Mock Exam Report a question What’s wrong with this question? You cannot submit an empty report. Please add some details. 12345678910111213141516171819202122232425 Created by Dr Adam Bedo BEFORE THE CRASH COURSE ADC MOCK EXAM 1 / 25 Ben is a 9-year-old boy. He is your regular patient, came today to your practice with his mom because ever since he returned from his grandmother’s house, he has been experiencing a lot of pain and ulcers in his mouth and feeling irritated for the past 4 days. His mother went to a GP who prescribed Augmentin, Ben has not started with the antibiotics yet, the GP referred the child to you, there is no relevant medical history apart from fever and lymphadenopathy. Q1. Ben’s mum is concerned about antibiotics, what will tell the mum? A. Start with the antibiotics B. Start with antibiotics and antiviral medications C. Start with antiviral, antibiotics and antipyretic medications D. Should not start with antibiotics 2 / 25 Ben is a 9-year-old boy. He is your regular patient, came today to your practice with his mom because ever since he returned from his grandmother’s house, he has been experiencing a lot of pain and ulcers in his mouth and feeling irritated for the past 4 days. His mother went to a GP who prescribed Augmentin, Ben has not started with the antibiotics yet, the GP referred the child to you, there is no relevant medical history apart from fever and lymphadenopathy. Q2. After you advised the mother that Ben may have gotten this infection from his grandmother, she asked, “Why didn’t my mom suffer from pain? A. The second episode is usually less painful because the body builds immunity and adapts after the first exposure. B. We barely notice any pain during old age, because of other systemic issues going on. C. She would have felt the pain later as the pain starts after a few days D. The pain would have been masked by all the medications she must be on 3 / 25 Ben is a 9-year-old boy. He is your regular patient, came today to your practice with his mom because ever since he returned from his grandmother’s house, he has been experiencing a lot of pain and ulcers in his mouth and feeling irritated for the past 4 days. His mother went to a GP who prescribed Augmentin, Ben has not started with the antibiotics yet, the GP referred the child to you, there is no relevant medical history apart from fever and lymphadenopathy. Q3. You notice soft and hard deposits on Ben’s teeth. What is your plan for treatment today? A. Do initial scale and clean, treat with supportive management i.e. oral fluids, antipyretic drugs, and analgesics B. Refer him to the hospital straight away, the hospital will provide him with better treatment C. Manage with supportive management i.e. oral fluids, antipyretic drugs and analgesics only D. Initially manage with supportive management i.e. oral fluids, antipyretic drugs and analgesics, and refer to hospital in case it’s necessary 4 / 25 Ben is a 9-year-old boy. He is your regular patient, came today to your practice with his mom because ever since he returned from his grandmother’s house, he has been experiencing a lot of pain and ulcers in his mouth and feeling irritated for the past 4 days. His mother went to a GP who prescribed Augmentin, Ben has not started with the antibiotics yet, the GP referred the child to you, there is no relevant medical history apart from fever and lymphadenopathy. Q4: What advice would you give the mother and child to reduce the risk of transmission? A. It’s a bacterial infection, it can spread by direct contact with people so try to stay indoors, and isolated, keep your personal belongings away and stay hydrated. B. It’s a bacterial infection, it cannot spread by direct contact with people so it’s alright to go to school, just take medications on time and stay hydrated. C. It's a viral infection that spreads through direct contact. Stay indoors, avoid close contact with others, keep personal items separate, and stay well-hydrated. D. It’s a viral infection, it cannot spread by direct contact with people so try to go to school and indulge in school activities as he needs to make friends at this age and stay hydrated. 