Professional Documents
Culture Documents
For one patient crown cutting (upper molar think so)and all perfect..no
excessive reduction of tooth structure.patient returns after 2 weeks
complaining of sensitivity
A.check occlusal contacts and tell him sensitivity will subside after weeks
B.apply desensitising agent by reflecting gingiva
C. Tooth mousse to apply at home.
PART OF SBQ
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MCQ
lower -35, 36, 37 and a bit more of retromolar area, 34 was not seen for sure, also a small part of
upper and lower right corners of the film seem to be bended, and black. 36 has a mesial radiolucent
area (like a lost filling), but more radiopaque area surrounded it (like a cement base).
a. Tunnel Prep
b. No treatment
a. root planning of 36
A. no sensitivity.
B. sensitivity to cold.
C. sensitivity to sweet.
5. Patient complains that lower left back region gets sore sometimes. What could be the reason?
c. periodontal problem
6. What is seen at the distal surface of 37 beneath CEJ/ What is the radiolucency in the cemento-
enamel junction of the 37
b. caries..?
d. horizontal fracture
a. cone-cut
c. poor/inadequate contrast
d. patient didn't bite properly / film holder not bitten properly (probably this is the ans)
(Melanie Thomas) case about a lady whose naturopath told her to replace 12 amalgam fillings. In the
history she states she's allergic to nickel. She uses st johns wort (hypericum klamath goat weed) 1g
per day for treatment of stomach upset. And there was a picture of a white lesion on her buccal
mucosa
b. lichen planus
c. leucoplakia
c. explain about gold ,composite and something so she can make a informed decision
4. Patient has decided to replace it with composite. What is the important thing to tell the patient
before replacing the restoration.
c.) Composite take stains with time from tea, coffee and wine????
1. In addition to testing the pulp vitality with either cold or an electric pulp tester, which of the
following clinical tests or procedures would be the most appropriate to assist in making a diagnosis?
A. Orthopantomogram.
B. Bite-wing radiograph.
C. Percussion.
D. Crack testing.
E. INR.
2. In case like this Class II composite restorations of posterior teeth are more likely to fail due to
recurrent caries if:
A. the material is placed in increments because of the risk of leakage between the increments.
B. a glass-ionomer lining is used because of the risk that the lining will leach out over time.
C. occlusal loads are applied to the marginal ridge due to flexure of the material.
D. the curing time is extended due to greater shrinkage of the material.
E. the gingival margin is on dentine because bonding under these conditions is unpredictable.
3. Given the history and the radiographic evidence, would you expect the sensitivity to hot and
cold that the patient reports to be?
A. sharp, occurring once or twice per week and only with ice-cream and hot coffee.
4. If you decided to extract the tooth and in planning for the procedure you find that that the
patients INR is 2.4, would you:
B. Proceed with the extraction and suggest that the patient stop their warfarin for 3 days.
C. Suggest that the patient stop their warfarin and commence taking 125mg aspirin before
returning in 3 days to have the tooth removed.
D. Consult the patients cardiologist to discuss stopping their warfarin treatment.
E. Refer to patient to a consultant Oral and Maxillofacial Surgeon who is best placed to manage
complex surgical problems such as this.
5. Which drug is used to control bleeding in warfarin taking patient having atrial fibrillation?
A. epsilon caproic acid.
B. Heparin.
C. ZOE pack.
D. Vitamin K.
6. After removal of the 46, which of the following prosthodontic options would be most
appropriate?
C. Replacement with a removable partial denture after the extraction site has healed.
D. Replacement with a fixed bridge.
E. No replacement until the patient has had an opportunity to assess their functional and
aesthetic concerns.
A. 3.
B. 2.
C. 4.
D. 5.
B. Cerebro-vascular Stroke.
C. Deep Venous thrombosis.
SBQ
A 45 year old lady presents with a loose crown on a front tooth. She complains about dislodged post
and core crown. She had this post and core for last 10-15 years.
a. Periodontal probing
2. If she wants to produce diastema as she had before what design would be most difficult to
achieve:
a. removable partial dentures
d. implant
e. cantilever
*The scenario was similar with March 2015 but slightly different and questions were also different.
Q2 and Q3 above definitely came up in the exam but not sure above the rest.
Patient was complaining of discoloured upper right central incisor. He remembers having a trauma
when he was 15 years old due to sporting injury and had a lot of treatment done for that tooth.
Picture was given.
