ASDA Released Papers L-M

22
201.
The posterior belly of the digastric is supplied

by which of the following nerves?
A.
B.
C.
D.
E.
202.
206.
Vagus
Facial
Trigeminal
Cervical spinal
Inferior alveolar
The horizontal plane diagram below shows

each of the following components of
mandibular movement EXCEPT one. Which
one is this EXCEPTION?
Which of the following pairs of amino acids is

expected to be found on the interior of a
globular protein?
A.
B.
C.
D.
E.
A.
Lysine and arginine

Arginine and leucine
Leucine and valine
Valine and glutamic acid
Glutamic acid and lysine
B.
c.
203.
D.
Which of the following conditions might be an

initial manifestation of early, acute HIV
infection?
E.
A.
B.
C.
D.
E.
Kaposi's sarcoma
Wasting syndrome
Oral hairy leukoplakia
Mononucleosis-like syndrome
Pneumocystis carinii pneumonia
207.
In the presence of sucrose, Streptococcus

mutans produces
A.
B.
C.
204.
A.
B.
C.
D.
E.
205.
D.
Which of the following primary teeth has a

distinctly prominent facial cervical ridge that
makes it different from other teeth?
Maxillary canine
Mandibular canine
Mandibular first molar
Maxillary second molar
Maxillary central incisor
E.
208.
Oxygen tension
A.
B.
C.
D.
E.
Elevated
Elevated
Reduced
Normal
Reduced
209.
Oxygen content
Normal
Reduced
Normal
Reduced
Reduced
L-forms.
very long chains of cocci.
regular diploid pairs rather than chains.
deposits of a gummy polysaccharide
called glucan.
a very thick wall of muramic acid and
mucopeptide substances.
Which of the following properties do mast cells

and basophils have in common?
A.
B.
C.
D.
E.
An anemic individual is expected to have

which of the following conditions in systemic
arterial blood?
Vertical component of the movement frorr

retruded contact position (1) to
intercuspal position (2)
Horizontal component of movement from
Anterior component of movement from
intercuspal position (2) to maximum
protrusive position (4)
Lateral component of movement from
Mandibular movements occurring
laterotrusively
Found in blood
Develop from lymphocytes
Secrete heparin and histamine
Decrease during time of infection
Migrate to line the inside of blood
vessels
Protein and RNA synthesis occur in each of the

following phases of the cell cycle EXCEPT one.
Which one is this EXCEPTION?
A.
B.
Go
G,
C.
D.
S
G2
E.
2005 American Dental Association, Joint Commission on National Dental Examinations. All rights reserved. Reprinted by permission.
23
210.
Each of the following is attributable to hepatic

failure EXCEPT one. Which one is this
EXCEPTION?
A.
B.
C.
D.
E.
216. Which of the following temporomandibular

joint ligaments restricts the movement of the
disc away from the condyle during.function?
A.
Tremor
Gynecomastia
Mallory bodies
Hypoalbuminemia
Spider telangiectasia
B.
C.
D.
217.
211.
As viewed from the lingual, the lingual cusp of

a maxillary first premolar is inclined
A.
B.
C.
D.
E.
212.
D.
E.
A.
B.
C.
D.
E.
A.
B.
C.
0,
E.
219.
urine.
sweat.
saliva.
feces.
tears.
A.
B.
C.
214. The parotid duct crosses the
215.
temporalis.
facial artery.
masseter muscle.
zygomaticus major.
lateral pterygoid.
The cusp of Carabelli occurs with sufficient

frequency to be considered normal in which of
the following molars?
A.
B.
C.
D.
Primary maxillary first

Primary maxillary second
Mandibular first
Maxillary second
E.
220.
Glycerol
Glucagon
Acetyl CoA
Acetoacetate
Phosphatidylcholine
Inorganic crystals in enamel have their long

axes parallel to the rods in which of the
following?
D.
A.
B.
C.
D.
E.
Heroin
Cocaine
Bismuth
Mercury
Lead
Which of the following is a ketone body?
218.
teichoic acids.
lipopolysaccharides.
acid-fast lipids.
endotoxins.
The main route of calcium excretion from a

normal human adult is
A.
B.
C.
A patient who has anemia, poorly localized

abdominal pain, and wrist and foot drop
probably is manifesting a toxic state induced
by which of the following?
distally.
mesially.
d istofacially.
mesiolingually.
directly over the center mesiodistally.
Gram-positive cell walls differ from gramnegative cell walls in that gram-positive cell
walls uniquely contain
A.
B.
C.
D.
213.
....
Discal
Stylomandibular
Temporomandibular
Sphenomandibular
Centers of the bodies of the rods only

Periphery of the bodi.es of tbe rops
only
Bodies of the rods and deviating
increasingly in the tails
Tails of the rods and deviating
increasingly from the centers of the
bodies to the periphery
Tails of the rods and deviating
increasingly from the periphery of the
bodies to the centers
The occlusal view of a normal dental arch

segment is shown below. The arrow points to
which of the following mandibular teeth?
A.
B.
C.
D.
Primary right first molar

Primary left first molar
Permanent right first premolar
Permanent left second premolar
22
201.
The posterior belly of the digastric is supplied

by which of the following nerves?
A,
g,
C,
D,
E,
202.
206.
Vagus
Facial
Trigeminal
Cervical spinal
Inferior alveolar
The horizontal plane diagram below shows

each of the following components of
mandibular movement EXCEPT one, Which
Which of the following pairs of amino acids is

expected to be found on the interior of a
globular protein?
A,
B.
C,
D,
E.
A.
Lysine and arginine

Arginine and leucine
Leucine and valine
Valine and glutamic acid
Glutamic acid and lysine
B,
c,
203.
D,
Which of the following conditions might be an

initial manifestation of early, acute HIV
infection?
E.
A,
B.
C,
D,
E,
Kaposi's sarcoma
Wasting syndrome
Pneumocystis carinii pneumonia
207.
In the presence of sucrose, Streptococcus

mutans produces
A,
B.
204.
A.
g,
C,
D,
E.
205.
C,
D.
Which of the following primary teeth has a

distinctly prominent facial cervical ridge that
makes it different from other teeth?
Maxillary canine
Mandibular canine
Mandibular first molar
Maxillary second molar
E.
208.
Oxygen tension
A.
g,
C,
D,
E.
Elevated
Elevated
Reduced
Normal
Reduced
209.
Oxygen content
Normal
Reduced
Normal
Reduced
Reduced
L-forms.
very long chains of cocci.
regular diploid pairs rather than chains.
deposits of a gummy polysaccharide
called glucan.
a very thick wall of muramic acid and
mucopeptide substances.
Which of the following properties do mast cells

and basophils have in common?
A.
B.
C.
D,
E.
An anemic individual is expected to have

which of the following conditions in systemic
arterial blood?
Vertical component of the movement fror

Horizontal component of movement from
Anterior component of movement from
intercuspal position (2) to maximum
protrusive position (4)
Lateral component of movement from
Mandibular movements occurring
laterotrusively
Found in blood
Develop from lymphocytes
Secrete heparin and histamine
Decrease during time of infection
Migrate to line the inside of blood
vessels

following phases of the cell cycle EXCEPT one,
Which one is this EXCEPTION?
A,
B,
C,
Go
G,
S
D.
G2
E.
2005 American Dental Association, Joint Commission on National Dental Examinations. All rights reserved. Reprinted by permission,
24
221.
The presence of mamelons in a 10-year-old

patient suggests which of the following
conditions?
226.
In the upper limb, which of the following

represents a hallmark of lymphatic vessels?
A.
A.
B.
C.
D.
E.
222.
Which of the following pathogens is MOST

often associated with infective endocarditis?
A.
B.
C.
D.
E.
223.
B.
Fluorosis
Malnutrition
Malformation
Anterior open bite
Retained primary teeth
C.
D.
E.
227.
Pneumococci
Group A streptococci
Group B streptococci
a-hemolytic streptococci
~-hemolytic streptococci
A.
B.
C.
D.
E.
228.
B.
C.
D.
E.
Niacin
Thiamine
Folic acid
Riboflavin
Pyridoxine
Cingulum
Lingual fossa
Cervical line
Marginal ridges
Mesiofacial developmental depression
E.
B.
C.
D.
E.
229.
Maxillary vein
Vertebral vein
Deep facial vein
Infraorbital vein
Posterior superior alveolar vein
Vitamin C deficiency primarily affects which of

the following tissues?
A.
Each of the following is expected to be active

during fatty acid biosynthesis EXCEPT one.
Which one is this EXCEPT/ON?
A.
B.
C.
D.
E.
Each of the following venous channels has

direct connections with the pterygoid venous
plexus EXCEPT one. Which one is this
EXCEPTION?
A.
B.
C.
D.
225.
When viewed from the incisal aspect, each of

the following features of an incisor is visible
EXCEPT one. Which one is this EXCEPT/ON?
Which of the following coenzymes is required

for the synthesis of pyrimidines, such as
thymine?
A.
224.
Contain valves
Follow the veins
Always travel in pairs
Only found on the anterior surface of
the limb
Contain fenestrations to allow passage
of fluids into the interstitium
Hematopoietic
Connective
Epithelial
Muscular
Nervous
Pain in inflamed tissues is associated with the

release of which of the following mediators?
A.
B.
C.
D.
E.
230.
C.
D.
E.
,Oln
Histamine
Serotonin
Bradykinin
Leukotrienes
Complement components
Which of the following cranial nerves contains

parasympathetic components?
A.
B.
2005 American Dental Association J . t
Tricarboxylic acid cycle

Pyruvate dehydrogenase
Amino acid catabolism
Beta oxidation
Glycolysis
Facial
Abducens
Trigeminal
Hypoglossal
Spinal accessory
c ommlsslon
.. on N'
'"
atlona I Dental Examinations.
All nghts reserved.
.
. .
Repnnted
by permission.

25
231.
In an ideal intercuspal position, the mesiofacial

groove of a mandibular first molar opposes
which part of the maxillary first molar?
A.
B.
C.
D.
232.
D.
A.
B.
C.
D.
E.
238.
Tryptophan operon
Lysogens
Prophage
Transposons
Which of the following BEST describes the

major function of histones?
D.
E.
Unwind DNA.
Activate genes.
Stabilize DNA in a compact form.
Remove exons during RNA splicing.
Stabilize RNA during transcription.
B.
C.
D.
234.
The thyrocervical trunk is comprised of the

inferior thyroid, the transverse cervical artery,
and the
A.
B.
C.
D.
E.
vertebral.
suprascapular.
dorsal scapular.
superior thyroid.
ascending pharyngeal.
240.
partial pressure of oxygen is found in

A.
B.
C.
D.
E.
236.
expired air.
alveolar air.
venous blood.
arterial blood.
normal atmosphere air.
The condyle on the laterotrusive side

generally rotates about a
A.
B.
C.
D.
sagittal axis only.

horizontal axis only.
horizontal axis and translates laterally.
vertical axis and translates later01ly.
241.
They are associated with hair follicles

and are derived from ectoderm.
They serve a secretory function in
conjunction with Pacinian corpuscles.
They secrete a serous material by the
merocrine method.
They yield a salty secretion and are
derived from mesoderm.
The first step in the pathway for fatty acid

synthesis is catalyzed by an allosteric enzyme
which is the principal regulator of the pathway.
This enzyme is
A.
B.
C.
D.
E.
235. Under physiologic conditions, the LOWEST
Zygomatic
Maxilla
Palatine
Sphenoid
Frontal
Which of the following describes sebaceous

glands of the skin?
A.
A.
B.
C.
Condyloma acuminatum
Whooping cough
Meningitis
Diphtheria
Pneumonia
Which of the following bones forms the roof of

the orbit?
A.
B.
C.
D.
E.
239.
233.
Each of the following diseases is transmitted

from person to person by droplets or droplet
spray EXCEPT one. Which one is this
EXCEPT/ON?
Tip of the distofacial cusp

Tip of the mesiofacial cusp
Triangular ridge of the distofacial cusp
Triangular ridge of the mesiofacial cusp
Which of the following represents genes that

often encode proteins necessary for antibiotic
resistance, and that can change positions on a
chromosome or "jump" from a plasmid to a
chromosome?
A.
B.
C.
237.
thiolase.
pyruvate carboxylase.
citrate synthetase.
acetyl CoA carboxylase.
pyruvate dehydrogenase.
Which of the following is a major disadvantage

of ethylene oxide sterilization?
A.
B.
C.
D.
E.
Difficult to obtain
Very toxic to humans
Requires high temperatures (160)
Causes corrosion of metal instruments
Causes discoloration of clear plastic
objects
26
242.
What teeth occlude with only one opposing

tooth?
A.
B.
C.
D.
E.
243.
C.
D.
E.
types of hepatitis depends on the host having

been previously infected with hepatitis B
virus?
Maxillary canines
Mandibular lateral incisors
Mandibular central incisors
Maxillary first premolars
Mandibular third molars
A.
B.
C.
D.
E.
Endochondral ossification occurs in the

formation of
A.
B.
247. The development of which of the following
248. Glucose-6-phosphatase is found associated

wifh which of the following?
all bones.
flat bones.
long bones.
elastic cartilage.
mesenchymal sheets.
A.
B.
C.
D.
249.
~
244.
Which of the following represents the MOST

common cause of bronchiolitis and pneumonia
in infants?
A.
B.
C.
D.
E.
245.
Measles virus
Cytomegalovirus
Influenza virus
Herpes simplex virus
Respiratory syncytial virus
250.
B.
C.
D.
E.
facial.
distal.
distofacial.
mesiofacial.
distal oblique.
Which of the following represents the anterior

boundary of the mandibular fossa of the
temporal bone?
A.
B.
C.
D.
E.
Styloid process
Articular eminence
Petrotympanic fissure
External auditory meatus
Mastoid process of temporal bone
Monocyte
Osteocyte
Osteoblast
Neutrophil
Bone-lining cell
Which of the following permanent roots is thin

mesiodistally, wide faciolingually, and concave
on both mesial and distal surfaces?
A.
B.
C.
D.
E.

