MCQ NMC
MCQ NMC
MCQ NMC
5. An 11-year-old boy complains of spacing between maxillary incisors. The appropriate treatment is
with:
a) Hawley's appliance b) Fixed appliance
c) No treatment d) Oral screen
8. A 50-year-old obese man complains of several recent abscesses in the gingiva with loosening of teeth.
He also suffers from itching of skin and polyuria. The most probable etiology is:
a) Scurvy b) Myxoedema
c) Diabetes mellitus d) Vitamin A deficiency
9. Which type of candidiasis is associated with leukoplakia
a) Acute pseudomembranous candidiasis
b) Acute atrophic candidiasis
c) Chronic atrophic candidiasis
d) Chronic hyperplastic candidiasis
10. A 60 year old male presents with a 2 day history of a severe left ear ache with a burning sensation in
the ear and loss of taste. There is left sided weakness of both upper and lower facial muscles. Facial
sensation is normal. A few vesicles are seen in the pharynx. What is the most likely diagnosis?
a) Bell's palsy b) Acoustic neuroma
c) Diphtheria d) Ramsay Hunt syndrome
37. Which primary teeth are LEAST affected with the nursing bottle syndrome?
A. Maxillary molars
B. Maxillary and mandibular canines
C. Mandibular incisors
D. Maxillary incisors
38. When the enamel of the tooth is exposed to preparation containing high concentrations of fluoride; the major
reaction is:
A. Sodium fluoride
B. Calcium fluoride
C. Stannous fluoride
D. Fluoroapatite
39. A child has sustained a traumatic exposure of primary central incisor, he presents to you for treatment two
days after the injury. Which of the following should be considered?
A. Pulpotomy and Ca(OH)2
B. Pulpotomy and formocresol
C. Direct pulp capping
D. Pulpectomy (RCT)
40. The most common cause of RCT “Root Canal Treatment” failure is:
A. The canal not filled completely (Short obturation)
B. Over filled canals
C. post obturation filling done with gic
D. canals not made straight line
41. The normal range of gingival depth “Epithelial attachment” in healthy mouth is:
A. 1-2 mm
B. 0-3 mm
C. 2-3 mm
D. 0-5 mm
42. The cavo-surface line angle for an amalgam restoration may be
A 90°
B 110°
C 45°
D 135°
45. Cementum
A is derived from the Sheath of Hertwig
B is acellular in the apical third of the tooth
C often overlaps the enamel
D does not contain collagen fibres
48. Chlorhexidine
A is anionic
B has a narrow spectrum of activity
C is normally used as a 0.02% concentration
D is normally used as a 0.2% concentration
49. Giant cells are a characteristic feature of except
A Paget's disease of bone
B cherubism
C actinomycosis
D tuberculosis
52. When compared with the bisecting-angle technique, the advantages of the paralleling technique in
endodontic radiology include all of the following except one. Which one is the exception?
A. Signifcant decrease in patient radiation
B. More accurate image of the tooth’s dimensions
C. Easier to reproduce radiographs at similar angles to assess healing afer treatment
D. Most accurate image of all dimensions of the tooth and its relationship to surrounding anatomic
Structures
53. A good preventive and treatment strategy for dental caries includes ____.
A. Limiting cariogenic substrate
B. Controlling cariogenic flora
C. Elevating host resistance
D. All of the above
54. An adult patient with a class II molar relationship and a cephalometric ANB angle of 2 degrees has which
type of malocclusion?
A. Class II dental malocclusion
B. Class II skeletal malocclusion
C. Class I dental malocclusion
D. Class II skeletal malocclusion
55. When class III elastics are used, the maxillary first molars ____.
A. Move distally and intrude
B. Move mesially and extrude
C. Move mesially and intrude
D. Move only mesially; there is no movement in the vertical direction
56. When does an FDP that was cast in one piece need to be sectioned?
A. When a cantilever pontic is used
B. When the fit cannot be achieved or verifed with a one-piece cast
C. When single crowns are adjacent to the FDP
D. Always to achieve a good fit
57. Which of the following drugs used in the therapy for parkinsonism does not cross the blood-brain barrier?
A. Amantadine
B. Carbidopa
C. Levodopa
D. Selegiline
58. After an injection, which of the following drugs would be expected to have the longest duration of action
(Assume no vasoconstrictor was injected with the local anesthetic.)
