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Periodontics MCQs - Periodontal

Microbiology

# Of the following four bacterial species,

which is least likely to be found in plaque ?
A. Actinomyces viscosus
B. Streptococcus mutans
C. Streptococcus salivarius
D. Streptococcus sanguis

# The common etiology of periodontitis is:

A. Occlusal trauma
B. Systemic factors
C. Local irritating factors
D. Hormonal defects

# Predominant bacteria found in two days

old plaque is:
A. Streptococci
B. Bacteroides
C. Spirochaetes
D. Actinomyces

# In deep older plaque :

A. Streptococci and Actinomyces are replaced
by rod-like organism
B. Streptococci are completely replaced by
Neisseria
C. Streptococci, Actinomyces and Veilonella
remain prominent
D. Actinomyces are completely replaced by
Streptococci

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Periodontology Mcqs

Surgical Periodontal Treatment

Aggressive Periodontitis

Non Surgical Periodontal

Treatment

Surgical Treatment of Chronic

Periodontitis

# Actinobacillus actinomycetemcomitans is
commonly associated with:
A. Juvenile periodontitis
B. Adult periodontitis
C. Refractory periodontitis
D. All of the above

# Supragingival plaque causes:

A. Gingivitis
B. Periodontitis
C. Pericoronitis
D. Aphthous ulcers

# The organism least likely to be found in

normal gingival crevices is:
A. Fusobacterium
B. Actinomyces
C. Diptheroids
D. Streptococci

# The sticky polysaccharide present in

dental plaque is:
A. Dextran
B. Dextrin
C. Glycogen
D. Sucrose

# Which of the following organisms is not

implicated in the etiology of periodontal
disease:
A. Bacteroides
B. Wolinella
C. Neisseria
D. Eikenella

# Bacteria, which are not found in normal

healthy periodontium, are:
A. Actinomyces
B. Capnocytophaga
C. Veillonella
D. Eubacterium

# Most important initiative factor for

periodontitis is:
A. Dental plaque
B. Calculus
C. Trauma from occlusion
D. Food debris layer

# Dental plaque adheres to the tooth

because:
A. Levans are gummy
B. Dextrans are insoluble and sticky
C. Plaque grows into the irregularities
D. Microorganisms produce sticky lipoproteins

# In which of the following conditions is

the role of microbial plaque most obscure:
A. Periodontitis
B. Juvenile periodontitis
C. Desquamative gingivitis
D. Necrotizing ulcerative gingivitis

# "Corn-cub" appearance is seen in:

A. Supragingival calculus
B. Subgingival calculus
C. Supragingival plaque
D. Subgingival plaque

# Central gram negative core supporting

outer coccal cells are called:
A. Bristle brush arrangement
B. Corncob arrangement
C. Bottlebrush arrangement
D. Hourglass arrangement

# Breakdown of periodontal fibers in

periodontitis is due to bacterial enzyme:
A. Collagenase
B. Hyaluronidase
C. Coagulase
D. None of the above

# Pellicle formation involves:

A. Adsorption of acidic glycoproteins from
saliva
B. Focal areas of mineralisation
C. Focal areas of necrosis
D. Bacterial colonisation

# Which of the follwing is the common

factor for the initiation of both dental
caries and periodontal disease?
A. bacterial plaque
B. lactic acid
C. calculus
D. no common factor

# Severe alveolar bone loss, as observed in

juvenile periodontitis ia associated with:
A. Cyclic neutropenia
B. Lysis of neutrophils
C. Increased phagocytosis
D. Impaired neutrophil chemotaxis

# The inorganic component of plaque is

primary:
A. Calcium and fluoride
B. Calcium and sodium
C. Calcium and phosphorus
D. Sodium and calcium

# Co-aggregation is mainly predominated

by:
A. interaction between gram +ve bacteria
B. interaction between gram -ve bacteria
C. interaction between gram +ve and gram -ve
bacteria
D. None of the above

# Which of the folowing is a periodontal

pathogen?
A. S. sanguis
B. S. mutans
C. A. viscosus
D. P. gingivalis

# Increases in steroid hormones are

associated with significant increases in:
A. Actinomyces viscosus
B. Prevotella intermedia
C. Streptococcus sanguis
D. Campylobacter rectus

# The carbohydrate not associated with

dental plaque is:
A. Dextrose
B. Levans
C. Glucose
D. Rhamnose

# Specific plaque hypothesis was put

forward by:
A. Jenco
B. Listgarten
C. Loesche
D. None of the above

# Which is the most numerous component

of plaque?
A. Minerals
B. Food debris
C. Microorganisms
D. Leucocytes

# Which surface of tooth has most of

plaque ?
A. Gingival third of tooth surface
B. Incisal one third of tooth surface
C. Middle third of tooth surface
D. Uniform on all surfaces

