموية‬

.‫اآلفات الجلدیة لیست أساسیة في تأكيد أو إثبات تشخیص اإلصابة الفمویة بالحزاز المنبسط و لكنھا ُتساعد‬
183. All of the following are oral features of acquired immunodeficiency
syndrome AIDS EXCEPT:
a. Candidiasis. ‫ال ُم ْب َيضَّات‬
b. Erythema multiform. *** ‫حمامى متعددة األشكال‬
c. Hairy leukoplakia. ‫طلوان مشعر‬
d. Rapidly progressing periodontitis.
e. Kaposi's sarcoma.
‫تنتج الحمامى متعددة األشكال عن فيروس الحأل وعن اإلكثار من األغذية الحاوية على البنزوات وينتج‬
‫عنها داء ستيفن جونسون‬

184. Hairy trichoglossia may be caused by:


a. Broad spectrum antibiotic.
b. H2o2 mouth wash.
c. Systemic steroid.
d. Heavy smokers.
e. All of the above. ***
"DENTAL SECRETS Second Edition " :‫المرجع‬

.‫يضاف لها نقص اللعاب وتناول مركبات البزموت والصحة الفموية السيئة‬

185. In hairy tongue, which taste buds increase in Length: ‫براعم الذوق‬
a. Fili form. *** ‫الخيطية‬
b. Fungi form. ‫الكمئية‬
c. Foliate. ‫الورقية‬
d. Circumvallates. ‫الكأسية‬
Dental Decks - page 1337

186. Coronal suture is between: ‫الدرز اإلكليلي‬


a. Occipital and temporal bone.
b. Frontal and parietal bone. ***
c. Occipital and tympanic bone.

187. During instrumentation, sudden disappear of root canal due to:


a. Bifurcation of main canal. ***
‫‪b. Apical perforation.‬‬
‫‪c. Calcification.‬‬
‫حسب ‪ Dental decks 154‬إذا غابت قناة الضاحك األول السفلي في الصورة الشعاعية بدءاً من‬
‫منتصف السن فإن له قناتين‪.‬‬

‫‪188.‬‬ ‫‪Space loose occur in:‬‬


‫‪a. Proximal caries.‬‬
‫‪b. Early extraction.‬‬
‫‪c. Ankylosis.‬‬
‫*** ‪d. All of the above.‬‬

‫‪189.‬‬ ‫‪What is the number of pharyngeal "brancheal" arches:‬‬


‫‪a. 4.‬‬
‫‪b. 5.‬‬
‫*** ‪c. 6.‬‬
‫‪d. 7.‬‬
‫المرجع‪"Anatomy of the Human Body " :‬‬

‫‪190.‬‬ ‫‪What is the name of first pharyngeal "brancheal" arches:‬‬


‫‪a. Maxillary.‬‬
‫*** ‪b. Mandibular.‬‬
‫‪c. Thyroid‬‬
‫‪d. hyoid‬‬
‫األقواس البلعومية ستة أولها الفكي السفلي وثانيها الالمي ‪ Hyoid‬وتسمى البقية الثالث والرابع والخامس‬
‫والسادس‪.‬‬

‫‪191. Stomodeum and fugi separated by:‬‬


‫‪1/buccopharyngeal arch‬‬
‫‪2/ectodermal cleft‬‬

‫‪http://en.wikipedia.org/wiki/Stomodeum‬‬

‫‪The stomodeum is lined by ectoderm, and is separated from the anterior end‬‬
‫‪of the fore-gut by the buccopharyngeal membrane.‬‬

‫حسب كتاب تقويم األسنان ص ‪14-13‬‬

‫في األسبوع الثالث من الحمل تظهر ميزابة ميزابة سطحية عريضة يطلق عليها الفم األولي‬
‫‪ stomodeum‬والذي ينفصل عن المعي األمامي بواسطة غشاء دقيق يدعى (الغشاء البلعومي الفموي)‬
‫‪.buccopharyngeal membrane‬‬

‫يظهر الفم في البدء على شكل تقعر بسيط من الوريقة الخارجية تحيط به األقواس الغلصمية ويسمى الفم‬
‫االبتدائي ويعزل في البدء عن المعي األمامي بغشاء ثنائي الوريقة هو الغشاء الفموي البلعومي‪ g،‬ويتألف‬
‫هذا الغشاء من الوريقة الداخلية والخارجية ويتمزق ويختفي نحو اليوم الرابع والعشرين‪.‬‬
192. In cavity preparation, the width of the cavity is:
a. 1/2 inter cuspal distance.
b. 1/3 inter cuspal distance. ***
c. 2/3 inter cuspal distance.

193. Polyvinyl siloxanes compared with polysulfide:


a. Can be poured more than once.
b. Can be poured after 7 days.
c. Less dimensional stability.
d. A and b. ***
194. the most accurate impression material for making impression of an oral
cavity is:
a- impression compound.
b- condensation type silicon.
c- polyvinyl siloxanes. ***
d- poly sulfide.
http://www.medicaljournal-ias.org/7_1/Keyf.pdf

the addition silicones are the best choice of the rubber impression materials

Addition curing silicones have the least amount of shrinkage on setting making
them the most accurate class of rubber impression material (9). The
poly(vinylsiloxanes) are characterized by excellent dimensional accuracy and
long-term dimensional stability.

- Polysulfide impression material:


a. Should be poured within 1 hour. ***
b. Can be poured after 24 hours.
c. Can be poured 6-8 hours.

195. Hand over mouth technique is used in management of which child:


a. Mentally retarded.
b. Positive resistance.
c. Uncooperative.
d. Hysterical. ***

196. Pits and fissure sealants are indicated in:


a. Deep Pits and fissure.
b. Newly erupted teeth.
c. A and b. ***
.‫ والبازغة حديثا ً قليلة التمعدن‬،‫العميقة شكلها يساعد على النخر‬
197. Pit and fissure sealants are indicated to prevent dental caries in pits
and fissure:
a. In primary teeth
b. In permanent teeth
c. A & b. ***
Dental Decks - page 2250

198. The rationale for pit-and-fissure sealants in caries prevention is that


they:
a. Increase the tooth resistance to dental caries.
b. Act as a barrier between the sealed sites and the oral environment. ***
c. Have anti-microbial effect on the bacteria.
d. None of the above answers is correct.
Dental Decks - page 2250

199. Teeth that have lost pits and fissure sealant show…
a. The same susceptibility to caries as teeth that have not been sealed
b. Higher susceptibility than non sealed teeth
c. Lower susceptibility than non sealed teeth. ***
d. The same susceptibility as teeth with full retained sealant

PRIMARY PREVENTIVE DENTISTRY - 6th Ed (2004)

Teeth that have been sealed and then have lost the sealant have had fewer
lesions than control teeth.This is possibly due to the presence of tags that are
retained in the enamel after the bulk of the sealant has been sheared from
the tooth surface. When the resin sealant flows over the prepared surface, it
penetrates the finger-like depressions created by the etching solution. These
projections of resin into the etched areas are called tags.

200. Pit and fissure sealant:


a. New erupted teeth
b. Deep fissure and pits in molars
c. Proximal caries
d. A &b. ***
201. Year old patient all first molars carious and suspected pit and fissure
areas of the second molars. Treatment plan:
a. Restore all first molars and observe second molars.
B. Restore all first molars and topical fluoride on second molars.
C. Restore all first molars and seal pits and fissures of second molars. ***
d. Restore first and second molars with composite.
E. Restore first and second molars with amalgam.

202. Most tooth surface affected by caries:


a) Pit and fissure. ***
b) Root surface.
C) Proximal surface.
D) …..x

203. Pit &fissure least effective with:


a/tweny-four month year
b/primary molar
c/2nd molar
‫صيغة ثانية للسؤال أعتقد أنها األصح‬
204. Pit &fissure least effective with:
a/tweny-four month year
b/primary molar
c/2nd primary molar
d/ 5 years old child
‫المادة السادة للميازيب مهمة لألسنان البازغة حديثا و بعمر خمس سنوات ال يوجد أسنان بازغة حديثا‬

205. Procedure done before applying pit & fissure sealant:


a- Acid etch by phosphoric acid. ***
b- floride
Dental Decks - page 2224

206. Success of pit & fissure sealants is affected mainly by:


1)increased time of etching
2) contamination of oral saliva***
3) salivary flow rate
4) proper fissure sealant
Dental Decks - page 2250

207. Management knifedge ridge in complete denture:


a. Reline with resilient material.
b. Maximum coverage. ***
c. Wide occlusal label.
d. All of the above.
Dental Decks - page

208. The antibiotic of choice in pregnant:


a. Metronidazole.
b. Penicillin. ***
c. Tetracycline.
209. Verrucous carcinoma: ‫السرطانة الثؤلولية‬
a. Malignant. ***
b. Benign.
c. Hayperplastic
d. Non of above
210. Suture commonly used in oral cavity:
a. Black silk. ***
b. Catgut.
c. Chromic.
" Questions and Answers " ‫المرجع‬

%http//www.bethesda.med.navy.mil/careers%5Cpostgraduate_dental_school

211. In combined endo-perio problem:


a. Start with endodontic IX. ***
b. Start with periodontic IX.
212. Tooth fracture during extraction may be occur due to:
a. None vital tooth.
b. Diabetic PT.
c. Improper holding by forceps.
d. A and c. ***

213. Caries consist of:


a. Bacteria. ***
b. Fluid.
c. Epithelial cells.

214. Amount of reduction in PFM crown:


a. 1.5-2. ***
b. 1.7-2.
c. 2-5.
‫ ملم للخزف‬2‫ للمعدن و‬1.5 ‫تحضير الدعامات في التعويضات الثابتة‬

215. AH26 is root canal sealer consist of:


a. ZOE.
b. Epoxy resin. ***

216. Patient comes to your clinic complaining that the denture become
tight, during examination you notice nothing, but when the patient stand you
notice that his legs bowing (curved). What you suspect:
A) Paget’s disease.. ***
217. The most prevalent primary molar relationship #‫الشائعة‬
a- flush terminal plane.
b- mesial step terminal plane. ***
c- Distal step terminal plane.

218. In primary teeth. The ideal occlusal scheme is: ‫ اإلطباقي المثالي‬#‫الترتيب‬
a. Flush terminal. ***
b. Mesial step.
c. Distal step.
Dental Decks - page 252

:‫ جامعة البعث‬- ‫حسب كتاب تقويم األسنان والفكين‬

:1 ‫فقرة‬

"ً ‫"في األقواس السنية المؤقتة يكون في معظم الحاالت المستوى النهائي مستقيما‬

:2 ‫فقرة‬

‫ تبزغ األرحاء الدائمة بإرشاد من السطح الوحشي لألرحاء الثانية المؤقتة أي‬:‫تطور العالقات بين الفكين‬
.‫اعتماداً على طبيعة المستوى النهائي‬

‫ أما إذا كان المستوى‬،‫فإذا كانت هناك درجة أنسية تبزغ األرحاء األولى بعالقة طبيعية في الصنف األول‬
‫النهائي مستقيما ً فإن األرحاء األولى سوف تبزغ في البداية بوضع حدبة لحدبة ومن ثم يمكن أن تتأسس‬
‫عالقة إطباقية اعتماداً على االنسالل األنسي المبكر أو المتأخر لألرحاء األولى الدائمة وعلى استمرارية‬
‫ ولكن اختالل تسلسل بزوغ األسنان يغير هذه‬،‫ سنوات بعد توقف الفك العلوي‬3-2 ‫نمو الفك السفلي‬
...‫المعادلة‬

.‫ والشائع هو المستوى المستقيم‬،‫إذاً المثالي هو الدرجة األنسية‬

219. When you give a child a gift for good behavior this is called:
a. Positive reinforcement. *** ‫تعزيز‬
b. Negative reinforcement.
220. In distal extension p.d during relining occlusal Rest was not seated:
a. Remove impression and repeat it. ***
b. Continue and seat in after relining.
c. Use impression compound.
221. After taking alginate impression:
a. Wash with water and spray with sodium hydrochloride for 10 sec.
b. Same but wait 5-10 min and then put in sealed plastic bag.***

222. Many parts of bones are originally cartilaginous that replaced by bone:
a. True. ***
b. False.

223. Buccal object role in dental treatment of maxillary teeth:


a. MB root appear distal to P if cone is directed M to D.
b. DB root appear mesial to P if cone is directed M to D.***
‫تعليق من أحد الزمالء‬
we are talking about the position of the MB, or DB root in relation to the P
root if the cone will be directed from M to D(both opption) so , according to
the BUCCAL OBJECT RULE it says Same Lingual Opposit Buccal (SLOB), i think
that MB and DB root is NATURALY on the buccal aspect to the Palatal root, so
IT SHOULD , an MUST MOVE TO THE OPPOSIT DIRECTION OF THE CONE ,
becouse we know that they are on the buccal of P root , the question stated
that the cone direction is from M to D in RELATION TO PALATAL ROOT, so the
MB and DB roots shuld move and look in the mesial aspect of the palatal
becouse again WE KNOW that it is BUCCAL to P root i think option b(B) is the
correct one

224. Occlusal plane should be:


a. Parallel to interpupillary line.
b. Parallel to ala tragus line.
c. At least tongue is just above occlusal plane.
d. All of the above. ***

225. Pt come for check up, no complaining, after radiograph u see well
circumscribe radiolucent area in related to mandibular molar & the
periphery was radiopaque which not well defined border the diagnosis is:
simple bone cyst. ***
( = Traumatic bone cyst ) & ( = unicameral bone cyst ).

226. Scalloped border above inferior alveolar canal between roots of


mandibular molars, this lesion is:
a) solitary cyst.
b) aneurysmal bone cyst.
c) traumatic bone cyst. ***
b) ( = simple bone cyst = unicameral bone cyst ).

‫ سم وحتى‬1 ‫ شعاعيا ً حدوده شافة رقيقة ويتراوح بين‬،‫كيس صدفي الحواف فوق القناة السنخية السفلية‬
‫ ال يسبب امتصاصها أو ضياع الصفيحة القاسية‬.‫يشمل األرحاء‬

This is the radiographic finding for the the trumatic bone cyst
Radiographically, these lesions tend to appear as smoothly outlined
radiolucencies that scallop around the roots of the teeth. They do not displace
teeth or resorb roots, and the lamina dura is left intact. They may range from
very small (<1 cm) to very large (involving most of the mandible). They tend to
occur above the inferior alveolar canal

And

Dental decks – page 160

A traumatic bone cyst is not a true cyst since there is no epithelial lining.
Found mostly in yong people, asymptomic. Radiolucency which appears to
scallop around the roots of teeth. Teeth are usually vital.

‫صيغة أخرى للسؤال‬

227. Cyst between roots of mandibular molars , above the mandibular canal
has Scallopped border above inferior alveolar canal, on inspiration straw
like exudate, the teeth were vital, no periodontal involvment this lesion is:
a. static bone cyst
b. stafne bone cyst
c. aneurismal bone cyst
d. unicameral bone cyst. ***
( = simple bone cyst = Traumatic bone cyst ).

* Unicameral bone cysts = traumatic bone cyst


= simple bone cyst = solitary bone cyst
= hemorrhagic bone cyst = progressive bone cyst
= idiopathic bone cyst = Idiopathic bone cavity .

228. Radiographic radioulucency in the interradicular area:


a. Invasion of furcation. ‫إنتان منطقة مفترق الجذور‬
b. Periodontal abcess. ‫خراج حول سني‬
c. Periodontal cyst. (= radicular cyst = periapical cyst ) )‫كيسة حول سنية (نسج داعمة‬
ORAL RADIOLOGY 5th ed – page 321

Clinical Outline of Oral Pathology

229. Mental foramen appear in radiograph as radiolucent round area to the


area of:
a. Mandibular premolars. ***
b. Mandibular incisors.
c. Maxillary canine.
230. Radiographic diagnosis of a well-defined, unilocular radiolucent, area
between vital mandibular bicuspias is more likely to be:
a. Residual cyst. ‫كيس متبقي‬
b. The mental foramen. *** ‫الثقبة الذقنية‬
c. A radicular cyst.
d. Osteoporosis. ‫تخلخل العظم‬
e. None of the above.

231. Which cyst is not radiolucent?


a. Globulomaxillary cyst. ‫كيس فكي علوي كروي‬
b. Follicular cyst. ( = Dentigerous cyst )
c. Dentigerous cyst. ( = Follicular cyst )
d. Nasopalatine cyst. ‫الكيسة األنفية الحنكية‬
e. None of the above. ***

 All cysts are radiographically radiolucent.

232. Radiolucent are cover the pericoronal part of the 3rd molar is:
a- Dentigerous cyst
b- Central
233. Cyst in x- ray:
1. Radiolucent with bone expansion.
2. Radiolucent with bone resorption ***

"MASTER DENTISTRY- Oral and Maxillofacial, Surgery, Radilolgy, Pathology and


Oral Medicine – page 149"
Cyst growth
Several mechanisms are described for cyst growth, including:
• epithelial proliferation
• internal hydraulic pressure
• bone resorption.
234. Which of the following lesions has more tendency to show well defined
multilocular radiolucency:
a. Lateral periodontal cyst
b. Squamous cell carcinoma of jaw bones
c. Primordial cyst. ‫بدئي‬
d. Ameloblastoma. ***
e. Osteomylitis of the mandible. ‫التهاب العظم والنقي‬
white and pharaoh, oral radiology principles and interpretation,4th ed , page
386-389

235. Radiographic diagnosis of bone destructive in the mandible without


evidence of bone formation is:
a. Osteomyelitis.
b. Malignancy. ***
c. Fibro-osseous lesion.
d. Fracture.
e. osteoradionecrosis.
Dental secrets – page 115

Malignant lesions destroy bone uniformly. In ost eomyelitis, areas of


radiographically normal-appearing bone are frequently seen between the
areas of destruction. Sequestra are not present in malignant lesions.

236. A 60-year-old man has been treated for a (t2nomo) squamous cell
carcinoma by radical radiotherapy. He has a history of chronic alcoholism
and was a heavy smoker. Six years after treatment, he develops a painful
ulcer in the alveolar mucosa in the treated area following minor trauma.
His pain worsens and the bone became progressively exposed. He is
treated by a partial mandibular resection with graft. The diagnosis is
a. Acute osteomylitis
b. Gerre,s osteomylitis
c. Osteoradionecrosis ***
d. Chronic osteomylitis

237. Osteoradionecrosis is more in


a: maxilla
b: mandible. ***
c: no difference

238. Radiographic diagnosis of bilateral expansible radio opaque areas in the


canine premolar region of the mandible is:
a. Hematoma.
b. Remaining roots.
c. Tours mandibularis. ***
d. Internal oplique ridge.
e. Genial tubercle.

239. - In radiographs, which disease cause multiple radiolucencies:


a. Hypothyroidism. ‫القصور الدرقي‬
b. Hyperparathyroidism. *** ‫زيادة افراز الدرق‬
c. Ricket disease.
240. The following are multilocular radiolucencies in x-ray EXCEPT:
a. Ameloblastoma.
b. Odontogenic keratocyst. ‫كيسة متقرنة سنية المنشأ‬
c. Adenomatoid Odontogenic cyst. *** ‫كيس سني المنشأ شبيه بالورم الغدي‬
d. Myxoma. ‫ورم مخاطي‬
central giant cell reparative granuloma - aneurismal bone :ً ‫متعددة الحجرات أيضا‬
cyst - brown tumor of hyperparathyroidism - Odontogenic
- Myxoma/Myxofibroma – Cherubism - Hypopharynx Abscess

Simple Bone Cyst: Solitary bone cyst, traumatic bone cyst, ‫نادراً متعددة الحجرات‬
hemorrhagic bone cyst, hemorrhagic cyst, idiopathic bone cavity, unicameral
bone cyst

– Fibrous Dysplasia - Mucoepidermoid Carcinoma :‫متعددة أو مفردة‬

241. 33 years old female PT come with slow growing swelling in the angle of
the mandible. Radiograph show radio-opaque with radio-lucent border
diagnosis:
a. Osteoma.
b. Osteosarcoma.
c. Cementoblatoma. ***
242. Female . Swelling in left of mandible, slowly increasing , radio opaque
surrounded by radiolucent band:
a. Osteoma.
b. Ossifying fibroma. ***
c. Cementoblastoma.
d. Osteosarcoma.

243. Patient came to your clinic with severe pain, on x-ray the right side of
the mandible has a radiolucency with a radiopaque border that resembles
the sunshine rays. Your diagnosis is :
A) ossifying fibroma
B) osteosarcoma. ***
C) acute osteomyelitis
http://jmedicalcasereports.com/content/3/1/9327
http://smj.sma.org.sg/4902/4902pe1.pdf
Cortical integrity, periosteal reaction and soft tissue
Slow-growing lesions often cause expansion with cortical bowing, while
cortical destruction denotes aggressive inflammatory or neoplastic lesions.
Presence of periosteal reaction and soft tissue is also suggestive of an
inflammatory or malignant aetiology. Some types of periosteal reactions are
quite specific, like the sunburst type in osteosarcoma.
Periapical and occlusal radiography and orthopantomography revealed diffuse
bone destruction on the left side of the mandible due to the presence of a
lesion of variable appearance, presenting dense radiopaque, mixed and
completely radiolucent areas. The lesion was extensive and poorly delimited,
with the periosteum showing the classical "sunray" reaction on occlusal and
periapical radiographs

244. Child 12 years old with swelling in the mandibular premolars area, first
premolar clinically missing, in X ray examination we found Radiolucent is
cover the percoronal part of the 3rd molar is:
1. Dentigerous cyst. ***

245. Osteomyelitis more common


a. Maxilla
b. Mandible ***
c. Zygoma
d. Nasal septum
e. Condyle

246. Diabetic patient came to clinic with pain & swelling & enlarged
mandible, on radiograph it showed moth eaten appearance, your
diagnosis is :
a) acute osteomyelitis.
b) Chronic suppurative osteomyelitis. ***
c) focal sclerosing osteomyelitis.
d) diffuse sclerosing osteomyelitis. (cotton wool appearance).
 http://www.dent.ucla.edu/pic/visitors/teethloss/page1.html

OSTEOMYELITIS : Radiographically the "moth-eaten" appearance is quite


characteristic

Dental Decks - page 170

247. Patient suffering from pain in the area of the mandibular molars with
paresthesia in the lower lip. By clinical and radiographic examination your
diagnosis:
A) Acute osteomyelitis. ***
Dental secrets – page 95

Oral paresthesia may be caused by manipulation or inflammation of a nerve or


tissues around a nerve, direct damage to a nerve or tissues around a nerve,
tum or impinging on or invading a nerve, pnmary neural tumor, and central
nervous system tumor.

248. The x ray show scattered radiopaque line in the mandible jaw, the
diagnosis will be:
A- Paget disease. ***
B- Garres syndrome
C- Fibrous dysplasia
D- Osteosarcoma
249. The most common type of malignant bone tumor of the jaws is:
a. Osteochondrosarcoma. ‫ساركوما عظمية غضروفية‬
b. Osteosarcoma. ***
c. Leiomyosarcoma. ‫ساركوما عضلية ملساء‬
d. Chondrosarcoma.
"Oral pathology clinical pathologic correlation " :‫المرجع‬

.‫بينما الساركوما الغضروفية هي الثانية‬

250. 20 years old male PT came with severe pain on chewing related to
lower molars. Intraoral examination reveals no caries, good oral hygiene,
no change in radiograph. PT give history of bridge cementation 3 days ago.
Diagnosis:
a. Pulp necrosis.
b. Acute apical periodontitis. ***
c. Chronic apical abscess.
d. None of the above.

- Mobility in midface with step deformity in front zygomatic suture. Diagnosis:


a. Le Fort II
b. Le Fort III
c. Bilateral zygomatic complex fracture.

‫ أما انحراف وحركة‬,‫ هو انحراف وحركة كامل الوجه وانفصال الدرز الوجني‬Le Fort III ‫ما يميز‬
Le Fort II ‫الوجه فتميز‬

Le Fort I : is the lowest level of fracture, in which the tooth-bearing part of the
maxilla is detached.
Le Fort II : or a pyramidal fracture of the maxilla involves the nasal bones and
infraorbital rims.

Le Fort III : involves the nasal bones and zygomatic-frontal suture and the
whole of the maxilla is detached from the base of the skull.

251. Pt came with fracture because of blow in the right side of his face. he
has ecchymosis around the orbit in the right side only .and subjunctional
bleeding in the maxillary buccal vestible .with limited mouth open what is
ur diagnosis?
A- le fort 1
b- lofort 2
c- lefort 3
c-zygomatic fracture. ***
Zygoma fracture: clinical flattening of the cheekbone prominence —
paraesthesia in distribution area of infraorbital nerve — diplopia, restricted
eye movements - subconjunctival haemorrhage - limited lateral excursions of
mandibular movements - palpable step in infraorbital bony margin

252. Moon face appearance is not present in:


a. Le fort I.
B. Le fort II.
C. Le fort III
d. Zygomatic complex. ***
e. Le fort II and Le fort III.
Bhatia's Dentogist: mcqs in Dentistry (Clinical Sciences) with Explanatory
Answers

253. Open bite is seen in


a: lefort 2
b: unilateral condyle fracture
c: bilateral condyle fracture ***

254. what is the first sign if there is fracture in the face ?


‫ كلهم موجودين‬.. ‫ ال يوجد عالمة أولية‬:
1. Fluid paranasal.
2. Diastic Suture.
3. Overlap of bone.
4. All the above. ***

MASTER DENTISTRY- Oral and Maxillofacial, Surgery, Radilolgy, Pathology and


Oral Medicine
The eyes are examined for double vision (diplopia), any restriction of
movement and subconjunctival haemorrhage. The condyles of the mandible
are palpated and movements of the mandible checked. Swelling, bruising and
lacerations are noted together with any areas of altered sensation that may
have resulted because of damage to branches of the trigeminal nerve. Any
evidence of cerebrospinal fluid leaking from the nose or ears is noted, as this
is an important feature of a fracture of the base of the skull. An intra-oral
examination is then carried out, looking particularly for alterations to the
occlusion, a step in the occlusion, fractured or displaced teeth, lacerations
and bruises. The stability of the maxilla is checked by bimanual palpation, one
hand attempting to mobilise the maxilla by grasping it from an intra-oral
approach, and the other noting any movement at extra-oral sites such as
nasal, zygomatic-frontal and infraorbital.

255. By aging, pulp tissue will:


a. Decrease in collagen fibers.
b. Increase cellularity and vascularity.
c. Decrease in size. ***
.‫يتراكم العاج الثانوي على جدران القناة اللبية‬

256. Complete blood count "CBC" is a laboratory test important in dentistry:


a. True. *** ‫األصح‬
b. False.
‫" ذكر ضرورته قبل الجراحة عند مرضى اإليدز والمعالجين كيماويا ً والتهاب الكبد‬Dental secrets"
.‫الكحولي‬

257. Diagnosis prior to RCT should always be based on:


a. Good medical and dental history.
b. Proper clinical examination.
c. Result of pulp vitality test.
d. A periapical radiographs.
e. All of the above. ***

258. Which of the following may be used to disinfect gutta percha points
a. Boiling.
b. Autoclave.
c. Chemical solutions. ***
d. Dry heat sterilization.
259. to disinfect gutta percha points use:
a- h2o2
b- 5.2% NaOCL
c- -
d- A & B
Endodontics 4th edition – page 126-128

The primary GP point selected should be sterilized with NaOCL or H2O2 or


Chlorhexidine

260. Most convenient and effective form of sterilization of dental


instruments:
a. Boiling
b. Autoclave. ***

261. The role of good sterilization:


1. Washing, inspection, autoclave, drying, storage. ***
2. Inspection, autoclave, drying, storage.
3. Autoclave, drying, storage.
4. Autoclave is enough.

262. Protocol of sterilization


Initial cleaning, inspection , cleaning, sterilization, storage. ***

263. Autoclave relative to 100f dry oven


a)the same time
b)slightly higher time
c)considerable higher time
d)less time. ***

264. What is the type of sterizliation applied on ligation/fixation wires


A) Autoclave. ***

265. Why the moisture heat sterilization is better than dry heat sterilization
A) makes the instruments less rusty and blunt
B) needs more time and affects the proteins of the cell membrane
C) needs less time and affects the proteins of the cell membrane. ***

266. AUTOCLAVE PRINCIPLE:


a. Breaks the protein cell membrane at moderately low temp. ***
b. breaks the protein cell membrane at very high temp
)‫) و وقت اقل (عبيدة‬120( ‫ال يوجد أي تعارض بين الجوابين ألن االوتوكالف يحتاج حرارة أقل‬

267. Which one of the following is a disadvantage of autoclaving


endodontics instruments:
a. It can dull the sharp edges of instruments. *** ‫تقلل الحدة‬
b. All forms of bacteria are not destroyed by it.
c. Compared to other technique it takes too long to sterilize.
d. None of the above.
"Dental Secrets" ‫المرجع‬

‫ إمكانية كلل السطوح القاطعة والسنابل وصدأ أدوات الكاربايد وضرورة‬:‫مساوئ التعقيم بالحرارة الرطبة‬
.‫تنظيف األدوات وتغليفها قبل التعقيم‬

268. The radiographic criteria used for evaluating the successes of


endodontic therapy
a. Reduction of the size of the periapical lesion. ***
b. No response to percussion and palpation test.
c. Extension of the sealer cement through lateral canals.
d. None of the above.

269. If the maxillary first molar is found to have four, the fourth canal is
likely found:
a. In the disto-buccal root.
b. In the mesio-buccal root. ***
c. In the palatal root.
d. None of the above.

270. What is the basis for current endodontic therapy of a periapical lesion:
a. Due to rich collateral circulation system, the perpical area usually heals
despite the condition of the root canal. ‫التروية الغنية تكفي‬
b. If the source of periapical irritation is removed, the potential for periapical
healing is good. ***
c. Strong intracanal medications are required to sterilized the canal and
periapical area to promote healing.
d. Periapical lesions, especially apical cyst, must be treated by surgical
intervention.
271. To enhance strength properties of ceramo metal restoration, it is
important to:
a. Avoid sharp or acute angles in the metal structure.
b. Build up thick layer of porcelain.
c. Porcelain should be of uniform thickness and any defect of the preparation
should be compensated by the metal substructure.
d. Compensate any defect in the preparation equally by porcelain and metal
substructure.
e. A and b are correct.
f. A and c are correct. ***
g. B and d are correct.
shillingburg 3rd ed - page 457
sharp angels and under cuts should be avoided.
thin porcelain with uniform thickness supported by rigid thickness is the
strongest.
porcelain should be kept at a minimum thickness that is still compatible with
good esthetic
deficiencies of the tooth preparation….should be compensated by with extra
thickness of the coping in those areas.

272. Endodontically treated 2nd maxillary premolar with moderate M & D


caries is best restored by:
a. Amalgam.
b. 3/4 crown.
c. Full crown. ***
d. Onlay.

273. HBV can be transmitted by transplacental: ‫المشيمة‬


a. True. ***
b. False.
274. Bleeding of the socket following tooth extraction:
1. Is always a capillary bleeding in nature.
2. Takes not less than half – day in normal individual.
3. Is always favorable if it is primary type.
4. Can be due to the presence of a nutrient vessel.
a. 1 and 2 are correct.
b. 1, 2 and 3 are correct.
c. 1, 3 and 4 are correct. ***
d. All are correct.
275. In sickle cell anemia, O2 is decreased in oral mucosa: ‫فقر الدم المنجلي‬
a. True. ***
b. False.
276. Destruction of RBC may cause anemia and it is due to defect in cell
membrane: ‫تخرب كريات الدم الحمراء‬
a. True. ***
b. False.
277. Immunofluorecent test and biopsy are used to diagnosis pemphigus:
‫اختبار التألق المناعي والخزع يستخدم لتشخيص الفقاع‬
a. True. ***
b. False.
278. Selection of shade for composite is done:
a. Under light. ***
b. After drying tooth and isolation with rubber dam.
c. None of the above.
‫ توضع قطنة وتالحظ التغيرات في لون السن عندما‬.‫اختيار اللون يكون بالضوء الطبيعي وبوجود اللعاب‬
.‫يكون المريض في وسط معتم أو مضيء‬

279. Measuring blood pressure is one of vital signs important in medical


compromised:
a. True. ***
b. False.
280. Most commonly, after placement of amalgam restoration PT. Complain
from pain with:
a. Hot.
b. Cold. ***
c. Occlusal pressure.
d. Galvanic shock.
e. Sweet.
281. Management of tuberosity fracture during extraction of maxillary
molar is:
a. Replace and suture. *** ‫ردها إلى مكانها وخياطتها‬
b. Remove and suture with primary heal.
c. Replace and suture intra alveolar by wire.
d. Remove and leave to heal.
If the tuberosity is fractured but intact, it should be manually repositioned and
stabilized by sutures.
Dental decks 1954

282. During maxillary 3rd molar extraction the tuberosity fractured. It was
firmly attached to the tooth and cannot be separated. What is the
management:
a) Remove it with the tooth.
B) Splint the tooth to the 2nd molar then re-extracted after 6 weeks.
C) Suture ……x
.‫إذا انكسرت الحدبة ولم يمكن فصلها عن السن فيجب خلعهما معا ً وتنعيم حواف الكسر ثم الخياطة‬

283. After extraction amolar you found a hard tissue at the furcation like
pearl . what is
a. Enamel pearl
b. Enostosis
c. Hypercementosis
284. Tooth # 36 planned to extraction on x-ray no pdl after extraction u
found lesion like pearl on furcation wt the lesion
a. Enamel pearl
b. Enostosis
c. Hypercementosis
285. Microbial virulent produced by root bacteria is collagenase from
spirochete: ‫الذيفان الجرثومي في القناة هو كوالجيناز من الملتويات‬
a. True. ***
b. False.

286. Bacteria in endodontic pathosis mostly is:


a. Porphyromonas endodontalis obligate anaerobic: *** ‫الهوائية مجبرة‬
b. Streptococcus mutans.
c. Streptococcus anaerobic.

287. Bacteria in root canal:


a) mixed****
b) anaerobes obligatory
c) aerobes only

288. Bacteria in root canal pathosis:


a. Mixed anaerobe and aerobe. ***
b. Single obligate anaerobe.
c. Aerobic.
d. None of the above.
Dental pulp 2002 – page 294

When intact teeth with necrotic pulps were cultured, over 90% of the bacteria
were strict anaerobes. Because bacteria isolated from root canals are usually a
subgroup of the bacteria

found in the sulcus or periodontal pockets, it is believed that the sulcus is the
source of bacteria in root canal infections.

289. Calcium hydroxide is used in deep cavity because it is:


a. Simulate formation of 2nd dentine. ***
b. Not irritant to the pulp.
c. For thermal isolation.
‫ كما أن العزل الحراري هو‬،‫بالواقع تحدث ماءات الكالسيوم تموت صغير في الجهة المقابلة من اللب‬
.‫ أما ماءات الكالسيوم فتحرض على انتاج العاج الثانوي وتؤمن العزل الكيميائي‬،‫مهمة االسمنت‬

290. Use of miswak and toothbrush:


a. Toothbrush after meals and miswak at prayer time and when out of
home. ***
b. Miswak and toothbrush must be used together.
c. Use the miswak only when they can not afford to buy the
toothbrush and toothpaste.
d. Not use the miswak and use the toothbrush instead.

291. Oral diaphragm consist mainly of: )‫الحجاب الفموي (قاع الفم‬
a. Tongue.
b. Geniohyoid muscle. ‫الذقنية الالمية‬
c. Digastric muscle. ‫العضلة ذات البطنين‬
d. Mylohyoid muscle. *** ‫الضرسية الالمية‬
292. Occlusal rest function:
a. To resist lateral chewing movement.
b. To resist vertical forces. ***
c. Stability.
d. Retention.
.‫وظيفة الضمات مقاومة القوى العمودية‬

293. In placement of rupper dam: ‫الحاجز المطاطي‬


a. 4 jaw contact in teeth.
b. Only 4 contacts 2 lingual surface and 2 buccal surface. ***
c. Only 4 contacts 2 mesial and 2 distal.
294. Chronic suppurative periodontitis: ‫التهاب النسج حول السنية القيحي المزمن‬
a. PT complains from moderate pain.
b. Fistula with drain. ***
c. Pulp polyp in open coronal carious lesion.
‫الخراج المزمن يترافق مع ناسور وتصريف للقيح ويبدي ألم خفيف بالقرع وال يترافق مع بوليب أو‬
.‫مرجل بالحجرة اللبية‬

295. Acute periodontal abscess:


a. Fistula present.
b. Swelling enlargement in tooth site. ***
c. None of the above.
296. Masseter muscle extends from lower of border zygomatic arch to
lateral border of ramus and angel mandible. ‫العضلة الماضغة تمتد من القوس الوجني‬
‫إلى جسم الرأد وزاويته‬
a. True. ***
b. False.
Dental Decks - page 416

297. Extend of temporalis behind infratemporal fossa of temporal bone


insert in coronoid process: ‫االمتداد الصدغي خلف الحفرة تحت الصدغ للعظم الصدغي‬
‫يدخل في الناتئ اإلكليالني‬
a. True. ***
b. False.
298. Main arterial supply in face is facial artery and superficial temporal
artery:
a. True. ***
b. False.
299. Mandible is the 1st bone calcified in skull but clavicle start first but in
same embryological time: ‫الترقوة‬
a. True. ***
b. False.

300. Mandible formed before frontal bone:


a. True.***
b. False.
301. Maxilla is formed
a. before mandible
b. same with mandible
c. slightly after mandible. ***
d. none of the above

302. Development of maxillary process and medial frontal process in medial


elongation of central portion:
a. True.
b. False. ***
303. Some bone are formed by endochondral ossification like long bone, flat
bone by intramembranous ossification and some bone by endochondral
and intramembranous ossification: ‫داخل الغضروف وداخل الغشاء‬
a. True. ***
b. False.
304. Facial nerve supply:
a. Masseter muscle.
b. Temporal muscle.
c. Buccinator muscle. ***
d. Mylohyoid muscle.
305. Upon giving a lower mandible anaesthesia, you notice the patient’s
eye, cheek corner of the lip are uncontrolled , what’s the reason :
A) paresthesia of the Facial Nerve. ***

306. Muscle of facial expression are all innervated by facial nerve:


a. True. ***
b. False.

307. While performing cranial nerve examination you notice that the patient
is unable to raise his eyebrows, hold eyelids closed, symmetrically smile or
evert his lower lip..this may indicate:
a. Trigeminal nerve problem.
B. Facial nerve problem.
C. Oculomotor nerve problem.
D. Trochlear nerve problem.
E. All of the above.

308. Dentin permeability


1- decreases with the increase of cavity preparation.
2- Increase when sclerotic dentin develops under a carious lesion.
3- Increase with smear layer.
4- Bacterial toxins can pass through before the actual penetration of
bacteria. ***
‫سؤال مشابه‬
309. Dentin permeability
1- decreases with the increase of cavity preparation.
2- Increase when sclerotic dentin develops under a carious lesion.
3- Increase with smear layer.
4- Increase with presence of sclerotic dentin under caries lesion.

Art & Science


Dentin permeability:
increase with the increase of cavity preparation
decrease when sclerotic dentin develops under a carious lesion
decrease with smear layer

310. Tooth brushing and dental floss help in community prevention of


periodontal disease:
a. True. ***
b. False.

311. Cell of chronic inflammation:


a. Lymphocytics. *** ‫اللمفاويات‬
b. PMN. ‫متعددات النوى‬
c. Neutrophils. ‫العدالت‬
312. Dentist must:
a. Treat PT medically.
b. Prescribe medication to Pt with medical problem.
c. Do clinical examination, take medical history and evaluate the medical state.
***
313. After patient came to your clinic and gave an extended history and
complain, what’s your next step in treatment :
A) Clinical examination. ***
B) Start the treatment
C) Radiographic examination
314. Reparative dentine:
a. Same like secondary dentine.
b. Happen as site if irritation. ***
315. Reparative dentine: ‫الترميمي‬
nd
a. 2 dentine.
b. Formed as dentine Bridge above the pulp. ***
c. Highly tubular dentine and it is detective from 1st dentine. ‫أنبوبي‬
d. Sclerosing dentine with less permeability. ‫متصلب بنفوذية أقل‬
‫ أما الثانوي فهو العاج‬،‫العاج الترميمي يتشكل عند انكشاف اللب ولمادة التغطية دور مهم في تشكيله‬
.‫المتراكم في حجرة اللب مع الزمن ومع وجود النخر وفي حالة التغطية غير المباشرة‬

‫ تغطية مباشرة‬------- ‫عاج ترميمي‬

‫ تغطية غير مباشرة‬--------- ‫عاج ثانوي‬

316. Physiological reaction of edema on vital pulp: ‫وذمة أو احتقان‬


a. Decrease tissue fluid by decompression of blood vessel.
b. Increase blood preasure. ***
c. Necrosis of pulp due to hyperoxia and anaryxia. ‫نقص أكسجة و؟‬
317. Microabscess on vital pulp: start necrosis of small part and sequela of
destruction cycle and full repair: ‫الخراجات المجهرية باللب الحي تبدأ بتموت أجزاء صغيرة‬
‫ثم دورات من عقابيل التخرب والشفاء التام‬
a. True.
b. False. ***
"Dental pulp 2002 " :‫المرجع‬

‫ وفيما يخص التغطية بماءات الكالسيوم فالتموتات محدودة باللب القريب من االنكشاف‬،‫التموت غير ردود‬
.‫ثم يتشكل جسر عاجي‬

318. Amalgam tattoo is an oral pigmentation lesion: ‫تصبغ‬


a. True. ***
b. False.
319. Oral and perioral cyst formed from epithelial rest of serres:
a. True.
b. False. ***
320. Cementum contain cell like bone. It is yellow in color in vital, extracted
or avulsed tooth. But in non vital tooth, its color is dark:
a. True. ***
b. False.
321. Dentine composition:
a. 60-65 inorganic by wgt . (70% inorganic by volume). ***
b. 25% water by wgt. (13% water by volume).
c. 43% organic by wgt. (20% organic by volume).
.%10‫ وماء ومواد أخرى‬%20 ‫ ومواد عضوية‬%70 ‫بالحجم يتكون العاج من هيدروكسي أباتايت‬

322. The primary direction for spread of infection in the mandible is to


submental lymph node:
a. True.
b. False. ***
323. 7 days after amalgam restoration Pt came complaining of pain during
putting spoon on the restored tooth because:
a. Irreversible pulpitis.
b. Reversible pulpitis.
c. Broken amalgam.
d. Galvanic action. ***
324. Filling amalgam in the first madibular molar when touch the spoon
there is a pain the reason is:
1. Galvanic action. ***
325. DNA only infect human but RNA doesn't infect human:
a. True.
b. False. ***
.‫الفيروسات عبارة عن خمج يطال نوعي المادة الوراثية‬

326. Artificial teeth best to be selected by:


a. Preextraction cord. ***
b. Postextraction cord.
Dental Decks - page 408

327. In full gold crown, to prevent future gingival recession:


a. Make the tooth form gold at gingival one third. ***
b. Make the tooth form gold at gingival one fifth.
c. Make the tooth form gold at gingival one half.
Dental Decks - page 466

328. Subgingival scaling and root planning is done by:


a. Gracey Curette. *** ‫أداة تقليح أو تجريف‬
b. Hoe. ‫مجرفة‬
c. Chisel. ‫إزميل‬
‫لها أكثر من معنى تجريف أو تقليح‬

329. Paraesthesia of lower lip after surgical removal of lower 8 is due to the
irritation of inferior alveolar nerve:
a. True. ***
b. False.
330. The aim of conditioning agent on dentine before GI cement is to
remove smear layer:
a. True. ***
b. False.
331. Compomer release fluoride as GI:
a. True.
b. False. ***
.‫يحرر الكمبومير الفلور بكمية أقل ولفترة أقصر كما ال يمتص فلور معجون األسنان ليعيد تحريره‬

332. Barbed broach in endodontic is used for pulp examination in straight


canals: ً ‫اإلبر الشائكة لسبر األقنية المستقيمة نسبيا‬
a. True. ***
b. False.
333. Fixed partial prosthesis is more successful in:
a. Single tooth missing. ***
b. Multiple missing teeth.
334. Best pontic is:
a. Ridge lap. ‫محيطة بالسنخ‬
b. Hygiene. *** ‫صحية‬
c. Saddle. ‫سرجية‬
335. PT feel pain of short duration after class II restoration. Diagnosis is:
a. Reversible pulpitis (hyperemia). ***
b. Irreversible pulpitis.
c. Periodontitis.
336. Radiotherapy increase caries by decreasing salivary secration:
a. True. ***
b. False.
337. In the preparation of cavity class II, for restoration with composite resin
all cavosurface angles should be
a. Well rounded. ***
b. Right angles.
c. Acute angles.
d. Obtuse angles. ‫منفرجة‬
338. A class IV composite resin restoration should be finished with a:
a. No. 330 Tungsten carbide bur.
b. Mounted stone.
c. 12- fluted carbide bur. ***
d. Coarse diamond point (stone).
The 12-fluted carbide burs (#7901, #7804 ET series) have traditionally been
used to perform gross finishing of resin composites.

http://www.apad.cc/e-journal/issue2007/daniel.pdf

339. In class 5 composite restorations a layer of bonding agent is applied:


1. Following removal of cement then cured. ***
2. Following removal of cement and not cured.
3. Cured then remove cement.
340. After class V GI restoration removal of a thin flush of GI is done by:
a. Scaller or knife immediately.
b. Finishing stone immediately.
c. Scale or knife later.
d. Finishing stone later.
e. A+B.
f. A+D. ***
g. B+C
h. D+ C
‫سؤال آخر مشابه‬
341. After class V GI restoration removal of a thin flush of GI is done by:
a. Scaller or knife in the same visit .
b. Finishing stone in the same visit.
c. Scale or knife next visit .
d. Finishing stone next visit.
e. A+B.
f. A+D.
B+C
D+C

342. After finish class v glass ionomer cement we do finishing with:


1. Pumice slurry.
2. Aluminum-oxide disc.

"Art & Science of Operative Dentistry"


Micron finishing diamonds used with a petroleum lubricant to prevent
desiccation are ideal for contouring and finishing conventional glass ionomers.
Also, flexible abrasive discs used with a lubricant can be very effective. A fine
grit aluminum oxide polishing paste applied with a prophy cup is used to
impart a smooth surface.

Dental Decks - page 2098

3‫نفس الكالم يخص الكومبوزت في الصنف‬

343. Indirect composite inlay has the following advantages over the direct
composite EXCEPT:
a. Efficient polymerization.
b. Good contact proximally.
c. Gingival seal. ‫ختم‬
d. Good retention. ‫*** ثبات‬
344. Indirect composite inlay has the following advantages over the direct
composite EXCEPT:
a. Efficient polymerization.
b. Good contact proximally.
c. Gingival seal. ‫ختم‬
d. Price ***

345. Indirect composite inlay over come the direct composite by


1/ insusffition polymerization
2/good contact proximaly
3/ gingival seal
4/ good retention
a/ 1-2-4
b/ 1-2-3. ***
c/ 4-3

346. A glossy finish is best retained on a:


a. Microfilled composite resin restoration. ***
b. Macrofilled resin restoration.
c. Hybrid composite resin restoration.
d. Fiber reinforced composite resin restoration
Dental decks 2 page 2100

Microfill(fine particle composite) 0.01-0.1 *** develop smoothest finish.

Fundamentals of operative dentistry, a contemporary approach, 2nd edition,


Page 237

Microfilled resin composite can be polished to the highest luster and


smoothest surface of all the resin composites,

347. Composite for posterior teeth:


a. Microfilled + fine filler.
b. Macroflled + rough filler.
c. Hybrid + rough filler. ***
Clinical Aspects of Dental Materials Theory, Practice, and Cases (3rd Ed
2009)

The strength and other physical properties, EXCEPT wear resistance and
surface roughness, of macrofilled composites are adequate for Class III, IV,
and V restorations. Excessive wear when used for Class I and II restorations
limited their posterior use. Macrofills were used before dentinal bonding
systems were developed; placing them in posterior teeth resulted in
postoperative sensitivity, leakage, and recurrent decay.

The problem with microfilled composites is the low percentage filler (40–
50%). The surface area of the very small filler particles requires much more
resin to wet the surface of the filler particles. This high resin content results in
an increased coefficient of thermal expansion and lower strength.

Microfilled composites were used when esthetics are the dominant


concern. Large composite restorations, such as an extensive Class IV
restoration, are built in layers of several different shades and translucencies.
The first layers to be placed are a hybrid composite selected for strength. The
final layer, a veneer of sorts, is a microfilled composite selected for surface
luster.

Microfilled composites are also used in Class V restorations at the cemento–


enamel junction. Microfills have a lower modulus of elasticity and flex with the
tooth better than the strongest composite materials. Clinical research has
shown Class V microfill composite restorations are more likely to be retained
than other composite materials.

Hybrid composites are very popular; their strength and abrasion resistance
are acceptable for small to medium Class I and II restorations. Their surface
finish is nearly as good as that of microfills; thus, they are also used for Class III
and IV restorations.

348. Check bite of retainer by:


a. Paste. ***
b. Impression.
.‫تفحص الزيادة في سطح اإلطباق بالمعجون أم زيادة باطن التاج فهي التي تفحص بمادة الطبع‬

349. Mastoid process is a part of: ‫الناتئ الخشائي‬


a. Temporal bone. *** ‫الصدغي‬
b. Parietal bone. ‫الجداري‬
c. Occipital bone. ‫القذالي‬
350. Parotid duct opens opposite in 2nd Mandibular molars: ‫القناة النكفية‬
a. True.
b. False. ***
.‫تفتح قناة الغدة النكفية للدهليزي من الرحى الثانية العلوية‬

351. parotid DUCT is opposite to


maxilary premolar
maxilary 1st molar
maxilary 2nd molar ***
mandibular 1st molar

The parotid duct, also known as Stensen's duct, is the route that saliva takes
from the parotid gland into the mouth.
It passes through the buccal fat, buccopharyngeal fascia, and buccinator
muscle then opens into the vestibule of the mouth next to the maxillary
second molar tooth. The buccinator acts as a valve that prevents inflation of
the duct during blowing. Running along with the duct superiorly is the
transverse facial artery and upper buccal nerve; running along with the duct
inferiorly is the lower buccal nerve

352. Palate consists of:


a. Palatine and sphenoid bone. ‫الوتدي‬
b. Palatine and maxillary bone. ***
c. Palatine and zygomatic bone. ‫الوجني‬
353. Hard palate consists of the following:
A. Palatal maxillray process & Ethmoid bone
B. Palatal maxillary process & Sphenoid bone
C. Palatal maxillary process & Palatine bone. ***
D. Palatal maxillary process & Temporal bone
354. The most important microorganism in dental caries is:
a. Streptococcus mutant. *** ‫العقدية الطافرة‬
b. Streptococcus salivarius. ‫اللعابية‬
c. Spirochaeta. ‫الملتويات‬
355. Emergency endodontic should not be started before:
a. Establishing the pain.
b. Check restorability of the tooth.
c. Establishing the diagnosis. ***
.‫المعيار األساسي في قرار بدء المعالجة اللبية هو التشخيص المناسب‬

356. Selection of type of major connector in partial denture is determined:


a. During examination.
b. During diagnosis and planning. ***
c. During bite registration.
357. White polycarbonate are temporary crowns used for anterior teeth:
a. True. ***
b. False.
‫من كتاب األطفال‬

358. For etching 15 sec, for composite restoration use:


a. 37% phosphoric acid. ***
b. 15% fluoric acid.
c. 3% sulfuric acid.

359. Nerve impulse stops when injection local anesthesia:


a. True. ***
b. False.
360. The most common benign tumor in oral cavity is: ‫الحميد‬
a. Fibroma. ***‫ورم ليفي‬
b. Papilloma.
c. Lipoma.‫ورم شحمي‬
Dental Decks - page 1030-1039
Fibroma: reactive, the most common tumor seen in oral cavity.
361. The most prominent cell in acute inflammation is: ‫أبرز خلية‬
a. Lymphocyst.
b. Plasma cell.
c. PMN. ***‫المفصصات‬
(PMN : polymorphonuclear leukocyte)

362. Flat bone grow by endochondral ossification:


a. True.
b. False. ***
.‫من العظام المسطحة الجداري وهي تنمو بالتعظم الغشائي ال الغضروفي‬

363. Pulp chamber in lower 1st molar is mesially located:


a. True. ***
b. False.
"Endodontics Problem solving in clinical practice 2002 " :‫المرجع‬

364. Radiopacity at the apex of a tooth with chronic pulpitis:


a. Condensing osteitis (a focal sclerosing osteomyelitis). *** ‫التهاب العظم الكثيف أو‬
‫التهاب العظم والنقي البؤري المتصلب‬
b. Cemental dysplasia.‫سوء التنسج‬
c. Perapical granuloma. ‫ورم حبيبي‬
Dental Decks - page 1050

‫سؤال مشابه‬

365. Radiopacity at the apex of a tooth with deep carious lesion related to
lateral surface of root :
a. Condensing osteitis (a focal sclerosing osteomyelitis). *** ‫التهاب العظم الكثيف أو‬
‫التهاب العظم والنقي البؤري المتصلب‬
b. Cemental dysplasia.‫سوء التنسج‬
c. Perapical granuloma. ‫ورم حبيبي‬
366. Radiopacity attached to root of mandibular molar:
a. Ossifying fibroma.
b. Hypercementosis. ***
c. Periapical cemental dysplasia.

367. Extra canal if present in mandibular incisor will be:


a. Lingual. ***
b. Distal.
"Endodontics Problem solving in clinical practice 2002 " :‫المرجع‬

‫ وتحتاج تأمين مدخل‬%45 ‫من أهم أسباب فشل المعالجة اللبية للقواطع السفلية وجود القناة اللسانية بنسبة‬
.%60 ‫ نفس القناة توجد بالقواطع العلوية بنسبة‬.‫لساني قريب من الحافة القاطعة للوصول إليها‬

368. The access opening in lower incisor:


a. Round.
b. Oval. ***
c. Triangular.
Dental Decks - page 152

369. The accesses opening for a maxillary premolar is most frequently:


a. Oval. ***
b. Square.
c. Triangular.
d. None of the above.
Dental Decks - page 152
370. The correct access cavity preparation for the mandibular second molar
is:
a. Oval.
b. Quadrilateral.
c. Round.
d. Triangular.
: ‫ مكتوب كل سن وشكل فتحة التحضير‬.. NBDE part II ‫في كتاب‬
:Upper
central : triangular
lateral: ovoid
canine: ovoid
first premolar: ovoid
second premolar: ovoid
first molar: triangle
second molar triangle

:Lower
central: ovoid
lateral ; ovoid
canine: ovoid
first premolar: ovoid
second premolar : ovoid
first molar: trapezoid
second molar: trapezoid
371. Acute periapical cyst and acute periodontal cyst are differentiated by:
a. Vitality test. ***
b. Radiograph.
c. Clinical examination.
372. Acute periapical abscess associated with
a. Swelling. ***
b. Widening of PDL.
c. Pus discharge.
373. The most common cause of endodontic pathosis is bacteria:
a. True. ***
b. False.
.‫األسباب األخرى هي الرض – التآكل – التسرب الحفافي – مشاكل الحشوات واإللصاق‬

374. Palatal canal in upper molars is curved:


a. Buccally. ***
b. Palatally.
c. Distally.
375. If tooth or root is pushed during surgical extraction into max sinus:
a. Leave it and inform the Pt.
b. Remove it as soon as possible. ***
c. Follow the Pt for 3 months.
d. None of the above.
376. Difference between Gracey and universal curette:
a. Section of gracey is hemicircular and in universal triangular.
b. Gracey has one cutting edge while universal has two.
c. Gracey Used for cutting in specific area while universal is in any area.
d. Universal 90 not offset, gracey 60 offset.
e. A and d
f. A, b and c.
g. B, c and d.
377. Cause of fracture of occlusal rest:
a. Shallow preparation in marginal ridge. *** ‫تحضير ضحل بالحفرة المالصقة‬
b. Extension of rest to central fossa.
c. Improper centric relation.
378. Child came to the clinic with amalgam restoration fracture at isthmus
portion, this fracture due to:
a) Wide preparation at isthmus.
b) High occlusal.
C) shallow preparation ***
D) constricted isthmus

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 58


Isthmus joins the occlusal key with the interproximal box. It is the part of the
filling most prone to fracture.
:193 ‫كتاب طب أسنان األطفال ص‬

‫"عرض البرزخ ثلث المسافة بين الحدبتين مع التأكيد على شطب الزاوية الخطية المحورية اللبية لتأمين‬
،‫ثخانة كافية للترميم دون الخوف من انكشاف اللب ألن ذرى القرون اللبية تتوضع تحت ذرى الحدبات‬
‫فتعميق الحفرة وبالتالي زيادة ثخانة األملغم يرفع مقاومته ثالثة أضعاف بالمقارنة مع زيادة عرض‬
"‫البرزخ‬

‫سؤال مشابه ال يوجد به الخيار السابق‬


379. after class II amalgum fill , broken is happen in isthmus area why
A. over high of filling virtically
B. over flair cavosurface angle or edge
C. unproper mixed fill
380. The cause of fracture in amalgam class II restoration is:
a. Thin thickness at the marginal ridge. ***
b. Wide flared cavity
c. Deep cavity.

381. Bridge return to dentist from lab with different degree of color
although the shade is the same, the cause:
a. Thin metal framework.
b. Different thickness of porcelain. ***
c. Thick opaque.

‫سؤال مشابه‬:
-- Bridge came from lab with different shade:
1- thick metal.
2- thin porcelain.
3- Not uniform thickness of porcelain. ***
:‫حة هي‬#‫ كانت اإلجابة الصحي‬381 ‫وفي السؤال‬

Increased porcelain thickness. *** ( or thick porcelain ).

382. Complete denture poorly fit and inadequate interocclusal relation:


a. Relining.
b. Rebasing.
c. New denture. ***
d. None of the above.

383. Small caries confined to enamel:


a. Preventive measure.
b. Amalgam feeling. ***
c. Keep under observation.
384. In enamel caries passing half of enamel:
a. Leave it.
b. Restoration. ***
385. Currently the only effective preventive measure for periodontal disesse
(apart from limited use of antiseptic solutions) is:
a. Regular and rough removal of dental plaque. ***
b. Salt flouridation
c. Dental health education.
386. Dental caries:
a. Is a transmissible disease
b. Is world wide in distribution but uneven in intensity.
c. Can be prevented
d. All of the above. ***
e. None of the above.
Dental caries is a transmissible and multi-factorial disease.

" It suggests an impact on populations of entire countries, continents, or much


of the world. The term therefore implies two elements: global distribution and
severe consequence

Dental caries is a disease that usually can be successfully prevented or


controlled

387. At which location in enamel is the density of enamel crystals is lowest:


a. Prismless enamel. ‫الميناء الال موشوري‬
b. DEJ. *** ‫الملتقى العاجي المينائي‬
c. Center of enamel Prisms. ‫الميناء الموشوري‬
d. Edge of enamel Prisms.
e. Facial enamel.
sturdenvant 4th edition - page 17

The density of enamel also decrase from the surface to the DEJ .

388. Rampant caries in adult in anterior teeth restored by: ‫المعممة أو الهائجة‬
a. Glass ionomer. ***
b. ZOE.
c. Amalgam.
389. The 1st cervical vertebrae is: ‫فقرة رقبية‬
a. Atlas. ***‫الفهقة‬
b. Axis.
Atlas 2- Axis or Epistropheus, 3- Longus colli 4- 5- 6- 7- -1 :‫فقرات الرقبة‬
.prominens
390. Most of dentine bonding material need conditioning time:
a. 15 sec.
b. 30 sec.
c. 45 sec.
d. 60 sec.
391. Time of curing of dentine:
a. 10 sec.
b. 15 sec. ***
c. 30 sec.
d. 60 sec.
392. Light curing time for simple shallow class III composite:
a. 10 sec.
b. 15 sec.
c. 20 sec.
393. Cartilaginous joints in the body affect bone growth:
a. True. ***
b. False.
394. Cavity varnish should be applied at least in:
a. One layer.
b. Two layer. ***
c. Three layer.
d. Four layer.
395. Geographic tongue is seen in Pt with:
a. Diabetes. ***
b. Iron deficiency anemia.
c. Pemphigus.‫الفقاع‬
Burket- Oral medicine – page 116

Benign migratory glossitis is seen with a fourfold increase in frequency in


patients with juvenile diabetes, possibly due to an increased frequency of
elevated amounts of the HLA-B15 tissue type.

‫ وكذلك عند بعض مرضى الربو واألكزيما‬،‫إذاً اللسان الجغرافي يترافق أحيانا ً مع السكري الشبابي‬
،‫ وعند الحوامل المصابات بنقص حمض الفوليك واالضطرابات الهرمونية‬،‫والحساسية وفقر الدم الوبيل‬
.‫واألهم أنه يشاهد عند مرضى الصداف‬

396. Geographic tongue is always accompanied in patient with:


a. Diabetes.
b. Erythema multiform.
c. Iron deficiency.
d. Psoriasis. ***
Cawson Essintials of Oral Pathology and Oral Medicine 7th ed
Geographical tongue:
‫في ھذه الحالة ھناك مظھ ٌر یتكر ُر دور َّیا ً و یختفي عبارة عن مناطق حمراء اللون على اللسان ‪ .‬السبب‬
‫غیر معروف لكن في بعض األحیان ھناك قصة إصابة عائلیة واضحة عن وجودھا في أجیال متعددة ‪.‬‬
‫یمكن لذلك مشاھدة ھذا الشذوذ في بعض األحیان في مرحلة الطفولة ‪ ،‬لكن من المحتمل أن ال تتم‬
‫شوھدت لدى المرضى في منتصف العمر ‪ .‬إنھ یبدو من غیر المحتمل‬ ‫مالحظتھا غالبا ً ‪ .‬معظم الحاالت ُ‬
‫لكنھ لیس من المستحیل أن تبقى ھذه الحالة غیر مُالحظة لفترة طویلة ‪ .‬عند العدید من المرضى یبدو‬
‫تطوري لكنھ یظھر أیضا ً مترافقا ً مع‪ psoriasis‬الصُّداف‬ ‫ش ٌ‬
‫ذوذ ُّ‬ ‫اللسان الجغرافي على أنھ ُ‬
‫‪Burket- Oral medicine – page 115‬‬

‫‪There may be an association between certain types of psoriasis (especially‬‬


‫‪pustular psoriasis) and geographic tongue.‬‬

‫‪397.‬‬ ‫‪A 21 years old patient who has iron deficiency anemia, difficulty in‬‬
‫‪swallowing, with examination of barium sulphate, you found:‬‬
‫‪A. Geographical tongue.‬‬
‫*** ‪B. Burning mouth syndrome.‬‬
‫‪C. ………….. Syndrome‬‬
‫‪D. Diabetic patient‬‬
‫‪Iron deficiency result in:‬‬
‫– ‪Candida – Leukoplakia - Aphthous Stomatitis - Sore tongue (glossodynia‬‬
‫‪glossitis – Burning mouth syndrome) - Patterson-Brown-Kelly syndrome‬‬
‫)‪(GASTROINTESTINAL DISEASE‬‬

‫بما أن السؤال السابق ناقص فقد يكون األصح هو التالي‬

‫‪398. a 21 years old patient who has iron deficiency anaemia, difficulty in‬‬
‫‪swallowing, with‬‬
‫>>>>>>>‪examination of barium sulphate, you found >>>>>>>missing part‬‬
‫‪a. geographical tongue‬‬
‫‪b. burning mouth syndrome‬‬
‫‪c. (plummer vinson syndrome) patterson kelley‬‬
‫‪d. diabetec patient‬‬
‫( ‪patterson kelley )plummer vinson syndrome‬و هي من المتالزمات المشهورة‬
‫باألنيميا و عسر البلع و يتم تشخيصها باستخدام الباريوم يكون هو االصح الن‪burning mouth‬‬
‫نادرا مايحدث اقل من ‪ 30‬سنه (د‪ .‬سالف)‬
‫حسب أكسفورد فإن متالزمة بلومر فنسان يشاهد فيها عسرة بلع و فقر دم ناقص الصباغ و تصيب‬
‫عادة النساء في منتصف العمر قد يكون كالم د ‪ .‬سالف صحيحا المشكلة فقط أن المريضة ليست في‬
‫منتصف العمر و لكن المصدر لم يقل أنها ال تصيب النساء الصغيرات و إنما قال عادة منتصف‬
‫العمر (عبيدة)‬
‫للتعريف‬
‫‪http://emedicine.medscape.com/article/187341-overview‬‬

‫للتشخيص‬
http://emedicine.medscape.com/article/187341-diagnosis

399. Pt came to the clinic complaining from soreness in the tongue sore
throat the diagnosis is:
a) burning mouth syndrome. ***
b) geographical tongue
c) fissure tongue
Burket- Oral medicine – page 96

Acute atrophic candidiasis presents as a red patch of atrophic or


erythematous raw and painful mucosa, with minimal evidence of the white
pseudomembranous lesions observed in thrush. Antibiotic sore mouth, a
common form of atrophic candidiasis, should be suspected in a patient who
develops symptoms of oral burning, bad taste, or sore throat during or after
therapy with broad-spectrum antibiotics. Patients with chronic iron deficiency
anemia may also develop atrophic candidiasis.

simplex herpes ‫كما أن عسر البلع وألم الحنجرة يوجد أيضا ً عند مرضى الحأل البسيط‬

400. Burning mouth syndrome is a chronic disorder typically characterized


by each of the following EXCEPT:
a. Mucosal lesion. *** ‫آفة بالغشاء المخاطي‬
b. Burning pain in multiple oral sites. ‫ألم حرقة‬
c. Pain similar in intensity to toothache pain. ‫يشبه ألم األسنان بالشدة‬
d. Persistent altered taste perception. ‫تغير مستمر بحاسة الذوق‬
401. Which of the following is the most likely potential cause of BMS
(Burning mouth syndrome): ً‫السبب األكثر احتماال‬
‫ هو‬#ً‫كل األسباب اآلتية هي صحيحة ولكن السبب األكثر احتماال‬:
a. Denture allergy.
b. Salivary dysfunction. ( Decreased salivary flow = Xerostomia ).
c. Neural dysfunction. *** ً‫كما قالت الدراسات الحديثة أنه يمكن أن يكون السبب األكثر احتماال‬.
d. Menopausal changes. ‫انقطاع الطمث‬
:There are a number of possible causes of burning mouth syndrome, including

 damage to nerves that control pain and taste


 hormonal changes
 dry mouth, which can be caused by many medicines and disorders such as Sjögren’s
syndrome or diabetes
 nutritional deficiencies
 oral candidiasis, a fungal infection in the mouth
 acid reflux
 poorly-fitting dentures or allergies to denture materials
 anxiety and depression.
In some people, burning mouth syndrome may have more than one cause. But for many, the exact
.cause of their symptoms cannot be found
http://www.nidcr.nih.gov/OralHealth/Topics/Burning/BurningM
outhSyndrome.htm#2

‫ فان من المهم االخذ بعين االعتبار االسباب الطبية التي قد‬، BMS ‫غير انه قبل الجزم ان المشكلة هي‬
‫ وهذه تشمل العدوى والنقص في التغذية (مثال‬.‫تسبب هذا الحرق او الوخز المؤلم او تغير الطعم والمذاق‬
‫ ومرض السكري‬،‫ وفقر الدم‬،)‫على ذلك نقص في بعض فيتامينات “بي” المعينة التي تؤثر على انسجة الفم‬
‫ (وهو من مراض المناعة الذاتية الذي يتسبب قرح‬lichen planus ‫ والحزاز المسطح‬،‫من النوع الثاني‬
‫ كذلك‬.xerostomia )‫ وجفاف الفم او الحلق (قلة انتاج اللعاب‬،‫ واالضطرابات االلتهابية االخرى للفم‬،)‫الفم‬
‫فان االحساس بالحرق وجفاف الفم هما ايضا من التأثيرات الجانبية لبعض االدوية المعينة مثل مثبطات‬
‫ واذا‬.‫ كما ان مضادات الكآبة قد تسبب ايضا جفاف الفم‬،‫ التي قد تسبب الحرق‬ACE ‫انزيم االنجيوتنسين‬
Candida albicans ”‫ فقد يكون السبب “المبيضة البيضاء‬،‫كان اللسان واالنسجة الفمية االخرى حمراء‬
‫ وطواقم وجسور االسنان قد‬.‫ الذي هو عبارة عن عدوى اصلها من الخميرة‬،thrush )‫او قالع (سالق‬
.‫ قد يترك مذاقا مرا في الفم‬reflux ‫ كما ان مرض االرتجاع المريئي‬،‫تسبب ايضا هياجا في الفم‬

http://www.aawsat.com/details.asp?
issueno=10626&article=481372

402. Which of the following represents the best pharmacologic therapy for
BMS:
a. Antidepressant agents. ‫مضادات الكآبة‬
b. Corticosteroids.
c. Anxiolytic agents.
d. There is no therapy of proven general efficacy. ***‫فعالية‬
http://jada.ada.org/cgi/reprint/126/7/842.pdf

If an underlying cause of BMS can be identified (Table 2), then treatment


should be directed toward the source."41"6 Unfortunately, treatment based
on any of these possible etiologic factors is frequently ineffective,' and no
therapy for BMS has proven generally effective.

403. Diabetic Pt with ill fit denture, examination of residential ridge help to:
a. Determine the need for tissue conditioning and surgery. ***
b. Determine occlusal height.
c. Determine vertical dimension of occlusion.
404. Handicapped Pt with lesion in central nervous system appears to have
different type of disorder in movement and procedure:
a. Seizure.‫نوبة‬
b. Cerebral palsy. *** ‫شلل دماغي‬
c. Learning disability.
McDonald, 7th ed, page 585
Cerebral palsy….the disability might involve …….and uncoordinated or
involuntary movements

405. To obturate the canal the most important step is:


a. Cleaning and shaping of the canal. ***
b. Irrigation of the canal.
406. aim to shape apical 3rd of the root:
a) widening apex
b) permit irrigation to reach apical 3rd.
c) permit GP to fill
d) for good sealer achieve
) ‫ طوني أبو جودة (دكتوراه في المداواة‬.‫حسب كالم د‬.
407. The most important in RCT is seal: ‫األهم للختم‬
a. Apical 1/3. ***
b. Middle 1/3.
c. Cervical 1/3.

