HAAD Exam 28/01/2020 Dr Einas Ali

1. Prophylactic antibiotic for adult is given:

1 hour before treatment.

2. Washing hands with soap before and after wearing gloves is done to:
Decrease the number of skin bacteria

3. Most common complication of diabetic patient during treatment:

Hypoglycemia

4. Direction of movement in extraction of maxillary primary tooth:

Palatal then buccal.

5. Most common tooth trauma in mixed dentition is seen on which malocclusion?

Class II division I

6. Reversible pulpits:
a) Sensitivity after heat
b) Well localized pain
c) Ill localized pain

7. Temporary material applied after cleaning and shaping the root canals:
a) Zinc polycarboxylate
b) Zinc oxide
c) CaOH2

8. Effective Sterilization method which uses least temperature?


a) Ethylene oxide
b) 6 % hydrogen peroxide

 c) Sodium hypochlorite

d) Autoclave

9. What is attached gingiva?

From mucogingival attachment to the free gingival groove

10. Most common complication during extraction for single isolated upper 3rd molar:
Fracture of tuberosity

11. Patient 9 years old with minimal pulp exposure came after 1-hour treatment:
Pulp capping with CaOh

12. Patient has swelling with fever:

a) Incision and antibiotic
b) Antibiotic

13. For penicillin allergy:

Clindamycin

14. Normal pulp response:

Pain which stopped after removing stimulus

15. Bad breath:

a) Rhinitis
b) Drainage fistula 

c) Diabetic mellitus 

d) All
16. Management of ANUG you begin with:
a) Debridement
b) H2O2 rinse
c) Antibiotic therapy

17. The most important bevel in inlay is:

a) Gingival
b) Occlusal
c) Buccal

18. A patient on warfarin INR value 2.5 needs extraction what you do immediately?

a) Extract immediately and give post-operative instructions.

b) Extract and ask patient to stop warfarin for 3 days.

19. A child has 4 mm diastema what to do:

Take PA to rule out supernumerary tooth.

20. The stressed tooth refers to:

a) Tooth has been subjected to multiple trauma.
b) Tooth with multiple caries
(Though I think all other options might be contributed to it)

21. Most common percutaneous injury is seen in:

Needle stick injury.

22. Moisture control is a key to a successful filling, you may use all the following for isolation
except:
a) 3:1 syringe
b) Rubber dam
c) Saliva ejector
 d) Cotton roll

23. Patient was having dull pain in lower molar, you did access and instrumentation. The day
after he came with severe pain & swelling, what is the diagnosis?
a) Secondary apical periodontitis
b) Acute apical abscess

24. Patient wants to do whitening but she has heavy calculus, what is your treatment plan?
Patient education, scaling and polishing and then bleaching.

25. After doing bleaching for the patient, what is the least time to replace the filling?
a) A week
b) 2weeks
c) Immediately

26. Treatment of trigeminal Neuralgia:

Carbamazepine

27. Not true about internal resorption:

a) Occurs rarely in adults
b) Moth eaten appearance
c) Can be treated by RCT

28. At the first visit after periodontal surgery, what’s the main thing to do?
a) Check soft tissue healing
b) Check bone healing
c) Remove plaque
29. Patient complains of severe pain after chewing hard food, tooth was endodontically
treated and RCT seems fine, no caries nor cracks, what is the diagnosis:
Vertical Root Fracture

30. When to extract mesiodens?

a) As soon as possible or immediately
b) After eruption of permanent centrals
c) After eruption of permanent canines

31. When to treat anterior cross bite?

a) As soon as central incisors are erupting
b) After eruption of central incisors
c) After eruption of permanent canines

32. If you want to anesthetize the second branch of trigeminal nerve:

Pterygopalatine fossa

33. GIC properties:

Release fluoride

34. Excessive bone loss is seen in:

a) Chronic periodontitis
b) Chronic apical abscess

35. All composites are consisting of:

Filler

36. A patient is experiencing a throbbing pain in a specific tooth. This pain is aggravated by
heat and relieved by cold. Tooth is sensitive to percussion. Diagnosis?
a) Occlusal trauma
 b) Periodontal abscess
c) Irreversible pulpitis
d) Hypremia of pulp

