Official NBDE Part 2 Study Q & A Thread

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Please post all study questions/answers for the NBDE Part 2 in this thread. Good luck!


As a side note, this is not the place for sales ads. Discussion of remembered questions appearing on the exam is also not permitte

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Last edited:
Which is the thickness of a liner cavity? For me is 1.5mm, but it say in the released exam Guat. Is 15mm?

in my operative dentistry book, it says "cavity liners are placed with minimal thickness, usually less than 0.5mm" (or 500 micrometers).
 
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hello
could you please explain the COW_GATE technique ?

thank you

GOW-GATES: "true mandibular nerve block". sensory anesthesia to inferior alveolar, lingual, mylohyoid, mental, incisive, auricolotemporal, and buccal nerves. Used when a regular IANB is not successful. Needle is positioned HIGHER so it is distal to the MAXILLARY second molar at the height of it's mesiolingual cusp, still slowly advance until you hit bone (ideally the neck of the condyle), withdrawl 1mm, and then aspirate. If negative, deposit anesthetic.
 
gutta-percha may be softened or dissolved wihtin the root canal by using
a) alcohol
b) ethyl chloride
c) eugenol
d) xylene
 
2 an unconscious patient suspected of having obstracted airway. Management for patient
a. protrude the tongue, clear the pharynx,extend the neck & protrude the mandible.
b. ext. the neck, clear the pharx,prodrude the tong & m/d
c. ext. the neck, protrude the m/d & tongue, clear the pharynx
d. clear the pharynx, extend the neck, protrude the m/d & tongue


Shouldn't that be option c? I mean , the first step of CPR would be head-chin-tilt = extend the neck . And the next steps seems logical - to visualize pharynx, you would need to open the patients' mouth and quite possibly move the tongue out of the way. Please do correct me if i'm wrong - I would appreciate it .

(original question posted by myvr, answer dr.ndc)
 
2 an unconscious patient suspected of having obstracted airway. Management for patient
a. protrude the tongue, clear the pharynx,extend the neck & protrude the mandible.
b. ext. the neck, clear the pharx,prodrude the tong & m/d
c. ext. the neck, protrude the m/d & tongue, clear the pharynx
d. clear the pharynx, extend the neck, protrude the m/d & tongue


Shouldn't that be option c? I mean , the first step of CPR would be head-chin-tilt = extend the neck . And the next steps seems logical - to visualize pharynx, you would need to open the patients' mouth and quite possibly move the tongue out of the way. Please do correct me if i'm wrong - I would appreciate it .

(original question posted by myvr, answer dr.ndc)

i think C is correct as long as the patient doesn't have a spinal injury
 
thank you hot for explaining but, i have one question
as you mentioned the needle is positioned distal to maxillary second molar at the height mesiolingual cusp.
mesiolingual cusp of which teeth do you mean?
thank you in advance
 
thank you hot for explaining but, i have one question
as you mentioned the needle is positioned distal to maxillary second molar at the height mesiolingual cusp.
mesiolingual cusp of which teeth do you mean?
thank you in advance
:thumbup::thumbup::thumbup::thumbup::thumbup::thumbup::thumbup::thumbup::thumbup::thumbup::thumbup::
 
thank you hot for explaining but, i have one question
as you mentioned the needle is positioned distal to maxillary second molar at the height mesiolingual cusp.
mesiolingual cusp of which teeth do you mean?
thank you in advance

the maxillary second molar
 
Most common dental cause for paresthesia of the lower lip:
a) Mental nerve block
b) IANB nerve block
c) Removal of vertically impacted mandibular 3rd molar
d) Removal of horizontally impacted mandibular 3rd molar
 
Last edited:
.6. Invasiveness of ameloblastoma is due to expression of
a. FGF
b. BCL2
c. P53
d. MMP

..7. GNAS 1 gene is related to
a. Cherubism
b. McCune Albright Syndrome
..c. Hyperparathyroidism
d. Caffey Syndrome

..10. Cavity preparation pulpal floor perpendicular to long axis of tooth which tooth is more commonly exposed
a. Mandibular 1st molar
b. Mandibular 1st premolar
c. Mandibular 2nd premolar
d. Maxillary 1st molar

..14. Skin radiation is more harmful with
a. Central Ray
b. Penetrating Ray or was this long wave length xray
c. Aluminium filtered ray
d. Shorter wavelength X rays

..16. ORIF indication is
a. Lateral displacement
b. 20 degree angulation
c. Not in contact with root stump.

