/302 0 Periodontology I Preparation (Pr. Lim Sokun) 1 / 302 1) A localised acute periodontal abscess: a. Is almost certainly associated with a non-vital tooth and Should be managed initially using systemic antimicrobials b. Should be managed initially using locally delivered antimicrobials c. Is usually painful when the associated tooth is percussed d. Often tracks through the alveolar bone, resulting in a buccal sinus opening 2 / 302 2) Which of the following is magnetized instrument?: a. Schwartz periotrievers b. Hu-friedy after five curette c. Modified Gracey curette d. Morse sickle scaler 3 / 302 3) Bacteria in plaque are held together by:? a. All are corrects b. Vander waal's forces c. Covalent forces d. Hydrophobic forces 4 / 302 4) During a sequence of scaling appointments the most advantageous approach is to: a. anesthetize the entire mouth. b. only give anesthesia for areas of depth over 6 mm. c. scale the entire mouth at each appointment. d. thoroughly scale and root plane a designated segment to completion. 5 / 302 5) Stippling is seen in : a. Attached gingiva and center of interdental papilla b. Marginal gingiva c. Attached gingiva d. Interdental gingiva 6 / 302 6) Determination of the shape and extent of defects in the alveolar bone can be made by: a. sounding through the gingiva. b. conventional probing methods. c. all of the above. d. direct inspection during periodontal surgery. 7 / 302 7) Leukotoxin are produced by which of the following periopathogens: a. F.nucleatum b. P.intermedia c. A.actinomycetemcomitans d. P.gingivalis 8 / 302 8) Periodontitis is caused by:? a. Biofilm b. Malnutrition c. Faulty toothbrushing d. Supragingival plaque 9 / 302 9) A 27 years-old preswents to your office all of the following: loss of interdental and marginal stippling, blue-red tissue color, and bleeding upon gentle probing. Your Diagnosis is:? a. Chronic gingivitis b. Systemic diseases c. Advanced priodontal diseases d. Gingival recession 10 / 302 10) Excisional new attachment procedure involves: a. A periodontal flap. b. Internal bevel incision from the margin of the free gingiva apically to point below bottom of pocket c. A free gingival graft. d. A regenerative osseous procedure, Root planning. 11 / 302 11) The most effective and versatile instrument for root planing is the: a. file. b. ultrasonic scaling device. c. curet. d. sickle. 12 / 302 12) Tumor metastasing to gingiva is/are: a. Adenocarcinoma of colon, renal cell carcinoma, hypernephroma, lung carcinoma b. Fibroma. & Lipoma. c. Papilloma. d. Central giant cell carcinoma of the jaw. 13 / 302 13) When bone is lost evenly and uniformly around several teeth it is referred to as: a. vertical bone loss. b. occlusal traumatism. c. gingivitis. d. horizontal bone loss. 14 / 302 14) Plaque Index was developed by: a. Silness and Loe in 1964 b. Loe and Silness in 1964 c. None of the above d. Russell in 1956 15 / 302 15) With aging, the solubility of the collagen in gingival connective tissue: a. Decreases b. Increases c. Fist increase then decrease d. Remains constant 16 / 302 16) Periodontal attachment loss measure clinically from: a. Gingival margin to the base of the pocket. b. CEJ to the base of the pocket c. CEJ to the gingival margin and CEJ to the base of the pocket. d. CEJ to the gingival margin. 17 / 302 17) A traumatic occlusal force acting on a tooth with a healthy periodontium will likely cause: a. Gingivitis b. Radiographic widening of the periodontal membrane space, Increased tooth mobility Gingival recession c. Gingivitis, Periodontal disease d. Periodontal disease 18 / 302 18) The straight sickle should not be used for removal of: a. supragingival calculus on the linguals of the mandibular anteriors. b. supragingival calculus from the interproximals of the mandibular anteriors. c. stain and calculus in the fossae of the maxillary anteriors. d. subgingival calculus on the mandibular anteriors. 19 / 302 19) 26After discontinuation of causative drug, the gingival enlargement undergoes spontaneous disappearance within few: a. Days b. Weeks c. Months d. Years 20 / 302 20) The width of attached gingiva: a. Decreases with age b. Doesn’t alter with age c. Initially decreases and later increase with age d. Increases with age 21 / 302 21) A very tight grasp will: a. decrease tactile sensitivity. b. prevent muscle fatigue of the fingers. c. increase tactile sensitivity. d. increase maneuverability of the instrument. 22 / 302 22) Microorganism which uses steroids as growth factor is:? a. S. sanguis b. P. gingivalis c. S. mutans d. P. intermedia 23 / 302 23) The increase in thickness of cementum with aging is greater: a. Coronally b. At midroot level c. Apically d. Labially 24 / 302 24) Non eugenol periodontal dressing: a. Is placed for one week b. There is asbestos,Is placed for two weeks. c. The retention is by chemically interlocking in the interdental areas. d. Contact allergy to eugenol has been reported. 