September 2004 - Paper 1

1. In the preparation of Premolar class I cavity what is the best way of getting retention,
A. Slightly done undercut of the mesial and distal walls
B. Slightly done undercut of the buccal and lingual walls
C. The convergence of the cavity walls
2. In respect to Class V
A. it occurs on the buccal groove (fissure)
B. it occurs on the lingual groove (fissure)
C. it is a result of bad oral hygiene
3. After the placement of a class I amalgam the patient comes back to you complaining of
pain on masticating and biting; what is the first thing you would look at,
A. Occlusal height
B. Contacts areas
4. Child comes to your clinic with a fractured incisor 3 mm super-gingival, how would
you treat the case,
C.
D.
E.
F.
G.

Formocretasol pulpotomy
Calcium hydroxide pulpotomy
Pulpectomy
Direct capping
Indirect capping

5. What is Antes Law about,

A. The relation between the span of the bridge and the poetics
B. The periodontal area of the abutment teeth
C. The relation between the length of the root and the abutment.
6. What is the best way to cement Maryland bridge,
A.
B.
C.
D.
E.

GIC
Resin
High compression restorative resin
Zinc Phosphate cement
Oxide Zinc and eugenol

7. The ideal length of core in the fabrication of crown and core of endodontically treated
tooth is,
A.
B.
C.
D.

1.5 of crown length

The length of the crown
2/3 tooth/root length
root length

8. 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
9. While you finishing a class I cavity, the enamel is sound but you noticed in the dentine
and on the Dento-enamel junction a brown line, what is your response,
A. You leave it and complete the final restoration
B. You extend you preparation and clean it
C. You apply a cover of varnish
10. Dental caries of the proximal surfaces are usually start at,
A. Somewhere between the ridge and the contact area
B. Just gingival to contact areas
C. Just about the gingival margin
11. What is the property of high copper amalgam
A. Reduced physical creep
B. Higher retention
12. In regards to colours what is Chroma stands for,
A.
B.
C.
D.

Degree of saturation of hue

Brightness
Value
Contrast

13. Frankfort plane extends from,

A. horizontally from Sella to nasion
B. Sagittal from .
C. Horizontally from point on superior aspect of external auditory meatus to orbitale
14. Which of the following local anaesthetic is indicated in case of the need to long acting
one after a surgical operation,
A. Lidocaine
B. Mepivacaine
C. Bupivacaine (Marcaine)
15. In respect to Lidocaine 2% with 1:100000 vasoconstrictor,
A. The toxic threshold is 22ml
B. 8.8 ml is the maximum you can give in one session

16. Which one of this restorative method will be LEAST compromised by a core,
A.
B.
C.
D.

Amalgam
Composite
GIC
Cast gold

17. In preparing a very small proximal amalgam cavity on a molar tooth what would
consider,
A.
B.
C.
D.

Extend the cavity to the gingival margin

Extend the cavity beyond the contacts areas
Achieve at least 2mm in dentine
Extend cavity just beyond dento enamel junction

18. What is true about partial dentures,

A. They cause an immediate changes in the oral plaque behaviour
B. Night wearing of dentures reduces plaque accumulation
C. Relieving the gingival area reduces the gingival enlargement.
19. The biting load of denture base to tissues compared to teeth are,
A. Ten times more
B. Ten times less
C. Equal
20. Compound is,
A. Very accurate compression material
B. Thermoplastic material
21. the different between normal stone and the dye stone is,
A. In the particles size
B. The amount of water
22. What sort of reaction happens in the GIC restorations,
A. Acid Base reaction
23. 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
24. Throbbing pain increases with heat and cold stimuli, the MOST probable diagnosis is,
A. Cyst
B. Occlusal trauma
C. Advanced pulpitis
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25. In making your custom trays which of the following is true,

A. A uniform thickness is required
B. Perforation is better
C. Only adhesive is better than perforation
26. The beam that leaves the target is called,
A.
B.
C.
D.

The primary X-ray

The electrons
The secondary rays
X-rays photons

27. The most common cause of caries in children is,

A. Soft diet
B. High intake of carbohydrate
C. Poor oral hygiene
28. The best storage media for avulsed tooth is,
A.
B.
C.
D.

