Restorative answers

1. For retention of post which is not important

A-Luting cement

B-Diameter,<,<

C-length

E-Type of post

2. RCT treated tooth, post placed, which is the best option to restore the
tooth. Nayyar technique used, good tooth structure 50%

A-Gold crown

B-Gold inlay

C-PJC

D-Gold Onlay

3. Secondary impressions for edentulous patient close fit tray with hyper
gag reflex. Which material you use for taking an impression

A-Alginate primary

B-Silicone rubber based material

MASTER KEY ACADEMY- MKA| 1

C-Plaster of Paris

D-Zinc oxide eugenol (not used with gag reflex)

Imp compound not used

Alginate / flappy ridge and primary Selective

Silicone/ flappy(light) /undercut Compressive
Static
Eugenol / close fit tray, relining and Neutral
rebasing

Imp compound not used in under cut

Used in resorbed ridge

4. What is the best cement used to cement minimally done inlay

restoration (MOD)

A-GIC

B-ZOE

C-Zinc phosphate

D-Zinc poly carboxylate

E-Resin cement

Tips

Zirconium &metal(sandblasting)- resin bonded

MASTER KEY ACADEMY- MKA| 2

 5. What sort of matrix is best for restoring disto-occlusal restoration of 7?

A. Sectional matrix

B. -Auto matrix

C. Tofflimire

6.The term abrasion best describes:

A.Loss of substance by chemical agent

B.Loss of substance by external agent

C.Loss of substance by the movement of tooth against tooth

D.The rapid loss of substance that is seen in the movement of porcelain crowns
aganist natural teeth

7.Some days after preparation and filling of a shallow class I amalgam

cavity the patient complains of pain on biting. You would:

A.Perform vitality test

B.Replace filling

C.Check for premature contacts (high spot causes apical periodontitis)

D.Remove all occlusal contacts from this filling

E.Tell the patient to wait 2-4 weeks, the pain will go away

8.In a class II div 2 malocclusion, which bridge design would be

contraindicated for a missing lateral upper incisor?

A. .Cantilever bridge

MASTER KEY ACADEMY- MKA| 3

 B. .Maryland bridge (needs perfect occlusion)

C. fixed movable bridge

D. spring cantilever

9.Which is the best cantilever bridge design for missing maxillary canine?
Abutment on

A.Both premolars (1st option implant)

B.Lateral and central incisor

C.Lateral incisor

D.First premolar

Bridge design tips(fixed movable ? resin bonded ? )

10.A 9 years-old child who has sustained a fracture of a maxillary

permanent central incisor in which 2 mm of the pulp is exposed, presents
for treatment 30 minutes after injury. Which of the following should be
considered?

A.Remove 1-2 mm of the pulp tissue surface, place calcium hydroxide and fill
with resin ( CVEK pulpotomy)

B.Remove 1-2 mm of the pulp tissue surface and cover with ledermix

C.Place calcium hydroxide directly on the exposed pulp

D.Pulpotomy using formocresol

E.Pulpectomy and immediate root filling

CVEK pulpotomy (remove 1-2 mm of exposed pulp ,within 24 hours , in

permanent teeth)

MASTER KEY ACADEMY- MKA| 4

 11.Reversible pulpitis is characterized by

A.Pain lasts longer on hot or cold stimulus than normally

B.Patient can't localize pain

C.Will have periapical involvement in radiograph

12.Irreversible pulpitis is characterized by

A.There is often a history of spontanous pain

B.Sudden throbbing pain

C.Pain can't be localized when it reaches the periapical area

D.There is pain which lingers for a short duration after removal of stimulus

13.Diabetic pt with abscess complain of failure of root canal therapy and

during the examination the filling was leaking? What the reason

a.lack of coronal seal

b.lack of apical seal

c. Pt medical condition

Endo failure(lack of coronal seal is the most common cause) and

success(rubber dam & irrigation protocol)

14.First line management of pt with palatal dietary erosion

a. crown.,

b.palatal veener(maybe direct or indirect)

c.direct composite

MASTER KEY ACADEMY- MKA| 5

d.indirect composite

Always choose repairable , non invasive work

-----------------------------------------------------------------------------------------

15.A 50 years-old patient presents with pain from time to time on light
cervical abrasions. What is your first management to help patient in
preventing pain in the future?

A.Change dietary habits

B.Change brushing habits (always do preventive measures 1st,remove cause)

C.GIC fillings

-----------------------------------------------------------------------------------------

16.In planning and construction of a cast metal partial denture the study
cast

A-facilitates the construction of custom trays

B-minimizes the need for articulating

C-provides only limited information about inter ridge distance, which is best
assessed clinically

D-can be used as a working cast when duplicating facilities are not available

------------------------------------------------------------------------------------------------

- cast types

1) study cast:- for special tray construction or surveying

2) Master cast : Design of RPD

3) Refractory cast : can withstand high temperature(used in furnace)

4) Altered Cast techinque:- used in kennedy class I

MASTER KEY ACADEMY- MKA| 6

 17.What are the artificial teeth in removable dentures made of?

