**Question 1.** Which vital sign is most critical to check before administering local anesthesia?
A) Temperature B) Pulse C) Blood pressure D) Respiration
Answer: C
Explanation: Hypertension can increase the risk of hemorrhage during injection.
**Question 2.** In the Universal Numbering System, the maxillary right first molar is numbered:
A) 3 B) 14 C) 2 D) 16
Answer: B
Explanation: Numbering starts at the upper right third molar (1) across to the left (16).
**Question 3.** The mesial surface of a tooth is located:
A) Toward the midline B) Away from the midline C) On the chewing surface D) On the lingual side
Answer: A
Explanation: Mesial is the surface nearest the dental midline.
**Question 4.** Which charting symbol indicates a carious lesion on the occlusal surface?
A) “–” B) “⨁” C) “Δ” D) “⨂”
Answer: C
Explanation: The triangle (Δ) denotes caries in most charting systems.
**Question 5.** The primary purpose of a high-volume evacuator (HVE) is to:
A) Dry the field B) Remove saliva and aerosols C) Provide light D) Deliver water spray
Answer: B
Explanation: HVE efficiently removes fluids and aerosolized particles.
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**Question 6.** Which ergonomics principle helps prevent musculoskeletal strain for the assistant?
A) Standing upright B) Leaning over the patient C) Keeping elbows close to the body D) Tilting the head
forward
Answer: C
Explanation: Keeping elbows close reduces shoulder and back fatigue.
**Question 7.** The two-handed instrument transfer technique is also known as:
A) The “modified grip” B) The “four-handed pass” C) The “reverse-hand” D) The “cross-hand”
Answer: B
Explanation: Two-handed transfer involves both operator and assistant passing instruments
simultaneously.
**Question 8.** The most appropriate isolation method for a Class II composite restoration is:
A) Cotton roll B) Rubber dam C) Dri-Angle D) Cheek retractor
Answer: B
Explanation: Rubber dam provides moisture control and field isolation.
**Question 9.** When preparing a syringe for aspiration, the assistant should:
A) Remove the needle B) Attach a 27-gauge needle C) Fill the barrel with anesthetic D) Prime the syringe
with air
Answer: C
Explanation: The barrel must be filled with anesthetic before aspiration.
**Question 10.** Nitrous oxide sedation requires monitoring of:
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A) Blood glucose B) Pulse oximetry C) Blood pressure only D) Temperature
Answer: B
Explanation: Pulse oximetry ensures adequate oxygenation during sedation.
**Question 11.** Which matrix system is best for a Class III restoration on an incisor?
A) Tofflemire full-arch B) Sectional matrix C) Circumferential band D) No matrix needed
Answer: B
Explanation: Sectional matrices adapt to the incisal edge and provide better contact.
**Question 12.** A base placed under a composite restoration primarily serves to:
A) Increase aesthetics B) Provide thermal insulation C) Bond to dentin D) Release fluoride
Answer: B
Explanation: Bases protect pulp from thermal changes.
**Question 13.** In endodontic assistance, the correct order of file measurement is:
A) Length → Diameter → Taper B) Diameter → Length → Taper C) Taper → Length → Diameter D)
Length → Taper → Diameter
Answer: A
Explanation: Files are measured by working length first, then diameter and taper.
**Question 14.** Which instrument is used to elevate a mandibular molar during extraction?
A) 151 forceps B) Cryer elevator C) Periotome D) Amplatz curette
Answer: B
Explanation: Cryer elevators are designed for root elevation.
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**Question 15.** During crown preparation, the provisional cement should be:
A) Light-cured only B) Temporary and low-strength C) Permanent resin D) Zinc phosphate
Answer: B
Explanation: Temporary cements allow easy removal of the provisional restoration.
**Question 16.** Alginate impression material should be mixed at a ratio of:
A) 1:1 B) 1:2 C) 2:1 D) 3:1
Answer: A
Explanation: Equal parts powder and water yield optimal set.
**Question 17.** The setting time for addition silicone impression material is typically:
A) 30–60 seconds B) 2–4 minutes C) 5–7 minutes D) 10–12 minutes
Answer: B
Explanation: Light-body addition silicones set within 2–4 minutes.
**Question 18.** When pouring a study model, the water-to-powder ratio for Type III dental stone is:
A) 0.25 ml/g B) 0.30 ml/g C) 0.35 ml/g D) 0.40 ml/g
Answer: B
Explanation: Type III stone requires approximately 0.30 ml of water per gram of powder.
**Question 19.** The purpose of trimming a diagnostic cast is to:
A) Remove excess stone B) Create undercuts C) Smooth margins for articulation D) Harden the stone
Answer: C