Mandibular central incisor
Mandibular second premolar
Facial root of a maxillary first premolar
Lingual root of a maxillary first molar
251. The catabolism of which of the following results

in no energy production in the form of ATP?
A.
B.
C.
D.
246.
Kidneys and liver

Liver and muscles
Kidneys and brain
Kidneys and muscles
The osteoclast originates from which of the

following?
A.
B.
C.
D.
E.
The developmental groove between the

distofacial cusp and the distal cusp of a
mandibular first molar is the
A.
Hepatitis A
Hepatitis C
Hepatitis D
Hepatitis E
Hepatitis G
252.
Lipid
Protein
Nucleotide
Carbohydrate
Recovery from an infection with mumps virus

confers lifelong immunity. This describes
which of the following types of immunity?
A.
B.
C.
D.
E.
Innate
Natural active
Natural passive
Arlificial active
Arlificial passive
27
253.
Which of the following represents the structure

in the maxillary alveolar bone that maxillary
premolar roots occasionally penetrate?
A.
B.
C.
D.
E,
258.
A.
B.
C.
Antrum
Nasal septum
Frontal sinus
Zygomatic arch
Mandibular fossa
D.
E.
259.
254.
The mylohyoid ridge (line) is found on which

of the following portions of the mandible?
A.
B.
C.
D.
E.
255.
Coronoid
Neck
Ramus
Condyle
Body
260.
C.
D.
Lipid A
Protein A
antigen
Core polysaccharide
D.
E.
261.
B.
r-
v.
Which of the following BEST describes

restriction enzymes?
A.
B.
C.
D.
E.
Exonucleases
Topoisomerases
Enzymes that degrade RNA
Non-specific endonucleases
Site-specific endonucleases
D.
E.
B.
C.
D.
E.
The contact areas of anterior teeth are incisal

to the middle thirds in each of the following
EXCEPT one. Which one is this EXCEPTION?
A.
B.
C.
D.
E.
Distal contact of the maxillary canine

Mesial contact of the maxillary canine
Mesial contact of the maxillary lateral
incisor
Mesial contact of the mandibular lateral
incisor
Distal contact of the mandibular-lateral
incisor
Isograft
Homograft
Allograft
Autograft
Xenograft
262. Which of the following represents a risk factor

for the development of endometrial carcinoma?
A.
257.
valine, threonine, and lysine.

desmosine, glycine, and proline.
cysteine, tyrosine, and phenylalanine.
glycine, proline, and hydroxyproline.
cysteine, hydroxylysine, and proline.
Which of the following represents the type of

maxillofacial bone graft having the BEST
chance of success?
A.
256.
Eastern
Southern
Northern
Western
The unique amino acid composition of

collagen is reflected in the high content of
A.
B.
C.
Nucleolemma
Mitochondria
Heterochromatin
Rough endoplasmic reticulum
Smooth endoplasmic reticulum
Which of the following types of blotting can be

used to identify DNA restriction fragments?
A.
B.
C.
D.
Which of the following represents the portion

of the bacterial endotoxin molecule that is
MOST responsible for its toxic activity?
A.
B.
Proteins for extracellular use can be

synthesized in which of the following
structu res?
263.
Herpes simplex virus infection

Endometriosis
Multiple leiomyomas
Multiple pregnancies
Hyperestrogenism
Which of the following vitamins is essential for

the normal elaboration and maintenance of
bone matrix, cartilage, and dentin?
A.
B.
C.
D.
Niacin
Vitamin E
Ascorbic acid
Pantothenic acid
28
264.
Calcium stimulates muscle contraction. Its

effect is mediated through binding to which of
the following?
259.
When compared to a maxillary first molar, the

roots of a maxillary second molar
A.
A.
B.
C.
D.
E.
265.
Actin
Tropomyosin
Troponin I
Troponin C
Sarcoplasmic reticulum
Which of the following features helps to

distinguish a maxillary lateral incisor from a
mandibular lateral incisor? The maxillary
B.
C.
D.
E.
270.
lateral has
A.
B.
C.
D.
E.
a
a
a
a
a
thinner incisal ridge.

crown more twisted on the root.
more pronounced lingual fossa.
root that is flattened mesiodistally.
mesioincisal angle that is sharper.
In right laterotrusive movement, the lingual

cusp of a maxillary right second premolar
passes through which of the following
mandibular structures?
A.
B.
C.
D.
266.
The arrow in the illustration below represents

the path taken by an opposing cusp. Which of
the following is the cusp and mandibular
movement indicated by the arrow?
271.
A.
B.
c.
D.
267.
272.
B.
C.
D.
E.
Each of the following fluids is considered one

that can transmit HIV EXCEPT one. Which
A.
B.
C.
D.
E.
Semen
Serum
Saliva
Amniotic fluid
Breast milk
D.
E.
273.
Dry heat
Autoclaving
Ethylene oxide
Saturated chemical vapor
Immersion in chemical sterilant
The primary function of the anterior portion of

the temporalis muscle is to
A.
B.
C.
Monocytes
Clara cells
Goblet cells
Type I pneumocytes
Type" pneumocytes
Facial groove of the right first molar

Lingual groove of the right first molar
Embrasure between the right first
premolar and the right second
premolar
Embrasure between the right second
premolar and the right first molar
Which of the following is the MOST appropriate

sterilization method for a heatlabile item to be
used in a surgical procedure?
A.
B.
C.
D.
E.
Which of the following produce surfactant?
A.
268.
Facial cusp of a second premolar,

retrusive
Mesiofacial cusp of a first molar,
protrusive
Mesiofacial cusp of a second molar,
laterotrusive
Distofacial cusp of a first molar,
protrusive
are longer.
are more divergent.
are fewer in number.
have less potential for fusion.
are greater in distal inclination.
elevate the mandible only.

protrude the mandible only.
elevate and retrude the mandible.
help stabilize the articular disc.
move the mandible to the contralateral
side.
Bile salts are sodium salts of bile acid that are

conjugated with
A.
B.
C.
D.
cysteine and serine.

taurine and glycine.
methionine and lysine.
homocysteine and ornithine.
2005 American Dental Association, Joint Commission on National Dental Examinations. All rights reserved. Fleprinted by permission.
29
274.
In order for RNA oncogenic viruses to be

integrated into the host genome, they must
possess
A.
B.
C.
D.
279.
A.
B.
C.
D.
translation enzymes.
restriction endonuclease.
DNA-dependent RNA polymerase.
RNA-dependent DNA polymerase.
280.
275.
On the lingual crown surface of maxillary

canines, which of the following is the structure
located immediately mesial to the distolingual
fossa?
A.
B.
C.
D.
E.
C.
Cingulum
Lingual ridge
Mesiolingual fossa
Mesial marginal ridge
Distal marginal ridge
D.
E.
In which of the following structures are

glycoproteins assembled for extracellular use?
A.
B.
C.
D.
E.
277.
Which of the following statements BEST

describes the strength of cardiac muscle
contraction? It is
A.
B.
C.
D.
E.
278.
decreased when extracellular Ca++ is

increased.
increased when extracellular Ca++ is
increased.
mainly regulated by vagal impulses.
unaffected by extracellular Ca++'
mainly regulated by heart rate.
Oxygen-dependent killing of bacteria by

neutrophils involves each of the following
EXCEPT one. Which one is this
EXCEPTION?
A.
B.
C.
D.
E.
Superoxide
Collagenase
Myeloperoxidase
Hydrogen peroxide
NADP dehydrogenase
C.
. D.
282.
Zymogen activation
Phosphorylation of phosphorylase b to
phosphorylase a
Induction of phosphorylase b by an
inducer
Inhibition of adenylate cyclase
Which of the following structures can be

palpated by way of the external auditory
(acoustic) meatus?
A.
B.
C.
D.
E.
283.
IgA
IgD
IgE
IgG
s-lgA
Which of the following mechanisms operates

in liver cells to regulate breakdown of
glycogen?
A.
B.
Nucleolemma
Polyribosomes
Golgi apparatus
Rough endoplasmic reticulum
Smooth endoplasmic reticulum
Incisors and canines

Incisors and premolars
Canines and premolars
Premolars and molars
Which of the following represents the

predominant serum immunoglobulin found
during a memory response?
A.
B.
281.
276.
Which of the following are the teeth whose

masticatory function is primarily biting?
Zygomatic arch
Mandibular notch
Lateral pterygoid muscle
Coronoid process of the mandible
Posterior aspect of the mandibular
condyle
Which main product of protein nitrogen

metabolism is found in human urine?
A.
B.
C.
D.
E.
Urea
Ammonia
Creatine
Uric acid
Creatinine
30
284.
Which of the follmving nerves travels from the

carotid triangle into the submandibular triangle
of the neck?
A.
B.
C.
D.
E.
289.
Lingual
Hypoglossal
Great auricular
Ansa cervicalis
Recurrent laryngeal
When an adult with normal occlusion moves

the mandible from maximum intercuspation to
right lateral relation, which of the following
cusps of maxillary left teeth moves through the
facial embrasure between the mandibular left
premolars?
Cusp
A.
285.
Which of the following best represents the

structure on the crown of the maxillary canine
which normally lies directly distal to the
mesiolingual fossa?
A.
B.
C.
D.
E.
286.
B.
C.
D.
E.
Lingual ridge
Distal fossa
Distolingual fossa
Distal marginal ridge
Mesial marginal ridge
290.
A.
B.
C.
D.
E.
Aspergillus fumigatus
Microsporum audouini
Histoplasma capsula tum
Epidermophyton floccosum
Trichophyton schoenleinii
cL.
291.
Stimulation of the posterior hypothalamus by a

reduction in core temperature will produce
which of the following?
A.
B.
C.
D.
E.
288.
Panting
Sweating
Vomiting
Shivering
Vasodilation
Each of the following structures is found in the

posterior mediastinum EXCEPT one. Which
A.
B.
C.
D.
E.
Vagus nerve
Phrenic nerve
Thoracic duct
Greater splanchnic nerve
Sympathetic chain ganglia
D.
E.
292.
Amoxicillin
Azith romycin
Tetracycline
Cephalosporin
Nystatin
Which of the following compounds is a

precursor of the pigments of the skin, hair,
and eyes?
A.
B.
C.
287.
First premolar
Second premolar
Second premolar
First molar
First molar
A patient has a periapical abscess and a

history of hypersensitivity to penicillin. Which
of the following antimicrobial agents might be
the preferred alternative for this patient?
A.
B.
C.
D.
Which of the following organisms causes a

granulomatous, tuberculosis-like infection?
Lingual
Facial
Lingual
Mesiofacial
Distofacial
Tooth
Tyrosine
Cysteine
Lysine
Creatine
Galactosamine
Intelligence and sensory-motor functions of a

patient appear to be intact. However, the
patient lacks self-discipline and has exhibited
anti-social behavior. He is unable to plan for
the future or to organize behaviors into logical
sequences. A lesion in which of the following
areas is likely?
A.
B.
C.
D.
E.
Frontal lobe
Occipital lobe
Internal capsule
Temporal lobe
Parietal lobe
31
293.
Which of the following organs secretes insulinlike growth factor 1 (IGF-1), and what
stimulates this secretion?
297.
Which of the following enzymes synthesizes

polynucleotide chains from nucleotides and
does NOT require a primer chain?
A.
A.
B.
C.
D.
E.
294.
295.
Anterior pituitary, increasing IGF-RH in

the blood
Anterior pituitary, increasing GRH in the
blood
Kidney, increasing growth hormone in
the blood
Liver, increasing growth hormone in the
blood
Liver, increasing TSH in the blood
Edema as a result of a hemodynamic disorder

commonly occurs in each of the following
locations EXCEPT one. Which one is this
EXCEPTION?
A.
B.
C.
D.
E.
B.
C.
D.
E.
C.
D.
E.
298.
299.
D.
E.
300.
296.
The progression from a healthy gingival

sulcus to gingivitis is associated with a shift
towards
A.
B.
C.
D.
E.
gram-positive cocci.
gram-negative anaerobic rods.
gram-positive filamentous rods.
gram-negative anaerobic cocci.
gram-positive facultative cocci.
Hemiazygos vein
Right vagus nerve
Left vagus nerve
Right lymphatic duct
Greater splanchnic nerve
An infection spreading by way of the lymphatic

system from the vermiform appendix first enters
the blood stream at the
A.
B.
C.
articular disc.
fibrous capsule.
synovial membrane.
joint capsule.
bilaminar zone.
Ligase
Exonuclease
Endonuclease
DNA polymerase
RNA polymerase
Which of the following structures travels just

posterior to the arch of the azygos vein?
A.
B.
C.
D.
E.
Lungs
Brain
Subcutaneous tissues
Peritoneal cavity
Pancreas
The tissue present between the articulating

bones of the temporomandibular joint is called
the
A.
B.
renal vein.
appendicular vein.
inferior vena cava.
brachiocephalic vein.
internal thoracic vein.
Which of the following describes a major

effect of sickle cell anemia?
A.
B.
C.
D.
E.
Absence of biphosphoglycerate binding of

hemoglobin
Substitution of 2 proximal histidines
Decreased solubility of the deoxy form of
hemoglobin
A P50 value for hemoglobin similar to that
of myoglobin
Decreased number of subunits in
hemoglobin
301.
Human infection with Histoplasma capsula tum

is usually a result of
A.
B.
C.
D.
E.
302.
303.
inhaling contaminated air.

