1 of 35

ORAL RADIOLOGY MCQs

DENTAL CARIES

NBDE/NDEB/ADC/ORE/MDS

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2 of 35

Which organism contributes the MOST toward tooth demineralization?

  • Treponema denticola.
  • Streptococcus mutans.
  • Fusobacterium nucleatum.
  • Porphyromonas gingivalis.

ANSWER IS B

ANSWER

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3 of 35

Clinically, which is indicative of an active carious lesion?

  • Opaque.
  • Dark.
  • Chalky white.
  • Brownish spot.

ANSWER IS C

ANSWER

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4 of 35

Which radiographic consideration shows whether a carious lesion is active or arrested?

  • Arrested lesions are not radiographically visible.
  • Active lesions appear more radiopaque than arrested lesions.
  • Demineralization appears more radiolucent than active lesions.
  • Comparison of the initial image to a second image taken at a later date.

ANSWER IS D

ANSWER

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5 of 35

Which patient characteristic is the LEAST important in determining the time interval between radiographic examinations?

  • Occupation.
  • Oral hygiene.
  • Age.
  • Fluoride exposure.

ANSWER IS A

ANSWER

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6 of 35

All factors are interrelated with dental caries EXCEPT one. Which one is the EXCEPTION?

  • Diet.
  • The tooth.
  • Microflora.
  • Periodontal probing.

ANSWER IS D

ANSWER

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7 of 35

Which is the BEST examination to disclose proximal carious lesions on posterior teeth?

  • Visual.
  • Tactile.
  • Transillumination.
  • Radiographic.

ANSWER IS D

ANSWER

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8 of 35

Which is the most valuable radiographic image for detecting carious lesions?

  • Panoramic.
  • Occlusal.
  • Bitewing.
  • Periapical.

ANSWER IS C

ANSWER

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9 of 35

Which is the main purpose for using a film holder when exposing radiographic images?

  • Eliminates interpretation errors.
  • Facilitates source-to-film distance.
  • Ensures horizontal overlap of images.
  • Allows control of alignment of image receptor to teeth.

ANSWER IS D

ANSWER

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10 of 35

The most common adult bitewing film is size

  • 0.
  • 2.
  • 3.
  • 4.

ANSWER IS B

ANSWER

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11 of 35

Which film size is recommended for bitewing images of children younger than 4?

  • 0.
  • 1.
  • 2.
  • 3.

ANSWER IS A

ANSWER

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12 of 35

Which best describes a tooth surface that is clinically intact?

  • A white, mineralized area on the radiographic image.
  • An occlusal surface with a visible, calcified cavitation.
  • The appearance of a radiolucent area on an interproximal surface.
  • A mineralized tooth surface with no breakdown leading to cavitation.

ANSWER IS D

ANSWER

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13 of 35

Which image is used for detecting changes in the bone surrounding the teeth?

  • Panoramic.
  • Occlusal.
  • Bitewing.
  • Periapical.

ANSWER IS D

ANSWER

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14 of 35

Which traditional intraoral film is NOT recommended for bitewing radiographs?

  • 0.
  • 1.
  • 2.
  • 3.

ANSWER IS D

ANSWER

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15 of 35

Which tool does NOT aid in conventional radiographic interpretation?

  • Light box.
  • Sufficient light.
  • Magnifying viewer.
  • Borderless radiographic mounts.

ANSWER IS D

ANSWER

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16 of 35

All are limitations of solid-state sensors, EXCEPT one. Which one is the EXCEPTION?

  • Stiffness of sensors.
  • Thickness of sensors.
  • Smaller surface area imaged.
  • Cord attachment to computer.

ANSWER IS D

ANSWER

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17 of 35

The classic radiographic shape of an early carious lesion is a radiolucent

  • band.
  • notch.
  • triangle.
  • thin line.

ANSWER IS C

ANSWER

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18 of 35

Proximal carious lesions are commonly found in each area, EXCEPT one. Which is the EXCEPTION?

  • Contact point.
  • Free gingival margin.
  • Buccal restorations.
  • Interproximal restorations.