25 / 302 25) When oral hygiene instruction is given during a scaling appointment, it should: a. precede instrumentation. b. follow scaling of the sextant or quadrant. c. only be performed when the patient requests it. d. none of the above; oral hygiene should only be taught as a separate series of plaque control appointments. 26 / 302 26) Biofilm in general have:? a. Organized structure b. Stereoline structure c. Crystalline structure d. Disorganized structure 27 / 302 27) Does sub-gingival scaling alters the microflora of periodontal pocket? a. never gets altered b. gets altered c. alters anaerobes only d. alters aerobes only 28 / 302 28) Scaling process removes: a. None of the above b. Calculus c. Plaque d. Both of the 29 / 302 29) Which of the following fibers increases with age in periodontal ligament?: a. Type II collagen b. Elastic fibers c. Type I collagen d. Oxytalan fibers 30 / 302 30) Gingiva is supplied by: a. Supraperiosteal vessels b. Arterioles emerging from alveolar crest c. All of the above d. Vessels of periodontal ligament 31 / 302 31) Which of the following has the highest rate of desquamation (i.e. number of cells shed per unit surface area) ? a. Oral epithelium Sulcular epithelium b. Junctional epithelium c. Oral epithelium d. Sulcular epithelium 32 / 302 32) Guided tissue regeneration (GTR): a. Is indicated in class I furcation defects b. Requires the use of a non-resorbable membrane (e.g. ePTFE) for best results in osseointegration c. Is dependent on the formation of a stable blood clot for best results d. Typically results in clinical improvements in probing depths, attachment levels and gingival recession 33 / 302 33) All the following are phases of periodontal treatment plan except:? a. Maintenance phase b. Refractory phase c. Surgical phase d. Non-surgical phase 34 / 302 34) Necrotizing ulcerative periodontitis? a. Is associated with crater like depression at the tip of interdental papilla and vesicle formation b. Is associated with deep periodontal pocket c. Is not responsive to any therapy d. Leads to gingival recession due to faulty tooth brushing 35 / 302 35) All of the following are true about fibroblasts except: a. Fibroblasts are not capable of phagocytosis for collagen destruction. b. fibroblasts are principal connective tissue cells of the periodontal ligament. c. Fibroblasts synthesize collagen. d. Fibroblasts have pseudopodia like processes 36 / 302 36) Powered toothbrushes: a. Are generally cheaper than manual toothbrushes b. Have a 'novelty effect' associated with their use and are generally cheaper than manual toothbrushes c. Are more effective in removing plaque than manual toothbrushes, Have brushheads that are designed specifically for patients with fixed orthodontic appliances and Have a 'novelty effect' associated with their use d. Should be used with the Bass toothbrushing technique 37 / 302 37) The lamina dura on radiographs corresponds to: ? a. The buccal and lingual cortical plates of the jawbone b. The alveolar bone proper c. The supporting cancellous bone between the teeth d. The supporting cancellous bone between the teeth The alveolar bone proper 38 / 302 38) The inactive osteoblasts are: a. Osteoproginator cells b. Bone lining cells c. Osteoclasts d. Osteocytes 39 / 302 39) Which of the following fiber groups DO NOT contribute to tooth anchorage? a. Horizontal fiber group b. Intergingival fiber group c. Periapical fiber group, Horizontal fiber group d. Periapical fiber group 40 / 302 40) Who was the first dentist to practiceonlyPeriodontitics: a. Pierre Fauchard b. Carranza c. John W Riggs d. Glickman 41 / 302 41) The attached gingiva is attached to: a. b-Periosteum b. c-Both of the above c. d-None of the above d. a-Root 42 / 302 42) Which one for the following instruments is not used for subgingival scaling: a. Hoe b. Chisel c. All of the above d. Sickle 43 / 302 43) Which of the following antibiotics can concentrate at sites of periodontal inflammation: a. Amoxycillin b. Clindamycin c. Metronidazole d. Azithromycin 44 / 302 44) Which of the following is the method of transferring information in a biofilm ? a. Plasmid transfer b. All are corrects c. Conjugation d. Quorum sensing 45 / 302 45) In CPITN: a. Pocketing of 6mm or more, that is when the gingival margin is on the black area of the probe is code no. 4. b. The dentition is divided into five segments. and Pocketing of 4-5 mm, that is, when the gingival margin is on the clear area is code no. 3. c. For appropriate treatment plan code 3 require supra and subgingival scaling and improvement in home care. d. For appropriate treatment plan code 2 requires improvement in home care. 46 / 302 46) Classically the epithelial rete ridges show a saw tooth appearance, hyperkeratosis or parakeratosis, hydropic degeneration of basal layer and a dense band like infiltrate of Tlymphocytes microscopically in: a. Chronic ulcerative stomatitis. b. Lichen planus. c. Pemphigus. d. Pemphigoid and Linear IgA disease. 