10-04-2023 and 15-04-2023

Hello everyone, these are some questions I remember from my test. Study the principles of
ethics and types of studies in statistics, because I couldn't remember these questions precisely,
and the questions had no math to solve, but in each set of my test I had around six questions on
these subjects. If I help at least one person with these RQs, it will be enough for me! Enjoy!!!

1) Newly hired dental assistant, all should be done except?

A) Hepatite B
B) Tuberculosis This vaccine is not widely used in the United States
C) Pertussis
D) Tetanus Tdap = Tetanus-Diphteria-Pertussis

2 ) Gorlin syndrome associated with?

A. Odontogenic keratocysts
B. Squamous cell carcinoma
C. Ameloblastoma
D. Odontoma
3) Patient had no teeth but the radiograph exam showed supernumerary teeth.
Syndrome associated with?
A. Ectodermal dysplasia
b. Cleidocranial dysplasia
c. Mandibular-dysostosis Treacher-Collins Syndrome

4) Patient with trismus, which muscle is most affected?

A. Lateral pterygoid
b. Medial pterygoid
c. Digastric
d. Temporalis

5) Crouzon syndrome related to

A. Premature fusion of mid face
b. Defect in organs in midline
c. Wide set eyes Hypertelorism
d. Small ears

6) Nitroglycerin works by causing

a. Increase in vasodilation dilation of coronary artery
b. Increase in vasoconstriction of coronary artery
c. Increase in heartbeat
d. Increase in workload

6) Pt brought by mother. Had to travel 1.5 hrs to reach the clinic. Marginalized background. Pt had
poor oral hygiene, multiple caries and moderately uncooperative. What to give on the first visit?
a) SDF
b) Fluoride varnish
c) Topical fluoride gel
d) Do restoration

7) Child pt brought by mother complaining of fever and vesicular rash on hand, foot and Mouth .
What's the cause?
a) Coxsackie
8) Patient had lesions on the left palate extending from tooth 9 to 14 , left lip region. Which virus
causes it?
A. Varicela zoster
b. Herpes Simplex Virus
c. Human papillomavirus
d. Epstein barr Virus

9) Which nerve supply movement of tongue?

A. V
b. VII
c. IX
d. XII

10) Pt was recently given complete denture in both jaws. Within a few days she complained of a
cheek bite. Reason?
A. Increased vdo
B. Poor habituation Mouth & muscles will learn how to bite with the new dentures
C. Pointed anterior nasal spine
D. Palatal seal extension

11) Ibuprofen is
a. Leukotriene receptor inhibitor
b. Inhibition of prostaglandins
c. Phospholipase inhibitor
d. Blocks arachidonic acid

12) Patient on oral bisphosphonates for 2 yrs. Pt wants full mouth extraction for complete denture.
A. Consult with primary care physician about treatment option
B. Extract all teeth
C. Stop drug for two months and extract all teeth
D. Don't extract teeth
13) A case of Down syndrome pt OPG was given slightly blurred A.
What is the cause of OPG finding?
A. Patient tilted head back
b. Patient moved
c. Chin is up
d. Chin is down

14) Mumps caused by?

a) Air borne Paramyxovirus

15) Butterfly rash

b) SLE

16) Asthma pt. Taking a steroid inhaler. Wipeable white plaque like lesion on palate
a) candidiasis

17) What to give?

a) Nystatin

18) What advice to give?

a) Rinse with water after taking inhaler

19) Fissured tongue commonly associated with

A. Geographic tongue
b. Hairy tongue
c. Enlarged tongue
d. Bald tongue

20) For hepatit c pt what to use?

a. Wear face shield without mask
b. Wear double gloves
c. Take precautions during invasive procedure
d. Use high level disinfectant
21) Latent TB patient, what to use?
a. N95 mask
b. Suction pressure
c. Universal precautions

22) Temporal relationship between disease and cause established by

a. Case control
b. Prospective cohort
c. Rct
d. Cross sectional

23) Which is highest in evidence based study?

A. Case control
B. RCT
C. Cohort
D. Meta Análise

24) There were pt notes and a journal was made

A. Case report
b. Systematic Review
c. Cohort
d. Case series

24) Which has the worst prognosis?

a. Intrusion
b. Extrusion
c. Luxation
d. Subluxation

25) Avulsed tooth. What should not be done?

a. Clean root in chlorhexidine
b. Irrigate the socket with saline
c. Keep tooth in socket
26) Patient with sleep apnea what test to do?
a) Overnight sleep study

27) Patient is moving to another state and wants her dental records sent to a new dentist though
she hasn't covered her bills. What should be done?
a) Ask the new dentist to call him and sign to get the records
b) Deny the patient of the records
c) Send the bills to her home and then ask her to come to get the records
d) You ask patient to sign and give her records

28) Methadone is Prescribed in patients with morphine addiction. What is the reason?
a) It has lesser side effects
b) It causes less physical dependence
c) It doesn't cause physical dependence

28) Opioids cause all except

a) Constipation
b) Nausea and vomiting
c) Diuresis

29) What is most important for a post ?

a) Diameter of canal
b. Diameter of post
c. Remaining portion of Tooth (quantity & quality)

30) Cells responsible for root resorption?

