April 2017-1 MJDF
April 2017-1 MJDF
April 2017-1 MJDF
First of all, the questions may not be really accurate since I did as the way I remember, however, hope to
help with your preparation. The questions were so long that I couldn’t remember them. So anticipate to
read more things.
4. While u putting amalgam filling in lower right first molar, patient start to has Epileptic attack.
What would be your management?
1. Benzodiazepam 10 mg IV
2. Benzodiazepam 10 mg IM
3. Midazolam 10 mg IV
4. Midazolam 10 mg IV
5. Midazolam 10 mg buccal
5. You want to prepare for porcelain crown on upper first incisor. After administration of LA,
patient is having Anaphylaxis shock. How would to manage it?
1. Adrenalin 1:100000 0.5 mg IV
2. Adrenalin 1:1000 0.5 mg IV
3. Adrenalin 1:1000 0.5 mg IM
4. Adrenalin 1:100000 0.5 mg IM
5. Adrenalin 1:1000 0.3 mg IM
6. You are seditionist got a patient referred by GDP. What would be the likely way of doing it?
1.Administration of Bolus midazolam
2. Administration of titrated midazolam
3. Administration of midazolam and morphine
4. Administration of midazolam and ketamine
8. clinic inspection came last week and said that u need to change your carpet. Which type of floor
is ideal for clinic?
1. Impervious
2. Easy to wipe
3. Easy to clean
4. 5. Didn’t remember
10. The patient has generalized chronic moderate periodontitis and has history of diabetes and
smoking. You plan to treat with nonsurgical periodontal therapy before surgical therapy. What
would check for follow up assess?
1. Color of gingival
2. Bleeding on probing
3. Reduced in pocket depth
4. Increased in bone level
5. Decrease in recession
11. The patient wants removable partial denture to restore his missing teeth from second premolar
in both side of lower mandible. What would be the best retention for this case?
1. Mesial rest, I bar
2. Distal rest, I bar
3. Mesial & distal rest, I bar
4. Circumferential clasp
5. C clasp with I bar.
15. OPG X-ray showing small around 5 mm in diameter radiolucency at the angle of mandible,
couldn’t see any abnormalities in the x-ray. What would be possible diagnosis?
1. Residual cyst
2. Keratocyst cyst
3. Dentigerous cyst
4. Eruption cyst
5. Stafine’s bone cyst
16. The patient come and see you for filling of lower left central incisor but he couldn’t understand
English so he brought his cousin to translate. You explained about treatment options and they
couldn’t agree on which material should they get and start to argue.
1. Since it is simple procedure put composite
2. Cancel this appointment and get interpreter for next appointment
3. Ask them to discuss at home and come back
4. Ask the patient to get another relative to translate
5. Ask them to never come back
17. You have child patient who has severely broken down all four permanent first molar and you
feel they have poor prognosis so that u decided to extract all. What would u check to determine
the right time for extraction?
1. Root formation of lower second molar reach bifurcation
2. Root formation of lower second molar one third complete
3. Root formation of upper second molar reach bifurcation
4. Root formation of upper second molar remain one third
5. Root formation of lower second molar remain one third
18. What would u use if you experienced fire caused by electricity in your clinic?
1. Water Extinguisher
2. CO2
3. Foam
4. Fire blanket
5. Sand
19. You have patient who had trauma and got Enamel/dentine exposure in incisor third. What
would be your first line of treatment?
1. RCT
2. Pulpotectmy
3. Extraction
4. Pulpectomy
5. Didn’t remember
20. Showing Occipitomental x-ray and ask about which degree that the x-ray was taken?
1. 10
2. 20
3. 30
4. 50
5. 60
21. You are consulting to a patient about restoring of his Right and left lower 1 missing teeth in 20
yrs old patient who didn’t want to get implant. What would be the best treatment option for
long term?
1. Resin retained bridge
2. Full crown bridge on right and left 2
3. Cantilever from right 2 and 3
4. Spring cantilever from 6
5. Full crown cantilever on right 2
23. According to Oxford center for evident base medicine what is the level of systematic review of
randomized control trial?
1. 1a
2. 1b
3. 2
4. 3
5. 4
24. You want to do research on effectiveness of Fluoride for prevention of caries in community.
What would be the best research method for it?
1. RCT
2. Cohort
3. Case series
4. Case control
5. No 1
3 1 4
* 2 3
1. Primary care
2. Specialist referral
3. Secondary care
4.5. didn’t remember
26. Which BPE is the following case. Lower posterior teeth in which only 4 has no bleeding
1. 1
2. 2
3. 0
4. 3
5. 4
27. Given OPG X-ray of Fracture mandible in both left and right para symphysis are and ask about
which investigation would do further?
