<Q>Regarding the dental surveyor select the incorrect answer: <S>Y <C>A dental surveyor is used to determine the

path of insertion. <C>A dental surveyor can be used by the dentist and the technician. <C+>The surveyor is used to determine the maximum convexity of teeth only <C>It is an essential instrument for proper designing a RPD <Q>Which of the following statements is incorrect regarding guiding planes: 1. 2. 3. 4. They are used to limit the path of insertion. They dont always need to be prepared Guiding plane adjacent to a free end saddle should be 4mm in length Guiding planes are determined at the surveying procedure of the primary cast.

<C>1+2 <C>1+2+3 <C>2+3+4 <C>2+3 <C+>3 only <Q>With regard to cast tilting select the correct answer: <S>N <C>Tilting the cast should be the first choice for selecting the path of insertion. <C+>Surveying at zero tilt should be performed for every case. <C>Tilting the cast will always insure the presence of retentive undercuts for clasps. <C>Tilting the cast cannot eliminate soft tissue undercuts. <C>None of the above <Q>Which of the following lever systems is considered to be the most damaging to the abutment tooth? <S>Y <C+>Class I <C>Class II <C>Class III <Q>(1) Periodontal ligament fibers are arranged to resist axial forces more effectively than non-axial forces. (2) Therefore, a Class III RPD is better than a free end saddle RPD in terms of force direction on abutment teeth. First statement is___________, second statement is_____________. <S>Y <C+>correct, correct <C>false, correct <C>correct, false <C>false, false <Q>the retentive tip of the clasp is placed in the middle third to reduce the torquing effect on the abutment tooth. <S>Y <C+>False <C>True <Q>A free-end saddle RPD differs from a bounded saddle RPD in <S>Y <C>Support <C>Indirect retention <C>Clasp design <C>Denture base considerations <C+>All of the other choices (above and below) <Q>A periodontally weakened abutment could : <S>Y

<C>Affect the clasp type <C>Affect RPD design <C>Affect RPD support <C+>All of the other choices <Q>All of the following are borders of the buccal shelf area except: <S>Y <C>External oblique ridge <C+>Masseter muscle <C>Retromolar pad <C>Buccal frenum <C>The crest of the residual ridge <Q>Regarding retromylohyoid fossa: <S>Y <C>It is the key support area in the mandible <C>It is bounded anteriorly by the superior constrictor muscle <C>It is bounded laterally by the tongue <C+>It is distal and lateral to the internal oblique ridge <C>It is not essential for retention <Q>Regarding the genial tubercles: <S>N <C>They are the insertion of multiple muscles <C>They need relief in the denture in the very resorbed ridges <C>They are almost in the midline of the mandible <C>They are bony prominences covered by thin soft tissues <C+>All of the above <Q>The distal extension of your lower complete denture could be affected by: <S>N <C> The superior constrictor muscle <C>the palatoglossus muscle <C>The pterygomandibular raphae <C>The ramus <C+>All of the above <Q>When considering the clinical scenario known as Combination (Kellys) Syndrome, all of the following are true EXCEPT: <S>N <C>This scenario is most commonly associated with a fully edentulous mandibular arch opposed by a partially edentulous maxillary arch (Kennedy Class I). <C>It is helpful to maintain maxillary anterior teeth (even as overdenture abutments) to prevent this clinical scenario from occurring. <C>This syndrome results mainly from an imbalance in loading and support between the dentate and edentulous portions of the opposing arches. <C>This syndrome is a common clinical scenario when the patient is fully edentulous in both arches. <C>a and c <C+>a and d <C>b and d <Q>Overdenture abutments are favorable for all of the following reasons, EXCEPT: <S>Y <C>They reduce residual ridge resorption <C>They provide the patient with improved proprioceptive feedback during mastication <C>They provide the psychological advantage of natural feeling for the patient <C>They provide improved support for the overdenture <C+>None of the other choices (above and below) <Q>Which of the following is TRUE regarding natural overdenture abutment without attachments? a. Overdenture abutments should passively contact the denture during rest

b. c. d.

Overdenture abutments should contact the denture only during function The height of the abutment should be at the level of the gingiva The root canal should always be endodontically treated

<S>N <C+>A+B <C>B+C <C>A+C <C>A+B+C <C>All of the above <Q>The rate of residual ridge resorption (after the first year of edentulousness is generally greater in the mandibular residual ridge than the maxillary. How much greater? <S>Y <C>2 times greater <C>3 times greater <C+>4 times greater <C>5 times greater <C>The statement is incorrect. The rate of bone resorption in the mandibular residual ridge is the same as the rate of bone resorption in the maxillary residual ridge <Q>Which of the following clinical situations usually has the poorest prognosis? <S>N <C>Maxillary single complete denture opposing full natural mandibular dentition <C>Maxillary single complete denture opposing mandibular Kennedy Class I RPD <C>Maxillary single complete denture opposing mandibular Kennedy Class IV RPD <C+>Mandibular single complete denture opposing full natural maxillary dentition <C>a and b <C>b an c <Q>Hanau described five factors that affect occlusion in complete dentures. If a patient is to wear a single complete denture opposing a fully dentate arch and we desire a balanced occlusal scheme, which of the following factors is it most practical to adjust in the complete denture: <S>Y <C>Condylar guidance <C>Occlusal plane <C+>Cusp height/ angle <C>Incisal guidance <C>Compensating curves <Q>When considering the material to use for the artificial teeth in a single complete denture opposing natural dentition, all of the following statements are true EXCEPT: <S>N <C>Acrylic resin artificial teeth bond chemically to the denture base acrylic and are easy to adjust and reshape. <C>Although porcelain artificial teeth are difficult to adjust, they have the advantage of causing less wear (abrasion) to opposing natural teeth than acrylic. <C>Although cast metal occlusal surfaces can be custom designed to match to opposing natural teeth, the technique is often expensive and time-consuming. <C>Amalgam stops are placed in the occlusal surfaces of artificial porcelain teeth to reduce the wear of the porcelain by the natural teeth. <C>a and c <C+>b and d <Q>If a patient has Combination syndrome it is probable that we will see all of the following EXCEPT : <S>Y <C>Anterior rotation of the mandible during occlusion (Class III / prognathic relationship) <C>Papillary hyperplasia of palatal soft tissue <C>Reduction of the Vertical Dimension of Occlusion <C>Maxillary anterior residual ridge resorbs and replaced by resilient flabby ridge <C>Occlusal plane tilts anteroposteriorly: anteriorly upwards and posteriorly downwards

<C+>Pendulous overgrowth of the retromolar pads <C>Epulis Fissuratum in maxillary labial vestibule <Q>According to Monsons Spherical Theory of Occlusion, a number of occlusal landmarks lie on the surface of a 10 cm radius sphere with its center in the region of the glabella. These landmarks include all of the following EXCEPT: <S>Y <C+>The labial gingival margins of the mandibular central incisors <C>The centers of rotation of the mandibular condyles <C>The cusp tips of the mandibular second molars <C>Points approximately between the bottom two-thirds and top one-third of the mandibular retromolar pads <C>Points approximately at the mesial slope inclines of the mandibular canines <Q>According to Attwood classification of ridges, Class IV is: <S>Y <C>Good ridge without extraction. <C>Immediate post extraction. <C+>Knife edge ridge <C>Well-rounded ridge form <C>Negative or concave form. <Q>The most favorable ridge contour for complete denture is: <S>Y <C+>High ridge with flat crest and parallel sides. <C>V shaped. <C>Knife edge. <C>Flat ridge. <C>Ridge with multiple spicules.

<Q>When making the final impression of the lower edentulous arch, the patient is asked to exert a closing force while the dentist exerts a downward pressure. This is to activate: <S>Y <C>The masseter <C>The Pterygo mandibular raphe <C>The Pterygo mandibular raphe and the masseter <C>Medial Pterygoid and the Pterygomandibular raphe. <C+>The masseter and medial pterygoid. <Q>Once a stable and retentive peripheral seal is achieved and appropriate spacing is incorporated, your choice of the final impression material for complete denture would be: <S>Y <C>addition silicone <C>polyether. <C>zinc oxide eugenol. <C>alginate. <C+>secondary importance and dependant on the dentist preference. <Q>Your impression technique of choice for ridges that equate to Atwood class V and VI is: <S>Y <C+>Admix <C>Conventional technique. <C>Mucostatic impression on the ridge and mucocompressive else where <Q>The final impression is taken with green stick tracing compound. Using the heated spoon -end of a Le Cron carver, the green stick related to the crestal ridge is removed and the related area of the tray is perforated. Light-body Poly Vinyl Siloxane is injected into the buccal and lingual shelves of the green stick and the tray is gently inserted in the mouth . This is a description of the impression technique used for : <S>Y <C+>The fibrous (un-employed) posterior mandibular ridge.