a) Osteoclasts
b) Osteoblasts
c) Odontoblasts
d) Fibroblast
31) What cell is the precursor after tooth extraction?
a) Osteoclasts
b) Osteoblasts
c) Odontoblasts
d) Fibroblast

32) Patient missing teeth 17, 18, 19, and 30, 31, 32. Where the Rest seat is going to be placed?
a) On cingulum of two canines
b) On mesial of 20 and 29
c) On distal of 20 and 29

33) Hard nodule-like lesions in the anterior region. What can be seen in a biopsy?
Torus
a) Abscess b.
b) Normal mucosa and bone
c) Salivary acini

34) On stretching the lesion disappears. What is the diagnosis ?

a) Leukoedema
b) White sponge nevus
c) Leukoplakia
d) Lichen planus

35) What may be the Diagnostic differential caused by irritation except?

a) Moriscatio “The name of this lesions was weird for me”
b) Leukoedema Morsicatio buccarum know as chronic cheek bitting
c) Lichen planus Immunologic disease
d) Fibroma

35) Case of multiple myeloma. What should you ask the treating oncologist about the pt?
a) Chemotherapy medication
b) Dose of x-ray given in mandible
c) Type of multiple myeloma
36) What happens due to smoking except?
a) Increase in bleeding
b) Bone loss
c) Decreased healing
d) Collagen formation is defective

37) What can cause Crossbite Except?

a) Airway obstruction
b) Pacifier
c) Migroglosia
d) Thumb sucking

38) “In my test they gave the description of the lesion in the box, and the lesion described I
deduced that it was SCC. and asked what would be involved in the street layer?
A- st spinosum
B- st basal
C- st corneum

39) Aspirin Moa

a) Inhibit platelets aggregation

49) What is the main component of amalgam?

a) Mercury
b) silver

50) Image type scheme, they place something like this:

Patient 1: information of patient
Patient 2: information of patient
Patient 3: information of patient.
What type of study will be made?
A) Case series
B) Experimental study
C) Descriptive study
D) Systematic Review
51) What is the percentage of caries that can be visible on a radiograph:
A) 5-15
B) 20-30
C) 40-50
D) 70-80

52) Cupping on occlusal:

a) Erosion
b) attrition
c) abfraction

53) Dentists remove old amalgam to remove toxins from the mouth. What broken principle?
a) Non-maleficence
b) Justice
c) Veracity

54) All are demographic data of patients related with caries EXCEPT?
a) gender
b) socioeconomic
c) nutrition
d) age

55) Case of a patient with angina pectoris who was given Nitroglycerin and did not improve. What
is your next step? (they don't specify how many times it was given, they only say that it did not
improve).
A) Activate EMS
B) Give oxygen
C) Give Aspirin

56) Wound healing phase that is going to maintain the clot and achieve hemostasis :
A) Inflammatory
B) Proliferation Hemostasis Stage:
C) Migration constriction of the blood
vessel,
D) Remodeling
58) Fibroma clinical picture to identify

59) patient with albuterol and white plaque on palate what is that?
A) candida

60)-What molar has 3 cusps?

A. Third superior molar
B. Second superior mol
C. Second Inf molar

61)In the previous case, what to do next after medical consultation?

A) informed consent
B) take INR

62) Patient has enlargement in knees, has submandibular and ant. And post. Cervical enlargement
(tender)?
a) Behçet's Sickle Cell Anemia

63) Case patients have hypertension, diabetes, The dentist is going to do a tooth extraction, the
patient's blood pressure is normal, and he is using a hypertensive medication. After anesthesia,
his blood pressure rises to 145x95. What is the blood pressure category ?
A) Hypertension stage 1
b) Hypertension stage 2
64) A patient presents lingering pain with cold and percussion. The pulpal and periapical diagnosis
that best describe this patient are?
a) normal pulp, chronic abscess
b) normal pulp, symptomatic apical periodontitis
c) irreversible symptomatic pulpitis, symptomatic apical periodontitis
d)irreversible symptomatic pulpitis, chronic abscess

65) Female taking estradiol is getting extraction , all of these is true regarding giving antibiotics
EXCEPT:
a) Antibiotic Prophylaxis will hinder contraception
b) Anti. Prophylaxis can cause gastrointestinal disturbances
c) Can hinder will analgesics
d) Can result in allergic reactions

66) The better tapper

a) 6 - 10
b) 10 - 20
c) 20 - 30

67) Tetralogy of fallot that was repaired

a) Consult with the pediatric cardiologist
b) Consult with the pediatric dentist
c) Consult with general dentist
d) Give antibiotic

mesoderm
68) They are all ectomesenchymal except?
a. Buccal mucosa
b. smooth muscle
c. cartilage
d. bone
79) The fistula of a chronic abscess produces exudates that are mainly made up of?
a. Lymphocytes
A draining fistula is also referred to as a Chronic Periapical Abscess
b. Neutrophils
(Bootcamp)
c. Monocytes
d. Eosinophils

80) A person insists on having his teeth whitened, if the dentist follows with his request, the
dentist will be following which ethical principle?
a) Autonomy
b) Beneficencia
c) Non-Maleficence
d) Veracity

