Endodontic MCQ PDF
Endodontic MCQ PDF
Endodontic MCQ PDF
1-
2-
3-
4-
5-
6-
7-
8-
2
9- Which
of
the
following
structure
is
rich
with
C
nerve
fibers:
a) Dentin
layer.
b) Cell
free
zone.
c) Dental
pulp
stroma.
d) Odontoblstic
layer.
10- Which
of
the
following
terms
is
defined,
as
"Pain
is
perceived
due
to
a
non-noxious
stimulus
which
does
not
normally
provoke
pain":
a) Allodynia.
b) Perception.
c) Modulation.
d) Hyperalgesia.
11- Which
of
the
following
nerve
fibers
has
the
low
threshold
nociceptors:
a) A
alpha
nerve
fiber.
b) A
beta
nerve
fiber.
c) A
delta
nerve
fiber.
d) C
nerve
fiber.
12- Which
of
the
following
nerve
fibers
transmit
the
dental
pain
without
modulation:
a) A
beta
nerve
fiber.
b) A
delta
nerve
fiber.
c) A
beta
and
A
delta
nerve
fibers.
d) C
nerve
fibers.
13- Which
of
the
following
nerve
fibers
is/are
not
activated
with
external
dental
stimuli:
a. A
beta
nerve
fiber.
b. A
delta
nerve
fiber.
c. A
beta
and
A
delta
nerve
fibers.
d. C
nerve
fibers.
14- The
stressed
pulp
is
defined
as
the
pulp
that
is
subjected
over
the
years
to:
a) Several
dental
treatments.
b) Caries
and/or
dental
trauma.
c) Diseases
and
dental
procedures.
d) Endodontic
&
re-endodontic
treatment.
15- Sensory
fibers
of
the
inferior
alveolar
nerve
synapse
with
secondary
order
neuron
in
which
of
the
following
structure:
a) Hypothalamus.
b) Stellate
ganglia.
c) Gasserian
ganglion.
d) Subnucleucs
caudalis.
16-
Which
of
the
following
nerve
fibers
has
a
rule
in
pain
modulation:
a) A
delta
nerve
fiber.
b) C
nerve
fiber.
c) Sympathetic
nerve
fibers.
d) Parasympathetic
nerve
fibers.
4
24.
A
patient
returns
2
days
following
routine
operative
procedure
and
composite
restoration
with
history
of
deep
caries
complaining
of
severe
sharp
pain
to
thermal
changes
particularly
cold
drink.
Thermal
testing
procedures
showed
sharp
momentary
response.
Percussion
and
palpation
tests
are
within
normal
range.
The
proper
emergency
treatment
to
relief
the
patient's
complain
is:
a)
Check
the
marginal
seal
of
the
restoration
and
tooth
desensitization.
B)
Endodontic
access
and
pulp
extirpation
and
schedule
for
next
visit.
c)
Antibiotic
and
anti-inflammatory
prescription
and
schedule
for
next
appointment
d)
Removal
of
restoration
and
temporization
of
tooth
to
the
next
appointment.
25.Which
of
the
following
cases
may
undergo
flare
up
after
single
visit
endodontic
treatment:
a)
Chronic
apical
abscess.
b)
Symptomatic
irreversible
c)
Asymptomatic
irreversible
pulpitis.
d)
Asymptomatic
apical
periodontitis.
26.
The
pain
exerted
from
exposed
dentine
is
due
to:
a)
Thermal
changes
that
damage
the
C-fibers.
b)
Movement
of
fluid
inside
the
dentinal
tubules.
c)
Exposing
nerve
fiber
at
dentine-enamel
junction.
d)
Stimulation
of
the
inflammatory
mediator
that
stimulate
nerve
fibers.
27.
Spontaneous
pain
in
irreversible
pulpitis
attributed
to:
a)
Primary
Hyperalgesia.
b)
Periodical
sensitization
of
nociceptors.
c)
Inflammatory
mediators
and
neuropiptidis.
d.