408. During placement of amalgam pins, the number of pins per cusp is:
a. 1 pin. ***
b. 2 pins.
c. 3 pins.
d. 4 pins.
409. The amount of L.A in 2% lidocaine with 1/100000 adrenaline is:
a. 0.01
b. 0.02
c. 36 mg. ***
Dental Decks - page 1870

410. How many mg of adrenalin in cartridge 1.8 cc of 2 % Xylocine:


a- 1.8 mg
b- 0.18 mg
c- .036 mg
d- 3.6 mg
e- 0.018 mg. ***

411. What is the amount in mg in 1.8 ml of xylocain


a. 20 mg/ml
b. 1.8 mg/ml
c. 36 mg. ***
‫ سم مكعب‬1.8 ‫ ملغ ألن حجم األمبولة‬36 ‫ تكون كميته‬%2 ‫إذا كان تركيز الليدوكائين‬
‫ ملغ‬0.018 ‫ تكون كميته‬100000 ‫إذا كان تركيز األدرينالين جزء من‬
412. The most common endodontic cyst is:
a. Radicular cyst. ***
b. Keratocyst.
c. Acute apical periodontitis.
413. Pt complains from severe spontaneous pain related to upper 6. It
respond to vitality test no pain on percussion, diagnosis is: ‫عفوي‬
a. Irreversible pulpitis. ***
b. Reversible pulpitis.
c. Acute apical periodotitis.
414. The most common complication after extraction for diabetic Pt is:
a. Infection. ***
b. Severe bleeding.
c. Oedema.‫وذمة‬
d. All of the above.
415. Lateral canal is detected by:
a. Radiograph. ***
b. Tactile sensation. ‫إحساس اللمس‬
c. By clinical examination.
416. Contact area is in incisal/occlusal 1/3 in which tooth:
a. Mandibular incisors. ***
b. Mandibular molars.
c. Maxillary molars.
876 + 1123 ‫انظر السؤالين‬

417. Incipient caries is diagnosed by:


a. Fiber optic light. ***
b. Tactile examination.
c. X-ray film.
(And dye)

418. Disinfection of GP is done by:


a. Autoclave.
b. Dry heat.
c. Sodium hypochlorite. ***
419. Periodontal ligament fibers in the middle third of the root is:
a. Oblique. *** ‫مائل‬
b. Horizontal.
c. Transeptal. ‫عبر الحاجز‬
420. To detect interproximal caries in primary teeth, the best film is:
a. Periapical.
b. Bitewing. ***
c. Occlusal.
421. Pt with missing lower right 1st molar for long time you'll find:
a. Mesial drifting of lower right 2nd molar. ***
b. Intrusion of upper right 1st molar. ‫انغراس‬
c. Over eruption of lower right 2nd molar.
422. Over erupted upper right 1st molar will be managed by: EXCEPT:
a. Intruded easily orthodontically. *** ً ‫تغريس تقويميا‬
b. Crowing.
c. Adjustment of occlusion.
‫صيغة أخرى للسؤال‬
st
423. Over erupted upper right 1 molar will be managed by::
a. Intruded easily orthodontically. ً ‫تغريس تقويميا‬
b. Crowing.
c. Adjustment of occlusion.
d. In sever cases may be extracted
e. 1 2 3
f. 2 3 4****
g. 1 2 4
h. 1 3 4

424. Over erupting tooth can be treated by:


1. Crowning after endo.
2. Ortho intrusion.
3. Extraction.
4. A and B.
5. All the above. ***
425. Broken instrument during RCT, best prognosis if broken at: ‫أفضل إنذار‬
a. Apical 1/3. ***
b. Middle 2/3.
c. Cervical 3/3.
426. Pulp stone:
a. Cause discomfort and pain.
b. Free in pulp chamber. ***
c. None of the above.
427. Pulp stone can be the following EXCEPT:
a) present freely in the pulp.
b)cause discomfort & pain to the patient. ***
c)In radiographs,Small spheroidal radiopaque.
d)False stone occurs due to dystrophic dentin.
Pathway of the pulp 9ed 1st part – page 219
The morphology of the apical root varies tremendously; it includes numerous
accessory canals; areas of resorption and repaired resorption; attached,
embedded, and free pulp stones; and varying amounts of irregular secondary
dentin.

:‫مرجع ثاني‬
:‫الحصاة اللبية‬
‫ ارتكاس من حشوة أو نخر أو أذية النسج الداعمة‬:‫ أسبابها‬-
.‫ محاطة بالعاج‬-3- ‫ متصلة بالعاج‬-2- ‫ محاطة بالنسيج اللبي‬-1 :‫ أنواعها‬-
‫ ال تبدي أعراض – تحصل في أي عمر وفي التاج أو منطقة الذروة – تترافق مع لب سليم أو مع‬:‫ صفاتها‬-
‫التهاب مزمن‬
‫ يمكن إزالتها بالسكيلر‬-
428. The amount of facial reduction in PFM crown:
a. 1.3.
b. 1.7 ( 1.5 – 2 mm )
c. 0.8.
d. 2.2.
429. A tooth with 25 degree inclination could be used as abutment: ‫ميالن‬
a. True. ***
b. False.
430. Intercellular movement of PMN leukocytes is called migration: ‫الحركة بين‬
‫الخلوية للكريات البيض تدعى الهجرة‬
a. True. ***
b. False.
431. In onlay, stopping of cusp is 1.5-2 m.m:
a. True. ***
b. False.
432. Among the reasons that molar teeth are more difficult to treat
endodontically than anterior teeth:
a. Molar have more complex canal configuration.
b. Molar tend to have greater canal curvature.
c. A and b. ***
d. None of the above.

433. Gingival hyperplasia related to phenytoin therapy is: ‫مضاد الصرع‬


a. Most common on lingual surface.
b. Most common in older Pt.
c. Strongly related to phenytoin dosage.
d. Strongly related to poor oral hygiene. ***

434. Type I diabetes mellitus can be characterized as:


a. Non-insulin-dependent.
b. Adult- onset. ‫بدءاً بالبلوغ‬
c. Ketosis-prone. *** ‫عرضة لتراكم الكيتون‬
d. Accompanied by normal cell activity.
http://en.wikipedia.org/wiki/Diabetes_mellitus_type_1
435. Which of the following statement is true for the reported relationship
of periodontal disease and diabetes mellitus:
a. The reported incidence of periodontal disease in the diabetes is less than that
for nondiabetic.
b. Pts with history of diabetes of less than 10 years have more periodontal
disease destruction than those with history of longer than 10 years.
c. The prevalence of periodontal disease increase with the advancing age of the
diabetic. ***
d. The prevalence of periodontal disease increase with the better metabolic
coronal of the diabetic state..
436. The spontaneous production of an electric current resulting from two
dissimilar metal in the oral cavity is called:
a. Nuclear reaction.
b. Galvanic action. ***
c. Precipitation reaction. ‫تفاعل ترسيب‬
d. Thermodynamics.
e. Fission. ‫انشطار‬
Dental Decks - page 2268

437. The first step in diagnostic work, up is obtaining the:


a. Medical history.
b. Present complaint. ***
c. Biographical data.
d. Restorative history.
e. Traumatic history.
438. The basic difference between K files and reamers is:
a. The number of spirals or flutes per unit length.
b. The geometric cross section. ***
c. The depth of flutes.
d. The direction of the spirals.
439. In case of traumatic intrusion of young permanent incisor, the
treatment of choice is:
a. Surgical repositioning of intruded tooth and splinting.
b. To wait for re eruption of the intruded tooth.
c. Slow orthodontic extrusion using light force.
d. Only antibiotic prescription and wait for eruption. ***
"Dental Secrets" ‫المرجع‬

‫ أيام ومع‬10 ‫ وفي حال كانت الذروة مكتملة يتم القلع وإعادة الزرع مع جبيرة‬،‫يتم البزوغ خالل شهرين‬
‫ أو يقلع إذا انغرس‬،‫ أما السن اللبني فيترك ويراقب‬،‫معالجة لبية وحشو بماءات الكالسيوم خالل أسبوعين‬
.‫حتى جراب الدائم‬

440. Best treatment of choice for carious exposure of a primary molar in a 3


year old child who complain of toothache during and after food taking:
a. Direct pulp capping with caoh.
b. Direct pulp capping with zao paste.
c. Formocresol pulpotomy. ***
d. Caoh pulpotomy.
441. Which of the following statement about the mechanism of action for
denture adhesive is not correct:
a. It depends in part on physical force and viscosity. *** ‫لزوجة‬
b. Carboxyl group provide bio adhesion.
c. Greater water solubility increase duration of adhesion.
d. Zinc salts have been associated with stronger longer adhesion.
.‫يزيد الثبات مع زيادة االرتباط الميكانيكي ولكن ينقص مع زيادة لزوجة اللعاب‬
‫كما يزيد الثبات كل من مركبات الكربوكسيل وأمالح الزنك وزيادة سيولة الماء‬.

442. One week after filling of class II restoration, the Pt present with a
complain of tenderness on mastication and bleeding from the gingival. The
dentist should initially:
a. Check the occlusion.
b. Check the contract area. ***
c. Consider the probability of hyperemia.
d. Explain to the Pt that the retainer irritated the surrounding soft tissue and
prescribe an analgesic and warm oral rinse.

443. It is recommended to avoid an intraligamental injection when the


planned dental treatment is:
a. Pulp extirpation.
b. Pulpotomy. ***
c. Full crown preparation.
d. A and b.
.‫لمنع انقطاع تروية اللب المتبقي‬

444. The root canal treated teeth has the best prognosis when the root
canal is instrumented and obturated:
a. To the radiograph apex.
b. 1 mm beyond the radiograph apex. ‫ما بعد‬
c. 1-2 mm short of the radiograph apex. ***
d. 3-4 mm short of the radiograph apex.
"Clinical Endodontics TRONSTAD " :‫المرجع‬

445. Which of the following would be clinically un acceptable as a primary of


isolating a tooth for sealant placement:
a. Cotton roll.
b. Rubber dam.
c. Vac-ejector moisture control system. ‫نظام شفط كماصة اللعاب‬
d. None of the above. ***
446. Which one of the following is least likely to contribute to oral bad
breath: ‫أقل عامل يسهم في رائحة الفم‬
a. Periodontal disease.
b. Denture.
c. Faulty restoration.
d. Carious lesions.

447. Which one of the following is not a characteristic of dentinal


hypersensitivity:
a. It is one of the most successfully treated chronic dental problems. ***
b. Its prevalence range from 8 to 30%.
c. The majority of the Pts who experience it are from 20 to 40 years of age.
d. One source of the irritation that leads to hypersensitivity is improper tooth
brushing.
:1‫مرجع‬
‫تزداد فرط الحساسية العاجية في العقدين الثالث والرابع – وفي أعناق القواطع والضواحك – ومع البرودة‬
.‫مقارنة بالتفريش أو السكاكر‬
.‫معظم الدراسات أشارت لنقص الحساسية عند تقليل نفوذية األقنية العاجية‬
Art and science of operative dentistry 2000 :2‫مرجع‬
Dentin hypersensitivity is a common clinical condition that is difficult to treat
because the treatment outcome is not consistently successful.
448. Hypersensitivity is due to:
A- Exposed dentine with opened dentinal tubules. ***
B- Obliterated dentinal tubule
449. The most common form of oral ulcerative disease is:
a. HSV.
b. Major aphthous ulcer. ‫القالعية الكبرى‬
c. Bahjet disease.
d. Minor aphthous ulcer. ***
450. The majority of primary herpetic infections are: ‫غالبية بدايات اإلصابات الحلئية‬
a. Symptomatic.
b. Asymptomatic. ***
c. Proceeded by fever.
d. Accompanied by gingival erythema. ‫حمامى‬
e. A, c and d.
451. The function of the anterior teeth is:
a. Disarticulate the posterior teeth. ‫انفكاك تشابك‬
b. Incise food. ***
c. Prevent attrition. ‫منع التآكل باالحتكاك‬
d. Prevent food impaction.

452. In geriatrle Pt, Cementum on the root end will: ‫الشيوخ‬


a. Become thinned and almost nonexistent.
b. Become thicker and irregular. ***
c. Render apex to locater useless.
d. Often not be seen on the radiograph.
e. Indicate pathosis.
453. Tobacco should be considered a risk factor when planning treatment
for Pt who require:
a. Implants.
b. Periodontal surgery.
c. Oral surgery.
d. Esthetic treatment.
e. All of the above. ***
454. Pulpal pain may NOT be referred from:
a. The right maxilla to the left maxilla. ***
b. The third molar to the ear.
c. A max molar to the sinus.
d. An incompletely fractured tooth.
e. A max cuspid to ear.
455. Spontaneous pulpal pain is indicative of:
a. Reversible pulpitis.
b. Irreversible pulpitis. ***
c. Neurotic pulp.
d. Hyperplastic pulp. ‫فرط تنسج‬
e. Atrophic pulp. ‫ضامر‬
456. Internal Resorption:
a. Painful.
b. Seldom differentiated external resorption.
c. Can occur in primary teeth. ***
.‫يحصل االمتصاص الداخلي في األسنان المؤقتة عند إجراء التغطية المباشرة‬

457. Primary teeth had trauma, tooth change in color become white
yellowish ,what should you tell the parents:
a. Pulp is dead
b. Inflammation of pulp.
c. Calcification of dentin.
d. B& c. ***
407‫ – ص‬36‫" ص‬Principles and Practice of Endodontics WALTON " :‫المرجع‬

.‫يحدث اصفرار السن بحصول رض يليه تراكم العاج الثانوي ونشاط التهابي ضمن اللب دون تموت‬

458. Teeth that are discolored as a result of internal resorption of the pulp
may turn:
a. Yellow.
b. Dark brown.
c. Pink. ***
d. Green.
Dental Decks - page 244

459. Treatment of internal resorption involves:


a. Complete extirpation of the pulp to arrest the resorption process. ***
b. Enlarging the canal apical to the resorbed area for better access.
c. Utilizing a silver cone and sealer to fill the irregularities in the resorbed area.
d. Filling the canal and defect with amalgam.
e. Sealing sodium hypochlorite in the canal to remove the inflammatory tissue
necrotic in the area of the resorption.

Clinical Endodontics textbook TRONSTAD – page 150

Irrigation with copious amounts of 5 % sodium hypochlorite may have some


effect, but the treatment of choice is to pack the canal and the resorption
lacuna with calcium hydroxide paste. By the next visit, the calcium hydroxide
will have necrotized any remaining tissue in the lacuna, and the necrotic
remnants are readily removed by irrigation with sodium hypochlorite.

460. Sensitivity to palpation and percussion indicates: ‫الجس والقرع‬


a. Reversible pulpitis.
b. Irreversible pulpitis.
c. Neurotic pulp.
d. Hyperplastic pulpitis.
e. Inflammation of the periradicular tissues. ***
461. Trauma lead to fracture in the root between middle cervical and apical
third:
a) poor prognosis
b) good prognosis ***
‫ أما كسر الثلث‬،‫في كسور الجذر أسوأ إنذار هو لكسر يحصل في الثلث المتوسط ويتبعه غالبا ً تموت باللب‬
‫ وفي كسر الثلث التاجي يزال الجزء التاجي ويتم تبزيغ الجذر تقويميا ً أو‬،ً‫الذروي فيترك ليشفى غالبا‬
.ً ‫كشفه جراحيا‬

:‫صيغة أولى للسؤال‬

462. Tooth with a fracture between the apical and the middle third, what's
your management 
a) RCT for the coronal part only.
‫‪b) RCT for both.‬‬
‫‪c) Splint the two parts together‬‬
‫حسب كتاب األطفال ص ‪:115‬‬
‫في كسور منتصف الجذر إذا لم يكن هناك اتصال بين منطقة الكسر والميزاب اللثوي يمكن إجراء‬
‫جبيرة لثالثة أشهر على األقل‪.‬‬
‫حسب أكسفورد ص ‪:126‬‬
‫كسر الثلث األوسط‪ :‬غالبا ً يكون السن متحركا ً فنحتاج لجبيرة ‪ 12-8‬أسبوع‪ ،‬إذا لم يتغير مكان القطعة‬
‫التاجية فإن فقدان الحيوية أمر مستبعد‪ ،‬وإال فيتم حشو القناة بماءات الكالسيوم‬
‫كسر الثلث الذروي‪ :‬غالبا ً ال نحتاج لعالج ومع ذلك فإنه يجب إبقاء السن تحت المراقبة الحتمال‬
‫تموت الثلثين التاجيين للب‪ .‬نحتاج فقط لتحضير القناة حتى خط الكسر ألن الثلث الذروي يحافظ عادة‬
‫على حيويته‪ .‬اإلنذار جيد‪.‬‬
‫حسب كتاب ‪ Text book of Pediatric Dentistry‬ص ‪:113‬‬
‫عند حدوث الكسر األفقي في منطقة اتصال‬
‫‪PAEDIATRIC DENTISTRY - 3rd Ed. (2005) – page 343‬‬
‫كسور الجذر العرضية غالبا ً في الثلث األوسط أو الذروي‪ ،‬والجزء التاجي إما أن يخرج أو ينزاح‬
‫ويجب تثبيته والتأكد من وضعه الصحيح شعاعيا ً‪.‬‬
‫التوضع المثالي يتم مع نسيج صلب‪ ،‬الجبيرة نصف المرنة تشجع الشفاء‪ .‬باستثناء كسر الجزء التاجي‬
‫الذي يحتاج لتثبيت طويل‪ ،‬يكفي التثبيت لمدة شهرغالباً‪ ،‬الجبيرة الوظيفية تستند على سن مجاور‬
‫واحد‪ .‬يجب أن تسمح الجبيرة بفحص لون السن وحيوية اللب وتأمين مدخل إليه في حال الحاجة إلى‬
‫معالجته‪.‬‬
‫الكسر على مستوى اللثة‪ ،‬يتم قلع الجزء التاجي ومعالجة اللب‪ 3 ،‬خيارات حسب قرب الجذر من‬
‫اللثة‪:‬‬
‫وتد وقلب‪.‬‬
‫تبزيغ الجذر‪.‬‬
‫الخياطة فوق الجذر لتهيئة السنخ لزرعة بالمستقبل‪.‬‬
‫السؤال األساسي‪ :‬هل هناك حركة؟ هل هناك تموت باللب في الجزء التاجي؟‬
‫الحركة إذا كان الكسر في منتصف الجذر‪ ،‬والتموت نراقب السن وننتظر‪.‬‬

‫‪463. Transverse fracture of developing teeth in the mixed dentition can be‬‬
‫الكسور العرْ ضية ‪managed by:‬‬
‫تبزيغ *** ‪a. Forced eruption.‬‬
‫‪b. Extraction and placement of a removable partial denture.‬‬
‫‪c. Placement of single tooth.‬‬
‫‪d. All of the above.‬‬
‫‪Root Fractures‬‬

‫‪The noncommunicating fracture occurs in the apical or middle third of the‬‬


‫‪root. Perform a vitality test, check for color change in the crown, and record‬‬
‫‪the degree of mobility of each traumatized tooth. If the pulp is vital, then‬‬
‫‪immobilize the tooth by splinting it to the adjacent teeth...................‬‬
.......If the fracture of any part of the root is coronal to the periodontal
attachment,The fractured part should be removed during the emergency visit,
and endodontic treatment should be done in one visit. Once the emergency
has been taken care of, plans must be made for restoring the tooth

.ً ‫ يجب قلع الجزء التاجي ومعالجة الذروية لبيا‬،‫الفقرة السابقة تعني كسر عرضي تحت الحافة اللثوية‬
Text book of Pediatric Dentistry
116 ‫ص‬
464. pt presented to u with trauma of the central incisor with open apex
tooth clinical examination revealed cut of blood supply to the tooth what
is the next step:
1-extraction
2-endo
3- observe over time. ***
465. child came to u with gray discolouration of the deciduous incisor also
on radiographic exam. There is dilation of follicle of the permenant
successor what will u do:
1-extract the decidous tooth.
2-start endo
3-observe over time. ***
466. pt came with class IV he had tooth trauma & he brought the fracture
segment & on examination u found that the pulp is not exposed & only u
can see dentine, how u manage:
- to get rid of the fragment & fill with composite.
- to reattach the fragment with composite and latter cover with veneer.
***
- others

467. adult 20 years male with soft tissue & dental trauma reveals severe
pain in soft tissues with loss of epithelial layers and anterior upper centrals
are intruded the diagnosis is:
a-abrasion with luxation
b-errosion with sub luxation
c- traumatic ulceration with luxation.
d-ulceration with subluxation
‫سؤال آخر مشابه‬
468. adult 20 years male with soft tissue & dental trauma reveals severe
pain in soft tissues with loss of epithelial layers and anterior upper centrals
are intruded the diagnosis is:
a-abrasion with luxation
b-errosion with sub luxation
c- Laceration with luxation..
d-laceration with subluxation
469. Apexification is procedure that:
a. Finds the most apical stop of the guttpercha in RCT.
b. Induce the formation of a mineral barrier in the apical region of
incompletely root. ***
c. Is new in the endodontic field.
d. Involves the surgical removal of the apical region of the root and
placement of a retrograde filling material:
470. The preferred material used in apexification is:
a. Zinc phosphate cement.
b. Zinc polycarboxylate cement.
c. Calcium hydroxide. ***
d. Dycal.
471. what is the time between the first onset of HIV virus and the
appearance of acute symptoms :
a)1-5 years.
b)9-11 years. ***
c- No specific time is known.
472. What is the estimated incubation period of HIV infection: ‫فترة الحضانة‬
‫التقريبية‬
a. 4 weeks.
b. 6 months.
c. 3 years.
d. 6 years.
e. 10 years. ***
http://en.wikipedia.org/wiki/Aids

In the absence of antiretroviral therapy, the median time of progression from


HIV infection to AIDS is nine to ten years, and the median survival time after
developing AIDS is only 9.2 months. However, the rate of clinical disease
progression varies widely between individuals, from two weeks up to
20 years.

473. Hydrogen peroxide is the ideal bleaching agent because:


a. It bleaches effectively at natural ph.
b. It bleaches faster than carbamide peroxide.
c. Protection for sensitive tissues can be incorporated into the
hydrogen gel. ‫يمكن ضمانها‬
d. All of the above. ***
474. The most common cause of the angina is: ‫الذبحة‬
a. Stress.
b. Renal disease.
c. Arteriosclerotic plaques of the coronary vessels. *** ‫انسداد الشريان‬
‫التاجي التصلبي‬
d. Hypoglycemia. ‫نقص السكر‬
e. Hypertension. ‫ارتفاع الضغط‬
475. Which of the following drugs is completely effective in eliminating
angina episode: ‫نوبة الذبحة‬
a. Propranolol. ‫وهو حاصر بيتا‬
b. Nifedipine. ‫وهو حاصر قنوات الكالسيوم‬
c. Diltiazem. ‫وهو موسع وعائي وخافض ضغط‬
d. Transdermal nitroglycerin. *** )‫موسع تاجي عبر الجلد (لصاقة على لجلد‬
e. None of the above.
476. CPR
(cardiopulmonary resuscitation)
a. Is best performed in the dental chair.
b. Should be performed on all patients experiencing chest pain.
c. Is more efficient when using a full mask, delivering 100% oxygen,
than with the mouth to mouth technique. ***
d. Is beyond the medico legal responsibility of the practicing dentist.
477. Which statement concerning sensitive teeth is false:
a. Small dentin exposure can result in sensitivity.
b. The extent of dental hard tissue loss always correlates with
sensitivity.
c. A wide variety of clinical condition can cause teeth to become
sensitive.
d. Oral hygiene habits and diet can contribute to clinical sensitivity
problems.
.‫ال يسبب ضياع نسج السن دوما ً الحساسية فهو يترافق أحيانا ً مع تشكل عاج ثانوي ومع التقدم بالعمر‬

478. Droplet nuclei containing mycobacterium tuberculosis: ‫نوى القطيرات‬


‫الحاوية على المتفطرة السلية‬
a. Do not cause infection.
b. Settle out of room air quickly. ‫تستعمر‬
c. Do not spread widely in the building.
d. Remain airborn for prolonged period. *** ‫تنتقل بالهواء لفترة طويلة‬
479. The most common activity associated with percutaneous injury of the
dentist is: ‫أكثر فعل يترافق بأذى جلد الطبيب‬
a. Suturing.
b. Anesthesia injection. ***
c. Handpiece dig. ‫الحفر بالقبضة‬
d. Trimming impressions. ‫تشذيب الطبعة‬
480. The most common location of percutaneous injury among dentist is:
a. Hand. ***
b. Face.
c. Elbow. ‫مرفق‬
d. Arm.
481. The normal response of a vital pulp to the thermal testing is:
a. No response.
b. Lingering painful response. ‫تدوم لفترة‬
c. Hypersensitive painful response.
d. Painful response that disappears soon after stimulus is removed.
*** ‫المسبب‬
482. The normal response of a inflamed pulp to the thermal testing is:
a. No response.
b. Lingering painful response. ‫متأخرة‬
c. Hypersensitive painful response.
d. Painful response that disappears soon after stimulus is removed.
http://www.hindawi.com/journals/ijd/2009/365785/
The three types of responses can be summarised as follows.
(i) The pulp is deemed normal when there is a response to the
stimulus provided by the sensibility test and this response is not
pronounced or exaggerated, and it does not linger. (ii) Pulpitis is
present when there is an exaggerated response that produces pain.
Pulpitis can be considered as reversible or irreversible, depending on
the severity of pain and whether the pain lingers or not. Typically mild
pain of short duration is considered to indicate reversible pulpitis while
severe pain that lingers indicates irreversible pulpitis [7, 8]. (iii) The
absence of responses to sensibility tests is usually associated with the
likelihood of pulp necrosis, the tooth is pulpless, or has had previous
root canal therapy
483. The normal response of a vital pulp to the electric pulp testing is:
a. No response.
b. Higher than that of the control teeth.
c. Lower than that of the control teeth.
d. In a range similar to that of the control teeth. *** ‫سن شاهد‬
484. Asymptomatic tooth has a necrotic pulp, a broken lamina dura, and
circumscribed radiolucency of long duration. The periradicular diagnosis:
‫شفافية محددة الحواف‬-‫صفيحة صلبة مفتتة‬
a. Acute apical periodontitis.
b. Chronic apical periodontitis. ***
c. Acute exacerbation of chronic apical periodontitis. ‫هجمة حادة لخراج‬
‫مزمن‬
d. Abscess.
485. A Pt with severe periradicular pain has a necrotic pulp, a broken lamina
dura, and circumscribed radiolucency of long duration. The periradicular
diagnosis:
a. Acute apical periodontitis.
b. Chronic apical periodontitis.
c. Acute exacerbation of chronic apical periodontitis. *** ‫هجمة حادة‬
‫لخراج مزمن‬
d. Abscess.
486. A Pt present in severe pain. The periapical area over the involved tooth
is inflamed and swollen. The tooth is mobile and depressible in its socket
with a diffused radiolucency. The diagnosis is:
a. Acute apical periodontitis.
b. Chronic apical periodontitis.
c. Acute exacerbation of chronic apical periodontitis.
d. Abscess. ***
487. Reduction of mandibular fracture is defined as: ‫رد الفك السفلي المكسور‬
a. Nonalignment and separation of the fracture segment. ‫عدم انحياز‬
‫وانفصال القطعة المكسورة‬
b. Realignment of fracture segments. *** ‫إعادة القطع المكسورة إلى مكانها‬
‫التشريحي الصحيح‬
c. Holding of the fracture segments in place. ‫مسك القطع المكسورة في مكانها‬
( fixation ( ‫هذه هي الخطوة الثانية‬
d. Screw and bone places. ‫التثبيت ببرغي‬
e. Internal fixation.
488. Wiring the upper and lower teeth together is called:
a. Internal fixation.
b. An open reduction.
c. Intermaxillary fixation. ***
d. Displacement.
e. External fixation.
http://nyp.org/health/intermaxillary-rigid-fixation.html

Fixation is an important step in treating fractures. It is also a crucial part of


orthognathic surgery, used to correct mandibular and maxillary
deformities. Orthognathic surgery on the mandible and maxilla generally
involves breaking the bones in a controlled way and then resetting them
into correct positions. After the bone is set (a process called "reduction") a
period of fixation ensures proper healing.
Oral and maxillofacial surgeons use two basic fixation techniques. One of
these, intermaxillary fixation, involves binding the jaw shut with wires or
elastic bands. The other, called rigid fixation, is a newer technique in
which tiny screws or plates are attached directly onto the fractured sections
of the jaw bone; it does not require physically binding the jaws shut.

489. The incidence of nerve damage after third molar surgery is estimated to
be:
a. 5% or less. ***
b. 10% to 15%.
c. 15% to 20%
d. 20% to 25%.
490. The least likely mechanism for the nerve damage is: ‫اآللية األقل احتماالً ألذية‬
‫العصب‬
a. Direct needle trauma. ‫الرض بوخز اإلبرة‬
b. Intraneural haematoma formation. ‫تشكل دموي داخل العصب‬
c. Local anesthetic toxicity. ***
d. Stretching and binding of the nerve. ‫شد وربط العصب‬
491. Which of the following is the cause of immediat type allergic reaction
to latex products:
a. Accelerator.
b. Antioxidants.
c. Latex protein. ***
d. Nickel.

492. Which of the following is the longest in the dental arch:


a. Maxiliary central incisor.
b. Maxiliary second premolar.
c. Mandibular canine.
d. Maxiliary canine. ***
493. Chlorhexidine is used as mouth wash in the concentration of:
a. 0.1-0.2% ***
b. 1-2% ‫في إرواء األقنية‬
c. 5-10%
d. 20%
494. Traumatically fractured crown of central incisor in an 8-years-old child
with pulp exposure (more than 1 mm) half hour ago, medical history is
non- contributory and the tooth is not displaced. What is your
management:
a. Endodontics-pulpectomy and obturation.
b. Direct pulpcap with caoh and composite.
c. Caoh pulpotomy. ***
d. Total extirpation of pulp and caoh.
495. The use of the rubber dam in endodontics is:
a. Frequently required. ً ‫الزم عموما‬
b. An established rule. *** ‫قانون معروف‬
c. Not required.
d. Time consuming. ‫مستهلك للوقت‬
e. Dictated by Pt comfort. ‫يملي براحة المريض‬
496. Dentine hypersensitivity is best relieved or controlled by:
a. Using efficient cooling system. ‫فعال‬
b. Blocking exposed tubules on the dentin surface. ***
c. Opening tubules to permit release of intrapulpal pressure.
d. Applying anti inflammatory agent to exposed dentin.

497. Which of the following is a benign epithelial neoplasm: ‫ورم ظهاري سليم‬
a. Rhabdomyoma. ‫الورم العضلي المخطط‬
b. Fibroma. ‫ورم ليفي‬
c. Lipoma. ‫ورم شحمي‬
d. Granular cell tumor. ‫ورم الخاليا الحبيبية‬
e. Keratoacanthoma. *** ‫ورم شائكي متقرن‬
Journal of Applied Oral Science And MCQs in Dentistry Cawson – page 79

And

http://famona.erbak.com/OTOHNS/Cummings/cumm072.pdf

A rhabdomyoma is a benign neoplasm of striated muscle.


Almost all lesions in the oral cavity that are called fibromas are not true
neoplasms
A lipoma is a benign neoplasm composed of fat cells.
A granular cell tumor, also called granular cell myoblastoma or Abrikosov's
tumor in
the past, is a benign lesion of the soft tissues whose origin and nature are not
fully
understood. For a long time the lesion was considered a benign neoplasm
related to muscles.
Currently a neurogenic origin seems to be more likely.
A keratoacanthoma, also called molluscum sebaceum, is a benign cutaneous
lesion that
is believed to arise from hair follicles Histologic examination of a
keratoacanthoma shows hyperplastic epithelium with carcinoma-like features

And

Journal of Applied Oral Science -


The keratoacanthoma: It is defined as a benign epithelial neoplasm, originated
from the superior portion of the sebaceous gland of the hair follicle
498. The function of the periodontal ligament include
a. Mechanical function
b. Formative function
c. Nutritive function
d. Sensory function
e. All of the above. ***
clinical periodontology 9th edition page 39

499. Ankylosis:
a. No PDL
b. Caused by trauma
c. Extracted surgically
d. All of the above. ***
500. The following are types of hamartoma EXCEPT: ‫ورم عابي‬
a. Cementoblastoma ***. ‫ورم مصورات المالط‬
b. Compound odontoma. ‫ورم سني مركب‬
c. Complex odontoma. ‫ورم سني معقد‬
‫وهو (الورم العابي) ورم سليم‬

501. A child came to the clinic with continuous involuntary movement of his
head and extremities and difficulty in vocal communication; The condition is
described as:
a. Epilepsy. ‫صرع‬
b. Cerebral palsy ***. ‫شلل دماغي‬
502. The movement of water across a selectively permeable membrane is
called:
a. Osmosis. *** ‫التناضح‬
b. Active transport. ‫النقل الفعال‬
c. Filtration. ‫االرتشاح‬
d. Diffusion. ‫االنتشار‬
Osmosis
Osmosis is the net movement of water across a selectively permeable
membrane driven by a difference in solute concentrations on the two sides of
the membrane.
503. Cell that can give more than one type:
a. Fibroblast. ‫مصورات الليف‬
b. Odontoblast
c. Mesenchymal cell. ***
Leiomyosarcoma Terms Leiomyoma through Neurofibromatoses
Mesenchymal cellِ: An undifferentiated cell found in mesenchyme and capable
of differentiating into various specialized connective tissues.
504. High rate of fractures at canine area in the mandible due to:
a. Change direction of forces occruing here
b. Long canine root ***
c. Lower border is thin in this area
d. Alveolus is thin in this area
Surgery: Basic Science and Clinical Evidence By Jeffrey A. Norton - Page 2013

The mental foramen, and the long roots of the canine teeth as well as
impacted 3rd molars create points of weakness that are particularly prone to
fracture.

505. Lesion similar to Endo Lesion:


a. Hyperparathyroidism
b. Initial stage of cemental dysplasia *** ‫درجة أولية من خلل تنسج المالط‬
c. Ossifying Fibroma
d. Dentigerous cyst. ‫كيسة سنية‬
e. Ameloblastoma.
f. Lateral periodontal cyst.
g. Myxoma & hemangioma. ‫ورم مخاطي ووعائي‬
506. Infection is more dangerous in children than adult because:
a. Marrow spaces are wide *** ‫النقي‬
b. Affect growth centre.
c. Hypo calcification in enamel.
507. The Common disease affecting the submandibular salivary gland is:
a. Salivary calculi ***
b. Pleomorphic adenomas. ‫متعدد األشكال‬
c. Viral sialoadenitis. ‫التهاب الغدة اللعابية الفيروسي‬
d. Infected sialoadenitis.
508. Which most common salivary gland neoplasm: ‫ورم‬
Pleomorphic adenoma. *** ‫ورم غدي متعدد األشكال‬

Oral pathology clinical pathologic correlation 3rd edition - Page 239


Pleomorphic adenoma is the most common tumor of the major and minor
salivary glands
.ً ‫ من مجمل األمراض التي تصيب الغدد اللعابية عموما‬%80 ‫وهو يصيب الغدة النكفية ويمثل‬

509. Ranula is associated with which salivary gland:


a-submandiuLar gland.
b-sublingual gland. ***
EAOM - OBSTRUCTIVE SALIVARY DISEASE [Notizia-89]
A ranula is a similar cyst arising in the floor of mouth from the sublingual gland
510. Ranula Can be treated by:
a. Excision. ‫ القطع‬- ‫االستئصال‬
b. Cauterization. ‫الكي‬
c. Incision. ‫البضع‬
d. Marsupialization. *** ‫التوخيف‬
Oral pathology clinical pathologic correlation,3rd edition, Page 222
"Marsupialization can be performed before a definitive excision"
And

Contemporary oral and maxillofacial surgery, peterson, 4th edition, Page 447

The usual treatment of ranula is marsupialization….


The preferred tx for recurrent or persistent ranula is excision of the ranula and
sublingual gland.
511. solitary bone cyst management
a. anti inflammatory and follow up
b. curettage and close. ***
c. marsupialization.
d.no active management
‫سؤال مشابه‬
512. solitary bone cyst management
a. anti inflammatory and follow up
b. curettage and close. ***
c. marsupialization and antibiotic.
d.no active management

513. For the ceramometal restorations, the type of finish line is:
a. Chamfer
b. Beveled shoulder ***
shillingburg 3rd ed - page 151

Beveled shoulder: According to the results of this study as the shoulder bevel
had better fit than shoulder and deep chamfer designs and also there was
significant difference between shoulder bevel and shoulder, so it is
recommended to use shoulder bevel finish line in the metal ceramic
restoration.

http://scialert.net/fulltext/?doi=jms.2008.665.668&org=11

514. Benefits of opaque porcelain layer:


a. Bonding the metal structure.
b. Initiating the color.
c. A & b. ***
Dental Decks - page 604

515. Radiographic examination in impacted teeth is useful to demonstrate:


a. Proximity of the roots to the adjacent anatomical structures.
b. Associated pathology.
c. All of the above. ***
The criteria for imaging impacted teeth include identifying the impactions
within the confines of the surrounding alveolar bone, then to determine their
location relative to adjacent teeth and vital structures in the dento-alveolar
complex and then finally to evaluate whether there is pathology

Use of Tomography For Evaluating Impacted Posterior Teeth


http://www.aadmrt.org/currents/abramovitch_spring03_print.htm
516. Epidemiology can be defined as: ‫الوبائيات‬
a. A study of special areas of the skin.
b. The study of the distribution and determinant of disease in man. ***
c. Study of biological animals.
d. Study of disease in research laboratory.

517. Most common Benign Tumer in oral cavity is:


a. Fibroma (Ameloblastic fibroma). ***

518. Which of the following spaces are bilaterally involved in Ludwig's


angina?
a. Submandibular + masticatory spaces
b. Sublingual+Lat.Pha.space
c. Submandibular+sublingual+submental. ***
Dental Decks - page 1554

And

Ludwig angina remains a potentially lethal disease, rapidly spreading bilateral


cellulitis of the submental, sublingual, and submandibular spaces.

519. When you do amalgam finishing.....


a. Immediately.
b. 24 hours later. ***
520. When polishing amalgam restoration .
a. Avoid heat generation by using wet polishing paste
b. Wait for 24 hours
c. A & b. ***
d. A only
e. B only
521. The roof of mandibular fossa consist of:
a. Thin compact bone. *** ‫كثيف‬
b. Spongy bone. ‫إسفنجي‬
c. Cancellous bone. ‫إسفنجي‬
522. Neoplasm that spread by Lymphatic from the angle of the mouth reach
the:
a. Preauricular Lymph nodes. ‫أمام صيوان األذن‬
b. Mental Lymph nodes.
c. Submandibular Lymph nodes. ***
d. Pterygoid plexus. ‫الضفيرة الجناحية‬
e. Jugulo-digastric nodes. ‫ذات البطنين‬-‫الوداجية‬
Cancer Medicine
A standard rule of thumb is that the lymphatic drainage for any particular
region is predicted by the arterial supply of that region. The lip, cheek, and
anterior gingiva drain to submandibular and submental lymph node groups. In
addition, the cheek and upper lip also drain to inferior parotid nodes.

523. A plastic anemia is caused by: ‫فقر الدم الال تنسجي‬


a. Tetracycline.
b. Penicillin.
c. Erythromycin.
d. Sulfonamide. *** ‫مثل السيبتريم‬
Aplastic Anemia

Roughly half of all aplastic anemias occur as a result of drugs (such antibiotics
as chloramphenicol, sulfonamides, phenylbutazone [Butazolidin], and such
anticonvulsant agents as mephenytoin)

Also: chloramphenicol, phenylbutazone [Butazolidin], and such anticonvulsant


agents as mephenytoin.

524. Odontogenic infection can cause least complication: ‫أقل االختالطات ألسباب‬
‫سنية‬
a. Pulmonary abscess. ‫خراج رئوي‬
b. Peritonitis. ‫التهاب الصفاق‬
c. Prosthetic valve infection. ‫إنتان صمام بديل‬
d. Cavernous sinus thrombosis. ‫خثرة الجيب الكهفي‬
Dental Secrets – page 260

What are the significant complications of untreated Odontogenic infection?

• Tooth loss • Spread to the cavernous sinus and brain • Spread to the neck
with large vein complications • Spread to potential fascial spaces with
compromise of the airway
• Septic shock
525. Cavernous sinus thrombosis not manifested as:
infra orbital syndrome.
Syncope due to atrial obliteration. ***
eye exophthalmos.
MCQs in Dentistry Cawson – page 131

Cavernous sinus thrombosis: may follow infection from the ptyrogid venous
plexus.
Dental Secrets – page 263
Cavernous sinus thrombosis:
Patients present with proptosis (eye exophthalmos), orbital swelling,
neurologic signs, and fever.
526. After u inject L.A for 2nd max molar pt become colorless with external
swelling its due to :
1/facial artery.
2/ plexus vein. ***
3/ Posterior alveolar Nerve.
Hand Book Local Anasthesia – page 168
Hematoma: This is commonly produced by inserting the needle too far
posteriorly into the pterygoid plexus of veins. Additionly, the maxillary artery
me be perforated.

527. Pass throw parotid gland: ‫عبر الغدة النكفية‬


a. Facial nerve. *** ‫العصب الوجهي‬
b. Facial arteries. ‫الشرايين الوجهية‬
c. External carotid veins. ‫األوردة السباتية الظاهرة‬
If needle is positioned too posteriorly, anaesthetic may be put into parotid
gland (dangerous systemic effects), or paralyse Cranial Nerve VII (7),
resulting in Bells Palsy-like symptoms. Also if the needle is placed too
medially the medial pterygoid muscle can be injected, resulting in trismus.
The sphenomandibular ligament is most often damaged in an inferior
alveolar nerve block
http://en.wikipedia.org/wiki/Inferior_alveolar_nerve_anaesthesi
a#Injection_techniques

528. Endomethasone is a root canal sealer that:


a. Dissolve in fluid so it weaken the root canal filling.
b. Very toxic contain formaldehyde.
c. Contain corticosteroids.
d. All the above. ***
529. Cause that master G.P not reach working length although it is the same
size of last file:
a. Dentin debris. ‫برادة عاجية‬
b. Ledge formation. ‫درجة‬
c. A & b. ***
d. None of the above
Endodontics Problem solving in clinical practice 2002 – page 135
Master Cone Will Not Fit to Length:
• Dentine chips packed into the apical extent of the root canal preparation will
lead to a decrease in working length, and consequently the master cone will
appear to be short. This can be avoided by using copious amounts of irrigant
during preparation.
• A ledge in the root canal wall can prevent correct placement of the cone. If
the cone hits an obstruction during placement then the end may appear
crinkled. It may be possible to remove or smooth a ledge by refining the
preparation with a greater taper instrument.

• If the canal is insufficiently tapered, the master cone may not fit correctly
because it is binding against the canal walls coronally or in the mid-third. The
completed root canal preparation should follow a gradual taper along its
entire length. Further preparation may be required with Gates-Glidden burs,
orifice shapers or a greater taper instrument.

530. Small access opening in upper centeral incisor lead to:


a. Complete removal of the pulp.
b. Incomplete removal of the pulp. ***
c. Conservative restoration.
531. In sickle cell anemia O2 decreased in oral mucosa: ‫فقر الدم المنجلي‬
a. True. ***
b. False
532. We distinguish between periapical and periodontal abscess:
a. X-ray examination
b. Clinical examination
c. Vitality of the pulp. ***
533. How can you prevent dental hyper sensitivity:
a. Restoration by adhesion. ***
b. Controlled by alcohol
c. Put sedative medication
534. A U- shaped radiopaque structure in the upper 1st molar x-ray is: ‫ظليل‬
a. The zygomatic process. ***
b. Maxillary sinus wall
"Dental Radiographic Diagnosis by Dr. Thunthy - page 44"
And
Dental Decks – page 150
535. Loss of sensation in the anterior 2/3 of the tongue is related to
paralysis of: ‫شلل‬
a. Lingual nerve. ***
b. Hypoglossal nerve. ‫تحت اللساني‬
c. Chorda tympani nerve. ‫حبل الطبل‬
Dental Decks
for tha ant. 2/3: lingual n. for the sensation & chorda tympani n. for the taste
for the post. 1/3: both taste & sensation by glossopharngeal n

‫ وعصب حبل الطبل‬،‫العصب اللساني (فرع مثلث التوائم) مسؤول عن اإلحساس في أول ثلثين من اللسان‬
‫ والعصب اللساني البلعومي مسؤول عن اإلحساس والتذوق‬،‫(فرع الوجهي) مسؤول عن التذوق فيهما‬
.‫ أما العصب تحت اللساني فمسؤول عن حركة اللسان‬،‫للثلث الخلفي‬

536. The choice of local anesthesia depend on:


a. Diameter of the nerve
b. Structure of the bone
c. Number of branches
d. Type of L.A agent chemistry. ***
.‫اختيار المادة المخدرة بحد ذاتها هو أمر يتعلق باستعداد المريض لها‬

537. Choice of local anesthesia technique influenced by:


a) Chemical composition of anesthesia.
B) The location of the nerve.
C) Bone structure. ***
Dental decks - page 1904

The bone of the maxilla is more porous than that of the mandible,therefore it
can be infiltrated anywhere.

538. Mandibular foramen in young children is:


a. At level of occlusal plane.
b. Above the level of occlusal plane.
c. Anterior the level of occlusal plane.
d. Below the level of occlusal plane. ***

PAEDIATRIC DENTISTRY - 3rd Ed. (2005) – page 98


In children, the mandibular foramen is low in relation to the occlusal plane
539. When you give inferior dental block for pedo Pt the angulations for the
needle
a. 7 mm below the occlusal plane.
b. 5 mm below the occlusal plane.
c. 7 mm above the occlusal plane.
d. At the occlusal plane. ***
pedo PAEDIATRIC DENTISTRY - 3rd Ed. (2005) – page 98
Inferior alveolar and lingual nerve blocks:
The height of insertion is about 5 mm above the mandibular occlusal plane,
although in young children entry at the height of the occlusal plane should
also be successful.
And
Restorative Techniques in Pediatric Dentistry – page 25

The needle enters the tissues at a point midway between the external oblique
ridge and the pterygomandibular raphe at the level of the occlusal plane.

And

Pediatric dentistry infancy through adolescence, pinkham, 3rd edition, page


416

Needle must be inserted at the level of occlusal plane


And

McDnald 7th ed – page 285

The mandibular foramen is situated at a level lower than the occlusal plane of
the primary teeth, therefore the injection must be made slightly lower and
more posteriorly than for an adult patient.

‫سؤال مشابه‬
540. When you want to give inferior alveolar block for a child you have to
take attention that the mandibular foramine is:
a. At level of occlusal plane.
b.Above the level of occlusal plane.
c. Anterior the level of occlusal plane.
d. Below the level of occlusal plane***.

‫يرجى االنتباه للفرق بين األسئلة السابقة حيث أن فتحة القناة عند األطفال تكون تحت مستوى اإلطباق و‬
)‫لكن لتخديرها فإننا ندخل اإلبرة بمستوى اإلطباق (عبيدة‬

The mandibular foramen was located 4.12 mm below the occlusal plane at the
age of 3. It subsequently moved upward with age. By the age of 9, it had
reached approximately the same level as the occlusal plane. The foramen
continued to move upward to 4.16 mm above the occlusal plane in the adult
group. The height percentage averages ranged from the lower 1/3 of the
ramus height in the 3 year-old group to the middle of the ramus height in
adults. The depth percentage averages ranged from 67.8% in 3 year-old
children to 61.7% in adults. For greater accuracy in anesthetic procedures,
dentists should relate the locational changes in the mandibular foramen with
.age when performing block anesthesia for the inferior alveolar nerve

http://forums.studentdoctor.net/showthread.php?t=550408
mandibular foramen is below the occlusal plane in children but in adults it is
above the occlusal plane and post to molars

541. The cell primary site of ATP production is:


a. Mitochondria. *** ‫متقدرات‬
b. Lysosomes. ‫جسيمات حالة‬
c. Nucleus. ‫النوى‬
d. Nucleolus. ‫النويات‬
e. Vacuoles. ‫فجوات‬
542. The organelle most closely associated with the manufacture of proteins
within the cell: ‫العضيات‬
a. Ribosome. *** ‫ريباس‬
b. Lysosome.
c. Nucleolus.
d. Cell wall.
e. Cell membrane.
543. The packing and sorting of protein is the function of:
a. Endoplasmic reticulum. ‫الشبكة الهيولية‬
b. Golgi apparatus ***
c. Mitochondria
d. Nucleus
544. The process of attraction of neutrophils to a site of Local tissue injury is
called:
a. Phagocytosis. ‫بلعمة‬
b. Diapedesis. ‫انسالل‬
c. Chemotaxis. *** ‫انجذاب كيميائي‬
d. Epistaxis. ‫رعاف‬

545. Action of Histamine:


a. Vasodilatation. ‫توسع األوعية‬
b. Permeability. ‫نفوذية‬
c. Chemokinesis. ‫تحفيز كيميائي‬
d. Broncho. )‫قصبي (خيار ناقص‬
e. ALL OF THE ABOVE
546. Cholesterol crystals are found in:
a. Keratocyst. *** ‫كيسة متقرنة‬
b. Periodontal cyst
MASTER DENTISTRY- Oral and Maxillofacial, Surgery, Radilolgy, Pathology and
Oral Medicine

radicular cysts contain brown shimmering fluid because of the presence of the
cholesterol crystals, whereas odontogenic keratocysts contain pale greasy
fluid, which may include keratotic squames.
http://ses.library.usyd.edu.au/bitst...z%20Iqubal.pdf
Cholesterol crystals are found in many odontogenic cysts including Radicular
cysts, dentigerous cysts, and odontogenic keratocysts.

And
Probable keratocyst in a mandible from the late Roman era -- Chimenos-K

The cyst wall shows nicks produced by cholesterol crystals, inflammatory cells,
calcifications and satellite microcysts.

Apical ‫ وإذا وجد خيار‬،‫األكيد أن الكولستيرول يوجد في األكياس ذات المنشأ السني وليس الرباطي‬
‫ فيكون هو‬،‫ أي كيس ناتج عن إنتان اللب أو كيس جذري‬periodontal cyst or Radicular cyst
‫ صحيح هي كيسة من منشأ سني ولكنها كيسة‬Odontogenic keratocyst ‫ ألن‬،‫الخيار االمفضل‬
.‫تطورية وليست ناتجة عن إنتان اللب‬

547. The process of cell engulfing particle is called: ‫عملية ابتالع الخاليا للجزيئات‬
a. Endocytosis. ‫التقام‬
b. Exocytosis. ‫قذف‬
c. Phagocytosis. *** ‫بلعمة‬
d. Pinocytosis. ‫احتساء‬

Phagocytosis (from Ancient Greekφαγεῖν (phagein) , meaning "to


devour", κύτος, (kytos) , meaning " cell", and -osis, meaning
"process") is the cellular process of engulfing solid particles by the cell
membrane to form an internal phagosome by phagocytes and protists.
Phagocytosis is a specific form of endocytosis involving the vesicular
internalization of solids such as bacteria, and is, therefore, distinct
from other forms of endocytosis such as the vesicular internalization
of various liquids. Phagocytosis is involved in the acquisition of
nutrients for some cells, and, in the immune system, it is a major
mechanism used to remove pathogens and cell debris. Bacteria, dead
tissue cells, and small mineral particles are all examples of objects
that may be phagocytosed.
http://en.wikipedia.org/wiki/Phagocytosis

548. The Most common odontogenic cysts in the jaws are:


a. Radicular cyst. *** ‫جذري‬
b. Keratocyst.
549. Most commonly dentigerous cysts are associated with:
a. Unerupted permanent maxillary canines
b. Unerupted mandibular third molars. ***
Spontaneous regression of bilateral dentigerous cysts associated with
impacted mandibular third molars : Article : British Dental Journal
It is most prevalent in the third molar region and is therefore a common cause
of a radiolucency associated with the crown of an impacted third molar
Bilateral Dentigerous Cysts - Report of an Unusual Case and Review of the
Literature
although it may involve any tooth, the mandibular third molars are the most
commonly affected.
550. Histopathologically, dentigerous cyst Lining epithelium may be: ‫الكيسة‬
‫السنية المبطنة بظهارة‬
a. Cuboidal in type. ‫مكعبي الشكل‬
b. Stratified squamous in type. *** ‫حرشفي مطبّق‬
c. Reduced enamel epithelium. ‫ظهارة مينائية ضامرة‬
d. All of the above.
Oral pathology clinical pathologic correlation,3rd edition, Page ‫ ويكيبيديا و‬:‫المرجع‬
294

551. Thyroglossal duct cysts: ‫القناة الدرقية اللسانية‬


a. Are only found in the posterior tongue.
b. Clinically present in the Lateral neck tissue.
c. May be found anywhere along the pathway of the embryonic thyroglossal
duct. ***
d. Are sometimes called Lympho-epithelial cysts.
Oral pathology clinical pathologic correlation,3rd edition, Page 316

Most cyst occur in the midline ,with 60% over the thyroid membrane and only
2% within the tongue it self.
Residual epithelial elements that do not completely atrophy may give rise to
cysts in later life.

552. Unilateral swelling + slowly progressing Lesion on the Left side of the
mandible. This could be:
a. Osteoma. ‫ورم عظمي‬
b. Cementoblastoma.
c. Ossifying Fibroma. ***
d. Osteo-sarcom.
Oral pathology clinical pathologic correlation,3rd edition, Page 357
The ossifying fibroma is a slow growing ,expansile lesion that is usually
asymptomatic
553. Toothgerm of primary teeth arise from:
a. Dental lamina. ***
b. Dental follicle.
c. Enamel organ.
d. Epithelial cell of malassez.
http://en.wikipedia.org/wiki/Dental_lamina

The dental lamina is a band of epithelial tissue seen in histologic sections of a


developing tooth. The dental lamina is first evidence of tooth development
and begins at the sixth week in utero or three weeks after the rupture of the
buccopharyngeal membrane.

554. Apical periodontal cyst arise from:


a. Hertwig sheath. ‫غمد هيرتفغ‬
b. Epithelial cell rest of malassez. ***
CLINICAL PATHOLOGICAL CORRELATIONS, 4TH EDITION, PAGE 241
Apical periodontal cyst= periapical cyst = radicular cyst: these inflammatory
cysts derive their epithelial lining from the proliferation of small odontogenic
epithelial residues (rests of Malassez) within the PDL.
‫األكياس الذروية والجذرية الجانبية تحصل على بطانتها الظهارية من تكاثر بقايا ظهارة سنية المنشأ‬
.malassaz
.‫أما األكياس حول السنية فمن غمد هرتفغ‬

555. Formation of periodontal cyst due to:


a. Nasolacrimal cyst. ‫أنفي دمعي‬
b. Hertiwigs.
c. Epithelial rest of malassaz. ***
d. Peals of serres.
Oral Pathology - 4th Ed. (2005) J. V. Soames Professor of Oral Pathology
University of Newcastle upon Tyne UK
And

J. C. Southam Emeritus Professor of Oral Medicine and Oral Pathology


University of Edinburgh UK

http://obm.quintessenz.de/index.php?doc=html&abstractID=9558
http://en.wikipedia.org/wiki/Epithelial_cell_rests_of_Malassez
In dentistry, the epithelial cell rests of Malassez or epithelial rests of
Malassez (frequently abbreviated as ERM) are part of the periodontal
ligament cells around a tooth. They are discrete clusters of residual cells
from Hertwig's epithelial root sheath (HERS) that didn't completely disappear.
It is considered that these cell rests proliferate to form epithelial lining of
various odontogenic cysts such as radicular cyst under the influence of various
stimuli. They are named after Louis-Charles Malassez (1842–1909) who
described them. Some rests become calcified in the periodontal ligament
(cementicles)

‫ وهي التي‬،‫بقايا مالسية جزء من الرباط حول السني وهي تتمايز عن ما تبقى من خاليا من غمد هرتفغ‬
‫ وبعض البقايا تتكلس في الرباط‬،‫تتكاثر لتشكل البشرة المبطنة لألكياس سنية المنشأ كالكيس الجذري‬
.‫فتكون الخاليا المالطية‬

556. Which is the most Likely cause of periodontal cyst?


a. Cell Rest of Malassez. ***
b. Cell rest of serss.
c. Cell of Hertwig sheath.
Dental secrets – page 66

-- What is the difference between a lateral radicular cyst and a lateral


periodontal cyst?
A lateral radicular cyst is an inflammatory cyst in which the epithelium is
derived from rests of Malassez (like a periapical or apical radicular cyst). It is in
a lateral rather than an apical location because the inflammatory stimulus is
emanating from a lateral canal. The associated tooth is always nonvital. The
lateral periondontal cyst is a developmental cyst in which the epithelium
probably is derived from rests of dental lamina. It is usually located between
the mandibular premolars, which are vital.
‫وجدت هذه المعلومة فيما يخص األسئلة السابقة و لكن ال أدري مدى صحتها‬

apical >>>> malasseze


lateral >>>> serris
peridontal >>>> hertwing

557. Primary malignant melanoma of the oral mucosa: ‫القيتاميني الخبيث‬


a. Always originates within the surface epithelium.
b. Mostly originates within the surface epithelium. ***
c. Always originates from nevus cells in the connective tissue.
d. Always originates from Langerhans cells within epithelium.

558. Histopathologically adenoid cystic carcinoma in characterized by islands


of:
a. Basophilic islands of tumor cells that are intermingled with areas of
pseudocartilage. ‫جزر قاعدية التلون من الخاليا الورمية المتداخلة مع غضاريف كاذبة‬
b. Basophilic islands of tumor cells having a "Swiss cheese" appearance. ***
c. Basophilic islands of tumor cells having a "Swiss cheese" appearance and
evidence of serous acini. ‫عنيبات مصلية‬
d. Basophilic islands of tumor cells that contain mucin and normal acini. ‫مخاطية‬
‫المحتوى‬
559. The risk of malignant change being present in epithelium is greatest in:
a. Homogenous Leukoplakia
b. Erythroplakia. ***
c. Chronic hyperplasic candidiasis
d. Speckled Leukoplakia
Erythroplakia should be viewed as a more serious lesion because of a
significantly higher percentage of malignancies associated with it

560. The term acanthosis refers to:


a. A decreased production of keratin.
b. An increased production of keratin.
c. An increased thickness of the prickle cell zone (stratum spinosum). ***
d. None of the above.
WordNet Search - 3.0
Acanthosis: Thickening of the epidermis and elongation of the rete ridges due
to thickening of the spinous layer.
May be associated with enlargement of rete pegs.
an abnormal but benign thickening of the prickle-cell layer of the skin (as in
psoriasis)

561. The most common malignant tumors of the minor salivary glands are:
a. Adenoid cystic carcinoma and adenocarcinoma
b. Adenoid cystic carcinoma and acinic cell carcinoma
c. Mucoepidermoid carcinoma and adenoid cystic carcinoma. ***
d. Mucoepidermoid carcinoma and polymorphous Low grade adenocarcinoma
Arch Otolaryngol Head Neck Surg -- Malignant Minor Salivary Gland Tumors of
the Larynx, July 2006, Ganly et al. 132 (7): 767
The most common malignant minor salivary gland tumors are adenoid cystic
and mucoepidermoid carcinomas.
562. Mandibular branch of trigeminal nerve leaves the skull through:
a. Foramen rotundum. )‫الثقبة المدورة (للعظم الوتدي‬
b. Foramen ovale. *** )‫الثقبة البيضاوية (للعظم الوتدي‬
c. Superior orbital fissure.
d. Inferior orbital fissure.
e. Jugular foramen. ‫وداجية‬
563. Foramen oval is in the following bone: ‫النافذة البيضية‬
a. Temporal.
b. Occipital.
c. Sphenoid. ***
564. The inferior alveolar nerve is branch of:
1. Mandibular nerve – not divided***
2. Posterior mandibular alveolar nerve.
3. Anterior mandibular alveolar nerve.
‫اة الفكية‬g‫بر القن‬g‫ير ع‬g‫فلي ويس‬g‫دخل ثقبة الفك الس‬g‫فلي وهو ي‬g‫العصب السنخي السفلي هو فرع من الفكي الس‬
)‫معصبا ً األرحاء ثم يخرج من الثقبة الذقنية لينقسم إلى القاطعي (للقواطع) والذقني (للشفة‬

565. The following structures open into the middle meatus: ‫الصماخ‬
a. Nasolacrimal duct. ‫القناة األنفية الدمعية تنفتح على الصماخ السفلي‬
b. Posterior ethmoidal sinus. ‫الجيب الغربالي الخلفي ينفتح على الصماخ العلوي‬
c. Maxillary sinus.‫الجيب الفكي العلوي ينفتح على الصماخ األوسط‬
d. Sphenoid sinus. ‫الجيب الوتدي‬
e. Anterior ethmoidal sinus. ‫الجيب الغربالي األمامي ينفتح على الصماخ األوسط‬
f. A, b & d.
g. A & b.
h. C & e. ***
i. All of the above
.‫ القناة األنفية الدمعية‬:‫ينفتح على الصماخ السفلي‬
.‫ الجيب الغربالي األمامي واألوسط‬:‫ينفتح على الصماخ األوسط‬
.‫ الجيب الغربالي الخلفي‬:‫ينفتح على الصماخ العلوي‬
.‫ الجيب الوتدي‬:‫ينفتح على الجوف الوتدي الغربالي‬

566. Ligaments associated with TMJ:


a. Tempromandibular. ‫فكي سفلي صدغي‬
b. Sphenomandibular. ‫فكي سفلي وتدي‬
c. Stylomandibular. ‫فكي سفلي إبري‬
d. All of the above. ***
Ref *:
The lateral temporamandibular ligament: limits the movement of the
mandible in a posterior direction.
The sphenomandibular ligament lies on the medial side of the joint.
The stylomandibular ligament lies behind and medial to the joint.
،)‫الرباط الفكي السفلي الصدغي يحدد حركات الفك الخلفية وله قسمان (الخارجي المائل والداخلي األفقي‬
.‫الوتدي يتوضع وسط المفصل واإلبري من خلف المفصل إلى زاوية الفك‬
567. Location to give inferior alveolar nerve block the landmarks are:
1/ pterygomandibular raphe
2/ cronoid notch
3/ all of the above. ***
568. The optic foramen canal is a part of:
A)Frontal bone
B)Sphenoid bone. ***
C)Esthmoid bone
569. Optic nerve coming from which bone:
- sphenoid bone
- zygomatic
- palatal
)‫حسب كالم طبيب عيون (عبيدة‬
570. The following cavity bases are moisture sensitive:
a. Polycarboxylate
b. Zinc phosphate
c. GI cem. ***
d. ZOE
e. A, c.
‫ فوسفات الزنك يتقلص أكثر إذا كان بتماس مع الهواء مما لو المس‬Dental Decks - page 2060
.‫الماء‬

.‫ مساوىء بولي كاربوكسيالت الزنك السماكة وزمن العمل القصير‬2068 ‫ص‬

Restorative dental materials 2002 – page 615

Glass ionomer cements are very sensitive to contact with water during setting.
The field must be isolated completely. Once the cement has achieved its initial
set (about 7 minutes), coat the cement margins with the coating agent
supplied with the cement.

571. Which of the following types of base materials can be placed in contact
with polymethyl methaacrylate & not inhibit the polymerization of the resin:
a. ZOE
b. GI cement
c. Zn phosphate cement
d. Varnish
e. B, c. ***
Dental Decks - page 2076 - 2102

572. Cement which contains fluoride:


a. GI. ***
b. ZOE.
c. Reinforced ZOE.
d. Polycarboxylate cement.
573. Marginal deterioration of amalgam restoration should be due to:
a. No enough bulk of dentine. ‫كمية عاج قليلة‬
b. Corrosion. ‫تآكل‬
c. Over carving. ‫نحت زائد‬
d. Improper manipulation of amalgam. ‫تعامل غير مناسب‬
e. A and b.
f. C and d.
g. All the above. ***
h. B, c and d.
Art and science of operative dentistry 2000 – page 157
Amalgams that are corroded or have inadequate bulk to distribute stresses
may fracture. At margins, where amalgams are thinner, extrusion may
have occurred, and corrosion may have compromised the integrity of the
amalgam, fracture is even more likely.
‫ ْ (ما يسمح بكتلة كافية) ومع التبطين‬90 ‫يقل التخرب مع زيادة النحاس وصغر الحفرة وكون الزوايا‬
‫بالفرنيش والعزل الفعال والنحت المتمادي الذي ال يترك زيادات قابلة للكسر والتكثيف الكافي إلزالة‬
.‫الزئبق‬
‫لم تظهر عالقة بين نوعية المزج (آلي أو يدوي) أو كون اإلنهاء في نفس اليوم أو اليوم التالي مقارنة‬
.‫بجودة النوعية التجارية‬

These objectives help to conserve the dentinal support and strength of the
tooth, and they aid in establishing an enamel cavosurface angle as close as
possible to 90 degrees . They also help to minimize marginal deterioration of
the restoration by locating the margins away from enamel eminencies where
occlusal forces may be concentrated.

574. A restoration of anterior teeth with RCT, abraded incisal edge & small
M&D caries is by:
a. Ceramometal crown. ***
b. Composite laminated.
c. Veneer.
d. None of the above.
575. The powder for GI cement contain:
a. Sio2, Al2o3, caf. ***
b. Sio2,zno, barium sulphate
c. None of the above.
GIC Powder: Silica 41.9% - Alumina 28.6% - Calcium Fluoride 15.7% - Sodium
Fluoride 9.3% - Aluminium Phosphate 3.8% - Aluminium Fluoride 1.6%

576. The body secret antibody against antigen using which cells:
a. T lymphocyte
b. B lymphocyte
577. In diabetic patient, periodontium affected by which cells:
a. Neutrophil. ‫ وهي تدعى‬pmns
b. Macrophages
578. When take an x-ray to pregnant lady, we use all of this method EXCEPT:
a. Digital x-ray.
b. High sensitive film.
c. Paralleling tech (Long cone) 16 inch.
d. Bisecting algle (short cone) 8 inch. ***
e. Lead apron with thyroid collar.
Dental decks – page 4
the 8 inch technique exposes more tissue by producing divergent beam.

،‫القمع القصير يعرض المريضة ألشعة أكثر أما األشعة في تقنية القمع البعيد فتتناثر خارج جسم المريضة‬
‫وإذا قال قائل إن طريقة القمع الطويل تحتاج زمن أطول للتعريض لألشعة لزيادة وضوح الصورة يكون‬
‫ وبالمقابل ومن أجل مراعاة وضع الحامل ليس من‬،‫ خطر قرب القمع ال يمكن تالفيه‬:‫الجواب ببساطة‬
‫الضروري إطالة زمن التشعيع‬
Dental Decks - page 48
The intensity of the radiation is inversely proportional to the square of the
distance.
.‫كمية األشعة تتناسب عكسا ً مع مربع المسافة بين قمع األشعة‬

579. When take x-ray we should stand:


a. 6 feet away in 90-135 angle.
580. Proximal caries should be opened when:
a. Confined within enamel….
b. Pass DE junction.
c. Dentin laterally
d. All of the above. ***
"Sturdevant's Art & Science of Operative Dentistry "
‫تزداد سرعة النخر عند وصوله للملتقى المينائي العاجي‬
581. In a study, it should? ‫في األبحاث‬
a. Protect you against role of the statistician
b. Protect you against legal risks
c. Protect against physical risks.
582. Cause of angular cheilitis:
a. Loss vertical dimension Pt have complete denture. ***
b. Autoimmune factors.
"Dental secrets"

‫يحدث التهاب الشفة الصواري عند نقص البعد العمودي اإلطباقي وعند تنضيد األسنان الخلفية العلوية‬
.‫للدهليزي وعند رفع األسنان السفلية فتمنع الخدود من إزالة اللعاب فيتجمع في زوايا الفم ويسيل‬

"Atlas Of Oral Medicine "

‫كما يحدث عند اإلصابة بالمبيضات البيض والعقديات والعنقوديات ونقص الحديد والفيتامينات وداء‬
.‫كرون واإليدز واألمراض المناعية‬
"‫كتاب "أمراض الفم‬
‫ ويحدث عند األطفال (عادة‬،‫كما يحدث عند المسنين فاقدي األسنان أو البعد العمودي لألسنان الطبيعية‬
)‫ترطيب الشفة‬
583. Ugly duckling stage: ‫مرحلة البطة البشعة‬
a. 9-11 years old.
b. 13-15 years old.
c. 7-9 years old.
.‫يستمر تباعد الرباعيات حتى تبزغ األنياب‬

584. Eruption of primary dentition starts from:


1. 6-7 months.***
2. 1 year.
3. 9 months.
585. Component of Gutta percha:
a. 50% Gp & 50% ZOE
b. 20% Gp & 70% ZOE. ***
Endodontics + Elsevier: Article Locator :‫المرجع‬
:‫تتألف أقماع الكوتا بركا من التالي‬
inorganic )Gutta percha & barium sulfate( 75%
23%organic (gutta percha)
transpolyisoprene ‫البقية‬
586. All are irrigation for canals EXCEPT:
a. Saline.
b. Hydrogen beroxide.
c. Naocl
d. RC prep. ***
EDTA ‫مادة خالبة مثل‬

587. Most common bacteria causing caries:


Streptococcal mutans. ***

588. Proximal caries confined to enamel:


a. Prevention.
b. Observation
c. Restore with GI. ***
589. In community diagnosis and treatment program:
a. Water flouridation
b. Diagnose, prevent, treat. ***
590. Porcelain shrinkage after firing: ‫التقلص بعد اإلحماء للخزف‬
a. 1-5%
b. 5-10%
c. 10-20% ‫األصح‬
At a firing temperature of 1400° C, they shrink by 16 percent
%40 ‫ حتى‬30 ‫ من‬783‫وفي أكسفورد ص‬
591. The cement under MOD amalgam have this character:
a. High modulus of elasticity(stiff)*** ‫معامل مرونة عالي‬
b. Low modulus of elasticity ( stiffness) ‫منخفض‬
c. The high modulus of elasticity prevent of bonding and decrease tensile
strength. ‫عامل المرونة العالي تمنع االلتصاق وينقص جهود الشد‬
d. Both a &c
753‫أكسفورد ص‬
Flexibility ‫ ومقاومتها للثني واللي‬Stiffness ‫زيادة عامل المرونة تدل على زيادة صالبة المادة‬
"Sturdevant's Art & Science of Operative Dentistry" Page 479
592. Examination of Pt health by the dentist:
a. To know the patients health.
b. To know what medications to give.
c. To know general health data.
d. All of the above. ***
593. 2 statement true or false:
1. RCT abutment of FPD has higher risk for fracture.
2. Abutment which has RCT in cantilever FPD have higher susceptibility to
fracture. ‫الدعامة المعالجة لبيا ً في جسر مجنح‬
a. 1st is true,2nd is false
b. 1st is false,2nd is true. ***
c. Both are false
d. Both are true.
594. Both glass ionomer & polycarpoxylate cement contain:
a. Polyacrylic acid. ***
b. ZOE powder.
595. Most common cyst oral cavity:
a. Radicular cyst. ‫كيسة جذرية‬
b. Peridontal cyst. ‫كيسة حول سنية‬
‫الكيسة الجذرية الجانبية مصدرها قناة ثانوية لسن متموت وهي كيسة التهابية ظهارتها مشتقة من بقايا‬
)‫ (التهاب سني‬.‫مالسية كالكيسة الذروية وحول الذروية‬

‫ (التهاب‬.‫الكيسة حول السنية الجانبية ظهارتها من بقايا الصفيحة السنية وغالبا ً بين األرحاء السفلية الحية‬
)‫لثوي‬

http: //www.lsusd.lsuhsc.edu/faculty/...the%20Jaws.pdf :2‫مرجع‬

596. Factors delay healing of wound: ‫العوامل المؤخرة لشفاء الجروح‬


a. Infection. ‫اإلنتان‬
b. Torn wound edges. ‫الحواف المتشققة‬
c. Strain. ‫اإلجهاد‬
d. All of the above. ***
597. Factor interfere with healing:
a. Poor suturing
b. Infection. ***
Dental Decks - page 1792
Healing occur more rapidly with a lower risk of infection.
598. Dry socket happen after: ‫التهاب السنخ الجاف‬
a. 24 h
b. 3-5days. ***
c. 1week
d. 2weeks
Pigmentum ‫ (مركب من صبغة اليودوفورم‬Whitehead Varnish ‫يعالج بورنيش الوايت هيد‬
.‫ أو ضماد ألفوجيل‬،‫) الموضوع على شاشة أو قطنة ألسبوعين‬B.P.C( )Iodoform Compositum

599. Compared to herpetic ulcers...aphthous ulcers are:


a. Small size.
b. In mucosa lining. ***
c. Leave scars.
‫ أما‬، ً‫ والنوعان ال يتركان أثرا‬،‫للمقارنة بين القرحة الحلئية والقالعية فإن كبر القرحة ليس معيار للتفريق‬
.‫القالعية فهي في النسج المخاطية ال المتقرنة‬

600. Avulsion more important factor that affect reimplantation: ‫أهم عامل يحدد‬
‫إنذار إعادة الزرع‬
a. Contaminated roots. ‫تلوث الجذر‬
b. Time since the avulsion. ‫الوقت المنقضي‬
Dental secrets ‫المرجع‬

601. Nicotine stomatitis: ‫التهاب الفم النيكوتيني‬


a. Palate…….hyper??
b. Hyperplasia - ‫فرط تنسج‬
c. Prickle cell like shape prominent …base…*** ‫طبقة خاليا شائكة فوق سماكة من النسج‬
Dental decks 2004

602. Dentinogenesis imperfecta have all EXCEPT: ‫سوء تصنع العاج‬


a. Broken enamel.
b. Blue sclera.
c. Broken bone.
d. Supernumerary teeth. ***
Symptoms of Dentinogenesis imperfecta, type I
The list of signs and symptoms mentioned in various sources for
Dentinogenesis imperfecta, type I includes the 14 symptoms listed below:
• Bluish-gray teeth - Amber-colored teeth - Bulbous teeth crowns
• Absent tooth roots – canals - pulp chambers
• Too small tooth roots - canals - pulp chambers
• Enamel separation from the ivory (dentin)
• Misaligned teeth - Recurring dental abscess - Brittle bones - Blue sclera

603. Generalized gray discoloration in a 28 years old patient’s teeth, with


blue sclera and an enlarged pulp chambers and short roots, and multiple
fractures in Enamel… the diagnosis is :
A) Dentinogenesis Imperfecta. ***
B) Amelogenesis Imperfecta
.ً ‫ يكون اللب التاجي والجذري متكلسا ً جزئيا ً أو كليا‬Dental Decks - page 998 ‫حسب‬
‫ أنماط لسوء تصنع العاج الوراثي النمط الثالث منها يتميز بحجرة لب واسعة‬3 ‫وحسب ويكيبيديا هناك‬
.‫بعكس النوعين اآلخرين‬

http://en.wikipedia.org/wiki/Dentinogenesis_imperfecta
Type I and II show total obliteration of the pulp chamber.
Type III shows thin dentin and extremely enormous pulp chamber.These teeth
are usually known as Shell Teeth.
http://en.wikipedia.org/wiki/Dentin_dysplasia

Type 1: Roots are short, blunt and conical. In deciduous teeth, pulp chambers
and root canals are completely obliterated in permanent they may be
crescent shaped.