47 / 302 47) Adequate stabilization for an extraoral hand rest can be achieved by keeping: a. as much of the hand as possible against the mandible. b. the pad of the ring finger on the chin. c. your upper arm against your body. d. "built-up" fulcrum. 48 / 302 48) Narrow < slit-like> areas of recession over the roots are called: a. festoons. b. fenestrations. c. craters. d. clefts. 49 / 302 49) Instrument used for detection of subgingival caculus: a. Probe b. Both of the above c. None of the above d. Explorer 50 / 302 50) Periodontal attachment loss detect clinically: a. When there is radiographic alveolar bone loss. b. When there is recession and/or true pocket c. When there is recession only. d. When there is true pocket only. 51 / 302 51) Kirkland and Orban knives are used for: a. Root planing b. Curettege c. Scaling d. Gingivectomy 52 / 302 52) The gingival groove, when present, is a good indicator of ? a. Gingival health b. Location of the gingival sulcus bottom c. Gingival healthLocation of the gingival sulcus bottom d. Neither of the above 53 / 302 53) When using the periodontal probe, depths are measured from the: a. base of the pocket to the cementoenamel junction. b. junctional epithelium to the margin of the free gingiva. c. base of the pocket to the mucogingival junction. d. free gingival margin to the cementoenamel junction. 54 / 302 54) Reevaluation of the response to removal of local etiologic factors should be performed: a. at the end of the initial therapy phase. b. throughout the initial preparation stage. c. only when the patient requests it. d. only during the maintenance phase. 55 / 302 55) The Basic Periodontal Examination (BPE): a. Records only the maximum scores in each quadrant b. Does not identify furcation involvement c. Should be undertaken using a Hu-Friedy periodontal probe d. Was designed as a screening tool to assess treatment need and does not identify mobile teeth 56 / 302 56) Which portion of the tooth germ is the primary source of the junctional epithelium? a. Stellate reticulum b. Outer enamel epithelium c. Stratum intermedium d. Stellate reticulum, Stratum intermedium 57 / 302 57) Which of the following is not included in the Green complex?: a. Aggregatibacter actinomycetemcomitans serotype a b. P.gingivalis c. Eikenella corrodens d. Capnocytophaga spp. 58 / 302 58) In human teeth, afibrillar cementum is most likely encountered as ? a. Coronal cementum b. On the roots of unerupted teeth c. Coronal cementum Radicular cementum in furcations d. Radicular cementum in furcations 59 / 302 59) Horizontal bone loss is present in: a. Acute necrotizing ulcerative gingivitis. b. Generalized aggressive periodontitis, Infrabony pockets. c. Localized aggressive periodontitis. d. Chronic periodontitis 60 / 302 60) On lingual surfaces, proper working angulation is achieved by positioning the handle so that it is: a. buccal to the plane of the lingual surfaces. b. in line with or lingual to the plane of the lingual surfaces. c. perpendicular to the long axis of the tooth. d. parallel to the occlusal surfaces. 61 / 302 61) Which of the following is the most permeable portion of the gingival epithelium? a. The junctional epithelium b. The sulcular epithelium c. The oral epithelium d. The sulcular epithelium The oral epithelium 62 / 302 62) Trauma from occlusion does not produce: a. Tooth mobility b. Angular bone loss c. Periodontal pockets d. Widening of periodontal spaces 63 / 302 63) A conventional intraoral finger rest with a “built-up” fulcrum is difficult to establish in what region of the mouth?: a. none of the above b. mandibular posterior c. mandibular anterior d. maxillary posterior . e. maxillary anterior 64 / 302 64) Which of the following is not true of the file?: a. It has only one type of design for the base. b. Its working end is an extension of the shank. c. It has a series of straight cutting edges. d. Its cutting edges may be at 90° to 105° to the base of the shank. 65 / 302 65) Air is used to deflect the free gingival margin in order to detect: a. sub gingival calculus. b. supragingival calculus. c. smooth root surface. d. the cemento enamel junction and inflammation 66 / 302 66) Localized aggressive periodontitis is best treated in early stage by: a. Tetracycline 250mg 4 times daily for fourteen days b. Tetracycline 250mg once daily for 7 days. c. Tetracycline 250mg twice daily for 7 days. d. Tetracycline 250mg 4 times daily for 3 days. and Tetracycline 250mg 4 times daily for 5 days 67 / 302 67) To position a curet for a vertical stroke on an anterior tooth, the handle of the instrument should be: a. buccal to the plane of the lingual surfaces. b. lingual to the plane of the lingual surfaces. c. perpendicular to the long axis of the tooth. d. parallel with the long axis of the tooth. 68 / 302 68) The explorer is used to detect: a. furcations. b. subgingival calculus. c. caries.