<C>Flabby ridge <C>Atwwod class V lower ridge. <C>Immediate dentures. <C>Neutral Zone technique. <Q>With regard to the Neutral Zone technique, when do you record the Vertical Dimension (VD)? <S>Y <C+>Before the clinical stage of the neutral zone impression. <C>The VD is recorded at the same visit of recording the neutral zone. <C>The VD is recorded in a separate visit after recording the neutral zone. <C>The VD is recorded in the Try-in visit. <Q>Which of the following is LEAST likely to cause a traumatic denture ulcer: <S>Y <C>ill-fitting denture <C>bleb of acrylic (positive) on the fitting surface of a new denture <C>internal acrylic porosity <C>premature occlusal contact <C>food entrapment under a denture <C>short denture flange <C>a+c <C+>c+f <C>b+d <C>e+f <Q>Which of the following is LEAST likely to cause inflammatory papillary hyperplasia: <S>Y <C>relief chamber in the maxillary denture <C>continuous 24-hour wearing of the denture <C>ill-fitting denture (combination syndrome) <C>poor occlusion that causes denture base movement <C+>single mandibular denture <Q>Which of the following is LEAST likely to cause epulis fissuratum: <S>Y <C>over-extended flanges of new dentures <C> continual ridge resorption that allows the denture flanges of existing dentures to dig into the buccal/labial vestibule <C>inadequate border molding <C+>lack of peripheral seal in the maxillary denture <Q>Which of the following statements is inaccurate: <S>Y <C>Type I denture stomatitis (candidosis) presents as a localized simple inflammation or pinpoint hyperemia <C>Type II denture stomatitis (candidosis) presents as diffuse erythema involving part of all of the dentrure covered mucosa <C+>Diagnosis of denture stomatitis (candidosis) can be confirmed by direct smear from the denture and identification of Candida albicans spores <C>Denture stomatitis (candidosis) often occurs in patients with predisposing factors such as xerostomia <Q>Which of the following statements regarding angular chielitis is FALSE: <S>Y <C>moderately painful fissured encrusted lesions at the commissures of the mouth <C+>associated with increased vertical dimension of occlusion <C>frequently associated with both Candidal and secondary bacterial (Staphylococcal) infection <C>often associated with underlying immune dysfunction <C>infection starts under complete denture prosthesis and spreads via saliva to the skin folds at the angles of the mouth

<Q>Diagnosis of the underlying cause of burning mouth syndrome is difficult and frustrating for the doctor because there are too many clinical signs. <S>N <C>TRUE <C+>FALSE <Q>V-shaped palatal vault is often associated with Class III posterior palatal form leading to improved in peripheral seal in maxillary complete dentures. <S>N <C>TRUE <C>FALSE <Q>It is important not to look at a patients previous ill -fitting dentures, because such dentures will cause us to repeat the same errors in the new dentures. <S>N <C>TRUE <C+>FALSE <Q>Impressions for rebasing of existing complete dentures are made without using a closed mouth impression technique. In the final rebased dentures, which of the following error is most likely to occur: <S>Y <C>premature occlusal contact on the anterior teeth <C>premature occlusal contact on the right side of the mouth if the operator is left-handed <C>premature occlusal contact on the right side of the mouth if the operator is right-handed <C+>premature occlusal contact on the posterior teeth <C>reduced overall vertical dimension of occlusion <Q>Tissue conditioner can be used both (1) as a functional impression material and (2) to allow the soft tissue to heal before permanent relining and rebasing procedures are performed. <S>N <C+>TRUE <C>FALSE <Q> Which of the following statements is FALSE regarding relining and rebasing: <S>Y <C+>Chairside relining involves the use of zinc-oxide eugenol impression paste <C>A common problem during relining is correct orientation of the dentures during the impression/ relining procedure <C>Impressions for relining and rebasing are usually performed using closed -mouth impression techniques <C>Occlusal pivots may be used to re-establish the correct vertical dimension of occlusion after excessive tooth wear and residual ridge resorption <Q>Maxillary complete dentures require relining only slightly more often than mandibular complete dentures. <S>N <C>TRUE <C+>FALSE <Q>Which of the following statements is FALSE regarding relining and rebasing: <S>Y <C+>Rebasing is a procedure which involves resurfacing the tissue side of a denture with new base material to make it fit more accurately <C>Rebasing is a procedure in which the teeth of the existing teeth are retained <C>Relining is not a useful procedure when a change in vertical dimension of occlusion is necessary <C>Immediate dentures usually require a reline within one year of extractions <C>Mandibular dentures often require a reline every 3 5 years <Q>An edentulous patient has residual ridge undercuts. If alveoplasty surgery is performed, it is advisable to remove only half of the alveolar bone creating the undercut. <S>N

<C+>TRUE <C>FALSE <Q>Which of the following statements is TRUE regarding preprosthetic surgery in edentulous patients: a. Autogenous hydroxyapatite can be used to augment and rebuild a resorbed ridge but may result in migration of the particles b. Autogenous iliac crest block graft is effective in rebuilding resorbed ridges but may limit interocclusal space c. Autogenous inferior border rib grafts may be used to augment resorbed mandibles, but may interfere with an ideal occlusal plane d. Autogenous bone may resorb as much as 80 per cent within the first ten years after grafting <S>Y <C>A + B + C + D <C+>B + D <C>A + B + C <C>A + B + D <C>A + D <Q>In Mucosal Advancement Vestibuloplasty, the mucosa of the vestibule is used to line one side of the extended vestibule, and the other side heals by growth of a new epithelial surface. <S>N <C>TRUE <C+>FALSE <Q>Which of the following statements is TRUE: a. Palatal tori should always be removed surgically because they interfere with denture retention b. Hyperplastic tuberosities are easy to remove surgically because they consist of healthy alveolar bone c. All other treatment options should be tried before surgically removing inflammatory papillary hyperplasia d. Surgical removal of palatal tori may result in hematoma formation if a surgical stent is not used <S>Y <C>A + B <C+>C + D <C>B + C + D <C>A + C <C>B + D <Q>A patient has a single maxillary denture opposing natural lower anterior teeth and a Kennedy Class I RPD. The patient has flabby resilient tissue in the anterior maxilla. Which of the following treatment options would provide the best future prognosis. <S+> <C>Remove the flabby resilient tissue surgically <C+>Place a bone graft and implants in the maxillary anterior region <C>Extract the lower remaining natural teeth <C>Remake a new maxillary denture using a special impression technique <C>Perform vestibuloplasty surgery in the maxaillary labial sulcus <Q>Which of the following is NOT an indication for pre-prosthetic surgery <S>Y <C>Pendulous maxillary tuberosities <C>Pressure on the mental nerve/foramen <C>Epulis fissuratum that does not respond to non-surgical treatment <C+>Type II denture stomatitis <C>Unfavorable frenum attachment (close to crest of residual ridge) <Q>Which of the following statements is TRUE: <S>Y

<C+>Excessive space under overdentures over the gingival margins of abutment teeth may lead to the development of dead space which may lead to gingival inflammation and hypertrophy <C>Reducing the tooth height creates an unfavorable crown:root ratio for overdenture abutments <C>Fortunatley, the exposed dentine of overdenture abutments is naturally resistant to caries <C>Gold copings that cover overdenture abutments are the most effective means to prevent caries in these abutments <Q>Which of the following are possible problems associated with overdentures? a. Reduced inter-arch space for the setting of teeth b. Increased labial fullness of the abutments c. Weakening and fracture of the denture base over the abutment d. Recurrent caries of natural overdenture abutments <S>N <C>A+B <C>A+B+D <C+>All of the above <Q>Regarding overdentures, which of the following is TRUE: <S>N <C>Canine abutments are the most commonly used overdenture abutments <C>Incisor overdenture abutments help restore natural labial fullness <C>Canine abutments may result in over-contoured labial flanges <C>A + B <C>B + C <C+>A + C <C>A + B + C

<Q>The rate of residual ridge resorption is generally greater in the mandibular residual ridge than the maxillary. How much greater? <S>Y <C+>2 times greater <C>3 times greater <C>4 times greater <C>5 times greater <C>The statement is incorrect. The rate of bone resorption in the mandibular residual ridge is the same as the rate of bone resorption in the maxillary residual ridge <Q>Which of the following clinical situations usually has the poorest prognosis? <S>N <C>Maxillary single complete denture opposing full natural mandibular dentition <C>Maxillary single complete denture opposing mandibular Kennedy Class I RPD <C>Maxillary single complete denture opposing mandibular Kennedy Class IV RPD <C+>Mandibular single complete denture opposing full natural maxillary dentition <C>a and b <C>b an c <Q>Hanau described five factors that affect occlusion in complete dentures. If a patient is to wear a single complete denture opposing a fully dentate arch and we desire a balanced occlusal scheme, which of the following factors is it most practical to adjust in the complete denture: <S>Y <C>Condylar guidance <C>Occlusal plane <C+>Cusp height/ angle <C>Incisal guidance <C>Compensating curves <Q>When considering the clinical scenario known as Combination (Kellys) Syndrome, all of the following are true EXCEPT: <S>N

<C>This scenario is most commonly associated with a fully edentulous mandibular arch opposed by a partially edentulous maxillary arch (Kennedy Class I). <C>It is helpful to maintain maxillary anterior teeth (even as overdenture abutments) to prevent this clinical scenario from occurring. <C>This syndrome results mainly from an imbalance in loading and support between the dentate and edentulous portions of the opposing arches. <C>This syndrome is a common clinical scenario when the patient is fully edentulous in both arches. <C+>a and c <C>a and d <C>b and d <Q>When considering the material to use for the artificial teeth in a single complete denture opposing natural dentition, all of the following statements are true EXCEPT: <S>N <C>Acrylic resin artificial teeth bond chemically to the polymethyl-methacrylate (PMMA) denture base and are easy to adjust and reshape. <C>Although porcelain artificial teeth are difficult to adjust, they have the advantage of causing less wear (abrasion) to opposing natural teeth than acrylic. <C>Although cast metal occlusal surfaces can be custom designed to match to opposing natural teeth, the technique is often expensive and time-consuming. <C>Amalgam stops are placed in the occlusal surfaces of artificial porcelain teeth to reduce the wear of the porcelain by the natural teeth. <C>a and c <C+>b and d <Q>If a patient has Combination syndrome it is probable that we will see all of the following EXCEPT: <S>Y <C>Anterior rotation of the mandible during occlusion (Class III / prognathic relationship) <C>Papillary hyperplasia of palatal soft tissue <C>Reduction of the Vertical Dimension of Occlusion <C>Maxillary anterior residual ridge resorbs and replaced by resilient flabby ridge <C>Occlusal plane tilts anteroposteriorly: anteriorly upwards and posteriorly downwards <C+>Pendulous overgrowth of the retromolar pads <C>Epulis Fissuratum in maxillary labial vestibule <Q>According to Monsons Spherical Theory of Occlusion, a number of occlusal landmarks lie on the surface of a 10 cm radius sphere with its center in the region of the glabella. These landmarks include all of the following EXCEPT: <S>Y <C+>The labial gingival margins of the mandibular central incisors <C>The centers of rotation of the mandibular condyles <C>The cusp tips of the mandibular second molars <C>Points approximately between the bottom two-thirds and top one-third of the mandibular retromolar pads <C>Points approximately at the mesial slope inclines of the mandibular canines <Q>According to Attwood classification of ridges, Class IV is: <S>Y <C>Good ridge without extraction. <C>Immediate post extraction. <C+>Knife edge ridge <C>Well-rounded ridge form <C>Negative or concave form. <Q>The most favorable ridge contour for complete denture is: <S>Y <C+>High ridge with flat crest and parallel sides. <C>V shaped. <C>Knife edge. <C>Flat ridge. <C>Ridge with multiple specules.