# A bacterial enzyme capable of altering the

ground substance of the periodontal
ligament is:
A. Amylase
B. Mucinase
C. Dextranase
D. Hyaluronidase

# In later phases of plaque development

the organism which predominates is:
A. Staphylococci
B. Streptococci
C. Rods and filaments
D. Vibrio and Spirochetes

# Which of the following plaque is most

harmful and causes spread of
inflammation to the connective tissue
leading to bone destruction?
A. Subgingival epithelial attached
B. Subgingival unattached
C. Subgingival plaque
D. Supragingival plaque

# Dental plaque is formed by reaction of

enzymes on:
A. Sucrose and lipids
B. Glucose and proteins
C. Glucose and lipids
D. Sucrose and saliva

# The bacteria of oral flora which plays

least role in periodontitis is:
A. Actinomyces
B. Actinomycetam comitans
C. Spirochetes
D. Bacteriodes

# Majority of oral microorganisms are:

A. Strict anaerobes
B. Gram positive bacilli
C. Spirochetes
D. Facultative anaerobes

# The bacterial flora associated with

juvenile periodontitis is mainly:
A. Gram +ve aerobic cocci
B. Gram +ve anaerobic cocci
C. Gram -ve aerobic cocci
D. Gram -ve anaerobic cocci

# The inorganic component of subgingival

plaque is derived from:
A. Saliva
B. Crevicular fluid
C. A and B
D. Fluids ingested

# Which of the following is the most likely

source of collagenase ?
A. Staphylococcus aureus
B. Bacteroides gingivalis
C. Treponema microdentum
D. Veilonella alkalescens

# Plaque differs from materia alba in:

A. presence of bacteria
B. presence of glycoprotein
C. presence of saliva
D. Absence of glycoprotein

# Bacteria in plaque form:

A. Intracellular polysaccharides
B. Extracellular polysaccharides
C. Both A and B
D. Complex polysaccharides

# Which of the following is first formed

after tooth brushing?
A. Materia alba
B. Plaque
C. Pellicle
D. Calculus

# Pellicle is a:
A. Salivary protein
B. Plaque
C. Microorganism
D. Calculus

# Pre-requisite for plaque formation:

A. Pellicle
B. Glycoprotein
C. Mucopolysaccharide
D. Dextran

# Tanerella forsythia is a ___________

periodontal pathogen.
A. Gram positive, non obligate
B. Non pleomorphhic rod
C. non obligate anaerobe
D. non motile, spindle shaped

# Electronic instrument used to measure

gingival crevicular fluid is:
A. Pericheck
B. Periotemp
C. Perioscan
D. Periotron

# Ecologic determinants of plaque depend

on all except:
A. Sugar content of diet
B. Host resistance
C. Age and sex of the patient
D. Status of dentition

# Salivary pellicle is composed of the

following except:
A. Immunoglobulin G
B. Immunoglobulin A
C. Amylase
D. Albumin

# Biofilm in general have:

A. Crystalline structure
B. Stereoline structure
C. Organized structure
D. Disorganized structure

# A test that can be used for typing of class

I histocompatibility antigens is:
A. Cell mediated Lympholysis (CML)
B. Donor-recepient mixed lymphocyte
response
C. Primed lymphocyte typing
D. Antibody and complement mediated
cytotoxicity

# Does sub-gingival scaling alters the

microflora of periodontal pocket?
A. never gets altered
B. alters aerobes only
C. gets altered
D. alters anaerobes only

# The primary etiological factor in the

development of furcation defect is:
A. Calculus
B. Plaque
C. Cemental caries
D. Root infection

# A glycoprotein that promotes new

attachment and increased cell proliferation
is:
A. Fibronectin
B. Fibropectin
C. Glycogen
D. Glycosaminoglycans

# In periodontal disease, ground substance

is dissolved by:
A. Hyaluronidase
B. Coagulase
C. Phosphorylase
D. Acid phosphatase

# The biofilms found on tooth surface are

termed as:
A. Enamel
B. Dental Caries
C. Dental Plaque
D. Saliva

# The lactoperoxidase thiocynate system

present in saliva is against:
A. A. actinomycetemcomitans
B. Streptococcus
C. P. Gingivalis
D. Actinomyces

# Which is the enzyme that prevents the

adhesion of Actinomyces to the tooth
structure?
A. Enolase
B. Glucosyl transferase
C. Xanthine oxidase
D. Myeloperoxidase

# Commonly isolated organism from oral

cavity is:
A. Streptococcus sanguis
B. Streptococcus pyogens
C. Neisseria gonorrhoea
D. Streptococcus pneumoniae

