A.H.E.A.

D
MDS / ADC / NBDE & NDEB Coaching

AUSTRALIAN DENTAL COUNCIL (ADC) EXAMINATIONS

The ADC examination is a screening examination to establish that dentists trained in

dental schools which have not been formally reviewed and accredited by the ADC
have the necessary knowledge and clinical competence to practice dentistry.

FACILITIES OFFERED BY AHEAD SUPPORT TEAM

Examination Initiative support

Procedures for Assessment and Recognition of Overseas Qualification

Eligibility requirement information

Format, Timing and Venues of the ADC Examinations

Occupational English Test (OET)

Preliminary Examination MCQs and SAQs

Study material Specific test item formats

Entry requirements to New Zealand registration examination process

Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D)

57 / 11, Old Rajinder Nagar, New Delhi 110060, INDIA
Ph: +91-11- 25716297, +91-9310187297
Email- ahead_academy@yahoo.com

www.aheadacademy.com
Occupational English Test (OET) or IELTS academic module :
ADC now accepts either of the following English language tests:
The International English Language Testing System Academic module (IELTS); or
The Occupational English Test (OET).

The occupational English Test is a test of English for medical and health professionals. It is used
for professional registration and migration purposes.
As part of the ADCs assessment and examination pathway, overseas qualified dental practitioners must
successfully complete either of the following English language tests at the specified level:
The IELTS academic module, with a minimum score of seven in each of the four components (listening,
reading, writing and speaking); or
The OET, with grades of A or B in each of the four sub-tests (listening, reading, writing and speaking).
All components or sub-tests of either test must be passed at the specified level in a single sitting.
A pass in the IELTS or OET (at the specified level) is valid for two years only.

Preliminary examination :
It is a written examination in multiple choice and short written answer format. It is designed to test your
knowledge of the practice of dentistry and of clinical and technical procedures as they are practiced in
Australia. Previous examination papers are not available, but sample multiple choice questions are made
available to enrolled candidates. Unlimited attempts are permitted for this examination but a new fee must
be paid for each attempt. A pass is valid for three years.

Final Examination - Clinical :

In order to be eligible to sit for the Final Examination you must pass the Preliminary Examination. The
Clinical examination is held over three to six days. Unlimited attempts are permitted for this examination
but it must be undertaken within three years of passing the Preliminary Examination. First attempt
candidates will have priority over repeat attempt candidates

ADC EXAM COACHING : Course options at AHEAD Academy

Course Course
Name of Course Course Content Charges Study Material
Duration Schedule
AHEAD Review
Booklets in all basic &
Sunday Tests with Explanatory
1. ADC Simulated clinical subjects. Check
Answers & Combined Rankings. 10 US
Online Test Series Books recommended for Schedule
Tests are repeated Online on Months $ 900
for Part I Exam ADC : mcqs & saqs. on Page 4
Weekdays also
Simulated Tests with
Answers
AHEAD Review
Weekend Classes, Tests &
2. Regular Classes Booklets in all basic &
Discussions, Explanatory
with ADC clinical subjects.
Answers, Combined Rankings, Check
Simulated Tests 10 US Books recommended for
Doubt solving sessions with the Schedule
for Part I Exam Months $ 1800 ADC : mcqs & saqs.
expert faculties in all subjects on Page 4
Sat : 2pm to 8pm
Tests are available Online on Simulated Tests with
Sun : 8am to 5pm Class Notes, New Mcqs,
Weekdays for practice
Assignments with saqs
Perform Procedures on ADC
Simulated Models, Typhodonts
3. ADC Clinical Previous year viva
& Patients. Exclusive viva Check
Training Course 2 US questions, explanations,
interaction on Clinical Schedule
for Part II Months $ 2500 notes & expected
Procedures, Differential on Page 13
Exam questions
Diagnosis of Pathologies &
Treatment Planning
 Details of Course options for ADC Exam Coaching

