Questions of Pearson VUE

(April month)
1_circumferential supracrestal fiberotomy
Presented more in
_ intrusion upper second molar
_rotated upper central tooth
....
2_failing Implant due to
_sinus tract and deep pocket more than 4mm
_mobility of Implant and deep pocket more than 3 or 4 mm
_ radiolusency in x_ray around Implant and deep pocket more than 6mm

3_pt 25 year old came to our clinic complain from suddenly crowding of anterior teeth
_due to Eruption of lower 8s
_trauma
_late of mandibular growth
_maxilla.....

4_pt came to clinic complain from toothach in lower posterior teeth and dental abscess,
after examination shows unrestorable tooth and swelling in the lower jaw we decided
Incision and drain, where's doing incision exactly
_in most fluctuant area
_in most Prominence point
_depending on the swelling ‫ﻭﻻ ﺣﺎﺟﺔ ﻛﺪﺓ ﻣﺎﻣﺘﺬﻛﺮﺓ ﺷﺪﻳﺪ‬

5_pic (show abscess in upper Canine) pt complain from toothache

Pt hypertensive & Diabetes
What investigation can be doing
_sensibility test
_periodontal probe
_Radiograph

6_pic appears recession in lower central

Causes of recession
_trauma from occlusion due to interference with upper central (‫)ﺍﻟﻈﺎﻫﺮ ﻓﻲ ﺍﻟﺼﻮﺭﻩ ﺩﺍ‬
_Extrusion of tooth
_poor oral Hygiene
7_ space between Implant and natural tooth
_1.5
_2.5
_. 5
8_what consider not absolute contraindications for Extraction
_ leukemia pt
_hemophilia pt
_radiotherapy
_conjestive hear failure
9_Impacted Canine horizontal parallax
Opg+pA
Opg+occlusal
Periapical +occlusal
10_class 1 distal extention how to minimise force in abutment
_continuous relining
_distal rest
_adhering or adjustable with another tooth
_reliving in destal extension
11_pt have discoloration of primary and permanent tooth, hypersensitivity, multiple caries,
post erupted breakdown, high Enamel translucency
_........ Hypoplasia
_MIH) molar incisors hypo mineralization
_amelogenesis imperfecta
_dentinogenesis imperfecta

12_65y old he asked for denture, (upper complete in lower jaw just have anterior teeth,
severaly proclined anterior teeth and periodontal disease and Mobil teeth, we decided use
swing lock:
_hinge joint at labial bar and lingual plate
_fixed joint at labila bar and hinge at lingual plate
_hinge joint with labila bar and sublingual bar

13_25y old complain painful bleeding gum in interdental papilla and ulceration have
systematic complain fever, fatigue , after do Radiograph show crater shape in interdental
area
_ANUG
_ANUP
_ pt used interdental floss
14_dentist cemented a lithium disilicate ceramic crown on tooth #12 using a tooth colored
cement
6 months ago. A crack line was noticed on the labial surface of the crown during the recall
visit. Which of the following was likely used in this case, if the cause of the crack was
attributed to the cement?
A. Adhesive resin
B. Zinc phosphate
C. Zinc poly carboxylate
D. Resin modified glass ionomer
15_What is reducing agent of local anathesia
1.methylparaben
2.thymol
3.sodium metasulfide
4.felypressin
16_If pit take aspirin and extract tooth what we'll happen
Increase prothrombin
Prolong bleeding time
17_Horizontal crown and root # time for splint 4 week
18__wich stepes of R C T can use EDITA to remove smear layer
_Enitial stage
_During root _canalpreparation
_use before dressing Before obturation
19_Amount of HX in mouth wash
0.2
0.24
0.23
2.0
2.5
20_Question asking about managment of 5mm intrusion with closed apex
a- Orthodontic
b- leave and monitor
c- wait and monitor if it doesn't move then ortho
21_What causes shortening of (anterio-posterir) arch?
a- mesial tilting of canine after lateral incisor extraction
b- mesial tilting 1st premolar after canine ext
c- mesial tilting of 2nd premolar after 1st premolar ext
d- mesial tilting of 1st molar after 2nd premolar ext

22_Question about serial extraction what to extract after primary canine

a- 1st primary molar
b- 2nd primary molar
c- 1st permanent premolar
d- 2nd permanent premolar