A.Porcelain

B.Cross-linked methyl-methacrylate

C.Ethyl-methacrylate

D.Acrylic

(75% of denture in UK is made from acrylic)

18.In removable partial denture, the principle of an indirect retainer is to:

A-Stabilize against lateral movement

B-Prevent settling of major connectors

C-Restrict tissue movement at the distal extension base of the partial denture

D-Minimize movement of the base away from the supporting tissue

------------------------------------------------------------------------------

Partial denture principle

Support(Resistance of denture to tissue ward vertical movements)(provided by

rest , major connector , denture base)

Retention(resistance to tissue away movement”denture

displacement”)(clasps,guiding planes,percision attachments)

Indirect ( how to apply)(Resistance to rotation around a fulcrum axis by acting

on opposite side to displacing force)(position of clasps & Rests)

Bracing (Resistance to lateral movement)(provided by connector,maximum

saddle extension , reciprocal arm of clasp)

Reciprocation(The mechanism by which lateral forces generated by a retentive

clasp are counter balanced by reciprocating clasp)

MASTER KEY ACADEMY- MKA| 7

---------------------------------------------------------------------------------------------

19.When a removable partial denture is terminally seated the retentive

clasps tips should:

A. Apply retentive force into the body of the teeth

B.Exert no force

C.Be invisible

D.Resist torque through the long axis of the teeth

Clasp assemply (no force”passive”_ position of tip in gingival 1/3 and the body
in middle 1/3)

The retentive arm engage at the same time with respirocation

20.Glass lonomer Cement sets because of,

A-Acid-Base reaction

B-Addition polymerisation reaction

C-Growth of glass crystals

D-Slip plane locking

E-Solvent evaporation

21.The use of nickel chromium in base plate should be judiciously

considered because:

A-A significant number of females are allergic to nickel

B-A significant number of females are allergic to chromium

C-A significant number of males are allergic to nickel

MASTER KEY ACADEMY- MKA| 8

D- A significant number of males are allergic to chromium

Resin bonded formed from

Partial denture (cobalt chromium is better)

22.Which of the following liquids is not suitable for prolonged immersion

of cobalt chrome partial dentures:

A. Alkaline peroxidase

B. Sodium hypochlorite

C.Soap solutions

D.Water

Cleaning dentures

1) Metal :- water , soap OR CHX

2) Acrylic :- sodium hypochlorite

23.The most common cause of fracture at the isthmus of a class II dental

amalgam restoration is:

A.lnsufficient condesation

B.Fracture line developing from pulpal-axial angle of the cavity

C.Underconturing of the isthmus area

D.Moisture contamination of the amalgam during placement

MASTER KEY ACADEMY- MKA| 9

E.lnadequate bulk of amalgam at pulpo-axial line angle ( sufficent depth is
needed)

24.What is CORRECT in regard to the periodontal surface area in maxillary

teeth:

A-central incisor> first premolar> second premolar

B-Canine> first premolar> central incisor

C-Canine> lateral incisor> second premolar

D-Canine> central incisor> first premolar

25.When restoring with composite resins, why do we do the cavo-surface

bevelling:

A. Aesthetic( No demarcation line )

B. To open enamel rods for acid attack(for better bonding)

C. To smooth preparation

D. A and B

26.What is correct in regard to high copper amalgam,

A. Reacts and strengthens the amalgam by its dispersion properties

B. Reacts to form copper-tin phase thereby eliminating the tin-mercury phase

C. Reacts to form copper-silver phase thereby eliminating the silver mercury

phase

D. Reacts and strengthens the amalgam by its grain diffusion

MASTER KEY ACADEMY- MKA| 10

 27.The removable partial denture requires relining, what would be the
most appropriate action,

A. take an impression by asking the patient to occlude on it

B. Provide equal space between denture and gingival tissues.

C. Make sure the framework and retainers are seated in place before taking
impression

28.What is the best way to cement a Maryland bridge,

A-GIC

B-Resin cement (esp, panavia 21 universal )

C-Composite resin

D-Zinc Phosphate cement

E-Oxide Zinc and eugenol

29.The ideal length of a post in the fabrication of crown and core of

endodontically treated tooth is:

A.2/3 of tooth length

B.1.5 times that of the crown

C.1/3root length

D.The length of the crown

30.While you finish a class I cavity, the enamel is sound but you notice a
thin brown line ln the dentine and on the dentino-enamel junction, what
is your response,

A-You leave it and complete the final restoration

MASTER KEY ACADEMY- MKA| 11

B-You extend your preparation and clean it

C-You apply a cover of varnish

(No soft caries )

31.Dental caries ofthe proximal surfaces usually starts at,

Somewhere between the ridge and the contact area

A-Just gingival to contact areas (due to food stagnation)

B-Just above the gingival margin

C-At the contact point

32.A female patient comes to you complaining of persistent pain in a

heavily restored central incisor; you suspect irreversible pulpitis and you
have been told that she is in transit leaving by plane next day. Your
treatment will be,

A-Remove filling and place a sedative dressing

B-Pulpectomy and Ledermix dressing

C-Pulpectomy and calcium hydroxide dressing

D-Prescribe analgesics and systemic antibiotic

Ledermix is a mix of dexa with antibiotics,so it reduces inflammation & reduce

bacterial recontamination

33.In the construction of a full veneer gold crown, future recession of

gingival tissue can be prevented or at least minimized by,

MASTER KEY ACADEMY- MKA| 12

A-Extension of the crown 1 mm under the gingival crevice

B-Reproduction of normal tooth incline in the gingival one third of the crown

C-Slight over contouring of the tooth in the gingival one fifth of the crown

D-Slight under contouring of the tooth in the gingival one fifth of the crown

34.Two central incisors on a radiograph are showing with what looks like
eye drop radiolucency. You decided to start endodontic treatment on
these teeth but when you tried to open access to the root canal you find
clearly closed orifices with what look like secondary dentine. What is your
initial management?

