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Nbde Part 2 2004 Exam
Nbde Part 2 2004 Exam
1. Additional cured silicones (polyvinyl Siloxane) are often the materials of choice for impressions for
fixed restorations. Each of the following is true about these materials except one. Which one is this
exception?
a. give off ethyl alcohol during their setting reaction
b. can be poured more than once and still remain accurate
c. can be poured after 24 hours and still remain accurate
d. rebound from undercuts without permanent deformation
e. may released hydrogen gas during setting
2. why is it advisable to dispense the liquid component of cement of cement immediately before mixing?
a. to avoid absorption of moisture from the air
b. to avoid spreading over a large area of the slab
c. to allow tempering of the powder by the mixing slab
d. to reduce the temperature influence of the mixing slab
e. to prevent evaporation of the volatile components.
3 Which of the following is the typical interocclusal distance between opposing denture teeth at the
physiological rest position?
a. 0.0-0.15 mm
b. 2.0-4.0 mm
c. 4.5-5.5 mm
d 6.0-8.0 mm
4 As an X-ray tube operates, electrons carry energy from the cathode to the anode into which of the
following is MOST of this energy converted in the target?
a. heat
b. X ray
c. Magnetism
d. electricity
e. visible light
5 Class II amalgam restoration has a overhang at gingival margin. This might have been caused by which
of the following?
a. poor adaptation of the matrix band
b. poor carving
c. did not wedge the matrix band
7 Larger condensers and laterally applied condensation forces are recommended to ensure complete
condensation of which of the following amalgam types?
a. admixed
b. spherical
c. lathe-cut
d. high-copper
e. conventional
8 The usual metabolic pathway of ingested fluoride primarily involves urinary excretion with the remaining
portion found largely in the
a. teeth
b. muscle tissue
c. skeletal tissue
d. epidermal tissue
12 an 18 year old man complains of tingling in his lower lip. an examination discloses a painless, hard
swelling of his mandibular premolar region. the patient first noticed this swelling three weeks ago.
radiograph indicate a loss of cortex and a diffuse radiating pattern of trabeculae in the mass. which of the
following is the MOST likely diagnosis
a. leukemia
b. dentigerous cyst
c. ossifying fibroma
d. osteoma
e. hyperparathyroidism
13 increasing the amount of water in the mix of an improved gypsum die-stone will MOST likely result in
which of the following
a. more expansion and more strength
b. more expansion and less strength
c. less expansion and more strength
d. less expansion and less strength
14 which of the following is recommended for treating the pain of tic douloureux (trigeminal neuralgia)?
a. oxycodone
b. ibuprofen
c. carbamazepine
d. hydrocortisone
e. acetylsalicylic acid
15 which of the following is seen MOST frequently among temporomandibular-joint dysfunction patient
a. depression
b. psychosis
c. sociopathy
d. schizotypical behavior
e. passive-aggressive behavior
16 which of the following diagnostic criteria is the LEAST reliable in the assessment of the pulp status in
the primary dentition
a. swelling
b. pulp testing
c. spontaneous pain
d. internal resorption
17 which of the following explains why the Z-plasty technique used in modifying a labial frenum is
considered to be superior to the diamond technique
a. it is less traumatic
b. it is technically easier
c. it requires fewer sutures
d. it decreases the effects of scar contracture.
e. it allows for closure by secondary intention
20 dentists usually send their cemento-metal restoration cases to dental lab for fabrication. upon receiving
the cases, these technicians MOST frequently complain that the
a. margines have been ill-defined
b. teeth have been insufficiently reduced
c. shades for the restorations have been inadequately described
d. impressions or models are inaccurate
21 which of the following characteristics of autism presents a major obstacle to successful dental
management of an ambulatory patient
a. impaired communication
b. apparent insensitivity to pain
c. lack of intellectual development
d. inability to perform fine-motor activities
e. automation, such as hair twirling and body rocking
23 the dentist is performing a block of the maxillary division of the trigeminal nerve into which anatomical
area must the local anesthetic solution be deposited or diffused
a. pterygomandibular space
b. pterygopalatine space
c. retropharyngeal space
d. retrobulbar space
e. canine space
24 the anterior maxillary incisors of a middle-aged patient can be given a younger appearance by selective
grinding of the enamel. the dentist performs this procedure by
a. flattening the incisal edges
b. shortening the incisal edges
c. rounding the incisal point angles
d. moving the facial line angles proximally
e. moving the facial height of curvature gingivally
25 occlusal disharmony in newly inserted complete dentures MOST frequently results from which of the
following
a. improper waxing
b. overextension of borders
c. errors in registering jaw relations
d. changes in supporting structures following insertion of dentures
26 inflammation from periodontal disease usually extends to the bone marrow following
a. trauma from occlusion
b. the nutrient canals
c. the periodontal ligament
d. the course of the vascular channels
27 how many hours per day should a cervical pull headgear be worn to achieve the MOST affective results
a. 6
b. 8
c. 10
d. 12
e. 14
28 which of the following outlines BEST describes the access cavity preparation on a mandibular molar
with four canals
a. oval
b. trapezoidal
c. triangular
d. round
32. current accept technique for reduced pocket depth except one, which one is exception?
a. gingivectomy
b. gingival curettage
c. S & R
d. debridement surgery
e. osseous surgery
33. When determining the appropriate dose of systemic fluoride supplement for a child, it is MOST
important for the dentist to consider which of the following
a. The fluoride content of the drinking water
b. the child’s diet and caries activity
c. the child ago and the fluoride content of the drinking water
d. the child’s weight and the fluoride content of the drinking water.