Option 1 : Online Test Series for ADC Part I Exam

Online Tests are available at www.aheadacademy.com
 Tests & Discussions covering all subjects to prepare you for
ADC Part - I Exams alongwith study material.
 All tests are with explanatory answers, references & combined Rankings
 Every Sunday tests are conducted simultaneously online & at AHEAD
Academic Test Centers.
 Previous Tests are available for repeat attempts online 24 hours x 7 days
 Study material in the form of books recommended for ADC are sent to all
enrolled candidates by courier

Option 2 : Regular Classes with Tests & Discussions for ADC part 1 Exam
 Classes are conducted by experienced faculty in all specialties on every Sat
& Sun as per the predecided Schedule. Summarized Class notes are
distributed.
 Mock ADC Exams are conducted followed by discussions with experts &
explanatory answers are distributed after the tests.
 These sessions cover both MCQs & SAQs as per the ADC Exam Pattern.
 Doubt Solving sessions are also conducted with the teachers in all subjects.
 Weekly assignments are given to all students in order to prepare for the
next forthcoming subject wise test.

Option 3 : Clinical Training Course for ADC Part II Exam.

 All procedures are performed by the students on ADC simulated models,
typhodonts, extracted teeth & allotted patients
 Focus is on Endodontics, Prosthodontics & Restorative Dentistry with
Periodontics, Radiology, Oral Surgery & Pedodontics as additional
subjects.
 ADC Simulated Clinical Course allows the candidates to enhance their
working skills, learn ideal procedures, practice infection control and gain
confidence for handling the patients and perform guided treatment.
 Exclusive Viva Interaction on Differential Diagnosis of various
pathologies & their Treatment Planning

Combination of Options 1 & 3 or Options 2 & 3 are also available

 SCHEDULE OF FEES BY ADC
Applicable as on 01 January 2012
DENTISTS
Item Fee
Assessment for Eligibility $ 610
Preliminary Examination: September 2011 $ 1,110
Final (Clinical) Examination: November 2011 series $ 6,615
Supplementary Examination $ 2,185
Verification of Preliminary Examination Results $ 120
Verification of Final (Clinical) Examination Results $ 120
Review Against Procedures of Final (Clinical) Examination $ 950
All fees are shown in Australian dollars

DENTAL HYGIENISTS, DENTAL THERAPISTS

Item Fee
Assessment for Eligibility $ 610
Issue of ADC Certificate (Dental Hygienist or Dental Therapist) $ 120
All fees are shown in Australian dollars

Please refer to the examining bodies for details of the additional fees charged to sit the examinations

Payment to ADC Authorities :

Fees may be paid via bank cheque, VISA, MasterCard or Australia Post money order.
International cheques must be in Australian dollars and drawn against an Australian bank.
Cheques are to be made payable to the Australian Dental Council and accompany all applications.
 AHEAD ACADEMY
ADC Tests & Discussions Schedule, 2013
WEEK DAY & DATE TEST
1 Sun, 27th Jan, 13 Anatomy
Sun, 3rd Feb, 13
Module I

2 Physiology
3 Sun, 10th Feb, 13 Biochemistry
4 Sun, 17th Feb, 13 Microbiology
5 Sun, 24th Feb, 13 Module Completion Test
6 Sun, 3rd March, 13 General Pathology
Sun, 10th March, 13
Module II

7 Pharmacology
8 Sun, 17th March, 13 Preventive & Community Dentistry
9 Sun, 24th March, 13 Oral Pathology
10 Sun, 31st March, 13 Module Completion Test
11 Sun, 7th April, 13 General Medicine
Module III

12 Sun, 14th April, 13 Orthodontics

13 Sun, 21st April, 13 Conservative & Endodontics
14 Sun, 28th April, 13 Module Completion Test
15 Sun, 5th May, 13 Pedodontics
Module IV

16 Sun, 12th May, 13 Periodontics

17 Sun, 19th May, 13 Dental Materials
18 Sun, 26th May, 13 Module Completion Test
19 Sun, 2nd June, 13 Oral Medicine & Radiology
Sun, 9th June, 13
Module V

