DGPD 761 2007

Advanced Pediatric Dentistry

Final Examination
November 16, 2007

Name______________________

1. The most common form of abuse reported to Child Protective Services is

which of the following?
A.
B.
C.
D.

Physical abuse
Sexual Abuse
Emotional Abuse
Neglect

2. When using the Caries Risk Assessment Tool (CAT) a child must score high
in how many categories to be considered High caries-risk?
A. 1
B. 3
C. 5
D. 7
3. Use of the Caries Risk Assessment Tool (CAT) requires which of the following
A. Advanced radiographic assessment
B. Microbiologic testing
C. A clinician familiar with the presentation of dental caries
D. Both A and B
E. None of the above
4. Two year old Bobby falls off of the swing set and has an un-complicated
fracture (Ellis Class I) fracture of tooth #E. Which of the following would be
appropriate treatment methods?
A.
B.
C.
D.
E.

Smooth the rough edges

Esthetic restoration
Pulpotomy
Pulpectomy
Both A and B

5. What percentage of accidentally intruded teeth will spontaneously re-erupt in 2

to 6 months?
A. 45%
B. 25%
C. 90%
D. 75%
6. Healthy four year old Sally falls off of the merry-go-round and teeth # E & F are
avulsed with no alveolar fracture. What is the recommended treatment?
A. Re-implant and observe for internal resorption
B. Re-implant and perform root canal treatment within 10 days
C. Soak teeth in Hanks Balanced Salt Solution for 15 minutes then reimplant
D. Put the teeth under the pillow and wait for the tooth fairy
7. Nine year old Billy plays goalie for the team that you sponsor. He helps win
the championship game with a last minute save. Unfortunately he stopped the
ball with his face and has avulsed tooth #9. Billy has a non-significant health
history. Tooth #9 has the best prognosis if:
A.
B.
C.
D.

Re-implanted after bench-top root canal treatment is completed

Re-implanted within five minutes
Re-implanted after root planing is performed
Stored for 15 minutes in milk prior to being re-implanted

8. How many milligrams of lidocaine are contained in one dental anesthetic

cartridge of 2% Lidocaine?
A.
B.
C.
D.

72 mg
36 mg
7.2 mg
3.6 mg

9. What is the maximum recommended dosage of Lidocaine that can be given to

a healthy 15 kg (33 lb) child?
A.
B.
C.
D.

66 mg
132 mg
6.6 mg
13.2 mg

10. What is the onset of action of 20% Benzocaine topical anesthetic?

A.
B.
C.
D.

30 seconds
60-90 seconds
2-3 minutes
4-5 minutes

11. What is the duration of pulpal anesthesia with 2% Lidocaine with 1:100,000
epinephrine for infiltration around tooth #J?
A.
B.
C.
D.

30 minutes
45 minutes
60 minutes
120 minutes

12. Relative to an adult where is the mandibular foramen situated in a child?

A. slightly lower and more anterior
B. slightly lower and more posterior
C. slightly higher and more anterior
D. slightly higher and more posterior
13. How much Fluoride would you prescribe to a two year old child presently
receiving no dietary Fluoride?
A.
B.
C.
D.

0.25 mg
0.50 mg
2.5 mg
5.0 mg

14. Which brushing technique do children most easily adopt?

A.
B.
C.
D.

Modified Stillman
Bass
Horizontal Scrubbing
Circular

15. Which material can be used for obturation of the root canal in a primary tooth
following pulpectomy?
A.
B.
C.
D.

mineral trioxide aggregate (MTA)

intermediate restorative material (IRM)
non-reinforced zinc-oxide eugenol
none of the above

16. Which of the following would be the material of choice for a direct pulp cap?
A.
B.
C.
D.

ferric sulfate
formocreosol
silicate cement
calcium hydroxide

17. At what age would you generally prescribe the first panoramic radiograph to
be taken for a healthy child with low caries risk?
A.
B.
C.
D.

2-4 years old

6-8 years old
13-15 years old
17-19 years old

18. All of the following are indications for dental treatment of a child under
general anesthesia except one. Which is the exception?
A. extensive orofacial and/or dental trauma
B. medical condition that routine dental treatment would pose a health
risk
C. uncooperative, defiant child with extensive carious lesions
D. when multiple appointments would require the child to miss
school more than three times.
19. Which of the following statements best defines ectopic eruption?
A.
B.
C.
D.