A. Bupivacaine
B. Lidocaine
C. Mepivacaine
D. Prilocaine
59. The preparation of a tooth for a Zirconia crown can be the same as for ____.
A. Metal-ceramic crown
B. Full metal crown
C. All-ceramic crown
D. All of the above
61. Which of the following statements best describes pulpal A-delta fbers compared with C fbers?
A. Larger unmyelinated nerve fbers with slower conduction velocities
B. Larger myelinated nerve fbers with faster conduction velocities
C. Smaller myelinated nerve fbers with slower conduction velocities
D. Smaller unmyelinated nerve fbers with faster conduction velocities
62. How many blades does a fnishing bur have compared with a cutting bur?
A. Fewer blades
B. Same number of blades
C. More blades
D. Number of blades is unrelated to the bur type
63. A 25 year old male patient reports with a bony expansile swelling of the right body of the mandible & mild
paraesthesia of the IDN. OPG shows a multilocular radiolucency without root resorption.
What would be your choice of next investigation?
A. Excision biopsy
B. Aspiration cytology
C. CT scan
D. PET bone scan
64. Putting a force through which of the following points would cause pure translation of a tooth without
rotation, tipping, or torque?
A. Center of rotation
B. Center of resistance
C. Center of the bracket
D. Apex of the root
65. Which of the following cells found in the pancreas is responsible for secreting glucagon?
A. Alpha
B. Beta
C. Delta
D. Acinar
66. What is the treatment of choice for an 8-year-old patient who has a 1-mm intrusion injury of tooth #8?
A. Extract the tooth
B. Perform pulpotomy immediately
C. Splint the tooth for 10 to 14 days immediately
D. Allow the tooth to reerupt
69. In which of the following conditions is elective root canal therapy contraindicated?
A. AIDS
B. Recent MI
C. Leukemia
D. Radiotherapy
70. Which of the following is true for the fluoride in fluoridated water?
A. It is odorless
B. It is colorless
C. It is tasteless
D. All of the above
71. What is the recommended level of fluoride for community water fluoridation?
A. 1.2 to 2.2 ppm
B. 0.7 to 1.2 ppm
C. 0.2 to 2.2 ppm
D. 2 to 4 ppm
72. During preparation of implant osteotomy (“drilling” for an implant), the critical temperature that should not
be exceeded is _____ at an exposure time of 1 minute.
A. 37° C
B. 47° C
C. 57° C
D. 67° C
73. The minimal mesiodistal space required for the placement of two standard-diameter implants (4.0 mm
diameter) between teeth is _____ mm.
A. 4
B. 10
C. 14
D. 18
75. Normal level of cortisol secretion by adrenal cortices for normal adult is 20mg daily. This dose is equivalent
to.
a. 1mg dexamethasone
b. 0.75 mg dexamethasone
c. 0.5mg dexamethasone
d. 2 mg dexamethasone
76. Which of the following is used as vasodilator for treatment of MI
a. Lignocaine
b. Nitroglycerine
c. Epinehrine
d. Morphine
84. Congenitally missing teeth are the result of failure in which stage of development?
A. Initiation
B. Morphodifferentiation
C. Apposition
D. Calcifcation
85. How many cusp tips can be seen on a mandibular 1st molar when viewed directly from the buccal?
A. 2
B. 3
C. 4
D. 5
86. A child presents to your office after a fall from a tree, during which his primary maxillary central
incisor was avulsed. The mother has brought the tooth in a cup of milk and says the fall occurred 2 hours ago. What
is the best treatment for this patient?
A. Replant the tooth, stabilize the tooth for 1 to 2 weeks at which time a pulpotomy should
be performed
B. Replant the tooth, stabilize for 1 to 2 weeks, and then perform a pulpectomy
C. Replant tooth, stabilize for 1 to 2 weeks, and begin apexification if pulp necrosis is evident
D. Take a radiograph, irrigate socket, do not replant tooth
87. What is the typical dose of nitroglycerin for a patient experiencing anginal discomfort?
A. 0.8 mg
B. 5.0 mg
C. 0.3 mg
D. 3.0 mg
90. A 7¬year¬old patient has a 4¬mm maxillary midline diastema. Which of the following should be done?
A. Brackets should be placed to close it.
B. A radiograph should be taken to rule out the presence of a supernumerary tooth.
C. Nothing should be done. It will close on its own.
D. Nothing should be done. Treatment should be deferred until the rest of the permanent dentition
erupts.
94. Benign tumors that are likely to resorb the roots do not include:
A. Ameloblastoma
C. Ossifing fibroma
B. Fibrous dysplasia
D. Central giant cell tumor
95. A 6-year-old child presents with a Class I fracture to a tooth with an immature apex. What is the
treatment of choice for this patient?