1. PA of mandible
2. MRI
3. CT
4. No other investigation
5. Occipitomental
28. When you saw the patient with Cardiogenic shock, which of the following would be primarily
affected?
1. Right atrium
2. his purkinjie system
3. Right ventricle
4. Left atrium
5. Left ventricle
29. Your patient is on Clopidrogel because he has risk of stroke. What’s the mode of action of that
drug?
1. ATP receptor
2. Cyclooxygenease
3. ADP receptor
4. Arachidonic acid
5. Thromboxane A2
30. Your patient blood test shows as follow. PT---N, APTT -increase, TT-N Which factor would affecte
in this case?
1.II
2. I
3. IV
4. VII
5. X
31. After you had finished scrubbing, glove and other PPE, you accidently touch the chair. What
would be the appropriate management?
1. Remove glove, wash again and put glove on
2. Remove glove but no need to wash because didn’t touch the patient yet
3. Remove all PPE, wash again and ware PPE again
4. Remove glove, alcohol gel and glove on
5. Carry out the procedure because it isn’t infectious
33. If your nurse had Needle stick injury, who should she report first?
1. You, operator
2. Receptionist
3. Manager
other didn’t remember
34. Patient consult with you about his Erythematous lesion on his palate who is denture wearer.
How would treat the patient?
1. Chlorhexidine mouth wash
2. Hydrogen peroxide mouthwash
3. Miconazole cream
others didn’t remember
35. Your patient is on Warfarin because of cardiac problem and u want to prescribe antibiotic.
Which one of the following would the worst to potentiate effect of warfarin?
1. Amoxillcilin
2. Metronidazole
3. Clindamycin
4. Erythromycin
5. Cephalexin
36. You want to prescribe topical antifungal to treat candida infection to a patient on warfarin
which of the following would likely to affect warfarin?
1. Miconazole
2. Ketoconazole
3. Fluconazole
4. Itraconazole
5.clotrimazole
37. According to European guidelines on radiation protection in dental radiology, Risk of cancer due
to radiation between OPG and CT?
1. 1:1000
2. 1:10000
3. 1:100000
4.1: 1000000
5.1:10000000
38. PA radiograph was given which was not that good but acceptable. According to guideline which
one of the following best describe this situation.
1. 10% cone cutting
2. 10% elongation
3. 20% elongation
4. 30% elongation
5.40% cone cutting
39. You took an X-ray and horizontal angulation wasn’t correct. What would be the likely effect due
to this?
1. Overlapping of contact area
2. Cone cutting
3. Shortening of teeth
4. Elongation of teeth
5. blur image
40. If your patient has history of Haemophilia father and normal mother, risk of your patient who is
male is?
1. 100%
2. 0%
3.25%
4. 50%
5. 75%
41. Patient give you history of latex allergy. What type of hypersensitivity is that?
1. Type I
2. Type II
3. Type III
4. Type V
5. Type IV
42. Patient you are seeing for simple filling has Unilateral vesicle which affect buccal mucosa,
gingiva and then follow pharyngeal wall. What would be the likely diagnosis?
1. Apthous ulcer
2. Herpes stomatitis
3. Herpangina
4. Hand foot & mouth disease
5. Behcet’s
43. 21 yrs old female patient who give you the history of autoimmune disease which turn out to be
Pernicious anemia. What you think would be primarily deficiency?
1. Intrinsic factor
2. Iron
3. Vitamin B12
4. Folate
5. Vitamin D
44. 25 yrs old male patient who had Enamel and dentine fracture in upper central incisor due to
trauma, come and see you in your dental clinic. What would be your primary treatment?
1. Direct Composite filling
2. Sandwich technique with GIC
3. GIC
4. Ca(OH)2 and composite
5. Full crown
45. 35 yrs old athlete who come to see you in your clinic. You took an x-ray and see Root fracture
with no other pathology. How long you will splint this tooth?
1. Flexible splint 4 wks
2. Flexible splint 6 wks
3. Hard splint 4 wks
4. Hard splint 6 wks
5. Flexible splint 2 wks.
46. 5 yrs old patient complaint of pain in his mouth. On examination, you see Erythematous lesion
on uvula, palate & fauces but not on gingiva. What would be your probable diagnosis?
1. Apthous ulcer
2. Herpes stomatitis
3. Herpangina
4. Hand foot & mouth disease
5. herpangina
47. 45 yrs old patient consult you because of his Left cheek become darker. What would be your
possible diagnosis?
