**4<Q>When considering the clinical scenario known as Combination (Kellys) yndrome!

" all o# the #ollowing are tr$e %&C%'() < >* <C>(his scenario is most commonly associated with a #$lly edent$lo$s mandib$lar arch o++osed by a +artially edent$lo$s ma,illary arch (Kennedy Class -). <C>-t is hel+#$l to maintain ma,illary anterior teeth (e/en as o/erdent$re ab$tments) to +re/ent this clinical scenario #rom occ$rring. <C>(his syndrome res$lts mainly #rom an imbalance in loading and s$++ort between the dentate and edent$lo$s +ortions o# the o++osing arches. <C>(his syndrome is a common clinical scenario when the +atient is #$lly edent$lo$s in both arches. <C>a and c <C0000>a and d <C>b and d *12<Q>(he retromylohyoid distal e,tension o# the lower dent$re is limited by all o# the #ollowing e,ce+t) < >3 <C0>4ylohyoid m$scle <C>5am$s <C0>6$ccinator. <C>'terygo mandib$lar ra+he. <C> $+erior constrictor. 47<Q>8/erdent$re ab$tments are #a/orable #or all o# the #ollowing reasons" %&C%'() < >3 <C>(hey red$ce resid$al ridge resor+tion <C>(hey +ro/ide the +atient with im+ro/ed +ro+rioce+ti/e #eedback d$ring mastication <C>(hey +ro/ide the +sychological ad/antage o# nat$ral #eeling! #or the +atient <C0>(hey always +ro/ide additional retention #or the o/erdent$re <C>(hey +ro/ide im+ro/ed s$++ort #or the o/erdent$re <C0>*one o# the other choices (abo/e and below) 42<Q>Which o# the #ollowing is (59% regarding nat$ral o/erdent$re ab$tment witho$t attachments: a. 8/erdent$re ab$tments sho$ld +assi/ely! contact the dent$re d$ring rest b. 8/erdent$re ab$tments sho$ld contact the dent$re only d$ring #$nction c. (he height o# the ab$tment sho$ld be at the le/el o# the gingi/a d. (he root canal sho$ld always be endodontically treated < >* <C0>;06 <C>60C <C>;0C <C>;060C

<C>;ll o# the abo/e 1<Q>(he rate o# resid$al ridge resor+tion is generally greater in the mandib$lar resid$al ridge than the ma,illary. <ow m$ch greater: < >3 <C0>= times greater <C>7 times greater <C*******>4 times greater <C>> times greater <C>(he statement is incorrect. (he rate o# bone resor+tion in the mandib$lar resid$al ridge is the same as the rate o# bone resor+tion in the ma,illary resid$al ridge =<Q>Which o# the #ollowing clinical sit$ations $s$ally has the +oorest +rognosis: < >* <C>4a,illary single com+lete dent$re o++osing #$ll nat$ral mandib$lar dentition <C>4a,illary single com+lete dent$re o++osing mandib$lar Kennedy Class - 5'? <C>4a,illary single com+lete dent$re o++osing mandib$lar Kennedy Class -@ 5'? <C0>4andib$lar single com+lete dent$re o++osing #$ll nat$ral ma,illary dentition <C>a and b <C>b an c 7<Q><ana$ described #i/e #actors that a##ect occl$sion in com+lete dent$res. -# a +atient is to wear a single com+lete dent$re o++osing a #$lly dentate arch and we desire a balanced occl$sal scheme" which o# the #ollowing #actors is it most +ractical to adA$st in the com+lete dent$re) < >3 <C>Condylar g$idance <C>8ccl$sal +lane <C0>C$s+ heightB angle <C>-ncisal g$idance <C>Com+ensating c$r/es ><Q>When considering the material to $se #or the arti#icial teeth in a single com+lete dent$re o++osing nat$ral dentition" all o# the #ollowing statements are tr$e %&C%'() < >* <C>;crylic resin arti#icial teeth bond chemically to the +olymethylCmethacrylate ('44;) dent$re base and are easy to adA$st and resha+e. <C>;ltho$gh +orcelain arti#icial teeth are di##ic$lt to adA$st" they ha/e the ad/antage o# ca$sing less wear (abrasion) to o++osing nat$ral teeth than acrylic. <C>;ltho$gh cast metal occl$sal s$r#aces can be c$stom designed to match to o++osing nat$ral teeth" the techniD$e is o#ten e,+ensi/e and timeCcons$ming. <C>;malgam sto+s! are +laced in the occl$sal s$r#aces o# arti#icial +orcelain teeth to red$ce the wear o# the +orcelain by the nat$ral teeth. <C>a and c

