Fellowship Exam Guide - Edition 9 PDF
Fellowship Exam Guide - Edition 9 PDF
of GeneralDentistry
ProcticeExomination
Fellowship Exarn
Study Guide
9tb Eclitiort
I
D E N T AT
I M AGIN G 5. Panoramic radiographs are useful for evaluating:
l) incipient caries.
1. What are the three types of sensorscurrently used 2l early alveolar bone loss.
in digital imaging? 3) traumatic injuries.
1) Charged coupled devicc 4) the mixed dentition.
2) Pixelated sintered conrposite
3) CMOS/APS A . ( 1 )a n d ( 3 )
4) Phosphoratedpixel amplifier B . ( 1 )a n d { 4 )
5) PSP C. {2)and (3)
D.l2l and $)
A ( 1 ) ,l 2 l a n d @ l E. (3)and (a)
B ( 1 ) ,( 3 ) a n d ( 5 )
C. 1 2 \ ,{ a }a n d ( 5 )
D { 3 ) ,( a ) a n d ( 5 )
A radiograph reveals the presence of a root
fragment in an edentulous mandibular ridge. To
locate the position of the root fragment, two
L. Which of the following is the baseline radiologic radiographs are taken. In the first film, taken with
assessmentbefore initiating implant therapy? the X-ray tube perpendicular to the film and
mandible, the fragment appears in the middle of
A. Sagittal and cross-sectionallinear tomograms the radiograph. The second radiograph is exposed
B. Periapical films of each implant site using identical film placement with the X-ray tube
C. Occlusal films shifted 30 degrees mesially. The fragment now
D. Panoramic/cephalometricfilms appears more posteriorly on the radiograph. This
indicates that the root frasment is located in the
of the ridge
Q u e s t i o n-s 2
9. Compressive strength h a s i m p o r t a n tc l i n i c a l 1 3 Dentin bond strength is proportional to the:
s i g n i f i c a n c ef o r w h i c h of the following dental l) thickness of the hybrid layer.
materials? 2) number of microtags.
3) length of microtags.
A. Amalgam 4) etchingtime.
B. Composites
C. Cements A. {2)only
D. All of the above B. (2)and (3)
E. None of the above C . l r ) , 1 2 )a n d { 3 )
D . 1 2 ) ,l 3 l a n d { 4 )
E. All of the above
Q u e s t i o n-s 3
1.7
A patient presents complaining of chronic 21. What is the initial treatment of choice when a
low-grade pain in the mandibular left first molar. patient calls with moderate to severe pain two
Adjusting the occlusion gives relief, but the pain hours following the obturation of a root canal?
returns in a week. The tooth has been
endodontically treated and has a NARROW, 9 mm A. Remove the root canal filling material
periodontal pocket on the mesial surface of the B. Prescribe analgesics
mesial root. The most probable diagnosiswould C. Apply moist heat and use warm water rinses
be: D. Use an ice pack and cold water rinses
A. nonvital. A ( 1 ) , ( 2 )a n d ( 3 )
B. ischemic. B. {1), l2l and lal
C. hyperemic. C . ( 1 ) ,( 3 ) a n d ( a )
D. currently indeterminable. D l2l, (3)and (a)
E. All of the above
Q u e s t i o n-s 4
2 5 . No diseasetransmission arising from microbial
W h e n c o m p a r i n gp o l y m e t h y l m e t h a c r v l a r e
contamination of dental unit water lines has been
( P M M A ) r e s i n a n d b i s - a c r y lc o m p o s i t er e s i n
conclusively documented. However, disease used
in fabricating custom made provisional
transmission in associationwith biofilm formation
restorations:
has been well documented in other health care
1) there are fewer allergic reactions to composite
settinss.
resin provisionals than pMMA resins.