All
of
the
above.
28.
Which
of
the
following
patients
are
susceptible
to
sub
acute
bacterial
endocarditis
during
endodontic
procedure:
a)
Patients
with
uncontrolled
hypertension.
b)
Patients
with
a
history
of
rheumatic
fever.
c)
Patients
with
myocardial
infarction
within
the
past
6
month.
d)
Patents
with
myocardial
infarction
within
the
past
3
months.
29.
Regarding
HIV/
AIDS
patients
a
vital
aspect
of
treatment
plan
is
to
determine:
a)
Platelet
count.
b)
Neutrophils
count.
c)
White
blood
cell
count.
d)
CD4
lymphocytic
count.
6
36.When
treating
vital
cases
multi-visits,
scheduling
between
visit
should...
a.
2-3
days.
b.
5-7
days.
c.
10-12
days.
d.
2
weeks.
37.
In
concomitant
pulpal
and
periodontal
lesions:
a.
Endodontic
lesion
had
a
sinus
tract
draining
pus.
b.
Periodontal
disease
has
a
progressive
nature
with
formation
of
osseous
defects.
c.
There
are
two
independent
endodontic
and
periodontal
lesions
around....
tooth.
d.
There
are
two
separate
endodontic
and
periodontal
disease
affecting
the
...
Communicated
to
each
other.
38.
In
which
of
the
following
endodontic
periodontal
lesions,
pulp
testing
is
positive:
a.
Primary
periodontal
lesion.
b.
Primary
endodontic
lesion
with
secondary
periodontal
involvement.
c.
Primary
periodontal
lesion
with
secondary
endodontic
involvement.
d.
True
combined
lesion.
39.
In
primary
endodontic
with
secondary
periodontal
lesions,
the
treatment
plan
is:
a.
Periodontal
treatment
only.
b.
Proper
root
canal
treatment.
c.
Endodontic
treatment
first
followed
by
periodontal
treatment.
d.
Periodontal
treatment
followed
by
proper
root
canal
treatment.
40.The
prognosis
of
endodontic
periodontal
lesion
depends
on:
a.
Type
of
affected
tooth.
b.
Type
of
pulpal
inflammation.
c.
Amount
of
periapical
bone
loss.
d.
Severity
of
periodontal
involvement.
41.
Pulpal
inflammation
reaches
the
periodontal
areas
through:
a.
Pulp
horns.
b.
Large
carious
lesion.
c.
Deep
periodontal
pocket.
d.
The
apical
foramen
and
accessory
canals.
a) Periodontal bifurcation involvement. b) Chronic periapical abscess with secondary periodontal involvement. c) Asymptomatic irreversible pulpitis with chronic periapical abscess. d) Asymptomatic irreversible pulpitis with asymptomatic apical periodontitis. 45- Which of the following is the most important in determining if the lesion of periodontal origin or pulpal origin? a) b) c) d) Percussion. Pulp testing. Periodontal probing. A periapical radiograph. 46- Proper application of shifting technique allows the dentist to: Determine the mesiodistal fractures. Determine the intra-coronal pulp stones. Distinguish between objects that are resembled. Distinguish between various types of resorption.
a) b) c) d)
8
47-
The
Cone-Beam
Computes
Tomography
scans
(CBCT)
shows
a:
a) Dimensions
showed
with
regular
radiographs.
b) Higher
accuracy
for
detecting
pulp
calcification.
c) Dimensions
not
showed
with
regular
radiographs.
d) Higher
accuracy
for
detecting
horizontal
root
fracture.
48-
Digital
Subtraction
Radiography
used
in
Endodontic
for:
a) Endodontic
obturation
follow-up.
b) Hard
tissue
gaining
or
loosing
minerals.
c) Evaluating
soft
tissue
healing
after
treatment.
d) Histopathological
diagnosis
of
pulpal
disease.
