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What is the percentage of edentulous patients in England and Scotland?
1) 10%
2) 25%
3) 50%
4) 64%

ORE Test Answer: 4

Approximately 64% of adults over 65 years are edentulous in the UK, reflecting the impact of dental health over time.

What is the name of the surgical instrument used for luxating a tooth during extraction?
1) Elevator
2) Forceps
3) Excavator
4) Chisel

Oral Surgery Answer: 2

Forceps are the primary instruments used for luxating (rocking) and removing teeth during extraction procedures.

After completion of endodontic chemomechanical debridement

1) all tissue should be removed from the root canal system.
2) permanent inflammation may be cause4)
3) the root canal should be sterile.
4) some areas of the root canal system may be incompletely cleaned

Endodontics Answer: 4

Despite thorough chemomechanical debridement, it is common for certain areas within the complex anatomy of the root canal system to remain inadequately cleaned. This can occur due to the presence of lateral canals, isthmuses, or other anatomical variations that are difficult to access, leading to potential areas of infection or inflammation.

Which anesthetic method is generally avoided in patients with certain neurological conditions?
1) Topical anesthetic
2) Inhalation sedation
3) Intravenous sedation
4) Local anesthetic

Special Needs Patient Answer: 3

Intravenous sedation can present risks for patients with neurological conditions due to the potential for respiratory depression and impaired airway reflexes.

During treatment, the dentist observes that the patient is clenching their fists. This reaction likely indicates:
1) Interest in the procedure
2) Relaxation
3) Anxiety or fear
4) Satisfaction with the treatment

Anxious Patient Answer: 3

Clenching fists is a common physical response to anxiety or fear, indicating that the patient may need additional support.

What is the significance of the BPE score in periodontal assessment?
1) It measures the depth of periodontal pockets.
2) It assesses the presence of calculus.
3) It evaluates the overall oral hygiene status.
4) It indicates the need for periodontal treatment.

ORE Test Answer: 4

The Basic Periodontal Examination (BPE) score helps determine the need for further periodontal assessment and treatment based on pocket depth and other clinical findings.

Which of the following is NOT a benefit of using computerized dental records?

  1. Enhanced data security
  2. Reduced need for physical storage space
  3. Increased likelihood of errors and illegibility
  4. Improved efficiency in retrieving patient information

Dental Records Answer: 3

Computerized records generally reduce errors and improve legibility compared to handwritten notes. They also offer enhanced data security, reduced physical storage needs, and improved efficiency in accessing and sharing patient information.

Which of the following medications is known to potentially cause a lichenoid reaction?

1) Amoxicillin
2) Beta blockers
3) Paracetamol
4) Antibiotics

ORE Test Answer: 2

Beta blockers and certain other medications, including NSAIDs and antimalarials, can cause lichenoid drug reactions, characterized by oral lesions resembling lichen planus.

The gingival aspect of a pontic which touches the alveolar ridge should be:

1)  Convex only in the mesiodistal direction.

2) Concave faciolingually and convex mesiodistally.

3) Small and convex in all directions.

4) Fabricated to produce slight tissue compression.

FPD and RPD Answer: 3

A small and convex gingival surface facilitates hygiene maintenance and minimizes irritation to the underlying soft tissues.

During which phase does the formation of dentin primarily occur?
1) Bud stage
2) Cap stage
3) Bell stage
4) Maturation stage

ORE Test Answer: 3

The bell stage of tooth development is when the formation of dentin primarily occurs, along with enamel development.

Which of the following is used for the treatment of chlamydia infection in pregnancy? 

1) Tetracycline 
2) Erythromycin 
3) Azithromycin 
4) Doxycycline

Pharmacology Answer: 3

Azithromycin Preferred agent for treatment of chlamydia infection in pregnancy in azithromycin. 
It is given as a single dose of 1g leading to high compliance rate.  

'Programme Operation' in Community health care is same as:

1) Treatment
2) Approval
3) Treatment Planning
4) Diagnosis

Health Promotion and Population Answer: 1

In community health care, "Programme Operation" refers to the implementation and execution of various health programs and interventions. This includes providing treatment to individuals, ensuring that approved protocols and guidelines are followed, planning and organizing treatment strategies, and diagnosing health conditions. Therefore, "Programme Operation" can be equated to the concept of treatment in community health care.

A retrograde filling is indicated

1) when the apical foramen cannot be sealed by conventional endodontics.
2) when a root perforation needs to be sealed
3) when conventional endodontics is impractical.
4) All of the above.

Endodontics Answer: 4

Retrograde filling is a procedure used in endodontics to seal the root canal system from the apex when conventional methods are not feasible. This can occur in various situations:

  • Apical foramen sealing issues: If the conventional approach fails to adequately seal the apex, a retrograde filling can provide an alternative solution.
  • Root perforation: In cases where there is a perforation in the root, retrograde filling can help seal the area and prevent contamination.
  • Impracticality of conventional methods: Situations such as complex anatomy or previous failed treatments may necessitate a retrograde approach to ensure proper sealing and treatment success.

The efferent limb to the lower epiglottis is innervated by which branch of the vagus nerve?
1) Superior laryngeal branch of the vagus nerve (CN 10)
2) Recurrent laryngeal branch of the vagus nerve (CN 10)
3) Inferior laryngeal branch of the vagus nerve (CN 10)
4) Superior laryngeal nerve

Anatomy Answer: 2


The vagus nerve, or cranial nerve X, has several branches that innervate various structures in the neck and thorax. In the context of the larynx, there are two primary branches that are involved in its innervation: the superior laryngeal nerve and the recurrent laryngeal nerve. The superior laryngeal nerve divides into the internal and external branches, with the internal branch supplying the upper part of the larynx, including the epiglottis and the vocal cords. The recurrent laryngeal nerve, on the other hand, is the nerve that provides motor innervation to all the intrinsic muscles of the larynx except the cricothyroid muscle.

The lower epiglottis is one of the structures that is innervated by the recurrent laryngeal nerve, which arises from the vagus nerve (CN 10).
This nerve is responsible for the movement of the larynx during swallowing and speaking. The other options listed are incorrect because:

1) The superior laryngeal branch of the vagus nerve (CN 10) primarily supplies the cricothyroid muscle and the mucosal sensory innervation to the upper part of the larynx, not the lower epiglottis.
2) The inferior laryngeal branch is another term that may refer to the recurrent laryngeal nerve, but it is less commonly used and can be confusing.
The term "recurrent laryngeal nerve" is more specific and widely recognized.
3) The superior laryngeal nerve is a separate nerve that arises from the vagus nerve and supplies the upper part of the larynx, including the cricothyroid muscle and the mucosal sensation of the larynx and pharynx, not the lower epiglottis.

Increasing the powder to liquid ratio in a zinc phosphate cement will 1. increase the setting time and increase the strength 2. increase the setting time and decrease the strength 3. decrease the set time and increase the strength 4. decrease the setting time and decrease the strength

Dental Material Answer: 3

Increasing the powder to liquid ratio in a zinc phosphate cement will decrease the set time and increase the strength

Which of the following antihypertensive agents is classified as a beta-blocker?
1) Amlodipine
2) Losartan
3) Captopril
4) Atenolol

Pharmacology Answer: 4

Atenolol is a cardioselective beta-blocker, whereas Amlodipine is a calcium channel blocker, Losartan is an angiotensin receptor blocker (ARB), and Captopril is an ACE inhibitor.

How many grams of high-density noble metal alloy is required for casting of a molar?
    1)     3 gms
    2)     6 gms
    3)     9 gms
    4)     12 gms

Dental Material Answer: 3

With high-density noble metal alloy 6 grams is adequate for premolar and anterior castings, 9 grams is adequate for molar casting and 12 grams is adequate for pontics.

What is the role of sIgA in the protection against dental caries?
1) It directly neutralizes bacterial acids.
2) It promotes the growth of beneficial bacteria in the oral cavity.
3) It binds to bacteria and prevents them from adhering to tooth surfaces.
4) It provides structural support to tooth enamel.

Operative Dentistry Answer: 3

Secretory immunoglobulin A (sIg1) is a salivary antibody that can bind to cariogenic bacteria, limiting their ability to colonize and produce acids on the tooth surface.

Are prions resistant to inactivation by conventional sterilization methods?
1) Yes
2) No
3) Only in certain conditions
4) Depends on the type of prion

ORE Test Answer: 1

Prions are resistant to inactivation by conventional sterilization methods, making them particularly challenging to eliminate.

What is the first step in the standard precautions for infection control in dental settings?
1) Hand hygiene
2) Use of personal protective equipment
3) Sterilization of instruments
4) Environmental cleaning and disinfection

Infection Control Answer: 1

Hand hygiene is the most important and basic step in infection control. It involves washing hands with soap and water or using an alcohol-based hand sanitizer before and after patient contact to reduce the risk of transmitting infections.

What is more likely to happen to an interproximal composite filling rather than amalgam?
1) Fracture
2) Polymerization shrinkage
3) Marginal leakage
4) Discoloration

ORE Test Answer: 2

Composite materials are more prone to polymerization shrinkage, which can lead to gaps and sensitivity compared to amalgam.

When is the MMR vaccine typically administered?
1) At birth and 6 months
2) At 1 year and again at 4 years
3) At 2 years and 5 years
4) At 6 months and 1 year

ORE Test Answer: 2

The MMR (measles, mumps, rubella) vaccine is usually given at 1 year of age and again at 4 years of age to ensure adequate immunity.

What are the benefits of using computerized patient records?

