1.

1. What does this point refer to?

*yield point

*proportional point

*elastic point

*failure point

1.

1. What does the arrow refer to?

*Elastic deformation

*Range

*Resilience

*yield

*proportional limit

1. What is this cephalometric analysis?

 *Sassoni *wits anaylsis

*Harvold

*Tweed

*stiener

1. 4-You are scheduled to visit a refugee school to do screening for the children, but you hear a report of TB
cases among children (M)
2. a. Delay all the procedures
3. b. Assess vaccinated students only while nonvaccinated students are not assessed.
4. c. Take Tb vaccine 1st before start assessment
5. d. Take the staff who are only vaccinated for screening
6. e. Start procedures as you already vaccinated
7.

5-Where are you most likely to find this symbol and what action must be taken?

*in your Xray area. Ionizing radiation in use and access to this area should be restricted

*on your sharps bin. The contents are biohazard and special system are in place for their disposal

*on a bottle of ethyl chloride. The contents are extremely flammable and that the bottle should be kept away
from direct heat sources.

* on a tub of chlorine releasing disinfectant tablets . the contents are dangerous to the environment and care
should be taken with their disposal

*on a bottle of cold cure acrylic resin monomer. The contents are an irritant and direct exposure with skin
should be avoided

6- A new nurse is employed in your office. What additional vaccine she may need rather than regular
vaccination in UK? ( M)

*HBV
*HCV

*HPV

*Tuberculosis

*Tetanus

7- You noticed increased WSL in your patients ,how can you solve:

*read any literature

*compare with another orthodontist

* read systematic review based on Rct

*read systematic review based on case control

*read all recent evidence

8- what is the position of this impacted canine?

*Buccal*Palatal

*line of the arch* line of the arch near Buccal* line of the arch near palate

9- what is the effect of this appliance

 *move bone buccal * move teeth buccal

*move teeth and bone buccal

*move bone buccal and teeth lingual

10- An 11 years old boy is prescribed high pull headgear as part of his orthodontic treatment. The boy returns after 2
weeks with an erythematous rash with no trauma on the right cheek and some are of the neck. What would your
immediate course of action be?

* Discontinue headgear

* Refer to the patient for allergic testing to check for sensitivity

* Cover the headgear with a protective sleeve

* Change the headgear

* Prescribe an anti-allergy ointment

11- palatal shelves elevation takes place within:

*minute

*hour

*Day

*week

*month
12-teen age boy come with his mother , she thought he need orthodontic treatment but he is not motivated and recently
he become unsocial and he wasn’t like that before. What do you think the problem with the boy

*lack of attention

*Depression

*Autism

*OCD

12-what is the cell responsible for this resorption ?? M

*Osteoclast *odontoclast

*osteocyte

*odontocyte

*cementoclast

13-you request an OPG for a patient , then we he brought it you found that he has a recent previous one what would you
manage this situation? * Don’t inform the patient as there is no big harm * inform the patient but tell him that there is no
problem

*Inform the patient, apologize, document the incidence and find out the causes

* Inform the patient and apologize and tell him that it will not happen again

14-what is the movement expected from these attachments (the green color)?
*Buccal root torque

* lingual root torque

*Buccal crown tipping

*lingual crown tipping

15- a 35 old female requesting a lingual braces for treating her mal aligned teeth.

What the most benefit from this type of braces for the patient?

*accurate positioning of brackets

* widening the arch

*Better oral hygiene

*invisible WSL

16- your patient came to you and informed you that he swallow the band of the last molar one week ago, with diagnosis
you found that 5mm of the wire is missed too.what would be your action?

*nothing as the incident was week ago

*call the ambulance immediately

*refer to hospital for investigation

*follow the symptoms for another 6 days

17-
(in the exam there was no lines)) near -end OPG with aligned teeth except upper right 4,5 rotation)

how long you do you expect the remaining time for debonding

*1-2 months

* 4-6 months

*9-12 months

*12-18 months

18- a patient came to you seeking orthodontic treatment prior to orthognathic surgery,he is complaining from TMD and
worry about the effect of ortho on his TMJ problemwhat will you inform him?

* No effect of ortho treatment on his TMD either long term or short term

*it will get worsen on long term but no effect on short term

* it will get worsen on short term but no effect on long term

* it will get worsen on short and long term

* it will improve with ortho treatment

19-a 22 years old female came to the clinic with his boyfriend complaining from 2mm open bitewith no functional effect
but she cant look to herself at the mirror and that cause her suffering from bad quality of life. How would you manage her
case?

