Dent439 works volume 3_removed.pdf

Code: G1 Answer: B References: 14- Mixed dentiton + Maxillary condtriction + crossbite + large mandibular angle? A. Banded expander B. Bonded expander C. Quad helix D. W arch Answer: B References: 7 Co...

Code: G1 Answer: B References: 14- Mixed dentiton + Maxillary condtriction + crossbite + large mandibular angle? A. Banded expander B. Bonded expander C. Quad helix D. W arch Answer: B References: 7 Code: 1- The factor make primary tooth extraction difficult? A- Long divergent root B- Long convergent C- D- Answer:A Reference: 2- Difference between primary and permanent tooth crown? A- More bulbous (the primary less bulbous ) B- Converge apically C- Wider mesio-distally D- Answer:A 1 Code: 3- Dentist take money from implant company to recommend it A- Considered Illegal it's a bribe B- Legal it's not conflict of interest C- D- Answer:A Reference 1- Patient came for CD, he has mild bilteral posterior undercut( tuberous) and anterior undercut? How to manage it ? A-Remove both posterior B- Keep all as it's needed for retention C- Relief for posterior D- Answer:C not sure 2 Code: 1- Cement that has potential for fluoride influx? Resin cement Polycarpoxylate Zinc Phosphosate 438=B Answer: C not sure 2-Best way for community to prevent caries? Topical fluoride Systematic fluoride Diet counseling Answer: B 3 Code: Intrusion and lateral luxtion splinting duration?4 weeks ‫ﺑس ذا اﻟﺧﯾﺎر اﻟﻠﻲ ﻓﯾﮫ‬ Q-25 K file color? Red Q-Lidocaine maximum dose for an adult 75 kg » with epi 525 without epi 330 4.5*75=337 7*75=525 Q- Patient has COPD and hypertension, came with productive cough for routine dental tx. What's the proper management? Bp normal O2 saturation 90 HR 80 4 Code: Treat him in upright position Treat him and monitor with pulse oximetry if it’s emergency Reschedule Answer: C While you are doing IANB and retract by your finger, you stick your finger. What first thing to do? Wash the site Report Check pt medical history Encourage bleeding + Answer:A 5 Code: While you apply matrix you it cut your finger what is important to do? Whash it with antiseptic Apply plaster when you re-glove Apply sanitizer on glove Answer: A 6 1- The purpose of seating groove in buccal aspect of the prep? A- insure full seating of the crown B- increases retention C- increases retentive D- ‫نسيت‬ Answer: B 2- patient with low socioeconomic came with inflamed gingiva histo reveal granulomia and central necrotic ? A- Scurvy B- tb C- desquemtive gingivitis Answer: B? 3- which of the following will not increase GCF A- smoking B- trauma from occlusion C- mechanical stimulus Answer: B 4- shock absorption? A- physical✅ B-nutritional C- forming and remodeling Answer: ? 5- patient 11 years old with CL III occlusion due to maxillary retroded : A- bionater B- twin block C-activitoar D- frankle III Answer: D 6- BSSO surgery picture 7- le fort III picture 8- patient complain from protrude mandible after examination he has 11 mm reverse bite: A- ortho surgery B- ortho comphlage Answer: A 9 - picture of patient with open bite and ask about the habit ( there was no posterior cross bite) A- thumb sicking B- tongue thrust C- nail bitting Answer: 23/1/24 438102152 BUC Large Scalloped RL between teeth what should be done? A- Follow up B- Antibiotics C- Surgical removal D- Radiotherapy Answer: C HIV with white lesion in lateral border of the tongue? A- Follow due to benign characteristics of the lesion B- biopsy Answer: B Smoker Pt from 30 years and has lesion what to do? A- Biopsy Answer: A Code: Ex.. G1 1- Patient has Kennedy class I and you found a usable undercut on the last abutment. What is the most flexible clasp and its cross section ? A. A-cast Clasp with round cross-section B. Cast Clasp with half round cross-section C. WW with round cross-section D. WW with half round cross-section Answer: The choose B, I would choose C Reference: Alan B Carry and David T Brown,. McCracken's Removable Partial Prosthodontics, 12th ed. 2- ‫ﺳؤال اﻟﻠﻣﻔوﻣﺎ وﺣطﯾت ﻧﺎﺧذ ﺑﻠود ﺳﻣﯾر‬ A- First step blood smear Best for diagnosis FNA B- 1 Code: Ex.. G1 C- D- Answer:A Reference: 3- ‫ﻛﯾس اﺗوﻗﻊ اﻧﮭﺎ ﺑﻣﻔﻘوﯾد وﻗﺎﯾل ﺑﺗﺧﺗﺎرﯾن ﺳﯾﺳﺗﻣك وال ﺗوﺑﯾﻛﺎل ﺳﺗﯾروﯾد‬ A- Systemic steriods B- Topical steriods C- D- Answer: B Reference: Brad W. Neville, Douglas D. Damm, Carl M. Allen and Angela C. Chi,. Oral and Maxillofacial Pathology, 4th ed. 4- ‫ﻻﺗرل ﻻﻛﺳﯾﺷن ﻛم اﻟﺳﺑﻠﻧت‬ A- Rigid 2 weeks 2 Code: Ex.. G1 B- Semi-rigid 2 weeks C- Semi-rigid 2-3 weeks D- Rigid 2-3 weeks Answer: C Reference:‫ﺗﺣط اﺳم اﻟرﻓرﻧس وﺻورة اﻟﺟواب ﻣن اﻟرﻓرﻧس وﻟﯾس ﻛﺗﺎﺑﺔ‬ 5- Patient taking lisinopril what is the contraindication epinephrinealuminum chloride A. Epinephrine B. aluminum chloride Answer: A References: 3 Code: Ex.. G1 6- Hemodent active agent A. aluminum chloride B. ferric sulphate Answer: A References: 7- Single crown #21 what is the important consideration for lingual side of ? A. Anterior guidance B. MIC C. CO Answer: A References: 4 ‫‪Code: Ex.. G1‬‬ ‫ﺟﺎﻧس ﺳؤال ﺗﺑﻐﻰ اﻓﺗﺢ ﺷﯾد ‪8-‬‬ ‫ﺗورﯾﻧﮭﺎ اﻓﺗﺢ ﺷﯾد وﺗﺧﻠﯾﻧﮭﺎ ﺗﻘرر ﺑﻌدﯾن ‪A.‬‬ ‫ﺗورﯾﻧﮭﺎ ﺑس اﻟﺷﯾدز اﻟﻣﻧﺎﺳﺑﮫ ﻟﮭﺎ ‪B.