81) Muscles most involved in trismus

A. Lateral pterygoid
b. Medial pterygoid
c. Digastric
d. Temporalis

82) 17 yrs male. Came to the clinic after 2 yrs. Patient had full mouth bitewing and only one
interproximal carious lesions. Which cambra classification?
a. High
b. Low
c. moderate
d. Very high

83) What mechanism of action of Ibuprofen?

a. Leukotriene receptor inhibitor
b. Inhibition of prostaglandins
c. Phospholipase inhibitor
d. Blocks arachidonic acid

84) Pt on oral bisphosphonates for 2 yrs.Pt wants full mouth extraction for complete denture.
A. Consult with primary care physician about TT option
B. Extract all teeth
C. Stop drug for 2 months and extract
D. Don't extract teeth

85) How many teeth are present in an 8 yrs child?

a) 12 permanent 12 deciduous
b) 20 permanent 4 deciduous
c) 18 permanent 6 deciduous
d) 18 primary 6 permanent

86) What is the risk due to abscess in the maxilla?

a) Infection to eye
b) Ludwig's angina
c) Sinusitis
d) Draining into facial vein

87) Fracture of crown with exposure of pulp. What type of fracture?

a) Complicated
b) Compound
c) Uncomplicated

88) Pt had one remaining lower incisor root rest of the teeth not present and is visiting dental for
the first time. What radiograph should be taken?
a) Only OPG
b) OPG + periapical
c) OPG + bitewing
d) OPG + occlusal

89) What is done in hyperventilation?

a) Increase in paCO2
b) Decrease in paCO2
c) Increase in paO2
d) Decrease in paO2
90) Bruxism patient what will happen?
a) Cracked lines
b) Troughing
c) Smooth surfaces
d) Contact points

91) Patient has a fracture at the ramus, what muscle will pull the mandible?
a) Masseter
b) Buccinator
c) Temporalis
d) Medial pterygoid

92) What is the reason for enlargement of the tongue?

a) Amyloidosis
b) Medication
c) Candidiasis

93) having redness under the denture, what is it?

a) Denture Stomatitis

94) In the same patient, what is the treatment?

a) Nystatin

95) Patient taking an inhaler for asthma, has white patch on the palate, can be wiped off, what to
tell the patient?
A- Eat before using inhaler
B- Rinse water after inhaler use
C- Biopsy

96) Which study is most effective

A- Case report
B- Case control
C-Randomized Controlled Trial
D-Cohort
96) What does Tuberculosis agent kill?
A- Pneumococcal
B- Mycobacterium

97) What Is NOT TRUE about spore tests?

A- Perform one every month

98) Alveolar osteitis, what is not true?

A- Contraceptives can cause it
B- Due to increased fibrinolytic activity
C- Easily identified cause

99) How is impetigo spread?

A- Direct contact
B- Blood
C- Fomite
D- Airborne

100) Cupping on occlusal. What is the cause?

A- Erosion
B- Abrasion

101) Report Child abuse

A-Beneficence

102) Poorly controlled Diabetes

A. 5.0-5.5
B. 6.0-6.5
C. 7.0-7.5
D. 8.0-8.5

103) Patient complains of sensitivity to cold in gingival margin, most likely diagnosis?
A) reversible pulpitis
B) periodontal disease
C) irreversible pulpitis
D) Necrotic pulp

104) Patient with asthma has 5 night time attacks per month, what is his classification?
A) Intermittent mild
B) persistent mild
C) persistent moderate
D) severe

105) Precursor cell for bone formation in extraction socket?

A) osteoblast
B) osteoclast
C) Fibroblast

106) When treating this patient suddenly he has slurred speech, blurry eyes and blood pressure is
200/90, what is the diagnosis?
A) Anaphylaxis
B) cerebrovascular accident
C) vasovagal reaction
D) ictal seizure

107) Memory lapses and difficulty in organization, what is the classification of alzheimers?
A) mild
B) moderate
C) severe

108) Which of the following is contraindicated in patients using calcium channel blockers?
A) amoxicillin
B) azithromycin
C) clarithromycin

109) Patient has cardiac arrest, what is the most effective approach?
A) Cardiopulmonary Resuscitation
B) automated external defibrillator (AED)
c) Oxygen

109) Patient complains of slow mental state and depressed and has white frosts in face, trunk, and
extremities:
A) End-stage renal disease
B) SLE
C) Hep B
d) Addison disease

110) Dentist explains the risk and disadvantages of removing sound, carious free restoration, but
the patient elects to proceed. What ethical principle is followed?
A) autonomy
B) nonmaleficence
C) veracity

111) Which of the following is an advantage of straight line access

A) conserve dentin
B) ease of placement of instruments
C) Instruments can reach the apical third of curved canal

112) You refer a down syndrome patient to a cardiologist for what?

