SDLE by " ‫" رفيع المقام‬

Contents
‫ رفيع المقام‬-SDLE 2022 part 12
Contents .................................................................................................................................... 1
References ................................................................................................................................. 1
Endo .......................................................................................................................................... 1
Resto ........................................................................................................................................27
Perio .........................................................................................................................................41
Implant ....................................................................................................................................62
Fixed ........................................................................................................................................72
Removable ...............................................................................................................................80
Ortho......................................................................................................................................100
Pedo .......................................................................................................................................116
Professionalism and bioethics , infection control and patient safety ....................................124
Oral medicine, oral surgery and medically compromised patients ......................................143

References

2023 ‫لسنة‬10-11 ‫الملف يحتوي على تجميعات ابطال الديجتال للشهور التالية‬
‫األجوبة قد تحتوي على بعض األخطاء فتاكدو منها بنفسكم واذا فيه أي تصحيح كلموني عشان اعدل الملف عن طريق االيميل وفي الرابط تحت بتحصلون‬
‫الملفات األساسية اللي جبت منها األسئلة‬
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Done by " ‫" رفيع المقام‬
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Endo
1.Pictures radiograph internal resorption

2.When u do pulpotomy with ferric sulfate what do u expect?

A. internal resorption✅

3.internal resorption ?
A. Large radiolucent in pulp chamber
4.Internal resorption: which type of obturation best ?
A. Cold lateral
B. Warm vertical ✅
C. Carrier
D. Single cone
5.tooth with internal resorption how to manga it
a. Rct
6.patient did RCT 15 years ago, come for follow up, a picture of tooth #46, has separated instrument in mesial
canal, and internal resorption in distal canal with bad Obturation, asking about the prognosis of Distal canal?
A. Good
B. Poor
C. Questionable
D. Hopeless✅

●
7.(radiograph of tooth with external resorption)
a. internal resorption
b. cervical resorption
c. surface resorption ✅
d. replacement resorption
8.What is the most common adverse effect of a replanted avulsed tooth?
A. External replacement root resorption✅
B. Internal inflammatory resorption

9.external resorption?
A. The radiolucent move with angle change

10.ray of external resorption what is DX

11.Patient with "scooped out " shape in apical and multiple areas of external root resorption.
A. Intracanal medication " calsium hydroxide "✅
B. apical surgery retrograde with MTA
12.Pt came and refused to put rubber dam what to do?
A. Referral to endodontist 🔁✅
B. Refuse Tx
13.Case scenario about non carious and fracture what is pulpal diagnosis?
A. Reversible inflamed

14.Patient did home bleaching and has sensitivity and burnt gingiva?
 A. Give desensitizing agent✅
B. 40% hydrogen peroxide

●
15.carbamide peroxide to hydrogen peroxide percentage
A. ( 1;3 ) or (10% to 30%)✅

●
16.Vital bleaching (no 35 in the opts)(previously mentioned)
A. Hydrogen peroxide 38%
17.Which of the following consider correct regarding walking bleaching: -
A. It can be done for vital and non vital teeth.
B. We use sodium perborate and and distilled water.✅
C. Hydrogen peroxide for it.
D. It is done by using of heat.

18.Pain with bite sloth and deep pocket

A. VRF
B. Extrusion injury

19.Case about uncomplicated fracture what’s the treatment?

A. Restoration or reattach the broken part if possible ✅
B. RCT
C. Extraction

●
20.pedo patient after one day following trauma has a complicated fracture what to do?
A. partial pulpotmy✅
B. Direct pulp capping
21.complicated crown fracture management with pinpoint exposure 30 minutes ago
a. Direct pulp capping✅

22.11 y.o patient came after 1 hour of trauma with a complicated fracture:
a. indirect pulp capping
b. direct pulp✅
c. pulpotomy
d. RCT

●
23.pt came after 3 hr and there is pulp exposure what tx? (depends on age)
A. Direct pulp capping
B. RCT (close apex )✅
C. Pulpotomy (open apex )

24.pedi has trauma before 30 min with pinhole pulp exposure what is the treatment ? (Previously mentioned)
A. Direct pulp capping
25.9year old pt. Came with traumatic small pulp exposure, what is the best treatment
a. directed pulp capping✅
b. Pulpectomy
c. Apexification

26.Case about young patient 12-years with trauma before 3 hours and during examination you found small
exposure of the pulp, what is the management: -
A. Apexification.
B. Vital pulp therapy.✅
C. Root canal treatment.
27.8 years old pt with truma for 3h
a. RCT
b. DPC
c. Pulpetomy✅
d. Pulpectomy

28.pic of incisal fracture with red dot Inside the fracture without bleeding And pt came to clinic after 3 hours What is the
treatment
a. Pulpotomy
29.pedo patient has trauma before 24 h with pulp exposure what is the treatment?
A. Pulpotomy
B. Pulpecomy
C. Cevik Pulpotomy✅(First 48 h the pulp inflammation 2-3 mm )

●
30.crown and enamel fracture without pulp exposure
A. indirect pulp capping✅
B. direct pulp capping
C. RCT

●
31.ray for complicated crown fractures needing endodontic treatment: Prognosis is
a. Fair
b. Good✅
c. poor

32.Patient came with complicated crown root fracture. What is the management?
A. Direct pulp capping
B. Indirect pulp capping
C. RCT ✅
D. Note :(depaond on time and size of the exposure and if its open apex or not)
33.complicated crown root fracture what is Tx ?
A. Extrusion + RCT✅

34.what is the different between crack line and craze line ?

A. crack line will block the transmission of light✅

35.transillumination rule in endo?

A. To detect crack.✅

●
36.lateral luxation, how many weeks of splinting?
A. 4 weeks✅
37.How long should avulsed teeth be splint if they have been out for less than 60 minutes?
A. 2 weeks ✅

●
38.Time for splint fracture dental alveolar
a. 3-4 weeks ✅

39.Root fracture between middle and Apical third time for splint ?
a. 4 w✅

40.Patient with trauma to his upper anterior teeth after x ray you found a fracture in the middle of the root, what is the
splint time: -
A. 2.
B. 4.✅
C. 6.
D. 8.

41.pedo came after 2 hours with avulsed tooth in plastic bag what is your management?
a. rigid splint 1-2 w
b. rigid splint 3-4 w
c. functional splint 1-2w
d. functional splint 3-4 w✅

42.Split time for cervical root fracture ?

A. 4 weeks
B. 4 months ✅
 ●
43.Pt with pain while releasing his bite and placed large amalgam restoration recently?
A. Cracked tooth ✅

●
44.Pedo patient got injured and crown portion have mobility, fracture signs in the cementum and dentin, what
type of fracture?
A. crown fracture
B. Root fracture
C. Crown root fracture✅

45.pt has pain on bite after remove amalgam found line mesiodistally? (mentioned before)
A. Crack✅
46.Patient came with Amalgam restoration MOD on 25, after removing the amalgam there’s a clear fracture line mesiodistally
but the section is not movable, what’s the diagnosis? Previously mentioned
A. Split tooth
B. Cracked tooth ✅
C. VRF

47.def. Of subluxation
A. loosening of tooth no displacement but increase mobility ✅

48.Management subluxation tooth?

A. Follow-up

49.avulsion tooth affected by

 A. time extraoral✅

50.Pt came to u with avulsed tooth less than 45 min what should u do?
A. Reimplant and start RCT after 7-10 days✅(for closed apex)

51.best material for avulsed tooth

A. milk✅(if HBSS not in the options)
B. Water
C. saliva
D. Saline

52.Best storage Media in school ?

A. Milk✅
53.Pedo pt. 9 years came with his tooth (22) in plastic bag in less than 45 min. He comes after 1 week on examination
of all teeth response to pulp test except 22 and all anterior teeth mobile what is the next step?
A. Place medicine inter canal 22
B. Remove the splint and start RCT 22
C. Remove the splint and follow up
54.Following a trauma to the upper anterior teeth, tooth number 21 avulsed and then splinted. After two weeks, all the
central teeth showed no response and still had mobility. What should you do?
a. 21 intra canal medication✅
b. Remove splint and start RCT for 21
c. Remove splint and start RCT for 11
55.14 years old patient having avulsed tooth and she came 4 hours later you splint the tooth successfully , when should you
perform the Endo treatment?
A. 7 - 14 days

●
56.Child with avulsion teeth less than 15 minutes, immediate action:
a. Immediate re-implementation ✅

57.13 ye old pt came with avulsed #21 he kept it in milk for 3 hrs what u will do ?
A. reposition with non rigid splint
 B. u wont reposition it and do prosthetic ttt
C. soak it in NAF for 10min then splint it ✅
D. Apexification

58.Avulsion teeth, you did splint, on x-ray you notice spoon scalloped in the apical root, what treatment is provided?
A. Open and place intracanal medicament and close 🔁
B. Apicectomy surgery and close with MTA

●
59.Worst prognosis scenario for avulsion tooth ?

●
60.Dark tooth after trauma , tooth endo treated what is the cause ?
A. Resto leakage✅
B. blood in dentinal tubules
C. Bactria from pulp

61.intrusion definition

●
62.injury for 11 and it appears longer in radiograph what type of injury ?
A. lateral luxation
B. Intrusion
C. extrusion✅

63.pedo pt fall down intrusion primary incisor when do PA primary contact with permanent What do ?
a. Leave
b. Extraction primary✅
 c. Extraction primary with permanent

64.Pt with root fracture below mid area what to do?

A. Endo for coronal part only✅

●
65.Root fracture between mid and apical part. ................................... treatment?
A. Endo for only coronal part ✅

●
66.pt with accident 20 years ago, and his lateral fractured, he came asking to find a solution for the teeth, (x-ray
provided), you did Electric pulp test the test was positive what is the prognosis of the tooth.
A. good✅
B. Questionable
C. Negativ
67.Pt with fracture of enamel and dentine and patient came with severe pain due to drinking soda
A. Reversible pulpitis✅
B. Uninflamed and healthy
68.A child experiences intrusion of primary teeth due to trauma. What is the effect on permanent tooth ?
a. displace palatally
b. hypoplasia ✅
c. Dilaceration

69.Intrusion of primary centrals what is the effect on the permanent successor?

A. Devitalization
B. hypoplasia ✅
C. Palatal orientation of crown
70.tooth #15 non carious and not restored had fracture cusp and exposed dentin, patient complained from
sharp brief pain when she drank cold beverage, what is the pulp dx?
A. reversibly inflamed✅
B. normal pulp not inflamed
C. irreversibly inflamed
D. partially necrotic
71.Pt fall on his teeth, at school when he came, his teeth has No mobility or anything, what treatment to do?
A. Observation and follow u✅

72.Pedo patient have trauma in 11..no response in vital test ...and radiograph show open apex ...what treatment?
 A. Apexication

73.Tooth that was exposed to trauma and root canal treatment was done, what is the first step when u will do post
and core?
a. Remove all caries remaining restoration.
b. Remove GP with gates gildden ✅
74.peri apical and there is short root after trauma what is mean?
A. Replacement resop ✅🔁

75.pic of very short root central incisor and patient had history of trauma 25 years ago, there’s no cares and no signs and
symptoms what to do?
A. Follow up✅
B. Flexible splint
C. RCT
76.Radiograph of horizontal root fractures due to trauma of primary teeth and permanent is close to erupt ( treatment )

77.Pt. Came with apical horizontal root fracture, on examination the tooth was vital they ask about best treatment:
a. - Splint and follow up✅
b. - Rct
c. - Extraction
78.patient came with horizontal fracture involving 2/3 of crown, but there was no pulp exposure and the tooth was
vital , best treatment:
a. composite build up✅
b. amalgam
c. intentional RCT + post + core
79.vertical root fracture most common in
A. max 4

80.Case about dentinal tubules what makes it open to contact with perio ligaments? ( can be both so it depends on the
question, if it says abnormal in the question then it’s VRF )
A. VRF
B. Developmental defect

81.patient compline of severe pain related to #14 the tooth has j-shaped radiolucency and isolated 8mm pocket what
 is the cause of pain??
A. VRF✅
B. improper endo treatment

82.vertical root fracture of mesiobuccal root of #16 , platal and distal root is good what is the treatment?
A. Root resection ✅

●
83.Case about 46 tooth that is perfectly done RCT, but it has cast post in distal root and deep isolated pocket?
a. Hemisection of the distal root ✅
84.Tooth #14 with isolated pocket and pain with biting you suspect VRF what is the first thing you will do ?
A. PA ✅
B. CBCT
C. Occlusal
D. Bitwing

●
85.#14 with endo + metal post + crown has pain during biting what is the cause?
A. VRF✅

86.Exploratory endo surgery used for what??

A. Root fracture✅
B. split tooth or crack

87.root vertical fracture best diagnosis?

A. exploratory surgery✅

●
88.single rooted with vertical root fracture prognosis?
 A. good
B. fair
C. questionable
D. hopeless✅

89.what is the worst prognosis for root fracture?

a. Apical fracture
b. Cervical fracture✅
c. Coronal fracture
90.16 with vertical root fracture on DB root , management?
a. Root resection
91.Case with pic x-ray with lateral canals after treatment of RCT and sealer buff. Ask u what is the reason for lateral
radiolucency
A. Lateral canal
92.Case scenario with X ray and there is complete radiolucency in apical portion after RCT what’s you management?
A. Apicoectomy

93.case scenario with necrotic pulp not respond to pulp test and probing depth 1-3 mm ( normal range) What to do
next step?
A. Caries excavation and start RCT ✅
94.prognosis of a tooth that had been treated 2 times with RCT and now comes with bone loss?
95.lf there is an extra canal in the canine where you will find it ?
A. Lingual to the main canal✅

96.Which second canal maybe found in lower lateral incisor ? Previously mentioned
A. Lingual
97.cold gutta percha compaction by which instrument
A. plugger ✅

98.What instrument to use in lateral compaction

99.pt come with pain and irreversible pulpitis what is ER treatment?

A. Pulpectomy

100.case pt came to Er with sever pain what should u do

 A. ( pulpotomy ) there is no pulp extirpation✅
101.Patient came to you with severe pain in #36 but the root morphology is difficult, what an emergency treatment to
reduce the pain?
A. Pulpotomy ✅
B. RCT
C. Prescribe analgesics
102.which to mostly have just one canal?
A. Canine ✅

103.accessory canals ?
A. lower premolar ✅
B. central incisor ,
C. Canine
D. upper lateral

104.access cavity premolar with 3 canal

A. triangular✅

105.Three canals in upper 4 (mentioned before)

A. triangle access cavity✅

106.Access cavity of man 1st premolar

a. Oval

107.The percentage of canal branching in the apical third

A. 74٪ m ✅
108.How many canals found mainly in upper 7?
A. 3✅
 B. 4

109.access cavity for upper first premolar?

A. Oval ✅ .

110.Access cavity in upper central incisor with what bur?

A. Pear
B. inverted cone
C. Taperd D
D. Round ✅
111.Access cavity for lower incisor ?
a. Oval

112.x-ray for #35-34 with bad quality RCT will undergo retreatment and asking how many canal in #34
a. 2 canal “there was missed canal in previous treatment “
113.x ray and there is lower premolar , just one canal is obturated and ask about if there is any other canal do u see it in x ray?
A. 2 canals✅
114.also x ray for upper 6 and with apical RL area not heal and ask about the cause ?
A. Missed canal MB2✅

115.pt come with good upper 6 RCT but there is severe pain?
A. Missed canal✅

116.Patient came with severe pain on percussion and palpation after months #16 endo treatment with normal pocket,
what is the cause of pain? Xray of 16 with 3 obturated canals (1 mesial), extruded gp by only 0.5mm from one of
the roots and Pa lesion associated with all roots
A. Missed mb2✅
B. Extruded gp
C. Extra radicular pathosis
D. VRF
117.patient came feeling pain sharp but quick relive ?
A. Reversible pulpitis✅

●
118.pt came to Er with sever pain after u open the cavity u sow a pulp stone what should you do ?
A. Refer to Endodontist✅
119.Which instrument used to remove pulp stone?
A. Ultrasonic✅
120.What is the component in MTA that give Radio opacity?
A. Bismuth oxide✅

121.Main drawback of MTA ?

A. Discoloration✅

122.Subcrustal perforation
A. MTA✅

123.Supracrustal perforation
A. gic
124.Prognosis of instrument fracture in middle of root ?
A. Questionable
B. Poor✅
C. good
125.after used ultrasonic to remove broken file by which instrument?
A. Steiglitz pliers

126.Fracture file inside the canal and you used the ultrasonic tip to make space around broken file what the other instrument you
can use to retrieve the broken file?
A. Eggler
B. Instrument kit remover✅
c. Steiglitz forcep
( s t e i l i t z ) ‫استخدم الترا سونك اذا قال البروكن فايل ممتد الى االورفس تقدر تﺷيله ب‬

127.Radiograph for furcal perforation and the tooth is endo treated what is the treatment
A. Repair
If it ask about the squance of tx either the tooth was endo treated or to start Rct (repair is the first)

128.Radiograph of broken instrument in the apex after cleaning and shaping ( treatment )
A. obturation
If preoperative pulp was vital and noninfected (bypass and obturation) good prognosis If it
infected ( bypass not possible, obturation +follow up )
129.After finishing cleaning and shaping and before the obturation the final file break at the apex and the dentist
try to bypass it but he can’t remove it then he decides to obturate, what is the prognosis for that tooth: -
A. Good.✅
B. Poor.
C. Fair.
D. Questionable.
130.patient came with broken file in middle third , she did the rct before 1 one week and want to complete, there is no
pain what is the prognosis?
a. good
b. poor
c. can’t be predicted
d. Questionable✅

131.A You are doing instrumentation for #13, and in the middle of the procedure, you lost the working length. What do
you do? (mentioned before)
A. Use a pre-curved file size 8 or 10.✅

132.While doing retreatment after removing GP you couldn't reach it Full working length what cause?
A. ledge✅
B. MUD
C. Perforation
133.Rct tx the doctor loss working length when he investigate there is no things in x ray what is the cause?
a. Ledge✅
b. Zipping
c. Debris
134.Endo treated tooth but have separated instrument & no symptoms What’s the management?
A. Root amputation
B. Surgical root canal treatment
C. Non surgical root canal treatment
135.Case endo with Gutta peacha extend from apex ..what treat?
A. Flow up
136.Calcium hydroxide extruded from canal what is the management?
A. Follow Up ✅
B. Surgical root canal treatment
C. Non-surgical root canal treatment

●
137.X ray with extruded sealer what is your management ?
A. Follow up
138.Over extruded ZOE in pulpectomy?
a. Allergy
 b. delayed resorption of ZOE✅
c. tooth discoloration

139.While you were doing RCT, you find pulp stones and calcified canal, what to do?
A. Complete treatment till your limit and knowledge
B. Refer to endodontist because they have better devices ✅
C. Ask for another opinion
140.ray of endodondtic mishap ( separated instrument in middle of canal ) ask about cause :
A. improper access ✅
B. Manufacture error

●
141.Two necrotic adjacent teeth with sinus tract between them, radiographically there was a RL lesion apicaly and between them,
how to know the sinus tract related to which tooth
A. sinus tracing using gutta percha size #25✅

142.a pic of calcified canal asking about how you should do the access cavity?
A. periodic cbct during prep
B. Periodic pa during access cavity prep✅
C. Shifted pa to locate the canal
D. Occlusal radiograph
143.Case that has furcation perforation, reason?
a. Inadequate access ✅
144.pic for upper second pm with crown and bad Rct and two post on of them perforating the side of the tooth and
asking about best treatment
a. - extraction✅
b. - Surgical treatment
c. - Non surgical
145.Burs for access for RCT through PFM
A. Diamond in porcelain , Transmetal for metal✅

146.Patient with perfect PFM crown needs RCT.

a. Open through the porcelain with Diamond bur ✅
147.Good endo in 15 what next step ?
A. full coverage restoration✅

●
148.How to sterilize GP before obturation

149.25 rct during cleaning and shaping pt feel sever pain, profuse bleeding and edema ?
A. Naocl accident✅
150.What to do after sodium accident in the canal?
A. Wash with saline.✅
151.pt have dull pain, what the cause(mentioned before)
a. A myelinated
b. A unmyelinated
c. C unmyelinated ✅
d. C myelinated
152.Non myelinated nerve in pulp dull pain ?
A. A: alpha
B. A: beta
C. C fiber ✅

153.which cause necrotic pulp

A. onlay
B. inlay
C. full crown
D. root caries

154.Dentist want to take WL and placed files in mandibular Molar, and when they took angled radiograph with
mesial shift, which canal is mesial ?(SLOB rule)
A. Mesiobuccal
B. Mesiolingual ✅
155.file 30, D9, taper 0.04?
A. 0.66 =>(0.04*9)+0.30
156.k-file size 20 measure D15 not mention the taper ?
A. 0.30 ✅
157.main job of EDTA ? (mentioned before)
A. Remove Inorganic✅
158.What is (EDTA) with correct concentration that used effectively in irrigation: -
A. Ethylendiamnitetracitic acid 17%.✅
B. Ethanodiamintetracitic acid 17%.
C. Ethylendiamnitetracitic acid 0.5%.
D. Ethanodiamintetracitic acid 0.5%.

●
159.type of endo sealer that is resorbable?
A. ZOE✅

●
160.Ah plus sealer (mentioned before)
A. Resin sealer
161.Why according to researchers NiTi files do not cause transportation and preserve canal morphology?
 a. low models of elasticity✅
b. Rigid
162.File with active curing tip(mentioned before)
a. K file✅
163.ph of sodium hypochlorite
A. 11✅

164.Which instrument used to heat and inject the GP directly into the canal ?
A. Thermafil
B. Obtura lll✅
165.Which of the following is used for filling canal with heat gutta-percha ?
A. Obtura III ✅
B. System B
C. Thermafil

166.Carrier based GP ?
a. Thermafil ✅
b. Obtura lll

●
167.Irrigate that remove smear layer?
A. EDTA✅

168.Why we remove smear layer before obturation?

A. To let sealer enter in dentinal tubules
169.When irrigating an open apex, what should be considered?
A. Sided vented needle
B. CHX
C. Diluted Sodium hypochlorite ✅

●
170.Irrigation for open apex?
 a. sodium hypochlorite✅
b. CHX
c. EDTA
d. Normal saline

171.Working part of endo file

A. 16✅

172.What type of a file that has a circular cross section

A. H file✅
173.hedstrom file (H file)
A. filling✅
B. rotary
C. reaming

174.1,1, 2-Tetrafluoroethane temperature?

D. -26✅

175.PCA composition?
A. Sodium hypochlorite and CHX✅

176.RC-prep component?
● EDTA and urea peroxide

177.GG size 2 correspond file size ?

A. 70✅

178.Main function gate glidden?

A. Coronal flaring✅

179.C shape canal orifce located by ?

a. 169 L
b. #1 round bur
c. #2 round bur
 d. Ultrasonic✅
180.sound tooth but apical bone resorption + necrotic what is diagnosis?
A. Primary perio secondary endo
B. True combined lesion ✅

181.#46 not response to the EPT and the probe reach to the apical area in distal side with bone lose what is the
diagnosis ?
A. True compined
B. Primary perio secondary endo
C. Primary endo secondary peri✅

●
182.What is the treatment of this case ?
A. Perio only
B. Endo only
C. Endo followed by perio. ✅ (we always start with endo)
D. Perio then endo
183.PIC mesial canal disappeared what happened? (mentioned before)
A. bifurcation canal
184.Sudden disappearance of the canal on x-ray
A. The canal split (bifurcation of main canal) ✅

185.type of bacteria in necrotic?

A. Anaerobic✅

186.Silver point rct ( radiograph )

187.Why we can't using the silver point?

a. difficult to retrieve
b. Lack of sealing✅
c. Discoloration

188.pt. With sever pain during biting and the pain occurs during occlusion too and cannot tell what exactly the tooth
is diagnosed by??
A. Percussion test
 B. vitality test
189.Pt came with pain in #46 (Dx is symptomatic irreversible pulpitis with symptomatic apical periodontitis ) after
u take the x ray there was a large RL on tooth #46 and endo treated #47 with a crown u did the percussion test the
pt felt pain at #47 what will be ur next step?
A. RCT for #46 ✅
B. Ab until the pain is relieved
C. non surgical root canal Re-treatment #47
D. Extract#47
190.Tooth endo treated there is sensitivity to percussion and the endo is good what to do?
A. Intentional replantation
B. apical surgery
C. non surgical endo treatment ✅

191.Prosthodontics will repeat PFM crown normal percussion and respond x ray was provided ( bad Short RCT , no
preapical changes) about endodontic treatment what should he do ?
a. Non surgical RCT✅
b. surgical RCT
c. Do nothing

192.Case scenario about pt with pain , had RCT on 26 everything with normal response percussion palpation probing
depth" what is cause? X ray was provided ( slight over extended GP and priapical lesion) what will help in
diagnosis ?
A. CBCT ✅
B. Tracing

193.flex-R file cross section

●
194.16 yrs pt with molar need RCT and mandible onion skin appearance : Garys osteomotilits
A. antibiotic
B. Resection
 C. currtage the lesion
D. RCT ✅

195.long scenario about patient has hypertension, and taking warfarin and Plavix, then he replace it by diuretics and he
needs to do RCT how to manage?
A. Do the RCT without change✅
B. Stop plavix
C. Stop dirutics

●
196.X-ray endo treated tooth and ask how to make a crown? (Need more details)
A. Pre fabricated parallel post
B. Post and core and crown 🔁
C. Composite restrained crown
197. Pain on #46, you did x-ray, pt has pain, and large radiolucent lesion close to the #47, what to do?
A. Do you only treat by RCT
B. Tell the PT he has radiolucency
C. Tell him you will extract #48
198.Patient having pain on biting on lower right side examination revealed sensitivity from #47 and PA was provided
( in the PA #47 having Endo treatment and post and there is perforation of the mesial wall of the mesial root and
#46 having post with no endo, both teeth with having no apical lesion ) asking about the reason of the patient complain
199.Negotiations canal with any motion
A. filling
B. reaming
C. Circumferential
D. Watch winding✅

●
200.Taurodontism Tooth need RCT
A. refer to endodontist🔃
201.Patient has peacemaker, came for the tx of 37, dilacerated root, the EAL results were inconclusive. Why is it hard
to determine the working length?
A. Complicated anatomy
B. EAL can’t be used in such condition ✅

●
202.Loss of Temporary filling from 6 month for rct tooth...and thee ndo is good without and radiolucent .what
treatment?
A. Definitely permanent filling
B. Rct✅
203.Which root is mainly in root ampution?
A. Db of upper 6

●
204.#46 with short mesial obturation way ?
A. Joins canals🔁
205.How to measure working length?
A. Anatomical apex
B. Radiograph apex
C. Major apical construction✅
D. Minor apical construction

206.Female patient 16 old #16 or 36 caries and lingering pain what depend post operative pain?
A. Age
B. Gender
C. Tooth location
D. Pre operative pain ✅

●
207.pt came with pain irreversible pulpitis how to manage as GP?
A. Pulpotomy and refer to specialist✅
208.Treatment choice for RCT treated anterior tooth that has small accesses cavity and mesial defect?
A. Composite ✅
B. Crown with post
C. Crown without post
D. Post
209.File for Straight access canal?
210.case …exposed dentin and feel pain and sensitivity , what responsible of pain?
A. Fluid ✅
B. odontoblast process

●
211.pt came to u after doing endo treatment recently every thing was good as will as final resto was very good and
when u see the x ray all its normal what should u do?
A. Give Analgesic ✅

212.Patient came post few days of RCT treatment and all is perfect but he has severe pain?
A. Give NSAIDs✅
B. Give acetaminophen
213.pt after Rct you give him ibuprofen and he come back with pain what should you do?
a. give him ibuprofen +acetaminophen✅

●
214.Treatment of patient suffering from pain after initial endo treatment what management?
a. RCT with antibiotic
b. RCT with analgesic✅
215.Direct pulp capping form?
A. Reparative dentin ✅
216.A patient came to you with persistent pain of tooth 16 after RCT after examination of the patient you find that the previous
dentist did RCT for 17 instead what will you do:
A. -prescribe analgesics
B. -treat the 16 without telling the patient
C. -tell the patient pain is normal after RCT
D. treat the patient and explain to him comprehensively about the situation✅
217.EPT measure what ?
A. pulp neural response ✅

218.4 years old with sever pain and headache and couldn’t sleep, what is the cause?
a. Teeth pressure
b. pulp degeneration✅
c. Food trapped on the caries
219.Patient need RCT and don’t want rapper dam?
a. refer to endo✅
b. do it with consent
c. refuse
d. report to hospital
220.pt with endo treated premolar and crowned very well , 2-3 mm prob depth but pt feel pain with bitting , x ray
norma , what you will do :
A. exploratory surgery
B. remove crown and check crack
C. extraction

●
221.An endo-treated tooth case, and the patient is asymptomatic. However, there's a periapical lesion on the mesial root.
 What would you consider it
a. Acute apical abscess
b. Acute radicular periodontitis
c. Chronic radicular periodontitis✅(because it is a asymptomatic)
222.Extra oral swilling in the left side and the tooth 44 and 45 respond normally to pulp test and the 45 is positive to
percussion and palpation what's the apocal diagnosis to 45
a. acute apical abcess
b. Chronic apical abcess
c. Asymptomatic apical periodontitis
d. symptomatic apical periodontitis✅

223.Pt have cancer and metastasis bone have severe caries and pulpits and non restorable?
A. Amputation the crown and RCT in the root✅

●
224.Symptomatic pulpitis
a. Hyperemia✅
b. Chronic apical abscess
c. Acute apical abscess

Resto
1.between GIC and composite

2.Gic compared to composite?

A. Solubility ✅
B. Less micro leakage
3.dr preparation for class 1 amalgam restoration, remaining dentine thickness is 2.5 what under restoration?
a. Varnish✅
b. Gic

4.remaining dentine thickness 0.5 mm what material to use:

a. calcium hydroxide
b. calcium hydroxide with RMGIC✅
5.case of cavity prep and there is less than 0.5 mm remaining dentin thickness
A. CaoH liner the GIC base✅(depends on the restorative
6.only 1mm remaining dentine after preparation what to put?
A. Caoh liner
B. Caoh liner with RMGIC base
C. RMGIC base ✅
7.Minimum thickness if base under amalgam
A. 0.5✅
 B. 1
C. 2

8.Strong carious stimulus with disrupt osteoblast?

A. Reparative dentin ✅

9.Cell responsible for reparative dentine?

A. Odontoblast cell
B. Dental pulp stem cells ✅

10.Type of dentine after 6 weeks of caries excavation and direct pulp capping
a. Primary
b. Secondary
c. Tertiary
d. Reparative✅

11.Pedo pa have proximal caries which restoration ?

A. Class III resto

12.composite restoration with undercontoure and open contact, margins are sealed and perfect, what is your
management
A. repair it by removing part of the proximal box✅
B. replace the entire restoration
13.class 2 composite restoration with proximal box how to manage?
A. Remove all restoration
B. only the proximal✅
If the occlusal surface has no defects or caries , if there a defect all restorations removed

14.Impression for fracture clasp ( economic material)

A. Alginate
15.best Impression for FPD
A. PVS
16.hydrophilic impression?
A. poly ether✅

17.Impression don’t change in water ?