‬‬ ‫‪Answer: B‬‬ ‫‪References:‬‬ ‫ﺟت ﻛﯾس ﻣوﺻل ااﻟﻧدو ﻟﻧص اﻟروت ﺑوﺣده ﻣن اﻟﻛﺎﻧﺎﻟز وﯾﻘوﻟك وش ﺳﺑب اﻟﻔﺷل وﻛﺎن واﺿﺢ اﻧﮫ ‪9-‬‬ ‫‪A. Incomplete endo debridement‬‬ ‫‪5‬‬ Code: Ex.. G1 10- Case asking about characteristics of active caries 11- Heavy continuous ortho force cause ? A. Undermining resorption B. Frontal resorption C. Bone necrosis Answer:A 6 Code: Ex.. G1 Reference: Profit 12-Patient had tendency to bleeding since childhood , easily get skin bruise ,all values of platelets, ptt and pt normal. He used to take desmopressin before risky procedures? What is the probable diagnosis A. VDW B. Scurvy C. Ehlers-Danlos Answer: Could be B and C Reference: 7 Code: Ex.. G1 12- Patient on ACE inhibitor, digitalis , Plavix. what causes hypersalivation and gagging ? A. Digitallis B. ACE inhibitors C. Plavix 8 Code: Ex.. G1 Answer: A Reference: 13- Why is GIC cement not preferred? A. Micro leakage B. Less strength C. Fluoride release Answer: A Reference: 9 Code: Ex.. G1 10 1-Pediatric pt with definite nega ve behavior and needs fluoride applica on: A- Wipe tooth with gauze and apply NaF B- Wipe tooth with gauze and apply stannous fluoride C- Professionally applied NaF D- Professionally applied stannous Answer: A Reference: Not found 2-Pregnant 9th month with pyogenic granuloma interfere with bite: A- Surgical excision B- Wait a er birth Answer: A Reference:Oral And maxillofacial Surgery 3- Magnetostric ve ultrasonic movement: A- Oval B- Round C- Ellip cal Answer: C Reference:Carranza 4- Deontology defini on Reference:Professionalism and ethics handbook for residents 5- Pt with seizure became unconscious “how to manage?” A- Put him upright B- Put him supine C- Give IM injec on Answer: B Reference:Dental management for medically Compromised pa ent 6- How to diagnose asthma pt: A- Pulse rate B - Pulse volume C - Expiratory volume D - Inspiratory volume Answer: C Reference:Dental management for medically Compromised pa ent 7- Pt presented with erythroplakia how to manage: A- Observe B- Biopsy Answer: B Reference:Oral And maxillofacial Surgery 8- You will do fpd for pt with group func on occlusal scheme how to manage : A- Bilateral B- Lingualized C- Mutually protected D- Unilateral Answer: D Reference: Not found 9- 75 y o female presented with unilateral stabbing sharp pain in her face and history of body rash 9 months ago, what viral infec on caused this condi on mainly? A- EBV B- Herpes zoster - HSV-1 C- CMV Answer: B Reference:Oral And maxillofacial Surgery 10- 12 y o pt with high grade fever and s&s of primary herpa c gingivostoma s, management? A- An viral + suppor ve care Answer: B Reference:Oral And maxillofacial Surgery 11 Type of incision in gingivectomy procedure: A-External bevel B-Internal bevel Answer: A Reference:Carranza G2 1- Type of incision in gingivectomy procedure: A-External bevel B-Internal bevel Answer: Reference: 2- Patient did OM restoration and came after few days with pain and funneling was noticed in x-ray, what kind of trauma ? A- Primary trauma B- Secondary trauma 1 G2 3- Pt with PRR and restorations(if proximal ) done under LA with upper nance recall timeis suitable ? A- 3 months B- 6 moths 2 G2 4- What type pf bacteria present in odentognic infiction? A- Anaerobic B- Factative C- mixed Answer: 5- what is the maximum length that can get the highest gain? A- 2.75 B- 3.75 C- 4.75 D- 5.75 6- A crown at 23 after 2 weeks it’s break what the cause : A- Presence of undercut B- Insufficient thickness (if they mean the crown) C- High occlusal (if they mean the tooth) 3 G2 7- 70% of dentine weight A- Water B- Inorganic 8- pt came to do resin bonded zirconia FPD which is correct? A- not enough data for this use B- chipping of ceramic ( not porcelain) 9- What do we use for levelling curve of spee ? ‫ﻣﻛرر‬ A- 2x4 something B- TAD 4 G2 10- ANB in severe class II skeletal relationship ‫ﻣﻛرر‬ A- Increased 11- Patient with severe class III & concave profile 15 or 20 years, what will be the management? A- SARPE B- Maxillary advancements and mandibular setbpack 5 G2 1- Why do we do caries risk assessment during maintenance? A- Exposed root caries B- C- D- Answer: A 2- Instrument used from removal of sub gingival calculus? A-Curette B- C- D- Answer: A Reference: 1 G2 3- Tooth #38 severely mesioangular impacted, what possible complications? A- Distal bone loss to #37 B- Injury to IAN C- D- Answer: A Reference: 4- Patient takes drug for hypertension developed a lesion on the right buccal mucosa, the lesion had erythematous areas & white reticular pattern Diagnosis? A- Lichen planus B-Lichenoid C- D- Answer: Both right but since they mention drug i think b 2 G2 5- After extraction of maxillary first molar, oroantral communication by 2mm, management? A- Hemostatic agent & figure of 8 B-Other options were different kinds of flaps C- D- Answer: A Reference: 6- You extracted a fractured asymptomatic tooth, the patient wanted to take it. How to give the tooth? A- No need for special treatment for the tooth B- C- D- Answer: A 3 G2 7- Upon trial denture try-in, you asked the patient to do humming with letter "mmm” while you measure the distance from two points in the face, what's the parameter you want to measure? A- Vertical dimension of occlusion B-Vertical dimension of rest C- D- Answer: B Reference: 8- A cooperative 5 years old child came for treatment, his mother told you to do whatever you find suitable "something like that", then left to a coffee shop, what did the mother violate? A- Informed consent B- C- D- Answer: A 4 G2 9- Patient wanted to do ortho treatment that will take "I don't remember the exact duration", what are the teeth that will most likely undergo resorption? A- Maxillary incisors B- Mandibular incisors C- D- Answer: A Reference: 10- How to acquire biopsy from vesiculobullous lesions? A- Intralesional biopsy B-Perilesional biopsy C- D- Answer: B Reference: 5 G2 11- You finished treatment of first patient & next patient appointment started, the assistant disinfected the clinics but didn't have time to send dental instruments for disinfection/sterilization, where should she place them? A- Plain water B- Dry container C- non-ionizing solution “something like that” D- Answer: C 6 G2 1-component that attaches the prostheses to the abutment tooth? -Pontic -Retainer Reference: # 2-Patient has hemophilia A , had severe bleeding after 3rd molar extraction, you should give him? – Vitamin K – Aminocaproic acid or or tranexamic acid -Platlet transfusion – Factor IX 1 