Any tooth that erupts prior to the normal dental eruption schedule
Any tooth that erupts out of the normal dental eruption sequence
Any tooth that erupts into an abnormal position
Any tooth that erupts into a normal position

20. Which of the following may cause an anterior open bite, proclined maxillary
incisors, retroclined mandibular incisors and a narrow constricted palate?
A.
B.
C.
D.

Tongue thrust
Thumb habit
Insufficient arch length
Ankylosed mandibular incisor

21. Gifts for children following dental appointments

A.
B.
C.
D.
E.

recognizes any childhood behavior as age appropriate

is a promise to induce good behavior
should not be given under any circumstances
is a bribe for positive behavior
none of the above

22. Matt, was in your office yesterday for a routine recall examination. At the end of
the visit, his mother asked about his small, right maxillary lateral incisor. She
specifically wanted to know if the size and shape of this tooth was due to all the
antibiotics he took for ear infections when he was a child. You explain to her that the
tooth, called a peg lateral incisor, was due to a disturbance in tooth development
A.
B.
C.
D.
E.

before birth
during birth
during the first month after birth
10-12 months after birth
four years after birth

23. Regarding question #22 above, this disturbance in tooth development occurred
during what stage of tooth development?
A.
B.
C.
D.
E.

bud stage
cap stage
bell stage
apposition stage
calcification stage

24. Which of the following is not true?

A. the crowns of the primary teeth are wider mesiodistally in comparison with
their crown length than are the permanent teeth.
B. the roots of primary anterior teeth are narrow and long compared with crown
width and length.
C. the cervical ridge of enamel at the cervical third of the anterior crowns
is much more prominent mesiodistally in the primary than in the
permanent teeth.
D. The crowns and roots of primary molars are more narrower mesiodistally at
the cervical third than those of permanent molars.
E. The primary teeth are usually lighter in color than the permanent teeth.

25. Bill, a twenty-nine month old tough guy, comes to your office with his mother Wilma
for his first dental visit. According to Law and Lunt, you would expect to see how
many teeth in his mouth?
A.
B.
C.
D.
E.

none
two
four
eight
all 20 primary teeth

26. Mrs. Jones calls you and is concerned about the eruption of teeth in her ninemonth-old infant son, Sam. She specifically wants to know if any of the following is
related to this process. Which are indeed related to this process?
A.
B.
C.
D.
E.

Croup
Diarrhea
Fever
sleep disturbance
daytime restlessness

27. Which of the following is true?

A. teething is a normal physiologic process
B. inflammation of the gingival tissues before complete emergence of the crown
may cause a temporary condition that subsides within a few months
C. in general, surgical removal of tissue covering the tooth to facilitate eruption is
a normal practice
D. teething can cause fevers, coughing, and sleep disturbances
E. none of the above
28. The primate spaces in the primary dentition occur between
A. maxillary lateral incisor and canine; mandibular lateral incisor and canine
B. maxillary lateral incisor and canine; mandibular first and second primary
molar
C. maxillary central incisor and lateral; mandibular canine and first molar
D. maxillary canine and first molar; mandibular canine and first molar
E. none of the above

29. With a mesial step in the second primary molar region, the mandibular permanent
first molar will erupt into
A.
B.
C.
D.
E.

a Class II malocclusion
a Class III malocclusion
normal occlusion after the early mesial shift
normal occlusion after the late mesial shift
none of the above

30. Baume observed that from about four years of age until the eruption of the
permanent molars the sagital dimensions of the dental arches remained essentially
unchanged. A slight decrease in this dimension can occur as a result of
A.
B.
C.
D.
E.

mesial migration of the second primary molar just after eruption

proximal caries of the molar teeth
adjustment mechanisms with the late mesial shift
change in the leeway space with the eruption of the permanent teeth
only (A) and (B).

