Professional Documents
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A. Percussion.: C. Surgical Repositioning With Splint
A. Percussion.: C. Surgical Repositioning With Splint
1. A 4 year old child has severe acute dental pain. So many teeth are carious that the determination of
the offending tooth is difficult. The best diagnostic tool to use is:
A. Percussion.
B. Radiographs.
C. Electric pulp testing.
D. Have the mother identify the offending tooth.
2. Appointment time for children in general should not exceed:
A. 30 minutes.
B. 45 minutes.
C. 60 minutes.
D. 90 minutes.
3. The fear of 5 years old child related to dental treatment is:
A. Subjective fear.
B. Objective fear.
C. Fear of unknown
D. Pathological fear.
4. Nine years old child subjected to dental trauma before one day resulted in complicated crown
fracture of upper left central incisor, the management is:
A. Tooth extraction.
B. Restoration.
C. Pulpotomy.
D. None of the above
5. Twelve years old child subjected to dental trauma before one hour resulted in lateral luxation
of upper left central incisor, the management is:
A. Tooth extraction.
B. Surgical repositioning without splint.
C. Surgical Repositioning with splint.
D. Orthodontic repositioning.
6. Two years old child subjected to dental trauma three hours ago resulted in 3mm intrusion of
upper right central incisor, the management is:
A. Extraction.
B. Surgical exposure and splint
C. Orthodontic treatment.
D. None of the above.
7. All the followings are true about concussion tooth except:
A. Tender to percussion.
B. Crown discoloration.
C. No abnormal loosening.
D. No displacement.
8. Alveolar bone fracture not associated with:
A. Lateral luxation.
B. Buccal luxation.
C. Axial luxation.
D. Intrusive luxation.
9. Immature permanent tooth mean:
A. Un-erupted tooth.
B. Tooth with enamel fracture.
C. Tooth with incomplete root formation.
D. Tooth with enamel defect.
10. A 11 year child comes to the dental office one hour after injury to a maxillary central incisor.
The tooth is vital and slightly mobile. Radiograph examination reveals a fracture at the apical
third of the root. The indicated treatment at this time is:
A. Extract the tooth.
B. Reposition and splint the tooth.
C. Perform immediate root canal treatment and splint.
D. None of the above.
11. The most effective method for pharmacotherapeutic - behavior management of child in
dental clinic:
A. Verbal communication
B. Non verbal communication
C. Conscious sedation.
D. Tell – show – do
12. When taking a medical history, the dentist should not ask about present and previous
hospitalization, medical treatments and the child's response to them because it is better to focus
on the dental problem of the child only.
A. True statement.
B. False statement.
13. The problematic parent type who negatively affect pediatric dentist work:
A. Over protective parent.
B. Manipulative parents
C. Hostile parents
D. All of the above
14. Pre – cooperative child aged …..?
A. One years old.
B. Two years old.
C. Three years old.
D. four years old
15. They hide their faces by their hands or hide behind their mother and maybe at any time they
deteriorate to uncontrolled.
A. Relaxed child.
B. Defiant behavior
C. Timid behavior
D. All of the above
16. According to Frankl’s Behavior Rating Scale, when the child reluctance to accept treatment
and uncooperativeness with some evidence of negative attitude but not pronounced:
A. Rating 1.
B. Rating 2.
C. Rating 3.
D. Rating 4.
17. Communicate with the child patient considered to be important, but once the treatment
starts you need to stop talking with his/her.
A. True statement.
B. False statement.
18. Tears, loud crying, physical lashing out and flailing of the hands and legs- all suggestive of a
state of acute anxiety or fear of child patient in dental clinic.
A. True statement.
B. False statement.
19. Functional splint indicated in all except:
A. Lateral luxation.
B. Intrusive luxation.
C. Root fracture
D. Subluxation
20. The prognosis of coronal root fracture management depends on:
A. The amount of coronal portion
B. The amount of apical portion
C. The amount of spacing between coronal and apical portions
D. The thickness of the root.
21 At 8 years of age which permanent tooth is erupting?
a. The first molar.
b. The first premolar.
c. The lateral incisor.
d. The Lower canine.
e. The second molar.