34. which of the following statements about the bacterial etiology of enamel surface dental caries is
INCORRECT
a. caries is a transmissible bacterial infection
b. the presence of S. mutans in dental plague means the patient has caries
c. pits and fissures from which S. mutans can be cultured may not become carious
36. the retentive tip of a clasps arm is placed in an undercut BECAUSE a flexible arm is BEST suited for
reciprocation
a. both the statement and the reason are correct and related
b. both the statement and the reason are correct but NOT related
c. the statement is correct, but the reason is NOT
d. the statement is NOT correct, but the reason is correct
e. NEITHER the statement NOOR the reason is correct
37. which of the following bacteria responsible for odontogenic infections are capable of adapting to either
a high or low oxygen containing environment
a. enteric organism
b. obligate anaerobes
c. facultative organism
d. synergistic organism
e. microaerophilic organism
38. which of the following injuries to the teeth MOST often results in pulpal necrosis
a. avulsion
b. concussion
c. lateral luxation
d. intrusive luxation
e. extrusive luxation
39. which of the following physical signs indicates severe CNS oxygen deprivation
a. dilated pupils with increased light reflex
b. pinpoint pupils with increased light reflex
c. dilated pupils with an absence of light reflex
d. pinpoint pupils with an absence of light reflex
a. porphyria
b. progeria
c. acrodynia
d. cystic fibrosis
e. congenital heart disease
41. to enhance a patient’s comfort level in a dental setting, which of the following represents the MOST
important action for a dentist
a. inform the patient of what to expect during the appointment
b. have an axillary staff member present in the operatory
c. assert control using a directive interviewing style
d. provide an immediate evaluation of the patient’s oral health
e. maintain eye contact to increase the level of intimacy
42. which of the following groups of muscle influences the molding of the lingual border of the final
mandibular impression for an edentulous patient
a. hypoglossus, mylohyoid, medial pterygoid, digastric
b. mylohyoid, styloglossus, medial pterygoid, depressor anguli oris
c. palatoglossus, superior pharyngeal constrictor, mylohyoid, genioglossus
d. genioglossus, mylohyoid, middle pharyngeal constrictor, posterior belly of the digastric.
43. after the initial visit, a patient’s decision to return is MOST likely to be influence by the dentist
a. interpersonal skills
b. office design
c. office location
d. technical competence
e. educational credentials
44. which of the following can be a clinical feature of acute herpetic gingivostomatitis
a. discrete, spherical vesical
b. temperature-sensitive teeth
c. solitary localized edematous gingival lesion
d. necrotic destruction of interdental gingival tissues
46. which of the following should be done when a patient presents with a low, attached maxillary frenum,
accompanied by a 3 mm diastema in the early transitional dentition
a. perform a frenectomy when it is first observed.
b. observe until after the eruption of the permanent canines
c. render treatment before the complete eruption of the maxillary incisors
d. instruct the patient to wear an elastic around the teeth to close the diastema
47. an examination of a complete denture patient reveals that the retromolar pad contacts the maxillary
tuberosity at the occlusal vertical dimension. To remedy this situation, which of the following should be
performed
a. reduced the maxillary tuberosity by surgery
b. cover the tuberosity with a metal base
c. increase the occlusal vertical dimension
d. reduce the retromolar pad by surgery
e. omit coverage of the retromolar pad by the mandibular denture.
48. the ability of a patient to make choices among treatment options represents the concept
a. autonomy
b. competence
c. beneficial
d. paternalism
49. a tissue-conditioning materials is MOST frequently used to treat which of the following conditions
a. epulis fissuratum
b. papillary hyperplasia of the candida albicans
c. traumatized mucosa caused by ill-fitting denture
d. sharp, residual, mandibular ridges occurring in molar areas
50. maxillary first premolars with mesiodistal furcation involvements are often managed successfully by
surgery.
Therefore, they have a good prognosis and can be included as key abutments in a fixed prognosis.
a. both statements are true
b. both statements are false
c. the first statement is true, the second is false
d. the first statement is false, the second is true
51. according to ADA publication entitled principles of ethics and code of professional conduct, a dentist
can announce specialization in which of the following
a. implantology
b. hospital dentistry
c. aesthetic dentistry
d. dental public health
e. geriatric dentistry
52. a patient presents with a restricted floor of the mouth, only 6 mandibular anterior teeth, and diastema
between several teeth. Which of the following major connectors is appropriate for this patient
a. a lingual bar
b. a lingual plate
c. a lingual bar with a Kennedy bar
d. a lingual plate with interruptions in the plate at the diastemas.
