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MCQ
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By: Dr.A7md S3odi
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By: Dr. A7md S3odi
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2019-2020
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Chapter: Endo-perio relationship

1. Which of the following are potential avenues for communication

between the dental pulp and periodontium?
a. dentinal tubules
b. apical foramen
c. lateral/accessory canals
d. all of the above

2. What characterizes the diameter of dentinal tubules in radicular

dentin?
a. The diameter is 1mm on the root surface, 3mm at the pulp.
b. The diameter is constant.
c. The diameter is 3 mm on the root surface, 1 mm at the pulp.
d. The diameter increases with age.

3. Patent accessory canals are characterized by which of the

following?
a. They serve as a pathway for microorganisms from pulp to periodontium.
b. They can be the result of scaling and root planing.
c. In the apical third, they may lead to pulp necrosis if exposed to oral
environment.
d. All of the above.

4. A narrow, vertical probing depth associated with pulp necrosis, but

only mild periodontal disease is probably
a. a vertical root fracture
b. a fistula
c. a sinus tract
d. a periodontal abscess

5. The effect of periodontal disease on the pulp isthought to occur

by migration of _____________ through dentinal tubules, accessory
canals, or the apical foramen.
a. dental plaque
b. saliva
c. microorganisms

2 MCQ for 5th year Dr.A7md S3odi

6. Poor endodontic treatment can allow reinfection of the canal,
leading to treatment failure and subsequent inflammatory response of
the periodontal tissues.
a. True
b. False

7. Periodontal inflammation resulting from primary endodontic disease

may mimic periodontal disease by which of the following?
a. generalized increase in probing depths in the affected quadrant
b. an apical radiolucency
c. a narrow deep solitary probing defect associated with an affected
tooth
d. all of the above

8. A patient presents with a chief complaint of pain to cold

temperatures. Examination and testing reveal a maxillary left
premolar exhibiting severe lingering pain in response to cold. No
caries or fractures are noted. Periodontal probings are 6 to 9 mm
around that specific tooth and 6 to 7 mm around the other posterior
teeth in the quadrant. The patient reports having a “deep cleaning”
(root planning) three times per year. What would the diagnosis in this
case be?
a. primary endodontic disease with secondary periodontal involvement
b. primary periodontal disease with secondary endodontic involvement
c. separate and unrelated endodontic and periodontal disease
d. a true combined endodontic-periodontic (endoperio) disease process

9. What will the long-term prognosis for the patient described in

question 8 primarily depend on?
a. successful periodontal treatment
b. successful endodontic treatment
c. treatment sequencing
d. timing of treatment

3 MCQ for 5th year Dr.A7md S3odi

10. Which of the following best represents similarities between
endodontic apical and periodontal pathosis?
a. Both are often the result of traumatic occlusion.
b. Both are usually symptomatic.
c. Both are mediated by microorganisms.
d. Both are associated with loss of attachment.

11. The best description of the effect of moderate periodontal

disease (loss of attachment in the apical/ middle third) on the
underlying pulp is usually characterized by
a. no or slight regional inflammation
b. generalized acute inflammation
c. generalized chronic inflammation
d. necrosis
e. bacterial invasion through tubules into the pulp

12. Which of the following is characteristic of the true combined

endo-perio lesion?
a. It occurs much less frequent than the primary endodontic lesion.
b. It is usually the end result of a severe endodontic lesion that causes
loss of attachment.
c. It is usually the end result of a severe periodontal lesion.
d. It is usually successfully managed with both endodontic and periodontal
treatment.

13. What is the best means of differentiating endodontic from

periodontal pathosis?
a. pulp vitality testing
b. percussion
c. radiographs

14. Treatment sequencing for primary endodontic disease with

secondary periodontal involvement includes
a. scaling and root planing followed by endodontic treatment
b. endodontic treatment followed by scaling and root planning
c. endodontic treatment followed by periodontal surgery
d. endodontic treatment followed by reevaluation of periodontal
status in 2 to 3 months

4 MCQ for 5th year Dr.A7md S3odi

15. According to Gutmann, molar teeth are most likely to have
accessory and lateral canals:
a. Branching from the main canal to form an apical delta
b. In the apical one third of the root
c. On the lateral surface of the root
d. In the furcation

16. Which of the following statements regarding palatogingival

grooves is false?
a. The incidence of palatogingival grooves ranges from 10% to 20% of
the population.
b. The maxillary lateral incisor is affected more that the central incisor.
c. The grooves extend apically in varying distances, with less than 1%
reaching the apex.

17. The prognosis for a tooth with a perforation is affected by all of

the following factors, except for one. Which is the exception?
a. Location of the perforation
b. The time of repair
c. The ability to seal the defect
d. The ability to perform root canal treatment on the remaining canals
e. The placement of a post to retain the core after perforation
repair

18. Which of the following statements best describes retrograde

periodontitis?
a. Inflammation from the periodontal sulcus migrates apically, causing
pulp inflammation and eventually pulp necrosis
b. Pulp necrosis occurs, and the toxic irritants cause inflammation
that migrates to the gingival margin, creating a periodontal pocket.
c. Irritants gain access to the periodontal tissues at the site of a
vertical-root fracture, producing tissue destruction that mimics
periodontitis.
d. Pulp necrosis results in the formation of an apical, radiolucent lesion
characterized by the loss of the apical lamina dura.

