Oral radiology assignment

#1(group3)
1- Which radiolucent landmark that extend to the level of crestal ridge
specially in the incisor area?

a) Nasolabial fold
b) Upper lip
c) Lower lip
d) Tip of the nose

2- Which type of stimulation that initiate tertiary dentine?

a) Abrasion
b) Periodontal disease
c) Dycal material
d) All the above

3- How can we distinguish between keratocyct and ameloblastoma?

a) Ameloblastoma and keratocyte both have well defined border but the
keratocycte is trabiculated and ameloblastoma is multilocular.

b) Ameloblastoma-has well defined border multilocular,grow superiorly and

Buccolingually,make root resorption and displacment more than
keratocyst.

c) Keratocyst has well defined border ,scalloped outline,multilocular

polycystic,the growth more Buccolingually dimension, make root
resorption and displacment more than ameloblastoma.
 d) Ameloblastoma-has well defined border ,scalloped outline ,trabiculated
lesion ,grow superiorly and Buccolingually, make root resorption and
displacment more than keratocyst.

4- Determine the classification of interproximal caries:

a) Red-severe interproximal caries ,blue- mild interproximal caries , green-

moderate interproximal caries
b) Red- no interproximal caries, blue- moderate interproximal caries , green-
advance interproximal caries
c) Green- advance interproximal caries , blue- moderate interproximal caries ,
red-incipient (mild) interproximal caries
d) Red-no caries blue- moderate interproximal caries green- moderate
interproximal caries .

5- What is the different between radicular cyst and abscess?

a) The cyst is rounded,well defined border radiolucency trabeculated.and the
abscess is well defined border radiolucent and trabeculated.
b) The cyst is well defined border, radiolucent and trabeculated.and the
abscess is well defined border radiopace and corticated.
c) The cyst is well defined border ,radiolucent corticated and steril, where
as the abscess is ill defined fuzzy border, less radiolucent ,and faster than
the cyst in growth.
d) The cyst is well defined border ,radiolucent corticated and not steril,
where as the abscess is ill defined fuzzy border, less radiolucent ,and slower
than the cyst in growth.
1) Which of the following cause cervical Burn Out ?
 a) Interproximal caries
b) Root Caries and CEJ.
c) Poor X-ray absprption
d) Poor horizontal angulation of beam
2) Which is CORRECT about interproximal caries and occlusal caries
respectively ?

a) Commonly found on contact point , interproximal restoration & free

gingival margin . Involve pit & fissures on posterior teeth and not seen
on radiograph until there is involvement of DEJ.
b) Commonly found on contact area , interproximal restoration ,buccal
restoration . Involve pit & fissures on posterior and easly seen on
panoramic radiograph.
c) Commonly found on contact point , interproximal restoration , free
gingiva . Involve pit & fissures on posterior teeth and seen on radiograph
until there is involvement of DEJ.
d) Both of them found on posterior teeth in all surfaces.

3) First sign that can be detected radiographically is widening in periodontal

ligament and then resorption of the lamina Dura , What is the cause of
resorption of lamina Dura ?

a) Activation of osteoblast.
b) Activation of osteoclast
c) Inhibition of osteoclast
d) Inhibition of osteoblast

4) Which of the following is TRUE statement ?

a) Radicular cyst is associated with apex of non-vital teeth while

Residual cyst is followed by dental extraction procedure.
b) Radicular cyst is ill-defined border and cause displacement and
resorption of adjacent teeth while Residual cyst is large sized
commonly in maxilla.
c) Lateral Radicular cyst is stimulated by inflammatory products
spreading threw lateral or artificial root canal that make laterally
situated center, While Lateral periodontal cyst is very corticated and
situated at mid distance.
 d) Paradental cyst is inflammatory cyst often a long mesial and lingual
root surface of partially impacted third molar .

5) What is NOT True about Keratocyst ?

a) it is cyst that arise from epithelial rest of Malases and start as a result of
degeneration of enamel origin epithelium after developmental of dental
hard tissue .
b) all cyst grow due to osmotic imbalance between inner and outer sides of
cysts and liquid accumulation inside cyst , BUT growth of keratocyst Is due
to innate growth potential of epithelial linning .
c) The most common location is posterior of mandible and it is corticated
border “ well defined “
d) Most commonly radiolucent and has high recurrence rate.