A. Polyether
B. polysulfide
18.pt sulfur sensitive which type impression material avoid ?
A. addition silicone
B. condition silicon
C. PolySulfide ✅
D. Polyether

19.impression material can pure more than once

A. addition silicone ✅
B. condition silicon
C. PolySulfide
D. Polyether
( Polyether also can be poured multiple times but addition silicone is more dimensionally stable and therefore
more suitable for multiple pouring

20.Alginate impression stick to teeth why?

A. Dry teeth ✅
B. Improper mixing
C. Water to powder ratio
D. Inserted after gelation
21.alginate impression , delay pouring more than 15 min then cast appear soft and chalky cause :
A. Dehydration of impression✅
B. Expansion of impression

●
22.the alginate impression was disinfected with Naocl then it was left without cover for 1 hour before pouring? ( syneresis )
a. Cast will be smaller than the patient mouth✅
b. Identical to the patient’s mouth

●
23.Patient with class 5 caries extend subgingivally +2 mm what the best management?
A. Double retraction cord
B. forcefully wedge the floss
C. Crown lengthening to expose the root ✅
D. Gingivectomy
24.Best management for conserve coronal tissue
A. IPC
B. RCT
C. Pulpotomy
25.palatal groove present in which teeth?
A. Lateral✅

26.with sever bruxism and pic wear down posteriors ?

A. Attrition✅

27.Pt came with sensitivity, on examination there is saucer like smoothed surface on cervical area of posterior teeth
.diagnosis
A. Abrasion✅

28.patient has shiny smooth teeth surfaces with elevated metal margin of restoration , what is the diagnosis?
a. erosion✅
b. Abrasion
c. Abfraction
d. Attrition
29.first thing in fourth Formula,?
A. With of blade✅
30.pt with white spot on ant. Teeth on dry and wet since she child , what is the cause
A. enamel hypoplasia
B. amelogenesis imperfecta

●
31.Wear tooth + trismus the best restoration
A. :full crown✅

●
32.What is the advantage of resin composite over acrylic resin composite? ( read this table for information )
A. Low shrinkage ✅

33.Main components of titanium

A. aluminum ✅

●
34.CAPG pt impression management?
A. Retraction cord with phenylephrine✅

35.Best restoration material for high risk adult, class V ?

A. Composite
B. Comoper
C. GIC
D. RMGI✅

●
36.Black color of gingiva with amalgam core and metal cast restoration , cause ?
A. Bismuth toxicity !!
If (amalgam )is there , is the correct answer

●
37.dentinal tubules near to pulp
a. 1
 b. 2
c. 3✅
d. 4

38.amalgam phase cause corrosion

a. beta 1
b. beta2
c. gamma1
d. gamma2✅

39.high risk of mercury release procedure?

A. wet polishing
B. dry polishing✅
C. removal of amalgam with high suction
D. placement of amalgam
40.excess amalgam mercury
a. Dry polish
b. Wet polish
c. Amlgam place
d. Polish with water and suction🔁

41.A child came to the clinic with his mother, and the mother told us that it was difficult to use floss with the sixth molar
that the doctor had performed an amalgam restoration on a week ago.
A. Overhang ✅

42.What is the reason of over-hanged restoration ?

43.overhang with amalgam

A. The reason we didn't use a wedge ✅

44.overhanging restoration amalgam ?

a. replace and then crown
b. recontouring and then crown ✅
45.Patient have class VI and have bruxism. material choice?
A. Composite
B. Amalgam ✅
C. Gold onlay
46.Bruxser patient, multiple teeth with wear and some undermaining functional cusp tx?
A. Amalgam
B. Gold onlay ✅
47.push movement
a. curate
b. hoe
c. chesil✅

48.increase retention.
A. groove and box✅

49.What is the consequence of restoration high points contact in molar?

A. mobility of the tooth
B. loss of bone
C. affecting of the opposing🔁

50.Dentist took PVS impression and found a void in the finish line, what to do?
A. put light body silicone and take the impression
B. retake the impression✅

51.What type of material is used in removable appliances?

A. Gold
B. Alloy✅
C. Titanium

52.The instrument used for finishing class II amalgam?

A. Enamel chisel
B. Spoon excavator
 C. Gingival margin trimmer✅

●
53.The instrument used for finishing cavity class II amalgam?
A. Enamel chisel
A. Curved chisel

Note:the correct answer is enamel hatchet if it is not in the options then the answer is chisel because the hatchet
is a type of chisel
54.Etching then bonding what generation?
A. 4
B. 5✅(if primer + adhesive are together )

55.After a dentist completes a cavity preparation, uses 35% phosphoric to etch the cavity, rinses, uses bond,
dries, and then cures it, what generation of the bond is it?
A. 4th
B. 5th ✅
C. 6th
D. 7th
56.Clamps for class V
a. 212 ✅

57.clamp number for canine cl V?

A. 27
B. 8
C. 14
D. 212✅

58.Rubber dam clamp seat inadequate cause:

a. Gingival recession ✅

59.Class V tooth, u will make a hole on rubber dam

A. The hole should be in the normal alignment of the adjacent
B. The hole should be facial to the normal alignment✅
 ●
60.What to do for prevent inhalation rubber dam clamp?
A. Floss it
61.leakage rubber dam?
A. Holes are to close
62.Too far holes on rubber dam(mentioned before)
a. Rubber dam wrinkles ✅

●
63.Deep caries, risk of pulp exposure
a. Leave affected caries and temporization and follow✅
64.a patient came in who had a restoration done on an anterior tooth two days ago and the shade is not matching. What
should you do for him? (Mentioned before )
a. Replace the restoration
b. Etch the restoration then add adhesive then composite
c. Remove 0.5 mm of the restoration and add composite

65.pedo pt with mother need class 1 restoration And mother afraid from any dental injury What should the doctor do to
prevent?
a. Bite block
b. Rubber dam✅
c. High suction

66.the most used type of composite with high polishability

67.a cusp that cause food impaction and cause wedging effect:
a. plunger cusp✅
b. wedging cusp

68.pt with mild white spots tx?

a. amalgam resto
b. gic
c. composite
d. reminalization tx ✅
69.White spot lesions after orthodontic tx done removing by ?
A. Fluoride gel
B. Fluoride varnish
 C. Reinforce oral hygiene✅

70.The pt lost his 3 lower incisors and remains 1 and the dentist thinks is it #32, which of the following can help to
differentiate between 32 and 31?
a. incisal edge is straight and slopes downward in a distal direction
b. Sharp angles ✅
c. Mesial inclination of crown

71.Pt with gold bridge and amalgam core and post, complained about pigmentation in gingival for a long period, what is the
cause?
a. Increase melanin pigmentation in tissue
b. Amalgam embedded in tissue accidentally✅

72.We removed the amalgam filling and found a line from medial to lateral without movement
A. Crack

73.caries of fissures and pit

●
A. It is V-shaped, opening towards the enamel-dentin junction
74.Longest time to pour alginate

●
75.Which of the following property makes the use of flowable composite preferred over packable composite in
preventive resin density: -
A. Low micro leakage.✅
B. Low time consuming.
C. Low filler content
D. Less technique sensitive.
76.What is the preferred thickness for composite: -
A. 1.
B. 2.✅
C. 3.
 D. 4.
77.What is the function of varnish under amalgam restoration: -
A. Protect the pulp.
B. Prevent dentin discoloration.✅

78.Patient came to do restoration for tooth #21 and after placement of rubber dam you want to choose the shade of
restoration for that tooth and you found the enamel appears chalky and lighter, what is the cause for that appearance:
A. Enamel permeability.
B. Enamel permeability and water content.✅
C. Enamel permeability and organic matrix content.
D. Enamel permeability and hydroxyapatite content.

●
79.While making class IV restoration, what is the matrix you will choose: -
A. Mylar strip.✅
B. Tofflemire matrix.
C. Sectional matrix.
D. No need for matrix.

●
80.What type pf matrix used with class III restoration?
A. Strip matrix

●
81.Case about female patient complaining of wear for her restoration because of bruxism, what is your management
in new occlusion in the restoration to prevent lateral (trauma or displacement i think): -
A. Put it in smoothly concave fossa.✅
B. Put it in deep fossa.
C. Light contact with opposing teeth.
D. Eliminate the contact with opposing teeth.

82.Bruxiser pt need multiple Cl l restoration in the lower teeth, what we need to do to reduce lateral deflection?
A. Deep fossa
B. Shallow wide fossa ✅
C. Light occlusion with functional cusp
D. No occlusion with non-functional cusps
83.What is the main disadvantage of PVS(mentioned before)
A. High tear strength.
B. Become very stiff when set.
C. Water by product.
D. Polymerization may inhibit by latex gloves.✅
84.patient with overhang in the first and second premolars with gingival inflammation dental floss moved easily
 between them easily
A. Remake the restoration ✅

●
85.patient complaining of food impaction after examination two teeth having back to back restorations but with open
contact, how to manage
A. Remake
86.It came for restoration of upper incisor she was concerning about esthetic. What will use
A. flowable
B. Macro
C. nano ✅
D. hybrid composite

87.Cr co advantages
A. high modulus of elasticity✅
B. low modulus of elasticity

●
88.How to increase setting time of alginate?

●
89.when u do night guard cover all of upper and lower tooth with ( mention before)
A. Free of contact✅
90.What is the bur that is used for buccal groove
A. Tapered fissure✅ ( If orientation buccal groove then round-end )

●
91.What is the name of the contact area between the teeth
A. Contact area
B. Contact point
C. Proximal area✅

●
92.pic class v in molar#16 has voids in the margin how to manage it?
A. Over contour for margin
B. Repeat the prep and resto
C. Prep voids area and restore by composite. ✅
93.What is the purpose of using tip in flowable ?
A. Reduce air trapping✅
B. reduce wasting too much composite
94.Which of the following patients should be informed about?
A. post-operative sensitivity ✅
95.Most commonly used luting agent in composite?
A. resin
96.Tooth #16 need class v5 restoration which position of dentist
A. Right
B. Right rear✅
C. Front right

97.Dentist use additional silicone...what to do before pour it?

A. Don't pour immediately to let gas leave✅.

98.meaning of thermoplastic

99.Type collagen in pulp?

A. Type l✅

100.Advantage GIC?

●
101.advantage luting cement?

●
102.(image)Bur in wrong angulation while prep what misshape?
A. Under cut ✅
B. Vertical margin
103.(Image of molar restored with amalgam class1 and proximal box), there’s failure and secondary caries what the best
alternative material?
A. Composite
B. Gold
C. GIC
D. Cast metal ✅
104.pic with two defective amalgam restoration in pit with defective margin and secondary caries , and distal box restoration
which fall and after you remove it and do good cavity what is the type of material you will replace with
A. composite
B. GIC
C. RMGIC✅
105.How does Xylitol prevent dental caries ?

106.Scenario: A picture of teeth with gold restorations, and underneath them are black discolorations. It's mentioned that a
post and amalgam core have been done. What is the cause of the discoloration?
A. amalgam✅
107.High-copper amalgam contain?
A. 2
B. 10
C. 13 ✅

●
108.why mixing cement on cold glass slab?

●
109.Case about mesial class IV resto will be done in central incisor, where the contact area will be?
A. incisal third✅
B. Along with the mesial surface

110.staring at a object color and suddenly you can’t see the object color anymore?
A. blind color
B. fluorescent
C. color adaptation✅ (color fatigue.)
111.Conservative access cavity MOD and u did endo , what is the next step?
a. Prefab Post and core✅
b. Cast post and core
c. Also cast post with something
112. High crystalline structures in enamel
A. Calcium phosphate
B. Calcium aptite
C. Calcium florid
D. Hydroxyapatite✅
113.Case cervical enamel projection what treatment
 114.A patient came in who had a restoration done on an anterior tooth two days ago, and the shade didn’t match. What should
you do for him?
a. Replace the reatoratin
b. Remove 0.5 mm and repair the shade ✅
115.MOD caries after dentist finish the preparation there was no composite what is the management?
a. temporary restorations then reschedule for another appointment ✅
b. change the prep and take impression for inlay

Perio
1.How smoking affects perio?
A. Decrease colones of shallow pocket
B. Increase colones of shallow pocket ✅
C. Increase plaque
D. D. Decrease calculus

●
2.Bone level of smoker and non ?
A. Reduced

3.what type of incision on 47 with perio problem distally?

A. Intrasulcular✅ (previously mentioned)

4.Type of incision for canine root coverage when using CT graft for coronally displaced flap?
A. Sulcular ✅

●
5.what type of flap for recession in #34 With connective tissues graft that will apical advancement of gingiva ?
A. Internal incision
B. External incision
C. Intra sulcular ✅
D. Peraosteal advancement
6.you will do coronally advanced flap:
a. external incision
b. Internal incision ✅
c. Partial flap
7.16 year old patient scheduled for perio surgery in tooth 36 which have persistent inflammation, What is the
(Predictive?) factor for to preserve interdental papilla?
A. Semilunar flap✅
B. Envelope/ trapezoid flap With incision release
C. Thick issue
D. Persistent inflammation

●
8.Picture of double papilla flap and ask about the name of flap.

●
9.Pt with Sever periodontitis he smoke half packet everyday , the pocket depth is 3mm and have this result frequently
A. Regular reading
B. Low risk of recurrent
C. High risk of recurrent
10.20 years old patient smoke 20 cigarettes per day, what is the most effective method for cessation of smoking
A. Counseling.✅
B. Self help materials.
C. Course of varenicline.

11.What’s the most likely the etiology of gingival recession ? Previously mentioned in June
A. Occlusal trauma
B. Over contoured crown
C. Under contoured crown
D. Biological width violation

12.At what level should the alarm be set for biological violations?
A. A. 0.5 ✅
B. B. 1
C. C. 2
D. D. 3

13.How to confirm biological width violation x-ray?

a. Vertical BW ✅
b. horizontal BW
 c. OPG & PA
14.pt have pfm anterior crowns since 6 year and everything was good and since two month (almost) he start complaining of
display metal margin what is the cause?
a. Violation of biological width
b. pt brush aggressively✅
15.Recession management in anterior incisors region (pic)
a. Ct graft ✅
b. free gingival graft

16.patients have isolated recession in lower incisor... and high frenum...what to do?
A. root coverage flap and frenectomy ✅
17.Pic for recession and asking about the most proper tx?
A. composite only
B. Composite then tissue graft
C. Tissue graft then composite
18.Pic for recession + class V and asking about the most proper tx?
a. Tissue graft then composite ✅
b. Composite the graft

●
19.A patient has a recession, and we want to refer him to a periodontist who will make a gingival graft and the tooth is tilted
labially, do we need to do ortho treatment before referring him to a periodontist ( Q not exactly like this but about ortho and
bone graft read about it )
a. Bone graft before ortho Tx✅

20.pt came after an appointment with periodontist, (pic of exposed palate) a graft was taken from palate placed on labial side of
lower anterior which type of this graft?
A. connective tissue graft
B. Gingival tissue graft ✅

21.3mm bone , 2 keratized tissue?

A. Gingivectomy
B. Gingivoplasty
 C. Apical reposition without conturing bone✅
D. Apical reposition with conturing bone

●
22.patient has badly decayed teeth, plaque and calculus and caries, what is the treatment to do after orthodontic treatment is
done?
A. RCT
B. Crowns
C. Restorative
D. Scaling and root planning✅
23.Pt have aggressive periodontist what is the reason for host modulation?
a. Periodontitis
b. Systematic disease
24.Presented a case where a patient undergoing orthodontic treatment suddenly experienced unexpected gingival bleeding,
swelling, and enlargement of the gums. The condition appears to be similar to an overgrowth, the oral hygiene is very
good.
a. gingivectomy
25.picture of tooth upper premolar referred from prosthodontic to do crown lengthening (CL) and it has short
clinical crown.. what is the management?
a. ginivectomy
b. gingivoplasty
c. CL with recontouring
d. CL without re contouring
26. (pic of short clinical crown due to excessive gingival growth) tx?
a. crown lengthening
b. lips repositioning surgery
c. internal bevel gingivectomy
d. external bevel gingivectomy✅
27.case of fracture tooth (the whole crown is gone) endo treated with post, no pain and patient want a crown
a. extraction
b. crown lengthening
c. extrusion and crown ☑ * depending on pic
28.After removing defective FPD that’s violated the biological width what is the first step to consider? (picture of abutment
with inflamed gingiva)
A. gingivectomy
B. gingivoplasty
C. disease control ✅
D. crown lengthing
29.Pt with bridge removed, both centrals had nothing but both laterals are completely destructed, with no ferrule. What
to do?
A. Crown lengthening
B. Disease control✅

●
30.bone loss in periodontal disease:
 A. 0.2 facial , o.3 proximal✅

●
31.Patient in army with stress, foul mouth breathing
a. Necrotizing ulcerative gingivitis ✅

32.Adult Pt healthy severely stressed came complain of bleeding on brushing , desquamated gingiva grayish
surface, no CAL no bone loss on x ray diagnosis
A. NUG ✅
B. NUP
C. primary hermetic gingivostomatitis
33.Case scenario about pt with NUG and high fever what to do in 1st visit:
a. subgingival scaling
b. Antibiotic and supragingival scaling ✅
c. Incision
34.What to do for NUG patient on first appointment?
A. Deep supra and sub gingival cleaning
B. Supra gingival scaling ✅

●
35.pic for teenager pt. Having gingival inflammation I think it was NUG and asking about first step in treatment
a. removing pseudomembrane✅
b. Super-facial scaling
c. Scaling and root plaining
36.interdental papillae covered by yellow slough.
a. Nup✅
b. Desqmutove gingivitis
37.pt with PD 1-3 mm and no bleeding on probing and there was a pic of upper arch with recession
A. periodontitis
B. Reduced periodontium on inflamed gingival
C. Reduced periodontium on healthy gingival✅

38.Patient have gingivitis and plaque index was 18% BOP 29% , under microscope suggested pemphigoid
What is the diagnosis?
A. Non plaque induced gingivitis.✅
B. Necrotizing gingivitis
 C. Plaque induced
39.pt came complaining of bleeding gums, poor oral hygiene, plaque accumulation on her all teeth.On examination she has
ortho braces on upper and lower teeth . She said she is doing here same oral hygiene before ortho treatment. What is most
possible cause
A. ortho induced gingivitis
B. non plaque induced gingivitis
C. plaque induced gingivitis ✅
40.a 55-year-old woman with type II diabetes presented to the clinic complaining of bleeding gums. Clinical
examination revealed generalized probing depth 7-9 mm, generalized bleeding on probing, horizontal bone loss 50
%. HbA1c 8.5%. Which of the following is the most likely treatment of choice?
a. Refer the patient to the physician to control the diabetes✅
41.28 yo with cal 5 and 50% bone loss non smoker and healthy ?
A. Stage 3 grade C ✅
( Grade C because (50%bone loss / 28 age of pt = 1.7)
42.Perio diagnosis: diabetic patient HbA1c= 10, smoke 1 pack/day, CAL= 3-4mm.
A. Stage 2 grade C
43.45-year-old man is complaining of bleeding from his gums when brushing. Medically he is healthy and taking no
medications. The clinical examination revealed gingiva that is edematous,erythematous, and there was bleeding on
probing involving all his teeth.Clinical attachment loss was generally between 5 to 6 mm (see report). Bitewing
radiographs:showed horizontal bone loss. All teeth seem treatable. Which of the following is the most
likelydiagnosis?
A. Generalized stage I periodontitis grade A
B. Generalized stage II periodontitis grade A
C. Generalized stage III periodontitis grade A✅
D. Generalized stage IV periodontitis grade A
44.A patient on examination x ray show vertical bone loss in incisors and first molar what is diagnosis? (Depend
on x-ray)
A. Stage II grade B Periodontitis
B. Stage II grade c periodontitis
C. Molar - incisor Stage II grade B periodontist
D. Molar - incisor Stage II grade C periodontist
45.case about pt 7 mm cal and smoking (2 pack) and 10 teeth lost due to perio reason what grade and stage?
A. Stage lV grade C ✅
46.Pt has generalized stage 3 grade c periodontitis
a. Cleaning all mouth and discuss for future implant
b. Scaling and root planning every 2 month✅
c. Scaling and root planning +antibiotics

47.DM pt come to emergency with swelling increase in size and cross midline due to odontogenic infection ,
what’s management
A. incision drainage , antibiotic , treat tooth✅
B. extraction , IV pincillin
C. antibiotic first
48.60 year old uncontrolled diabetes patient came with severe bone loss and plaque and calculus what is the management?
a. Finish phase 1 then refer
b. Finish phase 2 then refer
c. refer immediately then start phase 1✅
d. Treat normaly
49.diabetic uncontrol pt and poor oral hygiene plaque and calculus reason for perio
 A. diabetes
B. plaque and calculus✅

50.Scenario about diabetic patient with tooth#46. There's a localized narrow deep pocket with pus what is the
management?
A. Drain pus✅
B. Extraction
C. Observe
D. RCT
51.Diabetic pt. Compliance with intra-oral swallowing on left back tooth after examination all teeth normal response
to pulp test and percussion test. How mange? Many?
A. I&D with antibiotic ✅
B. Rct
C. Analgesic
52.55-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. 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✅
53.diabetic patient came after scaling and root planning with ulcer and pain after diagnosis the teeth was clean
what is the treatment?
A. Redo SRP
B. Topical antibiotics
C. Topical steroids✅

●
54.Pic of intact crown of 37 and slightly localized inflamed gingival margin he is Diabetic patient managed by ?
a. RCT
b. Extraction
c. Scaling and root planning✅
55.Pt came with swelling beyond the mucogingival junction ,what is the Dx ?
A. Gingival abscess
B. periodontal abscess✅

56.pic of periodontal abscess and there is isolated pocket and ask about the treatment

57.Acute Periodontal abcess tx?

 a. Incision & drainage✅
b. AB

58.pic of gingiva has periodontal abscess and ask about the treatment;
A. incision and drainage ✅

59.same picture and ask about the name of this

A. periodontal abscess✅
60.We did scaling and left calculus in deep points What could happen?
A. Perio abscess

61.Grade I furcation what managment

a. SRP ✅
b. SRP + crown lengthening

62.Pic grade II furcation what is the treatment

a. GTR
b. odontoplasty
c. Tunnel

63.Upper 4 class 2 furcation and class 2 mobility, treatment (depends on the case)
A. GTR
B. Resection
C. Extraction

64.Tunnel preparation pic for furcation involvement class 3

65.stage lv furcation
66.case after active phases perio treatment ..you referred pt to do resective osteotomy why
A. to modify physiological contour or margin recontouring ✅
B. to regenerate three wall defect
C. for Furcation elimination orplasty

67.molar tooth have recession and nabers probe pass through it, what is the prognosis?

68.Sever periodontitis but in maintenance we saw furcation class1 in upper molar what prognosis

69.Patient has 3-4 pocket depth and horizontal bone loss , furcation involvement grade 1 what is the prognosis?
A. Good
B. Poor
C. Fair ✅
D. Hopeless

70.long case : periodontist is performing resective surgery for his patient . During the procedure , interproximal
none level varied horizontally , with area of one walled interproximal defect , they want to correct these area
during the procedure ?
A. vertical grooving
B. radicular blending
C. gradualizing marginal bone
A. Flattening of interproximal bone✅
71.After extraction of lower molar (see picture) the dentist put graft and cover it with membrane then suture it,
what is the procedure he trying to do:
A. Ridge preservation.✅
B. Osseous construction.
C. Guided tissue regeneration.

72.pt with good oral hygiene complain of gingival bleeding she brush her teeth twice with whitening tooth past what
is the cause?
A. plasma cell gingivitis✅

73.asked about diagnosis of sudden inflamed gingiva in healthy patient that perform good oral hygiene measures but
use teeth whitening toothpaste? (plasma cell gingivitis picture)
A. Plasma cell gingivitis✅
74.pt with plasma cell gingivitis management ?

75.The patient did ceramic bridge 2 days ago now he compline of bleeding and hyperplasia and change in the color
of the gingiva in posterior teeth?
A. Bad oral hygiene
B. Plasma cell gingivitis
C. Truma
D. Allergy from ceramic

76.Gingival enlargement in epileptic patient

a. Phenytoin ✅

77.Pic of Nepheline enlargement gingivitis

78.long scenario the patient has sever gingival growth and take a lot of drugs which drug increase this condition?
A. Neifdipin ✅
79.Distance from marginal restoration to alveolar ridge
A. 3 ✅

80.Pt had recently IE and have stage 3 grade b periodontist recall vist
a. 4 week
b. 3 months✅
c. 6
d. 12
81.What is the measurement of perio tip?
A. 0.5 mm
WHO probe tip=0.5mm Electrical probe =0.4mm Stander probe = (<1mm)

82.Crown lengthening case ,the margin is 1 mm from the crestal bone what is the most appropriate next step?
A. remove 2mm beyond the crestal bone ✅
B. remove the excess gingiva
C. close the flab and suture it
83.After crown lengthening in anterior maxilla what is the period of time to do prosthetics?
A. 1 months
B. 6 moths✅
C. 2 weeks

84.patient did crown lengthening in ant maxilla what is the healing time to do prosthesis after it?
A. 3 months
B. 4 months
C. 6months✅
85.why it is difficult to do crown lengthening to lower 2nd molar:
a. External oblique ridge.✅
b. Mylohyoid ridge
c. Lingual nerve

86.What is the most thing we worry about when we do crown lengthening distal to the Lower second molar?
a. mylohyoid ridge
b. lingual nerve✅
 c. inferior alvelar nerve
d. external oblique ridge

87.What is the complication of doing crown lengthening in short trunk root?

A. Furcation involvement
88.patient has generalized horizontal bone loss and severe grade II furcation in 17 but slightly furcation involvement in 16,
what will you expect to see in the X-ray?)
a. Long trunk of 16 and short trunk in 17✅

89.pt with down syndrome comes with periodontitis what is reason?

A. Periodontitis as a systemic manifestation

90.case about idiopathic gingival enlargement

91.Pic of periochips {If it’s fiber will be tetracycline}

A. Chx

92.Lateral sinus lift

93.A case with rough margins and over contoured crown of restoration causing bleeding ( whats the cause )
A. Plaque induced gingivitis.
94.What percentage of Craters are all defect sizes?
A. 35.2%

●
95.Which of the following considers a sign of systemic condition related to gingivitis ?
A. bleeding while brushing
B. bleeding without local factors✅
C. gingival abscess

96.Tooth movement 1.5 bucco lingually

A. Class 2
B. Class 3✅

97.tooth move less than 0.2 buco lingual

A. its physiological tooth movement ✅

98.Before crown lengthening dr asked the pt. To rinse with mouth wash why ?

99.healthy gingiva what you will see histo

A. PMLs
B. mild number lymphocyts✅
C. larg plasma cells

●
100.What kind if cells present in healthy gingiva?
A. Mild lymphocyte✅
B. No inflammatory cells
C. Moderate plasma cells
D. Multi PMNs
101.pic of inflamed gingiva that bleeds easily with no CAL as what cell you will find :
A. T lymphocytes
B. B lymphocytes✅
C. PMN

102.pt have bleeding and enlargement of gingiva what is the cell?

 a. Leukocyte T
b. Leukocyte B✅
c. Neutrophil
103.bacteria the cause NUG
A. Fusobacterium spo ✅

●
104.case ask about the bacteria cause ulcerative necrotizing periodontitis :
A. P.intermedia ✅
B. A.A
C. Fusobacterium ✅

●
105.bacteria associated with biofilm induced gingivitis
a. P. Gingivalis, P.intermedia (chronic peridontits)
b. A.A (aggressive peridontits)
c. Fusobacterium (NUG)

106.Bacteria cause gingivitis?

A. P.Intermedia

107.Chronic periodontitis Bacteria

a. Treponema denticola ✅

●
108.Microorganisms in gingivitis pregnancy
A. P. intermedia ✅

109.what is the instrument used to measure the gingiva?

A. Periodontal probe✅(in other references it mention caliper but in carranza it only
mention probe)
110.during probing probe disappears
 A. thin scalloped gingiva
B. thick flat gingiva✅

111.Which instrument used to measure gingival thickness: -

A. periodontal probe.✅
B. Castrovejo caliper.
C. Explorer.

●
112.What is the optimal blade angle for scaling: -
A. 0 degree.
B. 45-90 degrees.✅
C. above 90 degrees.
D. 100-110 degrees.

113.shank of probe during probing ?

Aligned with the long axis of the tooth✅

114.19 yr old male pt came for regular check up after IOE there is calculus and the probing depth range from 1-3 he has
fair oral hygiene , what is the initial instrument that U will use for this case
A. Universal curette
B. Ultrasonic scaler✅
C. Gracey curette
D. Sickle scaler

115.How to polish interdental area?

A. -dental tape and polishing brush✅
B. -floss
116.Best aid in black triangles with pic ?
A. Interdental brush
117.pic intra oral conventional finger

118.Cross arch intra oral finger rest (pic)

119.pic sickle sceler

●
120.pic of sickle scaler
a. remove supra-gingival calculus.

121.instrument use to remove tenecgous calculus.

A. Hoe✅

122.Instrument for subgingival calculus for molar teeth

a. Greasy curette ✅

123.What is the instrument that used for scaling and root planing for #16 mesialy ( pic for #16 with amalgam restoration)
A. gracey 15/16
124.The instrument is used to check subgingival calculus and deformations

●
125.Patient with severe trismus and you want to do curettage for posterior lower molars what do you do:
a. curved curette
b. curette with longer shank✅

126.Picture of perio instrument and the arrow was in the shank and he asking about that part:
A. Blade.
B. Handle.
C. Shank.
127.florda probe disadvantage
A. Underestimated pocket✅
128.Sodium bicarbonate air polishing for what?
A. Supragingival plaque removal✅
B. subgingival calculas

129.Effects of gingivitis on composite restoration

a. Compromised composite restoration ✅
b. No effect

130.Pt with anterior crowns from 6 years, examination revealed recurrent caries and recession, pt noted that a few weeks
ago, what is the cause of the recession?
a. Using hard toothbrush ✅
b. Excess cement
c. Trauma from retraction cord
d. Violation of biologic width
131.Hard tooth brush causes ?
A. Recession✅
B. stillman cleft

132.What traumatic occlusion?

