STATION S1 – MORNING SESSION

Using the information provided answer questions on the answer score sheet

Patient A
Patient Information:
Age: 25 Blood pressure: 120/79 mmHg
Gender: Male Pulse Rate: 60bpm
Height: 180 cm Respiration Rate: 16 /min
Weight: 160 lb Temperature: 37.5 C

Chief Complaint:
My teeth are yellow

Dental History:
Visits the dentist regularly

Medical History:
Allergies: Penicillin

Social/Family History:
Smoker (2 pack year)

Clinical Examination:
Significant Findings:
Intra-oral: Poor oral hygiene, heavy plaque buildup, teeth have generalized yellowish
hue
STATION S1 – MORNING SESSION
Patient A

Question: 1 (Select ONE correct answer.)

Which of the following is the most likely diagnosis for the radiographic entity above?

A. Normal tooth.
B. Calcifying tooth crown.
C. Developing root apex.
D. Hypercementosis.
E. Attrition.
F. Tooth fracture.
G. Rarefying osteitis/periradicular periodontitis.
H. Periapical cemento-osseous dysplasia.
I. Odontoma.
J. Dens invaginatus/dens-in-dente.
K. Dentin dysplasia.
L. Dentinogenesis imperfecta.
M. Amelogenesis imperfecta.
N. Enamel hypoplasia/Turner’s tooth.
O. Regional odontodysplasia.
STATION S1 – MORNING SESSION

Patient B
Patient Information:
Age: 45 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 18 /min
Weight: 90 kg (198 lb) Temperature: 38 C

Chief Complaint:
General Checkup

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Allergies: Sulfa Drugs

Social/Family History:
NSF

Clinical Examination:
Significant Findings:
Intra-oral: Missing teeth in first, second and third quadrant. Teeth condition WNL.
STATION S1 – MORNING SESSION
Patient B

Question: 2 (Select ONE correct answer.)

Which of the following is the most likely diagnosis for the radiographic entity shown in the above
radiograph?

A. Hyoid bone.
B. Antral septum.
C. Soft palate.
D. Cervical spine.
E. Inferior concha.
F. Tongue.
G. Enostosis/dense bone island/osteosclerosis.
H. Supernumerary tooth.
I. Calcified lymph nodes.
J. Calcified stylohyoid ligament.
K. Maxillary retention cyst/antral pseudocyst.
L. Foreign body.
M. Fibro-osseous lesion.
N. Sclerosing osteitis.
O. Malignancy.
STATION S2 – MORNING SESSION

Patient C
Patient Information:
Age: 29 Blood pressure: 125/81 mmHg
Gender: Female Pulse Rate: 62bpm
Height: 165 cm Respiration Rate: 15 /min
Weight: 90 kg (198 lb) Temperature: 37 C

Chief Complaint:
My wisdom teeth are not out yet

Dental History:
Visits the dentist regularly

Medical History:
NSF

Social/Family History:
Smoker (1 pack year)

Clinical Examination:
Significant Findings:
Extra-oral: Slight swelling right submd area
Intra-oral: Heavily restored dentition, edematous gingiva, generalized bleeding upon
probing
STATION S2 – MORNING SESSION
Patient C

Question: 3 (Select ONE correct answer.)

Which of the following is the most likely anatomical structure/diagnosis for the radiographic
entity
indicated by the arrow(s)?
A. Calcifying tooth crown.
B. Maxillary sinus.
C. Pterygomaxillary fissure.
D. Ghost image.
E. Focal osteoporotic bone marrow defect.
F. Post extraction socket.
G. Odontoma.
H. Rarefying osteitis/periradicular periodontitis.
I. Periapical cemento-osseous dysplasia.
J. Osteomyelitis.
K. Odontogenic keratocyst/keratocystic odontogenic tumour.
L. Fibrous dysplasia.
M. Cementoblastoma.
N. Adenomatoid odontogenic tumour.
O. Malignancy.
STATION S2 – MORNING SESSION

Using the information provided answer questions on the answer score sheet

Patient D

Patient Information:
Age: 45 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 20 /min
Weight: 90 kg (198 lb) Temperature: 37 C

Chief Complaint:
I want to discuss options for replacement of lower right molar.

History of Chief Complaint:

46 extracted 5 years ago

Dental History:
Irregular dental visits

Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Allergies: codeine

Social/Family History:
Smoker (2 pack year)
Boxer

Clinical Examination:
Significant Findings:
Extra-oral: Tender muscles of mastication, clicking in right TMJ
Intra-oral: Moderately restored dentition
STATION S2 – MORNING SESSION
Patient D

Question: 4 (Select ONE correct answer.)

Which of the following is the most likely anatomical structure/diagnosis for the radiographic
entity in the above panoramic radiograph?

A. Mental foramen.
B. Mandibular foramen.
C. Mandibular canal.
D. Submandibular salivary gland fossa.
E. Nutrient canal.
F. Stafne bone defect/static bone cavity.
G. Postsurgical defect/scar.
H. Rarefying osteitis/periradicular periodontitis.
I. Nasopalatine/incisive canal cyst.
J. Simple/traumatic bone cyst.
K. Dentigerous/follicular cyst.
L. Residual cyst.
M. Lateral periodontal cyst.
N. Periapical cemento-osseous dysplasia.
O. Malignancy.
STATION S3 – MORNING SESSION
Using the information provided answer questions on the answer score sheet

Patient E
Patient Information:
Age: 40 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 182 cm Respiration Rate: 15 /min
Weight: 82 kg Temperature: 37 C

Chief Complaint:
Pain in upper left side

History of Chief Complaint:

Pain started few weeks ago, triggered by chewing.

Dental History:
Irregular dental visits

Medical History:
Significant Findings: Hypertension
Current Medication: hydrochlorothiazide
Allergies: Penicillin

Clinical Examination:
Significant Findings:
Extra-oral:NSF
Intra-oral: Deep mesial caries on 25, retained roots 26
STATION S3 – MORNING SESSION
Patient E

Question: 5 (Select ONE correct answer.)

Which of the following is the most likely anatomical structure/diagnosis for the radiographic
entity indicated by the arrow(s)?
A. Developing root apex.
B. Canine fossa.
C. Nutrient canal.
D. Maxillary sinus.
E. Mental foramen.
F. Focal osteoporotic bone marrow defect.
G. Nasopalatine foramen.
H. Nasopalatine cyst.
I. Rarefying osteitis/periradicular periodontitis.
J. Periapical cemento-osseous dysplasia.
K. Residual cyst.
L. Lateral periodontal cyst.
M. Simple/traumatic bone cyst.
N. Ameloblastoma.
O. Malignancy.
STATION S3 – MORNING SESSION
Using the information provided answer questions on the answer score sheet

Patient F
Patient Information:
Age: 22 Blood pressure: 115/75 mmHg
Gender: Female Pulse Rate: 63bpm
Height: 180 cm Respiration Rate: 15 /min
Weight: 135 lb Temperature: 37 C

Chief Complaint:
New Patient Exam

Dental History:
Visits the dentist regularly

Medical History:
NSF

Clinical Examination:
Significant Findings:
Extra-oral: Slight asymmetry between left and right side
Intra-oral: NSF
STATION S3 – MORNING SESSION
Patient F

Question: 6 (Select ONE correct answer.)

Which of the following is the most likely anatomical structure/diagnosis for the radiographic
entity presented in the above periapical radiograph?
A. Submandibular gland fossa
B. Mental Foramen
C. Inferior Alveolar canal.
D. Coronoid process.
E. Zygomatic arch.
F. Mylohyoid ridge.
G. External oblique ridge.
H. Torus.
I. Retained root.
J. Sclerosing osteitis.
K. Enostosis/dense bone island/osteosclerosis.
L. Periapical cemento-osseous dysplasia.
M. Fibrous dysplasia.
N. Maxillary sinus retention cyst/antral pseudocyst.
O. Malignancy.
STATION S4 – MORNING SESSION
Using the information provided answer questions on the answer score sheet

Patient G
Patient Information:
Age: 46 Blood pressure: 130/89 mmHg
Gender: Male Pulse Rate: 69bpm
Height: 184 cm Respiration Rate: 16 /min
Weight: 184 lb Temperature: 37.5 C

Chief Complaint:
Burning sensation in the left side

Dental History:
Only emergency visits
Medical History:

Significant Findings: Diabetes

Current Medication: Metformin, Glyburide

Social/Family History:
Smoker (2 pack year)

Clinical Examination:
Significant Findings:
Extra-oral: NSF
Intra-oral: Bilateral white lesion on buccal cheek
STATION S4 – MORNING SESSION
Patient G

Question: 7 (Select ONE correct answer.)

Which of the following is the most likely diagnosis for the entity shown in the photograph?

A. Linea alba.
B. Fordyce’s granules.
C. Leukoedema.
D. Leukoplakia/hyperkeratosis with or without dysplasia.
E. Frictional/traumatic keratosis.
F. Mucosal burn.
G. Lichen planus.
H. Candidiasis.
I. Hairy leukoplakia.
J. Lupus erythematosus.
K. White sponge nevus.
L. Erythema migrans/geographic tongue.
M. Mucous patches of secondary syphilis.
N. Hairy tongue.
O. Verrucous carcinoma.
STATION S4 – MORNING SESSION
Using the information provided answer questions on the answer score sheet

Patient H
Patient Information:
Age: 52 Blood pressure: 150/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 18 /min
Weight: 90 kg (198 lb) Temperature: 37 C

Chief Complaint:
The roof of my mouth burns and this is the second or third time it has happened.

History of Chief Complaint:

Patient felt tingly sensation 1 week ago in his lip.

