٨-٧ ‫اﻟﻤﻠﻒ اﻟﺬﻫﺒﻲ‬

Cerrected by yes we can

2021

1- An edentulous patient presented to the clinic requesting the replacement of his

upper and lower dentures. The dentures were worn for 25 years and during this
period they fractured and were repaired several times. On examination, the
dentures had worn down teeth, the mandibular teeth had a flat occlusal plane
and the dentures were unstable. The soft tissue covering the residual ridges was
mobile and flabby. The plan was to replace the existing prosthesis. Which of the
following definitive impression techniques would be preferred in this case?

✅✅
A. admix
B. mucostatic
C. plaster stent
D. applegate controlled displacement

2- Which of the following is the most appropriate sequence for treatment of

Endodontic - Periodonitic furcation lesion caused by puip necrosis?
A. antibiotic then tooth extraction

✅✅
B. periodontal surgery then root canal treatment
C. root canal treatment then periodontal surgery
D. scaling and root planing and systemic antibiotic

3- In which of the following disease accumulation of advanced glycation end

products (AGEs) in gingiva takes place?
A. epilepsy

✅✅
B. gingivitis
C. diabetes mellitus
D. hereditary gingival hyperplasia

4. Which of the following is most accurate when comparing the crowns of the

✅✅
primary molars teeth to the crowns of permanent ones?
A. more bulbous
B. larger occlusally
C. wider mesio - dital
D. converging gingivally

**incisors ➡ wider mesiodistal✅✅

5- Which of the following periodontal probes is calibrated in 3 - mm sections?

✅✅
A. UNC - 15 probe
B marquis probe
C. Michigan O probe
D. Goldman - Fox / Williams probe

6- A 35 - year - old man presented to the clinic complaining of bleeding when

brushing a lower right tooth. Clinical examination revealed over contoured crown
at the buccal of tooth # 46, class 1 furcation to involvement, probing depth range
from 2-3 mm, localized bleeding on probing at the buccal of tooth # 46 Which of
the following is the most likely treatment of choice?
A. scaling and root planing for tooth # 46
B. refer the case for surgical open flap debridement
C. irrigate the furcation of # 46 with chlorohexidine mouth wash for 2 weeks

✅✅
D.scaling and root planing then consider to change the over contoured crown at
# 46
7- A 7 - year - old girl came to the clinic accompanied by her mother. The giri
complained about teeth sensitivity. Clinical examination showed that all first
molars and centralincisors are hypoplastic Which of the following is the probable
diagnosis?
A. fluorosis
B. dentinal dysplasia

✅✅
C. dentinogenesis imperfect
D. molar incisor hypomineration

8- A 14 - year - old patient came to the Dental Clinic for the extraction of lower
retained primary molar. Which of the following is the most appropriate patient
position during extraction?

✅✅
A. maxillary occlusal plane is parallel to the floor
B. mandibular occlusal plane is parallel to the floor
C. maxillary occlusal plane at 45 degrees to the floor
D. mandibular occlusal plane at 45 degrees to the floor

9- An 11 - year - old teen presents with a Class ll skeletal malocclusion due to a

retruded mandible. Which of the following appliances can be useful for
enhancing mandibular growth in this patient?

✅✅
A. a head gear
B. a functional appliance
C. a protraction face mask
D. fixed orthodontic appliances

10- A 27 - year - old woman came to the Emergency Clinic suffering from severe
pain related to recently placed restoration. Upon examination, the restoration
was high and the tooth tested was vital. Which of the following is the diagnostic
sign of occlusal trauma?
A. fremitus of anterior teeth

✅✅
B. angular bone loss on the affected tooth
C. increasing mobility of the affected tooth
D. periodontal abscess on the affected tooth

11- A 36 - year - old man is complaining of pain while chewing related to an an

upper left premolar. The clinical examination revealed normal probing depths
around all of his teeth, except for a 7 mm pocket in the distobuccal area of ​tooth
# 25. The radiograph shows a vertical bony defect distal to the same tooth.
What is the most likely diagnosis for tooth # 25?

✅✅
A. occlusal trauma
B. vertical root fracture
C. generalized gingivitis
D. localized stage IV periodontitis

12- A 34 - year - old man, medically fit, came for replacement of missing upper
right central incisor with an implant supported crown. Clinical evaluation was
done for the implant site followed by radiographic evaluation including Cone
beam Computerized Tomography, also upper and lower primary impressions
were taken for fabrication of diagnostic casts mounted on a semi adjustable
articulator. Which of the following is an essential missing investigation?
A. complete blood count
B. magnetic resonance imaging

✅✅
C. use of a fully adjustable articulator
D. diagnostic waxing and surgical template
13- A dentist is planning to restore a missing maxillary lateral incisor with implant
- supported crown. He has confirmed the availability of the vertical and mesio -
distal spaces for the implant and crown placement. He now proceeds to quantify
the ridge profile / bucco - lingual width of the bones for the placement of implant.
Which of the following methods can relatively better quantify the bucco - lingual
width of the bone?

