AGD Clinical Skills & Patient Care in General Dentistry 2

Question 1

When performing a pulp vitality test, which method is considered the MOST reliable for assessing pulp status in a mature permanent tooth?

Accepted Answer

Laser Doppler flowmetry

Answer

Laser Doppler flowmetry measures actual blood flow and is the most reliable indicator of pulp vitality, though thermal and electric tests are more commonly used in practice.

Question 2

A patient presents with a 3 mm probing depth, no bleeding on probing, and no radiographic bone loss. How is this classified?

Accepted Answer

Healthy periodontium

Answer

A probing depth of ≤3 mm with no bleeding on probing and no bone loss indicates a healthy periodontium by the 2017 AAP/EFP classification.

Question 3

Which local anesthetic has the longest duration of action for pulpal anesthesia during an inferior alveolar nerve block?

Accepted Answer

0.5% Bupivacaine with 1:200,000 epinephrine

Answer

Bupivacaine 0.5% provides the longest pulpal anesthesia (up to 90 minutes) and is preferred for lengthy procedures.

Question 4

During crown preparation, the ideal total occlusal convergence (taper) for a full-coverage crown is approximately:

Accepted Answer

6–12 degrees

Answer

A total occlusal convergence of 6–12 degrees provides optimal retention and resistance form for full-coverage crown preparations.

Question 5

A patient taking warfarin needs a simple extraction. The INR result is 2.8. What is the most appropriate course of action?

Accepted Answer

Proceed with extraction using local hemostatic measures

Answer

Current guidelines support proceeding with simple extractions in patients with an INR ≤3.5 using local hemostatic measures without altering anticoagulation therapy.

(AGD) Academy of General Dentistry Certification Practice Test

(AGD) Academy of General Dentistry Certification Practice Test

AGD Clinical Skills & Patient Care in General Dentistry 2