..41. For a maxillary premolar in a radiograph the facial root appears distal to palatal root the film was exposed with
a. Increased vertical angulation
b. Decreased vertical angulation
c. from mesial of the tooth
..41. For a maxillary premolar in a radiograph the facial root appears distal to palatal root the film was exposed with
a. Increased vertical angulation
b. Decreased vertical angulation
c. from mesial of the tooth.
 
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.6. Invasiveness of ameloblastoma is due to expression of
a. FGF
b. BCL2
c. P53
d. MMP

..7. GNAS 1 gene is related to
a. Cherubism
b. McCune Albright Syndrome
..c. Hyperparathyroidism
d. Caffey Syndrome

..10. Cavity preparation pulpal floor perpendicular to long axis of tooth which tooth is more commonly exposed
a. Mandibular 1st molar
b. Mandibular 1st premolar
c. Mandibular 2nd premolar
d. Maxillary 1st molar

..14. Skin radiation is more harmful with
a. Central Ray
b. Penetrating Ray or was this long wave length xray
c. Aluminium filtered ray
d. Shorter wavelength X rays

..16. ORIF indication is
a. Lateral displacement
b. 20 degree angulation
c. Not in contact with root stump.

..41. For a maxillary premolar in a radiograph the facial root appears distal to palatal root the film was exposed with
a. Increased vertical angulation
b. Decreased vertical angulation
c. from mesial of the tooth
..41. For a maxillary premolar in a radiograph the facial root appears distal to palatal root the film was exposed with
a. Increased vertical angulation
b. Decreased vertical angulation
c. from mesial of the tooth.


does anyone knows these questions are from which book or paper plz tell me
 
1.) The Bcl-2 gene has been implicated in a number of cancers, including melanoma, breast, prostate, and lung carcinomas, as well as schizophrenia and autoimmunity.
MMP are responsible for invasiveness of ameloblastoma.
p53 is for hpv infection cervical dysplasia n carcinoma in situ.

2. Mutations in gnas gene result in pseudohypoparathyroidism type 1a, pseudohypoparathyroidism type 1b, Albright hereditary osteodystrophy, pseudopseudohypoparathyroidism, McCune-Albright syndrome, progressive osseus heteroplasia, polyostotic fibrous dysplasia of bone, and some pituitary tumors.

3.i thnk 3rd ans is 2nd premolar coz of a slanting prep not sure though...?

dont know abt rays

for last ques i thnk mesial of tooth applying slob rule

anybdy knows pls confirm...
 
.6. Invasiveness of ameloblastoma is due to expression of
a. FGF
b. BCL2
c. P53
d. MMP

..7. GNAS 1 gene is related to
a. Cherubism
b. McCune Albright Syndrome
..c. Hyperparathyroidism
d. Caffey Syndrome

..10. Cavity preparation pulpal floor perpendicular to long axis of tooth which tooth is more commonly exposed
a. Mandibular 1st molar
b. Mandibular 1st premolar
c. Mandibular 2nd premolar
d. Maxillary 1st molar

..14. Skin radiation is more harmful with
a. Central Ray
b. Penetrating Ray or was this long wave length xray
c. Aluminium filtered ray
d. Shorter wavelength X rays

..16. ORIF indication is
a. Lateral displacement
b. 20 degree angulation
c. Not in contact with root stump.

..41. For a maxillary premolar in a radiograph the facial root appears distal to palatal root the film was exposed with
a. Increased vertical angulation
b. Decreased vertical angulation
c. from mesial of the tooth
..41. For a maxillary premolar in a radiograph the facial root appears distal to palatal root the film was exposed with
a. Increased vertical angulation
b. Decreased vertical angulation
c. from mesial of the tooth.


hope this helps
 
.6. Invasiveness of ameloblastoma is due to expression of
a. FGF
b. BCL2
c. P53
d. MMP

..7. GNAS 1 gene is related to
a. Cherubism
b. McCune Albright Syndrome
..c. Hyperparathyroidism
d. Caffey Syndrome

..10. Cavity preparation pulpal floor perpendicular to long axis of tooth which tooth is more commonly exposed
a. Mandibular 1st molar
b. Mandibular 1st premolar
c. Mandibular 2nd premolar
d. Maxillary 1st molar

..14. Skin radiation is more harmful with
a. Central Ray
b. Penetrating Ray or was this long wave length xray
c. Aluminium filtered ray
d. Shorter wavelength X rays

..16. ORIF indication is
a. Lateral displacement
b. 20 degree angulation
c. Not in contact with root stump.