A-Leave as it is and start a permanent restoration.

B-Start systemic antibiotic

C-Try to ream and file canals

(EYE DROP RADIOLUCENCY= incisive formaen)

35.After the initial development stage and in the absence of pathology,

the size of the pulp chamber has been reduced by,

A-Deposition of primary dentine

B-Deposition of secondary dentine

C-Reparative dentine

D-Pulp fibrosis

Types of dentin

1ry dentin :- on tooth devleopment

2ry dentin :- aging in absence of pathology

Tertiary dentin :- can be reactionary or repairative

MASTER KEY ACADEMY- MKA| 13

 36.Denture stomatitis is commonly associated with,

A-The continuous wearing of removable orthodontic appliances in otherwise

healthy patient

B-The proliferation of hypertrophic tissue at the denture periphery

C-The overgrowth of some constituents of oral normal microflora

D-Allergy to denture base material

37.The light emitted by the polymerization lamp has to be checked from

time to time. The meter used for this only measures light in the range of:

A-100-199 nm

B-200-299 nm

C-300-399 nm

D-400-499 nm

38.Which is correct in regard to shade selection of crowns:

A. It should be selected before starting preparation

B.Chroma is the lightness/darkness of colours

C.Value is the colour itself

D.Hue is the concentration of colours

Chroma saturation

Value lightness and darkness

Hue is the colour itself

MASTER KEY ACADEMY- MKA| 14

 39.Where would you expect to find the mylohyoid muscle in relation to
the periphery of a full lower denture:

A.Mandibular buccal in the midline

B.Mandibular lingual in the first premolar area

C.Mandibular lingual in the midline

D.Mandibular disto buccal area

40.What is not important in obturation materials for primary teeth?

A.Good apical seal

B.Radioopacity

C.Antibacterial

D.Resorbable

41.If aesthetic is not a concern what is the first thing to do to treat

soreness under dentures,

A. Take the denture off for a week

B. Rinse the denture in nystatin

C. Apply tissue conditioner

42.In advanced periodontitis with marked mobility, teeth may be splinted:

A. .To improve comfort for the patient

MASTER KEY ACADEMY- MKA| 15

 B. .splinting helps in transmitting the force to the adjucent teeth
tooth

C. Enhance the outcome of periodontal treatment

43.The principle clinical sign of active bruxism is:

A-Head and / or neck pain (symptom)

B-Excessive tooth wear

C-Temporomandibular joint clicking(symptom)

D-Sensitive teeth (symptom)

44.An adult patient attends your practice complaining of pain-and

swelling associated with a previously restored upper first premolar tooth.
The pain has been present for a number of days and is no longer
responding to analgesics. His dentition is otherwise well maintained and
his periodontal health is good.

What is the most appropriate approach to treatment?

A-Antibiotics and analgesics.

B-Extract the tooth

C-Carry out a pulpotomy and temporary dressing.

D- Drainage

45.A patient reports that his post crown has fallen out. This crown had
been present for many years. You note that there appaaears to be a
hairline vertical fracture of the root. The tooth is symptomless.

What is the most sensible approach to treatment?

MASTER KEY ACADEMY- MKA| 16

A-Replace the post crown using a resin-reinforced glass ionomer material

B-Replace the post crown using a polycarboxylate cement

C-Replace the post crown using a dentine bonding agent and a resin-reinforced
glass ionomer material

D- Replace the post crown using a resin composite luting agent

D.Arrange to extract the tooth

46.A patient says that he does not like the appearance of his previously
root filled upper central incisor tooth. His dentition is otherwise well
maintained and his periodontal health is good. The tooth appears to be
darker than the adjacent teeth. What is the most appropriate approach to
treatment?

A. Provision of a post crown

B. Provision of an all ceramic crown

C. -Provision of a metal bonded to ceramic crown

D. Non vital bleaching ( least invasive)

E. Provision of a porcelain veneer

47.A 25 year old male attends for the first time complaining of sensitivity
of a number of teeth. On examination, the occlusal surfaces of all the
teeth are worn with obvious wear facets on the canines and premolars.
Posterior amalgam restorations are proud of the surrounding tooth.

What would be the first stage management?

A-Take impressions for study models

B-Prescribe fluoride mouth rinse

C-Replace the amalgam restorations

MASTER KEY ACADEMY- MKA| 17

D-Dietary analysis

48.A 35 year old male patient who admits to grinding his teeth at night
has a number of wedge-shaped cervical (Class V) lesions on his upper
premolar teeth. These are causing sensitivity and are approximately 3mm
deep. What is the correct management option?

A-Provide tooth brushing instruction and fluoride

B-Restore the lesions with compomer

C-Restore the lesions with micro-filled composite(has high shear strength)

D-Restore the lesions with a hybrid composite

E-Restore the lesions with conventional glass-ionomer

49.A patient attends with pain of four days duration in a carious upper
molar tooth. The pain is constant and is not relieved by paracetemol.
Sleep has been disturbed by the pain. The tooth is tender to percussion
and gives a positive response to Ethyl Chloride. What is the most likely
diagnosis?