<Q>The retromylohyoid distal extension of the lower denture is limited by all of the following except: <S>Y <C+>Mylohyoid muscle <C>Ramus <C>Buccinator. <C>Pterygo mandibular raphe. <C>Superior constrictor. <Q>When making the final impression of the lower edentulous arch, the patient is asked to exert a closing force while the dentist exerts a downward pressure. This is to activate: <S>Y <C>The masseter <C>The Pterygo mandibular raphe <C>The Pterygo mandibular raphe and the masseter <C>Medial Pterygoid and the Pterygomandibular raphe. <C+>The masseter and medial pterygoid. <Q>Once a stable and retentive peripheral seal is achieved and appropriate spacing is incorporated, your choice of the final impression material for complete denture would be: <S>Y <C>addition silicone <C>polyether. <C>zinc oxide eugenol. <C>alginate. <C+>secondary importance and dependant on the dentist preference. <Q>. Your impression technique of choice for ridges that equate to Atwood class V and VI is: <S>Y <C+>Admix <C>Conventional technique. <C>Mucostatic impression on the ridge and mucocompressive else where <Q>The final impression is taken with green stick tracing compound. Using the heated spoon-end of a Le Cron carver, the green stick related to the crestal ridge is removed and the related area of the tray is perforated. Light-body Poly Vinyl Siloxane is injected into the buccal and lingual shelves of the green stick and the tray is gently inserted in the mouth . This is a description of the impression technique used for : <S>Y <C+>.The fibrous (un-employed) posterior mandibular ridge. <C>Flabby ridge <C>Atwwod class V lower ridge. <C>Immediate dentures. <C>Neutral Zone technique. <Q>With regard to the Neutral Zone technique, when do you record the Vertical Dimension (VD)? <S>Y <C+>Before the clinical stage of the neutral zone impression. <C>The VD is recorded at the same visit of recording the neutral zone. <C>The VD is recorded in a separate visit after recording the neutral zone. <C>The VD is recorded in the Try-in visit. <Q>Which of the following is LEAST likely to cause a traumatic denture ulcer: <S>Y <C>ill-fitting denture <C>bleb of acrylic (positive) on the fitting surface of a new denture <C>premature occlusal contact <C>food entrapment under a denture <C+>short denture flange <Q>Which of the following is LEAST likely to cause inflammatory papillary hyperplasia: <S>Y

<C>relief chamber in the maxillary denture <C>continuous 24-hour wearing of the denture <C>ill-fitting denture (combination syndrome) <C>poor occlusion that causes denture base movement <C+>single mandibular denture <Q>Which of the following is LEAST likely to cause epulis fissuratum: <S>Y <C>over-extended flanges of new dentures <C> continual ridge resorption that allows the denture flanges of existing dentures to dig into the buccal/labial vestibule <C>inadequate border molding <C+>lack of peripher seal in the maxillary denture <Q>Which of the following statements is inaccurate: <S>Y <C>Type I denture stomatitis (candidosis) presents as a localized simple inflammation or pinpoint hyperemia <C>Type II denture stomatitis (candidosis) presents as diffuse erythema involving part of all of the dentrure covered mucosa <C+>Diagnosis of denture stomatitis (candidosis) can be confirmed by direct smear from the denture and identification of Candida albicans spores <C>Denture stomatitis (candidosis) often occurs in patients with predisposing factors such as xerostomia <Q>Which of the following statement regarding angular chielitis is FALSE: <S>Y <C>moderately painful fissured encrusted lesions at the commissures of the mouth <C+>associated with increased vertical dimension of occlusion <C>frequently associated with both Candidal and secondary bacterial (Staphylococcal) infection <C>often associated with underlying immune dysfunction <C>infection starts under complete denture prosthesis and spreads via saliva to the skin folds at the angles of the mouth <Q>All of the following are part of the routine management of denture stomatitis (candidosis), EXCEPT: <S>Y <C>correct ill-fitting dentures or fabricate new ones <C>improve oral and denture hygiene <C>antifungal therapy <C+>complete surgical excision of infected mucosa <Q>Diagnosis of the underlying cause of burning mouth syndrome is difficult and frustrating for the doctor because there are too many clinical signs. <S>N <C>TRUE <C+>FALSE <Q>Burning mouth syndrome is most common in middle-aged females <S>N <C+>TRUE <C>FALSE <Q>V-shaped palatal vault is often associated with Class III posterior palatal form leading to improved in peripheral seal in maxillary complete dentures. <S>N <C>TRUE <C+>FALSE <Q>Accordin/g to Houses classification of mental attitude, a Skeptical patient is a patient who seeks treatment because a friend or relative has encouraged them to do so. <S>N <C>TRUE

<C+>FALSE <Q>It is often more difficult to set complete denture teeth for patients who have had recent extractions than patients who have been edentulous for several years <S>N <C+>TRUE <C>FALSE <Q>It is important not to look at a patients previous ill -fitting dentures, because such dentures will cause us to repeat the same errors in the new dentures. <S>N <C>TRUE <C+>FALSE <Q>Impressions for rebasing of existing complete dentures are made without using a closed mouth impression technique. In the final rebased dentures, which of the following error is most likely to occur: <S>Y <C>premature occlusal contact on the anterior teeth <C>premature occlusal contact on the right side of the mouth if the operator is left-handed <C>premature occlusal contact on the right side of the mouth if the operator is right-handed <C+>premature occlusal contact on the posterior teeth <C>reduced overall vertical dimension of occlusion <Q>Tissue conditioner can be used both (1) as a functional impression material and (2) to allow the soft tissue to heal before permanent relining and rebasing procedures are performed. <S>N <C+>TRUE <C>FALSE <Q> Which of the following statements is FALSE regarding relining and rebasing: <S>Y <C+>Chairside relining involves the use of zinc-oxide eugenol impression paste <C>A common problem during relining is correct orientation of the dentures during the impression/ relining procedure <C>Impressions for relining and rebasing are usually performed using closed -mouth impression techniques <C>Occlusal pivots may be used to re-establish the correct vertical dimension of occlusion after excessive tooth wear and residual ridge resorption <Q>Maxillary complete dentures require relining only slightly more often than mandibular complete dentures. <S>N <C>TRUE <C+>FALSE <Q>Which of the following statements is FALSE regarding relining and rebasing: <S>Y <C+>Rebasing is a procedure which involves resurfacing the tissue side of a denture with new base material to make it fit more accurately <C>Rebasing is a procedure in which the teeth of the existing teeth are retained <C>Relining is not a useful procedure when a change in vertical dimension of occlusion is necessary <C>Immediate dentures usually require a reline within one year of extractions <C>Mandibular dentures often require a reline every 3 5 years <Q>An edentulous patient has residual ridge undercuts. If alveoplasty surgery is performed, it is advisable to remove only half of the alveolar bone creating the undercut. <S>N <C+>TRUE <C>FALSE <Q>Which of the following statements is TRUE regarding preprosthetic surgery in edentulous patients:

e. f. g. h.

Autogenous hydroxyapatite can be used to augment and rebuild a resorbed ridge but may result in migration of the particles Autogenous iliac crest block graft is effective in rebuilding resorbed ridges but may limit interocclusal space Autogenous inferior border rib grafts may be used to augment resorbed mandibles, but may interfere with an ideal occlusal plane Autogenous bone may resorb as much as 80 per cent within the first ten years after grafting

<S>Y <C>A + B + C + D <C>B + D <C>A + B + C <C>A + B + D <C>A + D <Q>In Mucosal Advancement Vestibuloplasty, the mucosa of the vestibule is used to line one side of the extended vestibule, and the other side heals by growth of a new epithelial surface. <S>N <C>TRUE <C+>FALSE <Q>Which of the following statements is TRUE: e. Palatal tori should always be removed surgically because they interfere with denture retention f. Hyperplastic tuberosities are easy to remove surgically because they consist of healthy alveolar bone g. All other treatment options should be tried before surgically removing inflammatory papillary hyperplasia h. Surgical removal of palatal tori may result in hematoma formation if a surgical stent is not used <S>Y <C>A + B <C+>C + D <C>B + C + D <C>A + C <C>B + D

<Q>A patient has a single maxillary denture opposing natural lower anterior teeth and a Kennedy Class I RPD. The patient has flabby resilient tissue in the anterior maxilla. Which of the following treatment options would provide the best future prognosis. <S+> <C>Remove the flabby resilient tissue surgically <C+>Place a bone graft and implants in the maxillary anterior region <C>Extract the lower remaining natural teeth <C>Remake a new maxillary denture using a special impression technique <C>Perform vestibuloplasty surgery in the maxaillary labial sulcus <Q>Which of the following is NOT an indication for pre-prosthetic surgery <S>Y <C>Pendulous maxillary tuberosities <C>Pressure on the mental nerve/foramen <C>Epulis fissuratum that does not respond to non-surgical treatment <C+>Type II denture stomatitis <C>Unfavorable frenum attachment (close to crest of residual ridge) <Q>Which of the following statements is TRUE: <S>Y <C+>Excessive space under overdentures over the gingival margins of abutment teeth may lead to the development of dead space which may lead to gingival inflammation and hypertrophy <C>Reducing the tooth height creates an unfavorable crown:root ratio for overdenture abutments

