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Questions 1 - 100
1. Assuming daily maximums are not exceeded, which of the following is/are
appropriate for pain management following an emergency pulpectomy for an adult
with a history of severe asthma and nasal polyps?
1. Naproxen 250mg, every 6 - 8 hours p.r.n.
2. Acetylsalicylic acid 650mg every 4 - 6 hours p.r.n.
3. Ketorolac 10mg every 4 - 6 hours p.r.n.
4. Acetaminophen 1000mg every 4 - 6 hours p.r.n.
4 only
2. Infective endocarditis prophylaxis for dental procedures is NOT recommended for
patients with:
prosthetic heart valves
a history of previous infective endocarditis
a cardiac transplant with valvulopathy
- rheumatic heart disease (RHD)
3.
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A 56 year-old new patient states that I want implants to replace my teeth on the upper
right. A panoramic image is exposed.
What is the most appropriate diagnosis for the radiopacity identified by the arrows?
- Cervical spine
Inferior concha
Radiographic artifact
Base of skull
Patients jewelry
4. Trauma from occlusion may:
initiate marginal gingivitis
affect the blood supply to gingiva
initiate periodontitis
- affect the progression of periodontitis
5. For a patient that loses consciousness during dental treatment, the most important
aspect of the emergency treatment is:
establishing a precise diagnosis
administering emergency drugs
- preventing or correcting insufficient oxygenation of the brain and heart

6. Which one of the following is NOT a contraindication to ibuprofen?

Concurrent use of alcohol
Asthmatic reaction to acetylsalicylic acid
- An allergy to acetaminophen
A gastric ulcer
7. OSCE question (candidiasis)
8. Asymptomatic, bilateral, reticular, radiating, grayish-white linear lesions of the
buccal mucosa most likely represent:
- lichen planus
white sponge nevus
pemphigus
discoid lupus erythematosus
erythema multiforme
9. Acute maxillary sinusitis is associated with:
1. pain in the posterior maxillary teeth
2. nasal discharge
3. tenderness of posterior maxillary teeth to percussion
4. increase of pain when bending over
All the above
10. Radiograph OSCE question (identify caries)
11. OSCE question (gingival recession)
12. Which of the following can present as a mixed radiolucent/radiopaque lesion?
- Ameloblastoma
Dentigerous/follicular cyst
Adenomatoid odontogenic tumour
Odontogenic keratocyst
13. Which of the following would characterize a patient assessed with a moderate-tohigh caries risk?
1. Development of new caries lesions
2. Presence of arrested caries lesions
3. Placement of new restorations for caries within the last two years
4. Replacement of old restorations within the last year
1 and 3
14. A well-defined unilocular radiolucency in the area of a congenitally missing tooth,
when all adjacent teeth are vital, is most likely a/an:
residual cyst
odontogenic keratocyst
- dentigerous cyst
radicular cyst
periapical granuloma

15. OSCE question (fibroepithelial polyp)

16. OSCE question (Sub-epithelial connective tissue graft)
17. OSCE question (a chronic periradicular periodontitis)
18.
A 55 year-old male had tooth 1.6 extracted three weeks ago. An envelope soft tissue
flap, removal of bone and sectioning of the roots was performed. He is still having
pain and a bad taste from the extraction site.
The radiograph shows evidence of:
- normal post-extraction healing
a remaining root tip
alveolar osteitis (dry socket)
an oral/antral communication
a bony sequestrum
19. A periapical granuloma:

erodes rapidly through bone

- is asymptomatic
is intensely painful
occurs only in young adults
occurs at the apex of a vital tooth
20. Corticosteroids may be used for the management of:
1. allergy
2. arthritis
3. asthma
4. Addison's disease
All the above
21.A 25 year-old has a panoramic image exposed for assessment of her third molars.
Teeth 3.8 and 4.8 are most appropriately described as:

erupted
partly erupted
unerupted with soft tissue coverage
impacted with soft tissue coverage
- impacted with bony tissue coverage
22. A 28 year-old female patients chief complaint is I have sensitivity to cold in
upper left teeth and I am very concerned about how my teeth look. She has been
aware of the sensitivity for the last six months.
Which of the following should be included in her treatment plan?
1. Advice to remove the lip stud.
2. Instruction in non-traumatic oral hygiene.
3. Surgical repair of the periodontal defect around tooth 2.3.

