Group 1 :1- Tonsilolith can be seen on panoramic xray:

A.Mid of the ramus B.Maxillary tuberosityC.head of the condyleD.Maxillary air sinus

2- Strict vegetarian vitamin deficient in which of the following:

A.Ascorbic acidB. B12C. PotassiumD. Sodium

3- Patient with infection taking minocylcine most probably will have:

A. pigmentation on the skin

4- Pediatric patient prophylaxis doseA. 50mg amoxicillin

5- Most destructive in dental implant :

A.Axial off loading in dental implant

6- After dental surgery patient responding well to treatment and healing normally , but has echymosis on his neck and chest , your approach should be :

A.Assure the patient that this is normal and will heal

7- A patient returns back after restorative procedure complaining the restoration looks gray. You should:

A. Increase value B. Increase chroma C. Increase hue D. Reduce hue E. Reduce chroma

Shade A yellow red DB yellowC greyD yellow grey red

8- LA best used for pregnant woman

1. Chroma + is the saturation or strength of a color (degree of saturation of the hue)

2. Value (or brightness) + is the relative amount of lightness or darkness in a color

3. Hue + refers to color tone (e.g., red, blue, yellow, etc.) and is synonymous with the term

xylocaine

9- Longest acting LA: A.Bupivicaine

10- Lowest cariogenic meal D.carrots , diet cola

11- At which Age all primary teeth eruptedA. 20-30 month

12- Functional appliance is not used in: A.Retro

B.prog

13- Antibiotic prophlyaxis dose for adultA.2g amoxicillin 30-60 min before the procedure

14- Patent file is used for :file No 8 or 10 used by endo dentist to open the foramen if debris.

15- Best method to avoid fracture in Endo rotary system is to do :

A. Crown Down

16- Imuuno competent patient antibiotic use should be :

A. reserved for cellulites B. Used for every dental infectionC. Use narrow spectrum

17- Dementia effect :A. Poor oral hygiene

18- radiolucency at furcation of primary tooth treatment should be :

A. extraction

19- space maintainer used with loss of primary 1st molar canine and 2nd molar there:

A. no treatment

20- space maintainer A. Distal shoe

21- space maintainer A. Nance appliance22- reason for needle breakage:

A. Bending the needleB. Small needle gaugeC. Needle touching bone

23- pus and inflammation cause :A.Increase in Ph increase in blood supplyB.Increase in Ph decrease in blood supplyC.Decrease in Ph increase in blood supplyD.Decrese in Ph decrease in blood supply

24- function of indirect retainer:A.prevent the displacement of the denture away from soft tissue

25- extraction with pericoronitis is contraindicated :A. spread of infectionB. Difficulty in achieving anesthesia

26- Zirconia Crown is used because :A. strongest

27- 8mm oroantral fistula treatment :A. buccal advancement flap B. Antibiotic C. Irrigation+ AB

28- bruxer with mal occlusion best treatment: A. Reduce stress and use night guards

29- chemical less irritating to Soft tissue :

A.37% HF B.20% AlCl C. HF D. 30% hydrogen proxide

30- Patient sip water before swallowing A. parotid

31- calculate LA max # of catridges for a child >> 2.5

1. lntramembranous ossification is so called because it takes place in membranes ofconnective tissue. Osteoprogenitor cells in the membrane differentiate into osteoblasts;a collagen matrix is formed which undergoes ossification.Note: The maxilla and mandible are formed this way. Remember: Once bone is formed, it grows by appositional growth (which is growth bythe addition of new layers on those previously formed).42

32- maxillary bone development:

A.intramembraneous B.Endochondral

33- Bolton analysis measures :

34- The most like structure to be damaged in removing a maxillary Torus

A. greater palatine artery

35- A maxillary central incisor with lingual erosion which was endodontically treated And with minimal over bite and accentuated overjet is best restored by: A. Veneer B. PFM C. Full ceramic D. Composite E. Resin crown

36- Fastest route of administration of anesthesia :

A. nitrous OxideB. IM Pencilin

37- Gates gliden used for

38- Patient with thoracic kyphosis : C shape spine.