&irregularities in the cemental surfaces. d. all of the above. 69 / 302 69) Regional lymphnode enlargement is present in: a. Pemphigoid. b. Lichen planus. c. Acute pericronitis. d. Pemphigus vulgaris, Chronic ulcerative stomatitis. 70 / 302 70) The alveolus is lined with? a. A cribriform plate of compact bone b. A cribriform plate of compact bone A cancellous bone surface c. A continuous layer of Haversian bone d. A cancellous bone surface 71 / 302 71) Which of the following is more mineralzed?: a. A cellular extrinsic fiber cementum b. Intermediate cementum c. Cellular intrinsic fiber cementum d. Cellular mixed stratified cementum 72 / 302 72) Periostat is: a. 200mg capsule of doxycycline hyclate b. 100mg capsule of doxycycline hyclate c. 40mg capsule of doxycycline hyclate d. 20mg capsule of doxycycline hyclate 73 / 302 73) Which of the following instrument has a two-point contact with the tooth: a. Sickle b. Currette c. Cumin scaler d. Hoe 74 / 302 74) Leukemic gingival enlargement: a. Occurs by dense cellular accumulation in reticular layer of connective tissue b. Occurs in chronic leukemia. c. Occurs in edentulous areas. d. Occurs by abnormal accumulation of leukemia cells in dermal and subcutaneous connective tissue. and Occurs by dense cellular accumulation in papillary layer of connective tissue. 75 / 302 75) Which ancient medical book recommended cleaning the teeth twice a day with an astringent stick that has been chewed into a brush form: a. Sushrutha Samhita b. Edwin Smith surgical papyrus c. Eberus papyrus d. Charaka Samhita 76 / 302 76) Dried calculus is easier to detect than wet calculus with the explorer because it is: a. less slippery, smoother. b. darker c. harder. d. softer. 77 / 302 77) The mesial furcation of the upper molars is located: a. more toward the lingual than the distal furcation. b. more nearly in the center of the tooth. c. in the buccal one-third of the root surface. d. at the junction of the buccal and middle thirds of the root. 78 / 302 78) A good finger rest or hand rest must be located to allow: a. optimal working angulation. b. wrist-forearm motion. c. parallelism of the handle or shank. d. a "built-up" fulcrum. e. all of the above 79 / 302 79) Which of the following features of the ultrasonic scaling device does not contribute directly or indirectly to the impairment of tactile sensitivity? : a. bulky design , b. the blunt tip c. water spray d. vibrational energy. 80 / 302 80) 40 years diabetic patient, present clinically with periodontal attachment loss and diagnosed as having periodontitis. According to AAP 1999 classification of periodontal diseases, the type of periodontitis in this case is:? a. Chronic periodontitis modified by systemic condition b. Aggressive periodontitis. c. Periodontitis as a manifestation of systemic disease. d. Generalized aggressive periodontitis 81 / 302 81) A serious limitation of the hoes is that they: a. are not designed for heavy calculus removal. b. only adapt to buccal and mesial surfaces. c. cannot be adapted to curved tooth surfaces. d. cannot be sharpened frequently. 82 / 302 82) When scaling the distal surfaces of the posterior teeth with opposite cutting edge of the same blade that adapts to the r surfaces, the handle should be: a. parallel to the plane of the lingual surfaces. b. parallel with the distal surface. c. perpendicular to the occlusal surfaces. d. perpendicular to the distal surface. 83 / 302 83) Failure of Hertwig’s epithelial root sheath to separate from the dentin surface during root development may give rise to which of the following anomalies? a. Sessile cementicles b. Enamel pearls c. Sessile cementicles , Enamel pearls d. Hypercementosis 84 / 302 84) Regarding alveolar bone destruction in periodontitis: a. Radiographs provide an accurate representation of sites undergoing active bone loss b. Osteoclasts are stimulated to resorb bone by interferon-y c. Three-walled vertical defects are well suited for treatment by guided tissue regeneration d. Vertical bony defects have a better prognosis than horizontal defects following non-surgical treatment& Fenestrations and dehiscences predispose sites to periodontal breakdown 85 / 302 85) U.S. food and drug administration for the adjunctive therapy of periodontitis has approved doxycycline hyclate: a. Available as 40mg capsule for use twice daily. b. Available as 20mg capsule for once daily use. c. Available as 100mg capsule for use twice daily and Available as 20mg capsule for use twice daily. d. Available 200mg capsule for use twice daily 86 / 302 86) Subclinical gingivitis is: a. Characterized by predominantly plasma cells microscopically. and Characterized by erythema, bleeding on probing. b. Characterized by predominantly lymphocytes microscopically. c. Characterized by vascular proliferation. d. Characterized by increased crevicular fluid flow and infillration of sulcular and junctional epithelium by polymorphonuclearleukocytes. 