..41. For a maxillary premolar in a radiograph the facial root appears distal to palatal root the film was exposed with
a. Increased vertical angulation
b. Decreased vertical angulation
c. from mesial of the tooth
..41. For a maxillary premolar in a radiograph the facial root appears distal to palatal root the film was exposed with
a. Increased vertical angulation
b. Decreased vertical angulation
c. from mesial of the tooth.


hope this helps
very much thankful to u
do you know these question come from which book or paper of nbde
 
.2. Clamshell technique refers to
a. Illiac corticocancellous graft
b. Illiac cancellous
c. Illiac medullary graft or was it Autocancelous Illiac Graft
d. Posterior Illiac

..3. Initial use of compression osteogenesis
a. Non/fibrous union
b. Distraction
c. Overgrowth
d. Integration of graft material

..15. High velocity gunshot wound causing comminuted fracture, treatment
a. Bag of bone -------------------
b. Debridement and immediate load bearing
c. Debridement and 2nd stage grafting and fixation

..16. ORIF indication is
a. Lateral displacement
b. 20 degree angulation
c. Not in contact with root stump.

..17. Radiolucency from 36 to 44 teeth vital and non carious, diagnosis
a. Ameloblastoma
b. Central giant cell granuloma
c. Radicular cyst

..19. Neurotransmitter involved in Frey’s syndrome.
a. Acetylcholine
b. Noradrenaline
c. Adrenaline
d. Serotonin.

..22. Tuft cell receptors are seen in
a. Synovial membrane of TMJ
b. Cell rich zone of pulp
c. Salivary ductal system
d. Maxillary sinus membrane .
 
hi
i want to ask about pharma..do they ask about the drug by the chemical name or do we have to memorize the market name (brand name) too?
 
hi
i want to ask about pharma..do they ask about the drug by the chemical name or do we have to memorize the market name (brand name) too?

Honestly i think for very well known ones we should know both ( e.x tylenol, augmentin...)
 
Hatico , I hope you did well. So, how was your experience of part 2 ? Please share.
I am going to write it in few days. Right now, I'm very tense, nervous and freaked out.
All the best for results.
You can see chemical name, brand name along or both in different questions.
I just took 2nd part few hours ago.
 
Hatico , I hope you did well. So, how was your experience of part 2 ? Please share.
I am going to write it in few days. Right now, I'm very tense, nervous and freaked out.
All the best for results.

Hi! I do not want to scare you but... exam was difficult and confusing. Much more difficult than part 1. Review Dental Decks. Do not spend much time for released papers - I have 5-7 questions from the papers.
O! Please, know blood chemicals level( glucose and other) in mmol/l. (questions were given in mmol/l, not in mg/gl).
 
Thank you Hatico !

Hi! I do not want to scare you but... exam was difficult and confusing. Much more difficult than part 1. Review Dental Decks. Do not spend much time for released papers - I have 5-7 questions from the papers.
O! Please, know blood chemicals level( glucose and other) in mmol/l. (questions were given in mmol/l, not in mg/gl).
 
Hi! I do not want to scare you but... exam was difficult and confusing. Much more difficult than part 1. Review Dental Decks. Do not spend much time for released papers - I have 5-7 questions from the papers.
O! Please, know blood chemicals level( glucose and other) in mmol/l. (questions were given in mmol/l, not in mg/gl).

Hatico, any advice you can give about the ortho section? Are there a lot of ortho questions in general? are there some about appliances? What did you think of the pharm section? Are decks enough to study from? Thanks!
 
if the mandibular left molar is to be saved which of the following surgical twchniques would not be helpful?
1.curettage
2.gingivectomy
3.osseous grafting
4.extraction of tooth 18
5osseous recontouring

why the answer is 2 not 4, pls help? if anyone has explanation thanks
 
Thanks...

One more: question

Which of the following is the cause of seizures?