1. Melanoma others didn’t remember
48. Patient with Cleidocranial dysostosis consult you for his implant placement. When you took X-
ray, what would you expect to find?
1. Dentigerous cyst
2. Supernumerary teeth
3. Dermoid cyst
4. Osteoma
5. cementosis
49. Concerned mother consult u about her son because of delayed eruption and x-ray show
sclerosis of the bone. The patient has normal stature. What would be your diagnosis?
1. Achondroplasia
2. Paget disease
3. Osteopetrosis
4. Osteoporosis
5. Cleidocranial dysotosis
50. After patient sit on dental chair, she Fainted. What is most likely diagnosis?
1. Vasovagal syncope
2. Anaphylaxis
3. Hypoglycemia
4. Epilepsy
5. Asthmatic attack
51. While you are doing RCT on 21 yrs old female patient, suddenly her respiratory rate increase,
dizzy, sweating and tremors. What is the mechanisms behind this process?
1.decrease calcium, respiratory alkalosis and metabolic acidosis
2. decrease calcium, respiratory acidosis, metabolic alkalosis
3. Increase oxygen, respiratory acidosis and metabolic alkalosis
4. increase calcium respiratory acidosis and metabolic alkalosis
5. decrease carbon dioxide, respiratory alkalosis, metabolic acidosis
52. 65 yrs old Cancer patient admitted in hospital for appointment tomorrow to get operation. Next
morning, he suffered distinct hallucination, tremor, dizzy and ataxia. What would be the likely
cause?
1. Morphine
2. Benzodizepam
3. Alcohol
4. Ketamine
5. Nitrous oxide
53. Patient with Carcinoma of tonsil, which would be the likely spread of lymph node?
1. Superior deep cervical chain
2. Middle deep cervical chain
3. Inferior deep cervical chain
4. Prevertebral
5. Paravertebral
54. Patient with stage 4 cancer who also received Chemotherapy and radiotherapy complaint of
difficult eating. What is the likely cause?
1. Mucositis
2. Because of chemotherapy
3. Dry mouth
45 didn’t remember
55. Most common complaint place of Burning mouth syndrome?
1. Tongue
2. Buccal mucosa
3. Palate
4. Lip
5. pharynx
56. TMN staging for CT of the patient with 3 cm in diameter tumor, nodal involvement of single 4
cm in diameter same side as the tumor and no distant metasis noted.
1.T1 N1 M0
2. T2 N2a Mo
3. T2 N2b Mo
4. T2 N2c Mo
5. T2 N1 Mo
57. While you were removing amalgam restoration of lower right first molar to replace with
composite, a piece of Amalgam dislodges and disappear. If the patient was sent to chest X-ray,
which place is most likely to find that piece?
1. Right lung
2. Left lung
3. Right bronchi
4. Left bronchi
5. alveoli
58. What is the reason of Second primary cancer in head and neck region?
1. Altered mucosa condition
2. Metastasis
3. Chemotherapy
4. Radiotherapy
5. infection
59. You want to treat Paget with medication. Which of the following is the least possible to develop
MRONJ?
1. Denosumab
2. Risedronate
3. Calcitonin
4. Etidronate
5. ibandronate
60. Patient on Renal dialysis due to chronic renal failure suffered anemia. Which of the following
would you expect to decrease?
1. Vitamin D
2. Vitamin B12
3. Iron
4. Folate
5. Vitamin K
61. 25 yrs old female patient with history of Pernicious anaemia has swelling due to lower right first
molar. You need to give antibiotic. Which of the following would u choose?
1. Amoxicillin 250 mg tds 3 dys
2. Metronidazole 200 mg tds 3 dys
3. Amoxicillin 500mg tds 3 dys
4. Clindamycin 300mg tds 3 dys
5. Tetracycline 250 mg tds 3 dys
62. You had 8 years old female patient now, till how long u need to keep her record?
1. 5yrs
2. 10 yrs
3.8yrs
4. 17yrs
5. 11yrs
63. How often would u Appraise for your stuff in your clinic?
1. 6 months
2. 2. 1 yrs
3. 3. 2yrs
4. 4. 2 and half year
5. 5. 1 and half year
65. You were asked to do help your Nurse about her CPD. Which one of the following is the
minimum requirement?
1. 25 hours
2. 50 hours
3. 75 hours
4. 10 hours
5. 35 hours
66. 21 yrs old male patient who give family history of X-linked amelogenesis Imperfecta of his
father. What is the likely chance of him having this disease?
1.25%
2.75%
3.50%
4.0%
5.100%
67. when you are doing difficult third molar extraction, what is the chance of Lingual nerve injury?