  1. Improved access and data retrieval
  2. Reduced cost and errors
  3. Enhanced outcomes management and decision support
  4. All of the above

Dental Records Answer: 4

Electronic patient records offer benefits such as improved access, reduced cost and errors, and better outcomes management and decision support.

What is the typical requirement for informed consent in dental tourism?

1) Written consent from the patient's regular dentist
2) Written consent from the patient
3) Consent from the patient's guardian if under 18
4) Verbal consent is sufficient

Informed Consent Answer: 2

Informed consent remains essential in the context of dental tourism, and patients should receive the same standard of care and information as they would in their home country.

Heavy cigarette smoking significantly increases the incidence of
1) aphthous stomatitis.
2) geographic tongue.
3) lichen planus.
4) mucosal pigmentation.

Oral Medicine and Oral Pathology Answer: 4

Cigarette smoking is associated with oral mucosal changes, including the deposition of melanin pigment in the basal layer of the epithelium, leading to mucosal pigmentation. This is a common oral manifestation of chronic smoking and can occur in various areas of the oral cavity.

Which of the following may be caused by a newly placed restoration that interferes with the occlusion?
1) Apical abscess
2) Pulpal necrosis
3) Apical periodontitis
4) Periodontal disease

ORE Test Answer: 3

An occlusal interference can lead to increased stress on the tooth, potentially resulting in apical periodontitis.

For a pigmented fissure, what is the best way to diagnose caries?
1) Visual examination
2) Radiographic examination
3) Investigate the area with a round bur
4) Transillumination

ORE Test Answer: 3

Investigating the area with a round bur allows for direct assessment of the fissure and any underlying carious lesions.

What is the best method for securing the airway of a patient with a cleft palate during a dental procedure?
1) Use of a nasal airway
2) Use of an oral airway
3) Intubation
4) Oxygen via a face mask

Special Needs Patient Answer: 3

Patients with cleft palates often have compromised airways, making intubation the safest and most reliable method of airway management during dental procedures that require sedation or general anesthesia.

Which of the following is contraindicated in hypertensive patients for gingival retraction?
1) Plain retraction cord
2) Adrenalin-impregnated cord
3) Saline solution
4) None of the above

Pathology and Medicine Answer: 2

Adrenalin-impregnated cords can cause significant blood pressure spikes, which are risky in hypertensive patients.

Which of the following is not a part of behavioral science?:
1) Social Psychology
2) Economics
3) Sociology
4) Social Anthropology

Health Promotion and Population Answer: 2

Economics is not a part of behavioral science because it primarily focuses on the production, distribution, and consumption of goods and services, as well as the behavior of individuals and organizations in the market. Behavioral science, on the other hand, is a multidisciplinary field that studies human behavior and interactions, drawing from various disciplines such as psychology, sociology, and social anthropology. While economics may incorporate some aspects of human behavior, it is not considered a core component of behavioral science.

Not true about Na+ K+ 2Cl- Co-transporter:

1) It is a glycoprotein 
2) 12 membrane spanning domains 
3) There are distinct isoforms for secretory and absorptive function 
4) The secretory form is found exclusively in thick segment of ascending limb of loop of Henle

 

 

 

 

 

 

 

Pharmacology Answer: 4

The transfer of stress by tensile action in bone promotes:

1) Bone loss

2) Bone growth and maintenance

3) Bone weakness

4) No effect on bone health

ADC Test Answer: 2

The tensile action stimulates bone growth and helps maintain bone structure within physiological limits. Adequate stress encourages bone remodeling, which is crucial for maintaining healthy bone density.

Consent is needed from a patient to share information. Which of the following requires explicit consent?
1) To share information with an insurance company
2) To share information with other doctors in the practice
3) To share information with the therapist treating the patient
4) To share information with the patient's General Medical Practitioner (GMP)

ORE Test Answer: 1

Sharing patient information with an insurance company typically requires explicit consent due to the sensitive nature of the information and privacy regulations.

What is the significance of the Stephan Curve in dentistry?
1) It illustrates changes in oral pH after sugar exposure.
2) It describes the process of remineralization.
3) It indicates the types of bacteria present in the mouth.
4) It shows the composition of saliva.

Operative Dentistry Answer: 1

The Stephan Curve describes how the pH of the oral cavity changes in response to sugar and acid exposure over time.

Which nerve is affected if the tongue deviates to the right when protruded?
1) Right hypoglossal
2) Left hypoglossal
3) Glossopharyngeal
4) Vagus

ORE Test Answer: 1

Deviation of the tongue to the right indicates weakness in the right hypoglossal nerve, which innervates the muscles of the tongue.

Which of the following is NOT a common occupational hazard for dentists and dental staff?
1) Exposure to ionizing radiation
2) Risk of infection from bloodborne pathogens
3) Development of musculoskeletal disorders
4) High risk of developing allergies to dental materials

Occupational Hazards Answer: 4

While dentists and dental staff are indeed at risk of developing allergies to certain dental materials, especially those with latex allergies due to repeated exposure to gloves and other latex products, it is not a common occupational hazard compared to exposure to ionizing radiation from dental x-rays, risk of infection from bloodborne pathogens due to the nature of dental procedures, and the high prevalence of musculoskeletal disorders due to the ergonomic challenges of the work.

Unilateral numbness of the chin is associated with

1) malignancy.
2) Bell's palsy.
3) apical abscess.
4) trigeminal neuralgia

Oral Medicine and Oral Pathology Answer: 1

Numb chin syndrome occurs due to pressure on the mental nerve, often caused by metastatic malignancies such as breast or lung cancer.
It serves as a potential warning sign of cancer progression.

Which of the following causes bronchodilatation?

1) adrenaline (epinephrine)
2) histamine
3) prostaglandin E2
4) guaifenesin

General Medicine Answer: 1

Adrenaline (epinephrine) is a sympathomimetic agent that causes bronchodilatation. It is used to relieve bronchospasm in anaphylactic shock reactions. 
Histamine, kinins and prostaglandins, such as prostaglandin E2, are inflammatory mediators.
In response to allergic stimuli, inflammatory mediators may cause bronchoconstrictions. 
Guaifenesin is an expectorant preparation that increases bronchial secretions to promote the expulsion of the mucus coughed up.

What is the primary treatment for pemphigus vulgaris?
1) Topical steroids
2) Systemic corticosteroids
3) Antihistamines
4) Antibiotics

ORE Test Answer: 2

Systemic corticosteroids are the mainstay of treatment for pemphigus vulgaris to control the autoimmune response and reduce blister formation.

Which of the following is NOT a consideration for endodontic treatment in the elderly?
1) Diminished pulp vitality
2) Reduced healing capacity
3) Systemic health conditions
4) All of the above are considerations.

Geriatric Dentistry Answer: 3

While systemic health conditions are a consideration, endodontic treatment can still be successful in the elderly with careful management and patient selection.

Firm contact between approximating teeth is important because it

1) locates the marginal ridges of each tooth.
2) keeps the teeth from having any movement during function.
3) insures proper cusp form and increases masticatory efficiency.
4) stabilizes the dental arches and gives protection to the gingival papillae.

Periodontics Answer: 4

Firm contact between teeth helps maintain the stability of the dental arches, preventing unwanted movement during function. This contact also protects the gingival papillae by ensuring that the teeth are properly aligned and that the forces of mastication are distributed evenly, reducing the risk of periodontal issues.

Which component of amalgam gives strength?
1) Copper
2) Silver
3) Tin
4) Zinc

ORE Test Answer: 1

Copper enhances the strength and hardness of dental amalgam, making it a critical component in its formulation.

At what stage of development does the parotid gland form in utero?

1) 20-30 days
2) 30-40 days
3) 40-44 days
4) 50-60 days

ORE Test Answer: 3

The parotid gland begins to develop around 40-44 days in utero, which is approximately 1.5 months.

What’s the percentage of individuals over 25 years old with periodontitis in the UK?
1) 30%
2) 50%
3) 64%
4) 75%

ORE Test Answer: 3

Approximately 64% of individuals over 25 years old in the UK are affected by periodontitis, highlighting the prevalence of periodontal disease.

For a patient with bulimia, what is the best treatment option?
1) Dental restoration
2) Dietary counseling
3) Referral to a psychologist
4) Material restoration

ORE Test Answer: 3

A multidisciplinary approach to bulimia involves addressing psychological factors; referral for psychiatric evaluation is crucial for effective management of this eating disorder.

For geriatric patients with cognitive impairments, what is the best approach to dental care?
1) Treating them without their consent
2) Involving caregivers in decision-making
3) Ignoring their concerns
4) Minimal interaction during treatment

Geriatric Dentistry Answer: 2

Caregivers play a crucial role in the wellbeing of cognitively impaired patients, and including them in treatment discussions ensures better understanding and compliance.

Which of the following antihypertensive drugs should not be used in a patient on Lithium in order to prevent Lithium Toxicity? 

1) Clonidine
2) Beta blockers
3) Calcium Channel Blockers
4) Diuretics

Pharmacology Answer: 4

Diuretics increase sodium loss in urine and increase lithium retention. Hence they should not be used in patients on Lithium.

Which of the following acids is commonly used for etching enamel surfaces? 1. Citric acid                                                     2. Hydrochloric acid 3. Phosphoric acid                                            4. Picric acid

Dental Material Answer: 3

Phosphoric acid is used for etching enamel

Common cause of allergy in orthodontics:

1) Composite resin.

2) Vinyl.

3) Nickel.

4) Acrylic.