A. When the force exceed adaptive✅
B. Caused by jiggling force and not unilateral force

●
133.Which of the following doesn’t increase GCF fluid?
A. Smoking
B. Hormones
 C. Trauma from occlusion✅

134.fremitus classification

135.PDL fiber responsible for bone formation?

a. Osteoblast✅
136.Which pre-operative pocket shows the greatest reduction after scaling and root planing?
A. 3 ✅
B. 4
C. 5
D. 6

137.pt on maintenance visit with residual pocket => 5 mm on the same sites, indicate what?
a. high recurrence periodontitis
b. Advanced stage
138.Recession stage picture

139.After scaling you should inform the pt about

A. Hypersensitivity

140.case when the doctor treat impacted canine what happen to gingiva?
A. Overgrowth
B. recession ✅

141.Tooth #46 With crown preparation, the core restoration extends 5mm from the crest, ferrule is 2mm and the
supracrestal tissue is 2mm from the preparation margin. What is correct?
 A. Insufficient ferrule and supracrestal attachment
B. Insufficient ferrule but sufficient supracrestal attachment
C. Sufficient ferrule and supracrestal Attachment ( Biological width)✅
D. Sufficient ferrule but insufficient supracrestal attachment

142.Biological width:
A. Connective tissue 1.07 mm and junctional epithelium 0.97mm ✅

143.Pocket is 8mm and junctional epithelium at CEJ ... What type of pocket?
A. Pseudopocket ✅
B. Infrabony pocket
C. Suprabony pocket
144.internalized trials in perio to HbA1c
A. Perio Tx decreased HbA1C✅

145.patient has severe weight loss and sweats a lot at night; nothing else is mentioned. He says if you took an X-ray,
what might you see with this patient?
A. widening PDL✅
B. expansion in periosteum
C. something in gingiva

146.factor determines reconnection gingiva

147.Factors for root resection ?

148.periodontal changes in eldery (aging)?

a. decreased gingival thickness
b. increased gingival thickness
c. decreased width of attached gingival
d. increased width of attached gingival✅

149.deposit in teeth remove by water spray

A. pelicel
B. plaque
C. calculus
D. materia alba✅

150.patient noticed food accumulation in buccal areas, she has aligned teeth, and good contact points. However, she
has excessive wear of occlusal table to the proximal contact. What’s the reason for food accumulation?
A. gingival rescission
B. Loss of occlusal embrasures

151.Doctor with do esthetic crown lengthening and did perio chart and CBCT, what did he missed?
A. Surgical guide

152.patients when you avoid ultrasonic scaling?

A. infectious lung disease

153.Old pt with 4-5mm deep pockets and calculus after completing the scaling he came with localized buccal swelling cause:
A. you remove supra and gingiva contract and close on sub , remaining root surface not smooth
because of dull currets✅
154.Patient has thin scalloped gingiva on the canine when to do gingival augmentation
A. when we want to bush the canine bucclly✅( or with any surgery that will result in root exposure )
B. when there is bleeding on prob
 ●
155.distal pocket with 7 molar
A. distal wedge flap

●
156.Pt you did gingival graft, and the gingival margin is above bone 1mm, what to do?
A. Close flap and make suture
B. Return gingiva on bone🔁
157. Thinnest keratinized gingiva?
158.follow up of patients with severe periodontitis, after 6 years you are expecting that:
A. regain in CAL for patients attending regular recall visits
B. worsening perio condition for incompliance patients✅
159.Most difficult tooth for hand scaling?
A. Upper 4 ✅
B. Upper 6
160.patient with bad oral hygiene with ortho appliance and plaque , his gingiva was good before ortho treatment what
is the cause?
A. Ortho appliance more retained plaque ✅
161.Pediatric patient has an impacted canine and referred to periodontist to do surgery, Doctor made sure the canine is
not ankylosed by doing luxation . Still canine was late to erupt what could be the reason?
A. Canine necrosis
B. Injury to the canine
C. Thick tissue
D. Bone covering the crown✅
162.pic about Positive architecture “ perio”?

●
163.Pic for Non-working hand for hygienist during scaling for lower anterior?
A. Retract lips✅
164.distance between distal interproximal contact and bone crest for papilla regrowth ?
A. ⁃ less than 5✅
B. ⁃ Less than 6
C. ⁃ Less than 7
D. ⁃ Less than 8
Implant
1.gingival inflammation around implant ?(mentioned before)
A. Pre-implant mucositis ✅

2.A 72-year-old female patient had an implant at #35, and the implant had a pocket depth of 3-4 mm with erythema. What
is the diagnosis?
A. peri-implantitis
B. peri-implant mucositis✅

3.light smoker patient came to annual follow up visit after implant placement. You noticed 2.5 bone loss around
implant?
A. Peri implantitis ✅

●
4.Three implants near each other’s, everything is normal, but there is line in the crown, and pt complains of discomfort,
what is the discomfort reason?
A. Crack of crown
B. Over load
C. Peri-implant mucositits
D. Peri-implantitis✅

●
5.patient came for implant impression you noticed peri implant mucositis what to do?
A. take impression
B. delay impression for another 3 months
C. give mouthwash
D. refer to periodontist to manage the condition then take impression✅

6.PA of cemented crown of implant (excessive cement ) and she came after 1 year with pain and erythematous gingiva
and bone loss reaching middle third of the implant ,what is the cause ?
A. periimplentitis
 B. excessive cement ✅
C. peri-implant mucositis

7.Patient came to you after 6 months with his implant in his hand and said that since the day you cemented the crown
it was bleeding, what could be the cause?

a. Excess cement material ✅

b. Over contoured crown
c. Allergies to the material
8.A patient with complete overdenture complaining about the stability of the denture from 2 weeks. He had difficulties placing
the denture the first time he received it. The picture below shows an inflammation in the soft tissues over the ridge. What is
the main cause?
a. alveolar ridge resorption
b. loose ball attachment
c. distortion of the rubber
d. the implants are not parallel✅
9.Picture of an implant, and it is very close to a natural tooth causing bone loss and inflammations, what’s the reason?
A. implant position✅
B. implant angulation
10.case pt with implant and crown movement and increase with time
a. fracture crown
b. screw loose✅
c. implant fracture

11.pt compline of mobility of implant crown pus and bleeding related to implant

A. screw losing✅
B. failed implant
12.Pt came complaining from pain and mobility in crown of screw retained implant IOE revealed bone loss, inflammation
and pus discharge around the implant Radiograph for short implant and bone loss what could be the cause
A. Failed implant
B. Loss screw ✅
13.Pt came complaining from pain when eating and brushing on crown retained implant that done 1 year ago, what could be the
 cause ? (pic of crown retained implant replacing #36 with recession buccally)
A. High occlusion
B. Inadequate attached gingiva✅
C. Loss screw
14.Absolute contraindication for implant
A. Active radiation treatment ✅
B. Diabetes
C. Periodontal disease
D. Osteoporosis

225.patient taking IV bipho… and metformin, want implant. What it the cause of contraindication for impant?
A. Iv biph✅
15.Absolute contraindication for implants?
a. IV biohesphonate✅
b. oral biohesphonate
c. Diabetes

16.papilla length between tooth and implant ?

a. Less than 5

17.space between implant or crest of bone and papilla

A. 3.4✅

18.Pt want to replace 22 with implant What is the most appropriate implant platform position to adjacent CEJ ?
a. 1mm
b. 2mm
c. 3mm✅
 d. 4mm

19.sign alarm of bone loss around implant ?

A. 0.5 mm
B. 1 mm
C. 1.5 mm
D. 2 mm✅

20.loss around implant after one year

A. Less 0.2 ✅

21.pt had trauma and lost #21 what implant to choose

A. 4.8 submerged implant✅

22.Implant length 8 mm what is the recommended bone length? Not mention area
a. 10mm✅
b. 6mm
c. 4mm
If the implant placed in the maxilla (8mm+1 mm away from the maxillary sinus = 8mm length of bone)
If the implant placed in the mandible (8mm + 2mm away from the IAN = 10 mm length of bone)
23.If distance from sinus to the crest is 12 mm. what it the maximum length of implant?
A. 11 ✅
B. 12
C. 8
24.Minimum height of bone to place an implant replacing #22?
A. 6-7
B. 7-8
C. 9-10✅

25.bone high above inferior alveolar nerve 13 length of implant

A. 10✅
B. 12
C. 14
D. 8
26.patient need implant to restore 36 the space between the IAN and the 12 mm that is the maximum fixture
length
A. 10 mm
27.Missing 22 pt wants implant MD space 5.8 and BL space 8 type of implant ?
A. 2.9 ✅
B. 4
C. 5
D. 4.3
( 5.8mm - 3mm = 2.9mm ) ( 3mm is require space between implant and adjacent teeth )

28.patient lost tooth 21 the mesiodistal space 8mm and buccolingual space is 6 mm what is the diameter of implant?
a. 2.9
b. 4
c. 4.8
d. 5✅

29.mesiodistal length was 7 mm , bucclingual was 7 mm what is the size of implant ?

A. 4 mm ✅
30.mesiodistal width of max lateral is 5 mm .. what should the canine width be?
a. 6 mm
b. 8 mm
c. 3 mm✅(5*60/100)

31.Patient came with missing #46 and want to replace it with implant, the available space was 14 mm mesiodistally
and 10mm horizontal, what is the appropriate size for implant: -
A. 5mm dimeter implant.
B. 6mm dimeter implant.
C. 4mm dimeter implant.
D. Two 4mm dimeter implant.✅

32.Minimum interarch space for helix implant?

A. 7-8 mm
33.helix implant minimum space required
a. 5 mm
 b. 7mm✅
c. 3 mm
34.implant on mental nerve?
A. 5mm anterior ✅

35.Recommended for lower edentulous(mentioned before )

A. 2 implant overdenture
B. 4 implant overdenture✅
C. CD
36.minimal implant for implant supported denture in mandible ?
A. 2✅
B. 4

37.Implant with 8mm pockt:

A. Extraction

38.Minimum time for osseointegration in maxilla:

39.Bone height is 7mm and you want to place an implant in the upper 6
a. Ridge Augmentation
b. External lifting
c. Internal lifting✅
d. GTR
40.Soft tissue around Implant
A. same as soft tissue around tooth

41.Patient came with bleeding on probing after implant placement what will u see?
a. Deeper pockets that the tooth✅
b. Same as teeth
42.Patient have a lot of plaque and bad OH...and he have implant, what do think about situation of implant compare to natural
tooth?
A. implant same natural tooth ✅
B. implant affected more than natural tooth
43.pt came with missing #44,45,46,47 and dr decide to do implant for #44,45,47 and cantilever for #46 i think scenario look
like this , i don’t remember , what is recommended:
A. longest implant
B. narrow oc table ✅
C. decrease Anterior posterior spread.

44.A very small implant in which we replace the molar. What could happen?
A. Ceramic is not supported, which leads to it breaking

45.recall visit at first year for implant

A. 3 month✅
46.immediate implant loading what is the pre request?
A. Out of occlusion 🔁
B. Primary stability

47.Implant analog definition

48.Case scenario about patient losing her 4 upper anterior and wanting esthetic :
a. open tray impression
b. Closed tray impression
c. Customized coping ✅

49.Picture of implant impression for laterals with provisional in centrals *esthetic zone*, whats the name of this
impression?
A. Customized impression✅
B. pick up impression
50.impression coping picture

●
51.x-ray of implant analog and ask you what is next step?
A. replace the analog
B. take open tray impre✅
C. closed tray impre
52.pic for impression coping and there is something attached to it and asking what is this :
a. analog
b. transfer pin✅

53.x ray of impression coping asking about what is the next step
A. close tray impression
B. open tray impression✅

54.two divergent implants, impression technique

A. 2 unit open✅
B. 2 unit closed
C. 2-unit tranverse

55.Divergent multiple implants , which analog

A. one piece
B. two piece open✅
C. two piece close
56.Implant in lower left with vertical and horizontal bone loss
a. block graft ✅
b. Titanium reinforced bone graft ( best for vertical bone loss )
c. .restorable collagen membrane

57.patient .. we want to implant to replace the upper central , and there is not enough lateral bone to place an implant
with an ideal diameter
A. Surgery to replace the lateral bone ✅
B. Small implant
58.Success area for implant
a. Max anterior
b. Between the mental foramens ✅
c. Buccal shelf
d. Upper posterior
59.Which part of two jaws that is the safe one for implant placement that free from vital structures:
A. Posterior maxilla.
B. Posterior mandible.
C. Anterior maxilla.
D. Anterior mandible.✅
60.Generalize 20% bone loss and you want to place an implant?
A. Cbct
B. Panorama
C. Iopa
61.Patient came to your clinic with a CC of having a numbness and pain in his lower lip, she had an implant placed 1
month ago
A. reassure her that this pain is normal and will go away
B. implant the is cause the if away go not will pain the and nerve the to Injury

62.Two Implants placed in the mandible, after 4 months one is good but the other one has crestal bone resorption and
there is mobility. What is your management?
A. extraction ✅
B. regenerative therapy
C. apically positioned flap

●
63.Pt. Has missing lateral be for many years and he wants to replace the space with an implant after examination there was
a bone loss. How to manage?
A. Use small size
B. Regeneration of residual edge then implant✅
64.(Image) Patient complains of marginal discoloration of her implant #22. What’s the best material for abutment?
A. Zirconia ✅
B. Chromium cobalt
C. Gold
65.Pediatric patient complains of his front tooth not being on the same level as his teeth, History revealed patient lost #11 early
and replaced it with implant
a. Implant done before completion of growth ✅
b. Long teeth
c. Migration of implant
66.implant was placed and pt ask when can I wear my denture ?
a. immediate
b. 2 weeks✅
c. 4 weeks
67.patient aspirated the screw how to prevent that?
a. Floss it.
68.Probing through the gingiva before implant placement ?
a. Bone mapping
b. transginigival probing ✅

69.pic for diabetes pt. Have multiple missing teeth what is the best choice
a. RPD
b. Implant✅(implant is always the first choice unless the pt is uncontrolled)
c. Fixed
70.Best implant for anterior teeth
a. Endosseous

71.Dentist put the implant more labially in tooth #22 which will be compromised?
A. Esthetic

72.it there is interarch space not sufficient which type of implant should you selected?
A. Screw ✅
73.limited interarch space due to supra-erupted #16, you want to restore 46 with implant, abutment used?
A. Screw retained abutment✅
B. Cement retained abutment
C. Screw retained angled abutment

74.case of single impression and you found the interocclusal space 4 mm what you will do :(previously mentioned)
A. Screw retained crown ✅
B. Cement retained crown
C. Remove implant
75.Pic 2 stage implant with parallel end

A. A ✅
76.two stage implant pic

77.Responsible for the emergence profile?

 A. Healing abutment✅
78.Last step In Stage one surgery of 2 stage implant ?
A. Cover screw 👍
B. Healing abutment
79.A dentist plans to provide implant-supported fixed complete denture following 2-stage surgical protocol. To start with 4
implants were surgically placed in the inter-foramina region of the edentulous mandibular arch. Before suturing the flap, the
implant 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. Cover screws ✅

80.A dentist wants to install implants in two stages: the first stage ends in picture
A. implant with cover screw✅
B. Implant with healing abutment
C. Implant with abutment

81.What the component that we attach it to the implant after second stage surgery?
a. cover screw
b. Healing abutment✅

Fixed
1.fiber post cement ?
A. Resin.

2.Pt have slightly proximal caries and incisal edge fracture small Tx?
A. Veneer
3.what is the most and healthiest type of finish line?
A. Supragingival ✅
B. subgingival

4.Tooth with a good restoration and above the cementoenamel by 2 mm what is the best finish line ?
A. 0.5 supragingival
B. 1 supragingival
 C. 2 sub gingival
D. 1 subgingival
5.Best cement for FBD
6.A case for a patient who has a metal crown fitting in the mold and the tooth but there is a 0.3mm open margin
A. Remake ✅
B. burnishing

7.pt during try in there's nothing every thing is good, but after final cementation there's gap 1mm, what to do
A. Remake ✅

8.case of anterior bridge, chipping of porcalin in half inscisor edge what to do ?

A. Repair with composite
B. remake bridge
C. smooth the edges
9.Success rate of fpd in 15 years ?
A. 50%
B. 66%
C. 74%✅

10.Pic of crown perp with bur parallel to Tooth , what problem will happen ?
A. Deep finish line
B. Metal and porcelain fusion
C. No space for porcelain

11.Missing anteriors and posterior pt needs fpd and rpd which should fabricated first
A. Design the rpd first✅

12.main adv of provisional crown fabricated in lab ?

A. Strength
B. Margins integrity ✅
13.Pt with 1mm remaining of #14 and pt wants crown ?
A. Ortho extrusion ✅
B. crown lengthening

14.pt has tooth needs endo, post and crown but tooth has no ferrule Treatment plan: forced ortho eruption Sequence of
treatment?
A. ortho extrusion , endo treatment, prostho
B. endo, forced ortho eruption, prostho✅
15.feriul effect was 1 mm and probing depth 0.5 with favorable root length what is the treatment ?
A. Crown lengthening
B. Refer to ortho to do extrusion ✅
16.lithium decilicate crown was very good in try in and After cementation there was open margin 1mm
A. remove and recemented
B. close open margin with composite
C. schedule with pt for another appointment to remake✅

17.Pontic design difficulty floss ?

A. ovate
B. sanitary
C. ridge lab✅
D. modified ridge lap

18.if type of pontic in aesthetic concern?

A. Ovate

19.Pt want to restore her posterior missing tooth with 3-unit FDP but she has osteoarthritis and it is hard for her to clean
her fdp which of the following will be ur choice for the type of Pontic ?
A. Ovate
B. Modified ridge lab
 C. sanitary✅
D. ridge lab

20.Case about patient want to restore her #24, #25, #26 with FPD and she concern about esthetic, what is the
consideration regarding her: -
A. Premolars functional cusp.
B. Premolars and molars functional cusp.
C. Premolars nonfunctional cusp.✅
D. premolars and molars nonfunctional cusp.

21.Dentist did access cavity through amalgam restoration, how to complete the treatment?
A. amalgam core and zirconia crown
B. casted post and core then PFM✅
C. composite restoration.

22.Most preferred provisional cement?

A. ZOE✅
B. resin hybrid cement
C. polycarboxylate
23.best cement provisional for crown? Read more about it

24.provisional cement used for?

A. compensate for restoration instability
B. seal margin and prevent leakage🔁

25.Missing canine and he had maximum intercuspation very good there a big difference between maximum
intercuspation and centric occlusion, where to put the implant?
A. Max intercuspation
B. centric
C. in-between the max and centric.
26.crown and the next day he came complaining of slight deflection in rest this is in
A. Protrusion
B. centric ✅
 C. left centric
D. right centric??

27.rocking the crown in cast before insertion why?

A. The closest answer I found it

28.Endodontic treated tooth needs crown lengthening, post and crown: Sequence is
a. post and core-Crown lengthening - crown✅
29.High point in centric to #16 crown, where to reduce
a. Mesial cusp of upper ✅

30.Porcelain fracture in PFM crown due to

a. Insufficient porcelain thickness ✅

31.After 1 month of cementation of the zirconia crown, the patient was retained with a fractured crown, what is the
cause?
a. undercut in tooth preparation
b. inadequate thickness✅
c. poor brand of ceramic

32.treatment should be veneer but the pt want crown

A. Refer for another opinion✅
B. Refuse politely
33.you started the treatment for anterior veneers, you took the final impression already and while choosing the shade
the patient chose the whitest color, you explained to her it wouldn’t look natural, what should you do?
A. Show her only dark color
B. Refer to other dentist because she didn’t trust the dentist judgement✅
C. Tell the technician to change the color
D. Defer her judgment until the decide
34.Female pt. come to the clinic for full crown #24-#26 after finishing prep, start to select tooth match but the pt.
want the whitest color. How mange?
A. Explain to pt✅
B. Refer other doctor
35.missing canine 33 ، 43 replace by FPD Destructive force more in
a. maxilla
b. mandible
36.where is the best space for post on the upper molars?
a. Palatal root✅
37.if you planning to do a post and only 2 mm of gutta-percha is remain (mentioned before)
a. Refer to Endodontist to refill ✅
38.Pt after veneer prep ask you to make the most white shade what to do ?
A. Show her only shades suitable for her ✅
B. ask the lab to do natural shade and ignore her
C. show her what she want
39.open margin what is the reason
A. Shrink in cast

40.scenario patient with FPD 6 month ago came with inflammation around the FPD
A. Biological width violation✅

41.Picture for patient with ceramic crowns in upper anteriors since 4 weeks came with swollen gingiva and (loss of
stippling?) and she complain of discoloration of the remaining teeth, what is the cause:
A. Allergy to ceramic material.
B. Violation of biologic width.
42.Patient have anterior crowns...and complain for gingival bleeding ? Previously mentioned in September
A. Biological width violation
43.Pt with Endo and crown for one tooth that done recently came with erythema and bleeding from gingiva around that
tooth only, pt mention that the doctor use laser to cut the gingiva around the tooth before he take impression, what
could be the cause ?
A. excessive damage due to using the laser
B. Violation of biological width ✅
44.pt. Complain about inflammation with BOP in relation to upper 6 anterior teeth, which have been started immediately after
placement of porcelain fused to metal crown which have been there for 6 months, on examination there was inflammation,
BOP only in the area of restored teeth, and there is well fitted sub gingival margin, on PA RG , there is no excess cement
nor PA lesion.
a. violation of biological width✅
b. allergy to metal in the crowns
45.A 30 years old female came to the clinic complain about her appearance of her anterior teeth. While examination
you found restoration of metal ceramic crowns for the 6 anterior maxillary teeth, what is the most probable cause
for complaining of aesthetic for that restorations: -
A. Overcontoured and opaque.✅
B. Undercontoured and opaque.
C. Overcontoured and translucent.
D. Undercontoured and translucent
46.PFM crown dark ceramic incisally, why?
A. Insufficient firing
B. Bad shade matching
C. Inadequate opaque layer
D. One plane preparation✅
47.Case with photograph of restoration of her teeth with FPD before 4 weeks and she complains from swelling, edema,
 erythema and bleeding, what is the probable cause:
A. Absence of interdental embrasure.
48.read about prep finish line measurement

49.You did veneer preparation of teeth #41,31 , paint come after 2 weeks with severe pain, how to manage?
A. Take PA radiograph✅
B. Start RCT
C. Reassure the patient and tell him it’s normal

50.gold bridge rocking on distal abutment how to make it optimum

A. Reduce occlusally on distal abutment
B. Sectioning and soldering✅
C. Cement with temporary cement
D. Cement with permanent cement
51.What to do before impression taking for hypertensive pt taking Clopidogrel and diuretics?
52.patient having #32 #31 #41 missing you decided to restore his teeth with FPD what one you will choose?
A. 6 unit conventional FPD to replace all teeth and #43#33 and #42 will be the abutments✅
B. 6 unit conventional FPD to replace all teeth and extraction of #42 and #43 and #33 will be the abutments
C. resin bonded FPD
D. 5 units FPP and #42 and #33 will be the abutments
53.Patient have crown and have recession ... the margin is rough and the distance between bone and crown 3 mm...what the
cause of recession?
A. Roughness of margin✅
54.Part of bridge that cover abutment?
A. Retainer✅.

55.Force that is well tolerated by a ceramic material?

a. Compressive✅
b. Ensile
c. shear
56.Force we want to establish between porcelain/metal in PFM crown?
A. shears
B. Compression ✅
C. Tension
57.Pictuer Pier abutment

58.Scenario.. missing #14,16,17 .. and #15 mobility grade 1 .. she want pier abutment in 15 ??
a. Extract 15
 b. Splint #15
59.While doing crown try-in it doesn’t fit, what’s the first step you should check?
c. Margin
d. Interproximal contact✅
e. Occlusion

60.Flexural strength of 3 ponics compared to 1 Ponic is?

A. 9
B. 3
C. 27 ✅
61.Type of porcelain fracture ( pic with chipped incisor )

62.Pt with peg shape lateral teeth seeking aesthetic tx, ceramic crown was planned, pt has healthy gingiva and good oral
hygiene except the gingiva around the peg lateral it was inflamed and there was BOP the Dr did custom made provisional
for this teeth, what the purpose of this provisional?
A. protect Dentin and pulp
B. For the health of gingiva of these teeth ✅
C. to prevent space loss or tilting of tooth
D. For aesthetic concern
63.pt with missing #23 and #33, 3 unit FPD was planned, what could happen?
A. Mandible teeth will be effected by antes law
B. Maxillary teeth effected by antes law✅

64.During pfm bridge in metal try in the periphery was good, then in porcelain try in there is open margins, due to?
A. over reduction of metal structure
B. under contour of porcelain
C. distortion of metal during porcelain firing✅
D. reducing margins in the die

65.Maryland resin bonded bridge fitting surface treatment done by?

A. Sandblasting with alumin✅
B. Sandblasting with phosphoric acid 37%
C. Etch with phosphoric acid 37%

66.Picture that shows you veneer surface and it is deboned?

 a. Not proper etch.✅
b. contamination
67.Pt came with cavity involving more than 2/3 of intercaspal distance, what is the best restoration:
a. amalgam
b. Composite
c. Ceramic onlay✅

68.Prepared 4 ant crown vital tooth need chair side temporization what material contraindicated
a. polymethyl methacrylate
b. Bis-acrylic✅
c. Polysulfide.
d. Polyether

69.picture of a bridge with very clear recession. The furcation and root under it are visible. The patient complains of bleeding.
What's the first thing you should do
a. Extraction replaced by implant
b. GTR
c. Remove bridge to asses restorability✅
70.65 male patient want to replace the missing tooth (46), 47 is Mesially tilted what is the appropriate treatment
a. FPD only
b. Ortho uprighting✅

71. crown thickness measurement

a. iwanson caliper✅

72. A question about a patient who has everything normal, and the Oral Hygiene is excellent, and there is no bone loss,
no pain, or anything else. During the routine check up,you found a post and it appeared in the x-ray that it was short
and something was done wrong, and the endo also had errors
A. rct
B. remove post
C. no treatment🔃

Removable
1.Pt missing 17, 16, 15, 14 , 26, 24, and 25 were badly destructed and hopeless what is the classification?
a. Class II mod 2
 b. Class I mod 1
c. Class II mod 1 ✅

Note 25 is hopeless and it is going to be extracted so we do the classification as if 25 is not present

according to rule 1
2.patient extract his teeth 13-18 what is the Kennedy classification
A. class II mod 1✅
3.Pt with missing 45,46,47 and previously removed right 3rd molar and and recently removed 36, 37 what is kennedy
classification:
A. Class 2 mod 1 ✅

●
If 3rd molar (38) is not used as an abutment. The classification will be Class I
4.Missing teeth 35-38 and 48, not replacing third molar
a. Class 2 ✅
5.patient has missing 48, 38, and 35 and he agree not to restore third molars, what is kennedy classification ?
A. Class 1
B. Class 2
C. 1 modification 1✅
D. 2 modification 1
‫ لكن لو فرضنا انهم يحسبون الثيرد موالر من ضمن الكالسيفيكيشن فهذه اقرب إجابة‬3 ‫السؤال هذا غالبا الخيارات خاطئه الن الجواب المفروض كالس‬
6.patient Extraction #11 and #21 , kanady classification?
A. Class lV✅
7.Patient with missing #21 and #12 and asking about Kennedy classification: -
A. Class III mod 1. ✅
B. Class IV mod 1.
C. Class III mod 2.

●
8.Picture of missing anteriors and missing #15 , asking about Kennedy classification?
A. Class 3 mod 1✅
9.Case scenario in Kennedy cl I which clasp used?
A. I bar

10.mid-buccal undercut with clasp?

A. Rpi / I-bar clasp ✅
11.mid buccal undercut which clasp should be used?
A. I bar✅

12.Pt class 2 kenddy classification with deep mesiobuccal undercut(0.02) which clasp you will use ?
a. RPI
b. combination clasp✅

13.the patient came with missing 25 and all the other teeth are there and normal and you decided to do rpd for him what will
you choose for him ?
a. Embrasure
b. Circumferential✅

14.protho case and there is mesiolingual under cut which clasp suppose to choose?
A. Ring clasp ✅

15.A patient has missing teeth 14, 15 and will have a transitional RPD, which clasp should be chosen?
A. W.W ✅
B. RPA
C. RPI
D. Circult

16.Pictures of cast where you put indirect retainer

17.class III Kennedy and what is the type of indirect retainer to use
A. No need for indirect retainer in class III ✅

18.I bar broke.

A. Add w wire

19.How to fix fracture clasp?

A. Wrote wire
20.Long story but patient came with fractured retentive arm ( Aker clasp)What to do?(previously mentioned)
a. Repair with wrought wire ✅
21.Lingual bar?
A. ⁃ round in cross section
B. ⁃ Tear drop in cross section✅(or ½ pear)
C. ⁃ Less than 2 mm

22.patient has class 1 mod 2 missing all molars under first premolars in the upper arch. What is the best treatment plan??
A. extract #15,25 and do RPD
B. put mesial and distal rest on #15,25✅
c. bridge replacing #15,25 then RPD (‫ ﷲ اعلم‬14 ‫( كان كذا في الخيارات يمكن قصدهم‬
23.Pt with class 1 Kennedy 34 . 44 abutments with distobucal undercut what type of clasp?
a. mesial rest with WW
b. distal rest with I Bar
c. distal rest with retintive arm buccal and reciprocal arm lingual

24.Pt with missing 24,26 and 27 indicate for RPD. #25 has MOD amalgam restoration and mobility grade l without pulp
involvement or periapical lesion, regarding 25 how you will manage it?
A. Extraction
B. surveyed crown ✅
C. Guiding plane M and D
25.you want to put retentive arm for rpd but there is no undercut what is your management:
 a. surveyed crown
b. make undercut by making dimple✅
c. extraction
26.premolar has MOD Amalgam resto and u want it to be abutment for distal extension ;
A. Surveyed crown✅
B. do your rest seat on Amalgam

27.case for pt mandibular class 1 keneddy calcification what type of major connector choice for this pt and acts as
indirect retainer
a. lingual plate✅
b. lingual bar

28.What major connector to use if we have missing ant teeth

A. Anterior posterior strap ✅

29.Spacing what major connector??

A. Lingual bar
B. plate
C. interrupted plate✅

30.What major connector to use if we have spacing in lower ant teeth?

A. plate,
B. plate with interrupting plate, ✅
C. bar,
D. bar with cingulum bar (contuinous bar)
31.Smoker, grade ll mobility, missing 3 anterior mandibular teeth, what major connector?
A. Lingual plate ✅
B. Lingual bar
C. Labial bar
D. Sublingual bar
32.pic of tori in palate ask about major connector use :
A. Lingual bar
B. Horse shoe ✅ (If large tori)
C. Anterior posterior palatal strap ✅ (If small tori)
33.pic palatal tori what type of major connector
 a. horse shoe ✅

O
34.What type of connectors when there's a large palatal tori?
A. U shape major connector ✅

35.pic about the palatal tory and the type of major connector you will use
A. hours shoe✅
36.Mesially tilted Tooth ,how to decrease the torque?(mentioned before)
a. Rest preparation to the center of tooth✅
37.after insertion of rpd pt came after 1 month with broken clasp the cause
A. shallow prep on marginal ridge✅
B. improper centric occlusion
C. rest not deep on fossa
D. high occlusion
38.what happen if retentive arm above the height of contour ?
A. Tipping ✅

39.What is the cause of rest movement?

40.What will happen if you prepare the rest seat before the guiding plane?
A. This may alter the depth of the occlusal rest

41.Most common cause of rest fracture?

