Updated 2020

Irrigation and Intracanal Medicament

1. An irrigating solution is used during root canal therapy to:
A. Lubricate the canal
B. Flush out debris
C. Aid in cleaning the canal
D. All of the above
E. None of the above

2. Sodium hypochlorite ___________

A. Is an effective Antimicrobial
B. Effectively dissolve residual tissue
C. Can be used without any concern for its extrusion through the apex
D. A and B

3. The effectiveness of irrigation and the resulting canal cleanliness are attributed
primarily on _
A. The quality of the microbial control
B. The quality of the coronal seal
C. The quality of canal preparation
D.

4. The use of intracanal medication is preferred for the following reason:

A. Disinfect uncleaned canal

B. To obtain tight coronal seal
C. To reach the bacterial through dentinal tubules
D. --

5. NaOCl which is true :

A. used in concentration 10% or 15%
B. weak concentrations can digest organic debris with less effect on attached organic tissues.
C. in low concentration, it has no effect on detached organic debris.
D. all of the above.

6. Time needed for Ca(OH)2 to disinfect the canal:

A. not more than a week
B. 1-2 weeks
C. 1 month
D. 3 months.

7. Which is the material will stimulate cementum formation: (Q.71)

A. MTA.
B. CaoH
C. EBA.

1
Updated 2020

8. Complete debridement of necrotic pulp with alveolar abscess , best intra canal
medicament to control pain is :
A. CMCP
B. Formocresol
C. CaoH
D. No intracanal medicament can control pain
E. ledermix

9. EDTA is most effective in:

A. open narrow canals, so permit entrance till the WL of canals.
B. lubricating.no
C. dissolve necrotic tissues.no
D. removing smear layer after cleaning and shaping

10. In comparing the efficacy of side vented needle irrigation (SNI) vs ultrasonic irrigation
(CUI) in debriding narrow isthmus of mandibular mesial roots, A dock et al have shown:
A. Neither of them cleaned the isthmui

B. Both of them were equal in cleaning the isthmus

C. CUI was superior than SNI

D. SNI was superior than CUI

11. Doesn’t affect adhesive bonding:

A. NaOCl
B. H2O2
C. CHX
D. GP

12. Ascorbic acid mechanism

A. Antioxidant
B. Antibacterial

13. The use of high concentration of NaOCl in irrigation when its introduced in periapical
area causes severe damage to the soft and hard tissues:
A. True.
B. False.
C. RCT, can be don’t without irrigation.
D. None of the above.

2
Updated 2020

14. Efficacy of irrigation to be delivered to the whole canal geometry is achieved by:
A. Concentration and temperature of irrigation
B. Depth of irrigation
C. ……………
D. Ideal cleaning and shaping that provide space sufficient enough for material delivery

15. All of the following are canal irrigant except:

A. NaOCl
B. Saline
C. H2O2
D. d. RC-prep

16. the main reason to use RC-prep is because of:

A. is both lubricant and decalcifying agent
B. powerful antiseptic
C. penetration through calcified canal
D. prevent file from breaking

17. Ca(OH) mechanism of action in the canal:

a. Prevent apical pathosis.
b. Prevent pulpal inflammation
c. Reduce number of bacteria in the canal

18. In article in JOE April 2015 sami alturaki, which system is most effective in removing
Calcium Hydroxide:
A. EndoActivator
B. GentleWave
C. Ultrasonic
D. EndoVac

19. Ma 2015, removal of calcium hydroxide in C-shaped canal

A. The large amount of calcium hydroxide in the critical apical area remains a concern

20. Best irrigation for bonding resin sealer:

A. EDTA
B. NaOCl
C. chlorohexidine

21. 13 y old Patient has history of truma 5 years ago “ open apex PA radiograph” percussion will
take during irrigation:
A. use passive ultrasonic
B. low concentration NaOCl
C. salian

3
Updated 2020

22. Q5: X-Ray with large CaOH Extrusion , what to do ?

A. follow up
B. cover with Anti-Biotics
C. surgical management
D. non-surgical management

23. Most common irrigatio: NaOCll

24. Remove smear layer: EDTA

25. Tooth with a continuous pus draining, what is the best management?
A. Medicament and temporary restoration ***
B. Immediate obturation
C. Leave tooth open

26. Patient was taking Triple Ab. Complained of discoloration due to which of the following?
A. Minocycline ***
B. B. Ciprofloxacin

27. Overextended material beyond apex. Histological section revealed bone necrosis. What is the
extruded material?
A. CaOH
B. Q Mix
C. Triple antibiotic
D. Ledermix

