Endodontics Endodontics SDLE MCQ | Part 2 Facebook X LinkedIn Messenger Messenger WhatsApp Telegram Print Report a question What's wrong with this question? You cannot submit an empty report. Please add some details. 0% 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950 Endodontics Endodontics SDLE MCQ | Part 2 DentQuiz SDLE Mock Exam Instruction To mark a question and come back to it later, click the Bookmark icon. For the best experience, use a computer and switch to full screen button (from the top left corner). You can review and change your answers before clicking Next. Explanations will appear after each question to help you understand the correct answer. Your results will be shown right after you finish the exam. This is a fresh attempt — previous answers or bookmarks won't be saved. The source of the questions and answers is recent Rafee’ Al-Maqam files. Special thanks to رفيع المقام. Answers are based on colleagues best efforts and may not be 100% accurate. If you believe an answer is incorrect, please click the Report button to let us know. Please fill in your details to continue NameEmailPhone Number 1 / 50 Category: Endodontics 1) A patient has an endo-perio lesion with deep pockets. What is the management? Start endo and follow up Extraction Start endo then perio Start perio Endo should be addressed first in endo-perio lesions. 2 / 50 Category: Endodontics 2) Which tooth is most difficult to anesthetize in symptomatic irreversible pulpitis? Lower molar Lower premolar Upper premolar Upper molar Lower molars are challenging due to dense bone and nerve anatomy. 3 / 50 Category: Endodontics 3) A patient has implants in the anterior lower jaw. The adjacent natural tooth is mobile (grade 3) with a very short root and no pain on endo tests. What is the treatment? Perio then endo Endo and follow up Perio and follow up Endo immediately and adjunctive Perio Mobility and short roots suggest periodontal issues; endo is not indicated without symptoms. 4 / 50 Category: Endodontics 4) An X-ray shows short roots with bone replacement. What is the diagnosis? External replacement resorption Internal resorption Surface resorption Cervical resorption External replacement resorption involves bone replacing the root structure. 5 / 50 Category: Endodontics 5) Which rotary file system uses reciprocation movement? K-file WaveOne H-file ProTaper WaveOne uses a reciprocating motion for canal preparation. 6 / 50 Category: Endodontics 6) What is the consequence of direct pulp capping in a primary tooth? Pulp necrosis External resorption Internal resorption Pulp obliteration Direct pulp capping in primary teeth can lead to internal resorption. 7 / 50 Category: Endodontics 7) How long should calcium hydroxide be placed in the canal for antimicrobial effect? 4 weeks 2 weeks 24 hours 3 days Calcium hydroxide requires 2 weeks for optimal antimicrobial effect. 8 / 50 Category: Endodontics 8) Pain increases with hot food and decreases with cold. What is the likely diagnosis? Symptomatic irreversible pulpitis Necrosis Reversible pulpitis Periodontitis This is a classic symptom of irreversible pulpitis. 9 / 50 Category: Endodontics 9) A tooth with a history of trauma 20 years ago has 1/3 of the crown remaining. What is the prognosis? Good Questionable Poor Fair Severe crown loss indicates a poor prognosis. 10 / 50 Category: Endodontics 10) Which instrument has an active cutting tip? Barbed broach Reamer H file K file The K file has an active cutting tip, making it effective for canal preparation. 11 / 50 Category: Endodontics 11) A necrotic tooth without swelling requires what treatment? Start endo Antibiotics Extraction Follow up Necrotic teeth without swelling should be treated with RCT. 12 / 50 Category: Endodontics 12) A molar tooth has a deep restoration and one canal is obliterated. What is the likely cause? External resorption Fracture Calcification Internal resorption Calcification is a common response to deep restorations. 13 / 50 Category: Endodontics 13) How long should calcium hydroxide be placed in the canal for optimal antimicrobial effect? 1 Day 1 Hour 1 Week 1 Month Calcium hydroxide requires at least 1 week to exert its antimicrobial effect. 14 / 50 Category: Endodontics 14) A sound tooth has pain on percussion and no response to cold test. What is the diagnosis? True combined Perio primary with endo secondary Endo primary with perio secondary Periodontal combined Pain on percussion and no cold response suggest periodontal issues. 