<C0>b and d E<Q>-# a +atient has Combination syndrome! it is +robable that we will see all o# the #ollowing %&C%'() < >3 <C>;nterior rotation o# the mandible d$ring occl$sion (Class --- B +rognathic relationshi+) <C>'a+illary hy+er+lasia o# +alatal so#t tiss$e <C>5ed$ction o# the @ertical ?imension o# 8ccl$sion <C>4a,illary anterior resid$al ridge resorbs and re+laced by resilient #labby ridge <C>8ccl$sal +lane tilts antero+osteriorly) anteriorly $+wards and +osteriorly downwards <C0>'end$lo$s o/ergrowth o# the retromolar +ads <C>%+$lis Fiss$rat$m in ma,illary labial /estib$le G<Q>;ccording to 4onsons +herical (heory o# 8ccl$sion" a n$mber o# occl$sal landmarks lie on the s$r#ace o# a 12 cm radi$s s+here with its center in the region o# the glabella. (hese landmarks incl$de all o# the #ollowing %&C%'() < >3 <C0>(he labial gingi/al margins o# the mandib$lar central incisors <C>(he centers o# rotation o# the mandib$lar condyles <C>(he c$s+ ti+s o# the mandib$lar second molars <C>'oints a++ro,imately between the bottom twoCthirds and to+ oneCthird o# the mandib$lar retromolar +ads <C>'oints a++ro,imately at the mesial slo+e inclines o# the mandib$lar canines H<Q>;ccording to ;ttwood classi#ication o# ridges" Class -@ is) < >3 <C>Iood ridge witho$t e,traction. <C>-mmediate +ost e,traction. <C0>Kni#e edge ridge <C>WellCro$nded ridge #orm <C>*egati/e or conca/e #orm. J<Q>(he most #a/orable ridge conto$r #or com+lete dent$re is) < >3 <C0><igh ridge with #lat crest and +arallel sides. <C>@ sha+ed. <C>Kni#e edge. <C>Flat ridge. <C>5idge with m$lti+le s+ec$les. 11<Q>When making the #inal im+ression o# the lower edent$lo$s arch" the +atient is asked to e,ert a closing #orce while the dentist e,erts a downward +ress$re. (his is to acti/ate) < >3

<C>(he masseter <C>(he 'terygo mandib$lar ra+he <C>(he 'terygo mandib$lar ra+he and the masseter <C>4edial 'terygoid and the 'terygomandib$lar ra+he. <C0>(he masseter and medial +terygoid. 1=<Q>8nce a stable and retenti/e +eri+heral seal is achie/ed and a++ro+riate s+acing is incor+orated" yo$r choice o# the #inal im+ression material #or com+lete dent$re wo$ld be) < >3 <C>addition silicone <C>+olyether. <C>Kinc o,ide e$genol. <C>alginate. <C0>secondary im+ortance and de+endant on the dentist +re#erence. 17<Q>. 3o$r im+ression techniD$e o# choice #or ridges that eD$ate to ;twood class @ and @- is) < >3 <C0>;dmi, <C>Con/entional techniD$e. <C>4$costatic im+ression on the ridge and m$cocom+ressi/e else where 14<Q>(he #inal im+ression is taken with green stick tracing com+o$nd. 9sing the heated s+oonCend o# a Le Cron car/er" the green stick related to the crestal ridge is remo/ed and the related area o# the tray is +er#orated. LightCbody 'oly @inyl ilo,ane is inAected into the b$ccal and ling$al shel/es o# the green stick and the tray is gently inserted in the mo$th . (his is a descri+tion o# the im+ression techniD$e $sed #or ) < >3 <C0>.(he #ibro$s ($nCem+loyed) +osterior mandib$lar ridge. <C>Flabby ridge <C>;twwod class @ lower ridge. <C>-mmediate dent$res. <C>*e$tral Mone techniD$e. 1><Q>With regard to the *e$tral Mone techniD$e" when do yo$ record the @ertical ?imension (@?): < >3 <C0>6e#ore the clinical stage o# the ne$tral Kone im+ression. <C>(he @? is recorded at the same /isit o# recording the ne$tral Kone. <C>(he @? is recorded in a se+arate /isit a#ter recording the ne$tral Kone. <C>(he @? is recorded in the (ryCin /isit. 1E<Q>Which o# the #ollowing is L%; ( likely to ca$se a tra$matic dent$re $lcer) < >3 <C>illC#itting dent$re <C>bleb o# acrylic (+ositi/e) on the #itting s$r#ace o# a new dent$re