53. symptoms of pain and tenderness upon palpation of the TMJ are usually associated with which of the
following
a. impacted mandibular third molars
b. flaccid paralysis of the painful side of the face
c. flaccid paralysis of the non painful side of the face
d. excitability of the second division of the fifth nerve
d. deviation of the jaw to the painful side upon opening the month.
54. which of the following represents the MOST likely cause of plastic denture teeth being dislodged from
the acrylic resin of the denture base
a. excessive occlusal forces were applied
b. the occlusal surfaces were not placed in the teeth
c. retentive undercuts were not placed in the teeth
d. the mold was contaminated with wax before processing
5. before beginning tooth preparation, the dentist should visualize the outline form to
a. establish the convenience form
b. establish the resistance and retention form
c. prevent over cutting and overextension
d. aid in the finish of enamel walls and margins.
57.a child has a sore ulceration of the lower lip. There is no history of obvious trauma. The ulceration
appeared several hours after the patient received dental treatment. Which of the following represents the
MOST likely diagnosis
a. herpes labialis
b. postanesthetic lip bite
c. chemical burn from aspirin
d. aphthous ulcers secondary to stress
e. allergic stomatitis to the rubber dam.
59. a 40 years old female patient complains of a painful rapidly developing ulcer on the left side of her
palate. This lesion appears crater like and measure 1.5 cm. Which of the following represents the MOST
likely diagnosis
a. actinomycosis
b. pleomorphic adenoma
c. squamous cell carcinoma
d. necrotizing sialometaplasia
60. examination reveals a soft, fluctuant, tender swelling in the middle of the hard palate. The teeth test
vital. Radiographs reveals a radiolucent area projected between the roots of the maxillary central incisors.
Which of the following cysts represents the MOST likely diagnosis
a. nasolabial
b. median palatal
c. periapical
d. nasopalatine duct
e. incisive papilla
61. incomplete removal of bacteria, pulp debris, and dentinal shaving is commonly caused by failure to
irrigate thoroughly. Another reason is failure to
a. use broaches
b. use a chelating agent
c. obtain a straight line access
d. use gates-Glidden burs
62. the pulpal floor is perforated during access preparation. Which of the following is the BEST course of
action
a. repair the perforation immediately and continue the root canal treatment
b. continue the root canal treatment; repair the perforation at a subsequent appointment, only if associated
pathosis develops
c. continue the root canal treatment; repair the perforation at a subsequent appointment
e. perform no further treatment at this time; repair the perforation and continue the root canal treatment at a
subsequent appointment
63. a 22 years old male patient complaint of dull pain in the posterior left mandibular region. A radiograph
made of this area reveals not only a radiolucency around the first molar roots, but also a radiopacity of bone
peripheral to this radiolucency. Which of the following BEST explains this conditions? It is
a. normal for this patient
b. a developmental abnormal
c. an error in radiograph technique
d. a manifestation of systemic bone disease
e. a reaction to an apical inflammatory disease
64. a 34 years old patient present for a routine oral examination. She has six mandibular anterior teeth
remaining in the mouth. She is asymptomatic and there is no evidence of decay or tooth destruction.
Although slight periodontal disease is present. Radiographically, there are periapical radiolucency present
on two mandibular central incisor. Electric pulp testing indicates all teeth are responsive in a small fashion.
Which of the following is the treatment of choice
a. initiate root canal treatment on the two teeth
b. test cavities on mandibular central incisors
c. identify the dark, potentially necrotic pulp chambers by translumination
d. extract and replace teeth with a mandibular partial denture.