Saline
Milk
Water
Saliva

29. An occlusal approaching clasp TIP,

A. Should occupy a predetermined undercut
B. Contact the tooth under the survey line
C. Rigid
30. In the construction of partial denture the surveyor is not used to,
A.
B.
C.
D.

Contour the wax as part of the fabrication of the working cast

Locate the guide planes
Determine the location of indirect retainers
Identify any undesirable undercuts

31. The advantage of the silicone in soft relining material over .. rubber is,
A.
B.
C.
D.

Retains high flow

Prevents the colonization of Candida albicans
Resilient in long run
Better bond strength

32. The main purpose of finishing the enamel walls is,

A. Remove loose enamel rods
B. Provide a better surface for the adoption of restorative material

33. A female patient comes to you complaining of persistent pain in heavily restored central
incisor; you suspect 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 dressings
B. Pulp extirpation and obturate with Ledermix dressings
C. Prescribe analgesics and systemic antibiotic
34. which of the following is true regarding TMJ dysfunction,
A. It is always due to arthritis, should be treated with NSAIDS before attempting surgery
B. Raising bite increases the space in the joint and should be attempted before surgery
C. It is mostly due to the medial movement of the condylar head over the glenoid fossa
35. the location of Class V is in,
A. The buccal pit /fissure/
B. The occlusal surface
C. The cervical third
36. Occlusal cavity with extension of the buccal fissure is classified as,
A. Class II
B. Class III
C. Class I
37. Which of the following does not affect the elasticity of retentive clasp?
A.
B.
C.
D.

Length of the arm

The cross section shape
The material used
The undercut area

38. Following calcium hydroxide pulpotomy, the dentist would expect dentine bridge to
form at,
A.
B.
C.
D.

The exact level of amputation

Level some where below the amputation
Half way between amputation and apex
At the apical region of the tooth

39. In the construction of a full veneer gold crown, future recession of gingival tissue can
be prevented or at least minimised by,
A.
B.
C.
D.

Extension of the crown 1 mm under the gingival crevice

Reproduction of normal tooth incline in the gingival one third of the crown
Slight over contouring of the tooth in the gingival one fifth of the crown
Slight under contouring of the tooth in the gingival one fifth of the crown

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

Contraction of the metal framework during casting

Insufficient expansion of the investment material
Distortion of impression
Failure to block out unwanted undercuts

41. Which of the following muscles may affect the borders of mandibular complete
denture?
A.
B.
C.
D.
E.

Mentalis
Lateral pterygoid
Orbicularis oris
Levator oris
Temporalis

42. Jaw relations for edentulous patient have been established. The maxillary cast has been
mounted on the articulator without face-bow and you decided to increase the occlusal
vertical dimension by 4 mm. this will necessitate,
A.
B.
C.
D.

Opening the articulator 4 mm

A new centric relation record
Changes in the condylar guide settings
Increase in the vertical dimension

43. What is correct in regards to high copper amalgam,

A.
B.
C.
D.

Reacts and strengthens the amalgam by its dispersion properties

Reacts to form copper-tin phase thereby eliminating the tin-mercury phase
Reacts to form copper-silver phase thereby eliminating the silver mercury phase
Reacts and strengthens the amalgam by its grain diffusion

44. What is the best way to get optimum adoption of ceramic to metal,
A. Slow firing
B. High compression
45. What is the main purpose of using corticosteroids in pulpal obturation material?
A. For their antibiotic action
B. For their antiinflammatory action
C. To relief pulp pressure
46. Which of the following statements is incorrect regarding Smokers Keratosis?
A. Typically affects the hard palate
B. Minor mucous glands are swollen with red orifices
C. There is a little regression if smoking is stopped

September 2004

- Paper 2

1. The blood supply to the denture bearing areas of the maxilla

A. Superior Maxillary artery
B. Grand/greater palatine artery
2. What could be MOST cariogenic,
A.
B.
C.
D.

Consuming a lot of carbohydrate with meals

Consuming a lot of elective sweets during meals
Excessive consumption of sugar soft drinks all day
Consumption of elective sweets between meals

3. 13 years old boy comes to you with excessive hyperplasia of the gingiva as a result of
Phenytoin what is your management,
A. Stop the medication
B. Force a strict oral hygiene and surgical removal of excess gingival tissues
C. Debridement and conservative approach
4. During swallowing, a) suprahyoid muscles relax b) masseter contract c) tongue touches
the palate
A.
B.
C.
D.
E.

a and b
a and c
b and c
none of the above
all of the above

5. White man 56 years old comes to you with a brown spot on his gingiva and another one
on his oral mucosa, when taking the history he mentioned a weight and memory lost.
He as well complains of headaches. What is your most probable diagnosis,
A. Addisons disease
B. Hyperthyroidism
6. While removing the second primary molar of 9 years old child, the apical of the root
fracture and stay in the socket,
A.
B.
C.
D.