5 MCQ for 5th year Dr.A7md S3odi

19. Which of the following statements best describes the effect
periodontal disease has on the dental pulp?
a. There is a direct correlation between the severity of the periodontal
disease and the percentage of pulps that become necrotic.
b. When periodontal disease or the treatment of the disease exposes a
lateral or accessory canal, complete pulp necrosis will result.
c. Although periodontitis can cause pulp inflammation and necrosis,
treatment procedures have little effect on the pulp.
d. Periodontal disease that does not expose the apical foramen is
unlikely to produce significant damage to the pulp.

20. Which of the following statements regarding the primary

endodontic lesion with secondary periodontic involvement is correct?
a. Pulp necrosis occurs initially and an apical lesion forms. Apical migration
of periodontal disease results in communication between the two lesions.
b. Treatment consists of performing endodontic treatment, which is
followed by a 6- month recall examination. If the periodontal component
is still present, periodontal therapy is initiated.
c. The primary endodontic lesion with secondary periodontic involvement
exhibits a poorer prognosis when compared with the primary periodontal
lesion with secondary endodontic involvement.
d. Pulp necrosis occurs and forms a sinus tract through the
periodontal ligament that, over time, permits the accumulation of
plaque and calculus on the root.

21. Which of the following statements regarding root resection is

false?
a. Success depends primarily on treatment planning and case selection.
b. Failures occur primarily because of continued periodontal
breakdown.
c. The long-term prognosis for the pulp in teeth with vital-root resection
is poor.
d. Endodontic treatment should precede resection of a root.

6 MCQ for 5th year Dr.A7md S3odi

22. A 24-year-old female patient has drainage from the gingival
sulcus of her maxillary, right, central incisor (tooth no. 8). Three
years ago she relates a porcelain fused-to-metal bridge (nos. 6 to 8)
was placed because of a congenitally missing, lateral incisor. Clinical
examination reveals a 12 mm probing defect on the lingual aspect of
tooth no. 8. Additional probing depths are 3 mm or less. Pulp testing
reveals that no. 6, no. 8, no. 9, no. 10 are responsive to CO2 snow.
Radiographic examination reveals a diffuse radiolucent area along the
mesial lateral root surface extending from the crestal tissue to the
apex. Which of the following is the most likely cause of this lesion?
a. Vertical-root fracture
b. Palatogingival groove
c. Pulp necrosis
d. Periodontitis
e. Osteogenic sarcoma

23. A 51-year-old woman seeks evaluation of swelling of the buccal

tissue opposite her mandibular, right, first molar (tooth no. 30). She
relates a history of having a full-gold crown placed 2 months ago.
She states that she has had pain for the past week and that the
swelling began yesterday. Clinical examination reveals swelling in the
buccal furcation area of tooth no. 30. Probing depths are 3 to 4 mm,
except for a 6-mm defect in the furcal area of tooth no. 30. Pulp
testing with CO2 snow reveals teeth nos. 28, 29, and 31 respond.
Tooth no. 30 is not responsive. Radiographic examination reveals
normal apical structures, however, there is a radiolucent area in the
furcation of tooth no. 30. This area was not evident on the film
taken before placement of the crown. Based on this information what
diagnostic classification is most appropriate?
a. Primary endodontic lesion
b. Primary periodontic lesion
c. Primary endodontic lesion with secondary periodontic involvement
d. Primary periodontic lesion with secondary endodontic involvement
e. Concomitant endodontic and periodontic lesion

7 MCQ for 5th year Dr.A7md S3odi

CHAPTER Management of Traumatic Dental Injuries

1. Why is age a “good news/bad news” situation with dental trauma?

a. Pulps have an incomplete and decreased blood supply.
b. Pulps are better able to recover and have a better repair
potential.
c. Poor development will continue in teeth with damaged necrotic pulps.
d. Dentin has more strength in younger teeth.

2. Which of the following factors does not need to be considered

when evaluating a crown fracture with pulp exposure?
a. extent of fracture
b. stage of root development
c. position in the arch
d. length of time since the injury

3. Which of the following is not a step as part of the technique for a

shallow (partial) pulpotomy?
a. rubber dam isolation
b. pulp tissue removed to about 2 mm below the exposure
c. use of a large round carbide bur in the slow-speed handpiece to
remove tissue
d. restoration of the cavity with a hard-setting cement

4. How long should horizontal root fractures be splinted if the

coronal section was displaced and repositioned?
a. not indicated
b. 7 to 10 days
c. 4 to 6 weeks
d. 3 months

5. Which of the following are types of luxation injuries?

a. concussion
b. intrusion
c. extrusion
d. all of the above

8 MCQ for 5th year Dr.A7md S3odi

6. What is recommended with pulp testing for teeth with traumatic
injuries?
a. use of electric pulp testing or carbon dioxide ice
to test the injured and adjacent teeth
b. opposing teeth also be tested
c. retesting is done in 4 to 6 weeks
d. all of the above

7. What information does the color change of the clinical crown

provide?
a. There has been a pulp exposure.
b. The initial change is gray in color, which always indicates pulp necrosis.
c. Discoloration may be reversed without treatment.
d. Calcific metamorphosis discoloration tends to be yellow to brown and
always indicates pulp necrosis.