✅✅
A. palpation
B. ridge mapping
C. visual assessment
D. intraoral radiograph
14- A hygienist is performing a scaling and root planing procedure. She is using
her non - working hand (see image). Which of the following is the role of the
index finger in the non - working - hand?
A. hemostasis
B. lip retraction
C. Light reflection
D. catching the calculus

✅✅‫**ﺗﻌﺘﻤﺪ ع اﻟﺼﻮرة‬
15- Which type of retainer is given to retain a tooth in its position which has been
relived from a crossbite?
A. essix retainer Prevent

✅✅
B. fixed retainer
C. Hawley retainer
D. no need of retainer

16- When an adult knowingly permits a child to endure pain or suffering or fails to
provide the basic needs for proper development Which of the following types of
abuse is described in this situation?

✅✅
A. sexual
B. neglect
C. physical
D. emotional
17- Which of the following is the most striking clinical feature of gingival

✅✅
inflammation during pregnancy?
A. gingival swelling
B. gingival recession
C. periodontal attachment loss
D. pronounced ease of bleeding

18- A patient who recently started wearing a complete maxillary. denture

complains of a burning sensation in the palatal area of ​his mouth. His dentist
used Pressure Indicator Paste to look for areas with excessive pressure. Which
of the following areas are more likely to cause the burring sensation if it exposed
to excessive pressure?
A. rugae
B. hamular notch

✅✅
C. palatal mucosa
D. incisive foramen

✳✳19. A 6 - year - old boy referred from his pediatrician for dental check - up.
History and clinical examination revealed liver failure and will undergo liver
transplant, plaque accumulation and early enamel lesions on several primary
teeth. Which of the following would be the advice regarding topical fluorides for
this boy?
A to apply 22.6% fluoride varnish every 3 months
B. to apply 22.6% fluoride varnish every 6 months
C. to apply 22.6% fluoride varnish every 12 months
D. topical fluorides are contra - indicated in this case

20. Which of the following events will happen if heavy occlusal forces cause
pressure several enough to force the root against the bone?
A. bone deposition
B. vascular changes

✅✅
C. widening of the periodontal ligament (PDL) Space
D. necrosis of the periodontal ligament and bone resorption

21- Which of the followging is an indirect sequelae of wearing complete

dentures?
A. altered taste sensation
B. ridge resorption

✅✅✅
C. buring mouth syndrome
D. masticatory muscles atrophy
22- A 40 - year - old man walks to the Dental Clinic in preparation for orthodontic
therapy. The dentist takes full mouth X - rays and performs is clinical
examination. Which of the following findings needs to be addressed before

✅✅
starting orthodontic treatment?
A. Calculus deposits and gingivitis
B. a temporary crown on tooth # 36
C. a temporary restoration on tooth # 45
D. a root canal filling that is 1 mm short in an asymptomatic tooth # 36

23- A 24 - year - old man came to the clinic and stated that he would like to have
his "overbite" corrected. Examination revealed a good facial profile class II molar
relationship with increased overjet, moderate overbite and a well-aligned lower
arch . The patient was referred to an orthodontist. Which of the following would
be the optimal recommended treatment?
A. cervical headgear
B. maxillary protraction facemask

✅✅
C. mandibular advancement surgery
D. extraction of upper first premolars
24- Which of the following periodontal pathogens is suppressed after systemic
metronidazole and amoxicillin, in combination with scaling and root planing?
A. P. gingivalis
B. F. nucleatum

✅✅
C. P. intermedia
D A. actinomycetemcomitans

✳✳25- A 39 - year - old man presented to the Dental Clinic with a pocemaker
He was complaining of an increase in the size of his gums. The patient had good
oral hygiene and required treatment of fibrous gingival enlargement Which of the
following is considered the safest treatment option?
A. apically laser gingivectomy
B gingivectomy by electrosurgery
C conventional surgical gingivectomy
D. scaling & root planing by ultrasonic scalar

26- Which of the following would be the most common extraction pattern for a
camouflage treatment for an adult class III patient with no crowding?