ADC Test Answer: 3

Nickel is a common allergen found in many orthodontic appliances, particularly in metal brackets or wires. It is important to identify patients with nickel allergies to avoid allergic reactions during orthodontic treatment.

If a root-filled tooth has no symptoms, when should the first X-ray for follow-up be taken?
1) 6 months
2) 12 months
3) 18 months
4) 24 months

ORE Test Answer: 2

For asymptomatic root-filled teeth, a follow-up radiograph is typically recommended at 12 months to monitor healing and any potential complications.

When calcospherites fail to fuse during calcification of dentin matrix then
1 Interglobular dentin is formed
2 Dead tracts are found in formed dentin
3 Irregular dentin results
4 None
 

Dental Anatomy Answer: 1

Sometimes, mineralization of dentin begins in small globular areas that fail to coalesce into a homogenous mass. This results in zones of hypomineralization between the globules.
These zones are known as globular dentin or interglobular spaces.
Thus, demonstrating defect of mineralization and not of matrix formation, the dentinal tubules pass uninterruptedly through interglobular dentin.

The principal growth sites of the maxilla in a downward and forward direction include which of the following sutures?

1 Frontomaxillary.

2) Zygomaticomaxillary.

3) Pterygopalatine.

4) Median palatine.

    1). (1), (2), and (3).

    2). (1) and (3).

    3). (2) and (4).

    4). (4) only.

Oral Embryology Answer: 1

Growth of the maxilla occurs at multiple sutures, particularly the frontomaxillary, zygomaticomaxillary, and pterygopalatine, allowing for its expansion and forward displacement.

When a dentist suspects elder abuse, what is the first step they should take?
1) Confront the caregiver about the suspicion
2) Report the suspicion to the patient's family
3) Report the suspicion to the local Adult Protective Services (APS) agency
4) Treat the patient's dental issues without further action

Abuse & Neglect Answer: 3

The first step in suspected elder abuse is to report the concern to Adult Protective Services.

Which antihypertensive class includes drugs that are specifically cardioselective or non-cardioselective?
1) ARBs
2) Beta-blockers
3) Calcium channel blockers
4) Diuretics

Pharmacology Answer: 2

Beta-blockers can be cardioselective (e.g., Atenolol) or non-cardioselective (e.g., Propranolol), affecting their selectivity on heart rate.

Not a physical property of propofol:


1) Water based preparation
2) Colour of the solution is white
3) It contains egg lecithin
4) Used as 2% strength

Local Anesthesia Answer: 1

Propofol is oil based preparation containing soybean oil, egg lecithin and glycerol. The colour is milky white' AND AVAILABLE AS 1 % AND 2% STRENGTH.

Which blood vessels have softer walls?
1) Arteries
2) Veins
3) Arterioles
4) Capillaries

ORE Test Answer: 2

Veins have thinner walls and are more compliant than arteries, allowing them to accommodate varying volumes of blood.

Most potent opioid:
1) Fentanyl
2) Alfentanil
3) Buprenorphine
4) Sufentanil

Local Anesthesia Answer: 4

Sufentanil is the most potent opioid, being 500-1,000 times more potent than morphine.

Following the injection of 1.8ml of 2% lidocaine with 1:100,000 epinephrine, a nervous 22 year old male with well controlled insulin dependent diabetes states that he feels dizzy and weak. Beads of sweat have accumulated on his forehead and upper lip. He is quite pale. The initial management of this patient is to

1) administer glucagon 1.0mg.
2) administer epinephrine 0.5mg.
3) administer diphenhydramine 50mg.
4) elevate the patient's legs and administer 100% oxygen.

Dental Emergencies Answer: 4

These symptoms suggest vasovagal syncope or hypoglycemia; elevating legs improves circulation, and oxygen supports recovery.

Morphine can be used in all the following conditions except: 

1) Head injury 
2) Asthma
3) Hypothyroidism 
4) Diabetes

Pharmacology Answer: 1

Morphine is contraindicated in head injury for the following reasons:

Causes carbondioxide retention – this in turn increases intracranial tension 
Therapeutic doses can cause respiratory depression in head injury patients Vomiting, miosis and altered mentation caused by morphine can interfere with assessment of neurological status


Morphine should be avoided in those with bronchial asthma as it can precipitate an attack of asthma. But it is not contraindicated 

Which of the following statements about the defective margins of amalgam restoration is true?

1) The larger the breakdown, the greater the chance of decay

2) Secondary caries is less likely with marginal defects

3) Microscopic defects do not affect caries development

4) All margins always prevent secondary caries

ADC Test Answer: 1

Research has shown that larger defects in the margins of amalgam restorations increase the prevalence of secondary caries, making it critical to maintain good margins to prevent decay.

What is the role of the auditory tube?
1) To equalize pressure in the middle ear
2) To drain fluid from the inner ear
3) To transmit sound waves
4) To protect the ear from infection

ORE Test Answer: 1

The auditory tube (Eustachian tube) connects the middle ear to the nasopharynx, allowing for pressure equalization and drainage of secretions.

What does the acronym IR(ME)R stand for?

  1. Information Rights and Records Management
  2. Ionizing Radiation (Medical Exposure) Regulations
  3. Infection Risks and Equipment Maintenance
  4. Imaging Records and Exposure Reporting

Dental Records Answer: 2

IR(ME)R 2017 Regulations pertain to the use of ionizing radiation for medical purposes, including dental x-rays. They set out the legal framework for the protection of patients and staff from the risks associated with radiation.

Prothrombin production in the liver is dependent upon an adequate dietary supply of 1 Vitamin A 2 Vitamin E 3 Vitamin K 4 None of the above

Biochemistry Answer: 3

Prothrombin production in the liver is dependent upon Vitamin K intake

What is the difference between a dental chart and a dental record? 

1) A dental chart is a visual representation of teeth, while a dental record includes all patient information. 
2) A dental chart includes only the patient's medical history, while a dental record has the full treatment history. 
3) A dental record is a visual representation of teeth, while a dental chart has the full treatment history. 
4) Both are the same.

Dental Records Answer: 1

A dental chart is a part of the patient's dental record that specifically depicts the teeth and their conditions. A full dental record, on the other hand, includes the patient's medical and dental history, treatment plans, x-rays, notes from appointments, consent forms, and other relevant information about the patient's oral health.

A dental assistant notices that a patient flinches when the dentist approaches with instruments. This behavior may suggest:
1) Fear of dental procedures
2) Previous traumatic experiences
3) Lack of understanding of the procedure
4) None of the above

Abuse & Neglect Answer: 2

Flinching may indicate that the patient has experienced trauma, which could be related to abuse.

Which immunoglobulin is present following a bacterial and viral infection?
1) IgA
2) IgD
3) IgM and IgG
4) IgE

ORE Test Answer: 3

Both IgM and IgG are present during and following infections; IgM appears first, while IgG is the most abundant antibody in circulation post-infection.

What is the best way to handle a chemical spill in a dental office?

1) Clean it up with paper towels and dispose of them in regular trash

2) Follow the Material Safety Data Sheet (MSDS) guidelines for the specific chemical

3) Ignore it if it seems minor

4) Wait for someone else to handle it

Occupational Hazards Answer: 2

Following the MSDS guidelines ensures that the spill is handled safely and effectively, minimizing risks to staff and patients.

The elastomeric impression material commonly supplied as a base paste & a liquid catalyst is :

1) Polysulfide
2) Condensation silicone
3) Addition silicone
4) Polyether

Dental Material Answer: 2

The condensation silicone impression materials are supplied as a base paste and a low-viscosity liquid catalyst (or a paste catalyst).
Putty is a high-viscosity material that has been developed in order to overcome the large polymerization shrinkage of the condensation silicone impression materials.
All the other impression materials are generally supplied as catalyst paste & base paste.

In patients with cerebral palsy, which position is often recommended for dental procedures?
1) Supine
2) Prone
3) Elevated semi-upright
4) Lateral recumbent

Special Needs Patient Answer: 3

An elevated semi-upright position can enhance comfort and respiratory efficiency for patients with cerebral palsy during dental treatments.

You suspect that your patient has an enlarged submandibular salivary gland. You expect the enlarged gland?
1) To be palpable intraorally
2) Only to be detectable by radiographical examination.
3) To be palpable both intra- and extraorally
4) To be palpable extraorally.

Local Anesthesia Answer: 3

When a submandibular salivary gland is enlarged, it can be palpable both intraorally (inside the mouth) and extraorally (outside the mouth). This means that the enlarged gland can be felt by touching it both from the inside and outside of the mouth. This is a characteristic feature of an enlarged submandibular salivary gland and helps in diagnosing the condition.

Which of the following is not one of the consequences of using Herbst appliance in treatment of Class II malocclusion?

1) Increase in mandibular growth
2) Over corrected Class I molar relation
3) Increase in SNB angle
4) Increase in overjet

Orthodontics Answer: 4

Solution

The following are the effects when Herbst appliance used for treatment of Class II malocclusion:
1. Class I molar relation or over-corrected Class I molar relation.
2.
Increased mandibular growth
3.
Distal driving of maxillary molars which helps to achieve molar relation.
4.
Reduction of overjet by increasing mandibular length and proclination of mandibular incisors.
5.
Inhibitory effect on sagittal maxillary growth
6.
Weislander suggested double contour of glenoid fossa which indicates anterior transformation of glenoid fossa
7.
Increased SNB angle and decreased SNA angle.