8. What factor should be considered that determines the treatment

of an intrusive luxation injury?
a. depth of intrusion
b. stage of root development
c. availability of adjacent teeth for stabilization
d. amount of soft tissue injury

9. Of the following, what is the best transport medium to use for

transporting an avulsed tooth?
a. saliva
b. distilled water
c. wrapped in a tissue
d. milk

10. Which type of medication is indicated for patients with avulsed

teeth?
a. narcotic analgesic
b. steroid
c. tetanus booster if more than 5 years since last administered
d. all of the above

9 MCQ for 5th year Dr.A7md S3odi

11. What additional treatment should be used on the root surface if
an avulsed tooth is replanted after more than 1 hour after avulsion?
a. thorough scrubbing with antimicrobial soap for disinfection
b. scaling of the root surface
c. soaking the tooth in 2.4% doxycycline for 5 to 20 minutes
d. soaking the tooth in a 2.4% solution of sodium fluoride for 5 to 20
minutes

12. Which of the following types of external resorption has not been
identified with replanted avulsed teeth?
a. surface
b. inflammatory
c. refractory
d. replacement

13. When is root canal treatment indicated in a mature avulsed,

replanted tooth?
a. at the time of replantation
b. within 7 to 10 days after replantation
c. after 3 months if there is no response to pulp testing
d. when periapical pathosis is noted

14. A deciduous tooth that has suffered an intrusive luxation should

be extracted if what occurs?
a. The child cries but is compliant.
b. The permanent successor is partially erupted.
c. The intruded tooth appears foreshortened on the radiograph.
d. The intruded tooth appears elongated on the radiograph.

15. If several teeth are out of alignment after trauma, the most
reasonable explanation is which of the following?
a. Luxation

b. Subluxation
c. Alveolar fracture
d. Root fracture

10 MCQ for 5th year Dr.A7md S3odi

16. Initial vitality testing of traumatized teeth is most useful to
which of the following?
a. It establishes a baseline for comparison with future testing.
b. It determines whether root canal treatment is indicated.
c. It determines if the blood supply to the pulp is compromised.
d. It predicts the prognosis.

17. A normal periapical radiograph of a traumatized tooth is useful

for which of the following?
a. It visualizes most root fractures.
b. It visualizes concussion injuries.
c. It gathers baseline information.
d. It locates foreign objects.

18. Which of the following statements regarding crown infraction is

accurate?
a. It may indicate luxation injuries.
b. It is rarely seen on transillumination.
c. It seldom requires a follow-up examination.
d. It describes the process of coronal pulp necrosis.

19. Which of the following statements regarding uncomplicated crown

fracture is accurate?
a. It is an indication for a dentin-bonded restoration.
b. It requires baseline pulp testing.
c. It involves root canal treatment if the exposed dentin is sensitive to
cold stimulus.
d. It has a questionable long-term prognosis.
e. It is managed differently in young versus older patients.

20. Which of the following statements regarding complicated crown

fractures is accurate?
a. Exposure to the oral cavity permits rapid bacterial penetration through
the pulp.
b. Inflammation is limited to the coronal 2 mm of the exposed pulp
for the first 24 hours.
c. The tooth is normally managed by root canal treatment and restoration.

11 MCQ for 5th year Dr.A7md S3odi

21. Which of the following statements regarding replacement
resorption is accurate?
a. It results from direct contact between root, dentin, and bone.

b. It is managed by surgical exposure and repair with a biocompatible

material.
c. It results when at least 75% of the root surface is damaged.
d. It can be avoided by timely endodontic intervention.

22. Pulp necrosis is most likely to occur after which of the following?
a. Midroot fracture
b. Intrusive luxation
c. Concussion
d. Complicated crown fracture

23. Which of the following statements regarding cervical root

resorption is accurate?
a. It is a common, self-limiting result of luxation injury.
b. It causes significant pulpal symptoms.
c. It can be arrested by root canal treatment.
d. It may extend coronally to present as a pink spot on the crown.

24. Which of the following statements regarding internal root

resorption is accurate?
a. It is more common in permanent than deciduous teeth.
b. It is simple to differentiate from other types of resorption.
c. It is characterized histologically by inflammatory tissue with
multinucleated giant cells.
d. It is ruled out when there is no response to pulp testing.

25. A luxated tooth should be splinted in which of the following

situations?
a. If the tooth is mobile after splinting
b. Until the root canal treatment is completed
c. With the composite as close to the gingiva as possible

d. All of the above

12 MCQ for 5th year Dr.A7md S3odi

26. Which medium of storage for an avulsed tooth is best for
prolonged extraoral periods?
a. Hanks balanced salt solution
b. Milk
c. Distilled water
d. Saliva

27. The most important factor for managing avulsion is which of the
following?
a. Extraoral time
b. Decontamination of the root surface
c. Prompt initiation of root canal treatment
d. Proper preparation of the socket

28. Tooth mobility after trauma may be because of which of the

following?
a. Displacement
b. Alveolar fracture
c. Root fracture
d. Crown fracture
e. All of the above

29. Which of the following is true about thermal and electrical tests
after trauma?
a. Sensitivity tests evaluate the nerve and circulatory condition of the
tooth.
b. False-positive tests are more likely than false-negative tests.
c. It may take up to 9 months for normal blood flow to return.
d. None of the above statements are accurate.

30. Which of the following statements regarding internal root

resorption is accurate?
a. It is rate in deciduous teeth.
b. It is initiated by odontoblasts.
c. It is seldom confused with external resorption.
d. It is usually asymptomatic.