20 Prosthodontics
21 Sun, 16th June, 13 Oral Surgery
22 Sun, 23rd June, 13 General Surgery
23 Sun, 30th June, 13 Module Completion Test
24 Sun, 7th July, 13 Dental Anatomy & Histology
Module VI

25 Sun, 14th July, 13 Anatomy

26 Sun, 21st July, 13 Physiology
27 Sun, 28th July, 13 Module Completion Test
28 Sun, 4th Aug, 13 Biochemistry
ModuleVII

29 Sun, 11th Aug, 13 Microbiology

30 Sun, 18th Aug, 13 General Pathology
31 Sun, 25th Aug, 13 Module Completion Test
32 Sun, 1st Sept, 13 Pharmacology
Module VIII

33 Sun, 8th Sept, 13 Preventive & Community Dentistry

34 Sun, 15th Sept, 13 Oral Pathology
35 Sun, 22nd Sept, 13 General Medicine
36 Sun, 29th Sept, 13 Module Completion Test
37 Sun, 6th Oct, 13 Orthodontics
Module IX

38 Sun, 13th Oct, 13 Conservative & Endodontics

39 Sun, 20th Oct, 13 Pedodontics
40 Sun, 27th Oct, 13 Module Completion Test
41 Sun, 3rd Nov, 13 Periodontics
Module X

42 Sun, 10th Nov, 13 Dental Materials

43 Sun, 17th Nov, 13 Oral Medicine & Radiology
44 Sun, 24th Nov, 13 Module Completion Test
45 Sun, 1st Dec, 13 Prosthodontics
Module XI

46 Sun, 8th Dec, 13 Oral Surgery

47 Sun, 15th Dec, 13 General Surgery
48 Sun, 22nd Dec, 13 Dental Anatomy & Histology
49 Sun, 29th Dec, 13 Module Completion Test
 A.H.E.A.D
MDS / ADC / NBDE Coaching

AHEAD QUICK REVIEW NOTES

Short Answers Questions

ADC (Prelims)

Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D)

57 / 11, Old Rajinder Nagar, New Delhi 110060
Ph: 011- 25716297, 9310187297
Email- ahead_academy@yahoo.com

www.aheadacademy.com
 AHEAD Test and Discussions SAQ
Short answers
From a personal experience, do not write too much in the short answers exam; write just heading or points of the procedures
or description

March 2000

1. From the medical history you find the patient is on Tricyclic Anti-depression medication.

How would you manage this patient?

Complete building the medical and the dental history to reach a proper diagnosis and find the aetiology of the chief
complaint so I can start assessing the case by evaluating the available information; the overall case assessment is an
essential step that allows the considerations of treatment options and a provisional treatment plan to be formulated.
Consult the patients GP for any precautions should be taking or any modification to the treatment should be followed.
Resolution of any acute problems and stabilisation or elimination of active disease.
If it is not possible to get in contact with the GP refer to the MIMs to get more information about the drug to find out
what I can or I can not prescribe
Assessing and managing accordingly any emergencies situations that exist, acute pain, bleeding swellingetc
Eliminating any acute problems or active diseases I will assess the periodontal tissues and elimination of any active
diseases, regeneration of the periodontal attachment loos and stabilisation of gingival contours would be my next step in
managing the patient.
Reassessment of the periodontal situation by assessing the patient occlusal stability and plan for any restorative or
prosthetic management.
Finally and it is an important part is the patient consultation to present and discuss the treatment plan and give the
alternative options, obtaining a patient consent/s, arrange for appointments and financial considerations
Reconfirm the definitive treatment plan and make sure the patients expectations are what the result would be.
Tricyclic has a side affects on the oral cavity by causing dry mouth; and systemically it causes blurred vision,
constipation, and difficulty in urination; postural hypotension; tachycardia, increased sensitivity to the sun; weight gain;
sedation (sleepiness); increased sweating. Some of these side effects will disappear with the passage of time or with a
decrease in the dosage.
Bear in mind all this information should be recorded appropriately for future follow up and to adhere to the Australian
Dental Board policies.