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: Hypertension
Current Medication: Azar
Allergies: peanuts

Clinical Examination:
Significant Findings:
Extra-oral: tender lymph nodes
Intra-oral: multiple ulcerations in the hard and soft palate.
STATION S4 – MORNING SESSION
Patient H

Question: 8 (Select ONE correct answer.)

Which of the following is the most likely diagnosis for the entity shown in photograph(s)?
A. Aphthous ulcer(s).
B. Herpes zoster.
C. Traumatic ulcer(s).
D. Recurrent herpes simplex.
E. Primary herpetic gingivostomatitis.
F. Necrotizing ulcerative gingivitis.
G. Erythema migrans/geographic tongue.
H. Herpangina.
I. Mucosal burn.
J. Lichen planus.
K. Squamous cell carcinoma.
L. Cicatricial pemphigoid/benign mucous membrane pemphigoid.
M. Pemphigus vulgaris.
N. Erythema multiforme.
O. Lupus erythematosus.
STATION S5 – MORNING SESSION
Using the information provided answer questions on the answer score sheet

Patient I
Patient Information:
Age: 48 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 16 /min
Weight: 90 kg (198 lb) Temperature: 37 C

Chief Complaint:
I keep biting my cheek

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Allergies: Penicillin

Social/Family History:
Smoker (2 pack year)

Clinical Examination:
Significant Findings:
Extra-oral: NSF
Intra-oral: Evidence of cheek biting on the right side
STATION S5 – MORNING SESSION
Patient I

Question: 9 (Select ONE correct answer.)

The entity shown in the photograph resembles?

A. Stensen’s duct orifice (parotid gland).

B. Torus.
C. Pyogenic granuloma.
D. Mucocele.
E. Hemangioma.
F. Fibroepithelial polyp/traumatic fibroma.
G. Traumatic neuroma.
H. Papilloma/verruca vulgaris.
I. Salivary gland adenoma.
J. Granular cell tumour.
K. Gingival cyst.
L. Abscess.
M. Inflammatory papillary hyperplasia (denture stomatitis).
N. Epulis fissuratum (inflammatory fibrous hyperplasia).
O. Squamous cell carcinoma.
STATION S5 – MORNING SESSION
Using the information provided answer questions on the answer score sheet

Patient J
Patient Information:
Age: 54 Blood pressure: 120/75 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 16 /min
Weight: 90 kg (198 lb) Temperature: 39 C

Chief Complaint:
I have a lump on the roof of my mouth that bothers me

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: had needle stick injury while withdrawing blood from high risk patient 3
years ago

Social/Family History:
Smoker (2 pack year)

Clinical Examination:
Significant Findings:
Extra-oral: NSF
Intra-oral: Red lesion on the palate
STATION S5 – MORNING SESSION
Patient J

Question: 10 (Select ONE correct answer.)

Which of the following is the most likely diagnosis for the entity shown in the photograph?

A. Physiologic/racial pigmentation.
B. Erythroplakia.
C. Candidiasis.
D. Smoker’s melanosis.
E. Lichen planus.
F. Erythema migrans/geographic tongue.
G. Kaposi’s sarcoma.
H. Hemangioma.
I. Lupus erythematosus.
J. Radiation mucositis.
K. Amalgam tattoo.
L. Melanoma.
M. Melanotic macule/nevus.
N. Mucocele.
O. Varicosity/Varicosities.
STATION S6 – MORNING SESSION
Using the information provided answer questions on the answer score sheet

Patient K
Patient Information:
Age: 36 Blood pressure: 119/75 mmHg
Gender: Male Pulse Rate: 65bpm
Height: 182 cm Respiration Rate: 15 /min
Weight: 160 lb Temperature: 37 C

Chief Complaint:
Burning sensation in the tongue

History of Chief Complaint:

Pain started few weeks ago

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: Chronic bronchitis
Current Medication: Erythromycin
Allergies: Penicillin

Clinical Examination:
Significant Findings:
Extra-oral: NSF
STATION S6 – MORNING SESSION
Patient K

Question: 11 (Select ONE OR MORE correct answers.)

Which of the following is/are appropriate in a differential diagnosis for the entity shown in the
photograph?

A. Normal tongue.
B. Lingual tonsil/foliate papillae.
C. Fissured tongue.
D. Frictional/traumatic keratosis.
E. Traumatic ulcer.
F. Leukoplakia/hyperkeratosis with or without dysplasia.
G. Hairy leukoplakia.
H. Hairy tongue.
I. Erythema migrans/geographic tongue.
J. Median rhomboid glossitis.
K.Candidiasis.
L. Lichen planus.
M. Papilloma/verruca vulgaris.
N. Granular cell tumour.
O. Squamous cell carcinoma.
STATION S6 – MORNING SESSION
Using the information provided answer questions on the answer score sheet

Patient L
Patient Information:
Age: 45 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 20 /min
Weight: 90 kg (198 lb) Temperature: 39 C

Chief Complaint:
Pain and burning sensation in the right side

History of Chief Complaint:

Pain started few weeks ago, triggered by chewing

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Allergies: Penicillin

Social/Family History:
Smoker (2 pack year)

Clinical Examination:
Significant Findings:
Extra-oral: tender left submandibular lymph nodes
Intra-oral: Unilateral white patch on the right cheek and the tongue present for 3 months.
Deep mesial decay on 46. Heavy plaque and calculus deposits.
STATION S6 – MORNING SESSION
Patient L

Question: 12 (Select ONE OR MORE correct answers.)

Which of the following is/are appropriate in a differential diagnosis for the entity shown in the
photograph?

A. Normal buccal mucosa.

B. Stensen’s duct orifice (parotid gland).
C. Leukoedema.
D. Fordyce’s granules.
E. Linea alba.
F. Frictional/traumatic keratosis.
G. Leukoplakia/hyperkeratosis with or without dysplasia.
H. Lichen planus.
I. Lupus erythematosus.
J. Mucosal burn.
K. Aphthous ulcer(s).
L. Traumatic ulcer(s).
M. Traumatic purpura.
N. Fibroepithelial polyp/traumatic fibroma.
O. Papilloma/verruca vulgaris.
STATION S7 – MORNING SESSION
Using the information provided answer questions on the answer score sheet

Patient M
Patient Information:
Age: 6
Gender: Male
Weight: 30 kg
Temperature: 39 C

Chief Complaint:
Pain and burning sensation, can\t sleep at night

History of Chief Complaint:

Pain started 2 days ago

Dental History:
Visits the dentist regularly

Medical History:
NSF

Clinical Examination:
Significant Findings:
Extra-oral: tender lymph nodes
Intra-oral: inflamed, ulcerated gums
STATION S7 – MORNING SESSION
Patient M

Question: 13 (Select ONE OR MORE correct answers.)

Which of the following is/are indicated for the initial management of this patient?

A. No treatment.
B. Topical antimicrobial.
C. Systemic antimicrobial.
D. Topical corticosteroid.
E. Systemic corticosteroid.
F. Topical anesthetic.
G. Systemic analgesic.
H. Protective dressing.
I. Eliminate etiologic factor(s).
J. Debridement.
K. Incisional biopsy.
L. Excisional biopsy.
STATION S7 – MORNING SESSION

CASE SYNOPSIS:
Patient N
Patient Information:
Age: 56 Blood pressure: 160/100 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 175 cm Respiration Rate: 20 /min
Weight: 90 kg (198 lb) Temperature: 37 C

Chief Complaint:
General checkup

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: Hypertension, MI two years ago
Current Medication: hydrochlorothiazide, warfarin

Social/Family History:
Ex-Smoker

Synopsis:
During dental treatment, patient started to feel crushing pain in chest and lost consciousness.

Question: 14 (Select ONE correct answer.)

Which of the following photographs depicts the most appropriate head position for this patient at
this point in time?

A.
B.
C.
D.
E.
F.
STATION S7 – MORNING SESSION
Patient N
Question 14:
A B

C D

E F
STATION S7 – MORNING SESSION
Using the information provided answer questions on the answer score sheet

Patient O
Patient Information:
Age: 60 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 19 /min
Weight: 90 kg (198 lb) Temperature: 37 C

Chief Complaint:
Recall Appointment

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: 2 MIs 4 and 5 years ago
Current Medication: Plavix, aspirin, Azar

Case Synopsis:
During dental treatment, patients becomes short of breath and loses consciousness.
STATION S8 – MORNING SESSION
Patient O

Question: 15 (Select ONE OR MORE correct answers.)

Which of the following locations represent the most appropriate site to check the pulse and the
most appropriate site for chest compression in the management of a patient in cardiac arrest?

A
B
C
F
D
G
I
E

J
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
TATION S8 – MORNING SESSION

Question: 16 (Select ONE OR MORE correct answers.)

On the photograph, which component(s) must be opened in order to permit the delivery of
oxygen to a patient?

D A

G B
F C
E

A.
B.
C.
D.
E.
F.
G.
STATION S9 – MORNING SESSION
Case Synopsis:
A diabetic type II patient with high blood pressure presents to your office for emergency dental
treatment. Patient is very anxious from any surgical procedure. After obtaining consent, and
during the extraction procedure, patient stated that he is feeling pain in his chest that radiates to
his left arm. Patient feels out of breath and states that he is going to faint.

Question: 17 (Select ONE OR MORE correct answers.)

Which of the following therapeutic agents is/are appropriate as part of the management of this
patient?
A. B. C.

D. E. F.

G. H. I.

A.
B.
C.
D.
E.
F.
G.
H.
I.
STATION S9 – MORNING SESSION

CASE SYNOPSIS
Mr. X is a friendly patient who is type II diabetic patient and comes regularly for dental
cleanings. His oral hygiene is good and his dental condition is well controlled. Mr. X presents
to your office for a regular recall appointment. After doing review of systems was done and
patient indicated that he ate his breakfast and took full dose of insulin. In the middle of
treatment, Mr. X started to become pale, sweat started to form on his forehead, and he
indicated that he is getting lightheaded.