49-
Loupe
magnifications
in
endodontics
varied
from:
2
x
to
8
x.
10
x
to
16
x.
25
x
to
30
x.
40
x
&
more.
50-
The
precision
&
triad
of
microsurgery
includes:
a) Magnification,
resolution
&
field
width.
b) Types
of,
microscope,
lenses
&
micro
instruments.
c) Field
depth,
illumination,
&
angle
of
declination.
d) Micro
instruments,
illumination
&
magnification.
51-
The
split-dam
technique
is
indicated
when
attempting
to
isolate
a:
a) b) c) d) Fully
erupted
tooth.
Single
isolated
tooth.
Prepared
tooth
for
retrograde
surgical
restoration.
Tooth
insufficient
coronal
structure
or
badly
broken-down
tooth.
a) b) c) d)
52- Canal Projection means technique that facilitates: a) Access cavity preparation by splitting off the coronal part of the tooth. b) Access cavity preparation by gaining access prior to rubber dam application. c) Pre-endodontic build up broken down coronal & radicular structure while neglecting individualized access to the canal. d) Pre-endodontic build up broken down coronal & radicular structure while preserving individualized access to the canal by using Bonded injectable polymerizing composites.
54- One of the benefits of using magnifications in Endodontics is to:(B,C&D are all correct answers but if we should only choose one, Ill choose B which will lead to C &D) Eliminate pain. Reduce scar formation. Decrease traumatization of tissue. Increase the postoperative healing process. 55- The quality of the magnified field is significantly influenced by the: a) b) c) d) Lenses material. Image sharpness of lenses. Manufacture trade of the lenses. Manufacture trade and the image sharpness. a) b) c) d)
56- Regarding field width: a) It is limited to the working tooth with best resolution. b) The larger the field width; the less teeth you can see when looking through the loupes. c) A smaller field makes the new user feel more secure when working with dangerous instruments. d) A wider field makes it easier to establish hand-and-eye coordination when shifting from the naked eye to the loupes and promotes less eye fatigue. 57- Rubber Dam Clamps or Retainers: a) Are made of nickel titanium. b) Consists of a jaw and two bones. c) Aid in adjacent teeth retraction. d) Are designed for all types of teeth. 58- For isolation of a fractures tooth with a subgingival margin: a) b) c) d) Use partial isolation without rubber dam placement. Use a customized acrylic retainer in conjunction with a dam. Use modified anterior clamps and apply them toward each others. Place spots of temporary filling on the cervical surface of the tooth to act as a scaffold for retaining during treatment.
10
59-
Regarding
types
of
radiographs
used
in
Endodontics:
a) Periapical
(PA)
radiograph
shows
tooth
and
related
structures
b) Panoramic
radiograph
is
used
to
assess
the
individualized
teeth
and
related
structures
c) Occlusal
radiograph
provides
critical
information
on
the
cross
section
of
the
pulp
space
d) Bite-wing
radiograph
provides
critical
information
about
the
anatomic
apex
of
the
tooth
and
related
structures
60-
When
performing
procedures
by
Surgical
Microscope
which
of
the
following
is
the
best
magnification?
a) X
2.5
and
X
6
b) X
6
and
X
8
c) X
10
and
X
16
d) X
30
and
X
40
61-
Systemic
Radiographic
interpretation
starts
with:
Pulp
space
and
ends
with
bone
proper
Bone
proper
and
ends
with
pulp
space
Root
surface
and
ends
with
pulp
space
PDL
space
and
ends
with
bone
proper.
62-
The
advantages
of
Digital
Radiographic
Technique
includes:
a) Significant
reduction
in
the
number
of
films
used
b) Radiographic
images
are
obtained
within
minutes
c) Radiation
exposures
is
reduced
50%
compared
with
conventional
film-based
radiography
d) Significant
reduction
in
the
processing
time
which
is
about
80-90%
compared
with
D-speed
film.