drinking contaminated water.
ingesting contaminated food.
direct human-to-human contact.
direct animal-to-human contact.
From a frontal view, which of the following

describes the plane of occlusion of the
mandibular arch in a normal dentition?
A.
B.
C.
D.
Which of the following teeth normally has the

longest root?
A.
B.
C.
D.
E.
A.
B.
C.
D.
E.
308.
A.
Vagus nerves
Sympathetic nerves
Branches of thoracic nerves
Branches of the trigeminal nerve
Branches of the glossopharyngeal
nerve
Which of the following hormones exerts the

LEAST effect on calcium metabolism of bone
tissue?
B.
C.
D.
A.
B.
C.
D.
E.
309.
Androgen
Estrogen
Norepinephrine
Thyroid hormone
Parathyroid hormone
Which of the following types of bronchogenic

carcinoma is MOST commonly associated
with paraneoplastic syndrome?
A.
B.
C.
D.
A.
B.
C.
D.
Small cell carcinoma

Large cell carcinoma
Mesothelioma
Adenocarcinoma
310.
Fluoride penetrates the enamel through

the lamellae.
Keratin content of the enamel is made
more insoluble.
Fluoride coats the tooth forming a
uniform protective barrier.
The primary cuticle. being less
calcified, absorbs the fluoride.
Acid solubility of the surface enamel is
reduced by the fluoride.
Which of the following statements describes

an exampl0 of innate immunity?
E.
305.
hyposalivation.
hypersalivation.
action of pepsin.
excessive fluoride intake.
solubility of hydroxyapatite in acid.
Which of the following represents the basis for

the topical application of fluorides in dental
caries prevention?
E.
304.
Maxillary canine
Mandibular canine
Mandibular first premolar
Maxillary second premolar
307. Tooth erosion in bulimic patients is due to
It is flat.
It is a convex curve.
It is a concave curve.
It is the result of uniform perpendicular
alignment of the teeth.
An abnormal increase in blood pressure in a

healthy person will RESUL Tin an increased
number of impulses traveling to the heart ove!"
which of the following nerves?
A.
B.
C.
D.
E.
306.
An allergic reaction to insect venom

The classical pathway of complement
The destruction of virus-infected cells
by T-killer cells
The production of IgG in response to
insect venom
Phagocytosis of microbes by
neutrophils and macrophages
Which of the following mandibular molar

proximal crown surfaces normally exhibits the
LARGEST size?
A.
B.
C.
D.
E.
Mesial of the first

Distal of the first
Mesial of the second
Distal of the second
Mesial of the third
33
311.
In a CUSP TO FOSSA contacting relationship in
317.
intercuspal position, the maxillary first premolar

is MOST likely to articulate with which of the
following mandibular teeth?
A.
B.
C.
D.
E.
312.
Which of the following has the LEAST ability

to regenerate?
A.
B.
C.
D.
E.
313.
B.
C.
D.
E.
B.
C.
D.
E.
X
+
If the maxillary and mandibular incisors are in

crossbite, then the contacting surfaces, during
maximum intercuspation, would be
A.
B.
C.
D.
319.
mandibular lingual and maxillary facial.

mandibular facial and maxillary facial.
mandibular lingual and maxillary
lingual.
mandibular facial and maxillary lingual.
Which of the following disorders is X-linked

recessive?
0 mg/min
A.
44 mg/min
125 mg/min
600 mg/min
B.
C.
D.
E.
ileum and colon.

fundus and pylorus.
duodenum and jejunum.
stomach and esophagus.
oropharynx and esophagus.
320.
Neurofibromatosis
Turner syndrome
Cystic fibrosis
Marfan syndrome
Hemophilia A
muscle spindles.
mucosal mechanoreceptors.
periodontal mechanoreceptors.
nociceptors in the dental pulp.
Pulmonary edema and filling of the pleural

cavity by a transudate is MOST suggestive of
which of the following underlying diseases?
A.
B.
C.
D.
E.
Cor pulmonale
Pulmonary embolism
Pulmonic valve stenosis
Tricuspid valve prolapse
Left-sided heart failure
Active transport systems generally involve

specific binding molecules that are classified
as a
A.
B.
C.
D.
E.
A patient bites down rapidly on an unexpected

hard surface while chewing. Cessation of motor
unit recruitment in jaw closing muscles is
caused by stimulation of
A.
B.
C.
D.
316.
A.
There is a distinct change in the type of

surface epithelium at the junction of the
A.
315.
318.
Bone
Liver
Striated muscle
Collagen
Smooth muscle
Which of the following represents normal

glucose clearance?
A.
B.
C.
D.
314.
Lateral incisor
Lateral incisor and canine
First premolar
Canine and first premolar
First premolar and second premolar
The major grooves of the mandibular second

molar form which of the following patterns?
321.
lipid.
protein.
lipoprotein.
carbohydrate.
phospholipid.
Which of the following structures directly

develops from the cells remaining in the
remnants of the preovulatory follicle after
ovulation?
A.
B.
C.
D.
E.
Theca interna
Corpus luteum
Corpus albicans
Atretic follicle
Interstitial gland
34
322.
Which of the following provides the immediate

energy source for the transport of glucose into
intestinal epithelial cells?
A.
B.
C.
D.
323.
B.
C.
D.
E.
324.
B.
C.
D.
B.
C.
D.
E.
E.
329.
increase membrane permeability,

inactivate IgG.
inhibit protein synthesis.
increase levels of cAMP.
inhibit DNA synthesis.
a sharper facial cusp tip.

contact areas located more incisally.
a more pronounced cingulum.
a more convex mesial border, when
viewed facially.
B.
C.
D.
E.
330.
Gout
Hypertension
Hypercalcemia
Renal infection
Hyperparathyroidism
not propagate.
propagate towards the soma.
propagate towards the nerve ending.
propagate towards both the soma and
the nerve ending.
In which of the following are tonofibrils and

desmosomes especially well-developed?
A.
B.
C.
D.
E.
Neurons
Fibroblasts
Ameloblasts
Odontoblasts
Keratinocytes
Oblique
Distal marginal
Mesial marginal
Mesial cusp ridges of the MF cusp
Distal cusp ridges of the OF cusp
Which of the following characterizes a benign

tumor arising from skeletal muscle?
A.
B.
C.
D.
E.
332.
Mandibular first premolar

Maxillary first premolar
Maxillary first molar
Primary mandibular first molar
Mandibular second molar
Which of the following represents the ridge on

the occlusal surface of the maxillary first molar
that normally forms the distal boundary of the
central fossa?
A.
B.
C.
D.
E.
331.
B cells, Th2 cells

B cells, neutrophils
Th1 cells, macrophages
Mast cells, eosinophils
IgE, mast cells, histamine
Which of the following teeth has its mesial

marginal ridge located more cervically than its
distal marginal ridge?
A.
An action potential initiated at the midpoint

along the length of an axon will
A.
B.
C.
D.
327.
B.
C.
D.
Urolithiasis is associated with each of the

following conditions EXCEPT one. Which one
is this EXCEPTION?
A.
326.
A.
As distinguished from a maxillary canine, a

mandibular canine typically has
A.
325.
delayed-type hypersensitivity (Type IV

hypersensitivity) ?
NADH
NADPH
Na+ gradient across the luminal
membrane
H+ gradient across the luminal
membrane
The biologic effect of exotoxin A produced by

Pseudomollus aeruginosa is to
A.
328. Which of the following cells are responsible for
Leiomyoma
Papilloma
Rhabdomyoma
Leiomyosarcoma
Rhabdomyosarcoma
The dentin of the crown of a tooth and that of

the root differ in which of the following ways?
A.
B.
C.
D.
E.
Root dentin contains lacunae.

Root dentin is more highly calcified.
Root dentin contains more tubules per
given area.
Granular layer of Tomes is found
primarily in the crown.
Primary curvatures of the tubules
decrease in root dentin.
35
333.
Which of the following explains why an

increased filling of the ventricle during diastole
causes a more forceful heart beat? The
increased ventricular volume
A.
B.
C.
D.
During the life span of a multi rooted tooth,

dentin continues to form MOST rapidly at
which of the following locations?
A.
B.
C.
D.
diminishes the refractory period of the

ventricle.
increases end-diastolic fiber length.
facilitates conduction in the heart.
produces a less than optimal load.
Following prophylactic administration of

amoxicillin, a patient becomes hypotensive
and itchy and is having difficulty breathing.
Which of the following is MOST probably
occurring?
334.
338.
E.
339.
The glomerular lesions in immune complex

disease result from deposition of which of the
following?
A.
A.
B.
C.
D.
335.
CD4 lymphocytes are secreting

Iymphokines resulting in edema.
Amoxicillin reacts with IgE and
activates cytotoxic T cells to release
Iymphokines.
IgG and complement are inducing the
chemotaxis of neutrophils out of
vessels.
IgE bound to antigen results in
histamine release from mast cells,
B.
C.
D.
E.
340.
A.
B.
C.
D.
Mesial and distal marginal ridges

Facial and lingual cusp ridges
Facial and lingual triangular ridges
Marginal and triangular
Cusp ridge and triangular ridge
E.
341.
Which of the following is MOST likely to

precede an impending atherosclerotic cerebral
infarction?
A.
B.
C.
D.
E.
8.
C.
D.
E.
Angina pectoris
Pulmonary embolus
Myocardial infarction
Ruptured berry aneurysm
Transient ischemic attacks
342.
337.
The biologically active conformation of trimeric

G-proteins requires
A.
B.
C.
D.
the alpha-subunit to bind GDP.

the alpha-subunit to bind GTP.
the hydrolysis of BetaGamma-subunits.
the alpha-subunit to phosphorylate
downstream targets.
Two roots
A mesial concavity of the crown
A facial crown contour that is greatly
inclined to the lingual
A lingual height of contour in the
cervical third of the crown
A crown that is wider faciolingually
than mesiodistally
The articular disc of the temporomandibular

joint consists of
A.
336.
IgE
IgG
TCR
Histamine
Interleukin
Which of the following is normally exhibited by

maxillary second premolars?
A transverse ridge results from the union of

A.
B.
C.
D.
E.
Within the root canals

At the dentinoenamel junction
Floor and roof of the pulp chamber
Mesial and distal walls of the pulp
chamber
Facial and lingual walls of the pulp
chamber
hyaiine cartilage.
loose fibrous connective tissue.
an outer synovial layer and an inner
fibrous layer.
dense fibrous connective tissue.
an outer layer of mesothelium and an
inner core of hyaline cartilage.
Which of the following diseases is caused by

an agent that produces neither exotoxins nor
endotoxins?
A.
B.
C.
D.
E.
Cholera
Tetanus
Brucellosis
Gas gangrene
Tuberculosis
2005 American Dental Association, Joint Commission on National Dental Examinations. Ali rights reserved. Reprinted by permission.
36
343.
Which of the following teeth might possess

three cusps?
A.
B.
C.
D.
E.
348.
A.
Maxillary second premolar and maxillary

first molar
Maxillary second premolar and
mandibular first premolar
Maxillary first molar and mandibular
second molar
Maxillary second molar and mandibular
first premolar
second premolar
B.
C.
D.
E.
349.
:~44.
Arneloblasts will form enamel if which of the

following cells are present?
A.
8.
C.
D.
E.
The OLDEST enamel in a fully erupted first

molar is located at the
Stellate reticulum
Stratum intermedium
Langerhans and Merkel
Outer enamel epithelium
Reduced enamel epithelium
Which of the following roots MOST likely has

two canals?
A.
B.
C.
D.
E.
345.
C.
D.
Roots
Canals
Two
Two
Three
Three
Two
Three
Two
Three
350.
Which of the following represents the term

"characteristic of a single disease"?
A.
B.
C. .
D.
E.
Pathogenic
Pathologic
Idiopathic
Iatrogenic
Pathognomonic
In osteomalacia, bones are weak because of

the failure of
351.
A.
B.
C.
D.
E.
remodeling of bone.
bone matrix formation.
osteoblast proliferation.
bone matrix calcification.
interstitial growth of cartilage.
Each of the following statements correctly

describes similar characteristics of the
chemical senses of taste and smell EXCEPT
one. Which one is this EXCEPTION?
A.
B.
C.
347.
Facial root of the maxillary first premolar

Palatal root of the maxillary first molar
Distofacial root of the maxillary first
molar
Mesiofacial root of the maxillary first
molar
Distal root of the mandibular first molar
A mandibular first molar usually has how

many roots and canals?
A.
B.
346.
cervix of the tooth.

oral surface of a cusp.
mesial and distal surfaces of the tooth.
dentinoenamel junction underlying a
cusp.
dentinoenamel junction underlying a
fissure.
The kidney dialysis machine is an example of

which of the following mechanical systems?
D.
A.
B.
C.
D.
E.
Sorting
Cotransport
Countercurrent
Active transport
Receptor cells are replaced regularly.