A. put a pillow behind patient on the dental chair B. Muscle relaxantC. Analgesic

39- mother concern about her boy with two rows of teeth and the primary row are loose: A. normal eruption variation B. exaction same visit

40- Mode of Action of insulin A. increase glucose storage(promotes cellular uptake of glucose, inhbitis gluconeogeneis, FA breakdown, glycogenolysis)

41- Tetracycline :A. Anti collagenase activity

42- Last bone to grow:A. Mandible

43- Effect of liner Protection of pulp

A.

Double the dosage of warfarin B. Proceed with the extraction C. Give vitamin K D. Consult the patient’s physician and reschedule the procedure

44- Size of connector in Temporary rpd and permenant :A. largerB. smaller C.SAME

45- A 55 year old started a course of tetracycline for an infection. Two weeks later the patient returns with painful red smooth tongue and mucosal lesions. You should:

A. Perform test for Candida Hyphae B. Perform hypersensitivity of tetracycline C. Algae test D. Bacterial test46- Red lesion between soft and hard palate what to do :

A. wait 7-14 days B. Biopsy

47- white appearance on cast result from:A.Saliva on impression

48- patient wearing denture, nonsmoker, which of the following has the most chances of malignancy:A. White lesion on alveolar ridgeB. Whilte lesion on ventral of the tongue

49- TCA + Epin causesA. Hypertension

50- history of asthma and nasal obstruction:A. no NSAID

51- apositional growth site of mandibleA. posterior to ramus52- specificity is ...

A.True positiveCsensitivity)

1- A patient on warfarin needs extraction. His INR value is 2.5. You should:

Rough or chalky stone cast • Inadequate cleaning of impressionExcess water left in impressionPremature removal of castLeaving cast in impression too longImproper manipulation of stone

1. lntramembranous ossification is so called because it takes place in membranes ofconnective tissue. Osteoprogenitor cells in the membrane differentiate into osteoblasts;a collagen matrix is formed which undergoes ossification.Note: The maxilla and mandible are formed this way Remember: Once bone is formed, it grows by appositional growth (which is growth bythe addition of new layers on those previously formed).42.

B.True negativeC.False positiveD.False negative

53- cheek biting A.buccal overlap

54- Patient develops convulsions on a chair during an extraction, first thing to do?A. Remove all instruments around the patientB. Put a plastic bite in the patient mouth

55- Oral inhaler Candida why:A. Inhibit normal floraB. Local immune suppressant

56- Post bite plane :A.Increase overbite and increase overjetB.Increase overbite and reduce overjetC.Decrease overbite and increase overjetD.Decrease overbite and decrease overjet

57- first brachial arch derivatives :A. Mandible and Maxilla

B. MandibleC. Maxilla

58- mandibular condylar fracture A. deviation to the fractured side

59- modified flap technique what do u do after incision A. debride

plus excision of pocket epithelium.60- side effect of leukemia

A.thrombocytopenia

61- A young hockey player comes to your office following assault attack. You notice bleeding from the nose and mouth. The individual states that overall he feels okay but he feels is bite is “off”. The likely cause is:

A. Lefort II fracture B. Dento alveolar fracture C. Psychogenic stress D. Fracture of nose

62- Diagnosis for a patient with parotid swelling and erosion of maxillary teeth:A.Bulimia

63- Condition that result in total deficient in bone marrow output,A. Aplastic anemia ..

64- which of the following malignancies has the best prognosis initially A. basalcell carcinoma B.Muco epidemoid

65- most common cancer to metastatsize :A. breastB. kidneyC. Brain

66- treatment of trigeminal neurolagia :A. carbamezapine

67- diagnosis of trigeminal “case was given sign and symptoms of Trigeminal neurolagia”

68- Pen G other name A. benzylepencillin

69- Mitral stenosis can result from:A. rheumatic feverB. Pulomonary

70- impression can be pour many times :A. polyetherB. PolusulfideC. Irreversible Hydrocolloid

71- A developmental defect in Hertwig’s epithelial could result in: A. Lack of cementum B. Dentin defects C. No eruption D. Multiple root formation

72-  Patient couldn't close eye after injection, where was it injected into:

A. Parotid

73-  Infraorbital nerve injection, where does it numb? Aanterior superior dental, nasal ,labial lacrimal skin.