A. improper potion of rest
B. inadequate rest prep ✅

42.What will happen if we make a denture without reciprocation: -

A. Abutment tooth displacement.✅
B. Gingival trauma or recession .
C. Retentive arm fracture
43.Scenario, pt complain about mobility of #44 and have RPD what is possible cause?
A. resiprocal arm above highet of contour
B. resiprocal arm insert before retentive
 C. resiprocal arm insert after retentintive✅
44.pt Mobility of Abutment of RPD why?
A. Reciprocal arm placed after retentive arm

45.what happen if not have Cingulum rest in lingual plate :

A. Impingement on gingiva✅
B. Abutment displacement

46.Surveyed crown will be the abutment for distal extension (KENNEDY I) and ask about the location of the matrix
(key-way) ?
A. along with distal side of the crown✅
B. At the centre (on rest )

47.tissue stop function in RPD

48.patient have rpd ( design: lingual bar, direct/indirect retainer, rest seat) the clasp is moving after the patient occlude with
denture teeth what is the management:
a. reline
b. change lingual bar to lingual plate
c. choose more rigid clasp ✅
49.A patient has had a denture for ten years, but recently he started experiencing pain on the base side. He listed the
components of the denture and mentioned that the indirect retainer has started to move with the occlusal forces. What
could be the solution
a. Reline✅
b. Change rest position
c. Make rest more rigid
50.Pt with missing 34 and 35 what to do?
A. Clasp 33 and 43
B. clasp from 46 and 47
C. Clasp 33,36 and 44 ✅

51.during RPD framework everything was perfect except the rest was smaller than the rest seats intra orally, you
return it to the cast and it was perfect on the cast, what is your management
A. soldering rest
B. redo final impression and the framework ✅
C. redo the framework on the same cast
52.Aker clasp used for a class 1 Kennedy design, what is the possible complication?
A. Mobility of abutment✅
B. bleeding
C. gingival recession
 D. increased pocket depth >5
53.For better distribution of forces to underlying tissues
A. use multiple rest and clasps with broad denture base ✅
B. multiple rests and clasps with narrow denture base
C. less rests and clasps with narrow denture base,
D. ess rests and clasps with broad denture base

54.Patient have missing 34 35 and 36 she did not want to do preparation on her teeth what you will do ?
a. sectional RPD
b. Convince her the cross arch stability is mandatory
c. Tell her sectional RPD have risk Choking and do it
55.A woman experiencing speech disturbance wishes to replace maxillary incisor teeth that were lost as a result of
tooth-avulsion injury in a roadside accident. The edentulous site is also exhibiting bony ridge defects. Which of the
following prosthetic replacements is most suitable in this case?
a. sectional removable partial denture ✅
b. Every design removable partial denture
c. Fixed-fixed design tooth-supported bridge
d. Crown-retained removable partial denture

56.The minimum rest seat preparation for CoCr RPD?

57.pt 15 yr have missing central permanent incisor want transitional removable denture , how many rest seat ?
A. 1
B. 2
C. 4
D. None 🔁
58.How to arrange teeth in lower arch in class2 skeletal patient

59.Case that case with supra erupted 46 and u will replace 16 and other teeth I forgot , the interarch space is 4mm?
a. Non anatomical acrylic✅
b. Porcelain
c. Semi anatomical acrylic
60.Class 3 malocclusion denture?
a. Non anatomical acrylic teeth✅

61.pt cant wear denture bcz too tight but then become good what is reason?
A. Store in dry media
62.you instruct the patient with CD to brush it after eating, what is the rationale?
A. To prevent cross infection✅
B. To prevent having ill-fetting denture
63.Which of the following systemic conditions cause difficulty in mastication for CD patients:
a. Dm
a. osteoporosis
b. Xerostomia✅
64. Firm edentulous ridge and sever atrophic tongue impression tech.
A. Mucostatic
B. Mixed impression tech.
C. Normal impression ✅
65.firm, and resorbed mandibular arch and large tongue. Impression technique?
A. Admix✅
B. Mucocompressive
C. Selective impression technique

66.Scenario) movable issue in mandible?

a. Mucostaic impression✅
b. Mucocompressive impression
c. Vesibuloplasty
d. Ridge augmentation
67.edentulus patient what primary impression take ?
A. Polyether
B. Irreversible hydrocolloid ✅

68.Case scenario about old pt with flappy ridge ( they mention it with another name I think hyperplastic ridge but it
was clear) what the appropriate impression technique?
A. Functional
B. Closed mouth
C. Open mouth ✅
69.Missing #44 #45 #46#47 , plan is implant for #44#45 #47 and cantilever for #46 , what is recommended:
A. narrow occlusal table ✅
B. Longest implant
C. Decrease anterior posterior spread

70.need full mouth rehabilitation (canine guidance not in the options) ?

A. bilateral balance
B. Centric
71.missing canine 33 , 43 it will be restored by FPD What type occlusion select
a. Canine guidance
b. Group function✅
 ●
72.full maxillary rehab, what’s the occlusal scheme?
A. Canine guidance✅
B. bilateral balanced occlusion

73.interference between mesiobuccal cusp tip of mandibular molar and mesiobuccal groove of maxillary, you correct
from:
A. maxillary mesiobuccal groove✅
B. Reduction of cusp tip of MB tip of the mandibular molar.
C. Distopalat cusp of maxillary molar
D. Mesiobuccal marginal ridge of lower molar

74.Protrusive interference Tx?

A. DUML

75.which interference of the flowing not reduction cusp

A. Centric+eccentric
B. protrusive✅
C. centric

76.you did crown for tooth number 16 and there is protrusive interference from where you will correct ?( no DUML in the
choices)?
a. Mesial inclines of upper
b. buccal inclines of upper
c. distal inclines of lower
d. lingual inclines of lower
77.interference in protrusion where to adjust ( ‫الخيارات في ماكان‬DUML )
a. MU
b. BL
c. BU
d. LU✅
78.after 1 week of placement a crown on 15 pt complains from discomfort, there is premature contact see pic
Interference in ?

A. centric
 B. non working
C. working
D. protrusive✅(DUML)
79.Crown upper 1st molar when closed crown moved laterally where to do reduction?
A. In centric occlusion

80.Pt with missing 17,16,15 and lower arch same on both side all 3rd molars extracted with relation should be taken
A. MIC
B. Centeric occlousion
C. Centric relation ✅(missing all of posterior teeth )
81.Which occlusion concept allows some freedom of movement in an anteroposterior direction?
A. Long Centric✅

82.The doctor ask the patient move the jaw of right side to left side the left side is ?
a. Working side✅
b. non woking side

83.In which direction does the condyle move on the non-working side?
A. Downward, forward, and medially ✅
B. Downward, forward, and laterally

84.Pt came and dentist did filling in 16 , dentist ask patient to open and close on articulator paper patient came back on
next day complaining of high point during eating , which type you will Reduce?(mentioned before)
A. Lateral movement ✅
B. Centric relation
C. Centric occlusion

85.pt have upper CD and lower Class l what occlusion should u do?
A. unilateral
B. bilateral balance ✅

86.pt with normal musculature and skeletal class 1 need a complete denture Which occlusion?
a. unilateral balanced
b. Bilateral balanced ✅
c. linguilazed
87.Pt need to replace lower partial denture class 1 and the opposing CD what is the occlusion, missing in lower all
molars and second premolars what is the occlusion?
 A. Bilateral balanced ✅
B. Unilateral contact
C. Canine guidance
D. Mutually protected

88.Patient with severe resorbed ridge and asking about the type of occlusion for complete denture you will choose:
A. Monoplane. ✅
B. Bilaterally balanced occlusion.
C. Lingualized.
Note: if aesthetic mentioned lingualized occlusion

89.What is the most difficult to get used to after RPD fabrication?

A. Base✅
B. Claps
C. Teeth

90.Upper denture is dislodged when the upper lip is pull down what is the cause?
A. Denture flanges✅
91.case : gagging and dislodged of denture during rest?
A. Incorrect extension

92.patient has CD and recently the denture started to full down when he speak and fell gage reflex?
A. Over extension of denture beyond soft palate✅

93.Cheek biting with RPD ??

A. improper horizontal overlap

94.What is the most likely reason for the breaking of the maxillary denture along the median line?
A. Alveolar resorption ✅
B. Porosity of the denture base material
C. Over-relief of the incisive papilla
D. Inadequate extension of the posterior palatal seal
95.Patient with upper and lower complete dentures for about 9 years came with fracture of upper denture from the
midline, what is the cause of fracture: -
A. Porosity of acrylic base.
 B. The base was thin in the center.
C. Ill fitting denture.✅
D. The upper teeth placed buccal to alveolar ridge.

96.A new denture patient whose denture is unstable, especially in the rest position.
A. There's an issue with the border seal.✅
B. There's an issue with the frenum.

97.The pt with complete denture has a soreness over the crest on the left side
a. premature contact✅
b. Allergy

98.Immediate denture after 10 months he felt something on the ridge, what is the cause?
A. He is not using the denture properly
B. Its ill-defined denture✅

99.You took a maxillary impression with polysulfide, patient experienced severe gagging. He reported that this is the
first time he feels like this and he used to take impression without any problems, the cause?
A. allergy to the material
B. you put the tray very fast
C. the tray is covering all of the hard palate
D. you didn’t insert the tray in a posterior anterior direction 🔁
100.F becomes v is it means?
A. ant. Max. Cervical
B. ant. Max. Forward
C. ant. Mand. Posteriorly
101.Complete denture patient...say Th instead of S...reason ?
A. Ant teeth too palatally✅

102.CD Patient with severe anterior undercut and severe right lateral undercut what will you do:
A. surgical removal of anterior undercut
B. relief of undercuts
C. surgical removal of both undercuts
D. Relief the anterior and surgical removal of the lateral undercut✅
103.Pt have a denture when u place in middle bubble appear in post dam with good dimension buccal what to do?
a. Fluid wax in posterior border✅
b. Grind and polish
c. Remake

104.what give high occlusion of posterior teeth

a. Flat condyle path
b. Horizontal overlap anterior teeth
c. Vertical overlap of anterior teeth✅

105.During a follow up visit for a complete patient he mentioned that he is unhappy with the new denture as saliva comes from
the corner of the mouth and the patient has dropped lips
A. Reduce vertical dimension of occlusion✅
106.Patient with new dentures has reduced tone of facial muscle , saliva seepage & angular cheiliis. What is the cause?
a. Increased vertical dimension
b. Reduced vertical dimension ✅
c. Unbalanced occlusion
107.Pt complain about aesthetic with new denture And Drop lip not like the previous one cause(mentioned before)
a. Increase vertical dimension
b. Decrease vertical dimension✅
108.Case pt with multiple soreness under CD what the causes ?(mentioned before)
a. Increase VD✅
b. premature contacts
c. ill fitting denture
109.What is the consequence of having increased vertical dimension?
A. Angular chelitis
B. Reduced muscle tone
C. TMJ disorder
 D. Incompetent lip ✅

110.Dentist told pt to close his mouth and saying “mmmm” to measure from nose to chin what is this?
A. christensen phenomenon
B. Vertical dimension✅
111.Case about dentist putting the two occlusal rim in the patient mouth and the procedure was explained but at the
end the two rim occluded on each other and asking what the dentist was doing?
A. Vdo✅
112.Dentist diagnosed his edentulous patient with reduced vertical dimension, how he figured it out
A. excessive free way space✅
113.Patient with complete denture for 10 years; and came with erythema and inflammation. What is the temporary
solution for him?
A. Remake CD
B. Reline the same CD
C. Reline with tissue conditioner✅

114.Inflammation due to wearing old dentures for 6 years Interim solution

a. tissue conditioner ✅
b. educate the pt to remove the denture at night
c. reline with soft
d. Reline with hard
115.CD patient he is also a smoker compline of mouth under the denture is red,you can see traces of denture flanges on the
patient’s mouth what is the management?
A. remove the denture temporary
B. tissue conditioner and antifungal✅

116.Denture of light contact after 9 years and cannot eat properly ( no complaining of retention or stability
A. Relining✅ ( there is only reduced OVD after relining there will be increased in OVD
B. Remake

117.70 years patient, has upper and lower CD, his complaint is when he eating he can’t cut the food into small pieces
how to manage?
A. Reline
B. Rebase
C. Remake ✅
D. Occlusal adjustment
118.Pt with decrease freeway space 1mm what is tx?
a. Grind occlusal
b. Remove from intaligo surface
c. New denture✅
Note: all other option worsen the case

119.scenario about pt with ill fitting denture, occlusion and everything else is good, what is treatment:
a. reline
120.Pt after 1 month of denture delivery found not enough free way space 1mm how to correct
a. Reliving from intaglio denture surface
b. Selective grinding from occlusal surface
c. remake✅
121.In try in for CD there is what is the Step we do to reduce and minimize the error?
a. clinical remounting
b. Laboratory remounting✅
122.pt had good denture with porcelain teeth and she happy with it but there is clicking sound how to manage
a. Replace teeth with acrylic✅
b. Rebasing
c. Relining
123.Why we prefer acrylic teeth in denture ?
A. Better bond to base👍

124.you told pt to blow with cheeks why?

A. To see the extension of posterior palatal sea 🔁

125.What is the function of post palatal seal?

A. Stability
B. retention✅
C. create a space between denture and soft tissue
D. prevent gag reflex

126.Dentist put all compound in special tray for border molding..and the border molding not good. why?
 A. Should make it as a small part ✅

127.Which muscle affect the distal extension of the lingual flange of the lower denture?

128.Patient has CD and complaining of burning sensation what area is causing the burn?previously mentioned
A. Rugae
B. Hamular notch
C. Palatal mucosa
D. Incisive foramen✅
129.Panorama for controlled diabetes pt. Complaining about multiple missing teeth and asking about best choice for
him: “lower second molar was tilted and the ridge in lower arch was resorbed”
a. implant
b. Fixed
c. removable✅
130.First step in complete denture insertion
a. Denture fit ✅
b. marginal extension

131.Which one of these will affect the Base of RPD

A. low elastics modules
B. Low thermal conductivity ✅
C. High coefficient thermal …

132.The factor that determines the rate of forces transmitted to soft tissues and teeth in RPD
A. The type of metal in the base
B. Base shape ( minor connectors )✅
C. Direction of forces
D. Retainer

133.Pictures of hyperplastic tissue

A. epulis fissuratum✅

134.denture base porosity cause

 A. Improper monomer to polymer✅
B. excessive pressure

135.Pic (epulis fissuratum) and the cause of excision ?

A. To provide smooth denture base that will be stable and resist dislodgment from the hyperplasia ✅
B. To relive pain
136.female pt had denture for 15 years without reanling, hyperplasia tissue in buccal and lingual mucosa and
eerthromutus palate
a. denture stomatitis
b. epulis fissuratum

Note:both correct maybe something missing in the question

137.pt with a complete denture has a small raised projection in the palate ?
a. denture stomatitis
b. papillary hyperplasia ✅
c. Candida

138.raspberry appearance in palate under the denture

A. Papillary hyperplasia ✅

139.Pt with finger projection of the palate and fungal infection and generally ill fitting denture What is the early
treatment to start with ?
A. Prosthesis adjustment
B. Antifungal and oral hygiene
140.Patient with complete denture for 10 years; and came with erythema and inflammation. What is the diagnosis ?
A. Denture stomatitis✅

141.Treatment of Papillary maxillary hyperplasia

A. Radicular excision
B. Discontinuation of dentures✅
C. Supraperiosteal excision
D. No treatment necessary
142.how to detect the sourness area under the denture??

143.Erythema on distal side of RPD: Detect problem with

a. Pressure indicates past ✅

144.Combination syndrome
A. Flabby maxilla ✅

145.Erythema under the denture on the palatal area ?

a. ill fitting denture✅
b. Vit D deficiency
c. Vit B deficiency
d. Allergy
146.Function of surveyor:
A. determine path of insertion✅

147.Which Type of Articulator replicate full mouth movement?

A. Fully Adjustable✅

148.Which articulator type for Crown replacement for class i canine guidance?(Mentioned before)
a. Hand articulation
b. non adjustable
c. Semiadjustable articulator✅
149.case and you will do single crown which ARTICLUTOR you will chose
a. non adjustable
b. Semiadjustable articulator✅

150.What is the terminology describe the wax rim and bit plane?
A. Bite Block
B. Record block✅

151.Solution causing corrosion to metal base

a. Sodium hypochlorite ✅

152.what is the instrument used to scrap in cast ?

A. Kingsly scraper✅

153.Most toxic denture cleanser to soft tissues?

A. Diluted sodium hypochlorite✅
154.U sent the alginate imp to the lab to fabricate a custom tray for ur pt , then the technician made multiple holes all over the tray
what is the disadvantage ? Previously mentioned
A. the impression will be retained
B. prevent the imp material to be distributed
C. prevent the setting of the imp
D. Will make it weak✅
155.which stage we do compression to acrylic resin ?
A. rubbery
B. dough✅
156.The most rigid base material for denture?
a. Metal
b. Gold
c. cobalt chromium✅
157.Rigid components of rpd?
a. minor connector, major connector, rest✅
b. retentive arm clasp, major connector
 158.what is lever classification if seconed premolar missing bilaterally
a. Lever1
b. Lever2
c. Lever3✅
d. Lever4

159.Scenario p.t need removable and fixed Start with ?

a. Design✅
b. Fixed
c. Together
d. Removable
160.Case scenario about uncontrolled diabetes pt has RPD and the abutment is fall down and the pt still used that RPD
the tissue is irritated what is first thing u will do?
A. Program for recovery of the tissue Impression and proceed with CD Implant
161.type of palate shape that good retention but poor vertical force
A. V shaped ✅
B. U shaped
C. Flat

Ortho
1.Pt pseudo class 3 without any skeletal discrepancy with drifting on closure treat by?
a. Facemask
b. Correct occasional interference✅
c. Headgear
2.Pseudo class 3 and there is drifting when occlude what to do?
a. grind from tooth✅(remove interference)
b. head gear
c. face mask
3.pedo patient has a skeletal class 1 and molar class 1 but when he occludes there is a shift:
a. Occlusal reduction (remove Occlusal interference)✅
4.Patient with pseudo class III, what is the proper management to correct the occlusion: -
A. Advancement of upper anteriors.✅
B. Advancement of lower anteriors.
C. Retraction of upper anteriors.
D. Retraction of lower anteriors.

5.patient has class 3 malocclusion what to extract?

A. lower 4s

6.Patient with class lll malocclusion according to Camouflage extraction what teeth you will extract?
A. Upper 4 and lower 5
 B. Upper 5 and lower 4 ✅
C. Upper 4 and lower 4
D. Upper 5 and lower 5

7.Patient with class ll malocclusion and normal maxilla what camouflage extraction you will do?
A. Upper 4 ✅
B. Upper 5
C. Lower 4
D. Lower 5
8.Case with upper class II and lower crowding what is the camouflage extraction: -
A. Upper first premolars.
B. Upper first premolars and lower second premolars.✅
C. Upper second premolars.
D. Upper second premolars and lower first premolars.

9.image) Patient complains of pain in all her teeth, she has ortho and the orthodontist promised to finish treatment in 4
months before her wedding, you take X-ray (image shows all teeth have short roots) what is the cause?
A. Heavy ortho forces ✅
B. Root resorption
C. Necrotic pulp
10.Mesial bone resorption distal bone formation
a. Physiological movement✅
b. Ortho Opening diastema
c. Extrusion
11.Patient have deep bite and start ortho in radiograph shoe root resorption for ant teeth...what movement cause this?
A. intrusion✅

12.75 force of tipping .. what is the force of intrusion??

A. 25

13.Retraction of canine impaction , forced applied 400 . What this force lead to
A. hyalinization✅
B. slower movement
C. Faster movement

14.patient has impinging the lower ant teeth to the upper teeth the management of deep bite is ?
15.Patient have deep bite that cause injury in his palate?
A. impinging deep bite ✅
16.Deep curve of spee what is the treatment?
A. Anterior bite plane✅
B. posterior bite plain

17.deep bite treatment

A. Anterior bite plane✅
18.19 years old, with maxillary narrowing, and a picture of severe crowding teeth tx :
A. Orthodontic expansion
B. SARPE ✅
19.patient 19 years with picture of narrow maxilla what is the appropriate management :
A. orthodontic expansion
B. Surgically assisted rapid expansion ✅
C. Lefort osteotomy
D. functional appliances

20.Age for SARPE

21.Quad helix is what?

A. Fixed appliance dentenofacial
B. removable app dentofacial
C. Fixed app dentoalveolar✅
D. Removable app dentenalveolar

22.what is the appliance used if there is cross bite and open pite and thumb sucking pt ?
A. quad helix✅

23.Pt has posterior cross bit , thump sucking , which appliance ?

A. Quad helix
24.mixed dentition with maxillary constriction and the mandible angel is large
A. bonded expander✅
B. Banded expander
C. Quad helix
D. W arch
25.12 years old have anterior open bite, bilateral posterior cross bite and thumb sucking.. what is management?
a. tongue crib
b. quad helix
c. HAAS✅
26.4pic ask which one is rapid maxillary expansion.

27.Treatment for thumb sucking in child 7year(mentioned before)

A. Palatal crib

28.14 year’s patients ,Mouth breather, how to manage?

A. Headgear
B. Expansion✅
C. Distalization

29.Cross bite with mandible shift?

A. Bilateral expansion
30.pedo 7 y/o with functional shift in mandible treatment ?
A. upper arch expansion ✅
31.Unilateral cross bite with functional shift ?

32.Unilateral cross bite with midline shifting

A. bilateral maxillary constriction✅
B. unilateral maxillary expansion

33.Need immediate treatment

a. Brodie,
b. unilateral cross bite✅
c. bilateral cross bite
 d. anterior cross bite

34.upon examining a child you noticed that there’s unilateral crossbite with midline shifting while he is trying to close only,
what’s the management?
A. adjunct the molars✅
B. wait until the permanent eruption

35.patient class l but has procline anterior

A. Hawley retainer with labial bow✅
B. lip bumper

36.best retainer for crossbite?

A. Fixed
B. Essix
C. Hawley✅
D. No retainer
37.Case scenario about pt has Cl 2
A. Head gear

38.Pt with class 2 and increase vertical height

A. high pull head gear ✅

39.pedo case of pt class ii and retroclined lower incisors?(if twin block in the options it is correct)
A. Frankle
B. Bionatore
C. ortho fixed appliance
40.patient class ll with mandible deficiency
A. face mask
B. Functional appliance✅

41.Child that has class 2 and retruded incisor?

a. Twin block✅
42.class 3 with normal maxilla
A. Activator
B. Bionator
C. Twin block✅(if Reverse Twin Block)

43.Twin block
A. class II retro-inclined lower ant teeth

44.Class 3 maxillary skeletal retrusion (no facemask in the options)

A. frankel 3
45.Treatment for pt 12 year Skeletal class 3 with cross bit
A. Twin block
B. headgear
C. facemask✅

46.Reverse headgear / protraction facemask

A. Maxiolay hypoplasia✅
47.Frankel III used for?
A. Hypo deficient maxilla
48.face mask used for ?
A. Hypo deficient maxilla✅
49.24 yo patient with class III ( def in maxilla ) what is the treatment ?
A. franklin III✅✅
B. twin block

50.Modify class 3 in growing patient

a. Protraction of maxilla ✅

51.Patient with Skeletal class III with deficient maxilla, what type of the following devices will help for growth of
maxilla: -
A. Bionator.
 B. Face mask.✅
C. Twin block.
D. Lip bumper.

52.Patient have one tooth cross bite...what treat?

A. Removable appliances with finger spring
53.Single tooth cross bite
A. Z spring✅

,
54.single tooth cross bite
a. 2*4
b. Expansion

55.Orthodontist need to cut the excess distal wire, what should he wear?
A. mask
B. Face shield
C. Goggles✅

56.Ortho patient and wire irritate because of -tube break management appointment after 2 weeks

57.Patient came to your emergency clinic saying they have pain & can’t eat, history reveals ortho treatment done few days ago,
what’s the management?
A. Remove ortho wire
B. Advise to eat soft and cold food
C. Reassure patient ✅
58.Patient came complaining of coming of of the tubing on #17, and he has an appointment with his
orthodontist after 2 weeks, what’s the management?
A. Tell the patient to wait for the appointment
B. Remove the tube
C. Bond the tube
59.patient complaining from discomfort and pain from an extended ortho wire after the first molat tube got broken, he
has appointment with his orthodontist after 2 weeks you should:
A. cut the wire✅
B. tell him to wait for 2 weeks
C. prescribe analgesics
60.patient has ulcer cuz wire ortho and his appointment after 2 weeks .. what can u do for him?
 a. Ask patient wait for the orthodontist
b. cut the excess wire ✅
c. only put gel
61.Pt with ortho braces come with erythema on right buccal mucosa , what is the cause?(mentioned before )
A. wire extended✅
B. allergy
62.patient recently have ortho with ulceration and pain distal to last molar:
a. Wire extended✅
63.patients ortho multiple areas of irritation from the wire (lip, gingiva, buccal mucosa)
A. wax✅
B. clip wire
64.patient have ortho since 6 week complain of pain near left cheek ( diffuse erythematous) why:
a. Ni Ti allergy
b. extended wire✅
65.patient with history of active ortho treatment started 3 days ago. He was complaining of pain. What is the correct
management?(mentioned before)
A. Reassure
66.pt with braces and ulceration and inflammation what is the cause?
A. Braces ✅

67.Patient done ortho 3 months ago and now has fixed lingual retainer on lower teeth but, it came of at #33 , what’s
the management?
A. Clean the tooth and bond it again
B. Remove the whole retainer because it’s enough stabilization
C. Refer to orthodontist✅
68.Normal relation between molars and there is rotation in #22 What is the class of occlusion
A. Class 1

69.PNS plane in cephalometric pictures PNS = Posterior nasal spine

70.cephalometric readings to determine which class if its class ii or iii( read more about it )

71.ANB in Class ll will by ?

A. Increase✅

●
72.ANB normal SNB decreased
 a. maxilla & mandible def✅
b. max def
c. man def
‫للفهم هذي القراءات الطبيعية للعالمات في‬ceph
SNA=82 SNB=78
ANB= 4 (‫)الفرق بين العددين الي فوق‬
‫ ناقص ايضا عن الطبيعي‬max ‫ ناقص ف بالتالي‬mand‫موضح في السؤال ان الفرق بينهم طبيعي لكن المتعلق ب‬

73.Patient have class 2 .. how we can know if the mandible is retrognathic in cephalometry?
A. SNB

74.SNA normal SNB decrease, what the class patient?

A. Class 2

75.concave face?
A. class III✅

76.Which tooth is used for molar classification

A. first permanent molar ✅
77.RADIOGRAPH for standard class III Jaw relation

78.Report of cephalometric values point A above the normal point B Normal ask which class , And incisor angle
value(depend on the numbers) ?
a. class 2 div 2(if interincisal angle > 135)
b. Class 3
c. class 2 div 1(if interincisal angle < 135)
d. Class 1

79.The lower incisor teeth touch the cingulum of upper teeth ?

A. Class I incisor classification

80.2 pics of incisor relationship and asking about angle’s classification

81.The incisal of lower touch cingulum of upper :
A. Deep bite
B. overbite
C. overjet
D. normal✅

82.lower anterior in front of upper :

A. Reverse overjet ✅
83.Patient with cleft lip and palate, what is the most likely occlusion he will develop:
A. Class I occlusion.
B. Class II devision 1.
C. Class II devision 2.
D. Class III occlusion.✅
84.Down syndrome with cleft lip and palate what is the class ?
A. Class I
B. ClassII div I
C. Class II div 2
D. Class III ✅

85.Most common malocclusion

A. Class 1

86.Wits appraisal in orthodontic ?

A. occlusion plane ( Functional ) ✅
B. Frankel line

87.Open bite supra erupted and rotated mandible?

A. Mouth breather ✅

●
88.Patient with ceramic ortho bracket...and have wear in upper ant teeth...what cause?
A. Ceramic bracket
89.Patient have supra-erupted maxillary molar, open bite and mandible is rotated downward and backwards.
What is the cause?
A. Mouth breathing ✅
B. Tonge thrust
C. Crozone syndrome

90.proclined upper incisor and mandible rotated and supra erupted of molars(mentioned before)
A. Mouth breather ✅
B. Thumb sucking
91.pt has Quad helex and came to u he has grooves in his tongue what is the management?
A. Reassure✅

92.15years girl have midline diastema , whats the cause

A. normal development
B. high frenal attachment
C. Low frenal attachment ✅

93.14 y/o with persistent diastema what you should check?

A. palpate the bulges of canines
B. check papilla/ frenal blanching ✅

94.16-year-old patient presented with CL 1 malocclusion and His father did not agree with proposed treatment of
surgically extracted the canine. Which of the following would most likely be a side effect?( Mentioned before
A. gingival recession
B. spontaneous eruption
C. resorption of lateral incisors✅
95.pic of a patient with open bite and no posterior crossbite? ( mentioned before)
A. Thumb sucking
B. Tongue thrust ✅
If the anterior teeth is affected and posterior teeth normal⇒ Tongue thrusting If the
anterior and the posterior both got affected ⇒Thumb sucking
96.high palatal vault narrow maxilla open bite?
A. mouth breather
B. Thumb-sucking✅

97.Pedo 2 years old patient parents complaining pf thumb sucking habits, what is the management?
A. replace it with ortho pacifier
B. No treatment✅(no treatment until the age of 4 )

98.When to do frenectomy for diastema?

a. after ortho close space ✅
99.when dx of frenectomy?
A. After close space✅
B. immediately after ortho
C. After 6 months From retainer

100.diastema due to low frenum after frenectomy when the diastema will close?
A. 3 months
B. 6 month✅

101.Pedo pt. 4 mm spacing B/t central, she have mesiodens that Prevent lateral from eruption, Canine didn’t erurpt
yet And she also have Low frenum attached?
A. Wait until canine erupt then exo mesiodens
B. Wait until canine erupt then frenectomy
C. Frenectomy then exo
D. Exo then fixed appliance✅
102.A 13-year-old patient, tooth number 11 hasn't erupted yet. An X-ray was provided, and it's evident that the incisal
edge is very close to the oral cavity, and above the incisal, there’s something radiopaque that looks fragmented or not
entirely clear. What should we do?
a. Assure p.t
b. Extract mesiodens ✅

103.8 year old patient his right central incisor didn’t erupt but his left central incisor has erupted. what could be the cause?
A. Thick tissue issue
B. Bone
C. Central incisor is congenitally missing
D. Presence of mesiodens ✅

104.14 yr pedo pt with 4 mm diastema spacing and low frenal attachment as well mesiodens , parent complain of
lateral didn't erupt how you manage :
 A. frenectomy then extractio mesiodens
B. extraction mesio then fixed 🔁
C. wait canine to erupt then extraction mesiodens🔁
105.pedo comes with deficient maxilla severe mandibular prognathism + canine impaction. What to deal with first
A. Treat the small maxilla ✅
106.Pt 5 with protruded mandible, and the mother is worried about him?
A. Reassure the mother and tell her to come when he gets older ✅

107.5 years old child have shifted when he protrudes mandible when you can do interventions ?
a. Mixed dentition
b. Now✅

108.5 child old have prognathic mandible, open bite, cross bite, maxillary deficiency what to treat first
a. mandible prognathic
b. Maxilla deficiency✅
c. Cross bite
d. Open bite
109.12 yrs Pedo pt with prognathic mandible which time best to treat?
A. now
B. 3 yrs from now
C. 6 yrs from now✅(if doing surgery)

110.9 years old pt came with his parent to ortho clinic, parent asking for treatment for obvious prognathic mandible
of their son also they mention that there is family history from the father side having the same strong prognathic
mandible, what is the appropriate treatment ?
A. Growth modification ASAP ✅
B. Growth modification when reaches 14
C. Fixed appliance
D. camouflage
111.11 years old pt. “Didn’t mention the gender” Came to orthodontist having deficient maxilla which better treatment:
a. rapid expansion with one turn daily✅
b. Rapid with one turn weekly
c. Slow with one turn daily
d. Slow with one turn weekly

112.11 y.o has a bilateral constriction

a. Rapid expansion activates every day✅
b. Rapid expansion activated once a week
113.11 year old patient with severe crowding and wants to do ortho
A. Rapid expansion 0.5mm/ day ✅
B. Rapid expansion 1mm /week
C. Slow expansion 0.5mm/ day
D. Slow expansion 1mm /week
114.6 years old pt with unilateral cross bite after examination pt has midline shift and bilateral cross bite, what is the
appropriate tx?
 A. Rapid palatal expansion
B. Slow palatal expansion ✅
115.12 years Pt have maxillary constricted what is tx?
a. Rapid✅
b. Slow
c. Bonded
d. Banded
116.pt. Complain about esthetic, and on examination the pt. Was having gingival inflammation, crowding, caries, and severe
class II jaw relation ,Which of the following is the best way to treat pt. According to his complain.
a. orthodontic followed by orthognathic
b. same as 1 but opposite
c. treatment of inflammation and caries then orthodontic then orthognathic surgery✅
117.pic for pedo pt. Came with class I malocclusion , there is no post. cross bite and only anterior cross bite in left canine ,
with severe crowding in both arches and unerupted upper right canine, and asking about the best treatment:
a. extraction✅
b. expansion
c. Distalaization
d. Non extraction

118.orthodontist separated two teeth, what will happen to the tissue?(mentioned before)
a. pocket formation
b. increase interdental papilla or something like that
c. tissue attached to bone ✅
119.The left canine is reputed before 9 months and the right is not yet, the right lateral is blocked out labially and the is a gap on
the right side, the parents asking for a solution.
a. close the space by a bridge
b. Do ortho
c. Surgical exposure for the canine✅
d. wait
120.Picture of a 7 molar with no space between it and 5 (mention it before )
A. Ortho to provide space ✅
121.What is the orthodontic force that make the treatment effective: -
A. Light and intermittent.
B. Light and continuous.✅
C. Heavy and continuous.
D. Heavy and intermittent.

