Endo Yr4S2 EOS 2011

30Q, 2marks each; cant remember all nor exact Q/A but the following can give
you an idea of what to expect, Dr. George is likely to give you the exam Q
anyway:
1. Although not enough to make a definitive diagnosis, a clinical impression
of the health of the pulp can be gained by comparing the size of the pulp
chamber of adjacent teeth. Which of the following statements is true?
2. Which of the following statements re. lamina dura is false?
3. Which of the following statements re. endo-perio lesions is true?
o Due to endo and perio lesions occurring independently, endo and
aggressive perio tx done simultaneously, tx outcome largely
dependent on perio component etc. Do not do single-sitting RCT.
4. What is the current thinking on angle of apicectomy?
o 0
5. Which of the following are routes of infection into root canal?
6. What are the goals of PA surgery?
7. Which teeth does the posterior superior alveolar nerve block anaesthetize?
o Mx molars
8. Which of the following is incorrect re. Microfloral species in root canal
system?
o Predominant species in re-infection is streptococci
9. Non-vital bleaching is least effective in removing which stain?
o Tetracycline (brown/grey)
10.Changes in aged pulp?
o Increase in collagen content
11.Which of the following is/are found in a healthy pulp chamber?
12.The virulence of microbes is ultimately dependent on?
o Host-pathogen response.
13.During endodontic therapy, appropriate clinical management of infection
includes:
o Extirpation, BMP, obturation, possible antibiotic therapy, NOT exo.
14.We rely solely on intracanal medicaments to disinfect the canal because
the prolonged contact of medicaments to canal walls ensures total
disinfection.
o Statement + reason are both incorrect.
15.Which of the following are objectives of root canal preparation?
16.Which of the following is incorrect re. Resin based-sealers?
17.Which of the following is true re. post and core?
18.Upon exposure of GP to oral environment, bacteria travel faster than
toxins along length of root canal. True/ false?
o False
Clinical scenario questions.
19.24yr old pt presents with toothache, pain on palpation, slight swelling,
slight ttp, no radiolographic signs of pathology. What is your course of
action?
o Pulp vitality testing (thermal/ electric)
20.Pt presents with occasional pain in lower left molar region, started 2 weeks
ago, no discomfort with hot/ cold, xray reveals bone loss at bifurcation
area. What further diagnostic tests would you do?

21.Anxious pt presents with toothache, cannot chew, exacerbated by hot/

cold, unable to sleep for past 48hrs. What is the first question you ask the
pt?
o Can you localise the pain?
22.New pt presents for routine examination, no previous dental records, 6
remaining Md anterior teeth, no signs of caries, totally asymptomatic,
slight periodontal disease, all vital, radiograph shows periapical
radiolucencies on lower central incisors. What is your tx?
o No tx necessary.
23.Pt presents the day after completion of BMP with severe pain. You open
the canal and find that a file placed passively into canal goes to the
radiographic apex. What is your course of action?
o Shorten WL, redress, close, reduce occlusion, prescribe analgesics.
24.Pt presents day after pulpotomy in severe pain. What do you do?
o Pulpectomy
25.Pt has been treated for large carious lesion on tooth#44, now presenting
with a large, fluctuant swelling, you open the canal and get good drainage.
What else would you consider doing?
o Close canal, incision/ drainage, salt water rinsing etc.
26.8yr old presents with large carious lesion on permanent tooth,
asymptomatic, no hx of pain, you find large amounts of soft dentine and
proceed with excavation until you reach leathery dentine, how do you
proceed with tx?
o Indirect pulp capping with calcium hydroxide and/or ZOE with
amalgam
27.New pt presents for complete dental care, you find small periapical
radiolucency over tooth 12 which has been root-treated 1yr ago. No
previous dental records. How do you proceed?
o Monitor for changes in size/ radiolucency of the lesion with recalls.
28.13yr old pt you inadvertently expose MB pulp horn during preparation for
47DO amalgam restoration. Tooth is now caries-free, totally symptomless,
no hx of pain, apices still open. What is your choice of tx?
o Direct pulp capping with CaOH?
29.Pt presents with an symptomatic tooth, radiograph reveals a very
radiopaque intra-canal restoration, extends beyond the apex (with
associated periapical radiolucency), and into the pulp chamber, slightly
broken down coronal tooth structure. How do you treat this?
o Remove silver points, retreat, post-core-crown.