2. A 23 year-old female comes to you with Gingival abscess in the right upper central incisor region which she had a
blow to 10 days ago; since then the tooth is a bit loose, now she is complaining of pain and tenderness started two days ago.

What is your management?

Gathering general information including but not limited to name, age, sex, previous major operations, any medication is
taken at the time she is presentedetc. mostly this is prepared and universal for all patients.
Building the medical and the dental history to help building a proper diagnosis and find the aetiology of the chief
complaint so I can start assessing the case by evaluating the available information; the overall case assessment is an
essential step that allows the considerations of treatment options and a provisional treatment plan to be formulated.
Clinical examination in both directions Extra and intra. Extra examination includes the general morphology, skeletal base,
skin colour and lesions, eyes, lymph nodes, lip, breathing, TMJ and masticatory muscles. Intra orally starts with soft
tissues and oral mucosa and muscles followed by the dental examination by examining the teeth and focusing on the
tissues, bone and teeth next to tenderness and the blow area; and look for any attrition, abrasion, erosion, or
hypominerlization on the tooth surface or any abnormality in the gingivae or hard tissues Faceting, fracture or caries of
the enamel then examine the periodontal tissues and record any tooth mobility or badly restored teeth.
Check the occlusal view if possible and the result of the blow on the occlusal harmony and the other tissues.
Order any special tests required and in this case a periapical to start with seems to be essential.
Assess the case and advise for a rigid splint or extraction and fixed prothesis lateretc and this is completely demandant
on the outcome of the assessment.
Transfer the treatment options to the patient in a simple language and this stage should include the approximate cost and
any need for future follow up.

3. A 13 year old patient has rampant caries and gingival swelling.

What are the causes? How to prevent them? What is your management?
Most probable cause of the rampant caries is the frequent intake of sugar, then the oral hygiene methods that have been
adapted by the patient. But we must be able to visualize adequately a childs teeth and mouth and have access to a reliable
historian for non-clinical data elements.

Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D)