You will just leave it and observe it

You take surgically by a lingual flap
You try to take out by using a root apex elevator
You use a fine end forceps to take it out

7. Subgingival plaque changes from,

A. gram positive to gram negative
B. gram negative to gram positive

8. What is the most important factor to reduces dental irradiation,

A.
B.
C.
D.

Speed of film
Collimation
Filtration
Cone shape and length

9. With view to Nitrous Oxide what is the major pharmacological problem?

A. Contraindicated in pregnancy
B. Contra indicated in cardiac dysrhythmias
C. Diffusion hypoxia at the end of the case due to slow solubility of the agent in blood
10. Which of the following is an expansile lesion of the oral mucosa,
A. Keratocyte
B. Radicular cyst
C. Cementoma
11. the initial therapy in HIV patient is,
A. Debridement and antimicrobial mouth rinses
B. Root planing and surgical approach
12. The concentration of Fluoride in the topical NaF
A.
B.
C.
D.

2%
5%
8%
10%

13. Which of the following most probable does not exist in the kids acute gingivitis,
A. Spirochetes
B. Streptococcus
C. Staphylococcus
14. Which of the following is true about warfarin,
A. INR of 3 is enough to start any extraction
15. What is not true about tobacco smoking,
A. Redox potential is reduced resulting in anaerobic bacteria
B. It is immuno-suppressive
C. It is adrenergic
16. patient in your dental chair shows chest pain, weak pulse and dysponea, what is your
initial management,
A. Give a nitro-glycerine tablet and keep the patient up seated /This answers is for any of
the angina symptoms/
B. Put the patient in supine position
C. Do nothing and wait until the symptoms go
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17. What are two teeth connected at the cementum called,

A.
B.
C.
D.

Concrescence
Dilaceration
Gemination
Fusion

18. Developer contaminated with other chemical and was not mixed properly. What is the
effect on the X-ray film?
A. Too dark film
B. Light film
C. Foggy
19. Which part of the cranium is considered as the most stable area,
A.
B.
C.
D.

Frankfort plane
Occlusal plane
Anterior cranial plane
Anterior nasal to gnathion.

20. the difficulty of placing matrices on deciduous dentition is a result of,

A. The small mouth of kids which result in problem keeping the matrices in their mouths
B. The occlusal convergence of the deciduous teeth
21. What would you expect to see a year after Auto- transplantation of tooth in a prepared
socket,
A. New well formed periodontal ligament
B. Degree of external resorption and fibrous tissues
C. New well formatted lamina dura
22. Which muscle will keep the fractured segment of the jaw I can not remember this
question
A.
B.
C.
D.
E.

Lateral pterygoid
Medial pterygoid
Masseter
Temporalis
Mylohyoid

23. What is INR used for,

A. 3 or more is the target prothrombin time to start a safe extraction
24. Branchial Cleft cyst is located ,
A. Medial to the neck
B. On anterior border of the Sternocleidomastoid muscle
C. Shows when swallowing

25. the most common way of oral carcinomas to other tissues is/are
A.
B.
C.
D.

Lymphatic
Invasion and blood
Lymphatic and invasion
Blood and lymphatic

26. What is true about smokers,

A.
B.
C.
D.

Causes immunosuppression
Increase redox potential of smokers fibrous growth of anaerobic organisms
Defects neutrophil function and characteristics
Can produce smokers palate but rarely metaplasia

27. The main purpose of periodontal treatment is,

A.
B.
C.
D.

Elimination of plaque and calculus

Elimination of periodontal pockets
Reformation of all the periodontal ligaments
The elimination of all occlusal trauma