A-Pericoronitis

B-Apical periodontitis

C-Marginal periodontitis

D-Reversible pulpitis

MASTER KEY ACADEMY- MKA| 18

 50.A 30 yr-old patient attends complaining of pain from the lower left
quadrant. Clinical examination reveals a dentition with generally good oral
hygiene. There is no significant periodontal pocketing other:.than an
isolated defect in the region of the furcation of lower left first molar which
is non-mobile. The gingival tissue in thiS area appears erythematous and
slightly hyperplastic with a purulent exudate on probing. From the list
below, which is the most appropriate next step?

A-Obtain a radiograph

B-Biopsy the gingival tissue

C-Remove the restoration

D-Vitality testing

E-Prescribe antibiotics

Periapical or periodontal abscess?

51.A 40 yr old patient had root-canal treatment to his upper first molar.
This was performed 6 months ago using contemporary techniques under
rubber dam and was crowned after completion of treatment. He attends
complaining of continued discomfort from this tooth. Radiographic
examination shows each of the three roots to be obturated with a well-
condensed filling to the full working length though there is no evidence of
in-fill of the periapical lesion when compared to the pre-op view. What is
the most likely cause of the continued problem?

A-Extra-radicular infection

B-Contamination of canal(s) with E.faecalis

C-Uninstrumented canal

D-VerticaI root fracture

E-Perio-endo problem

MASTER KEY ACADEMY- MKA| 19

 52.A patient presents with a history of a post-crown having fallen out. The
post-crown was originally placed fifteen years ago and had been
successful up until four months ago since when it has come out and been
recemented four times. At recementation there was no evidence of any
caries. The patient had been a regular attender and not needed any
restorative treatment for the last eight years.

Which of the following is the most likely cause for the failure of this crown?

A-The post was to narrow

B-The post was too short.

C-The root canal treatment was failing.

D-A vertical root fracture was present.

E-There were excessive occlusal loads on the tooth.

53.A 23 year old patient attends complaining of pain in an upper right

molar and is keen to keep the tooth. The pain is typically sharp in nature,
is triggered by cold and persists after removal of the cold stimulus. The
tooth is not tender to percussion; a radiograph of the upper right first
molar shows a large radiolucency extending to the pulp horn but no peri-
radicular changes.

What treatment is most likely needed in this case?

A-Oral hygiene instruction and fluoride application

B-Excavation of caries and placement of a permanent restoration

C-Root canaI treatment

D-Indirect pulp cap and restoration

MASTER KEY ACADEMY- MKA| 20

E-Direct pulp cap and restoration

54.A patient attends your surgery complaining of severe pain, swelling

and mobility associated with a lower first molar tooth in which there is a
broken filling. A periapical radiograph indicates that the tooth has not
been root filled and there is loss of apical lamina dura associated with the
distal root and at the bifurcation. The periodontal bone support is good.
There is no significant pocketing.

What is the likely diagnosis?

A-Chronic periapical periodontitis

B-An acute periodontal-endodontic periodontitis

C-A chronic periodontal-endodontic periodontitis

D-An acute periapical periodontitis

E-Pararadicular periodontitis

55.An upper incisor in a 16 year old patient has suffered trauma and the
coronal tissue has been lost. The tooth has been endodontically treated.
How is the tooth best restored?

A-With a fibre post, direct core and crown.

B-With a direct core and crown.

C-With composite

D-With an indirect post-core from a pre-fabricated pattern and a crown

E-With a custom indirect post-core and crown

To crown teeth only in age of 18 isnot a law , it is a recommendation

MASTER KEY ACADEMY- MKA| 21

 56.A 50 year old male patient has a Class III jaw relationship with an
anterior open bite. It is planned to restore his lower right second molar,
which has suffered tooth wear and fracture, with an indirect restoration.
This tooth has approximately 2mm of coronal height.

What would be the most suitable approach to restore this tooth?

A-Provide an adhesively retained gold onlay (poor bonding)

B-Provide a conventional full crown ( No sufficent tooth structure)

C-Increase the vertical dimension and provide a full crown (pt has open bite)

D-Surgically crown lengthen and provide a gold crown

E-Provide an adhesively retained ceramic onlay (WEAK)

Biological width

57.A patient complains of a lower incisor which has been mobile for
several months. The radiograph indicates a normal level of bony support
although the periodontal space has widened. The apical bone appears
normal. The tooth is tender to pressure. Which of the following tests and
or examinations would be most likely to provide a diagnosis?

A-Masticatory muscle palpation

B-Electric pulp test

C-Occlusal examination (occlusal trauma is the cause)

D-Ethyl chloride test

E-Hot gutta percha application

58.A 23 year old male presents to your surgery. He lost his upper lateral
incisors some 10 years ago in a swimming pool accident. Since then he has

MASTER KEY ACADEMY- MKA| 22

 been wearing a 'spoon' denture which he now feels in aesthetically
unacceptable. He has sought an opinion on dental implants but has been
told that he would need bone grafting for this to be successful and he is
not prepared to undergo this. His dentition is excellent with no
restorations and a Class I occlusion. He wants some advice on what the
best treatment might be. Which option would you put first on your list of
possibilities?

A-Two fixed - fixed resin bonded bridges using the central and canine teeth

B-Two cantilever resin bonded bridges from the central incisors

C-Two conventional fixed - fixed bridges from the canine

D-Conventional cantilever bridges from the canines

E-Cobalt chrome partial denture

Success rate in implant and Maryland , fixed

5 10 Rbb fixed Rbb cantilever

Imp 97 90 7.8 9.8

Crown 95 85

59.A 55 year old female patient is missing her upper right second
premolar and upper right first molar and also is missing the upper left
second molar. The upper right second molar is functional and has an
amalgam restoration (MOD and buccal wall) that requires replacing. The
patient has no functional or aesthetic concerns.