Question: 18 (Select ONE correct answer.)

Which of the following is the most likely diagnosis?

A. Acute asthmatic attack (bronchospasm).
B. Upper airway obstruction.
C. Mild allergic reaction.
D. Anaphylaxis.
E. Angina pectoris/myocardial infarction.
F. Cardiac arrest.
G. Cerebrovascular accident.
H. Hyperglycemia (diabetic coma).
I. Hypoglycemia (insulin shock).
J. Hyperventilation.
K. Local anesthetic toxicity.
L. Epinephrine reaction.
M. Vasodepressor (vasovagal) syncope.
STATION S10 – MORNING SESSION

CASE SYNOPSIS
Mrs. Y comes to your office as an emergency patient. Mrs. Y indicates that she has allergy to
latex gloves and peanuts. To treat Mrs. Y, nitrile gloves were used. As you were injecting LA
2% lidocaine, 1:100000 epi, patient started to gasp for air and her face started to swell.

Question: 19 (Select ONE OR MORE correct answers.)

Which of the following is/are appropriate in the immediate management of this patient?
A. No intervention necessary.
B. Administer acetylsalicylic acid.
C. Administer diphenhydramine.
D. Administer epinephrine.
E. Administer glucagon.
F. Administer glucose orally.
G. Administer nitroglycerin.
H. Administer oxygen.
I. Administer salbutamol.
J. Head-tilt/chin-lift.
K. Ventilate the patient and begin cardiac compressions.
L. Abdominal thrusts.
M. Finger sweep.
N. Use automated external defibrillator.
O. Call emergency medical services (911).
STATION S10 – MORNING SESSION

Please refer to provided casts

Question: 20 (Select ONE OR MORE correct answers.)

The occlusal contacts, marked in dark blue, in maximum intercuspation are

A. acceptable.
B. uneven in distribution in the posterior region.
C. inappropriate in the anterior region.
STATION S11 – MORNING SESSION

Using the probe provided cast answer the following question on the answer score sheet.

Question: 21 (Select ONE OR MORE correct answers.)

The occlusal rest seat preparation on tooth 27 is
A. acceptable.
B. undercut.
C. too wide.
D. too narrow.
E. too deep.
F. too shallow.
G. too sharp.
H. too low at the marginal ridge area (not a positive seat).
STATION S11 – MORNING SESSION

DO NOT REMOVE FRAMEWORK FROM CAST.

Using the probe and cast framework provided, answer the following question on the answer
score sheet.

Question: 22 (Select ONE OR MORE correct answers.)

The major connector on the removable partial denture framework is

A. acceptable
B. impinging on the palate.
C. too close to the free gingival margin.
D. inadequately finished.
E. too narrow.
F. too wide.
STATION S12 – MORNING SESSION

DO NOT REMOVE FRAMEWORK FROM CAST.

Using the probe and cast framework provided, answer the following question on the answer
score sheet.

Question: 23 (Select ONE OR MORE CORRECT answers.)

The rest on tooth 47
A. is acceptable.
B. does not fit acceptably.
C. is too sharp.
D. is too bulky.
E. is inadequately finished.
STATION S12 – MORNING SESSION

FOR PURPOSES OF THIS EXAMINATION ALL MARGINS HAVE BEEN PLACED

SUPRAGINGIVALLY.

Using the probe and model, answer the following question on the answer score sheet.

Question: 24 (Select ONE OR MORE correct answers.)

The preparation for an all-ceramic crown on tooth 12

A. is acceptable.
B. is undercut.
C. has insufficient reduction labially/buccally.
D. has excessive reduction labially/buccally.
E. has insufficient reduction lingually.
F. has excessive reduction lingually.
G. has insufficient reduction mesially.
H. has excessive reduction mesially.
I. has insufficient reduction distally.
J. has excessive reduction distally.
K. has insufficient reduction incisally/occlusally.
L. has excessive reduction incisally/occlusally.
M. has unacceptably sharp angles.
N. has unacceptable roughness on the margin/unsupported enamel
STATION S13 – MORNING SESSION

FOR PURPOSES OF THIS EXAMINATION ALL MARGINS HAVE BEEN PLACED

SUPRAGINGIVALLY.

Using the probe and model, answer the following question on the answer score sheet.

Question: 25 (Select ONE OR MORE correct answers.)

The preparation for a metal-ceramic (porcelain fused to metal) crown with metal occlusal and a
buccal porcelain margin (90° butt joint) on tooth 33 has
A. acceptable margins.
B. an unacceptably irregular/discontinuous margin.
C. unsupported enamel (lipping) of the margin.
D. excessive occlusal convergence (taper) mesiodistally.
E. excessive occlusal convergence (taper) buccolingually.
FOR PURPOSES OF THIS EXAMINATION ALL MARGINS HAVE BEEN PLACED
SUPRAGINGIVALLY.

Using the probe and model, answer the following question on the answer score sheet.

Question: 26 (Select ONE OR MORE correct answers.)

The preparation for a metal-ceramic (porcelain fused to metal) crown with metal occlusal and a
buccal porcelain margin (90° butt joint) on tooth 37

A. is acceptable.
B. is undercut.
C. has insufficient reduction buccally.
D. has excessive reduction buccally.
E. has insufficient reduction lingually.
F. has excessive reduction lingually.
G. has insufficient reduction mesially.
H. has excessive reduction mesially.
I. has insufficient reduction distally.
J. has excessive reduction distally.
STATION S14 – MORNING SESSION

Using photographs answer the following question on the answer score sheet.

Question: 27 (Select ONE OR MORE correct answers.)

The metal ceramic (porcelain fused to metal) restoration on tooth 13

A. is acceptable.
B. is overcontoured on the labial/buccal.
C. is overcontoured on the lingual.
D. has (an) unacceptable interproximal contact(s).
E. is too long incisally/occlusally.
F. is too short incisally/occlusally.
STATION S14 – MORNING SESSION

Using photographs answer the following question on the answer score sheet.

Question: 28 (Select ONE OR MORE correct answers.)

The margin on the metal ceramic (porcelain fused to metal) restoration on tooth 11 is
A. acceptable
B. open on the mesial.
C. open on the distal.
D. open on the labial/buccal.
E. open on the lingual.
F. overextended on the mesial.
G. overextended on the distal.
H. overextended on the labial/buccal.
I. overextended on the lingual.
STATION S15 – MORNING SESSION

Using the probe and cast, answer the following question on the answer score sheet.

Question: 29 (Select ONE OR MORE correct answers.)

The metal ceramic (porcelain fused to metal) restoration on tooth 17
A. is acceptable.
B. is overcontoured on the labial/buccal.
C. is overcontoured on the lingual.
D. has (an) unacceptable interproximal contact(s).
E. is too long incisally/occlusally.
F. is too short incisally/occlusally.
G. is open on the mesial margin.
H. is open on the distal margin.
I. is open on the labial/buccal margin.
J. is open on the lingual margin.
STATION S15 – MORNING SESSION

Using photograph, answer the following question on the answer score sheet.

Question: 30 (Select ONE OR MORE correct answers.)

The all-ceramic restoration on tooth above

A. is acceptable.
B. is overcontoured on the labial/buccal.
C. is overcontoured on the lingual.
D. has (an) unacceptable interproximal contact(s).
E. is too long incisally/occlusally.
F. is too short incisally/occlusally.
STATION S16 – MORNING SESSION

Using the probe and model, answer the following question on the answer score sheet.

Question: 31 (Select ONE OR MORE correct answers.)

Which of the following modifications is/are required to make the MOD preparation on tooth 36
acceptable for an amalgam restoration?
A. No modifications required.
B. Deepen the pulpal floor.
C. Deepen the mesial axial wall.
D. Deepen the distal axial wall.
E. Increase the occlusal retention and resistance form.
F. Correct the mesiobuccal wall.
G. Correct the mesiolingual wall.
H. Correct the distobuccal wall.
I. Correct the distolingual wall.
J. Extend the mesiogingival floor gingivally.
K. Extend the distogingival floor gingivally.
L. Finish the cavosurface margin(s).
Using the probe and model, answer the following question on the answer score sheet.

Question: 32 (Select ONE OR MORE correct answers.)

An amalgam restoration will be placed in tooth 16. Which of the following modifications to the
amalgam preparation is/are required?
A. No modifications required.
B. Reduce the mesiobuccal cusp for cusp capping (shoeing the cusp).
C. Reduce the distobuccal cusp for cusp capping (shoeing the cusp).
D. Reduce the mesiolingual cusp for cusp capping (shoeing the cusp).
E. Reduce the distolingual cusp for cusp capping (shoeing the cusp).
F. Place auxiliary retention.
STATION S17 – MORNING SESSION

Using radiograph A, answer the following question on the answer score sheet.

Question: 33 (Select ONE OR MORE correct answers.)

Based on the radiographic evidence, removal of caries and placement of a restoration is

required on the following interproximal surface(s):

A. distal of tooth 3.3.

B. mesial of tooth 3.4.
C. distal of tooth 3.4.
D. mesial of tooth 3.5.
E. distal of tooth 3.5.
F. mesial of tooth 3.6.
G. distal of tooth 3.6.
H. mesial of tooth 3.7.
I. distal of tooth 3.7.
J. mesial of tooth 3.8.
K. distal of tooth 3.8.
L. none of the above
STATION S17 – MORNING SESSION

Using radiograph B, answer the following question on the answer score sheet.

Question: 34 (Select ONE OR MORE correct answers.)