122.9 y/o mixed dentition came for examination he has mandibular length deficiency. What tooth most likely will be
maligned?
A. Lateral incisor
B. Canine
C. 1st premolar
D. 2nd premolar ✅
123.9 years old Patient has ortho came with a hanging wire and button in lateral tooth He said that he had surgery for
canine one week ago. What was the cause of deboning?
A. faulty material
B. difficulty in isolation because of the surgery
C. use stronger bonding
D. wrong decision regarding the wire
124.CBCT of impacted canine asking about the location(depeand on the picture)
A. buccaly impacted (the answer)
 B. palatally impacted
125.Which brushing technique is recommended for patients with orthodontic braces?
A. Carter’s technique ✅
B. Roll technique
C. Modified Stillman
D. Modified Bass technique

126.Patient have thin scallop phenotype and wants to do ortho, what to consider?
A. Move tooth Labially ✅
B. Move tooth Lingually
C. Bleeding
D. Pocket depth

127.Patient complains of gummy smile, the length of central incisor, lateral , canine is 11,9,11 respectively. what is the cause
of gummy smile?
A. Increased vertical growth✅
B. Short teeth
C. Growth of gingiva
226.patient anteriors crowns length were within normal (he provide the length of incisors and canines were 9/10/11mm)
what is the reason for gummy smile
A. excess vertical growth of maxilla✅
B. gingival overgrowth
128.Patient female and adult having retained primary tooth asking to extract it after examination #53 good in shape
and size with full root length and #13 with poor prognosis what should you do ?

129.Patient with moderately severe generalized horizontal bone loss and will undergo orthodontic treatment. The
center of resistance will be in this case: -
A. More apically. ✅
B. More incisally.

130.fulcrum for single root ?

131.A patient takes bisphosphonates. What effect does this have on dental movement In orthodontic
treatment?(mentioned before)
A. slow tooth move✅
132.Distance in cm between pt and ceph film ?
A. 12
B. 15✅
C. 18
D. 20

133.closed reduction how many weeks ?

134.Cephalometric analysis in orthodontic treatment used for?

A. anterior posterior discrepancy ✅

135.Case of female patient complain of ulceration and inflammation in the right buccal area, while you taking a
history you find that she wear a braces 4 weeks ago, what is the cause of the complain:
A. Ni-Ti allergy.
B. Trauma from braces.✅
C. Poor oral hygiene.

136.Ortho patient having gingival inflammation and she is practicing the same oral hygiene measurement that she was
doing before the ortho brackets, what should you explain to her ?

137.Facial growth stops in last step in ortho ?

A. Vertical facial growth✅
B. Anterio-posterior growth

138.Maxilla resorbed in
a. Anterior medial✅ (upward and medially is more correct)
b. Ant lateral
c. Inferior med
d. Inf lat
139.Maxillary residual ridge resorption pattern
A. Upward and inward (or medially)
140.Radiograph for facial asymmetry
a. Cephalogram
b. CT✅
Pedo
1.9 year-old patient who has positive cooperative attitude, most of his teeth are restored and the first permanent
molars just erupted. what’s the best for him?
A. Fluoride gel
B. Fluoride varnish
C. Oral prophylaxis + topical fluoride + resin fissure sealant on permanent molars ✅
D. Oral prophylaxis + topical fluoride + GIC fissure sealant on permanent molars
2.What should be done for a paediatric patient with positive behaviour, good oral hygiene, and a fully erupted lower 2 molar?
A. Prophylaxis, topical fluoride, RMGI sealants
B. Prophylaxis, topical fluoride, unfilled resin sealants✅
3.child come to clinic with unusual behavior with his parents. The dentist suspects abuse. What should he do ?
A. Investigate the child in detail ✅
B. consult a colleague
C. call parents with phone
D. report child protection agency

4.pedo patient come with unusual behavior and bruising. What is this?
A. Child abuse✅

5.A child has many cavities, abscesses, and bruises on his hands and neck
A. Neglect and abuse ✅

6.Pedo pt came with dental abscess and multiple caries and he doesn’t seem medically healthy, what type of abuse?
A. neglect✅
 B. Physical
C. Sexual

7.pedo patient with poor oral hygiene and caries. What's the term of neglect?
A. parents neglected child treatment because they think it's not important .✅
B. parents neglected child treatment because once they informed about child condition✅

.
8.Which type pf child abuse related to fractures ?
A. physical ✅
9.case scenario about pt with scratch on his neck like bite
A. Sexual abuse

10.What kind of harm in pediatric patients that can never be accidental?

A. Physical
B. Emotional
C. Sexual ✅
D. Psychological
11.Difference between enamel and dentin of primary compared to permanent tooth?
A. Enamel thicker and Dentin thinner
B. Enamel thinner and Dentin thicker
C. Both Enamel and Dentin thinner ✅
12.difference between primary and permanent teeth(mentioned before)
a. bullous crown ✅
13.10 years patient good oral hygiene?? How many times brush teeth and use gel or varnish fluoride ?
A. Brush twic daily with flourited tooth paste,flouride application evey 6 months

14.When does neonatal teeth erupt?

a. Before birth
b. 0-30 days ✅
c. 3 months
d. 6 months

15.Teeth erupt between 0-30 day of baby?

A. Neonatal teeth
16.Pedo patient came for treatment. The session was successfully ended with no complications. The patient came after 2
days with swelling lip and ulcer ?
A. Lip biting

17.Pedo Pt u did SSC and he come next day with swelling what is it?
A. Dentialveolar infection

18.pedo patient you did SSC with no complications, after 2 weeks he came with swelling apical to the tooth, what
could be the reason?
A. dentoalveolar infection✅
B. masticatory trauma
C. allergy
19.Reasons to use opaque sealants over clear sealant :
a. Less micro leakage
b. More retention
c. Better visual assessment ✅
20.serial extraction
A. CD4✅

21.Serial extraction? Previously mentioned in February

A. CD only
B. 2CD4

22.child with space available 26mm and space needed 25?

A. spacing✅

23.Leeway space can be used in?

A. Mild Crowding✅
B. Premolar extraction space
C. Open bite
D. Deep bite

24.leeway space for mandible

A. 1.7 each side (3.4)
25.Crown of 3rd molar completed in which age by years(mentioned before)?
A. 16
26.Teeth formation in which embrionic week start formation?
A. 2
B. 6✅
C. 10
D. 14
27.RG for patient having all permanent teeth except the second permanent molar, and with retained lower primary 2nd molar
and un erupted 2nd lower pm and asking about patient age:
a. 10 years
b. 11✅
c. 12
d. 13
 ●
28.Space analysis for a 9 year old ?
A. Radiographic analysis
B. tanka and johnson ✅
C. Proportions

29.pedo patient has multiple occlusal caries low plaque

A. RMGI
B. adhesive
C. ssc✅

30.Cooperative child low plaque:

a. adhesive resin.
b. RMGI✅
31.what is the best restoration martial for uncooperative patient ?
A. amalgam
B. composite
C. GIC ✅
32.Pedo patient cooperative with multiple caries which restoration is better ?
A. RMGI
B. AMALGAM
C. COMPOSITE✅
D. SSC
33.Least esthetic restoration for pedo
a. Amalgam ✅
34.pedo pt with extensive caries on 51 the mother is concern of his aesthetic what is the treatment?
A. -resin strip crown✅
B. -GIC
C. -hybird
D. -amalgam
35.mother come with her child and he has facial and distal caries and concern about aesthetic what u should select
type of crown?
A. Risin faced ssc.✅

36.Pedo patient with caries facial extended facially and mother concern about esthetic
 a. SSC
b. Hybrid composite
c. Adhesive
d. Resin facially stainless steel✅
37.Strip crown use with?
A. Insical fracture

38.10 Y/O pedo pt her mother concern about the slight space ( diastema) what what should u do?
A. Assure and its normal✅

39.Peado pt develop abscess after Scc

A. pulpotomy✅

40.Most common complication of calcium hydroxide in primary teeth?

A. Internal resorption✅.

41.case pedo with distal shoe and 6 partially erupted erythema replace distal shoe by
a. Reverse band and loop✅

42.5 years old child, you did composite restoration under local anaesthesia , preventive resin restoration and fissure
sealant when you call him for follow-up??
A. 3 months✅
B. 6 months
C. 12 months

43.Pedo with good altitude ?

A. Positive reinforcement ✅
44.pt with primary molar and no successor what to do ?(mentioned before)
A. Refer for specialist
45.mesial step on primary teeth will turn to?
A. Class3

46.Mother concerned about child with neonatal teeth

a. Schedule Appointment with pediatric dentist now ✅
47.How to increase fissure sealant retention
a. Bonding agent
b. Etching✅

48.Need to stop breastfeeding.

a. 12 months ✅

49.Where to put the loop in Band and loop ?

a. At Contact

50.premature loss of primary second molar lead to?

a. midline shift
b. mesially tilted permanent molar ✅

51.primary canines absence is an indication for

A. severe crowding ✅

52.early loss of primary canine lead to

a. Crowding

53.Indications of hall technique

A. Asymptomatic or reversible pulpitis.✅
54.A 6 years old patient came with bluish swelling above the erupting #46 and the parents worry about it, what is the
appropriate management: -
A. Cauterization of the swelling and allowing #46 to erupt.
B. Observation and incise slightly the area and allow #46 to erupt.✅
C. Enucleation and extraction of #46.

55.eruption cyst in a very small child( 9 months)

a. Leave it , no need to interfere✅
56.10 years old patient came with ankylosed second molar without succedaneous, what is your management: -
A. Wait until age 18.
B. Extraction pf that tooth.
C. Extraction and space maintainer.
D. Refer patient to pedodontist.✅

57.Early loss of primary second molar First step to management

A. X-ray✅
B. Space maintainer
58.A patient, a four-year-old child, we want to examine the radicular bone. Which radiographic image should we use
A. PA✅
B. Bitewing radiographs

59.How to assess caries pedo pt (previously mentioned)?

A. Bitewing x ray
60.Pdl not present in children(mentioned before)
A. Apical ✅

61.Pedo I think 14y/o with erupted 23 and missing/unerupted 13, 12 is malalighned labially there is a gap in upper right
are and his parents what to improve the appearance , what is the most recommended treatment?
A. treatment of impacted canine✅
B. transitional denture
62.Pedo patient definitive negative, what treat?
A. Swap Goze then varnish
63.You want to extract primary molar...what the root will be? Missing information
A. Long and divergent
64.Pedo lost his front teeth along with the molar. In the OPG the permanent are present but did not erupt yet. He is 10
years old Should you place a space maintainer for him
A. No space maintainer is placed until permanent molars are fully erupted✅
65.Pedo 5 years old has class lll
A. Start treatment
B. Wait until early mixed dentition✅
66.oblique ridge in max 2nd primary molar :
A. Mesiopalatal, and distobuccal ✅
B. Mesiopalatal and distopalatal
C. Mesiobuccal and distopalatal

67.pedo with remaining molar and ant. Which space maintainer

  If the missing is primary canine -> band and loop
 If they mean by remaining ( permanent molars and incisors) >> lingual arch Palatial arch retainers
68.Scenario about 3-year-old paediatric patient with history of trauma to the upper front tooth was grey but no symptoms,
normal response to percussion and palpation what you’re gonna do?
A. Pulptomy
B. Pulpectomy
C. No treatment✅
D. Extraction then replace with prosthesis
69.Adult patient came to emergency with non vital tooth what’s the treatment?
A. apexification
B. pulpotmy✅
70.Position to treat 3 years old child
a. Knee to knee / lap to lap ✅

71. Pedo with ulcer after first visit to the dentist?

a. Reassure the mother

Professionalism and bioethics , infection control and patient safety

1.Less important in informed consent?
A. Cost
2.dr is making a survey and went to stakeholders to make the survey this person is?
A. Manager
B. health advocator
C. Researcher✅

3.synthesize relevant information, and the perspectives of patients and families, colleagues, and other professionals?
a. Health Advocate
b. Researcher/ Scholar
c. Communicator✅

4.ethics component(Mentioned before)

A. Compassion, competence, autonomy✅
5.You have needle stick injury you washed it bleed it out and cover it, what should you do immediately after that ?
A. report
6.Def of deontology ✅

7.definition of health advocate

8.breaking bad news?(mentioned before)
A. Pause frequently to check understanding ✅

9.Definition of Disclosure in Ethics

10. Patient came for appointment you asked “how are you” and Patient says “ i went to my father’s farm this weekend , you
interrupt him and keep saying “ give me specifics ” what did you break?
A. Treat patient like person ✅
B. Autonomy
11. Patient came after diagnosed by other doctor by cancer in palate, after examination appear it’s pus and said how is the doctor do
such diagnosis, what he violate or dismiss?
A. Indulge in defaming his colleagues
B. Avoiding criticism of colleagues ✅
C. To do good for colleagues
12. Case referred to do surgery the hospital didn’t call her for they scheduled app then they booked her after 6 months.
a. Verbal consent
b. Take consent again ✅
c. Change the date in new consent.
13. pt took from him informed consent, however the procedure cancelled, another day he came for the procedure.
A. change the date of the previous consent form
B. take a new informed consent✅
C. no need for informed consent

14. pt come to 2 dentist asking a precise request about her denture and she said to you the didn’t do exactly what t she asked ?
A. Existing

15. Pt delayed on his and complained about it and threatened the dentist to complain. Doctor decided to not have another
appointment, what is the justification?
A. aggressive behavior of the pt.
B. Patient is late🔁
16. patient was an hour and a half late for her appointment, and the doctor refused to admit her what is the reason
A. Because she was late✅
B. Because her aggressive behavior
17. Which case you can share private information of patient?
A. For consolation other doctors
18. we share pt information in which situation
a. consultation
19. A 14-year-old patient has cancer, and you told his parents that a biopsy is necessary. The boy refused, and his parents also refused
and said they would file a complaint against you unless you remove the entire cancer from the tongue. What do you do now?
A. Refer them to another doctor for a second opinion to convince them. ✅
B. Listen to them and remove the entire cancer without a biopsy.
C. Refuse the treatment.
20. A patient came from Canada wanting to have an abortion (mentioned before)
A. We explain to her that this is not possible in our religion ✅
21. A clinic referred a patient to put crown. After examination by the specialist, he found that there was no need. What should
he do?
A. We tell the patient their diagnosis is wrong
B. We work without informing the patient
C. We tell the patient there is a better option
D. We send a report to the clinic and discuss it with them✅

22. A nurse with you is new, and you noticed she has a ring under her glove. What do you do? (mentioned before)
A. Tell her to remove the ring as it might puncture the glove.✅
23. A child has good oral health and the parents insist on maintaining the child’s oral health
A. Tell them that the child comes to routine visits for a check-up
24. Female patient came with severe pain in her tooth and you make a treatment plan for that tooth with root canal treatment and
post and crown, her husband said extract the tooth because the treatment plan expensive: -
A. Take inform consent from her husband then do the treatment.
B. Try to convince her husband about the treatment plan.
C. Discuss the treatment with her and take inform consent from her.✅

25. The female pt. has an intrinsic stain and wants to do a full crown but the case needs only veneer. How to manage?
A. Refer to another doctor ✅
B. Explain to pt.
C. Do what the patient want
26. A patient wants to get Hollywood Smile and requests lifelong insurance for their smile in exchange for promoting the dentist
on social media.
A. Accept the offer
B. Do insurance for 5 years
C. Ask her to undergo teeth whitening
‫*غالبا الخيار الرابع بيكون رفض الطلﺐ وهو االقرب‬
27. A patient came asking the doctor to extract all of his teeth, claiming they are decayed and in bad condition, but after
examination, the doctor found that his teeth are normal and restorable, what should be done in this case?
A. Go with the patient's request and extract everything.
B. Refer him to a psychiatrist with a report about what he requested.✅
28. A patient came to the clinic. He did not explain the condition of her teeth, but said that she wanted a Hollywood smile to correct
failed restorations
A. We tell her and explain to her why it is a wrong choice ✅
B. We agree
C. We recommend bleaching
*Missing data in questions, if it has large defective anterior restorations veneers is one of the choices.
29. A girl comes in wanting a Hollywood smile, and the condition of her teeth is excellent. What do you do?
A. Refuse✅🔄
B. Do it
C. Bring another doctor to convince her
30. patient came for extraction #11 and dentist by mistake extract #21 instead. however he noticed his mistake and re-implant #21
and extract #11,how should he inform the patient?
A. disclose the error to the patient✅
B. report it as adverse event
31. Case referred for prosthdontic after treatment plan being initiated by a dentist, the prosthodontic didn't agree with the tx. What
should he do?
 A. write a criticizing report and send it to the dentist
B. call the dentist and teach him
C. tell the patient that he did a wrong treatment plan
D. tell the patient that you have different tx. Plan and call the dentist to discuss with him✅
32. You did small pinpoint mechanical exposure that was successfully managed, what should you do
A. Inform the patient✅
33. During endo you broke a file and you managed to do bypass successfully at the end of the visit, what should you do
A. Inform the patient✅
34. old patient with cancer his son said don’t tell him?
A. Tell the patient about his disease✅ (previously mentioned)
35. Female patient came to emergency with Ludwig angina, fever & can’t breath, she wants female doctor but there’s only male doctor
present and she shout at you what’s the management?
A. File a complaint
B. Let male doc treat her despite her wishes
C. Dismiss from hospital
D. Convince her with the Islamic principal necessity legalizes the prohibited ✅
36.If a patient with Ludwig's angina becomes upset when no female dentists are available, what should the
dentist do?
A. Raise a complaint
B. Treat her without her approval
C. Convince her of respecting her Islamic principles but "Necessities permit prohibitions" ✅
D. Refer her to another clinic
37. When it is acceptable to disclose patient information?
a. Discuss with another colleague✅.
38. patient on examination ask her husband to come inside the clinic and diagnosed with oral viral infection:
a. tell her with confidentiality✅
b. discuss with her husband

39. positive covid pt came to clinic need simple restoration

a. Refuse treatment
b. Treat as last pt
c. Treat him in different room
Note:the right answer is to only treat emergency and defer any elective treatment
40. Surgeon during GA extracted 21 instead of 11 .. and he reposition 21 and splint it , what he need to do?
A. disclose to the pt. ✅
B. in follow up tell him and ask of any complication.
41. Orthodontics patient referred for extraction of upper 4, but upper 5 extracted by mistake
a. Disclose to patient and apologize
b. discuss with orthodontist if he can change treatment plan✅

42. patient complaining of pain and wanting analgesics.. After the doctor examined him there was no reason for analgesics.. but the
patient insisted and he was nervous and upset.. What should the doctor do?
A. refuse to give him ✅
B. give him analgesics.
C. refer for another opinion
43. pedo pt need extraction of multiple unrestorable teeth .. but the father refused .. What is management?
a. explain to the father about the importance of the extraction✅
b. take consent from child
c. neglect the father and extract
d. put composite restoration even though teeth have pulpal involvement
44. 14 y.o with cancer in palate and needs excision. The pt. Refuse but his parents agree
 a. take the case to the court
b. inform consent from parents✅
c. sign the consent yourself in behalf of pt

45. 14 y/o girl came to you want diamond in her teeth like her friend and she came without her parent what should u do? (Because
she’s under 18)
A. Bring her parent✅
46. patient came after a year from consultation visit, and said she is ready to start. What to do?
A. Discuss and review treatment plan in details and take new consent
47. 15 boy came with large occlusal caries with 2 mm apical radiolucent doctor say he need endo ? and his mother can’t make the
decision and she ask her son ,he said extract the tooth what will you do ?
A. Refer the patient
B. Both parent should sign the consent endo or surgery ✅
C. Do the extraction after take the consent from the mother
48. A mother with a 15-year-old son who has a severely decayed tooth that could be treated by endodontics. The mother is uncertain
about the decision and asks her son. The son said that he wants to extract the tooth, What is the appropriate course of action?
A. Refuse treatment
B. Refer to another dentist
C. Wait until both parents agree on the appropriate treatment✅
D. extract the tooth but make them sign an informed consent

49. 32 years old mother came to you with severe pain, and she was worried and anxious because her children were waiting at
home. What is the mother's responsibility?
A. Tell dentist all data he need to treatment ✅
50. A patient came to the clinic, and you offered her several treatment options. She told you to choose for her since you're the
doctor. What do you do?
A. Explain each treatment in detail, its problems, and its benefits, and let her choose✅.
51. pt told you choose the treatment for me
A. Refer for another opinion ✅
52. doctor doing clinical trial without telling the patient about the placebo factor. What does he jeopardize?

53. The doctor made a new medicine for blood pressure and gave it to a group of patients without letting them know it's new.
What mistake did the doctor make?
A. informed consent
54. you prescribe a new drug for treating hypertension which is still under evaluation for 20 patients what did you miss??

55. 5 years old cooperative child came with his mother . After explaining the initial brief details the mother said to dentist do what have
she think necessary , and left to the coffee shop what is the breach
A. informed consent✅
B. privacy
C. confidently
D. sequence of treatment
56. Pt came to extract #17 instead that the Dr extract #27 accidentally and he didn’t tell the pt rather than he give the post operative instruction
and dismiss him, what is the terminology that describes what Dr did ?
A. Negligence
57. There are separated file and u make by pass this is name ?
a. miss
b. semi miss 🔁
 c. extra miss

Note:if near miss in the options it is the most correct

58. pt cut the patients lip accidentally, and called an OMFS to suture it in three layers, what did the patient violate?
A. Malpractice
B. near miss✅
59. extraction for asymptomatic impacted 3 molar, the Dr successful extract the tooth but he did injury to the IAN, what terminology
describe what Dr did
A. Malpractice ✅
B. Negligence
C. Normal surgical situation
D. Compilation from surgical extraction
60. Gp decided to extract impacted third molar that’s near to IAN and he causes injury to lingual nerve. However he did extract the
tooth successfully. What we call this ?
A. neglect
B. malpractice
61. Your manager told you that a VIP patient would be coming tomorrow, and he wanted you to free up your schedule. You had
other patients scheduled, but you denied your manager's request and scheduled the VIP patient as an extra appointment. What
did you not violate? (mentioned before)
A. Justice✅
62. Female patient concerned about aesthetic and while you choosing the shade for teeth she was confused and you bring the lab
technician to convince her about that shade, and the patient became angry because you invite male in the clinic, which on of
the following you jeopardize:(mentioned before)
A. Patient privacy.✅
B. Patient information.
63. Protect Prevent from fall patient. This is?
A. Non malfuncience
64. Definition of non-maleficence

65. Pt want to save money didn’t want to the dr take xray and dentist follow her decision which will be compromised?
informed consent ‫ اما اذا سﺄل ايش االجراء المتخذ طبعا بيكون‬autonomy ‫اذا سﺄل هذا تعريف ايش بيكون‬
A. Non-malefience
B. Autonomy
C. Informed consent

66. Dentist doubt to extract badly impacted 3rd M, and he explained it to the pt before any further treatment
A. Honesty / truthfullness✅
67. Telling patient, a treatment option without telling him the possible complication, what did the dentist violate?
A. Informed consent ✅
B. Beneficence
C. veracity
68. patient who is getting an extraction, and the doctor decided to provide an FPD (Fixed Partial Denture) without explaining the
other options or complications what the doctor violate
A. Autonomy✅
B. Veracity

69. The doctor prescribes and explains to the patient all the procedures and informs him about the success rate or side effects before
 performing any procedure. What is this called??
70. If you are extracting impacted third molar near the IAN and you explain to the patient the possible complications that may
happen after the extraction, your explanation to the patient is considered as?
A. Autonomy
B. Beneficence
C. Non-maleficence
D. Veracity✅
71. The dentist informed the patient about the possible complications of the treatment and told him the post operative instructions.
What is the ethical principle he achieved??
A. veracity✅
B. autonomy
72. mother came with her child for restoration she asked for composite. The dentist confess her to do amalgam instead, what
he violate ?(mentioned before)
A. beneficence
B. non-malfeasance
C. autonomy✅
73. Pt came for routine check up and she refuse to do x ray for the fourth yr annually bez she want to save money to travel and the
dr decide to go with the pt wishes. What it is most breached?
A. informed consent,
B. treatment quality
C. Beneficence ✅
D. Autonomy

74. You referred pt. Unnecessary to another Dr. You violated?

A. Veracity✅
B. Justice.
C. Beneficence ✅

75. A doctor saw a patient in the emergency room who wanted to have a temporary crown that had fallen off replaced, but he ignored
her and walked away. Violation of
A. beneficence✅
76. A famous player came to your clinic, and after the treatment, you took his picture without his permission and posted it on social media.
a. Confidentiality

77. you are intern from maxillofacial dep and you tell your friend from prostho about wife of director she had tumor and she is in OR
what is the principle you violate ?
A. Confidentiality ✅
78. dentist after finishing the treatment, took selfie photo with the patient and posted it in Instagram?
A. privacy
B. confidentiality✅
79. Doctor agreeing with toothpaste company for payment
a. Illegal because it's a bribe ✅
80. A doctor gives a bribe to a company
A. Unprofessional
B. Illegal ✅

81. Doctor take 10 riyals from company to use there antibiotic

A. Unprofessional ✅
B. Conflict of interest
82. Doctor who treat patients differently
a. Discrimination✅

83. doctor treat patient according to their prestige

A. discrimination✅
84. a doctor referred a patient to receive a consultation (the patient knows). After the doctor finished the consultation with the patient,
the patient asked the doctor to complete the treatment with him instead of his original doctor and the doctor said no.. what is this
considered?
a. moral ✅
b. ethical
c. Legal
d. Beneficence.

85. doctor duty to his profession

A. Attendance lecture….✅

86. Case about doctors who registered for laser course (take certificates without attending) what they violated?(mentioned before)
A. Develop the profession

87. dentist received certificate of work shop, but he did not attend it. What does he violate?
A. Unprofessional✅
88. dentist noticed that one of the new interns in his department has long nails with red nail polish and strong perfume, he talked with
her that long nails interfere with infection control measures. What did the intern violate?
a. Honor of dentistry✅
b. Autonomy

89. physicians help their friends and family to have faster, and better service what he violated?
a. take advantage of his professional position✅

90. scenario about Dr say in front of the pt to that Dr who made a mistake with diagnosis he says He is lucky not to continue with
treatment what is i

91. dentist told the patient her case would be managed better by the specialist, what he follow ?

92. Pt with end stage cancer ,inoperable for surgery . The dr want to give him drugs that improve his nutritional status and quality
of life)
A. palliative treatment ✅

93. cancer patients ask the doctor to kill them but the doctor refuses and only wants to keep them hydrated and nutritive to
reduce pain
a. palliation ✅
b. Active euthanasia
c. Passive euthansia

94. Patient want to die and asked the doctor to kill him and the doctor refused but the doctor cut off his nutrition until he dies
slowly; what is that considered??
A. active euthanasia
B. Passive euthanasia✅
 C. Palliative

95.Active euthanasia…

96. Doctor decided ‫انعاش وقف‬by himself without patient or parents consent, what the nurse should do while he’s having heart
attacks?
A. call the emergency.
B. follow the direction of the doctor✅
C. go with the case in curt

97. Pedo pt came with the nurse when she was under general ansethisa the dentist decided to do extraction from who the consent
is taken?
A. Dentist
B. Parent✅
C. Nurise
D. The court

●
98. 18 year old came and want to do rhinoplasty, examination showed that she can do the surgery, from whom to take the consent?
A. parents
B. Court
C. Patient✅
D. Care giver
99. pt diabetic in coma and he have gangrene and you need to amputate his limb patient sons and daughters refuse treatment and they
say it’s better to let there father die Who you will take the consent from
a. family✅
b. court
c. Hospital

100.A patient is in a coma and according to his wife, he has stated in his will that he does not wish to receive treatment and prefers to die.
However, the patient's father disagrees and insists on treatment. Who has the authority to make the decision regarding the patient's care?
A. Father ✅
B. Wife
C. court

101.Cancer patient and pregnant and she need to do abortion from who you take the consent ??
A. Husband
B. Patient ✅
102.Adult male Partially mentally unstable pt came seeking dental treatment, from who you will take the consent?
A. Pt
B. Parent ✅
C. dr (if the case is emergency )
D. hospital director

103.30 y pt with little mental retardation and his psychologist said that he capable of making his own decisions, how while sign
the consent?
a. Parent
b. patient✅
c. Court

104.Patient sever autism came with his father...want to do extraction...from who will take consent?
A. Father ✅
105.Pt with Down syndrome came to clinic want to fix his incisor that has small incisor chip, Dr was explaining to pt the procedure,
complication….. to take consent but the pt didn’t understand most of what dr said in this situation what the Dr should do?
A. Refuse the Tx
B. Proceed with the tx without further discussion
C. Take informed consent from patient’s relatives or caregiver ✅
D. Let the pt sign the consent form and do the treatment
106.Patient with Down Syndrome for emergency extraction
a. Consent from Proxy caregiver
( In emergency situations we don’t need consent, we act on the pt best interest)

107.You Extracted a tooth that doesn’t have any restoration considered as ?

a. Infectious✅
b. Hazardous
c. Contaminated

108.extracted tooth with amalgam?

