1000 MCQ's Dental ADC Waysem 2023 Questions and
Answers
1. For lower premolars, the purpose of inclining the handpiece lingually is to,
A. Avoid buccal pulp horn
B. Avoid lingual pulp horn
C. Remove unsupported enamel
D. Conserve lingual dentine
A. Avoid buccal pulp horn
Explanation
1- avoid BUCCAL pulp horn
2- conserve ling. dentine
So take A and B if available
2. For an amalgam restoration of a weakened cusp you should,
A. reduce cusp by 2mm on a flat base for more resistance
B. reduce cusp by 2mm following the outline of the cusp
C. reduce 2mm for retention form
B. reduce cusp by 2mm following the outline of the cusp
Explanation
F cusp = 0.5-1.5 mm acc. to occlusion.
Cracked cusp = FLAT BASE
3. Before filling a class V abrasion cavity with GIC you should,
A. Clean with pumice, rubber cup, water and weak acid
B. Dry the cavity thoroughly before doing anything
C. Acid itch cavity then dry thoroughly
A. Clean with pumice, rubber cup, water and weak acid
Explanation
also scraping with actual cavity prep.
4. Which of the following statement about the defective margins of amalgam
restorations is true?
A. The larger the breakdown, the greater the chance of decay.
A. The larger the breakdown, the greater the chance of decay.
Explanation
the larger the gap between the restoration and the tooth, the more the chance for rec.
decay --> replace don't repair.
,5. The retention pin in an amalgam restoration should be placed,
A. Parallel to the outer wall
B. Parallel to the long axis of tooth
A. Parallel to the outer wall
Explanation
RULE OF "2" ???
6. The most common cause of failure of the IDN "Inferior Dental Nerve" block is,
A. Injecting too low
B. Injecting too high
A. Injecting too low
Explanation
Failure of inferior alveolar nerve block:
1- Anatomical:
-accessory nerve supply (MH nerve, cervical cutaneous nerve C1, C2)
-variable, variation in course of nerve OR foramen position,
-bifid alveolar nerve or mandibular canal
2- Pathological: infection, inflammation, previous surgery; trismus
3- Pharmacological: chronic alcohol abuse, chronic narcotic drug abuse;
4- Psychological: fear, anxiety, apprehension;
5- Poor technique: this is the most common reason for failure. There are three most
commonly occurring problems with this technique:
-Inadequate mouth opening.
-Improper needle placement:
a) too low.
b) too far forward (laterally) or backward (medially) of the target area (need to insert the
needle just medial to the pterygomandibular raphe à depth of 20 to 25 mm)
-Haste: Waiting three to five minutes after the injection before starting the procedure.
7. Which one of the following is used in water fluoridation:
A. SnF
B. 1.23% APF
C. H2SiF
D. CaSiF
C. H2SiF
Explanation
Water fluoridation:
1- Hydrofluosilicic acid = H2SiF6 (not H2SiF2)
,2- Sodium silicofluoride = Na2SiF6
3- Sodium fluoride = NaF
8. The best way to clean a cavity before the placement of GIC is,
A. H2O2
B. Phosphoric Acid
C. Polyacrylic acid
C. Polyacrylic acid
Explanation
also called:
-Polycarboxylic acid
-Polyalkenoic acid
9. The most mineralised part of dentine is,
A. Peritubular dentine
A. Peritubular dentine
Explanation
NOT intertubular & NOT interglobular dentine.
10. A 45 years-old patient awoke with swollen face, puffiness around the eyes, and
oedema of the upper lip with redness and dryness. When he went to bed he had no
swelling, pain or dental complaints. Examination shows several deep silicate
restorations in the anterior teeth but examination is negative for caries, thermal tests,
percussion, palpation, pain, and periapical area of ramififaction. The patient's
temperature is normal. The day before he had a series of gastrointestinal x-rays at the
local hospital and was given a clean bill of health.
The condition is:
A. Acute periapical abscess
B. Angioneurotic oedema
C. Infectious mononucleosis
D. Acute maxillary sinusitis
E. Acute apical periodontitis
B. Angioneurotic oedema
Angioedma (Type I Allergy) reaction to contrast media.
