Final exam

Paper 1 : 2 hrs
Part A

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A patient attends to clinic for orthodontic treatment. Gingival recession was present of the
lower left central incisor. How to measure the amount of gingival recession

A. Wiliams probe
B. B. basic periodontal examination
C. C. take impression and pour cast and measure on the cast
D. D. CPTIN probe
E. [Link] probe
A 40 years old patient came to clinic for orthodontic treatment. Basic Periodontal Examination
(BPE) revealed a score of 3. Patient was referred to periodontist for controlling his periodontal
condition. After 3 months of treatment, he was referred from periodontist to start orthodontic
treatment. Which probe is used for secondary basic periodontal examination (BPE)scores
evaluation?

A. UNC 15 probe
B. B. WHO probe
C. C. Michigan probe
D. D. Nabers probe
E. E. CPTIN probe
30 years old patient want to have orthodontic treatment. After examination of patient you
found that his BPE as described above in the table. He was non smokers and not drink alcohol.
What is the appropriate management

A. Oral hygiene instructions

B. B. Oral hygiene instruction and prescribe fluoride mouthwash
C. C. Refer to general dental practitioner who has special interest inperiodontology or to
periodontist
D. [Link] hygiene Instruction and prescribe chlorohexidine mouthwash
E. [Link] hygiene instructions, supra and subginigval and root surtace debridement
Closure of a maxillary median diastema with the assistance of an anterior spattachment to the
central incisors is an example of

A. Intermaxillary anchorage
B. [Link] anchorage
C. [Link] anchorage
D. D. Stationary anchorage
E. E. Reciprocal tooth movement
A 30-year-old orthodontic patient attends for an emergency appointment complaining of
severe, throbbing toothache of upper left 1st molar. He says he cannot eat on the affected tooth
and on examination, you see aperiapical abscess. You decide to drain the pus away but want to
cover this gentleman with antibiotics as the surrounding gum is very inflamed. On questioning,
he tells you that when he last had penicillin he has ananaphylactic reaction and needed
intensive care unit (IT) treatment. Which would be the most appropriate antibiotic to use in this
case?

A. Co-amoxiclav
B. B. Metronidazole
C. C. Amoxicillin and metronidazole
D. D. Flucloxacillin4.
E. [Link]
A mother of a 7-year old boy is worried about the gingival bleeding in herchild. Periodontist
examined the child and performed the basic periodontal examination. Which of the following
teeth is not included in the BE of thispatient?

A. Lower left first molar

B. B. Upper left 1st molar
C. C. Lower left lateral incisor
D. Lower right central incisor
[Link] right central incisor
In this photograph. what action described what is done

[Link] anchorage for mesialization of posterior teeth

B. Indirect anchorage for mesialization of posterior teeth
C. Direct anchorage for retraction of anterior teeth
D. Indirect anchorage for retraction of anterior teeth
E. Indirect anchorage for retraction of anterior teeth and mesialization ofposterior teeth
You did ME for patient with bilateral posterior crossbite of 10 mm, you ask him to activate it 2
turns per day. When you will reviewhim?

A .After 1 week
B. After 2 week
CAfter1 month
D .After 2 months
E After 3 months
A 30-years old patient came to your clinic for orthodontic treatment. During
examination,generalized recession with obvious and the patient was with very good oral
[Link] is reason of this recession:
A. Aggressive periodontitis
B. B. Smoking
C. [Link] tooth brushing
D. D. Fizzy drinks
E. [Link] occlusion
An 8-year old healthy male presented with a chief complaint of proclalmed upperIncisors and
traumatic bite. He has sever crowding in the upper and lowerarches with a lower midline shift to
the left side of 5 mm. The upper arch wasconstricted. A removable expander was planned in this
case. Activation protocolin this case, should be:

A. Alternate rapid and slow maxillary activation

B. B. Rapid maxillary activation
C. .Intermediate activation
D. D. Activation by maxillary expansion supported with TADs
E. E. Slow maxillary activation
You did ME for patient with bilateral posterior crossbite. After 3 weeks,expansion occurred
with significant midline diastema from which patent was concerned and he informed you that
he does not like the space between his front teeth. What is the most appropriate next step ?