<C>Fortunatley, the exposed dentine of overdenture abutments is naturally resistant to caries <C>Gold copings that cover overdenture abutments are the most effective means to prevent caries in these abutments <Q>Which of the following is TRUE regarding natural overdenture abutment without attachments? e. Overdenture abutments should passively contact the denture during rest f. Overdenture abutments should contact the denture only during function g. The height of the abutment should be at the level of the gingiva h. The root canal should always be endodontically treated <S>N <C+>A+B <C>B+C <C>A+C <C>A+B+C <C>All of the above

<Q>Which of the following are possible problems associated with overdentures? e. Reduced inter-arch space for the setting of teeth f. Increased labial fullness of the abutments g. Weakening and fracture of the denture base over the abutment h. Recurrent caries of natural overdenture abutments <S>N <C>A+B <C>A+B+D <C+>All of the above <Q>Regarding overdentures, which of the following is TRUE: <S>N <C>Canine abutments are the most commonly used overdenture abutments <C>Incisor overdenture abutments help restore natural labial fullness <C>Canine abutments may result in over-contoured labial flanges <C>A + B <C>B + C <C+>A + C <C>A + B + C <Q>Overdenture abutments are favorable for all of the following reasons, EXCEPT: <S>Y <C>They reduce residual ridge resorption <C>They provide the patient with improved proprioceptive feedback during mastication <C>They provide the psychological advantage of natural feeling for the patient <C+>They always provide additional retention for the overdenture <C>They provide improved support for the overdenture <C>None of the other choices (above and below) <Q>In which of the following situations is it ethically acceptable to cheat on a Prosthodontics examination? <S>N <C+>If the instructor is busy answering another student's question or talking on his mobile phone <C+>If your grades are low and you are afraid of failing <C+>If you can see your neighbor's computer screen clearly <C+>If you didnt study because you thought the exam would be pos tponed due to snow <C+>If the pretty/handsome student next to you smiles at you and asks for help <C+>If you are at the top of your class and you are afraid of dropping to second <C+>If you are second in your class and you want to become first <C+>If you didn't feel like studying last night and watched television instead <C+>None of the above

**4<Q>When considering the clinical scenario known as Combination (Kellys) Syndrome, all of the following are true EXCEPT: <S>N <C>This scenario is most commonly associated with a fully edentulous mandibular arch opposed by a partially edentulous maxillary arch (Kennedy Class I). <C>It is helpful to maintain maxillary anterior teeth (even as overdenture abutments) to prevent this clinical scenario from occurring. <C>This syndrome results mainly from an imbalance in loading and support between the dentate and edentulous portions of the opposing arches. <C>This syndrome is a common clinical scenario when the patient is fully edentulous in both arches. <C>a and c <C++++>a and d <C>b and d *10<Q>The retromylohyoid distal extension of the lower denture is limited by all of the following except: <S>Y <C+>Mylohyoid muscle <C>Ramus <C+>Buccinator. <C>Pterygo mandibular raphe. <C>Superior constrictor. 43<Q>Overdenture abutments are favorable for all of the following reasons, EXCEPT: <S>Y <C>They reduce residual ridge resorption <C>They provide the patient with improved proprioceptive feedback during mastication <C>They provide the psychological advantage of natural feeling for the patient <C+>They always provide additional retention for the overdenture <C>They provide improved support for the overdenture <C+>None of the other choices (above and below)

40<Q>Which of the following is TRUE regarding natural overdenture abutment without attachments? i. Overdenture abutments should passively contact the denture during rest j. Overdenture abutments should contact the denture only during function k. The height of the abutment should be at the level of the gingiva l. The root canal should always be endodontically treated <S>N <C+>A+B <C>B+C <C>A+C <C>A+B+C <C>All of the above

1<Q>The rate of residual ridge resorption is generally greater in the mandibular residual ridge than the maxillary. How much greater?

<S>Y <C+>2 times greater <C>3 times greater <C*******>4 times greater <C>5 times greater <C>The statement is incorrect. The rate of bone resorption in the mandibular residual ridge is the same as the rate of bone resorption in the maxillary residual ridge 2<Q>Which of the following clinical situations usually has the poorest prognosis? <S>N <C>Maxillary single complete denture opposing full natural mandibular dentition <C>Maxillary single complete denture opposing mandibular Kennedy Class I RPD <C>Maxillary single complete denture opposing mandibular Kennedy Class IV RPD <C+>Mandibular single complete denture opposing full natural maxillary dentition <C>a and b <C>b an c 3<Q>Hanau described five factors that affect occlusion in complete dentures. If a patient is to wear a single complete denture opposing a fully dentate arch and we desire a balanced occlusal scheme, which of the following factors is it most practical to adjust in the complete denture: <S>Y <C>Condylar guidance <C>Occlusal plane <C+>Cusp height/ angle <C>Incisal guidance <C>Compensating curves

5<Q>When considering the material to use for the artificial teeth in a single complete denture opposing natural dentition, all of the following statements are true EXCEPT: <S>N <C>Acrylic resin artificial teeth bond chemically to the polymethyl-methacrylate (PMMA) denture base and are easy to adjust and reshape. <C>Although porcelain artificial teeth are difficult to adjust, they have the advantage of causing less wear (abrasion) to opposing natural teeth than acrylic. <C>Although cast metal occlusal surfaces can be custom designed to match to opposing natural teeth, the technique is often expensive and time-consuming. <C>Amalgam stops are placed in the occlusal surfaces of artificial porcelain teeth to reduce the wear of the porcelain by the natural teeth. <C>a and c <C+>b and d 6<Q>If a patient has Combination syndrome it is probable that we will see all of the following EXCEPT: <S>Y <C>Anterior rotation of the mandible during occlusion (Class III / prognathic relationship) <C>Papillary hyperplasia of palatal soft tissue <C>Reduction of the Vertical Dimension of Occlusion <C>Maxillary anterior residual ridge resorbs and replaced by resilient flabby ridge

<C>Occlusal plane tilts anteroposteriorly: anteriorly upwards and posteriorly downwards <C+>Pendulous overgrowth of the retromolar pads <C>Epulis Fissuratum in maxillary labial vestibule 7<Q>According to Monsons Spherical Theory of Occlusion, a number of occlusal landmarks lie on the surface of a 10 cm radius sphere with its center in the region of the glabella. These landmarks include all of the following EXCEPT: <S>Y <C+>The labial gingival margins of the mandibular central incisors <C>The centers of rotation of the mandibular condyles <C>The cusp tips of the mandibular second molars <C>Points approximately between the bottom two-thirds and top one-third of the mandibular retromolar pads <C>Points approximately at the mesial slope inclines of the mandibular canines 8<Q>According to Attwood classification of ridges, Class IV is: <S>Y <C>Good ridge without extraction. <C>Immediate post extraction. <C+>Knife edge ridge <C>Well-rounded ridge form <C>Negative or concave form. 9<Q>The most favorable ridge contour for complete denture is: <S>Y <C+>High ridge with flat crest and parallel sides. <C>V shaped. <C>Knife edge. <C>Flat ridge. <C>Ridge with multiple specules.

11<Q>When making the final impression of the lower edentulous arch, the patient is asked to exert a closing force while the dentist exerts a downward pressure. This is to activate: <S>Y <C>The masseter <C>The Pterygo mandibular raphe <C>The Pterygo mandibular raphe and the masseter <C>Medial Pterygoid and the Pterygomandibular raphe. <C+>The masseter and medial pterygoid. 12<Q>Once a stable and retentive peripheral seal is achieved and appropriate spacing is incorporated, your choice of the final impression material for complete denture would be: <S>Y <C>addition silicone <C>polyether. <C>zinc oxide eugenol. <C>alginate. <C+>secondary importance and dependant on the dentist preference.

13<Q>. Your impression technique of choice for ridges that equate to Atwood class V and VI is: <S>Y <C+>Admix <C>Conventional technique. <C>Mucostatic impression on the ridge and mucocompressive else where 14<Q>The final impression is taken with green stick tracing compound. Using the heated spoon-end of a Le Cron carver, the green stick related to the crestal ridge is removed and the related area of the tray is perforated. Light-body Poly Vinyl Siloxane is injected into the buccal and lingual shelves of the green stick and the tray is gently inserted in the mouth . This is a description of the impression technique used for : <S>Y <C+>.The fibrous (un-employed) posterior mandibular ridge. <C>Flabby ridge <C>Atwwod class V lower ridge. <C>Immediate dentures. <C>Neutral Zone technique. 15<Q>With regard to the Neutral Zone technique, when do you record the Vertical Dimension (VD)? <S>Y <C+>Before the clinical stage of the neutral zone impression. <C>The VD is recorded at the same visit of recording the neutral zone. <C>The VD is recorded in a separate visit after recording the neutral zone. <C>The VD is recorded in the Try-in visit. 16<Q>Which of the following is LEAST likely to cause a traumatic denture ulcer: <S>Y <C>ill-fitting denture <C>bleb of acrylic (positive) on the fitting surface of a new denture <C>premature occlusal contact <C>food entrapment under a denture <C+>short denture flange 17<Q>Which of the following is LEAST likely to cause inflammatory papillary hyperplasia: <S>Y <C>relief chamber in the maxillary denture <C>continuous 24-hour wearing of the denture <C>ill-fitting denture (combination syndrome) <C>poor occlusion that causes denture base movement <C+>single mandibular denture 18<Q>Which of the following is LEAST likely to cause epulis fissuratum: <S>Y <C>over-extended flanges of new dentures <C> continual ridge resorption that allows the denture flanges of existing dentures to dig into the buccal/labial vestibule <C>inadequate border molding <C+>lack of peripher seal in the maxillary denture

