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McDonald and Avery Chapter 28 and 29

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

What is treatment of choice for an intruded primary tooth?

a)

Extraction

b)

Monitor for re-eruption

c)

Surgical exposure

d)

Orthodontic repositioning

2.

For a partial pulpotomy after trauma, how many mm of coronal pulp tissue should typically be removed?

a)

None – partial pulpotomy is not indicated after trauma

b)

1 – 2 mm

c)

3 – 4 mm

d)

5 – 6 mm

3.

What is treatment of choice for mature permanent tooth intruded 2 mm?

a)

Monitor for re-eruption prior to repositioning surgically if needed

b)

Immediately reposition surgically

c)

Immediately reposition orthodontically

d)

None of the above

4.

Which is the component of triple antibiotic paste that has been associated with staining of the dentin?

a)

Metronidazole

b)

Minocycline

c)

Ciprofloxacin

d)

Clindamycin

5.

All of the following are true about internal resorption EXCEPT:

a)

Caused by odontoblastic action

b)

If detected early, tooth could be retained with endodontic procedures

c)

Destructive process may progress rapidly or slowly

d)

All of the above statements are true

6.

EDTA used in endodontic procedures is what percentage?

a)

7

b)

17

c)

27

d)

37

e)

47

7.

Crowns of teeth that have calcific metamorphosis present as

a)

Normal color

b)

More transparent

c)

More gray in color

d)

More yellow in color

8.

A permanent tooth intruded more than ___ can be repositioned surgically

a)

5mm

b)

6mm

c)

7mm

d)

8mm

e)

9mm

9.

A tooth diagnosed as concussion should have a follow up evaluation at what time point?

a)

2 weeks

b)

4 weeks

c)

6 weeks

d)

8 weeks

e)

3 months

10.

A tooth diagnosed as uncomplicated crown-root fracture without pulp exposure should have a follow up evaluation at what time point?

a)

1 week

b)

2 weeks

c)

4 weeks

d)

6 weeks

e)

8 weeks

11.

After an orbital floor blow out, what type of x-ray shows a cloudy antrum and enophthalmos

a)

Caldwell view

b)

Waters view

c)

Panoramic

d)

Towne’s view

12.

Treatment for which of the follow injuries can be delayed several hours

a)

Alveolar fracture

b)

Avulsion

c)

Intrusion

d)

lateral luxation

13.

When reimplanting a tooth with an open apex with an extraoral dry time of greater than 60 mins, what type of splint should be performed?

a)

flexible splint 2 weeks

b)

flexible splint 4 weeks

c)

flexible splint 6 weeks

d)

flexible splint forever

14.

Which of the following is the least favourable type of healing after root fracture?

a)

healing with calcified tissue

b)

healing with granulation tissue

c)

healing with interposition of connective tissue

d)

healing with interposition of bone and connective tissue

15.

Where should the wing of the appliance used to treat oral burns be thickest

a)

at the commissure

b)

in its occlusocervical dimension on the labial aspect

c)

in its labiolingual dimension on the occlusal aspect

d)

in its occlusocervical dimension on the lingual aspect

16.

Root fractures that occur in which third of the tooth are often repaired without treatment?

a)

Coronal third

b)

Middle third

c)

Apical third

d)

Root fractures always require treatment

17.

Waters view is a radiographic view to help diagnose what?

a)

Basilar skull fracture

b)

Leforte II fracture

c)

Leforte III fracture

d)

Orbital floor blow-out

18.

What treatment is likely most successful for a necrotic tooth with a Blunderbuss canal

a)

Conventional RCT

b)

Apexogenesis

c)

Apexification +RCT

d)

Apical surgery +RCT

19.

What are the components of triple antibiotic paste for Regenerative Endo procedures?

a)

Neomycin, bacitracin, polymyxin

b)

Doxycycline, cefaclor, and minocycline

c)

Metronidazole, ciprofloxacin, minocycline

d)

Metronidazole, Amoxicillin, doxycycline

20.

Which of the following is the antibiotic regimen of choice for and 8 year-old patient following an avulsion injury?

a)

Doxycycline: 4mg/kg/day q12h day 1, then 2.2mg/kg/day q12h day 2-7

b)

PenVK: 20-50mg/kg/day QID for 7 days

c)

PenVK: 9.1-22.7mg/lb/day QID for 7 days

d)

Two of the above

21.

The initial step in managing a suspected cystic lesion is to______

a)

Incise and drain

b)

Excise

c)

refer to oral surgery

d)

aspirate the wound

22.