A) atrial septal defect
B) atrioventricular node block
C) pulmonary valve stenosis

113) Mask in dental setting

A) at least 95% filtration
B) at least 75% filtration
B) has elastic band
114) T helper cells recruit cytotoxic cells by?
A) IL 1
B) IL 2
C) IL 3
D) IL 4

114) Patient has pain and TMD, what is the most each of the following is important except?
A) Pain quality
B) Pain history
C) Record mandibular movements
D) Type of pain

115) Patient on zometa since 5 years. Pt came for normal check up. Treatment is to extract teeth
and put on maxillary denture. What would you do?
a) Extract most compromised teeth
b) Extract all teeth
c) Give antibiotic
d) Refer to dental specialist

116) What anatomical structure is used to locate the apex of the mesiobuccal root?
A) central groove
B) buccal developmental groove
C) mesiobuccal cusp tip
D) mesiolingual cusp tip

116) All of the following affect social determinants of health except?

a) Food availability
b) Housing
c) Medical disability

117) Dentists suspect the dental assistant abuses substances. U confront them and they confirm it.
What's the appropriate next step EXCEPT?
A) Dismiss the assistant immediately if the law allows it
B) pay for the assistants treatment
C) refer to therapist
D) Continue to observe her behavior

118) Which of the following requires the most aggressive treatment?

A) Dentigerous cyst
B) lateral periodontal cysts
C) calcifying odontogenic cyst
D) glandular odontogenic cyst Clinically aggressive with a potential for recurrence

119) All are physiological processes to control blood pressure except:

A) vascular resistance
B) Release Renin
C) increase in portal vein pressure
D) stroke volume and heart rate

120) Each should be included in the protection stabilization documentation form, EXCEPT:
A. Reason for using
B. Number of teeth being treated
C. What stabilization used
D. What to do in future stabilization

121) Each of the following is true of taurodontism EXCEPT one. Which is the EXCEPTION?
A. Larger pulp chamber due to occlusally displaced furcation
B. Occurs in patients with amelogenesis imperfecta and Down syndrome
C. Permanent and primary teeth may be affected
D. Unusual root shape due to late invagination of Hertwig epithelial root sheath

122) Most resistant part of bacteria:

a) Biofilm

123) Koplik's spots can be seen at:

A- Measles
B- HIV
C- Rotavirus
123) Dentate dentition: Canine guidance

124) Pt that had a single permanent tooth missing. They asked me what was happening with the
mandibular dentition.
a) Hypodontia

125) Clinical case, mother takes her son to see the chief complaint that he has bilateral jaw swelling:
a) Cherubism
b) Fibrous dysplasia
c) Paget 's disease
d) Ectodermal dysplasia

126) Cases of 1,00,000 from 2010 to 2019:

a) Incidence
b) Prevalence
c) Sensitivity
d) Specificity

127) Father came with his son, 12 months old, for evaluation. Father says they were on vacation
and his son is having a fever and dry cough. What is the first appropriate management to do:
A. Refer to specialist
B. Give a mask to the father
C. Isolation

128) Major component in % in dental amalgam:

a) Mercury

129) Red dots on palate: Nicotinic stomatitis

130) Marihuana active component: Tetrahidrocannabinol Delta-9-tetrahydrocannabinol

131) When do you choose the color of the crown?

b) At the beginning of the appointment
132) Clinical case: They showed a cephalometry that had an ANB of 6 degrees, and asked What class?
a) Class I
b) Class III
c) Class 2

133) Which one has the best prognosis?

a) apical fracture

134) Pt with HIV, you are going to take a radiograph:

a) single barrier and disinfectant wipes

135) Least likely complication of injection:

a) Infection

136) Gutta-percha is made up mostly from which material?

a) Metal sulfates
b) Dyes
c) Zinc Oxide
d) Resin

137) Hiv affects which cells: T cell

138) Which study gives temporal relation of exposure and disease

a) case control
b) cohort
c) Randomized control trial

139) Patient who had scarlet fever EXCEPT

a. pharyngeal lesions
b.White coating over the tongue with loss of porridge
c. bleeding gums
d. fever
140) Patient has an ulcer on the lip after 1 week of medication. What kind of cell is present?
A) Cytotoxic
B) Immediate
C) Cell mediated

141) Best fine detail, elastic recovery, dimensional stability impression material?
a) vinyl polysiloxane PVS

142) White to white-pink usually but can be reddened, rough surface (cauliflower), elevated lesion
(No picture)?
a) Papilloma

143) Case: the patient has periodontitis, if he does the periodontal treatment (SRP), what could
happen?
a) The periodontal disease will become gingivitis
b) The periodontal disease will paralyze
c) He will recover the bone loss

144) A non English speaking patient comes with her daughter who speaks English. She says my
mother has tooth pain and she feels an evil spirit is causing it. What do you do?
A. Use trained interpreter

146) What is the hemophilia test?

a) Partial P. Time
b) Prothrombin time

147) SPORE TEST:

a) Monthly
b) Weekly
148) Clinical case: Pt was taking phenytoin and had gingival hyperplasia. What was causing this
gingival hyperplasia?

a) Phenytoin

150) White or white/gray swollen fluid lesion of buccal or labial oral mucosa the lesion dissipates
when tissue is stretched, as a result of the edematous quality of the lesion -
a) Leukoedema
b) White sponge nevus
c) Leukoplakia
d) Lichen planus

151) Hard Palate, inflamed, minor salivary gland ducts with background of leukoplakic change,
tobacco use?
a) Nicotine Stomatiti

151) GERD is caused by? - Lower esophageal sphincter

152) Asthmatic patient that they put the rubber dam on him after the dentist heard a wheezing
sound and his lip began to swell, what is the first step?
a. Albuterol
b. Diphenhydramine
c. epinephrine
d. Call 911

152) How do we measure HbA1c?

a) Blood
b) Plasma
c) Red blood cells
d) White cells

153) Alveolar osteitis, what is not true?