✅✅
A. extraction of upper 4s
B- extraction of lower 4s
C expansion in both arches
D. extraction of upper 4s and expansion in lower arch

27- Which of the following is considered the most cost - effective and reliable

✅✅
method of reducing the incidence of caries in the general population?
A. fluoridated water
B. fluoride varnishes
C. fluoridated toothpastes
D. dietary fluoride supplements
28- Which of the following is the most common side for infection to spread
around the primary molars the radiographic examination?
A. buccal bone
B. lingual bone

✅✅
C. periapical bone
D. periradicular bone

29- which of the following is the probing depth of a clinically healthy gingival
sulcus?

✅✅
A. 0 mm
B. 1-3 mm
C. 3-5 mm
D. 5 mm

✳✳30 - A 45 - year old healthy woman presented to the clinic complaining of

bleeding on brushing. Clinical examination revealed generalized probing depths
that ranged from 5-7mm, generalized bleeding on probing, horizontal 40% bone
loss, this tissue phenotype. Which of the following is the most likely treatment of
choice?
A. polish then revaluate after 4-6 weeks
B. graft the sites with connective tissue graft
C. scaling and root planing then revaluate after 4-6 weeks
D. do not do any treatment as it should induce gingival rescission

31- When a frenectomy be performed when a maxillary central diastema is

closed?
A. after retainer use for six months
B. after orthodontic tooth movement

✅✅
C before orthodontic tooth movement
D. during treatment after space closure

32- Which of the following is an indication for using Sodium bicarbonate air
polishing?
A. caries removal
B. enamel remineralization

✅✅
C. subgingival calculus removal
D. supragingival plaque removal

33- At what stage of necrotizing ulcerative gingival disease, necrosis extending to

the marginal gingiva will be present?
A. stage 1

✅✅
B. stage 2
C. stage 3
D. stage 4
34. Which of the following relationships is diagnosed clinically as CLI molar
relationship?
A. the mesiobuccal cups of the upper molar occludes with the mesiobuccal cups
of the lower molar

✅✅
B. the mesiobuccal cups of the upper molar occludes with the (mesiobuccal
groove of the lower molar
C. the mesiobuccal cups of the upper molar occludes with the distobuccal cups
of the lower molar
D. the mesiobuccal cups of the upper molar occludes with the distobuccal groove
of the lower molar

35- A dentist plans to provide implant - supported fixed complete denture

following 2 - stage surgical protocol. To start with 4 implant were surgically
placed in the inter - foramina region of the edentulous mandibular arch. Before
suturing the flap, the implants openings were closed with small metallic
components supplied as part of the implant packet. The implants and the
components were allowed to remain buried under the gum until their exposure at
the second surgical stage. Which of the following could be these metal
components?

✅✅
A healing cuff
B cover screws
C. abutment screws
D. healing abutment
36. Which of the following pathologies can cause malocclusion by loss of space?
A gingivitis

✅✅
B. cervical caries
C. proximal caries
D. hypercementasis

37- A 24 - year - old woman came to the Dental Clinic complaining from a mass
in the maxilla. The patient is pregnant in her 28 week and the mass started to
appear in 2 months before her visit but kept increasing in size until it is
uncomfortable. A radiograph was taken for the size of the mass (see image).
Which of the following is the most likely diagnosis of this lesion?
A. gingival abscess
B. pregnancy tumer✳✳
C. carcinoma in situ
D. lateral periodontal cyst.

**Xray not clear

38- Which of the following is the most likely order for hypodontia to occur?
A. second premolars maxillary lateral incisors - third molars
B. maxillary central incisors -maxillary third molars - second premolars
 ✅✅
C. second premolars - maxillary lateral incisors - mandibular central incisors
D third molars - second premolars and maxillary lateral incisors - all others

39. Which of the following stages of gingival inflammation develops about 1 week
after the beginning of dental plaque accumulation?

✅✅
A. stage l: initial lesion
B stage II: early lesion
C. stage III: established lesion
D. stage IV: advanced lesion
40 - A 25 - year - old woman complains of deposits on her teeth, Examination
revealed yellowish colored soft deposits which could not be easly dislodged with
a water spray. Which of the following best describes the patient's complaint?

✅✅
A. pellicle
B. plaque
C. calculus
D. materia alba
41- An 8 - year - old man presented with a history of auricular pain. He was also
complaining of reduced masticatory efficiency and altered pronunciation of some
letters. He received his new complete depture 2 months ago. On extra - oral
examination, (several wrinkles were seen near the corner of his mouth with slight
seepage of saliva at this area. Reduced facial muscle tone was also detected.
Which of the following is the most probable error in the new denture design?

