Q1.What is the objective of coronal access?

A) To expose and unroof the pulp chamber to gain visibility, icluding removal
of pulp horns
B) To locate the canal openings
C) To enable a small file to be placed down the canal openings
Q2.What instrument is NOT ever needed for access preparation?
A) High speed diamond burs
B) RA Steel round burs
C) Gates Glidden Drills
D) Long shank burs
E) Swan neck burs
Q3.How can you identify dentine on the floor of the pulp chamber in a molar?
A) It is smooth
B) It is grey
C) It is knobbly
D) It is dark brown
E) It is hard
Q4.What shape is the access cavity for upper and lower incisors?
A) Triangular
B) Ovoid
C) Round
D) Oblong
Q5.What shape is the access cavity for upper and lower canines?
A) Triangular
B) Ovoid
C) Round
D) Oblong

Q6.What shape is the access cavity for upper and lower premolars?
A) Triangular
B) Ovoid
C) Round
D) Oblong
Q7.What shape is the access cavity for upper and lower molars?
A) Triangular
B) Ovoid
C) Round
D) Oblong
Q8.How many upper incisors have two canals?
A) Hardly any
B) 5%
C) 25%
D) 50%
E) 75%
F) 95%
Q9.How many lower incisors have two canals?
A) Hardly any
B) 5%
C) 25%
D) 50%
E) 75%
F) 95%
Q10.Where is an 'extra' canal often found in upper molars?
A) Mesiobuccal root

B) Distobuccal root
C) Palatal root
D) mesiolingal root
Q11.The opening of the distal canal(s) in molars is usually directly under
A) The distal marginal ridge
B) The centre of the tooth
C) The buccal groove
D) The palatal fissure
E) The cusp of Caribelli
Q12.Upper first premolars usually have
A) One canal
B) Two canals
C) Three canals
Q13.Upper second premolars usually have
A) One canal
B) Two canals
C) Three canals
Q14.If the canal orifice in an upper second premolar appears under the
buccal cusp, one might suspect
A) Pulpal sclerosis
B) A palatal canal
C) Internal resorbtion
Q15.When preparing an access cavity, you find what appears to be the canal
opening much earlier than expected. What might explain this?
A) Incorrect measurement of the pre-op radiograph
B) You have hit a pulp horn
C) Internal resorbtion

Q16.When preparing an access cavity, you come across an orange-yellow

slurry inside the pulp chamber. What is it likely to be?
A) Pus
B) Ledermix placed by a previous dentist
C) Necrotic pulp
D) Unset composite resin
Q17.True or false? After entering the pulp chamber, an option is to continue
preparation without water spray.
A) True
B) False
Q18.True or false? You should not normally extend the access for anterior
teeth under the cingulum.
A) True
B) False
Q19.Why is often advisable to remove an artificial crown from a tooth before
preparing an access cavity?
A) Metal shavings may drop into the canal
B) The metal will create false readings when the electronic apex locator is
used
C) The tooth may be rotated or tilted under the crown, and the crown just
makes it look straight.
D) Dam clamps may loosen the crown
Q20.To find pulp horns, which instrument is most useful?
A) A Briault Probe
B) A file with a curved tip
C) A small round bur
D) A Hedstrom File
Answers
1a,2c,3b,4a,5b,6d,7a,8a,9d,10a,11b,12b,13a,14b,15b,16b,17a,18b,19c,20a