DHA Exam- Dec 13th, 2018 Dr Souraya Hoyek

1. Most common fluoride mouth rinse

a. 0.05% NaF weekly
b. 0.05% NaF daily
c.0.2% NaF weekly
d. 0.2% NaF daily

2. Secondary pre-operative radiograph for implant

a. MRI
b. forgot (not used in dentistry)
c. complex computer tomography
d. interactive computer tomography

3. Advantage of recent techniques for detection of caries

a….
b…
c. Detect incipient caries
d. Differentiate between enamel caries and dentin caries

4. DMFT leads to an overestimation regarding the caries lesions. Disadvantage of this

overestimation
a. internal validity
b. external validity
c. internal reliability
d. external reliability

5. Pt with cleft palate and cleft lip, also has anodontia: Von Der Woude Syndrome
(attention not : Von Willebrand : kind of hemophilia)

6.Max dose (in mg) of Carbamazepine divided on several times a day, given for trigeminal
neuralgia
a. 100
b. 200
c. 400
d. 1200

7. Fluoridation of water in ppm helping to decrease the incident of caries:

a. 0.2
b. 0.5
b. 1.0
c. 1.5

8.What is MTA
a. Mineral Trioxide Aggregate
b. Metal Trioxide Aggregate
c. Mineral Trioxide Acetate
d. Mineral Tymol Aggregate

9. Pt 5 years old had lost completely his central incisor. Management?

a. Maryland
b. crown
c. no treatment
d. space maintainer

10. Pt 11 years old complaining that his deciduous lower second molar it’s not lower that
his other teeth since then it erupted. What’s the most probable situation?
a. Retained
b. submerged
c. impacted
d. newly erupted

11. Functional appliance

a. Bionator
b. Posterior bite block
c…
d…

12. A 2 wall defect, which type of bone

a. freeze dried bone
b. cortical decalcified freeze dried bone
c. cancellous decalcified freeze dried bone
d. all have same result

13. Pt 25 y old, complaining from discomfort in his mandibular second premolar, in x-ray
there’s a sudden dark disappearance of the canal on midroot. Most probable explanation
a. hypertrophic calcification in apical part
b. secondary dentin apically
c. bifurcation area

14. Material used in the majority of areas of perforation

a. Mineral Trioxide Aggregate
b. CaOH
c. …

15. Pt has Miller Classe II recession on his upper canine. Management?

a. epithelial tissue graft under full thickness flap
b. epithelial tissue graft under split thickness flap
c. connective tissue graft under full thickness flap
d. connective tissue graft under split thickness flap
16. Socket healing by
a. Primary intention
b. secondary intention
c. tertiary intention

17. Diabetic Pt has cardiac valve. He’s allergic to Penicillin, which AB will you give for
prophylaxis
a. amoxicillin 1g 1 h before act
b. amoxicillin 2g 1h before
c. clindamycin 600 mg 1h before
d. …

18. Pt has swelling and acute pericoronitis. He had the same symptoms 2 months ago.
Treatment for Acute pericoronitis
a. AB only
b. Extraction then give AB
c. Relief of occlusion
d. rinsing and cleaning

19. Pt has a buccally tilted implant on 11, which crown

a. Screwed on straight abutment
b. screwed on angulated abutment
c. cemented on straight abutment
d. cemented on angulated abutment

20. Patient comes to you 2 days after he had IAN block, he now has fever and trismus.
Which space was affected
a. pterygomandibular
b. infratemporal
c. submasseteric
d. submandibular

21. Through which tissue might a hemorrhage go over the cranium

a. skin
b. periosteum
c. subcutaneous layer
d. subaponeurotic layer

22. High recurrence

a. residual cyst
b. .. cyst
c. odontoma
d. OKC
23. At the beginning of the operational day the dentist should spray the clinic for 3 min.
For which microorganism ( Strepto. salivaris was not mentioned)
a. Pseudomonas aeruginosa
b. Streptococcus sanguis
c. Streptococcus mutans
d…