✅✅
A. unbalanced occlusion
B. reduced vertical dimension of occlusion
C. Increased vertical dimension of occlusion
D. disharmony between centric relation and centric occlusion

42. An 18 - year - old man is complaining of pain in his mouth for 2 days.
Medically he has a fever, accompanied by lymphadenopathy and malaise. He is
also noticing a foul odor from his mouth. Radiographs taken show normal bone
levels. He is currently going through his final examination week. (see image).
What is the first clinical step in managing this patient's condition?
A. superficial scaling
B. periodontal probing

✅✅
C. root surface debridement
D. removal of pseudomembrane
43- A 32 - year - old man received anterior ceramic crowns in the maxillary arch,
then started to notice recession of the longer appearance of the crowns. Clinical
examination confirms presence of gingival recessions (see image). Which of the
following is the most probable etiology of the gingival recession that occurred?
A occlusal trauma
B. biologic width invasion
C. over-contoured crowns
D. excessive use of toothbrush

✅✅
**b or c
‫ﯾﻌﺘﻤﺪ ﻋﻠﻰ اﻟﺼﻮرة ﻟﻮ ﻣﺎﻓﻲ زﯾﺎده ﻓﻲ اﻟﻜﺮاون‬

44- During the processing of the heat - cured acrylic resin denture base, scene
discrepancies are hard to be avoided. Although these discrepancies are related
to materials used for the technique of processing. a certain step could be used
to minimize or even remove such discrepancies. Which of the following is this
step called?

✅✅
A. clinical remounting
B. laboratory remounting
C. intra - oral selective grinding
D. articulator - generated amalgam stops
45- Which measurements of the following cephalometric helps to determine the
anteroposterior position of the mandible relative to the cranial base?

✅✅
A. SNA
B. SNB
C. ANB
D. MMP

46- Which of the following is a good landmark for the anteroposterior positioning
of the anterior maxillary teeth in a complete denture?
A. Palatal rugae

✅✅
B. residual ridge
C. Incisive papilla
D. incisal foramen

✳✳47- The dentist plans to perform deep hand scaling for his advanced
periodontitis patient? Which molar root configuration will pose more difficulty
during periodontal treatment?
A. divergent roots with long root trunk
B. divergent roots with short root trunk
C. Convergent roots with long root trunk
D. convergent roots with short root trunk

48 - A 45 - year - old smoker patient presented to the Dental Clinic seeking

replacement of missing teeth with dental implants. The patient is healthy and
has no underlying active dental or periodontal disease. His oral hygiene is
acceptable, the plaque index was 12% and the bleeding on probing was very
minimal; less than 6%. The patient is smoking 1 to 2 packs daily for the last 8
years. Which of the following should be considered prior to the placement of
dental implants?
A. Regenerative procedure is very predictable in smoker

✅✅
B. smoking has no negative impact on the long - term outcomes
C. cessation of smoking should be recommended before implants
D. healing of dental implants in smoker patient is faster than non smokers

49 - A 50 - year - old man was diagnosed with generalized periodontitis. The

loss of papilla between his teeth has created significant spaces. The patient is
complaining of food accumulation between his teeth. Which of the following is
the most effective interdental cleaning and for this patient?
A. superfloss

✅✅
B. dental floss
C. interdental brush
D. regular tooth brush

50- After attempting a pulpotomy procedure in a primary molar the bleeding

continued. Which of the following is the probable cause?
A. necrotic pulp

✅✅
B. coronal pulpal inflammation
C. Radicular pulpal inflammation
D. intra - canal abscess formation
51- A patient reported waking up with muscular pain around the TMJ area. Her
posterior teeth show signs of wear however, she is unaware of any

✅✅
parafunctional activities. Which of the following is the most probable diagnosis?
A. bruxism
B. clenching
C muscular spasm
D. TMJ disc displacement

52 - A 43 - year old healthy man presented to the clinic complaining of dull pain
in relation to a left right tooth. The pain started 2 days ago and the pain severity
is increasing. Clinical examination revealed generalized bleeding on probing,
generalized 2-3mm probing depths with localized probing depth 7mm on tooth
#25 buccal side, tooth #25 was previously treated with root canal treatment, cast
post and crown (see report). Radiographic interpretation: Revealed 10%
horizontal bone loss. Which of the following is the most likely treatment of
choice?
A extraction of tooth # 25✳✳
B. scaling and root planing every 6 months
C change the crown on # 25 and redo the root canal treatment
D. inject chlorohexidine mouth wash in deep pockets to reduce the inflammation