What would be the treatment of choice in this situation?

MASTER KEY ACADEMY- MKA| 23

A-Provide an upper removable partial denture

B-Replace the amalgam in the upper right 7 only (restoration design is poor)

C-Provide a full coverage crown in the upper right 7

D-Provide a fixed bridge in the upper right quadrant (no functional purpose)

1st replacement for missing teeth is RPD so

Do any arrangement for partial as occlusal rest or guiding planes within

crown

Criteria of full covarege

Amalgam replacement

Lactating and pregnancy

60.Endodontic treatment has failed on an upper first molar; the patient is

keen to retain the tooth. There are persistent symptoms from the tooth.
Radiographically there is evidence of periapical radiolucency although the
three canals are obturated with good length and compaction.

What is the best course of action?

A-Extract the tooth

B-Re-treatment with an iodine solution as irrigant

C-Re-treatment with hypochlorite solution as irrigant

D-Re-treat the tooth, looking particularly for additional canals

E-Surgical apicectomy

61.You suspect that there is occlusal caries in the lower right first
permanent molar of a 10 year old child. You wish to confirm your
suspicions. Which diagnostic test is most commonly used in this situation?

MASTER KEY ACADEMY- MKA| 24

A-Bitewing radiography

B-Electro-conductive caries monitors

C-Fibro-optic transillumination

D-Panoramic radiography

E-Visual examination of a dried tooth.

62.You notice that a 20 year old patient has marked tooth surface loss
associated with the labial and palatal aspects and incisal edges of the
upper anterior teeth. They are sensitive to hot and cold. The remainder of
the dentition is mainly unaffected. What is the likely diagnosis?

A. -Attrition

B. Active erosion

C. -inactive erosion

D. -Abfractions

63.A 70 year old female, who suffers with persistent looseness of her
lower complete denture, is considered for implants. She will require
radiological evaluation of the potential implant sites. Which would be the
most appropriate radiological investigation at this stage?

A. MRI scan of the mandible

B. CT scan of the mandible

C. Periapical radiographs of the mandibular anterior region

D. True lower anterior occlusal view

E. Panoramic radiograph

MASTER KEY ACADEMY- MKA| 25

 64.14 y child comes to your clinic with a fractured incisor 3 mm super-
gingival, how would you treat the case,

A-Formocretasol pulpotomy

B-Calcium hydroxide pulpotomy

C-Pulpectomy

D-Direct capping

E-Indirect capping

65.Compound is,

A-Very accurate compression material

B-Thermoplastic material

66.In making your custom trays which of the following is true,

A -uniform thickness is required

B-Perforation is better

C-Only adhesive is better than perforation

67.An occlusal approaching retentive clasp TIP,

A-Should occupy a predetermined undercut

B-Contact the tooth under the survey line

C-Rigid

MASTER KEY ACADEMY- MKA| 26

 68.Which of the following does not affect the elasticity of retentive clasp?

A. Length of the arm

B. -The cross section shape

C. -The material used

D. -The undercut area

75% acrylic dentures

0,75 gold/.5 st.st/0.25 cobalt

Connectors lingual bar need 7 mm no thin plate

Retentive arm tip in the in the gingival third

Recperocal engage before retentive arm or at the same

69.A partial denture that seats on the master cast but fails to seat
correctly in the mouth is a result of,

A-Contraction of the metal framework during casting

B-Insufficient expansion of the investment material

C-Distortion of impression

D-Failure to block out unwanted undercuts

70.Symptom free patient comes to you after four weeks of an endodontic

treatment and you find on radiograph the canal is over filled with what it
seems to be a cone of Gutta Percha 1mm beyond the apex with a
radiolucent small area. What is your initial management?,

A-Start apiectomy through a flap and surgery

MASTER KEY ACADEMY- MKA| 27

B-Obturate the root canal

C-Ask for a recall and observe in three months time

D-Seal the pulp chamber and keep it under observation

71.The most desirable outcome of endodontic treatment is,

A-The healing of the alveolar bone

B-The deposition of cementum at the apex

C-Formation of fibrous capsule around the apex

72.The most accurate finding of pulpal pathology

A-Radiolucency on the apical region

B-Pain on hot or cold drinks

C-The absence of response to pulp testing

73.A patient on examination was found to have swollen gingiva around a

crown that had been present for several years. The papillae were
particularly enlarged. What is the most important feature of a crown that
may be responsible for this?

A-Material of the Crown

B-The occlusion

C-proximal Contour

D-Labial Contour

E-Surface finish

MASTER KEY ACADEMY- MKA| 28

 74.A 62 year old female presents at your surgery complaining of a
persistent, dull ache affecting her upper left 4. The pain is present all the
time but varies in its severity although the patient cannot think of any
exacerbating factors. It is not relieved by analgesics. Over the past 18
months the patient has had several teeth extracted from the upper left
quadrant. Each extraction brings about temporary relief of her symptoms
only for them to recur in an adjacent tooth. What is the most likely cause
of the patient's pain?