5 / 25 Ben is a 9-year-old boy. He is your regular patient, came today to your practice with his mom because ever since he returned from his grandmother’s house, he has been experiencing a lot of pain and ulcers in his mouth and feeling irritated for the past 4 days. His mother went to a GP who prescribed Augmentin, Ben has not started with the antibiotics yet, the GP referred the child to you, there is no relevant medical history apart from fever and lymphadenopathy. Q5. What is true regarding Ben’s condition? A. Tell mum that this will be healed within 3 weeks and Ben will be all fit and fine B. This infection has negligible possibility of reoccurring C. The infection may recur at any time and can appear on the lips D. If you see signs of dehydration, give him fluids and there’s no need for hospitalization 6 / 25 Daniel is a 16-year-old who attended your practice with his mother complaining of generalized sensitivity and discomfort basically on the top and bottom back teeth. He reported that sensitivity is exaggerated on chewing and lasts for a few seconds. On examination, you found multiple carious teeth and deep fissures in his teeth. You have explained your findings and the recommended treatment to his mother. Q1. Regarding the management of deep defective fissures, all the following are wrong except? A. Pretreat enamel surface with phosphoric acid for the maximum of 15 seconds is mandatory before pit and fissure sealant B. The deep fissures should be treated by unfilled resin bond before you apply the fissure sealant to increase retention C. unfilled resin bond should be cured for 15 to 20 seconds once after applied to the deep fissures D. X-ray is mandatory before performing pit and fissure sealant E. All the above are correct 7 / 25 Daniel is a 16-year-old who attended your practice with his mother complaining of generalized sensitivity and discomfort basically on the top and bottom back teeth. He reported that sensitivity is exaggerated on chewing and lasts for a few seconds. On examination, you found multiple carious teeth and deep fissures in his teeth. You have explained your findings and the recommended treatment to his mother. Q2. Daniel has MOD caries on tooth #25, and tooth #26 has grade 2 mobility. How will you isolate tooth #25 while restoration? A. Place clamp on 27 and put a wedjet between 23 and 24 B. Place clamp on 26 and put a wedjet between 25 and 24 C. Place clamp on 27 and place clamp on 22 D. Place clamp on 25 and put a wedjet between 24 and 23 E. Place a clamp on 25 and put a wedjet between 25 and 24 8 / 25 Daniel is a 16-year-old who attended your practice with his mother complaining of generalized sensitivity and discomfort basically on the top and bottom back teeth. He reported that sensitivity is exaggerated on chewing and lasts for a few seconds. On examination, you found multiple carious teeth and deep fissures in his teeth. You have explained your findings and the recommended treatment to his mother. Q3. Caries on tooth #25 are deep on the mesial side of the root. Which matrix band is most appropriate to achieve optimal restoration? A. Size 1 tofflemire matrix band with tofflemire matrix retainer B. Size 2 tofflemire matrix band with tofflemire matrix retainer C. Size 3 tofflemire matrix band with tofflemire matrix retainer D. Transparent celluloid strip with tofflemire matrix retainer E. Transparent celluloid strip held by hand 9 / 25 Daniel is a 16-year-old who attended your practice with his mother complaining of generalized sensitivity and discomfort basically on the top and bottom back teeth. He reported that sensitivity is exaggerated on chewing and lasts for a few seconds. On examination, you found multiple carious teeth and deep fissures in his teeth. You have explained your findings and the recommended treatment to his mother. Q4. Daniel is also concerned about external discoloration of teeth and wants teeth whitening. When will you recommend teeth whitening to be done? A. Before all the restorative treatment B. After all the restorative treatment C. During all restorative treatment D. Do not do whitening 10 / 25 Daniel is a 16-year-old who attended your practice with his mother complaining of generalized sensitivity and discomfort basically on the top and bottom back teeth. He reported that sensitivity is exaggerated on chewing and lasts for a few seconds. On examination, you found multiple carious teeth and deep fissures in his teeth. You have explained your findings and the recommended treatment to his mother. Q5. While the whitening procedure of the top front teeth, you have isolated between teeth 25 to 15. You proceed with treatment and after 5 minutes of treatment, Daniel complains of burning gums. You found there is leakage of whitening products