74- And a blow to the zygoma, what nerve would be affected?

FEaxscte lsleen~t dnimge nsional stability when dry Dificult to remove(most rigid or shflDimensionally stable if more than one cast is poured Tears easilyStable even if poured 24 hours after making May adhere to teeth

impression . High water absorption

Very accurate & easy to pour with gypsum products Fine margins may breakUnpleasant

A. infraorbital B. B supraorbital C. Occular N

75- Number cartridges again for adult haas article

76- 18 months old boy weighing 10 kg is reported to have swallowed a bottle of fluoride drops that was the equivalence of 128mg of fluoride ion. The most appropriate management is: A. Observe the child for signs of toxicity B. Call emergency and induce vomiting immediately C. Bring the toddler to the dental clinic D. Make the boy drink many cups of water

77- first movement of tmj >> rotation78- DMFS limitation ( limitation because the missing teeth could be for ortho

treatmen79- Min intervention dentistry, you do minimal operative procedure on the teeth and

do the basic, with least amount of hand instruments..so the option of filling a cavity as soon as its seen was wrong

80- In giving Inferior alveolar nerve block, the needle is:A. Lateral to the pterygopalatine raphe and lateral to the medial pterygoid

muscle...

81- acetaminophen acute toxicity :A. hepatotoxicity

82-  Treatment for maxillary 1st premolar with grade III furcation involvement:A.extraction

83- for patient with history of GI bleeding CoX2

84- And what to do to prevent post op edema afer exo of bilat mand 3rd molars:

A. bite on wet gauze B. ice pack

85- a smoker, 25yrs old, for 8yrs now, that had teeth with pockets btw 5-8mm, periodontitis >> LAP

86- Old age problem >> reduce bone mass because of reduction of estrogen.

87- dilaceration caused by trauma

88- anb angle -6 sna normal- prognathic mandible

89- SNB 84 means RETRO PROG

90- which type of suture material is used for resorbable purpose 10-14 days:A. catgut B. chrome catgutC. polyacrylD. polysth

91- Vertical incision on the lingual mucosa on mandibular molar may injure: lingual N.

92- A patient with porphyria and open glaucoma should be sedated by A. Thiopental I.V. B. Pentobarbital I.V. C. Diazepam I.V. D. Nitrous oxide inhalation

93- Gingival fibromatosis isa. Degenerativeb. Hyperplasticc. Inflammatoryd. Hypotrophic

94- the first developement of the mandible coincide with.

A) development of tooth germ

95- polyether cant be used in deep pocket areas:A-high modulus of elasticity

96- which of the following impression materials is most likely to tear during removal from mouth with deepembrasures?a. Irreversible hydrocolloidb. Polysulfidec. Polyetherd. Polyvinyle siloxane

97- contraindication of implant >>> uncontrolled diabetes

98- Codein side effect constipation, over dose CNS depression.99- which bacterial not found in caries- streptococcus salivaris100- arrested lesions: can remineralize, 101- radiolucency between lat and canine mandible : sublingual salivary gland

fassa.A. lat perio cyst and may be lateral fossa B. peri apical cemental dysplasia

102- bacteria found predominantly in dentinal caries:A. Mutans B. lactobacillus

103- What cells in the pulp most likely to regenerate? Mesenchyme?