37. Planning to restore endo treated tooth, all true except?

a) You can immediately prepare the well condensed GP

b) You can remove GP effectively using hand or rotary instruments
c) You need to leave 4-5mm of well condensed GP apically
d) Cutting silver point after it was sealed in the canal is no concern

38. You took x-ray and teeth appeared elongated, what’s the cause?
a) Tilted head

b) High angulation
c) Small vertical angulation
d) Big vertical angulation

39. Patient fainted, pallor, hypotension, what’s your initial management?

Nitroglycerin


40. Patient faints after given midazolam and respiration 8 breaths/min, what’s your initial
management?
a) Ephedrine injection
b) Administer 100% oxygen only 

c) Observe patient

41. 67 years old patient came to your clinic with swelling on left side of his face, when he
slept last night he had no symptoms, his incisors had fillings, free of symptoms or apical
lesions, he visited the hospital the day before had a gastrointestinal testing & he was
cleared of any medical condition; what’s your diagnosis?
a) Periapical abscess
 b) Angioneurotic edema
c) Infectious mononucleosis

42. What’s your management for the case:

a) NSAIDs

b) Refer to physician

43. In relation to horizontal root fracture:

a) Always use rigid fixation

b) Rigid fixation when mid root fracture for more than 2 weeks

c) Rigid fixation when horizontal fracture at coronal part for more than 3 months

44. 13 years old patient clinically presented with all his primary teeth, what X-ray do u take?
a) Occlusal
b) Periapical

c) Cephalogram
d) OPG

45. Why it’s difficult to polish composite?

Due to soft matrix and hard filler

46. If you apply light orthodontic forces, there will be?

a) Root resorption
b) PDL undermined resorption 

c) Metabolic changes in PDL

d) All

47. A patient came for routine checkup, he had grade II mobility in lower centrals and
laterals. Recession is 7-10 mm. Severe bleeding upon probing. What to do?
a) Extract as early as possible
 b) Extract then immediate implant placement
c) Flap with or without ostectomy/osteoplaty

48. You are extracting max third molar. The max tuberosity gets fractured but remain
attached to the mucoperiosteum. What to do?
a) Remove and suture
b) Replace and stabilize

49. Best way to reduce x-ray exposure for the patient?

a) Lead shielding
b) Distance
c) Time
d) All of the above

50. 15 years old patient presented with tissue extruding from a carious second lower molar
what’s your diagnosis?
a) Pulp polyp

b) Irreversible pulpitis
c) Pulp hyperemia

51. What is your treatment for the case?

Excise the lesion

52. Patient is having difficulty in opening the mouth after IAN block is due to injury to:

Medial pterygoid

53. Intrusion of permanent incisor with fully formed root:
a) Extract

b) Reposition and splint and RCT immediately
c) Reposition and splint and RCT within 2 weeks
d) Wait to re erupt

54. TMJ disorder with clicking but no pain or limited opening of mouth?
a) Ankylosis

b) Internal derangement
c) Rheumatoid arthritis
d) Fracture of condyle

55. Limited reparative capacity of young pulp is due to:

a) Immature apex
b) Poor blood supply.

c) Less connective tissue
d) Lack of collateral circulation

56. Which is the most likely to cause pulp necrosis?

a) Subluxation 

b) Extrusion
c) Intrusion
d) Concussion 


57. Treatment of pregnancy tumor during first trimester, patient have gingival bleeding:
a) Surgical excision
b) No treatment required
c) Delay the treatment after the delivery

58. Protrusive guidance solely depends on:

a) Incisors

b) Mesial incline of maxillary molars
c) Mesial incline of mandibular molars
 59. In a 10-year-old child premature loss of extracted primary second molars, space begun
to close. Rest of the occlusion normal. What is the treatment plan? 

a) Band and loop

b) Lingual arch
c) Complete banding of 1st molar
d) Mandible complete its growth 


60. Just placed a deep composite and patient is complaining of sensitivity, what is the first
thing you do?
a) Remove and place sedative dressing

b) Perform endodontic treatment

c) Check for other teeth to find the source

61. A lady aged 25 years fell from bicycle about 30 mins back and came to hospital with
avulsed 11 and 21 Avulsed teeth were placed in milk. Teeth were normal but only the
mesial and incisal edges chipped. What immediate treatment would you give her?
a) Implant avulsed teeth immediately 

b) Do RCT extra-orally and re-implant 


62. You found there is a class II fracture on the avulsed teeth. What would you recall the
patient for?
a) Do composite restoration on 11 and 21 

b) Place full ceramic crowns 

c) Place veneers 


63. 15-year-old patient with controlled diabetes mellitus appeared for routine checkup.
Your advice is to:
a) Do routine plaque control 

b) Reduce intake of sugar 

c) Advice revisit every 3 months 

d) None 


64. 4 ml of 2% lidocaine sol. With 1:00000 epinephrine contains how many mg of lidocaine
and epinephrine:
a) 80mg of lidocaine and 0.04mg of epinephrine. 