57 / 11, Old Rajinder Nagar, New Delhi 110060.
Ph: 011 - 25716297, 9310187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
 AHEAD Test and Discussions SAQ
Prevention programme starts with assessing all 3 components of caries riskclinical conditions, environmental characteristics,
and general health conditions; a complete analysing of the diet regime; then build a new diet system prevents less frequent
take of carbohydrates and in sever cases could include changing sugar to carbohydrate free substitute. Endorsing a good oral
hygiene plan that suits the patient and the advice for a regular topical fluoride application is as important as the diet. Systemic
fluoride may be applicable depends on the case and the water fluoridation program in the area.
The management includes,
Gathering general information including but not limited to name, age, sex, previous major operations, any medication is
taken at the time she is presentedetc. mostly this is prepared and universal for all patients.
Building the medical and the dental history to reach a proper diagnosis and find the aetiology of the chief complaint so I
can start assessing the case by evaluating the available information; the overall case assessment is an essential step that
allows the considerations of treatment options and a provisional treatment plan to be formulated.
Clinical examination in both directions Extra and intra. Extra examination includes the general morphology, skeletal base,
skin colour and lesions, eyes, lymph nodes, lip, breathing, TMJ and masticatory muscles. Intra orally starts with soft
tissues and oral mucosa and muscles followed by the dental examination by examining the teeth and focusing on the
tissues, bone and teeth next to tenderness; look for any attrition, abrasion, erosion, hypominerlization or any abnormality
in the gingivae or hard tissues Faceting, fracture or caries of the enamel then examine the periodontal tissues and
record any tooth mobility or badly restored teeth.
Check the occlusal view if possible and the result of the blow on the occlusal harmony and the other tissues.
Assess the case and treat according to the diagnosis outcome; bearing in mind that the target is to treat the acute problems
or manage any source of pain then reserve as much as possible of the child teeth tissues.
4. Patient with chronic periodontic disease.
What are the factors that will influence the management and outcome of this patient?
The overall clinical factors are:
Patient age: for two patients with comparable level of the remaining connective tissues attachment and alveolar bone, the
prognosis is better in the older of two. For the younger patient, the prognosis is not as good because of the short time
frame in which the periodontal destruction has occurred. In some cases this is maybe because the younger patient suffers
from an aggressive type of periodontitis.
Disease severity: Studies have demonstrated that a patients history of previous periodontal disease may be indicative of
their susceptibility for future periodontal break down. Prognosis is adversely affected if the base of the pocket is close to
the root apex. Also the height of the remaining bone, all these should be weighed against the benefits that would accrue
to the adjacent teeth if the tooth under consideration were extracted.
Plaque control: bacterial plaque is the primary etiological factor associated with periodontal disease. Therefore effective
removal of plaque on daily basis by patient is critical to the success of the periodontal therapy and to the prognosis.
Patient complaisance/ cooperation: the prognosis for patients with gingival and periodontal disease is critically dependant
on the patients attitude and desire to retain natural teeth, and willingness and ability to maintain good oral hygiene.
Without these, treatment can not succeed.
There are systemic and environmental factors such as:
Smoking: Epidemiologic evidence suggests that smoking may be the most important environmental risk factor impacting
the development and progression of periodontal disease. Therefore it should be made clear to the patient that a direct
relationship exist between smoking and the prevalence and incidence of periodontitis. Also patient should be informed
about the effects of smoking on the healing process.
Systemic disease /condition: the patients systemic background affects overall prognosis in several ways. For example,
studies have shown that the severity of periodontitis is significantly higher in patients with type I and II diabetes than in
those without diabetes. Patients with diabetes or with newly diagnosed diabetes should be informed about the impact of
diabetic control on the development and progression of periodontal disease.
Genetic factors: periodontal diseases represent a complex interaction between microbial challenge and the hosts
response to that challenge, both of which may be influenced by environmental factors such as smoking. There also is
evidence that genetic factors may play an important role in determining the nature of the host response.
Stress: physical and emotional stress, as well as substance abuse, may alter the patients ability to respond to the
periodontal treatment performed.
The Local Factors:
Plaque /calculus: the microbial challenge presented by bacterial plaque and calculus is the most important local factor in
periodontal diseases. Therefore in most cases, having a good prognosis is dependent on the ability of the patient and the
clinician to remove these etiologic factors
Subgingival restorations: may contribute to increased plaque accumulation, increased inflammation and increased bone
loss when compared with supragingival margins.

Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D)

57 / 11, Old Rajinder Nagar, New Delhi 110060.
Ph: 011 - 25716297, 9310187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
 A.H.E.A.D
MDS / ADC / NBDE Coaching

AHEAD QUICK REVIEW NOTES

Multiple Choice Questions

ADC (Prelims)

Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D)

57 / 11, Old Rajinder Nagar, New Delhi 110060
Ph: 011- 25716297, 9310187297
Email- ahead_academy@yahoo.com
www.aheadacademy.com
 AHEAD Test and Discussions ADC Preliminary examination
1. For lower premolars, the purpose of inclining the 11. Internal resorption is,
handpiece lingually is to, A. Radiolucency over unaltered canal
A. Avoid buccal pulp horn B. Usually in a response to trauma
B. Avoid lingual pulp horn C. Radiopacity over unaltered canal
C. Remove unsupported enamel
D. Conserve lingual dentine 12. On replantation of an avulsed tooth you could see,
A. Surface resorption, external resorption
2. For an amalgam restoration of a weakened cusp you B. Internal resorption
should, C. Inflammatory resorption D. Replacement resorption
A. reduce cusp by 2mm on a flat base for more E. A, C and D F. All of the above
resistance
B. reduce cusp by 2mm following the outline of the cusp 13. The percentage of total dentine surface / dentinal
C. reduce 2mm for retention form tubules 0.5mm away from pulp is,
A. 20% B. 50%
3. Before filling a class V abrasion cavity with GIC you
should, 14.The junction between primary and secondary dentine is
A. Clean with pumice, rubber cup, water and weak acid A. A reversal line B. Sharp curvature
B. Dry the cavity thoroughly before doing anything C. A resting line
C. Acid itch cavity then dry thoroughly D. A reduction in the number of tubules