[Link] Immediate upper fixed appliance and close upper front teethspace without removing
RME

B. Reassure patient and wait 1 months then start fixed appliance

[Link] patient and walt 3 months then start fixed appliance

D. Remove RME and place upper removable appliance to tip uppercentral incisors and so close
the space

[Link] RME and place upper fixed appliance and start to closeupper front teeth space
A patient undergoing fixed orthodontic treatment presented withpain and discomfort in his
mouth. On clinical examination, thetransverse discrepancy was corrected but the quad
helixappliance is seen to be embedded in his palate. How should theorthodontist proceed
further?

[Link] and let the soft tissue to heal

B. Remove and give TPA same day

C. Remove and make quad helix again

D. Remove and give TPA next day

E. Remove and give TPA on next appointment

Quad helix is expander appliance used for treatment of crossbite. What is wire size used for its
construction?

A. 0.5 mm
B. B. 0.7 mm
C. C. 0.9 mm
D. D. 1 mm
E. E. 1.2 mm
Force level for expansion with quad helix is

A. 100 qm
B. B. 400 qm
C. C.1000 gm
D. D. 1200 qm
E. E. 5000 gm
Force level for expansion with ME is

A. 0.5 kg
B. B. 1 kg
C. C. 5 kg
D. D. 9 kg
E. E. 20 kg
Miniscrew is used for obtaining maximum anchorage in [Link] is the most probable
cause that will need immediate removal of screw?

A. Inflammation
B. B. infection
C. C. pain
D. D. adjacent to the roots
E. E. touching periodontal ligament
Patient with class 2 division 1 attended for orthodontic [Link] was inserted for
anterior teeth retraction. After one week,the miniscrew failed. What is the most probable cause
that will needImmediate removal of screw after one week?

A. Inflammation
B. B. infection
C. C. loosens-loss
D. D. adjacent to the roots
E. E. touching periodontal ligament
Patient with a class 2 division 1 incisors attend to the clinic for orthodontic
treatmentCephalometric analysis showed that ANB 4 degree which is not reflecting his
condition What other analysis should be done to confirm and achieve proper diagnosis?

A. .sassouni
B. wits appraisal
C. Pitchforic
D. digital tracing
E. mcnamara
Patient with a class 2 divison 1 incisors attend to the clinic for orthodontic
[Link] analysis showed that AB 4 degree which is not reflecting his
[Link] other analysis should be done to confirm and achieve proper diagnosis?

[Link]
[Link] appraisal
[Link]
[Link] tracing
Emcnamara
Hyrax and removable appliance with screw and quad helix are used forarch expansion. The
relapse cause by these appliances Is as follow:

A. the same

B. B. quad helix relapse is more than hyrax and removable appliance with expansion screw

C. C. quad helix relapse is less than hyrax and removable appliance withexpansion screw

D. D. hyrax relapse is less than quad helix but more than removableappliance with expansion
screw

E. [Link] relapse is more than quad helix but less than removableappliance with expansion
screw
A 13 years old child presented with bilateral posterior crossbite and moderatecrowding. The
treatment plan was decided by widening the upper arch using hyrax expander. expansion has
been accomplished with midline diasmta What is the next step?

A. leave appliance for 3 months for retention

B. BB. leave appliance for 3 months for retention and put flowable composite onthe screw

C. C. leave appliance for 6 months for retention and put flowable composite onthe screw

D. [Link] appliance, take Impression and fabricate acrylic Hawely retainer

E. [Link] appliance, takeimpression and fabricate vacuum formedretainer

A 12 year old boy was treated with a twin block appliance for full unit class 2 molarrelationship
with retrognathic mandible. After 9 months of treatment, the overjet wascorrected. You
requested a lateral cephalometric of the final results. You want to compare between
pretreatment lateral cephalometric and the last lateral cephalometric of treated results, Which
appropriate cephalometric measurement would be used?

[Link] appraisal

[Link]

[Link] analysis

D. functional occlusal analysis

[Link]
A 15 years old girl attended to clinic for orthodontic treatment with her [Link]
examination, she had a 7 mm overjet with no crowding. You told hermother that extraction is
indicated for correction of her condition. She mentioned that she searched on Internet and
Youtube about extractl on treatmen tand she was worried about its effect on her appearance.
What should you tellher mother?