e. no treatment is necessary at this time
65. which of the following represents an effective treatment for mottled enamel(chalky white color mixed
with brown spots)
a. microabrasion with HCL/pumice
b. vital tooth bleaching after root canal treatment
d. in office bleaching with 35% hydrogen peroxide
66. patient who have natural dentitions generate the GREATEST amount of occlusal force during
a. swallowing
b. mastication
c. centric relation
d. parafunctional movement
67. in which of the following teeth does the pulpal anatomy dictate a triangular-access cavity preparation
a. maxillary central incisor
b. maxillary first premolar
c. mandibular second premolar
d. mandibular canine
69. in communicating with children, which of the following should the dental team do
a. allow the patient to answer questions asked by the clinic at chairside
b. allow both the parent and the dentist to communicate simultaneously with the child
c. transmit word substitutes for dental procedures and equipment during the appointment
d. attain voice control to build the groundwork for future instructions
73. the number of patients with disease divided by the number of patients defines
a. specificity
b. sensitivity
c. prevalence
d. incidence
77. a patient constantly questions and criticized the dentist. What should the dentist do
a. be silent
b. shout at the patient
c. state the criticism
d. clear the patients misconceptions
81. after the first visit which of the following will cause the patient to return the MOST
a. office décor
b. front desk
c. interpersonal skills of the dentist
d. sterilization procedure
82. you notice a red area on the palatal of the tooth which was extracted on the previous day. The area is
covered with white slough and is at site of the needle injection. Which is it most likely
a. aspirin burn
b. herpes
c. necrosis due to vasoconstriction
d. normal
84. in an edentulous patient the tuberosity touches the retromolar pad. What should you do
a. reduce the pad
b. reduce both
c. reduce the tuberosity
d. do not put the borders of the CD on the pad
86. what is the name for the phenomena of porcelain appearing different under different lights
a. fluorescene
b. incandescence
c. metamerism
d. isomerism
87. a patient has a high caries index, short crowns and minimum horizontal overlap. What restoration will
you plce
a. 3/4 frown
b. jacket crown
c. PFM
d. resin bonded retainer
88. a black female has multiple periapical lucency in the mandibular incisor area. What is the treatment
a. extract
b. RCT
c. no treatment
d. periapical surgery
89. tetracycline stain is incorporated during
a. apposition
b. mineralization
c. calcification
90. Cantilever bridges are not good in the long term BECAUSE periodontal forces are best along the long
axes of tooth
a. statement is correct reason is not
b. statement and reason are correct NOT related
c. statement and reason are correct and related
d. statement is wrong but reason is correct
e. both are wrong
95. after the dentist explains the treatment plan the patient is sad. How will he/she express this
a. gesture
b. ideas
c. eye sign and facial expression
d. by shouting at the dentist
97. in the absent of the permanent tooth, the deciduous tooth will
a. not resorb
b. resorb like usually
c. resorb slowly
d. resorb at the faster rate
102. recurrent lesions on ono-keratinized tissue in 20 year old female are most likely
a. herpes labialis
b. herpetic gingivostomatitis
c. aphthous
d. shingles
104. a patient gets a blow to the chin. He complains of pain on the right side and the jw deviates to the
right. What is the cause
a. fracture of symptoms
b. fracture of left subcondylar
c. fracture of right subcondylar
105. while doing the access preparation in a mandibular molar you perforate. What will you do next
a. do the endo now and repair later
b. do nothing now, repair both at a later visit
c. repair the perforation and do the endo
d. extract the tooth
106. you will use a larger condenser and lateral condensation in which alloy
a. lathe cut
b. admixed
c. spherical
d. high copper
e. low copper
107. a mandibular molar has 4 canals. How should the access opening be
a. round
b. oval
c. trapezoidal
d. triangular
108. anatomy of which tooth dictates a triangular access opening in to the root canal
a. maxillary premolar
b. maxillary molar
c. maxillary central incisor
d. mandibular lateral incisor
115. after injection of local anesthesia for the posterior superior alveolar nerve block a sudden swelling
seen on the ipsilateral side extending in the canine region. What is the cause
a. buccal pad of fat
b. loose areolar tissue
c. rupture of posterior superior alveolar vessel
d. leakage of saliva
116. which principle of ethics allows the patient the right to choose his treatment
a. paternalism
b. justice
c. autonomy
d. Malefecience
117. which is the most common complaint of lab technicians regarding a PFM prosthesis
a. improper buccal reduction
b. improper occlusal reduction
c. improper shade selection
d. improper margins in the impression
118. which surface of mandibular first primary molar requires least reduction for a stainless steel crown
a. occlusal
b. buccal
c. lingual
d. proximal
119. which is the most common reason for the failure of a casting to seat
a. deficient margins
b. overextended margins
c. proximal contacts
d. buccal over contouring
120. a patient complains of dull pain and has a carious tooth with a periapical lucency surrounded by an
opacity. What is it
a. abnormal
b. cementoblastoma
c. reaction to inflammation
d. normal
121. Tylenol and ASA are same in all of the following except
a. modes of action
b. onset of action
c. duration of action
d. toxicity
123. what will you see if a patient receives a dose of 4Gy on the arm all at one time
a. ulcers
b. vesicles
c. erythema
d. osteosarcoma
125. there is a root fracture in the apical third of the root of a mandibular tooth. What will be the most
likely result
a. root resorption
b. ankylosis
c. vitality will be preserved
d. tooth will show internal resorption
126. there is a root fracture in the middle third of the root in an 11 year old patient. The tooth is mobile and
vital. What will you do
a. extract
b. pulpectomy
c. splint and observe
d. do nothing
127. what is the median of 1111223379?