4. Which of the following statement about the defective 15. What is the correct sequence of events
margins of amalgam restorations is true? A. Differentiation of odontoblast, elongation of enamel
A. The larger the breakdown, the greater the chance of epithelium, dentine formation then enamel formation.
decay. B. Differentiation of odontoblast, dentine formation then
enamel formation, elongation of enamel epithelium.
5. The retention pin in an amalgam restoration should be C. Elongation of enamel epithelium, differentiation of
placed, odontoblast, dentine formation then enamel formation.
A. Parallel to the outer wall
B. Parallel to the long axis of tooth 16. What is the sequence from superficial to the deepest in
dentine caries?
6. The most common cause of failure of the IDN Inferior A. Zone of bacterial penetration, demineralisation,
Dental Nerve block is, sclerosis, reparative dentine
A. Injecting too low B. Injecting too high B. Zone of bacterial penetration, reparative dentine,
demineralisation, sclerosis.
7. Which one of the following is used in water C. Zone of bacterial penetration, sclerosis, reparative
fluoridation: dentine, demineralisation.
A. SnF2 B. 1.23% APF
C. H2SiF2 D. CaSiF2 17. The nerve supply of the pulp is composed of which type
E. 8% Stannous fluoride of nerve fibres?
A. Afferent & sympathetic
8. The best way to clean a cavity before the placement of
GIC is, 18. Which direction does the palatal root of the upper first
A. H2O2 B. Phosphoric Acid molar usually curve towards?
C. Polyacrylic acid A. Facial / buccal B. Lingual
C. Mesial D. Distal
9. The most mineralised part of dentine is,
A. Peritubular dentine 19. What is the common appearance of vertical tooth
fracture?
10. A 45 years-old patient awoke with swollen face, puffiness A. Perio abscess like appearance
around the eyes, and oedema of the upper lip with redness B. Displacement of fragments
and dryness. When he went to bed he had no swelling, pain
or dental complaints. Examination shows several deep 20. Which of the following would be ONE possible
silicate restorations in the anterior teeth but examination is indication for indirect pulp capping?
negative for caries, thermal tests, percussion, palpation, A. Where any further excavation of dentine would result
pain, and periapical area of ramififaction. The patients in pulp exposure.
temperature is normal. The day before he had a series of B. Removal of caries has exposed the pulp
gastrointestinal x-rays at the local hospital and was given a C. When carious lesion has just penetrated DEJ
clean bill of health. The condition is:
A. Acute periapical abscess B. Angioneurotic oedema
C. Infectious mononucleosis
D. Acute maxillary sinusitis
E. Acute apical periodontitis
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D)
57 / 11, Old Rajinder Nagar, New Delhi 110060.
Ph: 011 - 25716297, 9310187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
 AHEAD Test and Discussions ADC Preliminary examination
21. Following trauma to tooth, the next day there was no
response to pulp tests you should?
A. Review again later
B. Start endodontic treatment
C. Extraction of tooth
22. What is the main purpose of performing pulp test on a
recently traumatised tooth?
A. Obtain baseline response
B. Obtain accurate indication about pulp vitality
23. What is the main function of EDTA in endodontics?
A. Decalcification of dentine
B. Cleaning debris from root canal
24. What is NOT TRUE in relation to the prescription of
5mg or 10mg of diazepam for sedation?
A. Patient commonly complain of post operative
headache
B. An acceptable level of anxiolytic action is obtained
when the drug is given one hour preoperatively
C. There is a profound amnesic action and no side
affects
D. Active metabolites can give a level of sedation up to 8
hours post operatively
E. As Benzodiazepine the action can be reversed with
Flumazepil
25. Which of the following is TRUE in regard to high risk
patient?