*recommend orthognathic surgery

* perform orthodontic treatment using TADs

*refer to psychiatric

*do restorative treatment to close the open bite

20- A 10 years old boy came with his mother and his elder sister, he was so afraid and anxious

And refuse to set on the dental chair , his mother asked you to perform diagnosis to his sister ……….what is this method of
management?
*modeling

*positive reinforcement

*distraction

*non verbal communication

*Tell, show and do

21- Arrange the type of studies from the weaker to the stronger

* Case study, expert opinion, RCT, case control trial, cohort

*expert opinion, case study, case control trail, RCT, cohort

* expert opinion, case study, case control trail, cohort , RCT

*RCT, Cohort , Case control trail, case study, expert opinion

22- what is the proper length for this TAD?

(in exam the photos was on casts)

* 1.5mm wide,6mm long neck

* 1.9mm wide ,6mm short neck

*1.5mm wide , 9mm , long neck

*1.5mm wide,10mm, short neck

*1.9mm wide, 9mm, short neck

23- how do you partition the clean and dirty area in the surgery room

*coning

*zoning

*tiering

*framing

24- what is the proper length for this TAD?

(in exam the photos was on casts)

* 1.5mm wide,6mm short neck

* 1.9mm wide ,6mm long neck

*1.5mm wide , 9mm , long neck

*1.9mm wide, 9mm, short neck

*1.5mm wide,10mm, short neck

25- 15 y old boy came to your clinic seeking orthodontic treatment, his parents are from UK but they are travelling abroad
for the time being, by diagnosis you confirm his need for orthodontic treatment, how do you will mange the consent for
this patient?

*you can start treatment only after verbal consent from his parents

* you can start treatment only after a written consent from his parents sent by mail

*the patient can consent for himself

*it’s better to wait his parents come back to consent the treatment

*you can ask his carer to consent instead of his parents

26-as you perform follow up visit for your patient, she suddenly loose her consciousness and start jerking movements
with her limbs, frothing at her mouth and become very pale.you know that her medical history is free. You decide to give
her 1mm IM glucose .She start to regain her consciousness but still dizzy. What is your next action?

*give her 500 microgram IM Adrenalin (1: 1000)

*give her another 1mm of IM glucose

*give her a sugary juice

*give her 10 mm sublingual midazolam

*call the ambulance

27- What is the most significant (abnormal ) thing you will first notice on looking on this lateral cephalogram ?

Large tongue size

Wide nasopharyngeal depth
Abnormal sella size
Enlarged maxillary sinus
Impacted upper wisdom tooth

28- patient came to your clinic after removing his fixed appliance and with his fixed retainer on, on diagnosis he had a
severe gingival recession in his lower laterals and have different torque (retroclined) and came out of one. what cause this
to happen ??

The fixed retainer is not passive and changed the teeth torque
The orthodontist placed the teeth out of bone envelope
The patient have thin biotype before treatment start
The 2 laterals had pervious recession and different torque
29-a patient has a class II division 2 with the upper incisors upright and the lower incisors upright with decreased facial
height ,the treatment plan included extraction of upper and lower 5’s which allow:

High torque upper and lower

Low torque upper and lower
High torque upper and low torque lower
Low torque upper and high torque lower

30- 49 years old patient was referred by otorhinolaryngologist. He presented to the clinic with class II and mild crowding
lower incisors.the patient’s main complaint persistent fatigue, frequent and loud snoring and witnessed apneas. After the
patient doing a full night polysomnography. Mandibular advancement appliance was suggested. What is appropriate
management?

Monoblock appliance and ask the patient to protrude on its comfortable bite position
Monoblock appliance and ask the patient to protrude till reaching edge to edge
Monoblock appliance and ask the patient to protrude slightly beyond its comfortable bite position
Titrated appliance and ask the patient to protrude on its comfortable bite position
Titrated appliance and ask the patient to protrude slightly beyond its comfortable bite position

30- 35 years old patient with orthodontic problems that require treatment. After examination, you have noticed that the
patient have ceramic laminate veneers on all her teeth. She want to do orthodontic treatment. What is the most
important thing to consider on your bonding protocol?