<C>+remat$re occl$sal contact <C>#ood entra+ment $nder a dent$re <C0>short dent$re #lange 1G<Q>Which o# the #ollowing is L%; ( likely to ca$se in#lammatory +a+illary hy+er+lasia) < >3 <C>relie# chamber in the ma,illary dent$re <C>contin$o$s =4Cho$r wearing o# the dent$re <C>illC#itting dent$re (combination syndrome) <C>+oor occl$sion that ca$ses dent$re base mo/ement <C0>single mandib$lar dent$re 1H<Q>Which o# the #ollowing is L%; ( likely to ca$se e+$lis #iss$rat$m) < >3 <C>o/erCe,tended #langes o# new dent$res <C> contin$al ridge resor+tion that allows the dent$re #langes o# e,isting dent$res to dig into! the b$ccalBlabial /estib$le <C>inadeD$ate border molding <C0>lack o# +eri+her seal in the ma,illary dent$re 1J<Q>Which o# the #ollowing statements is inacc$rate) < >3 <C>(y+e - dent$re stomatitis (candidosis) +resents as a localiKed sim+le in#lammation or +in+oint hy+eremia <C>(y+e -- dent$re stomatitis (candidosis) +resents as di##$se erythema in/ol/ing +art o# all o# the dentr$re co/ered m$cosa <C0>?iagnosis o# dent$re stomatitis (candidosis) can be con#irmed by direct smear #rom the dent$re and identi#ication o# Candida albicans s+ores <C>?ent$re stomatitis (candidosis) o#ten occ$rs in +atients with +redis+osing #actors s$ch as ,erostomia =2<Q>Which o# the #ollowing statement regarding ang$lar chielitis is F;L %) < >3 <C>moderately +ain#$l #iss$red encr$sted lesions at the commiss$res o# the mo$th <C0>associated with increased /ertical dimension o# occl$sion <C>#reD$ently associated with both Candidal and secondary bacterial ( ta+hylococcal) in#ection <C>o#ten associated with $nderlying imm$ne dys#$nction <C>in#ection starts $nder com+lete dent$re +rosthesis and s+reads /ia sali/a to the skin #olds at the angles o# the mo$th =1<Q>;ll o# the #ollowing are +art o# the ro$tine management o# dent$re stomatitis (candidosis)" %&C%'() < >3 <C>correct illC#itting dent$res or #abricate new ones

<C>im+ro/e oral and dent$re hygiene <C>anti#$ngal thera+y <C0>com+lete s$rgical e,cision o# in#ected m$cosa ==<Q>?iagnosis o# the $nderlying ca$se o# b$rning mo$th syndrome is di##ic$lt and #r$strating #or the doctor beca$se there are too many clinical signs. < >* <C>(59% <C0>F;L % =7<Q>6$rning mo$th syndrome is most common in middleCaged #emales < >* <C0>(59% <C>F;L % =4<Q>@Csha+ed! +alatal /a$lt is o#ten associated with Class --- +osterior +alatal #orm leading to im+ro/ed in +eri+heral seal in ma,illary com+lete dent$res. < >* <C>(59% <C>F;L % =><Q>;ccording to <o$ses classi#ication o# mental attit$de" a ke+tical! +atient is a +atient who seeks treatment beca$se a #riend or relati/e has enco$raged them to do so. < >* <C>(59% <C0>F;L % =E<Q>-t is o#ten more di##ic$lt to set com+lete dent$re teeth #or +atients who ha/e had recent e,tractions than +atients who ha/e been edent$lo$s #or se/eral years < >* <C0>(59% <C>F;L % =G<Q>-t is im+ortant not to look at a +atients +re/io$s illC#itting dent$res" beca$se s$ch dent$res will ca$se $s to re+eat the same errors in the new dent$res. < >* <C>(59% <C0>F;L % =H<Q>-m+ressions #or rebasing o# e,isting com+lete dent$res are made witho$t $sing a closed mo$th! im+ression techniD$e. -n the #inal rebased dent$res" which o# the #ollowing error is most likely to occ$r) < >3 <C>+remat$re occl$sal contact on the anterior teeth <C>+remat$re occl$sal contact on the right side o# the mo$th i# the o+erator is le#tC handed