A. Extraction will have minor effect on the profile thal will not be detrimental.

B. Extraction will have long term effect on the profile which will be noticeable by laypeople

C. Extraction will cause minor effect with wider buccal corridor since she Is 15years of age

D. Extraction will have no effect since she is 15 years of age

E. Extraction will have detrimental effect on her appearance and therefore she is not candidate
for orthodontics
You are following ten orthodontist doing complicated orthodontic cases. Par scoreof their cases
was 60. During evaluation of the cases, One of the orthodontist hasfinished his cases with par
score ranging from 4 to 6. The reason was that his caseswas

A. initially with high par score

B. B. mild crowding

C. [Link] lip and palate

D. [Link] orthognathic surgery

E. [Link]
A 12 year old boy was treated with a twin block appliance for full unit class 2 molarrelationship
with retrognathle mandible, After 9 months of treatment, the overlet wascorrected, You
requested a lateral cephalometric of the final results. You want to compare between
pretreatment lateral cephalometrle and the last latoral cephalometrle of treated results, Which
approprlate cephalometric measurement would be used?

A. wits appraisal,
B. stelner
C. Pancharz analysls
A. D. functional occlusal analysis
B. E, sassoun
A 20 year old hyperglycemic patient complained about generalized spacing inall of her teeth
and pain in her jaws when opening and closing her mouth. On clinical examination, she had a
traumatic overbite with her upper incisors completely overlapping the lower incisors. Her left
lower 1st premolar was inlingual crossbite. She had generalized chronic periodontitis and her
teeth showed some signs of bruxism? What would be IFTN score be in this case?

A. 5.5
B. B. 5.7
C. C. 4.7
D. D. 1.13
E. E.4.8
A 13 year old female came to orthodontic department with cleft lip and palate and an open bite.
She complained of irregular teeth and difficulties in speech. She had a reverse overjet of 4 mm
and a retained deciduous first molar. Calculate the IOTN.

A. 5m
B. B. 5i
C. C. 4m
D. D. 5a
E. E. 5p
Patient presented to your clinic for orthodontic treatment. He suffers from kiwi sensitivity,After
bonding fixed appliance, he started to have airway swelling and skin rashes, rednessand
couging. You give oxygen 15L/min and he does not improved What should you do?

A. Call the ambulance

B. B. 0.5 mg adrenaline 1:1000

C. C.0.5 mg adrenaline 1:10000

D. D.1 mg adrenaline 1:1000

E. E.1 mg adrenaline 1:10000

Patient is suffering myocardial infarction in dental chair, which position is bestfor patient

[Link] sitting position

B. Laying flat

C. Recovery position

D. Lay the patient flat and rating legs

E. Any position is fine

An obese 40 year old who takes metformin is seen at the end of a morningclinic. After
administration of local analgesia in the supine position the patient complains of feeling unwell.
She is pale and sweating and is confused. No pulse was detectable. She was given oxygen and
maintained in the supine with noimprovement in condition. What would be the most
appropriate drug to administer next?

A. Glucagon

B. B. Glucose
C. C. Adrenaline
D. D. Hydrocortisone
E. E. Chlorphenamine
A diabetic patient on your operating list for dental extraction under local anaesthesia complains
of feeling sweaty and unwell. He has been mistakenly instructed to fast overnight and tooth his
evening insulin as usual. You ask your nurse to check the blood sugar, it reads as 1.8 [Link] the
patient was to become unconscious, what is the most appropriate immediate pharmacological
treatment?

A. Sulbatomol
B. Administer a sugary drink
A. C. Dextrose solution IV
B. D. 1 mg glucagon iv
C. E. 1 mg glucagon im
Patient presented for orthodontic treatment. While taking her history, she revealed about her
asthma and she ls taking her salbetamol inhaler everyday. During examination, she started to
have the attack what should you do after calling the medical support or ambulance

A. 1:1000 cortisone
B. B.1:10000 cortisone
C. C.1:1000 adrenaline
D. D.1:10000 adrenaline
E. [Link]
When admitting basic life support the rescuer needs to perform chest compression andrescue
breaths in a set ratio, or algorithm. Which one of the following is the currenta lgorithm of
breaths to compression in adults?