1. >0.001%
2. 2-3%
3. 5-6%
4.10-12%
5. 15-30%
68. Which of the following Medicine could cause ulcer in the mouth?
1.sodium valproate
2.cyclosporin
3.nefidipine
4.nicorandil
5.carbamazepine
70. Which age is necessary to check Mental capacitiy?
1.16yrs
2.18 yrs
3. 15yrs
4. 21 yrs
71. According to European commission for European guidelines on radiation protection in dental
radiology, lateral cephalometric radiograph is surely indicated in?
1. Class II division I
2. Class III
3. Class I
4. Class II division II
5. orthognathic surgery
72. Patient has impacted upper right canine. What is IOTN score?
1.5a
2.5b
3.5i
4.3
5.5s
73. If a patient complained to you, within which duration that Complaint should be acknowledge?
1. 5 dys
2. 10 dys
3. 7 dys
4. 1 month
5. 3 dys
74. If the patients didn’t satisfy with your settlement, which he/she could go to before going to
court?
1. Healthcare commissioner
2. Private inspector
3. Independent service
4. Public inspection service
5. GDC
75. You want to put stainless steel on 6yrs old child because of severe gross caries and he already
put GIC last 3 months. Which band would u claim?
1. Band 1
2. Band 2
3.Band 3
4. Band 4
5. None
76. Pharmaceutical company is doing randomized control trail in two groups for drug. What would
be the appropriate test to get lethal dose in both groups?
1. chi-square test
2. pair t-test
3. Unpaired t-test
77. Concerning with lower Partial denture, direct retention would be best describe by
1. Primary and secondary direct retention
2. Rest
3. Collets
4. 5. Didn’t remember
78. you want to construct upper partial metallic denture and u want to get good sensation and
phonetics. What would you do?
1. Thin palatal plate
2. Relieve anterior palate area
3. Relieve middle area of palate
4. Relieve posterior area
5. thick anterior palate area
79. Patient consult you with no smoking and alcohol history, had sister die of cancer last year ask
you for advice. What would be your advice?
1.Five a day
3. 4. 5. Didn’t remember
80. Best way to record maxillary block?
1. Facebow
2. Fox bite
3 transfer articulator
4.Hinge articulator
5.semi adjustable articulator
81. You took biopsy in 65 yrs old male patient mouth come back with Dysplasia only in epithelium
and no inflammatory cell infiltrate? What would be your diagnosis?
1. Leukoplakia
2. Lichen planus
3. Candidiasis
82. 25 yrs old female patient who is quite anxious consult you for extraction of lower impacted last
molar. X-ray revealed that there is high risk of nerve injury but the tooth need to go. You
concerned about patient anxiety and didn’t explain about every detail about complication. After
surgery, patient develop paresthesia over lower lip. If she wanted to sue you, on which ground
she can?
1. Gross negligent
2. Consent negligent
3. Malpractice
4.civil assault
5.criminal assault
83. you need to treat 28 yrs old Severe down syndrome patient for his gross caries. Where would u
get consent from?
1. as long as he can understand treatment, he can give consent
2. ask his parents
3. ask his career
4. ask his attending physician
5. ask his attendant
84. final year dental student wants to do some research for her project and she surf internet about
Antibiotic guardianship. What do u think she would find?
1.resistance of antibiotics
2.awareness of antibiotics
3.reduce the use of antibiotics
4.5. didn’t remember
85. There is outbreak of diarrhea in hospital after antibiotics given. What should we do about it?
2. prophylactic antibiotics
3. give probiotics
4. 5. Didn’t remember
86. Patient admitted due to road traffic accident and blood test show as follow. Low HB, Low MCH,
Low MCV. What is the possible cause?
1. acute blood loss
2. folate deficiency
3. iron deficiency
4. chronic blood loss
5. ferritin deficiency
87. patient on clopidrogrel and warfarin inform you that recently his GP change his medication.
What medication would the patient have?
1. Aspirin
2. Dabigatran
3. Denosumab
4. Argatroban
5. bivalirudin
88. 35 yrs old male patient complain of one side of pain, jaw claudication, vision compromised.
What would be your diagnosis?
1. Giant cell arteritis
2. Migraine
3. Cluster headache
4. Atypical facial pain
5. TMJD
89. Patient complain of pain in lower left first molar area. On examination, you see Abscess and
crown. X-ray revealed that no RCT was done. What would be your treatment?