19<Q>Which of the following statements is inaccurate: <S>Y <C>Type I denture stomatitis (candidosis) presents as a localized simple inflammation or pinpoint hyperemia <C>Type II denture stomatitis (candidosis) presents as diffuse erythema involving part of all of the dentrure covered mucosa <C+>Diagnosis of denture stomatitis (candidosis) can be confirmed by direct smear from the denture and identification of Candida albicans spores <C>Denture stomatitis (candidosis) often occurs in patients with predisposing factors such as xerostomia 20<Q>Which of the following statement regarding angular chielitis is FALSE: <S>Y <C>moderately painful fissured encrusted lesions at the commissures of the mouth <C+>associated with increased vertical dimension of occlusion <C>frequently associated with both Candidal and secondary bacterial (Staphylococcal) infection <C>often associated with underlying immune dysfunction <C>infection starts under complete denture prosthesis and spreads via saliva to the skin folds at the angles of the mouth 21<Q>All of the following are part of the routine management of denture stomatitis (candidosis), EXCEPT: <S>Y <C>correct ill-fitting dentures or fabricate new ones <C>improve oral and denture hygiene <C>antifungal therapy <C+>complete surgical excision of infected mucosa 22<Q>Diagnosis of the underlying cause of burning mouth syndrome is difficult and frustrating for the doctor because there are too many clinical signs. <S>N <C>TRUE <C+>FALSE 23<Q>Burning mouth syndrome is most common in middle-aged females <S>N <C+>TRUE <C>FALSE 24<Q>V-shaped palatal vault is often associated with Class III posterior palatal form leading to improved in peripheral seal in maxillary complete dentures. <S>N <C>TRUE <C+>FALSE 25<Q>According to Houses classification of mental attitude, a Skeptical patient is a patient who seeks treatment because a friend or relative has encouraged them to do so. <S>N <C>TRUE

<C+>FALSE 26<Q>It is often more difficult to set complete denture teeth for patients who have had recent extractions than patients who have been edentulous for several years <S>N <C+>TRUE <C>FALSE 27<Q>It is important not to look at a patients previous ill-fitting dentures, because such dentures will cause us to repeat the same errors in the new dentures. <S>N <C>TRUE <C+>FALSE 28<Q>Impressions for rebasing of existing complete dentures are made without using a closed mouth impression technique. In the final rebased dentures, which of the following error is most likely to occur: <S>Y <C>premature occlusal contact on the anterior teeth <C>premature occlusal contact on the right side of the mouth if the operator is lefthanded <C>premature occlusal contact on the right side of the mouth if the operator is righthanded <C+>premature occlusal contact on the posterior teeth <C>reduced overall vertical dimension of occlusion 29<Q>Tissue conditioner can be used both (1) as a functional impression material and (2) to allow the soft tissue to heal before permanent relining and rebasing procedures are performed. <S>N <C+>TRUE <C>FALSE 30<Q> Which of the following statements is FALSE regarding relining and rebasing: <S>Y <C+>Chairside relining involves the use of zinc-oxide eugenol impression paste <C>A common problem during relining is correct orientation of the dentures during the impression/ relining procedure <C>Impressions for relining and rebasing are usually performed using closed-mouth impression techniques <C>Occlusal pivots may be used to re-establish the correct vertical dimension of occlusion after excessive tooth wear and residual ridge resorption 31<Q>Maxillary complete dentures require relining only slightly more often than mandibular complete dentures. <S>N <C>TRUE <C+>FALSE 32<Q>Which of the following statements is FALSE regarding relining and rebasing: <S>Y

<C+>Rebasing is a procedure which involves resurfacing the tissue side of a denture with new base material to make it fit more accurately <C>Rebasing is a procedure in which the teeth of the existing teeth are retained <C>Relining is not a useful procedure when a change in vertical dimension of occlusion is necessary <C>Immediate dentures usually require a reline within one year of extractions <C>Mandibular dentures often require a reline every 3 5 years 33<Q>An edentulous patient has residual ridge undercuts. If alveoplasty surgery is performed, it is advisable to remove only half of the alveolar bone creating the undercut. <S>N <C+>TRUE <C>FALSE 34<Q>Which of the following statements is TRUE regarding preprosthetic surgery in edentulous patients: i. Autogenous hydroxyapatite can be used to augment and rebuild a resorbed ridge but may result in migration of the particles j. Autogenous iliac crest block graft is effective in rebuilding resorbed ridges but may limit interocclusal space k. Autogenous inferior border rib grafts may be used to augment resorbed mandibles, but may interfere with an ideal occlusal plane l. Autogenous bone may resorb as much as 80 per cent within the first ten years after grafting <S>Y <C>A + B + C + D <C+>B + D <C>A + B + C <C>A + B + D <C>A + D 35<Q>In Mucosal Advancement Vestibuloplasty, the mucosa of the vestibule is used to line one side of the extended vestibule, and the other side heals by growth of a new epithelial surface. <S>N <C>TRUE <C+>FALSE 36<Q>Which of the following statements is TRUE: i. Palatal tori should always be removed surgically because they interfere with denture retention j. Hyperplastic tuberosities are easy to remove surgically because they consist of healthy alveolar bone k. All other treatment options should be tried before surgically removing inflammatory papillary hyperplasia l. Surgical removal of palatal tori may result in hematoma formation if a surgical stent is not used <S>Y <C>A + B

<C+>C + D <C>B + C + D <C>A + C <C>B + D

37<Q>A patient has a single maxillary denture opposing natural lower anterior teeth and a Kennedy Class I RPD. The patient has flabby resilient tissue in the anterior maxilla. Which of the following treatment options would provide the best future prognosis. <S+> <C>Remove the flabby resilient tissue surgically <C+>Place a bone graft and implants in the maxillary anterior region <C>Extract the lower remaining natural teeth <C>Remake a new maxillary denture using a special impression technique <C>Perform vestibuloplasty surgery in the maxaillary labial sulcus 38<Q>Which of the following is NOT an indication for pre-prosthetic surgery <S>Y <C>Pendulous maxillary tuberosities <C>Pressure on the mental nerve/foramen <C>Epulis fissuratum that does not respond to non-surgical treatment <C+>Type II denture stomatitis <C>Unfavorable frenum attachment (close to crest of residual ridge) 39<Q>Which of the following statements is TRUE: <S>Y <C+>Excessive space under overdentures over the gingival margins of abutment teeth may lead to the development of dead space which may lead to gingival inflammation and hypertrophy <C>Reducing the tooth height creates an unfavorable crown:root ratio for overdenture abutments <C>Fortunatley, the exposed dentine of overdenture abutments is naturally resistant to caries <C>Gold copings that cover overdenture abutments are the most effective means to prevent caries in these abutments

41<Q>Which of the following are possible problems associated with overdentures? i. Reduced inter-arch space for the setting of teeth j. Increased labial fullness of the abutments k. Weakening and fracture of the denture base over the abutment l. Recurrent caries of natural overdenture abutments <S>N <C>A+B <C>A+B+D <C+>All of the above 42<Q>Regarding overdentures, which of the following is TRUE: <S>N <C>Canine abutments are the most commonly used overdenture abutments

<C>Incisor overdenture abutments help restore natural labial fullness <C>Canine abutments may result in over-contoured labial flanges <C>A + B <C>B + C <C+>A + C <C>A + B + C

44<Q>In which of the following situations is it ethically acceptable to cheat on a Prosthodontics examination? <S>N <C+>If the instructor is busy answering another student's question or talking on his mobile phone <C+>If your grades are low and you are afraid of failing <C+>If you can see your neighbor's computer screen clearly <C+>If you didnt study because you thought the exam would be postponed due to snow <C+>If the pretty/handsome student next to you smiles at you and asks for help <C+>If you are at the top of your class and you are afraid of dropping to second <C+>If you are second in your class and you want to become first <C+>If you didn't feel like studying last night and watched television instead <C+>None of the above

1. Complete denture impression technique selective pressure technique. When using a selective pressure technique for complete denture impressions, what areas of the edentulous mouth require more pressure? a) Residual ridges b) Buccal shelf c) Border seal (posterior palatal seal area) d) a, b, c e) b and c only 2. Combination syndrome, Kellys syndrome which consists of all of the following except: a) Loss of bone from the anterior part of the maxillary ridge b) Downgrowth of the maxillary tuberosities c) Candidiasis infection of the tissues of the hard palate d) Extrusion of the lower anterior teeth e) Loss of bone beneath the removable partial denture bases 3. Occlusal schemes for complete dentures. Which of the following statements concerning lingualized occlusion for complete dentures is correct? 1. Results in placement of the mandibular teeth lingual to the ridge crests. 2. Uses anatomical teeth for the maxillary denture and modified or semi anatomical teeth for the mandibular denture. 3. Concentrates forces of occlusion on lingual cusps of the upper posterior teeth and vertical forces centralized on mandibular teeth. 4. Contraindicated for patients with flat ridges, which are unable to resist lateral forces. (Although it can be used to reduce lat. forces)

a. b. c. d.

1, 2, 3 2, 3, 4 (4 is not totally ok!!) 1, 3, 4 All of the above

4. While observing lateral excursions in your denture patient, the maxillary denture dislodges, but adequate flanges and borders are present. You would a. b. c. d. e. check and adjust the labial frenum area check and adjust the buccal frenum area restart the case and have the teeth reset more lingually increase the thickness of the post-dam area check the distobuccal flanges for coronoid process impingement

5. After processing full upper and lower dentures with cusped teeth, selective grinding must be done to correct occlusal errors from fabrication procedures. What is the correct sequence of grinding? a. b. c. d. e. protrusive, centric, balancing, working centric, protrusive, balancing, working centric, working, balancing, protrusive centric, balancing, working, protrusive centric, working, protrusive, balancing

6. Which of the following muscles aid in the retention and stabilization of complete dentures? 1. masseters 2. buccinators 3. mylohyoids 4. medial pterygoids 5. orbicularis oris a. b. c. d. e. 1,2,4 2,3,4 1,3,5 2,5 2,3,5

7. Which of the following is the MOST important factor when making a record of centric relation for complete dentures? a. b. c. d. the patient should be in a reclined position accurate and stable recording bases should be used central bearing plates and a tracing device should be used the patient should be allowed to close in his accustomed position when a wax registration is used e. the patient should not be allowed to wear their dentures for 24 hours prior to recording centric relation

8. 1. 2. 3. 4.