24. Microorganism rarely found in newborn mouth

a. Streptococcus mutans
b. Streptococcus salivaris
c…

25. Pt comes to the dentist complaining from gum bleeding. Lost gum stipplings. Areas of
swelling that easily bleed. Pocket depth 4-6 mm and no attachment level loss. Most
probable diagnosis
a. acute gingivitis
b. chronic gingivitis
c. medication-induced gingival enlargement
d. ANUG

26. Patient comes complaining from pain on biting on his molar that has amalgam. Cold
test results are normal. Patient says the restoration feels high since it was done. Tooth is
tender to touch. Management?
a. remove interference
b. RCT
c…
d. remove restoration and put temporary filling

27. Most common consequence of insufficient occlusal reduction for a crown

a. occlusal interference
b. fracture of guidance cusp
c.

28. Pt received blow on the right on his face. He has horizontal midroot fracture. No
response to pulp test and gap between the 2 segments. Tooth is symptomatic. Management?
a. Institute RCT
b. Extract apical part
c. Extract both parts
d. Leave it

30. Advantage of zinc polycarboxylate cement over zinc phosphate

a. compressive strength
b. thinner layer
c. biocompatibility
d. solubility

31. Proxybrush used for

a. embrasure type I
b. embrasure type II
c. embrasure type III
d. embrasure type IV

32. Most common acute injury during dental floss use

a. recession
b. laceration of interdental papilla
c. loss of attachment in lingual sulcus
d…

33. Comparison between gracey and universal curette

a. gracey has one cutting area while universal curette has 2
b. gracey is for a specific area , universal curette is for 2 areas
c. grecey beveled edge 70 degree, universal curette 85 degree
d. gracey has hemicircular section, universal curette has triangular section

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

34. To calculate lateral condylar guidance (Hanau’s formula)

a. L= H/8 x 12
b. L= H/8 +12
c. L= H +8/ 12
d. L=H+12 /8

35. Pt comes to you after trauma. He has lost some epithelium layers and has intense pain.
His upper central incisors got intruded. Most probable diagnosis
a. concussion
b. laceration and luxation
c. subluxation
36. X-ray shows RL around the crown of a tooth, which?
a. nasopalatine cyst
b. dentigerous cyst
c…
d. ameloblastoma

37. Effect of removal of smear layer

a. better adaptation of filling material
b. forces bacteria inside the dentinal tubules
c. decreases permeability of dentin

38. Best test to START endo diagnosis

a. cold test
b. percussion test
c. hot test
d. EPT

39. Pt has sensitivity to cold on his molar that has an amalgam restoration, which is the
best test to diagnose the tooth pulp status
a. cold test
b. hot test
c. EPT
d. cavity test

40. Least conservative design

a. freather edge
b. …egde
c. chamfer
d. shoulder

41. Least conservative instrument (I forgot the options guys)

42. How should be the fit area of a denture

a. smooth and well polished
b. rough for better retention
c. as is after processing
d. sent to you after sandblasting

43. Technology allowing to detect incipient caries

a…
b..
c. Fiber Optic Transillumination
d. Digital Imagery Fiber Optic Transillumination

44. Patient has upper CD denture for 3 years. He’s a Cl I edentulous lower, only have his
lower anterior. On examination what will you notice?
a. severe bone loss on posterior lower ridges
b. severe bone loss in anterior edentulous lower ridge
c. severe bone loss in anterior edentulous upper ridge
NB: they used another word instead of severe but in the same meaning.

45. Hypochlorite solution is used in

a. surgery
b. RCT
c.
d.

46. Discoid-cleoid used for

a. carving burnishing
b. carving occlusal surface
c. burnishing
d. scrapping of excessive material

47. Where should we grasp the suture needle to preserve the tip of the needle
a. middle of the needle
b. 1/3 between the tip and the swage
c. 2/3 between the tip and the swage
d. at the end next to the swage