Based on the radiographic evidence, removal of caries and placement of a restoration is

required on the following interproximal surface(s):

A. distal of tooth 7.3.

B. mesial of tooth 7.4.
C. distal of tooth 7.4.
D. mesial of tooth 7.5.
E. distal of tooth 7.5.
F. mesial of tooth 3.6.
G. distal of tooth 3.6.
H. mesial of tooth 3.7.
I. distal of tooth 3.7.
STATION S18 – MORNING SESSION

Using the probe and model, to answer the following question on the answer score sheet.

Question: 35 (Select ONE OR MORE correct answers.)

The composite resin restoration on tooth 36

A. is acceptable.
B. is overcontoured/has excess material.
C. is undercontoured.
D. has (an) open interproximal contact(s).
E. has (a) void(s).
STATION S18 – MORNING SESSION

Using the probe and cast to answer the following question on the answer score sheet.

Question: 36 (Select ONE OR MORE correct answers.)

The amalgam restoration on tooth 46

T
A. is acceptable.
B. is overcontoured/has excess material.
C. is undercontoured.
D. has (an) open interproximal contact(s).
E. has (a) void(s).
STATION S19 – MORNING SESSION

Using the probe and cast to answer the following question on the answer score sheet.

Question: 37 (Select ONE OR MORE correct answers.)

The composite resin restoration on tooth 2.2

A. is acceptable.
B. is overcontoured/has excess material.
C. is undercontoured.
D. has (an) open interproximal contact(s).
E. has (a) void(s).
STATION S19 – MORNING SESSION

Using the probe and cast, answer the following question on the answer score sheet.

Question: 38 (Select ONE OR MORE correct answers.)

The amalgam restoration on tooth 16

A. is acceptable.
B. is overcontoured/has excess material.
C. is undercontoured.
D. has (an) open interproximal contact(s).
E. has (a) void(s).
F. excess.
STATION S20 – MORNING SESSION

Using attached photographs and ceph measurements provided, answer the following question
on the answer score sheet. The age appropriate mean and the patient-specific SNA and SNB
measurements are provided.

Mean SNA = 82° Patient’s SNA = 84°

Mean SNB = 80° Patient’s SNB = 79°

Question: 39 (Select ONE correct answer.)

Based on the photographs and measurements provided, which of the following dental and
skeletal relationships does the patient have?

A. Angle Class I.
B. Angle Class II with maxillary prognathism.
C. Angle Class II with maxillary retrognathism.
D. Angle Class II with mandibular prognathism.
E. Angle Class II with mandibular retrognathism.
F. Angle Class III with maxillary prognathism.
G. Angle Class III with maxillary retrognathism.
H. Angle Class III with mandibular prognathism.
I. Angle Class III with mandibular retrognathism.
STATION S20 – MORNING SESSION

Using the facial photograph, answer the following question on the answer score sheet. The age
appropriate
mean as well as the patient-specific mandibular plane angle measurements are provided.

Question: 40 (Select ONE correct answer.)

The patient has a lower anterior face height

A. that is within normal limits with a normal mandibular plane.

B. that is within normal limits with a steep (high) mandibular plane.
C. that is within normal limits with a flat (low) mandibular plane.
D. shorter than normal with a normal mandibular plane.
E. shorter than normal with a steep (high) mandibular plane.
F. shorter than normal with a flat (low) mandibular plane.
G. longer than normal with a normal mandibular plane.
H. longer than normal with a steep (high) mandibular plane.
I. longer than normal with a flat (low) mandibular plane.

Mean Frankfort horizontal to mandibular plane = 24°

Mean Sella-Nasion to mandibular plane = 32°
Patient’s Frankfort horizontal to mandibular plane = 20°
Patient’s Sella-Nasion to mandibular plane = 25°
STATION S21 – MORNING SESSION
PLEASE NOTE: THERE IS ONLY ONE QUESTION AT THIS STATION

Question: 41 (Select ONE OR MORE correct answers.)

The mixed dentition space analysis predicts that the patient will have

A. no space discrepancy in the maxilla.

B. no space discrepancy in the mandible.
C. crowding in the maxilla.
D. crowding in the mandible.
E. spacing in the maxilla.
F. spacing in the mandible.

Moyer’s prediction values (75% level)

Using the probe and casts, perform a mixed dentition space analysis using a method of your
choice (a Boley Gauge, a ruler and an appropriate Moyer’s Probability Table are provided for
your use at your discretion) and answer the following question on the answer score sheet.
STATION S21 – MORNING SESSION

Using photograph(s), answer the following question on the answer score sheet.

Question: 42 (Select ONE correct answer.)

Orthodontic treatment (dental and/or skeletal) for this patient

A. is not required at this time.

B. should be initiated during the primary dentition.
C. should be initiated during the early mixed dentition (after eruption of the first permanent
molars and incisors).
D. should be initiated during the late mixed dentition prior to the pubertal growth spurt.
E. should be initiated immediately following the eruption of the permanent second molars.
F. should be initiated after the completion of growth.
STATION S22 – MORNING SESSION

Using photograph(s) answer the following question on the answer score sheet.

Question: 43 (Select ONE correct answer.)

Which of the following dental occlusions does the patient have?

A. Angle Class I with a normal overbite.

B. Angle Class II, division 1 with a normal overbite.
C. Angle Class II, division 2 with a normal overbite.
D. Angle Class III with a normal overbite.
E. Angle Class I with an open bite.
F. Angle Class II, division 1 with an open bite.
G. Angle Class II, division 2 with an open bite.
H. Angle Class III with an open bite.
I. Angle Class I with a deep bite.
J. Angle Class II, division 1 with a deep bite.
K. Angle Class II, division 2 with a deep bite.
L. Angle Class III with a deep bite.
M. Mesial step terminal plane.
N. Straight (flush) terminal plane.
O. Distal step terminal plane.
STATION S22 – MORNING SESSION

Using photograph(s) answer the following question on the answer score sheet.

Question: 44 (Select ONE OR MORE correct answers.)

Which of the following is/are appropriate interceptive orthodontic treatment(s) for this patient?

A. No treatment at this time.

B. Interproximal discing of one or more primary canines.
C. Interproximal discing of one or more primary molars.
D. Extraction of one or two primary maxillary canines.
E. Extraction of one or two primary mandibular canines.
F. Extraction of one or more primary maxillary molars.
G. Extraction of one or more primary mandibular molars.
H. Space maintenance in the maxillary arch.
I. Space maintenance in the mandibular arch.
J. Space regaining in the maxillary arch.
K. Space regaining in the mandibular arch.
L. Habit breaking appliance.
M. Posterior bilateral maxillary arch expansion.
N. Occlusal adjustment of one or more teeth.
O. Molar disimpaction.
STATION S23 – MORNING SESSION

Using photograph(s), answer the following question on the answer score sheet.

Question: 45 (Select ONE OR MORE correct answers.)

Which of the following is/are appropriate interceptive orthodontic treatment(s) for this patient?

A. No treatment at this time.

B. Interproximal discing of one or more primary canines.
C. Interproximal discing of one or more primary molars.
D. Extraction of one or two primary maxillary canines.
E. Extraction of one or two primary mandibular canines.
F. Extraction of one or more primary maxillary molars.
G. Extraction of one or more primary mandibular molars.
H. Space maintenance in the maxillary arch.
I. Space maintenance in the mandibular arch.
J. Space regaining in the maxillary arch.
K. Space regaining in the mandibular arch.
L. Habit breaking appliance.
M. Posterior bilateral maxillary arch expansion incorporating habit control.
N. Posterior bilateral maxillary arch expansion.
O. Anterior crossbite correction.
STATION S23 – MORNING SESSION

Using the information provided answer questions on the answer score sheet

Patient P
Patient Information:
Age: 16 Blood pressure: 120/80 mmHg
Gender: Female Pulse Rate: 70bpm
Height: 163 cm Respiration Rate: 17 /min
Weight: 130 lb Temperature: 37 C

Chief Complaint:
Pain in lower left side

History of Chief Complaint:

Pain started 2 days ago, lingering, patient can’t sleep at night

Dental History:
Visits the dentist regularly

Medical History:
NSF

Clinical Examination:
Significant Findings:
Extra-oral: WNL
Intra-oral: Exaggerated cold response at 36
Percussion negative at 36
Normal cold response at 37
Percussion slightly positive at 37
STATION S23 – MORNING SESSION
Patient P

Please Refer to Radiograph

Question: 46 (Select ONE OR MORE correct answers.)

Which of the following is/are the most likely diagnosis/diagnoses for tooth 36?

A. Normal pulp.
B. Reversible pulpitis.
C. Irreversible pulpitis.
D. Necrotic pulp.
E. Normal periradicular periodontium
F. Acute periradicular periodontitis.
G. Acute periradicular abscess.
H. Chronic periradicular periodontitis.
I. Chronic periradicular abscess/suppurative periradicular periodontitis.
J. Root fracture.
K. Internal resorption.
L. External resorption.
M. Hyperplastic pulpitis.
N. Combined endodontic-periodontic lesion.
STATION S24 – MORNING SESSION

Using photograph answer the following question on the answer score sheet.

Question: 47 (Select ONE OR MORE correct answers.)

What is/are the appropriate treatment(s) for the spacing in the maxillary arch at this time?