104- Use of ultrasonic instruments is contraindicated in :

A. Asthmatic patients B. COPD patients C. Patients with upper respiratory infection

D. Other

105- HBV , HBeS and HBEs >>> infections and carrier HBeAg, HBV sAg106- artifical pacemaker in patient what shud be done: avoid electrosurgery107-  Organisms predominant in periapical infections, mixed aerobic-

anaerobic? Mixed anaerobic &aerobic108-  Patient is hepatitis B carrier what shoud be done:

A.use double gloves B. use n52 mask, C.avoid aerosol producing procedures D. treat patient as usual

109-  vit D affetcs : A.bone B. bone and cementum vit CC. all collagen containing tissues D.all mineralized tissues bone, teeth

110- Which of the following has the most potent analgesic effect? A. Aspirin 650mg B. Codeine 60mg C. Aspirin 300mg + Codeine 30mg D. Paracetamol 250mg + Codeine 30mg

111- primary support area of the mandible :A.Buccla shelfB.Alveolar ridge

112-  how to avoid fluorosis in child less thn 8 year old living in community with fluoridated water:

A.prevent from swallowing fluoridated toothpaste B. prevent from drinking fluoridated water

113- on Buccolingual 2/3rd width in a molar? place matrix band/use GIC to strengthen cusps/reduce the cusp and then replace wth Amalgam?

114- lesion on outer1/3 enamel - topical fluoride

115- A 1 year old baby who live in a fluoridated area and with the habit of sleeping with bottle should be:

A. Stopped from the use of the bottle and have him salivary bacterial culture performed B. Prescribe fluoride supplements C. Scheduled to have bitewing radiographs every 24 months D. Bacteria slaiva count

116- Non rigid connector in a fpd shud be used: A. in periodontally compromised teeth as abutment B. long span fpd with pear abutment.C.non parallel

117- bleeding in pulpotomy : ????? A. gauze of epinephrine

B. removal of apical pulpal tags

118- dry socket >> put sedative dressing in socket

119- bone and you put plate there is 2mm space whats the type of healing:

A. primary interntion 1mm and less primary healing.B. Secondary intention C. osteoinductive D.osteoconductive E. osteogenisis

120- cellulitis in kid , drainage through tooth, antibiotics thn extraction121-  plaque dosent include :

A. lipid B.carbohydrates

C.DNA D. collagen

122- chronic perio treatment >>> CHX

123- epi increase the oxygen demand and decrease or increase oxygen need ?!124-  willivrend hemophilia A factor 8. B factor 9125- Scheduled pat for extraction has attack of epitaxis.126-   Choice of shade for composite restoration should be done:

A. Before L.A. administration B. Under the light of the operatory bulb C. After application of rubber dam D. After etching and bonding 127- Difference of bonding bw enamel and dentin enamel high surface

tension.dentin low surface tension that’s why leave dentin moist for bonding.128- EPT can not be deceptive in presence of all except :A.recent trauma B. too fast current from ept deviceC. ept device not close enoughD.contaminated with saliva E.calcified canals

129-  Irreversible pulpits..symptom

130- What is relieved by cold..again pulpits (acute suppurative pulpitis)

131- Extraction of retained deciduous tooth should be planned when: A. ½ of root of the permanent tooth is formed B. 2/3 of root of permanent tooth is formed ¾ root it means tooth in gum C. ¾ of root is formed

132- patient having severe pain on biting with normal surrounding soft tissues : A.acute apical abscessB. acute periradicular periodontitis C.chronic periapical abscess D. chronic periradicular periodontitis

133- a question about hiv infection :A.it cant spread through saliva:B.it gets attached to biofilm in saliva C. it gets attached to tooth structure D. it can only be infected through blood

134- A 1cm lesion on the mandibular posterior area without tooth should be suspectedfor:

A. Odontogenic adenomatoid tumor B. Odontogenic myxoma C. Keratocyst

135- Sterile water for Surgical extraction

136-  Bacteria for marginal gingivitis stay in :A.free gingiva B.gingival sulcus

137- Measurement of attached gingiva138-   Which of the following conditions associated with decease alveolar bone

mass? A. Hyperparathyroidism disappear of lamina dura, brown tumor ,giant cell , renal stone.

