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2020 Mcqs Instrumentation
2020 Mcqs Instrumentation
Instrumentation
1. Step back or backfilling means; To instrument the root canal to the full length predetermined
working length. (standardized)
A. True
B. False
3. A central incisor diagnostic (pre operative) radiograph image measures 25mm from the incisal
edge to the root apex. The estimated (initial) working length is :
A. 21mm
B. 25mm
C. 23mm
D. 27mm
6. You started instrumenting the root canal until you reached the master apical file size #30 K, a
series of files are used after the MAF with 1mm short of each other. The technique is called:
A. Recapitulation
B. Step-back
C. Tug-back
D. None of the above
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10. For adequate cleaning & shaping while minimizing the loss of root strength, an orifice diameter
can generally be maintained between:
A. 0.2 -0.4
B. 0.5 -0.7
C. 0.9-1.1
D. 1.2-1.4
[(.35-.30)/.30]100=16%
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B. 62
C. .62
23. One of the cleaning and shaping technique: rotate file inside the canal quarter turn clockwise
and then counterclockwise for more than 180 is : 180-270
A. Crown down
B. Anticurvature
C. Balanced force technique
D. None of the above
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Wein introduced stepback flared preparation to eliminate production of hourglass appearance, by selective
removing of tooth structure the outer part using rasping motion.
Disadvantage of this technique is stripping perforation
28. Diameter of no 2 GG .!
A. .7 mm
35. Removal of apical dentinal debris from the apical part is called:
A- Recapitulation.
B- Flaring
C- Funneling
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41. Paque and Peters reported that SAF showed more complete preparation of long canals in
mandibular molars compared to rotary instruments. These types of root canals had been
chosen bec:
A. They are easier to compare results of mechanical preparation techniques
B. They are accessible for shaping for all techniques
C. They are v difficult to shape in all dimensions
D. They are associated with high incidence of files fractures
42. Adorno et al have investigated a very interesting hot topic in endodontics. The initiation of
cracks on the apical root surface by different NiTi rotary files and have found that
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A. The 3 tested files have all caused cracks at the apical root end
B. K3 files have caused significantly more cracks compared to the other 2 files
C. Only when the apical sizes larger than 40 caused significant cracks
D. When instrumentation was done with irrigation there was less cracks
43. According to dr. S Buchanon, during initial canal negotiation, file stop short of the apex most
probably because of :
A. Calcification
B. Ledge formation
C. Sudden change in canals direction
D. Transportation
44. For management of canal impediment, the canal should be flooded with irrigant &
instrumentation to the level of impediment should be accomplished using:
A. Balanced force instrumentation
B. End cutting hand files in a crown down
C. GG drill in brushing motion
D. Safe tip NiTi rotary files
45. For management of ledge, a small size prebent NiTi (GT) hand file used, Degree of pre-bending
is:
A. 45
B. 90
C. 135
D. 180
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52. You have trimmed 2 mm of iso standard #35 0.04 taper and inserted the file in apical region
your apical prep:
A. 0.35 mm
B. 0.43 mm
C. 0.37 mm
D. 0.39 mm
53. In a case of symptomatic unhealed previous RCT where there is unrepairable ledge detected
together with proximity to vital anatomic structure txt is
A. Extraction
B. FU
C. Non- surgical retxt followed by surgical
D. Surgical retxt
57. pre curving of files prior to inert into R.C, is/are for:
A. 35 file or over
B. even in slightly curved canals
C. check of broken instruments
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D. a and c
E. b&c
59. You have started RCT for the maxillary 1st molar and the patient was given another
appointment to complete the treatment. Next time he presented with pain to percussion .this is
due to :
• Overinstrumentation
• Overfilling
60. The "TUGBACK" of the master gutta percha cone refers to:
• The tensile strength of the gutta percha cone
• The retention of the cone in the apical portion of the canal
• The retention of the cone in the coronal half of the canal
• None of the above
63. Marinho 2015 (Does the Reciproc file remove root canal bacteria and endotoxins as effectively
as multifile rotary systems?). What are the other systems he compared Reciproc with:
a. Hand files
b. Profile, Prosystem, K3
64. Leal Silva 2015 (Quantitative Transportation Assessment in Simulated Curved Canals
Prepared with an Adaptive Movement System)
c. The TF in rotary motion produced overall less canal transportation in the curved
portion when compared with the others tested systems. MTWO, ProTaper Universal
, FKG Race
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65. Bleeding is detected in the paper point, this will indicate: perforation
experimentally the relationship between cross-sectional area and flexibility by comparing five
popular brands of rotary NiTi instruments (FlexMaster, Hero 642, K3, ProFile, and RaCe). They
reported that the ProFile and RaCe instruments were most flexible . (Schäfer et al 2003)
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76. Root canal should be cleaned, shaped, and obturated to the constriction for each of the
following reasons except:
a. The constriction is the narrowest diameter of the canal.
b. Lateral and accessory canals are common in the apical 1 to 2 mm of the canal.
c. The clinician can easily identify the constriction.
d. Obturating materials are maintained within the root canal system.
80. One of the most important factor in the amount of torque generating during root canal
prepartion is:
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86. largest S.S file to be used without doing any type of ledge
A. 15
B. 20
C. 25
D. 30
88. One of the most important criteria in evaluation of cleaning and shaping of the canal:
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Protaper Next.
Reciproc.