53. Which of the following are the predominant immune cells in stage 1 of

✅✅
gingivitis "initial lesion"?
A. neutrophils
B. plasma cells
C. lymphocytes
D. macrophages

54 - A healthy 6 - year - old boy presents with redness and swelling behind
second deciduous molar. Which of the following is the most likely diagnosis?
A. abscess

✅✅
B. viral fever
C. eruption cyst
D. developmental cyst
55 - A 55 - year - old woman with type Il diabetes presented to the clinic
complaining of bleeding gums. Clinical examination revealed generalized
probing depth 7-9 mm, generalized bleeding on horizontal bone loss 50%.
HbA1c 8.5%. Which of the following is the most likely treatment of choice?

✅✅
A. full mouth clearance then consider implant therapy
B. refer the patient to the physician to control the diabetes
C. use doxycycline to reduce the effect of the diabetes of the periodontal tissues
D. give the patient insulin injection then Open flap debridement to reduce the
pockets

56- The dentist plans to perform deep hand scaling for his advanced periodontitis
patient. Which of the following teeth - roots will pose more difficulty for the
dentist?
A. roots of mandibular canines
B. roots of maxillary 1st premolars

✅✅
C. roots of mandibular 2 nd premolars
D. disto - buccal root of maxillary 1st molars

57- An 8 - year - old boy is brought to the Dental Clinic with a traumatized
maxillary central incisor 9 months after a traumatic injury. Upon clinical and
radiographic examinations, the pulp was found to be non-vital with no periapical

✅✅
lesion. Which of the following will be the best management?
A. root canal apexification treatment
B. conventional root canal treatment
C, calcium hydroxide direct pulp treatment
D. calcium hydroxide indirect pulp treatment

58 - A 54 - year old healthy man had 2 implants placed in the lower right
quadrant 4 months ago. During the second stage procedure, the distal implant
displayed 4-5 mm crestal bone loss and exhibited significant mobility. The
mesial implant was within normal limits Which of the following is the most likely
reason for such bone loss?

✅✅
A. allergic reaction
B. excessive surgical trauma
C. the patient's medical condition
D. healing abutment was not installed

59. Which of the following periodontal disease or conditions is non painful?

✅✅
A. necrotizing gingivitis
B. reticular lichen planus .
C. necrotizing periodontitis
D. primary herpetic gingivostomatitis

60- Which of the following anatomical periodontal structures contributes the most
to tooth mobility on intact periodontium
A. gingiva
B. cementum

✅✅
C. alveolar bone
D. periodontal ligament

✳✳61 - A 45 - year - old man is complaining of bleeding from his gums when
brushing. Medically he is healthy and taking no medications. The clinical
examination reveated gingiva that is edematous, erythematous, and there was
bleeding on probing involving all of his teeth. attachment loss was generally
between 5 to 6 mm (see report). Bitewing radiographs: showed horizontal bene
loss. All teeth seem treatable. Which of the following is the most likely
diagnosis?
A. generalized stage I periodontitis grade
B. generalized stage Il periodontitis grade A
C. Generalized stage III periodontitis grade A
D. generalized stage IV periodontitis grade A

🌑
** when they ask you about stage you should know 2 things ( cal”attachment
loss” | RBL”radiographic bone loss)

•stage 1 : mild cal 1-2 , RBL <15%

•stage 2: moderate cal 3-4, RBL coronal third loss

•stage 3: sever cal >=5 , RBL till middle third loss

•stage 4: very sever cal>5 , RBL till apical third loss

🌕when ask you about grade , they mean percentage % of bone loss /pt age , in
the Q he will mention age of pt , if the result :

•Grade A : result <0.5 slow bone loss

•Grade B : result 0.5-1 moderate

•Grade C : result >1 rapid

🌻 ‫ ﻓﻲ أﺷﯿﺎء ﺑﺘﺄﺛﺮ ﻓﻲ ﺳﺮﻋﺔ ﻓﻘﺪان اﻟﻌﻀﻢ‬bone loss

‫ زي‬smocking and diabetes

🍀last thing how we evaluate the periodontitis :

•stable pocket depth <4 healthy, Bleeding on probing <10%

•in progress pocket depth <4 healthy, Bleeding on probing >10%

•unstable pocket depth >4 unhealthy , Bleeding on probing >10%

‫ﻧﺠﻲ ﻟﻜﯿﻒ ﺑﯿﻄﺮح اﻟﺴﺆال راح اﺟﯿﺒﻠﻜﻢ ﺳﺆال ﺟﺎﻧﻲ ﺑﺎﻻﺧﺘﺒﺎر‬:

12y pt have attachment loss 3-4 and 30% bone loss ?
stage ll grade c
‫ ﻟﯿﺶ ﻗﻠﻨﺎ‬grade c
‫ ﺑﻨﻘﺴﻢ ال‬bone loss ‫ ﯾﻌﻨﻲ‬١ ‫ ﯾﻌﻨﻲ اﻛﺜﺮ ﻣﻦ‬2.5 ‫ ﻋﻠﻰ ﻋﻤﺮ اﻟﻤﺮﯾﺾ وﻧﺸﻮف ﻃﻠﻊ‬rapid bone loss
stage c

——
62- A 55 - year - old woman presented to the clinic after a scaling and root
planing visit done 2 days ago. Clinical examination showed generalized ulcers
on the gingival margin, bleeding on probing, excellent oral hygiene. Which of the

✅✅
following is the most likely treatment of choice?
A reassure the patient
B. apply topical antibiotics at infected sites
C. do another round of scaling and root planing
D. apply topical steroids to reduce the inflammation

63- A 45 - year - old man presented to the Dental Clinical complaining of

generalized gingival pain. Clinical examination revealed generalized upper and
lower ulcers on the gingiva, supra and subgingival plaque deposits. Body
temperature 39 ° C Which of the following is the most likely treatment of choice?
A. scaling and root planing then see the patient after one week
B. scaling and root planing and prescribing Chlorohexidine mouth wash o
C. prescribing Chlorohexidine mouth wash for two weeks then see the patient
after 2 weeks

✅✅
D. Scaling and root planing and Prescribing a combination of Amoxicillin +
metronidazole antibodies

64 - A 65 - year - old man presented to the clinic complaining of fever and pain
after a scaling and root planing visit done 2 days ago. Clinical examination
showed localized swelling in relation to tooth # 15 with pus, discharge bleeding
on probing, excellent oral hygiene. Which of the following is the most likely
treatment of choice?
A. apply topical antibiotics at infected sites
B. do another round of scaling and root planing

✅✅
C apply topical anaesthesia to and assure the patient
D. scaling and root planing + prescribe systemic Amoxicillin antibiotics

65- Which of the following is the indication for a denture reline?

A. poor aesthetic
B. unsatisfactory jaw relationship

✅✅
C. collapsed vertical dimension of occlusion
D. moderate resorption of the alveolar ridge

66- Which of the following is the absolute diagnostic criterion for lack of

✅✅
osseointegration of an implant?
A. mobility
B. pocket formation
C. bleeding on probing
D. radiographic marginal bone loss
67- Which bone quality would be considered the highest anatomical risk factor for
long - term implant placement?
A. Type I
B. type II

✅✅
C type III
D. type IV

68- Which of the following is the main advantage of recording centric relation in
complete dentures?
A dependent on teeth contacts

✅✅
B. easy to master and learn by dentist
C. repeatable and reproducible position
D. fastest record to take in order to save time

69- There are clinical instances in which simultaneous bone resorption is

increased along the mesial surfaces of teeth, and new bone is formed along the
distal surfaces of the same teeth. Which of the following is an example for such
instances?

✅✅
A. orthodontic tooth extrusion
B. physiologic mesial migration
C. orthodontic widening of diastema
D. tooth in infra occlusion due to root ankylosis
70 - A 44 - year - old woman presented to the Dental Clinic, She is a known case
of hypertension and she is taking Nifedipine. Clinical examination revealed that
she has generalized drug - gingival enlargement. Which of the following is the
best substitute medication that has no influence on gingival enlargement in this
case?
A. Cardizem
B. feladipine

✅✅
C. verapsmil
D. isradipidine
71- Which of the following conditions presents with white striations as a striking
clinical feature?

✅✅
A. linear gingival erythema
B. reticular form of lichen planus
C. pseudomembranous candidosis
D. human papilloma viral infection

72. Which of the following periodontal instruments can be seen in the attached
image (see image)?
A. UNC - 15

✅✅
B. WHO probe
C. Nabers probe
D. old - dominion explorer
73- A 27-year-old woman attended for prosthetic treatment phase of surgically
placed dental implant # 21. Distal interdental papilla was lost following extraction
of tooth # 21. Which of the following is the ideal distance (in mm) between distal

✅✅
interproximal contact area and bone crest for papilla regrowth?
A. less than 5
B. less than 6
C. less than 7
D. less than 8