<C>+remat$re occl$sal contact on the right side o# the mo$th i# the o+erator is rightC handed <C0>+remat$re occl$sal contact on the +osterior teeth <C>red$ced o/erall /ertical dimension o# occl$sion =J<Q>(iss$e conditioner can be $sed both (1) as a #$nctional im+ression material! and (=) to allow the so#t tiss$e to heal be#ore +ermanent relining and rebasing +roced$res are +er#ormed. < >* <C0>(59% <C>F;L % 72<Q> Which o# the #ollowing statements is F;L % regarding relining and rebasing) < >3 <C0>Chairside relining in/ol/es the $se o# KincCo,ide e$genol im+ression +aste <C>; common +roblem d$ring relining is correct orientation o# the dent$res d$ring the im+ressionB relining +roced$re <C>-m+ressions #or relining and rebasing are $s$ally +er#ormed $sing closedCmo$th! im+ression techniD$es <C>!8ccl$sal +i/ots! may be $sed to reCestablish the correct /ertical dimension o# occl$sion a#ter e,cessi/e tooth wear and resid$al ridge resor+tion 71<Q>4a,illary com+lete dent$res reD$ire relining only slightly more o#ten than mandib$lar com+lete dent$res. < >* <C>(59% <C0>F;L % 7=<Q>Which o# the #ollowing statements is F;L % regarding relining and rebasing) < >3 <C0>5ebasing is a +roced$re which in/ol/es res$r#acing the tiss$e side o# a dent$re with new base material to make it #it more acc$rately <C>5ebasing is a +roced$re in which the teeth o# the e,isting teeth are retained <C>5elining is not a $se#$l +roced$re when a change in /ertical dimension o# occl$sion is necessary <C>-mmediate dent$res $s$ally reD$ire a reline within one year o# e,tractions <C>4andib$lar dent$res o#ten reD$ire a reline e/ery 7 N > years 77<Q>;n edent$lo$s +atient has resid$al ridge $nderc$ts. -# al/eo+lasty s$rgery is +er#ormed" it is ad/isable to remo/e only hal# o# the al/eolar bone creating the $nderc$t. < >* <C0>(59% <C>F;L % 74<Q>Which o# the #ollowing statements is (59% regarding +re+rosthetic s$rgery in edent$lo$s +atients)

a. ;$togeno$s hydro,ya+atite can be $sed to a$gment and reb$ild a resorbed ridge b$t may res$lt in migration o# the +articles b. ;$togeno$s iliac crest block gra#t is e##ecti/e in reb$ilding resorbed ridges b$t may limit interoccl$sal s+ace c. ;$togeno$s in#erior border rib gra#ts may be $sed to a$gment resorbed mandibles" b$t may inter#ere with an ideal occl$sal +lane d. ;$togeno$s bone may resorb as m$ch as H2 +er cent within the #irst ten years a#ter gra#ting < >3 <C>; 0 6 0 C 0 ? <C0>6 0 ? <C>; 0 6 0 C <C>; 0 6 0 ? <C>; 0 ? 7><Q>-n 4$cosal ;d/ancement @estib$lo+lasty!" the m$cosa o# the /estib$le is $sed to line one side o# the e,tended /estib$le" and the other side heals by growth o# a new e+ithelial s$r#ace. < >* <C>(59% <C0>F;L % 7E<Q>Which o# the #ollowing statements is (59%) a. 'alatal tori sho$ld always be remo/ed s$rgically beca$se they inter#ere with dent$re retention b. <y+er+lastic t$berosities are easy to remo/e s$rgically beca$se they consist o# healthy al/eolar bone c. ;ll other treatment o+tions sho$ld be tried be#ore s$rgically remo/ing in#lammatory +a+illary hy+er+lasia d. $rgical remo/al o# +alatal tori may res$lt in hematoma #ormation i# a s$rgical stent is not $sed < >3 <C>; 0 6 <C0>C 0 ? <C>6 0 C 0 ? <C>; 0 C <C>6 0 ? 7G<Q>; +atient has a single ma,illary dent$re o++osing nat$ral lower anterior teeth and a Kennedy Class - 5'?. (he +atient has #labby resilient tiss$e in the anterior ma,illa. Which o# the #ollowing treatment o+tions wo$ld +ro/ide the best #$t$re +rognosis. < 0> <C>5emo/e the #labby resilient tiss$e s$rgically