11. Internal resorption is,
A. Radiolucency over unaltered canal
B. Usually in a response to trauma
C. Radiopacity over unaltered canal
B. Usually in a response to trauma
12. On replantation of an avulsed tooth you could
, A. Surface resorption, external resorption
B. Internal resorption
C. Inflammatory resorption
D. Replacement resorption
E. A, C and D
F. All of the above
E. A, C and D
Explanation
(B) Internal resorption doesn't follow avulsion/replantation.
16. What is the sequence from superficial to the deepest in dentine caries?
A. Zone of bacterial penetration, demineralisation, sclerosis, reparative dentine
B. Zone of bacterial penetration, reparative dentine, demineralisation, sclerosis.
C. Zone of bacterial penetration, sclerosis, reparative dentine, demineralisation.
A. Zone of bacterial penetration, demineralisation, sclerosis, reparative dentine
Explanation
Zones of Dentine Caries (from superficial to deep):
Decomposed dentine (V)
Bacterial penetration (IV)
Demineralisation (III)
Dentinal sclerosis (II)
Fatty degeneration (I)
--> Reparative dentine (in pulp)
17. The nerve supply of the pulp is composed of which type of nerve fibres?
A. Afferent & sympathetic
A. Afferent & sympathetic
Explanation
1-Autonomic nerve fibers (sympathetic only): They innervate the smooth muscle cells of
the arterioles and therefore function in regulation of blood flow in the capillary network.
2-Afferent (sensory) fibers: These arise from trigeminal n.
Dentin sensitivity is explained by the 'hydrodynamic theory' = Movement of fluid in DT à
activation of small, myelinated Aδ fibers causing sharp pain.
Injury and inflammation later lead to the activation of unmyelinated C fibers (dull ache
sensation), which are found in the Sub-odontoblastic layer and the deep pulp.
13. The percentage of total dentine surface / dentinal tubules 0.5mm away from pulp
is,
A. 20%
B. 50%
The diameter and density of dentinal tubules (DT) are greatest near the pulp. DT have a
diameter of 3 μm near the pulp, 1.2 μm in the middle of the dentin, and 0.8 μm at DEJ.
Answers
1. For lower premolars, the purpose of inclining the handpiece lingually is to,
A. Avoid buccal pulp horn
B. Avoid lingual pulp horn
C. Remove unsupported enamel
D. Conserve lingual dentine
A. Avoid buccal pulp horn
Explanation
1- avoid BUCCAL pulp horn
2- conserve ling. dentine
So take A and B if available
2. For an amalgam restoration of a weakened cusp you should,
A. reduce cusp by 2mm on a flat base for more resistance
B. reduce cusp by 2mm following the outline of the cusp
C. reduce 2mm for retention form
B. reduce cusp by 2mm following the outline of the cusp
Explanation
F cusp = 0.5-1.5 mm acc. to occlusion.
Cracked cusp = FLAT BASE
3. Before filling a class V abrasion cavity with GIC you should,
A. Clean with pumice, rubber cup, water and weak acid
B. Dry the cavity thoroughly before doing anything
C. Acid itch cavity then dry thoroughly
A. Clean with pumice, rubber cup, water and weak acid
Explanation
also scraping with actual cavity prep.
4. Which of the following statement about the defective margins of amalgam
restorations is true?
A. The larger the breakdown, the greater the chance of decay.
A. The larger the breakdown, the greater the chance of decay.
Explanation
the larger the gap between the restoration and the tooth, the more the chance for rec.
decay --> replace don't repair.
,5. The retention pin in an amalgam restoration should be placed,
A. Parallel to the outer wall
B. Parallel to the long axis of tooth
A. Parallel to the outer wall
Explanation
RULE OF "2" ???
6. The most common cause of failure of the IDN "Inferior Dental Nerve" block is,
A. Injecting too low
B. Injecting too high
A. Injecting too low
Explanation
Failure of inferior alveolar nerve block:
1- Anatomical:
-accessory nerve supply (MH nerve, cervical cutaneous nerve C1, C2)
-variable, variation in course of nerve OR foramen position,
-bifid alveolar nerve or mandibular canal
2- Pathological: infection, inflammation, previous surgery; trismus
3- Pharmacological: chronic alcohol abuse, chronic narcotic drug abuse;
4- Psychological: fear, anxiety, apprehension;
5- Poor technique: this is the most common reason for failure. There are three most
commonly occurring problems with this technique:
-Inadequate mouth opening.