a. 1
b. 3
c. 2
d. 7
134. a 6 years old patient has acute lymphatic leukemia. Her deciduous molar has a large carious lesion and
furcation lucency. How will you treat this person
a. pulpotomy
b. pulpectomy
c. extraction
d. nothing
137. patient presents tenderness on palpation of the right joint, the jaw deviates to the right on opening and
there is an open bite. What is the cause
a. fracture of the left side
b. bilateral fracture
c. fracture of the right side
d. symphysis fracture
139. an extra oral incision for a submandibular space abscess passes through
a. skin, superficial fascia, platysma, masseter
b. skin, superficial fascia, buccinator
c. skin, superficial fascia, platysma, deep cervical fascia
140. in restoring a canine protected occlusion, with anterior overbite of about 2mm. The buccal cusps f
posterior teeth should be flat, BECAUSE they will guide the protrusion
a. both are true
b. only the second statement is true
c. both are false
d. only the first statement is true
142. a FPD was placed on teeth #18-20 with both retainers being gold crowns. After cementation the
patient returns complaining of sensitivity. What is the next step to do
a. check vitality
b. refer to endodontics
c. check occlusal
d. do a cavity test.
145. scaling is the removal of surface deposits on teeth. Scaling can be done on crown and root surfaces
a. both are false
b. only the second statement is true
c. both are true
d. only the first statement is true
146.all of the following are endogenous opioids except
a. endorphin
b. enkephalin
c. bradykinin
d. dynorphin
152. you are considering the placement of an upper and lower important retained complete denture. How
many implants will you place in the anterior region
a. maxillary one and mandibular one
b. maxillary two and mandibular two
c. maxillary four and mandibular two
d. maxillary four and mandibular six
154. a routine class V composite restoration was placed and patient returned the following day complaining
of pain. Which best explains why
a. preparation too deep
b. no liner or base used
c. cervical dentin was exposed during polishing
156. patient complains of pain in the lower left posterior region 2 days after extraction. What is the most
common reason
a. normal
b. tumor
c. alveolar osteitis
d. paresthesia
157. patient has front bossing bifid ribs multiple missing teeth. What is the diagnosis
a. cleidocranial dysplasia
b. ectodermal dysplasia
c. Peutz Jeghers syndrome
d. basal cell nevus syndrome
158. which of the following methods is likely to increase the chance of successful dental visits with young
children
a. rewarding appropriate behavior verbally
b. using cooperative patients as model
c. tell/show/do
d. using voice control in negative situations
e. all of above
159. each of the following have increased blood levels due to an active metabolite except
a. diazepam
b. flurazepam
c. taxozin
d. oxazepam
e. chloral hydrate
162 what is the common reason for a toxic reaction to local anesthesia
a. hypersensitivity to the anesthesia
b. hypersensitivity to the epi
c. increase vascular concentration of anesthesia
d. extra vascular deposition of anesthesia
164. A 6 years old child is initially frightened on sitting in the dental chair for the first time. The best
approach for ensuring a productive dental visit for this child is for the dentist to
a. tell child not to move
b. tell child not to be frightened
c. ask the child about his /her fears
d. ask the parent to control the child
e. reschedule the appointment
166. the patient complains that the lower denture keeps popping up what is the most likely reason
a. underextended
b. lack of the tongue space
c. overextended
167. which is the most important factor for the retention of a complete denture
a. periapical seal and atmosphere pressure
b. capillary action
c. peripheral seal and maximum contact of basal tissue
170. what is the problem if you want to perform apically repositioned flap surgery in the mandibular
second and third molar areas
a. mandibular ramus
b. external oblique ridge
c. mylohyoid ridge
d. poor blood supply to the area
176. how will you increase the number of photon in the x-ray machine
a. increase kVp
b. use a shorter cone
c. increase mA
d. use a film with faster thin speed
177. all forms of the hepatitis are transmitted through blood or bodily fluid except
a. non A non B
b. B
c. A
d. C
e. D
178. a young child aged 4 loses the second primary molar. How will you maintain the space
a. no need to maintain the space
b. lingual bar
c. distal shoes
d. cantilever bridge
181. degeneration of the myelin sheath of the peripheral nerves in a diabetes may be manifested intraorally
a. causalgia and neuralgia
b. acanthosis and acantholysis
c. vesical and ulcer formation
d. glossopyrosis and glossodynia
184. overextension of a mandibular denture base in the distofacial area will cause dislodgement of the
denture during function as the result of the action of the
a. masseter muscle
b. buccinator
c. pterygomandibular raphe
d. superior pharyngeal constrictor muscle
e. lateral tendon of the temporal muscle
187. all of the dental procedure will damage soft tissue except one, which one
a. topical treatment of fluoride
b. matrix retainer
c. rubber dam clamp
d. bleaching
189. dentist is doing research on 5 unrelated patient with different background. He record data ……etc.
dentist is doing what kind of research?
a. clinical trial
b. cohort
c. sectional
195. what precaution you need to take for patient who has cardiac pacemaker
a. antibiotic prophylaxis
b. avoid electrocautery
196. dentist present his treatment to patient and think this is BEST for him/her is called
a. paternalism
c. autonomy
c. mal
204. patient’s #8 and #9 PFM is little darker than adjacent teeth but is clinically acceptable, what is
treatment you would propose except one
a. redo PFM
b. indirect resin bond to
c. porcelain bond to
213. all of the following are affected in removed plaque except one
a. toothpick
b. H2O irrigation
c. toothbrush
d. floss
219. all of the following are good reasons for dentist to retire early except
a. back pain
b. tunnel syndrome
c. HBP
d. mercury toxicity
222. If dentist accidentally leave caries when seal occlusal pit and fissure
a.