 

Ultrashort acting blocker most commonly used in anaesthesia is:
1) Esmolol
2) Nadolol
3) Propranolol
4) Atenolol

Local Anesthesia Answer: 1

Esmolol is metabolized by RBC esterase, making it very short-acting with a half-life of only 8-10 minutes.

Glycine is a: 

1. Glycogenic amino acid, only 
2. Ketogenic only 
3. Glucogenic and ketogenic 
4. Since It Is optically inactive therefore none of the above

Biochemistry Answer: 1

Glycine is a Glycogenic amino acid, only

When a tooth is replanted after avulsion and presents no pain, the most likely diagnosis is:

1) External resorption

2) Internal resorption

3) No significant damage

4) Pulp necrosis

ADC Test Answer: 2

Internal resorption may occur in avulsed teeth, especially if they were outside the socket for an extended period, even without presenting immediate pain.

What is the role of the dental nurse in maintaining patient records?

  1. To make and keep complete and accurate records of patient treatments and discussions
  2. To handle financial transactions and appointments
  3. To manage the dental office's social media accounts
  4. To oversee the sterilization of instruments

Dental Records Answer: 1

Dental nurses are crucial in the record-keeping process as they can take notes during patient appointments, ensuring that the records are made contemporaneously. This helps in maintaining the accuracy and completeness of patient records.

The administration of barbiturates is contraindicated in :

1) Anxiety disorders
2) Acute intermittent prophyria
3) Kernicterus
4) Refractive status epilepticus

Pharmacology Answer: 2

Acute intermittent prophyria (AIP) : Barbiturates exacerbate it by inducing microsomal enzymes and d amino levulinic acid synthetase and increasing prophyrin synthesis.

Note: Contraindications of barbiturates : · Liver and kidney disease · Severe pulmonary insufficiency eg. Emphysema · Obstructive sleep apnoea 

Ketamine is contraindicated in:
1) Hypertension
2) Raised intracranial tension
3) Raised intraocular tension
4) All of the above

 


Rapid induction of anaesthesia occurs with which of the following anaesthetic:
1) Isoflurane
2) Halothane
3) esflurane
4) Sevoflurane

Local Anesthesia Answer: 4

Ketamine raises both systolic and diastolic blood pressures and is thus contraindicated in hypertension. It increases cerebral blood flow and intracranial pressure and is thus contraindicated in raised intracranial tension. Ketamine raises intraocular tension and is thus contraindicated in glaucoma.

What do pulp tester readings signify?

1) Exaggerated response indicates irreversible pulpitis
2) No response indicates reversible pulpitis
3) Exaggerated response indicates reversible pulpitis
4) No response indicates healthy pulp

ORE Test Answer: 3

An exaggerated response to pulp testing typically indicates reversible pulpitis, while no response suggests irreversible pulpitis.

How would you treat exposed and softened cementum due to gingival recession of several anterior teeth?

1) Scrap the soften cementum and apply fluoride.

2) Scrap the soften cementum and use GIC.

3) Class V amalgam.

4) None of the above.

ADC Test Answer: 2

Glass ionomer cement (GIC) is commonly used for class V restorations to protect the exposed root surfaces and cementum. Fluoride application alone would not provide sufficient protection or restoration.

Drug of choice for ventricular arrhythmias induced by bupivacaine:
1) Bretylium tosylate
2) Lignocaine
3) Nifedipine
4) Verapamil

Local Anesthesia Answer: 1

Bupivacaine has got high cardiotoxic potential. Treatment for ventricular arrhythmia produced by bupivacaine is bretylium.

Norepinephrine is stored at the 

1. Preganglionic parasympathetic nerve endings 
2. Postganglionic parasympathetic nerve endings 
3. Preganglionic sympathetic nerve endings 
4. Postganglionic sympathetic nerve endings

Physiology Answer: 2

Norepinephrine is stored at the Postganglionic parasympathetic nerve endings

What is the most effective way to prevent the transmission of tuberculosis in the dental setting?
1) Screening patients for TB
2) Vaccinating dental personnel
3) Using N95 respirators
4) All of the above

Occupational Hazards Answer: 4

The most effective way to prevent the transmission of TB in the dental setting involves a combination of strategies, including screening patients for TB, vaccinating dental personnel, and using appropriate respiratory protection, such as N95 respirators, during procedures that may generate aerosols.

What is the difference between fluorapatite and carbonate substituted hydroxyapatite?
1) Fluorapatite is less soluble than carbonate substituted hydroxyapatite
2) Fluorapatite is more soluble than carbonate substituted hydroxyapatite
3) They have the same solubility
4) Fluorapatite does not occur in tooth structure

Operative Dentistry Answer: 1

Fluorapatite is a form of hydroxyapatite that has incorporated fluoride ions, which makes it more resistant to acid attacks and thus less soluble compared to carbonate substituted hydroxyapatite.

A man who smokes 2 packets of cigarettes a day and drinks would have an increased risk of developing oral cancer of:
1) 11 times
2) 13 times
3) 47 times
4) 25 times

ORE Test Answer: 3

Smoking and alcohol consumption significantly increase the risk of oral cancer, with studies showing a risk increase of up to 47 times for heavy users.

Which of the following is a key component of informed consent?
1) The healthcare provider's opinion on the treatment
2) The patient's medical history
3) The risks and benefits of the proposed treatment
4) The cost of the treatment

Informed Consent Answer: 3

A key component of informed consent is providing the patient with information about the risks and benefits associated with the proposed treatment.

After completion of root canal therapy on a maxillary first premolar with moderate mesial and distal lesions and intact buccal and lingual surfaces, the restoration of choice is a/an

1) MOD composite resin.
2) MOD onlay.
3) MOD pin retained amalgam.
4) MOD bonded amalgam.

Operative Dentistry Answer: 2

An onlay provides superior protection and strength for teeth with compromised structure, especially on premolars.

Most potent opioid:
1) Fentanyl
2) Alfentanil
3) Buprenorphine
4) Sufentanil

Local Anesthesia Answer: 4

Sufentanil is the most potent opioid, being 500-1,000 times more potent than morphine.

Which material is more hydrophilic: PVS or polyether?
1) PVS
2) Polyether
3) Both are equally hydrophilic
4) Neither is hydrophilic

FPD and RPD Answer: 2

Polyether is generally considered more hydrophilic compared to PVS (polyvinyl siloxane). Hydrophilic materials, like polyether, readily absorb water or are soluble in water, which can be advantageous in certain dental applications, such as improving the quality of impressions in moist environments or enhancing the bond between the material and the oral tissues. PVS, on the other hand, is a type of elastomeric impression material that is less hydrophilic but more accurate and easier to handle.

What is the best method to disinfect a dental bridge before sending it to the lab?

1) Soaking in bleach
2) Autoclaving
3) Using 70% isopropyl alcohol
4) Rinsing with water

ORE Test Answer: 3

70% isopropyl alcohol is effective for disinfecting dental appliances as it kills bacteria and viruses without damaging the material of the bridge.

A Class III antiarrhythmic agent that blocks K+ channels, prolongs action potential duration , and lengthens QT interval.  
1)  propranolol
2)  acebutolol 
3)  sotalol
4)  esmolol

Pharmacology Answer: 3

Sotalol is a Class III antiarrhythmic agent that blocks K+ channels, prolongs action potential duration (APD), and lengthens QT interval.

Noncardiac selective beta-adrenergic blocker.

The D-isomer has less than 1/50 beta-blocking activity of the L-isomer.

Sotalol possesses 30% of beta-blocking activity of propranolol

A patient presents with a history of using an old diamond bur. What consequence might arise from this?
A. Faster cutting
B. Excessive heat generation
C. Reduced pain during procedures
D. Improved tooth surface finish

ORE Test Answer: B

Using an old diamond bur can lead to inadequate cutting efficiency, forcing the dentist to apply excessive pressure which generates excessive heat—this can damage the dental pulp.

Penumbra in radiology and imaging refers to?
1) Area of sharpness in imaging
2) Lack of sharpness of the film
3) The outer region of a shadow
4) The central part of an image

Radiology Answer: 3

In the context of radiology and imaging, penumbra refers to the peripheral, less dense area surrounding the shadow cast by an opaque object. It is the transition zone between the dense shadow and the surrounding, unaffected tissue. It can sometimes cause difficulties in interpreting the extent of lesions or structures due to the blending of the shadow's edges with the surrounding tissue.

What is the term for an irrational fear of dental procedures?
1) Odontophobia
2) Gag reflex
3) Hypochondria
4) Agoraphobia

Anxious Patient Answer: 1

Odontophobia is a specific phobia characterized by fear of dental procedures or the dental environment.

What’s the percentage of tooth erosion in 6-year-olds and 15-year-olds in the UK?
1) 5-10% and 15-20%
2) 5-52% and 15-27%
3) 10-30% and 20-40%
4) 15-25% and 25-35%

ORE Test Answer: 2

Studies indicate that tooth erosion affects a significant percentage of children, with varying rates between different age groups.

What treatment is indicated for severe cases of disseminated intravascular coagulopathy (DIC)?

1) Increased platelet count
2) Supportive care and treating underlying causes
3) Administration of antibiotics
4) Hormonal therapy

ORE Test Answer: 2

Management of severe cases of DIC involves supportive care and addressing the underlying condition that has triggered the coagulopathy.

What is the role of glycoproteins in the saliva's natural defense against dental caries?
1) They act as a physical barrier to protect the tooth surface from bacteria.
2) They neutralize bacterial acids.
3) They inhibit the formation of plaque.
4) They promote the growth of beneficial oral bacteria.