** part 2 Qs

1/- patient referred to you for crown lengthening, 3mm crown length/ 3mm gingival
margin/ 3mm attached gingiva. The future crown will be 6mm from crown hight to the crest of
bone what will you do?
a- gingivectomy
b- apical positioning flap
c- gingivectomy with osseous contouring
d- apical positioning flap with osseous contouring

2/- patien with mild to moderate hemophilia who takes factor VIII medication at home, came
to you for extraction of badly decayed lower first molar. How will you manage?
a- treat the patient in specialized center.
b- extract with local hemostatic agent ( tranximic acid ) to reduce post operative bleeding.
c- give 50% factor VIII medication and proceed with extraction.
d- .............

4/- picture of female patient with gingivitis in the upper central incisors without loss of
attachment and had crowns in the same tooth few month ago. All of the following can be the
cause of gingivitis EXCEPT?
a- plaque
b- margins of the crown
c- traumatic preparation
d- excess of cementing material.

5/- what of the following orthodontic correction does not need a retainer after the end of the
treatment?
a- crowding
b- diastema
c- spacing
d- anterior cross bite

6/- 16 years old patient came with fractured crown with pulp exposure 2 days ago.
Treatment?
a- RCT with splinting
b- pulp caping with splintig
c- extraction
d- pulpotomy with splinting

7/- what is the best time to do extraction for patient diagnosed with cancer and planning to
have radiotherapy?
a- 2 to 3 weeks before radiotherapy
b- 3 to 4 weeks
c- 5 to 6 weeks
d- 6 to 8 weeks

9/- for removable appliance placed to correct lateral incisor cross bite what is the active
component?
a- z spring

12/- patient with active TB how to diagnose?

a- sputum culture
b- chest x-ray
c- history and other symptoms
d- ........

13/- patient complaining of loose implant overdentures after 2 month what's the cause?
a- peri implantitis
b- fractured abutment
c-Implant Abutment loosing
d- framework warping

14/- features of combination syndrome for patient with edentulous maxilla and natural lower
anterior?
a- over eruption of lower anterior
b- bone resorption in anterior maxilla
c- flappy ridge in maxillary tuberosity
d- under cutting of upper lip
***
1/ in what of the following used caoH not used as medicament
A/ ankylosis
B/ internal resorption
*C/calcfied Canal*
D/external resorption.
2/incidance of hypodontia in permenent teeth.
A/ .1-.9
B/ 1-2
C/3.5_6.5

3/picture of truma for central appear long and extruded than other central what is type of
truma
*Extrusion*
4/vertical parallex technique used for what indication
A/ palatal root of maxillary molar.
B/internal resorption.

5/ pt with class 1 distal extension come to construct acrylic partial denture from which part
the denture gain support.
A/ ridge and abutment.
B/only abutment.
C/only ridge.
D/.….....
6/ intra canal caoH used for how long time in month.
A/1
B/3
C/6
D/12.
7/ Extraction of upper 2Es in 8 yrs old how can affect the anchor of upper 6s
A/mesial tipping with mesiobucal rotation.
B/ mesial tipping with plato mesial rotation .
C. Distal tipping+something
8/ opg x ray with missing and ghost like teeth what the name of anomly
A/ dentin dyplasia
*B/ regional dyplasia*

9/ you deside to start a research project what is your priority

A/ plan data collection.
B/ found a research hyposis.
C/ ask a research Questions.
D/........
10/ what is indication transeptal fiprectomy

11/ what have poorest prognosis regarding perforation

A/ old and apical
B/ early and septal.
*C/old and septal*
D/.......
12/current theory to explain etiological factor of periodental disease
A/ specific theory.
B/ none specific theory.
C. Ecological plaque theory
D.Inflammatory theory.
13. What is true about HpA1c
A/normal range be 4_7.
B/depend on enzmatic reaction.
C/ reflects the level of glucose for 3 to 4 days.
D/............
14/ research hypothesis
A/Can be tested
B/ Not tested
C/.......
D/.......
15/ periapical radograph for the pt have a history of truma show sever cervical resorption
to all dentine in coronal third of the root lost. How can be managed
A/ Rct.
B/extraction.
C/ repair internally.
D/ do surgical repair with silicate.
16/ intrusion of upper incisor 7 mm
How can be classified‫؟‬
A/mild
B/moderate
C/sever.
D/.....