1. Hyponatremia
2. Hypokalemia
3. Mypoglycemia
4. Hypophosphatemia.

A friend of mine told me Hypophosphatemia, but I found that Hyponatremia is the answer...ANY HELP?

One more thing: another ftriend of mine, just took Part 2 again and he said that they change already the question system; we can check it out in the Boards web site... :(
 
I can think of Hyponatremia, Hypokalemia and Hypoglycemia ( I'm assuming it is hypo and not Mypo) causing seizures.

Are you sure you got the question right?

Also - what does your friend mean about the questions?
 
He said that now there is three new type of questions:
Matching, Ordering & Multiple Correct/Multiple Response (you can check this ones on the ADA website)

Tell me more about the question please..!!
 
Another question:

A molar only has limited lesion on Distal & Mesial, which restoration should be done?

MOD?
MO & DO?

why?
 
Original question - Hypoglycemia causes seizures (diabetes)

hyponatremia = low sodium - increased osmotic force - increased water retention in brain causing cerebral edema - can cause seizures

Hypokalemia - Low potassium causing altered kidney functions - seizures as a result of action of vasopressin ?

Question 2 - I would think - do a MO and a DO, assess the amount of tooth structure remaining, if it is <0.5 mm, join the cavities for an MOD. The extent of a preparation is ALWAYS dependent on the extent of caries.

From the NBDE2 Handbook
Three new item types are being introduced on the National Board Dental Examinations
beginning in 2012. The new item types are multiple correct/multiple response, extended
matching, and ordering.
Since these items are considered pretest items they will not be scored. However, they will be
evaluated for their statistical performance and will not have an impact on candidate's results or
pass/fail status.
 
Original question - Hypoglycemia causes seizures (diabetes)

hyponatremia = low sodium - increased osmotic force - increased water retention in brain causing cerebral edema - can cause seizures

Hypokalemia - Low potassium causing altered kidney functions - seizures as a result of action of vasopressin ?

Question 2 - I would think - do a MO and a DO, assess the amount of tooth structure remaining, if it is <0.5 mm, join the cavities for an MOD. The extent of a preparation is ALWAYS dependent on the extent of caries.

From the NBDE2 Handbook
Three new item types are being introduced on the National Board Dental Examinations
beginning in 2012. The new item types are multiple correct/multiple response, extended
matching, and ordering.
Since these items are considered pretest items they will not be scored. However, they will be
evaluated for their statistical performance and will not have an impact on candidate’s results or
pass/fail status.

Thanks
 
Hi! I do not want to scare you but... exam was difficult and confusing. Much more difficult than part 1. Review Dental Decks. Do not spend much time for released papers - I have 5-7 questions from the papers.
O! Please, know blood chemicals level( glucose and other) in mmol/l. (questions were given in mmol/l, not in mg/gl).

GLUCOSE:
120 - 70 mg/dL
5.8 - 3.9 mmol/L
 
9. Neurotransmitter involved in Frey's syndrome.
a. Acetylcholine
b. Noradrenaline
c. Adrenaline
d. Serotonin.

Ans - Acetylcholine. Freys syndrome - Gustatory sweating . Damage to Auriculo - temporal N -causing parasympathetic innervation to sweat glands . ( post ganglionic sympathetic to sweat glands are Ach - before the injury ).
 
please can any one answer this quest:
Thanks in advance

1,- How do you treat traumatic bone cyst?
a.- leave it alone
b.- excise***
c.- give meds

2.- which cyst is associated with anterior cyst w/ crown?

3.- common cyst is lower anterior teeth and teeth is vital periapical cemato dysplasia.

4.-what is the difference between amelogenesis imperfect and dentinogenesis imperfecta

5.- which of the following represent the basic constituyent of the most root canal sealer?
a.- Zinc oxide***
b.- Zinc stearate
c.- poluvinyl resin
d.- polycarboxylate
e.- Zink oxyphosphate

6.- aging of the pulp is evidenced by an increase in
a.- vascularly
b.- cellular elements
c.- fibrous elements***
d.- pulp stones

7.- in the normal dental pulp, which of the following histological features is least likely to appear?
a.- cell-free zone of weil
b.- palisade odontoblastic layer
c.- lymphocytes and plasma cells***
d.- undifferentiated mesenchymal cell