G2 3-Photo of provisional restorations on upper incisors implant were made to have favourable healing of the tissue Asks what kind of impression coping should the dentist use to register the exact tissue configuration after healing? -Open tray coping -Customized impression coping 4-Excellent oral hygiene but traceable sinuc tract from the mid buccal of the cement retained implant, with Pa of implant asking about the cause (mild bone loss, with a RO projection from the cervical part of the implant, for me it does not look like a cement ‫ اﻟﺳﻣﻧت ﺑﺎﻟﻌﺎدة ﻣﺎ ﯾﻛون ﺳﺎطﻊ و ﻣرﺗب زي اﻟﻠﻲ ﺑﺎﻟﺻورة‬crown the to similar is opacity radio the , I noticed a RL line apical to the screw so I think the answer is loose screw) -Excess cement -Loose screw Depend on pic 2 G2 5-minummem space for cement retained implant -(7-8) -(3-4) 6-Patient came for constructing a new set of CD, came with inflamed traumatized mucosa, what to do? -Rebase denture -Reline dentre with tissue conditioner ‫اﻋﺗﻘد اﻟﺟواب ﻻن ﺷﻲ ﻣوﻗت وﻋﻼﺟﻲ ﺑﻧﻔس اﻟوﻗت اﻟﻰ ان ﯾﻛون ﺟﺎھز اﻟدﻧﺗﺷر اﻟﺟدﯾد ﻣﺎﻧﻘدر ﻧﺗرك اﻟﺑﯾﺷﻧت ﺑدون ﺷﻲ‬ -instruct patent to not wear denture during sleep time 3 G2 7-Ceramic onlay after you insert shimstook only the onlay grips , no contact with other teeth, this means: -good contact -deficient contact -occlusal interference, needs adjustments of onlay -slight hyper occlusion of onlay but it is acceptable ‫اﻟﺧﯾﺎرات اﻟﻣﺗﺑﻘﯾﺔ ﺧطﺎ‬ 8-Characteristic feature of setting reaction of PVS? -Addition -Condensation 9-RCT done for 11, 12 send back for final restoration, treatment steps? -preparation and provisionalism only -CL, post and core and crown -mounting, diagnostic wax up, preparation, provisionalism 4 G2 10-80 y/o dementia came to ER with no health proxy complainig from a tooth, dentist has two options extraction of RCT and restoration, who should decide -Court -patient -dentist -hospital manager 11-Xray of badly decayed 47 asking about the best emergency tx (looks non restorable to me) -Extraction need a pic -pulpectomy 5 G2 12- 9y/o came after 30 mins of intrusion trauma 3-4mm of #11, best treatment? A- Follow up 3 or less B- ortho reposition C- D- Answer: A Reference: Mcdonald and aver If primary: 6 G2 13- most commonly reported traume? A- Avulsion B- Root fracture C- Complicated crown fracture D- uncomplicated crown fracture Answer:D Reference: 14- smoker patient asking about perio effects? A- less inflammation more destruction B- decreased both gingival inflammation and BOP C- increased gingival inflammation and decreased BOP D- Answer:B Reference: 7 G2 15- how sucking the suction cause cross infection A- because the pressure in the mouth is less B- C- D- Answer: Reference: 16- ‫ ﯾﺳﺄل‬infection space infratemporal ‫ﺟﺎﯾب ﺻور‬ A- Submandibular B-infratemporal C- D- Answer:B Reference: contemporary oral and maxillofacial surgery 8 G2 17- pic of dry socket managment? A- antibiotics B- mouthwash, analgasics and curettage C- mouthwash, analgasics and irrigtaion D- Answer: C Reference: contemporary oral and maxillofacial surgery 9 G2 18- treatment sequence? - A- Endo, ortho extrusion, crown B- Ortho extrusion, Endo, crown C- D- Answer: A Reference: not found 19- protruded archwire and ulceration in buccal mucosa, lip tongue, management? A- Cut the wire B-paracetamol C- put wax on the wire D- Answer: A Reference: 10 G2 20- bacteria in endo treated tooth with pain on percution A- E.faecalis B- C- D- Answer:A Reference: Endodontic principles page43 21- class II with lower 6mm crowding, extraction pattern? A- Upper 4 and lower 4 B-Upper 5 and Lower 5 C- upper 4 and lower 5 D-Upper 5 and lower 4 Answer: C Reference: 11 G2 22- which of the following is primary space infection A- B- C- D- Answer: Reference: 12 G2 22- X-ray essential for facial asymmetry A-Cephalometric B-Posterior anterior C-OPG Answer: B-Posterior anterior 23- Adult with tongue retained appliance for what? A- sleep apnea B- Tongue thrust Answer: A- sleep apnea 24- After surgical extraction, what to do with sharps? Bone file A- clean for reuse B- put in puncture resistant container Answer: B- put in puncture resistant container 25- Caries free 2 years old pedo with bottle feeding at night, sould use? A- Smear size non fluoridated tooth paste B- Smear size fluoridated tooth paste C- Pea size non fluoridated tooth paste D- Pea size fluoridated tooth paste Answer: B- Smear size fluoridated tooth paste 13 G2 26- Pedo ingested 50 mg of fluoride , what to instruct her mother? A- Observe for symptoms B- Observe then immediately go to ER C- Give milk and come to ER D- Give acidic sulotion and come to ER Answer: C- Give milk and come to ER 27- Patient complain from discomfort when eating and brushing around implant, excellent OH, reason? (picture of implant with insufficient keratinized gingiva) A- Insufficient keratinized tissue Answer: A- Insufficient keratinized tissue 28-Component in CD that can cause allergy/inflammation and reaction to some of patients? There is no option maybe the base (Acrylic Resin) A- benzoyl peroxide B-unreacted monomers Answer: B-unreacted monomers 29- Patient has multiple punch out lesions? A- gorlin syndrome B- multiple myeloma Answer: B- multiple myeloma 14 G2 30- SIgns of biologic width violation, margin 1.5 mm away from bone A- horizontal bw B- vertical bw Answer: B- vertical bw 31- OM mesial restoration 2 days ago, grade 1 mobility and pain with cold, radiograph shows “funneling in pdl of mesial side”. A- 1ry occlusal trauma B- 2ry Answer: A- 1ry occlusal trauma 32- clinical picture (occlusal view) of 2 molars with fallen crowns, mentioned that the patient is angry about the repetitive fallen of the crowns every few months, what is the best long term treatment? (no picture ) A -Recement with RelyX B-Crown lengthening Answer :B 15 G2 