Type 2: The pulp chamber of the deciduous teeth become obliterated in


deciduous teeth. While in permanent teeth, large pulp chamber is seen in
coronal portion of the tooth - referred to as thistle tube appearance.Pulp
stones may be found.

604. 30 years old pt came to the clinic with brownish discoloration of all his
teeth (intrinsic discoloration) & yellowish in U/V light the most likely cause
is:
1/ flourosis
2/ tetracycline. ***
3/ amelogensis imperfecta
4/ dentogensis imperfectea

605. Most sign of fracture of mandible:


a. Nose bleeding.
b. Malocclusion. ***
c. Parasthesia.
‫يترافق كسر الفك السفلي مع سوء إطباق ونزف لساني وتحت لساني وضزز وخدر تحت الذقن في الجهة‬
.‫الموافقة‬

mcqs In Dentistry ‫المرجع‬

606. What supply the gingival buccal tissue of premolars, canines and
incisors: (‫)في الفك السفلي‬
a. Long buccal.
b. Inferior alveolar nerve. ***
c. Superior alveolar nerve.

 Inferior alveolar nerve: innervates the mandibular molars,


premolars, canines and incisors.
 Superior alveolar nerve: innervates the maxillary molars by
posterior superior alveolar nerve, innervates the maxillary
premolars by middle superior alveolar nerve and innervates the
maxillary canines and incisors by anterior superior alveolar nerve.
‫بالفك السفلي‪:‬‬
‫تعصيب اللثة دهليزيا ً من الثنية حتى الضاحك األول يكون من خالل العصب السنخي السفلي عبر فرعه‬
‫الذقني‪.‬‬
‫ً‬
‫وتعصيب اللثة دهليزيا من الضاحك الثاني حتى الرحى الثالثة يكون من خالل العصب الخدي الطويل‬
‫ويتم تعصيب اللب لجميع هذه األسنان بالعصب السنخي السفلي عبر قناة الفك السفلي ثم عبر فرعه‬
‫القاطعي‪.‬‬
‫بالفك العلوي‪:‬‬
‫تعصيب اللب واللثة دهليزيا ً‪ :‬للقواطع بالعصب الفكي العلوي األمامي‪ ،‬وللضواحك والجذر األنسي للرحى‬
‫األولى بالعلوي األوسط‪ ،‬ولبقية األرحاء بالعلوي الخلفي‪.‬‬
‫تعصيب المخاطية الحنكية للقواطع والضاحك األول بالعصب الحنكي األنفي والحنكي األمامي ومن‬
‫وحشي الناب إلى الرحى الثالثة بالعصب الحنكي الكبير‬
‫‪607. Drainage of tip of the tongue:‬‬
‫‪a. Submandibular lymph nodes-‬‬
‫‪b. Submental‬‬
‫‪Oral pathology Regezi 3rd edition - page 72‬‬

‫‪Metastases from the tongue cancer.....the 1st nodes to become involved are‬‬
‫‪the submandibular or jugulodigastric.‬‬

‫‪608. Cementum in cervical 2/3 have:‬‬


‫‪a.‬‬ ‫ليف ال خلوي داخلي ‪Acellular intrinsic fiber.‬‬
‫‪b.‬‬ ‫ليف ال خلوي خارجي *** ‪Acellular extrinsic fiber.‬‬
‫‪c.‬‬ ‫ليف خلوي مختلط ‪Cellular mixed fibers.‬‬
‫‪d.‬‬ ‫‪Intermediate cementum-‬‬
‫‪ Periodontology PAGE 15‬و ‪Dental Decks - page 836‬‬ ‫المرجع‬

‫‪609. Pins are insert into:‬‬


‫‪a.‬‬ ‫‪Enamel.‬‬
‫‪b.‬‬ ‫*** ‪Dentin.‬‬
‫‪c.‬‬ ‫‪Enamel and dentin (DEJ).‬‬
‫‪d.‬‬ ‫‪Any of the above .‬‬
‫المرجع‪Dental secrets :‬‬
‫ويجب أن يكون طوله ‪ 2‬ملم في العاج والحشوة ويبعد ‪ 1‬ملم عن الملتقى المينائي العاجي‬
‫?‪610. After etch enamel and bond it with 5th generation the strength of‬‬
‫‪a.‬‬ ‫‪5-10Mp.‬‬
‫‪b.‬‬ ‫‪25Mp.‬‬
‫‪c.‬‬ ‫‪30Mp.‬‬
‫‪d.‬‬ ‫‪100Mp.‬‬
‫والعاج حتى ‪35‬‬
‫‪611. Composite restoration that was matching in shade, after one week it‬‬
‫‪became much light... The reason could be:‬‬
‫‪a.‬‬ ‫‪………light started photoinitation.‬‬
b. Absorption water.
c. Shade selected after rubber dam. ***
612. Disadvantage of digital x-ray EXCEPT:
a. Large disk space Storage
b. Clarity and resolution. ***
c. Expensive
.‫من مميزات التصوير الرقمي إمكانية التحكم بالصورة‬

613. Treatment of fungal infections:


a. Penicillin
b. Tetracyclin
c. Nystatin. ***
Oral thrush (fungal infection in the mouth) ‫ و‬Dental Decks - page 2454 :‫المرجع‬

614. Properties of ideal endo obturation material are all EXCEPT:


a. Biocompatible.
b. Radiolucent. ***
615. Most difficult of extract:
a. Mand. 3rd molar with mesioangular fused roots
b. Mand 3rd molar with distoangular angulation with divergent curve roots ***
.‫األصعب للقلع هو الرحى الثالثة العلوية المتزوية لألنسي والسفلي المتزوية للوحشي‬

616. Pt have hyperventilation in clinic. Most cause:


a. Reduced of CO2
b. Increase CO2
c. Anxiety. ***
617. Very important part in endo treatment:
a. Complete debridement of the canal
618. Perio endo lesion the primary treatment:
a. Endo treatment. ***
b. Deep scaling and root planning.
Dental decks - page 216

619. Contraindication to extraction:


a. Cardiac pt.
b. Previous recent radio therapy. ***
Dental secrets ‫حسب‬
‫ اعتالل التخثر – أمراض القلب والسكري غير المضبوطة – أورام الدم – تناول‬:‫مضادات استطباب القلع‬
.‫ وغير مفضل بالحمل‬- ‫بعد األدوية – معالجة شعاعية – اإلنتانات الحادة والعامة‬
620. Base of the flap should be wide for: ‫قاعدة الشريحة‬
a. Healing
b. Better blood supply to the wound.
"flap design should ensure adequate blood supply; the base of the flap should
be larger than the apex"
Dental decks 1754

621. Supra calculus all true EXCEPT:


a. Hard and rough ***
b. Easy to detach
c. Has component of saliva
.‫القلح فوق اللثوي سهل اإلزالة ومكوناته من اللعاب‬

622. Thickness of luting cement: ??


a. 100 micrometer
b. 40micro meter
c. 1mm
"http:/tdc.thailis.or.th/tdc/browse.php?
Option=show&browse_type=title&titleid=160951&display=list_subject&q=Ad
hesives" http: //tdc.thailis.or.th/tdc/browse.php?
Option=show&browse_type=title&titleid=160951&display=list_subject&q=Ad
hesives

.‫ ميكرون ألن الفراغات وضعف اسمنت اإللصاق يتزايد مع زيادة سماكته‬40 ‫أقل سماكة ممكنة يعني‬

.‫ ملم‬2-1 ‫ وكدرجة‬، ‫ ميكرون‬25-15 ‫المفضل لإللصاق‬

.‫إسمنت فوسفات الزنك هو األفضل‬

.Cements for luting have desired film thickness of 15: 25 microns -


Cavity Liners(either solution or suspension liners) have a desired film -
thickness of 5 microns
Bases have a final application thickness of 1-2mm(they may be thicker -
depending on the amount of dentin that may be destroyed)
:Source
Dental Decks Part 2,2007-2008 page2072
The maximum allowable thickness is 25 µm (ADA specification No. 96) •
Dental Cements
The low 12-micron film thickness is ideally suited for luting applications

623. Formacresol used in:


a. Full concentration
b. 5th concentration
c. One fifth concentration. ***
624. Zinc phosphate cement:
a. Mechanical attachment ***
‫‪b. Chemical‬‬
‫‪625. Traditional Glass ionomer:‬‬
‫‪a. Mechanical bonding.‬‬
‫*** ‪b. Acid-base reaction‬‬
‫‪c. Mechanical chemical bonding.‬‬
‫في ‪ Dental Decks - page 2060‬فوسفات الزنك يرتبط إلى السن ميكانيكيا ً بعكس غالس أينومير‬
‫وبولي كربوكسيالت الزنك الذين يرتبطان كيميائيا ً‪.‬‬

‫‪626. Pontic design of an FPD:‬‬


‫‪a.‬‬ ‫‪Same size buccolingually of the missing tooth‬‬
‫‪b.‬‬ ‫*** ‪Smaller than missing buccolingually.‬‬
‫‪c.‬‬ ‫‪Wider buccolingually‬‬
‫‪d.‬‬ ‫اقتراح ‪None of the above‬‬
‫مبدئيا ً يجب أن تقل السطوح المعرضة لإلطباق ألن الدعم يعتمد على أسنان أقل‪.‬‬

‫‪627. False negative response of an electric pulp test given:‬‬


‫‪a. After trauma‬‬
‫‪b. Periodontal disease‬‬
‫‪c. In teenager.‬‬
‫تحصل االستجابة السلبية الكاذبة في الحاالت التالية‪ :‬نقص التماس مع المنبه (ترميمات معيقة) – تكلس‬
‫اللب أو زيادة العاج الثانوي– عدم اكتمال الذروة – التعصيب متأذي والتروية سليمة ‪ -‬الرضوض – وعند‬
‫المسنين المتراجعين بالوظائف العصبية وعند تناول المسكنات‪.‬‬

‫بينما تحصل االستجابة اإليجابية الكاذبة عند اختبار سن متالصقة مع أسنان أخرى أو ‪Attachment‬‬
‫‪ apparatus‬أو عند سن تملك أكثر من قناة أحدها حية أو بسبب اشتباه المريض بأن األلم لبي بينما هو‬
‫رباطي ألن التعصيب مشترك – القناة غير جافة – خوف المريض وقلقه‪.‬‬

‫‪628. Young with open apex examination test:‬‬


‫‪a. Reliable.‬‬
‫*** ‪b. Non reliable.‬‬
‫‪c. None of the above.‬‬
‫تحصل هنا استجابة سلبية كاذبة‬

‫‪629. Best media for the avulsed tooth:‬‬


‫ماء الحنفية ‪a. Tap water.‬‬
‫*** ‪b. HBSS (Hank's balanced salt solution).‬‬
‫‪c. Saliva.‬‬
‫‪d. Milk.‬‬
‫حسب ‪Dental secrets‬‬

‫أفضل األوساط لحفظ السن المنخلع قبل إعادة زرعه هي بالترتيب محلول هانك الملحي المتعادل و‬
‫فياسبان ‪ Viaspan‬ثم الحليب ومحلول السالين ثم اللعاب ثم ماء الحنفية‪.‬‬
630. Rigid palatal strap major connector. The material of construction is
.co-cr ***‫خليط كروم كوبالت‬
Gold ti
.gold ……..
.wrought wire
631. the use of low speed hand piece in removal of soft caries in children is
better than high speed because
a. .less vibration
b. .less pulp exposure. ***
c. .better than high speed
)‫السرعة البطيئة تنقص احتمال انكشاف اللب في الوقت الذي تزيد فيه االهتزاز (مرجع‬

632. Progression of initial caries to cavitations takes 18 month this based on


a .strepto.mutans initiate caries.
b .lactobacillia progress caries. ***

633. The vertical fracture of the tooth detected by


.periodontal pocket. ***
.radiographically
.vertical percussion
Dental secrets – page 161
Dental Decks - page 135 ‫مأخوذ بالحرف عن‬
1. Transillumination with fiberoptic light
2. Persistent periodontal defects in otherwise healthy teeth
3. Wedging and staining of defects
4. Radiographs rarely show vertical fractures but do show a radiolucent Defect
laterally from sulcus to apex (which can be probed).
And:
"Clinical Endodontics textbook TRONSTAD – page 57"
Vertical Fracture
A vertical fracture of a tooth may result in communication between the
gingival sulcus (oral cavity) and the apical periodontium. The fracture line will
be a portal of entry for bacteria from the mouth into the tissues, causing
inflammation and bone destruction. A periapical lesion often forms which may
have the appearance radiographically of a pulpally related lesion. Since a
vertical fracture may be incomplete, its diagnosis in many instances is
extremely difficult. Sometimes it is recognized clinically because a periodontal
pocket forms along the fracture line and in other instances a simple
exploratory surgical procedure may aid in establishing the correct diagnosis.
And:
http://www.doctorspiller.com/Cracked_Teeth.htm
634. Principle of elevator use of all the following EXCEPT
1) wheel and axle.
2) wedging the socket wall. ***
3) wedging.
4)lever.

Textbook for General and Oral Surgery – page 193

Dental elevators work either on the principle of 'block and wedge' or 'wheel
and axle', and should never be used as crow-bars (Fig. 23.4). Hence, a dental
luxator with its sharp edge is pushed between the root of a tooth and its
alveolar bone via the periodontal space. This wedging effect should cause the
root to be moved from its socket
Oral Surgery- pgs 119-155
Mechanical principles involved in extraction- Lever, wedge, & wheel and axle
1- Lever- Elevators are used primarily as levers
-transmit modest force- w/ mechanical adv. of long lever arm and short
effector
arm- into sm mvmt against greatest resistance
-use a purchase point and crane pick to elevate tooth from socket
2- Wedge-
-force tips of foceps into PDL space to expand bone and force the tooth out of
the
socket
-useful when a str8 elevator is used to luxate a tooth from its socket, sm
elevator
forced into space, displaces the root toward the occlusal and out of the
socket
3- Wheel and Axle-
-triangular or pennent shaped elevator
-when one root is left, pennent elevator put into socket and turned
-handle is an axle, tip of triangular elevator is whell and engages &
elevates the root from the socket
635. To kill HIV use all of the following EXCEPT
.naocl
.ultraviolet chamber. ***
.autoclave
.chimoclave
636. Patient with amalgam usually complain of pain with
.cold. ***
.galvanic
. Hot
637. Radiographic diagnosis of bilateral expansile radioopaque areas in the
canine premolar area region of the mandible is
a) Hematoma
b) Remaining roots
c) Torus mandibularis ***
d) Internal oblique ridge
e) Genial tubercle
638. Pain of short duration with hot and cold
.dentin sensitivity. ***
.irriversible pulpitis.
.chronic pulpitis
.apical periodontitis
639. shade guide:
a. Under light. ***
b. Dry tooth
c. None of above.
640. When do we do incision and drainage?
A. Indurated diffuse swelling. ‫تورم منتشر قاسي‬
b. Sinus tract
c. Chronic apical periodontitis
641. Pregnant lady needs oral surgery:
a. Needs prophylactic antibiotic.
B. Needs under GA
c. Needs steroid cover
d. None of the above. ***
642. When do we give antibiotic:
a. Widespread, rapid infection
b. Compromised host defence ‫دفاع منقوص‬
c. ….
D. A&b

643. Tooth requires RCT with bone resorption. Terminate RCT at:
a. Radiographic apex
b. 0.5-1 mm short of radiographic apex. ‫األصح‬
c. 0.5-1 mm beyond radiographic apex
d. …
"ENDODONTICS Fifth Edition – page 515"
Weine’s recommendations for determining working length based on
radiographic evidence of root/bone resorption. A, If no root or bone
resorption is evident, preparation should terminate 1.0 mm from the apical
foramen. B, If bone resorption is apparent but there is no root resorption,
shorten the length by 1.5 mm. C, If both root and bone resorption are
apparent, shorten the length by 2.0 mm.
Color atlas of endodontics – page 54
Some researchers suggest calculating the working length 1 mm short of
the radiographic apex with normal apical anatomy, 1.5 mm short with
bone but no root resorption, and 2 mm short with bone and root
resorption.

644. Muscle that form floor of the mouth:


a. Mylohyoid. ***
b. …
645. Organism that initiates caries:
a. S. Mutants. ***
b. …
c. …
646. Incipient caries
a. Surface zone is relatively unaffected. ***
b. The surface zone is the largest portion with the highest pore volume
c. Tooth preparation and composite is the best treatment.
D. Pulpal reaction is not possible.
E. Caries progress in enamel faster than dentin.
Dental decks 2080
Surface zone relatively unaffected by the carious attack
647. Important factor in long term success of perio treatment:
a. Skill of the operator
b. Perio maintenance
c. …
648. Which causes gingival enlargement:
a. …
b. Cyclosporines
c. …
d. …
649. Pedo use rubber dam for
a. Improve visibility and access
b. Lowers risk of swallowing
c. Sterile field
d. A & b. ***

650. Root most commonly pushed in max sinus


a. Buccal of 7
b. Palatal of 6 ***
c. Palatal of 7
d. Buccal of 6
e. Distal of 6 & 7
Dental decks 1816
The palatal root of the maxillary first molar is most often dislodged into the
maxillary sinus during an extraction procedure.
651. If tooth or root is pushed during surgical extraction into maxillary sinus
a) Leave it and inform the patient
b) Remove it as soon as possible
c) Follow the patient for 3 months
d) None of the above

652. Cementum is formed from


a. Cementoblasts ***
b. Fibroblasts
c. Cementicles
d. ..
653. Teeth have convexity in buccal and lingual
a. Upper premolars. ***
b. ..
654. Body defends itself by antibodies from
a. B lymphocytes ***
b. T lymphocytes
c.Plasma cell
‫و يمكن أن يأتي بصيغة أخرى‬
655. cell that produce antibodies
a. B lymphocytes ***
b. T lymphocytes
c.Plasma cell

656. Hyperventilation in dental office:


a. Anxiety ***
b. Low CO2
c. High CO2
657. Avulsed teeth stored in
a. Milk ***
b. Water
c. …
658. The best midea for keeping the avulsed teeth is:
a. Water in the same temperature of room
b. Milk in the same temperature of room
c. Cold water
d. Cold milk
659. The depth of cavity prep for composite in posterior:
a. Limited to enamel
b. 0.5 mm in dentin
c. Depends on caries extension ***
d. Depends on tooth discoloration
e. 0.2 mm in dentin
660. Factors that make impaction surgery more difficult:
a. Mesioangular position, large follicle, wide periodontal ligament and
fused conical roots.
B. Mesioangular position, large follicle, wide periodontal ligament and
curved roots.
C. Distoangular position, large follicle, wide periodontal ligament and fused
conical rooths
d. Distoangular position, thin follicle, narrow periodontal ligament and
divergent curved roots. ***
E. Soft tissue impaction, separated from second molar and inferior alveolar
nerve.
661. Which scalpel below is universally used for oral surgical procedures?
A. Number 2 blade.
B. Number 6 blade.
C. Number 10 blade.
D. Number 12 blade.
E. Number 15 blade. ***
662. Main disadvantage of chlorhexidine:
a. Staining. ***
b. Burning sensation.
c. Altered taste.
‫أكبر سلبية لكلور الهكسيدين هي تأثيره الملوّ ن لألسنان واللسان باإلضافة إلى أن التركيز المنخفض‬
.‫المستخدم ال يكفي للتخلص من إيجابيات الغرام فتطلق الكبريت الطيار وتسبب رائحة كريهة‬

chlorohexidine has several disadvantages. One of the most important


disadvantages is that if a patient rinses his mouth with chlorohexidine
compositions regularly, his teeth and tongue obtain a brownish colour. This is
off course a major disadvantage. Another disadvantage of chlorohexidine is
that it has no significant anti-bacterial effect on gram positive bacteria at
relatively low concentrations. This means that gram positive bacteria will not
be effected by the rinse composition and may thus still cause periodontitis or
produce the volatile sulphur compounds that cause the malodour.

663. The radiograph shows condylar head orientation and facial symmetry
a. Submentovertex
b. Reverse town ***
c. Opg
d. Transorbital.
"US Army medical course - Dental Radiography – page 376"
‫صيغة ثانية للسؤال‬
664. The best way of radiograph shows displacement of mandibular conyle
a. Reverse town ***
b. Oplaqe horizontal 30

Dental Secrets - 107


MRI is better at imaging the soft tissue of the disk, but CT is better for almost
all other investigations of the TMJ.

665. what kinds of radiographs which we do not use for TMJ movements?
A- transcranial
b-computerized t
c-conventional t
d-arthrography
666. To check TMJ range of movement:
a) cranial imagery
B) arthrography ***
c) traditional tomography
d) computerized tomography

" oxford handbook of clinical dentistry 4ed 2005 oxford up - mitchell david
Mitchell"

‫ من أجل عمل تسلسل‬،‫ ثم عمل سلسلة أشعات عادية أو مقطعية‬، ‫يتم في البداية حقن مادة ذات تباين عالي‬
‫للحركة الخاصة بالمفصل‬...

667. To check a perforation in the desk of the tmj we need:


A) cranial imagery
B) arthrography. *** (CT after injection of a high contrast fluid)
C) traditional tomography
D) computerized tomography.
668. Zinc phosphate cement and polycarboxylic cement both have
a. Zinc oxide particles. ***
b. Silica quartz particles
c. Polyarcyilic acid
d. Phosphoric acid

669. Pedo, has trauma in 11 , half an hour ago , with slight apical exposure ,
open apex, treatment is:
a. Pulpotomy with formacresol
b. Apexification
c. DPC (direct pulp capping). ***
d. Extraction
670. Which intracanal medicament causes protein coagulation:
a. Formocresol. ***
b. Naocl
c. Wad....
D. Hydrogen peroxide

‫يستفاد من خاصية تخثير الفورموكريزول للبروتين في تثبيت لب األسنان المؤقتة‬

671. GIC compared to composite:


a. Increase linear coefficient of Thermal Expansion
B. More wear resistant
c. Less soluble
d. Stiff
e. Polymerization shrinkage ***
‫ األينومير أقل في عامل التمدد الحراري (مماثل للميناء والعاج) وأقل مقاومة‬:‫بالمقارنة مع الكومبوزت‬
.‫لالهتراء وأكثر امتصاص للماء ولكن أقل تسرب حفافي ألنه يرتبط كيميائيا ً لجدران السن‬
672. Pt came with pain awaken her from sleep 20 a.m. And could'nt sleep
later:
reversible pulpitis
a. Irreversible pulpitis. ***
b. Periodontal pain

673. Pt with severe pain in lower left mandibular molar, examination


positive pulp test , percussion test, no radiographic abnormality, rt side
have recent fpd upper:
a. Chronic apical periodontits
b. Actue apical periodontitis ***
c. Apical abcess
d. None of the above.
674. Most common cyst
a. Apical radicular cyst ***
b. Keratocyst
c. ....
675. 6 years old child have 74 and 84 extracted best space maintainer is:
a. Lingual arch.
b. Bilateral band and loop. ***
c. Bilateral distal shoe.
d. No need for space maintainer.
676. 6 years old child lost his upper right 1st molar, arrangement:
a. Lingual bar.
b. Crown and loop.
c. Band and loop. ***
677. Band and loop space maintainers is most suitable for the maintenance
of space after premature loss of: ‫حافظة المسافة طوق وعروة تستخدم بالفقد المبكر لـ‬
a. A single primary molar *** ‫رحى مؤقتة وحيدة‬
b. Two primary molars
c. A canine and a lateral incisor
d. All of the above
678. Pedo ( forgot the age ) , lost 75 , sm
a. Band and loop ***
b. Nance appliance
c. Crown and loop
‫ وإذا كان عمره قبل بزوغ‬،‫إذا كان عمر الطفل ست سنوات أو أكثر تكون حافظة المسافة طوق وعروة‬
.‫الرحى األولى الدائمة تكون حافظة المسافة طوق وضابط وحشي‬

679. 5 years old patient lost his primary first maxillary molar the best
retainer is:
1. Band and loop. ***
2. Crown and loop.
3. Lingual arch.
4. Nance appliance.
.‫إذا كانت الرحى الثانية المؤقتة بحاجة لتاج فيكون الخيار الثاني‬

680. (6 years) child with bilateral loss of deciduous molars &the anterior
teeth not erupted yet ,the space maintainer for choice is:
a-lingual arch
B-bilateral band and loop
c-bilateral band and loop with distal shoe
d-removable partial denture

‫السؤال بهذه الصيغة (فقد جميع األرحاء المؤقتة مع بزوغ الدائمة وعدم بزوغ األمامية) الحل هو كابح‬
.‫ ممكن جهاز متحرك‬. ‫شفة‬
.‫ طوق وعروة ثنائي الجانب‬:‫فقد األرحاء األولى‬
.‫فقد األرحاء الثانية قبل بزوغ الدائمة طوق وعروة وضابط وحشي ثنائي الجانب‬
.#‫ األمامية بازغة فالحل هو القوس اللساني‬#‫ األسنان‬#‫أما لو فقدت جميع األرحاء المؤقتة وكانت‬

Children generally develop their teeth before birth. Eruption starts at about six
months, usually with the appearance of the lower incisors, and is complete by
about two-and-a-half years. The table below will show an estimate chronology
:of tooth development

Appearance Calcification begins Baby teeth


mo 6-9 mo (fetal life) 4 Incisors
mo 16-18 mo (fetal life) 5 Canines
mo 12-14 mo (fetal life) 6 1st Molar
mo 20-30 mo (fetal life) 6 2nd Molar

Appearance Calcification begins Permanent teeth


yrs 6-8 mo 3-4 Lower incisors
yrs 7-9 mo 4-5 Upper incisors
yrs 9-10 mo 4-5 Lower Canines
yrs 11-12 mo 5-6 Upper Canines
yrs 10-12 yrs 1.5-2.5 Premolars
yrs 6-7 Birth 1st Molars
yrs 11-13 yrs 2.5-3 2nd Molars
yrs 17-21 yrs 7-10 3rd Molars
http://www.williamsdentalassociates.com/toothdevelopment.htm
681. Lower anterior teeth labial mucosa supplied by:
a. Mental nerve. ***
b. Inferior dental nerve.
C. Buccal nerve.
‫ وهو يعصب مخاطية‬،‫العصب الذقني هو أحد فرعي العصب السنخي السفلي وفرعه الثاني هو القاطعي‬
.‫ أما القاطعي فيعصب األسنان‬،‫القواطع‬

682. Buccal branch of trigeminal is:


a. Sensory ***
b. Motor
c. Psychomotor
d. Sensory and motor
683. Buccal branch of facial is:
a. Sensory
b. Motor ***
c. Mixed
Buccal nerve - Wikipedia, the free encyclopedia
‫الفرع الخدي لمثلث التوائم هو العصب الخدي الطويل وهو عصب حسي يعصب الخد والمخاطية‬
.3‫ حتى ر‬2‫الدهليزية السفلية من ض‬
‫أما الفرع الخدي للعصب الوجهي فهو حركي مسؤول عن العضلة المبوقة إحدى عضالت التعبير‬
.‫الوجهي‬

684. Dentine permeability increases


a. Coronal less than root dentine. ***
b. Permeability increase toward DEJ.
C. Permeability increase toward bcj.
،‫ ومن التاج إلى الجذر‬، ‫يزداد عدد القنيات العاجية باالنتقال من منطقة اإلطباق إلى السطوح المحورية‬
.‫ومن الملتقى المينائي العاجي باتجاه اللب‬

685. Which material has best biocompatibility Intraorally:


a. Cobalt chromium
b. Titanium
c. Nickle chromium
d. Gold .... Palladium

686. Porcelain teeth in complete denture opposing natural teeth are not
preferred due to:
a. Increase occ load on natural teeth
b. Wear of natural teeth ***
c. Clicking during mastication
687. Which of following resto more likely to cause wear to opposing:
a. Composite
b. Gold
c. Porcelain ***
d. Amalgam
688. In restoring lost tooth, which is least important:
a. Esthetic
b. Pt demand ***
c. Function
d. Arch integrity and occlusal stability
689. Enamel tufts are
a. Extensions of odontoblasts in the DEJ
b. Enamel rods change their direction.
C. Enamel rods get crowded ***
‫تتشكل في المنطقة التي تزدحم فيها المواشير المينائية‬

"Enamel tufts - Wikipedia, the free encyclopedia"

690. In clinical research:


a. Blind or double blind
b. Needs control
c. Includes intervention
d. Offers no benefits to subject at risk
691. One of the main cause of malocclusion:
a. Premature loss of primary teeth
692. To disinfect gutta percha:
a. Chemical agents
b. ..

‫ وقد وجدت ضرورة العودة ألكثر من مرجع‬Squamous cell carcinoma ‫األسئلة التالية حول‬
:‫لإلجابة عن هذه األسئلة‬
Cawson Essintials of Oral Pathology and Oral ‫ فقرة مترجمة من كتاب‬..‫بالبداية‬
:‫ عن سرطان الفم والشفة‬Medicine 7th ed
‫ التبغ والكحول – أشعة الشمس – اإلنتانات – أمراض بالغشاء المخاطي – اضطرابات‬:‫العوامل المسببة‬
.‫وراثية‬
.‫السرطانات المبكرة البدئية تظهر بشكل لويحات حمراء أو بيضاء أو قرحات ضحلة وهي غير مؤلمة‬
‫فيما بعد تبدو وبتقدم السرطانات تظهر بشكل قرحات ذات حواف مستديرة متبارزة وقاسية وتصبح‬
.‫مؤلمة‬
‫ من سرطانات‬%70 ‫الحواف الجانبية الخلفية من اللسان هي الموقع األكثر شيوعا ً ضمن الفم (أكثر من‬
)‫الفم تتشكل على الحواف الجانبية للسان والحافة السنخية المجاورة وقاع الفم‬
.‫ من سرطانات الفم هي سرطانات شائكة الخاليا متمايزة بشكل جيد أو معتدلة التمايز‬%95 ‫أكثر من‬
693. Squamous cell carcinoma is derived from:
a. Epithelial tissue. ***
b. Connective tissue.
694. Most common site of squamous cell carcinoma:
a. Postero-lateral border of tongue. *** ‫المكان األول‬
b. Floor of the mouth. #‫المكان الثاني‬
c. Buccal mucosa.
d. Lip.
e. Skin.
695. Most common site of oral squamous cell carcinoma:
a. Postero-lateral border of tongue. ***
b. Floor of the mouth.
c. Buccal mucosa.
d. Lip.
e. Skin.
Oral pathology clinical pathologic correlation,3rd edition, Page 71-72
Dental Secrets - page 35 :
The posterior lateral and ventral surfaces of the tongue are the most common
sites of intraoral cancer.
696. The majority of introral squamous cell carcinomas are histologically:
a. Poorly differentiated.
b. Well moderately differentiated. *** ‫متمايزة لحد ما‬
c. Spindle cell in type. ‫مغزلية الشكل‬
d. Carcinoma in situation.

Background

Verrucous carcinoma (VC) refers to a clinicopathologic concept implying a locally


aggressive, clinically exophytic, low-grade, slow-growing, well-differentiated
squamous cell carcinoma with minimal metastatic potential.

Verrucous carcinoma typically involves the oral cavity, larynx, genitalia, skin, and
esophagus.
In 1948, Ackerman first described verrucous carcinoma in the oral cavity as a low-
grade tumor that generally is considered a clinicopathologic variant of squamous cell
carcinoma.[1] Aird et al first described cutaneous verrucous carcinoma (carcinoma
cuniculatum) in 1954, and it was named as such because of its characteristic
cryptlike spaces on histologic appearance.[2]

http://emedicine.medscape.com/article/1101695-overview

697. Squamous cell carcinoma is multifactorial: ‫متعددة العوامل‬


a. True. ***
b. False.
698. Early squamous cell carcinoma of oral cavity present as:
a. Vesicle. ‫حويصلي‬
b. Sessile mass. ‫كتل دون عنق‬
c. An ulcer.
d. Red plaque. ***
e. A white cauliflower like lesion

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 247


SCC:
Clinical appearance Most often seen as a painless ulcer, although may present
as a swelling, an area of leukoplakia, erythroleukoplakia or erythroplakia (A
reddened patch), or as malignant change of long-standing benign tumours or
rarely in cyst linings. Pain is usually a late feature when the lesion becomes
superinfected or during eating of spicy foods. Referred otalgia is a common
manifestation of pain from oral cancer. The ulcer is described as firm with
raised edges, with an indurated, inflamed, granular base and is fixed to
surrounding tissues.
‫ هي كل من قرحة غير مؤلمة وبقع‬SCC ‫من النص السابق يتضح أن صفات السرطانة حرشفية الخاليا‬
.‫حمراء‬
.‫إذا جواب هذا السؤال هو ما يرد من هذين الخيارين لكن األسبق هو البقع الحمراء‬
Burket- ‫ وحسب‬،‫ يتميز بحواف مرتفعة ثابتة بقاعدة صلبة حبيبية‬SCC ‫أما بقية الصفات فخاطئة ألن‬
A white " ‫ فالصفة‬SCP ‫ عن الورم الحليمي شائك الخاليا‬Oral medicine – page 553
: "cauliflower like lesion
Squamous cell papillomas may present as exophytic pedunculated papules
with a cauliflower-like appearance.
699. Firm, fixed neck nodes are most to be detected in association with:
a. An ameloblastoma
b. A basal cell carcinoma
c. An odontogenic fibroma
d. A squamous cell carcinoma. ***
700. Stage Ib disease of squamous cell carcinoma:
A-T1 NO MO ( Stage IA disease ‫ >ــــ‬T1 NO MO ).
b-T3 NO MO
c- T2 NO MO. *** ( Stage IB disease ‫ >ــــ‬T2 NO MO ).
d-T4 NO MO
http://en.wikipedia.org/wiki/Non-small_cell_lung_carcinoma

Grouping TNM staging


Occult carcinoma TX N0 M0
Stage 0 Tis N0 M0
Stage IA T1 N0 M0
Stage IB T2 N0 M0
Stage IIA T1 N1 M0
Stage IIB T2 N1 M0
T3 N0 M0
Stage IIIA T1 N2 M0
T2 N2 M0
T3 N1 M0
T3 N2 M0
Stage IIIB Any T N3 M0
T4 Any N M0
Stage IV Any T Any N M1

Grouping Survival rate (percents)


One year Two years Three years Four years Five years
IA 82% 79% 71% 67% 61%
IB 72% 54% 46% 41% 38%
IIA 79% 49% 38% 34% 34%
IIB 59% 41% 33% 26% 24%
IIIA 50% 25% 18% 14% 13%
IIIB 34% 13% 7% 6% 5%
IV 19% 6% 2% 2% 1%

701. File #40 means:


a. 0.40 is the diameter at d1 ***
b. 0.40 is from d1 to d16

702. Cause of radicular cyst:


a. Non vital tooth ***
b. Vital tooth
703. Most difficult of extract:
mand. 3rd molar with mesioangular fused roots
mand 3rd molar with distoangular angulation with divergent curve roots.
***
Dental decks - page 1846
For imapacted mandibular molars, order from the least difficult to most
difficult to remove:
Mesio angular ---- Horizontal ---- Vertical ---- Distoangular (The opposite in
maxilla)
Wisdom tooth - Wikipedia, the free encyclopedia
Typically distoangular impactions are the easiest to extract in the maxilla and
most difficult to extract in the mandible, while mesioangular impactions are
the most difficult to extract in the maxilla and easiest to extract in the
mandible.
704. Minimum thickness of noble metal crown
a-0.1 mm
b-0.5 mm.
c-1 mm. ***
d- 2 mm
Dental deck – page 441
The necessary thickness of the metal substucture is 0.5 mm
the minimal porcelain thickness is 1.0 - 1.5 mm
705. To locate the canal orifice use
a-barite probe
b-endo spreader
c-endo file with curved tip.
d-round bur.
Color atlas of endodontics – page 14
- Conventional stainless steel files can be precurved and "hooked" into canals.
Pathway of the pulp 9ed 1st part – page 197-215-227
- examining the pulp chamber floor with a sharp explorer. (maxillary molar)
- An oval orifice must be explored with apically curved small instruments. The
clinician should place the file tip in the orifice with the tip to buccal when
trying to locate the buccal canal. A curved file tip is placed toward the palate
to explore for the palatal canal.

- Micro-Openers (Dentsply Maillefer, Tulsa, OK) are excellent instruments for


locating canal orifices when a dental dam has not been placed.

- An endodontic explorer is used to search for canal orifices.

706. healing by secondary intention cause


a-
b-there is space between the edges filled by fibrous tissue
c-leading to scar formation
d- b and c. ***

707. Contraindication for endo treatment EXCEPT:


-non strategic tooth
-non restorable teeth
-vertical fracture teeth
-tooth with large periapical lesion ***
708. Arrange the steps
a. [ca(oh)2 placing –varnish-base –amalgam
"Art & Science - page 171"
Dental Decks - page
709. Soft palate falls abruptly facilitate recording post dam, falls gradually
make recording post dam difficult
.two statement true
.two false ***
.first true, second false
.first false, second true
2006 ‫ "التعويضات المتحركة الكاملة" دمشق‬:‫المرجع‬
‫ فتكون بهذه‬،‫شراع حنك كأنه ستارة أُسدلت فجأ ًة بدءاً من الحافة الخلفية لصفيحة العظم الحنكي األفقية‬
‫الصفة غير مالئمة إلحداث س ِّد خلفي مناسب‬
710. caries progress in children more than adult due to
.difference in ph
.generalized dentin sclerosing by age ***
.increasing in organic content of tubular dentin by age
Dental Decks - page 2188

711. osteogensis during endodontic surgery aimed to prevent


.fibrous in growth ***
.growth factor
.formation of blood
712. 60 YEARS old patient need to make complete denture with thick labial
frenum with wide base. The operation
.vestibuloplasty. *** ‫رأب دهليز الفم‬
.z-plasty
.subperiostum incision ‫قطع تحت السمحاق‬
.deepmucoperiosteum incision ‫تحت السمحاق المخاطي‬

"Peterson's Principles of Oral and Maxillofacial Surgery 2nd Ed 2004 page


173"
Z-plasty are effective for narrow frenum attachments. Vestibuloplasty is often
indicated for frenum attachments with a wide base.

713. In 6 week intra uterine life the development start. The oral epithelium
is stratified squamous epithelium will thickened and give dental lamina
a: true ***
b: false
Http: //www.emro.who.int/publications/emhj/0503/08.htm

714. Retention of amalgam depends on


a-amalgam bond
b- convergency of walls oclusally ***
c- divergency of walls oclusally
d- retentive pins
Bhatia's Dentogist: mcqs in Dentistry
715. Energy absorbed by the point of fracture called
a- ultimate strength
b- elastic limit
c- toughness. ***
d- brittleness
Toughness
It is defined as the amount of energy per volume that a material can
absorb before rupturing.
Toughness - Wikipedia, the free encyclopedia
The ability of a metal to deform plastically and to absorb energy in the
process before fracture is termed toughness.
Toughness
716. Mix in walking non vital bleatching
a-H2O2 with phosph...........
B-superexol with sod parporate
c-superexol with ca hydroxide
d- H2o2 with Sodium perborate: ***
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005)

717. Local contraindication of extraction


a-
b-
c-pt recent recive radiotheraby
d-tooth in the malignant tumar
e-both c and d ***
718. Since in composite tooth prep should be conservative so the design
a-amalgam in moderate and large cavities
b_beveled amalgam margines......
C-conservative restorations. ***
‫ بما أن حشوات الكمبوزيت هي حشوات محافظة فإن التحضير يجب أن يكون محافظا ً بقدر‬:‫معنى السؤال‬
.‫امتداد النخر وفي الميازيب‬
)‫أعتقد أن االحتمالين األول و الثاني ال عالقة لهم بالسؤال (عبيدة‬

719. preparation of all incipient cavity within enamel


acquired pellicle
a- structures layer protect tooth. ***
b- aid in remineralization
720. The most affect tooth in nurse bottle feeding
a-lower molars
b-upper molars
c-max incisor ***
d-mand incisor
721. Most impacted tooth is
a-mand 8 ***
b-max 2
c-upper canine
d-premolars

722. Most common tooth which needs surgical extraction


a)mandibualr third molar. ***
723. Patient is diagnosed for ceramometal full veneer. You plan to use
epoxy Resin >>>>>>missing text>>>>>>>, what's the best impression
material to be used :
A. Poly ether. *** ( polyvinyl siloxane is the best then polyether).
B. Poly sulfide.
C. Agar agar.
D. Irreversible hydrocolloid. ( = Alginate ).
 Certain impression material polysulphide and hydrocolloid are not
compatible with epoxy resin, however, good result are achieved with
silicone and Polyether.

724. the impression material of choice when we want to take impression for
epoxy resin pin is:
a) Polysulfide.
B) Polyether. *** ( polyvinyl siloxane is the best then polyether ).
C. Agar agar.
D. Irreversible hydrocolloid. ( = Alginate ).

725. Impression material cause bad taste to patient


a-poly sulfide. ***
b-polyether.
c-additional silicon
d- alginate
Dental terminology 
‫صيغة أخرى للسؤال‬
726. what is the most unfavorable imp material by the patient due to bad
taste
a. agar
b. silicone
c. polyether
d. polysulfide***
‫رائحة البولي إيثر سيئة ولكنها ليست أسوأ من رائحة وطعم البولي سلفايد الكبريتي‬.
727. The impression used for preliminary impressions or study casts is:
1. Agar agar.
2. Silicon.
3. Alginate. *** ( = Irreversible hydrocolloid ).
4. None.
728. What is the least accurate imp material :
a.Alginate***
b.Plysufide
c.Polyether
729. Irrigant that kills e-foecalis
1-naoh
2-mtad. ***
2-saline
3-chlorohexidine
Pathway to the pulp
New irrigants are being developed in an attempt to address some of the
shortcomings of past and current materials. MTAD is a mixture of a
tetracycline isomer (i.e., doxycycline), an acid, and a detergent. In an in vitro
study, MTAD was found to be an effective solution for killing E. Faecalis.

730. Irrigant that kills e-foecalis:


( 1272 ‫ انظر السؤال‬:‫) مهم‬
1-naoh. ( not naocl )‫انتبه‬:
2-mta. ***
2-saline
3-chlorohexidine.
ً‫ مالحظة هامة جدا‬:

 Sodium hypochlorite = Naocl not Naoh.


 MTAD is more effective than Naocl in killing E. faecalis.
 Naocl is more effective than MTA in killing E. faecalis.
 Also, Chlorohexidine can kill E. faecalis.

731. During the orthodontist removes orthodontic braces he noticed white


hypocalcific lesion around the bracket what to do:
1- microabration and application of pumice then fluoride application. ***
2-composite resin
4-leave and observe
732. daily wear of amalgam:
1-3 microgram /DAY ***
733. Amount of daily wear of amalgam ingested in the body:
a. 1 – 3 μgs /day of mercury.
b. 10 – 15 μgs /day of mercury.
c. 25 μgs /day of mercury.

734. weeping canal we use


1-g.p
2-caoh ***
3- Formocresol
4-…
Clinical Endodontics textbook TRONSTAD – page 224

This situation is often referred to as a “weeping canal” and is annoying in that


the apical part of the canal cannot be dried properly. The right therapy is a
discontinuation of the use of the tissue-irritating antiseptics followed by 2–3
weeks of calcium hydroxide in the root canal. The chemically-induced
exudation will then have stopped and the root canal can be dried and
obturated.

735. The easiest endo retreatment in:


a- Over obturation w GP.
b- Under obturation w GP.
c- Weeping canals. ***
d- Obturated w silver cone.
‫حشوة غير متماسكة‬

736. Tug back refers to:


1. Retention of GP inside the canal. ***
2. Fluibilty of GP.
http://www.endomail.com/articles/asd28fitting.html
Next we place it into the canal until it stops. We then begin to pull it out of the
canal to see if there is “tug back.”  Tug back is that feeling of the GP point
sticking in the canal as you try to remove it, causing you to apply a little extra
force to remove the point from the canal.  When you do achieve tug back, it
means that the GP point is binding somewhere in the canal.   Figure 3 
demonstrates the medium GP being placed into the canal.
 

737. dental student using thermoplastized g.p. What is the main problem he
may face;
1-extrusion of g.p. From the canal ***
2-inability to fill the proper length
3- failure to use maser cone at proper length
4- ledge
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005)- page 177

It is difficult to control the apical extent of the root filling and in addition some
contraction of the GP occurs on cooling.
Useful for irregular canal defects

.‫عند حقن الكوتا الملينة بالحرارة قد تتجاوز السن وتخرج إلى المنطقة الذروية‬

738. cracked enamel best Dx by


Dye***
739. how can test crack tooth???
Xray
electric test
ethyle dye test. ***
vitality test

740. Atropine :
A- Dries secretion such saliva. ***
B- depresses the pulse rate.
c -cause central nervous system depression.

741. Drug used to increase saliva is:


1- anticholinergic.
2- cholinergic. ***
3- antidiabetic
4- anticorticosteroid
742. In order to decrease the gastric secretion:
a. histamine A antigen equivalent
b. histamine B antigen equivalent
c. anticholenergic. ***
d. adrenal steroids
743. Pt with complete denture come to your clinic, complaint from his dry
mouth, the proper medicine is:
1. Anti diabetic medicine.
2. Anticholenergic.
3. Steroid.
4.Cholinergic. ***

744. Drug used to decrease saliva during impression taking is:


1. Cholinergic.
2. AntiCholinergic. ***
3. Antidiabetic.
4. Anticorticosteroid.
http://en.wikipedia.org/wiki/Atropine

Atropine: It is classified as an anticholinergic drug


Injections of atropine are used in the treatment of bradycardia (an extremely low
heart rate), asystole and pulseless electrical activity (PEA) in cardiac arrest. This
works because the main action of the vagus nerve of the parasympathetic system
on the heart is to decrease heart rate. Atropine blocks this action and, therefore,
may speed up the heart rate.
Atropine's actions on the parasympathetic nervous system inhibits salivary,
sweat, and mucus glands.

Atropine induces mydriasis by blocking contraction of the circular pupillary


sphincter muscle, which is normally stimulated by acetylcholine release

And
Dental Decks - page 2012 - 2192
Scopolamine, atropine and benztropine are anticolinergic drugs. They decrease
the flow of
And
salive.Cholinesterase inhibition is associated with a variety of acute symptoms
such as nausea, vomiting, blurred vision, stomach cramps, and rapid heart rate.
:‫الخالصة‬
‫ يزيد اللعاب ويبطئ النبض ويزيد اإلفراز المعدي‬Cholinergic -
‫ تنقص اللعاب وتوسع الحدقة وتزيد النبض وتنقص اإلفراز المعدي‬anticholinergic -
.‫ عمل األتروبين يكافيء عمل األسيتيل كولين ويعاكس عمل الكولين استيراز‬-
745. probe used to detect furcation:
1-nabers probe. *** ‫بالبعدين العمودي واألفقي‬

http://www.dentalproductshopper.com/nabers-probe

Nabers Probe
Hu-Friedy’s 2N Nabers color-coded probes are excellent for assessing furcation areas and measuring
bone-loss.

The probes are color-coded (3 mm, 6 mm, 9 mm, 12 mm) with Qulix technology that results in smoothly
finished, vivid black markings that will not chip, flake, or fade. The probe is available in a Satin Steel
handle, a great ergonomic choice for clinicians
746. Least effective to kill aids is:
ultra voilet
source: dentogist
naocl is very effective
Also cetrimide and dry heat at 100 degree are inffective in kill aids
747. during endo pt is complaining of pain with percussion what is the cause
1-apical periodontitis
2-secondery apical periodontitis.
3-over instrumentation. ***
4-over medication
748. during endo pt is complaining of pain with percussion what u suspect?
1-apical periodontitis
2-secondery apical periodontitis.
3- Over instrumentation. ***

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 178


Pain following instrumentation: This is usually due to instruments or irrigants,
or to debris being forced into the apical tissues.
"Pathway of the pulp 9ed 1st part – page 217"
Postoperative discomfort generally is greater when this area (apical
constriction) is violated by instruments or filling materials, and the healing
process may be compromised.
:‫سؤال آخرمشابه فيه خياران صحيحان‬
749. During doing Rct, pt complains from pain during percussion due to:
A- Apical infection.
B- Impact debris fragment
c- Over instrumentation

"Pathway of the pulp 9ed 1st part – page 406"

Shaping to the radiographic apex is likely to produce overinstrumentation past


the apical foramen, with possible clinical sequelae of postoperative pain and
inoculation of microorganisms into periapical spaces.
.Over instrumentation ‫الجواب األنسب وهو ما يحدث في الحياة العملية هو‬
750. pt on long term antibiotic came with systemic Candida:
1-amphotrecin
2-fluconazol ***
3-nystatin
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 240
Fluconazole 50 mg od is the systemic drug of choice. C. Glabrata, C. Tropicalis,
and C. Knusel are fluconazole resistant, therefore, candida subtyping should
be performed for resistant cases.
،‫العالج المفضل للمبيضات جهازيا ً هو الفلوكونازول حب أو حقن وريدي ويفيد بالحاالت المعندة‬
‫ واألمفوتريسن والميكونازول‬، ‫وموضعيا ً النستاتين معلق أو حب مص وممكن استخدام الكلورهكسيدين‬
.ً ‫األغلى ثمنا‬

‫سؤال آخر مشابه مع تغيير في صيغة السؤال بأن المريض مصاب بااليدز و تطورت لديه إصابة‬
‫بالمبيضات فما هو أفضل عالج‬
751. systemic Candida what is the best medicine :
a-amphotrecin B
b- fluconazol ***

752. Candida infection is a frequent cause of:


Burning mouth

753. Which one of the following was the most frequently reason for
replacement of a molar restoration with larger restoration:
a. New caries.
b. Recurrent caries.
c. Faulty restoration.
d. All of the above. ***

754. Lesion at junction between hard and soft palate and surrounded with
psudoepithelium and hyperplasia in salivary gland.
A . necrotizing sialometaplasia. ***
B . squamus cell carcinoma
http://www.sciencedirect.com/science/article/pii/S1741940905001019

Summary

Necrotizing sialometaplasia is an uncommon inflammatory condition that affects


salivary glands. A 38-year-old man with bilateral ulcerative painful lesions at the
junction of the hard and soft palate was presented. An incisional biopsy was
performed. Histopathologically, pseudoepithelomatous hyperplasia, lobular
necrosis with through the maintenance of the architecture of salivary glands and
squamous metaplasia of residual acinar and ductal elements with a bland
appearance were observed. The complete self-healing of the lesions occurred in 3
weeks. Since this entity presents clinical and histopathological findings
resembling either mucoepidermoid carcinoma or squamous carcinoma diagnostic
failure may culminate in unnecessary mutilating surgery.

755. A child at dentation age is suffering from:


a) diarrhea
b) sleep disorders
c) increased salivation ***
‫ يصاحب بزوغ األسنان كل من زيادة اللعاب وقلة الشهية باإلضافة‬: 49‫في كتاب طب أسنان األطفال ص‬
.‫لألعراض األخرى الناتجة عن االلتهابات بسبب وضع اليد بالفم والعض على أجسام أجنبية‬

756. When restoring asymptomatic healthy tooth with amalgam, the normal
physiologic symptom after that is:
a. Pain on hot
b. Pain on cold ***
c. Pain on biting
d. Pain on sweet
757. Sharp pain is due to which type of fibers?
A. A fibers. ***
B.B fibers
C. C fibers
A-delta fibers – small, myelinated fibers that transmit sharp pain
C-fibers – small unmyelinated nerve fibers that transmit dull or aching pain.

758. Minimal facial reduction when preparing for veneers:


a. 0.3 mm
b.0.3-0.5 mm ***
c. 1-1.5 mm
0.7 ‫ ملم ويصل عند اللثة إلى‬0.5 ‫ التحضير للدهليزي ال يقل عن‬،‫ و أكسفورد‬Dental secrets ‫حسب‬
.ً ‫ وال يقل عن ذلك سوى في حالة التوضع اللساني للسن حتى نعيد إبرازها دهليزيا‬،‫ملم‬
"Operative Dentistry A Practical Guide to Recent Innovations - page 83 " ‫وحسب‬
The facial enamel is usually reduced by 0.3–0.5mm, but where the underlying
tooth is severely discolored, reduction should be 0.7mm.
759. After u did RCT to your pt he came back to the clinic after few days with
sever pain on biting, you did x-ray and it revealed that the RCT filling is very
good, but u saw radiopaque, thin (film like) spot on the lateral border of the
root what is the most probable diagnosis?
A- Accessory canal
b) vertical root canal fracture. ***
760. Patient suffering from a cracked enamel, his chief complain is pain on :
A) Hot stimuli
B) Cold stimuli
C) A & B. ***
D) Electric test.
761. patient came complaining of severe pain on biting, related to a certain
tooth. upon examination no pulpal or periodontal findings, and pulpal vitality
is positive, your Dx:
1) cracked tooth syndrome***

762. Method of Detection of Cracked teeth :


A) Horizontal percussion
B) Vertical percussion
C) Electric pulp test
D) Transillumination / visible light test.. ***
763. Cracked tooth syndrome is best diagnosed by?
A. Radiograph
b. Subjective symptoms and horizontal percussion
c. Palpation and vertical percussion
d. Pulp testing
Pickard's Manual of Operative Dentistry Eighth edition OXFORD - PAGE 213
The diagnosis of cusp fracture is easy when the cusp has fallen off. Before this
actually happens, however, the patient may experience pain but often finds it
remarkably difficult to locate this to a particular tooth. The patient will
frequently complain of sensitivity to hot and cold and discomfort on biting.
Even on clinical examination it is often difficult to pinpoint which tooth is
causing the pain, but a fiber-optic light or disclosing solution may assist the
diagnosis by making the crack easier to see. Lateral pressure on the suspect
cusp may also help by producing a sensitivity that mirrors the patient’s
symptoms. Often the pain occurs when the pressure is released.

A crack usually does not show up on an x-ray, a physical examination of the


tooth will have to be performed. A sharp instrument will be used to allow us to
explore the tooth for cracks. We will also place pressure on the tooth to see if
we can expand the crack until it is seen.
You may have X-rays taken but X-rays often do not reveal the crack.
Your dentist may use a special tool to test the tooth. There are different kinds
of tools. One looks like a toothbrush without bristles. It fits over one part of
the tooth at a time as you bite down. If you feel pain, the part of the tooth
being tested most likely has a crack in it.
Diagnostic tests of cracked tooth
visual examination of cracks: aided by staining with dye such as methylene
blue.
Tactile examination crutch the tooth surface with a sharp explorer widening a
gap of the crack may elicit extremely painful response. ‫أي بمثابة ضغط أفقي‬
Tooth sloth ‫وتد‬: bite tests each cusp tip must be tested individually pain on
release often indicates crack tooth.
Transillumination: fiberoptic light source held perpendicular to the suspected
crack
that mean the prober exam for crack in the tooth(b) subjective symptoms and
horizontal percussion
the book is NBDE II

764. The best method for tooth brush is Bass method because:
a. It enter to interproximal area
b. Can be used by patient with gingival recession and it rotainary advice to all
types of patients.
1. The both sentences are correct. ***
2. The first sentence is correct and the second is wrong.
http://www.oralcareshop.com/bass-method.htm
The Bass Method or Sulcular Vibration Brushing or 45 Degree Angle the
Bass Tooth Brushing Technique is a very effective method for germs or plaque
removal next to and directly below the gum or gingival margin. The area at the gum-
tooth margin is the most significant in the prevention of  tooth decay and gum
disease.
765. Bass brushing has the advantage of the bristles enters in the cervical
area , and it is recommended for all patients:
a)both statements are true. ***
b)both statements are false
c)first is true ,second is wrong
d)first is wrong , second is true
Caranza – periodontology – page 658
Bass method advantages:
- It concentrates the cleaning action on the cervical and interproximal portions
of the teeth.
- The Bass technique is efficient and can be recommended for any patient with
or without periodontal involvement.

766. Patient comes to you with edematous gingiva, inflamed, loss of gingival
contour and recession, what's the best tooth brushing technique?
A. Modified bass
b. Modified stillman. ***
c. Charter
d. Scrub
Dentogist MCQs in Dentistry

The brushing technique which is recommended after periodontal surgery is


Charte.r

The brushing technique which is recommended for areas with progression


gingival recession is modified stilman.

Caranza – clinical periodontology page 659

‫طريقة ستيلمان المعدلة تقوم على مبدأ تطبيق الضغط بجوانب أشعار الفرشاة وليس بذراها لتقليل رض‬
.‫األنسجة الملتهبة واللثة المتراجعة‬
‫ فتعني تعديل وضع الفرشاة بحيث توازي القواطع السفلية لسهولة تفريشها من‬Modified bass ‫أما‬
.‫اللساني‬
‫ درجة مع تمسيد لطيف دائري لألسنان واللثة للسماح‬135 ‫ فهي وضع الفرشاة بزاوية‬Charter ‫أما‬
.‫بشفائها بعد الجراحة اللثوية‬
It's a good idea to use the tooth-brushing method recommended by your dentist. The
modified Stillman method is often used in patients with progressing gingival
recession. This means that the patient's gums are receding toward the base of the
tooth, leading to root exposure. This method is used to avoid damage to the delicate
tissue, which would further exacerbate the condition

http://www.ehow.com/way_5399734_modified-stillman-tooth-brushing-technique.html

767. The best method to protect teeth that underwent bicuspidization


procedure from fracture?
A. Full crown. ***
b. Splint with composite
c. Orthodontic splint
Dental decks – page 273

768. Pt have unilateral fracture of left the condyle, the mandible will
a)deviate to the left side. ***
b)deviate to the right side.
c)no deviate.
dental decks 2004
the mandible will always deviate to the side of injury. A patient who sustaind a
subcondyler fracture on the left side would be unable to deviete the mandible
to the right.
769. Pt came after 24 month of tooth replantation which had ankylosis with
no root resorption. It most likely to develop root resorption in:
1/ reduce greatly ***
2/ increase
3/ after 2 years
4/ after 4 years
136 ‫حسب أكسفورد ص‬

‫ وإذا ترافقت إعادة الزرع بالتصاق فيكون‬،‫ من حاالت االنخالع الكامل‬% 35-6 ‫يحدث التكلس في‬
.% 16-13 ‫ ونسبة تموت اللب‬% 80 ‫احتمال النجاح‬

770. tracing of GP used for:


1/source of periapical pathosis ***
2/acute periapical periodontitis
3/ periodental abscess
4/ none
)‫اقتفاء مسار قمع الكوتا يهدف إلى معرفة مصدر اآلفة حول السنية (عن طريق الناسور‬

771. isolated pocket in:


-vertical root fracture
-palato gingival groove
-endo origine lesion
-all. ***
http://www.mmcpub.com/pdf/1998ppa/19...av10n3p369.pdf
And
Vertical root fractures: Clinical and radiographic diagnosis -- COHEN et al. 134
(4): 434 -- The Journal of the American Dental Association
772. After bleaching a tooth, we want to restore the tooth with composite
resin, we don’t want to compromise the bonding, we wait for:
a)24 hours
b)a week *** ‫األصح‬
c) choose a different material
" Clinical Aspects of Dental Materials Theory, Practice, and Cases (3rd Ed
2009)"
Esthetic restoration of teeth should be delayed for 2 weeks after the
completion of tooth whitening.

.‫يجب تأخير عمل الحشوات التجميلية لما بعد التبييض بأسبوعين لتأمين ربط كافي مع الميناء‬

773. Three year old pt, has anodontia (no teeth at all), what would you do:
a) full denture ***
b) implant
c) space maitainer
d)no intervention
"PAEDIATRIC DENTISTRY - 3rd Ed. (2005)" page 294

In cases of anodontia, full dentures are required. These can be provided, albeit
with likely limited success, from about 3 years of age, with the possibility of
implant support for prostheses provided in adulthood.

B)-autoimmune factors++ (one of the signs of Autoimm dis’s)


dental deck - page 1334

774. Treacher collins syndrome characterized by


-PROGNTHESIA OF MANDIBLE. ‫تقدم فك سفلي‬
-NO HEARING LOSS
-UPWARD SLUTING OF EYE
-MALAR BONE NOT WELL FORMED OR ABSENCE. ***

:‫متالزمة تريشلر كولينز‬

‫ ميالن العينين‬- underdeveloped cheek bone ‫شكل السمكة للوجه بسبب ضمور العظم الوجني‬
.‫ حنك مشقوق‬- ‫ تشوه صيوان االذن‬- ‫ تراجع الفك السفلي للخلف‬- ‫لألسفل‬
‫ ويكيبيديا‬:‫المصدر‬

Treacher Collins syndrome - Wikipedia, the free encyclopedia ، Treacher-


Collins Syndrome-A Challenge For Aaesthesiologists Goel L, Bennur SK,
Jambhale S - Indian J Anaesth
775. Patient present with deffieciency at the malar bone+open bite+normal
mental abilities;
1-treacher cholins. ***
2-cleidocrenial dyspasia
3-eagle syndrome
776. when removing lower second molar:
a- occlusal plane perpendicular To the floor
b- buccolingual direction to dilate socket. ***
c- mesial then lingual
777. The best material for taking impression for full veneer crowns:
a) poly vinyl sialoxane (additional Silicone)***
778. Stock trays compared to Custom trays for a removable partial denture
impression
A. Custom trays less effective than stock trays
B. Custom trays can record an alginate impression as well as elastomeric
impression
C. Custom trays provide even thickness of impression material. ***
D. All of the above
779. Which type of burs is the least in heat generation:
a) diamond
b) carbide ***
c) titanium
d) Steel bur
‫"أما طبيعة السنابل التوربينية فيفضل منها النوع المصنوع من كربايد التنغستن وذلك النها‬
‫تقلل كمية الحرارة المنتشرة‬-1
‫التخرش وال تسبب خشونة في منطقة العمل‬-2
‫تفيد افادة رائعة في نزع الحشوات السابقة وخاصة المعدنية منها‬
")‫زيد الشريطي‬.‫مدواة االسنان التحفظية (د‬:‫المرجع‬
more heat generated in diamond burs
dental secrets: page 200
780. Pt. Wears complete denture for 10 years & now he has cancer in the
floor of the mouth. What is the firs question that the dentist should ask:
a- does your denture is ill fitted
b- smoking. ***+ (80% of the cancer of the floor of the mouth is caused by
smoking)
c- Alcohol
d- does your denture impinge the o.mucosa. (traumatic cause)
Screening Oral Cancer - Prepared by Bruce F. Barker, D.D.S. and Gerry J.
Barker, R.D.H., M.A.

University of Missouri-Kansas City School of Dentistry


Ulceration on floor of mouth in edentulous patient,
initially misinterpreted as denture irritation.
781. Secondary dentine occur due to
a- occlusal trauma
b- recurrent caries
c- attrition dentine
d- all of the above***
782. All of these are ways to give L.A with less pain EXCEPT:
a- give it slowly
b- stretch the muscle.
c- Topical anesthesia
d- the needle size over than 25 gauge.
.‫كلما زاد رقم اإلبرة كلما كانت أرفع وبالتالي أقل ألما ً بالحقن‬

783. How much subgingivally do you go with the band in class II


restorations:
A) 0.5 – 1 mm. ***
B) 1 – 2 mm
C) 2 – 3 mm
784. The matrix band should be above the adjacent tooth occlusal surface
by 
a. 1-2mm. ***
b. 2-3mm.
c. 2.5-3.5mm.
d. below to it.
Textbook of operative dentistry- with MCQs – page 139

Matrix band should extend 2 mm above the marginal ridge height and 1 mm
below gingival margin of the cavity.

The matrix ban should not extend more than 2 mm beyond the occluso-
gingival height of the crown of the tooth. this facitilates vision and speed up
working.
Thickness of band is 0.05 mm = 0.002 inch
Concepts in nonsurgical periodontal therapy – page 100
For adequate closure of the margin, a minimum 0.5 mm of matrix band
beyond the margin is necessary.
785. A female patient came to your clinic with dry lips and mouth and
bilateral submandibular oedema and ocular dryness. Diagnosis is:
a)Polymorphecadenoma
b) sialotitis***
or: Sjögren's syndrome if present

786. The compression / relaxation cycle of external cardiac compression


should be repeated
a- 2 times / second
b- 60 times / minute
c- 76 times / second
d- 100 times / minute. ***
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) - page 304

Circulation Feel for a carotid pulse. If it is present, provide 10 breaths per


minute, checking the pulse for 10 sec every 10 breaths. If no pulse commence
chest compression, at the middle of the lower half of the sternum, depressing
4¾5 cm 100 times per minute.
And
Dental Decks - page 1790
787. One of the primary considerations in the treatment of fractures of the
jaw is
a- to obtain and maintain proper occlusion***
b- test teeth mobility
c- vitality
d- embedded foreign bodies
Dental Decks - page 1756

788. A child patient undergone pulpotomy in your clinic in1st primary molar.
Next day the patient returned with ulcer on the right side of the lip… your
diagnosis is:
a) Apthosis
b) Zonal herpes
c) traumatic ulcer*** ‫العض على الشفة‬
789. Bitewing exam is used to diagnose EXCEPT:
1. Proximal caries.
2. Secondary caries.
3. Gingival status.
4. Periapical abscess***
.‫ألن الصورة المجنحة ال تظهر ذرى األسنان‬

790. Which of the following types of base materials can be placed in contact
with polymethyl methaacrylate & not inhibit the polymerization of the resin
a) zoe
b) GI cement
c) Zn phosphat cement
d) varnish
e) b&c***
791. We can use under the composite restoration:
1. Varnish.
2. Zinc oxide and eugenol.
3. Ca (OH)2.
4. Zinc phosphate cement.
• 1+2.
• 2+3.
• 3+4***
• 2+4.
‫ أما أكسيد‬، ‫يمكن وضع كل من ماءات الكالسيوم والغالس إينومير وفوسفات الزنك تحت الكومبوزت‬
.‫الزنك واألوجينول والفرنيش فهما يعيقان التماثر‬

792. A patient complaining from a severe oedema in the lower jaw that
increases in size upon eating, Diagnosis is:
a) salivary gland. *** (submandibular sal. Gl.)
793. a patient that wasn’t anaesthetized well in his 1st visit, next day he
returns with a limited mouth opening (trismus). He must be anaesthized,
what’s the technique to be used:
a) William’s technique
b) Bercher’s technique.***
‫عبد الكريم خليل‬.‫ د‬- ‫التخدير الموضعي لجراحة الفم والوجه والفكين الجزء الثاني‬

‫ هي طريقة‬Trismus ‫طريقة التخدير المستطبة في حال لم يستطيع المريض فتح فمه بسبب الضزز‬
‫ وتستخدم لتخدير العصب الماضغ(الفرع الحركي من السني السفلي) للوصول الى ارتخاء‬Bercher
.‫الفك السفلي‬

)‫يوجد طريقة أخرى صحيحة مذكورة في سؤال آخر ورد في اختباري السابق(عبيدة‬

794. a patient that wasn’t anaesthetized well in his 1st visit, next day he
returns with a limited mouth opening (trismus). He must be anaesthized,
what’s the technique to be used
-a William’s technique
b- gow gates technique
-c vazirani-akinosi techniqu
: ‫المرجع‬
Vazirani-Akinosi technique - a closed-mouth injection technique, the syringe **
is "advanced parallel to the maxillary occlusal plane at the level of the
maxillary mucogingival junction
‫وهذا كامل المقال‬
http://webcache.googleusercontent.com/search?
q=cache:TNfGYamBvFkJ:en.wikipedia.org/wiki/Inferior_alveolar_nerve_anaest
hesia+vazirani+akinosi+techniques&cd=5&hl=ar&ct=clnk&gl=sa&client=firefox
-a

VaziraniAkinosi Nerve Block


The Vazirani-Akinosi closed mouth mandibular block is a useful technique for patients with
limited opening due trismus or ankylosis of the temporomandibular joint. A 25 gauge long
.needle is recommended for this technique

The right handed operator should be in the eight o’clock position whereas the left handed
operator should be in the four o’clock position. The gingival margin above the maxillary 2nd
and 3rd molars and the pterygomandibularraphae serve as landmarks for this technique. The
patient should close gently on the posterior teeth. The needle is held parallel to the occlusal
plane at the level of the gingival margin of the maxillary 2nd and 3rd molars. The bevel is
.directed away from the bone facing the midline

The needle is advanced through the mucous membrane and buccinator muscle to enter the
pterygomandibular space. The needle is inserted to approximately one half to three quarters
of its length. At this point the needle will be in the midsection of the ptyerygomandibular
space. . Nerves anesthetized are the lingual and long buccal nerves in addition to the inferior
.alveolar nerve

795. At which of the following locations on a mandibular molar do you


complete the excavation of caries first:
a- axial walls .
B- pulpal floor over the mesial pulp horns
c- peripheral caries. ***
d- all of the above are correct.
301 ‫حسب أكسفورد ص‬
.‫في النخور العميقة نزيل نخر الملتقى المينائي العاجي ثم قعر الحفرة‬
796. CMCP contains phenol in concentration
a-0.5 %.
b- 35 %. ***
c-65 %.
d- 5 %.
797. Dentist provided bleaching which also knowr as (home bleaching)
contain
a- 35-50% hydrogen peroxide
b- 5-22% carbamide peroxide ***
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) - page 316
a solution of 10% carbamide peroxide in a soft splint has been advocated for
home bleaching

798. What is the disadvantages of Mcspadden technique in obturation


‫االتكثيف الحراري الميكانيكي الجانبي – حركة فتل للخارج بمبرد خاص‬
requires much practice to perfect. ***
‫سؤال مشابه‬
799. What are the disadvantages of mcspadden technique in obturation:
a) Increase time.
B) Increase steps.
C) Difficult in curved canals. ***
D) All the above.