Operative Dentistry Answer: 1

Glycoproteins in saliva help to aggregate bacteria, making them easier to eliminate during swallowing and reducing their ability to adhere to tooth surfaces.

White coat hypertension refers to: 1) Low blood pressure when seeing a doctor 2) Elevated blood pressure only in a medical setting 3) Consistently high blood pressure at all times 4) Normal blood pressure at all times

Pathology and Medicine Answer: 2

White coat hypertension occurs when blood pressure is elevated only in the presence of healthcare workers.

Angiotensin-converting enzyme (ACE) inhibitors reduce blood pressure by:
1) Increasing heart rate
2) Blocking calcium channels
3) Inhibiting angiotensin II formation
4) Blocking aldosterone receptors

Pharmacology Answer: 3

ACE inhibitors block the conversion of angiotensin I to angiotensin II, reducing vasoconstriction and lowering blood pressure.

Which antihypertensive agent is a direct renin inhibitor?
1) Aliskiren
2) Ramipril
3) Valsartan
4) Verapamil

Pharmacology Answer: 1

Aliskiren directly inhibits renin, reducing the production of angiotensin I and lowering blood pressure.

Proton pump inhibitors are most effective when they are given

1) After meals
2) Shortly before meals
3) Along with H2 blockers
4) During prolonged fasting periods

Pharmacology Answer: 2

Bio-availability of all proton pump inhibitors is reduced by food; they should be taken in empty stomach, followed 1 hour later by a meal to activate H+K+ ATPase and make it more susceptible to the proton pump inhibitor.

What is the distance of the maxillary sinus from the upper canine?

1) 3.8 mm
2) 6.9 mm
3) 1.9 mm
4) 2.8 mm

ORE Test Answer: 2

The distance from the maxillary sinus to the upper canine is 6.9 mm, which is the greatest distance compared to the premolars and molars. This distance decreases as you move posteriorly to the molars.

What is the retention period for dental records according to most dental boards?
1) 2 years
2) 5 years
3) 10 years
4) Varies by country/state

Dental Records Answer: 4

The retention period for dental records is typically dictated by each country's or state's dental board. In many jurisdictions, the minimum retention period is 10 years after the patient's last appointment, but it can vary. For example, in some states in the U.S., the requirement may be 7 or 10 years, while in others it can be indefinitely if the patient is a minor. It's important for dental offices to follow the specific guidelines set by their local regulatory bodies.

What is a common side effect of ACE inhibitors?
1) Hyperkalemia
2) Cough
3) Constipation
4) Bradycardia

Pharmacology Answer: 2

ACE inhibitors frequently cause a dry cough as a side effect due to bradykinin buildup.

What is the importance of confidentiality in dental records management?
1) It allows for open communication between dentist and patient
2) It protects the dentist from legal issues
3) It ensures that financial information is secure
4) It is not important

Dental Records Answer: 1

Confidentiality fosters trust and encourages patients to share sensitive information, which is crucial for effective treatment.

What is a primary rest?
1) Additional support for indirect retention
2) The rest part of a direct retainer
3) A support for the denture base
4) A type of occlusal contact

FPD and RPD Answer: 2

A primary rest is part of the direct retainer that provides essential support in an RPD.

The pterygomaxillary fissure is formed by the union of:
1) Sphenoid and maxilla
2) Sphenoid and zygoma
3) Maxilla and palatine
4) Inferior nasal concha and nasal septum

Oral Embryology Answer: 1

The pterygomaxillary fissure is located between the sphenoid and maxilla bones and serves as a passageway for various structures including blood vessels and nerves.

The largest resting membrane potential is observed in 1. skeletal muscle 2. smooth muscle 3. equal in both 4. -120 mv in resting smooth muscle

Anatomy Answer: 1

The largest resting membrane potential is observed in skeletal muscles

Which bacteria is most commonly associated with acute dentistry-related infections?
1) Streptococcus viridans
2) Staphylococcus aureus
3) Escherichia coli
4) Neisseria meningitidis

ORE Test Answer: 1

Streptococcus viridans is part of the normal oral flora and frequently implicated in dental infections, particularly endocarditis following dental procedures.

what do u understand by isograft
1.bone taken frm same individual
2.bone taken frm genetically same individual
3.bone taken frm identical twin
4.bone taken frm same individual

Periodontics Answer: 2

A graft of tissue that is obtained from a donor genetically identical to the recipient.

Which of the following anaesthetic agent can be given by both intravenous and intramuscular routes:
1) Thiopentone
2) Propanidid
3) Ketamine
4) Fentanyl-droperidol

Local Anesthesia Answer: 3

Ketamine can be administered via intravenous, intramuscular, oral, and intrathecal routes. It is the second method of choice for induction in children, with the first being inhalational.

All of the following are signs of successful stellate ganglion block, except:

1) Flushing of face

2) Conjunctival congestion

3) Mydriasis

4) Nasal stuffiness

Local Anesthesia Answer: 3

Mydriasis

Stellate ganglion block is sympathetic block leading to Horner syndrome, (which includes miosis, ptosis, anhydrosis, enophthalmos), flushing of face, conjunctival congestion nasal stuffiness increased skin temperature and congestion of tympanic membrane.

Which is the most common jaw cyst in the UK?
1) Dentigerous cyst
2) Radicular cyst
3) Odontogenic keratocyst
4) Nasopalatine duct cyst

ORE Test Answer: 2

The radicular cyst is the most prevalent type of jaw cyst, commonly associated with non-vital teeth.

What is the best way to communicate with a patient who has an intellectual disability?
1) Using medical jargon to assert authority
2) Using simple language and visual aids
3) Ignoring the patient and speaking only to their caregiver
4) Relying on nonverbal cues from the patient

Special Needs Patient Answer: 2

Communicating with a patient with an intellectual disability requires patience and clarity. Simple language and visual aids can help convey information effectively and reduce misunderstandings. While nonverbal cues are important, they should not be the sole method of communication. It's essential to involve the patient and their caregiver in the conversation.

What is the typical healing time for a simple extraction of a tooth?
1) 3-5 days
2) 1-2 weeks
3) 2-4 weeks
4) 4-6 weeks

ORE Test Answer: 2

Healing after a simple tooth extraction typically occurs within 1 to 2 weeks, although complete healing may take longer.

In what area of the root are periodontal ligament fibers thinner?
1) Apical third
2) Middle third
3) Cervical third
4) Entire root

ORE Test Answer: 2

Periodontal ligament fibers are generally thinner in the middle third of the root compared to the apical and cervical thirds, where they are typically thicker for better support.

Tissue conditioning materials made of silicone are:

1) More resilient than plastic acrylic

2) Devoid of antimicrobial properties

3) Less durable than traditional materials

4) Typically harder than acrylics

ADC Test Answer: 1

Silicone lining materials are noted for their resilience and comfort, maintaining their cushioning properties over time compared to plastic acrylics.

Patient received a heavy blow to the right body of the mandible sustaining a fracture there. You should suspect a second fracture is most likely to be present in:

1) Symphysis region

2) Left body of the mandible

3) Left sub-condylar region

4) Right sub-condylar region

ADC Test Answer: 3

Due to the mechanics of jaw fractures, a blow to one side may often result in a corresponding fracture on the contralateral sub-condylar region.

What is the most common pharmacological agent used for conscious sedation in dentistry?
1) Midazolam
2) Diazepam
3) Lorazepam
4) Alprazolam

Anxious Patient Answer: 1

Midazolam is commonly used for conscious sedation in dentistry due to its rapid onset, short duration of action, and amnesic properties.

What is the typical duration of pH recovery in the oral cavity after exposure to sugars or acids?
1) 10 minutes
2) 30 minutes
3) 1 hour
4) 24 hours

Operative Dentistry Answer: 2

Saliva's natural buffering capacity typically allows for pH recovery in the oral cavity within 30 minutes after exposure to acids or sugars. However, this can vary based on individual factors and the presence of protective agents like fluoride.

Drug used in acute gout is?

1) Aspirin
2) Indomethacin
3) Phenylbutazone
4) Allopurinol

Pharmacology Answer: 4


Treatment of acute gout is mainly to control symptoms, i.e. pain, swelling etc.
The symptoms of acute gout are due to inflammation in the joints.
So, drugs which decrease inflammation are used in acute gout, i.e.
anti-inflammatory drugs. Drugs are:- NSAIDs, Colchicine, Corticosteroids

The percentage of total dentine surface dentinal tubules make up at 0.5mm away from pulp is:

1) 20%

2) 50%

3) 70%

4) 80%

ADC Test Answer: 2

Studies have shown that approximately 50% of the total dentin surface at this distance from the pulp chamber is occupied by dentinal tubules, which play a crucial role in sensitivity and responsiveness.

The principle of beneficence obliges dentists to:

1) Only provide treatments that are profitable
2) Act in the best interest of the patient
3) Follow the latest trends in dental technology
4) Delegate all complex procedures to specialists

Ethics and Jurisprudence Answer: 2

Beneficence is the ethical principle that requires dentists to act in the best interest of their patients, promoting well-being and providing competent and appropriate care. It does not relate to profit, trends, or delegation of duties but rather to the moral obligation to do good for the patient.

Which of the following clinical conditions is the most serious?

1) Acute apical abscess of a mandibular central incisor.
2) Mid facial cellulitis.
3) Chronic apical abscess of a mandibular third molar.
4) Infected dentigerous cyst.

Dental Emergencies Answer: 2

Mid-facial cellulitis can rapidly progress to life-threatening complications like cavernous sinus thrombosis or airway obstruction.

