Endodontics Endodontics SDLE MCQ | Part 2 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 molar has radiolucency below the furcation, deep probing depth, and is necrotic. What is the diagnosis? Perio only Endo only Primary endo secondary perio Primary perio secondary endo Necrotic pulp with deep probing suggests endodontic involvement. 2 / 50 Category: Endodontics 2) A pediatric patient has deep caries with intermittent pain provoked by sweets. What is the diagnosis? Pulp polyp Pulp necrosis Reversible pulpitis Irreversible pulpitis Intermittent pain suggests reversible pulpitis. 3 / 50 Category: Endodontics 3) How many canals does an upper first premolar typically have? 1 3 2 4 Upper first premolars usually have two canals. 4 / 50 Category: Endodontics 4) How long should a cervical tooth fracture be splinted? 6 months 12 months 4 months 8 months Cervical fractures typically require 4 months of splinting. 5 / 50 Category: Endodontics 5) A patient presents with trauma and pulp exposure 1 day ago. What is the treatment? Partial pulpotomy RCT Direct pulp capping Pulpotomy Pulpotomy is indicated for recent pulp exposure in vital teeth. 6 / 50 Category: Endodontics 6) What is the most common cause of a broken file during RCT? Curved canals Poor file quality Excessive force Inadequate access cavity Inadequate access cavity increases the risk of file separation. 7 / 50 Category: Endodontics 7) A tooth had RCT, failed, and was re-treated. An apical abscess is present. What is the prognosis? Questionable Poor Fair Good Persistent apical abscess indicates a poor prognosis. 8 / 50 Category: Endodontics 8) Calculate D9 of a file with size 30 and taper 0.04. 0.72 0.36 0.3 0.66 D9 = 0.30 (size) + (0.04 × 9) = 0.66. 9 / 50 Category: Endodontics 9) A necrotic tooth without swelling requires what treatment? Start endo Antibiotics Extraction Follow up Necrotic teeth without swelling should be treated with RCT. 10 / 50 Category: Endodontics 10) 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? Symptomatic irreversible pulpitis Normal pulp and apical tissue Necrotic pulp Asymptomatic irreversible pulpitis Positive EPT and normal percussion/palpation indicate normal pulp. 11 / 50 Category: Endodontics 11) How long should calcium hydroxide be placed in the canal for antimicrobial effect? 4 weeks 24 hours 2 weeks 3 days Calcium hydroxide requires 2 weeks for optimal antimicrobial effect. 12 / 50 Category: Endodontics 12) A sound tooth has pain on percussion and no response to cold test. What is the diagnosis? Perio primary with endo secondary Periodontal combined True combined Endo primary with perio secondary Pain on percussion and no cold response suggest periodontal issues. 13 / 50 Category: Endodontics 13) Why is the smear layer removed during endo? None To allow sealer penetration To improve antimicrobial activity To reduce sealer setting time Removing the smear layer ensures better sealer adhesion. 14 / 50 Category: Endodontics 14) Why is the smear layer removed during endo? To improve sealer adhesion None To allow bactericidal properties To reduce sealer setting time Removing the smear layer improves sealer penetration. 15 / 50 Category: Endodontics 15) 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? Extraction Pulpotomy RCT for all roots RCT for coronal part only Only the coronal part requires RCT in horizontal root fractures. 16 / 50 Category: Endodontics 16) A molar tooth has a deep restoration and one canal is obliterated. What is the likely cause? Fracture Calcification External resorption Internal resorption Calcification is a common response to deep restorations. 17 / 50 Category: Endodontics 17) 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. 18 / 50 Category: Endodontics 18) A patient feels discomfort in a lower bridge (44-46). Tooth #44 has a tear-drop radiolucency. What is the diagnosis? Failed endo Vertical root fracture Normal Periapical abscess Tear-drop radiolucency suggests vertical root fracture. 19 / 50 Category: Endodontics 19) What is the likely outcome of intrusion of a primary incisor? Possible palatal displacement of permanent Devitalization Hypoplasia No effect Intrusion of primary incisors can affect the position of permanent successors. 20 / 50 Category: Endodontics 20) How to check for crown and root fracture? Percussion Tooth slooth X-ray Seating jig Tooth slooth is a diagnostic tool for identifying crown and root fractures. 21 / 50 Category: Endodontics 21) A calcified canal is difficult to locate. What is the best test? Methylene blue X-ray Bubble test CBCT The bubble test helps locate calcified canals. 22 / 50 Category: Endodontics 22) What is the composition of PCA? None EDTA, urea peroxide, glycol EDTA, NaOCl, glycol EDTA, CaOH, glycol PCA contains EDTA, urea peroxide, and glycol. 23 / 50 Category: Endodontics 23) 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? Asymptomatic irreversible pulpitis with symptomatic apical tissue Necrotic pulp Asymptomatic irreversible pulpitis with normal apical tissue Reversible pulpitis Pulp exposure with normal apical tissue indicates asymptomatic irreversible pulpitis. 24 / 50 Category: Endodontics 24) Which temporary filling material provides the best sealing ability after RCT? Glass ionomer Cavit Fermit IRM Glass ionomer provides excellent sealing ability. 25 / 50 Category: Endodontics 25) A patient has pain on biting on teeth #44 and #45. Large amalgam restorations are present. What is the best diagnostic test? Percussion Examination and transillumination Palpation PA Pain on biting suggests percussion testing. 26 / 50 Category: Endodontics 26) What is D9 of a rotary file with size 10 and taper 0.02? 0.3 0.34 0.32 0.28 D9 = 0.10 (size) + (0.02 × 9) = 0.28. 