Q1. What investigation will help for diagnosis and treatment planning?
A. Pulp sensibility B
Periapical x-ray
C. Percussion D.
OPG E.
Probing
Q2. What is the cause of discoloration? A. Tetracycline stains B. Internal resorption
C. Discoloration of the restoration. D. Pulp necrosis
Q3. If the tooth was endodontically treated, what would be the most likely cause?
A. Incomplete debridement of pulp chamber B. Coronal leakage
Q4. What is the best treatment for this patient? A. External bleaching B. Internal bleaching C.
Change restoration D. PFM crown
E. Ceramic
Q5. What risk from internal bleaching? A. Internal resorption B. External resorption
There was a sbq case about posts which are exposed to oral cavity(dont
remember the questions)which were golden colored
PAPER 2
PART OF SBQ
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SBQ
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Patients composite filling always coming out.conservatively how to rectify
it
A. Metal ceramic crown
B.Gold type 1
C.cad cam fabricated composite
D.Full ceramic
E.gold type 3
PART OF SBQ
MCQ
SBQ
X-ray. Implant 15 not enough space between 14 and 16, implant in situ
Q2. Put crown and x-ray, but crown above occlussion line. What is
failure and what to do?
B.
Q3. After adjusting crown, patient returns 1 week later and has pain on
lower right. Reason?
Q4. Minimum space required for two implants of 3.5 mm diameter (?)
A. 7mm B. 11mm C. 13mm D. 14mm
SBQ
On examination, you found that the denture fits well and is made to a
high standard. She says her lower incisors are becoming long and she
should get them all extracted now, when she is fit and healthy.
Q1. What is the red spot on the upper ridge A. Incisive papilla B.
Insertion of labial frenum C. Root fragment D. Abscess
Q2. By looking at the picture, how would you describe Maxilla? A.
Undesirable labial undercut B. Excessive resorption of anterior ridge C.
Exostosis of anterior maxilla D. Unmanageable buccal frena E.
Overhanging/enlarged maxillary tuberosities
Q3. In making Lower denture (of high quality), what is the most
significant difficulty that you will face? A. Lingual plate showing
through the lower incisors embrasure B. Hypertrophy of tongue/
inadequate area for the tongue- to manage it in the lower denture C.
High occlusal plane- due to over erupted incisors D. To get retentive
area on Canine, as undercut lies in the gingival third E. Problematic
buccal frenum
Q4. Reason for the denture to become loose during function A. Canine
interference on lateral excursion B. Unfavourable palatal anatomy C.
Decrease saliva (xerostomia) / changes in saliva quality D. Involuntary
muscle action on denture, due to Parkinson disease
16
A. Alginate
B. PVS
C. Polyether
D. Impression plaster
E. additional silicone
SBQ
Q1. What is the most probable main cause for this defect in bridge
A. Improper framework
B. Unfavourable bite (resulting in chipping)
C. Bridge design
D. Hard biting
E. Thin porcelain
Q5. For a new bridge if you wanted to construct high strength metal
free bridge, what material would you use? A. Feldspathic
B. Procera C. Zirconia
D. Scintered aluminia
E. Porcelain
Q7. At a later date when you want to replace 3 unit bridge, what do u
want to alter
A. Change the labial contour
B. Alter the bridge design
Q8. How many mm will you reduce the Fabrication of the Metal
Ceramic Crown Restoration
A. 1.2 mm to 1.5 mm for the labial surface, 0.5 mm to 0.7 mm for the
lingual surface, 2.0 mm for the occlusal surface
B.
SBQ
E.lichen planus
Investigations for this?
1. Incisional biopsy
2. Brush biopsy
3.oral swab
SBQ
MCQ
PART OF SBQ
MCQ
A.antipyretic
B.anti inflammatory
C.acts centrally
D.metabolized by liver
E.cause GIT symptoms
MCQ
SBQ
Options were
1. Double gloves
2. Conventional face mask
3. Apron to b incinerated after the treatment bcoz of the water
contamination during ttt
4.