63-
A
45-year-old
male
comes
to
your
office
complaining
of
severe
continuous
pain.
He
mentioned
that
he
cannot
chew
or
drink
cold
liquids
and
had
little
if
any
sleep
in
the
past
48
hours.
The
first
question
you
should
ask
to
determine
the
specificity
of
the
patient's
problem
is:
a) b) c) d)
Can
you
localize
the
pain?
Do
you
have
any
swelling?
Does
the
pain
is
spontaneous?
Does
the
pain
is
intermittent?
a) b) c) d)
65- According to the American Board of Endodontics meeting 2007, condensing Osteitis is considered to be a variation of: a) b) c) d) Symptomatic pulpitis. Asymptomatic pulpitis. Symptomatic apical periodontitis. Asymptomatic apical periodontitis.
66- Asymptomatic apical periodontitis can be probably diagnosed by: a) b) c) d) 67- One of the following diagnostic tests is considered to be a true vitality test: a) b) c) d) 68- During pulp sensitivity testing, one of the following can cause false-negative response (i.e. vital teeth respond negative): a) b) c) d) Anxious patient. Liquefaction necrosis. Recent traumatized tooth. Contact with metal restoration. CO2 snow. Cavity test. Pulse oximetry. A refrigerant spry (Endo-ice). Cold test. Radiograph. Electric pulp test (EPT). Laser Doppler flowmetry.
12
69-
A
15-year-old
male
presents
with
severe
diffuse
pain
in
the
maxillary
left
premolar
region.
Upon
visual
examination,
the
tissue
in
the
mucobuccal
vestibule
appears
inflamed.
Palpation
reveals
tenderness
over
the
apex
of
the
teeth
#24
and
#25.
Both
teeth
are
slightly
tender
to
percussion.
Radiographically
no
changes
are
notes.
Further
evaluation
and/or
treatment
should
consist
of:
a) b) c) d) Selective
anesthesia
test.
Dismissing
the
patient
until
the
pain
localizes.
Cold
testing
on
teeth
#24
and
#25
using
Endoice.
Initiating
root
canal
treatment
on
teeth
#24
and
#25
because
irreversible
pulpitis
is
diagnosed.
70- A 10-year-old child presents with mild discomfort in teeth #21 and #22. The teeth were traumatized the day before in a fall from a motorcycle. Clinical examination reveals both teeth are tender to percussion and the crowns are intact. Cold test using Endoice indicated that the teeth #21 and #22 are not responsive. Treatment plan for such case is: a) b) c) d) 71- Regardless of stimulus, all afferent impulses from the human dental pulp result in sensation of: a) b) c) d) 72- According to a new diagnostic terminology, Asymptomatic irreversible pulpitis is defined as a clinical diagnostic category: a) Indicating that the pulp is partially necrotic and non-responsive to vitality testing. b) In which the pulp is free from inflammation and abnormally responsive to vitality testing. c) Indicating that the vital inflamed pulp is incapable of healing and no clinical symptoms. d) Based on subjective and objective findings indicating that the inflammation should resolve and pulp return to normal. Pain. Cold. Heat. Touch. Heat testing for teeth #21 and #22. Partial pulpotomy for teeth #21 and #22. Root canal treatment for teeth #21 and #22. No treatment and follow-up of the patient over the next few weeks.
76- After application of Endoice for evaluation of pulp sensitivity of normal tooth with completely formed apex, the patient will report on of the following as normal response: a) b) c) d) 77- Recent innovation in rotary Ni-Ti instruments manufacturing process allowed the manufacturing of files that is: a) b) c) d) Casted. Twisted. Swaged. Machined. Lack of response to the stimulus. Lingering of a painful sensation upon stimulus removal. A sensation is felt but disappear upon stimulus removal. Immediate, excruciating painful sensation as soon as the stimulus is placed.
14
78-
Helical
angle
as
a
component
of
rotary
file
is
defined
as
the
angle:
Of
the
tip
of
the
file.