A. Wait for eruption of permanent maxillary canines and then reassess.

B. Frenectomy.
C. Orthodontic closure.
D. Extraction of one or more supernumerary teeth.
E. Extraction of one or more primary canines.
F. Interproximal discing of one or more primary canines.
G. Orthodontic treatment followed by esthetic restoration(s).
H. Esthetic restoration(s) without orthodontic treatment.
STATION S24 – MORNING SESSION

Using the information provided answer questions on the answer score sheet

Patient Q
Patient Information:
Age: 28 Blood pressure: 120/80 mmHg
Gender: Male Pulse Rate: 70bpm
Height: 185 cm Respiration Rate: 17 /min
Weight: 160 lb Temperature: 37 C

Chief Complaint:
Random pain in upper left side

History of Chief Complaint:

Pain started 4 days ago, triggered by cold and chewing. Sometimes lingers, while other times
pain lasts for few seconds

Dental History:
Visits the dentist regularly

Medical History:
NSF

Clinical Examination:
Significant Findings:
Extra-oral: WNL
Intra-oral: 26 cold test WNL
26 percussion negative
27 cold test WNL
27 percussion negative
STATION S24 – MORNING SESSION
Patient Q

Please Refer to Radiograph

Question: 48 (Select ONE OR MORE correct answers.)

Which of the following is/are the most likely diagnosis/diagnoses for tooth 26?

A. Normal pulp.
B. Reversible pulpitis.
C. Irreversible pulpitis.
D. Necrotic pulp.
E. Normal periradicular periodontium
F. Acute periradicular periodontitis.
G. Acute periradicular abscess.
H. Chronic periradicular periodontitis.
I. Chronic periradicular abscess/suppurative periradicular periodontitis.
J. Cusp fracture.
K. Internal resorption.
L. External resorption.
M. Hyperplastic pulpitis.
N. Combined endodontic-periodontic lesion.
STATION S25 – MORNING SESSION

Using the probe, cast to answer the following question on the answer score sheet.

Question: 49 (Select ONE OR MORE correct answers.)

The metal ceramic (porcelain fused to metal) restoration on tooth 47
A. is acceptable.
B. is overcontoured on the labial/buccal.
C. is overcontoured on the lingual.
D. has (an) unacceptable interproximal contact(s).
E. is too long incisally/occlusally.
F. is too short incisally/occlusally.
G. is open on the mesial margin.
H. is open on the distal margin.
I. is open on the labial/buccal margin.
J. is open on the lingual margin.
STATION S25 – MORNING SESSION
Question: 50 (Select ONE correct answer.)

Refer to attached radiograph

Which of the following is the most likely anatomical structure/diagnosis for the radiographic
entity indicated by the arrow(s)?

A. Mental foramen.
B. Mandibular foramen.
C. Mandibular canal.
D. Submandibular salivary gland fossa.
E. Nutrient canal.
F. Stafne bone defect/static bone cavity.
G. Postsurgical defect/scar.
H. Rarefying osteitis/periradicular periodontitis.
I. Nasopalatine/incisive canal cyst.
J. Simple/traumatic bone cyst.
K. Dentigerous/follicular cyst.
L. Conchae.
M. Lateral periodontal cyst.
N. Periapical cemento-osseous dysplasia.
O. Malignancy.
STATION S1 – AFTERNOON SESSION

Using the print of radiograph, answer the following question on the answer score sheet.

Question: 1 (Select ONE OR MORE correct answers.)

Which of the following may complicate the root canal treatment on tooth 16?
A. No complicating factors present.
B. Presence of accessory canals/canal subdivision.
C. Curved/atypical root morphology.
D. Pulp stones/calcification of the pulp chamber.
E. Calcification of root canal(s).
F. Internal resorption.
G. External resorption.
H. Extensive restoration.
I. Caries.
J. Rotated or tipped tooth.
K. Tooth fracture.
L. Open apex.
STATION S1 – AFTERNOON SESSION

Using the print of radiograph, answer the following question on the answer score sheet.

Question: 2 (Select ONE OR MORE correct answers.)

Which of the following describe(s) the access preparation on tooth 46?

A. Access cavity is acceptable.

B. Perforation of the furcation.
C. Lateral perforation of the crown and/or root.
D. Damage to pulpal wall(s).
E. Damage to pulpal floor.
F. Inadequate exposure of canal orifices.
G. Inadequate pretreatment of the tooth.
STATION S2 – AFTERNOON SESSION

Radiograph A: Before treatment

Radiograph B: After treatment

Question: 3 (Select ONE OR MORE correct answers.)

Tooth 12 demonstrates

A. complete healing.
B. incomplete healing.
C. a chronic periradicular periodontitis.
D. a chronic periradicular abscess/suppurative periradicular periodontitis.
E. an acute periradicular periodontitis.
F. an acute periradicular abscess.
G. a root fracture.
H. an inadequate coronal restoration.
I. a furcation involvement.
J. an inappropriate post length/diameter/space preparation.
STATION S2 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet

Patient A
Patient Information:
Age: 45 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 18 /min
Weight: 90 kg (198 lb) Temperature: 37 C

Chief Complaint:
Pain lower right side

History of Chief Complaint:

Pain started few weeks ago, triggered by chewing

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide
Allergies: Penicillin

Social/Family History:
Smoker (2 pack year)

Clinical Examination:
Significant Findings:
Extra-oral: tender right submandibular lymph nodes
Intra-oral: 46 percussion positive
STATION S2 – AFTERNOON SESSION
Patient A

Refer to Panoramic radiograph

Question: 4 (Select ONE OR MORE correct answers.)

What is/are the appropriate management(s) of tooth 46?

A. No treatment required.
B. Correct occlusal contacts.
C. Retreat endodontically.
D. Place extracoronal restoration.
E. Bleaching.
F. Apexogenesis.
G. Apexification.
H. Perform apical surgery and place a retrograde filling.
I. Perform a biopsy.
J. Hemisection.
K. Root amputation.
L. Pulpotomy.
M. Pulpectomy.
N. Extract the tooth.
STATION S3 – AFTERNOON SESSION

Using the information provided answer questions on the answer score sheet

Patient B
Patient Information:
Age: 52 Blood pressure: 150/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 19 /min
Weight: 180 lb Temperature: 37 C

Chief Complaint:
Regular checkup

Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide

Clinical Examination:
NSF
STATION S3 – AFTERNOON SESSION
Patient B

Refer to Radiograph

Question: 5 (Select ONE OR MORE correct answers.)

Which of the following describes the endodontic treatment of tooth 46?

A. Acceptable.
B. Furcation perforation.
C. Lateral perforation.
D. Apical perforation/transportation.
E. Unacceptable short fill.
F. Inadequate compaction (voids).
G. Overfilled/extrusion.
H. Unacceptable shaping.
I. Separated instrument.
J. Inappropriate obturation material.
K. Untreated canal.
STATION S3 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet

Patient C
Patient Information:
Age: 53 Blood pressure: 113/75 mmHg
Gender: Male Pulse Rate: 65 bpm
Height: 181 cm Respiration Rate: 15 /min
Weight: 174 lb Temperature: 37 C

Chief Complaint:
Pain in lower right side

History of Chief Complaint:

Pain started 2 days ago, triggered by chewing, feels tooth is loose

Dental History:
Visits the dentist regularly

Medical History:
NSF

Clinical Examination:
Significant Findings:
Extra-oral: tender right submandibular lymph nodes
Intra-oral: 46 M1, percussion positive
STATION S3 – AFTERNOON SESSION
Patient C

Question: 6 (Select ONE OR MORE correct answers.)

Which of the following emergency managements would be most appropriate for tooth 46?

A. No treatment and monitor.

B. establish drainage through tooth.
C. Pulpotomy.
D. Periapical surgery.
E. Extraction.
F. Incision and drainage.
G. Replant and splint.
H. Reposition and splint.
I. Restore.
J. Pulp cap.
K. Antibiotic therapy.
L. Analgesics.
M. Adjust occlusion.
STATION S4 – AFTERNOON SESSION
Using the print of radiograph, answer the following question on the answer score sheet.

Question: 7 (Select ONE OR MORE correct answers.)

Which of the following may complicate the extraction of tooth 15?

A. Hypercementosis.
B. Root morphology.
C. Ankylosis.
D. Extensive caries.
E. Proximity to adjacent tooth/teeth.
F. Increased bone density.
G. Impacted tooth.
H. Isolated tooth.
I. Extensive restoration.
J. Endodontically treated tooth.
K. Atrophic mandible/maxilla.
L. Proximity to mandibular canal.
M. Proximity to maxillary sinus.
N. Associated pathological lesion.
STATION S4 – AFTERNOON SESSION

Using diagram, answer the following question on the answer score sheet.

Question: 8 (Select ONE correct answer.)

A flap is required to cover oral-antral communication at 26. Which of the above flaps is most
appropriate?

A.
B.
C.
D.
E.
STATION S5 – AFTERNOON SESSION

Refer to Panoramic Radiograph

Question: 9 (Select ONE OR MORE correct answers.)

If extraction of tooth 38 is performed, which of the following complications is/are likely?

A. Coronal tooth/root fracture.

B. Oro-antral communication/fistula.
C. Paresthesia.
D. Alveolar bone fracture.
E. Damage to adjacent teeth
STATION S5 – AFTERNOON SESSION

Question: 10 (Select ONE OR MORE correct answers.)

Which of the following is/are present in the above panoramic radiograph?

A. No evidence of bony fracture.
B. Subcondylar fracture.
C. Mandibular angle fracture.
D. Mandibular body fracture.
E. Mandibular parasymphyseal fracture.
F. Alveolar fracture.
G. Fractured tooth/teeth.
H. Displaced tooth/teeth.
I. Soft tissue injury.
STATION S6 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet

Patient D
Patient Information:
Age: 30 Blood pressure: 114/78 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 17 /min
Weight: 155 lb Temperature: 38 C

Chief Complaint:
Pain in upper left side

History of Chief Complaint:

Pain started few weeks ago, triggered by chewing

Dental History:
Visits the dentist regularly

Medical History:
NSF
STATION S6 – AFTERNOON SESSION
Patient D

Question: 11 (Select ONE OR MORE correct answers.)