There are primary classes of taste and
of odor.
Receptors are located on cilia or
microvilli at the apical ends of cells.
Receptors initiate action potentials
directly to respective cranial nerve
sensory fibers.
Molecules must be dissolved in saliva
or mucus to interact with receptor
membrane proteins.
38
Test item #'5 362-368 refer to the following testlet.
A 42-year-old female with a history of

hyperparathyroidism presents with a complaint of
bilateral pain in the temporomandibular joint on
closing. She reports that her ears are occasionally
"clogged", and she sometimes experiences a "ringing"
sensation. The dentist determines that these
symptoms are related to her TMJ condition.
362.
366.
A.
B.
C.
D.
E.
367.
Given her reported hyperparathyroidism, this

patient is likely to show each of the following
signs or symptoms EXCEPT one. Which one
is this EXCEPTION?
A.
B.
C.
D.
E.
Urolithiasis
Elevated serum calcium
Tetanic muscular convulsions
Central giant-cell bone lesions
Loss of lamina dura surrounding
multiple teeth
In this patient, which of the following region

of the articular surface of the TMJ is unlikel
to be present?
If the patient's sensation of "clogged ears" is

due to pressure on the auditory tubes, then
which of the following nerves is providing this
sensory innervation?
A.
B.
C.
D.
E.
368.
A.
B.
C.
D.
E.
364.
Intestinal calcium absorption

Intestinal organic phosphate absorption
Renal calcitriol production
Renal calcium excretion
Renal organic phosphate excretion
This patient will MOST likely be predisposed

to which of the following?
A.
B.
C.
D.
365.
B.
Which of the following will most likely be

INCREASED in this patient?
Muscle spasm
Reduced serum Ca++ levels
Increased osteoblastic activity
Increased likelihood of bone fracture
Examination reveals diminished parotid

salivation due to middle ear involvement.
Which of the following neNes is MOST likely
involved?
A.
B.
C.
D.
E.
Facial
Lesser petrosal
Greater petrosal
Auriculotemporal
Chorda tympanic
Glossopharyngeal
Lesser occipital
Vestibulocochlear
Zygomatic temporal
Posterior deep temporal
This patient's feeling that her ears are

"clogged" might be due to restricted function
of which of the following muscles?
A.
363.
Calcified cartilage
Subarticular bone
Proliferative zone
Fibrous arti~ular layer
Fibrocartilaginous zone
C.
D.
E.
Digastric
Omohyoid
Temporalis
Buccinator Tensor
veli palatini
Test item #'s 369-377 refer to the following testlet
A lO-year-old female with a history of acute

lymphoblastic leukemia is undergoing orthodontic
treatment that is complicated by poor oral hygiene.
Oral examination reveals generalized ceNical plaque
and enlargement of the gingiva. There is generalized
bleeding on probing.
369.

describes a clinical feature of this patient's
leukemia EXCEPT one. Which one is this
EXCEPTION?
A.
B.
C.
D.
Multiple, acutely tender lymph nodes

due to central node ischemic necrosis.
CNS infiltration related to headache,
vomiting, and palsies.
Bone pain secondary to leukemia
infiltration of the marrow and
periosteum.
Symptoms related to bone marrow
suppression, including anemia and
thrombocytopenia.
40
381.
Test item #'s 378-389 refer to the following testlet.

An 80-year-old female with a history of cardiovascular
disease presents with a complaint of pain under her
complete dentures when biting. She has worn them for
15 years, but seldom removes or cleans them.
Removal of the dentures reveals diffuse erythema of
underlying mucosal tissue. Bone resorption is noted
from detectable reduction in height of the alveolar
ridges due to the ill-fitting denture.
Each of ihe following statements describes a

characteristic feature of ischemic heart
disease EXCEPT one. Which one is this
EXCEPT/ON?
B.
C.
D.
378.

describes myocardial infarction (MI) EXCEPT
one. Which one is this EXCEPT/ON?
A.
B.
C.
D.
E.
379.
When fully reclined in the dental chair, the

patient reports difficulty in breathing. This is
MOST likely the direct result of which of the
following?
A.
B.
C.
D.
E.
380.
Most acute Mis are caused by coronary

artery th!"Ombosis.
Acute MI is the most common cause of
death in industrialized nations.
Pain f!"Om MI can usually be relieved by
vasodilators such as nitroglycerin.
Thrombolytic agents such as
streptokinase often limit the size of
infarction.
Myocardial necrosis usually begins 2030 minutes after coronary artery
occlusion.
Hypoxia
Angina pectoris
Bronchoconstriction
Carbon dioxide retention
Congestive heart failure
The atherosclerotic condition of this patient's

arteries likely involves hypertrophy of which of
the following?
A.
B.
C.
D.
Tunica media
Tunica intima
Tunica adventitia
Internal elastic membrane
382.
Which of the following represents the MOST

likely pathologic change in this patient's heart?
A.
B.
C.
D.
E.
383.
Usually results from complete

occlusion of one or more coronary
arteries.
Represents an imbalance between
myocardial oxygen demand and
available blood supply.
Has a peak incidence in men over 60
years of age, and women over 70
years of age.
Contributing factors include chronic
hypertension and high levels of lowdensity lipoproteins.
Vegetations of the aortic valve

Severe mitral valve thickening
Hypert!"Ophy of the left ventricle
f\lecrosis in the right ventricle
Scarring in the left ventricle
The patient's cardiovascular disease has

resulted in chronic atrial fibrillation. Her
physician has prescribed warfarin
(Coumadin) MOST likely to prevent
A.
B.
C.
D.
E.
st!"Oke.
hypertension.
atherosclerosis.
sudden cardiac death.
left ventricular hypertrophy.
384. The bone resorption seen in elderly patients

with low dietary calcium is enhanced by which
of the following hormones?
A.
B.
C.
D.
E.
385.
Insulin
Estrogen
Aldosterone
Thyroid stimulating hormone
Parathyroid hormone
Administration of a local anesthetic with

epinephrine will MOST likely produce which of
the following cardiovascular effects?
A.
B.
C.
D.
Increased heart rate

Decreased heart rate
Increased diastolic blood pressure
Decreased systolic blood pressure
41
386.
To minimize pain when biting, the patient

moves her mandible to the right and chews
only on that side. Which of the following
muscles primarily produces this mandibular
movement?
A.
B.
C.
D.
E.
Right masseter
Left temporalis
Right medial pterygoid
Right lateral pterygoid
Left lateral pterygoid
Test item #'5 390-400 refer to the following testlet.
A patient with hepatitis C is scheduled for extraction of

posterior teeth in the right lower quadrant due to
advanced periodontal disease. Tooth #28 is
abscessed and draining into medial soft tissue. Tooth
#30 shows a large carious lesion and is painful.
390.
387.
Which of the following BEST describes the

t'esult of continued abrasion of the dentures
on the underlying alveolar mucosa?
A.
B.
C.
D.
E.
Lining mucosa becoming gingival mucosa

Lining mucosa becoming masticatory
mucosa
Gingival mucosa becoming
orthokeratinized
Masticatory mucosa becoming
parakeratinized
Orthokeratinized mucosa becoming
parake rati nized
Infection with hepatitis C results in liver

dysfunction, which might decrease the liver's
ability to store glycogen. In addition to the
liver, which of the following is the other major
site of glycogen storage?
Brain
Kidney
Smooth muscle
Cardiac muscle
Skeletal muscle
A.
B.
C.
D.
E.
391.
Damage to the liver from hepatitis C infection

might impair bilirubin metabolism. Bilirubin is a
product of which of the following pathways?
A.
B.
C.
D.
388.
The patient's mandibular denture is determined

to be pressing too far inferiorly, so that
contraction of the muscular floor renders the
denture unusable. Which of the following
muscles is responsible for this circumstance?
A.
B.
C.
D.
E.
392.
Mentalis
Mylohyoid
Geniohyoid
Genioglossus
Medial pterygoid
The new denture teeth have been set up so

that the disto-buccal cusp of the mandibular
first molar rests in the central fossa of the
maxillary first molar. Which of the following
BEST describes this occlusal classification?
A.
B.
C.
D.
Class
Class
Class
Class
I
II, division I
II, division II
III
Death from advanced liver disease caused by

hepatitis C infection is PRIMARIL Y due to
A.
B.
C.
D.
E.
393.
389.
Albumin synthesis
Cholesterol synthesis
Heme degradation
Copper degradation
Inhibition of replication
Inhibition of transcription
Inhibition of urea synthesis
Increase in serum glucose levels
Inhibition of immunoglobulin production
What is the MOST likely outcome of this

patient's hepatitis C?
A.
B.
C.
D.
E.
Development of chronic hepatitis

Development of fulminant hepatitis
Development of hepatocellular
carcinoma
Asymptomatic carrier state, with
normal serum transaminase
Resolution, with eventual clearing of
the virus
42
394.
If the patient transmits the hepatitis C virus to

the dentist, then it will MOST likely be via
which of the following routes?
A.
B.
C.
D.
399.
Oral-fecal
Saliva contamination
Inhalation of aerosols
Contaminated needle stick
If the patient and dentist elect to extract Tooth

#30, sectioning of the tooth will be required.
The dentist should be aware of which of, the
following furcations on this tooth?
A.
B.
C
D.
E.
395.
Microbial analysis reveals that the flora of the

abscess of Tooth #28 consists predominantly
of P. gingiva/is. The inflammation is caused
primarily by which component of this
microorganism?
400.
If the mandibular right posterior teeth are

extracted, then the maxillary right posterior
teeth will likely show signs of
A.
B.
A.
B.
C.
D.
396.
D.
E.
398.
C.
D.
E.
attrition.
abfraction.
ankylosis.
mesial drift.
supraeruption.
Which of the following is a possible lifethreatening sequela of the abscess of Tooth

#28?
A.
B.
C.
397.
Exotoxin
M-protein
Lipoteichoic acid
Lipopolysaccharide
One
Two - mesial and distal
Two - facial and lingual
Three - mesial, distal, and facial
Three - facial, mesial, and lingual
Allodynia
Hyperalgesia
Non-vital pulp
Referred pain
Ludwig's angina
WHEN YOU HAVE F!NISHED THIS

EXAMINATION BOOKLET, PLEASE
COMPLETE THE BRIEF CANDIDATE'S
QUESTIONNAIRE.
Which of the following nerve fibers is primarily

responsible for the sharp pain in Tooth #30?
WHEN YOU HAVE COMPLETED THE

QUESTIONNAIRE, TURN IN THE
FOLLOWING MATERIALS TO THE TEST
ADMINISTRATOR:
A.
B.
Aa
C.
A'6
1. THE TWO ORIGINAL (TOP) ANSWER

SHEETS
D.
E.
AI3
B
If the patient decides to attempt to save Tooth

#30, then it will require root canal therapy.
Which of the following best describes the
MOST likely presentation of pulp canals in this
tooth?
A.
B
c
D.
Two canals, one in each root

Three canals, two in the mesial root
and one in the distal root
Three canals, one in the mesial 1'00t
and two in the distal root
Four canals, two in each root
2. THE CANDIDATE QUESTIONNAIRE

THE TEST ADMINISTRATOR WILL PROVIDE
YOU WITH THE ANSWER KEY FOR THE
ENTIRE COMPREHENSIVE PART I PILOT
EXAMINATION.
YOU MAY KEEP THE EXAMINATION
BOOKLET AND THE CANDIDATE'S copy
OF THE TWO ANSWER SHEETS.
THANK YOU FOR YOUR PARTICIPATION IN