✳✳74 - A patient came to The clinic complaining from cracking sound in the
arthral area after few days of trauma. Which of the following is the most likely
diagnosis?
A. articular capsule bleeding
B. condyle ligaments trauma ✳✳
C. mandibular condyle fracture
D. intra - articular disc dislocation

75- A 45 year old patient referred to the clinic following the extraction of a non
restorable tooth # 36. Bone graft was packed and membrane was sutured in the
area to preserve the alveolar bone width Which of the following treatment

✅✅
modalities describes the procedures in the photos (see images)?
A. socket preservation
B. osseous reconstruction
C. soft tissue augmentation
D. guided tissue regeneration

‫** اﻟﺼﻮرة ﻣﻮ واﺿﺤﻪ‬

✅✅
‫ ﺑﻨﺨﺘﺎر‬A ‫ ﻋﺸﺎن ﻣﺶ ﯾﺤﺼﻞ‬resorption of bone

‫ودا ﺑﯿﻨﻄﺒﻖ ﻋﻠﻲ اول اﺧﺘﯿﺎر‬

‫ﻣﺶ اﻟﺒﺎﻗﻲ‬
‫ اﻟﺘﺎﻟﺖ واﻟﺮاﺑﻊ‬soft tissue
‫ اﻟﺘﺎﻧﻲ‬reconstruction
76- A 34 - year - old woman came to the Dental Clinic for dental checkup. The
patient has several overhanging margins of dental restorations. Which of the
following reasons overhanging margins of dental restorations should be
removed?

✅✅
A. to prevent accumulation of calculus
B. to allow better access to oral hygiene measures
C. because it is favoring the growth of gram -ve bacteria
D. because it is favoring the growth of gram + ve bacteria

77- Which of the following impression materials is the most suitable for final

✅✅
impressions of implant positions?
A. addition silicone
B. polysulfide polymer
C. reversible hydrocolloid
D. irreversible hydrocolloid

78. Which of the following factors should be considered before decixilling to

reline an existing complete denture?
A. improper occlusal plane

✅✅
B. the presence of short flanges
C. poor fitting of existing denture
D. the presence of abused tissue

79- Which of the following is measured from the gingival margin to the base of

✅✅
the periodonts pocket, during the periodontal examination?
A. pocket depth
B. clinical attachment level
C. amount of attached gingiva
D. amount of the gingival recession

80 - A 42 - year - old healthy man presented to the Dental Clinic for a second
opinion about the best treatment options of endodontically treated tooth # 36 .
Clinically, there is a 7 mm pocket mesial to the tooth (see report) Radiograph:
There is a large post in the mesial root which is not confined to the root canal
area. Vertical bone loss was noticed as well. Which of the following is most

✅✅
likely the reason for this endo - perio lesion?
A. root canal perforation
B. presence of accessory canal
C. presence of mesial root concavity
D. physical injury by the rubber dam

✳✳81- Which of the following is contraindicated in patients with sickle cell

disease?
A. aspirin✳
B. acetaminophen
C nitrous oxide / oxygen sedation
D. local anesthesia with vasoconstrictor✳
82 Which of the following is the function of the instrument while selecting bands
for space maintainers (see image)?
A. initially to push the band by the dentist✅✅
B. at the end for final positioning of the band by dentist
C initially to push the band by asking the patient to bite on it
D. at the end for final positioning of the band by asking the patient to bite on it

83. In which of the following conditions of a patient, the option of removable

✅✅✅
complete overdenture is most commonly chosen by dentist?
A. hypodontia
B. generalized tooth - surface loss
C. radiotherapy induced xerostomia
D. history of persistent exaggerated gag reflex

84. Which of the following is a tissue borne maxill expansionary appliance?

✅✅
A. quad helix
B. Haas expander
C. hyrax expander

D. bonded expander

85. Which of the following is the classification if you test a tooth for mobility and it
is positive for a range of about 1.5 mm in a buccolingual direction ?

✅✅
A. grade I
B. grade II
C. Grade III

D. physiologic

86. Which of the following explains why do flowable resins are more preferred
over package resins preventive resin restorations?
A. Price is cheaper
B. Technique sensitivity is less

✅✅
C. Time consumption is reduced
D. Micro leakage produced is less

87- A 27 - year - old man presented to the Dental Clinic complaining of pain
related to lower left area. Upon examination, an inflamed fluctuant swelling
covering partially impacted mandibular left third molar was noticed (see image
and report). Periapical radiograph: Shows that the tooth is in a good position,
Initial treatment was performed to resolve the acute condition Which of the
following will be the appropriate management anter resolution of the acute

✅✅
symptoms?
A. operculectomy
B. apically positioned flap
C. extraction of the involved tooth
D. extraction of the opposing tooth.
88- Which of the following is measured by a periodontal probe?
A crestal bone level

✅✅
B. depth of root canal orifice
C periodontal sulcus or pocket
D. amount of purulent exudates

89. What advice should be given to the patient by the clinician regarding storage
of his new prosthesis?

✅✅
A patients are advised to store dentures in tepid water when out of the mouth

B patients should be advised to store denture in cold water when not in use
C patients should be advised to keep the dentures in dry and cold conditions
when not in use
D. patients should be advised to keep the dentures in dry and hot conditions
when not in use.