87 / 302 87) The best way to detect bony detects is: a. Surgical exposure b. Radiograph at different angulations c. Careful probing and measuring pocket depth d. Careful history taking 88 / 302 88) 15The main route of entry of leukocytes into oral Cavity is through: a. Saliva b. Larynx c. GCF d. Pharynx 89 / 302 89) The narrowest zone of gingiva is found in the region of? a. The buccal surface of the maxillary first molar b. The lingual surface of the mandibular first molar c. The buccal surface of the maxillary first molar The lingual surface of the mandibular first molar d. The buccal surface of the mandibular canine and first premolar 90 / 302 90) The results of the extraoral and intraoral examination should be recorded in the patient’s chart whenever: a. it is performed, regardless of findings. b. a precancerous lesion is found. c. findings are normal. d. findings are abnormal. 91 / 302 91) Stillman’s clefts are caused by: a. Trauma from occlusion b. Developmental defects c. Genetic factors d. Inflammation 92 / 302 92) Cementum 😕 a. Does not contain collagen fibers b. Is derived from the sheath of Hertwig c. Is acellular in the apical third of the tooth d. Often overlaps the enamel 93 / 302 93) The major type of collagen associated with bone matrix is? a. Type I & Type II b. Type I c. Type II d. Type X 94 / 302 94) The air syringe is held with a: a. pen grasp, third finger grasp. b. modified palm grasp. c. modified pen grasp. d. palm grasp, 95 / 302 95) Crater-like deformities are seen in: a. Chronic gingivitis b. NUG c. Aggressive periodontitis d. Chronic periodontitis 96 / 302 96) The mucogingival junction is located between the: a. Free gingival and attached gingiva b. Attached gingiva and alveolar mucosa c. Base of the sulcus and alveolar mucosa d. Fee gingival and tooth 97 / 302 97) Implant surgery is done in: a. Phase II b. Phase IV c. Phase I d. Phase III 98 / 302 98) Cyclosporin- induced gingival enlargement, is more frequent in: a. Adolescents b. Adults c. Old people d. Children 99 / 302 99) Significant serum antibody response to specific Plaque organisms is found in: a. Localized form of chronic periodontitis b. Localized from of aggressive periodontitis c. Generalized from of aggressive periodontitis d. Generalized from of chronic periodontitis 100 / 302 100) If calculus at the junctional epithelium is not detected and removed, the periodontal disease process will continue because the calculus: a. is rough. b. decomposes. c. harbors bacterial plaque. d. irritates the tissue. 101 / 302 101) The active ingredient in periochip is : a. Chlorhexidine b. Minocycline c. Metronidazole d. Tetracycline 102 / 302 102) 12Which of the following is absent in parakeratinized gingiva: a. Stratum corneum b. Stratum granulosum c. Stratum basale d. Stratum spinosum 103 / 302 103) Concerning the following organisms associated with periodontal diseases: a. Porphyromonas gingivdis and Actinobacillus actinomycetemcomitans are frequently isolated from healthy sites b. Actinobacillus actinomycetemcomitans is effectively removed from periodontally involved sites by scaling and root planing c. Streptococci and Actinomyces spp. are early colonising organisms& Fusobacterium nudedum is an anaerobic motile rod implicated in chronic periodontitis d. Actinobacillus actinomycetemcomitans is an indigenous component of oral microflora 104 / 302 104) Which of the following organism’s role is decreased with age: a. F.nucleatum b. P.gingivalis c. P.intermedia d. Aggregatibacter actinomycetemcomitans 105 / 302 105) The biofilms found on tooth surface are termed as:? a. Dental Plaque b. Enamel c. Dental Caries d. Saliva 106 / 302 106) Clinical measurements of probing depths are likely to be influenced by: a. Subgingival calculus b. Inflammatory infiltrate at the base of the pocket and Angulation of the probe c. all of the above d. Probing force and Dimensions of the probe 107 / 302 107) Chlorhexidine gluconate: a. Is a phenolic compound b. Demonstrates substantivity c. Is available in the UK as mouth rinses of both 1.2 and 0.2% and Only stains teeth in patients who smoke d. Is bactericidal only against streptococci 108 / 302 108) Although all of the following procedures may be necessary phases of periodontal therapy, which of these is absolutely essential for successful treatment and a favorable prognosis?: a. elimination of local etiologic factors through plaque control instruction, and reinforcement at each appointment . b. periodontal surgery for pocket elimination c. final evaluation and maintenance on a three-month recall d. thorough scaling, root planing and curettage 109 / 302 109) Drug induced gingival enlargement is more severe in: a. Anterior region b. Edentulous areas c. Molar region d. Premolar region 110 / 302 110) Which of the following structures is NOT part of the enamel organ? a. Stellate reticulum Odontoblast layer b. Odontoblast layer c. Stellate reticulum d. Stratum intermedium 111 / 302 111) Metronidazole: a. Penetrates stgnation areas well b. Is mainly active against gram-positive aerobes c. Is effective in the management of necrotizing ulcerative gingivitis d. Is mainly concentrated in saliva 112 / 302 112) The submandibular salivary glands are best examined by: a. transillumination. b. indirect vision in the mirror. c. asking the patient to lift the tongue up and back. d. bimanual palpation. 