22 Child with cerebral palsy frequently has:
a. Muscle dysfunction.
b. Malocclusion.
c. Oral trauma.
d. dental caries.
e. All of the above.
23 For severely mentally retarded children some behavior management strategies are required such
as:
a. Positive reinforcement.
b. Voice control.
c. Behavior modification techniques.
d. Videos and games
e. None of the above.
24 The type of malocclusion produced by the habit is dependent on:
a. Size of teeth.
b. Child body weight.
c. Oro-facial muscle contraction force.
d. Child’s age.
e. All of the above
25 Necrotic primary tooth without any sinus tract should be treated by:
a. Extraction.
b. Apexification.
c. Pulpotomy
d. Glass ionomer cement.
e. None of the above
26 Removable partial dentures can be constructed for young children who show:
.
35 The best space maintainer appliance for cerebral palsy child is:
a. Band and loop.
b. Passive lingual arch
c. Distal shoe.
d. Removable partial denture.
e. None of the above.
36 The most favorable non pharmacological behavior modification technique for deaf child in dental
clinic is:
a. Tell, Show, Do.
b. HOME
c. Voice control.
d. distraction.
e. None of the above
37 The best space maintainer appliance for medically compromised child is:
a. Band and loop.
b. Passive lingual arch.
c. Fixed appliance
d. Removable partial denture.
e. All of the above
38 Eleven years old child patient fall on his face before four hours from attending dental care center.
The right upper central incisor looks completely palatally intrusion. What’s your dental management?
a. Leave it for spontaneous re-eruption.
b. Immediate reposition and rigid splint.
c. Immediate surgical reposition and non -functional splint.
d. Immediate reposition and flexible splint.
e. None of the above.
39 The sign of failure after pulpotomy for primary molar of child aged6 years old include all EXCEPT:
a. Root resorption.
b. Pathological mobility
c. Fistula
d. Tenderness
e. Physiological mobility
40 It is a painful ulceration on the mucous membrane that occurs in school – age children and adults.
It is round to oval crateriform base, raised reddened margins. They may appear single or multiple
lesions.
a.HSV-1
b. acute herpetic gingivostomatitis
c. Canker sore.
d. Acute Candidiasis
e. None of the above
41 In managing a 7 – year old child, the dentist should keep in mind that a child of this age is:
a. Frequently negative.
b. Susceptible to praise.
c. Generally uncooperative.
d. Prone to separation anxiety and extremely afraid of strangers.
e. All of the above.
42 Which of the reinforces should not be given to children?
a. Toys.
b. Watching favorite TV show.
c. Bribe.
d. Reward.
e. None of the above
43 The aim of the first session with a child patient is to all EXCEPT:
a. Establish general communication with the patient and parents
b. Start extraction
c. Obtain background information of the child
d. Take radiographs
e. None of the above
44 Ahmed, a 6 year old comes for her pre-dental visit. She is highly intelligent and cooperative. You
would do most probably what type of treatment ?
a. Radiographs and topical fluoride
b. Start restorative and extraction procedures directly.
c. Employ desensitization
d. Obtain background information of the child
e. None of the above.
45 A child age 2 years reports to the dental office with her parents and resists examination by the
dentist. According to Wright’s classification of the child’s behavior, which category will the child fall
in?
a. cooperative.
b. Lacking cooperative ability
c. potentially cooperative
d. Timid behavior.
e. None of the above.
46 Modeling is based on:
a. Observational learning.
b. Classical conditioning
c. Operant conditioning
d. Instrumental conditioning
e. None of the above.
47 Alveolar bone fracture diagnosed in:
a. Sublaxation.
b. Lateral laxation.
c. Extrusive luxation.
d. All of the above.
e. None of the above.