The most common cause of failure in root canal treatment is:

1) Over-filling the canal

2) Under-filling the canal

3) Instrument breakage

4) Infection during treatment

ADC Test Answer: 2

Inadequate filling of the root canal system allows for persistent infection, making it the leading cause of failure in root canal procedures.

The essential ingredient of dental inlay investment are :

1) Quartz, cristobalite
2) β hemihydrate
3) α hemihydrate
4) Ammonium phosphate

Dental Material Answer: 3

The essential ingredients of the dental inlay investment employed with the conventional gold casting alloys are a-hemihydrate of gypsum, quartz, or cristobalite, which are allotropic forms of silica.

What is the purpose of using a rubber dam during dental procedures?
1) To isolate the operative site from the oral cavity
2) To improve visualization and access
3) To reduce the patient's gag reflex
4) To increase patient comfort

Infection Control Answer: 1

A rubber dam is used to create a barrier between the patient's oral tissues and the rest of the mouth, thereby reducing the risk of cross-contamination and protecting the patient and the dental team from bacteria and saliva.

What is the primary function of the tensor tympani muscle?

1) To assist in swallowing
2) To dampen loud sounds
3) To facilitate hearing
4) To stabilize the jaw

ORE Test Answer: 2

The tensor tympani muscle helps protect the inner ear from loud sounds by tensing the tympanic membrane, reducing sound transmission.

What are the predisposing factors for syncope during a dental procedure?
1) High blood pressure
2) Anxiety and fear of needles
3) Severe tooth pain
4) All of the above

Oral Surgery Answer: 2

Syncope can be triggered by anxiety, fear, and the sight of blood, which lead to increased catecholamine release, decreased peripheral resistance, and lowered blood pressure, causing cerebral ischemia.

What is a common mechanism for condylar fractures of the mandible? 1) Direct blow to the angle of the mandible 2) Fall onto the chin 3) Gunshot wounds 4) Road traffic accidents

Oral and Maxillofacial Surgery Answer: 2

Condylar fractures often result from a fall onto the chin, which drives the condyles into their fossae. This mechanism of injury is common in falls and other similar accidents.

What is the most common type of periodontal charting?

  1. Probing depths
  2. Gingival recession
  3. Tooth mobility
  4. Furcation involvement

Dental Records Answer: 1

Probing depths are the most commonly recorded periodontal charting measurement. They indicate the distance from the free gingival margin to the bottom of the periodontal pocket and are crucial in assessing the health of the periodontium.

As far as surgical removal of wisdom teeth is concerned, which of the following is true?

1) Prophylactic prescription of antibiotics reduces dramatically the chances of infection

2) Raising a lingual flap will increase the incidence of neurapraxia but will reduce the incidence of neurotmesis with respect to the lingual nerve

3) Prophylactic prescription of dexamethasone will dramatically reduce postoperative swelling

4) Inferior dental nerve injury is unlikely since the nerve passes medial to the wisdom tooth root

ADC Test Answer: 2

Raising a lingual flap can increase the risk of temporary nerve injury (neurapraxia) while potentially reducing the risk of more severe nerve damage (neurotmesis).

Typical features of Down’s syndrome (Mongolism) do not include:

1) Multiple immunodeficiencies

2) Severe caries but minimal periodontal disease

3) Susceptibility to infections

4) Multiple missing teeth and malocclusion

ADC Test Answer: 2

Individuals with Down syndrome often exhibit a higher incidence of periodontal disease rather than minimal periodontal issues.

The biochemical defect in Osteogenesis Imperfecta, type II is: 1.      a mutation in the alpha 1 chain of Type I collagen. 2.      a deficiency in collagenase. 3.      a deficiency in lysyl oxidase. 4.      a deficiency in lysyl hydroxylase.

Biochemistry Answer: 4

The biochemical defect in Osteogenesis Imperfecta, type II is a deficiency in lysyl hydroxylase.

You are interested in finding out what the risk indicators are for a rare form of oral cancer. What type of study would be the most appropriate for addressing this issue?

1) Cohort
2) Prevalence study
3) Clinical trial
4) Case-control study

ORE Test Answer: 4

A case-control study is ideal for investigating risk factors for rare diseases, as it compares individuals with the disease to those without.

what %age of NaF is used in iontophoresis:
1.1%
2.2%
3.3%
4.4%

Periodontics Answer: 2

2% NaF is used in iontophoresis. This fluoride treatments brings about granular precipitation in dentinal tubules and reduces tubular diameter.

Which of the following is NOT a function of rests?
1) To maintain occlusal contact
2) To provide aesthetics
3) To prevent displacement of abutment teeth
4) To provide indirect retention

FPD and RPD Answer: 2

Rests primarily focus on functional roles, like support and stability, rather than aesthetic enhancement.

What is the first step in managing trismus?
1) Prescribing muscle relaxants
2) Applying heat to the affected area
3) Administering corticosteroids
4) Performing surgical intervention

Oral Surgery Answer: 2

Initial treatment for trismus includes applying heat and administering anti-inflammatory medications to reduce muscle spasm.

What antibiotic is commonly prescribed for chronic sinusitis?

1) Amoxicillin
2) Doxycycline
3) Azithromycin
4) Ciprofloxacin

ORE Test Answer: 2

Doxycycline is often used to treat chronic sinusitis due to its effectiveness against a range of bacteria that can cause sinus infections.

What is the strength of adrenaline typically used in dental anesthesia?
1) 1:100
2) 1:1000
3) 1:2000
4) 1:5000

ORE Test Answer: 2

The standard concentration of adrenaline used in dental procedures is 1:1000, which helps to control bleeding and prolong the effect of local anesthetics.

What is the percentage of edentulous patients in England and Scotland?
1) 10%
2) 25%
3) 50%
4) 64%

ORE Test Answer: 4

Approximately 64% of adults over 65 years are edentulous in the UK, reflecting the impact of dental health over time.

What type of consent is required for a simple buccal pit restoration?

1) Implied consent
2) Verbal consent
3) Written consent
4) Informed refusal

Informed Consent Answer: 1

Implied consent is sufficient for routine and non-invasive procedures, such as a simple buccal pit restoration, as it is assumed the patient agrees to the treatment based on their cooperation during the process.

Internal resorption is:

1) Radiolucency over unaltered canal

2) Usually in response to trauma

3) Radiopacity over unaltered canal

4) Associated with carious lesions

ADC Test Answer: 2

Internal resorption occurs due to trauma or other factors that stimulate the pulp, leading to resorption of the dentin from within, resulting in a characteristic appearance.

What is the ideal angle for subgingival curettage with universal curettes?
1) 45 degrees
2) 60 degrees
3) 70 degrees
4) 90 degrees

ORE Test Answer: 1

A 45-degree angle is optimal for subgingival curettage, allowing effective scaling while preserving soft tissue.

What is the best way to ensure that dental records are legible and permanent?

  1. Use pencil to write notes
  2. Use erasable ink for charting
  3. Use a computer with password-protected access
  4. Write notes on sticky pads and attach them to the patient's file

Dental Records Answer: 3

Electronic records are typically more legible and permanent than handwritten notes, especially when access is controlled and regular backups are performed.

The main excitatory neuro transmitter in CNS is
    1)     Glycine
    2)     Acetyl choline
    3)     Aspartate
    4)     Glutamate

Pharmacology Answer: 2

The chemical compound acetylcholine (ACh) is a neurotransmitter in both the peripheral nervous system (PNS)and central nervous system (CNS) in many organisms including humans. Acetylcholine is one of many neurotransmitters in the autonomic nervous system (ANS) and the only neurotransmiter used in the somatic nervous system. 

Which of the following is an example of a legal requirement for dental records?
1) Using a specific color of ink to write in the chart
2) Storing patient records for at least 7 years after the patient's last appointment
3) Having a signed treatment consent form for every procedure
4) Using only digital records, no paper charts allowed

Dental Records Answer: 2

The legal requirements for dental records may vary by state or country, but a common requirement is the retention of records for a certain period, typically 7 to 10 years or until the patient reaches the age of majority plus a certain number of years. This ensures that the information is available for any future reference or legal needs. The specific color of ink, use of digital or paper charts, and placement of identifiers are often practice standards rather than legal requirements.

For a 10-year-old patient with expected treatment procedures, an OPG is:

1) Contraindicated below 12 years

2) Less radiative than combined BW and periapical X-rays

3) Only used for adults

4) Provides a comprehensive view of teeth only

ADC Test Answer: 2

OPGs generally expose patients to lower radiation doses compared to multiple intraoral radiographs, making them safer for diagnostic purposes.

Which of the following is considered a biological hazard in a dental practice? 1) Chemical spills 2) Noise from dental equipment 3) Bloodborne pathogens 4) Ergonomic strain

Occupational Hazards Answer: 3

Biological hazards include exposure to infectious agents such as bloodborne pathogens (e.g., HIV, Hepatitis B and 3) that can pose risks to dental professionals.

What is the GDC's requirement for the storage of patient records?

  1. They must be kept in a secure, locked cabinet
  2. They must be kept in a fireproof safe
  3. They must be kept in a format that is easily accessible and understandable
  4. They must be kept in a location that is accessible only to the dentist

Dental Records Answer: 3

The GDC requires that patient records be kept in a format that is easily accessible and understandable to ensure that dental professionals can provide effective care based on accurate and up-to-date information.