113 / 302 113) The gram negative bacteria most numerous in oral cavity is:? a. Streptococci b. Selenomous c. Veillonella d. Eikenella 114 / 302 114) The ultrasonic sealer only dislodges calculus that: a. is already loose. b. is in direct contact with the tip. c. has been formed recently. d. is located on the interproximal surfaces. 115 / 302 115) How many working ends of a hoe are needed to make a complete s that will adapt to all tooth surfaces?: a. three b. two c. one d. six e. four 116 / 302 116) Incorrect adaptation of the tip as shown above would result in: a. gouging of the root surface. b. laceration of the tissue with the tip. c. altering the line angle of the tooth. d. failure to detect calculus. 117 / 302 117) 21The periodontal pathogenicity of Actinobacillus Actonomycetemcomitans is primarily attributed to its Production of: a. Platelet aggregation factor b. Hyluronidase c. Leukotoxin d. Collagenase 118 / 302 118) Synthetic resorbable suturing materials in periodontal surgery is: a. Polyglycolic. b. Nylon. c. Polyester, Chromic gut. d. Expanded polytetra fluoroethylene. 119 / 302 119) The lactoperoxidase thiocynate system present in saliva is against:? a. Actinomyces b. Actinomycetemcomitans c. Gingivalis d. Streptococcus 120 / 302 120) Necrotising ulcerative gingivitis (NUG): a. Should always be treated using metronidazole as the first line of treatment b. Is a viral infection c. Is a painful condition and Is likely to recur in the absence of long-term maintenance d. Is characterised by vesicles that break down to form yellow-grey ulcers with a red 'halo' of inflammation 121 / 302 121) Which of the following dose not increase the flow of crevicular fluid: a. Inflammation b. Trauma from occlusion c. Brushing d. Smoking 122 / 302 122) The mobility of the teeth is graded 3 if: a. The mobility is 1mm. b. The mobility is in apicoocclusal direction and 1mm in labiolingual direction. and The mobility is in apicoocclusal direction and mobility is less than 1mm in labio -lingual direction. c. The mobility is in apicoocclusal direction and mobility in labio-lingual direction is more than 2mm. d. The mobility is less than 1mm. 123 / 302 123) In order to open the angulation of a curet blade in relation to the tooth surface, the shank must be moved: a. More perpendicular to the long axis. b. Away from the tooth. c. More parallel to the long axis. d. Toward the tooth. 124 / 302 124) CELLULAR cementum is most likely found around ? a. The root of an unerupted tooth b. The apical portion of the root c. The root of an unerupted tooth The apical portion of the root d. The cervical portion of the root 125 / 302 125) The amount of gingival crevicular fluid is: a. Increase by trauma from occlusion. b. Increased by tooth brushing and gingival massage. c. Decreased by mastication of coarse foods and smoking. and Decreased by ovulation and hormonal contraceptives. d. Decreased when inflammation is present. 126 / 302 126) The effect of hormonal imbalance on periodontal tissue is: a. They modify the tissue response to plaque b. All of the above c. Produce anatomic changes that favour trauma from occlusion d. They show manifestations 127 / 302 127) Furcation is best detected by which probe: a. Naber’s probe b. University of Michigan’O’ probe c. Marquis color coded probe d. WHO probe 128 / 302 128) Mandibular first molars with grade I furcation involvement: a. Should be managed using a tunnel preparation b. Are almost certainly non-vital c. Have horizontal attachment loss of <l/3 the width of the tooth and May be managed using guided tissue regeneration (GTR) d. Demonstrate horizontal mobility of > 1.0 mm 129 / 302 129) A sludge of metal shavings and oil that develops on the face of the blade indicates that: a. the cutting edge may be sharp. b. the stone is being held at an incorrect angulation. c. too much pressure is being applied with the sharpening stone. d. too much oil is being used to lubricate the stone. 