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  • 問題数 100 • 6/25/2024

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    問題一覧

  • 1

    How many ROOTS does a maxillary first molar usually have

    Three

  • 2

    58% of the time, the MB root of the maxillary first molar has how many canals?

    Two

  • 3

    How many canals does a maxillary first premolar usually have?

    Two

  • 4

    How many ROOTS does a mandibular molar usually have?

    Two

  • 5

    How many canals does a mandibular molar usually have

    Three

  • 6

    Endodontic treatment of a mandibular central incisor is challenging because the most common variation is having two canals.

    True

  • 7

    Endodontic access on mandibular incisors is the most challenging among all teeth because the mandibular incisors are very narrow mesio-distally and, therefore, it is easy to perforate.

    True

  • 8

    Endodontic files, gutta percha and sized paper points are color coded. What color is a size 10 file?

    Purple

  • 9

    What color is a size 35 endodontic file?

    Green

  • 10

    What color is a size 70 endodontic file?

    Green

  • 11

    What color is a size 25 endodontic file?

    Red

  • 12

    Estimated WLis 22 mm. To determine the true WL, inserted in the canal a size 15 endodontic file to 22 mm and then took a radiograph (x-ray). The size 15 at 22 mm is out of the canal by about 1 mm.. What should I do next?

    Get a bigger file, like a size 20, and insert only up to 21 mm and take a radiograph

  • 13

    In determining the WL, the size of the file is as important as the length. The initial apical file should be a tiny bit tight in the canal.

    True

  • 14

    The length of the Master Apical File, MAF, is:

    The same length as the WL of the IAF

  • 15

    In determining the WL, I first tried a size 25 file but it was too tight in the canal, and short by more than 3 mm, as seen on the radiograph. What should I do next?

    Get a smaller file, find the one that will go to WL with a little bit of tightness, and then take a radiograph

  • 16

    The size of the MAF is usually three sizes bigger than the initial file. However, this is not a hard and fast rule because the pre-op size of the canal and the thickness of the root are the two more important determinants of the size of the MAF.

    True

  • 17

    Signs and symptoms of irreversible pulpitis include the following EXCEPT:

    Mild discomfort to cold that dissipates as soon as the cold stimulus is removed

  • 18

    Signs and symptoms of a necrotic pulp can include the following EXCEPT:

    None of the above

  • 19

    It is important to determine the periodontal status of a tooth PRIOR to starting endodontic treatment because

    All of the above

  • 20

    The anatomic landmark that could be mistaken as apical pathology in a radiograph of a mandibular bicuspid:

    Mental foramen

  • 21

    Material used in tracing a sinus tract:

    Gutta percha

  • 22

    In instrumenting curved canals, all endodontic files have to be pre-curved before inserting in the canal.

    True

  • 23

    The WL is 19 mm and the initial apical file is size 15. Using the rule of thumb that the MAF is 3 sizes bigger than the initial file, write below the size and length of the MAF

    30 @ 19 mm

  • 24

    The MAF is size 40 with a WL of 22 mm. Write below the sizes and lengths of the three step back files. Do not include recapitulation

    55 @ 19 mm

  • 25

    Signs and symptoms of acute apical periodontitis EXCEPT:

    None of the above

  • 26

    An acute alveolar abscess is a dental emergency. Emergency treatment consists of the following EXCEPT:

    None of the above

  • 27

    Acute maxillary sinusitis can mimic tooth pain in the maxillary posterior quadrant.

    True

  • 28

    When is the best time to treat a pregnant patient?

    Second Trimester

  • 29

    This medical condition can mimic odontogenic pain.

    All of the above

  • 30

    Radiation therapy to the head and neck can result in;

    All of the above

  • 31

    Precaution(s) to take if the patient is hypertensive:

    All of the above

  • 32

    Precaution(s) to take if the patient is an insulin-dependent diabetic:

    All of the above

  • 33

    If a patient has ulcers, should you avoid prescribing aspirin?

    Yes

  • 34

    In alcoholics, avoid prescribing sedatives and aspirin.

    True

  • 35

    What is the first antibiotic of choice for patients with swelling of endodontic origin?

    Amoxicillin

  • 36

    Pain in reversible pulpitis is immediate, momentary and quickly dissipates upon removal of the stimulus.

    True

  • 37

    Pain in IRREVERSIBLE pulpitis could be spontaneous or delayed upon application of the stimulus, and persists for minutes to hours after removal of the stimulus

    True

  • 38

    The periodontal ligament space may appear normal or widened in irreversible pulpitis.

    True

  • 39

    How does a tooth with irreversible pulpitis respond to percussion:

    Both of the above are true

  • 40

    Before even picking up a bur to prepare the endodontic access, what should you do?

    Both of the above are true

  • 41

    Employs the tip of the index finger or a cotton tip, with light pressure, to examine tissue consistency and pain response.

    Palpation

  • 42

    This test enables the dentist to evaluate the status of the periapical tissues by a slight tap on the tooth with the handle of a mouth mirror.

    Percussion

  • 43

    Teeth undergoing rapid orthodontic movement can be sensitive to percussion.

    True

  • 44

    This test consists of moving the tooth bucco-lingually using the handles of 2 instruments.

    Test for mobility

  • 45

    A narrow, isolated probing defect could signify:

    Any of the above

  • 46

    A painful response to the heat test compared to other teeth in the same mouth indicates pulpal and/or periapical disease requiring endodontic treatment.

    True

  • 47

    Assuming all teeth are present, what is the ideal sequence for testing for cold?

    First: Tooth mesial to suspect tooth. Second: Tooth distal to suspect tooth. Third: Contralateral tooth. Fourth: Suspect tooth.