18/ pt on rivbroxan and have atrial fibrination come with badly decayed tooth need
extraction what can be done
A/ stop rivabroxan before extraction.
B/ delay the morning dose for 4 hour to achive initial hemostasis.
C/ dont stop and proceed without change
D/....
19/ autism child need extraction and during examination show uncoperative behavior
what parent charstristic dont affect the
Effect of autism up on management
A/ age
B/race
C/ education level.
D/ .....

21/ minimum MD length to implant tooth 24 with 4.1 mm diameter

*A/ 7*
22/ picture of female pt 30 yrs old have upper central crown with erythmayous band and
bleeding start 4 month after crowns which were look well before this change how you
manage.
A/ curretage and remove access cement.
B/ change the crowns.
C/ do crowns lengthening and chang crowns.
C/ scalling and OHI.
23/ opg showing infraecluded lowe E how to mange
A/ normal extraction.
B/ surgical extraction.
C/ortho extrusion
D/ normal exofolation

24/hemophilia pt mild to moderate taking factor8 in th house normally need extraction of

badly decayed primary molar how to mange
A/ refer to do extraction in specilized centre
B/ proceed with normal extraction.

25/picture of pt c/o of bleeding and food impaction on lower anterior teeth the picture
show 15 Probe incerted between central incisor which have a recession about 2 mm
What the accurate reading
A/Cal 13 pD 11.
B/ Cal 12pD 10

26/ the perio Qs of new classification

Periodental chart showing pd and CAl one tooth missing last year and opg show generlized
bone loss not less than mid third of root in most teeth. 2 teeth show bone loss to apical third
.pt age 69 not mention he is Diapetic , smoker or not
What is classification
A/ generalized stage 111 grade B.
B/generalized stage 111 grade C
C/generalized stage 11 grade A.
D/generalized stage 11 grade B.

27/ what 2 parallex views for impacted upper canine

A/ opg+ perispicsl
B/opg + ocvlusal
C/ *periapical+occlusal*

4/ ‫ ﺍﻗﻞ ﺯﻣﻦ ﻟﻌﻤﻞ ﺍﻟﺼﻮﺩﻳﻮﻡ‬hypochlorite

‫ﺩﺍﺧﻞ ﺍﻟﻘﻨﺎﺓ‬
*2 minutes*
5/ ‫ﺳﺆﺍﻝ ﺍﻝ‬ameloplastoma ‫ ﺣﻮﺍﻟﻰ ﺿﺮﺱ ﺍﻟﻌﻘﻞ ﻓﻰ ﺻﻮﺭﺓ‬opg

16/- patient came with swelling and trismus complaining from lower left molar what space
is involved?
a- massetric
b- ptrygomandibular
c- temporal
d- submandibular
 17/- x-ray of lower 3rd and 2nd molar with symptoms of sharp pain associated with cold
and gradually disappearing after removal of stimulus (you have to decide reversible or
irreversible very tricky question) management?
a- primary RCT
b- regenerative therapy
c- extraction
d- ..........

18/- two questions about the new periodontic classification (only chart and x-ray provided
without any information regarding bone loss or loss of attachment).

19/- question about cause of angular chillitis

a- increased vertical dimension
b- decreased vertical dimension

22/- picture of patient has swelling in the right side of face and x-ray with multiple crowns
asking about next test you do to diagnose (alot of information about patient bad oral hygiene
and symptoms started months ago)
a- percussion
b- sensibility

23/- patient came with horizontal fracture in the middle third of root asking about splinting
time
a- 2 weeks
b- 4 weeks
c- 2 month
d- 4 month

25/- intruded primary tooth 7mm?

a- severe
b- mild
c- moderate

26/- patient with history of trauma in primary central incisor came complaining of uneruptid
permenant incisor what is the cause?
a- hypodontia
b- radicular cyst
c- supernumerary
d-