b) 40mg of lidocaine and 0.04mg of epinephrine 

c) 80mg of lidocaine and 0.08mg of epinephrine 

d) 40mg of lidocaine and 0.04mg of epinephrine 


65. Structures very close to PDL?


a) Cementum and alveolar bone
b) Alveolar bone and dentin

c) Cementum and enamel 


66. Patient had met with blow to jaw, on opening of mouth the mandible deviated to left
side, it is associated with: 

a) Left condyle fracture
b) Right condyle fracture
c) Alveolar fracture 


67. Serial extraction is done to provide space for:

a) Eruption of permanent molar 

b) Eruption of permanent mandibular canine and 1st premolar
c) Eruption of permanent premolars and molars
d) Eruption of mandibular incisors 


68. After uneventful extraction, achieved hemostasis. Patient came back after 4 hours
with bleeding which can’t be stopped by local pressure. Your treatment includes:
a) Application of ice pack

b) Tight closure with suture

c) Complete blood count and INR
d) Cold compression 


69. Which of the following tray are used in impression of a prepared tooth, bite
registration of opposite arch tooth:
a) Stock tray 

 b) Custom tray 

c) Bite registration 

d) Triple impression tray 


70. For removing maxillary primary molar, first direction of force:

a) Palatally

b) Buccally

c) Occlusally

d) Mesiodistally


71. Supernumerary teeth and multiple unerupted teeth are associated with:

Cleidocranial dystosis 


72. Clinical features of acute fluoride toxicity:

a) Nausea 

b) Vomiting 

c) Abdominal pain 

d) All of the above 


73. Treatment of acute fluoride toxicity: 


Give calcium orally (milk) 


74. A 5 years old child came with his mother with a complain of thumb sucking and he
developed a 5 mm overjet and 3 mm overbite. Then after 6 months the child presented
with a 3.5 mm overjet and 10% of the overbite. The mother states that the child
stopped sucking on his thumb except when he goes to sleep. What is the most probable
management?
a) Refer to speech therapist 

b) Refer to thumb sucking habit breaking therapist 

c) Refer to orthodontist 

d) Follow up after 3 months and ask parents to let the child stop the habit

75. In deep cavity and you don’t want to avoid pulp exposure which instrument you’ll use
during caries removal?
a) Gingival margin trimmer
b) Spoon excavator
c) Slow speed bur

76. Patient have pain on chewing on tooth after having post and core, x-ray is normal, what
might be the cause?
a) Vertical root fracture
b) Loose crown
c) Premature contact

d) Horizontal root fracture

77. Which of the following are required informational elements for informed consent?
a) Explanation of the procedure in understandable terms
b) Reasons for the procedure and the benefits and 
risks of the procedure and
anticipated outcome 

c) Any alternatives and their risks and benefits, including no treatment at all 

d) The costs of the procedure and the alternatives 


All answers are correct.

78. What is the most objective clinical indicator of inflammation?


a) Gingival color

b) Gingival consistency
c) Gingival bleeding

d) Gingival stippling 


79. In the primary dentition, the mandibular foramen is located where in relation to the
plane of occlusion?
a) Higher than the plane of occlusion
b) Much higher than the plane of occlusion
c) Lower than the plane of occlusion

 d) The same level as the plane of occlusion


80. What is used to protect x-rays from cross contamination?

a) Barrier film packet
b) Digital x-ray
c) Chemical solutions 


81. Patient has spontaneous pain on lower right first molar on taking hot liquids which
disappears slowly. Your diagnosis?
a) Irreversible pulpits 

b) Reversible pulpitis 

c) Apical periodontitis 

d) Pulp necrosis 


82. A clinician can increase the efficiency of a disinfectant by:

a) Increasing its concentration 

b) Using disinfectant very often
c) Replacing it every day

83. What is Compound fracture?

84. All are common materials that used under shallow to moderate composite filling, except?
a) CaOH2 lining
b) GIC
c) ZOE
d) Zinc Polycarboxylate