130 / 302 130) Prevalence of gingivitis increased during: a. Pregnancy b. Menstruation c. All the above d. Puberty 131 / 302 131) In the presence of HEAVY function the periodontal ligament undergoes certain changes as compared to a ligament in light function. Which of the following statements best describes these changes? a. Decreased width and increased cellularity Increased width and decreased cellularity b. Decreased width and increased cellularity c. Increased width and decreased cellularity d. Increased width and increased cellularity 132 / 302 132) Vertical, infrabony defects are frequently seen on radiographs: a. In patients with localised aggressive periodontitis, Adjacent to a tooth which has 'tipped' into an extraction space and Adjacent to an overhanging restoration b. On teeth that serve as abutments to partial dentures, On teeth that serve as abutments for bridge retainers c. On teeth that serve as abutments to partial dentures d. On teeth that serve as abutments for bridge retainers 133 / 302 133) Furcation involvement is measured by: a. Michigan “O” probe. and Periodontal explore b. Naber’s probe. c. WHO probe. d. CPITN probe. 134 / 302 134) Who described scaling of teeth with a sophisticated set of instruments in 10th century itself: a. Etruscans b. Plato c. Ibn Sina d. Abul-Qasim 135 / 302 135) Rolling the handle of the explorer between the thumb and fingers is important because it: a. strengthens the finger muscles. b. decreases tactile sensitivity. c. is a key to adapting the working end around line angles and in depressions. d. can cause laceration of the tissue. 136 / 302 136) According to the random burst model of periodontal disease progression: a. Disease activity is present only at sites that bleed b. Multiple sites break down within a finite time period c. Some sites remain free of disease throughout the life of the patient and Sites of previous disease may remain quiescent indefinitely d. Bursts of disease activity are random with respect to previous episodes of destruction 137 / 302 137) Cementum that usually fills resorption lacunae: a. Cellular intrinsic fiber cementum b. Acellular extrinsic fiber cementum c. None of the above d. Intermediate cementum 138 / 302 138) If periodontal procedures have tobe carried out more than once, the minimum gap between two prophylactic antibiotic regimes in case of prophylaxis against SABE, should be: a. 42days b. 7days c. 2days d. 20days 139 / 302 139) Select the most appropriate answer in pregnancy the severity of gingivitis starts increasing during: a. Second month b. 4th month c. First month d. 6th month 140 / 302 140) 16Which of the following is found in acellular Afibrillar cementum: a. None of the above b. Extrinsic collagen c. Cells d. Intrinsic collagen 141 / 302 141) The main function of gingiva is : a. Taking the brunt of mastication b. Attaching the tooth to alveolar bone c. Providing blood supply to teeth d. Protection of underlying tissues 142 / 302 142) The most common crystalline forms present in supragingival calculus are: a. Magnesium whitlockite and octacalcium phosphate b. Hydroxyapatite and magnesium whitlockite c. Hydroxyapatite and brushite d. Hydroxyapatite and octacalcium phosphater 143 / 302 143) The average width of the periodontal ligament around a functional permanent tooth is ? a. 0.5 – 1.0 mm b. 0.03 – 0.05 mm c. 0.2 – 0.3 mm d. 0.2 – 0.3 mm, 0.03 – 0.05 mm 144 / 302 144) Calculocementum is : a. Cementum appearing morphologically similar to calculus b. Calculus appearing morphologically similar to cementum c. Cementum similar in composition to calculus d. Calculus similar in composition to cementum 145 / 302 145) If the probing pocket depth is 6mm and gingival recession is 2mm then the total clinical attachment loss is: a. 6mm b. 8mm c. 2mm d. 4mm 146 / 302 146) Instrument used for crushing of subgingival calculus: a. Hirsch field-file b. Oschenbein chisel c. Ball-sickle d. After five curette 147 / 302 147) The most objective and reliable indication of successful scaling and root planing is: a. root smoothness. b. lack of bleeding upon probing. c. reduction of pocket depth. d. absence of plaque. 148 / 302 148) The predominant inflammatory cell in early lesion: a. Macrophages b. T lymphocytes c. Plasma cell d. Neutrophil 149 / 302 149) The distance between the apical extent of the calculus and alveolar crest in human periodontal pockets is: a. 0.2mm. b. 3mm. c. 1.97mm (=33.16%). d. 4mm , 0.02mm. 150 / 302 150) Dcntogingival unit comprises: a. Gingival fiber and junctiona1 epithelium b. Periodontal fibers and ligament c. None of the above d. Gingival fibers 151 / 302 151) Which of the following tissues is the MOST likely source of cementogenic cells in adults who have undergone root planing? a. Residual cementum patches b. Bone marrow Periodontal ligament c. Periodontal ligament d. Bone marrow 152 / 302 152) The best way to examine the dorsum of the tongue is to: a. extend the tongue fully by grasping with a dry gauze square and use direct vision. b. palpate between the thumb and index finger. c. use a dental mirror for indirect vision. d. ask patient to say "ah" and depress tongue with mouth mirror. 153 / 302 153) The modified pen grasp is distinguished from other grasps because: a. the index finger is placed on the shank. b. the pad of the middle finger is placed on the shank. c. the thumb, middle and ring finger are used. d. d. the side of the middle finger is placed against the shank. 