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1. A patient comes to your clinic on Saturday afternoon complaining of severe sharp pain when
eating ice-cream. Your examination revealed a hypersensitive response to thermal test which
subside as soon as the stimulus removed. The periapical radiograph shows normal intact PDL.
What do you think is your diagnosis?
a) reversible pulpitis
b) irreversible pulpitis
c) pulp necrosis with chronic apical abcess
d) patient has no problem
2.A 20 years old male student reported to the emergency clinic complaining of pain to thermal
stimuli of the upper left side. The patient said that he had RCT on tooth #24. The cause of the pain
could be:
a) remaining vital tissue at the apical third of the buccal root.
b) over-instrumentation of the palatal canal.
c) debris pushed through the apical foramen of the palatal root.
d) it must be another tooth and not #24.
3You started RCT on tooth #46 two days ago which was asymptomatic. Patient was given another
appointment to finish the RCT. The patient cameback to your clinic complaining of severe pain
when chewing on the same tooth. Clinical examination revealed pain on percussion only.
Radiograph shows normal apical area. The cause of the pain might be:
a) over-instrumentation.
b) overfilling
c) caries was left in the access opening.
d) all of the above
4. Leaving the tooth open between appointment during root canal therapy could lead to:
a) healing of the periapical lesion.
b) bacterial contamination of the root canal system.
c) neither (a) nor (b).
5. The pain characteristics of the C-fibers is
a) dull
b) severe and burning
c) sharp and pricking
d) none of the above\
6. The fluid movement in dentinal tubules (Hydrodynamic theory) is one of the theories of dentin
sensitivity (pain). It was introduced by:
a) Brannstrom 1966
b) Byers 1980
c) Kim 1983
d) none of the above
7. The pain characteristics of A-delta fibers is sharp and pricking.
a) true
b) false
Answers
1d
2c
3c
4d
5b
6a
7d
8d
9d
11c
12a
13.a
Sample Questions 2
1. Cavity test:
a. Is a common diagnostic procedure.
b. Considered a non-aggressive method of testing.
c. Is the last resort to identify a necrotic tooth.
d. Used to diagnose the condition of periradicular tissues.
e. Can be the first line of vitality testing.
f. None of the above.
2. A 22 years old male patient came to your office early in the morning complaining of pain that
awakened him at 2:00 AM last night and did not allow him to sleep till he came to your office, this
patient most probably has:
a. Reversible pulpitis.
b. Irreversible pulpitis.
c. Trauma from occlusion.
d. Pulp polyp.
e. Pulp necrosis.
f. None of the above.
3. A 65 years old male patient came to your office complaining of pain related to tooth #36, the
pain is provoked by drinking tee or coffee and lasts for 10 minutes after removal of the
stimulation, this patient most probably has:
a. Reversible pulpitis.
b. Irreversible pulpitis.
c. Trauma from occlusion.
d. Pulp polyp.
e. Pulp necrosis.
f. None of the above.
4 . Causes of endodontic failures include:
a. Anatomy
b. Inadequacies in cleaning, shaping and obturation
c. Iatrogenic events
d. coronal leakage
e. all of the above
5. The best method to remove gutta perch during retreatment.
a. Thermal.
b. Mechanical.
c. Chemical.
d. Combination treatment.
6. Overextended gutta-percha should be removed:
e. with ultrasonic
f. by pulling it out or surgically
g. with rotary instruments
h. with solvents
1. MCQ Questions:
A- The most reliable test to diagnose the condition of the pulp is:
a. EPT
b. cold test
c. percussion test
d. periapical radiographs
B- You want to do RCT for a lower premolar, what type of LA will you
give?
a. Buccal infiltration
b. Mental block
c. Inferior alveolar nerve
d. Mental & inferior alveolar block
C- The concomitant pulpal and periodontal lesion
a. Consists of two distinct disease processes involving the same tooth
b. Is characterized by pulpal necrosis and the formation of a draining sinus
tract through the attachment apparatus
c.Is best described as a periodontal lesion that exposes lateral or
accessory canals, resulting in pulpal inflammation or necrosis
d. Is the result of endodontic and periodontal lesions that have coalesced
D- Which of the following tooth groups is the most difficult to
anesthetize
a. Mandibular premolars
b. Maxillary premolars
c. Maxillary molars
d. Mandibular molars
Answers
Ab
Bd
Ca
Dd