A-Acute/reversible pulpitis

B-Dentine sensitivity

C-Chronic/irreversible pulpitis

D-Atypical odontalgia

E Trigeminal neuralgia

75.An apical radiolucency (2mm) is noticed as an incidental radiographic

finding associated with the apex of the mesiobuccal root of the lower
right first molar. The tooth has been root filled but is 2mm short of the
radiographic apex. There are no other clinical or radiographic findings and
the patient is fit and well. What is the most appropriate course of action?

A.Extract the tooth.

B.Redo the root filling

C.Perform periapical surgery.

D.Advise the patient of the situation and monitor clinically and radiographically
5

E.Prescribe antibiotics then review

MASTER KEY ACADEMY- MKA| 29

 76.A 43year old patient is missing on the upper right the first premolar
and molar. He has good oral hygiene and requests a fixed replacement for
these teeth. The other teeth on the same side are all moderately restored
with MOD amalgam restorations and are vital, except the canine, which
has a very large restoration and is root-filled. He has group function.
Radiographs show a large sinus cavity and no peri-apical pathology. What
would be the restoration of choice for replacement of the missing teeth?

A-Implant supported crowns

B-A conventional fixed bridge using the 7 and 5 as abutments

C-Two conventional cantilevered bridges, using the 7 and 3 as abutments

D-A resin-bonded bridge, using the 7 and 5 as abutments

E-A conventional fixed-moveable bridge using the 7,5 and 3 as abutments

77.Glass ionomer cements are used in restoring Class V cavities.

Which of the following constituents are most likely to be present in glass

ionomer cements?

A Alumino-silicate glass and phosphoric acid

B.Phosphoric acid and zinc oxide

C.Polyacrylic acid and zinc oxide

D.Alumino-silicate glass and polyacrylic acid

Cements

Pure ZOE …. Inflamed-or temporary

GI -semi-permanent dressings and endodontic provisionalization

Composite- based luting —cementing ceramic or porcelain inlays/onlays and

ceramic veneers. ( panavia-•

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Lining

moderate: rMGIC

deep: use a sub-lining of calcium hydroxide (direct or indirect pulp capping)

and any of the cements listed. typically rMGIC is recommended

78.A 90-year old gentleman presented to clinic who is edentulous and has
dentures upper and lower full is-years old. Denture bit uncomfortable,
tooth structures little bit worn out, freeway space 2-4mm, polished
surfaces satisfactory and occlusal wear minimal. How would you proceed?

A-Copy dentures

B-Hard reline (soft &hard relining wonot increase the VD)

C-Soft reline

D-Construction of new dentures

79.-type of restoration to be placed on upper 7 that is to be clasped

buccally, reciprocation palatally, and an occlusal rest mesially.

A. 3/4 GC

B. FGC

C. NiCr

D. PJC 3/4 /full

80.You performed endodontic treatment and post and crown for a tooth ,
there is Periapical radiolucency after 3 years ,what is best action

A. Extraction

B. Apicectomy and Retrograde Filling

C. Remove the crown and retreatment

MASTER KEY ACADEMY- MKA| 31

 D. Prescribe Strong Antibiotic

81.Female Patient with localized flourosis and brown grooves affecting

her upper cental incisors , what is the treatment of choice ?

A. Full crown

B. Composite veneers

C. Vital bleaching

D. Direct composite(affected tooth structure,veneer will be more invasive)

82.-To adjust occlusal surface of upper denture we use :

A. Face Bow

B. Fox's bite plane

C. Articulator

D. adjust to lower rim

Devices used in Denture:-

1-Bite registeration: Fox’s bite plane(U-shaped ruler used to adjust upper

occlusal rim)

MASTER KEY ACADEMY- MKA| 32

2-Vertical dimension record:-

Willis bite guage(measure distance between base of nose and underside of

chin to get VDR)

Spring Divider

3-Facebow:- to get relation of maxilla to cranium

Maybe Arbeitary or kinematic

MASTER KEY ACADEMY- MKA| 33

4-Surveyor : used to

Detect under in RPD

Measure undecut

Block undercut

Detect path of insertion

---------------------------------------------------------------------------------

83.Preferred bridges for missing UR3

A Minmal prepartion adhesive bridge

B Conventional adhesive bridge

C Fixed-fixed bridge

D Minimal preparation fixed fixed

E Simple cantilever

F Spring cantilever

84.Preferred bridge for missing 1st molar

A Minmal prepartion adhesive bridge

B Conventional adhesive bridge

C Fixed-fixed bridge

D Minimal preparation fixed fixed

E Simple cantilever

F Spring cantilever

85.Preferred bridge for missing 1st premolar

A Minmal prepartion adhesive bridge

B Conventional adhesive bridge

MASTER KEY ACADEMY- MKA| 34

C Fixed-fixed bridge

D Minimal preparation fixed fixed

E Simple cantilever

F Spring cantilever

86.Missed lower centrals teeth , What is the bridge of choice

A. Convention Fixed-fixed bridge

B. RBB on LL2 and LR2

C. Cantilever convential bridge on LL2 and LL3

D. Separated 2 RBBs on LL2 and LR2

87.Which of the following is most likely to contribute to successful molar

endodontics?

A. Thorough cleaning using rubber dam throughout the procedure

B. Straight-line access to all canals.

C. The use of a bacteriocidal luting agent during obturation

D. Assessment using a good quality parallel long-cone periapical

radiograph

88.Which one of the following is most commonly used to bleach vital

teeth:

A. . Ethyl chloride

B. Hydrogen chloride

MASTER KEY ACADEMY- MKA| 35

 C. Hydrogen peroxide

D. Sodium bicarbonate

E. Sodium hypochlorite

89.An eight-year-old boy presents with pain of three days duration that
has kept him awake. On examination you see a grossly carious lower left 6
and some associated buccal swelling. Which of the following is the most
appropriate to give immediate relief of his pain?