2) PMMA resin is the material of choice when
A. Both statements are TRUE.
long term strength and color stability are
B. Both statements are FALSE. desired.
C . T h e f i r s t s t a t e m e n i is TRUE;the secondis 3) both composite resin and PMMA resin perform
FALSE. equivalently when used to fabricate provisional
D. The first statementis MLSE; the second is restorations.
TRUE. 4) contours, finishing, and strength are better
when composite resins ur" ,r'"d.
A . ( 1 )a n d ( 2 )
FIXEDPROSTHODONTICS B . ( 1 )a n d ( 3 )
26. The location of the gingival finish lines in C . ( 1 )a n d ( a )
crown D. (2)and (3)
preparations is influenced by:
E. l2l and @l
A. existing restorations.
B. crown length available.
C. oral hygiene practices. 29. When a tooth has adequate attached gingiva,
D. periodontal considerations. which of the following factors is MOST itxEty
E. All of the above to
contribute to gingival recession when the tooth
is
restored with a crown?
27. One recent five-year clinical review of porcelain A. Overcontouring-the facial surface of the
crown
lamlnate veneers demonstrated a ggTosuccessrate D. rmptngement ot a temporary crown on the
More importantly, the failures were in t h e _ gingival attachment for a period of two weeks
restoration and did not result in tooth mortality. 9 9r".of intraligamentary injection
D. Placing the margin at the epithelial attachment
A. Both statements are TRUE.
B. Both statements are FALSE.
C. The first statement is TRUE; the second is
FALSE. 30. Which of the following luting agents is MOST
D. The first statement is FALSE; the second is LIKELY to exhibit marginal lealiage after six
TRUE. months?
A. Composite resin
B. Polycarboxylate
C. Adhesive resin
D. Zinc oxide-eugenol
E. Resin-reinforcedglass ionomer
- 5
Questions
32. The most practical method to achieve a fully 3 5 . In treatment planning an implant-retained
seated (cemented)ceramometal crown is to: removable prosthesis,the interarch space is an
important consideration. The construction of the
A. paint a spacer on the die, avoiding the margin removable prosthesis may be compromised when
area. the interarch space is increased.
B. place a vent hole in the occlusal surface of the
casting. A. Both statements are TRUE.
C. relieve the internal surface of the casting by B. Both statements are FALSE.
electromilling. C. The first statement is TRUE; the second is
D. strip the internal surface of the crown with an FALSE.
airbrush. D. The first statement is FALSE: the second is
TRUE.
A . ( 1 ) ,l 2 l , l 3 l a n d ( 4 )
s. itl izl i+iu"aisi 38 Implant stability depends on the nature of the
C . ( 1 ) ,( 3 ) ,( a ) a n d ( 5 ) contact between bone and the implant surface.
D . l z l , l 3 l ,{ a }a n d( 5 ) Bone healing prior to loading is not always a
E. All of the above prerequisite for long-term success.
Q u e s t i o n s- 6
39. Advantagesof intraoral autogenousbone for
42 p_c9lus3tappliances,when used for diagnosed
g.raftinga deficient implant site include which
of TMD, function to alter muscle physiolo"gyand
the following?
recapture the patient,s most deiirible cJntric
1) Osteogenic
occlusion. However, the most recent research
2) Osteoinductive
s u g g e s t st h a t t h e a p p l i a n c e sw o r k b e s t a s
3) Antigenic response
Denavloral rnterventions and have little or n<r
4) Large quantity available
effect.on physical changes in the position of
5) Custom shaping the
mandible.
A . ( 1 )a n d ( 2 )
A. Both statements are TRUE.
B . l 1 l , 1 2 )a n d { 5 )
B. Both statements are MLSE.
C. l2l l3), {a) and (5)
C. The first statement is TRUE; the second I S
D. All of the above
FALSE.
D. The first statement is MLSE; the second
is
TRUE.
40. Using a crestal incision and full_thicknessflap
for
implant abutment connection results in:
1) better accessto the cover screws and
43 The basic
anchoring bone. _requirementsof a mutually protected
occlusion MUST permit:
2) reduced tension in the peri_implant mucosa
1 ) t h e a n t e r i o r t e e t h t o d i s c l u d et h e p o s t e r i o r
following suturing.
teeth in excursive movements.