48 Possible sequelae to permanent teeth following trauma involving primary teeth include:
a. Retarded eruption.
b. Accelerated eruption.
c. Necrotic primary tooth.
d. Root fracture.
e. All of the above
49 A 11- year old child comes to the dental office one hour after injury to a maxillary central incisor.
The tooth is vital and slightly mobile. Radiographical examination reveals a fracture at the apical third
of the root. The indicated treatment at this time is to:
54 What is the most durable restoration for primary molar with multisurface caries?
a. Silver amalgam.
b. Glass ionomer cements
c. Composite material.
d. Chrome steel crown.
e. All of the above
55 The permanent teeth have all the following characteristics as compared to the deciduous teeth
except:
a. More prominent pulp horns.
b. Larger occlusal plate.
c. More pronounced contact points.
d. Less vascular pulp.
e. Larger in length.
56 Handicapped children's oral health may be affected negatively by medications and result in gingival
recession. False
57 Children with developmental disabilities are not risk for enamel irregularities, gum infections and
oral infection. False
58 Tooth eruption may be delayed, accelerated, or inconsistent in children with developmental
disturbances. True
59 Muscle dysfunction contributes to malocclusion, particularly in children with deafness.
60 Handicapped children with poor oral hygiene may be at increased risk for tooth decay due to
experience frequent vomiting or gastroesophageal reflux. true
61 Severe gingivitis or early periodontitis never occur in children with impaired immune systems or
connective tissue disorders. False
62 For disabled child scheduling appointments at the end time of day.
63 Children with Down syndrome are at increased risk for periodontal disease, xerostomia, fissuring
of the tongue and lips, and malocclusion.true
64 For all disabled children Immobilization with protective devices and restraints should be used.
True
65 The free gingiva of children normally decreases with age false
66 The permanent teeth have all the following characteristics as compared to the deciduous teeth
except:
a. More prominent pulp horns.
b. Larger occlusal plate.
c. More pronounced contact points.
d. Less vascular pulp.
e. Larger in length.
67 At 8 years of age which permanent tooth is erupting?
a. The first molar.
b. The first premolar.
c. The lateral incisor. d. The Lower canine.
68 Crown and loop maintainer is:
a. Easy to make.
b. Restore chewing function.
c. Prevent the continued eruption of the opposing teeth.
d. Economical to make.
e. All of the above.
69 Jet injection produces anesthesia used instead of:
a. Local anesthesia.
b. Topical anesthesia.
c. General anesthesia.
d. All of the above.
e. None of the above.
70 The site at which the local anesthesia injection may be painful:
a. Supra – periosteal.
b. Long buccal.
c. Subperiosteal.
d. infiltration.
e. All of the above.
71 To avoid dental trauma and soft tissue laceration during the use of molt mouth prop:
a. Blades must be kept on posterior teeth.
b. A gauze should be placed between the probe and the cheek.
c. The metal blades should be covered with a soft material.
d. a, b, and c.
e. None of the above.
72 Immediately after calcium hydroxide pulp capping there is:
a. Spontaneous pain.
b. A necrotic layer observed below the calcium hydroxide.
c. Slightly mobility.
d. a and c
e. All of the above
73 When there is abnormal loosing and marked reaction to percussion, this is known as:
a. Subluxation.
b. Lateral luxation.
c. Extrusive luxation.
d. Concussion.
e. All of the above.
74 In primary tooth intrusive luxation, the aim of investigation is to:
a. Determine root formation stage.
b. Determine the vitality state.
c. Direction of displacement.
d. Amount of fracture.
e. All of the above.