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) - page 177


And:
Disadv's of mcspadden Tech:
1. Use of speed higher than recommended>> poor seal.
2. Extrusion of the filling material.
3. Fracture of thermocompactor.
4. Gouging of the canal wall.
5. Inability to use the technique in curved canals.
6. Heat generation may lead to PDL damage, resorption and ankylosis..
7. Voids in final filling
And:
If the file is turning in reverse, it can screw itself into the canal and periapical
tissues
Endodontic Obturation
800. thermo mech. Tech of obturation is:
A) thermafil
B) obtura
C) ultrafil
D) mcspadden. *** (source : Endodontic obturation materials)

801. Fractured tooth to alveolar crest, what's the best way to produce
ferrule effect?
A) restore with amalgam core sub-gingivaly. ***
b) crown lengthening
c) extrusion with orthodontics
‫عدة حلول متناقضة‬:
1- Dental secrets 269 – " If the fracture is subgingival, remove the coronal
segment and perform appropriate pulp therapy, then reposition the remaining
tooth structure coronally either orthodontically or surgically"
And Oxford handbook.
2- http: //www.dental-update.co.uk/articles/35/3504222.pdf
In the absence of a ferrule, Aykent et al19 found that in vitro use of a dentine
bonding agent with an amalgam core and a direct stainless steel post
provided a significant increase in fracture resistance in extracted premolars.
Whilst dentine bonding of the amalgam core did not offer any significant
improvement when a 1 mm ferrule was present, this study suggests that there
may be a role for dentine bonding of amalgam cores when a ferrule cannot be
achieved.
Both crown lengthening and orthodontic extrusion may allow for an increased
ferrule, but they add additional cost, discomfort and length of treatment times
for the patient. Crown lengthening increases the crown to root ratio. Whilst
Ichim et al16 used finite element analysis to predict that crown lengthening
did not alter the levels or pattern of stress within the palatal dentine,
Gegauff20 concluded that crown lengthening could be problematic.
Gegauff20 investigated whether crown lengthening to achieve a ferrule would
affect the static load failure. By placing the finish line further apically, Gegauff
postulated that the tooth may be weakened as a result of the resultant
decrease in cross-sectional area of the preparation and the increased crown to
root ratio. Orthodontic extrusion may avoid this problem as it results in a
smaller change in the crown to root ratio.

‫حسب الكالم السابق يبدو أن تطويل التاج أو تبزيغه قد تؤدي إلى زيادة نسبة طول التاج ألى الجذر و‬
)‫بالتالي إضعاف السن لذلك يبقى أفضل حل هو الترميم باألملغم (عبيدة‬
802. 65 years old black man wants to have very white teeth in his new
denture what should the dentist do:
a- Put the white teeth
b- Show the patient the suitable color first then show him the white one.
c- Convince him by showing him other patients photos.
d- Tell him firmly that his teeth color are good.
Or
- Do not show white teeth ‫خيار في نموذج أسئلة آخر‬
Complete Denture 17th Ed – page 73-74
Often a short informative talk using some of the tooth manufacturer's (or
preferably your own) "before and after" photos can be very effective in
motivating patients to accept a more natural tooth selection.
SHADE SELECTION:
The shade is selected with the Portrait shade guide. There are 24 shades;
enough to fulfill the color requirement of any denture patient. The large
selection seems confusing but you will soon note that certain shades will be
used the most. Shades A,B,C, & D (16) are the most useful and are called
characterized shades as they are a subtle mix of many shades. The last 8 are
the Bioform shades, B59-882, and are not characterized and do not look as
natural. They are included as Bioform teeth and shades have been sold for
many years and it's often necessary to match them.
1. For youthful patients, use lighter shades with a bluish incisal.
2. For older patients, use a darker shade with mostly body color.
3. If the patient has dark hair, brown eyes, and dark skin, darker shades
with more yellow and brown will look more natural. 'This rule does not apply
for Black patients as they often have very white teeth.
4. If the patient has blue eyes and fair skin, use lighter shades with more
gray.
5. Consider the patient's desires: Many patients have very definite ideas
on tooth color and will often not accept the above guidelines. Don't let the
patient get a hold of the shade guide; many will select the pearly white A1 !!
Select a shade that you think is suitable and let them make the final choice.
6. Consider the patient's old denture. Do they like the color of the teeth?
If they think the color of the old dentures teeth were satisfactory, match them
closely. Keep in mind that teeth discolor and other manufacture's shades may
be somewhat different.
:‫حسب أكسفورد‬
‫رأي المريض هو األهم في اختيار لون األسنان الصناعية مع تدوين رأي الطبيب‬
"‫وحسب كتاب "التعويضات المتحركة الكاملة‬
‫وعندما نبدأ بانتقاء اللون يجب على الطبيب استبعاد األلوان شديدة البياض ألن بعض المرضى‬
‫ ويكتفي الطبيب باختبار‬. ‫يستهويهم اللون األبيض الناصع فنحصل على نتائج مخزية في نهاية العالج‬
،‫طيف غير واسع من األلوان بحيث تكون كلها مقبولة ويعرضها بعد ذلك على المريض ليساهم باالختيار‬
‫ نصر على مشاركته حتى ولو اختار بين لونين أو ثالثة ليشعر في‬،‫وإذا ما رفض المساهمة باالختيار‬
. ‫النهاية أنه مساهم ومسؤول مثله مثل الطبيب عن النتائج الجمالية للعالج‬
‫ول ويجب عند ذلك‬gg‫إن رضى المريض والطبيب معا ً وتسوية األمور بشكل وسطي غالبا ً يعتبر أفضل الحل‬
‫ائج النهائية للمعالجة‬gg‫أن يكون الطبيب والمريض في حالة ارتياح ورضى تجاه القرار النهائي وإال فإن النت‬
‫ستكون في خطر وإذا ما كان المريض متصلبا ً في آرائه ولم يستطع الطبيب إقناعه أو إيصاله إلى االختيار‬
. ً ‫الصحيح فسيكون اللجوء إلى طبيب آخر أو عدم متابعة المعالجة أمراً متوقعا‬
803. During clinical examination the patient had pain when the exposed root
dentine is touched due to:
a- Reversiple pulpitis
b- Dentine hypersensitivity
c- Irreversible pulpitis
‫سؤال مشابه‬
804. Pt presented to u having root recession he has pain when putting probe
gently on the root
what is the diagnosis:
a. Dentin hypersensitivity
b. Reversible pulpitis.
c. Irreversible pulpitis.
d. Apical Periodontitis.

805. The patient have dull pain and swelling and the PA shows apical
radiolucency your diagnosis will be:
a- Acute periodontal abscess
b- Chronic periodontal abscess with swelling. ***
806. All these shows honey combed bone radiographically EXCEPT:
a- Ameloblastoma
b- Odontogenic myxoma cyst
c- Odontogenic keratocyst
d- Adenomatoid tumor. ***
Source : http://www.head-face-med.com/content/1/1/3

807. Flouride amount in water should be:


a- 0.2-0.5 mg/liter
b- 1-5 mg/liter
c- 1-2 mg/liter. ***
d- 0.1- 0.2 mg/liter
808. For children considered to be at high risk of caries and who live in areas
with water supplies containing less than 0.3 ppm:
a. 0.25 mg F per day age 6 months to 3 yrs
b. 0.5 mg f per day From 3-6 yrs
c. 1 mg per day more than 6 yrs
d. All of above***
809. 3 year old pt, water fluoridation 0.2ppm what is the preventive
treatment
a. 0.25 mg fluoride tablet***
b. 1 mg fluoride tablet
c. Fluoridated mouth wash
d. Sealant
oxford handbook of clinical dentistry 4th 2005 oxford

810. the powered toothbrush invented in: ‫الكهربائية‬


a- 1929
b- 1939. ***
c- 1959
d- 1969
http://www.6moo7.com/vb/showthread.php?t=16782
811. The most superior way to test the vitality of the tooth with:
a- Ice pack.
B- Chloro ethyl.
C- Endo special ice. ***
D- Cold water spray.
http://www.realworldendo.com/eng/lib_diagnosis_procedures.html
Once we have determined that a particular tooth is indeed percussive, the
next step is to determine the pulp status of that tooth (vital or non-vital).
Without question, the method most commonly employed by Endodontists is
the thermal test. When doing a cold test, “Endo Ice”, (a refrigerant) can be
sprayed on a cotton pellet and then placed on a dry tooth. This test, along
with the percussion test are the two most important tests in diagnosis. If the
patient feels nothing and there is no response from the tooth, we must
assume this tooth to be necrotic (non vital).

94 ‫حسب كتاب األطفال ص‬


‫تعتبر نتائج الفحص بثلج ثاني أكسيد الكربون معتمدة وثابتة بسبب درجة حرارته المنخفضة جداً حتى في‬
.‫األسنان غير المكتملة النضج أو المتوجة أو التي عليها جبيرة‬
22 ‫حسب أكسفورد ص‬
‫كلور اإليتيل أكثر طريقة مستخدمة لفحص حيوية اللب بالبرودة‬
‫ولكن مشكلتها هي أن عدة أسنان تستجيب للتنبيه‬
812. The way to remove mucocele is
a- Radiation
b- Excision ***
c- Chemotherapy
d- Caterization
Mucocele
Infrequently, a mucocele goes away without treatment. But if some
mucoceles remain untreated, they can scar over. Your dentist should
examine any swelling in your mouth.
A mucocele usually is removed by surgery. The dentist may use a scalpel or
a laser to remove the mucocele. Afterward, the tissue will be sent to a
laboratory for evaluation. There is a chance that after the mucocele is
removed another one may develop.
Some doctors use corticosteroid injections before trying surgery. These
sometimes bring down the swelling. If these work, you may not need
surgery
813. 8 years old come with fractured max incisor tooth with incipient
exposed pulp after 30 min of the trauma, what’s the suitable rx: ‫انكشاف وشيك‬
a- Pulpatomy
b- Direct pulp capping
c- Pulpectomy
d- Apexification
Children generally develop their teeth before birth. Eruption starts at about six
months, usually with the appearance of the lower incisors, and is complete by
about two-and-a-half years. The table below will show an estimate chronology
:of tooth development

Appearance Calcification begins Baby teeth


mo 6-9 mo (fetal life) 4 Incisors
mo 16-18 mo (fetal life) 5 Canines
mo 12-14 mo (fetal life) 6 1st Molar
mo 20-30 mo (fetal life) 6 2nd Molar

Appearance Calcification begins Permanent teeth


yrs 6-8 mo 3-4 Lower incisors
yrs 7-9 mo 4-5 Upper incisors
yrs 9-10 mo 4-5 Lower Canines
yrs 11-12 mo 5-6 Upper Canines
yrs 10-12 yrs 1.5-2.5 Premolars
yrs 6-7 Birth 1st Molars
yrs 11-13 yrs 2.5-3 2nd Molars
yrs 17-21 yrs 7-10 3rd Molars
http://www.williamsdentalassociates.com/toothdevelopment.htm

814. pt came to dental clinic having a heamological problem after lab test
they found that factor VIII is less 10% what’s the diagnosis:
a- Heamophilia A. ***
b- Hemophilia b
(defect factor 9 : hemophilia B)

815. all these are contraindicated to RCT EXCEPT:


a- Non restorable tooth
b- Vertical root fracture
c- Tooth with insufficient tooth support
d- Pt who has diabetes or hypertension
816. sharpening the curette and sickle, the cutting edge should be at angle:
a- 50-60
b- 70-80. ***
c- 80-90
d- 60-70
817. avulsed tooth is washed with tap water , it should be replaced again:
a- Immediately. ***
b- After 2 hours.
c- 24 hr’s.
818. 10 yr’s old child, who is an able to differentiate the colors, and cant tell
his name, or address. He is acting like:
a. 3 years old. ***
b. 4 years old.
c. 10 years old.
819. Patient with complete denture pronouncing F as a V
anterior teeth are upward from lip line. ***
dental decks II - page 396
Placement of maxillary anterior teeth in complete dentures too far from
superiorly and anteriorly might result in difficulty in pronouncing F and V
sounds.
‫صيغة أخرى تحوي الكالم السابق حرفيا‬
820. Patient with complete denture pronouncing F as a V
maxillary anterior teeth had placed too far from superiorly and anteriorly
821. pt have a complete denture came to the clinic ,tell you no complaint in
the talking ,or in the chewing ,but when you exam him ,you see the upper lip
like too long ,deficient in the margins of the lip, reason is?
A)deficiency in the vertical dimensional. ***
b)anterior upper teeth are short.
c)deficient in vit B
.‫أما نقص فيتامين ب يؤدي إلى التهاب صوار الشفة وهو ما يسببه نقص البعد العمودي‬

822. child has a habit of finger sucking and starts to show orodental
changes, the child needs:
a- Early appliance
b- Psychological therapy
c-rewarding therapy
d- punishment

823. Knife ridge should be tx with:


1/relining soft material
2/ maximum coverage of flange. ***
3/ wide occ. Table
4/all
Dental Decks - page 414
If you are fibrating mandibular complete denture for with a patient with knife-
edge ridge, you need maximal extension of the denture to help distribute the
forces of occlusion over a large area.
824. Child 3 years old came to clinic after falling on his chin, you found that
the primary incisor entered the follicle of the permanent incisor what you will
do:
A) Surgical removal of the follicle
B) Leave it
C) Surgicall removal of the primary incisor. ***
Dental Decks - page 1626
If the intruded incisor is contanting the permenant tooth bud, the primary
tooth should be extracted.
825. Tongue develope from:
1/mandibular arch & tuberculum impar. ***
2/1st branchial arch
Anatomy of the Human Body - Henry Gray – page 27
- The mandibular arch lies between the first branchial groove and the
stomodeum; from it are developed the lower lip, the mandible, the muscles of
mastication, and the anterior part of the tongue.

- The ventral ends of the second and third arches unite with those of the
opposite side, and form a transverse band, from which the body of the hyoid
bone and the posterior part of the tongue are developed.
Anatomy of the Human Body - Henry Gray – page 693
During the third week there appears, immediately behind the ventral ends of
the two halves of the mandibular arch, a rounded swelling named the
tuberculum impar, which was described by His as undergoing enlargement to
form the buccal part of the tongue. More recent researches, however, show
that this part of the tongue is mainly, if not entirely, developed from a pair of
lateral swellings which rise from the inner surface of the mandibular arch and
meet in the middle line.
826. Perforation during endo space preparation what is the most surface of
distal root of lower molar will have tendency of perforation:
1/ M SURFACE. ***
2/ Distal surface.
3/ Buccal surface.
4/ Lingual surface.
Dental ‫لو كانت صيغة السؤال تخص الحجرة اللبية فالسطح األكثر تعرضا ً لالنثقاب هو اللساني‬
decks 144

827. Crown and root perforation:


1/ respond to MTA
2/ use matrix with hydroxyapatite and seal with G I
3/1&2. ***
4/root canal filling
828. acceptable theory for dental pain:
1/hydrodynamic. ***
2/fluid movement
3/ direct transduction
Dental Decks - page 2234
The most accepted theory to explain the unusual sensitivity and response of
exposed root surfaces to to various stimuli is the hydrodynamic theory.
And
"Art and science of operative dentistry 2000" PAGE 257
Most authorities agree that the hydrodynamic theory "best explains dentin
hypersensitivity. The equivalency of various hydrodynamic stimuli has been
evaluated from measurements of the fluid movement induced in vitro and
relating this to the hydraulic conductance of the same dentin specimen."'
829. While u were preparing a canal u did a ledge, then u used EDTA with
the file, this may lead to
a. perforation of the strip
830. Removing of dentine in dangerous zone to cementum is:
1/ perforation. ( Apical perforation ). ‫تجاوز الذروة‬
2/ledge. ‫درجة‬
3/stripping. *** #‫ جانبي‬#‫ ( انثقاب‬Lateral perforation )
4/zipping. ‫نقل الذروة‬

1473 + 1794 #‫انظر السؤالين‬


 Stripping is a lateral perforation caused by over instrumentation
through a thin wall ( danger zone ) in the root.

831. Follow up of RCT after 3 years , RC failed best treatment is to:


a) Extraction of the tooth
b) Redo the RCT . ***
c) Apicectomy
832. Acute abscess is:
a) Cavity lined by epithelium.
B) Cavity containing blood cells.
C) Cavity containing pus cells. ***
d) Cavity containing fluid.
MASTER DENTISTRY- Oral and Maxillofacial, Surgery, Radilolgy, Pathology and
Oral Medicine

An abscess is a pathological cavity filled with pus and lined by a pyogenic


.membrane

epithelium ‫أما الناسور (يترافق مع الخراج المزمن) فهو مبطن بنسيج بشروي‬
.15‫ ص‬Pathway of the pulp 9ed 1st ‫المرجع‬
‫وكذلك الكيس بطانته بشروية‬

833. The most close tooth to the maxillary sinus:


a)maxillary 1st molar. ***
.ً ‫ فالحل صحيح حتما‬Endodontics ‫هذه األسئلة وردت لزميل حصل على درجة كاملة في المداوة اللبية‬

834. mechanochemical prep'n during RCT main aim: ‫الهدف الرئيسي‬


1) widening of the apex
2) master cone reaches the radiographic apex
3) proper debridement of the apical part of the canal******
835. Master cone doesn't reach the apex
1)ledge
2)residual remenants (debris)
3)......
4) 1&2 ******
836. child patient with oblitration in the centeral permenant incisor. What
will you do:
RCT
pulpotomy
pulpectomy
careful monitoring******
837. At which temperature that gutta percha reach the alpha temp:
a- 42-48 c ******
b- 50-60
c- 70-80
d- 100c
838. After completion of orthodontic treatment he came complaining of
pain in 11 tooth radiograph show absorption in the middle third of the
root of 11 wt is the proper management:
a. Apply caoh at the site of resorption. ******
b. Do RCT in a single visit
c. Extract the tooth & reimplant it
d. Extract the tooth & do implantation
Dental decks part 2 page236

Bowl -shaped area of resorpation in volving cementument dentin characterize


external inflamatory root resorption, this type of external resorption is rapidly
progressive and will continue if treatement is not instituted. the process can
be arrested by immeditae root canal treatment with calcium hydroxide paste.
remembre the etiology of external resorption : excessive orthodontie forces,
periradicular inflammation, dental trauma, impacted teeth.

)‫انتهت أسئلة المداواة اللبية التي جاءت في اختبار الزميل الذي حصل على عالمة كاملة بها (عبيدة‬

839. Patient that has a central incisor with severe resorption and who's
going through an ortho treatment that is going to make him extract the
premolars, which of the following won't be present in the treatment plan
a. rpd
b.implant
c. Maryland bridge
d.auto implant of the premolars. ******
‫عندما يكون المريض خاضع لمعالجة تقويمية تعتبر الجسور الثابتة مضاد استطباب ألنها تكبح حركة‬
‫األسنان أثناء المعالجة لذلك نختار أن نضع زرعة أو جهاز متحرك أو جسر مرالند ألنه مرن و ال نضع‬
)‫جسور معدنية أو بورسلين مع معدن (عبيدة‬

840. The aim of treatment maintenance is:


A) Prevent secondary infection.. ***
B) Check tissue response.
‫صيغة ثانية للسؤال‬
841. The aim of maintenin therpy is
a- Prevent recurrent dieases
B- Check tissue response.

842. Provisional restoration for metal ceramic abutment is


a) aluminum sheet
b) stainless steel crown
c) zno
d) tooth colored polycarbonate crown***
843. Dr.black (GV black) periodontal instrument classification:
study what the number represent in the instrument formula. ***
844. For g.v black classification study what the number refers to angulation?
a. Number 1
b. Number 2
c. Number 3 ***
d. Number 4
"For g.v black classification study what the number represent in the
instrument formula one for width one fo length one for angulation
1st: Width of blade -2nd: Length of the blade in millimeter-3rd: Angle of blade
-4th: when cutting edge at ab angle other then right"
845. An adult had an accident, maxillary central incisors intruded, lip is
painful with superficial wound what is the trauma’s classification:
a) luxation. ***
b) subluxation
c) laceration ‫تمزق‬
d) abrasion ‫سحج‬
e) contusion ‫كدمة‬
Handbook of dental trauma 2001- page 73
Intrusive luxations, or intrusions, result from an axial force applied to the
incisal edge of the tooth that results in the tooth being driven into the socket

846. Schick test an intradermal test for determination of susceptibility to


a. Diphtheria hyperSensitivity
b. Tuberculosis hypersensitivity
c. ??? lepsron
‫ المرجع‬:
The Schick test, invented between 1910 and 1911[1] is a test used to
determine whether or not a person is susceptible to diphtheria.[2] It was
named after its inventor, Béla Schick (1877–1967), a Hungarian-born American
pediatrician.
The test is a simple procedure. A small amount (0.1 ml) of diluted (1/50 MLD)
diphtheria toxin is injected intradermally into the arm of the person. If a
person does not have enough antibodies to fight it off, the skin around the
injection will become red and swollen, indicating a positive result

http://en.wikipedia.org/wiki/Schick_test

Schick test - definition of Schick test in the Medical dictionary - by the Free
Online Medical Dictionary, Thesaurus and Encyclopedia.
847. In a curved root u bent a file by.
A. Put gauze on the file & bend it by hand *** ‫شاش‬
b. Bend the file by pliers ‫ملقط‬
c by bare finger ‫إصبع مجرد‬
d. By twist ‫حبل‬
.‫وحسب أوكسفورد يتم الثني بقبضة المرآة‬

848. Father for child 12 year pt <asked you about ,the age for the amalgam
restoration of his
child ,you tell him:
a)2 years
b)9 years
c)2 decades. ***
d)all life
Art and science of operative dentistry 2000 – page 766
Complex amalgam restoration with pins: Smales reported that 72% of
amalgam restorations survived for 15 years, including those with cusp
coverage.
‫ سنة‬20 ‫هذا يعني أن الحشوات العادية تستمر حتى‬
:168 ‫ونفس المصدر ص‬
849. Cleft lip is resulted from incomplete union of:
1. Tow maxillary arches.
2. Maxillary arches and nasal arch.***
850. Arrange the steps of cleft palate management:
1. Measures to adjust speech.
2. Establish way for nursing and feeding.
3. Cosmetic closure.
4. Prevent collapse of two halves.
2 – 4 – 1 – 3.

851. 8 years old pt. Had trauma to 8 presented after 30 minute of injury He
had crown fracture with incipient pulp exposure what u do:
1. Direct pulp capping. ***
2. Pulpotomy.
3. Pulpctomy.
4. Observe.
852. Time of PT, PTT:
a)11-15 seconds , 25-40 seconds. ***
PT=12-14 sec ---- PTT=30-40sec ‫زمن تخثر الدم‬
bleeding time within < 8 min ‫زمن توقف النزف‬

853. Young pt came without any complain. During routine X ray appear
between the two lower molar lesion diameter about 2mm & extend laterally
with irregular Shape. What’s the type of cyst
a) dentigerous cyst
b) apical cyst
c) radicular cyst
854. When extracting all max teeth the correct order is:
a) 87654321
b) 87542163. ***
c) 12345678
.‫ القلع من الخلف لألمام مع األخذ باالعتبار صعوبة قلع بعض األسنان‬:‫القاعدة‬
 Dentogist MCQs in Dentistry
Archer suggest that the first maxillary molar and canine are key pillars of
maxilla and most firm teeth of the arch, once their adjacent teeth are
removed they can be easily luxated and extracted rathar than when these are
tried to be removed first.
855. For a patient that is on a corticosteroid therapy, upon oral surgery, the
patient is given:
A) 100 - 200 mg hydrocortisone. ***
B) 400 - 600 mg prednisolone
‫سؤال مشابه‬
856. Patient under corticosteroid therapy , he will undergo surgical
extraction of third molar . what will you give to avoid adrenal crisis
a-Dexamethasone ( 4 mg / I.V.). *** (better as it has a long duration of
action)
b- Methyl prednisolone ( 40 mg / I.V).
c- Hydro cortisone sodium sulfide ( 40 – 50 mg.)
d- Hydro cortisone sodium succinate ( 100 – 200 mg)

857. Patient with lupus erythematous and under cortisone, he needs to


surgical extraction of a tooth. What should the surgeon instruct the patient:
a) Take half of the cortisone dose at the day of operation.
B) Double the cortisone dose at the day of operation.***
c) Take half of the cortisone dose day before and at the day of operation and
day after.
D) Double the cortisone dose day before and at the day of operation and day
after.
Instruct patient to double dose of steroids the morning of surgery up to
200mg. If taking greater than 100mg, then give only an additional 100mg.
• If on alternate day steroids, do surgery on day steroids are taken
• If patient has had 20 mg of steroid for more than two weeks in the past 2
weeks, but is not currently taking steroids, then give 40mg hydrocortisone
prior to surgery
And
Dental secrets – page 49
For multiple extractions or extensive mucogingival surgery, the dose of
corticosteroids should be doubled on the day of surgery. If the patient is
treated in the operating room under general anesthesia, stress level doses of
cortisone, 100 mg intravenously or intramuscularly, should be given
preoperatively.
And
Dental Decks - page 1834
‫إذا كان المريض يتناول الستيروئيد في األيام السابقة للعمل الجراحي أو حتى إذا كان متوقفا ً عن تناول‬
‫ أما إذا كان يتناول الستيروئيد‬،‫ عندئ ٍذ نضاعف الجرعة يوم العملية فقط‬،‫الستيروئيد منذ أقل من أسبوعين‬
.‫ فيجب أن نعطيه جرعة عادية يوم العملية‬،‫بانتظام ولكنه توقف منذ أكثر من أسبوعين‬
858. The right corticosteroid daily dose for pemphigus vulgaris is:
a- 1-2 g/kg/daily
b- 1-2 mg
c- 10 mg
d- 50- 100 mg hydrocortisone. ***
Tyldesley's Oral Medicine, 5th Edition – page 132
Very high dosages are used initially to suppress bulla formation (of the order
of 1 mg/kg prednisolone daily), but this may often be slowly reduced to a
maintenance dose of 15 mg daily or thereabouts
‫صيغة أخرى للسؤال يرجى االنتباه للفرق‬
859. The right corticosteroid daily dose for pemphigus vulgaris is:
a- 1-2 g/kg/daily
b- 1-2 mg/kg/daily***
c- 10 mg/kg/daily
d- 50- 100 mg/kg/daily hydrocortisone
860. The following are indication of outpatient general anesthesia EXCEPT
a) ASA categories 1 & 2
b) the very young child.
c) cost increase. ***
d) Patient admitted and discharge the same day
861. The primary source of retention of porcelain veneer
1_mechanical retention from under cut
2_mechanical retention from secondary retentive features
3_chemical bond by saline coupling agent
4_micromechanical bond from itching of enamel and porcelain
862. A removable partial denture patient, Class II Kennedy classification. The
last tooth on the left side is the 2nd premolar which has a distal caries. What’s
the type of the clasp you will use for this premolar:
a) gingivally approaching clasp.
b) ring clasp. ***
‫سؤال مشابه‬:
-- Patient who has un-modified class II Kennedy classification, with good
periodontal condition and no carious lesion. The best clasp to use on the other
side (teeth side) :
a) reciprocal clasp (Aker's clasp). ***
b) ring clasp.
c) embrasure clasp.
d) gingivally approaching clasp.

863. Patient come to your clinic complaining that the denture become tight,
during examination you notice nothing, but when the patient stand you notice
that his legs bowing (curved). What you suspect:
a) Paget’s disease. ***
b) …….x
c) …….x
864. A 55 year old patient with multi-extraction teeth, after extraction what
will you do first:
a) Suturing.
B) Primary closure should be obtained if there is no luntant tissue.
C) Alveoplasty should be done in all cases. *** ‫رأب السنخ‬
865. Child with traumatized lip, no tooth mobility, what will you do first:
a) Radiograph to check if there is foreign body. ***
b) Refer to the physician for sensitivity test.
C) ….?
‫كتاب األطفال‬

866. 2nd maxillary premolar contact area:


a) Middle of the middle third with buccal embrasure wider than lingual
embrasure.
B) Middle of the middle third with lingual embrasure wider than buccal
embrasure.*** ‫الفرجة الحنكية أكبر من الدهليزية‬
c) Cervical to the incisal third …….x
d) …….x
867. Patient come to the clinic with ill-fitting denture, during examination
you notice white small elevation on the crest of the lower ridge, what will
you tell the patient:
a) This lesion needs no concern and he should not worry.
B) The patient should not wear the denture for 2 weeks then follow up.
***
c) ……x
868. How do you know if there are 2 canals in the same root:
a) Radiographically with 2 files inside the root. ***
b) The orifices are close to each other.
C) ……x
869. Hunter Schreger bands are white and dark lines that appear in:
a) Enamel when view in horizontal ground.
B) Enamel when view in longitudinal ground. ***
c) Dentin when view in horizontal ground.
D) Dentin when view in longitudinal ground.

‫المرجع‬
Hunter-Schreger band formation as it exists in enamel structure. When
examined by reflected light, these bands appear as alternating light and dark
areas in the enamel portion of a longitudinal ground tooth section
870. Patient complains from pain in TMJ. During examination you noticed
that during opening of the mouth mandible is deviate the right side with
left extruded. Diagnosis is:
a) Condylar displacement with reduction.
B) Condylar displacement without reduction. ***
C) …….x
d) ……x
871. Pt. Presented to u complain of click during open and close. Thers is no
facial asymmetry EXCEPT when opening What is the diagnosis:
1-internal derangement with reduction. ***
2-internal derangement without reduction
3-reumatoid arthritis
4-,,,,,,,
1 ‫الجواب هو‬
‫ هو عبارة عن انزالق القرص المفصلي من مكانه لياخذ‬Disc dislocation with reduction ‫الن‬
‫وضع غير وضعه الطبيعي فاثناء اغالق الفم يكون امام اللقمة ثم يتراجع لياخذ مكانه على راس اللقمة‬
‫(اثناء الفتح واالغالق‬click) ‫اثناء االغالق وهذا يؤدي الى سماع صوت‬
‫يبدا القرص المفصلي بعدم العودة للخلف ويبقى‬Disc dislocation without reduction ‫اما في حالة‬
‫امام الناتى المفصلي ويصبح فتح الفم صعبا ومؤلما وقد يصبح المضغ شبه مستحيل وعندها اليصدر‬
‫ عند الفتح واالغالق‬click ‫المفصل الفكي‬

872. Unilateral fracture of left condyle the mandible will:


a) Deviate to the left side.
B) Deviate to the right side.
C) …..x
d) …..x
873. Streptococcus activity detected by:
a) Fermentation.
B) Catalase.***
C) …..x
d) ……x
)‫الجواب هو الثاني أكيد حسب كالم طبيب تحاليل طبية (عبيدة‬
‫المرجع‬
District Laboratory Practice Tropical Countries page 64
Catalase test
This test is used to differentiate those bacteria that prodce the enzyme
catalase as staphylococci from non-catalase producing bacteria such as
streptococci
874. cleidocranial dysostosis characteristic:
a) supernumerary of teeth.
b) Clevical problems.
c) Delayed closure of fontanelles
d) all of above ***

http://health.nytimes.com/health/guides/disease/cleidocranial-
dysostosis/overview.html#Symptoms

Symptoms

Patients with cleidocranial dysostosis have a jaw and brow area that sticks out. The
middle of their nose (nasal bridge) is wide.

The collar bones may be missing or abnormally developed. This pushes the shoulders
together in front of the body.

Primary teeth do not fall out at the expected time. Adult teeth may develop later than
normal, and extra set of adult teeth grow in. This causes the normal teeth to become
crooked.

The condition does not affect one's intelligence.

Other symptoms can include

 Ability to touch shoulders together in front of body


 Delayed closure of fontanelles
 Loose joints
 Occipital, parietal, and frontal bossing
 Short forearms
 Short fingers

875. To hasten Zinc Oxide cement, you add:


a) Zinc sulfide.
B) Barium sulfide.
C) Zinc acetate. ***
D) Barium chloride.
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) - page 770
"Journal of Dental Research"
876. In which tooth the contact is at the incisal edge:
a) Lower anterior teeth. ***
b) ……x
416 + 1123 ‫انظر السؤالين‬

877. Child with mental disorder suffer from orofacial trauma, brought to the
hospital by his parents, the child is panic and Irritable, the treatment
should done under:
a) Local anesthesia.
B) General anesthesia.
C) Gas sedation.
D) Intravenous sedation.
878. Fracture before 1 year of upper central incisor reach the pulp in 8 year
old child. How will you manage this case
a) RCT.
B) Apexification. ***
c) Direct pulp capping
d) Indirect pulp capping.
http://www.ncbi.nlm.nih.gov/pubmed/10409837
When there is pulpal involvement of permanent teeth with incompletely formed roots,
techniques for the induction of apical closure should be completed before endodontic
therapy is begun. Apexification is a method of inducing a calcified barrier at the apex of
a nonvital tooth with incomplete root formation . Apexogenesis refers to a vital pulp
therapy procedure performed to encourage physiological development and formation of
the root end
‫سؤال آخر مشابه و لكن اإلصابة حالية و ليست قبل سنة‬
879. 8 years old child came to your clinic with trauma to upper central
incisor with pulp exposure and extencive pulp bleeding your treatment will
be:
a. direct pulp cappin
b. pulpectomy with gutta percha filling
c.apexification
d. pulpotomy with calcium hydroxide***
http://www.sciencedirect.com/science/article/pii/S0099239978801538
The exposed pulps of 60 permanent incisors with a complicated crown fracture
were treated with partial pulpotomy and calcium hydroxide dressing. The
interval between accident and treatment varied from one to 2,160 hours and
the size of the pulpal exposure varied from 0.5 to 4.0 mm. Of the teeth, 28
had immature and 32 had mature roots. The treatment was successful in 58
teeth or 96% according to the following criteria: no clinical symptoms, no
radiographically observed intraradicular or periradicular pathologic changes,
continued development of an immature root, radiographically observed and
clinically verified hard tissue barrier, and sensitivity to electrical stimulation.
The follow-up examination varied from 14 to 60 months, with an average of 31
months.

Children generally develop their teeth before birth. Eruption starts at about six
months, usually with the appearance of the lower incisors, and is complete by
about two-and-a-half years. The table below will show an estimate chronology
:of tooth development

Appearance Calcification begins Baby teeth


mo 6-9 mo (fetal life) 4 Incisors
mo 16-18 mo (fetal life) 5 Canines
mo 12-14 mo (fetal life) 6 1st Molar
mo 20-30 mo (fetal life) 6 2nd Molar

Appearance Calcification begins Permanent teeth


yrs 6-8 mo 3-4 Lower incisors
yrs 7-9 mo 4-5 Upper incisors
yrs 9-10 mo 4-5 Lower Canines
yrs 11-12 mo 5-6 Upper Canines
yrs 10-12 yrs 1.5-2.5 Premolars
yrs 6-7 Birth 1st Molars
yrs 11-13 yrs 2.5-3 2nd Molars
yrs 17-21 yrs 7-10 3rd Molars

http://www.williamsdentalassociates.com/toothdevelopment.htm

880. 10 years pt come with necrotic pulp in upper central with root apex not
close yet best treatment
a. calcium hydroxide.
b. calcific barrier.***
c. apexfication with gutta percha filling
d. gutta percha filling
Dental Decks - page 176
A premixed syringe of calcium hydroxide-methylcellulose paste is injected into
the canal until it is filled to cervical level. The paste must reach the apical
portion of the canal to stimulate the tissue to form a calcific barrier.
The action of calcium hydroxide in prompting formation of a hard substance
at the apex is best explained by the fact that calcium hydroxide creates an
alkaline environment that promotes hard tissue deposition.

http://www.ncbi.nlm.nih.gov/pubmed/10409837
When there is pulpal involvement of permanent teeth with incompletely formed roots,
techniques for the induction of apical closure should be completed before endodontic
therapy is begun. Apexification is a method of inducing a calcified barrier at the apex of
a nonvital tooth with incomplete root formation . Apexogenesis refers to a vital pulp
therapy procedure performed to encourage physiological development and formation of
the root end
‫اإلغالق الذروي يمكن أن يحدث بعدة طرق إحداها ماءات الكالسيوم عندما يكون اللب حيا و في حالتنا‬
)‫اللب ميت (عبيدة‬

‫سؤال مشابه‬
881. child 10 years came with trauma on the center incisor from year ago
,and have discoloring on it , in the examination ,no vitality in this tooth
,and in the x ray there is fracture from the edge of the incisal to the pulp
,and wide open apex the best treatment ?
A)calcification. *** ( Calcific barrier ) = ( Apexification ).
B)RCT with gutta percha
C)extraction
D)capping
882. To remove a broken periodontal instrument from the gingival sulcus:
a) Schwartz Periotriever. ***
B) ………x
http://www.johnnysilva.com/periodontal-disease/abc-1.html
Schwartz Periotrievers. Hie Schwartz Periotrievers are a set ol two double-ended,
highly magnetized instruments designed for the retrieval of broken instrument tips
from the periodontal pocket (I igs. 41-31 and 41-32). I hey are indispensable when
the clinician has broken a curette tip in a furcation or deep pocket.w

883. An 18 years old Pt present complaining of pain, bad breath and


bleeding gingival. This began over the weakened while studying for the
final exam. The Pt may have which of the following conditions:
a. Acute necrotizing ulcerative gingivitis ***
b. Rapidly progressive periodontitis
c. Desquamative gingivitis. ‫توسفي‬
d. Acute periodontal cyst.
http://www.ncbi.nlm.nih.gov/entrez/u...supplip114.pdf
Thus, the former term, “acute necrotising ulcerative gingivitis” (ANUG) is
summed up in necrotising gingivitis (NG(
NG is a relatively rare disease and is generally described as existing in young
adults between the ages of 18 and 30 years.
It tends to emerge more frequently when the patient is under conditions of
both physical and psychological stress.
The disease is characterized by pain, bleeding and papillary necrosis with
tendency to relapse
Abrupt onset. If the patient has had prior outbreaks, he/ she is capable of
reporting prodromal symptoms; for instance, a burning sensation in the gums.
Poor general health status and low-grade fever Halitosis. ; it varies in terms of
both intensity and degree.
884. Gingival condition occur in young adult has good oral hygiene was
weakened
.ANUG
.desqumative gingivitis
.periodontitis
.gingivitis
"Tyldesley's oral medicine"
The influence of poor oral hygiene in the initiation of ANUG has been often
stressed, but there is no doubt that there are some patients whose standard
of hygiene must be considered by normal criteria to be good.
)‫الحالة ممكن أن تحدث أيضا في بعض الحاالت التي تكون فيها العناية الفموية جيدة (عبيدة‬
885. Differences between ANUG and AHGS is:
a. ANUG occur in dental papilla while AHGS diffuse erythematous inflamed
gingival.
b. ANUG occur during young adult and AHGS in children.
c. All of the above. ***

Signs and symptoms

Clinical features of necrotizing periodontal disease may include: [2]

 necrosis and/or punched out ulceration of the interdental papillae ("punched-out


papillae")[3] or gingival margin
 pseudomembranous formation
 painful, bright red marginal gingiva that bleed upon gentle manipulation
 halitosis

Coincident factors may include heavy smoking and poor nutrition,[2] especially for
those presenting with necrotizing ulcerative periodontitis.[3]

Treatment

Treatment includes irrigation and debridement of necrotic areas (areas of dead and/or
dying gum tissue), oral hygiene instruction and the uses of mouth rinses and pain
medication. As these diseases are often associated with systemic medical issues,
proper management of the systemic disorders is appropriate.[2]
Prognosis

Untreated, the infection may lead to rapid destruction of the periodontium and can
spread, as necrotizingstomatitis or noma, into neighbouring tissues in the cheeks,
lips or the bones of the jaw. As stated, the condition can occur and be especially
dangerous in people with weakened immune systems. This progression to noma is
possible in malnourished susceptible individuals, with severe disfigurement possible.

http://en.wikipedia.org/wiki/Acute_necrotizing_ulcerative_gingivitis#Signs_an
d_symptoms
886. Student, came to clinic with severe pain, interdental papilla is inflamed,
student has exams, heavy smoker, poor nutrition.
A. Gingivitis
b. ANUG
c. Periodontitis
887. 1212 - mypicx.com

The rows show “truth”, the column show “test result”o


a) Cell A has true positive sample.***
B) Cell A has true negative sample.
C) Cell A has false positive sample.
D) Cell A has false negative sample.

888. Distinguishing between right & left canines can be determined:


a. because distal concavities are larger.
b. with a line bisecting the facial surface the tip lies distally.
c. others
‫ واإلجابة الثانية إذا كان‬،‫اإلجابة على هذا السؤال هي الخيار األول إذا كان المقصود هو الناب الدائم‬
.‫ وإذا لم يكن هناك ذكر لكلمة مؤقت فالمقصود هو ناب دائم‬،‫المقصود الناب المؤقت‬
.‫ الحافة القاطعة الوحشية أطول من األنسية‬:‫الناب العلوي الدائم‬
.‫ الحافة القاطعة الوحشية أقصر من األنسية‬:‫الناي العلوي المؤقت‬
Dental Decks - page 1602
Primary canine: We can differentiate between the upper mesial & distal
canine by the functional cusp tip is inclined distally if bisectioning crown the
cervical line on lingual surface is inclined mesially root curved mesially

889. The best way to remove silver point


a) Steiglitz pliers. ***
c) Ultrasonic tips
d) H files
e) Hatchet
‫صيغة أخرى للسؤال وردت مع شرح مطول بأن راجعك مريض يشكو من آالم و بالتشخيص‬
‫اكتشفت أن لديه خراج ذروي و كان قرارك بإعادة معالجة الجذور و عند فتح الحجرة اللبية‬
‫اكتشفت أن األقنية محشوة بأقماع الفضة فما هي أفضل أداة إلزالتها‬
890. The best way to remove silver point
a) pliers and hemostate. ***
c) Ultrasonic tips
d) H files

A grasping tool such as the Stieglitz pliers (Henry Schein) can generally get a
strong purchase on the coronal end of a silver point and then, utilizing the
concept of fulcrum mechanics, elevate the silver point out of the canal.
Indirect ultrasonics is another important method to remove silver points. It is
not wise to place any ultrasonic instrument directly on the silver point because
it will rapidly erode away this soft material.
And
Endodontics Problem solving in clinical practice 2002 – page 142
Cement can be removed carefully from around the point using a Piezon
ultrasonic unit and CT4 tip or sealer tip. Great care must be taken not to sever
the point and damage the coronal end. The point is withdrawn using Stieglitz
forceps or small-ended artery forceps
.
891. Mucoceles the best tx is:
a) Excision***
b) leave it
c) marsupialization
d) cauterization
470 ‫أكسفورد‬

892. Isolation period of chickenbox should be:


-after appear of rach by week
-untill vesicle become crusted. ***
-until carter stage is last
)‫جدري الماء يعالج حتىتتقشر الحويصالت (عبيدة‬
Dental decks - page1308
Its most contagious one day before the onset of rash and until all vesicle have
crusted.
893. In fixed p.d u use gic for cemntation what best to do
-remove smear layer by acid to increase adhesion
-do not varnish because it affect adhesion. ***
-mixed slowly on small area untill become creamy
-remove excess when it in dough stage
"Contemporary Fixed Prosthodontics ROSENSTIEL – page 772" ‫وهو المرجع‬
‫المطلوب من الهيئة‬

‫ أما‬،‫ ثوان لكل دفعة وعلى سطح واسع‬10 ‫يجب مزج الغالس إينومير على دفعتين وبسرعة خالل‬
.‫فوسفات الزنك فيمزج ببطء وبالتدريج‬

For glass ionomer cement, the measured powder is divided into two equal
parts and mixed with a plastic spatula. The first increment is rapidly
incorporated in 10 seconds, and the second increment is incorporated and
mixed for an additional 10 seconds.

.‫يجب عدم تنظيف السن بالحمض خوفا ً من تعريض اللب لألذى‬


Avoid using cavity cleaners to aid in drying the preparation because they may
adversely affect pulpal health.

‫يجب إزالة الزوائد بعد تصلب اإلسمنت‬


Remove excess cement with an explorer. Early cement removal may lead to
early moisture exposure at the margins with increased solubility.
894. Child have tooth which have no moblity but have luxation best
treatment:
-acrylic splint.
-non rigid fixation. ***
-rigid fixation.

Handbook of dental trauma 2001 – page 71


Luxation with immobilization treatment:
Non-rigid `physiological' splinting should be applied for a period of no more
than two weeks. The various splinting methods are discussed.
895. To drain submandibular abscess:
a) Intraorally through the mylohyoid muscles.
B) Extraorally under the chin.
C) Extraorally at the most purulent site.
D) Extraorally at the lower border of the mandible. ***
1108 + 1109 #‫انظر السؤالين‬

In case of abscess you incise in healthy tissue to be sure good blood flow to
the incision line so good healing of incision line with no scar..
If you incise in most purulent area which is not healthy tissue, the result is
a scar in incision line
‫المرجع‬
"Oral and maxillofacial surgery - Jonathan Pedlar – page96"
896. Scale to measure marginal deterioration:
1. Mahler scale.***
2. Color analogues scale.
"Art & Science - page 158"

Progression of the events to deeper or more extensive ditching has been used
as visible clinical evidence of conventional amalgam deterioration and was the
basis of the mahler scale

897. ST.coccus mutans cause caries & this disease is?


1/ epidemic ‫وبائي‬
2/endemic. *** ‫مستوطن‬
3/isolated ‫معزول‬
endemic disease: An infectious disease that is present in the community at all
times but normally at low frequency
GESAMP Glossary
Endemic: a disease that exists permanently in a particular region or
population. Malariais a constant worry in parts of Africa.
Epidemic: An outbreak of disease that attacks many peoples at about the
same time and may spread through one or several communities.
Pandemic: When an epidemic spreads throughout the world

898. One of these has no effect on the Life span of handpiece:


a-Low Air in the compressor. ***
b-Trauma to the head of the hand piece
c-Pressure during operating

1640 ‫انظر السؤال‬

899. Most used Scalpel in oral surgery:


a-Bard Parker blade # 15. ***
900. Advantage of Wrought Wire in RPD over Cast Wire:
a-Less irritation to the abutment.
901. Why we use acrylic more than complete metal palate in complete
denture:
- Cant do relining for the metal. ***
902. Relining of denture:
- remove all or part of fitting surface of the denture and add acrylic
- add acrylic to the base of the denture to increase vertical dimension. ***
903. Rebasing of Complete Denture mean:
a-Addition or change in the fitting surface
b-Increasing the vertical dimension
c-Change all the fitting surface. ***
401 ‫ أكسفورد ص‬:‫المرجع‬
.Rebasing is replacement of most or all of the denture base
.‫ أما التبطين فهو إضافة أو تعديل باطن الجهاز‬،‫وفيه يجب عدم تغيير البعد العمودي‬
904. When Do class I preparation of posterior tooth for Composite
Restoration:
a-remove caries only. ***
b-extend 2mm in dentin
‫ويمكن تمديد الحشوة لتشمل الوهاد والميازيب الحرجة‬

905. Color Stability is better in:


a-Porcelain. ***
b-Composite
c-GIC
906. when all the teeth are missing EXCEPT the 2 canines , according to
kennedy classification it is:
a- Class I modification 1. ***
‫ألن الصنف الرابع (الفقد األمامي) ليس له تعديل‬

907. Antibiotics are most used in cases of:


a-Acute Localized lesion
b-Diffuse , Highly progressing lesion. ***
908. Patient un-cooperation can result in fault of operation, Technical faults
ONLY are related to patient factor
TRUE.
FALSE. ***

909. Bone graft material from site to another site in the same person
a-allograft
b-auto graft ***
c-alloplast
d-xenograft
Autograft: Tissue transplanted from one part of the body to another in the same
individual. Also called an autotransplant.
Allograft: The transplant of an organ or tissue from one individual to another of the same
species with a different genotype. A transplant from one person to another, but not an
identical twin, is an allograft. Allografts account for many human transplants, including
those from cadaveric, living related, and living unrelated donors. Called also an allogeneic
graft or a homograft.

Xenograft: A surgical graft of tissue from one species to an unlike species (or genus or
family). A graft from a baboon to a human is a xenograft. The prefix "xeno-" means foreign. It
comes from the Greek word "xenos" meaning stranger, guest, or host. (Xeno- and xen- are
variant forms of the same prefix.)

http://www.medterms.com/script/main/art.asp?articlekey=40486
910. ester type of local anathsesia secreted by
a-liver only
b-kidney
c-lung
d-plasma. ***
Dental Decks - page 2376
)‫لذلك يفضل استعماله لدى الحوامل (عبيدة‬
911. where does the breakdown of Lidocaine occurs :
A) kidneys
B) Liver. ***
Dental Decks - page 2362
912. Energy absorbed by the point of fracture called
a-ultimate strengh
b-elastic limit
c-toughness ***
d-britlness
Toughness
It is defined as the amount of energy per volume that a material can absorb
before rupturing.
Toughness - Wikipedia, the free encyclopedia
The ability of a metal to deform plastically and to absorb energy in the process
before fracture is termed toughness.
Toughness

913. patency filling


a-push the file apically to remove any block at the apex ***
b-rotate the file circumferentially at the walls to remove any block of
lateral canals.
c-rotary files circumferentially at the walls to remove any block of lateral
canals.
D-file with bleaching agent.
914. best stress transfer under amalgam
a-with thin base layer.
b-with thick base layer. ***
c-if put on sound dentin.
915. Tooth with full crown need RCT, you did the RCT through the crown,
what is the best
Restoration to maintain the resistance of the crown:
A) Glass ionomer resin with definite restoration.
B) amalgam
916. 5 years old pt had extraction of the lower primary molar & he had
fracture of the apex of the tooth what is the best ttt:
1/ aggressive remove
2/ visualization & remove
3/ visualization & leave. ***
917. 7 y/o boy came to the clinic in the right maxillary central incisor with
large pulp exposure:
1/ pulpectomy with Ca(OH)2
2/ pulptomy with Ca(OH)2. ***
3/ Direct pulp capping
4/ leave it

Children generally develop their teeth before birth. Eruption starts at about six
months, usually with the appearance of the lower incisors, and is complete by
about two-and-a-half years. The table below will show an estimate chronology
:of tooth development

Appearance Calcification begins Baby teeth


mo 6-9 mo (fetal life) 4 Incisors
mo 16-18 mo (fetal life) 5 Canines
mo 12-14 mo (fetal life) 6 1st Molar
mo 20-30 mo (fetal life) 6 2nd Molar

Appearance Calcification begins Permanent teeth


yrs 6-8 mo 3-4 Lower incisors
yrs 7-9 mo 4-5 Upper incisors
yrs 9-10 mo 4-5 Lower Canines
yrs 11-12 mo 5-6 Upper Canines
yrs 10-12 yrs 1.5-2.5 Premolars
yrs 6-7 Birth 1st Molars
yrs 11-13 yrs 2.5-3 2nd Molars
yrs 17-21 yrs 7-10 3rd Molars

918. old pt came to replase all old amalgam filling he had sever occlusal
attriation the best replacement is:
1/ composite
2/ amalgam
3/ cast metal restoration ‫حشوات مصبوبة‬
4/ full crowns. ***
‫ ملم‬5 ‫ تستطب التيجان الكاملة بحيث ال تتعدى زيادة البعد العمودي اإلطباقي‬340‫حسب أكسفورد ص‬

919. Child has bruxism to be treated with


a. sedative
b. cusp capping
c. vinyl plastic bite guard. ***
"Dentistry for Child and Adolescent - Page 646"
A vinyl plastic bite guard that covers the occlusal surfaces of all teeth plus 2
mm of the buccal and lingual surfaces can be worn at night to prevent
continuing abrasion. The occlusal surface of the bite guard should be flat to
avoid occlusal interference

920. avulsed tooth:


1/ splint (7-14) day. ***
2/ or (3- 14) weeks

921. proxy brush with which type of furcation:


Furcation Grade 1
Furcation Grade 2
Furcation Grade 3
Furcation Grade 4
922. instrument which we use to make groove in the wax is
a. Spoon excavator. ***
‫صيغة أخرى للسؤال‬
923. instrument used for wax grooving for a die in FPD
- NKT no 1
- NKT no 3
- Spoon excavator. ***
Burnisher.

924. After u did upper& lower complete denture for old pt. He came back to
the clinic next day complaining of un comfort with the denture. After u re
check ,no pain, good occlusion, good pronunciations , but u notice
beginning of inflammation in the gum and outer margins of the lips , u will
think this is due to:
1- xerostomia.
2-vit-B deficiency
3- sclero edema
Xerostomia can cause difficulty in speech and eating. It also leads to halitosis
and a dramatic rise in the number of cavities, as the protective effect of
saliva's remineralizing the enamel is no longer present, and can make the
mucosa and periodontal tissue of the mouth more vulnerable to infection

925. Patient comes to your clinic with complete denture for Routine visit no
complenining .During speech or swallowing or opening the mouth just
glossitis Angular Cheilitis and discomfort increasing while day
a. Vitamin B deficiency
b. Xerostomia
c. sclero edema
)‫التهاب الشفة و اللسان تدل على نقص فيتامين ب (عبيدة‬

926. Patient with leukemia absolute neutrophilic count is 1700 what oral
surgeon should do:
a. go on the management as a usual pt.***
b. postpone another day
c. work with prophylactic antibiotic.
d. platelets transfusion
‫بما أن العدد ضمن الطبيعي فنعامله كمريض عادي‬
927. child came to your clinic have leukaemia number of neutrophils are
(1400)want to extract his primary central incisor will you treat him:
a. as usual pt-
b. give prophylactic (antibody )
c. give platlets before extraction-
d. do not extract
‫صيغة مشابهة‬
928. child came to your clinic have leukaemia number of neutrophils are less
than (1500)want to extract his primary central incisor will you treat him:
a. as usual pt-
b. give prophylactic (antibody )
c. give platlets before extraction-
d. do not extract

‫العدد أقل من الحدود الطبيعية نعطي صادات‬


http://www.fpnotebook.com/HemeOnc/Lab/NtrphlCnt.htm

1. Normal Count
1. Range: 50-70% of White Blood Cells
2. Bands: 2-6% of White Blood Cells
3. Absolute Neutrophil Count (ANC) >1500 Neutrophils/mm3

929. Galvanic shock


a. Put separating medium.
b. Wait. ***
c. put varnish.
‫ المواد السنية‬:‫حسب كتاب‬
‫تتشكل طبقة متلونة بفعل األكسدة تغطي الحشوة وتعزلها عن الوسط الفموي ويتالشى انزعاج المريض‬
.‫مع الوقت‬
ً‫(هذا يعني أن التيار الغلفاني إذا حصل فإنه يدل على وجود حشوة أملغم جديدة مقابلة لحشوة ذهب مثال‬
)‫وعاد ًة فإنه يدوم أليام‬
And
Dental Decks - page 2268
"Galvenic shock: generally it gradually subsides and disappears in a few days"
930. An 8 years old child, suffered a trauma at the TMJ region as enfant.
Complaining now from limitation in movement of the mandible. Diagnosis
is:
a) Sub luxation
b) Ankylosis. ***
931. Genralised lymphadenopathy seen in
a- infection
b- lymphocytic leukemia
c- HIV
d- perncious anemia
a+b
a+b+c. ***
only d
b+d
Causes of generalized lymphadenopathy
Infection :
Viral : Infectious mononucleosis, Infective hepatitis, AIDS
Bacterial : Tuberculosis, Brucellosis, 2ry syphilis
Protozoal : Toxoplasmosis
Fungal : Histoplasmosis
Malignant : Leukaemia – Lymphoma - Metastatic carcinoma
Immunological : Systemic lupus erythematosus - Felty's syndrome - Still's
disease
Drug hypersensitivity as Hydantoin, Hydralazine, Allopurinol
Misc. : Sarcoidosis – Amyloidosis - Lipid storage disease - Hyperthyroidism

932. Contraindication of gingivectomy


a-periodontal abscess
933. surgical interference with edentulous ridge for
a-good retention, stability and continuous uniform alveolar ridge. ***
934. The tip of size 20 endo file is:
- 0.02 m.m
- 0.2 m.m***
935. Bonding agent for enamel we use:
-unfilled resin. ***
-primer & adhesive bonding agent.
-resin dissolve in acetone or alcohol.
-primer with resin modified glass ionomer.
Dental secrets – page 188
1- The etchant: phosphoric acid, nitric acid, or another agent that is used to
etch enamel and/or precondition the dentin.
2- The primer: a hydrophylic monomer in solvent, such as
hydroxymethalmethacrylate. It acts as a wetting agent and provides
micromechanical and chemical bonding to dentin
3- The unfilled resin is then applied and light or dual-cured. This layer can now
bond to composite, pretreated porcelain luted with composite, or amalgam in
some products.
936. We redo high copper amalgam restoration when we have:
a-amalgam with proximal marginal defect. *** >food accumulation
b-open margin less than 0.5 mm
937. Thickness of amalgam in complex amalgam restoration in cusp tip area:

- 0.5 mm
- 1-1.5 mm
- 1.5-2 mm
-2-3 mm. ***

Dental Decks - page 2170


Working cusp reduction for amalgam 2.5-3 mm

938. For cavity class II amalgam restoration in a second maxillary premolar,


the best matrix to be Used:
A) Tofflemire matrix. ***
B) Mylar matrix
C) Gold matrix
D) Celluloid strips
Summery of Operative dentistry – page 220
Types of matrices
Metal Firm, used for amalgam restorations.
Mylar Easily mouldable and can light-cure through; used for resin composite.
Plastic Rigid, can light-cure through; used in Class V cavities.
Difficult cases In deep subgingival cavities use of special matrices such as
tofflemire or automatrix or copper bands often achieve better contact points
and marginal adaptation.
Occasionally electrosurgery required to permit matrix adaptation.

939. Cast with (+ve) bubble b/c of:


- Mixing stone
- Voids in impression when taken by the dentist*.
-pouring
-using warm water when mixing ston.
(‫)عبيدة‬
940. Non absorbable suture:
-catgut
-vicryl
-silk. ***
Dental Decks - page 1774

941. The following is a non- absorbable suture:


A. Plain catgut.
B. Chromic catgut.
C. Silk.***
D. All the above.
942. most important criteria for full ceramic FPD:
-high compressive strength. ***
- High tensile strength.
Restorative dental materials 2002 – page 5
Because ceramics are stronger in compression than in tension, this property is
used to advantage to provide increased resistance to shattering.

943. Reciprocal arm in RPD help to resist the force applied by which parts:
-retentive arm. ***
- guide plane and …
944. Pt come with pain tooth #.. When drink hot tea . Pain continuous for 10
minutes diagnosis:
- irreversible pulpitis ***
- necrotic
945. Pulp with age:
- reduce collagen fiber
- Increase cellular in pulp
- decrease pulp chamber size.***
946. Pt need complete denture u take impression with irreversible
hydrocolloid & poured it after late more than 15 min the cast appear sort
& chalky the reason is:
a. Dehydration of the impression. ***
b. Expansion of the impression
c. Immerse the impression in a chemical solution
Oxford

947. after insertion of immediate complete denture, pt remove denture at


might next day he couldn`t wearing it .and came to why this is happened
a. relife
b. Swelling And inflammation after extraction
c.lack of skills for the patient to put the denture
948. Over extended GP should remove using:
a- ultrasonic vibrating.
b- dissolving agent.
c- rotary or round bur
d- surgery
949. Sterilization mean killing:
- Bacteria and virus
-. Bacteria, virus, fungus and protozoa. ***
- Bacteria and fungus
950. Killing Bacteria is:
- Bacteriostatic
- Bactericidal. ***
951. The most technique use with children:
- TSD***(Tell- Show – Do)
- hand over mouth
-punishment
)‫أي تخبر الطفل ثم تريه ثم تبدأ العمل (عبيدة‬
952. Chronic pericoronitis:
- Difficult mouth opening
- Halitosis
-
-all of the above. ***
953. Safe months to treat pregnant ladies:
- 1-3
-4-6. ***
-7-9.
954. Mandibular 1st permanent molar look in morphology as:
a- primary 1st mand molar.
b- primary 2nd mand molar. ***
c- primary 1st max molar.
d- primary 2nd max molar.
955. Material which used for flasking complete denture:
a- plaster. ***
b- stone
c-refractory
‫ اذا كانت موجوده باالختيارات تكون هي الصح‬a+b-
http://webcache.googleusercontent.com/search?
hl=ar&site=webhp&gs_sm=e&gs_upl=5765l18572l0l19897l1l1l0l0l0l0l0l0l
l0l0&safe=active&q=cache:o2F1_V_B6LAJ

Flasking were done in four groups: Group 1: Plaster- Mixed, Group 2:


Plaster-Stone- Mixed, Group 3: Plaster- Mixed- Stone, Group 4: Plaster-
)Stone- Plaster

956. Ideal properties of RC filling material is the following EXCEPT:


a) Radiolucent in radiograph. ***
b)Not irritate the surrounding tissue
c) Easily removable when retreatment is necessary
d)Stable and less dimensional change after insertion
957. The best method for core build up is:
1. Amalgam. ***
2. Compomer.
3. Glass ionomer.
http://dfd.atauni.edu.tr/UploadsCild/files/2007-1/2007_1_4%20.pdf
light-cure composite resin (President) and amalgam (Cavex avalloy) were
statistically different than the other materials tested. They are stronger than
compomer followed by resin modified glass ionomer and conventional glass
ionomer core materials.
958. best core material receiving a crown on molar:
a)amalgam. ***
b)reinforced glass ionomer.
d)composite
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 158
Direct method Pre-formed posts are cemented into one or more canals.
Amalgam may also be Packed into the coronal aspect of the root canals
(Nayyar core technique) and an amalgam core Built up, which is the preferred
technique. Resin modified GI or resin composite may also be used.

These materials have the advantage that the preparation can be completed at
the same visit. A Dentine adhesive system should be used with resin
composite to enhance retention.
Fundamentals of fixed prosthodontics – page 185
composite resin cores exhibit greater microleakage than do amalgam cores,29
and they are not as dimensionally stable as amalgam in an vitro study. crowns
made for teeth with composite resin cores failed to seat by 226 um more than
crowns made for teeth with amalgam cores after immersion in body-
temperature normal saline solution for 1 week. The surface of a composite
resin core is affected adversely by exposure to zinc oxide-eugenol temporary
cement,31 although that does not seem to have a negative effect on the
tensile strength of the final crown.
959. most comon site which drain pus is:
a) mandibular central incisors
b)mandibular canines
c) mandibular first molar. ***
d)……..
960. When removing moist carious dentin which exposes the pulp, dentist
should:
1- do direct pulp cap
2- do indirect pulp cap
3- prepare for endo. ***
"Dental secrets – page 167"
There is general agreement that carious exposure of a mature permanent
tooth generally requires endodontic therapy. Carious exposure generally
implies bacterial invasion of the pulp, with toxic products involving much of
the pulp.
However, partial pulpotomy and pulp capping of a carious exposure in a tooth
with an immature apex have a higher chance of working.

"Dental pulp 2002 – page 335"


Cavity Cleansing, Disinfection, and Hemorrage Control
A clinical review failed to support direct pulpcapping or pulpotomy procedures
in teeth when a mechanical exposure pushes infected carious operative debris
into the subjacent pulp. Because of the stigma of long-term failures, our
profession generally selects traditional endodontic treatment. Only in the
treatment of pulp exposures in fractured young anterior teeth with open
apices does the literature discuss pulpotomy or direct pulp-capping with
Ca(OH)2.
961. In prevention of dental caries, the promotion of a healthy diet is:
1- low effective measure
2- moderately effective measure.
3- high effective measure. ***
4- mandatory measure
962. Treatment of cervical caries in old patients with a temporary
restoration is best done by:
a)Glass ionomer. ***
b)composite resitn
c)………
d)……..
963. Most used sugar substitute:
a) Sorbitol
b) Mannitol
c) Insulin
d) Xylitol ***
Xylitol is a "tooth-friendly," nonfermentable sugar alcohol
A systematic review study[13] on the efficacy of xylitol has indicated dental
health benefits in caries prevention, showing superior performance to
.other polyols (polyalcohols)
Xylitol is specific in its inhibition of the mutans streptococci group, bacteria
.that are significant contributors to tooth decay

XYLITOL GUM
Xylitol is a naturally occurring, low-calorie sugar substitute with anticariogenic
properties. It is a sugar alcohol, derived mainly from birch and other hardwood trees.
Xylitol contains 40% fewer calories than sucrose. Data from recent studies indicate that
xylitol can reduce the occurrence of dental caries in young children.
964. What the influence of xylitol
a. It cause caries
b. Safe to the teeth***
c. Increase saliva
d. Decrease saliva
965. the retainer of rubber dam
a)four points of contact two buccally and two lingually without rocking.
***
b) four points of contact two buccally and two lingually above the height of
contour
c) four points of contact two mesially and two distally
d) 2 points ………
Elastomeric cord for retaining a dental dam, cord dispenser and related
combinations and methods - Patent 5104317
dental dam retainer clamp is that the four prongs must contact the tooth, if
they do not, the clamp may need to be ground.
a properly selected retainer should contact the tooth in four areas-two on the
facial surface and two on the lingual surface. This four- point contact prevents
rocking or tilting of the retainer.
Dental Decks - page 2220
All four points of the jaws of the clamp must contact the tooth gingival to the
height of contour.
966. Mandibular fracture other complications:
1_nasal bleeding
2- exophthalmos ‫جحوظ‬
3-numbness in the infraorbital nerve distribution. ‫نمل‬

‫هذه االختيارات ليس فيها االجابة الصحيحة وأعتقد أن هناك خيار ناقص وهو الصحيح‬
Malocclusion: ‫ حيث أن أهم عالمة لكسر الفك السفلي‬605 ‫مثل السؤال‬
‫أو‬:
Numbness of the inferior alveolar nerve . ( Or: paraesthesia or anaesthesia
of lower lip or the chin ).

‫ألن هذا العصب يتبع الفك السفلي وليس كما في االختيارات‬


. ‫ ألن هذا العصب يتبع الفك العلوي‬infraorbital nerve

967. Hypercementosis and ankylosis is seen in


a: paget disease. ***
b: monocytic fibrous dysplasia
c: hyperparathirodism

968. The infection will spread cervically in infection from


a: lower incisors
b lower premolars
c: lower 2nd and 3rd molars. ***
d: upper incsisors
969. In hypertension patient the history is important to detect severity
a: true. ***
b: false
970. in inflamed muocosa due to wearing denture to when do new denture
a: immediatly
b: after week
c: put tissue conditioning material and wait until the tissue heal and take
impression after 2 weeks. ***
971. forceps to hold flap when suturing
Edison's ***

‫ مهم‬1314 – 1739 #‫انظر السؤالين‬

Oral Surgery – page 46

Surgical forceps are used for suturing the wound, firmly grasping the tissues
while the needle is passed. There are two types of forceps: the long standard
surgical forceps, used in posterior areas, and the small,
narrowAdsonforceps,usedinanterior areas.

972. Pulp oedema


1- has no effect on vascular system
2- fluid is compressed in the vessels limiting the intercellular pressure
3- interstitial pressure increased due to increased vascularity *** ‫زيادة‬
‫الضغط الخاللي‬
4- cause necrosis of the pulp tissues
973. master cone doesn't reach the apex
1)ledge
2)residual remenants (debris)
3)......
4) 1&2 ***
974. pterygomandibular raph.
Insertion & origin
muscles
should be medial to the injection
all of the above. ***
975. The divergence should be mesiodistally for an amalgam restoration
a. no it should be convergent
b. if the remaining proximal marginal ridge = 1.6 mm
c. if the remaining proximal marginal ridge only > 1.6
d. if the remaining proximal marginal ridge only < 1.6***
‫ملم للرحى فيجب أن‬2 ‫ملم للضاحك وأقل من‬1.6 ‫إذا كانت سماكة كل من الحافة األنسية والوحشية أقل من‬
‫يتم عمل تباعد بينه الحافتين عند التحضير لتأمين سماكة من األملغم بهذه المنطقة لدعم الميناء ومنع‬
.‫تكسره‬

Dental Decks - page 2298

976. Patient with radiopacity in the periapical area of a 1st mandibular


molar with a wide carious lesion and a bad periodontal condition is:
a. condensing osteosis ***
b. hypercementosis
977. Patient had anaphylactic shock due to penicillin injection , what's the
most important in the emergency treatment to do:
a. 200 mg hydrocortisone intravenous
b. 0.5 mg epinephrine of 1/10000 intra venous
c. adrenaline of 1/1000 intra muscular. ***

Http: //http: //www.wrongdiagnosis.com...y/treatment...


Anaphylaxis is always an emergency. It requires an immediate injection of 0.1
to 0.5 ml of epinephrine 1: 1,000 aqueous solution, repeated every 5 to 20
minutes as necessary.
• If the patient is in the early stages of anaphylaxis and hasn’t yet lost
consciousness and is still normotensive, give epinephrine I.M. or
subcutaneously (S.C.), helping it move into the circulation faster by massaging
the injection site. For severe reactions, when the patient has lost
consciousness and is hypotensive, give epinephrine I.V.
Management
• Place patient supine with legs raised, if possible.
• 0.5 ml of 1:1000 adrenaline IM or SC. Repeat after 15 min, then every 15
min until improved. Do not give IV in this concentration as it will induce
ventricular fibrillation.
• Up to 500 mg of hydrocortisone IV.
• Up to 20 mg of chlorpheniramine slowly IV (if available(.
• O2 by mask
:‫مالحظة‬
‫بينما عند حدوث‬1/200.000 ‫ أو‬1/100.000 ‫األدرينالين المستخدم للتخدير الموضعي الطبيعي‬
1/1000 ‫ أي‬%0.5-0.1 ‫التحسس من البنسلين فإن األدرينالين المستخدم للحقن العضلي‬

978. bronchial asthma epinephrine concentration subcutaneously


A) 1/1000. ***
B) 1/10000
C) 1/100000

Dental secrets – page 50


If the reaction is immediate (less than 1 hour) and limited to the skin, 50
mg of diphenhydramine should be given immediately either intravenously or
intramuscularly. The patient should be monitored and emergency services
contacted to transport the patient to the emergency department. If other
symptoms of allergic reaction occur, such as conjunctivitis, rhinitis, bronchial
constriction, or angioedema, 0.3 cc of aqueous 1/1000 epinephrine should be
given by subcutaneous or intramuscular injection. The patient should be
monitored until emergency services arrive. If the patient becomes
hypotensive, an

intravenous line should be started with either Ringer’s lactate or 5%


dextrose/water.