to gums. What could be the most likely cause for leakage through the rubber dam? A. The decreased distance between the punched holes of rubber dam B. Increased distance between the punched holes of rubber dam C. Increased air and water pressure from triple syringe D. Weak and insufficient suction E. Excessive saliva secretion 11 / 25 Joshua is a preschool child brought to your clinic by his father after falling on the floor. On clinical examination you found that tooth #52 has been knocked out from the socket, tooth #51 has an intrusive luxation injury and tooth #61 has uncomplicated crown fracture. Q1. Given the attached photograph and the above information, what is the most likely Joshua’s age? A. 1-2-year-old B. 2-3-year-old C. 4-5-year-old D. 5-6-year-old 12 / 25 Joshua is a preschool child brought to your clinic by his father after falling on the floor. On clinical examination you found that tooth #52 has been knocked out from the socket, tooth #51 has an intrusive luxation injury and tooth #61 has uncomplicated crown fracture. Q2. What is the most appropriate examination/ investigation you may suggest to help in diagnosis and short-term management? A. Periapical X-ray using paralleling technique B. Vertex maxillary occlusal X-ray C. Percussion D. Vitality/Sensibility test E. Orthopantogram 13 / 25 Joshua is a preschool child brought to your clinic by his father after falling on the floor. On clinical examination you found that tooth #52 has been knocked out from the socket, tooth #51 has an intrusive luxation injury and tooth #61 has uncomplicated crown fracture. Q3. Given that the child was brought to your clinic immediately within 10 minutes of the incident and that the tooth was kept in milk, what will be the appropriate treatment for tooth #52 A. Reimplantation to preserve the space for the successor's tooth B. Reimplantation justified that tooth kept in milk, and it has a good prognosis C. Reimplantation justified that Joshua was brought to the clinic immediately which favours good prognosis D. Avoid reimplantation, justified that the tooth has bad prognosis 14 / 25 Joshua is a preschool child brought to your clinic by his father after falling on the floor. On clinical examination you found that tooth #52 has been knocked out from the socket, tooth #51 has an intrusive luxation injury and tooth #61 has uncomplicated crown fracture. Q4. What is the immediate management of the tooth #61? A. Delay treatment for the next visit after 2 weeks because Joshua is apprehensive B. Restore the tooth with Resin modified GIC filling C. Restore the tooth with resin composite filling D. Restore the tooth with calcium silicate filling 15 / 25 Joshua is a preschool child brought to your clinic by his father after falling on the floor. On clinical examination you found that tooth #52 has been knocked out from the socket, tooth #51 has an intrusive luxation injury and tooth #61 has uncomplicated crown fracture. Q5. His eldest brother had a hockey stick injury in his top front teeth a few days ago and the dental assistant wants your help to interpret the attached X-ray, what is your clinical judgment of the attached X-ray? A. True occlusal X-ray with chronic apical abscess B. Cropped occlusal X-ray with luxative injury and the root apex has forced buccally C. Periapical X-ray with luxative injury and the root apex has forced buccally D. Cropped occlusal X-ray with luxative injury and the root apex has forced palatally E. Cropped orthopantomogram with luxative injury and the root apex has forced palatally 16 / 25 A patient presents with an ulcer on the inner mucosa of the lower lip which has been recurrent for a few months. The ulcer is small and tends to heal between attacks and resolve spontaneously. No other medical history is specified, and the patient is otherwise fit and healthy. Q1. What would be the most likely diagnosis? A. Erythema Multiforme B. Ulcers due to gastrointestinal disease C. Recurrent aphthous ulcer D. Pemphigus 17 / 25 A patient presents with an ulcer on the inner mucosa of the lower lip which has been recurrent for a few months. The ulcer is small and tends to heal between attacks and resolve spontaneously. No other medical history is specified, and the patient is otherwise fit and healthy. Q2. The best way to differentiate between the above-mentioned conditions in the 1st question is? A. Blood tests B. History C. Biopsy D. Clinical examination 18 / 25 A patient presents with an ulcer