THEORY PAPER OF 2014
JUNE ADC2
 They had given 8 scenarios and each scenario had 5
questions. X-rays and images were given for these
scenarios.
 There were other 40 MCQ’s
 Therefore total of 80 questions and 2 hours for
answering these
Scenario Based Questions
I. A fifty year old lady wants to replace all her amalgam fillings as
per the advice of her Naturopath. She has twenty amalgam
restorations and are in her mouth for the past 30years
1. Photo of maxillary molars and premolars with amalgam
restoration was given, in which the premolar margins were
raised above the tooth structure. Why has this occurred?
a) creep
b) corrosion
c) micro leakage
2. You decide to replace all amalgam restorations because
a) Naturopath has advised
b) Patient is opting for that
c) Having so many amalgam restorations is toxic
d)
3. One picture of buccal mucosa of the same patient was
given which had lichenoid reaction. The lesion in the photo
given is
a) Lichenoid reaction
b) Lichen planus
c) Leukoplakia
4. Before u remove the amalgam restoration, to replace with
composite , what will u inform the patient
a) the white lesion will disappear
b) mild sensitivity may be present for few days
c) composite restorations will not last as long as amalgam
restoration.
5. What safety measures will u take while removing
amalgam
a) Measures according to some Australian….some safety
guidelines
II A 55/60 year old female patient had got all her maxillary
teeth extracted when she was 20/25 year old. Now only
lower teeth are present.
She has upper complete denture.
1. A photo of maxillary ridge was given. What do u notice
in this
a)ridge is markedly resorbed
b) shallow palate
c) ridge will give retention for denture
2. Photo of maxillary anterior ridge was given and asked
as what is the red thing present
a) incisive papilla
b) lump
c) inflammation
3. Now patient complains that her upper denture is
becoming loose while eating the reason could be
a) shallow palate
b)thick buccal flange…..etc etc
4. When u construct the mandibular distal extension
partial denture what is the most significant problem you
will face
a) inability to get enough undercut on canines
b) marked ridge resorption
5. if all the mandibular teeth are extracted
a)mandible looses more bone from the buccal than lingual
b) mandible looses more bone from lingual than buccal
c) same amount of bone is lost on either side
III A 55 year old man has a four unit bridge in upper
anteriors that is 11,12,21,22.
The 21 has chipped porcelain and the metal was seen.
1.Patient has important conference or meeting today. How
will u repair it chair side?
a) etch porcelain with APF and repair with composite
b) etch with 5% hydrofluoric acid and repair with
composite
2. what is the reason for chipped porcelain
a) thin porcelain
b) no vaccum
c) rapid firing
d) inadequate framework
3.name of this defect is
a) adhesion defect
b)cohesion defect
c) adhesion, cohesion defect
4. At a later date when u want to replace this 4 unit
bridge what do u want to alter
a)change the labial contour
b)…….
5.something lie what would be the most challenging or
difficult aspect in replacing this bridge
forgot the options
IV Nancy a 45 year old lady will report to your surgery with
the complaint of dislodged post core. She had this post core
for the past 10/15 years.
Photo of 11,21 was given with just 2mm of tooth visible
which was prepared for core.
1 reason for dislodgement of post core
a) vertical root fracture
b) something about luting cement
2. what is the significant problem in replacing the post
core
a)insufficient ferrule
3. Radiograph of 11 &21 with insufficient endo treatment
and periapical radiolucency was given. What is the
reason for the apical lesion in 11
a) short obturation
b) improper lateral condensation
c) improper coronal seal
4. probable reason for the apical lesion in 21
same options as above
5. You have decided to extract 11 and 12, what makes I
difficult to obtain proper esthetics in the new
restoration.
Photo of edentulous region of 11,12 given.
Forgot the options.