13 MCQ for 5th year Dr.A7md S3odi

31. Which of the following statements regarding avulsed teeth is
accurate?
a. They can be treated endodontically outside the mouth in limited
circumstances.
b. They should be rigidly splinted for 3 to 4 weeks to allow
periodontal support to mature.
c. They generally do not require antibiotic treatment at the time of
replantation.
d. They should have apexification attempted when the apex is not closed.

CHAPTER Procedural Accidents (Mishaps)

1. What should a patient not be told when there has been a

procedural accident?
a. the incident did occur
b. the possible procedures that may be necessary for correction
c. how this might affect the outcome
d. the root canal treatment will be completed free of charge

2. Which of the following is not a common cause of a perforation

during access preparation?
a. mandibular molar with a lingual axial inclination of the tooth
b. searching for canals through an under-prepared access opening
c. directing the bur parallel to the long axis of the tooth
d. presence of a misaligned cast restoration

3. What measures are used to prevent perforation during access

preparation?
a. relating tooth angulations independent of the adjacent tooth
b. using only straight-on radiographs
c. always having a rubber dam in place before beginning access
preparation
d. having a thorough knowledge of both surface and internal tooth
anatomy

14 MCQ for 5th year Dr.A7md S3odi

4. Which of the following is not an early sign or indication of a
perforation?
a. pain during access preparation
b. sudden appearance of hemorrhage
c. burning pain and bad taste during irrigation with NaOCl
d. radiographically malpositioned file

5. If a lateral root perforation does occur, what is the most

favorable location for perforation repair?
a. at or above the height of crestal bone
b. below the crestal bone in the coronal third of the root
c. on the furcal side of the coronal root surface
d. a zipping perforation at the apex of the root

6. What is the ideal time and material for a nonsurgical repair of a

furcation perforation?
a. immediate repair with amalgam
b. immediate repair with mineral trioxide aggregate (MTA)
c. delayed repair with amalgam
d. delayed repair with MTA

7. What is a common cause of ledge formation?

a. straight-line access into the canal
b. excess irrigating solution
c. overenlargement of a curved canal with files
d. constant recapitulation and irrigation into the apical portion of the
canal

8. What type of canal is most prone to ledge formation?

a. long, small, and curved
b. incomplete apex formation, curved
c. large, long

9. What is a possible etiology for an apical (zipping) root perforation?

a. inability to negotiate canals with ledges
b. working length determination with radiographs only
c. trying to locate canals in a small chamber
d. failure to adjust working length after curved canals are
straightened during cleaning and shaping

15 MCQ for 5th year Dr.A7md S3odi

10. What type of perforation has the poorest long-term prognosis?
a. zipping (apical third) root perforation
b. stripping perforation in the apical third of the root
c. stripping perforation in the coronal third of the root below the
crest of bone
d. direct floor to furcation perforation in a multirooted tooth

11. Which of the following is not a common cause of file separation?

a. limited flexibility
b. manufacturing defects
c. amount of use
d. amount of force applied

12. What approaches may be used to treat a case with a separated

instrument?
a. attempt to remove
b. attempt to bypass
c. prepare and obturate to the level of the segment
d. all of the above

13. Which of the following scenarios yields the most favorable

prognosis in cases with a separated instrument?
a. a small instrument short of the working length
b. a small instrument beyond the apical foramen
c. a large instrument at an early stage of instrumentation
d. a large instrument close to the working length

14. Which of the following causes extrusion of sodium hypochlorite

(NaOCl) irrigating solution into periapical tissues?
a. Fitting irrigation needle loosely in the canal space.
b. Wedging irrigation needle in the canal space.
c. Using perforated needles during irrigation.
d. Using regular needles during irrigation.

16 MCQ for 5th year Dr.A7md S3odi

15. Which of the following occurs after minor extrusion of obturation
materials into the periapical tissue?
a. It results in significant swelling
b. It results in signifi cant symptoms.
c. It causes some tissue inflammation.
d. It causes more apical leakage.

CHAPTER Nonsurgical Retreatment

1. Nonsurgical retreatment should be the first treatment option for

correction when
a. A large well-fitting post and core is present.
b. There is a separated instrument present that cannot be retrieved.
c. External resorptive root defects are present.
d. A negotiable canal was not initially treated.

2. Which of the following is not a potential contraindication for

nonsurgical root canal retreatment?
a. post and core restorations
b. ledges in the root canal walls
c. amalgam core restorations into the chamber
d. separated root canal instruments

3. Which of the following is not a potential risk associated with

nonsurgical root canal retreatment?
a. thinning and weakening of the root canal walls
b. inability to remove the initial root canal obturation material
c. creating a compromised crown-root ratio
d. loosening of a well-fitting fabricated crown

4. Which of the following describes removal of coronal restorations

before nonsurgical retreatment?
a. Removal may prolong retreatment procedures.
b. Removal complicates removal of post and core restorations.
c. Removal may be necessary to assess restorability.
d. Removal should never be done if the previous restoration is a full-
coverage crown.