_____ is the most common site for a mucocele

a)

upper lip

b)

lower lip

c)

buccal vestibule

d)

tongue

23.

Unilateral condylar fractures usually result in a(n) _____ premature bite

a)

ipsilateral

b)

contralateral

c)

bilateral

d)

None of the above

24.

The _____ fracture is the most common skeletal injury that occurs in the pediatric age group that is seen within the hospital

a)

orbital

b)

temporal

c)

maxillary

d)

mandibular

25.

Optimal bone healing with improvement of intrabony defects on second molars adjacent to third molars has been shown to occur when surgery is performed in individuals younger than ____ years of age

a)

23

b)

24

c)

25

d)

26

26.

What is the primary reason for pediatric dentists to refer to a surgeon for EXT of 3rd molars?

a)

Advancement of caries

b)

Limit progression of periodontal disease

c)

To limit patient discomfort

d)

At the request of a patient's parents

e)

To stop the patient's menstrual cycle

27.

Which tooth is most commonly impacted?

a)

maxillary canine

b)

maxillary second premolars

c)

maxillary lateral incisor

d)

maxillary first molar

28.

Regarding 3rd molars, which of these is not accurate?

a)

most optimized healing occurs if wisdom teeth are extracted prior to 25 y/o

b)

3rd molars eruption contributes to anterior crowding of mandibular teeth

c)

Extraction of third molars is the most common surgical procedure in dentistry

d)

Some insurance companies deem extraction of 3rd molars as not medically necessary

e)

people with third molars are not more likely than the general population to create large angry mobs and riots

29.

Non-displaced fractures of the mandibular body may require MMF for ____ weeks

a)

1

b)

3

c)

5

d)

until surgery is performed

30.

If paresthesia has occurred post mandibular trauma, which nerve is likely affected?

a)

Inferior alveolar

b)

Mental

c)

Long buccal

d)

lingual

31.

What is the risk of using a standard air-powered dental drill for surgical extraction?

a)

The RPM of the bur is too high

b)

You cannot set a specific RPM with an air-powered drill

c)

Air vented directly towards the drill-site can cause an air emphysema/embolism

d)

there is no risk

32.

What is the primary reason for a referral of a patient with impacted third molars?

a)

Possible source of pain

b)

Dental crowding

c)

Limit progression of periodontal disease

d)

No one needs more than 28 teeth

33.

By what age is it best to extract 3rd molars?

a)

18

b)

25

c)

30

d)

21

34.

Rank the likeliness of impaction of teeth from most to least

a)

Max. canine, 3rd molars, 2nd mand. molar, 2nd premolar

b)

3rd molar, max. canine, 2nd premolar, 2nd mand. Molar, mand. incisor

c)

3rd molar, mand. Incisor, max. canine, 2nd premolar, 2nd mand. Incisor

d)

Max. canine, mand. Incisors, 3rd molar, 2nd mand. Molar, 2nd premolar

35.

If a patient has a right-sides condylar fracture, what will happen upon opening the jaw?

a)

The jaw will open regularly

b)

The jaw will shift towards the right

c)

The jaw will shift towards the left

d)

The tongue will protrude

36.

Which of the following processes cause internal resorption

a)

Odontoclastic activity

b)

Odontoblastic activity

c)

Osteoclastic activity

d)

Osteoblastic activity

37.

What is true about optimal timing for surgical upright of a second molar?

a)

3/4 of the root should be formed and an open apex

b)

2/3 of the root should be formed and an open apex

c)

the root should be fully formed with a closed apex

d)

the tooth should have a mesial inclination not exceeding 60 degrees and should be either lingually or labially inclined

38.

Bilateral condylar fractures may result in what type of occlusion?

a)

Ipsilateral premature bite

b)

anterior open bite

c)

mandibular prognathism

d)

two of the above

39.

Which flap technique consists of a horizontal crest incision that is made in the edentulous region with two vertical releasing incisions on the mesial and distal aspects of an edentulous region?

a)

Modified Widman flap

b)

Split thickness flap

c)

Envelope flap

d)

apical positioned flap

40.

Exposure of a palatally impacted tooth is frequently accomplished by making a sulcular incision between the palatal tissue and teeth and reflection of a ____ flap

a)

Envelope flap

b)

Partial thickness periodontal flap

c)

Full-thickness mucoperiosteal flap

d)

Modified Widman flap

e)

Flappity-flap flap flap