91. Which of the following is not one of the biological function of irrigant:
5ml/ minute
Several studies demonstrated more centered preparations in teeth with curved root canals shaped with a
modified double-flare technique and Flex-R files compared to shapes prepared with K-files and step-back
technique.434,433
A double-flare technique was also suggested for ProFile rotary instruments.4
94. Emirsion of NiTi instrument over night leads to:
95. 1st system and only one that not follow sequence order:
a-profile /
b-single file /
c-Race
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106. Helical angle→between the cutting edge and instrument long axis.
107. which file design have more cyclic fatigue in curve canal
A. Triangular cross section
B. Square cross section
109. : PA X-Ray , cleaning and shaping was done with protaper next , and “ matching “ MAC
was placed with in the canal ,, the MAC was short 3 -4 mm from the apex , what to do?
A. insert small file
B. use smaller MAC gutta percha
C. use EDTA
110. PA –xray ,, showing #46 seprated file “ looks 30 “04” rotary file “
A. And asking about the cause ?
B. something about ( gluide path )
C. greater taper
D. Over extended
112. XRay showed #47 near to the IAN 3 h after RCT he developed numbness lower lip ,What’s
the cause?
A. over-Instrumentation
B. periapical lesion pressure
C. extrusion of NaOCl
D. stike needle Injury by LA in the Nerve
113. Video that explain how file brake what he test for?
A. flexibility
B. cyclic fateqe
114. X-Ray with lower molar with curved canal , what instrumentation is preferable?
A. crown down
B. step back
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C. step down
D. standrized tech.
116. RG with broken file after Curve ( same as cyclic fatigue ) what is the cause of mishap
A. Use of glide path
B. Use of sequential file
C. Use of GT files
118. Which file is manufactured to be used in both continuous rotation and reciprocation:
A. TF adaptive
B. Reciproc_
C. Endosequence_
D. Wave one
119. What is the feature in file that is used for enhancing debris removal:
A. Neutral helical angle_
B. Positive helical angle_
C. Negative helical angle
D. Constant helical angle
120. Which is the property that is help in reducing the threading in of the file:
A. Neutral helical angle_
B. Positive helical angle_
C. Variable helical angle
D. Constant helical angle
121. File with 6% taper, size 20, what is the size in D4:
A. 0.44
B. 0.26
C. 0.32
D. 0.38
122. When preparing canal with ProTaper universal system, you create glide path with:
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123. Its recommended when rotary file reach working length withdrawn immediately to prevent
:!
1. transportation !
2. apical perforation !
3. separation!
Instrument fractures remain a concern, as does the tendency of continuously rotating instruments to thread or pull
into the canal, specifically as working length is approached.
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Experimentally the relationship between cross-sectional area and flexibility by comparing five
popular brands of rotary NiTi instruments (FlexMaster, Hero 642, K3, ProFile, and RaCe). They
reported that the ProFile and RaCe instruments were most flexible. (Schäfer et al 2003)
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C. k3
140. in severely curved canal , which wave one file should be used : !
A. 21/.06 small!
B.
142. regarding AAE/CAE recommendations on single use end instrument reuse should include
all except:
A- use disinfection and sterilze property
B- all files should be inspected for any defect
C- strive for the patient care
D- all endo files should be for single use
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146. The following diagram is taken from Yum et al report of performance of different rotary
files. The area underneath the curve represents:
A. toughness
B. elasticity
C. plasticity
D. Range of deformation
147. Among the terminologies for the physical properties, elastic deformation means:
A. The amount of deformation a file undergoes
B. Permanent bond displacement, which occurs when the elastic limit is exceeded
C. The point at which a deformed file breaks
D. The reversible deformation that doesn't exceed the elastic limit
148. Which of the following statements better describes the NiTi instruments torsional fracture?
A. Occurs when an instrument is bound & released by canal curvatures & irregularities
B. Occurs when the cyclic load leads to metal fatigue
C. Occurs when the instrument tip is locked in the canal while the instrument is still rotating
D. Working instrument with high torque is the principle cause of this type of fracture
149. In Niti alloys stress/strain curve the strain remains the same as the application of additional
stress reaches a specific level this is called:
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A. Loading platue
B. Maximum stress concentration
C. Stress recovery
D. Yield point (elastic limit)
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163. all are true about Marginal width = radial land on NiTi, except: (I can’t remember the
choices v well)
A. has positive & negative rake angles
B. can be constant or variable
C. can be full or recessed
D. project axially from the central axis to the cutting edges between flute
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Access cavity
168. While de-roofing of irreversible pulpitis pulp tissue haemorrhage can impair vision, what is
the irrigant of choice:
NaOCL.
169. The accurate radiograph to assess mesio-distal extension of the pulp chamber is:
Bitewing.
170. Regarding the position of canal orifices in access cavity of posterior teeth:
All orifices should be positioned entirely on the floor not extending into the axial wall.
175. ALLODYNIA:
Pain resulting from a non-noxious stimulus to normal
skin or mucosa
176. KUTTLER diameter with age (increase) with aging, diameter of AF:
a. increase AF in old and decrease in young
b. decrease AF in old and increase in young
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179. 6-Lara 2002 palatal groove common in the lateral incisor in which tooth surface:
A. DP or DL
B. DB
C. MB
D. MP
180. 8-Toms root ( اھم حاجه تعرف انو ھذا الشي صفة تطلق علىpalatogingival groove
)وممكن يجي في لور بريملور او ابر التیرل انسايسر.
A. c shaped
B. palatogingival groove
C. taurodontism
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