147 Pain is very important in determining the extent of the traumatic injury, pain during bringing the
teeth in occlusion indicates
A. Pulp inflammation
B. Periodontal tissue injury
C. All of the above
D. None of the above
148 Passive lingual arch with properly fitted bands and well-making appliance there should be no
problem
of:
A. Breakage
B. Retention
C. Problem of increased D.C activity is less
D. All of the above
149 Replantation of avulsed tooth 2 ½ hours after incident: the most likely diagnosis is:
A. External resorption
B. Internal resorption
C. Pulp stones
D. All of the above
150 As the child enter the dental clinic, the dentist should observed
A. Child walking, size and stature
B. Child head and face
C. Teeth and gingiva of the patient
D. All of the above
151 Acquired pellicleis:
A. Protective covering of tooth surface
B. Usually accompanied by bacterial colonization as microorganisms in saliva absorb to the pellicle
C. Soft deposits, non-mineralized that from biofilm adhering to the tooth surface
D. None of the above
152 The primary objective of health education is:
A. Guiding people into action
B. Motivating people
C. Informing people
D. All of the above
153 The light energy from laser may have ……. Different interactions with the target
A. Some
B. More
C. Four
D. None of the above
154 Lysozyme:
A. Has antimicrobial function after tooth emergence
B. Is a lytic factor for bacteria to which enzymes have bound
C. Is bind to surface adhesions of bacteria as well as to neutralize their negative surface change
D. Exert antimicrobial function before tooth eruption
155 Disability is refers to
A. Physical restriction or lack of ability to perform an active
B. Mental disability such as down syndrome and mental retardation
C. Any restriction or lack of ability to perform an activity
D. None of the above
156 Dental floss is removing plaque from
A. Interproximal surface below the contact point
B. Occlusal surface
C. Lingual surface
D. None of the above
157 Serum IgG
A. Has the potential to modulate the oral colorization by plaque-forming bacteria, especially after
tooth eruption
B. Incorporated in dental plaque as fragments as result of procolytic degradation by enzymes
excreted by saliva
C. Is produced by plasma cells located in the major and minor salivary glands
D. Is modulating the oral colonization especially during tooth eruption
158 patients with severe cerebral palsy may charcteterized by:
a-difficulty in muscle movement b-high incidence of dental carie
C.all the above.
D-none of the above.
159 children with trisomy 21syndrom have high incidence of
a-cardiac defects, increased of leukemia.
b-increased incidence of upper respiratory tract infections.
C.all the above,
d-none of the above.
160 children with autism have
a-mlutiple medical and behavioral problems,
b-have strict routines and prefer of soft foods.
C-all the above.
d-none of the above
161 dental feature of patient with asthma
a-high palatal vault.
b-posterior cross bites.
C-all the above,
d-none of the above.
162 behavioral methods for asthmatic patient include
a-the use of nitrous-oxygen sedation.
b-positioned in an upright position for dental procedure,
C-all the above.
d-none of the above,
210 the dentist's ability to rationally cope with misbehaviors while maintaining composure called
a-positive aproach
b-tolerance
C-all of the above
d-non of the above
211 the most important factor in treatment of the injury to anterior teeth is
A-time
b-cause
C-all the above
d- non of the above
212 child with a history of painful tooth when it in normal occlusion position after trauma, this
condition
indicates that
a.the tooth has been extruded
b. tooth has been intruded
c- all the above
d- non of the above
213the best method for restoration C II fracture is
A-the fragment reattachment restoration
b-the orthodontic band restoration
C- all the above
d- non of the above
214 the apical third fracture of the root
A-may need stabilization
b-should be stabilized
C-all the atone
D-non of the above
115 direct pulp capping treatment can be performed to a trumatized tooth
A-the time relapse is 1-2 hour
B-plup exposure is very small
C-there is sufficient tooth structure
D-all of above
116 the age of child during the pre_co operative stage
A-3 years
B - 2 years
C-non of the above
217 if a primary tooth is displaced but not intruded the treatment of choice will be
A.tooth reposition with slight pressure
B.keep the child under observation
C.all the above
D-non of the ahove
233 Fear --- the threshold of pain so that every pala produced during deatal treatment be
a. lowers, magnified.
b. increase, magnified.
c. increase, exaggerate.
d. None of the above,
234 Dentists sometimes refer to 2-year-old chlldren as being in the
a. pre-cooperative stage
b. terrible twos.
c.All of the above.
d. None of the above
235 Uncontrolled behavior can be seen in 3-6 venrs. Defiant behavior can be found ti all ages.
a. Both of the statements are false.
b. Both of the statements are true.
C. The first is true and the second is false
d. The first is false and the second is true.
236 Which of the following is true?
A.An 8 years old child whose mental
B.The child whose mental age and chronological age were identical had an 10 of 100.
