DSE EXCELLENCE UNDER PRESSURE HIGH STAKES
CLINICAL A PLUS STRATEGY 2026 2027 COMPLETE
UPDATED PRACTICE QUESTIONS DETAILED VERIFIED
ANSWERS FULLY GRADED A PLUS EXAM READY
GUARANTEED HIGH SCORE STUDY GUIDE
BW xray of a tooth with an amalgam and patient complained of pain
when provoked by hot or cold. Why? - THE CORRECT ANSWER-
Deep amalgam filling
Leave perio pack in for how long? - THE CORRECT ANSWER-1 week -
surgical dressing applied over an area involved in periodontal surgery to
enhance healing and tissue recovery.
Picture of an epulis fissuratum. How do you treat this before making a
new denture? - THE CORRECT ANSWER-Excision.
[Other answer choices: Apply tissue conditioner, leave lesion alone,
prescribe antibiotics] - Epulis fissuratum - benign hyperplasia of fibrous
CT that develops as a reactive lesion to chronic mechanical irritation
produced by flange of poorly fitting denture
Reason for perio flap? - THE CORRECT ANSWER-Access for
instrumentation
Maxillary tori in denture patient. What do you do before making a new
denture? - THE CORRECT ANSWER-Remove it
What does a major connector of a denture need? - THE CORRECT
ANSWER-Rigidity
According to OSHA you need to check the autoclave with what
frequency? - THE CORRECT ANSWER-Weekly
,HIV ELISA test was negative for a person who had a needle stick. What
does that mean? - THE CORRECT ANSWER-Patient has no Ab's
present
Ortho case- what was the most important thing they did in maxillary
arch? - THE CORRECT ANSWER-Align the teeth for future restorative
procedures
(Not close upper and lower diastema)
What pain reliever do you give to a patient who has kidney disease? -
THE CORRECT ANSWER-Acetaminophen because of the absence of
the platelet impairment, gastrointestinal toxicity, and nephrotoxicity
associated with nonsterioldal antiinflammatory drugs
Picture of surveyor. Asked what we were looking at? - THE
CORRECT ANSWER-Space for guideplane
What is a major complication of Phlebitis? - THE CORRECT ANSWER-
Pulmonary Embolism
Phlebitis - means inflammation of a vein
Patient complaining of space in between teeth after SRP. Why? -
THE CORRECT ANSWER-Reduction in edema
1-2 mm of reduction in probing depth after performing SRP.
What is the cause? - THE CORRECT ANSWER-Formation of long
junctional epithelium ( the tissue responsible for attachment of the
gingiva to teeth) rather than the regeneration of a new CT periodontal
attachment
If a patient has a shunt on the left arm where do you take BP? -
,THE CORRECT ANSWER-Right arm
Picture of #10 and #11 lingual surface, what is wrong with the gingiva? -
THE CORRECT ANSWER-Edema
Space in between #29 and #30 in a very old patient with no #31 and #32
and barely occluding with #3. Why is this happening? - THE CORRECT
ANSWER-No occlusion or mesial drifting premolars
Surgical stent fits the gums but immediate denture doesn't fit.
What do you do? - THE CORRECT ANSWER-Relieve until it seats
Picture of the bottom of the tongue with multiple white lesions. Stated
that the patient had complaint of sore gums and tongue, fever of 101
degrees. What is most likely diagnosis? - THE CORRECT ANSWER-
Primary herpetic stomatitis - caused by initial infection with the herpes
simplex virus Type 1
Treatment of Primary herpetic stomatitis - THE CORRECT
ANSWERPalliative
Patient with purple lesions on palate and said they had similar lesions on
body too. What is most probable cause? - THE CORRECT ANSWER-
HIV (Kaposi Sarcoma)
Other answer choices: Sturge weber, erythema multiforme
What disease will effect wearing complete dentures the most? -
THE CORRECT ANSWER-Sjogren's Disease (xerostomia)
Lesion in the mouth that heals with a scar? - THE CORRECT
ANSWERMajor aphthous ulcer
, Picture with an arrow pointing to a soft tissue mass on FOM.
This is the opening of - THE CORRECT ANSWER-Wharton's Duct
(Submandibular Duct)
Lichen planus is present on the tongue that was asymptomatic, asked
what is the treatment? - THE CORRECT ANSWER-
Corticosteroids (Would have picked "Nothing" but "Nothing" was not an
option)
Picture of white things on buccal mucosa, and asked what it was. - THE
CORRECT ANSWER-Lichen planus (but it also looked like leukoedema,
cheek biting, etc. and all were answer choices)
Panoramic xray with radiopacity underneath the mandibular incisors,
asked what was it? - THE CORRECT ANSWER-???? Supernumerary
tooth (maybe odontoma)
Gingival edema is caused by - THE CORRECT ANSWER-Anaerobes
Post crown cementation sensitivity is due to - THE CORRECT
ANSWERMicroleakage
Before you line a complete denture you must first establish: -
THE CORRECT ANSWER-Posterior occlusion
Picture of patient's maxilla with a FPD and RPD attached to it.
Asked how they are attached? - THE CORRECT ANSWER-
Semiprecision attachment?