1- How we can differentiate cervical burn out and dental caries ?

a- cevrical burn out has a well defined border toward the pulp and dental
caries does not have defined border toward the pulp.
b- cervical burn out start away and above the CEJ but caries startonly
bllow the CEJ
c- cervical burn out appears at radiograph as radiolucncy with small obaque
lines but cervical caries appears pure radiolucent .
d- cervical caries is a collar or wedge shaped radiolucncy found near the
CEJ with illdefined border but caries have a well defined border towed
the pulp .
2- regulate the steps of general inflammatory process :
1- releasing of inflammatory mediators (histamine, bradykinin , neourokinin
, neroupiptides , prostaglandine )
2- cellular damage
3- vasolidation, increased blood flow, vascular leakge with edema
4- extarnal stimuli reaching noxious level
5- degranulation of inflammatory mast cells
6- decrease neutint flow
a- 5,4,3,1,2,6
b- 6,3,4,2,1,5
c- 4,5,6,2,1, 3
3- what is true about the periapical abscess :
 a- the most common case occur that periapical abcess converted into
periapical granulome ( from infective to stirle)
b- when their is secondary infection the granuloma can converted into
abscess. .
c- it's chronic and infected
d- it's acute and stirle
4- how to diffrantiate between keratocyst and ameloplastoma?
a- keratocyst have minimal cortical expansion and minimal size misiodistaly and
ameloplastoma have a huge side with cortical expantion
b- keratocyst have minimal cortical expantion and ameloplastoma have huge
cortical expantion bucolingualy
c- keratocyst commonly located at posterior aspect of mandible but
ameloplastoma located at the anterior aspect of mandible
d- keratocyte cause maximal resorbtion and displacement of adjecnt teeth but
ameloplastomamake minimal resorbtion and displacement of adjecnt teeth .
5- the lesion that located at this radiographic and clinical picture is :-

Note: cyst not on the dam of the palate

a-inflammatiory lesion between central incisor
b-lateral radicular cyst of upper right central inceser
c-nasopalatine duct cyst
d-median palatal cyst

Q1) Which odontogenic cyst has a tumor-like characteristic?

A- Radicular cyst.
B- Dentigerous cyst.
C- Odontogenic Keratocyst.
D- Lateral Periodontal cyst.

Q2) How can we eliminate the wide horizontal lucency apical to the maxillary
teeth.
A- Sit up straight.
B- Drop the chin.
 C- Elevate the tongue.
D- Elevate the chin.

Q3) When an interproximal carious lesion progress through dentin greater than
half the distance towards the pulp it’s classified as:
A-Incipient.
B-Moderate.
C-Advanced.
D-severe.

Q4) Radiolucent lesion with rounded and corticated bonders, the diameter of this
lesion is 3cm .what is this lesion?
A- Radicular cyst.
B- Periapical granuloma.
C- Periapical abscess.
D- Residual cyst.
Q5) The lucency that specified in this figure is:
A- Cyst
B- Mandibular foramen
C- Granuloma
D- Mental foramen
1. We use collimators to:
A. filter the radiation beam
B. Increase film latitude
C. Decrease film latitude
D. Reduce the radiation beam spread
2. The opacity that specified in this picture is:

A. Radiopaque lesions
B. Shadow of the other side
C. Ossifying fibroma
D. Fibro-osseous lesion
3. Localized areas of bone sclerosis associated with pulpitis or pulpal
necrosis, Radiographic feature is ill defined radiopacity at the apex of an
inflamed tooth:
A. periapical granuloma
B. periapical cemental dysplasia
C. condensing osteitis
D. hyper cementosis

4. Which developmental cyst appears in posterior body of the mandible,

show evidence of cortical border, causes minimal resorption of adjacent
teeth?
A. Keratocystic odontogenic tumor
B. Ameloplastoma.
C. Dentigerous cyst.
D. Odontogenic keratocyst.
5. According to the following radiographic image, the lesion is most likely to
be:

A. Radicular cyst
B. Lateral Radicular cyst
C. Residual cyst
D. Lateral periodontal cyst
1) from these radiographic appearances one of them has ill-defined borders and
may be confused with cervical caries , and the other
confused with recurrent caries underneath a
composite restoration,respectively?
a. Abrasion,Mach band effect.
b. Cervical Burn out, mach band effect.
c. Mach band effect,cervical burn out.
d. Attrition,abrasion.
2) according to this radiograph, PDL and lamina dura
 are intact, well defined small sized corticated rounded radiolucency between
canine and premolar, most appropriate diagnosis is:

a. Lateral radicular cyst.

b. Lateral periodontal cyst.
c. Small neurofibroma.
d. Small odontogenic keratocyst.

3) periapical radiograph can detect:

a. Caries interproximal.
b. Large carious lesions.
c. Indirect Consequence of caries.
d. A&C.
4) keratocyst and ameloblastoma have similar radiographic appearance,all of
these characterstics are true except:

A. Both are destructive and cause dissection to the mandible.

B. Both are associated with high recurrence rate.
C. Both cause severe bacculingual cortical expansion.
D. Both of them grow near alveolar bone crest.