5. N95 face mask
PART OF SBQ
The scenario for cjd said that the patient was injected pituitary hormone in
1980s (if i remember it right). She came to dr. Bills last week with pain in
lower left back tooth region. The tooth was probably 36 and she was
interested in getting the teeth saved by RCT
A.Treat with normal universal precautions
B.Give analgesics and give him another appointment to prepare the clinic
for special precautions(don't remember exact wording)
C.Complete debridement of canal and reprocess all the instruments
D.Debridement of canal and throw away all metallic instruments
SBQ
MCQ
- Anemia
- Neutropenia
-diabetes
- 1..what is the factor deciding her dependence (or max dose of ibuprofen
a) 1800mg
b)2400 mg
c) 2000 mg
d) 1000 mg
SBQ
SBQ
A patient is alcoholic. He drank last night and can't remember the details,
but suffered a blow or trauma(?).
1) According to some Australian Medical Guidelines how many drinks per
day is the maximum recommended dose for a male? a. 1
b. 2
c. 4
d. 8
b. 20ml
c. 25ml
d. 50ml
* Posteroanterior view of left half of the skull (I could see the fracture line in
the left condylar neck and displacement of fragments???)
a. open reductrion
b. splinting?? c. ???
SBQ
An elderly patient has a simple extraction of 16. The socket has not been
healed within 10weeks. Patient is taking Alendronate.
1)Alendronate is the treatment for: a. osteoartritis b. osteoporosis c.
malignant melanoma d. Paget's disease
2)What is the reason for non-healed socket? a. bisphosphonate-related
osteonecrosis b. oroantral fistula c. ???
4) If the physician will provide this treatment, when do you expect the
socket to heal? a. 1 month b. 3 months c. 12 months d. never
PAPER 4
SBQ
Smoker patient..smokes ( history given) half hour after waking up..she tried
to quit smoking but restarted it due to anxiety depression and
socialism..(bone loss on x ray)
addiction) to smoking?
A.she tried to quit it and then restarted
B..she smokes half hour after waking up
2..what kind of dependence she has?
A.emotional
B.environmental
C.social
3.she asks you if her bone can grow back..what will you tell her?
A.yes if surgery is done
B.no.but it will get worse if you won't quit smoking
MCQ
The question asking about the wrong definition was there also :
Specificity
Sensitivity
Incidence
Prevalence
Risk factor
SBQ
Indigenous man, used to smoke and use cannabis for 20 years, stopped
since 1 year.
Stressed out and taking medications for that? Worried about the anterior
mobile teeth and wants to get it corrected? (Please correct)
OPG showing bone loss in lower anteriorly. Couldn't see bone loss else
where
Pic showing anterior teeth from labial aspect, dark pigmentation seen
Pic showing anterior teeth from lingual surface, heavy plaque deposits,
recession 2-4mm and mobility mentioned. What would you classify this
into?
A) Acute periodontitis
B) Chronic severe periodontitis
C) Chronic moderate periodontitis
D) ANUG
E) Agressive periodontitis
MCQ
SBQ
A.agressive periodontitis
B.moderate chronic periodontitis
C.severe chronic periodontitis
A.smoking
B.bisphosphonates
C.diabetes
MCQ
Child ingested large amount of fluoride. what to do:
a) Call Australian Poison control
b) force to drink fluids
c) Induce vomiting
d) give sodium bicarbonate
MCQ
Incorrect about impacted teeth
A.impacted teeth should be removed
B.impacted teeth should be removed
MCQ
MCQ
MCQ
MCQ
TRANSTHEORETICAL MODEL
SBQ
Q. 2: why is it happened?
A. Chin is too down
SBQ 3 OPG with radioopacity under roots of lower incisors. What is it?
A. Cervical vertebrae
B. Condence osteitis
B. Osseodisplasia
SBQ
Please note that recession was on 31 and 41, one of them was more
severe than other
18 year old lady with recession on 31and 41, picture was given. On
photo: vertical recession on 31 with less than 1 mm attached
gingiva 3-4 mm. Tooth is in overocclussion plane for 1 mm. Other
teeth are ok.
Q1. What is the best recommendation for her to prevent future
recession
A. Send to specialist for graft surgery
Q2. But father doesnt have money to pay for graft. What is to do
in such situation?
A. Oral hygiene, soft toothbrush, diet and chlorhexidine and
fluorides
When the boy was 7y.o he experienced pain and attended another
dentist. Those fillings on 75, 84 were made at that time. There were
given 2 BW's taken before treatment 3 years ago.
*BW's 75, 84 - grossly carious (can't remember clearly, but I think
almost to the pulp)
On other PA (wasn't given, just text) you see, that tooth 22 has
similar presentation, but no symptoms. 2) What will you do with
22? (???
SBQ
11 y.o.
* Picture
Photo from the front in occlusion. Deep bite.