A. Biohazard

109.How do you sterilize a tooth with amalgam ?

A. Put in formalin 2 weeks✅
110.extracted tooth without amalgam?
A. Contaminated
B. Infectious. ✅

111.Extracted tooth with amalgam

A. Place in biohazards waste ✅

112.Senario, extracted tooth with amalgam ?

A. Remove depriss then Autoclave then restore in saline
B. remove depriss and soak in 10% formalin then restore in saline✅
113.Extracted tooth pt want to take it ?
a. No treatment for the tooth needed✅
b. Formalin 10%
c. Autoclave
114.Critical instrument?
A. That cut and penetrate tissue✅

115.face-bow considered as ?
A. Semi critical
B. noncritical✅

116.cheek retractor?
A. semi critical high level disinfection✅

117.Semi-critical instrument?
a. Surgical instruments
b. Dental unit that has Intra oral pieces✅
c. Floor and walls

118.transfer impression to lap?

A. sealed plastic bag✅
B. sealed plastic bag label biohazard
119.Lab technician after pouring of alginate impression and removing the cast he remove the alginate impression from the
tray, what is the step he must do before putting the tray in the autoclave: -
A. Scrub tray with brush.✅
B. Soak it in gultaraldehyde.
C. Soak it in warm wash.
D. Wash it manually.

120.How to disinfect prosthesis before lab

A. glutaraldehyde ✅ If he meant by asking how to disinfect impressions

● and here if he asking about prosthesis

121.when doctors should scrap a hand?

A. Before and every patient touch✅

122.Cases we need to do hand scrubbing?

A. Visible soiled
B. implant surgery ✅

123.How to remove the mask ?

A. release from loops
124.wearing PPE
A. Gown > mask > face shield > gloves✅
125.The first thing the doctor removes after completing treatment
A. Gloves

126.At the beginning of the day before the first patient and you start doing of personal protective equipment, what is the first step
you will do: -
A. Gloves.
B. Wash your hands.✅
 C. Mask.
D. gown.

127.How do gloves minimize the infection in dental surgery ?

A. change it after long time ✅
B. wash the hand after donning the gloves
C. no need to wash the hand before
D. throw it in the general waste

128.hand scrub with antiseptic ?

A. 20-30 sec ✅

129.antiseptic gel used for

a. 20-30 sec ✅ (previously mentioned)
130.hand washing:
A. 40-60 second✅
131.Doctor after operative washing his hand and when still wet 1 of alcohol, what the doctor should address ?
A. Drying hand before alcohol

132.Gloves torn in the dentist hand what is the best hand hygiene?
a. Cohol with water
b. Water and soap✅
c. Water and soap also Cohol rubbing
133.Assistant went to take her 5 minutes lunch break, she was wearing the gown, what should she do?
A. Remove PPE

134.Effective time and temperature for Dry heat

a. 340 F for 5 min
b. 320 F for 120 min
135.How many days for Autoclave B
A. 30 days ✅

136.Autoclave 123c how many mins?

A. 4mins✅

137.How much with pound the pressure for autoclave in 121 C previously mentioned
A. 5
B. 10
 C. 15psi ✅
D. 20

138.pt vomit in clinic what is level of infection ?(mentioned before)

A. Intermediate

139.Patient throw up in the clinic what is the disinfectant level

A. Intermediate✅

140.Patient vomit in the floor and the cleaner clean the floor with absorbable towel what type of waste you will put the towel
in: -
A. Hazardous.
B. Toxic.
C. Infectious. ✅

141.patient spit on the chair what type of disinfection? (Previously mentioned)

a. High,
b. low
c. depend on manufacture✅
142.Wax disinfection
a. Iodophor

143.Disinfectant for dental base material

a. Prevent cross infection
b. To protect lab technician and patient✅

144.Drawers in which zone (Picture provided)

a. Clean

145.cleaner gets a stick when he takes the bag out of the sharp container, what is the cause?
a. Active failure

146.Cleaner hold the trash with exposed blood in needle,

 a. active failure✅
147.Percentage of unreported needle stick injury?
A. 35% ✅
B. 20%
C. 50%
D. 70%
148.Dentist cut his finger and bleed inside pt mouth what is the proper management:
a. don't tell the pt only write in his record
b. Tell the pt and write
c. Assure pt you did not have any blood disease
d. Tell the patient and refer him and follow up✅
149.needle stick injury
A. leave blood flow out and wash
B. blood flow out and cover with water proof
C. Wash under water with soap and let blood flow naturally ✅ ( I added it)

150.At the start of the day, you remembered that you had a minor cut on your finger. What should you do before starting work?
A. Wash your hands thoroughly.
B. Wear double gloves
C. Apply a tight bandage over the wound before wearing gloves✅
151.Case about needle stick injury during working, what is the first step you will do: -
A. Wash the area with water.✅
B. Disinfect the area.
C. Cover the wound.
D. Report the incidence.

152.When needle stick happen

a. encourage bleeding and washing
b. encourage bleeding and scrubing and washing then cover it
c. Washing then cover

153.when doctor do prep and water come in his eye what should do?
A. Wash his eye immediately✅

154.A doctor uses lenses for his eyes and was doing cavity preparation without a face shield, and water splashed into his eyes.
What's the first thing he does?
A. Remove the contact lenses.✅
B. Rinse his eyes in the eye-cleaning area of the clinic.
C. Ignore it and continue working.
D. Run tests on the patient

155.doctor cut her finger In Thursday, In Sunday she went for a dental procedure, she wear wedding ring in the right hand and
diamond ring in the left hand, what should she do before hand hygiene?
A. remove the wedding ring
 B. remove the diamond ring✅
C. wipe the cut with alcohol
D. put a waterproof band on the cut

156.nosocomial infection transmitted by?

A. Most commonly direct contact✅

157.nurse need to give doctor sharp instrument ‫(؟‬mentioned before)

A. in natural zone ✅

158.nurse clean instruction without glove and before instrument go for sterilization use glove?
A. she is supposed to be wearing it from the beginning ✅

159.best Methods to sterilize burs?

A. Dry heat✅
B. Chemical vapor (chemical)✅

160.Burs sterilization ?
A. Dry heat✅

Note: the answer is not d because it has been more than 2 days since the cut no need to cover the cut
161.The most common cause of corrosion and rust of instruments
A. Dip it in water
B. Autoclave ✅
C. Dry heat

162.How to transfer biopsy to lap

A. in formalin biohazards✅

163.bur before autoclave

A. 2%sodium nitrite perforated✅
164.test for sterilization?
 A. spore test✅
165.spore test for autoclave ?
A. Weekly ✅
166.Carbon steel instruments reason for corrosion
A. Steam sterilization ✅

167.Instruments merged in
A. solution before sterilization when you don’t have time between patients✅

168.Dental assistant has no time to sterilize hard instrument, she should soak them in?
a. Iodine solution
b. non ionic solution✅
c. Water

169.picture of sterilized instruments, and the sterilization strip is blue. What will you do?
a. Use the instrument and next time tell the sterilization department
b. Write report for the department ✅

170.def, sterilization.
A. killing and remove all micro- organism including bacteria ✅

171.Definition of infection control

172.cross‐infection definition
A. The transmission of infectious agents from person to person or from inanimate objects within the clinical
environment which results in infection✅
173.Process that kills all organisms and stop their growth (definition)
A. Asepsis
B. Disinfection
C. Sterilization✅
174.sterilization of light between patients?
A. Disinfecting with plastic rapping ✅

175.which of the following is best to remove aerosol

a. Good ventilation✅
 b. sterilization
c. disposable sharp instrument in waste

Note:if high-volume suction in the options it is the most correct

176.Dentist ask assistance to clean water line in clinic to prevent future contamination, what is the important part to clean?
A. Stagnant areas✅
B. Outgoing waterline
C. Ingoing waterline
D. None of well sealed waterlines
177.Sharp instruments After the surgery is over
A. throw it biohazard✅
B. Place them in neutral zone

178.After completing treatment, the nurse manage with the instruments according to which order
A. cleaning. Disinfection ..sterilization✅

179.Why don't we put iodophor for 60 min with instruments?

A. not sporicidal ✅
B. breaking down to a lesser active form.
C. inactivated by blood and tissue
D. Effective against viruses but not bacteria

180.Hierarchy risk assessment for dental systems, and the dentist can not afford a new system what he should do
A. Protect his employees
B. Take hazard from part of the system
C. Spread informed consent to the employees
D. Substitute the hazard✅

181.Patient close on saliva suction during treatment this can cause transmission of bacteria from waterline to patient mouth
how?
A. -pressure inside mouth is greater than pressure of suction
B. -pressure of suction greater than pressure inside mouth✅
C. -pressure of suction is equal to pressure inside mouth
Oral medicine, oral surgery and medically compromised patients
1.Newborn needs fluoride
a. 0 ✅

2.Mother came with her 2 yrs child ,she did not stopped the breast feeding yet and u explain to her to the effect of
rampant caries which brushing tech u will advise her ?
A. pea size with fluoridated toothpaste
B. pea size with unfluoridated toothpaste
C. smear layer with fluoridated toothpaste✅
D. smear layer with fluoridated toothpaste

3.4 years cardiac pt in mixed dentition, no caries what is the best for him?
a. Fluoridated tooth paste
b. Non fluoridated tooth paste
c. Fluoridated tooth paste and fluoride varnish every 6 months✅
d. Non Fluoridated tooth paste and fluoride varnish every 6 months
4.pt 6 yo with good oral hygiene and brushing twice daily with fluoridated toothpaste, and drink bottle water. What is
the fluoride supplements in mg needed for her?
A. Don’t give any fluoride.
B. 0.25 mg/day.
C. 0.50 mg/day.
D. 1 mg/day.

5.Percentage of fluoride for 7 years old in toothpaste ?

A. 1100 ppm ✅
B. 550ppm
C. 350ppm

6.We give for a low caries 13 YO child:

A. 1100 ppm in toothpaste with naf 0.05%✅
B. 500 ppm toothpaste with 0.05%
7.percentage of acidulated phosphate fluoride?
A. 1.23 APF.✅

8.most commonly used varnish(mentioned before)

A. stannous fluoride 2%
 B. sodium fluoride 2%
C. stannous fluoride 5%
D. sodium fluoride 5%✅
9.fluoride varnish contain?
A. Stanous fluoride 2%
B. Stanous fluoride 5%
C. Sodium fluoride 2%
D. Sodium fluoride 5% ✅

10.pt with liver disease and mild carious lesions what is the Time recommended for 22.6% sodium flouride varnish
a. Every 3 m✅
b. Every 6 m

11.Pedo pt have liver failure will have transplant , when to apply fluoride varnish ?
A. Every 3 months
B. Every 6 months✅
12.fluoride for patient high risk every
A. Every 3 months ✅
B. Every 6 months
C. Every 12 months

13.Most effective method for caries prevention?

A. Water fluoridation✅
B. Toothpaste fluoridation

14.which type of fluoride contraindication for Down syndrom

A. Fluoride gel ✅
15.Which fluoride supplement is contraindicated for Down syndrome?
A. Toothpaste
B. Mouthwash ✅
 C. Fluoride paste
D. Fluoride water
16.The age range for the development of dental fluorosis in permanent teeth?

a
17.most common form of chronic fluoride toxicity?
A. Skeletal fluorosis
B. Dental fluorosis✅

18.Parents bring their 3 years child to emergency because during tooth brushing he ingest the toothpaste that was in
the brush, what is the first and proper management for him: -
A. Give milk and observation.
B. Induce vomiting.
C. Assure the parents and tell them to be careful about ingestion during brushing.✅

19.10 y girl drink all battle of mouth wash and she go to Emergency room what will you do for her?
A. Vomiting
B. Give milk✅
20.3 year old girl swallowed adult tube of toothpaste what is the first line management:
a. ipecac syrup
b. induce vomiting
c. give milk✅
d. activated charcoal
21.Pedo pt swallow mouth wash management?
a. Give milk ✅
b. induced vomiting

22.child swallow the varnish and then he vomit what is next thing you will do ?
A. give him milk✅
B. Reassure the mother
C. hospital
23.Actinomycosis found in ??
24.sulfur granules with which disease
A. Actinomycosis ✅
25.pt with asymptomatic exposed bone and he’s taking bisphosphinate tx?(mentioned before)
A. mouthwash ✅
26.Bisphosphonate
a. Causes bone necrosis ✅

27.A patient is taking bisphosphonates. When should we extraction

28.Patient takes bisphosphonate...want to extract his tooth...antibiotic?

A. Before extraction
B. After extraction
C. only if there is sign of infection ✅

29.which disease we used bisphosphonate with it ?

A. Paget disease ✅

30.MRONJ stage 2 what’s the management?

31.pt complain from pain, she had breast cancer she took zometa finish the treatment 1 year ago. She had exposed bone
and inflammation which MRONJ classification ?
A. class 1
B. Class 2✅
 C. Class 3
D. Class 4
32.53 y/o patient is on Zometa with exposed bone, pain and purulent. She extracted multiple teeth weeks ago. OPG no
fracture but a large mixed lesion extending from premolar area to the ramus What is the treatment?
A. resection
B. Ab ✅
33.pt is taking zometa, x-rays show fracture how to treat?
A. Resection✅
34.Patient with cancer, chemotherapy, asymptomatic bone exposure:
a. Antimicrobial mouthwash ✅
35.Pt finished his first cycle of Chemo 18 days ago and he did lab tests (table provided low platelet) he came with
severely decayed tooth what is ur management ?
A. Extract and gibe Ab
B. delay the exo 3 days and order new lab test then extract ✅
C. refuse to do exo
D. delay the exo after the second cycle

36.Patient received treatment for head and neck cancer three years ago came to you complaining of pain in the jaw, there is
radiolucency in the jaw what is the cause:
a. osteoradionecroais✅
b. OKC
c. denrigerous cyst
37.pt have cancer and hopeless and painful tooth, what to do?
A. extraction
B. RCT✅

38.Patient have metastasizing cancer and take (Docetaxel or Doxorubicin not sure) we want to avoid osteonecrosis ,
he has a hopeless tooth to extract What’s the best management?
A. Grind the tooth till subgingival level ✅
B. Change to oral medication
C. Give 2 months holiday of the medication
D. Give antibiotics
39.patient is taking something for cancer and has a radiolucency in molar + onion-shaped radiolucency, what
to do for him?
A. IV antibiotics ✅
B. Refer to bone department
40.sign of panic attack?
A. Dilated pupils
41.What is the minimum time to take postoperative prophylaxis in weeks for HIV patient
 A.
2 week
B.
3 week
C.
4 week ✅
D.
5 week
42.Pregnant women 2th trimester antibiotic :
A. Clindamycin✅
B. azithromycin
C. tetracycline

43.Beta lactamase resistant bacteria Antibiotic ?

A. Amoxicillin
B. penicillin
C. Amoxicillins with Clavulanic acid ✅
D. Ampicillin

44.An elderly man with an artificial valve wanted an extraction. You prescribed him amoxicillin. After an hour, he came
back with swelling and difficulty breathing; an allergic reaction. How would you handle this situation?
A. 50 mg diphenydramine
B. 0.4mg epi IM✅
45.What is the most antibiotic cause allergic reactions:
a. Amoxicillin ✅ ( or penicillin)
b. Clindmycine
46.Patient had side effects from Amoxicillin, what drug substitute

47.patient needs antibiotic prophylaxis; he doesn't have an allergy but can't take it orally
A. Ampicillin✅

48.Proper Clindamycin dose?

a. 600 mg✅

49.child with avulsed tooth which is already good managed by the dentist and then he advice for antibiotics, which one
will you give?
a. Amoxicillin
b. Pincilline✅(if less than 8)
 c. Tetrayclin✅ (Depend on child age )

50.Type of antibiotic used for prosthetic valve?

A. Amoxicillin✅
B. Penicillin
51.Prophylaxis antibiotic for pedo ?
A. 50 mg amoxicillin or clindamycin 20 mg with allergic patient
52.prophylactic antibiotic
A. 600 clindamycin before 45 min of treatment
B. 500 clindamycin before 45 min
C. 250 azithromycin before 60 min
D. 500 azithromycin before 60 min✅
53.prosthetic heart valve had prophylaxis antibiotic for extraction and had allergic how to avoid it :
A. .0.4epinephrine 1/1000 lm to tongue and call emergency
B. diphenhydramine
54.Patient having prosthetics valve 2 years ago, how to manage it ?
A. Give antibiotic prophylaxis ✅

55.according to AHA for who you will give ABs prophylaxis?

A. History of infective endocarditis✅
56.Case of infective endocarditis he did extraction and they give him 2g amoxicillin before 1 hour but didn’t mention he
did take before 10 days AB for sinusitis , came with heart murmur fever .. ect.

57.Pt has coronary stents need extraction what is the oral prophylaxis
a. No need ✅
58.Cardiac disease patient that takes 325 aspirin and want third molar extraction?
a. Proceed with extraction ✅
b. Stop asprin
59.pt taking aspirin 325 and need extraction
a. prophylaxis
b. Defer
c. Stop drug for 5-7 day and then treat the pt.
 d. Extraction✅

60.patient came for emergency extraction, and he was taking aspirin since three days to manage pain, what test you
should do ?
61.Patient came to extract a tooth, he has stable angina and take aspirin unknown dose, what is the management? (Depend
on daily dose )
A. Stop/ discontinue aspirin and extract
B. Extract and use local hemostatic agents ✅
C. Stop aspirin for a week then extract
D. Give prophylactic antibiotics
62.scenario, of pt with stable angina Need extraction of asymptomatic tooth with unknowing aspirin dose
a. Stop aspirin before one week
b. Stop aspirin after one week
c. No need to stop
63.Patient with stable angina, control hypertension taking medication, last MI 3years ago need simple extraxtion?
a. refer to do it in hospital
b. do extraction with INR test✅

64.Cervical mass, non-mobile, showing Reed Sternberg cell

A. non Hodgkin lymphoma✅
B. burkit lymphomas
C. multiple myeloma
D. Lipoma

65.Pt came with cervical mass not mobile (Scenario of malignancy wt loss, night sweating,etc )
A. H lymphoma✅(also show reed sternberg cells in histo)
weight loss and night sweating features of TB

66.A disease associated with AIDS.

a. Non hodgkin lymphoma

67.HIV patient for treatment

a. Request CD4 lymphocytes counts and viral load ✅
68.Opportunistic infection in HIV pts when the CD4 below? ((Previously mentioned in February part 2)
A. 350
B. 200✅

69.HIV pt with bloody nodules in palate ?

A. Kaposi sacrcoma✅

70.What oral disease associated with HIV?

a. Pemphigus vulgaris
b. Hairy leukoplakia ✅
71.pic of white lesion on tongue and they mentioned he is a HIV patient, what is the management?
A. Reassure as this might occur in his condition✅
B. Refer him immediately, because this could indicate significant disease
72.HIV Pt complaining of erythamous marginal gingiva plaque and mouth wash was give after one week no
improvement what next to give :
A. Fluconazole ✅(antifungal)
B. valacyclovir (Anti Viral)
C. tetracylcine (Antibiotic)
73.What treatment should be considered for an HIV patient with linear erythema who doesn't heal after irrigation
and scaling?
A. Anti-viral drug
B. Antibiotic
C. Fluconazole ✅
D. Prednisone

74.pt has liner gingival Erythema what drug should u given?

A. Fluconazole✅

75.Case recurrent blister in lip , due sun exposure:

A. Recurrent herps labials ✅

76.Dr doing scaling for patient....with retraction his lip by caution...what reason?
A. Herpes labialis ✅
B. NUP
C. HiV
77.pic herpes labialis
78.Scenario with pic for pt with multiple ulceration at the vermilion border and adjacent skin, pt said that this lesion
almost come every months with pain and itching on the same site before the lesion appears, Dx?
A. Herpes labialis

79.Case about pt having ulcer heal in one week and with systemic involvement ( fevers , flu ) what is your diagnosis
a. herpes labialis ✅

80.Herpes zoster complication ?

a. Post herpetic Neuralgia✅
b. Blindness

81.Red erythematous with white border on hand and feet , vesicles turn to bullae what’s your diagnosis?
A. HSV
B. Erythema multiform ✅

82.with crusted lip and concentric erythematous pattern of the cutaneous lesions on the fingers, what is the diagnosis?
a. Erythema multiform✅

83.A patient presents with oral erythema multiforme (EM) of the oral cavity and reports that he usually gets 5-6
episodes per year. Each time EM presents a couple of weeks after a recurrent herpes labialis episode and usually
manages the EM with topical steroids until the lesions resolve completely. He wishes to know if there is anything
else he can do to prevent the recurrent episodes. Which of the following would be best for continuous daily
prophylactic management to prevent future episodes?
a. Topical steroids
b. Systemic steroids
c. Valacyclovir therapy ✅
 d. Diphenhydra Ine solution

84.pedi pt. With high grade fever, malaise, multiple ulcerative lesion in gingiva and buccal mucosa and asking about best
treatment:
a. antibiotics
b. Anti-fungal and supportive treatment
c. Antiviral ✅
85.pic of gingivostomatitis, and want treatment
A. Plaque removal and systemic anti- viral.

86.3 years old with mouth sores low grade fever and increased drooling
A. Toothing
B. Herpangina
C. gingival herpes stomatitis ✅

87.4 years old African pt. Came with oral swelling and they found that it’s malignant, which of the following could be
the cause:
a. HIV
b. EBV✅
c. HHV-8
d. MCV

88.patient has cervical lymphadenopathy and paul punnel test which virus
A. EBV✅

89.Risk of middle injury 35% which one?

A. Hepatitis B✅

90.Vaccinated HBV, level of anti-HBs could be

 a. More than 12 IU/mL✅

91.after taking three doses of hepa B vacc blood test should be ?

A. more than 10 mIU/ml✅
92.dentist apply for a jop and he took two doses of hep b vacc only long time ago. What should he do
A. Take 3rd dose✅
B. Test the level AntHbs

93. Patient with severe pain fractured tooth need extraction and history of hepatitis.
a. Do extraction under standard precautions
b. In isolated room with standard precautions ✅ ( I added it )

94.New dentist who received two does of Hepatitis B vaccine long time a go and now he want to treat patient:
A. should take third dose
B. should do Ant HBVs the before decide✅
C. 2 is enough..

95.The test to know if the patient is vaccinated against HBV?

A. Anti-HBs✅

96.Patient with hepatitis c virus needs multiple extraction, what is the blood test?
A. Alt ✅
B. Platelets function
97.patient hepatitis C what test use ?
A. AST/ALT ✅
B. Inr

98.Extraction for patient with Liver cirrhosis

A. INR test ✅
B. Corticosteroids
 C. Local anesthesia without Epinephrine
99.chronic c hepatitis patient before the extraction what is the test the patient should do it ?
A. INR
B. Platale function
C. Anti-HCs antigens

100.pt. Came with severe pain and she is crying because it, and she said that she was having hepatitis but there is
no symptoms now, what should you do:
a. analgesics and refer the pt.
b. antibiotics and refer
c. use precaution and treat the pt after consulting the physician.✅
101.Hbv remains in blood for?
a. 4 hrs
b. 1 months
c. 9 months
d. 7 days✅

102.Which virus can be transmitted by the impression

a. Hiv
b. Hbv✅
c. Hcv
103.busy Dr. Send the impression dry in plastic bag > the technician found blood in it > what to be careful?
A. HBV
B. tb🔁

104.patient will extract lower primary molar position?

A. mandible plane parallel to floor✅
B. Maxillary plane parallel to floor
C. Mandible plane 45 degree to floor
D. Maxillary plane 45 degree to floor
105.common adverse effect after Midazolam administered?

106.u give Midazolam 2.5mg for child has symptoms like dizziness
 A. Overdose

107.Most complication of midazolam sedation?

A. Hyperventilation
B. Increase pt irritability ✅
C. Long duration effect
108.swelling related to upper infra orbital area and labial fold obliterated, which tooth is causing this?
A. Canine ✅

109.Pic. of patient has swelling and cavernous sinus thrombosis which space infected ?
a. Infratemporal ‘also correct but less common’
b. canine ✅(more common in canine)
c. Supratemporal

110.Patient with infection/swelling under his eye and obliterating the nasolabial fold, what tooth is the cause?
A. Incisor
B. Canine✅
C. Premolar
D. Molar
111.Infraorbital space infection

112.infraorbital space infection pt had smithing happens to one eye only?

A. Orbital cellulitis
B. peri orbital cellulitis
C. cavernous sinus thrombosis
113.Picture of submandibular space infection which tooth is the cause:
a. 1st molar✅
b. 2nd premolar
c. Canine

114.Patient came to you with canine space infection, suddenly while treating him his eye swell and became blind, what
 could it be?
A. Cavernous sinus thrombosis✅
B. Periocular cellulitis

115.Tooth related to submandibular space

A. Lower mandibular molars and premolars✅
116.Space that demands extra-oral incision and drainage?
A. Submandibular✅

117.patient with facial swelling, which space infection related to lower first molar
A. submandibular✅
B. Submassetric

118.Abscess space between mylohyoid superiorly and platysma inferiorly

A. Submandibular space ✅
B. Submental
C. Mental space
119.Pic for pt with unilateral swelling and unable to feel the inferior border of the mandible, what is the inferior boundary of
this space infection?(It was submandibular space infection)
a. Platysma muscle

120.The facial space with odontogenic source can spread to throat space ?
a. Alar✅
b. Submental
c. Submandibular
d. Canine

121.Ludwig angina case and want treatment

122.submental, sublingual, and submandibular space infection called ?(mentioned before)

A. Ludwing angina
123.case .. pt came with sever trismus which space is affected -
A. Submmasetric.✅
124.Pt with trismus and space infection after receiving multiple injections?
A. Pterygomandibular space ✅

125.You were extracting #38 then the tooth disappear, what space it went into?
A. Submandibluar space ✅
B. Massitric space
C. Retro Pharyngeal space
126.A 55 years man came to emergency with bilateral submandibular and sublingual swellings and infection related
to lower first molar and truisms, what is the appropriate management for him: -
A. Antibiotics and 2 days follow up.
B. Antibiotics and one week follow up.
C. Incision and drainage under general anesthesia.✅
D. Root canal treatment.

127.submandibular swelling with un controlled diabetes +airway good

A. refer for er for treatment -ab+I&D✅

128.submandibular space infection radiograph

a. CT with contrast
In the references Most sever space infection CT without mentioning the contrast ,, also the contrast related to SG
mostly , OPG is used so if in the options mentioned it ,it will be the answer

129.un control diabetic patient with swelling of submandibular area with severe truisms he breath normally what is
the treatment ?
A. MRI
B. Oral Antibiotic and follow up
 C. Admit to hospital and CT ✅
130.Case infraorbital spaces which x-ray?
A. MRI
B. CBCT
C. PANORAMA
D. CT✅
131.Case scenario about a doctor who is doubting his capability to do extraction of a wisdom tooth and is afraid
about his reputation
a. extract under GA
b. Give another appointment when there is a backup friend
c. refer to another doctor ✅
132.Ankylosis of primary molar without permanent successor (mentioned before)
A. Referral to specialist✅
B. Wait until 18 age

133.Patient came with pain on 38, pericoronitis and mesially tilted the root is close to the IAN, after you explain the
issue to the patient including the complications and the cost, she insist to do the treatment and she said just do
gingivectomy as a temporary management. What should you do?
A. Refer to maxillofacial surgeon.✅
B. Do it
C. Take consent and do it.
D. Take consent and refer her to a surgeon.
134.Pericoronitis due to impinging of upper 8, whats the ttt?
A. AB + pain killers + Irrigation
B. Ex of U 3rd OR Ex of L with AB and pain killers

135.35 years old pt had recurrent pericoronitis(exactly this picture was attached)

A. remove the tissue at the arrow

B. extraction✅

136.30-year-old patient has severe pain in the left side, what is the treatment for wisdom teeth?
A. Extractions ✅
B. crownectomy
C. leave it
137.pt has the recurrence of operculum and the 8 good position what is treatment after go the acute infection ?
a. Extraction✅
b. operculectomy

138.there is 3rd molar in Very good position and u did your work to subside the acute symptome after that
 what should u do?
A. Operculectomy✅

139.Case of pericoronitis... what to do for treatment acute symptoms?

A. irrigation and antibiotic
B. Extraction ✅

140.Patient came to you with swelling in the same side she did treatment awhile back, what’s the management?

A. Analgesics and antibiotics

B. Antibiotics & incision and drainage
C. incision and drainage and treat the causing factor✅
141.a 16 year old patient came to your clinic after one day from dental treatment. There is no pain, everything within
normal limits +there is a picture for swelling on the right side. What is your management ?
a. incision and drainage
b. incision and drainage+ antibiotics✅
c. antibiotics + analgesic
142.Diabetic patient came from pain in 46 it was clearly having pus ( perio origin) vital tooth what u will do?
a. Incision and drainage cleaning site✅
143.Diabetic pt with swelling and pus but the tooth is vital, what’s the management?
A. I & D✅
144.Diabetic patient with fever and pus discharge also necrotic tooth.
a. Incision drainage, Remove cause of infection and AB ✅
145.Patient came to you with fluctuant swelling over #22 what’s the management?
a. Incision at the most fluctuant area ✅
b. Horizontal incision at the base of swelling
c. Incision into the bones
d. Blunt dissection

146.teeth with bulbous crown, cervical constriction, enlarged pulp chamber, obliterated canals + family history of
same teeth characteristics ?
A. Dentionogensis imperfecta.

147.pt come with blue eye + obliterated pulp+ short root?

 A. Dentinogenisis imperfecta✅

148.A patient has a blue sclera, a large pulp, and problems with enamel.
A. Dentinogenesis imperfecta. ✅
149.Patient complaining of brown discoloraion of her teeth, she had the same problem since primary teeth and she
say all her siblings have the same problem. Radiograph report: short bulbous roots, obliteration of the pulp. What’s
your diagnosis? (Previously mentioned)
A. Amelogenesis imperfecta
B. Deninogenesis imperfecta✅
C. Hypoplasia
150.difference between amelogenesis imperfecta and dentino.. ?
A. The obliterated pulp and short roots ✅

151.Case about young patient came with her mother complaining from generalized white opaque color in all teeth,
and the mother said she have the same of that appearance, what is the diagnosis for her:
A. Amelogenesis imperfecta. (Hereditary, Whitish/yellow color, Both dentitions) ✅
B. Incipient caries.

152.Pt complain of anterior tooth was white then become brown what is diagnosis ?
A. Dentenogensis imperfecta
B. amelogenisis imperfecta
C. regional odondysplasia
D. enamel hypoplasis
153.Child with multiple deficiencies in the teeth, and all molars have taurodontism, what is the diagnosis?
A. Amelogenesis imperfecta

154.Picture for second molar without root and he ask about the condition: -
A. dentin dysplasia.