33- oral, ocular, and gential ulcerations (clinical photo of ulcers in the hard palate) ? A-Behcet disease B-MMP Answer : A 34- inter epithelial separation ? – A-MMP Answer : Pemphigus Vulgaris (Non of the options ) Reference for 2,3 : Oral and Maxillofacial Pathology ‫ و اﺣﻔظوا اﻟﻠﻲ ﯾﻣﯾز ﻛل واﺣد ﻣﻧﮭم ﻷن ﺟﺎﻧﻲ ﺳؤال ﻋﻧﮭم‬vulgaris pemphigus ‫ و‬planus lichen -NOTE: 35- patient is taking 40mg prednisone everyday, needs scaling and 2 restorations, management ? A -Give 35mg prednisone, prophy, scaling, restorations B-Give 20mg prednisone, prophy, scaling, restorations C-Prophy, scaling, restorations Answer :c 16 G2 36- Patient diagonsed with PV, takes high dose of prednisone needs dental treatment A-double the dose B-ask patient to stop the medication before treatment C- do not adjust the dos Answer :c Reference : DENTAL MANAGEMENT of the Medically Compromised Patient 37- Dysphagia and angular chelitis? A-Give iron B -Give zinc Answer :A Reference : Oral and Maxillofacial Pathology 37- irregular elevations at the middle of anterior maxilla? 17 G2 A-residual ridge B -palatal rugae C-median raphe Answer :B 38- tooth bonded posterior maxillary RPD, mentioned that the patient has a palatal taurus in the midline but not extending to the soft palate, best major connector? A -U shape B- anterior bar C -Posterior palatal strap Answer :c 39- stafne’s defect location? A -angle B-ramu Answer :A Reference : Oral and Maxillofacial Pathology 18 G2 40- usual sequel after extraction of lower 3rd molar? A - inadvertent injury to thr lower 7 B- parasthesia to the IAN C - fracture of the mandible D - edema and discomfort ‫ ﻛﺎن ﻓﯾﮭ ﺳؤال ﻣوﺟودة ﻓﯾﮭ ﺻورة ﻛﻠﻧﻛل و ﺻورة ھﺳﺗو و اﻟﺧﯾﺎرات‬--: A- periodontal abscess B- Peripheral giant cell granuloma C- central giant cell granuloma D- gingival fibrom E- ‫اﻟﺳوال ﺑدون ﺻورة وﺑدون ﺟواب ﻓﺣطﯾت ﺻور ﻛل اﻟﺧﯾﺎرات‬ 19 G2 In PDL, cells responsible for bone deposition ? A- Fibroblast B- Osteoblast C- Cementoblast D- Odontoblast Answer:B Reference: Clinical Periodontology and Implant Dentistry Doctor will use Straight walled 2 stage implant, which one is it? ‫اﻟﻣﻛررة اﻟﺻورة‬ A- B- C- D- Answer: No thing in the reference Reference: Choose the definition of veracity? A- B- C- D- Answer: : Professionalism and Ethics Handbook for Residents 20 G2 ‫ ﺗﻌرﯾف‬autonomy and ‫ ﺗﻌرﯾف‬justice A- B- D- Answer: Reference: Professionalism and Ethics Handbook for Residents The principle of telling the truth and is related to the principle of autonomy A- B- C- D- Answer: Reference: : Professionalism and Ethics Handbook for Residents 21 G2 narrowest in the tooth anatomy? A- Minor apical constriction B- Major apical constriction C- Apical foramen D- Radiographic apex Answer: A Reference: Endodontics principles White shredded lesion on the anterior buccal mucosa: A- habitual habit B- White spone nevus Answer: A ( other name:morsicatio mucosae) Reference: Oral and Maxillofacial Pathology Pic of large bone necrosis in the maxilla (may be 4 teeth long) and pt is asymptomatic: A- Surgical resection B- Mouthwash Answer: B Reference: Dental management of medically compromise 22 G2 Main disadvantage of gutta percha: A-Shrinkage when heated ‫اﻟﻌﻛس‬ B- Poor adaptation with compaction C- D- Answer: B Reference: : Endodontics principles lichen planus ‫ و‬pemphigus vulgaris ‫اﺣﻔظوا اﻟﻠﻲ ﯾﻣﯾز ﻛل واﺣد ﻣﻧﮭم ﻷن ﺟﺎﻧﻲ ﺳؤال ﻋﻧﮭم‬ A- B- C- D- Answer: Reference: Oral and Maxillofacial Pathology 23 Code: G3 1- Type of material in functional impression? A- Addition silicon B- Irreversible hydro C- Impression compound Answer: Impression compound Reference: Textbook of complete dentures 2- You will take final impression but lab is busy and will pour it after 24h what type of material u will use ? A- Addition silicon B- Polysulfide Answer: Addition silicon Reference: Contemporary fixed prosthodontics 1 Code: G3 3- Xray of 17 asking how many canals? A- I saw 2 Answer: I saw 2 38 answer Reference: I couldn’t find the reference 4- Patient talking dilantin for seizure he had very bad oral hygiene and plaque accumulation whats the management ?” To me in the io pic there wasnt much of inflammation but he has very poor oh and plaque “? A- Refer to his physician B- Non surgical periodontal tx Answer: Non surgical periodontal tx Reference: Manegment of medically compromised patients 2 Code: G3 5- Why do we instruct pt to brush de nture after every meal? A- To prevent bad odor = denture breath Answer: To prevent bad odor = denture breath 38 answer Reference: Not found 6- Pt had #16 with pocket depth of 6 mm in mesial with amalgam overhang? A- Change amalgam only Answer: Change amalgam only Reference: Newman and carranza’s clinical periodontology From 38 7- 3d asking what type of graft? 3 Code: G3 A- titanium reinforced membrane block graft+++++ 5 Answer: titanium reinforced membrane block graft+++++ 38 answer Reference: Not found but l searched it in google and I found similar image. 8- Pic of limited bone height 4mm between sinus and creat and they are doing procure asking what is it? A- External sinus lifting. Answer: External sinus lifting. “An external sinus lift, also known as a lateral window sinus lift or a crystal sinus lift” Reference: clinical periodontology and implant dentistry. 