979. which is contraindicated to the general anaesthia:


a. patient with an advanced medical condition like cardiac ….***
b. down's syndrome patient
c. child with multiple carious lesion in most of his dentition
d. child who needs dental care, but who's uncooperative, fearful…etc
980. continuous condensation technique in gp filling is:
a. obtura I
b. obtura II
c. ultrafill
d. System B. ***
.‫جميع الخيارات الثالثة األولى من تقنيات حقن الكوتا الملينة بالحرارة‬

981. best material for major connector.


a. Gold wrought wire
b. chrome cobalt ***
c. gold palladium
d. titanium

982. on a central incisor receiving a full ceramic restoration, during finishing


of the shoulder finish line subgingivally
Diamond end cutting

983. in a class III composite with a liner underneath, what's the best to use
a. light cured GI. ***
b. zno Eug
c. Reinforced znoeug
984. outline of 2nd molar Access Opening
Triangular with the base mesially***

)‫هذا الجواب صحيح في الفك السفلي فقط أما العلوي فهو كالسؤال التالي (عبيدة‬

985. The outline form of upper maxillary molar access opening is Triangular,
The base of this triangle is directed toward :
A) Buccal. ***
B) Palatal
C) Mesial
D) Distal
986. after usage of sharp scalpels, needles, what's the best management
1) throw in a special container of sharp instrument. ***
2)sterilize and re use
3) through in ordinary plastic waste basket
987. sharping of hand instrument mounted air driven better than
unmounted due to
A) fine grift. ***
B) sterilization
C) ability to curve instrument

The mounted-stone technique. The second technique for sharpening dental


instruments is the mounted-stone technique. This technique is especially
useful in sharpening instruments with curved or irregularly shaped nibs.
Equipment consists of mandrel-mounted stones, a straight handpiece,
lubricant, two-inch by two-inch gauge, and again, the instrument to be
sharpened. Mounted stones are made of two materials, Arkansas stones and
ruby stones (sometimes called sandstones). Ruby stones are primarily
composed of aluminum oxide. The ruby stone is comparatively coarse, has a
rapid cutting ability, and is used for sharpening instruments that are dull.
Mounted stones are cylindrical in shape and appear in several sizes. They
have a fine grit and are used with the straight handpiece. The stones permit
rapid sharpening, but without extreme care, will remove too much metal and
may overheat the instrument. Overheating the instrument will destroy the
temper, thereby causing the instrument to no longer hold a sharp edge.

988. Unmounted sharpening instruments are better than mounted because:


a. has finer grains
b. don't alter the bevel of the instrument
c. easier to sterilize
d. less particles of the instruments are removed. *** = cut less of the
plade.
Veterinary dentistry: principles and … -
&ved=0CA0Q6AewAQ&safe=active#v=onepage&q&f=fals e
Unmounted stones are customarly preferred as they are kinder on
pnstrument by removing less metal in the sharpening process
‫موضوع أفضلية التعقيم مذكور ولكن ليس بأهمية حفظ األدوات من التآكل أثناء التشذيب‬

"Clinical Aspects of Dental Materials: Theory, Practice, and Cases, 3 rd Edition "

989. Pt came to the clinic complaining from pain related to swelling on


maxillary central incisor area with vital to under percussion?
1/ periapical cyst
2/incisive cyst( nasopalatin cyst). ***
3/ globulomaxillary cyst
4/ aneurysmalbone cyst
990. Pt came to the clinic with a lesion confined to the middle of the hard
palat, on the clinical examination the lesion is fluctuant & tender. On the
X-ray radiolucent area btw the two central incisors roots. The diagnosis will
be:
a- Glubulomaxillary cyst.
b- incisive canal cyst.
c- Bohn's nodule.
d- Aneurysmal bone cyst.
http://radiopaedia.org/articles/incisive-canal-cyst
991. Y/o boy came to the clinic in the right maxillary central incisor with
large pulp exposure:
1/ pulpectomy with Ca(OH)2
2/ pulptomy with Ca(OH)2. ***
3/ Direct pulp capping
4/ leave it

Children generally develop their teeth before birth. Eruption starts at about six
months, usually with the appearance of the lower incisors, and is complete by
about two-and-a-half years. The table below will show an estimate chronology
:of tooth development

Appearance Calcification begins Baby teeth


mo 6-9 mo (fetal life) 4 Incisors
mo 16-18 mo (fetal life) 5 Canines
mo 12-14 mo (fetal life) 6 1st Molar
mo 20-30 mo (fetal life) 6 2nd Molar

Appearance Calcification begins Permanent teeth


yrs 6-8 mo 3-4 Lower incisors
yrs 7-9 mo 4-5 Upper incisors
yrs 9-10 mo 4-5 Lower Canines
yrs 11-12 mo 5-6 Upper Canines
yrs 10-12 yrs 1.5-2.5 Premolars
yrs 6-7 Birth 1st Molars
yrs 11-13 yrs 2.5-3 2nd Molars
yrs 17-21 yrs 7-10 3rd Molars

992. The percentage of simple caries located in the outer wall of the dentin
(proximal sides of the tooth) which left without cavitations is around:
1-10%
2-30%
3-60% ***
4-90%
Art & Science of Perative Dentistry – Page 102
approximately 60% of teeth with radiographic proximal lesions in the outer
half of dentin are likely to be noncavitated.
993. Irrigation solution for RCT ,when there is infection and draining from
the canal is
a) Sodium hypochlorite
b) Iodine potassium
c) sodium hypochlorite and iodine potassium. ***
"Pocket Atlas of Endodontics – page 154"
Therefore, like citric-acid rinsing, EDTA solution is recommended before the
placement of calcium hydroxide. At a 15% concentration, citric acid has been
shown to be very effective against anaerobic bacteria.
Solvidont, a bisdequalium acetate, exhibits good antibacterial properties, but
also an unfavorable relationship between cytotoxicity and antibacterial
efficiency.

Physiologic saline (nacl) is by far the most tissue-friendly rinsing solution, but
its antibacterial effect is quite low.

Iodine and also potassium iodine are good antiseptics with equally good tissue
biocompatibility.
“Betadine” is the commercially available product.
With paraformaldehyde or phenol-containing solutions, on the other hand,
the tissue toxicityis higher than the antibacterial efficacy.
‫نفس السؤال السابق مع تغيير في خيار الصحيح و هو اختيار صحيح أيضا‬
994. Irrigation solution for RCT ,when there is infection and draining from
the canal is
a) Sodium hypochlorite
b) Iodine potassium
c) sodium hypochlorite and H2O2. ***

995. trigeminal neuralgia treated by carbomizapine, the max dose per day
divided in doses is:
a-200 mg
B-500mg
C-1000mg
D-1200mg
104 ‫ كتاب األلم الفموي الوجهي ص‬:‫المرجع‬
‫ ملغ‬1200-600 ‫الجرعة اليومية‬
Usual Adult Dose for Trigeminal Neuralgia
Initial dose: 100 mg orally twice a day (immediate or extended release) or 50
mg orally 4 times a day (suspension).
May increase by up to 200 mg/day using increments of 100 mg every 12 hours
(immediate or extended release), or 50 mg four times a day. (suspension),
only as needed to achieve freedom from pain. Do not exceed 1200 mg/ day.
Maintenance dose: 400 to 800 mg/day.
Some patients may be maintained on as little as 200 mg/day while others may
require as much as 1200 mg/day. At least once every 3 months throughout
the treatment period, attempts should be made to reduce the dose to the
minimum effective level or to discontinue the drug
Read more: Carbamazepine Dosage – Drugs.com
996. 10 years child with congenital heart disease came for extraction of his
lower 1st molar, the antibiotic for choice for prevention of infective
endocarditis is;
a-ampicelline 30 mg /kg orally 1hour before procedure
b-cephalixine 50mg/kg orally 1hour before procedure
c-clindamicine 20mg/kg orally 1hour before procedure
d-amoxicilline 50mg/kg orally 1hour before procedure
Dental secrets
""Amoxicillin, 2.0 gm orally 1 hr before procedure
997. What is uses if microscop???
To see metaobolic.
To see live cells. ***
To see dead cells.
998. -best way to detect presence of 2 canals
putting 2 files & take x-ray ***
999. Patient has a palatal torus b/w hard & soft palate, the major connector
of choice
a. anteroposterior palatal strap-
b. u shaped ***
c. posterior palatal strap-
1000. White lesion bilaterally on cheek,& other member in the family has it
a -leukoplakia
b -white sponge nevus. ***
others
Dental Decks - page 1336
"Burket- Oral medicine"
White sponge nevus presents as bilateral symmetric white, soft, “spongy,” or
velvety thick plaques of the buccal mucosa. ‫وحسب هذا‬
‫المرجع تصنف ضمن اآلفات الوراثية‬
And

White sponge nevus, also known as Cannon's disease, Hereditary


leukokeratosis of mucosa, and White sponge nevus of Cannon[1] appears to
follow a hereditary pattern as an autosomal dominant trait.[2]:807 Although it
is congenital in most cases, it can occur in childhood or adolescence.
It presents in the mouth, most frequently as a thick bilateral white plaque
with a spongy texture, usually on the buccal mucosa, but sometimes on the
labial mucosa, alveolar ridge or floor of the mouth

1001. Pt construct for him a complete denture after few days he came to u
complaining from pain & white spots on the residual ridge do relief in that
area & give him ointment & after few days he came again complaining the
same but in another area the main cause is :
a. Uneven pressure on the crest of alveolar ridge. ***
b. Increase vertical dimension
1002. After final inlay cementation and before complete setting of cement we
should:
a-remove occlusal interferences
b-burnishing of peripheries of restoration for more adaptation. ***
c-lowering occlusal surface
"Pickard's Manual of Operative Dentistry Eighth edition OXFORD – page 186"

It is easier to remove excess cement before it finally sets. Once the cement is
hard the rubber dam is removed and the occlusion checked with articulating
paper and adjusted with fine diamond burs.

1003. pt with renal dialysis the best time of dental tx is:


a-1 day before dialysis
b-1 day after dialysis. ***
c-1week after dialysis

Dental secrets – page 54


Patients typically receive dialysis 3 times/week. Dental treatment for a patient
on dialysis should be done on the day between dialysis appointments to avoid
bleeding difficulties.
‫في الحاالت المعتدلة يتم تغيير الدم لمريض القصور الكلوي كل أسبوع وبعدها بيوم واحد يكون بأوج‬
‫ أما بنفس اليوم ال يمكن إجراء الجراحة الفموية بسبب وجود‬،‫نشاطه عكس اليوم السابق لتبديل الدم‬
.‫الهيبارين بالدم‬

1004. Pt presented with vehicle accident u suspect presence of bilateral


condylar fracture what is the best view to diagnose condylar Fracture:
1. Occiptomenatal.
2. Reverse towne. ***
3. Lat oblique 30 degree.
Reverse towne for fracture of condylar neck &ramus areas (dental decks)
Reverse Townes position, beam 30° up to horizontal. Used for condyles.
(Oxford)
1005. Female come need to endodontic for central insical ,and have media
composite restorations in the mesial and distal walls ,and have attrition in
the insicial, edge the best restoration?
1. Jacket crown.
2. Full crown. ***
3. Metal crown.
1006. Child have dental caries in 3 or 4 surfaces of his first primary molar
wewill replace them with:
-preformed metal crown.
-porcaline crown
-amulgam crown
-composite restoration

1007. The nerve which supplies the tongue and may be anesthetized during
nerve block injection:
1. V.
2. VII. ***
3. IX.
4. XII.
Dental decks 1904
(note……an injection into parotid capsule during nerve block injection
MAY CAUSE Bell`s palsy facial expretion)
and
The sensory portion of facial N supplies the taste to the anterior two-thirds
of the tongue)
Cranial Nerve VII: The Facial Nerve and Taste -- Clinical Methods -- NCBI
Bookshelf
If needle is positioned too posteriorly, anaesthetic may be put into parotid
gland (dangerous systemic effects), or paralyse Cranial Nerve VII (7), resulting
in Bells Palsy-like symptoms. Also if the needle is placed too medially the
medial pterygoid muscle can be injected, resulting in trismus.
The sphenomandibular ligament is most often damaged in an inferior alveolar
nerve block
http://en.wikipedia.org/wiki/Inferior_alveolar_nerve_anaesthesia#Injection_tec
hniques
1008. Electro surgery rate:
a. 1.5 – 7.5 million cycle per seconds. ***
b. 7.5 – 10 million cycle per seconds.
c. 10 – 25 million cycle per seconds.
d. 30 million cycle per seconds.
Caranza periodontology – page 582

1009. Pt came to the clinic after he has an accident. X-ray revealed bilateral
fracture of the condoyle. Mandible movements are normal in all
direction…. What is your treatment?
1. Inter maxillary mandibular fixation.
2. Fixed IMF for 6 weeks.
3. Inter mandibular fixation.
4. No treatment is performed only anti inflammatory drugs and
observation.
‫السؤال التالي أوضح‬
1010. 9 year old Pt came to the clinic after he has an accident. X-ray revealed
bilateral fracture of the condoyle. Mandible movements are normal in all
direction…. What is your treatment?
1. Inter maxillary mandibular fixation.
2. Fixed IMF for 6 weeks.
3. Inter mandibular fixation.
4. No treatment is performed only anti inflammatory drugs and
observation.

‫بالنسبة للسؤالين السابقين في كسور اللقمة يجب عدم التثبيت إذا كان المريض صغيرا كالحالة الثانية‬
‫منعا لحدوث االلتصاقات أما إذا كان المريض كبيرا فإننا نستخدم جبيرة بين سنية لتحديد حركة الفك‬
‫السفلي أي الخيار الثالث حسب كالم اختصاصيي الجراحة‬
1011. 6 years old patient received trauma in his maxillary primary incisor, the
tooth is intruded. The permanent incisors are expected to have:
1. Yellowish or whitish discoloration. ***
2. Displacement.
3. Malformation.
4. Cracks in enamel.
‫ممكن تأتي هذه الصيغة‬
1012. 6 years old patient received trauma in his maxillary primary incisor, the
tooth is intruded. The permanent incisors are expected to have:
a. Displacement.
b. Malformation.
c. Cracks in enamel.
d. Yellowish or whitish discoloration with hypoplasia. ***
1280 + 1663 ‫انظر السؤال‬

Atlas Of Oral Medicine – page 151


Enamel hypoplasia : Trauma or infections of developing teeth.
1013. Head and neck nevi with multi lesion is:
1/Eagle syndrome.
2/Albert syndrome. *** (Albright syndrome)
)1389 ‫(انظر السؤال‬
Albright ‫ و‬Apert ‫ بل يوجد كل من‬Albert ‫ال يوجد متالزمة باسم‬

‫ تتألف من سوء تصنع عظمي ليفي متعدد وتصبغ جلد بقعي‬:‫ متالزمة آلبرايت‬:795 ‫حسب أكسفورد ص‬
.‫ من الحاالت‬%25 ‫يشبه بقع القهوة بحليب وتشوهات بالغدد الصماء وعدم تناظر وجه في‬

1014. Avulsed teeth with replantation, dentist evaluate prognosis with :


1/flexible wire
2/ridge wire
3/in follow-up pd wire
ttp://www.doctorspiller.com/avulsed_teeth.htm
Spilinting the tooth in position:
The ideal splint for avulsed teeth is a flexible splint. These are typically made
using Gortex or other synthetic cloth or metallic mesh strips made for this
purpose. Other types of flexible splint may be made using thin orthodontic
wire. Ideally, the splint should encompass several teeth on either side of the
avulsed tooth. There are quite a few options depending on the comfort level
of the practitioner. The recommendation for flexiblity involves theoretical
considerations in the formation of the new periodontal ligament. However,
since the splint is kept in place for no more than 7 to 10 days, the flexibility
factor may be of little practical significance. This is my personal opinion. I'm
.sure others would argue the point

1015. Pt need complete dt, when u did the examination u notice the max
tubersity will be interfere with dt
1/need 12 no blade to be extention. ***
2/partial thickness flap extend buccal & palatal
3/suture under tension
Peterson's Principles of Oral and Maxillofacial Surgery 2nd Ed 2004 – page 169
Tuberosity Reduction:
Excesses in the maxillary tuberosity may consist of soft tissue, bone, or both.
Sounding, which is performed with a needle, can differentiate between the
causes with a local anesthetic needle or by panoramic radiograph. Bony
irregularities may be identified, and variations in anatomy as well as the level
of the maxillary sinuses can be ascertained. Excesses in the area of the
maxillary tuberosity may encroach on the interarch space and decrease the
overall freeway space needed for proper prosthetic function. Access to the
tuberosity area can be obtained easily using a crestal incision beginning in the
area of the posterior tuberosity and progressing forward to the edge of the
defect using a no. 12 scalpel blade. Periosteal dissection then ensues exposing
the underlying bony anatomy. Excesses in bony anatomy are removed using a
side-cutting rongeur.
1016. for recording of vertical dimention we use
a. Willis Gauge. ***
b. caliper.
c.Face bow
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 194
Resting face height is assessed using:
• A Willis gauge, to measure the distance between the base of nose and the
underside of the chin. Is only accurate to ±1 mm.
• Spring dividers, to measure the distance between a dot placed on both the
chin and the tip of the patient's nose. This method is less popular with
patients and is C/I for bearded gentlemen (or ladies!).
• The patient's appearance and speech.
Questions and Answers for Dental Nurses
Willis gauge is used to record the occlusal face height of the the patient.
Dental Decks - page 420
A face-bow is a caliper-like device used to record the patient's maxilla/hinge
axis relationship (opening and closing axis). It is also used to transfer this
relationship to the articulator during the mounting of the maxillary cast.
1017. what name of bur used in proximal surface of laminate veneer???
Radial
dimound. ***
fissure

http://www.brasselerusa.com/documents/Nixon_Porcelain%20Veneer
%20II.pdf

The facial depth cuts are removed with the 850-014 diamond bur, and the
long axis of the diamond bur is “rolled” into the proximal chamfer area to
eliminate any sharp line angles
1018. what name of bur use in facial surface of veneer???
Dimond. ***
fissure
http://www.brasselerusa.com/products/display.cfm?zoom=diamonds&id=38
Round-end diamonds create chamfer margin and facial reduction for direct
and indirect veneer restorations
1019. pacifier habit what you see in his mouth? ‫اللهاية‬
a. Open bite.
b. Cross bite
Dentistry for child and adolescent
Children who were pacifier users were significantly more likely to show open
bite, posterior crossbite increased overjet, and alteration in cheek mobility
than habit-free children 
action during sucking, which leads to gingival injury recession, and loss of
alveolar bone

1020. In the pulp


1 cell rich zone inner most pulp layer wich contain fibroblast
2 cell free zone rich with capillaries and nerve networks
3 odonotbalstic layer wich contain odontoblast
Dental Decks - page 226 ‫ موجودة حرفيا ً في الصفحة‬،‫كلها صحيحة‬

1021. What type pontic design would you in a patient with a high esthetic
demand when preparing teeth number 9 – 11 for a F P D :
a- ridge lap or saddle pontic
b- An ovate pontic
c- modified ridge lap pontic. ***
Dental Decks - page 483

1022. design of anterior pontic


a-modified ridge lab***
b-saddle
c-hygienic

1023. Skeletal Bone of skull develop from :


a- Neurocranium ossification
b- Intramembranous ossification
c- Endochondral ossification.
Dental decks 287

Endochondral ossification : Short bone and long bone. Ethmoid, sphenoid and
temporal bone.
intramembranous ossification: Flat bone.
1024. Skeletal face is from:
a. Neural crest***
b. Paraxial mesoderm
c. lateral plate (somatic layer) mesoderm.

Neural crest give rise to : frontal b. – sphen nasal - lacrimal


zygomatic maxilla incisive mandible _SqTemporal.paraximal
mesoderm (somitessomitomeres) gives rise to occipitals - pet
temporal- -paraietal bon
Sadler's Langman's Medical Embryology

1025. Glenoid fossa is found in:


1/ orbital cavity
2/nasal cavity
3/ middle cranial fossa
D) temporal bone. ***
The glenoid fossa = the mandibular fossa.
The mandibular fossa: a depression in the temporal Bone that articulates with
the condyle of the Mandible and is divided into two parts by a slit.
And
Anatomy of the Human Body - Henry Gray – page 82
1026. The spread of odontogenic infection is based on:
1/ host defense
2/ virulent of microorganism
3/ No. Of bacteria
4/ all. ***
1027. 3rd generation of apexo locator:
a. Use with all pt
b. Need more research
c. increase chair time
d. Decrease radiographic film need. ***
1028. pt taken heparins he should do surgery after :
1/ 1 Hr
2/ 2 Hr
3/ 4 Hr
4/ 6 Hr. ***
1029. twins came to your clinic during routine examination ,you found great
change behavior between both of them this due to
A)hereditary
B)environment. ***
C)maturation.
Dentistry for child and adolescent
Human twins are of two basic types: monozygotic (or identical) twins resulting
from a single ovum fertilized by a single sperm, and dizygotic (or fraternal)
twins resulting from fertilization of two ova by two sperm.
It also follows that difference between monozygotic twins result from
environmental differences whereas those between dizygotic twins result from
differences in both heredity and environment
And
http://social.jrank.org/pages/666/Twin-Studies.html
1030. Epiliptec patient you will not give him :‫مريض الصرع‬
A) aspirin
B)azoles
C)metronidazole. ***
D) all of the above
1031. Dylantin (phynotoin) don’t give with :
A) aspirin
B)azoles
C)metronidazole. ***
D) all of the above

1032. Pregnant 25 years, bleeding on probing, location on papilla of anterior


area of the maxilla, Isolated:
A)giant cell granuloma
B) pyogenic granuloma (pregnancy epulis). ***
C) giant cell granuloma
1033. Porcelain, highly esthetic, anterior maxilla area, we choose:
A) Dicor
B) in ceram. ***
C)impress
‫سؤال مشابه‬
1034. pt has discoloration on his max ant central, and u planning to do veneer
for him . which type of porcelain has high easthetic ?
a. in ceram ***
b. dicor glass reinforced risen
c. impress

Fundamentals of fixed prosthodontics – page 436


In-Ceram has been used to fabricate fixed partial dentures, but the
manufacturer recommends only short-span (three-unit) anterior restorations.

Alumina-reinforced ceramic systems (In-Ceram) significantly improve the light


reflection characteristics of crowns when compared to conventional metal-
ceramic restorations.
However, opaque aluminum oxide diminishes translucency when compared to
leucite-reinforced systems (Optec, IPS-Empress). To improve light
transmission and reflection in single anterior crowns where maximum
strength is not required, a magnesium aluminous
spinel may be utilized. The transilluminating qualities seem to be similar to
those of natural teeth.
1035. the highest strength in porcelain:
A) ZR (zircon) reinforced in ceram. ***
1036. Amalgam pain after restoration due to:
A) phase 2 gamma
B) phase 1 gamma
C) zinc containing alloy. ***
D) Admix alloy
1037. Zinc if added to amalgam
a. Increase moisture sensitivity and cause expansion
b. Increase marginal integrity and longevity than zinc free amalgam
c. A+ b.
Dental Decks - page 2312
‫وظيفة الزنك منع تأكسد الخليطة وسلبيته تمدد الحشوة إذا مستها الرطوبة أما تخرب الحواف فينقص عن‬
‫استخدام أملغم غني بالنحاس أو عند إطالة أو إنقاص زمن المزج وعند تكثيف الحشوة بشكل غير كافي‬
.‫حيث يبقى زئبق زائد فيها‬
1038. endocrine and exocrine gland is :
A) pancreas. ***
B) pituitary gland
C) thyroid g
D) salivary g
E) sweat g
Wikipedia:

The pancreas is a gland organ in the digestive and endocrine


system of vertebrates. It is both an endocrine gland producing several
important hormones, including insulin, glucagon, andsomatostatin, as well as
an exocrine gland, secreting pancreatic juice containing digestiveenzymes that
pass to the small intestine. These enzymes help to further breakdown
thecarbohydrates, protein, and fat in the chyme.

1039. saline coupling agent .. wetting wall of pulp


1- decrease wall tension***
2- increase wall tension
‫ سؤال مشابه بطريقة أخرى‬:
1040. in endo, one of sealer property is to be flowable (or wetability) ,,to
enhance this quality we can mix it with a material that have:
a. low surface tension
b. high surface tension

1041. silane coupling agent:


1/ used with porcelain to enhance wetability of bonding. ***
2/ used with tooth and porcelain.
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 146
Remove inlay and clean with alcohol. For porcelain only, place layer of silane
coupling agent on fitting surface.
Etch enamel and dentine (total etch concept). Wash and remove excess
moisture, but do not dry.
Dental Decks - page 2102
Silane acts as an adhesive between the inert filler and the organic matrix
‫إذا كان السؤال عن الكومبزوت‬
1042. for discharged sharp instrument (blades, needle tips, wedges, …etc) put
in :
A) dicharged paper basket
B) designed sharp instrument special container. ***
C) disinfectant in auto glave then throw
D) put it in multifoil
1043. Female patient came to your clinic with continous severe pain related
to 1st maxillary molar. After examination dentist diagnose the tooth is
carious and has irreversible pulpitis. He decides to do RCT. After enough
time for anaesthisation, the patient won’t allow the dentist to touch the
tooth due to severe pain. Dentist should:
A) give another appointment to the patient with description of antibiotics..
B) Extraction.
C)Intra-pulpal anaesthia.
1044. 32 years old patient came to your dental office, suffering from a bad
odour and taste from His mouth. By examination patient has an anterior
mandibular 3 unit bridge that bubbles upon Applying water spray and
slight pressure. Cause:
A) broken abutment.
B) Food impaction underneath the pontic.
C) separation between the abutment and the retainer.. *** (dissolving of
cement / microleakage)
1045. Patient complaining from pain in the floor of the mouth (beneath the
lower jaw) your diagnosis is related to the salivary glands, what’s the best
x-ray to help you:
A)panoramic
B)occlusal
C)sialograph. *** (Specialized radiograph for the Salivary gland disorders)
Dental secrets – page 107
Because the salivary glands consist of soft tissue, they cannot be seen on
radiographs unless special steps are taken to make them visible. In a
technique called sialography.
1046. distal surface for first upper premolar ,contact with the neighbor teeth
A)in the middle with buccal vastness wider than lingual one
B)in the middle with lingual vastness wider than bucccaly one. ***
1047. the movement of polymorphic cells in the gaps of intracellular to the
blood capillary
Outside it called:
A)porosity ‫مسامية‬
B)slinking ‫تسرب‬
C) diapedesis. *** ‫( انسالل‬source Wikipedia)
1048. Child with cleft palate and cleft lip with anodontia due to:
a- Van der woude syndrome. ***
b- Treacher Collins syndrome.
c- Paget disease.
http://en.wikipedia.org/wiki/Van_der_Woude_syndrome

Van Der Woude syndrome (VDWS) is a genetic disorder. People with VDWS


have cleft lipwith or without cleft palate, isolated cleft palate, pits
or mucous cysts on the lower lip, andhypodontia. Affected individuals have
normal intelligence

1049. Which of the following canals in # 14 is most difficult to locat:


a- palatal
b- Distobuccal
c- Mesiobuccal. ***
d- All of above
3 ‫ قنوات في الجذر الدهليزي األنسي و‬3 ‫ يمكن أن يصل عدد قنوات الرحى األولى العلوية إلى‬:‫معلومة‬
.‫ في الدهليزي الوحشي‬2‫قنوات في الحنكي و‬

1050. Which condition is an apical lesion that develop acute exacerbation of


chronic apical abscess:
a- Granuloma
b- Phoenix abscess. ***
c- Cyst
d- Non of above
Dental decks – page 165 ً ‫حرفيا‬

1051. Acute exacerbation of chronic pulpitis: ‫سورة حادة‬


a) Reversible pulpitis.
B) Irreversible pulpitis.***‫األصح‬
C) Acute periodontitis.
‫ ولكن التهاب اللب المزمن خفيف‬،‫السورة الحادة الشائعة تصيب الخراج المزمن وتحوله لحاد‬
‫األعراض يتحول إلى التهاب لب حاد غير ردود عند حدوث سورة حادة‬.
1052. Which tooth require special attention when preparing the occlusal
aspect for restoration:
a- lower 2ed molar
b- lower 1st premolar. ***
c- lower 2ed premolar
d- upper 1st molar
Dental Decks - page 2295
1053. Pt came 2 u with coloration bluish (or green?? ) and black in the
gingival margins .he said that hi has gasteriointensinal problem.this is
caused because of :
a-mercury
b-lead
c-bismuth. ***
d-arsen.
.‫تستخدم أمالح البزموت في تركيب مضادات القرحة والحموضة المعدية‬

1054. How can u repair fractured rest(in the place where it passes over the
marginal ridge of the tooth ) in removable partial denture?
A-spot welding
b-electric soldering
c-industrial brazing
d-.......
1055. Hunter Schreger bands are white and dark lines that appear in:
1. Enamel when view in horizontal ground.
2. Enamel when view in longitudinal ground. ***
3. Dentin when view in horizontal ground.
4. Dentin when view in longitudinal ground.
http://www.wrongdiagnosis.com/medical/hunter_schreger_bands.htm
Hunter-Schreger bands: alternating light and dark lines seen in enamel of the
tooth that begin at the dentoenamel junction and end before they reach the
enamel surface; they may represent areas of enamel rods cut in cross-sections
dispersed between areas of rods cut longitudinally.
1056. Sealer is used in RCT to:
1- Fill in voids. ***
2- Increase strength of RC filling.
3- Disinfect the canal.
1057. Child patient presented with swelling in the buccal and palatal maxillary
anterior area tow days ago, the pathology of the lesion there is a giant cell,
what is the diagnosis:
1. Giant granuloma.
2. Hemangioma.
3. ….
http://www.turkishjournalpediatrics.org/?fullTextId=227&lang=eng

Central giant cell granuloma (CGCG) is a benign intraosseous lesion of the jaws
that is found predominantly in children and young adults. Although benign, it
may be locally aggressive, causing extensive bone destruction, tooth
displacement and root resorption.

1058. Child with anodontia and loss of body hair, the diagnosis is:
1. Down's syndrome.
2. Ectodermal dysplasia. ***
3. Fructose …..
4. Diabetic ….

1059. Cavity etching before applying GIC is:


1. Polyacrylic acid 10 seconds. ***
2. Polyacrylic acid 60 seconds.
3. Phosphoric acid 10 seconds.
4. Phosphoric acid 60 seconds.

1060. to increse retention of GIC u shold use


A-37%POLYACRYLIC ACID FOR 15 SECOND
B-35%polyacrylic acid for 10second
c-10% polyacrylic acid for 10 second. ***
d-10%polyacrylic acid for 15 second
a,b
a,d
c,d
c only. ***
d only

 For GIC, etching is more better to done by 10% polyacrylic acid for 10
seconds for enamel and dentin ( note: GIC contains polyacrylic acid ).

 For Composite, etching is more better to done by 37% orthophosphoric


or phosphoric acid for 20 seconds on enamel but for 10 seconds on
dentin.

1061. surgery for ridges aim to:


1. Vertical dimension.
2. Speech.
3. Modify ridge for stability. ***
1062. Patient with warfarin treatment and you want to do surgery, when you
can do:
1. When PTT is 1 – 1.5 INR on the same day.
2. When PTT is 2 – 2.5 INR on the same day.
3. When PT is 1 – 1.5 INR on the same day. ***
4. When PT is 2 – 2.5 INR on the same day.
Dental secrets – page 38

Warfarin affects clotting factors II, VII, IX, and X by impairing the conversion of
vitamin K to its active form. The normal PT for a healthy patient is 10.0—13.5
seconds with a control of 12 seconds. Oral procedures with a risk of bleeding
should not be attempted if the PT is greater than 1½ times the control or
above 18 seconds with a control of 12 seconds.

1063. Patient with pain on the upper right area, and the patient can not tell
the tooth causes the pain, what is the least reliable way to do test pulp:
1. Cold test.
2. Hot test.
3. Electric test. ***
4. Stimulation the dentine.
1064. Pt have denture, after 5 year he complain of ulcer and inflammation in
lower buccal vestibule. wt is the Dx:
1/hypertrophic Frenum. ***
2/ epulis fissurment.
1065. Patient presented to you after fitting the immediate denture 5 – 10
months, complaining pain and over tissue in the mandibular, what is the
diagnosis:
1. Epulis fissurment. ***
2. Hypertrophic Frenum.
http://en.wikipedia.org/wiki/Epulis_fissuratum
Epulis fissuratum (also known as "Granuloma fissuratum"[1]:808) is an oral pathologic
condition that appears in the mouth as an overgrowth of fibrous connective tissue. Also
referred to less commonly as inflammatory fibrous hyperplasia, denture epulis, and
denture induced fibrous hyperplasia, it is associated with the edges of a denture that
does not fit well. The word, "epulis", can be used to describe any gingival tumor, but it is
widely used in association with this specific condition.

1066. Main reason for surgical pocket therapy:


a. Expose the roots for scaling and root planning
b. Remove supragingival calculus
c. …
1067. Biological width
a. 1 mm
b. 2mm ***
c. 3mm
d. 4mm
‫العمق الحيوي هو المسافة من بداية ارتباط اللثة الملتصقة بالسن والمقابلة لقمة السنخ حتى نهاية االرتباط‬
.)‫البشروي بالسن (بداية الثلم اللثوي‬

‫وكقيمة فهو مجموع مسافة االرتباط بين اللثة الملتصقة مع السن ومسافة االرتباط البشروي بين اللثة‬
)ً ‫ ملم تقريبا‬2.04 = 1.07 + 0.97( ‫والسن‬

،0.69 ‫والبنى اللثوية المتبقية في هذه المنطقة هي الثلم اللثوي (يبدأ من نهاية االرتباط البشروي) وطوله‬
.‫ ملم‬0.5 ‫ثم الحافة الحرة للثة (تستقبل التعويض) وطولها‬
1068. Biological depth:
d. Crestal bone to gingival sulcus ***

1069. Periodontal attachment contain:


Epithilum, sulcus, connective tissue. ***

1070. Periodontally involved root surface must be root planed to:


a. Remove the attached plaque and calculus.
b. Remove the necrotic cementum.
c. Change the root surface to become biocompatible
d. All of the above.
e. A & b only. ***

http://www.asnanak.net/ar/article.php?sid=152 : Periodontal debridement


1071. Best measurement of periodontitis by:
a. Pocket depth.
b. Bleeding.
c. Attachment level.***

Abstract

Clinical measurement of periodontitis has historically focused on the concept of


periodontitis as a slow, continuous process which has emphasized measurements of
the static condition of periodontal pockets. Observations based on longitudinal
measurement of attachment loss in untreated subjects have indicated that periodontal
destruction occurs in discrete episodes of short duration. Based on these studies, it
has been suggested that chronic periodontal disease proceeds through a series of
random episodic attacks. Periodontal sites are considered as existing in 2 states,
either disease active or inactive. During periods of disease activity, sites increase in
their probable depth, whereas during the inactive state, no significant change in
probing depth can be detected.

Oxford - 120

Probing to elicit bleeding (which is the single most useful indicator of disease
activity), measuring pocket depth attachment levels, and detecting subgingival
calculus.
1072. The tissue response to oral hygiene instruction is detected by:
a- Probe pocket depth.
b- Less bleeding on propping . ***

Oxford 120

Both the MBI and PlI can be expressed as bleeding or plaque-free scores in
this way obtaining ahigh score is a good thing, which may be both easier for
the patient to understand and a more positive motivational approach.

1073. After scaling and root planning healing occur by:


a. Long junctional epithelium. ***
b. New attachment.
c. New bone and connective tissue formation.
d. New attached periodontal ligament fibers.

Dental decks – page 266


1074. During examination 34 show gingival recession buccally, the least
correct reason is:
‫هو طلب في السؤال أقل أو أضعف سبب صحيح وبقية األسباب قوية لحدوث انحسار اللثة‬
a. Frenum attachment.
b. Pt is right hand brushee. ***
c. Occlusal force.
d. Inadequate gingival.

1075. Periodontal pocket differ most significantly from gingival pocket with
respect to:
a. Depth. ***
b. Tendency to bleed on gentle probing.
c. The location of the bone of the pocket.
d. All of the above.

Oxford 118

Chronic gingivitis is, as the name suggests, inflammation of the gingival


tissues. It is not associated with alveolar bone resorption or apical migration
of the junctional epithelium. Pockets > 2 mm can occur in chronic gingivitis
due to an increase in gingival size because of oedema or hyperplasia (false
pockets).

1076. All of these are right ways to handle the instrument EXCEPT
A- Modified pen handle
b- Inverted pen ‫القلم المعكوس‬
c- Pen handle. *** ‫مسكة القلم‬
d- Palm and thumb ‫احة‬َ َّ‫ْهام و الر‬ ُ َ ‫َقب‬
ِ ‫ْضة اإلِب‬
http://www.slideshare.net/confirm/MjY0NjU5OTE7ZC5zbW8=/3349629-
b1688b1e7e816bc6cf48bdb24824b43b6184735e-slideshow
There are four grasps used with the hand instruments: Modified pen. Inverted
pen. Palm and thumb. Modified palm and thumb.
1077. Amalgam is used in extensive cavities :
a- When the cusp is supported by dentine and proper retentive
preparation
b- When Cusps lost and thin supported wall. ***
c- When one cusp is lost and need to apply restoration to replace it
1078. what is the most factor encouraging dental caries :
A) Xerostomia. ***
B) Hypocalcification.
C) Smoking.
1079. Incipient caries in the old patients is MOSTLY due to:
a)smoking
b)saliva
d)Xerostomia. ***
1080. the best definition to odontoblast:
a- It ‘s subjacent to predentine, odontoblastic process…… ***
b- Odontoblast cell is more in the cellular pulp than radicular
c-
http://en.wikipedia.org/wiki/Pulp_(tooth)
Odontoblastic layer; outermost layer which contains odontoblasts and lies
next to the predentin and mature dentin
1081. The last sensation whih disappear after local anesthisea
A-pain
b-deep pressure. ***
c-temperature

http://www.scribd.com/doc/17106080/Local-Anesthetics
Both sensory & motor nerves are equally sensitive.
Order of pain blockade is pain, temperature, touch, deep pressure sense.
Applied to tongue bitter taste is lost first, followed by sweet & sour, and salty
taste is lost last of all.
1082. The kind of on lay wax used in cast
1. braffin
2>>>>>
3>>>>>
1083. wax inlay which type contain in much gradient?
a) baraffin wax
b) bee wax

1084. non odontogenic Lesion similar to Endo Lesion: - 


a-Hyperparathyroidism
b-initial stage of cemental dysplasia. ***
c-ossifying Fibroma
d-Dentigeaus cyst
e-ameLobLastoma
f-Lateral periodontal cyst
j-myxoma & Hemangieoma
White and Pharoah, 4th edition, page 451
In the early radiolucent stage periapical cemental dysplasia PCD lesions,the
most important differential diagnosis is the periapical rarefying osteitis.
1085. While rct if u penetrate the furcation area of roots what u will do?
a. Mineral Trioxide Aggregate (MTA). ***
b. ca oh
c. formocresol
1086. the mineral Trioxide aggregate is best material for
a. indirect pulp capping
b. apexogenesis
c. apexofication
d. root canal obturation
e. all except a
mta can used with direct pulp capping
)http://en.wikipedia.org/wiki/Mineral_trioxide_aggregate (

http://webcache.googleusercontent.com/search?
q=cache:r5DcCNJhBZIJ:www.drpulp.com/2011/05/use-mta-in-your-
endodontic-
cases.html+best+use+of+mta&cd=7&hl=ar&ct=clnk&gl=sa&client=firefox-a

Direct Pulp Capping / Apexification / Perfuration / ‫ يستخدم في‬MTA


Internal&External Resportion / Root End Filling

‫المصدر‬
http://books.google.com/books?id=zMa...regate&f=false

1087. The fundamental rule in the endodontic emergencies is :


a. control pain by inflammatory non steroid.
b. diagnosis is certain. ***
1088. Female pt come with endo treated upper central with m, d caries &
have incisal abrasion. Porcelain veneer is planned with modification to
cover incisal edge. veneer should end:
a. fourth lingualy 0.5 mm before centric occlusal. ***
b. fourth 1.5 before centric occlusion
c. fifth 1.5 before centric occlusion
1089. Pt come with siuns u make gp tracing & take radiograph the gp appear
in lateral surface of the root
a. periodontal abscess
b. periodontitis
c. lateral acessory canal.
1090. Tech of endo fill where we use continuous condensation
a.vertical condensation***
Principles and Practice of Endodontics WALTON – page 273
"Continuous wave of condensation" in the vertical condensation paragraph
1091. Post graduated student use mta the prognosis depend on prevent
a. immediate suture
b. disturbance during closure of wound. ***
c. using a flab
1092. The cause of black cast which prevent pickling due to
a. over heat.
b. contaminate with gas
c. incomplete casting

1561 ‫ انظر السؤال‬- ‫وتجعل لون الصبة أسود‬sulfur ‫ زيادة الحرارة تحرر الكبريت‬:‫مهم‬

Dark discolored casting due to

(investment = ‫)الغالف‬
Over heating of the investment leads to decomposition of calcium
sulphate hemihydrates binder and release of sulpher which will combine
with copper and silver of gold alloy lead to compounds which resist
.pickling of casting

1093. Sharpening the curette and sickle, the cutting edge should be at angle:
A- 50-60
B- 70-80. ***
C- 80-90
D- 60-70
1094. Pt take 40 cortisone in day of procedure
a.double the dose just day of procedure
b. double the dose day of procedure & day after
c. stop the medication
1095. What is the dominant type of fibers found in Cementum:
A) longitudinal
B) Circular
C) Sharpey's fiber.. ***
1096. Fibers which completely embedded in cementation and pass from
cementation of one tooth to the cementation of adjacent tooth is: ‫األلياف‬
‫التي تصل سنين متجاورين‬
1. Sharpey's fiber. ‫ألياف شاربي‬
2. Transceptal fibers. *** ‫عبر الحاجز‬
3. Longitudinal fibers. ‫الطوالنية‬
1097. What is the main function of impression tray holes :
A)Fixing the Impression material. ***

1098. A Tailor is presented to your dental office, what’s the most common
feature to be found in His teeth upon examination :
A)Attrition
B) abrasion. ***
C) Erosion
D) Abfarcation
1099. Abrasion of enamel and root surfaces may result from the long term
use of:
a. A hard toothbrush.
b. Tooth abrasive toothpaste or powder.
c. Vigorous use of the toothbrush.
d. A and B only.
e. A, B and C. ***
1100. Patient came to your clinic complaining of pain, upon examination you
can’t find a cause. What’s the next logical step to do in investigation
A) Panoramic x-ray. ***
B) CT Scan
C) MRI
D) Regular tomography
1101. contra indication of implant EXCEPT
1_many dental caries. ***
2_malignancy
3_radiation therapy
1102. dental implant are successfully with min failure:
a-premaxilla area in the upper arch.
b-posterior area of the maxillary arch.
c-mandible between the mental foramen.
d-buccal shelf of the mandible.
dental secrets

. Which anatomic site is the most likely to yield failed implants?


Implants placed in the maxillary anterior region are the most likely to fail.
Because short implants are more likely to fail than longer implants, the
longest
implant that is compatible with the supporting bone and adjacent anatomy
should
be used.
‫كما يوجد رابط‬
http://www.syrianclinic.com/vb/threa...A7%D9%85%D9%84

‫يتحدث عن الزراعة ورد فيه‬


‫االعتبارات التشريحية‬
‫العوامل التشريحية المهمة التي تؤثر على نجاح الغرسة في الفك العلوي هي‬:
• ‫ كثافة العظم وكميته‬.
• ‫الحفرة األنفية‬.
‫‪.‬الثقبة القاطعة •‬
‫‪.‬الجيب الفكي •‬
‫‪:‬كمية العظم‬
‫نادراً ما تكون كمية العظم كافية في الفك العلوي‬
‫يزداد النقص العظمي بعد قلع األسنان بسبب امتصاص العظم السنخي وتوسع الجيب الفكي الذي‬
‫يزداد مع تقدم العمر لدرجة بقاء قشرة عظمية رقيقة عند أرض الجيب الفكي‬
‫‪:‬ويمكن أن تستخدم الحدبة الفكية من أجل الزرع في بعض األحيان ولكنها‬
‫تتوضع في موقع بعيد كما أن نوعية العظم الموجود في الحدبة الفكية هو عظم اسفنجي يمكن أن يهدد‬
‫‪.‬االندماج العظمي‬
‫‪:‬الثقبة القاطعة‬
‫تميل للتوضع على الحافة األمامية مع زيادة االمتصاص العظمي وبشكل خاص عندما يكون الفك‬
‫العلوي األدرد يقابله أسنان في الفك السفلي‬
‫ويجب االنتباه إلى الثقبة القاطعة عند إجراء الغرس في منطقة القواطع المركزية‬

‫النواحي التشريحية المهمة في الفك السفلي‬


‫‪.‬إن العظم القشري الكثيف هو المسيطر في الفك السفلي وخاصة في المنطقة بين الثقبين الذقنتين‬
‫يجب أن تؤخذ بعين االعتبار مناطق الغؤور الذقنية عند تقييم ارتفاع العظم قرب ارتفاق الفك السفلي‬
‫‪.‬غالبا ً يكون أقل من المتوقع ويكون ذلك باستخدام الصورة السيفالومترية الجانبية‬
‫شوك الذقن قد يتوضع فوق االرتفاع السنخي في الفك السفلي الضامر وهذا يهدد الغرسة وقد نحتاج‬
‫‪.‬إلزالتها جراحيا ً‬

‫مناطق الغؤور الشديدة تحت الحافة الضرسية الالمية‪ .‬التي تتواجد في المنطقة الرحوية يجب االنتباه‬
‫إلى هذه الناحية ألن ثقب الصفيحة القشرية اللسانية يسبب نزف في قاع الفم يهدد حياة المريض ويتم‬
‫‪(CT‬التقييم من خالل‬
‫‪:‬العصب السني السفلي‬
‫االنتباه إلى عروة العصب األمامية حيث يجب وضع الغرسة على بعد ‪5‬ملم كحد أدنى عن الثقبة‬
‫الذقنية‪ ،‬تتوضع الثقبة على قمة السنخ في الفك الضامر ويجب االنتباه عند إجراء شق على قمة السنخ‬

‫كثافة العظم في هذه المنطقة تعتبر عامل مساعد كما أنها تخلو من أية معالم تشريحية تعيق الزرع‬
‫كالجيب الفكي في الفك العلوي و القناة السنخية السفلية في منطقة األرحاء السفلية و الثقبة الذقنية في‬
‫منطقة الضواحك السفلية و القناة القاطعية في األسنان األمامية العلوية (عبيدة)‬
‫‪1103. What’s the best implant type allowing Osseointegration:‬‬
‫*** ‪A) Root-form Endosseous implant.‬‬
‫‪1104. The indications of implantation:‬‬
‫‪1.‬‬ ‫‪Diabetic patient.‬‬
‫‪2.‬‬ ‫*** ‪Loss of one tooth only with the adjecent teeth.‬‬
‫‪1105. what medical condition should prevent the dentist from practicing‬‬
‫‪dentistry :‬‬
‫‪A) Diabetes‬‬
‫‪B) Hypertension‬‬
‫*** ‪C) Influenza.‬‬
‫‪D) Headache.‬‬
‫‪1106. patient complaining of Xerostomia & frequent going to the toilet at‬‬
‫‪night‬‬
A) Diabetes Mellitus. ***
1107. which of the following materials is NOT a hemostatic agent :
A) Oxidized cellulose
B) Gelvon
C) Zinc Oxide. ***
1108. patient suffering from a submandibular gland abscess, dentist made a
stab incision and is fixing a rubber drain to evacuate the pus, the drain is
sutured to :
A) Intra-oral
B) From angle of the mandible.
C) Between myloid muscle and…..
895 ‫راجع السؤال‬

‫صيغة مشابهة للسؤال السابق‬


1109. patient suffering from a submandibular gland abscess, dentist made a
stab incision and is fixing a rubber drain to evacuate the pus, the drain is
sutured to :
A) Intra-oral between the myeloid muscel
B) extraorally from the most fluctant point
C) extraorally under the chin
d) ……….. the chin
895 ‫راجع السؤال‬

1110. The best material for taking full crown veneers impression is :
A) Poly-sulphide
B) Poly-ether
C) Irreversible hydrocolloid
D) Poly vinyl siloxane (Additional silicone). ***
Dental Decks
1111. what is the concept of Pro-taper system :
A) Step down tech.
B) Step back tech.
C) Crown down tech.. ***
1112. Preparation of tooth for metal ceramic restoration should be done in:
A) two planes. ***
B) parallel to long axis
1113. Labial reduction for porcelain metal restoration must be:
a. One plane for aesthetic.
b. Tow planes by follow the monophology. ***
1114. preparation for labial surface in one plane in the preparation for metal
crown is:
A)more retentive
B) less retentive. ***
c) less cutting of tissues
1115. when removing lower second molar :
A) occlusal plane perpendicular To the floor
B) buccolingual direction to dilate socket.
C) mesial then lingual
1116. Upon opening an incision in a periapical abscess in a lower 1st molar,
you open :
A) The most bottom of the abscess. ***
B) The most necrotic part of the abscess.
C) Extra oral
1117. What’s the test used for HIV:
Elisa. ***

1118. Neonate 2 years old, has a lesion on the centrum of the tongue... With
the eruption of the 1st tooth:
A)Riga-Fede disease. *** <sublingual traumatic ulceration>
Mosby Medical Dictionary
Riga-Fede disease: a tumor of the tongue (lingual frenum) in some infants. It is
caused by early teeth rubbing on it. Also called *Fede's disease.
1119. Which of the following conditions is highly indicated for the short
therapy of DOTS and Is directly observed once in the clinic:
A) Tuberculosis. ***
B) HIV
C) H1N1
D) Mental Illness
1120. At the begining of the Operation day in the clinic, you should start the
water/air spray for Three minutes in order to get rid of which type of
microorganisms :
A) streptococcus mutans.
B) streptococcus salivaris. ***
C) ....
D) ....

Dental high-speed turbines and handpieces can take up and expel


microorganisms during operation and thus need regular sterilization. This
study established a method for validating devices used to sterilize high-speed
turbines and handpieces. The air and water channels and turbine chambers
were contaminated with suspensions of Streptococcus salivarius or
endospores of Bacillus stearothermophilus. The effect of flushing and/or
autoclaving performed by a new device combining both procedures was
evaluated by counting the number of viable bacteria recovered from these
devices. Further, the effect on clinically used handpieces was evaluated. In an
initial experiment, the device partially reduced S. salivarius, and the
endospores survived. In a second experiment
1121. The main link between the pulp and the the periodontium is:
A. Apical foramen. ***
B. Dentinal tubules
C. Accessory canals
D. PDL
1122. Patient came with severe pain related to right 1st mandibular molar,
there's no swelling related, pulp test is negative, no evidence in
radiograph. Diagnosis:
A. Irreversible pulpitis
B. Acute periodontal abscess.
C. Suppurative periodontal abscess
1123. Which of the following teeth has a contact area between the incisal
(occlusal) third and middle third:
A. 1st maxillary premolar.
B. 1st mandibular premolar. ***
C. 1st maxillary molar.
D. Central mandible Incisor.
416 + 876 #‫انظر السؤالين‬

Textbook of Dental and Oral Anatomy Physiology and Occlusion – page 110
1124. A pt came to your clinic after examination you found deformity in the
neck and collarbones and supernumerary of teeth what is the diagnosis :
a. cleidocranial dysostosis***
b. amelogensis imperfecta
Partly or completely missing collarbones. If the collarbones are completely
missing or reduced to small vestiges, this allows hypermobility of the
shoulders including ability to touch the shoulders together in front of the
chest.
A soft spot or larger soft area in the top of the head where the fontanelle
failed to close.
Bones and joints are underdeveloped. People are shorter and their frames
are smaller than their siblings who do not have the condition.
The permanent teeth include supernumerary teeth. Unless these
supernumeraries are reabsorbed before adolescence, they will crowd the
adult teeth in what already may be an underdeveloped jaw. In that case, the
supernumeraries will probably need to be removed to provide space for the
adult teeth.
Permanent teeth not erupting
Bossing (bulging) of the forehead.
Hypertelorism
1125. Pt with complete denture complain from tightness of denture in
morning then become good this due to
A) relif of denture. *** (because there may be pressure points or areas that
the tissues will try to Adjust to it throughout the day)
B)lack of cheeck elastisty (pressure on the flanges <> displacement of denture)
C)poor post dam (no posterior seal <> displacement of denture)
‫سؤال مشابه‬
1126. old.pt.come with set of compelete denture with tight denture in
morning and become loose later in aday what is the cause:
a. lack of posterior palatal seal
b. deflecting of occlusion
c. excessive relining of denture***
d. inelasticity of cheek

1127. A border line diabetic pt came with denture stomatitis you find
abundant debris in the tissue surface area of the denture>>the proper
management is:
A. Systemic antibiotic
B. Topical antifungal. *** (topical + relining with a tissue conditioner + rest of
tissues at night +Good oral hygiene)
C. Systemic antifungal
D. Topical antibiotic
1128. Pain in central incisors from
A. Central &lateral incisors. ***
B. Lateral & canine
C. Canine & premolar
D. Premolar & molar
1129. To treat non vital tooth with open apex when doing access openning
with gates glidden bur take care to :
A. Remove all dentin
B. Remove minimal dentine. ***
C. Follow conservative method
‫سؤال مشابه مع اختالف جوهري‬
1130. To treat non vital tooth with open apex when doing access opening
with Gates Glidden drills take care to avoid
a. Remove all dentin. (Considerable dentin(***
b. Remove minimal dentine.
c. Follow conservative method.

1131. 20 years old pt have avulsed tooth for 60 min the management to
return vascularity of the tooth:
A. Scrap the surface of the root
B. Place the tooth in sodium sulfide of X%....
C. Place it in sodium chloride then sodium sulfide. ***
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 73:
Avoid handling root surface. If tooth contaminated, hold crown and agitate
gently in saline.
http://emedicine.medscape.com/article/763291-treatment
f extraoral time is longer 60 minutes, soak the tooth in citric acid and fluoride
to make the root as resistant to resorption as possible. Consult a dentist.

1132. The peripheries of the custom tray should be under extended to all
border and clearance from the frenum areas:
1. 2mm. ***
2. 4mm.
3. 6mm.
4. 8mm.
1133. The goal of making the peripheries of the custom tray under extended
to all bordered clearance from the frenum areas:
1. To give enough space for the used impression materials to allow border
molding the tray. ***
2. To give enough space for the die spacer.
3. To give enough space for the cementation materials.
4. None.
1134. The base plate could bee made by:
1. Acrylic plate.
2. Ceramic plate.
3. Wax plate.
4. A and c. ***
1135. The vertical height of the maxillary occlusion rim from the reflection of
the cast is:
1. 12mm.
2. 22mm. ***
3. 32mm.
4. 42mm.
1136. The anterior width of the maxillary occlusion rim is:
1. 5mm. ***
2. 10mm.
3. 15mm.
4. 20mm.
1137. The posterior width of the maxillary occlusion:
1. 8-10mm. ***
2. 8-15mm.
3. 10-15mm.
4. 15-20mm.
1138. The anterior height of the mandibular occlusion rim is:
1. 6mm.
2. 16mm. ***
3. 26mm.
4. 36mm.
1139. The posterior height of mandibular occlusion rim is:
1. Equal to the point representing 1/2 of the height of retro molar pad. ***
2. Equal to the point representing 1/2 of the height of the frenum areas.
3. Equal to the point representing 1/2 of the height of the alveolar ridge.
4. None.
1140. To record the occlusal plane in order to:
a. To determine the amount of space between the mandible and the
maxilla which will be occupied by an artificial teeth
b. To determine vertical and horizontal level of the teeth.
c. A and B. ***
d. None.
1526 ‫انظر السؤال‬

1141. The protrusive condylar guidance should be set on the articulator at:
a. 30 – 35 degree.
b. 50 degree.
c. 60 degree.
d. 70 degree.

https://docs.google.com/viewer?
a=v&q=cache:eXYttsI1HVoJ:whipmix.com/wp-content/uploads/via-
-product
catalog/product_docs/wide_vue_inst.pdf+protrusive+condylar+guidan
ce+should+be+set+on+the+articulator+at&hl=ar&gl=sa&pid=bl&srcid=
ADGEESjtKSZdtLbEXpv7Nt8GDGUVFw6eaMBVUjRRp2cb2bvhjwFxJXhD8
gRgLkadLf4z4BaN8i83o8kQ0ZyyOCImZtUejyZuMmRnKuip8PpaIDWuTo
WR-
pSiSQNOQP0LIgQCTTCU7i5y&sig=AHIEtbTka1UBavyxyEMcPl54iDASyrxE
11‫ ص‬dQ

1142. The lateral condylar posts should be set on the articulator at:
a. Zero degree.
b. 20 degree.
c. 40 degree.
d. None.
https://docs.google.com/viewer?
a=v&q=cache:berkhiAZfDEJ:whipmix.com/wp-content/uploads/via-
product-catalog/product_docs/Hanau
%2520H2%2520InstLR.pdf+lateral+condylar+posts+should+be+set+on+the
+articulator+at&hl=ar&gl=sa&pid=bl&srcid=ADGEESjst8-
pYg8C9WS4ScL2O2ghN677vdbMw7-
jqbKyHPmK0meWA0Z77u15M4Grb9XHx92rtwl3oFe_Qc_a7wuDUJhoWc0U
39fxeAQmfw-3-
OugT4sqFtlz2qLfMf5Sx6EuckrpsH4u&sig=AHIEtbRU3CXKzLGQgNAzjUlNu7lj
5 ‫ ص‬y-USxw
‫ درجة أي الجواب الثاني هو األصح‬18 ‫حسب المرجع السابق‬
1143. The incisal guide should be set on the articulator at:
a. Zero degree. ***
b. 20 degree.
c. 40 degree.
d. None.
.Zero degree ‫الجواب األول‬
https://docs.google.com/viewer?
a=v&q=cache:eXYttsI1HVoJ:whipmix.com/wp-content/uploads/via-
product-
catalog/product_docs/wide_vue_inst.pdf+protrusive+condylar+guidance+
should+be+set+on+the+articulator+at&hl=ar&gl=sa&pid=bl&srcid=ADGEES
jtKSZdtLbEXpv7Nt8GDGUVFw6eaMBVUjRRp2cb2bvhjwFxJXhD8gRgLkadLf4
z4BaN8i83o8kQ0ZyyOCImZtUejyZuMmRnKuip8PpaIDWuToWR-
pSiSQNOQP0LIgQCTTCU7i5y&sig=AHIEtbTka1UBavyxyEMcPl54iDASyrxEdQ
11‫ص‬

1144. The primary goal of anterior tooth selection is:


a. To provide good functional requirements.
b. To satisfy aesthetic requirements. ***
c. To let the patient feel comfortable.
d. None.
1145. The primary goal of posterior tooth selection is:
a. To provide good functional requirements. ***
b. To satisfy aesthetic requirements.
c. To satisfy sychological requirements.
d. None.
1146. You need…….to get the teeth shade:
a. Shade guide. ***
b. Incisal guide.
c. Acrylic teeth.
d. Porcelain teeth.
1147. The teeth materials are:
a. Acrylic teeth.
b. Porcelain teeth.
c. A and B. ***
d. None.
1148. The width of the lower teeth is:
a. 1/2 of the maxillary anterior teeth in normal jaw relationship.
b. 1/3 of the maxillary anterior teeth in normal jaw relationship.
c. 3/4 of the maxillary anterior teeth in normal jaw relationship. ***
d. None.
1149. Generally posterior teeth are classified into:
a. Anatomy (cusp) teeth.
b. Non-anatomy (cuspless) teeth or flat.
c. A and B. ***
d. None.
1150. The process of positioning or arranging teeth on the denture base is
termed:
a. Casting.
b. Investing.
c. Setting up. ***
d. Flasking.
1151. Important functions must be considered when arranging anterior teeth:
a. Aesthetics.
b. Incision.
c. Phonetics.
d. All.
1152. Which surface of the central incisor that contacts the median line:
a. Distal.
b. Mesial. ***
c. Buccal.
d. Lingual.
1153. The incisal edge of the maxillary lateral incisor is……..above and parallel
to the occlusal plane:
1. 1/2 mm.
2. 1 mm. ***
3. 2 mm.
4. 3 mm.
1154. The long axis of the maxillary cuspid is inclined slightly to the:
1. Mesial. ***
2. Distal. (The neck of the maxillary cuspid is inclined slightly to the distal).
3. Buccal.
4. Lingual.
1155. It is called ……….. When the occlusal surfaces of the right and left
posterior teeth are on the same level:
1. Vertical plane.
2. Horizontal plane. ***
3. Compensating curve.
4. All.
1156. The ………. Of the maxillary first bicuspid is raised approximately 1/2mm
of the ocllusal plane:
1. Buccal cusp.
2. Lingual cusp. ***
3. Mesial surface.
4. All.
1157. The long axis of the maxillary first molar is inclined to
1. Buccal. *** ( when viewed from the front ).
2. Mesial.
3. Distal. *** ( when viewed from the side ).
4. Lingual.
1158. All maxillary posterior teeth touch the occlusal plane EXCEPT:
1. First bicuspid.
2. Second bicuspid.
3. First molar.
4. Second molar. ***
1159. The distance between the lingual surfaces of the maxillary anterior
teeth and the labial surfaces of the mandibular anterior teeth is:
1. Vertical overlap (overbite).
2. Horizontal overlap (overjet). ***
3. Occlusal plane.
4. All.

1160. The distance between the incisal edges of the maxillary and mandibular
anterior teeth is:
1. Horizontal overlap (overjet).
2. Vertical overlap (overbite). ***
3. Occlusal plane.
4. All.
1161. The average distance between the lingual surface of the maxillary
anterior teeth and the buccal surface of the mandibular anterior teeth is:
(Horizontal overlap “ overjet “) :
1. 1/2 mm.
2. 1 mm.
3. 2 mm. ***
4. 3 mm.
 An ideal bite has an overjet of 1 – 3 mm. and an overbite of 1 – 3 mm.
 Horizontal overlap “overjet“ and Vertical overlap “overbite“ is 1 - 3
mm.