223. all of the following reasons to restore erosion lesion except one, which one
a. prevent future erosion
b. reduced sensitivity
c. esthetic
225 When finishing the occlusal portion of a posterior composite restoration, the dentist should carefully
a. eliminate contacts in the fossa
b. avoid altering the centric contact on enamel
c. develop centric contacts on cavosurface margins
226 The long term prognosis of a single-abutment cantilever fixed partial denture is compromise
BECAUSE forces are best tolerated by the periodontal supporting structure when directed in the long axes
of the teeth.
a. both statement and the reason are correct and related
b. both the statement and the reason are correct but NOT related
c. the statement is correct, but the reason is NOT
d. the statement is NOT correct, but the reason is correct
e. NEITHER the statement NOR the reason is correct.
227 A practitioner has stabilized a permanent anterior tooth that had a fracture in the apical-one-third of the
root. The tooth will MOST likely
a. require extractions
b. remain functional and vital
c. become ankylosed
d. resorb internally and externally
228 Which of the following is the LEAST effective in removing crevicular plaque
a. toothpick
b. dental floss
c. a soft, nylon toothbrush
d. a water-irrigating device
230 A patient who has Parkinson’s disease is being treated with levodopa. Which of the following
characterizes this drug’s central mechanism of action
a. it replenishes a deficiency of dopamine
b. it increases concentrations of norepinephrine
c. it stimulates specific L-dopa receptors
d. it acts through a direct serotonergic action
231 Establishing drainage is an important aspect of emergency treatment for an acute apical abscess. An
equally important aspect is
a. adjusting the occlusion
b. prescribing systemic antibiotic
c. prescribing appropriate analgesics
d. introducing antimicrobial medicaments into the pulp space
232 daily cleaning of the root surface by the patient has been shown to
a. cause root sensitivity
b. cause root resorption
c. stimulates the epithelial attachment
d. allow remineralization of the root surface.
234 A cast gold restoration might be indicated for the replacement of a faulty amalgam to obtain
a. better margin
b. more ideal contours
c. less trauma to the pulp
d. less removal of tooth structure
235 an adult patient presents with multiple, soft nodules and with macular pigmentation of the skkin.
Which of the following BEST represents this condition
a. lipomatosis
b. neurofibromatosis
c. metastatic malignant melanoma
d. polyostotic fibrous dysplasia
e. bifid rib-basal cell carcinoma syndrome
236 radiographs of an asymptomatic, 20 years old patient reveal a sharply outline radiolucent lesion in the
mandibular first molar area. This 2 cm lesion scallops between the roots of vital teeth. The MOST probable
diagnosis is
a. radicular cyst
b. dentigerous cyst
c. traumatic bone cyst
d. odontoma
237 which of the following abnormal findings is diagnostic of a trochlear nerve dysfunction
a. proptosis
b. dilated pupil
c. eyes fail to move laterally
d. eyes fail to move down and out
238 a 5 years old child has a posterior unilateral crossbite that is accompanied by a functional shift of the
mandible. When should this crossbite be corrected
a. immediately without waiting for the eruption of permanents first molar
b. when all the primary teeth have exfoliated
c. after the permanent first molars have fully erupted
d. when the child is approximately 9 years old
239 stress and illness are often related. The BEST description of their relationship is which of the following
a. stress is a primary cause of illness
b. illness is an adaptation to stress
c. stress is psychological
d. stress is contributory to illness and illness is usually stressful
240 after a dentist explained his diagnosis and treatment plan, a patient became saddened. By which of the
following did this patient MOST likely communicate his feeling to the dentist
a. words
b. gestures
c. respiration rate
d. facial expression
241 persistent and repetitions questions asked by an 8 years old patient during treatment are a
a. attempted to delay treatment
b. medication of hyperactivity
c. sign that child may be autistic
d. expression of the child’s curiosity about the dental treatment
242 what does the moyers probability chart predict when a transitional dentition analysis is performed?
a. the widths of mandibular anterior teeth
b. the space available for permanent canine and premolar
c. the width of permanent canines and premolars
d. the space needed for alignment of permanent mandibular central and lateral incisors
244 for oral sedation in the dental setting, the MOST ideal group of agents is
a. narcotics
b. barbiturates
c. antihistamines
d. benzodiazepines
e. anticholinergics
245 which of the following is the MOST common postoperative problem associated with mandibular
sagittal-split osteotomies
a. infection
b. TMJ pain
c. Periodontal defects
d. Devitalization of teeth
e. Neurosensory disturbances
246 Which of the following exhibits the MOST personal behavior by the dentist
A. leaning toward the patient
B. facing directly toward the patient
C. being seated 2 feet from the patient
D. touching the patient gently on the arm
247 the facial surface of the posterior mandible often presents limiting factors to proper treatment of
periodontal defects. Primary among these factors is/are the
a. genital tubercles
b. mentalis muscle
c. external oblique ridge
d. internal pterygoid muscle
248 a radiographic exanimation reveals a radiolucent area in the region of the mandibular left third molar.