A.1:5
B.2:30
C.2:15
D. 1:30
E.1:15
To be able to deal with anaphylaxis in your practice, the most important thing is to have

[Link] 1:1000
B. Cortisone
[Link] training
[Link] administration device
[Link]
When a patient experiences an angina attack, the recommended emergency course of
actionincludes administering glyceryl trinitrate (GTN) spray beneath the tongue. Which one of
thefollowing is the reason why this medicine is administrated by this route?

[Link] chewing a tablet

B. Prevents tooth staining
[Link] tasting the medicine
D. Avold sugar on teeth
[Link] circulatory absorption
A 29 year old patient comes to your clinic. The patient has a history ofdiabetes and he looks
confused but he is still consclous and speaking with you. How will you manage this case?

A. IV 20 ml dextrose
B. B. Orally 10-20 ml glucose
C. C. 500 mg Tobutamide
D. D. IM 100 ml glucagon
E. E. Give him some raw sugar to eat
Many patients who attend dental surgery for the treatment are anxious and wary of
experiencing pain. Some become so anxious that they begin to hyperventilate and induce a
panic attach. Which one of the following actions should be taken by the rescuer during an
attach?

[Link] basic life support

B. Begin abdominal thrust

C. Clear the airway

D. Allow rebreathing

[Link] oxygen
A 55 years old female patient wants to go for orthodontic treatment. She sald in hermedical
history that she had osteoporosis and her medical doctor prescribedbiphosphante drug for her
condition. She was using it for 3 years. In addition, she wasprescribed a glucocorticoid drug for
treating other medical related disorder 2 years [Link] should you tell her regarding her
treatment?

A. Risk of drug related osteonecrosis during orthodontic treatment could happen

B. B. Potential delay of tooth movement during treatment which would increase Etreatment
duration

C. [Link] of periodontal damage and attachment loss which would lead to teeth mobility

D. [Link] of relapse after treatment which could require permeant retention for lifetime

E. [Link] treatment is not recommended for her

A 32 years old female patient with a history of osteoporosis is on oral biphosphanate, Shevisited
the orthodontic department for treatment of her prominent upper teeth, after evaluating the
case, she had sever class 2 division 1 malocclusion with deep bite andneeds surgical correction
for her malocclusion. Which procedure during orthodontictreatment is most likely to cause
osteonecrosis?

[Link] of anterior teeth

B. Extractions

[Link] 2 elastics

[Link] alignment

[Link] closure
A patient on alendrotnic acid is insisting on having orthodontic treatment, what is themost
Important thing to be clear about in his consent?

A. Cortisone

B. [Link]

C. Osteoporisis and risk related orthodontic treatment

D. D. Reassure the patient and tell her despite her drugs she can start orthodontic treatment

E. [Link]
A 12 years old patient was referred from his general dental practilioner fororthodontic
assessment of his malocclusion. During clinical examination,gingival enlargement all over his
mouth was found. After asking his mother about his oral hygiene measure, she said that he
always brush his teeth but she mentioned that he had an accident with head injury 2 years ago
andgeneral medical practitioner give him drugs since then and he continue tillnow to have it.
What is most expected drugs that the child is taking

[Link]-blockers

[Link]

[Link]

D. Phenytoin

[Link]
A patient presents to the orthodontic department complaining of prominent front teeth. The
orthodontist is clinically examining the patient using latex gloves and stainless-steel Instruments.
During this, the patient starts becoming breathless and develops hives and flushed skin. Which
type of hypersensitivity is the most likely to be experiencing?

[Link] I

[Link] Il

[Link] IlI

[Link] IV

[Link] V
A patient presents with the complaint of prominent front teeth. She is also vermuch concerned
about her esthetics during treatment. While considering her concerns, which of the following
options is a more controllable appliance to achieve bodily movement?

[Link] orthodontics

[Link] edgewise appliance

[Link] appliance

[Link] aligner

[Link] edgewise appliance

Patient with class 2 malocclusion needed orthodontic treatment .Extraction of upper 1st
premolars and lower 2nd premolars was considered. What is the appropriate mechanics to be
used to close the space in the lower arch?

A.- 6 degree lower incisor torque with class 2 elastic

B.-1 degree lower incisor torque with class 2 elastic

C.- 6 degree lower incisor torque with class 3 elastic

D. -1 degree lower incisor torque with class 3 elastic

E.+6 degree lower incisor torque with class 2 elastic

A 16 years old female patient was concerned about her proclinedmaxillary incisors. Clinical
examination revealed class 1 skeletal base with proclaimed upper incisors. The treatment plan
included extraction ofmaxillary first premolar and retraction of the maxillary anterior
segment,For the canine retraction, non-friction loop mechanics in the form of Tloops were used.
The best wire material, In this case would be?