155.Patient came complaining about the aesthetic of brown discoloration on bicuspid, she mentioned she lost her
primary teeth due to extensive various lesions. What's the diagnosis?
A. Amelogenesis imperfecta
B. Dental fluorosis
C. Turner hypoplasia✅
D. Syphillis hypoplasia
156.Long scenario, Lack of both clavicles?
a. Cleidocranial dysplasia
157.Cleidocranial syndrome
A. No clavicle✅

158.Long case about African women patient with mixed radiolucent radiopaque lesion with radiolucent rim around it but
not attached to the root, in the periapical area of lower anteriors: -
A. Fibrous dysplasia.
B. Cemnto osseus dysplasia.✅
159.Opaque lesion with vital tooth no RL rim ?
a. Idiopathic osteosclerosis ✅
b. Cemento ossues dysplasia

160.ground glass appearance

a. fibrous dysplasia

161.Pic of enamel hypoplasia

162.Factor VIII?
a. hemophilia A
163.a 15 years old want extraction the lower 3rd molar , his family have bleeding disorder, what they have?
a. Von Willebrand
b. Hemophilia A✅
164.Pt prolonged appt and normal pt what is the disease will cause excessive bleeding after extraction ?
A. Vwds type 3✅
B. hemophilia A
165.patient came for extraction with hemophilia B, what is the supplement you should give him before surgery: -
 A. Desmopressin.
B. Factor IX.✅
C. Factor VIII.

166.Patient came for extraction of badly decayed tooth but you suspect high chance of bleeding after the
procedure, there could be prolonged and excessive bleeding, what is the most likely disease the patient suffers from:
A. Mild hemophilia.
B. Hereditary thrombocytopenia.
C. Von Willebrand disease type3.✅
D. Telangiectasia.

167.pt has bleeding disorder takes desmepressin, lab test was normal (platelet count normal)What’s his condition?
A. haemophilia
B. von Willebrand disease✅

168.Case about patient have persistent diastema and have von Willebrand disease need frenectomy :
A. Laser ✅ due to bleeding disorder
B. Surgical
169.if pt has von Willebrand disease what to use in surgery?
A. Laser

170.Oroantral communication 4 mm management?

A. Gel foam and figure of eight suture

171.2 Mm oroantral communication? ( Omar Notes )

a. Gel-foam and figure of 8 suture ✅

172.A patient has a sinus infection due to oroantral communication. What antibiotic would you prescribe?
A. Penicillin
B. Amoxicillin with Clavulanic acid ✅
 C. Ampicillin

173.What could be the cause if a pediatric patient feels dizzy after using nitrous oxide sedation ?
A. Diffuse hypoxia ✅

174.picture of exophthalmos and symptoms of grave’s disease

175.a 70 year old edentulous patient have burning sensation and red beefy tongue What’s the management?
A. Chlorhexidine mouthwash
B. Corticosteroid mouthwash
C. Topical analgesics
D. Improve nutrition✅

176.Female patient with pain on tongue and dry mouth

a. Burning mouth syndrome ✅

177.pic of tongue white area ( it look like leukoplakia and ask about the type of biopsy)
a. Exfoliative cytology✅
b. Incisional

178.50y/o patient came to the clinic complaining of burning feeling and you noticed red bald tongue What method to
diagnosis?
A. Culture
B. Serology
C. Exfoliating cytology ✅
179.Burning feeling in tongue and loss of filiform papillae(mentioned before)
A. exfoliative cytology✅
180.What type of biopsy for bald tongue?
A. Exfoliative cytology ✅
181.Pic of large lesion on the lateral side of the tongue. How do we take a biopsy?
a. Excisional biopsy
b. Incisional biopsy ✅

182.50 year female have erythroplakia on tongue , what management

A. biopsy✅
B. observation

183.Pt. Healthy White lesion lateral surface of tongue what management ?

a. Incision
b. exesion
c. Laser
d. topical corticosteroids
184.enlarged lymph node patient has history of TB? (mentioned before)
A. Scrofula

185.unpasteurized milk, most likely cause ?

A. Scrofula (tb was not in options)✅

186.patient have active TB with symptoms and have severe pain on his tooth what to do
a. give appointment after month
b. filtration mask✅
c. treat early morning

‫هذا الجدول هو المرجع‬

‫لجميع األسئلة اللي تحت‬
187.Patient came to your clinic has Tuberculosis but the last 4 months serum was normal, what your going to do?
 A. Refuse treating him
B. Make sure he is the last patient for today
C. Treat him in an isolated room
D. Wear filtered mask✅
188.urgent TB active what to do?
A. Treat him in out patient sitting
B. Use mask infiltration ✅
C. Treat the pt first in the morning
189.patient came with active TB he want clean his teeth what is the treatment?
A. Delay the treatment
190.case with history of TB he said not infectious what to do?
A. Defer Tx until u confirmed not infectious ✅
191.Tb patient old records said he is on medication but he claims he’s okay now
A. Doctor should ensure it not active before starting the treatment ✅
192.How should a dentist proceed with a patient with a history of TB but no active infection who comes for
elective treatment?
A. Postpone the treatment and get new results✅
B. Refer to an infection specialist
C. Treat as normal
193.TB pt wants extraction after confirmed with physician 3 negative sputum test and no chest X-ray change ?
A. Last pt
B. normal setting✅
C. Infiltration mask
194.patient has TB, and according to the patient, he is okay. You checked his file and found his statement to be true.
He's been on a treatment course for 6 months. What do you do? (mentioned before)
A. Treat normally ✅
B. Request secondary TB tests
195.The patient’s sister had TB and pt felt sick and cough yesterday day?
A. Postpone the treatment and get result✅
B. Refer for infection specialist
C. Treat as normal
D. Treat in isolated room

196.Tb patient came to clinic with active disease need elective treatment and he taking medication when you can treat him?
A. after two weeks✅
B. after taking analysis
197.Tb test result for non infected person??
A. less than 5 millimetres ✅

198.pt has TB
A. 15mm✅
199.Enamel part below cementoenamel junction (enamel pearls) lead to?
A. caries
B. periodontal disease✅

200.Newborn with small whitish papules along the mid palatine raphe
a. Epstein’s pearls✅
b. Bohn’s nodules

201.bell’s palsy cause

A. herpes virus 1

202.patient with symptoms of bells palsy, which never is affected?

A. VII

203.different btw bell-palsy and Ramsay hunt?

a. acute otitis median
b. zoster ear infection ✅

204.the histo of Mucocele or ranula i forget which one..

●
205.mucocele how to remove ?
A. Surgical excision

206.4*4 cm Mucocele tx?

A. Marsupialization✅
 B. I&d
C. Incisional biopsy

207.Child always biting on his lip, came with small painless swelling what to do?
A. Aspiration biopsy
B. Incisional biopsy
C. Excisional biopsy ✅
208.child have had 4x4mm fluctuant swelling in lower lip which is persistence for many months, parents reported history of
repeated trauma:
a. excisional biopsy✅
b. FNA
c. Incision

209.Hypertension, low respiratory rate, uses Pulmicort Has

a. Asthma ✅

210.Test to diagnose asthma?

A. Expiratory test✅
B. inspiratory test
C. pulse

211.patients with asthma and need painkillers , what is the safest one(mentioned before)
A. Paracetamol. ✅
B. Naproxen.
C. ibuprofen.

212.asthmatic pt and severely anxious, what type of the following medication can be given?
A. Benzodiazepines
213.Anxious asthmatic pt need multiple dental treatments he said that the asthma attack triggers by fear especially in
dental clinic and he is not attending his dental appointment because he afraid from dentists, also he mentioned that
he’s allergic to Benzodiazepine, how can we treat him?
A. Under GA
B. Use nitrous oxide-oxygen sedation✅
214.An asthmatic patient came in for the extraction of more than one non-restorable tooth. He has allergies and uses
an inhaler. How can you perform the extraction for him
a. L.A with epinephrine
b. Extraction under G.A
c. Nitrous Oxied✅
215.Pt with asthma what is the prophylactic measure
a. Oxygen
b. Bronchodilator✅
c. supine position

216.Pt in asthmatic emergency what you will do?

a. give epinephrine IV
b. epinephrine IM✅
217.Asthmatics patient and ineffective inhaler
A. Use subcutaneous epinephrine ✅

218.Case about asthmatic patient he develops asthma attack in the clinic and the bronchodilator inhaler was ineffective,
what is the best next step: -
A. Activate medical system.
B. Give oxygen flow.
C. Give B2 agonist adrenergic inhaler.
D. Give B2 agonist
219.Asthmatic pt has an asthmatic attack and his bronchodilator inhaler is ineffective, what the management?
A. Long acting beta2 adreng
B. short acting beta2 adrenog✅
C. O2 flow
D. Call ER
220.case about bronchitis and said that symptoms released during rest
a. Asthma
b. COPD
221.hypertension and low respiratory rate Respiratory rate was improved after rest. Pt have:
a. Asthma
b. Emphysema✅
c. Chronic bronchitis
d. Tuberculosis
222.chronic bronchitis pt. And hypertensive came for elective dental treatment, all vital sign was normal except oxygen
saturation was 90% what should you do:
a. - Give him another appointment✅
b. - Treat him normally
c. - Treat him while using pulse oximetry
223.Anxious patient with severe COPD ?
a. Nitrous oxide
b. low dose of diazepam✅
c. erythromycin

224.chair position of pt with COPD

225.Patient with severe COPD your management?

a. supine position
b. Avoid the rubber dam in RCT✅
c. Inhelar steroid
d. Give O2
226.25 years old male healthy pt had wheezing and tachypenia after rubber dam application
a. Undiagnosed asthma
b. Undiagnosed copd
c. Allergic reaction✅
227.Patient has asthma compline of burning sensation with hot and spicy food what is the diagnosis and treatment?
A. median rhomboid glossitis, give antifungal✅
B. geographic tongue ,reassure

228.patient complaining from pain from geographic tongue,What do u give her?

a. Steroids✅

229.Pediatric patient who have severe asthma on examination you noticed moon face, nick hump, lower extremities are
smaller than his upper body, what is the cause?
A. Systemic corticosteroids✅
B. Hyperglycemia
 C. Thyroid

230.Pt is is diabetic and asthmatic and hypertensive take thiazide diuretics and ACE inhibitors and 500mg
metrofen which one of them causes gingival enlargement?
A. Ace inhibitors🔁
calcium channel blocker ‫يفترض في خيار اخر لل‬

231.The patient's chief complaint is the fibrotic enlargement of the gingiva and he has a pacemaker, which of the following
is considered unsafe for him?
A. Laser gingivectomy
B. electrocautery gingivectomy✅
C. SRP by ultrasonic scaler
D. Conventional gingivectomy

232.Pt has MI came for dental ttt, the next day the pt developed bradycardia, what’s the cause?
A. The dentist used Electro-surgery✅
patient has pacemaker device for sure cause of MI and Electro surgery for this kind of patient will lead to bradycardia
233.Epilepsy pt on Dilantin had gingival enlargement , first step in management ?
A. SRP
B. Refer to change drug 👍

234.Patients take drugs for epilepsy...and have gingival enlargement...what to do?

A. consultant his physician ✅
B. change drug
235.pt has LEUKEMIA did CBC he need extraction Platelets 250*1000 ,wbc 4.3*1000 what precautions should
the dentist do before extraction
A. platelets transfusion
B. prophylactic antibiotic
C. no need for precautions( ‫)العدد ﺣسب ع‬

236.case about patient on chemotherapy finished 2 cycles out of 4 with decreased WPC, platelet, neutrophills:
a. blood transfusion
b. platelet transfusion

237.A patient with thalassemia, all blood tests are normal.

A. treat normally✅
B. blood transfusion
238.female pt 16yo had generalized gingival bleeding while brushing started 4days ago and suddenly she had
purblish-blue patches in hard palate ?
A. thrombocytopenia Purpura✅
B. infection monocytosis
C. leukemia
239.Bruising, bleeding and fatigue
A. acute leukemia✅

240.Case of patient with joint pain and spontaneous gingival bleeding

a. acute leukemia✅
b. haemophilia
241.case of aplastic anemia

242.Case that has aplastic anemia, All results show Low Hemoglobin, Low WB and low platelet
a. Neutropenia✅(ulcers in the tongue)
243.Case scenario about pt with pain when swallowing and bald tongue lab results show hypochromatic RBCs and
MCV 70 less than normal pt has deficiency in ?
A. Iron deficiency anemia ✅
B. Folic acid
 C. Vitamin B12
D. Vitamin D
244.case about glossitis and angular chelitis what to give?
a. Iron supplement ✅
245.MCV less than 70 & blade tongue (no papilla), what supplement to the patient?
a. iron supplementation✅

246.normal size of MCV

a. iron deficiency
b. Vit B12
c. Folic acid
d. G6PD ✅
247.Pt with Dysphagia and bald tongue and (report revealed esophagus web and iron deficiency)what could be the
Dx?
A. Plummer-Vinson syndrome✅
248.Sickle cells anemia what is the drug can used in surgery procedure ?
A. Local anesthesia with epi ✅

249.Cleft lip and palate what causes?

a. Vitamin C deficiency
b. folic acid deficiency ✅

250.medication cause cleft lip and palate(mentioned before)

A. Aspirin ✅
251.smoker mother what may happen to her child?
A. Cleft palate✅

252.How cleft lip happen , incomplete fusion of what

A. maxillary and medial nasal processes✅
253.7 year pt don’t move his jaw and limited mouth opening he did have trauma to the his chin what is the management
254.7 years old child with limited mouth and deviation of mandible?
A. jaw exercises✅
B. gap arthroplasty

255.Lefort III definition

256.picture lefort 3 and also Pic of lefort II fracture...

257.Pt had blow below the eye resulting in diplopia and ecchymosis. What type of fracture??
A. Zygomaxillary ✅
B. Lefort 2
C. Lefort 3

258.If a patient experiences trauma to his right face, resulting in a fracture to the orbital rim and feels diplopia, what is
the likely fracture?
A. Le Fort I
B. Le Fort II
C. Le Fort III
D. ZMC fracture ✅
259.surgery for Adult Class 3 with normal mandible and deficient maxilla
a. Lefort 1 ✅
260.Class 3 with normal mandible and deficient maxilla, what surgery to correct it?
a. Le fort osteotomy✅
b. Genioplasty
c. BSSO
261.21 years complained prognathic maxilla?
A. Surgery (le Fort I)
262.treatment of sever class III skeletal if pt age is 22?
A. Orthognathic surgery✅

263.Adult with reverse over jet 11 mm ?

A. Orthognathic surgery
264.lip incompetence and incisor showing 9 mm in rest the lip with normal length ?
A. Lip repositioning
B. Le fort impaction✅
C. botox

265.Pt with bimaxillary protrusion what is your treatment

A. maxillary impaction
B. mandibular set back,
C. both jaws✅
D. maxillary advancement

266.25 yo pt with class 3 how to correct to correct bite ?

A. Mandibular set back
267.Most common fracture in mandible (condyles not in the options)? Previously mentioned
A. Body
B. Angle ✅
C. Symphysis
268.most common type of mandibular fracture? (mentioned before)
A. Condylar ✅

269.patient chin broke, number of plate?

A. 2 ✅
B. 1
C. 3
D. 4
270.pt come after trauma has pain in condylar region what is diagnosis?
A. Condylar fractures
271.pt has a trauma in his left side of the face. What is the fracture ?
A. Left body and Right condyle✅

272.A patient who bites her nails experienced sudden pain in the TMJ. What's the problem?
a. Dislocation anterior medial
273.case: Clicking with slight deviation ?
A. Internal dearrigment with reduction

274.case about pt came with clicking sound

A. disc displacement with reduction✅

275.Pt have diffuse pain and click , no truisms , this pain came after the last dental appointment he was opening his mouth for
long time Which wilke classification?
a. 1
b. 2✅
c. 3
d. 4
276.A patient received a punch to the jaw on the left side. What got broken?
a. Body left side and condyle right side
277.pt after extraction of horizontally impacted lower 3rd came complaining about difficulty in closing his
mouth, and shift in mandibular anteriors:
a. mandible fracture✅
b. Shift of teeth due to inflammation
278.Pic of infra orbital fracture in CT symptom?
 a. Double vision
279.Best x ray for orbital fracture
A. CT

280.CT scan asking about patient had road accident what do you expect from patient to have?
A. Double vision

281.type of mandible fracture

a. Compound✅

282.Pt came with parasymphyseal fracture what the first thing u will maintain ?
A. the malocclusion
B. condyle fracture
C. airway ✅(this fracture site causes airway obstruction)
283.pt with trismus want to treat 36 what is anesthetic technique? (mentioned before)
A. VAZIRANI-AKINOSI.✅

284.Target area for Gow-Gates anesthesia technique ?

A. Anterior to condylar✅
B. Coronoid process

285.Intrapulpal injection makes it successful how?

A. Back pressure
286.A patient came to you and told you that she had been treated before, but after the injection, she started feeling
nauseous and had difficulty speaking. What would you do in this case to prevent it from recurring?
A. work without LA
B. change LA type
C. make sure you aspirate before ✅
287.You gave IANB and lingual nerve block and started extracting two premolars and the pt felt pain on the 2nd
premolar when you applied the forceps on, what to do next?
a. IANB only
b. Lingual nerve block only
c. IANB and lingual nerve block
d. long buccal nerve block✅

288.which nerve supply lower permanent canine ?

A. Incisive nerve ✅

289.From the buccal pf which tooth you will check the effectiveness of IANB ?
A. Canine✅( since the failure rate are higher )
B. If premolar in the choices, it’s more correct

290.You want to treat lower 1st primary molar for pulp therapy and stainless steel crown which nerves do you
anesthetize:
a. IAN, mental, incisive
b. IAN, lingual, long buccal✅
c. IAN, long buccal, mental
d. IAN, lingual, mental
291.Extraction of upper primary molars for Pediatric patient, what nerves anesthesias?
a. Middle superior alveolar nerve with Greater palatine nerve ✅
b. Posterior superior alveolar nerve with Greater palatine nerve
c. Middle superior alveolar nerve with Nasopaltaine nerve
d. Posterior superior alveolar nerve with Nasopaltaine nerve
292.Case about pedo pt u will do pulpotomy for first upper primary molar what nerve will be anaesthesid ?
a. Middle superior and greater palatine
b. Middle superior✅

293.when child come to u and have a proximal caries in tooth #51 which anesthesia will give him?
A. Anterior superior + naso ✅

294.Anesthesia when doing preparation for crown with subgingival margin in upper anterior tooth
A. ASA+nasioplatine
295.pt comes with numbness on the lower lip after implant what is type of injury?
A. Mental nerve ✅ (or inferior alveolar nerve depending on the site of implant
mentioned in the question )

296.Severe resorptions have CD in lower jaw complain of lip numbness which nerve?
A. Mental ✅
297.pedo IAN nerve block

298.when do extraction of lower first molar patient feel loss of sensation and in half of tongue which nerve
affected?
A. glossopharyngeal
B. lingual✅
C. IAN
D. Facial

299.Patient have loss of taste and general sensation in tongue. Injured which nerve?
A. lingual nerve
300.Which nerve responsible for sensory innervation for posterior one third of the tongue
A. Glossopharyngeal.✅
B. Hypoglossal.
C. Lingual.
D. Inferior alveolar nerve.
301.Patient came to your clinic with a CC of having a numbness in his lower lip, started from two years back when he
got two implants placed (OPG of two implants DIRECTLY ON the inferior alveolar canal). What is the possible
cause of his complaint?
A. injury of lingual nerve
B. injury of buccal nerve
C. injury of inferior alveolar nerve ✅

302.Anesthesia for lower molars and half of the tongue, injury to which nerve?
A. IAN ✅

303.u give Inferior alveolar nerve block and suddenly pr can’t close his eye what is the reason?
A. Hitting and damage Vll cranial nerve✅
304.patient cannot close his eye after IAN block, what is the cause of the injury ?(mentioned before)
A. injection too far medially
B. injection too far posteriorly✅
C. too far anteriorly
D. injection too far laterally
305.after IANB Pt. was not able to close her eyes:
a. transient anesthesia of optic nerve
b. You insert the needle in parotid gland✅
306.We need to do reduction in Mylohyoid ridge, what nerve to preserve?
A. mylohyoid N
B. Lingual✅

307.facial nerve motor innervation of?

A. temporal
B. Buccinator✅
C. Masseter
D. Lateral ptyregoid
308.Tissue fold in the ventral side of the tongue in the midline is:
a. lingual frenum✅
b. lingual vestibule
c. lingual sulcus
309.The largest artery in the floor of the mouth ?
a. Lingual✅
b. Mental

310.Patient instructed to say “Ahh” , noticed one side of the uvula raises while the other doesn’t. What nerve causes that?
A. Vagus nerve ✅
B. Glossopharyngeal nerve
C. Hypoglossial nerve
311.Main artery that supplies the oral cavity ?
a. Lingual artery ✅
 b. Infra alveolar artery
312.Mandible foremen locate ?
a. Above occlusion line✅
b. Below occlusion line
c. At the level of maxillary occlusion line
d. Above mandible occlusion line

313.Patient with history of dentist having needle injury with him when they give IANB, and he has strong massetric
muscles, how to avoid needle injury?
A. use thumb to have better retraction of the cheek
B. use mirror to retract the cheeks✅
C. use short needle

314.Tooth number 48 the patient wants to extract it, but it's classified as impacted type C. What are the possible
complications?
a. Injury to the nerve
315.X-ray 8 under the cervical line to the 7 and no attached the rumse what is the classification?

316.What is the pell Gregory classification of the lower third molar shown in the picture: - Depend on the picture
A. A1.
B. B1.
C. A2.
D. B2.

317.Calculate the max number of carbule for stable angina 2%lidocaine (1:100.000 epinephrine)
318.What is the maximum dose of anesthetic without epinephrine in 20kg child:
a. 22
b. 44
c. 66
d. 88✅(20*4.4)

319.maximum dose for lidocaine

a. 4.4✅ ( for children)
 b. 7
c. 6
320.75 y pt LA 2% lidocaine with epinephrin calculate dose
a. 525 (75*7)✅

321.What is the amount of adrenaline 1:100000 in 2% lidocaine

a. 0.018mg✅

322.Pedo 2 y need...what anathesa?

A. Lidocaine 2% ✅
B. Lidocaine 4%
C. Articain 2%
D. Artican 4%
323.local anesthesia for pedo patient having apical lesion and swelling need extraction ??
A. 2% lidocaine
B. 4% Articaine ✅ - as peak soft tissue anesthesia is required for extraction

324.xylocaine 1.0 and 2% how many kg?

a. 20mg✅
325.Patient max dose of epinephrine is 2 cartilage
A. stable angina✅
B. hyperthyroid
C. controlled hypertension✅

326.What is the recommended dose of ibuprofen for children under 12?

A. 6-10 mg/kg ✅

327.what is the main factor of spreading infection?(mentioned before)

A. tooth shape
B. history of smoking
C. muscle attachment✅
328.pedo pt wight is 20 and he needs pain killer what is the dose we give for this pt when prescribing acetaminophen
a. 10-15 (١١-٠١ ‫)الصح بﺲ فاالجوبة كانت من‬
329.if pt diabetic and feel dizzy and about to faint what to do?
A. Offer her a juice✅

330.Diabetic patient that takes high doses of insulin came to your clinic and felt dizzy?
a. Giver her juice✅
331.pt with diabetes and hypertension and he is going to faint what to give him?

332.Pt with diabetes type 1 and on regular check up with his physician and 6.5% need simple extraction ?
A. referre to physician first
B. do the extraction with instructions morning appointment after taking insulin and breakfast✅
333.Old male patient with diabetes and the Hb1Ac was 10 and fasting glucose 7 (normal 3.9 - 5.6 mmol) and he needs
to do extraction, what you will do: -
A. Give him insulin injection before starting.
B. Give him hypoglycemic after finishing.
C. Give him antibiotic prophylaxis.
D. Prescribe antibiotic for him after finishing. ✅

334.old women taking regular insulin injection she had her meal and she’s anxious when you start she felt dizzy hunger
? There was no hypoglycemia only hyperglycemia or anxiety
If no hypoglycaemia or insulin shocks, It may go for hyperthyroidism or anxiety

335.what is most common medical emergency in diabetic

A. Nephropathy
B. Hypoglycaemia ✅
C. Hyperglycaemia
336.Diabetic pt treated with sulfonylureas ,after dentist doing simple extraction prescribed ibuprofen pt call dentist at
night there is symptoms….
A. hypoglycemia
337.Pt has diabetes what to be concerned about
A. Hypoglycemia
 insulin shock( hypoglycemia attack)must take care of it

338.diabetes patient start taking corticosteroids what will happen ?

A. Increase HbA1c✅

339.pt take drug for diabetes and take corticosteroid what should u suspect ?
A. hyperglycemia✅(for ibuprofen it will be hypoglycemia)

340.Case about pt have diabetes and gangrene.

A. Necrotizing fasciitis

341.Patient uncontrolled diabetes have bilateral parotid swelling, what we will see under microscope?
A. Atrophic acini
B. Hypertrophic acini✅
C. Lymph infiltrate

342.pt with hypothyroidism.. he has hypothermia, dizziness… ?

A. Myxedema coma✅
343.patient well controls diabetic and hypothyroidism and he was unconscious what is the cause ?
A. Myxedema coma ✅
B. Syncope
C. Insulin shock

344.Case senario pt well known controlled DM and hypothyroidism didn't eat or take his medications for 3 day
after he became unconscious ?
A. Myxoma coma ‫مافيه اي خيار له عالقه بالسكر‬
345.If a patient falls into a coma in the clinic, what are the first signs you would look for?
A. Hypothermia✅
B. Hyperthermia
346.A patient with hypothyroidism showed symptoms of dizziness and sweating. What do you do?
A. Provide oxygen.
B. Monitor temperature ✅(hypothermia)

347.Adverse reactions of using ibuprofen with ischemic heart disease

a. myocardial infarction ✅
348.pt has chest pain radiating to arm and not relieved after GTN?
A. MI

349.Scenario .. patient with symptoms. Pale + sweating Chest pain+ Irregular pulse?
A. Myocardial infarction
350.A patient in the clinic had symptoms of a heart attack and difficulty breathing. We gave him nitroglycerin,
but he did not benefit
A. MI
351.Myocardial infraction in the clinic management?
a. chewing aspirin 500mg
b. glyceryl trinitrate (GTN) —> Nitroglycerin✅
352.Patient with history of MI, can't sleep at night, sweating, chest pain Possible cause is:
a. angina pectoris ✅

353.Chest pain radiating to left side after positioning pt in upright and give him 5L O2 what next?
a. morphine sulphate
b. 0.5 mg sublingual nitroglycerin✅

354.hypertension pt feel chest pain and left arm what give ?

A. orally nitroglycerin✅
B. aspirin
355.pt allergic to iodine what not to give?(mentioned before)
A. IKI✅

356.which headache treatment with 100% oxygen(mentioned before)

A. Cluster headache

357.pt has sever pain around the eye and lasting for 3-4 hours?
A. Migraine✅
B. Cluster headache

358.unilateral headache associated with nausea and vomiting:

a. migraine✅
b. cluster
c. tension

359.Patient complains of headache in one side of her face, history revealed vesicles on the same side. what’s your
diagnosis?
A. Migraine
B. Herpetic neuralgia ✅
C. Cluster headache
360.Case about female with manifestation and symptoms of trigeminal neuralgia and he asking about which
nervous system disease you will find this symptoms with it: -
A. Parkinson disease.
B. Multiple sclerosis.✅

361.pt has pain in her face when wash ?

A. Multiple sclerosis✅

362.case about seasonal disease that stimulated with washing face

A. trigeminal neuralgia✅
363.multiple sclerosis
A. truisms
B. trigeminal neuralgia ✅
( Trismus can be a feature of multiple sclerosis but trigeminal neuralgia is specifically more associated with MS )

364.pt. With severe pain in swallowing

a. trigeminal neuralgia
b. glossopharyngeal neuralgia✅

365.pt have pain on one side of uvula and pain on lower mandibular angle , what is the
diagnosis : Glossopharyngeal neuralgia

366.Which one has the highest recurrence rate: -

A. Ameloblastoma.
B. Keratocyst.✅

367.pt take dose (50 Gy) of radiation to treat cancer what is the prognosis for implant
A. Poor
B. fair 🔁
C. Good

368.70 gy of radiation considered as

A. High risk ✅
B. low risk

369.If there is undercut in mx tuberosity what to do when planning for the CD ?

370.large maxillary tuberosity was interference with mandible pt need CD in max & man
 A. surgical for tuberosity✅
B. partial cover tuberosity
C. make lower only

371.On fabricating denture there was interference as between retromolar area and maxillary tuberosity, what will do
A. remove from tuberosity, ✅
B. from retromolar pad area
C. both
372.patient has repeated anesthesia and start to dizziness and confusion
A. allergy
B. toxicity✅

373.slurred, difficult speaking dizziness after local anaesthesia?

A. Toxicity✅
374.which type of anesthesia case allergic reaction?
A. Procaine✅

375.pr came with liver cirrhosis white type of Anesthesia?