15 / 50 Category: Endodontics 15) What is the most common cause of a broken file during RCT? Curved canals Excessive force Inadequate access cavity Poor file quality Inadequate access cavity increases the risk of file separation. 16 / 50 Category: Endodontics 16) A 9-year-old child has a double horizontal root fracture. What is the management? Extract the coronal segment Splint the tooth Observe and follow up Extract both segments Management depends on whether the tooth is primary or permanent. 17 / 50 Category: Endodontics 17) A patient presents with trauma and pulp exposure 1 day ago. What is the treatment? Pulpotomy RCT Direct pulp capping Partial pulpotomy Pulpotomy is indicated for recent pulp exposure in vital teeth. 18 / 50 Category: Endodontics 18) A molar has radiolucency below the furcation, deep probing depth, and is necrotic. What is the diagnosis? Primary endo secondary perio Endo only Primary perio secondary endo Perio only Necrotic pulp with deep probing suggests endodontic involvement. 19 / 50 Category: Endodontics 19) A patient has discomfort while biting and a gap between gutta-percha and a metal post. What is the management? Perform endo surgery Reassure the patient Prescribe analgesics Redo RCT A gap indicates a failed RCT, so redoing the RCT is necessary. 20 / 50 Category: Endodontics 20) A pediatric patient has deep caries with intermittent pain provoked by sweets. What is the diagnosis? Pulp polyp Reversible pulpitis Pulp necrosis Irreversible pulpitis Intermittent pain suggests reversible pulpitis. 21 / 50 Category: Endodontics 21) A tooth had RCT, failed, and was re-treated. An apical abscess is present. What is the prognosis? Good Fair Questionable Poor Persistent apical abscess indicates a poor prognosis. 22 / 50 Category: Endodontics 22) What type of resorption is caused by non-vital bleaching? Replacement Surface External cervical Internal Non-vital bleaching can lead to external cervical resorption. 23 / 50 Category: Endodontics 23) How to check for crown and root fracture? X-ray Tooth slooth Seating jig Percussion Tooth slooth is a diagnostic tool for identifying crown and root fractures. 24 / 50 Category: Endodontics 24) Which temporary filling material provides the best sealing ability after RCT? Glass ionomer Cavit IRM Fermit Glass ionomer provides excellent sealing ability. 25 / 50 Category: Endodontics 25) What is the likely outcome of intrusion of a primary incisor? Devitalization Possible palatal displacement of permanent Hypoplasia No effect Intrusion of primary incisors can affect the position of permanent successors. 26 / 50 Category: Endodontics 26) How far should root canal preparation extend? 1 to 2 mm before the radiographic apex At the radiographic apex 0.5 to 1 mm before the radiographic apex Beyond the radiographic apex Preparation should stop 0.5 to 1 mm before the radiographic apex. 27 / 50 Category: Endodontics 27) An unclear X-ray is taken with a mesial shift. Which structure is mesial? Distal Mesiobuccal Buccal Mesiolingual The SLOB rule (Same Lingual, Opposite Buccal) applies. 28 / 50 Category: Endodontics 28) Calculate D9 of a file with size 30 and taper 0.04. 0.66 0.36 0.3 0.72 D9 = 0.30 (size) + (0.04 × 9) = 0.66. 29 / 50 Category: Endodontics 29) A 75-year-old patient presents with a broken MO restoration. Probing depth is normal, cold test shows no response, EPT is positive, and percussion/palpation is normal. What is the diagnosis? Asymptomatic irreversible pulpitis Symptomatic irreversible pulpitis Normal pulp and apical tissue Necrotic pulp Positive EPT and normal percussion/palpation indicate normal pulp. 30 / 50 Category: Endodontics 30) Why is the smear layer removed during endo? None To allow sealer penetration To reduce sealer setting time To improve antimicrobial activity Removing the smear layer ensures better sealer adhesion. 31 / 50 Category: Endodontics 31) A patient feels discomfort in a lower bridge (44-46). Tooth #44 has a tear-drop radiolucency. What is the diagnosis? Normal Failed endo Vertical root fracture Periapical abscess Tear-drop radiolucency suggests vertical root fracture. 32 / 50 Category: Endodontics 32) How many canals does an upper first premolar typically have? 4 1 3 2 Upper first premolars usually have two canals. 