on the inner mucosa of the lower lip which has been recurrent for a few months. The ulcer is small and tends to heal between attacks and resolve spontaneously. No other medical history is specified, and the patient is otherwise fit and healthy. Q3. Which factor does not help in differentiating between minor and major recurrent aphthous ulcers (RAS)? A. Pain in the ulcer B. Size of the ulcer C. Duration of the ulcer D. Presence of scarring on healing 19 / 25 A patient presents with an ulcer on the inner mucosa of the lower lip which has been recurrent for a few months. The ulcer is small and tends to heal between attacks and resolve spontaneously. No other medical history is specified, and the patient is otherwise fit and healthy. Q4. what does recurrent Aphthous Stomatitis typically affect? A. Genital mucosa B. Non-keratinized mucosa C. Mucocutaneous D. None of the above 20 / 25 A patient presents with an ulcer on the inner mucosa of the lower lip which has been recurrent for a few months. The ulcer is small and tends to heal between attacks and resolve spontaneously. No other medical history is specified, and the patient is otherwise fit and healthy. Q5. Recurrent painful genital ulcers, ophthalmic lesions, and skin lesions are features of? A. Systemic lupus erythematosus B. Wegener’s granulomatosis C. Behçet’s syndrome D. Ulcerative colitis 21 / 25 Dr. Carter is performing an inferior alveolar nerve block for a patient undergoing third molar extraction. During the procedure, he selects an appropriate anaesthetic dental syringe and carefully orients the needle. Unfortunately, while withdrawing the needle, he experiences a needle stick injury and must follow the correct protocol for management. Q1. Given the photo attached of the anaesthetic dental syringe, define the syringe? A. Non-Aspirating Syringe B. Self-Aspirating Syringe C. Manual Aspirating Syringe D. Safety Aspirating Syringe E. Mixed Aspirating Syringe 22 / 25 Dr. Carter is performing an inferior alveolar nerve block for a patient undergoing third molar extraction. During the procedure, he selects an appropriate anaesthetic dental syringe and carefully orients the needle. Unfortunately, while withdrawing the needle, he experiences a needle stick injury and must follow the correct protocol for management. Q2. Identify the syringe in the given photo? A. Non-Aspirating Syringe B. Self-Aspirating Syringe C. Manual Aspirating Syringe D. Safety Aspirating Syringe E. Mixed Aspirating Syringe 23 / 25 Dr. Carter is performing an inferior alveolar nerve block for a patient undergoing third molar extraction. During the procedure, he selects an appropriate anaesthetic dental syringe and carefully orients the needle. Unfortunately, while withdrawing the needle, he experiences a needle stick injury and must follow the correct protocol for management. Q3. What is true regarding needle disposal? A. Needle must be recapped immediately after usage to avoid needle stick injury B. Recap the needle at the end and dispose of it, just in case you use it again C. Recapping must be avoided whenever possible D. While busy, ask your dental assistant to dispose of it for you in the sharps container 24 / 25 Dr. Carter is performing an inferior alveolar nerve block for a patient undergoing third molar extraction. During the procedure, he selects an appropriate anaesthetic dental syringe and carefully orients the needle. Unfortunately, while withdrawing the needle, he experiences a needle stick injury and must follow the correct protocol for management. Q4. What is the primary reason for aspiration before injecting a local anesthetic? A. To prevent systemic toxicity B. To avoid hematoma formation C. To prevent nerve injury D. To prevent needle breakage, vessel injuries, and bleeding E. All of the above 25 / 25 Dr. Carter is performing an inferior alveolar nerve block for a patient undergoing third molar extraction. During the procedure, he selects an appropriate anaesthetic dental syringe and carefully orients the needle. Unfortunately, while withdrawing the needle, he experiences a needle stick injury and must follow the correct protocol for management. Q5. You experience a needle stick injury. What is the correct immediate response? A. Do not apply disinfectants B. Do not record the time of the incident C. Do not consider the type of device involved D. Do not allow the wound to bleed E. Allow the wound to bleed by squeezing it slightly Your score is Send feedback