48. Instrument details 15, 84, 34, 13, which is the cutting edge?
a. 15
b. 84
c. 34
d. 13

49. Most used blade in general surgery

a. 11
b. 12
c. 15
d…

50. When to choose shade matching

a. before preparation
b. during preparation
c. after preparation

51. First thing to do to remove rubber dam

a.
b. remove clasp
c. cut interdental
d.
52. Dentist wants to put rubber dam to restore a tooth. After rubber dam is placed dentist
notices red color and swelling of the gum underneath. What would it be
a. auto-immune reaction
b. immunosuppression
c. immunodeficiency
d. Hyper immune reaction

53. Pt 15y old has taken tetracycline for a long time, and has a mild yellowish tetracycline
discoloration of teeth. How to remove this enamel mild tetracycline staining
a. CMP and pumice microabrasion
b. composite veneers
c. home bleaching
d. porcelain veneers

54. Pt 11y old, comes immediately after trauma. His 2 upper centrals have been avulsed 20
min ago, after being properly conserved and all conditions satisfied, for how long will you
splint them
a. 1-2 weeks
b. 2-3 weeks
c. 3-4 weeks
d. 4-5 weeks

55. what’s is called the fact of applying a normal or excessive occlusal force to a tooth with
weaken periodontium
a. primary occlusal trauma
b. secondary occlusal trauma
c…
d..

56. Pt come after trauma, there’s evident loosening of his central incisor and thickness of
pdl on radiograph. Management (I can’t recall the options)

57. Pt had a trauma, his upper incisors show disalignement. What would it be
a. luxation
b. root fracture
c. ..
d. alveolar fracture

58. A patient has an upper lateral in crossbite. After checking, the Pt has enough
mesiodistal space to fix the tooth in his ideal position. A finger spring will be used for that,
in which condition this is possible
a. Labially tilted lateral incisor, 5% deep bite
b. Labially tilted lateral incisor, 50% deep bite
c. Lingually tilted lateral incisor, 5% deep bite
d. Lingually tilted lateral incisor, 50% deep bite

59. Picture of occlusal face of 1st deciduous molar showing staining in occlusal groves. Afetr
examination with explorer patients has no caries. Management
a. observation after 6 months
b. restoration class I
c..
d. sealant

60. Pt is back for his regular follow up after 6 months. In his last visit x-rays were taken
and they revealed no caries. Which x-rays would he need this time
a. 2 btw
b. 2 PA
c...
d. no need for x-ray this time

61. What’s the effect of VC of LA in endo surgery

a. decrease systemic intake of the drug
b. increase duration
c..
d..

62. Picture showing Pt wearing upper and lower CD ( frontal view). Although all was
perfect during the trial session, the Pt is not satisfied with the esthetic outcome of the
denture. What is the most common mistake made during the arrangement of teeth
a. wrong canine line
b. Midline shift of upper teeth
c. wrong mesiodistal angulation of upper teeth
d. insufficient vertical overlap
NB: In this question all these mistakes were actually showing in the picture but it’s confusing
unless you know what’s the most common one.

63. Pt 5y old child. Radiographic survey (I’m not sure if those options are correct)
a. 4 PA (peri-apical), 2 occlusal
b. 2 btw, 4 PA, 2 occlusal
c. 2 btw, 2 PA, 2 occlusal
d. 2 btw, 2 occlusal

64. Picture showing a Pt with face bow during jaws registration, what’s the 3rd reference
to be taken
a. nasion
b..
65. Pt 55 y old has very bad oral and dental hygiene , and wearing an ill-fitting upper
denture for a long time that he does not take off. He shows a red lesion on the palate in the
area of limited to the denture. Pt is smoker. Diagnosis of the lesion
a. lichen planus
b. epulis fisseratum
c. denture stomatitis
d. oral cancer

66. Where do the mandibular nerve give his trigeminal branch

a. Foramen oval
b. rontd
c.

67. Simplest pulp treatment

a. RCT
b. pulpotomy
c. pulpectomy
d. pulp capping

68. Serial extraction

a. extraction of primary canine
b. extraction of deciduous canine
c..
d..

69. Tooth that needs the most surgical extraction

a. upper canine
b. upper third molar
c. lower third molar

70. Pt 34 y old has a red lesion in his soft palate, diameter 3 cm, painful
a. major aphtous
b. minor aphtous
c. herpetic… lesion
d...