The third molar is not present. The clinical differential diagnoses included all of the following EXCEPT
one which one is this EXCEPTION
a. ameloblastoma
b. residual cyst
c. odontogenic keratocyst
d. dentigerous cyst
e. odontogenic myxoma
250 which of the following should be included to ensure the BEST prognosis in the management of
localized juvenile periodontitis
a. systemic antibiotic
b. chlorhexidine
c. high dose of vitamin C
d. free gingival grafts
e. peroxide rinses
251a patient presents for multiple extractions. For the last 10 years, he has been taking 10 mg of prednisone
daily for colitis. after consulting with patient’s physician, the practitioner should
a. discontinues the patient’s steroid therapy preoperatively
b. halve the patient’s dose of prednisone to 5 mg on the day of surgery
c. switch the patient to another steroid for the preoperative period
d. ask the patient to continue taking the prednisone and consider temporarily increase the dose.
252 Initial instrumentation for the biomechanical preparation of a vital tooth should begin at the canal
orifice and should end at the
a. radiographic apex
b. cementodentinal junction
c. cementoenamel junction
d. cement pulpal junction
253 in the absence of a second premolar, the roots of the primary second molar will MOST likely
a. not resorb
b. resorb slowly
c. resorb rapidly
d. resorb normally
254 a patient complains that a tooth with a recently placed large MOD restoration is tender to mastercation
and exhibits occasional thermal sensitivity. Which of the following is the MOST likely cause
a. microleakage
b. recurrent caries
c. gingival recession
d. premature occlusion
255 an x-radiation dose of 4Gy administered locally to a patient’s arm is MOST likely to cause
a. erythema
b. bone marrow death
c. carcinoma of the skin
d. acute radiation syndrome
256 biologic changes in the aging patient affect both pharmacokinetics and pharmacodynamics of drugs,
which in turn, are manifested as each of the following EXCEPT one, which one is this EXCEPTION
a. decreased renal excretion
b. increased plasma protein binding
c. increased half lives of some drugs
d. decreased volume of distribution and sequestration of drug in body fat
257 which of the following precautions should the dentist observe when providing dental care for a child
with insulin-dependent diabetes
a. no specific precautions are necessary
b. the patient should be seen after a meal and insulin injection
c. the patient should have an empty stomach and should take the insulin before the procedure
d. the patient should have an empty stomach and postpone the insulin injection until after the procedure
e. the patient should be seen after a meal and postpone the insulin injection until after the procedure
258 a patient repeatedly criticizes a dentist’s actions. Which of the following techniques is MOST likely to
open a positive dialogue with the patient
a. maintain simple silence
b. state the patient’s concern
c. ignore the patient’s complaints
d. recognize that the patient has a problem
e. correct the patient’s misconception
259 following flap surgery, new junctional epithelium can form on either cementum or dentin
junctional epithelium is reestablished as early as one week
260 each of the following types of viral hepatitis is usually transmitted through blood or bodily fluid
EXCEPT one, which one is this EXCEPTION
a. hepatitis A
b. hepatitis B
c. hepatitis C
d. hepatitis D
e. non A-non B hepatitis
261 a patient’s early recovery from an ultrashort acting barbiturate is related primarily to
a. redistribution
b. breakdown in the liver
c. excretion in the urine
d. breakdown in the blood
e. binding to plasma protein
262 A patient has pain over the left pre-auricular area, this patient can open approximately 45 mm and has
a “pop-and-click” in the joint area. The MOST likely diagnosis is
a. myofacials pain dysfunction syndrome
b. internal derangement with reduction
c. auriculotemporal syndrome
d. coronoid hyperplasia
263 to expose a mandibular lingual torus of a patient who has a full complement of teeth, the incision
should to
a. semilunar
b. paragingival
c. in the gingival sulcus and embrasure area
d. directly over the most prominent part of the torus
e. inferior to the lesion, reflecting the tissue superior
265 a 4 years old child has a history of frequent spontaneous pain in a primary mandibular second molar.