A. Extract the LL6.

B. Gently excavate the.cartes and obtain drainage. (2nd correct

answer)

C. Give antibiotics.

D. Incise any swelling

90.The removable partial denture requires relining what is would be the

most appropriate action,
A. take a new impression by asking the patient to occlude on it
B. Provide equal space between denture and gingival tissues.
C. Make sure the framework and retainers are seated in place before
taking impression

91.In regards to dentine strength, which is the right sequence,

A. Affected dentine> Sound dentine> Infected dentine
B. Sound dentine> Affected dentine> Infected dentine

92.After obturation and on X-ray you notice the obturation materials are
lmm beyond apex. What is your first management?
A. Refill the canal
B. Pull the GP cone about lmm out and take a new X-ray

MASTER KEY ACADEMY- MKA| 36

C. Leave it as it

93..The location of Class V is in,

A. The buccaI pit /fissure
B. The occlusal surface
C. The cervical third

94.A patient comes to you with medium pain of tooth filled with
Composite resin as a result of cold or hot drinks, what your initial
management will be,
A. Remove the restorative material and start an Endontic treatment
B. Remove the restorative material and place a sedative temporary
material
C. Place a coat of bonding material on the old composite (was mentioned
in last royal college lecture!!)

95.. Which one of this restorative method will be LEAST compromised by

a core,
A. Amalgam
B. Composite
C. GIC
D. Cast gold
Macrofilled 2.5–5μm in size, to Good mechanical properties, but hard to
polish and soon roughens.
Microfilled 0.04μm in size and 30–60% by weight. retains a good surface
polish, but is unsuitable for load-bearing situations,
Nanofilled good wear resistance as well as polishability and lustre.
Hybrid Contains a mixture of conventional and microfine particles designed to
optimize both mechanical and surface properties. Contains 75–85% by weight
of filler,
Packable high wear resistance and less polymerization shrinkage.
96. In preparing a very small proximal amalgam cavity on a molar tooth
what would consider,
A. Extend the cavity to the gingival margin
B. Extend the cavity beyond the contacts areas
C. Achieve at least 2mm in dentine

MASTER KEY ACADEMY- MKA| 37

D. Extend cavity just beyond dento enamel junction

97.What is true about partial dentures,

A. They cause an immediate changes in the oral plaque behaviour
( microflora)
B. Night wearing of dentures reduces plaque accumulation
C. Relieving the gingival area reduces the gingival enlargement.

98.In regards to colours what is Chroma stands for,

A. Degree of saturation of hue
B. Brightness
C. Value
D. Contrast

99.. What is Ante's Law about,

A. The relation between the span of the bridge and the pontics
B. The periodontal area of the abutment teeth
C. The relation between the length of the root and the abutment.

100.Best success of root canal is achieved by

A. Straight canals
B. Straight line access
C. Widening of aperture of root canals
D. Proper irrigation all the times under presence of rubber dam

101.When preparing the Apical Zone, the use of the files sequentially
from apex to backwards (lower the size of instrument) - what
is the best distance to achieve good apical area preparation
A. 0.5mm
B. 1.0mm
C. l.5mm

MASTER KEY ACADEMY- MKA| 38

 D. 2.5mm

102.Best retention for distal extension in upper denture?

A. Rpi,

B. occlusal approach with mesial rest,

C. Occlusal with distal rest

Indirect retention 5 tips

attatchments

103.-Retention for lower denture in distal extension?

A. Rpi,

B. occlusal approach with mesial rest,

C. occlusal approach with distal rest

Hard tissue under cut/tilt cast

Modification of un favroble undercut/composit
Too high survy line/ enamplolasty or recontouring

104.Best depth of rest at marginal ridge?

A. 1.5 mm,

B. 2mm

C. 3mm

MASTER KEY ACADEMY- MKA| 39

 D. 1 mm

Minimum 1 mm

105.Which is true about direct retention in partial denture

A)it is well provided by extracoronal retainer only

B)it

106.deep.caries.wet dentin best removed by?

A. Small round bur

B. Small cleiod excavator

C. Large round bur

D. Large spoon excavator

107.Stiffness refers to

a. Resistance to elastic deformation.

b. Degree of elastic deformation.

c. Expandability on heating.

MASTER KEY ACADEMY- MKA| 40

d. Shrinkage on cooling.

e. Expansion on cooling

Resilience the energy absorbed by a material undergoing elastic deformation

up to its elastic limit.

Stiffness An indication of how easy it is to bend a piece of material without

causing permanent deformation or #. It is dependent upon the elastic modulus,
size, and shape of the specimen.

108.Pt heavily restored with class v , what is the material used that will
survive maximum for 5 y?