V Pedo OPG given. This is the radiograph of
8 or 10 year old girl, who is going abroad in few weeks
1. what is the diagnosis of 75?
a) periapical abscess
b) dentigerous cyst
c)granuloma
2. Treatment for 75
a) extraction
b) RCT
c) Extraction and spacemaintiner
d) Ortho consul, extraction, spacemaintainer
3. Old bitewing of 75 given what treatment would have been
done (caries was not involving pulp but near to it)
a) pulpotomy
b) pulpectomy
c) extraction
4. Bitewing of 84 , what is the treatment for 84
(Caries was almost touching the pulp and the marginal ridge
was not intact indicating that pulpectomy was reqired)
options were same as above
5.This question was about this child’s follow up
abroad…..about ortho..mmm can’t recollect
VI Mercy is a 55 year ld lady who is your regular patient but
did not visit you for past 3 years. Now when she has come to
your surgery, you could see multiple carious lesions. ( a
photo of maxillary incisors with proximal carious lesions
and also in posterior teeth given)
1. reason for these carious lesions
a) change in salivary composition
b) change in her medication
c) …….
2 what is your immediate next step or immediate treatment
a)GIC
b) composite
c) stopping or ceasing the causative agent
3. If she decides to get the maxillary centrals extracted and
wishes to keep the diastema what would be the best
replacement option
a) implant
b) RPD
c) Cantilever …some tooth was mentioned
d) FPD
Two more questions were there for this scenario which I
forgot.
VII A twenty year old male had a bar fight yesterday. Today
he wakes up with pain and deviation of mandible & notices
that his upper and lower teeth are meeting when he bites.
PA skull radiograph was given
1. What can u see in the radiograph
a) left sub condylar
b) left condylar
c) left subcondylar with displacement
d) no fracture
2. according to Australian Medical council guidelines (or
something lie this) how many standard drinks an adult
can have per day
a) one
b) two
c) 3
d) 4
3. one standard drink equals how much?
a)10ml
b) 12ml
c) 15ml
4. what is the treatment for this fracture
a) open reduction
b) intermxillary fixation
c) arch bar…
5. What are the long term consequences
VIII A 60 year old lady is taking alendronate from 2 years
for osteoporosis. Her OPG was given. She had chronic
periodontitis
Furcation involvement in 46
1. What is the treatment for 46
a)furcationo plasty
b)tunnel prep
c)scaling
d) scaling and root planeing
2. Mandibular anterior( iguess 1 or 2 mandibular
anteriors) had severe resorption and so they were to
be extracted.
Following extraction while u place the RPD which major
connector will u choose
a) Lingual bar
b) Lingual plate
Three more questions were there for this scenario which I
cant remember.
MCQ’S
1. The best way to treat a tooth in which ledge has formed
a) stop the prepration and obturate
b) with a thin file go past the legde and prepare the canal
c)
2. Most common cause of pain following obturation
a) high point
b) microbes left behind
c) insufficient coronal seal
3. Main function of EDTA in endodontics
a) decalcification of dentine
b) cleaning of debris
4.Which of following cannot be classified as intraepithelial
lesion
a) herpes
b) pemphigus
c)lichen planus
5 Down’s syndrome does not include
a) multiple immunodeficiences
b) low caries severe periodontitis
6. Radiograph of dens invaginatus given, what is it or
what do u do
a) check the other side tooth
b) apply fissure sealent
7 which of the following is not true about cherubism
a) will regress with age
b) teeth will show delayed eruption
c) some other options I forgot, wrong one I cannot
remember
8. which is the most commonly exposed pulp horn in
permanent molars
9. Question on hydrodynamic theory
10.Treatment of cementoma
11.Frankfurts horizontal plane is
12 Initial force while extracting a tooth should be
a) excessive
b) directed apically
13 before extracting a tooth of a patient who had undergone
joint replacement an year ago
a) no need of antibiotics
b) give prophylactic antibiotics only after consulting
orthopediction
c) give 1gram of amoxicillin 1 hour before the extraction
14. one question on the angle of the curette
15. to check the furcation of maxillary molar u will probe
a) mesial, distal, midfasical
b) midfacial, midlingual
16. advantage of acrylic over the co-cr immediate denture
a) possibility of adding tooth
b)heat conduction
c)cost
17. IOPA Radiograph of a anterior tooth root with a post,
apical third is underfilled and vertical #
what is the source of abscess
a) underfilled canal
b) # of root
18. one question on cleido cranial dysostosis
19.In an MO prep inlay the mesio distal movement is
prevented by
a) occlusal stops and dovetail
b) acute axiogingival line angle
c) givival bevel
20. one question was on proximal reduction or some
reduction of SS crown. Now I don’t remember the options.