3 ) r e v e r s e ds o f t t i s s u ea r c h i t e c t u r e .
2) group function on the working side when
4) papillae-like, peri-implant mucosa. the
mandible is moved laterally.
3) minimal or light contact o., th" anterior teeth
A . { 1 )a n d ( 3 )
when the posterior teeth are closed in
B. {2)and (3)
maximum intercuspation.
C { 1 ) ,{ 2 )a n d ( 3 ) 4) bilateral canine guidu.r." in lateral movement
D . { 1 ) , ( 2 )a n d l a l
E. All of the above
A. ( 1 )a n d ( 2 )
B. { 1 )a n d ( 3 )
C. ( 2 )a n d ( 3 )
D. (21and @l
OCCI-USION
41. Most semi-adjustablearticulators reproduce
with
relative accuracy the: 44. Which of the following is the LEAST VALIT)
1) direction and end point of some condylar reason for selective occlusal re_shapingin
movements. the
natural dentition?
2) intermediate track of some condylar
movements. A. To direct forces to the long axis of the tooth
3 ) Bennett side shift. B. To increase the masticatin"gefficiency of
Al
tooth arc of closure. the
dentition
C. To eliminate premature balancing contacts in
A . { 1 )a n d ( 2 ) the posterior teeth
B. { 1 ) a n d ( a ) D. To eliminate interferences without destroying
C . (2)and (3) cusp height
D . {3)and (a)
E . lI), (21and {4)
s- 7
Question
When complete anterior dislocation of the disk 4 9 . In relation to the contact area, where is an
affects only one condyle, the range of opening is incipient interproximal carious lesion usually
,USUALLY: located?
4.7
In preparing a composite veneer, the removal of 52. Of the following restorative procedural errors,
some enamel is recommended to establish a which three are MOST likely to contribute to
definite finish line. If the defect or discoloration periodontal disease?
does not extend subgingivally then the veneer 1) Inadequate proximal contact area
preparation should not extend subgingivally. 2) Under contoured embrasure form
3) Laceration of sulcus with a matrix band
A. Both statements are TRUE. 4) Overhanging restoration
B. Both statements are FALSE. 5) Overcontoured restoration
C. The first statement is TRUE; the second is
EALSE, A { 1 } , ( 3 )a n d ( 5 )
D. The first statement is FALSE; the second is B ( 1 ) , { a )a n d ( 5 }
TRUE. C . t z l ,( 3 )a n d( a )
D . 1 2 \(,a )a n d( 5 )
E. (3),{a)and(5)
Ideally the gingival margin of a mandibular Class
II restoration should be located:
-B
Questions
53. When preparing a tooth to receive a direct veneer, 57. A 37-year-oldwhite female in her seventh month
which of the following reasonsjustify removal of of pregnancy presents with pain and bleeding
sound enamel? gums. She has had no consistent dental care. Her
1) To provide space for opaque and veneer blood pressure is 180/110 and pulse rate, 100 beats
material per minute. Oral examination reveals extensive
2) To create a rough finish for improved bonding periodontitis. Dental management of this patient
3) To allow the margin to be hidden beneath the would include:
gingiva 1) consultation and referral to her physician for
4) To create a definite finish line BP evaluation.
5) To remove the etch-resistantfluoride-rich 2) begin scaling and root planing and prophylaxis
surface layer immediately.
3) appoint for aggressivecurettage and flap.
A ( 1 ) ,{ 2 ) a n d ( 3 ) 4) give oral hygiene instructions.
5) prescribe chlorhexidine rinse.