[Link] steel

[Link].

Cobalt chromium

[Link]

[Link] titanium
A male patient aged 17 years came to an orthodontist with missing upper left centralincisor and
wanted to be replaced by prosthesis. To achieve this, space creation voras needed between
upper left lateral incisor and upper right central incisor. Which of the following should be used
for space opening in fixed orthodontics?

AClosed coil spring

[Link] spring

[Link] coil Stainless steel spring

[Link] coil NiT spring

E.Z-spring
Fixed appliances can achieve tooth movement in all three spatial planes. What type of tooth
movement is achieved with a second order bend?

A. Bucco-lingual movement of the root apex to correct the inclination of teeth

B. B. Vertical movement of the crown to correct discrepancles in crown helght

C. C. Bucco-lingual movement of the crown to correct the inclination of teeth

D. D. Movement in the horizontal plane to account for differences In bucco-lingual thickness

ofteeth

E. [Link] In the vertical plane to correct the mesio -distal angulation of teeth
A 33 year old female attend to your clinic. She has markable class 3 skeletal base with mild
upper anterior crowding. She had previously psychological issues and she was under
psychological treatment and came with her carer and now she asks for orthographicsurgery.
What is the appropriate management ?

A. Place fixed appliance then refer her to maxillofacial surgeon

B. B. Refer her to psychiatric and explain to her orthodontic treatment can not be offered

C. C. Place fixed appliance then refer her to maxillofacial surgeon before psychological
assessment

D. D. Place fixed appliance then refer her to maxillofacial surgeon after approval of social
service to take care of her during healing period

E. [Link] extraction treatment by proclination of upper incisors

A 33 year old female attend to your clinic. She has markable class 3 skeletal base with mildupper
anterior crowding. She had previously psychological issues and she was underpsychological
treatment and came with her carer and now she asks for orthographicsurgery - What is the
appropriate management ?

A. Place fixed appliance then refer her to maxillofacial surgeon

B. B. Refer her to psychiatric and explain to her orthodontic treatment can not be offered

C. .Place fixed appliance then refer her to maxillofacial surgeon before psychological
assessment

D. D. Place fixed appliance then refer her to maxillofacial surgeon after approval of social
service to take care of her during healing period

E. Non extraction treatment by proclination of upper Incisors

A 25 years old patient was undergoing orthognathic surgery. His examination revealed class 3
malocclusion due to large lower jaw and anterior open bite with increased verticalproportions.
A Posterior crossbite was also present. It was decided to go for orthognathic surgery, Which
nerves are to be affected during the surgical procedure?

A. Inferior alveolar, Infraorbital and auricultemporal nerves

B. B. Inferior alveolar, Infraorbital and nasopalatine (incisive) nerves

C. C. Infraorbital, inferior alveolar and facial nerves

D. D. Infraorbital, inferior alveolar and hypoglossal nerves

E. E. Inferior alveolar, auiculotemporal and tacial nerves

A 30 years old patient with a class 3 with mild crowding presented for orthodontictreatment.
Orthognathic surgery was decided and this is a cephalometric tracing of thispatient. What is
appropriate orthodontic treatment before starting surgical treatment?

A. Non extraction with class 2 elastics

B. [Link] extraction with class 3 elastics

C. C. Extraction of upper first permanent premolar with class 2 elastics-.

D. D. Extraction of upper first permanent premolar with class 3 elastics

E. E. Extraction of lower first permanent premolar with class 3 elastics

A boy aged 12 years attended with his parent to on orthodontia department with cloftpalate,
malposftioned teeth, enamel hypopiasia and dental midline devlation towards left. On
oxamination, thoro was bilateral maxillary and mandibular hypoplasla, hearing loss, and malar
hypoplasia. His hands and arms are normal. The patient Is a mouthibreather with multiple
corious tooth. What is most likely diagnosls?