Between
the
first
and
second
cutting
edge
of
the
file.
Between
the
first
cutting
edge
and
the
long
axis
of
the
file.
Between
the
leading
edge
of
the
cutting
blade
and
a
perpendicular
line
to
the
surface
being
cut.
79-
Regarding
radial
land
of
rotary
file,
it:
May
be
full
or
recessed.
May
be
positive
or
negative.
Helps
to
keep
the
file
centered
in
the
canal.
Is
the
surface
that
projects
axially
from
the
central
axis
between
flutes
as
far
as
the
cutting
edges.
80-
Revo-S
rotary
nickel
titanium
system
has:
a) Symmetrical
cross
section,
which
initiates
a
Snake-like
movement
of
the
instrument
in
the
root
canal.
b) Symmetrical
cross
section,
which
initiates
a
direct
straight
movement
of
the
instrument
in
the
root
canal.
c) Asymmetrical
cross
section,
which
initiates
a
Snake-like
movement
of
the
instrument
in
the
root
canal.
d) Asymmetrical
cross
section
which
initiates
a
direct
straight
movement
of
the
instrument
in
the
root
canal.
81-
Twisted
File
(TF)
rotary
Ni-Ti
files
system
is
manufactured
by:
Twisting
of
heated
and
cooled
wire
which
leaves
Ni-Ti
file
temporarily
in
R-phase.
Twisting
of
continuously
heated
wire
which
leaves
Ni-Ti
file
temporarily
in
R-phase.
Grinding
of
heated
and
cooled
wire
which
leaves
Ni-Ti
file
temporarily
in
R-phase.
Grinding
of
continuously
heated
wire
which
leaves
Ni-Ti
file
temporarily
in
R-phase.
82-
The
ProTaper
cross
section
is:
a) b) c) d)
83-
In
Revo-S
Ni-Ti
system
the
shaper
and
cleaner
1
(SC1)
file
preparation:
a) b) c) d)
Whole
RC.
Apical
1/3
of
the
RC.
Cervical
1/3
of
the
RC.
Cervical
and
middle
1/3
of
the
RC.
Triple
helix
with
u
shape
cross
section.
Triple
helix
with
convex
triangle
cross
section.
Convex
triangle
cross
section
with
wide
radial
land.
Convex
triangle
cross
section
with
small
radial
land.
a) b) c) d) a) b) c) d) a) b) c) d)
87- Advanced stage of irreversible pulpitis, a dull pain sensation is attributed to the: a) b) c) d) 88- It is easy for the patient to localize periodontal pain than pulpal pain because: a) The periodontal tissue contains proprioceptors but pulp stoma does not. b) The pulp has low compliance environment while periodontal tissue c) The pulp has A beta nerve fibers but periodontal tissues contain more A delta nerve fibers. d) The pulp has A delta nerve fibers but periodontal tissues contain more sympathetic nerve fibers. Hydrodynamic theory. Inflammatory mediators which stimulate C-nerves fibers. Increase in the intrapulpal pressure stimulating A nerve fibers. Presence of mechanoreceptor that is stimulated by injured dentinal.
16
89-
Elective
endodontic
treatment
is
contraindicated
in
patients
having
myocardial
infarction
within
the
past
6
months,
this
is
because:
a) b) c) d)
90-
retrograde
periodontitis
is:
a) Localized
apical
periodontal
tissue
destruction.
b) Generalized
massive
periodontal
tissue
destruction.
c) Migration
of
periodontal
tissue
destruction
from
gingival
margin
towards
root.
d) Migration
of
periodontal
tissue
destruction
from
root
apex
towards
gingival
margin.
Done By: Local
anesthetic
is
absolutely
contraindicated.
There
is
an
increased
susceptibility
to
infection.
There
is
an
increased
susceptibility
of
repeated
infarctions.
Such
patients
should
be
treated
in
hospital
under
care
of
his
physician.