1. Apical surgery and retrograde fillings
2. RCT and Orthgrade fillings
3. Apical surgery and amalgam plug
4. RCT, orthograde fillings and apical surgery
5. Apical surgery and GIC filling
90. You are SHO in hospital and patient come to see you because he got involved in fight during
Friday night. On examination, you saw Face laceration, numbness over zygomatic area and
reduced salivary flow from parotid gland. Which nerve would you suspect that damage?
1. zygomaticofacial
2. Auriculotemporal
3. Infraorbital
4. Superficial temporal
5. zygomatic
91. Patient on warfarin got INR3 result from yesterday, come to see you to extract unrestorable
upper right first molar. What would be your management?
1. Extract the tooth
2. Refer to hospital
3. Ask to do INR test
4. Refer to specialist practice
5. Try to stabilize first and make another appointment for extraction
92. 45 yrs old male who has history of 20 cigarettes a day since 18, drink 30 unit a week, diabetes,
several teeth extraction due to chronic periodontitis, needs and want Implant. In which case
implant would be absolute contraindication?
1. Diabetes
2. Smoking
4. Alcohol
5. age
93. 28yrs old female who complain of sensitivity on upper central incisor. Examination show that no
sign of trauma, normal occlusion and loss of enamel on palatal surface. What would be your
treatment?
1.composite
2. GIC
3. RCT and filling
4.full crown
5.veener
94. 18 yrs old male suffered pain due to Pulp exposure by trauma 3 dys ago, come to see you and
the pulp still vital. What would be the appropriate management?
1.RCT
2.coronal pulpotectmy
3.GIC filling
4.composite filling
5.minimal pulpotectmy
95. 80 yrs old lady with acute swelling didn’t have capacity and any relative to give consent due to
dementia. What would be the appropriate management?
1.do the treatment as long as she didn’t refuse
2. do the treatment for the best of the patient
3. ask consent from her career
4. do the treatment as long as patient didn’t against
5. ask college about it
96. When you Air dry lower left first molar, you see white lesion on teeth surface. What would that
be?
1. Enamel demineralization
2. Fluorosis
3. Enamel mineralization
4. 5. Didn’t remember
97. how would you recommend chlorhexidine mouthwash for the patient with mouth infection?
1.two times a day
2.one times a day
3.three times a day
4.four times a day
5.one times a week
98. 61 yr old male patient complain of pain in TMJ area. X-ray revealed Osteophyte formation on
TMJ. What would be your diagnosis?
1. osteoporosis
2.rheumatoid arthritis
3.osteoarthritis
4.anterior disc displacement
5.posterior disc displacement
99. how would you dispose Sharp teeth without amalgam?
1.clincal waste
2.orange bag waste
3.sharps yellow box
4.offensive hygiene waste
5.municipal waste
100. Autistic child needs fissure sealants, mother calls to ask about the appointment as she is
anxious, what do you do?
1. Noninvasive treatment for the first time
2. Fluoride application
3. Fillings
4. General prophylaxis
5. Refer to community dentist
101. Patient complain you of pain of which become worse when change posture. What
would be your diagnosis?
1. sinusitis
2.bell palsy
3.migraine
4.cluster headache
5.atypical facial pain
102.
7654321 12c4567
7654321 1234567
From this information, what can be concluded?
103. Proportion of the patients who test positive who have disease is?
1. Positive predictive value
2. Sensitivity
3. Specificity
4. Negative predictive value
5. Prevalence
104. You sent a patient for CT head and radiologist report lump inside the sinus. What is the
likely diagnosis?
1. Polyps
2. Mucous extravasation cyst
3. Inverted mucocele
4. Pleomorphic adenoma
5. Monomorphic adenoma
105. Reason of failure of Canine eruption without early loss of deciduous teeth?
1. Supernumerary
2. Ectopic
3. Crypt
4. Primary failure
5. supplementary
106. orthodontist refer a patient for prophylactic ELA of lower last molar. According to NICE
guideline, which one of the following would leave the tooth remain?
1. acute sever periodontitis
2. chronic periodontitis of second molar
3. unrestorable teeth
4. prophylactic removal referred by orthodontist
5. associated pathology
107. In Class III malocclusion patient, ANB of lateral cephalography would be?
1. >3
2. 2-4
3. <3
4. 6
108. What would be the appropriate age for this following patient?
6EDCB1 1BCDE6
6EDCB1 1BCDE6
1. 6yrs
2. 6-7yrs
3. 7-8yrs
4. 9-10 yrs
4. 8-9yrs
1.local
2.perineural
3.blood vessels
4.metastasis
1. Diplopia
2. Infraorbital paranesthesia
3. Ptosis
4. Subconjunctival hemorrhage
5. trismus