Overjet: distance between upper and lower incisors in the horizental plane.
normal is 2-4 mm.
An Inroduction to Orthodontics by Laura Mitchel

1162. Which tooth of the mandibular anterior teeth that touch the lingual
surface of the maxillary anterior teeth in normal centric relation?
1. Central incisor.
2. Lateral incisor.
3. Cuspid (Canine). ***
4. None.
1163. The mesial surface of the mandibular lateral incisor contacts:
1. The mesial surface of the central incisor.
2. The distal surface of the central incisor. ***
3. The mesial surface of the cuspid.
4. The distal surface of the cuspid.
1164. The tip of cusp of the mandibular cuspid is 1 mm above the occlusal
plane to establish ………. Of the maxillary anterior:
1. Horizontal overlap.
2. Occlusal plane.
3. Vertical overlap. ***
4. All.
1165. The relation involves the movement of the mandibular to the side
either right or left in which the act of mastication is to be accomplished.
Therefore the side to which the mandible moves is called:
1. Balancing side.
2. Working side. ***
3. Compensating side.
4. All.
1166. When the mandible moves to the working side, the opposite side cusp
to cusp contacts in order to balance stresses of mastication. This relation is
called:
1. Working relation.
2. Balancing relation. ***
3. Occlusal relation.
4. None.
1167. In order to distribute the primary forces of mastication, to fall within
the base of the denture, the mandibular teeth are set:
1. On the bucal edge of the ridge.
2. On the lingual edge of the ridge.
3. On the crest of the ridge. ***
4. All.
1168. The mandibular posterior tooth that has no contact with any maxillary
teeth during the balancing occlusion is:
1. First bicuspid. ***
2. Second bicuspid.
3. First molar.
4. Second molar.
1169. The used device in flasking procedure is called:
1. Articulator.
2. Separating medium.
3. Flask. ***
4. None.
1170. We Vaseline the inner surface of the flasks all rounds:
1. To help in the packing procedure.
2. To separate the models (casts) safety. ***
3. A and B.
4. None.
1171. The procedure that follows the flasking procedure is called:
1. Polishing.
2. Deflasking.
3. Packing. ***
4. Curing the acrylic.
1172. Teeth selection in setting up teeth gsf is based of these factors:
1. Shade of the teeth.
2. Size and shape of the teeth.
3. Angle of the teeth.
4. A and B. ***
5. All the above.
1173. direct pulp capping is done in:
1. Primary molar.
2. Primary incisor.
3. Permanent molar. ***
4. None of the above.
1174. Indirect pulp capping done in:
1. Primary molar.
2. Premolar and molar.
3. Incisors.
4. All the above. ***
1175. What do we use as temporary filling material in anterior reign when
aesthetic is important:
1. Composite.
2. Glass ionemer cement. ***
3. Zinc oxide eugenol.
1176. The maximum dose of X-ray exposure dose for radiographic technique:
1. 100 milli roentgens per week. ***
2. 10 roentgens per week.
3. 100 roentgens per week.
4. 300 roentgens per week.
Dental Decks - page 62
Person who works near radiation can be exposed in one year to a maximum
dose of 5 Rem (0.1 Rem per week)
‫ روتنجن‬5 ‫الجرعة المسموح بالتعرض لها سنويا ً هي‬
.‫ ميلي روتنجن باألسبوع‬100 ‫ أسبوع = حوالي‬52 ÷ ‫ روتنجن‬5 = ‫أي الجرعة األسبوعية‬

1177. Acute periapical abscess characterized by:


1. Varying degree of pain.
2. Varying degree of swelling.
3. Some time not shown on the radiograph.
4. All the above. ***
1178. It is preferable to be the length of the handle of the custom tray:
1. 10mm.
2. 20mm.
3. 15mm. ***
4. 25mm.
1179. ………… is the art and science of functional, anatomic and cosmetic
reconstruction of missing or defective parts in the maxilla, mandible or
face by the use of non living substances:
1. Complete denture.
2. Maxillofacial prostheses. ***
3. Orthodontics.
4. Partial denture.
1180. …….. Is the one that provides application and device to restore
aesthetic and functional requirements to patients with maxillofacial
defects:
1. Endodontist.
2. Pedodontist.
3. Maxillofacial prosthodontist. ***
4. Peridontist.
1181. The objectives of maxillofacial prosthetics:
1. Aesthetic.
2. Functions.
3. Protect the tissues.
4. All. ***
1182. The type of maxillofacial defects:
1. Congenital defects.
2. Acquired defects.
3. Developmental defects.
4. All. ***
1183. Cleft palate, cleft lip, missing ear, prognathism are:
1. Acquired defects.
2. Congenital defects. ***
3. Developments defects.
4. None.
1184. Accidents, surgery, pathology are:
1. Acquired defects. ***
2. Developments defects.
3. Congenital defects.
4. None.
1185. Extra-oral restorations are:
1. Radium shield.
2. Ear plugs for hearing.
3. Missing eye, missing nose or ear. ***
4. All.
1186. Lost part of maxilla or mandible with the facial structures is classified
by:
1. Intra-oral restorations.
2. Extra-oral restorations.
3. Combined intra-oral and extra-oral restorations. ***
4. All.
1187. The lack of continuity of the roof of the mouth through the whole or
part of its length in the form of fissure extending anteroposteriorly is:
1. Obturator.
2. Splint.
3. Stent.
4. Congenital cleft palate. ***
1188. The factors that influence the induction of cleft palate:
1. Hereditary.
2. Environmental.
3. A and B. ***
4. None.
1189. A prosthesis used to close a congenital or acquired opening in the
palate is:
1. Stent.
2. Splint.
3. Obturator. ***
4. None.
1190. -…….. Are appliances used for immobilization of fragments of broken
parts of jaw bones in their original position until repair takes bleeding?
1. Splints. ***
2. Stents.
3. Obturators.
4. Speech aids.
1191. The prepared surface of an abutment to receive the rest is called:
1. Minor connecter.
2. Major connecter.
3. Rest seat. ***
4. None.
1192. The part of a removable partial denture that contacts a tooth it affords
primarily vertical support is called:
1. Minor connecter.
2. Major connecter.
3. Rest. ***
4. None.
1193. The part of a removable partial denture is:
1. Rests.
2. Major connecters.
3. Retainers.
4. All. ***
1194. A rigid part of the partial denture casting that unites the rests and
another part of the prosthesis to the opposite side of the arch is called:
1. Minor connecter.
2. Major connecter. ***
3. Retainer.
4. Rest.
1195. The part of a removable denture that forms a structure of metal struts
that engages and unites the metal casting with the resin forming the
denture base is called:
1. Minor connecter.
2. Major connecter.
3. Denture base connecter. ***
4. Retainer.
1196. The rests are classified into:
1. Anterior rests.
2. Posterior rests.
3. A and B. ***
4. None.
1197. The surveyor instrument consists of:‫جهاز التخطيط الذي يحدد المحيط الكبير للسن‬
1. Vertical arm.
2. Cast platform or table.
3. Small analysis rod.
4. All. ***
1198. The primary guiding surface that determines the insertion for the
partial denture is:
1. The tooth surface opposite to the edentulous areas.
2. The tooth surface adjacent to the edentulous areas. ***
3. None.
1199. The one who is supposed to give the correct design of the removable
partial denture:
1. Prosthodontist. ***
2. Technician.
3. Assistant.
4. None.
1200. To fabricate a removable partial casting requires making a second cast
of high-heat investment material this cast is called:
(investment = ‫)غالف‬
1. Study cast.
2. Master cast.
3. Refractory cast. ***
4. All.
1201. Kennedy divided all partial edentulous arches:
1. Tow main types.
2. Three main types.
3. Four main types. ***
4. Five main types.
1202. According to the Kennedy's classification, the bilateral edentulous areas
located posterior to the remaining natural teeth is:
1. Class one. ***
2. Class tow.
3. Class three.
4. Class four.
1203. According to the Kennedy's classification, unilateral edentulous area
with natural teeth remaining both anterior and posterior is:
1. Class one.
2. Class tow.
3. Class three. ***
4. Class four.
1204. We should select the shade for a composite resin utilizing a:
1. Bright light.
2. Dry shade guide.
3. Dry tooth isolated by the rubber dam.
4. None of the above are corrects. ***
1205. 4th canal in upper first molar is found:
1. Lingual to MBC. ***
2. Buccal to MBC.
3. Distal to MBC.
1206. To get file size 24, the following length should be cut from file size 20:
1. 1mm.
2. 2mm. ***
3. 3mm.
4. 4mm.
1207. Red color endo file acccording ADA
a. 20
b. 25
c. 30
d. 35
1208. The following canals may be found in an upper molar:
1. Mesio-buccal.
2. Disto-buccal.
3. Mesio-palatal.
4. Disto-lingual.
5. Palatal.
a) 1+2+4.
b) 1+2+4+5.
c) 2+3+4+5.
d) 1+2+3+5. ***

‫ سؤال عن تلون السن الذي فيه حشوة أملغم‬.1209


.‫الحل هو وضع الفرنيش تحت األملغم لمنع تسرب الزئبق ضمن األقنية العاجية‬
Dental Decks - page 2078
1210. Patient need fixed bridge after you check in mouth of the patient see
change color of bridge to cloudy to milky what causes?
a. excessive fired. ***
b. reduced fired
c. excessive moisture
d. increased poursity
Dental Decks2 - Page 712
when porcelain is fired too many times it may devitrify this appears as a milky
state and make glazing very difficult
1211. The Ideal crown-to- root ratio of a tooth be utilized as abridge
abutment is:
a- 3:1.
b- 2:1.
c- 1:2.
d- 1:1. ***
Dental Decks
1212. First step in tx of abused tissue in patient with existing denture is to:
Educate the patient. ***
Dental decks – page 401
1213. The primary role of the anterior teeth on a denture is:
Esthetics
Dental decks - page 407
1214. pt have lesion in toung which sufaring from scar fever>> the lesion
when remove leave the bleeding area under it ...diagnosis is
a. leukoplaqua
b. candida
c. ulser

1215. Food low cariogenic affect the following should be characteristic:


1/low buffring capacity
2/ph low than3
3/contain mineral
http://www.adha.org/CE_courses/course7/table4.htm

1216. when resection the tip of root in apicsctomy..the cut shoud be..
a. perpendicular to the long axis of tooth. ***
b. paraller to long axis.
c. acut angle. ‫زاوية حادة‬
d. obtuse angle
1217. Child patient with painfull herpese simplex the treatment is acyclovir
with
a- Vit C
b- Local anesthesia with multi-Vitamin
c- Local anesthesia with protine
:335 ‫كتاب األطفال ص‬
.ً‫إذا كانت اآلفات مؤلمة جداً بحيث يصبح تناول الطعالم صعبا ً قد يكون التخدير الموضعي مفيدا‬
)‫الجواب صحيح حسب كالم طبيب أطفال (عبيدة‬
1218. adding of surfactant to irrigation solution during RCT to increase
wettability of canal walls by:
a-lowering surface tension***
b-increasing surface tension
c-passing through dentinal tubules
Surfactant - Wikipedia, the free encyclopedia
1219. patient returned to you after 1 month from doing amalgam filling with
definite severe pain, due to:
a) contamination with moisture leading to amalgam expansion. ***
b) unidentified pulpal exposure
c) supra occlusion
d) gingival access
1220. the function of post
a. provide retention for a crown
b. enhance the strength of the tooth
c. provide retention for a core
d. provide the root canal sealing
1221. patient come with severe stained anterior central left maxillary incisor
with small distal carie & lost incisal edge treated by
a. full ceramic restoration
1222. the ideal post drill for most posterior teeth is
a. gates glidden size 3
b. peeso drill size 3-6
c. profile size 60-70
d. peeso drill size 2-3

‫المرجع‬
ENDODONTICS Fifth Edition – page 924

1223. the decision to retreat substandard endodontics shoud be based on


1-radiographic evaluation of the endodontictreatment quality
2-------periapical pathology
3-patient symptoms
4-physical exploration of the root canal typ and quality seal
5-restorative treatment plan
1224. the most common injures in child is:
1/ Avulsed tooth. ( The most common injuries of teeth in children are
luxation or avulsion of teeth ). ‫انخالع السن‬
2/ root
3/ intrusion of the tooth inside the socket well
1225. Child with previous history of minor trauma with excessive bleeding we
do test the result is prolong PT & slightly increase clotting time & …………….
Test is +ve. the diagnosis is:
a. hemophelia B.
b. thrombocytopenia.
c. vit.K deficiency
)‫الجواب صحيح حسب كالم اختصاصي تحاليل (عبيدة‬
dental decks
‫مرجع آخر يحتوي جدوال يبين أن الجواب الثالث هو الصحيح‬
Prothrombintime - Wikipedia, the free encyclopedia

dental secrets – page 274


A clot may fail to form because of a quantitative or functional platelet
deficiency. The former is most readily assessed by obtaining a platelet count.
The normal platelet count is 200,000—500,000 cells/mm3 Prolonged bleeding
may occur if platelets fall below 100,000 cells/ mm3. Treatment of severe
thrombocytopenia may require platelet transfusion. Qualitative platelet
dysfunction most often results from aspirin ingestion and is most commonly
measured by determining the bleeding time. Prolonged bleeding time requires
consultation with a hematologist
1226. pt came 2 ur clinic complain from his gingiva which bleeds alot with any
little pressure, on clincal examination u found pin point purple dots and
general rash like of eccymosis on his body laboratory finding : highly
decrease in platlets(slightly more than 25000) have a history of eccymosis
and brusing all over his body :
a. thrombocytopinic purpura ***
‫ يكون النزف شديد ألقل رض أما إذا كان العدد أقل من ذلك‬25000 ‫إذا كان عدد الصفيحات أكثر من‬
)‫يكون النزف تلقائي عفوي حسب كالم طبيب تحاليل طبية (عبيدة‬
1227. The best test for vitality of crowned tooth is
- Cold whis rupper dam
1228. Netros oxide interference with
- Vit b12***
- Vit b6
- Vit a
- Vit c
1229. Salivary gland role in maintaining tooth and bacteria integrity on the
oral cavity is done by:
a- Bacterial clearance.
b- remineralization.
c- Buffering and direct anti-bacterial role.
d- Bacterial clearance and reminerlization.***
1230. physiolgical activity of local anesthesia
a. lipid solubility
b. diffusbility
c. affinity for rotien bendin
d. percent ionizing at physiologic pH
e. vasodilition properties
‫وفي مكان آخر الجواب كما في السؤال التالي‬
1231. physiolgical activity of local anesthesia
a. lipid solubility of unionized form
b. diffusbility
c. affinity for rotien bendin
d. percent ionizing at physiologic pH
e. vasodilition properties
1232. physiolgical activity of local anesthesia
a. lipid solubility of unionized form
b. water solubility of unionized form
c. lipid solubility of ionized form
d. water solubility of ionized form

‫الرابط في نفس المعلومة‬


http://webcache.googleusercontent.com/search?
hl=ar&site=&btnK=&gs_sm=&gs_upl=&safe=active&q=cache:SbzBndI3vQUJ:h
ttp://nursingpharmacology.info/Central/Local_Anes/LAobj1.htm+lipid+solubili
ty+of+unionized+form&ct=clnk

1233. Intraosseous injection of local anesthesia to lower molar


a. Perforate the bone mesial to the tooth
b. Give one with 1:50000 epinipherine
c. Give 1/4 to 1/5 of the cartridge
d. Ask the pt if he has numbness in his lower lip after injection
‫ عبد الكريم خليل‬.‫والمرجع حرفيا من كتاب التخدير والقلع د‬
‫حيث ذكر فيه أن الحقن يكون وحشي السن و ال نعطي معه أي مقبض وعائي و أنه يجب إعطاء كمية‬
‫قليلة فقط من المخدر كما أن نمل الشفة ليست من عالمات التخدير‬
1234. re implant of avulsed tooth , what you do
A- optimal reposition and fixed splint
B-optimal reposition and flixable splint
C-observe
D-watch with splint periodontally

avulsed tooth
Splint tooth in position with (preferably) a flexible splint. Have patient bite
into occlusion to be certain that the position is correct before applying the
splint. The splint will be kept in place for about one week
http://webcache.googleusercontent.com/search?
hl=ar&site=webhp&btnK=&gs_sm=&gs_upl=&safe=active&q=cache:XgF8SR-
TbQYJ:http://www.doctorspiller.com/avulsed_teeth.htm+Splint+tooth+in+pos
ition+with+%28preferably%29+a+flexible+splint.
+Have+patient+bite+into+occlusion+to+be+certain+that+the+position+is+corr
ect+before+applying+the+splint.
+The+splint+will+be+kept+in+place+for+about+one+week&ct=clnk
‫ االدوية التالية تعطى لمريض الذبحة الصدرية ما عدا‬.1235
‫ بروبرانول‬-
*** Nsaids -
‫ الشكل األمثل لجدران حفرة الوصول لألقنية عند المعالجة اللبية‬.1236
‫ متباعدة باتجاه سطح اإلطباق‬-
‫ متقاربة باتجاه سطح اإلطباق‬-
‫ متوازية‬-
‫ بزوايا‬-

1237. Thermal pulp test principle of:


1/blood supply of pulp
2/ nerve supply of pulp
3/AO fibers
‫المرجع‬
Assessment of pulp vitality is most frequently accomplished by electric
pulp test and/or cold testing. The vitality of the pulp is determined by the
intactness and health of the vascular supply, not the status of the pulpal
nerve fibers. Even though advances are being made with regard to
determining the vitality of the pulp on the basis of the blood supply, this
technology is not accurate enough to be used on a routine basis in a
clinical setting
Pathways of the Pulp, 9th ed
1238. Rideal-Walker test is the tsst for detecting activity of
a. Disinfection***
‫‪b. Antibiotics‬‬
‫‪c. Sterelyzation by dry heat‬‬
‫‪d. Sterelyzation by wet heat‬‬
‫‪The Rideal-Walker coefficient is a figure expressing the‬‬
‫‪disinfecting power of any substance and is obtained by dividing‬‬
‫‪the figure indicating the degree of dilution of the disinfectant‬‬
‫‪that kills a microorganism in a given time‬‬

‫‪ .1239‬استخدام معجون الفلورايد عند طفل اقل من تلت سنوات ‪:‬‬


‫منصوح به‬
‫‪ -‬محدود‬
‫‪ -‬هناك سمية‬
‫منصوح به من كتاب طب أسنان األطفال واليافعين جامعة دمشق‬
‫‪ .1240‬متى يبدأ تشكل األسنان في الحياة الرحمية‬
‫أ‪. -‬بين االسبوعين الخامس والسادس***‬

‫بين األسبوعين الخامس والسادس من الحياة الجنينية ‪ ،‬يحدث انحناء في البشرة الفموية‬
‫بشكل تكاثر بشروي يشبه البرعم ؛ فيتشكل برعم الصفيحة السنية (المرحلة البرعمية) ‪.‬‬
‫ثم يبدأ تشكل األنسجة السنية مرورا ً بالمرحلة القبعية ‪ ،‬ثم الجرسية ‪:‬‬
‫في المرحلة الجرسية تتمايز الخاليا إلى مصورات العاج ‪ ،‬التي تحرض على تشكيل‬
‫مصورات الميناء ‪ ،‬حيث يبدأ تشكل الميناء ثم العاج (مرحلة تشكل األنسجة) ‪.‬‬

‫بعد ذلك يتشكل غمد هيرتفيغ (بعد تشكل العاج) ‪ ،‬هذا الغمد يتراجع ليسمح بتماس مصورات‬
‫العاج مع خاليا الرباط ‪ ،‬وذلك لتشكيل مصورات المالط ‪.‬‬
‫بعد اكتمال تشكل الميناء ‪ ،‬تتراجع خاليا عضو الميناء (الداخلي و الخارجي و النسيج الشبكي)‬
‫ولكن قد يتبقى منها ما يسمى بـ ِ البشرة المينائية المتبقية ‪:‬‬
‫بقايا الصفيحة السنية ‪ :‬بقايا سيرس ‪.‬‬
‫بقايا غمد هيرتفيغ ‪ :‬بقايا مالسيه ‪.‬‬
‫__________________________________‬
‫يعني الجواب بالمرحلة الجرسية ‪............‬بين االسبوعين الخامس والسادس‬

‫‪1241. Testing a tooth with ceramometal fused to metal with‬‬


‫‪a) cold test‬‬
‫‪b) cold and hot‬‬
‫‪c) cold with rubber dam‬‬
‫‪1242. die ditching means:‬‬
‫‪a) carving apical to finish line.‬‬
‫‪b)carving coronal to finish line.‬‬
‫*** ‪c) mark finishline with red pen.‬‬
1243. When esthetic is important,posteriorclass I composite is done in:
a. Subgingival box.
b. Bad oralhygiene.
c. Contact free area.
d. Class I without central contact
1244. Child 10 years old came to the clinic with periodontitis associated with
the 1ry & 2ry dentition with severe generalized bone destruction and
calcificationon the general examination hyperkeratosis of hands & feet is
noticed the diagnosis is :
a. Hypophosphotasia.
b. Pre_puberty periodontitis.
c. Papillon lefevre syndrome***.
d. Juvenile periodontitis
Oxford Handbook 4th
‫سؤال مشابه‬
1245. pt. with palmoplantar keratosis and periodontitis in permanent
dentition is likely to has:
a. papillon –lefevere syndrome
b. down"s syndrome
c. leukemia
d. hypophosphatesia
‫سؤال مشابه‬:
-- Early exfoliation of deciduous teeth is seen in:
a. Papillon-Lefevere syndrome. ***
b. Peter-Killy syndrome.
c. Pierre Robin syndrome.
d. None of the above.

1246. When take x ray in upper premolar to locate lingual root using mesial
shift it will apear
a: distal
b: buccal
c: lingual
d: mesial.***
1247. While taking X-ray for upper right first premolar with two equal roots
Using mesial slob, its lingual root will move [ comparing to the zigomatic
process]:
- distal.
- Mesial
- Palatal
Lingual
‫عملت التجربة السابقة عدة مرات في العيادة و اتضح أن الجذر اللساني يتحرك أنسيا عندما نعمل‬
)‫إزاحة أنسية (عبيدة‬

1248. Maternal immunity that passed from mother to the fetus through the
placenta, IgG, IgA is considered:
a-Natural passive immunity.***
b-Natural active immunity.
c-Acquired passive immunity.
d-Acquired active immunity.
1249. When u want to make immediate complete denture after extraction all
teeth what the type of suture u will use
a. horizontal mattress suture
b. vertical mattress suture
c. interrupted suture
d. continous locked suture
1250. Smear layer composed of:
1. Dentine debris.
2. Inorganic particles.
3. Bacteria.
4. All the above.
Dental secrets:
- The smear layer is a film of microcrystalline debris that remains on dentin
after it is cut with rotary instruments.
- After removing the organic and inorganic debris of the smear layer by
etching ………………
Art and science of operative dentistry 2000
- The composition of the smear layer is basically hydroxyapatite and altered
denatured collagen.
Oxford Handbook of Clinical Dentistry - 4th Ed. (2005)
The smear layer consists of an amorphous layer of organic and inorganic
debris, produced by cutting dentine.
‫المرجع التالي يؤكد احتوائها على برادة عاجية و عناصر عضوية و أحياء دقيقة (باكتيريا ) و المصادر‬
‫السابقة تؤكد احتوائها على العناصر المعدنية أيضا فيكون الجواب األصح هو الرابع‬
The smear layer is composed of dentin debris, organic material and
microorganisms that adhere to the root canal walls obstructing theopenings
of the dentin tubules, which can hinder the action of medicine in the dentin
tubules and root canal system. Removal of this layer is important for the
success of the endodontic treatment and is obtained with the use of chemical
solutions during root preparation8.

Pesquisa Odontológica Brasileira - Smear layer removal capacity of


disinfectant solutions used with and without EDTA for the irrigation of canals:
a SEM study

1251. during making filing by Ni/Ti it gets fractured due the property of:
a- Rigidity & … ‫الصالبة‬
b- Axial fatigue*** ‫إجهاد محوري‬
c- tostion ‫التواء‬
Basic Dental Biomaterials Sciense
:Causes of # are
-Tensile 1
Fatigue -2
Creep -3
Steress corrosion cracking -4
controled crack propagation -5
Fatigue is: occurs when cyclic loading is applied, like fracture of a denture
retentive clasp arm after several years of service
‫مريض لديه موعد لجراحة صغرى في منطقة الرحى األولى السفلية اليمنى بعد تخدير العصب الفكي‬ .1252
: ‫السني السفلي وجد ألم أنسي الرحى ماذا يجب أن نكمل التخدير‬
‫ العصب اللساني‬-
‫ العصب الذقني‬-
mylohoyid‫ العصب الضرسي الالمي‬-
‫ العصب األذني الصدغي‬-
‫طفل لديه انتفاخ ازرق اللون على اللثة ليس هناك اعراض فقط لعاب غزير ما التشخيص؟‬ .1253
eruption hematoma

1254. after remove impacted 3rd lower moler,there is parasthesia why?


a. irritating the nerve during extruction
b. broke mandible

1255. The test for testing the bur all the blades of the burs path through 1
point called
a. runout
b. concentricity
c. runout and concentricity
d. none of above
Two terms are in common
use to measure this characteristic of bur heads concentricity
and runout.
Concentricity is a direct measurement of the symmetry
of the bur head itself. It measures how closely a single
circle can be passed through the tips of all of the blades.
Thus, concentricity is an indication of whether one blade
is longer or shorter than the others. It is a static measurement
not directly related to function
Runout, on the
other hand, is a dynamic test measuring the accuracy
with which all blade tips pass through a single point when the instrument
is rotated It measures not only the concentricity of the head, but also the
accuracy with
which the center of rotation passes through the center of
.the head
art& sience 2000 ‫المرجع‬
335 ‫الصفحة‬

1256. Mobility in midface with step deformity in front zygomatic suture.


Diagnosis:
d. Lefort II.
e. Lefort III.***
f. Bilateral zygomatic complex fracture.
‫ أما حركة‬،‫ هو حركة كامل الوجه وانفصال الدرز الوجني‬Lefort III ‫المقطع التالي يوضح أن ما يميز‬
‫ ولكن‬step deformity in the orbital rim ‫ وكذلك استخدام التعبير‬Lefort II ‫منتصف الوجه فتميز‬
‫ فما هو الصحيح؟؟‬step deformity in front zygomatic suture ‫ليس‬

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 270

Diagnosis Le Fort I may occur singly or associated with other facial fracture.
The tooth-bearing portion of the upper jaw is mobile, unless impacted
superiorly. There is bruising in the buccal sulcus bilaterally, disturbed
occlusion, and posterior 'gagging' of the bite. Grasp the upper jaw between
the thumb and forefinger anteriorly, place thumb and forefinger of other hand
over the supraorbital ridges, and attempt to mobilize the upper jaw to assess
mobility. Spring the maxillary teeth to detect a palatal split. Percussion of the
upper teeth may produce a 'cracked cup' sound.
Le Fort II and III fracture produce similar clinical appearances; namely, gross
oedema of soft tissues, bilateral black eyes (panda facies), subconjunctival
haemorrhage, mobile mid-face, dish-face appearance, and extensive bruising
of the soft palate. Look for a CSF leak and assess visual acuity. Le Fort II
fracture may also show infra-orbital nerve paraesthesia and step deformity in
the orbital rim.

Peculiar to Le Fort III fracture are tenderness and separation of the


frontozygomatic suture, deformity of zygomatic arches bilaterally, and
mobility of entire facial skeleton.

And

MASTER DENTISTRY- Oral and Maxillofacial, Surgery, Radilolgy, Pathology and


Oral Medicine
Le Fort I is the lowest level of fracture, in which the tooth-bearing part of the
maxilla is detached.
Le Fort II or a pyramidal fracture of the maxilla involves the nasal bones and
infraorbital rims.
Le Fort III involves the nasal bones and zygomatic-frontal sutures and the
whole of the maxilla is detached from the base of the skull.
step deformity in front ‫حسب الشرح السابق فان حركة منتصف الوجه تشاهد في كال النوعين اما‬
3 ‫ فهي تشاهد في الفورت‬zygomatic suture
3 ‫و عليه يكون الجواب الفورت‬
1257. two weeks baby born with 2 anterior teeth which is highly mobile , and
his mother have no problem or discomfort during nursing him what is ur
managemnt :
a. do not do anthing as the baby have no problem during feeding
b. do not do anything as the mother don`t feel discomfort
c. u must extract as soon as possible to avoid accident inhalation of them
d. do nothing , it will shell by it self
Natal teeth are usually members of the primary dentition, not
supernumerary teeth, and so should be retained if possible. Most
frequently affect mandibular incisor region and, because of limited root
development at that age, are mobile. If in danger of being inhaled or
causing problems with breastfeeding, they can be removed under local
analgesia.
‫ المرجع‬oxford hand book of clinical dentistry
‫ معلومات عن انحراف الجذور واالتجاهات التي تنحرف إليها الجذور‬.1258
‫طبعا هذه جميع االحتماالت واألسنان التي لم تذكر حسب الدراسات ال يوجد بها انحرافات للجذور‬
Maxillary central incisors curve either towards the labial or palatal aspect
.at about the apical third level
Maxillary lateral incisor the apical third tends to curve distally and the
.canal is often very fine with thin walls
Maxillary canine
The length of this tooth can be difficult to determine on radiographs as the
apex tends to curve labially and the tooth will appear to be shorter than it
.actually is
Maxillary first premolar
The roots of these teeth are very delicate and at the apical third they may
curve quite sharply buccally palatally, mesially or distally, so
instrumentation needs to be carried out with great care
Maxillary second premolar As with the first maxillary premolar the apical
third of the root may curve quite considerably, mainly to the distal
sometimes buccally
Maxillary first molar
The palatal root has a tendency to curve towards the buccal and the
apparent length on a radiograph will be shorter than its actual length
Mandibular second premolar unless the radiograph reveals a sharp distal
curve at the apex as shown in the extracted tooth
1259. Most common cause of chipped porcelain in PEM
a-Thin layer of metal
b-Thin layer of porcelain
c- Centric occlusal contact at the junction of porcelain and metal
1260. The forces action through a FPD on to the abutment tooth should be
directed
1- As far as possible at right angles to the long axes of the teeth
2- Parallel to the long axes of the teeth
3- By decreasing the facio-lingual dimension of the pontic
4- By decreasing the Mesio-lingual dimension of the pontic
5- In a mesial direction so that teeth nearer the midline will offer
additional support
a. 1+3+4
b.1+2+5
c. 1+4+5
d. 2+3
e. 2+4
f. 2+5
1261. which not compatible to the pulp
A- GIC
B- Zinc phosphate cement
C- Zinc polycarboxylate cement
1262. The working time of zinc phosphate cement is shortened by
a- concentrating the acid
b - warming of glass slab
c- incremental mixing of powder
d-all of the above
1263. you sent shade of PFM ,technician give you different color with same
shade
a-non uniform porcelin
b-thick opaque
c-thin opaque
1264. most abrasive contact
a-tooth to tooth
b- porcelin to tooth
c-gold to tooth
1265. length of post
a-1/2 root
b- 2/3 root
c-1/2 root containing in bone
d-as much longer and leave 4 mm apical seal
1266. concentrating of acid used in etching porcelain veneer
a-9.6 % hydrofluoric acid ***
b-35%phosphoric acid
c-37%phosphoric acid
d-37%hydrflouric acid
1267. Placement of maxillary anterior teeth in complete dentures too far
superiorly and anteriorly might result in difficulty in pronouncing
a) f and v sounds.***
b) d and t sounds.
c) s and thsounds.
d) most vowels
1268. An advantage of rubber-base impression material over reversible
hydrocolloid material is that rubber base impression material
a) will displace soft tissue.
b) requires less armamentarium.
c) is significantly more accurate.
d) is more accurate if saliva, mucous or blood is present.
1269. Best provisional coverage for anterior teeth is
a- Tooth colored polycarbonate crown
b- Stainless steel crown
c- Zinc oxide engenal
1270. In a clinical research trial we primarily need to :
a. Get written subject in the patient's own native language.
b) verbally write subject briefly
c) tell patients that they are part of study.

1271. Radiolucent structure occupied by a radioopaque structure that forms


a mass of disorganized arrangement of odontogenic tissue:
a. Complex odontome***
b. Calcifying Epithelial Odontogenic Cyst.
c. Compound odontome.
-.............
Oxford 4th edition
1272. Which of these canal irrigants is UNABLE to kill E.feacalis :

( 730 , 729 ‫ راجع السؤال‬:‫) مهم‬


a- NaOH. *** ( not naocl ( ‫انتبه‬
b- MTA.
c- Chlorhexidine.
ً‫ مالحظة هامة جدا‬:

 Sodium hypochlorite = Naocl not Naoh.


 MTAD is more effective than Naocl in killing E. faecalis.
 Naocl is more effective than MTA in killing E. faecalis.
 Also, Chlorohexidine can kill E. faecalis.

1273. The least effective irrigant against E.feacalis :


a)sodium hypochlorite
b)tetracycline
c)iodine
d)Chlorohexidine
1274. While dentist making Biomechanical preparation by using NI TI file it
broken this is because the property of ;
a.. elastisity and memory
b.. reigidity and memory
c.. axial fatigue***
d.. tarnish
the most important reason for breaking ni ti files is cyclic fatigue and
torsional stress
1275. root end resiction ...what is the codtioning
a. cetric acid
b. tetracyclin
c. EDTA

1276. during endodontic surgery the irrigation solution used is:


a.Saline
b.EDTA
c.Naocl
1277. Sterilization means killing of
a. Virus
b. Fungi
c. Bacteria
d. Virus,fungi,bacteria,bacteria spores
e. Virus ,fungi,bacteria

1278. Edentulous pt cl II kenndy classification 2nd premolar used as abutment


when we surving we found mesial under cut what is the proper clasp used:
1/wrought wire with round cross section
2/ wrought wire with half round cross section
3/cast clasp with round cross section
4/ cast clasp with half cross section

‫بما أنه يوجد تثبيت فنحن بحاجة لسلك مرن و ليس مصبوب كما أن السلك ذو المقطع الدائري أسهل في‬
)‫الدخول و الخروج في حال وجود تثبيت لذلك االختيار األول هو األصح (عبيدة‬
‫ أمل قداح االحتمال األول‬.‫نفس حل د‬
1279. Balance occlusion in complete denture help in:
-retention
- stability ***
1280. after a trauma on a primary tooth what is the least possibility ?
A. change in the permanent tooth enamel color .
B. change the primary tooth color
C. apix pathologic on primary tooth. ***
1011 + 1012 + 1663 ‫انظر السؤال‬
1281. In case of infiltration anesthesia we give:
a) sub mucosal
b) intraosseous
c) sub periosteal
d) none.
1648 ‫انظر السؤال‬

1282. The patient who have not breakfast , we  never give him anesthesia
because
a) hyperglycemia
b) hypoglycemia
c) increased heart rate
d) hypertension

1283. Gingivitis means


a) inflammation of the periodontal ligaments
b) inflammation of the bone
c) inflammation of the gingiva
d) inflammation of the tongue
1284. Patient is suffering a pain during sleep the diagnosis is
a) inflammation of dentin
b) inflammation of enamel
c) inflammation of cementum
d) inflammation of pulp
1285. Permanent restoration is
a) calcium hydroxide
b) amalgam
c) alginate
d) zinc oxide eugenol
1286. Composite is used mainly for
a) anterior teeth
b) posterior
c) a+b
d) none
1287. For injection local anesthesia in the lower jaw we use
a) short needle
b) long
c) none
1288. In case of advanced upper jaw to the lower this is called
a) angle class I
b) angle class II
c) angle class III
d) All of the above
1289. The best method for brushing
a) vertical
b) horizontal
c) bass sulcular method
d) all of the above
1290. Apicoectomy means
a) surgical removal of the apical portion of the root
b) removal of one or more roots
c) the root and the crown are cut lengthwise
d) none
1291. The instruments for examination are
a)  probe and tweezer
b)  mirror
c) a + b
d) amalgamator
1292. Panorama x-ray is used for
a) Periapical tissues
b) interproximal caries
c) giving complete picture for upper and lower jaw
d) none
1293. Adrenaline is added to local anesthesia for
a-  increasing the respiratory rate
b- prolonging the effect of local anesthesia
c-  iecreasing the bleeding
d-none
1294. ......is a white lesion
a- lichen planus
b-  cancer
c- heamatoma
d-none
1295. fordyce's spots is on
a- tongue
b- oral mucosa***
c- upper lip
d- throat
• ‫ عبارة عن تجمع لغدد دهنية في أماكن مختلفة من الفم‬.
• ً‫ تظهر بشكل بقع صفراء صغيرة مفردة أو مجتمعة بمستوى المخاطية الفموية أو مرتفعة قليال‬.
• ‫أكثر األماكن تواجداً هي على المخاطية الدهليزية في منطقة األرحاء أو على السطح الداخلي للشفة أو‬
‫ على المثلث خلف الرحوي‬.
• ‫أحيانا ً تشاهد هذه الحبيبات على اللسان أو الحنك وقد توجد أيضا خارج الفم ؛ في المري وعنق الرحم‬
ً
‫ وغيرها‬...
• ‫ فصيصات من الغدد الدهنية تتجمع تحت البشرة حيث تتصل معها مباشرة أو عبر أقنية مفرغة‬: ً ‫مجهريا‬
‫ يمكن أن ُت َسد بالكيراتين ومن الممكن أال تتصل مع البشرة‬.
1296. ……Is an anticoagulant agent
a- aspirin
b- heparin
c- paracetamol
d- evex
‫يعطى الهبارين كل ست ساعات و يعمل على‬
PTT
1297. Duct of submandibular gland is
a- warton
b- bartholin
c- barvenous
d- stenson
http://webcache.googleusercontent.com/search?
q=cache:Z3LP9fCsNQUJ:emedicine.medscape.com/article/882358-
overview+Duct+of+submandibular+gland&cd=3&hl=ar&ct=clnk&gl=sa&cli
ent=firefox-a
1298. leukoplakia is present on
a-  the mouth
b- eye
c- heart
d- lungs
1299. Cranial nerves are
a- 12 nerves
b- 14
c- 10
d- 16
1300. According to two digits system 42 means
a- lower right lateral incisor
b- upper left lateral incisor
c-  upper right lateral incisor
d- none
1301. A preventive agent is
a- composite
b- Glassionomer
c- fluoride
d- zinc oxide eugenol
1302. One of the following releases fluorides
a- composite
b- Glassionomer
c- fluoride
d- zinc oxide eugenol
1303. Dental plaque is formed after
a- 6 hours.
b- 12 hours.
c- 24 hours. ***
d- 48 hours.
1304. Tooth paste with fluoride is
a- systemic application
b- topical application
c- a+b
d-none
1305. Fluoride in water its concentrate
a-   2 ppm
b-   1 ppm (part per million)
c-    3 ppm
d-    none
1306. Too much ingestion of fluoride may lead to
a-   dental caries
b-   dental fluorosis
c-    gingivitis
d-    none
1307. Saliva ejector is placed
a- at the side of working
b- under the tongue
c- opposite the working side
d- b+c

1308. Deficiency of vit C leads to


a-   scurvy
b-  anemia
c-   ricket
d-   defect in blood clotting

1309. Deficiency of vit K leads to


a- scurvy
b-  anemia
c-   ricket
d-   defect in blood clotting
1310. Deficiency of vit D leads to
a- scurvy
b-  anemia
c-   ricket ‫لين العظام‬
d-   defect in blood clotting
1311. at which age will a child have 12 permanent and 12 primary teeth
a. 9
b.11
1312. Medicine ethics aim to
a. The dentist should be studied to know patient psycho
b. not to compromise or undermine ability to treat patient in
community as professional.
c. ability to make decision
d. ----
e. All of above ***
‫السؤال السابق ورد في اختبار أحد الزمالء و كانت عالمته كاملة في األساسيات لذلك هو صحيح‬
1313. patient have during recurrent normal check he had ( diffirent sense) on
percussion on his tooth and x_ray widening lamina dura apical 3rd?
a)chronic apical priodontitis
b)acute apical periodontitis
c)chronic abcess
1314. during surgery firmly handle forceps of flap tissue :
‫ مهم‬971 – 1739 #‫راجع السؤالين‬
A) Stillis forceps . ***
b) Adison forceps.

Adson forceps:
These forceps are non-toothed, and so are ideal for holding delicate
tissues
1315. Lemphadenopathy due to :
a) infection
b) lymphocytic leukemia
c) HIV
d) pernicious aneamia
e) a.b and c***
1316. The aim from prosthetic surgery :
A) increase stability .retention ,ridge dimension
b) increase vertical dimension .
c) esthetic anterior.
1317. Composite can be done in :
a) conservative class one ***
b) uncontrolled application cl2 proximal
c) deep gingival margin .
1318. selection of steam heat over dry hot oven:
a) protein cell collagene under high pressure ***
b)save effect on shard instruments . no dull or corrosion.
1319. most common cause of caries:
A) Xerostomia
b) diet sugar consumption
1320. EPOXY RESIN:
A. contain formaldehyde toxic
B.contain cortico steroids
C.resrbable so it weakens the endofill.
D.all
1321. Extra canal in upper 6 present in which Root :
A) MB ROOT***
B) DB ROOT
C) PALATAL ROOT
1322. In case of internal resorption your ttt is :
a) Ca(OH)2 application***
b) formocresol medicament
c) zinoxide eugenol
1323. In primary tooth for restoration before putting the filling u put:
a. base.
b. calcium hydroxide.
c. varnish.
c. you put the filling after proper cleaning and drying ***
1324. a child with thumb sucking habit he will develop:
a. anterior openbite and posterior crossbite***
1325. Immature tooth with external apical third resorption:
a) Ca(OH)2 application
b) Apexofication & GP filling
1326. colour of normal gingiva in interplay between:
a. Keratin- vascularity – melanin- epithelial thickness***

1327. during mentoplasty doctor should take care for injury of what nerve..
a. lower branch of the facial nerve
http://webcache.googleusercontent.com/search?
q=cache:g7i1Xgtg1H0J:www.realself.com/question/nerve-damage-risk-
chin-reduction-
surgery+during+mentoplasty+doctor+should+take+care+for+injury+of+wh
at+nerve&cd=5&hl=ar&ct=clnk&gl=sa&client=firefox-a
I plan to have Rhinoplasty and Chin Redution surgery together but I am hesitant as I read
that these surgeries may lead facial paralysis? How true is it?
1328. Alginate contains calcium sulphate in concentration of
a) 40%
b) 50%
c) 12% . *** ( 8 – 16 % )
d) none.

 Calcium sulfate is a reactor ‫ منشط‬found in alginate in 12 %

https://docs.google.com/viewer?
a=v&q=cache:FYw2_gty34QJ:www.dent.ohio-
state.edu/courses/d430/Impressions%2520and%2520Casts/Diag
%2520casts,%2520alginate,
%2520stone.pdf+calcium+sulphate+in+alginate&hl=ar&gl=sa&pid=bl&srci
d=ADGEESjCQbTD_EPq6ZNCywT_a761qwCBwzTLq7MJp0h-U-
9ywDTqCpHued5ZtnCgaMEDi9hTC89r_4e5TT0eqSYw-
T1KlpAyLXaclB8BgRQFX0uwU3HtLtG6axFiv2ez0sSXFUWoO2X3&sig=AHIEtb
T40_sqW6SS1pQEX9pF8lbOs9puNw&safe=on

1329. Elastic impression material is


a) rubber***
b) Plaster
c) zinc oxide
d) compound
http://denture.tv/elastic-non-impression-materials/
Elastomers

Main Types

Polysulphides
Silicones
Polyethers

1330. Amputation means


a) surgical removal of the apical portion of the root
b) removal of one or more roots***
c) the root and the crown are cut lengthwise
d) none
http://www.stricklanddental.com/Procedures_RootAmputation_5964933.
aspx
Root amputation is a specialized dental procedure, whereby one root is removed from a multi-root tooth.
The tooth is then stabilized and rendered fully functional with a crown or filling. The multi-root teeth best
suited to the root amputation procedure are the molars at the back of the mouth. These large flat teeth
have either two or three roots depending on whether they are situated on the upper or lower jaw

1331. Hemisection means


a) surgical removal of the apical portion of the root
b) removal of one or more roots
c) the root and the crown are cut lengthwise***
d) none
http://www.simplestepsdental.com/SS/ihtSS/r.==/st.32226/t.31470/pr.3.h
tml
Hemisection is the process of cutting a tooth with two roots in half. Each half tooth
consists of half the crown (top of the tooth) and one root. Hemisection literally means
"dividing in two." It often is done by a periodontist, a specialist in gum disease. But
any experienced dentist, endodontist or oral surgeon can do the procedure.

1332. For treatment of pericoronitis


a- extraction of the tooth
b- analgesic + sterility + antibiotic**
c- cleaning with concentrated phenol
d- none
http://www.webmd.com/oral-health/guide/pericoronitis
)‫خلع السن يتم في الحاالت الشديدة و ليس دائما كما أن الغسيل يكون بمحلول ملحي دافئ (سالين‬
‫سؤال مشابه آخر‬

1333. Outline of Pericoronitis treatment may include:


1. Mouth wash and irrigation.
2. Extraction of the opposing tooth.
3. Surgical removal of the causative tooth.
4. All of the above. ***
‫الخطوط العامة لعالج التهاب ما حول التاج ( التواج) تتضمن العالج بالمضادات الحيوية و الغسول‬
‫الفموي و المسكنات غير الستيروئيدية و ليس من الضروري أن تتضمن قلع للسن المسبب في جميع‬
)‫الحاالت (عبيدة‬
1334. Attrition may be caused by
a- friction due to pipe.
b- friction during sleep. *** ( Bruxism or clenching ).
c-  gastric acid.
d- none
http://webcache.googleusercontent.com/search?
q=cache:bd5VlX113EkJ:www.adha.org/CE_courses/course9/loss_of_struct
ure.htm+cause+of+tooth+structure+loss&cd=1&hl=ar&ct=clnk&gl=sa&clie
nt=firefox-a

1335. Sterilization in dry oven


a- one hour at 160 c
b-  90 minutes at 160 c
c- two hours  at 160 c***
d- none
http://en.wikipedia.org/wiki/Dry_heat_sterilization

1336. According to the universal system  6   means:


( 1300 ‫ راجع السؤال‬: ‫) مهم‬
a- upper left first molar
b- lower left first molar
c- lower right first molar
d- None. ***

 In universal system: Number 6 refers to upper right canine.


 ( 1300 ‫) راجع السؤال‬

http://webcache.googleusercontent.com/search?
q=cache:Tuwg09LYOyQJ:en.wikipedia.org/wiki/Universal_numbering_syst
em_%28dental
%29+universal+system+number+in+dentistry&cd=1&hl=ar&ct=clnk&gl=sa
&client=firefox-a

1337. The roots of the following teeth are closely related to the maxillary
sinus
a- canine and upper premolar
b-lower molar
c- upper molar and premolar
d- none
1338. Burs is
a- critical items***
b- semi critical
c- non critical
d- all of the above
http://webcache.googleusercontent.com/search?
q=cache:qpsH2UFMqxgJ:www.alivetek.com/portfolio_loader.php%3Fobjectid
%3D275+cemi+cretical+instrument+in+dentistry&cd=3&hl=ar&ct=clnk&gl=sa
&client=firefox-a
1339. Patient positions are:
a- upright position.
b- supine position.
c- sub supine position. b & c are called: Reclined positions.
d-  all of the above. ***
http://webcache.googleusercontent.com/search?
q=cache:clF5p_vAdc0J:swathi180.hubpages.com/hub/Patient-and-
Operator-positions-in-
Dentistry+patient+position+in+dentistry&cd=1&hl=ar&ct=clnk&gl=sa&clie
nt=firefox-a

1340. For the right handed dentist  seated to the right of the patient  the
operator zone is between
a- 8 and 11 o'clock***
b-  2 and 4 o'clock
c-  11 to 2 o'clock
d- all of the above
1341. For right handed dentist, the static zone is between
a-   8 - 11 o'clock
b-   11 - 2 o'clock***
c-    2 - 4 o'clock
d-   all of the above
1342. For right handed dentist, the assistant's zone is between
a-   8 - 11 o'clock.
b-   11 - 2 o'clock.
c-    2 - 4 o'clock. ***
d-   all of the above.
http://books.google.com.sa/books?id=r3E1Suj-
L9IC&pg=PA253&lpg=PA253&dq=For+right+handed+dentist,
+the+assistant
%27s+zone+is+between&source=bl&ots=ezPvo5shjX&sig=Isq3hROR_2emy
i1DiodlawaTx6g&hl=ar&sa=X&ei=96guT7yQMsbpObiZvIMO&ved=0CCoQ6
AEwAQ#v=onepage&q=For%20right%20handed%20dentist%2C%20the
%20assistant%27s%20zone%20is%20between&f=false

‫سؤال مشابه‬:
-- For right handed dentist, the transfer zone is between:
a-  8 - 11 o'clock.
b- 4 - 8 o'clock. ***
c-  2 - 4 o'clock.
d-  all of the above.

 For right handed dentist:


a. Operator Zone : 8 _ 11 o’clock.
b. Static Zone : 11 _ 2 o’clock.
c. Assistant Zone : 2 _ 4 o’clock.
d. Transfer Zone : 4 _ 8 o’clock.

1343. Mouth mirror is


a- critical items
b- semi critical***
c- non critical
d- all of the above
http://webcache.googleusercontent.com/search?
q=cache:qpsH2UFMqxgJ:www.alivetek.com/portfolio_loader.php
%3Fobjectid
%3D275+cemi+cretical+instrument+in+dentistry&cd=3&hl=ar&ct=clnk&gl=
sa&client=firefox-a
1344. HVE is placed
a- at the side of working***
b- under the tongue
c- opposite the working side
d- b+c
https://docs.google.com/viewer?
a=v&q=cache:Ha3u16OtdfgJ:www.csi.edu/facultyAndStaff_/webTools/site
s/Bowcut58/courses/408/ch36.ppt+Grasping+the+HVE+is+by&hl=ar&gl=sa
&pid=bl&srcid=ADGEESgOx89QA0J9awqq4ixFr_gDfWXwU55zeB0AGJBEUS
GisgRiZQ7iLy2gU6MokyVcULrG_TjafAXvh2yrlsv76YC0gf9WBST-
Ed2gd5rl7oTg4BjV_03EcXla1UBVdCE5aP_SBjUM&sig=AHIEtbSU47b702Clxj
J2yDENjpQxjBUF_Q&safe=on

1345. Grasping the  HVE is by


a-   thumb to nose grasp
b-   pen grasp
c-   a+b***
d-   none
https://docs.google.com/viewer?
a=v&q=cache:Ha3u16OtdfgJ:www.csi.edu/facultyAndStaff_/webTools/site
s/Bowcut58/courses/408/ch36.ppt+Grasping+the+HVE+is+by&hl=ar&gl=sa
&pid=bl&srcid=ADGEESgOx89QA0J9awqq4ixFr_gDfWXwU55zeB0AGJBEUS
GisgRiZQ7iLy2gU6MokyVcULrG_TjafAXvh2yrlsv76YC0gf9WBST-
Ed2gd5rl7oTg4BjV_03EcXla1UBVdCE5aP_SBjUM&sig=AHIEtbSU47b702Clxj
J2yDENjpQxjBUF_Q&safe=on

page8-10

1346. Carbohydrate is digested in


a-   mouth***
b-  small intestine
c-  large intestine
d-  none
1347. Carbohydrate is essential for
a-  building the body
b-  supplying the body with energy***
c-  a+b
d-  none
http://www.wisc-online.com/objects/ViewObject.aspx?ID=AP15806
1348. The following factors effect the health:
1- heriditary
2- environement
3- social and economic factors
4- family welfare. ‫ رعاية األسرة‬/ ‫رفاهية‬
A) 1+2
B) 1+2+4
C) 1+2+3
D) all of the above.
http://www.who.int/hia/evidence/doh/en/

)‫المرجع ال يذكر أن الرفاهية تؤثر على الصحة لذلك أعتقد أن الجواب الصحيح الثالث (عبيدة‬

1349. Diagnostic cast wax up help in:


a- Predict the result of treatment
b- Explain the treatment plan to patient
c-All of the above
1350. in mean of compressive strength ,tensile strength which is strongest
a- resin cement***
b- zinc phosphate
c- G.I
ref. clinical procedure chapter 7 principle of tooth preperation
1351. shoulder is the finish line of choice for
a-full veneer
b-PFM***
c-¾ crown
indication of shoulder :facial margin of metal ceramic crown, complete
ceramic crown
ref. clinical procedure chapter 7 principle of tooth preperation
1352. Which of the following characteristics of inlay wax is its major
disadvantage
a) flow.
b) rigidity.
c) hardness.
d) high thermal expansion***
http://books.google.com.sa/books?
id=SdOOEbeyNVkC&pg=PA90&dq=major+disadvantage+of+inlay+wax&hl=
ar&sa=X&ei=YYUyT_eMJonpObfzkYIH&ved=0CDIQuwUwAA#v=onepage&q
=major%20disadvantage%20of%20inlay%20wax&f=false
1353. As the gold content of a dental solder decreases ,the
a) hardness decreases.
b) ductility increases. ‫الليونة‬
c) corrosion resistance decreases. ***
d) ultimate tensile strength decreases.
http://books.google.com.sa/books?
id=Pb_lcACduEQC&pg=PA470&lpg=PA470&dq=As+the+gold+content+of+a
+dental+solder+decreases,the&source=bl&ots=7MuN6i7D0h&sig=SH5ixJfE
kX0Vye-
YwRgrbIh2x9A&hl=ar&sa=X&ei=lIEyT_ShNMOgOsPQhfAG&ved=0CDEQ6AE
wAg#v=onepage&q=As%20the%20gold%20content%20of%20a%20dental
%20solder%20decreases%2Cthe&f=false

1354. The most ductile and malleable metal is:


a) Sliver.
b) Gold.***
c) Copper.
d)Platinum..
http://webcache.googleusercontent.com/search?
q=cache:qfnIT3A2s3UJ:en.wikipedia.org/wiki/Ductility+The+most+ductile+
and+malleable+metal+is&cd=3&hl=ar&ct=clnk&gl=sa&client=firefox-a
1355. In processing an acrylic denture in a water bath, a proper heating cycle
is desired because of the possibility of
a) warpage.
b) shrinkage of the denture.
c) porosity due to boiling of the monomer.***
d) crazing of the denture base around necks of the teeth.
https://docs.google.com/viewer?
a=v&q=cache:xG62SI0KMBMJ:dent.kufauniv.com/teaching/raja%27a/New
%2520Folder/Processing%2520the
%2520denture.pdf+In+processing+an+acrylic+denture+in+a+water+bath,
+a+proper+heating+cycle+is+desired+because+of+the+possibility+of&hl=a
r&gl=sa&pid=bl&srcid=ADGEESjqq9L2GWyZc5CJlDO90mKIsIZxqWVh2DY7h
WWM1OqHv9VEqk0MHl_wj9OC78UM_X-QLv1GBCTQX-
EnWY44Tcq4BNj_DV44vLOBsMpdEKJayPmbZCXCJvynmGIJHtExHFg3GQTB
&sig=AHIEtbQRTzSHZvC7xHX3vQ7NmlQAVaypbQ
page6
‫) أثناء تصلب اإلكريل‬80( ‫حسب المرجع السابق فإن اختيار درجة الحرارة المناسبة و التي هي‬
‫وعدم رفعها أكثر يعمل على عدم زيادة المسامية التي تنتج عن تبخر المونومير في حال ارتفعت‬
)‫) (عبيدة‬100( ‫الى الدرجة‬
1356. In an alginate impression material, tri sodium phosphate is the
a) filler.
b) reactor.
c) retarder.‫*** مثبط‬
d) accelerator
https://docs.google.com/viewer?
a=v&q=cache:K7vsQj9Uw1oJ:airforcemedicine.afms.mil/idc/groups/public
/documents/afms/ctb_108334.pdf+In+an+alginate+impression+material,
+trisodium+phosphate+is+the&hl=ar&gl=sa&pid=bl&srcid=ADGEESjwMO4
8dImoJLW_qVgPuudR0HJC0tyofQ6H-T-SoncPgUU9R_CE-
JEJfEYPXdx4ynCIrNx3eaFcJLL6F10LCYptsM0bYrO31EXdPU5c4LoQfENlR90m
pcBtM9jSjBgFVtcQQeFo&sig=AHIEtbT1PTIFi8AINPfZJo40LChZy6ukjQ
page 4
1357. The principal function of an indirect retainer is to
a) stabilize against lateral movement.
b) prevent settling of the major connector.
c) minimize movement of the base away from supporting tissue. ***
d) restrict tissue ward movement of the distal extension base of the partial
denture.
http://webcache.googleusercontent.com/search?
q=cache:DMl47i8SflYJ:www.slideshare.net/shabeelpn/indirect-
retainer+principal+function+of+an+indirect+retainer+is+to&cd=1&hl=ar&c
t=clnk&gl=sa&client=firefox-a
1358. child 8 years old hearing loss , flush around his mouth and notches in
incisors and bolbuos molars .what is your diagnosis?
a) gardner syndrome .
b) congenital syphilis. ***

1359. nicotinic stomatiis :


a) acanthosis with keratin***
b) brickle cell like shape bases
http://webcache.googleusercontent.com/search?
q=cache:HXSuOteZ4boJ:en.wikipedia.org/wiki/Stomatitis_nicotina+nicotini
c+stomatitis&cd=1&hl=ar&ct=clnk&gl=sa&client=firefox-a
Microscopically, epithelial cells of the palate exhibit signs of hyperkeratosis and
acanthosis. There may be metaplasia of excretory ducts, which results in the visible
papules if the ducts become hyperplastic.

1360. on radiograph (onion skin) appearance... and under microscope there is


glycogen
a- osteosarcoma
b- pindborg tumor
c- ewing sarcoma***
http://webcache.googleusercontent.com/search?
q=cache:ygAKSV0aihsJ:www.bonetumor.org/tumors-bone/ewings-
sarcoma+on+radiograph+%28onion+skin%29+appearance...
+and+under+microscope+there+is+glycogen&cd=2&hl=ar&ct=clnk&gl=sa&
client=firefox-a

1361. using a larger file while reducing the length in endodontics is called:
a. step back***

 Using a larger file while reducing the length in endodontics is called a


Step back technique.
‫ارجع للوراء يعني لبرا يعني مبرد كبير‬

 Using a smaller file to reach the apex in endodontics is called a Crown


down technique.
‫ يعني مبرد صغير‬#‫انزل لتحت‬

http://webcache.googleusercontent.com/search?q=cache:xOL-
TTilJgAJ:www.maillefer.com/html/filetechniques.html+using+a+larger+file
+while+reducing+the+length+in+endodontics&cd=3&hl=ar&ct=clnk&gl=sa
&client=firefox-a
1362. What is the name of the instrument used to diagnose halitosis
a. Halometer***

http://webcache.googleusercontent.com/search?
q=cache:8xhFmsCI2KwJ:www.scielo.br/scielo.php%3Fpid%3DS0034-
72992007000600015%26script%3Dsci_arttext%26tlng
%3Den+instument+used+to+diagnose+halitosis&cd=1&hl=ar&ct=clnk&gl=s
a&client=firefox-a

1363. You examined a child and found that the distal part of the upper
primary molar is located mesial to the distal outline of the lower primary
molar ... This is called
a. distal step***
b.miseal step
(distal step:Mandibular terminal plane is distal to Maxillary terminal plane\
Mesial step: Mandibular terminal plane is mesial to Maxillary terminal
plane)reference:Review the NBDE part 2 section 5 page 150

1364. pt came with prominence in the forehead and the potassium sulfate
level increased with curved legs enlarged mandible and maxilla
a. Paget disease
1365. what the name of the depressions present on molars in the middle and
between the cusps
a. developmental grooves
1366. patient had enamel and dentin hypoplasia your ttt:
a)Porcelain crowns ***
b)splinting with composite
c)composite bridge.
webcache.googleusercontent.com/search?q=cache:_O5Qp-
FBg3QJ:www.avds-
online.org/info/enamelhypoplasiarest.html+treatment+of+enamel+and+d
entin+hypoplasia&cd=3&hl=ar&ct=clnk&gl=sa&client=firefox-a
1367. patient had bulimia and had lesion in palatal surface in upper teeth
with recurrent vomiting. What is the type of lesion :
a) attrition
b) abrasion
c) erosion***
http://www.3dmouth.org/2/2_5.cfm
1368. parotitis with purUalant exudate ,what wou will do :
A. Immediate coverage with antibiotic 7 days
B.delay selection antibiotics until know culture result
C.anti viral drug
D.give patint wide spectrum antibiotic until result of lab. Culture***
‫سؤال مشابه‬
1369. parotitis with purUalant exudate ,what wou will do :
A. Immediate coverage with antibiotic 7 days
B.delay selection antibiotics until know culture result
C.anti viral drug
D. imperialic antibiotic and make culture to know bacteria and antibiotic
sensitivity***
http://emedicine.medscape.com/article/882461-treatment

1370. pt come to u needs upper partial denture cII kinnedy classification, he


has palatal defect (torus palatinus) preferable partial denture with:
a- Horseshoe. ( ‫في كل أنواع أصناف كينيدي‬large torus palatinus (‫هذه اإلجابة صح لو قال‬
b- Palatal bar.
c- Anterio posterior palatal bar. ***

‫هذا أفضل نوع وثاني أفضل نوع هو‬:


Anterio posterior palatal strap.

: ‫* الخالصة‬
i. The best major connector is: Anterio posterior palatal bar that used in
classes i, ii & iv.
ii. The next preferable major connector is: Anterio posterior palatal strap that
used in classes ii & iv.
iii. Horseshoe major connector: Is the least accurate so it’s the least
preferable major connector but it’s used in any class when torus palatinus
prohibits ‫يمنع استخدام‬other connectors as it extends to the posterior limit of
the hard palate ( large torus palatinus ). ‫يمنع استخدام األنواع األخرى نظراً لكبر حجمه‬

https://docs.google.com/viewer?
a=v&q=cache:tsHeKzOuPvgJ:www.dt.mahidol.ac.th/departments/hospital/
rpd
%2520design.pdf+indication+of+horseshoe+in+class+2+kennedy+classifica
tion&hl=ar&gl=sa&pid=bl&srcid=ADGEESg9s0JQVnjbNObWNL3v1mm_Xr3
oa2kK8IlLzkIEqMq7kal8KiYKZKcmb5uOETigVZTFtmxRWedQsk1hZfzMSZwX
hRAsy47WAYasGf0I1hXqaPDyYndivwQurG4-
o2r2svTH7vdz&sig=AHIEtbTuDEN9Uu8i4VG8H3jiZkW3XRvJkA&safe=on

1371. In terms of caries prevention, the most effective and most cost
effective method is: ‫بما يخص الوقاية من النخور فإن أكثر طريقة فعالة ومجدية مقارنة بقلة‬
‫تكاليفها‬
A- Community based programs. ***
b- Private based programs
c- Individually based programs.
‫ أما فيما يخص التوعية بالصحة‬،‫بخصوص تخفيض نسبة النخور فإن فلورة المياه هي أكثر عامل فعال‬
60‫ أكسفورد ص‬.‫الفموية فتوعية الطبيب للمريض مباشرة هي األهم‬

One-to-one in the clinical environment. This is usually the most successful


approach, because the message can be tailored to the individual and
reinforcement is facilitated. However, it is expensive in terms of manpower.

‫بما أن المطلوب هو الطريقة األكثر فاعلية و تكلفة فالجواب األول‬


‫في أحد االختبارات لم يرد االحتمال الثالث لذلك األول هو الصحح بإذن هللا‬
1372. One of the main features of acute herpetic gingivostomatitis is the
ulcers are confined to the attached gingival and hard palate:
a. True. ***
b. False.

Although most HSV-1 infections are subclinical, a small percentage of patients


develop primary herpetic gingivostomatitis.1 Typical symptoms include abrupt
onset of fever, anorexia, irritability and intense mouth pain. Patients develop
oral lesions of the attached and movable mucosal surfaces in which vesicles
develop and quickly break down, coalescing to form large painful
ulcerations. The gingivae become erythematous and tender.

Acute oral ulcerations -- Treister and Lerman 138 (4): 499 -- The Journal of the
American Dental Association

Assessment Findings/Physical Exam


Following an incubation period of 3-7 days (Chandrasekar, 1999; White, 1998), a typical syndrome develops
abruptly in healthy children. Fever (up to 103° F); malaise; and bilateral, regionalized lymphadenopathy appear.
Cervical, submental, and submaxillary nodes can all be enlarged. White (1998) describes gingivitis followed by the
rapid development of fragile vesicles, typically concentrated on the mucosa inside the lower lip (see Figure 1).
Vesicles also appear on the gingivae, buccal mucosa, tongue, and hard palate. As underlying epithelial cells are
destroyed, the vesicles soon break down into ulcers. Halitosis is present. The oral lesions are very painful and
make swallowing, drinking, and eating difficult. The inability to swallow causes excessive saliva to pool in the
mouth, and so children drool.

Figure 1.

Lesions of Primary Herpetic Gingivostomatitis in a Young Child

(Enlarge Image)

1373. Pt come with bristle even on mucous membrane, u asked for


immune test:
a. pemphigus
b. bullos pemphigoid***
c. lichen planus

http://www.medicinenet.com/bullous_pemphigoid/article.htm
How is bullous pemphigoid diagnosed?

Bullous pemphigoid is diagnosed based on the results of a biopsy of involved tissue. The
biopsy can reveal the abnormal antibodies deposited in the basement membrane layer of skin
or mucous membrane tissue

1374. Cheek biting in lower denture can occur if:


a. Occlusal plane above tongue.
b. Occlusal plane below tongue.
c. Occlusal plane at lower lip.
d. None of the above. ***
Complete Denture 17th Ed
Cheek, lip, or tonaue biting:
a. Cheek biting is the most common and is mainly due to inadequate overjet.
Solution: Increase the overjet by reducing the buccal of the lower posterior
teeth. Usually necessary in molar area only.
b. Tongue biting -increase the overjet by reducing the lingual of the upper
posterior teeth; usually the molars.
c. Lip biting is not common and is usually due to poor tooth placement or poor
neuromuscular control.
‫ أمل قداح رئيسة قسم التركيبات بجامعة القاهرة‬.‫الجواب الرابع حسب كالم د‬
1375. Permeability of dentine: ‫نفوذية‬
a. Bacterial product go through it.
b. Decrease by smear layer.
c. Allow bacteria to go in.
d. All of above. ***

1376. Dentin permeability


1- decreases with the increase of cavity preparation.
2- Increase when sclerotic dentin develops under a carious lesion.
3- Increase with smear layer.
4- Bacterial toxins can pass through before the actual penetration of
bacteria. ***
Art & Science
Dentin permeability:
increase with the increase of cavity preparation
decrease when sclerotic dentin develops under a carious lesion
decrease with smear layer

1377. Gracey 13/14


a. Mesial posterior
b. Distal posterior
c. …
‫الجواب األكيد هو الثاني حسب ما أذكر من أيام الدراسة و ال زالت المجموعة موجودة عندي و‬
)‫ للسطح الوحشي لألسنان الخلفية (عبيدة‬14 - 13 ‫استعملتها بهذه الطريقة‬
1378. Each of the following is correct EXCEPT which one:
a. Bad breath appears to be largely bacteria in origin.
b. Bad breath originating from the gastrointestinal tract is quite common.
c. Self-perceptions of bad breath appear to be unreliable. ‫ال يمكن التعويل على حس‬
‫الشخص برائحة فمه‬
d. Fear of having bad breath may be a severe problem for some people.***
‫هؤالء األشخاص ال يشعرون بمشكلتهم إال من خالل اآلخرين فغالبا ما تكون الشكوى من الزوجة أو أحد‬
‫أفراد األسرة أما الشخص نفسه فغالبا ال يشعر برائحة فمه و هذا ما نراه في العيادة و عليه يكون الجواب‬
‫األخير هو األصح ألن هذه المشكلة تشكل أرق للكثير من الناس و ليس البعض و المرجع التالي يؤكد‬
)‫الجواب الرابع (عبيدة‬

Symptoms
By Mayo Clinic staff

Bad breath odors vary depending on the source or the underlying cause of
the bad breath. Because it's difficult to rate your own breath, many people
worry excessively about their breath even though they have little or no
mouth odor. Others have bad breath and don't know it. Because it's difficult
to assess how your own breath smells, ask a close friend or relative to
confirm your bad-breath questions.

http://www.mayoclinic.com/health/bad-
breath/DS00025/DSECTION=symptoms
1379. When using the buccal object rule in horizontal angulation, the lingual
object in relation to the buccal object: ‫تزوي‬
a. Move away from the x-ray tube head.
b. Move with the x-ray tube head. ***
c. Move in an inferior direction from the x-ray tube head.
d. Move in a superior direction from the x-ray tube head.
e. None of the above.
Dental Decks - page 72

If the object appears to move in the same direction as the x-ray tube, it is in
the lingual aspect.

1380. Radiographic evaluation in extraction:


a. Relationship of associated vital structures.
B. Root configuration and surrounding bone condition.
C. Access to the tooth, crown condition and tooth mobility.
D. All of the above
e. A & B***

‫سؤال بطريقة أخرى‬

1381. Radiographic evaluation in extraction EXCEPT:


a. Relationship of associated vital structures.
B. Root configuration and surrounding bone condition.
C. Access to the tooth, crown condition and tooth mobility.***
e. A & B
Odontogenic tumors:
a. Arise from dental tissue***
b. Can turn malignant but rarely
c. Have specific radiographic features
d. …
http://www.ncbi.nlm.nih.gov/pubmed/280645

Abstract

From a total of 54,534 oral biopsy specimens, 706 (1.3%) odontogenic tumors were
retrieved and reviewed. Odontomas comprised more than 65% of the odontogenic
tumors, ameloblastomas about 10%, and the remaining six categories of odontogenic
tumors accounted for approximately 25% of the lesions. The distribution by age, sex,
and location of these tumors generally supported the data from other previously
reported cases. A possible variant of the calcifying epithelial odontogenic tumor was
described, and instances of two granular cell ameloblastic fibromas were reported.
The myxomas as a group were characterized histologically more by residual bony
trabeculae than by the presence of odontogenic rests. Because the clinical,
histological, and behavioral features of the ameloblastic fibroma and ameloblastic
fibro-odontoma were similar, these lesions were considered to be essentially the
same. From limited follow-up information, the ameloblastoma was the only lesion
that recurred. With the exception of one ameloblastoma found in the lung, no
malignant odontogenic tumors were encountered

1382. prophylactic antibiotic needed in


.anesthesia not interaligamentary
.suture removal
.routine tooth brushing
.orthodontic band ***
"Dental secrets"

1383. Electric pulp tester on the young is not accurate because:


a) Late appearance of Fibers A***
b) Late appearance of Fibers C
c) Early appearance of fibers A
d) Early appearance of fibers C
" Pathway Of Pulp 6th edition page 314"

The relatively late appearance of A fibers in the pulp helps to explain why the
electric pulp test tends to be unreliable in young teeth.

)‫فاحص اللب الكهربائي يعطي نتائج غير موثوقة عند اليافعين بسبب عدم اكتمال ذرى األسنان (عبيدة‬

1384. A patient that had a class II amalgam restoration, next day he returns
complaining of discomfort at the site of the restoration, radiographically an
Overhanging amalgam is present. This is due to:
a) lack of matrix usage. ***
b) improper wedging.
c) ---- pulpitis
1470 ‫انظر السؤال‬

1385. Occlusal splint device:


1/ used during increase vertical dimension
2/ allative muscle of mastication. ***
3/ occlusal plane CR/CO
4/ALL

Occlusal Splints
CONSISTENTLY SUCCESSFUL TMJ TREATMENT

SCDL provide splints and appliances used to alleviate the symptoms of TMJ
dysfunction. Most of our splints are used primarily in the first phase of
treatment to restore functional harmony and are fabricated with clear acrylic
occlusal pads which allow for easy adjustment as treatment progresses. Our
splints are made on either arch and provide skeletal support for the mandible
and its musculature.

http://www.scdlab.com/occlusal-splints

1386. Child with late primary dentition has calculus and gingival recession
related to upper molar what is the diagnosis:
1. Periodontitis.
2. Local aggressive Periodontitis.
3. Viral infection.
Dental Decks - page 776
‫يحدث التهاب النسج الداعم سريع التطور الموضّع في غياب نسبي للويحة وعند القواطع واألرحاء‬
.‫ سنة‬19-12 ‫عند اليافعين‬
1387. Histopathologically, early verrucous carcinomas:
a. Have characteristic microscopic features. ***
b. Can be confused with acute hypertrophic candidiasis
c. Can be confused with Lichen planus
d. Can be confused with chronic hypertrophic candidiasis
Background
Verrucous carcinoma (VC) refers to a clinicopathologic concept implying a
locally aggressive, clinically exophytic, low-grade, slow-growing, well-
differentiated squamous cell carcinoma with minimal metastatic potential.
Verrucous carcinoma typically involves the oral cavity, larynx, genitalia, skin,
and esophagus.
In 1948, Ackerman first described verrucous carcinoma in the oral cavity as a
low-grade tumor that generally is considered a clinicopathologic variant of
squamous cell carcinoma.[1] Aird et al first described cutaneous verrucous
carcinoma (carcinoma cuniculatum) in 1954, and it was named as such
because of its characteristic cryptlike spaces on histologic appearance.[2]
http://emedicine.medscape.com/article/1101695-overview
1388. pt came with muliple cyst on his scalp and nick and osteomas on his
mandible and multible on his mandible side,, wt is the diagnosis:
a. gardner syndrome
b. cleidocranial dysplasia
c. ectodermal dystosis
d. oesteogenesis imperfecta
http://www.rightdiagnosis.com/g/gardner_syndrome/symptom
s.htm#symptom_list

Symptoms of Gardner syndrome

The list of signs and symptoms mentioned in various sources for Gardner syndrome
:includes the 22 symptoms listed below

 Diarrhea
 Mucus in diarrhea
 Bloody diarrhea
 Intestinal polyps
 Epidermoid cysts
 Dermoid tumors
 Fibromas
 Neurofibromas
 Benign bone growths
 Osteomatosis
 Impacted teeth
 Extra teeth
 Retinal pigment epithelium hypertrophy
 Benign soft tissue tumors
 Benign bone tumors
 Polyposis
 Fibrous dysplasia of the skull
 Fibrous dysplasia of the lower jaw bone
 Epithelial cysts
 Constipation
 Abdominal pain
 Weight loss
http://www.rightdiagnosis.com/g/gardner_syndrome/symptom
s.htm#symptom_list
1389. Diabatic pt with multiple naevi on the neck and the scalp , and multiple
jaw cyst,,,, ur diagnosis will be:
a. Eagle syndrome.
b. Gorlin – Goltz syndrome***
a. Pierre Robin syndrome.
d. Non of the above
)1013 ‫(راجع السؤال‬
Oxford Handbook 4th
Gorlin-Goltz syndrome ( multiple basal cell neavi syndrome)

Introduction
Nevoid basal cell carcinoma syndrome (NBCCS), also known as Gorlin-Goltz syndrome,
is an autosomal dominant disorder characterized by a predisposition to neoplasms
and other developmental abnormalities [1]. Gorlin&Goltz[2] described the classical
triad composed of multiple basal cell carcinoma, keratocysticodontogenictumors
(KCOTs) in the jaws and bifid ribs that characterized the diagnosis of this syndrome.
In addition to this triad, calcification of the falxcerebri, palmar and plantar epidermal
pits, spine and rib anomalies, relative macrocephaly, facial milia, frontal bossing,
ocular malformation, medulloblastomas, cleft lip and/or palate, and developmental
malformations were also established as features of the syndrome [1,3].

http://www.head-face-med.com/content/7/1/2
1390. pt came to ur clinc have an painless ulcer on the lip , which begin last 6
weeks as elevated border with deep center Ulcer developed very quickly
during first 4 weeks then ( slowly growing or stop growing I don`t
remember ) have no history of truma but the pt work outside under
exposure of the sun. Biobsy reveals PMN , acanthotic exudate ( and
something else I`dont remmeber ) , what is the diagnosis:
a. sq.cell carcinoma
b. keratoacanthoma***
c. verrucus cell carcinoma
d. mucoepidermoid carcinoma

Keratoacanthoma (KA) is a common low-grade (unlikely to metastasize or invade)


skin tumour that is believed to originate from the neck of the hair follicle.[1] Many
pathologists consider it to be a form of squamous cell carcinoma (SCC).[2] The
pathologist often labels KA as "well-differentiated squamous cell carcinoma,
keratoacanthoma variant", because about 6% of KA manifest itself as squamous
cell carcinoma when left untreated.[3] KA is commonly found on sun-exposed
skin, and often is seen on the face, forearms and hands.[4] The defining
characteristic of KA is that it is dome-shaped, symmetrical, surrounded by a
smooth wall of inflamed skin, and capped with keratin scales and debris. It
always grows rapidly, reaching a large size within days or weeks, and if untreated
will starve itself of nourishment, necrose (die), slough, and heal with scarring.
While some pathologists classify KA as a distinct tumor and not a malignancy,
enough clinical and histological KA do progress to invasive and aggressive
squamous cell cancers, therefore prompt and aggressive treatment is required. [5][6]
In reality, the defining characteristics of a KA can not be found when only a small
fragment of a large KA is submitted for pathology review. If the keratin debris is
submitted, no diagnosis can be made. If a deep core or peripheral deep wedge is
performed, a squamous cell carcinoma is often noted. Only when almost the
entire structure is submitted, can a true diagnosis of a KA be made. This further
complicates the distinction between a clinical diagnosis of a KA and the
pathologic diagnosis of a KA vs a squamous cell cancer.

http://en.wikipedia.org/wiki/Keratoacanthoma
1391. A reline ‫ إعادة التبطين‬for a complete denture is contraindicated when:
a) there is extreme over closure of the vertical diamention.
b) centric occlusion and centric relation do not coincide. *** ‫ال يتوافقان مع‬
‫بعضهما‬
c) the denture contains a broken tooth.
d) there is resorption of the ridge.
https://docs.google.com/viewer?
a=v&q=cache:09xcWbOuVRwJ:faculty.ksu.edu.sa/74571/Lecture
%2520Notes/Relining%2520and%2520rebasing%2520of%2520complete
%2520dentures.ppt+reline+for+a+complete+denture+is+contraindicated+
when&hl=ar&gl=sa&pid=bl&srcid=ADGEESgpYfns4Z1If2yh6uTVW72gBGoh
85si7yFIZVsyqymg1bhMlChbT5p8aoZYhSaO7U1omwjjnCl-_ovAN-
ayfArME2TclLlTQYjEt9E3ifjdb6KppudKStHzJWrhQqnM83siBJbP&sig=AHIEt
bT7zR0n0yP6sNlulNFqrLmehm-UwA

page6

:Indications for relining or rebasing

When the residual alveolar ridges have resorbed and the .1


.adaptation of the denture bases to the ridges is poor
months following the placement of an immediate 3-6 .2
.denture
For geriatric or chronically ill patient because of the long .3
or several appointments required for the construction
.of a new denture
If the patient cannot afford the cost of having new .4
.dentures
:Rebasing is additionally required in cases of .5
.a) Porous denture base
.b) Discolored or contaminated denture base

:Contraindications

If the dentures have poor esthetics or .1


.unsatisfactory jaw relationship
.If the dentures create a major speech problem .2
When an excessive amount of resorption has .3
taken place making it difficult to position the
.denture properly on the ridge
When abused soft tissues are present. The .4
relining is delayed until the tissues recover
and return as closely as possible to normal
.form
1392. complete re- epithelization after surgery.. after
a. 1-5 days
b. 10- 15 days
c. 17 – 21 days
I can't remember the exactnumbers

Process
 Epithelialization is a complex process of tissue repair consisting of three
overlapping phases.