  • 48

    What is the diagnosis if the cold test response is immediate discomfort, lasts only a few seconds and dissipates upon removal of the cold stimulus?

    Vital pulp/reversible pulpitis

  • 49

    What is the diagnosis if the cold test response is immediate severe pain lasting several minutes to hours after removal of the cold stimulus?

    Irreversible pulpitis

  • 50

    What is the diagnosis if the patient feels nothing upon application of the cold stimulus but other teeth tested responds with momentary discomfort to the cold stimulus?

    Non-vital pulp/necrotic pulp

  • 51

    A radiograph is a 2-dimensional representation of a 3-dimensional object. Therefore, it gives the clinician plenty of information but not a complete "picture" of the tooth.

    True

  • 52

    This test shines a bright light on the on the buccal of the tooth while the room is dark to detect crack lines.

    Transillumination

  • 53

    Factors to consider in case selection are:

    All of the above

  • 54

    Intracanal pressure in irreversible pulpitis or necrotic cases causes pain. Therefore, when a patient presents with pain, it is imperative to relieve the pressure. The ways to relieve intracanal pressure are the following, except:

    incision on the soft tissues

  • 55

    Is it extremely important to take the tooth out of occlusion when the patient says the tooth feels elevated/painful when he/she closes her mouth?

    Yes

  • 56

    Although some medical conditions can influence endodontic treatment, most medical conditions do not contraindicate endodontic treatment.

    True

  • 57

    In a dental emergency arises during the first trimester of pregnancy, what should you do:

    Consult with the OB-GYN to discuss treatment

  • 58

    Factors to consider in patients with cancer:

    All of the above

  • 59

    What is the occupational risk when treating a patient with HIV:

    Very Low

  • 60

    A dialysis patient is best treated the day after herodialysis because of:

    Bleeding Tendencies

  • 61

    Well-controlled diabetics are good candidates for endodontic treatment.

    True

  • 62

    It is alright to prescribe opioids to patients taking anti-depressants.

    Consult with the patient's physician

  • 63

    Periodontal probing is essential prior to endodontic treatment.

    True

  • 64

    Should you think about restoration of the tooth before endodontic treatment?

    Yes, need to visualize the end goal before starting treatment

  • 65

    Factors affecting the decision to endodontically treat a tooth:

    All of the above

  • 66

    What is the primary reason for endodontic surgery

    To improve the apical seal

  • 67

    Non-vital teeth with peri-radicular abscess should be done in one visit.

    False

  • 68

    Every root canal system has spaces that cannot be cleaned mechanically.

    True

  • 69

    The only way to clean webs, fins and canal anastomoses is:

    By placing an intracanal medicament Through the effective use of irrigants

  • 70

    Encircle one that is not a goal of irrigation

    Enlarge the canal

  • 71

    Do you have to irrigate frequently?

    Yes

  • 72

    Does exposure time of the dentin to NaOCI affect the efficacy of the NaOcI?

    Yes

  • 73

    In a sodium hypochlorite accident, is there immediate pain?

    Yes

  • 74

    How do you prevent a hypochlorite accident?

    All of the above

  • 75

    What is the concentration of EDTA used in endodontics?

    17%

  • 76

    Does EDTA have anti-microbial properties?

    No

  • 77

    Why do we use EDTA in endodontics?

    All of the above

  • 78

    Is EDTA effective as the sole irrigant during instrumentation?

    No

  • 79

    What is the most important irrigant during instrumentation?

    Sodium Hypochlorite

  • 80

    Is it advisable to mix irrigants?

    No

  • 81

    Repeated cycling of sodium hypochlorite and EDTA should be avoided because:

    This cycling will erode the dentin and compromise tooth structure

  • 82

    The smear layer should be removed at the end of instrumentation.

    True

  • 83

    Chelating agents can remove smear layer. Is EDTA a chelating agent?

    Yes

  • 84

    All syringes for endodontic irrigation must have a Luer-lock design.

    True

  • 85

    What obturation technique did we do in the lab?

    Cold lateral compaction

  • 86

    Should you obturate the canal when there is no more pain but the canal is still weeping?

    No

  • 87

    Disadvantage of gutta percha

    All of the above

  • 88

    Gutta percha without a sealer will not seal.

    True

  • 89

    What is the main purpose of the root canal sealer?

    To fill canal irregularities and minor discrepancies between root canal walls and core filling material

  • 90

    Do you want the sealer to fill accessory canals?

    Yes

  • 91

    Can the sealer act as lubricant during insertion of the master cone?

    Yes

  • 92

    MAF is size 40, length 22 mm. I tried on a size 40 cone. The cone fit radiograph showed the cone is outside the apex by about 1 mm. What should I do?

    Try on a size 45 cone and if it goes to 22 mm with tugback, take a radiograph

  • 93

    Schilder's Mechanical Objectives during cleaning and shaping root canals are the following except:

    Cross section should WIDEN at every point going apically

  • 94

    Is establishing the glide path the same as determining canal patency?

    Yes

  • 95

    What is the concept of enlarging the coronal third of the root canal prior to working length determination?

    Coronal pre-enlargement

  • 96

    Involves filing away from the inner curve of a root to reduce the risk of strip perforation

    Anti-curvature filing

  • 97

    Should endodontic files be checked for deformation and discarded if strain is present?

    Yes

  • 98

    What is the spread of infection diffusely into fascial planes of soft tissues

    Cellulitis

  • 99

    Is condensing osteitis usually painful?

    No

  • 100

    The cervical area is the most commonly involved area in external root resorption

    True