27/- contamination while doing etching what to do? Re Etching & bonding

**

1_
‫ ﻓﻰ ﺳﺆﺍﻝ ﻏﺮﻳﺐ ﺟﺪﺍ‬pt c/0 pain from upper teeth pain last for second and exagerated by hot,
cold and air 6 ‫ﻭﺟﺎﻳﺒﻴﻦ ﺻﻮﺭﺓ ﺍﺷﻌﺔ ﻟﻠﻮﺭ‬
‫ﻓﻴﻪ‬deep caries
‫ﻟﻜﻦ‬
‫ﺳﺎﻝ ﻣﻦ ﺍﻝ‬management
A/vital pulp therapy
B/primary RCT.
C/ extraction
‫ﻭﺗﺎﻧﻰ ﻓﻰ ﺧﻴﺎﺭ ﻟﻜﻦ ﻛﺎﻥ ﺑﻌﻴﺪ ﻣﺎﻣﺘﺰﻛﺮﻭ‬
1_The best materials to interocclusal records
_Light wax + alginate
_Silicone +alginate
_Heavy wax+alginate
_Heavy wax+Addition silicon

4_What mechanical consedration of tooth preparation for crown

_proximal contact
_marginal integrity
_retention and stability
_biological width
5_
What the best retention for cemented crown
_sever taper, small area,rough surface
_sever taper, large area.smooth surface .
_parallel taper large area, rough surface
_parallel taper, small area, smooth surface
6_
Question asking about managment of 5mm intrusion with closed apex
a- Orthodontic
b- leave and monitor
c- wait and monitor if it doesn't move then ortho

Zinc is added to amalgam

1.increase moisture sensitivity and cause expansion
2.increase marginal integrity and longevity than Zn free amalgam
3.1+2

1-spaces infection (2)

2-how to manage the infection cavity calss two by saliva ‫ﻣﻜﺮﺭ ﻣﺮﺗﻴﻦ ﻣﻦ ﻗﺒﻞ‬
3-pedo how to manage how tell show ‫ﻣﻜﺮﺭ‬
4-perio stages grades ‫ﻧﻔﺲ ﺍﻟﺴﻮﺍﻝ ﻣﻜﺮﺭ ﻣﺮﺗﻴﻦ‬
5- lichen planes ‫ﺻﻮﺭﺓﻭﺷﺮﺡ‬
6- pedo ‫ﻣﻊ ﺻﻮﺭﺓ ﻟﺠﺎﻡ ﻋﻠﻮﻱ‬
7- finger spring
8- 1.8 cc 2% lido 1:80000 adrinaline ) ‫ﻛﻢ ﺗﺤﺘﻮﻱ ﺍﺩﺭﻳﻨﺎﻟﻴﻦ ﺍﻟﺨﻴﺎﺭﺍﺕ‬1.8 0.18 0.018
0.0018)
9-62 years pt exo lower 7 from 2 months and no healing what the stage oh OMRNJ
10- vazirani ehat is this
11- pt cant open mouth the infectious space is

‫ﺍﺟﺎﺑﺔ ﺍﻟﺴﺆﺍﻝ ﺩﺓ ﻳﺎ ﺩﻛﺎﺗﺮﺓ ﻓﻴﻪ ﻓﻴﻪ ﺩﻛﺎﺗﺮﺓ ﺩﺧﻠﺖ ﺳﺄﻟﺘﻨﻰ ﻋﻠﻰ ﺍﻟﺨﺎﺹ‬

8- 1.8 cc 2% lido 1:80000 adrinaline ) ‫ﻛﻢ ﺗﺤﺘﻮﻱ ﺍﺩﺭﻳﻨﺎﻟﻴﻦ ﺍﻟﺨﻴﺎﺭﺍﺕ‬1.8 0.18 0.018
0.0018)

0.018

- shortened arch best described for: class 2 with increased overjet

- Peads pt decide to restrain: do procedure quickly
- Longggg question about pt with swelling, took multiple courses of antibiotics and
analgesics, still not resolved, took radiographs PA provided and cannot decide which tooth is
the cause. The question was what would be the way to determine the which tooth: CBCT,
EPT, percussion and palpation. I answered percussion and palpation
- Which stimuli result in fluids movement in dentinal tubules? Hot cold EPT or percussion. I
answered cold not sure
- Pt with 21 not erupted asking for reason OPG provided. Option has dens in dente, dens
evaguatus, two other options. I randomly chose dens in dente but i think it is wrong
- PA showing radiopaque lesion on peri apical region of 31,41, no pathology,no pain, no
mobility, vital teeth. Ask for management: monitor, extraction, surgical excision with
apesctomy, surgical excision with apesectomy. I answered monitor
- Tooth that is the worst as abutment: RCTed, tipped and tilted, short crown, short tapered
crown and conical root. I chose last one
- Regenerative pulp therapy best for: necrotic pulp and immature apex, completed root
formation tooth,…
- New techniques for caries managementthat requires less compliance: remove soft enamel
and dentine, remove affected dentine and enamel, apply flouride varnish, change the oral
environment. I chose last one
- Pt recently has liver transplant, what test to do before exo: CBC, couglation screen, liver
function, ….
- Peads case: deciduous tooth has caries, very cooperative kid, what material to use: gic,
RMGIC, composite, componer
- Which biocermaic material best for aesthetic and does not cause discolouration: egeo
MTA, proroot MTA grey, proroot MTA white, i chose white
- Pt with gag reflex, gave him x-ray film to practice for next appointment. What is the
technique called: systematic desensitisation, gradual practice.. . I chose desensitisation