Inflamatory Phase
 When the skin is wounded, blood comes into contact with collagen that triggers
blood platelets to secrete inflammatory factors. Homeostasis (stopping blood
loss) takes place through the clotting cascade. Plasma proteins are released to
attract cells that phagocytise (ingest foreign particles). This cellular migration to
the wound area is the first line of defense against debris, bacteria, and damaged
tissue.

Profliferative Phase
 Two to five days after the onset of the wound, patent cells begin to sprout cells
(angioblasts) into the wound, forming new capillary loops. Type III collagen is
produced forming "granulation tissue."

Remodeling Phase
 Remodeling begins when special cells (myofibroblasts) appear. Their muscle-like
contracting proteins act on the wound as a whole, shrinking the wound.

1393. A low sag factor in a metal-ceramic FPD and cause


1- Flow of metal under functional load
2- High abrasion resistance
3- Less deformation of bridge spans when fired
4- Poor metal-ceramic bond strength
5- Contamination of porcelain
a. 1 only
b. 1 and 4
c. 2and 3
d. 3 only***
e. 4 and 5
f. All of the above
http://books.google.com.sa/books?
id=SdOOEbeyNVkC&pg=PA10&lpg=PA10&dq=ways+do+surface+characteri
stics+of+porcelain+affect+the+perceived+from+of+the+final+restoration&
source=bl&ots=Avnk7fO-
nj&sig=jQvaBjOH_3VUoXLaDDV6pB2uHVs&hl=ar&sa=X&ei=qUsxT8jQG9CX
Opj7mdsG&ved=0CCsQ6AEwAQ#v=snippet&q=low%20sag%20factor
%20&f=false
1394. Nickel-chromium allergic from dentures appear more
a)male
b)female***
c)equal

Among 564 Danes applying for permanent disability pension due to skin
diseases, 222 had allergic contact eczema. Psoriasis was the next most common
disorder. Nickel allergy was found in 99 cases, of whom 91 were women with
hand eczema. In 43 the primary eczema was on the hands, in 38 under costume
jewellery, suspenders, ect. Besides nickel the patients were often sensitive to
cobalt, rubber and formaldehyde. Within Denmark there were geographical
differences, as only few applicants came from the rural areas. Ten were atopics.
63 were chrome sensitive, including 21 women who all had hand eczema. Like
the nickel sensitive they often had additional allergies to cobalt, rubber and
formaldehyde. In 53% of the nickel sensitive the hand eczema started in
occupations with a high nickel exposure. 39% had frequent changes in
occupation, often to a new job with occupational nickel contact. As the patients in
the present study were all selected on the basis of their poor prognoses, we have
tried to establish prognostic criteria through comparison with unselected material
from within the same geographical area.
1395. We put the pin very close to line angle because this area
-less material of restoration need.
-intiate dentin caries.
-need less condensation of material.
- Great bulk of dentin
Art and science of operative dentistry 2000 – page 774

- Consideration also must be given to the placement of pins in areas where


the greatest bulk of amalgam will occur to minimize the weakening effect of
the pins to tooth structure. Areas of occlusal contacts on the restoration must
be anticipated because a pin oriented vertically and positioned directly below
an occlusal load weakens the amalgam significantly' Occlusal clearance should
be sufficient to provide 2 mm of amalgam over the pin.

- Therefore it may be necessary to prepare first a recess in the vertical wall


with the No.245 bur to permit proper pinhole preparation, as well as to
provide a minimum of 0.5 mm clearance around the circumference of the pin
for adequate condensation of amalgam.

2210 ‫ورد في دنتل ديكس صفحة‬


‫ان السبب هو ان وضع الدبوس العاجي قريبا الى الزاوية الخطية هو ان تلك المنطقة تكون فيها كتلة الجذر‬
‫او السن اعظمية وبالتالي خطر تأثر اللب او االنكسار يكون في اقل احتماالته‬

1396. Best Root Canal Material primary central incisor:


a-iodoform***.
b-Guttapercha
c-Formacresol.
IODOFORM (KRI) PASTE
Resorbs rapidly & has no undesirable effects on succedaneous teeth.
Material extruded into periapical tissue is rapidly replaced by normal tissue.
Has superior antimicrobial action.
Does not set into hard mass & can be removed if re-treatment is required.
)‫حسب المرجع السابق الجواب األول هو الصحيح (عبيدة‬
1397. HBV disinfection: (enough with intermediate disinfection)
1) iodophors and hypocloride
2) formaldahide
3) dettol / 100% ethyl alcohol
4) ethyl dioxide gas
a. 1+2 ***
b. 1+2+3
c. 3+4
d. 2+3
http://www.who.int/csr/disease/hepatitis/whocdscsrlyo20022/e
n/index2.html
HBV is inactivated by exposure to sodium hypochlorite (500 mg free chlorine
per litre) for 10 min, 2% aqueous glutaraldehyde at room temperature for 5
min, heat treatment at 988C for 2 min, Sporicidin (Ash Dentsply, York, PA) (pH
7.9), formaldehyde at 18.5 g/l (5% formalin in water), 70% isopropylalcohol,
80% ethyl alcohol at 118C for 2 min, Wescodyne (a iodophor disinfectant,
American Sterilizer Co., Erie, PA) diluted 1:213, or combined b-propriolactone
and UV irradiation

1398. Filling in RCT must finish


a- Exactly the radiographic apex***
b- Few millimeters before apex
c- At the half distance between apex and the pulp chamber
d- Filling the pulp chamber
‫سؤال مشابه آخر مع اختالف بسيط و لكن جوهري يجعل اإلجابة صحيحة تماما‬
1399. Filling in RCT must finish
a- Exactly up the radiographic apex***
b- Few millimeters before apex
c- At the half distance between apex and the pulp chamber
d- Filling the pulp chamber

1400. the organism that not found in newborn mouth:


a-streptococcus mutant
b-streptococcus salivaris
c-e-coli
d-skin bacteria
‫سؤال مشابه مع اختالف بسيط يجعل اإلجابة صحيحة تماما وفق المرجع‬
1401. the organism that rarely found in newborn mouth:
a-streptococcus mutant
b-streptococcus salivaris
c-e-coli
d-skin bacteria
‫المصدر التالي ينفي وجود العقدية اللعابية والطافرة‬

Http://jdr.sagepub.com/content/49/2/415.full.pdf

- Breast-fed babies, six months' old, studied by Belding and Belding,6 did not
have S salivarius. When diets were supplemented with cereals and sugar, S
salivarius became the dominant organism of saliva. When this supplement
was excluded from the diet, S salivarius disappeared entirely.

- The absence of S mutans and S sanguis from the mouth of the infants agrees
with previous findings that these streptococci require hard surfaces such as
teeth and dentures for successful colonization in the mouth.'0"14 Subsequent
studies of the infants in the present study will reveal if the occurrence of these
streptococci in the mouth is strictly correlated to the eruption of the teeth.

And

This infection, which generally affects only one breast, usually occurs two to
three weeks postpartum, but it might occur after only one week. It's caused
by Staphylococcus aureus and Escherichia coli bacteria.1 These bacteria often
are carried on the mother's or (hospital) staff's unwashed hands, or in the
newborn's mouth.2 The bacteria enter the mother's body through an open,
injured area of the nipple, although in some cases there might be no
discernible wound.

1402. what can not diagnosised by radiographe


a- proximal caries
b- abscesses
c-severe gingivitis***
d->>>>
1403. initial step to do post and core in RCT tooth is
A. remove gutta bercha by hot
B. by cleaning cavity of caries and remove old filling
C. immediat insertion
D. gates glidden drill
1404. How can remove a hard discolored dentine ?
a. Excavator
b.Stanlesstill burs with low speed
c. --------Very low speed
d. High speed carbide burs***
1405. class II amalgam restoration with deep caries the patient comes with
localized pain related to it after 3 months due to:
a)undetected pulp horn exposure
b) over occlusion
c) moisture contamination during the restoration.
d)…………

‫ يوم‬30-3 ‫ األلم بعد حشوات االملغم بسبب تمدد الحشوة‬:‫كتاب المواد السنية‬

‫سؤال مشابه و لكن الشكوى كانت بعد شهر لذلك صيغته أصح‬

1406. class II amalgam restoration with deep caries the patient comes with
localized pain related to it after one month due to:
a)undetected pulp horn exposure
b) over occlusion
c) moisture contamination during the restoration.
d)…………
‫مريض أجريت له معالجة جذور ناجحة للرحر السفلية األولى () و لكنه عاد بعد أيام يشكو من ألم‬ .1407
‫ بالشعة كانت الحشوة جيدة و لكن ظهر حشو زائد على جانب أحد الجذور ما هو‬. ‫شديد عند العض‬
‫التشخيص‬
***‫ كسر عمودي في الجذر‬-1
‫ انثقاب‬-2
‫ال أذكر باقي االحتماالت و لكن الحل صحيح ألن األلم على العض فقط و الحشو جيد و األهم أن‬
‫ لمن ورد هذا السؤال باختباره‬6-6 ‫عالمة التشخيص كاملة‬
‫ سنوات احضرو ابوه للعيادة خالل الفحص اكتشف الطبيب ان عند الطفل مشكلة‬6 ‫طفل عمرو‬ .1408
‫بالسمع ومن خالل االشعة اكتشف غياب عظم الترقوة مع وجود تشوهات بالعظم الوجني‬
***‫متالزمة تيتشر كولين‬-1
‫متالزمة داون‬-2
‫سوء تصنع الوريقة الخارجية‬-3

1409. A child with caries in the incisors we call this caries:


a. Rampant caries.
1410. b. Nursing caries.***
c. Children caries

pt. during routinly cheeck up need preventive tretment pit& fissur ... upon
examination the dentist found small caries lesion & he decise to small
preparation and do restoration for this pt.
these can be called:
- pit& f issure seleant
- preventive restoration
- conservative restoration
1411. best method to protect teeth after bicuspedization?
Crowning***

‫سؤال عن تلون السن الذي فيه حشوة أملغم‬ .1412


.‫الحل هو وضع الفرنيش تحت األملغم لمنع تسرب الزئبق ضمن األقنية العاجية‬

‫ األسئلة المختلف على إجاباتها بعد تصحيحها‬: ‫القسم الثاني‬

1413. 8 years child come without complaint while rutine exam you find
obliteration of canal in maxillary central incisor what u will do:
a. Extraction.
b. RCT.
c. Pulpotomy.
d. None of the above. ***

1. All are participating in the determination of the posterior extension of the


maxillary denture (posterior palatal extension) EXCEPT:
a. Vibrating line.
b. Hamular notch.
c. Fovae palatine.
d. Retromolar (pads) areas. ***
‫ الفكية ونقرتا الحنك‬#‫ والثلمة الجناحية‬#‫ خط االهتزاز‬:‫ كل من‬#‫يساعد على تحديد منطقة السد الخلفي‬

2. To a great extent, the forces occurring through a removable partial denture


can be widely distributed and minimized by the following methods:
‫ألفضل مدى توزيع وتقليل القوى اإلطباقية‬
a. Proper location of the occlusal rests.
b. Selection of lingual bar major connector
c. Developing balanced occlusion.
d. All of the above. ***

‫ أمل قداح رئيسة قسم التركيبات بجامعة القاهرة فإن السؤال غريب ألن االحتمال الثاني‬.‫حسب رأي د‬
‫أكيد خطأ والباقي صحيح‬

3. Which of the following may cause gingival enlargement:


a. Phenyntoin (Dilantin). ***‫األصح‬
b. Cyclosporine.
c. Nifedipine. (calcium channel blocker)
d. Aspirin.
e. None of the above.
Dental Decks - page 910

The highest incidence of drug induced hyperplasia is reported to phenytoin


(Dilantin)

‫ (التهاب‬Hyperplasia ‫ من الذين يتناولون ديالنتين الصوديوم لديهم‬%60-50 ‫بقية النص توضح أن‬
‫ ممن يتناولون حاصرات‬%20 ‫ بينما‬،‫لثة ضخامي) يتفاقم بوجود اللويحة الجرثومية والقلح اللثوي‬
‫) لديهم‬Cyclosporine( ‫ ممن يتناولون مثبطات المناعة‬%30-20‫) و‬Nifedipine( ‫الكالسيوم‬
.Hyperplasia

.‫يضاف لهذه األدوية مضادات الذهان والكآبة واإلنترفيرون‬

4. Pt came to u with sublingual space infection ,change in color of mucosa of


floor of the mouth. The tongue is stilly elevated haw u will do incision for
drainage
a. Extra orally parallel to lower border of the mandible
b. Extra orally <,,,,,,,,,,,,,,,,,,,,,,,,,
c. Intraorally parallel to wharton's duct. ***
d. Intraorally Between mylo-hyoid muscle muscle

5. Reliability of the measurements reflects that property of the measurements


which: ‫موثوقية القياسات تعكس صفات القياسات التي‬:
a. Measures what is intended to be measured. ‫قياس ما يراد قياسه‬
b. Produces repeatedly the same results under a variety of conditions. ‫استخالص‬
‫نتائج واحدة بشكل متكرر في ظروف مختلفة‬
c. Detects reasonably small shifts, I either direction, in group condition. ‫اكتشاف‬
‫تغيرات طفيفة في مجموعة القياس‬
d. All of the above. ***

6. You extract tooth with large amalgam restoration, how to manage the
extracted tooth:
1. Autoclave and deep buried.
2. Sharp container. ***
3. Ordinary waste container.
4. Office container

7. Polysulfide impression material:


a. Should be poured within 1 hour. *** (or immediately)
b. Can be poured after 24 hours.
c. Can be poured 6-8 hours.

‫ ساعة وبالتالي فإن االحتمال األول خاطئ ألنه‬24 ‫حسب أكسفورد يجب أن تصب الطبعة خالل‬
‫ ساعة فال‬24 ‫يقول يجب صبها خالل ساعة أما الثاني فهو أيضا خاطئ ألنه يقول يمكن صبها بعد‬
)‫ ساعات (عبيدة‬8 ‫يبقى سوى الثالث و هو األصح ألنه يمكن صبها خالل‬
‫سؤال مشابه مع اختالف باالحتماالت‬

8. Polysulfide impression material:


a. Should be poured within 1 hour. *** (or immediately)
b. Should be poured within 12 hours
c. Need a special instrument for>>>>
d. Need coolant >>>>>>

9. Polysulfide rubber base which used for final impression must be:
A. Pouring in first 1 hour. *** (or immediately)
B. Pouring in first 2 hour.
C. Using cooling water.
D. Pouring in first 12 hour

10. Type of professionally applied fluoride for mentally retarded pt:


1. Neutral sodium fluoride.
2. Stannous fluoride. ***
3. Acidulated fluoride solutions.
)#‫ يكون هو الجواب (يحرر الفلور‬fluoride varnish ‫إذا وجد‬

11. Type f professionally applied fluoride for mentally retarded pt:


1. Neutral sodium fluoride.
2. Stannous fluoride.
3. Acidulated fluoride solutions
4. fluoride varnish. ***

12. To plan the line-angles in the proximal cavity in a class II you use:
A. Straight chisel
B. Bin-angled chisel.
C. Enamel hatchet. ***
d. beveled chisel

: ) Bi-beveled hatched ( ‫بالتحديد‬


Enamel hatched is used for planning enamel and dentin during cavity *
.preparation

:‫ يكون هو المفضل‬round bur ‫في حالة وجود خيار‬


"All internal line angles should be Removing caries with a large Diameter
round bur automatically produces the desired shape."rounded to reduce
internal stresses.

13. Loose enamel rods at the gingival floor of a class II amalgam cavity should be
removed using a:
i. Straight chisel.
ii. Hatchet.
iii. Gingival curette.
iv. Gingival marginal trimmer. ***

14. Removal of undermined enamel in class II cavity is done by:


. A) Chisel. ( Binangled chisel )
.B) Angle former
.C) Excavator

15. Hand instrument which we used to make internal angles retentive grooves
and preparation of cavity walls in the cavity is:
a. Angle former. (To shape line and point angels inter a cavity giving retention).
b. Chisel
c. File
d. Enamel hatched

16. Which of the following burs would you prefer to use preparing a slot for the
relation of an extensive amalgam restoration on maxillary molar:
( slot preparation = class II preparation ).
a. Number 5 round bur.
b. Number 56 fissure bur.
c. Number 556 fissure bur.
d. Number 35 cone bur. *** ( or No. 33 1/2 inverted cone bur ).

Operative Dentistry A Practical Guide to Recent Innovations – page 43


Circumferential grooving is an extension of the amalgapin preparation that
involves placing a groove with a No. 33 1/2 inverted cone bur in dentin.

17. Acyclovir dose for treatments of herpes:


a) 200 mg / 5 times a day. *** ( orally for 5-7 days ).
b) 200 mg / 4 times a day
c) 400 mg / 4 times a day.
d) 800 mg / 4 times a day

In case of immunodeficiency double the dose to 400 mg


Dental Decks: 400 mg / 4 times a day
"Cawson Essintials of Oral Pathology and Oral Medicine 7th ed"
‫ ملغ خمس مرات لمدة سبعة أيام‬200 ‫يعطى األسيكلوفير‬
Burket- Oral medicine – page 551
Treatment for HSV-1 infections usually consists of acyclovir (200 mg orally five
times daily).

18. The functions of cement bases are:


1- To act alike a barrier against acids or thermal shocks. ‫ سد‬- ‫حاجز‬
2- The minimal thickness, which is required, is 0.5 mm of base.
a. A ll.
b. None of the above.
c. 1 only. ***
d. 2 only

"Sturdevant's art and science of operative dentistry, 4th edition - page 171"

‫ ملم ودوره األساسي العزل الحراري‬2-1 ‫يتضح من النص التالي أن سماكة اإلسمنت المثالية‬
‫ في الخيار األول‬or ‫ (استخدام‬.)‫ أما العزل الكيميائي فمهمة مادة التبطين (ماءات الكالسيوم‬g،‫والميكانيكي‬
)‫يعني إذا كانت المادة قاعدة أو تبطين‬

Bases (cement bases, typically 1 to 2 mm) are used to provide thermal


protection for the pulp and to supplement mechanical support for the
restoration by distributing local stresses from the restoration across the
underlying dentin surface. This mechanical support provides resistance against
disruption of thin dentin over the pulp during amalgam condensation
procedures or cementation procedures of indirect restorations.

Liners are relatively thin layers of material used primarily to provide a barrier
to protect the dentin from residual reactants diffusing out of a restoration
and/or oral fluids that may penetrate leaky tooth-restoration interfaces. They
also contribute initial electrical insulation; generate some thermal protection.

2078 ‫ وفي ص‬Base ‫ يتم ذكر ماءات الكالسيوم باعتبارها‬Dental Decks - page 2074 ‫في‬
.‫باعتبارها عازلة للحرارة‬

Key property is strength. They can therefore be used in rather thick layers. A
thickness exceeding 0.75 mm is needed to achieve thermal insulation.

19. Early loss of anterior tooth:


a. Affect phonetic.
b. Affect esthetics.
c. Cause space loss.
d. A and b.
e. All the above. ***
‫الفقد المبكر يخص األسنان المؤقتة وبالتالي تأثر النطق والناحية التجميلية أما ضياع المسافة عند الفقد‬
)‫األمامي المبكر فيكون في األسنان الدائمة (انزياح القواطع الدائمة لمكان الفقد‬

20. Intraosseous cyst in radiograph appears:


1/multiradiolucent may or not expand to cortical bone. ***
2/radiopaque may or not expand to cortical bone.
3/multiradiolucent may with resorption of cortical bone.
4/radiopaque may with resoption of cortical bone.

21. Type of autoclave used :


a-hot oven outoclave
b-class b autoclave. ***
c-class s autoclave
d-class d autoclave

22. Crown with open margin can be due to:


a. Putting die space on finishing line.
b. Waxing not covering all crown prep. ‫تشميع ال يتناول كل تحضير التاج‬
c. Over contouring of crown prevent seating during insertion.
d. All of the above. ***
)‫األرجح هو كل ما سبق ألنها جميعها من مسببات الحواف المفتوحة للتاج ( عبيدة‬.

‫ سنة‬18 ‫ وعمر المريض‬attached gingiva ‫سؤال عن مريض يعاني من التهابات حادة في‬ .23
:‫ االختيارات‬...‫وكانت نفسيته تعبانة نتيجة ضغوط في حياته‬
a. aphthous ulcer
b. recurrent herpes ulcer. ***
c. allergic stomatitis
) 1721 + 1372 + 1710 ‫( راجع السؤال‬

‫ و التي يرتبط ظهورها بالضغوط النفسية لذلك اعتقد بوجود احتمال ناقص‬ANUG ‫الجواب غالبا هو‬
)‫هو االحتمال الصحيح التهاب لثة تموتي تقرحي حاد (عبيدة‬

24. The most desirable finished surface composite resin can be provided by:
a. White stones.
b. Hand instrument.
c. Carbid finishing burs. ***
d. Diamond finish burs.
e. Celluloid matrix band.

25. The best finished composite surface is achieved by:


1. 12 fluted bur. *** (Carbid finishing burs).
2. Diamond bur.
3. Matrix band with no additional finish.

26. Best finishing of composite done by:


1. Carbide bur.
2. Diamond bur.
3. Mounted stone.
4. Best retained under matrix band.

The 12-fluted carbide burs (#7901, #7804 ET series) have traditionally been
used to perform gross finishing of resin composites.
http://www.apad.cc/e-journal/issue2007/daniel.pdf
.‫ حز) هو األفضل كإجراء عملي‬12 ‫إذا أردنا اإلنهاء فإن استعمال سنابل الكاربايد (أكثر من‬
‫القاعدة القديمة هي أفضل إنهاء للكمبوزت هو عدم اإلنهاء ولكننا في حال اضطررنا لإلنهاء‬
.)‫فإن األفضل هو ما ذكر في الثاني والثالث (عبيدة‬

27. Child with 7y old when extrction of lower frist molar the tip of root is fracture
in the socket who to manengment :
a_ leave it if the mother n't complaine during feeding
b- shold be removed by file. ***
c-take x-ray to insure if n't swallwed or in respiratory.

28. How many canals can be present in mandibular second molars:


a. 1, 2, 3 or 4. *** (‫ فقط‬4 ‫ أو‬3 ‫)وليس‬
b. 2, 3 or 4.
c. 3 or 4.
d. 3.
‫الجواب األول من الواقع العملي حيث انني خالل سنوات عملي مرت بي جميع الحاالت و حاليا اعالج‬
‫حالة رحى سفلية ثانية بقناة واحدة و هي حالة نادرة جدا و لكنها موجودة و كذلك حالة القناتين توجد‬
‫ اما الثالث اقنية فهي شائعة‬%4 ‫ حسب المراجع و حالة األربع اقنية بنسبة حوالي‬%6 ‫بنسبة حوالي‬
)‫ تقريبا (عبيدة‬%90 ‫أكثر بنسبة‬

29. The most common immediate treatment reported for fractured teeth was:
a. 25%. ***
b. 50%.
c. 82%.
d. 95%.
30. What is the proper cavity preparation for V-shaped cervical erosion lesion to
be restored with glass ionomer cement:
a. Cervical groove, incisal groove.
b. Cervical groove, incisal bevel. ***(make a bevel in composite restorations).
c. 4 retention points, 90ْ margin.
d. No mechanical preparation is necessary. (no bevels in glass ionomer cement
restorations).

31. If the initial working length film shows the tip of a file to be greater than 1
mm from the ideal location, the clinician should:
a. Correct the length and begin instrumentation.
b. Move the file to 1 mm short of the ideal length and expose a film.
c. Interpolate the variance, correct the position of the stop to this distance,
and expose the film.
d. Confirm the working length with an apex locator. ***
e. Position the file at the root apex and expose a film.

)3 ‫ أو‬2 ‫ أو‬1 ‫ ملم بكثير (يجب توضيح المسافة هل هي أكثر من‬1 ‫يبدو أن الفرق ال يتعدى‬

‫طالما أنه ذكر محدد الذروة االكتروني فهو أصح إجراء و الباقية صحيحة و لكن األفضل هو محدد‬
)‫الذروة لذلك جوابي هو الرابع (عبيدة‬

32. Trauma caused fracture of the root at junction between middle and cervical
third:
A) do endo for coronal part only.
B) RCT for both
C) leave.
D) extraction.
C) Splint the two parts together. ***

Handbook of dental trauma 2001 – page 109


Between 20% and 44% of root fractured permanent incisors will subsequently
lose vitality (Andreasen and Hjorting-Hansen, 1967; Zachrisson and Jacobsen,
1975).
:115 ‫ حسب كتاب األطفال ص‬-
‫في كسور منتصف الجذر إذا لم يكن هناك اتصال بين منطقة الكسر والميزاب اللثوي يمكن إجراء جبيرة‬
.‫لثالثة أشهر على األقل‬
:126 ‫ حسب أكسفورد ص‬-
‫ إذا لم يتغير مكان القطعة‬،‫ أسبوع‬12-8 ‫ غالبا ً يكون السن متحركا ً فنحتاج لجبيرة‬:‫كسر الثلث األوسط‬
.‫ وإال فيتم حشو القناة بماءات الكالسيوم‬،‫التاجية فإن فقدان الحيوية أمر مستبعد‬
‫كسر الثلث الذروي‪ :‬غالبا ً ال نحتاج لعالج ومع ذلك فإنه يجب إبقاء السن تحت المراقبة الحتمال تموت‬
‫الثلثين التاجيين للب‪ .‬نحتاج فقط لتحضير القناة حتى خط الكسر ألن الثلث الذروي يحافظ عادة على‬
‫حيويته‪ .‬اإلنذار جيد‪.‬‬
‫‪ -‬حسب كتاب ‪ Text book of Pediatric Dentistry‬ص ‪:113‬‬
‫عند حدوث الكسر األفقي في منطقة اتصال‬
‫‪PAEDIATRIC DENTISTRY - 3rd Ed. (2005) – page 343‬‬
‫كسور الجذر العرضية غالبا ً في الثلث األوسط أو الذروي‪ ،‬والجزء التاجي إما أن يخرج أو ينزاح ويجب‬
‫تثبيته والتأكد من وضعه الصحيح شعاعيا ً‪.‬‬

‫التوضع المثالي يتم مع نسيج صلب‪ ،‬الجبيرة نصف المرنة تشجع الشفاء‪ .‬باستثناء كسر الجزء التاجي‬
‫الذي يحتاج لتثبيت طويل‪ ،‬يكفي التثبيت لمدة شهرغالباً‪ ،‬الجبيرة الوظيفية تستند على سن مجاور واحد‪.‬‬
‫يجب أن تسمح الجبيرة بفحص لون السن وحيوية اللب وتأمين مدخل إليه في حال الحاجة إلى معالجته‪.‬‬
‫الكسر على مستوى اللثة‪ ،‬يتم قلع الجزء التاجي ومعالجة اللب‪ 3 ،‬خيارات حسب قرب الجذر من اللثة‪:‬‬
‫وتد وقلب‪.‬‬
‫تبزيغ الجذر‪.‬‬
‫الخياطة فوق الجذر لتهيئة السنخ لزرعة بالمستقبل‪.‬‬
‫السؤال األساسي‪ :‬هل هناك حركة؟ هل هناك تموت باللب في الجزء التاجي؟‬
‫الحركة إذا كان الكسر في منتصف الجذر‪ ،‬والتموت نراقب السن وننتظر‪.‬‬

‫لم يذكر شيء عن حركة التاج أما في حال وجود حركة في الجزء التاجي فنعمل جبيرة لمة اسبوعين‬
‫الى ثالثة و نراقب حيوية السن‪.‬‬
‫لذلك اعتقد أن صيغة السؤال فيها نقص (عبيدة)‬

‫‪33. Pt with a history of subacute bacterial endocarditis is a medical problem in a‬‬


‫التهاب شغاف القلب ‪surgery because of the possibility of:‬‬
‫تجرثم الدم ‪a. Bacteremia.‬‬
‫إنتان الدم ‪b. Septicemia.‬‬
‫‪c. Hypertension.‬‬
‫تضيق تاجي ‪d. Mitral stenosis.‬‬
‫رجفان أذيني ‪e. Auricular fibrillation.‬‬
‫‪1- A, b and c.‬‬
‫*** ‪2- A, b and d.‬‬
‫‪3- A, d and e.‬‬
‫‪4- B, c and e.‬‬
‫‪5- C, d and e.‬‬

‫يجب تناول ‪ 2‬ملغ أموكسيسلين قبل المعالجة بساعة‪ ،‬أو ‪ 600‬ملغ كليندامايسين‪ ،‬أو ‪ 2‬ملغ سيفالكسين‪ ،‬أو‬
‫‪ 500‬ملغ أزيترومايسين‪.‬‬

‫‪34. Blood supply of the palate is from:‬‬


‫‪a. Greater palatine artery.‬‬
‫‪b. Lesser palatine artery.‬‬
c. Facial artery.
d. Long sphenopalatine artery. ‫الوتدي الحنكي‬
e. Anatomosing branches from all of the above EXCEPT c . ***

 branches of the facial artery in the neck:


ascending palatine>>>>supply soft palate.

 branches of the maxillary artery:


The third part of maxillary artery gives branches which correspond to the
branches of the maxillary nerve and the branches of the spheno-palatine
ganglion.

 branches of the sheno-palatine ganglion:


-greater palatine…………..supply hard palate.
-lesser palatine……………supply soft palate.
-long spheno-palatine…….anterior part of hard palate

The blood supply of the palate is provided anteriorly through the incisor
foramen and posteriorly through the great palatine foramen where the great
palatine artery emerges.

The blood supply of the palate is from ascending branches of the facial artery
as well as from the branch of the maxillary artery, The palatine vessels and
nerves pass through the palatine canal.

The greater palatine artery was the main vessel to supply the hard palate and
the ascending palatine artery provided the principal supply of soft palate. The
branches of greater palatine artery formed abundant anastomoses with the
neighbor vessels.

35. Epithelial cells


a. Rest of malassez decrease with age. ***
b. Rest of malassez increase with age
c. Hertwig sheath entirely disappear after dentinogenesis.
d. Epithelial remnants could proliferate to periapical granuloma

36. Formation of lateral periodontal cyst due to


a- Nasolacrimal cyst
b- Hertwig's epithelial root sheath
c- Epithelial rest of maLassaz. ***
‫‪d- The epithelial rests or glands of Serres.‬‬

‫‪37. The type of cement wich give retention to crown:‬‬


‫‪a- zn phosphate‬‬
‫‪b- zn polycarpoxylate‬‬
‫‪c- resin. *** (Resin cement gives the best retention to crown).‬‬
‫‪d- resin modified glass ionomer‬‬

‫‪ZN POLYCARPOXYLATE CEMENT NOT ADHERE WELL TO GOLD &PORCELAIN‬‬


‫‪BUT STRONG ADHSVE BOND TO BASE METAL‬‬
‫هذه المعلومة أضافتها د‪ .‬سالف‬

‫‪38. Ethics of the study include all of the following EXCEPT:‬‬


‫أخالق الدراسة والبحث العلمي‬
‫السرية ‪a. Privacy of all subjects.‬‬
‫موافقة المريض المسبقة أو ال ***‪b. Informed consent may be required or not.‬‬
‫طبعا البد من أخذ الموافقة المسبقة ((‬
‫الرفض إذا كانت المادة ‪c. Object if the subject refuse to take part of the study.‬‬
‫التعليمية ترفض أن تأخذ شيء من الدراسة‬

‫السرية هي مبدأ أساسي من مبادئ الدراسة وكذلك يجب أن تكون الدراسة شاملة لجميع الحاالت وقبول‬
‫المريض مبدأ أساسي للدراسة لذلك الجواب هو الثاني ألنه في حال رفض المريض ال يمكن إجراء‬
‫البحث عليه فهذا ليس من أخالق الدراسة لذلك فالجواب الثاني هو األرجح (عبيدة)‬

‫‪39. Clinical research:‬‬


‫عمياء أو مزدوجة التعمية ‪a. No different between blind & double blind.‬‬
‫إذا كان هناك حاجة لمداخلة ‪b. If there's need of intervention.‬‬

‫سؤال ناقص في صيغته وليس مفهوما ما المقصود (عبيدة)‬

‫‪40. X- ray show large pulp chamber, thin dentine layer and enamel:‬‬
‫***‪a- Dentogerous imperfect.‬‬
‫‪b- Dentine dysplasia.‬‬
‫السؤال ناقص غالبا ً وال يكفي للتمييز بين الخيارين‪.‬‬
‫المظاهر الذكورة بالسؤال غير كافية و لكن حسب اكسفورد فإن ‪ Dentogerous imperfect‬أكثر شيوعا‬
‫ودائما يترافق مع سوء تشكل العظام و يعطي المظاهر الشعاعية التي ذكرتها انت باالضافة الى تلون االسنان‬
‫بلون مائل لألزرق او البني‬
‫و حسب نفس المصدر فان ‪ Dentine dysplasia‬نادر الحدوث‬
‫و حسب فهمي لالختالف بينهما ‪ Dentogerous imperfect‬بما انه سوء تشكل سيترافق بتغيرات على‬
‫مستوى كتلة العاج أي تكون كمية العاج قليلة‬
‫أما ‪ Dentine dysplasia‬فهو تغير في بنية العاج أي تكون كميته طبيعية و لكن يوجد بها عيوب نسيجية‬
‫فتكون سماكتها على االشعة عادية و لكن قد تكون ظالليتها اقل من الطبيعي‬
.ً ‫ يكون اللب التاجي والجذري متكلسا ً جزئيا ً أو كليا‬Dental Decks - page 998 ‫حسب‬
‫ أنماط لسوء تصنع العاج الوراثي النمط الثالث منها يتميز بحجرة لب‬3 ‫وحسب ويكيبيديا هناك‬
.‫واسعة بعكس النوعين اآلخرين‬
http://en.wikipedia.org/wiki/Dentinogenesis_imperfecta

Type I and II show total obliteration of the pulp chamber.


Type III shows thin dentin and extremely enormous pulp chamber.These teeth
are usually known as Shell Teeth.
http://en.wikipedia.org/wiki/Dentin_dysplasia

Type 1: Roots are short, blunt and conical. In deciduous teeth, pulp chambers
and root canals are completely obliterated in permanent they may be
crescent shaped.

Type 2: The pulp chamber of the deciduous teeth become obliterated in


deciduous teeth. While in permanent teeth, large pulp chamber is seen in
coronal portion of the tooth - referred to as thistle tube appearance.Pulp
stones may be found.

41. Provisional luting cement: ‫اإلسمنت اإللصاق المؤقت‬


a. Prevent restoration from dislodgement. *** ‫يمنع التعويض من الخروج‬
b. Sealing ‫يؤمن السد‬

‫في حالة عدم وجود خيارات فاألول هو الصحيح‬


‫ ركز على عالقة اإلسمنت‬Planning and Making Crown and Bridges – page 134 ‫مرجع‬
.‫المختار بنوعية التثبيت المطلوبة‬

42. Maryland bridge:


a. Use with young.
b. To replace single missing tooth. ***

‫حسب معلوماتي أن جسر مرالند يستخدم عند اليافعين و لتعويض سن مفرد و بالتالي فالجوابين‬
)‫صحيحين لذلك أعتقد أن السؤال ناقص (عبيدة‬

43. Pt. has bad oral hygine and missing the right and left lateral insicor what ttt.:
1- implant.
2- rpd.
3- conventional fpd.
4- Marylad bridge. ***

44. Maryland bridges depend upon:


a. Chemical retention.
b. Indirect retention.
c. Micromechanical retention. *** ( Cemented by acid etch & resin ).
d. None of the obove.

45. Composite resto followup after 2 years showed stained margin:


a. Stress from polymerization shrinkage
b. Hydrolic destruction on bond
‫الحل الصحيح هو‬....‫ممكن االحتماالت ناقصة‬
c. Marginal Leakage or micro leakage. ***
‫ المصدر‬Art & Science

46. High copper amalgam prevent:


a. marginal leakage. ***

47. Digital radiography is a technique that shows transition from white to black.
Its main advantage is the ability to manipulate the image by computer
a. 1st T, 2nd F. ***
b. 1st F, 2nd T
c. Both T
d. Both F
‫ تقليل زمن التعرض لألشعة والتعامل مع‬:‫المطلوب هو مرجع يقيم ترتيب أهم فائدتين بالفعل وهما‬
‫الصورة بالكمبيوتر‬.

48. The imaging showing disk position and morphology and TMJ bone:
a. MRI. *** ‫الرنين المغناطيسي‬
b. CT
c. ARTHROGRAPHY
d. Plain radiograph
e. Plain tomography
Dental secrets – 107

MRI is better at imaging the soft tissue of the disk, but CT is better for almost
all other investiagions of the TMJ.

49. Enamel:
a. Repair by ameloblasts
b. Permeability reduce with age. ***
c. Permeability increase with age
d. Permeable to some ions.

art & scince‫حسب‬


Although enamel is a very hard, dense structure it is permeable to certain
ions and molecules permitting both partial and complete penetration. The
route of passage appears to be through structural units that are
hypomineralized
and rich in organic content, such as rod
an important role as a transporting medium through small intercrystalline
spaces Enamel permeability decreases with age because of changes in the
,enamel matrix
though basic permeability is maintained; this decrease
.is referred to as enamel maturation

‫صحيح اذا جاء االحتماالن معا فهو صحيح اما اذا كانت الصيغة كما في‬b,d ‫من خالل السابق‬
‫اصح وهللا اعلم‬b ‫االعلى فاظن ان االحتمال‬

50. Upper teeth palatal mucosa supplied by:


a. Nasopalatine
b. Anterior palatine
c. Both ***
d. Post superior alveolar nerve

‫الجواب صحيح و لكن يجب االنتباه إلى أن األعصاب المذكورة تعصب المخاطية الحنكية لألسنان‬
)‫األمامية فقط أما الخلفية فيعصبها الحنكي الخلفي (عبيدة‬
:‫بالفك العلوي‬
‫ وللضواحك والجذر األنسي‬،‫ للقواطع بالعصب الفكي العلوي األمامي‬:ً ‫تعصيب اللب واللثة دهليزيا‬
.‫ ولبقية األرحاء بالعلوي الخلفي‬،‫للرحى األولى بالعلوي األوسط‬
‫تعصيب المخاطية الحنكية للقواطع والضاحك األول بالعصب الحنكي األنفي والحنكي األمامي ومن‬
‫وحشي الناب إلى الرحى الثالثة بالعصب الحنكي الكبير‬

51. Indirect retainers mostly needed:


a. Class VI
b. Class I *** (class I, II, IV)
c. Class III
d. Class III with modification.

52. X-ray periapical for immature tooth is


a. generally conclusive. ‫عموما قاطعة وحاسمة‬
b. simply inconculosive.
c. should be compered with antermer

53. Child patient take sedation before appointment and present with physical
volt. What should dentist do
a. conscious sedation
b. redo sedation
c. tie with baboose board. ***
d. tie in unite with bandag.

‫ أما الخيار الثاني فيعني زيادة جرعة‬،‫بسبب وجود ردود الفعل الجسدية الخيار األول غير ممكن‬
‫ أما الخيار الثالث (تثبيت الطفل) فهو لهذه الحاالت‬،‫المادة المركنة وهذا غير مفضل عند األطفال‬.

54. Caries detection dye composed main of:


a- 5% acid fuschin.
b- 5% basic fuchsin.
c- propylene glycol. ***

"Paediatric Dentistry 3rd Ed (2005)" page 165: 0.5% basic fuchsin


And:
"Dental pulp 2002" + "Operative Dentistry": propylene glycol.

55. when increase vertical dimension you have to:


1/ increase minimal need
2/construct anterior teeth first then posterior teeth
3/ use provisional crown for 2 months. ***
4/al

56. Treacher – Collins syndrome is mainly:


1/ mandibular retrognathia. *** (80 ‫من الحاالت‬%)
2/ loss of hearing (50% of cases)

‫االصابة تتناول بشكل أساسي العناصر المشتقة من القوس الغلصمية األولى و يالحظ فيها ميالن العينين‬
‫لألسفل و تشققات جفنية و نقص تصنع العظام الوجنية و تراجع الفك السفلي و تشوه صيواني األذن و‬
‫نقص تصنع الجيوب الوجهية و األذن الوسطى و الداخلية (مع نقص بالسمع) و الصمم في بعض‬
‫الحاالت بينما الحالة العقلية تكون طبيعية لدى هؤالء المرضى‬
Oxford handbook of clinical dentistry
‫))عبيدة‬
57. A patient that had a class II amalgam restoration, next day he returns
complaining of discomfort at the site of the restoration, radiographically an
Overhanging amalgam is present. This is due to:
a) lack of matrix usage. ***
B) no burnishing for amalgam ‫صقل‬
1384 ‫راجع السؤال‬
‫ اي النحت غير الكافي‬insufficient carving :‫حسب مرجع‬

Dental Decks - page 2300


58. Contents of the Anaesthia carpule:
a) Lidocaine + epinephrine + Ringer’s liquid. ***
B) Lidocaine + epinephrine + distilled water.
C) Lidocaine + epinephrine only.

)‫األصح االحتمال األول (عبيدة‬

"page 92"Hand Book of Local Anesthesia :‫حسب‬


‫ ليدوكائين وأدرينالين وسائل رنجر (كلور الصوديوم) وماء مقطر‬:‫تحتوي أمبولة المخدر‬
‫وحسب كتاب التخدير الموضعي للدكتور عبد الكريم خليل‬

Local anesthetic drug – vasopressor - Ringer’s liquid (nacl)


distilled water - preservative substance (methylparaben) ‫مضاد فطور‬
preservative for vasopressor ‫مادة حافظة لألدرينالين‬

http://faculty.ksu.edu.sa/hkhalil/Do...c%20agents.pdf

59. Distal fissure of premolar contact oppose:


a- Middle of the middle third & buccal fissure is wider than lingual
b- Cervical line & lingual fissure is wider than buccal
c- Middle of the middle third & vice versa. ***
d- Cervical of the middle third & vice versa

60. You make ledge in the canal. you want to correct this. what is the most
complication occur in this step:
a. Creation false canal
b. apical zip
c. stripping. *** (= Lateral perforation).
d. perforation. (= Apical perforation).

830 + 1794 ‫انظر السؤالين‬

61. To prevent gingival injury place the margin of the retainer:


A. At the level of gingival crest.***
b. Above gingival crest.
C. Apical to g . Crest 1 mm
d. Apical to g. Crest 0.5 mm

ً ‫ ملم على األقل عندما يكون ذلك ممكنا‬0.5 ‫بعيداً عن الحافة الحرة للثة بـ‬
Dental secrets – page 219
It is better for gingival health to place a crown margin supragingivally, 1—2
mm above the gingival crest, or equigingivally at the gingival crest. Such
positioning is quite often not possible because of esthetic or caries
considerations. Subsequently, the margin must be placed subgingivally.
Margin ends slightly below the gingival crest, in the middle of the sulcular
depth, or at the base of the sulcus. In preparing a subgingival margin, the
major concern is not to extend the preparation into the attachment
apparatus. If the margin gf the subsequent crown is extended into the
attachment apparatus, a constant gingival irritant has been constructed.
Therefore, for clinical simplicity, when a margin is to be placed subgingivally. It
is desirable to end the tooth preparation slightly below the gingival crest.
‫مع األخذ بعين االعتبار الفقرة السابقة (ومن الناحية العملية) يجب أن يكون التحضير مباشرة تحت حافة‬
.‫اللثة أي بنصف ميليمتر‬

‫ولكن من مع األخذ بعين االعتبار السؤال المطروح باعتبار أن األولوية لحماية اللثة فيجب أن يكون‬
.‫ فوق مستوى حافة اللثة‬#‫التحضير‬

‫أعتقد أن التحليل األخير باللون األحمر خاطئ فنحن ال نجعل الحواف فوق اللثة و ال بأي حال من‬
‫األحوال ألنه في هذه الحالة ستكون المسافة بين التاج و السن المحضر و المشغولة باالسمنت عرضة‬
‫لالنحالل و النخر لذلك الجواب الصحيح هو تحت حافة اللثة بقليلي أي نصف مللمتر و هذا ما ورد في‬
‫النص أي أن حماية اللثة تقتضي عمل التركيب فوق الحافة أو عند الحافة تماما و لكن هذا غير مقبول‬
‫عمليا العتبارات جمالية و إلمكانية النخر لذلك يجب أن يكون الحواف بمستوى اللثة كحل وسط لتأمين‬
)‫حماية اللثة و النواحي الجمالية و يبقى هذا رأيي الشخصي (عبيدة‬

62. A completely edentulous patient, the dentist delivers a denture in the 1st day
normally, 2nd day the patient returns unable to wear the denture again, the
cause is:
a) Lack of Skill of the patient. ***
b) Lack of Frenum areas of the Complete denture.

‫أعتقد أن األصح هو نقص مهارة المريض ألنه عاد في اليوم التالي مباشرة و ألن التركيب كان جيدا في‬
)‫اليوم األول فلو كان هناك نقص في منطقة اللجام لما ثبت الجهاز أول مرة (عبيدة‬

63. How can you alter the sitting time for alginate
a) alter ratio powder water. ***
b) alter water ratio
c) we can’t alter it
d) by accelerated addition

‫* ولكن هذه الطريقة تغير بعض صفات مادة المقاس ولذلك أفضل طريقة هي تغيير درجة حرارة الماء‬
Alter water temperature
‫فاذا وجدت في االختياراتـ فنختارهاـ‬

Dental decks – page 672

The best method to control the gelation time (setting time) is altering the
temperature of the water used in the mix.
Changing the water/powder ratio also alter the gelation time but these
method also impair certain properties of the material. Too little or too much
water will weaken the gel. Undermixing may prevent the chemical action from
occuring evenly ;overmixing may break up the gel
‫حسب المرجع السابق ال يفضل التالعب بنسبة السائل الى المسحوق ألن ذلك يفقد المزيج بعض‬
‫خصائصه و أفضل طريقة هي التحكم بحرارة الماء و هي المتبعة في العيادة لذلك أعتقد بوجود احتمال‬
)‫ناقص هو الصحيح (عبيدة‬

‫على ذلك يكون السؤال التالي أصح‬

64. How can you alter the sitting time for alginate
a) alter ratio powder water
b) alter water temperature. *** ‫تغيير درجة حرارة الماء‬
c) we can’t alter it
d) by accelerated addition.

65. What’s the reason of the wax shrinkage upon fabrication of the bridge/crown
a. SOLDIFICATION SHRINKAGE . ***

66. Patient who has un-modified class II kennedy classification, with good
periodontal condition and no carious lesion the best clasp to use on the other
side <teeth side>
( 862 ‫) راجع السؤال‬
a) reciprocal clasp (aker's clasp). ***
b) ring clasp.
c) embrasure clasp.
d) gingivally approaching clasp.

An Akers' clasp is the classic direct retainer for removable partial dentures.
Named after its inventor, Polk E. Akers, this suprabulge clasp consists of a rest,
a guide plate, a retentive arm and a reciprocal arm. Akers' clasps, as a rule,
face away from an edentulous area. Should they face the edentulous area,
they are termed reverse Akers' clasps
http://en.wikipedia.org/wiki/Akers'_clasp
67. You should treat ANUG until the disease completely removed. 2. Otherwise, it
will change to necrotic ulcerative gingivitis.
A) Both sentences are true. ***
B) Both sentences are false.
C) 1st true, 2nd false.
D) 1st false, 2nd true

‫ورد بصيغة أخرى ذكر في نهايتها و إال فإنه يصيب اللثة الملتصقة‬
241‫حسب أكسفورد ص‬
ً ‫ المعالج بشكل غير كافي يمكن أن يتحول إلى الشكل األقل أعراضا‬AUG ‫التهاب اللثة التقرحي الحاد‬
CUG ‫والذي يعرف بالتهاب اللثة التقرحي المزمن‬
Chronic necrotic ulcerative gingivitis ‫ التهاب لثة تقرحي تموتي مزمن‬: ‫إذاً يتحول إلى‬

Burket- Oral medicine – page 63


The patient must be made aware that, unless the local etiologic factors of the
disease are removed, ANUG may return or become chronic and lead to
periodontal disease.
‫كلمة (مزمن ) سقطت سهوا من السؤال‬.

68. Studies show that Complete Remineralization of surface of an accidentally


etched enamel:
a- never occur
b-after hours
c-after weeks
d- after months. ***
:1 ‫مرجع‬

Oxford Handbook of Clinical Dentistry - 4th Ed. (2005) – page 355

Remineralization of etched enamel occurs from the saliva, and after 24 h it is


indistinguishable from untreated enamel.
:2 ‫مرجع‬
‫يجب أن تغطي المادة الرابطة كل أجزاء السطح المكيف حيث يحتاج السطح المكيف الذي يبقى دون مادة‬
‫ أشهر حتى يستعيد تمعدنه الطبيعي وخالل ذلك سيكون هذا‬3-2 ‫رابطة ودون كومبوزيت إلى حوالي‬
.‫السطح عرضة للعوامل الخارجية ولحدوث التصبغات‬

‫ ساعة و لكن هذا ال‬24 ‫المرجع األول يقول أن السطح المخرش ال يمكن تمييزه عن غير المخرش بعد‬
‫يعني أنه استعاد تمعدنه بالكامل و الذي يحتاج عدة أشهر حسب المرجع الثاني و بالتالي ال تعارض بين‬
) ‫المرجعين و الجواب الصحيح هو الرابع ( عبيدة‬
69. wax properties are:
1/ expansion
2/ internal stress. ***
‫أعتقد أن السؤال التالي أصح‬

70. inlay wax invest fast because flow and quick deformaty this due to
a. relaxation of internal stress. ***

‫حسب كتاب المواد السنية‬


‫ التشكيل واالنسياب‬:ً ‫صفتا الشمع عموما‬
‫ درجة تذويبه أعلى بقليل من درجة حرارة الفم ليتحمله‬: ‫من الصفات الواجب توافرها في شمع الصب‬
.‫المريض – عامل تمدد وتقلص منخفض – ناقلية حرارية منخفضة‬
)‫السؤال ناقص و السؤال التالي أوضح (عبيدة‬

71. Inlay waxs must invested fast because of flow and quickly deformity of
dimension this property due to
a. slow flow
b. Internal stress. ***

72. Teenager boy with occlusal wear the best ttt is:
1/ remove the occlusal
2/ teeth capping.
3/ restoration. ***
)‫أعتقد بوجود احتمال ناقص (عبيدة‬

73. In FPD in upper posterior teeth we should have gingival embrasure space to
have healthy gingival so the contact:
a- in the middle. ***
b- depend in the opposing occlusion
c- Occlusally As far as you can

74. Complex amalgam restoration when to do it:


a. weak of the cusp with undermine enamel. ***
b. bevel and contra bevel
c. weak cusp should strengthen it by resin

75. Most important sealer criteria to be success:


a. high viscosity
b. high retention
c. high strength
d. can add colorant
e. High resilience. *** ‫مرونة وانسيابية وليونة‬
‫السؤال عن الخاصية األكثر أهمية و أعتقد أن السيولة هي األهم ألن االستخدام األساسي له هو ملء‬
)‫الفراغات أي الجواب الخامس (عبيدة‬

76. Discoloration of endo treated teeth:


a - hemorrhage after trauma
b - incomplete remove GP from the pulp chamber
c - Incomplete removal of pulp tissue. ***

‫إذا وجد خيار كل ما سبق فهو الصحيح و في حال لم يوجد فإن المواد الحاشية لألقنية وإزالتها بشكل‬
‫غير كامل هي السبب األكثر تكرارا لحدوث تلون األسنان المعالجة لبيا‬

pocket Atlas of Endodontics – page 178


In order to prevent discoloration of the tooth crown by components of the
root canal filling material, a heated instrument must be used to sever the
filling material 2mm apical to the cementoenamel junction.

Pocket Atlas of Endodontics – page 88


It must be sufficiently extended mesially and distally so that the pulp horns
can be completely accessed and all necrotic tissue removed. Tissues that are
left behind can lead later on to discoloration of the clinical crown.

Pathway of the pulp 9ed – page 231


The access cavity is positioned too far to the gingival with no incisal extension.
This can lead to bur and file breakage, coronal discoloration because the pulp
horns remain.

77. Patient came to your clinic with dull pain in the #6 ,no response to the pulp
tester, in radiographs it shows 3mm of radiolucency at the apex of the root.
Diagnosis is:
a) chronic apical periodontitis
b) acute apical periodontitis
c) acute periodontitis with abscess
d) chronic apical abscess. ***

78. The nasopalatine bone forms a triangle will be parallel to an imaginary lines
extended between cemento-enamel junctions of adjacent teeth
a. True. ***
b. False.

79. 7 years patient come with untreared truma to tooth that became yellow in
colour what you should tell the parents
a: pulp is dead
b: pulp become calcified
c: the tooth will absorb normally
1: a and b
2: a and c
3: all of the above. ***

80. The needle holder used in suturing of lower third molar:


a. curved hemostat. ***
b. allis forceps
c. Adson forceps
d. Regular tweezers

81. Instrument which use for grasping a tissues when remove thick epulis
figuratum: ‫ورم لثوي مشكل‬
a- Allis forceps. *** ‫أليس‬
b- Adson forcep
c- Curved hemostat
d- Stilli forcep

‫ورد في دنتل سيكريت ما يلي‬

Describe and discuss the function of Allis forceps in oral surgery.


Allis forceps have a locking handle similar to a needle holder and small
beaks
at the working end of the instruments. These beaks are useful in grasping
tissue for removal

‫وهذا تعريف باالداتين‬

Adson forceps:
These forceps are non-toothed, and so are ideal for holding delicate
tissues
Allis forceps :
These forceps are used to hold soft tissues for a long period while
minimising
tissue damage. Using the ratchet they can be locked on to tissue such
as bowel and can be used to provide gentle traction.

82. The favored relationship in case of fabrication of a lower class 1 RPD opposing
a natural dentition is:
1- prognathism
2- working side
3- balancing side
4- none of the above. ***
Regardless of the method used in creating a harmonious functional
occlusion, an evaluation of the existing relationships of the opposing
natural teeth must be made and is accomplished with a diagnostic
mounting. This evaluation is in addition to, and in conjunction with, other
diagnostic procedures that contribute to an adequate diagnosis and
treatment plan.
Diagnostic casts provide an opportunity to evaluate the relationship of
remaining oral structures when correctly mounted on a semiadjustable
articulator by use of a face-bow transfer and interocclusal records. Diagnostic
casts are mounted in centric relation (most retruded relation of the mandible
to the maxillae) so that deflective occlusal contacts can be correlated with
those observed in the mouth.
Deflective contacts of opposing teeth are usually destructive to the supporting
structures involved and should be eliminated.

83. baby born without which bacteria:


A) Streptococcus mutans. ***

84. for a newly erupted tooth, the most bacteria found around the tooth is :
A) Streptococcus mutans. ***
B) Streptococcus salivaris

Dental Decks – page 774


‫أعتقد أن الجواب صحيح ألن هذا النوع من الجراثيم يتكاثر على النسج الصلبة التي تتوفر مع‬
)‫بزوغ األسنان و نفسه في األسئلة السابقة (عبيدة‬
Streptococcus mutans

85. pt with renal transplantation came with white elevated lesion on tongue no
history of smoking or tobacco chewing diagnosis is:
a- candidiasis. ***
b- Iatrogenic lesion.
c- Hyperkeratosis.
d- Stomatitis.

 Uremic stomatitis is : a rare disorder that may occur in patients with acute
or chronic renal failure – no smoking
 Oral candidiasis is : a frequent oral lesion in renal transplant patients.
86. patient with 5 years old denture has a severe gag reflex , upon history he says
he had the same symptoms in the first few days of the denture delievery and
it went all alone
a. patient has severe gag reflex
b. patient has underlying systemic condition.
c. denture is overextended. ***

‫ أمل قداح‬.‫حسب رأي د‬


Bone resorpion of the lower ridge lead to overextension of the distolingual
area of the lower denture (palatoglossus muscle)
‫يكون أقرب احتمال صحيح هو األخير‬

87. Immature tooth has less sensation of cold hot due to:
1. Short root.
2. Incomplete innervations. ***
3. Wide pulp chamber.

88. Electric pulp tester on the young is not accurate because:


1. Short root.
2. Incomplete innervations. ***
3. Wide pulp chamber.

89. In centric occlusion is normal but in eccentric occlusion the lower ant teeth &
upper ant are interfere with contact wt should be do:
1/ reduction of mand incisor
2/ reduction of lingual inclination of max incisior.

90. Prematur contact btw upper and lower ant teeth in eccentric occlusion while
there is absolutely no contact on the centric occlusion. So the management is
by grinding of:
a- incisal edge of ant max teeth.
b- Incisal edge of ant man teeth.
c- Inclination of ant max teeth lingual.
d- Inclination of ant man teeth.

91. Instrument used to remove dark color in dentin:


a. Round stone bur w low speed
b. Round diamond bur w low speed
c. Large excavator. ***
d. d. Carbide bur with high speed
‫ أم لو قال نخر ناشف (التسوس الهارد) عندها‬C ‫بما أنه قال لون غامق في العاج إذا الجواب هو‬
‫نستعمل‬
bur with high speed

92. patient feel sever pain upper mouth pain is radiated to eye and ear ,after you
check no caries when you pressure on maxilry premolar he feel pain. In xray
no change what dignosis?
a. Acute apical periodontits
b. maxilary sinusitis. ***
c. canine space infection
d. dentoalveolar infection

:‫تم ذكر الكالم اآلتي على أحد صفحات المنتدى‬


In other cases, one tooth may be obviously at fault, but the patient is feeling
pain in his ear, eye, temple, or in teeth in the) opposite arch as well as in the
obviously affected tooth. Finally, you get the really weird cases in which pain
actually coming from, say, a top front tooth is felt in a back bottom tooth. This
actually happened to me when a patient appeared with pain in a lone
standing lower back tooth (a molar). The molar had no cavities or fillings, and
did not react badly to cold air or tapping. I sent the patient home, and she
returned the next day with an abscess in a top central front tooth

‫كما أن‬

The classic symptoms of acute (short lasting) sinusitis are:


fever
nasal obstruction
raspy voice
pus-like (purulent) nasal discharge
loss of sense of smell
facial pain or headache that is sometimes aggravated by bending over (When
.pain is present, this may suggest which sinus is affected

‫و قال من ذكر الكالم أن األصح هو الجواب الثالث ولكن برأيي أن المرجع لم يذكر وجود ألم في منطقة‬
‫الضواحك و الذي يوجد بحالتنا كما أن حالتنا لم تذكر وجود نخور كما أننا عملنا أشعة لم يظهر بها شيء‬
‫ما ينفي وجود خراج في منطقة الناب لذلك فالصحيح بإذن هللا هو الثاني خاصة و أن التهاب الجيب الفكي‬
‫العلوي يترافق بألم في األذن و العين بسبب قربه منهما كما أنه يزداد عند االنحناء و هي عالمة مميزة له‬
)‫الجواب الثاني (عبيدة‬

93. Class III crown fracture in child patient the type of pontic
a. ovate. *** (highly esthetic used in class II & III crown fractures).
b. egg shaped
c. hygienic
d. ridge lap
94. What is the test name for detecting the virulent of (bacteria i do not
remember the name may be spirochete)
a- hemolysis.
B- catalase. ***

95. Apiceoctomy what is the right statement:


1. Incisor with an adequate RCT and 9mm lesion. ***
2. Lateral incisor with good condensing RCT but swelling and pain 14 day after
the treatment, the tooth asymptom before the obturation.
3. First upper premolar with lesion on the buccal root…..

96. Which will design first in the study cast of RPD with a lingual bar major
connector:
A. The lower border of lingual bar major connector
B. the upper border of lingual bar. ***
C. indirect rest and rest seat.

97. Naocl is used in RCT:


A. Oxidative effect. ***
B. irrigant solution of choice .
C. efficacy increasing with diluting .
D. Better result when used combined with alcohol.

‫يعتبر الهيبوكلوريت الصوديوم المخفف محلول اإلرواء األفضل حيث أنه مضاد للجراثيم كما أنه يذيب‬
‫الترسبات و البقايا العضوية‬
)‫هذا الكالم هو ترجمة الفقرة التالية (عبيدة‬
Oxford Handbook of Clinical Dentistry, 4th Edition – page 172

Dilute sodium hypochlorite is generally considered to be the best irrigant as it


is bacteriocidal and dissolves organic debris.

98. Receiving the impression after removal from the mouth directly:
1. It must be disinfected immediately. ***
2. It must be poured immediately.
3. It must be mounted immediately.
4. It must be left for minutes.
‫أعتقد أن أول ما نفعله بعد إخراج الطبعة من الفم هو التعقيم و ليس الصب حيث تتوفر الكثير من‬
‫ ساعة كما أن هذا ما نفعله بالحياة العملية لذلك أرجح االحتمال‬24 ‫مواد الطبع التي يمكن صبها بعد‬
)‫األول و ليس الثاني كما كان موجودا بالملف السابق (عبيدة‬
99. Retentive grooves:
1. Always axiobuccal and axiolingual.
2. Prevent lateral displacement of restoration. ***
3. Is axiopulpal and axiogingival.

‫ميازيب التثبيت ال توضع على الجدران المحورية اللسانية أو الخدية و إنما توضع أحيانا على‬
)‫الجدار المحوري اللثوي أو اإلطباقي والهدف منها هو منع االنزياح الجانبي للحشوات (عبيدة‬

100. Tooth number 26, had a root canal treatment since two years, upon x-ray you
found a radiolucency with bone resorption along one of the roots.
a. Ca(OH)2.
b. resection of the whole root. ( ‫في حال كان االمتصاص في الجذر وليس في العظم وأيضا‬
‫)يجب أن يحتوي الضرس على أكثر من جذر‬
c. redo RCT.
d. periodontal curettage. ***
‫الحظ أن االمتصاص في العظم وليس في الجذر وأيضا السن أمامي بجذر واحد (السن‬
)‫األمامي السفلي الثاني‬.

‫بما أنه يوجد امتصاص عظمي على طول الجذر فإن إعادة المعالجة اللبية ال تفيد خاصة و أنه لم‬
‫يوضح فيما إذا كانت المعالجة السابقة جيدة أو سيئة و طالما أنه لم يذكر نفترض أنها جيدة لذلك‬
‫فالمشكلة لثوية فالحل إما تنضير حول سني (االحتمال الرابع ) أو استئصال كامل الجذر و هو الحل‬
)‫األفضل ألن اآلفة كبيرة على طول الجذر (عبيدة‬

101. If you do mouth wash by 10% glucose , the PH can be read from the
Curve:
A. The PH in dental plaque after the mouth rinse (mouth wash) with 10 %
. glucose changes but the high PH is 6.5 – 7

102. pt have trauma in upper central incisor the tooth and the alveolar bone is
move as one piece, in examination intraorally x ray you will see :
a. gap between the apicx of root and alveolar bone
*** .b. definite line of fracture
c. no apear in x_ray

103. Yellow-brown hypomineralization of enamel with or without hypoplasia


a. Acid-pumice microabrasion. ***

104. 3 months baby had black-blue discolured rapid growing swelling, the x-ray
show unilocular radiolucency and displaced tooth bud, is it:
a. aneurysmal bone cyst.
b. melanotic neuroectodermal tumour. ***
c. ameloblastic fibroma.
1684 ‫انظر السؤال‬

105. What is the first treatment of thump sucking?


a. consult
b. rewarder therpy. *** ‫العالج بالتشجيع والمكافأة‬

106. A 7 years child has a habit of finger sucking what is the best way to start a
therapy with:
a. Rewarding therapy
b. Counseling therapy. *** ( ‫العالج نفسي وإذا لم ينفع خالل وقت قصير يركب فوراً الجهاز‬
‫)الذي يمنع هذه العادة ألن هنالك خطر حدوث التشوهات في األسنان األمامية والفك‬
c. Punishment
d. Remaindering therapy

‫في هذه المرحلة من العمر اي بعد بزوغ القاطعة االمامية الزم التدخل الفوري يعني الخيار التاني‬
‫والخيار االول والتالت والرابع بكونوا في مرحلة قبل بزوع االسنان الدائمة‬

107. 7 years old pt. thumb sucking, what is the management:


a- Rewarding system.
b- Counseling therapy. ***
c- Adjunctive therapy.

108.glass ionomer :
a) introduction 1970 . (in 1972)
b) need dry field when application
c) both. ***
d) none of the above.

http://webcache.googleusercontent.com/search?q=cache:pxaK5Gg--
7YJ:en.wikipedia.org/wiki/Glass_ionomer_cement+glass+ionomer+introdu
ce&cd=1&hl=ar&ct=clnk&gl=sa&client=firefox-a

109.Pacifier habit what you see in his mouth 7 year old pt:
a. anterior open bite with expansion max bone
b. anterior open bite, posterior crossbite ***
c. move incsial to labial

Dentistry for child and adolescent


Children who were pacifier users were significantly more likely to show open
bite, posterior crossbite increased overjet, and alteration in cheek mobility
than habit-free children.
Action during sucking leads to gingival injury recession, and loss of alveolar
bone.

110. Which one of the conditions would delay a dentist's decision of taking full
mouth X-ray examination?
a. pregnancy
b. patient had full mouth examination by X-ray 6 months ago
c. patient will receive radiotherapy next week
d. patient had CT examination last week. ***

111. The narrowest canal found in a three root maxillary first molar is the:
1. Mesio-buccal canal.
2. Disto-buccal canal.
3. Palatal canal.
4. Disto-palatal canal.
5. Mesio-palatal canal. ***

112. Which part of root canal diameter THE SMALLEST:


a. radigraphical apex.
b. apical foramin.
c. apical constriction. ***
‫ مهم‬1730 ‫انظر السؤال‬

113. To record the vertical dimension in order to:


a. To determine the amount of space between the mandible and the maxilla
which will be occupied by an artificial teeth. ***
b. To determine vertical and horizontal level of the teeth.
c. A and B.
d. None.
1140 ‫راجع السؤال‬

By definition, vertical dimension of occlusion is: the distance between


.the mandible and maxilla when the opposing teeth are in contact

‫االختيار األول أكيد أما االختيار التاني فنحن نأخد البعد العمودي واألفقي وقت تحديد العالقة‬
)‫ سالف‬.‫المركزية (د‬

114. Rideal Walker test for:


a. disinfection. *** ‫اختبار من أجل التطهير‬

115. TB patient in active stage (sputum) when we do treatment :


a. Emergency case. *** (send him to emergency dental care in a hospital) (If
tuberculosis is inactive, you can do dental treatment).
b. With rupper dam
c. With mask
d. Postpone the treatment

116. When root perforation we close it by:


a. G.I
b. Caoh. *** (MTA is the best material)
c. silver point.
d. composite.
)‫أعتقد أننا نستعمل هيدوكسيد الكالسيوم ألنه يحرض على تشكيل العاج الثانوي (عبيدة‬

117. Irrigation solution for RCT cause protein coagulation is:


1- Sodium hypochlorite.
2- Iodine potassium.
3- Formocresol.
4- None of the above. ***

‫بما أن الفورمكريزول ال يستخدم كسائل إرواء و إنما يستخدم لتثبيت اللب في األرحاء المؤقتة فإن كل ما‬
)‫ سالف‬.‫ذكر خاطئ أي اإلجابة أخيرة (د‬

:‫عند إجراء معالجة آفة ذروية معالجة لبية تقليدية متى نبدأ بصنع التعويض‬ .118
‫ مباشرة بعد انتهاء المعالجة اللبية واالالم التالية الحادة تبقى لعدة أيام أو أسابيع بعد المعالجة‬-1
.‫ اشهر‬8-4 ‫ نصنع تعويض مؤقت لتعويض الوظيفة والشكل وننتظر شفاء اآلفة شعاعيا لمدة‬-2
***
‫ شهر‬24-12 ‫ نفس السابق وننتظر من‬-3
‫كل ما سبق خطأ‬ -4

‫* لكن فى حالة المعالجة اللبية العادية ولم تكن هناك أي أفة عند الجذر يمكن أن نضع التعويض‬
. ) 1 ‫ ( اإلجابة رقم‬#‫التاجي في الحال أو خالل أيام أو خالل أسابيع‬

:‫ نفس السؤال السابق لكن مع جراحة حول ذروية متى نصنع التعويض النهائي‬.119
‫ شهر‬2 - 1 ‫ من‬-1
‫ شهر‬3 - 2 ‫ من‬-2
‫ شهر‬4 - 3 ‫ من‬-3
. ‫ شهر‬8 - 6 ‫ من‬-4

‫ مدة أطول يمكن أن تصل لعام أو أكثر ونضع تعويض تاجى مؤقت ونتابع‬#‫( بوجود جراحة ننتظر‬
. ) #‫شفاء األفة شعاعيا‬

120. Selection of shade for porcelain is done EXCEPT:


a) before preparation
b) we must rest the eye by looking to a yellow color. ***
c) we must look to the tooth only 5 sec.

121. 6 year child in routine examination .explorer wedges in the pit of 2nd molar
other teeth free dental caries what is the management:
fluoride gel application-a
fissure sealant. ***-b
restore it with amalgam restoration-c
.d-restore it with composite restoration

122. The treatment of Weeping canals is:


a- Caoh. ***
b- formocresol

123. Parotid malignancy shows perineural spread in:


a. Warthon.s path
b. Ductal papilla
c. Polymorphic adenoma
d. Adenoid cystic carcinoma. ***

124. Salivary gland disease ( tumor ) with perineural invasion:


1. Pleomorphic adenoma.
2. Adenocyctic carcinoma. ( Adenoid cystic carcinoma ). ***
3. ……..
4. ……..
125. We want to do a maxillary PD to a patient using anterior-posterior strap, we
want it to be rigid, we use:
a- gold
b- cast gold
c- co-cr. ***

126. What is the form of local anesthesia when enters the NERVE tissues:
a- lipid soluble ionized form
b- lipid soluble non-ionized. ***
c- water soluble ionized
d- water soluble nonionized

127. Physiolgical activity of local anesthesia:


a. Lipid solubility of unionized form. ***
b. Water solubility of unionized form.
c. Lipid solubility of ionized form.
d. Water solubility of ionized form.

128. The degree of taper for crown preparation:


a. 3 – 5 ***
b. 15

: ‫ حشوة أملغم مقابلة لحشوة أون الي (طبعا ً يقصد ذهب) وتسبب آالم فما العمل‬.129
‫ *** ( يتم تغيير األملغم بمادة أخرى وهذا حل صحيح ولكن الحظ جيدا أننا نلجأ‬.‫ تغيير الحشوة‬-1
‫لهذا الحل بعدما ننتظر اختفاء األلم بعد عدة أيام أو أسبوع وفي سؤال أخر ذكر فيه أن األلم‬
.)‫سيختفي خالل أيام لذلك تم اختيار حل االنتظار‬
‫ قلع السن‬-2
‫ وضع فرنيش‬-3
‫ وضع مادة عازلة‬-5

:‫مريض لديه بورسلين على سن علوي ماذا نضع له على السن السفلي المقابل‬ .130
*** .‫ بورسلين‬.1
.‫ بورسلين مع سطح إطباق من الذهب‬.2
.‫ أكريل مع الذهب‬.3
.‫ أكريل قاسي‬.4

131. Patient with haemophelia what is the additional anaesthetic procedure used
with him:
a. Intraligmentary technique, intraosseous technique and intrapappillary
technique. ***
132. What is the material which we use after apexectomy (retrograde filling
material) ?
a. Citric acid. *** (but not common)
b. EDTA
c. Tetracycline

‫الجواب األول ويستعمل للتخريش‬

133. temprature that damage the bone during implant procedure:


a. If temperature is raised in the bone to 47 Cْ for more than 1 minute. ***

 Bone cell will be damaged irreversibly causing excessive resorption


and osseointegration failuire.