Gagging at denture insertion may be caused by overextension of the posterior border of the maxillary denture. overextension of the distal lingual flange of the mandibular denture. an excessively thick posterior border of the maxillary denture. a decreased vertical dimension in the final denture.

a. 1,2 b. 1,2,3 c. 2,3,4 d. 3,4 e. all of the above 9. When constructing complete dentures, which of the following factors is determined solely by the patients anatomical characteristic? 1. 2. 3. 4. 5. incisal guidance centric relation the compensating curve orientation of the occlusal plane condylar guidance

a. 1,3,5 b. 1,2,5 c. 2,4,5 d. 2,5 e. 2,3,5 10. The most reliable landmark for determining the posterior height of the occlusal plane is a point a. b. c. d. e. 4mm below the parotid duct 2mm above the resting height of the tongue midway between the tuberosity of the maxilla and the retromolar pad at the middle of the retromolar pad (2/3 of retromolar pad) 3mm above the crest of the ridge

11. The infraorbital pointer is used for transferring: a. b. c. d. e. midline shift hinge-axis relation occlusal plane position (in relation to hinge of axis) radius of condyle reference point horizontal condylar inclination

12. When viewed from the sagittal plane, what angle is formed between the protrusive and balancing condylar paths? a. Christensens b. Bonwills c. Fischers d. Bennetts e. Wilsons

<Q> Regarding the denture base in tooth-borne partial dentures: <s>Y <c+> The length of the saddle area could affect the type of it <c> Short span bases are usually metal especially in the anterior region <c> Limited inter-arch space usually indicate mesh form bases <c> Anticipated loss of teeth could affect the type of metal used for it <c> Generally, metal bases are contra-indicated

<Q> Which of the following alloys could be used in metal-base RPD: <s>Y <c> Co-Cr alloys with 60% chromium <c> Co-Cr alloys with 40% chromium <c>Yellow gold alloys (ADA type III) <c> Low gold alloys with less than 85% gold and platinum <c+> None of other choices

<Q> Base metal alloys are better than gold alloys in the following/s: <s>Y <c> Density <c> Elongation <c> Tensile strength <c> Yield strength <c+> Hardness

<Q> If you need to add a clasp/s made from wrought alloys to metal-based RPD: <s>Y <c> You should add it to the acrylic part of the denture <c> They are usually made from Co-Cr alloys <c> It is usually soldered to the closest part of the metal base <c> They are made with a gauge from 18-22 <c+> None of other choices

<Q> Regarding special trays for metal-base RPDs: <s>Y <c> All special trays are spaced with a proper wax to give room for the impression materials <c> They should have handles <c> They should be perforated for alginate impression materials <c> They are made from acrylic resin <c+> All of other choices

<Q> Regarding altered cast impressions: <s>Y <c> They are essential in every class I or II Kennedy classification <c> They are made after metal try-in with a full arch special tray <c> They are usually made with alginate impression material <c+> They require full border moulding for the available tray <c> None of other choices

<Q> Regarding altered cast technique:

<s>Y <c> The impression should be made with finger pressure on the saddle areas <c+> You need to stabilise the framework with an anterior third point of reference for seating the tray <c> You need to cut the original cast at the external finish line border <c> You need a partial tray with 1 mm wax spacer <c> None of other choices

<Q> When you compare Applegate technique to relining RPDs: <s>Y <c> Applegate technique is less demanding <c> Relining is better to keep the original jaw registration <c> Relining is less accurate than Applegate technique <c> Both will produce an occlusal discrepancy <c+> None of other choices

<Q> Regarding metal base RPDs try-in stage: <s>Y <c> Mandibular major connector must be polished on the fitting surface <c> It must have complete and stable seating on the master cast <c> Relief areas must be visible where indicated <c> The occlusal interferences is usually coming from an occlusal rest at the marginal ridge <c+> All of other choices

<Q> Your patient has no lower posterior teeth. You have tried in the framework and are border molding the extension areas in preparation for an altered cast impression. The distolingual border molding is shaped by the?

<c>Masseter muscle <c>Internal pterygoid muscle <c+>Superior constrictor muscle <c> Mylohyoid muscle

<Q>The external finish line is <c+> The external junction of framework metal and denture base plastic. <c> The external junction of framework metal and supporting tissues. <c> The external junction of the framework metal and the natural teeth. <c> The external junction of the natural teeth and the denture base plastic

1. a. b. c. d. e. 2. a. b. c. d. e. 3. a. b. c. d. e. 4. a. b. c. d. e.

The aesthetics of complete denture started in the stage of: Selection of teeth Setting of teeth Finished denture Final/Secondary Impression stage A and B Artificial teeth are best selected from: Shape of the face Shape of the arch Age of the patient Pre-extraction records All of the above The most important factor in the arrangement of teeth is: Aesthetics Leverage Occlusion Occlusal plane None of the above Overbite is : The maximum horizontal overlap between the upper and lower anterior teeth 0.5-1.0 mm in the dentate patients Determined by the incisal/anterior guidance Helpful in denture stability Affecting the cusp angles

5. Regarding the distal extension of your upper complete denture: a. Ah/vibrating line is the functional border b. Can be determined at any stage following the primary impression

c. It ends in a the hard palate movable structures d. The distal area is the Postpalatal seal area only e. Essential for denture retention 6. a. b. c. d. e. Regarding the cusp angle for posterior acrylic teeth: The steeper the angle, the steeper the compensating curves It is formed by the cusp slopes of the functional cusp and the occlusal plane Indicated always to be efficient in chewing Essentially requires semi-adjustable articulators and face-bow record None of the above

7. Regarding teeth position in a complete denture: a. The lower anterior teeth are just on the crest of the ridge b. The upper posterior teeth are occluding over a line passing by the buccal shelf and the Retromolar pad c. The upper anterior teeth position is determined by the smile line, canine lines and visibility d. The lower posterior teeth are centred over the crest of the upper posterior alveolar ridge e. The lower posterior teeth are just inferior to the level of the lateral side of the tongue 8. a. b. c. Regarding compensating curves in a complete denture: They are not a factor in aesthetics Curve of monson is convex upward in the lower second molar area The lateral curves are important to keep teeth contacts in the orbital condyle side d. They can be produced in a monoplane articulator e. They are efficient in reducing the Bennett movement of the working condyle 9. Regarding the shape of the curve of the labial surfaces of the six anterior teeth when viewed occlusally in complete dentures: a. Affected by the shape of the underlying alveolar ridge b. Not affected by the width of the sulcus c. Affected by the shape of the occlusal rim as carved in the registration stage d. Narrower in the V-shaped arches e. A+C+D 10. Regarding setting teeth for complete denture using plane-line articulator: a. It results in a balanced occlusion b. Usually indicated in the well formed ridges c. It results in cuspal interference which causes instability d. It reduces the trauma in atrophic ridges

e. C+D 11. In a balanced occlusion: a. You need at least an average-value articulator b. During protrusion, there must be a vertical drop less than the overbite c. Christensens phenomenon is essential in producing balanced occlusion d. The Condylar guidance is an important factor in a balanced occlusion which can be controlled by the dentist to a certain extent e. The compensating curves and cuspal angles could be used alternatively or synergistically in a balanced occlusion 12. Regarding phonetics in complete denture patients: a. Phonetics is important in registering the retruded contact position b. The closest speech space is considerably affected by the free-way space c. S and Z sounds are essential to check the labio-dental relation d. M,P and B sounds are affected by the occlusal vertical dimension e. B+D 13. Regarding the height of the occlusal plane: a. It is not important for upper denture stability b. The higher the occlusal plane, the longer the lower anterior teeth c. The higher the occlusal plane, the greater the distal directing lower forces d. This plane is affecting the occlusal vertical dimension e. All of the above 14. During the trial stage, you need to check the aesthetics: a. The incisal third of the lower teeth will show in smiling patient b. The vermilion border should be obvious only in the young patients c. There should be no oro-facial wrinkles when the dentures inserted d. The midline should coincide with the smile midline e. The visibility must be 2-3 mm 15. Regarding the Postpalatal seal area: a. It is bounded anteriorly by the maxillary tuborosity b. It is determined by the vibrating line posteriorly c. It is usually posterior to the fovea palatini d. It crosses the midpalatal raphe and the middle of the hamular notches e. B+C 16. Regarding this diagram: a. This is the classification of the vibrating lines b. In class A, you need a narrow postdam c. This movement result from saying (H) d. Essential to check in the secondary impression stage e. B+D

Q.16

17. a. b. c. d. e. 18. a. b. c. d. e.

For denture cleaning, all are correct except: 10% Sodium hypochlorite is the material of choice for disinfection Hot water could cause warpage Water filled hand basin is indicated during cleaning It should be cleaned after each meal None of the above Regarding the retromolar pad and occlusion of a complete denture: It is important in determining teeth position The occlusal plane is just above the level of it The lower denture edge should cover 1/2-2/3 of it A+C None of the above

19. a. b. c. d. e. 20. a. b. c. d.

Regarding functional cusps in acrylic teeth: They are the palatal/lingual cusps They are the buccal cusps They are making centric stops in protrusion They are the palatal cusps only when you use lingualised occlusion teeth None of the above

Regarding the anatomical landmarks in setting teeth in a complete denture: A line bisecting the incisive papilla is bisecting the canines as well A line passes by the incisive papilla distally is 10 mm from the incisal edge A line bisecting the retromolar pad should pass over the lower crest The buccal cusps of the upper posterior teeth should be centred over the crest of the lower ridge e. None of the above

21. The width of the anterior teeth was 52 mm, then the distance from the midline to the canine line is: a. 20mm-21mm b. 21mm-22mm c. 25mm-26mm d. 24mm-25mm e. None of the above 22. Regarding the selection of the shape of anterior teeth for complete denture: a. It usually follows the shape of the lower arch b. It usually follows the shape of the upper alveolar ridge according to Williams classification c. It usually follows the shape of the head as you look from the front d. It usually follows the reversed shape of the face

e. It is mainly for the lateral and central incisors 23. In choosing a posterior acrylic tooth for your patients, you do not consider: a. The form of the ridge b. The type of the articulator c. The type of the occlusion d. The type of the material from which the tooth is made e. None of the above 24. The length of your anterior acrylic tooth could not be affected by: a. Mobility of the upper lip b. The visibility on smiling c. The visibility at rest d. The height of an occlusion e. None of the above

25. a. b. c. d. e.