5) which of these phenomena is best explain the normal radiographic

appearance of alveolar crest cortical bone?
a. Cervical burn out.
b. Superimposition.
c. Egg shell appearance.
d. None of the above.
1. All of the following maxillary intraoral structure appears
radiolucent on the dental radiograph except:
2. Incisive foramen
3. Pdl around tooth
4. Anterior nasal spine
5. Nasal fossa
2. regarding occlusal caries which one of the following is not true :
a. Incipient and moderate occlusal caries can be seen on dental
radiograph.
 b. Sever occlusal caries extend into dentin and is seen as a large
radiolucency.
c. Occlusal caries are not seen on a radiograph until there is
involvement of the DEJ .
d. Incipient and moderate occlusal carries must be detected clinically
with an explorer probe.
3. A localized dentin formation in response to external stimuli such
as carries is known as :
a. Localized secondary dentin.
b. Physiologic secondary dentin.
c. Tertiary dentin
d. 1+3.

4. according to this radiographic appearance ,if RCT done to this

tooth pain will persist, the best diagnosis is :

a. Periapical granuloma .
b. Periapical abscess.
c. Radicular cyst.
d. Lateral radicular cyst
5. all of the following cysts can be founded in the premolar area
except :
a. Pseudocyst.
b. Lateral periodontal cyst.
c. Nasopalatine duct cyst
d. All of the above

1. This x-ray represented a type of cyst, all of the following are related to this
cyst except?
 a. Arises from the epithelial rests in the periodonteum, lateral to the tooth
root.
b. Well defined radiolucency, with a prominent cortical boundary and round
or oval shape.
c. Cysts may displace the mandibular alveolar nerve canal in an inferior
direction.
d. Most commonly found in Mandibular incisor to the second premolar.
2. which of the following does not related to interproximal caries?

a- Caries found on the smooth surfaces between two teeth and beneath the
contact point.
b- . Interproximal caries viewed on a dental radiograph can be classified
according to the depth of penetration the lesion exhibits through the enamel
and dentin
c- Interproximal carious lesions viewed on a dental radiograph can be classified
only to incipient, moderate, advanced, and severe.
d- Not seen on a radiograph until there is involvement of the DEJ.

3. After the inflammation reached the periapical area, what is the first
radiographic sings will appears in the x-ray image?
a. Destruction in lamina dura.
b. Widening in the PDL.
c. Radiopaque periapical area.
d. Periapical abscess.
4. which is NOT a possible Differential diagnosis of a Radicular Cyst?

a- With periapical cemental dysplasia (early stage); where the vitality of the
tooth should be investigated.
b- With periapical abscess, which has an undefined, uncorticated and fuzzy
border and the internal structure of periapical abscess is less radiolucent
compared to Radicular cyst.
c- With primordial (replacemental type of keratocyst).
d- With periapical granuloma; although it’s rounded with corticated borders and
is totally radiolucent, periapical granuloma usually is smaller in diameter. If
the diameter is less than 1cm, probably the lesion is periapical granuloma, if
the diameter is greater than 2,5 cm, most probably it’s a Radicular cyst.

5. regarding the landmarks which Structure forms an inverted Y-shaped in

canine imagde?
a. paranasal sinuses and body of maxilla.
b. Superior and anterior walls of sinus.
c. Floors of the sinus and nasal cavity.
d. Sinus and nasal cavity.
 1. Eruption cysts :
a. A)its originated from dentigerous cysts.
b. b)regresses aftee erupted of teeth
c. c)is found in the place of the missing tooth
d. d)is a type of dentigerous teeth
2. what is the type of caries that will be after along term radiation
theraby(biohazard)which will affect the teeth
a. occlusal caries
b. proximal caries
c. chronic caries
d. rampant caries

3. a patient with dental radiograph show an oval radiolucent area between

apices of maxillary incisores is ;
a) nasopalatine foramen
b) nasal fossa
c) incisive canal
d) lingual foramen
4. the best describtion for caries have triangular radiographic appearance
with the base at outer tooth surface and apex toward DEJ is characterized
for;
a) occlusal caries
b) B) advanced proximal cares
c) moderate proximal caries
d) incipient caries
5. this well defined radiolucent border show in radiographic is;
a) residual cysts
b) paradental cysts
c) buccal bifurcation cysts
d) radicular cysts
1. A thin radiolucent line in the midline between the two portions of
premaxilla , and a V-shaped projection appears radiopaque it’s refer to :
a. Incisive foramen, Floor of the nasal aperture
b. Anterior nasal spine , anterior nasal spine
c. Floor of the nasal aperture, Median Suture
d. Median suture , anterior nasal spine