Sandblasting the ceramic surface, followed by hydrofluoric acid 5% and bonding using resin modified glass ionomer
Adding silane coupling agent to ceramic surface and bonding using modified glass ionomer
Sandblasting the ceramic surface and bonding using resin modified glass ionomer
Hydrofluoric acid and bonding using resin modified glass ionomer
Roughening the ceramic surface with bur, followed by silane coupling agent and bonding using resin modified glass
ionomer

31- a friend of you called you and tell you that he just had a CLP child the baby was only born few hours ago , what would be
your first concern at this time ?

Nasoalveolar molding appliance

Feeding appliance
Lip closure surgery
Nasoalveolar intubation
Initial palate repair to facilitate feeding

32- an orthodontist bought a new gauge caliper , what is the best method to calibrate it to avoid random errors ?

* test on 10 sets of study casts

*take measurements from 10 different orthodontists on the same cast

*take many measurements on same cast

*take measurements from mouth and cast

33- an orthodontist bought a new gauge caliper , what is the best method to calibrate it to avoid systemic errors ?

* test on 10 sets of study casts

*take measurements from 10 different orthodontists on the same cast

*take many measurements on same cast

*take measurements from mouth and cast

34- The process done to soften the wire is called

* heating

*cold working *annealing

35- A 50 years old man came to the orthodontic department seeking for ortho treatment for his short anterior teeth. By
diagnosis you found mild crowding with sever attrition in the anterior teeth how can you manage this case?

*tell the patient that the orthodontic treatment is not applicable for him

*refer him for periodontal department for crown lengthening *refer him to a joint clinic with restorative dentist

*tell him that his case can be treated by aligners

36-you are about to perform a prospective study on the effect of a functional appliance on the facial growth though out 2
years, you need to collect patients data from the files, what is the most important aspect you have to take care about to
grantee the success of your study?

*accurately select the type of the study*take patient consent

*take large sample size

*ask the help of statistics specialist

37- ‫ صورة‬occlusal ‫ فيها‬extensive root resorption on laterals , canines are between laterals and 4s

a patient came to the orthodontic department asking treatment for his impacted upper canines with this xray.what is the
best extraction pattern for this patient?*U2s*U3s*U4s*no extraction just monitor*U3s and U2s

38-What is the expected movement of the molar

(in exam there was no semicircle arrow, the arm direction was coronal to the trifurcation)

* distal bodily movement*distal bodily movement and intrusion

*distal tipping

* distal tipping and intrusion

39- a patient came to your clinic with sever cl II skeletal base and the ceph readings was as followUI 110, LI 102, ANB 8,
NLA 130 and Av lower ant. Facial height . which of the following procedures should be used?

*maxillary set back and advance mandible

*extraction lower, advance maxilla and mandible

* extraction upper 4s and advance mandible

*advance mandible only

40- An orthodontist in another country finished a case series and RCTs of a topic, what is the best research type to
continue ?*systematic review of RCTs

41- this is an x ray for 12 years old patient with cleft palate .what do you think the benefit you can get from this appliance?
( the xray was full occlusal and better details )

*correct posterior cross bite

*correct anterior cross bite

*open space for canine eruption

*prepare cleft site for bone grafting

42

(in the exam the photo was frontal view and the mesiodense was inverted and out of occlusion)

this 10 years old patient came to your clinic, his mum told you that he refusing perform any dental procedures under local
anesthesia. what is the best management for this case
* just monitor

*extract misodent with inhalation sedation

* extract misodent under GA

* extract misodent with intravenous sedation

*extract with local anesthesia

43-Nurse got inoculated with needle. What is the immediate management in this case? M

* Gently squeeze and wash under running water, cover with water-proof plaster, and record the incident ,follow the
local procedures

* Send her immediately for local prophylaxis

* Send the patient for blood testing

* Record the incident.

* Gently squeeze and, cover with water-proof plaster then then send her for prophylaxis

44-Sterilization is an essential step in the reprocessing of reusable dental instruments that have become
contaminated or are potentially contaminated with saliva, blood, or other biological fluids. What is the correct
sequence of sterilization ?? M

a) Disinfection, cleaning, rinsing, drying, wrapping & sterilization.

b) Rinsing, drying, cleaning, disinfection, sterilization and wrapping

c) Disinfection, cleaning, rinsing, drying, sterilization & wrapping

d) Cleaning, disinfection, rinsing, drying, oiling, sterilization and wrapping.