B. { 1 ) ,( 3 ) a n d { s 1
C (1),l2l, l3l and (4)
D ( 1 ) ,l 2 ) , t 4 l a n d { 5 ) A ( 1 ) ,( 2 ) a n d { 3 )
E. All of the above B . ( 1 ) ,{ 2 } a n d ( 4 }
C { 1 ) , ( a )a n d ( 5 )
D ( 1 ) ,t z l ,t 4 la n d( 5 )
E. All of the above
ORAIMEDICINE
54. Currently, what are the two most prevalent
therapies for oral cancer? 58' A review article in a 2003 issue of JADA showed
1) Surgery the relationship between alcohol-containing
2) Chemotherapy mouthwashes (ACM) and orpharyngeal cancer
( O P C )t o b e :
3) Radiation
4) Gene therapy
A. highly correlated, suggestinga causal
relationship between ACM and OPC.
A. { 1 )a n d ( 2 )
B. ( 1 )a n d ( 3 ) B. negligible, i.e. ACM use is unlikely to be a
C. ( 1 )a n d { a ) cause of OPC.
D. (2)and (3) C. strongly correlated in patients considered to be
alcoholics.
D. life-threatening, but only in those patients with
a history of both excessive alcoholic
A reasonably controlled, insulin-dependent consumption and smoking.
diabetic complains of pain from a nonrestorable
mandibular second premolar. What would you do
if there is no swelling and the patient is afebrile?
Following an extraction of an impacted third
molar, which of the following analgesics would be
A. Plan to immediately extract the tooth
B. Prescribe antibiotics and analgesics,then contraindicated for a 16-year-old severely
reappoint the patient in four days to extract the asthmatic patient?
tooth 1) Ibuprofen (Motrin@)
C. Prescribe antibiotics and analgesicsbut defer 2) Meperidine hydrochloride (Demerol@)
the extraction to the following day so that the 3) Acetaminophen (T!lenol@)
patient can decreasetheir insulin intake in the 4) Diflunisal (Dolobid@)
morning
D. Refer for medical consultation A. ( 1 )a n ( 2 )
B. (1)and {a)
C. ( 1 ) ,( 2 ) a n d ( 3 !
D (1), l2l and lal
56. Which of the following conditions is LEAST likely E. l2l, (3)and (a)
to predispose a patient to infective endocarditis?
- 9
Questions
60. Radiation treatment to the head and neck 6 4 . Which of the following pathological conditrons can
produces an increased salivary flow. The saliva appear as a multilocular radiolucency?
from irradiated patients has a lower pH than saliva 1) Ameloblastoma
in untreated patients. 2) Cherubism
3) Odontogenic m1'xoma
A. Both statements are TRUE. 4) Central giant cell granuloma
B. Both statements are FALSE.
C. The first statement is TRUE; the second is A . ( 1 )a n d { 3 )
FALSE. B. (1)and {a)
D. The first statement is EALSE; the second is C.l2) and pl
TRUE. D ( 1 ) ,( 3 ) a n d ( a )
E. All of the above
ORAI PATHOLOGY
62. Which of the following mandibular teeth are most
6 6 . An eight-year-old has tender, palpable
often congenitally missing?
submandibular lymph nodes and an oral
temperature of lol.2 degrees F for three days'
A. Second premolars
Following these symptoms he had a painful mouth
B. First premolars
for four days. Oral examination reveals a
C. First molars
generalizedinflammation of the attached gingiva
D. Central incisors
and alveolar mucosa. Loose white debris covers
the free gingival margins and fills the
interproximal embrasures. Discrete areas of
63. Cavernous sinus thrombosis arising from an acute ulceration within rings of intense inflammation are
infection of the maxillary central incisors would noted on the buccal mucosa and the palate. The
most likely have developed from the pathway interdental papillae are intact. The salivary flow is
involving the: heavy and viscous. There are no lesions on the
1) lymph vessels. extremities. The condition described is:
2) retropharyngeal sPace.
3) major blood vessels. A. acute necrotizing ulcerative gingivitis.
4l facial emissary veins to the cavernous sinus' B. Moniliasis.