4 Code: G3 9- Pic of very very small point of pulp exposure before three days in central of 7 years child? A- Pulpotomy B- Cervical pulpotomy C- Pulpectomy D- DPC with MTA Answer: Pulpotomy Reference: McDonald and Averys Dentistry for the Child and Adolescent 10e 10- What cause corrosion of carbon steel instrument? A- Chemiclave B- Dry heat C- Autoclave Answer: Autoclave Reference: GUIDELINES FOR INFECTION CONTROL-2003.pdf 1 Code: G3 11- most fracture occur in : condyle no condyle in choose A- Body B- Angle C- Symphysis Answer: Angle Reference: Contemporary Oral and Maxillofacial Surgery - Mosby_ 6 edition 2 Code: G3 12- Patient has COPD and hypertension, came with productive cough for routine dental tx. What's the proper management? Bp normal, O2 saturation 90, HR 80 A- Treat him in upright position B- Treat him and monitor with pulse oximetry C- Reschedule Answer: Reschedule Reference: Manegment of medically compromised PT 13- The factor make primary tooth extraction difficult? A- Long divergent root B- Long convergent Answer: Long divergent root 3 Code: G3 Reference: McDonald and Averys Dentistry for the Child and Adolescent 10e 14- difficult tooth with perio treatment ?red A- short trunk with short root B- short tunk with long root C- long trunk with short root D- long trunk with long root Answer: long trunk with short root Reference: 1- Periodontics Medicine Surgery Implants. 2- Newman and Carranza's Clinical Periodontology 1- 2- 4 Code: G3 15- negative rake file ? A- K-file B- H-file C- Remer Answer: K-file Reference: Kenneth M. Hargreaves, Louis H. Berman - Cohen's Pathways of the Pulp- Mosby 16- which clamp used for upper molar? A- W7 B- W8 C- W2 D- W4 Answer: W8 Reference: Sturdevant's Art and Science of Operative Dentistry 5th ed.pdf 5 Code: G3 17- Lethal does of fluoride, patient was 6 years old. A- 200 B- 300 C-400 D-500 Answer: 320 Reference: SDLE GPT 6 Code: G3 18- extremely anxious asthmatic patient allergic to diazepam. how to do tx? A- LA B- GA C- nitrous oxide Answer: nitrous oxide Reference: Contemporary Oral and Maxillofacial Surgery - Mosby_ 6 edition 7 Code: G3 A- B- C- D- Answer: Reference:‫ﺗﺣط اﺳم اﻟرﻓرﻧس وﺻورة اﻟﺟواب ﻣن اﻟرﻓرﻧس وﻟﯾس ﻛﺗﺎﺑﺔ‬ Uprifhting mesially tilted molar in adult patient will have a complication so slow progression due to what? Pt age ? ‫اﻟﺳؤال ﻧﺎﻗص‬ 22 year old with 5-6 deep pockets all around poor oh hygiene and a long scenario (pic provided with NUP) Managment? A. AB 1 week then SRP B. SRP with single dose of clathromycin C. SRP with Course of amoxicillin+ Metronidazole ( there is no systematic s&s) D. SRP and CHX Answer : d Reference : perio ksu lecture 1 Code: G3 Patient complains of bleeding of crowned tooth (xray provided with overhanged crown with short RCT and slight radiolucency at the apex) managment A. Re-rct through the PFM crown B. Adjust the crown if there is no sign & symptom indicate falling of rct we will only adjust the crown and TX the cc C. Scaling If there is option re-rct and redo crown is the correct Answer: A but not sure because b might be correct also Reference: contemporary fixed prosthesis Class II kennedy. The most distal abutment what will you use? A. Clasp with round cross section B. Clasp with half round cross section C. Wrought wire with round cross section D. Wrought wire with half round cross section Answer : c not sure Reference : ChatGPT 2 Code: G3 #35, #45 remaining teeth indicated for infrabulge is indicated ? A. RPI with mesial rest B. RPI with distal rest C. Circumferential with mesial rest D. Circumferential with distal rest Answer:A Reference : McCracken__s removable partial prosthesis Complication of epinephrine with heart failure patient taking digoxin? A. Arrhythmia ++++ B. Angina C. Difficulty in breathing 3 Code: G3 Answer : A Reference : dental management of medically compromised patient Bence jones ? A.Multiple myeloma(Bence-Jones proteins in urine can be a sign of multiple myeloma) Hodgkin Non-hodgkin Answer : a Reference : oral maxillofacial pathology 4 Code: G3 Immediate complication of increased Vertical dimension of RPD? A. Tmj problems B. Clattering of teeth Answer: b Reference : ChatGPT Complains of complete denture after 3 weeks of receiving it says he pronounces s sound like TH? A. Anterior to palatal ? B. Decreased vertical dimension Answer : A ,, not sure ‫اﻟﺳؤال واﻟﺧﯾﺎرات ﻧﺎﻗﺻﮫ‬ 5 Code: G3 Pic of geographic tongue says burning sensation affecting his lifestyle? A. Steroids. B antifungal C. Antiviral Answer: A Reference : dental management of medically compromised patient Long scenario with positive ANA? A. SLE++++ B. EM Answer: A Reference : ksu lecture 6 Code: G3 Cancer patient with non restorable tooth most conservative tx? A. Grind to subginigval level B. Extraction with AB Answer: A Reference : ChatGPT 1- multiple endo perio case ( there is true combination ‫رﻛزوا ﺑﺎﻻﺷﻌﮫ واﻟﺳﯾﻧﺎرﯾو‬ 2- labially positioned teeth in complete denture will affect ? A -stability , B-retention Answer : A Reference : ChatGPT 7 Code: G3 3- guideline to set anterior teeth in complete denture ? A-incisive foramen B- incisive papiila : 4 graves disease pic -‫واﺿﺣﺔ ﻣرة‬ 5- collabrater dif 6- Epilepsy patient test : EEG +++ or ECG Reference : dental management of medically compromised patient 8 Code: G3 7-Interdental infammtion #11,12,13 this is ? , localized diffused localized marginal localized paplira gingivitis Reference : clinical periodontology 8- patient came to you in ramadan and told you she is afraid to break fast due to the LA? Say id dont know the- -Refer to hospital manager Refer to islamic department+++ (not sure) 9 Code: G3 1- 19- CNS autoimmune disease? A-mulitple sclerosis +++ B-stroke C-epilepsy D-epilepsy Answer:A Reference:‫ة‬ 2- 8yo weighing 30 kg extracted #75.what is the dose of ibuprofen syrup 100mg/5mL in mL? A-blow6 B-6-15 ML C-above 15 D- Answer:B Reference:pedo lec 4 1 Code: G3 3- autoclave type B duration in days? A-10 B-20 C-30 D-7 Answer:30 Referenc ‫ﻣﺎﺣﺻﻠت ة‬ 4- OM mesial restoration 2 days ago, grade 1 mobility and pain with cold, radiograph shows “funneling in pdl of mesial side”. A-1ry occlusal trauma+++ B-2ry occ truma C- D- Answer:A Reference: periodontics Medicine Surgery Implants 2 Code: G3 wits appraisal uses which cephalometric plane? A-functional occlusion+++ B-bisecting occlusion C- anatomical