*Q.* Peads pt decide to restrain:

*A*: *do procedure quickly* *(or try to modify the TTT plan*).

*Q.* Pt with swelling, took multiple courses of antibiotics and analgesics, still not resolved,
took radiographs PA provided and cannot decide which tooth is the cause. The question was
what would be the way to determine the which tooth?
*A. *Percussion & palpation*.

*Q.*: Which stimuli result in fluids movement in dentinal tubules?

*A.*: *Cold test*.

*Q.* Pt with #21 not erupted asking for reason OPG provided. Option has dens in dente,
dens evaguatus, two other options.
*Note: Dens envaginatus/dens evaginatus may not prevent #21 to erupt.*
*A.* One of the other not mentioned options could be
- *a mesiodens, or odontome*
Or
*#21 has dilacerated crown from trauma previous trauma to #61*
‫ﻭ ﺍﻋﻠﻢ‬..

*Q.* PA showing radiopaque lesion on peri apical region of 31,41, no pathology,no pain, no
mobility, vital teeth. Ask for management
*A.* *Monitor*

*Q.* Regenerative pulp therapy best for:

*A.* *necrotic pulp and immature apex*.

*Q.* New techniques for caries management that requires less compliance:
*A. *remove soft enamel and dentin* *(one step IPT/partial caries removal, minimally
invasive dentistry)*.

*Q.* Peads case: deciduous tooth has caries, very cooperative kid, what material to use?
*A.* **RMGIC*.

*Q.* Pt with gag reflex, gave him x-ray film to practice for next appointment. What is the
technique called:
*A.* *systematic desensitisation*.

Here few questions I got in exam

may helpful to others ,
Questions related to
- post extraction trismus treatment - muscle exercise or hot compress or analgesics
-30 yr old patient complains of crowding-late mandibular shift
- compsiton of GiC - water ,phasphoric acid nd some powder
- ⁠%of missing permanent teeth
- ⁠which appliance used for single anterior cross bite - finger spring or z spring
- ⁠which analgesic is safe during pregnancy -acetaminophen or ibuprofen

- ⁠question related to pyogenic granuloma - like bacterial or inflammatory

- Submandibular space infection spread to which spaces - sub mental or sublingual
- ⁠hypophaspatasia - low or high alkaline phosphatase
- Perio grading and staging related questions - they r giving hypertension nd diabetic
conditions
Nd periodontal chart nd radiographs
- which ortho treatment no need for retainer- spacing or cross bite or crowding
- ⁠cavity preparation with diamond burs for amalagam width of of out line - 1.2-1.5 or 0.5
- ⁠pregnancy patient chair position
-
I can’t able to make exact questions but they are related like this

An 6 year old girl child weighs 20kg. What is the dose of amoxicillin per day for a suspension
that contains 120mg/5ml?

1) 5ml per dose, every 8 hours

2) 10ml per dose, every 8 hours
3) 15ml per dose, every 8 hours
4) 20ml per dose, every 8 hours

Maximum dosage (mg) = Maximum recommended dose (mg/kg) × Weight (kg)

recommended dose for child= 4.4 mg/kg.

Maximum dosage = 4.4 mg/kg × 20 kg = 88 mg

=~80 mg
1/- patient referred to you for crown lengthening, 3mm crown length/ 3mm gingival margin/
3mm attached gingiva. The future crown will be 6mm from crown hight to the crest of bone
what will you do?
a- gingivectomy
b- apical positioning flap
c- gingivectomy with osseous contouring
d- apical positioning flap with osseous contouring