This molar has a necrotic pulp which of the following represents the treatment of choice
a. pulpectomy
b. pulpotomy
c. extraction
d. pulp cap
266 administration of which of the following narcotics will result in life-threatening complications for a
patient who is taking monoamine oxidase (MAO) inhibitors
a. fentanyl
b. morphine
c. nalbuphine
d. meperidine
e. pentazocine
267 for a population, the research divides the number of disease cases by the number of people. By so
doing, this investigator will have calculated which of the following rates
a. incidence
b. odds ratio
c. prevalence
d. specificity
268 which of the following represents the BEST aid to diagnoses an irreversible pulpitis
a. electric pulp test
b. thermal test
c. radiograph
d. percussion
e. test cavity
269 an apically displaced flap is generally impossible in which of the following areas
a. mandibular facial
b. mandibular lingual
c. maxillary facial
d. maxillary palatal
270 a 26 years old female patient states that for several years, small, red to white oral lesions have occurred
irregularly. They are painful but reveals these lesions are located on alveolar non keratinized mucosa. The
MOST likely diagnosis is
a. recurrent aphthous stomatitis
b. acute necrotizing ulcerative gingivitis
c. recurrent herpes labialis
d. acute herpetic gingivostomatitis
271 a mandibular first molar crown is severely decayed due to caries. Each of the following procedures can
be used to remove this tooth EXCEPT one. Which one is this EXCEPTION
a. using a cowhorn forceps
b. removing the thin lingual cortical plate of bone
c. elevating the root sections with an east-west elevator
d. reflecting a modest buccal flap and removing the buccal bone
272 superficial decalcification and staining are evident in the buccal groove of a mandibular molar, which
of the following is the treatment of choice
a. oral prophylaxis at 3-month intervals
b. daily irrigation with pressurized water
c. complete elimination of the area by preparation and restoration
d. enamel plasty limited to the superficial depth of the decalcified enamel
273 which of the following is the treatment of choice for lidocaine-induced seizures
a. diazepam
b. naloxone
c. epinephrine
d. flumazenil
e. succinylcholine
274 which of the following is the earliest clinical sign of a carious lesion
a. radiolucency
b. patient sensitivity
c. change in enamel opacity
d. rough surface texture
e. cavitation of enamel
287 if a dentist does not his patient his treatment, what kind of behavioral attitude has he taken
negligence
288 what are the advantages of direct bonding brackets over the conventional ortho band or brackets
a. easier b better OH c. no separation d. all of the above
289 how does a light cured composite resin hold to the tooth after the etching has been done
a. mechanically b. physically c. chemically d. adhesion
290 serial extraction should be used in a patient with which type of malocclusion
a. class 1 b. class 2 c. class 3 d. abnormal overbite
291 what is the advantage of sagittal split osteotomy over the transoral vertical subcondylar osteotomy
a. correct a mandibular protrusion
b. it is safer and in the operation room and less painful
c. correct mandibular retrognathia
d. correct mandibular prognathism and apertognathia
e. all of the above
f. a,c, and d only
298 patient with thyroid problem, what drug must not be used
epinephrine
300 for child with herpetic gingivostomatitis you will do all the following except
a. antibiotic b. give oral rinses before eating c. plenty of bed rest and keep away from other children
303 patient has faulty amalgam, the dentist proposed treatment to replaced with grown, why?
a. protect pulp b. get better contour c. get better margin
309 how long after eating is the PH in the mouth significantly lower
a. 10-30 min b. 1-2 hours c. 2-4 min d. 3-6 hours e. 10-15 min
311 patient have history of complains of pain in the lower left posterior region 2 days after extraction. What
is the most common reason
a. normal b. tumor c. alveolar osteitis d. paresthesia
312 patient have history of fracture in the mandibular premolar area few years ago. Patient now complains
of a soft, nodular swelling in the region. What is most common reason
a. lipoma b. hemangioma c. traumatic neuroma d. neurofibroma
313 which of the following can cause bilateral angular cheilitis in a patient with complete denture
a. increase VDO b. improper centric relation c. increased interocclusal distance
315 critical instrument used in or near the oral cavity, which may become contaminated
a. with blood and saliva must be b. disinfected between uses c. sterilized between uses d. can be either
disinfected or sterilized between uses
316 a young child dental patient has had a previous negative experience with a dental handpiece. This child
expresses fear when the dentist reaches for a prophy angle to begin a cleaning. A term that best describes
this phenomenon is
a. negative reinforcement b. extinction c. stimulus generalization d. modeling
317 which dental employee is least likely to be “exposed” according to OSHA regulation
a. dentist b. dental assistant c. dental receptionist d. dental hygienist
318 how will you distinguish between periapical cemental dysplasia and chronic apical periodontitis
a radiograph b percussion c. vitality test d. pain
319 you have given a patient o local anesthetic injection containing epinephrine. The patient feels cold and
clammy and the BP goes down to 46. what has most likely occurred
a. MI b. stroke c. vasovagal attach d. heart attack
320 CHIP
a. use in perio diagnosis only b. use in children
321 postural hypotension is a common complaint of patients who take antihypertensive agents because
many of these agents interfere with the
a. sympathetic control of vascular reflexes
b. release of acetylcholine in the ganglia
c. epinephrine release from the adrenal medulla
d. parasympathetic control of vascular resistance
e. neuromuscular transmission in skeletal muscles