A. 0.1ml of blood from Hepatitis B carrier is less
infective than 0.1ml of blood from HIV patient
B. 0.1ml of blood from Hepatitis B carrier is more
infective than 0.1ml of blood from HIV patient
C. Level of virus are similar in the blood and saliva of
HIV patient
D. Level of virus in the saliva is not significant for
Hepatitis B patient
E. The presence of Hepatitis B core Antigen in the blood
means that active disease is not present
26. Your employer makes an attempt to update office
sterilization procedures; what would you recommend as
the BEST method to verify that sterilization has
occurred:**
A. Use spore test daily
B. Use indicator strips in each load and colour change
tape on each package
C. Use indicator strips daily and spore test weekly
D. Use colour change tape daily and spore test monthly
E. Use colour change tape in each load and spore tests
weekly
27. A 65 years-old woman arrived for dental therapy. The
answered questionnaire shows that she is suffering from
severe cirrhosis. The problem that can be anticipated in
the routine dental therapy is:
A. Extreme susceptibility to pain
B. Tendency towards prolonged haemorrhage
C. Recurring oral infection
D. Increased tendency to syncope
E. Difficulty in achieving adequate local anaesthesia
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D)
57 / 11, Old Rajinder Nagar, New Delhi 110060.
Ph: 011 - 25716297, 9310187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
28. Loss of sensation in the lower lip may be produced by,
A. Bells palsy
B. Traumatic bone cyst
C. Trigeminal neuralgia
D. Fracture in the mandible first molar region
E. Ludwigs angina
29. Patient received heavy blow to the right body of the
mandible sustaining a fracture there. You should suspect
a second fracture to be present in,
A. Symphysis region
B. Left body of the mandible
C. Left sub-condylar region
D. Right sub-condylar region
E. sub-condylar region
30. Signs and symptoms that commonly suggest cardiac
failure in a patient being assessed for oral surgery are,
A. Elevated temperature and nausea
B. Palpitations and malaise
C. Ankle oedema and dyspnoea
D. Erythema and pain
E. Pallor and tremor
31. A cyst at the apex of an upper central incisor measuring
1 cm in diameter is visualized in radiograph and
confirmed by aspiration biopsy; which method of
treatment would you consider?**
A. Extraction of the central incisor and retrieving the
cyst through the socket
B. Exteriorizing the cyst through the buccal bone and
mucosa
C. Making a mucoperiosteal flap and removing the cyst
through an opening made in the alveolar bone,
followed by tooth removal.
D. Making a mucoperiosteal flap and removing the cyst
through an opening made in the alveolar bone,
followed by endodontic treatment.
E. Routine orthograde endodontic treatment followed by
observation.
32. A persistent oroantral fistula for a 12 weeks period
following the extraction of a maxillary first permanent
molar is best treated by,
A. Further review and reassurance since it will most
probably heal spontaneously
B. Antibiotic therapy and nasal decongestants
C. Curettage and dressing of the defect
D. Excision of the fistula and surgical closure
E. Maxillary antral wash out and nasal antrostomy.
33. The most significant finding in clinical evaluation of
parotid mass may be accompanying,
A. Lympha adenopathy
B. Nodular consistency
C. Facial paralysis
D. Slow progressive enlargement
E. Xerostomia
 AHEAD Test and Discussions ADC Preliminary examination
34. As far as surgical removal of wisdom teeth is concerned,
which of the following is true?**
A. Prophylactic prescription of antibiotic reduces
dramatically the chances of infection
B. Raising a lingual flap will increases the incidence of
neurapraxia but will reduce the incidence of
neurotmesis with respect to the lingual nerve
C. Prophylactic prescription of dexamethasone will
dramatically reduces post operative swelling
D. Inferior dental nerve injury is unlikely since the nerve
passes medial to the wisdom tooth root