occlusion D-*frankfort. Answer A Pedo pt with deep caries in 75 which type of RG ? A-Pa B-Bw Answer A Pt came saying that the previous dr said that he had cancer and need immediate surgery after examination it was abscess and‫اﻟزﺑده ﺑدأ ﯾﺳب دﻛﺗور اﻻول‬ A-Indulging Answer A Dentist works as investigator in multicenter unit for material company and he took all patients approval after that the other investigator needed him to send pt information … 3 Code: G3 A-Confidentiality Answer A Reference Professionalism and Ethics Handbook for Residents Pt came and was very shy about her smile , dental assistant told her friend about it what did she violate ? A-Patient privacy Answer A Reference Professionalism and Ethics Handbook for Residents Pt will undergo fixed full mouth rehabilitation after removal of defective crowns you will do jaw relation A-Centric relation B-Centric occlusion Answer A Reference lec prestho 4th year 4 Code: G3 1- Tooth with Apical root resorption: A- extraction (EXO) B- root canal therapy (RCT) C- D- Answer: extraction (EXO) Reference: Kenneth M. Hargreaves, Louis H. Berman - Cohen’s Pathways of the Pulp- Mosby (2016). 2- What of the following would have suppression of the adrenal gland: A- Prednisone 5mg for the last 30 days B- Prednisone 5mg for 5days in the last 6 months C- D- Answer: Prednisone 5mg for the last 30 days Reference: "Management of medically compromised PT" 3- h-file size 60: A- blue B- black C- D- Answer: blue 1 Code: G3 Reference: Kenneth M. Hargreaves, Louis H. Berman - Cohen’s Pathways of the Pulp- Mosby (2016). 4- Pt with diffuse pain in the upper left, the most appropriate test: A- selective anesthesia B- bite test C- cold test D- Answer: cold test Reference: Kenneth M. Hargreaves, Louis H. Berman - Cohen’s Pathways of the Pulp- Mosby (2016). 5- CD pt came with muscle soreness and other symptoms(indicating increased VD) and ask what is the cause: A- Premature occlusal contact B- Insufficient interocclusal space C- D- Answer: Insufficient interocclusal space Reference: Contemporary Fixed Prosthodontics 4th Edition. 6- Worst prognosis with periodontitis: A- Max pre B- Max molar C- 2 Code: G3 D- Answer: maxillary molars Reference: Michael G. Newman, Henry Takei, Perry R. Klokkevold, Fermin A. Carranza - Newman and Carranza’s Clinical Periodontology (2018, Saunders). 7- which of the following consider safe for pt with liver cirrhosis A- lidocaine XXXX B- paracetamol should be avoid C- ibuprofen should be avoid D- antibiotic i forget which one( metronidazole and vancomycin is un safe ) other than this 2 is safe Answer: D? Reference: 8- pedo pt came to the clinic with ankylosed primary lower molar with no permanent successor what is the management? A- refer to pedodontist B- wait till 18 C- extraction D- Answer: extraction 3 Code: G3 Reference: McDonald and Avery's Dentistry for the Child and Adolescent (Jeffrey A. Dean DDS MSD. 9- Pedo pt came with his mother with CC pain on lower right side and history of extraction and distal shoe space maintainer upon examination only #85 missing and A- B- C- D- Answer: Reference: the management should include addressing the immediate pain, evaluating the functionality and necessity of the distal shoe space maintainer, and ensuring proper long- term space maintenance for the missing primary tooth. If complications are noted with the distal shoe, consider transitioning to an alternative space maintainer that is better suited to the current dental status of the patient. 4 Code: G3 - #14 with large post and fracture line from buccal to distal root and non movable A- Extraction —————— Answer: no clear answer Extraction - Tx of vrf single rooted tooth? A- Extraction Answer: extraction Reference: Endodontics principles & Cohen’s Pathways of the Pulp 1 Code: G3 - Endo perio lesion what do we depend on for long term prognosis A. Endo B. Perio Answer: perio Refrence : Cohen’s Pathways of the Pulp - Best antimicrobial solution ? A. Sodium hypochloride B. Edta C. Hanks balance solution D. Saline Answer: sodium hypochlorite Reference: Cohen’s Pathways of the Pulp - Smoker and has multiple pd A. Doxy chip B. I think multiple pd need gel so if in the options doxy gel or minocycline this is the right answer Note : doxy gel \ metro gel \ mino microsphere - only chx in form of chip Answer: question is not clear (438 answer was selected above ) For more info you can referre to Carranza - Newman and Carranza’s Clinical Periodontology chapter 53 2 Code: G3 - Coupling agent of composite A. Methacryloxypropyl... Answer: A Reference: Sturdevant's Art and Science of Operative Dentistry 5th ed - 2 adjacent cavities whats the appropriate tx plan A. Do composite and finishing separately in the same appointment B. Place composite and finishing together at same appointment “they mean do resto for both simultaneously “ C. Place composite and do finishing anotther appointment Note ; depend on the cavities depth , but we can do back-back cl II Answer: no answer was found (438 answer was selected above ) 3 Code: G4 Pt with diabetic type ii , hba1c 5.6 needs to replace missing teeth #15 , #23-25 , 36 and 46 whats the best tx option? A. Rpd B. Implant+++ C. Fpd Answer:B Pt came complaining of elongated 32 with cal of 4mm whats the problem ? “It shows recession on 32” A. Facial gingival recession B. Periodontitis stage ii grade a Answer:B CAL means there is bone loss (should be localized) Note : cc is ONE tooth Whats hemisection A. Separating and keeping roots > Bicuspidization Reference: 1 Code: G4 Child came to dental clinic with bruising all around of his hands A. Physical abuse+++ B. Pipe smoker C. Nicotine stomatitis Answer:A Reference: Child came with radiolucency around primary molar which anesthesia to be avoided? A. Lidocaine