A. Hemifacial microsomla

B. B. Pierro Robin sequence

C. C. Trocher collins syndrome

D. D. Apert syndrome

E. E. Nagar syndrome
Abnormal growth of cranial sutures can result in sever dentofacial deformity called:

[Link]

B. Trecher collins syndrome

CCleidocranial dysplasia

D. Mandibular dystosis

[Link]' syndrome
A 14 years old patient come with his parents after referral from general dental practice clinic
for further consultation. He has down syndrome and the mother was concerne about the
missing canine and permanent molars. After radiographic examination using panoramic x-ray,
the canine and first permeant molars were present. What Is best management for this patient?

A. Dismiss patient as there is no need for treatment

B. .B. Reassure patient this is a normal consequence and the teeth will erupt later on and
follow-up for 12 months

C. C. Surgical exposure of canine and molar followed by orthodontic traction using open
eruption by gold chain

D. D. Surgical exposure of canine and molar and leaving them for spontaneous eruption

E. E. Surgical exposure of canine and molar followed by orthodontic traction using closed
eruption by gold chain
Baby was evaluated using Ultrasound during mother pregnancy, the sternum was found pressing
on the chin and mandibular body upon examination. What conditionis going to happen when
the child born?

A. Goldenhar syndrome

B. B. Cleft lip and palate

C. C. Piere robin sequence

D. D. Down syndrome

E. E. Digeorge syndrome
8 years child came with his mother, the mother was in doubt of her child beingwith asymmetric
face. He had trauma to his face and after 2 years, she (his mother) began to notice shifting of his
mandible and chin toward right [Link] is the cause of such condition

A. Ankylosis of condyle at right side

B. B. Ankylosls of condyle at left side

C. C. Ankylosis of both condyles

D. D. Hyperplasia of condyle at right side

E. E. Hyperplasia of condyle at left side

A 20 year old female presénts with facial asymmetry. Clinical examination revealsthe there is a
marked cant of her occlusal plane. On her CBCT it is found that there is an increase in growth
of the left side of the mandible which terminated at the symphysis and there is also an
increase in height on the affected side. Whatis the diagnosis for this patient?

A. Pierre Robin sequence

B. B. Hemimandibular elongation

C. [Link]

D. D. Giant cell granuloma

E. E. Hemimandibular hyperplasia
A patient visits your clinic. You perform a yearly check-up for that patient and send him home. •
In a rush, you forgot to change the diagnostic mirror and us the same mirror for the next
patient. The previous patient has no bleeding of his gums and the mirror has only minor
remnants of saliva over it. What is the most likely cross-infection risk?
A. HCV
B. HEV
C. Pneumococcal infection
D. HBV
E. HIV
•A 45 years old male patient came to your clinic for orthodontic
consultation. You carry out basic periodontal examination and obtain
following scores. What would be the next immediate step?