E. The use of vasoconstrictors in local anaesthetics will
increase the chances of infection.
35. Endogenous morphine like substances which can
control pain are known as,
A. Bradykinins B. Peptides
C. Prostaglandins D. Serotonins E. Enkephalins
36. Platelets play an important role in haemostasis; which of
the following describes this role?
A. They convert fibrinogen to fibrin
B. They agglutinate and plug small, ruptured vessels
C. They initiate fibrinolysis in thrombosis
D. They supply fibrin stabilizing factors
E. They supply proconvertin for thromboplastin
activation
37. Suppuration is mainly the result of the combined action
of four factors; which of the following is not one of these
factors?
A. Necrosis
B. Presence of lymphocytes
C. Collection of neutrophils
D. Accumulation of tissue fluid
E. Autolysis by proteolytic enzymes
38. Which of the following lesions CANNOT BE classified
as an intra-epithelial lesion?
A. Herpes simplex infections B. Pemphigus vulgaris
C. Herpangina D. Lichen planus
E. Hand, foot and mouth disease
39. In regard to HIV infection, which of the following is the
earliest finding?
A. Kaposi sarcoma on the palate
B. Reduced haemoglobin
C. Infection with pneumocystic carinii
D. Reduction in white cells count E. B cell lymphoma
40. Which of the following is NOT CHARACTERISTIC of
trigeminal neuralgia?**
A. The pain usually last for few seconds up to a minute
in the early stages of the disease
B. The pain is usually unilateral
C. Patient characteristically have sites on the skin that
when stimulated precipitate an attack of pain
D. An attack of pain is usually preceded by sweating in
the region of the forehead
E. It is a paroxysmal in nature and may respond to the
treatment with Carbamazepine
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D)
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41. Benign migratory glossitis or Geographic Tongue,
manifests itself in the oral cavity as,
A. Irregularly outlined areas of hyperkeratosis of the
dorsal surface of the tongue
B. Furrows outlined the dorsal surface radiating out from
a central groove in the centre of the tongue
C. Loss (atrophy) of filiform papillae in multiple
irregularly outlined areas
D. Irregularly outlined erythematous area of hyper
trophic fungiform
E. A fibrinous exudate on the dorsal surface
F. Grooves (fissures) radiating from a central fissure
G. Irregular area in the midline of the tongue
42. Which one of the following is true about oral hairy
leukoplakia?
A. Associated with HIV virus infection and is
commonly seen on the dorsal of the tongue
B. Associated with HIV virus infection and is
commonly seen on the lateral side of the tongue
C. Usually caused by Candida species
D. Always associated with trauma to the lateral side of
the tongue
E. Always associated with pernicious anaemia
43. Which of the following have a tendency to recur if not
treated?
A. Giant cell granuloma
B. Lipoma
C. Fibrous epulis
D. Haematoma
E. Pulp polyps
44. Basal cell carcinoma is characterised by,
A. Rapid growth and metastasis
B. Local cutaneous invasion
C. Inability to invade bone
D. Poor prognosis
E. Radiation resistance
F. Can not metastasise to the bone
45. Carcinoma of the tongue has a predilection for which of
the following sites?**
A. Lateral border anteriorly
B. Anterior dorsal surface
C. Posterior dorsal surface
D. Lateral border posteriorly
E. No preferred location
46. A patient presents complaining of a stomach upset 48
hours after starting a course of antibiotic for oral
infection, this is an example of,
A. Type I allergic reaction B. Nervous disorder
C. Side effect of the drug
D. Type IV hypersensitivity reaction E. Pyloric stenosis
47. Trichloroacetic acid, a strong acid, has been used by
dentists for chemical cautery of hypertrophic tissue and
aphthous ulcers; its mechanism of action is,
A. Thermodynamic action B. Activation of tissue enzymes
C. Osmotic pressure D. Protein precipitation (PPT)
E. Neutralization