# Primary colonization of plaque is

dominated by:
A. Facultative aerobic gram +ve rods
B. Facultative anaerobic gram -ve rods
C. Facultative aerobic gram negative cocci
D. Facultative anaerobic gram +ve cocci

# Periodontitis is caused by:

A. Malnutrition
B. Supragingival plaque
C. Biofilm
D. Faulty toothbrushing

# The gram negative bacteria most

numerous in oral cavity is:
A. Streptococci
B. Veillonella
C. Selenomous
D. Eikenella

# Which one of the following species of

Streptococci is usually not found in dental
plaque?
A. S. mutans
B. S. sanguis
C. S. pyogens
D. S. salivarius

# Which component of diet affects plaque

composition ?
A. Carbohydrate
B. Mineral
C. Protein
D. Fats/lipids

# Microorganism which uses steroids as

growth factor is:
A. P. gingivalis
B. P. intermedia
C. S. sanguis
D. S. mutans

# Which of the following is the method of

transferring information in a biofilm ?
A. Quorum sensing
B. Conjugation
C. Plasmid transfer
D. All of the above

# The growth of Porphyromonas gingivalis

is enhanced by a metabolic byproduct
succinate produced by:
A. Streptococcus
B. Capnocytophaga
C. Actinomyces
D. Veillonella

# All of the following organisms can be

detected by BANA analysis except:
A. Tannerella forsythia
B. Porphyromonas gingivalis
C. Capnocytophaga
D. A. actinomycetemcomitans

# Bacteria in plaque are held together by:

A. Hydrophobic forces
B. Covalent forces
C. Vander waal's forces
D. All of the above

# Which one of the following complexes of

periodontal microorganisms is associated
with bleeding on probing?
A. Red complex
B. Orange complex
C. Green complex
D. Yellow complex

# Bacterial communication with each other

in a biofilm is known as:
A. Corncob formations
B. Coaggregations
C. Quorum sensing
D. Translocation

# Which is characteristic of supragingival

plaque and not of subgingival plaque in
Humans?
A. motile bacteria are predominant
B. Spirochaetes are evident microscopically
C. gram negative bacteria are predominant
D. bacterial composition is altered by dietary
sugar composition

# The number of bacteria in the oral cavity

is greater:
A. in the morning
B. after meals
C. at night
D. after brushing

# Which of the following substances play a

major role in regulating cell to cell and cell-
matrix interaction in cementum?
A. Sharpey's fibers
B. Intrinsic fibers
C. Proteoglycans
D. Phosphoproteins

# Enterococcus fecalis in post treatment

periodontitis:
A. cultured easily and disinfected
B. disinfected with saline and hydrogen
peroxide
C. Tolerate pH upto 11.5
D. Treated with intracanal medicaments

# After enamel has been exposed to

bacteria, irreversible bacterial colonization
takes place in about:
A. 24 hours
B. Few minutes
C. 1-2 hours
D. 2-4 hours

# Supragingival plaque undergoes which of

the following changes with time?
A. Plaque mass increases
B. Plaque microflora becomes more gram
positive
C. Plaque microflora becomes more gram
negative
D. Plaque microflora becomes predominantly
spirochetal

# The red complex associated with bleeding

in probing comprises of:
A. E. corrodens, A. actinomycetemcomitans,
Capnocytophaga
B. A. naeslundii, A. viscosus, A. odontolyticus
C. P. gingivalis, T. forsythia, T. denticola
D. Streptococcus, Fusobacterium,
Campylobacter

# Black pigmented bacteroides release

______ as agent responsible for
unpleasant smell of breath.
A. methyl mercaptan
B. Hydrogen sulphide
C. dimethyl sulphide
D. Propionic acid

# Which of the following is true about tooth

associated subgingival plaque?
A. has both gram +ve and -ve bacteria
B. extends till the junctional epithelium
C. may penetrate cementum
D. associated with gingivitis and periodontitis

# According to Glickman, maximum

accumulation of plaque takes place in
approximately:
A. 7 days
B. 15 days
C. 30 days
D. 60 days

# After cleaning and pumicing the tooth

surface, plaque formation takes place
within:
A. a few minutes
B. half to one hour
C. 2 to 4 hour
D. after 6 hours

# Which of the following species is found in

abundance in adult plaque?
A. Fusobacterium
B. Leptotrichia
C. Bacteroides
D. All of the above

# Bacterial "finger printing" reveals that

periodontal pathogens are:
A. Contagious
B. Non - contagious
C. Transmissible within member of same
colonies
D. Non transmissible

MCQs in Periodontology - …

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