A - Contraceptives can cause it
B - Due to increased fibrinolytic activity
C - Easily identified cause

154) Pontic is hard to clean?

a) Ovate
b) Modified Ridge lap
c) Ridge Lap

155) Most common neoplasm in oral cavity: Squamous cell carcinoma

156) Foreshortening on periapical rx:

a) excessive vertical angulation

157) SLOB rule meaning:

a) same lingual opposite buccal

158) 2 teeth sharing the same root (gemination), what phase?

a) morphodifferentiation / histodifferentiation
b) maturation
c) apposition
d) proliferation

159) Patient box: CD4 count 400, HbA1c: 10% and platelets count 150.000. What should you be
more concerned about?
a) CD4
b) HbA1c
C) platelets
160) The patient has swelling and pain in the anterior superior teeth, what is the most concern
about it?
a) eye infection
b) affect the facial nerve
c) Ludwig’s Angina

161) What does OSHA not regulate?

A- HIV
B- Hepatitis B
C- Malaria
D- Measles

162) Which of the following terms describes the loss of tooth structure due bruxism?
a) abrasion
b) attrition
c) abfraction
d) erosion

163)Case: Patient has tested positive for tuberculosis two weeks ago, and still has a cough. He came
to the clinic to have his teeth cleaned. What is the next step?
a) Do the cleaning with N95 in a separated room
b) Refer and don’t schedule until the TB test result came negative

163) Patient who had scarlet fever EXCEPT

a. pharyngeal lesions
b. White coating over the tongue with loss of porridge, strawberry tongue
c. bleeding gums
d. Fever

164) I got the forcep thing and it was the EXCEPT:

a.what to put the beak to grab the crown
b. the beak was placed first on the lingual
c. that the beak was placed towards the apical
165) Most bacteria in primary endodontic infections are:
A) Obligate anaerobes
B) Strict aerobes
C) Facultative anaerobes
D)Facultative aerobes

166) Type of occlusion in dentate patient:

A) Bilateral balanced occlusion
B) Canine guidance

167) Most resistant bacteria?

A) Biofilm
B) Streptococcus
C) Bacilli
D) flagella.

168) What is most important when determining working length?

A) Apical constriction
B) Radiographic apex
C) Apical foramen

169) You placed an IANB, the patient is not anesthetized. What to do?
A) Place the same anesthetic technique
B)Perform the anesthetic technique more Superior and more posterior
C) Perform the anesthetic technique below.

170) CASE: Patient with full mouth series, they ask about #18. What would happen if you upright
the molar with a spring coil?
a) Root moves mesially and tooth intrusion
b) Root moves mesially and tooth extrusion
c) Crown tipped distally and tooth extrusion
d) Crown tipped distally and tooth intrusion
171) I don't remember very well, but not stated, they said that the dentist put the hand sanitizer on
for people to sanitize their hands and gave these alternatives. “Just study these topics.”
A) Administrative control
B) Engineering control
C) Control of infection

173) What can cause Erosion?

a) Milk
b) Iogurte
c) Tafu

174) What material to cement Ceramic crown?

a) Glass ionomer
b) Resin cement

175) Teenage girl showed up with her father complaining about her “crowded teeth”. She was
asthmatic and takes albuterol.

a. Convex profile
b. Straight nasolabial angle
c. Deviated nose
d. Incompetent lip

176) Uncooperative patient, he and his mother traveled a distance to get to the office and he has a
cavity. How to treat:
a) Silver diamine fluoride
b) Composite
c) Amalgam

177) A patient with opioid abuse goes to the clinic, saying he is in pain for no apparent reason and
that he will not leave until he gets the prescription. What to do?
a) give him the prescription
b) call 911
c) refer

178) Facebow does not help with?

A) horizontal plane
B) position of joint
c) Vertical plane
D) Midline

179) The most common cause of gag in dentures?

a) Extension of the prosthesis for palatal posterior seal
b) Distal extension of mandibular denture
b) Increased VDO

180) They asked which principle would be truthfulness:

a) veracity
b) Non-maleficence
c) Beneficence
d) Justice

181) A study of articaine vs lidocaine , showing articaine is rr 3.1, ci 95% 3.4- 4.7 , p value <0.001.
What does this study tell us about efficacy (asking exactly about efficacy in q)
a) Articaine is safer to use than lidocaine
b) Lidocaine is more effective than articaine
c) Articaine is more effective than lidocaine
d) Articaine and lidocaine have same
182) 4-year-old boy who had sleep apnea, which of these causes it?
a) allergic rhinitis
b) hypertrophic adenoids
c) asthma
d) small jaw

183) What is an experimental study?

a- Survey
b- Case Control
c- Cross-sectional
d- Randomized clinical trial

184) Qual hormônio afeta a erupção dentária?

a) PTH
b) Thyroxine

176) A question asking When Do you color the patient, you take it:
a) Below the lip near the cervical
b) Out of the mouth near the cervical

177) Each of the following is true of taurodontism EXCEPT one. Which is the EXCEPTION?
A. Larger pulp chamber due to occlusally displaced furcation
B. Occurs in patients with amelogenesis imperfecta and Down syndrome
C. Permanent and primary teeth may be affected
D. Unusual root shape due to late invagination of Hertwig epithelial root sheath

178) Lingual cusp fracture for premolar what to check?

a) Pulp vitality
b) percussion
c) restaurability

179) What’s responsible for surgical complication: Scenario given about dry socket?Pt smokes 2
packs/year; takes Oral contraceptives; Poor OH.
a) Oral contraceptive
b) Smoking
c) Poor OH.