28. What is the approximate unstimulated salivary flow rate,

A.
B.
C.
D.

2 ml/min
0.2 ml/min
0.02 ml/min
20 ml/min

29. Why is it difficult to use matrices on deciduous teeth,

A. It hurts the kids parents
B. The small mouth opening of kids in that age range makes it difficult to keep matrices in
mouth.
C. The occlusal concavity of deciduous teeth
30. The thermal and electric pulp tests will,
A. Give an accurate indications of the pulp status
B. The patients response will be either pain or no pain
C. The patient can differentiate between cold or hot stimuli
31. Immediately after the extraction of lower molar the patient complains of post operation
bleeding and pain, how would manage this,
A. Prescribe analgesics and ask the patient to follow a strict oral hygiene
B. Administer 5% Marcaine Local Anastatic, prescribe analgesics and pack the socket with
alvogyl
C. Administer 5% Marcaine Local Anastatic, suture the socket and prescribe analgesics
D. Suture and give pressure packs

10

32. Gracey curette is characterized by,

A.
B.
C.
D.

The blade and the shank form 90 angle

Can be used on both sides
Can be used on any tooth surface
It is specific for each surface of the tooth

33. 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 (may be it was thickness) between denture and gingival tissues.
C. Make sure the framework and retainers are seated in place before taking impression
34. Why do we use Corticosteroid material in pulp obturation,
A. To prevent the inflammatory process
B. As an Antibiotic
C. To minimize pressure on the periapical tissues
35. As a result of wrong use of tooth brush the patient MOST probable complaint will be
when,
A. Spontaneous pain or discomfort
B. Occasional pain during brushing of the teeth
C. Occasional pain during consumption of sweets
36. In regards to dentine strength, which is the right sequence,
A. Affected dentine> Sound dentine> Infected dentine
B. Sound dentine> Affected dentine> Infected dentine
37. Symptoms 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.
B.
C.
D.

Start apiectomy through a flap and surgery

Obturate the root canal
Ask for a recall and observe in three months time
Seal the pulp chamber and keep it under observation

38. After obturation and on X-ray you notice the obturation materials are 1mm beyond
apex. What is your first management?
A. Refill the canal
B. Pull the GP cone about 1mm out and take a new X-ray
C. Leave it as it
39. 2.21mg NaF contains,
A. 1mg fluoride
B. 2 mg
C. 0.5 mg
11

40. The requirement for root and crown length is,

A. 2:3
B. 1:1
C. 1:2
41. Stiffness of material are measured by,
A. Proportional unit
B. Modules of elasticity
C. Stress/ strain
42. What is the purpose of making a record of protrusive relation and what function does it
serve after it is made?
A. \\To register the condylar path and to adjust the inclination of the incisal guidance.
B. To aid in determining the freeway space and to adjust the inclination of the incisal
guidance.
C. to register the condylar path and to adjust the condylar guides of the articulator so that
they are equivalent to the condylar paths of the patient.
This is the answer of the American board, to aid in establishing the occlusal vertical dimension
and to adjust the condylar guides of the articulator so that they are equivalent to the condylar
paths of the patient
43. Four years kid shows at your clinic with open bite as a result of thumb sucking, you
notice a delayed speech ability what would be your first management,
A. Refer to a speech therapist
B. Apply a removable habit inhibitor denture
C. Apply a removable habit inhibitor denture and educate the parents about it so the kid will
not be taking it off so often
44. 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 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 and start a permanent restoration.
B. Start systemic antibiotic
C. Try to ream and file canals
45. A patient with no positive history came along for scaling. The moment you pick up the
scaler you punch your finger, what should you do?
A.
B.
C.
D.
E.
F.

Complete the procedure as nothing has happened

Check patients blood for Hepatitis B antibody HBsAb
Check patients blood for Hepatitis B antigen HBsAg
Check dentists blood for Hepatitis B antibody HBsAb and HIV antigen HIVAg
Check dentists blood for Hepatitis B antigen HBsAg and HIV antibody HIVAb
Dentist should go and take a HBsAb vaccine
12

46. when probing for periodontal disease the tip of the probe will be,
A. At the coronal end of junctional epithelium
B. At the top of the gingival calculus
47. After the initial development stage and in the absence of pathology, a the size of the
pulp chamber has been reduced by,
A.
B.
C.
D.
E.

Deposition of primary dentine

Deposition of secondary dentine
Reparative dentine
Pulp fibrosis
Deposition of reparative dentine

48. 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
49. What is NOT related to the normal aging process?
A.
B.
C.
D.