What is the primary risk factor for the development of musculoskeletal disorders among dental professionals?
1) Prolonged periods of sitting
2) Repetitive motions
3) Working with vibrating instruments
4) Exposure to radiation

Occupational Hazards Answer: 2

Repetitive motions, such as those involved in holding and using small hand instruments for long periods, are the primary risk factor for the development of musculoskeletal disorders among dental professionals. These disorders often affect the neck, back, shoulders, and hands.

When calcospherites fail to fuse during calcification of dentin matrix then
1 Interglobular dentin is formed
2 Dead tracts are found in formed dentin
3 Irregular dentin results
4 None

Dental Anatomy Answer: 1

Interglobular Dentin:
Sometimes, mineralization of dentin begins in small globular areas that fail to coalesce into a homogenous mass. This results in zones of hypomineralization between the globules.
These zones are known as globular dentin or interglobular spaces.
Thus, demonstrating defect of mineralization and not of matrix formation, the dentinal tubules pass uninterruptedly through interglobular dentin.

After crown placement, when should a follow-up radiograph be taken?
1) Within 1 month
2) After 6 months
3) Annually
4) Every 2 years

ORE Test Answer: 3

Annual follow-up radiographs are necessary to monitor the health of the crown and surrounding structures.

What is the primary purpose of using a rubber dam in dentistry?

1) To improve visibility
2) To isolate the tooth
3) To prevent contamination
4) All of the above

ORE Test Answer: 4

A rubber dam is used to improve visibility, isolate the tooth from saliva, and prevent contamination during procedures.

Following extraction of the molar teeth, which statement is correct?

1) The ridge height is lost more from the maxilla than from the mandible.

2) The maxillary ridge will get more bone lost from the palatal aspect than the buccal.

3) The mandibular arch is relatively narrower than the maxillary arch.

4) Compared with the pre-resorption state, the mandibular ridge will lose more bone from the lingual aspect than the buccal one.

ADC Test Answer: 2

After molar extraction, the maxillary ridge tends to lose more bone from the palatal aspect due to the direction of the resorptive forces and the presence of the palatal blood vessels and nerves.

A 64-year-old patient with a history of metastatic breast cancer presents with loose teeth, dental pain, and swollen gums. What is the most likely causative agent?
1) Osteonecrosis of the left mandible
2) Long-term use of bisphosphonates
3) Osteomyelitis
4) Periodontal disease

ORE Test Answer: 2

Patients on long-term bisphosphonates for metastatic cancer are at risk for osteonecrosis of the jaw, which can present with loose teeth and swelling.

What is the role of dental records in the event of a malpractice allegation?

  1. To prove the dentist's innocence
  2. To determine if the dentist followed the standard of care
  3. To provide financial compensation to the patient
  4. To assess the patient's satisfaction with the treatment

Dental Records Answer: 2

Dental records are used to evaluate whether the care provided to the patient met the standard of care expected within the community.

The auriculotemporal nerve carries some fibers which are . 1. motor to masseter muscle 2. secretory to parotid gland 3. afferent from the carotid body 4. sensory to lining of tympanic cavity

Anatomy Answer: 4

The auriculotemporal nerve carries some fibers which are sensory to lining of tympanic cavity

A patient who had epilepsy 10 years ago but is now in control. Which technique will you use?
1) Inhalation sedation
2) IV sedation
3) Carry on with treatment

ORE Test Answer: 3

If the patient's epilepsy is well-controlled, routine dental treatment can proceed without special precautions.

Diffusion hypoxia is caused by:
1) Ether
2) Halothane
3) N2O
4) Trielene

Local Anesthesia Answer: 3

At the end of surgery when nitrous oxide delivery from machine is stopped the gradient between alveoli and blood is reversed and nitrous oxides gushes into the alveoli replacing oxygen from there creating hypoxia called as diffusion hypoxia.

At what stage of development does the parotid gland form in utero?
1) 20-30 days
2) 30-40 days
3) 40-44 days
4) 50-60 days

ORE Test Answer: 3

The parotid gland begins to develop around 40-44 days in utero, which is approximately 1.5 months.

Ambroxol is a :

1)  Mucolytic agent
2)  Bronchial secretion enhancer
3)  Antitussive
4)  None of the above

Pharmacology Answer: 1

Expectorants (Mucokinetics)

(a) Bronchial secretion enhancers : Sodium or Potassium citrate, Potassium iodide, Guaiphenesin (Glyceryl guaiacolate), balsum of Tolu, Vasaka, Ammonium chloride.

(b) Mucolytics: Bromhexine Ambroxol Acetyl cysteine Carbocisteine

The fibres of Purkinje?
    1.     Are remains of embryonic cardiac muscle fibres 
    2.     Are placed over the pericardium 
    3.     Arise from the sinu-arterial noded a and b both 
    4.     a and b both

Anatomy Answer: 1

These form specialized fibres of the heart and are supposed to be terminal filaments of bundle of His. They are placed beneath the endocardium and intervene between it and the myocardium. 

What is the recommended technique for measuring blood pressure? 1) Patient should cross legs while seated 2) Patient should be seated for at least 5 minutes 3) Inflate the cuff quickly to 100 mmHg 4) Use a stethoscope on the neck artery

Pathology and Medicine Answer: 2

For accurate blood pressure measurement, the patient should be seated comfortably for at least 5 minutes without crossing their legs.

Lidocaine (Xylocaine) effect on ventilation response to hypoxia?
1) Enhanced response
2) Depressed response
3) No effect
4) Enhanced response and no effect

Local Anesthesia Answer: 2

Lidocaine, also known as Xylocaine, has been found to have a depressant effect on the ventilation response to hypoxia. This means that when exposed to low oxygen levels, the body's normal response of increasing ventilation (breathing rate) is reduced or suppressed when lidocaine is present. Therefore, lidocaine can inhibit the body's ability to respond effectively to low oxygen levels, potentially leading to respiratory complications.

The smear layer present on the root canal wall after cleaning and shaping is best removed by using

1) EDTA
2) hydrogen peroxide.
3) chlorhexidine.
4) isopropyl alcohol.

Endodontics Answer: 1

EDTA effectively removes the smear layer, allowing for better canal cleaning and sealer penetration.

What is the most appropriate treatment for an elderly patient with a loose denture?
1) Relining the denture
2) Implant placement
3) Adhesive use
4) Removal of the denture

Geriatric Dentistry Answer: 1

Relining the denture can help improve its fit and stability, making it more comfortable for the patient.

In Class II preparation, it is difficult to place the gingival seat when preparation is extended too gingivally because the:

1) Enamel rods are directed occlusally

2) Marked cervical constriction

3) Dentin is more sensitive

4) Periodontal attachment is compromised

ADC Test Answer: 2

When a Class II cavity is extended gingivally, the marked cervical constriction of the tooth can make it difficult to adequately place a gingival seat, which is necessary for effective retention and proper contouring of the restoration.

What is the typical sequence of events during the eruption of a permanent tooth?

1) Resorption of the overlying alveolar bone, followed by movement of the tooth through the gum tissue.

2) Resorption of the deciduous tooth root, followed by movement of the permanent tooth into the socket.

3) Inflammation of the gum tissue, followed by resorption of the deciduous tooth crown.

4) Movement of the tooth through the gum tissue, followed by resorption of the deciduous tooth root.

ADC Test Answer: 2

Eruption of a permanent tooth involves the resorption of the primary tooth root, allowing the permanent tooth to move into the correct position within the alveolar bone.

What is the definition of syncope?
1) A prolonged seizure
2) Transient loss of consciousness due to cerebral anoxia
3) A chronic condition resulting from a brain tumor
4) A mental health disorder

Oral Surgery Answer: 2

Syncope is a temporary loss of consciousness caused by a lack of oxygen to the brain. It is characterized by pallor, dilated pupils, coldness of skin, and unconsciousness.

What is the recommended technique for removing bone during an extraction to prevent bone necrosis?
1) High-speed handpiece with continuous coolant irrigation
2) Chisel and mallet with manual pressure
3) Surgical bone saw
4) Laser bone removal

Oral Surgery Answer: 1

Using a high-speed handpiece with continuous coolant irrigation allows for precise bone removal and minimizes thermal necrosis of the bone.

Which of the fibers attached to cementum are most likely to contribute to relapse of tooth rotation:

1) Gingival group of fibers
2) Apical fibers
3) Horizontal fibers
4) Oblique fibers

Orthodontics Answer: 1

SOLUTION 

Gingival group of fibers 
Principal fibers of the periodontal ligament rearranges themselves quite rapidly to the position in about 4 weeks.The supra-alveolar gingival fiber take as much as 40 weeks to rearrange around the new position and thus predispose to relapse.

What is a common consequence of prolonged exposure to loud noises in a dental office? 1) Increased risk of infection 2) Hearing loss 3) Skin irritation 4) Respiratory issues

Occupational Hazards Answer: 2

Prolonged exposure to loud noises from dental equipment can lead to noise-induced hearing loss, making it important to use hearing protection when necessary.

What oral hygiene aid is often recommended for patients with limited dexterity?
1) Traditional toothbrush
2) Electric toothbrush
3) Floss picks
4) Mouthwash only

Special Needs Patient Answer: 2

Electric toothbrushes can be easier to handle and may provide a more effective cleaning action for patients with limited dexterity.

The junction between primary and secondary dentine is:

1) A reversal line

2) Sharp curvature

3) A resting line

4) A reduction in the number of tubules

ADC Test Answer: 2

The relationship between primary and secondary dentine is characterized by a sharp transition in the curvature of dentinal tubules as changes in odontoblast activity occur post-eruption.