B. Articaine C. Bupivicain Answer: C Couldn’t find the answer Blow nose will check ? A. Anterior palatal seal > (anterior vibrating line) >valsalva B. Posterior palatal seal > (posterior vibrating line) > ahh Answer:A Reference: 2 Code: G4 Pt with aplastic anemia with low RBC low WBC low platelet and picture of ulcer in the tongue what is the cause ? A. Neutropenia+++ B. Thrombocytopenia C. Erythrocytopenia Answer: A Reference: 3 Code: G4 HIV Pt complaining of erythamous marginal gingiva plaque and mouth wash was give,after one week no improvement what next to give : a) Fluconazole V (antifungal) b) valacyclovir (Anti Viral) c) tetracylcine (Antibiotic) Answer:A long Scenario GP and consultant in front the patient The gp think that the teeth for extraction the consultant infornt. The patient said this the wrong Female patient concerned about aesthetic and while you choosing the shade for teeth she was confused and you bring the lab technician to convince her about that shade, and the patient became angry because you invite male in the clinic, which on of the following you jeopardize:(mentioned before) a) Patient privacy. b) Patient information. Answer:A 1 Code: G4 Picture of hutchinson incisors and ask about the disease with that teeth: - a) Syphilis. V Hutchinson Incisors of Congenital Syphilis. Answer:A 5-child ingested a bottle of fluoride MW came to emergency? A. give milk B. Induce vomiting 2 Code: G4 C. Admit the patient D. Give clotamine ( don't remember exact Answer: C 3 Code: G4 - picProtrusive Interference A. Any posterior tooth contact during protrusion Asnwer: A - pic ask about cross arch - what is the cut point for postpone crown preparation in DM patient A.Random >250 B.Fasting >200 C.Hb1c 6.5 D.Fasting hydrophilic B-Polysulfide Answer: A 2 Code: G4 1- ‫اﻟﺳؤال‬ Face of blade to the shank of universal curette ? A-0 B-45 C-60 D-90 Answer:D 2- ‫اﻟﺳؤال‬ Answer: class 3 3 Code: G4 Q -3 Gold crown appear in the cast good but in patient mouth does not fit why ? A-Shrinkage of gold cast alloy B-Too much heat during fabrication -(something like that) C-Tight contact Answer; C 4 Code: G4 Q- 4 Q-5 Unnecessary referral what dentist ignore ? A-Veracity B- Beneficence answer: B B ‫ و اﻟﺗﺻﺣﯾﺢ ھو‬A ‫ﻓﻲ اﻟﺗﺟﻣﯾﻊ ﻣﺧﺗﺎرﯾن‬ 5 Code: G4 Avulsion x ray ? A-Occlusal B- Panorama C- CBCT with two PA A ‫ و اﻟﺗﺻﺣﯾﺢ ھو‬c ‫ﻓﻲ اﻟﺗﺟﻣﯾﻊ ﻣﺧﺗﺎرﯾن‬ 6 Code: Ex.. B1 1- 10 - before sending dental prosthesis to the lab how you will disinfected ? A- Dry heat B- Steam C- Glutaraldehyde D- Wave something Answer: 438 choose C , this is the only thing that I found in the reference 2- The patient immunosuppressive with hx of aphthous and herpes labialis pic of ulcer in the ventral of the tongue large bilateral. Lab test/ Wbc : low/ Nutropils :5 normal is 4-6. A- Traumatic ulcer B- HSV C- recurrent aphthous D- neutropenia ulcer Answer: B Reference: Dental management of the medically compromised patients + google 1 Code: G5 1- The best radiograph to assess biological width? (previously mentioned) A- Vertical bitewing B- Horizontal bitewing C- Periapical D- OPG Answer: Vertical bitewing Reference: Contemporary Fixed Prosthodontics 2- The patient does not compliant because her denture came with pinpoint “hematoma” (red dots, I forget the exam term) diabetic and controlled. What should the dentist do? A- Antifungal B- Wear the denture only during daytime. C- Take vitamins. D- Remove denture until healing of the lesion. Answer: Antifungal 3- A patient with Down syndrome deemed capable of (the rest of the question is missing) A- B- C- 1 Code: Ex.. B1 15-taurodontism seen in which defect A. Dentinogenisis imperfecta B. amelogenesis imperfecta C. enamel hypoplasia Answer: B Reference: Oral and maxillofacial pathology 16-solid ameloblastoma how to treat A. Enucleation B. Resection with safety margins C. Resection without safety Answer: B o Reference: Oral and maxiloofacial pathology 1 Code: Ex.. B1 17-Primary molar caries in the inner dentin will be performed after anesthetizing which of the following: A. Middle superior alveolar nerve B. Middle superior alveolar nerve + greater palatine C. Posterior superior alveolar nerve D. Posterior superior alveolar nerve + greater palatine Answer: A Reference: McDonald and Avery’s Dentistry for the Child and Adolescent 18-The drug causes a thyrotoxic crisis? A. Nystatin B. lidocaine C. epinephrine D. amoxicillin Answer: C Reference: Little and Falace’s dental management of medically compromised patients 2 Code: Ex.. B1 1-case about seizure , type of test or something A-Electrocardiogram B-Electrocephalogram Answer:B Reference: not found,the answer from google 2- 3- What is the indication of fiber reinforced composite fpd? A-allergy from metal Answer: ‫اﻹﺟﺎﺑﺔ ھذي ﻣو ﻣﻛﺗوﺑﺔ ﺑﺎﻟرﻓرﻧس‬ 1 Code: Ex.. B1 4-patient with von wellbrand valve need frenectomy what to use? A-Laser surgery B-Conventional surgery C-Electro something Answer:A? Not mentioned in the textbook but laser will cause less bleeding 5-Patient is regular and always come and the dentist treat her, in the last visit the dentist suspected that she has liver disease, what sign the dentist saw made him suspect HBV ? A. Yellow skin and white of the eye Answer:mentioned before not found in th reference 2 CODE-G5 1- 20 years old male patient , after pre-op ortho treatment his orthodontist referred him for mandibular surgery to correct CLII mandible dentofacail deformity, which surgical procedure is the most appropriate? A- genioplasty B- Vertical ramus osteotomy C- Inverted L osteotomy D- Bilateral Sagittal split osteotomy htdede Answer: D ( not found in any reference, searched in chat GPT ) 2- Patient presented to the clinic with 10% plaque index and 60% BOP ? A-Pt knows how to brush, and he brushes B- Pt does not know