Salivary Glands:

1- What is the salivary gland activated by chewing?

A- The parotid gland.

2- what is the salivary gland activated by thinking of food?

A- Submandibular gland.

3- Which is the salivary gland that have the maximum tendencies

of malignancies?

A- The lingual gland.

4- Pleomorphic tumour is most affects th submandibular gland?

A- Wrong, it affects the parotid gland in 75% of cases.

5- The secretion of the parotid gland is mostly serous?

A- Right.

6- The sublingual gland secretion is mostly mucin?

A- True.

A 25 healthy man attend the clinic with swelling and pain in the parotid areas (bilateral) what is
the bossiple diagnosis?

A- Mumps.

What are the best management for myocardial infarction?

A- Keep the patient at rest, give morphine 10 mg slow IV, 2 mg/min up to 15 mg. Cyclizine 50
mg, nitros oxide with at least 28% Oxygen. Aspirin 300 mg can be given.

52- After Myocardial infarction it is safer to treat the patient under general anaesthesia?

A- Wrong, nearly 30% of patients having a general anaesthetist withen 3 months of the infract
will have another one in the first postoperative week and at least 50% die.
Anatomy

1- Which is the nerve that have those 5 branches: Temporal-

Zygpmatic, Buccal, Maxillary, Cervical?

A- The facial nerve.

Pediatrics

1- What is the time for the lower permanent canine to erupt?

A- 9-11 years.

2- You have a skull model for a child with the teeth (temporary and
permanent teeth appear in the photo. You have to decide the
age of the child (by looking at the teeth, see if the first
permanent molars in place ( aver 6 years), the canines upper
and lower permanent canines, more than half of the tooth root
had performed in some teeth and ready to appera in the mouth
( second permanent molars appera at 12 years). This kind of
questions can differ from exam to another and you should know
the time eruption for teeth.

3- A 9 years old child attend the dental clinic for a tooth filling, he is co-operative and had
treatment before. What is the best sedation technique to deal with him?

A-No need for sedation, use the Tell, Show, Do technique.

69- for children under 5 it is recommended to use a fluoride tooth paste 1000
PPmillion? A- Wrong it should be no more than 500 PPmillion.
70- for children over 6 till 9 years it is recommended to use a fluoride tooth paste
1000 PPmillion?
A- Right.

71- for children over 9 years it is recommended to use a fluoride tooth paste 2500 PPmillion?

A- Wrong. It is 1500 ppmillion.

Frequent caiers in childhood in the anterior teeth are called serial caries?

A-Wrong . It is Rampant caries.

83-The best place to keep an avulsed tooth is in milk?

A-Wrong. Try to put it back in place untill you reach the dentist.

84- If no one was competent to return the tooth to the alveolar bone keep it in a cup contains
the patient’s own saliva?
A-Wrong keep it in the buccal sulcus of the patient mouth, or in milk.

85- Salty serum is good to save the vitality of an avulsed tooth?

A-Wrong milk is better.

86- The maximum time of an avulsed tooth to stay out the alveolar boe to get best results is one
hour?
A- right.
Tooth wear:

Bulimia causes erosion on the incisal edges of the anterior teeth?

A- Wrong, on the palatal and occlusal surfaces.

54- Nutritional diets can cause erosion on the incisal edges of the anterior
teeth? A- Right like citrus juce.
OM

You see a patient with suspected oral cancer, the first step is to mak an incisional biopsy and
send to the laboratory to examine?

A- wrong refer urgently to the Oral and Maxillofacial surgery department.

GM

7- The mitral valve is located between the right atrium and

ventrical?
A- Wrong, the leftatrium and ventricle.

8- The tricuspid valve is located between the right atrium and

ventricle? A- Right.
9- The macrocytic anaemia can be caused by iron deficiency?
A- Wrong, it is microcytic anaemia.

10- The macrocytic anaemia can be seen in folate deficinecy?

A- Right.

11- The macrocytic anaemia can be caused by B12 iciency?

A- Right.

12- Pernicious anaemia should be treated by folate?

a- wrong, Folate will deteriorate the neural conditions which is
already caused by B12 deficiency.
20- Tuberculosis is only seen in deprived countries?

A- wrong, its tendencies is getting higher in wealthy countries.

Christmas disease is caused by factor XI deficiency?

A-Wrong, it is haemophilia B and caused by factor IX deficiency.

31- It is bettter to use local anaesthesia with adrenaline in factor VIII deficiency to control bleeding?

A- Wrong, ID block or in the floor of the mouth could cause blood to track down causing air
way obstruction.

32- how to deal with factor VIII deficiencies?

A- Replacement factors should be given, then regional anaethesia or IV midazolam (sedation) is

safe.

33- haemophilia B is the most common bleeding tendencies?

A- wrong, Haemophilia A is the most common with prevelence about 5 per

100 000. 34- Haemophilia A is 10 times more common than Haemophilia B? A-
Right.

35- The other name fo haemophilia A is Christmas disease?

A- Wrong it is the other name for Haemophilia B.

36- In Haemophilia A the bleeding time and the prothrobin time PT increase?

A-Wrong, both stay normal but the the APTT Activated Partial Thromboplastin Time prolonged.

37- Addison’s disaes is caused by hyperadrenocorticism?

 A- Wrong it is Hpoadrenocorticisim.

A diabitic man 50 years old attended the clinic, during the treatment he fainted out, how much
insulin you should give him?

A. Insulin should not be used, if he was in a hupoglacymic state, injecting insulin can cause a
brain damage and death. Give Clucose.