THIS PROJECT.
3
NATIONAl SOARD COMPREHENSIVE PART 8 P!LOT EXAMSNATION
TEST KEY
Item No.
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
Discipline
Anatomic Sciences
Biochemistry-Physiology
Microbiology-Patholocy
Dental Anatomy & Occlusion
Microbiolooy-Pathology
Anatomic Sciences
Microbiology-Pathology
Anatomic Sciences
MicrobioJogy-Patho!OfJ'J
Anatomic Sciences
Microbiology-Patholoav
Anatomic Sciences
Anatomic Sciences
Anatomic Sciences
Anatomic Sciences
Anatomic Sciences
Anatomic Sciences
Microbioloav-Patholoov
Anatomic Sciences
Dental Anatomy &. Occlusion
Anatomic Sciences
MicrobioloQY-Pathology
Anatomic Sciences
Item Key
IwmNa.
251
252
253
254
255
C
D
A
D
C
E
C
B
A
D
C
B
A
E
D
B
0
0
C
B
B
B
C
D
C
A
0
I
I
256
257
258
259
260
261
262
263
264
265
266
257
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
D
C
8
C
284
285
286
287
288
289
290
291
292
293
A
D
B
C
C
E
C
294
295
296
297
298
299
300
Discipline
Microbiologv-Pathology
Anatomic Sciences
Microbioloav-Patholooy
Biochemistrv-Phvsiology
Anatomic Sciences
BiochemistrY-Physiology
BiochemistryPhysiology
MicrobioloQv-PatholoQY
Biochemistrv-PhysiOiOQy
Biochemislry-PhVSioiogy
Denial Anatomv & Occlusion
Anatomic Sciences
Dental Anatomv & Occlusion
Anatomic Sciences
Microbioloav-Pathology
Anatomic Sciences
Biochemistry.-PhysioJQqV
Dental Anatomy & Oc,clusion
Microbiolowt-Patholomr
Anatomic Sciences
Anatomic Sciences
Anatomic Sciences
Microbiology-Patholoov
Anatomic Sciences
Biochem istry-PhVSioloov
Biochemistry-Phvsioloav
Anatomic Sciences
Anatomic Sciences
Hem Key
C
B
A
E
A
E
A
D
B
D
D
E
C
D
C
D
E
C
E
D--
A
B
D
B
C
B
B
A
D
B
E
A
B
A
C
D
B
A
B
A
A
D
E
A
B
E
B
D
2005 American Dental Association, Joint Commission on National Dental Examinations. All rights reserved. Reprinted by permisSion.
4
NA,'T20NAL 80ARD COMPREHEf'JS5VE PART I PILOT EXAMINATION
TEST KEY
Item No.
Discipline
Item No.
Item Key
Discipline
Item Key
""'"
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344345
346
347
348
349
350
Anatomic Sciences
Anatomic Sciences
Anatomic Sciences
Anatomic Sciences
MicrobiologyPatholClY
Anatomic Sciences
Dental Anatomy_ & Occlusion
Anatomic Sciences
MicrobiologyPathology
Anatomic Sciences
Mlcroblology-Pathole>gy
Anatomic Sciences
Anatomic Sciences
Anatomic Sciences
A
C
A
C
A
351
352
353
354
,
355
356
357
358
E
A
C
C
A
D
C
E
D
359
360
361
362
363
364
66
367
368
369
B
B
371
C
C
B
B
0
E
C
A
A
C
370
372
373
374
375
376
3n
378
379
380
381
382
B
B
383
384
385
C
E
38S
387
C
B
388
389
390
391
E
E
392
393
394
395
396
8
B
D
C
397
D
D
398
399
400
,'-','""-" emistry-Physiology
Anatomic Sciences
Microbiolomr-Pathology
Anatomic Sciences
Anatomic Sciences
Anatomic Sciences
,Anatomic Sciences
Microbiology-PathoJogy
Anatomic Sciences
Anatomic Sciences
Anatomic Sciences
Mlcrobiology-PathoJogy
Anatomic Sciences
Anatomic Sciences
8iochemistry-Physioloav
Anatomic Sciences
Anatomic Sciences
0
C
A
B
A
C
B
E
B
C
D
D
B
C
A
E
A
C
D
D
E
C
C
C
E
E
B
A
E
A
E
A
E
C
8
E
C
C
A
D
D
E
C
8
C
E
2005 American Dental AssOCiation, Joint Commission on National Dental Examinations. All rights reserved. Reprinted by permission.
National Board DentaJ
l~xanljnations
TEST PACKET I-M

Compiled, released items from approximately 1998-2005
American Student Dental Association

211 hlsl (
Avenue' Chic:l!2(l, Jllinoi, (,0(, II ~ I ;>440279:')
I 1\1;111: J\SI)A(u'AS!
Weh,;I" wwwASIJ/\J\l'Lm;:
2]] Eas1 Chicago Avenue Chicago, Illinois 606] J 3]2-440-2795 Fax: 3]2-440-2820
E-Mail: ASDA@ASDAne1.org Website: www.ASDAne1.org
TEST PACKET I-M

National Board Dental Examination Part I
(Compiled, released items from
approximately 1998-2005)
Contents
Page
Randomly ordered test items ........................................................... 3

Answer Key.................................................................................... 22
Which of the following nerves innervates the
A.
B.
C
E.
Facial
Trigeminal
Lingual
Mylohyoid
Hypoglossal
B.
C
D.
E.
Each of the following structures increases the

suliace area of the small intestine EXCEPT one.
Which one is the EXCEPTION?
A
B.
C.
D.
E.
3.
Which of the following muscles partici[Jates in

flexion at tile gleno-humeral and the humero-ulnar
joints?
D.
2.
Inferior buccal mucose of the flom of the oral

cavity?
7.
Villi
Rugae
Microvilli
Brush border
Circular folds
A
B
C.
D.
E.
Cell bodies of sympathetic fibers in the nerve of

the pterygOid canal come from which of the
following?
A
B.
C.
D.
E.
The inferior parathyroid gland develops from which

of the following structures?
Second pharyngeal arch

Fourth pharyngeal arch
Fifth pharyngeal arch
Third pharyngeal pouch
Fourth pharyngeal pouch
A
B.
C.
D.
Contain valves
Follow the veins
Always travel in pairs
Only found on the anterior suliace of the
limb
Contain fenestrations to allow passage of
fluids into the interstitium
Which of the following controls parathyroid gland

function?
A
B.
C.
D.
E.
5.
Facial nerve
Superior cervical ganglion
Greater petrosal nerve
Glossopharyngeal nerve
Otic ganglion
In the upper limb, which of the following represents

a hallmark of lymphatic vessels?
E.
4.
Deltoid
Blachialis
Biceps brachii
Triceps brachii
Coracobrachialis
9.
Thyroxin
Calcitonin
Blood levels of calcium
Blood levels of magnesium
Thyroid stimulating hormone
Which of the following nerves is associated wittl

the second pharyngeal arch?
A
B.
C.
D.
E.
Vagus
Glossopharyngeal
Accessory
Mandibular
Facial
The splenic artery is a branch of which of the

following arteries?
A
B.
C.
D.
E.
10.
Celiac
Left hepatic
Left gastric
Musculophrenic
Superior mesenteric
The muscles of facial expression are derived from

A
B.
C.
D.
E.
Frontonasal process
First arch
Second arch
Third arch
Fifth al'ch
11
Each of the following crclilial nerves is associated
16.
with the cavernous sinus EXCEPT one. Which one

is the EXCEPTION?
A.
B.
C.
D.
E.
A.
B.
C.
D.
Facial
Abducens
Trochlear
TI'igeminal
Oculomotor
E.
17.
12.
Which of the following nerves innervates the taste

buds of the anterior two-thirds of the tongue?
A.
B.
C.
D.
E.
13.
C.
D.
E.
Which of the following represents the condition in

which a radiograph of a 10-year-old patient's
Vagus
Facial
Trigeminal
Hypoglossal
Glossopharyngeal
A.
B.
C.
D.
E.
18.
V
VII
X
XI
XII
A.
B.
C
D.
Which of the following exhibits phagocytic activity

in the central nervous system?
A.
B.
C.
D.
E.
15.
Ependymal cell
Microglial cell
Oligodendrocyte
Fibrous astrocyte
Protoplasmic astrocyte
19.
A.
B.
C
D.
B.
C.
D.
E.
E.
Dental follicle
Stellate reticulum
Stratum intermedium
Inner enamel epithelium
Outer enamel epithelium
20.
Anterior band
Posterior band
Intermediate band
Posterior-inferior lamina of the bilaminar
zone
Posterior-superior lamina of the bilaminar
zone
Which of the following represents a muscle that

might assist in depressing tile mandible?
A.
B.
C.
D.
E.
In the superior nasal meatus

In the sphenoethmoidal recess
In the middle nasal meatus, at the semilunar
hiatus
At the anterior extremity of the inferior nasal
meatus
At the posterior extremity of the inferior nasal
meatus
In the temporomandibular joint, a very dense

collection of organized elastic fibers is found in
which of the following areas of the articular disc?
A.
Each of the following cell layers is derived from

oral epithelium EXCEPT one. Which one is the
EXCEPTION?
Mesiodens
Gemination
Dens in dente
Latent odontogenesis
Partial anodontia (hypodontia)
Where is the channel of communication between

the maxillary sinus and the nasal cavity situated?
E.
14.
External intercostal
Internal intercostal
Transversus thoracis
Parietal pleura
Subcostals
maxilla shows that two succedaneous teeth are

absent?
A deviation of the tongue, when protruded, away

from the midline results from damage to which of
the following cranial nerves?
A.
B.
The nerves of the internal thoracic wall lire

immediately deep to which layer of the wal!?
Masseter
Stylohyoid
Teillporalis
Geniohyoid
Medial pterygoid
21.
The organic componenl of dentin is comprised

primarily of
/\.
B.
o
E.
22
26.
Cells thai will form the vertebrae have their origin

in which of the following?
keralin.
reticular fibers.
type I collagen.
tyre II and III collagell.
oxytalan fibers.
A.
B.
C
D.
E.
Each of the following structures leaves the cranium

by way of the jugular foramen EXCEPT one. Which
one is the EXCEPTION?
27.
The nasolacrimal duct drains into which of the

following?
A
A
B.
C
o.
E.
Cranial nerve IX
Cranial Ilerve X
Cranial nerve XI
Cranial nerve XII
Sigmoid sinus - internal jugular vein
B.
C
D.
28.
23.
Each of the following venous channels has direct

connections with the pterygoid venous plexus
EXCEPT one. Which one is the EXCEPTION?
A
B.
C.
D.
E.
24.
Stimulation of the lesser petrosal nerve in an adult

causes secretion by which of the following glands?
A
B.
C
o.
E.
25.
29.
Parotid
Lacrimal
Sublingual
Submandibular
Glands of the hard palate
A
B.
C.
D.
E.
30.
contact dentin
are touched by odontoblast processes
are touched by stratum intermedium
contact stellate reticulum
contact neural crest mesoderm
Primary dentin
Secondary dentin
Reparative dentin
Cellular cementum
Acellular cementum
Which of the following cells is most likely to be

engaged in mitosis at any given time?
A
B.
C
D.
E.
Vagus nerve
Extemal carotid
Internal jugular vein
Common carotid artery
Following eruption and initial occlusal contact in

the oral cavity, a tooth will continue to erupt in
order to compensate for occlusal wear. In response
to this continuous eruption, which of the following
is deposited at the apex of the root?
A.
B.
C.
D.
E.
Ameloblasts will not differentiate from

preameloblasts unless they
Middle meatus
Inferior meatus
Superior meatus
Sphenoethmoidal recess
The carotid sheath encloses each of the following

structures EXCEPT one. Which one is the
EXCEPTION?
A.
B.
C.
D.
MaXillary vein
Vertebral vein
Deep facial vein
Infraorbital vein
Posterior superior alveolar vein
Notochord
Neural arch
Dermamyotome
Two pairs of somites
Intermediate mesodermal plate
Osteocyte
Macrophage
Plasma cell
Chondrocyte
Basal keratinocyte
31.
Fibrocanilage normally occurs in
8.
C.
o
E.
A
B.
C.
D.
E.
There is a distinct change in the type of surface

epithelium at the junction of the
38.
B.
C
D.
E.
In which of the following would fenestrated
B.
C.
D.
E.
39.
capillary plexi be found?
A
B.
C.
D.
E.
34.
35.
C.
D.
E.
fundus of stomach.
duodenum
appendix.
jejunum.
colon.
In hydrocephalus, excess cerebral spinal fluid is
A.
B.
C.
D.
E.
41.
nerves?
V
VII
X
XI
XII
in which of the following areas is likely?
A stab wound creating a pneumothorax on the left

side will usually result in collapse of which of the
B.
C.
D.
following?
E.
A
B.
C.
D.
E
Ventricle
Subdural space
Cisterna magna
Subarachnoid space
Superior sagittal sinus
Intelligence and sensory-motor functions of a

patient appear to be intact. However, the patient
lacks self-discipline and has exhibited anti-social
behavior. He is unable to plan for the future or to
organize behaviors into logical sequences. A lesion
A.
36.
semilunar ganglion.
motor nucleus of V.
spinal nucleus of V.
chief sensory nucleus of V
mesencephalic nucleus of V
found within which of the following?
Difficulty in raising the shoulder might be the result

of damage to which of the following cranial
A.
B.
C.
O.
E.
Cell bodies of neurons mediating proprioception

from the periodontal ligament of the maxillary first
A
B.
40.
B.
C.
D.
E.
the dorsal horn.

lower motor neurons.
upper motor neurons.
the lateral spinothalamic tract.
the dorsal spinocerebellar tract.
molar lie primarily in the
Predentin
Dental pulp
Cellular cementum
Periodontal ligament
Reduced enamel epithelium
Submucosal glands are usually located in the
Bundle bone and dentin

Conical plates and dentin
Bundle bone and cementum
Conical plates and cementum
Haversian bone and cenientum
In an adult, a Babinski sign indicates damage to
oropharynx and esophagus.

esophagus and stomach.
fundus and pylorus.
duodenum and jejunum.
ileum and colon.
33.
Shar'pey's fibers from the periodontal ligament

ins(Ori into which of the following structures?
epiglottis
external ear.
epiphyseal plate.
inter'venebral discs.
C-shaped rings ill the wall of the trachea
A.
32.
37.
The left lung only

The right lung only
Both lungs
The rib cage on the left side
The lef1lung and pericardial sac
Frontal lobe
Occipital lobe
Internal capsule
Teillporallobe
Parietal lobe
42.
The neurons of the central nervous system that
47.
Mucosa of the anterior two-thirds of the tongue
innervate muscles derived from branchial arches
develops primaril)' from
are found In which of the following nucle()
A
B
C
o
E.
A.
B.
C
D.
E.
Nucleus ambiguus
Hypoglossal nucleus
Dorsal motor nucleus of X
Nucleus of Edinger-Westphal
Superior salivatory nucleus
48.
43.
topical application of fluorides in dental caries

pr'evention?
A.
B.
C
A.
D.
c
D.
E.
B
C.
D.
E.
49.
B.
C
D.
E.
50.
Osteoid
Elastin
Collagen
Hydroxyapatite
Ground substance
B.
C
B.
C.
D.
E.
D
E.
Attach Sharpey's fibers