17 MCQ for 5th year Dr.A7md S3odi

5. What steps are involved in retrieval of a prefabricated post during
retreatment?
a. Section and remove the core material and the post at the level of the
chamber floor.
b. An ultrasonic activated tip is used for 3 to 5 minutes each at several
locations circumferentially around the post, without water for visibility.
c. Grasp the post with a hemostat or Steiglitz pliers to rock it back and
forth to break the cement seal.
d. Use ultrasonics, then grasp a threaded screw type post with a
hemostat or small-tipped forceps to unscrew it from the canal.

6. The following steps are used to attempt removal of a canal ledge

during nonsurgical retreatment except which one?
a. remove all obstructions coronal to the ledge
b. bypass the ledge with a flexible nickel-titanium hand file
c. file in a circumferential motion after bypassing the ledge

7. Which of the following is not a factor that may affect the

successful removal of a separated instrument fragment?
a. size of the instrument separated
b. length of the separated fragment
c. location of the fragment within the canal
d. length of time the fragment has been in place

8. What method or methods have been used to successfully remove

gutta-percha from root canals?
a. heat
b. ultrasonics
c. rotary instruments
d. all of the above

9. When should Hedstrom hand fi les or regular hand reamers be the

instruments of choice for gutta-percha removal, without the addition
of solvents?
a. The root canal is well sealed with gutta-percha.
b. The gutta-percha is well adapted to canal walls.
c. A space can be created between the gutta-percha and the root
canal.

18 MCQ for 5th year Dr.A7md S3odi

10. What solvent has been shown to be the most efficient (fastest)
in softening gutta-percha?
a. chloroform
b. halothane
c. methylchloroform
d. xylene

11. During the removal of a carrier-based gutta-percha obturator

which of the following should occur?
a. The first step is to remove the solid core material.
b. A combination of techniques for removal of guttapercha, silver
cones, and posts is employed.
c. A small rotary file may be used to engage and remove the plastic
carrier.
d. Different solvents are used that would routinely be used to remove
gutta-percha alone.

12. What is the key to success in the retrieval of silver points?

a. The key is to engage the silver point with the ultrasonic tip.
b. The key is to remove the silver point and core material simultaneously.
c. The key is to retain as much of the coronal extent of the point as
possible.
d. The key is to remove the core material and silver point to the level of
canal orifices first.

13. Which of the following is not true regarding the removal and
retreatment of hard-setting pastes?
a. They are more difficult to remove than a soft paste.
b. They may be impossible to remove.
c. Solvents have been shown to soften hard-setting pastes.
d. Use of ultrasonics is the most predictable method.

19 MCQ for 5th year Dr.A7md S3odi

14. Which of the following is true regarding interappointment flare-
ups with nonsurgical root canal retreatments?
a. Flare-ups occur less frequently when compared to initial root canal
treatments.
b. Flare-ups occur frequently, even when debris and microorganisms are
confined to the canals.
c. Flare-ups occur less frequently if irrigation is kept to a minimum.
d. High incidence dictates that retreatment should generally be
treated in two visits rather than one visit.

15. The prognosis for nonsurgical root canal retreatment is which of

the following?
a. It is increased with periapical lesions.
b. It has the lowest rate of success without a periapical lesion.
c. It is similar to initial root canal treatment success rates.
d. It is best if the etiology of failure can be identified.

16. What is the primary determinant for successful endodontic

treatment?
a. selecting the proper obturation technique
b. effective elimination of microorganisms from the pulp space
c. using rotary instruments to shape the canals
d. using an effective irrigation regimen

17. What are the major indicators of successful endodontic

treatment?
a. lack of discoloration, no tenderness to biting
b. no swelling or redness of the gingival area
c. absence of symptoms and apical radiolucency
d. a happy patient who has paid the bill

20 MCQ for 5th year Dr.A7md S3odi

18. A patient presents for a post-treatment examination with no
complaint of symptoms except the apical radiolucency that was
present before treatment, although it appears smaller. Treatment for
this patient would be classified as which of the following?
a. a failure
b. a success
c. a clinical success but radiographic failure
d. a functional tooth with uncertain prognosis

19. Which of the following is not a clinical criterion to evaluate

treatment outcome?
a. absence of a radiolucency
b. no evidence of a sinus tract
c. no swelling present
d. no response to percussion or palpation

20. To make valid comparisons between radiographs to assess healing,

which of the following describes how films should be made?
a. in a reproducible manner
b. 6 months apart
c. at different angles
d. by the same person to ensure consistency.
21. Which of the following criteria is not considered to be a
predictor of success or failure?
a. the patient’s medical history
b. apical pathosis
c. quality of the coronal restoration
d. extent and quality of obturation

22. The most common preoperative cause of endodontic treatment

failure includes all of the following except which one?
a. misdiagnosis
b. leaking coronal restoration
c. poor case selection
d. error in treatment planning

21 MCQ for 5th year Dr.A7md S3odi

23. The most common postoperative cause of endodontic treatment
failure is which of the following?
a. overextension of obturating material
b. a separated instrument
c. coronal leakage
d. placement of a post unnecessarily

24. The prognosis for nonsurgical retreatment depends primarily on

which of the following?
a. identification and correction of the cause of failure
b. using a different obturation technique
c. placing the definitive restoration at the obturation appointment
d. all of the above

25. Canals may be missed during treatment because of which of the

following?
a. Calcification
b. Anomalous location
c. Inadequate access
d. All of the above

26. Radiographically, which of the following statements regarding

canals that appear calcified are accurate?
a. They are seldom able to be instrumented.
b. They have a different appearance than the surrounding dentin.
c. They should be opened up with rotary rather than ultrasonic
instruments.