Progressive bone loss

Reduced elasticity of muscles
Decreased elasticity of the skin
Lower pain threshold

50. As far as localised alveolar osteitis is concerned; which one of the following is true?
A.
B.
C.
D.
E.

The incidence in the mandible and maxilla is similar

The prophylactic prescription of antibiotics prior to extraction reduces the incidence.
Excessive fibrinolysis is the likely aetiology
Purulent exudate must be seen for a diagnosis and irrigation is mandatory
Zn oxide eugenol and alvogyl dressing promote a rapid bone growth

51. 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
52. for dental caries to progress in dentine,
A.
B.
C.
D.
E.

the dentine must contain soluble collagen

enamel must contain glycoproteins
diet must contain simple carbohydrate
diet must contain polysaccharides
pulp must contain complement

53. A patient on the dental chair has cardiac arrest which is INCORRECT,
A. Observing the vital signs and check that the air way is clear is at high importance
B. Expired air has 15% O2 only, and cardiac compressions achieve 30-40% of cardiac output
C. Intermittent positive pressure at the rate of 40/min will reduce the chances of cerebral
hypoxia
D. Intermittent positive pressure is better than mouth to mouth when it has been given at the
same rate.
13

54. Which of the following is true in regards to smoking,

A. Smokers keratosis is common but metaplasia activity is not recognised
B. Redox potential is increased resulting in aerobic bacteria
C. Tissue perfusion is decreased resulting in increased infection
**I remember this with more than one answer but can not remember them all
55. A 9 year old boy has a small white discolouration on his maxillary central incisor. The
lesion is most probably,
A.
B.
C.
D.

Hypocalcification due to trauma of the primary predecessor

Hypoplasia due to acute systemic infection when 6-12 months old
Defect during the histo differentiation stage of development
Defect during the morho differentiation stage of development

56. The best method to take X-ray of the maxillary sinus is,
A.
B.
C.
D.
E.

Periapical radiograph
Panoramic view
Lateral cephaloghraph
Occipitomental view
Reverse Townes view

57. Which of the following is not a part of the fully formed enamel organ,
A. Outer enamel epithelium
B. Inner enamel epithelium
58. 18 years old female her weight is 52Kg and she is 163cm tall. On dental examination
erosion of teeth on the most of her lingual surfaces is clearly showing. Dietary history
revealed a daily rate of 5000 to 7000 Kcal/day. What is most probable would be her
case?
A.
B.
C.
D.
E.

Alcoholism
Drug abuse
Bulimia
Excessive smoking
Diabetic mellitus type I

59. Which one of the following is true in regards t osseointegration implants in dentistry?
A.
B.
C.
D.

Fibrous tissues are formed and integrated directly between titanium and bone
Following insertion, implants can be immediately loaded without problem
The success of the implants is directly proportional to its area of contact with bone
The success of the implants depends mostly on low torque preparation and insertion of the
fixture
E. The success of integration is accurately investigated by immediate radiographic
examination

14

60. Generalised lost of tooth structure by chemical means called,

A. Erosion
B. Attrition
61. On X-ray, the buccal roots of 16 is considerably elongated; this is a result of,
A. Too great vertical angulation
B. Inadequate vertical angulation
C. Excessive object film distance
62. The principle muscle responsible for the opening of the mouth is,
F.
G.
H.
I.

Mylohyoid
Anterior temporal
Posterior temporal
Anterior belly of digastric

63. Denture stomatitis is commonly associated with,

A.
B.
C.
D.

The continuous wearing of removable orthodontic appliances in otherwise healthy patient

The proliferation of hypertrophic tissue at the denture periphery
The overgrowth of some constituents of oral normal microflora
Allergy to denture base material

64. Which is NOT usually related to gingival inflammation in children?

A.
B.
C.
D.
E.

Endocrine disturbance
Viral infection
Mouth breathing
Spirochetal infection
Streptococcal infection

65. Which of the following is NOT characteristic of Downs syndrome?

A.
B.
C.
D.
E.

Decreased neutrophil function

Macroglossia
Macrodontia
An increased susceptibility to periodontal disease
Congenitally missing teeth

66. Which of the following is the best evidence that a previous periodontal treatment is
successful?
A.
B.
C.
D.

The patient keeps a 3 month recall appointment

There is no extrinsic stain
The patient demonstrates good understanding of brushing and flossing techniques
There is no bleeding on probing

15