Precision attachments are not good with patient with - THE
CORRECT ANSWER-Low dexterity
CLINICAL A PLUS STRATEGY 2026 2027 COMPLETE
UPDATED PRACTICE QUESTIONS DETAILED VERIFIED
ANSWERS FULLY GRADED A PLUS EXAM READY
GUARANTEED HIGH SCORE STUDY GUIDE
BW xray of a tooth with an amalgam and patient complained of pain
when provoked by hot or cold. Why? - THE CORRECT ANSWER-
Deep amalgam filling
Leave perio pack in for how long? - THE CORRECT ANSWER-1 week -
surgical dressing applied over an area involved in periodontal surgery to
enhance healing and tissue recovery.
Picture of an epulis fissuratum. How do you treat this before making a
new denture? - THE CORRECT ANSWER-Excision.
[Other answer choices: Apply tissue conditioner, leave lesion alone,
prescribe antibiotics] - Epulis fissuratum - benign hyperplasia of fibrous
CT that develops as a reactive lesion to chronic mechanical irritation
produced by flange of poorly fitting denture
Reason for perio flap? - THE CORRECT ANSWER-Access for
instrumentation
Maxillary tori in denture patient. What do you do before making a new
denture? - THE CORRECT ANSWER-Remove it
What does a major connector of a denture need? - THE CORRECT
ANSWER-Rigidity
According to OSHA you need to check the autoclave with what
frequency? - THE CORRECT ANSWER-Weekly
,HIV ELISA test was negative for a person who had a needle stick. What
does that mean? - THE CORRECT ANSWER-Patient has no Ab's
present
Ortho case- what was the most important thing they did in maxillary
arch? - THE CORRECT ANSWER-Align the teeth for future restorative
procedures
(Not close upper and lower diastema)
What pain reliever do you give to a patient who has kidney disease? -
THE CORRECT ANSWER-Acetaminophen because of the absence of
the platelet impairment, gastrointestinal toxicity, and nephrotoxicity
associated with nonsterioldal antiinflammatory drugs
Picture of surveyor. Asked what we were looking at? - THE
CORRECT ANSWER-Space for guideplane
What is a major complication of Phlebitis? - THE CORRECT ANSWER-
Pulmonary Embolism
Phlebitis - means inflammation of a vein
Patient complaining of space in between teeth after SRP. Why? -
THE CORRECT ANSWER-Reduction in edema
1-2 mm of reduction in probing depth after performing SRP.
What is the cause? - THE CORRECT ANSWER-Formation of long
junctional epithelium ( the tissue responsible for attachment of the
gingiva to teeth) rather than the regeneration of a new CT periodontal
attachment
If a patient has a shunt on the left arm where do you take BP? -
,THE CORRECT ANSWER-Right arm
Picture of #10 and #11 lingual surface, what is wrong with the gingiva? -
THE CORRECT ANSWER-Edema
Space in between #29 and #30 in a very old patient with no #31 and #32
and barely occluding with #3. Why is this happening? - THE CORRECT
ANSWER-No occlusion or mesial drifting premolars
Surgical stent fits the gums but immediate denture doesn't fit.
What do you do? - THE CORRECT ANSWER-Relieve until it seats
Picture of the bottom of the tongue with multiple white lesions. Stated
that the patient had complaint of sore gums and tongue, fever of 101
degrees. What is most likely diagnosis? - THE CORRECT ANSWER-
Primary herpetic stomatitis - caused by initial infection with the herpes
simplex virus Type 1
Treatment of Primary herpetic stomatitis - THE CORRECT
ANSWERPalliative
Patient with purple lesions on palate and said they had similar lesions on
body too. What is most probable cause? - THE CORRECT ANSWER-
HIV (Kaposi Sarcoma)
Other answer choices: Sturge weber, erythema multiforme
What disease will effect wearing complete dentures the most? -
THE CORRECT ANSWER-Sjogren's Disease (xerostomia)
Lesion in the mouth that heals with a scar? - THE CORRECT
ANSWERMajor aphthous ulcer
, Picture with an arrow pointing to a soft tissue mass on FOM.
This is the opening of - THE CORRECT ANSWER-Wharton's Duct
(Submandibular Duct)
Lichen planus is present on the tongue that was asymptomatic, asked
what is the treatment? - THE CORRECT ANSWER-
Corticosteroids (Would have picked "Nothing" but "Nothing" was not an
option)
Picture of white things on buccal mucosa, and asked what it was. - THE
CORRECT ANSWER-Lichen planus (but it also looked like leukoedema,
cheek biting, etc. and all were answer choices)
Panoramic xray with radiopacity underneath the mandibular incisors,
asked what was it? - THE CORRECT ANSWER-???? Supernumerary
tooth (maybe odontoma)
Gingival edema is caused by - THE CORRECT ANSWER-Anaerobes
Post crown cementation sensitivity is due to - THE CORRECT
ANSWERMicroleakage
Before you line a complete denture you must first establish: -
THE CORRECT ANSWER-Posterior occlusion
Picture of patient's maxilla with a FPD and RPD attached to it.
Asked how they are attached? - THE CORRECT ANSWER-
Semiprecision attachment?
Precision attachments are not good with patient with - THE
CORRECT ANSWER-Low dexterity