33 / 50 Category: Endodontics 33) What is the composition of PCA? EDTA, CaOH, glycol None EDTA, NaOCl, glycol EDTA, urea peroxide, glycol PCA contains EDTA, urea peroxide, and glycol. 34 / 50 Category: Endodontics 34) A tooth has two broken files beyond the apex. What is the prognosis? Good Fair Poor Questionable Broken files beyond the apex have a poor prognosis. 35 / 50 Category: Endodontics 35) During RCT, an apex locator makes a sound when inserted. What is happening? File separation Coronal perforation Normal Apical perforation A sound from the apex locator suggests coronal perforation. 36 / 50 Category: Endodontics 36) What is D9 of a rotary file with size 10 and taper 0.02? 0.3 0.34 0.28 0.32 D9 = 0.10 (size) + (0.02 × 9) = 0.28. 37 / 50 Category: Endodontics 37) A calcified canal is difficult to locate. What is the best test? X-ray Methylene blue Bubble test CBCT The bubble test helps locate calcified canals. 38 / 50 Category: Endodontics 38) A tooth with deep caries and normal pulp is sensitive to percussion but not tender. Upon caries removal, pulp exposure occurs. What is the diagnosis? Reversible pulpitis Necrotic pulp Asymptomatic irreversible pulpitis with normal apical tissue Asymptomatic irreversible pulpitis with symptomatic apical tissue Pulp exposure with normal apical tissue indicates asymptomatic irreversible pulpitis. 39 / 50 Category: Endodontics 39) What is the maximum size of an endo voxel? 0.04mm 0.2mm 0.02mm 0.4mm The maximum size of an endo voxel is 0.2mm. 40 / 50 Category: Endodontics 40) A 13-year-old with an avulsed tooth kept in milk. What is the best management? Reimplant immediately Keep it in milk Extraoral RCT Splint it directly Milk is a suitable medium for preserving the tooth before reimplantation. 41 / 50 Category: Endodontics 41) A tooth was avulsed and kept in milk for 3 hours. What is the management? No treatment Immediately splint with rigid splint Extract the tooth Immerse in 2% sodium fluoride for 20 minutes and splint Sodium fluoride helps reduce resorption, and splinting stabilizes the tooth. 42 / 50 Category: Endodontics 42) A patient has irreversible pulpitis in tooth #37 and an impacted #38 with a large cyst. What is the first step? Extract #38 No treatment Inform the patient about the cyst Treat #37 and inform the patient Treat the symptomatic tooth first, then address the cyst. 43 / 50 Category: Endodontics 43) What is the effect of intrusion of primary central incisors on the permanent successor? Hypoplasia No effect Palatal orientation of crown Devitalization Intrusion of primary teeth can cause palatal displacement of permanent successors. 44 / 50 Category: Endodontics 44) Why is the smear layer removed during endo? To allow bactericidal properties To reduce sealer setting time None To improve sealer adhesion Removing the smear layer improves sealer penetration. 45 / 50 Category: Endodontics 45) A patient has pain on biting on teeth #44 and #45. Large amalgam restorations are present. What is the best diagnostic test? Examination and transillumination PA Percussion Palpation Pain on biting suggests percussion testing. 46 / 50 Category: Endodontics 46) A patient has a horizontal root fracture between the middle and apical thirds. The fracture line is radiopaque, and there is no response to cold test. What is the treatment? RCT for coronal part only Extraction Pulpotomy RCT for all roots Only the coronal part requires RCT in horizontal root fractures. 47 / 50 Category: Endodontics 47) What is the best instrument to locate the orifice in endo? Explorer Ultrasonic File Reamer An explorer is used to locate canal orifices. 48 / 50 Category: Endodontics 48) What type of trauma causes a central incisor to appear longer than adjacent teeth? Intrusion Lateral luxation Extrusion Avulsion Extrusion causes the tooth to appear longer due to displacement. 49 / 50 Category: Endodontics 49) Where should the obturation stop in the root canal? Minor apical constriction Major apical constriction Anatomical apex Radiographic apex Obturation should stop at the minor apical constriction for optimal sealing. 50 / 50 Category: Endodontics 50) How long should a cervical tooth fracture be splinted? 6 months 8 months 12 months 4 months Cervical fractures typically require 4 months of splinting. Your score is The average score is 73% Facebook Twitter 0% Restart quiz Please rate this exam and leave a comment with any notes or suggestions. 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