A. Restore tooth
B. Place calcium hydroxide to exposed dentin, restore tooth
C. Perform pulpotomy, then temporarily restore
D. Perform pulpectomy, place stainless steel crown
E. Extract tooth, place space maintainer
10 year old boy with height 5.2 ft, 110 lbs weight complains of pain in front teeth. He had history of scarlet
fever at age of 7 year. On examination , it is found that due to sports trauma, there is anterior teeth mobility
in bucco lingual direction. OPG revealed, congetitally missing mandibular second premolars.
96. A radiograph of the maxillary central incisors reveals a radiolucency between the roots of teeth #8 and #9.
Which of the following is the MOST likely reason for this?
A. Mesiodens
B. Peg lateral incisor
C. Maxillary sinus
D. Incisive foramen
97. A panoramic radiograph of the patient reveals each of the following features EXCEPT one. Which one is the
EXCEPTION?
A. Permanent maxillary central incisors with complete root formation
B. Permanent mandibular central incisors with complete root formation
C. Partially erupted permanent mandibular canines with incomplete root
formation
D. Partially erupted mandibular frst premolars with complete root formation
98. The patient’s mother is concerned about the “bumps on the front teeth.” These round extensions of enamel
are called:
A. Lobes
B. Mamelons
C. A cingulum
D. Tubercles
99. . Streptococci are classifed by lysis of erythrocytes when plated on blood agar. This process is called:
A. Cytolysis
B. Plasmolysis
C. Hemolysis
D. Enterolysis
100. Heredity is most frequently responsible for congenitally missing teeth. In this case, you would want to retain
the primary second molar for as long as possible
A. Both statements are true
B. Both statements are false
C. The frst statement is true, the second is false
D. The frst statement is false, the second is true
A 25 year old male patient reports with a bony expansile swelling of the right body of the mandible & mild
paresthesia of the right IDN. OPG shows a multi locular radiolucency without root resorption.
A 40 yr Female, 195 lbs, 5’7’ height patient came with chief complain of dry mouth and loss of taste. She also
complains of dry eyes. Her Family history shows her mother has diabetes. She is waitress by occupation. Hee
blood pressure is 150/90 mm of Hg.
105. While reviewing the medical history, you learn that the patient recently began expressing the following
symptoms: polyuria, polydipsia, polyphagia, and blurred vision. This is MOST likely the result of:
A. Diabetes insipidus
B. Diabetes mellitus (type I)
C. Diabetes mellitus (type II)
D. Gestational diabetes
106. Blood insulin is absent in type I diabetes mellitus. Blood insulin levels may be normal or decreased in type
II diabetes mellitus
A. Both statements are true
B. Both statements are false
C. The frst statement is true, the second is false
D. The frst statement is false, the second is true
108. Which of the following cells found in the pancreas is responsible for secreting glucagon?
A. Alpha
B. Beta
C. Delta
D. Acinar
109. The patient’s chief complaint is MOST likely due to which of the following pathologies?
A. Scleroderma
B. Reiter’s syndrome
C. Bechet’s syndrome
D. Sjogren’s syndrome
A 28 year male 280 lbs, 6.2 ft complains with clicking noise during closing mouth. Medical history
shows hyperytension and under medication with lipril 5 mg. On examination, patient has bilateral
pain in TMJ upon closing. Tooth number 30 is endodontically treated and has fractured distilingual
cusp and remnants of occlusal amalgam restoration.
110. If the patient delays treatment of tooth #30, which of the following is the most likely
consequence?
A. Supraeruption of tooth #3
B. Loss of canine protected occlusion
C. Loss of vertical dimension
D. Mesial drift of tooth #31
112. The clicking noise the patient experiences is due to the condyle moving anteriorly past the disc.
This noise can also be heard with lateral excursion to the contralateral side
A. Both statements are true
B. Both statements are false
C. The frst statement is true, the second is false
D. The frst statement is false, the second is true
113. During your examination, you notice a vertical root fracture on #30. It is determined
nonrestorable, and is extracted. Which of the following root morphologies would you expect to
see?
A. The roots are narrowly separated
B. The distal root is broadest bucco-lingually
C. Only the mesial root exhibits a concavity
D. The root trunk is shorter than the mandibular second molar
114. The protrusive pathway of the mandibular cusps on the maxillary posterior teeth is toward the:
A. Mesial
B. Distal
C. Facial
D. Lingual
A bus travelling from dhangadi to Kathmandu met accident at malekhu at around 11pm. The reason for accident is
due to sleeping of bus driver.