27. The major reason for failure, requiring retreatment, is which of

the following?
a. Persistent pain
b. Draining sinus tract
c. Restorative indications
d. Microleakage

22 MCQ for 5th year Dr.A7md S3odi

28. Presence of excess gutta-percha beyond the apex is usually
caused by which of the following?
a. Use of too small a master cone
b. Excessive heating and compaction during warm, vertical condensation
c. Destruction of the natural apical constriction

29. Lateral or furcal canals are which of the following?

a. Commonplace
b. Not able to be mechanically cleaned
c. Not routinely obturated
d. Seldom the sole cause of endodontic failure
e. All of the above

30. Retreatment has the most favorable prognosis during which of

the following?
a. When the cause of failure is identified and is correctable
b. When the patient is asymptomatic
c. When gutta-percha was used instead of paste
d. When a surgical microscrope is used

31. For silver point removal, ultrasonics are used for which of the
following reasons?
a. To break up cement surrounding the point
b. To reduce the level of dentin on the floor of the chamber to expose
the point
c. To break up the silver point into small pieces, which can then be
flushed out
d. To loosen the silver point by applying the vibrating instrument directly
to the silver cone

32. How should rotary instruments be used for the removal of gutta-
precha?
a. To remove all the gutta-percha the length of the canal
b. At the highest speeds
c. In reverse of the canal preparation direction
d. In portions of the canal where the instruments fit passively
e. In portions of the canal where the instruments fit snugly

23 MCQ for 5th year Dr.A7md S3odi

33. If a cervical root perforation occurs during the treatment and
the canal preparation is incomplete, the generally preferred time for
repairing the defect is which of the following?
a. Immediately, that is, before proceeding with further preparation
b. After cleaning and shaping is complete but before obturation
c. Immediately after obturation
d. After an appropriate recall period, to assess the status of the tissues

34. Removal of objects can be facilitated by:

a. Straight-line access
b. A good light source
c. Magnification
d. All of the above

35. Carrier-based gutta-percha removal and retreatment is:

a. Generally easy, because all components are soluble
b. Very difficult, because the gutta-percha is insoluble
c. Usually by using a combination of techniques
d. Impossible

CHAPTER Endodontic Surgery

1. What is the purpose of incision for drainage?

a. to evacuate exudates from a soft tissue swelling
b. to obtain a biopsy specimen
c. to prevent a postoperative swelling
d. to avoid emergency cleaning and shaping

2. Profound anesthesia is difficult to attain before incision for

drainage. What is a preferred approach for a maxillary cuspid with
extensive swelling?
a. Start with an infraorbital block and then infiltrate at the margins
of the swelling.
b. Start with posterior superior alveolar block and then use refrigerant
spray.
c. Inject buffer and anesthetic directly into the swelling.
d. Use topical anesthetic and then refrigerant spray.

24 MCQ for 5th year Dr.A7md S3odi

3. Which of the following is not an indication for periapical surgery?
a. a nonnegotiable or blocked canal associated with symptomatic
periradicular pathosis
b. gross overextension of obturating material
c. obtain a biopsy
d. to resolve any endodontic treatment failure

4. Which of the following would contraindicate periapical surgery?

1. anatomical structures in the area
2. medical complications
3. lip paresthesia
4. previous malignancies
5. unidentified cause of treatment failure
a. 1, 2, and 3
b. 1, 3, and 5
c. 1, 2, and 5
d. 2, 3, and 4
e. all of the above

5. Which of the following is true regarding an incision over a bony

defect?
a. It should be avoided.
b. It may cause a postsurgical fenestration.

c. It may prevent healing of the incision.

d. All of the above.

6. Which of the following describes a submarginal flap design?

a. It is ideal for mandibular posterior teeth.
b. It causes less scarring.
c. It is associated with less gingival recession.
d. It causes less intraoperative hemorrhage.

7. What is the purpose of root end resection?

a. removes irritants encased in the apical portion of the root
b. to examine the root
c. exposes additional canals or fractures
d. all of the above

25 MCQ for 5th year Dr.A7md S3odi

8. Which of the following is true regarding a root-end cavity
preparation?
a. It should be as shallow as possible to preserve tooth structure.
b. It should be made to a minimum depth of 3 mm.
c. It should only encompass the main portion of the canal.
d. It should be made with a very small bur.

9. An ideal root-end filling material should satisfy all of the following

except which one?
a. The material should be well tolerated by periradicular tissues.
b. The material should be easily placed.
c. The material should be absorbable.
d. The material should be visible radiographically.