8.- the most commonly found salivary gland tumor is:
a.- adenocystic carcinoma
b.- pleomorphic adenoma***
c.- muco epidermoid carcinoma

9.- the action of the Hawley appliance is mainly
a.- intrusion
b.- tipping
c.- bodily movement***

10.- a light force applied to the periodontal ligament during orthodontic treatment is considered
a.- intermittent
b.- directc
c.- continuous***
d.- indirect

11.- the fluoride concentration is most dentifrices range from:
a.- 1-5 ppm
b.- 900-1500 ppm***
c.- 450- 700 ppm
d.- 4000 - 6000 ppm

12.- in a full upper denture the post palatal seal is determined by:
a.- the technician
b.- the deep of the vibration line***
c.- 2-3 mm

13.- how scrap amalgam is stored?
a.- under water
b.- under sulfide***
c.- glycerin

14.- the least likely situation for a carcinoma to occur in the oral cavity is:
a.- floor of the mouth
b.- alveolar ridge***
c.- lateral border of the tongue

15.- histologically, the lost of the rate peg often is a sing if:
a.- pemphigus
b.- lichen planus***
c.- pemphigoid
d.- syphilis

16.- which of the follow represents the predominant type cell in crevicular epithelium
a.- mast cell
b.- PMN***
c.- macrophage
d.- lymphocytes
e.- plasma cell

17.- which of the organisms are envoleved with periodontal disese?
a.- P. gingivitis
b.- E. species
c.- C. rectus
d.- bacteroid
e.- all of the above***

18.- each of the follow has been associated with gastric limitation, EXCEPT:
a.- acetaminophen***
b.- alcohol
c.- ibuprophen
d.- indomethacin

19.- the most common reason for fracture of an amalgam in class 2 pedo molar tooth:
a.- insufficient deth
b.- saliva contamination during condensation***
d.- line angle tooth sharp

20 the best reason for RPD over fixed partial denture:
a.- hygiene***
b.- cooperation
c.- esthetic

21.- where is the gold directed on an MO onlay spruce?
a.- faces pulp axial line angle
b.- occlusal floor
c.- pupal floor
d.- gingival floor

22.- which injection post the greatest risk for an hematoma?
a.- PSA
b.- MSA
c.- mandibular block***

23.- why is the surgical stent required for an immediate denture?
a.- to give an idea of the anatomy of the region
b.- prevent hematoma
c.- to determine occlusion***

24.- the least likely fracture site in the mandible will be:
a.- coronoid***
b.- condyle
c.-body of mandible
d.- ramus
e.- symphsis

25.- which tooth will the matrix band be a problem with when placing a 2 surface amalgam?
a.- mesial on maxillary first molar***
a.- distal on maxillary first premolar
a.- mesial on maxillary second molar
a.- distal on mandibular first molar

26.- what is pulpectomy?
a.- extirpating pulp chamber and canal completely***
b.- partial instrumentation of the canal
c.- complete cleaning and shaping.

27.- the greatest appositional growth occur
a.- posterior border of the ramus***
b.- anterior part of the ramus
c.- chin

28.- when do you do serial extraction?
a.- for space deficiency in mandibular anterior region
a.- for space deficiency in mandibular posterior region
a.- for space deficiency in maxillary anterior region***
a.- for space deficiency in maxillary posterior region

29.- on what surface of the tooth is there deposition of F?
a.- smooth surface
b.- pits
c.- fissures

30.- how will treat patient with type two furcation?
a.- tissue guided regeneration
b.- oral hygiene instruction and root planning***
c.- reposition flap surgery
 
which drug is least likely to result in an allergy reaction?

1.- epinephrine
2.- procaine
3.- bisulfite
4.- lidocaine
 
lease can any one answer this quest:
Thanks in advance

1,- How do you treat traumatic bone cyst?
a.- leave it alone
b.- excise*** (I would pick this )
c.- give meds

2.- which cyst is associated with anterior cyst w/ crown?( I am not sure if I understand this question )


4.-what is the difference between amelogenesis imperfect and dentinogenesis imperfect
Amelogenesis imperfecta affects enamel, dentinogenesis imperfecta affects dentin


5.- which of the following represent the basic constituyent of the most root canal sealer?
a.- Zinc oxide*** (would pick this)
b.- Zinc stearate
c.- poluvinyl resin
d.- polycarboxylate
e.- Zink oxyphosphate