B. Hyperthyroidism C. low Estrogen D. Other

141-The most important consideration in the cavity preparation of proximal caries is: A. The width of contact area B. The depth dentin involvement C. The choice of restoration material D. None of the above

142-Max radiation produced by :

A. CT SCAN from most to least A,D,C, cephalo,BB. MRI the least radiationC. Computer tomography PAND. 18 Intra oral film

143- To check for IAN effect :

A.Buccal of 3.6B.Linugal of 3.6C.Buccal of 3.3D.Bucall of 1.1

144- Maxillary first molar drains into: A. Buccal space

145-Mechanical Indicator on Autoclave is used to indicate: A. Pressure

B. Spores level biological. C.Sterilization

146-A symmetrical open bite is caused by A. Infantile deglutition habit tongue thrust result of open bite.B. Mouth breathing habit C. Finger sucking habit D. Thumb sucking habit

147-Serial extractions of premolars are indicated in: A. Class II molar relationship B. Normal overjet and deep overbite C. Arch tooth relationship discrepancy D. Normal overjet and deep overbite

148-Depression of right Zygoma due to trauma will cause: A. Epistaxis from the contralateral nostril B. Deviation of mandible to the right up on opening C. Deviation of mandible to the left side D. Not significantly changes in the masticatory function some limitation in opening but no deviation inopening.

149-attached gingiva is more resistant to abrasion because it is more keratinized collagen type 1 , cementum 1&3.

150-A patient comes with intensive pain due to periodontal abscess. The tooth is tender to percussion, but the pulp vitality test is positive. The most appropriate management is: A. Scaling and root planning B. Perform pulpectomy and establish drainage through the root canal C. Reduce the occlusion D. None of the above

150-L.A. associated with lip numbness two weeks later? A.Articaine irritation in IANB because 4% and ester and amid.

151-Bisphosphonates are associated with ostearadionecrosis due to: A. Inhibits proliferation of mioepithelial cells in the formation of vessels in the bone B. High level pf alkaline phosphatase C. Inhibits recruitment of immune cells D. None

152-habit breaker when u insert?

A.Primary

B.early mixed

153- to reduce pain analgesic should be given :

A. pre emptive during anesthesia.

154-76 old patient with 170/100 mmhg

A.Treat normall

B.Consult physician

155-most common location of SCC in oral cavity?

A.Floor of the mouth

156-failure of autoclave

A. overfilling with dental instruments

157-early sign of periodontal abcess on xray

A. Widening of PDL

158- Contact on the balancing side of the palatal cusp on which inclination:

A.Buccal , B. Palatal C.Mesial D. Distal

159- Mesiobuccal cusp of max first molar

A. Bucall groove of mand 1st molar

160- MOD in primary tooth treamtnet

A. GIC B. Amalgam C.Stainless steel crown

161- Epinephrine for a patient who need extraction can cause : A. Hypertension crisis B . Increase Bleeding

162-Acetaminphen max dose A.4000 MG

163-Flushing dental unit help to :A. Reduce number of microorganismB. remove biofilm

164-initial toxic symptom of l.a? A.Convulsions B. Talkative and tachycardia Excitment of CNS165-Muscle relaxanat A.Succylcholine

166- Nifidipine Gingival hyperplasia

167- fracture in proximal area cause by insufficient : A.occlusal depthB. Proximal box width

168- 5*3 lesion there for 2 months became ulcerated recently most approperate treatment is : A.Incisional biopsy less than 1cm excisional if more incisional,

169- retromolar pad surgery damage probably to : A.Lingual Nerve

170- hematoma what to do A.Firm pressure and ice B. hot pack

Group 2 :1. The most potent Glucocorticoids:

a) Cortisol B dexamethasone see potency of steroid.

2. Propranolol, Aspirin, Ampiral (ampicillin) >> these drugs are given to a patient with:a) Ischemic heart diseaseb) Congestive heart diseasec) Heart failured) Hypertensione) Arrythmia

3. A cyst associated with a congenitally missing tooth: KOT if missing tooth = primordial cyst.

a) Keratocystb) Dentigerous cystc) Radicular cystd) Residual cyst

4. Insulin:a) Improve glucose storageb) Reduces the glucagon

5. Chlorhexidine plays a role in:a) The cell wall !b) Non selective florac) Absorption

6. A cyst around an impacted canine, radiolucent, solid tissue:a) Ameloblastomab) Dentigrous cystc) Adenomatoid odontogenic tumor(AOT)d) Myxoma