180) What’s most important principle of endodontic access preparation: a) Straight line access
Which Tooth is least likely to have 2 Canals:
a) Mandibular first Premolar
b) Maxillary lateral incisor
c) Mandibular lateral incisor

181) Nodule on the attached gingiva measuring about 2x2 mm in the mandibular lateral incisors.
What will be the histological finding?
a) Normal Mucosa and bone
b) Serous acini
c) Odontoma
d) Osteoma

182) Patient has a fracture in the front teeth, he wants to fix it as soon as possible, bad oral hygiene,
no pulp exposure. What is the best treatment?
a) composite resin
b) Veneer
c) porcelain crown
d) PFM crown

183) Patient addicted to methamphetamine, very bad oral hygiene, many cavities, had not been to
the clinic for a long time. He has a fracture class IV on the central incisor, no pulp exposure.
What is the best treatment for this patient? (no picture)
A) Composite resin restoration
B) Veneer
C) Porcelain crown
D) PFM

184) Patient presents with a lesion on the gingival mucosa. The lesion is a 1 cm by 1 cm area that is
a bluish-gray color. What is the Differential Diagnosis of this lesion? Except
a) Blue Nevus
b) Amalgam tattoo
c) Melanoma
d) Fibroma

185) OSHA best management of amalgam

a) Recycle
b) Chair side traps

186) What is the most common fabricating acrylic RPD ?

a) Self-cure acrylic
b) Heat cured acrylic resin

2 day
1) Bupropion side effects?
a) Depression
b) Xerostomia

2) Patient complained about the appearance of tooth 11, clinically showing cervical decalcification
that bothered her. What is the reason?

A. Amelogenesis imperfecta
B. Tetra stain
C. Hypocalcification
d) Dentinogenesis imperfecta

4) Patient active tuberculosis, was in pain and swelling. what would be the ideal management in
this situation
A) Treat in isolated room with appropriate conditions
B) Not treat him at all
C) Universal precautions

5) Same case. In the box it shows that he was taking Isoniazid. What are the side effects of this
patient's medication?
A) Hepatitis
B) Renal failure.
C) Cardiac problems

6) Moa of Nitroglycerin
a) activates guanylyl cyclase by forming nitric oxide
b) Inactive Adenylyl cyclase and nitric oxide

7) What will Aspirin and Clopidogrel affect?

a) Partial Thromboplastin time
b) Platelet count
c) Platelet function
d) Prothrombin Time

8) In the box, the patient was taking many medications, but he reported that the patient was
undergoing dialysis on Mondays and Thursdays. What is the ASA of this patient?
a) ASA I
b) ASA II
c) ASA III
d) ASA IV

9)What medication should the patient be taking due to dialysis?

a) Heparin

10) Patient arrived for restorative treatment on tooth 5. What would be a challenge in treating this
tooth?
a) mesial concavity of root
b) mesial marginal ridge
c) distal marginal ridge

11) What will we not find in a number 8 tooth, 21 years old patient.
a) Mamelons
b) Lingual fossa
c) Cingulum
d) Mesial marginal ridge

12) Patient present with a lesion in the retromolar pad region. what could be a differential
diagnosis except
a) Amalgam tattoo
b) Melanoma
c) Blue Nevus
d) Fibroma

13) What is the most appropriate next step for diagnosing this lesion?
a) Excisional Biopsy
b) Incisional Biopsy
c) Radiograph
d) Exfoliative Cytologic

14) About the same case, if you had to do a biopsy, how do you anesthetize?
a) IAN + long buccal nerve
b) IAN + mental nerve

15) They gave a photo where tooth 19 was lingualized. What treatment for this case?
a) Easily solved with a finger spring
b) The arch size must be increased because the tooth needs space.
16) What is true about salivation and the Remineralization process?
A) Remineralization occurs through calcium and phosphorus in saliva
B) Salivation is a constant process that occurs 24 hours a day

17) How saliva will act in the oral cavity

a) The product in saliva will neutralize acid
b) Saliva mineral will strengthen tooth enamel
c) The other options I can't remember

18) You just finished an extraction procedure and the socket starts bleeding excessively. What is
the first thing you should do?
A) Place gel foam on the alveolus
B) Press with the gauze

19) Patient with methotrexate and Humira, what test do you take?
a) Creatinine test
b) CBC
c) Bleeding time

20) X-ray where the central teeth of the child were with very wide canals, the child was 10 years
old. What is the diagnosis for this case?