In addition to palpation, which of the following is/are indicated to establish a diagnosis of the
swelling for this patient?
A. Radiographic examination.
B. Pulp vitality testing.
C. Periodontal probing.
D. Tooth percussion.
E. Assessment of tooth mobility.
F. Blood test analysis.
G. Aspiration.
H. Allergy testing.
I. Biopsy.
STATION S6 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet

Patient E
Patient Information:
Age: 45 Blood pressure: 140/90 mmHg
Gender: Female Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 20 /min
Weight: 90 kg (198 lb) Temperature: 39 C

Chief Complaint:
Pain and burning sensation in the right side

History of Chief Complaint:

Pain started a day ago

Medical History:
Significant Findings: Diabetes, Hypertension
Current Medication: Metformin, Glyburide, hydrochlorothiazide

Social/Family History:
Smoker (2 pack year)

Clinical Examination:
Significant Findings:
Extra-oral: swelling in right buccal cheek
Intra-oral: Generalized gross decay
STATION S6 – AFTERNOON SESSION
Patient E

Question: 12 (Select ONE correct answer.)

Which of the following is the most likely diagnosis of the swelling(s) seen on this patient?

A. Hematoma.
B. Edema.
C. Subcutaneous emphysema.
D. Neoplasm.
E. Odontogenic infection.
F. Non-odontogenic infection.
G. Mucous retention phenomenon.
H. Sialadenitis.
I. Allergic reaction.
J. Cyst.
K. Muscle hypertrophy.
L. Exostosis.
M. Soft tissue hyperplasia.
STATION S7 – AFTERNOON SESSION

Using the information provided answer questions on the answer score sheet

Patient F
Patient Information:
Age: 4
Gender: Female
Temperature: 37.5 C

Chief Complaint:
Pain in the left side

History of Chief Complaint:

Swelling developed over night

Medical History:
NSF
STATION S7 – AFTERNOON SESSION
Patient F

Question: 13 (Select ONE OR MORE correct answers.)

Which of the following is/are appropriate initial management(s) of the swelling for this patient?

A. No treatment.
B. Periodontal debridement.
C. Drainage through tooth/pulpectomy.
D. Intraoral incision and drainage.
E. Extraoral incision and drainage.
F. Excision.
G. Extraction.
H. Antibiotic therapy.
I. Administration of diphenhydramine.
J. Administration of epinephrine.
K. Appropriate referral.
STATION S7 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet

Patient G
Patient Information:
Age: 22 Blood pressure: 120/78 mmHg
Gender: Male Pulse Rate: 70bpm
Height: 180 cm Respiration Rate: 15 /min
Weight: 155 lb Temperature: 37 C

Chief Complaint:
Pain in lower left side

History of Chief Complaint:

Pain is random, mild in severity, and is triggered by cold and chewing

Dental History:
Visits the dentist regularly

Medical History:
NSF

Social/Family History:
Smoker (2 pack year)

Clinical Examination:
Significant Findings:
Extra-oral: Clicking on the right and left TMJ
Intra-oral: Cold test 36, 37 WNL
36, 37 percussion negative
36, 37 tooth sleuth test negative
STATION S7 – AFTERNOON SESSION
Patient G

Refer to Radiograph

Question: 14 (Select ONE correct answer.)

What is the most likely reason for this patient’s pain?

A. Pericoronitis.
B. Alveolar osteitis.
C. Irreversible pulpitis.
D. Reversible pulpitis.
E. Periodontal abscess.
F. Periradicular abscess.
G. Tooth fracture.
H. TMJ referred pain
I. Trigeminal neuralgia.
J. Atypical facial pain.
K. Necrotizing ulcerative gingivitis/periodontitis.
L. Dentinal hypersensitivity.
M. Impacted tooth.
N. Occlusal trauma.
O. Maxillary sinusitis.
STATION S8 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet

Patient H
Patient Information:
Age: 62 Blood pressure: 140/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 20 /min
Weight: 90 kg (198 lb) Temperature: 37 C

Chief Complaint:
Pain in the right side

History of Chief Complaint:

Pain started few weeks ago, triggered by chewing

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: Hypertension, hypothyroidism
Current Medication: levothyroxine, hydrochlorothiazide
STATION S8 – AFTERNOON SESSION
Patient H

Question: 15 (Select ONE OR MORE correct answers.)

Which of the following is/are indicated to establish a diagnosis of this patient’s pain?

A. Radiographic examination.
B. Pulp vitality testing.
C. Periodontal probing.
D. Tooth percussion.
E. Application of pressure on individual cusps.
F. Assessment of tooth mobility.
G. Palpation.
H. Evaluation of occlusion.
I. Evaluation of restoration(s).
J. Selective local anesthesia.
K. Evaluation of lymph nodes.
L. Microbiological testing.
M. Cytological smear.
N. Biopsy.
O. Aspiration.
STATION S8 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet

Patient I
Patient Information:
Age: 6
Gender: Female
Weight: 20 kg (198 lb)
Temperature: 37 C

Chief Complaint:
Pain in the lower right side

Dental History:
Visits the dentist regularly

Medical History:
NSF

Clinical Examination:
Significant Findings:
Intra-oral: 84 is restored with SSC
STATION S8 – AFTERNOON SESSION
Patient I

Refer to Radiograph

Question: 16 (Select ONE OR MORE correct answers.)

Which of the following is/are appropriate to manage this patient’s pain?
A. Analgesics.
B. Antibiotic therapy.
C. Extraction.
D. Caries removal.
E. Placement of sedative dressing.
F. Placement of permanent restoration.
G. Endodontic treatment.
H. Periodontal treatment.
I. Root desensitization.
J. Fabrication of Space Maintainer.
K. Occlusal adjustment.
L. Fabrication of bite plane/night guard.
M. Irrigation.
N. Application of heat.
O. Application of cold.
STATION S9 – AFTERNOON SESSION

Using the information provided answer questions on the answer score sheet

Patient J
Patient Information:
Age: 64 Blood pressure: 120/90 mmHg
Gender: Male Pulse Rate: 72bpm
Height: 180 cm Respiration Rate: 18 /min
Weight: 90 kg (198 lb) Temperature: 37 C

Chief Complaint:
Burning sensation in the palate

History of Chief Complaint:

Pain started one week ago

Dental History:
Visits the dentist regularly

Medical History:
Significant Findings: Cushing syndrome
Current Medication: hydrocortisone

Clinical Examination:
Significant Findings:
Extra-oral:NSF
Intra-oral: generalized rash on the palate
STATION S9 – AFTERNOON SESSION
Patient J

Photograph
Question: 17 (Select ONE OR MORE correct answers.)
Which of the following is/are appropriate to manage this patient?
A. Analgesics.
B. Antibiotic therapy.
C. Antiviral therapy.
D. Antifungal therapy.
E. Placement of sedative dressing.
F. Irrigation.
G. Topical corticosteroids.
STATION S9 – AFTERNOON SESSION
Using the information provided answer questions on the answer score sheet

Patient K

Patient Information:

Age: 55 Blood pressure: 120/20 mmHg

Gender: Male Pulse Rate: 72bpm

Height: 170 cm Respiration Rate: 15 /min

Weight: 92 kg Temperature: 37 C

Chief Complaint:

I don’t like my smile

Dental History:

Visits the dentist on emergency basis

Medical History:

NSF

Social/Family History:

Smoker (4 pack year)

Clinical Examination:

Significant Findings:

Extra-oral: NSF

Intra-oral: Significant recession on 33, 43

STATION S9 – AFTERNOON SESSION
Patient K

Question 18: (Select ONE correct answer)

Which periodontal surgical procedure is most appropriate for this patient?
A. Open flap debridement alone.
B. Open flap debridement with apically positioned flap.
C. Coronally positioned flap.
D. Laterally positioned flap.
E. Free (autogenous) gingival graft.
F. Subepithelial connective tissue graft.
G. Guided tissue regeneration.
H. Bone graft.
I. Crown lengthening.
J. Gingivectomy/gingivoplasty.
K. Frenectomy/frenotomy.
L. Surgical tooth exposure.
M. Distal wedge.
N. Gingival curettage.
O. Root amputation/hemisection.
STATION S10 – AFTERNOON SESSION

Patient L

Patient Information:

Age: 30 Blood pressure: 120/80 mmHg

Gender: Male Pulse Rate: 68bpm

Height: 170 cm Respiration Rate: 20 /min

Weight: 70 kg Temperature: 37 C

Chief Complaint:

My gums hurt.

History of Chief Complaint:

Pain started 1 week ago, and patient experiences bad odor

Dental History:

Irregular dental visits

Medical History:

Significant Findings: HIV positive

Current Medication: Zodavir

Allergies: seasonal allergies

Social/Family History:

Father passed away of heart attack.

Clinical Examination:

Significant Findings:

Extra-oral: WNL

Intra-oral: generalized gross decay, inflamed gums, fetor odour, brown/purple lesion on
gums between central and lateral.
STATION S10 – AFTERNOON SESSION
Patient L

Vestibular

Tooth 13 12 11 21 22 23
Probing Depth 323 222 323 323 333 322
Recession 0 0 0 0 0 0
Bleeding on + + + + - +
Probing
Lingual

Tooth 13 12 11 21 22 23
Probing Depth 333 322 221 221 131 121
Recession 0 0 0 0 0 0
Bleeding on + - + + + +
Probing

Mobility M0 M0 M1 M0 M0 M0

Question: 19 (Select ONE OR MORE correct answer.)