C. All of the above
D.None of Che above
237 In modeling technique: The model child is aged similarly to the targeted child.
b. always considered to be positive and effective.
c.can obtain the patient attention
D.a&c
238 Cencerning the use of toys in dental management of a chilld:
a .toys can be used as a bribe.
b. they are types of reinforcers.
C. presentation of which increases the frequency of desired behavior
d. B and C
239 A safe and effective method of managing a child with an extremely difficult behavior problem.
a. Remodeling
b.Aversive coaditioning.
c. TSD.
d. None of the above
240 Protective stabilization
A.are designed to prevent paticents from causing harm to themselves and to the dental personnel.
B.should be used slowly for the convenience of the staff.
c. used for a cooperative patient.
d used as punishment
241 The dentist's ability to rationally cope with misbehaviors while maintaining composure called
A.Positive approach
b- Tolerance
C. All of the above
d-None of the above
242 The child is more prone to fall because of:
a. his curiosity.
b. he is trying to explore everything in his surroundings.
c. his immature skills concerning the motor coordination.
d.All of the above.
243 If dental trauma is left untreated it may
a. malformation and degeneration.
b. necrosis and abscess formation
. c. tooth loss from the arch.
d. All of the above
244 Majority of traumatic dental injury occurred to the:
a. maxillary lateral incisor.
b. maxillary central incisor.
c. mandibular central incisor.
d. None of the above
245 In primary teeth, injury usually results in:
a. displacement,
b. mainly fractured teeth.
c, avulsion of teeth.
d.A and C.
246 Pain cansed by thermal rhange Indicate
a. Injucy to PDI, and supporting tiasue
b. The tooth has been displaced.
C. Signficant pulp inflammation
d.All of the above.
247 In uncomplicated tooth fracture:
a. there is enamel fractire
b there is enamel dentin fracture.
C.there is involvement to the pulp.
d.A and B.
248 If the tooth is in should and doesn't give response to vitality test, reexamination is done in the so
a.After
6 months
b.After 6 weeks.
c.After 2 wevks
d. After 6 days.
249 It may be necessary to obtain a radiograph in case of traumatic injory to:
A. be a modicolegal records.
B.. get follow up evaluation.
C.. assess the size of pulp chamber.
D.All of the above.
Ans D
250 A seven years old child fell of stalr ten days apo and his masillary central incisor was broken. 1
pulp is visible and the tooth is vital. Your treatment will be:
A.Pulpectomy,
B.Placement of calcium hydroxide and fill the tooth with composite resin.
C.Calcium hydroxide pulpotomy.
d-Apexification
251 Child had sustained traumatic exposure of primary central incisor, he presented to you for tri
three days after the injury, Which of the following types of treatment should be considered:
a-Pulpectomy (RCT),
b-Formocresol pulpotomy
c-Direct pulp capping.
d- Ca (OH): pulpotomy.
252 Thirteen years old patient, with fractured maxillary permanent canine in which 1.5 mm of th
exposed; presented to you for treatment three hours after injury. Which of the following types of
treatment should be considered?
a .Remove the surface 1-3 mm of pulp tissue and place calcium hydroxide.
b-Place calcium hydroxide directly on the exposed pulp.
c.Pulpectomy and immediate root filling.
d-Pulpectomy and apexification,
253 A seven years old child comes to your clinie suffering from class I fracture to his maxillarye incisor,
there was sufficlent loss of tooth structure. Treatment of choice will ber
a. Emergency root canal treatment
b. Ca (OH) 2 application followed by crown
C. Acid etch composite restoration.
d. None of the above
254 Following trauma to tooth, the next day there was no response to pulp tests you should:
a.Repeat the test again later on,
b-Start endodontic treatment.
C.Extract the tooth.
D.non of above
255 In some traumatic injuries to the face and jaws, the problem may be Botice
a- Several months or years later.
b- Few days Iater.
c- Few months later.
d. Few weeks later.
256 Before placement of pulp capping material the pulp should be kept
a. Dry.
b. Moist.
C. All of the above.
d. Does not affect whether moist or dry