A) Taurodontism
B) Normal Anatomy
C) Dentinogenesis Imperfecta
23) Patient taking Aspirin and Clopidogrel. What modification is required to proceed with the
extraction?
A) stop clopidogrel
B) stop the aspirin
C) Stop both medications
D)No modifications needed

24) Patient with a draining fistula on tooth 9. What is the most appropriate treatment for draining
this fistula?
a) Incision and drainage
b) Give antibiotics
c) Root canal treatment

25) Patient with fistula for more than two years. Which cell is present
a) Neutrophils
b) Lymphocytes
c) monocytes
d) Eusynophilos

26) Same case. What is the pulp diagnosis of a tooth with a fistula?
a) Chronic apical abscess Necrosis Pulpar
b) Asymptomatic Apical periodontitis

27) Patient suffered trauma to the anterior teeth which led to discoloration of the teeth. What is the
cause of this discoloration?
a) Breakdown Red Blood Cells
b) Endotoxin bacteria
c) Breakdown of the White Blood Cells

28) In the same case. What diagnosis for this tooth

a) Necrotic
29) Case of a patient with deep caries.
a) Remove all caries and affected dentin, glass ionomer, restore.
b) Remove all caries and Leave affected dentine, modified glass ionomer, restore.

30) Treatment plan for implant placement. All exams are required except?
a) Lateral cephalometric
b) CBCT is needed
c) OPG also oral

31) The implant stent, except?

a) Angulation
b) Location
c) Size
d) Number

32) Father arrived at the office complaining that his son had no teeth, periorbital wrinkles, and dry
skin. What can be a Diagnosis:
a) Ectodermal Dysplasia

33) What is the most appropriate next step?

a) Refer to Pediatric to multidisciplinary treatment

34) What else can you see in this patient?

a) Dry eyes.

35) patient swelling and pain on the left side take amphetamine, his HR 120 BP 160/110. What is
the next step
A- refer to physion
B- treatment immediately to swelling and pain
C - stop the medicine
36) Informed consent should include all the following EXCEPT? Which is the EXCEPTION?
Doing an extraction on tooth #19.
a) cause damage of neighboring teeth of #18 and #20
b) delayed wound healing
c) Paralysis
d) Something about “changes can cause bleeding” I don't remember

37) Treatment for aggressive periodontitis?

a) SRP and systemic antibiotics
b) SRP and no antibiotics
c) Debridement

38) Microorganisms That are causing the disease

a) Actinomycetemcomitans
b) T. denticola
c) T. Forsythia
d) P. Gingivalis

38) They gave a panoramic similar to this. The patient was taking Zoledronate IV for 2 years.

What is the cause?

a. Increased bone resorption
b. Fibroblast apoptosis
c. Inhibition of osteoclast differentiation
39) What would you find in the synovial joint?
a) creatinine
b) Uric acid

40) Carrier hepatitis B and opioid addiction in the past - which painkiller give?
a) acetaminophen and hydrocodone
b) Acetaminophen and oxycodone
c) Acetaminophen and ibuprofen
d) Tramadol 50 mg

50) What is Medication for Smoking cessation?

a) Bupropion

51) They showed an image similar to this one, a bleeding gum In the photo it looked more inflamed
and they asked what type of tissue was it?

a) Friable
b) I don't remember the other options

52) patient has been drinking soda for the office, what is the most likely pH the
patient is at the time of treatment?
A-2.5
B-5.5
C-6.0
D-7.5

53) Following updated research, which material is better to form a dentine bridge?
a. MTA
b. Calcium hydroxide

54) Aspirin MOA

a) Inhibition of platelet aggregation
b) I don't remember the other options

55) Patient with candida in the gingival mucosa in the region of upper premolars, and the lesion
was 4 mm. They reported that the patient had already taken nystatin but it did not resolve. What
is the most appropriate next step?
a) Excisional Biopsy
b) Exfoliative Cytologic
c) Incisional Biopsy
d) I do not remember the other option

56) They gave a picture of a fractured tooth with a fracture extending to the root.
a) Complicated crown
b) Uncomplicated crown fracture
c) Crown root

57) A new patient in the office, tooth #8 decayed and he wanted all of his teeth evaluated. no x-ray
available. What type of exam should you do?
a) Comprehensive
b) Limited oral focus in the problem
c) Limited

58) the same patient asking what type of x-ray should you take?
a) BW & PAN
b) PA & PAN
c) FMS & PAN

59) In the same case, to restore this tooth, which is the best method for isolation?
a) Cotton rolls
b) 2x2 gauze and high suction volume
c) Rubber dam
d) Isolite

60) Patient has drooling saliva and can’t blink his eyes. All will happen except:
a) Corneal abrasion -
b) Dry eyes -
c) Glaucoma
d) Inability to sleep

61) Correct sequence for post and core on a rct failure case asking what is the correct sequence .
a) crown lengthening, post and core, Re-endo, crown
a) Re-endo, post and core, crown lengthening, crown

62) Patient with mitral valve prosthetic device and had penicillin allergy. What is antibiotics
prophylaxis ?
a) Amox 2gm 1 hour before
b) Clindamycin 600 mg 1 hr before
c) Azithromycin 600 mg 1 hr before
d) Antibiotic prophylaxis is not necessary

63) Patient drinks energy drink all the time and had multiple proximal carries, A queixa do
paciente era que ele queria urgentemente melhorar os dentes anteriores e o sorriso dele. What is
your best management?
a) Full crowns on decayed teeth
b) Composite restorations on decayed teeth
c) Nutrition counseling
d) Watch & monitor.