e) Cleaning, disinfection, rinsing, drying, sterilization and wrapping

45-A 9-year-old boy was originally referred to an orthodontic practice by the general dental practitioner for the
management of an unusually large incisor. Medical history revealed Type I diabetes, with no relevant family history of any
dental anomalies. Dental examination revealed an early mixed dentition, with a Class II division 1 malocclusion complicated
by U1’s fused to a
supplemental incisor. These teeth had a mesiodistal width of 14 mm. All other permanent teeth were present and of
normal morphology. The upper labial segment was potentially crowded, and the lower arch was moderately crowded. The
patient had an overjet of 6 mm and complete overbite. Radiographs showed that the macrodonts had two roots, however,
the pulp morphology

was deemed unfavorable for endodontic treatment with subsequent root sectioning. What is the appropriate
management?

a. Extraction of macrodonts and allow the lateral to replace it

b. extraction and replace with partial denture till ae of implant

c. Enamel reduction and stripping

d. Retain with restorative adjustment

e. Root canal treatment and prosthetic crown

46- A 13-year-old patient attended to clinic with his parents with a class 2 skeletal malocclusion and 9mm overjet. The
position of A and B point is expected to be: M

a.
b. a) A point is forward to B point by 2 mm
c. b) B point is ahead of B point by 2 mm
d. c) A point is coincident on point B
e. d) B point is ahead of A point by 9 mm
f. e) B point is ahead of A point by 9 mm

47- 13-year-old female attend to your clinic. He has congenitally missed upper lateral incisors with low upper lip line your
treatment plan is to open space for future implant. What is the most important thing you need to achieve before debond?
M

a- Root parallelism

b- Canine guidance

c- Working side interference

d- Non-working side interference

e- Contact point between teeth and implant

48-Severe Skeletal class III patient with droopy eyes and flat checks (or mentioned Le Forte II )treated by orthognathic
surgery that involved maxillary advancement and mandibular setback. What is the most likely nerve combinations prone to
getting injured during the surgery ?

a) Infraorbital Nerve , Auriculotemporal Nerve , Inferior Alveolar Nerve

b) Infraorbital Nerve , Inferior Alveolar Nerve , Auriculotemporal Nerve. Nasopalatine Nerve

c) Infraorbital Nerve , Zyomaticofacial Nerve , Inferior Alveolar Nerve

d) Infraorbital Nerve , Zyomaticofacial Nerve , Nasopalatine Nerve ,Inferior Alveolar Nerve

49-A Skeletal Class III patient was referred for combined orthodontic-orthognathic surgery with moderate crowding in
upper arch. Now you will start the decompensation phase. What is your treatment plan for decompensation ? M

a. a) Non extraction-based alignment of upper and lower arches , with class III elastics
b. b) Non extraction-based alignment of upper and lower arches, with class II elastics
c. c) Extract lower premolars and align upper arch, with class III elastics
d. d) Extract upper premolars and align lower arch, with class II elastics
e. e) Extraction of upper and lower premolars

50-This Bar graph represent which of the following ?

mean and standard deviation

mean and range
mode and interquartile range
median and standard deviation

51- A Forest Plot . what the diamond stands for ?

52-An uncontrolled study conducted to test the effectiveness of new functional appliance in respect to growth
modification in a group of young adolescents and the findings showed the outcome as visualized in the graph below.
What do you think the study findings explained? M

a. a) Overestimated mandibular growth

b. b) Underestimated maxillary growth
c. c) Overestimated maxillary growth
d. d) Underestimated mandibular growth
e.
53-

What is the function of this appliance in this case?

* close the spaces

*reinforce anchorage

*distalization

*mesialization

*lower incisors proclination

54-

(in exam there was no arrows, no rct in 6, no 8 and the lesion was around impacted 7)

A 22 yaers old patient came to your clinic for orthodontic treatment. Upon examining his OPG you notice the lesion in the
mandible. What is your management for the case?

* extract the lower left 7 and start treatment

*ask for CBCT

*refer to oncologist

*dismiss the patient and tell him that the treatment is not applicable for his case

*monitor for 6 months

55- you are starting a study on cephalometric xrays to follow up patient growth pattern while using functional appliance.
What is the most stable land mark you can depend on?

* anterior wall of sella

*posterior wall of sella

*follicle of lower 8

*lower border of inferior alveolar canal

*anterior nasal spine

56- this 50 years old female came to your clinic for her follow up visit.she is about to finish her treatment. You notice this
generalized bone loss

She is with free medical history and heavy smoker.what should you do at this stage?