4. Restoration of the buccal of tooth 2.3.

1, 2, 3
23. OSCE question (traumatic ulcer, Leukoplakia/hyperkeratosis with or without
dysplasia, Lichen Planus, Squamous cell carcinoma)
24. In applying pit-and-fissure sealants, which of the following steps are necessary to
ensure sealant retention?
1. Clean the tooth surface
2. Air abrade the pits and fissures
3. Dry the tooth surface
4. Perform enameloplasty with a diamond bur
1 and 3
25. Condensing osteitis in the periapical region is indicative of a/an:
acute inflammation of the pulp
pulpal abscess
- chronic inflammation of the pulp
early apical abscess formation
None of the above
26. Difficulty in mouth opening, dysphagia, tongue stiffness and generalized
induration of the skin are characteristic of:
lupus erythematosus
- scleroderma
erythema multiforme
lichen planus
malignant disease
27. OSCE question (recurrent herpes simplex)
28. OSCE question (lateral perforation of the crown and/or root, damage to wall(s),
damage to pulpal wall, inadequate exposure of canal orifices)
29. OSCE question (Unacceptable short fill, inadequate compaction (voids),
unacceptable shaping, untreated canal)
30. OSCE question (perforation of the furcation, damage to the pulpal floor)
31.An 18 year-old has a chief complaint of I get headaches. I want to know if it is my
wisdom teeth? A panoramic image is exposed.
There is radiographic evidence of a/an:
antral pseudocyst
- impacted tooth
healed mandibular fracture
deranged TMJ
odontogenic keratocyst

All of the following are possible effects of acetylsalicylic acid

except:
32.

reduction of fever
- shortening of bleeding time
suppression of inflammatory response
bleeding from the gastrointestinal tract

The most appropriate emergency management of a mature

permanent tooth with acute irreversible pulpitis is:
33.

pulpotomy
- pulpectomy
incision and drainage
trephination
apical surgery
34. Which of the following should NOT be prescribed for a patient receiving warfarin
(Coumadin)?
1. Acetylsalicylic acid
2. Oxycodone
3. Ketorolac
4. Codeine
1 and 3
35. Which oral mucosa changes are possible side effects of chemotherapy?
1. Atrophic thinning
2. Ulceration
3. Necrosis
4. Spontaneous bleeding
All the above
36. A 14 year-old patient has a panoramic image exposed prior to orthodontic
treatment.
What is the most appropriate diagnosis for the entity identified by the arrows?
Zygomatic arch
Wall of maxillary sinus
Fibrous dysplasia
- Antral pseudocyst
Ghost image
37. Which of the following lower(s) the body temperature increased by bacterial
pyrogens?
1. Acetaminophen
2. Bradykinin
3. Acetylsalicylic acid
4. Codeine

1 and 3
38. After periodontal surgery, sensitivity to thermal change is reduced by:
1. replaning the roots
2. keeping the roots free of bacterial plaque
3. adjusting the occlusion
4. desensitizing the roots with an appropriate medicament
4 only
39. To control the progression of dental caries, the most appropriate action is to:
alter the diet to reduce the intake of refined carbohydrates
increase the amount of fluoride available for remineralization
- restore teeth back to original precarious form
control the presence of cariogenic bacteria
40. Ultrasonic scalers are most effective in:
removal of supragingival calculus
- removal of subgingival calculus
removal of toxins from cementum
planing root surfaces
41. A patient who is a hepatitis B carrier presents for an extraction. The extraction
should be delayed and:
rescheduled at the end of the day for infection control
an antibiotic prescribed prophylactically
the patient referred to a hospital dental department
- an evaluation of liver function performed
42. A 73 year-old patient has throbbing pain in tooth 4.3. It is heavily restored,
sensitive to percussion and has pain on biting.
The most appropriate diagnosis of the radiolucency identified by the arrow is:
- a vertical root fracture
the PDL associated with a concave root surface
an accessory root canal
a draining sinus tract
a radiographic artifact
43. OSCE question (salivary gland adenoma)
44. OSCE question (defective restoration identification)
45. During placement of sealants, a 12 year-old asthmatic patient has difficulty
breathing and begins to wheeze. Initial management should include administration of:
- salbutamol
ephedrine
atropine
diphenhydramine