10. Which of the following cell types are important in the healing
process after periapical surgery?
1. epithelial cells
2. macrophages
3. dendritic cells
4. fi broblasts
5. osteocytes
a. 1, 2, 4, and 5 only
b. 1 and 2 only
c. 1, 2, and 5 only
d. 1, 2, 3, 4, and 5
e. 1, 3, and 4 only

11. With root amputation, the factor that most affects success is
which of the following?
a. occlusal force patterns
b. the type of restoration
c. the length of the root
d. the patient’s oral hygiene

26 MCQ for 5th year Dr.A7md S3odi

12. All of the following procedures should be referred to a specialist
with specific training in endodontic surgery except which one?
a. root-end resection/root-end filling
b. incision for drainage
c. root amputation
d. perforation repair

13. A 45-year-old man has a radiolucent area associated with his

maxillary, right, central incisor (tooth no. 8) and facial swelling. He
relates traumatic injury as a child with root canal treatment during
his teenage years. Subsequent to this treatment he fractured tooth
no. 8 playing basketball in his early thirties. Root canal retreatment
was necessary and the tooth was restored with a cast post, core and
crown. Which of the following is the most appropriate treatment
sequence?
a. Incision and drainage followed by nonsurgical retreatment and
fabrication of a new restoration
b. Root end surgery and a postsurgical antibiotic
c. Management of the infection and performance of root end surgery
when the swelling subsides
d. Incise and drain the swelling, prescribe an antibiotic, and follow the
patient on recall examinations
e. Tooth extraction and implant placement

14. Each of the following statements on the reasons two radiographs

are recommended for evaluation of a tooth to be treated surgically is
correct, except for one. Which is the exception?
a. Two films permit the evaluation and location of normal anatomic
structures.
b. The root length can be assessed.
c. The size of the lesion can be determined.
d. Root curvatures can be viewed.
e. The depth of the overlying bone can be determined.

27 MCQ for 5th year Dr.A7md S3odi

15. When a vessel is severed, initial hemostasis results from which of
the following?
a. Contraction of the vessel wall
b. Formation of a platelet plug
c. The conversion of prothrombin to thrombin
d. The conversion of fibrinogen to fibrin

16. The anesthetic of choice when performing endodontic root end

surgery on a patient with mild cardiovascular disease is which of the
following?
a. 1.5% etidocaine 1:200,000 epinephrine
b. 0.5% marcaine 1:200,000 epinephrine
c. 2% lidocaine 1:100,000 epinephrine
d. 2% lidocaine 1:50,000 epinephrine
e. 4% prilocaine plain

17. The primary beneficial action of epinephrine when performing root

end surgery is which of the following?
a. It effects the drug on alpha-1 receptors in the alveolar mucosa.
b. It effects the drug on beta-1 receptors of skeletal muscle.
c. It decreased systemic uptake of the anesthetic solution.
d. It prolonged the duration of anesthesia.

18. Which of the following statements regarding flap reflection is

correct?
a. The horizontal incision for the mucogingival flap is made perpendicular
to the cortical bone.
b. The rectangular flap design is most appropriate in the posterior areas.
c. The mucogingival flap with an anterior-releasing incision is preferred in
posterior areas.
d. The type of vertical-releasing incisions distinguish the mucogingival
flap from the Luebke-Oschsenbein flap.
e. The semilunar flap has the advantage of providing an esthetic result
without scar formation.

28 MCQ for 5th year Dr.A7md S3odi

19. Which of the following hemostatic agents activates the intrinsic
coagulation pathway?
a. Ferric sulfate
b. Calcium sulfate paste
c. Microfibrillar collagen
d. Bone wax
e. Epinephrine pellets

20. Which of the following is the recommended hemostatic technique

to control bleeding during root end surgery?
a. Local anesthesia with 2% lidocaine 1:50,000 epinephrine,
epinephrine saturated pellets, ferric sulfate, calcium sulfate paste
b. Local anesthesia with 2% lidocaine 1:50,000 epinephrine, ferric sulfate,
microfibrillar collagen, bone wax
c. Local anesthesia with 2% lidocaine 1:100,000 epinephrine, ferric
sulfate, microfibrillar collagen, Telfa pad
d. Local anesthesia with 0.5% marcaine 1:200,000 epinephrine, ferric
sulfate, calcium sulfate paste

21. Each of the following statements is correct regarding the use of

the H 161 Lindemann bone cutter for root end surgery is correct,
except for one. Which is the exception?
a. It reduces frictional heat when resecting bone.
b. It has more flutes that conventional burs, so cutting is faster and
more efficient.
c. When used with the Impact Air 45 hand piece splatter is decreased.
d. It has fewer flutes and is less likely to clog.

22. Which of the following statements regarding root end resection is

correct?
a. The root should be resected at a 45-degree angle to ensure adequate
access and visibility.
b. The apical 2 mm should be removed to ensure that apical ramifications
are not present.
c. Root end resection should precede apical curettage.
d. Resection of the root should be as perpendicular to the long access
of the root as possible.

29 MCQ for 5th year Dr.A7md S3odi

23. Which of the following statements regarding the isthmus between
canals is correct?
a. Although often noted between canals, failure to include this area in the
preparation does not affect the prognosis of a tooth.
b. The incomplete isthmus should be prepared with a tracking groove
before ultrasonic preparation.
c. Isthmus incidence is not affected by the amount of the root resection
but increases as the bevel approaches 45 degrees.
d. When using a surgical operating microscope, the absence of an isthmus
at 16 × to 25 × is evidence that no connection between canals exist.

24. Which of the following statements regarding ferric sulfate is

correct?
a. Ferric sulfate acts by producing a tamponade effect and is absorbed by
the body over 2 to 3 weeks.
b. Ferric sulfate exhibits an alkaline pH.
c. Applied to the osseous surface, ferric sulfate causes agglutination
of blood proteins.
d. Ferric sulfate induces osseous tissue formation.