(in the exam lower left 7 was with band not tube)

*stop the treatment immediately without retainers

*replace the band on lower left 7 with tube

*refer to periodontist to assess the case

*complete the treatment with low forces

57- Your new nurse in the clinic complain from pain related to her TMJ and she came seeking your advice about how to
manage that problem , knowing that she is having her annual exams ongoing

*reassure her that the pain related to exam stress

*prescribe an analgesic and advise on soft diet

*do a splint and advise on soft diet

*refer her to rheumatologist

58-Your 15 years old female patient came to your clinic on her regular routine ,on diagnosis u found that she developed Cl
III BSI although she was Cl I, what do u think may cause this ?
*the closed coil placed in the extraction space

*didn’t make laceback

* the unfavorable growth

*the wrong treatment plan from the beginning

59-This 12 years old boy is in the late mixed dentition .He traumatized both upper centrals and the upper right lateral
incisor approximately 24 hours ago. The posterior occlusion is Class I and there is mild upper and lower crowding. On
examing the xray the upper lateral incisor has apical root fracture.together with arranging restoration of the upper right
central incisor tooth,what is the most appropriate plan for immediate manangment of this patient ? (photos of Q.20
general dentistry 1)

*Extract the upper right lateral incisor and defer orthodontic planning until the patient is in the full permanent dentition

*Stabilize the upper right lateral incisor with flexible splint 4 weeks.

*Leave the apical third of the root and extract the coronal part of the upper right lateral incisor and close the
wound.provide a n upper space maintainer

*Refer the patient to have an immediate endodontic treatment for the upper lateral incisor

60-a 15 years old boy came to your clinic for orthodontic treatment , on examination you found that he had a trauma 4
years ago (not sure about the time ) and previous abscess related to his upper central incisor ,he had done an endodontic
filling for the tooth and the xray show revascularization and healed abscess and the tooth is asymptomatic . What is the
proper decision to take regarding his previous history and the need for treatment?

*refuse to do any treatment now and wait 6 months

*start the treatment and make the tooth out of the wire

*Start the treatment with low forces and monitor every 6 months with xray

*start the treatment with no modification as the pathosis had healed

61-This cbct showed UR1 with an abnormal morphology , what cause this to happen ?

(not the exact Q nor the cbct but the same idea and answers)

*cervical root resorption

*the presence of a supernumerary tooth

*dens invaginatus

*degenerative root resorption

*the presence of a tuberculate

62- A 10 years old boy came to your clinic with his parents , on taking history from the parents they mentioned that the
boy is having a struggle to stop his habit of thumb sucking which apparently affected his occlusion and caused his upper
centrals to procline and created an increased overjet, what the first line of treatment to start with?

*advice the parents to take their child to psychiatrist

*use a bitter taste on the kid’s finger

*use a habit breaker appliance

*start the orthodontic treatment to correct the malocclusion

*advise the parents against any orthodontic treatment at the present time
63-‫سؤال عن خطوات تعقيم االدواتاالجابة كانت‬

‫ اول خطوة الغسيل في‬ultrasonic cleaner

64-‫ سؤال عن‬URA‫ و في‬candida‫بيسأل عن السبب مش بياخد ادوية فيها كورتيزوناالجابة كانت‬

Hygiene

65- patient with thumb sucking habit, ‫اول خطوة في العالج‬:*bitter material on his fingers

*habit breaking appliance

Old questions
1. A 15 years old girl attends foe assessment. She has noticeable tooth surface loss particulary affecting the
palatal surfaces of the upper incisors. She complains of sensitivity of these teeth , and she has halitosis. On
questioning there are no dietry causes for her tooth surface loss, and she does not drink frizzy drinks.
Which condition would you be most suspicious of in this girl?
*Bruxism

*Toothbrush abrasion

*Wear from pen chewing

*Anorexia

*Bulimia

1. An orthodontic patient presented with a loose band on upper left first molar for the first time. Most of the GIC was
left on the tooth surface rather than inner surface of the band. The most probable cause of failure could be:

* Low powder/ liquid ratio

* Moisture contamination

* High a prismatic enamel

* High powder/ liquid ratio

* Heavy occlusal forces

1.
 1. Patient presented with Class II div 2 undergoing orthodontic treatment. After alignment phase What will these pliers
be used for?

* Extrusion

* Intrusion

* Root M-D tip

* Root F-L torque

* In-out