-Improper needle placement:
a) too low.
b) too far forward (laterally) or backward (medially) of the target area (need to insert the
needle just medial to the pterygomandibular raphe à depth of 20 to 25 mm)
-Haste: Waiting three to five minutes after the injection before starting the procedure.
7. Which one of the following is used in water fluoridation:
A. SnF
B. 1.23% APF
C. H2SiF
D. CaSiF
C. H2SiF
Explanation
Water fluoridation:
1- Hydrofluosilicic acid = H2SiF6 (not H2SiF2)
,2- Sodium silicofluoride = Na2SiF6
3- Sodium fluoride = NaF
8. The best way to clean a cavity before the placement of GIC is,
A. H2O2
B. Phosphoric Acid
C. Polyacrylic acid
C. Polyacrylic acid
Explanation
also called:
-Polycarboxylic acid
-Polyalkenoic acid
9. The most mineralised part of dentine is,
A. Peritubular dentine
A. Peritubular dentine
Explanation
NOT intertubular & NOT interglobular dentine.
10. A 45 years-old patient awoke with swollen face, puffiness around the eyes, and
oedema of the upper lip with redness and dryness. When he went to bed he had no
swelling, pain or dental complaints. Examination shows several deep silicate
restorations in the anterior teeth but examination is negative for caries, thermal tests,
percussion, palpation, pain, and periapical area of ramififaction. The patient's
temperature is normal. The day before he had a series of gastrointestinal x-rays at the
local hospital and was given a clean bill of health.
The condition is:
A. Acute periapical abscess
B. Angioneurotic oedema
C. Infectious mononucleosis
D. Acute maxillary sinusitis
E. Acute apical periodontitis
B. Angioneurotic oedema
Angioedma (Type I Allergy) reaction to contrast media.
11. Internal resorption is,
A. Radiolucency over unaltered canal
B. Usually in a response to trauma
C. Radiopacity over unaltered canal
B. Usually in a response to trauma
12. On replantation of an avulsed tooth you could
, A. Surface resorption, external resorption
B. Internal resorption
C. Inflammatory resorption
D. Replacement resorption
E. A, C and D
F. All of the above
E. A, C and D
Explanation
(B) Internal resorption doesn't follow avulsion/replantation.
16. What is the sequence from superficial to the deepest in dentine caries?
A. Zone of bacterial penetration, demineralisation, sclerosis, reparative dentine
B. Zone of bacterial penetration, reparative dentine, demineralisation, sclerosis.
C. Zone of bacterial penetration, sclerosis, reparative dentine, demineralisation.
A. Zone of bacterial penetration, demineralisation, sclerosis, reparative dentine
Explanation
Zones of Dentine Caries (from superficial to deep):
Decomposed dentine (V)
Bacterial penetration (IV)
Demineralisation (III)
Dentinal sclerosis (II)
Fatty degeneration (I)
--> Reparative dentine (in pulp)
17. The nerve supply of the pulp is composed of which type of nerve fibres?
A. Afferent & sympathetic
A. Afferent & sympathetic
Explanation
1-Autonomic nerve fibers (sympathetic only): They innervate the smooth muscle cells of
the arterioles and therefore function in regulation of blood flow in the capillary network.
2-Afferent (sensory) fibers: These arise from trigeminal n.
Dentin sensitivity is explained by the 'hydrodynamic theory' = Movement of fluid in DT à
activation of small, myelinated Aδ fibers causing sharp pain.
Injury and inflammation later lead to the activation of unmyelinated C fibers (dull ache
sensation), which are found in the Sub-odontoblastic layer and the deep pulp.
13. The percentage of total dentine surface / dentinal tubules 0.5mm away from pulp
is,
A. 20%
B. 50%
The diameter and density of dentinal tubules (DT) are greatest near the pulp. DT have a
diameter of 3 μm near the pulp, 1.2 μm in the middle of the dentin, and 0.8 μm at DEJ.