7. Insurance: works on all of thesea) Malpracticeb) General liabilityc) Employment

8. Bisphosphonates: inhibit osteo and bone remodel.a) Blocks resorption

9. Maximum dose of acetaminophen >> 400010. The anatomical guide for the Gowgates technique >> the condyle neck11. Sign of lidocaine toxicity >> talkativeness ??12. Safe anesthesia for a pregnant woman: 2% lidocaine with 1:100000 epinephrine13. Pt. with normal vitality test and isolated defect of more than 4 mm: vertical defect

14. Furcation involvement, no response to therapy: all of them.

a) Enamel pearlb) Vertical fracturec) Bacterial resistance

15. To extract tooth # 46, while the 45 and 47 have deep MOD caries, the least appropriate sequence is:

a) Section with a bur, periosteal elevator, forcepsb) Scalpel, periosteal elevator, forcepsc) Only forcepsd) Periosteal elevator, root tip elevator, forceps

16. An intrusion is least likely to cause it’s permanent successor:

a) Dilacerationb) Ectopic eruptionc) Hypoplasiad) Delayed eruption

17. An anterior tooth that needs a crown lengthening, this should be done by:a) Gingivectomyb) Ortho treatmentc) Perio flap + osteoplastyd) Widman flap

18. A patient with facial cellulitis is allergic to amoxicillin, which of the following should be used with caution:

a) Clindamycinb) Erythromycinc) Cephalexin

19. Which letter determines the location of the incisal edge of anterior teeth:a) Fb) Sc) Jd) Me) P

20. A 10 year old patient had a normal exfoliation of his primary 2nd molar, what will happen?

a) Mesial movement of the permanent 1st molar remember leeway space.

b) Distal movement of the mandibular 1st premolarc) No change

21. In a long, narrow PFM bridge, a fracture of a porcelain piece is due to :

a) Low fracture toughness lenghter span less fracture toughness.b) Low modulus of elasticity

22. The location of the apical end of the junctional epithelium is:a) Cervical part of the crownb) Cervical part of the rootc) 1.5 mm apical to the CEJ

23. An avulsed tooth should be immediately:a) Washed with salineb) Treated with pulp extirpation

24. Niti file:a) The More the taper the less fractureb) Fracture at apical end usually occursc) More fracture in less diameter . if more diameter more #

25. Gates glidden used for:a) Apical segmentb) Merge the coronal pulp with accessc) More ideally used before files

26. Rotary instrument technique:a) Crown downb) Step backc) Oscillatingd) Balanced force

27. The most stable supporting area for the mandibular denture:a) Mylohyoid ridgeb) Buccal shelfc) Alveolar ridge

28. A maxillary complete denture is dislodged on incising action, because:a) Overextended labial flange ?????b) Under-extended labial flangec) Lingual position on anterior teethd) No palatal seal

29. Deep caries:a) Must remove all caries

b) Must remove all caries, if that leads to an exposure, end the treatmentc) You may leave some caries if sealed

30. Ca(OH)2 in old filling is gone because:a) Microleakageb) Dissolution with the fillingc) Incorporation with bonding

31. Caries under the fissure sealant:a) Arrested if sealedb) Grow slowly if sealed

32. A patient wants a gold crown, while the dentist recommends all porcelain for an anterior tooth, the dentist should:

a) Insist on his opinionb) Place a composite restorationc) Place a provisional crown until the patient changes his mindd) Place a gold crown as the patient wish

33. Deep erosion in central incisor should be treated with:a) Compositeb) Full porcelainc) PFM

34. A crown fits on the master cast but not intraoral because of : improper impression

a) Thick die spacerb) Incorrect melting temperature of the metalc) A void in the cast

35. How to manage a crown that fits on the die but not the tooth:a) Remove from the occlusal surface of the crownb) Remove from the internal of the crownc) Remove from the interproximal surface of the crownd) Remove from the occlusal surface of the tooth

36. The teeth with the lowest potential of success as an abutment for a bridge:

a) Molars and caninesb) 1st premolars and molarsc) 1st incisors and 1st premolars

37. Microcytic/ hypochromatic:a) Vitamin B12 difficiencyb) Chronic bleeding

38. ( Acetaminophen + codeine ) is used with caution: a) In combination with alcohol

39. An advantage of codeine as compared to morphine:a) Better bioavailabilityb) More potentc) No respiratory depression codeine less Respiratory depression

,l ees addiction.