Which of the following should be performed during the initial (Phase I) periodontal management
of this patient?
A. Periodontal debridement.
B. Caries management.
C. Oral hygiene instruction.
D. Chlorhexidine mouth rinse therapy.
E. Systemic antibiotic therapy.
F. Extraction.
G. Occlusal adjustment.
H. Bite plane/mouth guard fabrication.
I. Orthodontic tooth movement.
J. Replacement of defective restoration(s)/removal of overhang(s).
K. Denture adjustment/modification.
L. Periodontal flap surgery.
M. Gingival graft(s).
N. Root canal therapy.
O. Splinting.
STATION S10 – AFTERNOON SESSION

Patient M

Patient Information:

Age: 45 Blood pressure: 140/90 mmHg

Gender: Male Pulse Rate: 72bpm

Height: 180 cm Respiration Rate: 20 /min

Weight: 90 kg (198 lb) Temperature: 39 C

Chief Complaint:

Pain and burning sensation in the right side

History of Chief Complaint:

Pain started few weeks ago, triggered by chewing

Dental History:

Visits the dentist regularly

Medical History:

Significant Findings: Diabetes, Hypertension

Current Medication: Metformin, Glyburide, hydrochlorothiazide

Allergies: Penicillin

Social/Family History:

Smoker (2 pack year)

Clinical Examination:

Significant Findings:

Extra-oral: tender left submandibular lymph nodes

Intra-oral: Unilateral white patch on the right cheek and the tongue present for 3 months.
Deep mesial decay on 46. Heavy plaque and calculus deposits
STATION S10 – AFTERNOON SESSION
Patient M
This resembles the whole arch

Vestibular

Tooth 36 37 46 47
Probing Depth 323 444 945 435
Recession 1 0 0 0
Bleeding on + + + +
Probing

Lingual

Tooth 36 37 46 47
Probing Depth 434 342 755 555
Recession 0 0 0 0
Bleeding on + - + +
Probing

Mobility M0 M0 M1 M0
Furcation Class II

Question: 20 (Select ONE OR MORE correct answer.)

What is the most appropriate diagnosis of the periodontal status of this patient?
A. Healthy periodontal status.
B. Drug influenced gingival enlargement.
C. Generalized aggressive periodontitis.
D. Generalized chronic periodontitis.
E. Localized aggressive periodontitis.
F. Localized chronic periodontitis.
G. Gingival abscess.
H. Periodontal abscess.
I. Gingivitis modified by systemic factors.
J. Gingivitis associated with plaque only.
K. Necrotizing ulcerative gingivitis.
L. Necrotizing ulcerative periodontitis.
M. Gingival manifestations of systemic disease.
N. Combined endodontic-periodontic lesion.
O. Mucogingival deformity.
STATION S11 – AFTERNOON SESSION

Patient N

Patient Information:

Age: 39 Blood pressure: 120/80 mmHg

Gender: Female Pulse Rate: 69bpm

Height: 165 cm Respiration Rate: 15 /min

Weight: 56 kg Temperature: 37 C

Chief Complaint:

My gums smell and bleed all the time

Dental History:

Visits the dentist irregularly

Medical History:

Significant Findings: Diabetes

Current Medication: Metformin, Glyburide

Social/Family History:

Smoker (3 pack year)

STATION S11 – AFTERNOON SESSION
Patient N
Refer to attached radiograph

Vestibular

Tooth 24 25 26 27
Probing Depth 424 444 645 435
Recession 1 0 0 0
Bleeding on + + + +
Probing
Lingual

Tooth 24 25 26 27
Probing Depth 434 342 555 555
Recession 0 0 0 0
Bleeding on + - + +
Probing

Mobility M0 M0 M1 M0
Furcation NSF

Question: 21 (Select ONE OR MORE correct answers.)

Which of the following contribute(s) to this patient’s periodontal status?
A. Calculus and/or bacterial plaque.
B. Root morphology and/or furcation involvement.
C. Denture-induced trauma.
D. Toothbrush-induced trauma.
E. Developmental tooth anomaly.
F. Inadequate interproximal contact(s)/food impaction.
G. Deficient restoration(s) and/or inadequate embrasure space.
H. Systemic factors.
I. Periodontal pocket(s).
J. Patient medication(s).
K. Tobacco use.
L. Combined endodontic-periodontic lesion.
M. Occlusal trauma.
N. Root fracture or perforation.
O. Lack of patient compliance.
STATION S11 – AFTERNOON SESSION
Using the print of radiograph, answer the following question on the answer score sheet.

Question: 22 (Select ONE OR MORE correct answers.)

There is radiographic evidence of caries on the
A. distal of tooth 13.
B. mesial of tooth 14.
C. distal of tooth 14.
D. mesial of tooth 15.
E. distal of tooth 15.
F. mesial of tooth 16.
G. distal of tooth 16.
H. mesial of tooth 17.
I. distal of tooth 17.
STATION S12 – AFTERNOON SESSION
Using the print of radiograph, answer the following question on the answer score sheet.

Question: 23 (Select ONE OR MORE correct answers.)

There is radiographic evidence of caries on the
A. distal of tooth 23.
B. mesial of tooth 24.
C. distal of tooth 24.
D. mesial of tooth 25.
E. distal of tooth 25.
F. mesial of tooth 26.
G. distal of tooth 26.
H. mesial of tooth 27.
STATION S12 – AFTERNOON SESSION
Using the print of radiograph, answer the following question on the answer score sheet.

Question: 24 (Select ONE OR MORE correct answers.)

There is radiographic evidence of calculus on the
A. distal of tooth 34.
B. mesial of tooth 35.
C. distal of tooth 35.
D. mesial of tooth 36.
E. distal of tooth 36.
F. mesial of tooth 37.
STATION S13 – AFTERNOON SESSION
Using radiograph , answer the following question on the answer score sheet.

Question: 25 (Select ONE OR MORE correct answers.)

There is radiographic evidence of a defective restoration on the
A. distal of tooth 14.
B. mesial of tooth 15.
C. distal of tooth 15.
D. mesial of tooth 16.
E. distal of tooth 16.
F. mesial of tooth 17.
G. distal of tooth 17.
.
STATION S13 – AFTERNOON SESSION
Using the print of photograph, answer the following question on the answer score sheet.

Question: 26 (Select ONE OR MORE correct answers.)

Which of the following is/are evident on the print of the radiograph/photograph?
A. Ectopic eruption.
B. Impacted tooth/teeth.
C. Gemination.
D. Fusion.
E. Space loss.
F. Dens invaginatus/dens-in-dente.
G. Dens evaginatus.
H. Arrested root development.
I. Dilaceration.
J. Congenital absence of permanent tooth/teeth.
K. Ankylosis/submerged tooth/teeth.
L. Retained root(s).
M. Foreign body.
N. Supernumerary tooth/teeth.
O. Dentigerous cyst.
STATION S14 – AFTERNOON SESSION
Using the print of radiograph, answer the following question on the answer score sheet.

Question: 27 (Select ONE OR MORE correct answers.)

Which of the following is/are radiographically evident on tooth 75 and/or tooth 74?
A. Occlusal caries.
B. Mesial caries.
C. Distal caries.
D. Root caries.
E. Cervical burnout.
F. Physiologic root resorption.
G. Internal root resorption.
H. External root resorption.
I. Fractured tooth/teeth.
J. Furcation radiolucency.
K. Periapical radiolucency.
L. Pulpal obliteration.
M. Calculus.
N. Attrition.
O. A defective or inadequate restoration.
STATION S14 – AFTERNOON SESSION

Patient O

Patient Information:

Age: 8

Gender: Male

Weight: 40 kg

Temperature: 39 C

Chief Complaint:

Pain in upper right side

History of Chief Complaint:

Pain started few weeks ago, exaggerated by chewing

Dental History:

Visits the dentist on emergency basis

Clinical Examination:

Significant Findings:

Extra-oral: Swelling under the right eye

Intra-oral: Deep decay

STATION S14 – AFTERNOON SESSION
Patient O

Question: 28 (Select ONE OR MORE correct answers.)

What is/are appropriate management(s) for tooth 55?
A. Observation only.
B. Reassessment in 3-6 months.
C. Remineralization.
D. A pit and fissure sealant.
E. A direct restoration.
F. Stainless steel crown.
G. An indirect pulp cap.
H. A partial pulpotomy.
I. A pulpotomy.
J. A pulpectomy.
K. Extraction without space maintenance.
L. Extraction and space maintenance.
M. Prescribe an analgesic.
N. Prescribe an antibiotic.
STATION S15 – AFTERNOON SESSION

Question: 29 (Select ONE OR MORE correct answers.)

What is/are appropriate immediate management(s) for the patient?
A. Observation only.
B. Direct restoration.
C. Direct pulp cap.
D. Partial pulpotomy.
E. Pulpotomy.
F. Pulpectomy.
G. Extraction.
H. Reposition and splint.
I. Approximation of the tooth fragment(s).
J. Tetanus prophylaxis.
K. Antibiotic therapy.
STATION S15 – AFTERNOON SESSION
Using the case history and photograph below, answer the following question on the answer
score sheet.

Patient P

Patient Information:

Age: 7

Gender: Male

Chief Complaint:

Bluish lump in front teeth

History of Chief Complaint:

Noticed lump two days ago, asymptomatic

Dental History:

Visits the dentist regularly

Medical History:

NSF
STATION S15 – AFTERNOON SESSION
Patient P

Question: 30 (Select ONE OR MORE correct answers.)