Protect the root from caries
Repair traumatic injuries of the root
Supply nutrition to the periodontal ligament
Maintain the width of the periodontal
ligament
B.
C.
D.
E.
A
B.
C
D.
E.
52.
Cementoid
Tight junction
Intermediate filaments
Basal lamina-like structure
Interstitial crevicular fluid
ADP
Oxygen
Carbon dioxide
Electron donor
Inorganic phosphate
If the anticodon on transfer-RNA is 5'ACG3', then

which of the following is its corresponding codon
on messenger-RNA?
A
B.
C.
D
E.
Basilic
Braciocephalic
Axillary
Internal thoracic
Superior vena cava
Coupled respiration requires each of the following

EXCEPT one. Which one is the EXCEPTION?
The junction between the tooth surface and the

crevicular epithelium is composed of whiCh of the
following?
Myotome
Dermatome
Sclerotome
Neural crest
Rathke's pouch
Blood from the cephalic vein drains into which of

the following veins?
51.
induced by the notochord.

positioned posterior to the notochord.
positioned anterior to the prochordal plate.
between the prochordal plate and the
notochord.
Melanocytes migrate to the lamina propria of the

oral mucosa from which of the following?
Which of the following represents the primary

function of cementum?
46.
Fluoride penetrates the enamel through the

lamellae.
Keratin content of the enamel is made more
insoluble.
Fluoride coats the tooth forming a uniform
protective barrier.
The primary cuticle, being less calcified,
absorbs the fluoride.
Acid solubility of the surface enamel is
reduced by the fluoride.
Which of the following represents the primary

mineral component of alveolar bone in the
periodontium?
45.
Initial/y, the developing hean is
Which of the following represents the basis for the
44.
Rathke's pouch
tuberculum impar.
foregut endoderm.
hypobranchial eminence.
lateral lingual swellings.
5'
5'
5'
5'
5'
CGT 3'
CGU 3'
TGC 3'
UAG 3'
UGC 3'
Which of the following is the major storage form of

iloll in the-; body~)
A.
B.
C
D.
E
5A
Each of the following is an anticoagulant EXCEPT

one. Which one is the EXCEPTIOI\j~;
Transferrin
Hemosiderin
Apoferritin
Hemoglobin
Ferrilin
/J,.
B.
C.
D.
E.
5-'1.
When a mammalian red blood cell is placed in 0.3

per cent sodium chloride, water moves across the
cell membrane by which of the following
processes?
A
B.
C
D.
E.
55.
C.
D.
The characteristic of the aorta lhat is most

responsible for the maintenance of diastolic blood
pressure is its
Osmosis
Hemolysis
Pinocytosis
Active transport
Diffusion
B.
C.
D.
E.
60.
Free fatty acids in plasma are
A.
B.
59
metabolically inert.
mainly bound to [beta]-lipoproteins.
independent of epinephrine secretion.
mainly associated with serum albumin.
A
B.
C.
D.
Each of the following is required for normal blood

Glot formation EXCEPT one. Which one is the
EXCEPTION?
61.
A
B.
C.
D.
E.
57.
Ca++
Plasmin
Thrombin
Vitamin K
Proteolysis
A.
B.
C
D.
E.
62.
Anti-thrombin III
Platelets
Fibrinogen
Plasminogen
Thrombin
Cortisone
Collagenase
Chymotrypsin
Hyaluronidase
Which portion of the nervous system contains the

cardiac, vomiting, and vasomotor centers?
A
B.
C
D.
nourishes blood cells.

aids in blood clotting.
prevents loss of erythrocytes from the blOod.
prevents excess loss of fluid from capillaries.
prevents entrance of tissue fluid into
capillaries.
Which of the following is most likely to promote

de polymerization of extracellular matrix?
A.
B.
C.
D.
Which of the fOllowing combines with heparin to

inhibit blood clotting?
wide lumen.
elastic distenSibility.
proximity to the heart.
great peripheral resistance.
active contraction.
Colloid osmotic pressure of the blood is important

because it
E.
56.
Heparin
Vitamin K
Dicumarol
Sodium citrate
Any antithrombin sUbstance
Medulla
Thalamus
Cerebrum
Cervical region of the spinal cord
The concentration of which of the following amino

dentin has contaminated a purified enaillel
preparation?
Which of the following represents the most likely

reason';
B.
C.
o.
E.
B.
C.
D.
B.
C.
D.
E.
C.
D.
E.
69.
AlbUmin
Citrate
Heillogiobin
Beta-globulin
70.
Glycogen synthesis
Bronchial dilation
Decreased mental activity
Decreased metabolic rate
Increased blood flow to the skin
A.
[Na+]
B.
[Cn
c.
[K+]
Colloid osmotic pressure
Total osmotic pressure
B.
C.
O.
72.
more forceful heali beat? The increased ventricular

volume
A.
B.
C.
D.
C.
O.
Bone
Enamel
Calculus
Oral bacteria
Saliva
Which of the following substances is the

predominant source of ATP at MODERATE levels
(for greater than 60 minutes) of activity?
A.
B.
dimin'lshes the refractory period of the

ventricle.
increases end-diastolic fiber length.
facilitates conduction in the heart.
produces a less than optimal load.
It decreases urea clearance.

It increases the Tm for glucose.
It increases the acidity of the urine.
It decreases sodium reabsorption in the
proximal tubule.
The composition of plaque is most similar to which

of the following?
A.
B.
C.
D.
E.
Which of the following explains why an increased

filling of the ventricle during diastole causes a
Release of renin
Reflex vasoconstriction
Retention of potassium in blood
Increased output of epinephrine
Which of the following describes the effect of a

drug that inhibits renal carbonic anhydrase?
A.
71.
Cardiac shock
Anaphylactic shock
Atrial fibrillation
Ventricular fibrillation
Decreased arterial compliance
Reduced renal blood flow can cause hypertenSion

by which of the following?
A.
B.
C.
D.
Which of the following is the same value for

intracellular and interstitial fluid?
D.
E.
67.
A.
B.
Sympathetic stimUlation most likely produces which

of the following?
A.
66.
Lysine
Proline
Hydroxyproline
Phosphotyrosine
Phosphoserine
Calcium is transported in the blood in combination

with which of the following?
A.
65.
Prior to surgery an anxious patient has a higher

systoliC blood pressure than previously noted.
A.
64
68.
acids can be used to determine whether or not
Amino acids
Fatty acids
Carbohydrates
Proteins
73
Which of the following substances has a ciearance
78.
Peptide hormones generally exert their effect
rate that is greatel than the glomerular filtration

rate (GFRfJ
thlOugh which of the iollowlllg'i

A.
A.
B
C
D.
Para-aminohippuric acid (PAH)

Potassium
Glucose
Urea
B.
C.
O.
74
What is the biological Significance of the extensive

degeneracy of the genetic code?
A
B.
C.
O.
E
75.
B.
C.
O.
B.
C.
O.
B.
C.
Eastern
Southern
Northern
Western
80.
Lipid
Protein
Nucleotide
Carbohydrate
81.
D.
E.
82.
Distal tubule
Loop of Henle
Collecting duct
Proximal tubule
Which of the following represents the correct size

and characteristic of the nerve fibers that conduct
sensory input of pain from the oral-facial region?
A
B.
C.
Thrombin
Fibrinogen
Phospholipids
Throillboxane A2
Prostacyclin 12 (PgI2)
The semilunar valves are open.

The left ventricular pressure is rising rapidly.
The aortic pressure is slightly less than the
left ventricular pressure.
The right ventricular pressure is greater than
the left ventricular pressure.
Glucose reabsorption in the nephron is usually

completed in which of the following?
A.
B.
C.
O.
Which of the following substances is released by

blood platelets and causes platelets to stick
together?
A.
B.
C
O.
E.
During the period of isovolumetric contraction,

which of the following happens?
The catabolism of which of the following results in

no energy production in the form of ATP?
77.
79.
Which of the following types of blotting can be

used to identify DNA restriction fragments?
A.
76.
Alters the amino acid sequence of proteins

encoded by the DNA
Minimizes the deleterious effect of mutations
Maximizes the beneficial effect of mutations
Increases chain termination
Leads to active proteins
Intracellular receptms and stimulating protein

synthesis
Receptol's on the cell membrane and
stimulating protein synthesis
Intracellular receptors and altering the
specific activity of certain enzymes
Receptors on the cell membrane and
altering the specific activity of ceriain
enzymes
Large diameter, myelinated

Small diameter, myelinated
Large diameter, unmyelinated
Small diameter, unmyelinated
Intermediate diameter, myelinated
As blood flows through the periodontal melllbrane.

t"emendous pressures occur in response to
forceful occlusion. Blood flow is teillporar-ily
reduced, but platelets do not aggregate because of
the presence of
A.
B.
C.
O.
E.
10
Ca++
AOP.
thrombin.
thrornboxane A2.
prostacyclin (PgI2).
8:1.
/\n examp\(" 01 synergism ic; the efiectc, 01
84.
B.
C.
D.
Which of the following molecules causes the

activatiorl of myosin kinase and the contraction of
smooth muscle'l
insulin and glucagon on blood glucose

estrogen and progester'one on uterine
motilrty.
growth hormone and thyroxine on skeletal
growth
antidiuretic hormone and aldoster'one on
potassiulll exuetion
A.
B.
C.
O.
E.
The jaw jerk reflex is an example of which of the

following reflexes?
85.
88.
89.
Load
Flexor
Withdrawal
Dynamic stretch
Which of the following is the primary difference

between juxtamedullary and cortical nephrons?
A
B.
C.
D.
E.
B.
C.
D.
90.
Withdrawal
Nociceptive
Polysynaptic
Monosynaptic
Which of the following is an essential element

found in all cytochromes?
A.
B.
C
D.
E.
A patient bites down rapidly on an unexpected

hard surface while chewing. Cessation of motor
unit recruitment in jaw closing muscles is caused
by stimulation of
A
8.
C.
D.
91.
muscle spindles.
mucosal mechanoreceptors.
periodontal mechanoreceptors.
nociceptors in the dental pulp.
A
B.
Which of the following statements about

norepinephrine is carTee!?
D.
E.
8.
C.
D.
Causes cardiac acceleration

Causes general vasodilation
Causes vasodilation in vessels of the skin
Has a negative inotropic effect on the heart
Is the preganglionic sympathetic
neu rotr'ansmitter
92.
Increased oxygen concentration in arterial

blood
Increased carbon dioxide concentration in
venous blood
Decreased oxygen extraction by peripheral
tissues
Increased oxygen extraction by peripheral
tissues
Decreased carbon dioxide concentration in
arierial blood
Chondroitin sulfate is a major component of which

of the following?
A.
B.
C.
D.
E.
11
Co
Cu
Fe
Mg
Zn
Acute cyanide poisoning would most likely lead to

c.
87.
Renal plasma flow

Filtration fraction
Length of the distal tubule
Length of the proximal tubule
Length of the thin segment of the loop of
Henle
The stretch reflex is an example of which of the

fol/owing reflexes?
86.
Actin
Troponin
Calmodulin
Calcitonin
Cholecalcileml
Hair
Mucin
Cartilage
Bacterial ceil walls
Blood group substance
93.
Which of it-Ie following characterizes hoth activ("
is 10und in human urine?
A.
Hydrolysis of ATP
Competitive inhibition
Transport bidil-ectionai
Transport against a concentration gradient
C
D
Which of the following has the most effect in

stimulating respiration?
A.
B.
Increase in blood pH
Decrease in arterial p 0 2
C.
Increase in arte(lal pC02
D.
Decrease in blood pH
Decrease 'In arterial pC0 2
E.
95_
Whicll main product of protein nitrogen metabolislTI
transpori and facilitated diffusion?
B.
94 _
99.
Which of the following proteins is involved with

bacte(lal aggregation and subsequent eliminat'lon
from the oral cavity?
A_
S.
C.
D.
B.
C.
D.
E
100.
Each of the following is expected to be active

during fatty acid biosynthesis EXCEPT one. Which
A.
B.
C.
D.
E.
A.
Gustin
Statherin
Lactoferrin
Secretory IgA
B.
C.
Thyroid hormones are synthesized from which of

the following amino acids?
A.
B.
C.
D.
E.
97.
A.
B.
C.
D.
E.
98_
Phosphodiesterase
Monoamine oxidase
Amino decarboxylase
Tyrosine hydroxylase
GO
B.
G1
S
G2
M
C.
D.
E.
Middle third
Occlusal third
Same third as that tooth's buccal height of
contour
Same third as the lingual height of contour
on the crown of the maxillary premolars
Same third as the lingual height of contour
on the crown of the mandibular first premolar
103. When v'lewed from the facial aspect, the crown of

the mandibular first premolar has an occlusal
outline that normally exhibits which of the following
characteristics?

following phases of the cell cycle EXCEPT one.
Wilich one is the EXCEPTION?
A.
The mesiofacial root usually tips mesially in

its apical one-third.
The palatal roo\ has a concave facial
surface.
The palatal root is flattened and concave on
its mesial and distal surfaces.
The distofacial root is flattened and concave
on its facial surface.
102. Which of the following represents the location of

the lingual height of contour on the crown of the
mandibular second premolar?
Tyrosine
Dopamine
Histidine
Threonine
Tryptophan
Which of the following enzymes is responsible for

inactivating catecholamines?
A.
B.
C.
D.
Tricarboxylic acid cycle

Pyruvate dehydrogenase
Amino acid catabolism
Beta oxidation
Glycolysis
101. Which of the following statements best describes

the roots of a maxillary first molar?
D.
96.
Urea
Ammonia
Creatine
Uric acid
Creatinine
A.
B.
C.
D_
12
Cusp tip which is offset to the distal