Regarding the shade selection of your acrylic teeth: It is a team work The maxillary centrals are the lightest teeth Teeth darken as you go posteriorly Teeth darken with age All of the above

26. The following materials could be used for your anterior teeth except: a. Porcelain b. Metal Onlay c. Resin composite d. Acrylic e. All of the above 27. Regarding the semi-adjustable articulators: a. All of them are ARCON type articulator b. They are essential to produce maximum intercuspation c. They are class II articulators d. They accept face-bow records e. They can receive pantograph records 28. a. b. c. d. e. The occlusal requirements for complete denture patients are: Maximum incisal guidance Maximum intercuspation Availability of cusp width Absence of deflective contacts 10 degree Condylar guidance

29. Regarding Hanua Quint: a. The condylar guidance is adjustable

b. c. d. e.

The incisal guidance is determined by checking the speech The cusp height is mostly judged by the clinician The occlusal plane is always predetermined The compensating curves are optional

30. Regarding mounting the upper cast on an articulator: a. You need always a face-bow b. You need always a remounting jig c. The occlusal plane is usually between the horizontal and 100 degree with the horizon d. Mounting usually performed with a dental stone e. The incisal pin should be out of touch with the incisal table

<Q> The function of the proximal plate is to: <s>N <c> Help establish a definitive path of insertion/dislodgement. <c> Stabilize the RPD by controlling its horizontal position. <c> Provide contact with the adjacent tooth. <c> A and C <c+> All of the above

<Q> A wrought wire clasp is NOT used in which of the following situations: <s>N <c+> As an embrasure clasp <c> On a terminal abutment of an extension RPD. <c> On a tooth with an indirect retainer on it. <c> Both 1 and 2 above. <c> All of the above

<Q> Reciprocation between bracing and retentive components requires:

<s>N <c> I-bars be used <c> Bracing components contact after retentive components <c+> Correct timing of contact during seating and removal of the RPD <c> Both a and c <c> All of the above

<Q> Infrabulge clasps originate: <s>Y <c> Above the height of contour <c> Below the height of contour <c+> Above the 0.01" undercut <c> Above the occlusal surfaces of most premolars <c> None of other choices

<Q> A clasp assembly should: <s>N <c> Have a retentive arm with adequate length and taper for flexibility <c> Have a retentive arm that terminates in an undercut <c> Have elements that considered together, provide 180 degree encirclement <c> A and B <c+> All of other choices

<Q> The presence of mandibular lingual tori would indicate the need for: <s>Y

<c> Metal base <c+> Lingual plating <c> Tube teeth <c> Extra indirect retainers <c> None of other choices

<Q> In the design process for tooth-borne partial dentures: <s>N c. Modified palatal plate is usually indicated c. Adequate tissue relief is required for lower major connectors c+. The anticipated loss of teeth could affect the choice of your major connector c. 2-3mm from the lingual gingival is the minimal requirement for lower major connectors c. B+C+D

<Q> When you select the clasps for tooth-borne RPDs, you need to consider the following except: <s>Y <c> The expected required support for your RPD <c> The coverage of both dental and gingival tissues <c> The periodontal status of the abutment teeth <c+> The patient preference <c> The presence of previous RPDs

<Q> The following clasps are commonly used for tooth-borne RPD except: <s>Y

<c> Cast combination clasps which provide bilateral bracing <c> Cast reciprocal arm and wrought retentive arm <c> T-clasps are common for aesthetic reasons <c> Hair pin clasps <c+>. All of other choices

<Q> Regarding the denture base in tooth-borne partial dentures: <s>Y <c+> The length of the saddle area could affect the type of it <c> Short span bases are usually metal especially in the anterior region <c> Limited inter-arch space usually indicate mesh form bases <c> Anticipated loss of teeth could affect the type of metal used for it <c> Generally, metal bases are contra-indicated

<Q> For designing RPD in distal extension bases: <s>Y <c> You need to evaluate the dento-alveoalar support potential only <c> The potential load from different forces is usually destructive <c+> You need to assess the history of previous RPD <c> Acrylic partial dentures are good alternatives <c> None of other choices

<Q> The movement of extension base away from the ridge could be counteracted by: <s>Y <c> Direct retainers

<c> Indirect retainers <c> Minor connectors <c> Gravity <c+> All of other choices

<Q> The Mediolateral movements in distal extension bases are counteracted by: <s>Y <c+> Denture bases <c> Mandibular major connectors <c> Roach clasps <c> Clasp retentive components <c> The artificial teeth

<Q> The most important factor/s in determining the success of bilateral free-end saddles lower RPD is: <s>Y <c+> Maximum tissue coverage <c> RPI system <c> Using wrought alloys for the clasps <c> Altered cast technique <c> All of other choices

<Q> The block out used for maintaining a space for the acrylic resin in Co-Cr RPD is: <s>Y <c> Paralleled block-out

<c> Shaped block-out <c> Arbitrary block-out <c+> Relief block-out <c> None of other choices

<Q> Which of the following alloys could be used in metal-base RPD: <s>Y <c> Co-Cr alloys with 60% chromium <c> Co-Cr alloys with 40% chromium <c>Yellow gold alloys (ADA type III) <c> Low gold alloys with less than 85% gold and platinum <c+> None of other choices

<Q> Base metal alloys are better than gold alloys in the following/s: <s>Y <c> Density <c> Elongation <c> Tensile strength <c> Yield strength <c+> Hardness

<Q> If you need to add a clasp/s made from wrought alloys to metal-based RPD: <s>Y <c> You should add it to the acrylic part of the denture <c> They are usually made from Co-Cr alloys

<c> It is usually soldered to the closest part of the metal base <c> They are made with a gauge from 18-22 <c+> None of other choices

<Q> Regarding preparing guiding planes: <s>Y <c> They are always prepared on the proximal surfaces <c> They are 4-5 mm cervico-occlusally <c> They are larger on the abutment teeth in distal extension RPD <c> They should be prepared after preparing the rests seats when applicable <c+> None of other choices

<Q> The survey line of abutment teeth could be adjusted to: <s>Y <c> Permit the retentive arm tip to be placed in the middle third <c+> Reduce the amount of relief for the minor connectors <c> Usually prepared with a bur angled to the log axis of the opposing tooth <c> It should be prepared before the primary impression stage <c> None of other choices

<Q> Regarding the preparation of rest seats for metal-based RPD: <s>Y <c+> It should be always prepared whenever a rest is going to be placed <c> It should be prepared toward the pulp <c> It should be prepared with an inverted cone bur

<c> It needs at least 2 mm depth whenever possible <c> None of other choices

<Q> For occlusal rest seats: <s>Y <c> It should be inclined toward the marginal ridge <c> It should be a rounded triangle with the base centrally when viewed occlusally <c> The width should be about 1/3 of the mesio-distal width of the abutment <c> The angle at the marginal ridges should be obtuse <c+> None of other choices

<Q> For cingulum rest seats: <s>Y <c> It is usually prepared on the lower canines <c> It is usually 1.5 mm depth <c> It is prepared with a round diamond bur <c+> It could be a part of lingual plating <c> None of other choices

<Q> What is the incorrect statement regarding an occlusal rest seat? <s>Y <c> It should be properly shaped with round angles <c> It should direct forces along the long axis of the tooth <c+> It should be prepared before the guide planes <c> Its bucco-lingual width is one half the bucco-lingual dimension of the tooth

<c> None of other choices

<Q> What is the least desirable rest of the followings? <s>Y <c+> Incisal rest <c> Occlusal rest <c> Cingulum rest <c> Embrasure rest <c> Ball rests

<Q> All of the followings are functions of rests except: <s>Y <c> Transfer occlusal forces to the abutment teeth <c+> They could perform function of direct retainers <c> Maintain the clasps in their position <c> Prevent the impaction of food between the abutment and the clasp <c> None of other choices

<Q> What is the incorrect statement regarding incisal rests? <s>Y <c> It is usually used on mandibular canines <c> It is the least desirable rest <c> Its seat form is usually V shape notch with 1.5 mm depth <c+> It is always preferred over the lingual rests <c> None of other choices

<Q> When you plan a crown for a mandibular canine what type of rest would you prepare on this tooth? <s>Y <c> Occlusal rest <c+> Lingual rest <c> Incisal rests <c> Right angle rest <c> All of other choices

29. The angle between the rest and the minor connector must be less than 90 degree because if it is not, the rest will allow the prosthesis to move away from the abutment tooth with the rapid failure of the prosthesis. <s>Y <c> The statement is correct but the cause is incorrect <c> The statement is incorrect but the cause is correct <c+> The statement and the cause are correct <c> The statement and the cause are incorrect <c> None of the other choices

<Q> Which one of the following rests does not have a reciprocal arm? <s>Y <c> Spoon shape rest <c+> Ledge shape rest <c> Inverted v-shaped rest <c> Half moon shape rest <c> None of the other choices

<Q>The best restoration to support an occlusal rest is: <s>Y <c> Silver amalgam <c> Resin composite <c> Porcelain of the full crown restoration <c+> Metal of the full crown restoration <c> None of other choices

<Q> Regarding tripodizing a cast: <s>Y <c> It is essential for distal extension bases only <c> Requires cast being placed on zero tilt <c> It is not essential for bounded saddles <c+> It is helpful for master cast surveying <c> none of other choices