Which of the following is/are seen in the photograph of this child?
A. No abnormalities.
B. Early childhood caries.
C. Caries.
D. Enamel hypoplasia.
E. Dentinogenesis imperfecta.
F. Amelogenesis imperfecta.
G. Discoloured tooth/teeth.
H. Attrition.
I. Supernumerary tooth/teeth.
J. Ectopic eruption.
K. Retained primary tooth.
L. Transposition.
M. Pulp polyp.
N. Eruption cyst.
O. Cheek/lip biting injury.
STATION S16 – AFTERNOON SESSION
Using photograph below, answer the following question on the answer score sheet.

Question: 31 (Select ONE OR MORE correct answers.)

The space management appliance is
A. acceptable.
B. inadequate in the adaptation of the band(s).
C. incorrect in the positioning of the band(s).
D. inappropriate for the clinical situation.
E. an inappropriate appliance design.
F. incorrect in the position of the wire buccally.
G. incorrect in the position of the wire lingually.
H. incorrect in the position of the wire occlusally.
I. incorrect in the position of the wire gingivally.
J. incorrect in the position of the wire anteriorly.
K. incorrect in the position of the wire posteriorly.
L. unacceptable at the solder joint(s).
STATION S16 – AFTERNOON SESSION

Question: 32 (Select ONE OR MORE correct answers.)

Appropriate space management for this case is
A. observation only.
B. reassessment in 3 - 6 months.
C. interproximal discing.
D. separators.
E. a distalizing appliance.
F. a band and loop appliance.
G. a distal shoe appliance.
H. a mandibular lingual arch.
I. a fixed palatal arch with an anterior button (a Nance appliance).
J. a habit breaking appliance.
K. extraction.
STATION S17 – AFTERNOON SESSION
Diagram below is a cross-section through the mandible at the level of the lingula. The needle is
being inserted for an injection of a standard inferior alveolar nerve block. Answer the following
question on the answer score sheet.

Question: 33 (Select TWO correct answers.)

The anatomical structures labelled "1" and "3" are the
A. facial nerve.
B. lingual nerve.
C. long buccal nerve.
D. inferior alveolar nerve.
E. inferior alveolar artery.
F. inferior alveolar vein.
G. masseter muscle.
H. medial pterygoid muscle.
I. buccinator muscle.
J. tendon of temporalis.
K. sphenomandibular ligament.
L. pterygomandibular raphe.
M. pterygomandibular space.
N. external oblique ridge.
O. parotid gland.
STATION S17 – AFTERNOON SESSION

Diagram below is a cross-section through the mandible at the level of the lingula. The needle is
being inserted for an injection of a standard inferior aveolar nerve block. Answer the following
question on the answer score sheet.

Question: 34 (Select ONE OR MORE correct answers.)

The anatomical structures labelled "2" and "6" are the
A. facial nerve.
B. lingual nerve.
C. long buccal nerve.
D. inferior alveolar nerve.
E. inferior alveolar artery.
F. inferior alveolar vein.
G. masseter muscle.
H. medial pterygoid muscle.
I. buccinator muscle.
J. tendon of temporalis.
K. sphenomandibular ligament.
L. pterygomandibular raphe.
M. pterygomandibular space.
N. external oblique ridge.
O. parotid gland.
STATION S18 – AFTERNOON SESSION

Diagram below is a cross-section through the mandible at the level of the lingula. The needle is
being inserted for an injection of a standard inferior aveolar nerve block. Answer the following
question on the answer score sheet.

Question: 35 (Select ONE OR MORE correct answers.)

Injection of 1.8ml of 2% lidocaine with 1:100,000 epinephrine into the structure "7" could result
in
A. trismus.
B. hematoma.
C. paresthesia.
D. pain.
E. seizure.
F. tachycardia.
G. facial nerve paralysis.
H. broken needle.
I. failed anesthesia.
J. successful anesthesia without complication.
STATION S18 – AFTERNOON SESSION
Using the case synopsis and photographs, answer the following question on the answer score
sheet.

CASE SYNOPSIS
In order to perform root canal therapy on tooth 22

Question: 36 (Select ONE or MORE correct answers.)

Which of the following photographs illustrate(s) the final needle position (point of insertion,
angulation, and depth) immediately prior to injection that will best accomplish complete local
anesthesia for this procedure? A short (20mm) needle is being used.
A. B.

C. D.

E. F.
STATION S19 – AFTERNOON SESSION
Using the case synopsis and photographs, answer the following question on the answer score
sheet.

CASE SYNOPSIS
To perform root canal therapy on 22 where standard local infiltration failed.

Question: 37 (Select ONE or MORE correct answers.)

Which of the following photographs illustrate(s) the correct final needle position (point of
insertion, angulation, and depth) immediately prior to injection that will best accomplish local
anesthesia for this procedure? A short (20 mm) needle is being used. Assume that anesthesia
is NOT required for rubber dam clamp placement.

A. B.

C. D.

E. F.
STATION S19 – AFTERNOON SESSION
Using the case synopsis and photographs, answer the following question on the answer score
sheet.

CASE SYNOPSIS
Extraction of 46

Question: 38 (Select ONE or MORE correct answers.)

Which of the following photographs illustrate(s) the correct final needle position (point of
insertion, angulation, and depth) immediately prior to injection that will best accomplish local
anesthesia for this procedure? A long (32mm) needle is being used.
A. B.

C. D.

E. F.

G. H.
STATION S20 – AFTERNOON SESSION
Using the case synopsis and photographs, answer the following question on the answer score
sheet.

CASE SYNOPSIS
Root canal therapy on tooth 44

Question: 39 (Select ONE or MORE correct answers.)

Which of the following photographs illustrate(s) the correct final needle position immediately
prior to injection that will best accomplish local anesthesia for this procedure?
A. B.

C. D.

E F.

G. H.
STATION S20 – AFTERNOON SESSION

DO NOT REMOVE FRAMEWORK FROM CAST.

Using the probe and cast framework provided, answer the following question on the answer
score sheet.

Question: 40 (Select ONE OR MORE CORRECT answers.)

The metal framework on the maxillary arch
A. is acceptable.
B. does not seat acceptably.
C. major connector too close to gingiva
D. has inadequate retention
E. has little relief under major connector
F. has excessive relieve under major connector
G. major connector is too narrow
H. major connector is too wide
I. has unacceptable polish
STATION S21 – AFTERNOON SESSION

Using MODEL provided, answer the following question

Question: 41 (Select ONE OR MORE correct answers.)

The access preparation is

A. acceptable
B. overextended buccally
C. overextended lingually
D. lacks straight line access on buccal canal
E. lacks straight line access on palatal canal
STATION S21 – AFTERNOON SESSION

Using the probe and cast, answer the following question on the answer score sheet.

Question: 42 (Select ONE OR MORE correct answers.)

The Full metal restoration on tooth 44
A. is acceptable.
B. is overcontoured on the labial/buccal.
C. is overcontoured on the lingual.
D. has (an) unacceptable interproximal contact(s).
E. is too long incisally/occlusally.
F. is too short incisally/occlusally.
G. is open on the mesial margin.
H. is open on the distal margin.
I. is open on the labial/buccal margin.
J. is open on the lingual margin.
STATION S22 – AFTERNOON SESSION
Using the case history, write a prescription for the most appropriate ANTIBIOTIC for this patient.
Patient Q

4549 Parent Ave.

Mississauga, ON L5B3U7

Patient Information:

Age: 45 Blood pressure: 140/90 mmHg

Gender: Male Pulse Rate: 72bpm

Height: 180 cm Respiration Rate: 16 /min

Weight: 90 kg (198 lb) Temperature: 39 C

Chief Complaint:

Pain in the right side

History of Chief Complaint:

Pain started few weeks ago, triggered by chewing

Dental History:

Visits the dentist regularly

Medical History:

Significant Findings: Diabetes, Hypertension

Current Medication: Metformin, Glyburide, hydrochlorothiazide

Allergies: Penicillin

Social/Family History:

Smoker (2 pack year)

Clinical Examination:

Significant Findings:

Extra-oral: tender right submandibular lymph nodes with slight swelling

Intra-oral: Grossly decayed 46

Write a prescription for the most appropriate ANTIBIOTIC for this patient. If a drug trade
name is used, the prescription must include the generic name.
STATION S22 – AFTERNOON SESSION
Patient Q

Question:43 (Value 4)

Oct. 20/2012

Patient Q

4549 Parent Ave.

Mississauga, ON

L5B3U7

Clindamycin 300 mg

Disp: 28 capsules

Sig: take 1 capsule p.o. qid until finished (for 7 days)

STATION S23 – AFTERNOON SESSION
Using the case history, write a prescription for the most appropriate ANALGESIC for this
patient.
Patient R

4549 Parent Ave.

Mississauga, ON

L5B3U7

Patient Information:

Age: 52 Blood pressure: 120/80 mmHg

Gender: Female Pulse Rate: 72bpm

Height: 180 cm Respiration Rate: 17 /min

Weight: 90 kg (198 lb) Temperature: 37 C

Chief Complaint:

Severe pain in lower left side that radiates to ear

History of Chief Complaint:

Pain started few days ago, lingering, patient can’t sleep at night

Dental History:

Visits the dentist regularly

Medical History:

Significant Findings: Stomach ulcer

Social/Family History:

NSF

Clinical Examination:

Significant Findings:

Extra-oral: NSF

Intra-oral: Deep mesial decay on 37

Write a prescription for the most appropriate ANALGESIC for this patient. If a drug trade
name is used, the prescription must include the generic name.
STATION S23 – AFTERNOON SESSION
Patient R

Question:44 (Value 4)

Oct. 20/2012
Patient R (Health Card XXX)

4549 Parent Ave.

Mississauga, ON

L5B3U7

Tylenol 3 (300 mg Acetaminophen, 30 mg codeine)

Disp: 20 (twenty) tablets

Sig: take 1-2 tablets p.o. q4-6h prn pain

License No. XXX