C. acute herpetic gingivostomatitis.
D. Erythema multiforme.
A. (1)and (a)
B. (3) and (a)
c (11,lzl andPl
D . ( 1 ) ,( 3 !a n d( a )
Q u e s t i o n-s 1 0
67. A patient presents with generalizedcircumoral I L. While extracting a mandibular third molar, it is
pigmentation suggestiveof Peutz-Jeghers noted that the tip of the distal root is missing. The
syndrome. The patient should be referred to a root tip is most likely in the:
physician to evaluate for:
A. submental space.
A. diabetes mellitus. B. parapharyngeal space.
B. intestinal polyps. C. submandibular space.
C. hyperlipidemia. D. ptergomandibular space.
D. lung cancer. E. inferior alveolar canal.
E. kidney disease.
O R A LSU R GE R Y
69. A 65-year-oldwhite female presents with periodic Three days following the routine extraction of #32,
swelling of the right submandibular area closely a patient experiencessevere socket pain and a foul
correlated with food ingestion. Patient is afebrile odor in their mouth. What is the next step?
and panoramic and occlusal films do not suggest
any soft or hard tissue pathology. Which of the A. Comfort the patient and reassure them that
following would be the most appropriate for initial this is normal
therapy?
t 1) Prescription for penicillin therapy
2) Dilate submandibular duct with lacrimal
B. Prescribe an analgesic and reevaluate in three
days
C. Irrigate the socket with normal saline and
probes place a medicated dressing
3) Prescribe a regular course of salivary D. Place the patient on an antibiotic and do not
stimulation disrupt the socket
4) Attempt to "milk" duct by forcing the
obstruction back into the submandibular gland
5) Refer immediately to an oral surgeon for
'74
lithotripsy therapy A small accidental opening into the maxillary
sinus results from the removal of a maxillary first
A. ( 1 )a n d ( 3 ) molar, but the sinus membrane shows no
B. ( 1 )a n d ( a ) perforation. The preferred initial treatment is to:
C l 2 ) , ( 3 )a n d ( 5 )
D l2l, (a)and (5) A. elevate a buccal sliding flap and cover the
entire extraction site.
B. rotate a pedicle flap from the palate over the
socket and suture tightly with nonresorbable
70. Following an extraction, the socket should sutures.
routinely be curetted. The purpose of curetting C. have the patient perform the Valsalva
the tooth socket is to remove remnants of the maneuver until bubbles can be seen in the
periodontal ligament. socket.
D. pack the socket with antibiotic-saturated
A Both statementsare TRUE. iodoform gauze.
B. Both statementsare FALSE. E. perform routine postoperative care to assure
C. The first statement is TRUE; the second is the formation and organization of a blood clot.
FALSE.
D. The first statement is FALSE; the second is
e TRUE,
Q u e s t i o n s- 1 1
O RT H O D O N TIC S PATIENT
& RISKMANAGEMENT
75. During eruption of the permanent teeth in the 79. 'Active listening" is used early in the initial
canine-premolar region of the mandible, the most interview appointment in order to help reduce
favorable eruption sequence with regard to arch patient anxiety. 'Active listening" gives the dentist
stability is: a chance to explain to the patient the advantages
of modern dental treatment.
A. canine, first premolar, second premolar.
B. second premolar, canine, first premolar. A Both statements are TRUE.
C. first premolar, canine, second premolar. B. Both statements are FALSE.
D. first premolar, second premolar, canine. C. The first statement is TRUE; the second is
FALSE.
D. The first statement is FALSE; the second is
TRUE.
76. Generally, the direction of facial growth and
development is:
Q u e s t i o n-s 1 2
PEDIATRIC
DENTISTRY PERIODONTICS
83. A diastema between the two permanent maxillary 87. Prostaglandinsare associatedwith:
central incisors in a nine-year-oldpatient should 1) bone resorption.
not be closed until after eruption of the: 2) periodontal inflammation.
3) attachment loss.