A. Select any type of ester group✅

376.patient with liver cirohosis what anesthesia agent should be use :

A. Articaine
B. xylocaine
C. procaine ✅ NOTE: Any ester group
377.Safest analgesic to use(mentioned before)
A. lidocaine
378.A cooperative 5-year-old child came to you for treatment and you're about to administer an injection. Which LA
should you avoid :
a. Bupivacaine✅

379.Side effect of Thiazide

380.Stafne cyst most common location

381.Found while examination 8*5 well define radiolucency in mandible , asymptomatic what is the management?
A. Internal biopsy
B. External biopsy
C. Follow up yearly ✅
D. Mandible resection

382.Sign of end stage renal disease

a. Petechiae in oral mucosa ✅

383.renal dialysis patient did dialysis at morning he came for extraction, he feel tired now, what you afraid of ?
A. Bleeding ✅
B. infection

384.Patient doing dialysis in the morning: Common complication is

a. Bleeding ✅
385.patient has renal failure, dialysis 3 times a week his dialysis appointment Monday 9:00 When we schedule
appointment for extraction?
A. Sunday 9:00
B. Monday 9:00
C. Monday 11:00
D. Tuesday 11:00 ✅
386.ESRD (end-stage renal disease) pt and ask about the most common oral problem that u will notice
A. Halitosis ✅
B. Lichanoid reaction
C. mucus pemphigoid
D. erythroleukoplakia

387.Renal disease patient what is the cause of bad breath:

a. xerostomia
 b. Ammonia✅

388.Pt did renal transplant year ago and he developed multiple red and white lesion on the buccal mucosa +pain What
u will prescribe for this case ?
A. prednisone✅
B. acyclovir
C. paracetamol
D. Penicillin
389.Patient starting chemotherapy and wants to extract an infected tooth what is the minimum amount of days to
extract before he starts chemotherapy:
a. 1
b. 3
c. 14✅
d. 21

390.chemotherapy minimum time to extract

A. 10 to 14 days✅
391.The pt will undergo chemotherapy, the best time to extract before how many days:
a. 21 days✅
b. 14 days
c. 3 days
392.Facial injury how to maintain airway?
A. Jaw thrust ✅
B. Head tilt chin lift

393.pt. Had a stroke before and he is saying that since then he having shortness in breath, swollen leg and when he
sleeps he’s putting 3 pillows under his neck to avoid suffocation what he has ??
a. CHF✅

394.Patient having coronary heart disease and hypertension and I Don't remember the third disease however the
patient having a lot pf symptoms including dyspnea , arrhythmia , fatigue and a lot pf other symptoms he didn’t
mention ankle swelling, asking about the disease related to the symptoms ?
A. congestive heart failure ✅
B. coronary heart disease
395.long case about clubbing fingers ?
A. CHF✅ ( Heart failure )
396.Patient have pitting edema in her leg
 A. Hypotension
B. Congestive heart failure ✅
397.which disease associated with congenital heart failure(previously mentioned)
A. Down syndrome✅
B. cerebral palsy

398.bulimia nervosa(mentioned before)

A. palatal aspect erosion ✅

399.patient looks underweight and has shiny palatal surface teeth, what is the diagnosis?
A. bulimia nervosa
400.patient medically fit, has erosion of lingual side of upper and lower teeth and posterior teeth affected what
is the condition she has?
A. acidic food
B. Gastroesophageal reflex✅(becuse the patient is medically fit)
C. bulimia nervosa

401.Gustatory sweating and facial flushing(mentioned before)

A. Frey's Syndrome ✅

402.Patient with pain with eating +sweating (mentioned before)

A. Frey.syndrom✅
403.Picture of Heck's disease

404.case .child that has this lesions and it also happened to her family and regressed?
A. Hecks disease✅(other name Focal epithelial hyperplasia )
B. Condylma lata
C. Sqamous papilloma
405.Supplement for Crohn's disease(MENTIONED BEFORE)
A. Calcium ✅
406.Thyroid hormone that regulates calcium level?
A. Calcitonin1.✅

407.Crohn’s disease control

A. takes a normal daily dose of cortisone✅
B. Treated like a normal pt

408.category c drug in pregnancy and lactating(previously mentioned)

A. Articaine ✅
B. Lidocaine
C. Prilocaine

409.Teeth pointed and another feature for peg lateral

a. Peg lateral ✅

410.pt unhappy with pointed smile ….. diagnosed as nondescript pointed smile
a. Peg shaped✅
b. Hypodontia
c. Macrodontia
411.patient take strepsils has ulcer
A. aphthous ulcer✅
B. traumatic ulcer
C. Chemical Burns
D. Mucositis
412.patient take strepsils and has oral lesion scrapable ?
A. Apthus stomatitis
B. trumatic ulcer
C. Chemical burn✅
413.photo for patient has oral and eye ulcer ask about test
A. biopsy and immunofluoresenc✅
414.Erythema, inflamed tissue, patient is a smoker
a. Cause is Candida albicans ✅

415.pic of Angular cheilitis ask about micro organism cause :

A. Candida albian✅

416.Pt have lichen plans and he use topical steroid and he have gingivitis and he use a medication and it working for 2
month but in 3rd month the medication was no longer working and he have a sever pain ,why ?
A. Candida ✅
B. Hyper stomatitis
C. Allergy

417.A patient developed a cough a week ago and has been using medication the whole time (the name of which was
mentioned). There appeared a white-like patch on the buccal (inner cheek) side that is painless and can be scraped
off. What is it? And there's a picture provided
a. Leukoplakia
b. Chemical burn
c. Candidiasis ✅

418.Painful ulcer in buccal mucosa, arthritis, kidney disease, positive ANA test
A. SLE ✅

419.pic ulcer in tongue and long scenario pt with positive ANA(Antinuclear antibody) ,what is the diagnosis ?
a. Lichen planus
b. SLE(SYSTEMIC LUPUS ERYTHEMATOSUS)✅
420.which one of these has autoantibody in serum :
a. SLE ✅
b. Bahcet
c. Erythema multi form
d. Lichen planus
421.anti- ro
a. Sjogren syndrome✅
422.pt with Sjogren’s syndrome, what do you expect to see?
A. perio disease and caries✅

423.Sjorgon syndrome?
a. increase caries only
b. increase periodontitis
c. increase both✅
d. No effect

424.Pilocarpine medication is used with

A. Sjogren’s syndrome✅
425.Pt with dry eyes and dry mouth test?
A. Anti SSA✅

426.35-year-old female with chronic blisters in mucocutaneous areas, autoantibodies in prickle cells Diagnosis is
a. Pemphigus ✅

427.patient with pemphigus take corticosteroid what is the appropriate management :

A. no treatment
B. double dose✅
C. treatment with daily dose ( no change)
428.Pemphigus vulgaris associated with ?
A. intraepithelial acantholysis.✅

429.Mucous membrane pemphigoid with subepithelial separation: Management is

a. Topical Steroid ✅

430.What type of biopsy is taken in Vesiculobullous lesions?

A. intralesional biopsy then immunofluorescence ✅
B. brush and then cytology
C. excisional biopsy

431.Vesiculobullous lesion biopsy(mentioned before)

 a. Perilesional biopsy ✅

432.Surgeon while extract 2md molar he made an incision to the gingiva what could happen?
A. Flap necrosis
433.(pic of flap with narrow base) what will lead to?
a. Flap necrosis
434.Pic of mucosal incision to extract premolar ask about what could happen with this flap
A. limit access
B. flap necrosis
435.to regain primary closure for exsicional biopsy the incision must be :
A. round
B. Elliptical✅
C. Triangular
D. Trapezoidal
436.best excisional biopsy to achieve healing ?(mentioned before)
A. Elliptical✅
437.when u do flab for lower third molar ….?
A. Base should be wide ✅

438.Incision to remove third molar impaction

A. On crestal
B. Extend lingully
C. Make the Base of incision wider✅
439.Pic of mesioangle third molar what is making extraction difficult
a. Proximity to second molar ✅
440.Once u extract 3rd molar what u suspect perio lesion?
A. Distal vertical bone lose to the 7
441.Mesiongular 3rd after extraction how to avoid isolated pocket in distal of 2nd molar ?
A. Bone graft 👍

442.Fluctuant lesion from where we cut for drainage ?

443.radiographs, associated with non-eruption impacted third molar:

a. Enucleation with extraction of tooth ✅

444.most common congenitally missing teeth after third molars? (It was a case that mother had already congenitally
missing teeth, so what is the most expected teeth will be missing in her daughter) ?
a. Mandibular second premolar✅
445.What is the most likely sequence of hypodontia: -
A. Third molars, second premolars,maxillary laterals, all others✅
B. Second premolars, maxillary laterals, lower centrals.

446.least common impacted teeth

A. max central incisors
447.Recurrent Pyogenic granuloma tumor
a. 3-15% ✅

448.Pic of female ((didn’t mention if she was pregnant or No)) he said pt has lesion and the lesion contains
keratinization and wart like appearance.
A. Giant cell granuloma
B. Pyogenic granuloma✅
C. Fibroma
449.Pic of swelling on papilla he said in the question that she is pregnant.
A. Pyogenic granuloma✅

450.tongue with a growth, history of patient bites on her tongue and scratches the lingual side of lower anteriors. What’s
the diagnosis?

A. Pyogenic granuloma ✅
B. Geography tongue
C. Giant cell granuloma
451.A picture of a tongue with a protrusion on it. The patient bites his tongue from time to time and presses on the lower
anterior from the inside. What is the diagnosis
a. Ossifying fibroma(only in gingiva)
b. Geographic tongue
c. Note :it should be pyogenic granuloma or traumatic ulcer

452.Pt with ulcer on tip of tongue

A. Ossifying giant cell
B. Ossifying fibroma
453.Pictures of fibroma

454.picture lipoma

455.PIC Female pregnant what is the treatment?

A. Remove the lesion with teeth

B. Remove lesion only✅interfere with biting
C. Remove teeth
D. Marginal resection
456.How to treat pyogenic granuloma
A. Surgical✅
B. scaling
C. oral hygiene instruction

457.25y/o female with unrelavent medical history picture of pyogenic granuloma, treatment:
A. OHI
B. Local surgical excision ✅
C. Scaling and root planing

458.Pregnant women in her 9th month (and he describes pyogenic granuloma features) and it interferes with her
biting, what is your management: -
A. Remove the local factor and delay the surgical removal after delivery.
B. Remove the local factor and finish surgical removal before delivery.✅
C. Leave it.

459.Irregular bulge on occlusal surface of premolar tooth , x ray reviled periapical lesion and the tooth is necrotic
A. Dens-invagnitus
B. dens evagnitus ✅
C. enamel parl
Dens invagnitus common in upper lateral (inward) Dens
evagunitus common in lower 2nd PM (outward)
460.pt came complaining of multiple sinus trac formation on 45 , x ray periapical lesion(missing details)
A. Dens-invagnitus
B. dens evagnitus ✅
C. enamel parl
Dens invagnitus common in upper lateral (inward) Dens
evagunitus common in lower 2nd PM (outward)
461.Patient came complaining from his lower premolar upon examination. You find a bump on the occlusal surface,
and the same on the contralateral premolar what’s your diagnosis? Previously mentioned
A. Dens Envagenatous ✅
B. Dens Invagenatous

462.Pic of Abnormal tooth shape of upper anterior, teeth normal in number. ?

A. Gemination

463.pt came with large crown of anterior tooth, on x ray there was one root, 2 pulp canals and 2 horns
A. Gemination✅
B. Fusion
464.Mesiodens what stage(initiation not in the options)
A. bud
465.pedo patient, one of the incisors fully erupted and the other didn’t. What’s the possible cause?
A. congenitally missing
B. Mesiodens✅

466.In radiograph u see conical radiopaque in middline within central incisors?

●
a. dens in dent
b. complex odontoma
c. compound odontoma
d. mesiodens✅
467.pedo patient with mesodent, low frenal attachment and diastema. How to manage?
A. Extract mesodens then fixed appliance

468.Blunt injury
 a. Hematoma ✅

469.pain during meal time and calculi was found inside what's diagnosis ?
A. Sialolithiasis✅

470.Patient compline that his denture become smaller Report: cotton wool appears (mentioned before)
a. Paget’s diseases✅
471.Pic of( hairy leukoplakia) what is your management?
a. follow up✅

472.Heary leukoplakia ttt

A. No treatment✅
473.pic for old smoker pt. With white non scrubbable lesion on gingival margin and asking about diagnosis
a. Leukoplakia

b.
474.picture of tongue there is white patch surrounded by erythema
A. erythroleukoplakia✅

475.picture of lateral tongue , with one lesion on lateral of tongue, red colour in center and white colour all around and
aske what is it?
A. erythroleukoplakia✅
B. Erythema migrans

476.Pic of specked leukoplakia

477.most common oral manifestation of HAART drug:
a. Oral warts
b. Xerostomia✅
c. Candidiasis
478.Side effect of HAART?
A. Dry mouth ✅
 B. Oral warts ✅

479.HAART drug side effect

a. xrtostomia✅
b. hairy leukoplakia

HAART is defined as the use of at least three active antiretroviral medications.

480.Pic of angina bullosa hemorrecha

481.desquamative gingivitis ( pic) treatments ?

a. topical corticosteroid✅
b. systemic corticosteroid

482.Digoxin with epinephrine

a. Arrhythmia

483.Pt use warfarin , digoxin , during dental treatment have hypersalivation , see green blue object , what the cause!
A. stroke
B. digoxin toxicity✅
C. Warfarin toxicity

●
484.patient is taking so many drugs and the question was about the drug among the one mentioned that caused him
 the gag reflex
A. Digoxin.
485.Long scenario about pt with heart disease and he is taking multiple disease ( it was 4 type ) beta blockers, ACE and
the other 2 I forgot there name, during impression taking there was excessive saliva (not sure but I think also gag
reflex), what medication he take that most probably the cause?
A. Digitalis✅
486.tranexamic acid
a. Before surgery to prevent bleeding
b. Aftet surgery to prevent bleeding✅

487.bismuth syndrome

488.Bluish black discoloration and gingival inflammation?

a. Lead intoxication✅
b. Bismuth
c. Arsenic

489.syncope
a. Put pt in supine position

490.chair position of pt with vasovagal syncope

a. Supine with elevated leg✅

491.the best way to diagnose fibromyalgia (no tender points test in the choices)?
a. Muscle electric test
b. By exclusion✅
492.Patient has fibromyalgia and presented with tmj pain, how to diagnose?

493.facial trigger pian:

a. Neurologia
b. myofacial pain
494.a patient with inflammatory bowel disease found this in his mouth. What will you give him ?
a. systemic corticosteroids ✅
b. Systemic antifungal

495.Safest analgesic to inflammatory bowel disease? (Previously mentioned in June-July )

A. Acetaminophen✅
496.Case about old patient have polymylagia rheumatica and complains from pain on the right jaw and in the right
head that is go and come and some times it subside temporarily, what is the diagnosis: -
A. Giant cell arteritis.✅
B. Migraine.
C. Myofacial pain with TMD.

497.d dimer test for?

498.rheumatoid factor lab test

499.Patient with rheumatoid arthritis , how to manage ?

A. Supine position
B. Semi-supine position
C. Patient preferred positron , rubber dam
D. Patient preferred position , rubber dam , bite blocks✅
500.Rheumatoid arthritis patient, u will do for her multiple resto?
a. Her preferred position, Rubber dam and bite block✅
b. Supine position without rubber dam
c. Supine position rubber dam and bite block
d. Her preferred position without rubber dam
501.which disease you do not give LA with epinephrine even with little amount
 a. Hyperthyroidism ✅

502.You’re treating a patient with hyperthyroidism, then noticed his heart rate and blood pressure increase. What could
be the cause?
a. Hypertension
b. Thyrotoxicosis✅
c. Allergic reaction
d. Anxiety
503.Pt with hyperthyroidism after to local anesthesia with epinephrine she feel pain in stomach … etc
a. Thyrotoxic crisis✅
504.pt with hyperthyroidism and you give him local anesthesia with epinephrine what will developed?
A. Thyrotoxic crisis
505.OPG ( right mandible soap bubble appearance ) ask about next step:
a. CBCT
b. Fine needle aspiration✅

506.OPG of ameloblastoma and ask about the next step?

A. CBCT
B. Fine needle aspiration✅
507.swallowed 4*3 cm parotid gland and ask how to investigate
a. Incision
b. Excision
c. Biopsy
d. Aspiration✅

508.Ameloblastoma radiograph what you will do?

A. CBCT
B. CT✅
C. piopsy
D. FNA

509.Ameloblastoma X-ray what’s the management :

510.treatment of unicystic ameloblastoma

 A. enucleation and follow up✅

511.Solid ameloblastoma ttt?

A. Resection with safety margin✅
B. Respective without safety margin
C. enucleation

512.Unilocular cyst in mandibular the histological test reveals ameloblastic cell what is the treatment ?
A. Enucleation and follow up for long period ✅

513.Lesion in ramus of mandible (radiolucency )

A. FNA✅ after u take CT the for further investigation FNA
B. MRI

514.Case scenario for pt has an increase in her appetite without weight gain and has tachycardia and in her last days
become more nervous, which lab investigation would you request?
A. TSH, T4

515.The pt is on 10 mg prednisone and will undergo a simple extraction procedure

a. give her 100 mg hydrocortisone 1 hour before the procedure
b. extract after she takes her dose for 1.5 hour ✅
c. give her 200 mg hydrocortisone 1 hour before the procedure

516.Patient complains of oral ulcer, conjuncivitis and scar formation, what is the treatment?
A. Penicillin
B. Nystain
C. Corticosteroids (prednisone)✅
517.oral ulcers, conjunctivitis and body ulcers (or patches I forgot) what’s the disease?
A. Erythema multiform
B. Behcet’s disease✅

518.Pt with genital and ocular ulcers and skin lesions?

A. Behcet disease✅
519.pt with painful red edematous lesion surrounded by white in labial mucosa and she mentioned it appeared 2 or 3 times
in months
a. acyclovir
b. Fluconazole
c. Triamcinolone acetonide✅

520.Pt with recurrent ulcerations treatment (mentioned before)

A. Triamcinolone ✅
521.75 y.o patient want to extract and do implant, when you see the OPG there was a moutheaten appearance in
multiple site:
a. normal with advanced age
b. Multiple myeloma ✅
c. Hyperparathyroidism

522.positive urine berone jeans

A. Multiple myeloma✅
523.pt has controlled hypertension and take her medication (captopril) but once the doctor talk to her he notice she was
tired and had dizziness and headache
a. hypoglycemia
b. hyperglycemia
c. take an overdose✅
d. she is uncontrolled

524.cut in the superficial layer of the tongue no pain mild bleeding (mentioned before)
a. No treatment
525.Pic of adult fall and cut her Lips , how many layers suture ?
A. 3 👍

526.pic of superficial tongue laceration and ask about treatment?

 A. 1 layer
B. 2 layer
C. no need✅
527.Pic of tongue injury and pointed it was superficial with no bleeding, what’s the management?
A. Leave it to heal by secondary intention ✅
528.Pt has a history of cancer, during a routine dental check-up you noticed a radiolucency in the distal root of a lower
molar, the tooth was vital with cold & EPT and normal response with percussion on, tooth only has small composite
restoration and well adapted?
a. Biopsy ✅
b. Remove the restoration and put temporization material
c. RCT
d. Extraction
529.case scenario yellow brown band staining of boy 15 years old cause?
A. Tetracycline

530.Pedo pt have discoloration on incisal third , what’s the cause ?

A. tetracycline
B. prenatal metabolism problem
C. mother drink high floride water

531.Pt has pain in the tongue and difficulty swallowing and pain in the back of the neck and cant turn his head to the
right or left
a. Eagle syndrome✅

532.Pic of Subpontic Osseous hyperplasia

533.ray shows a circle radiopaque in the apical area and the patient is 60 y?
A. Cementum hyperplasia ✅
534.Hepercementosis synonym ?
A. cementum Overgrowth
B. cementum hyperplasia✅
C. cementum hyperplastic

535.Rheumatism pt
 A. Preferable position for pt and bite block with rubber dam
536.case about white lesion in buccal and cannot scrapped (with picture)
A. white spongy nevus✅

537.what’s disease with white sponge lesions

538.histology of melanoma and melanoacanthoma

539.Pic of black discoloration in gingiva only without any features(need more details)
a. Melanocyte
b. Melanoacanthoma
c. melanocytic nevus
d. Amalgam tattoo

540.flat brown irregular surface in palate ruge asymptomatic ( discovers it accidentally)

A. Melanocytic nevus
B. Malignant melanoma
C. Melanotic macule✅

541.Melanoacanthoma (large lesion in buccal mucosa)

542.treatments of the this lesion (pic) no complaining just pic of lesion.

A. No treatment✅ or observation
543.patient with white line in occlusal plane although there is no sharp Restoration?,
a. Linea alba✅
b. Morsicato buccaratum
544.white lesion at occlusal level and don't disappear when do stretching:
A. linea alba✅

545.Case about dry socket

A. Irrigation

546.U give IANB for lower 3rd molar extraction and next day the pt come with ulcer in upper lip why?
A. Lip biting

547.Picture of Fordyce granules in upper labial mucosa

●
548.Pic Fordyce granule

549.pt. Came with gingival inflammation and I think multiple ulcers I don’t remember the rest of problem but all of it was
related to oral mucosa, and they said she recently had Hematopoietic cell transplantation what is best treatment
a. antibiotic
b. Antifungal mouthwash
c. Corticosteroids mouth wash✅
d. I don’t remember the forth

550.Child has multiple ulcer in palate and her mouther said she didn’t have this before and no ulcer in any were else what
could he has
A. Herpetic gingivostamatitis
 B. Herpengina ✅
551.case of herpangina
A. Multiple blister in soft palate ✅

●
552.Pedo pt with multiple ulcers in the soft palate and low grade fever?(
A. Herpangina✅

553.Pt with multiple ulcers and pain, he extracted tooth two days ago, what is the reason
A. aphthous stomatitis✅
B. traumatic extraction

554.case of hyperparathyroidism what u will se in x ray?

A. Widening of PDL✅ ( if loss of lumina dura in the options it is more correct)

555.Hyperparathyroidism pt, We are afraid to have a crisis

A. use 100 hydrocortisone 1h before surgery
556.patient came to u and have peptic ulcer which analgesic should u prescribed for him after endo treat?
A. ibuprofen
B. paracetamol ✅
C. diclofen

557.Pt have kidney problem and have oral lesion why?

A. Increase urea in blood (uremic stomatitis )
B. use of drug
● Different reasons
558.Post kidney transplantation
A. defer elective dental treatment for 6 months

559.Palatal brown lesion 5 mm in size appeared 5 months ago. Smoker. Treatment

A. excisional biopsy✅
B. laser cautery
C. Cryosurgery
560.Pt heavy smoker with lesion indurated?
A. Assure pt and wait 2 weeks✅
B. Biopsy
561.case about lesion with smoked patient what is the best management :
A. immediate biopsy
B. Wait 2 weeks and take biopsy✅

562.dentist during prostheses try in ask pt to move to right side , which muscle responsible for movement?
a. right medial pterygoid
b. left lateral ptrygoid✅

563.Which part is responsible for chin protruding ?

a. superior lateral ptrygoid
b. stylomandibular ligament
 c. inferior head of the lateral pterygoid muscles✅

564.Pt with resistance in mandible protrusion, what is the reason?

A. Lateral pterygoid muscle✅
B. Stylomandibular Ligament

565.patient take steroids 10 mg came for simple extraction what the management ?
566.Patient had surgical removal of their adrenal gland and currently takes corticosteroids. What
medication should I prescribe:
A. atropine
B. thyroxine
C. hydrocortisone ✅

567.Pt came with swelling regarding non-vital teeth 3*3 cm what is ur first line of ttt ?
A. marsupialization
B. RCT ✅
C. enucleation
568.Pic of Dentigerous cyst extends to the condyle, what is the management ?
A. resection
B. inoculation
C. marsupialization ✅

569.case about treacher syndrome with picture

570.patient complain that after cementation of FPD, the headache that happened before is disappear what cause of headache?
A. TMJ disturbances✅

571.patient has ulcers in the mouth and genital area(Behçet syndrome). What is the test(mentioned before)
A. pathergy✅

572.pregnant and emergency case what to do??

 A. Without x-rays
B. with X-ray and lead apron✅

573.Tobacco stomatitis best solution?

A. Drug
B. gel or topical steroids
C. cessation of tobacco✅

574.nicotinic stomatitis
A. cessation smoking✅

575.Pt using pipe IOE reveals diffusely white palatal mucosa and numerous slightly elevated papules with punctate red
centers represent inflamed minor salivary glands and their ductal orifices, Dx?
A. keratosis
B. Nicotine stomatitis✅

576.patients taking Amoxicillin with vomiting and Diarrhea

A. Metronidazole (Flagyl) is the drug of choice for replacement.

577.patient take Amoxicillin then he has diarrhea.?

A. Stop amoxicillin and take fluconazole
B. Stop amoxicillin and take metronidazole✅
C. don’t stop and take fluconazole
D. don’t stop and take metronidazole\
578.Sarcoidosis in histo
A. granulomatous inflammation✅

579.Pedo pt Complaining from not being able to occlude IOE reveals large projection lingual to incisor, what is
the Dx?
A. Talon cusp ✅

580.Most common tooth causing alveolar fracture while extracting?

A. Upper canine ✅
581.What tooth is “king of fracture”?
A. Maxillary first premolar ✅
B. Maxillary second premolar
C. Mandibular first premolar D
D. Mandibular second premolar
582.Case with OPG and CT scan pictures and asking about the area of canine impaction: -
A. Buccally.
B. Palatally.
C. At the middle in the suture.
D. Mesially.

583.extraction sequence?
A. Anterior then posterior
B. Posterior then anterior✅(previously mentioned)
C. Start with more mobile
D. Canine then posterior and go anteriorlly
584.picture nasopalatine duct cyst

585.Pierre robin syndrome sings

586.Retrognathic mandibular ,glossoptosis

A. Pierre robin syndrome ✅
587.Pt had severe pain under his eyes ?
A. Sinusitis✅

588.There was a mention of loss of dental papilla and erythema in the tongue.
A. Scarlet fever

Note : it could be Geographic Tongue or Glossitis

589.a patient had amalgam restoration 3 years ago. Came yesterday for checkup. Today came with runny nose
swollen face and teary eyes .what type of allergy?
A. Nickel allergy immediately
B. Latex allergy immediately
C. Nickel allergy delayed
 D. Latex allergy delayed✅

590.pt develop allergy after 2 day (i think) and have many symptoms one of them contact dermatitis what is the type
a. Latex delayed (type 4)
591.pt develop sign of allergey during ttt what is the type
a. Immediate latex type 1
592.After you examined the patient he develop signs and symptoms of allergy What is the type of latex hypersensitivity?
A. Type I delayed
B. Type IV delayed
C. Type I immediate✅
D. Type IV immediate
593.pt hypertension Systolic 130-139 diastolic 80-89 According AHA 2017
a. Normal
b. elevated
c. stage 1✅
d. stage 2

594.seizure pt with ulcer

a. lichen planus
b. chancer
c. I think it’s traumatic ulcer🔁

595.case pt have blister and ulcer perioral and tmj pain , pt mention he have itching befor blister appears what protect
dr from this type of infection
a. gloves✅
b. gown
c. googles
596.MI pt sensitivity to acetaminophen what give
A. naproxen✅

597.Pic of child with ulcers in his feet and hands, he had fever and tired. What is the diagnosis?
A. Hand-foot-and-mouth disease✅
B. Checkin box

598.what’s the tooth that you can extract using rotational movement with tooth access?(mentioned before)
A. Max. central incisor✅
599.A patient is taking warfarin inr is 3.5 when to stop warfarin
A. Stop 3 days before surgery , continue the day of the surgary

600.osteophytes
A. Osteoarthritis ✅

●
601.patient has severe weight loss and sweats a lot at night; nothing else is mentioned. He says if you took an X-ray,
what might you see with this patient?
A. widening PDL✅
B. expansion in periosteum
C. something in gingiva

602.Case about patient with positive venereal (VDRL) test, what is the proer medication for that patient:
A. Penicillin.✅
B. Nystatin.
C. Corticosteroid.
 D. Neoclovir ( not sure about name but it is antiviral).

603.Case with manifestation for Cushing’s syndrome and asking about the cause of that symptoms:
A. Insulin resistance.
B. Excessive corticosteroids intake.✅

604.Patient with slow growing rubbery mass in front of the ear( there wasn’t any other information), what
is the diagnosis: -
A. Pleomorphic adenoma. 🔁
B. Mucoepidermoid carcinoma. (Fast growing)
C. warthin's tumor.

605.Mass on a hard palate and there’s perineural invasion. What's the diagnosis?
A. Warthon tumor
B. Pleomorphic carcinoma
C. Adenoid cystic carcinoma ✅
606.slow growing lesion in palatal area, radiograph show that it is invading surround area, Dx ?
a. Adenoid cystic carcinoma✅
b. Polymorphic tumor
c. Mucoepedermoid carcinoma

607.Cyst with perinatal invasion?

Almost related to malignant cyst or carcinoma

608.Picture of Hutchinson incisors and ask about the disease with that teeth: -
A. Syphilis. ✅

609.Chx what is the mechanism.

610.Patients with low pressure 96/55, what is your immediate action

611.Patients came for elective treatment O2 saturation was 90%, what should you do
A. Postpone the treatment ✅
612.patient has swilling in upper lip, she has no history of filler in her lip? (Need more details)
A. Angioedema ✅
 B. Orofacial granulomatosis

●
613.Instrument used for lip biopsy.

614.OPG with a lesion (RL with upper scalloped margins in posterior mandible) tx?
A. surgical removal ✅
B. radiotherapy

615.Pt with history of MI one yr ago,which class of ASA

A. 1
B. 2
C. 3✅
D. 4

616.Pedo pt I think he was 9 years old with buccal expansion in one side and radiograph shows several RO rows
parallel to each other (there was a clear radiograph)
A. Garrè’s osteomyelitis

617.The best description for inflammatory periosteal reaction?

A. Sunburst
B. Onion skin✅
C. Orange peel

618.ray show circular radiolucent between 2 tooth..and both of them are vital??
A. Lateral perio cyct
619.Oral Finger like lesion on male patient containing fibrovascular ??
a. Squamous papillomas ✅

620.Scenario .. patient with symptoms.. Stressed patient+Rapid breathing + Palpitations + dizziness?

A. HYPERVENTILATION

621.long case …pt.use betel nut cause :

d. Submucous fibrosis ✅

622.Pic of severe lesion in hands and knees looks like this

A. Psoriasis✅
B. Papillon Levefer syndrome

623.Pt with liver disease need extraction what test we need to check before proceeding with extraction?
A. prothrombin time ✅
624.Which of the following is a side effect mouthwash containing alcohol?
A. lichen planus
B. morsica.o buccarum
C. erythema multiforme
D. epithelial desquamation✅
625.Doctor doing extraction and patient move and injury for floor happening?
a. Inform the patient it’s his fults and will give him 1 week follow up
b. Inform patient it’s complication and give him 1 week followe up✅
c. don’t inform patient
626.antagonst of heparin
A. Protoamine sulfate
627.Patient reported blood ozzing the last time he extracted ? You order what blood test ?
A. INR
B. PT
C. PPT
D. Normal✅
628.A diamond shaped area at the center of the upper lip and base of the nose?
A. philtrum✅
629.Clindamycin caused diarrhoea which bacteria?
A. Clostridium difficile ✅
630.erythema on the face followings trigeminal nerve :
a. STURGE WEBER✅
b. Hereditary Hemorrhagic Telangiectasia

631.Sleep apnea diagnosed when the number of episodes are ?

a. 5✅
b. 10
c. 15
d. 20
632.caliber vesicle pic

633.Pic of actinic cheilitis and obliteration of vermilion border ask about treatment?
a. surgical excision
b. Laser ablation

634.How collagenase work in diabetic patient

635.MRSA transmission?
A. Direct ✅
B. indirect
C. Air-prone

636.Influenza mode of transmission

A. Direct ✅
B. indirect
C. Air-prone

182.you had influenza and took a sick-leave after coming back your pt. Had running nose and coughing what to do??
A. Filters
B. minimize direct-indirect contact 🔁

637.what measurements consider to decrease spread of influenza/flu:

a. HEBA filter
b. decrease direct/indirect contact 🔁

If Respirator masks in the options it is the correct answer

638.pt come with influenza and want scaling ?
 A. Defer until influenza subside ✅
639.Patient with influenza for checkup
a. Delay the treatment ✅

640.pt with Blood-prone infection disease presented with severe pain what to do:
A. postpone the treatment
B. treat as normal ✅
C. treat in isolated room
D. treat with special precautions in addition to standard precautions

641.Patient has Covid-19 and active symptoms. What’s the management?

A. Refuse treating him
B. Treat him in an isolated room
C. Treat emergency pain only and postpone the rest ✅