2. Small odontogenic lesion , well defined radiolucency with prominent

cortical boundary and oval in shape on the mandibular 2nd premolar:
a. Periapical granuloma
b. Radicular cyst
c. Lateral periodontal cyst
d. Lateral radicular cyst
3. All of these appear as caries on the radiograph image except:
a. Mach effect
b. Cervical burnout
c. Interproximal surface
d. Root Convexities
4. A dentist want to detect the extension of the interproximal caries in the
anterior teeth:

a. The Transilluminator is indicated and no need for radiographs for anteriors.

b. A periapical radiograph is needed.
c. The caries extension in anterior teeth are easy to be detect by the light.
d. In the anterior aspect, when the caries movies toward the pulp
chamber,r the thickness of linguolabial tooth structure increases, and
this is easy to be detected clinically.

*Note For the answer: we are talking about the extension of caries, I mean:
we know that we have caries but we need to know how much is extended ,
so we need a radiograph.
5. An Odontogenic cyst has been reclassified due it is a tumor like
characteristics and forms around an unerupted tooth:

a. Buccal Bifurcation
b. Dentigerous
c. Odontogenic Keratocyst
d. Residual
1. All of the following are the radiographic characteristic of the incipient and
moderate occlusal caries except :

a. Incipient caries extends less than ½ the thickness of enamel .

b. Can be detected clinically.
c. Can be detected radiographically .
d. moderate caries extends greater than ½ the thickness of enamel.

2. what is the best description for this red arrows in radiographic picture :-
a. it’s a radiographic phenomena called mack band .
b. lesion which is unknown yet
c. this red arrows indicate recurrent caries .
d. this red arrows indicate rampant caries.

3. The osteomyelitis should be differentiated with squamous cell carcinoma

by :-

a. Squamous cell carcinoma is very small in size while osteomyelitis is large

b. Squamous cell carcinoma is most commonly found in the posterior mandible
while the osteomyelitis is most commonly found in maxilla.
c. Squamous cell carcinoma is totally radiopaque .
d. Osteomyelitis is no extend to the soft tissue while squamous cell carcinoma
extends to the soft tissue .

4. The main difference to differentiate between Dentigerous cyst and

odontogenic keratocyst :-

a. If the distance between the distal or mesial wall of the crown and the border
of the cyst is less than 3mm so it’s dentigerous cyst.
b. Odontogenic keratocyst is more likely to resorb the roots than dentigerous
cyst.
c. Odontogenic keratocyst does not expand the cortices to the same degree as
dentigerous cyst does.
d. Odontogenic keratocyst is sometimes associated with calcification inside it.
 5. A 33 years old patient complains of pain on biting on lower right canine, I
decide to make to him a periapical x-ray what is the normal anatomical
structures might be seen in this x-ray ?

a. Mylohyoid ridge , mental foramen and mandibular canal

b. External oblique ridge , mandibular canal and mental foramen.
c. Mental fossa , submandibular gland fossa and mental ridge.
d. Mental ridge , genial tubercles and mental foramen.

6. The main radiographic feature to differentiate the simple bone cyst from
any lesion :-

a. Simple bone cyst contain dried material.

b. Simple bone cyst have heart shape borders so it’s called valentines cyst.
c. Simple bone cyst have a very ill defined border .
d. Simple bone cyst have margins that scallops between teeth causing minimal
resorption to them .

1. A patient has arthritis and hypertension and he takes (Beta blocker) since 6
years ago daily with high dose ,dentist has been spread caries in all his teeth
,what's the diagnosis?
A- Rampant caries.
B- sever interproximal caries.
C- sever occlusal caries.
D- sever buccal and lingual caries
2. Based of the X-ray what is the radiolucency in the apex of second molar(white
arrow)?

a. periapical abscess
b. inferior alveolar canal
c. Granuloma
d. D-lateral radicular cyst .
3. Radiologist showing occlusal x-ray (lower jaw) in one lectures and asked the
students about the diagnosis?
 a. A-odontogenic Keratocyst
b. B-Ameloblastoma
c. C-lateral radicular cyst
d. D-lateral periodontal cyst
4. After complete treating orthodontics ,the patient suffered from pain on
chewing +percussion and moderate mobility what is the diagnosis?

a. lateral radicular cyst

b. radicular cyst
c. Granuloma
d. periapical abscess.
5. A patient seeking from pain and discomfort in his posterior teeth (lower jaw
right side)due to wisdom, he went surgeon to extract it ,doctor asked for
panorama ,what's the diagnosis?

e. Paradental cyst
f. lateral periodontal cyst
g. Dentigerous cyst
h. lateral radicular cyst