46. A vertical cross-section of a smooth surface carious lesion in enamel appears as

a triangle with the:
base at the dentino-enamel junction
base facing toward the pulp
apex pointing to the enamel surface
- apex pointing to the dentino-enamel junction
47. A 72 year-old male patient complains of bone pain, fever and fatigue. Clinical
examination shows petechiae on the skin and oral mucosa. The tongue has a nodular
appearance. A craniofacial radiograph shows punched-out radiolucencies. The most
likely diagnosis is:
Burkitts lymphoma
chondrosarcoma
acute lymphocytic leukemia
- multiple myeloma
48. Which of the following is consistent with the features of an arrested carious lesion
in an occlusal fissure?
A small cavitated lesion with exposed dentin
A white spot lesion with a frosty surface
A lesion extending into dentin on a bitewing radiograph
- A brown spot lesion with a hard surface
49. Which of the following radiographic findings are attributable to trauma from
occlusion?
1. Widening of the periodontal ligament space
2. Vertical destruction of interdental bone
3. Widening of the lamina dura
4. Narrowing in width of the periodontal ligament space
1, 2, and 3
50. Squamous cell carcinomas of the lip occur most frequently on the:
commissures
- lower lip near the midline
inner surface of upper lip
inner surface of lower lip
upper lip near the midline
51. OSCE question (Smokers melanosis)
52. OSCE question (caries identification)
53. A fistula found in association with a non-vital tooth should be:
1. cauterized to remove the epithelium
2. traced to source with a gutta-percha point on a radiograph
3. treated with combined surgical and nonsurgical root canal therapy
4. treated with nonsurgical root canal therapy

2 and 4
54.A 35 year-old patient has a chief complaint of I get a sharp pain on the upper
right when I bite into something hard. Six months ago, a MODL amalgam was
placed in tooth 1.6 and an interim restoration was placed in tooth 1.7 due to deep
caries. A periapical radiograph was exposed.
What is the most probable cause of the patients pain?
Unerupted 1.8
Food impaction between 1.7 and 1.6
Pulpitis 1.7
- Incomplete cusp fracture
Sinus inflammation
55. A 48 year-old patients chief complaint is I sometimes have a swelling and
soreness in my lower right gum. The initial (Phase 1) management of this patients
periodontal disease has been completed.
Which of the following is the most appropriate treatment for tooth 4.6?
Increased oral hygiene with scaling every three months
Pocket reducing surgery
- Open flap surgery with guided tissue regeneration
Sub-epithelial connective tissue graft
Amputation of the mesial root and implant placement
56. OSCE question (defective restoration identification)
57. The objective of scaling and root planing during periodontal therapy is to remove:
plaque, calculus, contaminated cementum and junctional epithelium
plaque and calculus exclusively
plaque, calculus and crevicular epithelium
- plaque, calculus and contaminated cementum
all cementum associated with periodontitis
58. What is the most significant radiographic finding in hyperparathyroidism?
Demineralization of teeth
Multiple odontogenic keratocysts
Hypercementosis
Rampant caries
- Generalized loss of lamina dura
59. Local anesthetics are less effective in inflamed tissue because they are:
diluted by the edematous fluid
rapidly redistributed by the increased blood flow
- ionized by the acidic pH
rapidly degraded by released enzymes
60. OSCE question (FOM eliminate etiologic factor(s), incisional biopsy)
61.
A 60 year-old patients chief complaint is I have pain in my lower left jaw. The pain is

worse at night.
What is the most appropriate diagnosis for the radiolucency identified by the arrows?
Odontoma
Osteomyelitis
Fibrous dysplasia
- Odontogenic keratocyst
Adenomatoid odontogenic tumor
62. Chelating agents
curved canal
- sclerotic canal
periapical abscess
root perforation
open apex

are useful to treat a tooth with a/an:

63. Which lesion(s) may appear radiographically as multilocular radiolucencies?

1. Ameloblastoma
2. Odontogenic myxoma
3. Primordial cyst
4. Odontogenic keratocyst
All the above
64. Which of the following medications increases a patients risk for intraoral
candidiasis?
Warfarin (Coumadin)
- Cyclosporine
Pentobarbital
Ibuprofen
Pilocarpine
65. Hypoglycemia in the conscious patient is best managed with:
oxygen
epinephrine
- oral carbohydrates
glucagon
insulin
66. A carious lesion CANNOT be remineralized when:
when the caries visually appears as a white spot
dentin is demineralized
the surface is cavitated
the pH of the saliva is too high
- the caries has progressed to the dentino-enamel junction
67. OSCE question (perform apical surgery and place a retrograde filling)
68. Which disorder presents with all permanent teeth exhibiting bulbous crowns,
cervical constriction and obliterated pulp canals and chambers?

Amelogenesis imperfecta
- Dentinogenesis imperfecta
Dentin dysplasia type I
Dentin dysplasia type II
69. Known risk factors for developing impaired glucose tolerance or diabetes
include:
1. obesity
2. increasing age
3. First Nations ancestry
4. periodontal disease
1, 2, and 3
70. OSCE question (occlusal caries)
71. In chronic gingivitis, the sulcular epithelium:
is a barrier to bacterial invasion
is permeable to bacterial enzymes and toxins
may be ulcerated
undergoes both degenerative and proliferative changes
- All of the above
72. OSCE question (Furcation involvement, Occlusal trauma, Horizontal bone loss)
73. OSCE question (Separated instrument)
74. A patient complains of pain in a mandibular molar when chewing hard foods and
taking cold liquids. Electric pulp tests and radiographic appearance are normal. The
pain is likely caused by:
acute apical periodontitis
chronic apical periodontitis
- a cracked tooth
chronic pulpitis
75. Acetaminophen in therapeutic doses:
1. retards platelet function
2. has strong anti-inflammatory properties
3. produces CNS stimulation
4. has antipyretic properties
4 only
76. A caries risk assessment includes an analysis of:
1. saliva
2. diet
3. past caries experience
4. occupational and demographic factors
All of the above

77. Radiographic examination of a permanent molar with an acute pulpitis of 24-hour

duration would reveal:
radiolucency of the bifurcation
- normal radiographic appearance
periapical bone rarefaction
altered periodontal ligament space
internal resorption
78. An 18 year-old patient presents for a new patient examination. She completed
orthodontic treatment two years ago and takes an anti-epileptic seizure medication.
Which of the following is evident on the photograph of the lower anterior teeth?
Drug induced gingivitis
Gingival enlargement
- Gingival recession
Lack of attached gingiva
79. OSCE question (Caries detection)
80. A 68 year-old patient says she is unhappy with her dentures and is interested in
implants. An intraoral examination reveals no significant findings.
What is the most appropriate diagnosis for the radiolucency identified by the arrows?
Mental foramen
Rarefying
osteitis

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Traumatic bone cyst

- Residual cyst

Metastatic malignancy
81. A 54 year-old patients chief complaint is My lower front gums bleed easily and
the teeth there feel loose. The symptoms have been present for a long time but are
getting worse lately.
What is the most appropriate diagnosis for the radiolucency identified by the arrow?
Alveolar fracture
- Nutrient canal
Periapical cemento-osseous dysplasia
Evidence of osteoporotic changes
Periradicular periodontitis
82. Antihistamines act by:
increasing the action of histaminase
altering the formation of histamine
- blocking the actions of histamine by competitive inhibition
interfering with the degradation of histamine
83. A 71 year-old female wants new dentures. Her chief complaint is My old
dentures dont fit anymore and I am having trouble eating. The problem has been
getting worse for six months.
What is the most appropriate diagnosis for the radiolucency identified by the arrows?
Osteoporotic changes
Stafne bone defect
Residual cyst
Post-surgical defect (scar)
- Malignancy
84. Among the following, which may be associated with root resorption?
1. Excessive orthodontic forces
2. Periapical granuloma
3. Cementoma
4. Hypercementosis
5. Traumatic injury
All the above
85. Cemental caries differs from enamel caries because:
dental plaque is not involved
the age of onset is younger
it is usually associated with abrasion
- it progresses more quickly
86. Which of the following has the POOREST prognosis?
Horizontal fracture in the apical one-third of the root