154 / 302 154) The aim of root planing is to: a. Remove calculus deposits and necrotic cementation and Facilitate healing by formation of a long junctional epithelium b. Obtain a new connective tissue attachment to the root surface c. Remove the entire cementum layer to expose dentine d. Remove the ulcerated epithelial pocket wall 155 / 302 155) Which one of the following species of Streptococci is usually not found in dental plaque? a. S. sanguis b. S. mutans c. S. pyogens d. S. salivarius 156 / 302 156) For complete removal of calculus on a proximal surface, strokes should be extended: a. onto the lingual surface. b. to the cementoenamel junction. c. just under the gingiva. d. at least halfway across the surface. 157 / 302 157) Adhesion molecule present in cementum: a. Vascular adhesion molecule b. None of the above c. Cementum attachment protein d. Insulin growth factor 158 / 302 158) The sequence in which quadrants or sextants are scaled in a series of appointments: a. depends upon the patient's needs. b. does not matter. c. is the same in every case. d. should always begin with the most severely involved area. 159 / 302 159) While activating the instrument, the finger rest acts as a: a. pivot point for movement. b. stabilizing point for the hand c. all of the above. d. fulcrum for activation of wrist-forearm motion. 160 / 302 160) The most reliable means of detecting periodontal pockets: a. testing for mobility of teeth b. visual examination. c. radiographic examination. d. probing. 161 / 302 161) Levi Spear Parmly is : a. None of the above b. Inventor of dental floss c. The father of oral hygiene d. Both of the above 162 / 302 162) Under absolutely normal conditions,the depth gingival sulcus is about: a. 1mm b. 2mm c. 0mm d. 3mm 163 / 302 163) The width of the attached gingiva with age : a. Increases b. None of the above c. No change d. Decreases 164 / 302 164) Basal bone is not part of the periodontium, as it is located under the alveolar process that houses the dentition. Following completion of amelogenesis in humans, the anatomic crown is lined with a layer of reduced enamel epithelium. This layer is derived primarily from which of the following? a. Stratum intermedium and ameloblast layer b. Outer enamel epithelium and stellate reticulum c. Stellate reticulum and stratum intermedium d. Stellate reticulum and stratum intermedium&Stratum intermedium and ameloblast layer 165 / 302 165) In humans, bundle bone is most likely to be found? a. On the mesial surface of the alveolus b. On the distal surface of the alveolus c. On the distal surface of the alveolus Lining the fundus of the alveolus d. Lining the fundus of the alveolus 166 / 302 166) The explorer should be inserted with a: a. short, pushing motion. b. short, oblique stroke. c. plunging vertical stroke. d. vertical pushing motion. 167 / 302 167) The best diagnostic sign of gingival inflammation is: a. retractability. b. bleeding. c. edema. d. cratering. e. texture. 168 / 302 168) In order to close the angulation of a curet blade in relation to the tooth surface, the shank must be moved: a. More parallel to the long axis. b. Toward the tooth. c. More perpendicular to the long axis. d. Away from the tooth. 169 / 302 169) A wire edge is produced: a. when the last stroke of the stone is drawn away from the cutting edge. b. when no oil is used for lubrication of the stone. c. when using a mounted ruby stone only. d. only when using a coarse artificial stone. 170 / 302 170) Which of the following is not a gingival fiber group? a. Transsepta b. Alveolar crest c. Semicircular d. Semicircular, Alveolar crest Transsepta 171 / 302 171) Which of the following best describes the histology of a predominantly resorbing bone surface? a. Howship's lacunae b. All of the above c. Reversal lines and Howship's lacunae d. Reversal lines 172 / 302 172) Gingival bleeding on probing appears: a. Not related with the color changes b. Before the color changes c. At the same time as the color changes d. After the color changes 173 / 302 173) A glycoprotein that promotes new attachment and increased cell proliferation is:? a. Fibronectin b. Glycosaminoglycans c. Fibropectin d. Glycogen 174 / 302 174) Which portion of the tooth germ is the primary source of the periodontal ligament? a. Dental follicl Stratum intermedium b. Stratum intermedium c. Hertwig's epithelial root sheath d. Dental follicle 175 / 302 175) Cross-section of sickle scaler is: a. Half circular b. Triangular c. Circular d. Oval 176 / 302 176) Gingival Inflammation Involving the entire attached gingiva Is tarmodi : a. papillary. b. severe. c. generalized. d. marginal. e. diffuse. 177 / 302 177) Average human biologic width is: a. 4mm. b. 1mm & 0.5mm. c. 3mm. d. 2mm. 178 / 302 178) The primary objective of scaling and root planing is to: a. cause shrinkage of gingival tissues. b. create glasslike root surfaces. c. remove all the cementum. d. restore gingival tissues to health.