According to the water regulations, what type of gap must exist between the water ingress and drainage points for dental equipment?

1) Type A gap of 20mm
2) Type B gap of 30mm
3) Type C gap of 40mm
4) Type D gap of 50mm

ORE Test Answer: 2

Water regulations necessitate that dental equipment be safeguarded against back-siphonage to prevent contamination. A Type B gap of 30mm between water ingress and drainage points is required to maintain this safety standard.

In which situation is informed consent NOT required?
1) Routine dental cleaning
2) Emergency surgery
3) Elective surgery
4) Clinical trials

Informed Consent Answer: 4

In emergency situations where delaying treatment could be dangerous, informed consent may not be required.

What is the best approach regarding sedation for pregnant women?

1) Mandatory sedation
2) Always use benzodiazepines
3) Best to avoid sedation
4) Only use nitrous oxide

ORE Test Answer: 3

The use of sedation, particularly benzodiazepines, during pregnancy carries risks that could harm the fetus. It is generally recommended to avoid sedation to ensure the safety of both the mother and the fetus.

Which of the following series of cements have anticariogenic properties? 1. zinc phosphate, silicate, and polycarboxylate cements 2. silicophosphate, glass ionomer, and silicate cements 3. zinc oxide eugenol, ethoxybenzoic, and zinc oxide eugenol polymer reinforced cements 4. calcium hydroxide and ethoxybenzoic cements

Dental Material Answer: 2

Cements with anticariogenic properties are silicophosphate, glass ionomer, and silicate cements

Developed hypo reactivity to a drug is

1)  Detoxification 
2)  Antagonism
3)  Tolerance 
4)  Desensitization

Pharmacology Answer: 3

Tolerance: The capacity to absorb a drug continuously or in large doses without adverse effect; diminution in the response to a drug after prolonged use.

Rapid induction of anaesthesia occurs with which of the following inhalational anaesthetics

1. Isoflurane
2. Halothane
3. Desflurane
4. Sevoflurane

Pharmacology Answer: 4

less solublity in blood means more rapid induction, however quicker emergence after discontinuing depends upon solublity and redistribution in lipids of body as well

Extraction of a distoangular impaction of the mandibular third molar can cause:

1) Slippage in the lingual pouch
2) Fracture of the ramus of the mandible
3) Excessive hemorrhage
4) Dry socket

Oral Surgery Answer: 2

Distoangular impactions are particularly challenging due to their position and the extensive bone removal required for extraction. This can weaken the ramus of the mandible, making it more susceptible to fracture during the extraction process. The risk of fracture is a significant concern for surgeons when dealing with this type of impaction.

A successful infraorbital nerve block will produce anaesthesia of the?
1) Maxillary anterior teeth.
2) Maxillary anterior teeth, their labial gingivae and the upper lip
3) Maxillary anterior teeth and their labial gingivae.
4) Maxillary anterior teeth, their labial gingivae, the upper lip and anterior hard palate

Local Anesthesia Answer: 2

A successful infraorbital nerve block will produce anesthesia of the maxillary anterior teeth, their labial gingivae, and the upper lip. This is because the infraorbital nerve supplies sensory innervation to these areas.

What is the most common site for mandibular fractures resulting from interpersonal violence? 1) Condyle 2) Symphysis 3) Angle 4) Ramus

Oral and Maxillofacial Surgery Answer: 3

The angle of the mandible is the most common site for fractures resulting from interpersonal violence. This often occurs as a result of a direct blow to the side of the face.

What is the most appropriate action for a dentist to take if they suspect a patient with a disability is being abused or neglected?

1) Report the suspicion to the patient's caregiver
2) Report the suspicion to the patient's guardian
3) Report the suspicion to the authorities
4) Ignore the suspicion due to the patient's disability

Abuse & Neglect Answer: 3

Dentists are mandated reporters for all forms of suspected abuse or neglect, including cases involving patients with disabilities. The most appropriate action is to report the suspicion to the authorities, such as Adult Protective Services or Child Protective Services, depending on the patient's age and the nature of the suspicion.

A patient with osteitis and pus after a third molar extraction. Which antibiotic should be prescribed?
1) Amoxicillin
2) Metronidazole
3) Clindamycin
4) Cephalexin

ORE Test Answer: 2

Metronidazole is commonly used to treat infections associated with dental procedures, particularly those involving anaerobic bacteria, such as in cases of osteitis.

The fovea palatini serves as a landmark for determining:

1) Anterior border of upper denture

2) Posterior border of upper denture

3) Midline of the arch

4) Occlusal plane angle

ADC Test Answer: 2

The fovea palatini marks the posterior seal area of the upper denture, essential for denture retention.

Which of the following factors contributes to increased xerostomia in elderly patients?
1) Increased salivary gland function
2) Systemic medications
3) Higher water intake
4) Increased oral hydration

Geriatric Dentistry Answer: 2

Many medications taken by older adults, such as antihypertensives and antidepressants, can lead to reduced saliva production, resulting in xerostomia.

What is the term for the risks that must be discussed with a patient before treatment?
1) Minor risks
2) Unlikely risks
3) Insignificant risks
4) Material risks

Informed Consent Answer: 4

Material risks are those that are most relevant to the patient and should be disclosed prior to treatment.

Which is the most common jaw cyst in the UK?
1) Dentigerous cyst
2) Radicular cyst
3) Odontogenic keratocyst
4) Nasopalatine duct cyst

ORE Test Answer: 2

The radicular cyst is the most prevalent type of jaw cyst, commonly associated with non-vital teeth.

Which of the following is a lifestyle factor that can modify the severity of hypertension? 1) Genetic predisposition 2) Physical inactivity 3) Age 4) None of the above

Pathology and Medicine Answer: 2

Physical inactivity, along with factors like obesity and high sodium intake, can worsen hypertension.

Which of the following is a common sign of periodontal disease?

1) Tooth mobility
2) Bleeding gums
3) Bad breath
4) All of the above

ORE Test Answer: 4

Signs of periodontal disease include tooth mobility, bleeding gums, and bad breath, indicating inflammation and infection.

Which nerve is located between the palatoglossus and palatopharyngeus muscles?
1) Cranial nerve 9
2) Cranial nerve 7
3) Cranial nerve 10
4) Cranial nerve 12

Anatomy Answer: 2

The facial nerve (CN 7) passes between the palatoglossus and palatopharyngeus muscles in the pterygopalatine fossa.

Which of the following statements about informed consent is true?
1) It is only necessary for surgical procedures.
2) It must always be documented in writing.
3) It is a one-time process that does not require updates.
4) It should be tailored to the individual patient's needs and understanding.

Informed Consent Answer: 4

;Informed consent should be personalized to ensure that the patient fully understands the information relevant to their treatment.

Most bacterial endotoxins are composed of 1. pure carbohydrates 2. mucoprotein complexes 3. pure lipids 4. lipoprotein-polysaccharide complexes

Microbiology Answer: 4

Most bacterial endotoxins are composed of lipoprotein-polysaccharide complexes

Your employer is attempting to update office sterilization procedures; what would you recommend as the BEST method to verify that sterilization has occurred?

1) Use color change tape in each load and spore tests weekly

2) Use indicator strips in each load and color change tape on each package

3) Use indicator strips daily and spore tests weekly

4) Use color change tape daily and spore tests monthly

ADC Test Answer: 3

Color-change tape each load + weekly spore tests

– Tape only shows the package was exposed to heat, not that sterilization was achieved.


Indicator strips each load + color-change tape each package

– No spore testing included → cannot verify sterilization.


Indicator strips daily + spore tests weekly

– Includes both chemical indicators and weekly spore tests → best match.

Color-change tape daily + spore tests monthly

– Monthly spore testing is inadequate.

Spironolactone, an antihypertensive agent, belongs to which class of drugs?
1) Potassium-sparing diuretics
2) ACE inhibitors
3) Calcium channel blockers
4) Beta-blockers

Pharmacology Answer: 1

Spironolactone is a potassium-sparing diuretic that blocks aldosterone, helping to reduce blood pressure without causing potassium loss.

To minimize fractures of amalgam restorations in primary teeth, cavity preparations should have

1) concave pulpal floors.
2) rounded axiopulpal line angles.
3) bevelled cavosurface margins.
4) lateral walls parallel to the external surface of the tooth.

Operative Dentistry Answer: 2

Rounded line angles reduce stress concentrations in the amalgam, enhancing its strength and resistance to fractures.

What is the purpose of using a rubber dam during a stainless steel crown procedure?
1) To isolate the tooth.
2) To remove caries.
3) To reduce occlusal surface.
4) To mix cement.

Pediatric Dentistry Answer: 1

A rubber dam is used to isolate the tooth during a stainless steel crown procedure.

Which nerve is affected if a patient is unable to gaze laterally to the left?

1) Right abducent
2) Right trochlear
3) Left abducent
4) Left trochlear

ORE Test Answer: 3

The left abducent nerve (cranial nerve VI) innervates the lateral rectus muscle, which is responsible for lateral eye movement. If it is affected, the patient cannot gaze laterally to the left.

A diastema between two maxillary central permanent incisors could be associated with the followings, EXCEPT

1) a mesiodens.
2) a congenital absence of permanent maxillary lateral incisors.
3) a large labial frenum.
4) adenomatoid odontogenetic tumour

Oral Medicine and Oral Pathology Answer: 4

Adenomatoid odontogenic tumors are generally not linked to diastemas; other options can contribute to spacing.