Horizontal
the mid-root
Horizontal fracture
fracture in
1-2mm
subgingivally
- Vertical root fracture
87. Which of the following has the POOREST prognosis?
Horizontal fracture in the apical one-third of the root
Horizontal fracture in the mid-root
Horizontal fracture 1-2mm subgingivally
Vertical root fracture
1, 2 and 3
88. A patient on broad spectrum antibiotics for four weeks presents with widespread,
sore, red and white oral mucosal lesions. The most likely diagnosis is:
- candidiasis
leukoplakia
erythema multiforme
erosive lichen planus
pemphigoid
89. Which of the following statements is TRUE?
Bacteremias associated with dental procedures are more likely to cause infective
endocarditis than bacteremias resulting from daily activities
A large number of infective endocarditis incidences could be prevented by antibiotic
prophylaxis
All patients with Congenital Heart Disease (CHD) should have infective endocarditis
prophylaxis prior to invasive dental procedures
- All patients with a prosthetic heart valve should have infective endocarditis
prophylaxis
prior to subgingival scaling and root planning
90. A 47 year-old patient is having a new patient exam. A radiographic image is
exposed and an anomaly in the lower anterior region is noticed. The teeth in the area
respond normally to vitality tests.
What is the most appropriate diagnosis for the area identified by the arrows?
Hypercementosis
Rarefying osteitis
- Periapical cemento-osseous dysplasia
Odontoma
Periradicular periodontitis
91. Which of the following is the most reliable indication of an active root caries
lesion?
Brown discolouration
Abfraction deeper than 1.5mm
Discoloured lesion with the same hardness as healthy root surface
- Leathery consistency
92. Amelogenesis imperfecta is:
caused by environmental factors
a multifactorial disorder

- a hereditary condition with different inheritance patterns

associated with osteogenesis imperfect
93. There is radiographic evidence of which of the following on tooth 1.6?
1. Widened PDL
2. Distal root caries
3. Periapical radiolucency
4. Horizontal bone loss
4 only
94. Intravenous administration of epinephrine results in:
1. increased systolic pressure
2. increased heart rate
3. palpitations
4. respiratory depression
1, 2, and 3
95. The appropriate management for a white lesion, 10 x 15mm in size, that has
been present on the buccal mucosa for six months and has recently become
ulcerated is:
observation
excisional biopsy
- incisional biopsy
aspiration biopsy
cytologic examination
96. A radiopaque area within the alveolar process containing several rudimentary
teeth suggests a/an:
periradicular cemento-osseous dysplasia
ameloblastoma
- compound odontoma
complex odontoma
Pindborg tumour
97. Most cases of erosive oral lichen planus are effectively treated with:
cytotoxics
antifungals
antibacterials
antimalarials
- corticosteroids
98. Bisphosphonates used in the treatment of osteoporosis:
stimulate the mineralization of bone
- inhibit bone osteoclastic resorption
have no effect on alveolar and jaw bone
increase a patients ability to withstand periodontal infections
99. A patient has suffered a blow resulting in the loosening of three maxillary incisors.

Vitality tests give negative readings. The most appropriate management would be to:
perform pulpectomies on the teeth
remove the teeth, fill the root canals and replant
- splint the teeth, check vitality in one month and if negative, treat endodontically
splint the teeth and treat endodontically immediately
100. Which drug is most adversely affected by ingestion of antacids?
Cephalexin
Erythromycin
- Tetracycline
Sulfisoxazole
Penicillin V
Posted 8th August 2013 by H
Labels: Questions 1 - 100
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