40. Inconsistent EPT is due to all the following EXCEPT:a) Calcified canals b) Multiple canals with different stages of pathosisc) Inadequate contactd) Too rapid current

41. A patient with stroke, 2 months history of endocarditis, needs EXO:a) Give an antibiotic to prevent infection + EXO , should not work.b) EXOc) EXO with epinephrine

D) symptomatic Tx.

42. A patient with AIDS:a) Refuseb) Delay till the end of the dayc) Treat normally

43. A patient with a history of myocardial infarction 8 years ago:a) Treat him in the hospital

b) Treat him in the dental office using sedation and no vasoconstrictor in anesthesia

c) Treat him in the dental office normally

44. The most specific test for anemia:a) CBCb) Hemoglobinc) Hematocrit and WBCd) Hematocrit, RBC, hemoglobin

45. Pale patient, gingival swelling, how to manage:a) Do a full blood countb) Check the blood glucosec) Take a smear !

46. An insulin dependent patient comes in a hurry 1 hour late for his appointment, you must make sure that:

a) The patient took his breakfastb) The patient took his insulin dosec) You have a source of sugard) You have insulin

47. To block division II of the trigeminal nerve, anesthesia must be given in proximity of:a) Foramen Ovaleb) Foramen Spinosumc) Pterygoid plexusd) Sphenopalatine foramen ???????e) Infraorbital foramen

48. The lip is formed between:a) The maxilla and medial nasal process = palateb) The maxilla and lateral nasal process = lipc) The medial and lateral nasal process

49. Palatal shelves ????a) Malesb) Backward of primary palate

c) Horizontal projection

50. Pt weight is 15 kg, swallows 50 mg of toothpaste, what to do ?

a) Drink milkb) Lavagec) Ipecac

51. During crown cementation, the crown is lost in the patient’s throat, the patient is asymptomatic, this 1st management is :

a) Induce vomitingb) Chest x-rayc) Heimlich maneuverd) Advise the patient to cough

52. The antibiotic with the widest spectrum: mitronidazole + amoxicillin

53. TCA + epinephrine : be aware of hypersensitivity to epinephrine ( hypertension )

54. Elderly dose ( healthy ) : unchanged, duration unchanged

55. In elderly: the same.

a) Reduced drug absorption metabolism &excretion decrease in elders??????b) Increased drug clearance

56. A patient who received Hemodialysis:a) Must be treated the same day of the hemodialysis onlyb) Has a risk of infectionc) Has a risk of bleeding

57. The Penicillin that is least resistant to stomach acid:a) Benzyl penicillin pen Gb) Phenoxy penicillin pencillin Vc) Amoxicillind) Ampicillin

Treatment of Fluoride Toxicity! Syrup of ipecac to induce vomiting! Calcium-binding products (i.e., milk/milk of magnesia) will lower the acidityof the stomach !insoluble complexes with fluoride and " absorption! Call 911 if necessary

58. A patient complains of his crown because it is too greyA. increase chroma. INCREASED VALUE

59. Least heat production:

a) Urethaneb) Methylmethacrylatec) Diethylmethacrylated) Bis GMA ?????????? composite matrix.