<Q> Regarding zero-degree surveying: <s>N <c> It is essential in every case of partially dentate arch needs RPD treatment <c> The base of the cast should be parallel with the floor <c> It is highly indicated to be the only surveying for design <c> All of other choices <c+> A+C

<Q> After surveying the study model, you need: <s>Y <c> To block out the proximal undercut areas <c> To assess the possible tooth preparation after secondary impression <c> To send the study model for duplication <c+> To send the study model back to the clinic along with a proper design <c> None of other choices

<Q> Choose the correct serial for making metal-base RPD: <s>Y <c> Primary impression, Surveying and design, 2
nd

impression, mouth preparation, Metal try-in

nd

<c> Primary impression, surveying and tripodizing, Design, Jaw registration, 2 metal try-in <c+> Primary impression, surveying and design, mouth preparation, 2
nd

impression,

impression, metal try-in

nd

<c> Primary impression, surveying and design, jaw registration, Moth preparation, 2 metal try-in <c> None of other choices

impression,

<Q> Regarding acrylic RPDs: <s>Y <c> They are lighter than metal RPD <c> They are less bulky than metal RPD <c> They require rest seat preparation <c+> They are gum strippers <c> They are tooth and mucosa borne partial dentures

<Q> For making an acrylic RPD: <s>Y <c> You need to get 2
nd

impression always

<c> Jaw registration is essential <c+> Shade selection is usually in the first visit <c> You need to block out the facial undercut areas <c> None of other choices

<Q> Regarding acrylic RPDs: <s>Y <c> The minimal thickness is 1.5-2 mm at any point <c> The flanges should follow the anatomical land marks when applicable <c> You need a retentive clasp on each abutment tooth <c> It is commonly used as a temporary aesthetic solution <c+> All of other choices

<Q> Regarding classification of partially dentate arches: <s>Y <c> Kennedy classification is dependent on load distribution <c> Craddock one is dependent on saddle distribution <c> You need direct retainers only in class I, II, and IV Kennedy classification <c> Applegate one is a helpful classification system <c+> None of other choices

<Q> Choose the correct serial of the following laboratory steps for metal-base RPDs: <s>Y <c> Master cast block-out, duplication, wax pattern build-up, casting, spruing, finishing and polishing <c+> Duplication, wax pattern build-up, spruing, investing ring, casting, finishing and polishing <c> Duplication, wax pattern build-up, casting, investing ring, framework recovery, finishing and polishing <c> Master cast duplication, spruing, wax pattern build-up, investing ring, casting, finishing and polishing <c> None of other choices

<Q> For treatment plan formulation, choose the correct serial: <s>Y <c+> Preparatory phase, corrective phase, treatment phase, maintenance <c> Preparatory phase, treatment phase, corrective phase, after care <c> Preparatory phase, prophylaxis phase, restorative phase, after care <c> Preparatory phase, treatment phase, laboratory phase, after care <c> None of other choices

<Q> Regarding special trays for metal-base RPDs: <s>Y <c> All special trays are spaced with a proper wax to give room for the impression materials <c> They should have handles <c> They should be perforated for alginate impression materials <c> They are made from acrylic resin <c+> All of other choices

<Q> Regarding elastomeric impression materials for metal-base RPDs:

<s>Y <c> They are rigid, making retrieval of the cast difficult <c> They are more accurate than alginate impression materials <c> They are of high dimensional stability <c> They require relatively long setting time <c+> All of other choices

<Q> Regarding altered cast impressions: <s>Y <c> They are essential in every class I or II Kennedy classification <c> They are made after metal try-in with a full arch special tray <c> They are usually made with alginate impression material <c+> They require full border moulding for the available tray <c> None of other choices

<Q> Regarding altered cast technique: <s>Y <c> The impression should be made with finger pressure on the saddle areas <c+> You need to stabilise the framework with an anterior third point of reference for seating the tray <c> You need to cut the original cast at the external finish line border <c> You need a partial tray with 1 mm wax spacer <c> None of other choices

<Q> When you compare Applegate technique to relining RPDs:

<s>Y <c> Applegate technique is less demanding <c> Relining is better to keep the original jaw registration <c> Relining is less accurate than Applegate technique <c> Both will produce an occlusal discrepancy <c+> None of other choices

<Q> Regarding metal base RPDs try-in stage: <s>Y <c> Mandibular major connector must be polished on the fitting surface <c> It must have complete and stable seating on the master cast <c> Relief areas must be visible where indicated <c> The occlusal interferences is usually coming from an occlusal rest at the marginal ridge <c+> All of other choices

<Q> Regarding the cast stops in Co-Cr RPDs: <s>Y <c> They are essential for bounded saddles <c> They are placed in the middle of distal extension base <c> They are required to keep a space for the impression materials <c> They are helpful to make intimate fit of the metal base <c+> None of other choices

<Q> Comparing open construction (lattice) to mesh construction: <s>Y

<c> Acrylic resin is better retained by the mesh form <c+> It is usually recommended to use the lattice form <c> The mesh form is more rigid than the lattice one <c> It is easier to set teeth over the lattice form <c> All of other choices

<Q> Regarding theories of design: <s>Y <c> Stress equalization is employing stress directors <c> Stress equalization is better in bone resorption wise <c> Physiologic basing requires minimal retention <c> Broad stress distribution is complicating the oral hygiene <c+> All of other choices

<Q> For designing class II Kennedy cases (no modification): <s>Y <c> Generally, you need at least 4 clasp assemblies <c> 2 indirect retainers are required <c+> You need a maximum coverage major connector in the maxilla <c> Lingual plating is contra-indicated <c> None of other choices

<Q> For designing class IV Kennedy cases: <s>Y <c> You need 4 clasps assemblies

<c> Broad palatal coverage is usually indicated for maxillary cases <c> If adequately designed, additional indirect retainers are usually not required <c> Altered cast technique could be employed <c+> All of other choices

<Q> Retentive undercut areas for Co-Cr RPD could be enhanced by: <s>Y <c> Recontouring the proximal surfaces of the teeth <c> Addition of resin filling material to the distal surfaces <c+> Gentle depression could be created at the gingival third buccally <c> The long axis of the retentive depression should be cervico-occlusally <c> All of other choices

<Q> Regarding transitional RPDs: <s>Y <c> They are indicted for aesthetic purposes <c> They are indicted when lack of time precludes definitive treatment <c+> They are indicated when hopeless teeth are present <c> They are helpful in treating denture-induced stomatitis <c> All of other choices

<Q> Regarding encirclement in clasp assembly: <s>Y <c> It is applicable only to occlusally approaching clasps <c+> It is better achievable in Akers clasps

<c> It protects the retainer from moving away from the tooth <c> It is essential for free end saddles cases <c> None of other choices

<Q> Regarding Clasp flexibility: <c> It increases as the clasps get shorter <c> It is more flexible in stainless steel than in gold <c+> It is more flexible when formed in a monoplane direction <c> It increases more with square wire form than with triangle form <c> All of other choices

<Q> Regarding the denture base in tooth-borne partial dentures: <s>Y <c+> The length of the saddle area could affect the type of it <c> Short span bases are usually metal especially in the anterior region <c> Limited inter-arch space usually indicate mesh form bases <c> Anticipated loss of teeth could affect the type of metal used for it <c> Generally, metal bases are contra-indicated

<Q> Which of the following alloys could be used in metal-base RPD: <s>Y <c> Co-Cr alloys with 60% chromium <c> Co-Cr alloys with 40% chromium <c>Yellow gold alloys (ADA type III) <c> Low gold alloys with less than 85% gold and platinum <c+> None of other choices

<Q> Base metal alloys are better than gold alloys in the following/s: <s>Y <c> Density <c> Elongation <c> Tensile strength <c> Yield strength <c+> Hardness

<Q> If you need to add a clasp/s made from wrought alloys to metal-based RPD: <s>Y <c> You should add it to the acrylic part of the denture <c> They are usually made from Co-Cr alloys <c> It is usually soldered to the closest part of the metal base <c> They are made with a gauge from 18-22 <c+> None of other choices

<Q> Regarding special trays for metal-base RPDs: <s>Y <c> All special trays are spaced with a proper wax to give room for the impression materials <c> They should have handles <c> They should be perforated for alginate impression materials <c> They are made from acrylic resin <c+> All of other choices

<Q> Regarding altered cast impressions: <s>Y <c> They are essential in every class I or II Kennedy classification <c> They are made after metal try-in with a full arch special tray <c> They are usually made with alginate impression material <c+> They require full border moulding for the available tray <c> None of other choices

<Q> Regarding altered cast technique: <s>Y <c> The impression should be made with finger pressure on the saddle areas <c+> You need to stabilise the framework with an anterior third point of reference for seating the tray <c> You need to cut the original cast at the external finish line border <c> You need a partial tray with 1 mm wax spacer <c> None of other choices

<Q> When you compare Applegate technique to relining RPDs: <s>Y <c> Applegate technique is less demanding <c> Relining is better to keep the original jaw registration <c> Relining is less accurate than Applegate technique <c> Both will produce an occlusal discrepancy <c+> None of other choices

<Q> Regarding metal base RPDs try-in stage: <s>Y <c> Mandibular major connector must be polished on the fitting surface <c> It must have complete and stable seating on the master cast <c> Relief areas must be visible where indicated <c> The occlusal interferences is usually coming from an occlusal rest at the marginal ridge <c+> All of other choices

<Q> Your patient has no lower posterior teeth. You have tried in the framework and are border molding the extension areas in preparation for an altered cast impression. The distolingual border molding is shaped by the? <c>Masseter muscle <c>Internal pterygoid muscle <c+>Superior constrictor muscle <c> Mylohyoid muscle

<Q>The external finish line is <c+> The external junction of framework metal and denture base plastic. <c> The external junction of framework metal and supporting tissues. <c> The external junction of the framework metal and the natural teeth. <c> The external junction of the natural teeth and the denture base plastic