•OHI, RSD. Assess the need for more complex treatment

[Link] need for periodontal treatment
[Link] hygiene instructions
[Link], removal of plaque retentive factors, including all supra-
and sub gingival calculus.
[Link], root surface debridement (RSD)
Open coil springs were used to correct the midline in a patient whose •
lateral incisors were lingually placed and slightly rotated. Crowding
was also present in the arch. What is the commonly used lumen size
for the open coil spring:
A. 0.020 inch
B. 0.060 inch
C. 0.040 inch
D. 0.030 inch
E. 0.010 inch
During orthodontic treatment, after administering local anesthesia for TAD insertion, how •
would you manage the needle?
A. Resheath needle and dispose it off by yourself once the procedure is finished in yellow bag
B. Resheath needle and at the end of the appointment the dental nurse should dispose it off.
C. Dispose of the needle at the end of the appointment in general waste basket
D. Dispose of immediately after administrating the local anesthesia
A mother gave birth to a CLP patient and is emotionally overwhelmed. •
She can’t even look at her child. How will you manage this situation
when they attend your clinic for assessment?
A. Put a facial strap on the child to improve appearance
B. Reassure and refer her to cleft support team
C. Start non-alveolar moulding
D. Reassure and refer her to psychologist
E. Reassure and refer her to psychiatrist
A 35 years old male patient with history of periapical abscess •
presented to you after visiting three other dentists. You explained the
diagnosis. Treatment plan and prescribe him medication. Patients leaves
your surgery looking upset/angry and took your notes with him. How
will you manage this situation?
A. Take notes of the incident and report it to indemnity body
B. Record only incident report
C. Report as a thief incident to the police
D. Write an apology letter to the patient
E. Forget about it and continue with next patient
In the picture below, which tooth movement is intended for the
attachments given for in this case:
A. Canine uprighting
B. First molar intrusion
C. First premolar root uprighting
D. Anterior anchorage
E. Second premolar extrusion
•A patient has molar tubes on both right and left second molars.
These tubes on both molars are repeatedly debonding. The
orthodontist called the company to address this problem. The
company sent a replacement set of tubes. What could be the
possible reason for increased incidence of debonding of the
original molar tubes:
A. Larger base
B. Notch is not in the middle
C. Notch is in the middle
D. Smaller base
E. Defective mesh
What type of locking spring is placed on the molars when
using a facebow (picture below):
A. Delaire locking spring
B. Samuels locking spring
C. Messel locking spring
D. Reversed bow locking Mechanism
E. Petit locking spring
A 12 years old male patient came to your clinic and upon examination •
the patient had unilateral crossbite on the right side with displacement.
He had an impacted upper left canine, upper midline is shifted by 2mm
to the left side, an overjet 4mm and overbite of 2.5mm complete to the
teeth. A quad helix appliance was given to correct the crossbite. How
will you activate the quadhelix?
A. ½ molar width on right side only
B. ½ molar width on left side
C. ½ molar width on both sides
D. ¼ molar width on right side
E. Molar width on the right side
Fixed appliance therapy is planned for a 25 years old patient with a •
class III malocclusion with the retrognathic maxilla. During treatment
in the dental chair, the patient shows signs of chest pain, weak
pulse, and dyspnea. What is your initial management?
A. Give him aspirin and call ambulance
B. Administer nitroglycerine and keep the patient upright
C. Wait until symptoms go away
D. Give oxygen and call ambulance
E. Give oxygen, aspirin, and then nitroglycerine
A patient attended your clinic with an anterior open bite. He had •
incompetent lips, convex profile, an overjet of 12mm, he had vertical
growth and a high mandibular plane angle, Cephalometric analysis
revealed that Ui-PP angle was 125 degrees and had to be brought to
110 degrees by tipping. What would be likely to occur in relation to
the overjet in this patient after this correction:
A. Reduced by 3mm
B. Reduced by 5mm
C. Reduced by 8mm
D. Reduced by 6mm
E. Becomes normal
A patient attended with severe gingival inflammation as shown in the
picture. What is the first line of treatment?
A. Debridement
B. Scaling
C. Prescribe metronidazole tablets
D. Chlorohexidine mouth wash
E. Hydrogen peroxide solution
•What does the following sign indicate?