90- Which of the following is the basic types of curette?

A. Langer and Gracey
B. Gracey and Columbia

✅✅
C. Mini Fives and After Fives
D. Universal and Area specific
91- Which of the following is the most common missing tooth in the permanent
dentition after third molars?
A. maxillary first premolar
B. maxillary lateral incisors ✳
C. mandibular first premolar
D. mandibular second premolar✳

92. a periodontist is performing a radiographic examination for a patient. He is

looking at an axial view for a cone - beam radiograph of the mandibular second
molar (see image). Which of the following types of bony defects is seen distal to
the tooth?
A. one - wall defect
B. two - wall defect
C. three - wall defect
D. four - wall defect

depend on the photo

93- A 35 - year - old woman attended her first maintenance visit 3 months after
completing active periodontal therapy. She presented with generalized bleeding

🔁
on probing and localized 5 mm pockets. Which of the following should the
dentist do aside from reinforcing oral hygiene measures? ✳
A. full mouth polishing
B. full mouth deep scaling
C. deep scaling of bleeding sites and polishing of deepened sites
D. polishing of bleeding sites and deep scaling of deepened sites

94- As the dentist is examining a patient's existing mandibular complete denture,

it was noticed the denture extends posteriorly to cover one third of the retromolar
pad. Which of the following statements describes the dentist evaluation of the
posterior denture extension?
A. it is under - extended, as it should cover the whole retromolar pad
B. it is overextended, as it should not cover the retromolar pad

✅✅
C. it is properly extended and covers the required portion of the pad
D. it is under - extended, as it should rover two thirds of the retromolar pad

95- A 43 - year - old woman walks into the clinic complaining of inflamed gums
and bleeding when brushing and flossing Distal of tooth # 25 is probing 6 mm.
Bitewing was taken (see image) Which of the following local factors is mostly
responsible for the vertical bone loss on tooth # 25?
A. secondary caries on tooth # 24
B. old amalgam restoration on tooth # 26

✅✅
C. open margin of the crown on tooth # 25
D. open contact between teeth distal to both #25
96- A 30 - year - old woman is complaining of pain and bleeding associated to
her maxillary lateral incisor. Her medical history is insignificant. Clinically her
probing depths ranged from 1 - 3 mm, except for the palatal of tooth # 12, which
was probing 10 mm (see image). What is the most likely cause of the deep
pocketing?
A. localized gingivitis at tooth # 12

✅✅
B. roet proximity of teeth # 12,11
C. Palatogingival groove at tooth #12
D. necrotizing periodontitis at tooth #12
97 - A 35 - year - old man with high fever presented to the Dental Clinic
complaining of painful gingival infection. Upon thorough examination, he was
diagnosed to have Necrotizing Ulcerative Gingivitis (NUG). Which of the
following will be the appropriate management in the first visit?

✅✅
A. deep scaling and gingival curettage
B. supragingival scaling and antibiotics prescription
C. open flap debridement and antibiotics prescription
D. oral hygiene instructions and mouth wash prescription

98- Which of the following is the appropriate angulation for subgingival insertion

✅✅
of a bladed instrument (eg curette)?
A. 0
B. 30
C. 45
D. 90

99. Which of the following is a characteristic of chronic forms of plaque induced

gingivitis?
A. Vesicle formation

✅✅
B. gingival sloughing
C. firm and leathery gingival consistency
D. diffuse puffiness and softening of the gingiva
100- A few days after starting orthodontic treatment, an adult patient came to
clinic with a chief complaint of pain, discomfort, and mouth sores, Examination
reveals protruding arch wire and several areas of ulceration of the cheeks, lips

✅✅
and tongue Which of the following is the best treatment at this stage?
A clip the wire
B. prescribing a pain killer
C. cover the wire with relief wax
D. use pencil eraser to push the wire

Dr.Afnan
‫اذﻛﺮوﻧﻲ ﺑﺪﻋﻮة‬