27 / 50 Category: Endodontics 27) A patient has irreversible pulpitis in tooth #37 and an impacted #38 with a large cyst. What is the first step? No treatment Inform the patient about the cyst Extract #38 Treat #37 and inform the patient Treat the symptomatic tooth first, then address the cyst. 28 / 50 Category: Endodontics 28) What is the effect of intrusion of primary central incisors on the permanent successor? No effect Hypoplasia Palatal orientation of crown Devitalization Intrusion of primary teeth can cause palatal displacement of permanent successors. 29 / 50 Category: Endodontics 29) Which tooth is most difficult to anesthetize in symptomatic irreversible pulpitis? Lower premolar Upper molar Upper premolar Lower molar Lower molars are challenging due to dense bone and nerve anatomy. 30 / 50 Category: Endodontics 30) A tooth has two broken files beyond the apex. What is the prognosis? Fair Good Questionable Poor Broken files beyond the apex have a poor prognosis. 31 / 50 Category: Endodontics 31) During RCT, an apex locator makes a sound when inserted. What is happening? Coronal perforation Normal Apical perforation File separation A sound from the apex locator suggests coronal perforation. 32 / 50 Category: Endodontics 32) Where should the obturation stop in the root canal? Major apical constriction Minor apical constriction Radiographic apex Anatomical apex Obturation should stop at the minor apical constriction for optimal sealing. 33 / 50 Category: Endodontics 33) What is the best instrument to locate the orifice in endo? Reamer Explorer File Ultrasonic An explorer is used to locate canal orifices. 34 / 50 Category: Endodontics 34) Which rotary file system uses reciprocation movement? H-file K-file ProTaper WaveOne WaveOne uses a reciprocating motion for canal preparation. 35 / 50 Category: Endodontics 35) Which instrument has an active cutting tip? K file Barbed broach H file Reamer The K file has an active cutting tip, making it effective for canal preparation. 36 / 50 Category: Endodontics 36) How long should calcium hydroxide be placed in the canal for optimal antimicrobial effect? 1 Week 1 Day 1 Month 1 Hour Calcium hydroxide requires at least 1 week to exert its antimicrobial effect. 37 / 50 Category: Endodontics 37) What is the consequence of direct pulp capping in a primary tooth? Pulp necrosis Pulp obliteration Internal resorption External resorption Direct pulp capping in primary teeth can lead to internal resorption. 38 / 50 Category: Endodontics 38) Pain increases with hot food and decreases with cold. What is the likely diagnosis? Symptomatic irreversible pulpitis Reversible pulpitis Necrosis Periodontitis This is a classic symptom of irreversible pulpitis. 39 / 50 Category: Endodontics 39) What type of trauma causes a central incisor to appear longer than adjacent teeth? Lateral luxation Avulsion Intrusion Extrusion Extrusion causes the tooth to appear longer due to displacement. 40 / 50 Category: Endodontics 40) A patient has an endo-perio lesion with deep pockets. What is the management? Extraction Start endo and follow up Start perio Start endo then perio Endo should be addressed first in endo-perio lesions. 41 / 50 Category: Endodontics 41) How far should root canal preparation extend? 0.5 to 1 mm before the radiographic apex At the radiographic apex 1 to 2 mm before the radiographic apex Beyond the radiographic apex Preparation should stop 0.5 to 1 mm before the radiographic apex. 42 / 50 Category: Endodontics 42) An X-ray shows short roots with bone replacement. What is the diagnosis? Surface resorption External replacement resorption Internal resorption Cervical resorption External replacement resorption involves bone replacing the root structure. 43 / 50 Category: Endodontics 43) A patient has discomfort while biting and a gap between gutta-percha and a metal post. What is the management? Prescribe analgesics Perform endo surgery Reassure the patient Redo RCT A gap indicates a failed RCT, so redoing the RCT is necessary. 44 / 50 Category: Endodontics 44) A 9-year-old child has a double horizontal root fracture. What is the management? Observe and follow up Splint the tooth Extract the coronal segment Extract both segments Management depends on whether the tooth is primary or permanent. 45 / 50 Category: Endodontics 45) A tooth with a history of trauma 20 years ago has 1/3 of the crown remaining. What is the prognosis? Questionable Good Fair Poor Severe crown loss indicates a poor prognosis. 46 / 50 Category: Endodontics 46) A 13-year-old with an avulsed tooth kept in milk. What is the best management? Extraoral RCT Reimplant immediately Splint it directly Keep it in milk Milk is a suitable medium for preserving the tooth before reimplantation. 47 / 50 Category: Endodontics 47) An unclear X-ray is taken with a mesial shift. Which structure is mesial? Mesiolingual Buccal Distal Mesiobuccal The SLOB rule (Same Lingual, Opposite Buccal) applies. 48 / 50 Category: Endodontics 48) A tooth was avulsed and kept in milk for 3 hours. What is the management? Extract the tooth Immerse in 2% sodium fluoride for 20 minutes and splint Immediately splint with rigid splint No treatment Sodium fluoride helps reduce resorption, and splinting stabilizes the tooth. 49 / 50 Category: Endodontics 49) What type of resorption is caused by non-vital bleaching? External cervical Internal Replacement Surface Non-vital bleaching can lead to external cervical resorption. 50 / 50 Category: Endodontics 50) What is the maximum size of an endo voxel? 0.4mm 0.2mm 0.04mm 0.02mm The maximum size of an endo voxel is 0.2mm. Your score is The average score is 69% Facebook Twitter 0% Restart quiz Please rate this exam and leave a comment with any notes or suggestions. Anonymous feedback Thank you for your feedback Send feedback