60. Prostaglandin : gastric protection61. Celecoxib: no gastric irritation62. The treatment of dermatological manifestations of allergy : chlorpheniramine 63. Abcess of which tooth can cause cavernous sinus thrombosis:

a) Centralb) 2nd premolarc) 3rd molard) 2nd molar

64. The most accurate way to locate the apical foramen: a) Apex locatorb) X-ray + filec) Tactile sensationd) Bleeding on paper point

65. What might cause a loss of sensation in the IAN:a) Extraction of the 3rd molarb) Extraction of the 2nd molarc) Wedge periodontal surgery at the retromolar area

66. Vertical incision on the medial side of the mandible is contraindicated because:a) It might cause an injury to the lingual nerveb) It might cause an injury to the IAN

67. An injury to the lingual nerve can cause all of the following except: Hypoglossal=motor

- Deviation of the tongue

68. Infraorbital anesthesia includes: premolars + canines + incisors69. Centric relation records should be done:

a) In maximum intercuspationb) While applying Pressure on the mentalis muscle with thumbc) While the occlusal rim slightly anterior to contact

70. The centric relation record is used because : it is the most reliable position71. A 9 year old patient, has a crown fracture of the permanent central incisor, how to

manage?a) Apexogenesis to vital teethb) RCTc) Apexification for non vital

72. Free gingival graft, mostly cause damage to:a) The greater palatine arteryb) Incisive arteryc) Facial artery

73. Syphilis on tongue: chancre74. Blue lesion on lower lip, history of swelling and then rapid shrinkage, the diagnosis

is:a) Mucocele

75. Mucocele treatment is: excision of the involved salivary glands76. The management of angioedema-allergic reaction is: epinephrine77. For a patient who is allergic to sulfate, which local anesthetic is to be used:

a) Lidocaine with epinephrineb) Articaine with epinephrinec) Bupivacaine with livonordefrined) Plane LA (any anasth with vasoconstrictor comes with sulfit.)

78. Rubber dam leakage is due to:a) Holes are too closeb) Holes are too farc) Stretching of frame !!

79. A patient taking lithium can take which of the following drug/s safely: NSAIDS increase lithium in body. Lithium for bipolar, cold face.

a) Naproxenb) Ibuprofenc) Indomethacind) Acetaminophen

80. The presence of fluoride on the surface of the tooth after crown completion is due to:a) Exchanging of hydroxyl groupsb) Readily contact salivac) Incorporation of …. … ?

81. Plaque:a) Has Insoluble glucansb) Becomes more anaerobic as it maturesc) Has food particlesd) Has –ve bacteria

82. Which root has only 1 canal:a) The mesiobuccal root of the maxillary 1st molarb) Mesial root of the mandibular 1st molarc) Lower 1st premolard) Upper canine

83. Single visit RCT is contraindicated in which case:a) Necrosis with sinus tractb) Symptomatic necrosisc) Vital elective RCTd) Irreversible pulpitis

84. Open bite best prognosis:a) Intrusion of posterior teethb) Stopping the finger sucking habitc) EXO

85. On lateral excursion, balancing side interference of palatal cusp of which inclines??? a) Buccalb) Palatal

c) Mesiald) Lateral

86. Serial extraction results in :a) Loss of 4 permanent premolarsb) Maintenance of leeway space

87. Cervical headgear is used for: deep bite88. Atypical pain:

a) Diazepamb) Ibuprofenc) ….. TCA amitryptiline,Carbamazepine (tegretol)d) …..

89. Chlorpromazine cause all of the following except: antimuscarinic like atropine.a) Photosensitivityb) Increased salivationc) Anticholinergic effects

90. A patient closes his jaw with his hands, he has:a) Muscle dystrophyb) Multiple sclerosisc) Myasthenia gravis all of them.

91. In case if Gloves puncture:a) Wash your hands and continueb) Change the gloves immediatelyc) Continue working

92. Needles:a) Can be bentb) To avoid a needle injury, leave it uncappedc) Recap, scoop technique or mechanical

93. The vibrating line:a) Is between the immovable and movable soft palateb) Is between soft and hard palate

94. Using a panoramic x-ray:a) You can see the space between the disc and condyleb) You can calculate crowdingc) You can predict the potential impaction of canine

95. Gingival fibromatosis is:a) Inflammatoryb) Hyperplastic

96. Which of the following is not associated with gingival swelling?a) Internal resorptionb) Vertical root fracturec) Periapical abscessd) Periodontal abscess

97. An abscess is not associated with:a) Elongated tooth feelingb) Pain on heatc) Pain on coldd) Percussion and palpation tenderness