Cusp tip which is centered mesiodistally
Disto-occlusal slope which is longer than the
mesio- occlusal slope
Mesio-occlusal slope which is longer than
the disto- occlusal slope
~ 04.
Two pulp canals are most commonly found in the
A.
B.
C
D
105.
110
The part of the tooth which, at a given moment, is

exposed to the oral cavity is
root of a mandibular central incisor.

facial root of a maxillary first premolar
distal root of a mandibular first molar.
mesial root of a mandibular first molar.
mesiofacial root of a maxillary first molar.
A.
B.
C.
D
E.
In the triangle formed by the projection of the

orifices of the canals of a maxillary first molar, the
A.
B.
C
D
E.
111.
line connecting mesial with lingual is longest.
line connecting distal with lingual is longest.
line connecting mesial with distal is longest
angle at the distolingual canal is obtuse.
angle at the mesiofacial canal is obtuse.
The anatomic crown is that portion of a tooth that

is
A.
B.
C.
D
106.
Which of the following attaches the root surface to

the alveolar bone?
A.
B.
C.
D.
E.
112.
Cementum
Attached gingiva
Dentinal tubules
Periodontal ligament
Cementoenamel junction
A.
B.
C.
D.
E.
B.
C.
D.
E.
Incisive foramen
Canine eminence
Maxillary tuberosity
External oblique ridge
Greater palatine foramen
B.
C
D.
E.
A.
B.
C.
D.
E.
Parotid
Incisive
Fungiform
Interdental
Circumvallate
B.
C.
D.
E.
are longer.
are more divergent.
are fewer in number.
have less potential for fusion.
are greater in distal inclination.
114. Which of the following teeth is the most likely to

have a bifurcated root?
A.
B.
C.
D.
E.
109. The bulk of a tooth consists of
A.
Fusion
Dens in dente
Concrescence
Dilaceration
Gemination
113. When compared to a maxillary first molar, the roots

of a maxillary second molar
10S. Which of the following papillae would normally be

found in the buccal vestibule?
A.
in occlusion.
exposed to oral fluids.
coronal to the cervical line.
occlusal to the gingival margins.
A patient has an extremely wide, notched tooth in

the mandibular left central incisor position. Clinical
and radiographic examinations reveal 28 teeth
have erupted, but four third molars have not
erupted. Which of the following conditions exists?
A.
107. Which of the following anatomic structures is found

just lingual to the maxillary central incisors?
the anatomic crown.

the clinical crown.
the functional clinical crown and root.
measurably larger ill young per'sollS than in
older persons.
not efiected by periodontal health.
pulp.
crown.
dentin.
enamel.
cementum.
115.
Which of the following primary teeth does a second

premolar replace when it erupts into the oral
cavity?
A.
B.
C.
D.
E.
13

Maxillary lateral incisor
Mandibular lateral incisor
Maxillary canine
Mandibular canine
Canine
First premolar
Second premolar
First molar
Second molar
11 (:,
Which of the following describes tile contact

relationship between 8 I118xilialY central incisor
a maxillary lateral incisor?
A
B.
C
D.
117.
C.
D.
E.
B.
C
D.
123,
A
B.
C.
D.
124,
Each of the following can be found in the dental

pulp EXCEPT one. Which one is the EXCEPTION?
A.
B.
C.
D.
120.
A.
B.
C
D.
121,
C.
0,
126.
Which of the following molar roots is wide

faciolingually and concave on both mesial and
distal surfaces?
B.
C.
D.
E.
The distolingual cusp of which of the following

molal's might be absent?
A.
B.
C
D.
127.
Maxillary first
Mandibular first
Mandibular third
Maxillary third
Round
Square
Trapezoidal
Rhomboidal
Heal1-shaped
Initiation of calcification fm the mandibular central

incisor normally OCCUI'S at
A
B.
C.
D.
E.
14
Masseter
Temporalis
Medial pterygoid
Lateral Pterygoid
From the occlusal aspect, which of the following

represents the most frequently seen form of a
maxillary second molar?
A.
Distofacial of a maxillary first

Lingual of a maxillary first
Mesial of a mandibular first
Distal of a mandibular first
Vertical
Sagittal
Horizontal
Transverse
During a visual examination of a patient who has a

severe clenching habit, which muscle would one
expect to see enlarged?
A.
B.
Nerve tissue
Blood vessels
Cementoblasts
Lymph vessels
The mesial contact of a maxillary canine

The distal contact of a maxillary canine
The mesial contact of a maxillary lateral
incisor
The mesial contact of a mandibular lateral
incisor
When the mandible performs a laterotrusive

movement, the laterotrusive-side condyle moves
primarily about which of the following axes?
A.
B.
C.
D.
Agenesis
Dilaceration
Concrescence
Dens in Dente
Enamel pearls
FaCial groove of the right first molal

Lingual groove of the right first molar
Embrasure between the right first premolar
and the right second premolar
Embrasure between the right second
premolar and the right first molar
The proximal contact areas between anterior teeth

are incisal to the middle third of the teeth. Which 01
the following is an EXCEPTION to this rule?
straight anteriorly.
straight posteriorly.
straight laterally.
anteriorly and laterally.
posteriorly and laterally.
125.
119.
In a right working movement, the lingual cusp of a

maxillal'y rrght second premolar passes through
whicll of the following mandibular structures?
A.
A patient presents with symptoms of an acute

abscess on the maxillary left lateral incisor. There
are no clinical signs of decay or restoration.
Radiographically, which of the following will most
likely be shown as the cause of the abscess?
A.
3.
C.
D.
E.
122.
Contact is offset to the lingual

Contact is centered incisocervically.
Lingual embrasure is larger than the facial
embrasure.
Incisal embrasure is the largest of all the
embrasures.
In the horizontal plane, as the mandible moves in a

lateral excursion, the midline of the mandible
moves
A.
B.
118.
allo
3-4 months of age.

1 year of age.
2-3 years of age.
4-5 years of age.
6-7 years of age.
1n
The oblique ridge of the maxillalY molars extends

I)(-:twloell which two cusps?
A
B
C
D.
E.
129.
B.
C
D.
E.
B.
C.
D.
E.
B.
C
D.
B.
c.
D.
First
First
Second
Second
Second
Distofacial
Mesiofacial
Distofacial
Mesiolingual
Distolingual
E.
136.
B.
C
D.
D.
Buccal
Central
Distolingual
Transverse grooves of oblique ridge
137. When the mandible moves from maximum

intercuspai position distally, any tooth contacts that
occur are called
Buccal
Lingual
Central
Distobuccal
A
B.
C.
D.
E.
Maxillary first
Mandibular first
Maxillary second
Mandibular second
retrusive contacts.
protrusive contacts.
mediostrusive side contacts.
laterotrusive side contacts.
lateral protrusive contacts.
138. Between which of the following permanent teeth is

the lingual embl'3sure smaller than the facial
embrasure?
The illcisal embrasure is the smallest between

which of the following two teeth?
A.
B
C
D.
E
Maxillary second pl'emolar and maxillary first

molar
Maxillary second premolar and mandibular
first premolar
Maxillary first molar and mandibular second
molar
Maxillary second molar and mandibular first
premolar
second premolar
Each of the following grooves originates in the

central pit of the maxillary second molar (four cusp
type) EXCEPT one. Which one is the
EXCEPTION?
A.
B.
C.
Which of the following premolars frequently has

only one pulp horn?
133.
Which groove of the mandibular first molar does

the maxillary mesiolingual cusp pass through in a
lateral excursive movement on the working side?
132.
Surface
distally and facially.

mesially and facially.
mesially and lingually
distally and lingually.
135. Which of the following teeth mighl possess three

cusps?
a mesial contact with the primary first molal.

a distal contact with the second molar.
no mesial contact.
no distal contact.
not yet erupted.
Molar
When in its normal position relative to the arch

fornl thce: crown of a mondibular first 1110101 inclines.
A.
B.
C.
D.
Of the primary maxillary teeth, the cervical ridge

would stand out most prominently as a distinct
entity on which surface of which molar?
131.
Meslofacial and distofacial

Mesiolingual and distolingual
Mesiollllgual and distofacial
Mesiofacial and mesiolingual
Mesiofacial and distolingual
At age 8, the maxillary first molar has
130.
134.
B.
Maxillary central incisors

Mandibular central incisol's
Maxillary central and lateral incisors
Maxillary lateral incisor and canine
Mandibular lateral incisor and central inciSal
c.
D
15
Maxillary first premolar and maxillary second

premolar
Maxillary second molar and maxillal)! third
molar
Mandibular first molar and mandibular
second molar
Mandibular first premolar and mandibular
second premolar
139
On a mandibular first molar, the distofacial groove

serves as an escapeway for the mesiolingual cusp
of the maxillary first molar during which of the
following mandibular movements?
A.
B.
C.
D.
140.
141.
E.
Distolingual
OF triangular
DL triangular
Distal marginal
Distal ponion of the central
A.
B.
C.
D.
E.
Lateral incisor
Lateral incisor and canine
First premolar
Canine and first premolar
First premolar and second premolar
147. Which of the following is least likely to contribute to

or affect stability of the dental arch form?
A.
B.
C.
Dwarfing
Elongation
Bifurcation
Concrescence
Trifurcation
D.
E.
Periodontal health
Plane of occlusion
Occlusal contact forces
Interproximal contact form
Forces exened by the lips and tongue
148. When viewed from the frontal plane and

progressing posteriorly, the axial inclination of the
crowns of maxillary posterior teeth
Which of the following teeth represents the one

most likely to present with three roots?
A.
B.
C.
D.
E.
Rest position
Terminal hinge
Maximum opening
Maximum protrusive
Intercuspal position
In a CUSP TO FOSSA contacting relationship in

intercuspal position, the maxillary first premolar is
most likely to artiCUlate with which of the following
mandibular teeth?
146.
Straight
Evenly convex toward the apex
Evenly convex toward the occlusal
Irregularly convex toward the apex
Irregularly convex toward the occlusal
Antrum
Nasal septum
Frontal sinus
Zygomatic arch
Mandibular fossa
Which of the following jaw positions is determined

almost exclusively by tooth contact?
A.
B.
C.
D.
E.
Which of the following represents the most

common type of root anomaly on the mandibular
first premolar?
A.
B.
C.
D.
E.
143.
145.
Which of the following best describes the cervical

margin on the facial crown surface of the maxillary
first molar?
A.
B.
C.
D.
142.
A.
B.
C.
D.
E.
Working
Non-working
Protrusive
Centric slide
Which of the following primary grooves uniting in

the distal pit on the occlusal surface of the
mandibular second molar represents the one that
normally has no counterpan in the distal pit of the
first molar?
A.
B.
C.
D.
E.
Which of the following represents the structure in

the maxillary alveolar bone Hlat maxillary premolar
roots occasionally penetrate?
144
A
B.
C.
D.
E.
Mandibular central incisor

Mandibular second premolar
Mandibular canine
Maxillary first premolar
Maxillary second premolar
remains vertical.
inclines lingually.
inclines distally.
inclines mesially.
inclines buccally.
149. When viewed from the sagittal plane, the axial

inclination of the anterior teetll
A.
B.
C.
D.
E.
16
remains venical.
inclines facially.
inclines mesially.
inclines distally.
inclines lingually.
15CJ
The presence of m3melons on a 19-year-old

pCltient suggests which of the following conditions')
A.
B.
C.
D.
E.
151.
156, Which of the following pathogens is the single

most common cause of sexuCllly transmitted
disease in the U_S,?
Fluorosis
!Vialformation
!Vialnutrition
Delayed el-uption
Anterior open bite
A.
B_
C
D,
E,
In osteomalacia, bones are weak because of the

failure of
A.
B,
C
D,
E,
157, Which of the following represents the mechanism

of action of diphtheria toxin?
remodeling of bone,
bone matrix formation,
osteoblast proliferation
bone matrix calcification,
interstitial growth of cartilage,
A.
B_
C,
D,
E,
152, Which of the following is the most common

location for an atherosclerotic induced aneurysm?
A.
B,
C.
D_
E,
153,
C,
D,
E_
Thoracic aorta
Abdominal aorta
Coronary arteries
Arch of the aorta
Common iliac arteries
A.
S_
C.
D_
E,
Most infections are subclinical,