31. Nances total leeway space in the entire maxilla

A.
B.
C.
D.
E.

1.7 mm
3.4 mm
.9 mm
1.8 mm
1.7 inches

32. The early loss of one or both mandibular primary canines following permanent
incisor eruption will be indicative of a
A.
B.
C.
D.
E.

tooth-arch discrepancy
malfunction of eruption
a Class I malocclusion
a Class III malocclusion
unilateral or bilateral facial asymmetry

33. Chronic alveolar abscesses are characterized by

A.
B.
C.
D.
E.

frequent draining fistulae

well defined radiographic lesion
possible lymphadenopathy
extreme elevation of temperature
only (A), (B), and (C)

34. Early exfoliation of primary teeth may be associated with

A.
B.
C.
D.
E.

hypophosphatasia
cherubism
cyclic neutropenia
all of the above
only (A) and (C)

35. Enamel hypoplasia can be related to which of the following factors:

A.
B.
C.
D.
E.

nutritional deficiencies
infected primary molars
primary tooth trauma
brain injury
all of the above

36. Mrs. Smith brings her six and one-half year old daughter Jessica to you for her first
dental visit. On examination, you note that #24 and #25 are just erupting into the oral
cavity. Her mother asks if she is getting her permanent teeth early. You explain that
in fact her permanent teeth are erupting
A.
B.
C.
D.

early
right on time
late
none of the above

37. Mrs. Brown brings her son Bradley to the office for a routine recall examination.
She inquires about the eruption of his permanent upper eye teeth and when to expect
them. You note that these teeth usually erupt around
A.
B.
C.
D.
E.

6-8 years
9-11 years
10-12 years
11-12 years
12-14 years

38. The examination of a very young child can be accomplished easily by

A.
B.
C.
D.
E.

Placing him/her in the dental chair alone

Using the elbow-to elbow approach
Doctor facing the parents with both parents on the floor holding the child
Both parents in the dental chair and holding the child
None of the above.

39. Ideally, the floor of a Class I cavity preparation in primary teeth should extend into
the dentin
A.
B.
C.
D.
E.

.5 mm
1.0 mm
1.5 mm
2.0 mm
none of the above

40. Line angles in Class I cavity preparations in primary teeth should be

A.
B.
C.
D.
E.

flat
broad
rounded
sharp
well defined

41. The axiopulpal line angle in Class II cavity preparations in primary teeth is
A.
B.
C.
D.
E.

at 45 degrees
grooved or beveled
sharp
at 60 degrees
none of the above

42. The buccal and lingual walls of the proximal box in a Class II cavity preparation for
primary molar teeth should
A.
B.
C.
D.
E.

converge occlusally
converge cervically
diverge occlusally
diverge cervically
both (A) and (D)

43. Henry Herbert is a four-year-old star ball player in his neighborhood.

Unfortunately, on his first visit to the dentist, non-restorable carious teeth #B, #D, #E,
#F, and #G, and #I had to be removed. In planning for space management, which of
the following would be the appliance of choice?
A.
B.
C.
D.
E.

band and loop

lingual arch
Nance appliance
distal shoe
crown and loop

44. A stainless steel crown would be indicated in which of the following clinical
situations?
A.
B.
C.
D.
E.

young permanent tooth with extensive caries

primary molar after a pulpotomy
primary molar with extensive caries
all of the above
only (B) and (C)

45. Anna Beth, who is 5 years old, came to the office for an initial dental visit. She
recently had #L extracted because of a failed pulpotomy. At her age, which of the
following space maintainers would be indicated?
A.
B.
C.
D.
E.

band and loop

lingual arch
Nance appliance
distal shoe
crown and loop

46. Tony, three years old, had early removal of #L, #R, and #S. The space maintainer
of choice would be
A.
B.
C.
D.
E.

band and loop

lingual arch
Nance appliance
distal shoe
crown and loop

47. What microorganism has been implicated as the major and most virulent of the
caries producing organisms?
A.
B.
C.
D.
E.

aciduric lactobacilli
certain strains of sarcinae
diphtheroids
staphylococci
none of the above

48. The standard general dental prophylaxis regimen for SBE in children is
A.
B.
C.
D.
E.

Ampicillin 20 mg/kg
Clindamycin 50 mg/kg
Amoxicillin 50 mg/kg
Cefazolin 50 mg/kg
Clarithromycin 25 mg/kg

49. The most common neoplastic disease to occur in childhood is

A.
B.
C.
D.
E.

sclamous cell carcinoma

chondrosarcoma
acute lymphocytic leukemia
basal cell carcinoma
brain tumor

50. According to McDonald and Avery, the incidence of congenital cardiac defects in
Down Syndrome is
A.
B.
C.
D.
E.

15%
25%
40%
55%
75%