ANSWER IS C

ANSWER

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19 of 35

Which percentage of enamel demineralization occurs before proximal surface lesions are identifiable with digital imaging?

  • a. 0% to 10%.
  • b. 10% to 20%.
  • c. 20% to 30%.
  • d. 30% to 40%.

ANSWER IS D

ANSWER

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20 of 35

Each morphologic occurrence mimics a carious lesion, EXCEPT one. Which is the EXCEPTION?

  • Pits and fissures.
  • Convex surfaces.
  • Cervical burnout.
  • Mach band effect.

ANSWER IS B

ANSWER

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21 of 35

Which statement is correct?

  • Caries progresses quickly in most individuals.
  • A carious lesion extending into the dentin is difficult to see radiographically.
  • Demineralization in enamel is obvious radiographically.
  • Overlapping contact points in the radiographic image can hinder caries detection.

ANSWER IS D

ANSWER

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22 of 35

The detection of proximal surface caries is facilitated by which factor?

  • Tooth morphology.
  • Enamel demineralization.
  • Reproducible geometry.
  • Excessive horizontal angulation.

ANSWER IS C

ANSWER

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23 of 35

Which method is used to verify proximal lesions in children?

  • Diet analysis.
  • Exploring occlusal pits and fissures.
  • Tooth separation with orthodontic elastics.
  • Periapical radiographs.

ANSWER IS C

ANSWER

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24 of 35

When an active carious lesion is allowed to progress to form an actual hole, the tooth struc- ture is called

  • arrested.
  • incipient.
  • cavitated.
  • demineralized.

ANSWER IS C

ANSWER

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25 of 35

Which condition requires operative treatment?

  • Brown spot.
  • Incipient lesion.
  • Cavitated lesion.
  • Clinical chalky white area.

ANSWER IS C

ANSWER

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26 of 35

All are steps to monitor a lesion, EXCEPT one. Which one is the EXCEPTION?

  • Operative treatment.
  • Review site of lesion.
  • Follow-up radiographs.
  • Patient history of lesions.

ANSWER IS A

ANSWER

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27 of 35

Which is the most common surface location of carious lesions in children and adolescents?

  • Lingual pits.
  • Buccal surfaces.
  • Occlusal surfaces.
  • Interproximal surfaces.

ANSWER IS C

ANSWER

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28 of 35

Which color is NOT associated with early occlusal caries?

  • Black.
  • Beige.
  • Yellow.
  • White.

ANSWER IS B

ANSWER

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29 of 35

Which lesion is easy to detect radiographically?

  • An incipient lesion.
  • One that crosses the dentinoenamel junction (DEJ).
  • One confined to enamel.
  • One with enamel demineralization.

ANSWER IS B

ANSWER

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30 of 35

All are characteristics of deep carious lesions, EXCEPT one. Which is the EXCEPTION?

  • Shallow pits.
  • Pulpal invasion.
  • Cavitation visible on exam.
  • Detectable radiographically.

ANSWER IS A

ANSWER

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31 of 35

Which factor does NOT contribute to the misdiagnosis of occlusal dental lesions?

  • Enamel surface.
  • Image of buccal pit.
  • Composite restoration.
  • Presence of cavitation.

ANSWER IS D

ANSWER

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32 of 35

All factors, EXCEPT one, affect the radiographic appearance of restorative materials. Which is the EXCEPTION?

  • Scarcity.
  • Thickness.
  • Atomic number.
  • X-ray beam intensity.

ANSWER IS A

ANSWER

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33 of 35

Which is uncharacteristic of buccal and lingual carious lesions?

  • Round shape.
  • Elliptic shape.
  • Well-defined borders.
  • Easily diagnosed on radiographs.

ANSWER IS D

ANSWER

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34 of 35

Therapeutic radiation to the head and neck is unlikely to elicit which side effect?

  • Tooth structure change.
  • Change in bacterial flora.
  • Loss of salivary gland function.
  • Breakdown of restorative materials.

ANSWER IS D

ANSWER

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35 of 35

Radiation caries usually begins in the

  • lingual pit.
  • interproximal region.
  • cervical area.
  • occlusal surfaces.

ANSWER IS C

ANSWER

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