64) A 15 YRs old female patient that was so lethargic, her blood pressure was 80/60, has bronze
pigmentation. What is the diagnosis?
a) Addison’s disease

65) What is the best management for this patient?

a) Corticosteroids
b) Refer to physician

66) Clinical picture showing buccal mucosa with white/red ulcerated patch and bleeding seen,
lesion covered the entire right side of the buccal mucosa, which type of lesion is this? The photo
wasn't exactly the same as this, but it was similar, on the test it looked more eroded.

A) Squamous Cell Carcinoma

B) metastatic carcinoma
C) pleomorphic adenoma
D) I do not remember the other option

67) In relation to the above case ...which type of biopsy must be done?
A) incisional biopsy
B) excisional biopsy
C) punch biopsy

68) What is the first thing you should say to this patient? (I don't remember exactly how the
options were written, but they were like this.)
a) Possibly cancer, but a biopsy has to be done to confirm
b) It's not cancer, but a biopsy has to be done to confirm
c) say directly to patient this is cancer and have to do emergency treatment

69) Perio stage grading, case with generalized, CAL 2mm and one tooth with 4mm and HbA1c
8.2%, patient was smoking. What stage?
A) stage I grade B
B) stage I grade C
C) stage II grade B
D)stage II grade C
70) Gingival enlargement not seen in?
A. Gingivostomatitis
B. Vit C deficiency
C. Sarcoidosis
D. Phenytoin

71) HbA1c measure related question

A) within 3 weeks
B) within 3 months

72) Patient with Hba1c 11%

a) Normal
b) Poorly-controlled
c) Farly-Controlled
d) Controlled Uncontrolled

73) Vertical fracture in x-ray?

a) J shaped

74) Anesthetized nerves to extract #8?

a) ASA and nasopalatine nerve

75) With which occludes the tooth #5?

a. mesial of tooth 27
b. distal of tooth 27
c. mesial of tooth 28
d. distal of tooth 28

76) Hidroclorotiazide action?

a) loop diuretic Distal Tubule
77) Degree of complexity according to the American Association of Endodontics of a root canal
treatment in a single root tooth with internal resorption.
a) high
b)medium
c)low

78) In the same case they asked, what was wrong?

A) Obturation overfilled
B) Obturation underfilled

79) Patient takes methotrexate and humira. Which test do you order?
A- CBC
B- Creatinine Blood test

80) They gave me a panoramic to count how many teeth were missing.
a) five
b) four
c) six
d) three

81) Case of extensive caries on the occlusal side of tooth K, what is the treatment?
a) Stainless steel crown
b) Amalgam
c) Silver Diamine Fluoride

82) They showed a panoramic view with tattoo amalgam to identify between the lower premolars.
a) Foreign Body

83) What phase of treatment is dental caries restored?

a) Acute
b) Disease Control
c) definitive
d) restorative

84) Patient with a history of myocardial infarction a year ago the dentist placed anesthesia and the
patient began to feel dizzy (the only symptom they gave).
A) Oxygen
B) Aspirin
C) Trendelenburg position
D) supine position

85) Rheumatic fever when the patient was a child. They asked about what would be associated in
the future. The options were:
a) problems in cardiac and joints
b) It is caused by Herpes simplex
c) It is caused by staphylococcal infection

86) Patient with an open bit and Class III, what can cause it. except?
a) Genetic
b) Mouth respirator
c) Tongue Thrust
d) Digital Suction
87) Photo to identify which malocclusion was the patient's

a) Class I
b) Class II
c) Class III

88) Pt that they were doing an RCT and when they removed the rubber dam her lips were swollen,
they asked what happened to her:
a) Angioedema

89) Panoramic with a very deep restoration and you had to diagnose
a) condensing osteitis
b) cementoblastoma

90) Best bevel for tooth 8 with class 4 fracture:

a. scalloped
b. No bevel
c. Straight long bevel
d. Straight short bevel

They gave me a picture similar to this one and asked what was the biotype of this gum?

a) Thin
b) Thick
c) Average
92) Radiograph (description- vertical bone loss on distal but has a little in mesial surface too of the
upper First premolar, they gave just this 3 options)
A) Crater 2-wall
B) Circumferential
C) Horizontal

93) A 10 year old patient fell off and broke his upper Central Incisor
What is an ideal diagnostic radiograph to determine fracture ??
A) occlusal radiograph
B) CBCT
C) Periapical radiograph
D) pano

94) Case 21 yo college male, has incisal edges worn out, due to what?
a) Abrasive diet
b) Bruxism
c) Attrition
d) malocclusion

95) Panoramica similar to this one, asking what could happen in the future.

a) Caries on tooth 18
Most common cause for extraction of
b) External resorption impacted third molars
c) Pericoronitis
d) Primary cyst
The most common pathology associated is
root resorption of adjacent tooth
 ECCLESIASTES 3:1
There is a time for everything, and a season for every activity under the heavens.

As my mentor always says: “OK, ALL SET, ALL RIGHT.”