20. What is the clinical hallmark of a chronic periradicular abscess?
a. Large periradicular lesion
b. Sinus tract drainage
c. Granulation tissue in the periapex.
d. Cyst formation.
21. A periradicular radiolucent lesion of endodontic origin on the radiograph may be any of these
histological diagnoses except one. Mark this exception.
a. A cyst
b. A granuloma
c. An Abscess
d. Dentigerous cyst
22. What complete endodontic diagnosis could be completely asymptomatic but should require endodontic
therapy.
a. Pulpal necrosis and acute periradicular periodontitis
b. Normal pulp and acute periradicular periodontitis.
c. Pulpal necrosis and chronic periradicular periodontitis.
d. Normal pulp and normal periapex
23. Vertical root fractures are also called cracked teeth. The prognosis of cracked teeth varies with extent
and depth of crack.
a. Both statements are true
b. Both statements are false.
c. First statement is true, second is false.
d. First statement is false, second is true.
24. A lesion of non-endodontic origin remains at the apex of the suspected tooth regardless of X-ray cone
angulations.
a. True
b. False ...correct
25. While viewing a working length radiograph of #5, you discover another root on the mesial shot (x-ray cone mesial). The second root seems to be distal on the mesial shot. Which anatomic root is it?
a. Palatal
b. Distal
c. Buccal
d. Mesial
26. The X-ray beam usually displaces lingual roots in what direction on the radiograph?
a. Same direction as beam ----- Correct?
b. Opposite direction of beam -- I believe this one is incorrect
c. Does not displace Buccal roots
d. Vertically.
27. The buccal object rule can be used for vertical angulations as well.
a. True
b. False
Patient walks into your dental office for an emergency visit. He complains of a throbbing tooth ache since 5 days. He seems to point in the lower right quadrant What do you do first?
a. Clinical examination
b. Take radiographs
c. Medical and dental history
d. Prescribe antibiotics and pain killers
29. On clinical and radiographic examination, you find that #31 is non-responsive to thermal and elcetric testing
and also not responsive to percussion or palpation. You observe a radiolucency around the distal root of #31
with extensive secondary decay under a class 2 amalgam. What do you do next?
a. Refer for endodontic therapy of #31..... correct
b. Access the tooth yourself for pulpectomy and CaOH dressing.
c. Prescribe antibiotics and pain killers.
d. Look for another site as the cause of the chief complaint.----Correct
30. On further investigation, the patient admits to clenching and grinding his teeth during sleep and even at
work when stressed. Further, the patient hurts worse in the mornings when he yawns and also explains that
touching certain areas of the jaw evokes greater pain. What do you do next?
a. Ignore the patients comments.
b. Test the areas which invoke the pain.
c. Anesthetize the patient
d. Start the root canal therapy.
31. The pain is evoked by palpating along the lateral border of the ramus of the mandible. What is most likely
cause of the patients pain and how would you confirm this?
a. Masseter muscle refering pain to the lower molars confirmed by palpation of the muscle. -------Correct?
b. Mylohyoid refering pain to the lower molars confirmed by local anesthesia.
c. Fracture of the ramus confirmed by digital palpation.
d. Psychological confirmed by prescription of anti-depressants.
32. How do you advise the patient?
a. Quit job
b. Try and curb the grinding and use a night guard
c. Regualr use of analgesics
d. Antibiotics for the acute symptoms
33. Does the patient still require endodontic treatment on #31?
a. Yes... correct
b. No
Pls provide some feedback. Thanks everyone...