40- A patient felt severe chest pain during the treatment what are the possible
cause? A- Angina, Myocardial infarction.
41- If the reason was angina, you must lay the patient flat to allow more blood
to the brain and heart.
A-Wrong, laying the patient flat will increase breathlessness. Keep in the setng position.

42- In severe angina pain it is best controled by

morphin? A- wrong, give glyceryl trinitrate 0.5
mg sublingually.
43- The patient swallowed a foreign body into his
airways during the treatment, you must stop
immediately and use the X ray machine to spot
the object in the lungs?
A-Wrong, try to get the object out by Heimlich manoeuvre to clear airway, give Oxygen.

44- After recovery of the previous patient refer to plain radiographs.?

A. Right. And a chest surgeon can apply Bronchoscopy if required.

Which of these carcinomas has the worst survival over 5 years? Stomach, Lungs,
Pancrias A- Pancrias.

74- IgG is the factor responsible for asthmas?

A. wrong it is IgE
OS

1- You want to extract the first lower permanent molar, what

nerves you should anaesthetise?
A- Inferior Dental + Lingual + Buccal.

2- You want to make root canal treatment in the first lower

permanent molar, what nerves you need to anaesthetise?
A- Inferior Dental.

3.A 45 years old man, drugs addicted which caused blockage in his viens, and had severe cold, do
you give IV sedation or inhalation sedation?

A- Neither of them is suitable as the blockage in viens would make IV contra-indicated and his
cold puts the inhalation sedation on hold. Try the conservative techniques to give injection.

23- Lignocaine is the local anaesthetic of choice in prolonged procedures?

A-False, Bupevacaine has longest anaesthetic properties.

26- The maximum safe dose for lignocaine is

4.4mg/Kg? A- Right.
27- Most allergies to local anaesthetics are caused
by the rubber part in th cartridge?
A-Wrong, it is because of preservatives in the local anaesthetic.

28- Adrenaline is added to prilocaine to prolong its duration?

A- wrong it is felypressin 0.03IU/ml.

77- An upper molar foreceps can be used for both sides?a- wrong, there is one for each side to fit
the buccal fissure on the buccal sides of the upper permanent molar.
78- A photo of the Upper Right Permanent molar, multiple answer, you should have good
knowledge with the shapes of the foreceps.
79- A photo of roots foreceps you should distinguish.
80- A photo of a woman with full face, 5 possible medicines she is taking A- Prednislone, one of
the cortisones which can cause this fat face.
Infection control

24- Used anaesthetic cartridges should be disposed in the clinical waste yellow
bags? A- False, in the sharp bin container.
25- Used cottton pads can be safely disposed in the domestic black bags?
A- Wrong, dispose in the clinical yellow bags.

The impressions take for a patient should be put straight in a sealed bag and send to the technician?

A-Wrong they must be disinfected before sending to the technician.

49- Alginate impressions should be disinfected in a hot water soap bath?

A-Wrong this would destry them. Soak into disinfictant solution.

50- Aids is the most danderous and fastest virus to be transmitted by needle stick.

A- Wrong, it is dangerous but Hepatitis B can be transmitted in as little as 1 in 10 000 000 parts
in needle stick while Aids 1 in 1000 parts.

If you had a cut in your finger during the treatment, you must start the anti viral regime
immediately?

A- Wrong, scrub the wound for 10 minutes.

63-In you cannot scrub the wound soak your hand in antiseptic solution for 30 minutes?

A- wrong, scrub the wound, and then seek professional advice for further checks, HIB, AIDS
etc….
Law and order:

44- Who if seen taking an impression for a patient in the dental clinic would be considered
illegal? A. Dental technician.
45- The patient dental records can be accessed by an insurance company without the need
to consent?
A- wrong. The court should issue an order to access such confidential records in special
circumstances.

47- It is Ok for the denntist to show the police dental records of a suspect road traf 케 c crime to the
police?

A- True, the law says the dentist should not seize any relevant information ahich are necessay
to investigate a case.

55- How many CPD hours the dentist must follow over five years? 50-100-
150-200-250? A- 250 CPD hours/5 years.
56- How many verified CPD hours should be achieved? 50-75-100 A- 75
hours.
57- How many at least verifiable hours in Radiology? 5-10-15 A- 5
Hours.
58- How many at least verifiable hours in disinfection and
decontaminatio? 5-10-15 A- 5 Hours.
59-How many at least verifiable hours in Medical emergincies?
5,10,15 A- 10 Hours.

60- If the dentist did not complete his 250 hours of CPD in five years he would be fined up to £
500 pounds ?

A. Wrong. His register would be written off untill he complete the 250 hours then he would
apply back to registration.

61-Dental care professionals DCPs are not required to do the CPD?

A-Wrong, from 2008 they must achieve 150 hours over five years.

72- Dental nurses are not required to register with the

GDC?A. Wrong.
73- Dental tecnician are required to register with the
GDC?
A- Right.

75- The ammount of sugar eaten everyday is what counts in dental caries not the times?
A-Wrong, the frequencies play much more important rule as they keep the PH low for more
period of time.
Radiology:

65- If the X- Ray machine is > 70 Kv the minimum focous to skin distance is
15 cm? A- wrong it is 20 cm.
66- If the X- Ray machine is < 70 Kv the minimum focous to skin distance is
15 cm?
A- Wrong. It is 10 cm.

67-If the X- Ray machine is < 70 Kv the minimum control radius area is 1 meter?

A- right.

68-If the X- Ray machine is > 70 Kv the minimum control radius area is 1.5 meter?

A- Right.
Pharmac

- Codeine and paracetamol are best alternatives to Aspirin and NSAIDs in platelets dysfunction?

A. True.

77- Metronidazole should not be given with citrus fruit?

A- wrong, do not take with alcohol.