A. High temperature
B. Low temperature
C. Biological risk
D. Flammable
E. Laser beam
The most likely diagnosis for the lesion in the image below is:
A. Leukoplakia
B. Major aphthous ulcer
C. Verrucous carcinoma
D. Minor aphthous ulcer
E. Herpetiform ulcer
An orthodontist, while administering local anesthesia for placing •
a TAD to a known patient of HIV, accidentally suffered needle stick
injury. What is the maximum time for prescribing the HIV post-
exposure prophylactic treatment to the orthodontist?
A. 72 hours
B. 24 hours
C. 1 hour
D. 48 hours
E. 12 hours
A young child visits the dental clinic with his sibling who is •
having orthodontic treatment. The young child can see how
cooperative his sibling was during the dental procedure and
that his sibling was rewarded. What kind of behavior is this:
A. Acclimatization
B. Modeling
C. Positive Reinforcement
D. Classic conditioning
E. Operant conditioning
The Apnea-Hypopnea Index or Apnea- Hypopnea Index (AHI) is •
an index used to indicate the severity of sleep apnea. It is
represented by the number of apnea and hypopnea events per
hour of sleep. The apneas must last for at least 10 seconds and be
associated with a decrease in blood oxygenation. What would be
the minimal AHI value for an adult per hour?
A. <35
B. 15-35
C. <5
D. >40
E. >35
This safety sign represents: •
A. Less serious health hazard
B. Biological hazard
C. Long term health hazard
D. Radiation hazard
E. Non-ionizing radiation hazard
You have a new assistant in your practice. Recently, you have •
experienced multiple appliances that are not fitting into the
corresponding patient’s mouths. What is the most probable mistake
your assistant is making while taking and storing the alginate impression
before sending it to the lab:
A. She is not spraying an adhesive on the tray
B. She is mixing the powder and the water for less than the
recommended time
C. She is soaking the alginate impressions in the disinfectant for a
prolonged time
D. She is storing the alginate impression in a dry paper towel
E. She is not taking the correct ratio of powder to liquid for the
impression
Therapy especially white spot [Link] avoid white spot lesion what •
should be the clinician recommendation?
A. 0.05% sodium fluoride once a week
B. 0.5% Stannous fluoride once a week
C. 0.05% Sodium fluoride daily
D. 0.5% Stannous fluoride daily
E. 0.5% sodium fluoride daily
A 13 years old female came to the orthodontic department with •
CLP and an open bite. She complained of irregular teeth and
difficulties in speech. She had a reverse overjet of 4 mm and a
retained deciduous first molar. Calculate the IOTN
A. 5m
B. 5i
C. 5p
D. 4m
E. 5a
The image below most likely shows a patient with:
A. Candidiasis
B. Squamous cell carcinoma
C. Leukoedema
D. Oral submucous fibrosis
E. Leukoplakia
A 10 years old female patient has a class II division 2 incisor •
relationship. She is worried about her aesthetic and her
orthodontist is planning to use a removable appliance. What
feature must the acrylic have in this removable appliance?
A. Posterior bite plane with finger-spring
B. Anterior bite plane with finger spring
C. Anterior bite plane with T-spring
D. Posterior bite plane with z-spring
E. Anterior bite plane with z-spring
The theory of tooth movement in response to electric signals •
produced when alveolar bone flexes and bends is called:
A. Pressure tension theory
B. Force production theory
C. Biomedical theory
D. Bioelectric theory
E. Force tension theory
A girl is referred to the GDP by her music teacher as she complains •
about constant headaches. She thinks the way her teeth meet is what
is causing the headaches. On examination she has a complete
posterior cross-bite. How would you treat her?
A. Offer no treatment
B. Reassurance and counsel her that this is not the cause for her
headaches
C. Treat with aligner appliance
D. Refer to the neurologist
E. Prescribe analgesics
A patient presented to the clinic with already ongoing orthodontic •
treatment. On clinical examination, on open spring was seen placed
between the lower left lateral incisor and canine. How will we easily
and quickly activate the open coil spring for further preceding the
treatment:
A. By using GIC
B. By changing the spring
C. By steel ligating the canine
D. By using crimpable hooks
E. By using flowable composite
A 14 years old female patient who is undergoing orthodontic treatment •
claims that she is unable to carry out brushing after having lunch at
school. What advice would you give her to improve her oral hygiene?
A. Brushing before going to school only
B. Brushing when she gets home only
C. Use mouthwash after school lunch
D. Brushing the teeth in the evening only
E. Rinse with water after lunch
A 29 years old patient come to your clinic. The patient has a •
history of diabetes and looks confused but he is still conscious and
speaking with you. How will you manage this case?
A. 500mg Tolbutamide
B. IM 100ml glucagon
C. IU 20ml dextrose
D. Give him some raw sugar to eat
E. Orally 10-20 ml glucose
A Lady in 7 months of her pregnancy went for an ultrasound •
scan. It was found that the fetus had a mandibular prominence
with a missing nasal bone. What could be the possible diagnosis?
A. Down’s syndrome
B. CCD
C. Treacher Collin Syndrome
D. Ectodermal dysplasia
E. Pierre Robin sequence
A 15 years old boy presented to the orthodontics department with •
a history of trauma to both upper central incisors four months ago
while playing rugby. The mild intrusion of incisors occurred as a
result of trauma and RCT of both incisors was performed two weeks
ago. The patient has completed his orthodontic treatment a year
previously. How will you proceed?
A. Undertake a surgical repositioning of the intruded teeth
B. Level and align after 3 months of pause period
C. Use aligner therapy as it applies light force
D. Level and align after 6 months of pause period
E. Level and align after 12 months of pause period
What type of tooth movement would this headgear cause?•

A. Distalisation with extrusion

B. Bodily distalisation
C. Distalisation with intrusion
D. Distal crown movement
E. Distal root movement