85. How do you gain the most retention of an inlay?

a) Depth of cavity preparation
b) Undercuts
c) Cement
 d) Parallel walls

86. Difference between filling and inlay?

a) Undercuts

b) Dovetails

c) Retaining pins

87. Oro antral fistula persist for more than 6 weeks, what is your management?
a) It will resolve with time
b) Antibiotics and nasal decongestant

c) Flap and nasal decongestant
d) Dressing and suture


88. What’s the best way to remove interdental plaque?

a) Proxy brush

b) Tooth brush
c) Dental floss

89. Most common cause of composite failure:

a) Voids due to incremental layering
b) Failure of moisture control
c) Excessive polymerization shrinkage

90. Patient with liver disease will have:

a) Hypoprothrombinemia

b) Vitamin D deficiency

c) Vitamin B12 deficiency

91. Steam sterilization:

a) 134 degrees for 20 mins
b) 134 degrees for 3 mins
c) 141 degrees for 15 mins
92. Patient is 4 years old, premature extraction of 2nd primary molar, when to place the distal
shoe?
a) Immediately after extraction
b) Wait until healing of socket

c) Wait until eruption of permanent molar

93. Patient having a periodontal cyst, uncontrolled diabetic, how to manage?

a) Antibiotics

b) Analgesic & Antibiotics

c) Incision & antibiotics refer to physician
d) Don’t do anything, it will resolve

94. Patient with cyst palatally associated with uncarious lateral incisor , Excessive bone loss
is found palatally in relation to the tooth in question and adjacent teeth are
asymptomatic and vital, what is your diagnosis:
a) periapical cyst
b) Localized Marginal periodontitis in association with developmental groove on
lateral incisor

95. X-ray with herring bone artifact or tire-track pattern is due to:
a) Film bended
b) Reversed film

96. Acid used in enamel etching:

a) Phosphoric acid
b) Polyacrylic acid

97. Child with deep cavitated primary molar, slight mobility and furcation involvement, what
is your treatment?
a) Pulpotomy
b) Extraction
c) Pulpectomy
98. Problem associated with calcium hydroxide if it used in deciduous teeth:

Internal resorption

99. You are performing access cavity during root canal treatment and you noticed that you
hit the pulp earlier, what is the reason?

You hit the pulp horn

100. All are GIC properties except:

a) Release fluoride
b) Increase remineralization
c) Reduce oral pH

101. A child with trauma brought to the clinic with his teacher, You tried calling the
parents but no answer, What will you do:
a) Ask consent from the child
b) Refuse treatment
c) Wait for parents
d) Ask teacher to sign consent taking parents responsibility

102. Controlled Diabetic patient taking his insulin regularly needs extraction, you instruct
the patient before the treatment to:
a) Stick to normal diet
b) High sugar intake
c) Skip insulin
d) Skip meal

103. Most common cause of TMJ ankylosis:

a) Trauma
b) Arthritis
c) Rheumatoid fever
104. Patient has swelling in maxillary central incisor region. Aspiration and periapical
confirms cyst. Management?
a) Extract and take out the cyst from the socket
b) Make an osseous window and take out the cyst
c) Raise mucoperiosteal flap and perform RCT
d) Open canal and try to drain cyst from it

105. You accidentally didn't bond the etched enamel in a patient with good oral hygiene.
What will happen?
a) Deposition of enamel organic sulphides
b) Enamel will regenerate in 7 days
c) Enamel will continue to decalcify
d) (Something related to) Opposing tooth

106. Reversible pulpits can be treated by:

a) Palliative treatment
b) Pulpotomy
c) Pulpectomy
d) Antibiotics only

107. Nystatin used for treatment of?

a) Viral
b) Fungal
c) Bacteroids

108. Highest flare-up rates are seen in which endo diagnosis?

a) Acute apical abscess
b) Acute apical periodontitis
c) Pulp necrosis
109. Why epinephrine is used in anaphylactic shock?
a) Increase systolic blood pressure
b) Increase cardiac contraction and output.
c) Causes vasoconstriction
d) Causes relaxation of bronchial muscles.
e) 1,3 are correct
f) 2,3,4 are correct
g) All of the above