<C0>'lace a bone gra#t and im+lants in the ma,illary anterior region <C>%,tract the lower remaining nat$ral teeth <C>5emake a new ma,illary dent$re $sing a s+ecial im+ression techniD$e <C>'er#orm /estib$lo+lasty s$rgery in the ma,aillary labial s$lc$s 7H<Q>Which o# the #ollowing is *8( an indication #or +reC+rosthetic s$rgery < >3 <C>'end$lo$s ma,illary t$berosities <C>'ress$re on the mental ner/eB#oramen <C>%+$lis #iss$rat$m that does not res+ond to nonCs$rgical treatment <C0>(y+e -- dent$re stomatitis <C>9n#a/orable #ren$m attachment (close to crest o# resid$al ridge) 7J<Q>Which o# the #ollowing statements is (59%) < >3 <C0>%,cessi/e s+ace $nder o/erdent$res o/er the gingi/al margins o# ab$tment teeth may lead to the de/elo+ment o# dead s+ace! which may lead to gingi/al in#lammation and hy+ertro+hy <C>5ed$cing the tooth height creates an $n#a/orable crown)root ratio #or o/erdent$re ab$tments <C>Fort$natley" the e,+osed dentine o# o/erdent$re ab$tments is nat$rally resistant to caries <C>Iold co+ings that co/er o/erdent$re ab$tments are the most e##ecti/e means to +re/ent caries in these ab$tments

41<Q>Which o# the #ollowing are +ossible +roblems associated with o/erdent$res: a. 5ed$ced interCarch s+ace #or the setting o# teeth b. -ncreased labial #$llness o# the ab$tments c. Weakening and #ract$re o# the dent$re base o/er the ab$tment d. 5ec$rrent caries o# nat$ral o/erdent$re ab$tments < >* <C>;06 <C>;060? <C0>;ll o# the abo/e 4=<Q>5egarding o/erdent$res" which o# the #ollowing is (59%) < >* <C>Canine ab$tments are the most commonly $sed o/erdent$re ab$tments <C>-ncisor o/erdent$re ab$tments hel+ restore nat$ral labial #$llness <C>Canine ab$tments may res$lt in o/erCconto$red labial #langes <C>; 0 6 <C>6 0 C <C0>; 0 C <C>; 0 6 0 C

44<Q>-n which o# the #ollowing sit$ations is it ethically acce+table to cheat on a 'rosthodontics e,amination: < >* <C0>-# the instr$ctor is b$sy answering another st$dentOs D$estion or talking on his mobile +hone <C0>-# yo$r grades are low and yo$ are a#raid o# #ailing <C0>-# yo$ can see yo$r neighborOs com+$ter screen clearly <C0>-# yo$ didnt st$dy beca$se yo$ tho$ght the e,am wo$ld be +ost+oned d$e to snow <C0>-# the +rettyBhandsome st$dent ne,t to yo$ smiles at yo$ and asks #or hel+ <C0>-# yo$ are at the to+ o# yo$r class and yo$ are a#raid o# dro++ing to second <C0>-# yo$ are second in yo$r class and yo$ want to become #irst <C0>-# yo$ didnOt #eel like st$dying last night and watched tele/ision instead <C0>*one o# the abo/e