A. Flowable composite

B. Compomer

C. GI

D. Rgi

E. Amalgam

109.Under Kennedy classification, a partial denture that replaces a bi-

lateral free end saddle will be classified as:

A. Class 1

B. Class 2

C. Class 3

D. Class 4

E. Class 5

MASTER KEY ACADEMY- MKA| 41

 110..Which one of the following is the most common cause of dental pain
and loss of teeth, especially in the younger population:

A. Fracture of a crown/cusp

B. Thermal or chemical irritation

C. Dental caries

D. Traumatic pulpal exposure

E. ‘Cracked tooth syndrome

111.Which one of the following has the best 10-year survival rate, when
replacing a single upper central

A. Cantilever adhesive bridge from the lateral incisor

B. Double-winged adhesive bridge with wings on the lateral

incisor and corresponding central incisor

C. Cantilever conventional bridge, central incisor abutment

D. Fixed/ movable bridge

E. Osseaintegrated dental implant

112.What is the definition of indirect retention?

A. rocking of the denture saddles

B. Resistance to horizontal forces an abutment teeth caused by

retentive components during removal of the denture

C. Resistance to horizontal forces an denture flanges

D. Resistance to movement of the denture towards the underlying ridge

fbllowing the application of axial loads

MASTER KEY ACADEMY- MKA| 42

 E. Resistance to rotational movements of the denture saddle away from
the underlying ridge around an axis of rotation

113.Removable partial dentures are retained using clasps. Which of the

following factors does not determine the flexibility of a clasp?

A. Clasp length & thickness

B. Cross-sectional design

C. Degree of horizontal undercut in which the clasp sits

D. Material used in the clasp construction

114.Which retrograde filling is recommended when performing an

apicectomy?

a) Gutta percha

b) Amalgam

c) Mineral trioxide aggregate (MTA)

d) Zinc oxide--eugenol cement

e) (IRM) Glass ionomers

115.Which one of the following has the best 10-year survival rate, when
replacing a single upper central

A. Cantilever adhesive bridge from the lateral incisor

MASTER KEY ACADEMY- MKA| 43

 B. Double-winged adhesive bridge with wings on the lateral incisor
and corresponding central incisor

C. Cantilever conventional bridge, central incisor abutment

D. Fixed/ movable bridge

E. Osseaintegrated dental implant

116.This patient attends your clinic complaining of the appearance of his

root filled upper right lateral incisor. Which one of the following
treatment options is the most appropriate?

A. Scale and polish

B. All ceramic crown

C. Veneer preparation within dentine

D. Extraction and conventional bridge

E. Internal and external bleaching

117.The minimal labial tooth reduction for satisfactory aesthetics with

porcelain fused to metal crown is,

A. 1mm

MASTER KEY ACADEMY- MKA| 44

B. The full thickness of enamel

D. 2.5mm

E. One third of the dentine thickness

118. Which is the minimum distance between the major connector

on a maxillary RPD and the gingival margins?

A) 1mm

B ) 6 mm

C) 12 mm

D) 4 mm

Mandible or maxilla

119.,,,,,,,, ,Has potentially the strongest properties of all ceramic crowns

allow transillumination which is the one with those characteristics:

A.Zirconion crowns

B.Dentine bonded crowns

C.Leucite reinforced crowns

D.Pressed ceramic crowns inceram

120.Which one of the following combinations produces the lowest stress

within a root when used as a post and core?

A. Cast metal post and core

B. Composite resin post and core

MASTER KEY ACADEMY- MKA| 45

 C. Composite resin core in combination with a glass fibre
post(monoblock concept)

D. Parallel prefabricated metal post

E. Tapered prefabricated metal past

121.In relation to resin-retained bridges the term retainer describes

A. The prosthetic tooth within the bridge

B. The tooth to which the bridge is secured

C. The wing portion of the bridge that is attached or cemented Jo the

natural tooth

D. None of the above

122.Which one of the following is an example of attrition?

A. Tooth surface loss due to a pipe smoking habit

B. Cervical lesions due to aggressive tooth brushing p

C. Flattening of the canine in a 'tooth grinder'

D. Palatal tooth surface loss in a bulimia patient

E. Pitting of the enamel due to dietary acids

123.When designing a partial denture, which one of the following steps

comes first?.

A. Direct retention

B. Minor connectors

C. Support

D. Indirect retention

E. Major connectors

MASTER KEY ACADEMY- MKA| 46

 124..Assuming that the distance between the gingival margin on the
lingual surface of the lower anterior teeth and the base of the lingual
suIcus is 7 mm which of the following is the most appropriate major
connector to prescribe in this case?

A. Continuous plate

B. Dental bar

C. Lingual bar

D. Lingual plate

E. Sublingual bar

125.Which type of glass ionomer cement is used for fissure sealants?

A. Type I

B. Type II

C. Type III

D. Type IV

E. Type V

126.Which of the following is an advantage of glass ionomer cements?

A. They are brittle

B. They are insoluble

C. They have a setting time of 1—2 minutes

D. They release fluoride

MASTER KEY ACADEMY- MKA| 47

 127.A model need RCT for UR5 with previous MOD . what is the best
definitive ttt ?

A. Filling
B. Full ceramic with laminate build up(Multi-layer)
C. Full ceramic with block build up.

128.18 yrs old male suffered pain due to Pulp exposure by trauma 3 dys
ago, come to see you and the pulp still vital. What would be the
appropriate management?

D. RCT
E. coronal pulpectomy
F. GIC filling
G. .composite filling
H. minimal pulpectomy

129.-Patient with Lateral periodontal abscess ,what is the treatment of

choice

A. Metronidazole

B. Amoxicillin

C. Tetracycline

D. Drainage of the pus and analgesic

130.. Metal used in rochet bridge?

A. Chobalt chromium

B. Nickle chromium

MASTER KEY ACADEMY- MKA| 48