Paralysis is an uncommon outcome of
infection,
There are 3 types of poliovirus, making 3
infections possible,
Virus is predominantly shed from the body
and transmitted in respiratory secretions,
Some damaged neurons may be repaired,
restoring lost functions,
A.
B_
C_
D,
E_
Sarcina lutea
Bacillus anthracis
Veillonella alcalescens
Porphyromonas gingival is
Alpha-hemolytic streptococcus
160, Beta 1-4 linkages connect N-acetyl glucosamine

and N-acetyl muramic acid, The resulting polymer
is found in bacterial
A
B,
C,
D,
Shingles
Chickenpox
Herpes labialis
Infectious mononucleosis
Herpetic gingivostomatitis
flagella
capsules_
cell walls,
metachromatic granules_
161, Rough pneumococci that are grown in the

presence of DNA from smooth pneumococci
develop capsules, This process is ter-Illed
155. Which of the following conditions might be an initial

manifestation of early, acute HIV infection?
A.
S,
C.
D_
E
Semen
Serum
Saliva
Amniotic fluid
Breast milk
159_ Which of the following represents the anaerobic

organism that is cultured from gingival scrapings
and that forms black colonies on hemin-containing
culture media?
154 - Which of the following can result if an individual

having reactivation of latent varicella zoster virus
transmits virus to a seronegative individual?
A.
B.
C.
D,
E,
Activates cAMP
Causes cytolysis
Inhibits translation
Inhibits transcription
Inhibits DNA replication
158, Each of the following fluids is considered one that

can transmit HIV EXCEPT one, Which one is the
EXCEPTION?
Each of the following statements about poliovirus

infections is correct EXCEPT one, Which one is
the EXCEPTION?
A,
B_
Treponema pallidum
Haemophilus ducreyi
Chlamydia trachomatis
Herpes simplex virus
Human immunodeficiency virus
A_
B_
C_
D,
Kaposi's sarcoma
Wasting syndrome
Pneumocystis car-inii pneumonia
17
translation,
tranSduction,
transformation,
conjugation,
1G2
During an outbreak of gastroenteritis caused by

Salmonella, a strain of the species suddenly
appears to be resistant to several antibiotics
Which of the following best explains why?
A.
B.
C
D.
163.
A.
B.
C.
D.
45, XO
45, YO
46,XX
47,XXY
47, XYY
Cholelithiasis
Acute pancreatitis
Ampulla of Vater cancer
Carcinoma of the tail of the pancreas
170. Which of the following represents the arthritis that

is usually associated with aging?
A.
B.
C.
D.
Mumps and measles viruses

Parainfluenza and rubella viruses
Coxsackievirus and rhinoviruses
Adenoviruses and reoviruses
Herpes simplex virus and adenoviruses
Osteoarthritis
Gouty arthritis
Rheumatoid arthritis
Psoriatic arthritis
171. Multiple, lytic lesions of bone characterize each of

the following conditions EXCEPT one. Which is the
EXCEPTION?
A.
B.
C.
D.
E.
food.
feces.
flies.
saliva.
Multiple myeloma
Metastatic carcinoma
Osteogenesis imperfecta
Hyperparathyroidism
Langerhans (eosinophilic) granulomatosis
172. Osteoporosis can be associated with each of the

following EXCEPT one. Which is the EXCEPTION?
A.
B.
C.
D.
E.
All nucleated cells

CD4+ T cells only
Epithelial cells only
HLA Class 11+ cells only
Mesencllymal cells only
Prolonged corticosteroid administration

Prolonged immobilization
Chronic malnutrition
Hypervitaminosis 0
Advanced age
173. In general, enzyme-deficiency diseases are

inherited by which of the following modes?
Soft and hard tissue necrosis char'acterizes which

of the following fungal diseAses?
A.
B.
C.
D.
E.
Chlamydia
Treponema
Neisseria
Hemophilus
169. Whicll of the following is least likely to produce

acute abdominal symptoms?
Human leukocyte antigen (HLA) Class I molecules

are found on which of the following?
A
B.
C.
D.
E.
167.
Parent strain has undergone several

mutations
Parent strain has acquired a plasmid
There are several species of Salmonella
present, each resistant to one antibiotic
New strain is a species of Escherichia coli,
which has acquired virulence by mutation.
In humans, the mumps virus is transferred by
A
B.
C.
D.
166.
A.
B.
C
D.
Which of the following viruses are frequently

associated with eye infections?
A.
B.
C.
D.
E.
165.
Nongonococcal urethritis is ofien caused by

microorganisms of whicll of the following genera?
Which of the following karyotypes is found in

Turner syndrome?
A.
B.
C.
D.
E.
164.
168.
B.
C.
D.
Mucormycosis
Cryptococcosis
Histoplasmosis
Coccidioidomycosis
Candidiasis
18
Polygenic
X-linked dominant
Autosomal recessive
Autosomal dominant
174
Which of the following anemias results from dl'ug.

IIlduced bone-: malTOW suppression';
A.
C
D
E.
176.
D.
E.
B.
C
D.
E.
179.
A.
B.
C.
D.
E.
Host cell DNA homology to viral DNA

Temperature of host cell incubation
Gamma-interferon production
Cell surface receptors
Viral enzyme synthesis
182. A 5-year-old child with vesicular lesions limited to

the palate and the posterior oropharyngeal mucosa
DNA coding for RNA synthesis

RNA coding for protein synthesis
Acquisition of an inheritable trait by bacteria
mediated by DNA
Acquisition of an inheritable trait by bacteria
mediated by RNA
Binding of 30S and 70S ribosomes
has an oral temperature of 101 0 F (380C). The

most probable diagnosis is
A.
B.
C.
D.
E.
chickenpox.
herpangina.
recurrent oral herpes.
herpetic gingivostomatitis
hand-foot-and-mouth disease.
183. Which of the following cells are the most

radiosensitive?
A.
B.
Streptococcus pyogenes
Staphylococcus aureus
Neisseria gono1717oeae
Borde/el/a pe/tussis
Haemophilus influenzae
C.
D.
E.
184.
Each of the following can produce a genotypic

change EXCEPT one. Which is the EXCEPTION?
A.
8.
C.
D.
Rubella
Hepatitis C
Influenza A
Coxsackievirus
Herpes simplex
181. Cellular tropism by viruses is dependent on whiCh

of the following?
plasmids
recombination.
point mutations.
specialized transducing phages.
generalized transducing phages
Plasmid-mediated antibiotic resistance has been

observed in diseases caused by each of the
following EXCEPT one. Which one is the
EXCEPTION?
A.
178.
C
D.
E.
Which of the following statements best describes

bacterial transformation?
A.
8.
C.
177.
A.
B.
Multiple drug resistance is associated with
A.
B.
C.
D.
E.
Which of the following viruses is most likely to be

isolClted from feces?
Aplastic
Sickle cell
Pernicious
Hemolytic
Myelophthisic
B.
175.
180.
Conjugation
Lysogenization
Transformation
Exposure to tetracycline
Neurons
Fibroblasts
Lymphocytes
Chondrocytes
Epithelial cells
During repair, which of the following substances is

essential for precollagen fibers to transfol-m into
collagen fibers?
A.
B.
C.
D.
E.
Cortisone
Carotene
Ascorbic acid
Prothrombin
Thromboplastin
TIle human immunodeficiency virus preferentially

infects which of the following cells?
A.
NK
8.
C
D.
Helper I
Cytotoxic T
Suppressor T
185.
Which of the following conditions represents an

intOXication rather than an infection?
A.
B.
C.
D.
E.
19
Anthrax
Botulism
Chancroid
Bacteroidosis
Salillonellosis septicemia
The tensile strength of a healing mucosal wound

depends on Wllich of the following')
1St!
A
B.
C.
D.
E.
187.
B.
C.
D.
188.
B.
C.
D.
E.
A
B.
C.
D.
E.
B.
C.
D.
E.
gallstones.
atherosclerosis.
hyperparathyroidism.
osteogenic sarcoma.
lymphatic spread of lung cancer.
Difficulty in swallowing refers to
A
B.
C
D.
194.
dyspnea.
achalasia.
dysphagia.
hemetemesis.
Each of the following viruses is potentially capable

of causing cell transformation EXCEPT one. Which
Bone
Liver
Striated muscle
Collagen
Smooth muscle
A.
B.
C.
D.
E.
Retrovirus
Herpesvirus
Picornavirus
Hepatitis B virus
Human papillomavirus
195. Which of the following terms refers to the presence

of digested blood in the stool?
A.
B.
C.
D.
E.
Trauma
Immobilization
Infection
Hemorrhage
Ischemia
Hemosiderosis
Hemochromatosis
Hematoma
Icterus
Melena
196. Chlamydia trachomatis might cause each of the

following diseases EXCEPT one. Which one is the
EXCEPTION?
A.
B.
C.
D,
E.
Hyaluronidase
Leukocyte migration
Vascular permeability
Osmotic pressure of plasma
Number of endothelial junctions
Trachoma
Lymphogranuloma venereum
Inclusion conjunctivitis
Non-gonococcal urethritis
Primary atypical pneumonia
197. Which of the following conditions is most

commonly associated with acute pancreatitis?
Each of the following conditions predisposes a

patient to develop cancer EXCEPT one. Whicll one
is the EXCEPTION?
193
steroids.
histamine.
complement.
antihistamines.
Escape of plasma from capillaries into an area of

inflammation is favored by an increase in which of
the following?
A
B.
C.
D.
E.
191.
B.
C.
D.
E.
Healing is retarded by each of the following

conditions EXCEPT one. Which one is the
EXCEPTION?
189.
190.
Which of the following has the least ability to

regenerate?
Metastatic calcifications are most likely to be the

result of
Wound hormones
Epithelial regeneration
Formation of collagen fibers
Activation of fibrinolysis
Formation of elastic fibers
The chemotactic accumulation of leukocytes at the

site of immune complex deposition is a result of
192.
A.
B.
C.
D.
E.
Asbestosis
Anthracosis
Hepatitis C
Gardner'S syndrome
Ulcerative colitis
20
Chronic alcohol abuse

Diabetes mellitus
Physical trauma
Viral infection
Hypercalcemia
198
Each of the following is a!!ributable to hepatic

failure EXCEPT one. Which one is the
EXCEPTION?
A
B
C
o
E.
199.
Red hepatization refers to which of the following?
A.
B.
C.
o
E.
200.
Tremor
Gynecomastia
Mallory bodies
Hypoalbuminemia
Spider telangectasia
Early stage of acute hepatitis

Late stage of acute hepatitis
Cirrhosis caused by hemochromatosis
Congestion of the liver caused by chronic
right sided heart failure
Stage of lobar pneumonia
Acute passive congestion often accompanies

which of the following'!
A.
B.
C.
O.
Edema
Inflammation
Contusion
Hematoma
21
NATIONAL BOARD PART 1 RELEASED ITEM KEY

ITEMS 101-200
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
B
B
C
0
A
0
A
A
C
B
C
E
E
E
E
C
0
0
C
C
0
0
B
A
A
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
0
A
C
0
B
B
B
B
C
E
C
A
0
B
B
0
C
0
A
E
C
B
E
B
E
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
23
0
B
0
B
0
C
C
C
0
C
C
B
A
E
0
A
A
A
0
A
C
0
C
A
A
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
C
A
0
B
0
0
B
C
C
B
C
C
C
B
C
B
C
C
C
E
E
A
C
E
A
NATIONAL BOARD PART 1 RELEASED ITEM KEY

ITEMS 1-100
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
B
B
0
C
A
C
B
8
E
C
A
8
E
8
A
8
E
C
E
0
C
0
8
A
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
B
B
0
E
B
8
8
0
A
C
C
E
A
A
A
E
0
A
0
E
C
0
C
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
B
E
A
B
A
8
8
0
0
A
C
A
8
E
8
E
A
0
D
B
A
8
B
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
0
0
B
0
0
E
C
0
0
C
A
C
E
C
C
C
B
C
0
A
B
E
A
The above key may be used to determine correct and incorrect answers; however, for this
item set, it is not possible to convert a raw score number correct to a standard score or
associated pass/fail status.
22

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22

The posterior belly of the digastric is supplied

The horizontal plane diagram below shows

Which of the following pairs of amino acids is

Lysine and arginine

Which of the following conditions might be an

In the presence of sucrose, Streptococcus

Which of the following primary teeth has a

Which of the following properties do mast cells

An anemic individual is expected to have

Vertical component of the movement frorr

Protein and RNA synthesis occur in each of the

Each of the following is attributable to hepatic

216. Which of the following temporomandibular

As viewed from the lingual, the lingual cusp of

214. The parotid duct crosses the

The cusp of Carabelli occurs with sufficient

Primary maxillary first

Inorganic crystals in enamel have their long

Which of the following is a ketone body?

The main route of calcium excretion from a

A patient who has anemia, poorly localized

Centers of the bodies of the rods only

The occlusal view of a normal dental arch

Primary right first molar

The posterior belly of the digastric is supplied

The horizontal plane diagram below shows

Which of the following pairs of amino acids is

Lysine and arginine

Which of the following conditions might be an

In the presence of sucrose, Streptococcus

Which of the following primary teeth has a

Which of the following properties do mast cells

An anemic individual is expected to have

Vertical component of the movement fror

Protein and RNA synthesis occur in each of the

The presence of mamelons in a 10-year-old

In the upper limb, which of the following

Which of the following pathogens is MOST

Vitamin C deficiency primarily affects which of

Each of the following is expected to be active

Each of the following venous channels has

When viewed from the incisal aspect, each of

Which of the following coenzymes is required

Pain in inflamed tissues is associated with the

Which of the following cranial nerves contains

2005 American Dental Association J . t

Tricarboxylic acid cycle

In an ideal intercuspal position, the mesiofacial

Which of the following BEST describes the

The thyrocervical trunk is comprised of the

partial pressure of oxygen is found in

The condyle on the laterotrusive side

sagittal axis only.

They are associated with hair follicles

The first step in the pathway for fatty acid

235. Under physiologic conditions, the LOWEST

Which of the following describes sebaceous

Which of the following bones forms the roof of

Each of the following diseases is transmitted

Tip of the distofacial cusp

Which of the following represents genes that

Which of the following is a major disadvantage

What teeth occlude with only one opposing