28. Ideal depth of irrigation needle:

A. Coronal
B. Middle
C. 1-2 mm of WL

29. Severely inflamed pulp & PDL. what is the most appropriate medicament to be used ?
A. CHX
B. Calcium hydroxide
C. ledermix

30. 25. The irrigation used to find the missed canal:

A. Naocl
B. B. Chlorhexidine
C. C. EDTA

31. Patient came after treatment with yellowish discoloration .. what irrigation was used ?
A. Qmix
B. CHX
C. NaOCl
D. MTAD

4
Updated 2020

32. Change color brownish due to:

A. CHX & NaOCl

33. Endoactivatior advantage:

A. Vigorous agitation of irrigant

34. Chemical reaction of Naocl + chx ?

A. PCA

35. Tooth with perforating lesion, best irrigant for this case:
A. 5% naocl
B. Saline
C. Chlorhexidine
D. EDTA

36. hypochlorite accident in healthy pt , came next visit with fatigue pallor and ecchymosis:
A. End root reaction
B. Complete Rct
C. incision and drainage
D. Prescribe A.B

37. Tooth with CaOH medicament for 2 years then PT came to complete tx ; how would u remove
the medicament best:
A. Ultrasonic irrigation
B. Sonic
C. Manual
D. Positive p needle irrigation

38. Best concentration of sodium hypochlorite to dissolve tissue and minimal toxic ?
A. 0.5
B. 1
C. 2.5
D. 5.2

39. For achieving good antimicrobial effect with sodium hypochlorite,

which concentration is to be used:
A. 0.5%
B. 2.5%
C. 5.25%
D. 1.5%

40. The first who talk about smear layer in Endo :

Mackmb & Smith ,1975

5
Updated 2020

41. Sjogren 1991 → calcium hydroxide for 7 days

42. Accourding to Nair single visit is not effective , why? → bacteria biofilm in inaccebale area
43. Accordin to Hand et al NaOCl after EDTA → erosion of D.
44. While you are working Sudden pain, hematoma → sodium hypochloride accedent
45. Advantage of NaOCl over CHX → dissolve organic tissue
46. Advantage of MTAD over of NaOCl → A-removal of smear layer/ B-kills all bacteria
47. CHX → effective against E.feacalis
48. Qmix is mixture of ? → CHX + EDTA
Ultrasonic irrigation→small files and high frequency

49. Steiner, Dow , Carthey , Frank, Cevc ..all contribute in :

A. a Apexification.
B. b. Formocresol.

50. Torabinjad , Pitt ford , Holland ..all contribute in :

A. MTA

51. Siqueira et al found sufficient evidence for the effectiveness of sonic and ultrasonic in
root canal preparation.
A. True ?
B. False

52. According to Komabayashi et al (JOE; Feb 2009) calcium hydroxide particles size .5 to 2
micro were:
A. Larger than the dentinal tubles
B. Smaller than the dentinal tubles 2 to 5micr
C. The size as the dentinal tubules
D. Not compatible with the dentinal tubules

53. Trevino et al 2012 affect of irrigation on stem cells survival

A. EDTA less cytotoxic effect than sodium hypo on stem cells

54. Karatas 2015 (Comparison of the effect of nonactivated self-adjusting file system,
Vibringe, EndoVac, ultrasonic and needle irrigation on apical extrusion of debris), the
sample was:
A. 75 extracted human maxillary incisors were selected and randomly assigned to 5 groups (n
= 15).

55. In Saudi Endodontic Journal, Review by Ruddle 2015: Tsunami of Irrigation. The
debridement and disinfection of the root canal system isdependent on:
A. Coronal third taper and terminal diameter
B. Apical third taper and terminal diameter of the final preparation

6
Updated 2020

56. In Saudi Endodontic Journal, Review by Ruddle 2015: Tsunami of Irrigation.

A. Heating NaOCl to 60 degrees enhances tissue dissolution

57. In Saudi Endodontic Journal, AlObaida2015 (A comparison of the cleaning efficacy of

ProRinse syringe needle, ProUltra PiezoFlow, and EndoActivator irrigation techniques
using software program ImageJ). Sample was:
A. Extracted mandibular teeth ( ex vivo)
B. 45 teeth from diabetic patients ( In vivo)
C. Animal teeth
D. Resin Block

58. Cullen 2015

A. Dissolution of tissue not influenced by concentration
B. Refreshing of irrigant to overcome dentine buffering
C. NaOCl decreased the dentine elastic modulus
D. B&C