134. Hemiseptal fracture: (hemiseptum defect)


a. horizontal recession - one wall fracture. ***
b. horizontal recession - two walls fracture
c. horizontal recession - three walls fracture

135. Maximum porcelain thickness: (‫)أعتقد أنه يقصد سمك البورسلين في السيراموميتال‬
(in ceramometal crown)
a. 1.5 – 2 mm. ***

136. High mylohyoid crest in patient for complete dnture the surgeon must avoid
vital strcture which is: (during preproesthetic surgery of mylohyoid ridge
reduction)
a. Lingual nerve. ***

137. In the normal tissues, the the basal cell layer adhere to:
a. Prickle cell layer (Suprabasal cell layer). ***

138. Three years old pt came to clinic with his parents he has asymptomatic
swelling blush incolor fluctant in midline of palatal raph diagnosis is :
a- Bohn's noduls.
‫ أو تكون على‬palatal raph ‫(تكون بعيدة عن‬
)on buccal and lingual surfaces of alveolar bone

.b- Herps semplex virus


.c- Lymphepithelial cyst
.d- Gingivalcyst
) on the crest of alveolar bone ‫(تكون على‬
e- Epstein's pearls. ***
( ‫الوحيدة التي تكون في‬
(in the midpalatal raphe
139. Mandibular foramen is:
a- above occlusal plane in elderly people
b- at the occlusal plane inadult
c - below the occlusal plane in children.
d- all of the above. ***

140. Dentine etching often takes:


a. 15 sec. ***
b. 30 sec (for enamel).
c. 45 sec
d. 60 sec

141. Preparation to small occlusal cavity to premolar the width of cavity is :


a. 1/4 inter cuspal distance. *** (for small or conservative cavities).
b. 1/2 inter cuspal distance
c. 1/5 inter cuspal distance
d. 3/5 inter cuspal distance

 1/3 inter cuspal distance: for large ( not conservative ) cavities.

142. pt of HBV came to ur clinic and during dental procedures have a sever Injury
and bleeds alot, what is ur management :
1. squeeze the wound but don`t scrub
2. wash the wound with water and put waterproof plaster
3. asset the virulunes of the pt and refer him for infectous disease consltant
4. ask him to apply pressure on the wound to stop bleeding
a. 1+2+3 ***
b. 1+4
c. 1+ 2+4
d. 3+4

143. Tissue displacement for making an impression is improved by


1. Removing sufficient tooth substance subgingivally
2. Improving the health of the gingival tissue before the preparation
3. Using reversible hydrocolloid rather than polysulphide rubber silicon or
polyether impression material
a. 1+2 ***
b. 1+3
c. 2+3
d. All of the above
144. An elastic impression for a full crown would be inaccurate when:
a. Free gingival obliterated a part of preparation.
b. A small amount of saliva was on part of the preparation when the
impression being made.
c. Both of the above. ***
d. Undercuts was present.

145. For best impression of prepared tooth with elastic impression material, the
prepared tooth should be:
a. Verry dry.
b. Free of surface moisture. ***
c. A thin layer of saliva shouls be there.
d. Cover with surface tension reducing agent.

146. Ring liner is used as a lining in a casting to:


a- Insulate against the thermal conductivity
b- Allow for expansion of the investment. ‫يسمح بتمدد الغالف‬
c- Prevent fracture of the investment during heating
d- Facilitate removal of the investment after casting
e- All of the above. ***

147. Wax patterns should be invested soon because:


a. The wax exhibits shrinkage.
b. Becomes brittle.
c. Subjected to fracture.
d. The wax has memory and begins to distort. ***

148. Heating gypsum casting investments above 1300 F (= 700° C ) in the presence
of carbon results in: (investment = ‫) غالف‬
a- Fine grain size
b- Shrinkage porosity
c- Oxidation of castings
d- Sulfur gases being released. *** (and blacking of cast)
.‫ والمالحظة المهمة بعده‬1092 ‫زيادة الحرارة تحرر الكبريت وتجعل لون الصبة أسود – راجع السؤال‬

 1300°F = 700°C
 Presence of carbon in gypsum investment causes increasing strength of
gypsum.
 Sulfur = Sulphur = ‫كبريت‬

149. In articulator , incisal guidance represents:


a- Horizontal guidance
b- Condylar guidance
c- Equivalent of horizontal and vertical overlap. *** (of anterior teeth)

150. The most accurate impression least distortion if poured after 24 hours:
a- Polyether
b- Silicone. *** (Additional Silicone)
c- Reversible hydrocolloids in humidor
d- Compound impression.

151. Post should set passively in root canal and crown should set with slight
resistance:
a- Both statement are false
b- Both statement are true
c- First statement is true and second is false
d- First statement is false and seconds statement is true. ***

 Post may set in root canal passively or actively but crown should give
resistance and retention.

152. In the metal-ceramic technique, the bond between porcelain and the noble-
metal alloy dependent on the:
1- Proper matching of coefficients of thermal expansion of metal and porelain.
2- Formation of base-metal oxides
3- Formation of noble-metal oxides
4- Surface roughness of the alloy
a. 1 only
b. 1 and 2 ***
c. 1and 3
d. 2 and 4
e. 2 and 4

‫نضيف معادن أخرى على المعدن النوبل حتى نحصل على كمية أوكسيد كافية لعمل الترابط‬
‫ بين المعدن والبورسيلين وطبعا كمية األوكسيد التي تنتج عن المعدن النوبل غير كافية‬#‫الكيميائي‬
3 ‫ وليس‬2 ‫لعمل هذا الترابط لذلك اخترنا‬
153. In casting the substructure for a metal ceramic restoration it is necessary
to use:
1- Gypsum - bonded investment. (investment = ‫) غالف‬
2- Phosphate - bonded investment. ***
3- Gas-air torch
4- Crucible which has not been used for other gold alloy
a. 1 and 3
b. 1 and 4
c. 2 only. ***
d. 2 and 3
e. 2 and 4

154. In order to maintain the health of the tissue beneath a pontic, it is


desirable to:
1- Scrape the ridge area on the cast and use gold for the ridge contact
2- Scrape the ridge area on the cast and use porcelain for the ridge contact
3- Have passive contact with ridge tissue 1 when the restoration is placed in the
mouth
4- Have slight blanching of the ridge tissue when the restoration in the mouth
5- Have minimal tissue coverage
a. 1 and 4
b. 1 and 5
c. 2 and 3
d. 2 and 4
e. 3 and 5 ***
f. 4 and 5

155. The most frequent cause of porosity in a porcelain restoration is:


a- Moisture contamination
b- Excessive firing temperature
c- Excessive condensation of the porcelain
d- Inadequate condensation of the porcelain. ***

156. Cobalt-chromium alloys, the constituent responsible for corrosion


resistance is:
a- Silver
b- Nickel
C- Cobalt
d- Chromium. *** ‫الكروم مادة مقاومة للصدأ‬
e- Tungsten

157. Three weeks after insertion FPD marked discomfort to heat and cold occurs
there are no other symptoms. The most likely cause is:
a- Gingival recession
b- Unseating of the FPD. *** ‫انخالع التركيبة‬
c- Deflective occlusal contact
d- Torsional forces on one abutment tooth.
e- Incomplete coverage of cut surfaces of prepared aboutment teeth

158. The most frequent cause of failure of a cast crown restoration is:
a- Failure to extend the crown preparation adequately into the gingival sulcus
b- Lack of attention in carving occlusal anatomy of the tooth
c- Lack of attention to tooth shape, position and contacts. ***
d- Lack of prominent cusps deep sulcus and sharp marginal ridge.

159. A permanently cemented FPD may become loose because of:


a- insufficient retention in the abutment preparation
b- deformation of the metal casting on the abutment
c- lack of embrasure space
d- torque
e- passive contact of the pontic to the ridge lap
1- a, b
2- a, b ,d
3- b, d ,e
4- c, d ,e
5- d, e

160. From properly mounted diagnostic casts ,determination can made for fixed
prosthodontic treatment planning concerning:
a- axial alignment of the abutment teeth
b- physical condition of the abutment teeth
c- gingival tissue contour and pocket depth
d- tentative design of abutment preparation
1- a only
2- a, b, c
3- a, b, d ***
4- b ,c, d
5- all of the above

161. Which following condition in a FPD could cause porcelain bonded to metal to
loosen ……… (fractured/separated):
a- removal of 0.7 mm of bulk from the facial surface of the abutment teeth
b- contamination of the metal framework
c- baking the facing too rapidly
d- insufficient mechanical locks
1- a, b
2- a, b, c
3- b, c
4- b, c, d ***
5- d only
6- all of the above.

162. The porcelain metal bond is :


a. Chemical.
b. Mechanical.
c. a & b. *** ‫ ولكن الترابط الكيميائي أهم بكثير من الميكانيكي‬.
d. None of the above.

163. A patient is missing a mandibular first molar The maxillary molar has extruded
approximately 2.8 mm into the space periodontally is acceptable. Restoring
satisfactory occlusion with FPD will require:
a- extraction of maxillary molar
b- reducing and restoring the maxillary molar to normal occlusal plane. ***
c- reducing and polishing the maxillary molar to normal occlusal plane
d- none of the above.no ttt indication

164. Which the following applies when selecting a shade for metal-ceramic
restoration:
a- it is a better select a shade with too low a value than too high a value if
staining to be improve the match
b- it is a better to select a shade with too high a value than too low a value if
staining is not to be used to improve match
c- the basic shade selected should be that of the middle third of tooth to be
matched
d- none of the above.

165. To select shade of porcelain:


a) one light. ( Under different light sources ).
b) Before preparation.
c) Wet tooth.
d) Shade guide must be wet.
Which true?
A. a, b.
B. a, c, d.
C. b, c, d. ***
D. a, b, c, d.

166. Cement producing mechanicl bond with gold alloy :


A- GIC
B- Zinc phosphate cement. ***
C- Zinc polycarboxylate cement
D- All of the above.

 ZN POLYCARPOXYLATE CEMENT NOT ADHERE WELL TO GOLD


&PORCELAIN BUT STRONG ADHSVE BOND TO BASE METAL

167. All expect one are present in Zinc phosphate cement liquid
a- Water
b- H2SO4 ***
c- H3PO4
d- ALPO4

168. The strength of Zinc phosphate cement is increase by increase powder/liquid


ratio:
a- true. ***
b- false.

169. Zinc polycarboxylate cement are better than Zinc phosphate cement in:
a- compressive strenght
b- low solubility
c- film thickness
d- adhesion to enamel. *** (Biological compatability)

170. Open margin in crown could be due to:


a- proximal contact
b- failure to remargination of wax
c- die spacer in the margin
d- all of the above. ***

171. To create space for cement:


a- die space. ***
b- roughen of metal +tooth
c- investment expansion. (‫)يجب أن يقول أنها بالزيادة‬
(Increase investment expansion‫) زيادة تمدد الغالف‬
d- electro

172. Patient with sensitivity may be due to:


a- crack. ***
b- gap between tooth and restoration

173. In soldering (PFM,FPD) greenish staining on porcelain without effect glazing


this staining due to:
a- over heating firing. *** (leading to silver releases from metal)
b- flux
c- investment contact

174. During try in and rocking FPD, what will do:


a- gap will fill with cement
b- adjust tooth preparation
c- adjust metal and disconnect and soldering. ***

175. Cause of fracture porcelain bonding to metal:


a- thick opaque
b- occlusion on junction of porcelain and metal. ***

176. Most acceptable theory of bonding porcelain + noble metal:


a- formation of base metal oxide. ***
b- formation of noble metal oxide
c- adhesion

177. Cement appear in radiographic like caries cannot distinguish from it:
a) Calcium hydroxide include hydroxyl group. ***
b) zinc phosphate.
c) glass ionomer.
e) zinc polycarboxlate.
f) none of above.

 Calcium hydroxide ( cement ) & Composite ( restoration ).

178. When porcelain is baked against metal, it should possess a:


a) high fusion expansion.
b) high fusion temperature.
c) Linear coefficient of thermal expansion less than, but close to,that of the
metal. ***
d) Linear coefficient of thermal expansion greater than but close to that of
metal.

179. Reversible hydrocolloids exhibit the property of transformation from sold to


gel and gel to sold as a function of the:
a) concentration of the fillers and plasticizers.
b) percentage of composition by weight of water.
c) concentration of potassium sulfate.
d) temperature. ***

180. The principal feature of a sealant that is required for success is:
a) High viscosity.
b) Adequate retention. ***
c) An added colorant to make the appearance slightly different from occlusal
enamel.
d) High strength.

181. The retention of a pin:


a) increases as the diameter of the pin increases. ***
b) Increase as the diameter of the pin decrease.
c) Decrease as the diameter of the pin increase.
d) The retension of a pin has nothing to do with the diameter of the pin.

182. In which of the following properties does a type IV partial denture gold alloy
exceed a base-metal partial denture alloy in numerical value:
a) hardness.
b) specific gravity. ***
c) casting shrinkage.
d) fusion temperature.

 Base metal alloy better than gold alloy: High strength and rigidity
 wrought wire clasp better than to gold alloy: More ductile and resilient

183. Within practical limits, when the water/ powder ratio is increased beyond the
recommended amount in mixing plaster ( or gypsum), the:
‫سواء قال بالستر أو جيبسوم ألن البالستر نوع من أنواع الجيبسوم وهو أضعف نوع فيهم من حيث‬
‫القوة‬
a) setting time is increased.
b) setting expansion is decreased.
c) compressive strength is decreased.
d) all of the above. ***

184. An overload of the mucosa will occur if the:


a) teeth used for replacement are non-anatomic.
b) bases covering the area are too small in outline. *** (Or : denture bases are
underextended). ***
c) bases covering the area are too large in out line.
d) bases covering the area are overextended distally.

185.Over extension of a mandibular denture base in distobuccal area will cause


dislodgement of the denture during function as the result of the action of the:
a) masseter muscle. ***
b) buccinator muscle.
c) pterygomandibular raphe.
d) lateral tendon of temporalis muscle

186. The most important criterion for a gingival margin on a crown prepration is
that:
a) it is dull knife edge.
b) its position is subgingival.
c) its position is supragingival. ***
d) its position be easily discernible.

187. A thin application of cavity varnish over the cut surface of a prepared tooth
just prior to the cementation of a crown or a bridge with zinc phosphate
cement will:
a) impede the seating of the restoration.
b) insulate the tooth against thermal change.
c) increase the possibility of thermal sensitivity.
d) reduce the possibility of irritation of the pulp. ***

188. Metal-ceramic restorations may fail due to fracture of ceramic material. This
can be best be avoided if:
a) occlusal forces are minimal.
b) the metal is not over 0.5 mm thick.
c) the ceramic material is at least 1.5 mm thick.
d) the casting is designed to reduce stress concentration in the ceramic
material.

189. For a removable partial denture, the lack of indirect retention would be
manifested by:
a) tissue ward movement of the distal extension base of the prosthesis.
b) movement away from the tissue of the extension base of the prosthesis. ***
c) settling of the major connector of the prosthesis.
d) lateral and medial movement of the extension base of the prosthesis
) 1719 ‫( انظر السؤال‬

190. The posterior palatal bar should be placed in a relationship:


a) to incorporate the hamular notch on each side.
b) which is anterior to the junction of the movable and immovable soft palate.
c) which is posterior to the junction of the movable and immovable soft palate.
*** (posterior to the vibrating line). ***
d) extending from one hamular notch to the other hamular notch across the
fovea palatinae.
191. Most elicit painful area is:
a) gingival wall.
b) proximal wall.
c) pulpal wall. ***
d) none of the above.

192. Success of implant are 55% in max and 60% mandible:


a) both true.
b) both false. ***
c) first statement true and second is false
d) first statement false and second is true
‫ في كال الفكين‬%98 ‫ الحديثة تحقق نسبة نجاح قد تصل‬#‫أنظمة الزرع‬.

193. Most common types of porcelain in dentistry:


a) high fusion.
b) medium fusion.
c) low fusion. *** (low fusion or ultra low fusion). ***
d) all of the above.

194. Casting shrinkage gold alloy IV related to:


a) thermal expansion. (Compensates the casting shrinkage of gold alloys)
b) coefficient of thermal expansion.
c) none of the above. *** (The cause is: thermal contraction). ***
‫االنقباض الحراري‬

195. Most common occurs due to denture:


a) sore spot. *** (= Traumatic ulcers). ***
b) angular chelitis.

196. Reversible hydrolloide properties (agar agar) :


a) hydration. *** ‫( رطب‬Hydrophilic :‫) محب للماءـ‬
b) dehydration. ‫جاف‬

197. Radiation stent used to locate the properly position of implant. surgical stent
make some modification to use as radiation stent:
a. Both true.
b. Both false. ***
c. First true, second false
d. First false, second true

 Surgical stent is used to locate the proper position of implant.


 Surgical stent does n’t used as a radiation stent.

198. Fiber composite FPD used for: ( Fiber post( ‫يقصد‬


a) posterior teeth. *** (and anterior teeth). ***
b) patient have allergic for metal. ( Metal post( ‫يقصد‬
c) none of the above

199. implant not absolute used for:


a) patient take radiotherapy. (‫)يمكن إجراء الزراعة ضمن احتياطات معينة‬
b) smoking.
c) none of the above. ***

200. Patient take radiation needing implant:


a) wait 6 mouth. ***
b) cessation of smoking.
c) none of the above.

201. Path of preparation depends on:


a) esthetic
b) contour
c) pulpal wall
d) All of the above. ***

202. Sequence of colour shade:


a) chroma, hue, value.
b) hue, chrome, value.
c) value, chroma, hue. ***

Value is determined first followed by chroma and hue is determined last.

203. Crowns are to be placed on abutment teeth for a PD, then:


a- wax pattern contours should be surveyed. ***
a- Crowns should be placed prior to surveying for clasp design
b- Wax pattern should carved to the original morphology
d- All of the above.

204. Before an accurate face-bow transfer record can be made, it is necessary to


determine:
a- The axial center of opening-closing rotation peoples.
b- The inclination of each condoyle.
c- The physiologic rest position. ***
d- Centric relation
e- All of the above

205. The non-rigid connector may be used in FPD in those cases involving:
a- Long span bridges replacing two or more teeth
b- Short span bridges replacing one missing tooth where the prepared
abutment teeth are not in parallel alignment. ***
c- Long span bridges opposing a mucosa- borne partial denture where the
anterior retainer of the bridge strikes an opposing natural tooth, but the distal
portion of the bridge is in occlusion with the removable partial denture
d- Long or short span bridges where one of the abutment teeth has limited
periodontal support.

206. Splinting of several teeth together as abutments for a FPD is done to:
a- Distribute occlusal load. *** (And resist lateral forces).
b- Facilitate plaque control
c- Improve retention of the prosthesis
d- Preserve remaining alveolar support
E- Assure optimum design of embrasure

207. Advantage of shoulder finishing line is:


a- It provides enough thickness of porcelain. ***
b- Make the margin of restoration obvious in impression.
c- Assist the technician to locate the finish line on the die.

208. Regarding gingival retraction, the following are true except one is false, the
false is:
a- Retraction by electro-surgery is contraindicated for patient with cardiac
pacemarker.
b- It can be done by chemical, mechanical, and electrosurger.
c- Retraction cord impregnated(‫ )مغموس‬in epinephrine is the best for all cases.
((‫ممنوع في مرضى القلب‬
d- Retraction cord can't be used in severely inflamed gingival.

209. The most important property of cement for durable restoration:


‫تركيبة دائمة‬
a- Low co-efficient of thermal expansion.
b- Compressive strength. ***
c- Solubility in oral fluids.
:‫ هو‬#‫لو كان الخيار الثالث‬
Resistance to solubility in oral fluids
‫عندها يكون هو الصحيح‬

210. The most retentive pin is:


a- Cemented pins
b- Self threaded. ***
c- Fictional type

211. The least preferable abutment for FPD is:


a- Rotated and tipped tooth
b- Endodontically treated tooth
c- A tooth with short tapered root and long clinical crown. ***
d- A tooth with little remaining tooth structure

212. The use of amalgam post-core depends on:


a- Remaining tooth stracture. ***
b- Width of root canal

213. Correct incisal and gingival color of metal-ceramic restoration, the color may
be modified by:
1- Use of stains
2- Use of stained porcelain
3- Re-firing at high temperature
4- Changing the light reflection by grinding and re-polishing
a. 1 only
b. 1 and 2 only. ***
c. 1 ,2 and 3
d. 2 only
e. 2 and 3 only
f. 4 only

214. In which of the following ways do surface characteristics of porcelain affect


the perceived from of the final restoration?
1- A surface smoother than normal will give the impression of a larger size
2- Horizontal highlights suggest increased length
3- Vertical highlights give an illusion of width
4- Changes in contour and resulting highlights can be used to alter the apparent
long axis tooth
a. 1,2 and 3
b. 1,3 and 4
c. 1 and 4 only. ***
d. 3 and 4 only
e. All of the above

215. Which of the following contribute to the bonding of dental porcelain to metal
casting alloys?
1- Metallic bonds
2-Chemical bonding
3- Adhesive bonds
4- Mechanical bonding
a. 1 and 2 only
b. 1, 2 and 4
c. 1,3 and 4
d. 2 and 4 only. ***
e. 3 and 4 only
f. All of the above

216. In an ideal centric occlusion, the mesio-facial cusps of the permanent


maxillary first molar oppose the:
a- Central fossa of the mandibular first molar.
b- Mesial fossa of the mandibular first molar.
c- Facial embrasure between mandibular second premolar and first molar
d- Sulcus of the disto-facial groove of the mandibular first molar
e- sulcus of the mesio-facial groove of the mandibular first molar. ***
217. In children pulp damage is less frequent than in adults due to :
a- Minor subluxation doesn't cut the blood supply.
b- More hemoglobin content in children.
c- Less nutritional deficiences.

218. Which of these is used for gingival contouring : (gingivectomy)


a- PK.2
b- PK.4
c- Bard Parker. *** (surgical blades no. 11 & 12)

219. To increase the retention of Full crown for a short molar:


a. Use zinc phosphate
b. Retintive vertical groove. ***
c. Shoulder finish line

220. Pt infected by anthrax after examination doctor should disinfect with:


a. 12% cholorihexiden
b. Antibacterial hand scrup
c. Non antimicrobila soap. ***
( Wash your hands with soap and water)
‫ فقط‬#‫ وإنما بالماء والصابون‬#‫ال تغسل يديك بمضاد للجراثيم‬

#.‫ لتطهير المكان وليس الطبيب‬Chlorhexidine ‫يستخدم‬

221. 8 y old pt sollowed 10 ml of 1o% f what the immediate action:


a. Ingest milk. ***
b. Hospitalization

222. Decrease the polymerization shrinkage of composite by :


a. Incremental placement with increase time of curing.
b. Incremental placement with high intensity light cure. ***

223. Pt with sialolithiasis we want to take x-ray with ordinary film in order show
the stone we should:
a. Take x-ray in the same way as usual. ***
b. Increase the intensity of x-ray.
http://en.wikipedia.org/wiki/Sialography
224. Retrograde filling is indicated In what condition?
a. Max central incisor with Good filling with 9 mm radioulucency. ***
)Apecectomy ‫(أي نجري‬
b. Max pre with post and core buccal root with 4 mm short filling and RL at
.the apex but the palatal root with good filling
c. 1st molar with MBR and DBR short filling and platal root with fracture
.instrument

225. 2 walls defect in perio what is the best graft to treat this defect :
a. Cortical freeze dried bone allograft. ***
b. cancellous freeze dried bone allograft.
c. All are the same. ‫الخياران صح لكنه طلب األفضل‬

226. Test for determinig the efficiency of sterilizing agent is:


a. Fungi.
b. Virus.
c. Bacteria.
d. Bacterial spores. ***

227. Which of the following has doesn't have damage effect on hand piece:
A. Apply great pressure during use.
B. Infrequent moisturization. ***
‫عدم إخراج الماء باستمرار يضر السن وليس الهاند بيس‬

C. Fall down of the head of the hand piece

898 ‫راجع السؤال‬

228. Pt. with lesion in the post of the tongue we want to take excisional biopsy
how to pull the tongue forward:
A. menesota tongue retractor. ‫يستخدم لتوجيه اللسان والخد لليمين أو اليسار‬
B. mirror Handle.
C. towel clip. *** ‫يستخدم لسحب اللسان للخارج أثناء أخذ الخزعة‬

http://webcache.googleusercontent.com/search?
q=cache:aEDpAaDdq8QJ:oralcancerfoundation.org/dental/screening.htm+i
nstrument+used+to+pull+the+tongue+forward&cd=1&hl=ar&ct=clnk&gl=s
a&client=firefox-a
229. Pedo pt with extremely –ve behavior to restrain the extremity :
A. use mouth prope.
B. belt.
C. Board. *** )‫تكتيف الجسم (ربط اليدين والرجلين‬
(Papoose Board)

230. During anathesia what's true:


A. The needle should be inserted before cartridge.
B. The needle cap is inserted before the stopper. ***
C. Excessive force should be applied to allow insertion of the cartridge into the
harpoon.

231. Vasoconstrictors are:


a) lidocaine
b) adrenaline. ***
d) sulpha
c) all of the above.

232. When we extract roots we start with:


a) forceps.
b) periosteal elevators.
c) elevators. ***
d) needles.
B ‫وليس‬C ‫انتبه الحل‬

233. In case of bad odor in the entrance of the pulp we:


a) extract the tooth
b) remove the pulp
c) R.C.T *** ‫ولكن ال ننهي العمل بزيارة واحدة ألنها تحتاج إلى غسل كثير في عدة زيارات‬
d) none

234. Insulin is a medicine for:


a) hypertension
b) cardiac diseases
c) diabetes. ***
d) decrease in platelet count.

235. In case of infiltration we give:


a)  anti inflammatory.
b) antibiotic.
c) a and b
d) none. ***
1281 ‫راجع السؤال‬

236. For the mandible we prefer:


a) infiltration
b) block. ***
c) intraossous
d) none

237. Phosphoric acid is applied for:


a) 10-20 seconds
b) 30-45 seconds. ***
c) 20-30 seconds
d)none

238. The lower teeth are supplied with


a) maxillary nerve.
b) infra orbital.
c) mandibular. ***
d) all of the above.

239. The  main cause of inflammation of gingiva (gingivitis):


a) smoking.
b) calculus.
c) bacteria. *** (OR: Bacterial plaque)
d) fluoride.

240. The pregnant woman is suffering from:


a) gingival recession
b) pregnant granuloma. ***
c) Periapical abscess
d) none.

241. Muscles of the tongue are:


a- 17 ***
b- 18
c- 19
d- 20

242. Sterilization in  autoclave:


a- 20-30 minutes at 121 c ***
b- 2-10 minutes at 134 c
c- a+b
d- none
121 ‫ دقيقة بدرجة حرارة‬20 – 15 ‫الجواب الصحيح هو‬

http://en.wikipedia.org/wiki/Autoclave

243. Cross bite means:


a- upper teeth occlude inside the lower teeth. *** (Upper teeth occlude
lingual to the lower teeth). ***
b- upper teeth occlude outside the lower.
c- a and b
d- none

244. The efficiency of the autoclave is decreased due to:


a- sterilization without cleaning the instruments.
b- over loading.
c- dry blood on the instruments
d- all of the above. ***

245. The food which build new cells:


a- carbohydrates.
b- proteins. ***
c- fats
d- minerals

246. Brushing of the anterior teeth from the lingual side is:
a- vertical.
b- horizontal.
c- oblique. ***
d- none.

247. When we delay the cleaning, sterilization of instruments we put it in:


a-  holding solution. *** (detergent ‫ منظف‬or water).
b-  sodium hypochlorite
c- a+b
d- none.

248. Before doing vitality pulp test , the tooth must be:
a-  moist
b-  dry. ***
c-  moist or dry not affect
d- none.

249. One plane labial reduction leads to :


a. overcounterd crown
b. improve retetion
c. occlusal disharmony. ***

250. Patient 3 year old had injury in the primary teeth ,the permanent teeth are
rarely undergo to :
a- Micro abrasion in the enamel .***
b- Discoloration .
c- Dilaceration
d -Partially stoppage of the root formation.
1011 + 1012 + 1280 ‫راجع السؤال‬

251.Galgavin - vermilion formula used in:


a. calculation of flouride in water according to temperature. ***

252. The punch hole in the rubber dam for a child is:
a. small.
b.medium. ‫هذا بالنسبة لحجم الحاجز المطاطي نفسه وليس حجم الفتحات‬
c. large. *** ‫هذا هو حجم الفتحات األفضل لألطفال‬
d. the hole size isn't important.

 Use the larger holes for the posterior teeth and smaller holes for
anterior teeth, but use the largest hole than normal on the punch for
the tooth to receive the rubber dam retainer.
 But, a size 5 X 5 inch medium gauge rubber dam is best suited for use
in children. #‫ المطاطي نفسه وليس حجم الفتحات‬#‫ لحجم الحاجز‬#‫هذا بالنسبة‬
 ‫ الحجم الوسط‬#‫ لألطفال نختار‬#‫ األفضل بالنسبة‬#‫لو سأل عن حجم الحاجز المطاطي‬

 the size depend on which tooth we need to treat

253. The reason of separation or fracture of opaque layer in ceramo metal


crown in gold:
a. technique not using conditioning material on opaque layer.
b. contact of occlossion on opaque layer. *** (due to thick opaque layer).
***

254. Patient had Intrinsic stain in anteriors you decide to put full veneer crowns
porcelain fused to metal had Irreversible pulpitis ,you decide to make RCT and
make access opening from palatal side .WHAT is the most appropriate filling to
do will not disturb the crown cementation ?
A) reinforced cement and any appropriate filling. ***
b) Towl ___
c) pin amalgam seal

255. When we can put composite restoration in recently bleached tooth :


a. after 1 week. ***

256. In prefabricated twisted pin in amalgam it should be go equally into


dentine alloy :
a. one mm.
b. two to three mm. (2 – 3 mm) ***
c. five mm.
d. only in enamel.

257. Inferior orbital fissure located:


a. lateral wall & floor of of orbit. *** (between them)
b. the medial part of orbit.
c. between the two wings of sphenoid.
d. …..

258. In standard instrument for proper work the cutting edge should be:
a. perpendicular to the handle. *** (cutting edge of the blade is at a right angle
to the handle of the instrument). ***
b. parallel to the handle.
c. acute angle.
d. inverted angle.

259. Which of the following not considered type of healing of fractured root:
a. healing by bone deposition in proximity
b. healing by cementium deposition in proximity
c. healing by cementium and soft tissue in proximity
d. healing by soft tissue inflammation in proximity. *** (healing by granulation
tissue). ***

260. 6 years old came to u with carios lower molar sinus drainage :
a. Pulp pathosis. ***

261. Symptoms of conginital syphilis:


a. deafness, notch incisor bolbous cuspless molar and oral pigmentation. ***

262. Treatment of grade 2 furcaiton involvement:


a. Scalling, rooth planning, bone grafts with guided tissue regeneration GTR. ***

263. Stephen curve for plaque:


a. rapid drop under critical ph 5.5 follow by slowlly raise. ***

264. Patients with high caries activity have low PH and the PH falls on the
lower level:
a. Carbohydrate retained to the tooth has prolonged effect.
b. After rinsing by 10 % glucose, the PH falls within 2 – 3 minutes below the
critical level of PH and remain for about 30 – 50 minutes. ***
c. Fall the PH below the critical level of PH, the enamel can be remineralized.

265. For the prevention of mercury toxicity in the clinic put it in:
a. Water.
b. Sodium chloride.
c. The appearance of radial.
d. Fixer of radial. ***

266. 21 year old pt has submandibular space infection swelling in 36 area and 38 is
missing on radiograph he has radioloucency extend in 36 37 38 area with septal
tubercula and root resorption: ‫مالي متذكر اذا كانت متعددة الحجرات بس متذكر انو بالسؤال‬
‫كان في شي الو عالقة بتغير اللون‬
a. Kerato cyst.
b. Ameloplastoma.
c. Dentegerous cyst. ***

267. Pt has high mastication forces has caries on posterior teeth and he wants only
esthetic restoration:
a. Composite with beveled margins.
b. Composite without beveled margins. ***
c. Light cured GI
d. Zinc phosphate cement

268. Anomalis during initiation and profilration of tooth germ will lead to:
a. Amelogenasis imperfecta
b. Dentinogenasis imperfecta
c. Dentinal dysplasia
d. Oligodontia. *** ‫نقص عدد األسنان‬

269. 8 year Patient came to your clinic has impaired hearing, upon examination his
mouth you found copper color lesion, notched incisor and mass on the occlusal
surface of the molars . this patient has :
a- Congenital syphilis. ***
b- Gardner's syndrome
270. Child 8 years old hearing loss, flush around his mouth and notches in incisors
and bolbuos molars. What is your diagnosis?
a) gardner syndrome
b) congenital syphilis. ***

271. Child 2 year old came to your clinic with his parents, he has bony lesion
bluish-black in color, the most probable diagnosis is :
a- Melanotic neuroectodermal tumor .***
b- Gaint cell granuloma .
c- Ameloblastic fibroma.
1517 ‫راجع السؤال‬

272. Autoclaving technique is depending on:


a. Dry heat.
b. Steam heat. *** ‫حرارة البخار‬
c. Chemicals.

273. Radiographically interdental bone appear perpendicular to the CEJ _ if the CEJ
of many number of adjacent teeth are not in the same level, the interdental
bone will appear or create angulations. the both statements are:
a- First true.
b- Both true.
c- Both false.
d- Second true.

274. Blade of periodontal instrument should be:


A- Perpindicular to long axis.
B- Parallel to long axis.
C- Perpindicular to shank. 90 ‫ وليس‬80 – 70 ‫ولكن ليس في كل األدوات ألنه قد تكون الدرجة‬

‫ أسئلة جديدة‬- ‫القسم الثالث‬


275. Bridge came from lab with different shade:
a. thick metal.
b. thin porcelain.
c. Not uniform thickness of porcelain. ***
: ‫ كانت اإلجابة الصحيحة هي‬381 ‫وفي السؤال‬
Increased porcelain thickness. *** ( or thick porcelain ).
276. Early exfoliation of deciduous teeth is seen in:
a. Papillon-Lefevere syndrome. ***
b. Peter-Killy syndrome.
c. Pierre Robin syndrome.
d. None of the above.
1244 + 1245 ‫راجع السؤال‬

277. For right handed dentist, the transfer zone is between:


a- 8 - 11 o'clock.
b- 4 - 8 o'clock. ***
c- 2 - 4 o'clock.
d- all of the above.

 For right handed dentist:


1. Operator Zone : 8 _ 11 o’clock.
2. Static Zone : 11 _ 2 o’clock.
3. Assistant Zone : 2 _ 4 o’clock.
4. Transfer Zone : 4 _ 8 o’clock.

 1344 ‫ و‬1341 ‫ و‬1340 ‫راجع السؤال‬

278. Pt. has bad oral hygiene and missing the right and left lateral incisors
what is the treatment:
1- Implant.
2_ rpd.
3_ Conventional fpd.
4_ Maryland bridge. ***

279. Patient that has a central incisor with severe resorption and who's
going through an ortho treatment that is going to make him extract the
premolars, which of the following won't be present in the treatment plan
a. rpd
b. implant
c. Maryland bridge
d. auto implant of the premolars. ***

‫عندما يكون المريض خاضع لمعالجة تقويمية تعتبر الجسور الثابتة مضاد استطباب ألنها تكبح حركة‬
‫األسنان أثناء المعالجة لذلك نختار أن نضع زرعة أو جهاز متحرك أو جسر مرالند ألنه مرن و ال نضع‬
)‫جسور معدنية أو بورسلين مع معدن (عبيدة‬

280. The most common cause of dry mouth in adult patients is:
a. Tranquillizer.
b. Anti-histamines. ***
c. Insulin.
d. Birth control pills.

281. A Pier abutment is :


a. Periodontally weak abutment.
b. With edentulous space on both sides of the abutment. ***
c. Edentulous space on one sides of the abutment.
d. Abutment tooth away from the edentulous space.

282. What is a Pier abutment?


a. Single tooth holding one pontic.
b. A tooth that supports a removable partial denture.
c. All of the above.
d. None of the above. ***
.‫دعامة بيير هي الدعامة المتوسطة أي الدعامة التي على جانبيها دمى‬

‫للتغلب على الجهود الكبيرة على هذه الدعامة من الجهتين يتم تحضيرها الستقبال تاج كامل كجزء من‬
‫الجسر من جهة وهذا التاج الكامل يحوي مكان لوصلة غير صلبة أي مثل وصلة إحكام من الجسر‬
.‫بالجهة األخرى‬

.‫تستخدم وصلة اإلحكام هذه في حالة أخرى هي الميالن شديد لدعامة في جسر‬

283. The cell primary site of ATP production is :


a- Mitochondria. ***
b- Lysosomes.
c- Nucleus.
d- Nucleolus.
e- Vacuoles.

284. The organelle most directly involved in cellular aerobic respiration is :


a-ribosome
b- mitochondrion. *** ( mitochondria ) .
c- nucleus.
d- Lysosome.
e- Golgi apparatus.

285. The organelle most closely associated with the manufacture of


proteins within the cell:
a- Ribosome. ***
b- Lysosome.
c- Nucleolus.
d- Cell wall.
e- Cell membrane.

286. The packing and sorting of protein is the function of :


a- endoplasmic reticulum.
b- Golgi apparatus. ***
c- Mitochondria.
d- Nucleus.

287. The process of attraction of neutrophils to a site of local tissue injury


is called :
a-Phagocytosis
b-Diapedesis.
c- Chemotaxis. ***
d-Epistaxis.

288. The process of cell engulfing particle is called :


a- endocytosis.
b- exocytosis.
c- phagocytosis. ***
d- pinocytosis.

289. Patient has ulcers on the cheek and lip and has bull's eye lesion ‫عين‬
‫ (الثور‬or: target ) with surrounded odema and erythema on the hand and foot.
What’s your diagnosis:
A- herpetic ulcer.
B- bollus pemphigoid.
C- erythema multiform. ***
D- bahget's disease.

290. A 45 years old patient with badly broken upper second molar which
will be extracted. After the dentist injected the local anesthesia, patient
complaints from nausea & blood pressure became 100 \ 70 (‫)الضغط منخفض‬.
When dentist asks the patient about his medical condition he informs dentist
that he is under treatment of osteoarthritis.
What is the cause of this condition?
1. Hypotension.
2. Bronchial asthma.
3. Adrenal insufficiency. ***
‫ يأخذ كورتيزون وكان الزم يضاعف الجرعة قبل‬#‫ على أساس أن المريض‬3 ‫اخترت‬
. ‫الخلع بساعة يوم الخلع‬

291. Salivary gland disease ( tumor ) with perineural invasion:


1. pleomorphic adenoma.
2. Adenocyctic carcinoma. ( Adenoid cystic carcinoma ). ***
3. ……..
4. ……..

292. parotid malignancy shows perineural spread is seen as:


a. Warthon’s path.
b. Ductal papilloma.
c. Polymorphic adenoma.
d. Adenoid cystic carcinoma. ***

293. Compomer restorative materials are:


a. Glass ionomer with polymer components.
b. Resin systems with fluoride containing glasses. ***
c. Composite resin for cervical restorations only.

294. Balanced occlusion refers to:


a. The type of occlusion which allows simultaneous contact of the teeth in
centric occlusion only.
b. The type of occlusion which allows simultaneous contact of the teeth in
centric and eccentric jaw positions. *** ‫ في العالقة المركزية والالمركزية‬.
c. A type of occlusion which is similar to the occlusion of the natural teeth.
Dental Decks - page 548

295. Fractured tooth to alveolar crest, what's the best way to produce ferrule
effect? (‫)تأثير الطوق أو تأثير الحلقة‬
A) Restore with amalgam core sub-gingivally.
b) Crown lengthening.
c) Extrusion with orthodontics. ***

296. Dentin permeability:


1- decreases with the increase of cavity preparation.
2- Increase when sclerotic dentin develops under a carious lesion.
3- Increase with smear layer.
4- Bacterial toxins can pass through before the actual penetration of
bacteria. ***

297. One of the main features of acute herpetic gingivostomatitis is the ulcers that
confined to the attached gingiva and hard palate:
i. True. ***
ii. False.
) 1372 + 1436 ‫( راجع السؤال‬

 Vesicles become ulcers found in attached gingiva and hard palate.

298. Fordyce's spots is on :


a- tongue.
b- Oral mucosa. ***
c- upper lip .
d- throat.

‫ وضع حشوة غالس أينومير بعد حشوة أملغم وحدث نقص في الحواف فما السبب والخيارات‬.299
: ‫هي‬
. ‫ من الغالس‬g‫ الفلور فورا‬g‫ تحرير‬-1
.) Enamel will absorb the fluoride ( g*** . ‫ الميناء امتص الفلور‬-2
‫ النحاس من األملغم‬g‫ تحرير‬-3
. ‫ االهتراء‬-4
300. 10 years child with congenital heart disease ( or any cardiac disease ) came
for extraction of his lower 1st molar, the antibiotic of choice for prevention of
infective endocarditis is :
a- ampicillin 30 mg/kg orally 1hour before procedure.
b- cephalixin 50mg/kg orally 1hour before procedure.
c- clindamicin 20mg/kg orally 1hour before procedure.
d- amoxicillin 50mg/kg orally 1hour before procedure. ***

 Or also, ampicillin 50 mg/kg im. or iv. 1hour before procedure.


 In patients that allergic to ampicillin or penicillin, clindamicin
20mg/kg orally 1hour before procedure.

301. Best pontic is :


a. Ridge lap.
b. Hygiene. ***
c. Saddle.

302. AH26 is a root canal sealer:


A- contain zing oxide.
B- contain steroids.
C- is an epoxy resin. ***
D- all of the above.
303. All except one present in zinc phosphate cement liquid:
1- water.
2- H2SO4. ***
3- H3PO4.
4- ALPO4.

304. Sequence of color shade:


1- chroma hue value.
2- value chroma hue. ***
3- value chroma hue.

305. Most common type of porcelain in dentistry is:


1- high fusion.
2- medium fusion.
3- low fusion. ***

306. In removable partial denture, lack of indirect retention would be manifested


by:
1- tissue ward movement of distal extension base.
2- movement of extension base away from tissue. ***
3- settling major connector of prosthesis.
) 1602 ‫( راجع السؤال‬

307.Sequence of treatment planning:


A. Operative, endo, perio, surgery and ortho.
B. Endo, perio, operative, surgery and ortho.
C. Perio, endo, operative, surgery and ortho. ***
D. B & C.

308. A patient came to you with multiple vesicles on the attached gingiva in the
area of upper anteriors after having extensive dental treatment the day before,
what is the possible cause of the ulcers?
a- recurrent herpes gingivostomatitis. ***
b- recurrent aphthous ulcer.
c- mucositis.
) 1710 + 1372 + 1436 ‫( راجع السؤال‬
309.During the designing of a partial denture ( lingual bar ) in the lower arch for a
patient what will u start with?
a- the upper border of the bar. ***
b- inferior border of the bar.
c- designing the rest seats location.
d- extension of the denture base.

310. A child with trauma and swollen lip for the last few days, no pain and teeth
are good, what will u do next?
a- take an x-ray of the lip to exclude any foreign object. ***
b- cold packs to manage the swelling.
c- anti inflammatory drugs.

311. When you do RCT and you want to prescribe an antibiotic. What's the drug of
choice:
A- clindamycine.
B- erythromycin.
C- penicillin. ***
D- metronidazol.

 But in the difficult cases: a combination of penicillin and metronidazol


should be taken.
 The second choice is clindamycine and also given if there's a penicillin
allergy.

312. Child 10 years old came to you with trauma on maxillary central incisor
( before 36 hours ) and has large pulp exposure. What will you do:
A- pulpectomy with calcium hydroxide. ***
B- pulpotomy with calcium hydroxide.
C- direct pulp capping.
D- extraction.

313. Mutant streptococci is:


A- endemic. ***
B- epidemic.
314. Child 3 years old with congenital heart disease and has deep caries with
diffuse abscess and he is transferred to hospital for special management. What
they will give the child before start:
A- endocarditis prophylaxis. ***
B- intravenous antibiotic.

315. Best cold test for pulp:


A- ice pack.
B- chloroethyl.
C- endodontic ice spray. ***

316. Over exposure of nitrous oxide inhibits metabolism of vitamin:


A. vitamin d.
B. vitamin b12. ***
C. vitamin b6.

317. What is the smallest area in root canal:


A- apex in radiograph.
B- cementoenamel junction.
C- dentinoenamel junction.
D- cementodentinal junction. ***
‫ مهم‬1525 ‫راجع السؤال‬

‫ فإذا‬apical constriction ‫) كانت االختيارات فيها‬1525 ‫وفي سؤال آخر (السؤال‬ 


. ‫وجدت طبعا ً نختارها ألنها هي األصح وهي أصغر جزء في القناة الجذرية على اإلطالق‬

318. Apical foramen:


1- content in the apex of root. ***
2- detected by apexolocator.
3- in the lateral canal.
4- related to orifice.

319. All these materials are used in the impression for partial denture with distal
extension except:
1- plastic pearl. ***
2- elastic.
3- silicon.
4- zoe.
320. All these causes xerostomia except:
1- antidepressant agent.
2- complete denture. ***
3- radiotherapy.
4- defect in salivary gland.

None of the above ‫ تسبب جفاف الفم يعني لو كان في خيار‬#‫ السابقة‬#‫كل االختيارات‬ 
‫ وذلك ألنه يعتبر أقل سبب‬2 ‫الزم نختاره ولكن إذا لم يكن موجودا فإننا سنضطر الختيار رقم‬
. ‫لحدوث جفاف الفم‬
321. Why we use caoh between visits in RCT:
1- antibacterial. ***
2- formation hard tissue.
3- primary seal.
4 - resorption pathology.

322. The ratio of organic to inorganic material is approximately the same in:
a- cementum and dentin.
b- compact bone and cementum.
c- spongy bone and dentin.
d- alveolar compact bone and spongy bone. ***
e- all of the above.

323. Retentive grooves:


1. Always axiobuccal and axiolingual.
2. Prevent lateral displacement of restoration. ***
3. Is axiopulpal and axiogingival.

324. Which of the following events occurs during dentinogenesis:


A. Odontoblasts become long cuboidal. ***
B. The matrix and proteoglycans maturate with collagen fibers.

325. Indirect retainer mostly needed:


1- class VI
2- class I ***
3- class III

303 ‫ صفحة‬- ‫ االصدار الخامس‬oxford hand book ‫المرجع‬


 Indirect retainer is used with classes I, II & IV.

326. You make extraction to lower third molar and need suture so you hold soft
tissue by:
1- Stillies forceps. ***
2- Adson forceps.
3- Curved hemostat.
ً‫ مهم جدا‬971 – 1314 ‫راجع السؤالين‬

 Stillies forceps holds soft tissues as flaps during suturing but in


the posterior area because it’s long.

 Adson forceps holds soft tissues as flaps during suturing but in


the anterior area because it’s short.

 Allis forceps holds large and fibrous tissues to be removed in


exision as Epulis Fisuratum.

 Curved hemostat: is uses to hold artery or vein if incised during


surgery to stop the bleeding and may be known as arterial
forceps and it’s a needle holder that holding the needle for
suturing.

327. Firm neck node, what the diagnosis:


1- Squamous cell carcinoma. ***
2- Basal cell carcinoma.
3- Ameloblastoma.

328. You deliver denture then the patient comes complaining he says F like V why:
1- maxillary anterior too superior. ***
2- maxillary anterior too forward.
3- lower anterior too superior.
4- lower anterior too forward.

 If the upper anterior teeth are too short ( too far superiorly ), the
pt. will say V as F.
 If the upper anterior teeth are too long ( too far inferiorly ), the
pt. will say F as V.

‫ حتى لو أتت كما في السؤال السابق معكوسة وليس مثل القاعدتين اللتين فوق‬: ً‫الحظ جيدا‬
‫فإننا أيضا سنختار االختيار اللي تبع األسنان األمامية العلوية سواء قال قصيرة أو طويلة أو‬
‫طالعة لفوق أو نازلة لتحت إال لو أتى االختياران كما في القاعدتين مع بعض عندها سنحل‬
. ‫ وأيضا ال عالقة لنا باألسنان السفلية‬. ‫حسب القاعدتين‬

329. Patient with complete denture pronouncing F as a V:


i. Anterior teeth are upward from lip line.
ii. Anterior teeth are downward from lip line. ***

. ‫هنا أتى االختياران مع بعضهما البعض حسب القاعدتين لذلك نتبع القاعدتين‬ 

330. Placement of maxillary anterior teeth in complete denture too superiorly


and anteriorly might result in difficulty in pronouncing:
a) f and v sounds. ***
b) d and t sounds.
c) s and th sounds.
d) most vowels.

331. Patient with complete denture pronouncing F as a V:


i. Maxillary anterior teeth had placed too far from superiorly and anteriorly. ***
ii. Mandibular anterior teeth had placed too far from inferiorly.
iii. Maxillary anterior teeth had placed too palataly.

332. Pt. have a complete denture came to the clinic, tell you no complaint in the
talking or in the chewing, but when you exam him, you see the upper lip like
too long, deficient in the margins of the lip, reason is?
A) Deficiency in the vertical dimension. ***
B) Anterior upper teeth are short.
C) Deficient in vit B.
333. Frankel appliance is used in:
i. Prevent oral habit.
ii. Prevent cross bite. ***
 Frankel appliance is an orthodontic appliance used to prevent
cross bite and treat classes I, II or III malocclusions.

334. Enamel rods form the main structure of enamel, they extend from the DEJ
toward the dental pulp:
1- true.
2- false. ***

 Enamel rods = Enamel prisms.


 Enamel rods ( enamel prisms ) form the main structure of the
enamel. It’s the basic and the largest structural elements of the
enamel. These rods extend from the dentinoenamel junction DEJ
toward the enamel.

335. 8 years old child presented to the clinic with a fractured crown of upper
central incisor and the pulp is slightly exposed and bleeds superficially, Rx:
1- direct pulp cap.
2- pulpectomy.
3- pulpotomy. ***
4- apexification.

336. Fracture upper central incisor in 8 years old child with pulp exposure,
management is:
a. Apexification.
b. Pulpotomy. ***
c. RCT.

337. When removing moist ( soft ) carious dentin which exposes the pulp ,
dentist should:
1- do direct pulp cap.
2- do indirect pulp cap.
3- prepare for endo. ***

338. Treatment of a periodontal abscess caused by a foreign body is:


1- gingivectomy.
2- antibiotics.
3- elimination of the pocket.
4- none of the above. ***
 Treatment of a periodontal abscess caused by a foreign body is:
elimination of the causative factor that’s the foreign body.

339. Stainless steel pins are used mainly in amalgam to enhance:


1- retention. ***
2- strength.
3- resistance form.
4- all of the above.

340. Stainless steel pin is used in amalgam for:


a. Increase retention.
b. Increase resistance.
c. Increase strength.
d. a and b. ***

 Pins increase both retention and resistance forms


but mainly the retention.
Post‫ونفس الكالم تماما ً مع البوست‬ 

341. Buccal frenum:

a- the oral activities in this area are horizontal as well as vertical so wider
clearance is usually needed.
b- it is usually in the areas of the first premolars.
c- the center of the denture will be a little narrow in this area due to the
activity of the levator anguli muscle.
d- the center of the denture will be a little narrow in this area due to the
activity of the depressor anguli muscle.
e- a, b and d. ***
f- a, b and c.

342. The finishing line form on prepared tooth for metal ceramic crowns should
be:
a- sharp internal line angle f.l.
b- marginal step f.l.
c- feather edge f.l.
d- chamfer, shoulder, or shoulder beveled f.l. ***

343. Which one of the following impression materials is inelastic ( rigid ), sets by
acid base reaction:
a- impression plaster.
b- zinc oxide eugenol. ***
c- alginate.
e- Thiokol rubber.

 Zinc oxide eugenol impression material: is inelastic ( rigid ) material


and its setting is done by a chemical reaction ( acid base reaction ).

344. Optimal ( or ideal ) crown root ratio and minimal acceptable ratio is:
a- 1:1 and 2:3 respectively.
b- irrelevant as long as there is no mobility.
c- 3:2 and 1:1 respectively.
d- 2:3 and 1:1 respectively. ***
e- irrelevant as long as ants law satisfied.

345. The ideal crown to root ratio of a tooth be utilized as a bridge abutment is:
a- 3:1
b- 2:1
c- 1:2
d- 1:1 ***

* ‫سأضطر الختيار اإلجابة األخيرة رغم أنها ليست النسبة األيديال‬


optimal ( or ideal ) ratio
minimal acceptable ratio ‫بل هي النسبة المقبولة على األقل‬
‫ الذي قبله يوضح النسب الصحيحة‬#‫ولكنها هي الوحيدة الصحيحة في االختيارات والسؤال‬
‫ تماما‬.

346. Important part of the distal extention RPD that maintains the stability:
A- Retentive arm.
B- Reciprocal arm.
C- Occlusal rest.
D- Denture base. ***

347. The distal extension RPD receives its support:


i. From terminal abutments.
ii. Mostly from residual ridge. ***
iii. Equally from abutments and residual ridges.
iv. Exclusively from residual ridge.
v. Denture base.

348. The retraction cord displaces the tissue:


a- laterally.
b- apically.
c- apically and laterally. ***

 The retraction cord displaces the tissue apically and laterally 0.5
mm away from tooth preparation.

349. Chemomechanical tissue retraction:


A. Displaces the gingival tissue laterally. ***
B. Displaces the gingival tissue apically.
C. Causes shrinkage of gingival tissue.
D. Causes tearing of gingival tissue attachment.

. ‫ هذا النوع بالتحديد يوسع األنسجة جانبيا فقط‬

 Chemomechanical tissue retraction = Chemomechanical retraction cord.

350. Which of impression materials has syneresis: ‫فقدان الماء‬


A. Alginate. ***
B. Agar agar.
C. Silicons.

 Syneresis and imbibition: ‫فقدان الماء وامتصاص الماء‬


occur in both alginate and agar agar but it’s more in alginate.

‫يعني لو في اختيار يجمع الخيار األول والثاني طبعا نختاره لكن لو أتى مثل هذا‬ 
. ‫السؤال سنختار اإلجابة األولى إن شاء هللا‬
: ‫السؤال التالي واضح في الخيارات‬ 
351. Which one of the following materials undergoes syneresis?
a. Alginate. ***
b. Rubber Base.
c. Polyether.
d. Impression Compound.
e. Silicone Rubber.

352. Which one of the following impression materials is elastic, sets by a physical
reaction, and is subject to syneresis and imbibition?
a. Irreversible Hydrocolloid.
b. Reversible Hydrocolloid. ***
c. Polysulfide Rubber.
d. Condensation Silicone.
e. Polyether.

353. Which material undergoes to hysteresis:


i. Irreversible hydrocolloid.
ii. Reversible hydrocolloid. ***
iii. Impression plaster.
iv. Metallic oxide paste.

 Reversible hydrocolloid = agar agar.


 Irreversible hydrocolloid = alginate.
 Reversible and Irreversible hydrocolloids (agar agar and alginate)
are elastic impression materials and have the properties of syneresis
and imbibition.
 But the difference between them:
o Agar agar sets by a physical reaction and this reaction is
reversible.
o Alginate sets by a chemical reaction and this reaction is
irreversible.
o Syneresis and imbibition are more in alginate than in agar
agar.
o Only, agar agar has the property of hysteresis.
o Alginate is the least accurate impression material.

354. Which is the least accurate impression material:


i. Agar agar.
ii. Alginate. ***
iii. Compound.
iv. Silicone.

355. Which is the most accurate impression material:


a. Agar agar.
b. Alginate.
c. Compound.
d. Silicone. ***

 Silicone = Additional type silicone = Polyvinyl siloxane .

356. Zinc phosphate cement thickness to be between:


a- 13 - 35 um.
b- 25 - 40 um. ***
c- 60 - 100 um.
d- Thickness acceptable is not specified.

 The maximum thickness for a type I zinc phosphate cement is 25 um.


 The maximum thickness of a type II zinc phosphate cement is 40 um.
 But, the thickness of zinc phosphate cement to provide effective
thermal insulation ( zinc phosphate cement base ) should be between 0.5 – 1
mm.

357. Denture pressure on the papilla can cause:


a- parathesia.
b- pain.
c- burning sensation.
d- relief should be provided.
e- all of the above. ***

358. The most common difficulty associated with patients suffering from
neuromuscular disorders in construction of complete denture is:
a- recording jaw relation. ***
b- difficult in impression making.
c- difficult in arrangement of posterior teeth.
d- difficult in border molding the impression.

359. Immediate denture serves many of the following except one:


a- maintenance of the patient appearance.
b- improving the appearance of the patient. ***
c- restoring adequate function of proprioception.
d- less ridge resorption occurs.

360. Etiology of subpontic osseous hyperplasia: ( OR subpontic exostosis ):


a- Chronic irritation.
b- Excessive functional stresses. ***

‫ يعني لو في اختيار يجمع بينهما طبعا ً رح نختاره بس لو الزم‬.. ‫ االختياران صحيحان‬


. ‫نختار اختيار واحد فقط سنختار االختيار الثاني إن شاء هللا‬
 Subpontic osseous hyperplasia: developed more in posterior
mandibular bridge.
 Etiology of subpontic osseous hyperplasia:
a. Chronic gingival irritation.
b. Excessive functional stresses.

361. Constituent of alginate which is insoluble is:


a- calcium alginate. ***
b- sodium alginate.
c- sodium sulfate.

362. Hand cutting instruments are composed of:


a. Handle and neck.
b. Handle and blade only.
c. Handle, shank and blade. ***
d. Handle, neck and shank.
e. Handle, neck, shank, and blade.

363. Use of water spray during cutting procedures have following advantages:
i. Dehydration of oral tissues.
ii. Tooth restorative material and other debris are carried away.
iii. Pulp is protected from heat. ***
iv. Clean view of cavity can be achieved.
v. Bacterial contamination controlled.

364. G.V. Black concluded that the following areas on tooth surface are relatively
non self cleanable:
a. Pits and fissures. ***
b. Tips and cusps.
c. Crests of marginal / crusing ridges.
d. All inclined planes of cusps and ridges.
e. Fossae.

365. Senile ( geriatric ( ‫المرضى المسنين‬carious lesions are most commonly found
exclusively on the following areas of the teeth:
a. Pits and fissures.
b. Oulusal, incisal, facial and lingual embrasures.
c. Inclined planes of cusps.
d. Root surfaces of teeth. ***
e. Interdental surfaces.

366. The main advantage in developing high copper amalgam alloy is:
a. Elimination of gamma 1 phase.
b. Increase the strength of amalgam.
c. Decrease the flow value of amalgam.
d. Elimination of gamma phase 2 ***
e. Reduce the conductivity of amalgam.

367. In a cavity preparation cavo-surface margin will be junction between:


a. Cavity wall / floor and adjacent tooth surface. ***
b. Cavity wall and floor.
c. Floor of occlusal box and proximal box.
d. Proximal wall of one tooth with another.
e. Axial wall and occlusal floor.

368. The optimum depth of a self threading pin for an amalgam restoration is:
a. 0.5 mm.
b. 1 mm.
c. 2 mm. ***
d. 4 mm.
e. 5 mm.

369. Diamonds are superior bur for cutting:


a. Cementum.
b. Dentin.
c. Enamel. ***
d. Soft tissues .
e. Carries.

370. Class III amalgam restorations are usually prepared on:


a. Distal surfaces of anterior teeth.
b. Mesial surfaces of canine.
c. Distal surfaces of canine. ***
d. Distal surfaces of incisors and mesial surfaces of canine.
e. Mesial and distal surfaces of all the teeth.

371. The final finishing of silicate / glass ionomer restorations is done after:
a. 7½ minutes.
b. 24 hours. ***
c. 30 minutes.
d. 1 hour.
e. 1 minute.

372. Pits and fissure sealants are usually derived from:


a. BIS-GMA resin.
b. Polyurethanes.
c. Zinc phosphate.
d. Both A and B. ***
e. Ataconic acid.

373. Instruments used for handling resins are made of:


a. Stainless steel.
b. Carbon steel.
c. Teflon coated metal. ***
d. Platinum.
e. Gold.

374. Tooth surfaces involved in class II design 6 are:


a. Occlusal, proximal, part of facial and lingual surfaces. ***
b. Occlusal, facial and lingual surfaces.
c. Proximal and facial / lingual surfaces.
d. Proximal, axial angle and facialcervical.
e. Two or more surfaces of endodontically treated tooth.

375. In class V design 3 cavity preparation, extension looks like:


a. Y.
b. Snake eye.
c. Moustache. ***
d. Dove-tail.
e. Kidney shape.

376. Toilet of cavity is:


a. Removal of debris by washing with H2O. ***
b. Removal of debris by cold air spray.
c. Removal of debris by hot air spray.
d. Washing the cavity with soap solution.
e. Washing the cavity with medicament.

377. Most common fracture occurring in amalgam restoration is seen at:


a. Cavosurface margin.
b. The contact area.
c. The isthmus area. ***
d. Proximal box.
e. Gingival floor.

378. The most widely used irrigant displaying optimal cleansing bactericidal
properties is:
a. Formocresol.
b. Sodium Hypochlorite. ***
c. Saline.
d. Hydrogen peroxide.
e. Gultraldehyde.

379. Pain on percussion before endodontic treatment indicates:


a. Reversible pulpitis.
b. Irreversible pulpitis.
c. Pulp necrosis.
d. Inflammation of periodontal tissues. ***
e. Exposed dentine.

380. For the extirpation of entire pulp, necrotic debris, and foreign material,
one should use:
a. Reamers.
b. Files.
c. Barbed broaches. ***
d. Burs.
e. Plain broaches.

381. In RCT, over preparation of the outer wall of the optical curvature of
the canal with inflexible instrument will cause:
a. Zipping. *** (Zipping = Apical zip)
b. Perforation.
c. Elbow formation.
d. Ledge formation.
e. Crazing.
830 + 1473 #‫راجع السؤالين‬

:‫سؤال مشابه‬
You make a ledge in the canal. You want to correct this. The
most complication occur in this step is:
o Creation false canal.
o Apical zip.
o Stripping. ***
o Perforation.

 Ledge = Step
 Perforation = Apical perforation = Perforation of the apex.
 Stripping = Stripping perforation = Lateral perforation =
Perforation of the strip.
 Stripping is a lateral perforation caused by over instrumentation
through a thin wall ( danger zone ) in the root.

382.While examining the RCT done by other dentist, you find a case where the
radiograph shows densely packed gutta-percha in coronal third but poorly
packed in apical third, the most likely cause is:
i. Excessive packing of dentine chips in apical one third.
ii. Failure to coat accessing cones with sealers.
iii. Failure to obtain proper depth of penetration with compacting instrument.***
iv. Too much root canal sealer.
v. Use of accessory cones with fine tips.

 compacting instrument = spreder. (spreader ‫)المفرشة‬

383. A patient presents with a draining sinus tract in labial vestibule of a


maxillary central incisor. To confirm your diagnosis about the origin of
pathoses you should:
i. Open the concerned root chamber.
ii. Taking the bite-wing radiograph.
iii. Thread gutta-percha through the root canal and expose a radiograph.
iv. Thread gutta-percha through the tract and expose a radiograph. ***
v. Measure the periodontal pocket.

384. Which of the following is the appropriate file for removing gutta-percha
from root canals?
a. K file.
b. H file.
c. Flexo file.
d. S file. ***
e. Rat tail type.

385. A young 12 years old boy presents with reddish over-growth of tissue,
pretending from carious exposure in lower molar. What may be the
possible diagnosis?
a. Pulp polyp. ***
b. Pulpal hyperemia.
c. Varicosed polyp.
d. Pulpal granuloma.
e. Gum boil.
386. An 8 years old boy presents with class III fracture of tooth#11, which
appeared an hour ago, the apex is not closed. Your treatment should be:
a. Direct pulp capping with Ca(OH)2.
b. Pulpectomy follows by RCT.
c. Pulpotomy and fill with Ca(OH)2. ***
d. Smoothening of ledges and restore with composite.
e. Restoration with Glass ionomer cement.

387. What is the space between the lateral incisor and canine called in
maxillary deciduous teeth?
a. Leeway space.
b. Primate space. ***
c. Freeway space.
d. Bolton space.
e. Interdental space.

388. The recommended concentration of fluoride in communal water supply


is:
a. 0.1 ppm.
b. 0.5 ppm
c. 1.0 ppm. ***
d. 2.0 ppm
e. 5 ppm.

389. The pulp chamber in milk teeth in proportion to that of permanent


teeth is:
i. Bigger in milk teeth. ***
ii. Smaller in milk teeth.
iii. Same in both teeth.
iv. Absent in milk teeth
v. Less vascular in milk teeth.

390. The treatment of choice for vital, wide apex tooth which shows pulp
exposure is:
a. Pulpotomy.
b. Pulpectomy.
c. Apexification.
d. Apexogenesis. ***
e. Indirect pulp capping.

391. What is the common cause of failure of pulpotomy that employs


Ca(OH)2 in primary molars?
a. Pulp fibrosis.
b. Pulp calcification.
c. Ankylosis.
d. Internal resorption. ***
e. Profused bleeding.

 The ph of ca(oh)2 is 12 ( alkaline ph ) that causes pulp irritation


and internal resorption so, ca(oh)2 or pulpotomy with ca(oh)2 not
used with the primary teeth. While in permanent teeth, it’s used as it
forms a reparative dentin and treat internal and external root
resorption.

392. The walking bleach technique is:


i. Use heat treatment.
ii. Requires patients to report in 24 hours.
iii. Can be done in poorly obturated canals.
iv. Uses mixtures of sodium perborate and 3% hydrogen peroxide. ***
v. Tooth stain remover ( hydrochloric acid ).

393. Recapitulation is:


a. Uses successively larger files to flare the canals.
b. Removing the debris with smaller instruments than the instruments that
go to apex. ***
c. Circumferential filing with H files.
d. Using various types of files and reamers to enlarge canals.
e. Irrigation of canals with sodium hypochlorite.

394. Biologically active sealer which promote peri-apical healing contains:


a. ZnO Engenol.
b. Cortico-steroids.
c. Ca(OH)2. ***
d. Silver-points.
e. Zinc phosphate.

395. In esthetic dentistry, color of the tooth is:


a. Hue. ***
b. Chroma
c. Value.
d. Translusency.
e. Prismatic effects.

396. Post crown is indicated in the following case:


a. Insufficient coronal tooth portion. ***
b. Loss of enamel but dentine is still left in crown.
c. Insufficient root portion of tooth.
d. Middle third fracture of root.
e. Erosion of tooth substance.

397. A stabilized root fracture with evidence of hyper-calcification of pulpal


space requires:
a. No further treatment. ***
b. Endotherapy with gutta percha.
c. Endotherapy with Ca(OH)2.
d. Surgical removal of apical segment.
e. Post retained crown.

398. While making a crown for erosion of tooth substance, ideal choice of
crown is:
a. Porcelain crown.
b. Metal crown.
c. Porcelain fused metal crown. ***
d. Acrylic crown.
e. Partial crown.

399. In patients showing generalized attrition, normal treatment prior to


crown preparation is:
a. Desensitization of crown of tooth.
b. Periodontal surgery.
c. Sealing.
d. Conventional root canal treatment. ***
e. Crown built up with composite.

400. Temporary crown / bridge is made to last for short period of time to:
a. Protect prepared dentin.
b. To maintain appearance.
c. To prevent tilting / overeruption of prepared tooth. ***
d. Maintain occlusion.
e. Improve masticatry process.

401. Identify the macromechanical minimal preparation bridge:


a. Resin bounded bridge.
b. Adhesive bridge.
c. Maryland bridge.
d. Conventional bridge.
e. Rochette bridge. ***
 The micromechanical minimal preparation bridge is
Maryland bridge.

402. How many surfaces does the pontic has:


i. Three.
ii. Four.
iii. Five. ***
iv. Seven.
v. Two.

403. Cast, soldered and porcelain are three types of:


a. Fixed connectors. ***
b. Movable connectors.
c. Partial connectors.
d. Both A and B.
e. Temporary connectors.

404. A good treatment plan in planning the bridge is:


a. To inform the patient about present condition extent of proposed
treatment time and cost. ***
b. Not to tell anything to the patient.
c. Patients detailed past dental history.
d. Patient must know about drawbacks of treatment.
e. The patient should be only told the minimum possible things mainly about
time and cost.

405. Which crown will have the maximum retention:


a. Full cast crown. ***
b. ¾ crown and no grooves.
c. 3/5 crown and groove.
d. 7/8 crown and groove.
e. Post retain crown.

406. Tooth buds generally initiated after birth are:


a. Entire permanent dentition.
b. All permanent and some primary teeth.
c. First and second premolars and second and third molars only. ***
d. It is very variable.
e. Lower central incisors only.

. ‫لكن بقية األسنان كلها بخالف المذكورين تتكون براعمها قبل الوالدة‬ 
407. The most common type of odontogenic cyst is the: OR : The most
common type of inflammatory odontogenic cyst is the:
i. Dentegirous cyst.
ii. Periapical cyst. ***
iii. Odontogenic keratocyst.
iv. Residual cyst.

 Periapical cyst = Radicular cyst = Dental cyst.

408. The most common type of developmental odontogenic cyst is the:


i. Dentegirous cyst. ***
ii. Periapical cyst.
iii. Odontogenic keratocyst.
iv. Residual cyst.

 The most common odontogenic cyst is : the periapical cyst


(radicular cyst / dental cyst).
 The second most common odontogenic cyst is: the dentigerous
cyst (follicular cyst).
 The third most common odontogenic cyst is: the keratocyst
(primordial cyst).

:‫مــالحــظـــات‬

large exposure & non-vital tooth ‫ هذه نجريها في‬apexification ‫* بالنسبة ل‬

pulpectomy ‫* بالنسبة ل‬
permanent ‫ وليس‬, primary molars ‫ نجريها في‬-- partial
. ً‫ يكون مقفول' في األسنان اللبنية أيضا‬Apex ‫ الزم ال‬RCT ‫ يعني‬-- complete
‫ * نجريه في‬direct pulp capping
small pin point exposure (during preparation),early, no bleeding at the
exposure site or an amount of the bleeding would be considered
,normal(but no hyperemia or inflammation)
pulpotomy ‫بصراحة هو الذي حيرني مع ال‬

,primary & young permanent teeth ,vital ‫ *نجريه في‬pulpotomy :


no root completion, slight amount of bleeding at the exposure site
considered within normal
small exposure (and patient reported late) or large exposure (and
.patient reported early

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