6.- aging of the pulp is evidenced by an increase in
a.- vascularly
b.- cellular elements
c.- fibrous elements***(would pick this)
d.- pulp stones

7.- in the normal dental pulp, which of the following histological features is least likely to appear?
a.- cell-free zone of weil
b.- palisade odontoblastic layer
c.- lymphocytes and plasma cells***
d.- undifferentiated mesenchymal cell

8.- the most commonly found salivary gland tumor is:
a.- adenocystic carcinoma
b.- pleomorphic adenoma***
c.- muco epidermoid carcinoma

9.- the action of the Hawley appliance is mainly
a.- intrusion
b.- tipping ( would pick this).
c.- bodily movement***
&#8211; because tipping is the easiest movement to achieve , and bodily movement the hardest &#8211; it makes no sense that a removable
Appliance would cause bodily movement of teeth.


10.- a light force applied to the periodontal ligament during orthodontic treatment is considered
a.- intermittent
b.- directc
c.- continuous*** (would pick this )
d.- indirect


12.- in a full upper denture the post palatal seal is determined by:
a.- the technician
b.- the deep of the vibration line***(would pick this)
c.- 2-3 mm

13.- how scrap amalgam is stored?
a.- under water ( I read somewhere water &#8211; I could be wrong though)
b.- under sulfide***
c.- glycerin

14.- the least likely situation for a carcinoma to occur in the oral cavity is:
a.- floor of the mouth
b.- alveolar ridge***


22.- which injection post the greatest risk for an hematoma?
a.- PSA (would pick this &#8211; no bony landmark &#8211; very easy to cause hematoma)
b.- MSA
c.- mandibular block***


24.- the least likely fracture site in the mandible will be:
a.- coronoid***
b.- condyle
c.-body of mandible
d.- ramus
e.- symphsis

25.- which tooth will the matrix band be a problem with when placing a 2 surface amalgam?
a.- mesial on maxillary first molar***
a.- distal on maxillary first premolar
a.- mesial on maxillary second molar
a.- distal on mandibular first molar

26.- what is pulpectomy?
a.- extirpating pulp chamber and canal completely***
b.- partial instrumentation of the canal
c.- complete cleaning and shaping.

29.- on what surface of the tooth is there deposition of F?
a.- smooth surface
b.- pits
c.- fissures

Exam in a week -eek !- please correct my mistakes - would appreciate it !
 
Guys,

Is anyone clear on these. When do you prefer these:

Cast circumferential clasp
Distal rest/ Mesial rest
I bar/ T bar
Ring bar

I am getting confused, when you have distal undercut, mesial undercut, facial and lingual undercut, where do you prefer what?
Thanks in advance if anyone can explain.
 
Your patient exhibits the partially edentulous arch from tooth #21 through 29 remaining. Tooth #29 is tilted mesially. The undercut is on the mesiofacial surface. What would be the best clasp assembly for this situation?

1) Distal rest and cast circumferential clasp.
2) Distal rest and WW circumferential clasp.
3) Mesial rest and I-bar.
4) Distal rest and I-bar.
 
13.- how scrap amalgam is stored?
a.- under water ( I read somewhere water &#8211; I could be wrong though)
b.- under sulfide***
c.- glycerin
ANS should be A, underwater.

Which injection post the greatest risk for an hematoma?
a.- PSA (would pick this &#8211; no bony landmark &#8211; very easy to cause hematoma)
b.- MSA
c.- mandibular block***
ans should be A.
 
Which of the following Antibiotics has been implicated in the vast majority of cases of oral contraceptive failure during antibiotic use?

A. Penicillin
B. Rifampin
C. Keflex
D. Erythromycin
E. Tetracycline

Erythromycin? (from a book)
Rifampin? (from old test)

I'm confused..!!
 
Your patient exhibits the partially edentulous arch from tooth #21 through 29 remaining. Tooth #29 is tilted mesially. The undercut is on the mesiofacial surface. What would be the best clasp assembly for this situation?

1) Distal rest and cast circumferential clasp.
2) Distal rest and WW circumferential clasp.
3) Mesial rest and I-bar.
4) Distal rest and I-bar.

THIS IS GONNA HELP YOU A LOT...!!!

http://dentistry.ouhsc.edu/rpdreviewquestions/
 
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