how to brush correctly, and he does not brush. C- Pt doesn’t not know how to brush correctly but he is trying. E- Pt knows how to brush and does not try. Answer: C Reference: case based scenario not found in reference 3- Most common location for stafne cyst ? A- Ramus B- Condyle C- Angle Answer: C Reference : oral and maxillofacial 1  Code: Ex.. B1 4- ‫اﻟﺳؤال‬ A- B- C- D- Answer: Reference:‫ﺗﺣط اﺳم اﻟرﻓرﻧس وﺻورة اﻟﺟواب ﻣن اﻟرﻓرﻧس وﻟﯾس ﻛﺗﺎﺑﺔ‬ pt planned to receive a complete lower denture, her mylohyoid ridge is very sharp, her dentist referred her for surgery. The surgeon did linear incision along the mylohyoid ridge, what is the nerve he could injure? A-lingual B-long Buccal C-mylohyoid D- inferior alveolar Answer: A Reference: contemporary oral and maxillofacial surgery Pt did #14 RCT 3 days ago, PA shows lateral radiolucency, no signs and symptoms, what the reason for the radiolucent lesion? (I tried to find a similar picture) A- Accessory canal B- Perforation C- VRF Answer: C ‫السؤال ناقص بس أتوقع الجواب‬ Refrence: ‫ما لقيت شي بالريفرينس عن حالة زي كذا بدون ألم‬ 2 Code: G6 Part3 12. 65 years old male patient have been using kennedy CI I RPD for 3 years, and now he complains of discomfort and soreness in the basal tissues, RPD design include: lingual bar, direct retainer, indirect retainer, and examination revealed displacement of indirect retainer upon forces applied to occlusal surfaces of denture teeth. How can this problem be fixed? A. - Construct new RPD B. - Change location of rest seats C. - Change lingual bar to lingual plate. D. - Change to rigid clasps. Answer: Prob with lever action? we need more indirect retention to resist displacement, so Either A (if they mentioned new RPD design) or C (lingual plate provides indirect retention) ! ‫وﷲ اﻋﻠﻢ‬ Reference: 13. A dentist instructed her assistant to check the clinic’s water lines, what the assistant should pay attention to the most to avoid contamination of water? A. - Coming tubes B. - Outgoing tubes C. - No leak of tubes D. - Water tank (last two options I couldn’t remember the exact words, but I wrote from what I understood) Answer: B (not sure this the only answer in the reference) Reference: 14. Patient came for follow up appointment after complete denture delivery, pt complains of the denture falling down when she talks and gag reflex, what the reason? A. - Inaccurate setting of upper anterior teeth B. - Resorbed maxillary residual ridge. 1 Code: G6 Part3 C. - Posterior border of upper denture extends to soft palate. Answer: C Reference: 15. Patient presented with a recently constructed denture and complained of difficulty swallowing, what is the reason? A. - Extended buccal denture border B. - Ill-fitting mandibular denture C. - Inaccurate vertical dimension D. - Inaccurate position of Posterior teeth Answer: A Reference: GPT 16. Patient presented complaining of pain on percussion related to upper central incisors, #11 + #21 no response to cold test or EPT, how to achieve adequate irrigation? ( PA shows large PA RL and open apex) A. - Use large irrigation needle B. - Use side vented needle C. - Use CHx D. Use less concentration NaOCl Answer: B Reference:GPT 2 Code: G6 Part3 17. Patient did RCT for #26 three months ago and presented to the clinic with severe pain and tenderness on percussion on #26, examination revealed good crown fitting ( PA shows RCT of #26 + #27, adequate obturation, #26 M root only one canal obturated) A. - Missed MB2 B. - Extruded gutta percha C. - Non odontogenic pathosis Answer: A Reference: Kenneth M. Hargreaves, Louis H. Berman - Cohen’s Pathways of the Pulp- Mosby (2016) 18. Dental assistant put all dental instrument including dental burs in autoclave for sterilization, after a while the dentist noticed corrosion of burs, the dentist instructed the assistant about an additional step she should do before autoclaving to prevent corrosion of dental burs which is: A. - Sink in 2% sodium nitrite in a closed container. B. - Sink in 2% sodium nitrite in a perforated container. C. - Sink in 2% hydrogen peroxide in a closed container. D. - Sink in 2% in hydrogen peroxide in a perforated container. Answer: A 3 Code: G6 Part3 Reference: Sturdevant's Art and Science of Operative Dentistry 5th ed 19. Patient asked a general dentist about his opinion on her severely crowned teeth, teeth will mostly require extraction, what the best next option? A. - Referee to a surgeon for extraction B. - Extract as soon as possible C. - Referee to periodontist for extractiong 4 Code: G6 Part3 D. - Referee to orthodontist for consultation Answer: D Reference: introduction to orthodontics 20. Paget disease radiographic appearance: A. Ground glass B. Honey comb C. Orange peel D. Cotton wool Answer: D Reference: oral and maxillofacial pathology 5 Code: G6 Part3 21. 40 years old male patient presented with pain related to #37, tender on percussion, no response to cold test or EPT, diagnosis is necrotic pulp with SAP, what is the most important factor to consider when managing this case? (xray shows very deep distal carious lesion almost reaching the bone level) A. - Caries extension B. - Pulpal diagnosis C. - Periodontal condition D. - Esthetics Answer: A Reference: cohens pathways of the pulp 22. Patient complains of discomfort and food impaction related to tooth #36, examination revealed bleeding on probing all around, 5 mm pocket distobuccal, tooth is previously initiated 1 year ago, how to manage this case? (xray shows #36 previously initiated and crowned, crown has open margins mesial and distal, bone loss distally) A. Scaling and root planing B. Access through the crown and RCT 6 Code: G6 Part3 C. Periapical surgery D. Remove the crown and restorability assessment. Answer: D Reference: contemporary fixed 7