25. Which of the following statements regarding root end preparation

is false?
a. The ideal preparation should extend 3 mm into the root and follow the
long axis of the tooth.
b. The lingual wall of the preparation is the most difficult area to
evaluate.
c. Ultrasonic preparation has the potential to induce micofractures in the
dentin.
d. KiS tips have enhanced cutting efficiency for root end preparations
because of a zirconium nitride coating.
e. Ultrasonic root end preparation may thermoplasticize the remaining
gutta-percha.

30 MCQ for 5th year Dr.A7md S3odi

26. Which of the following statements regarding root end filling
materials is false?
a. Super EBA is preferred as a root end filling material over IRM
because it lacks eugenol.
b. IRM is preferred over amalgam.
c. Mineral trioxide aggregate (MTA) is not adversely affected by
contamination with blood.
d. Periapical healing with MTA results in cementum formation over the
material.
e. Composite resins appear to be acceptable, providing a dry-opening field
can be maintained.

27. Which of the following statements is correct regarding treatment

for a 73-year-old woman who develops ecchymosis after root end
surgery?
a. Instruct the patient to place warm compresses over the area three to
four times daily.
b. Place the patient on an antibiotic to prevent infection of the area.
c. Prescribe an antiinflammatory analgesic to enhance the healing process.
d. Explain the cause of the problem to the patient and provide
reassurance.

31 MCQ for 5th year Dr.A7md S3odi

CHAPTER
Bleaching Discolored Teeth: Internal and External

1. Which of the following is not considered a natural or acquired

discoloration source?
a. tetracycline stain
b. intrapulpal hemorrhage
c. stain from amalgam
d. calcific metamorphosis

2. Which of the following is not part of the mechanism of staining

caused by fluorosis?
a. Hypoplastic defects are produced in enamel by excess fluoride.
b. Stain is acquired from chemicals in the oral cavity.
c. Stain is present in the enamel.
d. Stain is solely caused by fluoride deposits in the enamel.

3. Which of the following describes tetracycline stain?

a. It is classifi ed into three groups based on severity.
b. It is often associated with a “banding” pattern.
c. It is located in the dentin.
d. All of the above.

4. What is the most common iatrogenic etiology related to tooth

discoloration?
a. incomplete removal of pulp tissue
b. incomplete removal of obturating material from the chamber
c. the use of intracanal medicaments
d. intracanal irrigants

5. Which of the following restorative materials can contribute to

staining?
a. amalgam
b. pins and posts
c. composite
d. all of the above

32 MCQ for 5th year Dr.A7md S3odi

6. What is the most common agent used for internal bleaching?
a. carbamide peroxide
b. sodium perborate
c. hydrogen peroxide
d. sodium peroxyborate monohydrate

7. Which of the following is not an indication for internal bleaching?

a. defective enamel formation
b. intrapulpal hemorrhage-induced stain
c. tetracycline-induced stain
d. sealer stain

8. One potential complication of internal bleaching is external root

resorption, which has been associated with which of the following?
a. high concentration of hydrogen peroxide
b. heat
c. damage to cementum and periodontal tissues
d. all of the above

9. What is the most common agent employed in external bleaching?

a. sodium perborate
b. hydrochloric acid
c. carbamide peroxide
d. sodium hypochlorite

10. Which of the following describes the microabrasion technique?

a. It is not a true bleaching technique.
b. It uses hydrochloric acid.
c. It requires meticulous soft tissue isolation.
d. All of the above.

33 MCQ for 5th year Dr.A7md S3odi

11. The whitening mechanism for bleaching teeth is thought to be
which of the following?
a. A result of the degradation organic molecules of high molecular
weight that reflect a specific wavelength of light
b. Related to changes in the inorganic hydroxyapitite crystals
c. Related to the dissolution of the stain
d. A result of removal of free-metal ions, such as iron and copper

12. Which of the following statements is correct regarding the

incidence of cervical resorption after internal bleaching?
a. Cervical resorption can be as high 25% when Superoxyl and heat
are used.
b. Lesions develop rapidly and can be detected 1 to 2 months after
bleaching.
c. The incidence of cervical resorption increases in patients who are 25
years old and older.
d. Although cervical resorption is often attributed to bleaching, it is more
likely caused by a previous traumatic injury to the involved tooth.

13. Each of the following is an intrinsic form of tooth discoloration,

except for one. Which is the exception?
a. Endemic fluorosis
b. Hereditary opalescent dentin
c. Tetracycline staining
d. Peridex staining

14. When performing a walking bleach procedure, which of the

following statements is accurate?
a. The dentin should be etched before placement of the bleaching agent
to increase permeability of the tubules and enhance the bleaching action.
b. The sodium perborate paste should be covered by a minimum of 2
mm of Cavit or IRM.
c. A barrier over the obturating material is not required.
d. The definitive bonded restoration should be placed at the visit in which
the sodium perborate paste is removed.

34 MCQ for 5th year Dr.A7md S3odi

15. Which of the following statements regarding power bleaching is
false?
a. Power bleaching often uses a liquid rubber dam composed of a light
cured resin gel.
b. Vitamin E can be used to neutralize the oxidizing effects of hydrogen
peroxide that comes in contact with soft tissues.
c. Power bleaching can often be performed by trained dental auxiliary
personnel.
d. After fabrication of custom trays with appropriate reservoirs,
patients apply a bleaching gel every 2 hours during their waking
hours.

 With my best wishes,

For Further communication:

01003784442

pretty.mind2030

35 MCQ for 5th year Dr.A7md S3odi