A. permanent maxillary second molars. 4) reattachment of gingival fibers.
B. maxillary premolars.
C. maxillary permanent canines. A. (1)and (2)
D. maxillary permanent lateral incisors. B. (3)and (a)
c {1),l2l and(31
D. All of the above
84 Examination of a three-year-old child reveals
multiple superficial ulcers and generalized
reddening of the oral mucosa. If the child is 8 8 . Which of the following are characteristics of
drooling, irritable, restlessand in pain, the dentist Grade IV furcations?
should suspect: 1) Most frequently in maxillary first molars
2) Entrance is visible clinicallv
A. candidiasis. 3) Through and through tunnel
B. primary teething. 4) A portion of the alveolar bone and periodontal
C. riboflavin deficiency. ligament remains intact
D. primary herpetic gingivostomatitis.
E. necrotizing ulcerative gingivitis. A. (2)and (3)
B ( 1 ) ,( 2 ) a n d ( 3 )
C . ( 2 1 ,( 3 )a n d ( a )
D. All of the above
8 5 A radiograph of a four-year-old child reveals the
absence of mandibular second premolars. This
indicates that:
89 Which of the following is NOT characteristic of
( A. the child will not develop second premolars. slowly progressiveperiodontitis (Spp|?
B. the maxillary lateral incisors will ilso be
missing. A. Pain
C. the child's chronologic age and physiologic age B. Gingival inflammation
may not be closely related and the teeth mav C. Gram negative subgingival flora
develop later. D. Onset may occur during adolescence
D. extraction of primary second molars should be
performed to allow permanent first molars to
move forward during this period of rapid
growth. 90. Which statements are TRUE concerning a patient
with periodontal diseaseon dicumarol
fcoumadin)
therapy?
1) Periodontal scaling or surgery requires a
8 6 . An opalescentappearanceof the permanent prothrombin time less than two times normal.
dentition combined with small oientirely absent 2) Changes in prothrombin time will not be
pulp chambers radiographically is characteristicof: apparent until two days after changing dosages.
3) Complex periodontal surgery is
A. ameolgenesisimperfecta. contraindicated.
B. dentinogenesisimperfecta. 4) There are no contraindications to local
C. regional odentodysplasia. anesthesiawith epinephrine.
D. dentin dysplasia.
A ( 1 ) , { 2 )a n d ( 3 )
B. {1),l2l and gl
C ( 1 ) ,( 3 ) a n d ( 4 )
D . l 2 l , { 3 )a n d ( a )
E. All of the above
c
Q u e s t i o n-s 1 3
r
A . ( 1 )a n d ( 3 )
B. l2l andlal
C . ( 1 ) ,( 2 ) a n d ( 3 )
D . ( 1 ) , ( 3 )a n d ( a )
E. All of the above
- 14
Questions
A 3O-year-oldpoorly controlled diabetic with six
remaining anterior teeth requires a maxillary
immediate denture. The patient has a torus
palatinus that is 3mm thick, measures 1.5 x 2.5cm
and is 3mm anterior to the vibrating line. Which
of the following is the treatment of choice? The
torus should:
Q u e s t i o n s- 1 5
Answers
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s h e e ts o t h a t y o u c a n e a s i l ys c o r ey o u r s e l fb y p l a c i n gt h e s ea n s w e r sn e x t t o t h e c o r r e s p o n d i n gn u m b e r so f
y o u r a n s w e rs h e e t . T h e s u b j e c ta r e a sa r e i n d i c a t e do n t h e S c o r eS h e e t( s e ef o l l o w i n g p a g e )s o t h a t y o u c a n
d e t e r m i n eh o w w e l l y o u d i d i n e a c h s u b j e c t . U s i n g a r e d p e n c i l , m a k e a n " X " i n t h e c i r c l e c o r r e s p o n d i n g
to the correct answer for each questionyou had incorrect. Add up the red "X's" for each subject area and
record on your score sheet.
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